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HomeMy WebLinkAbout1178 KINGSTON ST - Building Permits Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ' 'CITY OF COSTA MESA •- - P IT NO. -- TRACT NO. LOT NO: BLDG.NO. 1/� t5 CONSTRUCTION PERMIT - ,3c978 ' 10Z-1 E3 It ' , • Project Address L L'78 {�s 65Lto,J .S-r. • . T,�V/P�p F CONSTRUCTION . - '• Owner 'O'RC-r_ A. 11 Mq{J Phone1 .15 M.N.-Er ❑ ADD 0 ALTERATION '' 1F. ) _ - 7228 -6/11/82 - r 36.80 IL Address - 'Rµ42.` �- - . . - 0 REPAIR 0 CONVERSION ❑DEMOLISH �r^• - '- - " Arch/Eng.12,1•ptdtl94-.t- j'-Cp30c• License No. - - ❑ OTHER' ZONING REGULATIONS �'� 'Z3 54• tsi& Mrsset_ DEj5�/,��PTI NOF�W K�j � -A33I 04Z I (lJR, ' Address-- Y� / '/ " ' - • ' ZONEP I�p PLNG.pgREF., - '-Contractor ©W14S'' „fader/- • - - Phone • .,'TYPE OF PERMIT - - - BUILDING - -- ,, PROP ILp�NG �f [' _ - // SETBACK C/LST. ERT•_�4./I/vP€r Address' • - - ' - ' - ,❑ GRADING ' 0 FOUNDATION -IX STRUCTURAL - � SIDE YARD - - - - LICENSEDCONTRACTOR.DECLARATION._ LEFT - I hereby affirm that I am licensed under provisions of Charter 9 (corn-, --❑ TENANT 0-ELECTRICAL ❑PLUMBING ❑' MECHANII:AL NIGHTA RD - - mencing with section 7000)- of Division 3 of the Business •and ❑.OTHER - - _ _ " - _ . Professions Code; and my license is in full force and effect.. REAR YARD(TO P/L) (lO5 - - PROJECT¢4SCRIPTION License Class License No. S - ' PKG.SPACE REQ. --• -PROVIDED • Date- - . Signature - - - SQ. FT: �� PA-no. - - - WORKERS'COMPENSATION DECLARATION OCCUPANCY_4ONSJRUCTION TYPE cop STREET WIDTH .PARK FEE$ - I hereby affirm that I have a certificate of consent to Self-Insureor a , VALUATION / Z ZONE ZONING APPROVED BY �py��DATE I z . -certificate of-Workers' Compensation Insurance, or-a.certified.copy - .- _ _ _ it �^7 thereof(Section 3800, Lab.C.). GRADING CU..YDS. ACRES SPECIAL CONDITIONS: - Policy No.;. - -- - 'Company _._ - - _ . ..` - ❑ Certified Copy is hereby furnished.. - ._ REMARKS: '. /Q.. / / n /6 �J 0 Certified copy is filed with the city Building Division. tU f L l( /sF J EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '- . , - - -- (This section need not be completed if the permit is for one hundred • ' ($100) or less). - • . • . _ - - - - - • _ .. , I certify that in the performance of the work for which this permit is Issued, I shall not employ any per on in any ma -J,erss py tO-become -PLUMBING .1 PLAN CHECK - - ELECTRICAL - sPLAN CHECK • - .subject t0 h¢ ker5_CO mpepadt� `- " LIWELLING .GARAGE BATHTUBS" SHOWERS Date 6 I I 7 ' Signature 50 FT 50 FT - - NOTICE: If of er'making this declaration, you should become subject TOILETS ... URINALS- GENERATOR 0:1 KW_1-10 KW ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER i, forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - ' - APPLIANCE • 10-50 KW-50+ KW-- -• - revoked. ,_ _ CONSTRUCTION LENDING AGENCY KIT.SINKS- - DISHWASHERS' - - MOTORS- - 0-1 HP_I-10 HP - •- - - ' - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - SUMPS - - - (INC.SOLAR) -10-50 HP 50 +HP - formance of the work for which this permit is issued (Section 3097 -Civ: C.). - - ' . - -- . ' - • -- ' - ` 'FLOOR SINKS FLOOR DRAINS- - FIXTURES ' OUTLETS SWITCHES-- - - - Lender's Name Lender's Address - - - DRINKING FOUNTAINS .. - ' - GASTUBE SIGNS' - - - --- - - OWNER BUILDER DECLARATION - INTERCEPTORS - CLARIFIERS - ' - 'POLE-LIGHTS - -- - • I hereby affirm that I am exempt from.the Contractor's License Law for ' the-following reason (Section 7031.5 Business and Professlons-Code: SWIMMING POOL - P TRAP ' IONS I HUL I IUry _ Any city or county which requires a permit to construct, alter, - POLES METERED-. 