HomeMy WebLinkAbout3080 TYLER WAY - Building Permits CITY OF COSTA MESA
J � BUILD,ING�DIVISION
i : DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER
PERMIT
04 01396
(714)754-5273 • Fax(714)7544856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3080 TYLER WY Status: ISSUED
Suite: Applied: 08/06/2004
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 08/06/2004
Parcel Number: 14160446 Zoning: R1 R1 •
•
Applicant: CAUCAS, JORGE ISSUED BY: V "
Address: 2118 ORANGEVIEW ST
Phone: 714-637-1223
ORANGE,CA Zip: 92867
Owner GUTMAN, GEORGE A
Address 2059 FLAMINGO DRIVE
Phone:
COSTA MESA,CA Zip: 92626
Contractor: JORGE ABRAHAM CAUCAS/DBA JC ROOFING
Address: 2118 ORANGEVIEW ST
Phone: 714-637-1223
ORANGE,CA
Zip: 92867 License: 710121
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF OVER EXISTING ROOF WITH 30 YEAR COMP SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,500.00
Permit: $111.25 Claim Valuation: $4,500.00
SMIP Res: $0.00
SMIP Com: $0.95
Other: $0.00
Inspection: $0.00
Total: $112.20
PLANNING &ZONING
SETBACKS -
MAIN STRUCTURE Front 0-0 Rear - 0-0 Left 0-0 Right -0=o
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
'FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I hye 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
(iivilik for which this permit is Issued.
have and will maintain workers'compensation insurance,as required by section 3700 of(the Lkbor 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.)
❑ 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 ecome subject to the workers'
compensation laws of Mamie,and agree that if I should become subject to the workers'compensation provisions of Section 00 of th Labor e,I shall forthwith
comply with these prdv ns. 1\( Q (LU
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AN GVIL Fl 5 UP TO ONE HUNDRED
THOUSAND DOLLARS($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 provisi s 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.# J ) 2A Class# C,-3S 4
Contractor's Signature: Date: r
CP
CONSTRUCTION LENDING AGENCY: `7
❑ 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:
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 fore permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No 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 0 N
(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? Yes 0 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 agency Is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
SitAdc,egnature Of Leg I Owner(s) JDa(e
D e
CODE# INSPECTION TYPE WI MALI CODE( INSPECTION TYPE PAU 1[i111111$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final �/gyp 208 Final Plumbing
200 Final Re-Roof if-21,-0C( 6,I ` 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 Slte
204 Final Demolition 250 Final Building/Occupancy
v
All PBS products are now manufactured to comply with or surpass requirements for Class A flame
spread ratings when tested in accordance with ASTM E84, UL723, NFPA 255 and UBC 42-1.
THERMAL RESISTANCE FACTOR
FOR TYPICAL RESIDENTIAL ROOFS WITH PBS/800 ROOF INSULATION
Asphalt Shingles Roofing Tile Wood Shakes/Med
'h"Thickness on 1 x 4 nailing Strips*
Component
"R"values
2"T&G 1"T&G %"Plywd 2"T&G 1"T&G Si"Plywd 2"T&G 1"T&G %"Plywd
deck deck deck deck deck deck deck deck deck
Outside Surface
resistance- Winter Cond. 17 .17 .17 .17 .17 .17 .17 .17 .17
Roofing .44 .44 .44 .05 .05 .05 1.88 1.88 1.88
**Nailing Strips& air space - - - - - - 1.48 1.48 1.48
1/2" Plywood nailing base .62 .62 .62 .62 .62 .62 - - -
PBS/800 Utility 17/e 2 2 • 11/4 2 21/4 13/4 13/4 13/4
Insulating Panel 15.63 16.68 16.68 15.63 16.68 18.75 14.58 14.58 14.58
Roofing Felt over deck .06 .06 .06 .06 .06 .06 .06 .06 .06
Deck 1.89 .94 .78 1.89 .94 .78 1.89 S4 .78
Inside Surface resistance .61 .61 .61 .61 .61 .61 .61 .61 .61
TOTAL"R" VALUE 19.42 19.52 19.36 19.03 19.13 21.04 20.67 19.72 19.56
•Average thickness 9=" length 18"by 71/2"exposure.
" Foil surface on insulation panels clean and bright.Source: ASHRAE GUIDE. 1972 Edition.
Insulation values herein are determined under laboratory conditions.Insulating effectiveness of the polyisocyanurate/polyurethane
foam may change during a period of time depending upon exposure to decreased and/or elevated temperatures and humidity-or any
combination of these factors. Follow recommended storage'and handling procedures to retain optimum insulation efficiency.
WARNING- COMBUSTIBLE
LIMITED WARRANTY This product is flammable and once ignited
PBS, INC.warrants the products described herein to be merchantable may produce a thick, toxic smoke. During
quality and suitable for the general purposes intended,when applied in shipment, storage, installation and use, this
accordance with PBS's instructions.PBS. INC.does not warrant these
products to be suitable for any purpose or use other than for which theyare material must not be exposed to open flame
intended.Liability under this warranty is limited to supplying new material or other ignition source. When installed, it
without charge,or at PBS's option,to a refund of the purchase price.In the must be protected by suitable thermal barrier.
event of claim under this warranty,notice must be given to PBS,INC.in
writing at the address shown herein. THIS LIMITED WARRANTY IS This requirement includes use in basements,
ISSUED AND ACCEPTED IN LIEU OF ALL OTHER EXPRESS WAR- garages, crawl spaces. Adequate clearance
RANTIES, AND EXPRESSLY EXCLUDES LIABILITY FOR CONSE-
OUENTIALDAMAGES.SOME STATES DO NOT ALLOW LIMITATIONS around sources of heat shall be provided.
ON HOW LONG AN IMPLIED WARRANTY LASTS ORTHE EXCLUSION Do not use in direct contact with chimneys,
OF CONSEQUENTIAL DAMAGES,SO THE ABOVE LIMITATION OR vents, steam
EXCLUSION MAY NOT APPLY. YOU MAY HAVE LEGAL RIGHTS heaterpipes, or where surfaces
OTHER THAN THOSE GRANTED BY THIS WARRANTY, WHICH could reach high temperatures or which
RIGHTS VARY FROM STATE TO STATE. could provide long term exposure to
- temperatures over 212F. (100-C).
IMPORTANT PRODUCT INFORMATION
The chart above shows the R-value of this insulation. 'R' means resistance to heat flow. The higher the R-value the
greater the insulating power. Compare insulation R-values before you buy. There are other factors to consider. The
amount of insulation needed depends mainly on the climate you live in. Also, your fuel savings from insulation
will depend upon the climate, the type and size of your house, the amount of insulation already in your house - and
your fuel use patterns and family size. If you buy too much insulation it will cost you more than what you'll save on fuel.
To get the marked R-value it is essential that this insulation be installed properly. If you do it yourself, get instructions
and follow them carefully.
