HomeMy WebLinkAbout427 16TH PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 427 16TH PL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42514115
Applicant: MC CARL, TIM
Address: 126 COMMERCIAL WAY
WSTA MESA, CA
Owner: HANSEN, JANICE M
Address 1601 DOVE ST STE 292
Zoning:
Phone: 94�54&5569
Zip: 92627
Phone:
� NEWPORT BEACH, CA Zip: 92660-2443
Contractor: GARY REES DBA CRANK BROTHERS ROOFING
Address: 126 COMMERCIAL WAY
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Phone: 949-548-5569
License: 736549
Eng:
Address:
Phone:
ISSUED BY:
Shatus: ISSUED
Applied: 12/08/2003
Issuetl: 12/08/2003
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHINGLES, 7/16" OSB, 1 LAYER 15ti FELT, APPLY "40-YEAR ELK
FIBERGLASS SHINGLES." 2600 SF
Plan Check: $0.00
Permit: $16725
SMIP Res: $0.90
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.15
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
ss,000.00
Ss,000.00
NOTICE: 7he work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia sfatutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commanced within 1B0 days, or it 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, end all
required inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
FOR INSPEC7tONS CALL: (714) 7545626
�
WORKERS' COMPENSATION DECLARATION: �
I hareby aHirm untler penelty of perjury one oi ihe following declaretions:
❑ I have and will malntain e certiflceie ot consem to self-Insure tor workers' compensatlon, es Drovided for by section 3700 of the Labor Catle, tor ihe pertormence of the
,,,µµµ work for which Ihis permit iS Issued.
�y I�have and will meintaln workers' compensatlon insurence, es requiretl by sectlon 3700 0l the LeDor Cade, lor ihe peAortnance of ihe work for which this pertnit is Issued.
"\ My workers' c mpe 5atlon Insurance cerrler nd policy num6er ere:
Carrier. �'�'�I� i �—�•1 L� dC Por�Y n,�mba,: 1—] �. 6q q 2- 2o a�
(This secfion need not 6e completed /l fhe permif is valued et one hundred tlollers ($100) ar less.)
❑ I certity that in tha p rmance c the work 1 which ihis permit Is issued, I shell not employ any person in any manner so as to become su6ject to the workers'
compensation lews a�lior ia nd egr ha II I sho 6ecome sub�ect to the workers' compensation provislons of Section 3700 of the Labor Code, I shall toR�with
comply with r vl on .
Applicant Siqneture: � Date: � Zi � SS' O�
WARNINO: FAILURE TO CU E WtlAKERS' COMPENSATION COVEFiAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PEN TIES D CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE (51 , �, IN P�DRION TO iHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3�O60F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARA710N:
I hareby aHirm that I am licensed untler pmvisic
torce and enect Lic. a. 6 S
Contrectofs Signature: �
of Chapter 9(commencing with Sectlon 7000) of Divislon 3 ot the Business and Professions Code, and my license Is in lull
� Cless p C– 3.q
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirtn that Ihere is a consiruction lending egency br ihe pedormance ot the work for which this pertnit is issUeG. (Sec. 3097, Civil Cotle).
Lentlefs Neme: Lendefs Address:
Signa�ure:
OWNER-BUILDEFi DECLARA710N5:
Date:
I hereby eHirm that untler penelry o� perjury that I em E%EMPT FROM 7HE CONTRACTOfiS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons
Code: Any ciry or counry which r9quires a pertnit to consiruct, alter, impmve, demolish, or repair any sWCNre, pnor to its issuance, elso requires the appliwnt tor such permit
ro File e signed statemeni Ihet ha or s�e is Iicensetl pursuent to the pmNsions of Ihe Contractors Llcense Law (Chepler 9(commencing with Sectlon 7000) of DlWsion 3 oi lhe
Business and Professions Cotle) or Ihet he or she is exempt therelrom entl the �esis lor ihe ellegatl ezemption. Any violation of Section 7031.5 Dy any applicent for a permit
subjects the applicant to e civil penelty ol not mora than live huntlretl tlollars ($500).):
❑ I, as owner ot t�e pmperty, or my emplayees wit� wages as their sole compensetion, WILL DO THE WORK, end the structure is not intended or o%eretl for sele (Sec.
