HomeMy WebLinkAbout2829 LEMON ST - Building Permits 1' . CITY OF COSTA MESA •
4.411W.
/, 4 BUILDING DIVISION
�; PERMIT NUMBER
DEVELOPMENT SERVICES DEPARTMENT
PERMIT /
B99-00756
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
• BUILDING PERMIT
•
Job Address: 2829 LEMON ST Status: ISSUED
Suite: Applied: 05/27/1999
Vicinity: Issued: 05/27/1999
Parcel Nunmber: 13930108 Zoning: R3 R3
ISSUED BY: CL—n
Applicant: HARDIN, DAVID
Address: 6305 N SMITH AV _
/ Phone: 909-371-2799 . '
MIRA LOMA,CA, ,',' '/ - Zip: 91752
/
Owner: SHELTON,-CALVIN-S TR • /
./M 7 , - :` ��A
Address 2829'LEON ST#A
//COSTA MESA,:CA - Zip: 92626 _ v`5 �A
\iN
dress //% % \ \`\
/ 7 /'-, /;/:ii Phone: � 'S,\.: 'J
hi,/ Zip: % r/ License -•
r /Arch : - ' Eng: - /•'� - ,
/-'Address: -� - Address: - , , -
, ,,,,•/ / / /Phone: Phone: ` 1
7\/ \ ,w', c-,
\ I
, 4 (Zip if '1; , , License: Zip: License; ' '' )
• v: Y �/ A ' i, .. -�l
��, / /� - SCOPE OF PERMIT -, '`\ 1
Y /CONSTRUCT A 198 SF OPEN LATTICE PATIO COVER ON LEFT SIDE OF PROPERTY(LATTICE-COVERED): : / , ``
.. / \'
•
)� FEE SUMMARY ` =r i 'rAll
lk Plan Checls:.� $56.71 _ •_ , /'., Calc Valuation: /;', -- $3,191.76 I
Permit: , , $87.25 — . . - ' Claim Valuation: ,,,, I. so,®'
1 ' SMIP Res: _ • ' $0.50 -
'SMIPCorn: • $0.00
Other � � '$0.00
'Inspection:, \ .v$ 0.00 /
- ,, '
/ , ,
`Total: $114.46 • 0/
. V\-v�. • �,'•-, ---•-``' . ;'PLANNING'S ZONING', ,,�,,- -'7/
SETBACKS ✓%
MAIN STRUCTURE,F,ront 20-0 : ' Rear` 101-0 ' Left 5-0 Right 0-0, /
/
�' - - / ,//,
ACCESSORY FionR 0-0 Rear, 0-0 Left 0-0 - Right - 0-0 ; /
PARKING Existiriq:/ -0 Required:- 0 - Proposed: 0 -/
-
NOTES: -
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:-�"1- _ - ' '
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed it the permit Is valued at one hundred dollars($100)-or less.) '- -
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class/I
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
. ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: ' ' Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The co ctors L cense Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuaht th a Contractors License Laws.).
❑ I am�xIem ud Business and Professions Code for this reason:
Signature: Y . ` w/
/_ Expires: ' q
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 N
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication ap�ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above escri d roperty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
• Signature Of Legal Owner(s)5 Date
And/Or Authorized ApplicanttS • 27Date
CODE I, INSPECTION TYPE RALE ' U'RTIAL5 ' " 'CODED INSPECTION TYPE - LATE INITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
•
200 Final Re-Roof • 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign - 222 Final Site / /
204 Final Demolition 250 Final Building/Occupancy y_4-`L Y �
2446-46
•
NOTE: SHOW AND DIMENSION PROPOSED Tp
PATIO COVER AND YARD AREAS 1'aZLvZ"o"PROVED
CITY OF COSTA MESA
,,II,, PLAMIING DIV / SEE DETAILS ON REVERSE SIDE
It
SUBJECT TO 3LDG.,f�F.t -REG.
