HomeMy WebLinkAbout234 24TH PL - Building Permits I
ICT ADDRESS: 234 24TH PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 046556
!CT
NAME: EDWARD MISKEV ICI! -
ADDRESS: 234 24TH -PL PERMIT NO: B 046556 PLAN CHECK NO: 03187-90 S GOVT: N SUPP : N
COSTA- MESA •
CA 92627 M , — CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
( 714 ) 642-2858 •
t ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION ' : 75 LN FT OF CMU WALL @ 6 ' HIGH SQ FT; 75 •
ADDRESS: UNIT:
• CLAIM VALUE: 3, 000 . 00' CALC--VALUE: 1 , 500 . 00 ' GROUP 'OCC: R-3 /
PERMITTEE: IRWIN BUILDERS • ( 714 ) 650-2360 '
' ADDRESS: - 785 WEST 17THSTE.H. COMMENTS : SMOKE DETECTOR( S ) REQUIRED IN HOME .
•
. COSTA MESA CA 92627 **l *l+**** ESE*******eLy^ *********-*********W*****3E*****N*********+r+EK3f9E>E9r**3r******3f4E*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions al Chapter 9(commencing with Section ZONING R EQUIR EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. ..• SETBACK S
s "u:.:039420 STATE LIC.:4 9 4 4 5CUSS: B
Date:'$— bb — Q 6 Signature: Af ..4 --- --- MAIN BUILDING • – ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a"Mifice a of con ent to self-Insure or a• !'ate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT .IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). ' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: - FT IN
POucY NO.: 0 7 7 6 0 5 6 EXP.DATE: 07/0 1 /9 0
COMPANY:STATE FUND PARKING REQ: PROV: PARCEL : 11910112 ZNE: R1 REF NO:
11 Certified copy is hereby furnished. 57:I Certified copy isfile with the city BuildlpgDivis' n. PLANNING NOTES> FOR A 75FT LONG 6FT HIGH BLOCK WALL ALONG PROPERTY LINE. '
p s/</ (r�C// ./J > NO, FENCES WITHIN THE FIRST 15FT OF P/L.
t 3 --/ 6- [ 0 Applicant: / j *****************K******!f*************1E********iE*********)E*********3E****i(******
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio end n t be competed if the permit is for one hundred 15700)or less). DEl] E L O• P MENT SERVF.C E S REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become 1 p
subject to Workers' gym• sato Laws of California.: /" ZONING APPROVED BY .. ---_4 DATE: /� /!
�/i1 / 7 �1-- --�
Date: e�r�'L�,r . �innatnrer .• �/� /` .
NOTICE:I .fter m. ing this decl.<Iion,you should become sublet ! imrensation pry.ins of the Labor BUILDING APPROVED B Y : i•/A _ D ATE: /6 �v
Code,you must forthwith comply with such provisions or this permit hall be deemed revo•• r 9
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: _���k
mer
which this permit is issued(Section 3097,Civ.C). •
***********************-.4�• - .e* E . • Te• . '' •�.•-*- • 7-*.**,*********** ***
LENDER: ***************3f********************** **. **************************3F********.*
ADDRESS: LEGALIZATION:N FEE SUMMARY - STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC '.MECHANIC FIRE SMIP/RES GRADING
(Sectun 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 35 . 00 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed -
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis far the alleged exemption.Any violation of Section 7031.5 by PLAN 22 . 75
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE •
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—-- —> 35 . 50 0. 00 22 . 75 58 • 25 58 . 25 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
•
his or her own employees,provided that such improvements are not intended or offered for sate.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 58 , 25 OVER/SHORT: . 00
for the purpose of sale). BLDG�PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
•I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 3 . 50 2 2 . 7 5
U property-and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • ,
and who contracts for such projects with acontractor(5)Ikense pursuant to the Contractors'SState License Law).l am aware ****.**.*.****************.****.**;y.*..***.**.**.********.****.*.*.**.*.*.**,****.*.*.*,*,*.**-*.*-*****,*,**
that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U (A L D E E• BR EAR DO 14 N
o I am exempt under Section: B.8 P.C. • '
•
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: 5 Owner: SFR 75 RES—CONCRETE BLOCK WALL / FT. 20 . 00 1 , 500 . 00 '
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END OF F EES
25534 and that I or any future building occupant will/wnl not(circle one)need to comply with said state codes and the requirements for a _ -
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
i these provisions.