PBS
POLYMER®
SI
BUILDING
SYSTEMS,INC. 6918/6942 Gage Street, Riverside, CA 92504
Telephone 714/687-7070 or TWX 910 332 1250 Approved
12/81 2500
y
PBS/800 TOP THERMAL
INSULATING EFFICIENCY
Twin -Skin FOR TILE, SHAKE, SLATE
Utility Panels OR SHINGLE ROOFS
y !..- - ."-f,-....
'` :.f - =.�Or
Irl`
j}i �` �Ipl' A multi-purpose top quality
•
pr' insulation board with a
��` + III' 'h"PLYWOOD rigid polyisocyanurate/
3Q� :°ll 2" T&G DECK polyurebondedihane core during manufacture
rally
\� s�/ -I ROOFING to either aluminum foil or
\ ��\ `IIP UNDERLAYMENT
a�� asphalt
r7 } kraft skins.
ASPHALT -SHINGLE STARTER .\.\1ti1' l,�Jph1.411 Easily applied by nailing or
STRIP `\`�\\�\ mechanical fasteners.
1'/i'-4'x8'PBSredo/L75 shingles PBS/800 Utility Panels
provide the most efficient
_�-- thermal insulation, thick-
' � � �� tIIfO Hess-for-thickness, that
Ij1l't`
money can buy.
�''�� elm"I` They are dimensionally
stable with uniform surfaces,
� $ a ,r square edges and corners
411.1.j.......,.--- ----- /� 1/i'PLYWOOD that are true.
\` i• weigle Amazingly lithan
the panels
2"T&G DECK weigh less than 300 pounds
SPANISH �� per thousand square feet
TILE ROOF roofing (one-inch material).
ROOFING Available in thicknesses of
UNDERLAYMENT1W�r-4'x 8'PBS/800/L75 ti le 1"to 3"with"C"values rang-
ing from .12 down to.04.
-.- -. �.,- Ian'' Panels are 4 feet wide by 8
/��- II Il feet long. Other lengths are
,I0I available.
%%'Y/ . D I ICBResearch ort ort*7x2240-79 SOCA
11111 Compliance Report x7842-79 SOCA
still' Research Report u77-85...applicable
oe. i / +.' "J — 111 to'h"to 31/2"products.
•Vs��` \\cI�\\ - ,,ii 'tllll I PBS/800 conforms to State of California
\4�`�_�Ilr I'
\ ���.N / -/ �' I``—`�► 2" T8G DECK Administrative Code Title 25-1097.3.
� �•\�'Il�" II✓�•'o \�•10 Rating by UBC 42.1 IASTM-E84•)Release
``/l—11j111 t"x4" NAILING STRIPS *LA06100.
WOOD SHAK i .1111 -This numerical flame spread rating In no way
ROOF \� IID � � 1 reflects the hazards presented by this or any
ROOFING f'�ill Wool other product under actual lire conditions
UNDERIAYM1%x"-4'x 8'PBS/800/L75 shakes
Nailing pattern should be in accordance wan roofing manufacturer's specifications P95/800
Utility Panels should not be considered nailing base for roofing material.Illustrations are typical of
acceptable application methods but do not constitute a recommended procedure by PBS Inc.
M
PBS
POLYMER®
BUILDING
SYSTEMS,
INC.
March 22, 1983
Mr. Dave Lagerlof
Lagerlof Construction Co.
1607-L East Edinger
Santa Ana, Calif.
Dear Sir:
Thank you for the inquiry concerning PBS urethane in-
sulation. Enclosed is a data sheet illustrating the
method of application approved by ICBO for use on a
solid 2" x 6 ' T & G deck.
On the back side of the sheet is information concerning
the total "R" values for the various application.
If I can be of further assistance please advise.
Respectfully yours,
�. f „-
E.L. Petersen
Vice President Marketing
ELP:dm
encl
6918-6942 GAGE STREET • RIVERSIDE, CA 92504 • 1714) 687 7070 • TWX 910 332 1250 PBS INC RVSD
2
INSULATION CERTIFICATION I�
20,e0 «S (77,_ nn / /972412/2
4-4-
N mber and Street City County
Subdivision •
Lot Number
DESCRIPTION OF INSTALLATION
ROOF / y^
Material g/C&/D (/2ET*9L Brand Name !• es-
Thickness (inches) Thermal Resistance IR Value) !1 i 3'3
EXTERIOR WALL •
Material ,27/( /6./T_cs QT/"/If ' I
Brand Name (2106)5 E�.e/(J/7(.--
J J/
Thickness finches) .7 Thermal Resistance (R Value) 7/
CEILING
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance IR Value)
Loose Fill Type _ Brand Name
Minimum Thickness(inches) Number of bags Weight per bag lb
Area Covered (f12) Thermal Resistance (R Value)
FLOOR, ELEVATED .
Material Brand Name
Thickness (inches) Thermal Resistance (R Value)
FLOOR,SLAB
Material 'Brand Name
Thickness (inches) Thermal Resistance (R Value)
Width (inches) •
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance IR Value)
DECLARATION
I hereby eertily that the above'insulation was installed in the building at the above location in conformance with the
current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the
California Admiristra ye Code).
