HomeMy WebLinkAbout501 TRAVERSE DR - Building Permits�
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�+�8�� 501 TRAVERSE •DR ��+T
sru�eivaawr+ FRITZ, LAWRENCE LEE FLOOD: X 47
�ooaes� FRITZ, SANDRA LEE
805 TOWN ST
'OSTA MESA,CA 92627650-6238
�vr�. �uuxo �uonEss:
NCNIfECT OP FNfdlEfA: UC N0.:
JILH ON ENO: S MOPESS: UNT:
wrim.e.oirswn BOSS CONSTRUCTION ( 719 ) 739-2947
ca+m�croxs�uura �7812 LA COSTA CIR
�� BUENA PARK CA ��.: 491761
90620 �,R,
LJCENSEO CONfNACTOR3 OECLANAl10N: I Mreby Mim uMx penaly d pe'ryry Nel I em IiromeE wds pwirion� d Chaqx D
�oomm«�,o wen s«io� �000) d awo�, a a w. e�,....�a r�we..�e coes. d,e mv uo�.. m m mo �..�e.nw.
cmuc.No.:067377 /u}c.cuss: B uc.No.: 49 ��}'�(� P/:� 04/97
Dtle: � � V �%'� ConVatlm. /�/ � 'R� \
.
OWNEN BUILDEfl DECLANATION: I Mmby elfirm ueMer pe�ely d perjury Ihe1 I em examq Imm IM Conireqas Lieenes Lew la ttro
tdbx'vp reeaon (�an ]W 1.5 Buaiase eM Prolaeaiana Cods: AnY cYY a munry whirA rpwrae e parmil lo mmvud. eEa.'unqow.
demd'vA. v rpei vry sv�cwn. prior ro w bauenro. ebo nVu'us �M epplicenl la euc� pemil to fib e dpntl �tdelemsN Nel M a�M
e froemad Wnuent lo iM pwmw d Ne Contredore Liceme Lew ICheqw e(mmmendr9 Milh Setlion 1UW) W Oi�ruion 9 d tb
Buai�wee eM Prdavbro Code� a Ihel M a aha ie exemq tharaham erM Ihe bmis la tM dlepod azemqion. My vidmion d Soaian
]O�t.S W eny epplireM lar e pemin abpae IM epplican� b e dvil perielly d na mors ihen INa huMred ddbn �5500�.
� I.noxirrd�MpoGenYamYemWh'�wlhwWe+mlMinboomD�+dion.wiAdoNeMdk.endNemucw�aenalmisWW
a ollereC br We (Semm� ]OM. Bwiiwn vd PMeeaianeCode: The Laniredors Lioen�a lew dom notWWY loan oxw d pWtiY
wM bulde a'unprovee IM1emon, vd who Eaee e�ch v.wk NmeeH w Mnep a Ihraq� lie a her own employee�, qwNeE thtl ach
impwameni� ue nd intaded a dbrtE la eeb. M, howawr, �he WiNi�p a inpowmeM u add wilhin ons yw d aomplNion, Ihs
ownerbuiW will heve iM Eumbn W pwi�q M or Me Etl nal Wik a impova fa tM qupwe d seb).
� I. m owmr d iM P�oPeM. � aduaHey conirediq wnA limnaad wniracbn b conetrutl tla qqetl (Saction ]OH. &winwa aM
Prdeeaone Cade: The Conlrxlon licmae law doee � epply ia en owner W qopalY � b�ilds a impova ihaeon vM who
wnirecu fa wtli projeqe wuh e mmiedor(e) IiceneeE punueN lo tM Cam�mae llnroe lar).
� I un mmmq uMar Seciion: B. 8 P.C.. br ihis reesan:
Daie: Ow�or.
I Eo heiaby canilY �� I em awva d vd uMenieM the �puiremenla d Cellamie HevAA ud Stlery COCs Saebn?55D3. 25531. enE
25531, eM Ihei I or eny tuluro buikiip ocwpent will / wdl nat (oicb me) need ro compy w1� veid eteb codm uM IM iayuinmmro br
a permu Iaoon�Vuction a modifratbnhan IMAi�ily F.%nepemmt Dietrkl. Raekanliel oonprudion eppkmtiomera usmp Irom Mms
pwisum.
oma: �vvi��:
WOPREN'S COYVENS�TION DECLM�TON; I Mr�by elfum uMar psrWly M perjury pw d Ns Idbxi�q Eduetiom:
� I hew aM xil mvnten e ceMiuls d conesni ta uM�inan M xpkert compenWian, n pwddad la b/ Saclian �100 d IM leba
Code. lar ihe parlormence of IM xwk la which thie pem�n ia lvued.
