HomeMy WebLinkAbout1051 WILSON ST - Building Permits -X y �r_ - CITY OF COSTA MESA c
F41111W .
vi)\ BUILDING DIVISION
• `��
v DEVELOPMENT SERVICES DEPARTMENT
PERMIT PERMIT NUMBER
B98-01467
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1051 W WILSON ST Status: ISSUED
Suite: Applied: 08/17/1998
Vicinity: Issued: 08/17/1998
Parcel Nunmber: 42207126 Zoning:
Applicant: JOBSTER, JOE
Address:
Phone: 714-540-0147 •
Zip:
Owner: FIOCK, RICHARD E ,
Address 24218 CARY COURT
- Phone:
NEWHALL,CA ' - - Zip: 91321 ",
Contractor:." ROOFING SPECIALTIES
Address: 07751 MARISA
Phone:
'GARDEN GROVE CA Zip:• 92641
- License:: 362397
Arch/.Eng: `
•
Address:
•
-, . :Phone: - •
Zip:
License:
•
• SCOPE OF PERMIT
,T/O EXIST AND INST 25 YR GAF TIMBERLINE COMP.. \ .
- FEE SUMMARY
Plan Check: $0.00 - - Calc Valuation: $1,946.00
` Permit: $62.25 - ; Claim Valuation: $1,946.00
SMIP RS: $0.50 - / ,
SMIP Corn: $0.00• _ •
Other: $0.00 -
Inspection: $0.00
Total: . $62.75 I.,
PLANNING &ZONING
SETBACKS '
MAIN STRUCTURE Front 0-0 Rear 0-'0 Left 0-0 Right 0.0
ACCESSORY Front 0-0 Rear 0-0 Left 0.0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
•
EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or If work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATI13N$ • y
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have end will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
wo 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 wo r_wh ich this permit is issued.
My workers'comae tion �
Ir21s-�arance carrier and policy number are: 2, 57-69417730
� CrA /,
Cart7ier: - Policy Number. ( /•�{0
completed section need not if the permit is valued et one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers'
compensation mlaws of California,and agree that if I should come sub act to the workers'compensation provisions of Section 3700 of
the Labor Code, hall forthwith
these .,, s. y C – 0- 9
•plicant atu . �� Date:
WARNING:FAILU• • 3 URE WO RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($108000),IN A' DRION 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 provisioysjonf p'ter 9(commencing with Section 7000)of Division 3 of the Business an.i
Professions Code,and my license is In full
for : :,• : act.Lic.aw i6 Class* C
' 'Contract• s Signe , =: _ _ _ " U" . Ss Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner 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 IJcense 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 drivers license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health end 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 compiled with? ❑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.a�ppplication apereit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65850.2 of the Califomia Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any pert 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 Califomia Health and Safely 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? ❑ es 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION 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.
Signature gef �_/Date_
n r Autho ed App•cantDate
CODE
CODE L ItISPEOTDOtLUEE DAB DAIS CODE INSPECTION TYPE DATE MEALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final /// 208 Final Plumbing _
200 Final Re-Roof !7 6 ✓ 210 Final Electrical
201 Final BlocldRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Bullding/Occupancy
2446-46
�oyta 444 CITY OF COSTA MESA
4 9., CALIFORNIA 92626-1200 P.O. BOX 1200
aSalle
f l @ai
Or DEVELOPMENT SERVICES DEPARTMENT
Dece 21, 1988
To:
Building Safety Division Pacific Bell (2)
Code Enforcement Police Dept. - Ping. & Research
Communications Santa Ana Heights Water Company
County Administration Office Sanitary District Engineer
County Clerk/Bd. of Supervisors Southern California Edison Co.
County Registrar of Voters Southern California Gas Co.
County Tax Assessor State Board of Equalization
Engineering Division (2) Street Division
Fire Prevention U.S. Post Office, Adams Avenue
Manager, MIS U.S. Post Office, Santa Ana
Mesa Consolidated Water Dist. Zip 4 - Santa Ana
Newport-Mesa Un. School Dist. (2) File (2)
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS NEW ADDRESS A. P. NO.
1051 W. Wilson Street 1051 W. Wilson Street 422-071-07
1053 W. Wilson Street Unit "A" 422-071-26
Unit "B"
Unit "C"
Unit "D"
Unit "E"
For your convenience we are listing the agencies above that we have
notified of the change. In addition to those listed, you are
advised to notify your_ correspondents of the change in order to
avoid any possible interruption of mail service.
