HomeMy WebLinkAbout993 LINDEN PL - Building Permits(714) 75a-5273 • Fax (714) 75a-a856 • wv+w.ci.costa-mesa.BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
,lobnddress: 983 LINDEN PL
Suite:
Viciniry: LIVING ROOM
Parcel Number: 42248407
,4pp�irant: BARCELO, RUBEN G
Address: 983 LINDEN PL
COSTA MESA, CA
Owner: BARCELO, RUBEN G TR
Address 983 LINDEN PL
COSTA MESA, CA
Contractor. O W N E R-B U I L D E R
Address:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 949-64E6150 HOME
Zip: 92627
Phone:
� Zip: 92627 �
Phone:
Llcense: 000000
Eng:
Address:
Status: ISSUED
Applied: OS/O6I2003
Issued: OSIO6I2003
Phone:
Zip: License: license:
SCOPE OF PERMIT ��
FINAL 494 S.F. LIVING ROOM ADDITION. REF.: BEP2607 (ORIGINAL PERMITr (+'�
FEE SUMMARY
Plan Check: $0.00
Permit: $0.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $141.00
Total: $141.50
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0-0
Required: 0
PLANNING & ZONING
Lefl 0- 0
Left 0- 0
Propased: 0
Calc Valuation: So.Oo
Claim Valuation: So.00
Right 0- 0
Right 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiiements under Calitornia statutes and related
regulations. (Orcl. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and bacome void Ii work is not commenced within 180 days, or if work is suspended or abantloned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final epprovel must be obtained. Failure to obtain inspections and final approval will result In the expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2a4&d8 (8N0)
WORKERS'COMPENSPPON DECLARAnON:
I hereby aHirtn untler penalry of perjury one ot Iha tollowing declarations:
❑ 1 heve end will meintain a certificate of consent to selt-Insure br workers' compensetion, es provided for by section 3700 of tha Labor Code, for �he peRortnance of the
work tor which this pertnit is issuetl.
❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for ihe peAortnance of ihe work for which this pertnit is issued.
My workars' compe�sation Insurance carrler antl policy number ere: '
Cerner: Policy Number:
(Th�is sectlon need nof be �p�eted il fhe perml( is ve/ued at one hundred dWlaro ($100) oi less. J
[� I certiiy thst in the pertormence o1 ihe work tor which ihis permit is issuaQ 1 shall not employ any person in any manner so es to Decome subjaci to the workers'
compensation laws of Ilfomia, end e re Ih it I should become sublect to Ihe workers' compensation provisions of Section 3700 of the Labor Cotle, I shall lorihwith
comply wit� Nese p ' i�� �
Applicant5lgneWre: �� Dete: �— ��
WARNINO: FAILURE TO SECURE WO RS' $ATION COVER4GE IS UNLAWFUL ANp SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE MUNDRED
THOUSnND DOLLARE (5100,0�). IN AODITION TO THE COST OF COMPENSATIdJ, DMMGES PS PROVIDED F-0R IN SECTION 3108 OF THE LABOR CADE, IMEREST, AND ATTOiiNEY'S FEES.
LICENSED CONTRACTtlpS DECLARATION: ��
I hereby eNirm that I em IiGensed under provislons of Chepter 9(commencing with Sectlon 7000) of DiWsion 3 0l iha Business antl Professions Code, and my license Is in full
force entl etteci. Lic. a Cless a
Comrectols Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aNirm t�at Ihera is a construction lending egancy for t�e peAormance of Ihe work br which t�is permit is issued. (Sec. 3097, Civil Code).
Lender's Neme: Lentler's AtlOress:
Signeture: Date:
OWNER-BUILDER DECLAAA710NS:
I hereby aflirtn Ihat under penalry ol perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (SBc. 7031.5, Business anG Professions
Code: Any ciry or counry which raquires e permit to consWct, alter, improve, tlemolish, or repair any simcWre, prior to ils issuance, also requires the applicant for such permit
b file e si9ned statement ihat he or she Is IlcenseC pursuant to the provislons ol the Contractors License Law (Chapter 9(commendng with Section 7000) ot Division 3 ot the
Business ena Professions Cude) or that he or she is ezempt therefmm and t�e basis tor Iha allagetl e:emption. Any violation oi Section 7031.5 by eny applicant tor e pertnit
s�ub�je the epplicant to a civil penalry oi no1 more than five huntlred dollers ($500).):
�idf I, as owner of Ihe proparry, or my emptoyeas vrith wages as their sole compensatbn, WILL DO T}fE WORK, antl �he siructure is not imentled or oRered tor sale (Sec.
