HomeMy WebLinkAbout3403 LAVENDER LN - Building Permits�' _ .�� . Applica�rm'nn'In ill�spaces axceot l�ose within �eavr oortler lines ana sien all aporoVriate tleclantidns.
�CITY OFCO ESA NLHIV S t 12V . lSK PERMIT NO. TRACT NO. LOT NO. BLD . - � 5��� -��U I/ ih , ._ ,
-��Fi$jR ., ttl PERMIT LOT 27 �/��� Z .
Project Addre55. rl er ane �$ t� e TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR '
AppliCant'S Mailing Addreu 1565 W. MacArt UI' Q� V � C.. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A p # , L_ �2 Zone �
J
owne�:NameSTANDARD-PACIFIC CORP vno�e546-1161 DESCRIPTIONOFWORK
_ S Main Building: Accessory Building:� Z
Address Shclle TVPEOFPERMIT GRADING FOUNDATIOrv STRUCTVRAL T Front � ' •• N
Arch/Eng. AddRIC�StY'BeYBI^' License No. 25OH3 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B � I �
Addreu 28XTfdX$R 779R1 �Sk� Park fir�le„ TNV71lP ❑.OTHER � A aea� N
Contractor's Name SPP Q�ynPr' Phone PR0.IECT DESCRIPTION SQ. FT. 7E1O4 oCCUPANCv C fiight � _ G
K Left !
CONSTRUCTIONTYPE VALUATION$ 1(1 $ J� R
Addreu (mailing) �/�/� �� -' E
CityLicanseNo. GG�LrG7G ZorvE GRADINGCU.YDs. ACaES PIng.Ref.•#ZE- 3-/OS LO�� Park:Fees$ � tfs•(pZ n
LICENSED CONTRALTOR DECLARATION � U
Remarks: �� Parking Req./Provided Z 3 �
I hereby affirm that I am licensetl untl¢r p�ovi51on5 of Charte� 9(Commencing R
with section �000) ot Dlvizion 3 of the Business antl Pro(e55ions Code, antl � , � Use Of Building: �� e p� C � � E
my Iicense is in tull force antl etiect. � _
License Ciass — LI e - PLUMBING � � FEES P�anning Notes: ' � � M
� E
Date 8 gnature ' . ' .
WO(1KER5' M NS�TION DECLARATION Ba�$ink $hOWE�S =i0L9 FOR SPE ' r.nn����..�.�.. � � N
I hereby affirm that I have a certlficate o( consen[ to seli-Insure or a certificate ' �� � . T
of Workers' Compensatlon Msurance, or a certifietl copY thereof (Sectlon BackflowPreventer ServiceSink �l� ___ ' S
38o0, Lab. C.) � .,� ,. Backflow Irrigation Sewer Cap . �`�L'ECFRICAL�� FEES
Po1itY No. I.ID_Ra_��'I�._S2GG. ComPanY G�"omnn* Tnilomni4�i ••� '
n,y Certifietl copy is ncrcoy fumisned. � 7' ; � eathtubs Sewer Connection� � Auromatic Washer Transtormer ❑ 15-50 KW �v.
LJ Certitietl coOY �s filetl wit� the city Builtling Division. � '
Oate�jy� AOPii�nt Clarifiers Solar Collectors', Construction Pole Sub. . � 50+ KW _
EXEMPTIO R VY(iRKERS' CO A 1 N D L TION Dishuvdsher Solaf Pi in
(Thissection neetl not be completetl if the permit i5 (or one huntlreE (§100) or P 9 COOking Unit M¢tE� ❑up t0 1002mpS
less) ' . •.i ! r � _ �
I certiry'that in the oerformante of the work for which thls permH is•issuetl 1 Drinking Fountains Solar Tank .�, i' ��. � Dishwasher � Meter ❑over 100 amps
shall not employ any Oerson In any manner'so as to become subject to t�e �
Workers5 Compensatlon Laws of Callfomia. . Floor Dreins Swimming Pool'w/Spa � Dryers ❑Gas. �Elecvic � 'Sub Panel
Date Signature � " - � '
NOTICE: If, at[er makin9 this declaration. You'shoultl become sub�ect to the Floo� SinkS � Urinal � Fan � , �
Workers' Compensatlon provisions of the Labor Cotle, you must forthwith + � Motors �0-1 HP �1 %- 8
comO�Y WHh such provisiOnS or this. permit � shall be tleemeC levoketl. (�id5 S¢fviC¢ �Utl¢t5 W8t¢f CI052t F.A.U. r ' IOC.$018f 09r75 HP �16-75+
CONSTRUCTION LENDING AGENCV ' '
I hereby afflrm that there is a constructlon IenGing agency (or the performance ' In[erceptors Watel Heater ' � Fixtures �� Micfowave � '
of .the work tor which this permit is. issued' (Section �309] Civ. �CJ� - -
LenOer's Name Kitchen Sink Water Service - �' Device Boxes � Pole Light
LsnAer's Atltlress '
OWNER BUILpER DECLARATION �� ' l.dvdtO�iES . . ' OutICtS � � RBngC � '
I hereby aftirm that I am exempt from the ConVactor'S License Law to� the p_Tra ,
- tollowin9 reason (Section ]031.5 Business antl ProfeSsional Cotla: Any tity or P � � 'Swi�ches Sign
tounty wNch requires a Dermit to cOnstruct, alter, improve, tlemolish or repdir
any structure, orior to Its issuance, also requires the aoo���ant for such permit Roof Drains . ' Garbage Disposal , Standing Sections
to file a signetl Statement fhdt h¢/she is licensetl.pursudnt to the provi5ion5 0(
the Contracto�'S License Law (Chapte� 9(commencing wlth Secllon 7000) oi ' Generator O65 KW 05-15 KW
DiviziOn 3 ot the Buslness antl Professions Cotle). oI that h¢/Sh¢ is exempt - TfdSh CORIjJ2ctOf
thetef�om antl tne basis for (h¢ allegetl exemptiOn. Any�vlolation of Section '
7031.5 by any applitan[ for a permi[. suDjects the applicanl to a Civil Reins e[iOn Fee 3
'� enalty ot not more [han five huntlretl tlollars ($500). � $25 Issue Fee . �
I, as owner of t�e property or my employees,with wages as their sole . MECHANICAL � ReinSpaMian Fee $25 Iwue Fee $ 3
compenzation, will tlo the work, antl tne structure is not Intentletl or o(fereA ' ' � FEES
for sale (Section 7044, Business and Pro�essional Cotlu: The Contracmr's . 'PUBLICSERVICESREQUIREMENTS '
License taw tloes not aOPly to an owner of a property wno builtls or improves � goile� `� Hood o� Type I ❑ •
thereon, antl who tloes such work himself/herself or th�ough his m M1er own ' � � Zoning Approved ey � W Date 27
employees, provitletl thd[ such Improvements ara not Intontletl Or offeretl for . Canopy Typc II ❑ ' , .
sale. If, howeve�, [he bWltling o� Imptovement Is soltl wltnin one ear oi com- Duct - Under Ground
v . Application Approved 6y Date �
O�etion, the owner wlll hav¢ tha bu�tlen ot proving he/sh¢ tlitl nOt builtl o� im- � � . '��/
�rova tor the purpose of sale). Duct - Structural � Refrigeration System , i Application Issued By r`—_ � Dat � t$ �
I, as owner of the property, am exclusively contractln9 with Iicensetl con- ❑0.100,000 BTU ❑100,000 BTU - '
tractors to construct ihe Oroject (Section 7044, Business antl Pro(ezsions Cotle: Duct - Ventilating ' SUMMARV OF FEES • �
The Contractor'S Li<enze Law does not apply [o an owner of property who � •
builtls or improvez thereon, antl who contracts tor suU projects with a con- Exhaust System ❑ Multiple ❑ Sys[em Repair/Alteration BUILDING PERMIT $��Q�.,.� SMIP $ 1(1 1 i
tractor(s) license oursuant to the Contractor's License Law). � PLAN CHECK $ RR f,tl pERM1T
❑ I am exempt unCer Section e. d P. C. tor this reason FirepVFact.�Blt. ICBO # � - ' ISSUANCE $
PLUMBING $
oate owner HeatingSystem&Ducting pLqN�CHECK �$ ENERGYP.C. $
i na.ety certlfy that 1 hava reatl this application antl state tnat the above ❑0.100,000 BTU 0700,000B GRADING $
informanon is mrrect. 1 a9ree ro comDly with au city antl county ortlinances ' ELECTRICAL � $
antl� state laws relating to builtling mnstruction, and hereby authorize repre- ' ' PLAN CHECK $ MICROFILM •$
sentatives of this c}(y tq� enter upon the above-mentionetl pro erty or �
inipection e{� /v_ L� ' MECHANICAL $
TOTAIFEE $ 644.26
Signature 'w—a Date Reins ec[ion Fee � �
Orivers' License or SS � � � P $25 , luua Fee $ 3 PLAN CHECK $
CMF0865-46rev.7/83 White-�Builtling;Canary-Appllcant;Pink-Hccounting;Goltlenrotl-AsSessor � � ' -
F
� CONSTRUCTION AND PLANNING � ' POOL & SPA �
��. APPROVALS Permit # Date Inspector p�ppROVALS Permi; # Date Inspector
� �
�'. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. $oil Pipe-Undrgrnd. ' �53. Steel Reinforcement � �
. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .�
' 4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding � � �
5. Steel Reinforcement �r �- 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. � � 57. APPROVAL TO COVER-GUNITE
7. Footings • ' 58. Electrical Conduit-Undrgrnd.
S. Foundation � �, p 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ,' 60. Backwash Lines, P-Trap, O Undrgrnd. "
10. Structurel Floor System 61. APPROVAL TO DECK
11, Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final � '
14.� Fough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit � 66. Solar System�Final � .
76. Rough Electric Wiring � 67. Fencing & Access Approval
� 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling , , 69. POOUSPA SYSTEMS FINAL
19. Rough Heating &�Air Conditioning FIRE DEPT. REQUIREMENT
� 20. Rough Factory Fireplace . . ' APPROVALS Permit #
21. Ducts,in Structure ' 70. Underground Hydro
22. Ducts, Ventilating _.- , 71. Product Piping O Gas ❑ Oil
'-23. Gas Pipe�Rough & Test , , 72. Underground Flush ��
24. Roof Framing �. 73. Undergrnd.StorageTank OGas ❑Oil
25, Roof Sheathing ', ���/� B 74.'Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat' � 75. Dry Chemical
27. Frame and Flashing � � � 76. Dry Standpipe
28. Lathing & Siding �� . 77. FIXED SYSTEM FINAL ,
29. Insulation • 7� 78. FIRE PREV. FINAL
30. Drywall Nailing � � g ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final -. �80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: d• /4�E
34. Final Heating & Air Conditioning� • �
35. Final Gas Pipe�Test '
36. Hood or Canopy -
��
37. Final Factory Fireplace� �o�$
38. Final Plumbing � e �� �'��,��� � �
39. Water Service-Final �
L` - GC92l1�-� �+.
