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HomeMy WebLinkAbout269 22ND ST - Building Permits CITY OF COSTA MESA - `�, BUILDING DIVISION i y S 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca. s' 1.1 w e- U fl FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: P08-00194 PERMIT TYPE PLUM STATUS: ' ISSUED APN: 42615306 DATE ISSUED: 09/02/2008 ISSUED BY: JOB ADDRESS: 269 22ND ST CM .Suite/Unit: . Vicinity: SCOPE OF WORK: COMPLETE COPPER REPIPE FOR ENTIRE EXISTING HOME PIPING. OWNER: PAYNE,JUNE L TR Address: 345 SAN JUAN DR PHONE: City/State/Zip: SALINAS,CA APPLICANT: ZERAMBY,NICHOLAS • Address: 2015 LAS POSAS ROAD : PHONE: (949)291-9418 City/Stale/zZip: CORONA,CA CONTRACTOR: CALIFORNIA LEAK DETECTION SPECIALISTS INC License No. 741886 - ' Address: 2015 LAS POSAS ROAD - PHONE: (949)291-9418 City/State: CORONA,CA ZipCode: 92882 CELL: ARCHITECT: License No. PHONE: ENGINEER: • License No. - " PHONE: • • • • PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $33.30 TOTAL FEES: $33.30 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE I INSPUTION TYPE DATE INTr6ALS COME/ INSPECTION TYPE INRML$ 1616 FixedlSystem Final Fire Prevention 206 Final MeChbnal `� 1266 Pool Spa Final 208 Final Plumbing P/�. e�� ! 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval - 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION:' Owner ID verified by driense. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: ..Driver's License No. Expires: -: . ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by.section 3700 of the Labor Code, for the - performance of the work for which this permit is issued. ' /fart 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' permit is issued. My workers' compensation Insurance carrier and policy ElI hereby certify that no excavation five(5)or more feet in depth into which a number are: fy thaCo is required to descend,will be made in connection with work authorized cAr— T��U(k 1/V S Cby this permit,and that no building structure,scaffolding,falsework,cr demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This seam need not be complete dathe perms is valued at one hundred dollars($10d)orless.) 2 Art 2Sec.341,Title 8,California Administrative Code). oicy Number: Af9i 2 1( ''' ) ch ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subj- 1 to the workers'compensation provisions of Section 3700 of gppliwnl's signature Date the Labor .d 5'all forthwit omply wi these provisions. / O f- Division of Industrial Safety Permit Number:i`canYs'Si• ".tore ( /! HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FA IRE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force// and effect. �� / a registration form for acutely hazardous materials? 0 Yes 0 No �6ic# 7L/ • • bP Class# 3 b (Section 25533 of the California Health and Safety Code, with some _ O� exceptions, requires registration with the Costa Mesa Fire Department by �----er each business which at any one time has on hand a quantity of acutely Cyr 's ign ore I Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). , ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely l d hazarous materials)? Yes Lender's Name: ) 0 No (Section 25534 of the California Health and Safety Code provides tha'the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require f r CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such constructsyln Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or frofn construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). i 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application. have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No 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 8. (If'yes' attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). = - - .. completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify'that under penalty'of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state.laws and city ordinances regarding Hazardous Materials and Emissions. - ' ❑ 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 Signature ' Date - property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that El I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of Business and Professions Code for this reason: . . 