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HomeMy WebLinkAbout2209 MAPLE ST - Building Permits - 'App'mann.-.rrr.rr en-weeds except those within heavy border lines and sign all appropriate declarations. PER T O. TRACT NO. LOT NO. UNIT NO. t, 0065 CPTYOA Address 01-1.0 L,CONoTRUC ION . R•"27. 4l)T_ o 8)/ 0 1/12/B7 P6.30 TL Project Address �'Z�7 ��ipp/�� � ��(, `/' !1� � � , Applicant's Mailing\Ad ass [FQ7 70i4 � !/er%/!n TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION L�REPAIR Owner's Name �s/nt sem+//�,WFf4>•'� Phone6CC?0773 '❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P..((: - Zone •DESCRIPTION OF WORK/USE OF BLDG. Address c L79 �7r +/C. .n?_ . � � S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMITLI�U GRADING El FOUNDATION LLTSTRUCTURAL T Front ZO •Address ❑ TENANT LIl ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Nam- / ..•• - V Phonal 0 OTHER A I Address(mailing) �TSQ� 'eor� �/ f/ / n PROJECT DESCRIPTION SQ. FT. �?D OCCUPANCYp �-f C Right • N n� �� -CONSTRUCTION TYPE eS.a-r02 C VALUATION 5`5(1770'- S Left City License No. .�/Sf./i� f / R ZONE GRADING CU.YDS. ACRESPing. Ref. Parking Req./Provided E LICENSED CONTRACTOR DECLARATION - _ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /' ,., ' y/ Planning Notes; Q with section 7000) of Division 3 of the Business and Professions Code,and �iQ7� i�rr ( r�a�-//�`/ �� /rQ / T my license is In full to a and effect. ^fly/9 / License Class yJ Lio�yns�-,N0. t'6''73 "er / r �` z296 S Date �'.2 -f7 Sign r.. — !✓t-e 1 - • PLUMBING FEES WORKERS'COMPENSATI• tARATION I hereby affirm that I have a -rtificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES Workers' Compensation Insurance, or a certified Copy thereof (Section Backflow Preventer Service Sink ), Lab. C.) - Automatic Washer Transformer ❑ 15-50 KW iicy No. Company Backflow Irrigation Sewer Ca ' 0 50+ KW 8 Certified copy is hereby furnished. p COnstluction POIe Sub. Certified copy is filed with the city Building Division. Bathtubs 'Sewer Connection Cooking Unit Meter Out) to 100 amps Date -- -- Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher • - Meter Dover 100 amps less). , (This section need not be completed if the permit Is for one hundred($100)or Solar Piping ' Dishwasher p g Dryers ❑Gas ❑Electric Sub Panel I 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 becorre subject to the Drinking Fountains Solar Tank • Fan Motors 00.1 HP D 4-8 Workers' Compensation Laws of California. Date -,2- xtF 7 signature 2/Ad Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this decl n, you should become subject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures ^� . comply with such provisions or this permit shall be deemed revoked. - Microwave /2 CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) ' Interceptors Water Heater Lender's Name Outlets Range Wel Lender's Address Kitchen Sink Water Service / Switches Sign OWNER BUILDER DECLARATION ,. . QrO I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW any structure, prior to its Issuance, also requires te applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions'of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of ' Division 3 of the Business and Professions Code) or that he/she is exempt - '.::�arefrom and the basis for the alleged exemption. Any violation of Section ?+ f'41 5 by any applicant for a permit subjects the applicant to a civil .E4.-,itttalty of not more than five hundred dollars($500). 3 • • •I+iJ I, as owner of the(property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ compensation, will do the work,and the structure is not Intended or offered r Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044,.Business and Professional Code: The Contractor's MECHANICAL FEES 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 - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. It, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date rove for the purpose of sale)., �t AtZ) Dat O I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By e I I Z �"! 