7044, Business antl ProfesS�ons Coda: The Contrectors Ucense Lew does not appty to an owner of property who builds or improves thereon, and who does such work
himself or herself or througM his or her own employees, pmvided lhat such improvements ere not imendetl or oNered for sale. If, however, ihe building or improvement is
sold within one year of comp�etion, �he owner-builder will have tho burden ol pwving t�at he or she did not builtl or improve for purpose ot sele.). '
❑ I, es ownar of the property, em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to consiruct the projact (Sec. 7044, Business and Professions
Cotle: The con(ractors LlceOse Law tloes not epply to an ownet ot pmpeny who builtls or impmves thereon, end who contracts /or such project wiih e contrector(5)
license pursuant to the Conl�aaors Ucense Lews.).
❑ I em eaempt under sec. Busineu end Professions Cotle tor t�is reason:
Signature: Date:
Owner ID verified by driver's licensa. ❑ Yes ❑ No Driver's License No.
Venficetion ol Ownership by (type a� tlocument, i.e. - pmpeny taz hlll or tleed):
DIVISION OF INDUSTRIAL SAFEn' PERMIT CERTIFIGATION:
Expires:
❑ I hereby certify ihat no ezca�etion live (5) or mora feel in deplh into which a person is required to tlescend, wlll be made in connection with work authonzed by ihis
permit, and that no builtling sirucWre, scattolding, talsework, or demolitian ar dismantling thereot, will be more than Ihirty-six (36) teei high. (Chap. 32, Grp 2, Art 2, Sec.
341, TiOe B, Calilornla Atlministrative Code).
❑ As owner-builder, I will not employ anyona to do wark w�ich would require e pertnit from the Division ol Intlustrial Safery, es noted above, unless such person hes e
permit to do such work from the division.
Signature: Date:
Division oi Industnal Safery Permi� Number.
CEH7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAV: I certify under penalry ol perjury that I have read this application and state Ihat the infortnation given is
correct. 1 agree to comply with all stete laws end city ordinances relating to building construction, antl auihorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe
above-descnbed O�aPerry for insD����on purposes. I agrea not to occupy or ellow occupanty of eny building authonzed by this permit until tinal inspection.
COOE 1. INSYELTIONTYPE
7616 Flaed System Flnel Fire P�eventlon
1266 Pool Spa Finel
200 Final Re-Rooi
201 FInaI Block/Retalning We�l
202 Flnal FaclOry Fire PlaCe
203 Final Sign
204 Final Demolition
QAIE ItII�ELi
� �
CODE� INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Flnel Buildingl0ccupanq
Date
�Z� b" � �
Date )
P� II�ELB
(714) 754-5273 • Fa�c (714) 7543856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 427 16TH PL
Suite:
Vicinity: ROOF
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 42514115 Zonin9:
Applicant MIKE ALLEN
Address: 537 NEWPORT CENTER DR
NEWPORTBEACH,CA
Owner: HANSEN, JANICE M
Address 1601 DOVE ST STE 292
NEWPORT BEACH,-CA
Contractor: ABOVE IT ALL ROOFING
Adtlress: 537 NEWPORT CENTER DR
NEWPORT BEACH, CA
Zip: g2660
Arch :
Address:
Phane: (949) 673-9222
Zip: 92660
Phone:
Zip: 92660-2443
Phone: (949)673-9222
License: 765842
Eng:
Address:
Status: ISSUED
Applied: O6/13/2005
Issued: O6/13/2005
� /
. - �/_./9.
� —
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 LAVER OF 30# FELT, 7/16 OSB, AND 50 YEAR COMPOSITION SHINGLES. 1,800 S.F. INCLUDES
ATTACHED GARAGE.
Plan Check; $0.00
Permit: $139.25
SMIP Res: $0.66
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $�39.91
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING ExisOnq: o
Rear 0- 0
Rear 0. 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0. 0
� Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
as,soo.00
ss,soo.00
I NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes antl re�ated
' regulations. (Ord. No. g2-2B, § 1, 12-21-92)
EXPIRATION: This permit shall allomatically 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 ihe work authorized under this pertn0 to be considered legal, such vrork must comply with ail applicable codes, end ell
requlred inspectlona and (inal approval must be obtained. Failure to obtain inspections and finai approval will result in the expiretion of lhis pertnit.