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 of Legal Owner s) Date Signature • Date _ 9� .9/� /© / ` 305]-0fi 1310]) FA p9•"Aetb• 'd Appbcanl 4 •Date O .l ADDA BNLofM 269 22ND ST ME CITY OF COSTA MESA — BUILDING PERMIT • OWNEWYWillEIFIDOM: LAARSS—PAYNE, JUNE M PERM NO: B 074176 ADDRESS: 345 SAN JUAN DR SALINAS, CA 93901 PERMIT NO: B 074176 PLAN CHECK NO: N GOVT: N SUPP : N Appt.MAILING ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/30 YR COMP SHINGLE SQ FT : 3, 099 ARCHOR ENG.'S ADDRESS: then: CLAIM VALUE: 3, 099 . 00 CALC—VALUE: 3, 099 . 00 GROUP OCC: R-3 /M-1 NNDIACTORstAIm CRANK BROS ROOFING CO ( 714 ) 548-5569 caNTRACTonsMMUNG 126 COMMERCIAL WAY COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC ADDRESS: COSTA MESA CAmho_ 408677 ******+F****************ac+cys+E*******a[-**�E***+E* -***tt**err-gyp** *******it********x+t***N-** 92627 ZONING REQUIREMENTS °"` SETBACKS UCENSED CONTRACTORS DECLARATION:I hereby elm under penalty of perjury that I am[Sneed under provisions of Chapter 9 (..,h enraq with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and Mae. WY C.NO.: 005993 uc.cuss: C39 Uc.NO.: 408677 EXP : 06/96 MAIN BUILDING ACCESSORY BUILDING �� � /� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: " eContractor: �D -Lp-�•�+C LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OW R BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the fol• ' •reason(Section 79315 Business end Professions Code:Any Sy county which requires a permit ager,improve, PARKING REQ: PROV: PARCEL: 42615306 ZNE: REF NO: i -' h,or repay any structure.pd«to its issuance.also requires the applicant for such pend to file a signed statement that he or she PLANNING NOTES> ,:i tensed pursuant to the provsicee at the Contractors License Law[Chapter 9(commencing with Section 7000)of Daisies)3 of the •> '"' noas and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemptM ion. y volao ion Section .'3031.5 by sew applicant for a permit subjects the eminent toe civil penally of nal more then five hundred dollen[359o9. *-**************i(****if**********iE****************************if**iE*******IE******* ❑ I.ss owner d the proper army empoyees with wages es thei de compensation,will do the work.and the structure i not intended D EV EL OPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property improvements are aliint oves ed o ofared forOs sale�If.however the hems, o inp�nient or his soldwit employees, �ofmmdplaon,such ZONING APPROVED BY DATE: ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ 1,as owner of the property.ern exclusively contrs ,gthlicansedcontrMonmmutructthproject(Swion7D44.Busnessand BUILDING APPROVED BY : DATE: Professions Code:The Contractors license Law does not apply to en owner of property who builds or improves thereon and who contracts for such projws will,a contrwor(s)licensed punuanl to the Contractors License Law). • ❑ I am exempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: — DATE: **************************************** * * ********************** Date: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL S MENT:Y I do hereby certify that I am aware d and understand the requirements of California Noah and Safety Code Sections 25505.25533,and 25534.end that t or any future building occupant will/will 1101(circle one)need to comply with said slate codes end the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modificationfromlhe Ar Dueby Management Dismal.Residential wnsinudion appliicatiorsareexempt from these PERMIT 63 . 00 . 50 provisions. Date: Applicant: h SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the following declarations: ISSUE FEE ❑ Ihave and MI maintain enankin,ol consent tosM.ineore for workers'compensation,ss provided to by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for the performance of the work for which this permh is issued. TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 63 . 50 . 