Loading...
HomeMy WebLinkAbout1646 Tustin Ave - Building Permits ADDRESS CcBSL0P0 1646 TUSTIN AV W" CITY OF COSTA MESA — BUILDING PERMIT OSNERSNAMEIpaa*N: RUST, DOROTHY H TR PERM NO: B 073257 ADDRE5s' 1644 TUSTIN AVE COSTA MESA CA 92627 PERMIT NO: B 073257 PLAN CHECK NO: N GOVT: N SUPP : N t ( 714 ) 645-7248 APPL.IAAIIRIG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH 1 ARCHITECT OR ENGINEER: LC.NO.: JOB DESCRIPTION : REROOF WITH COMPO SHINGLES OVER COMPO SQ FT: 3, 100 1 ARCH.OR ENG'S ADDRESS: OMT: CLAIM VALUE: 3 , 100 . 00 CALC—VALUE: 3, 100 . 00 GROUP OCC : R-3 / OONnRACTOBSNAME ROGERS ROOFING COMPANY ( 714 ) 995-2826 CONTRACTORSMNwa 4912 LINCOLN AV COMMENTS : NEW COMPO ROOFING OVER TWO EXISTING COMPO ROOFS ,{•� CIOIZ AWRESS: CYPRESS CA m.440,m.440, 468874 iE�E�tat******it*********+E*�E****it+r*�E -* -�E�E*** -iE�t-+t�E*******r**�t***�>© �it U� p 90630 OMI: ZONING REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby allies under penaly of perjury that I em licensed render provisions of Chapter 9 SETBACKS REQUIRED (commenting withd Section 7000)of Pidgin 3 the Business and Professions Code.and kenos nss is in MI force end effect. crTYUC.No.:035049 uCCLASS: C 39 '1' 468474 EXP: 09 /95 MAIN BUILDING ACCESSORY BUILDING oma: Z /ey 97 Contractor: f �Y FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm wider penaly of perjury that I am exempt horn the Contractors License Law for the following reason(Stadion 7031.5Business and Professions Code:Any cNmcounty width requires a permit tomnab"ct a°'.improve. PARKING REQ: PROV: PARCEL : 42514348 ZNE: REF NO: ' bmdish,a rear any structure.prig ton issuance,also requires the applicant for such penin to file a signed statement that he or she i licensed pursuant to the wovitias of the Contractors License Law(Chapter 9(commando;with Section 7000)of Division 3 d the PLANNING NOTES> Business and Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > . 7031.5 by any applicant lova permit subjects the applicant tore dei penalty dna more than the hundred dogma 1950011. ******************************************************************************* ❑ I,as owner of the properly or my employees with wages owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended D E V E L O P M E N T S E R V ICES E S R E U I R E M E N T S o offered M sale(Section 7044.Burne Business and Professions Coe:The Contractee License Law does not apply to en Owner of popery Q who bulls or improves thereon.and who does such work himself or herself or through he or her own employees.provided that such improvements me rot intended o offered la sae.fi,however,thebuilding a inpnwermentissddwithin oneyeed comgMion.Ihe ZONING APPROVED BY DATE: owner-builder will have the burden d proving he or she did not build or improve for the purpose of sea). o I.as owner of the property.am exclusively contracting with licensed contractors so construct the project(Section 7044,Business and Professions Code:The Contractors License Law does red apply w to en oner of property who builds or improves thereon and•dc BUILDING APPROVED BY :_ _ DATE: contracts ler such projects with a contractor(*)licensed pursuant to the Contractors License Law). Ellamexempt under Section: B.aP.C.,for this reason: APPLICATION ISSUED BY: t 0DATE: 1F1� *S-- Data: Owner: _ **********************.www'iF ..,. . . . ***** ********** I do hereby certify tetant I aware of and understand the requirements of Cerlomia Health end Safely andSediona 25505.25413, LEGALIZATION :N FE SUMMR Y STRUCTURAL SEGMENT:Y 25534,and that I Or any future building occupant will/will not(drcle one)need to comply with said pate codes end the requirements for e pemhh foconeuuclion o modification hen the Ai a�iuliy wgement Disrict.Residentialmhengion appicationsen exempt horn these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions PERMIT 63 . 