Loading...
HomeMy WebLinkAbout1100 VALLEY CIR - Building Permits ' 'S CITY OF COSTA MESA - BUILDING DIVISION F ill DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. PERMIT / ro nmso l,,, /602-01991 tibR (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1100 VALLEY CI Status: ISSUED Suite: Applied: 12/09/2002 Vicinity: PILASTERS ONLY Issued: 12/09/2002 Parcel Number: 42203105 Zoning: Applicant: FISHER, THOMAS R - ISSUED BY: Address: 1100 VALLEY CIR - - - _ Phone: - _ COSTA MESA,CA. Zip: 92627-3918 �, ;,�: , - /,- , Owner FISHER;THOMAS R -- Address 1100 VALLEY CIR' / COSTA MESA CA '- Zip: 92627-3918 , i / Contractor: , � Address:. - � '' Phone:`: . - �'' Zip: . License:- - - ' Arch : - -' .�.� Eng: Address: - , _ Address: -- Phone:- - Phone: 'N 'N Zip: ,. _License: - \ 'License: , N SCOPE OF PERMIT,., ,.._.,....v ',. K . CONSTRUCT 6 BLOCK PILASTERS SPACED 8 FEET A RT"AND NO_HIGHER.THAN_6 FEET PER:CITY STANDARDS,: ,� FEE SUMMARY Plan Check: $37.08 w.N. -Calc Valuation: - - l ' �.-41,600.0o, kPermit ' $57.05 - - — -/' r Claim Valuation - $1,600.00 SMIP Res: $0.50 _ SMIP-Com: ' , $0.00 - Other: $0.00 . . - T ' Inspection: ' 10.00 ` Total: $94.63 ,-,--.47'. �� PLANNING &ZONING ' �7 „ '7 ETBACKS' �/ / i '2` AIN STRUCTURE yFront '0-0 -. Rear - 0-0 Left -,0-,,r0 - - Right \'‘.0-'0;\ ' - - 'CESSORY ''Front 01'6 ; - ) Rear- 0-0- Left 0-0 - Right. 0-0 -/ ,'/ ,RKING Existing:.. -0_ .. Required: ' 0 - Proposed: 0 , - - rES: - L 7'7' e work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related Ird.No.92-28,§1, 12-21-92) This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned '80 days. In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all :tions and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. )NS CALL: (714)754-5626 DECLARATIONS ( "I (Th 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 and policy number are: Ca r: Policy Number: (Th section need not be completed if the permit is valued at one hundred dollars($100)or less.) LiI 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 C la,and a r t If(should become subject to the workers'compensation provisions of Section 379 V0 of 1herLabor Code,I shall forthwith complywith.ihese Ision . �,C�`�' App [Signature:. _ � (Dater. 1 2 'WARNING:FAILURE TO SECU ORKERS'COMPE SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 01 I ARE($100,(%x/),IN ADDITIONTOTHE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.a Class x 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). Lenders 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 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 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,end who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am axe • •"ler sec. Business and Professions Code for this reason: Signature_ ice, _ .�� r'Date:: ��C j/Q LOwner ID verified by drivers license. 7 es ❑No Drivers License No. v LExpireir, 7 -/ - V J Verification of Ownership by(type of doc a'tt,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,ialsework,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 permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 hazard material? ❑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 e 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 gal 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? ❑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 one lime 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 I 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 mate, ❑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 I Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. a If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or mor from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes i 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? ❑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 subj application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑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 end city regarding Hazardous Materials end 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 informs correct. I agree ply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to el above- ed pro arty for in p oses.l ogre Doses. ogre t to occupy or allow occupancy of any building authorized by this perm until fin inspection. 