HomeMy WebLinkAbout908 MAGELLAN ST - Building Permits,\
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AVGlicant to fill In all spaces except those within heavy bortler Iines antl sign a11 approDrlata tleelantions. � W
GTY OF C�S7A M�iESA CONSTRUCTION PERMIT °"'""'T ""' TRAr.T Nn �oT No � ����T ���
Pro�ectAddress _[0�%1/�a..� �lun. it �citc %�1�t.sa _
Applican['s Mai!1�9 P.ddress ��> l�
Owner'�Name ' T ��^^�r_�" Phone S`14-OToS'
Adc'�ess ?/�o� ��%t,: r il a..� S+ C�� 9ZG'L6 .
Arch/Eng. R L Tr ��.+�tT License No.
Address
Contianor's Name � ' Phone
Addresslmailing) �-
City License No. '--
�ICENSEO CONTRHCTOR DECLARATION
I here m tbal I am licenzetl untltt prOvlsions ot Charter 9(commenCin9
with section ] ' ion 3 of the Business antl Professions Cotln antl
z.y Ilcense is in full torce antl e
CI � �� �
G Si9nature
I2KER5'COMPENSATION DECLARATION
reby aHirm Iha� I nave a certificate of consent to selttinsure o� a certHlCdt¢
. Workers' Compensation Insurance, or a<ertlfietl copy thoreof (Sectlon
3800, �ab. C.) ' ' •
Policy No. Company
eCertiiietl copy is hereby tumishetl:' ✓,
Certitietl capy is tiled with the city Bulltling Division.
Date APplicant -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This sectlon neetl not be completetl if the permit is for one huntlretl (5300) or
less).
I cer[i/y lhat in Ihe Oetformance ot Ihe work for whlch this petm� issuetl, I
shall not emoloy any person in any manner �5 to � ct to the
Workers' Co Oensat'on laws of Callfornia � �
Date � - � � - RQSignature �
NOTICE: If, after makinq this tleclara[I , you ultl become subject to the
Workers' Compensation provisions of he La r Cotle, you must forthwith
compiy with such provisions or tnis permit snall be tleemetl revokea.
CONSTRUCTION LENDING AGENCV
I nereby af(Irm Ihat there is a construction lending agency tor ihe performance
of the work fOr whicn this permf[ is issuetl (SecfiOn 3097 Civ. C.)
L¢ntler's Name
Lentler's Atldress
OWNER BUILDER DECLARATION
� hereby a/firm Inat I am exempt from the Contractor'S License Law tor the
Ilowing reason (Section 7031.5 Business antl Pro(essional Cotle: Any tlty or
unty whicn �equires a De�mit f0 cOnst�uct, alter, improve, tlemOlish o� r¢pai�
,y strucWre, pNor to its issuance, also reqWres the applicant for such permit
c t,;;'i,e a sign¢tl statemen[ that ne/she is IIcenS¢tl pu�suant to the proviSiOns of
t'.t:,., niractor's License I�w (Chapter 9(commenang with Section 7000) ot
Lyu;"�y�n 3 of the Business antl Protessions Cotle) or that he/she is ezemo�
ttralalrom anE the basis tor the alle9etl exemptlon. Any vfolation of SecUon
]031.5 by dny appliGant for a pe�mit Subjec[s the ap0���ant lo a civil
peylty of not more Ihan five huntlretl tlollars (E500�.
IPTI, as owner of Ihe property or my omDloyees with wages as thelr zole
compensation, will tlo the work, antl the structure is not intentletl or offeretl
for salc ($eC[ion 7044, Busine55 ana Protessional Cotle: Th¢ ConVattOr'S
License Law tloes not aDo�Y to an owner of a property who builtls or improves
[hereon, anE who tloes Such work himselt/hCrself or InrOu9h his or her own
empioyee5, provitletl that such impr�rements are nof Intentletl or offeratl lor
sa1e. I�, nowever, tne builtling or improvement is soltl within one year of com-
pletion, the owner will have Ihe burtlen ot provin9 he/she tlitl not builtl or Im-
pro for the purpose ot 5aie).
I, as owner of the property, am ¢xclusively contracting with licensetl con-
Vactorsto construct the pro�ect (Section 7044, Busin¢55 antl Protes51on5 CotlO:
The COnVactor'S License Law tloes not appty ro an owner of Prop¢rty who
builtls o� imProves tM1e�eon. antl who cOnt�act5 tor sucn oroiect5 wlth a con-
[�aclor(5 I�cenSe purzuant [o me ConVacior�s LiGense L.awj. I aT aware that
pr o�their Wotke�'S Compe�tlQo�injurdnce ihoultl be provltletl to me.
