HomeMy WebLinkAbout2805 LORENZO DR - Building Permits PROJECT ADDRESS: 2805 LORENZO AV ZQN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 068504
OWNER'S NAME: GREINER, CLAIRE
ADDRESS: 2805 LORENZO,AVE'• PERMIT NO: P 068504 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
631-2431
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : WATER HEATER C/O SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
PERMITTEE: NOCK PLUMBING ( 714 ) 895-1246
ADDRESS: 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
STANTON CA 90680 +r+e+e+e+eu+6+rer+r+E+r+rsr+E+rx+E** +r+ryr+r+E****+eieir+Edr**** *x***+ ****+e+E*it*********i ***************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMEN TS
7000)of Division 3 of the Business and Professions Code,and my nse is in full force and effect. SETBACK S
cla1C.: 050386 STATELIC.: 511971 CUSS: C 6 EXP: 02/95
1e $l4"L^ 4`f Signature:_ MAIN BUILDING ACCESSORY BUILDING
AKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Wore FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certllied copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1167992-94 EAP.DATE: 03/01 /95
COMPANY: STATE PARKING REQ: PROV; PARCEL: 14162430 ZNE: REF NO:
' 1 Certified copy is hereby furnished. CX Certified copy i 'th the city Be' • Division. PLANNING NOTES>
p p7 Li Applicant: >
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if t o permit is for one hundred(5100)or less). DEVELOPMENT S ER V IC ES - R E Q 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 snag 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:
'inofnBUILDING APPROVED BY
NOTICE:II,after making this declaration.you should become subject to the Workers'Compensation provisions the Labor .. 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 B Y: DATE:
which this permit is issued(Section 3097.Civ.C). ************************************ ************************** ** .
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
•
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt tram the Contractors'State License Law for the fallowing 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 7, 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/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 live hundred dollars($500). ISSUE FEE 20 . 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS——--> 7 . 00 20 . 00 0 . 00 2 7 • 0 0/ 27 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/hersetf or through l_�/
his or her own employees,provided that such improvements are not intended or offered for sale.II,however the building or —ISION TOTALS _
torptheepurpose of sold one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE BLDG PMT PLUMBING ELECTRICOMECHANIC 27 . 00
SMIP/TOTO /SHORT: . 00
GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27 . 00 -
❑ 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 contraclorls)license pursuant to the Contractors'State License Law), lam aware ***************************************{e***************************************
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL • F E E BR E AK D OWN
❑ I am exempt under Section: 8.8 P.C. ,
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner •
PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00
I do hereby certify 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 witUwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouahly Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: '
I hereby certify that I nave read this application and slate that the a ix information is correct.I agree to comply with all city and county /ordinances and state laws relating to building construction and her''rite representatir , this city to enter upon the above-mentioned • 01 00166116-00166116 TOT 27.00
property for inspection purposes.seDATES 08/17/94 TIME: 10:19
ae. g-11 —11-1( Signature: tra11111a
lir i
Driver's License or Social Security er:
1641.46 While—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit ?k Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2., Soil Pipe-Undrgrnd. 2 53. Steel Reinforcement
'3. Electrical Conduij, ility-Undrgrnd. •' 54. Forms
-14'. Electrical Conduit-Ugdrgrnd. 55. Electrical Bonding
5. Steel Reinforcernent' 1 56. Rough Plumbing& Pressure Test
n 6. 1lectrical UF ER i rnd. 57. APPROVAL TO COVER-GUN!TE
7, Footings - 58. Electrical Conduit•Undrgrnd.
