HomeMy WebLinkAbout3054 KITTENDALE BAY - Building Permits Applicant to fill in all spaces except those within heavy border er lines and sign all appropriate declarations. -
1,A-CITY OF COSTA MESA _ f PERMI NO TR T O LOT NO. BLDG.NO. .I • tJ 751 G/�I /ij;j .j2 al TL
• CONSTRUCTION PERMIT ��-/'7 '1 1 . 1 Z '
Applicant's Mailin Addre zs4Su hie-oi `/i '‘p:4 that IT'v TYPE OF CONSTRUCTION •NEW LJ ADD U ALTERATION.-U REPAIR I ` - - _
Project• Address .+�✓✓ `1 I •C� ❑ CONVERSION .❑ DEM LISF E _ ') • • _ _ • '
AI •
M '---1.1k1 .r. -- N R- , Z / DESCRIPTION OF WORK I tOO '11�L/ ) I - _
Owner's Name L �-(•11� ne 1,7. - , , 1 � ' - ,
�� ' ' ZONING REGULATIONS-
Address - A A A$ �� air ' TYPE OF PERMIT ❑ GRADING•
U FOUNDATION J •
n _ J
'r �s v/ '7 - sSTRVCTURAL _ A,P,# ,1411.9-)3/ —I t ' ZONE - eU. - -
Arch/Eng, 1 II,gasa!lc/aeisa+.��,�,��i.1tIV �Z w L- ❑ TENANT C.ELECTRICAL 111'PLUMBING. 0 ECHANICAL PLNG,REF.96 75- -7q- I'T BUILDING - _1
Address ,������'LL�I�. •• te I • ❑ ,OTHER > -. - CFTgnrr Ch eT
TO BUILDING yy • �_/..1
'� �► n 'i ' - - t' . • . r I - PROPERTY LINE REAR YARD (TO r;/L) an •
Contractors Nam.' Q Oil I •hone `l ! ,-2,�0,,.: PROJECT DESCRIPTION• SQ.FT .I •CCUPA CY _ ,
' Address(mailing) ' i`s -- CONSTRUCTION TYPE - , - VAL ATION$.7n1 LEFT SIDE YARD � RIGHT SIDE VARD 'q '/ � ;_ d
ZON)= ' n�h GRADING CU. `{Yp 'ACRES �7 �j PKC.SPACE'REQ. , PROVIDED 6 �,.;4Qf � '
• License No ' _ -- , ' : - r.T 1\II AV' L-1 1./ �.5 -- o�l I�I30 W+ 1J..
LICENSED CONTRACTOR DECLARATION + Remarks: F : ! I STREET WIDTH • s�' , ,PARK FEE$ ,85/ -
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 j ' SPECIAL CONDITIONS: I - ( _
mY license is in full force and effect.
Upense Class - License No.' - , , ; PLUMBING _ • MOLD FOR SPECIAL REQUIREMENTS' - •
Date • - ' Signature Bar Sink + Sewer Cap ELECTRICAL I - l
•
WORKERS'COMPENSATION DECLARATION . . '
- I hereby'afflrm.that.Lhave a certificate of.consent to.self-Insure or.a.certificate-- - Baikflow Preventer - -- Sewer Connection'- - - Automatic Washer ' '. _ . . .. -Meter ❑over 100 amps _
of Workers' Compensation Insurance, or a certified copy thereof (Section - - - - - ' - - I
• 3800, Lab. C.) { 1 Construction Pole Sub Panel -
Backflow Irrigation Solar Collectors
o cy No, Company i - - - - Cooking Unit Sub Pole
�Q1{ICertlfied•copy is hereby furnished, I , Bathtubs { Soler Piping
• J Certified copy is filed with the city.Building Division. • - Dishwasher Motors 00-1 HP 01'h-B ' •
Date Applicant - 1 ' _ -. ,_ Clarifiers ' { : Solar Tank , 1 I '
EXEMPTION,FROM WO RKERS''COMPENSATION DECLARATION Dishwasher ! I ( Swimmin Pool w/Spa D yorS ❑Gas ❑Electric ! !Inc,SolariD9;15 HP 016-15+ ' V
(This section need not be completed if the permit Is for.one hundred ($100)or _ g
' less): : - _ - : - Fan' ,Microwave
I certify that In the performance of the work fso-as ch this permit is Issued I Drinking Fountains i Urinal - • • •i
shall not employ any person In any manner so.as to become subject to the - - I - s; -
j l F.A.U. Pole Light • i
Workers':Compensation Laws of California.. { • j Floor Drains{ Water GOset: + ,_ '
Date Signature - • Fixt•ures ;
NOTICE:If;after making-this declaration,you should become-subjedt-to the .l Floor Sinks '-- - - - - Water-Heater —, - -,--• - . . - -- - -- - _ .. .._.• 'Range.._ '.-.. : ,. __ ... - _,.
Workers' Compensation provisions,of the Labor Code, you must forthwith Device Boxes 1 • ' i
comply .with) such lonsr.or this-lperm_It shall be'deemed revoked D ± Gas Service. Outlets Water:Service . Sign I
CONSTRUCTION,LENDING AGENCY -• t. l ( Outlets I
I hereby affirm that there is a:construction lending zgency,for the:performance • ; Interceptors _ - - . 1 ) - i Standing Sections 1 I I
of the •work for, Which this permit is :issued (Section 3097 Civ. C.). - - _ - ,
Lender's Name •
C,{/I/�v�� I ' Kitchen Sink - - - I• Switches : .Trash Compactor
; Lender's Address R H DECLARATION' I _ /UC.K-f-- -"'I'{�� • ,
•
OWNER BUILDER DECLARATION ! ' - LBvaiories, Garbage Disposal I
I hereby:affirm that I am'exempt from the•Contractor's}License Law for the - 1 _ , Generator 0015 KW ❑5-15 KW ' I
following reason_(Section-7031.5 Business and Professional,Code: Any city or, • , P-Trap: l , 1 C-• C ' 1 • . i •
county which requires a permit to construct,alter,improve;demohshior repair - , -,. , a Transformer 015-50 KW 1 '
'•any structure;prior to Its-issuance,also requires theapplicantrfor such permit. . RooVDrain5l ' - _ - 1 '
to file a signed statement that he/she is licensed pursuant to the'provisions of - - 05U+ KW;
•
, the Contractor's-License Law,(Chapter 9(commencing with.Section-7000)of :- ( - .. ' l - iReinspection Fee $15
Division 3-of the.Business and'Professions Code) 'or'that'he/she islexempt ' - Showers • fr. l= I C Ff.) ' Reinspection!Fee $15 • - '
' therefrom and the'basis for the alleged exemption. Any violation-of4Section - -' ' ' . Meter ❑up to 1001 amps :Issue.Fee I • - '$ 3
7031.5 by:'any applicant for a;permit subjects the applicant to a civil - _ ' - - •'penalty of of not more than five hundred dollars($500). ' m I Service Sink - { Issue Fee- I $ 3 - - - -
_ I r i •. - Zoning Approved By —Date - (-.Q e
I LI Ice s:owner ofl the Ip operk, or my employees-s not ince wages as their sole - ,
i compensation' wlli.0o the work,and:the•structure is not intended ed or offered ' . ' ' - . - MECHANICAL I Application Approved By - Data IS-
, for sale (SecdIon 7044', Business,and:Professional Cotle:!The,Contractor's , - - - I r ._ I "�� {
License Law does not apply to an owner of a property who builds or Improves . Boiler ' . i I:' 1 Refrigeration System I vy*�
. thereon, and,who does'such'work himself/herself or through his or her own ' I ) Application Issued By / b - l Date { --
' employees, provided that such improvements are not intended or offered for ❑0-100,000 BTU ❑100,000 BTU -
sale- If, however, the building or improvement is sold within onot of com- . Duct-Under Ground • � ;
i SUMMARY OF FEES
f pletjon,the owner:win have the burdenpf proving he/she did not build or im- - I , ' I
r va for the purpose of sale). l I Duct-Structural , System Repair/Alteration I
BUILDING PERMIT $' SMTP i . $ �•3
il,as owner of the property, Se tion 7 44. contracting:withllicensetl con- • l '
_ rectors to construct the project (Section 7044,Business antl.Profes Code: .i Duct,-Ventilating �. _ - -,_ -, _ - PLAN CHECK $, -S� PERMIT •
The Contractor's License Law does not a to an Owner ofproperty
apply who •
' ISSUANCE $ r
builds or Improves,thereon,and who contracts for such projects with a con- . Exhaust System 0 Multiple 0 I PLUMBING - { $' -
tra<tor(s)license pursuant to the Contractor's License Law). , ' PLAN CHECK $� GRADING $
0 Lam exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBO 4 ' 1 • '
ELECTRICAL • $ - < $ ' •
Date Owner - f 1 ; HeatingSystem& Ducting - I -
` - 'PLAN CHECK $' MICROFILM $ '
' I- hereby certif that have read -ono state that thea '' =❑4100;000 BTU 0100,000 BTL - -- - •-• • '('
information is orre agree to comply,' ith all city' county ordinances -MECHANICAL' $ • TOTAL FEE $ ,
•and.statees law ala o bu Iter cons) ction and hereby authorize repre- I
sentatives o this t• . ter ,upo the ..Ove-mentioned property for Hood or Type ❑. 1 •
inspection l po ' 1� Canopy. Type II ❑' : l Reinspection)Fee. $15 I LESS
Si9riature .I - / ' L•� •
•ah /d'y - PLAN CHECK $ I i l '
' ADVANCED PC $
Drivers' License or 55 ,'nr a � - 'Registers Issue Fee $ 3 • ' �[
.o.--.a.wer tea.. , l FINAL FEE $ ,��')•'. �j ,
_
CMF 0865-46 rev.12/:2 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
r,. r, Ir 2' .''> r njP - , - POO L.&SPA
- r CONSTRUCTIONAND;PCANNING, . ,, . + - _ . _
11 r z, a •, c i -c•rDate Inspector ;- • Date Inspector
_APPROVALS „ permit# - I r -,c,APPROVALS .Permit at - -
c 11. Temporary Electrical Service orPole il v� ` ur I t° ' "r •. 52? Pool &:Equipment Location - ; z. - • ,
It. o
• 2' Sil Pipe-Undrgrnd: _ y t"; I I °1 Fr 535. Steel Reinforcement' ,- ^ •-• • _ '-
' .3-
3. Electrical Conduit Utility- nd
Undrgr . I - - n' 54.• Forin
- r ' y
ms _ �
' 4: Electrical Conduit-Ulndrgrnd'.='V ' ' " • i a I `o '` •'55'. Electrical Bo"riding` s - . - -• '• -,
SI.