• BY `��422 QATE\ S��alq•
. •••.. `ROOF SHEATHING
135�1607S7o {
ryt1.ws N OF BUILDING SAFETY „�� r
ITY OF COSTA MESA OVERHANG
•
APPROVED 1 \
\ Date (_--�I \ .Z X �O RAFTERS •••,,,,"`•••�„�,• ,'
B �\, AT�O.C. �
Y r bat ail limes and it is unlavrul k
This seh:f plans Wiped tions MUS,be Rcpt on this p j-_^t. ., r,f.':u of&Min;
,nG attOfalr 0.n5an1¢'i^- • .. - / N \ �X� BEAM
makeanecharm tettel _001 !o •
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and Sate!,City c I Costa Mast. _ SyY,ULNp beheWlopermital0 be an ppm w \ T-STRAP EA. SIDE
of t e violation
of tis p r ' ^ of any City of Costa Mesa Ordinance xndlor S Mc . \ FOR POST- BEAM g
ofthev�!a:ionalan'pf0'`'” nulandvorcldiheh (dngy CONNECTION. 0 .O
These plots rd pen ril snap¢rpire e a da ::e and he dl Within 180 days of NBuxtw¢. o \ a v
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work a not car fenced and max�txlned rve per U6G§0 I- w a w
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ZD CONSTRUCTION PIERS 12" SOJA o
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STREET I9 AOOITIO$$D i.E � j ONS SHALL
• BE APPROVED BY Ti' FL^-,f ilf DIVISION
� � � n PLOT PLAN CONSTRUCTION DETAILS
20Dn.ROOF CONNECTION DEVELOPI•1ENf •
•
DETAILS • _. SERVICES DEPARTMENTPATIO • COVER
BUILDING SAFETY DIVISION TYP. • PLANS
CONT. SOLID BLOCK '
LEDGER •
lal RAFTER • CANNER:. • DATE :
• ADDRESS: PHONE:
I/2" WA. x 5" LAG SCR. CONTRACTOR: • ' " LIC. NO.
AT 32" 0.C. •
ADDRESS: • L.+.1.. . - .•. . . PHONE:
•
• DETAIL I RAFTERS _ RAFTERS APPROVED FOR
• CARPORT, PORCH OR PATIO LIGHTWEIGHT ROOF COVER OF - _- . BUILDING PERMIT
' NOT SUPPORTING CEILING ., LATH'`FIBERGLASS,ALUM, -
By - ' Date:
SIZE SPACING SPAN SIZE SPACING SPAN ' " "
CR a CL "TECO" 2"x4" 12"0.C. 9'-6" .21x4" •_ 16 .O.C. !9'-6 .
•
GRIPS OR JOIST 16" 8' -O" • 24 - 8'-0" NERAL .NOTES:,
•••• HANGER 24" 6'-6" ,• ' .r :32• ". - •'•'a:6' -6" 1_ These plans must be
CONT. ,�-` 32" 6'-0" 48"' kept on'the,;job at
LEDGER .1 48" ' ,- all' tlme•'during
5' -0"
--6' 2 x6 16" 14'-6
2, x6' 12" 16 6 2 24 14 6" construction.
16" 14' -6" . 32" 12' -0" 2. Al]. framing to be
' - " ' _ " Douglas Fir N4 2
�' DIA. 5" 24" 12' -0" 48" 10 0
AT O.C. LAG SCR. 10' - „ „ 24" '_ „ grade minimum.
AT Ib . . 32" , 8 0 2 x8 19 0 3. Rafters may not
48" 8' -0" 32" 15'-6" attach to facia ex_
DETAIL 2 2"x8' 24" 15' -6" 48" 13'-6"
32" 13'-6" ceps for 1016roofs
48" 11 '-6" as shown on details;
IOIsOR LIGHT WEIGHT ROOFS 4"x6" 24" 17' -0" HEADERS 2O1bsroofs must use
ONLY CONNECTION DETAILS 32" 15'-0" a continuous ledger
LICHT WEIGHT ROOF OtL.Y
36" 14'-0" attached as shown
2" x FACIA-MIN. REO. 4"x8" 24" 21' -0" SIZE POST SPACING on details #1242.
32" 19'-0" 4x4 6' -0" . 4. Light weight roofs
0� • 36" 18' -O" 4x6 91 -0" may attach to facia
i . 48" 16'-0" • 4x8 121 -0" for 14' span max. ,
*Mg 416 RAFTER 4"xL0" • 32" 22'_O" 4x10 15' -0" spans over 14' must .
Ilir 36'; 21 '-0" CARPORT, PORCH OR PATIO , use a continuous
,. APP,ROVED ,METAL 48° ledger as shown in' •20' -0" SIZE . POST SPACING detail 1i3.
HnNGER ,., 72" _17'-0" 4x4 5' -0"
4x6 8'-0" IR.
DETAIL 3 4x8 10'-0"
• 4x10 12' -6" MOM
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This a- of plans sped! • ons MUST:-kept on this job at all times and il is unlawful to
, make any changes r alteration r,ammo:it oi wrten cermission from the Di4ision al Bulking
' !I end SOOty,City of osta Masi , i -
. me sthroping ot s plan and Specil icationsISHALL NOT,beheld to permit or he an appmvat
of thelviolation o any provisions of any City of Costa Mesa Ordinance Indlor State law.