8: foundation - 59. Gas Pipe, 0 Undrgrnd., Test - l
:,Water Pipe•Undrgend. 60. Backwash Lines, P-Trap, C Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK I
11. Property Sewer Line,& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap _ 63. Heater & Vent-Final
13. Roof Drains i 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 9 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
1
20. Rough Factory Fireplace 1 -i ' - - APPRONACS. Permit # a >t
21._be,'t
_butts, in Struetur ' ;; ' -;.. •40. UridergrbundiHytto
22. Ducts, Ventilating• J - = a '31. Product-Pitying Otitis ❑Oil
23. Gas Pipe•Sough & Test _ - -, -1 ; . 712. Undergrouyq Flushj '
24. Roof'Framing: -5 - - . - " 573.-Undergrnd?StorageTankOGas 3Ci
25. Roof Sheathing ,I , Y
.. .74. -Overhead hydro•,7:1I
•
26. T-Bar Ceiling (Structural) & faonocoat - ] *! ' 75,pry Chemical --
27. Frame and Flashing- " 1 , Y 76.br Stand . '
t, �. v WPe . ,
28. Lathing& Siding�a ±. 1- � r ' 77. "FIXED SYSTEM TTIWAL' w
29. Insulatiori r ) •• 78. ?IRE PREV. FINAL
-0. Drywall Nailing - • HEALTH DEPT. REQUIREMENT
,
41. Plaster Brpwn Coat , : 79. FIrN'AL INSPgCTIQN - -•
'32. Electrical Power Meter-Final V - 80. E00D CERTIFICATE ISSUED
33. FinaT;Eleciric Noteit:
4. Final Heating§r Air Corriditioning - , j " ^• -
- • 9 12_47Cm__2_2c�.::cfi• . , recce r . I
35. Final Gas Pipe-Te}t `- - - - ♦ Ari
.36. Hood or Canopy , - 1 I
37. Final Factory Fire3lace I .\
' - •�
•
•.38. FinalPlumbing . , , - - UjqjjLj �
39. Water Service-Final-
,
•
40. Gas Service-Final • -
41. Solar Domestic-Final 7 .� '
T I r 1- -- a
42. Backflow Preventer - - I �,, r, -
43. Backflow Irrigation - < ,- '-- _.
44. Landscape Irrigation System • .. -- a
45. Sound Attenuation. - '
46. Handicap.Regulations - ..
47. FINAL STRUCTURE & BUILDING - i I -
48. FINAL PLANNING ; 1` '
49. Electric Release to Edison
50. Gas.Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY 1 - -
No. Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
$ P M NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA ME$yy,AqA��� CONSTRUCTION/ - PERMIT Qp O 1 A.P.9W _ Zone
Project Address af:Xl� Lore pi Z!, . 1 _` S Main Building: Accessory Building:
Applicant's Mailing Address 2765 Lnf'e 4tO Q TYPE OF CONSTRUCTION LI NEW LI ADD U ALTERATION Li REPAIR E Front Z
/ , �SlCL6 / ❑ CONVERSION ❑ DEMOLISH ❑ OTHE —f ,_� ' T O
Owner's Name 1 D 1(•C Lsn•t� Phone DESCRIPTION 0 WORK/US OF B DG. �CC71��r - k 1 C. I B N
/ b A Rear
Address — � � �[h!1°hZ!) . f ^ ty.v. C Right N
Arch/Eng. License No. - TYPE OF PER T U GRADING A FOUNDATION ❑ STRUCTURAL K g G
Address -•f71-Cit?
L -p 0 TENANT ❑ ELECT Ar.❑ UMBING 0 MECHANICAL $ Left R
Contractor's Nam- alf 'hone /�r ai10 0 OTHER •/F;(�/JC{ Ping. Ref.# Parking Req./Provided E
p� PROJECT DESCRIPTION SQ. FT. v OCCUPANCY PlanningNotes: O
Address(mailing) -L0c6�- aeras -V JC"a"'�^Q- /�l�. M
itg�6T
CONSTRUCTION TYPE VALUATIONS ES z)
{7 T
City C NSED No. ZONE GRADING CU.YDS ACRES
LICENSED CONTRACTOR DECLARATION S-
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:
with section 7000) of Division 3 of the usiness and Professions Code, and
my license is in full fore an ect- r.,,C� ELECTRICAL FEES
License CI s License Noll .]
Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
WORK S' MPENSATION DECLARATIONConstruction Pole Sub. 050+KW
I hereby affirm that I have a certificate of consent to self-insure or a certlfl to
Bar Sink Showers
_ ';'.Workers' Compensation Insurance, or a certified co• tn•.••f (Se on Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
'54 :0, Lab. C�'(4� ���x a Dishwasher Meter ❑over 100 amps
—
'Secy No. 6 C-7 Company A / r. t 4 Backflow Irrigation Sewer Cap _
8 Certified opy it hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certif' I with the city R tin' TSl Bathtubs Sewer Connection
Date Applicant_ -al- -46- Fan Motors 00-1 HP ❑1%-8
EXEMPTION FR M ORKERS'COMPE i ATION DECLARATION Clarifiers Solar Collectors
(Tleshis section need not be completed If the ,ermiis for one hundred($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP❑16-15+
I certify that In the performance of the work for which this permit is Issued I Fi%tUr¢T
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California. Device Boxes
f\ Date Signature Floor Drains Swimming Pool w/Spa Pole Light
•••... NOTICE:If,after making this declaration,you should become subject to the
N Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range • ...••••-•.r
U comply with such provisions or this permit shall be deemed revoked.
