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HomeMy WebLinkAbout2436 VASSAR PL - Building Permits • . f\ ,- , / 5 ^. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. '` ��Ctmr tr PERMIT NO. ,/ TRACT NO. LOT NO. .UNIT NO. 2579 2/ 9JB7 2O7•E'1 TL G . • 1:, SSE( ESA CONSTRUCTION PERMIT .'{ �M�o�770e . a r J 7 / • Project`Address 24'36' L sA4 -a.. G /4�,4_.' • rt� , , Applicant's Mailing Address i$�--.- et' •TYPE OF CONSTRUCTION ❑ NEW. l+t.ADD ALTERATION ❑ REPAIR ' ❑ CONVERSION ❑ DEMOLISH OTHER , / v Owner's Name.'--"tJcii-'FJ«ael Mi Tse..:146:H' ' '~Phone SSO:"13e-3 •-1* A.P.# •I y' y 4 I — .0 O _ Zone �I y DESCRIPTION OF WORK/USE OF BLDG. ' 7""'te�"'d -' et'ti " - Address 241 3E 4-10-SRR f L. Cosi-a:Yat sp C,Lb1% _ - - 'eu. - S Main Building: 'Accessory Building: - Arch/En • • Z • �� 9. . - License No. • ' •F ,I,TYPE OF PERMIT ' GRADING ® FOUNDATION- 4. STRUCTURAL • x Front 2O - 0 A• ddress •- - • ��t1,. 1 • •' - TENANT ® ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B 1 l N Contractor's Name , -"'•'e- ✓//.J ' J°&)`13:7.sj. / L OTHER i^ ei ea- ' A Rear , `'� - _ Phone • Address lmailing) Sn- -t '� 41rK. '(e4 S �3t.2S 'M1PROJECT DESCRIPTION 'SQ.•FT.�f�C OCCV PANCv R�r C 'K Right .' G f.i,, ., - •_ n CONSTRUCTION TYPE Wcen mac-,-al/VALUATION$22n00:. S Left - � '(, R City License No. ;ZONE GRADING CU.YDS. ACRES ' • LICENSED CONTRACTOR DECLARATION n � '•� ..- • Ping. Ref.# Parking Req./Provided E 1 hereby affirm that 1 am licensed enact'Provisions of charter (commencing p^ *. - Q P ( g .'Remarks: !_Ll Z p ��_ Planning Notes: /J �qq�) I M with section 7000) of Division 3 of.. ttte Business and Professions Code;and = -0 7,4 - ��1� `(°CzC.I�Dh1 - - my license is in full force and effect.' •\ S License Class - ice s '�' . Date Signature _T:_ -_i.:.. t -'� ' ` - PLUMBING - FEES : ' - , r WORKERS'COMPENSATION DECLARATION -" - • I hereby affirm thatl,have a certificate of consent to`self-insure or a certificate. , ' Bar Sink . Showers - ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 100, Lab. C.) Ir Automatic Washer Transformer 0 15-50 KW • ilicy No: Company. -k Backflow Irrigation - - Sewer Cap' • Construction Pole Sub, 0 50+KW 8 Certified copy Is hereby furnished. - _ • - .-_ j Certified copy Is filed with the city Building-Division.`„ : '' d„ . Bathtubs Sewer Connection •: Cooking-Unit Meter Dun to 100 amps • Date - Applicant ' - - - - EXEMPTION FROM WORKERS'COMPENSATION.DEC LARATION ' L . Clarifiers , Solar Collectors Dishwasher Meter Dover 100 amps " (This section need not be completed if the,permit isior one hundred-($100) or- - - - - ' less).' t - . - -s „ 'Y Dishwasher ' Solar Piping I Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for-which this permit is issued;.ir -- _ - _ y/ - - ' ' shall not employ any_porsun in any,manner so as o.become subject to the ' Drinking Fountains .Solar T. It, Fan worker Co ppens1ugn Laws*of Californ' �' Motors❑0-1,HP ❑1X-B , Date • ,7. 3/ -Signature -T. " Floor Drains' - Sw' ming Pool w/Spa F.A.U. 'Inc.Solar HP 016-154- NOTICE: If,after making-this declaration;you should become subject to the —_ - _ - -. Workers'Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks comply with such provisions or this permit shall .be deemed revoked. , .foal Fi%t Ur¢5 Microwave, CONSTRUCTION LENDING AGENCY Gas Service . :Outlet • s Water Closet 1 hereby affirm that there is a construction lending agency for the performance - Device Boxes M• � Pole Light • , ' of the work for which this permit is Issued (Section 3097 Civ.','.C.) - Lender's Name - Interceptors Water Heater Outlets • _': . Range I • SAO • Lender's Address w • -' Kitchen Sink - Water Service \� Switches - Sign ` OWNER BUILDER DECLARATION j. • --- , T '` _ 3 �O - I hereby affirm that I am exempt from'the Contractor's License Law for the Lavatories Auto-Wash 1t- Garbage Disposal ^- Standing'Sections ' following reason (Section 7031.5 Business and Professional Code: Any city or - ' _ - - • county which requires a permit to construct,alter,improve,demolish or repair P=Trap • ♦/- -- Laundry Trays - Generator ❑QS KW 05-15;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,0 . ns ' ' the Contractor's License Law(Chapter 9(commencing with Section-7000)of - • Division.3.of the Business and Professions Code) or that he/she-is exempt - _ . - . _. - .. therefrom and-the basis for the alleged exemption. Any violation of Section ' , .031.5"by any applicant for a permit Subjects the applicant to a civil ' _ _ enalty.of not more than five hundred dollars($500). - I „, . - ,.y 1, is owner of the property or my employees with wages as their sole Reinspection Feel l $15 ^ • - • Issue Fee $ 3 - ompensation, will do the work,and the structure Is not intended or offered Reinspection Fee I $15' Issue Fee $ 3 • for sale (Section-7044, Business and Professional Code: The Contractor's ' - ' MECHANICAL • FEES • License Law does not apply to an owner of a property who builds or improves _ • thereon, and who does such work himself/herself or through his or her own - _ - —, •DEVELOPMENT SERVICES REQUIf2EMEN S: ' ' ' employees, provided that such improvements are not intended or,offered for Boiler /' Hood or .'Type I ❑ `,1///���rsss{{( f�J�'t , ,sale. If, however, the building or improvement is sold within one year of com- - - - Canopy '�Type II ❑ • Zoning Approved By Q `f'f'v+f f`1�M. Date �,�-"I pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - ' BuildingApproved ByG S /Y'•^ "';'" • -' Date r''-" .9 -a- prove for the purpose of sale). - PP ! 'f I ❑-I, as owner.of the property, am exclusively contracting with licensed con- Duct-Structural - -; Refrigeration System Application Issued By t_�+_ �,- /rti . Date '�`'I =�.7 tractorsto 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 BTU 0100 000 BTU SU'M�MMAAR''''Y�OO F,FEES - ilai builds or improves thereon,tand who contractsac 'sfor such w),I-as with et con- - - BUILDING PERMIT $ SMIP $ �' ` • . tractor(s) license pursuant to the Contractor's License Law). 1 am aware that: Exhaust System ❑ Multiple ❑ System Repair/Alteration proof o their Worker's Compensation should.be provided to me- - - PLAN CHECK $ PERMIT W' am exempt under Section .6. •&'P.C.for this'reason Firepl/Fact.BIt. ICBG# Fire Dampers �j maW,Vi<K - a•'pet•'.•- _ r• •l 1 co - PLUMBING $ ISSUANCE . $ Date l^ -/3..a'7 Owner - A.-,bel He ting System&Ducting •Registers PLAN CHECK 25% $ ENERGY P.C. $ `_ I hereby certify that I have 'read this application and stat that above / ( K0-100,000 BTU ❑100,000BT I/O. ADl nic------'-� information is correct. I agree to.comply with all city and county ordinances ' 1 . . - 3ei& ELECTRICAL $ ��t 7V�GR and state laws relating to building construction;and hereby authorize repre- _ _ sentatives 'of this city to- nter upon the above-mentioned .property for PLAN..=uco•-----`-- inspectlon purposes. 7 - �-� '�— `t Signature /:fF.�"- /' Date /-/3 �0 ' l - - — I� i Drivers' License or SS# ' Reinspection Fee I $15- CMF 0865-46,rev.10284 White ;Building; Canary - Appllcant,.pi.a•.^'`�— I , • 1 ) • RUCTION AND PLANNING - POOL & SPA /ALS Permit# _ _ Date Inspector APPROVALS Permit# Date Inspector I wary Electrical Service or Pole 52. Pool & Equipment Location I ipe-Undrgrnd. • 53. Steel Reinforcement tical Conduit Utility-Undrgrnd. • 54. Forms Tical Conduit-Undrgrnd. 55. Electrical Bonding 1 IReinforcement 56. Rough Plumbing & Pressure Test trical UFER Grnd.. i li/,,.� 57. APPROVAL TO COVER-GUNITE • I. asaii ���p,�,_�,.. / �', 58. Electrical Conduit-Undrgrnd. ndation - - 59. Gas Pipe, 0 Undrgrnd., Test . ler Pipe-Undrgrnd." 60. Backwash Lines, P-Trap, 0 Undrgrnd. uctural Floor System r "Mit Or 61. APPROVAL TO DECK iperty Sewer Line & House Connection -78' 62. Backwash & Receptor-Final I wer Cap 63. Heater & Vent-Final - I oof Drains 64. Plumbing System - Final ugh Plumbing 65. Electrical-Final - Iough Electrical-Conduit 66. Solar System-Final • • ki n."---T¢S liough Electric WiringCrMores; M • r / . 67Y Fencing & Access Approval ( ough Wiring Sign 6�l5 'Y�7+�`^'_ _ 1 68. APPROVED FOR PLASTERING - Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL :Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . (Rough Factory Fireplace 41-7-517 cf.!) APPROVALS Permit# `. - (Ducts, in Structure 70. Underground Hydro ', ) Ducts, Ventilating . 