7044, Business and Pmfessions Code: The Contractors Ucense Law does not apply to an owner of property who builds or impmves ihereon, end who tloes such work
himself or hersetl or through his or her own employees, provitled iha� such improvements are not intendetl or offerad for sale. If, however, Ihe building or imprwement is
sold within one year oi completioq the owner-builder will have Ihe burden of proving that he or she did not build or improve br purpwe of sale.). -
❑ I, as owner of the pro0erty, am EXCLUSIVELY CONTRACTiNG WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Pmfessions
Code: 7he coniracto�s Licensa Law tloes not appy ro an owner of propeny who builds or Improves thereon, an0 who comracts for such projact with a contractor(s)
license pursu�nt to the Coniractors License Laws.).
❑ lam
Owner ID venfied by dnveYs licert.
Verification af Ownership Dy (rype
Busineu and Professions Code for this reason:
Ves ❑ No Driver's License No.
u, i.e. - property lea bill or tleetl):
DiVISION OF INDUSTRIA�- SAFETY PEHMIT CERTF{CAT10N:
Expires:
❑ I hereby certify ihat no excavetion live (5) or more feet in depih into which a person Is required to tlescend, wlll be mede in connec�ion with work authorizetl by this
permit, and that no huiltling swcWre, scaHolding, falsework, or demolition or disman�ling thereof, will �e more ihan ihirry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Titla 8, Calllornia AdminislreNve Code).
❑ As awner-huilder, I will nat employ anyone to tlo work which would require a permit irom t�e Division oi Industriel Sefery, es notetl above, unless such person hes e
permi� to tlo 5uch wtl� �rom Ihe divisian.
Signature: Date:
Divlsion of Intlusinal Satety Permit Number:
CERl1FlCATE OF COMPUANCE ANU AUiHORIZA710N OF ENiAY: I certify under penalty of perjury that I have read this application and state ihat Ihe information given is
correci. I ay ee to comply with all sWte I end city rdinences relating to building consimction, and euthorize representatives of the Gi�y oi Costa Mesa to enter upon the
ebove-d S fibe ropert�l l in bectlo rposes. I r not to occupy or allow occupancy of eny building authorized by ihis permit until �inel inspection.
5�^l/"/��
e legalOwner(s) . Date ,
AnNOr Aut�odzed Applicent Date
CO�E 1, IxSVEcnoNTYPE
1616 Fixed System Finel Fire Prevention
1266 Pool Spe Finel
200 Final Ra-Roof
201 Final BIocWRetair��ng Well
202 Final Factory Fire Place
203 Final Sign
204 Final Damolitlon
pag �$ $�� INSPECTIONTVPE
206 Final Mechanical
208 Flnal Plumbing
210 Final Elecirical
212 Final Fire Preventlon
220 Flnal Plenning Approval
222 Final Site
250 Finel Building�Occupancy
P�g 1[Q�1�
�
. .. . - - AOPII
,1/:-CITv_�iF �OSTA1i/1ESA•ec'¢p`.,
ICON::TRUC710N.PERMIT
o...:.... nwa..... � r. 7 �.
Address
� � Cnmrector
�
/III in all spacet withln �eavy borCer lines anE sign all approprlate tlaclantiom.
3MIT NO. TRACT NO. LOT NO: BLDG. NO.