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 Duct-Ventilating ❑O-100,000 BTU ❑100,000 BTU builds or improves thereon,and who contracts for such projects with a con- a SARL'OF FEES IS tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ • LS'V SMTP $ 'SJ D proof of their Worker's Compensation insurance should be provided to me. EXPIR : D PLAN CHECK S. PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers a + ISSUANCE S u}e`>-- itriz dot ons PLUMBING $ Date _ Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ - I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL _ FI FCTRICAL $-,:- • �� .GRADING $ ' information is correct. I agree to comply with all city and county ordinances ,U Cj a�� and state laws relating to building construction, and hereby authorize repre- - ..--tc �_ -� $ MICROFILM $ sentatives of this ity to enter Apon the above-mentioned property for PLAN CHECK 50% inspection purpo '-. - MECHANICAL $ TOTAL FEE $o Signet . i_ .��-, Date, - S7 tt / Driv rs' ' ense or SS Sa . Reinspection Fee -$15 'Lie Fee $ 3 PLAN'CHECK 25% $ ' ea SP 4 30 • CMF 0865-46,rev- 10/84 i White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1C'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 OF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,.P-Trap, 0 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 /_J3as? ,P, a 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. Rough Factory Fireplace APPROVALS Permit# _ 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 P 73. Undergrnd.Storage Tank O Gas O Oil JJ /W 25. Roof Sheathing /brie? 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat //// // 75. Dry Chemical 27. Frame and Flashing 1 a 3-g7 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 £4 *PO Notes: Di i-;3-i? Framl,{y/p t579YIt�' 34. Final Heating & Air Conditioning /o,er ' P N#2-0 `� 1# e r) 35. Final Gas Pipe-Test -• Ld' O 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 ..a \ 45. Sound Attenuation 9: 46. Handicap Regulations EXPIRED e 47. FINAL STRUCTURE & BUILDING It 1,11pto IrispeLiiwtS ,� Q 48. Special Requirements Completed Date ' S /( 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ PROJECT ADDRESS: 2209 MAPLE ST UNIT: - CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M .046581 OWNER'S NAME: BURLOTT , .ADDRESS: 2209 MAPLE ST PERMIT NO: •M 046581 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA • CA 92627 CONSTRUCTION TYPE: 5-N PERMIT TYPE: MEC PURPOSE : OTH • ' ( 714 ).650-9238 ARCH/ENGINEER: REO.NO.: ' , JOB DESCRIPTION : REPLACE FORCED' AIR UNIT SQ FT: ADDRESS: UNIT: - • CLAIM VALUE: CALL-VALUE: GROUP OCC : R-3 / PERMITTEE: AIRWEST AC & HTG ( 714 ) 963-4245 ADDRESS: 18471 MT. LANGLAY R COMMENTS : ' "CHANGE OUT ONLY" ' F . V. CA 92708 ,E**********************-***************ESTE*************N*t6*****3***************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I m licensed under provisions of Chapter 9(commencing with Simian Z ON ING R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code,and license is in full force and effect. • S ETB ACK S CITY UC.: 049774 STATE UC.:472640 CLASSIC-20� Date:3- 2.O — 7� signature: '`' -' '--'-" MAIN BUILDING -- ----- ------ ACCESSORY BUILDING ----- WORKERS'COMPENSATION DECLARATION: I hereby affirm that e a certificate of consent elt-iinsure or a certificate of Workers' FRN1': FT IN REAR: FT IN FRNT: F1' IN REAR : FT IN Compensation Insurance,or a certified copy thereof(Section ::E Lab.C). LEFT: • FT IN RGHT: ' FT IN LEFT: FT IN RGHT : FT IN POLICY NO.: EXTE: • COMPANY: PARKING REQ: PROV: PARCEL : 42219111 INE: REF NO: ' 1 Certified copy is hereby furnished. ❑ Certified copy with the city Building Division. PLANNING NOTES> , > - ************************************** Date: Applicant: ****************************************� EXEMPTION FROM WORKERS'COMPENSATKIN DECLARATION: (TM section need not be completed A the permit is for one hundred($100)or less). DEVELOPMENT •S E R 'V ICES R E Q U I R E M E N TS • I certify that in the performance of the work for which this permi s issued.I shall not e ploy y person in any manner so as to become subject to the Workers'Compensation Laws of California. Ar___„, —�_ j NG APPROVED BY DATE: ' .