HomeMy WebLinkAbout917 MAGELLAN ST - Building Permits(��4) 754-52�s • Fax (�14) �5a-4856 • www.ci.costa-mesa.ca.us 77 hAIH UHIVt, GOSIA MtJA, GA tl[6"Lti
Job Add�pss: 917 MAGELLAN ST
Suite No
Vicihity:
Parcel Number: 74132204
Applicant: SCHNIERER, STEVE
Address: 2057 MANDARIN DR
COSTA MESA, CA
Owner: PERALTA, BENJAMIN
Address: 917 MAGELIAN 57
COSTA MESA, CA
Contractor: EMPIRE PLUMBING
Address: 12922 HARBOR BL
SUITE 687
GARDEN GROVE, CA
MECHANICAL PERMIT
Phone: 774-557-7087
Zip: 92626
Phone:
Zip: 92626-5816
Phone: 714-530-7320
Zip: 92840
License: 794154
ISSUED BY:
SCOPE OF PERMIT
FURNACE CHANGE OUT AND 1 DEDICATED CIRCUIT FOR FURNACE HARD WIRE KIT. REF:
E04-00026. - - � � - . - -
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <� 00 k BTU
Refng Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Boz
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
Air Handlers > 10000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$74.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEESUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refngeration Unit
Ventillation System
Evaporative Cooler
Commercial I nci nerator
Domestic Incinerator
Compressors / Absorotion Svstems
Upto3hp/100kBTU
3To15hp/500kBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Invesligation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 01/13/2004
Issued: 07/13/2004
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $38.30
NOTICE: The Work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all
required Inspeetlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zanare le�oo)
WORKERS' COMPENSATION DECLARATION: � .
I hereby attirtn under penalry oi perjury one of the following declarations:
❑ I have and will mflintain e certificata ol consent to self-Insure for workers' compensetion, as providetl tor by section 3700 of the Labor Cotle, for the peAormance oi ihe
work for which this permit is issued.
� I have anG will maintain workers' compensation Insurance, as required by section 3700 of the Lebor Cotle, for the pedortnance of the work for which �his permit is issuetl. �
My �wo+rkers' compensation Insurance carrier entl policy number ere: OOZ% _ Z�
Carrier: l.. � 0.�fCV�O V1 ��0.�' 1C')YlQ1 Policy Number: Q�k�- ��
(This section need nol be completed il fhe permit is veluetl at one hundred dollars ($100) or /eu.)
❑ I certify that in the pertormance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to Iha workers'
compensatlon laws ICelifornie, d�ree that if I should become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit�
comply with Ihese r iis'
ApplicantSignature: ` Date: III�I�
WARNING: FAILURE T�SECURE W KERS' GUMPENSATION WVERAGE IS UNLAWFUL AND SHALL SUBJECT PN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FWES UP TOONE HUNDRED
TFiOl/SAND OOLLARE (5100,000), IN ADDITIIXJ TO THE COST OF COMPENSATIqJ, DANAGES AS PROVIDED FOR IN SECTION 31W OF THE L4BOR CADE, IMEREST, AND ATfORNE1"S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aflirm that I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Pmlessions Cotle, end my licensa is in full
force and ettect Lic. A Class #
Coniractors Signature: Date:
CONSTRUC710N LENDING AGENCY:
❑ 1 hereby aHirm that there is a consimction lending agency for the performance oi Ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm ihat under penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness antl Professlons
Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strucWre, prior to Its issuance, also requires tha applicant for such pertnit
to file a signetl stetement that he or she is licensed pursuant ro the provisions ot Ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 ot Ihe
Business and Prolessions Code) or that �e or s�e is e:empt ihereirom end ihe basis tor the alleged ezemption. Any violation of Section 7031.5 by eny applicant tor e parmit
subjecis ihe epplicant to a civil penelty of not more then five huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees with weges as iheir sole compensallon, WILL DO 7HE WORK, end ihe stmcwre is not Intended or ofleretl tor sale (Sac.
