HomeMy WebLinkAbout2518 LEHIGH PL - Building Permits Applicant to fill in all spaces within heavy,border lines and sign all appropriate declarations. . -
CITY OF COSTA MESA IT O. - TRACT NO. LOT NO. BLDG. NO. 9425 10/20/B2
I(]•VU T�
CONSTRUCTION PERMIT 113-t1.5-0 ,--3-3 o2.7So g2, •
Project Address 8 f c-'-41, [� TYPE OF CONSTRUCTION
Owner '� -C- a8 rh ./ Phone.6- ,r. 0 NEW ADD 0 ALTERATION ' • '
Address vv ll ZY_ ❑ REPAIIR ❑ CONVERSION ❑DEMOLISH �•..�-- — '
' ZONING REGULATIONS
1•
Arch/Eng.�i y License No. 0 OTHER
DESCRIPTION OF WORK 44$11.Y7 '/ A•P-le
Address - • _ - '-ZONE PLNG. REF.8$ -
Contractor L.ui R I R132>i4 PhoneC q7_ TYPE OF PERMIT' - BUILDING TOBUILDING
/ SETBACK C L ST. PROPERTY LINE '
• Address _- _ - i 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD - - •
LICENSE• CONTRACTOR DEC ARATION 0 TENANT ELECTRICAL ❑PLUMBING ❑MECHANICA LSEDF _ ,
I hereby.affirm that I am licensed under provisions Of Charter 9 (com- ,�} c� RIIGHTA •
mencing with section 7000) of Division• 3 of the Business and (OTHER L 1�S 7 CrltaG^1 $!.t/ Diu - _
Professions Code and my license Is In full force and effect. REAR YARD(TO P/L)
• PROJECT DESCRIPSTI11tl ,
License Class ,Licens- N. - -- �/ Q(p PKG.SPACE REQ: PROVIDED
50.FT. VJ
Date `- �- ignature --. •� - STREET WIDTH PARK FEE $ -
WORKERS'COMPENSATION 0 CLARATION OCCUPANCV_CONSTRUCTION TYPE
'I hereby. affirm that I have a certificate of consent to self-Insure or a VALUATION ' ZONE ZONING APPROVED BY ' - DATE
certificate of Workers' Compensation Insurance, or a-certified copy-
thereof(Sec io 3 0, C.). S ,GRADING CU.YDS. " ACRES SPECIAL CONDITIONS:
Policy No.• Company c...---• _it=
frr^D - - - -'
❑ Certified copy is hereby furnished. REMARKS: - . '
C-' ertified copy is filed with the city Building Division. _'.'. - .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION CV r 5 - : - i
'
(This section need not be'completed if the permit if for one hundretl . ,,
($100) or Iesij. _ . _ '_ - - n
I certify that in the performance of the work for which this permit is ..
Issued, I shall not employ any person in any manner soasto become PLUMBING • • -'PLAN-CHECK Ir :CTRICAL - - PLAN CHECK
subject to the Workers'Compensation Laws of California-- S - I f's
BATHTUBSHOWE'•5 camp LUNG ._ .. .GH HH[aE - -
Date Signature y a •. l� 50. FT.
NOTICE: If after making this declaration, you should become subject TOILETS s URINALS ��r' trA ININs RATOR - 0-1 KW ' 1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must �+��-' ORMER .-.50-1-.KW
•.
forthwith comply with such provisions or this permit shall be deemed LAVATORIES Do t- L• APPLIA E 10-50 KW_50•+ KW
revoked. - DISHWA 'ER
CONSTRUCTION LENDING.AGE NCV KIT.SINKS ' - - -
_ 'MOTORS 0-1 HP. P-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+ HP '
formance of the work for which this permit is issued (Section 3097 -
Civ. C.). - - - FLOOR SINKS ' FLOOR DRAINSFIXTURES OUTLETS - SWITCHES
Lender's Name. - - •
Lender's Address DRINKING FOUNTAINS , GAS TUBE SIGNS . '
OWNER BUILDER DECLARATION INTERCEPTORS •
CLARIFIERS POLE LIGHTS '
I hereby affirm that I am exempt from the Contractor's License Law for - -
the following reason (Section 7031.5 Business and Professions Code: -SWIMMING POOL- - ' ' P TRAP - • • • 4, • . - •
Any city or county which, requires a permit to construct, alter, 'POLES METERED SUB -
improve,demolish or repair any structure; prior to its issuance,also re- WATER SERVICE - " ALTERATION . 'PANELS MAIN SUB
quires the ap,licant for such permit to file a signed Statement that he - -, '
is licensed pursuant to the provisions of the Contractor's License Law -GAS SERVICE OUTLETS SERVICE AMP - ' •
(Chapter 9 (commencing with Section 7000) of Division 3 of the -• -
Business and-Professions Code) or that he is exempt therefrom and the -WATER HEATERS BTU OUTPUT - - - -
basis for the alleged exemption. Any violation of Section 7031.5 by - - - - • '
any applicant for a permit subjects the applicant to a civil penalty- SEWER CONNECTIONS - -' - - - '
of not more than five hundred dollars ($500). '
0 I, as owner of the'property,or my employees with wages as their SOLAR TANK COLLECTORS - - -
sole compensation, will do the work, and the structure is not intended . . '
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ' - ISSUE FEE - - -
Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who does such work himself or ISSUE FEE •
APPLICATION APPROVED BY - - - DATEt•-
through his own employees, provided that such improvements are not
Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK -
is sold within one year of completion, the owner will have the burden SUMMUY OF FEES
of proving he did not build or improve for the purposeofsale). HEATING SYSTEM 0-100,000 BTU 'BUILDING
IT $ /0 _ t
❑ I, as owner of the property, am exclusively contracting with AND DUCTING .SMIP ,$
licensed contractors to construct the project (Section 7044, Business 100,000•+ BTU PLAN CHECK$ I i PERMIT
and Professions Code: The Contractor's License Law does not apply to f r a r ANCE -$ - •
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUM: NG $ _
tracts from such projects with a contractor(s). Iicesned pursuant to SYSTEM- - fr.' GRADING $ '
the Contractor's License Law). - 100,000 +BTU PLA . .r •- -
❑ I am exempt under Section B.& P.C.for this BOILERS BTU :ELE• TRICAL p� •
$
reason PLAN CHECK g �✓- MICROFILM $- i
Date. Owner SYSTEM REPAIR,ALTERATION - TOTAL'FEE $•
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - MECHANICAL $_
information is correct. I agree to comply with all city and-county PLAN•CHECK $ .' -LESS
ordinances and state laws relating to construction,and hereby authorize _ VAN
CEE P PC $_
-
representatives of this city to en -r upon the above mentioned ' - O p
property for pe Non p .oses./,
Signetur- �'•- i. _ /�-,�- Date ��_Oa; ISSUE FEE ■ FINAL FEE $-/Oy�—
Diivers' icense or SS i$ - • '• - •
CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING ' POOL&SPA • - -
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- - - - - "" " '-'-_ " - - -
2. Soil Pipe-Undrgrn - .- _ 44. Steel Reinforcement • - - - -
3. _ Electrical Conduit Utility-Undrgrn . _ - _ __ . 45. Forms - .- - -. - ,
4. . Electrical Conduit-Undrgrn _ - . _ .- _ 46. Electrical Bonding-. - - -
5. •Steel Reinforce47. Rough Plumbing& Pressure Test - . • - - -- - -
6. Electrical UFER Grn - _ - 48. APPROVAL TO COVER-GUNITE - --2- - ' - - - - -
7. Footings ._ - 49. Electrical Conduit-Undrgrn
6. Foundation _ .. __. -- - _. _r'50.- •-Gas Pipe, -EI Undrgrn,-Test ^ -
9. Water pipe-Undrgrn 51. Backwash Lines. P-Trap: �UOdrgrn - - '
.10.. Structural Floor System - .. - 52. APPROVAL TO DECK __ . _ �_ _..