�P 2607 i7iz �IS
L GG TVPE OF CONSTRUCTION
� Phone 4(p-Q.� ❑ NEW I�ADD �ALTERATION
G� ❑ REPAIR ❑ CONVERSION ODEMOLISH
Licence Na. ❑ OTHER
� _ _,�,i DESCRIPTION OF WORK
��e�ro-/�� TVPEOFPERMIT
EX • 3 ❑ GRAD�NG ❑ FOVNDATION �STRUCTURAL
LICEfJ5E0 CONTRHCTOR pECLAHATION ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHAI
1 hereby d(I�rm tnat I am Ilcrosetl untle� provislons OI Charter 9(com- •
mencing wllh sec��on 7000) of Divlslon 3 01 tne Business antl (] OTHER
Prolessions Cotle, r�tl my Ilcense Is In /uu lo.ce antl ef�e<t, pROJECT DESCRIPTION -
Llcense Class Lir.enso rao. _ �� �'
Date Slgnature SQ. FT.
WORKERS' COMPENSATION DEGLARATION ' OCCUPANCV CON TRUCTION TVPE ��
I hereby altlrm [h�l I have a certlflcate of consen[ to sell-insuro or a VALVATION ��OZONE
CCrtillCatC 01 Worker5' Compan5allon Insurance, or a cmtllletl copy I
:tp�-col �Sactlon 3900, Lab. C.�.
y No. Company
� �ertltletl copy IS hereby furnlshed.
� �'ertNietl copy 14 ���� with the Uty Builtlin9 Divlsion.
_MPTION FROM WORKERS' COMPENSATION DECLARATION
(This sectlon neetl not Ee completetl H the permlt iz for one huntlretl
fE100) or less).
tertify thal in the oertorman<e oi tM1e work lor whlCh t�15 permit Is
IssueE� I inall n0� amDlOy any Oerson in any Tanne� so as to bGcome
Sublect t0 the WorNers' Compensallon Laws of Gall/ornia. .
Date Sl9na[ure
NOTICE: If aiter qWking Ihli tleclaratlon, you ihould bocome sub�ecl
lo IM1e WOrkerS' Compensatlon provlsionz oi th¢ Lubor Cotln, you must
lorlhwlt� Compty W�th suCh plovisions or lhls permil shrll bc ticemeE
I[vOkOtl.
CONSTRUCTION LENDING�nGENCV
I br,reby nllirm ihr� l�ere Is e comtructlon IcnCing agency br the per-
lormdnc< ol Ihe Wo�k lor whlcM1 lhls permi� I5 Issuetl (SacUon J097
Clv. C.1. , - _ '
Lende.'s'Namo � � r
Lentler•s Atltlrets
OWNER BUILDER DECLARATION -
1 M1crOby aflirm ihat �•�m ezempt f�om th¢ ConlraGtur's Llcensc Law IOr
Ihc /ollowing rcaso� (Srtctbn 7031.5 Business antl Professlons Cotlo:
My Clly or CouPIY �+'h�th requlres a permit to WnsVucQ alie�,
Immove, tlemollsn or �lp.lb dOY sLVGture, p�br to I[s Isvuance, also IC-
qulros lh0 apPIIWn{ lor such permit to file a signetl SlatemCnl that he
Is licnnsed purSuanC �o IhC p�ovlsion5 of tM1e Co��ractor's LlcenSC Law
(Chapt¢r 9(commenNng with Section 7000) 01 Dlvision 3 01 the
'��slness antl Prdesslons Cotle) o� [ha[ he is exempt Iherelrom antl Ih<
v for thc allegetl exemption. Any vlolation o� Section �031.5 by
-applicant �or a permit subjecls lhe applicant Io a civil Denalty
��ot more Ihan ���e nuntlrea tlollan (E500).
. a5 Owner of f�< OrOperty, - - - - -- --
� - - wlll tlo the work, antl Ihe slructure iz not IntentleE
or ol/erea�ior saie� 1�«�on ]044, Business antl Rofessionz Cotle: Th!
COnlfdCtO�'S L�CCOSP LdW tl0l5 nOt apply IO d0 Owner OI d pIOpB/ty
wM1n bulltls or imploves lhereon, antl who tloe5 SucM1 work blmsell ar
I�rough �Is own cO�P�oyces, provltletl Ihat such Improvemenls are no[
Inlentletl or oltcretl lor sale. 11, howeveq the b0�ltling or improvemen[
Is initl wllM1ln one ywr ot complellon, Ihe ownC� will bave the burtlen
o/ Oroving hC tlitl nOt builtl o� improve lor lhe purposc ol sale�.