Your cooperation in this matter is appreciated.
Sincerely,
al IC61'
GLEN S. ETHERINGTON
Planning Intern
GSE:jl (ADDCHNGE. 18)
cc: Linda West
412 Snug Harbor Road
Newport Beach, CA 92663
77 FAIR DRIVE
Building Division(714)7545626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245
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Applicant to fill in all spaces except those within heavy boi !ign all appropriate declarations.
PERMIT NO. TRACT NO. v UNIT NO. 2304 6/ 15/84 730, TI
CITY OF COSTA MESA CO�N)ST/RUCTION PERMIT 3 0 6053 a
Project Address lbs/ kit/ca� $ 49Applicant's Mailing Address TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
Y` /�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name �J•J ��----CC,, Phone?�f-rer( ice,_ / A.P.�W 4.yZ— b', —Q(p Zone 1Z
SOS/ 4/,/4. S DESCR1T ON0 WORK/USE OF sLDG -_�
Address / �}�I� ELS�j .Q. 00 r! - ;f r4". S Main Building: ...^^ —., Accessory Building s3/: xy� k(,(gj1�
Arch/Eng. License No. `at�7�— TYPE OF PERMIT N GRADING U FOUNDATION MI STRUC RAL E Front �j ^ ISI jL4µr 6,4' Lepr(Ap ire
Address -/ ❑ TENANT CI ELECTRICAL 0 PLUMBING ❑ MECHANICAL BB Rear �, oµ p.V s 4 N'
Ki Phone �r�� ) ❑ -OTHER
Contractor's Name ^�1 C Right °fa QI L . �7�' F iJ N
l PROJECT DESCRIPTION SQ. FT. OCCUPANCY ` _
Address(mailing). 704' fl/�•2=^-�'c— 4 S✓+jc /� .C( K G
g .T/ CONSTRUCTION TYPE VALUATION$ `'(', ILO § Left -- • ' Q.Li °20-
•— City License No. ZONE GRADING CU.VDS. ACRES �+ �M w �U� R
1 LICENSED CONTRACTOR DECLARATION • Ping. Ref.# ! Parking Req./Provided /' E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: PlanningNotes: -re; O
with section 7000) of Division 3 of the Business and Professions Code, and
I+O M'PLG"T� �� �� �(,�a1L� ` K.� M
my license is in fun refanC.,e� ?•2 VK (pf �{'�(n}4 'plLAee...4a �Otif ^���Ca T `
License Class erase No. o S _ �, `,y yy,� §'
Date Signature PLUMBING FEES 11l 'ge -VASC t'LA.LJ_ IS I If 1 idsibe r:�'^''
WORKERS'COMPENSATION DECLARA ON
'hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink - Showers ELECTRICAL FEES
f Workers' Compensation Insurance, or a certified copy thereof (Sect n Backflow Preventer Service Sink
.800, Lab. C.) '/ s Automatic Washer Transformer 0 15-50 KW
/icy No. 75—J 9—�3 Companylai /—V Backflow Irrigation Sewer CapConstruction 0 50+KW
�' Pole Sub.
Certified copy is hereby furnished.
Certifi d co is s with the city Bing Dlvisle.r• Bathtubs Sewer Connection Cooking Unit Meter Dula to 100 amps
Date • �3 Applicant ll•�'� JJ�Z ✓��/
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the per t is for one hundred($100)or -
less). Dishwasher Solar Piping Dryers ❑Gas ['Electric 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 as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011/2-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F•A•U. •
Int.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
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes .
POIe Light 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 Clv. C.) Interceptors Water Heater Outlets
Lender's Name Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign • .
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap -
any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0-5 KW❑5.15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions Of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt (' •-
herefrom and the basis for the alleged exemption. Any violation of Section s - ,I
'031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500).
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
-
compensation, 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 SER ICES RE U REMENTS: -
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved By ' S I dmsale. If, however, the bonding or improvement Is sold within one year of com- Canopy Type II ❑ pp ate e
pletidn, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By a�0 '' Date shrove for the purpose of sale).
LI I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat- tmr, 'S•.