6 7 Signature Of Legal Owner(s)T E._Date And/Or Authorized Applicant Date 900E I INSPECTION TYPE alt INTmALs CODE INSPECTION TYPE PAIL 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 81ock/Retaining Wall / OJ 61/4 2 212 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 7/ co V /leli dir' e / yens "jCAVe 3oa -o / 9 APP OVED fi• 4 g g t $ e 31 ( Y� o � �� ft� 1) f CITY OF COSTA MESA ' ..„ Q., PLANNING DIVISION SUBJECT TO BLDG. DEPT. REG. . ItI� NOTE:ADDITIONS, DEIIETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLA NING DIV.� PRA ex [7 f/o7/ HO) vAlle y GI(GIe BY: dA e 14 -I20. feet ( 6/Li9 )2ga 6z2W ct// -t Jr — . ch Co D[VISION OF BUILDING SAFETY WY r CO MESA APPR * V D eF/a (-e AXISf65 �2oC� g' :P St_ : iz>/g42-- J 4Fe c 710) anxatlam:, +ansane.fttmemiscbisrmmeoviatom arratisty,CIty moeeaeku. '-' ThestanipirgettOnanesstikainSIALIMetherecvemilictintwprytal ,-; �ldlrowidmfonedatymaimsclawCitycl Mesa+'AUinanm:tariemrSBd�IR!.w. n G _ pe, pl��ie• �c.-r C.k_ --pc -5E� Osumi Amids1011egpiaCg'lliniit9tianartd�eemzend w�'rf"nE�tiNdi�®r / %t*I tytu me�Isrtdnsiint$iteektlilaipy1v"6¢t."�: il 'JI{jatiit.n�CY3tldapuff sorra PpArt . w �`-h 6 H5h ,!3/oe/: /"/ lCS rs _ 711- l© / Of & 7, /Q,SfPrSr . TYPICAL 6tt CONCRETE BLOCK FENCE Cement Coping Optional 0 �i M, - =II S1 GENERAL- NOTES Channel Block With 1-3/8 Horizontal Top of all ----- Fences N Illn -- - - NMW. MORTAR: One Part Plastic Cement, and Three+a GROUT: One Part Cementts , Three and For Fences 5'or Less ' Ven.Bars 3/8"Ø at 4' 0"O.C. 411o ��1� �,- One HalfrPortsemt,and - = COPING: One Part Cement, Three For Fences Higher Than 5' ! u o Parts Sand Vert. Ban 3/9"¢ at 32" O.C. r w CONCRETE: Well Mixed 1:2-1/2: 3-1/2 a z Mal of 7- 1/2 Gallons of Fill Cells Solid With Grout III > z IIII I Water Per Sack of Cement Where Steel Occurs r - - - Reinforcing Steel Shall !11117 `o GROUT MAY BE POURED FROM THE TOP �'. OF THE FENCE IN CELLS WHERE STEEL Conform to Sec.A-15-39 w o — - . OCCURS. AS.T.M. 'IIS z I $. CE LLS AND AREAS OF HORIZONTAL REIN All Steel to he Lapped �1 -- - _ _ FORCEMENT SHALL BE CLEAR,CLEAN& 24" or to Code �M I lel �- FREE OF ALL MORTAR DEBRIS,ETC. NATURAL wv` E• ;tyas.•IM■■IFZ ,,, �'Mil 1 ,� -- I v • 0 • TWO 3/8"4 BARS / • 1110 (t0 • •" CONTINUOUS TOP I &BOTTOM If VIOTH U 10 16 0 C MAX SEE CHART HOQIZSTEEL MUST BE TIED IN BELOW OC PTH EF EARTHTCOTH PLACE AT TIME OF TRENCH '/J THE HEIGTH Of FENCE INSPECTION. .. BECOW BOTTOM OF FOOTING 1_... ",..0 2.. SCALE: I/2n = I' FOOTING REQUIREMENTS CHART WALL HEIGHT 6' S 4' 311 WIDTH . . 14" . . 14" . . . . 12". . 12" THICKNESS10" . . 10" 8 " 8 " DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14' . 16' 16' 1 1. BUILDING DIVISION ("re) • •THLS SICETCH IS FOR INFORMATIONAL PURPOSES •SCUD WALLS/FENCES BETWEEN 76'k 6'IN HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE. AN ACCURATE REPRESENTATION OF THEIR PROPERTY IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCES SHALL NOT EXCEED 2'6'IN HEIGHT WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10'OF THE FRONT PROPERTY LINE(NOT CURB LINE). •VERIFY DISTANCE FROM CURB TO PROPERTY LINE AND SHOW ON PLAN. VERIFICATION FROM THE CIIYS ENGINEERING DIVISION 5 REQUIRED. CALL(714)7545343 ' + FOR INFORMATION. rfricLI I I K t RE9DENQ RE9OCKE m • 1 I I I I 1 I I 1 v K C • a a a REVDENCE RE90ENIE RE90EMQ RESDENCE I J W • 1 - 0' 1104 & t.A\1 41&AOI . • F STREET BLOCK WALL LAYOUT FOR BUILDING PERMIT r . I PLANNING DIVISION J � Ill1-1 41 JATADDRESS: 1100 VALLEY CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063907 R's NAME: HIRSCH WILLIAM R 'ADDRESS: VALLEY CIR PERMIT NO: B 063907 PLAN CHECK NO: N GOVT; N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : TIO ROOF 6 REROOF W/CLASS A COMPOSITION SQ FT: 2, 350 ADDRESS: UNIT: CLAIM VALUE: 5, 200 . 