HomeMy WebLinkAbout1935 KILLDEER CIR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CPTV OAddress 4E s CONSTRUCTION , ..1.t IT IT N5 2- �O T F 7 �T LOT NO.� UNIT NO. ,
Project Address 1`— l toi/ s ��J ,��//' , 49 '- r,
•
Applicant's Mailing Address Zi�62• IJ •/fl• CM TYPE OF-CONSTRUCTION ❑ NEW ADO LJ ALTERATION ❑ REPAIR s.ta� 1
SI s ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p # _(f O/ / ISR e �yyy Zone �,
Owner's Name ��M�r��- Phon13�-� d $Z-r �� r' (7 L.1 - 139 O
y,..__ a n DESCRIPTION OF WORM O L[]�
Address _____a_._F-•+l•- CSI e •��}�. -- a S Main Building: ._ ...•rrwcnryR ng:
Z
Arch/Eng. • License No. TYPE OF PERMIT ❑ G AGING ❑ FOUNDATION H STRUCTURAL T Front ;I Y' OF COSTA MESA 0
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g O I N
Address I` `/� / /� , r A Rear
IN'" ��JJ I I-5CCYN D�t07 ❑ OTHER _
Contractor's Name N Phon C:
Right N
zt p Cn PROJECT DESCRIPTION SQ. FT. OCCUPAN K N
Address(mailing) 5tc �a� CONSTRUCTION TYPE VALUATION$ §
-7 I
City License No. •Z /• ZONE GRADING CU.YDS. ACRES O R
LICENSED CONTRACTOR 0 • ARAT •N Ping. Ref. # )) Parking Req./Provided nit
// E
I hereby affirm that I am tic' sed under p ovi '•ns •,r er 9 (commencing Remarks: Planning Notes: /5 r /B 1 Ji.t �"•1 1 1{"Y_c .[ 71 nit M
with section 7000) of Divi ion 3 of the u nes. ssions Code, and
my license is in full fp__ ..:cL �'� O� y T
License la aT • •` / ./.. I I:"/-• I q Lar. S
Date � �� Sign. 1�//ll�. /_� PLUMBING FEES I
WORKE-5' 'OMPENSATION DECLARATION Bar Sink Showers iELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or . certificate _
of Workers' Compensation Ins r.•- , •• . c- 'etl .�y t • e•f (Section Backflow Preventer Service Sink
Q� 3800, Lab. ^ z....3_ Z.- kilt,
•lt ,o�As— ) Automatic Washer Transformer 0 15-50KW
LZ Policy No. l� V Compan Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
;settied copy(is herb f rnishetl.
ie o��_(( s f {��y l the city Buildin• .rr��� / Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date I EXEMPTI FR M WORKERS'COMPENS•TION DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps
(� (This section need not be completed if the permit is for one hundred ($100) or
- J less). Dishwasher Solar Piping 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 become subject to the Drinking Fountains Solar Tank Fan
Motors❑0-1 HP ❑1''A-B
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE: If,after making this declaration, you should become subject to the -
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
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 g
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name
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
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 LaundryTrays ,-
any structure, prior to its issuance, also requires the applicant for such permit y 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 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
therefrom 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
Lienalty of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will'do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License Law does not apply to an owner of a property who builds or improves _ s
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: � / I r�
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ ��•1u' /-7/7'�{`vy]ryry'��I -/- t_/+. �,•. Ye
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By e[ L4iate I CY (.t
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By / Date
LJ ve fpr the purpose of sale). - /j/Qy�
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 'P
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 ❑0.100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds o • •^ ^reon,and who contracts for such projects with a con-
tras • s) license Worker's
•t to the C. .ctor's License Law). I am aware thatBUILDING PERMIT $ /$700 SMTP $ 0•Sa
fExhaust System ❑ Multiple 0 System Repair/Alteration p
A•l•a o their Worker's omp—tion nsurance snB.ld be provided
this to me. PLAN CHECK $ ` •7� PERMIT
A I am exempt under Sec '• B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date •caner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify th. i -ay.. read is application and state that the aboveJoioo.000 BTU 0100,000BT i GRADING $
information is cor t. agr-- t. pl with all city and county or fes ELECTRICAL $
and state laws r- it to ,••s yr i•'.. d hereby a hor e r re- MICROFILM $
sentatives of t• cit t • / ;I ove-m tinned r er PLAN CHECK 50% § 2C •�
insp•ection pur•o •• Imo• . lit • 8 MECHANICAL $ G J •G4-
. Dyte TOTAL FEE $
Drivers' License or 55 - )/ Reinspection Fee $15 Issue Fee • $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 While - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA '
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspdctor
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 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i '
5. Steel Reinforcement 56. Rough Plumbing & PressurejTest .1
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . - • r''
7. Footings / B 58. Electrical Conduit-Undrgrnd. �;•
8. Foundation �l t59. Gas Pipe, 0 Undrgrnd.,Test t
r
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. •"V ,
. 3
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 i
•
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval 1
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 i '
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
r
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 1
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 1 i .
