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1781 TANAGER DR - Building Permits
• PROJECT ADDRESS: 1781. TANAGER DR' UNIT: r CITY OF COSTA MESA – BUILDING PERMIT PERM NO: EM 0S9778 OWNER'S NAME: RAKUNAS, RAYMOND R ADDRESS: RAKUNAS, LAURA J - PERMIT NO: EM 059778 PLAN CHECK NO: N GOVT; N SUPP: N 1781 TANAGER DR • COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5–N PERMIT TYPE: ELE MEC PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : C/O OF EAU & A/C SQ FT: ADDRESS: UNIT: r CLAIM VALUE: 50. 00 CALC–VALUE; GROUP OCC: R-3 /M-1 PERMITTEE: DICKSONS INC, ( 714 ) 545-8289 ADDRESS: 1918 S, MAIN ST COMMENTS: SMOKE DETECTOR REQUIRED SANTA ANA CA 92707 ######x##xx*xx####x##xx##xx #x###x#x#x## ####*xx##k#x#x•#####-x•#r:###########x##x# LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY uc.: 024698 STATELIC.:40132q- C s: C-20 eA `ale: P - 1 - 111, Signature;– "' • Ate— MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-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 PoucY No.: 5 5 4 8 2 2–91 EXP.DATE: 03/01 /93 COMPANY: STATE FUND PARKING REO: PROV: PARCEL: 13962404 ZNE: REF NO: ❑ Certified opy is hereby furnished. ® Certified copy is filed wl the city Bu ing Divisi n PLANNING NOTES> Ota— > Date:' /` cl"' APPlicant: '-�. hiP.�. ##x'########x#x###x###############�C-iE.#ie#x#####x##x#######x#x#Y•#x•#######x####!#### EXEMPTION FROM ORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred f$100)or less). DEVELOPMENT S E, R••.V I C E S REQUIREMENTS 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 r DATE; Date: Signature: NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : - �' DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r'� ( � -99 -2— which G CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; '(F *. DATE: //'„'2--C 2 which this permit is issued(Section 3097.Civ.C). #####)E#x-###########x-####-k###xIK. ih)k x++ u###x At. _;##kit fEX/de#JE/itx k'.t7Fx x###iE#######'xft#itx#x.31# LENDER: ##########x########x#############'###############x 1Ex#######*****####x#######*If## ADDRESS; LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 8 25 9 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 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0% 2 5:1 SM I P/NON–RES and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15,00 15 , 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING'-'DI S7 > 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––––> 17 . 25 30 , 00 0 , 00 47. 25 47, 25 . 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 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS––> COLLECTED ; 47. 25 OVER/SHORT; . 00 for the purpose of sate). 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 23 . 25 24 , 00 ❑ and Professions Code: The Contractors'State License Law does net apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware #.x.x.x.x.##x#####x-##xx######x###########x*###x%********a**#####x#######'Ex###9C###### that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date. owner. ELE 1 RECEPT/OUTLET 1 ST 20 EA, 75 , 75 Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 MOTOR/POWR APPARATUS 1 , 1 — 10,0 HP 7. 50 7, S0 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from NEC 1 RELO FORC–AIR/GRAV FURN <= 100 K BTU 9 , 00 9 , 00 these provisions. END OF FEES Dale: Applicant: • I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances and stare laws relating to building construction and hereby authorize representatrves of 's city to enter upon the above-mentioned property for inspection purposes male:(t I L Signature: . Driver's License or Social Security Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & 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 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER 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, 0 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 ElecVical-Conduit 66. Solar System-Final ' c 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 O 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 I 78. FIRE PREV, FINAL 30. Drywall Nailing I I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final I I i 80. FOOD CERTIFICATE ISSUED 33. Final Electric `'/Q 9124 Notes: 34, Final Heating & Air Conditioning t` 1/2I 9* Leo 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing I 39. Water Service-Final I I 40. Gas Service-Final I 41. Solar Domestic-Final I 42. Backflow Preventer I I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING i ' 49. Electric Release to Edison I I 50. Gas Release to Southern California Gas Co 1 51. CERTIFICATE OF OCCUPANCY - No, Date ill r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P Mk7 j90C-• TRACT NO, LOT NO. UNIT NO. 8795 12!16186 CITY Of COSTA MESA CONSTRUCTION PERMIT 'L ioJ +� 1781 DRIVE 39.55 11 IG , Project Address - - U' Applicant's Mailing Address 2220 S DIIP'ONT DRIVE TYPE OF CONSTRUCTION 1i NEW 0 ADD LI ALTERATION"CR REPAIR * � pkv . CONVERSION 0 DEMOLISH ❑ OtnacriTmEatirmep,p_�t: Zone - \ Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. -Address MR PEDERSEN 1781 DRIVE _• 1' ML*1 Way IslPi_.S. 39 .• S Main Building: [Accessory Building: I +' Arch/Eng, License No. 379503 TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front R ^r+_ z O Q Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBING 0 MECHANICAL B Rear •,,, ,'�.- - N \ Contractor's Nara P ROWING Phone 978-266,. O'OTHER A Right - �' - - . N PROJECT DESCRIPTION SD.FT. 3.95 OCCUPAN Ic['t - L G Address(mailing) nse 220 763'x' ' mays CONSTRUCTION TYPE VALUATION$ �. 1 1`/1 s Left 1 S fn p R City License No. ZONE - GRADING CU.YDS. ACRES9{J E I� LICENSED CONTRACTOR DECLARATION • _ Ping. Ref.# Parking Req./Provided 0 y \ I hereby affirm that I am licensed under provisions of Charter 9(commenting Remarks: Planning News"... q C ��5 M (J,a with section 7000) of Division 3 of-the Business and Professions Code,and REGENED .1 } my license is In full forteeand effect. 