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2507 LOYOLA RD - Building Permits
_ _ - Applicant to fill in all spaces except those within heavy border Ifnes and.sign all appropriate declarations. - -- -j i 9r•lh) (jI 6�BR ';-,'..;'g'43. 1 L - .a CITY OF-COSTA MESA -CONSTRUC ION E M�ITo - - PERMIT O. -- TRACT N0.' 7 LOT.NO., UNIT NO: 'a < I •' . I ,! -o _ 9CN . • •'Project Address �,�D 7 LOymJ� /7 L r M. .. ',22• ; .- u - •.• ' Applicant's Mailing Addie S - - - , t ,;; ! : TYPE OF CONSTRUCTION ; ❑ NEW' H ADD U ALTERATION U-REPAIR - p❑.CONVERSION-_❑ DEMOLISH ❑ OTHER . - - - - Owner's Name" • / a Phone '" ' - ' _ A.P.# , Zone - . _ -7 ceD7 -Ley°/a- --C,M4 - _ i, DESCRIPTION OF, K/USE©FBf G. _ - - , T -' - g_ , r y g,- ,. Address / S Main Bwldm r _ `Accessor Buildln ; Arch/Eng' - `License No. - E. TYPE OF PERMIT GRADING :FOUNDATION !❑ STRUCTURAL' T Front - 1 v , 1 - i r O' Address I o - ❑'TENANT"❑ ELECTRICAL ❑ PLUMBING ❑ ME;HANICAL .. 'B Rear I 1 _ i H N I C Right '- N' - tt_❑!OTHER. i ' r ^ , - , , r : ; A ' Contractor's Name ' ':Phone / - • • r ( de-i. ' i PROJECT DESCRIPTION SQ. F Yf00 ' OCC UPAry Y _ ' Address Imailln - soV 'K _ ; - ICON ST_RUCTION TYPE ' • VALUATION !�( [� e` S Left r .r i ' - City License No_ • - ZONE GRADING CU.YDS. ACRES •' i - R - Ping. Ref.# Parking Req./Provided' E LICENSED CONTRACTOR,DECLARATION - - - 1 - - Q • 1-hereby affirm that---I am licensed under provisions of Charter 9;(commencing r Remarks: - ' - I } Plahning Notes; • i ' - M , with section 7000) of Division 3 or the Business and Professions Code, and i ; • my license is In full force and effect, . I - } j _ - T License Class _ License No. I • I • ' - i 4 • , S! • Date Signature I , j I - PLUMBING' ' -FEES i , ' WORKERS'COMPENSATION DECLARATION - ! - - • • Bar Sink Showers ELECTRICAL i FEES 'hereby affirm that I have a certificaterof consent to self-Insure or a certificate • , i ( , - ' Workers' Compensation Insurance,-ora certified-copy thereof-:(Section 1- Backflow Preverlter• • ' - Service Sink , ,800, Lab. C.) r - Automatic •Washer Transformer ❑ 15-50 KW Policy No. Company • ; Backflow Irrigation I I Sewer Ca • 0 50+`KW P ! Construction Pole Sub. • °.Certified copy is hereby furnished- ' - , ,.--Certified-Certified copy is filed with the city Building Division. - I Bathtubs i i Sewer Connection i I Cooking Unit r • • - Meter Duo to 100 amps • Date Applicant ' . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - _ - _ Clarifiers -. - f- __ - _ ,. Solar.Collectors. - .- - Dishwasher- - . .4_ . - - Meter 100 amps - I -- (This section need not be Completed if the permit'is for one hundred ($100) or - ' less). I I ' Dishwasher , I I Solar Piping . ! Dryers ❑Gas DElectric Sub Panel ' I certify,that in the performance of the work for wh'ch this permit is iss -• I shall not employ any person in any ma so as o be..me subje •. Ire . , Drinking Fountains Solar Tank , ' I ` Fan - Worker ' C myer�4t n Laws of Callfor•!w Motors❑0-i HP ❑1'/z; 8 . Date NW,i„J p ' Signature . - .or Drains Swimming Pool w/Spa, - I 'NOTIC : If,aver making this decl. atio you sho • /' e . - FAD Inc.Solar,09-15 HPC❑16-15+ r Workers' Compensation provisions of the Labor ”,you must fort ' h - - "' - - -" _ . - Floor Sinks: Urinal Fixtures' I - comply with such, provisions or, this .permit' shall be deemed revo �•. . • - - Microwave I i CONSTRUCTION, LENDING AGENCY, ; v _ - Gas Service . Outlets ` "Water.Closet • A i _• Device Boxes I hereby affirm tht there is a construction lending agency for the performance . • , POI° Light of the ;work for which this ermit is issuetl,,(Section 3097 Civ. CJ Interceptors' ' : f I — -Water Heater f . ' . • - Outlets Range - I Lender's Name -• ,(/,/�� Q ' - - . - 9 ' Lender's Address / �� b - Kitchen Sink - Water Service •= I I Switches Sign • OWNER BUILDER DECLARATION t - ' ' • . I hereby affirm that I am exempt from the Contractor's License Law for the • , , Lavatories- .