HomeMy WebLinkAbout2972 TEAKWOOD PL - Building Permits 6 CITY OF COSTA MESA
BUILDING DIVISION
>4
:144 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER,
4. ”114-7‘ PERMIT
w„1e,m t' B04-041
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2972 TEAKWOOD PL Status: ISSUED
Suite: Applied: 07/23/2004
Vicinity: Issued: 07/23/2004
Parcel Number: 13921223 Zoning: R1 R1
Applicant: COLLAZO, FERNANDO ISSUED BY: 40P/
Address: 2220 E ORANGEWOOD
Phone: 714-385-1202
ANAHEIM,CA Zip: 92806
Owner: GARDNER, CRAIG STEVEN
Address 2972 TEAKWOOD PL
Phone:
COSTA MESA,CA Zip: 92626-3723
Contractor: WIN-DOR INC
Address: 2220 E ORANGEWOOD
Phone: 714-385-1202
ANAHEIM,CA
Zip: 92806 License: 545553
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REPLACEMENT OF 9 WINDOW AND 2 FRENCH DOORS(LIKE FOR LIKE OPENINGS)IN AN EXISTING SINGLE-STORY SFD.
. FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $8,100.00
Permit: $167.25 Claim Valuation: $8,100.00
SMIP Res: $0.81
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.06
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0.0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ' r
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(8/00)
. A
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penally of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
[have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My worklers' ompensation/In�suranJ�a carter-and policy number are: �7 r n��
Carrier: 4v�/in) S,C JC-72 V/tee Policy Number: t%2$ 00060 .C77
(This section need not be completed if the permit is valued et 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 Ca' •m. 'Iree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr.,,.
Applicant Signature: A —0" Date: • v� grey
WARNING:FAILURE_ E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRI PE TIES AND CML FINES UP TO ONE HUNDRED
THOUSAND..%:- ($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chaster 9(commencing with Section 7000)of Division 3 of the Busine an.Professions Code,and my license is in full
force and effect.Lic.# ' S 4`9$S j Class# . ,‘ g G/
Contractor's Signature: Date:
Date: Aar
CONSTRUCTION LENDIN ell V:
O 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: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. _ Expires:
Verification of Ownership by(type of document,i.e.-property 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? 0 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? 0 Yes 0 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? 0 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 a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? PI Yes j�No
(Section 65850.2 of the Califomia Govemment 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? 0 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:
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 agree 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Sign. .;Of ee. • -cr(s) ate
�eV 7 z y
r-L—
ODE
• '. orizedApplicant Da
BODE. •. A:Y PATE JNTRIALS CODE♦ INSPECTION TYPE DAF INTmALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval _ 4
203 Final Sign 222 Final Site * it
204 Final Demolition 250 Final Building/Occupancy
- 1997 UBC HANDBOOK
r{..20 IN.
—` CLEAR-
I
/ 341/8 IN.
/ CLEAR
/ fN
/ \ /
41 1N. \
\ CLEAR \
OPEN
ABLE \ 241N. \\/ OPENABLE
.FT \ CLEAR z /N AREA=5.7 SO. FT.
\ // / N
\\
N
MINIMUM SIZE MINIMUM SIZE
WINDOW FOR 20 IN. WINDOW FOR 24 IN.
CLEAR WIDTH 441N. MAX. CLEAR HEIGHT
FLOOR
For SI: I foot=304.8 mm, I square foot=0.093 m2.
EMERGENCY ESCAPE AND RESCUE WINDOW
FIGURE 310-1
The requirement for emergency escape and egress openings Window wells in front of emergency escape windows also
in sleeping rooms is because a fire will usually have spread be- have minimum size and escape requirements. These require-
fore the occupants are aware of the problem,and the normal exit ments were added to address those emergency escape windows
channels will most likely he blocked. The dimensions pre- that occur below grade. Obviously,just providing the standard
scribed in the code,and as illustrated in Figure 310-I for exterior emergency escape window criteria to these windows will get
wall openings used for emergency egress and rescue,are based occupants through the window but the window well may actu-
on extensive testing by the San Diego Building and Fire Depart- ally trap them against the building without providing for their
ments to determine the proper relationships of height and width escape from the window well or providing for firefighter
of window opening to adequately serve for both rescue and es- ingress.
cape. The minimum of 20 inches (508 mm).for the width was The minimum size requirements in cross section are similar in
based on two criteria: the width necessary to place a ladder with- intent to the emergency escape window criteria: that is,to pro-
in the window opening and,secondly,the width necessary to ad- vide a nominal size to allow for the escape of occupants or •
mit a firefighter with full rescue equipment. The minimum ingress of firefighters. The ladder or stair requirement is the
24-inch(610 mm)height dimension was based on the minimum main difference.
necessary to admit a firefighter with full rescue equipment.
Emergency escape windows below the fourth story are not
It is the intent of the code that the windows required for enter- required to have an escape route down to grade;however,those
gency escape or rescue be located on the exterior of the building windows below adjacent grade are so required.When the depth
so that rescue can be effected from the exterior or,alternatively, of a window well exceeds 44 inches(1118 mm), a ladder or stair
so that the occupants may escape from that window to the exteri- from that window well is required.The type of ladder or stair is
or of the building without having to travel through the building not identified in these provisions. However,a permanently fixed
itself. If these windows open into an interior exit court,the exit ladder as required by the Uniform Mechanical Cade for access
court must have an exit passageway, that provides access to the to rooftop equipment would be acceptable or any type of usable
public way. stair would suffice.