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT;tREQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION t
;I .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE�'/// IIsSUED
33. Final Electric Notes: V.7A, r etc V �,crusr-�
34. Final Heating & Air Conditioning. '// _
35. Final Gas Pipe-Test
36. Hood or Canopy ,,
37.'Final Factory Fireplace - -
38. Final Plumbing I l
39.1Water Service-Final v !_ .�
40. Gas Service-Final ' I r
' 41. Solar Domestic-Final 12
. 42. Backflow Preventer ., la
143: Backflow Irrigation _ , 1 i I -
44. ,landscape Irrigation System : - I 1
45. So-u'nd Attenuation •- - •
•
46. Handicap Regulations 41*
""��f i ;
47.-FINASTRUCTURE & BUILDING „/� ,i - �•
L
48:-.Special Requirements Completed
49. Electric Release to Edison -I �
F--
50. Gas Release to Southern California Gas Co • •'I'
51. CERTIFICATE OF OCCUPANCY
No.' Date
.
PATTY WAIL AGREEMENT
•
THIS AGREEMENT, made and entered into this ata day of
,j , 1988, by and between �jLG2tLk v- �, at, �
hereinafter referred to as "LAND OWNER", and
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the
property line between / q,3 S /jtiit & (
L, ULcirc> asiA
(Aptdress f Mjoinirx�Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded in Book , Page of Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
' IN WITNESS WiEREOF, the parties have entered into this Agreement the
day arca year first above written.
LAND OWNER ADJACENT PROPERI? DICER
(St/areI (I �caa tI
(Signature)
MMA i‘nzone Allemp, ki�
Name (Typed or Printed) Name (Typed or Print )
/ 93.5-- AjZ266w et/t.
c rcev L7737/ ��al- atz5v,...4_,
(Address) (Address)v
(NOTE: Please SPP raVF_YSe-_e-ir'x9--frWnprrl=-aat ) , _
•
TYPICAL 6" CONCRETE BLOCK FENCE . '
Cement Coping Optional :71GENERAL= NOTES
- Channel.Block With 1.3/895 . Ai
Horizontal Top of all
Fences I I I
1 Li I MORTAR: One Part Plastic Cement, and •
Three Parts Sand
For Fences 5'or Less Q� 1 I 1 GROUT:- One Part-Cement Three and
s 1 One Half Ports sand
Vert.Bars 3/8"95 at 4'-0"O.C. E a _ COPING: One Part Cement, Three
For Fences Higher Than 5' L` u • Parts Sand
Vert.Ban 3/8" at 32" O.C. d� Y w CONCRETE: well Mixed 1:2-1/2: 3-1/2
i a = Max. of 7-1/2 Gallons of
Fill Cells Solid With Grout E� > z Water Per Sack of Cement
Where Steel Occurs - - I —
Reinforcing Steel Shall Z I I i GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 w o - . I - OCCURS.
