HomeMy WebLinkAbout3076 TYLER WAY - Building Permits • �y . CITY OF COSTA MESA
y ► BUILDING DIVISION
t' fa ' DEVELOPMENT SERVICES DEPARTMENT
B98-00793 174
k PERMIT PERMIT NUMBER
(714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
•
Job Address: 3076 TYLER WY Status: ISSUED
Suite: Applied: 05/08/1998
Vicinity: Issued: 05/08/1998
Parcel Nunmber: 14160447 Zoning: R1 R1
Applicant: SCIANDRA, KATHY
Address: 3076 TYLER WY
Phone: (714)662-5450
COSTA MESA,CA Zip: 92626
Owner: MC NULTY, MICHAEL D
Address SCIANDRA,KATHY J
COSTA MESA,CA Phone:
3076 TYLER WAY Zip: 92626
Contractor:
Address:
Phone:
Zip:
License:
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
ADD 120 SQ.FT.TO FRONT OF GARAGE RESULTING IN A FRONT SETBACK OF 19 FEET
FEE SUMMARY
Plan Check: $48.59 Calc Valuation: $2,580.00
Permit: $74.75 Claimed Valuation: $0.00
Other $0.00
Inspection: $0.00
Total: $123.84
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 19-0 Rear 14-0 Left 5-0 Right 5-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 . Proposed: 0
NOTES:
•
EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
I
, DECLARATIONS •
WORKERS'COMPENSATION DECLARATION: -
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have end will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: . Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,end agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
*nature:lIVYNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her lawn employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions
Code:The contracto ' License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to •:Co rectors License Laws.).
❑ I am exam t .er se.. Al Business and Professions Code for this reason: /
Signature: / a " Date: Lv�/�l/�l e'
Owner ID veri ed by drivers nse. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? L-I Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agencIs required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF OMP ANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I 'gr:. o cora with r state laws d city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- ibed for i'spection purp to occupy or allow occupancy of any building authorized by this permit until final inspection. p
J _ cis - (-PP 9/78
Signature Of Legal Owner(s) Date
•
And/Or Authorized Applicant Date /
CODE L INSPFCTION TYPP DATE INIMALS MU INSPECTION TYPF DATE ILLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa'Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Piece 220 Final Planning Approval
•
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy t ZI23r48
2446-46
•
4F CITY OF COSTA MESA
y � BUILDING DIVISION
I. I .7" � ' DEVELOPMENT SERVICES DEPARTMENT
u• ; PERMIT PERMIT NUMBS
E98-01160 (/
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA CA 92626
ELECTRICAL PERMIT / cie
Job Address: 3076 TYLER WY Status: ISSUED
Suite No Applied: 11/04/1998
Vicinity: Issued: 11/04/1998
Parcel Nunmber: 14160447
Applicant: MC NULTY, MICHAEL D
Address: SCIANDRA, KATHY J
COSTA MESA,CA Phone:
3076 TYLER WAY Zip: 92626
Owner: MC NULTY, MICHAEL D
Address SCIANDRA, KATHY J
COSTA MESA,CA Phone:
3076 TYLER WAY Zip: 92626
•
Contractor:
Address: -
Phone:
Zip:
License:
SCOPE OF PERMIT
TO GARAGE ADDITION IN BUILDING PERMIT#B98-00793 ADD FOLLOWING ELECTRICAL WORK:
4-LIGHT FIXTURES;9-RECEPT/OUTLETS;2-SWITCHES;AND 1-SUB-PANEL.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 -- Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 .0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $4.00 4 up to 50 kva/kw $0.00 0
Recept Outlets $9.00 9 up to 100 kva/kw $0.00 0
Switches $2.00 2 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00 0 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $27.25 1 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $64.25
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit
FOR INSPECTIONS CALL: (714)754-5626
•
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: -
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier end policy number are:
Carrier: Policy Number:
(Thls se need not be completed if the permit is valued at one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and ree t I should a subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these (,� q�
Applicant Signature: • h� Date: Win/ / .. /
WARNING:FAILURE TO SECURE WORKERS'COMPE SATION COVERAGE IS UNLAWFUL D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED
THOUSAND DOLIARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37C6 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full
force and effect.Lic.4 Class 4
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner o1 the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner o1 property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year o1 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
se pursuant to the Contra •r ' :• Laws.).
