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Home My WebLink About923 20TH ST - Building PermitsX x AVD�icant to flll in all spaces exeeo� those wilhin heavy Goraer Iines an0 sign all apvro0riate tleclarationz. CI7'Y,`�F COSTA MESA CONST�R1UCTION PERMIT ' . ProjectAddress ��3 �' �C �T� � Applicant's Mailing Address � Owner i Name o �✓ hone -�� Address � � C Arch/Eng. Licenu No. Address �Convactor'sNam �W Phone Addreu (mailingl City License No. LICENSED CONTRACTOR DECLARATION I hereby afti�m tnat I am licensetl untler pr0��sion5 of Gnarte� 9(commencing wi[n section 7000) ot Division 3 ot ihe Business antl Professions Cotle, antl my license iz in full torce antl etiect. License Class License No. Oate SignaWre WORKERS'COMPENSATION DECLARAY�ON I hereby aHirm that I have a certificate o/ consent to self-insure or a cer[ificate H Workers' Compensation InSuranCe, o� T certifietl copy thereof (SeCtion J800, Lab. C.) Policy No. Company eCertifietl capY is hereby fumishetl. Certifletl copy is filetl with the city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION D LARATION (This seclion neetl not be completetl it the p9/mit Is t o e hu retl (§100) or less). 1 certify tM1at in [he performante OI tha wo�k fo is i55uetl, I shall not employ any pe�son in any manne bject to the Worker�mpqnsa ws of Callfomi oaca �7�/ Si9nature 'NOTICE: I1, afler making this tleclaration, you shoultl become subject to the Workers' Compensa[ion provisions of the I-abor Cotle, you must forthwith [omply w1t1t such O�ovisions or this permit SM1all be tleemetl �evoketl. CONSTRUCTION LENpING AGENCV � I hereby aHirm that there is a construction lentling agency tor the performance of tho work for which thi5 permit Is is5ue0 (Sectlon 3097 Civ. C.) Lentler's Name Lentler's Atlaress - - OWNER BUILDER �ECLARATIOIi I hereby aHlrm that I am exempt irom the Contractor's License Law for the following reason (Section ]031.5 Business intl Professional COUe: Any city or county whlch requirei a permi[ to construct, alter, ImDrove, tlemolish or repair any StrUclur¢, prio� to its issuance, also �equires the applicant tor SUCh permit to file a Slgnetl statement tha[ h¢/She IS IicdnSetl pursuant to tho provisions o1 Ihe Conlractor's LitenSe Law (Gnapler 9(ctlmmencing with 5¢ctlon 7000) ot Divizion 3 of the Busine55 antl Profession5 Cotle) or tnat he/she is exempt }1,be�efrom antl Ihe ba5is (o� ine allo9etl exCmp[ion. Any violation of Section Z'-j031.5 by any applicant for a permit 4ubjects the appliCant to a civil -, en f not more lhan tive huntlretl tlollars ($500�. I, as owner of the property or my erPPloyees with wages as their sole mmpensatiOn, will Co the wo�k, antl the SVucture i5 not intCntletl o� otferetl for sale (Section �064, Businezs antl Professional Cotle: The Contractor's LicenSe Law aoes not apply to an owner oi a property who builtls or improves lhe�eOn, antl who Goes such work himself/herself o� throug� his o� �e� own ¢mployee5, p�ovitletl [hat Such Imp�ovemenls are not intentlBtl Or otteretl for Shce. II, powaveq [be �ullding or Improvement is soltl withln ono year ot com- pleHOn, th0 Owner will have the burtlen of p�ovin9 he/she tlld not builtl or im- prove to� the pur0o5e of Sale). ❑ I, as owne� of Ihe property, am exclu5ively tontratting wlth Iicensetl mn- tractors lo tonstruct the project (Section 7046. Business antl Professions Cotle: The ConVactor's Cicense Law tloes not apP�Y to an owner ot proPerty who builtls or Improves tnereon, antl who conttacts for such projects witn a con- tractor(sl Ilcenze pursuant�to tne Contracter's License Law) 1 am aware that p�oof o( Meir Worke�'S Compen tlon i 5 uan shoul e p vitletl to me. ❑ I am exempt untler S�tlon ��r [hi5 reason a ,, cr ot � o � I hereby certity that I tyye reatl thls applicaUon antl stale that the above information is mrrect. yag/ee to cemolv w��h all city antl <ounty ortlinances $igndtur¢ /`� X Drivers' License or 55 CMF OB65�4fi, rev. 30/84 TYPE OF CONSTflUCT10N IJ NEW LJ ADD LJ ALTERATION LJ REVAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIONOFWORK/USEOPBLOG. -T�� Aiv F�U�,�_ TVPE OF PERMIT LI GRA�ING �L/J p� VNDATIO�Ny L�TSTRUCTURAL ❑ TENANT ❑ ELECTfiICAL I� PLUMBING LJ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sc�. FT, oCCUPANCv_ CONSTRUCTION TYPE VALUATION $ J�C�'J/� ZONE GRADINGCU.Y�S. ACRES— Remarks: / �(/i � .� l PLl Bar Sink Backflow Preventer Backflow Irrigation 7rinking Fountains . =1oor Drains °loor Sinks 3as Service / �UL�ESS I nterceprors Kitchen Sink Lavarories ?