7044, Business and Professions Cotle: The Contractors License Law does not epply to an owner of property who builds or improves thareon, and who does such work
himselt or herself or through his or her own employees, providetl ihat such improvements ere not intendetl or oNered for sale. It, however, the huiltling or improvement is
sold within one year oi completion, Ihe owner-builder will hava the burden of proving that he or she did not builtl or improve for purpose ot salaJ. �
❑ I, as owner of the properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to construct ihe project (Sec. 7044, Business and Professions
Cotle: The contractors License Law does not apply to an owner of propeny who 6uilds or improves ihereon, and who coniracts for such prolect with e comractor(s)
license pursuent to the Cornracbrs License Laws.).
❑ I am exempt under sec. Business antl Protessions Code for ihis reeson:
Signature: Date:
Owner ID verified by dnvefs license. ❑ Ves ❑ No Drivefs License No.
Verification oi Ownership by (type of dowment, i.e. - property tax bill or deetl):
E:pires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby certify that no excavation tive (5) or more feet in depih into which a person Is requiretl to descend, will be made in connection with work au�honzed by this
permit, and that no building sirucWre, scaHOlGing, falsework, or tlemolition or dismantling thereot, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, Calitomia Adminisirative Coda).
❑ As ownervbuilder, I will not employ anyone to do work which woultl require e permit from the Division of Indusirial Safety, es noted above, unless such person hes e
permit to do such work irom the tlivision.
Signature: Oaie:
Division oi Indusirial Safety Permit Numbec
CERTIFICA7E OF COMPLIANCE AND AIffHORIZATION OF ENTRV: I certify under penalry of perjury ihat I have read this application and state �hat the infortnation given is
correct. I agrae to comply with all stete laws end city ortlinances releting to building construction, end authorize representatives of the Ciry of Cosfa Mesa to enter upon Ihe
ebove-described property for inspection puryoses. I eqree not to occupy or allow occupancy of any buiiding authorized by �his permit until tinal inspection.
n i Leqal Owner(s) Date
1� 1310�
AnNOr Authonzetl Applicant Dale
GOpE t. INSPECTIONTYPE ��TE INTITIALS
7616 Fisetl System Final Fire Prevention
1266
200
201
202
203
204
Pool Spe Final �
Finel Re-Rooi
Finel Block/Retaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
CO�E I INSiECTION TYPE
206 Finel Mechanical
208 Final Plumbing
210 Finel Elecirical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
(714) 754-5273 • F2�c (714) 754-4856 • Www.Ci.COs�a-meSa�C��sCTRICAL PERMIT �� FAlfi �RIVE, GOSTA MESA, GA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
917 MAGELLAN ST
14132204
SCHNIERER, STEVE
2057 MANDARIN DR
COSTA MESA, CA
PERALTA, BENJAMIN
917 MAGEILAN ST
COSTA MESA, CA
Contractor: EMPIRE PLUMBING
Address: 12922 HARBOR BL
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Molors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
SUITE 687
GARDEN GROVE, CA
Phone: 714-557-7081
Zip: 92626
Phone:
2ip: 92626-5816
Phone: 714-530-7320
Zip: 92840
License: 794154
ISSUED BY:
Status: ISSUED
Applied: 01/13/2004
Issued: 01/13/2004
SCOPE OF PERMIT
FURNACE CHANGE OUT AND 1 DEDICATED CIRCUIT FOR FURNACE HARD WIRE KIT. REF: M04-00015.
$23.50
$0.00
$0.00
$0.00
50.00
$0.00
30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEESUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Seclion
Misc Electrical Equipment
Transformers up to 1 kva/kw
. ................up to 10 kva/kw
. . .................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
ChrisUnas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigalion Fee
Plan Check Fee
Reinspectlon Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 ' 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 � 0
$0.00 0
$0.00
$0.00
$0.00
50.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad
regulations. (Ord. No. 9248, § 7, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetione and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thls permit.