FOR INSPECTIONS CALL: (714) 7545626
?as-ae 16roo)
WORKERS' COMPENSATION DECLAFiATON: � ' - \
I hereby eifirm under penalry oi perjury one of the tollowing declerations:
❑ I heve entl wlll malnteln e certlficete ol consent to seli-Insure tor workers' compensation, as provitled tor hy section 3700 af the Lebor Code, for the peAortnance of [he
�Ork lOr whlCh lhis pertnit Is IsSued.
heve end wlll mainteln workers' compensation Insurance, as required by section 3700 of the Lebor Code, for Ihe pertortnance of Ihe work tor which Ihis pertnit is issued.
V My worke compensetl Insura ce cerrler end policy number ere: /!.
�� �
Garrier: � ( �CI`I� �� POIIcyNumber. !l� �
(Thls sectlon need nof be completetl il the permit is velued af one huntlretl dollers ($100J or /ess.)
❑ I cenily that In the pertormence ol t work for which this permit Is issuetl, I shall not employ eny person In eny mannar so es to become sub�ect to tha workere'
compensetlon laws of Callfomie, e pree Ihet II I should become sub�ect to ihe workars' crompenselion provisions of a on� of the Lebo� Cotle, I shall forihwith
comply wit� t�ese pr visi �. � /�
Applicant Signature: Date: 11 U�
WARNING: FAILURE TO SECURE WORKERS' OOM lSATION COVEMGE IS UNLAWFUL M!D SHPLL SUflIECT AN EMPLOVER TO CRIMI PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED
T/10USAND DOLURE (E100.000�, IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIdJ 3'!OB OF THE LABOR CODE, INTEREST, AND AT70RNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I em Ilcensed un�er �roN�syl �s at Chepter B(commencing with Sectian 7000) oi Divlslon 3 ot the Bi
rorce ana enea. uc. a %%��E( d� i class a
ContrecloYs Signeture: Date: _
Cotle, end my Iicense is in tull
CONSTiiUCTON LENDING AGENCV: '
❑ I hereby affirm Ihat there is e consWdlon lendinp egency for tha perfortnance of the work for which this pertnit is iuuetl. (Sec. 3097, Civil Cotle).
Lenders Neme: Lentlers Atldress:
Signelure: Date:
OWNER-BUILDER DECLAflAT10NS:
I �ereby ettirtn ihet untler penalry of per�ury Ihet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7037.5, Business an0 Protessions
Cotla: Any ciry or counry whic� raqulres e permit lo construd, alter, improve, tlemolish, or repair eny siructure, prlar to Its luuance, elso requires ihe applicant tor such pertnil
to iile a siqnetl stetement Ihet he or she Is Ilcensed pureuent to t�e provisions of ihe ContraMore License Lew (Chepter 9(commencing wilh SecUon 7000) of DiWsion 3 at the
Business end Professions Cotle) ar t�at he or she is eaempt therefrom end Ne �asis for Ihe elleged exemption. Any Ndetlon of Sectlon 7031.5 Dy any epplicant far e pertnit
su6�ects the appllcant to a civil penalry ot nat mare than five �untlreA dollars ($500).):
❑ I, as owner oi ihe properry, or my employees wlth wages as their sole wmpensation, WILL DO THE WOHK, ene the siructura Is not Intendetl or oflered tor sele (Sec.
7044, Business end Professions CoOe: The Conirflctors License Law does nat apply to an owner of properry who builds or improves Ihereon, end who tloes such wark
himself or herself or Ihrough his or her awn employees, provided thet such improvements era not Intended or olfered tor sala. II, however, Ihe building or Improvement is
sold within one year of completion, tha awner-buildar will heva t�e burtlen of proving ihal he ar she tli0 not builtl or Improve for purposa of saleJ. '
❑ I, es owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to canstruct the project (Sec. 7044, Business end Prolessions
Code: The contraaors License Lew does not eppry to en owner ol pmperty who bullds or Improves thereon, end who contracts br such pro�ect with e comractar(s)
license pursuent to the Contractors License Lews.).
❑ I em exampt under sec.
Signature:
Busin055 end Prolessions Code for Ihis reason:
Owner ID verified by drivers license. ❑ Ves ❑ No Drivefs LiCense No.
