HomeMy WebLinkAbout352 MAGNOLIA ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 352 MAGNOLIA ST
Suite:
Vicinity: RESIDENCE AND GARAGE
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 11729201 Zoning:
App�icant: IEVERICH, KENNETH J
Address: 352 MAGNOLIA
COSTA MESA, CA
owner: IEVERICH, KENNETH J
Address 352 MAGNOLIA",� �
COSTA�MESA,CA - �
� '/ �' �V _
., �
Contractor' �� ��� � � . '
�
Address:-" . � ' � "
Zip:
� ,.
Arch :
Address:
2ip:
Phone:
. License: � � '
Phone: 949-645-3740
Zip: 92627-1612
Phone: 949-645-3140
Zip: 92627-1612
Status: ISSUED
Applied: 12/11/2006
Issued: 12/11/2006
�
ISSUED BV: J�!✓ .
�'�u f• � ` � '=':
: � =�.
Eng:
Address:
� - SCOPE OF PERMIT
RE-ROOF WITH 30 YEAR COMP SHINGLE. APPROX 19 SQ. INCLUDES ATTACHED GARAGE.
FEE SUMMARY
Plan Check: . $0.00 , - , ; ,
Permit: $66.20 � - -
��� SMIPRes: $0.50
SMIP Com: $0.00
� Other. $0.00 � ;, -' -
Inspection: $0.00 " ` '
� � �
, � � ��,
Phone:
License:
Calc Valuation: , si,soo.00.
Claim Valuation: S�,soo.00
' Total: . $66.70
�, PLANNING & ZONING
SETBACKS- �, _ � ' �•
MAW STRUCTURE Front�� 0-0 Rear. .0-0 Left , 0-0.� Right 0-0 .
ACCESSORY - Front ��0-0� '' � Rear 0-0 , Lefl 0-0 Righl 0-0
PARKING , Existina: 0 Reauired: 0 Pr000sed: 0
� � ' �
�`
:`
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or iF work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order tor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetions entl final approval must be obtained. Failwe to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
26064fi (B�W)
.
WORKERS' COMPENSA710N DECLARA710N: '
I hereby eHirtn untler penelry ot per�ury one of tha following declarations: '
❑ I heve entl wlll melntain e certiticate ot consent to self-Insure tor workers' compensation, es provided for by section 3�00 ot the Lebor Cotle, for Ihe pertormence of tha
wark for which lhis pertnit Is issuetl. , .
❑ I have aM vrill maintain workers' compensation insurance, as requiretl by section 3700 ot Ihe Labor Cotle, for ihe peAortnance ot the woAc for which this pertnit is issued.
My workers' compen5ation Insurence carner end polity num6er are:
Cerrler: Poliry Number:
��(Th/isp�� ctlon neetl nof be complefed ll (he permi( is velued et one hundre Ilers ($100) or less.) .
�I certliy thet in 1he pertortnence oLl{� cterWiiTh Ihi issued, I shall not employ any person in any manner so es to becoma subjec� to ihe workers'
compensatlon lews oi Celito �e _ aB� �'� � u � e subject to the workers' compensetlon provisions of Section 3700 of Ihe Lebor Cotle, 1 shall totlhwith
comp�kt�.thes ns� � / %j�p
4Applicent_6lgnatyrg: / Date: / �� 1� V l
WARNINO: FAILURE T RE � GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO GRIMINAL PENALTIES M1D GVIL FlNES UP TOONE HUNDRED
TIIIXISANDOOLLFRE(5100. EWSTOFCOMPENSATION,�AAMGESASPROVIDEDFORINSECilON37060FTHELABOR�OE,IMEREST,ANDATTORNEV'SFEES.
LICENSED COrRRAf.7ORS DECLARATION:
I hereby eNirm tharam Iicensed under provislons at Chaptar 9(commencing with Section 7000) of Division 3 ot t�e Business and Professions Code, antl my licensa is in full
torce end eflecl Ua x Glass N
ConlractoYs Signeture: Data:
CONSTRUCTION LENDING AGENLY:
❑ � hereby aflirtn Ihel lhere is e construction lending agency for ihe peAormance of ihe work for which �his permit is issued. (Sec. 3097, Civil Code).
Lenders Neme:'�-- Lender's�Adtlress:
SigneWra:�� N..� `�'; :% � 4%� '� Date:
OWNER-BUILDER UECLARA710NS:.K.-
4A!'l�
I hereby aHirm thet under panalry'of perjury Ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business flnd Professions
Cotle: Any dry or counry which requires a permii to construct, alter, improve, demolish, or repair any shucture, pnor to its issuance, also requires ihe epplicant For such permit
to fila e signed stetament that he or she Is Ilcensed pursuant to the provlslons ol the Contractors License Lew (Chapter 9(commanang with Section 7000) at DiNslon 3 ot Ihe
Business entl Prolessions Code) or Ihet he or she is exempt therelrom and the basis for the elleged ezempiion. Any violation oi Section 7031.5 �y any aDPlicant tor e pertnit
,siiyjetts the applicant to a civil penalry o� not more ihan five hundred dollars ($500).): -�;
yy I, as owner of Ihe property, or my employees with wages as their sole compensatlon, WILL DO THE WORK, antl the siructure is not intended or otferetl for sale (Sec.