, - 4 . 1
r 4 I • ' lase plans and tot shaAwite by Illation and become null and void if the building or
work is riot commenced and maintained active per‘114t,C§303(d)within-180),s of isSUailCS.
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DECLARATION OF AUTHORITY Bldg. Permit #
FOR AGENTS OF PROPERTY OWNER This Permit #
TO APPLY FOR PERMITS
c49 4ENIoRc
Strreet Address AP Number
1. I (we), - , declare that I am the Owner of Title
of the above referenced real property, and that I (we) hereby authorize:
•
G.J1 A 1-1 v (7oy ) 3-7 / - 27
Name Telephone No.
6 3 o aU . to t 71-h 4V
Street Address
Lo 11- C /F/ 7 S,9,
City State ..� Zip
to obtain permits in my behalf, as owner/builder, for( -01 /TJ/l y2#..4 -�df
at the above referenced property. a
2. Should any person become an employee engaged in the improvement of the property, I (we) shall im-
mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties as a result of work authorized
' by the permits from the City of Costa Mesa.
5. I declare under the penaltygqalof perjury that the foregoing is true and correct.
Executed this ;c / - day of `7i?CLt/ 19 77 , at11-• , California.
� o/5 f-/t{-RPEf?- SHELL-ow '7iCiz/ ? 7 /9?9
Printed Name Date
/Y
Signature
NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides
for limited power of attorney to secure this permit in any behalf.
Nfd ARIZ E U •
0779-46(Rev.2/91) {/
t
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. `•
--
INO. UNIT NO.PERM O TRACT NO. LOT . .5599 .2/23/90 54.50 TL
-CITY OF COSTA MESA . CONSTRUCTION PERMIT " .3c;.0 TRACT •
Project Address
IQSa.9 LeApN C�
TYPE OF CONSTRUCTION - 1111NEW U ADD U ALTERATION REPAIR •
Applicant's Mailing Address
Phone
L-615 HARPER 5V /7J.3 117 CONVERSION CI DEMOLISH ❑ OTHER i A p # _ _ I Zone
Owner's Name "r �t DESCRIPTION OFWORK/ SE OF BLDG. .hrO 1 WIOC:K Rorf '
Address t A. APP1- Fr. -ELT G ••L _ A A i r J• _ _ & Go:5 S Main Building: Accessory Building: •
Arch/Eng. • License No. TYPE OF PERMIT MI.GRADING a FOUNDATION U STRUCTURAL T Front ZO'
Address ❑ TENANT. ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear' • N
( qq •
U OTHER- ' - _ _ 1 - ,A . 1
Contractor's Name>J DIiNSONS �(Y'1Fl AI t.. Phone f7 I�79/1 - .c Right - ' N•
�7 ) 1 PROJECT DESCRIPTION '6flrPT. ' GI CI ¶ IARF OCCUPANCY
Address mailing) 'a3A { SERF L-IV� SAA[i11 AMA G;27Q6
..�� ��j( CONSTRUCTION TYPE VALUATION $a-�7.r].CYO s Left G
T R
City License No. • ZONE GRADING GU.YDS. ACRES Ping. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION - Q
• I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and - '
my license is in f II force and effect.• [[5 S
License las �' `A Lic- - 0. 1 i •855
Date — _ b Signature Sd n 4 • t. .L.+!..U. • - PLUMBING ' FEES - .
WORKERS'COMPENSATION DECLARATION Bar Sink Showers •
• I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW ,
Policy No. Company Backflow Irrigation Sewer Cap' - • 'Construction Pole Sub. 0 50+ KW
.8 Certified copy is hereby furnished. '
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps
Date . Applicant -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - • Dishwasher Meter Dover 100 amps ,
(This section need not be completed if the permit is for one hundred ($100) or ,
less). Dishwasher Solar Piping - Dryers ❑Gas, DElectricSub Panel ' '
I certify that in the performance of the work r which this ermit is Issued, I '
shall not employ any person in any mann ey sb as to bec e s bject to the Drinking Fountains Solar Tank Fan •
Motors 00-1 HP 01'/:-6
' Workers'.Gon pap Laws of California/ / /
' Date tel' it lT -15 Signature 71/' Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 015-15+
NOTICE: If,after making this declaration,ybu should be •me subject to the .
Workers' Compensation provisions of the Labor Code, y u must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets ' Water Closet Device Boxes . • Pole Light '
I hereby affirm that there is a construction lending agency for the performance . -
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 'Outlets Range ••
• Lender's Name 2 -
Lenders Address Kitchen Sink - Water Service - ,Switches Sigh
OWNER'BUILDER,DECLARATION -
I hereby affirm that;l'am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or — --.-- • _ _
county which requires a permit to construct,alter,improve,demolish or repair P-2-rap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
' 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 ofRoof Drains
the Contractor's License-Law(Chapter 9 (co'mmencing with Section 7000)of •
Division 3 of the Business and Professions Code) or that he/she is exempt •
therefrom and the basis for the alleged exemption. Any violation of Section .