Venliwtion of Ownarship by (rype ol document, I.e. - properry taa bill or Aaea):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
Date:
Ezpires:
❑ I hereby certlty Ihet no excavetion five (5) ar mare faet in tlepth into which e person is required to descend, will 6e made in connectlon with work euthorized by Ihis
permit, antl ihet no bullding sirucNre, scaflolding, talsework, or demolition or dismamling ihereof, wlll be more ihen ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sac.
341, Title B, Califamia Atlministretive Cotle).
❑ As owner-builder, I wlll not employ enyone to do work which woultl reqWre a permit fmm the Oivision ol Industnel Setery, es noted ebove, unless such person has e
pertnit to do such wark tmm tha division.
Signature: Date:
Division of Indusirial Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIfTT10RQA710N OF EMAV: I ceniy under penalry ot perjury Ihet I heve read Ihis application antl sta�e Ihal ihe infortnation given is
corred. I egree to compy with all stete laws end city ordinances relating to building wnstructlon, and euthodze representetives of ihe Ciry of Coste Mesa to enter upon �he
ebove-descnbed property for inspection purposes. I egree not to occupy or allow occupency of any building euthorized by Ihis permit until final inspedion.
SlgneWre Ot Legel Owner(s) D� D�
nNOr Auth nzed Applicant Date
COUE I. INSFECf10NiYPE
1618 Fixetl System Final Fire Preventlon
1266 Pool Spe Final
200 Final Re-Root
201 FInaI8locWRe�eining Well
202 Final Fectory Fire Place
203 Finel Sign
204 Finel Demolition
Fd7E It�
^i2'OS� �FG�LY
WOE I INSPECfION TYPE
206 Flnal Mechanical
208 Final Plumbing
210 Final Electrical
212
220
Final Fire Preventlon
Flnal Planning Approval
222 Flnal Site
250 FInalBullding/Occupenq
� 1��
CITY OF COSTA MESA
`CONSTRUCTION PERMIT
AoO���ant to fill In all so�ees except thoze within heavy bortler Iines anE sign all appropriata tleelarations.
PE�ITjuO.' ���� TRACT NO. LOT NO. BLD . .
��
Proj�Address ' ' ,
Applicant'sMailingAddress� �$2S � ���'�
Owner's Name � Phone
Address
Arch/Eng. icense{Vo.•
Address ,(��� � /��y��(y..�./I� �
C,Ontf2Cl0 ���-""^s•'" ' -'-`^ FhOn2
Address (ma'I'ngl Lr� S a�wJ ��J
City Licrnse No. 3�� �� �—`3���� �J�
LICENSED CONTRACTOR DECLARATION �
I hereDy a/lirm [hat 1 am Iicensetl untler provi5ion5 of Charter 9(commencin9
with section 7000) ot Dlvision 3 of the Business antl Protessions Cotle, antl
my licen5e Is in tull tor �Effect. ^�,
llcense Clazs ¢ o «�
Date — — Si9nature �
W00.KER5' COMPENSATION DECLARATION
� hereby atfirm that I have a certiflcate of consen o sel insure or a certifiGdte
Workers' Compensation I sura ce, or a cer o0Y thereof (Se tion
�800, Lab. C.) ,
Policy No. �D� COmpany �
�Certifietl c� opy is M1_ereby furNshed.
Certifi Copy.is iletl wltn the clty Builtl g
ate �� ApP���ant
EXEMPTION FROM WORKERS' COMPENSATION ARATION
(This 5ection neetl not be completetl it the permi[ is f one iuntlretl ($300) or
Iess).
I certify that in the performanca of the work for wh Is perm�t is issuetl, I.
shall not employ any porson in any manner so as to become subject to tho
Workers' Compensation Laws o( California.
�ate Signatura
NOTICE: If,-after makin9 this tleclaratlon, you shouitl bemme subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwith
comply with such provislons or tnls permit shali be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV '
I hereby atfirm lha[ Ihe�e I5 a const�uctlon lending agency fo� the perlormance
of tne work for which this permit is i5suetl (Section 3097 Civ. C.)