11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final
12. Street Sewer_Connection. -_ - - - 54; Heater& Vent-Final - '
13. Rough Plumbing _ _ 55. Plumbing•Svstem -Final V-
14. Rough Electric-Conduit -- -- - - -- 56. Electrical-Final - -, - -
15. Rough Electric-Wiring - - - - - 57. Solar System-Final '
16. -Rough Heating & Air'Conditioning - . - - CI 'p ;t-, ,4 Y .. - b6.- - Fencing&Access Approval,. , , •
17. Ducts, in Structure _ ? .::l1; , • 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating -'- -- _. ;.-a. , -• - - -
19. Gas Pipe-Rough &Test -' --• _ 60. POOL/SPA SYSTEMS FINAL ,
20:- Roof Framing, • - - - t -- _ -''4'
21: Roof:Sheathing - - - NOTES: '' ' i '
22. Frame and Flashing- - - •- - .. . . ' - - -
•
23. Insulation -- - _. _ _ . ,.
24. Lathing & Siding - - - - • • - -
25. Drywall Nailing - - - - - --
26. Plaster Brown Coat • - - - - - - -.
27. Electrical Power Meter-Final • - - -
28: Final Electric - - - -
29:- Final.Heating & Air Conditioning - -
30. Final Gas Pipe-Test - - - -
• 31. Final Plumbing . . _ - - . .. .
. 32: Water Service-Final - _
33.-."Gas Service:Final -- - _ - - - '
'
34. Solar Domestic-Final•' •••' - - , . • '
' 35. Landscape Sprinkling System : . - - - r '
36. Sound Attenuation -_ - - -
: 37. Handicap Regulations'-_ _ . _ ,. -
i
38. FINAL STRUCTURE & BUILDING" ;'---.1:'-' - " - -- ' -
39. Special Requirements Completed '
40. Electric Release to Edison -
41. Gas Release to Southern California Gas Co. - -
42. CERTIFICATE OF OCCUPANCY • - - - . - - -
1 - No . .i • Date - . - - - - . -. �. - - .
-- -
•
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
`�'�Y 0 s PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CNSTR ky d ERMPT 6 — LE Cao ' 2750 82 •
/// ' •
•
Proj,:t Address 2518 LeHigh Pl . \ TYPE OF CONSTRUCTIONte. _ .
:I I /5 (-j/ 7/32 •
Owner W. Clanton ' Phon545-3784 0 NEW )ADD 0 ALTERATION 2•3 i7a/
Address same - - 0 REPAIR O CONVERSION ❑DEMOLISH
0 OTHER _ ZONING REGULATIONS
. Arches Contractor License No. Add Be rod - A.P. '
M Address DESCRIPTION OF WORK 41.- LFZ.1-I- Z�
1.� _ and' Bath .• ZONE , i _µ •PLNTG.. gR1E�F`.py'
W , CoritractorBl Ue' Ribbon 'BuilderSPhone997_'7911TVPE OF PERMIT I 1•BUILDIN C/L ST. n1) PROPEILTVLINE
Address 1135 W.: Katella, Orange 92667 • A. 0 GRADING R 12 FOUNDATION 2 STRUCTURAL SLIDE YARD /p_f.