❑ 1, as Owner o� th0 property, am excluslvely conVactlnq wlth
IICenSCtl conVaGlmf �o consVUCt Ihe projecl ($eClion ]040, Businezs
antl Rolessions Co4e: Tho Coniraclor's Utemo Law Ooes not apD�Y to
an owner ol prOpCrlY '�'ho builtls or Improvez Ihcreon, antl who con-
bacts Irom such p�olects witb a contractor(s� licesnetl pursuanl lo
the Contractor's UCense Law�.
� I am exempt undcr $ectlon B. G P. C. lor lbli
fe.lsOn
Datc �Owncr '
1 hmeby cert ly Ihel � hnve roatl IM1Is applica�lon antl slale thal tbe above
In/ormailon Is correcL I agrce lo compry wi�h all Cily antl counly
ortllnances antl s1at81aws relalinG to Construcllnn, anh her¢Dy dW horiz¢
represenlallves OI lhis clly to e ler uPan !he abovc mentlonetl
propnrty lor � sp tlo p r Se
sia�ato�e oacc �t I- 2 3-81
Driverz' � tense or 55 �F -
GRADING CV. vDS. ACRES
EMARKS:
PLUMBING
BNTHTUBS
L�1V ATOR I ES
KIT. SINKS
SGR V ICE SINKS
PLOOR SINKS �,'�
DR�NKING FOUNTAINS
INTERCEPTORS
5�^/IMMING POO�
WATER SERVICE
GASSERVICE �
W[1TER HEATERS
SGWERCONNECTIONS
SOLARTANK
SOL/1R PIPING $Y5.
ISSUE FEE
(e/6
PLAN CHECK
SHOWERS
URINALS
DOVBLE lAVS
D�SHWASHERS'
SUMPS •
F,L.00R DRAINS
CLARIFIERS ,
P TRAG '
ALTERATION
OVTLETS
BTU OVTPVT
COLLECTORS
MECHANICAL PLAN CHGCK
N[ATING SVSTEM p-]00.000 BTU_
ANDDUCTING �OO,OOO+BTV_
pEFRIGERATION 0-100,000 BTU_
5�'STEM 100,000+BTU_
DOILERS �TV
5�'STEM REPAIR, ALTERATIpN
[XFIFVSTSVSTEM MULTIPLE
ISSUE FEE
CMF OP65-46 WN�t�.nnnn�n�. qanarv-nnni�r>��: n��a.nccnnntlna: Co�Oenrotl-nasecsnr
n.n. :+�
ZU��IC
1854 2/09/'-1_ ��r;p.4g
VING REGULATIONS
f _ n%
PLNG.REF.�
REA1t VARD (TO P/L)
PKG. SPACE RE(�. —
STREET WIOTH
ZONING APPROVED BV
SVECIAL CONDITIONS:
. -•(1Lp �!lft Co
�c,.,����.w�r�a.c� �/71.1,r�
.�LS�I_.5�� ���J
ELECTRICAL
PROVI�ED '—�
CHECK
GENFRATOR 0-1 KW_ 1-10 KW �
TRANSFORME0.