7044, Business and Prolessions Code: The Contractors License Law does not apply to an owner of propetly who builtls or improves thereon, end who tices such work
himself or hersett or through his or her own employees, provided ihat such improvements are not intended or oHeretl lor sale. If, however, the building or improvement is
sold within one year of completion, tha ownerbuiltler will have t�e rtlen oi Droving that he or she ditl not build or impwve lor purpose ol sele.). �
❑ I, as owner of the property LUSIVELV C�1 T1NG WI LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Protessions
Cotle: The comracto n w d ooPg�ply to en o ner roperty who builds or Improves ihereon, and who coniracts for such project with a contractor(s)
license pursuent JyI ie (' rtc' ors L¢e s.j.
m
�— � usiness and Prolessions Code tor �his reason: i�
Date:
. ❑ V No Dnver's License No. Expiras:
of d em, i.e. - praparty tez bill or deetl):
DI 610N OF�IAL SAFETY VEHMR CEFTIFICATION:
y cartify tha� no excavation five (5) or more feet in tlepih in�o which a person is required to descend, will be made in connection with work euthonzetl by this
pertnit, end �hat no builCing swcwra, scattWding, falsework, or demolition or tlismantling thereot, will he more than ihirry-sia (36) teet high. (Chap. 32, Grp 2, An 2, Sec.
341, 71t1e B, Celitomia Adminisirative Code). ,_
❑ As owner-builder, I will not employ anyone to tlo work which woulC require a permit irom ihe Division of Industnal Safety, es notetl ebove, unless such pereon hes e
permit to do such work from the division.
SignaWre:
DiWsion of Indusinal Selery Permit Numbec
Date:
1 WIII t�e applicent or present or tuture building occupant need to file end cenity a Business Plan tor emergency response ro release or threatened releese ot e hazardous
metedel7 ❑ Ves ❑ Na � �
(Section 25505 oi the Calitomia Health and Setery Code requires, with some exceptions, that a Business Plan be filed with the Coste Mesa Fire Depanment by every
business which has al any one time during a reported year a quantiry oi hazardous matenels equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons,
uoes or vnn me appnwnc or presem or mmre
(Section 25533 of the Calitomia Healih entl 5;
one time has on hand e quentiry oi acutety
CAmDfeS4Bd A25 21 S18ntlafA IempBfBiufe Bnd
ar wnl tne ep0���nt or present or
upant need to file a registration form for acutely hazardous meterials7 ❑ Yes ❑ No ��������--
with some exceptions, requires registratlon with ihe Costa Mesa Fire Department by eac� business whlch at eny
matenals equal to or greater then e weight oi 500 pountls, or e volume oi 55 gallons, or 200 ablc feet o1
prepare an
acutely hazardous
(Section 25534 of the Calilomia Heelth end Safery Code provides that the Costa Mesa Fire Department may require the preparation, certlficetion entl tiling with Ihe Fire
bepanment of en RMPP by businesses which are requlretl m register acutely hazarCous matenals with Ihe Fire Depariment.
........._ ...................._........__.........._............._..................._........._..........._—__.�.__._................_....._.__..__...................................................._.......................... ..............................................................._.............................
4 It an RMPP ig Dresently requireQ has Section 25534 of Ihe California Healih and Safery Code been tully Complied with7 ❑ Ves ❑ No
�es or wlll the eppllcant or present or fuWre builtling accupant requira for the work which Is the subject oi this a plication a Permit lor such consiruclion or
im the South Coast Air Oueliry Menagement DlsMci or trom eny other air pollu9on conirol disMct or agency.+ � Yes LJ No
ection 65850.2 0l the Califomia Govemment Cotle requires ihat ihe requested intormation be fumis�etl on applications tor nomresidential building permits),
.............................................................._..............................._.................................................................._—......_............................................................_.............................._.........................................._.............
ill any part of the fedliry to Da construdetl unGer this pertnit be within 1000 teet trom the outer boundanes oi a school? ❑ Ve5 ❑ No
yes", Ihe facility must meet the requirement at Sections 25534 entl 42303 of Ihe Califomie Heelth antl Safery Code).
.............................................................._........................................................_......................................................................................................................................................._._................._...................._..............
e permit irom lhe South Coast Air �ueliry Menagement District or olher eir pollution control district or agency is requiretl for the work which is the si
�olicatlon, heve all at the tlisclwures prescnbed by Califomia Health antl Satery Code Section 42303 been mede7 ❑ Ves ❑ No
8 (tl yes", atlach certificate ot compliance irom the appropnate air pollution conirol oFticer).
CERTIFICATE OF COMPLIANCE: I cenity ihat under penalry of perjury the intormation given above is correct. I agrae to compty with all stete laws antl ciry ordinancas
ragerding Hazartlous Metarials antl Emissions.
Signature: Date:
CERTIFlCATE OF �ldfO" OR Y: I certity untler penalry oi perjury that I have read this epplicetion and state that the information given is
corract. I egre -with ell laws a c tating to builGing construc�ion, antl authodze representatives of ihe City of Costa Mesa to enter upon Ihe
ebove-de p, Fty lor i ection pu o occupy or ellow occupancy of any building authorized by this pe it unt' fnel ins0ection.