'j503 f«C'iE E DECv m ��� S license Ctp55cense{5,� pate 11LL Signature /�— `}_/�j� C e WORKERS'COMPENSATION DE RATION • •Bar Sink _. ELECTRICAL FEES I hereby affirm that 1 have a certificate of consent to self-Insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - of W Lab- C.) Ri2n 7806 ROYAL I Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap II Construction Pole Sub. ❑ 50+KW �' d.Certified copy is hereby furnished, t.e' ertifi�u coy bti�etl With the city Bui . Div�..n. Bathtubs Sewer Connection Cooking Unit Meter (]up to 100 amps Date /s+/" Applicant • ...se r _ EXEMPTION FROM WORKERS'COM• •TION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100)or ., less). Dishwasher Solar Piping Dryers ❑Gas QElectric Sub Panel 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 Drinking Fountains Solar Tank • Fan Motors yo-i HP Di Y:-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar 09-15 HP❑16.15+ NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith III Floor Sinks im Urinal IIIFixtures u.. comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light L 1 hereby affirm that there is a construction lensing agency for the performance 9 is. of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Outlets Ran eis Lender's Name 9 Lender's Address Kitchen Sink Water Service Switches Sign ' OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash . Garbage Disposal !Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to itissuance, also requires the applicant for such permit P—Trap Laundry Trays Generator ❑0.5 KW Q5-15 KW Trash Compactor to fhe a signed statement that he/sne 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 " 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). O I. as owner of the property Or my employees with wages as their sole Reinspection Fee I $15 Issue Fee ' ' $ 3 W 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 ' " 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 corn- Canopy Type I I ❑ Zoning Approved By Oat. Motion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By --------Ge., Date ova for the pf the ooale), S.J . ❑ I.as owner construct thet property,roject t 70 4, contracting witholicensedionode- Duct-Structural Refrigeration System Application Issued By Oat �' hetors uL the project(Section 7044, to and Professions Code: The Contractor's License Law does not tract an owner je property who Duct-Ventilating ❑(}100,000 BTU 0100,000 BTUSUMMARY OF FEES ` . builds or improves thereon,and wnq contracts for such projects with a con- tractor/5) license pursuant to the Contractor's License Law). I em aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 3 .00 SMI? $ 55 proof of their Worker's compensation insurance should be provided to -e. PLAN CHECK $ 0 I am exempt u der Section B.&P.C.for thl eason Firepl/Fact,BR, ICBG# Fire DaPERMIT mpers PLUMBING $ ISSUANCE $ Date 7.-C41.097. Ownerri -- iriirrirfasef Heating System&Ducting Registers PLAN CHECK 25% $' ENERGY P.C. $ I hereby cer Ify that-I have rea• is application and st. : that the above ❑0.100,000 BTU❑100,0008T ELECTRICAL $ GRADING $ information is correct, I agree to comply with all city and county ordinances - and state laws relating to -uhding construction,..nd hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ _-._�� sentatives of this city t enter upon til - ove•mentioned property for inspection purp. MECHANICAL $ TOTAL FEE ` Signature ' � ' � at " Oe12f • 8`�6 Drivers' License r sS•Sg : ' llReinspectionFee $15 IIIssueFee $ 3 ll PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building: Canary -Applicant; Pink -Accounting:Goldenrod -Assessor . Iw .r • CONSTRUCTION AND PLANNING POOL&SPA APAOVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. 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 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-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 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 0Gas ❑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 . ;a 38. Final Plumbing .:.' 39. Water Service-Final ;71 40. Gas Service-Final 41. Solar Domestic-Final r-; 42. Backflow Preventer 43. Backflowrigation ' 44, Landscape irrigation System'',+ 45. Sound Attenuation EXPIRED tflbO. t • 46. Handicap Regula4ions '�f / /Inspections 47. FINAL STRUCTURE & BUILDING Oats ! L� fsig 48. Special Requirements Completed 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY • ' No. . Date • ,\ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _ CITY DF COSTA MESA CONS ,DI PERMIT PERMIL010.� /4 TRACT NO. LOT,NO. UNIT NO. it 5759 10/22/86 t' 18.00 TL • Project Address ! S ( �'/1/ �iZC. f� 1Y ClJ Applicant's Mailing''Address_ /7 et �.s T^¢pjii-G C TYPE OF CONSTRUCTION L I NEW LJ ADD L_I ALTERATION LI REPAIR Owner's Name `^' ' C pw`f`'Sini Phone7/2/SJ F/f / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • A.P.# - - . Zorie DESCRIPTION OF WORK/USE OF BLDG. Address T4-t.T6 �'�- - S Main Building: Accessory Building: E Z Arch/Eng. - tirgise No. TYPE OF PERMIT LJ GRADING L1 FOUNDATION LI STRUCTURAL T Front 0 - Address . dS $�f'>7� �5 III TENANT El ELECTRICAL CI PLUMBING LI MECHANICAL B Rear N v` t'' / Contractor's Name s /TPhone v ❑ OTHER • - A I � .� ' / PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) SG�2- 2_ BG".d` .-/ K G / CONST RUCTION TYPE__ VALUATION$ g Left City License No. 7 /-7/Jn v RZONE GRADING CU.YDS. ACRES Ping. Ref.4 Parking Req./Provided E LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 0M with section 7000) of Division 3 of the Business and Professions Code, and - my license is I ul • e and effect. / �(C/!