-Auto-Wash - Garbage Disposal following reason (Section 7031.5 Business and Professional Code:,Any city or I - ._- _ _- - { P ;Standing Sections • county which requires'a permit to construct,alter;improve,demolish or repair. , P-Trap - Laundry Trays '-e Generator 00-5 KW❑5-15 KW ; Trash Compactor I' 'any structure, prior to its-issuance, also requires the applicant for such_permit - & - p ' ; .to file aligned-statement-that he/she is licensed pursuant to the provisions of ROOF Drains } I - ' the Contractor's License Law (Chapter 9(commencing with Section 7000) of - - - F , • 1 -.;,7ivision 3 of the Business and Professions Code) or that he/she is exempt • • - - , - - c :erefrom'and'the basis for the alleged exemption. Any violation.of Section - , t - , hs: )31.5 by any. applicant for a permit subjects the'applicant to a civil ' - - - ' k;,;natty of not more than five hundred dollars($500)., - . ' • - - i , • L.as owner of the property-err- - `-••• ;. - • - ,Reinspection Fee r . I $15 . Issue Fee_ $-3 I , - i [Qe,pefl.attpe, will do the work,and the structure is not intended or offered . ' - Reinspection Fee ' ;I $15 Issue Fee I • I $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's ' ,t• ,• ' - : i 'MECHANICAL FEES -. - 7--1 ' License Law,does not apply to an owner of a property who builds or improves - DEVELOPMENT SERVICES REQUIREMENTS: thereon', and who does such work himself/herself or through his or her own - - employees, provided that such improvements are not intended or offered for ' Boiler - - ; Hood or Type I ❑ - " r y I sale. If,'however, the building orlmprovement is sold within one year of com- pletion, • • •the owner will have the burden of proving he/she did not build or im- Duct- Under Ground • ' i prove for the purpose of sale). - .I - Building Approved By r �' I Date `� 6 i 0 1, as'owner of;the property, am exclusively contracting with licensed con- • Duct-Structural ' ; ' Refrigeration System ' ', , • Application Issued By • Date !7/ tractors to construct the project (Section 7044, Business and Professions Code: .The Contractor;s.ILicense Law does not,apply to an owner.of;property who • _ , Duct--Ventilating- -; -• 00.100,000 BTU ;❑100,000 BTU ' - SUMMARY O EFEES li • 1 t builds or improves thereon;and who contracts for such projects with a con- 1 (DD (J(, tractors) license pursuant to the Contractor's License Law). I am aware'that, I I BUILDINGIPERMIT $ ' SMTP i ' $ : 'S'0 proof o their Worker's Compensation insurance should be Exhaust System 0 Multiple 0 System Repair/Alteration i I provided to me. PLAN CHECK ' $ I r PERMIT I I I • ❑'I am exempt under Section B.&F.C.fo is reason Firepl/Fact'Blt. ICBO.# p Fire Dampers PLUMBING 1 $ 'ISSUANCE $ Date ����� ����7� Owne �1� i/7i�r' , i Heating System& Ducting Registers ENE RGYIP.C. $ ' l-here• certi "that'I-have -ad I s application a rrlf '�(; above '' -- 00-100,000 BTU-0100,000 BT I - ! PLAN CHECK '25%r $ information is correct.ll gree to comply with all cit• county or• nances t ! 1 ELECTRICAL $ ' GRADING $ and-state laws relatingft building construct n, and hereby authorize repre- ' i ' I • t PLAN CHECK •50% $ ' • MICROFILM 1 $ ' ' ' sentatives of this: ci y o en r- upon t above-mentioned pro rty or i , i inspection pui I i iTOTAL FEE S Signature Date ' - - MECHANICAL i $ ' t4• SD Drivers'' lcens Or S# Reinspection Fee ;$15 ' i- Issue Fee $ 3 PLAN CHECK :25%' $ I CMF 0865-46,rev, 10/84 Pink -Accounting; Goldenrod - Assessor • - ✓ ,• - CONSTRUCTION AND PLANNING - P001 PA , ' et APPROVALS Permit# Date Inspector APPROVALS Permit# _ _ Date Inspector . 