HomeMy WebLinkAbout2855 TABAGO PL - Building Permits •
05E11 ' ` CITY OF COSTA MESA S
49 BUILDING DIVISION
> •j r.,___ �', DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
19Il;1
PERMIT
at P07-00289
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2855 TABAGO PL Status: ISSUED
Suite No Applied: 05/07/2007
Issued: 05/07/2007
Vicinity:
Parcel Nunmber: 13933309 /
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Applicant: MORGAN, MICHELLE ISSUED BY:
rt
Address: 2855 TABAGO PL
Phone: 714-751-0900
COSTA MESA,CA Zip: 92626-4828
Owner: MORGAN, MICHAEL D
Address 2855 TABAGO PL
Phone:
COSTA MESA,CA Zip: 92626-4828
Contractor: OWNER-BUILDER ' .
Address:
Phone:
Zip: .
License: 000000
SCOPE OF PERMIT
ADD 1 GAS LINE AND 1 GAS OUTLET FOR OUTDOOR FIRE PIT/BBQ.
FEE SUMMARY
AMT QTY AMT QTY • • AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation 50.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub- $0.00 0 Pressure Regulator $0.00 0 Urinal 50.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 -- Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) 50.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor 50.00 0 Sewer Connect $0.00 -0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar-. . $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0. Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 - 0 Water Service $0.00 0
Gas(1-4 outlets) $6.15 1 Sink;kitchen $0.00 '0 - Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas'Repipe $9.80 1 - Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $39.45
COMMENTS /SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectiona and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446.46(6/00)
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DECLARATIONS (✓ _).
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed it the permit Is valued at one hundred dollars($100)or less.)
❑ 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class N
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
_sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
I,.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: 14 L r .5-17/e7
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Owner ID verified by river's license. ❑ es ❑L91b�) Driver's.Licanse No. (. piles: il /Q/• n
Verification of Ownership by(type of document,i.e.-prop tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
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CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I aeree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d-44;6..property for inspecti.. . .ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
A ` -eke- . _ � 71o�_ .
(Signature Of Legal•1�r(s) t ate_
And/Or Authorized Applicant Date
CODE 0 INSPECTION TYPE PATI: INTmAL$ CODE I INSPECTION TYPE PAM INTmAIQ
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
, /�'r1�7 i 'Al
200 Final Re-Roof 210 Final Electrical :dam /01. /t I
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
Applicant to fill In all spaces within heavy border line✓-1 sign all appropriate declarations. 4758 4/16/B2 26.90 TLI
CITY OF COSTA MESA PE MIT NC) /, TRACT Tt7NO. BLDG.NO.
• �T
CONSTRUCTION PERMIT 3 30 4-00 8/ • '
Project AddressceTYPE OF CONSTRUCTION -
/ Owner #p-f,may{.r '`- Phoneb' q,., / ❑ NEW 0 ADD 0 ALTERATION �rys!j
0 Address 5•y , , ,'A, Z.M , 0 REPAIR ❑ CONVERSION ❑DEMOLISH �eJ
W g. Bim' ZONING REGULATIONS
•Arch/Eng. License No. ❑ OTHER / �!-� of
_
DESCRIPTION OF WORK 9� 9� In A.P.* /c'•TY / — a'.�� —"O9
I Address /
V ZONE � / PLNG. REF.yF,
Contractor IAt et / tL 44-4Amy Phane63�,q, TYPE OF PERMIT - -- �LbfA� TO Bl/ILDIfvG
I l 'SETBACK C/L,ST. PROEPERTV LINE
I Address 0�s `a'•((��JJJJ qq��•• -❑GRADING 0 FOUNDATION 0 STRUCTURAL SIDE-YARD
LICENSED CONY ACTOR✓D E�CLARION�w6LEFT
0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL/ SIDE YARD so y_ .
