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HomeMy WebLinkAbout2746 MALLARD DR - Building PermitsPROJECT ADDRESS: 2746 MALLARD DR UNIT: OWNER'S SAME: STECKBAUER DAVID W AIlli 2746 MALLARD DR COSTA MESA,CA 92626 549-2503 ARCH/ENGINEER: WILLIAM SIMPSON REG.li 5867 ADDRESS: 2222 NEWPORT BL UNIT: N.B, CA 92883 PERMITTEE: PAT BUILDERS (714)675-9742 T ADDRESS: 501 36T9 ST N.B. CA 92663 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70001 0l Division 3 of the Business and Professions Ude. and my license is in full force and effect. CITYDate: .: Ap052/307q /STATE LIC.:4�e:— , CESS, f %� 0�—/ Date: _L � 4 � `— F- Ignature: _ /�J Or •� ul WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensation lasuragaid mja certified. copy thereof (Section 3800. Lab. 1110/01/91 POLICY NO.: 1 1 7 1! 7 V i DATE: mPANr: STATE FUND Certified copy i5 hereby furnished, PJ ,,yy ified copy is filed w the city Building Division. vale: pPb m: _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($700) or I ceaily that in the performance of the work for which this permit is issued. I shall not employ any person in any manner 0 as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: It. alter making this declaration, you should became subject to the Workers' Compensation provisions of the Labor Code, you must lorthwilh comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the peAormanCe of the work for which this permit is issued (Section 3091• Civ. Cl. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt tram the Contractors' State License Law lot the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis lir the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally at not more than five hundred dollars ($500). I, as owner of the property or my emyloyees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' Slate License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion, the Owner will have the burden of proving he/she did not build or improve for the purpose of Sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts lot such projects with a contractor(s) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. 8 P. C. for this reason: Date: (Tuned I do hereby dearly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date'. Appl ant: I hereby certify that I have read this applicalion d state that the above information is correct. I agree to comply with all city and county ordinances and state taws relating to Dmltling ca Irucbonandherebyau rite represen lives of this city to enter upon the above-mentio property for inspection purposes. Dare: Ci �%� — 71— Signature: Drivers License or Social Security n: 1641,46 White—Braiding: Green—Code Enlorcemenl: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT F'hhM NO: B U7.54-1 'ERMIT NO: B 053429 PLAN CHECK NO: 03109-91 S i N Supp: N :ONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD 'OB DESCRIPTION 538SF PATIO COVER SQ FT: 538 'LAIM VALUE: 7,000,00 CALL -VALUE: 7,424.40 GROUP OCC: R-3 / :OMMEN':S: X Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S --------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 'RNT: FT iN REAR: 94 FT IN FRNT: FT IN REAR; FT IN .EFT: 33 FT IN RGHT: 23 FT IN LEFT: FT IN RGHT: FT IN IARY'NG REQ • PROV• PARCEL; 13953141 ZNE: R1 REF NO: LANNING NOTES> SOLID ROOFED PATIO COVER TO BE CONSTRUCTED BEHIND AN > EXISTING SINGLE FAMILY RESIDENCE, D E V s 1:'O P k. E N T S E R V I C E S R E Q U I R E M E NT S TONING APPROVED BY -W (�-� DATE: I(,-( �L IUILDING APPROVED BY ; DATE; LPPLICATION ISS°'UED BY: S ' DATE ######x%%xx �ir�ir x�1F3FiF it �FTe�iF ix3FTrTr3s a"FSt�st, AiFx x+:####fE#### +>x .. �4£X.# #'1(ie####*kf`** 4+ ## .EGALI7.ATION:N F E E S U M. M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING aERMIT 99.00 74 )LAN 64.35 SHIP /NOIR=RES 'SSUE FEE 3UILDING-DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID ' DUE ,OTALS ---- > 99.74 0.00 64.35 164.09 164,09 ':, ,UO tEVENUE DIVISION TOTALS--> COLLECTED: 164.09 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING�PLAN-CHECK 99.00 ,74 64,35 E###fE#########J('###Ji#########iE#####at#####�fi¢?F#K##dFR#fE##3E##lF#??#Y.•if?r +F 1E##?uiFtiF 3f#3f#k#3E iF# ' I N D I V I D U A L F E E B R E A K D O W N r: PYPE QTY D E S C R I P T I O N UNIT COST "Ti COST OFR 538 RES -PATIO COVER -POST G SOLID ROOF 13,80'7,924.40 END OF FEES - CONSTRUCTI(WAND PLANNING APPROVALS Permit # i Date Inspector POWPA APPROVALS Permit # Date Inspector 1.kTemporary Electrical Servic6r Pole '•r2 52. Pool & Equipment Location ! � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Uncrrgrnd. • � 54. Forms o 4. Electrical Conduit -Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. i�•l , �� 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 T• A 63. Heater & Vent -Final 13. Roof Drains .