' �-�� % Oc.o
/ atur POwrrer{s).-�j Date
PZTE
18�xe0 System Final Fire Prevenilon
7266 Pool Spa Final
200 Finel RB-Root
INTRIALS CODE� IN57ECTIONTYPE
206 Flnal Mechanical
20B Final Plumbing .
210 Final Electrical
201 Finel BIocWRetaining Wall 212 Final Fire Prevention �
202 Finel Fectory Fire Place - � 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demoliiion 250 ' Final Builtling/Occupancy
PAIE 1�45
; 1
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 422 MAGNOLIAST
Suite:
Viciniry: BATHROOM
Primary Occ: R3
Parcel Number: 11733136
Applicant: ODICINO, CARLOS
Address: 861 iBTHSTREET
Status: ISSUED
Applied: 09/19/2005
Issued: 09/19/2005
Type of Construction: V-N
Zoning:
„ .. .--.Phone:, , (949) 645-5569 ISSUED BY! " —
COSTA MESA, CA �`- '` zd`�: Zip 92626„
��.,.
Owner: REGAN, DENNIS �� �
Address 422MAGNOLIA$T �• � �� � „ �_���� D
-'.�� " .. Phone: „s
COSTAMESA 6A � ` ' Zip 92627 . , ^� �
�.,,� �... �. „ . 'z- �,. �'.
contracror KEMEX CONSTRUCTION :- � ��� DA �
Address'' F331 COSTA`MESAST �"' � ��� - •
� �� �CA'� - , . . - Phone: (949) 645-5569. . .. ... �
COSTAMESA^S " " �a,in
- �� Zip: 92626 , �� License: 640084 . � ,
Arch :
Address: , � -
r Phone:
�
- Zip: � � , -License'
*M„
r' DRYWALL AND�PATCH WORK FOR MINOR BATH
. ' , ,.,�-`o�.'�,;. ..
�� �� Plan Check: • - �����$0.`00 � � � ��.� �
t.:�;.''; Permit`�:; $139.25 - �
SMIP,Res,=, '$0.70
a; � -
€ SMIP_Com:,n ,„ $0.00
, Othe"r' �� $0.00 r , � - �
Inspection: $0.00
TotaL• �$139:95
Eng:
Address: � � � - '� -� � �
p,�,� � ,. � _
� . .. Phone:a�� � .
. . ;,.} _ License: _ .
SCOPE OF PERMIT �" "'�'= � ��r� � -� _ �
OOM REMODLE. ; „�,- � ;1� �
.��y � -u.� _
-FEE SUMMARY-- � . - - ,� � ' ' . �
� , � ` Caic Valuation �.$�,000.00.
Claim Valuation:. si,000.00
... .. -.;kj .. , ,�
�.
i'� � �-��1��� � ��P . ���
, PLANNING & ZONING
SETBACKS� � � - , _
MAIN�STRUCTURE Front 0-0::- - Rear 0-�0 Left 0=0- �- Right 0 0' .
ACCESSORY �Front 0'0._-. Rear ���0-0�" ' Left ' 00 ;:,�� =Right� _0-0 -
PARKING - :, Existin . , 0 Reauired: �. 0�� ��P-r000sed:� ,0 �
, ... � -.-.. , T. � � , ..
�� �
��. � i _ . . �' � _
�, a� „
.. �, r.`�`; : _ . - � , .�
r`� w
. , _ .. ', "..� .
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related'
regulations. (Ord. No. 92-28, § 1, 12-21-92)
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 7 BO days.
INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable codes, and all
requlred inspactlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the e�piration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
��» o iaw�
WORKERS' COMPENSAnON DECLAfiAnON:
I �ereby effirtn untlar panalry oi perjury one oi the following tleclarations: - -,
❑ I heve end will maintain e certificate of consent to selt-Insure for workero' compensation, es provided for by section 3700 of the Labor Code, lor the pertortnance of Ihe
work for which lhis pertnit is issuatl.
$� <.1 heve and vnll meintain workers' canpensatlon insurance, as required by section 3700 of Ne Labor Code, tw the pertortnance of Ihe work for which this pertnit is issued.
My workers' com nsatlon Insur ��ca�rder and p Ilcy num�er are:
� �-��`-4: ��.={ _
Cartier:: �'` �� ^"�'CS�/� P�Wicy Number:
(Thls secNon neeC not be complefetl i/ Me permit is velued et one hundred dollars ($100) or /ess.)
❑ I certify ihet in Ihe pertortnance of the work for which this pertnit is IssueQ I shell not employ any person in any manner so es to become subject to ihe workers'
compensation lews o1 Calitomia, entl agr t�et IF I s�oul become sub�ect to (he workers' compensetion provisions of Sectlon 3700 of the Lebor Code, 1 s�ell forthwith
comply with these provis ns. � � r/�
MP�ca_ n,t�ign re �r�T�[�� t A � _ .�_ `� �Dare:.--s... . ��� �� I ( / �
W�INO: FAIWRE TO SECURE RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHA115U61ECT AN EMPLOYER TO CRIM1llNAL PENN.TIES AND L FlNES UP TOONE HUNDRED
ilIpUSFND OOLLFRE (5100,OW), IN ADDRION TO THE COST OF COMPENSAiIIXJ, OAMAGES AS PiiOVIDED:OR IN SECTION 31O60F THE IABOR WDE, ItJrEREST, AND ATTORNEY'S FEES.