la I am e�re ,lt ender s . J/ A . Business and Professions Code for this reason: C
Signature: ,(/[A ' Are 'r,9'` Date: 4o tr V' p0
Owner ID v led by drivers li -nse. ❑Yes 0 r Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? fLi Yes O No
(Section 65650.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(if'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No
8 (if yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION 0 ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all stet nd city ord' a ces relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- pr ortjcfor' pact s grcciascrry
u or allow occupancy of any building authonz y this permit u final inspection.
Sig eture Of Lege Owner s) �� Date Ca,
And/Or Authorized Applicant Date
CODE I DISPECTtON TYPE DATE INIMAL$ Cal IN<PECT10NTYPE seg =ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 20 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval '
203 Final Sign 222 Final Site — •
204 Final Demolition 250 Final Building/Occupancy
2446-46
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _
5- Applicant
�CONSTRUCTION PERMIT PERMIT NO. TRACT_NC/OO LOT NO. UNIT NO.
'
' Protect Ar ress 3071, 1 f t ER way' 1 -2_7g
7 g g+ Lt� 5 � �/j7J 7
TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LW ALTERATION ❑ REPAIR t -'I.J
Agitcant'S Mailing Address ,3076 -T ita-I`Ihl/ V r
♦•' ❑'CONVERSION ❑ DEMOLISH ❑ OTHER /441 /�/�c/ -e !7 C /
Owr;,+r's Name -VtyJCMEL D • M<Nw. Phone 412 7152 DE$CRI ON OF WORK U$ &DOG.
A.P.# LLl / 7/ i '�?/¢. •:
Address ��6���� t�iiT/O CLcS'C//LE• lq S Main Building: S LI, Acce g: /{/ r- ". Z
Arch/Eng. A(// d License No. TYPE OF PERMIT 0 GRADING ❑ FOUNDATION 2 STRUCTURAL T Front rr pvt(J,f-�ynrlm����,tt,,�-a.j O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear\- �tl+�VJ11AIrIUttSA N
Contractor's Name ok1NEQ - [jtl1L-flF$ Phone SN d'1E :❑ OTHER A n / I
�� C Right ' 01 N
PROJECT DESCRIPTION SQ. FT. _ OCCUPANCY K g - - °- - G
Address(mailing)g L N/hF CONSTRUCTION TYPE �/ - VALUATION $ 4,000• '° $ eft 5 - R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Nff -l-f'r �� � M
Notes: Mit-(tet
with section 7000) of Division 3 of the Business and Professions Code, and I T
my license is in full force and effect. �^
License Class + - License No. Pat"
"a P^i'l do 5 0 re, - $
Date Signature PLUMBING I FEES '
'YORKERS'COMPENSATION DECLARATION :ar Sink Showers
lereby affirm that I have'a certificate of consent to self-insure or a certificate ELECTRICAL FEES
I Workers' Compensation Insurance, or a certified copy thereof (Section —
W Pr¢v¢nter Service Sink
Automatic Washer - Transfor\ r
3800, Lab. C.) ,' Bac' s 0 15-50 KW
Policy No Company Company igation • Sewer Cap Construction Pole Sub. • \ ID 50+ KW
8 Certified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs, Sewer Connection Cooking Unit Meter Dup to�100 amps
Date •.Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION' Clarifiers • Solar Collectors Dishwasher- Meter (Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or .