'LICENSED-CONTRACTOR DECLARATION - 0 TENANT IN ']PLUMBING p MECHANICAL - Si EDE YARD 511j1u
I hereby affirm thit I am licensed under provisions of Charter 9(corn- {LIGHT V •
• ,
N mencing with section 7000) of Division 3 of the Business -and • O'OTHER' ' 3 lOH
Professions Code, and my license Is In full force and effect. i REAR YARD(TO P/L)Licenso"Class 7 • _ - 2125QR - PROJECT DESCRIPTION"- — '
�7/I-' -p `' SQ. FT. • 360 • PKG.SPACE REQ. PROVIDED • I
Dat-e-8--17-8 $i9Iurs • �
WORKERS'COMPENSATION DECLARATION -- OCCUPANCVR.I •' Professio •
TYPE +/V STREET WIDTH •y�� _PARK•FEE$ -
d hereby affirm that I have a Certificate of consent to self-insure•or a .VALUATION �l•. n6/•ZONE ZONING APPROVED BY n ci(IH 1I DATE �I I7I .OZ
certificate of Workers' Compensation -Insurance, or a-certified copy / UU
thereof(Secji90,}8QQr�Lab. Cy). :SPECIAL CONDITIONS:
LY125-Wei Com -State Fund _ GRADING CU.YDS. _ ACRES •
IP�'olylfi,'cy No. Pant - -- ,f •
I
ertified copy is
reby f
@3sCert lfietl co PY is filled with rthe hcity Building Division. genREMARKS: _ aOM^• ]IL1 a2�-/ I ', - '1 'I P•
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - ) •-. _ /a GC_N1s _ - _-_ - ' -
•
(-This section need not be completed if the-permit is for one hundred - - - . . - . . . - - _ ,
($100) or less). I - ' ' ' - -
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, PLUMBINGCJ re . PLAN CHECK (ELECTRICAL PLAN CHECK
subject to'the Workers Compensation Laws of California. - UW tLLINt, VHHHUt
BATHTUBS SHOWERS 1 1 3 — •50 FT .360 SO FT • I
Date I Signature -15.-..1-1C2 i
NOTICE: If after making this declaration, you should become subject TOILETS • 1-,--re URINALS ';- GENERATOR 0.1 KW_1=10 KW ,j
to the Workers' Compensation provisions of the Labor Code,you must _ TRANSFORMER_ _ "
forthwith comply with such provisions or this permit shall be deemed LAVATORIES 1 DOUBLE LAYS - 3 — APPLIANCE 10-50 KW_50+ KW - I
revoked. - -. — - _ ._ - . - _ - _ 4
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS? y 'MOTORS 0-1 HP_1-10 HP ,
I hereby affirm that there is a construction lending agency.tor the per- SERVICE SINKS ' + •• SUMPS - (INC:SOLAR)' '' 10-50 HP_50 + HP - _-
formance of the work for which this permit-is Issued-(Section 3097 - - _
Civ,-C.)..', Unknown ,. , . .• -z • FL'OOR-SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
'Lender's Name - •- - - ' - • ' I
Lender's Address \ • DRINKING FOUNTAINS . •
GAS TUBE SIGNS • I
OW NERBUILD ER DECLARATION _. INTERCEPTORS .-- CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from the Contractor's License Law for -
the following reason (Section 7031.5 Business and Professions Code:' SWIMMING POOL P TRAP - - - LUNS I RUL I ION - - - • -
Any city or county which requires a' permit to construct,, alter, :POLES METERED SUB
improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB '
qUires.the ao,.licant for such permit to file a signed Statement that he _
is licensed pursuant to the provisions of the Contractor's License Law - ' •
(Chapter 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE OUTLETS, , •SERVICE AMP
Business and Professions Code) or that he-is exempt therefrom and the - - - -- - - - '
basis for the alleged exemption. Any violation of Section 7031.5 by WATER HEATERS BTU OUTPUT I I
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS 1 `
of not more than five hundred dollars ($500). _ '•
0 I,.as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS 'I - -
sole compensation, will do the work,and the structure is not intended • t ' - P. .. • I
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. .• ISSUE FEE •
I 3
Contractor's-License Law does not apply to an owner of a property _ �1 /
who builds or improves thereon, and who does Such work himself or ISSUE FEE I. 3 .APPLICATIONAPPROVEDBY • ' " ,•/ , DATE y //7/e7Z
through his own-employees,-provided that-such Improvements aro not [�`f //(J
Intended or offered for sale. If, however, the building or improvement MECHANICAL ' CHECK -
is sold within-one year of completion, the owner will have the-burden - - . __ SUMMA RV OF FEES _ - I
of proving he did not build or Improve for the purpose of sale). I BUILDING
HEATING SYSTEM 0-100,000 BTU _ _ PERMIT $ 22,5 C7 !$MIP ` $ 18 I
0 1,-as owner of the property, am exclusively contracting with AND DUCTING • - ' / •
licensed contractors to construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK- S_ 7 q.62- PERMIT __
and Professions Code: The Contractor's License Law does not apply to' - -
ISSUANCE $ - - -
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU • 'PLUMBINGS D -
tracts from-such-projects with 'a contractor(s) licesned pursuant-to SYSTEM - - ' ��. GRADING $
•
Law). • _ -
the Contractor's License L . 100,000+BTV PLAN CHECK S 1
0 Cam exempt under Section B.& P.C.for this ,,_ O•,,D S '
BOILERS BTU .ELECTRICAL 6'
reason - - - - - - - -- - - MICROFILM $ - -
SYSTEM REPAIR,ALTERATION 1 q (PLAN CHECK $
Date' - Owner - 2 TOTAL FEE$_93C, 70 '
I hereby certify that I have read this application.and.state that the above EXHAUST SYSTEM _ MULTIPLE 1M ECHANICAL $ .S
information is correct, I agree to comply with all city and county .PLAN CHECK $ "-- -VESS -
ordinances a d st. -• • construction,and hereby authorize _ LANCEE P PC S_
represents • of this city to ter upon the above mentioned
proper ci ins•ectlop @U's' es. _
g-17-a2 - FINAL FEE $ 2 27.70
Sig Lure �_ Date ISSUE FEE - 3
Diw�ra+:IT.e4e St or SS -t - - -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING y \' �� POOL&SPAlir
//
APPROVALS Permit# IY C� O" Date Inspector APPROVALS Permit# Date Inspector
• y.
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn . 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing & Pressure Test _ . .