A.S.T.M. II ~
iI CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped p- rn - II - FORCEMENT SHALL BE CLEAR,CLEAN&
FREE OF ALL MORTAR DEBRIS,ETC.
' 24"or to Code
NATURAL GRADE �7tl71 �% "7 'I III�,L,
s.,Wag'Wwil, 4 o tam
✓vim\ \�h O ✓ .Q` v
s
TWO 3/6"e BARS
CONTINUOUS TOP ....
&BOTTOM "' 1•�WIDTH . TO 16' 0.C. MAX. , . -- • ..
•
p SEE CHART -
-MOQt2.STEEL MUST BE TIED IN BELOW a DEPTH OF EARTHTCOTH •
PLACE AT TIME OF TRENCH 1/3. THE HEIGTH OF FENCE
INSPECTION. '-- ---TELOW - OTTOM OF FOOTING.
• . r 3 -
x--10--1 [...12:41. 2" SCALE: I/211 =• 1'
FOOTING REQUIREMENTS CHART
•
LWALL HEIGHT 6 ' 5' 4' 13'
WIDTH 14" 14" I 12". . . l2": '
THICKNESS 10" 10" . 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" . . . . . . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' . 16' 16' •
OWN •S NAME: qi O �_ _ _ _
City of Costa Mesa, California PER ATOONUMBER 1 _ _ i a
BuildingDepartment SIGNA _ I •��� — O _ _ -
•
P -
2evrsea Nov.az
•
CC �1 Q---- - n p
F O , '1 1 N - 9 133815 S 3 L o7
IV Permit #
C • LL THIS NUMBER M ST
7541-5626 — L INSPECTIIIN REQUESTS
T, 1
Dr 1� M
764-462 rn
-s I_ a
V
tilV t......„ .
•
3311301SM
- - 3h1301033 30113010311 33N101$3tl
Iw
.. I
•
l oer- • AP...' 119-V 1
APPROVEDgl
do �� �I IOF COSTA '
PLANNING DE
City o a Mesa Building DI 'SUBJECT TOSBLDG.
DEPT. REQ. Q
BY DATE T� I Ft OF PLANNING
THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE
NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. i
•
WI ISSUANCE OR GRANTING OFA PERMIT OR APPROVAL OF 1
PLANS AND SPECIFICATIONS SHALL NOT RE CONTI RUED 10 BE
PERMIT FOR, OR AN APPROVAL OF, ANY'✓:Ot A71ON OF ANY OF 1
THE PROVISIONS OF THIS CODE.NG PERMIT PRESUMING TO GP.'E p, ��
AUTHORITY TO VIOLATE OR C4NCI TH5 "PO`:ISIONS OF T'IS yAd ��
CODE SHALL BE VALID,EXCEPT IN;,C FAR AS THE WORK OR USE
WHICH IT AUTHORIZES IS LAWFUL. ,4 OR CORRECTIONS SHALL
1 ADDITIONS, DELETiOi,S,
THE ISSUANCE OF A PERMIT BASED'UPON PLANS AND y gE ppPROVED BY THE PLANI:ING DEPARTMENT.
SPECIFICATIONS SHALL NOT PREVENT Fe.: '.j!TD :G O =I:AAl
FROM THEREAFTER RfOUIRINC TFiE CV!:Li CT'-Oi-4 CB ERRORS W
SAID PLANS AND SPECIFICATIONS Gfi FiOM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON 1I12REUNDER WHEN
A IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF .
THE CITY.