Remember,these ladders or stairs are provided for emergency
As stated in the code, these windows used for emergency es-
cape or rescue must be operable windows. The intent is that they use and need not fully comply with the code.
be of the usual double-hung,horizontal sliding or casement win- The ever-increasing concern for security, particularly in resi-
dows operated by the turn of a crank. The building official dential buildings, has created a fairly large demand for security
should evaluate special types of windows other than those just devices such as grilles, bars and steel shutters. Unless properly
described based on the difficulty of operating or removing the designed and constructed, these security devices over bedroom
windows. If no more effort is required than that required for the windows can completely defeat the purpose of the emergency
three types of windows just enumerated, they could be approved 'escape and rescue window. Therefore, the UBC makes provi-
as meeting the intent of the code as long as no tools, special sions for security devices, provided the release mechanism has
knowledge or effort are required. been approved and is operable front the inside without the use of
39
I' ^ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CFfr6F'Ct3STA aESA PERMIT NO. TRACYI<'.' LOT N BLDG.NO. .
CONSTRUCTION PERMIT gel''- 320* 2_8 ZZ 2Z.� 4301 4/07/82 235.00 TL
•
Project Address 247,2-ref'Kwoob PL TYPE OF CONSTRUCTION - ' ' - • ,
'Owner-DA`G, NuszLca,„kr Phone SW70g,n ❑ NEW J aDD ❑ ALTERATION -
Address pi-la /EQ Ku-'soo4 ?t 0 REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS
Arch/Eng. 0/6 License No. -0 OTHER '
Address - - — DESCRI TIONOF RK dde1'toil A.P.# 13G - Zit - 7.a
• Contractor /5-1•417;C.0•
ZONE R PLNG. REF. •
UAV Phone - TYPE PERMIT
BUILDING �J Tp BQ1L INC
, Address _ ❑ GRADING Uv FOUNDATION STRUCTURAL ElEppgTAARCK CD/L ST. �M PROPERTY LINE
LICENSED CONTRACTOR DECLARATION 0 TENANT ps ELECTRICAL PLUMBING ['MECHANICAL SIDE YARD 4v r y� Q
I herebyaffirm that I am licensed underRIGHT �..tJ/ rl
provisions of Charter 9(card - C
mofessi .with-section 7000) of Division 3 of. the Business and 0 OTHER • _ !�
Professions Code, and my license is in full force and effect. - REAR YARD(TO P/L) _ 18t-Y It , ,
PROJECT DESCRIPTION
License Ylass ' License No. - 3g2, PKG.SPACE REQ. PROVIDED
Date -
- Signature - - •• 'SQ. FT. r -
WORKERS'COMPENSATION DECLARATION OCCUPANCY - - CONSTRUCTION TYPE STREET WIDTH PARK FEE $
I hereby affirm that I have a certificate of consent to self-insure or a }� ZONING APPROVED BY u� DATE L r 1 �T
certificate of Workers' Compensation Insurance, or a certified copy _ VALUATION !%'�� ZONE - - �f s•-+'ll X61 "T+ �L7Z
thereof(Section 3800,Lab.C.). GRADING CU.YDS. • ACRES SPECIAL CONDITIONS: /
Policy No. - Company - ' - - -
❑Certified copy is hereby furnished. REMARKS: - . - - - . _ _
❑Certified copy is filed with the city Building Division. -r •
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ - - - - - -(This section need not be completed if the permit is for one hundretl
($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 PLUMBING PLAN CHECK ELECTRICAL ' PLAN CHECK" -
Ja /..--• 50 FT (
subject to the Workers'Compensation Laws of California. UWELLINt 2 D., UE ' S 7. _
Date ' Signature BATHTUBS "" SHOWERS SO FT
NOTICE: If after making this declaration, you should become subject TOILETS - . URINALS - - - 'GENERATOR -0-1 KW_.1-70;KW.-
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - i
.forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - - , - APPLIANCE 10.50 KW 50 + KW •- • -_
revoked.. _ _ _ '
CONSTRUCTION LENDING AGENCY - " KI T.SINKS"' --- DISHWASHERS... .MOTORS - "'0.1 HP,_1-10 HP•- - -
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS • -,SUMPS- - -- 'r -(INC.SOLAR) - 10-50 HP- 50.+ HP
formance of the work for which this permit Is issued (Section 3097 - .. _
Civ. C.). - - • - - __ 1
Lender's Name FLOOR SINKS'` FLOOR DRAINS, ' l , FIXTURES - OUTLETS -SWITCHES "' '- —
Lender's Address - DRINKING FOUNTAINS '1 • ' GAS TUBE SIGNS -• ' - -.
OWNER BUILDER DECLARATION • INTERCEPTORS - CLARIFIERS - — - POLE LIGHTS - ' ..
,
the-following reason (Section 7031.5 Business and Professions Code: -SWIMMING-POOL - P TRAP. - - ELMS i.KUL.I UN _ _ - •
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 ' - " S-OO
quires the apl.licant for such permit to filo a signed statement that he / •
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE / OUTLETS 2 SERVICE - - - - AMP_- - - -
(Chapter 9 (commencing with Section 7000) of Division 3 of the - .. G
Business and Professions•Code) or that he is exempt therefrom and-the• 'WATER'HEATERS BTU OUTPUT • - - - -
basis for the alleged exemption. Any violation of Section 7031.5 by - -
any-applicant for a permit-subjects the applicant to a civil penalty- SEWER CONNECTIONS " ' • - - •
- - -
of not more than five hundred dollars ($500). ' •
I, as owner of the property, or my employees with wages as their SOLAR TANK - C ELECTORS -• - -- -- - - - — --
�'sore compensation, will do the work,and the structure is not intended or-offered-for sale. (Section 7044,-Business and Professions Code: The SOLAR PIPING SYS: 441. , d Ga 7 ISSUE FEE - '-- — 3 to (
Contractor's License Law does not apply to an owner of a property _
who builds or improves thereon, and who does such work himself or ISSUE FEE - - - - 3 oa ' APPLICATION APPROVED BY • DATEt�/#'
through his own employees, provided that such improvements are not - YYY--- cF//i/
intended or offered for sale. If. however, the building or Improvement' MECHANICAL PLAN CHECK I SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden Q l 2S-
0
of proving he did not build or Improve for the purpose of sale). BUILDING ' i/�"SO• SMTP ;$ -/2S
❑ I, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ ? •_
licensed contractors to construct the project (Section 7044, Business AND DUCTING- - - - -
100,000 + BTU PLAN CHECK $ •e3,sz ,PERMIT
and Professions Code: The Contractor's License Law does not apply to -' ' - e bO . ISSUANCE $
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU' PLUMBING $ 6
tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM _ GRADING. E'
_
the Contractor's License Law). 100,000+BTU 7 - -PLAN CHECK $ )7
/3- • • .