00 . 50 Dale: Applicant: SMIP/NON—RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of one s of the following declarations: PLAN ❑ I have end wit maintain a certificate of consent to sefinsure for workers compensation,as provided for by Section 3700 d the Labor ISSUE FEE Code,fothe pede amenceoftworkforwhichthisperniiissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ® I have and wil maintain workers'compensation insurances.,required by Sedion 3703 el the Lalthr Code,for the perfonnands of the TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00 work for which this permit is issued.My woken'compensation insurance carrier and policy number me: Carder: rAT. romp EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT: . 00 Policy Number: 149S"°11593"°"/ 02 /26 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (Thia section need not be competed if the panne is for one hundred dollars(5100/or en.) 63 . 00 . 50 ❑ I candy that in the performance of Ihe work for which this permit is issued,I that not employ any person in any manner w as to become subject to the workers'compenepion laws o California.end Wren that i shod become 1 shbece eubled to IM workers' ******************************************************************************* compensation provisionsofCode.sa Section 3700the Labor Co .I shell m forthwithcorn those ptov era. INDIVIDUAL F E E BREAKDOWN — Dale: 7-v 4'_4 T Applicant: 9. la. .L."... Warning:Faure to secure workers'comgnssdon coverage le unlawful,and shall meper an etnploysr to admired penaltles end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST dvll Mrs,req to one hundred thousand dollars(1104000A In addition to the cost of compensation,damages as provided for In Setlo 3706 of the Labor Cab,Interest,and attorney's leu. SFR 3100 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 100 . 00 CONSTRUCTION LENDING AGENCY:I hereby elfin"under penny of DOM Nthat there e a conatndion lending agency for the END OF FEES performance of the wore for wthis is permitissued(Sadist 3097.Ce.C). - LENDER'S NAME . LENDER'S ADDRESS: I cenify that I have reed the application and pate that the above information is correct.I agree to comply with all ay and county ordinances e nd state laws miming to building construction and hereby authorize representatives of this city to enter upon the abovementioed property for inspection purposes. r— 6•A /'7o6` AT Print Name f°�Signature/1�Qene Dme: —/y SS 01 001861 0-OOISA171 TOT 63.53ownm/A AgnVAppkunuCgntreda 7 PATE: 0711,4.ST TIrE: 13:16 (5151-48 W PI Wbte-Buikkq A Safety:Green-Ale:Canary-Appicarn:Pink-Revenue:Goldenrod-Asaeeor CONSTRUCTION AND PLANNING PAG . SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -' 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER.GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd-,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65, Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer 7- /7_ Ll t� it roof -did/ 43. Backflow Irrigation [t L ffv�- 44. Landscape Irrigation System 7 2e. Y 5 - k ea- 525. ?C-1, 45. Sound Attenuation;. C 46. Handicap Regulations p 47. FINAL STRUCTURE.& L BUILDING 7 S`bC (/] 48. FINAL PLANNING (�- 49. Electric Release to Edison" 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date l `06 _ AC.1k41 lc Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER IT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MEA CONSTRUCTION PERMIT 3993 6/20/27 7p01� TL . ProlecrAddress i T .t�i�l a9gg7 I Applicant's Mailin Address �- / 1G. J��y�1_��J��-s TYPE OF CONSTRUCTION LJ NEW U ADD L i ALTERATION U REPAIR Owner's Name c7OC. DT Ate( t�k/ Phone/s f_ Z4O ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # Zone DESCRIPTION OF WORK/USE OF BLDG. Address �� ea ..