�• 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final4 • T 15. Rough Electrical -Conduit l� 66. Solar System -Final 16. Rough Electric Wiring ^� ✓ 67. Fencing &Access Approval 17. Rough Wiring Sign ::j 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing ?fj�iA Illi �� -t �(�}' 1' r' 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing1 6� 75. Dry Chemical 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING •. (iC4-, 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2746 MAL LARD DR UNIT: OWNER'S NAME: STECKBAUER DAVID W Alal 2746 MALLARD DR COSTA MESA,CA 92626 549-2503 ARCH/ENGINEER: WILLIAM SIMPSON REG.NO.: 5867 ADDRESS: 2222 NEWPORT BL UNIT: N.B. CA 92883 PERMITTEE: PAT BUILDERS (714)675-9742 ADDRESS: 501 36TH ST N,B, CA 92663 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. CITY LIC.: 0 5�2L3�0J7 STATE uc.: x 7 8 3 3 0 CLA/$6: B Date '.=[—A_ Signature; _W ��-r_a_�� �D WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensation li lskb j ice5nfieQggpy the reol (Section 3800, Lab. i)'0 / 01 / 9 1 POLICY NO.: ]]T // 77 VV EXP. GATE: �DMPAxv: STATE FUND 1 Carolledcopyis hereby furnished. 0 96effified copy is fitix! with the city BuildingDivision.Di�vissiion. Dale: _(/« �I (Applicant : �/ .�-.+ A eayill EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Thissection need not be completed if the permit is for one hundred ($100) pill I cerify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner So as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: It after making this declaration, you shoultl became subject to the Workers' Compensation provisions of the Labor Codeyou must lorhwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Cly, C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7037.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that be/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis tar the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself orlhrough 1 his or her own employees, provided that such improvements are not intended or offered for sale. It, however the builtling or I` improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code'. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a Carlraclr s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: I do hereby caddy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that 1 or any Injure building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District. Residential construction applications are exempt from these provisions. Date: Annicarl: I hereby certify that I have reatl this applicali nand state that the above information is correct. I agree to comply with all city and county ordinances and state laws relatingmmIding onshirction andhereby authorize representatives of this city to enter upon the a!o -mentioned propeDate:-y forinspectionpurposes. — Dale:_(/ lf ir Signature: Drivers License or Social Security s: 1641-46 Whne—Bmldmg: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor JOB DESCRIPTION : 538SF PATIO COVER SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 I COMMENTS: RE:B53429 ####�#+�?r#�r#�x'#>x>r#x####�x*#;�*�u#kE###�F±E�F�x�##�E###�x-#+��r#�##mak'#�+;#�##u##�� ;r�vx x#±?x•x Z O N I N G k E Q U I R E M E N T S S E T B A C K S — M ---------- ---------BUILDING --------- FRNT FT IN REAR: FT IN FRNT: FT IN REAR: FT iN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REG- PROV: PARCEL: 13953141 ZNE: REF NO: PLANNING N TES> > 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 BY DATE:=1 BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: VS il #########'#######tic#### x- x�'#�iF##'L#•###1P#ia t ## LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT CITY OF COSTA MESA — BUILDING PERMIT E•tx, NU: n u:`_1y.JV PERMIT NO: E 053430 PLAN CHECK NO: N (A)VI: N Z—fl N CONSTRUCTION TYPE: . PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION : 538SF PATIO COVER SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 I COMMENTS: RE:B53429 ####�#+�?r#�r#�x'#>x>r#x####�x*#;�*�u#kE###�F±E�F�x�##�E###�x-#+��r#�##mak'#�+;#�##u##�� ;r�vx x#±?x•x Z O N I N G k E Q U I R E M E N T S S E T B A C K S — M ---------- ---------BUILDING --------- FRNT FT IN REAR: FT IN FRNT: FT IN REAR: FT iN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REG- PROV: PARCEL: 13953141 ZNE: REF NO: PLANNING N TES> > 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 BY DATE:=1 BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: VS il #########'#######tic#### x- x�'#�iF##'L#•###1P#ia t ## LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 1.50 501 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID D13E TOTALS----.