HomeMy WebLinkAbout660 WILSON ST - Building Permits(774) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 660 W WILSON ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42215319
Applicant VENTURA, MANUEL
Address: 660 W WILSON ST
Zoning:
Phone: 949-631-2638
COSTA MESA, CA � � Zip: 92627
Owner: VENTURA, PABLO R AND VENTUR,4, MANUEL
Address .680 W WILSON ST
Contractor:
Address:
Zip:
Arch :
Address:
COSTA MESA, CA
Phone: 949-631-2638
Zip: 92627
Phone:
License:
� . Eng:
Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: OS/10/2002
Issued: OS/10/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
' TEAR OFF EXISTING, RE-SHEATH, COVER'30 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$83.25
$0.50
$0.00
$0.00
$0.00
$83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: 0
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEESUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
$2,800.00
$2,800.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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.
INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
:ae�ae �eroo�
WORKERS' COMPENSATION DECLARATION:
I �ere6y ettirm untlar penalry of perjury one ol �he lollowing declaretions: , • -
❑ I have and will maintain e certificate of wnsent to self-Insure for workers' compepcelioo, as providetl tor by section 3700 of the Lebor Code, for the pertormance oi the
work for which this pertnit i5lssued. ' ,
❑ I have and will meintain workers' canpensation insurance, es requiretl Cy section 3700 of the Labor Code, lor the peAortnance of the work tor which ihis pertnit is issued.
M workers' com e(nsa�'Qn I �{e�n,c,e�ca�rn �' nd oli number ere: y^--�
Cerrier:Y P\ Y,%�Y/1YVY/1 P ry PolicyNumber: O V
(This section need nol be completed il the pe 't is valued ef one hundred dollers ($100) or less.)
�coertiy that in che pertormence of ihe work or wh' h ihis permit is issued, I shall not employ eny person in any manner so es to hec6me subject to Iha workers'
mpensation laws of �� ni��nd gr that' Id Decome subject to the workers' compensa[ion provisions of Saction 3700 of t111yyyq��Labor Cotle, I shall foR�wilh
comply with ihese provisl � � G---�� /� I I`
ApplicaniSignature:_�, �— Date: _ ✓ �� � V�
WAPNINO: FAILURE TO SECURE WORKERS' PENSnTION COVERAGE IS UNUWFUL AND SHALL SU&IECT AN EMPLOYEF TO CRIMINAL PENPLTIES AND GVIL F ES UP TO ONE NUNDRED
THOUSAND DOLLARE (5100,000), IN ADOITION TO THE COST OF CAMPENSATION, DPNAGE$ AS PROVIDED FOR IN SECTION 3]O60F THE IABOR CODE, IMEFEST, AND ATTOFNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby aHirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi ihe Business antl Professions Code, and my license is in full
force and effect. Lic. x Class N
Comracrols SlgnaWre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aNirtn that there is e construction lending agency tor the pedormance of the work tor which t�is pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Neme: Lentlers Address:
Signature: � Date:
OWNER•BUILDER DECLARATIONS:
I hereby ettirtn Ihal untler penalty ot pe7ury thet I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business flntl Professions
Code: Any city or county which requires a permit to construct, elter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe epplicant for such permil
to file a signetl statement Ihat he or she Is Ilcensetl pursuent to the provisions of the Cantrectors License Lew (C�apter 9(cammencing wiN Sectlon 7000) of Division 3 of the
Businass and Professions Code) or lhat he or she is e:empt therelrom antl the Easis tor the alleged e:emption. Any violation of Section 7031.5 Dy any appliwnt for e pertnit
subjects the epplicant to a civil penalty of not more than five hundretl tlollers ($500).):
❑ I, as owner oi Iha pmperty, or my employees with wages es their sole compensation, WILL DO THE WORK, entl the strucwre is not intentled or otteretl tor sale (Sec.
