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HomeMy WebLinkAbout1709 LABRADOR DR - Building Permits PR'JECT ADDRESS: 1709 LABRADOR DR UNIT: CITY OF COSTA ;'ESA - BUILDING PERMIT EER;: NC; B J 7'_
OWNER'sNAME: NETTEL, JOHN P
AADDRESS: 1709 LABRADOR DR PERMIT No: B 068078 PLAN CHECI: NO: N GOVT: N (.‘,JrP ;
i.
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE; ALT
714 ) 545-2574
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION ; T/OFF REROOF WITH COMP , SHINGLES SQ FT: 5, 94_,
ADDRESS: UNIT:
CLAIM VALUE: 5, 945 . 00 CALC-VALUE: 5, 9:5 ,00 GROUP CCC; R-3 /M-I
PERMITTEE: CRANK BROS ROOFING CO ( 714 ) 548-5569
ADDRESS: 126 COMMERCIAL WAY COMMENTS; SMOKE DETECTORS ARE REQUIRED AS PER 1991 U. 2 . 0
COSTA MESA CA 92627 *X**ft-*-A-NN-e.-Ft-***e:k Xi**3..x%*A. Mi**N:********xx ;Katikt-T:-3*T:ii:*>,*r+a.v';. e:a.i,r•*4A: ;. r ; .:.4t. " 1 ':'t K44-3: : r.,.
LICENSED CONTRACTOR DECLARATION: I hereby allir.that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMEN T S
7000)of Division 3 of the Business and Professions Cod'%d my license is in lull force and etl,, SEIB ACK `'
CITY LIC.' O05 q93 TATE LIC.:408671 CUSS: /r.XP ; J6/95 J
ate: ( Fly- � Signature:rt. i� s. MAIN BUILDING ACCESSORY 4U1LDi.JG - - _ -
W KERS'COMPENSATION DECLARATION: I here. al a that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT I N REAR; FT I N FRNT: FT IN REAR: FT IN
ompensationInsurance.y4UNl T1 t2a (Se on
3800.Lab.01 /J1 /95 LEFT; FT IN RGHT; FT IN LEFT; FT Ii•J R G H T'; F' IN
POLICY NO.:
COMPANY: STATE FUND PARKING REQ: PROV; PARCEL ; / 3918115 ZNE: rtEF NO;
0 Certified copy is`hereby furnished. ❑a Certified cop is • ith the y Building Division. PLANNING NOTES>
7 / y r! *********N****N****f(IFXX•Y.*****************************4.-*ri**** F* if###K ky::•f #Ya .•Y. .; •
Date: Applicant: /7'Cia
E$EMPTIDN FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if permit is for one hundred(4100)or less). DEVELOPMENT SERVICES R E Q U I R E rM E i .' T S
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. ZONING APPROVED BY
DATE;
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APP ROVED BY : DATE;
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ii
A ` �I
l
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: ( DATE : vy
which this permit is issued(Section 3097,Civ.C). *************************************, xi n X•i#******t;******a;•A-if*et***- 4, Xi `r*N I. i: 7 ti:.
LENDER: %************N+************X********Ss********************k***.*******N'*i:*4;•-**Xr ,
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL :;EGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 81 . 00
repair any structure.prior to its issuance.also requires the applicant for such permit to lite a signed statement that he/she is licensed r. „��� 5 9
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN '^�✓At DETECTOR
L!1`P�� Sifs I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by L r L.V
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE n
I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT RE S UI�I 0-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 8,1__5 9 v . v v 0 , 00 81 , 59 81 . 59 , 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 81 . 5 9 OVER/SHORT; 0 0
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECI.
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 81 . 00 . 59
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contractsfor such projects with acOntractor(s)license pursuant to the Contractors'State License Law).I am aware ********************************X•******************************************3!*i.;:
that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
tor his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date. owner: SFR 5945 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 5, 945 . 00
I do hereby needy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state the above information is correct.I a.ee to coml ith all city and county
ordinances and stale laws relating to building construction •ereby aulhorke represents( 'rtte ty to enb . the above mentioned
pr y for inspection purposes.