•
Date: • Applicant: '
I hereby certify That I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned .
property for inspection��pe/� purposes. �J '�+y • - •
Dater 3'—�C� 7 _ Signature: 7;�%��e ��. /` .
Driver's License or Social Security x: /// 01 00056303–00056305 T t E T 1 5E.25
•
1641-48 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor DATE: 03/16/90 TIME: 16:26
JSTRUCTION AND PLANNING POOL A .
Date ,Inspectors - Date Inspector
• 1 ROVALS 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. j 54. Forms /-
- 4.-Electrical Conduit-Undrgrnd.' I 55. Electrical Bonding A
. is
-= S:=Steel Reinforcement 56. Rough Plumbing.& Pressure Test
- '6. Electrical UFER Grnd. i ' 57. APPROVAL TO COVER-GUNITE
- 1. Footings 3 2.�8 .ay 58. Electrical Conduit-Undrgrnd.
8. Foundation = /' '' 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. I_ I 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System i /• I- 61. APPROVAL TO DECK a
11. Property Sewer Line.& House Connection ' i 62. Backwash & Receptor-Final
. 12. Sewer Cap -
• 63. Heater & Vent-Final •
•
13. Roof Drains - �• , . l 64. Plumbing System - Final 'r
14. Rough Plumbing / - 65. Electrical-Final -.
15. Rogh Electrical-Conduit s / /' :/I 66. Solar System-Final '.,
16. Rodgh Electric Wiring 1,' 67. Fencing & Access Approval
1�gh Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19._Rough Heating & Air Conditioning ' _,FIRE DEPT. REQUIREMENT
20.: Rough Factory Fireplace - . - APPROVALS --- -:Permit#
21:.Ducts, in'Structure -. 70. Underground Hydro .
22._Ducts, Ventilating _ .71. Product Piping 0 Gas 0 Oil
23. Gas-Pipe_Rough &.Test -- _• _ . _72. Underground Flush -
24. Roof Framing ' . - . . .73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing . • - . _ - - 74i Overhead Hydro
26.`T-Bar Ceiling (Structural) & Moriocoat - - 75._Dry Chemical •
27: Frame and Flashing - 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation • - '_ 1 ,f - ` 78, FIRE PREV. FINAL
'30. Drywall Nailing _ is 1': ' i,. HEALTH DEPT. REQUIREMENT
.31. Plaster Brown Coat - - '79. FINAL INSPECTION
•327 Electrical Power Meter-Final _ j , 80. FOOD CERTIFICATE ISSUED -
:33.-Final Electric , I Notes: / /
;34. Final Heating& Air Conditioning- - 7_26_KD o& `/, �,.'.,y-- aa-iii-
I
.35. Final Gas Pipe-Test ;%,i_ `� - r r� 'cv�.i (lG
t36. Hood or Canopy:' ✓ /.
37. Final Factory Fireplace- - _ 1' , -
-38. Final Plumbing _ -
39.-Water Service-Final - , • -
40. Gas Service-Final - - -
41. Solar Domestic-Finl - - -
42. Backflow Preventer' - - - . - -
43. Backflow Irrigation.
• 44. Landscape 'ideation System. • : - ' _ .
-45. Sound Attenuation - - -•
46.-Handicap Regulations -'
_47. FINAL STRUCTURE & BUILDING • ii-1_,* i(ti _.
48.-FINAL PLANNING
49. Electric:Release to Edison (t)C1 X' ''A s _ ,
50:_Gas Release to Southern California Gas Co !' -
51. CERTIFICATE OF-OCCUPANCY '
No. Date
4
-., Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ?..5?�5
PERMIT NO. T ACT O. LOT Q�y UNIT NO, f rl
• CITY OF COSTA MESA CONSTRUCTION PERMIT 3C12.-01.) �� 1 A.P.# llq_ '0 ' — IZ zone ''
Project Address �� 13 U REPAIR S Main Buildings: Accessory Building: Z
Applicant's M: in Address
LOAM— . TYPE OF CONSTRUCTION NEW ADD U ALTERATION '
❑ CONVERSION ❑ DEMOLISH ❑ OTHE• T Front Z 0
Owner's Na' rL� Phone D SCRIP le eF WORK/USE OF BLDG. �0 �'� B Rear I l N
Address' 2y� /Q� Ae A. a " • st* �: -
. A .