7031.5 by any applicant for a permit subjects the applicant to a civil
• penalty of not more than five hundred dollars ($500). , - C $ 3 -
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee -
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee - $.3 •
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - - -. . -
' License Law does not apply to an owner of a property who-builds or improves -
thereon, and who does such work himself/herself or through his or her own • - ■ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided,that such improvements are not intended or offered for Boiler -
_ sale. If, however, thbuilding or Improvement is sold within one year of com- - ype ■ Zoning Approved By Date
pletion, the owner will have'the burden of proving he/she did not build or im- Duct- Under Ground /1 Date
prove for the purpose of sale). Building Approved By- (,(n}l/ � 1 .
,
0 I, as owner of the property,am exclusively contracting with licensed con- , Duct-Structural •- Application Issued By Date et 6(J
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00 00,000 BEI100,000 • SU 49.RY O^F FEES .� • '
builds or improves thereon,'.and who contracts for such projects with a con- ]• OU SMTP $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 BUILDING PERMIT $ _ -
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ - PERMIT
, 0 1 am exempt under Section -- -B.& P.C.for this reason — Firepl/Fact.Blt. ICBG# - e • PLUMBING $ ISSUANCE $ — •
Date owner - Heating System e • ENERGY P.C. $ —
PLAN CHECK 25% $
I hereby certify.that I have read this application and state•that the above IIu .?s1fluliu.n&cs1.IanI
ELECTRICAL $ GRADING $
information is cor ect. I agree to comply with all city and county ordinances
•
and state laws - sting to-buil.'.g construction, and hereby authorize repre- PLAN CHECK 50%_ $ MICROFILM $
sentatives of • is city to e. upon the above-mentioned property for //:SO
inspection pur.o e. I� ! q?�C%O - 7
Signature /vA..c / t. Date Gi 0X7 00 MECHANICAL $ TOTAL FEE $ S
, Drivers' License or•SS# - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
��- POOL&SPA
CONSTRUCTION AND,P.LANNING -
APPROVALS ' 'Permi# Date Inspector APPROVALS Permit Date Inspector
ri '
1: Temporary Electrical:Secvice 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 1.' - 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Und?Jrnd-, 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System' 61. APPROVAL TO DECK
11. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
4'.
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 OGas 0Oil'
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 '1.
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED rY'
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 - rygo47. FINAL STRUCTURE & BUILDING Lys/-
8dC'J •
48. Special Requirements Completed -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date i
A00P OF BN°P G` 2829 LEMON ST "M` B CITY OF COSTA MESA - BUILDING PERMIT
ONNERs NAME IF IWOWN: BROWN HICOMB FLOOD: AE-46 PERM NO: P 08435E
ADDREss: 2829 LEMON ST #B
PERMIT NO: P 084356 PLAN CHECK NO: N GOVT: N SUPP: N
"pp`'MARINO ADDRESS:
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : WATER HEATER CHANGE OUT SQ FT:
ARMOR ENG'S ADDRESS: fliT:
CLAIM VALUE: CALL-VALUE: GROUP OCC: R-3 /
CONTRACTORSN*1E: NOCK PLUMBING ( 714 ) 895-1246
CONTRACTORS NAILING 11612 KNOTT ST COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
ADDRESS: GARDEN GROVE CA min' 707775 ***************it*+t*********+e****et*********St**at**********grit****at*******et**+t*****
92841 on 17 Z ON ING R E Q U IR EMENT S
LICENSED CONTRACTORS DECLARATION:I hereby efim under penally of perjury that I am licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 of the Business mid Professions Code,and my license is in full force end effect.
C Ile C.NO.: LIQ CLASS: LIC.NO.:
050 8 C 36 . n 70'}77 . EXP: 02/98 MAIN BUILDING ACCESSORY BUILDING
cera: 5i 2� Ci «trea«: N� (�� C U/YIC3)A -. FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
7 cLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
.V\141:1/BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,
demolish.or repair any structure:prior to as issuance.also requires the applicantfor such permit to Al a signedsllemenl that he«she PARKING REQ: PROV: PARCEL: 13954305 ZNE: REF NO:
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>
Business and Professions Codel or that he or she is exempt therefrom and the basis for the alleged exemption.My viola on of Section >
7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more than Uwe hundred dollen 15500]).