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
OF COSTA MES CONSTRUCTION ERMIT PERMIT-NO. TRA T LOT N UNIT NO. 7984 4/0 /Bfi' Bi�oLII TI
n ., . . 23' 32WYC 5 � /
Project Address Sell' k\1-Ke r
Applicant's Mailing Address 1a PaC0lfiltC:Crat1 • '-,C1• ,�j TYPE OF CONSTRUCTION LI NEW El ADD ALTERATION LJ REPAIR
Ownet's Name rP� -- ��M��E Phone75\�1\s / El CONVERSION El DEMOLISH El OT R A.P.q# / 39 _ L1$/-IS Zone gi
-y /� �^ DESCRIPTION OF WORK/ . OF i LOG. .. _ •
Address %A JS tc\l-� � "t-�L lG ` ' -1 • ! •� - mkt [ 7 �« .5 Main Building: Accessory Building: Z
Ar Eng. License No. TYPE OF PERMIT S GR•DING S FOUNDATION e'TRUCTURAL T Front �/O,�•(! 0
Address C TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL B Rear /fes f N
Contractor's Nam iM \ I O Phonob_T1 � ❑ OTHER A " I
PROJECT DESCRIPTION SQ. FT. OCCUPANCY ez.3 C Right VI N
Address(mailing) tZ,` i9zr lac-go ,O� Co.s S 0 I. C'
CONSTRUCTION TYPE V VALUATIONS-a�]-�_C V
City License No. •ZONE GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLA: _TION „ Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licons•• under •r• isio-sof Charter 9 (commencing Remarks: Planning Notes: ) /
0
with section 7000) of Divisio 3 of the rusin:-sa essions Code, and ,mss L•Y6�,1-1 v6yv VJf,L2�,(C,uJr — M
my license is in full tyke - da feet. 27 •
I/V• (1(31CaUl/T/r/1 - S
T
Licensg,Cla "./ y�*I _� «))((JJ
Date! ' 4~� Signaturler ii ffl', PLUMBING FEES
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure •r a certificate Bar/Sink ' Showers ELECTRICAL FEES
of Workers' Compensation Insur Ce, or a certified copy the eof (Sec on
D .3800, Lab.\Cp/( �] 2/,s Backflow Preventer Service Sink Automatic Washer Transformer 0 15.50 KW
Co Policy No. (//" I n 7,= '�\�L ► ♦U •L/�Backf low Irrigation Sewer Cap0 SO+KW
`\ CeMtfled copy IS hereby furnish ��� - Construction Pole Sub.
�Crert isietl cop�yy filed with the Ity. Bui i J:�el17Fj��__� / Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
.sDate . l n Applican �//! �•
I IL EXEMP ION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors l Dishwasher Meter
a' (This section need not be completed if the permit is for one hundred ($100)or Cover 100 amps
less). _ Dishwasher Solar Piping 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 become subject to the Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California. Motors 00-1 HP 01%-B
�_ -
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.NOTICE: If,after making this declaration, you should become subject to the _ ` Inc.Solar 09-15 HP 016-15+
Workers' Compenfation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit Shall be deemed revoked. Fixtures Microwave
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 Outlets
Lender's Name - - Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that•lam exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
, county which requires a permit to construct,alter,Improve,demolish or repair P-Trap LaundryTra s
any structure, prior'to its issuance, also requires the applicant for such permit Y Generator DO-5 KW 05.15 KW .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
therefrom 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
penalty of not more than five hundred dollars($500).