LRntler's Namq
Lentler•s Aatlress
OWNER BUILDER DECLARATION �
1 hereby aHirm that I am exempt trom tne Cdntractor's l.icense Law tor the
followin9 reason (Seclion 7031:5 Buslness antl Professional Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repalr
any struclure, prior to its issuan<e, also requires the applicant for such permit
to tile a si9�etl statement lnat he/she is Iicensetl pursuani to the provisions ot
the Contractor's License Law (ChaD�er 9(commencing with Section 7000) of
��vision 3 ot the Business antl Professions Gotle) or that he/she is exempl
xefrom�antl the basis tor the alle9etl exemption. Any violation o( Section
31.5 by any applicant tor a permit subjects tne applicant to a civil
I�enalty ot not more tnan five huntlretl tlollars ($500)..
I, as owne� ot the prope[ty or my employees with wage5 d5 thei� Sole
<OTpenSdtion, will tl0 the work, dntl [he sVucture Is not in[¢ntletl or offe�etl
tor wle (Section 7044, Business antl Profe55ional Cotle: The Contractor'S
Li<enze Law tloez not apply to an owner of a property who builtls or improves
the�eon, and who UOCs such wo�k himself/he�5elf or th�ouqh hls o� he� own
amployees, provitletl lhat such Improvementz are not intentled or o(Te�etl tor
5ale. If, however, the bulltling or Improvement is soltl within one year ot com-
pletion, tha owner will have the Durtlen oi proving he/she tlitl not buiitl ar Im-
�ove to� the pu�pose o� sale).
LI I, as owner ot the property, am exclusively contracting with licensetl con-
tractors to construcl Iha project (Sectlon 7044, Business antl Professions Coae:
The Contractor's �icense Law does not apply to an owner of property who
builtls or Improves thereon, antl who contracts for such projects with a con-
Vactor(5) Iicense pursuant to the Contractor's License Law).
❑ 1 am axempt untler Section B. & P. C. (o� this rea5on
Date Owner
I hereby certity that I have rea�
iniormatlon Is correcL I agree to
antl state laws relating to bu'
Sentatives o/ [his city t¢r
Inspectlon purposes.
Siqnature -
Orivers' License or 55 � _
TVPE OF CONSTRUCTION LI NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLI H ❑ THER
DESCRIPTION OF Vj�ORK �q � n ������
TVPE OF PERM7T U GRADING LJ FOUNDATION LJ STRVCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECTDESCFIPTION S�.FT. oCCUPANCV—
C O N 5T R V CTION TYPE V ALUATION §
ZONE GRADINGCU.VDS. ACRES_
Remarks: � � � !1
Sink
Preven[er
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks �
GasService Outlets
I ntercepmrs
Kitchen Sink
lavatories
P-Trep
Roof Drains
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors a..
Solar Piping �
Solar Tank /
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater .
Water Service
FEES
Reinspection Fea � $25 � � laue Fee � $ 3
Boiler
Duct- Under Ground
Duct - Structural
Duct - Ventilating �
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL ICBO #
Heating System & Ducting
❑ ai oo,aoo eTu � i oo,aoo sr
Rainspection Fee � ' $25
CMF 0865-46 rev. 7/83 White - Building; Canary - Applicant; Pink - Accountin9; GolAanrotl -Assessor ' .._
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System
❑aiao,000eTu ❑iao,000aT
System Repair/Alteration
laue Fee
$ 3
A.P. #
S Main Buildi.
E
T Front
B Rear
A
C A�ght
K Left
S
Ping. Ref. #
Parking Req./Prc
Use of Building:
Plenning Notes:
Auromatic Washer
Cooking Uni[
Dryers l
Fan
F.A.U.