0 1 am exempt'under Section - - B.S. P.C.for this BOI LERS BTU ELECTRICAL $ .73-- - - "$
reason 1 SYSTEM REPAIR,ALTERATION -PLAN CHECK $ - MICROFILM $' '- - j
• Date. y17-d Owner t' ae.c�-e.-•�n- • TOTAL FEE E •' '
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL -$" 71
'•LESS'AD- -
information Is correct. I agree to comply with all'city and county PLAN CHECK $ VANCE PC 'g_ '
ordinances and state laws relating to construction,and hereby authorize ,
representat of this city to enter upon the above mentioned 23Sao
property r pection urposes-. .�p - '
.f.t..•-•� • 5/- - FINAL FEE $
Signature Date -
Drivers'License or SS* • - ISSUE FEE _
CMF 0865-46 white-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor R$741 pt/l... (Uy -'f4.taeoi
CONSTRUCTION AND PLANNING • POOL&SPA - -,
APPROVALS Permit# Qtr -p •day Date Inspector APPROVALS Permit - Date Inspector
1. Temporary Electrical Service or Pole 43. Pool& Equipment Location - ,
2. Soil Pipe-Undrgrn 44. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrn 45. Forms •
4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - . .. -
5. Steel Reinforce _ 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE '
7. Footings // Q 49. Electrical Conduit-Undrqrn
8. Foundation aP�•b • jr-S (O- e i Z- 50. Gas Pipe, ❑Undrqrn,Test
•
9. Water Pipe-Undrgrn- 51. Backwash Lines. P-Trap. ❑Undrqrri
10. Structural Floor System 52. AFIPROVALTO DECK
• 11.. Property Sewer Line-& House Connection - 53_i Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater &Vent-Final
13. Rough Plumbing 2-10-ti 1:13044C- 55. Plumbina System- Final
14. Rough Electric-Conduit 56. Electrical-Final
15. Rough Electric-Wiring 'rL.-p --46 -- ,..1__. 57. Solar System-Final
16. Rough Heating & Air Conditioning fz -
-J J6'7 '_� 58. Fencing&Access Approval
17. Ducts, in Structure _ 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating - '
, 19. Gas Pipe-Rough &Test . 60. POOL/SPA SYSTEMS FINAL -
20. Roof Framing -- '
21. Roof Sheathing e-- &G.-$z-- - - � p,�.
22. Frame and Flashin NOTES: kkis' Yom: r +i �e-
23. Insulation b 5C - .
24. Lathing & Siding ' S. 1
25. Drywall Nailing (,Z,1: O.-SA 2-
26. . Plaster Brown Coat • 4 /a.-7-S-gL
27. -Electrical Power Meter-Final - _ '
28. Final Electric ¶Lo t2-)-b}-•- '�ji, -
29. Final Heating& Air Conditioning //�L.1:-. '7�� -
•
30. Final Gas Pipe-Test . . 1 • -
31. .Final Plumbing II 12--R7- ,C / - .
32: Water Service-Final
1 33. • Gas Service-Final :. - •
34. Solar Domestic-Final
35. - 'Landscape Sprinkling System •- '
36. Sound Attenuation - -• • . •
37. Handicap Regulations
38. FINAL STRUCTURE& BUILDING -
ft- tL--o'-.I'S/
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No. Date -
/
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA P MIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT P. - 4'/ 3 Z
Project Address a9-7/a. Tgrtewoea /G TYPE OF CONSTRUCTION d 0797 7/02/82 ' 12.00 TL
'Owner 'b*t; r,'"tu4GRHT Phone5ure,.. JO94 0 NEWADD 0 ALTERATION ///`
Address Q971M4/cs000h 4c - 0 REPAIR 0 CONVERSION ❑DEMOLISH Y/r •
Arch/Eng. - License No. 0 OTHER Aff6.7 ZONING REGULATIONS
^
Address , DESCRIPTION OF WORK / //:i'6 "C-C A.P.A'P'•g
Contractor - Phone ZONE PLNTG.. R�E1F.p# ,
rnC(�nrC,2 rt4 •TOill TYPE OF PERMIT BUILDING
UILDISETBAKGC/L ST. XROPEIRTY LINE
' Address - - : • - • - 0 GRADING - 0 FOUNDATION 0 STRU�C•IZRAL -- SI ODE YARD - - -
LICENSED CONTRACTOR.DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING IICMECHANICAL SIEDET YARD - • -
I hereby affirm that I am licensed under provisions of Charter 9 (com- ' RIGHT -
mencing with section 7000) of Division 3.of the. Business and. 0 OTHER
Professions Code, 'and my license is in full force and effect.. REAR YARD(TO'P/L) -
i- PROJECT DESCRIPTION- "'
License Class - - License No. - - PKG.SPACE REQ. - - PROVIDED
Date Signature' - • SQ. FT' - - -
WORKERS'COMPENSATION DECLARATION _ OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$.