General Contractor (Builder) License NumUer
1i
Signature and Title Date
II
Sur Contractor (Insulation Applicator) License Number
' - - Signature and Title Date
Figure 4 -1 Example of a compliance certificate
4-9
ADDRESS OF gMIIIPA: 3V8U TYLER WY DNC` CITY OF COSTA MESA - BUILDING PERMIT
O/INENBN.WEIF g4DylN: IUT
MANr GEORGE A FLOOD: )( 47 PERM NO: M 085954
205' FLAMINGO DRIVE
COSTA MESA,CA 'LULU PERMIT NO: M 085954 PLAN CHECK NO: N GOVT : N SJPP : N
979-3107 I
APPL'MARDP ADD
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: 0TH
ARCHITECT OR FNaIIEER. UC.NM- JOB DESCRIPTION : REPLACE F.A.U. SQ El:
NCN.OR Be ADDRESS: WIT:
coxmAcrareRAVE CLAIM VALUE: TALC-VALUE: GROUP OCC: R-3 /
A.B.C. HEATING 6 A/C ( 714 ) 540-0972
mall CTORSMARDG 2951 GRACE LANE COMMENTS : NO OTHER WORK AUTHORIZED BY IHIS PERMIT
"' COSTA MESA CA LtexO: 133298wwwwlewwwwwwwwwwiiwiiwie:wiiiri:ilii:wi:ieiF ii;iif vi mixiiiii*Fwiewiikwi'*iiiiiFirii;rwiF i'+FiFi'wiiwwwkiFiiwirw;e;rw;'wiF
'LULU DMT: Z ON ING R EQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby.elm under qtly of Pepay tat I em licensed wider provisions d Chapter B
(commencing with Section 7000)d Divlson 3 of the Business and Profession.Code,end my license is in lug force end effect. S E 1 B A C Il S
CITY LIC.NO.: - - ...cu. UC.N
Uy6ci C-.2V XP: 6/88 MAIN BUILDING ACCESSORY BUILDING
Dae/2.J 7� co,mmor_ _ /(/ FRNT: FT_ IN REAR: FI_ IN
FRNT: FT
IN REAR: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally djoy Contractorspethat I em exempt from License Law l«the LEFT ; F 1 1 N KIaK T; t 1 1 N L t t l : t l 1 N KIiK l : t l 1 N
following reason(Soden 7031.5 Business end Profession Code:Any city or county which requires a permit to construct.alter,improve,
',moleh,orrepak any structure.prior to is issuance.also requires the maltase for such perms toile a signed statementhel he or she PARKING REQ: PROV: PARCEL: 14160446 ZNt: REF NO:
licensed pursuant to the provisions of the Contractors License Law(chapters(commencing with Season 7000)of Diveion 3 d the PLANNING NO 1 ES>
vdness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemPlOn.My vettinn d Sadist
7031.5 by any applicant for a pang subjects the applicant toe sow penalty of not more then fire hundred dopers[55001). >
❑ k 03 owrr of
the paparty Of my enrioyee.wth wages as theiede cam .will do Ne oak,and the stmeure is no,Wended *Xi*Xiii cop ie ii ii ii ii ii ifwif if i G i i* W i ii ii ii SS iinii****l if Ess i i Fie#wen iwwww*****iinninw-nnwww****1*www*a.***
or offered for sale(Section 7044.Business and Professions Code:The Contractors Lima Law does not apply to anearner dpropery L E V t. L U Y M F. N T S E R VI C E S R E Q U 1 k t M E N T S
who builds or inprovee thereon.adoes ne!orns&or and who such work Irehethrough his or her own employees,provided that such V.
improemem ate not intended or offered for sale.Il.however,the balding or ingowment a sold within one year of completion,the
owq-0uider wig have the burden of proving hear she ofd rat bold or improve fix ase of sale). ZONING APPROVED BY DATE:
❑ I,as owner of the property.am exclusively contractile with gamed contractors to maims the project(Section 7044,Business and
Professions Code:The Contractor,Licca Law does not appy m an maw d property who dud.or improves thereon and who BUILDINGAPPROVED BY . DATE:
a
cw.ry bds aprojects with a apraaao(s)licensed pursuant to the Contractors License Law). . .
❑ I.m exempt soda Section: B.a P.C..la this reason:
APPLICATION ISSUED
SSUCL tlY: 'r - UHIw: 1-2-t41
l
Das: Owner wwwwwwww-wlelelewlewwwwwwxxxxxxxxxxxxxxxxxxx xwxxwxxxxwxxxwlewlewlelewwlexn*xmawxx
xxww
I do hereby certify llWlem aware ed understand the rwmmanwdCdlmoHeeds and Safely Code Sections 15505.25535,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
25534,end than or any haus building ceased end/will not(circle oat)need to con*with laid cote codes and the iegWemads for I
apetmt for awmdon o modmmrationfom the AiaadyMancement Dhelder.Residamelmapnd'inappetiaa weexempt from then BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
prmvm..
PERMIT 13 . 25
Date: Applicant: _
25* SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby M oder assay d penury one of the following declarator: PLAN
❑ Ihaa and wlImaWai ecs4te d cared to self-insure for workers'companion.aprovded for by smom 37C0 the Lona ISSUE FEE •
22 . 00
Code,tor lhepsomrence of the work for which this pant is issued. BUILDING-DIV-) PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have andwil maiden worker compensation insurance,as required by Sedkn 3700 of the Labor Code,for the performance of the TOTALS----) 13 . 25 22 . 00 0 . 00 35. 25 35 . 25 . 00
X work for which the permit is issued.My workers'compensation insurance carrier and policy number we:
Cuda: EXP-- --. .
Policy Number. CALIFA�yi+ Y - - - hXY 1KtS REVENUE DIVISION TOTALS COLLECTED: 35. 25 OVER/SHORT; . V0
V'l3 11112L / /8 01 /01 /58 BLDG PMT PLUMBING ELECTRIC MECHANIC EIRE SMIP/f0I GRADING PLAN-CHECK
his section need not be completed I the permit S for one h naW dalrra($1001 o loss.) 35. 25
❑ 1 mMy that in the performance d the work for which this pant Is Moved,I shell not employ any person In any so as to
become tabled to IM workeof Sectionccompensation 37flawsr C California,ggg[[[ndndnd agree IM t should become subject the workers' wen xxxxxxxxxx xxxxx de w sew wen sun wen ir ic w ve w le vele.........sew le a-le w evn w a w a se w le w se w w w Sr www ii srax a w en Sr en wen
r cosyiif d 3700 d the Lebo Cods.I Wy/�51711 n proddon.. ..............................
'�' D (rJ� Applicant: L •/, INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'eopeustloncoverager unlawful,and shell abject layer to mimeos!mettlesand TYPE QTY D E S C K 1 Y 1 1 O N UNIT COSY IO AL COST
deft Pries up to one hundred thousand darn(51000001 As a64rbn to the cost of con damages as provided for in
Section 3706 of the Labor Cade,Interest,and ettomya res. __
CONSTRUCTION LENDING AGENCY:I hereby Man oder Panel,d penjay that uvea is e mmndon*ding agency for the Mal, 1 1 NS 1 L URI.-H 1 K/I1K!\V t UKN c= 100 K BTU U 1 3 . L 13 . 25
performance of the work for Mich this permit is issued(Section 3057.Cr.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I comfy that I have read this agp1 iM end stele That theabove i:makn is caract.I agree to comply with e5 Sy and county ordinances
and state laws relating to buldig conmmdr and hereby authorise representatives el this riyto enter upon the aboe-memoned property
for in Tan purposes.
RUSSEL BANGERT
- /-�v 12-81-1997/11:56:01-3316116
/$35.25
y D�A•� \ PERMIT:085954
gnewre a OwmlAgeWAp rContmcte ��
(51 1.46 WPI WMe-Quidig&Safety Gnat-File:Cuay-App4ae;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO. 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, C 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-Fin&
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning •
FIRE DEPT.REQUIREMENT
20. Rough Factory Fireplace _ APPROVALS Peimit#
21. Ducts,in Structure- - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas °Oil •
23. Gas Pipe-Rough&Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas C 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat r 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning /a/s741
35. Final Gas Pipe-Test - •
36. Hood or Canopy • •
37. Final Factory Fireplace -
38. Final Plumbing
39. Water Service-Fin&
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
48. FINAL PLANNING
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 except those within heavy border lines and sign all approoriate declarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT • ` >. _ g.Ci4/3 tete
ri7 I 4823 2/2...41.1 ' . T..