FOR INSPECTIONS CALL: (714) 7545626
244&OB (8�W)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirm untler pBnalty of perjury ona of the following declaretions:
❑ I heve end will mAintain e certificate of consent to selt-Insure for workers' compensation, es provitlad For hy section 3700 0l the Labor Code, lor the peAormence ot the
work tor which thi5 pertnit is issued.
� I have anG will maintain workere' compensation insurance, as requiretl 6y seciton 3700 of the Labor Cotle, tor Ihe peAortnanca of Ihe work for which t�ls pertnit is issued.
My workere' campensation Insurence cartler end policy number ere:
ca���a�:Glacevaor� No���OrG.� PolicyNumber.��K�Z'Q�Z7—Z�O
(This sec(lon need not be complefed i! fhe permit is velueC et one hundred dallers ($100) or /ess.)
❑ I certify ihat in the pertormence ol ihe work for which this permit is Issued, I shell not employ eny person in any menner so as to become subjact to the workers'
compensation lews of alitomia, and egr e that it I should bewme subject to Ihe workers' compensation provisions oi Sectlon 3700 ot the Lebor Code, I s�ell forthwiih
Comply with ihese p isions.
AppllcantSigneture� 7 Data: (�,�I��
WARNINO:FAILURETO�SECUREWOFi ERS'COMPENSATIONCOVERAGEISUNLAWFULANDSHALLSUBIECTANEMPLOYERTOCRIMINNLPENALiIESANDGNLFlNESUPTOIXJEHUNDRED
T/qUSAND Oq1ARE (51 W.�1. IN ADDRION TO THE COST OF COMPENSATION, DMNGES AS FROVIDED FOR IN SECiION 3I08OF THE IABOH CODE, INiEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirm ihat I am iicensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of iha Buslness end Profeuions Coda, end my Ilcense Is in tull
brce end eNect Lla a Class k
ContractoYs SignaNre: Date:
CONSTRUCTON LENPING AGENCY:
❑ I hereGy aHirm thet thera is a consiruction lending agency tor the pertormance of ihe work br which this pertnit is iuued. (Sea 3097, Civil Code).
Lentlers Neme: Lenders Address:
Signeture: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby eMirtn ihat under penalry of perjury Net I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Buslness end Professions
Code: Any ciry or counry which requires a parmit to construct, alrer, improve, demolis�, or repair any structure, prior to its issuanca, also requires the applicant lor such permit
to lile a signetl statemeni that �e or she is IlcanseC pursuant to Ihe provislons of the Cantrectors License Law (Chapter 9(commencing with Sectlon 7000) ot DlNsion 3 of the
Business and Professions Cotle) or ihal he or she is exempl theretrom and ihe besis tor tha elleged exemption. Any violetion of Section 7031.5 hy eny epplicant for a permit
suhjecis �he applicant to e civil penelty ol not more than five �undred dollers ($500)J:
❑ I, es owner of ihe property, or my employees wl�h wa9es es their sole compensation, WILL DO THE WORK, antl Ihe structure Is not intended or offered for sele (Sec.
7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves ihereon, entl who does sUch work
himsetl or hersetl or ihrough his or �er own employe9s, proviAetl the� such improvements are not intendetl or ottered lor sele. If, however, ihe bullCing or impro�ement is
sold within one year ot completioq the owner-builder will heve tho burden of proving �he� he or sha did no� build or improve for purpose of sale.). '
❑ I, es ownar of the p�operty, em EXCLUSIVELY CONTRACTING WI7H LICENSED CON7RACTORS ta construc� the praject (Sec. 70a4, Business end Professions
Code: The contreGrors Llcense lew tloes not apply to an owner of pmperty who builds or Impmves ihereon, entl who coniracts tor such prolect wlth e conlreclor(s)
license pursuant to the Contrectors License Laws.).
❑ I em exempt unde� sec. Business and Professions Cotle for �his reason:
Signature: Date:
Owner ID verified by dnvers license. ❑ Ves ❑ No Orivers License No. Expires:
Vedticatlon ot Ownership by (lype ol Oocumeni, l.a. - properry lax Glll or deed):
DIVISION OF INDUS7FIAL SAFETV PERMIT CERTIFICATION:
� I hereby certity tha� no excavetion five (5) or more feet in depth into which a person is requiretl to tlescend, will be matle In conneciion with work euthorizetl Dy this
pertnit, en0 that no building sirucwra, scattolding, lalsework, or tlemoli�ion or dismentling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title 8, Califomla Administrative Cotle).