-f/_ S Lice yl a ' ense No. L ! `7'TY/ ���- Signature'I i i PLUMBING FEES Da'- WORKERS'COM•ENSATION • C • RATION Bar Sink Showers ELECTRICAL FEES - I hereby affirm that I have a cert '--te of consent to Self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backf low Preventer Service Sink , Automatic Washer Transformer 0 15-50 KW • Policy No. company Backflow Irrigation Sewer Ca _ 0 50+KW P Construction Pole Sub. 8 Certified copy is hereby ehed- Certified copy is filed withth the city Building Division. • Bathtubs • Sewer Connection Cooking Unit• •Dup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . Dishwasher - Meter Dover 100 amps - (This section need not be completed if the •ermit is for one hundred ($100)or — , ; less). Dishwasher ,Solar Piping • - Dryers ❑Gas DElectric Sub Panel ' I certify that In the performance of e work or which t •ermit is issued, I - - - • ' shall not ploy any person in an man, ai a me subject to t e Drinking Fountains Solar Tank - . Fan Worker try)Lpee nsation Laws of Cali • r r Motors 00-1 HP 011S-8 Date W Signature Floor Drains 'moi-nm'^g o^^' v/Spa 3- a5 F.A.U. NOTICE: (Niter making this declaratu should become s •jeep to the - - Inc.Solar 09-15 HP 016-15+ • Workers' Compensation provisions obor Code, you must forthwith Floor Sinks • comply with such provisions or t tt��permit shall be deemed revoked- Urinal Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service `. Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors 'Water Heater • Outlets Lender's Name - Range Lender's Address' - - Kitchen Sink ' - Water Service Switches Sign OWNER BUILDER DECLARATION . I hereby affirm Mat 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 9 P Standing Sections , county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays r any structure, prior to its Issuance, also requires the applicant for such permit y Generator 00-5 KW 05-15 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 • - �)� /� 7031.5 by any applicant for a permit subjects the applicant to a civil - /`•"7Y("�(/� V Openalty of not more than five hundred dollars($500). 3 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 - • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee $15 Issue Fee $ 3 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 riot 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 ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground C prove for the purpose of sale). - Building Approved By /O/u O� IDI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Data Application Issued By Date 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 ' ❑0-100,000 BTU ❑100,000 BTU builds or Improves thereon,and who contracts for such projects-with a con- - - SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law)- I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ ' proof of their Worker's Compensation insurance should be provided to me. 13n l am exempt under Section -B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers - PLAN CHECK $ PERMIT PLUMBING $ 1ff D•D Q ISSUANCE $ Date Owner Heating System& Ducting Registers ENERGY P.C.- $ ❑0-100,000 BTU ❑100,00067 - PLAN CHECK 25% $ •I herebyat cert that I have r d thismapplication all and state that above )1 ) q Information cot.tfng ogbui o g const with all dy and county hrtr ordinances ELECTRICAL - $ /oe,V GRADING $ and state la s hes tit to but g construction, and- herebyiduihorizeTy for MICROFILM $ Inspection po this city.1. -e r u on above-mentioned/�pr�o �y for PLAN CHECK 50% $ ,j /� Inspection vurpos s '2.-- Signature � MECHANICAL $ _ TOTAL FEE $ ! 00 Signature Date Drivers' Lie r 55# —>> ��� Reinspection Fee $15 Issue Fee - $ 3 PLAN CHECK 25% $ 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 1. 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 • 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 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 Y7/1210e 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 O Gas ❑Oil 23. Gas Pipe-Rough & Test .72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑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: 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 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed a 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. N w PERMIT NO. TRACT O. LOT NO. UNIT NO. N. 1.aarv'OF cosTn ME CONSTRUCTION PERMIT 3 Ni-, /1 Project Address I / r�' /`'fil-�- /�f9-t5 /E P- pp 3 ae`S© �� �� 8209 12/04/86 36:IfI TC Applicant's Mailing Address .r7 'rn TYPE OF CONSTRUCTION EW ❑ ADD Li ALTERATION Li REPAIR ( t��e„fl�.� .1 =. N r �i ` ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# 1 27r/ 2�- Zone �1 FxNr+Lr 8'r1 ,1 /P/Mane DESCRIPTION OF WORK/US F B DG. �/J�3 .Qts.�4..-Q\) -One'+ I� S� Address1 L N /T- S �./�_ l�Jc.. � sLcir ,TZ �}v,q 'goC'� (,da/f �' ,�// / S Main Building: ` dt, Accessory Building: Arch/Eng. - License No. TYPE OF PERMIT Li GRADING ❑ FOUNDATION LJ STRUCTURAL E Front / • . O Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear -1,_ N Contractor's Namn OM Phone _ ❑ OTHER A I Address(mailing) PROJECT DESCRIPTION ,h�.rMerc Cr OCCUPANCY �� :.Qj. C Right Lj{-, G CON ST RUCTION TYPE VALUATION$ �l.26O,--- Left City License No. ZONE GRADING CU.YDS. ACRESs R LICENSED CONTRACTOR DECLARATION �{ ,t �n - Ping. Ref.# ���...---�--....111 Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ec t f ,0 - C fm(Ar„'- cyrC 4 Planning Notes: l\ C 'I>c 5-)ccc M with section 7000) of Division 3 of the Business and Professions Code,and �`��'"��RV/// t{c GN LLl MW 'f,j J my license is in full force and effect. /n3 (a l I,, ,�is-L t•./iv jf wuu T License Class License No. CX /LL(Ul7v `f J'I llv F�.i $ Date Signature . PLUMBING FEES WORKERS' COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink / 3800, Lab. C.) / Automatic Washer Transformer ❑ 15-50 KW - / Policy No. Company . Backflow Irrigation _ Sewer ❑ 50+KW Certified copy is hereby furnished. Cap Construction Pole Sub. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑Up to 100 amps / Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed if the permit 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 shall not employ any erson In an manner so as to become subject to the Drinking Fountains Solar Tank - Fan Motors❑01 1'f.-B Worke{s' Co nsert Laws of Ca r la. �7 — Date ! - -0 Signature /�At-.