Fixtures
009.7 10/12/84
Zone
Park.Fees $
ELECTRICAL
Transfo�mer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 ampi
Meter ❑over100amps
Suh Panel
�Mot�O-t HP �1'h � 8
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Outlets _� Range
Switches Sign
Garbage Disposal Standing Sec[ions
Generator�0.5 KW 05-15 KW Trash Compactor
ifie7� T�
Z
O
N
I
N
G
R
E
Q
U
1
R
E
E
N
T
I Reinspection Fee I$25 I Issue Fee I $ 3 I
PUBLIC SERVICES REQUIREMENTS:
Zoning APProved BY � Dete
Appliwtion Approved By Data
Applifation luued ey � Data ��
SUMMARY OF FEES
BUILDING PERMI7 $ SMIP • $
PLAN CHECK $ T, PERMIT
PLUMBING $ � ISSUANCE $
PLAN CHECK $ ENERG� P.C. $
ELECTRICAL $ � �'�".�O GRADING $
PLAN CHECK $ MICROFILM $ '
MECHANICAL $ TOTALFEE $ ��-��
PLAN CHECK $ �
' �'
� _
�,CONSTRUCTION AND pLANNING • POO iPA
/�PPROVALS Permit #� Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
'2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement
3. Elect�ical Conduit Utility-Undrgrnd. � 54. Forms
4. Electrical Cond"uiY-Undrgrnd. , 55. Electrical Bonding �
5. Steel fleinforcement ' - - 56. Rough Plumbing & Pressure Test
6:',Electrical UFER,Grnd:� 57. APPROVAL TO COVER-GUNITE
7.�Footings ' � . 58. Electrical Condui[-Undrgrnd. ',
8. Foundation �, _ 59. Gas Pipe, O Undrgrnd., Test
�
9: Water Pipe�Undrgrnd. � . � 60. Backwash Lines, P-Trap, � Undrgrnd.
10. �Structural Floor System � �� 67. APPROVAL TO DECK
i t. 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 Electriral-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 ❑ Oil
23. -Gas Pipe-Rough & Test 72. Underground Flush �
24. Roof,Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Strucwral) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
ZS. Lathing & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Orywall 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 pomestic-Final 0
42. Backflow Preventer '
43. Backflow Irrigation '
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations �
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison � �i - �
50. Gas Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCY � �
No. 6ate
„.
'' ,., ;; i�; !.;;.
r��. ���� ,,� ��;�� � � � ,�
I ' , ' S� 4�OS�� , . . ,
. . . . i � � � � , . � , . : . '��7 ^{/(�.p � : ,
: ' ' I ' � I � I . ' : I � � � '
i i � i i ' � L� ( I r 1..4_; I
' � � � , � ' RIM�SR C!a ' i
� , ; � .i !
. . , , . , . , •
� ; I i � 1 ' � � ' , • � ' I�'t�,l . (o�i2-_ ��osr1 i � i i
, � � I � , , I � � � I i � ; � W�. !-II ; �D3�� ZSO !, � i I
� , � � I'
�., i . . 1 I I � I ._� , . , � I ' �., � , I
�' � � i I I, i��' I i I i�i � � i i -' I i' I i-I
j� I I I i I � I II� �� � � i � i. . I I i .i.
: . , I
.� ' i I i I ��;.� i i � i i � ��� '..� i � �
i _
� , i - ; � i .I .--ruER(YWGAUUE �. ; . : I ; iRUAI SO �IaRL
�-�� � ; � : , , se_P'� Ncxne�c,�t�NFca � ; � �� � !Ac►2o5s7�'P c
� i ' \�Il i � ' , , I .i i ' � ' � � i t ��
' � � '�"� �{� 5 ' `IN '''N �2�►�►� ; . . ' ' ' � � I
� � ' i'' I i � i i i'� i!� �' I
. � � ,
, ; , I. i � �. �. , i I ' I - i � � � ± I I ' I � i
�” �; i � �' � i i, i
I ; i „ i � ! ; ; \ '\\ 1 '� : � � � j y...
i � � I i
� j I I . \\ : I i � ; . ' , _ I I �
i. — �._ �
i
' ' ; � ! ' - - - �: . _ � j � . � . '. . ; ! ; SI
; � � � I � �CP�io�r�e.e., I,. : i '. ' . � �
;- ; , '
� I
� ; �
I � i; �� . � . . r i
I , �. i � � i .. ' �. ' � � � ' '� I ' ,
'' i � � �! �; ' 1 i' i �!'
i i � � �
. , . . � . , , . . _ . _ � . , . . . . . _ , �. . ; i ,
,. I I� i I i. ��;a, aa�� i � 1�
i . ; i , . , � I ' . �, , . 1 1,
, � � , 5 ! � �xTEND ExiSTI -
. . , I , ,
,
, �
, ,� ,
� I : I LC ICA I!