Applicant's Mallin! •ddr- e' 1_L "C/- �� TYPE OF CONSTRUCTION NEW LJ ADD U ALTERATION ❑ REPAIR
Project Address — SG I' —# __l Ai ❑ CONVERSION 0 DEMOLISH 0 OTHER ' •
���� r DES IPTIO O ORK PeT --1_->' Coot,�-
Owner's N . a Nis's�{r `"� '� ��•�' •ne SOLA i/eIM MCA—) — y� �' _CI NG REGULID'
Address £0 �� ��e TYPE OF PERMIT U GRADING U FOUNDATION IS,STRUCTURAL A.P.546 14-1-&°1- ZONE
Arch/Eng. Li -rise No. 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG.REF.106 - BUILDING -
- ❑ OTHER SPTRnry rn el'
Address �/// �/� ���� ('�y�- TO BUILDING • REAR YARD(TO P/L)
r rf��F /� / •Phonel��11 �- PROJECT DESCRIPTION Sq.FT. _• OCCUPANC 2-3 PROPERTY LINE
Contractor's Nam /U.,�li +
CONSTRUCTION TYPE VALUATION$ LEFT SIDE YARD RIGHT SIDE YARD
Address(mailinggg '--
72 SS—rC2 �ry / ,
s ZONE GRADING CU.YDS. ACRFS � O7o PKG.SPACE REO. PROVIDED
License No.
LICENSED CONTRACTOR DECLARATION Remarks: PCs/ Z3o Po• 07/8D
3 4 Cl •.GZ STREET WIDTH PARK FEE$ '
I hereby affirm that I am licensed under provisions of Charter 9 (commencing . f v T
with section 7000 of Division 3 of the Business and Professions Code, and SPECIAL CONDITIONS: I
my license is in fu rce and effect. '-
License Class / cense NoA i Z .l PLUMBING - .
Dat$) _Z Signature J'�- _ dA cir' T
..p� War Bar Sink Sewer Cap ELECTRICAL
V '•'ORKERS'COMPENSATION DE /• R• 10 / •
1 treby.affirm that I have a certificate of consen to self-I�e or a certificate Backflow Preventer Sewer Connection . Automatic Washer- Meter Clover 100 amps - . -
Workers' Compensation Insurance, or a certified cosy thereof (Section
Construction Pole Sub Panel
4800, Lab. ) Backflow Irrigation Solar Collectors - '
PoIlc No.�Llo hereby Q9Q Com Pant �0�./F �j ss' .
\ Cooking Unit • 'Sub Pole ' '
1 _ Cer d copy is furnished. Bathtubs Solar Piping ,
Ortified copy is filed with the city Building Division. - • Dishwasher I Motors ❑0-1 HP ❑1'%-8 '
Date Applicant Clarifiers Solar Tank I
�• EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dryers ❑Gas- ❑Electric Inc.Solar,❑9-15 HP 016-15+
(Thissectton need not be completed If the permit Is for one hundred($100)or - DishWasher Swimming Pool w/Spa
I testify.that In the performance of the work'for which this permit Is Issued I Drinking Fountains• ' Urinafr Fan Microwave , '
shall not employ any person in any manner so as to become subject to the F.A.U. Pole Light
workers' Compensation,Laws of California. , Floor Drains Water Closet -
•
Date Signature - Fixtures
NOTICE:if,after making this declaration,you should become subject to the - ' •- Floor Sinks • • - - Water Heater, . . - - - -- •- • -- ,Range -
Workers' Compensation provisions of the Labor Code, you-must forthwith -
comply 'with such provisions or this permit shall be deemed revoked.- . Gas Service Outlets 'Water Seraice Device Boxes ' I Sign • . '
CONSTRUCTION LENDING AGENCY I - Outlets '
I hereby affirm that there is a construction lending agency for the performance Interceptors - j Standing Sections I
of the work for which this permit is Issued (Section 307 Civ: C.). , - Switches• Lender's Name _ - - - ' Kitchen Sink - Trash Compactor •
Lender's Address •
- - , ' •
OWNER-BUILDER DECLARATION Lavatories- Garbage Disposal
I hereby affirm that I am exempt from the Contractor's License Law for the p—Tre Generator 00-5 KW 05-15 KW '
following reason (Section 7031.5 Business and Professional Code: Any city or p
county which requires a permit to construct,alter,improve,demolish or repair Transformer ❑15-50 KW
'any structure, prior to Its Issuance,also requires te applicant for such permit Roof Drains • '
to file a signed statement that he/she is licensed pursuant to the'provisions of - ' 050+ KW -
tfe Contractor's License Law(Chapter 9(commencing with Section 7000)of Reinspection Fee $15
4,6:vision 3 of the Business and'Professions Code) or that he/she IS exempt - Showers • Reinspection Fee $15 ,
"v'r^.refrom and the basis for the alleged exemption. Any violation of Section - - Meter ❑u to 100 amps
r =.'31.5 by any applicant for a permit subjects the applicant to a civil . - p p Issue Fee $ 3
menalty of not more than five hundred dollars($500). Service Sink. - I Issue Fee $ 3 - e ±5 fir. s5 • — 1�L rJ./tI
•
L l I, as,owner of the'property or my employees with wages as their sole Zoning Approved By--GS--1sG�S-✓ • Da t; 'Lf/ Y G//
compensation will do the work,and the structure Is not intended or offered ' • MECHANICAL - Application Approved By A S• nate /? ! 4)3
for sale (Sec/ion 7044, Business and Professional Code: The Contractor's
License Law does not apply to en owner of a property who builds or Improves Boiler - Refrigeration System Application Issued B ' •
Z! Z 3/e3
thereon, and who does such work himself/herself or through his or her own PP Y Date
employees, provided that such Improvements ere not intended or offered for ❑0-100,000 BTU ❑100,000 BTU
sale. If, however, the building or Improvement Is sold within one year of com- I Duct-Under Ground • //o..1 r
SUMMARY OF FEES a ye
pletion, the owner' will have the burden of proving he/she did not build Or im- •
grove for the purpose of sale). Duct-Structural System Repair/Alteration ,BUILDING PERMIT $ SMIP • . $
O I,as owner of the property,am exclusively contracting with licensed con- n 3• •
tractors to construct the project(Section 7044,Business and Professions Code: • Duct-Ventilating _ - - _ -_ PLAN CHECK( 4L)$' 2 J - PERMIT
The Contractor's License Law does not apply to an owner of property who ISSUANCE , $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 PLUMBING $ - •
tractor(s) license pursuant to the Contractor's License Law). - . GRADING $ '
0 Lam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICRO i(s PLAN CHECK; . $
ELECTRICAL. $ $
-
Date Owner - Heating System&Ducting MICROFILM $ - •
I hereby certify that I have read this'application-and state that the above- . 00-100,000,BTU 0100,000 BTL -- - PLAN CHECK $
information is correct. I agr to comply with all city and county ordinances : TOTAL FEE $
and'state laws r. ing to I. ng constru _on,and hereby authorize repre- Hood or Type I ❑ MECHANICAL $
sentatives of t. city to Cr upon 4,1 abve-mentioned pro arty foryP Reinspection Fee $15 . LESS
Inspection ? Canopy Type 1) 0 PLAN CHECK ( •$ ADVANCED PC $ 7 p
Signatur �� '
Registers • Issue Fee $ 3 t .