— ed.1," -� Floor Drains ' Swim ' g Pool w/Spa F.A.U. )Soiarg -15 HP ❑16-15+ NOTICE:If,after making this declaration,you should b ome subject to the - I Workers' Compensation provisions of the Labor Code, ou must forthwith Floor Sinkscomply with such provisions or this permit shall be deemed revoked. nal Fixtures wave CONSTRUCTION LENDING AGENCY Gas Service Outlets ' Water ClosetI hereby affirm that there is a construction lending agency for the performanc0 Devic¢BO%ese Light of the work for which this permit Is issued (Section 3097 Clv. C.) Interceptors Water Heater OutletsLender's Name nge Lender's Address Kitchen.Sink Water Service - OWNER BUILDER DECLARATION Switches - 'Sign 1 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 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 ❑5-15 KW any structure, prior to its-issuance, also requires the applicant for such permit Trash Compactor to file a Signed statement that he/she is licensed pursuant to the provisions of Roof Dr. 5 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 7031.5 by any applicant for a permit subjects the applicant to a civil gsnalty of not more than five hundred dollars($500). • I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered • - Reinspection Fee I $15 Issue Fee $ 3 for sale (Secion 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: f 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 �('}� •1 /-""�et- Date /2 t�' pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved B -{�-' !i • Date /a_'I- prove for the purpose of sale). / 1L. SZ-i �y 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued By .. a a' / w Date 42'-_� /Ap 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 ,000 BTU SUMMARY OF " ES 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 thatExhaust System 0 Multiple 0 System R e/Alteration I BUILDING PERMIT $ �1u.�.r�C" SMIP $ �� proof off their Worker's Compensation insurance should be provided to me. PLAN CHECK $ / 1 LSO PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# e Dampers PLUMBING $ ISSUANCE $ Owner/ 2 � � Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and st to that the above ❑0100,000 BTU 01 0BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repro- MICROFILM $ • sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% $ Inspectio ores. J �/ Q Signature,Q�,Q7 CMF 0865.46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor f • . ' CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspecto 1. 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 . / W0 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings f/ �,0 58. Electrical Conduit-Undrgrnd'. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 a • • 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 Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas El 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:j r, 34. Final Heating & Air Conditioning / 35. Final Gas Pipe-Test -� d leer 5.7:44@✓.� �z e. G. /2-.30. 6 36. Hood or Canopy 37. Final Factory Fireplace il' l87 OK QU C gOutr Dai. 38. Final Plumbing 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 11J �.) 47. FINAL STRUCTURE & BUILDING �zi�� f��J • 48. Special Requirements Completed �/n�/® 49. Electric Release to Edison 50. Gas Release to Southern California Gas O 51. CERTIFICATE OF OCCUPANCY - -' -4' No. Date I. AITHUVLU City of Costa Mesa Building Dept. BY DATE/a/4/ 19.: ~ THESE PLAN51+tUST BE ON 108 AT;AIi TIMES MAKE STRUCTURq� gppROVq� • NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. �� ONLY SEAi OF FQp ELECTRICAL E PERMITS ARE jlEOU;RFO PLANS AND SPECIE/CA T CN E HTINGAL 14C,:F A PEPdA�J:MSTwLIE OR O TO BE A HE fl ' CAL• PLUMBING, PERMIT PROVR, OR AN ISIONS OF^!IS CODE.NO F;' "; �cid Mft OF TO Give • EREFRI CRA TlLATlNG ANO • AUTHORITY TO VIOLATE OR CANCE -"o\ ;iOrNS OF THIS G RATION WORK . CODE SHALL BE VALID, EXCEPT IN SO i'AI: .>S ME WORK OR USE WHICH IT AUTMOR2E5 13 LAWFUL. Per e THE ISSUANCE OF A PERMIT BACF4. irON PLANS AND . THlS SPECIFICATIONS SHALL NOT PREVENT ?.i.: BVaD4VG OFFICIAL ' NUMREF ERRORS INI�!�U SAID PLANS FROM A AND FTER R StPECIFICATIONSUIRING THE `OR CORRECTION PREVENTING ALL INSPEC,-tGNT AGGO+',L'f^.(Y (t BUILDING OPERATIONS BE/NG CARRIED ON THEREUNDER WHEN ' REOLES;S IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF THE CITY, / ' . . FOR BUILOlNGS YlHFRE FMPLOYFq WF IS L'LRaONS 1 T[1 BF CALIFORNIA OIVISI C�pf THAT rH�$iq iE OF - BE CONSULTED I'�OUSTRiAI�SAFFJY • REQUIREMENTS. FOR AGOITI ONA1 . 1 ____ H � I 1 1k I:n 4 w [ spe V i 6. r 1 ® v ■ ■ y CI P lI 119111 LA • A • OStq m.- 7F5: el-4( w NNING DEPT,. • i �� filLa3-""'�� BLOG. DFPi. R . DLRFnbR OF • pIALMNINp Ujetfirt /� 1 '(I/.. - .. srstar .......p. V • F TYPICAL 6" CONCRETE BLOCK FENCE CementCopingOptlonM a GENERAL- NOTES chemist shock with aI•4B•¢ II. ■I ■IS1 Foam ftal ToP of au ' �. MORTAR: Om Part Plastic Cement, and Fonar E1 3 M,M_I f 11'-� Three PIt P tSsnd For Frown fi'«Lass i GROUT: • Ont Pat Cement Thos and vat.Ban3/II'4 it4'-0"O.0 :1 oOnt Holt Parfs Stood it 1• u I MI MI �. COPING: One Port Cement, Three For Fens Higher Than S �!� Parts Sand wt.Barr 31B'f/ n 32"O.0 a i CONCRETE: Well Mired, 1. 2: 13Ft FDI Calls Solid With Groat Ill > Max. of 7 S .Golb a of ;��s z II I Waler Per Sock of Cement Whore Stull Oxon i R•illforeirls Sass SM!! Ill = b I I MI GROUT MAY BE POURED FROM THE TOP Conform to Sic.A-11F39 p a W O ` Of THE FENCE A.S.T.M. ill = t. ' 1 I li'.e CELLSAND AREAS OF HORIZONTAL REIN- MINT All Steal to ba Ltlpf•d ;I' - 6. w 11 � - FREOFALL SHALL RE OEBRIsCLE AR.CTC. FREE OF MORTAR DEBRIi,ETC. IE"or to Cods f • NATURAL GRADE v 1e . -i' ".I BONDS SHALL BE PROVIDED BY LAYING I= i c 'at •6 = mei II •••;•...6.... ... � _ 11 BLOCKS IN STRETCHER COURSES SO THAT VERTICAL:JOINTS ALTERNATE IN EACH 1� • • COURSE. TWO Lt" BARS r=leg Mal CONTINUOUS TOP 'E ' .o,• . . t A BOTTOM el •D O WIDTH 4 ' I. . MAX. ® . ` •• SEE CHART a U . l) SE O• I SLOW :� 6 • C DEPTH. ' OF E4R H L • b 1/] THE HEIGTH OF FENCE • t • • ' "Mow BOTTOM OF FOOTING. k,. I ro' 2" SCALE: I/2" • I' • TING REQUIREMENTS _ WALL HEIGHT _ 6' S' 4' , 3' WIDTH OF F0011NG 14" 14" 12" 12" THICKNESS OF FOOTING :I-/) IO" fl" 8 " DEPTH OF EARTHTOOTI! 