00 ci: I have and ad maims:workers'compensationw e ' insurance,as required by Sim 3700 d the Labor Code.for the performance d the work I«which this permit is issued.My w«keri rad Collor number aro: Carrier: r EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT: . 00 Policy Number: LTSS—y7UN11224 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I section need not be completed I the perm*is for one hundred dollar(51001 or len./ 63 . 00 . 50 . ❑ I certify that in the performance of the work for which this permit is issued.I shall riot employ any person in any manner so as to r become subject to the wohars compensation laws of California,end agree drat D I should become subject to the workers' ******************************************************************************* /�ompensaion prmdw isi ns Sim d 3703 the Labor Code,I shall forthwith comply with those pro' one. Czo INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT- COST TOTAL COST civil Anes up bona hundred thousand dollars($100.000).in addition to the cost of comparuation,damages aa provided ler In Section 3705 of the Lao,Code,lntwasl and attorney's lees. SFR 3099 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 099 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a constn.dion lending agency for the END OF FEES performance of the work for which this permit Is issued(Section 3097,Ci,.CI. LENDER'S NAME: �•� �L • LENDER'S ADDRESS: EXPIRED .,, I certify that have read this appficaton end sae that the above bdorrmdiot is coned.I agree to comply with all dsy and county ordinances L)Ai +fl`LL and state laws reWisg to buildly mmWdion end hereby authorize representativaa d this dry to enter upon the abon-Inemioned property 1 `1\ / ( �(/ f« inspection purposes. CARD, RICHARD DATE 1"X1 �41Y�_. Cl n 7 req. no -I aT Lc 9_Y_ 'C-. 1Yf e. _ T )T o3..B � / -h.Print Name 9'4#1. ., / _ DATE: 09:12193 TT E: 13:07 L- Ce .. Date: (4#/ 2 /�.) ignature of OwnedApenVA.. .. 1. (5151-45.WP) Whee-Suidip A Sday:Groan- N. ornery-Appicant:Pink-Revenue:Goldenrod-Assessor .. htCONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER 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 i • 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 O Gas OOil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOiI 25. Roof Sheathing 7-1?-`15: 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 _ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • e ct p 5.40g43. Backflow Irrigation ` 44. Landscape Irrigation System � G 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & 'BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. aIIIIIIIIII CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT l j der/a 69 e0 Project Address Jetta zb6)Cl TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR 8024 4/05/04 R•11:-. TL Applicant's Mailing Address ann `_Q. /� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# [Zone Owner's Name Qf OrWl��lE ZE MX hgp¢ b'O DESCRIPTION OF WORK a 1— . e•�Q ^ ' 9 �M S Main Building: Accessory Building: Z Address eta I�.ta TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL E Front o Z N Arch/Eng. // License No. 0 TENANT ❑ ELECTRICAL Z.PLUMBING 0 MECHANICAL B Rear I Address f-/.0 / � /y7�))(y 9 ❑ 'OTHER A N S47-S�a PROJECT DESCRIPTION SQ. FT. OCCUPANCY C LeftRighG Contractor's Name Phone K �1 `/ CON STRUCTION TYPE VALUATION$ S Left R Address(mailing) I Q� ,el�A�Lc�A�! E 30 CTG a ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q City License No. 8 :J U LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided i I hereby affirm that I art licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E my license Is in full for e a d effect. M License C ass ^' ,, _ e N., ��� PLUMBING I FEES PlanningNotes: E Date -. « Signature Ad --, . � N WORKE•5'COMPENSATION DECLARATION / Bar Sink Showers - T I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S Workers' Compensation Insurance, or a certified copy thereof (Section 00, Lab. C.) k�m/-n Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. 4- Company 8 Certified copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer.- Transformer El15-50KW Certified copy is filed with the city Building Division. • - 0 50+KW Date _Applicant Clarifiers Solar Collectors Construction Pole'Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Y• - (This section need not be completed If the permit is for one hundred ($100)or ,Dishwash¢r Solar Piping Cooking Unit Meter ❑up to 100 amps lI ess). DrinkingFountains Solar Tank I Dishwasher Meter Cover 100 amps certify that in the performance of the work for which this permit is issued, I P shall not employ any person in any manner so as tip,come s lett to te - Date Workers' Cor eennss %ori Laws of California// 01 //�/',A n Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date -7 0-- 4-• Signature 1-f• (` !sdt�r NOTICE:If, fter eking this declaration, you should beco e su ect to the Floor Sinks Urinal Fan Motors 00-1 HP ❑1'h-8 Workers' Compensation provisions of the Labor Code, you mu forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016.15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater Fixtures Microwave of the work for which this permit is issued (Section 3097 Civ- C.) Lender's Name Kitchen Sink Water Service Device Boxes Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATIONOutlets Range I hereby affirm that I an, exempt from the Contractor's License Law for the following reason (Section-7031.5 Business and Professional Code: Any city or P-Trap Switches Sign 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 Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator 00-5 KW 05.15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she is exempt o>refrom,and the basis for the alleged exemption. Any violation of Section ' ,,3Reinspection 1.5 by any applicant for a permit subjects the applicant to a civil - alty of not more than five hundred dollars($500). Fee 1 $25 Issue Fee $ 3 Y ii I, as owner of the property or my employees with wages as their sole MECHANICAL ' -" Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's - - -- ---- — - - -- - - ----- -------- -- - - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work-himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not Intended or offered for Canopy Type II ❑ sale. If, however, the building or improvement Is sold witnin one year of com- Duct-Under Ground • Application Approved By Date elation, the owner will have the burden of proving he/she did not build or im- `�/ 6 ' 473/4/7/91.473/4/7/91.prove for the purpose of sale). Duct-Structural - Refrigeration System Application Issued By �✓ Date LJ I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 'SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ SMIP $ builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT 0 lam exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBO# PLUMBING • $ ISSUANCE $ Date _ Owner • Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for CO inspection purposes y_/ MECHANICAL $ .4 TOTAL FEE : $ Signature 17�L7 �I'1 Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod'-Assessor - - - - CONSTRUCTION AND PLANNING POOL A . APPROVALS Permit 4p-A2 4,30 Date Inspector APPROVALS Permit# Date Inspector -1. Temporary Electrical Service or Pole. 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. • - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings I 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 -' I" 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 19. 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 26. T-Bar Ceiling (Structural) & Monocoat 75, Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 807 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 02724 CIO 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 - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date JUN 22-73twsa002784Rd***338.27 CITY OF COSTA MESA PLANNING DEPARTMENT A.P. No. )10152-i1 Bldg. Permit o. 3G744 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 2C9 Cast 22nd. Street. Co3ta t4eaa. California . .Owner's Name r:tun y Latins Bachelor or 1 - Bedroom Units 1 @ ale = $338 27 Total Number of Dwelling Units 1 Total Fee $338.27 Planning Department Approval Date $/12/73 Park Area No. 3 By W.L.Dunn rdb Applicant's Signature 1 ,UWNtK LAARSS, Henry DATE A_22 \JOB ADDRESS 269 