7044, Business antl Professions Cotle: The Contractors License Lew does not apply to an owner ol property who builds or improves thereon, and who tloes such work
himsetl or hersefl or �hrough his or her own employees, providetl that suc� improvements are not intentletl or oNered for sale. tl, however, the building or improvement is
sold wilhin one year ol completion, the owner-builtler will have Ne burtlen of proving that he or she did not builtl or impmve for purpose of sale.).
❑ I, as owner oi tha pmperry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTAACTORS to construct ihe project (SecJ044, Business antl Professions
Code: The contractors Licanse Lew doe5 not epply �o en owner of propeny who builds or improves Ihereon, and who contracts for such project wilh a contractor(s)
license pursuant to ihe Contr ctor cense Lews.).
❑ I am exempt un sec. Business entl Prolessions Code for this reason:
Si9rmmre:- 1 ���/ Date: � —
v '
Owner ID veniietl by dnvers license. Ves � No Orivefs license No. Expires:
Venfication ot Ownership 6y (type of documem, i.e. - pmperry tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certity ihat no excevatlon tive (5) or more feet in depth in�o which e person is requiretl to descend, will be made in connection with work euihorizetl by ihis
permit, and that no building stmcture, scallolding, falsework, or demoli�ion or disman0ing Ihereoi, will be more ihan thirty-siz (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomla Adminisiretive Cotle).
❑ As ownerbuilder, I will not employ enyone to tlo work which would require a permit irom ihe Division o( Industrial Safery, as notetl ebove, unless such person has a
permii �o do such work tram ihe division.
Signature: Dale:
Division of Intlustnal Safery Permit Number:
CERTIFlCATE OF COMPLI CE AND AUTHORIZA710N OF ENTAV: 1 cehify untler penalry ot perjury that I have read Ihis application and state that the information given i5
correct I a ree 4oyo mpl stete lews entl city ordinances relaiing to building cons�ruction, and authonze representatives ot Ihe Ciry of Costa Mesa to enter upon Ihe
above- nbed of i pe� ction purposes. I agree not to occupy or ellow occupancy of any building authorized by this pertnit until final inspection.
C�� � S-lU-Ua--
CSIgneWre Of.Legal Owner(s)� Date
AntllOr Authodzed Applican�
CODE t. INSPECTIONTYPE
1fi16 Fixetl System Final Fire Prevention
1268 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Fectory Fira Place
203 Finel Sign
204 Final Demolition
P�g 1�IDEL5
s-�-m- � .
COOE 1 INSPECTION TYPE
20fi Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Flre Preven�on
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
Qdg Ili�Lfl
\' \
, . Applicant to fill in ail spaces,ezcapt
CITY OF COSTA MESA • ,
CONSTRUCTION PERMIT , � :
Projec[ Address y�b 0 QU/� W/ GSb,b (� �_ �
Applicant'sMailingAddress�: r�� Qv'6�r /��������'
Owner'sName S � Q P one1:�-�'
Address �f 0 ' �C/� �� So� �'l��ld/o� �
Arch/Eng. License No. _ �
A'ddress� �
Contractor's Nam - hone ��>—�y
Add�ess Imailingl - 9 S 3 Q/c,�K �'' '�'
City License No. �
LICENSED CONTRACTOR DECLARATION ,
I hereby a(/irm that'I am Iicensetl untler provi5lons of Charter 9(commencing
wiM hecHbn 7000) of DlviSion 3 ot the Business antl Professions Cotle, antl
my Iicense is in full forcay�=ef�ect. '
LJcense Class ��� Lice y
Date.T'—���& +451gnature
WORI(ERS' COMPENSATION DECLARATION
� hereby attirm [hat I have a certiflcate o( consenf to self-insure or a certi(icate� -
Worker5' Compensation Insurance, or a certi(letl copy�thereof (Sectlon '
J0, Lab. �fr �,. � $
✓olicy No. � �T Company —; � t� -�-� `�'
❑ Certifia copy I5 hereby tumisneC. .
k4 Certified copy 15 �i ed wlth the Ury Bul g Dlvi 'pq.
Date ���$ � APP��cant �
EXEMPTION FROM WORKERS' COMPENSATION D ARATION
(This sectian neetl not be completetl It tne permit Is for one huntlretl ($300 ar
less).