❑ I,mowner clue prmpany«my employees with wages as their sole compensation,will do the wok.and the elmduroernd intended *******************************************************************************
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not applyto an owner o EVELproperly DE V E L OPMENT S ER VICES REQUIREMENTS
who bolds or improves thereon, such and who does work himself or herself or through his or employees, ch
her own provided that such
improvements are not intended or offered for sale.If.however.the building or improvement S sold within one year Of completion,the
owner-builder will de
have the burn of proving he or eche did not build or of improve for the purposesale). ZONING APPROVED BY DATE:
❑ I,as owner of the property,am exclusive&contracting with licensed contractors to construct the project(Section 7044,Business and r
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: •
contracts f« contractor(s)such projects with a licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.&P.C..fothis reason: APPLICATION ISSUED BY: DATE: '��
b-4
Dale: Owner ************************************************ •*********** *
I do hereby certty that I am aware of and understand the requirements of Ceffoma Health and Safety Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMAR STRUCTURAL S E e MEN T: N
25534,and then or any future building occupant will/will riot(circle one)need to comply with said stale codes end the requirements for
a permit focorabwan o modification from tle"-45M�iyTanagement District.Residential cprmnwonappipatona are exempt horn these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 11 . 00
Date: Applicant 25% SMIP/NON-RES •
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarati ns: PLAN
o Ihave and nil mantanacertiicateofosvmttoselfinsure for workerscompensation.asprwof
provided for ISSUE FEE 22 . 00
Coda,fothe perfonnanceof the work for which this pemaisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and wil maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 11 . 00 22 . 00 0. 00 33 . 00 33 . 00 . 00
1( work for which this permit is issued.My workers'compensation insurance ismer end policy number are:
Oa1"n COLDEN £ FLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 33 . 00 OVER/SHORT: .00
Policy Number NWC' 3211 ".101 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the panne is for one hundred dollars(5100/or ass.) 33 . 00
❑ I certify that in the performance of the work foe which this pent Is issued,I shall nor employ any person in any manner so as to
become subject to the workers' pensafon laws d California,and agree that if Id become subject to the workers' *******************************************************************************
•rnpansation. ...ion.. :.:r•. 3700 o the Labor Cade,I shall I h campy /hoe
„ate: 1 Applicant: c INDIVIDUAL F E E BREAKDOWN
a g:Callum tosecure waiter'compensation coverage Is unlawful,andslW/subject an employer to ctrl ft..a.m. ^-•—r�- QTY DESCRIPTIO N UNIT COSTTOTAL COST
fines up to one hundred thousand dollars(5104000),In addition to the cost of compensation,damegse as worded ler In
Section 3706 of the Labor Code,Intemu.
4 and attorney's fan
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00
performance of the work for which this penmf is issued(Section 3097,Civ.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS: R
•
Ind stathisIs rversndbthis epn constrndsentheeeabwaiaoepes is of I this
att oomptuwith an fayendcount'eddirorerty EXPIRED
and styeassave relatingtocoionrandsedherebybovei¢enpreeemetirreof thiectytoemerupon the yard countyordinances
i
for inspection purposes.
RON I• K
88-25-1997/18:02 AM/933,00
DATE 3. 11-Cit R :T2ea. �— Date: FeIT0b43;6
sienyaraao/�� �
(5151-45.WP) White-Buldig&Safety:Green-Ale:Canary-Appicem: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. i' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms : "
4. Electrical Conduit-Undrgrnd. .�,. 55. Electrical Bonding - s
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test T.
6. Electrical UF 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,0 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 . - - .�
inI 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 t
17. Rough Wiring Sign Irl - .. 68. APPROVED FOR PLASTERING • _ I
18. Rough Electrical-T Bar Ceiling - ' '69: POOL/SPA SYSTEMS FINAL �" •
19. Rough Heating & Air Conditioning -" ` -FIRE DEPT. REQUIREMENT •
20. Rough Factory'Fireplace . - APPROVALS Pefmit#
21. Ducts,in Structure . • - 70. Underground Hydro '
22. Ducts, Ventilating • - .i 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 l 78. FIRE PREV. FINAL
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT
•
31. Plaster Brown Coat - 79. FINAL INSPECTION •
32. Electrical Power Meter-Final '80.'FOOD CERTIFICATE ISSUED
33. Final Electric - Notes: . - - _-
34. Final Heating & Air Conditioning•-• _ . ' -4
35. Final Gas Pipe-Test ' ;. -
•36. Hood or Canopy . . - - : - ' -
37. Final Factory Fireplace ' .
t•.