-A ► - i . . - S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL T Front 0 Address t,,�A uA �--� ��f /_ r' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING v.MECHANICAL B Rear• A N �• 4...K 1�' 7PhoneSb lGE ❑ 'OTHER C Right N Contractor's Nam G //���� 'FL' PROJECT DESCRIPTION SQ. FT. OCCUPANCY Gq�2 CON ST RUCTION TYPE VALUATION yh©I ATION $ S Left. -- City License No. ( / [ J • ZONE GRADING Cu.YDS. ACRES R- LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: L L �(�� (� - pQ� M `;ti\j\`Cv—J with section 7000) of Division 3 of the Business and Professions Code,and RECEIVED AU�1 2 0 117Y/ T my license is in full orce a ffect. Ucen Class - Licei se No� S Date S'g- t PLUMBING FEES WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES 6 of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) • - - • Automatic Washer Transformer 0 15-50 KW - - • . Policy Notion- TOZuO'0A Compana Backflow Irrigation Sewer Cap0 50+KW gConstruction Pole Sub. Certified copy is hereby furnished. �1 ' DateCer�J',fienifjpy is fWpd with the citkM'gg Division-- \ Bathtubs Sewer Connection L ' Cooking Unit Meter ❑up to 100 amps ' ` ` -� Applican ..// r • EXEMPTION FROM WORKERS'CO PENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or less). • Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel • I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Fan Motors 00-1 HP 01Y2-B Workers',Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar'09-15 HP 016.15+ ' 'NOTICE:If,after making this declaration,you should become subject to the — - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. - . - Microwave . CONSTRUCTION LENDING AGENCY Gas Service ' Outlets Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light . of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Name an 9e Lender's Address Kitchen Sink - Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit _ P to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law(Chapter 9,(commencing with Section 7000) of . Division 3 of the Business and Professions Code) or that he/she is exempt ' therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - 0 I, as owner of the. property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered I - Reinspection Fee $15 'Issue Fee $ 3 'for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type I I 0 • Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). ' ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued By -. -_ _rDate / tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU ❑100,000 BTU • SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- _- tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $ ofExhaust System 0 Multiple 0 System Repair/Alteration proof their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.8, P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers ISSUANCE $ -- - PLUMBING $ Date Owner Xing System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above -/ -100,000 BTU 0100,000BT - 4. co ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- sentatives of t.' ity to en Lir upon the above-mentioned property :for ( (/(J inspection p �a ,s ` _ /]") 8 1� 81 MECHANICAL $ I/. TOTAL FEE S CO Signature VTC 1C3-'�BLL�.� Date Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 a-- PLAN CHECK 25% $ CMF 0865.46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • :I--; _ '_ CONSTRUCTION AND PLANNING POOL & SPA • APPROVALS - Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8' Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final _ 15. Rough Electrical-Conduit 66. Solar System-Final 16- Rough Electric Wiring 67. Fencing & Access Approval 17'. Rough Wiring Sign 68. APPROVED FOR PLASTERING • .18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -20. Rough Factory Fireplace APPROVALS. Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 1-27-* 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 1'TI C") 42. Backflow Preventer i 43. Backflow Irrigation 44. Landscape Irrigation System'J ,� 45. Sound Attenuation f( - r 46. Handicap Regulations =+ 47. FINAL STRUCTURE & BUILDING :>r 48. Special Requirements Compl Al 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co • _ i 51. CERTIFICATE OF OCCUPANCY No. Date k.13 7-- -t% r - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY. OF COSTA'M�EAS�A_ CONSTRUCTION PERMIT PER11�ITeNO. T TRACT NO. LOT NO. UNIT NO. 3992 8/2E'�=7 70(]x! TL gileg . Project Address I1< Vt ft"f t(.Us�` 1 �e /Vll o'l� I—� ' Applicant's Mailing Address 1.9� trityl ; VG.."( f TYPE OF CONSTRUCTION LJ NEW ❑ ADD Li ALTERATION ❑ REPAI R Owner's Name / '� Phone 10 CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # Zone ,{ 1 VT ! La \ DESCRIPTION OF WORK/USE OF BLDG. Address 11�-t-r0 '�l-� i /S. f \� S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT IDGRADING ❑ FOUNDATION 10STRUCTURAL T Front • O Address 'A .�p,r.-�(� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N tom' ` _ w S � �-�/ -11��2 ❑ OTHER Contractor's Nam k4t' \ Phon 13 - C Right • N PROJECT DESCRIPTION SQ. FT. " G Address(mailing)_:7C197 `T t_'z_--( Qt.-- OCCUPANCY K COclA� CON STRUCTION TYPE VALUATION $ - s Left , City LicenseNo. ZONE - GRADING CU.YDS. ACRES R• LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that.) am licensed under provisions of Charter 9 (commencing Remarks: • Planning Notes: _ _ __ - M with section 7000) of Division 3 of the Business and Professions Code, and C i • UG .; V i�a7 my license is in full force and effect. Q _ t _ . FC GI,Ci V CU lit / T LicenS Class • License N :1�—R4��YQY',�s�0 — S Date Signature PLUMBING FEES ' WORKERS' COMPENSATION DECLARATION z \ Bar Sink Showers •ELECTRICAL FEES \ I hereby affirm that I have a certificate of consent to self-insure or a certificate • if Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, La C.) ,1' `- Automatic Washer Transformer ❑ 15-50 KW - - Policy Nc��i%�'�� Z 'Q�iompany �.� 1��'�rQ lr • Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW • ❑ Certified copy is hereby furnished. - er etl��}}Rp��''is filwith the ci��YY--66w��� ing Divi s' ��//1 Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps Date a. [�(- 95.41. App lil °.� -�l.Y"� EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors -, Dishwasher Meter Dover 100 amps' • (This section need not be completed if the permit is for one hundred($100) or Dishwasher less). Solar Piping • - Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan. 'Motors 00-1 HP ❑1 S-8 Workers' Compensation Laws of California. , Date Signature Floor Drains • Swimming Pool w/Spa F.A.U. -Inc.Solar'❑9-15 HP 016-15+ 'NOTICE: If,after making this declaration, you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave - - CONSTRUCTION LENDING AGENCY - Gds Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance - POI¢ Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Ran e Lender's Name 9 Lender's Address - Kitchen Sink - Water Service • • Switches OWNER BUILDER DECLARATION Sign I hereby affirm-that I am exempt from the Contractor's License Law for the 'Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit _ Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains . . the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - . Division 3 of the Business and Professions Code) or that he/she is exempt • - - • therefrom and the basis for the alleged exemption. Any violation of Section - 7031.5 by any applicant for a. permit subjects the applicant to a civil - _ '9nalty of not more than five hundred dollars($500). I, as owner of the; property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered _ - Reinspection