5: Steel.Reinforcement ; , I e a^ ` - - - _ 56.; Rough Plumbing& Pressure Tail,
6: 'ElectricalUFERGrnd' ; E•_ : 1 '- ; ' y ' 1. 57. APPROVAL"T000VER-GUNITE. '
7. Footings ' ,, ; ;„T ; 1 ' ; ' ° i r' . 58'. Electr!cal:Conduit-Undrernd. -
8. Foundation 4 1 I 1.c .i o E 59. Gas P1pe 0 Undrgrnd ,Test '
9. Water Pipe-,Undrgrnd. I I ‘C : 2 ' j n S:• _ ^ :"60. Backwash'Lines,P Trap, 0:Undrgrnd.' - _ :
10. Structural Floor System ' 2 c o ! ' 0 1 `i2 " ' 61. APP,ROVAL.TO DECK - -
11. Property Sewer Line &IHouse_Connection - ',' ' 62. Backwash'& Receptor-Final;
12. Sewer Cap• : c n • I n' :-'63. Heater & Vent-Final _
13. Roof•Drain's ' i -
�' I � �� i I "64. Plumbing SYstem -Fival`r r ,
Q 14. (Rough:Plumbing , • ! ,•,, I I I - r • - ' 65. Electrical=Final '- • •
a .
=15:-1Rough-Electrical:Conduit r - r- - _ _ - . _ ._ _- ._
^ Ir . t. ' , I I� ' r i I 66.1 Solar,System-Final
- N°16. :Rough-Eledtric Wiring, n • E I ii a'i-,H,-,..1-7-!--, 'r• i--, I -t -..
67. Fencing&•Access_Approval
.'-17.i'Rougli'Wiring'Signg ,' ;',"11 � I ;; • `i- f• !- 1` I I I ` ! I 68. APPROVED FOR PLASTERING I• ,_ - -
.18.' Rojo;Electrical-T Bar. Ceiling, !I I I - i •
= , I i % i I '69.; POOL/SPA SYSTEMS FINAL - •• ' :
•
19..'Rough Heating & Air;Conditioning 1 I 1 I a I i FIRE DEPT. REQUIREMENT - -
20: �Rough,Factory Fireplace 1 I II l; i ! I I : j APPROVALS;: Permit# I �'
I I i
21. 'Ducts,-in Structure' • • I j1 1 1 I r 70.' Underground Hydro -
',22. Ducts, Ventilating ',1 f r 1 I II II I , I I ! I 1 =71.1 Product Piping 0Gas 0Oil 1
23. !Gas Pipe-Rough 8,--fest I �i- ;< < I i T I- I ! 72.j Underground Flush' ` I
u f-24. Roof Framing I i I m I!d !:.,,..I, I •,_1 ., . ;i I j- 73. Undergrnd.Storage Tank orGas:0 Oil
25..Roof Sheathing ;-I_ ; ; t 1' '' !,'la/ail i):, 74. Overhead Hydro i , ` - '
-26. :T-Bar Ceiling (Structural)(& Monoicoat' i '; r/ ', '7;41 ' 75.j Dry Chemical I c. -2I ,
27. ;Frame and Flashmg• F ;-+i- I h ii I•r;fii {gf, IA-3 I 76.1 Dry Standpipe C ' 1 - ,
28 4Lathm &Sidor r• " I ; .) ! 1 ! ' r77.i FIIXED SYSTEM FINAL - E I
t a .. . 9 3 ii '1 I ! t 1 1 _ '
- ,t 29. '1lnsulation - 1 T I i1 ;; i I 11 ; •: ' r '78' FIRE PREY FINAL .
5 _30.'Drywall Nailing • > I I II I /i/a( 4...) i ,Notes:'_ _ - _ _- - -
-31'. Plaster-Brown Coat " '"1 I ;HI I I I ;! 1- I I r j i I i ! ; , ;
a •'`32.;ElectricalePower Meter:Final I I 1 1-
i) ri _l. -i. r _ 1 1
I __ I I -r!�1 d
; . 33.jFinaiElectric , i,I . _1. .S,, I_ . 1. -. j. . - _. ' ,. ,!_,, _ _._
34. Final Heating &'Air Conditioning ( I ! I l I , ' a
-
35. Final Gas Pipe'-Test) 'r• o I ^! ' , " I I' {`-' l I r' 1 ! ' t i I= - ! ' -
1_
36. Hood oriCanopH•,i . ? 1 ., ' i";t i ? I5, I ,. j ' I ' 1 '. : ; , c - _
37. Final Factory Fireplace,, , 1 ^i >, ` i1r 1 - ' I , 1 I ! ! .= 1 . .. :
• , • ,
38. Final Plurnbing t , El;I I ` I 1 ' -
39. Water Sevice-Final! 'I" R' ! ,
40. Gas Service-Final I ; II ; i , I I I 1 I i ; I • I : -
i.41. Solar Domestic-Final _1_- _y-._ r
I I t . i1 f i + I- - + .•
42. Backflow Preventer I I n! CI ''1
F, ' r
,, .a. i ' I I 1 - -
43. Backflow Irrigation - I i I.e 1 . 1 - -' 1
44. Landscape IrrigationSYstem i - ilnl,_' I _ i i I ;i ''s .I I c; p,l `'• I ' I I r •
45. Sound Attenuation •ln' i ! i �-
I; 'i I I' n' I ;1 : ' 71 c-
I - � . v I I 1 I :
46. Handicap,Regulationsi i , i 1 rr i' i - ,Z1 I - " I ' I r ' . - ,
,, I' 1 /ly I 'I I 1 . 1 rr
47. FINAL STRUCTURE& BUILDING d i' �< 1 ! I
Q I t
48. Special Requirem• ents Completed (1 i./ I s,1 1 ' i • r - - - ,
•
49. Electric Releaseito Edison) I 1 . j_ ; .41__!__1_;__H-i_ ;__-. -,-__'_-T_ -Jr__; .. , 1 •• '�-�,,
50. Gas Release to Southern-California Gas Co I I I I , i ! 1• I i ! ."', • '
51. CERTIFICATE GF'OCCUPANCY 11 I ).fft _ ' 1 J F(- ;_, _ _I _I- __{_a"'_ - •. ..J a '
No P II t i Date ! I n I J�f_ I 1 -__. .!L1.. I I 1 ,1 -
.-. -+^-.a-•ca r-....2....:�:- •r-+'�._ i__ - '. _. _..__ .-_. . . , . ' • _ -
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
TA MESA' PERpMIT NO.�; — ' -TRACT NO. LOT NO. BLDG.NO. I I '
CTION PERMIT / 73 •2� •
�' 0781 6/'t?I /u:1 16017:1 TL
Applicant's Mailingpddress • I 3 _tsgte_ TYPE OF CONSTRUCTION', W LJ ADD. LI ALTERATION H,REPAIR r •- '
t� Project Address 1 -PIt ae - •�• ❑ CONVERSION 0 DEMOLISH 0 OTHER _ I
`q - _ �� DESCRIPTION OF WORK ZONING'REGU REGULATIONS':Owner's Na o e r • • .