� i. �- �,_ � , � �„_`
� ` , i ' ! � � � ; � - - ' ' ' ' E
. . . . . . I ! I , I � � , i �
� � ' � , . , r ---�-� �-- i -I-'-i�-II
i' I" ' �: � i ;-I j; r
. ; ; • � . . , ! . � ; . . � I � i� i Ir;
. . � . � � . . . - . : . . . . . � . . , , ; • ... .1 ,i
, � i � i, i�—
� . . . � � I � � .
: � � � - � �-Is
.,,,,
�
- / �!-� � � I�❑ � � nIf . .. .
� i' -' � I � �� � i�'i � f' '
� i �� i ���� �� ��w�i� �i��Q �
� � � ; ; i h�"; cfia��cal Division � � : '
� �;
!� � I i i Buildijig ( Depa `rtment i
I i � � ' ,
' 1 � �- � � • i � �I .
I , i �o
� � -
� I
i �ipprovzd.• -•��ri .�_Data�.?``'�1'
�
- � .�.
!__l_.
- �-
I', � i � --- - �- ,
( i I _� �
�Co1� �-iNes! ; _ , , _. ',
� I I ' i
I '
i i I i i i i' _i _i _', i '
� ,-� .i ;--,-; - , ' � .
, � �
�� � ' �
, i } i ; I '
i SIIAK�. �oo� i : ' ; ,- ;
(2 X(�°RAFr�.RS ; _ ; . , . :
i � �..—' ' .
� i��� I � . . .
11TS-IARE R�QUIRED � � � •
GAL, IFLUM$ING..i. ! _ :- ' . , ;
iNTIL�171�lG�AND-:- . i .. .
ATION -WQRK � '-- ; _ - • . � •
i ` I,
. i � . i I i .. _ !. . : . . . .
IY��t(CijUWI� i .Y�I � � . . ; .
, _ _ _ i i i , ; ' ; '
e rcrcruna{��T
JVkILST��fV1F.� i • •
VIA DlVISIDN Of I' i
{E CUN$51CfElf ` I
� .:.�
,_ � '_ � � : �
; '
�
/
ROUTE B , � ' , ,
=,„ r .
'.., -•i: ' y . . t .
aW . °
. � a � . 3_a, �
� ^;� +� , ;
i,,. y^A r � m : t a
1 5 L� H Y 1 :iYd, 1''. • .
�� t' 30 ^ ' y 1 h Qm
°' �. rs� � � 7
� `, aa -a
r O a a ;.m>, � � ox
: , _, :����, �. �. �, . a
' �
��: � ;
i '
� i � .
' t�'�.i' . :N�.. � '� .
, " '�F,:z��.!, -)-� � ''�p ..
1 r . '�I�.;�' ,.. � V � . •
� (' �, y f i.0 .! ��M ; . 3M �
4 f, .
, � '�4;Q f. . ..
. . �> '' � �> 't � .
� �l
. 4Of1 �•:�'�' /ir�..C�.��n.. .{
• � �.
, ,,)'� m� a .. ' .
�� x ��
� �� �Y �r
Oi
. �.�r � { � ��� '�� �
Y
� ,I ^
•W f
;t1'
� .J
. ,* 1 ; t x�+ u
. � 'J. � , `sma' >�J ' . a
� " r �•�. ' y' nv> .�� , O
��,.� .� — �'' "
s
� f�/ ` z a
f ' 4Q � �F Z� ,. • � �,w ��i.
. e�L- . %Q J - � t aU
. .'�'-• , . r f> - �a' s
',i - + v�. � .. .
�— md � `.. f�(.
. r,r.. � � .,� W .
� I. ° _ _� . ..
. , � 'i �.�'�a= �".i \' �}
I
1 v �t: ��� �3H �f�I �� ��+ u t 'r�'!' '• I .
0 E Z � �
i .L QGU" . : . .
�
. . �i .�,j' 'a_ ,F ��j : ..` _
, , - 5 . s•.• . .
.. . . � � 1.{, . ei:�l�t 1 f: < . .
. �r ,
. .. , � '• ,:1 �� ... � - . . . .
' j� ' ..i� __ .
i '
't' ��
. .�.� � ' �� .-', � ' : .� -.
. • _ J.1'' ' ' i � , ' ..
'r . .