/ CONSTRUCTION LENDING AGENCY Switches Sign J
( Gas Service Outlets Water Closet u
I hereby affirm that there Is a construction lending agency for the performance
_ of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections it
iLender's Name
Lender's.Address Kitchen Sink Water Service Generator 00-5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
I I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays _ -
any structure, prior to its Issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions ofROOF Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of t.-
Division 3 of the Business and Professions Code) or that ho/she is exempt Reinspection Fee $15 Issue Fee $ 3
-- ,refrom-•nd the basis for the alleged exemption. Any violation of Section - •
1.5 any applicant for a permit subjects the applicant to a civil -
,alty o not more than five hundred dollars(8500). DEVELOPMENT SERVICES REQUIREMENTS:
U $ 3 i, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered Zoning Approved By -
(flat•
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By •Date •
Licensctl aw does not apply to an owner of a property who builds or Improvesi;-2:15�O_II
.pp
thereon, and who does such work himself/herself or through his or her own Boiler HOOd or T ¢ ❑ Application Issued By Date
employees, provided that such improvements are not intended or offered foryP
sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 SUM ARY OF FEES •b
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground �y /.0
prove for the purpose of sale). - BUILDING PERMIT $ Z C SMTP $ i lJ
❑ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK
tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT .....
bu IdContractor's proves License
Law
not
toan
propertysuchnorolectf lthcon- Duct-Ventilating ❑0100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
tractor(s) —
license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $
proof of their worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers PLAN CHECK 5096 $ MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 63�°
I hereby certify that I have read this ape ication and state that the above DO-100,000 BTU 0100,000BTU PLAN CHECK 25%
information is correc . I agree t• omply th all city and county ordinances $
and state law it is
g to bus •`j.0 const' tion, and hereby authorize repre-
sentatives of \is ' y to 'rp of•n above-mentioned property for
Inspection pu • se a
Signature • Date P72,2/75 ^�. ea:.,',;� .. • ,,,,�..r.:. --- -
Drivers' Licens or SS# �� Reinspection Fee $15 Issue Fee $ 3 • ' ' _-
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
f_
• t
CONSTRUCTION AND PLANNING POOL °A
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
•
1. Temporary Electrical Service or Pole j-n
p 52. Pool & Equipment o! cation
2. Soil Pipe-Undrgrnd. - - -
53. Steel Reinforcement
3.. Electri4al Conduit Utility-Undrgrnd. • , ' 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement"G- • 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, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrncll' ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - _ 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection t 62. Backwash & Receptor-Final
--- •
12. Sewey;Cap ;� 63. Heater & Vent-Final •
13. Roof Drains ,�
- 64. Plumbing System - Final
14. Rough Plumbing: 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16: Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.,Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structyre 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 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 Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation -L
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING EXPIRED
j pietei 51 Prtions
48. Special Requirements Completed / if
49. Electric Release to Edison Date Pf I iL 518 'a'
50. Gas Release to Southern California Gas Co Il
51. CERTIFICATE OF OCCUPANCY
No. Date -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5393 I/10/05 pa;J , I
C'rTY OFfCOSTA rills?) fRUC N PERMIT - PERMIT NO.W TRACT NO. LOT NO. UNIT NO.
Project Address rr77C� in str� ,
Applicant's Mailin Address Su TYPE OF CONSTRUCTION LI NEW —❑ ADD LI ALTERATION LI REPAIR
v ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Owner's Name bike i-Ae., Phone
DESCRIPTION OF WORK/USE OF BLDG. __
Address S Main Building: Accessory Building:
Arch/Eng. A/ 1 License No.- — TYPE OF PERMIT U GRADING FOUNDATIONT Z
/VLI STRUCTURAL RAL E Front O
in Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Phone ❑ OTHER A I
�yl PROJECT DESCRIPTION Q. FT. OCCUPANCY C Right G
(r� Address(mailing) Mr rr rah— I rl i4- reit Mei Q 9 left
V\ C ON STRUCTI ON TYPE VALUATIONS S R
City License No. - 7I) 1 3v�3 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: • M
with section 7000) of Division 3 of the Business and Professions Code,+anfd T
my license is in full for e and effect. lJ l
(��y $
License Class . Licenr No. L� D PLUMBING FEES
Date — Signature •��i /_ _
WORKERS'COMPENSATION D CLARATIO .--
Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Insure or a certificate
if Workers' Compensation Insurance, or a certi ed copy thereof (Section Backflow Preventer Service Sink
Automatic Washer, Transformer 0 15-50 KW
1800, Lab. C�+/� �1 G •
Policy No. se's SrJ`I !1p company :rift
Backflow IrrigationSewer Ca ❑ 50+ KW
'k638 PConstruction Pole Sub.