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE t
7. Footings T:t C ttcalS -• Iie.4- IO-5 49. Electrical Conduit-Undrqrn
8. Foundation • 50. Gas-Pipe, ❑Undrgrn,Test •
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrgrn
10. Structural Floor System • . . 52. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final .
12. Street Sewer Connection 54. Heater & Vent-Final •
13. Rough Plumbing /O. 9-t Z ,ilirts' 55. Plumbina System - Final- - • - -
14. Rough Electric-Conduit - 56. Electrical-Final ,
:• 15. Rough Electric-Wiring - /D-/t[-0-- C_C-, 57. Solar System-Final
16. Rough Heating &Air Conditioning - ,U•-*-8z ,frfte b8. Fencing & Access Approval •
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating _ _
19. Gas Pipe-Rough &Test • . - 60. POOL/SPA SYSTEMS FINAL -
20. Roof Framing •
' 21. Roof Sheathing • 9-24-311---- - •
22. Frame and Flashing 1 NOTES:Loek� 05 c?.... f. 4,L„
23. Insulation b I h �/ S Q--r A,ff $;/r/, a Query 4'9�.4a42 SPC
24. Lathing & Siding I iCY .-1 ) p �c{w e3.---2:3--s z- / -
25. Drywall Nailing Iig3--- ' �j,J.-re;i,L 6Yarj Jere car '07-r r..n/7 i, re eVe
26. Plaster Brown Coat - r-•76 - :2 t •
27. Electrical Power Meter-Final AJn (- IQ044 4, -pi [.,,fir. I2.e co- -F sr_
28: Final Electric 1 -tr. I I• It -- S ` ....i
29. Final Heating & Air Conditioning i-.. /l- I S`S -
30. Final Gas Pipe-Test . ' • _
31. Final Plumbing 'I 11-1eb•'ra -'
32. Water Service-Final - -
33. Gas Service-Final '
34. Solar Domestic-Final . . .
35. Landscape Sprinkling System '
36. Sound Attenuation • - - •
-
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING . ' 'IAA II- 1%-k0' •
39. Special Requirements Completed i • ' -
40. Electric Release to Edison - • -
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY _
No Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF (. 'SA P IT,NO TRACT NO. LOT NO. -BLDG.NO. ' ' •
CONSTRUCTION PERMIT ... --- 1/4..5/61� X50 0,z „rte,• �
-Project Address 2 ' . • t
iL'SIU L�Nic�/-[ /14.-•�G� TYPE OF CONSTRUCTIONf�.� - .
Owner. .VIr GL4MdYx'.'< Phone55lCl 0 NEW etADD 0 ALTERATION t� 1 OGT 13 'Sr "
i Address ,M� ❑ REPAIR- ❑ CONVERSION .❑DEMOLISH 'L%" I -
�s\'0 'Arch/En License No. 0 OTHER
� I�: `ZONING REGULATIONS
g L DESCRIPTION OF WORK a'ri tam IF, �Jm AP' `1
Address ysr r L• -ZON " """"'�t 'PLNG. REF. t. .
\ Contractor- 13$ah..1 b-13hdne 177-757/ TYPE OF PERMIT SETBACK
NG • - To B�1IWit
CLpDl NG -
SETBACKC/LST. PROPSRTV LINE
,Address ( 4-4-c-, w, 1eA-7TTLL&A - 0 GRADINGyyyyyy......{{{{{{ ❑ FOUNDATION ' ❑ STRUCTURAL ID YARD
FLICENSED CONTRACTOR DECLARATION 0 TENANTS CTRICAt ❑PLUMBIN ECHANIC SIDE YA -
6 hereby affirm that I am licensedof under onovislp of Charter 9 (co s yT /lr /1 _ WIDE
menUng with section 7000) of Division 3 of the Business and HER Q I'-.11 (ygY-/ .-1� lir i
Professions Cotle/�antl� my license Is In full force and ef�ct. PROJECT DESCRIPTION REAR YARD(TO P/L) -
License Clas}�J 4lcens�e�`1qQ •�/ PKG.SPACE REQ. PROVIDED
Date /t /3r-•e. e' SO.FT. \zD� -
Ll' Signature �-A'✓r 'E STREET WIDTH PARK FEE$
WORKERS'COMPENSATION D LARATION • OCCUPANCY.` • CONSTRUCTION TYPE - - ' ZONING APPROVED BY I DATE
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE • - ,
certificate of Workers' Compensation Insurance, or a certified copy SPECIAL CONDITIONS: -
thereot(Sect n 38 C.), GRADING CU. YDS. ACRES '
Policy No.a—Company e.„ -T�z �vKY� . . — .. . , - .
❑ Certified copy Is hereby furnished. REMARKS:' '
erti(ietl copy IS filed with the City Building Division, �—
XEMPTION FROM WORKERS' COMPENSATION DECLARATION - -
(This section need not be completed if the permit is for one hundred • "
($100) or less). . • - -
I certify that in the.performance of the work for which this permit Id issued, I shall not employ any person in-any manner so as to become PLUMBING PLAN CHECK - ' ELECTR IC4 PLAN CHECK,_
subject to the Workers'Compensation Laws of California. UWtLLING GAHMIaE '
BATHTUBS • SHOWERS
Date_ Signature • SO FT SO FT - .. ... •
NOTICE: If after making this declaration, you should become subject TOILETS URINALS - GENERATO 0-1 KW_1-10 KW '
to the Workers' Compensation provisions of the Labor Code,you must - TRANSFOR ER ,
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS ' APPLIANCE 10-50 KW_50+ KW -
revoketl. - 'KIT,SINKS DISHWASHERS ' ' MOTORS - 0-1 HP " 1-10 HP'"'
CONSTRUCTION LENDINGAGENCY
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS • . SUMPS " - (INC..SOLAR) 10-50 HP_50-+-HP - - -- ..., . .•
formance of the work for which this permit Is Issued (Section 3097 . •
Civ. C.). •- ' ' FLOOR SINKS' FLOOR DRAINS FIXTURES -- ' -'OUTLETS SWITCHES ' - '
Lender's Name •
Lender's Address • DRINKING FOUNTAINS - GAS TUBE SIGNS - ' -- ' '
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS' ' ' POLE LIGHTS'- . - . .
I hereby affirm that I am exempt from the Contractor's License Law for . '
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL • P TRAP • - Lunn I HUt,I ION
Any City or county which requires a permit to construct, alter, POLES METERED SUB -- _ '
Improve,demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE' ALTERATION PANELS -MAIN- SUB - . ' • •
duires the applicant for such permit to file a signed statement that he •
Is licensed pursuant to the provisions of the Contractor's License LawGAS SERVICE'•
OUTLETS • SERA( • AMP • .