I am exempt untler $eciion �t B. & P�.�iOr [hIs reason
Date � ?' G o e
t h¢r¢by <Mtity that
informatlon Is correct.
ana state laws relatina
sentatives of lhis
InSDe<tlon purpose �
Signature "`�
Driver5' Lice or 55
0865-46, tav. 5/88
Owner
have �ea
'tate that the above
tl counry ortlinances
e0y authOrize repr¢-
ionetl p�operty fo�
oate i-tF"-SS
I.� 3 85G9' I 3�5�1 �S I---
TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTH�ERJ
DES�RIPTION OF WORK/USE OF BLOG. -�Ql� 2 � �
TYPE dF PERMIT �-'LJ G
❑ TENANT ❑ ELE l
❑ OTHER
PROJECT DESCRIPTI N !
CONSTRUCTION TVPE
ZONE
Remarks: �1� 'f�� Q,
�S�
Bar Sink
Backflow Preventer
Backflow Irrigation
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
�
Gas Service Outlets
K" en Sink
Lavatories
P-Trap
Roof Dra" s
Fee
FOUNDATION LJSTRVGTURAL
LUfdBING ❑ MECHANICAL
FT. T �l OCCUP
� VALUATION 5
GRA�INGCU.VDS. A(
$15
Boiler
Duct - Under Ground
Duct - Strucmral
Duct- Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL BIL IC80 �
Heating System & Ducti
❑0.700,OOOBTU 00,000BT
Fee � $15
White - Builtling; Canary - Applicant; Pink - Atcountlng; Goltlenrotl - Assessor
Service Sink
Sewer Cap .
Sewer Connection "
Solar Collector
Solar Pip' i
Sol ank �
imming Pool w/Spa' ^ -
Urinal
�—
Water Clout
Water Heater
Water Service
Auto-Wash
Laundry Tra'ys
Issue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration 5 �m
❑41�� ❑100,OOOBTU
ystem Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
FEES
$ 3
A.P. # —
S Main Building:
TFront �
ARear �
� Right
S . left �
Ping. Ref. #
Planning Notes: i
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U.
Fixtures
Device eoxes
Generator
9
�'F-b' �3
..�.
— 3 za�a _i
Accessory Building:
Z
O
N
I
N
G
Parking Req./Provided �
C2 M
� . A __ �i T
�� i� LU � n�C�� .. iX.i �k�l l
ELECTRICAL FEES
Transtormer ❑ 15-50 KW
❑ 50+KW
Meter up to 100 amps
Merer ❑over 100 ' ps _
,ric Sub Panel
Motor 0.1 HP01'Yf-8
I . oiar �9-15 HP �16-15+
Microwave , n
Pole Light � � .
Range �
�
; Sign
� Standing Sections
15-15 KW Trash Compactor
Reinspection Fee � $15
DEVEIOPMENTSERVICES
Zoning APprovad�By
Building Appraved By _
Fee
3
SUMMARV OF FEES
� � BUILDING PERMIT $ � �CS.tS� SMIP $ 3 • O�S
, PLAN CHECK � $ �� � �� PERMIT
' PLUMBING :- S - • ��UANCE $
PLAN CHECK 25% $ i ENERGV P.C. $
. 'ELECTRICAL' $ ~ � GRADING $
� PLAN CHECK 50% $ - MICfiOFILM $
'MECHANICAL ° $ � TOTAL FEE $ ��1���TS
PLAN CHECK 25% $ �
��f�L/�/ :; -- - ^-�--.- _ _ ^ _
� � '�a_�:_,��...'�.,:�
:- c. ;. .�+ii ,: . .,. ..
;LY
/
/
_ • • �n _ . . ... . . .
� 'CONSTRUCTION AND PLANI�,..,, , • �nL & SPA
� A�PF�OVALS Permit# - Date . Inspector pppROVALSf :rmit# Date Inspector
1.�Temporary Electric8l Service or Pole �` 52. Pool & Equipment Location
. �
.
2. Sd,il Pipe-Undrgrnd. � 53. Steel Feinforcement
3. tilectr.ical,Conduit Utility-Undrgrnd. 54. Forms ,
i
4.;Electrica� Condui%-Undrgrnd. 1� . 55. Electrical Bonding �
� .
5��Steel ,Reinforcement �; 56. Rough Plumbing & Pressure Test ' .