I Address �' T/ -t �!---- :� /i 11:as.-- .-
( - 'TYPE OF PERMIT LJ GRADING�U FOUNDATION 0 STRUCTURAL ._ A.P.sle - ZONE -
�' Arch/Eng. r License No. ❑ TENANT ❑ ELECTRICAL�_�UMBING ❑ MECHANICAL • PLNG.REF.Ye- -BUILDING •
'- er-rBAcy r11 CT ' `
❑OTHER REAR YARD(TO P/U
Address • - - TO BUILDING
onBL�/ PROJECT DESCRIPTION. SQ. FT. OCCUPANCY PROPERTY LINE
Contractor's Name b • -
�7 CONSTRUCTION TYPF ' 'OCCUPANCY
LEFT SIDE VAflD RIGHT SIDE YARD
Address(mailing) -•er• / / -License No. 'ZB�7(r ZONE GRADING CU.YDS- ACRF9 PKG.SPACE REQ. PROVIDED
LICENSED CONTRACTOR DECLARATION ' •
Remarks: 7.5-1 STREET WIDTH PARK FEE$ • • --
I with'hereby Inaffirm that I am licensedion under prosiness CharterroI (commencing - •
with section 7000) of Division 3 of the Business and Professions Code, and - I i SPECIAL CONDITIONS: 1
my llcensels In full force •n. :ff.ct, ' ,
License la — Ucen,f .;v 7% '' I PLUMBING
Date I.: _ Signature ' d/ i.. /ia..- ' i
er c Bar Sink � Sewer Cap ' ELECTRICAL
WORKS-5'C•MP NSATION DE "ATION '�, - - • I
'.1 hereby affirm that I have a certificate of consent to zelfrinsure.or a certificate _' Backflow Presenter �- -Sewer Connection - -- — _- •
Automatic Washer _ _ _ IMe[er ❑over 100 amps j - ,
of Workers' Compensation insurance, or a certified,copy thereof (Section - _ - --
3800, Lab. ) - Construction Pole . Sub Panel. '
Ss•tr I A !JG��� ��y/•__ _L J Backflow Irrigation Solar Collectors , I - ,
Polity No. 7 ompany O ka - - ;J Cooking Unit •1• Sub Pole • '
rtl/letl copy is ereby furnisnee. • 4.Bathtubs Solar Piping • 4/f
d.tl/I le with MB cl Ing Dlvlsio Dishwasher Motors ❑O-1 HP 01X$
_ •
Date Applicant a Clarifiers Solar Tank _
•EXEMPT( N F OM WORKERS'COMPENSATION DELLA ,"�AATTTI�Q�(yJ��i - Dr ers-❑Gas ❑Electric - -- - -
I
(This section need not be completed I/the permit Is for one hundro eC($100)or ,. Dishwasher Swimming Pool vv/Spa Y Ina Solar 0-B715-HP ❑16-15+
less)..
e certify that in the performance of the work for which thli permit is issued,I, I , Drinking Fountains Urinal , 4• Fa^ I Microwave
shale not employ any person In any manner so'as to become subject to the .-� F.A.U. ! - Pole Light •
• Workers' Compensation Laws of California. , Floor Drains Water Closets ,
Date ' Signature ' ,I Fixtures
NOTICE:If,after making this declaration,you should become subject-to the-4. `-I Floor Sinks • - --- ..• - Water Heater• - -- •- - •- . - - -_ - - -_--_
Workers' Compensation provisions of the Labor Code, you must forthwith - Device Boxes •
comply with such provisions or this permit shall be deemed. revoked- -) I Gas Service 'Outlets 'Water Service - Sign,
CONSTRUCTION'LENDING AGENCY - Outlets
I hereby affirm that there is a.construction lending agency for the performance Interceptors `- , - - ' ' , Standing Sections
of the work for, which this permit'is Issued .(Section 3097 Clv. C.) Switches , '
Lender's' Name _ / Kitchen-Sink- - _ - . ' '2 _ I Trash Compactor
Lenders Address - 2 Lavatories ,., I �' / Garbage Disposal
OWNER BUILDER DECLARATION ' / 6
I hereby affirm that I am exempt from the Contractor's.License Law for the Generator ❑0-5 KW 05-15 KW I '
following reason.(Section 7031.5 Business and Professional,Code: Any city or P-Trap -. _ _ • I • - ,
county which requires a permitto construct,alter Improve,demolish or repair ' I Transf Transformer ❑15-50 KW
-any structure,prior to its•Issuance,also requires the-applicant for such permit ) , Roof Drains - t a ? -
.to file a signed statement that he/she is licensed pursuant to the provisions of /• - ' ❑5U+KW; •
the Contractor's License Law(Chapter 9(commencing with Section 7000)of ' '7 - - r - - j - ;Reinspeetien Fee - $15
Division 13•'of the Business and'Professions Code)' or that?he//she_is exempt I Showers 71 ' . 1 Reinspection'Fee $15
therefrom and the basis for the alleged exemption. Any violation of Section - - Meter ❑up to 100 amps Issue Fee. , $ 3
-
'..7031,5 by. any applicant for a permit subjects the applicant to a' civil - ' - -
malty of not more than five nundretl dollars($500). . Service Sink' , Issue Fee $ 3 Zoning Approved By •
Date •
U I; as'owner of the property or my employees with wages as their sole I
compensation will do the work,and thestructureis not intended or offered , . MECHANICAL Application Approved By - 'Date I
for sale,(Section 7044, Business and Professional Code:,The Contractor's ' //__ •
Ucense Law does not apply to-an owner of a property who builds or improves Boiler ' .,: Refrigeration System Application Issued •P�7-4'3
thereon,•and who'does-such work himself/herself or through his or her own I PP By .Date
' employees, provided that such improvements are not Intended or offered for I Duct-Under,Ground , ❑0-100,000 BTU 0100,000 BTU •
sale. II, however, the building or Improvement is sold within one year of com- SUMMARY OF FEES '
pletion, the owner will have the burden of proving he/she did not build or Im- ' - - -
rove for the purpose of sale). I Duct-Structural System Repair/Alteration BUILDING' PERMIT $ SMIP • $ '
U I,as owner of the property,am exclusively contracting withhicensed con- '
tractors to,construct the.project (Section 7044,Business and Professions Code: putt-Ventilating_ _ _ ., __ (PLAN CHECK $. - • ' PERMIT
The Contractor's Ucense Law does not apply to an owner of property who , - ISSUANCE $
builds or Improves thereon,and who contracts for such projects with a con- ; , Exhaust System El Multiple 1:1 PLUMBING ' I $' a�-� ,
tractor(s) license pursuant to the Contractor's License Law): 'PLAN CHECK. $ GRADING $ '
❑ ram exempt under Section B.6 P.C.fear this reason ' Firepl/Fact.Bit. ICBG#
• ' - • ELECTRICAL I $ ' $ - •
Date Owner • - Heating System& Ducting • MICROFILM $
-I hereby certify that I'have read this application and state that the above - DO.100,000,BTO C1100,000 BTU-- - - - 'PLAN CHECK • $ I ,
Information Is correct. I agree to comply with all city and county ordinances 1 • TOTAL FEE • $ '
andstate laws relating to building construction and hereby authorize repr ' Hood Or Type I ❑ • MECHANICAL $
sentetives o1/Khls city to enter upon the above-mentioned prop rty r YP Reinspection Feel $15 LESS
1 ` Canopy' yp PLAN CHECK' $' ADVANCED PC $ '
• inspection eau[Pose . ,,/ 1 Q ,a Carlo T e I O. I '
Signature /r/ - �-I,gyp.( Data •Yom/ 7`l3
,
�,��_ /{ FINAL FEE $ /��-
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
ttOt4STRUCTIONAND:PLAWNIN ?t ; t+ ' '•' -- - .