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that heio Ia ion exempt Section
and the -WATER HEATERS BTU OUTPUT -41'�i/,y /� °Z
basis for the alleged exemption. Any violation of Sheref 7031.5 by ,
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • - • • - .
of not more than five hundred dollars ($500). -
' 0 I, as owner of the property, or my employees with wages as their SOLAR TANK • COLLECTORS • -
sole compensation, will do the work, and the structure is not Intended - '-
through
offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ' - ISSUE FEE • •
Contractor's builds License Law tlreo not apply to an her a propertyifor • 6eL y6 -DA V f' ig L
who builds or improves thereon, and who does such work himself or ISSUE FEE 'APPLICATION APPROVED BV ✓ 1y
through his own employees, provided that such Improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL •
PLAN CHECK SUMMA RV OF FEES
Is sold within one year of completion, the owner will have the burden .
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING
❑ I. as owner of the property, am exclusively contracting with PERMIT $ • SMIP • $
licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 +,BTU -
and Professions Code: The Contractor's License Law does not apply to PLAN CHECK $ PERMIT
ISSUANCE $
an owner of property who builds c improves thereon, and whoa con- REFRIGERATION RATION 0-100,000 BTU PLUMBING $
tractsC from such projectsL with a contractor(s) Ilcesned pursuant to SYSTEM GRADING S ' •
the Contractor's License Law). 100,000+BTU PLAN CHECK $ -
❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $/3..00 $
reason - MICROFILM $
Date_ Owner SYSTEM REPAIR,ALTERATION PLAN CHECK- $ TOTAL FEE$ '
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
PLAN CHECK - $ VESSAN AE P
Information Is tatrela I agree ,t comply with l cityand h county VANCE PC $ -
representatives
epleances and state laws cyti to e construction,Don ,and hereby authorize
reoresenta f ives of this city 3}0 lite/ poli the above mentioned - /3 00
property f• "r •ectldn puo)yo a Q- 3.2t2.,
Signature �. LGG• A e� aFINAL FEE $
XDrivers'Ucense or SS# � ISSUE FEE - .
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL&SPA ' '.
5('J a- Date Inspector - t# 7-
'- Date Inspector'
APPROVALS Permit# APPROVALS Permi _
- 1.. Temporary Electrical Service_ or Pole 43. Pool &Equipment Location - - - - •••• - -
2. Soil Pipe-Undrgrn ' - • 44. Steel Reinforcement - - - - ••••-
3.- Electrical Conduit Utility-Undrgrn • _ 45.. Forms -- '
4.--Electrical Conduit-Undrgrn_ - 46. Electrical Bonding - -
5. .Steel Reinforce • - 47. Rough Plumbing & Pressure-Test L •' --
6.
-6. Electrical UFER Grn48: APPROVAL TO COVER-GUNITE ---
..7. _Footings _ . __ -_ _-_ _ _ _ 49. Electrical Conduit-Undrgrn - -
8.- Foundation - _.. - . _ _ 50. Gas Pipe, 0 Undrqrn,Test -
9. Water Pipe-Undrgrn -. _ _ . 51. B, . . h Lines P- ra• -0 srMlfa r • ' .
10. Structural Floor System . - 52. APPROVAL TO DECK - " - '- ' - . _.
11. • Property-Sewei.Line & House.Connection _ - _ 53. Backwash& Receptor-Final '
12. -Street Sewer Connection - . '. _. - - _ 54. - Heater &Vent-Final - -
11
13. Ro .h Plumbing. _ _ __ _ - - Plumbing System•Final ,- - - '- II
14. Rough Electric-Conduit - --- - - - -56: Electrical-Final --
15. Rough Electric-Wiring 0-/y-%'l- e_C.-. --= --57,= Solar System-Final . "
16. .:Rough Heating& Air Conditioning.- - - - - . b8. Fencing &Access Approval 'lc
17. Ducts, in Structure- r" • -. _ 59. APPROVED FOR PLASTERING ' •
18. Ducts;Ventilating- -- . "' - ' _ .
19. Gas Pipe-Rough&Test - _ -• . ' 60. POOL/SPA SYSTEMS FINAL - - - ,i
20.' Roof Framing - -- -- • - - - . -
21.• Roof Sheathing . - --
22. Frame and Flashing NOTES: - • -
23. - Insulation-- - - - - - - ' . - ,
24. Lathing&Siding - - -- - -- - - '
25.. Drywall Nailing - - - • _ _ - . ' - r
26. Plaster Brown Coat - -- - .- . _ __ '. . .
27.' Electrical Power Meter-Final .- ...... _ . - - - •
28. Final Electric - - A-4 ; f-114-442-1 ' .- _ _
29., Final Heating &Air Conditioning- - --- • . _. __ - '
30. Final Gas-Pipe-Test - - - _ . _ - .
r-31;--Final Plumbing .
i -32? -Water Service-Final ---.- -- - - - _ _ _- _ • - . '
