HomeMy WebLinkAbout482 20TH ST - Building PermitsADO���ant to flll In all spacas except thosa wit�in heavy bortler lines antl sign all appropriate Eaclara[lons.
� COSTA MESA CO ST�UCTION PERMIT PERyq1T NO O�C— TRACT NO. LOT NO. UNIT NO. A P� Zo�e
'�q KC
Project Address �.IY� � ' , �J � S Main Building: Accessory Building:
� TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
AoplicanYs Mailing Address - ,/�
E
Owner'SNamE ..y� w r Pho e �� �03 � CONVERSION ❑ DEMOLISH ❑ OTHER ' 7 Front �
4��� ��� ,�1 � � DESCRIPTIONOFWORK/USEOFBLDG. A Rear N
Address �'
Ar�h/Eng. LicenseNo. TVP�HMIT GRaDING FourvDAnorv STRUCTURaL j K Right � G
Address ��LNANT ❑ ELECTRICAL ❑ PIVMBWG ❑ MECHANICAL g Left R
Contractor's Name — Phone � �'oTHER Ping. Ref. # Parking Req./Provided E
a
�/ ,�s�r.1L^ PHOJECT DESCRIPTION Sq. FT. Plannin Noces:
Addresslmailing) ���`(� �' y 1a� ,j�.Il L� '�i OCCUPANCv� 9 M
U�� �� CONSTRUCTION TYPE� VALUATION $���• T
Ciry License No. 7 ' ZONE GRADING U. VDS. ACRES
LICENSEPCONTRHCTOR DECLARATION � S�
I nereby aHirm [bat I am licensetl untle� provii�OnS of Charta� 9(commencing Remarks: '
'with section �000) of Division 3 of the Business antl Professions Cotle, antl ELECTRICAL FEES
my license is in 1W rce an eitect. ��,, ,.,��
�icens C s � LI e No.� PLUMBING FEES Automatic Washer Transformer � 15�50 KW
Date ��� ' S'9 t " �' ' �
W00.KER5' COMPENSATION DECLARATION Construction PoleSub. ❑ 50+ KW
I h¢re�y aHifm lhat I Ilave a celtifitdta Of COnSpn[ to 5¢If-Insute of a C81Ufl<dt¢ g8f Slflk ShOw¢f5
'vorkers' Compensation Insurance, or a certi(letl topy thareof (Section Backflow Preventer Serv�ce Sink Cooking Unit Meter ❑up to 100 amps
), Lab. CJ
�,.�icy rvo. Company Backflow Irrigation Sewer (:ap Dishwasher Meter ❑over 100 amps
8 Ceriifietl mpy is hereby turnishetl. Dryers ❑Gas ❑Elettric Su6 Pan21 '
Certifietl copY �5 Illetl with [he city Builtling Division. Bathtubs SCwe! Connection
Date Applicant Fan Motors �61 HP �7'h - 8
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOIef COII¢Ct0�5
(Tnissection neetl not be comDleletl it the perrr�lt is for one huntlrea (5300) or Dishuvdsh2r F�A�U� Int.Solar 09-15 HP �16�15+
less). $olar,Pipin9
I c¢rtity thai in the perto�mance of th<wo�k io� which [h15 pe�m�t i5ls5uetl, I - FixtU�25 MiCrowdv¢
shall not em0loy any pe�son in any e� so a5 o b¢yy(nG Subjgc[ to the Drinking Fountains $Dldf'T2�k
Worke rt� s�q on Laws ot Calit y � �
Date ������ / Si9nature �-+�-�- Floor Drains Swimmin9 Pool w/Spa Device Boxes Pole Light
NOTICE: If, after making this tleclara[ion, yop shoultl become subject to the OutletS Ran e
Workers' ComOensation provi5ion5 Ot Ihe Labo� Cotla, y0u mus[ forthwith FI00� $iOkS Ufinel 9
compry with such O�ovi5ion5 0� tM1is oermit Shall bG tl¢¢metl �evoketl. SwitCh25
CONSTRUCTION LENDING AGENCV GasService �ULIClS WeIE�CI05ft Siyn ��
1 hereby aftirm that tnere is a construction Ienqinq a9ency for the pertormance �
o( tne work tor wnicn tnis oermit is issuetl (Secuon 3097 Civ. CJ Interceptors Warer Heater Garbage Disposal Standing Sections
�entler•s Name Generator �0.5 KW �5-15 KW Trash Compactor -
Lentler's Atltlress Kitchen Sink Water Service
OWNERBUILDER DECLARATION .
1 nereby alfirm ihat 1 am exempt from lhe Contractor'S License Law for the LavBto�ies Auto-Wash
foliowing reason (Section 7031.5 Business antl ProfeSsional Cotle: Any dty or
county which �equires a permit to conSfruct, dlteq improva, tlemOlistt o� r¢pai� P—Trap LdUndfyT�dyS
any structure, prio� lo it5 iSSUance, al5o �¢qWYes th¢ applicant fOr such OBrmit
to tile a signetl statement that ne/sh¢ is Ilcen=¢tl pu�suant to IhC P/ovi5iOn5 01 ROOi DfdiO3
the Contraclor'S LicenSe Law (Chapter 9(commencing with Seclion ]000) of
Division 3 ot tne Business antl Professions Cotle) or lhat he/sne is exempt peinspection Fea $15 luue Fee
•efrom an0 tne basis for the allegetl exemption. Any violation ot Section - 3
L5 by any applicant tor a pe�mit suqJ¢�{5 th0 applicant to a civil
�Ity ot not more man hve nundretl tlouan �y5oo�. 3 DEVELOPMENT SERVICES REQUIHEMENTS:
LJ I, az owner oi the oroperty or my employees with wages as tnair sole F7einspection Fee $15 Ixue Fee $ Zoning Approved By pate
comp¢nsation, will do the wOrk, antl Ihe it�u�(ure I5 not intentletl o� offetatl
(or sale (Section 7044, Business antl Proteasional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date
License 12w tloes nOt apply t0 an owner Of a pro08r[y who builtls o� Imp�oves �� �
[hereon, antl wM10 tloes such work hlmself/h@rself or tn/ough his o� h¢r own ApplltltiOn IS4u0d By //� � Det �
emplayees, provitleU thal such imProvem¢nts are not Intentletl o� off¢retl fo� BOiI¢� HOOd Of Typ¢ I ❑ � ��
sale. If, nowever, the bWltling or improvemen( is soltl within one year ot com- �ynopy Type I I ❑ SUMMARV OF FEES � �
pletion, lhe owner will have the burtlen ot prOving tte/She tlitl not builtl or im- DuCt - UOd2! i�i�OUnd
prove tor the puroose oi saie). BUILDING PERMIT $���_� SMIP $ �
❑ I, as owner of tne property, am ezclusively con(ra<tlng with Ilcensetl con- Duct-StruCtural Re(rigeration System PLAN CHECK $ PERMIT
trac[orsto conrt�uct Ihe praject (Section 7044, Busine5s antl PrOtessions Cotle:
The Convactor's License Law does not aDPly to an owner of property who Duct - Ventilating �a100,0008TU ❑100,000 BTU PWMBING $ ISSUANCE $
buiids or improves thereon. antl who conVaC(s for such oroiecls wlth a r,on- ENERGV P.C. $
tractor�sl license pursuane to me Conttattors Li<ense LawJ. I am aware that Exhaust SyStem � MWtiple � System Repair/Alteration PL1>N CHECK 25% $
proof o1 tneir Worker's Compensation insurance shoultl be proNtlea to me. ELECTRICAL $ GRADING $
❑ 1 am exempt under Section B. & P. C. �or this reason Firepl/FacL BIL ICBO # Fire Dampers pLAN CHECK 50% $ MICROFILM $ �f'j ��
Date Owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $-LQ(..e7_(,L
I hereby certify mat I have reatl tnis application antl state that the above ❑0-100,000 BTU �100,0008T PLAN CHECK 25%
informa[ion is <orrect. I agree to comply with all dty antl county ortlinances $
antl Sta[e laws reldting to builtlinq ConStructlOn, dntl h¢reby dutho�lEe r¢Or¢- `
- sentatives of thi cit to ente pon tn above-men[ioned � ert for
5J Y /J C
in5pection pu�p9sE5�., � y
,Signature 7�—L'r�`" O"u`L Date � .