/LtrCJ Signature / Li i 01 00164056-00164057 TOT 81.59
y,p te: �7-- / / _
(��+er s License or Social Security.: DATE: 07/14/94 TIME: 09:11
1641-48 White—Building:Green—Cod- - lorcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
•� Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Poof & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. •
60. Backwash Lines, P-Trap, ❑ Undrgrnd. I{
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 Roe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing
7-M-III 'wW 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry.Standpipe
28. Lathing & Siding 77. FI4.D SYSTEM FINAL
29. Insulation 78. FIRI-PRE.V. FINAL
30. Drywall Nailing ?9FALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL LECTION
32. Electrical Power Meter-Final 80. FOgb'CERTIFICATE ISSUED
•
33. Final Electric Notes: •
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7`2s.gf �r,�,i/�
48. FINAL PLANNING `�( �N'"'��
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1709 LABRADOR DR UNIT: y CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066311
OWNER'S NAME: NETTEL, JOHN P
ADDRESS: 1709 LABRADOR DR PERMIT NO: E 066311 PLAN CHECK NO: N GOVT: N SUPP : Y
COSTA MESA, CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
714 ) 545-2574
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CHANGE SUB—PANEL SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
PERMITTEE: JOHN NETTEL (714 ) 5457P•2574
ADDRESS: 1709 LABRADOR DR COMMENTS : SUPPLEMENT TO E-66255
C .M. CA 92626 ******"*,**N.x*********irN-acaF+t*** *+r+FFt**itw**+as**+t********** * Ear****-F*xat******+r; AK*:4ry
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CUSS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self.insure or a certificate al Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT I
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN\
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 13918115 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: Applicant: ********************************aE*'*+E**************N"***************************aF
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S100)or less). DEVELOPMENT 'S. £,R V I C E S REQUIREMENTS
I certify that in the performance of the work for which this p it is issued,I shag not employ any person in any manner so as to become
subject to the War ers'Compensation Laws of CaliforniJGC� ZONING APPROVED BY %,— DATE: '
L�f
s.te: 2. er Signature: .Ge-- '
'HTICE:If,aft' making this declaration,you shoal come subject to dialers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: _ �
A /Code.you must forthwith comply with such provi or this permit shall be deemed revoked. .
' CONSTRUCTION LENDING AGENCY: I hereby affirm I t there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: .--. DATE;
which this permit is issued(Section 3097.Civ.C). **********************************4844 • {f.;lle*********************** ;F 11rr�� *,E1
LENDER: ************************************************************************ F******
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 , 50
repair any structure.prior to its issuance.also requires the applicant for such permit to lite a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 al the Business 5 13% SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars MOO). ISSUE FEE 4 . 50
I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044:Business and Professional Code: The Contractors'State License Law TOTALS----> 18 . 50 4 . 50 0 . 00 23 . 00 23 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.II.however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 23 . 00 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 23 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).l am aware ************************************************************************.*.******
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BREAKDOWN
® I am exempt under Section:B P 7 0 4 4 B.&P.C.
lorthis
/es3on:
OWNER—BUILDER �� TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
0 `�" y( ft Owner: ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50
ereby certify that I am aware of and understand the requirements of r. ornia Health and Safety Code Sections 25505,25533,and END OF FEES
534 and that I or any future building occupant wlMvid not(circle one)ne..to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.1 agree to comply with all city and county
ordinances and state laws relating to building construction and eby authorize representatives of this city to enter on the aboveimenhioned