33. --Gas Service-Final- -- _ - _ . • •
34. Solar Domestic=Final .
35. Landscape Sprinkling System - - '
36. Sound Attenuation - -
' 37. Handicap Regulations - - - •
38. FINAL STRUCTURE & BUILDING ' .
39. Special Requirements Completed ' _ - -
40. Electric Release to Edison - • .
' 41. Gas Release to Southern California Gas Co. '
42. CERTIFICATE OF OCCUPANCY _ ___
•
No Date 1 - " -
- . - •
in
PROJECT ADDRESS: 2518 LEHIGH PL UNIT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 053875
°BONER'S NAME: DEPT OF VETS AFFAIRS OF
ADDRESS:.STATE OF CAL PERMIT NO: B 053875 PLAN CHECK NO: N GOVT: N SUPP: N
CLANTON WALTER L 3RD
2518 LEhIGH PL CONSTRUCTION TYPE: V—N . PERMIT TYPE: STR PURPOSE: ALT
COSTA MESA, CA 92626
ARCH/ENGINEER: gEG.NO.:
ADDER: UNIT: JOB DESCRIPTION : T/OFF REROOF W/CLASS C SHAKES SQ FT: 6, 300
CLAIM VALUE: 6, 300 . 00 CALC—VALUE: 6, 300. 00 GROUP OCC: R-3 /
PERMITTEE: ELLIOTT ROOF MAINTENANCE ( 714 ) 997-4938
ADDRESS: 324 S EARLHAM CA 92669 COMMENTS•
ORANGE
******** ****************RE************** *+r*Rr****TtiE* **RtRr**Rt**aE********sr*ic***iF
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS
CITY \0 �(6�y/STATE uc.: 465344 cuss: C-39 —
/6 Signature: �. / /tom MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATI NDECIARATION: Ihereby affirm rhave acenilicaleo consent to self-insure oracenilicaleolWorkers'
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 57 1 7 8 5 EXP.DATE: 07/01 /92
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 14142422 ZNE: REF NO:
❑ Certified copy is hereby furnished. [R Certified copy is filed with the city Building Division. PLANNING NOTES>
—car I� Applicant: fli ) tea� •
**************************************************iEifiEiflEiE#ik3F****1E8E**4*iEifiElE3EMi ***
EXEMPTION F OM WORKERS'COMPENSATION GECLARATI (This section need not be completed if the permit is for one unified(MO)or less). DEVELOPMENT SERVICES R E U I R E M E N • T• S
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. ZONING APPROVED BY DATE
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor . BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY•innnnrint DATE
which this permit is issued(Section 3097,Civ.C). *********************4 * -.k9E ii. {EiE9F#{E3(3(.{Pj(.3(..7E*.{p{{{p.)E{p9(.{p{p.)[..X(.�F- *
LENDER: ********************BeiEiEiFttlEiE3f3!•IE3k IlieiEiE****** ififtt3klfiERElEiEiE#1EiPifiEikie#ifieik4iEififiFfFReiE***
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 90 .00 6 3
reoair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN •
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ,-•. DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 90. 63 0 . 00 0. 00 90. 63 90. 63 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell or through
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 90. 6 3 OVER/SHORT: 00
improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG G0PMT
MT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . 63❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ***{E#1E{E94.{E{E{EiE{E*{E{F{E{E{p{ESE{EiE3EiE{E{EiEiEiE{E]f1EiE1E{E{E{EyE{E{(**{Eif#{EaE{E{F{{{E{E{E{E3F{GJEiEiFiE{(je{E{e{E{E{eaEfE{EXEyElE{p****.
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C. l•
for this reason: TYPE QTY DESCRIPTIO N UNIT COST .TOTAL COST
Date: Owner: SFR 6300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 ' 6, 300 . 00
I do hereby cedify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from •
..,
these provisions.
Date: Applicant: ,-
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned •
property for inspection purposes. e���i
7//f/
9i Signature. L/ :17C:71.. t
_ , --ri- ' '
,
' . _ _. .
Drivels License or Social Security•:
Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
A
CONSTRUCTION AND PLANNING POOL & SPA
tAPPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pi a-Undr nd- ,
r -
p g_ �_ 53. Steel Reinforcement
_
. ,Q.,Fr[ectrieal Conduit L ility-Undrgrnd,' ' 54. Forms
-4.'Ele'cttit4l Conduit-Undrgrnd. 55. Electrical Bonding
- 5.1Steer.p inforcemetit -' 56. Rough Plumbing & Pressure Test 4.
r,6 rEi ctri.`eal UFER' trnd. - 57. APPROVAL TO COVER-GUNITE a,
�
7: Foca? - 58. Electrical Conduit-Undrgrnd.
;.8: Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
o
iii:. St;`uctural Floor System 61. APPROVAL TO DECK
14. Propeciy Sewer_Line & Huse Conrtection 62. Backwash & Receptor•Final
., r. -
12. Sewer-Cap r. -' 63. Heater & Vent-Final
o a
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing o' 65. Electrical-Final
15. Rough Electricaf•Conduit 66. Solar System-Final
16. Rough ElectriotViring 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%Ro&gh Factory Fjreplace , ,s ' tri G .3 r*- PPRO.VAL-S , bPer`ialit # w
.1 _ •n r S' 1 ^ri• t 1• . -Y ,� r ,.....,-•,- - k -r r
21."Ducts in_StrUcture - T ,a _.t. -;70. del derarouh`dj Hydro k
22. Ducts, Ventilating,- r 'c er, : • -71. Product=P.f-ping ( 'Gas O�OiI
r 1 a - +
23.CGas'Pipe}Roygh&•Test \ r `` „
. � 72. Underground Flush' -
24. Roof Framing. , . .- " - r b. c73 '.Undergrnd.Storage Tank 10 Gas0 Oil
25. RoQf Shathingt w X .c '`I tt�;. „ `74dQverhead'Hydro- �' .:
26=T•B4r Ceiling (Structural) &••Ponocoat ,_- us J ii = t-
75D_ry Chemical :-C.:
27.'-Frame and Flashing` k t- �. u x v 76` 151y Standpipe-
` 28. Lathing-4 Siding -� ,�<'j .i. • • n. 77.; FIXED SYSTEM.RINAL• - o
"2„C' _ -
'29. Insulation 0 " C • •' '• "' I „1,.0 ., 78, FIREPREV. FINAL .ter >
X730. Drywall lail(_n9HEALt•H=DEPT REQUIREMENT
X31. Plaster BIow2Coat, ti - - .y •4 791�FINALINSPECT;cN '`e. • - •
t32;Electrical Potter Malec-Final, - '1 -„ I ; a ,80.,FOOD CERTIFICATE ISSUED
33.IFinal Electric r it ` t` 'Notes: - V>" '.
r ( . 1
,34-Final Heating1.& Aic�-Conditignieg- - ' " ` .1 > .. - _
!' ,
35.*Final Gas Pipe-Tests - I } ~
-
i36. Hogg or Canopy ' :: r • .r ._ r ," .-�•o -
37.7•Final Fattory Fireplace r' ,, •'. t#: t. -•', - -
11'
C38. Final Plumbing Y - , a I. I • ,x, -. c . .y
1;39. Water Service-Finale • v a I ; < +
. -, j I .11. . >, ..
:,40. Gas Service-Final ,1` .• _ _, '� ,_. 1 t --� .. y `•
41. Solar Domestic-Finale . _ ;Lc-
-
Q- x
,. - _- , s -:::1.01--
- -
--42:`BackflowPreventer� N ; ,� �• .;
43. Backflow Irrigation. F .-S s. r i ' .-- _ •-
r.