less). Dishwasher Solar Piping - Dryers ❑Gas ❑Electric Sub Panel l
I certify that in the performance of the work for w ch his per it is issued, I -
shall not employ any person in any ner•ao t co a to to the Drinking Fountains Solar Tank Fan
• Wor omp9n ti rfLaws of Calif r - Motors 00-1 HP 01%-8
Dater/ P�f iCd /Signature1 �l(/ Floor Drains `Swimmi : 'ool w/Spa
NOTIC If,after making this declaration, you s uld become subject to the F.A.U. Inc.Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Lebo Code, you must forthwith - Floor Sinks Uri, Fixtures
comply with such provisions or this permit shall be deemed revoked. S Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Device Boxes
I hereby affirm that there is a construction lending agency for the performance ater et Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors , Water Heater
• Lender's Name A/ 2 Outlets V Range 40
-
. Lender's Address f ' O Kitchen Sink Water Service Switches Sign.
OWNER BUILDER DECLARATION g
I hereby of firth that I,am exempt from the Contractor's License Law for the Lavatories Auto-Wash • Garbage Disposal
following-reason (Section 7031.5 Business and Professional Code: Any city or g p 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 - ,
.herefrom 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 •einspection Fee I $15 Issue Fee $
compensation, will do the work, and the structure is not intended or offered y -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL _ Reinspection Fee $15 Issue Fee $ 3
License Law does not apply to an owner of a property who builds or improves -FEES 4'
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENT i�
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 // /2- _�C l 6 •5S7
,-sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By t -Al�� Date Cl3/20
pC(� v
plebe n, the owner will have the burden of proving he/she did not build or im- Du -Under Ground Building Approved By Date /a
prove for the purpose of sale). l o
❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Str rat Refrigeration System Application Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 B 100,000 BTU
builds or improves thereon, and who contracts for such projects with a con-
SUMMARY OF FEES
' tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multi - PLAN
$yste epair/Alteration _ BUILDING PERMIT $ //7- Spmp SMIP $ 0•50
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ LI• 3 p PERMIT
•
I' I am exempt under Section- B.&P.C.for this reason Firepl/Fact.Blt. ICBG# ire Dampers PLUMBING $ ISSUANCE S •
Date 1 -26- 17 Owner frfiKtI9EC .0. !L/LAYICJ/� Heating System&Ducting Reg - -I's ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0111,110BTV—
information is correct. 1 agree to c• ply with all city and county ordinances \ ELECTRICAL $ 3 •¢ GRADING $
d —
and state laws relating to b - di onstruc ion, nd hereby authorize repre- MICROFILM $
sentatives of i to -nter /y i<
.�.
th •)e-mentioned property for - PLAN CHECK 50% $• �.0 p
inspection .urpo `+ I�• '� Oar j 2 ? - MECHANICAL $ TOTAL FEE ,$ 3 ' 9
Signature , a.�ar
Drivers' License or SS, '-Inspection Fee $15 Issue Fee - 3 • PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - -
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS 'Permit# Date Inspector APPROVALS Permit# Date Inspector
•
1. Temporary Electrical Service or Pole : 52. Pool & Equipment Location • -
•
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55: Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. ' 57. APPROVAL TO 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, D-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 O Gas ❑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, t.
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 ISSUE -
33. Final Electric Notes: �J�'"/ `�{[ ' L/!'/tt/
/� 9Ca�l 6 C '
34. Final Heating & Air Conditioning �7�`--/�� � .
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
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
laineate
06W57
48. Special Requirements Completed '•.-yt
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - • '
•
No. Date
Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NO. n TTRACT NO. LOT NO. BLOC.NO.
CANSTRUCTION PERMIT /// \CJD3
.Project Address - .0 6 _ /r ` TYPE OF CONSTRUCTION I, 0-
Owner / Phoncc NEW 0 ADD 0 ALTERATION M 7s 9����`� IT�
Address gay 76, it 0 REPAIR 0 CONVERSION ['DEMOLISH ZONING REGULATIONS
Arch/Eng. License No. 0 OTHER
Address
' DESCRIPTION OF WORK A.P. .