❑ As owner-builder, � will not employ enyone to do work which would require e pertnit Irom the Division ol Industriel Sefery, as noted above, unless such person has e
permit to do such Wo�k hom ihe tlivision.
Signature: Date:
Division ol I�dustrial Safary Permit Number.
CERTIFlCATE OF COM7�ANCE AND AUTHORVATION OF ENTRV: I certify under penalry ot perjury thai I have rea0 this epplication antl state t�et the Iniormation given is
correct. I egree to comply with ell stete laws end ciry ortlinances reletinq to buildinq construction, end authonze representatives of the Ciry of Coste Mesa to enter upon the
aDove-tlescribed property for inspection purpases. I egree not to occupy or allow occupency of eny building euthorized by this permit umil final inspection.
GOUE I, INSPECTIONTYPE
1616 Fixetl System Final Fire Preventian
1266 Pool Spa Final
200 Flnel Re-Roof
201 FIneI BIocWRetaining Wall
202 Final Factory Fi�e Placa
203 Final Sign
204 Final Demolition
P�IE IIIIIIlALS
Date
� I�3I��
Date
CODE� INSGECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elec�ricel
212 Final Fire Preventlon
220 Final Planning Approvel
222 Final Site
250 FinalBuiltlinglOccupancy
� ItIIlDdlG
AVo���ant to flll In ail spaces exceot those within neavY eortler Ilnas ana sign all avProoriate tleclantions.
CITV OF COSTA MESA ' ' �
CONSTRUCTION PERMIT
Project Address
Applicant's Mailing Address ;
Owner's�Name -- Phone
Address
Arch/Eng. Licenu No.
Address � p�
Convacto 's N � Pho N2 f����
Address (m �I" gl � � 2 !'� , 0-�3'�9��e
. City License No. 3 0 y��{ �
LICENSED CONTRACTOR DECLARATION
1'he�eDy atfl�m [hat I am II<¢nzetl untler provi510n5 Of Cna�ter 9(commenGln9
with section 7000) of �ivislon 3 ot the BuSiness an0 Professions Code, antl
my�licenze is In full for antl ect �D ��"� •
License Class � License No.�_
Date � Si9nature
-OH 5' C M Eb SATION DECLARATION
=reby atfirm thaLl have a certlticate ot consentdo self-insure or a certlficate. ,
Worke�s' CompenSatiOn Inw�ance, o� a certifletl topy thereof (Sectlon
3800, Lab. C.) ' .
Pollcy No. Company
BCertifietl copy Is hereby furnlsnetl.
Certifietl copy is tilea with the city Bulltlin9 Divislon.
Date APPlicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(ThiS section neetl not b¢ COmpleletl if the permit i5 tor One huntlretl ($300) or
less).
I certify that In the performance of the work tor which this perm� Is Issuetl I
snall not emplOy any pe�son In any mannet as ecom�jecl�to�
Workers' pansa on Lawi of CalHor ' �
Date _ � Si9nature df( ��s'
NOTICE. ,i ft r ma Ihis tleclaration, you shoultl bemme subje<t to thB
Workers' Compensatlon provisions ot the Labor Cotle, you must for[nwith �
comply wlth such provislons or this oermil shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby aifirm that there Is a constructlon lentling a9ency�tor the pertormance
of the work for which thiz permit 'is issuetl (Section 3097 Civ. CJ
Lentler's Name
Lentler's ACtlre55
OWNER BVIIDER DECLARATION
I hereby atfirm that I am axempt trom the Contractor•s License Law tor the
following reason (Sectlon 7031.5 Business antl Professional Cotle: Any clty or
munty which requires a permit ro construtt, alt¢r, improve, tlemolish or repair
any st�ucture, p�lo� t0 It5 ISSudn<¢, alm reqW�es the ap0licant tor Such pe�mit
to (ile a signetl statement tM1at ha/she Is IlcenS¢tl pursuant to [he p�ovisions ot
-a [Ae Contractor's Llcense Law (Chapter 9(commencing with Sectfon ]000) ot
�`.rision 3 of the Business antl Professions Cotle) or that he/she is exemp[
`"`refrom antl t0e basis for tna allegetl exemption. Any violatlon of Section
' 1��31.5 by any applicant for a permit subjects the applicant to a civil
�enalty of not more than five huntlretl tlollars (E500).