-Trap Roof Drains Reinspectian Fee $15 Boiler Duct - Under Ground Duct - Strucmral Duct � Vent�lating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating $ystem & Ducting ❑0100,000 BTU � 100,000 BT Reinspec[ion Fee White � Builtling; C?nary - Appl cdnt Pink - Accounting; GoltlanrOtl - ASsessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee - IANICAL � Hood or Type I ❑ Cano�y Type I I ❑ Refrigeration System ❑0-t00,000BTU 1��N System Repair/Alteration Fire Dampers Registers Issue Fea FEES A.P. # S Main Buildi E T Fron[ B Rear A C Righi K g Left Ping. Ref. # Planning Notes: Automatic WaSher Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas �Elet' Fan F.A.U. Fixtures Device Boxes Ouclets Switches Garbage Dispoul Generator 00�5 KW � 9809 9/10/B5 Zone Parking Req./Provided ELECTRICAL �I Transformer ❑ 15-50 KW j-"--j ❑ 50 + K W 5 KW Meter Oover100amps Sub Panel Mators OO-1 HP �1 :4 - 8 Inc. Solar �9�15 HP �16�15+ Microwave " Pole Li9ht Range Si9n ; Standing $ections Trash Compactor $ 3 I �- Reinspectian Fee $15 Issue Fae FEES �DEVELOPMENT SERVILES REQUIREMENTS: Zoning Approved By Building Approvad By �V Apolication Issuad Bv $ 3 610:0 TL Z O N I N G R E Q M T S FEES $ 3 SUMMARV FFEES � BUILDING PERMIT $ SMIP $ PLAN CHECK $ � � � PERMIT � PLUMBING $ ISSUANCE $ PIAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ S� MICROFILM �$ ��p/�//—(,/,/] MECHANICAL $ TOTAL FEE $ �..'LL+1� PLAN CHECK 25% $ CQNSTRUCTION ANDPLANNING POOL �PA w.APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1: Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � 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 & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System�Final 16. Rough Elec[ric Wiring 67. Fencing & Access Approval 17.,Rough Wiring Sign 68. APPROVED FOR PLASTERING 18� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 27. Duc[s, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL ; 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning �'��.' , 35. Final Gas Pipe-Test , 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing , 39. Water Service-Final ' � 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer ' � - 43. Backflow Irrigation . 44. .Landscape Irrigation SYstem � i 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING . 46. Special Requiremenn completed.. 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY � No. Date Aoplicant to (ill in all soaces ezeept thosa wlthln neary borticr Ilnes ana si9n all apvropriate aeclantions. C�� \;vSTAMESA CONSTRUCTIONPERMIT P M3N0. TRACTN LO�O;n UNITNO. . Project Adaress — 91.3 C�l, a2a�h �'� tinr-�i-� I��i � _ Apalicant's Mailin9 Address � �N1. `� OwneriName � �� Phone Address � /t% M-�{ • Arch/Eng. License No. Address /�� .�.�� Contractor's Nam G'� -� Phone�`�„-«=( Address (mailing) � Ciry License No. � LICENSED CONTRACTOR DECLARATION � I hereby affirm that I am Ilcensetl untler proviilohs ot Cha�ter 9(commencing with sec[ion 7000) of Division 3 of the Busineis antl Professions Cotle, antl my license is in iull forca antl ettect. , Litense CIazS License No. Date Si9nature WORKERS' COMVENSATION DEGLARATION ' hereby aftirm that I have a certiticate of mnsent to self-insure or a certlticate ' Wo�ke�s' Compensation Insurance, or d rertifietl copy thereof (Section ,800, Lab. C.) � , , Policy No. COmpany Certi(ietl <opy is hereby furnlsnetl. Certlfietl copy is filetl with the city Builtlin9 Division. Oate Applicant E%EMPTION FROM WORKERS' COMGENSATION DECLHRATION (Thissection neetl not be completetl if the permit is fo e hu retl (g100) ar less). , I certity thal in the pertormdnCe of th¢ wOrk fOr TI rm� K i55uetl, I' shall not employ any person in any manner t ect to the Worka�T�o$En oRT3ws of California. Date L � " J Si9nature 'NOTICE: If, after making this tleclaration, you should become subject to the Workers' Comp¢nsatlon provisions ot th¢ Labor Cotle, you must torthwith comply wilh such O�ovlsions o� this pe�mit shall be tleemetl �evoke0. CONSTRUCTION LENDING AGENCV I nereby atlirm that tnere is a construction lentling agency for tne oerformance of [he work tor which this permit is issuetl (Section 309] Civ. CJ lRnCer's Name Lentler's Atltlress OWNER BUILDEN DECIARATION I hereby a(firm that I am exempt trom the Contractor's Llcense Law tor the /ollowing reason (Section �031.5 Business ana Protessional Cotle: Any city or counry whicn require5 a permil [o const�uct, alter, improve, tlemolistt or repair any sVucture, prior to its Issuance, also reqWres the applicant for such permit t0 file a 5i9neU statemenl Iha[ he/She I5 licensetl pursuan[ to the provisions ot t�e Gontractor's LI<ense Law (ChaD�er 9.(commencing with Section ]000) of .,.Division 3 of t�e Business an0 Professions Code) or that he/she is exempt �:555�,,,'�nerefrom antl the basis /or the allegetl ez¢mp[ion. Any vlolation of Sec[ion ��'O�by any applicant for d pe�mi[ subjects the apP��nt to a civil -� en of not more Man tive huntlretl tlollars (E500�. 