6.�ElectricalUFERGrnd! �• LJ �9 57. APPROVALTOCOVER-GUNITE , �
7.'Footings � t ! y� �� 58. Electrical Conduit-Undrgrnd. '
8. �Faundation �I 59. Gas Pipe, O Undrgrnd., Test �.
9.'Water Pipe-Undrgrrtd. -` • � 60. Backwash Lines, P-Trap, O Undrgmd. �
10. Structural Floor System ' 61. APPROVAL TO DECK
17. �Property Sewer Line & House Connection /. 62. Backwash & Receptor-Final
12.'Sewer CeP � , �.i, 63. Heater & Vent-Final ,
13.'Roof Drains , ' 64. Plumbing System - Final
14.'Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
.
16. Rough Electric Wiring � /67. Fencing & Access Approval
�17� Rough.Wring Sign ' 68. APPROVED FOR PLASTERING
98! Rough E�ectrical-T Bar Ceili`g 69. POOL/SPA SYSTEM$ FINAL
:19: Rough Weating & Air Conditioning FIRE DEPT. REQUIREMENT
�
20. Rough FactoryLFireplace �� � APPROVALS Permit #
211 Ducts, in,Struciure �� 70. Unclerground Hydro � ,
22. Ducts, Ventilat� g!•'� (`�1 71: Product Piping O Gas ❑ Oil ' �
23. Gas Pipe;Rough�&i.7est � ; 72. Underground Flush
24. Roof Freming'"��L> ��� ' �73. Undergrnd. Storage Tank O Gas ❑ Oil
25.,�Roof Sheathing�,,, 7 7 74. Overhead Hydro
26. T-Bar.�.Ceiling (Structural) &�Monocoat 75. Dry Chemical
.�
27. Frame�and Flashing /;,, 76. Dry Standpipe �
28. Latlii g&-SiFlia� xi �� �' 77. FIXED SYSTEM FINAL �
29. Insulation �� � �.� 78. FIRE PREV. FINAL '
3 Dryw!all Nailing i;�� i „ 2 6 ,' HEALTH DEPT. REQUIREMENT
3. Plaster Brown Coasl u= !i � ' 79. FINAL INSPECTION '
. nt r.
32. Electrical Power�Me�er-Final� 80. FOOD CERTIFICATE ISSUED
33. Final Electric � '� Notes: /G, �� Ga S�
34. Final Heating & Air Conditioning r! �
�
35. Final Gas Pipe-Test ' � 1 _
36. Hood or Canopy � • ��L L� f.� '� .�
�
37. Fin�l Factory Fireplace� _ -' '
38. Final Plumbing , �
39. Water Service-Final ' .
40. Gas Service-Final �
41. Solar pomestic-Final i
i'.'
42. Backflow Preventer � � ' � awN ��� �' �_
43. Backflow Irrigation- , � �S ���,.� � �
44. Landscape Irrigation'System . '
,
45. Sound Attenuation .
46. Handicap Regulations �,
47. FINALSTRUCTURE&BLIILDING ���
48. Special Requirements Completed �
49. Elet�tric Release to Edison ' �;
� ..
50. Gas Release to Soutliern California Gas Co . �
f
57. CERTIFICATE OF OCCUPANCY '
, ' I ' ' '.
No. � Date . . `�
'
�TIFICATE OF
PAYMENT OF SCHOOL
COMPLIANCE �
FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
Developer/Applicant:
Address: `i0
Telephone Number: �`�y `v�3 ��
Tract/Parcel and Lot Number(s): 3�S�S L6'{"� fo S
Location of Project: ��..-,.,c�
Number of Square Feet of _
Residential Space � � x$1.50 Total' 6 a;"
Number of Square Feet of
Commercial and
Industrial Space
Commercial/Industrial Project is:
Mini-storage
Movie Theater
Racquet/Health
Warehouses
Heavy Industrial
Regional Shops
Light Industrial
x $0.25
(Check One)
Total
Motel
Bank
Neighborhood Shops
R & D
Hotel
Medical Office
Ofiice Park
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
The provisions of Government Code Section 53080 are not applicable.
This certifies that the above-named Developer/Applicant has paid school
facility fees in compliance with Government Code Sections 53080 and
65995.
Checks are to be made payable to Newport-Mesa Unified School District.
���� '
��
Bus ess Manager
Newport--Mesa Unified School District
The above representation as to square footage is true. Developer/
Applicant agrees that if it is later determined that such repres ta-
tions are not true then this certificate sha11 automatically termi ate
and the appropriate City/County shall be notified.