APP�IANCE 10-50 KW_50 � KW �
MOTORS 0�1 HP_1-30 HP _
.�1NC. SOLAR� 10�50 HP_50 � HP _
FI%TURES OUTLETS� SwITCHES
GAS TVBE SIGNS
POLE LIGHTS
PANELS MAIN SUB
SERVICE P
FPPL�CATION APPROVED BY v.1.^� OPTEZ/g/�
A
,S�U'MMARV OF FEES
PERMITG i�//���_SO $MIP E /�S
OLAN CHECK f J-••.•+-OZ PERMIT
PLUMBING y�QO�I55UANCE S
GRADING E
PLAN CHECK E��
E�F_CTRICAL S_.(_V_S�✓ a
��AN CHECK E MICROFII.M S
MHCHANICAL 5 TOTliL FEE E
PLFN CHECK f LE55 AD-
VANCE PC E
FINALFEE S`-�O•�
CONSTRUCTION ANDPLANNING
APPROVALS Permit # -
t. 7emporary Electrical i�;rvice or Pole
2. Soil ipe-Untlrgm -
3. Electrical Conduit Utiliry-Undrgrn
4. Electrical Conduit-Und�gr�
ca � u
gs
ation
9. Wa
10. Stn
11. Pro
12. Stn
13. Fo
ne & House Connection
iection
ndui[
ring
Air (:onditionina
20. Roof Framing
27. Roof Sheathing
" 2. Frame and Flashin �� t�
23. Insulation � ,:« (�,Qa.,�� ,
24. Lathin & Sidin�
25. Drywall Nailing (�c �I c �
26. Plaster Brown Coat
2'/. Electrical Power Meter-Final
28, Final Electric
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
37. Final Plumbing
32. Water Service-Final
33. Gas Service=Final
3�7. Solar pomenioFinal
35. � Landsr,a �u S rinklin� S stem .
3G. Sound Attenuation
37. Handicap Regulations '
38. FINAL STRUCTURE & BUILDIN
39. Special Requireinents Completed
40. Electric Release to Edison
41 . Gas Release to Southern California
42. CERTIF�CATE OF OCCUPANCY
No Date
�
D-ate � Inspector qppROVALS
43: Pool &
44. Steel Ri
45. Forms
46. Electric
47. Rough I
48. APPRO
� _ � 49. Electric
S Q_�oa ►-�. 50. Gas Piu�
POO L & SPA
Permii
f:�l
56, Electrical�Final
57. Solar SYstem-Final
• encing & Access Approval
9. APPROVED FOR PLASTERII
G0. P001_/S?r\ SYST[MS FINAL
NOTES:
_ in-�n - � x
_ � ,
I� ��Date' I- Inspecior I
5
v I
Aoolicant to fill in a1l soaces eviceot thoze within neavv ROrtler lines antl sian all aoorooriate Ceclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMI NO. TRACT NO. LOT NO. UNIT NO.
5t,6� f�Y,�!re7 �:�,,
Proje�t Address L � �p., _ � �
AppliCant'S Mail' g A d e5 ,/� � � v� TYPE OF CONSTRUCTION NEW ADD ALTERATION EPAI R
Owner'S Name �� I .QI , P� PhoneZ31�2$� � CONVERSION ❑ DEMOLISH ❑ OTHER q,p, # . � Zone
��G DESCRIPTION OF WORK/USE OF BLOG.
Address S Main Building: Accessory Building:
E Z
ArchlEng. LicenseNo. TYPEOFPERMIT GRADING FOUNDATION STRVGTURAL T Front p
Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Rear N
❑ OTHER �
Convactor'sName � phone C Right ' N
Address (ma����,� � � -� � PROJECT DESCRIPTION 5�. FT. oCCUCArvGV K . G
y —1�n��S� CONSTRUCTION TVPE VALUATION 5 g LCft
Cit LiCenSe No. ZONE GRADING CU. VDS. ACRES E
LICENSED CONTRACTOR OECLARATION Ping. R¢1. � Pd�kiny Req./P�ovid2d
Q
I her¢by affirm Ihat I am licensetl untler provi51on5 of Charter 9(commEncing Remarks: PlanNflg NO[¢5: M
with section ]000) of []ivision 3 of tM1e Business antl Professlons Cotle, antl
Ty �IC¢f15¢ I510 ip� dOd CfiCCl. �o T
� Licen la s Lic ns N �� _ S
oate Signature PLUMBING FEES
WORK RS' OMPENSATIONDE LARATION BarSink Showe�s ELECTRICAL FEES
' feby affi�m tM1at I have a certificate ot consen[ to self-Insu�e o� a certiticat¢
Vorkers' compen5ation Insurance, or a certifletl copy thereof (Sectlon gackflowPrevenler ServiceSink
1 ,0, Lab. CJ 1 -I_ ' Auroma[ic Washer Transformer ❑ 15�50 KW