Certified copy is hereby furnished.Cert'4 ieLtlS op l ilea with the city a ing wn. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
ate /_O WORKERS'
�`�
EXEMPTION FROM WORKERS'CO P permitON DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit Is Issued, I
snag not employ any person in any manner so as to be su to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑111-8
Worker Co}➢oen ?.n Laws of Califon/� /// "
•
Date
Worker'
'] —j(s Signature /"�ifii Floor Drains • Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
'NOTIttC E:l after making this declaration,you should become su ject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks r Urinal '
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance �+ Devic¢Boxes Pole Light
of the work for which t is mit is issued (Section 3097 Civ. C.) Interceptors / Water Heater ° ' (10 Outlets Range
Lender's Name.
•
Lender's Address _ Kitchen Sink Water Service Switches Sign
OWNER BUILDER DE AR TION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap LaundryTra s
any structure, prior to Its issuance, also requires the applicant for such permit y _ • Generator ❑0-5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt
therefrom and the basis for the alleged exemption. Any violation of Section
'031.5 by any applicant for a permit subjects the applicant to a civil • -
ienalty of not more than five hundred dollars(S500). - $ 3
• Li I, as owner of the,property or my employees with wages as their sole Reinspection Fee $15 Issue Fee -- -
compensation, will do the work, and the structure is not intended or offered -- - Reinspection Fee ' $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICES REQUIREMENTS:
• employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ,
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date •
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date --
prove for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 7 Date I'IC—C\
tractors to construct the project (Section 7044,Business and Professions Code: - - -
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100.000 BTU 0100,000 BTU SUMMARY OF FEES •
builds or improves thereon,and who contracts for such projects with a con- ' -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ I
proof of their Worker's Compensation insu nc should be provided to me. PLAN CHECK - $ PERMIT
❑ I am exempt under Section - B.& P. C.for this reason Firepl/Fact.Bit. ICBG# Fire-Dampers ISSUANCE $
• PLUMBING $ 5•
Date owner Heating System& Ducting Registers ENERGY P.C. .$ '
PLAN CHECK 25% $ •
I hereby certify that I have read this appi atlon and state that the above 00-100,000 BTU 0100,00013T • ELECTRICAL $ GRADING $
Information Is correct. I agree to comply with all city and county ordinances -
-
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% ,$ MICROFILM $ •
inspection
fives pof urposes.
'this city to enter up•• the abo entioned ro rty for •
inspection purposes. ,/ '
Signature / f/ .�.€ Date MECHANICAL $ TOTAL FEE '$ 5'00
Drivers' License Sr SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
• a
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
I-
-4. 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
16. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation •- 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - . 60. Backwash Lines, P-Trap, 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 Plumbing' 65. Electrical-Final
15. Rough Electrical-Conduit i 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
- 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
•
23. Gas Pipe-Rough & Test 72.-Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 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 Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: i/ic/ic-
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test -
36. Hood or Canopy
37. Final Factory Fireplace /
38. Final Plumbing //89' ' to
39. Water Service-Final _
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation'
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed
49. Electric Release to Edison - '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date _ I y
20222
STA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
- P.O.BOX 317 COSTA MESA,CALIFORNIA
\ guL 2 5 198
For Applicant to Fill In Completely APPUCAJTI N OR PERMIT
TYPE OR PRINT rflvr,iBu I,giNIGG",T
CI-0614504WttisA ly
BUILDING
ADDRESS 28080
5 TtorPnzo Ave. 2
RECEIPT NO. P" ll
COSTA MESA, CALIFORNIA `"
RHC81 D BY OATH•RHCBIVBD-., JUL ISSUED
1963
OWNER Mesa Del Mar Development Co, N�/ QT�j�' G
BUILDING
MAIL ADDRESS
ADDRESS 3800 E. Coast Highway ///��1
Oriole FIRE '/'
TEL. ZONE TYPE GROU PI �
CITY CoronaDel Mar, Cal i£. NO. 3 1:220
APPROVED
ARCHITECT TEL. Oriole BY DATE
OR ENGINEER Marco Realty Co_ NO. 3-14220
ZONING
AL .ASS Same as a tote
:ONE NO.OFUc80PNEWiSing• ram.
CONTRACTOR MArrQ Real }Ty no_
R-1 I PLANS I Bu1LD;Nom
att r
LEGAL DESCRIPTION Lot 19 Tract K02
Same as above3
ADDRESS
CITY Same as above _ A.P.NO. none
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STLIC.ND207343A-SB-1 NO"Oriole 3-4120 90• TO SIDE A REAR P.L.