1. Temporarly Electrical Service or Pole 52. Pool & Equipment Location - ` ' 2. Soil Pipe=Undrgrnd. 53. Steel Reinforcement • 3.(Elerica YConduit Utility-Undrgrnd. -. • ° ct54. Forms 4:;Electr"ical+Cohduit-Undrgrnd. 55. Electrical Bonding - • 5.;:Steel'Reinforcement-• ., . 56. Rough Plumbing & Pressure Test 6.-'Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE . - • 7.• Footings,; 7 Conduit-Undrgrnd.58. Electrical Cduit-Und ! •8.+Foundation 59. Gas Pipe, 0 Undrgrnd., Test •' • 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, CI Undrgrnd. • 10.'Structural,Floor Sys[em ".. 61. APPROVAL TO DECK - - • . 11•. Property Sewer Line & House Connection 62.- Backwash & Receptor-Final - 12!Sewer,cap - . 63. Heater & Vent-Final • 13' Roof Drains e' 64. Plumbing System - Final - -. . 14. Rough'Plumbing . _ -65. Electrical-Final ` 15. Rough'Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval - - , - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19.#Rough,Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# ' ' 21. D jets, in.Structure 70. Underground Hydro - , 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil 23: Gas Pipe-Rough &,Test 72. Underground Flush - . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing - 76. Dry Standpipe '28. Lathing & Siding • 77. FIXED SYSTEM FINAL • 29. Insulation . 78. FIRE PREY. FINAL , 30. Drywall NailingHEALTH DEPT. REQUIREMENT J • 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 I ' I - - . • <. 37. Final Factory Fireplace • 38. Final Plumbing I - - 39. Water Service-Final . 1 , - 40. Gas Service-Final - 41. Solar Domestic-Final . . • 42. Backflow Preventer ' ' 43. Backflow Irrigation - - - , 44. Landscape Irrigation System • - ' 45. Sound Attenuation • - - . 46. Handicap Regulations //}}-- - - 47. FINAL-STRUCTURE & BUILDING 5/%18% n u _ 48. Special Requirements Completed ' `On �.Yr+"`], ' • 49. Electric Release to Edison . -- . - - - ' •50. Gas Release to Southern California Gas Co . . ' 51. CERTIFICATE OF OCCUPANCY _ _ ' No. i • - - Date ' . ' • 8528 �, a c G COSTA MESA BUILDING DEPARTMENT INI'EIDEPT. P.O. BOX 317 COSTA MESA, CALIFORNIA - CM; 71?-1A, �� SJA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS 2507"Loyola Rd. BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PEflMR52 OWNER Mesa Highland$, Inc. 5 MAIL 1555 Placentia RE/y Voye BY DATE RECEIVED`re SATE 5 ADDRESS It CITY Newport Beach, Cal. TNO, MI 6-3227 BUILDING GGL ARCHITECT same OR ENGINEER COSTA MESA. CALIFORNIA NO. FIRE ADDDRES�YSS�. K same Co. ZONE CON�RAI.I oll Const. CNO 1217 ZONE PLANS !TYPE GROUP CITY LIG. �} PLANS 176�� ADDRESS carne NO. same TEL. BPPROVED DATE • LEGAL LOT 28 2029 CORRECTIONS DESCRIPTION NO. BLOCK TRACT A.P.NO. SIZE 63 X 100 NO.OF SLOGS. 0 OF LOT NOW ON LOT • IESE OF • EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 20 SIDE YARD RIGHT 5 LEFT 10 DESCRIPTION OF WORK NEW % ALTERATION I ADDITION , REPAIR • MOVING DEMOLISH BUILDING NO.OF 1574 - 469 ROOMS 6 STORIES 1 EXTERIOR WALL COVERING stucco ROOF COVERINGwood shakes UBUEILODSFING garage. Residence & att. garage. Plan 3-C . The Amount shown ondpr vahID'iofl R fir pm I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only. CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. / VALUATION SIGNATURE OF r PERMIT FEE S . 35.00 PERMITTEE - 15,747 17.50 i ) PLAN CHECK $ J AUTHORIZE , ENT' TOTAL FEE $ 52.50 4Air