r �' - -� I C Right I N
Arch)Eng.ti�y2e / License No. /•� TYPE OF PERMIT . GRADING U FOUNDATION n STRUCTURAL .- • K • ' G
Address < L ArclIQ M 1a/03d AMl� 0- ❑ TENANT ❑ ELECTRICAL ❑ PLf �LU BIIN HANICAL, 3/80 $ Left �.',/ c R
Contractor's Nem> _ t 4r(/'S Phone S 2 36 ❑ 'OTHER 3 Z / �{ O !/C 1.41 1(
�Ht4J1 N gLef On Ping. Ref.# Parking eq./Provided E
PROJECT DESCRIPTION 5O f3, TION$ I Y •S /j - i J ' S
CI
Address(mailing/ 7g'J I7rh SG/T1P H los Ta MPfn Planning •Notes: ect.", ' 4 rgGtPl I`iPY TO M
4441114=.2•- 3 1 QZdKL CONSTRUCTION TYPE V VALUATIONS ,f T
City License No. zO ZONE GRADING CU.YDS. ACRES/10 doh XIS r1 sV
LICENSED Cm that
I am R DECLARATION ION /� /� c /�/ p /'� O O J.GF� .1 �n^n q��� ��^QQQ��I .?-/142.5
Ct -/UsO
I hereby section 7000)0 I licensedion underfthe provisions and Charter (commencing Remarks: Pl. • EEC 1 T(�/• �Q ?j/ , L/G 7/e? f 65 N/ CAA fes— .CTLE' tl /YJ tr
with forceof Division 3 of Business Professions Code,and J� 'ELECTRICAL J FEES
my license is in II and effect. 4944) /. `P.C. V Q _8,4-
License 1 s L ens No. ( v PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
Dale Signature
WORKERS'COMPENSATION DEC LAR ION Construction Pole Sub. 0 50+KW
I hereby affirm that I have a certificate of consent to sal/-Insure or a certificate Bar Sink $hdW¢rs
o' Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps
, Lab. C.) [ Backflow Preventer Service Sink •
.y No. G 77[0 os6 • Company /, dLC a<(C Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps
HCertifi d copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
C "f' is filed with the city u' ng Div n. Bathtubs Sewer Connection
Date Applicant • Fan Motors 00-1 HP 0)%-8
EXE PTION FROM WORKERS'COMPENS ION DEC ATION Clarifiers Solar Collectors
less).section need not be completed If the permit Is for hundred ($100)or Dishwasher Solar Piping • F.A.U. Inc.Solar 09-15 HP.016-15+
I certify that in the performance of the work for which this permit is issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave --
Workers' Compensation Laws of California. Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
NOTICE:If,after making this declaration,you should become subject to the Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
I.- e
9 comply with such provisions or this permit shall be deemed revoked.
c•" CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Switches . Sign
I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) 9 P Standing Sections
Interceptors Water Heater -
Lender's Name -
i Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
r following reason (Section 7031.5 Business and Professional Code: Any city or . - -
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays •
any structure, prior to its Issuance, also requires the applicant for such permit -
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of .
Division 3 of the Business and Professions Code) or that he/she is exempt ,Reinspection Fee $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
Ity of not more than five hundred dollars(5500). DEVELOPMENT SERVICES REQUIREMENTS: J/��y
as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - -Zoning Approved BY A� Date 7- 4-' I
compensation, will do the work,and the structure Is not Intended or offered •r1. /t -t
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES , Building Approved By 1-.--ell
License Law does not apply to an owner of a property who builds or improves CCCC Date --n � -'1
thereon, and who does such work himself/herself or through his or her own Application Issued By - Date Th-lo'- f
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 _
sale. If, however, the building or improvement is sold within one year of eom- Canopy Type II 0 - • SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - [(�
Prove for the purpose of sale). - BUILDING PERMIT $ 7109.S) SMIP $ 7(l
o l;as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con-
tractor(s) license!t suant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof,off their Worker's Compensation insurance should be provided tome, ELECTRICAL $ GRADING $
❑ I am exempt under Section • B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $
- - PLAN CHECK 50% $ --7e�
Date b owner Heating System& Ducting Registers - - MECHANICAL $ TOTAL FEE $ f I 1 =V
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL .- PLAN CHECK 25%
information is correct. I agree to comply with all city and county ordinances - ', $
and slate laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for _.