40. Gas Service-Final � .
�-� < =� 7 �v%8 ,.i ' i
41. Solarpomestic-Final� �
�
42. Backflow Preventer � ' � - � �
43. Backflow Irrigation �. � �
44. ,Landscape Irrigation System � ' '
45. Sound Attenuation . ' .. • ' �
46. Handicap Regulations � ' � �
47. FINAL STRUCTURE & BUILDING ' ' . '
48. Special Requirements Completed �o
49. Electrie Release to Edison � �
50. Gas Release to Southern California Gas Co . �
51. CERTIFICATE OF OCCUPANCY �
No. Date
! � '. • `
�NK AOPlicant to fill in all soaces exceo� those witnin heavy DorOer lines ana sign all appropriate aeclarations.
CITY OF�COS A MESA CONSTRUCT�ON PER IT PER�M7+IT NO. TRACT NO. LOT NO. UNIT NO. .,
� Project Address 3 L� D� L w v e h e� �<y � y //�� �
� Applicant'SMailingAddreSs _ TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR ^'^ ^'^^'^ `�
�O CONVEft510N ❑ �EMOLISH ❑ OTHER q.p,# Zone
Owner's Name ���`� ',/ « Phone S 6'� DESCRIPTION OF WORK/USE OF BLDG.
Address �-56-� /�l4 oV !'�'� �QS S'/U Sry S Main Buildin9: Accessory Building:
Arch/Eng. LitenSeNo. TVPEOFPERMIT GRADING�❑•FOUNDATION ❑STftUCTURAI. T Front ' - p�
Addf¢55 1 �� TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' B Reaf N
D �f�5 1 7. Phone 7'7��d ���THER A �
x Contractor'sNam � C Right N
Addresslma'I' I ys �"`�• � Q�✓�Q� �%/`n � PROJECTDESCRIPTION 54.FT. OCCUPANCV K.
G
9 _ � CONSTRVCTIONTVPE VALUATION$ S Left R
City LiCC052 NO. , ZONE GRADING CU. VDS. ACRES E
LICENSED CONTRHCTOR DECLARATION Ping. RCf. # Parking Re�./Provided
Q
I hereby a(firm tM1at I am licansetl untler provi5ion5 of Charter 9(commencing Remarks: PIdMI�g NOLeS: M
with section ]000) of Division 3 of the Business antl Pro(essions Cotle, antl
my license is in full fOrce antl effect. � // - S
�icense Clazs License No. - _
Date Signature ' PLUMBING FEES
WORKERS' COMPENSATION DECLARATION ' BarSink � 1 Showers �
1 hereby affirm that I have a certificate ot consent to selt-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insu�ance, o� a certifietl copy mereof (Section. - gackflowPreventer ServiceSink -
3800, Lao. C.) Automatic Washer Transformer ❑ 15-50 KW
Poliry No. Company � Backflowlrrigation SewerCap �' - " ConsnuctiorPoleSu6. ❑ 50+KW ' �
BCertifietl copy is he�eby fu�nishetl. ' , � _
Certifietl copy i5 filetl with the city Builtling Dlvisian. Bdthtub5 SBWBf COnO¢CtiOn COoking Unit M¢LQf ❑up [O 1002mps
Date Applicant �
EXEMPTION FROM WORKERS' COMPENSATION pECLARATION Clarifiers • Solar Collectors DiShwdih2� M2t2� ❑Ov¢/ 100 dmp5
(This section neetl not be completetl if [ne permit is for one huntlretl ($100) or ,
iess). Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel
I ce�tify tha[ in the Oerformance of th¢ work for wnich thi5 perm�t is issuetl, I .
shall not employ any perzon in any manne� so as to become subject to the Drinking Fountains SOIB� T3nk Fd0 MOLo�S �O-1 HP �1'/x- $
Workers' Compensa[ion Laws of Calitornia.
Date Signature Floor Drains Swimmin9 Pool w/Spa, F.A.U. Inc Solar �9-15 HP 016�75+
NOTICE: If, after making this tleclaration, you shoultl become subject to the
Workers' Comp¢n5ation provisions ot the LaDo� Cotle, you muzt forthwith FI00� SInkS ' U�i�dl -
compty with such provisions o� tM1ls peimit Shall be tleemetl revoketl. FixtU�25 MicfOwdv2
CONSTRVCTION LENDING AGENCV GasService �Outlets WdL2�C105¢L
I hereby affirm [hal there is a conSVuction lentling a9ency for the Oe�fo�mance D¢vic2 BO%CS POIC Light
of the work for wM1ich this Oermit is izsuetl (Section 309] Civ. CJ IntelCeptor5 Water Heater OUtletS Range
Lentler's Name
�entler's AEdress � � ' - Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION � Sign
I hereby affirm Ihat I am exempt fwm the Cont�actor'S License Law for the Lavatories
tollowin9 reazon (Section ]03L5 Business antl Protessional Cotle: Any city or Garbage Disposal ' Standing Seciions
county which requires a pe�mit to construct, alter, improve, tlemoiish or �epair P—T�yp
any structure, p�io� to its issuance, alm requires Ihe applicant for such permit Ci¢n¢fdtOf �0-5 KW �5-15 KW T�35h COmpeCtO�
to file a siqned 5[atement that he/she Is licensetl pu�suan[ to the provisions of po0f Drains -
the Gontractor's�License Law (CM1apter•9 (commencing with Section �000) of
'DiviSion 3 of Ihe Businesi antl Professions Cotle) or thal he/she i5 exempt
therelrom antl the ba5i5 fOr the allegetl exemp[ion. Any violation of Section - ,
]031.5 by any appllcant for a pe�mit subjects the aOP�icant to a civil
Qe�alty of not more tM1an five huntl�etl tlolla�s ($500).
LI I, as owner ot the property or my employees with wa9es as their sole Reinspection Fee $15 Issue Fee $ 3
mm0ensation, will tlo [he work, an0 ihe structure is not intentletl or offeretl Reinspection Fee $15 Issue Fee $ 3
tor sale (Section �044, Business antl Professional Cotle: The Conlractor's MECHANICAL FEES
License taw tloes not ap01y to an owne� of a properry who builtls or im0/oves ' -
thereon, ana wno aoes such work nimselt/herseli or tnrough his or her own go{ler Hood or T e I ❑ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl that such improvements are not intentletl or offeretl for YP ' '
sale. If, howeve�, the bulltling cr improvement is Soltl'within one year of com- C2nOpy Typ¢ II ❑ � Za�i�B APP�oved By Date
pletion, the owner will have the bu�tlen ot proving he/she tlitl not builtl or im- DUct - Und¢� G�Ound Bpilding App�oved 8y Date
�rove for the purpose of sale). �
I, as owner ot the property, am exclusively tanfracting witn licensetl con- Duct-Structural � � Refrig2ration System AppliWtion Issued By Datn �.�5/�/X'� ,
tractors to mnstruct the project (Section 7044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner of pron,erty who Duct - Ventilating ��-100,000 BTU ❑100,000 BTU ��SUM ARV OF FEES
builtls or improves thereon, antl who cant�acts. for such projects witM1 a con-
Vaclor(sI license pursuant to the Contracmr's License �aw). 1 am aware that Exhaust5ystem ❑ MWtiple ❑ System Repair/Alteration BUILDIN PERMIT S O V $MIP $
proof ol thev Worker's Compensalion insuran<e shoultl be provitletl to me. PLAN CHECK $ PERMIT
❑ I am ezempt untler Section � B. & P. C. for this reason Firepl/FacL Bit. ICBO # PLUMBING $ �SSUANCE $
Date Owner � Heating System & Ducting
PLAN CHECK 25% $ ENERGV P.C.� $ -
I h¢r¢by certify [hat I have reatl [hIs application antl State that the aoo„e .❑o-ioo,000 sTu �i�oo,000eT GRADING $
information is correcL I agree to compty with all city antl county ortlinances ELECTRICAL $
antl state laws relating to buiming construciion, and hereby authorize repre- PLAN CHECK 50% $ MICROFI LM $
senta[ives of [hi5 city� o �ent � upon �the above-mentionetl property fo�
inspection ourposes. /'�/ /�� //�� o t 7 3 �(f . MECHANICAL $ TOTAL FEE $__/s ��
Si9nature vU-���4 r
Drivers' License or 55 � Reinspec[ion Fee $15 laue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev. 4/bn White - Builtling; Cana�y - APP�icant; Nink - Htcoun[mg; �oioenroa -'asseasoi
r
�' CONSTRUCTION ANp pLANNING POOL & SPA , . ;
��APPROVALS' ,Permit# - Date Inspector AppROVALS Permit# pate Inspector
�:i. Temporary Electrical $ervice or Pole � 52. Pool & Equipment Location .�
� 2. Soil Pipe-Undrgrnd. ' 53.-Steel Reinforcement
� ��3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms ,
4. Electrical Conduit-Undrgmd. � 55. Electrical Bonding. ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Grntl. 5J. APPROVAL TO COVER-GUNITE
7. Footings • � ' 58. Electricai Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test �
"9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. '
70. Structural Floor System � 61.- APPROVAL i0 DECK �
11. Property Sewer Line $� House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final -
13. Roof Drains 64. Plumbing Sysxem - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conciuit � 66. Solar'System-Final -
i 6. Rough Electric Wiring � 67. Fencing & Access Approval .
17. Rough Wiring Sign _ ' ' 68. APPROVED FOR PLASTERING
18. Rough ElecYrical-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 ,�� � � � � 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush
� 24. Roof Framing "' - 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing • �5� � 74. Overhead Hydro .
' 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical
27. Frame and Flashing 3 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 =a u'-( v 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: �O /O Gl.� ��
34. Final Heating & Air Conditioning '
35. Final Gas Pipe-Test �
36. Hood or Canopy - �
37. Final Factory Fireplace
3S. Final Plumbing ,
39. Water Service-Final •
40. Gas Service-Final '
41. Solar pomestic-Final � . �
42. Backflow Preventer� . �
43. Backflow Irrigation „ _ _
44. .Landscape Irrigation System
45. Sound Attenuation �
46. Handicap RegulationS � �
47. FINALSTRUCTUR�&BUILDING � �/�/
48. Special Requirements Completed � � .
49. Electric Release to Eqison %' �
50. Gas Release fo Southern California Gas Co
5L CERTIFICATE OF OCCUPANCY . ,
No. Date '
Y 0.. f�i � 3 AOP�icant lo fill in all soaees ezcept those witnin heavy �oraer lines antl sign ail aporopriate tleclarations.