> 1,50 15,00 0,00 16,50 16,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 16.50 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 16.50 ###iC it#if'###i1'##'il'###x'##If#######-ir: i('#it#'###i('#'It')t'x'####}t'#it ####1i'#jl•'##it iV'#Y'#iF if#iC iE ####aet x'##' I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 FIXTURES, LIGHTING 1 ST 20 EA, ,75 1.50 END OF FEES C. CO9', 3`� OLIC5453`5 Tali :' Dp`,E' 08/16/91 T1CG.' i3'1/ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POPA APPROVALS Permit # Date Inspector i. YTemporary Electrical Service or Pole m 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 4 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. i 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd, 8. Foundation 59. Gas Pipe, O Undrgrnd., Test !' a-Undrnd. 9. Water Pi r P 9 '� 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 r• 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & 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 Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace , 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r" Cf /(i C Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PFnUIT I\10 I TRACT Nn I I nT Nn I l lnllT °,n CITY OF COSTA MESA CONSTRUCTION PERMIT 'Project,A+tiiress � % L� /�i A-/�h'� /� C/%J A,pplicaht's Miiling Address `130 d'a >, / e -LJ A Owners Name .S TP G If /S,4 -u I- Ph.ri.5_ 2.5.03 Address 2 7 ---,en Arch/Eng. ^' Lice s�e No. Address Contractor's Nam=S'T71-///d,.-a1 Div $ /. Phan '�oo •2Sf3G Address (mailing) �I„30 - � I NO. /( *-e U/C.J City License No. z73Y' r'.ss.. LICENSED CONTRACTOR DECLARATI&N I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 31. the Business and Professions Code, and my license is in fyt( force and effect,-, v, �j� / / License Class �j - 'I ic rise�ysVyCE C DateZ/./-&f Signature WORK RSE/�'COMPENSATION DECLARATION iereby affirm that 1 have a certificate'oftconsent to self -insure or a certificate Workers' Compensation Insurance, orr a rcertified copy thereof (Section .,800, Lab. C.) .. Policy No. Company ACertified copy is hereby furnished. — Certified copy is filed with the city Building Division. Date Applicgot EXEMPTION FROM WORKERS:ICOMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). yy^- certify that in the performance of the work fgr,which this per It is issued, I shall not employ any person in any manner so as'to beco bject to the Workers' p Lw as of Califofslfa;! s� Date om ens Signature �/'/ c NOTICE If, aft making this declaration, you should became subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name �� -- Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signetl statement that he/she is licensed pursuant to the provisions of the Contractor's License taw (Chapter 9 (commencing with Section 7000) of "vision 3 of the Business and Professions Code) or that he/she is exempt !refrom and the basis for the alleged exemption. Any violation of Section 131.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LJ 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a can- tractor(s1 license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date owner _ I hereby certify that I have read this information is correct. I agree to comp and state laws relating to building con sentatives of this city to enter u inspection our ses. Signature Drivers' License or SS g ° n and state that the above city and county Ordinances and hereby authorize repo. 1/Y7/ G 2 6 TYPE OF CONSTRUCTION L NEW LJ ADD L ALTERATIO REPAIR O CONVERSION 11 DEMOLISH El OTHER A•P._# Zone r DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: E TYPE OF PERMIT GRADING ❑ FOUNDATION L STFr2UCTU RAL T Front ' 0 -TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑-OTHER A ._ PROJECT DESCRIPTION SQ. FT. ;2-C)QO OCCUPANCY C Right K CONSTRUCTION TYPE e'dif3/JD VALUATIONS 5Odi '� S Left ZONE GRADING CU.YDS. ACRE Ping. Ref. # Parking Req./Provided .Remarks:Planning Notes: Z O N I N G R E Q M T S . _ PLUMBING FEES - - OF FEES ' Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink $ ICA Automatic Washer Transformer ❑ 15-50 KW . . Construction Pole Sub. ❑ 50+ KW - Backflow Irrigation Sewer Cap . SO Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps • Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank - $ Fan Motors E3 0-1 HP El % - 8 Floor Drains Swimming Pool w/Spa 25% F.A.U. Inc.Solar ❑9-15 HP 016-15+ Floor Sinks Urinal $ Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater $ Outlets Range Kitchen Sink Water Service 50% Switches Sign Lavatories Auto -Wash $ Garbage Disposal Standing Sections P -Trap Laundry Trays Generator 00-5 KW 115-15 KW Trash Compactor ' Roof Drains MECHANICAL Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK Boiler Duct - Under Ground Duct- Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0-100,000 BTU ❑100,000 BT Reinspection Fee 1 $15 IF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type I ❑ Canopy Type II ❑ Refrigeration System ❑o-100,000BTu ❑1oo,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By ("AD $ 3 SUW4,ARY OF FEES BUILDING PERMIT $ ICA S $ . SO PLAN CHECK $ PER PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING`` $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL TOTAL FEE $ PLAN CHECK 25% $ CONSTRUCTION AND PLANNINGPOOL iAPPROVALS ;Permit.# Date Inspector & SPA APPROVALS Permit # Date Inspector 1'^ Temporary Electrical'Service or Pole 52. Pool & Equipment Location k 2. Sail 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. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. FoundationIt, 59. Gas Pipe, O 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush / 2 Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 2 Roof Sheathing 7 �y ' 74. Overhead Hydro 6. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical r 27. Frame and Flashing 76. Dry Standpipe { 28. Lathing &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 Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 5' C 36. Hood or Canopy , 37: Final Factory Fireplace 38, Final Plumbing 391, Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final i 42. Backflow Preventer D i 43. Backflow Irrigation Incomplete Inspects ' 44. Landscape Irrigation SystemSig - B. 145. Sound Attenuation oa e i46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - t 48. Special Requirements Completed n,l/• i . 49. Electric Release to Edison -• 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date f_V1 CITY OF COSTA MESA - CONSTRV1CTION PERMIT Project Address 2746 Mallar r. Applicant's Mailing Address Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ..�......� __ ----- -- I i ­ R- I Dr nr-_nl Owner's Name DaYid Sheckbauer Phone549-2503 Address Arch/Eng." License No. Address Contractor's Nam SUnco Phone859=7440 Address(mailing)23011 Moulten C-13�Lag. Hills City License No. I LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force V4 4ffect. 448833 Ucense Class 1. 4 Y ice se No. DatA — 1 0 mature 'YORKERS' COMPENSATION DECLA 1 fereby affirm that I have a certificate of con t to self -insure or a certificate i Workers' Compensation Insurance, or a c rtified copy thereof (Section 3800, Policy Lallo.b. Company c5)7WBRD3381 - Hartford Certified copy is hereby furnishetl. ate er[{fipd Fgyyiy{y w'IAt PPhCanfy B4i EXEMPTION FROM WORKERS' COMPENSATIO E ARATION (This section need not be completed if the permit is tiZron hundred ($100) or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such . provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY- ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit. Is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION - 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or sion 3 of the Business and Professions Code) or that he/she is exempt efrom and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil alty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole Ipensation, will do the work, and the structure is not intended or offered sale (Section 7044, Business and Professional Code: The Contractor's mse Law does not apply to an owner of a property who builds or improves 'eon, and who does such work himSelf/herself or through his or her own r loyees, provided that such improvements are not intended or offered for . If, however, the building or Improvement is sold within one year of Com - ion, the owner will have the burden of proving he/she did not build or im- ve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con - tors to construct the project (Section 7044, Business and Professions Code: Contractor's License Law does not apply to an