00 CALC—VALUE: 2, 350 . 00 GROUP OCC: R-3 /M-1 PERMITTEE: MR ROOFER ( 714 ) 638-8118 ADDRESS: 13442 JESSICA DR COMMENTS: REROOF 2350SF OF FIBER GLASS CLASS A SHINGLES GARDEN GROVE CA 92643 +E*******4**+6*****RH*RERE* *****Sr*Rr******RE****REx+6***x*RE***RE****SrxRr*R6x*********T6*RE** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M 'E N TS 70001 of Division 3 of the Business and Professions Code,and my license is in tun force and effect. SETBACKS CITY LI1pC.'.' STATE LIC.:385289 CLASS: C39 � oae:574/�Exsnnox DECLARATION: Signature: MAIN BUILDING ACCESSORY BUILDING affirmhereby that is consent self-insure oracertifi tate of workers FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING RE • PROV: PARCEL: 42203105 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES> -> (- Date: Applicant: **************1!******************************************************'********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($700)or less). D E V E;`L O P M E N T S E R V I C E S R E Q U I R E M E N ',T S 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[l°the Workers'Compensation Laws of California.121•01-14 �j}�/��/ ZONING APPROVED, B Y DATE:Date: /�/eirn Signature ✓'/act.7 NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provision of line Labor BUILDING APPROVED B Y DATE: '• k— \ Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ,CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED flY; ' DATE: '.- 0 — q3 which this Permit is issued(Section 3097.Qv.C). **************,********;E******* iE * ******************************* * ******* .fi--C1 LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRESMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 54 . 00 'r _ 50" repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensedfSMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business f' S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not mare than five hundred dollars($500). ISSUE FEE ' I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ' PAID n. DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 54 . 50 0 , 00 0 . 00 54 . 50 4, 54 . 50 -fl . 00 does nor apply to en owner of a property who builds or improves thereon,and who does such work himself/herself or through his orro herm ownlisemployees.win provided tfac mph ion,the e are not intended bd de offered pr for sale. If,h00 buildingor ofownerwill not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 •',5 0 J' ❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon i7 and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware *******{E***7t.********.*****************.***************.7k***.7E*******{E.**}(-*******fE**-* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.S P.C. I N D I V I D U A L F E E B R E A K D' O W N j for this reason: TYPE QTY DESCRI - • 1 WPM UNIT COST TOTAL COST Date: Owner: U I hd7� 1 j�j�� /' f2, 350.00 SFR 2350 REROOF BY VA i. gra L 1 , 00 I do hereby certify that I am aware of and understand the requirements of Calito comply lth and Safety Code Sections 25505.25533.and L' 1$ 25534 and that I or any future building occupant wildwnl not(circle one)need to comply with said state codes and the requirements for a N OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from CALL /! these provisions. • l I Date: Applicant' SMOKE DETECTOR 754-5626 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county F' ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ,^J Or _ j property for inspection purposes. REQ 'RED4 9 G 1 Dale',//�//) Signature'. iy/ (.