'SUB improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - '- PANELS . MAIN - SUB - - quires the api.licant for such permit to file a signed statement that he 'is licensed pursuant to-the provisions of the Contractor's License Law GAS SERVICE- OUTLETS ' • " ' SERVICE ' - -- - - • AMP - - (Chapter 9 (commencing with Section 7000) of Division 3 of the - Bu5iness and Professions Code)-or that he•rs exempt therefrom and the WATER HEATERS- BTU OUTPUT - - - - . - - basis for the alleged exemption. Any violation of Section 7031.5 by _ • -• any applicant for a -permit-subjects the applicant.to a civil p nal SEWER CONNECTIONS-- • - -- - - . -- - s ofyet more than five hundred dollars ($500). _ RAi1, as owner-of the property," SOLAR TANK ' COLLECTORS - -se'le-eempaeaatien, will do the work,and the structure is not Intended _ '- - - n or offered for sale. (Sectio7044, Business and Professions'Code:The SOLAR PIPING'SYS. _ '- - ' - - - ' ISSUE FEE ' ' - - Contractor's License Law does not apply to an owner of a property f / who builds or improves thereon, and who does such work himself or - ISSUE FEE - ' • - -. - - ' APPLICATION APPROVED BYthl ('.� - --DATE,//fr L through his own employees, provided that such improvements-are not (((// /' intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK - SUMMARY OF FEES is sold within one year of completion, the owner will have the burden - " • of proving he did not- build or improve for the purpose of sale). -' . 'BUILDING $ 22.oa .SNIP--• `D.S'o ❑ I,-as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ licensed contractors to construct the project (Section 7044, Business AND DUCTING $ -(t[ - E� P 1 100,000 +BTU PLAN CHECK r 3o ISSUANCE T•. I .and-Professions.of property Code: The-Co ilds or Is proves. hew tl , a not apply to _ ISSUANCE g ` to os rr of ch. oj who builds c Improves thereon,and whoa tcon- REFRIGERATION 0-100,000 BTU PLUMBING - tfrom such. projects with a contractor(s) licesned pursuant to SYSTEM- -- $ GRADING g + the Contractor's License Law). 100,000+BTU - • {' , PLAN CHECK- $ • - ❑ I am exempt—under Section 'B:& P.C.for this- BOILERS BTU s ELECTRICAL $ - $ i reason • - - - - PLAN CHECK $ - MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ - • 'information-is'correct:-I agree to comply'with all cityand county -PLAN CHECK- - - LESS AD- 9 $ VANCE PC' $_ ordinances and state law relatin• . uction,and hereby authorize -.,1, - - representativ-s--pf.' -- a, it - . 'e• .� upon-the above emrst toned - rep property for - ds- _ {// Id Signature .� • z h.� Date 6 I I 8'Z _ FINAL FEE $ Di:-,.;.-a.weneo-er SS• St= FEE - - .. - -_ -. _ _ . 80. CMF 0865-46 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 • •' 43. Pool & Equipment Location -" •- - • _.2. .Soil Pipe-Undrgrn' " _ - 44. Steel Reinforcement •- - - - ' - . -3._ .Electrical Conduit.Utility-Undrgrn. . _ _ 45. Forms- •, - - - . _4. - Electrical Conduit-Undrgrn- - ' `- . 46. Electrical Bonding. - _, 5. Steel Reinforce • '-- . 47. Rough Plumbing &•Pressure Test - - - - 6.. _Electrical UF,ER Grn48. APPROVAL TO COVER-GUN ITE .. - -- 7.. Footings - - - , . - _ 1 49. Electrical Conduit-Undrgrn ' ' _ _. 8. -Foundation. - .. '.' ' ' - 50:r,Gas Pipe, ❑aUndrgrn,Test . 9.- Water Pipe_Undrgrn_ . . . 