Date: / C �
Dev lope pplicant
;�AY 1 8 1989
II■
%le�erfi �'�✓o�a-�-
CITY OF COSTA MESA �
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a bui!ding permit, require the completion and require the
return oi, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
iease complete and return this intormation in the envetope provided at your earliest opportunity
to avoid unnecessary delay in processing end issuing your building permit. No building permit will be issued
until this verification is received.
t. I personally plan to provide the jor labor and materials for construction of the pro-
posed property improvement. �es ❑ No
2. I{have/have not) ��_ signed an application for a building permit for the
proposed work.
3. 1 have contracted
Name �
Address
Phone ( ) _
the following person (firm) to provide the proposed construction:
Ciry
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name _
Address
Phone (
City
Contractor's Lic. No.
5. I will provide some of the work but ! have contracted (hired) the foltowing persons to pra
vide the work indicated:
Name
Address
Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Satery Code and have completed the above information to the best of my per-
sonal knowledge, in c mp i5nc i�State-law.
Signed: Date: s'���' � y
Name: � �
( rinted or Typed) �
C.D.L.#orS.S.#
,«Z.8
754-5273
MAY 1 8 19�9
Insulation Certificate
�ity of Costa
California 92628-1200
Mesa �
P.O.Box 1200
Permit Numbar �3 3� S 6 9
i�b ���� Ct �gfa /�es4.
mber and Sireet Ciry
� unty � Subdivision Lot Numher
ROOF
Material �ovr�potr_%%�-
Thickness (inches)
EXTERIOR WALL
Material S"r� «o
Thickness (inches) 2 ��
Description of Installation
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
CEILING
Batt or Blanket Type �� Brand Name Ce r„ i�,
Thickness (inches) = �� Thermal Resistance (R-Value) ✓1 � �
Loose Fill Type Brand Name
Contractor's minimum installed weighUft2_ Ib. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
RAISED FLOOR
Material �%___p��f
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches) _
FOUNDATION WALL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Calitornia Adminstrative Code.
� �/ ' ,
��.c,�'�" I t'rQO�L�JT
General racto�(Builtler) � License Number
a. �w r Dw►�.
SignaWre antl Title Date
Sub�Contr cror (Insulation I I r�
SignaNre and Title
190]-O6
License Number
Date
�I
�
�
RUDflESS: 9OB MAGELLAN ST
tsx�Me: ROBERT TRZFJOLET •
ADONESZ': l)O8 MAGEL'�LAN- �T
COSTA MESA
CA 92626
RflCN/ENGINEEN:
�DDflESS:
flEG.NO.:
UNIT: _ _ _
uxrc:
PFflMITfEE: ROBERT TRIHOI.ET ( 714 ) 549=0305
aooeess: 908 MAGELLAN ---
COSTA MESA CA 92626
LICENSED CONTMCTON DECIAMTION: I herehy aflirm that I am licensed unAer D�ovisions ot Chapter 9(commencinA with Section
7000� o� �ivision 3 0l Ihe Business an0 Pmfessions Catle, anG my license is in lulllort¢ and eflecL ,
CITY LIC.: STRTE LIC.: � . CUSS: � '
Date: � SipnaWra:
WOPNEBS' COMPENSRTION DECUMTION: I hereby affirm tAat I �ave a certificate of consent m setl-insure ar a cenificate of Workers'
��npensation Insurance, or a cetlified copy �hereof �Section 3800, Lab. C�. „
.'OIICY NO.: � EXP. DATE:
COMPRNY:
❑ Cerli�ie0 coDY �s here�y �umisheA. ❑ Cetli�ie0 copy is filea wi�h the ciry Builtling Division.
Oate: Applicant
EXEMFfION FflOM WOHNENS' fAMPENSATION OECIAiWTION: (ihis seciian nttk not be comple�ea if �he permi� is lor one hundre0 (E700� or less�.