44. Landscape Irrigation Systeme , • . _ ,- GI . « u ;yr. ' s - c
. y .. C. ,
45-'Sound Attenuation' 1 - 7r
`�46r Handicap Regulatidns - ' I`' , ; J'' t
47.<FINALSTRUCTURE & BUILDING • I7_ZSct'IGe,4t ? <.s,-*� .. g�y I�,9
48;'FINAL PLANNING ' ' '• - , 1.
- .
i - • 'r t • ,q ..1 t
:-•493-ElectricIRelease to- dison ' . > i;• - , L.
'-50..Gas Release to Southern California Gas Co p t ittl "
21. CERTIFICATE OF,OCCUPANCY ; r - -
No. Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT N'O/ TRACT NO. LOT NO. •BLDG.NO.
CONSTRUCTION PERMIT � 5/7 'tot- ` c=2 71/433 8Z •'
roject Address ,-i a' E/ /o,s f, fA , TYPE OF CO STRUCTION 82855' 11/1 6/81 - 50.85 TL'
Owner P7. EL)F, kJ/0 Phones-yr-Mc 0 NEW XADD 0 ALTERATION Limos 1� , ' -- -
_ Address j'4 hit - ❑ REPAIR 0 ONVERSION ❑DEMOLISH / / L7 ZONING REGULATIONS
•
Arch/Eng. License No. t ETHER - rig-T1O C)O✓L`�2 -O4�.D ,,o
DESCRIPTION OF WORKpA.P.* /L-/ — (./,y -
Address kae,1i-r I Z.P ZONE (Q1 , PLNG. REF. $
Contractor Phone `.BU I LD1 NG � at/—
Address
Q TYPE OF PERMIT TT pI BgLLIIILFING s.G�s
SETBACK C/L ST. PROPERTY LINE
Address --- 0 GRADING 0 FOUNDATION X$TRVCTU RAL i1DE YARD ETT Z-1'0"
LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICAV $I10k.YARD s (Stir I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT 0-1;),msJV O Q
mencing with section 7000) of Division 3 of the Business and 0 OTHER � 011Professions Code, and my license is In full force and effect. PROJECT DESCRIPTION - REAR YARD(TO P/L) /.
License Class License No. PKG.SPACE REQ. PROVIDED --
Date Signature SQ. FT.
STREET WIDTH PARK FEE $ '
WORKERS'COMPENSATION DECLARATION OCCUPANCY—_:CONSTTRsiCTION TYPE Oa ZONING APPROVED BY Mel �W DATE 1 / /- �,}/
I hereby affirm that I have a certificate of consent to self-insure or a 'VALUATION '4 OS-O—=ONE 'LJ11C/�1-•0-17 /! / �U//(>!
certificate of Workers' Compensation Insurance, or a certified copy SPECIAL CONDITIONS: i s
thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES
Policy No. Company ,
❑ Certified copy is hereby furnished. REMARKS: -
❑Certified copy is filed with the city Building Division. -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -
This section need not be completed If the permit Is for one hundred
5100) or less). - -
certify that In the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK 'ELECTRICAL PLAN CHECK
subject to the Workers Compensation LawsofCalifornia. UW FEEING VHHHGt
BATHTUBS SHOWERS
Date Signature SO FT. SO FT
NOTICE: If after making this declaration, you should become subject TOILETS ' URINALS GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0.1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS I -^c \ t.. . (INC.SOLAR) 10-50 HP + HP -
formance of the work for which this permit is issued (Section 3097 - - •
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender's Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERSPOLE LIGHTS •
I hereby affirm that I am exempt from.the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNO I HULI IUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
SUB
improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN
quires the applicant for such permit to file a signed statement that he
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Bust nen and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT
basis for the alleged exemption. Any violation.of Section 7031.5 by. ,
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS
f not more than five hundred dollars ($500).
I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS •
so compensation, will do the work,and the structure Is not intended -
or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
who builds or Improves thereon, and who does such work himself or ISSUE FEE •
through his own employees, provided that such Improvements are not
intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING �y�
• HEATING SYSTEM 0-100,000 BTU PERMIT $ 8' Oo SMIP § '•7V
0 I, as owner of the property, am exclusively contracting with AND DUCTING
licensed contractors to construct the project (Section 7044, Business • 100,000 +BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to ISSUANCE $
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM - A \}•.'r \" GRADING $ -
the Contractor's License Law). 100,000+BTU ( PLAN CHECK 5
❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $
reason �I PLAN CHECK $ MICROFILM $
Date / ,L_owner v/V[ „w.� a 544Qdon 0,. SYSTEM REPAIR,ALTERATION - - TOTAL FEE$
I hereby erti y that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - LESS MECHANICAL $
information is carred, I agree to comply with all city and county PLAN CHECK $ .VANVANCEPC $
representatives
and state lais yti to construction,and hereby authorize
prortyfof this city to nter upon the above mentioned8�
property f inspects9n rp�o - - �/ - - FINAL FEE $ .5-40 —•
Signatures«••�-r R9('
Date _ _.
Drivers'License or SS VP ISSUE FEE - DEC-- F EI
v CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor — —
CONSTRUCTION AND PLANNING . POOL& SPA r• • + . -' ,
APPROVALS I'.\ ', I‘ ' !Permit* Date Inspector 1 APPROVALS Permit# Date Inspector. i