East 22nd Street BUILDING PERMIT NO73 36744 GENERAL CONTRACTOR -Stanco Bldrs. DESCRIPTION of WORK Residence w/ att. gar. Ar::r,a. 118-152-11 LOT Por 284 TRACT Npt HtsFIRE ZONE VALUES 23,900.00 II ^'} CTIOHS Signa�tyre Date GROUP I & J TYPE V ZONE R1 . SOIL- �CJ6Y%/L 7-1)_ 15-� SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plumbing ROUGH PLUMBING /d 4 U 73 Al,C / --A/C. J-fl h. 337/ - PROP. SWR. LINE QHOUSE CON. ❑ Ad Sr � Tl'�q'- q-20 -71 3 LW/ 0 SPRINKLING SYSTEM �1C ten S MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING M S r-IY-73 TEMPORARY SERVICE OR POLE UNDERGROUND p POWER O � ROUGH WIRING / - Ay-/-` 3 Heating and Vent. TRENCHES }'FORMS STEEL REINF. P/ f_.., / ` I /vl.6 / �;il 7-5-75 /v9.cg- FLOOR SYSTEM it -V./-7..... BOND BEAM r] STEEL REINFORCE n SHEATHING / Q 9 -J,/ 9 FRAME AND FLASHING $ Z(- 3 z[ LATHING - IN��OUT� est,1 ';-4q PLASTER, BROWN COAT / Q3. Zif-1j STY +RAL, FINAL '^ �/ y HEA. J VENT., REFRIG. AND A FINAL - -rL a/ /1�/J IOC ri PLUMBING, FINAL AND GAS TEST n i, �?.-73 // 1 / (O-/G.73 .3b _ ELECTRIC, FINAL /C./61 a villi nia.- � .ni .+0, n/ /L.`717f • • V PAID It r 36744 JUN -4-73-5,,00 076* ****44.67 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT ADDRESS ./�(�s I ' -A., -7-4-e S/f RECEIy,ED BY 41 7! I DATE 2-7UED 73 BUILDING / Cl _ /�'// / PERM! • e OWNERiiif A.P. NO. I •-iSa •' ��� MAILD —z C BUILDING '''il, � ESS .._ /S �J.. - el +Y� ADDRESS z y^�p / �� • o.U CITY ' ��1�1-L.P.dn NO.z in ui TRA"CT t sr-re L T•S1 BLOCK I- Z NEVj�• ADD ALTER REPAIR MOVING DEMOLISH Q CONSTRUCTION , '/NE O I- LENDER CL c0 pp J 7 BRANCH /t r C' � ' J u) OWNS 11/v`/. m W ADDRESS p �y /✓//J�] (/D m m ARCHITECTal-/f- J'j TEL. US Er[../d/• LU$ /J �� UOR ENGINEEB{/.fjj'�i�. y/7 NO /// �/� wQ w' FIRE / / / m ADDRESS/LL+ 6G Gf��-, ._ _ . ZONE / T PE_ROOUPI /��.JJ J O CONTRACTOR; 1L�.✓(7 L%Ga1-��-�Y4€0, BVPROVE /��� ���DATFJI�/����f� m Z ll�/// tttYYY J m ADDRESSA9 6 a - ut tit W LJ ZONENO.OF USE OF NEW ‘51-"g43 TEL.CITV• _ L� NOL - .. b �1 PLANS 2 BUILDING :/, C lam. ZH ! �- —O STATE _, CITY YARDS APPROVED YARDS APPROVEDill N K LIC. NOd a9 $4. LIC.NO. _ MAIN BUILDING ACCESSORY BUILDINGDI (FROM EET) =O OF LOT SW- —i NOW ON LNO.OF OT O FRONT C/bo RFT. FTc//f . f USE OF / EXISTING BLDG. R SIDE _S FT. -r. I— SIZE OF NO.OF '1 '�ss Z NEW BLDG.. ROOMS ROOF /� STORIES / L.SIDE/O1'QrXFT. FT. Q EXTERIOR WALIa^+[2 0 COVVERING(r-Per#A, 5 p zDIEAR e BET. FT. BET.MAIN g� FT. U COVERING �•`�cG ' CE J USE OF BUILDING AND WORK TO BE PERFORMS d MAIN BLDGS. ACCESS.SS. BLDGS. �j VAR.+ DATE O --4 f 6 ta-t-i C.U.P.3W S�7N- APPROVED APPROVED// // � r� fn a—aY 1��� DATE (� L--LI,3 Z 0 — UI hereby acknowledge that I have read this application and state STATt \ D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ W t I— any person in violation of the workman's compensation laws of C/) the State of California. / � rs ,r�� m U 7 I t? Z I hereby certify that I am properly licensed as a contractor under SO. FT. TAX O the State of California Business and Professions Code, Division 3, HE AMOUNT SHOWN UNDER VAL $ FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: P rc am exempt from tt e provisions of the State of California Business VALUATIONm and Professions Code, Division 3,Chapter 9. •--.-- N PERMIT FEE $ Signature of � /� y en Permitte9 $ 2,5 f©0 PLAN CHECK $ eff OO E i. /! o Authorized Agent LI. -. - TOTAL FEE $ /, r . Aar JUN 22-73[X57002785 d****86.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 CATION FOR BUILDING PERMIT For Applicant to Fill in Completely RE LATE ISSUED BUILDING / y 1' n2a tjT _ /_-��73 BUDRENS ((99 z/l�(6 ./��i// C lUq/y1 [�,({p(��� OWNER EU C. 1 L.f� RIZS>'7 A.P. /4'f I BUILDING /1 / 2a - MAIL ADDRESS /SIO Z ADDRESS Wa U TEL. I CITY NO. TRACT LOT BLOCK I—a Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH — (/) LENDER a m / • J D BRANCH _]�,/1 / zt _i CO OWNER VFi''T 255 m.W.1 ADDRESS VALUE J CO ARCHITECT TEL. $ Q alliP OR ENGINEER NO to Z Q FIRE tiz¢ ADDRESS ZONE TYPE GRO 4 J ^' C APPROV D W Z Z CONTRACTOR BY � DATE / / �-72 CO Z J ric ADDRESS W W TEL. ZONE INO.OF USE OF NEW Z= CITY NO. _ PLANS BUILDING H 0 STATE CITY YARDS APPROVED YARDS APPROVED VWj Q LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7 SIZE NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING OLDG. B SIDE FT. FT, I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L,SIDE FT. FT. < EXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. 