EAVES
SIZE I NOW OF ON LOT None ALLOWED (U.B.C.REQUIREMENT/
OF LOT 791 x 971
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. None (FROM C/(L'TSTREET)
SETBACK LINE FROM 111 FRONT 5)._Ft • FT.
CENTER OF STREET �j 521 REAR YARD 341
SIDE YARD I LEFT S'}I I RIGHT 19 1R. �-1
SIDE I )IT. FT.
DESCRIPTION OF WORK L.SIDE 1FT. Fr.
Nr % ALTERATION ADDITION REAR 3
DISTANCE ET. BET.MAIN A
REPAIR _MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
NO.OF
SIZE
BUILDING 51 1 111611 ROOMS 7 STORIES 2 C.U.P.# APPROVED
EXTERIOR WALL Wood & ROOF Sha.1C APPROVED
COVERING JC}}������.e(� COVERING 1P BY 11 T. n D TE 7-22-63
USE OF BUILDING ANITWHRK TO BE PERFORMED
SJ _ lit n wi D welling 2266
Garage 460 S.F.
Plan 500-CR
N
• SQ.FT. B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ore, p
BUILDING CONSTRUCTION. N
SIGNATURE OF PERMIT FEE $ d7tr D
� �0 PERMITTEF !JL° R } (In-
By?
;0.
+J $ 23,925EGG PLAN CHECK $/a e 0
AUTHORIZEDA ISIT I
A- • TOTAL FEE 5 / //
24520 _
STA MESA BUILDING-SAFETY DEPARTMENT CITY OF COSTA MESA
•
P.O.BOX 317 COSTA MESA.CALIFORNIA ((,� ,K�j q r,
For Applicant to Fill In Completely AP4IA`IION ?Zi 'ERMr
TYPE OR PRINT BUILDING
BUILDING _i ycS n
X O/2c2 0 ceL Only
ADDRESS _ sL
RECEIPT NO, )i, 4,5 i
COSTA MESA, CALIFORNIA !l+
'� f / R8[CSI D Y (DART,( VSD D ISSUED/
OWNER nrkE Ila+ZC,( "�BUILDING . O fJ or r. "Lc
MAIL G ADDRESS p{�Q C /U)7LO AI `,Q
ADDRESS c2 p/ dr /� (1 /L C Ij a D //// `��
CITY 00a Iif ,1tess? NO.S1 2 ZONE -- TYPE /V GROUP \
�t APPROVED /L 7j / 5
ARCHITECT TEL /l BY Iir J/! DATE //J
OR rNGINEER ft O/aan NO, t`
/EI ZONING
AL. .sSS 2Jj05 l 02ch2 O rC ✓
ZONE/� NO,OF T UBE OP NEW
/�� 'T� Lick /K I PLANS BUILDING G. . w, - _ A�
CONTRACTOR C5yviL EIL- 4J(A; `8(C/L E ` a i
LEGAL i 91 Dr. '`^
ADDRESS DESCRIPTION / 0 P
CITY
A.P.NO. /H/ 6 .A44---__eO
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL EO"TO SIDE 9 REAR P.L
LIC.NO. 9 NO.
OF LOT .1I)4� / I NOW ON LOT ( EAVES
SIZE I NO.OFBUMS. ALLOWED (U.B.C.REQUIREMENT)
USE OF YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ---p. . 5
SETBACK LINE FROM / �-7- REAR YARD 2 �%� /FROM C/L STREET) - n ,
CENTER OP STREET 1(�J FRONT FT. & pt.�/•!ra(SG„fY/
SIDE YARD YARD LEFT �cr / I RIGHT / "4.'7" R.SIDE PT. J�,�.FT. (p�[''
DESCRIPTION OF WORK L.SIDE 4
del FT. /
�// 2 n
NE' Y ALTERATION ADDITION REAR FT. OL FT.
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS.
BUILDING �7 �/' Nq,OF / VAR.# DATE
61ZE 20 ]� �� ROOMS ( STORIES i C.U.P.# APPROVED
EXTERIOR WAI& CROOF
Miry
DATE 3 �g-.'- S,,VI
COVERING UC COVERING �j4.aT
USE OF BUILDING AND WORK TO BE PERFORMED 7
. LJ ex-LeQ 04 Yrlc'-
.4
(�v N
b 6Q.FT. •
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. Z
CORRECT ANO AGREE TO COM. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION Cie, OCS P
BUILDING CONSTRUCTION. / ///� et N
PERMITTEE SIGNATURE OF 4 J�•�.l{ �,�7�{ tl2{Q 7��{ PERMIT FEE , �F
5 4 gO ' A CT
G
I
O
3 sc A
AUTHORIZED AGENT '
TOTAL REE $