-' / 754-5627 01 00146696-00146697 TOT _, 54-5Ct . — Driver's License or Social Security a: DATE_0113/93_ -TTL+=• ` - _ 1641-46 White—Budding:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor _----- "" C . r ( ` ' I. CONSTRUCTION AND PLANNING. ` POuL & SPA ,APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service of 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. EfectricalUFER-Gtnd. 57. APPROVAL TO COVER-GUNITE ,7. Footings 58. Electrical Conduit-Undrgrnd. 8._ Foundation .' 59. Gas Pipe, 0 Undrgrnd.,Test 5. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 1 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 I 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I • I 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - ' FIRE DEPT• REQUIREMENT 20.•Rough Factory Fireplace t : , ' ' ' : , APPROVALS, :' ',Pell-it # •- .. .. - • • - 1 21; Ducts, in Structure 90. Underground Hydro i , { 22. Ducts, `V�ntilating, •; ' t • �' ,-71. Product P,ping 0 Gas 0 Oil "-. 1 I • - I23. Gas Pipe-Rough &Test ! ,. 72. Underground Flush. • 24. Roof Framing ' - ' ' : - •-73.' Undergrnd.StoragVidnk 0 Gas ❑Oil 1' ;l 25. Roof Sheathing .q.q-17-15 & 6L' 74. Overhead Hydro .c, 26. T-Bar Ceiling (Structural) & Monocoat 75.:D'ry Chemical - _ ! 27, Frame and Flashing • , 76. Dry Standpi Pe ; ,•• 28. Lathing& Siding • • . :. - •'� "I ' 77:-'' FIXED SYSTEN4 FINAL ; , - - 29. Insulation . , 78. FIRE PREY. FINAL : ' 30. Drywall-Nailiog I HEALTN DEPT. REQUIREMENT _31. Plaster Brown Coat i „ , - - ' 79. FINAL INSPECTION "---""'•- 32:,Electrical Power Meter-Final! ' • - 80:-FOOD CERTIFICATE ISSUED.: it _ 33.-Final Electric - .- 'Notes: • ':,_ , - • 34, Final Heating,& Air Conditioning' , , # I 35. Filial Gas Pipe Test, !_ t; -. 1 i 36. Hood or,CanoPy • - , • , - •' - - r I 1 < 37. Final Factory Fireplace. ,__ _ I - - z 38. Final Plumbing I I 39. Water ServiceFinat I ! 40. Gas Service-Final-- - 41. Solar Domestic-Fipal - I • • 42. Backflow Preventer, q /G - q ,,• c�t A� / �Q �/_ 1 43. Backflow Irrigation a 44. Landscape Irrigation System , 45: Sound Attenuation ' 46. Handicap Regulations , I 9 t 47. FINAL STRUCTURE & 8U4LDING l-LO-R3 t 4/b S /J .L e, 4 - races I --:--,1 O� + (O 48. FINAL PLANNINGi i -49. Electric Release to Edison i I .i i 50„., Gas Release to Southern California Gas Co I 1 : 1 . 51. CERTIFICATE OF-OCCUPANCY No. • Date 1 UWNtK 1112L70IUJ WILLIAM lt. DATE 5-5-77 JOB ADDRESS 1100 Valley Circle BUILDING PERMIT NO. 43925 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Add Familyroom AP No.115-661-12 LOT t TRACT 6483 FIRE ZONE VALUES 2,000.00 _ INSPECTIONS Signature Dote TYPE V GROUP - I ZONE R-1 _ SOIL • PERMITS ISSUED GAS SU BCONmbing R I I Dote Number Signature WATER Plumbing ROUGH PLUMBING ROP. SWR. LINE [] HOUSE.CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING / jj�Z.�-7�] Heating and Vent. TRENCHEFLOOR SYSTEMFORMS /STEEL REINF. J 2r7? BONG BEAM 11 STEEL REINFORCE n ,`/'LA SHEATHING C'"/O Inn? FRAME AND FLASHING in . _ .11-12-'17Z LATHING - IN rg OUT I !CL-frjL Yea'2-4 PLASTER, BROWN COAT - — STRUCTURAL, FINAL 1/4_14C4 /Jr litz57-7? _ HEATING, VENT., REFRIG. AND A.C., FINAL T aJJ )0.10•7) `-‘3051/ _ PLUMBING, FINAL AND GAS TEST 5 p ELECTRIC, FINAL A37k AC . 2 . BUILDING, FINAL ` 3•I-Jg SPECIAL REOUIREMENTS p a" 43925 4IP( ..=i-77'2.,i.,.00 277 ` ia'.rd4r .ti(. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT • For Applicant to Fill in Completely — Use Ink Only �� +' (/`�' ^ +1 RECE DATE RECEIVED¶ SSUDDATE ADDRESS/WI ii 0 �' `ci/rty \ I1 ' cue E DA Scot_ /�7 /OWNER /O, /II QM t • [ / 1 rsc Li A.P. NO.