owner of property who CIS or improves thereon, and who contracts for such projects with a con- tor(s) license pursuant to the Contractor's License Law). I am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that 1 have read this application and State that the above information is correct. I agree to comply•with all city and county ordinances and state laws relating p. rfd'ng construction and hereby authorize repre. sentatives of this cit toS nature ! t upon the above-mentioned - roperty for Inspection purpa es. J^ Drivers' LI (f Reinspection Fee Canary - Applicant; Pink - Accounting; Goldenrod - Assessor TYPE OF CONSTRUCTION • LJ NEW Old ADD LJ ALTERATION LJ REPAIR LJ CONVERSION E]DEMSolar gp L15H ❑6THER DESCRIPTION OF WORK Jo I a r DOfRes t I c System - TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. - OCCUPANCY— CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU.YDS. ACRES Remarks: Bar Sink Preventer Irrigation Drinking Fountains Floor Drains I Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories Roof Drains. Reinspection Fee 'G $25 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System U Multiple Firepl/Fact. Bit. ICBG -P Heating System & Oucting 1-10100,000 BTU 0100,000 0865-46 rev. 7/83 White $25 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal . Water Closet Water Heater Water Service Issue Fee Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System ❑0100,000BTU 0100,000 System Repair/Alteration Issue Fee 8746 9/24/84 18.50 TL 0 A.P. # I Zone S Main Building: Accessory Building: �. Z E T Front $ 3 O N B A Rear Date Date}" Data_l..� I N C Right - K Left OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ n GRADING $ MICROFILM $ TOTALFEE $ r �G E Ping. Ref. # '" Park. Fees $ - Q U Parking Req./Provided I Use of Building: R E Planning Notes: M E N T S ELECTRICAL FEES Automatic Washer Construction Pole Sub. Transformer 0 15-50 KW ❑ 50+KW Cooking Unit Meter ❑up to 100 amps Dishwasher Dryers ❑Gas ❑Electric Meter ❑over 100 amps -Sub Panel Fan ,I Motors 1 HP ❑1'/a - S F.A.U. Inc.Solar 09-15 HP ❑16.15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator 0115 KW E15-15 KW Trash Compactor $31 �. Reinspection Fee $25 i Issue Fee $ 3 FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Application Approved By Application Issued By Date Date}" Data_l..� BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL • PLAN CHECK MECHANICAL PLAN CHECK SUMMARY $ $ $ 1q,00 $ $ l•F. 5 $ $ ' $ OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ n GRADING $ MICROFILM $ TOTALFEE $ r $ 3 I ' .CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POC . SPA APPROVALS Permit# Date Inspector 1. 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. Electrical UFER Grnd. -57. APPROVAL TO COVER-GUNITE 7.,Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush '24.. Roof Framing 73. Undergrnd. Storage Tank []Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro , 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & 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 Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: //�S/p',� 4, Er% (ARD, (,Kid 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final L A- I &)6l 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations _ 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed " 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ SOLAR SERVICE SP. JALIST 23011 Moulton Pkwy., C•13 LAGUNA HILLS, CALIFORNIA 92653 Phone 859.1591 �.di L - PHONE JOB NAME ADDRESS 1� \ ` CITY CcS%a' "���• PANELS RA FTERSPACING ROOF TYPE TANK SIZE OUTSIDE ENCLOSURE NEWWATERHEATER 11000TLET r �IPl�S -VA ltIM5 - y --sp i IF I $7:7t F.0 C:. fps Cr,7 Q.^.0"yY CJ.'1 SC'h:;::O r, v 0 25 LA n INDUSTRIES 1094 W Maude Ave'., Sunnyvale, Vr 94036, 408/738-4444 Models: H Series: +oo, goo Vertically Installed Models: H Series: Ooo Models: S 1 [5 Series: •oo,000,soo Vertically Installed Models: H,S,, E Series: aoo, aoo Horizontally Installed COLLECTOR PiOUNTING DATA co,AcNT- ANGLE CLIPS COAT >� Cei1le..rd- i1 SUPPORT ASSEMBLIES --- — - -r- -- -- F _T_.. A b` A 200 250 300 1 350 400 450 5& 55P h 4 4 4 6 6 6 8 8 8 i b 10'-10" 91- 8' 8'- 2- 10'- 7- 9'- 2- 6'- 2' 10' - 3' 9`- 0' 7'- •1` i b 10'- 7` 9•- 7" 7'- 7" 10'- 6' 9•- S` 7'-11` 10'- 6' 9'- 5" 8'- •' A 200 25 300 35 < 450 h 2 2 2 2 2 2 b 4'- 8` 4'- 5' 4'- 1' 31- 8' 3'- 0' 2'- 3-1 1 PARTY WALL AGREEMENT ` i THIS AGREEMENT, made and entered into this 22 day of ..198iq by and between �y f� Ae. C s hereinafter referred to as "LAND QVNER", and to hereinafter referred to as."ADJACENT PROPERTY CWNER". It is hereby agreed that a party wall will be constructed on the property line between "L-) � C — in the City of Costa Mesa, County of Orange, State of California, as per map recoL:ded %ih Book''; : ;'..,, Page_ of Miscellaneous Maps, in the office of the County.'Recorder of said County. The party wall shall be permitted to encroach a 1 �i1 k IN WITNESS Vd REOF, the parties have entered into this Agreement the day arra year M909;;�.a.