1, as owner o1 the properly o� my employees with wagez as their sole tompeniation, will tlo tM1e work, an0 t�e structure is not IntenOeG or offeretl lor wle (Section 7044, Bu5ine55 antl ProteSSional Cotle: The ContraCtor'S Li<enso Law tloes not apply to an owner oi a properly who builtls or improves lhereon, antl who tloes sucM1 work himself/he�seH o� through his or her own emO�aYees, 0/ovltle0 thal Such improvements are nOt intentlea or offeretl tor sule. It, how¢v¢r, the Duiltling or improvemen[ is soltl within one year of com- pletion, [he owne� wlll M1ave thc burden of provin9 he/she tlitl no[ builtl o� im- �rov0 fo� the purpo5e ot sale). I, as own¢r ot Ih¢ prope�ty, am exclusively cont�acting with licensetl con- tractort to cOnstruct Ihe Orole« (Seclion ]046, Business antl P�otession5 Cotle: The ConVactor's License Law does not appy [o an owner of property who builtlz or ImDroves lhereon, antl who coniracts for such projects with a con- Ira<lor(i Ilcense pursuant [o Ibe ConVactor4 License Law) I am aware [bai proof o� lheir Worker'S Compe�}atio i surance/�{�oultl p�/ov�itletl to Te. ❑ I am exempt qntler Sectionv "� G�� •!��C/�y. this reason Date ( /�"-�» Owner /�-�'� "�'Y � I hereby certity that'I have rea �is application antl state that the above Inlo�ma[ion i5 correcl. I agree c n0� vyiih I city antl county ortlinances antl state laws relating to b tlj� w ruc , ana hereby authorize repre- Sentative5 of�this Cily nf�d � bove-mentlonetl roperty for� Inipection purposes. — % ��D ts � Si9nature Date 2�� Drivers' License ar SS ' TVPE OFCONSTRUCTION LINEW U ADD LIALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORKNSE OF BLDG. � A �//�� TVPEOFPENMIT GRA�ING FOVNDATION STRUCTURAL ❑ TENANT ELECTRICAL ❑ PI.VMBING ❑ MECHANICAL . ❑ OTHER PROJECTDESCRIPTION SQ.IF'T. oCCVvarvCv— �1�_ CONSTRUCTION TVPE ✓_/�I VAIUATION 5 �O �� ZONE �GRADINGCU.YDS. ACRES Remarks: /� ! � iZ Q 7/7 Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Orinking Fountains Floor Drains Floor Sinks Gas Service OuUets Interceptors Kitchen Sink Lavatories Roof Drains Reinspection Fee � $15 Duct- Under Ground Duct - Structural Duct � Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,OOOBT Reinspection Fee � $15 CMF 0865�46, rev. 30/B4 White - Building; Ganary - qpplicant; Pink - Accounting; Goltlenrotl - Assessor Service Sink Sewer Cap Sewer Connection Solar �Col lecrors Soler Piping Solar Tank ' Swimming Pool w/Spa Urinal Water Clout Wacer Heater Water Service Auto-Wash Laundry Treys laue Fae Hood or Type I � Canopy Typell ❑ Refrigeration System ❑o-ioo,000aTu ❑ioo,000 System RepaidAlteration Fire Dampers Registers luue Fee A.P. �k � S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Plannin9 Notes: Automatic Washer Construction Pole Sub. Cooking Unit DisFiwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches ' Garbage Dispoul Generator �0-5 KW � $ 3 Reinspection Fee FEES DEVELOPMENTSERVICES Zoning Approved'By Building Approved By . � $ 3 9808 9/10/85 '� Z� Zone � Accessory Building: 1 . �wA .l Ivv1 I✓ x ' d�' O 1J � � Parking Req./Provided -y ELECTRICAL � Transformer ❑ 15�50 KW ❑ 50+KW SKW S15 Meter LJup to 100 amps Meter ❑over 100 amps Sub Panel Motors �0-1 HP �1'/: - 8 Inc.Solar �9-75 HP �76�15+ Microwave - Pole Light Range Sign ; Standing Sectians Trash Compactor luue Fee �e.Bi1 TL FEES S 3 Z O N 1 N G R E Q M T 5 � SUMMAR �AF FEES BUILDING PERMIT $ • �� SMIP $ �`S � ' PLAN CHECK• $ I 3� PERMIT . PLUMBING g �SSUANCE $ � ' PLAN CHECK 25% $ ENERGV P.C. $ • ELECTRICP.L $ D GRADING $ ` %PLAN�CHECK 50%, $ MICROFILM , $ �b� MECHANICAL $ TOTALFEE $ a PLAN CHECK �5% $ v� � �� s � t.CONSTRUCTION ANDPLANNING POO� SPA � � Date Inspector Date Inspector APP120VALS Permit # APPROVALS Permit # .�1 `Temporary Electrical Service or Pole �� 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement , .. 3'. Electrical Conduit Utility-Undrgrnd. 54. Forms 4:,Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE � 7. Footings , 9' � �' � 58. Electriral Conduit-Undrgmd. ' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9:' Water Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, O Undrgrnd. ' 1 , 70. Structural Floor System � 61. APPROVAL TO DECK � 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final 14. Rough Plumbing' 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access �Approval �, t7. Rough Wiring Sign 68. APPROVED FOR PLASTERING I 18. Rough Elearical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test ' � 72. Underground Flush 24.'Roof Framing � 9/ g� �y� 73. Undergrnd.StoregeTank OGas ❑Oil ' 25. Roof Sheathing 9 i,�� 74. Overhead Hydro 26. T-Bar Ceiling (Structurap �'Monocoat 75. Dry Chemical 27. �Frame and Flashing �� 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning �/ ��-,s !N�( v ON �,�n.. �(� ' CH< 35. Final Gas Pipe-Test �� 36. Hood or Canopy ��7/8� � E% �. 