CIT.Y'OFCOSTAMESA � � PERMITNO. TRACTNO. LOTNO. BLDG. . � - � -
.•CONSTRUCTION PERMIT � 3 —�27 30174 6/27/B4 03afi5 Tl,
Project Address TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
AppliCant's MailingAddress ❑ CONVERSION ❑ OEMOLISH ❑ OTHER q,p,# - Zone
Owner's Name hone DESCRIP71orv OF WORK _ S Main Building: Accessory Building: Z
Address I 1�� � '�� c �.� r\ V 12 O
TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL T Front N
AfCh/Eng. �ci$�T�i �� FC� LicenSC No. ❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL B peaf ' �
Address ❑ �OTHER A . N
Q �T�H� F�e Phone��7� PROJECTDESCRIPTION $Q.FT. OCCUPANCV C Right R
Contractor's Nam A � � K
Address Imailing) �A�`� Kq� Q� 4�—� a� F� � CONSTRUCTION TVPE VALUATION $ S Left' E
City License No. _� f% Z� ZONE GRADING CU. VOS. ACRES Ping. Ref. # Park.Fees $ - n'
IICENSED CONTRACTOR DECLARATION Rema�ks: - Pd�kiny R2q./P�OvidEd �
I hereby affirm that I am licensetl untler provisions of Charter 9(commencing - p
with sec[ion 7000) of Divi5lon 3 of the Business antl Protessions Cotle, antl , Use of Building: E
my license is in full (o�ce antl eff¢ct. . '
LJcense,c lass � L'yc�se ��23u� � PLUMBING FEES Planning Notes: M
oate H— 1 C'.'� V' _ � E
Se t N
WORKERS' CO PENSATION DECLARATION Baf Sink Showers T
I hereby affirm tnat 1 have a certiticate ot consent to self-inm�e or a certiilcate Backfiow Preventer Service Sink S
of Workers' Compensation Insurance, or a certifietl copy ihereof (Section
3800, lao. C,L Backflow Irrigation Sewer Cap � � ELECTRICAL , FEES
PolicY No. 1� ��� COmPanY ��T Fv N i1 .
�} Certifietl cooY is hereby turnishetl. _ Bathtubs Sewer Connection AutOmatic Washer Transformer ❑ 15-50 KW
i^1.Certifietl copy is 'I tl with the city Buil irf� Di 'fion
�ate�� Applicant qarifiers Solar Collectors �� ' Comtruciion Pole Sub. ❑ 50 + KW
EXEMPTION FROM WORKERS' COMP NS ION DECLARATION DiShVYdshe� 5012� Pi in ' �
(Thissection neetl not be wmpletetl if the permit is for one huntlretl ($100) or P 9 -' i Cooking'Unit Meter ❑up to 100 amps
less)
I certity that �in tM1e Oe�formance of the wo�k fo� which thi5 permR is issuetl, I Drinking Pountains $Oldt T3Ok Di5hwd5hC! � M¢t2f 80vC� 100 2Tps
shall mt employ any person in any manner so as to become subject to the
workers' Compensation Laws ot Calitornia. Floor Drains Swimming Pool w/Spa � Dryers �Gas ❑Electric Sub Panel � "��
Date Signature
NOTICE: It, atter making this tleclaratiOn, you shoultl become subject to the FI00� $InkS Urinal F2n 'MOt0�5 0�-i HP �1 %- 8 �
Workers' Compensation provisions of the Labor Cotle, you must forthwith
comply with such provislons or IhiS permit shall be tleemetl revoketl. Gy5 Service Outl¢t5 Wat¢r CIOS¢t F.A;U. InaSOlaf �9-15 HP �16-75+
CONSTRUCTION LENDING AGENCV .
I hereby affirm that [here is x conztruction lentling agency for the performance Interceptors� Water Heater Fixtures � �, �� Microwave
of -the work tor which this permit is issued (SecHon 3097 Civ. C.) ,
Lentler's Nama - Kitchen Sink Water Service � � Device Boxes . Pole Light �,+
Lender'S Adtlress Lavatories -
OWNER BUILpER DECLFRATION � ' Ou[I2t5 Fange ^ v�
1 hereby affirm that I am exempt trom the Cdntractor's License Law for the p—Tre
following reason (Section 7031.5 Business antl Professional Cotle: Any city or P � ' ' Switches ' Sign .
county which requires a pe�mit to consVuct, alt¢r, ITprove, tlemolish or repair .
any structure, pnor to its issuance, also requlres the apolicant for such permit Roof DrainS - ' � � , Garbage Disposal Standing Sections
to file a signed Statement [hat he/she is licensetl pursuant t0 the p�ovisions of -
tne Contractor'S �icense Law (Chapter 9(commencing witn Section ]000) of . '
Division 3 of the Husiness antl Professions Cotle), or that he/she is exempt - Generetor �0-5 KW 05-15 KW Trash Compactor
therefrom'antl tne basis for the alle9etl ezemption. Any violation of Section
703L5 by any applican[ Tor. a permif subjeccs the •applicant to a civil , �3
enalty of not more than five huntlretl tlollars ($500). Reinspection Fee $25 ' Issue Fee $
� I, as owner ot the property or my employees with wa9es as their sole � ,,MECHANICAL Reinspection Fee $25 luue Fee $ 3
comoensation, will tlo the work, and Ihe struciure is not intantletl or offeretl • ' � � FEES
for saie (Section 7044, eusiness antl Protessional Cotle: Tne Contractor's PUBLIC SERVICES REQUIREMENTS: �
License Law tloes not apply to an owner of a property who builds or improves goiler Hood or Type I ❑
thereon, antl who tloes such work himself/herselt or through his or her own ZO�ing App�OV¢d By DBte
employees, provitletl Ihat suGh im0�ovement5 are not intentletl or ofteretl for Canopy Type I I ❑
Duct - Under Ground
sale. It, however, the builtling or improvement is sola within one year of com- AppliWtion Approved By Date
pletion, the owner will have the burtlen of provin9 he/she tlitl not builtl or im-
rove tor Ihe purpose of sale). � Duct -Strucmral Refrigeretion System Appliwtion Issued By �� Dat
� I, as owner ot the property, am exclusively contracting witn licensetl con- ' �0-100 000 BTU ❑100,000 BTU
tractors to mnstruct the project (Section 7044, Business and Professlons Cotle: Duct - Ventilating $UMMARV OF FEES
The Contractor's License Law tloes not apply to an owner of properry who . - - BUILDING PEFiM1T $ SMIP $
builtls or improves thereon, antl who contracts for such projects with'a con- Exhaust System ❑ Multiple ❑ System Repair/Alteretion
tractor(s) license pursuant to Ue Contractor's Licenze Law). � PLAN CHECK $ � PERMIT
❑ I am exempi untler Section e. & P. C. for this reason Pirepl/Fact. Blt. IC80 # ' PLUM61 NG $ .ISSUANCE $
Heatin S st PLAN CHECK $ ENERGV P.C. $
Date Owner g y em & Ducting
I hereby certity that i have reatl this application antl state that tne above ❑0-100,OOOBTU �100,OOOBT ELECTRICAL $----��GRADING $
information �s cortect. I aqree to co pry with all dty antl county ortlinances
antl state laws relatin to buimm9 nstruction, antl hereby authorize reore- • PLAN CHECK $ MICROFILM $
sentatives of tn" . N to ter on the above-mentionetl property for �
inspettlonpur es. 3_T MECHANICAL $ TOTALFEE $
S�gnamre oate ' ' �
Drivers' License r 55 � Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $
CMF 0865-46 rev. ]/83 Wbite - Builtling; Canary - Applicanq Pink - Accounting; Goltlenrotl - As5e5sor . . _ �
1 �
CONSTRUCTION AND PLANNING ,\ POOL & SPA �
!� Date Inspector Date Inspector
APPROVALS ' Permit # APPROVALS, Permit #
� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ' �� � 53. Steel Reinforcement � 7
�.
3. Electrical Conduit•Utility�Undrgrnd. . 54. Forms �� -
4: Electrical Conduit-Undrgmd.� 55. Electrical Bonding � j
5. Steel Reiriforcement 56. Rough Plumbing.& Pressure Tesi �'�
6. Electrical UFER Grnd. � . 57. APPROVAL TO COVER-GUNITE �/"11
7. Footings ' - 58. Electrical Conduit-Undrgmd. �
8. Foundation � � • 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. �� � 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Fioor System .'� � 61. APPROVAL TO DECK
i i: Property Sewer Line & House Connection . � 62. Backwash & Receptor-Final
12. Sewer Cap . ; 1 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 �� C�_, 67. Fencing & Access Approval
17. Rough Wiring Sign ' 68. APPROVEO 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, Venti�lating 71. Product Piping �Gas ❑Oil
- 23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing �73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
� 27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
��29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning - . • ' . ' , .
35. Final Gas Pipe-Te§t � ' ' .
36. Hood or Canopy '
37. Final Factory Fireplace ' , �
38. Final Plumbing � � �
39. Water Service-Final �
40. Gas Service.Final
41. Solar pomesticFinal �
42. Backflow Preventer ' - '
43. Backflow Irrigation �
44. ,Landscape Irriqation System '
45. Sound Attenuation
46. Handicap Regulations , �
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed ' ,
49. Electric Release to Edison � � '
50. Gas Release to Southern California Gas Co � - .
51. CERTIFICATE OF OCCUPANCY _ . � �
No. Date ' � •
��� � 3�� Applicant t I sDacbc�k� tlpie�witn�n MeOVY Do� lin�a sign a11 approDr ations.
CITY OF�COST E A ct� STRUC ION PERMIT PE IT NO. ^ O TRACT NO. LOT NO. UN�IT NO.
.`�f��3.vi�,tr�,GtJ `�'
Project Address " �
Applicant's M' in ddre � TYPE OF CONSTRUCTION NEW />DD ALTERATION REPAIR.
,/ �� ❑ CONVEft510N ❑ �EM LISH ❑ OTHER q,p, # ' ZonB
Owner's JN�a..�r� �y Phaa DESCRIPTION OF WORK/USE OF BLDG.