//-1--^a/ 'f/- P421✓�OS✓ MAIL �t ADDRE S ///Q0 t/4LLtx e,EGCr ADDRESS .Si4M F TRACT('(43 I. LOT ? BLOCK / c93( y TEL.''j �p CITY C /� �E�y� NO:.S%0 da7r CONSTRUCTION /L03PLC N.EW A ALTER REPAIR MOVING DEMOLISH LENDER (`R(� �r '7 l BRANCH s_ OWNER 6tUILL/�1 n. R. g/Rsal ADDRESS p�77 VALUE /'//-_l- ARCHITECT �/}} TEL. USE FprvntCY Keern. SHOO OR ENGINEER Gzt'V�L �� NO. /1 fl / FIRE J ADDRESS /9 ' ZONE TYPE-VT-GROUP APPROVED 'CONTRACTOR OGCliLE(� BY / ? DATESt /77 ADDRESS � J _ 4,1-t.f OOD TEL. ZONE^ INO.OF .yj ` USE OF NEW CITY 5/9/-21<`— NO. e( PLANS It, BUILDING F STATE ,.— CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L�rST ., O. OF LOT '_- I NOW ON LOT FRONT,q, ( n�tr`REET)�ly� FT. USE OF $1/ L�.0- 49 IL L�C/n-C '. ii4<<it i-iEXISTING BLDG. i _II SIDE �/'{1 'F FT. ion (-0 Separate permits are required for L.SIDE (i' t2'FT. '�I FT. Ci electric,plumbing and heating work. -REAR* l >Kfr/� FT. F USE OF BUILDING AND WORK TO BE PERFORMED, DISTANCE BET. BET.MAIN& Q _MAIN BLDGS. ACCESS.BLDGS. Q a /. /AM/L > leO-&wt.. CU.P.#�/r� �/- _APPROVED ^/ —AAPPROVEl VD.4 K DATE 5 7 / WB_VL ` i Q I hereby acknowledge that I have read this application and state N p: that the above Information is correct and agree to comply with n Co CI-1 all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of m the State of California. 71 I hereby certify that I am properly licensed as a contractor under L SQ. FT. w the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FENLY: am exempt from the provisions of the State of California Business 'i' C e and Professions Code, Division Chapter 9. VALUATION PERMIT FEE $ Se N 7- O,7 Signature of (/ J/, Jl �" PLAN CHECK $ u. r�Permittea (/C.►/V✓ $ �O 0 TAX $ 5 Q 2 `\ Q AAA I Authorized Agent ` TOTAL PAID $ (�2 r sO U =�" Mi.t 6.61-0 576* ***108.00 28118 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1209 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING // ��yy A,r /y For Office Use:Only ADDRESS rJJ A}/ {'t J�/ RECEIPT NO. P28Tfl8 COSTA L MESA. CALIFORNIA LC.7 O /C!AffsJL �A R.DRIflo0 D� • 7TH R ��E� SA 8261968 OWNER /� /J MAIL ' o A/ I/. r- i),6 ski, ADDRESS BUILDING //(��� ADDRESS ^V`/i V��✓�pW[ ffJl--/ / '/ n .. FIRE CITY/ N / /0--m f/9g3 NO.( �%% ZONE - TYPE ✓ GROUP (�J�1j/ ryrl/ps /' 14// /% APPROVED I/ OR ENIGINEER `OI (//l y NOfOj(7/C7/[� BY DATE / ZONING tee ...i1/ ADDRESS n,, ZON I NO.OP USC OF N[WGI.a04'( B CONTRACTOR eetf/V.�f' //e/E,e �oAt _.�/ /l I 7"--P- � !�2> - ADDRESS DOCRIPDON �--J-( A.p.NO. CITY `. /�/// �j/ LIC.TNO. /Q/�/�x/��//� TEL NO. �F� T� / /�/ 301 TO SIDS a REAR P.OVERHANG SHALL BE LESS THAN VES OF LOT�U/�(/ �/�/�/ I NOWFSLOD ALLOWED (U.B.C.REQUIREMENT)-.. ��� — YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG SETBACK LINE FROM /.a/ / (FROM G/L STREETL. CENTER OF STREET ✓ REAR YARD /� FRONT 1/�FT. 11-� PT. SIDE YARD I LEFT C / I RIGHT T` R.SIDE - FT. Le, FT. DESCRIPTION OF WORK I..SIDE /to Fr.cc FT. NETERATA N ADDITION REAR �FT. FT. W DISTANCE SET. BET.MAIN& REPAIR MOVING pgMOLIaN MAIN BLDQB, ACCESS.BLDG/,B. / / // VAR.* y-..2 q—�07 —Co SIZE NO�jh '/ / NO.OF SIZE os /LI.r��(,OI•�n ROOMS 7 /S�TfQRI[q � C.U.P.# �n5 APPROVED x�/ COVERINGEIOR WA �/ (�eC- COVERING L'(J DB� at APP(.(/�(/t�- �,�j� DATE / r / 6 '.1 U OFBUILOINSAND KTOBEPERFORMED HOLD FOR DYeL.IAL RE UL.EMENTS m Ei ��/meqt ��, >y SES. Q 4/..w,d (AA/c.2alfo4/ '/ -e_-e /1 i it & oL e-gaet t ; I tg I HER Y ACKNO 06 THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND TATE THAT THE ABOVE IS CORRECT AND AGSEE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. R1 PLY WITH ALL CITY ORDINANCES AN STAT W REGULATING VALUATION �7 H BUILDING CONHTRY I l/// PERMIT FEE $ /2 oe p PERMITTEE OF � `(i�'✓ / �,✓//�� �. s Q // >Qp07 7.5-0 PLAN CHECK $ ,moi 1r AUTHORIZED AGENT V J / O TOTAL FEE $