I hereby affirm Oct. I am licensed under provisions of Charter 9(tom- RIGHT 1 '�+s -'
mencing with section 7000) of Division 3 of the Business and 0 OTHER 15
'Professions Cotlo,s an my license 15 In full fort and ell cL REAR YARD(TO P/L) p U PIy
� t/ PROJECT DESCRIPTION PROVIDED
Litens Class Ucens "' _ • - PKG.SPACE REQ. ' PROVIDED - - - -
Date 'gnature SQ. FT. - - - - ,
WORKERS'C MPENSATION O CLARATION - • OCCUPANCY - CONSTRUCTION TYPE STREET WIDTH .����.// PARK FEE_$ 1/ /
I hereby affirm that I have a c rtificate of consent to self-insure or a .VALUATION-�87/ ZONE - - - - ZONING APPROVED BY ! , I DATE/' _ /yJ '
,ceztificate of -Workers' Compensation Insurance, or a certified copy •-�7 !!!!''Lnl/CI
SPECIAL CONDITIONS:(Section 3800, Lab.C.). ,J n GRADING CU.YDS. • ACRES -- ;
:.t o, Company L-7 Tide/'SLIegate ., -- ,t • _ _ _ _
ffied.copy Is hereby furnished. - _ REMARKS: _ ' - _ _ - - I
'0 Certified copy is'filed with the city Building Division. - -
EXEMPTION FROM-WORKERS' COMPENSATION DECLARATION - - r - -- •
section need not.be completed if the permit Is for one hundred _ , •
:ATMs($100) or less). - - - - -- - - -• - - -
I certify that in the performance of the work for which this peimit Is
-Issued, I shall not employ any parson in any manner so as to-become PLUMBING' ,. PLAN CHECK - - ;ELECTRICAL PLAN CHECK • -- - - j
subject to the Workers Compensation Laws of California. _ __ UWtLLINIa _ (.A KHC.h
"-:Date Signature BATHTUBS -" --" SHOWERS"- - "- -- SO.FT "- SO FT -'- -
INOTICE: If after making this declaration, you should become subject .,TOILETS. . • t •. URINALS - - — -- - - -tGENERATOR 0-1 KW_1-10 KW - - --
to the Workers' Compensation provisions of the Labor Code,you must ;TRANSFORMER i I
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-LAVS• - -- - •!APPLIANCE - - 10-50 KW-50+ KW • . _ -
revoked. _
CONSTRUCTION LENDING AGENCY - •
KIT.SINKS 'DISHWASHERS - - - MOTORS - - 0-1 HP 1-10 HP _. .1
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS •( ,• SUMPS - - - • - (INC.SOLAR) 10-50 HP 50+ HP' I
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 - - -. _ LUNS l Hut.I RAY '
'Any city or county which requires a permit to construct, alter, POLES METERED SUB r
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - - - - PANELS - MAIN SUB
'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 '
C
( hapter 9 (commencing with Section 7000) of Division 3 of the -
:_ alness and Professions Code)-or that he is exempt therefrom and the WATER HEATERS- • BTU OUTPUT ' - -- . _ I • -
ll.1,, for the alleged exemption. Any violation of Section 7031.5 by -
',Irk/ applicant for,a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - - - - - - - _ -- ' - '• '
of not more than live hundred dollars ($500).
10-1;as owner of the property,or my employees with-wages as their SOLAR-TANK COLLECTORS - - - - - _ -
'sole compensation,will do the work,and the structure Is not Intended - '
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or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. -- - - - ISSUE FEE - 1
'Contractor's License Law does not apply,to an owner of a property APPLICATION APPROVED BY DATE _
who builds or improves thereon, and who does such work himself or - ISSUE FEE - - -
.through his own employees, provided that such Improvements are not
intended or offered for sale. If, however,the building or improvement MECHANICAL PLAN CHECK -- SUMMARY OF FEES - - -
,Is sold within ono year of completion, the owner will have the burden
'of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0400,000 BTU• " '-' - - BUILDING _ - -SO- 1
PERMIT S /6.00 , SMTP. ,$
(❑ I,-as owner-of the property; am exclusively. contracting with AND DUCTING - .. - - 'Vt) • _
'licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK E /0 ' Tf L PERMIT • • - '
'and Professions Code:-The Contractor's License Law does not apply-to - •- - ISSUANCE S_ I
an owner of property who builds or improves thereon, and who con REFRIGERATION 0-100,000 BTU - - j PLUMBING S
tracts from such projects with-a-contractors) Ilcesned-pursuant to_ SYSTEM - - GRADING S '
the Contractor's License Law). 100,000+BTU • PLAN CHECK S __ ._
❑ I am exempt under Section ' - -B.& P. for this BOILERS BTU • ELECTRICAL S - -' $
•
reason • - - PLAN CHECK $ MICROFILM $
Date Owner - ___ SYSTEM REPAIR,ALTERATION TOTAL FEE E
•
•I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL S. .
Information is correct. I agr a to ply with-all cit and countyPLAN CHECK S • VANESS EAP
P Y VANCE PC $_
ordinances a State laws rel tot t struction,t and hereby authorize
reprezentat' of this cit to enc upon the above mentioned �1 9'0
property inspection p rpo es. FINAL FEE $ r7(�
Signature �i Dat /y ISSUE FEE
Drivers' (cense or SS St ' •
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
•
.11C-APP
CONSTRUCTION AND PLANNII_y,5(C POOL& SPA
APPROVALS Permit# 1-�•-� 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 Reinforce a6u-w'�`J'`� � �< (/.�,e7 .- 47. Rough Plumbing& Pressure Test - - -
6. Electrical OF ER Grn 5 ,3,59. 48. APPROVAL TO COVER-GUNITE• ---- --•• ---- - .. -
7. Footings ,. . ._ -V) $ c/••a,/.pt 49. Electrical Conduit-Undrgrn
8. Foundation -- 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn • 51. Backwash Lines. P-Trap. 0 Undrgrn ` • •
10. Structural Floor System 52. APPROVAL TO DECK -- -
1.1.