inspection pses.,-/ �i
h
Signature Date
iI _ _ - -
Reinspection Fee $15 Issue Fee $ 3 :1 C-1ET 1'_
Drivers' License r SS/It - _ - '
;r� C. _1 ... _
0865-46,rev. 5/88 White - Building; Canary - Applicant: Pink -Accounting: Goldenrod - Assessor
-
POOL r -`A
CONSTRUCTION AND PLANNING
APPROVAL'S Permit# Jate Inspector APPROVALS Permit.* - - _ Date Inspector
1. Temp• iryE lectrical Service or Pole 52. Pool & Equipment Location
2. pe-Undrgrnd. 53. Steel Reinforcement
J.'.Electrical Conduit Utility-Undrgrnd. 54. Forms
4;.Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel •Reiriftircement ' 56. Rough Plumbing & Pressure Test
6.I.Electrical UF,ER Grnd. 8741 eV 57. APPROVAL TO COVER-GUNITE
7rFootings' r 1 if1r�(� - 58. Electrical Conduit-Undrgrnd.
8. Foundation �' ( 59. Gas Pipe, 0 Undrgrnd.,Test
9..Water, Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
�
10.r Structural Floor System q d IG
Q(7 61. APPROVAL TO DECK
11: Property Sewer Line & House Connection V Ne L� 62. Backwash & Receptor-Final
12. Sewer Cap, • ', ���lllll 0-i _ 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
r;
)6. Rough Electric Wiring 67. Fencing & Access Approval
11. 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 .t� I,^ 70. Underground Hydro
ni
22. Ducts, Ventilating i.,•1 'r • 71. Product Piping ❑Gas 0 Oil
23: Gas Pipe-Rough.&Test ,.�. 72. Underground Flush
24: Roof Framing Y •Ir 'i 73. Undergrnd.Storage Tank U Gas 0 Oil
25./Roof Sheathingt;l 7/4" 2// qi____- 74. Overhead Hydro
26. T-Bar,Ceiling (Structural) &}Monocoat 75. Dry Chemical
• r
27. Franieand Flashing fa ®I/ 76. Dry Standpipe
.28-. Lath ing&.Siding 9� '`t/2� 77. FIXED SYSTEM FINAL
29. Insulation /p i�U$ 78. FIRE PREY. FINAL
30. Drywall Nailing • I�/ f?i,7 HEALTH DEPT. REQUIREMENT
31. Plaster Brown,Coat: +, ! i Ul/fa -9. � 79. FINAL INSPECTION .
� � .
32. Electrical-Rower Mbter:Fina.4 80. FOOD CERTIFICATE ISSUED
33. Final Electric ill ''� Notes: fq/gq F� Ne` ��p 4 A4
34. Final Heating& Air Conditioning 9 .cll c'IK .yGc� G.c -c
35. Final Gas Pipe-Test LOtrnit-
36. Hood or Canopy B0/i'SS F/R.J• -�--� O cc I2f�
•37. Final-Fadto?K;Fireplace , 1 ,/ �•
`7 z k/v se, ��L3r:/ �F
38. Final Plurnbing
39. Water Service-Final •
.40. Gas Service-Final '
.41. Solar Domestic-Final'
42. Backflow Preventer ,'
43. Backflow Irrigation
44. Landscape Irrigation,Sysiem ,
45. Sound Attenuation- . -
46. Handicap Regulations
rr//''
47. FINAL STRUCTURE & BUILDING y//In/4b O-
48. Special Requirements Completed r/UJ
i
.49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
9
6
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. , L 3 zy 2 G�
a -/ liu -moue_ 91 7-
27-
414. c�% -c-sy 4 1/-e_
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- 3( - 2-67A/
ITY OF COSTA MU ;
CALIFORNIA 92628-1200 P.O.BOX 1200
Insulation Certificate
4'51* Agriert