II hereby affirm that I have a certificate of consent to self-Insure or a .VALUATION ZONE (ZONING APPROVED BY- - I DATE '
certificate of Workers' Compensation.Insurance, or a certified'copy _
thereof (Section 3800, Lab.C.). • GRADING CU.•V DS. -
ACRES - i SPECIAL CONDITIONS: - ,
0 Certified copy is hereby furnished. • I REMARKS: . . •
❑ Certified copy Is filed with the city Building Division. _
EXEMPTION FROM WORKERS'-COMPENSATION-DECLARATION ZEE ,6Lc c, f ( BEP-3zesi - -
(This section need not be completed if the permit is for one hundred - - ,r _
($100) or less), .. _ • ' r - - - - - -- - __- . - ,
I certify that in the.performance of the work for which this permit is ,
Issued, I'sh of employ-any per n any manner so as to b e -PLUMBING, . -' PLAN CHECK- -,ELECTRICAL - - • '" PLAN CHECK- - " •
subject to a rkers'Compens on Law of Callfo f0,c '1 h 1 DWELLING VARAGE
,'Z `Y, - •• n� A'. ' BATHTUBS - -'- - 'SHOWERS '-
Date Signature SO F7 SO FT - -
NOTICE: If after making this declaration, you should become subject TOILETS t� I -URINALS - - - - .GENERATOR -0-1 KW_1-10 KW - - - '
to the Workers' Compensation provisions of the Labor Code,you must - 'TRANSFORMER - - •
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLELAVS-• - .- -APPLIANCE- 10-50•KW -50+KW •-- - -
revoked. " _ -
CONSTRUCTIONLENDING AGENCY - -' '- `KIT.SINKS " - - DISHWASHERS - '- -• MOTORS- - 0-1•HP- 1-10-HP •- ----
•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 (Section 3097 •
Civ. CJ.•- _ - - - - - ' -'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 j
the'following`reasom(Section 7031,5 Business and Professions'Code: SWIMMI NCPOOL`- - P.TRAP - _ 'LUNSI RUL IION •
- i
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 ape licant 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 -- 2 •SERV ICE - AMP- • - -
I
(Chapter 9 (Commencing with Section 7000) of Division 3 of the r.• -
Business-and-Professions Code).or that he is exempt therefrom and the WATER HEATERS - BTU-OUTPUT 1,' _ _ - • . - � - ,- - -
basis for the alleged exemption. Any violation of Section 7031.5 by - •
any applicant for a-permit subjects the applicant to a civil penalty- -SEWER CONNECTIONS •-'t-- - - •- v' ' - - • N. - - • .1'•" • �'k, • - - ' '
of not more than five hundred dollars ($500). ' - -
❑ I, 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 '
or offered for sale. (Section 7044, Business and Professions Code: The 'SOLAR PIPING SYS. "' N...`- - ISSUE FEE - - -
•
whot uiLicense Laes t does not apply wh td assuch
owner a propertyifor D ,APPLICATION APPROVED BY DATE `
who builds or improves thereon, and who does eu Ch work himself or - ISSUE FEE _ -' - ' 3-, - -
through his own employees, provided that such Improvements are not " •
intended or offered for sale. If, however, the building Or Improvement MECHANICALPLAN CHECK—
• -- - _
is sold within one year of completion, the owner will have the burden SUMMARY OF FEES
of proving he did not- build or improve for the'purpose of-sale). - . - - -1- BUILDING -- - - . - - _ '
❑.I, as owner of.the property, am. exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ - SMIP $ '
licensed contractors to construct the project (Section 7044, Business ANDDUCTING ' g - PLAN CHECK S PERMIT
100,1)00.. TU
and Professions Code: The Contractor's License Law does not apply to. - S",-too ISSUANCE S
an owner of property who builds Or improves thereon, and who con- REFRIGERATION 0-100,000 BTU i PLUMBING $
tracts from such projects with.a contractor(s) licesned pursuant to SYSTEM - 1, _ _- GRADING . $
the Contractor's License Law). 100,000.+ BTU PLAN-CHECK $ -
❑ I am exempt under Section - - B.& P.C.for this BOILERS BTV l ' - $ ,
ELECTRICAL $
reason �/ �� I MICROFILM $
_- __ SYSTEM REPAIR,ALTERATION PLAN CHECK $
Date Owner _ _ TOTAL FEE$ _
MECHANICAL $ 7ir_�
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- -"
information Is Correct: I agree to comply with all city and county �� pp Y canI PLAN CHECK §- - - VANCE PC S_ -
rep •
es ordinances and state laws relating to construction,and hereby authorize CAL Fe ti'f re
representative$, of this city to enter upon the above {n rationed / Ir
property to///nspectio ffpos�i�� 7�� �./ <'-
Signature / Yx•s-C•c-C[-ee.s•( Date 3L+'Z e ` l �/ FINAL FEE $ /2.00
Drivers'License or SS 4t ISSUE FEE 3 O& ' - - ..
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNINGPOOL&SPA.