LJ _
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - Reinspection Fee "'$.3,
ern Law does not apply to owner if a property who builds or improves _ _ _ _
FEES
thereon,mpland who does such work himself/herself arelf or Intended
his orOf ere own - DEVELOPMENT SERVICES REQUIREMENTS: / Q
employees,hthat such or improvement
are not tor Offered for Boiler Hood Type 0 (J )
Sale. If, however,wthe building dof pro withinisoheone year of rcom- Canopy Type I ❑ Zoning Approved By ;ri ....4 •ata t
pro of the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By ,.;eine Date AY-/- sU
prove for the r of he pf ope). 4 ,_�,r'// /
0 t as owner the the project exclusively contracting with of licensedioncon- Duct-StructuralRefrigeration System Application Issued By - -_ I i��_ Date_a
hetprs tactor'construct project s(Section 044, to
Business and Professions rt Cotle:
The Contractor's License Law does not apply to an owner je is thta who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY OF FEE
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 that Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ ,C-v.0 b SM IP $ 1 L `e
proof of their worker's Compensation insurance should be provided to me. - PLAN CHECK $ Z,j./00 PERMIT
D I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PERMIT
$
a. — PLUMBING $
Date • Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I h- eby certify t -t I av application and ;tate that the above ❑0.100,000 BTU 01120,000 BTL GRADING $
int. mation is correct. agr. y with all city and county ordinances - ELECTRICAL $
an. state laws rel • I • to tr ction,and hereby authorize repre- MICROFILM S _
sen at Wes of this y teal( --. he _ .. ntloned •roperty toy PLAN CHECK 50% $
insp.ctlon purpos' �/, / r r c_) MECHANICAL $ p r
60
Signa . ��Cern / TOTAL FEE $ nq
Drivers' License or SS 559 '' `' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
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. i 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Uridrgrnd. 55. Electrical Bonding
5. Steel Reinforcement: 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE
7. Footings ,• �t-Qt- 58. Electrical Conduit-Undrgrnd.
8. Foundation , , . 59. Gas Pipe, 0 Undrgrnd., Test
9. Water'Pipe-Undrgrnd.J : 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 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) & 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 Not's: /2$ ief/���� p KS-
34. Final Heating & Air Conditioning OM 0 r ---a /7' 600 - A
35. Final Gas Pipe-Test / `-
36. Hood or Canopy
37'./Final Factory Fireplace - '
38. Final Plumbing • - e• ' .
39. Water Service-Final l•+ ,
.
40. Gas Service-Final •'
. 41. Solar Domestic-Final � • ' ,
42. .Backf low Preventer - -) - p
-43.,Backflow Irrigation
44„Landscape Irrigation System --
.
45. Sound Attenuation - -
46.Handicap Regulations • b_ - ,._•- a - .
47. FINAL STRUCTURE & BUILDING 4►480 .D / ., r
�.
48. Special Requirements Completed y6 1 . •
i v 1
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co J
•
51. CERTIFICATE OF OCCUPANCY t i
No. Date
,
•
_ - •p 133WAS
• t-��r ,J'1 'Cs—
.
Po. So 'tn
a a
M
M M
-4
308301438 33,1301831 338301438 3311301838 '
1 A 4•
1ECI5C
•
('6 :� APPROVED
c n o #a� .
Pla)JI )NG DEPT.
6DBJER 70 BLDG. DEPir4Ep, Wim«,`, City of Costa� Mesa Building Dept. •
BY ` Y/!di T� BY -� x2%% / DATE�./� 19_11.8'
DIRECTOR"op pLgN` NIIN�""'� THESE PLANS MUST BB ON JOB A7 1..L TIMES MAKE !
- NO CHANGES WITHOUT PRIOR APPROVAL Or DEPT.
832? 5f
;Yr
THEI ISSUANCE OR GRANTING A PER:.c:0:' APPROVAL OF
PLANS AND SPEC/FICA i 0Ns 5ri;-i lie Sc[.7:'-::'BUEJ TO BE A
PERMIT FCR, OR AN APPROV At.Cr. 4rv, VJOI. n
S. rl OF ANY OF '
THE PROVISIONS DF THS CODE.NC.°EP/0 --
• :p •,;G TO GIVE •
• AUTHORITY 10 v?plA-? OR CANCCR T ••O:T40rIS OF THIS • •
',',..-77.-: CODE SHALL BE V::ID, EXCE7 T:N lU Ft::: AD Tilt: WORK OR USE .
ADDITIONS, uELEn j!; 0:-? C] , ,G I IO:JS SMALL WHICH IT AL:rI+::..LEs Is u. RUL.