1. Temporary Electrical Service or Pole • 43. Pool 8/Equipment Location --
2. Soil Pipe-Undrgrn, 44. Steel Reinforcement - • •
3. Electrical Conduit Utility-Undrgrn - - - - 45. Forms _ _
• 4. Electrical Conduit-Undrgrn 1 _ ' •• -46,- Electrical Bonding - _
5. Steel Reinforce - 47. Rough Plumbing & Pressure Test ;\'
6. Electrical UFER Grn - - 48. APPROVAL TO COVER-GUNITE -, - -_
7. Footings - - 49, Electrical Conduit-Undrgrn - "
8. Foundation - - - • - - 50.- Gas Pipe, ❑Undrgrn;Test .
9. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap, ❑Undrgrn - -
- 10. Structural Floor System - 52: APPROVAL TO DECK - -
11. -Property Sewer Line & House Connection i' 1 - 53. Backwash & Receptor-Final -
12. Street Sewer Connection - - . 54. Heater &Vent-Final -'
• 13. Rough Plumbing • - 55, Plumbing System-Final • - - -
141 -Rough Electric-Conduit . 56. Electrical:Final •
15. Rough Electric-Wiring - - - -- - - __ 57. Solar System-Final - -- - - _
16. Rough Heating & Air Conditioning - - , bB. Fencing &Access Approval '
17. Ducts,in Structure 1 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating '
19. Gas Pipe-Rough &Test • , ' 60. POOL/SPA SYSTEMSF INAL _ - . .
20. Roof Framing -
21. Roof Sheathing . .
22. Frame and Flashing 1/_(c_5 / A 7+.1 NOTES:
-
23. Insulation -
24. Lathing & Siding _
25. Drywall Nailing - _
26. Plaster Brown Coat _
27. Electrical Power Meter-Final
28. Final.Electric - _
_ 29. Final Heating & Air Conditioning - _
30. Final•Gas Pipe-Test _ • - '
31. Final Plumbing - - - '
32. Water Service-Final
33. Gas Service-Final -
34. Solar Domestic-Final S , • -
35. •cLandscape Sprinkling System - • ' -
• 36. Sound Attenuation T_V ,S..`
37 Handicap Regulations _ - • - '
38. FINAL STRUCTURE & BUILDING • fi/5f-V/ ' r4 7v) . ,. '
-
39. Special Requirements Completed\ + - - -
40. Electric Release to Edison - - -
41. Gas Release to Southern California Gas Co. -. -
' 42. CERTIFICATE OF OCCUPANCY • - ,
-
..No - Date -
- - -- - ,.1 . . .
OWNER Costa Mesa Estates - DATE b-12-56
JOB ADDRESS 2518 Lehigh Place BUILDING PERMIT NO. 2682
GENERAL CONTRACTOR Roven-Spiegel Co VALUE $ 11,200.00
LOT 82 BLOCK TRACT 2750 Single Res w/att gar
GROUP I &. J TYPE V ZONE Rh FIRE DISTRICT 27014
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench &- '& 6 p -24 - 6
Foundation Forms and Grade to Garaaggee$'�O 9 „,,s-4.
Rough Framing et /0-2-3-4t
Plumbing, Rough to Slat'G$ 'vr cs . / A-
Plumbing,Plumbing, Rough Complete �.f� /6,-YY-SA0e2cC,,_ .ea_Acfl f- '-f-,rL 4 .70 .7
Temporary Pole r� C
Wiring, Rough ✓ • G . .4„,/f),-,124-49-• , Cejac /O -//_ -c 4e 3 30J/ —
Heating,Rough 114C D > JL .,,,,.,(ptslin-,. 4,0 }",t (/D-if- CC 7/,T! -
Heating, Final ��/ x'11 t . FSvgCwer, House✓#A- Sewer,St. ktte.,S #1/3... ' f, IQ P. exit) , 5{-/5-3'6 r4 e y -
Septic Tank or Cesspool EE''
Lathing, In Out a- g- 42-7-. 1
Plastering n f 3 /a- - ' -"6l'i
Plumbing,Final,Fixtures Complete( WI es )--.9,1-.31
Plumbing,Final Gas Test ic7-a Yh L' S )•A..1 -,S1p /-' _- ,t=
,Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 2704 BUILDING 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO�FILLAN Receipt No. Permit No.
Buildinr�•f .e__SS���Y(/ V�l e/ I a 6g7---
Address
Cos Mesa, Calif0 a Received by /Date Recd.'7 Date Issued
Nearest ��� P 55--/A- .S [^ 9-7.? -4-6
Cross St. e�� �-fC� �/ Building
/al Address
y �1j6f��, ��/<7 '2're% Address
Owner (:- r/ // �l Costa Mesa, California
Mail //JJ
/
Address.�,C? i 4 i 9,J 4� s� : Nearest
1 p/ Tel, i- : Cross St.
City t Gi 4/6-et `5 3r' No/C16:—(f 77 ' Zone 7/ / I No.of I Type '/ Group
Architect or / r Lic. / 7 Plans // r
Engineer .2C� l� (=�1 No. , Approved
by Date
Address jPdEfii ✓f&,i , i'_9 ' , 72 w CORRECTIONS
�ContractorKala 7fe'Ftp A NO rrj„f H
'
Address l�
aO2 '4U r �-f�q�ti 'GLL�s
LegalLot .f' / I (eI
Block
Description I No. O I Tract 0710
(Attach Metes and Bounds) 7-49 rri� /M, 1E', 1 TZh
Size of Lot r Now on Lot E . -' t3r%4� 1 '< 1 ri
� k / If 0
Use of / ----;:cd A
Existing Bldg. IFamillesIRooms
a
Setback Line from / Rear Yard 3`✓�, t _ 1 ., �� 2
Center of Street ' ) 7 Side Yard „svS— - D
DESCRIPTION OF WORK r
New I I Alteration I I Addition I •
Vl „ Ur UVJik l+i,�JFI
Repair I I Moving I, I Demolish I r
Building �J No.of /f "
Size �ttooms Gj Stories /
Exterior Wall Roof Covering -
5 A'CG: I j�, APPROVALS
/C CoCoverin �j i �Lr'
Use of New / /
Building 777/ /� L( ' j. Cil,., _ Foundation Location Inspector Date
Forms,Materials,
IPE' �i‘e ' a{_ay Under-Pinning
Tom" Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply ; Lath.Int.
with all City Ordinances and State Laws regulating
building construction.
Lath.Ext./�Signatureof 40�j�. ,�//� "/�, J/,emsPermittee -
Plaster, Int.
Authorized Agt. � CVa- ' plaster,Ext.
Valuation P11erpaFee $ -Zed= Masonry Reinforced
$ 4 ��•.77 d.0 Plan Check$
®6r� — Total •1 Bond Beam
ee
�® F $ 05 --- FINAL
FORM 204 S-BP 2M 0-55
•
•
- a
c v ..
J �
a.
O 0.
V
a 1.
- a
COST:
"fi13`={�Q;ie's. 313 .. . .: .z "7
•
•
• .
Street •
PLOT PLAN
Show location and distances from
Property line and between buildings.
•
•
•.,..r . .
•
_ 0c-