.Property Sewer Line & House Connection 53. - Backwash & Receptor-Final
12. Street Sewer Connection - 54. Heater & Vent-Final
13. Rough Plumbing _ 55. Plumbing System -Final -
14. Rough Electric-Conduit 56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating & Air Conditioning 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
22. Frame and Flashing 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 '
•
35. Landscape Sprinkling System
36. Sound Attenuation -
37. Handicap Regulations
38. FINALSTRUCTURE & BUILDING ' t 8g
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No. Date
f
I A lV i
City of Costa Mesa Building Dept.
STRUCTURAL APPROVAL ONLY BrCle _DATE /6 19P2-
THESE PLANS MUST BE ON JOB AT ALL TIMES
SEPARATE PERMITS ARE REQUIRED MAKE NO CHANGES WITHOUT PRIOR APPROVAL
FOR ELECTRICAL; PLUMBING, OF DEPT.
HEATING, 'VENTII.ATI G AND THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL ��+
WORK
OF PLANS AND SPECIFICATIONS SH'LL NOT BE CONSTRUED APPROVE])E])
REFRIGERATIONTO BE A PERMIT FOR. OR IN APPROVAL OF, ANY VIOLATION
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE 7,4.4 CAC L�fF L� 6 fib-
--m
' SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE CRY OF COSTA MESA
'Puma #V9 �,� PROVISIONS OF THIS CODE SHALL BE VALID. EXCEPT IN SO DT.
I I 1 :,000NIPANY FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL ip DAT DM
THIS NU'. ' - [y!�
ALL IPiS;_ :;, KLQ� JTS THE ISSUANCE OF A PERMIT BASED UPON PLANS AND BY-ann.•jL DA 6 67--
- SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING THE CORRECTION: CF ERRORS mos OP PM/NDIO
F(3 EJiLD ' •� 1,!5 ARE
...1
O IN SAID PLANS AND SPECIFICATIONS OR FROM P.RCVtNTIND
BE EtSQLOY=O, - .. ...-J 3THAT THE BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN +
STATE 0? i. `,t= 'i'`^ t;(''iSION OF IN VIOLATION OF THIS CODE OR OE ANY OTHER ORDitM&
I�DiS OVAL SPAT-EI
REQ r BE
NSULTED FOR ' OF THE CITE
l"Block41€6k/9)
Olt/APopl /k$.e 74
-lb ibI
RESIDENCE RESIDENCE RESIDENCE RESIDENCE
1- h
W W
W Ia
C 1-
~ N
V1
I
1
2 efy SJCgiVajam. STREET 6 _ _
TYPICAL 611 CONCRETE BLOCK FENCE
® . .
Cement Coping Optional _ ii I. /1 1 GENERAL- NOTES
Channel Block With 1-3/8
0 Horizontal Top of all
Fences
MORTAR : One Part Plastic Cement, and
Three Parts Sand
GROUT : One Part Cement Three and
For Fences 5'or Less II 1 , I
' f � I One Half Parts Sand
13
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Vert. Bars 3/8" Oat 4' -0"O.C. 0 COPING: One Part Cement, Three
cc For Fences.Hiyher-Than-5' - — I`
Parts Sand
Vert. Bars 3/8':0at 32t^O,CF t _ , SI CONCRETE: Well Mixed L2 I/2 : 3-1/2
,p r I Max. of 7- 1/2 Gallons ct
Fill Cells Solid'With/GroLt� • `>.2 I , Water Per Sack of Cement -
Where Steel Occurs - � - --
Ad!M ATE OD XY a-� GROUT MAY BE POURED FROM THE TOP
Reinforcing Steel Shall :11�tYpt9 2 _ OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-�1I5-39' w O --
• .VJx .S4s0 •.) 1 CT Y7;t4'{{�� u I- OCCURS.
A.S.T.M. Z �It CELLS AND AREAS OF HORIZONTAL REIN-
'S w m FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lappe AO - • r� tet. a I FREE OF ALL MORTAR DEBRIS,ETC.
24"a',Tatar
0t^YtH.W 4D ,t0� 1 PROVIDE CLEAN-OUT AND INSPECTION
(C HOLES AT THE BOTTOM OF CELLS CON-
NATURAL GRADE !I!