Fee I $15 Issue Fee $ 3 - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an'owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: . employees, provided that such improvements are not intended or offered for Boiler • Hood or Type I 0 Zoning Approved sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 9 pP By • Date p , the owner will have the burden of proving-he/she did not build or im- Duct-Under Ground Building Approved By - Dat prove for the purpose of sale). • _ _ : ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By al Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES ' builds or improves thereon,and who contracts for such projects with a con- . tractor(s) license pursuant'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT .�.Qw, . ❑ I am exempt under section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ �y Date Owner A\He;3ting System& Ducting I Registers - _ PLAN CHECK 25% $ ' ENERGY P.C. $ I hereby certify that I have read this application and state that the above LL,, JK. 0-100,000 BTU 0100,000BTL _4_o ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances - - - and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ 01CROFI LM $ sentatives of this city to enter upon the above-mentioned property for yy��,��y�� �" inspection \ 8 `q �,� - MECHANICAL $ �'Ya' "�t TOTAL FEE $ mQ Signat ur UJ Date Reinspection Fee I $15 Issue Fee $ 3 --- PLAN CHECK 25% $ Drivers' LI dose or SS# ` CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ' • N . _ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS - Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduif-Undrgrnd. 8' Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System _ 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final •• - 16. Rough Electric Wiring - 67. Fencing & Access Approval _77, Rough Wiring Sign 68. APPROVED FOR PLASTERING • a$. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS- Permit# 21- Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31.,Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning `26-Y2 L.CO 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation .e• 44. Landscape Irrigation System _ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -OWNER misty if N_ DATE 1-23-59 JOB ADDRESS 1644 -1646 Tustin Avenue BUILDING PERMIT NO. 84136 GENERAL CONTRACTOR G. T. McLaughlin VALUES 19,146.00 10.71q212- 1 ii o. LOT 57 TRACT Npt EIRE ZONE DESCRIPTION OF WORK Duplex and att/gar G QUP I gr J TYPE .V ZONE R4} PLAN NO. 86 : .. Ms 6)1U$ 6e`'»+ "' PERMITS ISSUED l ;__ TI 53 y.,�/ s-/cryr DATE SUBCONTRACTOR 0 /-V DATE NUMBER Trenches Form Steel-b 74VA-9 Floor System v i!. P'- Air/.$-9 . Steel Reinforce C ey Re-Rod F_ . Shing �.,3 1011/4/45-7/ — Framc and Flashing Lathing, I Out �f Plaster, bro coat 'I 19 S9 Underground soilf,J.fC W/G Pipe -t%,,y�-,2-5-r! Top Out i^30S1 Furnace 8453-/3-S-* en/Lotto zfrec Ater, ';fl-57 -77---V- ----n-TA----- Gas -%f, Gas Vents �•` 1/1` Rough Plumbing JI'}-f5 3-/ 7-St1 mmn,W'k,.,xra•NP'. i-A-fi-V/ 170 L�/, I Cesspool Septic Tank IrI Prop. Swr. Line House Con. St. Swr. v.1 Sprinkling System \ /I Heating Final lW//S e/-22 t39 P!l,�`tiing Fixtures, Final 61.145 4-30-53P lip E+.:i;;`Gas Test/S'-/S /14-1< 41-3o -5 1'l ,' Construction ole Underground Power /Es 2.y. Rough Wiring �7 ate, . - - - ....../3 Fixtures, Final 5 L Q9e3'Si II, \ my _OCCUPANCY 2J. ,f_ Ii I rU Form 210-5M-1-57 I ti436 8436 : k RECE 9ED COSTA MESA BUILDING DEPARTMENT FINANCE JAN19 1959 P.O.BOX 317 ITMI C�AIUCE pDEr�V11C.p^ COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDIN RESSG /6w-/CVc rust/,(/ AVE BUILDING ADD COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY p/1 ( '7� RECEIPT NO. ,P�.R.�M!IT ff O./ OWNER C/) 1/. /IoS r Pe 7 ADDRESS 2 71/7 F2�z/a ay. 34AI ,%4QiIO RECEIVED - / /ATE- RECEIVED� 1 E I55'%y . � ) ,y ` TEL. BUILDING /.C6/ YV_V.