,PP.ROVALS PermiU#- 'P�5 3 <iDate r rinspector: APPROVALS -Permit.# Date Inspector ,
•Temporary.Electricel S•ervice or e- • °• a. - ?i r :•^ _ 52 Pool 84, Equipment Location - '
• • . jSoil Pipe-Undrgrnd iv . i.`; - : 4/1.1#43,,,,,c. 53.- Steel Reinforcement r •
-
3! Electrical•Conduit Utiliiv Undrgrndl 1• z /l':^ '54.',.Forms° • - •` • ' .
N 4• Electrical Coniuit-Un-drgrndl-:c I, !. ii;' ,• : `•'_ I; ; 55` Electrical Bonding •
-
5: Steel Reinforcement,•-j i!, ;r - , f o :,i* ;," - 56. Rough Plumbing & Pressure Test
'' ` •• ' ` : ^• 'D. ^ 57 APPROVAL TO COVER-GUNITE
6: (Electrical LIFER Grrid� � _ � '�� �- � • - - � � -
7. Footing's I I I. J I o '-o r • 41 - _: ,. , , -.58. Electrical Conduit-Undrgrnd.
8. Foundation ! ; I .,•I I • o ; ; C. ".„.• 14 iZ59. Gas,Pipe,'0 Uridrgrnd.;Test. -
9. Water Pi'pe�Undrgrnd.i ; se; c / a ' ' 9 = - _ .60. Backwash Lines,P-Trap, 0 Undrgrnd. •
• ?
10. Structural'.Floor SystemCr c , �` �!! '"i =
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA T PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT •
�9 , /1 q Q ��p �lD/�7/-ro2 •
rte/ ,2 7217 tp/'13/H T
Applicant's Mailing Address fir♦ iimrr�' KO'tfl _ f .�"` TYPE OF CONSTRUCTION {DIP-
0 ADD LJ ALTERATION U REPAIR - ,
♦ a�j */ 0 CONVERSION ❑ DEMOLIS}i�❑�rTHER • `
Project Address '��' ll /V'l/6/'/^rif'x✓sY1L
Owner's Name in•h;le?�P-5 Phone Qn:1.337 h DESCRIPTION OF WORK -
�^fpp< �((N (/, f � ZONING REGULATIONS
Address tT/J6 " "-� 'f -S '"� �� �'-`. TYPE OF PERMIT Li GRADING ❑ FOUNDATION Or-MECHANICAL��LI STRUCTURAL A.P.# - ZONE
Arch/Eng. • License No. ❑ TENANT ❑'ELECTRICAL ❑ PLUMBING. Or-MECHANICAL PLNG.REF.* . BUILDING ,
Address (y(/� ryq/�' /� ❑ OTHER • TO BUILDING carp Iry Cn 5T
Contractor's Nam: 1 4011!LS') l- Li / 'hope . Tr�-T(1lr PROJECT DESCRIPTION SQ.FT. OCCUPANC• PROPERTY LINE REAR YARD (TO P/L)
,,1/ I � ���l /- ^^''`` LEFT SIDE YARD RIGHT SIDE YARD
SOb "V Wn° ,LfMQ, R CONSTRUCTION TYPE • VALUATION$ CL 5,L 1�
Address(mailing) �.,/ �� PKG.SPACE REQ. PROVIDED .
415���/ ZONJ= - GRADING CU.YDS. ACRES -
License No. __ 7 n
LICENSED CONTRACTOR DECLARATION Remarks: U 7-/7 STREET WIDTH PARK FEE$ ' ' -
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 SPECIAL CONDITIONS: .
' my license is In full for is and effect. ',/�
License Cie Licen - o. 7 ` PLUMBING . •
' Date a- —,6 . Signature SS ,A a --- -
WORKERS'COMPENSATION DECLARAT • ' -
Bar Sink Sewer Cap • ELECTRICAL I
I hereby affirm that I have a certificate.of consent to self-Insure or a certificate Backflow Preventer Sewer Connection' ' • . Automatic Washer Meter Dover 100 amps
of Workers' Compensation Insurance, or a certified ,copy thereof (Section - . - •
3800, L4 Cpr,/q//l0?? //� —/, Backf low Irrigation SplarCollectors- ,. Construction Pole Sub Panel.
Policy No. 4UC L[/d(0 Company Lf7 Cooking Unit Sub Pole
Certified copy is hereby furnished. Bathtubs Solar Piping
rtl I d�yo y flied with the city Bu Idi ision. .(,f�.///� f Dishwasher Motors ❑0-1 HP ❑1X$
Date ,�`� Applicant „I l-i Clarifiers Solar Tank
-
E%EMPTIDN,F ROM WORKERS'COMPENSATION LARATION , Dishwasher Swimming Pool w/SPa Dryers ❑Gas ❑Electric Inc.Solar 09-15 HP 016-15-1:(This section need not be completed if the permit is for one hundred($100) or "
• less); - L, Fan Microwave ,
I certify,that In the performance of the work for'which this permit is issued I ' Drinking Fountains •Urinal
' shall not employ any person In any manner so as to become subject.to the .ft , F.AU. Pole Light
Workers' Compensation'Laws of California. ' Floor Drains . Water Closet
Date Signature ' • - Fixtures Range
NOTICE:If,-after making-this declaration,you should become subject to the _- -'_ Floor Sinks , - • - - .. Water Heater - • - . . • . - 9 , . -. - - .
' Workers', Compensation provisions of the Labor Cotle, you.must forthwith Device Boxes
comply with such provisions-or -this permit shall be deemed revoked: . Gas Service -Outlets _ Water S¢rvice Sign
CONSTRUCTION_LENDING AGENCY ' '
. I hereby affirm that the(elis a construction lending agericy.for thelperformance' Interceptors ' - Outlets Standing Sections i , I
of the 'work for whfCfL„this permit is issued -'(Section 309T Civ. C-): . _ _ . - . - . Switches I
Lender's! Name _ YL.C/ _ - ' - kitchen Sink' - Trash Compactor
I Lender's 'Address i ' ` ' ' ' - - Garbage Disposal
OWNER BUILDER DECLARATION - - - Lavatories •
I hereby,affirm that I am exempt.from the Contractor's License Law for the - _ . . Generator ❑0-5 KW ❑5-15 KW •
following reason (Section 7031.5 Business and Professional Code: Any city or - ' P—Trap - - _ Y
. county which;requires apermit-to construct,alter Improve;demolish or repair ' .- Transformer ❑15-50 KW I
'any structureprior to its issuance,'aiso requires the'applicant for such permit -, - , Roof Drains r .. - _ -
to file a signed statementthathe/she is licensed pursuant to the'provisions of _ '" - ❑5U+KW
' the Contractor's'License Lawl(Chapter 9 (commencing,with,Section.7000)of - ,Reinspection Fee $15'
DivIsion.3'of the;Business and'Professions Code) or that'he/she is:exempt ' ' Showers , - , Reinspection,Fee ' , $15 , -
therefrom and the'basis for the alleged exemption. Any violation of Section _ _ - ' " Meter ❑up to 100 amps Issue Fee .$ 3
0031:5 by' anyapplicant fora permit subjects the applicant to a civil i • -- -
enalty of not more than five hundred dollars($500)- ., .. . 1 , Service Sink' I - i Issue Fee ' S 3 Zoning Approved By Date •
LI I, as owner of the.property or my employees with wages;as their sole . MECHANICAL
compensation, will do the work,and the atruct Weis not intended or offered I I , Application Approved By - Date •
for sale (Section 7044', Business'and Professional Code: The'Contractor's . ---• • '
I License Law does not apply to an owner of a property who_builds or Improves • Boder 1 - . . - ' Refrigeration System , ' 776 ' I 1 Go --I 2—t ,
thereon„and who does such work himself/herself or through his or her own Application Issued BY
- Data
employees, provided that such improvements are not intended or offered for •- ❑0-,100,000 BTU ❑100,000BTU
If, Duct-'Under Ground I •
sale. however, the building or Improvement Is sold within one year of or im- SUMMARY OF FEES ,
prove for, the ownerpurpose;will have the burden of proving he/she did not build im- ; '
rove the of sale)'- -` Duct-Structural System Repair/Alteration BUILDING PERMIT $ ! SMTP $
D I,as owner of the property,am exclusively contracting,with licensed con- '
_tractors to.codstruct.the project (Section 7,044,Business and Professions Code: _ Duct,-Ventilating _ - . - _-_ ._ _ . .. _ ' PLAN CHECK $ PERMIT F
The Contractor's License Law does not apply to an owner of property who ' , . ISSUANCE , I $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0. 'PLUMBING $ •
tractor(s) license pursuant to the Contractor's License Law). ' j , GRADING • , $
❑ I am exempt under Section B.& P.C.for this reason , ' Firepl/Fact.Bit. ICBG# PLAN CHECK $ $ ;
. • sting System&Ducting - ELECTRICAL $ • s
Date Owner• I PLAN CHECK $ MICROFILM $
'I hereby certify that I' have read this application and state that thenabove t 0-100,000.BTU 0100,000BTU - - -- - - - /I TOTAL FEE $ ,
Information is correct. I agree to comply with all city and county ordinances ' 'MECHANICAL $
and state laws relating to building construction,and hereby authorize repre- •
Hood or Type I ❑. - I '
sentatives of this•cit o Alter•....hr on the above-mentioned property for - Reinspection Feel $15 'PLAN CHECK. $ LESS !