°Date: 3 - 1_- 90 Signature: '� ---- _--_-- -_ -- -- NOTICE:If,after making this declaration,you shout me subject to the ricers'Compensation provisions of the Labor BUILDING APPROVED BY : _ t _ DATE: Code,you must forthwith comply with such provisi this permit shall be deemed revoked. , _ • CONSTRUCTION LENDING AGENCY: I hereby affirm t . re is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: uY /��:• DATE: L3 -24(19 L e which this permit is Issued(Section 3097.CN.C). **********************-.�. .. - '.WW; 7 **,****.***,* F♦F ** LENDER: ****************************************** **************fie******************** ADDRESS: LEGALIZATION:N F E E SUMMARY ' STRUCTURAL SEGMENT: N - OWNER BUILDER DECLARATION: I hereby affirm that I amexempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a-permit to construct,alter,improve,demolish,or PERMIT, 9 - 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • 2 5$ S M Z P/NON-R E S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). -I S S UE' FEE 15 . 00 I, as owner of the propend or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS---->' 9 . 0 0 15 . 0 0 • 0 . 00 2 4 . 0 0 24 . 00 . 00 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 completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 24 . 00 OVER/SHORT: . 00 for the purposeofsale).. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-'CHECK • I,as owner at the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00 ❑ 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 protects with a contractors)license pursuant to the Contractors'state License Law).I am aware **********************-******************.**********.********.***********N.**.*.****** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E 13 R EAKDO 14 N ❑ I am exempt under Section: B.6 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner. MEC • 1. INST FORC-AIR/GRAV FURDI = 100 K BTU - 9 . 00 9 . 00 I do hereby certify 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 MU...Mi not(circle one)need to comply with said state codes and the requirements tor a END OF FEES permit for construction or modification from the Air OualT Management District.Residential construction applications are exempt from these provisions. . Date: Applicant: ' • I hereby certify that I have read this application and state tha' he above infor-.ti' is . ect.I agree to comply with all city and county ordinances and state laws relating to building constmction and ereby authoriz, ..•-sent. yes of this city to enter upon the above-mentioned . - property for inspection purposes. Date: 3 —2.0 to signatur• I. 01 00056442-00056442 TOT 24.00: Driver's License or Social Security#: • . • DATE: 03/20/90 TIME: 10:59 1841'46 White—Building:Green-Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor • . . . . C/ CONSTRUCTION AND PLANNING POO SPA - Date . Inspector Date Inspector • APPROVALS Permit# ' ' APPROVALS Permit# , i 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location •2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,3. Electrical Conduit-Utility-Undrgrnd. 54. Forms il" '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. / 60. Backwash Lines, P-Trap, 0 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 N 1 3. Roof Drains ' - , 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. f;ough 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. Rough Factory Fireplace - APPROVALS - - Permit # 21. Ducts, in Structure - ; 70. Underground Hydro 22. Ducts, Ventilating - - - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - -' `72. Underground Flush 24: Roof Framing - • 73:,Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing . 74: Overhead Hydro. 26. T-Bar Ceiling (Structural) & Moriocoat - 75.- Dry Chemical • 27..Frame and Flashing ; . - 76. Dry Standpipe _ _ 28. Lathing.& Siding 77. FIXED SYSTEM FINAL 29. Insulation - : 787. FIRE PREV. FINAL 30. Drywall Nailing ' •,l : HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat- ` • • -79. FINAL INSPECTION - 32. Electrical Power Meter-Final •, • 80. FOOD CERTIFICATE ISSUED. -.:33. Final Electric - - . • Notes: X34. Final Heating& Air Conditioning 3/X.3'/ (06. ' 35. Final Gas Pipe-Test / /-, • - . 