I certity tAat in t�e pedormance oi t�e work for w�ich this De�mit is issue , I sh II iot emplay any perso in any manner so as ro become '�
subject to the Workers' CamOensaiion Laws oi Califamia. _ � ,
Date: �� ��4 —t�5 ' SiOnature: �
NDTICE: Ii, aiter makinp Ihis tleclaration, you should ome suUj§ t ro t orkers' ComDensa ion pravisions oi Ihe Labor
CoOe, yau must forthvnth compty wiN such pmNsi or ihis Oe� it s be OeemeO ievoke0. '-
CONSTNUCTION LENOINO RGENCY: I hereby affirm that there is a con mction IentlinA aAency for the'pedormance of the work far
w�ich this permit is issuetl (Section 3097, Civ. C). • �
LENDEH: "�
pOUflESS: . - � - � ' -
OWNEB BUILDEB OECUMTION: I harehy attirm that I am exemD� ��om the Contractars' State License Law for.i�e following reason
(Sectbn 703t5 Business an0 Pmlessianal Co�e:' My ciry ol caunry whic� requires a permit �o constmti, alter, impmve, Oemolish, or
repair any stmcture, prior to i�s issuance, also reQuires tha applicant for such permit ro file a siAneO statement Ihat he/s0e is licensetl
pursuant to the pmNsians af the Contracrori State License Law (Chapt¢r 9(commencing with Section 7000) oi �iJision 3 ai the Business
antl Professions Code) or t�at he/she isexemD� �heretmm an0 ihe Uasis br t�e alleAeU exemption. Any violation ol Section 7031.5 by
�y apD�icant tor a permit suble��s the �aDPliwni ta a ciWl Oenalry ol nat more Ihan five hunOreO Oollars (SSOU)r
I, as owner ot ihe Dropetly or' my employees wiih wapes as their 5ole compensauon, will do tAe wark, ana Ihe
stmcmre is not inten0e0 ar ottere0 for sale (Seclion 704A, Busmess anC Professional Code: T�e Contractors' State License Law
� tloes not apply to an owner oi a proDerty who huilOs or impmves I�ereon, antl who tlaes such woB himseltlherself oi thmuph
his or �er own employees, provide0 NaTsuch impmvemenis are not intentletl or ollereC for sale. If, however ihe GuilUing or
impwvement is sold within one year oi completion, ihe owner will have ihe Durtlen of OrovinA �e/she ditl not build or improve
tor ihe purpose of sale�. � �
' t as owner ot �he D�operty, am exclusively conVac�inA w��� Iicense0 conUac�oB to constmct th¢ pmlec� (Section 7044, Bu5lness
� anA Proteuions CaAe: The Contractors' State License Law tices not apON �o an owner oi pmperty who bwlGs or improves tAereon
antl wha coniracts for such pmle�s with a contractor(s)license pureuant ro t�e Contracbrs' State License Law). I am aware
t�at proof of iheir Worker's Compensatlon inwrance sAoulA be Orovitletl to me. '
� I am exempt untler Section: B. 8 P. C. . '
forp�is reason: , , '
oate: ( I — / y - �� O.ner.' ^,��
I tlo hereby certity that l am aware ot antl untlerstanG the repuirements o� C' ia Heal and 5 y Coae Sections 255U5, 25533, antl
25534 and that I or any fumre builAing accuDant will/will not (circle one) ne o compiy t state waes and the reQuiremenis for a
permit br consimctian or moEifiwtion tmm the N� Ouality Management �is�nct. FesiGential cons�mction application5 are exempt imm
these provisions. � , �
�ate: FDPlicant �
1 �erehy certity tAat I have rea0 t�is aDP�ication an0 state IAa[ t�e ahove information is correct. I agree to comDly vnth all ciry antl counry
ordinancesanCstatelaxsrelatingrobuilaingconstmctionandhereDyauthiere�esntativeoithisci w�9ontheahove-mentioneE
pmDeM �or inspectio'n lpurposces. .
Date: �� — �7 —" / SignaWre:
onver's �icense o� Sociai Secudry x:
164b46 W�ite—Builtlin9: Green— a EnforcemenC Cane�v—Applicent: Pink—Revenue: alEenrotl—Assessor �
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EP 044924`
PERMIT NO: ,EP 044929 PLAN CHECK NOi N G<.)VT�: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PLO PURPOSE: ADD
JOD DESCRIPTION : ADD. TO EXIST,SFD ,Q pT;
CLAIM VALL)E: CALC-VALUE: GROUP .00C e R- 7 /lt= 1
COMMENTS: RE: I338569
*x�************ �******�c*it**�t�t�t***�-et�r�t�r***�t*�t**�t�t�***x��t****�tx�*�t-it�**��t#**�t**'���-i�**
Z O N T N G R E Q U T A E M E�N 'P 5
� • 5 E T B A C K S , .�
---------•---- MAIN BUILDING ---------- ----- ---- ACCESSORY BU.ILD.ING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR:' FT ZN
LEFT: FT IN RGHT: FT IN LEPT: • FT IN RGHT: E'T iN
PARKING R�Q: PROV: PARCEL: 1413�213 ZNE: REF NO:
PLANNING NOTES> . ,
� ' .