inspection purposes. )' �a 1 /Q--,f--8-3 Canopy Type II 0 IADVANCED •PC 1 $ '
Signature fir. - i
Registers •
Issue Fee , $ 3 1 , FINAL FEEI $
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - ' -
` =;, ?r L 'C= - POOL-8,1 - - - - - - -- - -
ry C�CONSTRUCTION;AND,PLANNING � •- _c � - ' .
t r G(C. ,_ ; Date r 'Inspector :?APPROVALS, ' Permit# , - '..Date Inspector
APPROVALS •Permit# rn- �� - p
h.1, Temporary Electrical Service or'Pole , :' " i'' ; , r52'Poo) &'Equipment Location-,:: _ = r- -
. 1 t tr L - L• .'_ T'. •
F V Soil Pipe-Undrgrndsrr I • ��., i ti ! ; 1. ^d 153 Steel Reinforcement _`s- -
c 3 Electrical Condut Utility- ndr9 rnd. _, - a ,-1::' -
•- 1 iU
1 r ... _ I 54'Forms } - .. •,
^•: Electrical Conduit-Undrgrnd' _ f 1 •': ; 55. Electrical�Bonding _ _�•,
5; Steel IRei,nforcement; ,'', I ' 56., Rough Plumbing-& Ptessure•Test
6: 'Electrical LIFER Grnd., ; 'l ?.c _ 2 'St - 57:•=APPROVAL TO COVER-GUNITE-•
7. Footings ! t - `'' 2 c 1 ` 58� Electrical.Conduit Undrgrnri. _ .
8. Foundation - .. ; - 59. Gas Pipe;D.Undrgrnd.,Test -
9. Water Pipe-Uudrgrnd. ! ;• '2. _ - _ _ !.60. Backwash',Lines, P-Trap, 0 Undrgrnd.. - ' ! ,.
•
10. Structural Floor System a i i'? ':61. APPROVAL TO DECK - i •
11. Property Sewer Line &;House Connection - ' 62. Backwash &-Receptor-Final
12. Sewer Cap t" - ' = 63. Heater& Vent-Final - : .- -
13. Roof:Drains ; - ! I , ' o :64. Plumbing:System - Final- ' t ';
14. Rough Plumbing • , I , - - - ' 65. Electrical=Final • - - - - • • -
•a 'IS'..-Rough-Electrical-Condu!t' r_; -1-.1- ---- -- -- ' ---- - - - - - -- - .-_ - .
- 1 . � I 1 66.t S ,ar,System-Final - ' -- - -1:7' if If,- 1- C ! C I I , � � I 1 ! , � I .
FyyW6.2Rou h Electric Wiring, ' : I ' is 1I -+z-'-4 ', _ _ - _
. L.7. :I ant • - 0 ' - - j = 1 t 1, r 1 s, 1 • ' -. 1 , . •67.' Fencing&'Access APProyal . - _ --- - ,
1t1
7. #1.. IRougha ir;ng Sign- ;1 i ; I i Y _ 68.1 APPROVED FOR,PLASTERING_ -
.' u hElectrical;T Baf
a18 -Rah
9 Ceilings I ,. I ' 1- ! , '_ _ 1 :3I y I 169,1 POOL/SPA SYSTEMS FINAL
e 19..Rough_Heating& Air.Con ��zsss , �
ditioning i ' i , : 'FIRE DEPT..REQUIREMENT;
+
20.'f ougt Factory Fireplace I I 1 I 1 I 1 APPROVALS Permit# r '
21. {Ducts;in Structure ' ; I I . , ; ; , .70.t Underground Hydro'
r1:22. ibucrs, Ventilaiing "_ - 1 ! : I 1 ; `71.! Product Piping 0 Gas ❑Oil '
:i •_23. Gas Pipe-Rough& Test = ! ', , „ 1 ) --I I 1 172.' Underground Flush '
yc24. %Roof Framing ! ' '? I ,,;.; 1' ' !c j --';.? i ! --I. 73. Undergrnd.Storage Tank D Gas,_D Oil
1 25.'Roof Sheathing , ' j '•i , ; ; I ` 74., Overhead Hydro
;-26. T-Bar Ceiling (Structural) & Monocot' ; 1 ,, I 1 !,' ..1 1751 Dry Chemical - ' .
A' X27. Frame and`Flashing •t ! I , ° 1 :' I '76.� Dry Standpipe , • - . . ,
.a
s 26. �ILath,ing& Sidingl F. !I !' I I I ,, $! ; •77 FIXED SYSTEM-FINAL
i-2941nsulation . 1 r .i ' I t II I i I ` I I I 78. FIRE PREY. FINAL - � • ;
`;`r30. .DryWall Nalliri'g rl 1 II 1 ! i ' I i Notes:'
I
, ' ..
(,'31.IPIaster brown Coat! 1 1! i I 1 l _ ! I I .i- -! - --- _- -
t, i�32.,;Electrical Power Meter,--Final 1tt 1 1. 1 1 , I - . • ,
33. Final Electric ' _ ' I i i; ' 1_ I I ' )
32W ,
34. Final H &
eating Air Cdnd;ti- 1 , 1
• eeQ!/ ,
'35. Final Gas Pipe=Test' iL I,. T 121 ' -$• r: .I; I-Y 1 - - - • • ' , .. .r
36. Hood or CarioPY ;1 ' ? I ; ' 1! - t R j ' . 1 I if ' •
37. Final Factory Fireplace, I i , _' , I ; r I : ! ;I I I • i1 - -
38. Final Plumbing 1 I v j I J. - - ! • I .
39. Water Service-Final. I i I ' 1 , ,. I i - `
40. Gas Service-Final ! ' 1 1 ri • Iii I ! i -
,, , I 1, , I I l i ,
41. Solar Domestic-final , I I i; v _i 11---i �. _� - 4- _J
n
42. Backflow Preventer „; ; it., I 1 - I .
._ -i _ ! i .
43. Backflow Irrigation ��I` { o I r - U' -
44. Landscape Irrigation-System I .I , ' I .`- I ;,1 t ; ' -
45. Sound!'Attenuation '. ,k ; a ! " • ;: I ` -•
1-31
46. Handicap Regulatioris,~ ,r. I M ,� ;'1 1 r . 'I , • ,-
47. FINAL STRUCTURE i& BUILDING'. - 1
• 1 •- ! ;
48. Special Requirements Completed I I 9. r:.. ' I ' , - •
49. Electric Releaseto!Edison I a 'J__ _. -.I. i i { •
50. Gas Release to Southern Califorriia Gas Co I I ! ' I 1 i j ' , ' ,
51. CERT•IFICATEjOF OCCUPANCY ,, 1... .,..-......i.--:. ' _.I- _
No h' ii j 1 Date l I 1 1 1i
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NO. ' TRACT NO. LOT NO. BLDG-NO.CONSTRUCTION PERMIT ,. %14 _ ; 7s37 IV' i •
I , ' ' U90_ I.1/!_/Fns - , • • •'-Da ', T:.