I certlry that in Ihe performance o� [M1e work for which this permit is issueC, I
shall not employ any person in any manner so as to betome subject co the
Workers' Compensatlon Lawt of California.
Date Slgnature
NOTICE: If,iaRer making this tleclaraHon, you shoultl become subject to Ihe
Workers' Compensatlon provlslon5 of the Labor Cotle, you must torthwitn
comply with such provi5ions or this permlt shall be �tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby afilrm lhat there Is a construction Ientlin9 a9ency for the pertormance
oi the work for which this permi[ is Issuetl (Section 3097 Civ. C.)
Lantler's Name
Lentler'S Adtlress
OWNER BUILDER DECLARATION
I hereby affirm that 1 am exempt trom the Contractor'S License Law for Ihe
�ollowing reason (Section 7031.5 BuSiness antl Protessional Cotle: Any city or
couniy which requires a permit to construct, alter, Improve, Eemolish or reoair
any structure, prlor to Its issuance, also requires the applicant tor such permit
to file a signetl statement that he/sne Is Ilcensetl pursuant to the provisions of
the Contractor'S License Law (Chapter 9(commencing with Section ]000) of
Divislon 3 of the Business antl Professlons Cotle) or that he/she is exempt
-•ratrom antl the basis for tha alle9etl exemptlon. Any vtolation ot Section
1.5 �y any aDP��<an[ for a permit subjects the aOPllcant to a civil
alty of not more than tive huntlretl tlollars (E500).
�J I, as owner oi the property or my employees with wa9es as their sole
tompenzation will tlo the work, antl the strutture is not intendetl or otferetl
for sale (Sec4lon 7044, Businazs an❑ Professional Cotle: The Contractor's
License Law tloei not apply to an owner of a property who builtls or improves
the�eon, antl wno Coas such work hlmself/herselt or through his or her own
employ ees, provltled that such Improvemenls ara not intentlatl or offeretl for
sale. If, howaver, the builtling or improvement Is soltl wlthin one year of com-
pletion, tne owner wlll hava the burtlen oi proving he/she tlitl not builtl or im-
�rovefortha purpose oi sale). '
I, as owner of the property, am excluslvely contractin9 with Iicensetl con-
traciorsto construct tha project (Sectlon 7044, Business anG Professions Cotle:
�I The Contractor's �icense Law does not apply to an owner of propercy who
Ibulltls or Improves thereon, anC who contra<ts for such projects with a con-
tractor(s) Ilcanse Oursuant co tne Contractor'S License Lawl.
❑ I am axempt untler Sectlon B. & P. C. for this reason
Date
I hereby certify that
Intormatlon is correct
antl state laws relatin
sentatives ot this
InSpection purpos .
Signature
Drivers' Llcense or 55
CMF 0865-46- rev. 12/i
Owner
I have reatl
I a9ree to c
to bullding
� to enter
Iines antl si9n all,ap0�opriate tleela�ations.
�' — J CD ""
TVPE OFCONSTRUCTION � NEW ADD LTERATION' REPAIR
' O CONVERSION ❑ DEMOLISH ❑ OTHER - �
'. DESCRIPTIONAF WORK � O(/ � (l/n fl/� F7 BQ Ou
b '
TVPEOFPERMIT GRADING�y FOVNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ysJ PLUMBING ❑ MECHANICAC
� ❑ OTHER � � '-
PROJECT DESCRIPTION 5Q. FT. � occuPaNCY—
CONSTRVCTION TVPE VAlUAT10N S
ZONE GRADING CV. VDS. ACRES_
Remarks: ' . . .