property for into ction purposes, 01 001565.97-00156557 T CIT 23.00
ate 3llfd Signature: �— DATE: 03/04/94 TIME: 11:27
�Btt r'sLicensearSocialSecuritya: •
1641.46 White—Budding:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit#
Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
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 FOOD CERTIFICATE ISSUED
33. Final Electric yl,,4v,z. 1480.
Notes:
34, Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45, Sound Attenuation
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
No. Date
L, p TADDRESS: 1709 LABRADOR DR UT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06625`_
'•4 OWNER'S NAME: NETTEL, JOHN P
ADDRESS: 1709 LABRADOR DR PERMIT NO: E 066255 PLAN CHECK NO: N GOVT : N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
714 ) 545-2574
ARCH/ENGINEER: REG.NO.: JOBDESCRIPTION : CHANGE SUB—PANEL
ADDRESS: UNIT: SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC : /
PERMITTEE: JOHN NETTEL ( 714 ) 545-2574
ADDRESS: 1709 LABRADOR DR COMMENTS : ONLY ELECTRICAL WORK AS DESCRIBED ABOVE
C.M. CA 92626 ********4*******+6*+e******* -**+r**** -**+rtert+e**x-x-*dEr+rdr****+r*********+c*********dr****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R EQU IR EMEN TS
7000)0l Division 3 of the Business and Professions Code.and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS: SETBACK S
Dale: _ Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR : FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 13918115 ZNE: REF NO:
❑ Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. PLANNING NOTES>
>
Date' Applicant: **************************aE****************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be competed if the permit is for one hundred($1W)or less). DEVELOPMENT S E -R V ICES REQUIREMEN TS
I certify that in the performance of the work for which this permit is issued.I shall not employ any perso in a manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: 4 d ni ir 77 you hrug
NOT :u quer making this declaration,you should b e subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
ode.you must forthwith comply with such provision r this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y:
which this permit is issued(Section 3097.Civ.C). DATE :
Ea"
********************** � +FOIE****************************** e**'>f,.F**
LENDER: ****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 1 00
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and me
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 11 . 00 15 . 00 0 . 00 26 . 00 26 . 00 - 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale.If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 26 . 00 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 26 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware *.**.**.*,**,*,{p******.*.**.x,*.x..x.*.1(.*.K-********.**************,******.Y,*********,J(,************* a_
that proof ul their Worker's Compensation insurance should be provided to me. -
® I am exempt under Section;B P 704 4 B.a P.C. IND IV IDUAL F E E BR E AK D O W N
or this reason: OWNER—BUILDERrTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale' 2"r �! Q Owner:
Lou er am aware of and understand the requirements of Calif is Health and Safety Code Sections 25505,25533,and ELE 1 SUB—PANEL 1100 1100
25534 and that I or any future building occupant will/will not(circle one)need t comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby cerlily that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and herb thorize representatives of this city to enter upon the above-mentioned
property tor inspection purposes. "''
Date: 2,,. L'17F Signature: II" 01 00156403-00156403 TOT 26.00
DATE: 03/02/94 TIME: 14:27
0... License or Social Security a:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
Alba
~' CONSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # I Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
r 1
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19, Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd,Storage Tank O 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric '9 t �LS✓� J Notes:
34. Final Heating & Air Conditioning ( .�
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42, Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING - - .
49. Electric Release to Edison
50. Gas Release to Southern California Gas 0
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER MESA VERDE ESTATES DATE 12-9-58
JOB ADDRESS 1709 Labrador Dr. BUILDING PERMIT NO. #81!17
GENERAL CONTRACTOR L. G. Robinson VALUE $ 14,319.00
AP. No. LOT 12 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
GROUP I & J TYPE V ZONE Al PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches 4- Forms L Steel /44S 11-}j
Floor System n
Steel Reinforce Chimney Rc,Rod. 2.--74 - 449' S�
Bond Beam dye--et
Frame and Flashingr r r
Lathing, In Out �i - .5f
Plaster, brown coat gjr--y A- p - 5 Q
Underground soil,44/$ W/G Pipe Test4/s ($.-1L-sr
Top Out yr7-S`r
Furnace Sit.C2 -Jo-SO06 .1N�-et_-('V. py/"S' /7()6 e---- 7
Gas Vents _ t
Rough Plumbing 1:. he 2-1-.)-7 ,r ALAI . L?-'/O -C1' % 6; Gtin,)- N
Cesspool Septic Ta ' \ e
Prop. Swr. Lite- Hous &a. St. Swr. 'L-�2L/ i P�':-- - k.,-,--k— L(p /5-4' 1 5'6&y 0
Sprinkling System
Heating Final 445 y-13.-fl
Plumbing Fixtures, Final N}{-c N-2,3-54
Final Gas Test )3- ,1w c 4^13-59
Construction Pole
Underground Power ,� .,
Rough Wiring T_3 r 1 -f )..111. joy 49 zen'✓ C.r OO•• /-rP-6.-J dd_j�'/ 1 O O-i/-.y.Z.S-f
Fixtures, Final t,.1.1--- )/_#-_/p
OCCUPANCY /11N5 H-13-49 I
Form 210-5M-1-57 /
•
814 wli '
s >U A IAF
COSTA MESA BUILDING DEPARTMENT FlI'�J CE DEPT.
P.O. BOX 317 Clio 07 r7;TA UESA
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDING
DDRESS 1709 Labrador Dr. BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO.
[Ep1�147
OWNER Mesa Verde Estates -((�L
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS 1701 Gisler St. -Y - 111. ra-- -sdAfa-I-s
Costa Mesa TEL. BUILDING
CITY No. Ki 5-1751 ADDRESS
ARCHITECT y♦ LIC. COSTA MESA. CALIFORNIA
OR ENGINEER .R.Shelley NO. G-2170
FIRE
ADDRESS Long Beach Ge 9-0908 ZONE
ZONE NO.OF 1;02.E. GROUP
CONTRACTOR
L.G.Robinson CITY NIOO. 1123 I PLANS - 'TT d-C-)
ADDRESS 1701 Gisler 8t. TIEL: Si. 5-1751 ©PPROVED DATE
LEGAL LOT ']
DESCRIPTION NO. 12 BLOCK TRACT 3115 CORRECTIONS
A.P.NO.
SIZE 70 X 100 NO.OF BLDGS.
OF LOTNOW ON LOT none
USE OF
EXISTING BLDG. /' A
SETBACK LINE FROM
CENTER OF STREET 501 plus REAR YAKS Plus , _
SIDE YARD RIGHT Slplus LEFT 51plus
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR
q,0 r MOVING DEMOLISH
BUILDING NO OF
SIZE 1433 Sq.F't. ROOMS 6 STORIES 1
EXTEOR LL
WAS. ROOF
COVERING OtuCCO COVERING Asphalt & Roc.
USE OF
BUIILDINGEW Residnece & Attached Garage
I HEREBY ACKNOWLEDGE THAT I HAV., READ THIS APPLIC ION AND
STATE THAT THE ABOVE IS CEND AGREE TO OOMP WITH ALL
CITY ORDINANCES •ND ST TE LA REGULATING UUI LDI CONSTRUC-
TION. / o VALUATION
SIGNATURE OF , � rZ PERMIT FEE S j Of
PERMITTEE �V%� P ,04.-9-A-✓
iya��C 6� .PLAN CHECK S 17,
AUTHORIZED AGENT TOTAL FEE S CS7. e 61 4rT
isOWNER 1VS'PTEL, Joan parr, i
JOB ADDRESS 1709 Labrador,Drive BUILDING PERMIT NO. 27135
ENERAL CONTRACTOR Joseph E. Thomas DESCRIPTION OF WORK Enlge.bedrm.& add din.rm.
AP No. 139-181-15 LOT TRACT FIRE ZONE VALUE $ 4,600.00
INSPECTIONS Signature Date GROUP I TYPE V ZONE R-1
Soil I PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House con..0 •
Sprinkling System
Miscellaneous =—
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 ,Power 0
Rough Wiring,--"P / I ��)]]]e Heating and Vent.