�=�y-. � ;S. ,Aqv/D A/. Name (Typed or Printed) he (Address) . 5z (Address) 9�d � (NOTE: Please see reverse side for notary's statement) -,)1D J i• STATE OF CALIFORNIA ) 1� ) ss. COUNTY OF ORANGE ) On zKW ,�a, / i before me, the undersigned, a Notary Public in and for the County of orange, State of California, personally appeared - Afvio GJ, eie 6AuI-2 ]mown to me to be the person(s) whose name(s) is subscribed to the within instrunent and acknowledged to me that (he/she/they) executed the same. WI S my hand and Official seal. (SEAL) Signature OFFICIAL SEAL 11 KATHERINE L LOE OM; - NOTARY Pu01.IC-:,ALIFORNA Name (typed or printed) ORANGE MINTY MY COMM. E%P. rwr 14?0 MMIC. OFFICIAL SEAL YATOINE L AIKTROG NOTARY PUSLIC-CALIFORMA ORANGE COUNTY MY COMA. E%�• MAY 7. 1990 STATE OF CALIFORNIA ) ss. CCLTNTY OF ORANGE ) On m a�°?, /9 �� , before me, the undersigned, a Notary Public in and for the County of orange, State of California, personally appeared m known to me to be the person(s) whose name(s) is subscribed to the within instrument arca acknowledged to me that (he/she/they) executed the same. WITNESS my my hand and official seal. 7 (Signature) Name (typed or printed) (SEAL) OFFICIAL SEAL ERINELFY PUBLICORANGELC MM. E%P. MAY 7, APPROVE® City of CoAtc Mesa Building Dept. THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE NO CHANGES WITHOUT PRIOR APPROVAL' OF. DEPT. THE ISSUtVCE OR GRANTING OF A PERMIT OR APPROVAL OF PLAN$ ANDSPECIFICATIONSSHALL NOT FNY OVISTRU D TO EE A PERMIT FOR, OR AN APPROVAL OF, OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE, SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IF AUTHORIZES IS LAWFUL: THE ISSUANCE OF A PERMIT BASED UPO4 PLANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDIAG OFFICIAL' FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID FLANS A 'ECIFICATION'a OR FROM PREVENTING BUILDING OPERATIONS SING CARRIED 0,4 THEREUNDER WOW IN VIOLATION OF. THIS ODE OR OE 10% QTNEB QBDJNI vi nc THE CLT>v J W t N For c.0 754m5 .2 7 0 STRUCTURAL APPROVAL ONLYEL SEPARATE PERMITS ARE REDUIREDIN FOR ELECTRICAL,'PLUMBING* COI HEATNG,' VENTILATING AND OR 1 REFRIGERATION WORK `:LE C p THIS INUMTE%i VIUST ACCOI:IPANY i `•Ai il$PECTON REQUESTS FOR ' R, RUit^ufKGS F•:H[R,F. FERSO;tiS i:RE TO BE I EMPLOYED. WE SUGGEST THAT THE STATE OF CALIFORNIA DTVI SiON OP PXVISTR)AL SAFETY BE CONSULTED FOR .AUDITI0NAL ,,,REQUIREMENTS. J mcomw "'L�y6 I III 2Oi t STRtrr ♦ _ CAUTION CTRICAL LINE CLEARANCE REQUIREMEN CCORDANCE WITH STATE SAFETY REGULATIONS, 'STPUCTION REQUIRES WORKERS, EQUIPMENT, CRAN DEVICES EIN PROXIMITY OF O CTR CAL LINES, OR UNDERGROUND CITIES, CALL SOUTHERN CALIFORNIA EDISON COMPAI �EDIATELY (714) 535.0244 "Seem ro gj,CPT" s2 Rf}, � NNLNo TYPICAL 611 CONCRETE BLOCK FENCE Consent Coping Optional l Channel Block With Oe a wo HorlsontO Top of MI ' Fences For Fences 6' or Lw Van. Ban 3/6'4 at 4' -0" O.C. For Fences Higher Than 6' — Van, Ban 316'+% at 32" D.C. Fill CNB Solid With Grout — Where Steel Occurs Reinforcing Steel.Shall Conform to S*c A•163Y A.S,T.M. All Steel to be Lapped 1s" or to Coda NATURAL GRADE o O� TWO 315" BARS D CONTINUOUSTOP i BOTTOM 0SEE Ct WIDT PI L. BELOW GENERAL- NOTES MORTAR: One Port Plastic Cement, and Three Parts SwW GROUT: , One Part Cement Thee and Ono Half Ports $and COPING: One Part Cement, Three Parts Sand CONCRETE: Weil Mirep 1: 2;fi 13�2 Max. of 7/2 Gallons of Water Per Sack of Cement GROUT MAY RE POURED FROM THE TOP OF THE FENCE CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR. CLEAN i FREE OF ALL MORTAR DEBRIS. ETC. BONDS SHALL BE PROVIDED BY LAYING BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. rH OF EARTHTCOTH I/3 THE HEIGTH OF FENCE ' Low BOTTOM OF FOOTING. SCALE: 1/2" a I' WALL HEIGHT FOOTING REQUIREMENTS S� 47 6' _ _ WIDTH OF FGOTING 14 14" 12" 12" THICKNESS OF FOOTING IO" Ion 8" e" DEPTH OF EARTHTOOTF! 