71. Product Piping 0 Gas 0Oil' • I. Gas Pipe-Rough&Test 72. Underground Flush • I. Roof Framing �� "tires 73. Undergrnd.Storage 0Ges 0 Oil 5. Roof Sheathing 74. Overhead Hydro -, R. T-Bar Ceiling (Structural) & Monocoat _• • , 75. Dry Chemical - - I., 17. Frame and Flashing St �ges-,,> 76. Dry Standpipe - • i . 18. Lathing & Siding 77. FIXED SYSTEM FINAL • 29.• Insulation Ste_ ,��S 78. FIRE PREV. FINAL • 30. Dr wall wall Nailin e G/3s/ Al-- HEALTH DEPT. REQUIREMENT . I31. Plaster Brown Coat 79. FINAL INSPECTION • . 132. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I33. Final•Electric *SAS J�, , Notes:3 jy�� Smc 4�t,,.p j' �/ 7 At rk(�R. ,ENTIV C r �./V• /GAYS• 134. Final`Heating & Air Conditioning 341'ne. eArt 3-1f-1 7 /2.0.. - 0 35. Final Gas Pipe-Test • 's . oSa -6-OfrrIuJ woHei:k/e • 63-e.s 1 36. Hood or Canopy // 517 v) r j��i///ts.0 37. Final Factory Fireplace 3J7 C4 4-f-17 Gds Mr Ala. N[aren•C,.C.. . �V,�,r�,,/ 38. Final Plumbing � St/y/py ts.tEK ' R`J OJ• Ga.,- t0 .aJ'-^ 39. Water Service-Final N•3_117 QAA.�•_aic44.G 'A.. Ott Uf/NK.4Icq 5/AGL� • �,d • 40. Gas Service-Final fele, la9tA71K. : (,rat% 3 *Act, a O .a9 • I 41. Solar Domestic-Final yT -� V/-5 O EPS. tuf -)pfd 42. Backflow Preventer - • ,t 4r, " 4S -nod 4 OK 7a ✓.L 43. Backflow Irrigation5/2047 Cliotetiii e- ZOF C!t"' 44.A Landscape Irrigation System - `i' 54747 �f SL(swZ1..y 4`MC.a/ SrOO+�w ' . 45. Sound Attenuation c4_,g_g7• -p 44 A.,-t/., mRc4 -,."j "V . 46. Handicap Regulations /6_ Bo ...-#0j -�,r,N.R-e,w+� U _„ ,�J,.i J� 47. FINAL STRUCTURE & BUILDING 3i 4 A-fr✓ , I r _f.� /01 U' • t-t-‹ M.) , i roc 48. Special Requirements Completed qq - 7. P i50.49. Electric Release to Edison l Gas Release to Southern California Gas Co • • \ r' J 51. CERTIFICATE OF OCCUPANCY J. No. Date _ _ ' - _ �� A _ __ City of Costa Mesa INSULATION CERTIFICATION . Building Safety Division y '3 a vLi s ec.v 7:7Z - Co.lter. ?r.�c 52 l .e .l t> �' • Number and Street City County Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name /C.qk Thickness (inches) 2 3o Thermal Resistance (R Value) 30 EXTERIOR WALL Material _ Brand Name 2Z �.4 .1_ Thickness (inches) 'C 3e) Thermal Resistance (R Value) 3C CEI LING Batt or Blanket Type �O--r� Brand Name ' r'4 • Thickness (inches) Thermal Resistance (R Value) O Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag lb. Area Covered (ft2) 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 (R Value) DECLARATION • I hereby certify 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 Administrative Code). 1,4 ) , A11TSCA Y ✓ C / ZG 4/3 2-S Sr General Contractor(Builder) License Number Signature and Title Date Sub Contractor(Insulation Applicator) License Number Signature and Title Date CMF 1106-46 Pr/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA CONSTRUCTION PERMIT 4P.= PERMf TRACT NO. LUl NO. (UNIT NU. - . - [ � �j l agr��i i . ' -I : 0-3;6 . 7/L7r- . F.. 1.,'_. Project Address G 7 '3& ��t'SSQ r Pei • .Applicant'sMailingAddress ' SSS- y TYPE OF CONSTRUCTION . LJ NEW U,ADD H ALTERATION H REPAIR i - - - Phone ere 9323 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name IC • Nj7 f's'Chr/�lx _ -- A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG.• . Address �/ 36 Vee SSaY 'pe• ea cm 6/,c4.4 ; - • S Main Building: ' Accessory Building: Arch/Eng, License No. TYPE OF PERMIT ' ❑ GRADING 01 FOUNDATION Ell STRUCTURAL ET Front Z Address • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear • N Contractor's Name • Phone #SO 9323 ❑ OTHER • i - . A I PROJECT DESCRIPTION •SQ. FT. OCCUPANCY C Right - - ' - N • Address mailing) CON ST RUCTION TYPE VALUATION$ ' • S Left ' City License No. - R I LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES Ping. Ref.