Number and Street City
G9i'.t¢sVJ'cE'
County Subdivision Lot Number
Description of Installation
•
ROOF�/�/G//4 p� � /�
Material '4? y4'f A/' Brand Name /t/.sNU/GL,r
Thickness(mches) G ° Thermal Resistance(R-Value) 2-/9
EXTERIOR WALL �_ ,/
Material � '��Gls4.6-7 Brand Name ,if-or/U/C6c
Thickness(inches) ' 1 4 Thermal Resistance(R-Value)
CEILING
Ban or Blanket Type Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2 lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value)
RAISED FLOOR •
Material 1,2175 Brand Name /�.p+vca ueC
Thickness(inches) 6' Thermal Resistance(R-Value) t4
SLAB FLOOR •
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width(inches)
FOUNDATION WALL
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Declaration
• I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
W/,r) deer/4.&77--3 /A/c.-/A/c.- 19 af .5 Z
4 ental Contractor(B der) License Number
It
Signature
Signature and Title Date
Sub-Contractor(insulation Installer) License Number
•
Signature and Title Date
a930
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFFIED SCHOOL DISTRICT
Developer/Applicant : TrGti/N /Jt( ' ZeO'Pts I gby 4ow/^y
Address : 73T Gv / 7rh u
Oc7 iesez Ce, el Lc
/
Telephone Number : 7/4f /sO 274. 0
Tract/Parcel and Lot Number(s) :
Location of Project : 274 2/07q Race (, cc7 �e51 (Q // S .
Number of Square Feet of
Residential Space , /O x $1 . 50 Total /5- 6- 7i r
Number of Square Feet of
Commercial and
Industrial Space x $0 . 25 Total
Commercial/Industrial Project is : (Check One)
Mini-storage Motel Preschool
Movie Theater Bank Auto Repair
Racquet/Health Neighborhood Shops Hospital
Warehouses R & D Large Office
Heavy Industrial Hotel Office Bldg.
Regional Shops Medical Office Restaurant
Light Industrial Office Park 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 New r -Mesa Unified
School District .
•
Business 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 .
Date : 7//o/Ddt cAt.„,„/ •
Developer/Applican
,-P - 11I-- toi- /2) 1375 T. t,cre' Fr
L -`s
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tot z %z b� w^
APp►R ¢ N A+o air PI4CA .
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4- ' t
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,� ADP OVEU ,1
,a1 6:S City of Costa Mesa Building':Deptet rt .
_ 1t 7T rig +�/�//�
pHl p4BEFnMOS 1 F ' , .MPANK BY _4 . NJ 14�� •
NU j10 EQ}} QTS\ , THESE PLAN.+IJ UST ONJOB AT. TiMES MAKE
A�1 Iti'>-,,,i,-1Y0-1/4
' " _— - NO CHANGES V✓i'HOL F PRIOR R;DUAL OF DEPT.
r THECISSUANCE OR GRAN7H 0 OF ,G POW OR APPROVAL OF
PLANS AND SPEC;FICATIONS HALL NOT.B£C )NSTRUtD TO BE A
PERMIT FOR. OR AN APPPOV/ OF, ANY VIOI \TION OF ANY OF
I THE PROVISIONS ''"5 COL .NO PERMIT F: `SUMING TOONE
AUTHORITY In %n,-.. GNCEL IRE f4t+ !VISIONS OF THIS I COi.:LL EE`.. tee, . IN CO PAR AS HE WORK OR USE
/h -:I 1 AL)T:iCRi2: I J^•. FUL.
+ F :-S ""CE C- PE HIT BASED r`ION PLANS AND
" "!":' 01 %EVENT THE BUILD)NG OFFICIAL
"-040 1���� .;:0 THE CCRPECTI(N OF ERRORS IN
00t100NU -a =!` 'r;C: '_ n, OR FR+ v\'� PREVENTING
'b OGIDIUC0 ..';�;r:� v 4,.._
6 'r?:^'D ON�: REUNDER WHEN
III -DE 1LS C. ?C O OF ANY OT ORDINANCE OF
Wu
1.-\ 1 VI
W 3 k iv mn 1410 2 term
NI
plate ;rye. �LwcB 1____4±MAR 1619
S1REE -- - ______________ M
TYPICAL 611 CONCRETE BLOCK FENCE
illiCement Coping Optional i — • GENERAL- NOTES
Channel Block With 1-3/801�t
Horizontal Top of all eg --- - "- "
Fences I , ,-MORTAR:- One Part Plastic Cement, and
ill
GROUT; Three Parts Sand
For Fences 5'or Leu One Part Cement Thee and
• One Half Parts Stand
vert.Bars 3/13"56 at 4'.0"O.C. Idl LE
_• _ Lilt
_ -- COPING' One Part. Cement, Three
Iq Parts SiSnd
fm Fences Higher Than 5' u '! _ -, CONCRETE: PartsWell-MixedSand
I:2-1/2: 3-1/2
Vert.Bars 3/8"o at 32" O.C. > w - — -- - '
a = ,.,Mas„of -7- 1/2 Gallons of
Fill Cells Solid With Grout '�I > Z 11 II U -• `•• W61er Per Sack of Cement
Where Steel Occurs > -- -- -
Reinforcing Steel Shall �l f '= �� '� ;-^^GROUT MAY BE POURED FROM THE TOP
_ OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 Ido - OCCURS.
A.S.T.M. IMI Z ~ _I ' 11 11� CELLS AND AREAS OF HORIZONTAL REIN.
All Steel to be Lapped 1 W n FORCEMENT SHALL BE CLEAR,CLEAN&
I u. FREE OF ALL MORTAR DEBRIS,ETC.
24”or to Code ill
iN
NATURAL GRADE V 'II t2' V/ q '-„'�-»- • 4 11 II
. „,
-ov, /tom\ • 6
TWO 3/8"4 BARS -mallr . . l . I. . . .
CONTINUOUS TOP
&BOTTOM � WIDTH • TO 16 0 C MAX.
SEE CHART ♦ • ♦
HORIZ.STEEL MUST BE TIED IN BELOW • . DEPTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH ‘ l . s e 1/3 THE HEIGTH OF FENCE
INSPECTION. L -gnaw BOTTOM OF FOOTING
10° 2.� SCALE: 1/2” = I'
a
OUTING REQUIREMENTS CHART
WALL HEIGHT / 6 ' � 5' 4' 3'
WIDTH ...14" . . . . 14" . . . 12".._ . . 12"
THICKNESS . .10" 10" . 8". 8 "
DEPTH OF EARTHTOOTH . 24" . . 20" . . . . 16" . . . . 12"
SPACING OF EARTHTOOTH ...12' . 14' . . . 16'. . . . 16'
•City of Costa Mesa
•
ifornia
Building Department
i2EvI5P_D Noy.at
PARTY WAIZ AGRFD>a7T
MILS AGREEMENT, made and entered into this 3/it ho Fri day of
Mei/1/2h , by and between 2 74 2-1(7 J 2-n c.c 39 2 4{O Zit r% PL4 c<
hereinafter referred to as 'LAND CittER', and
hereinafter referred to as 'ADJACENT PR PER .3 03N1R'.
It is hereby agreed that a party wall will be constructed on the
property line between 240 224 4 Pi-ace Goy Tit A4corq
th (Address/ P a ung Properties)
1- 74 t4' fit Ge Ccc
in the City of Costa Mesa, County of Orange, State of California, as per nap
recorded in Bock "1— , Page — of Miscellaneous Maps, in the office of the
:aunty Recorder of said County. The party wall shall be permitted to encroach
t IN WITNESS ?HEREOF, the parties haw entered into this Agreement the
lay and year first abate written.
?ND OMR ADJACENT
PRCPERIY CWNER
afro jiiiiSpcfriSse
riz1/41c1/4., • czCi_A—c_00--uipi r
;Signature) (Signature)
EPWfl&%) Pi 9Steencfl A LL /NatL'L, u . onieLL ,
tame (Typed or Printed) Nave (Typed or Printed)
`>4 2"4 Vt 24° 2gth f�4c-6)
;Adcfress) CAS I�R2St3 (Address)
ffir
MAR 1 6 1990
2.3 4 2tit'C , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
P TRACT NO. LOT NO. UNIT NO.