BE APPRDVED Ci HE PLA,':..112 THE IsUA;No r= A P aar BASED u-C:: PLASS AND
iv""I''� JLi.; i)Udell- SPECIFICATIONS SnALI NO' PREVENT THE BUILDING OFFICIAL
FROM THEiE.',FTER REOUBRING THE CORRECTION OF ERRORS IN
�••„f _.•`� SAID PLANS .AND SPECIFICATIONS OR FROM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
IHE CITY.
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional .,3 GENERAL- NOTES
Channel Block With 1-3/80 111 1' _
Horizontal Top of all
Fences MORTAR: One Part Plastic Cement, and
Three Parts Sond
a GROUT: One Port Cement Three and
For Fences 5'or Less . c5 One Half Parts Stand
Vert.Bars 3/8"0 at 4'-0"O.C. d� a _ _ - - COPING: One Part Cement, Three
For Fences Higher Than 5' " ' �MI I Parts Sand
_ CONCRETE: Well Mixed 1:2-1/2: 3-1/2
Vert.Bars 3/8"0 at 32" O.C. tt > w - —
�tl ¢ 1, Max. of 7-1/2 Gallons eof
n
Fill Cells Solid With Grout > z Water Per Sack of Cement
Where Steel Occurs 7a > - I1 -- --- - - —
Reinforcing Steel Shall f I GROUT MAY BE POURED FROM THE TOP
1(rYY mm I OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 w o - — -. - - OCCURS.
A.S.T.M. O ~ CELLS AND AREAS OF HORIZONTAL REIN-
�I� W M FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped j _ FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code1111 1
NATURAL GRADE �'� v v -��'Ii
o // C2
TW03/8"OBARS 'ISS DA e • • e �.. ♦ .
CONTINUOUS TOP . ... . .
& BOTTOM I-•--WIDTH TO 16 0.C. MAX.
SEE CHART • .s t,.
_H0121Z.STEEL MUST BE TIED IN BELOW e DEPTH OF E ARTHTCOTH
PLACE AT TIME OF TRENCH 1 .e. 1/3 THE HEIGTH OF FENCE
INSPECTION. L .-.TeOW •BOTTOM OF FOOTING.
�---0--� d z —.J t— SCALE: 1/2" = I'
FOOTING REQUIREMENTS CHART i
WALL HEIGHT 6 ' 5' ' 4' ••
3' '
WIDTH 14" 14" i 12 . . . . 12"
THICKNESS 10" 10" ` 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . .2 --- 16" . . 12"
SPACING OF EARTHTOOTH. . 12' 1 . . . . . .\ 16' 16'
• ?WNERS NAME: _ 1 M a
Cit of Costa Mesa, California FEB DRMIT . G-i 5- t. t- -V CC- >Z _
Building Department SIGNA E A. /_
ggv/.560 Nev.at
• ' CITY OF COSTA MESA
• BUILDING DIVISION
1:f ,.,,,,,4..�' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1. 1
t ' t •
PERMIT •
J o` o#4 _ J301-01254
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1935 KILLDEER CI Status: ISSUED
Suite: Applied: 08/13/2001
Vicinity: Issued: 08/13/2001
Parcel Number: 13948115 Zoning: R1 R1
Applicant: HEINSOHN, BRIAN ISSUED BY:
Address:
Phone: 949-462-0090
Zip:
Owner: SIMONE, FRANK J
Address 1935 KILLDEER CIR
Phone:
COSTA MESA,CA Zip: 92626
Contractor: BRYMEL HOME IMPROVEMENT SPECIALISTS
Address: 23025 EL CABALLO
Phone: (949)462-0090
LAKE FOREST CA
Zip: 92630 License: 725371
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REMOVE SHAKE AND INSTALL NEW SHEATHING AND EAGLE FLAT TILE.WEIGHT 7.2. ICBG NUMBER 4660.