Addres9�-�((61LLCCC � /� 5 Main Buildin9: Accessory Building:
Arch/Eng. _ License No.' TVPE OF PERMI7 ' GRaDiNG FOUNOATION ❑ 57RucTURnL T Front � p
Addre55 ❑ OTHERT ❑ ELECTRICHL � PLUMBING ❑ MECHANICAL A R¢af N
Contractor's Na� P � � I
' ' PROJECT DESCRIPTION 5Q. Fr. oCCVaANCv C Fli9ht N
Addresslmailing) K Left G
CONSTRUCTION TVPE VALUATION $ $
City Lit2ns¢ Na. ZONE GRADING CU.YDS. FlCRES E
LICENSED CONTRNCTOR DECLARATION . Ping. Ref. # Parkin� Req./Provided
Q
1 hereby affirm that I am licensetl untler p�ovislons of Charter 9(commencing Remarks: Planniny NOt25: M
with section ]000) Qf Division 3 ot (h¢ Business antl Prote sions Cotle, antl
my Ilcense is in fuy'ijrce ai (ect. ' ' ' T
Licen la �--� license N S'
oate � � Siqnature PLUMBING PEES � � '
WORKERS' COMPENSATION OECLARATION Bd�Sink ShOwC�S
I nereby attirm that I have a certiticate of consent to selt-insure or a certiticate ELECTRICAL FEE$
of Workers' CA mpensation Insurante,.or a certifietl c UY the�eof (Sectlon BackflowPreventer $¢Nic¢$i0k �
3800, i.ab. G'�'7 /����j�// P.utomatic Washer Transformer ❑ 15-50 KW �
Policy No. � �� Y Company � Backflowirrigation SewerCa • ❑ 50+KW
—.-T T—T P Constructior Pole Sub.
Certifie copy' hereby fumishetl.
c y I with the ci iSd/In�� v j �.,�/ //'7 Bathtubs � Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Ap0lican�LL/�4�ri/4e1���
EXE TION��RKERS' COMPENSATION OECLARATION Clarifiers SOIa� COIIECto�S Di5hwd5h¢� M¢t¢t �Ov¢f 100 dmPs
(This section neetl not be completetl if the permit is for on¢ huntlretl ($300) ar
less). Dishwasher Solar Pipin9 ' Dryers ❑Gas ❑EleMric Sub Panel
I certi(y that in the perfo�mance of Ihe work for whith Ihis permit is issuetl, I _ _
shalL not employ any person in any manner so as to become suoject to the Drinking Fountains , Solar Tank Fan
Worker5' Compensation Laws of Califomia. Momrs �0-i HP Oi'f.-8
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar �9-15 HP �16-15+
NOTICE: H, afte� making this tleclaration, you shoultl become subject to the
Work¢rs' Compen5ation O�ovisions of tM1e LabOr CotlE, you must tolthwith PIOOf SinkS Ulinal '
mmpty with such p�ovisions or thi5 pe�mit shall be tleemetl revok¢tl. FixLu�Es Mic�Owave
CONSTRUCTION LENDING AGENCV GasService OuL12t5 Wdt¢ICIOSEt D¢ViC2B0X¢5
I hereby aftirm that the�e'is a construction Ientling agency fo� the performanGe PoIC Light
of tM1e work for which this permit is issuetl (Section 309� Civ. CJ Interceptors Water Heater OUtletS Range
LenOer's Name
Lentler's AGtlress Kitchen Sink . Water Service Switche5
OWNER BUILDER DECLARATION� - Sign
I hereby affi�m that I am exempt from the ContractOr'S Cicense Law for the L3VdtO�ieS -
tollowin9 reason (Section ]031.5 Business antl Professlonal Cotle: any city or Garbage Disposal ' Standing Sections
tounty which requires a permi[ to const�uc[, alt¢r, improve, tlemolisb o� repair P—T�d
any structure, prwr to its issuance, also requires tne applicant for such-permit P Genera[or �0-5 KW �5-15 KW Trash Compacmr
to (ile a siqnetl statement tltat he/she is licensetl pursuant to the provisions of Roof Drains �
the Contractor's License Ww (ChaOter 9(mmmencing with SecHon 7000) of
Division 3 of the Business antl Protessions Cotle) or that he/she is exempt ,
Iher¢from antl the basis for the allegetl exemption. Any violdtion ot Section .
]031.5 by any applicant for a permit subjects tM1e applicant to a civil
ee�dlty of no[ more than tive huntlretl tlollar5 ($500). . '
�J I, as owner of the property or my employees witn wages as their sole ReinspeMion Fee $15 ISSue Fee $ 3
compensation, will tlo me work, and the structure is not intentled or o(teretl Reinspection Fee $15 Issue Fee $ 3
tor sale (Section 7044, Buziness antl Professional Cotle: The Contractor's MECHANICAL FEE$
license Law tloes not apply to en owner of a O�ope�ty who builtls o� improves -
tnereon, antl who aoes such work nimself/herselt or through bis or her own DEVE�OPMENT SERVICES REQUIREMENTS:
employee5, provitletl that such improvements are not in[entletl or offered for BOiler HoOd O� Typ2 I ❑
sale. If, however, the builtling cr improvement is soltl within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, ttte owner will have tne buttlen of proving he/she tlid not builtl or im- DuCt - UOdE/ Ground Building Approved By DdtO
�rove for the purpose of sale). .
LJ I, as owner of the property, am exclusiveiy wntractln9 witn licensetl con- Duct-Sttucturel Refrigeration System Applicatian Issued By Dat
t�actorsto con5truct the project (Settlon 7044, Business antl Professions Cotle: . . t--
The Contractor's License Law aoes not apply to an owner oi property who Duct - Ventilating ❑0-100,000 BTU ❑700,000 BTU SUMMARV OF FEES
builtls or improves lhe�eon, antl who contracts fo� such projects wrth a mm -
tractor�sy license pursuant to the Cantractor's License Law). 1 am aware that ExhaustSystem ❑ Multiple ❑ System Repair/Alteretion BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance shoultl be provitletl ro me. PLAN CH K $ PERMIT
❑ I am exempt untler Section B. & P. C. for ttiiz reason FirepVFact. Blt. ICBO # PLUM\��� � SS
Date Owner Heating System & Ducting PLAN CHEC 25 $ N V 6
I hereby certity that I have reatl this appliwtion antl state that the above ❑O�100,0006TU 0100,0008T R�G �$
information is correcL I aqree to comply with all city antl county ortlinances ELEC L $
antl state laws relaiing to builtlmg cons ruction, antl hereby authorjze reore- PLAN�CHECK .50% $ MICROFILM $
sen[atives ot tly'S.�Ci y[o enter up n the bovp -me ti6netl per[ for
in5pectionpwp 5 MECHANICAL S TOTALFEE $:
Signature ' Date �
Drivers' License or 55 � — � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, �ev. 4/B4 White - Builtling; Cana�y - APPlicanh, Pink - Accounting; Goldenrotl - Assesso� -
` CONSTRUCTION AND PLANNING . POOL & SPA
, APPROVALS Permit# Date Inspector AppROVALS Permit# Date Irispector
"� 7�. Temporary �lectrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement ,,;
'3. Electrical Conduit Utility-Undrgrnd. 54. Forms •- �
4. Electrical Conduit-Und'rgrnd. 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, O Undrgrnd., Test �" �
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. ., �
10. Structural Floor System ..� � ' 61. APPROVAL TO DECK �-
i t. 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 Electtic Wiring ' . 67. Fencing & Access Approval
17. Rough Wiring Sign� 68. APPROVED FOR PLASTERING
18.-Rough Electrical-T Bar Ceiling 69. POOL/SPA SVSTEMS FINAL
19.- Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure _ 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
� 23. Gas Pipe-Rough & Test • 72. Underground Flush
.24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing __ 74. Overhead Hydro
26. T-Bar Ceiliny (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80�. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy ,
37. Final Factory Fireplace '
38. Final Plumbing /a�ln/Q`1 G�� - __`
39. Water Service-Final �
40. Gas Service-Final
47. Solar pomeSticFinal . �
42. Backflow Preventer
43. Backflow trrigation , . _ �
44. .Landscape Irrigation System -
45. Sound Attenuation -
46. Handicap Regulations �
47. FINALSTRUCTURE&BUILDING � �
48. Special Requirements Completed , -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICqTEOFOCCUPANCY
No. Date
'�(U . '_ . . Z � , _ AOPlicant to fill in all spaees exceDt �hosa within neavy Goraer Iine�antl sign all apprapriate Eeclarations.
`1�-L ,C!1'�tiCOSTA MESA� _ � � �
` CONSTRUCTION PER'MIT "
Project Address �Cii � � *-o-�- o� - �-+� �
Applicant's Maili g Ad ess ;
Owner's.Name ,!�._ `� Pn �4%-I � �o �
Address I � b5 V �� `'`'` �����
Arch/Eng. License No.
Address J�
� Contractor's Na e► _ Phyne
Address (m 'i' 1� j I � �L� L --
r-� i i s= � �� �ii
City Licensa No 'ZQ��
LICENSED CONTRACTOR DECLARATION
1 hereby atfirm that I am Iitensetl untlar provisions of Charter 9(commencin9
with sec[lon 7000) of Divlslon 3 of the Business antl P�tessions Cotle, antl
my Iicense is In full to ce antl eft ct. �Oq �
License qass ' tense �%
�ate Si9nature
WORKERS'COMPENSATION DECLARATION' .
I hereby affirm that I have a certlficate of consent to seli-insure or a certiticate
of Workers' Compensation Insurance, or a<ertitletl copy t reof (Section-
3800, Ldb. r`�I)1� - C /� l
Pollty No. `^+`� ✓� v I�7�1 COmpdny �
ertifletl copy iz hereby furnlshetl.
C Itl � c p� �5 11¢tl with the City ulltl Ision. O�'
ate Appllcant �
EXEMPTION FRO WORKERS' COMPENSATION DECLARATION
(Thi55¢ctiOn neetl not be completed it the p¢rmlt IS tor One huntlr0tl ($100) or�,
less). ^ '•, � ' ' -
I CCrtlfy that In the pe�to�ma�Ge of the wO�k tOr whlch [h15 p¢rm�t i5 is5uetl I
snall not emvlay any person in any manner so as to become subject to t�e
Workers' Compensation laws of Calitornia. , . •
Date Signature
NOTICE: If,iatter making this tleclaration, you should become'sub�act to the
Workers' Compensation provlsions of the Labor Cotle,�you must torthwi[h
comply with Such provl5ion5 or this p¢rTit SM1all be ❑eemeC revoketl.
CONSTRUCTION LENDING AGENCV
I herGby dtfitm that thera is a con5truction lentling agency for the performant¢
of tna work tar which this permit I5 issuetl (Section 3097 Civ. C.)
Lentler's Name _, .