1,, ..,I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLOCS. ACCESS.BLOCS. Q ___y VAR.qfe DATE O G7 1/4/-1( A rccprp C.U.P.# APPROVED F 777 APPROVED CO —HY DATE Z 0 C~.1 I hereby acknowledge that I have read this application and state O that the regulating information is correct and agree o comply with FCC— alln laws regular log buildingionfworkman's construction, and I shall not employ F any person in violation of the compensation laws of /v/`-� co Ill the State of California. b ZI hereby certify that I am properly licensed as a contractor under SQ.FT. .- the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e IC am exempt from 0 provisions of the State of California Business and Professions Coue,Division 3,Chapter 9. VALUATION PERMIT FEE $ n' Signature oftE Permittee $ PLAN CHECK $�— E Authorized Agent t/.c�� ! u. TOTAL FEE $ ,g OWNER LAALI.Obl Mtc• W. DATE 0'1-14 JOB ADDRESS 269 E. 22nd St. BUILDING PERMIT NO. 38511 GENERAL CONTRACTOR Ovner-Rldr. DESCRIPTION of WORK Add Patio Cover to Res. 4. APklo. 118-152-11 LOT TRACT FIRE ZONE VALUE $400.00 4 It :CTIONS Signature Date TYPE V GROUP J ZONE R1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number ber I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE[J HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS - ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE - UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES [i FORMS 0 STEEL REINF. n FLOOR SYSTEM r� BOND BEAM [l STEEL REINFORCE LI SHEATHING FRAME AND FLASHING LATHING - IN f OUT fl PLASTER, BROWN COAT 5Tr 'URAL, FINAL Electric HE. :, VENT., REFRIG. ANO A,C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC. FINAL //nye , BUILDING. FINAL J II /� jT/ • 3851 I PAIL "11 -7-7vc.. 00 40 -= *****5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP fICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RE EI D DATE RECEIVED DATE ISSUE BUILDING • /7E�� �, I 'L �, 6 _7- ADDRESS //�� 6 '- I( �J/3 PERM OWNER IYnfC U/• C-rerne.5. A.P. NO.ha_ksz,-.f I I PERM i I MAIL BUILDING /J/ 7 yj 47 ADDRESS c'/9//if ADDRESS au �,O� CIS "L rt��4 W W .�z� TEL. N‘-`f F1ACT �LLOTro r BLOCK CLL) CITY CCSlry ietCrg NO.60a7rt Z Z < CONSTRUCTION•\ NEW ADD ALTER REPAIR MOVING OEMDI ISH O N LENDER \` a. m \ ///yyy • J D BRANCH \\ /� T J to OWNER vii(' co-I ADDRESS .y/ate/I%1, /U VALUE J t7 m ARCHITECT TEL. USE / �•t7 ; ` ref- $ J N OR ENGINEER CI' CJ-r W�'3 r� NO. T U Q FIRE X GROUP�/ Z CC ADDRESS // n ZONE r/1 TYPE J OCONTRACTOR fl , ,It17 ..- /dr'. BYPROV FJD / •DATE 6 7.-y4 co Z III JCC ADDRESS w W TEL. ZONmE Y INC.OF USE OF NEW Z -i CITY NO. l PLANS -R BUILDINtocena(� W 0 STATE CITY YARDS APPROVED YARDS APPROVED to Ir LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 30SI2E 'NO.OF BLOCS (FROM C/L STREET/ OF LOT NOW ON LOT FRONT /41-C- FT. FT. USE OF EXISTING BLDG. R.SIDE .2-3 FT, FT. I- NO.OF Z NEW SIZE BLDG. 2ij.0 xJ4/'/ ,�/ JAI ROOMS STORIES L.SIDE O FT. FT. U EXTERIOR WALL ROOF 1 COVERING COVERING , REAR J FT. FT. t, J USE O[E�BUILDING AND WORK Tfj/q�'E RFORMED DISTANCE BET. BET.MAIN& 1 0 & [A ,! I///y J/E Co (/G g MAIN BLOCS. ACCESS.BLOCS. Q _ /� / /J,// VAR.# DATE Q /Od t Eris-0X G g 770 C.U.P.# APPROVED Z '+ L/s LS —gY ROVED/ T�ra _ DATE V` -7-7/ O IN P^, UI hereby acknowledge that I have read this application and state ( c ) that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ F, any person in violation of the workman's compensation laws of N the State of California. /f- _l 1'I( az ZI hereby certify that I am properly licensed as a contractor under �GC� SQ. FT. - o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 CC am exempt from the provisions of the St to of California Business and Professions C 0. Division 3,Chap 9. VALUATION PERMIT FEE $ ✓'7 m N Signature of /( m m Permittee c1 / f $ � PLAN CHECK $ E V S LL Authorized Agent TOTAL FEE $