LICENSED COHTAACTORS DECLARATION:
I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pr essions Code, antl my license is in full
x <' 4 r�� R (_-/ ��'� �
I CONSTRUCTION LENDING AGENCY:
�❑ I hereby aHirtn that there is a wnstruction lentling a9ency for ihe pertormance ol ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle).
LentleYs Name: Lentler's Adtlress:
SigneNre: - Date:
OWNER-BUILDER DECLARATIONSi ` '���{
I hereby eHirm t�et untler penalry ot perjury t�et I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu and Pmtesslons
Code: Any dry or wunry which requires a permit ro wnswct, alter, improve, tlemolish, or repair eny siructure, prior ro its issuance, also requires the applicant for such pefmit
to flle e si0netl statement thet he or she Is licensed pursuent ta the prodsians of ihe Contredors Llcense Lew (Chapter 9(commencing with Sectlon 7000) oi Division 3 oi the
Business and Prolessions Code) or ihat he or she is eaempt therefrom end the basis for Ihe allaged ezempiion. Any violation of Sactlon 7031.5 by any applicent tar e pertnit
sub�ects the eDP����t �o e ciWl penalry oi not more than frve hunCretl dollars ($500).): .
❑ I, as ov+ner of �he proDerry, or my employees with wages as their sole compensation, WILL DO THE WORK, antl Ne structure is not intendad or ofleretl tor sale (Sec.
7044, Buslness antl Professions Cotle: The Contraqors License Law tloes not aOPly to an owner of properry who builds or improvas thereon, and who tloes such work
himsetl or hersetl or through his or �er own employees, provitletl that such improvements are not intended or oHeretl for sale. tl, however, ihe huilding or improvement Is
sold within one year of completion, the owner-builder will have the burden of proving that he or she ditl not Guiltl or improve for purpose of sale.). •
❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The wntractore Llcense Lew tloes not appty to en owner ot property wha builtls or improves thereon, and who contracts for such project with a contrador(s)
license pursuant lo the Coniractors License laws.).
❑ I am exempt under sec. Business and Professions Code tor fhis reason:
Signatura: Date:
Owner ID venfied by drivers license. ❑ Yes ❑ No Drivers Ucense No.
Vedtication of Ownership by (type of document, i.e. - property tax bill or deed):
Ezpires:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMRV: I certity under penalry of perjury that I have reatl this epplication antl state Ihat the infortnation given is
wrrecL I agree to wmpty with all state laws and ciry ordinances relating to building construction, and authonze representatives of the Ciry of Coste Mesa to enter upon Iha
ebove-descdbed property for inspection puryoses. I agree not to occupy or allow occupency ot eny building aut�odzed by ihis permit until final inspection.
/��-c�ignaWre L gal Owner V
\ `T�_ - L2 �._ �
L �rLOcAuthodzed�Applicam
cooe �. iNsvecnoNTrve
1616 Fixed System Final Fire Prevention
1268 Pool Spe Final
200 Final Re-Rool
207 FInaI BIocWRe�aining Wall
202 Final Factory Fire Plece
203 Finel Sign
204 Final Demolition
PdIE R�.96.
CODE I INSPECTION TYPE
206 Final Machanical
20B Final Plumbing
210 Final Elettncal
212 Final Fire Prevantion
220 Final Planninq Approval
222 Final Site
250 Final Building/Occupanry �
PdT�. lt�k$
�
Applicant ta fill in all spaees except
cirY oF COSTA nnE A COy�N� TRUCTI PERMIT . PERMIT NQ. ,
Project A�dress v�� / "� �,
f ,
"Ap.licanYs Mailing Address �/�/��} - � � � �
Owner's Na'me(� 7�, �05 �� h�1 /4 '"� �C�" �� h�' ���e±Phone '
'AddressX ,) � 7^ r����%�(�H��,/a//�� �
Arch/Eng. ' � �License No. ' '
"Address � �
Contractor's Nam _ -� Phone
.Address (mailing)
�City License No. � � �
LICENSED CONTRACTOR DECLARATION i
I hereby aifirm Nat I am licensetl untler provisions ot Charter 9(commencing
with section 7000) of Division �3 of the 6usiness antl Professions Cotle, antl
'my license is in tull force antl effect. - � ' �
Li�ense Class License No.
Date Si9nature
�.,�,WORKERS' COMPENSATION DECWRATION
���.>ereby affirm that I nave a certificate oi consent to self-Insure or a certl(Icate
:;�� Wo�ke�s' Compensation Insurance, or a.certifietl Copy thereot, (SeCtion
Y, J00, Lab. C.) � r- ,� �� ��p�+_�/�'
Polity No. Company'�`�
BCertifietl wpy is he�eby furni5hetl. •- �
Certitietl copy is filetl with the city Builtling Division. ,
Da[e Applicant� �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be�completetl if the permit is fo� one huntlretl ($100) o�
less).