_rev.12/82 White-Building:Canary-Applicant;Pink-Accounting:Goldenrod-Assessor
T.
.
;CONSTRUCTION AND:PLANNING, •- - .-+ - c
4:'
:APPROVALS �6 4'Permit# %DateIns.-i
- APPROVALS' Permit Date Inspector
- +� pe _
' 1. Temporary:Electrical Service or Pole - . 52: Pool &Equipment Location
Z Soil Pipe-Undrgrnd. - _ : 53.' Steel Reinforcement -
• 3. Electrical Conduit Utility-Undrgrnd) - 54. Forms'; ' - -
1 4. Electrical Conduit-Undrgrnd. ` 55.. Electrical Bonding
5: Steel Reinforcement • \ :. - - 56. Rough Plumbing & Pressure Test ,
6. lEleetrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings I . "-� ;.�� ' -E : 58� Electrical Conduit•Undrarn.1. •
I
8. Foundation I ' -SP-a-6
• }� 59. Gas Pipe, 0 Undrgrnd.,Test +
9. Water Pipe-Undrgrnd. ' - ' \. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Stiuctural Floor Systerii ' !' '' - 1. APPROVAL TO DECK
. 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final
12. Sewer Cap ' i . 63. Heater& Vent-Final .
r
13. Roof Drains ' ' - '64. Plumbing System.- Final
14. Rough Plumbing - - ' . 65. Electrical-Final
'15:-RoughElectrical-Conduit '- --. '-' - --;- _ _ - " "66. Solar System-Final --
Al6.)Rough Electric Wiring, • ' •'. -c:- 671 Fencing & Access Approval
17.IRough Wiring Sign` z _ 68J APPROVED FOR PLASTERING
•18. Rough Electrical;T.Bar Ceiling 69. POOUSPA SYSTEMS FINAL
• 19.'Rough Fleeting& Air Conditioning FIRE DEPT. REQUIREMENT
4
20: Rough Factory Fireplace ' I • APPROVALS Permit#
• 21. Ducts,in Structure 70. Underground Hydro •
22. Ducts, Ventilating - ;•.. , , 71.. Product Piping 0 Gas 0 Oil
23.1 Gas Pipe-Rough & test :, , r: , , j 72. Underground Flush . •
c24.'Roof Framing. ',.3 : , - • *.i 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,,,,�,� F+.1R IS - p5 4', ('t X76. Dry Standpipe
28.i Lathirig$1 Sidin ff�G'"''' `�R'�S� 77. FIXED SYSTEM FINAL
� �ion . ash 5 y-
29. Insulation • it.oic..i Dy' ,5-39_3?•z 178' FIRE PREV. FINAL' l
30. Drywall Nailing -F. . 2,7 d-,l_! Notes: p . y�.�J -L-83
31. Plaster.Brown Coati , , r - t 5 'f-74..31- .? 1 f -- -
32. Electrical Power Met r-Final . • i i
33. Final Electric i - . t _
34. Final Heating& Air Conditioning i
35. Final Gas Pipe-Test , - .. - -
36. Hood or Canopy••
37. Final Factory Fireplace= . • I
38. Final Plumbing. 1 : i. a - -
39. Water Service-Final '
40. Gas Service-Final • I - •
i •
41. Solar Domestic-Final {
42. Backflow Preventer' ' ' - • i
43. Backflow Irrigation . -
44. Landscape Irrigation System - _ - -
•
45. Sound At4puation . - -
46. Handicap.Reguiations . r r • - / , , ' ' , -
47. FINAL STRUCTURE & BUILDING 11714/0 .',It '
it/ u`
48. Special Requirements Completed ' ,' I -
49. Electric Release;to Edison 1 T .; _- _ _ n ,
"I
50. Gas Release to Southern California Gas Co ! I
51. CERTIFICATE OF.00CUPANCY __ j - r
•
No, I Date
Applicant to fill in all spaces,except those within heavy border lines and,sign all appropriate declarations. _ _ '1 T-
CITY OF COSTA MESA' i a PERMIT NO. TRACT NO. LOT NO. BLDG.NO. D I •
CONSTRUCTION PERMIT E-.-! 6�ZI _I ' p 5 �. ,..�
�C/A- III���III I$ _
Applicant's Mallin Address��e2- lcf Q-�� �K' "' TYPE OF CONSTRUCTION. .' 1 NEw 1W ADD U gLTERATION U'REPAIR 1' ,. �`•, ' A-FAA I 1 '
Project Address 060 -/r• •
- . '❑ CONVERSION ❑ DEMOLISHLJ ❑ OTHER/ R 52 iJC,
Owner's Name I B37• ��jTMA-A/ Phone • .DESCRIPTION OF WORK P. �✓1 /¢�/7lnp� ; ,_ZONING.REGULATIONS - ,
Address 3080' 7Vi .L /A%A y l ((�� Li 'j - '
TYPE OF PERMITIipp�I ❑ GRADING- ❑ FOUNDATION 0-STRUCTURAL - A.P.# ' CA.) yl aDNBi). v4.
Arch/Eng. License No. ❑ TENANT NI ELECTRICAL ❑ PLUMBING 0 MECHANICAL ; PLNG. REF.# BUILDING j
Address - - ' El OTHER '- TO BUILDING <- SFTBAf'x rn cr
REAR YARD (TO P/U,: "
Contractor's Nameq,c�,1)MA.V A7 Pr-7P/L-Phone S1/O—�}5�2�95 PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE -
Gr�OZ S, 47Cesal/Q SAsLTA- 4,VA CONSTRUCTION TYPE VALUATION$ LEFT SIDE YARD RIGHT SIDE YARD . I ' -
Addresslmailing)2002- .• �s� •License No. ...20• •,-- c .o W4./SA ZONE - •• GRADING CU. ,ACRFS PKG.SPACE REQ. PROVIDED -
LICENSED CONTRACTOR DECLARATION Remarks: - g.. 6C{k STREET WIDTH ' ,PARK FEE$
!Morally affirm that) I am licensedion under provisionsBusnof Charterosi (commencing - - -
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: , .
my license Is In full force and,effe t,
License Class • G--/00 License No ZO7003 PLUMBING
Date R-25 2a Signature • -
ORKERS'COMPENSATION DECLARATION •. Bar Sink Sewer •Cap ELECTRICAL ,
' ,"plreby affirm that I have a.certificate of Consent to self-Insure or a certificate Backflow Preventer Sewer Connection' AutomaticWasher -'Meter Dover 100 amps . .