Applicant's Mailing Address $• $ 1 = - ' 1' • - e TYPE OF CONSTRUCTION W NEW U ADD—L41 ALTERATION U REPAIR _
Project Address 3054 In tteiidFit P • D CONVERSION 0 DEMOLISH ❑ OTHER - - -
M.D, Janes : Co. Phone ' DESC RIPTION OF WORK Unatal f LrE p1 6A ZONING REGULATIONS •
Owner's Name . _ . ' . • . - . , -
•
Address' TYPE OF PERMIT ' U GRADING-❑ FOUNDATION U STRUCTURALA• .P.#. ZONE •
•
Arch/Eng. License No. 0 TENANT ❑ ELECTRICAL ❑PLUMBING VIMECHANICALPLNG.REF.# BUILDING -
•. - CFTnArw r•/i CT . . •
Address - ' - ❑ OTHER - • • TO BUILDING REAR YARD (TO P/L) '
Coast Fireplace Phone 639-1 820 PROJECT DESCRIPTION' S.G. FT.•• OCCUPANCY PROPERTY LINE
Contractor's Name '
' Address(mailing) II:E.' ‘ - _ • 1 0 = a • - o . . CONSTRUCTION TYPF • ' ' VALUATION$ . .LEFT SIDE YARD RIGHT SIDE YARD. '
License NO. `(�1J.l1( •
ZONE GRADING CU.YDS: ACRFS PKG.SPACE.REO. • PROVIDED .
LICENSED CONTRACTOR DECLARATION Remarks: . /J — STREET WIDTH . • PARK FEE$ - -
I hereby affirm that I.am licensed under provisions of Charter 9(commencing 7 = - - _
with section 7000) of Division 3'of the Business and Professions Code,and - _ SPECIAL CONDITIONS: f
my license Is In full for - and effect.
• License Cla —• se o.r-j'3�13 87 - PLUMBING ' , 1 .
Date O i i Signature . f=in se •• -
• WORKERS'COMPENSATION DEC • R• ION ' / • ' Bar Sink 1 Sewer Cap ELECTRICAL J
I hereby affirm that I have a certiflca e of consent to seH-Insure or a certificate _ B¢ckfIow.Preventer _. . . Sewer Connection_. _ _ __ - _ Automatic Washer -Meter• Clover 100 amps
of Workers' Conine nsati0 Insurance,.or a certified copy thereof (Section - _ - ,
3800, Leo. C.) r5T73o4' 3o.CCA/59JC Backflow Irrigation Solar Collectors • Construction`Pole Sub Panel' ,
•Policy No. Company Aetna - 1 - "- - Cooking Unit ' 'Sub Pole , 1
'Certified copy is hereby furnished, �L 1 ; Bathtubs 1 Solar Piping ; • I _ •
Cartifie co y /Ileo with the cit B n Dw, gp, . / i Dishwasher'' Motors ❑01 HP 01X$ • ' ,
Date n Applicant / 1.({'l A/ Clerifi¢rs Solar Tank
-'EXEMPT ON F�M WORKERS'COMP DECLTION - - - - - Dryers ❑Gas+ DElectric - • - Inc.Solar:09-15 HP 016-15+ ,
(This section need not be completed If the permit Is for.one hundred(5300)or Dishwasher - Swimming Pool w/Spa .
less) 1 i DrinkingFountains Urinal ' Fan' Microwave ,
1 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 subjectto the , - F.A.U. Pole Light
Workers' Compensation Laws of California.: r Floor Drains, ` , Water Closet•
Data ' Signature - •
NOTICE:If,atter-making this declaration,you should.become subject-to the ' . . I. Floor Sinks.; ....•. _ _ Fixtures Ran e
. _ _ Water Heater, - , _ ., _. • g
Workers', Compensation provisions of the Labor Code, you must forthwith - Device Boxes '
comply .with, such'LENDING
ons 'or'this permit 'shall be 'deemed revoked. , . - Gas Service' •Outlets . Water Service Sign
' CONSTRUCT,ION'Lerea •AGENCY•- 1 -
I hereby affirm that there is this per tloc lending agency for theperformance.Ce, Interceptors • . • _ - Outlets Standing Sections •; ,
of the Work for which' this permit is 'issued (Section 3097- Civ- C.J. Switches
Lender's Name. ' - , Kitchen Sink - - • Trash Compactor r I '
Lender's Address i ' ' - ' ` I Lavatories " - — Garbage Disposal ,
OWNER•BUILDER DECLARATION ' ; - - !
I hereby-affirm that I am.exempt.from the'Contractor•s License Law for the ; - Generator Do-5 KW 05-15kw w , ,
following reason-(Section.7031:5 Business and Professional Code: Any city or • • P—Trap , ? . ' n. _ , - -
county which requires a permit to construct,alter improve;demolish or repair t ' _ - ' - Transformer 015.50 KW - •
"any structure, prior to itr issuance,also requires the'applicant for such permit , ' r Roof-Drains; rr,
to file a signed statement that he/she is licensed pursuant to the.provisions of - - "' . - .
the Contractor's License Law(Chapter 9(commencing with,Section 7000)of - DSU+KW, ,Reinspection Fee , $15
Division.3 of the Business and Professions Code):or that he/she is'exempt Showers . . ' - - I Reinspection'Fee : $15 , •
therefrom and the'basis for the alleged exemption. Any,violation of;Section ' ' " - - Meter Oup to 100 amps 'Issue Fee • I .$ 3
7031.5 by.any applicant for-a permit'subjects the.applicant to a civil • " - . - — ,
I Service Sink _. : Issue Fee , • $
anally of not more than five hundred dollars(6500). : 3 Zoning Approved By Date
I;.as owner of,the'property or my employees•with wages as their sole • MECHANICAL I
compensation will-do the work,and the sfruct Ufe'ls not intended or.offered ' } Appliotion Approved By nate
for sale.(Section 7044, Business.and,Professional Code:l The•Contractor's ' O
License Law does not apply to.an owner of a property who builds or improves ' Boiler f Refrigeration System I Application 153ued By p• / .Date /2/S'/g •
thereon, and who:does such work himself/herself or through his or her own ' ' - ' :
employees, provided that such Improvements armnot intended or offered for Du•ct:Under:Ground lid ❑0-.100,000 BTU ❑100,000 BTU � - - I ,
sale. If, however, the building or improvement is sold within one yeanof corn- I _ - , - SUMMARY OF FEES
pietion, the owneriwill have the burden of proving he/she did not build or Im-
o,ove for the purpose of sale). Duct-Structural System Repair/Alteration ,BUILDING PERMIT $ SMIP : $
U I,as owner of the property,am exclusively contracting with licensed con- I
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating I J ! .PLAN CHECK, $ PERMIT
' The Contractor's License'Law does'not apply to an owner of property who ' ISSUANCE , $ •
builds or improves thereon,and who contracts for such projects with a con- , ' Exhaust System 0 Multiple 0 .PLUMBING $ J
' tractor(s) license pursuant to the Contractor's License Law): ; '4 GRADING $ '
D 'ram exempt under Section - B.& P.C.for this reason ' 1 Firepl/Fact.Blt, ICBG# 319:5 • I OO PLAN CHECK' ! $
Date ' Dinner' ' - ' Heating System& Ducting } ELECTRICAL; $ •$
•
_ __ - •
• 'PLAN CHECK $ 1 • MICROFILM . $ .
I hereby certify, that I have read this application and state that the.above 00-100,000 BTU.0,100,000 BTL - •_ _
information is correct. I agree to comply with all city and county repre-
ordinances - - MECHANICAL $ 7,a 00 TOTAL FEE ' $
and:state laws relating,to building construction,and hereby authorize rt Hood or Type I O. , •
-
sentatives of t s;c to enter u•on the above-mentioned property for Reinspection Fee' • $15 2'.oO LESS
CanopyPLAN CHECK $ ADVANCED PC $
Inspection pury�gyses. Date Type I I ❑I
Signature `y( 1 ` l•O/28/83I : Registers •
Issue Fee $ 3
Drivers'Uce r,5 of • g _ FINAL FEE, $ ' 9.00
CMF 0865-46 rev:12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - "' '— - - -- - -
2 . Kw.,•: r _ __ - POOL&SPA. . _
-_ rj CONSTRUCTION AND PLANNING � -
c -Date^ •Inspector. ' Date Inspector,
- _.APPROVALS Permit# - - t'APPROVALS'i Permit#'
- '1.!Temporary,Electrical Service•&Pole - _ ' 2..... *i i. '52f Pool :Equipment Location • -
- '
�2. Soil Pipe-Undrgrnd'. 5 r -'a_ , , ' _ ' " :53. Steel;Reinforcement -
t3.IElectrical Conduit Utility Undrgrnd T ` r - ' , - -54: Forms? - - - - _
w '4.'Electrical Conduit-Undrgrnd.7 - i ' C. 7"r _ `.� . 55i "Electrical.B6nding"
:5. Steel'Reinforcement! ;_a; �'= r ,X C _: - 56. Rough Plumbing& Pressure Test,
•6.tElectrical UFER;Grnd; . s y: I- . "?_; . r, •. - - •57i.