APPROVALS Permit# PM4y/3a 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 _ 47. Rough Plumbing.& Pressure Test -
. 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE •
7. Footings _ 49. Electrical Conduit-Undrqrn
8. Foundation _ . 50. Gas Pipe, ❑Undrgrn,Test • '
9. Water.Pipe-Undrgrn._ _ 51. Backwash Lines, P-Trap, ❑ Undrgrn -
10. Structural Floor System . 52. APPROVAL TO DECK
• 11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final ' ' '
12. "Street Sewer Connection _ • - 54.- Heater &Vent-Final
13. Rough Plumbing _ -. ' - • 55. Plumbing Svstpm -Final
14. Rough Electric-Conduit '56. Electrical-Final- '
•
15. Rough Electric-Wiring - - - 57. Solar System-Final - ,
16. Rough Heating & Air Conditioning - bB. Fencing & Access Approval
17. Ducts, in Structure - 59. APPROVED FOR PLASTERING . •
18. Ducts, Ventilating " • - r - .
19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL • •
20. Roof Framing
21. Roof Sheathing • - -
22. Frame and Flashing - - NOTES: p ""
23. Insulation - ./.2,74--,Ft. .. .a. tom, / •• W �lr Q -�R
24. Lathing & Siding - - • de,„teas - �l
25. Drywall Nailing - .. - _ _ _i _ _ . - i __ _ ., ._`.V Imo.
26. Plaster Brown Coat • - - - ..
27. Electrical Power Meter-Final - - - -
28. Final Electric -- - : - - - •
29. Final Heating &Air Conditioning/kg/1n klifitr3
, 30. Final Gas Pipe-Test - ._ ¢,,fig
31: - Final Plumbing - -
- 32. Water Service-Final • - - -
- 33. • Gas Service-Final _ I - - . . . •
. 34. Solar Domestic-Final ' - •
35. Landscape Sprinkling System
36. Sound Attenuation ,
37. Handicap Regulations -
38. FINAL STRUCTURE & BUI LDING
39. Special Requirements Completed
' 40. Electric Release to Edison ' ' _ '
i 41. Gas Release to Southern California Gas Co. .
• 42. CERTIFICATE OF OCCUPANCY ' • - • • •
' ' No: Date • -
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY O� COSTA'MESA P MIT pp. TRACT NO. L o. BLDG.NO. - 0798 7/02/82
CONST UCTION PERMIT 6- Tl 3/ 29.2,2- 7 21 .95 TI
Project Address , 97'x TEA - .• ' t '' • pI• ,
KW�300 TYPE OF COr�,7fRUCTION
OwnerbACE I-ILCr?L13ur Phone$'VS]O/(. 0 NEW VADD 0 ALTERATION .
Address fly 71.T /c
@ A .000)1 Pt- 0- REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS
Arch/Eng. License No. 0 OTHER
Address DESC RIPTlONOF WORK pA440 C°@l1eQ t{-IJZ , A.P. ) 3s C/ ��/ �-
,,jj • , ZONE ( 'l/_�`a/ P�LNG. REF.$---
• Contractor (�J.f Gtr?- - PhOneS(/•¢7G d�+ - BUILDING ( DIGDI �
C9 TYPE OF PERMIT � � SETBACK C/L ST ROPE RTY L E
Address 0 GRADING O' FOUNDATION [$}STRUCTURAL SI EE YARD /// , ,
LICENSED CONTRACTOR DECLARATION •
LEFT �-/� ,
0 TENANT ❑'ELECTRICAL ['PLUMBING OMECHANICAL SIDE YARD ""7
4 herebyg affirm that I am licensedof under provisions of un (corn. I RIGHT •
naming with-section 7000)- ce•Divis 3 of the Business and '❑OTHER- - - --
'Professions Code, and my license is In full force and effect. REAR YARD(TO P/ - �/ / `r �i ��
License Class _ License No. - PROJECT IPTION .
SO � ! `� PKG.SPACE REQ. •PROVIDE"-
.
Date Signature ✓ STREET WIDTH �— P K FEE"— .
WORKERS'COMPENSATION DECLARATION - OCCUPANCY CONSTRUCTION TYPE _
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION � ZONE ZONING APPROVEDSB(Y/4 (> . ' DAT7 �_ I
'certificate of Workers' Compensation Insurance, or a certified copy d/q—t '/' !
(thereof(Section 3800, Lab.C.). GRADING CU. YDS. ACRES SPECIAL CONDITI NS: •
Policy No. Company - - - - + `//' �t '
C-Certified copy Is hereby furnished. - - • - REMARKS: - - - -- - - - -- T.-,5-_,..2 A ye el en?!`//Y..vr-C
0_Certified copy Is,filed with the city Building Division. _— - - -"- - •
-
EXEMPTION •
FROM WORKERS' COMPENSATION DECCARATION - - -- --' '-- fes/ 0 ' '�1t.� "I�'�PG7 S -
(This section-need not-be completed if the permit is for-one hundred, - _ __ - Ufa-
' ($100) or less). i - - -_ - i..(1//�s f/1 ? — ;- -l
I certify that in the performance of ork for which this. permit Is. __ _
issued, I sh 11 of employ any per eany manner so as to become , PLUMBING'. -� " PLAN CHECK - ELECTRICAL PLAN CHECK I
subject�t/p/(�/ya.e orkers'-Compensati• of,Calif rhla. -�-s UWELLINV GARAGE
• Date ./ r Signature BATHTUBS SHOWERS SO FT. SO FT •
NOTICE: If after making this declaration, you should become subject TOILETS _URINALS ,GENERATOR 0-1 KW_140 KW -
to the Workers' Compensation provisions of the Labor Code,you must _ _ TRANSFORMER i
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS , ,APPLIANCE 10-50 KW 50+ KW - }f
'evoked. - - _ _ H _ _ _ _
CONSTRUCTION LENDING AGENCY • KIT.SINKS DISHWASHERS - ;MOTORS - 0-1 HP 1-10 HP, -
.I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS. - 'SUMPS .(INC:SOLAR) - 10-50 HP 50+
thisHP' --- -
,formance of the work for which permit is Issued (Section 3097 - -
-Clv. C.). - ". A FLOOR SINKS FLOOR DRAINS 'FIXTURES OUTLETS SWITCHES
Lender's Name N.A . t -
Lender'sAddress DRINKING FOUNTAINS GAS TUBE SIGNS - "" � ,
OWNER BUILDER DECLARATION - INTERCEPTORSCLARIFIERS POLE LIGHTS • - 4
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 T Rut-I TUN - - - - - - -
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
quiresthe app licant 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 '-- - -