20" IC 12" SPACING OF EARTHTOO H 14' l 16', 16' ` ' OWNERS NAME: Et 4- 1 L L. $ B S VIA City of Costa Mesa,-California JOB ADDRESS: 4. 1g L _ 1 1R. Building Department . � .__ } I APPROVES -- ,City of a Mesa Building Dept. i STRUCTURAL APPROVAL U1�Y I r DAT SEPARATE PERMITS ARE REQU?RF9 • THESE PLANS MUST BE ON JOB A ALL TIMES FOR ELECTRICAL, P!GMGING, • MAKE NO CHANGES WITHOUT PRIOR APPROVAL HEATING. VENTILATING AND OF DEPT. • REFRIGERATION WORK THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL -- OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED 1 2S�• I 1 TO BE A PERMIT TOR, OR AN APPROVAL OF, ANY VIOLATION ( �E x�t,� c 1� . II Vy11 1 i)I y p� OF ANY OF THE PR01"GO'iS OF THIS CODE. t10 PERMIT PRE. _+�,,,__ .rF, q.;� h Y ' ��^� los SLIMING TO LIVE AUTHORITY TO VIOLATE OR CANCEL THE THIS N_If..82,: f,:'..C., ..C.GMI JkN PROVISIONS OF THIS CODE SHALL BE VALID,OR IN SO ALL ItISPECTWJN REQUESTS I Call FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL. I �- --- ) Y/ IIA THE ISSUANCE OF A PERMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL' i FOR CUILDIN S �rIE E PEnSJNS ASE TO CE 7545627FROM THEREAF1LR REQUIRING TILE CORRECTION OF ERRORS ! ,.r. - •I;•-r•C' ';I'T THE STATE OFLOY D. WE S ODE. A IN SAID PLANS AND S ECIFICATIONS OR FROM PREVENTING I CALIFORNIADIVISION OF iNflUST1S Al SAFETY• BUILDING OPERATIONS BUNG CRRILU ON THEREUNDER WHO IDE CONSULTED FUR ADDITIONAL IN VIOLATION CF THIS CODE DI OF ANY OTHER OROMANO; 'REQUIREMENTS.OE THE CITY. �. . :: I I ,;t fO:iL � p A e I1 t c'P of cos tea„ mann I. 1 IMISIIIIMICt MIMICS fM oI I DEPT. ' R•r C�I�V g- I 6Y� .•/�'2 9• W is �RCiTW '+N1N0 E. N. • N.is .�� M AUTION , ELECTRICAL LINE CL CARANCE REQUIREMENTS c Apr IN ACCORDANCE WITH .S ATE SAFETY REGULATIONS, IF CONSTRUCTION REQUIRE WORKERS, EQUIPMENT CRAtS • � litItT 6 OR HOISTING DEVICES TO E IN PROXIMITY OF OVERHEAD • ELECTRICAL LINES, 0 UNDERGROUND ELECTRIC • • FACILITIES, CALL SOUTHERN CALIFORNIA EDISON COMPANY /7P/ /4&.) >c-R_____, . IMMEDIATELY(714)895-0244 • • Air4 fJivE • PelE.esaki 3.. . TYPICAL 611 CONCRETE BLOCK FENCE • Cement Coping Optional— a — -- GENERAL— NOTES Channel Block With Ones - imi �f1E# - 8!! ■ � I FencesHorizoTopol O. ill ' MORTAR: One Part Plastic Cement, and Fence Three Parte Sand For Fences 6'or Lea 4 GROUT: • One Part Cement Thee and a "�_'� 2 I (. One Half Porte Stand vert.Bars 3/174 at 4'•0"O.C. ; I a = COPING: One Part Cement, Three For Fences Higher Then 6' � 16 u '��—�1 I Parts Sand Vert.Ban 3/B'j a 32•'O.C. > W CONCRETE: Well Mire? 1: fh $ 3 a s Max. of 7/2 Gallons of Fill Calls Solid With Grout 11 > Z .'_—" I ! Water Per Sack of Cement WMre Steal Occurs i Reinforcing SrN1.SMll H a 40I —Ell GROUT MAYBE TOURED FROM THE TOP Conform to S1to.A•16.38 u O OF THE FENCE AS.T.M. ii, :lo! ~ -I' -t� CELLS AND AREAS OF HORIZONTAL REIN. l W n FORCEMENT SHALL BE CLEAR.CLEAN i All Steal to be Lapped e. FREE OF ALL MORTAR DEBRIS.ETC. II"or to Coda ill I —SI I NA?URAL GRADE v. TOE .' II I BONDS SHALL BE PROVIDED BY LAYING 1111 = 's a Mall U� BLOCKS IN STRETCHER COURSES SO THAT >o W. . IN VERTICAL JOINTS ALTERNATE IN EACH poi ;•e 'O INTI 7? COURSE. TWO LS" BARS '17.11e 7.� m . •- . .• • F CONTINUOUS TOP i BOTTOM el o' P ►-.WIDTH C . TO 16' 0 C. MAX. ' 6 • SEE CHART a a •O O • O) �I BELOW '• ^ • ' .UE VT' OF FARTHTCOTH L1/3 THE HEIGTH OF FENCE ►a e b •BELOW DOT TOM OF FOOTING. N 0: i0' 2.. -0– SCALE; I/2" • I' soar . _FOOTING REQUIREMENTS _ WALL HEIGHT _ __ 6' e—e5' • 4' 3' • WIDTH OF FOOTING I4" . 14" 12" 12" THICKNESS OF FOOTING IO' IO" 8" 8 " DEPTH OF EARTHTOOTfr 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14' 16' 16' . OWNERS NAME: City of Costa Mesa, California JOB ADDRESS: . Building Department _- -'' 3Ib/ 9/16/66 34e95 \\ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • -I i Y, COSTA/M-EISA CSTRNUCTION PERMIT P.F�MIT NO. TRACT�7T NO. 73LOT UNIT NO. •Project Atldress 1 / �� /PI�R� •,Q G J t / TYPE OF CONSTRUCTION ❑ ADD LI ALTERATION ❑ REPAIR A(Splicant's Mailing Address pp�� __// ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name G✓.9 yNc fecknatOphone CVO A.P.AP # 1 39 .-&aL/ -ay Zone ,t2 t . . �� . D SCRIPTION OF •RK/UZE OF BLDG. I Address . L Col( • GLOG/C S Main Building: Accessory Building: 2 Arch/Eng. - ' License No. TYPE OF PERMIT fl♦ GRADING ❑ FOUNDATION Ili STRUCTURAL T Front 0 / 0 Address - S TENANT IDELECTRICAL ❑ PLUMBING IDMECHANICAL BA Rear r�17/ • N Contractor's Name '�` c�LtJ� "'LI OTHER - C Right 7O7 N , Address(mailing) --Cr— PROJECT DESCRIPTION SQ. FT. OCCUPANC CONSTRUCTION TYPE VALUATION $ J f9a S Lef Q / G City License No. —'• • ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION - - Ping. Ref.# Parking Req./Provided /. E hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: /�•� „di?, — /3 3V y�(/'� M with section 7000) of Division 3 of the Business and Professions Code, and -1U7 my license is in full force and effect. vlo /J a/ . T License Class License No • - OI -f�U11 • S Date Signature . PLUMBING FEES -,��( )e t--b 011(e L((,(l-(�o I/ h(,�M ,,i.n dot WORKERS' COMPENSATION DECLARATION Bar Sink • Showers _-- G ELECTRICAL ,ill FEES r -eby affirm that I have a certificate of consent to self-insure or a certificate - . • Vorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer • Service Sink ' 0.00, Lab. C.) Automatic'Washer • Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW BCertified copy is hereby furnished. Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps , (This section need not be completed if the per'lrr It Is for one hu¢drid ($100) or Dishwasher less). / j Dishwasher Solar Piping . • Dryers,❑Gas DElectric ' Sub Panel3 I certify that in the performance of the w•rk for which this pe --is issued, I ' ` ' ' • shall not employ any person in any/m. ner o as to bb o• e •ject to the Drinking Fountains ' Solar Tank Fan - • Motors❑0-1 HP ❑1%-8 f�p Workers,' Compensgti n Laws of Calif. is .r t� Signatu e 4 -�/�. Inc. oler ❑9.15 HP-❑16-15+ /. pate f — 15--rt tou - Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:Compensation making r this don of• 't y -'shout• you subject hwite • - Workers'with such 'provisions provisions the permit Code, you must forthwith Floor Sinks Urinal Fixtures Microwave tr comply such or this shall be deemed revoked. CONSTRUCTION LENDING' AGENCY Gas Service Outlets Water Closet • Device Boxes I hereby affirm that there is a construction lending agency for the performance - Pole Light of the work for which this permit is islived (Section 3097 Civ. C.) Interceptors Water Heater Outlets • Lender's / Range Lender's Names ��/C/ Kitchen Sink Water Service - OWNER BUILDER DEC ARATION • Switches Sign I hereby affirm that'Pam exempt from the Contractor's License Law for the Lavatories Auto-Wash I 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 Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 1 the Contractor's License Law (Chapter 9(commencing with Section 7000) of . I •sion 3 of the Business and Professions Code) or that he/she is exempt • -- _ efrom and the basis for the alleged exemption. Any violation of Section . A.5 by any applicant for a ,permit subjects the applicant to a civil l penalty of not more than five hundred dollars($500). I 3 ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee if $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 . i License Law does not apply to an owner of a property who builds or Improves . I thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENT$: ( , ••n, employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ • sale. If, however, the building or Improvement Is sold within one year of com- - Canopy Type II ❑ • Zoning Approved By ,�//..11 Date plebe the owner se of have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By DateIll 9jis'� ' prove for the purpose will sale). Y I' • ❑ 1, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date . tractors to construct the project (Section 7044,Business and Professions Cotle: / The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU / SU Y OF FEES builds or improves thereon,and who contracts for such projects with a con- r 0. tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $- OO SMIP $ proof of their Worker's Compensation insurance should be • •vided to me. Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK $ PERMIT 0 • I am exempt untl: Section B. C this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING .$ ISSUANCE $ Date Is - own: a , .- Heating System& Ducting Registers PLAN CHECK 25%- $ ENERGY P.C. $ l I hereby certi that I have r•.. • ap•cation and state that the above ❑0-100,000 BTU ❑100,000 BTL— - GRADING $ I information is correct. I agree t• omply all city and county ordinances ELECTRICAL $ and state laws r' .ting to building co,• ruc -• ,and hereby authori e r•re- MICROFILM $ sentatives of is dity to enter ••n -- .'•ove-mentioned pro•- t for $PLAN CHECK 50% •�' /p}''� inspection p ••ses i - MECHANICAL $ TOTAL FEE $ S9 7J Signature _ S Reinspection Fee • $15 • Issue Fee $ 3 PLAN CHECK 25% $ CMF 0665-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor I CONSTRUCTION AND PLANNING POOL& 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 / 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 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-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 66. Sola"' 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 i 20. Rough Factory Fireplace APPROVALS Permit# - 1 21. Ducts, in Structure 70. Underground Hydro r 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. Insulation78. 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: )r- niep t /,�`Fir.. b .. cEr` 34. Final Heating & Air Conditioning `-it Cell �f/ 35. Final Gas Pipe-Test41444 ' 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. Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation - - andicap Regulations / ' • CrINALSTRUCTURE & BUILDING 3��6�, �Gf/ . iSpecial •Requirements Completed /l6S �LTd r 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 1 I COAST SURVEYING, INC. 1415 E. EDINGER AVENUE • SANTA ANA, CA 92705 • (714) 558-1851 November 17, 1986 Wayne Pederson 1781 Tanager Drive Costa Mesa, CA 92626 SUBJECT: Block wall location between 1781 and 1779 Tanager Drive, Costa Mesa. Dear Mr. Pedersen: On November 14, 1986 our field survey party located the block wall between 1781 and 1779 Tanager Drive in Costa Mesa. The results of our survey are indicated on the enclosed sketch. Generally, the block wall itself is inside your property line by 2 inches and the brick cap on top is inside by 1 inch. Please call me at (714) 558-1851 if I can be of any more assistance. Very truly yours, tarri4I I Ruel del Castillo, L.S. 4212 RdelC:ddf JN 86-162 L n � 13.4 ei-f A 4O. c . ii COAST SU--''EY/NG PAGE i OF / ` AND MAPPING IJ.N. fl-7(71 DATE //'/Pe- W CM0 _ __ __ _ _ _ - -5 -I f - - /S'Ld pat IGC c/4P w . ,1, _ . 0 30 ->O tL - '- --- • e WA A - -- - - - - - - w z - ----- - v/. . SI'tconv in,,,r to U Th .._ .. -. ! tor 0-19 -)0-it / /7 el rill?$&OKJ si ti w - - - - .. . - - - _ Q __ .. . . _-- _ . _ O 09'00—►OZY.- 5 2 NIGH _ _ .. - 0 SONG vim I-ic _ 0 - _ 1ol.a >Fa . L0�c _ _ . _ . _ N - Lii 0 _ . sem K I -. } w - U - . �c c.•148fgGt > w 0 S Vi U • - . - - . . .. -. . m /1.1 'e---s o - c37 7. . -ii • CHESTER L. KING - , .:. -.. : . . CIVIL ENGINEER • ; - � -- ---- - -- --- .. 1653 IOWA ST. COSTA 6SSA, CALIF. 92626 .. .; . - -.. . . _. 1 . . .- ._ I - . /t6$b, i cy /GfccC. ---_. . .-- .. -r ___1_ . . _ . . . .. . . . 77S/ 7ana9c r CO3-fG_ AdeSGr- /�o. ECz .7‹..00./ /2/.. -N• . /N/rw'a/ /O.os/ h �^ �4�1� P' /0 .5, .5 _3 5 .. . - . . Al-. -5.5 x (2,75.7.:s ) /79 ._ . 43 ' .. /79x- .7 5" , 0.3.3 0" - . . . \ . :«t . / _ . 4'G• . -- K.; • : /M •°. .•/79,./ ? Z //_7(Asi 07/1c . .: 55 (2. 