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 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES '
builds or Improves thereon,and who contracts for such projects with a con- a "o
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ,. SMIP - $'
proof o// their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 2e.q2-- PERMIT -.
0 lam exempt under Section B.8 P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $ ,�
Date Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BT , •
Information is correct/l agree to comply with all city and county ordinances
and state laws relati to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this y to e- •r upon the above-mentioned property for _ :1 2_inspection purpose i/ tet/ MECHANICAL § �3 l
Signature ,p^�h / Date JJ r+ TOTAL FEE $
Drivers' License or S5'iI5 -- Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ -
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor -
CONSTRUCTION AND PLANNING POOL SPA
APPROVALS Permit#,6 $C,9 r 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 y
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, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
•
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
Frame and Flashing 76. Dry Standpipe
-_ .. 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 I
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 -
39. Water Service-Final .
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation - ,
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations ����,`,��,��'�
47. FINAL STRUCTURE & BUI LDI NG 6//il8Y 4)/1- -4 ../J.,Q.- ��f/ (/ �4
48. Special Requirements Completed ( (f�+•ww- _/.t-` _ / Q/ ,'�`���j� _ /
49. Electric Release to Edison r'"'"-`w)[//jam^^-*' J ,`��"�'��,r-a- Q
50. Gas Release to Southern California Gas Co weste
�i2„< 6 c:,% "Y r e "fit
51. CERTIFICATE OF OCCUPANCY S-7-lo-a%
/ or& Q2
No. Date d°9 �r-.-e-6tc O /%
o o� :
0 N
C"-- 5. N • 1U6TLJRAL APPROVAL ONLY
. Q�A `ATE PERMITS ARE REQUIRED
tFA ELECTRICAL, PLUFBII'LG,
oHEATING, VENTILATING AND
STREET E _ \'. •v' — o REFRIGEPATiOL! !'YORK
7
Par Tait 4 134,R
THIS NU • R ;: .•i?Ai'IY
q ; ALL INSPECii;,. ':9_:STS 1
a EQR BU.L Uil'.`is .. ...i < .. .1.)1 :p:itL4D IlU
m BE EMPLOSaU, =ST ^64T
Elia STATE OF CALI ,..t.:11-, LI: N 'Bf k
-- INDUSTRIAL SAFETY 6E CONSLLR
m ADDITIONAL REQUIREMENTS.
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TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional i^l III, ,�,-, GENERAL- NOTES
Channel Block With 1-3/8 __
0 Horizontal Top of all
Fences MORTAR. One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less GROUT: , One Part Cement Three and
Vert. Bars 3/8" Dat 4' -0"O.C.c o _ One Half Parts Stand
cc _ — COPING: One Part Cement, Three
For Fences Higher Than 5' S is. u Parts Sand
Vert. Bars 3/8"Oat 32" O.C. > w� _
CONCRETE: Well Mixed 1:2-1/2 : 3-1/2
Fill Cells Solid With Grout 1
>1 • Max. of 7-1/2 Gallons ct
Where Steel Occurs '� Water Per Sack of Cement
Reinforcing Steel Shall —� f (0 IrT4
yGROUT MAV BE POURED FROM THE TOP
Conform to Sec.A-15.39 w 0OF THE FENCE IN CELLS WHERE STEEL
A.S.T.M. OCCURS.
z '- CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped FORCEMENT SHALL BE CLEAR,CLEAN&
15"or to Code lau_ OF ALL MORTAR DEBRIS,ETC.
II . iiii
NATURAL GRADE
_ ` 9y.,. . _ BONDS SHALL BE PROVIDED BY LAYING
"a.'rt 111 II--„ II I BLOCKS IN STRETCHER COURSES SO THAT
41t,.../.``�1 /�4 _ - .O ' ' ' ° ' 0 •'. - - VERTICAL JOINTS ALTERNATE IN EACH
.'< ^^..›-C•`� °.' .o ' : N e . p '
TWO 3/9"`08A RS '1, . • : 0 - - ° w,� COURSE.
CONTINUOUS TOP � � , �' o _ s ° e ♦ .
&BOTTOM I-a—WIDTH TO 16 0 C. MAX.
u - SEE CHART �.
t BELOW ,e , DEPTH OF EARTHTCOTH
-; - - -: t l 1 1/3 THE HEIGTH OF FENCE
LL 1 L° • WELOW BOTTOM OF FOOTING.