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or thal•he Is exempt therefrom and the WATER HEATERS BTU OUTPUT - - - - . -
basis for the alleged exemption. Any violation of Section 7031.5 by -
any appilcant for a permit subjects the applicant'to a civil penalty SEWER CONNECTIONS "" -
of not more than five hundred dollars ($500). . •
0 I, 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. - _
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - - . ISSUE FEE .r
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY
who builds or Improves thereon, and who does such work himself or ISSUE FEE DATE 7/2b5�
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 one year of completion, the owner will have the burden 7
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT BUILDING $ 13. $_isJV-
0 I, as owner of the-property, -am exclusively contracting with AND DUCTING - - SMIP- e (/,r�
licensed contractors to construct the project (Section 7044, Business 100,000 + BTU • •PLAN CHECK $ err 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 $
tracts from-such projects with•a-contractor(s) licesned pursuant to SYSTEM - - -• - • - - GRADING -$
the Contractor's License Law). 100,000+BTU PLAN CHECK $ ''' ' I -' • 1 _
;
o am exempt under Section • B.& P.C.for this BOILERS BTU I • $
ELECTRICAL $
reason - - - - -- -/n - - - MICROFILM $
'%'1 -J L / A//, .�ftc tt s 2 - SYSTEM REPAIR,ALTERATION PLAN CHECK $ ,I•
Date Owner - - - - TOTAL FEE$
I hereby.certify that.l.have read this application and state that the above EXHAUST SYSTEM _MULTIPLE MECHANICAL $
information is correct. I agree to comply with all city and county •PLAN CHECK $ - - VANCEESS PC PC $_
representative
ordinances and state laws relating to construction,and hereby authorize
representalive of this city to enter upon the above mentioned •
property fo inspects par ses .v / /�
Signature
ISSUE FEE -- - - - '- - - - - -
CMF 0865-46 White-Building:Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNINGjj ' - - • • POOL& SPA !' ' y
APPROVALS Permit# f//� 4/f3/ Date Inspector `APP •
ROVALS Permit# Date- Inspector£
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - •
2. Soil Pipe-Undrgrn F- - - 44. Steel Reinforcement - - - • '
3.- Electrical Conduit Utility-Undrgrn • 45. Forms
-
4: Electrical Conduit-Undrgrn 1/2, •
46-0Electrical Bonding -
5. Steel Reinforce -' - - - - _ 47. Rough Plumbing & Pressure Test _ - •
6. Electrical UF ER Grn • '+ - _ 48. APPROVAL TO COVER-GUNITE - _
• 7. Footings ' • • _ 49. Electrical Conduit-Undrgrn •
B. Foun dation, 50. Gas Pipe, EI Undrqrn,Test
• 9. Water Pipe-Undrgrn • ' 51. Back-tit/ash Lines. P-Trap. 0 Undrqrn - -
10. Structural Floor System . APPROVAL TO DECK -- - -•
11. Property Sewer Line.& House'Connection 53.. .Backwash & Receptor-Final
12. Street Sewer Connection - 54. Heater& Vent-Final
•
13. Rough Plumbing - - 55 Pbimhina Svstem -Final -
14. Rough Electric-Conduit - . - - . •56. Electrical-Final
• 15. Rough Electric-Wiring- • • - " •• • •- - -- _ 57. Solar System-Final '
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 - •
38. FINAL STRUCTURE & BUILDING It/e;/$1- ;!/t1-
' 39. Special Requirements Completed -
40. Electric Release to Edison - - -
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY _ -
No Date
Applicant to fill in all spaces within heavy border lines add 519 -1-;1 appropriate declarations.
_ CITY OF COSTA MESA PPE�RRMIT NO. TRACT LOOLT NO BLDG.NO. 2983 3/OB/B2 21 .00 TL
CBI�ISTRUCTION PERMIT !SE` 29oS� -
Project Address .s1 972 l eAJ<woop pL TYPE OF CONSTRUCTION '
Owner DA Le r, /-du(2L BuT Phone .5-113---7024 0 NEW ❑ ADD ALTERATION • -
•
Address297Z -re4Kw✓obt- 0 REPAIR 0 CONVERSION ❑DEMOLISH _
I ZONING REGULATIONS
•Arch/Eng. • License No. 0 OTHER -
DESCRIPTION OF WORK - �LGG //Jbevr P.P.IL / 2,/2— Z`�
•
Address pv..•IN. -ld.•/9`. It ZONE PLNG.gR(E1FL.pof
Contractor 0/3 - -- -Phone TYPE OF PERMIT ' BUILD! n PEI0.TV LANE
Address - - • ❑.GRADING 0 FOUNDATION SETBACKDlL ST. A./ O
�ST STRUCTURAL SIDETVARD �� ,
LICENSED CONTRACTOR DECLARATION ❑TENANT-❑ ELECTRICAL ❑PLUMBING ❑MECHANICAL LLSIEEDFE YARD - ' '
I hereby affirm I am licensed under provisions of Charter 9s1com- RIGHT ]/
mendn9 with section 7000) ce Division 3' of-the Business and 0 OTHER !REAR YARD(TO P/L)� _
Professions Code, and my _license is in full force and effect. •PROJECT DESCRIPTION - -
LicenseClass License No. • - - I •PKG.SPACE REQ. PROVIDED
-
Date Signature - SQFT. --
WORKERS'COMPENSATION'DECLARATION - - OCCUPANCY CONSTRUCTION TYPE STREET WIDTH • PARK FEES j
I hereby affirm that I have a certificate of consent to self-insure or a .ZONING APPROVED BY )t,( 5t/ DATE ?/O/62
certificate of Workers' Compensation Insurance, or a certified copy VALUATIOONE [A`�7—�-•�i V//�J V�
thereof(Section 3800,Lab.C.). _ GRADING CU. YDS. ACRES SPECIAL CONDITIONS: •
Policy No. Company
❑Certified copy Is hereby furnished. • - REMARKS: - - 1
❑ Certified copy is filed with the city Building Division. . — -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - . - .- - -
(This section-need not be completed if the-permit is for one hundred _ .. - _ ..