I, as owner of Iha prope�ty or my employees with wage5 as their Sole
mmp¢nsation, will tlo the work, anC the Structure. is n0[ intentletl o� ofteretl
for sale (Se<tion 7044„ Businoss antl Professional Cotle: The Conbac[or'S �
Lic¢nse Law tlOes nOt apply to an ownar of a property who builtls or imp�ove5
thereon, antl who tloes SUCh work himself/herselt or through his or her own
employees, Orovltletl [hat such improvemen[s are not Intentletl or offeretl for
sale. It, however, the builain9 or improvement h soltl within one year ot com-
pletlon, tha owner wlll have the burtlan o1 proving he/she tlia not Dulltl or Im-
�ove for the purpOSe of sale). .
as
am
Cont�acto�'s Llcenie Law tloe5 nOt apply t0 an owner of prope�ly who
tl5 Or ITprOvos theleon, antl who conttacts to1 sucll pfoject5 with a COn-
tor(s) licanie pursuant to the Contrac[or's License Lawl.
I am exempt untler Section B. & P. C. (or Ihis reason
Date Owner _
I hereby certity .that I have rnaa this
Informatlon I5 corraGt. I a9r¢e to comp
ana'state laws relating to builtlin9 <on
sentatives of this-clty t nter upoi
inspection pur z
i
TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LI REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER �
DESCRIPTION OF WORK
TVPE OF PERMIT LI GRAOING LJ UNDATION- Ll STRUCTURAL
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
❑ �OTHER � ' �
PROJECT DESCRIPTION 5c1. P7.' OCCUVANCv—
CONSTRUCTION TVPE VALVATION S
I
ZONE GRADING CU. VDS. ACRES_
Remarks: �
Bar Sink
� Backflow Preventer -
Backflow Irrigation
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink �
Lavatories
Roof Drains
Outlets
Service Sink '
Sewer'Cap �
Sewer Connection
Solar Collectors �
Solar Piping
Solar Tank
Swimmin9 Pool w/Spa
Urinal
Water Closet
Water Hearer
Water Service
Reinspactian Fee I $25 I I laue Fea I $ 3
Boiler
Duct - Under Ground '
Ouct - Structural
Duct-Ventilating .
Exhaust System ❑ Multiple
Firepl/Fact.8lt. ICBO #
Heating System & Ducting
❑6100,000 BTU 0100,000
5 gnature - "' "-/-�� Reinspectian Fee $25
Drlvers' License ur 55 �
CMF 0865-46 r¢v. 12/83 White - Bulltling; Canary - Appliwnt; Pink - Accounting; Goltleniotl - Assessor
Hood or Typel ❑
Canopy Type II ❑
Refri9eration Sys[em
04100,OOOBTU ❑100,000
System RepairlAlteration
luue Fee � ' � � $ 3
���'-�
/�iD % r-�9989 . 5/07/84
� ta.�a.. �: rz Gz�
A.P. �h
5 Main Buiiding:
E
�T Front
8 Rear
A
C Right
g. Left
Ping. Ref. # -
�Parking Req./Provided
UseofBuilding: '
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Uni[
Dishwasher �
Dryers �Gas ❑Elec'
Fan
F.A.U.