51. Backwash Lines. P-Trap. El Undrgrn ' - - - 1.0. , Structural Floor System . 52. APPROVAL TO DECK _ 11..-.. Property.Sewer Line & House-Connection'.. - _ _ _ . - - 53. Backwash,& Receptor-Final . " - __12.._Street.Sewer Connection . - . '-_' - ' - - - 54. Heater-&'Vent-Final ' 13.. Rough Plumbing _ . ., • - 55 Plumbing System - Final - 14. Rough Electric-Conduit - -- -56. Electrical-Final - • 15. Rough Electric-Wiring - - - - -- - - - - - 57. Solar System-Final , .' 16. Rough Heating & Air Conditioning: . . . . . -: - - - 58. Fencing &Access Approval • 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING-., _ , , - 18. --Ducts, Ventilating - - - _ .� � 19. Gas;Pipe-Rough &Test ' " v • " 60.. POOL/SPA SYSTEMSFINAL' , -20. -Roof Framing - . - • - • - - . ' 21. Roof Sheathing -- - - - - - - - - �. ... - ,.. ,c,.. NOTES: ... 22. --Frame and Flashing --. - - - -- - -- - - - -- . 23. -Insulatiori : - - -- - - - -- - -- - - 24. Lathing-& Siding- - -- - - - -- - _ - -- - --- - - - - ,. ' 25. Drywall-Nailing - - - - • . _ -26. Plaster Brown Coat •- - _ ' __ _. . -- - _ - - rr 27.: Electrical Power Meter-Final _ . . 28. - Final Electric --- • - - - - - - • - 29. Final Heating & Air Conditioning - - - , . • , . 30. Final Gas Pipe-Test . . r _. _ I . :..'t' • - -31. - Final Plumbing _ -- .. . ..... . _..... .. ............. .. 1 -• ,- • • - 32. -Water-Service-Final - - - - • '33. -Gas Service-Final , - - . - - . . - ' 34. Solar Domestic-Final '- . . ' . - -35. Landscape Sprinkling System' . . 36. Sound Attenuation - - - -... . I 37. Handicap Regulations ' • I .- 38. FINAL STRUCTURE & BUILDING Z,�.fjy 'g'f� - _ , ' 39. Special Requirements Completed ,_ 40. Electric Release to Edison - . ' - 41. Gas Release,to Southern California Gas Co. - • - 42. 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I . _..c ral.I,207):4 ---(-2: " I , Hi , 1 1 i MOOR Or apia4t0 i ' / • ; 1 _ I .1 . : . i. 1 1 i 1 . I, 1 I . 1 .. It .....:••• •••• •,""t'''''' ......s...7.- .; 1 1 . ; : i : • I 1 1 . I 1 1 I 1 ' 1 ; 1 lefli im'ci, 1 ; i 5TA M ' I I i ' I : i i_,_1.... J . i 1 i L 1 , . . I..•.art ! .., . ; . ' i i 1 ' . 1 ' I s . i : i I 1 1, ! t i '. • I ; , i - • . I ill • STRUCTURAL APPROVAL ONLY APPROVED I • SEPARATE PERMITS ARE REQUIRED City of Costa Mesa Building Dept. FOR ELECTRICAL, PLUMBING, • BY V V/ _._._DATE4/"_.._tv_ HEATING, VENTILATING AND THESE PLANS MUST BE ON JOB AT ALL TIMES F®r I�flSPBCt• REFRIGERATION WORK MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. —'�`— 27 �� tJ THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL Call Permit #— OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED THIS NUMBER MUST ACCOMPANY TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION r ALL INSPECTION REQUESTS OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE- F SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE e ® � PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL. FOR BUILDINGS ciiiERE PERSONS ARE TO BE EMPLOYED, WE SUGGEST THAT THE THE ISSUANCE OF A PERMIT BASED UPON PLANS AND STATE OF CALIFORNIA DIVISION OF SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL • FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS INDUSTRIAL SAFETY BE CONSULTED FOR ADDITIONAL REQUIREMENTS. IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING '-' """" PUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE CF THE CRY. d F • I4.2'W Arlo- `... . ) Applicant to fill in all spaces within heavyborder lines and sign all appropriateLIDLW'v' 9/'I I /S I 5. I a 9 declarations.