HomeMy WebLinkAbout990 TRENTON WAY - Building PermitsPflOJECT AUOFE55: 9 9 O TRE N TON WY
OWNEP'SNAME: DOWD, THOMAS WILLIAM
aooness: DOWD, CAROL SIIE
990 TRENTON WAY
COSTA MESA,CA 92E26
549-7856
AflLNIENGINEEH: ~"' 6EG.N0.:
noon¢ss:
uxiT:
UNIT:
PEflMITTEE: CAROL S. DOWD ( 714 ) 549-7856
nooncss: 990 TRENTON WY sD-5�3'
COSTA MESA CA 92626 6
LICENSEO CONTHACTOfl OECNflFTION: I hereUy aliirm tha� 1 am licensed under O�ovisions oi CAaD�e� 9 Icommendnq wii� Seciion
7q10) ol �rvision 3 oI ihc Business and Pmie55ion5 Cotle. antl my license is in full brce and eflecl.
CITY IIL.: STRTE UC.: CU1S5: EXP ;
Daie: Signamre:
WONNEPS' COMPENSR7ION DECLAHATION: I nere�y af6rm iha� I have a ce�ificate ot consem ro selbinsure ar a cenilicate of Workers'
Comoensation insurance. or a certifie0 copy thereol ISection 3800. Lab. C�.
POLICY NO.: E%P. DRTE:
COMPRNY:
❑ Cetlihed capY is here6y lumishetl. ❑ Cetliliea copy i5 �ile0 wi�h �he ciry Building Division.
Dale: App�icanc '
E%EMPTIONfBOMWONHEflS'COMPENSPTION�ECLANRTION: (Thi55¢c�ionnee4n0�heComple�etliltAepermiti5�orone�untlre0(E1W�ONe55�.
I ceriity I�al in I�e pedormance of the work for w�ich Ihis permi� is issued. I shall no� employ any person in any manner so as lo become
�, su�Djle����o I�e WarNers' ComDensalion Laws of Calilomia.
.62f '/ Signaiure:
��NOTICE:II, atler making I�is �eclaratlon, you shoWQ become su�jact to ihe Workers' Compensation provisions oi IAe La�or
CoGe. you musl lotlhwith com0ly witM1 5uch Dmvisions or ��is permi� shall he 4eemeA revoke0.
CONSTBUC710N LENOING PGENCY: I hereby allirm t�at t�er¢ is a consimction lendinq agency lor t�e Detlormance ot tAe work for
wh¢h Ihis permi� is i55ue0 (Section 3097, Civ. C�.
LENOEN:
nooness: BLD 5' X 67' PLANTER idALL
2' X 41' BLOCK WALL FROM
OWNEH BUILOEP OELNflRTION: I here0y atlirm I�ai I am eeempl fmm �he Contrac�ors' Stare License Law lor Ihe follOwinp reason
(5¢clion 7031.5 Business an0 Prolessional Coae: Any ciry ol counry w�ic� r¢puires a permit to con5lmci, alt¢r, im0�ove, Aemolish, or
reDair any simcwre. odor ta its iuuance. alw repuires the ap0�icant for such permit to lile a signeA statement Itut �e/slie is IicenseA
pursuant to i�e D�ovisions ai ��e Comractors' 9aie License Law (Chapter 9 �commencinA w+�h Section 70W) ol Divi4on 3 of ��e Business
ana Pmfessions Cotle) or I�at ne/she is e�empt Iherefmm an0 t�e basis for ihe allegeE eMemDtion. Any violalion ol Section 7031.5 Cy
any applicant lor a permil su�jecls Ihe appliwnl �o a civil Denalry ol na� more �han �ive �unOreO Oollars (5500).
I, as owner ot Ine D�apeny or my employees vnin wages as iheir sole tomDensdtion, vnll Oo the wOrk, anU tAe
❑ stmnwe is noi imenUeO oi oflerea for sale (Setlian 7044, BUsiness anE PmfeSsiOnal Code: The fAn�fat�ors Slaie LitenSe Law
tloes no� apply to an owner ol a O�operiy who builas orimproves ��ereon, antl who tloes Such work himsell/Aersell or t�rouqh
his Or h¢r Own ¢mDloyees. Omvi4e0 t�al SUCh impmvemeni5 ar¢ na� in�entled or aflerea �or sale. II, however �he builCinq Or
impmvement is so10 wilhin one year of complelian, t�e owner vnll have the burtlen ot pmvinA �Q�sAe Oi0 not Cui10 or improve
foi ihe purpOse oi sale�.
I,as owneiolihe pmpeny, am exclusively coniraciinp wiUlicensed conlractorsto consimcl Ihe pmle�� (Section 7604, Business
❑ anU Pmtessions CoAe'. i�e CanVac�ors' Siale Litense Law does no� apply to an ovmer o� pwperi9 wlw GwIES or imD�ov¢5lhereon
and who comracis lor suc� pmjects wit� a mmracmr�s� license pursuant m ihe Contraclors' Sta�e License Law). I am aware
Ihal pmol ol Iheir Worker's Compensation insurance shoultl be provid me.
� I am exempt untler Section: B p% ��± 4 B. 8 P. C.
mrmrs�cason�/ ftJ'INEP.�bp7ILDER
�. �/
o� CJ r b� owner:
I tlo hereby cetlily Ihat I am aware ol and unders�antl ��e requiremenls o� Califomia Health and Salely Code Sec�ions 25505, 25533, antl
2553a antl inal I or any luture �uilOmp occupant wilUwill not (circle one) neea lo comply vnth SdiA state totles antl ihe tequirements tor a
permit lar conslmciion or moailicalion Imm t�e Air Oualiiy Managemenl �istric�. flesitlential cons�mclion aD0licatian5 are exempi Imm
�Aese pmvisions.
�ale: ADO���an1:
I her¢�y cetlilylha� I Aave ieatl IAis applitaiian antl Slatet�att a e inPormalion i. tOrfetl Iagf¢e c Oly wit� alltil anU Caunly
orainance5antlslatelawsrFlalingloDuilEingconSlmciionantlhe by or¢e�epreseltivesa hi5ciiy en� uponiheabcemeniionetl
Orooeiiy lo in50eJ�iop 0 �Poses.
oa : / Signalure:
mers u<ense or Saiai Secunty .: �
16at-a6 Wnue—Builaing: Gieen—COEo EnlorcemenC Canary—ApvliwnC Pinx—Revenoe; GdaenroC—Asseswr
CITY OF COSTA MESA — BDSLDING PERMIT .PERM NO: B 067586
PERMIT NO; B 067586 PLAN CIIECK NO: 02145-94 S/ GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON
JOB DESCRIPTION : CONSTRUCT 144 LINEAR FEET BLOCK WALL SQ FT; 113
CLAIM VALUE: 2,400.00 CALC—VALUE: 2,260.00 GROUP OCC: R-3 /
COMMENTS: STREET SIDE AND 2'6" X 5' PLANTER WALL.
+t*�t*****+��*+ti��-*���t*x�****x**i�+r�t��r+r*�c***x****+��c***�c�*+�c�*s*�*�***�cs*+c��+�*�r��r��s**+�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSOAY BUILDING --------
FRNT: FT IN REAR: FT IN FRNT: 8 FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14105249 ZNE: R1 REF NO:
PLANNING NOTES> CONSTRUCT BLOCK WALL — 5' HIGH PLUS PLANTER WALLS 24" — 36"
> HIGH AT FT OF PROP, 5' HIGiI PORTION MIN, 10' FR/ FT FL.