I certity that in the pe�fo�mance o( the work for which this pe�m�t is issuetl, I
shall not employ any person in any mar�,ne� so a5,j�eGo Subjett [o [he
Worgeys' Cqrtyp b� (Caws of Caf rNa� �r
Dateli_ y % � Signature ' '
�NOI�CE: If, after makinq this tlecla Y ou sioultl become subject to the
Workers' Compensation provisions of e Labor Code, you must forihwith
mmply with sucM1 provi5ions or th permit zhall be deemetl revoketl.
CONSTRUCTION IENDING AGENCV
I herety affirm that there is a construction lentling a9enty for Ihe periormance
of the work for which thi5 permit is issuetl ($ection 3097 Civ. C.)
Lentler's Name
Lentler's Atltlress
OWNER BUILOEN �ECLARATION- '
I hereby affirm that I am ¢xempt from the Contractor'S License law (or the
toilowinq reason (Section 7031.5 Business add Protessional Gotle:'Any city or
county which requires a permit to wnstruct, alter, improve, Gemolish or repair
any structur¢, prior to It5 i55uanc¢, also vequi�es the applicant tov such pe�mit
to file a 5ignetl statement thdt he/she is licensetl pursuan[ to the p�ovi5ions ot
the Coniractor's License Law (Chapter 9(commencing with SeCtion 7000) of
'sion 3 ot tM1e Business antl Professions Cotle) o� that he/She is exempt
:from antl' the basis for the allegetl exemption. Any violation of Section-
..5 by any appliwnt tor a permit subjects the ap0���ant to a civil
�y of no[ more than five�huntlretl tlollare ($500).
I, as owner of lhe property or my employees with wages as their sole
compensation, will tlo ehe work, antl the structure is not intenaetl or oHeretl
for sale .(Section 7044, Busine55 antl Protessional' Cotle: The Contractor's'
License Law tloes not appty [o an owner of a property who bui105 0� improve5
thereon, antl who tloes sucn.work himseH/herself or throu9h nis or her own
employee5, provitl¢tl tha[ such improvements a�e not intentletl or offeretl foi
sale. If, howeve�; the builtlin9 or imp�ovement is Soltl within one yea� of com-
pletion, tne owner will have tne burtlen Of proving he/she tlitl not builtl or im-
prove for Ihe purpo5e Of sale). �
❑ 1, as owner of Ihe property, am ezclusively contracting with licensetl con-
t�actors to mns[ruct fhe project (Settion 7044, Bu5ine55 antl Profe55ions Cotle:
The Contractor's License Law tloes not appty.to an owner of property wha
'builds or improves'lhe�eon, antl who cont�acts fo� such project5 with a con-
tractor(s1 IitenSe pu�suant to the Cont�actor's License Law�. I am aware that
proot of their Worker's Compensation insurance shoultl be providetl to me.
❑^ I am exemp[ untler Section �B. & P. C. for this r¢a5on
/� � ' �i
n< ^d z
Signature
Drivers' Li
CMF 0865-46,
TYPE OF C�NSTRUCTION " LJ.NE�
❑ CONVERSION ❑ DEMOLISH
DESCRIPTION OF WORK/USE OF B
heavy Do�Ee� linas anE sign all
�ie
ADD �J ALTERATION LJ REPAIR
TVPE OF PERMIT� LJ GRA�ING LJ FOUNDATION LJ STRVCTURAL
� O TENANT �❑ ELECTRICAL' O PWMBING ❑ MECHANICAL
❑ OTHER�
PR0.IECT DESCRIPTION Sa. FT.• � oCCUPaNqCv/��
CONSTRUCTION�TYPE' VALUATION$�
ZONE GRADINGCU.YDS. � ACRES_
Remarks:
certify tnat'I�have reatl this application antl state that the above �
in is mrrect. I a9ree to compty with all city antl county ortlinances
laws relating to Ouiltlin9 �o�struction, and hereby authorize reore-
o( this city to ent¢r upon /t/he oJe-Tentionetl p�operty /o��
`P„u'r�ses.,. /O. ./y/%Il i L'� tl/�> ���,.. / f._._ i�4 �//� � �
Preventer
Irrigation
Drinking Fountains
Roor Drains
Floor Sinks
Gas Service ' _ OuUets
Interceptors '
Kitchen Sink �
Lavatories
P-Trap
Roof Drains .
Reinspection Fee � $15
Duct - Under Ground
Duct - Structural
Duct-_Ventilating „ .�
Exhaust System ❑ Multiple
firepVFact. Blt. ICBO #
Heating System & Ducting
❑ ai oo,000 eru � i oo,000
Reinspection Fee � E15
White - Builtlin9: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
PLUMBING ;
Showers
Service Sink
Sewer Cap
Sewer Connection .
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
�93tEf C1052i - '
Water Heater
' Water Service �
A uto-W ash�
Laundry Trays �
laue Fee.
Hoodor Typel ❑
Canopy Type I I ❑
Refrig¢retion System '
❑0-100,OOOBTU ❑700,000
System fiepair/Alteretion �'
Fire Dampe'rs i
Registers ' �
laue Fee
0
FEES
A.P. #
S Main Buildi
E
T Front
B Rear
A '
C Right
K Lett
$
Ping. Ref. #'
'Planning Notes:
'9927 ;9/ I I /85
— - �. � ' Zone
' � Accessory Building: �
/
• / Parking R q./Provided -
Automatic Washec -
Construction Pole Sub.'