• , ZONE PLNG. REF.la
Contractor/meq�l,��� hon 3 -[,(7 yPE OF PERMIT BUILDING PROPERTY' BVi NG
LI
Address f!j"'-"%-_— .� /�,."^` SETBACK C/L$T. LINE
S41/ ❑GRADING 0 FOUNDATION 0 STRUCTURAL SIDE VARO
—
DECLAR
LICENSED CONTRACTOR ION 0 TENANT 0 ELECTRICAL L LPLUMBING ❑MECHANICAS IEDFE VARU
1 hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code, And .y license is In full force a d `feat. REAR YARD(TO P/L)
LS Q PROJECT DESCRIPTION
License JO. icons° N•.- -• PKG.SPACE REQ. PROVIDED
o /�! SQ. FT.
Date '!S Signature ••• ` ' - - -eke - - STREET WIDTH PARK FEE$
WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING APPROVED BY DATE
certificate'of Workers' Compensation Insurance, or a certified copy • -
thereof(Soffit 0 rr+ C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS:
P-gcy No. i Compan�
earned copy Is hereby furnished. REMARKS: :1
-e // {�
rtified copy Is filed with the city Building Division. �Y
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not 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. UWELLIN(- GARAGE
Date Signature BATHTUBS SHOWERS 50 FT- co FT
NOTICE: If after making this declaration, you Should become subject TOILETS ' URINALS GENERATOR 0-1 KW_1-10 KW
Nk
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES • DOUBLELAVS - APPLIANCE '10-50 KW 50+ KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS "DISHWASHERS - MOTORS 0-1 HP 1-10 HP
•
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+ HP -- - -
formance of the work for which this permit is Issued (Section 3097
Civ. C.). - - FLOOR SINKS FLOORDRAINS -' - FIXTURES OUTLETS SWITCHES tLender'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 LOINS I NUL I IUN
Any city or county which requires a permit to construct, alter, _ POLES METERED SUB
improve, demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant for such permit to file a signed statement that he
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he Is exempt therefrom and the WATER HEATERS - - BTU OUTPUT / A 00 ' - -
basis for the alleged exemption. Any violation of Section 7031.5 by
• applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS' -
a more than five hundred dollars ($500). •
., as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS - - -
sole compensation, will do the work,and the structure is not intended - ' '
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property _
who builds or improves thereon, and who does such work himself or ISSUE FEE A co APPLICATION APPROVED BY DATE
through his own employees, provided that such Improvements are not
Intended or offered for sale. If, however,the building or improvement MECHANICAL PLAN CHECK
is sold within one year of completion, the owner will have the burden- SUMMARY OF FEES
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING
❑ I, as owner of the property, am exclusively contracting with .. PERMIT $ SMIP $
licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU
PLAN CHECK $ PERMIT
and wn r of Code: Thebuildsor Contractor's License Law does no[apply to O� ISSUANCE $
an owner of propertych--prwho c improves thereon,csand who con- REFRIGERATION 0-100,000 BTU PLUMBING
the 'nrom sus License
with a contractor(:) IIC¢Snetl pursuant to SYSTEM $ GRADING- $
the Contractor's License Law). 100,000+BTU PLAN CHECK $
o 1 am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $
reason - MICROFILM $
Date - Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $
MECHANICAL $ TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD-
information is correct. I 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 enter upon the above
U .jQyYW C,1C,/ ,3entioned
Sioperty fi>�tfl ¢etio Pur osCs. • Date O //
FINALFEE $ ✓e 0Signature i
Drivers' License or SS 44 . ISSUE FEE -.
CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor L\„-4-I rt
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap, ❑ Undrgrn
10. Structural Floor System - 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater& Vent-Final
13. Rough Plumbing 55. Plumbing System - Final
14. Rough Electric-Conduit -56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating &Air Conditioning b8. 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 6---0 y
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final •
35. Landscape Sprinkling System
36:: Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
•
PROJECT ADDRESS: 3076 TYLER WYUNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047065
OWNEWS NAME: MICHAEL MCNULTY
ADDRESS: SAME PERMIT NO: B 047065 PLAN CHECK NO: 03726-90 S GOVT: N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
662-5450
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REMOVE NON—BEARING WALL TO JOIN 2 BEDROO SQ FT : 500
ADDRESS: UNIT: CLAIM VALUE: 500 . 00 CALC—VALUE: 500 .00 GROUP OCC: R-3 /
N PERMITTEE: MICHAEL MCNULTY ( 714 ) 662-5450
ADDRESS: 3076 TYLER WY COMMENTS: •
C.M.. CA 92626 *******************************************************************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U Z R E M E N T $
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE DC.: CLASS: MAIN BUILDING ACCESSORY BUILDING
Date: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
`RENS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: " FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
pensation Insurance,or a certified copy thereof(Section 3800,Lab.C).
4JCYNO.: EXP.DATE: PARKING REQ:. PROV: PARCEL: 14160447 ZNE: R1 REF NO:
COMPANY: PLANNING NOTES> INTERIOR ALT TO EXISTING RES TO EXPAND A BEDROOM.
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. >
*******************************************************************************
Date: Applicant: DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FR M WORKERS'COMPENSATION DECLARATION: (This section need no •e corn....+•.if the permit i .. 100)•• undred($ or less). p
I certify that in the performance of the work for which this permit is issued,.I sh��'not�y y p'rson in.ny mai so as to become ZONING APPROVED BY , L DATE: 14 -2"c--CLQ
subject to the Workers'CompeTnnsationn Laws/oj California. .
Date: %',� .Z// /d `Signature: , x v I' BUILDING APPROVED BY : DATE:
NOTICE: ,atter making this declaration,you should be o e subject to t •Workers'C. pensation provision. of the Labor
Code,you must forthwith comply with such provisions or this permit sh. be deemed revoked.
APPLICATION ISSUED BY: DATE: 2 . q
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ,*****,*,*,*,*,**,**,***, , *,*,****,***,*,**,***,**,*,*,**,**,**,** ***,**,*,*,***,*********** **iE*1; *****
which this permit is issued(Section 3097,Civ.C). *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 15 . 00 , 50
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 9 . 75
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5011). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ? — DUE
I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 15 . 50 0 . 00 9 . 75 25. 25 25 . 25 : .00
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees, provided that such improvements are not intended or offered for sale. It, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 25 . 25 OVER/SHORT• ,00
improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 15 . 00 . 50 9 . 75
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ****.****.********.*.**.*.**.*****.*****,*,****.************************1E*.****************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware e
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN . .
❑ I,amunder Section: B.sP.c.
for thisisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
�j ( ( •
Date: /i f ` owner: SFR 500 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 500 .00
I do hereby certify hat I am aware of and understand the requirements of California Health d SafetyCode Sections 255 ,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the re lirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is rrect.I agree to comply with all city and county \\
ordinances and state laws relating to building construction and hereby authorize prase Ives of this city toe upoyhe above-mentione�
property for inspection purposes. I/ / n
Date: Cr� 2-3-/P ` signature: l/7V\`\ 01 00059244-00059246 'TGA''
Driver's License or Social Security x:
DATE: 04/23/90 TIME: 12:27 25.25
1641-48 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assesior
CONSTRUCTIQN ANLTPLANN,. )OL & 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 - L.