($100) or less). ; • .
1 certify that In the performance of the work for hich.this permit is -• - _
issued, sjlall not employ any per In any m �e�r1ys3p as to become PLUMBING, • 'PLAN CHECK ELECTRICAL PLAN CHECK . ,
•
Datsubject� heayorke s'Ci.9nature I•
S Of ^+ - • - BATHTUBS SHOWERS SO FT V COFT - - • / OO
Date 3 fRBsf�/(VXaapensatI 50 FT GO FT r ,
NOTIC I after maks g this declaration, you should become subject TOILETS „ URINALS - GENERATOR - ' 0-1 KW_1-10 KW
to the Workers' Compen$ation provisions of the Labor Code,you must _ - TRANSFORMER
forthwith Comply with s ch provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50'+ KW "
revoked.- - - - , - - - -.. _ •
_
CONSTRUCTION LEN INC AGENCY KIT.SINKS DISHWASHERS _ MOTORS- 0-1 HP 1-10 HP
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS - - SUMPS- I - - (INC.SOLAR/ 10-50 HP- + HP ' ' - -
formance of the work for which'this.permit is issued (Section 3097
Civ. C.). • - • FLOOR SINKS FLOOR DRAINS I - FIXTV RES S OUTLETS SWITCHE •S- , .
Lender's Name - ♦• _ _ -
Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNS ' ' - "-f
OWNER BUILDER DECLARATION • - INTERCEPTORS CLARIFIERS I - 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 - - ' - - - CuNS I Hua.I - - - -- -•
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 RANELS - MAIN SUB" "--
quires the ap.licant for such permit to file a signed statement that he _ - - •
Is licensed pursuant toof the provisions the Contractor's License Law GAS SERVICE OUTLETS .-- 'SERVICE AMP - " •
(Chapter. 9 (commencing with Section 7000) of Division 3 of the - -
BusinessandProfessions Code) or that he is exempt therefrom and the WATER HEATERS - • BTU OUTPUT • _ - -- - ' , •
basis for the alleged exemption. Any violation of Section 7031.5 by ' _ r
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS _ 1 . . - - - "
of not more than five hundred dollars ($500). _ _ _ __ - - •
`S] I, as owner of the property, or my employees with wages as their SOLAR TANK - COLLECTORS - - - - • - - _ •
sole compensation, will CIO-the work,and-the structure is not intended - ,� oo
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE )•_
Contractor's License Law does not apply wh td an owsuch
a prms if tyor - - - - - - - - ,APPLICATION"APPROVED BY - -•� OATE3/8�L
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 I
Is-sold-within one year of Completion, the-owner will have the burdenBUILDING"— "
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU - _ !PERMIT $_ /O SMTP $t O•�
ID I, as owner 'of-the property, am exclusively contracting with AND DUCTING - ,_ - "-- - '
licensed contractors to construct the project (Section 7044, Business 100,000,-•BTU J 'PLAN CHECK $ • PERMIT ' a
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 $ •
tracts' from such projects with a contractor(s) Ilcesned pursuant to - SYSTEM - - - --- -- GRADING- $ ,
the Contractor's License Law). 100,000 +BTU • •" - " s PLAN CHECK $ G;�/. •
❑ am exempt under Section B.& P.C.for this BOILERS BTU ' / •OO $
ELECTRICAL $
r¢aion - - - - - • MICROFILM S -
Date - Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ -
MECHANICAL $ TOTAL FEE$
I-hereby certify that I have read this application and state that.the above EXHAUST SYSTEM MULTIPLE - _ ' LESS AD- - _ _
information is correct. I .•ree to comply with all city and county - - 'PLAN CHECK $ VANCE PC $_ '
ordinances and state.law- ating.to construction,and hereby authorize 1
representatives of thiy t enter upon the above mentioned ��.et7
property--f I pect'•• pur es. f�
Signature4 Date 3-g-I^ - FINAL FEE §
Drivers' License or 5S ISSUE FEE - - - 2/. pv -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
. /-. 1 .
a y.
CONSTRUCTION AND PLAN G ��+� POOL&SPA .. ,.. -1.
APPROVALS Permit# i
1111111111.7
4 f- •
•
•N s O 0. CO V CO U j y p U N N N N N N N N N N N _
O 0 0 V N U • N N 0 0 0 V 0 0 • W N O O 0 V 0 P •• Y N
—J -- "7(7I�S Ia
W HD w — — — ---- -- m
I
--- " t_ Pfd ' m
' ,.._ \________
Ili RooE .- • Doo ,v\
MIME ____ __
am , ,,, ,
; .. , , A _ ,
City of hosts Mesa BuiBdino D , 1 2EPI
cM
FCl 1Nl#i • --
c
� tLII __En Mill TH SE PLANS MJST BE ON .OB 4 �IME
� 1 :1'1[cf 1. .' — IQ DEFT. --- s
—
_ THE ISSUANCE OR BRAN ING 31 A PERMIT 0' OVAI
V r f c OF PLAPS AND S'ECIF CATI NS .,HALL NOT B !