# . i Parking Req,/Provided E CI I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /7 // • Planning Notes: I M with section 7000) of Division 3 of the Business and Professions Code, and /«.CO«4 s.2S �tST�O aid We r�i•2tL-..af - my license Is in full force and effect. T License Class License No. Z'w> 72a 9 c ? �< - 7 •aAE1�S OS/ S Date Signature • - PLUMBING �1AL '° EES: • _ , WORKERS'COMPENSATION DECLARATION Bar Sink i ,. Showers ELECTRICAL FEES ' I hereby affirm that I have a certificate of consent to self-Insure or a certificate • - - ._ . . . _ , a of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer. Service Sink ' �'` 3800, Lab. C.) acw _ Automatic Washer • Transformer 0 15-50 KW Policy No. Company Backflow Irrigation - - 0 50+ KW 4.,� 9 Sewer Cap- Construction Pole Sub. 8 Certified copy is.hereby furnished, Certifie$'copy is.filed with the city Buil Ivic ,,� i Bathtubs _ • ' Sewer Connection Cooking Unit Meter ❑up to 100 amps Date 7- /-' d'1 Applicant� ��''^ r EXEMPTION FROM WORKERS'COMPENSATION DECLAR TION Clarifiers • - • Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or - + t - - less). • Dishwasher-. Solar.Piping . „ " Dryers ❑Gas ❑Electric Sub Panel • 1 certify that in the performance of the work for which this permit is issued, I • - - _ - shall not employ any person in any manners as t ecome subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'/x-8 Work�s�Eggg��pp��ns Laws'of Celiforni • o/fib, / - _ Date y- ` . • Signature . . /^fes Floor Drains Swimming-Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ • NOT E: after making this declaration,you should became sub'n to the Workers' ompensation provisions of the Labor Code, you must forthwith Floor Sinks ' • Urinal Fixtures Microwave' comply with such provisions or this permit shall be deemed revoked. • , CONSTRUCTION LENDING AGENCY I:` Gas Service Outlets ' Water Closet a �,O Device Bones Pole Li ht ' I hereby affirm that there is a construction lending agency for the performance + 9 of the work .for 'which 'this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name - Range t Lenders Address + . Kitchen Sink - - _ - Water Service _ . ' Switches- . ,- Sign - _ OWNER BUILDER DECLARATION - ---- _ - - - - - I hereby affirm that I am exempt from the Contractor's License Law for the -' Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - i , county which requires a permit to construct,alter,improve,demolish or repair - P-Trap ' Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash'Compactor any structure, prior to its issuance, also requires the applicant for such permit p to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' • the Contractor's License Law (Chapter 9 (commencing with Section 7000)of - Division-3 of the Business-and Professions'Code) or that,he/she is exempt • - -- 4 . - - therefrom and'the basis:for the alleged exemption. Any violation of Section s ' f 7031.5'by any applicant for a permit subjects the applicant to a civil _ enalty of not more than five hundred dollars($500). - I - A LJ I, as owner of the property.pr my emnlnvens with wages as theli sole Reinspection Fee. 1 $15 Issue Fee $ 3 G m nsatio II do the work, and the structure is not intended or offered tt J ' I or coon 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 thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: ' employees, provided that such improvements are not intended or offered for Boiler - Hood or Type I 0 sale. If, however;zthe building or improvement is sold within one year of com- Canopy Type II ❑ Zoning- Approved By Date - pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved By • • Date ' • trove for the purpose of sale). - - ��-r O I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural 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 BTU"0100,000 BTU • SUMMARY OF.FEES - builds or improves thereon, and who contracts for such projects with a con- •__ _ - tractor(s)• license pursuant.to the Contractor's License Law). 1 am aware that Exhaust System.❑ Multiple 0 System•Repair/Alteration BUILDING PERMIT '$. SMIP ' $. proof of their Worker's Compensation insurance should be provided to me. ' PLAN CHECK - $ PERMIT ❑ I am exempt under Section p;C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers - PLUMBING $ ISSUANCE $ ' Date • Owner ' L���r1 r—r- m& Heating SysteDucting L Registers - - - PLAN CHECK .25% $ P.C.