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec(
Fan
F.A.U.
ELECTHICAL � � �
Tiansformer ❑ 75-50KW �
❑ 50.+ KW
De'vice Boxes
Outlets •
Switches
Garbage Disposal� �
Generator 00�5 KW 05-15'KW
Meter LJup to 100amps
Meter ❑over700amps
Sub Panel ' '
Motors �0-1 HP O1 h- 8
Inc.Solar �9�15 HP_�016-15+
Microwave' ' �
Pole Light
Range
$ign
;Standing Sections
Trash Compacmr �
$ g I ,
Reinspection Fee $15 laue Fee
FEES
DEVELOPMENTSER ICESR � MENTS:
Zonin9 APProved BY .
Building Approved By �
Appliwtion luuad BY
1
N
G
R
E
Q
M
T
s
�FEE'
$ 3
�
' ' � SUMI�(IARV OF FEES '
BUILDING PERMIT� $ �2� SMIP $' 1+ ��
PLAN CHECK $ �-� • � � PERMIT
PLUMBING $ ' �SSUANCE $
PLAN CHECK 25% $� ENERGV P.C. $
ELECTRICAL $� � �GRADING $,
PLANCHECK 50°.6 $, MICROFILM $
MECHANICAL $ � , TOTAL FEE � $ �
PLAN CHECK 25% $ , ,
CONSTRUCTION AND PLANNING POOI °� SPA ' -- " - '"- '.
; APP,ROVALS ' Permit# ` Date � Inspector qppROVALS : E. ..iit# ,'Date Inspector
7'Temporary Electrical Service or Pole . 52. Pool & Equipment Location .
.2.,Soil Pipe-Undrgrnd. 53. Steel Reinforcement . �
,.3. Electrical Conduit Utility-Undrgrnd. 54. Forms - . .
4.,'Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � - , � '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,
6•�ElectricalUFERGrnd. . 57. APPROVALTOCOVER-GUNI'iE
�7..Footings � 9 � �58. Electrical Conduit-Undrgrnd.
� 8. Foundation ' 59. Gas Pipe, � Undrgrnd., Test �
_9.-Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O�Undrgrnd.
10 ;Structural Floor System 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewer Cap 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 Wiring Sign ' � . 68. APPROVED FOR PLASTERING _ '
18. �Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rbugh Factory Fireplace � APPROVALS Permit # _
� 21.:Ducts, in Structure ' 70. Underground Hydro � - �
'22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil �
23. Gas Pipe-Rough & Test � - 72. Underground Flush , � � �
24. Roof Framing ,. 73. Undergrnd.StorageTank OGas ❑�Oil
� 25. Roof Sfieathing 74. Overhead Hydro � - �
� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , �
27. Frame and Flashing � 76. Dry Standpi�pe - � '� . ��.
28. Lathing & Siding i . 77. FIXED SYSTEM FINAL
"� 29." Insulation . � � 78. FIRE PREV. FINAL '
.30. Drywall Nailing , � HEALTH DEPT. REQUIREMENT
�31. Plaster'Brown Coat - � �79.' FINAL INSPECTION - -•
I
32. �Electrical Power Meter-Final - � 80. FOOD CERTIFICATE ISSUED �
33. Final Electric � . � Notes: �7 �/ - -
34. Final Hea[ing�& Air Conditioning � , � . �- �
35. Final.Gas Pipe-Test �_ ; � - � - - . - � . ' t
36. Hood or Canopy. ' � . � j� _ � �
r
37. Final Factory Firepla e� ' � � �' _ '
r
38. Final P.lum`bing •` � ', a. - . . ' � - _ � �
39. Water Service-Final•�"� � � % ` . . � . _ ' •
� �
40. Gas Service-Final � � •' �� � - � - . . � „
41. Solar pomesticFinal: � � '. �,. , ' � . -� � -
42. Backflow Preyenter � . �' ,? , � • � - � , - �
43. Backflow Irrigation � � � � � � � � � �
44. Landscape Irrigation System�)� • � , - � . � � �
45. Sound' Attenuation;. ��' ' ' - ' - � , ., . `
-,
46. Handicap,Regulations .� � ." ' � � � � .
47. FINALSTRUCTURE�& BUII.DING, 9 �9 �
48. Special Requirements Completed, � � � . .
49. Electric Release'to Edison � ' - . � ` -
- � �
50. Gas Release to Snuthern Califo'rnia Gas Co ' � • • � . '
. y
51. CERTIFICATE OF OCCUPANCY.1.� � t� i
No.' � � � ~ Date - . ' � �
�
�.
N
�
A
A
Y
Iw
79N70f/iY
ROVED
1Neso Bu�7ding C�pi
1NESi rtANS MUST Bc CN JOB Ai�Al1, TIMES
AMKE NO CHANEES W(iHOUT PNIW APPpOVAC
OF DFYf.