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks �
Gas Service Outlets
Kitchen Sink
Lavatories
Root Drains
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank �
Swimming Pool w/Spa �
Urinal
WaterCloset -�
Water Heater
Water Service
FEES
Reinspaction Fee I $25 I I Isue Fee ' I S 3
Boiler
Duct - Under Ground
Duct-Structurel ,
Duct - Ventilating
ExhaustSystem ❑ Multiple
Firepl/Fact. Blt. IC80 #
Heating System & Ducting '
❑0.100,000 BTU 0100,000
=by authorize repre-
IOneA p�op¢�ty to� �
Date Z'�r�
Reinspection Fee $25
Whlte - Builtling; Canary - APP��cant; Pink - Accountin9; Goldenrotl - Assessor
Hood or Type I ❑
Canopy Type II ❑
Refrigeration Sys[em
❑0.700,OOOBTU ❑100,000
System Repair/Alteration
Issue Fea
$ 3
A.P. =1W ,
S Main Buildi
E
T Front
8 Rear
A
C Right
K �eft
S
Pln9. Ref. #
Parking Req./Pn
Use of Building:
Planning Notes:
a359 � 2/t6l84
' • Zone
ig: Accessory Building:
Park.Fees $ � ,
rvided
�
�
ELECTRICAL �
Automatic Washer � Transformer ❑ 15-50 KW
Construction Pole Sub. � 50 + KW
Cooking Unit �
D ishwasher
Dryers ❑Gas ❑Electric
Fan
F.A,U.
Fiztures
Device Boxes
OuNets
Switches
Garbage Dispoul
Genereror �0.5 KW �5-15 KW
� Reinspection Fee � $
PUBLIC SERVICES REQUIREMENTS:
Zoning Approved By
Building APProved By
Application Issued Bv
Meter Uup to 100 amps
Mecer ❑over 100 amps �
Sub Panel
Morors �01 HP 01'/a - 6 '
Inc. Solar 09-75 HP �16-15+
Microwave
Pole Light
Range
Sign
Standing Sections
Trash Compactor
luue Fee
S.Oi] TL
$ 3
Z
O
N
I
N
G
R
E
Q
U
R
E
E
N
T
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ � PSSUANCE $
PLUMBING $ ,. �
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ ' GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTAIFEE $ �
PLAN CHECK 25% $ . . .
`�CONSTRUCTION AND PLANNING - POOL F 1 �
�APPROVALS P.ermiY#�<«�� Date Inspector qppROVALS Permit#� 'Date Inspectm�
r, .
' 1:- Temporary Electrical Service or Pole 52. Pool & Equipment Location _ 1�
� 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 COVEii-GUNITE
7, Footings ' 58. Electrical Conduit-Undrgrnd. - � .
8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ' � 60. Backwash Lines, P-Trap, O Undrgrnd. • � �
10. Structural Floor System 61. APPROVAL TO DECK _ �'
' �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
72. Sewer Cap . � 63. Heater & Vent-Final �
13. Roof Drains ; , 64. Plumbing SYstem - Final �
. 14. Rough Plumbing 65. Electrical-Final � � �
�15. Rough Electrica6Conduit � � •, � � 66. Solar System-Final � ' " -
1.6. Rough Elect'ric Wiring , ' 67. Fencing & Access Approval i.
- 17. Rough Wiring Sign ," � .� 68.� APPROVED FOR PLASTERING � � '
. 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
�� 19: Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT �� - '.
20: Rough�.FactoryFireplace �� APPROVALS Permit# � �
�
- 21. DuCts,.in Structure 70. Underground Hydro
22. Ducts, Ventilating � � � 71. Product Piping � Gas ❑ Oil '
Gas Pipe-Rough & Test �. . 72. Underground Flush � �
. Roof Framing � - � 73. Undergrnd.StorageTank OGas ❑Oil . � �
5. Roof Sheathing � ' ' 74. Overhead Hydro
� 26. T-Bar Ceiling (Structural) & Monocoat � � 75. Dry Chemical -
'�27. Frame and Flashing . 76. Dcy Standpipe � ' "�
. 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' �
29. Insulation ' 78. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT ' �
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED "
33. Final Electric Notes:
34. Final.Heating & Air Conditioning '
35. Final Gas Pipe-Test . ' � � . .
36. Hood or Canopy •
• 37. Final Factory,Fireplace � . ." "-
� . 38. Final Plumbing � ��-..,�,94 �fj, �
�
, 39. Water Service;Final ; � '
� 40. Gas Service-Final ' I
41. Solar pomesticFinal � � � . -� - - , i
42. Backflow Preventer � ' � _ _ _ ��
43. BackflowJrrigation' ' � - �
44. •Landscape Irrigation System �
45. Sound Attenuation , .
46. Handirap Regulations , ' � � � - - -
47. FINAL STRUCTURE & BUICDING � , �
48. Special Requirements Completed, • � ` � '
i
49. Electrie Release 4o Edison . , �
50. Gas Release to Southern California Gas Co � � , ' ' ''
� 51. CERTIFICATE OF OCCUPANCY -' • - -
No. �� - ; � - � Date' - .. ' - . ' .
ADP�ieanl to 1111 in all spaces within
CITY OF COSTA MESA v�ry n
��f39lSTRUCTION PERMIT Y—
Address
Address
Address
bortler Ilnes antl sign all aDo/ooriata Ceclarations.
TRqCT NO. LOT NO. BLDG. NO.
TYPE OF CONSTNUCTION
Phone ❑ NEW ❑ ADO ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
License No. ❑ OTHE0.
DESCRIPTION OF WORK
1 hareby afflrm thdt I artl IICGn58E Untle� p�ov f011{ O1 Charter 9(wm-
mencing wlt� sectlon ]000) of Dlvlslo 01 tho sl oss antl
Professlons Cotle, antl my IlcenSe i dfl / e a etlect.
Litense LWss—C�36 Ucense o _
Date 1[ 11 81 Signature
WORKERS' COMPENSATION DECLARA N
I nereby affirm that I have a tertificat¢ A consent to self-insure or a
certlfifzte Ot Work¢r5' Comp¢nSatiOn InSUrance, or-a certlfietl mpy
`voii�v No�`� �gg�''�`��comca�v Fremont Indemity
�I r'_�,.CerUfietl copy Is hereDy furnishetl.
❑� r:�::ertitie0 copy is filetl with th¢ Nty Builtlin9 DivisiOn.
0 .,:�MPTION FROM WORKERS' COMPENSATION DECIARATION
��(This section neetl not be tompletetl if the permit I5 for one huntlretl
�E300) or less).
' certify that in tne perto�mance o� the wo�k fo� w�ich this permi[ is
Issuotl, I shall not employ any person in any manner so as to become
1 sub�ect to the Workers' Compensation Laws ot falitornla.
/ Date Si9nature
/y� NOTICE: If after making this tleclaration, you 5houlA become sub)act
� i � to [be Workers' Compenzation proWsions of tha Labor Cotla, you must
forthwi[h cOmply with Such provision5 or this permit inall �e tleeme0
revokeA.
CONSTRUCTION LENDING AGENCV
I hereby afBrm tha[ there I5 a construction lentling agency for the per-
tormance of the work lor which this Oermit is issuetl (Section 3097
Civ. C.).
Lentler's Name
Lentler'z Atltlress
IIIOWIf19 lBd50f1 (]CCIIOO /W3.7 tlO510C55 dOO YfO1E5510f15 CO�C:
city or Counly whiCh rlqulr¢z d permlt t0 COnSVUCt, altar,
ve, tlemolBh or reoair anv structure. orior ro its issuance, also re-
nsetl pursuant [o the provt5ions ot [he Con[rattor'S Litense Law
ter 9(commencing wit� Section 7000) of Dlvition 3 of the
•55 antl Profe55ion5 Cotle) ot Inat �e IS exOmpt lnC/lftom antl lhe
lor the alle9etl ezemplion. Any violation of 5ecllon ]031.5 by
ppllUpt to� a pe�mlt subjects tne appllWnt t0 d Civll p¢nalty
t morG than fiv! huntlr¢tl tlollar5 (5500�.
ds Own¢r 01 lhe Oroperty, o� my employee5 with wagei as their
ompensatlon, wlll Uo the work, anG thC ilruGtur¢ Is nOt in[¢ntlltl
ered for ule. (Section 7044, Business antl Prolesslons Cotle: T�e
aclor'S LicenSe Law tloes not apply to an owner ot a p�ope�ty
�uiltls or Imoroves lhereon. antl who tloes zuth work himseli or
m[eno¢o or m�¢rea �or saie. iq noweveq cne ouuain9 or improvomone
is soltl wit�ln one year at completloq the owner will nave the bwden
bf proving he tlid not bulltl or imvrove for the purpose of zale).