• _ __ _ _ CITY OF COSTA MESA PERMIT NO�./� / TRACT NO• . LOT NO2BLDG.NO. r -. ' CONSTRUCTION PERMIT, _..P' 8?"' - _. , ( Project Address I 2 wt,'57—not Sr TYPE OF CONSTRUCTION Owner•�i .a, ec •a Ji- f Phone ❑ NEW , ,❑ ADD ❑ ALTERATION Citk I _ ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ' ` ZONING REGULATIONS_ - I 0 OTHER - - AP . . DESCRIPTION . . ..OF WORK - ' - ZONE PLNG. REF.y# 1 r>A4� YPE OF PERMIT ° D Tp e�1I LPI NG ' 1 �r �. SETBACK LST. PROPERTY LINE- •- - - 1 Address 1' y -.I z. z� s=� ❑ GRADING" ❑ FOV NDATION ❑ STRUCTURAL SIDE,f,YARD v LICENSED CONTRACTOR DECLARATION - ' " ' 0 TENANT'❑ ELECTRICAL •❑PLUMBING ❑MECHANICA LEFT YARD I hereby affirm that I am licensed under provisions of Charter 9(corn-_ + - - RIGHT mencing with section 7000) of Division 3 of the Business and• ❑OTHER _ - — .Professions Code 'and my license is In full force and effect: REAR YARD(TO P/L) > 1 License Class > '- License No _i •PROJECT DESCRIPTION - .. ' ���/� S0. FT. PKG.SPACE REQ. _ PROVIDED_ - 'Date Signature . ir. -_. -i e'6-_./ • ' '- ��,- WORKERS'COMPENSATION D'CLARATION OCCUPANCY_CONSTRUCTION'TYPE -- STREET WIDTH - PARK FEE'$ . _ - -,� I hereby affirm that I have a Certificate of consent to self-Insureor a .V ALV ATION -ZONE ZONING APPROVED BY - DATE certificate of Workers' Compensation Insurance, or a certified copy thereof(Section 3800, Lab.C.). - _ ,- _ GRADING CU:YDS. ACRES SPECIAL CONDITIONS: - Policy No. Company � ) ❑ Certified copy is hereby furnished. - - - - REMARKS:.zt. A.H / �1A� //� ' - - - ❑ Certified copy is filed with the city-Building Division. - .rVL/! K/ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed-if the permit is•for one hundred • - - - _ - - _ . _ - -- '($100) or less). • _ . • > . . , • I certify that in the performance of the work for which this permit-is Issued, I shall not employ any person in any manner so as to become PLUMBING . ' PLAN CHECK ELECTRICAL PLAN CHECK Subject to the workers'Compensation Laws of California. • UW tLLIN(. GARAGE BATHTUBS • SHOWERS Date Signature • 50 FT - SO FT NOTICE: If after making this declaration, you should become subject TOILETS . URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor code,you must TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW ' revoked. - - - ' CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS •MOTORS 0-1 HP 1-10 HP .I hereby affirm that there i5 a construction lending agency for the per- SERVICE SINKS. SUMPS '(INC.SOLAR) 10-50 HP +HP formance of the work.for Which this permit Is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS . OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNS I RUL I IUN Any city or .county which requires a permit to construct, alter, POLES METERED SUB • improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATIONPANELS MAIN SUB - quires.the applicant for such permit to file a signed statement that he - is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS (Chapter 9 (commencing with Section 7000). of Division 3 of the SERVICE AMP Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT basis for the alleged exemption. Any violation of Section .7031.5 by _ • n any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS of not more than five hundred dollars ($500). - ' ❑ I, as owner of the property, or my employees with wages as their SOLAR