S TAININVERTICAL REINFORCEMENT.
�.�, BONDS SHALL BE PROVIDED BY LAYING
BLOCKS IN STRETCHER COURSES SO THAT
- 0 , : • VERTICAL JOINTS ALTERNATE IN EACH
: 214 N p .O 'O ^I ° .p n COURSE.
TWO 3/8"OBARS � = . �_ d �_ -s • o te e .
CONTINUOUS TOP I
& BOTTOM . • F-0-0W1 DTH % y. TO 16 0 C. MAX. a
L
t,. SEE CHART
ALL STEEL MUST BE TIED IN I BELOW p
DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH p 1/3 THE HEIGTH OF FENCE
INSPECTION. o Q ip BELOW BOTTOM OF FOOTING.
o" 10'-I1 2.._J SCALE: I/2" = I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5 4' 3'
WIDTH 14" 14" , 12" 12"
THICKNESS 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME: G-e'I SL/'
Y
City of Costa Mesa, California DDX S— _/ CT
PERMIT NUMBER:
Building Department SIGNATURE:
FO6'.n PU2 —2.,—r_sv
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. ' LOT NO. BLj,1$ -
CONSTRUCTION PERMIT 5 r. 3.3 5 3/450 / g/ 1,//J/ -
PiojectAddress O r✓�a�ro �r TYPE OF CONSTRUCTION 510E1 4_/2]/BG� 19.47 TL
•owner AfF�r/�/fig J" Phone/L 2. 4 0 NEW 0 ADD 0 ALTERATION -
Address 5- -/ 0 REPAIR 0 CONVERSION ❑DEMOLISH
Arch/Eng. J �� License No. 0 OTHER r A.P.
//�� ZONING REGULNS
, Address •
- D ('f{i1PTION OF WORK I P _j .. _ (r) NS
,(0j NECa aGAj ce 4LJ L ZONE PLNG. REF.q}t
G Contractor . . O - - Phan- ' TYPE OF PERMIT• I I - --� To gl1I�pI1.�G - ,
y c l4 (+ SETBA K C/L 5T- PROPE RTV LINE
Addre$s Aft Lr :1L1Ii el .. - C7•/ 0 GRADING_.- 0 FOUNDATION •LJ STRUCTURAL ' SIDE YARD �_
LICENSED CONTRACTOR DECL•RATION ', 0 TENANT •0 ELECTRICAL} ❑PLUMBING ❑MECHANICAIJ I YA .
,V.�L` I hereby affirm thzt I am licensed under provisions of Charter 9(corn- - � <'� RIGHT
mencing with section 7000)'of Division 3 of the Business and ❑OTHER - - - '
•
Professions Code...91,154p y license is in full force and effect.> PROJECT DESCRIP--TION REAR YARD(TO P/L)
J 'License Class License No Js:/,-n PKC.SPACE REQ. ,PROVIDED' , '
SQ.-FT. - _ _
Date - Signature • •
- - T STREET WIDTH PARK FEE$ j
'WORKERS'COMPENSATION DECLARATION - OCCUPANCY � OpNSTRUCT.ION TYPE �•
'1 hereby affirm that I have a certificate of consent to self-Insure or a 'VALUATION ' SZp ZONE ZONING APPROVED BY11� -DATE Cl2, j�-� 7
^s' firtlficate of Workers' Compensation Insurance, or a certified copy - // j„ ''�C
'lLecylreof(Section 3800, Lab.C.). / _G L� GRADING CU-YDS. 1 ACRES• - ,SPECIAL CONDITIONS: • •
• `:,ICY NO. Company i{J
4 LiCertified copy is hereby-furnished. - • - - REMARKS: - - - - -
z1,� Certified copy Is filed with the city Building Division. _
'1/ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - -- ` ._ ” '-- - - - - - ---
1 (This section need not be completed if the permit is for one.hundred _ _ - - . _ - _ . .. - _
I($100) 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 f. •' ::PLAN CHECK ,ELECTRICAL PLAN CHECK• ,
r l subject to the Workers Compensation Laws of California. _ _ UW tLLi Nla - 6HNHhG - - - - -
s+�-' Date Signature BATHTUBS SHOWERS SO.FT SO FT
,NOTICE: If after making this declaration, you should become subject :TOILETS ;URINALS - GENERATOR 0-1 KW_ W 1-30 K
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 LAVS ,APPLIANCE 10-50 KW 50+ KW
•
revoked. - .. . _ _ _ _ _.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS - MOTORS' 0-1 I-1P._1-1'0 HP f
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 (_Secti_on_3097 _
Civ. C.). FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES '
Lender's Name
• ' _ GAS TUBE SIGNS - _
r
Lender's Address DRINKING FOUNTAINS
OWNER BUILDER DEC LA 0.ATION . - INTERCEPTORS CLARIFIERS ' POLE LIGHTS - _' -
I Hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 703175 Business and Professions Code: SWIMMING POOL-13 TRAP" - - -' LUNDI Kut,I lury