iE iE if iFlF 3k it iE if iE iE iE iE 3E iE iE iE 1f if if if iE iF 3t IE iF 3E iE 3E dF 3E iE if iE * if iE it 1F iF if iE iE �IE iE 1E if iE if dE if �E i! �E jE iE 1E if iE if jf if iE iE iEiE 3E iEiE iE 1E if iF iE iE i(� ak iE iE
D E V E L O P M E N T S E-=R V,I C E S•• R E Q U I R E M E N T S. �
ZONING'APPROVED AY _�__ DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY:���{��7F�
�EifiEffiEiE3E�lEfE9EiEif1ElEiElE�fiEiFiFif1F k
IElf 1ElElF if if df iE if IE iE if dE if jf 1E 1E iE iE 3E if iE if if if if if iF K 1E dF iE 3E iE
LEGALIZATION:N , F E E�
DATE:
� DATE: r1. la'�o I
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S U M M A" R Y ' ;TRUCTL7RAL SEGMENT:N
HLDG PM'P PLUMDING ELEC(1' RIC MECHANIC FIRE 'SMIP/RES GRADING
PERMIT ' 10_00 25 50
. 253 v,508 SMIP/NON-RES
•.PLAN ' �
ISSUE FEE 3.00 1'S.00
BUIL�DING-DIV-> PERMIT ISSOF. PL'AN-CHECK TOTAI, PAID DUE
TOTALS----> - 35.50 1f3.00 ' 0.00 53.50 53.50 .00
REVENOE DIVISION TOTALS--> � COLLECTED: 53.50 OVER/SHQRT: '.00
BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
13.00' 40.50
1f 1f iE fE 3E iE if iE iF iE iE 3E iE iE �E iE iE iE aF iF iE aE �k iE 1E iE if k 3E 3E If 1E 1E iE k.lE iE dF 1E iE iF df� k 3f iF if iE iF 1k iFif 3E iE �k iE IE 1F 3E 3E iE iE 1! 1E i! jF9f ik 9F iE �)E �F jE if iE iF if iE iE iE
I N D I V I D U A L:• F E E H R E A K D O W N
. . , i;
TYPE QTY D E S C R I. P T I O'N UNIT COST' TOTAL COST
ELE 12
ELF 16
ELE 6
PLU 1
PLU 1
PLU 2
PLU 1
FIXTURES, LIGHTINGr� � ST 7.0
RECEPT/OUTLET . 1 ST 20
RECEPT/SWITCH 1 ST 20
BATHTUB �
SHOWER
WASH BASIN I"
WATER CLOSET (TOILET)
END OF FEES
0
]
EA. .75 9.00
EA. .75 12.00
F_A. .75 : 4.50
2, 0 Q . ' 2, � 0
2. � 0 2, � �
2.00 4,00
2.00 ' 7..00 �
i
i�t c4ie7:id6-lD.�c7zS1 ?-rc-�r�r �
L'r2TE: LI;1S;3c ���,-F� t`�•�w � -
,.j .
' / . i � ' 'J �
� CONSTRUCTION AND PIANNIN ' . OL & SPA � -
t�`� APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
a.
�
� 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location � �
�
i
�2.� Soil:Pipe-Undrgrnd: � 53. Steel Reinforcement � �
� 3xElectrical Cond.ui^��titity-Undrgrnd. F, �- 54. Forms '� ,�
ar� ���,, - -
F4.,.Elecirical Conduit=Undrgrnd. '� 55. Electrical Bonding � Y
eC;5�Steet ReinforcementS - 56. Rough Plumbing & Pressure Test � %
.r�-r' '+-r�
„my;6�ElectricalUFER:G�d. � 57. APPROVALTOCOVER-GUNITE a
'�7�+Footings = -' ,;' 58. Electrical Conduit-Undrgmd. �
� ��
���B�Foundation �"'� � ��� 59.GasPipe,OUndrgrnd.,Test .�
9. Water Pipe�Undrgrnd. /i� � r� 60. Backwash Lines, P�Trap, O Undrgrnd. j;� �
10. Structural Floor System ���� � 67. APPROVAL TO DECK �j' �jr /
11. Property Sewer Line.& House Connection . i�� 62. Backwash & Receptor�Final ,'�'�,�+ �� �
. �
12. Sewer Cap � �•,�;; 63. Heater & Vent-Final ����,' � J-
13. Roof Drains , n ��, 64. Plumbing System - Final �� �� ��s��
14. Rough Plumbi`g ��„�p� ��Cj a� �(�7 65. Electrical-Final r: � ���
15. fiough ElectricUl-Conduit 66. Solar SYstem-Final .. ;�
� 16. Rough Electric;Wiring ' j1 �/ Sq � 67. Fencing & Access ApProval ��^
/�
77. Rough Wiring Sign � 68. APPROVED FOR PLASTERING � -
�
18. Rough Electriral�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.�Rough �eatf�g &�ir Conditio�ing ��� r, � � �`, t 7 C,FIRE DWEPT. REQUIREMENT F,r, �..r.;+7�,
R • � ^� �r. :' C�. + J iJ •..: . Lt �t �niJO Cf. 'r "� :7'.'�7'7•7
20:-RoughFacto��yF.,l,replace _;,,. G� , � i..� ;�y;;; -APPROVA�LSHF��Permn# - --���pp
! 21`DuC[s, in Structure' �•• _-�; �� r q �,v �� � c ^.-�r+.-� c �
u m -.r.. ' '^.'o-, r: CJ �-+ (:x x��0. Undergrqund Hydro a,
-, -• � . .: �., » , .. � � . � W '
22.-.iDucts, Ventilating,.: '"�=j x; rJ- a; [; �..<a• z �77, Product�Piping �Gas ❑��Oil
23.•Ga5-Pipe-Rough & Test _ �� iT1 t." 'i O'� ��' �7z, Underground Flu"sh� '
-, r.� ,.,• x G' 'S .: x. ._ ,�-� .