Lentler's Atltlrass '
OWNERBUILDER DECLARATION
I hereby affirm that I am exempt trom the Contractor's �icense �aw tor the
followinq reason (Section 7031.5 Businass antl Professional Cotle: Any city or
county which requires a permlt to construct, alter, improve, tlemolisM1 or repair .
31.5 by any appllCdnt tOr d pe�mit sub�ects tne applicant to a tivll
�alty of not more than tive huntlretl dollars ($500). � '.
I, a5 ownar of tbe p�operty or rtfy employees with wd9¢5 a5 Ihei� sole
npeniation, will tlo the work, antl the structure is not intentletl or offeretl
sale (Secilon 7064, Business antl Protesslonal Cotle: The Contractor's
ense Law tloes not apply to an owner of a property�wno builtls or improves
i�eon; antl wno tloes such work hlmsclt/hersolf or through hls or her own
ploy ees, provitleC that such Improvements are not intentletl or offeretl for
°. If, however, the Guiltling or improvement is soltl withln one year of com-
tion, tne owner wlll nave the burtlen of proving he/she tlltl not bulltl or im-
�ve,for tha purpose of sale).
I, as �owner of tne property, am exclusively contracting with Ilcensetl con-
ctors tb construct the projett (SectionJ044, Business antl Professionz Cotle:
e Contrattor's License Law does not apply to an owner of property who
Ilas or improves thereon, antl who contracfs /or such projects with a mn-
ctor(s) Iicense pursuant to the Contractor's Ucensa Law). .
�I am exempt untler Section B. & P. C. for this reason
Date � Owner - �
1 hereby cartify tnat I hava reatl this applicatlon antl state that the above�
Information Is correct. I agree to <omply with all clty antl county ortlinantes
anG state laws rela(ing to builtling construction, anG �ereby authorize reore-
sentatives ot this S�tY �o. entpr upon th; above-mentloneG proDerty, for
Slgnalure ��-/ ��
Orivarz' Llcanse or 55 �
MF0865-46 rev.12/83 Whlte-Builtling;
TYPE OF CONSTRUCTION -
❑ CONVERSION ❑ DI
DESCRIPTION OF WORK
TVPE OF PERMIT LJ GRADIN�
❑ TENANT ❑ ELECTRICAL
� ❑ OTHER
J ADD LJ ALTERATION LJ REPAIR
OTHER
1FOUNDATION LJSTRUCTURAL
PLUMBING ❑ MECHANICAL
PROJECT DESCRIPTION 5[�. FT. ' oCCUaANCv
CONSTRVCTION TYPE VAIUATION $ _
ZONE GRADINGCU.VDS. ACRES_
Remarks: �/� ��
3ar Sink
3ackflow Preventer �
3ackflow Irrigation
3athtubs
�larifiers
JlShwaSh¢r
7rinking Fountains �
=1oor Orains
RoorSinks �
�as Service Outlets
Interceptors '
Kitchen Sink �
Lavatories �
P-7rap
Roof D�ains '
Reinspection Fee $25
Boiler
Duct - Under Ground
Duct � Structural
Duct - Ventilating
Exhaust System � Multiple �
FiFepl/Fact.Blt.ICBO# �
Heating'System & Ducting
❑ P100,000 BTU � 100,000 BTi
—`"`�` f I I Reinspection Fae ' I $25
Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping ,
Solar Tank
Swimming Pool w/Spa
Urinal
�%'1dtCf C1052L .
Water Heater
Water Service
laue Fee
Hood or Type I ❑
Canopy Type I I. ❑
Retrigeration S,ystem
❑P100,000 BTU 0100,000 BTU
System Repair/Alteration �
Issue Fae
0
FEES
A.P. #
S' Main Building:
E
T Front
g Rear "
A
C Right
SLeft
Ping. Ref. #
Parking Req./Provi�
Use of Building:
Plannin9 Notes:
5768 =3/09/8G
- Zone
Accessory Building: '
Park.Fees $
Aucomatic Washer .
Construction Pole Sub.
Cooking Unit ' '
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
OUtlets
Switches
Garbage Disposal
Generetor �0.5 KW C
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter LJup ro �100 amps
Meter �over100amps
Sub Panel� .
Motors�0-1"HP�1'/:-8 �
IncSolar �9-15 HP �i6-15+
Pole Light
Range
'Standing Sec[ions
KW Trash Compactor
40.50 TL
Z
O
N
I
N
G
R
E
�
U
H
E
E
N
T
$ 3 • ReinspeMion Fee $p5 Issue Fee $ 3
FEES
. PUBLICSERVICESREQUIREMENTS:
2oning Approved By Data
Building Approved 6y � Date
Application luued By J Dat�
� � SUMMARY OF FEES ' �
BUILDINGPERMIT .$ SMIP $
. PLAN CHECK $ � PERMIT �. �
PCUMBING $ �— ISSUANCE $ , .
PLAN CHECK 25% $ 7S� ENERGV P.C. ,$ -
� ELECTRICAL $ GRADING $
' PLAN CHECK 50°b $ MICROFILM '$
, MECHANICAL $ TOTALFEE $ � �
$ 3 PLAN CHECK 25% $ � _ . � • �
, (.
. ';CONSTRUCTION AND PLANNING � .�'� � � � POOL & SPA� , _ �� ,_ .`'
�-'APPROVALS �. Permit# Date + Inspector AppROVALS Permit# ' Date Inspectoi i y
i
.7? Temporary Elecvical Service or Pole ' - � 52. Pool & Equipment Location�� � - '
�� 2. �$oil Pipe-Undrgmd. � p��` �� -� 53' Steel Reinforcement ,� ° � .
3' Electrical Conduit Utiliiy-Undrgrnd.� � 54. Forms � - " . - _ �
4: Electrical Conduit-Undrgrnd. � . � � 55. Electrical Bonding . . ' - - - , ;
�
5. Steel Reinforcement ' i': � 56. Rough Plumbing.& Pressure Tesi ' � �
r
�� Electrical UFER Grnd: - �''1 � : 57. APPROVAL TO�COVER-GUNITE � .' � �
i
i ". ,J� �
7. Footings � _ � � ' 58. Electrical Conduit-Undrgrnd. � �
8. Foundationi ' , � � _ ,, 59. Gas Pipe, O Undrgrnd., Test � � . � � �" �
�
9. Water Pipe-Undrgrnd. � 3��� 60. Backwash Lines, P-Trap, � Und�grnd. `• , : �, i
.J �
10. Structural Floor System ' - �� � 61. APPROVAL TO DECK ' �
�
11. Property Sewer Llne &.House Connedtion r/(f/�Y. �� 62. Backwash & Receptoo-Final �" ,
b! (
72. Sewer Cap ' '_ � 63. Heater & Vent-Final . . . �
13. Roof Drains � ✓ - - 64. Plumbing System - Fival � �' `� ,' � �' �
�L
14. Rough.Plumbing ,,.i� � 'Jr�1/y�y �,E(j 65. Electrical-Final '' � � ' ,.,
15. Rough Electrica6Conduit . 66.� Solar System-Final - - � ""---
� ,�•16. Rough Electric Wiring - � 67.' Fencing & Acce3s Approval �- � - " �� "
17. Rough Wiring Sign . � � 68. APPROVED FOR PLASTERING -�- -
� 18. Rough Electrical-T Bar Ceiling . � 69. POOL/SPA SYSTEMS FINAL '. •
19. Rough Heating & Air Conditioning FIRE DEPT. �REQUIREMENT �. � � ,'
20. Rough Factory Fireplace . APPROVALS �Permit# � - �
21. Ducts, in Structure 70. Underground HYdro � �
22. Ducts. Ventilating ,� � , � 71. Product Piping OGas �•OOiI � � �
23. Gas Pipe-Rough & Test , i � '--�. 72. Underground Flush ^ � � � � T � '
24. Roof Framing ..' � 73. Undergrnd. Storage Tank O Gas ❑ Oil � � � �
25. Roof Sheathing � �� 74, Ove�head Hydro � �
-26. T-Bar Ceiling (Structural) &� Monocoat 75. Dry Chemical � -
27. Frame and Flashing 76. Dry Standpipe . _
, 2S. Lathing & Siding , , �77.� FIXED SY$TEM FINAL � - � . �
, 29..In'sulation � 78. FIRE PREV. FINAL �
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
. 31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal . - 80.� FOOD CERTIFICATE ISSUED i � "
i
' 33. Final Electric ' '..' Notes.' � �
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test � Q(�j1��t1 (��j . � ' . . � - , .
36. Hood or Canopy � � ' , �. _ .
� 37. Final Fac[ory Fireplace ' . � � . , �
38. Final Plumbing �0� (� � ' �
39. Water Service-Final , ' . ' � ' -
40. Gas Service-Final � � , � ' " ' �
41. Solar pomestio-Final -- . , �
42. Backflow Preventer � , . . _�_ � _ .r � . � �, , � I,'.
�
43. Backflow Irrigation ' � ,
44. .Landscape Irrigation System � ' � . • - ��.
45. Sound�Attenuation - ' � �% ,�� '
46. Handicap Regulations _ � I � � - ` � , � •.
47. FINAL STRUCTURE & BUILDING � ' � � � ; � `
48. Special Requirements Completed � � � ' -"
49. Electric Release to Edison : , � - , ' � � ' � � •
50. Gas Release to Southern Califomia Gas Co . � � '
i i
51. CERTIFICATE�OF OCCUPANCY - � -�� - - � �� � � � �,
No. � � - Date _' . . _ � . _ .. .
Applieant to fill in all spaces except [hose within heavY �orGer linez antl si9n all appropriate tleclarations.
3615 7/06/84 9.H5 7l
CITY OF COSTA MES O STRUC ION�ERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
ProjectAddress � � �//J/ ��
Applicant's Mailin ddr � � _ TVPE OF CONSTRUCTION EW /�DD ALTERATION REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER qp � � Zo�e
Owner's Name Ph ne DESCRIPTION OF WORK/USE OF BLDG.
Address ' ��11 S Main Building: Accessory Building:
Arch/Eng. Licenu No. TYPE OF PERMIT GRADING FOUNDATION Lc� STRUCTURAL T Front Q
Address ❑ OTHERT ❑ ELECTRICAL ❑ PLVMBING � MECHANICAL . A Reat . N
Contracror's Name � Phone C Right ' N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Addresslmailing� CONSTRVCTIONTVPE VALUATION$ S Left G
R
Gty LicenSe No. ZONE GRA�ING CU. Y�S. ACRES Ping. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
I he�ebyraffi�m that 1 am licensetl untler provisions ot Chartet 9(comme99ncing Remarks: - Planning Notes: M
with section 7000) of Division 3 of t Business antl Professions otl , antl
q i T
my Iicens is in f�h 1 � antl etiect. �
� �o S.