Device Boxes
Outlets �
Switches
Garbage Dispoul
Generator O65 KW �5�
Zone
:sory Building:
Park. Fees $
ELECTRICAL ' �
Transtormer ❑ 15-SO KW
❑ 50+KW
Meter lJup to 100 amps
Meter ❑over 100amps
Sub Panel
Motors�O41 HP �1'/x-8
Inc.Solar �9-15 HP �1E15+
MiCfOW3v¢
Pole Light.
Range
Standing Sections
5 KW Trash Compactor
5.00 TL
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FEES
I Reinspection Fee � I$25I Iuue�Fee I $ 3 I
PUBLIC SERVICES RE�UIHEMENTS: �
Zoning Approvad By Date
Building Approved BV Deta��-�
ApplicationlauedBy �J Date v�/ZlY'
SUMMARV OF FEES
BUILDING PERMIT $ SMIP ' $
PLAN CHECK $ � PERMIT �
PLUMBING $ � ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $ ,✓���
MECHANICAL $ TOTAL FEE $ �
PLAN CHECK 25% $ - � _
'.,CONSTRUCTION AND PLAppINING � ' POO 3PA � ,
APRROVALS � Permit#1" -/3��3 Dete Inspector APPROVALS Permit# Date- � Inspector.
�.
1. Temporary Electrical SerJice or�Pole �: � �� 52. Pool & Equipment Location . ,
2: Sbil Pipe-Undrgrnd. ' - i ' 53. Steel Reinforcement . �`-'
3. Electrical Conduit Utility-Undrgrnd-.'-- �- ' 54.. Forms
`� 4. Electrical Conduit-Und�grnd. � ' � 55. Electrical Bonding � � �
.�
5'. Steel Reinforcement ', ,rt� • ' 56. Rough Plum6ing & Pressure Test - '
n
6:'Electrical UFER Grnd�� •"""� � � 57. APPROVAL TO COVER-GUNITE . � '
7. Footings ' i ; �. ' � 58. Electrical Conduit-Undrgrnd. -
8. Foundation .,• � � � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnil.,`.'.� � � 60. Backwash Lines, P-Trap, O Undrgrnd. ,
10. Structural Floor SYstem � � . � 61. APPROVAL TO DECK �
11. Property Sewer Line &�House Conriection 62. Backwash & Receptor-Final
�
12. Sewer CaP , . '. � +- ' /
63. Heater & Vent-Final ,�
13. Roof Drains -� � ' � - y _ � 64. �Plumbing System - Final . � ' �
14. Rough Plumbing 1�' ' 65. Electrical-Final � � '
� 15. Rough Electrical-Conduit " . � � . - 66. Solar System-Final . � '
16. Rough Electric Wiring ' - _ _ ; - � 67. Fencing & Access Approval � � '� - "
17.• Rough Win'ng Sign ' - 68. APPROVED FOR PLASTEfiING . �
78. Rough Electrical-T 8ar Ceiling 69: POOL/SPA SYSTEMS FINAL � �
� 19.% Rough.Heating & Air Conditioning i FIRE DEPT. REQUIREMENT � �' '
20r Rough Factory Fireplace ' APPROVALS Permit # '
r 21. Duc[s, in Structure 70. Underground Hydro �
22. Ducts, Ventilating . ' ' - 71. Product Piping OGas ❑Oil ,
i
23. Gas Pipe-Rough & Test � 72..Underground Flush �
24. Roof Framing. 73. Undergrnd. Storage Tank O Gas ❑ Oil . , �
25. Roof Sheathing . � , 74. Overhead Hydro
26. T-Bar Geiling (Structural) & Monocoat 75. Dry Chemical
.27. Frame and Flashing � , 76.•'Dry Standpipe � �
28. Cathing & Siding - , ; � � � �77. .FIXED SYSTEM FINAL ' _ � �
29. Insulation . 78. FIRE PREV. FINAL � �
30. Drywall Nailing ' '� �'� HEALTH DEPT. REQUIREMENT � � �
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Me'terFinal �. ,80. �FOOD CERTIFICATE ISSUED
33. Final Electric Notes: .
34. Final Fieating & Air Conditioning , "
35. Final Gas Pipe _Test , . . , , .
36. Hood or Canopy , � � � �
37., Final Factory Fireplace � � - ,
' 38. Final Plumbing 8 ��(- (��i �
` 'r�39:-�Water Service-Final
''40: Gas Service-Final ' , -
41.�SolarpomesticFinal ' , � . �- . r
42. Backflow Preventer � ' � � , �
�. � � . . . _ , .