�r�rieitirx�rit�r**x+�*�r�r*ir*��r+t*�r�r+r*+t***�r�****x���r**�****+�x**#*x��*+r�r*�r***�r*�r**�*�r��+�+t#*�
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S G�
ZONING APPROVED BY _�� DATE: �/���/�
HUILDING APPROC'ED HY : CRL DATE: iDl����
APPLICATION I5SUED BY; ' �• DATE: (X/I� //
ItMitiFiFififlE3E+'-�fififiEMifiE3fililiEif k iE iE iEifjEifk iFiE ViEiE�fiEif*ifklfKlf F�iFfk iE E1�-N-�)f
if�tMif+fjE4ifiE#itififiEiEiFfEiE�lFiEififiEiEiF c..iff!ifififitiFafiElEifiEiE3EifiEiEiFiElfifiFlf!�iE+fifk4iEiE3fiEiF#�E1E+EifiEiE�EjEiEiEiEifiFit#`iE1E
LEGALIZATION:N F E E S U Ft M A R Y STRUCTOAAL SEGFIEPIT:Y
HLDG PMT PLUMHING ELECTRIC MECAANIC � FIRE SMIP/RES GP.ADING
PERMIT 54,00 ,5p
SMZP/NON—RES
PLAN 35.10
ISSUE FEE
BDILDING—DIV—> PERMZT ISSUE PLAN—CHECK
TOTALS----> 54.50 0.00 35.10
RE��ENUE D2VISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTAIC MECHANIC
54.00
TOTAL PAID DUE
84.60 89.60 .OQ
89.60 OVER/SHORT; ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50 35.1Q
'IF'N"N'I� if if if 1E K'iE'IE if'If')E if if if IE'If'If if M'N'iI"If if if ff Y'i! 1!'If if if iE ?kif'lEih +!'iI'iE'If M'1f'N'*iF Y"IF 1('iFiE if 1E'If �f ff'N"If M'Y'if Y':E'1E'If'IF'IE 46iR'If 1EiE 1E ih i�'Y'?F
I N D I V I D U A L F E E B R E A K D O W N
TYPE �TY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 113 RES—CONCRETE HLOCK WALL / FT, 20,00 2,260.0�
END OF FEES
d2 DU162217-001621I9 T CiT 44,60
DATE: O6/14/94 TIME: OE:45
CONSTRUCTION AND PLANNING ��� POOL & SPA �� .
APPROVALS Permit # Date I�spector APpROVALS Permit # Oate Inspector
t. Temporary Electrical Serviceor Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Cqnduit Utility-Undrg�nd. 54. Forms
4. EleGirical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement (p f, 7c� G w�. 56. Rough Piumbing & Pressure Test
6. Electncal UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 4�%-%Y �Lt� 58. E�ectricai Conduit�Undrgrnd.
8. Foundation 59. Gas P�pe, O Undrgrnd., Tesc
9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, CI Undryrnd.
t0. 5tructural Floor Svstem ' 61. APPAOVAL TO DECK
1 i. Property Sewer Line & House Connection 62. Backwash & Receptor�Final -
72. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64, Ptumb�ng SYstem - Finai
74. Rough Plumbing 65. Electrical�Final
15. Rough Electrical�Condu�t 66. Solar SYstem-Final
76. Ro�gh Electnc Wiring 67. Fencing & Access APP�oval �
17. RoUgh Wiring Sign 68. APPROVED FOR PLASTEFItv'G
18. Rou9h Electrical•7 Bar Celi!ng 69. POOUSPA SYSTEMS FINAL
79. Rou9h Heating & Air Conditioning fIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
27. OuG:s, in Structure 70. Under9round Hydro
22. Oucts, Ventilating 71. Product Piping O Gas � Oil
23. Gas QiPe�Rough & Tes[ 72, Underground Flush
24. Roof Framfng 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Flydro
26. T�Bar Ceiling (Structural) & h4onocoat 75. DrY Chemical I
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insu�ation 78. F�RE PREV. FINAL
30. Drysvall Nailing � HEALTH DEPT. REOUIREMENT
37. Plaster Brown Coat ti��' � 79. FINAL INSPECTION
32. EleCerical Power MeterFina; 80. POOD CERTIPICATE ISSUED
33. Finel Electric Notes:
34. FinBi Heating & Air Condi;ioning / LZ �!7(� /S/G � /
�' L �6. -�fliBxdJ`�
35. Finel Gas Pipe�Test ��,_
36. Hood or Canopy
37. Fine� Factory Fireplace
38. Finel Plumbing
39. Water Service-Final •
40. Gas Service-Final
47. Sola� Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape irripation SYstem
45. Sound Attenuation .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ����/�'
46. FINAL PLANNING �
49. Electric Release to Edison � '.. -
50. Gas Release to Southern Califomia Gas Co - � ,- -
51. CEpTIFICATE OF OCCUPANCY
No. Date
L---
�ermit—¢# '`J �- -
TMIS NUh1BER MUST ACCOMPANY
Kl. INSPECTION REQUESTS
SinE wA�_K
`rDM £ CAROL DOu/D
990 T�eE�r�
W
casrA N SA,CA. �'" ��11C�
9zG2�7
;fO�iV7i -�jL B:+�DITIONS, DELETIONS, 0!? CORRECTIONS SHALL
C�TY OF COS �;;,,BE APPROVED BY THE PI.I�NNifJ� DEPARTMENT.
APPRO �
;
Date� 4 j� %;a � �
%' �foz c�
���MUST be kept an Ihisri�...� ,
a anerahor on s�
�� ��8 and Satery, City c
� �� ��,�x�ifons SHALL NOT
rS�� CJJ�72PI��nsot
����a�aoecom null
�� �d mainUined activ f
�Ri�eN/�Y
IY7
9LOC,� [•l/�{LL — S �
Pc,4tirc2 z� x z'
Faar�N�S- /8��x/8"
�,ErZy°?>
/B � X B �ic 6 �� — BLOC'�
-------�-
Cement Coping Ootional —
Channel Block With 1�3/8�
Horizontal Top of all
Fences
For Fences 5' or Leu
Vert. Bars 3/6" yS at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C.
Fill Cells Salid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" ar to Code
NATURALGRADE
rwo 3ie••4 saRs
CONTINUOUS TOP
& BOTTOM
HORIZS7EEL MUST BE TIED IN
GLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL
v
_
�
�
w
z
z
�
0
F
—WIOTH
SEE CH6
BEIOW
6" CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR; p�e Pa�t Plastic Cement, and
TAree Parts Sand
GROUT: One Port Cement Three and
One Holf Parts S'and
COPING: One Part Cement, Three
Parts Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Max. of 7- 1/2 Gollons of
Water Per Sack of Ceme�t
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CElLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF MORIZON7AL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MONTAR DEBHIS, E7C.
'H OF E4RTHTCOTH
V3 THE HEiGTH OF fENCE
��LOW BOTTOM OF FOGT�NG
WIOTH 14�' . . . . . . . . . . , 14" . . . 12��. .
THICKNESS . . IO��. . . . . . . . . . . .10�� . . . 8'�
DEPTH OF EARTHTOOTH . . . 24" . . . 20�� . . 16�� . . .
SPACING OF EARTHTOOTH. . 12� 14� ..... 16'. .
City of Costa Mesa, California
Building Department
�=�'.:"SEP NoV. &2
SCALE: I/2��= I'
12„
8 ��
12"
t6'
�
R[ND[NCE
11[tID[MCE
RpID[MC[
_ STREET A _
RElIDENC[
�,
�
W
�
N
rno�acTnoosess: 390 "'REXlOX :iY
OWNEH'S NRMF:
AOONESS:rJO:tiJ� :I:'J:'�AS 'h?�:.=A.ti: •
' DGh'D CP.RO' S;;E
990 :'��:�:'"Oti k;AY
COSTA :�:ESA,CA 92625
PBCHIENGINEEfl: �� 9— 7 a� 6 HEC.NO.:
RDONESS:
UNIT:
UNIT:
PEflMITTEE: SA:\�JKA.�SP RCO.':�G ( 7:4 ) �42—:742
aoosess: yzG C ����VA\
LICENSED CONTPACT fl UECLAPATION ilAreEy aliirm Iha� I am lic¢nsed un e Aovison`s ol C p�er 9(commencing with Section
7000� ol Oirsion 3 of I�e Business antl Pwiessions Coae, an0 my license is in full forte antl efiect.
c�Truc:O�' 643 sTa,euc.:362896 ss:�_ ,.,
oai�: $— /3 —�3 SignaWre:
WOBREBS' COMPENSATION OECIAflATION: 1 �ereCy a um Ihat I have a ce�i�icate ot seni to se i-insure or a cetlificate af Workers'
Compensa�ion Insurance. or a ceniliea coDY �hereol (Section 3800. �a0. C�.
ro��crNo.:1256300-93 EI(P.�RTE:O3�OAI9�t
comraxr:S i ATt
❑ CeNhetl copy is hereGy �urni5hetl. � Certified mpy is liletl wit� �he ciry BuilOin
oate: ��' � 3 ' �1 9 Nppiicant
EXEMY�IONFBOMWOPKEBS'fAMPENSATI0N0EClAXATION: (ihissecWnnreOiwibec9a.te�.il�epermt¢IoronehunAreU�S100�orless�.