License N �
Date � Siqnature PLUMBING FEES
WORKE 5 CO PENSATION DE LARA ION ' BB� Sink ShOw2�5 '
I hereby a(f rm that I have a certiticaie oi consent to elt-insure or a certificate ELECTRICAL FEES
of Wo�kers' Compensation Insurance, o� a certifi tl coOY there (Sectlon
Backflow Preventer . - Service Sink . Automatic Washer Transformer ❑ 15-50 KW
3800, Lab. ,Q� '
Poiicy No. U� Company e � Backflow Irri9ation Sewer Ca ❑ 50+ KW
P = ConstructionPoleSub.
eCertiti c y is reby fumishetl. �
Ce ' iletl wim the ciiy tli ' o? ��„ � Bathmbs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date APplicant -� .
EXEM7TI0 FR ORKERS' M ENSATION D CLARATION Clarifiers ' Solaf ColleCtors � DiShwasher � Meter ❑Ovef 100 amp5
(This se�ti n neetl t e complet tl i the permit is tor one huntlre (E300) or -
less). � Dishwasher Solar Piping Dryers ❑Gas ❑Electric Su6 Panel
I ce tify h i �t r rmanc of th w �k fo� hicl H' r t i i55uetl, I ,
shal not e I n pe on i any ner so as to m ubje to the Drinking Fount2ins Solar Tank Fan �
Wo ' Calitor a. Mo[ors�0-1HP01'h-8
�ate Si n _, _ Floor Drains Swimming Pool w/Spa F.A,U. ' �
NOTICE: f,a er aking this tleclarati , you shoultl beco subject to the Inc.Sola� 09-75 HP �16-15+
Workers' Compensation orovisions of tne Labor Cotle, y must forthwith FloorSinks Urinal Fixtures
comply with such provi5ion5 or thiz permit shall be tleemetl �evoketl. Mic�Owdv2
CONSTRUCTION LENDING AGENCV Gd55¢Nic¢ OuL12L5 Wdt¢lCI052t DEVIC¢BOx25
1 hereby affirm thalt� re is a construction lentling agency for the performance Pole Light
of the work for /lNU1'pt�Qhis permit is issuetl (Section 309� Civ. C.) In[erceptors � Water Heate� Outlets Ran e
Lantler's Name � � � «�
9
Lentler's.Adtlress . Kitchen Sink Wa[er Service Switches . Sign
OWNER BUILDER DECLAR/\TION�-
1 hereby aifirm that I am exempt from the Contractor's License Law for the Lavatories Garbage Disposal ' Standing Sections
following reason ($ection �031.5 Business antl Professional Cotle: Any city or 1
county which requires a permit to construct, alter, improve, tlemolish or repair P—Tra
Generator �0-5 KW �5-75 KW Tresh Com actor
any st�ucture, prior ta its issuance, alw requi�es [he aOPlicant tor zuch pe�mit P P
to tile a Si9netl slatement that he/she is licensetl pu�suant to the 0/o�isions of ROOf D�ainS
[he Contractor'S License Law (Chapter 9(commencing with Section ]000) of ,
Division 3 of the Business antl Professions Cotl¢) or tha[ he/she is exempt
therefrom antl tbe Oasis tor tne allegetl exemption. Any violation of Section
]031.5 by any applicant tor a permit subjects tM1e applicant to a civil
�enalty ot not more than tive hundred dollars ($500). - 3
lJ I, as owner of the properTy or my employees with wages as their sole ReinspBction Fee $15 ISSue Fee $
compensation, will tlo the work, antl the structure is not intentled or oiteretl Reinspection Fee $15 luue Fee $ 3
tor sale (Section �044, Business antl Protessional Cotle: The ConVactor's MECHANICAL FEES
Li<ense Law tloes not apply to an owner of a properry wno builtls or improves
tnereon, antl who tloes sucM1 work himself/M1erself or tM1rougM1 nis or her own - DEVELOPMENTSERVICES RE�UIREMENTS:
employees, provitletl that sutlt imOrovements are not intentletl or offeretl for BOiIB� HOod o� Type I ❑
sale. It, however, the builtling cr improvement is soltl within one year of com- Cd00py Typ¢ I I ❑ ZOning Approved By Ddt¢
pletion, the owne� will have the bu�den of proving h¢/she tlitl not builtl or im- DuCt - Und¢� i�i�0und BUilding App�oved By DatO
�rove for the purpose of Sale).
I, as owner of the Droperty, am exUusivery wntracting with licensetl con- Duct - Struciural Refrigerotion Sys[em Application Inued By �� Dat �
tractorsto construct the project (Section 7044, Business antl Professlons Code: ,
The Contractor's License Law does not apply to an owner of property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtls o� improves thereon; antl who wMtacts for such project5 witM1 a con-
tractor(s) license pursuant to tne Contracror•s license Law). I am aware tnat Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUI LDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance shoultl be provitletl m me. PLAN CHECK $ PERMIT
❑ I am exempt untler SecYion B. & P. C. for this reason FirepVFact BIL ICBO # PLUMBING � $ ISSUANCE $
Date Owner . I Heating System & Ducti PLAN CHECK 25% $ ENERG�' P.C. $
i hereby certity at i have read this a ptication and state that tne above � ❑0-100,OOOBTU 00,0008T ELECTRICAL $ GRADING $
information is c rect. I agree to co ith all clty antl county ortlinances
antl state la elating m builtling nStr ttion, ntl hereby authon re re- PLAN CHECK 50% $ MICROFILM $
sentatives of is city to enter on e ab e-mentionetl pro r y� �
Inspection pu qp.� � �� � MECHANICAL $ TOTA� fEE $�
Siqnature ���I oate
Drivers' License or 55 �
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46, rev.4/84 White - Builtling; Canary -Applicanq Pink -Accountinq; Goltlenrotl -Assessor
� CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector p�ppROVALS 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 Gmd.' � 57. APPROVAL TO COVER-GUNITE � �� `
7. Footings' . � � � - . 58. Electrical Conduit-Undrgmd.
8. �Foundation � - ' � 59. Gas Pipe, � Undrgrnd., Test
9. Water�Pipe-Undrgrnd. � - 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System . 67. 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 -7 �t� �,� FIRE DEPT. REQUIREMENT -
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro .
22.•Ducts,Ventilating 71. ProductPipingOGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. �athing & 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 , i
33. Finai Eiectric Notes: ' �-
34. Final Heating & Air Conditioning ���h��� [.,¢c>
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 pomestic-Final
42. Backflow Preventer ' �
43. Backflow Irrigation . _
44. .Landscape Irrigation System
45. Sound Attenuation � �
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed , , �
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co !
51. CERTIFICATE OF OCCUPANCY
No, Date
` • ' Y�DC�icant to fill in all soaces except those within heavy eoraer Iines ana si9n all aporooriate tleclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMI�T NO.� /��� � TRACT NO. LOT NO.� UN�IT NO. - "OI ]] 10/ I 2/B4 �� ���p T�
ProjectAddress 3403 Lavender
Y'
. TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR-
Applicant'S Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � q,p, # Zone
Owner'sName Standard PdC7f7C COPD_phone 546—��6� DESCRIPTIONOFWORK/USEOFBLDG. �
Address 15Fi5 W. MarArthur �O�td M2Sd 92626 � � s MainBuilding: . AccessoryBuilding:
lirch/Eng. License No. TVPE OF PERMIT GRADirvc ❑ FourvDA7lON T O
� ❑ STRUCTURAI F�Ont
Addre55 � ' � ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL A Reaf � N
Contractor'sNam mh711 7hone�� �'OTHER
a—�P_W Plu 9 � C Right N
Addresslmailing) �in�N F2P Ana pnahPim PROJECTDESCRIPTION SQ.F7. oCCUaarvCv K
_ CONSTRUCTIONTVPE VALUATIONS $
Left G
City LicenSe No. 3ZH%� � ZONE GRADING CU.YDS. ACRES ' . E
LICENSED CONTRACTOR DECLARATION Ping. Ref. # P2�king Req./P�Ovided
I hereby a(fi�m that I am licensetl untler provi ' ns Charter 9(commencing Rema�ks. I S � ' Planning Notes: M
- with section ]000) of Division 3 of roe Busi ezs a tl Professlons Cotle, antl T
mv rcense is �n f�u tcLcce��a etrect. 4Z6� O9 S.
IJcense Class i nse No. .
Date �ni�n�i4 Signature PLUMBING ' � FEES �
WOHKERS' COMPENSATION DECLARATION Bd/ Sink ShOw2�5
1 hereby aftirm that I have a certi(icale oi mnsent to selt-Insure or a certificate ELECTRICAL FEES
of Workers' Compensicion Insurance, or a certifietl wpy thereoi (Section BackflowPreventer ServiceSink ' �
3800, Lab. Automatic Washer Transformer ❑ 15-50 KW
�WC-1777141 Home ❑ So+Kw
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub.
❑ Certifietl <opy is hereby �urnishetl. , _
�}� �r,(ifjgq,cpqg is tileG with the city,geW v�l Um�'n�Q . Bathtuhs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Dale U/IU/04 qpplicant iv r . . —
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers $Ola� COIIecLOfS Di5hwa5hC� M¢t¢� ❑OVE! 100dmp5
(Thissection neetl no[ be wmpletetl if the permit i5 tor one hundretl ($1�0) or
less). Dishwasher' Solar Pipin9 . Dryers ❑Gas ❑Electric Sub Panel
I cer[ify that in tne pe�lormante of [he wo�k fo� which thls Oe�m�t is i55uetl, I
snall not emoloy any person in any manner so as to become subject to the Diinking Fountains Solar Tank Fan � Motors �67 HP 01'h - 8 �
Workers' Compensation Laws ot California.
Oate Si9nature ' Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar �9-15 HP �i6-15+
NOTICE: If, after making this tleclaration, you shoulG become subjeci to the
Workers' Compensation provisions of the Labo� Cotle, you mu5t forthwith FIOOISi�kS � U�inal - FixtU�¢5
comply with such provisions ot this permi[, Shall be tleemetl revoketl. MiC�owave
CONSTRUCTION LENOING AGENCV � � Gas SefviCe 6 Outlet5 � Watef Closet ' -2 �j� Device Boxes POIe Light
I hereby affirm that there is a construction lentling agency for the performance
of the work for which this permit is'issuetl (Section 3097 Civ. C.) �nterce tOrS � Wdt¢f Hedt¢r - '
Lentler's Name P Outlets Range
Lentler's Ailtlress _ Kitchen Sink Wate� Service � Switches Sign
OWNER BUILDER DECLARATION � .