5, Steel=Reinforcement 56. Rough Plumbing & Pressure Test. `,
' ,1.6. 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 Connection62. Backwash & Receptor-Final
12. Sewer Cap ,:1-1 •
. - 63. Heater & Vent-Final
•
13. Roof Drains - 64. Plumbing System - Final -
14. Rough Plumbing 65. Electrical-Final • - - '
15. Rough Electrical-Conduit66. Solar System-Final -
16. Rough ElectridWiring _ 67. Fencing & Access Approval
17. Rough WiringSign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ - .l FIRE DEPT..REOUIREMENT
20. Rough Factory Fireplace x -.,1 - - - APPROVALS Permit # - -
21: Ducts, in Structui¢� ' -' '; y - i 70. -Underground Hydro i'
22. Ducts, Ventilating. C - 71. Product Piping ❑'Gas OOiI
23: Gar Pi pe-Rough &'Test o n Z. S . : . 72, Underground Flush-_
24. Roof Framing s - - _ ? • 73., Undergrnd.Storage Tank,0 Gas 0 Oil
25, Roof Sheathing - _i• -� _ ' 74; Overhead Hydro-
26, T-Bdr Ceiling (Structural) &&`;Monocoat7 i •
.y -."',, , 75' ry DChemical
27. Frame and Flashing = ` v '' 76. Dry Startdp-ip• e .:••-
-
1
28. Lathing& Siding -i„:" %)-i ? i .x , 77T FIXED SYSTEM-FINAL rt -
- 29. Insulation ', , ' e _ t x ; 78: FIRE PREV. FINAL x '- - -
- 30. Drywal5Nailing s; - •.t, i - I a• t. s HEALTH DEPT.REQUIREMENT
31. Plaster Brown Coat - ' 79. FINAL INSPECTION n
32.. Electrical Power Metei-Final r ' 80:3 FOOD CERTIFICATE ISSUED
- 33: Final Electric -' •• H ' Notes: 7 x _
' 34.; Final Heating & Ail Conditioning I y
; - - - "
35. Final Gas Pipe-Test 2 •1u ' •1: o :: -
36_. Hood or Canopy ;
OWNER SEAVIEFI HOMES, INC. DAT19-62
JOB ADDRESS 3076 Tyler Way BUILDING PERMIT NO. 17328
GENERAL CONTRACTOR S.V. Hunsaker & Sons VALUE $ 15,411.04)
AP No. LOT 37 TRACT 456-5 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INapECTIONS Signature DATE GROIJ TYPEV ZONE RC
2,,-e'ti'•v ./ /V}}-', -ai,-e7. PERMITS ISSUED
GasS /,�v� SUBCONTRACTORasNUMBER
Water / f )-5--62_
Rough Corn. Refrig. fp Air Cond. ���///
Rough Heating Z �� -Y f_. _ ✓�/
Rough Plumbing . 1C . _?-2-G o� o (n 0(D r___ _
-y "/
Prop.Swr.Line 0 Haase Con-F] St.Swr. 0 � - t�f. 4I 3_ .._4 . [�t;f/,), 3t1737-0,41.,
Sprinkling System "C-'-'1 -9-t-'-t-�'�- -'`l
Construction�ole t
Underground 0 Power ❑ c _,{�_ /�_ _ _ l0 vH
Rough Wiring O v11-rnt -k M-zt-179? 7-'25-�.4�J7/1
'Trenches U Forms U Steentemf. 0 f J e 7 - 6 - a
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing /19,j;ct, f /.
Frame and Flashing en' x'-/ ,. (�.'-
Lathing - In Q' Out E ' _ 6 y
Plaster, brown coat aA, I 1(- (1
-
;:;�;*�,zgrig, Air on . U Final
1"v°`' ng, Final &L6' fa"7-a.S.
Plumbing Fixtures, Final An r 6-n G2
Final Gas Test/5" 7�
Electric Fixtures, Final /'Ty /0_j!_iy
Building, Final j-3/- /A _ie.-.1 r
OCCUPANCY
FORM net.5M — 7.61 17325
FEE RECEIVED
17328 JUN 151962
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT -3 7 I
BUILDING BUILDING
ADDLDRESS 3071 71k s,t GU/9-j
COSTA MESA. CALIFORNIA For Office Use Only
[ RECEIPT NO. I P--
OWNER Seaview Homes Inc. • - •
MAILRECEIV-• BY I DATE RE IV-D dDATE1ISSUED
ADDRESS 1602 W. Almond U//'' _
i
TEL. BUILDING
CITY Orange NO. ADDRESS
ARrVI;ENCT EER Ramberg & Lowery No. KI.7613 COSTA MESA. CALIFORNIA
ADDRESS 2127 N. Main St. Santa Ana FON
1" D /
FE TYPE F GROUP p,¢.. /-
CONTRACTOR . V. Hunsaker & Sons APPROVED
BY DATE
ADDRESS 15855 E. Edna Pl. . ZONING Z
Ir9Tindale ZONE NO.Or USE OF NEW fly /j„/l.._
f
CITY �- PLANS G— I BUILDING / /
uciEo. 194929 Na, ED. 87361
DESCRIPTION
SIZE
49- ? 7 ..----4- L/S_" J—
SIZE / O ✓ Jo � I NO. OP LOT
OF LOT (� /� NOW ON LOT LPA.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM / i (CENTER LINE ST.)