� aoiicyNo.��q�7��� CompanyC�Y-c=�.�Yl Backflowlrriganon SewerCap ConstructionPoleSub. ❑50+KW
ertifietl copy is hereby furnishetl. � /� �{�{ �
Cer "f'e 1� pY f tl with the city il�j n�}/yy� vl/Sro"/ n.///� l/' V�' v Bathtuhs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date<1i` ��`Sr�J� � APPlicant��C /�d�`i-p G
EXEMP110N F{i�SM WORKERS' CO PENSATION DECLARATION Clarifiers $012f C0112Cto�5 Di5hwd5h2� ' M¢t2� ❑Ove� 1002mp5
(Thizsection neetl not be completetl if the permit is for one nuntlretl ($100) ar
iess). Dishrvdsher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certlry tnat in the performance of the wo�k for which thi5 perm�t i5 isSu¢tl, I _
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors �0.1 HP �iX - 8
Worke�s' ComOensation LawS of CalifOrnia. -
Date Si9nature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar �9-15 HP �16�15+
NOTICE: If, afier making this tleclaration, you shoultl become subject to the
Workers' Compensation provisions of tne Labor Cotle, you must for[hwitn Floor Sinks Urinal Fixtures
Comply with sucb p�ovisions o� thi5 perml[ zhall be tleeme� �evoketl. MiCrowdv¢
CONSTRUCTION LENDING AGENCV � (�id5S2rvic2 �ut1E�5 Wat¢�CIOSCt D¢viC¢BOx¢5
I hereby af(i�m that Ihere is a construc[ion Ientling agency fo� the performdnCE POIC Li9ht
of Ule work tor wM1ich this pefmit is Issuetl (SectiOn 309� �Civ. C.) Int¢fC2pLOf5 W3t¢f H2dt¢f Outl¢LS Rdfl 2
lentler's Name 9
Lentler's Adtlress Kiichen Sink Water Service Switches Si9n
OWNER BUILDEH bECLARATION
I hereby atfl�m that I am exempt from the Cont�aclo�'S LicCnse L0w for [h¢ Lavatories AutO-W35h (�id�bd E Di5 OSdI
following reason (Sectlon 7031.5 Businezs antl Professional Cotle: Any city or 9 P Standing Sections
counly which requires a permit to construct, alter, Improve, tlemolizn or repair P—Trap Laundry Trays Generaror �0.5 KW �5-15 KW
any Slructure, pfior [o its issuance, also requires tha applican[ tor sOch parmit T�dSh COmpdcLOl
to file a signetl s[atement Ihal M1e/she is IicenSetl pursuant to Ihe provisions of ROOf D�dinS
tne Contractor's LicenSe Law (Cbapter 9(mmmenCing with Sectlom7000) of
f��vi5ion 3 of the Bu5ine55 antl Prote55ion5 Cotle) or tha[ he/she is axempt
+/rom antl tM1e basis for the allegetl exemption. Any violalion o1 $ectlon
:.5 by any applicant tOr a pe�mit subjec[5 the applicdni lo a Civil
F� elty of not mo�e than tive huntl�etl tlo11ar5 (5500). '
LJ I, a5 owne� ot the prope�ty or my employees with waqas as Iheir sole ReinSpeLtiOn Fee $15 ISSue Fee $ 3
wmpensation, will tlo the work, antl the stru<ture is not intentletl or oHeretl Reinspection Fee $15 Issue Fea $ 3
for sale (Section 7044, Business antl Protezsional Code: The Concrattor's MECHANICAL FEES
License 12w tloe5 not apply to an ownet of a property who builtl5 or Improves
thereon, antl who tloes such work nimselt/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl that sucn imorovemencs are not intenaetl or o/(er¢tl tor Boiler Hood or Type I ❑ �
Sale. H, however, [he builtlin9 or imp�ovement I5 soltl wi[hin ona year ot com- OynOpy Typ¢ I I ❑ Z����9 %�PP�oved By Ddte
pletloq the owner, will have tne burtlen of proving he/sbc tlitl no[ builtl or im- Duct - Under Ground guilding Approved By Date
prova for the purpose ot sale).