+ ' I here ce ify that have read this application and state that the above DO-100 000 BTU 0100,000 BT GRADING ' '$. + informationis correct. I agree to comply with all city and county ordinances - ENERGY P.C. $ELECTRICAL $- - and state laws relating to building construction,and hereby authorize repre - __Mlconv'•-••--- sentatives of this city ter upon the above-mentioned-property for - - PLAN CHECK 50% $__� inspection purpose - •O e--� - - ��••-- Signature �SCi-- CMF 0865.46,rev.10/84 White . Building: Canary :Aoou.---•-•-•-•--- ;TRUCTION AND PLANNING pr &SPA - - I Date Inspector Date Inspector OVALS Permit # APPROVALS rermit# I ;porary Electrical Service or Pole • 52. Pool & Equipment Location' ' 1 Pipe-Undrgrnd. , 53. Steel Reinforcement ' , r ctrical Conduit Utility-Undrgrnd. ,54. Forms i ctrical Conduit-Undrgrnd. 55. Electrical Bonding ' :el Reinforcement' 56. Rough Plumbing & Pressure Test ectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE otingsi 58. Electrical Conduit-Undrgrnd. � undation - - • 59. Gas Pipe, 0 Undrgrnd.,Test •later Pipe-Undrgrnd. • • . - - 60. Backwash Lines, P-Trap, 0 Undrgrnd. •• ' i ructural.Floor System 61. APPROVAL TO DECK - 'roperty Sewer Line & House Connection • 62. Backwash & Receptor-Final ;ewer Cap - . 63. Heater & Vent-Final I . ir3oof Drains 64. Plumbing System - Final 4 Rough Plumbing 65. Electrical-Final 1 [Rough Electrical-Conduit ' - 66. Solar System-Final ' (Rough Electric Wiring 67. Fencing & Access Approval ;- - - 1 Rough Wiring Sign - - 68. APPROVED FOR PLASTERING - 1 Rough'Electrical-,T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL I Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT I Rough Factory Fireplace . APPROVALS Permit# - 1. Ducts, in Structure ; I • 70. Underground Hydro. r. Ducts, Ventilating • . ' 71. Product Piping 0 Gas 0 Oil. i 3. Gas Pipe-Rough & Test • 72. Underground Flush 4. Roof Framing , 73. Undergrnd.Storage Tank 0 Gas 0 Oil S. Roof Sheathing 74. Overhead Hydro - fi6. T-Bar Ceiling (Structural) & Monocoat 1 - 75. Dry Chemical 17. Frame and Flashing ' 76. Dry Standpipe - . 48.' Lathing & Siding 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL ' 130. Drywall-Nailing . • HEALTH DEPT. REQUIREMENT , • 131. Plaster Brown Coat • 79. FINAL INSPECTION • 132. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED , 1 33. Final Electric Notes: 1 34.• Final Heating & Air Conditioning 1 35. Final Gas Pipe-Test 7/7137 LED ) 1. 36. Hood or Canopy . 37. Final Factory Fireplace . • . ' 38. Final Plumbing - - . ' 39. Water Service-Final 40. Gas Service-Final - - 41. Solar Domestic-Final; ' 42. Backf low Preventer • -• 43. Backflow Irrigation ' ' - - - ' • 44. Landscape Irrigation System - • 45. Sound Attenuation - 46. Handicap Regulations - - 47. FINAL STRUCTURE & BUILDING • - 48. Special Requirements Completed : - - ' 49. Electric Release to Edison 17,i t' .1 50. Gas Release to Southern California Gas Co '� • r' e 51. CERTIFICATE OF OCCUPANCY No. Date • i . . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - . - Ci. STA MESA CONSTRUCTION PERMIT PERMIT NO • TRACT NO. LOT NO. UNIT NO. r 1Froject Address :Z.(7' C��%u'-ti• �a $a y� • • , . Applicant's Mailing Address $_-"`-" - TYPE OF,CONSTRUCTION ' ❑ NEW LJ ADD U ALTERATION j � •• u • ' U REPAIR Owner's Name ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ _ _ �.J - r1 �YTs</1,erKH Phone�5'`l�Z3 A.P.# i...... 17 sane DESCRIPTION OF WORK/USE OF BLDG. Address LY '36 ✓2•ese�v / . Cese , ArarSA - S Main Building: Lt; APR 2- Accessory Building: • Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STiRUCTURAL T Front - `. '— 0 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g N • Contractor's Namn �— Phone �'SV'j5 -3 ElOTHER AI Rear CRY OF COSTA MLSA PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - N Address(mailing) it K G CONSTRUCTION TYPE VALUATION$ ' Left City License No. "�` II 5 R ZONE • GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION �S/), e 7 tics- ' Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: FF,•//h Planning Notes: r - . M ' with;section 7000) of Division 3 of the Business and Professions Code,and _ T ' my license is in full force and effect. . - License