TNE ISSUAfVCE OR CRANTING OF A PERMIT OR APPROVAL
� PLfi21S M'D :,^ILl;;CET:�1S S.4AtL NOT BE CQ:l�TR7Eil
TO BF A P[RNIT f_R, p,q qry qp; R�'� OF, RNY VIC.'.AfIpN
I OFliNY Gf THE PqCV!$1_1'S OF IHIS C�Df. NO PCRNIF PNE•
SLMING TO flNE PA7HORITV TO W.O;ATE OR G^VCEL THE
PROVI�IONS OF TH7S CCDE SHAII Bf VALI7, EX-G'i1N SO �
FAR A$ THE WOpK pR UoE N'HICii 1iAtiT�lOflRcS IS IAiNEUL
THE ISSUpNCE OF A FCRNIi BpSED UPC9 FLN�S qplD
�PECIFICRTIONS Sr+ALL ML`i PRCVENi THE BUICDING Of � 1CIA1;
�n^M D�PlAvS RfVDESFcCifIfOT�JfVS OR FRJA1 PqEVEvf� �
BUILC�f NG OPEIg�T!ONS BE. rG CARIiIED ON TNEREUNDFI2 Wpj,� '
in� vi0u,itt� Of THIS Cln E pp OF A;aY Olhcd OnJJf�iFy
Ut iHk C11}:
� N � � +���
��'�� '
� 133tl15
]�Ml01ff11
)DM)07t)Y
STRUCTtlRAL APPROVAL ONIY
SEPANATE PEflMITS AHE REQU�REO
FOFt ELECTRICAL. PLUMBtNG.
HEAiIN�. VENTIIATING AND
REFNlGERATION WORK
P���raa�t # a�s�
��
TkI.S t�iS�BER MtE57 ACCCFnPANY
�ilk n%SP''cE7tOh' °c1UES;S
fQg B�i�l�i6¢ `23MFbfi' �E��NS i'.AE TD CE
E�, yyY �Sl TNizi 7HE STATE 0�
�p0.� qffd,i�iW'JF ttr�JSTRIAL SAFETY
SE C�tl'�F9LEEH� AQR ALk1{iI�JNAt
�S.
jZf �C�GY�.r� .
JO / .
ao � 7
__ fii �
C OF COSTA MESA
PIANNING DEPT.
s/uuEcr r dIDG. DEPT. aEQ
sr- /�/J/��DA��'_=[1�'
y/ pR O rLAkNIN6
�
: : .�'; ..: .�"':.��'TYPI�.C�AL
. , . �... ... . . � •
Cement.Coping Optional �-
� Channel Block With One 3�6ue6 "�
Horizontel Top of'a�l �' �
Fences�U{ -' -' • � " � ' '
: � : '� ' • •' � � ' •' .
Fo� Feaees�5' or Less��^ '• •• t -
Vert �Bars 3/8"�.at 4',-0" O.C. —
For Fences Higher Than 5': .. ...
Vert. Ban 3/8'�� at 32" O.C.
fill Cells Solid With Grout, ,� ,..-„
Where-SteelOccurs,_ �c r,q ��, ,
-Reinforcing'Steel:Shall " "` _ ,,,
Conform to Sec.A-75-39
A.S.T:M., � ;, . :.�.n fy^-•t 4::
.�i ' .� ..
AIISteelto be Lapped
16"or to�Code +, e Lsf Jwi �� �'
�{ '.e� :s. :.i� F F :� � _.�. �
NATURALGRADEc�
TWO 3/8" BARS �
CONTINUOUS TOP
& BOTTOM
6���CONCRE��E�
FOOTING REQUIREMENTS
WALL HEIGHT 6 �
WIDTH �F FOOI�NG 14'�
THICKNESS OF FOOTING 10��
DEPTH OF EARTHTOOTH 24��
SPACING OF EARTHTOOTH 12�
City of Costa Mesa, California
�' . Building Department
7-6-84
14"
10°
ZOn
14�
FENCE
GENERAL- NOTES
MORTAR;. p�e pa�} p�agfic Cement, and
-• Three Parts Sand
GROUT:..., One Port Cement Three and
� One Half Poris S�and
COPING: One Part Cement, Three
" � Parts Sand
CONCRETE: Well Mi[ed I: 2� : 3%2
Max. of 7%2 Gallons of
4Vater Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OFTHEFENCE �
CELL$ AND AREAS OF MORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
BONDS SMALL BE PROVIDED BY LAVING
BLOCKSINSTRETCHER COURSESSO THA7
VERTICAIJOINTSALTERNATEIN EACH
COURSE.
� \ ; ,
DEPTH OF EARTHTCOTH �
i/3 TIIE HEIGTH OF FENCE
�LOW BOTTOM OF FOOTING.
12"
8 ��
f6"
16�
SCALE : I /2�� = I'
I2
8 ,�
�2u
16�
OWNERS NAME: _ _ ,_ _ _ _ _ _ _ _ _ _ _ _
JOB ADDRESS: _ — _ _ _ _ _ _ _ _ _ _ _ _
, �;�;,F� ` � , .
COSTA..MESA BUILDING-SAFETY DEPARTMENT
' P. O. BOX 317 COBTA MESA. CALIFORNIA
y .........._ ,..- .......... . . .... .. ... ._. ..�^.^._^�'.z—..-'.'.- ...
For �9pplicanf to Fill )n Comple�e)y. `
` � �TYPE OR PRINT � �� �
;
BUILDING f� J T�1f11�P.0 � 1%: .