38. Final Plumbing - . - `
J
39. Water Service-Final ' -
40. Gas Service-Final .. _ -I- .
41. Solar Domestic-Final
42. Backflow Preventer -
43. Backflow Irrigation ;
44. Landscape Irrigation System 1 - -
45. Sound Atten anon •
46. Handicap Regulation's .
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
•
T _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ __ _
• PE T NR - TRACT`NO. LOT NO. UNIT NO. l • -,-
CITY of COSTA MESA CONSTRUCTION PERMIT ` of 7 /?9, 3D59 2/27/87 •• 5.00 TI
1 Project eddress .aW� Tm./r I �REPAI R
• _ r ��L1 TYPE OF CONSTRUCTION LI NEW IJ ADD LI ALTERATION I
Applicant's Mailing Addre55 : - -1.�� '��� ❑'CONVERSION In ❑ OTHER • ( I l
L 5 A.P. - - . . .. .Zone.
owner's Name '- - -
•V1 Phone z DESCRIPTION OF WORK/USE OF BLDG. + '
' Address • � e% � 'S Main Building: . � Accessory Building:
E Z
i Arch/Eng. ' License No. • TYPE OF'PERMIT ' ❑'GRADING LJ/FOUNDATION ❑ STRUCTURAL 'T Front 0
I Address •
' ❑TENANT ❑ ELECT •RICAL' ®/PLUMBING ❑ MECHANICAL .B Rear ' - • • N
1.,'.' . II 4 I P one fff I•
❑OTHER .A •, t . I
Contractor's Nam- h _ - - - - - - - . -
•
n ,y1 ' 1 j U 7., A'7, PROJECT DESCRIPTION 5G.'FT. I OCCUPANCY ! C Right _ • i G
• Address(mailing) •• f�1 L t-? L!1 yT �� •t'V - K Left . G
1 ,2/1'13 j i CONSTRUCTION TYPE • VALUATIONS $ R
City License No. VVV ! ZONE- GRADING CU.YDS. ACRES +
LICENSED CONTRACTOR DECLARATION - . . Ping..R¢f.# Parking Req,/Provided , 9�s�7 E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I . , `1 F E8 9 QQ,•• Q
Planning Notes: ` (� DA
T
with section 7000) of Division 3-of the Business and Professions Code,and - .s V V ED -
my license is in ful • - and effect. - - RETE T
�� S
-t
License- C� •.J r ice e o. • _ _
-A\K��)r Date I 1'it� Signature ri IVIIII /.G .it PLUMBING
WORKERS' COMPENSATION DECLARATION I I Bar ink Showers -
I hereby affirm that I have a certificate of consent to self-insure or a certificate - t ELECTRICAL • ' FEES
I of Workers' Compensation Insurance,'or a certified copy thereof (Section - - . , _ _. -
-
+ Backflow Preventer I Service Sink
NI 3800, Lab. �+I) 2/' Automatic Washer Transformer 0 15-50 KW
l Policy No. III WTI—5 i - Company r,5 � O ' Backflow Irrigation - . Sewer Cap' 4 , . Construction Pole Sub' '❑ 50+ KW r
fR rtified copy I5 hereby furnished. + - -
�'Cer tied copy is filed with the city ll kionf Bathtubs , Sewer Connection Cooking Unit • - Meter ❑up to 100 amps • ••' I .
Date ys-5(�•i'J Applicant d t r/PU{/r > •
, •
EXEMPTION FROM WORKERS'CO PENSATIO v(ECLARATION• Clarifiers ' - Solar Collectors; ' Dishwasher Meter Dover 100.amps _ j
(This section need not be completed if the permit Is for one hundred($100)or — - _ -
less). ' Dishwasher _ Solar Piping ' _ •_ Dryers '❑Gas I❑Electric • Sub Panel r ' ' ' . . 1
I certify that in the performance of the work for which this permit is Issued, I - - 4 '
shall not employ any person in any manner so as to,become subject to the Drinking Fountains • Solar Tank - , Fan •
'
Motors ❑0-1 HP;❑1 X,8
Workers' Compensation Laws of California. r - - , •
Date Signature • • Floor Drains I I Swimming Pool w/Spa l F_A.U. ' ' -
NOTICE:_If,after making this declaration,you should-become subject-to the - -. Inc.Inc,SOlar.❑B-15 HPI❑16-15+, �, _
• Workers' Compensation provisions of the Labor Code, you must forthwith ' Floor Sinks Urinal - •
comply with such provisions or this permit Shall be deemed revoked. - - Fixtures j Microwave
CONSTRUCTION LENDING AGENCY Gas Service ' Outlets , • Water Closet ' !