37. Final Factory Fireplace b ` �. - i � 38. Final Plumbing G � 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final ' 42. Backflow Preventer • • 43. Backflow Irrigation - , 44. �Landscape Irrigation System � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ,� C/ � 48. Special Requirements Completed 49. ElectricReleaseto�Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date � � • a r� STflUCTl1RAl APPROVAI ONLY SEPAAATE PERMITS ARE flEQUIREU fOR ELECTRICAL. PlI1M81NG. NEATING. VENT1lATIN6 ANO RfFaiGfRATiON iHOflK P�rr�it # ��= aoSUa THIS NUMSEfl MUST ACCaMPANY A?l thSPECTION RE�UfSTS 1•?N 9WUIiNGS WMEAF PEBSUNS ARE TO 8E ch4'tOVEO. WE SnGGfSS TH0.T THE STpTE OP :�i! IFORNIA UIV1510N OF 1NDUSiN1Al SAFETY 9f COt�SUITED fOH AODIi10NAt F:CtiIiAEMENiS. ; ; i r� . :_. . ��aPPRovE� �, of costo Meso b�itdir� �P� � CHY „ „ /1 _ / . /_ �x ar ?HESE KANS M� N'ITNOUT�MtIOR Al4R�AC yAl(E HO Ct�� pp DEff• iNE i� � GI��+ � Nlif � CO��uED Of FIAB�S AND Sf'LCICIf�� " � qpy VIOIAftON fA TO BE A PIR�'•1T f �R, OR AN �'�� ' CF AiVY CF TMf Pfk�N R�tSOYF10 VIO tE OR C�f=� I SUMING TO GtVE a E%CEPT IM SO p��tJNS OF iHiS CODE SN� ��' Fpp p� �{� WpRtt OR USf Vdi1CN IT AI1i�W� IS �' iHE ISSUi1NCE OF A PEiA!IT BTHE�e,�� .c�a�ior�s s�nu s:cr vx� f{ N iHENEf.fTER RL:'ua�nc mf coF�"rm� af a� y� � :0 Pt1�vS�AND SPcCIStCPT:�S Oftf'R� � y�• vG UPERl�� C.SBE� vG C'RF �E a� �� „ U I�qt�OF IHiS C(r.� � � �� p: ��ro 11TV _ � � � ��Yu:F_.��.� . .._ _ .�. Vn,A�� . 1� %� a;,Nf 4.� F� Zs fi�,' .o.� :� �_ _ � � '� � : :� �i. ��..uc'2 � 1 ` �'1'p ' ��'i: • ''� � ... , .__ .�_._ ... _..' "�",. - _ ' l ��.:� � - i�- :: << ��._s • . . . .:.•..... ., . � � _i..�.k.$'I i.t�l.' �r W'.� ..t, i.✓ i A � :ri ,.t ,;.- ..�c��T:'. � .I,; :'��,.', ; ;,;;'.. 'I' + _ . " ' . . ♦ i �.' • `.i.'� � .+ ., ^ t ,��V..,�: . . ; �.�', ' � aJ.' ' �' •�/:'JJI.' `i'n .. � � 1 � �, ' � � � � '; � ��'J �f : � . ; 9 � • � .. • � . .. • .. � 1 � r� . .� : ` . , „ y L i,• 'r a, '\� / • . I � t n � lil�:�._'!�r�l.. i • ' •� •� . ( i 1 �" l., S :1. ; I .: � ' F4 . •. ' ' � � ,. . , . •,��' �. � � : ^r; .3�.• •�';41<! IA V�..I.��_''..�}'.'�. -� i �� ' a � ,n .. , n�.c..�.� . . _ . .. . _. � 0 � .�Z �. ...._�.__�..-.._— ' .. _ y �- — ; - � �• ;• ii+qU .�::,�i.; d ��'x ;-':�1r• �'' ._ _— � � �S^ .'� . �1c� i'%f'.:'1�. ii, ,.2- , z;;o ; ',5.�.:Jf+, ,t�.ap'. � ;�n1�iC91?rti.:,.':, d:1«' •1 r �M � ' , __�+ i_ — - -- -- , � ,:i.I i _ ?�:a'ty-i : � ^ .,��• `,-�.• ., ..r. �' �I:,� (_ �n'i�'' .='�-� �. ! �t . .��, ^ ..t '_ __ i — ~ _ ____—'�'�" t ' ,' \ �4 �T �� v��i:(i :t!11' � � j. ,�i: jqt �, N' t1.32" . { �_:,1'•fl17,�flC.�L:ti+�i:., .,'. � { ��.�_-�---�- --. � � t <7 Y � n r � � M 20# ROOF CONNECTION n�onr�[ar DETAILS s�ncss n�� PATIO COVER CONT SOLID BLOCK BUIIAIAIG SF�FEPY DIVISION TYP. PLANS LEDGER RAFT fR OWNER: DATE � ADDRESS � PHONE � vz° D�A. X 5�� LAG S�R. CONTRACTOR= LIC. N0. AT sz" o.c. qDDRESS� PHONE� DETAIL I RAFTERS RAFTERS APpROVED FOR CARPORT, PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM, By Date SIZE SPACING SPAN SIZE SPACING SPAN � 2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. 9'-6" CR 9 CL "7EC0 GENERAI. NOTES: GRIPS OR JOIST 16" 8�-0" 24" 8�-0" HANGER 24" 6'-6" 32" 6'-6" 1. These plans must be CONT. 32" 6'-0" 48" 5'-6" kept on the job at LEDGER �_ �� ,� ,� ,_ „ all time during RqFTfR 48 5 0 2'x6 16 16 6 2"x6" 12" 16'-6" 24" 14'-6" construction. 16" 14'-6" 32" 12'-0" Z• All framing [o be 24" 12'-0" 48" 10'-0" Douglas Flr # 2 3�g�� DIA.X 5�� LAG SCR. �� i� grade minimum. A7 �(,' O.c. 32 10 6 2 x8 24 19 0 3.. Rafters may not 48" 8'-0" 32" 15'-6" DETAIL 2 2"x8" 24" IS'-6" 48" 13'-6" at[ach [o facia ex- 32" 13'-6" cept for 10# roofs 48" 11'-6" as shown on details; # 20I1 roafs must use 10 OR LIGHT WEIGH7 ROOFS 4"x6" 24�� 17�_0�� HEADERS a continuous ledger ONLY CONNECTION DETAILS 3z i5 0 LIGHT WEIGHT ROOF ONLY 36" 14'-0" attached as shown �2" x FaCIA-MiN.REO. 4"x8" 24" 21'-0" SIZE POST SPACING on details �il &i12. 32" 19'-0" 4x4 6'-0" 4. Ligh[ weight roofs 36" 18'-0" 4x6 9'-0" may attach to facia 48" 16'-0" 4x8 12'-0" for 14' span max., RaFTER 4"x10" 32" 22'-0" 4x10 15'-0" spans over 14' mus[ 36" 21'-0" use a con[inuous CARPORT, PORCH OR PATIO ledger as shown in 48" 20'-0" SIZE POST SPACING APPROVED METP.L details ll3 HANGER 72" 17'-0" 4x4 5'-O" 4x6 8'-0" DETAIL 3 4x8 l0'-0" • 4x10 12'-6" ¢�8� 4 � NOTE� SHOW AND DIMENSION PROPOSED PATIO COVER AND YARD AREAS �6 � � STREET PLOT PLAN s N 0 � � y � z 0 J 7 m F N X W E DETAILS ON REVERSE SIDE ROOF SHEATHING OVERHANG _X _ RAFTERS AT_ O.C. _X_BEAM � T-STRAP E.1. sir� To� Pos7'-BeA<� � LoNNEG T/ON. 0 � m a J N V 2 W � U D2oP PA�O v Il Z FCcn.e1^ �'.Z � iy � SLOPE TO Dr IN I I ^ o:, : o : . . . .. _ . ':.<.' . ., . .,. . . . . zb �a.G.i. �r.Asn�r,iG G'- �f/000 Ftoo,� GoN5r,2C�GTiCJN SIDE ELEVATION a � ?3 a z Z � W F- 1- 1- N a � c= Q ` O � � � O N Z U O W x J 2 z \ � V W � Z a � � Z O � r W O m Q i0 � -� � � i N � � J-1 _ J PIERS 12�� S0.-� W � Q ¢ � Z LL CONSTRUCTION DETAILS � Aop��cant to fill in all soaces except tnose within neavY oortler linos an0 sign all aoDropriate declarations. I CITY OF COSTA MES�,,,,,�ON$TRU�T�ON PEf3MIT Project Address rzl� 1�L rM�ts �Jf' Applicant's Mailing A��yr� •�ss �1� �� , Owner's Name _I T �Phone�.�L�%' Address '� M � Arch/Eng. License No. Address Phone Address (mailingl Citv License No. LICENSED CONTRAC OR DECLARATION 1 hereby aftirm l�at I am licensetl under provizions ot Charter 9(tommentln9 with section 7000) of .Olvision 3 oi the Bu5ine55 antl PrOt¢SSions Cotla, antl my license is In full force antl ettect. LJcense Class License No. Dale Si9nature WOHKERS'COMPENSATION DECLARFTION �ereby aHirm that I nave a certilicate of consent to selLinsure or a certificate workers' Compensation Insurance, or a e¢rfitied copy thereot (Sectlon 5800, Lab. C.) Policy No. Company • BCertifietl copy I5 hereby turNshetl. Certifietl copy Is flletl with the city Builtling Division. Dale Applicant .EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection nee� not be completetl if the permit is i ne huntlrea ($100) or Iess). I certify that in the pertormante of th¢ work fo ' ii p rmk is issued, I 5M1a11 nol e ploy ny person In any manne b �Subj¢<i [o (h¢ Worke o Laws of CaliPomia Date Si9nature _� .'NOTIe . I(, af er ma ing this declaratlon, you shoultl become subject to the Worker' COmp¢nsalion provl5ion5 ot [hG Labor Cotle, you must Porthwith �comply with such provisions or [his pe�mit shall b¢ tle¢metl r¢vok¢tl. CONSTRUCTION LENDING AGENCV I nereby affirm that there Is a constructlon lentling agency tor ihe performan<e ot U�e work lor which this permit is issuetl.(Sectlon 3097 Clv. C.) LenEer's Name �enaer's AtlGress OWNER BUILDEN �ECLARATION 1 hereby atllrm that I am exempt trom Ihe Contractor's Licensa L.aw for the followinq rcason (Settlan ]031.5 Business antl Professional'Cotle: Any cl[y or county wnich requires a permit to construct, alter, improve, tlemollsn or repair � any structure, pri0/ lo It5 issuance, a150 requires the aDP�icant to� such permit t0 /ile a SignCtl statement that he/she I5 licensetl pu�suant to the provisions Of the Contractor's LicenSe Law (Chapter 9(commencing with Set[ion ]000) ot livision 3 0l the Busine55 antl Protessions Cotle) or that he/she iz exempt nerebom antl lh¢ bd5is 10/ Ihe allegetl ¢xemp[iOn. Any violation of $ectlon /031.5 by dny ap0licant for a p¢rmil subjects ihe applicanl to a Civil pe Ily of not more [han five huntlretl tlollars (E500). � as owner of Ihc propCrty or ^qL6L ' `"'^^'�—le ; will tlo Ihe wo�k, antl IhC struc[u�e is nOt intenEetl o� ofleretl for sale (Section 7044, Business antl Professional Cotle: The Coniractar's License Law tloes not appty to an owner of a property_wha builtls or improves thereon, antl who tloes sucn work himself/nerself or throu9h his or her own employees, provitletl that such improvements are not in[entletl o� offe�etl fo� � sdl¢. I/, hOwGver, the builtling or imp�ovement is Soltl within one yea� of com- pletion, [he owner wlll hav¢ Ihe bu�tlen ot proving he/she tlitl not builtl or Im- p/Ove fo� the purpose of sale). - ❑ I, as owner of the property, am exclusively contraCting with li<ensetl con- traclorstd consVuct lhe project (Section �044, Business antl Professions Cotle: Tne Conlractor's License Law tloes not apply to an owner of property who builtl5 or Improves lhoreon, antl wno Con[�acts fo� such projeCtS with a con- t�actor(5) license pursuant t0 the Con[�ac[or'S License law). I dm aware that proof ot Iheir Worker's Compenytigp�silrance euld b provitletl to me. ❑ I am exempt untler Section /" y' §/�C. r ' rp son Oate / �/� � �� Owner _� I hereby certity tnat I nave rea this a intormation is wrrect. I a9re y antl state laws relating to Itl' o sentatives ol t�is ci u inspectlon purposes. � Siqnature Driver5' LlcenSe or 55 � ' tion antl slate that the above all city antl couniy ortlinances i, and hereby autho�Iie repr¢- bove-mentioned Property ta� � Dat� _;C�.�3/D� �l-�I�I �v� � ....,,,.�. TVPE OFCONSTRUCTION NLJ E�J LJ ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMO�ISH ❑ OTHER DESCRIPTIONOFWORK/USEOfBLDG. R �'�'� O TVPE OF PERMIT RADING FO NDATION STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5a.y. F/T'. �/ � oCCucArvCv e.o CONSTRUCTION TVPE+..F ' y VAIVATION S•'�� 20NE GRADINGCU.VDS. ACRES Remarki: Sink ktlow Preventer kflow Irrigation Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Interceptor5 Kitchen Sink Lavatories P-Trap Roof Drains Rainspactian Fee � $15 Boiler Duct � Under Ground DUCt - $tructulal . Duct - Ventilating Eahaust System ❑ Multiple Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspenion Fee � S15 CMF 0865-a6, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor Showers Service Sink Sewer Cap ' Sewer Connection Solar Collectors Solar Piping � Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-�oo,000eTu ❑ioo,000 System Repair/Alteretion F ire Dampers Registers FEES $ 3 FEES $ 3 A.P. # � � � 5 Main Building: E T Fmn[ B Rear A C Right K . Ping. Ref. # Planning Notes: I171 3/I7/ ,b 7 � Parking Req./Provided Zone ELECTRICAL ' Automatic Washer Transformer ❑ 15-50 KW Construction Pole Su6. O 50 + KW � Cooking Unit Meter ❑up to 100 amps Dishwasher - Meter �over100amps Dryers �Gas ❑Electric Sub Panel Fan Motors �0.1 HP �1:4-8 F.A.U. Inc.Solar �9-15 HP �16�15+ Fixmres Microwave Device Boxes Pole Light � Outlets Range � Switches Sign Garbage Disposal ' Standing Sections � � Generator �0-5 KW �5-15 KW Trazh Compactor — Fee �$15 � � luue Fee DEVELOPMENTSER Zoning Approved By_ Bui�ding Approved By Aooliwtion Issued Bv. Iio FEE$ $ 3 Z O N I N G R E Q M T S SU R FEES ' . �^O BUILDING PERMI7 $ ___� SMIP $ 1 PLAN CHECK $ PERMIT PLUMBING S ��UANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING 5 PLANCHECK 50% $ � MICFiOFILM 5 �� MECHANICAL �3 TOTALFEE $ PLAN CHECK 25% $ T'_ .r , , �� CONSTRUCTION AND PLANNING POG . SPA . ,' APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Polc . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd, �` 54. Forms 4. �Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcerrient 56. Rough Plumbing & Pressure Test A 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � a 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final 12. Sewe��Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing � - 65. Electrical-Final ' '•15. Rough Electrical-Conduit 66. Solar System-Final 76. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING , 18. Rough Electrical-T Bar Ceiling 69. POOL(SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , . 73. Undergrnd.StorageTank OGas ❑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 ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service-Final 40. Gas Service-Final � • � 41. Solar.Domestic-Final 42. Backflow Preventer � 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING �_ a �� 48. Special Requirements Completed 3 (� �(JB � �'�' 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date 'OWNER llULHiV�YH'1'1ill:K DATE ' 1G-" �JOB ADDRESS 49� w_ 9�th st._ BUILDING PERMIT N0.'�A27q Ih_. SUBCONTRACTOR WATER BING LINE rIH0U5E CON. ROUGM NEATING AND AIR CONDITION TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES � FOFMS STEEL BONO BEAM n STEEI SHEATNING FRAME AND FLASHING LATHING - IN n Ol PLASTER, BROWN COAT Sl URFI, FINAL HEn..dG. VpNT.. REFRIG EI A.C. ELECTRIC, F�NAL Ii�ryl � /TU' � RIIIIllluf. PIMGI O I/ii . ,382�,9 =. - COSTA MESA BUtLDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant to Fill in Completely BUILDING CJ�'� � aV — �CT ADDFE.^a5 Z . wW d U HZ Z Q O v~i am J � J � Q W ¢] J . ¢] J Q U N Za W � aW W Z J Q m z J � W w O= Z F- w� �O F z Q U J a a Q � F y Z 0 F U � � H y z OWNER `A MAIL ADDRESS C�TV C CANSiFUCTION LENDER BRANCH ADDRESS ARCHITECT ADDRESS CONTRACTOF ADDRESS CITV STATE LIC. NO. SIZE OF lOT USE OF E%ISTING BLDG. SIZE OF l4�C14 TEL. TEL. NO. CITV LIC. NO. INO. O LF B�DC . NOW ON LOT NO. OF ROOMS STOF ROOF COVERING D WOf1K TO BE PERFORMED I hereby acknowledga that I have reatl this application and state Shat tha above intarmation is co��ect end agree to comply with all laws .ae�ia��e builtling consiruction, end I shall not employ any person in violation of the workman's compensation laws of the State of Calitornia. I heraby certity [hat 1 am properly licensetl as a conSractor under the State of California eusiness antl Professions Cotle, Divisicn 3, Chapter 9, and thac such licens in tull forca antl effect, or 1 am exempt from tl�e provisi s of Sta t Calit n' Bu ' ss antl Profe55ions Cnoe, Di " ap Signature of Pe�mittee A�ihorized Agent BUILDI�G (� ADDRESS � TRACT OWNER FIRE 20NE APPqOVED rR 12-7��;�`:00 s39•- :.- ,'4.5C - FOR BUILDING PERMIT DATE V' I V n ZO�L.� \ NO.OF � I USE OF NEW CJOi.1tl � C� � � ev.r�s eui�oiN� To GAf VAPDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BVIIDING OISTANCE BET MAIN BLDGS. VAR. # C.U.P. # FT. .. BET. MAIN & ACC65. BLDGS. DATE APPROVED r.�r� C-1/�'� � / � � SQ. FT. � � o THE AMOUNT SHOWN UNDER VA�UATION IS FOR � THE PURP06E OF ESiAeLISHING A PEFMIT FEE ONLV: ¢ VALVATION �'�'}j m r PERMIT FEE $ c' O "� � m $ AD �� PLAN CHECK $ E a LL TOTAL FEE $ ER DOLAY P. DATE � ADDRESS 923 4d 20th Street BUILDING ` 1. 117-714-L� LV INSPECTIONS SOIL (�AS lM�TER ROUGM GLUMBING PROP. SwR. LINE � MOIISE CON. SPAINNLING SYSTEM MISCELLRNEOU$ ROtIGM ME�TING �NO MR CONOITI TEMGOR�RV SERVICE OR POLE UN�EAGROUNO � POWER � AOUGM WINING TRENCHES FOAMS ST! FLOOR SY�STEM � BONO BE�M �] STEEL REINFf SME�TNING FF1ME �ND FL�SNING L�TMING - IN �I OUT n PI 'cp, BROWN CO�T 5 fUN�L. FIN1L HE�TING, VENT., AEFRIG. �ND �. PLUMBING, FiN�L �N� G�5 TEST E�ECTRIC. FiN1L NIIII OINf. FIN1L i SUBCONTRACTOR �� y1s. �d �yc�sG�7�v��di�J'" % � yo �i�i1 oi✓ N�/1�7/7/a'�✓ � G-S/ =S COSTA MESA BUILDI �r P.O. BOX 1200 COST� � • For Applicant to Fill in BUILDING �� ADDRESS OWNER OR 1 • TENANT MAILING � ADORE55 CITV, l. CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT Ci._..�.L ✓� � 'DEPARTMENT IFORNIA 92626 � — Use Ink Only TE A.P. NO. // � ^' 1 BUILDING ADDRESS 9Z � UNIT OR SPACE N TR.NO. LOT NEW ADD ALTER OWNER VSE AJRAII.II RA3, PERMIT/ ' � �.; � .� , `'� T�' � �`l� Y %Q � � / BLK. MOVING DEMOlISH ALUE $ APPROVED CONTRACTOR C � � BV DATE � � ADDRESSS / A � r� �� CITV NOL� I'I�/J� �"' ` Q -/�/� '72 APPROVEDSETBACKS � LIC. NO. / ( 5S� �f LICVNOJ.�[�/J SIZE A, $� NO.OF BIDGS. (FROM C/LSTREET) � OF LOT¢S T/ x/UJX/`�X�f� NOWON LOT � RONT � USE OF � � EXISiING BLDG. T h � Separate permits are required for i Q electric, plumbing and heating work: q T. F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a - � G Q ,�I {{ DATE Q :� �J � �S� �"��y � PFPROVED � e D APPROV6CI _ � /J • y, C.(IC/r'C ' . .d a w 0 I hereby acknowladga that I have read this applicetion and state y� that the ebove informetion is correct and aBree to comply with 4 all laws regulating building construction, and 1 shall not amploy � 2 any parwn in vialation of the workman's compensaSion laws Of d � the Staia ot California. � 3 I hareby ceriify ihet I em properly licensed as a contracior untlar SQ. FT. N the State of California Busines n Profe ions Cotle, Division 3, THE AMOVNTSHOWN UNDER VA�UATION IS FOR m Chapter 9, and that such li s ere i II torc ntl eftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: " am exempt from the pro ' ot t tate o I' ia Business� VALUATION PERMIT FEE $ �� a antl Professions Cotle, r �+ m Signat f P.N CHECK E '^ /' 0 Permi tee $ 3Q�� TAX $ LL or v Authoriz tl Ag i Date TOTAI. PAID $ �� L� F � W a a � z F C W F Q C ...1 Q 7 } ...1 C v� a� O � z W S 3 '� 4 � '7 + � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ [o Fill in Completely — Use Ink BUILDING ��J�rJ �-'t' ��:}i1�.srL ADORESS (. 7 �V� � JI N.�CC OWNER �/� �� {�O (�'�tiy ADDRESS {'LLI ��' �.-FJ� �� CITYCi�+SIN+ �C1'il�S.�Q NOLlL' BRANCH , ADDRE55 ARCHITECT ADOFESS j'Q CONTRACTOR ADORESS � /'SL� � `��(�S �r" % ~+ TEL. �� • CITV l�'(„3p,i�G1, �.Cfa.(Jj,}- NO. ��",�j� LIC. No. 3 3�j i�3 IICyNO�/ ,� SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF CY��I r.- /`,s __�'�' E%ISfING BLDG. _J '�.� C¢FVL � Separate permits are required for electric, plumbing and heating work. USE OF BUILOING AND WORK TO BE PERFOflMED I hareby ecknowledBa thet I �eve reetl this application enG rtete that the ebove Informatlon is correct entl agrea io comply wiM all lews regulatinp builtllnB �onrtruction, antl I shall not em0loy any ponon In vloletlon oi the workman's compensation laws of tl�o Smm ot Califarnle. I hereby cettify t�at I em propnrly Iicanmtl ae e eonireeior unGer Sha Smia of Callfornio Businesa and Profauions Cotla, Dlvlslon 3, Chapter 9, antl Nat such Iicensos are In full torca nnd effoct, or 1 em exempt irom ihe D�oviaions of tho Staro of Calitornla Buslness antl Profoasia s C � Dlvislon 3, C jer 9. ` Slgndturo of , / Pormlttae_ ^� AuNorized ABent � R BUIIDING ADDRESS TRACT ZONE ��8�12 8/30/78 48.50 .:.. , �. 1FORSTRUCTURALPERMIT DATE RECEIVED D E SSUED - � O� PEF T NO. / �� LOT BIOCK . I � /_ / E ��/ $ T P GROU i DATE OF USE OF NEW �NS BUILDING VAR�S APPROVED MAIN BUILDING FROM GL STREET) etT VAR. $ C.U.P.q APPFOVE� BET. MAIN & ACC65. BLd DATE APPROVEO THE AMOUNTSHOWN UNDER VALUATION IS FOR THE PURP06E OF ESTABLISHING A PERMR FEE ONI�Y� VALUATION PERMIT FEE b o � �� AN CHECK E � $�V !/ V TAX S TOTALPAID E N � m i m m � 9 a N m m LL F u TL 1� OVVNER GENERAL CONTRACTOR AP No. 115-5}J�=25 LOT 7 'ECTIONS Sou Gas �_ OCCUPANCY FORM BU4 - SM — FIRP ZONE DATF � GROUP BUILDING PERMIT NO. VALUP $ $�QQ,00 D�SCRIP7'ION OP WORK TYPE V 7,ONE SUQCON7'RAC'1'OR �I ; �; � 17523 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Appliean+ fo Fill In Complefiely TYPE OR PRINT BUILDING ^T':_ ADDREb9 � �I COSTA MESA. CALIFORNIA � MAIL 61ZE 4$''— �io.c�.: —$9.�6' I NO. OP eince. oF �oT 11�iK�— 103.1� V wow o� Lot U6E OF EXI6TING BLDG 98TBACK LINB PROM � ceHieR oP �B%t t REAR YARD SIDE YARp I LEFT ` I RIGHT , DESCRIPTION OF WORK �BUILDING^�:».n� NO. AND WORK TO 1 H8R8BV �GKNOWLHDOe THAT 1 HAV6 hBAD THI9 APPllGT10N AND BTATB TNAT TH8 ABOVE �8 LOPNEGT AND AORCB M COM- PLV WITH �LL CITY ORDINANCEB AND 8TAT8 U1W8 RBOULATINO BUILDIND CON81AUCilOM. � /J� /J // SIGNATUR� OF�'� � � � PERMITTE AUTHORIZED AGENT FEE RECEIVED JUL 91962 FINANCE DEPT. APPL'FCAQFOF��RFJ�i�IT �� BUILDING For Offiee Use Only RBCH�PT NO. PONMIT NO. i iC/1 av I oer� wecerveo I ow su , COSTA MESA. CALIFORNIA FIRE ZONING 20Tj� NO. OF II��.. '' U8H OF ! I, � __' PLAH9 � BUILDINO —�rF �e.� 1 _ t _ � . ! ICEM6R LIN[ BTJ APPROVED TXH �MOUM 9HOWN UNDER VALUAT�ON IB FOR THH PURPOBE OP 88TABLIBMING A PEqMIT PEE ONLY. VAlUA7fON .�� PERMIT FEE $�_ %� � � S�(� /� ' PLAN CHECK S � CJ �� j 6 � TOTAL FEE v e � s 0 LL OWNER BRUNS, ROAHTtT i, �/ DATE ].1—Z3-5S JOBADDRESS g23 w, Z�t.�1 $t.. BUILDINGPERMITNO. ?�BEJ G�NERA� CONTRACTOR O�mer-bnilder VA�UE $ �i�.�� Add single unit to carport to �or 244 e�ocK TRACT 1712 �k 'n o a c�o d? car araQe GROUP 1 TYPE V ZONE Rl FIRF f]IRTRIGT 91f10 �•INSPECTIONS Footing Trenah Foundation Forms and Grade to Rough Framing � Plumbing, Rough to Slab _ Plumbfng, Rough Complete Temporary Pv�e Wiring, RougH � Heating, Rough -+Heatina. Final Sewer, House Sewer, St. �S :TankorCesspool L� .�ng, In Out� � Plastering Plumbing, Final, Fixtures Complel Piumbing, Final Gas Test Wiring,Final Occupancy � F'nrm 'I10 f:-FI l Fi00 1-55 DATE � SUBCONTRACTOR PERMITSISSUED DATE � NUMBER os a esa g epa en � 111 EAST 20th STREET " � � COSTA MESA, CALIFORNIA � FOR APPLICANT TO FILL �aa �`� 9a-3 v�J• � o +�" ..St" Costa Mesa, California Nearest Cross SL Owner �o�e21 �• ��5 Mail q w Z�.,Fy�, Address –/�3 r.irv �_.Pl �'�f9 i�i Qi%� rTdnl��.l �i%O orOWN2 I Lot I � tlon No. Z`F4 Block � T Metes and Bounds) No. of BIdg6 .ot 7ZOC� NowonLot N o. of Bldg. � I Families I �inefrom � L RearYard� �ATMP� �U ( ¢:asV�M � AltereHon � I I Movmg I I Demolish I ng No. of /O l� :Zo Rooms � Stories i ior Wall_ p -�,. , I Rooi �� I ina ,2rP-aic.�� Coverina Use of New " Buildin9. �, 0.-L.c��t e " -^/L�� /APPLICATION FOR PLKlvil� �09 BUILDING FOR OFFICE USE ONLY Receipt No. I Permlt N i ao � ' Received by Da Redd Dah Issu� �i;.-%'r I�� o l/- a 3- Buildin9��c� � `.- ^ �O �� Address J W Costa Mesa, California Nearest Cross St. C � �(j'(J � � / Zone� � I No. of I Typ :� Group' CORRECTIONS APPROVALS :`.� � (�L,�.�,, � � �' � �Under-Pinning- - C 4• G OSQ zL�� , r�am�e� Fire Stops, t�8olts I hereby acknowledge that I have read this Application —� and state that the above is crorrect and agree to rnmply Lath. Int �vith all City Ordinances and 5tate Iaws regulating building mnstruction. � Lath. Ext. Signatureof�� _, Q � � Permittee �"�'-�1-•� �-�2.��„�J Plaster, InL Valuation � s /� DD � gM y04 5-BP 2M B-53 Permit Fee $ ri O O i Plan Check $ • J a Total /� SO Fee $ ,() Masonry Reinforced Bond Beam O � �� i � ' r 1 YLV7L' Y!.?l1V Show Iocatian and distances from property lina and between buildings. � COSTD -'v"V �3-SSFDnesa ��8� '�`:rt.::� �p � n . ; �_ t,�, 4, -��r _ iD�3'�—� _,,.�,,,, C�RU�IZS � I _ _ _ _ � ��- _ — `,-^ ` 314TG1- —39 ", T �o W \ o I / � � ^� — j/) O � f� • / � � � O � � � �` o ` �24 � PoLE SU�PoP>T L El�S T17Pr�7 Z¢ � . � CS � � I UE.L]S R,/�.IL �1. _ PoST SuP�OF�'(5 = 4 �/z TELE�'Ho�E �LES �I- 3�-'x-�" F�-iS � � Z. _ Sf3lllc`iE�i -R�iU PbLTEb wlil-1 Z'/z" %�L15 G FL� F�i 3. . do is S Z' X�"@Z4 oc - i EAc� t-lA�iC�E�S ��i �s 4. I.�Atu nlc� �S c�E - 8d l?4LJ �/�d 6aW . �f r�. �2x4 !./a7�ZAL �. �Iu�1C-, d.1 DECIS �- 5�1� RL�MP �" NII�H. nIYI�KI" �� R/aIL �UPPd12f /_�T 9"�C ..K/�I L To vU ITN STaIJ b 400 Ll'i5. - Tt�� Eos�P Qt� /Q' � '� --------�� — i3'ia �� ^ . o � � ' a; x �_ Z4, 'c`'� � '�a3T SuYPDgiTS - - -S"TR I U4 ER � -2,•.-k 4X4 Pa5T5 A�1. PoS�tS wizAFt'Eb l�l _ SIDE �! I£4ll , ��c— ��s��E�`�� = p�P P R 0 V E D ------- � Ctiy of Costc Mesa Building Dept. _ , _a� _ --- ----- -�-- SHESE VCANS MUST BE �N JOB Ai ALL TIME� NO CHAN6ES WITHOIIT FRI(IQ ADVItOVe' ' • G� �S�F�11'�� :e� _ �� o �g: ' SV c.Ect.{'%'. ZxZ RQIL UPRIL�I-FTS �� '/�,IL Zx4 L�TE� L �RL�C .�X4.. �DF�, i Ub �.x �o� ,�l � —r`c Yic.A L !o P�4DE iZx�L� Z"X4'� } �'PU fi L I tJ S �� r11D �.Ia1ST SPA�1 � � � _ o �� z z o-a j �� cc o i� J z � !Q�a � l%i J � Q �L¢.l Z" � W J W � ? p_ U �t1lLE %4�= �� W ? Y��`•S ouL7 '/L' ¢ � LL = �. �, W ----- - - �—� �� : . .�Y .- :, _ . . I�1'-'" s��_-_� _t�. ; - 9r.�;-- I - �,_� ! • 1 J } , � .^�Q �� -r �: ' � ` \ �� . � ( , �'"' 1� 1 ' ��I 3 I �I L /-' - „ � � . . � `� ` � � _-�' � vE utrl_. iTHE 1SSt/ANCE OR GRANTING OF A PEP.MIT OR APP J4AL) OF PCAyS AND SFECIFICATIONS SHALL NOT BE CON iRUEU � TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY V LATIO"! I Of ANY Of THE PROVISIONS OF THIS CODE. NO PE . IT PRE. i StlhHN9--TO�VE__9U ITY TO VIOIATE OR �NCEL THE PROVISIONS OF THIS CGDE SHALL B �+ , EPi IN SU' FAR AS iHE WORK OR USE WHICN 17AOiHOR)ZES !S IAWF,llI�. I� THE ISSUMlCE OF A PERMIT BASED �PON PLANS AND f SPECIFlCNTIONS SHALL NOi PREYEyT iHE BUICOING OFF(CqC I FROM THERFAFfER REQl17RING iHE CORRECTION OF 64ROR� IN SAID PIANS AND SPECIFICATIONS OR FROM PREUFNTING BUIIDING OPERATIONS BEING CNRNI67 0�1 THER0.INDFR WHFil IN VIOIATION OF THIS CODE OR OF A. NY O7H�2 QRDpJ�VC�' OF. TH� �(j� /Q r tl 1 �� r 7 7 S C D _ \ Z d H � �� o "' U = U � ¢ Q � Z =o � � U � W W �ID m � �O t Z � Z J � � Q � x � ~ � � � � �� C9 qd Fi+q V Z �3 z � Z O Og� �a �� a. � C � 8 o. W LL N J m O H Q O ~ a.0 a,�_ sH�� a � Q O 2 r ¢ G o�-�a 0 wrs. Z s a� a .0 �n o W U' �L Y � O � � - y � H uJw� �vi U' 3 0 � � 2 a y 2 O p - Z � j T Q O W mooc�? ¢ i � o O `! Q W W 4. W C] m 2 �, ' . � _, � � Loc�r►au oc- : 1. �GCiio ��lER � . "—fR££ Z�rC�, 3 . S PA 4. SnT•LLLI?E q N STRUCTtlRAI APPROVAI ONIY SEPARATE PERMITS ARE NEQUIRED fON ElEL1RiCAl, PIUMBtNG. NEATING, UEN!!!ATlNG ANO aEFRIGFHATIDN WORK �it#� �s/ • •1UM8EH MU$T ACCOMPANY j • ' . �rySPfCTtON RFUlJESTS � ��.'�+� ��+W�6S WNERf PENS�NS ARf TO BE fMa�pyEO. WE SUG6EST TMA1 TlIE STATE OF I CAttfONAlfp 01Y1SI0N Of INDUSTq1Al SAfETY ' �F CONSUtTEO fOR AOOITIONxI NEQUIREMENTS, ,� ^ - � . ` �PPR,OY�D f �� n+� ruws �eusr � oN toe �c �►aL m�es Iii71KE NO CH�AN6E5 WITHOUf MlOt A1l�CMAL') �owr: iHE ISSUMJCE OR GHANfING OF A P8i9Wi OR lIPPNWAL OF PIArS AND �IfIC/hTIONS SF�1LL NOT !E CON5IROED TO BE A P.EFmMIi fOR, OR AN I�PNOVRI OF, ANY WO1�iYlON i pF ANY OF THE PROV�ONS OF THIS CODE. NO P�IIR PR6 SUMING TO GIVE Al1TFIORIIY TO VIOUITE dt CANCfI THE PROYISIONS Of THiS CODE SFfAII 8E 1HIIJD. FJ�Ei IN SO FAR AS 7HE WOflK OR USE WHICH ITAUTH�S �S IAWEUG THE ISSUANCE OF A PEI�YII7 BASW UPCY P1ANS AND SPECIFlCA710N5 SHALL NOi PREVENT THE BUILpING OfFICIAL' FROM ttIERF1,F7FR RE;UtRI1�G THE COFRECTIOti OF fRRO�tS lN SRID PLAyS'AND SPtCIF1CAP.�tIS OR FROM PREYFhf�G BU0.DiNG OPfRAT:OVSBEIVG CnRRIEApN THEREUNDER Wt�c,1 IN HIOlAiIpbOF THIS CGUE OR OF A'iY OjncB �.l�,.�.wE OF iHE CIiY. . �