❑ 1, ds owne� ol tne p�Operty, am exclu5ively contrdCting with
licensetl contractors lo construc[ the pwjact (SacUOn 7044, BuSin¢55
dntl R'ofe551on5 Cotle: The Contraclor's Liten58 Ldw tloes not apply to
an Owner of property who builtls or improves therCon, antl who con-
t�aCls IrOm such prOjetts with a contracto��s) Iicesnetl pur5uant lo
the Con[ractor's License law).
❑ I am lzeTpt untl<r 5@Ction - 8. 3 P. C. for this
reason
Date Owner
I h¢rlby CErtity that I have �eatl tnis appliWtlOn dntl StdtB tha[ [h¢ above
Information is Corr;ct� 1 ag�ee to compjy with all Cily and County
ordinances antl stpic�JaNs relatin9 to cqns}tuction, antl hereby authorize
TVPE OF PERMI7
❑GRADING ❑ FOUNDATION ❑STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI
❑ OTME0.
PROJECT DESCRIPTION
SQ. FT.
OCGUPANCV_CONSTRVCTION TVPE
VALVATION ZONE
GRADING CV. YDS. ACRES
PLUMBING
TOILETS
LAVATORIES
KIT. SINKS
SERVICE SINKS
FLOOR SINKS
ORINKING FOVNTAINS
INTERCEPTORS
PLANCHECK
SHOWERS
URINALS
DOUBLE LAVS
DISHWASHER$
SVMPS
FLOOR DRAINS
CLARIFIERS
PTRAP
WATERSERVICE ALTERATION
GASSERVICE � OUTLETS '
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS -
SOLAR TANK COLLECTORS
SOIAR PIPING SVS.
ISSUE FEE
MECHANICAL aLAiv CHECK
HEATING SVSTEM 0-]00,000 BTV _
ANO DUCTING 100,000 + BTU _
REFRIGERATION 0�100,000 BTU_
SVSTEM 100,000+gTV_
BOILERS BTU
SVSTEM REPAI R, ALTERATION
EXHAVSTSVSTEM MULTIPLE
9830 12/2�/81
A.P. q
ZONE
REAR VARD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
ZONING APPROVED BV
SPECIAL CONDITIONS:
PLNG. REF. �
ELECTRICAL vLAN
PROVIDED
PARK FEE
GENERATOR 0-1 KW_ 1-30 KW _
TRHNSFORMER
�APPLIANCE 30-50KW 50+I(W_
MOTORS 0-1 MP_1-10 HP _
(INC.SOLAR) 30-SOHP_SO+HP_
FIXTVRES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS
PANELS MAIN
SERVICE
SUB
AVPLICATION APPROVED BY DHTE
SUMMARV OF FEES
BUtLOING
PERMIT y SMIP b
PLAN CHECK 5 .PERMIT
PLUMBING 5�,�0 �SSUANCE S
GRADING E
PLAN CHECK 5
EIECTRICAL S f
PLANCHECK 5 MICROFILM E
MECHANICAL E TOTAL FEE E
PLAN CHECK § LE55 AD-
VANCE PC E
5.00 TL
Signature � V �
� ISSUE FEE
CMF 0865-66 White�Builtling; Gnary-AOPlirznt; Pink-Actounting; GolUenrotl-Asussor
CONSTRUCTION�ANDPLANNIN POOL&SPA � '+ �.�
APPROVALS Permit #..� Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment �Location
Soil ipe-Undrgrn 44. Steel Reinforcement -- - --
3. Electri�l Conduit Utility-Undrgm 45. Forms '
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee em orce 47. Rough Plumbin & Pressure Test - ��
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undr rn
. B. . Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Water pipe-Undrgrn 51. Backwash Lines P-Tra �� ndr rn