I he�eby a(firm [hat 1 am exemp[ from the Cont�ac[or'S License Law tor the Lavamries - � Garbage Dispoul • Standing Sections
following reason (Section ]031.5 Business antl Pwfessional Cotle: Any ciry or
county which �equires a pe�mit [o wnz[ruct, alter, improve, Oemolish or repair P—Tf2p
any structure, prior m its issuance, also requires the aDPlicant for such permit Generamr �0.5 KW �5-15 KW Trash Compactor ,
to file a signetl statement [hat he/she is licensetl pu�suant to [he p�ovisions af ROOf ��aini
the Contractor's License Law (Chapter 9(commencing with Section ]000) of "
Division 3 of the Business antl Professions Cotle) or that M1e/she is exempt
therefrom antl tbe basis for the allegetl exemptian. Any violation of Section , . .
�]03L5 by any applicant tor a Pe�mi[ subjects the applicant to a civil -
gendlty oi not more tban tive huntlretl tlollars ($500). ,
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $75 Issue Fee $ 3
�compensation, will Oo me work, antl the structure is not intendetl or offeretl Rainspection Fee $15 Issue Fee $ 3
for sale (Section �044, Business antl Professional Cotle: The Gontractor's • . MECHANICAL FEES
License Law does not appry to an owner of a property wno builds or improves - �
tnereon, ana wno does such work nimselt/nerseif or tn.ougn his or ner own • DEVELOPMENTSERVICES REQUIREMENTS:
employees, provitletl that such imProvements are not intentletl or offeretl for Boiler Hood or Type 1 ❑
sale. It, however, the builtling cr improvement is soltl within one year of wm- ' Canopy Type I I ❑ Zoning Approved By Date
pletion, [he owne� will have [M1e burtlen ot proving he/she tlitl not builtl o� im- DuCt - Und2� GroUnd • @Uilding App�oVed By Odte
�rove fo� the purpose of sale). �, (� 2_
I, as owner ot the property, am exclusivery contractin9 with licensetl con- Duct -Structural � Refrigeration System Appliption luued By D te_.L9!!.______
t�actors to con5truct the Oroje[[ (Section 7044, Busine55 antl Professions Cotle: � 1--
The Contractor's License Law tloes not apply to an owner of property who Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES �
builtls or improves thereon, antl who cant�acts for such prolects with a con- -
tractor(s1 license pursuant to the Contractor's License Law). I am aware tnat BUILDING PERMIT $ SMIP $
proof o4 their Worker's Compensation insurance shoultl be provitletl to me. Exhaust System ❑ Multipl¢ ❑ SySt¢T R¢pdi�/AItEf2ti00
PLAN CHECK $ PERMIT
❑ I am exempt untler Section B. & P. C. for this reason Firepl/Fact. Blt. IC60 # PLUMBING $ .' fi� � l� ISSUANCE $'
Date Owne Heating System & Ducting � � PLAN CHECK �25% $ ENERGV P.C. �$
I hereby <ertiy that 1 nave r atl thi application antl state that the above ❑0.100,OOOBTU �100,OOOBT � � GRADING $
iniormation a mrrect. I a9re to co ty with al1 city antl county orainances ELECTRICAL
ana state laws relating to bu min9 nstruction, antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
Sentatives of tni city to e ter pn the above-men[ionetl property for �
inspection purp . � � MECHANICAL �J�
Signature Oate Lb $ TOTALFEE $ ��
Orivers' License or SS � Reinspection Fee $15 laue Fee ,$ 3 PLAN CHECK 25% $
CMF 0865-46, rev.4/84 White - Builtling; Canary - Applicanp Pink - Accounting; Goltlemotl -AssesSo�
CpNSTRUCTION AND PLANNING POOL & SPA
qPPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
7. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
� 2. 5oil 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�Undrgmd. ��
8. Foundation ; 59. Gas Pipe, � Undrgrnd., Test , �
9. Water Pipe-Undrgrnd. •� 60. Backwash Llnes, P-Trap, 0 Undrgmd. �
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 7
14. Rough Plumbing 65. Electrical-Final ��
15. ROugh ElectricaV-Conduit 66. Solar System-Final ' - -
i6. Rough Electric Wiring 67. Fencing & Access Approval
1�7. Raugh Wiring Sign � 68. APPROVED FOR PLASTERING �
18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. RUugh 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 O Gas ❑ Oil
23. Ges Pipe-Rough & Test � �72. Undergrounci Flush ���
24. Roof Framing- � 73. Undergmd. Storage Tank O Gas ❑ Oil
25. ROof Sheathing � 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. FrameandFlashing , 76. DryStandpipe
' 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:
34. Fi�al Heating & Air Conditioning •
35. Fiiial Gas Pipe-Test �O[I d'� �
36. Hood or Canopy � �
37. Final Factory Fireplace �
38. Fir�al Plumbing �
39. Water Service-Final
40. Gas Service-Final
41, Solar pomestic-Final
42. Backflow Preventer .�
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 Southem Califomia Gas Co • .
51: CERTIFICATE OF OCCUPANCY .
No. Date ,
-• AOP���ant to fill in ali spaees exeeo� tnose within neavy eortler Iinei anE si9n all ap0�o0/iate Ceclarations.
CITYOFcoSTanaESA CONSTRUCTIONPERMIT PE�MI��.$g r���// LOTN UNITNO. �g�p ��^��r� ��
Project Address .��/03 tA✓Fut��t I.nrre Gs� mfsa e.t 9ibZ.ti o�,
Applicant's Mailing Address �SAME /iS ABoVEi TYPE OF CONSTRUCTION NEw .°.DD ALTERATION REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner'sName �A��� KCNT n/�LCEiL. Phone��y- �y8 . A•P.# �� 3 �%' Zone �,%
DESC�RIPTIONOF..�IO RK/USEQ.� B DG.
Address 3+�03 .�AYEA/47t L/aNE �o57uMES�1�CQ926Z6 ���`fr G< /YP� f U �OvQr , S MainBuilding: AttessoryBuilding:
1...�J E 2
Arch/Eng. l a•� -� + l.— License No. Q�'+i TVPE OP PERMI�GRADING FOUNDATION STRVCTURAL . T Front p
Addre55 � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ' � � N
ContraCtor'sNam � � Phone��y' y�"Jyu � �THER �: �
PROJECT DESCRIPTInN an cT oCCUPArvcv !Ni _ C Right � / N
Address (mailing) �� F., /�MI11A'�WfT1LTNSW�EIF7 %C:ltibVJii K � ^ � G
CiLyLicenSeNo.— �%�YZ3 CONSTRUCTIONTVPE- �• VALUATIONS �� S �e�t '�r5 0[�
R
ZONE GRAUirvG CU.vDS. ACRES p�ng. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
I bereby affirm [hat I am licensetl untler provisions of C�ar[er 9(commencing Remarks: . Planning NOte ' — M
Wlih 52CSIOf1 10�0� Of Division 3 of Ihe BUSIfIC55 dfltl Professions Cotle, antl �� �� T
my license is in full force and eftect. S
License Glass License No.
Date Signature PLUMBING FEES
W00.KEN5' COMVENSATION DECLARATION Bar$ink ShOw¢r5 '
I hereby aitirm that I nave a certiticate ot consent ro self-insure or a certiBcate ELECTRICAL FEES
o( Workers' Compensation Inwrance, or a cerUtietl mpy thereof (Section Backflow Preven[er Service Sink
3800, Lab. C.) P.utomatic Washer Transformer ❑ 15-50 KW
aorcy no. Company Backflowlrrigation SewerCap ConstructionPoleSub. � 50+KW
8 Certifietl copy is hereby turnishetl.
Cerfitietl copy Is tileC with the city 8uiltling Division. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps
Date Applican[
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cldtifi¢r5 $Olar COIIeCtOri Di5hWd5h¢r Met¢r OOv¢r 100 p5
(Tbis section neeA not be completetl if the permi[ is for one huntlretl (y100) or . -
iess). � Dishwasher Solar Piping Dryers �Gas ❑Electric Sub Panel
I certity that in the performance of the work for which this perm\t 6 issuetl, I
snall not employ any;oerson in any manner so as to [ come 6ject m the Drinking Pountains Solar Tank Fan Mo s �0-1 HP �1Ya- 8
Workers' pmpensaC`pn LawS ot Calif�a. 'n G.�
oate �' ��y 7 Signature L����'��Y/�/ Floor Drains Swimmin ool w/Spa F.A.U.
NOTICE: If, affer makiq9 this tleclaration, you shoultl become subject to the Ina Solar �9�15 HP �16�15+
Workers' Compen5ationVprovision5 of the Labo� Cotle, you must tor[hwith FIOOfSi0k5 Ui FixW�¢5
compry with such p�ovisions o� tnis permit snall �be tleemetl revoketl. Mi[�owav¢
CONSTRUCTION L•ENOING AGENCV Ci85$¢/viC¢ �Ull2t5 Wet¢�CIOSEt DeviceBoxes
1 he�eby affirm tha[ Nere i5 a constructlon lentling agency fo� the pertormance Pal¢ Liyht
of the work for which �this permit is iszuetl (Sec[ion 3097 Civ. C.) Inte�ceptors Waler Heater Outlets Ran e
Lender's Name 9
�entler's Atltlress ' Kimhen Sink Water Service Switches Sign
OWNERBUILDEH DECLARATION
I hereby affirm Ihat I am exampt frOm the ConVacto�'s LlcenSe Law 1or the LdVdtO�i¢s AUtO-WeSh
followinq reason (Section 1031.5 Business antl Protessional Cotle: Any city or Ga�bag2 DiSposal Standing Sections
county wnich requires a permit to construcq alter, improve, aemolish or repair P-Trap Laundry Trays Generator �0�5 KW �5-15 KW Trash Com acmr
any sVucture, prior to i[5 issuance, a150 requi�es [ne applicant tor such pe�mit P
to file a signetl statement that he/she is Iicensetl pursuant to the pwvisions ot Roof Drains '
the Contractor's License Law (Chapter 9(commencinq with Section ]000) of '
�ivision 3 of tne Business antl Professions CotleJ or tha[ ne/she is exempt -
theretrom antl l�e basis fOr tbe all¢g¢tl exemptlon. Any violation Of Section
]031.5 by any applicant tor a permit subjects the applicant to a tivil
�enalty ot not more tM1an five huntlreG tlollars (5500�.