qrivers' �icense or 55 � ' ' Reinspection Fee $15 Issue Fee $ 3 Gd D�f��'_U-'�'J� ��): � �.� i �.. ._
0865-46, rev. 5/88 White - 6uiltlinq; Canary - ApplicanL Pink - Actountin9: Goltlenrotl - Assessor � DATh� O�! SS�L9 TTI'�1: ;[:.j ]
CONSTRUCTION ANDPLANNING - POOL °A
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
r.•
1. TemporarY Elecirical Service or Pole� ,, 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �� ��� 53. Steel Reinforcement
3: Ele�trical Conduit�Utility-Undrgind. �"� 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �
5. � el Reinforcement; G 56. Rough Plumbing & Pressure Test -
� :
6. �Electrical UFER Grnd�� :�'� 57. APPROVALTO COVER-GUNITE '
7. Footings '� � �' _!, 58. Electrical Conduit-Undrgrnd.
8. Foundation � il �' �" � 59. Gas Pipe, O Undrgrnd., Test �'
9. Water Pipe-Undrgrnd: !'� , �, 60. Backwash Lines, P-Trap, O Undrgrnd. '�
10. Structural Floor System • �� 61. APPROVAL TO DECK
11. Property Sewer Line,& House Connection �. 62. Backwash & ReceptorFinal
12. Sewer Cap , � • � �. � ' 63. Heater & Vent�Final r� �
13. Roof Drains .. . 64. Plumbing System - Final ."
14. Rough Plumbingy � 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final
�� Rough Elecjjtric Wiring 67. Fencing & Access Approval
� 17. Rough Wir;�iign 68. APPROVED FOR PLASTERING
18. Rough Elec rical-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. Undergraund 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 0 Gas ❑ Oil
25. Roof Sheathing , - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry S[andpipe
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 S0. 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
� _.
42. Backflow Preventer � �.
43. Backflow Irrigation '��
44. Landscape Irriqation System
45.�Sound Attenuation
46. Handicap Regulations •-?'
47. FINALSTRUCTURE&BUILDING pO�yO _�
S O L
48. Special Requirements Completed
49. Electric Release to Edison ��� �.
50. Gas Release to Southem California Gas Co ' '�'
t
51. CERTIFICATE OF OCCUPANCY -, 1.� �"
. . :l
No. Date � ��
�
AoO���ant to fill in all spaees exeeD� tnase within neavY �orCer Ilnes anE sign all aDG�eoriale tleclarations.
CIT.V OF COSTA MES J(j'ONySTR CTION PERMIT
Project Ac'�iress � � �� L.�7 Y . � ��/��, /� q�
Applicant's Mailing Addres -I��--� i�ut�=��.�+¢�2
Owner's Name �� Phone
Address �Z e ��
Arch/Eng. License No.
Address p� ��.��
Contractor's Nem �Q`��s�"IJ•!L Pp�° ne��1
Addr¢is (me'I'nnl P.0Q � � LO J �'�K• I�ItiiO
CiryLicenarNo � Ii�O�J —
LILENSED CONTRACTOR DECLARATION
I hereDy affirm lhdt I am Iicensetl under provizions o( Charter 9(Commendng
with secllon ]000� ol Divislon 3 oi the Business antl Protesslons Cotle, antl
my license is in full fo e a tl eHect. �q
License s �� 0 License No.��` D 1
Dale ��� enna�
' 'RKER 'C MPENSATION/DEC A ION
eby affirm that I nave a certifi 6 ��onsent to selt-insuro or a certificate
Norkerz' CompenSation Insurance, or a certifietl cooY tnereot (Se<tion
3800, Lab. C.)
Policy No. GOmpany
BCmtitietl copy is hereby turnishetl.
Certifietl coDY is filea with the city Builtlin9 Division.
Date Applitant
EXEMPTION F0.0M WORKERS' COM�ENSATION DECLARHTION
(ThisSecllOn nee0 not b¢ Comple[etl if the pGrmit is (o� one huntlr¢tl (E100) Or
less).
I cGrlify lhat in thC performance of tha w �k fo� whlch tbis p¢rm�I i5 i55u¢tl, I
shall not� I y.;ny per5on in any md r/So s to become subject to the
WOrkers' 4SJtion Laws of Calitomi
�ate � � Si9nature
NOTICE: N, after making [hi5 tl¢tlard��0 u oultl become suDject t0 thB
Wo�ke�s' CompensaUon OrOviSions O( � LabOr Cotle, you must forthwlth
comply wilh suc� 0/ovlsions or I11�5 permlt Shall be tleemetl revoketl.
CONSTRVCTION LENOING AGEN��'
1 beroby a/firm tnat t�ere is a<onstrud�on lentlin9 a9en<y for the periormance
of tlte wa�k to� whicn this pe�n'��t Is ISSuetl (SectiOn 309] Civ. C.)
Lentler's Name
Lenaer's Atltlress
OWNERBUILOER DECLARATION
I �ereby dilirm lhal I dm ezempt trOm t�0 Cont�actor's UcenSe Law fOr Ihe
following reason (SecNon 7031.5 BuS��ess antl Prote55ional Cotlo: Any Gty or
county which requiras a parmit to co0struct, alter, improve, tlemolish or repair
any structure, prior to Its issuance, also reqWres the applicant tor such permit
t0 flle a SlgneG StalemCnt Ihat he/sM1e IS II<CnSCtl pUfsuant lo the O�oviSiO�s 01
v Contractor'S License Law (Cnapte� 9,(commencing witn Saction 7000) oi
�ision 3 of the Business ana Piofesswns CoOo) or that ne/she is exempt
�rolrom antl thG baSis IOr tne alle9etl BxCmptiOn. Any violatiOn of Sectlon
i031.5 by any applicant for a pe�mlt sub�ects the apD���ant to a civll
�enalty ol not more Iban tive huntlred D011ars (E500).
LJ I, az owner ot tne pro0erty or my employees wilh wagos as tneir sole
componsation, will Co tha work, antl the structure is not Intentletl or offeretl
for sale (Section 7044, Business antl Protessional Cotle: The Contractor'i
Llcense L,aw tlo¢s nOt ap01y to an owPer ol a prop<rty who builtls o� improves
there0n, antl who Ooes such wo�k him5�l//hcrsCl/ or Inrough hls o� har own
emplOyeos, provltletl lhat suth ImprO�aments are no[ Intendotl or ott¢r¢tl fOt
sale. I1, nowever, lh¢ bullaing or imp�ovument IS Soltl within On0 y¢ar ot com-
Oletion, the owner will Itave tha bu�tlen OI proving he/iM1a ditl not builtl o� Im-
prova lor lhe purposc of salo).
❑ I, as owner of the property, am excluslvety contractlng with Ilcensetl con-
tractorsto consVuct the project (Section ]044, Businezs ana Aotezsiont Cotla:
The ConUdClOr's LlcenSe Ldw dOeS �Of dpPly to an ownaf ot pfoperty wh0
builtls or Imowves thereon. antl who contracts tor suU oroiects with a com
tractor(51 bmnse pursuana to me COP��actor's License Law). 1 am aware tbat
prooi o( lM1eir Worker's COmpensaHO� ��5urantB z�oultl De prOvitletl to mo.
❑ I am axempt untler Sectlon B. & P. C. tor this reason
Date Owner
Signature
Drive�s' l_icense or
0865-a6, rev. 5/88
pplication ana ziate that the abova
with ail city antl county ortlinantes
ruction, antl hereby authorizG repre-
ttte above-m¢ntionetl orJoedtu tor
._.. __'J � .._.__—:. . ___.__. .....��.... A.P.#
a
S Main Building:
TYPE OFCONSTRUCTION NEW AOD ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Ffont
DESCRIPTION OF WORK/USE OF BLDG. { � — u �� A Rear
TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL '� C Right
K
❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g LCft
❑ OTHER � Ping. Ref. #
PROJECT DESCRIPTION Sq. FT. oCCUaANCv Planning Notes:
CONSTRVCTION TVPE VALUATION $
ZONE GRADINGCU.YDS. ACRES
Remarks:
Sink
Preven[er
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trop
Roof Drains
Reinspeaion Fae � $15
Boiler
Duct� Under Ground
DUCt - $trUCtUrel
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. iC60 �
Heating System & Ducting
❑0.100,000 BTU 0100,000
Reinspection Fee � $15
Whi[e - Builtll�9: Canary - Appli<anp Pink - Accounting; GolOenrotl - Asi¢ssor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wesh
Issue Fee
Hood ar Type1
Canopy Typell
Retrigeretion System
❑0.100.00OBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
g3
$ 3
Auromatic Washer
Construction Pole
Cooking Unit
Dishwasher
Oryers ❑Gas ❑
Fan
F.A.U.
Fizture5
Device Boxes
Out18L5
Garbage Disposal
Generator O0.5 KW
Fee
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
' Meter up ro 100 amps
Meter ❑over 100amps
15KW
$15
Sub Panel
Motors O0.1 HP Ol Y. - 8
InaSolar �9-15 HP �16�15+
Microwave
Pole Ligh[
Range
$ign
Standing Sections
Trash COmpacror
luue Fee
DEVELOPMENT SERVICES REUUIREMENTS:
2aning Approved By
Building ApProved By
Appliption luuad By
FEES
$ Ac
O
N
1
N
G
R
E
�
M
T
S.
SUMMARY OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK S PERMIT
PLUMBING $ ISSUANCE S
PLAN CHECK 25% $ —�s��— ENERGY P.C. 3
ELECTRICAL $ 3?•� �/ GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $ 33•��
PLAN CHECK 25% $
o�. ee�4oisi-�ee,aisz .-�:- - -
DA?E: Q8/;1:?,9 TIii�• •;3;- �.� .
�_._f ��
CONSTRUCTION AND PLANNING PO �SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1.�Temporary Electrical Service or Pole� • ~' 52. Pool & Equipment Location
,' '
2,;Soil Piqe'Undrgrnd. `� -�� 53. Steel Reinforcement
� .,
3. Elect�ical Cond'vit,'lJtility-Undrgrnd. 54. Forms , �
�4�� El�ctrical ConduiYUndrgrnd. 55. Electrical Bonding �;. .
5:��Si�,el'Reinforcernent�. � 56. Rough Plumbiny & Pressure Test `
6.�'Electrical UFER GrPd. � � 57. APPROVAL TO COVER-GUNITE
7. �Footings �,.-' � , - � 58. Electrical Conduit-Undrgrnd. ��'
��
8'�Foundation ,-�; ' '� , 59. Gas Pipe, � Undrgrnd., Test `'
9V Water Pipe-Undrgrnd'. . 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Lin`w& House Connection 62. Backwash & Receptor-Final
12. Sewer CaP .1.,.% ��
r f .� 63. Hea[er & Vent-Final
13. Roof Drains �. ,_ 64. Plumbing SYstem - Final ' �
14. Rough Plumbing�: 65. Electrical-Final V
15. Rough Electrical-Conduit 66. Solar System-Final .
i 6.r Rough Electric Wiring 67. Fencing & Access Approval
�17' Rough Wiring Sign 68. APPROVED FOR PLASTERING
1.8; Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
}9' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
�20. Rough Factory Fireplace APPROVALS Permit #
� v.
21-• Ducts, in Structure 70. Underground Hydro
22. Ducu, Ventilating 71. Product Piping OGas ❑Oil
7�3. Gas Pipe-Rough & Tes[ 72. Underground Flush
z4. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
715. Roof Sheathing 74. Overhead Hydro
26. T-Bar �eiling (Structurep & 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. Plaste� Brown Coat 79. FINAL INSPECTION
32. Elect�jcal Power Meter-Final / $`l 80. FOOD CERTIFICATE ISSUED
33. Final�Electric � B 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
42. Backflow Preventer _
43. Backflow Irrigation ,
44. Landscape Irrigation SYstem
45. Sound Attenua[ion � '�
46, � Handicap Fegulations
47. FINALSTRUCTURE&BUILDING ��
� 48. Special Requirements Completed �
� 49. Electric Release to Edison •� �
50. Gas Release to Southern Califomia Gas Co �-; •
51. CERTIFICATE OF OCCUPANCY � . �.
No. Date � � �' �
Applieant ta fill in all spaces except t�ose wlt�ln �eavY �orGer lines anG sign au aoVrovriate tleclantions. 7y�
A ESZ CONSTR ChTION PERMIT PERM�T NO. ��� TRAC(T NO. LOT NQO. UNIT NO. A P# Z —, Z,� ' 2one
G C �• �d� l
,,.rMs `' J� � S Main Building: Accessory Building:
Applicant'S Mailing Add�255 �� ' TYPE OP CONSTRUCTION NEW AOD ALTERATION REPAIR �f
�,.�I�/]�.�� �z—S.i^ O� CONVERSION ❑ DEMOLISH ❑ OTH R S ' T FrOnt LO �� Q
Owne's Name ��"^�� `^�"� � � Phone
5 DESCRJJ��FF�� WQ� K/USE OF BLDG. A Rear Zm N
Address F}D��oT� 4EW F�o�new TO /�l_�, M `r � � Right N
❑ STRUCTURALR�=
ArchiEng. TYPE OF P LJ GRA�ING LJ FOUNDATION Z Left
License No. K �J G
Add�t55 � �T • N•�• ❑ TENANT ❑ ELECT ICArL ❑ PLVMBING ❑ MECHANICAL � S 7 R
Convacmr's Name Phone ❑�OTHER �p .�j,Q�•I�yj_y�T�V�OY ' A �� Ping. Ref. # Parking Req./Provided E
Q
PROJECT DESCRIPTION 5�. F7.A OCCUCANCv�,,. Planning Notes: �Q'
Addresslmailing) CONSTRUCTIONTVPE�1�� VALUATION$2¢ qD� QaK � � � T
City LicCnSe NO. ZONE GRADING CU. VDS. ACRES �/J�-
S.
LICENSED C NTRACTOR DECLARATION
1 hereby afiir� I' n tl tl " I t r 9( mencing Remarks: � � Q,� 6 � Q
wi[h sectlo ]000) Of1� S� f i Cotle, antl
my license rs m fuu torc � � 1�i t' ' ELECTRICAL FEES
License Clas� LicenSe No. �
Date Signahre PLUMBING FEES Automatic Washer Transformer ❑ 15�50 KW
WORKERS' COMPENSATION DECLARATION ConStruction Pol¢ Sub. ❑ 50+ KW
�eby affirm that I have a ce�tificate of con5¢nt to self-insu�e o� a ce�tificatC 88� SI�k � $hOWC�S
VOrke�s' Compensation InSurance, o� a certiti¢tl CODY ther¢of ($ection COOki�y UOIf M¢[C� ❑up to 100 amps
Backflow Preventer Service Sink
....o0, Lab. C.) -
�Poiicy No, Comoany Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps
BCeMifietl copy is hereby fumishetl. � Dryers ❑Ga5 ❑Electric Sub Pen¢I
Certifietl copy is filetl wit� the city Builtling Division. Bathtubs Sewe� Connection O
Da[e ' APPlicant Fan Motor5�0-1HP07'h-8
E%EMPTION FROM WORKERS' COMPENSATION DECIARATION Cleri(ier5 Solaf ColleCtorS
�Tnis section neetl not be completetl it the permit is tor one huntlretl (5300) or Dishwasher Solar Piping F.A.U. Ina Solar �9-15 HP �16-15+
less). '
1 certiry thal in the perfOrmdnce ot lhe work f0/ which this petmH is Issuetl I � ' FIXtU�¢5 MiC�OW3v¢
snall not employ any person in any manner so as to become subjett to t�e Drinking Fountains Solar Tank DO
Workers' C/9 epsatiOn Laws of Califorp ia. •
Daie �qJL�A`� Si nature /%�T%7/ii y�lL!-1oe� 9 Device Boxes Pole Li ht
g � Floor Drains Swimmin P w a 9
NOTICE: It, aiter making this aeclaration, you shoultl become subject to Ihe Outleis Ran e
Workers' Compensation provisions of the Labor Cotle, you mu5t forthwith FIOOr Sinks Urin21 Q 9
comply wi[h such p�ovisions or thi5 perTl[ shall be tleemGtl revOkeO.
CONSTRUCTION LENDING AGENCV GaSServiCe Outlets ' WaterCloSet Z SwilChes Sign
I nereby aHirm that [here is a construction IenOing agency for the performance
ot tne work for wnicn this permit is issued (Section 309� C�v. C.1 Interceptors Water Heater Garbage Disposal Standing Sections
LPntler's Name
Kitchen Sink Water Service Generator �0-5 KW �5-15 KW Trash Compactor
Lentler's Atltlrezs �
L OWNER BUILOER DECLARATION
1 hereby aifirm lhat I am exempt trom the ContractorY �.Icense law for the Lavatories Auto�Wash p
following reason (Sectlon ]03L5 Business antl Professional Cotle: Any city or
county which requires a permit to wnstruct, alter, improve, Cemolish or repair P—Trap Laundry Trays
any sl�ucture, p�lo� lo its issuance, d150 �equi�e5 the applicant tOr sucb perTit
to file a signea statement tnat he/she is Iicensed pursuant to Ihe provisions oi Roof Drains
��e Contractor's License Law (Chap[er 9(commendng with Sectlon 7000) of �
�,�„v,Fision 3 of the eusiness antl Professions Cotle) or that he/5he is exempt Reinipeetion Fee $15 Issue Fee $ O
'-'�elrom antl tM1e ba5is for the allegetl exemptlon. Any violation of Section
"i{"-.i1.5 by any applicant for a permit subjectz the applicant to a civll
enalty of not more than five hundred tloiiars (5500). DEVELOPMENT SERVICES RE�UIREMENT /��
� � I, as owner ot the oroperty or my employees with wa9es as their sole Reinspeetion Fee $15 laue Fae a 3 2oning Approved By_ � Da�e �9 �
compensation, will tlo tne work, antl the siructure is not intentletl or ot(eretl
• Ior sale (Se<tion 7044, Buziness ana Pro(essional Cotle: The Contractor's MECHANICAL FEES Building Approved By 6
License law tloes not apPly to an owner of a property who builtls or improves Date
thereon, antl who tloes such work himselt/herselt or through his or ner own ' APplieation Issuad By Dat
employees, provitletl ihal such improvEments a�e not intentleC or offe�etl for BOiIE� HoOd O� Type I ❑
saie. if, nowever, tne builtling or improvement is soltl within one year ot com- �nopy Type II ❑ SUMMARY OF FEES
pl¢tion, tne owner will have [he burtlen ot p�oving he/she tlitl not builtl or im- DUC[ - Und¢! i�ilOUnd
o�rq+�e ror the purpose ot sa�e). BUILDING PERMIT $ ZS,Z• � SMIP $ �• �
L✓ I, as owner ol the oroperty, am exclusively contractin9 with licensetl con- Duct - StrucWral Refrigeration System PLAN CHECK $ PERMIT
�tractorsto <onstruct tne Oroject (Se<[ion 7044, Business antl Professions Cotla:
The Coniractor's �icense Law tloes not apply to an owner of property who Duct - Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $ ' 3. DO • ��UANCE $
builtls o� improves thereon. antl who contraCts to� Such oroiect5 w�th a mn-
tractor�sl license uursuan� co me ConVactors �icense �aw). I am aware that Exhaust SyStem p y p l PLAN CHECK 25% $ ENERGV P.C. $
❑ MWti le ❑ S stem Re air Alteration �
proo( ol [hel� Wo�ker'S Compensaflon Insutance Shoultl be prOvitlltl to me. ("iRADIN(�i $
� I am exempt unaer Section T by� P ELECTRICAL $ v
� e. b P. C. Por this reason Fire U att. t. IC O# Pire Damper5 MICROFILM $
PLAN CHECK 50% $
� n,ro L p �; - Heating System & Ducting Registers pQ � 32,7
Lj kI � MECHANICAL $� TOTAL FEE $
I hereby certity tnat I have reatl this application antl state tnat the above ❑0.100,000 BTU �100,OOOBT PLAN CHECK 25% $
Intormation is correct. I agree to comply with all city antl county orCinances
antl state laws r ating�P nStrVLJV � afi'���erebY authorize Y pre !
sentatives ot city to nter u on above-mentionetl r r i �J p.�� � tI % T ���s/�
InSpettlonp p e5 `�^oEG /vO �^�`'�? J"�� ��
Signature Date 3
orivers' �ice�s� � Reinspection Fee $15 laue Fee � ����������01 C00'4oE9-U9�3ti693 Y'�"� j �,
�i "'
� —��=�2A�€: �16/Cb/89 TJflE: i�z2�
0865-a6, rev. S/aa Whlte - Builtling; Canary - APPllcanh 71nk � AccounUng; GOIGenrotl - AsseSsor V/
� ' � .
NSTRUCTION AND PLANNING PO' i SPA �
Date Inspector Date Inspector
PR(�.VA�S� S Permit # ,. .. APPROVALS Permit #
- Temporary Electrical Service orPole �� 52. Pool & Equipment Location •.
2. Soil Pipe'Undrgrnd. � �' 53. Steel Reinforcement ;�-''���
a �
3. Electrical!Conduit Utility-Undrgmd. 54. Forms �
�4. Elec�rical Coriduit-Undrgrnd,. I 55. Electrical Bonding j
;5: Steel Reinforcement r 56. Rough Plumbing & Pressure Test
6� Electrical.UF,ER�Gmd. . �� 57. APPROVAL TO COVER-GUNITE ,
7. Footings,�� � � � 58. Electrical Conduit-Undrgrnd. .
�
8. Foundation��� ' . 59. Gas Pipe, O Undrgmd., Test ' ��'
�
9. UJater Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
.
; �� � ,
1,0. Structural Floor System 61. APPROVAL TO DECK
11. �Aroperty Sewer Line & House Connection 62. Backwash & Receptor-Final
12.'$ewer Cap •.' . � r
; � � /; 63. Heater & Vent-Final j '
13. Roof Orains � � 64. Plumbing System - Final ��
14.'Rough Plumbing 65. Electrical-Final M�
75. �Rbugh Electrical-Conduit 66. Solar Sy,stem-Final
1.6. Rough.Electric Wiring 67. Fencing�& Access Approval
1�7'. Rough�VUiring Sign 68. APPROVED FOR PLASTERING
•18'. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -
:19. Rough'Fleating & Air CondiPioning FIRE DEPT. REQUIREMENT •-
'20. Rough FactorY Fireplace t: APPROVALS Permit # »
,
'21. Ducts,�in Structure �' 70. Underground Hydro
22. Ducts, Ventilatirig i I 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test _, _7z. Underground Flush
24. Roof Framing :� 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing� ��'� 74. Overhead Hydro .
26. T-Bar�Ceiling (Structura0 & Monocoat 75. Dry Chemical
27.� Fra'me and Flashing , 76. Dry Standpipe
28. Lathing'& Siding " ' �77. FIXED SYSTEM FINAL
29. Insulation i� _ � 78. FIRE PREV. FINAL
30. Drywall,Nailing- �S ;��� HEALTHDEPT.REQUIREMENT
31. P12ster Brown Coai, � �.,�' 79. FINAL INSPECTION
32. Electiical�Powe? Meter-Fina(�" �, � 80. FOOD CERTIFICATE ISSUED ���
,
33. Finaf�Electric - ri ' Notes:
34. Final Heating & Air Conditioning ! �� j
35. Final Gas Pipe-Test � ,
36. Hood or Canopy
37. Final Factory Fireplace
38. FinalPlumbing �-, . -
39. Water Service-Final � _ ..
40. Gas Service-Final � '
41. Solar pomestic-Final � �
,� �
42. Backflow Preventer � , - � .
43. Backflow Irrigation' ' . . ' .�
44. Landscape Irrigation SYstem � j.� � .
45. Sound Attenuation. � • . ,
46. Handicap Regulatio�s � j - �
� 47. FINAL STRUCTURE & BUILDING .
48. Special Requirements Completed
49. Electric Release to Edison . '' � f .
50. Gas Release to Southern California Gas Co , � ' ' .
51. CERTIFICATE OF OCCUPANCY , ' �\ � ^ . ,
- .. i . � , •.r' . ..
No. Date �� �, '
.,
CERTIFICATE OF COMPLIANCn
PAYHENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCAOOL DISTRICT
Developer/Applicant: FRN< </ cY�lTNiA L1J�N5
Address: �{,y'� �fh S�"• CDSTA /'Y,'E5�1 C�i i2LZT/
Telephone Number: �/4 /iSD-�i1��
_T-rac-U-/P-ax�el and Lot Number(s):
Location of Project: �;A/'Y)F /-iS �i/�4�
Number of Square Feet of
Residential Space a� � x$1.50 Total' C� e
Number of Square Feet of
Commercial and
Industrial Space
Commercial/Industrial Project is:
Mini-storage
Movie Theater
Racquet/Health
Warehouses
Heavy Industrial
Regional Shops
Light Industrial
x $0.25
(Check One)
Total
Motel
Bank
Neighborhood Shops
R & D
Hotel
Medical Office
Office Park
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
� The provisions of Government Code Section 53080 are not applicable.
This certifies that the above-named Developer/Applicant has paid school
facility fees in compliance with Government Code Sections 53080 and
65995.
Checks are to be made payable to Ne���sa Unifi`S�� 1 District.
C,��> .
/�•
Busiftess Manager
Newport-Mesa Unified School District
The above representation as to square footage is true. Developer/
Applicant agrees that if it is later determined that such representa-
tions are not true then this certificate shall automatically terminate
and the appropriate City/County shall be notified.
D a t e : /n��� — ���rrfhia. .� ��/��o
Dev loper/Applicant
C�,rru�A [ v��s
6 �g99
��N
AVP��cDnt ta fill in all zoaces except t�ose wit�in heavy bortler Iines antl si9n all appro0��ate Eeclantions.
STA MESA CONSTRUCTION PERMIT
, ' Address y g� � �� � _
Applicant'sMailingAddress sAMt ������
O�ner's Name � N U Phone �filSZ_9
Address .,�,�55 � SP f46 HUHi7NGiON g{Sr1CF1
Arch/Eng! License No.
M]ar¢55
Contractor's Nam Phone
Address (mailing)
City License No.
LICENSED CONTqACTOR DECLARATION
1 h eby ai51�m tha[ 1 am 17cens¢0 un0¢r prOvi5lon (comtn¢n[Ing
wi[h se 0 of Divlsion 3 o11La-@ ezs antl Professions Cotle, and
mv license Is in Iu ��
Lica� a ri a nio.
D� '
WORKEpS' COMPENSATION OECLARATION
I hereby affirm tha[ I �ave a certi(icate o� consent to sel!-insure or a certificate
r• Workers' Compensation Insurance, or a cevtitietl copy tnoreof (Section
�, Leb. C.)
:y No. Company
�i Cerfiti¢tl mpy i5 h¢reby tumi5hatl.
❑ Cmtifietl copy Is filetl witn the tlty Builtling Division.
Date Appli<ant
EXEMPTION FqOM WORKERS' COMPENSATION DECLARATION
(Tnis section neetl not be campletetl H Ihe parmit is for one huntlretl ($300) or
les5�.
I c¢r[Ity tbat in ihe perio�mdnc¢ of Me wo�k to� wbith IhiS pe�m�t i5 i5aue4 1
shall not employ any person in any m ner o as to becom ubject to t{�e
Workers' ensation Laws of Cal{tor ia.
Date Si9nature • '
NOTICE: I5, a ler making this tle[laration, you ihoultl become sub' c to the
Wo/k¢�s' ComPensatiOn p�ovi5io05 of �ne lybof Cotle, y0u Tuzt f t�with
comply with such proWsions or tnis permit shall be tleeme r voketl.
CONSTRUCTION LENDING AGENCV
1 hereby aNirm that theie is a ronstruciton fentlin9 a9en<y for iha peAormance
of the work for whicn [nis permlt is izzuetl (Settion 3097 Civ. C.)
Lender's Name
Lender's Atltlrass
OWNER BUILDER DEC�ARATION
I hereEy affirm tnat I am exempt irom tho Contractor's License Ldw for the
following �eason (Section 7031.5 Business antl P�oiessional Cotle: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
any slructure, prlor to its issuanca, also requiret the applicanl tor wch permli
to file d signed Stdtement that he/she Is licensetl puYSuaflt to the plOvision5 of
the Contra<tor's ilcense Law (ChaDte� 9(commenting with Sectloa 70Q0) o�
Division 3 of Me Business antl Professions Cotle) or ihat ne/she iz exemP[
tF^�e/rom antl lhe basis tor the allegetl exem�tion. Any violation of Section
.5 by any applicanl for a pe�mi[ subjects [nu applicant to a civil
ty oi not more tnan five huntlretl tldlars (5500).
coy az owner ot tne property or my em0loyees witn wa9es as their sole
Mpeaiation, will Co th¢ work, dntl the StrUc[ure IS no[ intendetl or Offeretl
for zale (Section 7044, Busine55 an0 Professional Code: The Contractor'S
License Law tloes not apply to an owner of a Proper[y wno builds or imProves
lhe�eon, a0tl wM10 tloes SucM1 work M1lmself/hers¢tl or thrOugh hi5 of h0� own
employees, Provitletl tnat Such imProvements are not intendetl or o�feretl for
sale. II, �owevtq tM1e tlulltling or improvement is sold wlthin one year ot com-
pletion, 2he owner will �ave the burtlen o� Provin9 he/she tli0 not builtl or im-
�rpva tor the purpose of sale).
I, as owne� ol the property, aT ezclu5ivelY conVacting wR� IlCens¢d cOn-
iractors to construct the D�alect'Section 7046, Business antl Protesslons Cocle:
The Contractor's License Law does not apply to an owner of property who
builaz oc imoroves thereon. antl who contracti for such nroiects wlth a ron-
[ractor(sl Lcense pursuani to �ne Con[ractor's LicenS¢ Law). I am aware that
p���° ( 01 lhei� Worker'S COmpeazaUory � surance shoultl b9 provltletl to Te.
L'7 I am exemot untler Sectlon 7��� B. & P. C. for tbis reason
7YPE OF CONSTRUCTION LJ NEW Ll qDD
❑ CONVERSION ❑ DEMOLISH ❑ OTH
DESCRIP710N OF W06KNSE OF BLDG. �
TVPE OF PERMIT IJ GRADING LJ FOUNDATION Ll Sli2UCT0
❑ TENPNT ❑ ELECTRICI\L ❑ PLUM8ING ❑ MECHANICAI.
❑ OTHER
PROJECT DESCRIPTION Sa.FT. oCCUPANC�
CONSTFUCTION TVPE VALUATION $�
ZONE G0.ADINGCU.VDS. ACRES
qemarks:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Orains
Floor Sinks
Gas Service
Kitchen Sink
Lavatories
P—Trap
Roof Orains
Reinspection Fea
ShoWers
Service Sink
Sewer Cap
Sewer Connection �
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Outlets ater C�oset
Water Heater
Water Service
Auto-Wash
$15
Duct - Under Ground
Duct - Structmal
Duci � Ventilating
Exhaust System ❑ Multiple
FirepVFact Blt. ICBO #
Date �J�o � owner Heating System & Ducting
I nereGy certiry tnat I have read this aOPiication antl st tnat Ine above ❑P700.000 BTU �100,000
intormabon is correct. I a9ree [o com0ly witb all tlty antl county ortlinances
antl stat¢ laws lelating to builtling con5t�uctlOn, dntl h¢�¢by autho�ize �epr0-
sentatives of t's ci�y [o enter ip n the above-mentionetl p op rty for
insp¢ction Pur os. 1
Signature W�R.a- � oate 3
—
0065�66, rev. 5/BB White • Builtling: Canary - Applican[; Pink - Accounting; Goltlenrod - AssesSor
$15
laue Fee
Hoodor Typel ❑
CanoPY fYPe II ❑
Id
±efrig ion System
100,000 BTU ❑700,000 BT
System Repair/Alteration
Fire Dempers
Regis[ers
laue Fee
c
A.P. qW `�(;L � l,
S Main Building:
E ��
T Front 2Q
ARear z0 �
C Right �
g . Left 3 /
Ping. Ref. #
PlanningNotes: ��
Au[omatic Washer
Construction Po1e Sub.
Cooking Unit
Dishwasher
Dryers OGas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
$WILCh25
Garbage Disposal
Generator �0.5 KW �5-1
Fee
_��o
zone
ELECTRICAL
Transtorm¢r � 15-50 KW
❑ 5�+ KW
Meter �up to 700 amps
Merer Oover 100amps
Sub Panel '
Morors �Pi HP 01 X- 8
Inc.Soisr �9�75 HP �16�15+
Pole Light
Ranqe
Sign
Standing Sections
Tresh Compactor
$15 I I luue Fee
�$ 3 DEVELOPMENTSERVICESREQUIqEMENTS:./„/7.i,
Zoning Approved By ��`��
FEES Building Approved By�"j�-- %1 �I_
APaliption luued BY (3 i�� I• �.
$ 3
BUII,DING PERMIT $
. PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
. PLAN CHECK 50°,6 $
' MECHANICAL $
PLAN CHECK 25% $
O
N
1
N
G
R
E
�
M
T
S.
FEES
$ 3
OF FE�S �
� SMIP $ '� 'y_� I'
_ PERMIT
ISSUANCE $ �—
ENERGV P.C. $ ��
GFADING $ 1--
MICROFI�M $ r—
— TOTALFEE $ 7— �r
`�_ QCDt9i.`+'s-1.u�29?54 �"f_n�'
�A?E� 04/�3/89 II�` '— �
f,
r
)�SIf3UCT1DN AND PLANNING
ROVAtS � Permit#
/
empo- rar Electrical Service'or Pole
� 2. Soil PipE-Undrgrnd. �.
3. Electrical Conduit Utility-Undigrnd.
4`.Electrical Conduit-Undrgmd. ,
5.- Steel�Reinforcement
- i i
6.. Electiical UFER Gmd. '�
7. Footings � �
8. Founda[ion '
9. Watec Pipe-Undrgrnd. ;
10. Structural Floor System ,
71. Property Sewer Line & House Connection
12. Sewer Cap �
13. Roof D�ains
14. Rough Plumbing
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign ,
18. Rough Electrical-T Bar Ceiling
19. Rough Fleating & Air Conditioning
,,
2b. Rough F,actory Fireplace
21. Ducts,-in�Structure
22. Ducts, Ventilating �
23. Gas Pipe-Rough & Test
24...Root Framing
•�
25. Roof.Sheathing
26. T-B �Ceiling (Structural) & Monocoat
�27•� Frameand Flashing
28. Lathin'g"�R•�
29. Insulation�
30. Drywall�Nailing '
32. Electiical Power Meter-Final
33, Final Electric
34. Final Heating & Air Condi[ioning
35. Final Gas Pipe-Test
36. Hood or Canopy .
38. Final Plumbing . . � �
'�39. Water Service-Final i
�.
�40. Gas Service-Final "-
41, Solar pomestic-Final' ',
42. Backflow Preventer •
43. Backflow Irrigation ��
44. Landscape I«i{jation,SYstem
45. Sound 'Attenuation :
46. Handicap Regulations
f
47. FINAL STRUC7URE & BUILDING
48. Special Requirements Completed
49. �lectric Release'to Edison
50.' Gas Release to SoutHern California Gas
'�•�57. CERTIFICATE OF OCCuaaNcv
�
Date
POOI a '?A
Jate Inspector qppROVAIS Pen�.,�#
� 52. Pool & Equipment Location
53. Sieel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
- � 58. Electriral Conduit-Undrgrnd.
.' 59. Gas Pipe, � Undrgrnd., Tesi
, 60. Backwash Lines, P-Trap, O Undrgrnd.
�� 61. APPROVAL TO DECK
. r 62. Backwash & Receptor-Final
� __63. Heater & Ven[-Final
, 64. Plumbing System - Final
65. Electrical-Final
66. Solar System�Final
67. Fencing & Access Approva!
68. APPROVED FOR PLASiERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas O Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
Z�.") 77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT, REQUIREMENT
79. FINA� INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes: �/_�' A�Ilct _ .rli .ca r.Ai �s
Date Inspector
'' __
�1
'��
�P�� � %�� f,J�DE
L . —J 'I' . � ..
8 � f.
i
Qx��P _1� _ �
' ROCEED �' �/ i i � i; r� i
ue�r-cr ro n.���su��E � Ex� � � z X� S r„� j � �
ATE 3 MPr�orv
-f� �—F� I1VfT1ALS �� :�' � / ynT� o I
_ Y �/ � �� �!� ,
�
k
�
'�'D�NG l7rroq
i6�
I�E�J
S��o��+c Gtwas
�� ��
�.ti1NLb.J
A�P�����
Ciiy of Casta Mesa Buisding Dept.
BY �� D;iF YI' 19�
LHESE PLANS NillST BE ON JO& A7 ALl TIMES A1AKE
NO CHANGES WI�E`OU FryP^nMIOR APPROVAL OF DEPT.
DTHE�ISSUANCE'6f�i.F<A��il4�p(�fi7�'�ftMIT OR APVftOVAt OF
PLANS AND $P QFICATIGy6 SHALI NOret CONSTRUEO i0 BE A
PERMR FOR, O ,�t-6=, ANY YIOIATION OF ANY OF
�E PROVI510� � Of TH�S CODE. N PG�g+AIT P?�E}U�M�ING TO GP/E
UTHORIIV T VIOIAiE OR CAv V'I..�kt�5 OF 7N15
OOE SHAII B VAIID, ETCEPi IN O P R<��jEyp'37K OR USE
. ,.. " 10RIZE5 IS IAWFUI �j
�y
7HE 1SiUANCE OF A 7ERM7� UPON P[ANS AND
oFCiFICaTIOnS SHAtt NO7 ARE�V'.j�� BUItDING OFFiCtAt
�M 7HEREAiTER &EQUiR1�+C. 7� R TION pF FP.FORS IN
jiAlO FLpN$ AnD SPKtFICP.:.T,15 P. FROM PREVENTING
BU!LDING CWEHATIONS BEWG CAHFI_✓ O THEREUNDER WHEN
W VIOLrTION OF TMIS COOE OR OF ANY THER ORD�NANCE Of
Permit ,# `�. �$ O 4 f
THIS NUMBER MUST ACCOMPANY
ALLINSPECTION REQUFSTS
ao �
Cos�w
' NOT� ' � D
ADDITIOpaS, DE ETIOVS, OR CORR
BE APPROyED Y THE PLANlJIt;'���v� p�
-'6==— —==
5,-
/nr-sr�
�'PROVED
cm oF cos��
YLANNING pFPT,
auwecr ro atoc. Qeor. Qco
SNALL
a
hA�p
Ej
FIEW 4%on
�.J � no o �.J
#G
�
_ �p� ---i
�AtF /.�nr, '. _`____� ___
CASE: iENT
WINDOWS
A casement window is the most versarile, most weather-
tight, and easiest to operate of all window types. Closed,
a'casement gives a picture effect. Open [o any degree,
it adds interesting angular lines to the eatterior while
allowing fresh air circulation to the interior.
The Hurd wood casement is [he premier of the class.
Webe engineered it to operate smoothly and shut
tighdy to seal out the noise and the elements. The
features below demonstrdre the care and craftsmanship
that make Hurd casements so outstanding.
Here's Why The Choice Is Hurd:
Construction
Raw Materials: Select'Pbnderosa pine frame and sash.
Water repellent/preservative treated. Primed exterior.
13�4� sash glazed 5/e" insulating glass or 1" Heat Mirror
insulating glass. , '
Design
Hinges: Concealed—applied directly to frame for
smooth operation and clean exterior.
Locks: Pbsitive locking mechanism draws sash tight
against weathetsuip. Two locks on sizes 43" and taller
to maintain excellent security.
Weatherproofing �
System: Dual system of vinyl weatherstripping com-
presses against fixed surfaces to create an extremely
tight wea[her sea1.
Ait Infiltration: Independendy lab tested at .06 CFM.
(More than 8 ames dghter,than the industry standard
of :50 CFM.) • ' •
Op�eration ' �
System: Cut steel mto gears, stainless steel hinge tracks
an� die-cast case ensure smooth, lifetime operation.
Open`s to a full 90' posi[ion for washing ease. �
F.flidiency � . � ` ; � , � �
See c�azt on page 5 for R and U-Values. ,.
W� INVITE AN ENERGY ��YiPARISON TO ANY
OTii�R CASEMENT WINDOW AVAILABLE.
OQdons I t � � , �.' l. I
sia,!...:,,....,�z,�.... , �
s�.�
;:
�;�
=..m.--�
a
�
Double Sliding VJood Patio Doors
JNIT PRICE INCLUDES: Complete unit with ell weatherstrip,
�mcluding meeting stile interlock system epplied. All hardwere is
applied or induded. Water repellent preserva[ive treated. Ex-
>ztior surfeces primed. Basic jamb width 5". Frame with hard�
Unit Dimension
Rough Openiug
Basic Unit Size
Glass Size
oa'�>_
,..mm�n
� � � F
9,_9y ,,
9'7X"
9'6X"
24y,"
�5-�� �XX�
j • Insu]ating Glass with (2) screens . . . . . . . . . . . . . . . . .51499.55
•1" Heat Mitror Insul Glass with (2) screens . . . . . . . . . . 51848.55
�'
o�'T`
.. � � n
: m io e-
�m
Unit Dimension 15'9%"
Hasic Un�t Size 15'6X" ` �
Glnss Size 42K" \ �
\(
HES-16 OXXO
-:' Tnsulating s with 12) screens . . . . . . . . . . . . . . . . .
'I' Heat Mirror Insu 'th (2) scr�
�p
7
�
5" � NOTE: Framing with proper
header support is critical.
�., ,�� ;� These ere not load beering
uuits!
Heat Mirror
�
Hwd
I Sill
Vertical Section
vare packege and screen "H" channe] in one certan. Door panels
and screens (eatruded type "A") in separete car[ons. Speci(y 1"
insulating glass, 1" Heat Minor 88 insulating gless or 1" Heflt
Mirror 66 Sunbelter insulating glass.
Unit Dimension 11'-9$" "
Roug6 Opeuing 11'714"
Basic Unit Size 11'67�"
Gless Size 30X"
� � a �
o � � �
� fp {p h
ees-�z oxxo
1" Insulating Glass with 12) screens . . . . . . . . . . . . . . . . .31571.00
•1" Heet Mirror Insul Glass with (2) screens . . . . . . . . . . $2014.10
LIST EXTRAS
CLEAR EXTENSION JAMBS (LOOSEI:
4%" or 5'b" Up to
Wells 7" Welle
OOXXO...... 822,80 E42.00
HES-1 XO...... 24,70 45.50
HES-160 0...... 28.50 52.50
SCREENS: WOOD GRILLES: Wriced per penel)
Coloaisl Diamoud
Colonial Surtomd Surround
HES-10 �. ....$74.90ea. $36.25 ee E56.00 ea $ 80.50 es
HES-1 ..... 80.30 ea. 40.80 ea 61.60 ea 84.80 ea
HE ....... 88.80 ea. ' S0.95 ea 73.30 ea 118.20 ea
ted Gleee � Bronze or Grey, Add per door panel .......$72.40
Key Lock�Add ....................................826.50
•Note: Specify Heat Mirror 88 Insuleting Glass or Heat M'vror
66 Sunbelter Insuleting Glass.
Rough Opening �
Basic Unit Wid[}
� I I I
m o0
S c -� _
.c p ___=,� � � . �\
� < - --� �
m o�c � _� �
I I .
Not to cale
Uni� Dimcnsior
Narizontal Section
eptember, 1988 SET�UP UNITS CANNOT BE RETURNED FOR CREDIT
�
` CASEMENT P1�;TURE WINDOw'S
` ��� 35" Glass Height �❑� 47" Glass Height
Uni[ No. Rough Opening Unit Dimension
15-43-15x35 7,33h„x3'S" 7'S�/s"x3'65/�r„
1i-47-ISx35 7'7:t5„X3,5„ ��9��,�x3�65,i�,�
15-59-15x35 g��aG„X3,5„ 8�9�� „X3,65�i6,�
19-43-19x35 7'l13/a��x3�5„ 5,1��z"X3,65,�a„
19-47-19x35 8'33G"x3'S" 8'S�/z"x3'6��is"
19-59-19x35 9,334„x3�5„ 9,5�� ��x3,bs�i6„
23-43-23x35 g,�3,a„X3,5" 8�9Y2„x3,65,i�,�
23-4�-23x35 8'11aG„X3��„ 9���� "X3,6546•,
23-59-23x35 9'11?4"x3'S" 10'1�/rz"x3'6?'is"
� ❑ � 43" Glass Height
Unit No. Rough Opening Unit Dimension
15-35-ISx43 6'7�3/a"x4'1" 6'9�L^"x4'25/ir,,,
IS-43-ISx43 7'3�/a"x4'1" 7'S'/z"x4'25/m"
15-47-15x43 7'73(a"x4'I" 7'9�/z"x4'254r,,'
15-59-15x43 6'7�i/a"x4'1" S'9'/s"x4'25/ie„
19-35-19x43 7'33/a„x4,1" 7,5�/z"x4'25�ic"
19-43-19x43 7'113/a"x4'1" ` 8'1�/^"x4'25/is„
19-47-19x43 � 8'3�/a„zq,1„ 8'S�/„x9'2s/ie„
19-59-19x43 , 3/a„ 9,5'/'s„x4'25dc"
23-35-23x43 7'l13/a"x4'1" 8'1�/2"x4'25/is„
23-43-23x43 ra 8'9�/s"x4'25/is„
23-47-23x43 8'11a/a"x4'1" 9'1�/s"x4'25/is"
23-59-23x93 9'113/a"x4'1" 10'1�/z"x4'25/is„
Picture Windows
� Unit Dimension 3'6�/s„ 9,2Us„ 9,6�/e„ 5,6�/a„
, Rough Oprning 3'4y" 4'0%+" 4'4Ya" 5'4�"
� BnsirUnii. 3'3��/is" 3'l1�Vis" 4'3��/�s" 5'3��/�s"
_� � � �
N �
� N M
^' M �^ 4335 4735 5935
N� [ \ � �I � �
N � �
� � e M 3543 4343 4743 5943
� in �n � � �I �
c'v 'v 3547 4347 4747 5947
� � � �i �� �� C�
b, ;� ;� 3559 4359 4759 5959
f
I
�
Unit No. Rough Opening Unit Dimensian
15-35-ISx47 6'73/a„x4'S" 6'9�/ „x4'65,ir"
15-43-ISx47 7,335„x4,5„ ��54�"X4,bs�i6"
IS-47-15x47 7��34„X4�5„ ��9��_„x4,b;,ie•,
IS-59-15x47 8'73/a„x4,5„ 8,9�/s„x4,65�ic„
19-35-19x47 Y33p�•Xq,S„ ��5���,.x4.6"i�•,
19-43-]9x47 7'll:i4„z4,i„ 8,1�/„x4,6;,ic"
19-47-]9x47 8'3:t4„x4'S" 8'S!,�"x4'65�ir„
19-59-19x47 9'33/a"x4'S" 9'S�',"x9,65,is„
23-35-23x47 7'll?4„x4'S„ 8'1�/rz„x4,65�id'
23-43-23x47 B'73/a"x4'S„ 8'9�/2„x4,65,ie„
23-47-23x47 8'ila4„x4,5" 9'l�/2„x4'65�is„
23-59-23x47 9'11�/a"x4'S" 10'P/s"x4'65/is„
� ❑ � 59" Glass Height
Unit No. Rough Opening Unit Dimension
]5-35-ISx59 6'73/a„x5'S„ 6,9�/rz„x5'65�ic"
,15-43-ISx59 7'33/a"x5'S„ 7,5�/ „x5'65,is„
15-4ZLSx59 7'73/a„z5,5„ 7'4�/z"x5'65,�a"
15-59-15x59 8��3�a,�X5,5" 8,9��2"x5�65,m„
19-35-19x59 7'33/a"x5'S" 7'S�^„x>,6;,ie„
19-43-19x59 7'll�/a"x5'S" 8'1�/2"xi'65/is„
19-47-19x59 8'33/a"x5'S" 8'S�/z"x5'65iie„
19-59-19x59 9,334„x5'S„ q,gy„xgr65���rr
23-35-23x59 7'113/a"x5,5„ 8,1�/s"x5'65,ie"
23-43-23x59 8'73/a"x5'S" 8'9�i§"x5'65/�e„
23-47-23x59 8'1135"x5•5„ 9'I�/ "z5'65/is„
23-59-23x59 9'Il3/+"x5'S" 10'1�/2,•z5,65,is„
Other Combinations
Hurd casemen[ and awning windows are builc on ��
the "building block" principal. Therefore, nearly
endkss combinations can be achieved.
To figure rough openings, add together the
basic unit sizes and add ��/�s" in width and ��❑
s4�" in height.
Example:
1535 Basic Unit Size is 1'T�/is"x3'3�!4e"
2735 Basic Uni[ $ize is 2'7�!iis"x3'3��/is"
1535 Basic Uni[ Size is 1'7��/is"x3'3�bis"
5'll�/is" x3'3��iis„
Add for Rough Opg. ��/�e"x 15/is"
Rough Opening 5'II3�J�� x3'S"
�+�-�-�=000
1535 2735 1535
Basic unit size: Deduc[ (rom rough opening: ��/is" in width; 154e" in height.
' f'F?.
B, ,"r-
1. � � �� "�� �
I �� � 4 j •'f
i
! � � i,.�
� . 1 � � :1 . . 1 { �
s� �
�,.�,.�,_,:_�
A
�
� � CASEMENT V� YNDOW SIZES
Basic Unit 15"-Glass Width
UnirDimension 1'IOUs" 3'S�arie" 5'I�/rz" 6'9�%is° 8'4�ie"
Rough Oprning 1'8'/+„ 3,4„ 4'll�/a" 6'7�" 8'3%"
6asicUni[ 1'7�bis"3�3�'e" 4'll�/is" 6'6?4" 8'2�iie"
� � �O � �o o�oo 0 0
� p� h
N N N �.�'� �S2%'2 ISZ!'3 IS?%'4 �SZ�-S
— ' C� � � ��' �
�`" `� t531 I531-2 1531-3 1531-4 15�1-5
= ; p � ����, � C��� � �n� �
� ii;
`� ""� 1535 153i-2 1535•3 1535-4 153i-5
N =` � � _ ��� � �'' � i ���
R T m
1543 1543-2 1543-3 1543-4 1543-5
r- � � i � Tr
�o �n \ �.-"I I4S'J ����. ��'' �'�II� ����"�
< V P
1547 1547-2 1547-3 1547-4 1547-5
-, -„ � , ; s� —� �
� '' ��"�1 ��! �
� ,
� � ; J='� �'_ �.��_ '_��'
N y h
1559 1559•2 1559•3 1559-4 1559-5
=m � J ;;�, �; C�il y��� � i '�,i��!�
� � � � � �� �� ������ ������ ,�,
���
1571 1571-2 1571-3 1571-4 1571-5
Basic Unit 19" Glass Width
UnitDitrcnsion2'24s" 4'l��iis'� 6'1�,9" 8'I�iis" 10'O�,e„
Rough Opening 2'0%„ 4,0,• 5'Ii�/" 7'11�" 9'll%"
BasicUnit I�II��/I6���J�II�IB�� S�IIVIB�� %�IO�1�� IIO'/I6rr
o_ ` � � � '�' �
_ „ �
`� �' ^' 1927 1927-2 1927-3 1927-4 1927-5
= = � � ���=� �_���� �—�
N � �
.n M N I9"i.I IJ3I-Z IS 'S I9'.Ii'A� .tS:ii-S ...
� � ; � � ,\�J� u_ �� � —�!���
m n i� 19y5 19$S-2 1 S 1985-A 1885-5
� � = � '�� '�� �_I �.��,�� �'�'�
<e�
194� 1943-2 1943-3 1943-4 1943-5
'` � '� ''_� ' �'' �_' � .i�"�� )
;o �,,� � Lr d. :, I. �. � 1��,� �
< Q T
1947 1947•2 3 1947-4 1947-5
�o �n n ��� ��jLll 1�II��i ���JFiZ����' i1�J!����,�!-
in 1(J �n
1959 1959-2 1959-3 1959-4 1959-5
."�o �n c�., �I� Ir 'I, IIL��II �_ ��i�_ �I�. Y l�f�,!�'I� ��I_
:o '.e �o
�s» is�i-z ys�i-a is�i-a is��-s
`� � iti �:� ,s*� �':?;:;
Basic Unit 23" Glass Width
UnitDimension 2'6�/e" 4'9�a/is"7'1�/rz" 9'S�/�s" II'8�/e"
Rough Opening 2'4y" 4,6„ 6'll�/" 9'3�" I1'7y„
BasicUni� 2'3"/�s"4'7?�S" 6'llbis" 9'P/�" 11'6'iis"
� � "� � � � �-=�
O � ^
^' �' ^' 2�27 2327-2 2327-3 2327-4 2327-5
� � � � li � .�'. �� �II� p �G �
N
'^ n"' 2331 2331-2 2131-3 2T31-4 2331-5
�� p � �� �� ����� ,, �J.
� y e1
t� e') t� z.•Z{a '�{35-2 23.1]'3 'L:i3J-4 2535-5
ry ' � '� �� I� 'r li]��,I - I�"�ll I I�
_�
'� '�' 2343 21d1-2 2943-3 2343-4 TSt� 5
f�� '���' i �i.
� � \ � �� � �' � ��� ! Ikj��r
c a < �
2�17 2347-2 2347-3 2347-4 2347-5
� � � � � -�-� ����� :���,;�,�� �
2359 2359-2 2359-3 2359-4 . 2359-5
��� � ; ,;.�;�;� ���s ;
���
zsn zan-z 23n-s zs�i-a zan-s
Basic Unit 27" Glass Width
Unic Dirrension 2'10�/s" 5�S3iia"8'Il!" 10'93-ie" 13'4>/e„
Rough Opening 2'8%„ 5,4,• 7'll�/a" 10'7�" 13'3y"
Basic Unit 2'7��/�s„5,33s„ 7'll'/ie" 10'6�h" 13'2�iie„
� � M � �J�y� � � �.�� ���� �'9��
^"' ^ 2735 2735-2 2�35-3 2735-4 2735-5
_ � � .J—�,:� , ,—Z.��� :�=j,-1'—�l]
p e� 2743 2743-2 2743-3 274�-4 2743-5
I—v ni� � -�,� ��'� ,� ;I�
b N M !J ��uJ � J� t���
a' e e
274 27�2 2747-3 747-4 2747-5
�N
Venti�esigna� s . _ - � -
Left Hand Stationary Right Hand
(�-- ', i
\/U.J' ��' ' �
As viewed trom outside.
� r
" a � �t� , ��:,.���
City of Costa Mesa
MEASURE "G" EXEMPTION
Plan Check #
Permit #
Address: 482 East 20th Street
Applicant: Warren
Exemption # 89-290
Case #
FACTS:
X❑ Residential ❑ Commercial/Industrial ❑ Other
❑ Existing Lot ❑ Not Part of Larger Project
Unit:
e
Project Description: Install new windows and doors in six locations
No. of Dwelling Units 1 Gross Floor Area �A Square Feet
F.A.R. NA
Estimated Traffic Generation: NA Avg. Trips/day
FINDINGS:
The above described project is exempt from compliance with Measure "G" for the following reasons:
❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross
floor area is equal to or less than 10,000 square feet or has an average daily trip generation
of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot,
and is not part of a larger project.
❑ 2. Project is a residential project of four dwellings or less on an existing lot.
0 3. Project is residential construction that does not increase the number of permanent housing
units on the parcel where the construction takes place, such as remodeling or rebuilding of
an existing house.
❑ 4. Project is commercial/industrial construction that does not increase the footprint or square
footage or change the use on the parcel where the construction takes place, such as remodel-
ing or rebuilding an existing structure.
❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration
facilities, public parks, public utilities, and religious facilities.
❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals,
police, fire and safety facilities, and schools.
Exemption ratified by:
x❑ Planning Commission Date Macch �3 ���Q
❑ City Council
1648-30
Date
cos�a ��cs