FEE SUMMARY
Plan Check: $117.81 Calc Valuation: 1310,000.00
Permit: $181.25 Claim Valuation: $10,000.00
SMIP Res: $1.00
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $300.06 •
•
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 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable'codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2441346 terool
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penally of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued. -
❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: .9 • Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ 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 become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS 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
force and effect.Lie.a Class a
Contractors Signature: Date:
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.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
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 signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a pennk
subjects the applicant to a civil penalty of not more than five hundred dollars(5500).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes ❑No Drivers License No. Expires:
Verification of Ownership by(type of document.i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health end Safely Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Alr Quality Management District or from any other air pollution control district or agency? IYes iJ No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(if yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penally of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application end state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE P INSPECTION TYPE RATE INTrriALS R2REd INSPECTION TYPE PEE MSS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /`��ti/�, 208 Final Plumbing
200 Final Re-Roof frit )!A rot 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
Plot 1721836rtt tctl�tlVtU
MAR 31 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BO[517 COSTA MESA.CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING
ADDRESS 1935 Killdeer Circle .
RECEIPT NO. C P "I'u�'.ib
COSTA MESA, CALIFORNIA
RECEIV[O BY DATE R^EI ED DATE ISSUED
OWNER Pemba Subdividers, Inc. �!/ ✓�•-- /-•-b APR 3. 4 1964
MAIL BUILDING /
ADDRESS
2850 Mesa Verde Drive ADDRESS
CITY Costa Mesa TENGL.5490395 ZONE TYPE V GROUP OY f-t
APE,G•Kaltenbach 5478046 DYPROV[D DATE
ARCHITECT TEL.
OR ENGINEER • NO.
ADDRESS 1833 E. 17th St. , Santa Ana ZONING ,.�
ZONE
I PLANS 2 I BUILDING W/Thal
CONTRACTOR n "c` 'S 4 my e R-1 ]p
iSCRIPTION Lot 17, Tract 5289
ADDRESS
A.P.NO. none
CITY
STATENO187318 TEL. 90T TOO SIDE REAR P.L.: NO HAVE OVERHANG SHALL BE LESS THAN
LIG.NO. NO.
p
,�p��py EAVES
SIZE 5p go,9 C'fit\ NO.OP SLOGS.0 ALLOWED (U.B.C.REQUIREMENT/
OF LOT q NOW ON LOT YARDS APPROVED YARDS APPROVED
O
USE OF /° 42.t( r"ga. • • a I /b( g 6 MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. /I C I q O
O (FROM C//L`STREET))
LJ
SETBACK LINE FROM 53' 52' FRONT SFT. * FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT 13' I RIGHT 7' R.SIDE 'FT. FT.
DESCRIPTION OF WORK L.SIDE /.3FT. FT.
�r '
NEW X ALTtRATION _ ADDITION REAR OFT. FT.
DISTANCE BET. BET.MAIN&
MAIN BLDOS. ACCESS.SLOGS.
REPAIR MOVING DEMOLISH
BUILDING 2 419 NO.OF 7 2 VAR.# DATE
SIZE ) ROOMS RIES C.U.P. APPROVED
COVERINGWALLp_StuCC COVERING &Shin le ayPRo 1/L 2 - ? s . C7
OG �✓� DATE J
USE OF BUILDING AND WORK TO BE PERFORMED
Single family with attached garage. 35\....—
House 1, 956 sq.ft.
Garage 463 sq.ft. Plan 52-C /20•R so.Fr. at —/i3...) "-- o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. 0
PLY WITH ALL CITY ORDINAN AND STATE LAWS GULATING VALUATION
BUILDING CONSTRUCTION. / N
SIGNATURE OF ./// PERMIT FEE S (7 U--- N
PERM ITTEF e0 /I jiii �� /�y / ff B
>i f /4 -- PLAN CHECK $ 0 G
x
AUTHORIZED AG T TOTAL FEE 5 9 0--""