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'llcensed pursuant to the provisions of the Contractor's License Law A
GS SERVICE • OUTLETS SERVICE - AMP -' -'
':E.heater 9 (commencing with Section 7000) of Division 3 of the -
•:_Oiness and PrWessions Code) or that'he Is exempt therefrom and the WATER HEATERS BTU OUTPUT - j _- ' _ __ - -
;••_IS for the alleged exemption. Any violation of Section 7031.5 by
..'y applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS
of not more than five hundred dollars ($500). ' ' a
❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS - - -
sole compensation, will do She 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 EO BY- - DATE /
'whn builds or Improves thereon, and who does such work himself or ISSUE FEE L
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 old rden
ofs provinlg i he din oned Onoar ticombuild port improve fothe rrer t elll purposeave e of of sane). BUILDING - �•r+
0 I,-as 'Owner of the property, am exclusively contracting with AND DUCTING HEATING SYSTEM 0.100,000 BTU PERMIT $_ 1/+.1 O - SMIP E �1`�Q
licensed contractors to construct the project (Section 7044, Business 100,000+BTU 'PLAN CHECK S 7.x7 i 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 $ - I
tracts from such projects with a contractor(s) licesned pursuant-to SYSTEM - . . - GRADING S _
the Contractor's License Law). 100,000+BTU PLAN CHECK Y .
❑ I am exempt under Se<tlon •8.3 P.C.for thisBOILERS BTU 'ELECTRICAL $ 5 - '
reason -" - -- - - • PLAN CHECK $ -- -MICROFILM $
Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE E ,
('hereby certify that I have read this application and.state that the above EXHAUST SYSTEM _ MULTIPLE MECHANICAL'S
PLAN CHECK S. - LESS AD •
-
Information is correct. I agre to c mply with an city and county - - VANCE PC E_ '
ordinances an state laws rel g t s ruction,and hereby authorize •
representati of this ci to upon the above mentioned •Q
property Inspection rpo _ . c //t547
Signature Y Date4 1�O Z FINAL FEE $ t
Drivers' cense or SS' (� _ --ISSUE FEE -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING \ • 'POOL&SPA �.
,A9PROVALS • T Permit # Date Inspector - APPROVALS Permit# Date Inspectdr.
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 N. _ - 46. Electrical Bonding . '
5._ Steel Reinforce - 4140,Tt_ S 47. Rough Plumbing & Pressure Test .- _ . . .
6. _Electrical_UFER Grn - 48. APPROVAL TO COVER-GUNITE
7. Footings 414.2.1-711. b- 49. Electrical Conduit-Undrgrn
8. Foundation - 50. Gas Pipe, ❑Undrgrn,Test -
9. _ Water Pipe-Undrgrn 51. Backwash Lines_P-Trap, ❑Undrqrn
' _10. Structural Floor System 52. APPROVAL TO DECK
I _11. Property Sewer Line & House Connection 511 Backwash & Receptor-Final • '
.12.-. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing 55. Plumbing System - Final
14. Rough Electric-Conduit - 56. Electrical-Final '.
15. Rough Electric-Wiring - - - - 57. Solar System-Final ' 1
•16. Rough Heating& Air Conditioning 58. 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 •
22. Frame and Flashing - • 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 • -
35. Landscape Sprinkling System . - • •
36. Sound Attenuation _ •
37. Handicap Regulations \‘)Sq4
- •
38. FINAL STRUCTURE & BUILDING .19�.�' il '
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
• 42. CERTIFICATE OF OCCUPANCY '
No. Date
APPROVED STRUCTURAL APPROVAL ONLY Toy � sp cfcns
City of Co a Mesa Building Dept. SEPARATE PERMITS ARE REQUIRED Call
BY _.DATE142 Iq1 FOR ELECTRICAL, PLUP9i31":G,
THESE PLANS MUST JOB AT ALL TIMES HEATING, VENTILATIi"!G A,ND
MAKE No CHANGES WITHOUT PRIOR APPROVAL REFRIGERATION WORK
OF DEPT.