Class License No. ' S Date Signature . • PLUMBING _ FEES ' WORKERS'COMPENSATION DECLARATION Bar Sink Showers P k a ��tf••(j�� ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate L/•� _ of Workers' Compensation Insurance, or a certified copy thereof (Section - 3800, Lab. C.) Backflow Preventer - Service Sink - _ Automatic Washer Transformer 0 15.50 KW 8 Policy No. Company Backflow Irrigation Sewer Cap • Construction Pole Sub. ❑ 50+KW Certified copy is hereby furnished. - - Certified copy is filed with the city Building Division. Bathtubs • $ewer Cohnection Cooking Unit Meter Dula to 100 amps Date - Applicant - - , EXEMPTION FROM WORKERS'COMPENSATION DECLARATION' Clarifiers , , Solar Collectors . Dishwasher - Meter ❑over 100 amps (This section need not be completed if the permit is for one hundred($100)or . - - less). Dishwasher Solar Piping - - Dryers .❑Gas DElectric Sub Panel • I certify that in the performance of the work for which this permit is issued, I - - - - - - shall not employ any person in any manner so t become subject to the Drinking'Fountains Solar Tank Fan Workers' Compgnsall Laws of California o/� s•� ,_fy - Motors❑0-1 HP ❑1'fe-8 . I Date• s .Comps/natio, ns ( Signature/ /'�'�� Floor •Drains Swimming Pool w/Spa - F.A.U. - Inc Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration, you should become subject.to.the — - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal Fixtures - ' comply with 'such provisions or this permit shall be deemed revoked. Microwave , CONSTRUCTION LENDING AGENCY ' Gas Service • Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light (5 of the work for,which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name Outlets Range . -Lender's Address . Kitchen Sink Water Service.- Switches ft OWNER BUILDER DECLARATION - - Sign - _ • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories . Auto-Wash I Garbage Disposal Standing Sections - • following reason (Section 7031.5 Business and Professional Code:-Any city or ! i county which requires a permit to construct,alter,improve,demolish or repair P—Trap i Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Com actor any structure, prior to its issuance, also requires the applicant for such permit f P to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'i the Contractor's License Law(Chapter 9 (commencing with Section.7000) of ' Division 3 of the Business and Professions Code) or that he/she Is exempt - .. - . - - . -- - - _ therefrom and the basis for the alleged exemption. Any violation of Section ' I ' 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 Reinspection Fee' $15 Issue Fee $ 3 - a n, will do the work, an e s ruct ure is not intended or offered - Reinspection Fee - ! $15 Issue Fee _ $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own . ❑ - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler , Hood or Type I sale. If, however, the building or improvement is sold within one year of corn- 'ZoningApproved ByDate pletion;the owner will have the burden-of proving he/she did not build or im- Duct-Under Ground Canopy Type II 0 PP Building• Approved By • DateJ.- - prove for the purpose of sale). PP❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: • The Contractor's License Law does not apply to an owner of property who Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES . builds or improves thereon, and who contracts for such projects with a con- __ __tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $- proof of their Worker's Compensation insurance should be provided to me. _ ' PLAN CHECK $ PERMIT- ) - • ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers PLUMBING $ ISSUANCE $Date . .. . •. Owner ��i�ai " — Heating System& Ducting Registers • ENERGY P.C, $PLAN CHECK 25k $I hereby certify that-1 have read this application antl state that a above ❑0-100,000 BTU ❑100,000 BT ' GRADING $information is correct. I agree to comply with all city and county ordinances - _ ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN • CHECK 50% $_ MICROFU-nna� sentatives of this city BrNcr upon the above-mentioned property for inspection PurPo? // t •a� " Signature',/ /`+ Date •-at -'" I �� - Drivers' License or SS# .Reinspection Fee $15 `MF 0865-46,rev.10/84 White - Building; Canary_Aooltr....