�r �-• �X •--i�-r ..N �� !-' d: s: ^ S " ^_ " � -.:tC? L-+-�;,-^
24.rRoof F;aming .,� . �� " - ;�u+- :.73�Undergrnd�.StorageTank•OGas ❑Oil
25. RooRf Sfieathing ='� ` ° '� '�'�^ "� ^7q�'Overhead Hydro_ � �
26�T-Bai Ceiling (St'ru�turap &=M�nocoat a; ,-y ;. ' js, x 75 _Dry Chemical �.,� r: f ,1+,-�j =,r��a'��
C
27.vFrameand Flashingc �ss �� � %+ [7k �: 76. Dry Stand"pipe "�w i� � �"'h 7��= �
...,.-, .,� Y �,t . �:.� . t �+ ,.,� .-i,- r�.r.y �
r- � *' 'F fq i +' _. �^'+. C G • x: ,•, ;+s � . _ �- ' -� : G' i-' -� � G.T
. 28. Lathing-& Siding x C�r, � Y, �} �(_(.� z_. 77-� FIXED SYSTEM�FdNAL::-.� n;.y� �C: c;Ct
^' `,. - � " `-, � - - � - -
^29. Insulation � � S •• � � � � ���� i' 7g_FIRE PREV. FINA�L "` % �a '� � �C
r�30. Drywall;Nailing .,�� �. � � p., � ; �X M �+~-_';,� p;HEALTH�DEPT;; REQUIR�EMENT E.n�.,
n, � ;. ... , ._ .. _ .. _ .,' '
�31. Plaster Brown Coat� 5 ' r• a� * � � �' >, "79.�FINAL INSPECTIOM " ` - ^
... c... _. s• / 't �s � � , x '- c. c.
432:�Eiectrical Power Meter�Final� ;# �" � � 1� ,��x O.jF00D CERTIFICATE ISSUED� _c', r�.;
l.� •. iV , +� V. , t • � . � • +
-_33...Final Electric # '•i �; o"tes:
� l9 � ' ��.�, � Z-Z+=�IY '-�►arL � 7r� o�G. t,o�a � �
n'34 �Fio`al Heating & Air;Conditiomng� " � � ,'`��' * � � ' ` '-' ��� =' ,_„�u ` �
:, .. .. + � � . , k'� t i--! N o o - I-.'c;
35^Final Gas Pi�pe-Tesi � W • ', F+ � • / `�� vc � �� � �;:,.o ��u x � nirJN
' ,. R.
�36._Hood or Cano ': � r'-y " - ^ I 'i" •* +' : .^-�... `:c '': 'r r"
PY :,c �Cl �.[�: �. fi � x * r7 �c x ;-� = cn.n �..
.-,
%37 Firial Factory Fireplacex !�c- :, i � ;? � r K, ��}
« .,:
�38. Fin`al Plum6ing � y�` y C� �ir �, h',..� a
.� • . . _ , . .,. _
' �39. Water Service-Finalt � . � s, '� I j �1' > n . - v`.:� .