\ i . "� �" 0 B PERMIT FOR. 78_PN APPROVAL OF ANYC'TION , ..----
• OF ANY OF TiE PROVES ONS 1F T IIS CJDE. NO ' PRE P6J
• HTHI 1M'ER �i A ;COi � 1
mi NI_ " - �— -oIUL - ' SO-211-E.-ALLIGalT l�._V1 : r, 1.4 _1_ -Cr
— I _T - __- _I
== - PRIVISIONS F THIS CODE SHAL_ BE VALID, U EPT IN SO -y 7
0148 . 2 -FA•-AS- ' RI4 OR--USE-W IlGW-IT-Al THOFIZES-. • All �- —_—
_ j _ _ n ni.a ;A.. ;71; 1nI ! -�— — -ffE-I SUANCf-f F-A-�ERf?�BA;€O6 PON • ..• AN2 _.. ff y� j ' BE OYEIN3GE.T T ' SP CIFICATI SSPALLHOTIREVEVT TIE Bl ILOD G ITAL 'I_ b- Y inIb•' . i -rM-TILER ftfR-RE@iatN C-Th-HEDI:Ri£YOH- '•OR'. _- �� OC_ IND' AL `4FE COF$UU I '1' IN SAID PLA S APD SI'ECIFICATIC NS UR FRNM TING \�] r�*-- u— �TAII !1 .--- _— _ffN
FFOF THIS
OR OF
O _ER 8 EN ® '7 /6
® — OF THIS CODE OR Of APY OTHER �'�.
11
II -- - 14
r
•
OWNER HOMES VALLEY,_-INC. DATE 7'9_59
JOB ADDRESS 2972 Teakwood P1. •
BUILDING PERMIT NO. 9851
GENERAL CONTRACTOR Dike & Colegrove, Inc. VALUE $ 13,715.00 ,
AP. No. LOT 227 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. Watt. gar.
INSPECTIONS y-zZS-g DATE GROUP I & J TYPE V ZONE Ra.Underground Soi yus U.G. Water,V}/S -1-7-39 PERMITS ISSUED
UndergrounGas'. r SUBCONTRACTOR DATE_ NUMBER
Overhead Water and Gas
Rough Heating2'Rg--o i 7o.% 4 - .. et---, 6_:-_512 nZO& 9 '
1
Rough Plumbing I 9-2/-611 An 7-„} 257 ._:.1p7.7_i_ ,
Miscellaneous _ _ i
Prop. Swr. Lme— W. Con. St. Swr. '>7 l,-q ( „4.._Q..99- ?/?Of,S-D I r6 7/ ,z0 A
Sprinkling System _ _
Heating, Final _1 y1
Plumbing Fixtures �py____ ii ' ,�t'"�J
Final Gas Test A.4 i1A/r A id/HI -/Rft4'4 /
Construction Pole . ---gn�- ?i%r�te._A 7-�-9-.5_9_9_7_67-41
Underground Power
Rough Wiring 401, t`1 r) 5, cer ''a 12..i>,o, _....n;" 't - 9-/!/-S9 /o /7/ 47
Trenches/j,0¢J Forms4Y1R/Steel d(tr(d, ‘/-q•/-5-9
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathingaft Q--11-77
Frame and Flashing
Lathing, In N Out ,l‘NN /0.-i -7
Plaster, brown coat ,ggti a-3-, '
Plumbing Fixtures, Final f.r/t-/r-a
Electric Fixtures, Final
Building, Final -I
OCCUPANCY I
Form 210-3M-4.59 9851
9851
M1, ,I JUL 131959
COSTA MESA BUILDING-SAFETY DEPARTMENT • 'i�},,,,,E DEPT.
P.O.BOX 317 COSTA MESA, CALIFORNIA •11 I" -4_c,
.t
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 2972 Teakwood Place
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
I . RMl
OWNER Homes Valley Inc. RECEIPT NO. ..C�,jl,_J
MAIL )-1 n p 17th Sy•
REC IVSD BY DATER CEIVED DATE IS?UED
ADDRESS In`.19 E. b. R /.� �._ i+)
CITY Costa Mesa TEL.OLI81159 ADDRESS ��"JJ
ARCHITECT Carlson &. LIC. COSTA MESA. CALIFORNIA
OR ENGINEER lebrook NO.
ILidd
FIRE
ADDRESSGarden Grove ZONE
CONT PI i-A"TD R& COlegrove, Inc•L I STNTE 167293 APPROVED
BY DATE
' ADDRESS 419 E. 17th St., Costa Mesa ZONING
J LEGAL LOTI FJQ22 �ZONE (� I PNO.LANE UBVIOF I BUI OFLOING NEW
' DESCRIPTION NO. 227 BLOCK TRAC lII/(—JY/IiI„
A.P.NO. APPROVED
BY DATE .
SIZE 66 x 100 NO.OF SLOG YARDS EVES
OF LOT NOW ON LOTsnone REQUIRED ALLOWED
USE OF (CENTER LINE ST.) T
EXISTING BLDG. FRONT ,C0 FT. - IN.
SETBACK LINE FROM
CENTER OF STREET 55! REAR YARD WIR.SIDE (�� FT. IN.
SIDE YARD I LEFT 11t I RIGHT 5! •
L.SIDE J FT. IN.
DESCRIPTION OF WORK - �J
v REAR o.9---S -- FT. • IN.
NEW I x I ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILDING ROOMS NO.OF 6
SIZE1365 STORIES 1
EXTERIOR WAL1. ROOF
COVERING STILICCO COVER,t4Ck rock
USE OF BUILDING AND WORK TO BE PERFORMED =
Single family residence with
attached garage.
Plan 110AR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTIO�_ VALUATION
SIGNATURE OF ljYlAfiA '3'2
PERMIT FEE $ .00
PERMITTEE / /'
$ S PLAN CHECK S 16.00
AUTHORIZED AGENT Dike & Colegrove, Inc. � // 48.00
TOTAL FEE $
2972. /svcwc56p
S - 4/ 3/
PAT/0 CovE,c
C �1�UC,ES z/z//e /
finis-
2. ems,
-3tA .
'l"' ter- nfren
Ir