--^'- —'�— I . STRUCTION ANDPLANNING Pr &SPA . 1 Date Inspector Date Inspector tOVALS Permit# APPROVALS rermit # ! nporary Electrical Se-vice or Pole 52. Pool & Equipment Location it Pipe-Undrgrnd. 9/R71/2, Ldeflr 53. Steel Reinforcement i ctrical Conduit Utility-Uhdrgrnd'. Y 54. Forms ectrical Conduit-Undrgrnd. 55. Electrical Bonding eel Reinforcement • . . 56: Rough Plumbing & Pressure Test I , lectrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 1 ootings . . 58. Electrical Conduit-Undrgrnd. foundation 59. Gas Pipe, 0 Undrgrnd., Test ' f/ater Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. structural Floor System 61. APPROVAL TO DECK iroperty Sewer Line & House Connection 62. Backwash& Receptor-Final Sewer Cap 63. Heater & Vent-Final 1 [Roof Drains . • 64. Plumbing System - Final (Rough Plumbing 65- Electrical-Final . IRough Electrical-Conduit - 66. Solar System-Final • I Rough Electric Wiring • - • 67. Fencing & Access Approval ., I Rough Wiring Sign 68. APPROVED FOR PLASTERING Ii. Rough Electrical-T Bar Ceiling • ' 69. POOL/SPA SYSTEMS FINAL i. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I ). Rough Factory Fireplace APPROVALS Permit# _ 1 . I. Ducts, in Structure 70. Underground Hydro . 2. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil . 3. Gas Pipe-Rough & Test - - C/G/;/ ,Ora� 72. Underground Flush (i4. Roof Framing - 73. Undergrnd'.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing 74. Overhead Hydro O. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical t 7. Frame and Flashing 76. Dry Standpipe •. - .4 [28. Lathing & Siding 77. FIXED SYSTEM FINAL• .` 129. Insulation78. FIRE PREV. FINAL • 130: Drywall Nailing • ' ' HEALTH DEPT. REQUIREMENT 131. Plaster Brown Coat 79. FINAL INSPECTION . 132. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: , '�4 . G" 22 e %� L/ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ' 36., Hood or Canopy A, M 37'. Final Factory Fireplace - '; 38. Final Plumbing 3//1 rJ/1 c c'r %' : a. ..e. 39: Water Service-Final • - 40. Gas Service-Final - ,. 41. Solar Domestic-Final rf } - ,42. Backflow Preventer e y y• '43. Backflow Irrigation " , , , '44. Landscape Irrigation System 'i 46:,Sound Attenuation �• I ,f ` 46. Handicap Regulations . . • - . ' _ : '•. 47. FINALSTRUCTURE &-BUILDING - i' 48. Special Requirements Completed • 49. Electric Release to Edison et - , 50. Gas Release to Southern California Gas Co C 51. CERTIFICATE OF OCCUPANCY No. Date ,/ ,/ -OWNER Rutgers Dev. Co. . DATE 8-29-58 JOB ADDRESS 2436 Vassar 'P1. . . . BUILDING PERMIT NO. 7378 GENERAL CONTRACTOR Dike & Colegrove , Inc. VALUE $ 16,168.00 " AP. No. .__LOT 34 TRACT 2954 FIRE ZONE DESCRIPTION OF WORK Res. w/att. garage 'IP I aril' TYPE V ZONE R1 PLAN NO. 7'(/�J iLo �f7�y,,,/ PERMITS ISSUED t.. ECTI NS (T (J- DATE SUBCONTRACTOR DATE NUMBER Trenches t/ Worms/Ill Steele,'" d' �/Y-9�-r Floor System ddd„ Steel Reinforce Chimney Re-Rod Bond Beam • = , / Frame and Flashing ' /- '%y!•/f'► Lathing, In Out / �f Plaster, brown coat erg / /Y/,5-`/ Underground soilg4�S W/G Pipe T Whey A-wr-sF Top Out '✓-x3-SX Furnace 4*-S I/—]„p'-!4- ; .210X ' u' Z 4 kJbB 14908 [- Gas Vents Rough Plumbing /4,'S ///3-stt Kw L) Ai P 1 1 i ri$ :-�..to.y ` l\ Cesspool Septic Tank / .3\ J\' Prop. Swr. Line//"House Can./W/[.St: Swr. //-/U—Cd' 1ailu-02,4 �:vvf"S'•NOV 5 1Qcia 15169 (kJ Sprinkling System .9 Heating Final ,441-f /-zo-ne _ t f 'ng Fixtures, Final /N1ts /-2G-co I1 1 Gas Test )5- NJ- .5/-29-5-4 i s Construction Pole Underground Power Rough Wiring 4 //,/Ss'9 ri. 58�.t r 4JGriet. i eat, J ti-' 2 J 1958 7084 Fixtures, Finally -OCCUPANCY (J�'4/•c� 12,2"re/ V\ Form 210-5M-1-57 .'L E prnrIVPEE 7378 AUG 27 1958 COSTA MESA BUILDING DEPARTMENT l i NinAllrqn E DEPT. P.O.BOX 317 I nein'ft 01:0-.4% COSTA MESA, CALIFORNIA +,7t FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS 2436 Vassar Place BUILDING COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. 