, APPROVAL TO COVER-GUNITE
7. Footings ' ; • c - I ,t 2 '' '58. Electrical Conduit-Undrarnd. '
8.'Foundation ; :, - ' c - ' `' _ 59. Gas Pipe;O Undrgrnd.,.Test" 4
9.0Water Pipe-Undrgrnd. y °> ^ 7 - _ • X60. Backwash Lines,P-Trap, ❑ Undrgrnd. - - • ,
10. Structural Floor System ' . . - '' E ; - ,61. APPROVAL TO DECK
11..Property Sewer Line & House Connection , - �L - - 62.-Backwash & Receptor-Final i ' • '-
i _c ,
12.'Sewer Cap ' , I - - - .
E , : , 63. Heater&•Vent-Final ,
13:Roof Drains ' ;, , ' Y n. - 64. Plumbing System s,-Final•` - •
'
14.;Rou h Plumbin - ` - - • '
g l
g 65. Electrical-Final
'15:1 9 - -- _'.._m-, -1- - --- - --- - .
Rou-h' lectrical- - n urt' er I ( ' l ' 166. Solar System-Final - - - - " '
c16.'1Rough Electric Wiring 'I !I , t'n i--3- -_ -
o , � .e � �: �67,� .Fencing& Access Approval - = --
', c""
17. Rough Wiring Sign r_ I., l„ '68, APPROVED FOR PLASTERING
18. Rough Electrical-T.Bar Ceiling !I �I I- I _ I I I`", i . : 69. POOL/SPA SYSTEMS FINAL
2 19.,Rough Heating & Air:Conditioning 1 : . 1 I FIRE DEPT, REQUIREMENT . '
20. Rough Factory Fireplace I p I; , - I -
t I APPROVALS Permit#
t . , #.264f.'
F 26- 3 1
'} 21.. Ducts*in,Structure •
! ' ' 11 iI i I i I , ' 170. Underground Hydro f
;22., Ducts, Ventilatingr. o - i1 I; '• 1 { � -I 71 Product Piping El Gas ❑Oil
'23I.Gas:Pipe=Rough&Test_ , , I ',F Ir I i I 1 I , ...-i2'. Underground Flush - i '
•
?24.'i Roof Framing , ? it 'I !if,"I! .• I . I ,,' I._ 173. Undergrnd.,StorageTankWDGas;OOil
25. Roof Sheathing r� '��.' l,_• = - ° ' 74; Overhead Hydro •
r 26. T-Bar Ceiling(Structural) & Monocdat i : c, ; • . '1 I • 75. Dry Chemical ; - - t _
- 27.FFrame avid Flashing -' ', I I II it I'"c• i• ;. i I I ' 76. Dry Standpipe; _ '
28'; Lathing&,Siding , ' I , �' I I- I .: i I 77. FIXED SYSTEM FINAL., I
29. Insulation- 5 I I I I 78. FIRE PREV. FINAL
1I
:,30. Drywall Nailing , r " . ; it It I . Notes: •
31"Plaster Brown Coat I ' ' I fill ! 1 1 1 • ' '
., .32.'Electrical Power Meter-Final I ' II I - i i : I
ry
332 Final Electric _ , �.'_ I I _
34. Final.Heatidg&-Air Conditioning li I I ^i ' • '
7
35. Final pis Pipe-Test' i
I i` - I.- I = • ; -
36. Hood or'Canopy1 ,i• I pi i i _
37. Final Factory Fireplace I " , %I 10 1 s L(i2`d"( Gen !
n /
38. Final-Plumbing I .I li - I , l - _ ,.
39. Water Service-Final . I ! , 1 I , - - _
40. Gas ServicejFinal 1 i i I I' I -
41. SolarlDomestic-Final ' 0I__ _i __ _ - .y,_ " �_ _1 _t. . _ ___
42. Backflow Preventer, I i ` ` _ '
43. Backflow Irrigation • , I I '�, I -
44. Landscape IrrigationSysteml 04. ii ' I
45. SoundrAttenuation; I 11 I _ - - '
46. Handicap Regulations' I i° 1" ,I I I 1 • I •
47. FINAL STRUCTURE& BUILDING -
- �' '- I
, , ' I I111l I i i I
48. Special Requirements'CoinpleteJ I I I + 'I I I I ! ' I .. . - •
49. Electric;Release to Edison I 11 r- _1r1__I- _ _ I __.L. __ .-- -4 , • ' ' ,
50. Gas Release,to Southern California Gas:Co i i I 1 I ' I '
51. CERTIFICATE OF OCCUPANCY ,I I ,._..Jr . 1. . { _ . .- __ '
No ' I' , (Date ! ! I I
.�-:.JY4 uY:qe•.-..w��rYY'•'r..-.Y .,rv�. � .•..._..�- �- _� _ l _ r
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITU OF-COSTA MESA PERMITNO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT E t�/S E^3b 3/ /"'
/� hf • L L QS.I� 14� Ti
Applicant's Mailim _ddre- a TYPE OF CONSTRUCTION ,Z NEW U ADD U ALTERATION U REPAIR
% a 1
Project Address Q 'AYrt 'a 0 CONVERSION 0 DEMOLISH IE OTHER _ -
I - DESCRIPTION OF WORK
Owner's Name Q-S ' 'hone ZONING REGULATIONS '
Address •
TYPE OF PERMIT U GRADING U FOUNDATION 0 STRUCTURAL A.P.Me ZONE
\ Arch/Eng. License No. 0 TENANT ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG. REF.qW BUILDING •
Address Q /sry ❑ 'OTHER TO BUILDING ePTR nrx rn CT
Contractor's Nam: • �. a f• One SJN9 'I✓f13, PROJECT DESCRIPTION SQ.FT- OCCUPANCY PROPERTY LINE REAR YARD (TO P/L)
■ LEFT SIDE YARD RIGHT SIDE YARD
Address(mailing) rl � ' � L / �Q� f CONSTRUCTION TYPE VALUATION$
� .�)J ZONj3 _ GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED '
License No. __ -1
LICENSED CONTRACTOR DECLA ATION Remarks: [.i /�1 /74 /7 STREET WIDTH PARK FEE $
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 SPECIAL CONDITIONS: ..
my license Is in full forces def a t. �•'1,.--.f I -
•
License lass •
`` License No`'�Vd'-/ PLUMBING .'
Date -'1 Signature Bar Sink Sewer Cap • ELECTRICAL •
WORKERS'COMPENSATION DECLARATION • - - '
I.hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer - —' Sewer Connection / Automatic Washer - Meter Cover 100 amps /
of Workers' Compensation Insurance.,or a certifiedcopy thereof (Section •
-
, 3890, Lab, y-)(I ��c, -1 C j� •Cy N I ,Backflow Irrigation Solar Collectors Construction Pole / Sub Panel. s'
Policy No. �! O lS/� ComDan J `� 1 d Cooking Unit Sub Pole ' '
Certified copy is hereby furnished. �Othtubs i Solar Piping
1❑ Cern�lgd copy Is t lac with the city Bu Ivision., Dishwasher • Motors ❑0-1 HP ❑1'/a$
Data �-/� }{5 Applicant !ATION DE de/
Cterif sets Solar Tank - '�
EXEM IO F M WORKERS'COM' SATION DECLA - / Dryers ❑Gas LiElectrid ;Inc.Solar ❑9-15 HP ❑16.15+ s(This section need not be completed if the permit is for one h $100)or Dishwasher Swimming Pool w/Spa
less). - - / Fan / Microwave
I certify that In the performance of the wor • which this per Is s d I Drinking Fountains Urinal
shall no employ any person In any man • as to become/0 v tit, — - F.A.U. Pole Light
Worke ens ttb Laws of California - Floor Drains Water Closet ,.�0 ,
•
Date ` �S-" Signature - ���777���777!<i-i -:• - .i - Fixtures
NOTICE:If,after making this declaration, you should become (V-ct to the Floor Sinks Water Heater 10 / Range
Workers' Compensation provisions of the Labor Code, you-n•. forthwith '
comply -with such provisions_ or this permit shall be de ed revoked. . . Gas Service Outlets -Water Service • DeviceBoxes • Sign
CONSTRUCTION LENDING AGENCY —.