I cehify ihat in I�e pedormance ol Ihe work for w�ic� �his permi� is issued. I s�all noCampl6y any De«n in any manner sa as Io became
subleci to I�e WorkeR' Comp¢nsalion Laws ot Caiifomfa.
Dale: SignaNre:
NOTICE: II, aller making I�is declaralion. you should become subleat �o �he Workers' ComOensation pmvisions o� ��e Labor
Cade. you mu5i lorthwith compty wi�h such pmvisions at �his permit s�all �e deeme0 fevoked.
CONSTBI1C710N LENOING AGENCY: I hereby a��um �Aat I�ere is a constmc�ion lending agency for Ihe pertormance ol t�e work lor
w�ich I�is permi� is issuea (Seciion 3097, Gv. C�.
LENDEfl:
aooeess:
C=':Y 0� COS:A ;:ESA — BC_L�I\G PPR,v,ym .DFr{,Y, �_q: g �62.�`
n?R.":�T ?]O: B 0621�5 P�A:v CH2CK :;0: N GOC�T; \ SL'?P; ?'
CO\STR;.'C�;O\ TY?E; V—:d PER:v:IT TYP£: S:R P�RPOSE: A:,T
�o� �Esc���: �o:� .-io: r sri�a:i-i 6���oor :�i:CBO#4660 s�� i �: a, �co
Ci,AIX t'A;,L'E: 3, 500.00 CALC—VA�UE: A SOO.OII GRU;;P O�C: 2—] /ti:—?
COv:.E'.�.'a,S: �a�LE : FROti'"/ CO:�? @ �2EAR --(::tI�T.H;: ?ZLE)
if?f?E+cu�:1E?fififat#+f#?f�El/�ifit+4if1E+Elf?tiE.�'ff?ffFi�#i�'iF1f#.."`6x+E:t#ifitu�fE##u� ,.#ih#��E�Fit?E?Fff'F#lEiElE�'Kt�:�###i51f?fif##
Z 0:�: � ti G R E Q;: : R E:; E:� T S
S E T B A C R S
..A_\ HJ��J:tiG --------- ACCESSOflY BiiiLJ=,�G ---------
--------- v �.' ----------
FRNT: FT ;ti R_AR: F': �IP. FR;�]T: FT i�l REAP,; �"' ':.
i�: F. . r: I�: RGH. : F; ��i LEF. : F; I:v RGIi; : F:' �.L'
PARFiI\G R£Q: PROV: PARCEL: i4i6S235 ZNE: REF tiQ:
P�,A?i"�\G tiO�ES>
�
� iE 3f iF iE �1E ie iE iE ic'r" ?E ie?4?e iF+# iE x 9f ?h?f it 3f 3E 4 af ic iE?f 3f ?F # if # fE 3E #+� # iE+'.� # iflF iE #� iF if iE iE #!E iE �lE jF iE �# N-�k?E ic if- *� if� ic # u �•?� �7F iE ?E #E
D E V t'i O P}: E:V i S E K V: C= S R E Q J'1 �=:? 't \. T.. .�
ZVtiING APPRGV=D.BY DA:"E:
BUILD?NG A?PxOViU BY : DATE: i��
�1PPLICATiON ISSi7ED BY: JATE: b�.3�7J
��???f��iEif#?fkifi(�3F3f3F�lE?fifiG3E3E.. ..,.-,��e�e<�eirx�rn :x f .t . . . �r�r�r���,. .iE##3E?a?tEiE#kx�r,::.'—"% ��"�irif#
?EiEifiE�jE�1E?R3E?f�iEiE?fiEiE?E?E#?Eifif±(�1:1E##iEifififitifiFiF?F' �iE?aiFi:M�i6iF?FiEif?Estif.'tkiFif#iFif#ifiEibiF+�#1eic3E1:#:..::�.,iif?FiFii#
LEGALIZAT�ON;V F E E S U Y. X A R Y S':RL'CT::RA:. SEG:!E\T:Y
OwNEN BUImEB oECueRTION: I nere0y anum inat I am exempi Imm ine Comraaors' State License Law br the lollowing reason y i1JG PN.: Pi �i'-:B "1 \G E' E_ TR 1 C k GCHA:V I C F 1 R E S:✓..' P/ RES GRAJ = ti G
(Section 7031.5 Business antl Professional Cotle: Any city ol county w�¢� repuires a permil �o conslmcC alter, impmve, tlemolish, or P p�v: i 1 0 8, 0 � . 8 5
repair any SImCWre, prior to iis issuance, also repuires I�¢ apDlitani for SUC� Oermit to Iiie a siBneO 5laiemenl �ha� �Clshe is licensetl
pursuant to ihe pmvisions ol �he Coniracbrs' Siate License Law �Chapter 9(commencing wi�� Section 7000) oi Division 3 0l ihe Business S:": � k� � iti�.V —Ti=s
antl Piolesiions fAOe) Or I�a� �e/5�e is evempi IhereUom anG I�e �a56 �or Ihe alleAetl e�¢mplian. My viola�ian ol S¢t�ion 7031.5 hy �uA�l
any applicanl lor a Oermit su�lects I�e applicant �o a civil penalry ol nol more Nan live �unarea Jollars �5500�. I S SL' � � EE
i. as owner oi tne pmDeny or my emo�oyees witn wages as meir mie compensation, wiil ao tne work, antl I�e �G.,T.�.�1�7G—J=V—> PtR:•:1'r :SSCiE LAN—CHECR lOTAL PA;LI .7L'fi'
❑ simcNre is not inlenUetl or olfered lor sale �Secimn 70aa: 9usiness and Pmfessional CoOe'. T�e Comracmrs' State License Law 1 O 1 A:,S ----> : 0 8. 8 S 0. � 0 0, 0 0 10 8. 8 5 ? � �. g S , � 0
Ooes nol apDly to an awner ol a o�apeny wno auilds or �mo�oves tnereon, and wAo �oes suctl work nimselVhersell or thmuBll
his or her own employ¢es. D�a�d� ��� SutA imOrwemenis are noi int¢nCed or O��ertd tOr sale. Ii. hOwev¢r Ihe building Or
improvemenl is sola within one year o� completion, Ihe awner vnll have Ihe burtlen ol pmvinA he/s�e tlid nol buila or impmve REVEN JE D I V I S I Otv 1 OTAI,� S--> COLL EC TED : 10 8. 8 5 OVER / SHOR T: , � �
mnneo�rposeatsaie�, BLDG P!'�:T P:.,li14BING E:,ECTRIC tiitCHANIC FIRE 5M_P/:'O:' GRAD��;G P�AN—CHt.CH
I, as owner ol Ihe properiy, am exclusively COntraciing wii� IiCenSetl ConlraClorS i0 tonslrUtl ��e pmleCi �SeClion 7044, Business 10 a. � 0 . 8 5
❑� and Pmlessions Cade: ihe Comraciors' State License Law Gces not aDVN ro an ovmer ol pro0any who Om145 or im0�m'es Ihereon
antlw�ocantraclsforsuchproleciswiihaconlrac�ar�s�licensepur5uamtotheConiractors'SIa�eLicenseLaw�.lamaware *��y,��.ky.***�.�*#lE?fib�e#?E?E}*+c{Pxicy.{E##ifjEiElEiE3EieiEi�3fi4##��f1E3E�fjE.Y•#####±E#iEiF��#�#K#C:���:::i�#fii�lt�F�it
I�al pmoi oi �Aeir Wmker s Compenu�ion insurance shoWa be pmvidetl �o me. _ ..