- � .. r. � � . . . .
C
ROUTE A
AIR RFIIE� VAWF
� 7 '7,
� SENSOR E \ / �
' SOLAI COLI[[70R3�
r
now _
MET[4
DIfiE0.ENTul
[ONTROLLE0.
�
ruMv �
TEMPEiATU0.E
r.u� .E
' �.
• 6Atl
VAIV[
/
�
[HE�CK _ 1
VALVE •
/ '04 I
15-�
{AfFZF
� ' .'�SENSOR I
Eu0 U� I ,
��
^ 1
i . .
ri 7 ,. .
s , t.. ` .
� ' ,,t ��, :.
� .
� � 1. 1
PN! Ul!
\�— VALVI �
n � � i
, t'
, *f
\ ' Z
]-Wlr
VAIVE "
� � . ..
: �, •
A�., . . ,
P 1WPT!rp �. �, .
SUPVLY' '
�. �
., �
u . ' •��
i ♦i '�� t'',
. 1 �� ' ' � �:: .
. ' - . . 1 .
SOL�R ST00.�6Ev iANK � � • �I � 1'' �
� . . � , - ' : �- .
, . ,
.,r.a� Ci1ec4
}I.. e.d
�' �.u.�sc�.w
V
T
I "'. .. .. . r � �„ �-~ '. , . _. . ' � .. � .r_ �.. .....�..—T,.._r.�. �xT".�""; �.y^""'�'+.T'`nT'Y'T.'�"+'�.,. — —.T_' _ . ' '
'- ..a^^!r :�+..aPi..4:..'�':.�'�rc„ i+ -C � �.li�`.�"1. .;�i''�i`'� ` ^� t.'� t �.�:�S.a.<,.1`4�#-� '.:a' ��..� '
29236
COSTA MESA BUILDINGSAFETY DEPARTMEM
P.O. 80% 1200 COSTA MEBA, CALIFORNIA Y2620
For Appl7cant ro FII! In Completoly
TYPE OR PRINT
ADDRE�8D -I �� � I �O Tµ �LA{t
COSTA MESA, CALIFORNIA
ownen Newport Balboa Savings & Loan
MAIL 3366 Via Lido
�ooRsaa
��n, Newport Beach No 733130
ARCHITECT urtn-yn� m erger rs
ORENGINERII +A no`.�408833
wooRese 4501 Birch St. , �ilewport Beac]
���ROR Fabre Gonstruction Corp.
wonnens 4501 Birch St.
��Ty Newport Beach
uc No. 146423 No 540 8833
OPLOT 83' X�O' I NOWOntaft•
U38 OP
EXI6TINO BLO0.
Y6TCACK LIXt r110Y
DESCRIPTION OF WORK
x �..T...r.....� .�..
�VIWII�Y
size 1928
EXTHRo�OR WALL SYUCC
nv. ar
ROOMB � Ril
RO°� shake
COVHRINO
RK TO D6 PtR�ORMQO
w/attached Qax
Plan lA ���q'�
1 HBqHpY ACItHOWL[006 iXAT 1 HAV[
AND 6TATH TMAT iNi �sOV6 1� CORHI
PLY WITX �LL CITY ORD1ry�MCi1µD 1
BUILOINO CONIITIOCSIO}j � il
�urHoeaeo wc�r�rt
n��•
OCT 16-68PAI�00 883� ***
cwsn 17_0.1`
APPLICATION FOR PERMR
BUILDIN(4
For Offlce Use Only
ZONIN�i
NO.O� YY[OIH[W
�LAN� ' GUILDINO � n
.,.r 75. Tract 2789
t�eBTHAN
YARODMPROVHD I YARD9APPHOVHU
MAIH BUILDINO AGCE890RY BUILDINO
�
oisrwnee srr.
MAIN BLD
vwn•te V-40-68
1-IIZ f 1� P }�
ge
� , /BO. R
1T0 TN6 11MOUHT OM
COM• �YRIOC[ OI �l
1TIH0 VALUATION
.
A so23� �i%
DAT6
iATQ v� I T" lY(J
W
{7
P � � �
ywLuwrloN �9 Iop T1q �
A PCPMIT I68 ONLY.
N
ir ree �i �J� €
IS 'V � �aZ S� w