- Outlets •
'
I hereby affirm that there is a construction lending agency for the performance Interceptors Standing Sections y sd ,
of the .work for, which this permit is issued (Section 3097 Civ. C.) Switches
Lender's• Name Kitchen Sink - • JO Trash Compactor ,
•
Lender's Address - • j Garbage Disposal
OWNER BUILDER DECLARATION - Lavatories -
I hereby affirm that I am exempt from the Contractor's License Law for the p-Tre - - Generator, ❑0-5 KW ❑5-15 KW
following reason (Section 7031.5 Business and Professional Code: Any city or p -
county which requires a permit to construct,alter,Improve,demolish or repair Transformer ❑75-50 KW •
s
any structure, prior to Its issuance, also requires te applicant for such permit Roof Drains ' - '
to file a signed statement that he/she is licensed pursuant to the provisions of ❑5U+KW
the Contractor's License Law(Chapter 9(commencing with Section 7000) of - �— Reinspection Fee $16
Division 3 of the Business and Professions Code) or that he/she Is exempt Showers Reinspection Fee $15
therefrom-and the'basis for the alleged exemption. Any violation of Section . - r Meter ❑up to 100 amps ,.� I Issue Fee .$ 3
7031.5 by any applicant for a permit subjects the applicant to a civil / _
enalty of not more than five hundred dollars($500). - Service Sink; - Issue Fee' . $ 3
. .. 1 _ •
Zoning Approved By Date
0 I,-as owner of the property or my employees with wages as their sole I I
: compensation will do the work,and the structure Is not Intended or offered . MECHANICAL - Application Approved By Date
for sale (Section 7044, Business'and Professional Code: The.Contractor's - -- - --- - ---- - - - - -- - - - -- - - - -- 1c-�/_/ - /_ •
; License Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System 4 - �'j /'/-t�
thereon, and who'does such work himself/h¢rself or through his or her own , - • Application Issued By - 4 Date FAe/ 5
. employees, provided that such Improvements are not Intended or offered for Duct Ground ❑0-100,000 BTU 0100,000 BTU
- sale. If, however, the building or Improvement is sold within one year-of com- , SUMMARY OF FEES ,
elation, the owner will have the burden of proving he/she did not build or Im- - - I
' strove for the purpose of sale). I Duct-Structural • I System Repair/Alteration BUILDING PER MIT $ I SMIP $ 1
• LJ I, as owner of the property, am exclusively contraating'wlthllcensed con- - - • I - I
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _1 - . .. •
_ -- _, -,- _ . _ ' PLAN CHECK $ PERMIT , '
The Contractor's License Law does not apply to an owner of property who , - - ISSUANCE , $
builds or improves thereon,and who contracts for such projects with a con- • Exhaust System 0 Multiple 0 _ ' ;PLUMBING $
tractor(s)license pursuant to the Contractor's License Law). - PLAN CHECK' • $ GRADING t $ ••
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# , $ )
Heating System& DuctingELECTRICAL $ 3 5:
Date - Owner' g y •PLAN CHECK. $ 16 ' ' MICROFILM ' $ •
, I hereby certify-that I-have read this application and state that the above-•! ❑0.100,000 BTU 0190,000 BTL-- - - . •
-
Information is correct. I agree to comply with all city,and county ordinances I ' TOTAL FEE ' $
antltstate laws rel. Ing.to building c• stru tion, and her:• horize repro- ,MECHANICAL $ i
sentatives of't - • By to enter I.• t.. .b• • - oned property for Hood or Type 0 ,
Inspection pure-se- �� pa Cano T e II 0 __ Reinspection Fee' $15 LESS
'Z}, PLAN CHECK $ ADVANCED PC $ 1
Signature ii-:.�
CMF 0865-46 rev. 12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - -
•
•
0 •'CONSTRUCTION AND.PL'ANNINGG ? c - - _ t POOL:& SPA - - " -
--g-8/,.j ."'Date Inspector Date Inspector
. . APPRDVALS , Per<mit _ APPROVALS Permit# - -
L' '1 Temporary Electrical Service or-Pale - ' 52: Pool & Equipment Location •" •-
' • 2'. 'SOH Pipe-Undrgrnd.' c , � " • '53. Steel Reinforcement - '
3: Electrical Conduit Utility-Undrgrnd: ', _ • 54. Forms '. "
4. Electrical Conduit-Undrgrnd.:- 1 �_ •• - 55. Electrical Bonding -
5: Steel'Reinforcement •_ - - . - _ 56. Rough Plumbing&Pressure Test .-
r_
6. ,Electrical UFER Grnd, . .- 57. APPROVAL TO COVER-GUNITE •
•
7. Footings ` . i ` F - _- 58. Electrical Conduit-Undrarnd--
•
8. Foundation -59. Gas Pipe;0 Undrgrnd.,Test- . . •
9. Water Pipe-Uridrgrnd. _ . - • - - 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Floor System '- 61. APPROVAL TO DECK " •"
•
11. Property Sewer Line & House Connection x 62. Backwash &:Receptor-Final. . _ - .
12. Sewer Cap 63. Heater& Vent-Final • -
13. Roof Drains , i I 64. Plumbing System =Final -
a 14. 'Rough Plumbing - 65. Electrical-Final -" •- .
L.
`15. Rough Electrical-Conduit ; ' .- " - . -- - - _.
s �, - i 66: Solar System-Final ,
p 1•-16.'R'ough_ElectricWiring i- - - - '
c ;ft�16, C.c.- ,67. Fencing 8i-Access Approval
= 'j 17.'Rough Wiririg'Sign• :; I : r!!!!!!i = ; 68: APPROVED FOR PLASTERING .
- ' 18.,Rough-Electrical-T Be? Ceiling ( l ' I '69. POOL/SPA SYSTEMS FINAL . - _ • -
•
1 19:•Rough"Heating & Air Conditioning l' i ' I : I ' FIRE DEPT. REQUIREMENT '
1
i 20.•Rough.FactoryFireplace I ' 1 APPROVALS Permit# '
' 21.'bucts;in Structure' ' ; I 'I ' I : � . 70. Underground Hydro
J ;'.22. 'butts,Ventilating' p. i I . 71. Product Piping O Gas OOil -
i23.'Gas'Pipe-Rough&Test ,�� • I T 72. Underground Flush ' ;
-24.(Roof Framing- . ; i 1 -• • - 73. Undergrnd.Storage Tank 0 Gas 0 Oil ,
'; . 25, Roof Sheathing e I ' - _ I,, ; ' ." • 74. Overhead Hydro :
;.26. T-Bar Ceiling (Structural) & Monocoat I 751 Dr• y Chemical -
- 27. Frame and"Flashing, , ; 6.7Dry Standpipe .
' 128.',1Lathing& Siding. S ; It ti 1 , i 77. FIXED SYSTEM FINAL • I
29. Insulation • i 78. FIRE PREV. FINAL r
o `30.'Drywall Nailing ; Notes:
- 31.•Plaster Brown Coat ,' ' I '
-e : 32.!Electrical Power Meter-Final , ' I • - -
• '' •
33. Final Electric i �78` ��
d 34. Final Heating& Air Conditioning , , -' I -, .
35. Final Gary Pipe-test I r -- . I ' •:,' ' ; ' ' - -
-
36. Hood or Canopy .31 n; 1 •
37. Final Factory Fireplace'', •_1 ;. - I "
38. Final Pluinbing, I oliI I. .
39. Water Service-Final I , ,
40. Gas Service-Final 1 ' , .
41. Solar Domestic-Final • i
• _ ,
42. Backflow Preventer r I ' , _ -
43. Backflow Irrigation : - ' r '
44. Landscape Irrigation System, ,�,, • , T - . I - ,
45. Sound's Attenuations I I , ! •' ! - -
46. Handicap Regulation's , ` ; '. ; i ' - , ,-
47. FINAL STRUCTURE & BUILDING , ': - ' , ..
e
48. Special Requirements Completed . ' i � ' _ . , 4
49. Electric ReleasetolEdison!. ' i - .I_ .� _l _,. Li... ; _ 1 _.,I,_ _ :_ '
r •
50. Gas Release to Southern California Gas Co " .I
51. CERTIFtCATE'OF OCCUPANCY • 1 ' , . ,
No '! '.. 1. I Date "- ,- I_.a-`-- - -'. 1 - - -f" - - - - - -