❑ I, as owner ol [he property, am exciusively contracting with licensea con- Duct - Sttuctural Refrigeration System Appliwtian Issued By Dat
Iractors to construct [he projec[ (Seciion ]044, Business antl Protesslons Cotle: / .
The Convactor's License Law tloes not apply to an owner of property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 8TU SUMMARV OF PEES
builtls o� Improves ihereon, antl who conirac[5 br such projecls wlth a con-
tractor(sl �icense pursuant to the Contractor's �icense Law). 1 am aware that — BUILDING PERMIT $ SMIP $
Exhaust System ❑ Multiple ❑ System Repair/Alteration
proot of their Wo�ker's Compensation insurance shoultl be provitletl to me. PLAN CHECK $� PERMIT
❑ I am exempt untler Section B. & P. C. for this reason Firepl/FacL Blt. IC80 # Fire Dampers PLUMBING $ ISSUANCE $
Heatin S g 9� PLAN CHECK 25% $ ENERGV P.C. $
Daie Owner g ystem & DucLn e isters
i hereby certity ihat i have reatl this appiication antl state that the above ❑0-t00,0006TU 0100,0006T ELECTRICAL $ GRADING S
information is mrrect. I a9ree to compry with all city antl county ortlinancez
antl stare laws relating to builtling constructlon, antl hereby autnorize repre� PLAN CHECK 50% $ MICROFILM S
Sentatives of tnis city to enter, upon [he dbov¢-menllonetl property fot
inspection poe p p� MECHANICAL $ TOTALFEE $ �' �
Si9na[ure _ Data O' � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% §
- Drive�s' License Or 55 �
- Accounting: Goltlenrotl - Assessor
CONSTRUCTION AND"PLANNING POOL & SPA � .
AFPROVALS Permit�# Date Inspector qppROVALS Permit# Date Inspector
:
i.j •Temporary ElectricahService or Pole 52. Pool & Equipment Location
t
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
. .,
3. Electrical Conduit Utility-Undrgfnd. 54. Forms
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure�'Y'est
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-(`iUNITE
7. Footings ,, �;.' 58. Electricaf Conduit-Undrgrndi
8. Foundatibn 59. Gas Pipe, O Undrgrnd., T�sC
9. Water Pipe�Undrgrnd. ' 60. Backwash Lines, P-Trap, CC3�Undrgrnd.
10. Strucwral Floor System 67. APPROVAL TO DECK
i i. 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
1-7. Rough Wiring Si9n 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, Vencilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
i
25. Roof Sheathing 74. Overhead Hydro i��
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe �
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 Conditioniny '
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace ; •
38. Final Plumbing 3�(-� LEG � . ��
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 ' �
� . �.., .
owrvER CHAS�, HONOR ���i � 3� 51 � nA� 2-14-57
]OB ADDRE55 993 Linden PZHC6 ' �,�/T j. /./ ,j �� BUILDING PERMIT NO. �#Q
GENE��N�BACTQR OWIIgT` Bld&. ' VALIiE $ slfj �OO
AP. No. LOT 11� TRACT .1.���2E ZONE DESCRIP'TION OF WORR �t. GBI� &�B
G^'�UP J TYPE V ZONE Rl PLAN NO. 4
In,.PECTIONS DATE BUBCONTRACTOR PERMITSISSUED
„�_ ' DATE NUMBEF
TrenchesEGLf'Focros Steel �[�
Beam
toa[
Test
4436
COSTA MESA BUILDING DEPARTMENT
P.O. ��X 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
� . t E
COSTA ME5P�. CALIFORNIA
O NER 1���
�� 1
MAILi/
A�/DDRE55
Y n
CITY �+-v, � L�.-G.�
ARCHITECT �ID/VL
OR ENGINEER �y
AD�RE55 �'O 1
CONTRACT �
ADDRE55 ��NL
LEGaL LOT
oes<wivnon No.
A.P. NO. �I S ' J i
SIZE I I O /�
OF LOT
"SE°` LI"
EXISTING 6LDG.