„3 Workers' Compensation Insurance,.or a certified-copy thereof (Section - ,
- Construction Pole
'i'E00, Lab. C.) Backflow Irrigation Solar_Collectors 'Sub Panel
Policy No. Company ' -- Cooking Unit Sub Pole .
8 Certified dopy Is hereby famished. ' Bathtubs ' . Solar Piping
Certified copy is filed with the city Building Division. Dishwasher 'Motors ❑0-1 HP Di%$
Date Applicant Clarifiers• Solar Tank
EXEMPTIONLFROM WORKERS'COMPENSATION DECLARATIONDishwasher Swimming POO.W/Spa Dryers ❑Gas ❑Electric Inc.Solar 0915 HP 016-15+
(This section need not be completed if the permit Is for one hundred(5100)or + • -_
less), Fan Microwave
I Certify that In the performance of the work for,which this permit Is Issued, I Drinking Fountains Urinel
shall not employ any person In any manner sotto co a subject to,te - - F.A.U. 'Pole Light • 1
Date C�pe`satlym Laws of Galiforni /i/ S / Floor Drains, , Water Closet ,
}( Date 3 AJ Signature C� SLYcome /�YY - Fixtures .. • Range
• NOTICE:If,after making this declaration,YOU should become subject to the - Floor Sinks Water Heater - 3 - - - D
Workers'; Compensation provisions of the Labor Code,.you must forthwith - - Device Boxes
Comply with such .provisions or this 'permit 'shall be deemed revoketl3 Gas Service: :Outlets, - Water Service - Sign
CONSTRUCTION'LENDING AGENCY - - - Outlets 1 00
I hereby affirm that there Is a construction lending agency for the'performance • Interceptors I t Standing Sections
of the work for which this- permit is Issued -(Section 3097 Clv. C.) • - . - '
Lenders Name - :: Kitchen Sink , , - •
• ' 3 Switches , Trash Compactor ' 0 LP:
Lender's Address. - - Lavatories - Garbage Disposal • r
OWNERIBUILDER DECLARATION' - ' .
I hereby affirm that I am exempt from the Contractor's License Law for the p-Trip - Generator ❑0-5 KW ❑5-15 KW '
following reason (Section'7031.5 Business and Professlonal'Code: Any city or , _ p . ' • - ' - •
county which requires a permit-to construct,alter Improve;demolish-or repair , - - Tf ❑15-50 KW .
any structure, prior to Its'issuance,.aiso requires the applicant for such permit Roof Drains - • Transformer
to file a signed statement that ha/she is licensed pursuant to the provisions of — • '- -- - ❑5U l KW �sf+
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Reinspection Fee
f�' islon 3 of the.Business and Professions Code) or that he/she is exempt - Showers - Reinspection Fee $15 - -
"'TP+efrom and the'basis for the alleged exemption. Any violation-of Section - Met• er ❑up to 100 amps Issue Fee' • - '$ 3
.f1§01,5 by any applicant for a permit subjects the applicant to a. civil . ' _
;0,naity of not more than five hundred dollars($500). Service Sink , : •• Issue Fee . $ 3 Zoning Approver.By Date •
❑ I; as owner of the property or-my employees with wages as their sole - ,
compensation' wilt:do the work,and,the structure Is not intended or offered . . , I ' , .MECHANICAL , Application Approved By c Dare
for sale'(Secfion 7044; Business and,Professional,Code:.The Contractor's -• - _ 7
License Law does not apply to an owner of a,property who builds or Improves • , Boiler • •. Refrigeration System 3 2ST
; thereon, and who does such work himself/herself or through his or her own - r Application Issued By _ nate
employees, provided that such improvements are not intended or offered for ; 00-100,000 BTU 0100,000 BTU
sale, If, .however, the building or improvement Is sold within one year of com- Duct-Under,G round
•
•pietlon, the owner will have the burden of proving he/she did not build or im- - - SUMMARY OF FEES
6 rove for the purpose ofsale). . - Duct-Structural - System Repair/Alteration BUI LDING PERMIT $ SMIP
I, is owner of the property,am exdlusively contractinglwith licensed con- - ,
tractors to construct the:project.(Section 7044,Business and-Professions Code: . Duct-Ventilating. ._ ,._ _ - _ PLAN CHECK . $ PERMIT • ' •
The Contractor's License Law does not apply to an owner of property who I • 1
builds or improves thereon,and who contracts for such projects with a con- ; Exhaust System ❑ Multiple❑. PLUMBING- • $ I ISSUANCE $
tractor(s)license pursuant to the Contractor's License Law). r PLAN CHECK $ GRADING $ •
❑ Lam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# I
Date • I ' Owner• ' •- •'•• L 1 Heating System& Ducting • 'ELECTRICAL $ 20 1 $
I hereby certify that I.have read this,application'and state that the above-^ ' ❑o-100,000 BTU ❑100,000BTU' . -- ' - -- - '.PLAN CHECK: $ I MICROFILM . $ ; - '
Information is correct. I agree to comply with all city!and county ordinances ' TOTA L'FEE' $
and state laws relating to building construction,-and hereby authorize repre- . -Hood of e I ❑ ,MECHANICAL $' I
sentences-of this y.t to p the above- entloned pr pert !or
'f{or Type Reinspection Fee $15 PLAN CHECK' LESS 1 ;
•Inspection purpose /// `S/�,'!-'_` I Canopy: Type II ❑ - I $ ADVANCED:PC $
X Signature f// �f/C ' Date C 1 Registers ' Issue Fee i ' I
X i Drivers' License or SS li : t $ 3 !. FINAL FEE ' , $ JTgo .
CMF 0865-46 ray.12/82 • White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor '"
%CONSTRUCTION AND PLAN INS' i `.' "- ;'7 ^_ _ • ?'.-i: :POOL PA - -.- c -- ---- •
'APPROVALS - Permit#' N�0(07I' 'i Date Inspector ` , - Date Inspector
APPROVALS' Permit-# - _
. . 1 Temporary Electrical Service or Pole •a, :'52 Pool &IEquipment Location , : 1 1 - •‘• "
i- 2: 'Soil Pipe-Undrgrnd` ' r m'; , ..53 Steel Reinforcement - - '•- -
..1 3s Electrical Conduit Utility'Undrgrnd: 1 ''- `, - - .54. Forms e - .- - _ ' - ,
•'; 4: Electrical.Conduit-Undrgrnd:- - I- ' . i I55: Electrical Bonding - - _ .