& sy,,3Eg�� CITYJA/V /rA��1 v(J �L.b� NO. ADDRESS ARCHITECT r ( LIC. COSTA MESA. CALIFORNIA OR EN^ NEER jory A NO. FIRE ADORL.,S ZONE A renC`w, ICIW� ZONE NO.OF TYPE GROUP (D MIV C TY LIC. PLANS / v CONTRACTOR if-./ No5-�;c,�_G�//O v /P,3/oCEAA/ .r3L r/O TELOR-%SO l 6. APPROVE • �µ DATE �S ADDRESS /3/{ L.,gd.4 ) G4c/F NO. BY LEGAL L ESrF4'Sp IZO'0% PO,eTlsem r CORRECTIONS DESCRIPTION NCIAdL' PV BLOCK T A.P.NO. // / --. -5! t;_ --• i/ /0 SIZE lO ] NO.OF BLOCS. /�� APPROVED OF LOT(� / X /!�� NOW ON LOT (/ APPROVED �I��AII R LLL USE OF 6 CITY OF3STA MESA EXISTING BLDG. l.. • ' PL-.i+I .A DEPT. SENTER LINE FROM(, IL/ ry T REAR YARD /{//� SUBJECT TO LUG. DEPT. REG. CENTER OF STREET(J O I / / �� /� SIDE YARD RIGHT Of LEFT /D, r� J' 'n E its �-�/ 1 DESCRIPTION OF WORK BY /!//�Y7L �/ DATE-l=-r-1- / PLAN TCC NEW ALTERATION ADDITION REPAIN MOVING .+.DEMOLISH SIZIELOING2IZ usji ROOMS /V STORIES EXTERIOR WA7Lll�� t�f ROOF COVERINGf✓OPO 1✓/UGCd COVERING �O H/J / �7 / //� USEOFNEW/J'In SC51,0��,G/e /p [ N L U BUILDING I(/ /A / (Ge _ .moi(. �.1/D �i4iQ/¢G E �d'O �', The Amount shown under valuatinn is fnr thn I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing'a permit fee only. CITY ORDINANCES AND STATE LAWS REGULATING,BUILDING CONSTRUC. TION. VALUATION L� SIGNATURE OF �'!C I 1" PERMIT FEE S �!. PERMITTEE /� r" / /��� PLAN CHECK $ /y, 3-0 9/ AUTHORIZED AGENT I J_ Q' TOTAL FEE $ . . v '9M, Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PEY IIT NO.i TRACT NO. LOT NO. BLDG.NO. • CONSTRUCTION PERMIT /[/` /-j/ 7873 9/ 17/82 5.00 1 Project Address/414,1 --772S fi,y der • TYPE OF CONSTRUCTION Owner 6/g,- //4AI "if',/_.5:7" PhoncjO-94Lf 0 NEW 0 ADD 0 ALTERATION 'nil . 'Address 374/04, 0 REPAIR 0 CONVERSION ❑DEMOLISH �/ ZONING REGULATIONS Arch/Eng. License No. 0 OTHER • �.Address - DESCRIPTION OF WORK A.P.q+' ZONE' Contractor-7e Ph6ne'1'r BUILDING- PLNTGp. BtUI LDING , /( � �JfyrY/ti ���� T/(� //Z'.350%A TYPE OF PERMIT SETBACK C/L$T. PROPERTY LINE _ !Address/53.3 /,} LA.//.4/� •- .0 GRADING ❑ FOUNDATION ❑ STRUCTURAL" SI❑ETYARD LICENSED CONTRACTOR DECLARATION '- 0 TENANT ❑ELECTRICAL PLUMBING OMECHANICAL SIDE YARD - ' I hereby affirm that I am licensed under provisions of Charter 9 (com- r RIGHT • mencing with section 7000)- of Division 3 of the Business and ❑ OTHER - - . - - Professions Code and my license is in full force and effect. - REAR YARD(TO P/L) , L 3& /1�'r7 (PROJECT DESCRIPTION _ - - Litens lass �e License No. PRG.SPACE REQ. PROVIDED ,I Date-'F I^ Signature V�/-4T .�4- r .P/P SO. FT. .- • - • - • WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure-or aVALUZONE I 'ZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a certified'copy ATION' _ - SPECIAL CONDITIONS: •eof (Section]3 00, Lab.C.). !/) GRADING CV.'VOS. ACRES - :yNo. v44-eq0 Comeany / 'ef�//e-Y 7715 ' ' ' " - .- � Certified copy is hereby furnished. - -. - - -REMARKS: . _ - U"-Certified copy is filed with the city Building Division. ,-, I EXEMPTION FROM WORKERS' COMPENSATION DECLARATION . _ - - - - ' '• ' ' - - (This section need hot.be completed if the permit..is.for one hundred - _ ' ($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 -" subject to the Workers'Compensation Laws of California- _ - - UW ILLINV VHHHbE Date Signature BATHTUBS SHOWERS SO FT. SQ FT ' NOTICE: If after making this declration, you should become subject TOILETS42 IU•, 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 DOUBLE LAVS -- - - --- 'APPLIANCE . 