1. l(1° 2,. — SCALE: 1/2" = I'
•FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5' 4' 31
WIDTH 14" 14" 12" 12"
THICKNESS 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" . . . . 16" 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' 16'
OWNERS NAME: GARY KING
City of Costa Mesa California JOB ADDRESS: los —W;'s°/ st-
PERMIT NUMBER'
. Building Department SIGNATURE:
•
•
• Applicant to till in all spaces within heavy border lines and sign all appropriate declarations.•
•
CI 'F'c'OSTA MESA PE1T NO. TRACT NO., . LOT NO.; BLDG.NO. ,
CG4TRUCTION PERMIT a F 1-6-0 7 • '' • N'
qqq Project Address /0S', e.5.' aJ,6s-c,�, ` TYPE OF CONSTRUCTION /�//' t ,t(/I(1n {{t �t
r� Owner GA2ct KINE.. Phone S�g9j 0 NEW 0 ADD 0 ALTERATION I.i�// OCT •Uf1 IJO� p ��
`q1 Address y.. „,per- 0 REPAIR 0 CONVERSION 0 DEMOLISH
Ore I `- -ZO �4N tO Fy,PPP NS .
I Arch/Eng. • License No. 0 OTHER GUY �� COSTA MLSA __ • 1
DESCRIPTION OF WORK A.P. A ' - i
v Address -
ZONE PLNG. REF.,yp -
ty , Contractor/_/nisip6`.4i L.-tact({, Phone9�'19-�3r/ TYPE OF.PERMIT BUILDING - To BUILpiNG ',
-U � SETBACK C/LST. 70.0PE0.TV LINE
N Address gcps e04OA)AA0 b2, `1,L1 ❑ GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD .
•
LICENSED CONTRACTOR DECLARATION 0 TENANT ❑.ELECTRICAL ❑PLUMBING ❑MECHANICAL , SI E YARD
I hereby affirm th;.t I am licensed under provisions of Charter 9(com- • RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER REAR YARD(TO P/L) -
Professions Cod and my license Is in full force �j nd effect. PROJECT DESCRIPTION
License Class ' —/ ice alloS%S/q9 - - PKG.SPACE REQ. - PROVIDED , "
Date/�--�5' R '> Signature cO 5[;. FT. - -. -
WORKERS'COMPENSATION DECLARATION _ OCCUPANCY—CONSTRUCTION TYPE • STREET WIDTH • PARK FEE$
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION • ZONE ZONING APPROVED BY .DATE
certificate of Workers'-Compensation Insurance, or a certified copy
thereof(Segti0o n�3$OQ.j,au.,G�. 57 -7E Fu A>D GRADING CU.YDS. SPECIAL CONDITIONS: _
ACRES
'Cy NO.1OO 77 aw'/ (( •A Company
ertified copy is hereby furnished- - REMARKS: - I -
Certified copy is tiled with the city Building Division. - • - •, '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - . - - - -
,(This section need.not be completed if the permit is for one hundred _ _ ,
($100) or less). -
I certify that In the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become PLUMBING • PLAN CHECK • ELECTRICAL "• PLAN CHECK - -
-subject to the Workers'Compensation Laws of California. - - • uwtLLINS GAHAGt
Date Signature - . BATHTUBS SHOWERS ' " SO.FT SO FT ' - '
NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must • _ TRANSFORMER -
•
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW' -
revoked. . . . •
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS •- MOTORS 0-1-HP_1-10 HP '
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+ HP
formance of the work for which this permit is issued (Section 3097 - ' -
Civ. C.). - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES . . -
Lender's Name ,
Lender's Address DRINKING FOUNTAINS - . GAS TUBE SIGNS . . .
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS -- .