75 . 5./%33)': 237 /la `, i� .4 & x. , 5� - /&(.2- • . . . . . _ . /50;x./359. /,/7x ,w =/3S . /0o,, . 50,E . (07x , 52 7y ; • .. ._. .:296? . .. - 2524 /, 5 . 3Jd . E7/4/io • - - 29 6:. ' . P> 2 so I /i'.Lass/�/E l . • aP _ 8 2. .. . /✓ 2 /P's #i . . . .. ... /a5:•. /1*3 � . C 7o X 209 . _ ... ! - / 33' •20 9 s ;ovssAc ao.Gssure /,--; Vis/ N . . . . _ o %� hand/an? . .. - . • . . -- - CE8 742 - /J/OpiG/0e r' 4- S7;44. C.JG7 714 .... ? - - /f/fr/rl/ ��c��ZC7 /pS COnCte // - 2c)670,pS/ . Cott ec3,16" _. . . _Ike,/4 ST/v,/A6 /5/40 5/cin-2/.2 /aoiL _.. . _6 cid G/r C" '//'S'_60 tz 716v 0/n 9:... { _ '.__,L_0 �___ . - __ -- . . _ _..__ _STee/_ ---__- - ` rSvr.S /G o c viz ,Z 4e../a / IJ SI V _ __I__ � \\, ..______ /✓ac2 ti!/rr/oj/ to .(7%rrn/y ca r»o.ac leo/ . - - -- \yi fict on b 0 7<A src/cs c / ewo// 2 co nc r'e. ie ��I /4 J 1 - ',,O F F:1 o/%, . . . Izo J N0.8742 0m, A /L/A)/ - �\ G F � - /7 / 7,-4,<24 C- EfR \ -y / r.i -, A - '11,1C�sT4 /%�ss1 . \` of r�°2�' c„ •• , CHESTER L. KING CIVIL ENGINEER .... /2- Z t 1653 IOWA ST. COSTA MESA, CALIF. 92626 From the Desk of . . ED PETROS Wafe E 2sc /7 (i /hrf/,4L r. cos�i+- Mca ,e , c,4 67262;6 • '/'3/8 7 set./3✓rG .17 G D c,4%n on Fc), !�2 /3.Go ck a izAf Jj e,ve c , / 7 g l 5 / 7 7 T 6 .vim � ICY vv� CO-5 e 4Ylsy.t IAJ^. ,e5-747-4-5 /Ls a tri •�� 4rc Li' . 0'V /Arc- ,i (gip nt o ` e vezA leech, y`�i..�_ Co e 474- jcet ,//� S —t_ t�jCalc- Ott , ary''i l/zo 7 L5� Cc 7c) GV ! Th C®ol/t_ Sc cvc Ce/ u loi -rna (94f Stock. vab . From the Desk of . . . ED PETROS .E a� /, 74—. A0 -2tOt e.aJ ' .Or_ 5'stun ye/ /rte fi/r g PO -S Ql9 C /92 701/ et/S . l /fr W* /f%sen I Z, - �i o ' 1 '5 ! ?-7 • ' From the Desk of . . . /° I J ED PETROS 11NAY cue cd a ' l\ T� PROJECT ADDRESS: UNIT: OWNER'S NAME: 1781 TANAGER DR CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05333E ADDRESS: RAKUNAS, RAYMOND R RAKUNAS, LAURA J PERMIT NO: B 053338 PLAN CHECK NO: N GOVT: N SUPP: N k 4 1781 TANAGER DR COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT ARCNIENRESS: REG.NO.: —4 ADDRESS: UNIT: :JOB DESCRIPTION RE—ROOF 0/WOOD SHINGLES W/ALCOA ICB0314.7 SQ FT: 9, 500 PERMITTEE: CLAIM VALUE: 9, 500 . 00 CALL—VALUE: 9, 500 . 00 GROUP OCC: R-3 /M-1 ADDfless: ALUMINUM ROOF SPECIALISTS ( 714 ) 558-0678 gQ11T5��T2�p9 MCFADDENpAV ADM***TS• ***O***E DET#*TOR*S *) REQ)****D****OM*i�sEx* *****aF*x*******�E**X*x*s6*+E�: **** LICENSED CONTRACTOIL DECLATATIDN:-Nheerreby affirm that I am(tensed under CA92705 off Chapter 9(commencing with Section Z O N I N G R EQU IR EMENTS / 7000)of Division 3 of the Business and Professions Code.and license is' lull force and effect. SETBACKS CITY LIC.: STATE LIC.: • 033723 523043 39 Gate: '=L.3_7/ Signature: _ _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm th have a cenifiWieol consent to self 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 00,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN mum: 046-91UNIDT�3117 EXP.DATE: 01 /01 /92 r] Certified copy furnished.FLV Certified copy is Bl•� wi• he ci ��• PARKING REQ: PROV: PARCEL : 13962404 ZNE: REF NO: 1111 " e PLANNING NOTES> > date:_9"— I .'2 — 1 q Applicant: Id_ ` ****************************************************N**k***IE*******R•*********** EXEMPTION FROM WORKERS'COMPENSATION OECLARATION: 'l' , need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SER VICES REQUIR Ell E N NT S I certify that in the penormance of the work for which this per t is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Camomia. ZONING APPROVED BYDATE: Date: - _ Signature: NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY i DATE: 11 Code.you must fonhwrth comply with such provisions or this permit shag 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: which this permit is issued(Section 3097.Civ.C). . 44 DATE ********************** . , * * . R A- .7 . **********i . ` . w ** LENDER: *44*44****3444**44*1434****************#k te***V ,EAt' ******14**********44******:********fi*0( ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/R?5 GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,Or PERMIT 117, 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 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than Five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID • DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law 'DOTAL S—---> 117. 95 0 • 00 0 . 00 117. 95 117, 95 ,', . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work hlmselftherself 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 117. 95 OVER/SHORT: • . 00 for the purpose ol 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 117. 00 , 95 . ❑ 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 the Contractors'State License Law).lam aware ***,.*********************3*******************************art****.**********}'***};**** that pmol of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.A P.C. IND I VIDUAL F E E BR EAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST , TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 9500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 9, 500. 00 25534 and that I or any future building occupant williwitl not(circle one)need to comply with said state codes and the requirements for a END OF FEES / permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ✓/ these provisions. , Date: Applicant: I hereby certify that I have read this application and state that the wove information is correct.I agree to comply with all city and county ordinances and stare laws relating to building construction and here&':uthod;.•.resematives of this cit ,enter upon the above-mentioned - - property for inspection purposes Date: YC"- /1'-9-/ Signature: ` .n0T140CGS:'•15-0A0-.-.5.r1e• ;1• •_`. -- : Driver's License or Social Security '-" �i•t�! 