1 �Y - �9. !.•!••
'T140. Gas`�Service-Final � � ?yT'r` S � �"' i ' �* . _ .. '_•cu � • •
G � Xc ' -• �• A �F t r O � �' C;
,v '
�41. Solar pomesticFinal� � ;!. + *-� . : c � : :
r
42. Backflow Preventer' - �• ^ ' ' J - • . ""
w^ .- r h r-7 - ' e"�
- a. '. . ,n . � - � �.. �.. .. .
43. Backflow Irrigatiom +`-- x.r " . ,. � • � � � •
fi Y � (. I�l
'744. Landscape liiigation System,�,^ _ � y - � � ��;, t� � - - ' F� �� ' `�"� "
c; a•
45:�.Sound Attenuation h � .. x �-. � !: • -'7
46.��HandicaP Regulations `; �=' � �� i �,r * ; .,. _ _ _ S <. �
_47�-FINAL STRUCTURE & BUILDING ' • � ' �� - � •--
� h 11
48'FINALPLANNING -" '.`=� j ;C'"' �! .. `" ,. 7 `.
't ' i
`"49r�Electric Release to,Edison � ' � = " � `�
� ,�? �
=�50:=Gas;Release'to Southem CaliforniaGasCo '• :_�,J: ,��. " "' _ _ i, " �' '.- �.�;c; ;
-51. CERTIFICATE OF OCCUPANCY 'T � - "' ' ' - '" -' ' '
No. Date -
, ; , : ,., .
. � 3�.�9� . . . . _ � _, : .
;:��.�, �,_t969
COS7A MESA BUILDINGSAPETY DEPARTMENT ��; �';/!j�j';C,E a��i��,
P. O. BOX 9f7 COSTA MEBA. CALIPOFiNU L, t / � �%1A^ ll�,�u/JG!hi i'.I_�:.�
a r��
For Applicant fio Fill In Compleiely APPLICATION FOR PERMIT
TYPE OR PRINT ' BUILDING�
nooRe�ss 908 Ma el an Stiee[
COSTA MESA, CALIFORNIA For Offite Use Only
i
OWNER �S& Del Mar Development � Co. aEceiri NO. P6RMI1 xo.
3 r" �
MAIL t.vi y_8 REC ED CY �AT6 NECv�y!D D1TE IBS E��
ADDRE55 38�� fi. C•088 a uYr �/� I .,�. /-G�'I 1FC o n �cRn
cirv Corons del MaF ' iaoDB 34220 BUIIDING
AODRESS an Street
ORCENGI EERM$CCO COL OiBCLOA No� 34220 COSTA MESA. CALIFORNIA
ADDRESS E. Coast Ai hwa -� °'RE �� ,�C -
ZONE TYPE GROUP f
CONTRACTOR�CCO COLpOLBClOA ABYPROVED DATE
A�DRE55 OO E� C088C H� I1W8 ZONING
J ZON! NO.01 U6E OP NEW
CITY COIOIIH YHL M8r �l PlAN6 /� BYILOINtiW �Y
b
SI'ATE TEI.. �a��
LIG NO. — — NO. oFscn�vriora
OF LOT S,s� I xo, oP DLoae. a
NOW ON LOT p, p, NO. IIO
USE OF � YpRDS EVES
EXI6TING BLDG. APPROVED ALLOWED
96TBACI( LINE FROM � �� / <CHMT¢R LIN! 8T.)
cerviEn op STRaei REAR YARD FRONT FT. IN.
` ��
SIDE YARD ILEFf / IRIGHT ��� R.SIDE FT. IN.
DESCRIPTION OF WORK
L. SIDE FT. IN.
NEW I ALTERAY�ON I II AOOITION I pEAR . F7. IN. �
REPAIR I IIMOVING I IIDEMOLISH I 8?PROVED pATE
BUILDING NO� OF '
SIZE ROOMS STORIES I �
EXTERIOR WALL ROOF
COVERING COVERING � -
USE OF BUILDING AND WORKTO BE PERFORMED
F1- `f �
HEREBY KNOWI.fiOGE TXAT I HAVE RPJ.D THI9 APPLIWTION THE ANOUM BNOWN UNDER VALUATION IB FOR THC
ND BTAT THAT THE ABOVE �5 CORRECT AN AGREB TO COM- pUAP08C OP EBTABLIBHINp A PHRM�T F[[ ONLv.
PLY WITN ALL CITY O INANCE� AND 9TATH WB RBQULATINO
euumxo coxaiauCT , VALUATION
81GNATURE OF - PERMIT FEE $ 3� :Yi)
PERMI7TE � $�i)' ��jO � puN CHEGK $ J/. B'C'% n
� ', F
AUTHORIZED AGENT �
TOTAL FEE 0
a