I hereby affirm that there is a construction lending-agency for the performance 1 Device BOI(e$ Pole Light' 1 I +
of the work: for which this permit) is issued (Section 3097 Civ. C.) Interceptors ' Water Heater Outlets . Range I
Lender's Name _ '
Lender's Address.. • - -- .- Kitchen Sink . , - - , Water Service - --— - - Switches-'' -I "- ' - •
OWNER BUILDER DECLARATION
, I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories , Auto-Wash Garbage Disposal I '
9 P I Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or -• !
' county which requires a permit to construct,alter,improve,demolish or repair I
P P—Trap Laundry Trays Generator.❑0-5 KW ❑5d5 KW !
any structure d statement
r to its issuance, also requires the applicant for such permit Trash Compactor , c..2•:-
to file a signed stathat he/she Is licensed pursuant to the provisions of ROOF Drains '
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of - •
Division-3 of'the-Business and- Professions•Code) or'that he/she.is exempt —• -
therefrom and the basis for the alleged exemption. Any violation o45ectionl • ' I
7031.5 by any applicant for a permit subjects the applicant to a civil
g2nalty of not more than tive.hundred dollars($500). I i
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee 4 $15 •• Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered - • - Reinspection Fee I $15 I Issue Fee ' ' I 1 : $ 3 i
for sale (Section 7044, Business,and Professional Code: The•Contractor's 1 - MECHANICAL •
License Law does not apply to an owner of a property who builds or improves - FEES'
thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: ' . • -
employees, provided that such improvements are not intended or offered for Boiler • - Hood Or Type! ❑ . ,
sale.'If, however,the building or improvement Is sold within one year of com- " — - CanopyType II 0 Zoning Approved By Date ^-
• pletion, the owner will have the burden of proving he/she did not build or im- ' Duct-Under Ground '
' ' - ,• . ' '-
I prove for the purpose of sale). 1 hh i , Building Approved,By - n I Date `Lp.
❑'I,as owner of the property, am'exclusively contracting with,licensed con- • Duct-Structural • Refrigeration System Application Issued By - . ✓ f Dat: MEM
tractors to construct the project (Section 7044,Business and Professions Code: - -
The,Contractor's License'Law does not apply-to an owner of property who Duct-Ventilating ' ❑0-100,000 BTU ❑100,000 BTU _ - SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- _ - _
tractor(s)'license pursuant to the Contractor.'s License La.w). I am aware that Exhaust System 0 •Multiple 0 System Repair/Alteration - I BUILDING PERMIT $ SMTP' '$.�
Proof off their Worker's Compensation. insurance should-be provided to me. '- - PLAN CHECK ,$ PERMIT- ; l�i •
❑'I am exempt under.Section _ B.& P.C.for this reason. Firepl/Fact Blt. ICBO# Fire Dampers I s,��' ISSUANCE $ (+��'t -
Date • • Owner ' ' - HeatingS stem'&Ducting Registers - _ I • PLUMBING - $
y g g i PLAN CHECK 25% $ . `ENERGY P.C. $:
I hereby certify that I have read this application and state that'Ole above - 0o-100,000 BTU ❑100,000BT . _ I GRADING ' $'- - a
information is correct. 1 agree to comply-with all city and county ordinances - - - - . ELECTRICAL - $ - I _
and,state laws relating to building construction,and hereby authorize repre- - - , - PLAN CHECK 50% ,$ ' MICROFILM :5-
sentatives of this city to,_ : ter upon the above-mentioned-property for - , fOO,
inspection po - I TOTAL FEE $;_ ! — '
�' j l •
7 d „��r�7 , _ MECHANICAL $
Signature A // - laI
Reinspection Fee' $15 Issue Fee •$ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
' CONSTRUCTION AND PLANNING . POOL&SPA
'APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector
1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms i '^a
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.i .
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 i 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) & Monocoat75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT - .
31. Plaster Brown Coat 79. FINAL INSPECTION -
• 32: Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes:giaefi7 C'qraL As pa . 0.1
u.ft. Lso
34. Final Heating & Air Conditioning 17'IGOmajor ttiFb2.rvM7On
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 Preventet
43. Backflow Irrigation -
44. Landscape Irrigation System - •
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING •
48. Special Requirements Completed •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - • . '
-
51. CERTIFICATE OF OCCUPANCY
No. Date -
• ,,1; - ,_� �,ai FEE REGlivtU
_ I (, _c<<
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. ° :-
P.O. BOX 317
COSTA MESA, CALIFORNIA CITY OF COSTA MESA
4
FOR APPLICANT TO FILL IN � APPLICATION FOR PERMIT
ABUDDRESS2ILDING 29 LEmoM c ,- �' BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
Kenkol Investment Co.CRECEIPT NO. PERMIT NO.