10-50 KW— .50+ KW - ''revoked. -' - - 1 - - -- -- - 'KIT.SINKS- - ' DISHWASHERS' - - MOTORS - - ' 0-1"HP_1-10"HP" • - CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS 4 SUMPS - - (INC.SOLAR) ' 10-50-HP_.50+-HP - - formance of the work for which this permit is issued (Section 3097 ' - Civ' C.). FLOOR SINKS FLOOR DRAINS FIXTURES ' OUTLETS ' SWITCHES - -- - • Lender's Name _ _ _ - Lender's Address DRINKING FOUNTAINS- - GAS TUBE SIGNS ' - - - , OWNER BUILDER DECLARATION -- INTERCEPTORS CLARIFIERS POLE LIGHTS - - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason"(Section 7031-.5 Business and Professions Code; SWIMMING POOL P TRAP - . - LUNSI.HUL IUry - Any city or county which requires a permit to construct, alter, POLES METERED SUB • .• improve,demolish Sr repair any'structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION - •PANELS - MAIN' ' - - SUB - - quires the apilicant 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 1�� , - • - •- • 1"-nsiness and Professions Code) or-that he is exempt therefrom and the' "WATER HEATERS BTU OUTPUT r - -- 42'sis for the alleged exemption. Any violation of Section 7031.5 by ;fii`iy applicant for a permit'subjects the applicant to a civil penaltySEWER CONNECTIONS' --- - bf not more than five hundred dollars ($500). - - ❑.1, as owner of the•property, or my employees with wages as their SOLAR TANK - COLLECTORS \`_ i:: v , - I sole compensation,.will do the work, and the structure Knot intended _ - " or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE" - ._ - _ ' "' Contractor's License Law does-not apply to.an owner of a property_ APPLICATION APPROVED BY who builds or improves thereon, and who does such work himself or ISSUE FEE - DQDATE - through his own employees, provided that such Improvements are not _ Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECKI SUMMARY OF FEES ,t, is sold within one year of completion, the.owner will have the burden of proving he did- not build or improve for the purpose of sale). - BUILDING _ - -- - - - - HEATING SYSTEM 0-100,000 BTU I PERMIT $ SMIP •j. $ ❑ I; as owner of the property,-am exclusively contracting with- AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000 + BTU , and Professions Code: The-Contractor's-License Law-does not apply to- PLAN CHECK $ PERMIT J an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU , -PLUMBING $ .1 (}-!� ISSUANCE $' .-. tracts from- such -projects with a contractor(s) licesned- pursuant to SYSTEM - - GRADING .$ - the Contractor's License Law). 100,000 + BTU PLAN-CHECK $ ••�7 0 I am exempt under Section - B.& P.C.for thisBOILERS BTU ELECTRICAL 5 $ • reason - - - PLAN CHECK $ - MICROFILM $ , �1 SYSTEM REPAIR,ALTERATION J Date Owner TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ LESS AD- information is correct. I agree.to comply with all city and county - PLAN CHECK $ VANCE PC $_ ordinances and state laws relating to construction,and hereby authorize . representatives of this city to entupon the above mentioned •1 property for 1r16pection urpose c� �J Signature Pr)!n , AL A. ..4'7f 4, Date ( 2-1 FINAL FEE $ Drivers' License or SS* ) ISSUE FEE CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor l e43 7 -7451/- N�,d'C f%a CONSTRUCTION AND PLANNING/j p/ POOL&SPA APPROVALS Permit 4 r�t{OtP41 Date Inspector APPROVALS Permit 4 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, ❑ Undrqrn,Test ' i .9. Water Pipe-Undrgrn _ - ,- - 51. Backwash Lines, P-Trap;❑ Undrqrn 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 System - Final - ' . 14. ,Rough Electric-Conduit - - - •56. - Electrical-Final 15. Rough Electric-Wring - - - - -- 57.- Solar System-Final - 16. Rough Heating & Air Conditioning , - bB. 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. 9/j.0/n-. n-f • 32. Water Service-Final t • 33. Gas Service-Final - - 34. Solar Domestic-Final • - 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations - . 38. FINAL STRUCTURE& BUILDING - ' 39. Special Requirements Completed 40. Electric Release to Edison - • - - , 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - • -