HomeMy WebLinkAbout246 16TH ST - Building Permits Z. I r
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Date 9
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n Plan Check Number 4t37 7
/ , Job Address 24 6 5. /6 7:L ' ST A\'
Owner' s Name _ DAV/D PO/.UD&xT1 � Phone ( )64b\4:0/ i
1 Responsible Contact:
S Company Phone ( ) -
Person Oulr_J_r._
Building UseSF' T'LPLg,C w/ 6 Alie.46C S 0it/D6iC
Use Zone Fire Zone .3 Type V Occupancy = .T
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Area ec Q j Fire Sprinklers Required NO `
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Valuation = 3S/00 Building Permit T45• Ub
Engineering Fees $ Paid
Sanitary Fees $ Paid
Park Fees $ Paid
Plan Check Fees $ —72- . S O Paid
If
I Tax $ Z . +6' Paid
Soil Report Required Received Approved
Structural Calcs. Required Received Approved
/ Energy Calcs. Required Received Approved
I
Grading Plan Required Received Approved
O,
Landscape Plan Required Received Approved
Forwarded to Fire Dept. Returned from Fire Dept.
Forwarded to Planning Dept. Approved
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144 No. Orange St., Orange Ca. 92666 (714)997-9120 Client: Po,A/ at re,
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APPROVED
City of C Mesa Building Dept.
BY DATF 9/17 194z
THESE PLANS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPT.
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE-
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID. EXCEPT IN SO
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL
THE ISSUANCE OF A PERMIT BASED UPON PLANS AND
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY OTHER. ORDINANCE
OF THE CITY.
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,� . se II Framing & Finish Contractor - B-1 License
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h 321 1005 VALENCIA, COSTA MESA, CA 92626
C'1 -. I (714) 540-9722
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APPROVED \,- ;� �
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City of sta Me \
Mesa Building Dep.
N Q ,,J� qt
"�J ---- DATE.L�7 19V. \ Q A-I
THESE PLANS MUST BE ON JOB AT ALL TIMES \ \ Li j-.l,
Q_ MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPT. A
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL I s 2
OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED I •��o �'
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION \?d
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE-
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE rN sc.:,
z
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO a
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
4.740
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THE ISSUANCE OF A PERMIT BASED UPON PLANS AND 'i,
SPECIFICATIONS
THERFAF7FR REQUIRINGREVENT THE THE CORRECTION IIOF OFFICIAL
IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENPING I C�y
FROMy 91 :` I
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN i J
IN VIOIATTOM OF THIS CODE OR OF ANY OTHER ORDINANCE i 7::: .
,`
OF TIDE CON, 4
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` CITY OF COSTA MESA
>•�r 'e - BUILDING DIVISION
, ��......'•
;, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t). 004 FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: P08-00267
PERMIT TYPE PLUM STATUS: ISSUED
APN: 42520112 DATE ISSUED: 11/14/2008
ISSUED BY: RMD
JOB ADDRESS: 246 E 16TH ST CM Suite/Unit:
Vicinity: UNIT B, GARAGE
SCOPE OF WORK: PLUMBING PERMIT FOR WATER HEATER CHANGE OUT TO UNIT B.
OWNER: HAWKINS,JAMES M TRUST, Address: 515 SANTA ANA AVE
PHONE: 949-515-9735 City/State/Zip: NEWPORT BEACH,CA
APPLICANT: HAWKINS, BETSY Address: 515 SANTA ANA AVE :
PHONE: 949-515-9735 • - City/State/zZip: NEWPORT BEACH, CA
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: PHONE:
City/State: ZipCode: CELL:
ARCHITECT: License No. PHONE:
ENGINEER: •
License No. PHONE:
•
PLUMBING PERMIT FEE SUMMARY
•
PLAN CHECK FEE: $0.00 •
PERMIT FEE: $35.80
TOTAL FEES: $35.80 I?
ititl
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
WV r INSPECON TYPE pAB; 'N111141$ LODE I INSPECTION TYPE IN1111 L$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing )-9 -oci
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 drive._...:ense.
` Expires: /f2.1/4 2
0 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. "'
0 I 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 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,cr demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm
(This section need nol be completed if the perms is valued al one hundred dollars($100)or less.)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
D. 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 subject to the workers'compensation provisions of Section 3700 of
the Labo ode,I shalt towithcomply with these provisions. V Applicant's sgnawre Date
' ore i n( ii,�� I//I.//O U Division of Industrial Safety Permit Number:
/Ap it's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE 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 lime 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
Lic.# Class# (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
Contractor's Signature Dale hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel 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 far which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that 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? 0 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 for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
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 (Section 65850.2 of the California Govemment Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
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 8 (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
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
.0 I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
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 contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 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
inspectipo purposes. I agree not to occupy or allow occupancy of any building
autho• d Art p 't til final inspection.
g e of Legal Owner(s) e
Signature Dal
905]-4 3 ) And/or Autnonzed Applicant Date
LOStRMFS,p C: 'Y OF COSTA MESA
F ' in CALIFORNIA 92626 P.O. BOX 1200
egalitt
igt• •6F FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY •
o14 •
Project Address Z /7/.( /CY Permit # "7176.60�
Project Name ��jj7/�7 ) / o ./ 7 75=Z
Owners Name 4 SLG/. z,-. & /�/ /.�. ✓`
• Owners Address y-/ � l %iy '
iC/ �Y///� / O - tiXii,/vl C�,� . City Qily
Owners Telephone (2 'u /5717
I � �� , / Owner, (strike out all
except one) •• hereby attest at employment of any person, or persons, is not
anticipated at the time of seeking the above-referenced permit. In the event that
any person, or persons, are employed under the provisions of this permit, I shall
immediately cause a valid Certificate of Workmen Compensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my own cost, and to indemnify and hold harmless, the City,
its officers, agents and/or employees, from and against, any and all liability,
damage, costs, losses, claims and expenses, howsoever caused, resulting directly
or indirectly from, or connected with the improvement under this permit.
I further state that I have read and fully understand the implications and re-
sponsibilities of the above statements, and will comply with all provisions of the
Contractors State License Law found under the Business and Professions Code,
Division 3, Chapter 9, of the State of California.
Ce/9/da Es CPO . /v cek
Print Name
rjr.;--)-7
C\\- Ignature Date
CMF 0777-46
44;a9
B Mp 9T 1 CITY OF COSTA MESA ! '
BUILDING DIVISION
>: DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
01411
PERMIT
41ianarso mss° B04-01114
3/4
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 788 W 16TH ST Status: ISSUED
Suite: Applied: 06/16/2004
Vicinity: FRONT WINDOW IN SFD Issued: 06/16/2004
Parcel Number: 42412104 Zoning:
Applicant: MC GRATH, KEEGAN ISSUED BY:
Address: 788 W 16TH ST
Phone: 949-290-8615
COSTA MESA,CA Zip: 92627
Owner: MC GRATH, MICHAEL KEEGAN
Address 788 W 16TH ST 4ZV` 1 /
Phone:
� �.
COSTA MESA,CA Zip: 92627
Contractor: OWNER-BUILDER fl
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
• SCOPE OF PERMIT
CHANGE-OUT OF 8 WINDOWS WITH NEW RETROFIT WINDOWS(LIKE FOR LIKE)AT THE FRONT OF AN EXISTING SFD.
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
fed Co3 -3/08
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,196.80
Permit: $97.25 Claim Valuation: $3,196.80
SMIP Res: $0.50
4 SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
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
•
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: 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
2446-46(6/001
DECLARATIONS - r. •
Is
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and 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
work for which this permit is issued.
O I 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 permit is Issued.
My workers'compensation Insurance Carrier and policy number are:
Carrier: Policy Number:
(Thisissection need not be completed if the permit is valued at one hundred dollars($100)or less.)
E I certify that in the performance of the work for which this permit i issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should beco subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: /.-C'/ i.-� ///i Date: 7- /g-/6- o 4 -
WARNING:FAILURE TO SE URE WOO RS'COMPE ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE(5/00,004 IN DITION 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 provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: 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).
Lenders Name: Lender's 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).):
arTas 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 License 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.).
O 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.).
O I am exempt sec. Business and Professions Code for this reason:
Signature: %i 72 — Date: r4 -/6-0 Y —
Owner ID verified by ddrr' e s license. / '❑Yes 0 No Driver's License No. -
Verification of Owne^-Ip 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 and 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 complied with? 0 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 plication aRPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LI No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Wit any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety 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 Califomia Health and Safety Code Section 42303 been made? 0 Yes 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 rdinanc relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-describ d Jna>2Lown&(
erty for inspecsem.I ree no cupy or allow occupancy of any building authorized by this permit until final inspection.
(S- 0 `f
Date
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE DAF INTITIALS CODES INSPECTION TYPE PATE 1NTITIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 1-J3
�c l lid 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
45. Dimension on'the plans 30" min. . ,r width for water closet compartment anu__:'min. clearande in front of th'�
closet. (UBC 2904)
46. Wall coverings in showers or tubs with showers shall be cement plaster, tile or approved equal to 70"above drain. (.
807.1.3)
47. Net area of shower receptor shall be not less than 1,024 sq. in. of floor area, and encompass a 30"min. diameter circle.
(UPC 410.4)
48. Provide one openable escape window or door meeting all of the following: an openable area of not less than 5.7 sq. ft.,
24" min. high and 20"min. wide, and a sill height 44"max. above the floor in ?eG?Ql��yn s . (UBC 310.4)
49. Show location(s)of hard-wired smoke detectors: (UBC 310.9.1)
a. Centrally located in corridors (or areas)leading to sleeping areas, and inside each sleeping room.
b. On ceiling of upper level in close proximity to the stairway when sleeping areas are on an upper level.
c. On each floor level and in basement.
d. In the adjacent room (or area)where the ceiling height exceeds that of the hallway by 24"or more.
e. Battery operated smoke detector permitted in existing construction.
f. Note on plan: detector shall sound an alarm audible in all sleeping areas.
g. Smoke detectors shall be hard-wired and equipped with battery backup.
EXITS. STAIRS AND RAILINGS
50. One exit door shall be not less than 3'-0"wide and 6'-8" high and provide 32" min. clear width. (UBC 1003.3.1.3)
51. Landings at doors shall have a length measured in direction of travel of not less than 36". (UBC 1003.3.1.7)
52. Within individual units a door may swing over landing that is not more than 1" below the threshold or 8" max. if the door
does not swing over the landing. (UBC 1003.3.1.6)
53. Occupants on floors above the second story shall have access to two separate exits. (UBC 1004.2.3.2) (EXCEPTION:
occupied roof area or third floor within an individual dwelling unit less than 500 sq. ft. may have one exit.)
54. Provide section and details of interior/exterior stairway showing:
a. 8" max. rise and 9" min. run; or, 7" and 11", respectively, where stair serves two units (UBC 1003.3.3.3)
b. 36" min. width (UBC 1003.3.3.2)
c. 6'-8" min. head room (UBC 1003.3.3.4)
d. Details and notes showing framing (stringer) sizes, bracing, connections and footings
e. One-hour fire-resistive construction on enclosed usable space under the stair (UBC 1003.3.3.9)
55. For winding stairs prcvide 6" min, tread and provide the required run at a point 12" from the narrow side of the tread.
(UBC 1003.3.3.8.2)
56. Spiral stairway shall not serve as required exit for area exceeding 400 sq. ft. (UBC 1003.3.3.8.3)
57. Provide manufacturer, model # and ICBG # for prefabricated spiral stair. Alternately, submit construction drawings and
structural calculations for spiral stair and supporting elements.
58. Provide spiral stairway column base connection/footing detail.
59. Provide connection details on plans for guardrails and/or handrails on open sides of balconies, decks, landings, and stairs
adequate to support 20 pounds per lineal foot load applied at a right angle to the top rail. (UBC Table 16-B)
60. Handrails shall satisfy the following: (UBC 1003.3.3.6 and 509)
a. Provide continuous handrail for stairways with 4 or more risers (2 or more risers where stair serves two units)
b. Handrail shall be 34"-38" above the nosing of the treads
c. Openings in balusters shall be less than 4" in diameter at open side(s)
d. The handgrip portion of the handrail shall be 1-1/4"-2" in cross-sectional dimension with 1-1/2"clearance to wall
61, Provide 36" min. high guardrail for decks, porches, balconies and raised floors (more than 30"above grade or floor below)
and open side(s) of stair landings. Openings between balusters/rails shall be less than 4" in diameter. (UBC 509)
GARAGE AND CARPORT
255>.46 4
•
711111
APPLICATION FOR A BUILDING PERMIT
BUILDING PERMIT NO, Electrical W
Tract Block Lot Permit No. C
a
Building / �/
Plumbing ,
Address ,246,, 6. �(O Th/ �cT
�� ` 7
Permit No. to
31.
Cross Mechanical a.
ple4
Area stroeb/de5/Mi iV i STE.Q Permit No.
Owner Der
/ /'7 j....2/.4)., oE�r& /7 Typ•of Project: ❑ New [-.1 Alter El Addition
Address „two % 4, rhe ,.._7, /T CIRep Ir ❑ Convert ❑Demo ❑ Occupancy Pmt.
A P Sup.Dist./
ate70 �PGGt zip/2.427 Phone6a/4_,is0/ Insp.Area
Architect/ Zone SPI.Pmt.No.
Designer Q% 411 rc License No, —
Setbacks P/L Front C/L St. Street idth
Address Air -e
Yards Left Right Rea,
City ZIP Phone
Eave Proj. ft Hight F
«, Engineer enifE, 2✓i 3-0.0 license No. 23 9 /�
r+
a Parking Spaces Re•uired Provide Covered
yap Address/VC/ ,Uo, 0,44/4/9a
CZCity pp p Zips!/! Phone�q Struct o.of No. •f
Y neici(/Gg ` ? (x / �7—f/10 Height tortes Fa • ly
'.+ LICENSED CONTRACTOR'S DECLARATION Park Fees O Yes F •
m I hereby affirm that I am licensed under provisions of Chapter 9 Required No C T- • <eipl
m
t (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date
s. Professions Code,and my license Is In full force and effect).
License Class . License Number
> Date Contractor Misc.
E Address Proposed Use
It City and Zip_ Phone of Structure
N CONSTRUCTION LENDING AGENCY
112 I hereby affirm that there is a construction lending agency for the
3- performance of the work for which this permit is issued (Sec. 3097, CCons Y
e
Civ.CJ. Class Const. Yeara
C
Lender's Name USE/OCCUPANCY SIZE SO.FT.
Lender's Address
:I OWNER-BUILDER DECLARATION
yi.
I hereby affirm that I am exempt from the Contractor's License Law
1e for the following reason:
Cl
I, es owner of the property, or my employees with wages as their 2.
sole compensation, will do the work, and the structure is not
r intended or offered for sale.
3.
El I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project.
N 0 I am exempt under Sec. 7'7� P [hisyseso 4-
u Date3—/f`Si—Owner Zre1. i. mast,/,.---
n Total Valuation
E WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure,
or a certificate of Workers' Compensation Insurance, or a certified Encroachment Permit Requi ed •
CI Yes ❑ No
C copy thereof. Grading Pmt. Grading
6 Policy No Company Required ❑Yes a No Pmt.No.
jr G 0 Certified copy is hereby furnished. Rough Grading dp
2 ❑ Certified copy is filed with Orange County, EMA. Approved by: Date
m
Q Date Applicant 3
• CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATION INSURANCE Z
(This section need not be completed if permit is for $100 or less). 3
I certify that In the performance of the work for which this permit is S
issued, I shell not employ any pe n in an er so as become
subject to the Workers'Compen La of iforni PERMIT FEES
Y a
Date��—/9—Ori Applicant ' .02Y
NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $
Exemption, you should become subject to the Workers'Compensation
provisions of the Labor Code, you must forthwith comply with suchSpecial
provisions or this permit shall be deemed revoked.
Electrical $ Invest $
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing $
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mecha cal $
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
TABOVE MENTIONED PROPERTY FOR INSPECTION PUR- Pre-G ade
P S S. Imp, lion $
3 /Q- �/ Pre rade Permit
Signature of Apogean r Agent—
All spaces within this box must be completed to process Plan ove
Appr
Check By: Apprncetl:
CMF 0335-06(BU-28)rev.6/80
A
�_$_,�Ar\nF 4,,._77,<,,p
i '��g7',.._„ t,:,” �Y rm „+°, cr �<",na,<c '-v1✓.µ.�+M t l n�Y \‘. rm. uvruty p�'� Ya 7 wt,'au our 11�h`d/\\ �\
?,`'
,t BN FORM 116
BIA FORM 1486
INSULATION CERTIFICATION
0)V • This is to certify that, in conformance with the current energy regulations (California Adminis- `
trative Code, Title 25, State of California*) and approved plans, insulation has been installed in
\, the building located at: ',
11 (r.r. \- . SCr°
- oa OA ei is)1/2.4 N
7,c,:. ,
l Col= I
City County
•
Street No. (If Available) Street Lot Number Tract No. ,)O
DESCRIPTION OF INSTALLATION y N
{ ROOFS
Type of MateriaL-- Manufacturer - Thickness R Value** , a
. V
EXTERIOR WALLS... . ( / . .�
Type of MateriaL 'Tv'aC'A S Manufacturer`'` `� 0 -`'�"4`-� Thickness ' /? R Value** O 9, .ICL
(Or Trade Name) f `‘1:1
CEILINGS
BATTS: +- C 3O
Type of MateriaL f • \'?" ..?a%A�S Manufacturer < la l<', t ^ (l Thickness R Value** I f "Pi
(Or Trade Name) i
Sq. Ft. Covered -
w? BLOWN:
C
Type of Material Manufacturer Thickness No.Bags
(Or Trade Name) $ 7
y��
Wt./Bag Sq. Ft. Covered R Value** lIN m
\.?- FLOORS
p Type of Material Manufacturer
(Or Trade Name) Thickness R Value** Ippp -- id
�
c
1)4
, SLAB ON GRADE Q
f Type of Material_ Manufacturer
(Or Trade Name) Thickness R Value** h\ V
, s
.f\ Width of Insulation Inches S/ '
a
( gg FOUNDATION WALLS (if required) -
Type of Material Manufacturer Thickness R Value**
(Or Trade Name) - G
REMARKS (if desired) a
Ptii '1'
1 . Ivs
(/ . General Contractor (Builder) License Number Bey
O `' By (--- Title Date )'
_t.i T
' Sub-Contractor (Insulation Applicator) � ��f .k 1 Ot\f‘� \rt y( 0; .n.
(ILicense Number {F ) (1 .'i
nsulation, Masonry, Etc.) (State "SAME" 1 same me General Contractor)
By n NI tti r t Title t o P) Date 7 1
` P'
(*California Ad on completion
Code, Energy Insulation Standards, declares: EXCERPT from Sec. 19875 of the Health and Safety fade of the State /
1 ' t "Compliance. Upon completion of theen installation of Insulation, a card of California,
( certifying that the insulation has been installed In conformance with the
requirements of these regulations shall be completed and executed by "No certificate of occupancy or similar certification that a newly can- n,
l I the insulation applicatorstedat
and by the builder. This insulation compliance d hs hl, motel, apartment house, home or other residential )-
\ \ card shall be posted ata conspicuous location within the dwelling.") dwelling is habitable shall be issued by such a building department r�
unless the structure at least satisfies the minimum energy Insulation v
/} ( meq Value is the measure of the resistance of a material or building standards established pursuant h this chapter."
I \ component to the passage of heat.The resistance value (R) of mass-type a
Insulations shall not Include any value for reflective facing.) 7
S(\ Form 116 —m BUILDING NEWS, INC., 3055 Overland Ave., Los Angeles, Calif. 90034—(213)870-9871
Form 1486-0 BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Angeles, Calif.90026—(213)625-5771 6'
( Lie 4,,n-4, %-�.1 " f.44,.v,L��fY ,,--*A"..."y ,e75.4.7 .tin yr , +•-",%rr" Thkr-,t , �r�l-^..� -A
Y i�.a.✓yy� �Sv`•'\\7.yah./ ^A�.� '%•--- y✓rT Ry M,- �a - � ,.e<k�A,. +1+uV ,(`.... 1j 1 x:'� -. 1
• Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA FERMI NO. TRACT NO. LOT NO. BLDG.NO.
i CONSTRUCTION PERMIT b•�g y n�r-'ii rS • ,,53
Project Address .2,y r /y2 j/ s7- / TYPE OF CONSTRUCTION 0323 7/20/81 26.90 TL
Owner f•3//////]3 X„i,'.&e/1,o_c Ie.AO Phone(190,15-41 or NEW ❑ ADD 0 ALTERATION
Address 0 REPAIR 0 CONVERSION ODEMOLISH
Ski �'7�i ZONING REGULATIONS
Arch/Eng. License No. 0 OTHER �s
Address t DESCRIPTION OF WORK A.P. ��j/`J'�` 240/---12.—
Address
ZONE /��� PLUG. REF.
Contractor Q(Lhve' Phone TYPE OF PERMIT , _ BUILDING Tp I If.IG
SETBACK CIL ST. ' PR RTV LINE
Address 0 GRADING 0 FOUNDATION STRUCTURAL SIDE YARD V 5/ l
LICENSED CONTRACTOR DECLARATION ❑ TENANT 0 ELECTRICAL ❑PLUMBING DMECHANICA I E YARD- M l` - J LJ'MrH
I hereby affirm that I am licensed under provisions of Charter 9(com- - RIGHT ••- - Rs �'`r 1�iYnr (Ci
mencing with section 7000) of Division 3 of the Business and 0 OTHER /t]-
Professions Code, and my license is In full force and effect. REAR YARD(TO P/L)
PROJECT DESCRIPTION
License Class Ucense No. PKG.SPACE REQ. PROVIDED
Date Signature - __ SQ.FT.
STREET WIDTH PARK FEE S
WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION 900 ZONE ZONING APPROVED BY or... ��SI DATE
certificate of Workers' Compensation Insurance, or a certified copy Y✓� �T
thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS:
y No. Company �j
ertified copy is hereby furnished. REMARKS: PLO eye iv ALL 6
Li Certified copy is filed with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 'Q / .
(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 ma •er so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the Workers'Co mpensat Ldws • ) •mid. A UWtLLINU bAHH6t
Date in:90-P I /1// BATHTUBS SHOWERS _
Signature 7/7�/ ws.v •
NOTICE: If after making this declaration, you should b come subject TOILETS URINALS 11 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 LAYS APPLIANCE 10-50 KW 50+KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
I hereby affirrir•that•there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP50+HP
formance of the-week for which this-permit is issued-(Section 3097.
Civ.
Name -' • .\.`rs ,J-!- - ' ' ;' —
FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender'sj.
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 70313 Business and Professions Code: SWIMMING POOLP TRAP (-UNS I HULl ION
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 applicant for such permit to file a signed statement that he - '
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE • - OUTLETS SERVICE AMP
(Chapterusiesand(Professions Code)ng th orthathen IseexemfDivision 3-of the •
t therefrom and the
- for the alleged exemptin. Any violation of Section 7031.5 by WATER HEATERS BTU OUTPUT
applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS
at more than five hundred dollars ($500).
LJ 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
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
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 PERMIT G S /4' 00 SM IP $ id`0
❑ I, as owner of the property, am exclusively contracting with AND DUCTING
licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ /0'alto PERMIT
and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ •
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING E
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $
the Contractor's License Law). 100,000+BTU PLAN CHECK $
❑ I am exempt under Section _ B.& P.C.for thisBOILERS BTU ELECTRICAL $
$
reason ��1I D ` PLAN CHECK $ MICROFILM $
Date Owner, Ulf P.a e N//••°% /' SYSTEM REPAIR,ALTERATION TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
PLAN CHECK $ LESS E P
AD-
information is correct. I,oaten to comply with all city and county VANCE PC $
representatives
and state 'relating to t construction,entl hereby authorize b.'
one fives f this city toos enter upon the above mentioned ^� - e)
property for I pectlo ores. �. oc
-•�Z Date - FINAL FEE $
Signature
Drivers'License or 55* ISSUE FEE - -
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL&SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe,Undrgrn - 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce S--rG q..5_'Y./ .3'7/ 47. Rough Plumbing & Pressure Test
6. Electrical UFER Gro 48. APPROVAL TO COVER-GUNITE
7. Footings . .Pa 7�cr,g/ 3 911 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 58. Fencing & Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe.Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing
22. Frame and Flashing NOTES: A
23. Insulation • "
'�'}�,J 2p'r,Zri i 7-/�• ,7 ac/_g/
24. Lathing & Siding e y�f ,r„-Q 46-412"-'1 7_ X q_ S/
25. Drywall Nailing CG-gao.,('S 'Tho SAT 41/( e_Xe£s5 .✓'2
26. Plaster Brown Coat wrGt.�•;i-ev iv1S %h c`fl1S L.�-��J
e�:•0..'7`sc1 •
27. Electrical Power Meter-Final y/ _
28. Final Electric (1u.nR.o,L4+H9 ._itaa -t - 5Z 3-r 'U2A. at
29. Final Heating & Air Conditioning g 9- a S-a/
30. Final Gas Pipe-Test •
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING 7-3041 6727
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
s
No Date
TYPICAL 611 CONCRETE BLOCK FENCE
--
Cement Coping Optional -i- - _ •
•
i 1 IMII GENERAL- NOTES
Channel Block With 1-3/8
0 Horizontal Top of all '! 1 MORTAR: One Part Plastic Cement, and
Fences
I _ Three Parts Sand
For Fences 5'or Less -. GROUT : One Part Cement Three and
s _J_ I �I' One Half Parts Sand
Vert. Bars 3/8" 0 at a' -o" O.C. ! 0 1 COPING One Part Cement, Three
o Parts Sand
For Fences Higher Than 5' -- ' v- _ _ _BBB
Vert. Bars 3/8" Dat 32" O.C. > w CONCRETE: Well Mixed I:2-1/2 : 3-1/2
= Max. of 7- 1/2 Gallons cf
Fill Cells Solid With Grout > Z I �' Water Per Sack of Cement
Where Steel Occurs • )_I- - -� - �---�
Reinforcing Steel Shall — / P tD •
GROUT MAY BE POURED FROM THE TOP
Conform to Steel S 539 —c w o OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
A.S.T.M. Z ~ CELLS AND AREAS OF HORIZONTAL REIN
All Steel to be Lapped • ' LL
1:17 �' FREE OF ALL MORTAR DEER S,ETC.CLEAN' LU re) FORCEMENT SHALL BE CLEAR. &
24"or to Code I. PROVIDE CLEAN-OUT AND INSPECTION
_ , HOLES AT THE BOTTOM OF CELLS CON-
•
NAT URAL GRADE T I TAINING VERTICAL REINFORCEMENT.
-e'-',"?‘”.,
-' _t 1 •.W4 In,� ---I I-«T Ili
II , BL CK SHALL E PROVIDED COURSES LAYINGTHAT
"?`”.� a ' I I BLOCKS IN STRETCHER SO THAT
/R c _ VERTICAL JOINTS ALTERNATE IN EACH
_ ' a •• COURSE.
3/8"a BARS "1 i , o l e • e .
CONTINUOUS TOP
&BOTTOM -4.-1 . 1.--..—WIDTH • - TO 16 0 C MAX.
L
SEE CHART ' L.s
ALL STEEL MUST BE TIED IN I Y BELOW DE PTH OF EARTHTC01 H
PLACE AT TIME OF TRENCH I I e• I t 1/3 THE HEIGTH OF FENCE
INSPECTION. c' L " L . . 'LOW BOTTOM OF FOOTING.
�. o i e
e 3
�1 ._�O—i 2 •_J SCALE: 1/2" = I'
N.
FeOTING REQUIREMENTS CHART
WALL HEIGHT . . . . . . . . II 5. 4' 3'
WIDTH . 14" 14" 12" 12"
THICKNESS 10" ' . . 10" 8 " 8 "
DEPTH OF EARTHTOOTH . 24" . . . . . . .20" . . . 16" 12"
SPACING OF EARTHTOOTH. 12' . . . . . . 14 16'. 16'
OWNEFS 7ME: ,�2 .v 1 i" 'CIE
-s' lie' '
City of Costa Mesa, • lifornia JOB Pi ADDRESS.NUMBER „/y. — (Li
Building Department -SIGNATURE: .Y ti_���2 -f•'�sj _ — — — /
..-..... - �6.��F ��W:✓1 =G =.L.— •
/'
STRUCTURAL APPROVAL tiNLY
SEPARATE PERMITS ARE REQ IRED
FOR ELECTRICAL, PLUMBI I 4
HEATING, VENTILATING A D
REFRIGERATION WORK
Permit # 6 9 t
THIS NUMBER MUSTACCs 'ANY ` - 3° ° •
ALL INSPECTION REQUEST 4 s>• c i FSK
FOR BUILDINGS WHERE PERSONS ARE TO �� ' AD
R
BE EMPLOYED, WE SUGt;EST IHAT THE CITY OF COSTA MESA
STATE OF CALIFORNIA—I OF PLANNING DEPT.
INDUSTRIAL SAFETY BE CONSULTED FOR APPROVED sUDJECf TO BLDG. DEPT. REG.
ADDITIONAL REQUIREMENTS. �/���J�
DY..�S.r.4 �"'_ D,�TFT�re3/
City of COSta Mesa BULIding ` / DMR CTOR OP PLU..NINO
I __-u..TG�� it(W ,HESEP N$�MUST BE Oh .108 AT ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPT.
I -HE ISSUANCE OR GRANTI IG 01 A P.RMII uli +^,,;-,L31:-
OF
POF 1 LASS AND SPECIFICATIOI S SF'1.1 40T BE CONSTRUED
TO LE A 'ERMIT FOR, OR AN APPF]VAL OF, ANY VIOLA',UN
�I
OF , NY N THE PROVISIONS N TH i CC)E. NO PERMIT PR
E-
RESIDENCE SUN INS 0 R,ESIDEMCERITY TO /IOL TE OR CANCEL THE RESIDENCE
PRC/1510 IS OF THIS CODE HALL BE IRLI,.,
ti FAR AS T IE WORT( OR USE WI ICH T Al' HORILES IS LAWFUL
.W ERI+�I BA ED UPON PLAN. ANI W
W 1 TE ISSUANCE OF A W
.,nr I REVE IT T IE 3UILDINf: O•..J t
N
SP CIFICnut,� � -"REI REQUIRING TH CORHtu-'�' In
INDSM 1NPLANFI ER 2 /
et
IN SAID PLANSF ANO QUIRINSPECIFICATI( .75 OR ,1,u, PREVENTING
RLI DING OPERATIONS BEING CAR'C Pr _jc0 NIl Y OTHEEUNDER R ORDINANCE
EN
IN VIOLATION OF Ira L` — - _-....t OF THE CITY.
STREET CE
CITY OF TA MESA
PARK GEES
Fee Payment Receipt • 834
Project Address �F7 `<7 F �JSiff
A.P. Number tS-'-�Q/ Park Area
Building Permit Number .5-71q
Owner's Name t Ind n /1,1- G(Sl >4,r
�`J •
Mailing Address L90/L94/1, ,, C' I A9
FEE: Single FamilyUnits
* Number of Units
2-Bedrooms or Less @ $ 861.76 =
3-Bedrooms @ 1,205.67 =
4-Bedrooms @ 1,545.62 =
5-Bedrooms + @ 1,810.50 =
Multiple Family **
Bachelor or Studio @ 474.37 =
1-Bedroom @ 573.18 =
2-Bedrooms @ 881.51 = �j �'/
3-Bedrooms+ / @ 1,229.38 = � . 32S
Fee *** ,/12cia,t 3 ce
Planning Department Appr• •I Date i ism By r A ,e •<1,_
Applicant's Signature ( t r
* City Ordinance 72-44 ** CRY Ordinance 72-45 *** City Resolution 78-116 ]
CMF 0174-32 Rev. 6/79 white—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant Ci0 y7rr ll,iL�l h
CITY OF .TA MESA 7376 5/27/30 Ern .51 TL
PARK FEES
Fee Payment Receipt N• 807
Project Address 24'6 E • id, Ti• of •
A.P. Number /f '7 — /61 - 20 Park Area 3
Building Permit Numbery� 2
99
Owner's Name �1V/(7 fa/VCCI0S'Q
Mailing Address 041.9 6, /IPT14 6T.
FEE: Single Family • Number of Units
2-Bedrooms or Less @ $ 861.76 =
3-Bedrooms @ 1,205.67 =
4-Bedrooms @ 1,545.62 =
5-Bedrooms+ @ 1,810.50 =
Multiple Family ••
Bachelor or Studio @ 474.37 =
1-Bedroom @ 573.18 =
2-Bedrooms —L @ 881.51 = 6,3 .5/
3-Bedrooms+ @ 1,229.38 =
411F
Planning Department • oval Date
/VT
. :I Fee •••
Applicant's • werr
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* City Ordinance 72.44 •• City Ordinance 72-45 ' ••• City Resolution 79-116
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- - COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FORgERI Q-EU$tgL PERMIT 74.96 TL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -
• R E V 'PERMIT N 48829
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ADDRESS VALUE 2
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BY DATE
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STATE CITY APPROVED SETBACKS
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DATE
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rg that the above information is correct and agree to comply with dOLY FOR SPECIAL, 1(tQUjjjE "I} ,., C./.1
all laws regulating building construction, and I shall not employ MEN1_
Z any person In violation of the workman's compensation laws of 7fJ� m
Sthe State of California. �j
I hereby certify that I am properly licensed es a contractor under f3g4-5 SQ. FT. N N.
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR el
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ Y
and Professions Code, Division 3�Chapter 9. v+
PLAN
Signalure tee o//�.Creena: 7-/./� q $3ND. J TAX CHECK $ 'r 2...51) u
Authorized Agent Date 9-9d / / / TOTAL PAID $ 7 4 ,C' 6
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
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P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
s RECEIVED BV 'PERMIT z 2 ,I
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BUILDING A.P. NO.
ADDRESS
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OWNER OR• o% ADDRESS � o /,•‘•
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0 I hereby acknowledge that I have read this application and state• r.
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the State of California. m
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n
am exempt from the provisions of the State of California Business ,'
and Professions Code,Division 3,Chept///o///r 9. VALUATION PERMIT FEE E /[ ,t`
Sign ra A jJ 4 ;i:_ PLAN CHECK Sf 7, v _ u
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• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVE 'I DATE RECEIVED DAT ISS ED
BUILDING ✓ �.a ' 3
ADDRESS .
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'Q . VAR.# DATE
0 3-,5/CI D /9A/O `AAAI A/li o !/iV G.U.P.# APPROVED
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DATE
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I~.1 I hereby acknowledge that I have read this application and state ( �`
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CC all laws regulating building construction, and I shall not employ k , ✓ 0 /
f,. any person in violation of the workman's compensation laws of
N the State of California. T u
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
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IC
am exempt from the r visions of the S..te of •aifornia Business
VALUATION m
and Professions od ivision 3,Chapte 9. Ad. PERMIT FEE $ /Q, e N
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` COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
•
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -,.
a IliPERMIT C/ a
. „ I- - - - - TL
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(z.1 USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
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DATE
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0 I hereby acknowledge that I have read this application and state n
it 0. that the above information is correct and agree to comply with
�• all laws regulating building construction, and I shall not employ S
Z any person In violation of the workman's compensation laws of e
wthe State of California. ro
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to-
am exempt from the provisions of the State of California Business VALUATION FEE $ Y
PERMIT
and Professions Code, Division 3,Ch:• er 9. `� o
en
r/ /� •LAN CHECK $ "I
Sign:
orm - . . 4% �' --1 =CK-C4/ $ DOO LL
Perm -•• 7 TAX $ r f
or
Authorized Agent Date C. - 2y—" ?/ TOTAL PAID $ D --0 U
' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLI ATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECE O Y PERMIT 47,-C-74 For Applicant
to Fill in CCom/pletel�yy"— Use Ink Only �7� ^•^- /� 7 '^ pe Tl
ADBUDRESNG S
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A.P. NO.�['7cJ// _�V /—'I -•
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CITY fess_ W.244,. NO.67,-traf -
CONSTRUCTION NEW/ ADD ALTER REPAIR MOVING DEMOLISH
LENDER IY/l /j'-�/y� �� //�
BRANCH OWNER �/Mt/I • Pe1k-'/C
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C IAvej M44. • rL - e-e/ SAY LATE
PPR0� 9r2QC
APPRO ���/ / ATE3/SR/
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s that the above information is correct and agree to comply with pVVLJ (, s./lC tiFrW K {S ^
0. all laws regulating building construction, and I shell not employ , J;,2;r%y?^ �
Z any person in violation of the workman's compensation laws of o
IS the State of California. 71f5)
3 I hereby certify that I am properly licensed as a contractor under X50. FT. tmr
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ Z t f 00 n
and Professions Code,Division 3,Chapter 9.
en
Signature of,/�/7, — //A PLAN CHECK E o
Permittee{JURaf �_Lfs.,?LO $ _ A
Or o �// W, Is; TAX $ St4` f5r
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HOLD FOR SPECIAL REOUIREMti:t': 2-50. 118