: ADDRESS
R
� COSTA MESA CALIFORNIA . '
' OWNER J• P;. i��cClel.lc-.n!: .. .. , . . ;
+ ADDRE55 l�� P��i� ??C�11:? T ' i
TEL. NA
; CITY �i : - NO. t'� i r���.
:'. AR�..�TEC!' _ _ _' _. _ � TEL. —�
O' :INEER � NO.
�---
• ADDRE55
�r CONTRAGTOR �'"'r�'U CC'Yl$t'. '�l�Oo � 12iC.
'� nooaess 1l;v35 BSu�cli F31zrc. �
c,n !"�str.:inster, C:;li::' �
�c STATE . � 1� C'�/ �L ij-1 TEL. Ji� i�— .�%"1 .
;6 LIG. NO. � 7)/' NO. L; ,/ i'
� SIZE 1 +I NO. O➢ OLpGB.'
" OF LOT �G1'-"�' ��' '• NOw ox �oi.`-� I
-'� USE OF ' ,p„ ; -
) EXISTING BLOG. :il'ltSl^ 1cCil_V �:". !T:�1".
� 6CTl1ACK YNE FROM � ' � ' 1`
� ccNren ov srrseer `P.l �' ' REAR VARD '�
jSIDEYARD���CL'[BP0��1V OC'R'W�GiL'0 .
.1� . . � �� . � �� � � •
� SIZE u�rv4 � t�: �-J_� � � ROOMS `+-• STORIF
' EXTERIOR WAGL�uC r. U I ROOF : CC�i:I+) '
� GOVERING GOVERING� ��
I`� USE OF BUILDING AND WORK 70 BE PERFORMED
S1:'iL''i_9 .1:",T!11�L T'Ptq','Jartt',=�
'9
.t
iL;iiY loti���_�tl�::r.�:� j:G E'.X7.Rl•1L
Di��in � r•coi:! :-,2u i':i..^.at:i;e:. /
,a � XEHEBY AIXNOWLEDGE THAT 1 HAVE READ_TH18_APPI
AND eTATG THAT THE ABOVB �6i ORRiCT AND AGREC�'
PLY WITH ALL GITY OROf(dANGe�AND'BTATE LAWB IiBO
em��Hc corvsrnucro . ._.f'(j,r,� t'<;i St��. l
� StGNATURE OF �. j � T—�� �.
,• PERMIiiE . •
t IVI. !�'�1. :d�iT.l. ♦f:�,.��+ .
f "
� AUTHORI2ED AGENT .' '
� �E� � �E�F%��D � ,.. �.
z,, A i
�:..,9 13 13fi5 � .,. : •
' FI(dA�CE DEPT. , '
CITY OF COS7A MESA'
APPLICATION.FOR PERMIT , i �
BUl9.DIfdG :` .
For Oiiice Use Osly '
RECEIPT NO. � - �PCHN�T NO. .
cl' / 7��
R¢CENF�D BY DATC H¢CEIVED D TG IB �D', ��
'LL"�' ' - G,�1 '�'�� .ti
AD RESS � .� I �,�i�%/,� A. ✓ !f � I � �i . �
COSTA MESA. CAGIFORNIA . �r �` �
,� �y:.
FIRE �
ZONE TYPE '� �GROUP ���
APPROVED, ' ! � � � t� .
BY ' y e, ' p� /D.�ATE ' /� � ��
' 6�IV�tl�7V ',lJ ����i i .
��
ZON6— � NO. O! - U6E OF NEW �� � V' �. �
I�IJ �I PUN6�' I'BUILDING I�'�� ��� 1 .
Dl:SCRIPTION �+ /I� / '�} / A./ /� ` ( \ !i ) " . ! 1 • .
A. P. NO.
— �-- � �- - �i � ! ' .
YARDS ' � �EVES - �
APPROVEO ' ALLOWED I�
(GLNTHR YN6 6Tq ` // ' � '
FRONT ilt ,.�i���.' �� �'� �ry '� � , '.
/� � 1 i,
ft.51DE I.V✓! F�� "��, IN. I
.;
L. SIDE � �FL � IN. i ,
. � ' '. .r � \ "� .
REAR � �FT. IN. / i"�._/'
ApPROVED � � � / // � � ��� � � � Y',��, �
BY U��; �.�DATE� . .
- . '.,J Y ' .. �. 1 .
,I �
' . , � , i .' . .
i' '. � �
4 ���:✓!L'v�l4�(L�� '� � � �
_' �/ � GGG� / �'%� � �'/i���G6�i-r*.C: 'i'.; I �.�i
r 'i, I �
THE AMOUNT 6XOWN�OND¢R VALUATION IB POR TH� ' '� i�
PUMOSF OP QBTABLIpHiNG A PERMIT FHE ONLY. '��I �
y.uua7ioN ., . ' G ! ' ..I
� /�/ /\ PERMI7 FEE '� $ � �,
L' `� i . i.. N I �
n ,' .� ,
S//��! . PIAN CHECK�' S�
I . E .' I
� TOTAL FEEI� /� J � � ;I
. � . . i_:. �` 4I 'I
� � . .0 . . . r. �. . ..i