THE
SUANCE
OF PLANSSAND SPECIFICATIONSOG OF A SHALL PERMITNOTBE CONSTRUED - 33�C
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
PINS
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE. THIS NUMBER PEQUEACCOSPANY
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ALL INSPECTION REQUESTS
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SD
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
FOR BUILDINGS WHERE PERSONS ARE TO (CI'
THE ISSUANCE OF A PERMIT BASED UPON
PLANS ANDI BE EMPLOYED, AYE SUGGEST THAT THESPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL STATE GF CALI'OR19!A DIVISION OFFRnp,I THEREAFTER REQUIRING THE CORRECTION OF ERRORS INDUSTRIALSAFETYBECONSULTED FORIN SAID PLANS AND SPECIFICATION: OR FRON, PREVENTING ADDITIONAL REQUIREMENTS. j*FUILOINC OPERATIONS BEING CARRIED ON THEREUNDER WHEN'IN VIOLATION OF THIS CODE OR OF ANy OTHER 0.401NAN�'C'THE CITY.
oit
4
1
``
• �I
RESIDENCE RESIDENCE �.��. RESI NCE RESIDENCE
I..
I-
it
W W
W Ia
I-
N N
\ /
2757rI
S $Tq££T Etjil
TYPICAL 6t' CONCRETE BLOCK FENCE
•
•
--
CementCopingOptional _ ii �,� • I • GENERAL— NOTES
Channel Block With 1-3/8
0 Horizontal Top of ally
Fences MORTAR: One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less ._'-'71-0 ,--,u I GROUT : One Part Cement,Sand
and
Vert. Bars 3/8"0 at 4' -0"O.C.` ok One Half Ports Stand
Q = COPING: One Part Cement, Three
For Fences Higher Than 5' =-' " LD ,�� Parts Sand
Vert. Bars 3/8" Dat 32" O.C. > w CONCRETE: Well Mixed 1:2-1/2 : 3-1/2
1 c = I Max. of 7 I/2 Gallons ct
Fill CeIIs.Sghiec ith Grout >•Z �" Water Per Sack of Cement
WhereWhere Sf�e Qf curs c-
ReinforcingS ea SRa�ll ~"O GROUT MAY BE POURED FROM THE TOP
♦ I �� OF THE FENCE IN CELLS WHERE STEEL
Conform.to_;Sec.A-1B-391c' � o — OCCURS.
�A.S.T.M. "K Ra ,tF,fR I. Zo -I,� CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR,CLEAN&
All Steelttobe Lappe 9p , II w
-
/ ^-. a a,114."
JY�,T ' FREE OF ALL MORTAR DEBRIS,ETC.
I/ •w24"or to Code a .0 !J MI
PROVIDE CLEAN-OUT AND INSPECTION
^.,� at. 7. HOLES ATTHE BOTTOM OFCELLS CON-
M,4T.URAL GR'A0E r
. b p•� TAINING
VERTICAL REINFORCEMENT.
ONDS SHA
PROVIDED
BY LAYING
ahv
/ -.•.-.-, • 'rorsi1 S Dp V - 11 BLOCKS NSTRETCHERCODRES THATSO
•`"` �t >��'��y79.77 ' - Ir • _ ' .^ VERTICAL JOINTS ALTERNATE IN EACH�, ` ^� - U ,\\ o• .e : N COURSE.
TWO 3/8•' •BARS.? `
•
CONTINUOUS TOP.,,ti -
& BOTTOM •• �WIDTH 10 16• O.C. MAX.
SEE CHART % \ �.
ALL STEEL MUST BE TIED IN
BELOW DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH II• II p p 1/3 THE HEIGTH OF FENCE
INSPECTION. • D'L . L _ . ;L. BELOW BOTTOM OF FOOTING.
o b
o" _ Z,• Z SCALE: I/2° = I
FOOTING REQUIREMENTS CHART
•
WALL HEIGHT 6 ' 5' 4' 3'
WIDTH 14" 14" 12" 12"
THICKNESS 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME:
City of Costa Mesa, California JOB PERMIT NUMBER:
L. Building Department SIGNATURE: _
1,0,--on PU2!_2M_, . O'
Pfl03EC7 ADORESS: 2855 TABAGO PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 055166
OWNER'S NAME: GEISER ROBERT W
ADDRESS: 2855 TABAGO PL PERMIT NO: B 055166 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O SHAKES, RESHEATH & APPLY "LITE" TILE SQ FT: 7, 500
$ ADDRESS: UNIT:
CLAIM VALUE: 7, 500. 00 CALC—VALUE: 7, 500. 00 GROUP OCC; R-3 /M-1
PERMITTEE: COASTRIDGE ROOFING ( 714 ) 557-6048
4
ADDRESS: 2480 FAIRVIEW RD COMMENTS. SMOKE DETECTOR(S) REQUIRED IN HOME.