TANK OLLECTORS sole compensation, will do the work, and the Structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. f)A /0 ISSUE FEE Contractor's'License Law does not apply to an owner of a property - who builds or improves thereon, and who does such work himself or ISSUE FEE • 'APPLICATION APPROVED BY I DATE • through-his own-employees, provided that such Improvements-are not •-' intended or offered for Sale. If, however, the building or improvement MECHANICAL PLAN CHECK " is sold within one-year of completion, the owner will-have the burden - - SUMMARV'OF FEES of proving he did not build or improve for the purpose of sale). PERMIT •BUILDING t Cr - SMIP - ❑ 1, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU'4� -• 1' $' $ licensed contractors to construct the project (Section 7044, Business AND DUCTING �, 1 100,000 4- BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to '/ - ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ `r7® tracts from such projects with a contractor(s) Ilcesned pursuant to SYSTEM • GRADING $ - the Contractor's License Law). 100,000 +BTU PLAN CHECK $ • _ ❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $ reason PLAN CHECK $ - • - - MICROFILM $ SYSTEM REPAIR,ALTERATION f Date Owner TOTAL FEE-$ - I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE . . MECHANICAL $ C information is correct. I agree to comply with all city and county PLAN CHECK 5 VANCE PC 5 i ordinances a d state laws relating to construction,and hereby authorize representsof this city to enter upon the above m-ntio ed i P operty'• ectlon pur•.ses. •• I. • _ Tf Ignat ur. - ��' �s Date 411 _- FEE -� .. FINAL FEE 5 F1 ori vers' cense or 55 4* - _. SSUE CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA - JI Date Inspector . Date • Inspector APPROVALS Permit # APPROVALS ' Permit# , 1. Temporary Electrical Service or Pole 1 • 43. Pool & Equipment Location • . 2. Soil Pipe-Undrgrn ' - 44. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrn 45. Forms . - _ 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test , - - - > ', 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE - _ - 7. Footings , " • 49. Electrical Conduit-Undrqrn 8: Foundation "- - 50. Gas Pipe, ❑Undrq�n,Test i . 9. Water Pipe-Undrgrn 51'. Backwash lines. P-Trap.•❑Undrarn - •• - • 10. Structural Floor System" - 52. ' APPROVAL TO DECK' ' - - - '11. Property Sewer Line& House Connection - - 53. Backwash& Receptor-Final - 12. Street Sewer Connection . , 54. Heater &Vent-Final " .i' 13. Rough Plumbing - - 55. Plumbing Svstem - Final- - -"- ' • ' - 14. Rough Electric-Conduit .- __ _ - " . " 56. Electrical-Final- 15: Rough Electric-Wiring • ' - - . _ 57. Solar System-Final - '' 16. Rough Heating & Air Conditioning 58. Fencing &Access Approval - ., 17. Ducts, in Structure59. APPROVED FOR PLASTERING 18. Ducts, Ventilating _ , , 19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - - , .. 21. Roof Sheathing NOTES:._ _ 22. Frame and Flashing -• ' '• - . - ' . ' ' 23. Insulation - . ' 24. Lathing & Siding - 25. Drywall Nailing • ' • 26. Plaster Brown Coat - , . - - 27. Electrical Power Meter-Final • • 28. Final'Electric 29. Final Heating & Air Conditioning " - ' 30. Final Gas Pipe-Test _ - 31. Final Plumbing 32. Water Service-Final ' - • 33. Gas Service-Final • 34. Solar Domestic-Final. , :�w'-f/ - 35. Landscape Sprinkling System S. .'