��43. Backflow Irrigation � � , � -
44. �Landscape Irrigation System �' � � � ' ' � .
�� 45. Sound Attenuation . � � � � . �� ` .
�
46.,Flandicap Regulations � i • �
47.' FINAL STRUCTURE & BU�LDING , '
� -
48. Special Requirements Completed • ' � - �
�
49. Electrie Release to Edison , �� � �- �
50. Gas Releese to Southern California Gas Co � � •
, i
51. CERTIFICATEOFOCCUPANCY , . -
No. - .Date' ., � -- , � .._. .. . . . .� -
OWNER MESA^
AP No. 141-3
I�"�'PCTIONS
S
Gas
�
OCCUPANCY
�ORM BU4 � SM -
, MpR I�EVEIAPMEIVT C0.
Magellan St.
a Macco Realt Co.
I,oT 57 TRACT 3 5
BUILDING PERMIT NO. lt
vaLuc s 16�12.00
3 FIR� ZONE DI35CRiPTION OR WORK RE6.
DATE GROUP � TYPE 7.ON�
� PER�IITS ��
__ SUi3CONTRACTOR ,-,.,,.—T—�
_t
gar,
� Cssss
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA ME6�1• CAL�PORNIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
aooRe�ss 917 Magellan 5treet
COSTA MESA CALIFORNIA
ADDRE65 3800 East CoaSt Hi hwa n�
cirr Corona del Mat NoDR 34220 pDDI
OR ENGENEea Macco Realt Co. NoOR 34220
FIRE
ADDRESS .SffiRQ 35 BbOVE ZONF
CONTRACfOR Macco Realt �. APPF
BY
ADDRESS .CiHIRe d3 above
;B-1 'No: OR 34220
�V I No. OP BIDG
.F. NOW ON LOT�ORE
9HiB�CK LIN6 RROM
CENTER oR eTReei' �}O � REAR YARD ZH �
SIDE YARD I LEFf S� RIGHT S�
I DESCRIPTION OF WORK
,BUILDINGSJ�XS6�H" ao°or.�is
SIZE
PERFORMED
tt. Gar�
r�E RECEIV�ll
MAR 7 1963
FINANCE DEPT. G"L(J
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
aecetrr xo, r��
9 er o rsecerveo o�te
� '� �_ � -a �-3 .�
COSTA MESA, CALIFORNIA
T.,e� � ..e�„ y
20N� I I PIANBF �- I BUILDINO E(U�
'-�""� Lot 57 Tract 3853
OE6CRIPTION �
A.P.NO. /�I��' 3 �� �D�%
�-Y
YARDS EVES
APPROVED ALIOWED
IQNTER LWG BTJ '/
FRONT //' � FT.
_ _'__ .��_ �
plan �k42-B Living Area: 1560 S.F.
Garage Area; �441 S. F.
1 HEPHBY ACNNOWLEDGE THAT 1 HAVB RBAD THI9 MPIJWTION THE AMOUNT BHOWN UNDHP VALUATION IB POq iH6
AND BTATE THAT THE ABOVB 19 CORRBR AND AOREH TO COM- pUfiP08E OF EBTABLIBM�NO A PERMIT FEE ONLY,
PLY WITH ALL LIT' ORDINANCEB AND B�ATH {aW9 RH6ULAT�NO
BUILDINa CONeiRuci�oH. VALUATION C
61GNATURE OF PERMIT FEE S �J ��
PERMITfE Mesa Del Mar Develo ment Co —
Bj�;��//�/', �f/ // g 16�H�.Z.00 PLAN CHEGK 3 ��_
AUTHORIZED AGENT w+%�(1� %i.I�. �.6 »-. �/ /