COSTA MESA CA 92626 ********iE********************* *********************yE******+E**+r****************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.:/ 049912 STATE tic.: 541190 CLASS: C039
Dale:__// — F t " Jam! signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' 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.: EXP.DATE: • ' '
7OMPANY: PARKING REQ• PROV: PARCEL: 13933309 ZNE: REF NO:
_J Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
>,
Date' Applicant: / / **************3E*****************************************************•***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: 1 his section need not be completed if the permit is for one hundred($100)or less). DEVECLOPMENT SERVICES 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 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':—/ 1-- 1 �" 9i Signature: i(/ � •
NOTICE:If,after making this declaration.you should come subject a Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: --
Code.you must forthwith comply with such provisions or this perm 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. (t� DATE• •,/• l
which this permit is issued(Section 3097.Civ.Cl. **************.*'******** *** * 4* * * **** **************** **
LENDER: 1/2" CDX PLY SHEATHING ************************************** ****/ *********************** **********
ADDRESS: "LITE" TILE 585LBS.PER SQ LEGALIZATION:N F E E U M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate 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 99 , 00 7 5
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NQN—RES
pursuant to the provisions of the Contractors'State 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 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, 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----> 99 . 75 0. 00 -- 0,, 00 99 . 75 99 . 75 . 00
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 employees, provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 99. 75 OVER/SHORT• . 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 99 0 •!". 7 5
❑ 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 *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. . INDIVIDUAL ,-/ F E6'.IE BR EAKDOWN
❑ I am exempt under Section: B.8 P.C.
fermis reason: TYPE QTY D E S C R I P T I' O N UNIT COST TOTAL COST
. .', -
Date: Owner: SFR 7500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 500. 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 budding 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. .'7 f'• ,
Cale: Applicant: • ,
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county /
earand state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
e..operly for inspection purposes.`/_
ale: Ii — / N - yi
Signature: //....a // v / - iLI J.D_J 7' :' _ .:
06 river's License or social Security a: f -I' yrs 11.r iLr ..?.x1_'!- l+'__
•
1641-46 Wbite—Bulidmg:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
I
CONSTRUCTION-AND PLANNING - PC & SPA
APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
: 13:I'Electrical Conduit,Lkility•Undrgrnd. , " 54. Forms •
1; -
. 4. Electrical ConduiUndrgrnd. r-
-Undrgrnd. 55. Electrical Bonding ,
5",;$Teel Reinforce Cndp`C56. "Rough Plumbing & Pressure Test
iS- .i
r 6.,T%lectrical OF ER;Grrd, 57. APPROVAL TO COVER-GUNITE '`
7. Footings > 58. Electrical Conduit-Undrgrnd. -
8. Foundation .r•' ' r -' "59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undsg?nd. , -
- S L60. Backwash Lines, P-Trap, 0 Undrgrnd. ,
10. Structural Floor System ,<'" ,- '61. APPROVAL TODECK
11. Property Sewer Line& House Connection b62. Backwash & Receptor-Final •.
r,
12. Sewer Cap -63. Heater & Vent-Final
a �.
13. Roof Drains c 64. Plumbing System - Final .
14. Rough Plumbing 65. Electrical-Final
15. Rough Electridal-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.Though Fyctor-y Fireplace i Kt' y - 1 :! -APPROVALS'c GPermit #
21.Th ucts, in-Strict ie' .. .. �- - - w' + t70. l�nde 9rA�^h
H4ro
22. Ducts, Ventilating • i t.7-•S t _ :71. Product*Pf�r' ing D'Gas O'Oil
. , .., - ;.1:,.',. * -r r -3
23.-Gas Pipe lough & Test ,T: , ' ,r " < "72. Undergr-o.eind Flush: . _ t.
24...8°5)1 Framirig s I •- - t - - - s73toUndergrntl.Storag Tank O Gas ❑Qil
25. Roof Sheathing ' :1,:• «_!'• D� 6 c:%yy: O
' s74� "verhead Hydro." -9-`i/:
26.`•T-Bar Ceiling (Structural) &�N -onocoat - ntar 757-1Dry Chemical - ¢-
27.rFrame and Flashing. ,'';�.A + _ i Ir.. •. 76:�DfyStan eipe -r K -S .,
r .. > yr
28." -&Siding Y -> _:' 'C i; tX •- •• •-t ... 77- FIXED SYSTEM:FINAL - T•
�.� .. - -
'29. Insulation o - y 78;FIRE PREV. FINAL _ i
30. Drywall Nailing c /^Cn Y HEAL-NI-DEPT. REQUIREMENT
X31. Plaster B?owr! Coati _ ; , „r el.; ` ,79'FINAL IN�SEECTION -- -
i @-'H ----t
''jY $: r ' _ . it
32�ElectricaJ Power Mgtgr„-Final, . nl :. r80.. FOOD CERl11F(C&TE ISSUED-
,33."Final El&tdc = ;y r . / I-"y1i�& rNd[es: + - j ,-. _
,334,-Finil Heatin`g`& k'lir,Conditioning, 71 .• > i l��.-Gl-0d �� •_uf0 j
V35-1Final Gas Pipe-Tesst' 4' - I� . : _ LSAT fig, _ `• /67 /V no
,36.Ho�.ri or'CanopyL „� I .'••: •- 1i? , >: s!f`'•A✓P r• •
-37,:-Final Factory Fireplace ' Cre U ` �` . 11 '''. s" r-
....