5: Steel Reinforcement 3,i
'�. - r .• P=. ';56. Rough Plumbing& Pressure Test _
6. ,Electrical LIFER Grnd.' ; ,`, , . - , ' t f. q %-J '57"APPROVAL TO COVER-GUNITE = •
7. Footings E_ = n _ • : 58 Electrical COnd-uitrUndraroa. _ - }
8. Foundation . ' ' 1 ." • ''' • ' `- _ 50 ' i-59. GasPipe,"O.Undrgrnd.,Test ,
9. Water Pipe-Undrgrnd. I7 r60. Backwasti'Lines;-P-Trap, ❑ Undrgrnd. - - "
10. Structural Floor System' -C i : „ , 61. APP,ROVAISTO-DECK - ' , '.
11, Property Sewer Line & House'Connection ' . 62. Backwash & Receptor-Final '
.
12. Sewer Cap ! 1 1 _ :is' _ ''-'63. Heater & Vent-Final ''
13, Roof'Drains I '164. Plumbing:System -Final _Y - - - 1
14. Rough Plumbing ' e' 4 . " 1 -":.• "65. Electrical-Final r -
-15. Rough Electrical=Conduit-i . - �'- 'y-'-1:-ET -" 66. Solas System-Final '-' -
=16: Rough Electric Wiring �,"1 -. "-'67.. Fencing &Access Approval - t
, 17 . .Rough Wiring!Sign i 1" ' 1 `_ j :` i 1 ' •. ;�_ 68..APPROVED FOR PLASTERING. ' - I ; ; ,' -
18.,'Rough Electrical T Bar Ceiling ,i 1 i ,- ! i ' i r I I X69 POOL/SPA SYSTEMS FINAL . " I ' : - _ !
19. RoughHeating,&•Air Conditioning ; 1 : i i ! i 1 : FIRE DEPT. REQUIREMENT:, ' 7
20r"Rough Factory, Fireplace • * 1 i i • APPROVALS, Permit#
21. Ducts,:in Structure:. - 1 : i i 1 i I 70.1 Underground Hydro ' - , 1 ,
.22. Ducts, Ventilating T. c. ' LI ti! ' I I i I 71.,Product Piping 0 Gas ❑Oil
-_
•
- ;23. Gas Pipe-Rough&Test ' 1 , i I j + � I 72..t Underground Flush
_ -- _ - _
`24. Roof Framing; I i 1 , i _, j :”e3( i I I. 73, Undergrnd.Storage Tank 0 GasOil
0
25.. Roof Sheathing 1 I 1 ' I' I I ,• I 1 ' '4. Overhead Hydro -, - I . '
'.26. T Bar Ceiling (Structural),& Monocoat ` ; IT i - T.
' ,'1 ' ' ; 75.E Di/ Chemical ' ' , '
• 27. Frame and Flashing I . i ,• 76. Dry Standpipe ' , ,
I,. 28. Lathing &Siding I! . ' t •: I i 77.E FIXED SYSTEM FINAL
'29. rtnsulation `, n 1! !. I i i i 1 i 1:78.1 FIRE PRE . FINAL `' i
' -:30`Drywall Nailing ' i1 • i ' 1 i ; 1 (Notes, i
31. Plaster Brown Coat ! -' "�_- 1 i -' -
32. Electrical Power Meter-Final i 1 ) II ' - }. ! ,
1 i
,. _ 33. Final Electric,_ .. "- . 1 . . __!a. I_1 'i-a-s '3, I _ Lc. '. ..,_ '.. 1. i.. .1 1 . , ._ .. . .
34. Final Heating &Air;Conditioning; _ I ! I � I I I 1 '
35. Final Gas,Pipe Testi 1 ,, , 'r ,c . : '1 -, i ; r' ,12. ' q' I. ;i _ .t' - 1, _
36. Hood or Canopy_ 1 . ' ,t ; i " . i _ _
� I I i • �,
37, Final Factory Fireplace:. 1 _ ' o I. I ' • i i _; ! -
38. Final Plumbing , , ' o, ' , -• I i I-
I , I I i 1
39. Water Service-Final i I 1 I 1 ! I - - �' -
AO. Gas'Service-Final ; i ., ' ' i ' ' ' 1 i . •
1 1 , ; I , I I I
41. Solar Domestic-Final i ' 1'• _
• 42. Backflow'Preventer. ' `Lc' ' ! ; ; ' i - . ' '
43. Backflow Irrigation• i 1 ; - ! i
44. Landscape Irrigation System I , _ `' I -
45. Sound Attenuation ' !
1 * 1 , 1 ,1 ii 1 . 1 ry! I i i , I , , ; .. - !
46: Handicap'Regulations- 1 , •' � • 21 1 - � :'
47. FINAL STRUCTURE & BUILDING ; ' 1
48. Special,Requirements Completed " j ' 1-- - : , I , 1 ; ( - •
49. Electric Release to Edison 1 el" i I 1 t : _ ;' . ,
50. Gas Release to Southern California Gas Co I I I I I "1
•51. CERTIFICATE OF OCCUPANCY I. 1 e _; ,--t, -- _ _ _ _ `__ . �.. :
No DatI • i -1 I
OWN1 RL1liHT 15 MARIA A. DATE 1-ee-O)
JOB ADDRESS 3080 Tyler Way BUILDING PERMIT NO. 24446
GENERAL CONTRACTOR Air-Vent DESCRIPTION OF WORK Add Pat.Cov.to Rea•
3 / No,141-604-46 LOT TRACT FIRE ZONE VALUE $ 300.00
�I. .ECTIONS Signature Date GROUP 3 TYPE IV ZONE R1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power ❑
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Shea thing
Frame and Flashing
Lathing—In 0 Out 0
P4^-.ter, Brown Coat
lural, Final Electric
H
ing, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final iu t'tt S1/4 4c
24446 CITY OF COSTA MESA
"' COSTA MESA BUILDING-SAFETY DEPARTMENT f/�, (�[
P.O.BOX 317 COSTA MESA.CALIFORNIA JUL ^2 1965
For Applicant to Fill In Completely PPLICATION FOR PERMIT
TYPE OR PRINT I
Ili_1:', ..1
1
AuOaRowG '] Q /O 79 I Ea W1
ay
RECEIPT NO. PgMN r
COSTA MESA, CALIFORNIA L fc�
M Q
RECO 7 J2Ra(�y 1 ITE 18 E�
OWNER f ( nz. i &• ), h mg, z /F l l /N
MAIL ] (, / •] EAT DREISS 30 g-0 7L. A_r , (u 4L-/
ADDRESS . O Ro �� LCE_ LV •4i C�
�1� TEL. `' (q FIRE 1
CITY C C . //[ � NO.r5t( 70/ ZONE
TY�� �� GROUP
ARCHITECT TEL. �. BYPROVED // DATE •� k.i
OR^VGINEER 2 . PA 2-Ei NO.
i '\ ZONING
ADL..(ESS3/ 7/2 10- Ye:� ne0.)I, 2 -// •
/ ZONE /I/ PLANS USE OP N[ , n J
A I /� - / r N LAnB BuaDl
CONTRACTOR U
LE
ADDRESS �Q6 0 ? S.II m 4.�c4'Cs7&' DESCRIPTIONGAL .l c� T 3 6 Tib A cT¢S‘3-
CITY A Lv a-�C- A.P.NO. 1/1/-(0° /J_ y(
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE M
// /-'T
LIG NO. TEL 90•TO SIDE et REAR P.L.