� I am exempi under $ection: B. 8 P. C. + \ D 1 U 1 D u!�. L i F F � R E A R D O W N
mrmisreaso�, TYP: QTY 'L E 5 C R � P: I O N liN.'T COC' :O'.A:, .:CSi
oate: Ownec
I Uo here�y cer�ily inat I am aware ol ana untlers�an0 i�e repuiremems of Califomia Heati� antl Salety Coae Semions 25505, 25533, and S t�
2553a ane Ihat I or any WWre Uuiltling occupant wiiVwill not (circle ane) neea to comply vnih SaiU state co0es anA ihe requiremenis Ior a
perm�t for constmdion or moDifica�ion Irom ��e Air Ouality Managemenl Oisiricl. Fesitleniial cons�mciion aDDlications are exempl imm
Ihese pmvisions.
�ale: Ap0licanl:
I �ere�y certily Ihat I have reae �his applicalion antl slaie ihai t�e above inlorma�
ordinances an0 slate laws relaling lo buil0ing constmc�wn antl hereGy autMriie re0i
O�oDei�Y �or inspeclian pur0oses.
Dale: •� / 3— 9 3 Siqnawre:
Driver'S License or Social Securiiy x: .�, � � �- �-�
i646a6 Wbne—Bvilamg; Green—Coae Enbrtemem; Canary—Applicant;
I agree to wmply with all cily and county
�5 city �o enter upon I�e above�menlioneA
Golaenroa—Assessor
8�00 REROOF BY VA:.JE REs'T_DE:3TIAL NOZONE
EtiD OF FEES
�.00 g�.0�.��
Ul 40139045-00139046 T�JT 1Q8.85
DATE: U�/13/43 TI11E: 09:09
; �^ ' POOL & SPA
'CONSTRUCTION ANDPLANN{NG
��!.� . Date Inspector I �,.
' APPROVf,LS Permit4�_ � APPROVALS Permit,�
� 1. 7emRo'ary E�ettr+cal Ser:ic=�or Po�e
?.. co,' !':ce Undry.^d
3 EI�:Crc; I C,�^.d� t J• �:y.Urd�;r^d.
4. B !rcal Ca�tlu.r��nd� ��rd
�. S: . . ��nforC.:r.�en[ '-'---
i------- --- ----
i' L :ct .;.' L .-9 �'�d. _ '_______
r7 Fco' n.�. _ -__ -_ __-
�---__ _ __ __.-v_-
8. Faundct�on
�3. V�.��t�� P�p,+..�lndrqrnd.
r"-_-_'-_-___ '_ _
i 10. Sh�ctu'al F�cr Syti�t�� �
11. Rrr��.. •� $i: : ' �,i.. .. 1-�.�,r Cor-. .:'.��
j 12.5„ � C:�:: ------- -
�_- _ _-____ __- �.
' 13. Hvo' f]�a�ny - ------
�14. Aou�`� Vlumbim
15 hu�vn E;cdr�ra.�Condu�.t ^
�--------- ----
. u. Ru�Jn c e[tr r`;'i��r.g
ii7. R- �;�' .'.�'] 5 a� �
52. Pool & Equ�v�e�t locat:or
Date Iinspector
53 S!rcl Reiniorcement I I �
i i
5�i. :rorm� ---_-� i ________I __ ,
_ I I 55. Eleet�ical Qond�nq I__ _�__ ,
-f' j-----'--- �
I � 5E. Rou,,.� Piumwng & Prossure Test � �
--L---- - -
nrPFlU�JALTOCO\'rR�GI;;.!i �-?------�---^
I y7 I i
----- - -- --- ------ --T----�-- ----'
� 58 �.;^c:-icai Cond,! t�l:rd•grn.! . ,
___'_ . __ ___ � _ _ _ti
� 59. Ga:^iPc.OUndrg�nil..Trtt ' �
.- - _�-- ___. - --_ - ' _-_-�
' 60. E-�c!r.rash Linu;. N.TrcP. _' U���rg•rtl � � �
_ .- __ _ _�__ - __ _ _ _ .�. ' _ -
� 61. APPROVAI TO DF.G< I _ �' �
, -- fi------ - --- , -. . _ �
' I i G7. E.;Ccc�dsh & ReuP•o� F�n.:.---- �-- --- ------.
-�-----�-- ---�--- �� .
G3 Hett.[ & \'ent-Fina'� ; ��
-�-- -�_.
� � 6'�. �'u'r,�in C roi . �...�� ,__-i _---;I.--_ -
�- _- 9�/�_____-_-_'_ --�-___
i �
i
� ---�� G5. E'^ctrit3t�Final I �
-j-- -�--- ----- --- ------�- ---��
I I 66 So1a� S/stem-f-inoi � � �
�_'_ - __T_ _-��
I 67. i-enc�ng f� Aec�.ss Annroval I I
_�_ " .� - �-_�_ -.
� Ga. APPROVEL FQR FLASTERI'�G
j 18 Rnc,a4 E'r.c?^ra' T Bar Ce I:^3 G5. ?pOL/SPA SYSTE(."5 F;i�AL � --+
1
__- - __-„-_-�___ -.
1 79 Ruuq� iaea;�n9 R A r Co^[��*. pning F1RE DEPT. REQUIREMEiti�Y �
C- - I I
70. -��� �. �'-: r.-.o•�. F�r�o,�cz � APPROUALS Pcrmic s� - �
21. � i,� n 5?r...tu•�__ -�_ I '' 7�. lJndcrgrpu�•ld HyJrn ---�- ''-.-
� 7Z.-(] _, _ 1':��. .. �� I'_ 7 7 i. Pruo�ct Pipin9 ;. G.�S � Ori__-.--�- '_-'-�
� 23. G s ..'io_: �,T,�� - } "Z. J�...-u�ai,�u�l �,�,� -- ---� -�--
�--- - ------- ---�---�--- - -- -- - -�- �- ��------
�I ?4 P .o� °. a r�..3 _�-- __ l3. Undr-gmd Sto a �., ... �,b ., Gzv - . ., ' �
i-----
L---�-----�---- --------------- - �-- - ---
I;'S Pnoi Sh r�nn❑ __�_-- I IF`�4:C'1� � �7 O�.erh.rad Hyd�o � ' .
��II _ �7�ai _'!-__'_ _ _-'_ __-'_" _ '- -__-'_ _" ' ' �.' _ '
9f. i d..� Ce.' r y�atri�ttu,ui� :', "t�' [.�at � � �!b. U.q �:ticm" i� � � '�
�' _
�27. � . v�.:l .�,.ra-_ -� _ _ _-___}�.- _ I 7C '�� S!a�wn�c ._ _ _ _..._._ . _ _ _ ___'
� ?H .�t ' ' .,___-_ . _.'_ �-- _T _ � �7. ��n1�:175`/-IL.., '.A. _ _._ , ._. _i __
(� - - - - � - -- - ---i--- - �- -- -- -- - - - - --- - - - - - � -- - - -
�'O. ' � . �_-- � . I 79 i'.L FRti.\� r If'r,_ .
F i i
I �� ` . _i _ __ _-_ - _- � - _ � - _ _ _II!"4L!F', D PT F'CJ F '.,� .._ _ _ _ _ . _.