-38. Final Plumbing ,_ `�.•c .• .• :� „' I I '•i: : .r ,' lr, .4. u.
n
,39. Water Service•Final' )- t 1 G,. -+ - .-1. -.5 uz _
♦ , w 3� I ,,,. 4 a,
140. Gas Service-final • ,r t , r `1
z41. Solar Domestic-Final , it + r:-
42.-Backf loW Preventer -- r1.7 r -' I 1 . e
.
_ 43. Backflow. Irrigation• r 5 , . i-- r -
r.04. Landscape Yrrigatign System `•' ,1; , - - • ,,-
.45.cSound Attenuationi. x > C a .s .44.-
46. Handicap Regulatidns np
,47..FINAL STRUCTURE & BUSI_Rie 1.).%'<-1
48:'-FINAL PLANNING ' `.,i: i ,�/';' ;,; •
i, _ •
-.49."3-Electric--Release to,Edison . /''F - t ,• ,
50. Blease to Southern California Gas Co 17 .�•; , • .....
CERTIFICATE OF,OCCUPANCY ,. .- ;." • ,
No Date
IF, J
/Loti' v
81 13936 J �o9. t ' ' ir
COSTA MESA BUILDING-SAFETY DEPARTMENT
6 iPo1
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
OF
For Applicant to Fill In Completely APPLICATIONYFOR PERTMITMLSA
TYPE OR PRINT _ BUILDING
BUILDING ode "-c5.7- -T-
ADDRESS �_ 6 i \C.\°" . Y)\.
COSTA MESA. CALIFORNIA For Office Use Only
OWNER
Investors Marine Inc. I RECEIPT NO. %�"�� NG/''�
rT
v n,-,
MAIL RECE! ED BY OA RECEIVED/^I DATE ISSUED
ADDRESS 1W() W fnagt Ri A}rway I - ale& •,? n 'KIPS
C,TY Newport Beach NO. -1655 BUILDING "69'
ADDRESS d -'C
ARCHITECT TEL. igrOSTA MESA. CALIFOR
OR ENGINEER Seine NO. oQ"�
ADDRESS FIRE / r,I/ 1
ZONE TYPE l/ GROUP ..J(
CONTRACTOR Mesa Verde Builders, Inc. APPROVED
BY DATE
ADDRESS 1653 Minorca Drive - ZONING
CITY Costa Mesa ZONE /(dam NO.OF 2 .-USE OF NEW V-.
�' 1 11 PLANS ` BUILDINGS >>!, ., .
STATE 181269 EL Ki 9-0395 LEGAL y� ✓-I grim
p /y� DESCRIPTION \-( - \1'QO('j `1- " O /
SIZE 80' X 100 1 I NO, OP BLDOO.
OF LOT NOW ON LOT A.P.NO.
USE OP YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM /3 I 29 l_6 canna ware ST.) Ad
3 n
CENTER OF STREET �f REAR YARD FRONT '',5YT. OE-�( IN.
1 81
SIDE YARD LEFT 8 RIGHT R.SIDE Q FT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NEW I x I II ALTERATION I II ADDITION I REAR `J(/�}r 2-y FT. K//n,, IN. lb
REPAIR I II MOVING I II DEMOLISH I APPRO� 1.�( b({J� DATE 3 —3 �(o/
SB I1 DING1500 Sq.FL.ROOMS 6 STORIES 1EXTERIOR n L ` l)
COVERING ` �iccg I COVERINGROOF 2g i5--))S7
USE OF BUILDING AND WORK TO Q PERFORMS
Single family residence anis Kara::
Model No. 550-B (1 979)3'
tached garage 462 Sq. FL.
I HEREBY ACKNOWADGE HAT I HAVE READ THIS APPUCATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT ,THE AS E IS CORRECT AND AOR TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORD! ARLES ANDTE We GULATING
BUILDING SIGNATURE OF I CORNY/CUT N (Al, ��� VALUATION
!IJ/ PERMIT FEE $ se R
PERMITTEE / O/J// o
g1 (I ��Q /7 PLAN CHECK $ /i
AUTHORIZED AGENT
I---
TOTAL
^ C
TOTAL FEE - 4