SET9ICK LINE FHOM
CENTER OF STREET . OL.
NEW
E%TERIOR W
COVERING
USE OF NEW
TEL.
NO. � \ .
LIC. " �
NO. /T
_IC.
NO.
o.ov o�ocs.
MOW ON lOT
• f/AP, i f
REAR VARD �
3 I //� � I
RIGHT LEFT %-
DESCRIPTION OF WORK
ALTERATION nDDiTiON
MOVING DEMOLISF
NO. OF
X � � ROOMSQIIrSTORI!
i�D�ROOF r.wi/11.
FEE RECEIVED
�'/' �� S � ^ � �
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. PEPMIT NC
REC VEp BY D/.TE RECEIVED` RTE ISSU!
'V
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
20NE
2pNE NO.OF TVPE
J/ GLANS //
��
APPROV D
BY DATE
CORRECTIONS
1 MEXEBY r�CNNOWLEOGE TH1T I
ST�iE TNAT TXE �BOVE IS CORRECT ANO .�GREE TO COMPLY WITH wLL
CITV OflO�N�NCES �NO $TATE L�WS AEGUIwTING BUILOING CONSTRUC�
T1aNr VALUATION
�� \� � (J PERMIT FEE S
SIGNATURE OF
PERMITTEE ����
/ // � PLAN CHECK S
S /� C/
V/ TOTAL FEE S
AUTHORIZED AGENT
OEPT. REG.
ORAN�,E COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
, . 636 North Broadwar . _ � �' � �' � �
. SANTA ANA, CALIFORNIA � . , _
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
BUILDING j � /{' � /%
A�ORE55 qs3 Linden Place ��� ' S/� /
SCHOOL DIST. F RECEIVED BY DATE OF APPL. OATE ISSIiED
OR TOWN CO8 UR Mesa r
c"Ross sr. $t8te AV9. � L� %�'� p3 S? OCT 2 1 1953
OWNERSHOSHONE HOMES. INC. ADD E�55 ��J-�_p�-G�._GnG�(i'-/ �C _
MAIL 9363 w� �SH� RE BLVD. SCHOOL DIST. /y .__�%_ ///� ,_
ADDRE55 OR TOWN
ci7r BEVERLY HILLS No'CR. 5436t NEAREST
/1,a^ CRO55 ST.
ENGIiNEERTCAIN S� MCKERRACHER NO. SY. 04Vy� ZONE/
noowess Z��O E, WAINUT ST.� PASADENA SETBACKL
TEL. REAR YAR[
CONTRACTOR NEWPORT VISTA co.No. ca. 54 6t qppROVEO
nooaess9363 w��sH�ae BLVD.� BEV.HILLS 9Y G
LEGAL 7
DESCRIPTION I LOT NO. � t� BLOCK �(� z
�ATTAGH METES Q BOUNO51 _
TRACT
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF NO. OF NO. OF
EXISTING BLD4, F�K��iEs ROOMS
DESCRIPTION OF WORK N
NEW I y � ALTERATION I I ADOITION
REPAIR I I MOVING I I DEMOLISH
SIZIED'"1�34 SQ.�T a00M5 / STORIES �
WALL I ROOF COMPO
COVERING STUCCO COVERING �HINCI
USE OF NEW
BUILDING RESIDENCE.p*}_(!nrnnrt
1 HEREBY ACKNOWLE7GE THAT I HAVE READ THIS FORM:
APPLICATION AND STATE THAT THE ABOVE IS CORRECT I1NDE1
AND AGREE TO COMPLY WITH ALL GOUNTY ORDINANCES FRAME: FI
AND STATE LAWS REGULATING BUI�DING CONSTRUCTION. BRACI
LATH. I NT.
SIGNATUREOF NEMPORT VISTA CO. LATH.E%T.
PERMITTE
AUTHOHIZED AQr � �. � i. �!/.d__ � P�ASTER. I
�-�
PLASTER,I
s 4830.0o P C�s �� � MASONRV
FEE �y �
a BOND BEAI
VALUATION
FEE � '` FINAI
F-il
CORRECTIONS
TS
APPROVALS
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