-t--- - t-- - ._ . . . - -
I 11 Pi .. � ��o:tn -_ _._ ' ____ _ _ t ' 7,^,. � \'/11 !N5: ECr ��\� �
�- -- - - ' - - -- - --� -` - �-- -- - - - - -- - - , . _.
32 c' �nr �: t F_ _� _.-i.,, r�.. _� � I nC F(iGU Ct ,a i lf i�_n'r S`�ll� D '
�- --- - - - � - - - t-- - - t -- -'- -- - -- - --- - - - -- - - -'- - ---. .
33. F. �. t�i ��.r,e � j �lotes:
i
� J'1. C".il F.]... _ . �.J^.1 :O" . I .� . . _ _ . _ . _ . _ _ -�
+ ,; �
4______ -____ ' __---_-_-_"__-__- _ _"' ____" "___�.
� 35. p�,r.' �a_ P��c�Te.�-- -�--- -- - -- -f---� -- � -- - -- - . .
F-- -- �_-rt- , - --- - - - -- - -
I Jfi. Hocd c �a�op„
---___ __ _ . 1 _.+ _ _ �__ _ ____ ____. _ _---- .
37. � na� fcctCn; Fr:..2ie � � .
__-
--__-___-_--- �___.__a. _____._____ __-'.-__'.__'_ ___ _-' __'_.__ '
:�b. ��nd� �I� na'n]
r_ '_ _ __ __" ___'______ "" __
� .�`�. '.:Ltt'r $q"viC_�Yindl � � ___ _ _ __-_ _ ____ _ ____
tiO. GJS $Y'••�CE�Fin.dl - - _�
��47. So!ar O�mc�,�'c-Flna! . �
,- _-__ -� '-_-_____________--_-_ �
-_�_'_ _'I_ _- _- __ ___' __'_ -- ___ _
a2. Bacic��ov: Praventer
43. 0:.[�fl�.�•� Irr,.ation -' - '
•iG. � cPJSC:Ce ir.14•.Liu�. S1'.t� T. -_--_-
45 Sau^.o ltt�r...a;�or -------- -
h3. ucn.;,, _�. �..c�'-.t-y ---'----- -
n7. Fu, � i sra U�L K. �+1{LD�NG -
4a Fih�.��� ^,R�n!iti�� - --
ft9. Eluctr;. ��,�� .as� ;o kdisan
50. G�s Reia.si to Sou;hr.m Calirarrca Gas Co
S1. CERTI'�CAi[0; CCCUP�.�'::" -
1c= --- - _ Odtc --
_, I
-- -- - r-- --- ---- --- --- -
�- L;�-j -- - - _ ---- �
/
l°!� i�� j--- - -- - - '
--- - � --- - - -- - - - - --- - --- �
�-- ---- ------ -- - - - -------- I
------------- - --- ---�
� I
APPLICATION FOR A BUILDING PERMIT
BUILDING PERMIT NO. Eiecvicai m
Tract S y I Block Lot �� Permlt No. �
Builtlin9 ^ p Plumbin9 n
Atltl.ess �q Q��/l'�� �(„)7-`y �� / 79 Pcrmit No. �
C�oss Mochanlcal d
Area 5[reet PermN NO. �-
m
Owner ���5 ���' Tvpe oi Rojech ❑ New ❑ Alter ❑ Atltlition �
Atltlr¢ss Q.(� �"— ,-�� � Ay ❑ Repair ❑ COnverl ❑ DemO ❑ Occupancy Pmt.
� CityC�� ^ MQ�,�+ ZIP PhOny�\I(p (S� U A.P. � n50. A'�Ca/
ArChitect/
Desiqner L�j'Yo��}1 �fdhtAU�ense No. SEZ 3U� Zone SPI. PmL No.
( /� SGtbdGks /L Fro01 C/L St. $lr0¢t WiGth
Atltlre55 uS 1 _ \ `d Nt�r�
Yartls LMt g ear
CI[Y � J _. � ZIP PhOno ��6�,2
ave o�. o g . .
Englneer Licanse No.
•� Pdrk ng Spdc s equ !e rov e OverO
Fy AGdress
m tlty � ZiP P�one Struct No. o/ No. of
Hei9ht Stories Family
� LICENSED CONTRACTOR'S DECLARATION aark Fees Ves Pee
m I hareby alfirm ihat I am licansetl untlor provisions ot Chaptar 9 ReqWratl No G•T� RecelDt
t (commencing with Sectian 7000 ot Division 3 of tho Business antl Zoning App v¢d BY: Datc
Protassions Cotle, antl my licansa is in ivll force antl aMecH.
� License Clas�"S� License N�mber �� 6�
> Data �-�V'�� Cont.ectorq�u-Srl.rtt- P�.�7�I�ss �L\ Misc.
E o.aa.as: aS6l 4�P(u�+. A�. S��vi-� P.ocosea�se
jy CitY entl ZiP ��J�'� � Phone 7SVL34 of Struchre
N CONSTRUCTION LENDING AGENCV
� I hereby affirm thet there is a consvuction lending egency for t�e
a performence of the work tor which this permit is issuetl ISec. 3097, Otc. TyPe Cotle
' Civ. C.1. (� • , Class Const vear
Lentler'sNeme 1'��'P/'� �`����-' �QU��-eS
� Lentler'sAtltlrass �44C:1 C���Ata�e ���1`BSh��G� �E/OCC PANCY SIZES�.FT.
� OWNER�BUILDER DECLARATION
i I her¢by atfirm that I em eeempt irOm the Convactor's Litansa law 1�
10 tor the fallowing reawn:
� ❑ I, as ownar of the property, or my employaet with weges es t�eir 2�
aola compansation, will tlo t�a wOrk, antl tha sVuctura is not
r intentletl or oHaretl for ule. 3
� ❑ I, es owner ot Ne property, em excl�sivaly tonhectin8 with
licensetl convacton to tonzvutt t�a projetl.
.,d, ❑ I em axampt untler Sec. , B&PC for t�is reeson 4�
m
Q Dat� Ownar
E WORKERS' COMPENSATION DECLARATION Total Valuatlon
� 1 bereby aHirm met i neva e cortilico�o ol consont to seH-insuro, Enooacbment Permi[ Requiretl ❑ ei ❑ No
or a certHiceto of Workors' Compensaiion Inswence, or certlliea
C copy tM1ere 1. Gratling PmL Grdtlinq
� Policy No U �V Compeny � qeqWretl ❑Ves ❑No Pmt.No.
� ❑ CmtHietl cOpy is hareby fumishetl. Rough Gratllnq �
G
a [�Cortifietl copy isfilatl with Orenpo �, EMA. 'p
Q APPrOvetl by: �atc
Date�'�V �� Applitant � 3
CERTIFICATE OF EXEMPTIO -
FROM WORKERS'COMPENSATIONINSURANCE Z
(This section naetl no� ba compla[otl if permit is tor E100 or lassl. . �
I cartity [hat in the pariormenco oi tho work fOr which this permit is 3
i�suetl, I ihell not omploy eny parson in eny mennor so as io become �
z�b�act to the Workars' Componse[ion Lews of Celifornie. PERMIT FEE$
Date Applitant
NOTICE TO APPLICANT; H, a(ter making this Certi(icete oi Structural 5 n C�eck 5
Ezemption, you shoultl bacome tubjea to tha Workeri Compensaiion
provislons of the Lebor Cotlo, y0u musi tOrthwith comply wi[h tuch $Petial
provisions or ��is parmit shnll Da tleamatl revokad. Electrl�al y ��VeT1 f
I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO �umbinq 5
COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS
RELATING TO BUIIDING CONSTRUCTION, AND HEREBY AUTH- MethaniWl S
ORIZE REPRESENTATIVES OF THIS COVNTV TO ENTER VPON
THE OVE MENTyGTlED PROPERTV FOR INSPECTIpN PUR� Re-GraGe
POSE . r� - �'� �.J Inspection E
c�.
Signet e of Ap ' m or Apo Da[e �e-G�atle s Fbrmit s
�� I���� Ree No. Issue
Frinx ApplicenYs/AganY�s Pame '
Plan Izsuance
All zpeces within this boa musf be wmplated to process Cneck By: Aporovetl:
lmr u]d6-4e {tlu�ltl) rev. b/nu
� Applicant to till (n all
CIT.�i�iF COSTA MESA veaMi �c
`CONSTRUCTION PERMIT t� �
Addres
within heavy EorEe� lines antl sign all aOVfop�iate tletlaration5.
TRACT NO. LOT NO. �BLOG. NO.
` S 341 i'T�
�/ TVPE OF CONSTRUCTION
hon �/s �QNEW ❑ ADD ❑ ALTERATION
� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH
NO. ' ❑ OTHER
OESCRIPT�OJJ OF WORK
I hereby afti�m tnat I am 17cen"setl untler provislons of C�arter 9(com-
manting with section 7000) of Divislon 3 of the Business antl
Aofassions Cotle, ntl my Ilcense is In full force antl ettect.
UcenseClazs � cense -��s�'
Date Signature �
WORKERS'COMPENSATION D LARATION
I hereby affirm that 1 have a certi(icate of consent to self-insure or a
certiticate ot Workers' Compensation Insuran r a certi/iatl copy
Ihereot (Sect o �0 ,�{ b.. C.). e��
PoIIcyNo��`���w� ComOany s�/�
.� Cartlf7eC copy is hereby furnishetl.
❑ Certifletl copy is tilatl with the clty Builtlin9 Divislon.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This 5ection neetl not be completeC if the permit Is for one huntlred
($100) or lezs).
1 certlty that In the performance ot the work for which this permit Is
Issuetl, I ihall not emPloy any oerson in any manner so as to become
subject to the Workers Compensation Laws of Calitornla,
Date Si9nature
NOTICE: I/ after making this tleclaration, you 5houltl become subject
to tha Worker5' Compensation provlsions of the Labor Cotle, you must
torthwith COmply with Such provi5ion5 or thls permi[ shdll b¢ tleem¢tl
revokeA.
CONSTHUCTION LENDING AGENCV
1 hereby aftirm that there is a constructlon lentling agency for Ihe per-
formance of the work for which t�is permit is issuetl (Section 3097
Civ. CJ.
l.entler'S Name
lentler's AaGress
OWNER BUILDER DECLARATION
I hereby af(Irm that I am ezempt from the Contractor'S License Law for
the following roason (Section 7031.5 Bu5ine55 antl Professions Cotle:
Any city or munty which requires a p¢rmi[ [o COnStruct, al[er,
improve, tlemoli5h o� repai� any St�ucture, p�io� to Its issuance, also �e-
qulre5 the applicant for SUCh permit to til¢ a Signetl statement that he
BUSIn¢55 antl P�W¢ssions Cotle) o/ that he I5 exempt theretroT antl th¢
basis for the allege0 exemption. Any violation of Sectlon 7031.5 by
dny applitant for a pGrmit subjec(5 the apPlicdnt to a civil penalty
of not more than five nunarea tlouars.(5500).
❑ 1, ds owner of the prope�ty, Or my employees with wa9e5 a5 their
Sole compensation, will Go the work, anC the structure Is not intentletl
or offered for wle. (Se<tlon 7044, Business antl Professlons Cotle: The
Contractor's License Law tloes not apply to an owner of a property
wh0 builtl5 0� imp�oves thereon, antl who tlOes such work hlmselt or
th�ou9h hi5 own employee5, provitletl that su[M1 Improvements a�e nOt
intentlea or offerttl fOr sale. If, howeve�, tM1e builtling or improvement
is sold within one year oi completion, Ihe owner will have the burtlen
Of p�oving he tlltl no[ builtl o� improve for the pu�pose of sale).
❑ I, as Owner ot [hC property, am ezclusively wntracting with
licensetl contracrors�to construct [he projecf (Section 7044, Business
antl Professions CoOe: The Contractor's License Law tloes not apply [o
an owner of property who builtls or improves thereon, antl who ton�
tracts f�om suG� project5 with a cont�actor(s) IIceSn¢tl pur5uant to
the Contractor's License Law).
❑ I am exempt untle� Section B. & P. C. (o� this
reason
Date Owner
I herebytertifythat I have rCatl this applica[ion antl state [nat [h¢ above
information is correcL I agree to mmply with all city antl county
ordinances antl s[ate laws relating to constru on, antl hereby authorize
representatives of s ciry ro enter n the above mentionetl
property for i iony� 5es. �
Signatu�e -^°�S Oate
Drivers' License or 55 �
TYPE OF PERMIT � � � �'
—s.
❑ GRADING ❑ FOUNDATION �O STRUCTURAL �
❑ TENANT ❑ ELECTRICAL OPLUMBING.OMECHANICF
❑ OTHER _ . .. .. 1. ' r '". .
PROJECT DESCRIPTION
5�. FT.
OCCUPANCY_COy5 RLCTION TYPE
V ALUATION ��20NE
.�
GRADING CU. VDS. ACRES
REMARKS:
BATHTUBS
LAVATORIES
KIT. SINKS
SERVICE SINKS
FLOOR SINKS
DRINKING FOUNTAINS
INTERCEPTORS
SWIMMING POOL
WATERSERVICE
PLAN CHECK
SHOWERS
V RI NALS
DOUBLE LAV 5
DISHWASHERS
SUMPS
FLOOR DRAINS
CLARIFIERS
PTRAP
ALTERATION
GASSERVICE OVTLETS
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS
SOLAR TANK COLIECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PLAN CHEC`c
HEATINGSVSTEM 0-100,000BTU_
AND DUCTING 100,000 + BTV _
REFRIGERATION 0-100,000 BTU_
SVSTEM
100,000 + BTU _
BOILERS BTU
SVSTEM REPAIR,AITERATION
EXHAUST SVSTEM MULTIPLE
ISSUE FEE
CMF 0865-46 White-Builtli�g; Canary-AOPliwnt: Pink-Accountin9; Goltlenrotl-Assessor
1025 7/23/81
�--�
20N1
A.P. � Q
ZONE '��
B�J��M
SETBACK C/L ST. � V
SLIOFF�VARO O
5Ep
R�IGHTVA}iii �
REAR VARD (TO P/L)
PKG.SPACE REO.
STREET WIDTH
ZONING APPROVED��
SPECIAL CONDITIONS:
ELECTRICAL
FiEGULA
PLNG. REF. �
PRO V I OED
PARK FEE $
PLAN CHECK
TRANSFORMER 0-1 KW_ 1-10 KW _
APPLIANCE 30-50 KW 50 + KW _
MOTOR$ 0-1 HP_1-10 HP _
(INC.SOLAR) 30-50HP SO+HP_
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHT$
PANELS MAIN
I55 V E FEE
'LICATION APPROVED BV
SUB
AMP
' 64002 TL
DATE
SUMMARV OF FEES
BUILDING �(� �''� � Q
PERMIT §�.��` � SMIP - $�
PLANCHECK $�•O� PERMIT
ISSUANCE E
PLUMBING E '
GRADING E
PLAN CHECK E
ELECTRICAL S � E
PIANCHECK g MICROFILM E
MECHANICAL $ TOTAL FEE $
LE55 AD-
PLAN CHECK E VANCE PC $
�2�
FINAL FEE § ��
CONSTRUCTION AND PLANNING � � . , . POOL & SPA ..' '. _
APPROVALS Permit # Date Inspector �' pppROVALS , Permit # �� � Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
Soil ipe-Uhdrgm - - 44. Steel Reinforcement
- 3. Electrical Conduit Utility-Undrgm _, - 45. Forms
4. Electrical Conduit-Undrgrn . 46. Electrical Bonding
. tea em orce ,Q �: Ce ,Qo..c�T 47. Rough Plumbin & Pressure Test
6. Electrical UFER Grn- �� 48. APPROVALTO COVER-GUNITE �
7. Footings - ,g 49. Electrical Conduit-Undr rn '
8. Foundatiori - ' -- 50. Gas Pipe, ❑ Undr rn, Test .
9. Water Pipe-Undrgrn 51 . Backwash Lines P-Tra ❑ ndr rn
10. Structural Floor SYstem -- 52: -APPROVAL TO DECK
i 11. Property Sewer Line & House Connectiom - 53. Backwash & Rece torFinal � � �
72. Street Sewtr Connection � � 54. Heater & Vent-Final � �
13. Rough Plumbing - - - - - • `
14. Rough ElectricConduif- - �56. . Electrical-Firial -. �
!-9�5. Rough Electric-Wiring - � - - � - 57., Solar System-Final � � ' � • � � c
,. 16. Rough Heating & Air Conditioning . � Fencing & Access Approval .
17. Ducts, in Structure � ' � � 9• APPROVED FOR PLASTERING � '
18. Ducts, Ventilating � .
� 19. Gas Pipe-Rough & Test � . 60. POOL/SPA SYSTEMS FINAL. . -
20. Roof Framing
� 21. Roof Sheathin ' � . . �
22. Frame and Flashin NOTES:
23. Insulation . � . �
24. Lathing & $iding � �
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 pomesticFinsl - ' � � �
35. Landsca e S rinklin S stem - � �
36. Sound Attenuation - �
37. Handicap Regulations
� 38.- FINALSTRUCTURE&BUILDING �
39. Special Requirements Completed - - '
40. Electric Release to Edison ' � � - �
41 . Gas Release to Southern California Gas Co. � � - - -
42. CERTIFICATE OF OCCUPANCY � � � -
" � • No Date �
_ noc���a�t ro rni m au saaces ex�ePt tnose wimi� nea�r eoraer u�es a�a :iy� au aoarwraie aeaarauons. _ 9B2P � Q/ � �/8t1 8��� T�,�
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. � TRACT NO. I.OT NO. UNIT NO. " �� � '
Project Address qq� �C' ,���oh � UdU� �' �
ApplicanCs Mai�lin(y"�Address ��U(���� �1�MA(`� �t G• ' TYPE OF CONSTRUCTION NEW . ADO ALTERATION REPAIR
Owner'S Name �\nbq�� r n�g1�4�+ Phone ❑ CONVERSION ❑ DEMOLISH OTFiER q,p, # . Zone
GQO �'.S�o'Rtt^�c� l�'X1 a � DESCRIPTION OF WORK/USE OF BLDG. 9: �
Address S Main Buildin Accessory,Building:
E Z
Arch/Eng. License No. ' ' TVPE OF PERMIT GRADING FOUNDATION STRucTURAL T Front ' p
Add�255 ❑ TENANT �LECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear • � N
c I
La S T. �nC ❑ �OTHER
Contractor'sName y� one s, � pROJECTDESCRIPTION SQ.FT. � ' OCCUPANCV K Right ' ' G
Address (mailing) �����I7� �1�h� �l �-�• CONSi'RUCTION TYPE � VALUATION 5 g Left - R
City Lic¢n5e NO. � d��� ' ZONE GRADING CU. VDS. ACRES - � E
LICENSED CONTRACTOR DECLARATION Ping. R¢i. � Pa�king Rey./P�ovided
Q
I hereby aHirm that I am licensetl tl¢r provisio� ter 9(commencing qemarks: � � Planning Notes: ' �• - (y�
with section �000) of Divisio of he Busin s antl Pro ons Cotle, antl T
my license is in full for e antl tiect n - ' � � '
S.
License Class — License Ng �~ - PLUMBING ' FEES '
Date �d - 5'9 [ e, r/'
WORKERS' COMPENSATION DEC RATION Ba� Sink ShOWE�S ELECTRICAL FEES
I hereby'affirm lhat I have a certificate of consent to self-insure o� a certiticate ' '
ot Workers' Compensation Insurance, or a certitleE copy thereof (Section gackflowPreventer - ServiceSink � �
3800, �ab. CJ ('� �P.utomatic Washer Transformer ❑ 75-50 KW
Pollcy No.wcPtno-14q13 Companyl,3S'�'<=� �m0\i�n'(� gackflowlrrigation SewerCa ❑ 50+KW
P Construction Pole Sub.
8 Cer[ifietl mpy is h¢reby (umishetl. -
Certifi c a filetl with the city euiltlin rv' ' n. ' � Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100amps
Date �� Applicanf �� � n �
EXEMPTIO�RKERS' COMPENSATION DECLARATION Cldfifi¢f5 $old� COII¢Ct0�5 ' Di5hwd5hE� M¢t¢r Oover 100 amps.
(Thissection neetl not be mmpletetl if the permit is for One huntlretl ($100) or
iess). � Dishwasher ' Solar Pipin9 � Dryers ❑Gas ❑Electric Sub Panel
1 certify thaf in [he performence of the work for whith this permR is i55uetl, I . .
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors �0-1 HP �1'/x- 8
Worke�s' Compensation Laws of Califo�nia.
oate 5iqnature ' ' Roor Drains Swimming Pool w/Spa F.A.U. Inc.Solar �9-15 HP �16-15+
NOTICE: If, after making this tleclaration, you shoultl become subject to the -
Wo�ke�s' Compensation provisions of the LabonCotle, you must torthwith FloorSinks �- - Urinal - Fixtures -� Microwave� � '
comply wi[h Such provisions, or this permit shall be tleemetl �evoketl.
CONSTRUCTION' LENDING, "AGENCK ' Ga5 Service � Outlets Water CloSet - DeviCe BoxeS Pole Light � �
I hereby atflrm Ihat there is a construction lentlin9 a9ency'for the p'ertormance
of the work for whicit. this permit is issuetl (Section 309] Civ. CJ ' .
l,entler's Name Interceptors . Water Hearer Outlets Range
�entler's adaress - '� Kitchen Sink Water Service
OWNER BUILDER DECLARATION � - SwitCh25 SigO
I hereby affi�m that I am ¢xempt f�om the Contractor's License Law for the Lavamries � - Garbage Disposal ' Standin9 Sections
fallowing reason (Section �031.5 Business antl Professional Cotle: Any city or . .
counry wM1ich requires a pe�mit to wnstruct, alte�, improve, tlemolish o� �epair P-Tf2p
'any stru<ture, prior to its issuance, also requires the applicant for such.permit Generator �0-5 KW �5-15 KW Trash Compactor
to tile a signetl statement that he/she is IicenSetl pursuant to the pfovi5ion5 of ROOi�Dlains
the Contractor's License Law (Chapter 9(rommencing with Section ]000) of
Division 3 of the Business antl Professions Cotle) or that ne/she is exempl - - i
tltere(rom antl the ba5i5 fo� the alle9etl exemption. Any violation of Section . �
7031.5 by any applicant tor a permit subjects the applicant to a civil - .
��enalty of not more than (ive huntlretl tlollars (5500). . "$ ,
LJ 1, as owner ot the property� or my employees with wages as their sole ReinSpection Fee $15 Isue Fee 3
compensatlon, wili do the work,'antl the structure is not intentletl or offeretl Reinspection Fee $15 luue Fea $ 3
tor sale (Section �044, Business ana Professional Cotle: Tne Contracror4 MECHANICAL FEES
LicenSe l.aw does not apply to an owner of a property who builtls or improves
thereon, antl' who tloes such work himself/herselt or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl that such improvementz are not Intentletl or otteretl fo� BOiI¢� HOOd O� Typ2 I ❑ _
wle. 1�, howeveq the builtlin9 �r improvement is soltl witnin one year of com� Canopy Type 11 ❑ " Zoning Approved By Date
pletion,'the owne� will have the burtlen ot proving he/she tlitl not builtl or im- DuCt - Upd¢� GrouOd Buildi0g App�Ov2d By DatO
�rov0 to� lhe Outpose ot Sale).