9Id1lih•fl OWNER Rutgers Development Co. dan+s'. RECEIVED BY Wit RECEIVED DATE ISSUED MAIL ADDRESS 419 E. 17th St. -,--e-S--2? n.U6 0 9145E CITY Costa Mesa, Calif. TNO:Li. 8-1159 ADDRESS' ARCHITECT Carson & LIC. OR ENGINEER ddlebrook NO. COSTA MESA. CALIFORNIA Garden Grove FIRE ADDRESS ZONE ZONE///Ell NO.OF TYPE V GR V3�, Dike CITY LIC. 813 � PLANS . �(/i CONTRACTOR GO_CgrOvC, Inc NO. 4+�- ��44 ADDRESS 419 E. 17th St. TNOL_ Li. 8-115,'BPPROVED DATE LEGAL LOT DESCRIPTION NO.34 BLOCK TRACT 2954 CORRECTIONS A.P. NO. SIZE 72x 102 NO.OF BLDGS. none OF LOT NOW ON LOT USE OF r EXISTING BLDG. L,11L. SETBACK LINE FROM C CENTER OF STREET 521 REAR YARD 321 SIDE YARD RIGHT 61 ' LEFT 61 • DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING I DEMOLISH 51UZELDING 1601 sq. ft. ROOMS 6 STORIES 1 EXTERIOR WALL Stiac ' ROOF COVERING COVERING Comp. • _ USE OF NEW BUILDING Single £ rd1y residence_ with attached double garage. _ Plan 750D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS COR CT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STAT NS REGULATING BUILDING CONSTRUC- TION. /�/// VALUATION SIGNATURE OF �( ///�Fl /', PERMIT FEE S 38.00 PERMITTEE ! - i ` J��G't� /�l1 , !/ 4 i 516,168.00 PLAN CHECK 5 9.00 AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE 5 57.00 VBME OWNER DATE 2-18-76 SCHM I DT, Robert I JOB ADDRESS 2436 Vassar Place • BUILDING PERMIT NO. 4130h GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK IP ali7P Patio Cover /4 ) .. 141-441-08 LOT TRACT FIRE ZONE VALUE$ 500,00 IV' CTIONS Signature Date TYPE GROUP ZONE R—I SOIL SUBCONTRACTOR PERMITS ISS ED )pp GAS Date I Number Signature .Z WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE El HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER ❑ ROUGH WIRING Heating and Vent. • TRENCHES 0 FORMS 7 STEEL REINF. n FLOOR SYSTEM BOND BEAM in STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PI " "R, BROWN COAT IRAL, FINAL Flectric • Ht. .i, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL g;,46 / BUILDING, FINAL in ®- ?r 2 C ?6 _ T 4 1300 FEB 1 8-76Pa)u „<,00 630* 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 RECEIVED BY DATE RECEIVED BUILDING aLk3ta 0\%R YL.Gs4A'MQSA DATE / iS* 'go ADDRESS ,j. ` _{... .c'.{/ Q' q/��,�`7LL// VVUU (([Ih OWNER� t( \ L .SH �M r oL \ A.P.NO./q/—/ /—O (I PE'T IT3®I-� MAIL BUILDING /�� Ma ` 1 n c ADDRES co (ac ot r_ (.J ADDRESS���tp,�^V t�ss'A„ [�• �/7� Tc// �J' / / CITY OStc „ \RAS Y} NO. TRACTS 5-/I LOT�7 jC BLOCK CTELSVS•time CONSTRUCTION �_ NEW �AD[) ALTER REPAIR (MOVING DEMOLISH LENDER /��//\1/ ^ / J BRANCH �� OWNERPO I i i� . �-C%-1 in 1 ej 1— ARCHESS •^ �/ / . „�,,,� ARCHITECT NEL. U -' $ OR ENGINEER — NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR /Je,„„C.V._. BY DATE ADDRESS . ,, TEL. ZONE I I NO.OF G USE OF NE101�(L� ? -� CITY — NO. -J PLANS -BUILDIN ^ f F STATE CITY YARDS APPROVED YA DS APPROVED gLIC. NO. LIC.NO.- MAIN BUILDING ACC SSORV BUILDING W SIZE � `' ` C NO.OF BLOCS. (FROM C/L STJp/EET) ow OF LOT o7 ,C120 NOW ON LOT I FRONT de 0. 4 •a FT. Q USE OF Z EXISTING BLDG. kikQq.,(\.Q_ - FT. • ut - FSeparate permits are required for FT. electric,plumbing and heating work. 7 f - - Yr'I,rV FT. W., I. USE F BUILDING AND WORK TO BE PERFORMEDDISTANCE BET. BET.MAIN& CI Y sMAIN EILOGS. ACCESS. BLDGS. .-1 r-� DATE Q, � ` APPROVEDy �J DATE -- 17—— 7//J oCe W O I hereby acknowledge that I have read this application and state N C, that the above information is correct and agree to comply with es O. all laws regulating building construction, and I shall not employ Al Z any person in violation of the workman's compensation laws of W,y„ the State of California. 1;10 0 8 It- r, I hereby certify that I am properly licensed as a contractor under SQ. FT. r the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR as Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F5f ONLY: am exempt from the provisions of the State of California Business y and Professions Code,,////,Division 3,,/{Chapter 9. VALUATION PERMIT FEE $ t70 N in I/I a'-TJL !.r/+KY�iaC� - PLAN CHECK $ o Signature of o Permittee / $ TAX $ r© 2 /®/ U Authorized Agent TOTAL PAID $ -