OWNER et//-91
ADDRESSMAIL .
1555 Placentia RECEIVED BY DATERECEIVED DATE SUED
Y �a �• /
Newport Beach TEM 6-3227 BUILDING
CITY NO. ADDRESS
I
ORCHGECE LIC.
OR ENGINEER C.
COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
`.l CITY LIC.
ZONE ,[,� PLANS TYPE �/ GROUP
CONTRACTOR K. !:• Koll NO4316 ,�\ �/ c /
1555 Placentia TEL. MI 6-322 APPROVED -
ADDRESS NO. BY .7 / DATE L C
LEGAL LOT a Kyr �T., CORRECTIONS �/
DESCRIPTION NO. /V BLOCK.E TRF[a irvie
A.P. NO. 11 ._ S' O 5 SIZE NO.OF
(\/ / ..
OF LOT 50 x 143 NOW ON LOTS O 1 X i IL l({1 I
USE OF F✓�
EXISTING BLDG.-
----,a , I' �-
SETBACKNTELINESFROM 7� • 1 y '
CENTER OF STREET EAR YARD
SIDE YARD • RIGHT I I LEFT I +4'
DESCRIPTION OF WORK
NEW A ALTERATION ADDITION
REPAIR //! MOVINGIDEMOLISH
BUILDING D /�1�f LA NO.OF ROOMS �� STORIES Z
SIZE (/V T
EXTERIOR WALL , ROOF
COVERING LG COVERING 1
l/ L
BUILDINGUSE OF •
EW TEI�L Cx t 4 o i -
I •
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION
SIGNATU' F PERMIT FEE S 6
PERMITfil
(II 4
-"_P,.
/ PLAN CHECK $ Oq
3d --',
AUTHORI D AGENT / _TOTAL FEES 67 — yBNE
� _` e FEE Yll�nl F16.®
COSTA MESA BUILDING-SAFETY DEPARTMENT ' -e-LH /_(c _6Q
• P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
FOR APPLICANT TO FILL IN COMPLETELY APP(MTLICATION)EOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 2829 Lemon Street
ADDRESS
COSTA MESA,-CALIFORNIA fOR Off/CE USE ONLY
RECEIPT NO. I1 MIT.NOO?
OWNER Kenkol Investment Co. 'V
MAIL REC VED BY DATE RE EIVED TE ISSUED
ADDRESS 1555 Placentia Wify a 1965,
�c7' /—fo�6o
CITY Newport Beach ELM1dWay BUILDING p� ry C'
6-3227 ADDRESS �/ T r2 _42-
ijyj[�Y✓
ARCHITECT -. LCOSTAOMESA, CALIFORNIA
OR ENGINEERNO./ /,�
ADDRESS " (0.I(i9r ZONE TYPE GROUP/
CONTRACTOR K.W. K011 LICT STATE
431f> APPROVED 1741-5ATE
/ �
BY 444///JJJ VVADDRESS . ...
1555 Placentia ING
LEGAL LOT airy iew—ZONE NO.OF / USE OF NEW`QwV .
Dp o )7 PLANS BUILDING ., / .
EBCRIPTIOH NO. (� BLOCK E TRACT y�//I,(/j1 �I._ [ / '// Cy�^�
A.P.NO. BYAPPROVED>_/IY c_ DATE 7'�o- t." L�
OF LOT 50 x 143 SIZE I RO.OF S NOW ON LOT1 EVES
`✓//(
YARDS
REQUIRED ALLOWED
USE OF Triplex . (CENTER LINE ST.)
'�-� '-/'� I'�n // >
EXISTING BLDG. FRONT ant/I / ,FT. ,2�-/��l/ ��/N.
CENTER OF STREETM existing REAR YARD 15fi
R.SIDE p PT. IN.
SIDE YARD I LEFT 142 I RIGHT 101 r L.SIDE ///FT. IN.
DESCRIPTION OF WORK ,. >
{/ REAR /J Ff. l/t(2 .��/ (%IN.
NEW I II ALTERATION I II ADDITION I X •
REPAIR I II MOVING - I I DEMOLISH I
SIZE NG520 Sq.f`t.ROOMS 1 STORIES 1
SIZE LL
ROOF
COEXTERIERINORG JJ LL IIAA WAILCC0 COVERING Rock •
V
US O BU LDING AND WORK TO BE PERFORMED - • -
ttached garage
Add to Permit No. 11137
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING s STRU CTI ON. - VALUATION
SIGN TT R'a 1p y / / . PERMIT FEE $ 4. 00
PERM590.00
$ PLAN CHECK $
AUTH•,RI D AGENT. - TOTAL FEE $ 4.00