I hereby affirm that I am exempt from the Contractor's License Law for
the following'reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAPLUNE I Hut IION -
Any city or county which requires a permit to construct, alter, 'POLES METERED SUB - •
Improve, demolish or repair any structure,'prior to its issuance,also re- 'WATER SERVICE ALTERATION , . PANELS- / MAIN SUB
quires the ap,licant for such permit to file a signed statement that he -
is licensed pursuant to the provisions of the Contractor's-Ucense Law' GAS SERV ICE OUTLETS ' SERVICE '- AMP 5 OO
(Chapter 9 (commencing with Section 7000) of Division 3 of the
nosiness and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - -
Is for the alleged exemption. Any violation of Section 7031.5 by
• applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - -
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK - COLLECTORS _- - ' -
sole compensation, will do the work,and the structure is not intended
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. • - ISSUE FEE - 3 IPC
Contractor's ui ,License Law does not apply wh td ansuch
owner a propertyifor - APPLICATION APPROVED BY��G DATF��slf�
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such Improvements are not
Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - SUMMARY OF FEES__
Is sold within.one year of,completion,the owner will have the burden _
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING
❑ I; -as--owner of the. property, am exclusively contracting with AND DUCTING •
PERMIT $ • $MID. . .._ $.
and
contractors : rnthe project (Section 7044, lness 100,000 + BTU PLAN CHECK $ PERMIT
Prwn r of property The
buildContractor'sor- LicenseoveLaw does a notwho apply
c to - ISSUANCE $
owner of h who builds thereon, and rsuocon- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) Ilcesned pursuant to 'SYSTEM - - GRADING $—
the Contractor's License Law). 100,000+BTU PLAN'CHECK $' -
❑'1 am exempt under Section B.& P.C.for this BOILERS BTU - - ELECTRICAL $ - $
reason - - - - PLAN CHECK '$ MICROFILM $ ' '
Date Owner SYSTEM REPAI R,ALTERATION _ TOTAL FEE$ -
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTI LE MECHANICHL E
P
Information is correct. I agree to comply ith all cityand county PLAN CHECK $ LESS AD-
Py VANCE PC $___
ordirepresentative,-
and state i cif „.relating to con on hentl boreby,a mentioned '
represents tl vee f cit o e upon the above�smenCtionetl'y /,IL7,I
property fo a -(• -.n 4 ”-p /^_'L(/� FINAL FEE $_
Signature 4
ISSUE FEE
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
, . 1 .
CONSTRUCTION AND PLANNING +.4
• POOL&SPA I.;'
APPROVALS Permit# -f-:-..1-057 .Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole.. - . _ 43. Pool & Equipment Location •- - • - •
2. Soil Pipe-Undrgrn- ' 44. Steel Reinforcement - - -
3. Electrical Conduit Utility-Undrgrn "'` f •1 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding -
5. Steel Reinforce • 47. Rough Plumbing& Pressure Test - - - - - • _ . .
6. Electrical UFER Grn 48, APPROVAL TO COVER-GUNITE .
• -
7. Footings 49. Electrical Conduit-Undrgrn
• 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test •
9. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap--El Undrgrn " ' - "- - . .
10. Structural Floor System 52. APPROVAL TO DECK _ • - - •_ . - - -• -.
11. Property Sewer Line& House Connection 53. Backwash& Receptor-Final
12. Street Sewer Connection 54. Heater &Vent-Final . .- - • •
13. Rough Plumbing - 55. Plumbing System-Final . .. " . . - -
14. Rough Electric-Conduit 56. Electrical-Final . .
15. Rough'Electric-Wiring . - 57.. Solar System-Final '
16. Rough Heating &Air Conditioning b8. Fencing&Access Approval •
• 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING . " -
18. Ducts, Ventilating i
19. Gas Pipe-Rough &Test ' 60._ POOL/SPA SYSTEMS FINAL •
20. Roof Framing _
-
21. Roof Sheathing - .
22. Frame and Flashing NOTES:
23. Insulation • . - .
24. Lathing& Siding
25. Drywall Nailing '
26. Plaster Brown Coat . . - • -
' 27: Electrical Power Meter-Final. -'• firs-A �r
28. . Final Electric _ -__ _. / f-9 c - • • '
29. Final Heating & Air Conditioning _ '
30. Final Gas Pipe-Test . . .
31. . Final Plumbing - -
32: -Water Service-Final - __ _
'33.. Ga'sService-Finals.. •. . _. - _ -
34. Solar Domestic-Final
35. Landscape Sprinkling System - ' - • ' - e
36. Sound Attenuation .- . _ -
37. Handicap Regulations - - , - '
' 38. - FINAL STRUCTURE&BUILDING - -
39. Special Requirements Completed - - - -
40. Electric Release to Edison -
-
t 41. Gas Release to Southern California Gas Co. - - - - _
i 42. CERTIFICATE OF OCCUPANCY
t
No .. Date .. - - - - --- _ _.. ,