,
NO. ?P-33 6 6
EAVES
SIZE / NO.OF BLDGS. ALLOWED (U.B.C.REQUIREMENT)
A.,..)0OF LOT � X. NOW ON LOT /
YARDS APPROVED YARDS APPROVED
USE OFMAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. /L"
(FROM C/L BT ET)-�/ /
SETBACK LINE FROM 2o ( FRONT."-f• PT.
CENTER OF STREET REAR YARD /
-f- I t� R. ./ SIDE a FrFT.
SIDE YARD LEFT O RIGHT 1 /
DESCRIPTION OF WORK L.SIDE FT. FT.
r�77 �TT /
NE _ ALTERATION ADDITION REAR O�CI FT. Fr.
DISTANCE BLT. BET.MAIN ft
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING /4 , ' NO.OF VAR..fJ DATE
SIZE / / ROOMS ST•R ES C.U.P. a APPROVED
EXTERIOR WALL ROOF •
COVERING A) COVERING J k -J[ /'ear
- I
.
USE OF BU ILDIN9.4 T•WORK TO BE PERFORMED
Fl k L~-�.- (a -1-"• G Co U CR_
n
z 9 Eo.FT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS,POR THE _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION d.� N
• PERMIT FEE n
PERMAITTEP OF ��. - // G c $ S
Q S 3 D C /� PLAN CHECK $ G
AUTHORIZED AGENT S.tX✓ C--CH-52...-.G.--
TOTAL
2 "
r TOTAL PEE $ ✓
OWNER SEAVIEW HOMES, IPTG. DAIT6-19-62
JOB ADDRESS 3080 Tyler Way BUILDING PERMIT NO.17327
GENERAL CONTRACTOR S.V. Hunsaker & Sons VALUE $ 14,471.00
AP No. LOT 36 TRACT4565 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar.
INSPECTIONS Signature DATE GROUP-I&.T TYPE V ZONE R1
.1( ,- .e:2e.v A,M. ge•-2J/'f74 kdr ;. ? SUBCONTRACTOR— PERMITS ISSUED
Gas �i / ,L DATE NUMBER
Water q411WS 2:4-:42-
Rough
:SG2Rough Corn. Refrig. ❑ Air Cond. L
..yy
Rough Heating ���/��-�y!�� 9-?i i2 / r _ Z'i? `7_'G- /,
Rough Plumbing Lr/_ITS c"-L.(� 'j. o /." - / —
Miscellaneous '2-(a � �
Prop.Swr.Line [•Ionise Con. E'St Swr. 0 (w 91! &t. �X. friA//G t 4 7 3
Sprinkling System //
Construction Pole 'y
Underground 0 Power C _ _ �,C �cw
Rough Wiring 4�LNA 1If 61(V_ /rAii.7'4ir., .,r 7-.7ri-/ i 7 // `1' v�
jencices ❑ Forms 0 Steel Hem£. 0 ej,�/'J/a / - 6
Floor System
Bond Beam 0 Steel Reinforce ❑ _
Sheathingrmen � 7,4"--/5--62-
Lathing
/._y_0.--
Frame and Flashing /02:7 ff'/3�
Lathing — In [5' Out lam �fi'S /- 2
"'Plaster, brown coat X1/0451 _2-
R,k. ig. 0 Air Cond. 0 Final
ii ling, Final (.0 41-474:t.
Piiinbing Fixtures, Final /� �-
Final Gas Test/3— 4-1-2 'n, "= b?"
Electric Fixtures, Final /2- /Q.-/t-!S
Building, Final I/2-14r /0't2?- .
OCCUPANCY
FORM BU4.5M — 7-61 1(327
FEE RECEIVED
1732? • y./ .(VII i 1752
COSTA MESA BUILDING-SAFETY DEPARTMENT f 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 .�`!'
S BUILDING
ADDRESS COSTA MESA. CALIFORNIA / For Office Use Only
I RECEIPT NO. I PrRMIT NO.
OWNER Seaview Homes, Inc. 7327
MAIL REC¢rvByy�a DATUIyECTy EO I DATE1 IS&JCC
ADDRESS 1602 W. Almond 7 _ I E� /vzI- 1 '�
TEL. BUILDING
CITY C1rRR[JP NO. ADDRESS
r;13- (NEER Ramber• & Lowe OKI. 7613 COSTA MESA. CALIFORNIA
H FIRE ��
ADDRESS • u: . . 4 __ I . : la ZONE TYPE GROUP -
CONTRACTOR S V HIInca1:Pr & Sons APPROVED DATE
ADDRESS 15855 E. Edna P1. ZONING A
ZON NO.OP a USE OP NEW X.47 Fa._Io.
CITY Irwindale � _I I PLANS I BUILDING u/G,.a'
STLICTNO. C NEO.. ED. 87361 LEGAL L.ct 36 7; S'X-�-r—
DESCRIPTION
SIZE /�`� / Q 3 1". OF BLOB.
OF LOT 10 �C � NOW ON LOT 0 A.P.NO.
USE OF YARDS EVES
EXISTING BLD ---- _ _ _ APPROVED ALLOWED
SETBACK LINE FROM / -��J^�.//� (CENTER UNE ET.1
CENTER OP STREET SO REAR YARD.}//-4, FRONT .Sa FT. — IN.
SIDE YARD I LEFT S.– , I RIGHT v 1 R.SIDE ..s.--
FT. IN.
DESCRIPTION OF WORK L.SIDE FT. IN.
II 'ryI
NE I I ALTERATION I II ADDITION I REAR 3c. FT. IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVED 4-1.9ird0 DATE C/L /c_.
BUILSIZE DIN`TDx_12 I ;ging S c
C. ROO (!/ STORIES
EXTERIOR WALL Stucco I ROOF CCM•.
COVERING . .. COVERING . - - A, /(fcs 1 / zooj/f
USE OF BUILDING A•D WORK TO SE PERFORM 0
7-
sin•le famil dlhealing An • c o ZO Ai
with attached garage ,�/ e : // — q
I HEREBY ACKNOWLF-DGE THAT I HAVE READ THIS APPUCATION 1 THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
CONSTRUCTION.PLY WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING
BUILDING VALUATION �
... , ry6 • �'// PERMIT FEE $ ,P N
�// B
�PERMITTE $ ��/ PLAN CHECK S ]
AUTHORIZED AGENT I ���
TOTAL FEE — 0