CITY OF coSTA p(I CO�IST�U TI�ONyPERIVIIT 13
A.P.9W Zone
Projtct Address( � /— � Building: Accessory Building:
TYPE OF CONSTRUCTION UNEW Li ADD ❑ ALTERATION (( � Main
Applicant's MailinC•Addfe55 LJ REPAIR E Z
,�'�!!,�/�'� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O
OwAddress o _e_ri:017'w_ Phone DESCRIPTION OF WORK/USE OF BLDG. . A Rear N
Address //77�_��77 007Z!'�lL1 • 1
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL I CK G
Right N
Address X9/1 ❑ TENANT ❑ ELECTRICAL K PLUMBING ❑ MECHANICAL S Left R
Contractor's Nam‘24141a.,,,,,411 �G�/` Phon s7sI g ❑ 'OTHER Ping. Ref.# Parking Req./Provided E
y57 S�.6e! s/�/ G - PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M
Address(mailing 7 j CONSTRUCTION TYPE VALUATION$
'1-7/47 T
City License No. ZONE GRADING CU.YDS. ACRES
S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (conYmencing Remarks: •
3 7 , o D
with section 7000) of Division 3 of the Business and Profess' s Code,a d
my license is in Ipolce and effect. 960 ELECTRICAL FEES
License CI ss 5F� —tLi< )NO. 7
-
Date 7� , Signature-(- - a - PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW
WOR ERS'COMPENSATION DECLARATI N Construction Pole Sub. 0 50+KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOW¢r3
'orkers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps
Lab. C.) Backflow Preventer Service Sink
Pommy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
8 Certified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
—
Certified copy is filed with the city Building Division. / "'I_SO Bathtubs- Sewer Connection ip
Date Applicant Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP ❑1'/h-8
(Thissection need not be completed if the permit is for one hundred ($100)or / 'L F.A.U. • Ina Solar ❑9.15 HP 016-15+
•
less). Dishwasher Solar Piping O d
I certify that in the performance of the work for which this permit is issued I FiEtufeS
shall note pIo a y person in an manner so az to .ecorn -su,j•ct to the. Drinking Fountains Solar Tank Microwave
Worke� ws of Cali • ia. / / Pole Light
Date // Signature A . _ c-1,1--if - Device Boxes
_ Floor Drains Swimming Pool w/Spa Z Or i
WoCompensation
makingthisv ions of h, you r Code,,e yosubject to ite Outlets �D'^�'y/
c Workers'lsuch
rprovisions of the Labor you et forthwith h FIOOf Sinks Urinal ¢
comply with such pl OV151bn5 or this permit shall be deemed revoked. /
CONSTRUCTION LENDING AGENCY / Gas Service 4, Outlets Water Closet w.yar,, Switches . • Sign
1 hereby affirm that there is a construction lending agency for the performance `4
•
Of the work for which this permit is issued (Section 3097 Civ. C.) interceptors / Water Heater Q�. . Garbage Disposal Standing Sections
Lender's Name Ib .
Lender's Address / Kitchen Sink Water Service ' OQ, _ Generator ❑0.5 KW❑5-15 KW Trash Compact r
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the 3 Lavatories / • +
Auto-Wash B oC '
following reason (Section 7031.5 Business and Professional Code: Any city or /
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains / Yneet S sop
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or thdt he/she IS exempt '
'Z. - Reinspection Fee. $15 Issue Fee $ 3
� �
•efrom and the basis for the alleged exemption. Any violation of Section .del
1.5 by any applicant for a permit subjects the applicant to a civil
city of not more than five hundred dollars ($500). I $ 3
'DEVELOPMENT SERVICES REQUIREMENTS:
LL I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee '
compensation, will do the work, and the structure is not Intended or offered Zoning Approved By �!� Date .
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By a J 'Date
License Law does not apply to an owner of a property who builds or Improves _
thereon, and who does such work himself/herself or through his or her own - .1. Application.Issued By, ' Ce�ta��/a/i[-�7eet- MY
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ = - —. �G_
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEE., _•
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP $
❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: ( - PLAN CHECK++ $ PERMIT
-.