&( Z', - �- • 36. Sound Attenuation - 37. Handicap Regulations a\ - 38. FINAL STRUCTURE & BUILDING " 39. Special Requirements Completed • - 40. Electric Release to Edison - ' 41. Gas Release to Southern California Gas Co. _ 42. CERTIFICATE OF OCCUPANCY \ No Date . . - • • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. _ TRACT NO. LOT NO. •BLDG.NO. ' CONSTRUCTION PERMIT B q/sy- )02'18 its • • . Project AddresOjQ •, //'/ 7")Al- SS TYPE OF CONSTRUCTION SN.Owner/2eret /rS• c ./. Phone , n/ ❑ NEW ❑ ADD NALTERAT ION _ Z - ❑ REPAIR El CONVERSION ❑DEMOLISHI Address , ZONING'REGl1LA,TIONS • t7o J7 TL Arch/Eng. License No. 0 OTHER ... - ALP'$ Address DESCRIPTION OF WORK4I hZ -� Z � ) l_ • • ZONE Pp^ -t`{O ,PLREF. 7f. 1✓ ' Contractor ter, iVOnd .(4r.•I.ct}'CPhone 6P625O TYPE OFPERMIT - .BUILDIfJa TO BUJ COI NG i rJ C - SETBACK C/L ST. PROPERTYkIMEIfJ" . Address Z7.L/( Ll Jt i.10.t( pG , h , [' GRADING FOUNDATION 0 STRUCTURAL 1 SIDE YARDLEFT �[) NW LICENSED CONTRACTOR DECLARATION , 0 TENANT 0 ELECTRICAL ['PLUMBING•.['MECHANICAL . SIDE YARD , N�(I� I hereby affirm that I am licensed under provisions of Charter,9 (corn- RIGHT lJ• ° mencing with section 7000) of Division 3 of the Business and ❑'OTHER ' A a Professions Code, and my license Is in. full force and effect:' REAR YARD(TO P/L) �,/Tt PROJECT DESCRIPTION �r,��/1e J License Class Ci -L1 - License No. 27S mss¢ PKG.SPACE REQ. �• V' PROVIDED Date ~ Signature SQ`FT:-- //77- q -, `/ WORKERS'COMPENSATION DECLARATION • - OCCUPANCY -tCONSTRUCTION TYPE I V _ STREET WIDTH • PARK FEE$ I herebyaffirm that I have a certificate of consent to self-insure or a VALUATION /7!7/9 1 ZONING APPROVED BY v.n .`,�' DATES/114 p certificae of Workers' Compensation Insurance, or a certified copy , OZONE of tfi,.i)L-y /V' thereof(Section 3800, Lab..C.). • GRADING CU.YDS. • ACRES SPECIAL CONDITIONS: ,. , Policy No. Company - ❑;Retitled copy Is hereby furnished. - - REMARKS: �a , Certified copy is filed with the city Building Division. FQQ�ifss . si••irlJ ,L-A._ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION / (4.4y9 (This section need not be completed if the permit is for one hundred T-. Q.-4'f(„ . C- �"'��� ' ($100) or less). 5. • b — 3R y . ,- • certify that In the performance of the work for which this permit I5 `� F - issued, I shall not employ any person in any manner so as to become PLUMBING .PLAN CHECK , ELECTRICAL PLAN CHECK • subject to the Workers'Compensation Laws of California. �uw ELu rvG GARAGE • Date -- Signature BATHTUBS SHOWERS SQ FT. SO FT • - . - NOTICE: If after making this declaration, you should become iubjedt TOILETS, URINALS GENERATOR 0-1 KW_1-10 KW ' • to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+KW - revoked. - - -- - - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP_1-30 HP I hereby affirm'that there-is a.constructlon.lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP_50 +HP formance of the work for which'this permit is issued,,(Section!3097 - Civ. C.). • FLOOR SINKS • _ • • FLOOR DRAINS FIXTURES OUTLETS SWITCHES i Lender's Name "- ' - - - - -• Lender's Adores- - • • > ,. DRINKING.FOUNTAINS , GAS TUBE SIGNS . OWNER BUILDER-DECLARATION „INTERCEPTORS' CLARIFIERS POLE LIGHTS I hereby affirm'lhat'rain exempt from.the Contractor's License Law'fo'r.' �' i . . -• the following reason (Section 7031.5 Business and_ProfessionsCode: LUNS I nuc.I wig Any city or county which requires a permit to construct, alter, ' SWIMMING POOL-, P TRAP POLES METERED SUB • improve, demolish or