CENTER OF STREET '-1 0 �REAR YARD � FRONT . SS_ FT. IN.
S / I / // _ C. SIDE YARD LEFT RIGHT Cf-t....0"-
�'(Q i R.SIDE f FT. (O IN.
DESCRIPTION OF WORK L.SIDE 5 FT. ^_ IN.
NE I X II ALTERATION I II ADDITION I REAR 3a FT. - — IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVED /��� DATE 6%L �� L
BUILDING--.„.„., �^// NO. OF •�// �*1�
SIZE I, rM1 ROOMS / STORIES 1
EXTERIOR WALL Stucco ROOF COmp.
COVERING q di ug COVERING :1 IF : t/ 40. . I , //
USE OF BUILDING AN D WORK TO BE PERFORMED
- ' IR - • e_ in. with /� _ _ !; .41
attached gra/rage rro,e.a = 4 4/
7
Plan 9
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF S. V `AKER : OA `S PERMIT FEE $ ✓ L/— N
PERMITTEE V $ / Ic/ /7— PLAN CHECK S �J �
AUTHORIZED AGENT % deail
Alin,
E
TOTAL FEE $ 76 .5 -IX
UWNtK vVa.Aav� IWt.LV DAIt ( ty—(4
N.JOB ADDRESS 3076 Tyler Way BUILDING PERMIT NO. 38712
Q GENERAL CONTRACTOR Owner-BLdr. DESCRIPTION of WORK Patio Cover
`SAP No.141-604-47 LOT TRACT FIRE ZONE VALUE $ 1,050.00
II 'CTIONS Signature Date TYPE V GROUP J ZONE BRl
sL PERMITS ISS4ED
GAS SUCONTRACTOR
Date Number I Signature
WATER Plumbing
S'ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. n
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING -
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 5 STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n •
SHEATHING
FRAME AND FLASHING -
LATHING — IN n OUT n
PLASTER. BROWN COAT
STRIICTURAL, FINAL Electric
H' G, VENT., REFRIG. AND A.C., FINAL
PL,..,dING, FINAL AND GAS TEST n
ELECTRIC, FINAL �i l/�S
BUILDING, FINAL � I7
P.•A
I 38712
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely PP ION FOR BUILDING PERMIT
RE V D DATE RECEIVED D/,�/TE ISSUED
BUILDING 307 e. Ill r / / l (-7
ADDRESS
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OWNER 27711- c-D 'MAIL ,�//../... LG<o A.P.NO.t4I-Gt4- I Pv8r l`'Lr
AA BUILDING e,
ADDRESS 3076 -1L ,�'�r'!/R.r1 C_r•r(i (� ADDRE S - CD7(p T`c-atWA7
P.U CITY L 4.& 97'7 a.'z
Lil La ' NOL,]3�-s'ts O TRACT T sj I LOT 37 BLOCK.