I, as owner ot the property, am exclusively contracting witn licensetl con- Duct-Structural Refrigeration System Appliratian Issued By Dat
tractors fo construct the project (Section 7044, Busine55 antl Professions Cotle: .
The ConVactor's License Law tloes not apply to an owner of oraperty wno Duct - Ventilating ❑0-1000008TU ❑100,000 BTU SUMMARV OF FEES �
builtls or improves thereon, antl who conVacts for such projec[5 witn a con- '
tractor(sl license pursuant�to tne Contracmr's License Law). I am aware that ExhaustSystem ❑ Multiple ❑ System Repair/Alteretion BUILDWG PEflMIT $ SMIP $
proof of their Worker's Compensatlon insurance snoultl be provitletl to me. PLAN CHECK $ PERMIT
❑ I am exempt untler Section B. & P. C. for [his reason Firepl/Fact. BIt ICBO # PLUMBING $ " ISSUANCE $
Date Owner Heatin9 System & Ducting PLAN CHECK 25% $ ENERGY P.C. $
'I hereby certiry that 1 have reatl this application antl state that the above ❑0.100,0008TU �100,OOOBT , ,� �GRADING $
information is correct. 1 agree to comply with all city antl munty ortlinan<es . ELECTRICAL $
antl state laws relating builtli construction, antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
Sentatiy�s of this city t ent�pon [h�above-mentionetl\OProper� fo� �
inSpetEtO\i Ipur s`. MECHANICAL $ TOTAL FEE $
SiqnatureL� � S�U��
CMF 0865-46, �ev. n/an White - Builtling: Canary - AOPlicanp Pink - Accountlnq; GolaenroO - HSsessOi
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-lJndrgrnd. ' 53. Steel Reinforcement �
3.'Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd. _ 55. Electr.ical Bonding � � . -.
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test �
6. Electrical�UFER Gmd. � � .. � . 57. APPROVAL TO COVER-GUNITE i
7. Footings � 58. Electrical, Conduit-Uridrgrnd.' . .
8. Foundation � , 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap - 63. Heater & Veni-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 PLASTER�NG
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 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. F�ame 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 a� otes:
34. Final Heating & Air Conditioning ,
35. Final Gas Pipe-Test �
36. Hood or Canopy � �
37. Final Factqry Fireplace � �
38. Final Plumbing '
39. Water Service-Final '�
40. Gas Service-Final � � ' �� '
41 . Solar pomesticFinal • , , .
42. Backflow Preventer
43. Backflow Irrigation : ,. ,_ , _ , ' ,
44. .Landscape Irrigation System
45. Sound Attenuation � '
46. Handicap Regulations � � � �
47. FINAL STRUCTURE & BUlLDING
48. Special Requirements Completed � �
49. Electric Release to Edison - .' �
50. Gas Release to Southem California Gas Co � ' �
51. CERTIFICATE OF OCCUPANCY
No. Date
. �Lot iz 28739
COSTA MESA BUILDING-SAFEiY DEPARTMEM
P. O. BOX 1200 COSTA MESA� CALIFORNIA 9202E
Fer AppllcaM ro Flll In Comp►Ndy
TYPE OR PRINT
�u��..oiNa `7 O � v\.i
ADDRHYY
COSTA MESA. CALIFORNIA
OWNBR S�aan Constructors IT1C.
MAIL
wooa 1. 55 ^rnn'F ci".YP.P't.
��TM ��;; ni.r;rt0 Calif. No'- 234791
ARCHITEGT T
OR EN61N88R C 7I N.
wonweaa 901 Liard Pl. , Costa Mesa
BUILDINO
SIZE
EXTERIOR
6 o'x ioa' �o+
Xi.
�now /�,�-�
6R N6AR
/ /
L6R �S RIQXT
DESCRIPTION OF WORK
CT
262
1 XH0.60Y ACRNOWL6DOt T{�AT.I HAV6 NGD YXI/ AP�LIGTION
•ND 6UT! TXAT TM� I1pOV[,�B CORq[Q} AND AOp66 YO COY.
PLY W�TX ALL CITY ORDINANCQ{ AryD 11Tt YW R[OYLATIN6
BYILDINO CON8i1111CT10N.
H16NATL3IZF'O� ._�J ��J
P6RMIYfe� ,
�
AUTHORIZ6D AO�Ni
euanina
1ux 2q-6 PS�QD9989+� ****99.00
ArPLICATION FOR PERMtf
BUILDINO
For Offln Us� Onfy
116C[I'T NO.. . I /�
ZONING
NO. 0► UO[ OF N
•uni � suunn
�-oT/L i /2 �4'�
�
/! OVERHANO SMALL B8 LC86 THAN
1 REAR p. L
Q ALLOWED (U.B.C.NEQOIRFMBNT]
YARDOMPROVED YARD9MPROVHD
MAIN BIIILDIN6 AGCfiGSORY BUILDIN6
VAR. #
'lliC AMOUM
W RPoB[ OP
VALUATION
s �D �i
DAT6
;�-'Y'b
a
m
�
G� �
VALUATION 19 POR TX6 �
A P6RM�i PE8 ONLY.
6 6 -- �
IT FEB S
33 — �"�°.
_PEE s 99—
- • , COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUI�DING TI �{��N WA
ADDRESS
OWNER OR
TENANT /�J L �-
MAILING /i� U �1 \P✓`,viJ �A
HDDRE55 -'�
CITV (�� e N�y�pNJO
CONSTRUCTION (v � n�
LEN�ER fT
BRANCH IY�U1 Cnl_�MU�� � �'
ADDRESS'-'1S1 C � �,(XMIi�C1�Cr�L.�LLi7.�
APPLICA7iON FOR STRUCTURAL PERMIT
A.P. NO. �
BUILDING
ADD RESS
UNIT OR
SPACE NO.
NEW ADO
9�
OWNER � d'
APPROVED
PERM.T. ��," M, �7� r46 T�
%
Ui-2�ti7c,� c�bl
LOT � BLK.
>LTER REPAIR MOVING DEMOLISH
L'e
�A �A��EE�a
,c�c,—
AODRESS ��� � K� 1 V 1 N 1 AJ�
—4h � V i N'e.J TE L.^ ��_y �
CITV NO. / �1
F STATE ^ CITV APPROVEDSETBACKS
IIC. NO. I� ) IIC. NO.
� SIZE NO.OF BLDGS. (FROM C/LSTj2EET) �
L OF LOT NOW ON LOT ROIVT FT. �
a USE OF /� % /,
� EXlSTING BLDG. LY Y��
FSeparate permits are required for L SIDE FT. �
0 electric, plumbing and heating work: aeaa 1 FT. Oy
�.W., USE OF BUILDING AND WORK TO BE PERFORMED PLqNIVING ACTION
Q
a`�� V��c T L\ J� � T APPROVED
� APPROVED
r � d'6
�
�
w
� 1 hereby acknowletlga that I heve reatl this epplieetion antl state �
a t�at the ebove Informallon is correct antl aprea to comply with �
� al� laws reB�lating builtlinp consvuction, antl 1 zhall not omploy �
z any person in vlolatlon of the workman's compensation lawz of m
Sthe Stete of Celifornle, m
3 1 �ereby certify that I am proparly Iiconsetl as a contractor untler SQ. FT. �`+
the Steta ot Calitornia Business and Professions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOii m
Chepter 9, antl that z�eh licenses are in full torce antl etfact, or I THE PURPOS OF ESTABLSHING A PERMIT FEE ONLV: �
am ezempt from the prori ions of ihe Smta of Californie Business VALUATION PERMIT FEE
and Profassions C , Divisi n 3, Chepter 9. S o2 •SD vi
, � PLAN CHECK § n 0
Signature of oo� 'a� �
Perm�`ttea $ I�� TAX 5 fz� U
Authorized Agent Date "+ TOTAL PAID E �53 7Ty