repair any structure; prior.to its issuance,also•re- WATER SERVICE:. ALTERATION PANELS MAIN -•SUB • quires the applicant Yor such permit to-file-a signed statement that he ' - - - is.licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE -,OUTLETS SERVICE AMP , , (Chapter 9 (commencing'with'Section 7000hof Divisionl•3 of the R - Business and Professions Code) or that he.is exempt therefrom.and-the WATER HEATERS •- ,. BTU OUTPUT ,, basis for the alleged exemption. Any of Section 7031:5 by- - •^ _ any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS. of not more than five hundred dollars ($500).. - •• [' I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS • • sole compensation, will do the work;-and the-structure is not intended • or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE • • • Contractor's License Law doesrnot apply wh to ansuch owner a propertyifor APPLICATION APPROVED BY DATE, ) who builds or improves thereon, and who does such work himself or ISSUE FEE "! through his own employees, provided that such improvements are not ' intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is sold within one year of completion, the owner will have the burden - -•. . _ - - of proving he did not build or Improve for the purpose of sale). BUILDING I:1 1, as owner of the property, 'am eztlu3ively contracting with HEATING SYSTEM 0-100,000 BTU . - PERMIT $ 17',CO SMTP- • $ O. S'•O - 100,000+ BTU 7044, Business • licensed contractors to construct the project (SectionAND DUCTING .PLAN CHECK $ /J, 3 7 'PERMIT. and Professions Code: The Contractor's License Law does not apply to - • ISSUANCE $ - - an ownerfr - of.property who builds,or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ _ -- tracts horn such projects with a contractor(s) Ilcesned pursuant to SYSTEM - - -- . - - . ' .GRADING $- '- - - the.Contractor's License Law). . - _ 100,000 +BTU PLAN CHECK $ O i am exempt under Section B.& P.C.for this BOILERS BTU $ _ _ ELECTRICAL $ reason " - - - - MICROFILM $.. . _SYSTEM REPAIR,ALTERATION PLAN CHECK $ • Date• Owner - -- - - -• - TOTAL FEE$ 29, I hereby certify that I-have read this application and state that the above EXHAUST SYSTEM MULTIPLE .MECHANICAL $ ' information Is correct. I agree to complywith all cityand countyPLAN CHECK . VAN E P 9 $ - VANCE PC $ ordinances-and e laws relating to construction,and hereby authorize - + , ' representatives ��--555 t Is cit o enter upon he above mentioned : propertylgnatufor ',•n rPS H Date /�/�/_ - • FINAL FEE g 27. •' 7; Siqnat ure 666iiilll _ - Drivers'Lice �, or SS ISSUE FEE - -' - - CMF 0865-46111 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA_;, • APPROVALS Permit# Date Inspector APPROVALS Perm t# Date Inspector • 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -,- - - ' 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4: Electrical Conduit-Undrgrn47. Electrical Bonding 5. Steel Reinforce 47. RooughhPlumbing & Pressure Test . 6. Electrical UFER Grn 48. APPROVAL TO COV.ER-GUNITE 7. Footings 4. sa,Q�•fr 5 9-23-1/ .6 01? 49. Electrical Conduit-Undrqrn - - • • 8. Foundation 50. -Gas Pipe, 0 Undrgrn,-Test . 9. Water Pipe-Undrgrn - 51. Backwash Lines, P-Trap, El Undrgrn - 10. ' Structural Floor System r .- 52. APPROVAL TO DECK • 11. Property Sewer Line & House Connection -.53. - Backwash & Receptor-Final. 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough Plumbing _55- Plumbing System - Final • 14. Rough Electric-Conduit - - . ' _ . . 