0�i12/J1 SStt .c=mak 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONS,TPLICTION AND PLANNING POOP ?A Date Inspector Date Inspector APPROVAIA Permit# APPROVALS Permit # 1. Temporary Electrical Serviceor Pole • 52. Pool & Equipment Location ., 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement 3. Electrical Conduit Utility-Undfgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd.. = 55. Electrical Bonding 5. Steel Reinforcement 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-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 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 PREV. FINAL 30. Drywall Nailing -'" HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat , 79. FINAL INSPECTION 32. Electrical Power Meter-Final . -,y 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 f 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations /J 47. FINAL STRUCTURE & BUILDING &i6-.C�j //'�/ 8-/th--Q� S�/� 48. FINAL PLANNING 11 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. to m DATE. (/G.✓ "' 7? LOT NO. ADDRESS J 7,g;57.- t --mac ,(22 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-sh• thy) (was were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approvalother than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. 41 BY Purchaser BY c-2--'ce-0 Developer and/or pt'fliorized representative BY BY Z--tep2AG � '✓L/aC Lender 36708 U0 353'. c: *c.5%5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC IBV DATE RECEIVED DATE �ISSUED BUILDING .t �{` lll���/// S•2�/✓-7 �" 6--;.. , ADDRESS I / 01 Jan p,5' Des y� /� tt�� 1 J, �J PERMIT Nf) OWNER PJSvSt H . W,114 A.P.NO.13q- (oA.4 - 041- 3i, (l . BUILDING MAIL Qr.� ADDRE S ' 7 5 1 ANA G E bR. Z ADDRESS pi 1 S 1 -no,our ,.fir Q dO CITY e•S1`4 1Mr5 e- ! NO. S.5•9-5-9•11-7 TRACT 676 L0T73 BLOCK ZZ Q CONSTRUCTION NEW ADD ALTER'REPAIR 'MOVING DFMDI ISH O I- LENDER am _ID BRANCH J E CO OWNER / m J ADDRESS ) VALUE -CO ARCHITECT TEL. USE llf/ $ J Q OR ENGINEER NOC)Cn 15-7 w FIRE Q C) ADDRESS ZONE TYPE GROUP 2 w APPROVED W ✓ 4-t^' .s 5 Z CONTRACTOR OL � b ) ' CQ! BV E DAT J O m Z J. ADDRESS al w TEL. ZONE NO.OF USE OF NEW � / _T 0 ZF CITY NO. PLANS BUILDING C-3 V LU-O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING J0 SIZE 5NO.OF BLDGS. (FROM C/L E ) OF LOT 1 O yl, 1 o 0 NOW ON LOT RO_ NT )1-‹USE OF EXISTING BLDG. SIDE 43 FT. •I- SIZE OF NO.OF2 NEW BLDG. ROOMS • STORIES L.SIDE S T.ta.1 EXTERIOR WALL ROOF _ COVERING I COVERING REAR L3 FT. T. -1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. B 0- a MAIN BLDGS. ACCESS.BLDGS. Qn VAR.# DATE O hot( a C.0.4 e2 C.U.P.# l APPROVED lc I- --BY LA)( _t�N DATE C.-D"-73 Z +V O N STATE UI hereby acknowledge that I have read this application and state O that the above information is correct and agree to comply with / CC all laws regulating building construction, and I shall not employ r G./7 /- any person in violation of they workman's compensation laws of N C/ fA the State of California. TAX co to zI hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: W CC am exempt from the provisions of the State of California Business and Professions Cone, Division 3, a ter 9 VALUATION to O PERMIT FEE $ 5"e-c2 � Signature of L - m Permittee *sr-- hig7 $ 3 cocO PLAN CHECK $ E Authorized Agent a-�C,) LL N TOTAL FEE $ r Vnl\Ln aavhIL WHIP, August 5-26-73 JOB ADDRESS n:A. r 1781 Tanager Drive BUILDING PERMIT NO. 36708 4GENERAL CONTRACTOR owner-builder DESCRIPTION of WORK patio cover \ AP No. 139-621E-04 LOT 73 TRACT 6758 FIRE ZONE VALUE $ 350.00 'INSPECTIONS Signature Date GROUP ,T TYPE V ZONE R1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR DOLE UNDERGROUND 7 POWER 7 ROUGH WIRING Heating and Vent. TRENCHES El FORMS El STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL 1 _ a n , •"110 234- 73 • r 16 i 33712 COSTA MESA BUILDING,SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -" \ , '\ APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely/e� � gECE/I/y�E�(p/,B V /'DAT�E�RjECEIVED DATE ISSUED ISSUED • BADDRESS i /O / t •A. /"c/Uwl-e. YJnT 7 —,2 '7/ 1 A/ —1.5--7/ PERMIT NO. OWNER •/MAIL /L . i..r`.-tea .I-Sit _z. ./' . . n i , A.P.NO.BUILmss' ADDRESSI 3 0 £ - (J/ •• i L. ADDRESS NG i�a / �/ L��yL W W TEL. �, TRACT C 73 LOT 73 BLOCK dU CITY /1 w�pl,tp 96O/'/ NO. �2 -711// Z Q CONSTRUCTION !/•/ (i�/. NEW ,A OD ALTER cREPAIR MOVING. OFMOI t9H O N LENDER ev-m.-C_ c, am 17 BRANCHyti �v //- _ �_ JN OWNER "6` / C�(/72e Q w ADDRESS m-I VALUE •3�nna Ib ARCHITECT TEL.% Y/ �Lr i $ V W "1 Q OR ENGINEE' • • - • .�_ - s• •'J/ga N c r.,p � FIRE W K ADDRESS aS//d / c-� tra,, .�[,,,,, J ZONE TYPE GROUP Gi r'nq�� ,p 0_try APPROVED J O CONTRACTOR / fin.. [ �flisa.n�. _ 6V DATE CO Z 4/50 4 , ill w J ADDRESS `' y�/�/p� NO.OF USE ZF CITY /� Q �� �/p�`�y I��y"� NOLS'fo.. 3 3 ZONE/1 / PLANScs, BUILDIN 41.l/ ' Ill O• STATE VYARDS / fl// 7 APPROVED YARDS APPR ieVED 4/_3 LIC. 2073 MAINBUILDING ACCESSORY BUILDING ro 2 LIC.NO. ')"!D D O (FROM C/L STREET)) SIZE / y OF LOT 70 n /6 0 INO.OF BLDGS. ��FT. L,/ NOW ON LOT D FRONT c 4- FT. USE OF / EXISTING BLDG. / R.SIDE .. FT. FT. I- Z NIZE OF EW BLDG.010,/ a/ ROOMS �/ STORIES/ L.SIDE 5 FT. FT. U EXTERIOR WALL ROOF r� QQ � COVERING LA COVERING `4tC/ REAR ,�Z FT. FT. .J USE O.� LDING AND WORK TO BE/PERFORMED U DISTANCE BET. BET.MAIN& Q �C,.[,(L I,(-Y Q yt JAG. (rt."^IQ MAIN BLOCS. ACCESS. BLDGS. VAR.# DATE O C.U.P.# APPROVED F APPROVED �1 /J /Uj DATE fD- �` / I p HOLD FOR SPECIA REQUIREMENTS C~.) I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with - -- - CC all laws regulating building construction, and I shall not employ F any person In violation of the workman's compensation laws of CA the State of Californ la. p/ / m ZI hereby certify that I am properly licensed as a contractor under SSO. FT. Y/Q�� o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses In full for . end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: - fIs urn exempt fro- the pro ions•• e State o .Iifornia Business and Professio •odo, 0' i ion t enter 9. VALUATION SQ m of PERMIT FEE $ /Q(n ----- N O _ m Signature of . / ' / / 3.2.."—• E Permittee �/ / 5Y G $ �1/,5D) PLAN CHECK $ // Authori •gent !.J 6-9 / LL TOTAL FEE $ /J