CONSTRUCTION [ NEW I ADO I ALTER REPAIR (MOVING rtFM014SH
Ola-• LENDER `/
CI- CO
_ID BRANCH ]\ nA /'
JV) OWNER- ��^''', ,..,. i I t'lC1g.l OGVI,j"O
ADDRESS ('���
ARCHITECT TEL. VALU$ Q (TQ
J N OR ENGINEER - NO. U ` [JS'TLO ��
U a FIRE /t,/y
z < ADDRESS .//J ZONE 1 TYPE 1/� GROUP cer
J Z CONTRACTOR 10 l K(.L�[/CWt-J BYPROV v ss XX DATE ? /7-Z
Ca
Z Q 1�
11- cc ADDRESS 30 No le-e-t/t'lJ.tc
CU W (// J) /) j TEL. [}/.(J ZO(AE, 1 NO.OF USE OF NEW PA. b
Z� CITY &I-2 6_ /'�?�-i,c.� NO5,a )-$jeg '\tel PLANS C BUILDING Cal+lt
w0 STATE CITY YARDS APPROVED YARDS APPROVED
to cc LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZENO.OF BLOCS. ,f�l-s�
OF LOT I NOW ON LOT FRONT /keg-
I FT. FT.
USE OF /
EXISTING BLDG. B SIRE 1 10 FL _ FT.
I- SIZE OF I X 3 NO.OF
Z NEW BLDG. I S 1 ROOMS STORIES / L.SIDE '7 FT. FT.
Q EXTERIOR WALL I ROOF +
o COVERING COVERING Lank L IG REAR 21-- FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.
asPot:, et-LA.-4.-L-..)
D VAR.* DATE
O fLllJ
� -tC.U.P.# APPROVED
I- APPROVED
Z _ BY Why cm) DATE ^1�'n 1 —7
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U I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
CO the State of California. �'/,'� `TAX B
ZI hereby certify that I am properly licensed as a contractor under - - 'SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR b
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Q
am exempt from the provisions of the State of California Business
VALUATION //
and Professions Code, Division 3,Chapter 9. co
r, PERMIT FEE $ � w
Signature ofr U'0,t. //J✓ m
Permittee Q'L"�'LI " , $ /0S�1 ' PLAN CHECK $ ✓ 1:3 E
Authorized Agent 11 V /6 is.
TOTAL FEE $
t9_oz lB9 H .
r APPROVED1 H
COSTA MESA
ST.
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SUMO To sunk Dm - .
BY... ..DA
woe a nasal» /
L� 0.)-71-1
PLANNING D ,
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1i 11
NOTE II
�� �r�� I ,•?` i; c0 L ; ,_
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL �( it IH
� �R®v ®
BE APPROVED BY THE PLANNING DEPARTMENT j l s
t -CCity of Costa
Mesa Buildi�Jng�7D7ept.
!iTHESEr DATEY_-_-21 O 19E`.
I BY
\ / I I CHANGES W rk0 y:::PRIOR
J
It
;I - NO T� OB AT ALV TIMES MAKE
T -t PRIO-7RkP//PROVAIOrDEPT. I
A
,.I I \ - THEI ISSUANCE CRV ` V �r
>5?� err �,�'�ST/NG �rA�✓,,ny PLANS GRAiNSSH OFq
AND SPECIFLCATi0N PERMIT OR APPROVAL 6f
PERMIT FOR, CR AN AGp S SHALL NOT BE CONSTRUEDT
THE PROVISIONS OF THIS CODE.Nr;ANY PERMIT PRESUMING
'O SE 600A
A1JY OF
\ \ 9 ' _ �• AaHORITY.TOBE VALID,ATE OR CANCEL THE PROVISIONS Cr-CHIS
_ ! " EXCEPT!N 50 FAR AS THE
-
4HORIZES IS WORK
3 LAWFULOR USE
Q� A PERMIT BASED
+ THE IS 'J\NCE OF
Ul.rnr Fj> Nc�,h ( AO�. f \I l `-\ SPECIFICAh NS SHALL UPON
" r ✓ '' FROM NOT PREVENT PLANS AND
I THEREAFTER REQUIRING HE BUILDING OFFICIAL
- SAID IhPLANS AND SPECIFICATIONS C
R FON OF ERRORS IN
I � IN VIOL 71OPN OFTI01�'�, BFING R OF AN ON TROA1 f'INANC IOf-
THE CITY, CN OF THIS CODE OR OF ANY Oi nEiEJND-R V/HEN i
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