�] I hevs ud wil meinien v.oMen' oompenulion imure,,ropm. u reyuiiad by Ss�Ubrwn 31W d Ne Labar Code, br IM peMmuKe W IM
woni�«wnkn�nuc�un��d.MyworMers'S1NTE� FUNll �°d�"Um���: EXPIRES
c�a:
vaKv N�mb«: — — 0 7/ 01 / 9 7
(This escTian need rrot 6e canObfed l �MYs^�t u br aro hundeOCdbn (Ji00� a ImJ
� I wnity Ihet in Ihe peAormence W Ihe wark lar whch thie paimil la ivueC, I Mell iwl mmpby ury penon in ury mennx w m lo
become vubjee to IM woM1ers canpenmibn kvn M Celilomie. eM aprea IMI X shouW b me e• to IM xoM1ari
compenulon prwivum d S/aeyion/3)ard Ihe leEn COAe, I ehell fonhwnh tM(/�aRy n
Dme: �L�l%��/(o �oo�bem: /`�
Wamlq: FNlun ro�seun woMrwi ron�vwwtlan eor�reps Is unkwNl, anC �IW/ rbJ�ef en w�v/oysr ro a/Miul pxWtlp �ml
cM� nnu up ro on. n�.rar.d rrous.ro dwan (J�04POOA M WCltlon ro M� cwt ol rompMutbM1 senup� o povMW ror In
S�ctlan J105 0l Us Lebor Cotle, /nhn�t, �M attomsY'� Iw.
CONSTRUCTION LENDINO �OENCY: I Mreby elfiim uMm penelry d pmjury ihm IMro u e oonat�uabn bMirp epency la IM
perlormaMe d IM xork la xAiM Ihe pmmi n iswd (S«fion 908J. CM. CI.
lENOEN'S NRME:
LENUEWS ADDRES9:
I cerlity �MI I haw reed thie eppliraibn eM pme �het �he ebove inlormelian ie mrted. I epre� to canply rrith M my end ewMY �invicw
end etme lexa roleiinp to builAinp conaVud'an eM M1ereby einMraa reqenemetiwe W ihie dly to enler upon ihs abow-memioneE qoperry
i«��eo«a�wro�. MIKE BOSSELMANN
Pnm o
_ Dpc -��
Spiwum d nU�ppiranVCanlreda �
15151 �O.W P) W�ne-Builtlip 8 Selety. O�see�Fb: Canvy-App4ant: Pink-Rs+enue: Uddeneo�Mwv
CITY OF COSTA MESA — BUILDING PEAMIT
PERM NO: B U78524
PERMIT NO: B 078524 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PORPOSE: OTH
JOB DESCRIPTION : T/OFF COMP INSTALL 25 YR DIMENSIONAL SQ FT: 2,500
CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GROUP OCC: R-3 /
COMMENTS: REROOF RESIDENCE
�x��r�r�*�rx***�*�xx�**��*��r�x*�r��r�rx�*��r�******���*��*x���*«*x**��*�****�**���*«*�
Z 0 N I N G R E{j U I R E M E N T S
5 E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ • PROV: PARCEL: 41803208 ZNE: REF NO:
PLANNING N6TE5>
i
ik 1k 1Elk ik 1! 1f 1E 1E ii 1ElE 1E 1E ii 1F 1E 1E 1E if 1E 1k if if 1E if 1l-�E iF iF 1f 1E iE 1E ik �k ik 1E 1E �E 1F iE iE if 1f 1f fE 7E jE it 1E 1E iE iE 1E �F 3E iF �F �E IE 1E!! iE iE iE iE Ik i! if iE iE ik iE if iE iF iE iE
D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S
ZONING APPROVED HY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: '��� DATE: ���
if1E�E1E1E1E1E1EiEiF'lE1ElEiE'IEiEiElhiEfF1E1E7F3F�fiFif�F�F�F"iFiFiFif3FiFif�fFif3F�fTfiFTFif3FTF�iFiF 3FiF�F3FTF3fiFiEiEfE1EiE1EfEiFiEiE 1f1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74.75 � ,50
SMIP/NON—RES
PLAN � � �
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL -PAID DUE
TOTALS----> 75,25 0,00 0,00 75,25 •,75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT— GRADING PLAN—CHECK
74.75 .50
1k iE 1k 1E 1f ik 1F 1E iF 1E iE 1E iE iF iE 1f 1f 1k k 1Elt iE iE iElk 1E!! 1f 1F k 1k if 1F 1E iE fk i! fE ik 1F iE fE 1f �f 1E 1E fE 1f 1E 1f �E 1E iE if 1E iE if 1f if.1E k iE fE fE k 1F 1E fE ib iF iF if dF iE if k 1F iE iE
I N D I V I D U A L F E E H R E A K D O W=N
Y'�l�E QTY D E S C R I P T I O N UNIT- COST TOTAL COST
F�
SFR 2500 ALTER BY VALUE RESIDENTIAL NOZONE 1^.00� 2,500.00
END OF FEES .
EXP►RED �� �'
� InC mplete Inspections " '
i
�atE ''J ^7 Sig �� �.
�
.:ONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Perm�t # Date inspector qppROVALS Permit # Date inspector
� i. Temporery Electrlcal Service or Poie 52. Pool & Equipment Location ,� /
;
2. Soii Pipe�Undrgmd. ' 53. Siee� Reinforcement ' � �"
i
3. Electrical Conduit Ut���ty�Undrgrnd. 54. Forms / .
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding , ',\
5. Steel Reinforcement • 56. Rough Plumbing & Pressure fest "� i
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER•GUNITE r '
7. Footings 58. Electricai Conduit�Undr9rnd. �
8. Foundation 59. Gas Pipe, O U�drgmd., Test
9. Water Pipe•Undrgrnd, 60. Backwash �ines, P�Trap, � Undrgrnd.
10. Structural Floor SYstem ' 67. APPROVAL TO DECK .�
11. Property Sewer Line & House Co'nnection 62. Backwash & Receptor�Finat ' '
12. Sewer Cap ' 63. Heater & Vent-Finai ��
13. Roof Drains �/ 64. Plumbing Syetem � Final '
14. Rough Plumbing , � 65. Electrical-Final .� ,
15. Rough Electrical-Conduit � � 66. Soiar SYstem�Final � ,
16. Rough Electric Wiring 67. fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical�T 88� ����n9 � 69. POOUSPA SYSTEMS P�NAI �
79. Rough Heating & Air Condi[ioning , PIRE DEPT. REQUIREMHVT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Siructure . � 70. Underground Hydro
22. Ducts, Ventilating � 77. Product Piping O�Gaz �Oil
23. Gas Pipe•Rough & Tesc , _ 72. Underground Flush
24. Roof Framing � 73. Undergmd.SmrageTank C�Gas COiI
25. Roof Sheathing 7!� g�p �W�/ 74. Overhead Hydro
26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical -
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. fIXED SYSTEM FINAL
29. Insulation 78. FIRE PflEV. FINAL
� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Mete�-Final 80. F000 CERTIFICATE {SSUED
33. Final Electric Nvtes:
34. Final Heating & Air�Conditioning � � �
35. Finaf Gas Pipe•Test �
36. Hood or Canopy ,
37. F�nai Factory Firepiace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesuc-final
42. Backfiow Preventer
43. Backflow irrigation � ���� .i �� / � � _ �L.�,.��
N-d'�'C� 6-��� �
44. Landscape Irripation System i
��l ��l�ev -��d�
45. Sound Attenuation -
46. Handicap Regulations
47. FINA� STRUCTURE & BUILDING
48. FINALPLANNING
49. Electrie Release to Ed�son
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
.
TYPICAL 6" CO(VCRETE BLOCK FENCE
Cement Coping Optional =
Channel Block With I-3/8 �
0 Horizontal Top of all
Fences
6 Concrete Block Fence
For Fences 5� or Less �
Vert. Bars 3/8" 0 at 4'-0"0.
For Fences Higher Than 5� -
Vert. Bors 3/8" 0 ot 32" O.C.
Provide Inspection and
Cleanout Hole at Location
of Vert. Reinforcement
FII Celis Solid With Grout-- -
Where Steel Occurs
NATURAL GRADE
TWO 3/8�� � BA
CONTINUOUS
�TEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION�
f
0
� x
� �
�
> w
¢ _
a
� z
a
i�
wo
U F—
� ' 1.0 =�
O
� �
o �WIDTH
p� -� SEE CHART
D BELOW
D 'I ' `
L
".�.' � . .'.. v. . .
G , b
p .
� . o . s
`
TO 16� 0. C. h
�
�' L ���
e' 3
GENERAL- f�OTES
� MORTAR: pne Part Plastic Cemeni, and
7hree Parts Sand
GROUT: One Parf Cement Three and
One Half Parts S�and
COPING: pne Part Cement, Three
Ports Sand
CONCRETE: Well Mixed 12-I/2:3-I/2
Max. of 7-I/2 Gallons of
Water Per Sack of Cement
REINFORCWG S7EE� SHALL CONFORM TO
SEC. A—i5-39 A.S.T. M.
ALL STEEL TO LAP WHERE SPLICED, 2-0�
MINIMUM,
GROUT MAY BE POURED FROM TOP OF
FENCE IN CELLS WHERE STEEL OCCURS.
, HOLES SHAI.L BE CLEAR,CLEAN, AND
FREE' OF ALL MORTAR, DEBRIS, ETC.,WITH
INSPECTION HOLES AT BOTTOM.
BONCS SHALL BE FROVIDED BY LAYING
BLOCKS IN STRETCHER COURSES SO
e� � . e -. o� THAT VERTICAL JOINTS ALTERNATE IN
� �� � ° EACH COURSE.
�
DEPTH OF EARTHTOOTH
I/3 THE HEIGTH OF FENCE
BELOW BOTTOM OF FOOTING.
SCALE: I/2�� = I'
CHART
HEIGHT. . 6'. . . . . . . . . . . . 5'. . . . 4' . . . . . . . . . . . 3�
WIDTH . . . . . . . . . . . . . . .14'� . . . . . . . . . . .I4° . . . . . . . . . . . 12°. . . . . . . . . . . 12��
THICKNESS . . . . . . . . . . . .10'�. . . . . . . . . . . .10° . . . . . . . . . . . g". . . . . . . . . . . 8,�
DEP7H OF EARTHTOOTH . . . 24° . . . . 20" . . I6�� 12°
SPACING OF EARTHTOOTH. . 12� . . . . . . . . . . .14� . . . . . . . . . . . 16'. . . . . . . . . . . 16'
City of Costa Mesa, California
Building Department
FORM BU2�_2M_8_B2
OWNERS NAME: � _ _ _ _ _ _ _ ,_ _ __ _ _ _
JOB ADDRESS; ._ _ _ __ _ _ _ _ _ _ _ _ _ _
PERMIT NUMBER:� _ _ _ _ ._ _ _ _ _ _ _ _ _
SIGNATURE: , _ _ _ _ _ _ _ _ _
STRUCTURAL APPROVAL ONL�Y
SEPARATE PERMITS ARE REQUIRED
fQR �! FCTRfCaL, PlUf'�4BING,
NEATING, VE�7!liTiNG AND
RE�RIGERATION WORK
' � �WYIIIIYLO "(T�{./-i�
' T!f?3 �!`��,�,3�4 � � ;' '.G�COiviF•ai�Y
`� ALL INSPECT{ON REQUESTS
F�., d1, �DtriGS "tiHtHt rcrcav��, „��- r
BE EMiLOYED, WE SUGGEST THAT THE �
STaTE OF CNLIF�R�iIA DIViSION OF
INDUSitIAI SAFETY B� CONSULTED fOR
�
MDiil NFI. �
� r
�
HESIDENCE RESIOENCE
� �-- y � �,�z,
v
_ STREET
0
�
�Y
MAKE
OF DF
���.��-�
CITY OF COSTA MESA
PLANNING DEPT.
�/ S ECT Tf? B�DG. DEVT. REG.
�c'��� 2 �(�
BY DA7E.....__...-.-
D�REROR OF PIANNING
BE ON
WITHOUT
Dept.
Att
[NceTHE ISSU. NCE OR GRANTING OF A'ERM ( OR 11PPR0
OF PLqy HN7 SG:CIFIRns�DEHtE�ALL NOT BE CONS7R1
TO BE A PERI IIT F)R, OR pN APPR04A . OF, RNY VIOUI
OF ANY IF Tf E PF )VISIONS OF THIS C I�E. 10 PERMIT P
$UMING TO � IVE AUTHORITY TO VIOIaTE R fJWCEI �
°' NS ( F Th � r.nnF SHRLI BE VAU . E7ICEPT l!1
FAR A$ THE RK OR 11SE WHICH IT AUTHO ZE$ IS (AWf
THE 1 SUANCE Of A PEfiMiT BASED F� RLR7t3; 6
^^•^••• �� N r oRFVFr�r iu-. �l7llDJMf6' 069lp
FROM THEREAFTER REQUIRIMG TkE COR&'H�'R1p�P OR� Ef�li
IN SAID PLANS AND SPFC1FlGAilONS 0.4 AIb�M� BRPtlBlldil
9UIlDiNG OPERA710NS BEING CARRIED OOY YNl$RfUNU6W W4
IN VIOLATION Of TNIS CODE OR OF 310:W �111,9$& OSQIJI�J1
DF THE CITY.
ltl/4L
Applicant to till in all
CITY OF COSTA MESA P�i=1T NC
CONSTRUCTION PERMIT j� c
Projec2Address O1 Traverse Dr.
Addres
License No.
wi�hln heavy borCe� lines antl si9n all appropNate Oeclantion
TRACT NO. LOT NO. BLDG. NO.
Address
concrector �eneral 7nstallatio$none �
Address 6558 West-Blv .,L.A.
LIGENSED CONTRACTOR DEGLARATION'
1 nereoy at(Irm Ihat 1 am Iicensetl untler provislons of Charter 9(com-
mancing wltM1 section ]000) o( Oivision 3 of tha Business antl
Protesslons Cotle, qntl. my Iicense is In tull foryct artM gtect.
l.Jd 1:Jto.l
Llcense Clasz Lic e No.�_
Date�'S '�Tr5lgnature
WORKERS•COMPENSATION DEGLARATION
1 hereby atfirm that I have a certlficate o( conseM to SelLinsure or a
cerHfiwte o( Worker5' Compensatlon Insurance, or-a certi(ietl copy
PoIICY No. �.�� �'� � o ComVanY•� �n �c i,���. � iia �
❑ Certitietl copy is hereby furnishetl. .
�Certifietl copy Is filetl wlth tha city Builtling Division.
EXEMPTION PROM WORKERS' COMPENSATION DECLARATION
(Thii section neetl not be completetl it the permit is for one huntlretl
(E100) or less�.
I certify that n the pe�fo�mance ot the wOrk fOr whiCh thi5 p¢rmit i5
issuetl, I shall not employ any person in any manner so as to become
subjact to the Workers' Compensation Laws of Callfornia. '
Oate Signature
NOTICE: It a(ter making [his tleUaratlon, you shoultl become subject
to the WO�kers' COTpensation provisions of Ihe LaOor COtle, you must
forthwith comply with zuch provisions or this permit shall be tleemetl
r¢vOk¢tl.
CONSTRUCTION �ENDING AGENCV
I hereby aftirm that there is a con5truction lentling agency tor the Oer-
formance of Ihe work for which thiz permit is Izsuetl (Section 309�
Civ. C.). '
LenO¢r'S NdTe
Lentler's Atltlress
OWNER BUILDER DECLARATION
I hereby aftirm that I am ezempt from tne Coniractor's License Law for
t�e following reasOn (SettlOn ]031.5 Bu5ine55 and Prote55ion5 Cotle:
Any city or county w�ich reqWtes a permit to construct, alteq
Impfove, tlemolish Or r¢pair dny struGtur¢, prior t0 It5 isSudnC¢, dlso r¢-
quires the appliGant for such permlt to file a signetl statement tM1a[ he
Bu5ine55 antl �Prdessions Cotle) or that he is exempt therefrom antl the
basis for the alle9etl exempfion. Any violation ot Section 7031.5 by
any applicant (or a permit subjects the applicant to a clvll penalty
o( not more Ihan five huntlretl tlollarz (5500).
❑ I, a5 owne� of the prop¢rty, or my ¢mploy¢¢5 with wage5 a5 their
Sol¢ GOrilpensatian, will tlo the work, an0 the stfucture Is not Intentletl
Of Of}¢!2tl (O! Shc¢. ($CCIiOp ]044, BlI51OE55 dlltl PI'Of¢SSIOf15 COtl¢: Th¢
Contractor'S Licenze Law tloes not apply to an owner ot a property
wh0 builtls or imp�oves lne�eon, antl who tloes suGh work nimself o�
throuqh M1is own employee5, provitletl that Such Improvement5 are not
intentletl or offe�etl for sale. If, M1owever, the builtling or improvement
is soltl within one year of completlon, the owner will have the burtlen
of proving he tlitl not bulltl or Improva to� th¢ purpose ot sale).
❑ I, as owne� ot the property, am excluziv¢ly cont�acting witM1
Ilcensetl wnfractors to construct the project (Sectlon �044, Business
antl Professlons Cotle: The Contrattor'S License Law tloes nobappty to
an owne� of property who Duiltls o� improvEs Ihe�eon, antl who con-
tracts from such prolects with a contractor(z) licesnetl Oursuanl to
the Contrattor's Li<ense Law).
❑ I am ex¢mpt under Section B. & P. C. tor this
reason
Oate Owner
I hEr2by certitythdl I have read thi5 application antl statG [Ita[ the abovC
information is corrett. I agree to compty with all G[y antl county
oltlinances antl state Idws r¢lating to constluction, dnd Flereby duthOriie
repre5entative5 of this clty to en[er upon ihe abOve mentlonetl
property tOr inspe tlon pu� es. -
Signature f�� �%� �/N"'"� Date 6�15�82
orivers' License or ss x �� �� __.
TVPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTIONOFWORK WatPY hP.2
TP_nl3C0R12f1t
TYPE OF PERMIT
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL�PLUMBING OMECHAI
❑ OTHER
PROJECT DESCRIPTION
5�. FT.
OCCUPANCV_CONSTRUCTION TVPE
VALUATION ZONE
GRADING CU. YOS. ACRES
REMARKS:
PLUMBING PLANCHECK
BATHTVBS SHOWERS �
KIT.
DRTNIkfNG FOUNTAINS
INTERCEPTORS
SWIMMING POOL
WATER SERVICE
GP.S SERV ICE
WATER HEATERS -1
SEWERCONNECTIONS
SOLARTANK
SOLAR PIPING SYS.
ISSUE FEE
MECHANICAL
l�. _..:",'
� 8719 6/21/B2
�
ZONE
REAR YARD (TO
PKG.SPACE REQ
ZONING APPROVED BV
SPECIAL CONDITIONS:
ELECTRICAL
PLNG. REF. �
PROVIDED
PARK FEE
PLANCHECK
�RI A - / /�I I GENERATOR OdKW_1-lOKW
b�—��—{ TRANSFORMER
O Bl L G$ � � � APPLIANCE 10-50 KW_50 + KW
DI$ WASHER$ MOTOR$ 0-1 HP_1-10 HP
$VMPS (�NC. SOLAR) 30-50 HP 50 + HP
FLOOR DRAINS
CLARIFIERS
PTRAP
ALTERATION
OVTlETS
BTU OUTPUT
COLLECTORS
PLAN CNECK
HEATI NG SYSTEM 0-100,000 8TU _
AND OUCTING 300,000 + BTU.
REFRIGERATION 0-300,000 BTU_
SVSTEM 100,000 + BTV .
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
ISSUE'FEE
CMF OB65-46 Wnite�Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl,Assessor
FI%TURES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHT$
PANELS MAIN SVB
SERVICE AMP
ISSUE FEE
APPLICATION APPROVED BV
SUMMARV OF FEES
BUILDING
PERMIT E
PLAN CHECK $
PIUMBING 5 .00
PLAN CHECK $
ELECTRICAL $
PLANCHECK $
MECHANICAL $
PLAN CHECK E
6.00 TL
SMIP E �a
PERMIT 3.�Vb�-
ISSUANCE S
GRADING S
s
MICROFILM $
TOTAL FEE $ ��
LE55 AD- "
VANLEPC $_
FINAL FEE E �_oa
CON$TRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS � Permit # . Date Inspector
t. Temporary Electrical Service or Pole �- 43. Pool & Equipment Location '-
2. Soil Pipe-Undrgrn 44. Steel Reinforcement '
3. Electri�l Conduit Utility-Undrgm � - ' 45. Forms
4. Electrical Conduit-Undrgrn 46: �Electrical Bonding
. tee ein orce 47, Rough Plumbin & Pressure Test �
6. ElectriCal UFER Grn - �48. APPROVALTO COVER-GUNITE � � �'
7. Footings 49. Electrical Conduit-Undr rn -
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water Pipe-Undrgrn 57. Backwash Lines P-Tra � ndr rn
10. Structural Floor System. � 52. APPROVALTO DECK
11. Property Sewer Line & House Connection 53.. Backwash & Rece tor-Final
72. Street $ewer Connection 54. Heater & Vent-Final
13. Rough p�umbing
74. Rough Electric-Conduit � �56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating & Air Conditioning � � encing & 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 $heathin
22. Frame and Flashin NOTES:
23. Insulation
� 24. Lathin & Siding '
25. Drywall Nailing
26. Plaster grown Coat
27. Electrical Power Meter-Final �
28. Final �lectric
29. Final Heating & Air Conditioning ' •
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation
37. Handicap Regulations -
38. FINAL STFUCTURE & BUILDING �
39. Special Requirements Completed
40. • Electric Release to Edison �
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
OwNER
ESS 501 Traverse
M
UN�EAGROUNO � I POWER U
ROUGM WIRING
TRENCNES FORMS STEEL PEiHF.
FLOOp SVSTEM
FFnME nN� FLAS
LATMNG — IN r
Plp$TER, OPOWN
ME�YING. VENT., REFRIG. �NO �.C.
PLUMBING, FIN4L �NO WS TEST �
ELECTAIC, FINnL
DATE Z_16-79
E
SUBCONTRACTOR
n,e �,� �y 3
!� 3634 2/ I 6/79
r� 9L71� aIl'clva
5.50 TL
COSTA MESA BUILDING-SAPETY DEPARTMENT w��--, •� 5.50CATD
P.O. BOX 1200 . COSTA MESA, CALIFORNIA 92626 3�34 ��OOOQ4474.73 � Q
APPLICAT[ONR?OR STRUCTURAL PERMIT �
For Applicant to Fill in Completely — Use Ink Only
E Y TE CE E DATEISSUEDp�
AD'DRESS � I 1� C� R �C� �� 1
' � PERMIT NO.
OWNER l 1 1 '� A.P. NO. � �O
UILDING so� Ti2RdE.es�
MAIL ADDRESS
ADOflESS W\
CITV � �eS� Np�. S79/�� TRACT LOT BLOCK
CANSTRUCTION N W ADD A P
LENDER �
BRANCH I
OWNER i�.C�ES OGCI�/�
ADDRESS ',/ V LUE
ARCMITECT TEI.. S W S �
OR ENGINEER N
FIFE
ADDRESS ZONE TVPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. ZONE / NO.OF USE OF NEW
CITV NO. PLANS BUILDING
STATE CITV �'ARDSAPPROVED VARDSAPPROVEO
IIC. NO. LIC. NO. MAIN BUI�DING ACCESSORV BUILDING
(FROMGLSTREET) L/d2� �/ a✓�
SIZE NO.OF BLOGS. � 9
OF l0T NOW ON LOT RONT FT. � FT.
USE OF
EXISTING BLDG. SI FT
Separate permits are required for L. SIDE FT. FT. �''
electric, plumbing and heating work. ��
REAR FT. FT.
VS OF BU IDING AN WORK TO BE RMED DISTANCE BET. BEf. MAIN &
� MAIN BLDGS. ACC6S. BLDGS.
VAR. # OATE
C.U.P.� APPROVED
APPROVED d' /
W
1 hereby eeknowletl8a that I heve reatl this appiteailon anG state u
r
that the above Intormaiion Iz corract antl aBrea to comply wlth a
nll lows regulating buildin8 consttuction, entl I shall noc amploy
any perwn In vlolatlon of Me workmen's compenzation laws of ;
the Staca of Celifornle.
I hereby certify that I em properly Iicensetl es a contractor untler SQ. FT, n
the State of Celifornie Business entl Professions Cotle, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR d
Chaptar 9, an0 thet such iicensas era in tull torco end affect, or I THE PVRP06E OF ESTABLISHING A PERMR FEE ONLV: �
am ezampt tr provf3lo s ot tha Steta oi Celifornia Bu Inezz �
VAIUATION � pERMIT FEE E n
antl Prot ons Code, Divis�o 3 Chaptar . -
AN CHECK 5 �
SI atura of
P mittae � 'L $�� O TAX S �
{
Authorizatl A9ant TOTAL PAID S �
OWNER ��j,�g�
JOB ADDRESS 501
GENERAL CONTRACTOf
AP No. 1$-032-0�
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
P0.0P. SWR. LINE � HOUSE
SPRINKIING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CON
TEMPORFRV SEFVICE OR POL
UNbERGROUND � POWER
ROUGH WIRING
iRENCHES � FORMS �
FLOOR SVSTEM
BONO BEAM � STEEL RE
SNEATHING
FFAME ANO FLASHING
LATHING — IN n OUT [
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AI.
PLUMBING, FINAL ANO GAS T
ELECTRIC, FINAI
aiui niur. ciuei _�
C
A
DATE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX iZ00 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS 'l. � �itp�(JF/CJ� D � � VL''
OWNEF CL�IQ �L� S CALL //U.S
CITV
BflANCH f-(JLL/c`��G�!/N
ADDRESS
ARCHITECT'1i,� ;IA��nn
TEL.
NO.,
L
CONTFACTOR /f �/r�/Cf/(/(i ,G�/((/{(. N(U
ADDRESS J/�(�BLN yUL
TEL.
CITV (I F NO.
STATE CITV �
LIC. NO. LIC. N
S12E /� V / �O NOW ON LDOT�
OF LOT �o �. �
VSE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUIIDING AND WORK TO BE PEFFOFMED
I hereby ecknow�atlge thet I hova raeA thif epplication and atete
that tha abova Informetion is eorreet antl aBroa to comply with
ell laws ropuletln8 bu(itling construcHon, entl I shall not amploy
eny parson in viPlotlon of ihe workman's compensation laws of
ffie State of CelHomle.
I hereby certity [hat I om proporly Iiconsetl ae a contrector untler
the Stata of CalHarnia Businoss antl Protattions Cotle, Dlvision 3,
Cheptar 9, entl tnat such Iicenaea ere In full forca anC offect, or I
am exampt irom ��a provialons of t�e Steta oi Callfornia Buslnecs
anC Profazsiona Cotlo, Divlalon 3, Cheptor 9.
������ i
SIB�at�ra of
Parmittea � ✓✓
Authorizetl Apunt
Pa;u trt � xn
S"r.P-4-75�,,,,00 ��s.� 5.50
APPLIC TI N FOR STRUCI'URAL PERMIT
RECEI DATE RECEIVED
r
[' PERMIT NO.
A.P. NO. 7I �
AD'DR'E 5 �� I
� S�
TRACT LOT BLOCK
W A A P
OWNE / 1 �"
VALUE
S � S
FIflE
ZONE T PE GROUP
APPROVED
BV DATE
ZO NO.OF USE OF NE /f'Jl%'
I PLANS BUILDING
VARDSAPPROVED VARD APPROVEO
VAR. Sfi
C.U.P. 5}'�
BEf. MAIN &
ACCEa, BlD
DATE
APPROVED
N
n
m
o'
2 S�. FT, cm+
THE AMOUNT SHOWN UNDER VALU�+TION IS FOR m
THE PURPOSE OF E5TABLISHING A PEflMiT FE ONIV: �
VALUATION PERMIT FEE § d
I N
ro
PLAN CHECK § �
0
LL
S TAX f � � �
U
TOTALPAI� 5 �/1
� 2�973
COSTA MESA BUILDING-SAFEIY DEPARTMENT
P.O. BO% 72J0 COSTA MESA, CALIFOANIA Y28YE
OEC 27-67P-"-q�iD-00 432} **+*90.00 I