Trenches l Forms Steel Reinf. E7' c�7/6 7
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing /(,a}Iq_ 6-v--6.7
Frame and Flashing /N.L •_2E__7
Lathing—In @Q Outs iesid,' 7-6-7
Plaster, Brown Coat /mg 4-,7, Fi
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final e 6 2v-b7 X72 a--
Plumbing, Final and Gas Test 0
Electric, Final flj, bL-(o7
Building, Final /7Ip 5,.&',LI
w1
r PAID
o�,J JUN -1-67a-1s-400 119" ***,27.00
- COSTA-n1E5A BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02026
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
sulLnlNo �•�jT�I / RA-
nP—
For Office Use Only
ADDRESS /D, 9 H.A13/L4pb
RECEIPT NO. [y1 i
COSTA MESA. CALIFORNIA ---- l/
11
RECEIVED MY DATE RECEIVED TE ISSUEDSS
OWNERJm1,iJ 'f '�'e. C. t 6 —/-4 .`-- 67
MAILq I ADORBUILDE
' r�/ I / ! _jL1a )
ADDRESS It?D 1 LA IA)Z p D�/L T
/� TEL FIRE ..
CITY -M t NO. ZONE TYPE GROUP `or
APPROVEDie
til -‘-7
ARCHITECT TEL BY' // /l/ DATE /
OR ENGINEER NO.
ZONING
ADDRESCONTRAG I / ZONEgn/ PL PLANS o USE OF N �t�
CONTRA�1'OR Sit i,e}r1,. E TA a,I'in As- ZONX2(
TI— gel I Eu1LDINai
ADDRESS I � 7 !' to I�5.I c n- / LEDAL 1 1 1 i� rY I
LEGARImoNLLd? ,�
CRY /OS In 1 P e. /' A.P.NO. 1 9� IO1 '— i5 IS
NOSTATE e ry y / Ol. 4-49_4.,J�/ - 3OT TO SIDE&REAR P E: NO EAVES OVERHANG SHALL Be LESS THAN
LIC.NO. I i4I ) 7 / !
OF LOT /�/ / l / l NO.OF BLI)GE. EAVES
ALLOWED (U.B.C.REQUIREMENT/
7V /4 104 Xp2 4_N°W ON LOT
1 YARDS APPROVED YARDS APPROVED
USE OF p MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. /%US ` I( �7A2-
„I (FROM C/^L STREET/ ♦ ,..}�
SETBACK LINE FROM �9_/ FRONT O•SPT, A. rrACI4-EA FT.
CENTER OF STREET REAR YAR r • . ce!�
i R.SID; J 7.s _ PT.
SIDS TARO LEFT C i RIGHT s
DESCRIPTION OP WORK L.SDR X {
7{.4 PT. it jam PT.
NEW ALTERATION ADDITION X REAR "•5PT' IT PT'
DISTANCE BET. BET.MAIN G
MAIN BLDGS. ACCESS.SLOGS.
REPAIR - MOVING _ DEMOLISH
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES / C.V.P.# APPROVED
EXTERIOR WALL tree el ROOF R p�COVERING C..nts 1.-4.0 COVERINGn[+.�C/T� APPROVED w�' /' / �/
USE OF BUILDINGIAND WORK TO BEPERFORMED
0.
�- !T .LA 'j DATE 4` - �- f7 /
�T�l�I.-A2Aa [7ed/�AnYLz O
V 1 h i !./ ��O Nom• /-v•thy_
`3WO SU.PT. wl
I HEREBY ACKNOWLEDGE[THAT" HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9
AND STATE THAT [ ABOVE.IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WI CITY ORDINANCES AND STATS WS REGULATING VALUATION
BUILDING Co UCTION. /�.�
\\ PERMIT FEE $
BIGNATUHCe
PBRMITTBF ` �T•v/P"'r- /�/q�� 9 �J�
• .54 Y /`� PLAN CHECK S / • CO w
AUTNORI AGENT CCCJJJV� a70V
TOTAL FEE S