10. Structural Floor System 52. APPROVALTO DECK
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street $ewer Connection 54. Heater & Vent-Final
13. Rough Plumbing � ��
14. Rough Electric-Conduit �56. Electrical•Final
15. Rou h Electric-Wring 57. Solar Sysiem-Final
16. ' Rough Heating & Air Co�ditioning • encing & Access Approval
17. Ducts in Structure APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathin
22. Frame and Flashin NOTES:
23. Insulation
24. Lathing & Siding
25. Dryw�ll Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric ' � �
29. Final Heating & Air Conditioning .Q
30. Final Gas Pipe-Test
31. Finai Plumbing
32. Water Service-Finai
33. Gas Service-Final
34. Solar pomestic-Final
. 35. Landsca e S rinklin S stem
36. Sounq Attenuation
37. Handicap Regulations •� �
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
'� OWxER S'anta Ana Ranchos DATE 9-30-58
JOB ADDRESS (�60 W. Wilson Stz'eet BUILDING PERMIT NO. 7(59
GENERAL CONTRACTOR Dj,k2 & COIBQT'OVe VAL[lE $ 15 32'].00
AP. No. LOT 3 TRACT 22�5 FQtE ZONE DESCRIPTION OF WORK Slri�,l2 R2S. & Ai'.. Gaz`.
_ f llP I& JTYPE V ZONE N�l PLAN NO.
INSPECTIONS -I DATE I SUBCONTRACTOR I DATE PERMITSNUMBEF
coaf
.�
' 1 �
_ ;, ' �
7 ,,. �a
COSTA MESA BUILDING DEPARTMENT
' P.O. BOX 31� ,
COSTA MESA. CALIFORNIA
eui�oiNc
ADORE55
FOR APPLICANT TO FILL IN
n� nyyDvil vY•
COSTA MESA. CALIFORNIA
OWNER 3antaAna lUllll.11�9
MAIL �9 E. 17th St.
ADDRE55
CITY Cj09tg {pGa,� C,i�
ARCHITECT C$Z` On &
OR ENGINEER �,�����P�nnk
ADD� � Garden �Il'�Ve
LEGtL I(�OT � I
oESce�Flnorv NO. BLOCK
A.P. NO.
S�ZE 61 x 100
OF LOT
USE OF
EXISTING BLOG.
SETBACK LINE FROM54'
CENTER OF STREET
SIDE YARD RIGHT ri �
TEL.
NO.
LIC.
NO.
��� ��c�iv��
�� ��
�� � � �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PE �
RECEIV�G'D'Bn C�j��E��Ei/jD �OnT,€ ISSUoE
J SLI' )
BUILDING
AODRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
��rv ��� g
NO.
TEL. AP
NO. BY
TRACT �
NO.OF B�DGS.
�low ON Loi
REAR VARO ��J�
LEFT iil
DESCRIPTION OF WORK
NEW p AI.TERATION I ADDITION
REPA I MOVING IOEMOLISH
BUILDING l 'p 1�.4 NO.OF �
SIZE ic�c�H B 1Y ROOMS STORIES
E%TERIOR WALL StLZCCO ROOF C'��
COVERING COVERING
BUELDFNGEW USIl le famil9 residence
Plan 120A
I XEFEBY PCHNOWIEOGE THAT I HAVE FEhD TMIS APPLICATION ANO
STATE TMAT TNE FBOVE IS COFRECT PND TGREE TO COMPLY WITM ALL
CITY OPDINiNCES TNO STPT LPWS REGULFTING BVIIDING CONSTRVC-
iION. VALUATI ON
SIGNATIJRE OF
PERMITTEE
" s15,327.00
AUTHORIZED AGENT�� & COI.EgI'OYB� 111C•
DATE
CORRECTIONS
PERMIT FEE S
PLAN CHECK S
TOTAL FEE $