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14' !6'� _ 16' City of Costa Mesa, California Building Department I OWNERS NAME: — — — — — — — — — — — — — — JOB ADDRESSI — _ — _ _ _ _ _ _ _ , _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA �Mt� E�S'lA, 1! CONST�UCTIONPERMIT Project Address — L/ �Ib CM dr G1' Applicant's Mailing Address Owner's Name OPIVID C Phone Address Arch/Eng. License No. Address Contractor's Nam o"/ Ph �� E Address l mailing) 1_588_s City License No. J!9 82 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license Is VII f tune effect. License Class - `rl-i License No.q_C?a_N1_ Date Signature -'ORKERS' COMPENSATION DECLARATION lereby affirm that I have a certificate of consent to self -insure ora certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company 8 Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This Section need not be completed if the permit is for one hundred ($100) or less). I certify that in rpe performance of the work for whi�b_.e�,-.Iis suedshall not plo anyy person in any m r so asto fife Workers' o e Non Laws Of Califo i Date LL.• Signature NOTICE: If, after making this declaratton, you Shaulecom su ct to the Workers' Compensation provisions of the Labor Co e, you mu forthwith comply with Such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit IS issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that l,am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file asigned Statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Nvision 3 of the Business and Professions Code) or that he/she is exempt nerefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for Sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building Or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). ❑ I, as owner Of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- tractor(sl license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have rea information Is correct. I agree to and state laws relating to buildir sentativps of tLpivcity to I inspection p s. Signature -Drivers' License or SS �r 'tate that the above d county ordinances coy au th oriz repr - ioned prop ty r Date J Y?/ ✓ `< 445665 10/24/66 54e12 TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR $ -S'6 SMIP ❑ CONVERSION ❑ DEMOLISH ❑.OTHER A.P. # A— Zone - DESCRIPyty IOOF WORIsJf (CIO SSE OG ��� klALC. bS%�� S Main Building: Accessory Building: $ PERMIT PLUMBING $ ISSUANCE TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Ffont 25% $ ENERGY P.C. O ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B $ GRADING ' N ❑ OTHER - A Rear MICROFILM $ - MECHANICAL PROJECT DESCRIPTION S T. OCCUPANCY C K Right $ `S / PLAN CHECK N G C O N ST RUCTI ON TYPE aC VALUATIONS siClc/ - S Left R ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided I E O Remarks: Planning Notes:M \ / S Bar Sink 3ackflow Preventer 3ackflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P -Trap Roof Drains Reinspection Fee $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating System & Ducting CIO -100,000 BTU ❑ 100,000 BTI Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor EES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors -Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Issue Fee I S 3 Hood or Type I ❑ Canopy Type II ❑ Refrigeration System 00-100 000 BTU ❑ 100,000 System Repair/Alteration Fire Dampers Registers Issue Fee 1 $ 3 ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+ KW Cooking Unit - Dishwasher Dryers ❑Gas ❑Electric Fan. F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ❑0-5 KW ❑5-15 KW 0 Meter Uup to 100 amps Meter Dover 100 amps Sub Panel Motors ❑0-1 HP ❑116-8 Inc. Solar 09-15 HP 1-116-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Reinspection Fee -I $15 I I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: ,S Zoning Approved By Building Approved By AoDlication Issued By FEES /Q' $ TL SUMMARY OF FEES BUILDING PERMIT $ -S'6 SMIP $ 0• Sa - 2 /r �Z PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ _ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ `S / PLAN CHECK 25% $ TL CONSTRUCTION AND PLANNING 'APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit# Date Inspector- 1.-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. Electrical UFER Grnd. 57. APPROVALTO COVER-G UNITE 7. Footings 7-tcC Cp y oA! 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O 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 APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas OOil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & 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 Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: C !� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ' 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45, Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �3 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co r ! 51. CERTIFICATE OF OCCUPANCY No. Date ..VLM ve Ltilri GENERAL CONTRACTOR Mesa verde B i-LcLerS DESCRIPTION OF WORK Residence t. 9-- 11 ?o.. LOT 14( TRACT 6237____ FIRE ZONE VALUE $ 35,338;00 l,._tECTIONS Signature Date GROUP T & JqTYPE V ZONE R_l Soil Ij —3-b SUBCONTRACTOR I PERMITS ISSUED Gas-6 '- xy Air-��-�-f- `=' Date I Number I Signature Water ` pll - Plumbing Rough Plumbing -Z -3-c Prop. Swr. Line House Con. 1 arinkling Systefn _ Miscellaneous /+C Rough Heating anck Temporary Service or Pole _ Underground ❑ Power,O Rough Wiring IHeating nd Vqnt. Trenches p Forms ® Steel Reinf. © Floor System Bond Beam i] Steel Reinforce ❑ Sheathing _ Frame and Flashing 7-3- G7 Lathing — In p Out 6 P' 'er, Brown Coat OL g�-76• tural, Final ctric Heating, Vent., Refrig. and A.C., al= - Plumbing, Final and Gas Test " Electric, Final -( Building, Final . 2632 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOR 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely Lot 46 TYPE OR PRINTTract 6237 BUILDING 2. ADORE99 COSTA MESA, CALIFORNIA Mesa Verde Bugders Inc. OWNER MAIL ADDRESS 2850 Mesa Verde Drive !PR 25-67p"000 EIISA1251 APPLICATION FOR PERMIT BUILDING For Office Use Only I RECEIPT NO. I P i1TECTTEL. "GINEER Kaltenbach �N ( NO. 8046 . - DATE BY ------ MAIN BLDGS. TEss1823 E. 17th St. Santa Ana ZONING DATE C. U. P. F PERMITTE sa er aui TRACTOR � ers Ince vP�aa • ftrd3 ' ` RfiaE 2850 Mesa Verde Drive LEGAL DESCRIPTION Costa Mesa A. P. NO. No. 1873 n"' 549-0395 NOTE: NO EAVE OVERHANG SMALL BE LESS THAN 80- TO SIDE G REAR P. L. EAVES ALLOWED (U. B.C. REQUIREMENT: DT LI15 x/5'/� }OQ$ NO. OF BLDGB.0 NOW ON LOT YARDSAPPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING QF._ DESCRIPTION OF WORK X II ALTERATION I I Ann DISTANCE BET. THE AMOUNT SHmV BET. MAIN B MAIN BLDGS. PLY WITH ALL CITY ORDINANCES A D STATE LAWS REGULATING ACCESS. BLDGS. VAR.# DATE C. U. P. F PERMITTE APPR VED AUTHORIZEDAGENT USEOFBUILDI 1 HEREBY ACKNOWLTSGE THAT 1 H, 'A (BAD TX IS APPLICATION THE AMOUNT SHmV AND STATE THAT TH ABOVE 1S C}f .A.T AND AGREE TO C.M. PURPOSE OF EBTA PLY WITH ALL CITY ORDINANCES A D STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. SIGNATUREOF)" w PERMITTE t1 x/33 ry �'/ AUTHORIZEDAGENT 7.2- N 0 VALUATION IS FOR THE A PERMIT FEE ONLY. O 0 Ar IN ER STECKBAUER, D. DATE 9-2-71 ADDRESS 2746 Mallard Drive BUILDING PFRMI No139-531-41 LOT TRACT FIRE ZONE VALUE$ SPECTIONS Signature Data GROUP J TYPE 1V ZONE R-1 so 1L SUBCONTRACTOR PERMITS I S D ESi GAS Date Number nature WATER Plumbin ROUGH PLUMBING PROP, SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND F1 POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING 'NG — IN I I OUT _L' P, ER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT.. REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL r 33574 J � Q U N Za wLy o- w W _0 M Z J Cr WW Z_ H W to CC toO i COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 "FP — 1 -7 1� PAlec,•� O1� 0117 J .` i' n� ,c� APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECsYEUV T�EC� �R- DATE D 7 ziADDRESS 7 BUILDING 27Y(6 MrZ4,440 OWNER bi ST .. .QQ3T3 RM� ,9ISSU�JE MAIL ry/f� BUILDING 2 4 (� VYlall r' ADDRESS / t'/ L/ ADDRESS a pmt CITY A ��� NOLSSY / eC SD TRACT LOT BLOCK CONSTRUCTION EW ADD ALTER P LENDER b ✓ BRANCH OWNER C ADDRESS �/J VALUE '7��,/% d0 R'�lC) F.f� $/T1 ARCHITECT / TEL SE OR ENGINEER t- N 4.ZS/C FIRE � // ADDRESS ,D/ 1/). AJ ZONE TYPE GROUP CONTRACTOR /� L APPROVED By f DATE / „ ^/ / � J ADDRESS 3 7 G 1< ZONE NO. USE OF NEW Urvl TEL. ryO CITY Lr NO.' 29,fq I PLANS S BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. ��Q Q fJ LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDGS. / (FROM C/L TREET) OF LOT NOW ON LOT FRONT FT. USE OF 1 L t EXISTING BLDG. / T A/`A rQ5 L / R.SIDEO FLP FT. SIZE OF ♦ NO. OF / 5 NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF 4J1 a COVERING COVERING REAR- FT. D FT. BUILDING TO BEeRFORMED DISTANCE BET. BET. MAIN & )e;OflK 20 ! MAIN SLOGS. ACCESS. BLOCS. VAR.* s"' DATE C.U.P.+ APPROVED APPROVEDDATE ��� 1 hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Professio oCo Division 3, Chapter 9. VALUATION Q-[) PERMIT FEE $ �1 Signature of �I '� Permittee lv $20e YV PLAN CHECK $ Authori Agent �y TOTAL FEE $ (/