36.. Hood or Canopy - j:• . - - - 37.,Final Factory Fireplace - - i, - ,'' - 38. Final Plumbing '• r - 39. Water Service-Final. - ' ~40. Gas Service-Final ' - ' ' . Y ' 41. Solar Domestic-Final - . • 42. Backflow Preventer' - : • - • 43. Backflow Irrigation - 44. Landscape Irrigatidn System • • - - ,. , • 45:Sound Attenuation • 46. Handicap Regulations _• - 47. FINAL STRUCTURE & BUILDING - 48.-FINAL PLANNING -- " :49. Electric Release to Edison / ' rpt 50:Gas Release to Southern California Gas Co • ' • -51. CERTIFICATE OF OCCUPANCY ' No. Date r '1.. n-'- •— - Applicant to fill In all spaces except those within heavy border tines and sign all appropriate declarations. iPERMIT NO. UNIT NO. r CITY(*.COSTAMESA CONSTRUCTION PERMIT'Z�2y NI Q TRACT NO. LOT NO. - BOO IL • Project AddressAPI. III , 7 ©�/ Applicant's Mailing Address 110 9 M 4414./F_ as TYPE OF CONSTRUCTION LTI—NEW U ADD LS-ALTERATION LI REPAIR 1232 /20/07 Owner's Name IM 0.o wA4 o N4 Phone 64S'o»'4 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.R.# Zone DESCRIPTION OF WWW)$LC/ SE OF BLDG. n L Address liI I•PL .z — Col 14 N E-�A i C 1 . • t 5 Main Building: Accessory Building: TVP OF PERMIT . GRADING ll FOUNDATION . STRUCTURAL E Front Z Arch/Eng. License No. T O Address ❑ TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear N �j ❑ OTHER A I Contractor's Name C y7 Phone ` C Right N PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G Address(mailing) CONSTRUCTION TYPE VALUATIONS S Left City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: -.z?e^J/. $'O Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and �d� GIO my license is in full force and effect. T License Class License No. S Date Signature PLUMBING FEES ' WORKERS'COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink , 00, Lab. C.) Automatic Washer Transformer 0 15.50 KW eolicy No. Company Backf low Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 8 Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit I Meter fcrup to 100 amps Oate ApplicantEXEMPTIONFROMWORKER 'COMPENSATION Donh Clarifiers ' Solar Collectors Dishwasher Meter Dover 100 ampss (This section need not be completed if the permit is for one hundred (5100)or less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel I certify thatm in the performance in n the work for which this permit is Issued, I shall not employ any person inany manner so as t came subject to the Drinking Fountains Solar Tan Fan Motors❑Ol HP 0111-8 Workers' Cq mpe salon Laws of lifornia. Date un I 11St 1 Signature c� Floor Drains Swim.- ng Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑1615+ NOTICE:If,after making this declar Ion, you should become subject to the Workers' Compensation provisions o the Labor Code, you must forthwith Floor Sinks inal Fixtures comply with such provisions or this permit shall be deemed revoked. MiClOwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light 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.) Interceptors Water Heater Outlets Name Range Lender's Address Kitchen Sink Water Service - - Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections 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 P—Trap Laundry Trays Generator ❑0.5 KW ❑5.15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions Of Roof Dr - s the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt '"erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil tty re than five hundred dollars($500). as of the property le Reinspection Fee I $15 Issue Fee $ 3 will do the work, and s r the ucture is not intended or offered • Reinspection Fee $15 Issue Fee $ 3 or sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for yp Zoning Approved By Date sale. If, however, the building or improvement is sold within ono year Of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved fly /� Date prove for the purpose of sale). +a-�)r`— /3l ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date �I11 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 Duct- Ventilating — 00-100,000 BT I 100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple❑ Syst••• -epair/Alteration BUILDING PERMIT $ SMIP $ I proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date C1-1-44.9-14-7-- Owner — a Heating System& Ductin. Registers • $ ENERGY P.C. $ �T PLAN CHECK 25% ('%� I I hereby certify that I have read is is application and state that the above 00-100,000 BTU P 00,000 BTL a GRADING $ information is correct. I agree to co ply with all city and county ordinances ELECTRICAL $ and state laws relating to bu'ding construction,and hereby authorize repre- sentatives of this city to ter upon the above-mentioned property for (y inspect] purposes. MECHANICAL $ TOTAL FEE $ a _ Drivers' Lice a or SS Ct.riverDaseV/La l f$ 7 •reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ la CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor . CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector 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, El 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 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 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 9_/ 80. FOOD CERTIFICATE ISSUED 33. Final Electric ‘147 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. Special_Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 'r 51. CERTIFICATE OF OCCUPANCY No. Date _ OWNER HIRTLER,- JACK C. DATE .3.1-19-56 - JOB ADDRESS 2209 Maple Street BUILDING PERMIT NO. #3972 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 11,260.00 LOT 11 BLOCK TRACT 2966 Single res. w/att. gar. s—up I & J TYPE V ZONE 114 FIRE DISTRICT 40114 INSPECTIONS D•TE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench 'Ati 0 Foundation Forms and Grade to Gar,t.- Rough Framing NV - Plumbing,Rough to Slab 5.'4.. , �, , y '' I.t eee,,,z p, 1/--pc'-3-4 75'3 V--- Plumbing, /_Plumbing, Rough Complete _4L /-/ - Temporary Pole _ Wiring, Rough JAN t19 GJ(y/6'-e., *-..R--✓ £N $ 1957 3 d'a 9, Heating,Rough 0:1/ -/6-5-7 Heating, Final ��/.Ss7e •/,ez '6-4°.S.'6-4°.S.'6-4°.S.1 O&iifi-x c/)i'Yf 4?' 7/-(4 7 In 3/ -� Sewer Houwer, t.- / 1 " - ,_b .1,..„ ,9',��� ,_ /_ 2 -S 7 /o. tP<P3 Septic Tank or Cessp.ol Lathing, Ino4,,9(, Out gad, - Stir • P ^r_ng Itn O F. Ming,Final,Fixtures Complete)"//Y y�s 37 Plumbing, Final Gas Test /k- died/ y 7-.S7 td2-..-../ ,$- 3-5-7 ri." Wiring,Final jAP• 2 1957 V.CB .c--3-4 7 _ ,:n.r...-----"" Occupancy ANNE .Siff FORM 210 3M 10.55 Costa Mesa Building Department iPLICATION FOR PERMIT P. O. Box3!7 V14 BUILDING 1 - COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. I Permit No. Building Address 2209 Maple Street 1 377 .2/ Costa Mesa, California Received by I Date Reeo'd. Date Issued Nearest ,....-14---,0 //–r 7-s 6 //–/9-,a Cross St. Wilson Street Building// Address Owner Jack C. Hirtler Costa Mesa, California Mail Address 419 E. 17th St. Nearest Tel Cross St. City Costa Mesa NoLi. 8-1159 Zonep , / I No.of I Type ,/ Group dd/ Architect or Lic. I` V Plans !/ J/ GU`(► Engineer 0arls=n & Middlebragk Approved by Date "'dress Garden Grove CORRECTIONS City Lic. —infractor/Rice and Colegrove No. 4615 Address 419 E. 17th St., Costa Mesa - - Legal Lot I Description I No. 11 Block I Tract 2966 (Attach Metes and Bounds) No.of Bldgs. Size of Lot 6o x100 I Now on Lot none ljse of I No.of 1 I No.of ( 700 Existing Bldg. none Families Rooms 6 Setback Line from Rear Yard 221 Center of Street 501 Side Yard 5' y DESCRIPTION OF WORK • r New I X I Alteration I I Addition I T Repair I I Moving I I Demolish I c0 Building No.of m ':e 1300 sq ft Rooms6 Stories 1 Ierior WallRoof — _.vering stucco I Coveringcorap. & rock APPROVALS Use oNew Building Singlefamily residence Foundation Location Inspector - Date Forms,Materials, Cy (,�- CUnder-Pinning .. Plan 26508$ Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application -- and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating i 1 building construction. Lath.Ext. Signature of Permittee Plaster, Int Authorized Agt ,G. _ �. ...- Plaster,Ext. , Valuation q Permit Fee $ a2 --- Masonry Reinforced $ i/ d / D Plan Total Check$ �/// — _ Bond Beam Fee $ /O2�1 FINAL _, FORM 204 10.55 D.P.G S. Y C Y - j C J G O 0 a a • Street I - PLOT PLAN Show location and distances from �-� property line and between buildings. A—I a .1 ...... Go: O to u c.