LI I, as owne� of the property or my employee5 with wages as their sole ReinSpBetian F¢e $15 ISSue FBB $ 3
rompensation, will tlo Ihe wo�k, antl the st�uciure I5 not inlentletl o� offeretl RBinSpectiOn F80 $15 ISSUe F88 -$ 3
for sale (Section 7044, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES
License Law tloes not apply to an owne� ot a prope�ty who builtls or im0�oves
thmcon, antl wno aoes such work nimselt/herseH or throu9n bis or her own DEVELOPMENT SERVICES FEQUIREMENT�
employees, provitletl that such improvements are not intentletl or oileretl for Boilcr HoOd o� Typ¢ I ❑
sale. If, howeveq the builtling or improvemen[ is soltl witnin one year of mm- Canopy Type I I ❑ ZoninB %�PProved 6y Datea�
ple[ion, [he owner will have the bu�tlen ot p�ovinq he/she tlitl not bulltl or im- DuCI - Und¢� Ci�OUnd Building ApP�oved By r DetB J ?U �%
�rOv! 10� the pu�pose of sale�.
I, as owner o/ the property, am exUusively tontracting with licensetl con- Duct-Struciural Refri ation System ' Applitetion ISSued By /•i. �+ Date �-��_' �%
L(dCLO15I0 CO�ISINCI LhC O�OjCCI ($2CIIOO JOAA� BO510255 dlltl PIO(ESSI005 COCC: •
' The Contractor's License Law tloes not apply to an owner of property who Duct - Ventilaling -100,000 BTU ❑100,000 BTU SUMMARV O FEES
bulltls or improves thereon, antl who contracts for such projects with a con- � _
tractor(s) iicense oursuant to the Contractor's License Law�. I am aware that Exhaust System ❑ Multiple System Repair/Alteretion BUILDING PERMIT $ J'3 =5� SMIP $ �-S��
proof of their Worker's Compensation insurante shoultl be provitletl ro me. PLAN CHECK $ ZS '�� pERMIT
I am exempt untler Section d,,q C. tor tnis reason FirepUFacL BIt. IC80 - Fire Oampers
� @ // PLUMBING �^ ISSUANCE � $
� �A � � PLAN CHECK 25% $ ENEfiGV P:C. $
�(�„ ^di 6. ` Heatin9 System & Ducting fiegisters
I hereby certify that I have reatl Ihis application antl state that the above ❑0-100,OOOBTU 0700,OOOBT ELECTRICAL GRADING $
intormation is rorrecL I a9ree to comply with all tlty antl county ortlinances $
antl state Iaws relating to builtl'ng construction, antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentative5 of Ihis cily t0 epqt upon abOve-mentionetl property r
inspe<tion'p seeeFpe s. ` /// � • � �
Signature L1Lt.C.�LGa�( Data ' , . MECHANICAL $ TOTAL FEE $ � • ��
Drivers' �icense or 55 � Aeinspection Fee $15 Issue Fee $ 3 P�AN CHECK 25% $
CMF 0865-46, rev. 30/84 Whi[e - Builtling; Ganary - Applicant: Pink - Accountlng; Goldenrotl - Assessor
CONSTRUCTION ANDPLANNING 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 Gmd. ' 57. APPROVALTO COVER-GUNITE '
7. Footings ' ��� ' 58. Electrical Conduit-Undrgmd.
8. Foundation '� 59. Gas Pipe, O'Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O 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 Plum6ing 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 �Gas ❑Oil
r
23. Gas Pipe-Rough & Test � 72. Underground Flush .�
24. Roof Framing 73. Undergrrid. Storage Tank O Gas ❑ Oil �
25. Roof Sheathin9 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � �
27. Frame and Flashing 76. DrY Standpipe � '� , t
28. Lathing & Siding 77. FIXED SYSTEM FINAL �'.I "
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:
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 pomesticFinal •' � '
42. Backflow Preventer � ' � .
43. Backflow Irrigation ' �
44. Landscape Irrigation System �
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING ,�
48. Special Requirements Completed
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. ' Date
��� � ��C LW�
3�03 ,C�/�c--/1 L��
CpS7���3�4 � ��2.6
���1��0�/�]t/ • -��,��
/ �CO A3Y %IEs,q
PL.4NNING DEPT.
dULECf TO BLDG. DEPT, �EQ�
61/ ��A' �--'�=��
Q=ZEC7o! Oi qAp�p�
p
ptl�i� ��_5�6���
ADDITIONS, DELETIOi�i„ OR COnR�CT10 S SHALL
BE APPROVED [3Y THE ?LF1P�i��li9G DEP RTMENT
City of Costa Mesa Building Dept.
B DATE �. 19�
IESE PIANS /�,�,g7 BE ON JOR AT ALl TIMES MAKE
N CHAi•!��ES WIT;IOUT VRIGR APFROYAL Of DEPT.
�
T I� ISSUA!J�'f: OR C:F.A\'S:r1G OF A Pt"RMIT OB P?PP.OV?L OF �
'lf N� .i.�D'o''i:(:1F;C:�':�.''."!5 SvaLL �d�:)T P`e GOPJ�THUEJ TO BE A
'Ef NJi %Ot:, '7f. �tiJ / � �,';:i":.L �;�, Ar;1' 41p! pTION OF ANY Of �
ih; PRCY:=�t:nc:2'�- �:GOFc.iJOFF.i':4iiP�!:`U�5ihG70GIVE N
41��N(ib•t��" i •� Q�•,' •�'• C:.n1C'_:. n:c ��w0'/ISICreS OF TH:S �
^i: �t��,lt tl` v�,.IC. c%'=EFT IN £.0 �FR AS 7Hf W'ORY.OR USE'
J1' i:k G AUTNpk ZE`: �� :A✓J'�UL.
tY`c IS>l;t•b!rE CiF k'rERhilT BASED UPO4 PLANS AND � ____
°f'CIFlCA7IUra:: SF1Au. NOf P�eVENT TH: 6WlDING OfFICIAL � '^ �"
F�i QM TriEGE:1�lEf: d'eCUIRING THE CORRECTION OF ERRC'RS IN C_ _� _ �
lb FLANS aND �EQFICFTIONS Oft FROM PREVENTING � i _ -9�
9OI�.DING O�ERATION6 BEING CARRIED ON TMEREUNDER WHEN ,/ i _ � I��
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF � . ; K-- \
TH� CITY. � ' � y
HOU�I
�( - !- . / �` �
s— 4 �6�---_.-� � - -
,: —
� �
-- — -' � _ --- ,
-..
- --'--- ,- -
- -_- :'�-_. _ ,y. __ .__. . �. �..: ..
W�����
o�s A�B
.;:�„ , • oe.�
��8������
:�:� �.om�� .
�o �� �6� � .
. �.o��e—�
�pJ Sl_
S3�
_.....-_..1,..�. � � ' '_......__ .,._"... I�i.,
i
I y ---p -�. A---- S�6�-p r
Ho.�s L
-------b I l I� � 0� r c!}
� �
3 -
20" ROOF CONNECTION
DETAI�S
CON7.
LEDGER
CONT.
LEDGER
SOLID BLOCK
��,oPr�rrr
smvlcces n��rr
BUIId�1NG SAF'ETY DIVISION
PATIO COVER
TYF PLANS
RaF OWPIER: �l�Vi �� KEn/� ,✓L(��c..L�2_ ATE: 8-�o— k7
reR q TG
� ADDRESS: 3`�°3 l.,a��DErc4'9x�� �,��9, H�NE: 7/�=�0/6-/6��
I/2�� DIA. X 5�� LAG SCR
AT 32�� O.C.
DETAIL I
CR 9 CL��TECO�
GRIPS OR JOIST
HANGER
3/8�� DIA. X 5�� LAG SCR.
ar �6" o.c.
DETAIL 2
10"' OR. LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
X FACIA-MIN.REO.
RAFTER
APPROVED METP.L
HANGER
DETAIL 3
CONTRACTOR:
ADDRESS�
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZF. SPACING SPAN
2"x4" 12"O.C. 9'-6" �
16" 8'-0"
24" 6'-6"
32" 6'-0"
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48�� 8�_���
2"x8" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" l7'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0"
36" 18'-0"
48" 16'-0"
4"x10" 32" 22'-0"
36" 21'-0"
48" 20'-0"
7Y� 17�_���
LIC. N0.
PHONE �
RAFTERS �
LIGHT WEIGHf ROOF COVER 0;
LATH, FIBERCLASS, ALUM�J
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24�� 8� _p��
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32"• 12'-0"
48" 10'-0"
2"x8" 24" 19'-0"
32" 15'-6"
48" 13'-6"
HEADERS
LZGHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 • 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 5'-0"
4x6 e�-o��
4x8 10'-0"
4x10 12'-6"
D FOR
�eNeR't,��16mB�: uept.
.1..__T])esgq�lans m4 t 6e
dt O��S�ip,� n�rnq t}—ie jo�"'at
, 'ra:li2 G1it�2��dUt1R'�7Avr
J consttuction�' �?��'� t
2: Al-3o;fr.amin to,be �
8 ,., a� �
"Douglas>�Fir��.��E�. ,
giade :minTmum:�'Y �` '
.:!uc+v< <
3.. Itafi'ers �may,.;not7��5 i
_.at[acH 'tb"fac����ex=
cept for 104k roofsS
� 3=,;:r
as shown"on+�details,
����o�Nc. o:-�c��
2011-icoof s�.�mMsF,� ��Se;
�:/�,ohn��LOlIER �*edger
8NC 81t�@ RQIFtlAIS J
on details Ikl��
4. L g
may attach to facia
for 14' span max.,
spans over 14' mus[
use a continuous
ledger as shown in
details il3
� �� ���
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
�
�
i:�
STREET
PLOT PLAN
N
0
�
�
N
�
Z
0
J
7
m
r
N
X
w
E DETAILS ON REVERSE SIDE
ROOF SMEATHING
OVERHANG
_X_RAFTERS
AT_ O.C.
_x_eeaM —
T-STKAP E.t. sit�
Fo,a Fbs'T- BeAN �
CONNECT/ON, � O
a � TJ
a z i
� W
� F H
N � �
a 4 __ ¢ `
o�
� � F
z
N O W
X J 2
z
� � U
m
Q
J
N
U
Z
�Q � c�i
D2oP P� �o � N, z
Ftovc2" �'.� q
� y 'a
SLOPE TO ORAIN p
-�- �
;o.� : ' : o'.: : . . a . . �'. �. ` _ ... . . . . . . .
26 �a.G.�. Fu�sn�ni4
@ i✓000 icoo,�
coius r,ec �c rioiv
SIDE ELEVATION
I .1 i �j
N � �
.�1 _ J
PIERS 12�� 50.�
CONSTRUCTION DETAILS
W
G
Q
¢
�
z
LL
W
O
m
4
w
0
a
rc
u
i