56... Electrical-Final- . . , . - , 15. Rough Electric-Wiring - - ' • ' 57.. Solar System-Final. " ' . ' 16. Rough Heating & Air Conditioning 58. Fencing &Access Approval -- - 17. Ducts, in Structure 59. APPROVED FOR PLASTERING • • 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test , • , . 60. POOL/SPA SYSTEMS FINAL . •• 20. Roof Framing - • • . . • . • 21. Roof Sheathing -- 22. Frame and Flashing NOTES:. -pr '5 • i nco P f-e.:7:2_ ,- M r SS -Pu// cil. clop% on 21 Insulation Poo-Fair 5 ' ct w RY Prvnn h0 L[s 2 has P`P-70/€40.13 - • 24. Lathing & Siding Si.--a-.6 de Y-ll not Si1t`=f�lc;'PIA* ; •'1 $ wa o4P Sc't _g. ;on 25'. Drywall Nailing • - PV c Nat roT cT'e d .-Prola-‘ coirtr€De- • 26. Plaster Brown Coat - r�M 9- /- 3/ 27. Electrical Power Meter-Final ' P-17-67A-f./} cca-t t f vfre '. �<.,q;�Q. •s.�7 -R-1-C oma-,-, 28. Final Electric /"tn�p rtnA A/-- ea-a v�tp�A4 o 29. Final Heating & Air Conditioning - 4 /� /J�",; ey(,i/ ;/L , . '/ ,(,-, 2a// 9-2 3// 30. Final.Gas Pipe-Test - - - • 31. Final Plumbing . . ; 32. Water Service-Final - - - . .‘ . -33:. , Gas Service-Final 34. Solar Domestic-Final . . . - • ' 35. . Landscape Sprinkling System . . • - ' 36. Sound Attenuation • • -• .-- 37. Handicap Regulations . . - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. • Electric Release to Edison . - - - - - • 41. Gas Release to Southern California Gas Co. "`_•__ - - - 42. CERTIFICATE OF OCCUPANCY 'No Date .- - . -- . r►t 4( 72 II /17P. 396.P1r�- TL. COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIONWOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 _ RECEIVED BY PT/1%G6 M(�Lts� For Applicant to Fill in Completely —Use Ink Only pleLDING tely Tract 10278, Lot 15 A.P. No. D_04�^O si BUILDING I1'/ n KI Vt9 h 5-/- TENANT t---__, McLain Development Co. ADDRESS n F-1 J ,JT UNIT OR MAI LI NG" — SPACE NO. ADDRESS 1470 Jamboree Rd. TEL. (7/S— TR O.79 LOT I s BLK. CITY Newport Beach NO. 640-6800 N ADO ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER v BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER Corbin/yamafuji No 752-556'A DD /�}} ADDRESS 3661 Spruce St. , Newport Bch. ZONE ?Oh t1D TYPE GROUP APPROVED CONTRACTOR McLain Development Co. BY DATE ADDRESS 1470 Jamboree Rd. TEL CITY Newport Beach No.640-6800 I—ISTATE CITY APPROVED SETBACKS g LIC. NO. 273875 LIC.NO. 18873 • IzJ SIZE NO.OF BLDGS. (FROM C/1�Sjfl EET) L OF LOT NOW ON LOT FRONT I --6 FT. Q • USE OF cn EXISTING BLDG. _R.SIDE 5 FT. _ co, F Separate permits are required for L.SIDE .5 FT. G electric,plumbing and heating work: REAR Dma 1 t F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION -C 0 • • = Single family residence, DATEAPPROVED New house _6V ROVEDfloe ka- DATE 18179 a C4 w O I hereby acknowledge that I have read this application and state n g that the above information is correct and agree to comply with M all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of a _W the State of California. . m SQ. FT. I hereby certify that I am properly licensed as a contractor under N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR CO Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ..-- ID e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ SRI v and Professions Code,Division 3,Chapter m PLAN CHECK $istie —0 2 Signature of 1144-"" �4 Q�/J J``7717 s/ 'Permittee '��� 114 '- 5 '/ U TAX L�j,�/ $ f or 14 s u Authorized t Date / TOTAL PAID $ .3q(yr7/ }O