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0 ,000 BTU 0100,000 BTUPLUMBING $ 5: 00 ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- •
tractor(z) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple❑,System Repair/Alteration . ., PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
1: I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt.ICBG dk Fire Dampers
PLAN CHECK' 50% $ MICROFILM $
Date Owner Heating System& Duc ng Registers L • $ ' 0
I hereby certify that I have read this application and state that the above DO-100,000MECHANICA
100,000 BTU 0100,000 BTL L TOTAL FEE $ 3
Information is correct. I agree to comply with all city and county ordinances i• PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre •
-
sentatives • his city to en ru on he above-mentioned pr erty f I „ e, -
inspection pu , es /)3p
Signature f ....-41/ Datr/,• • . r _
Drivers' License or SS# _ - _ Reinspection Fee $15 Issue Fee $ 3 - / I. •_,I, ,, ...a7•,1� R:_ ,. ! `r -
L iT.S- . :'7/i4`� T7LF: 13.
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod -Assessor
r
. CONSTRUCTION AND PLANNING . . POOL 'PA
, 4R'Pi46VALS Permit# Date Inspector APPROVALS Permit# _ Date Inspector
%/ ti/
1. Temporary Electrical Service or Pgle'1 Xi' 52. Pool & Equipment Location 1 s
2.rSoil�ipe-Undrgrnd/ �,( V.28/0,7n 53. Steel Reinforcement ��i:
' .
�, !tElectGcal,Cond'uit Utility-Undrgrnd. 3', 54. Forms
( .4.'Electriera6Conduiandrgrnd. 55. Electrical Bonding j'
.".-0 l', ,A
/, 'r 5. SteelTheinforcertent 1.1 56. Rough Plumbing & Pressure Test �l/�41.
•
6: Electi-ILI UFERtGrrid!; 11n ' 57. APPROVAL TO COVER-GUNITE // r-
fl...- .^ J 1 /'
;Z-fFootirigs .k.if '?.• 4- "7 58. Electrical Conduit-Undrgrnd. %�+ �'
- V I
•i
81 Foundation •
,i/. , /f� // 59. Gas Pipe, 0 Undrgrnd., Test -' (,,
• I 9.1-Water Pipe-Undrgrnd. �, / 60. Backwash Lines, P-Trap, 0 Undrgrnd. V
l Illi
10rStructuralFloor Sygtem 19 61. APPROVAL TO DECK ('y
U , 11. Property Sewer Lilri & House Cohnection ,, 62. Backwash & Receptor-Final v
i/:
12. Sewer Cap --. - ti I %i'63. Heater & Vent-Final / '
13. Roof Drains ' 7 f�{-�' ' 5 64. Plumbing System - Final
/4, . , 1 -7 ' '
1,4. Rough Plumbing I ✓ I /„/�/,�1.�a 65. Electrical-Final ///
15. Rough Electrical-Conduit y/l��� 66. Solar System-Final
/ ii.
1.16.1 Rough Electric Wiring 67. Fencing& Access Approval
X17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
X18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
!
:AP
'20; Rough Factory FireplaceAPPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
i
22. Ducts, Ventilating f/) 71. Product Piping 0 Gas 0 Oil '
23. Gas Pipe-Rough & Test 6<) 727,Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank 0 Gas 0 Oil
25. Roof Sheathing LI 74, Overhead Hyl#o j
26. T-Bar Ceiling (Structural) Monocoat 75. Dry Chemical ,
&'
27. Frame and Flashing C 76. Dry Standpip) .. 17
28. Lathing & Siding 77. FIXED SYSTEMTINAL
29. Insulation 78. FIRE PREVFINAL
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 " 2. Notes: ` e-
34. Final Heating & Air Conditioning y AA':
ov`.41�amu ��Y �%[�!
'2
35. Final Gas Pipe-Test „ %rd . /le L/
36. Hood or Canopy t-.Z2 _if 5t...f.., Z. 7/-
37. Final Factory Fireplace y yy � / r- �--
!�'/ ry ( �/<et�/ 2a+,i a/ hN @Pepe lsl4(.
38. Final Plumbing //n ST,‘ax 7rlerr tr E.rge• 4
39. Water Service-Final 27 r��
� - . 7.;j4in/daddy 1
• 40. 'Gas Service-Final ( p
41. Solar Domestic-Final / i
42. Backflow Preventer
r,
43. Backflow Irrigation _ ) 1
-1
44. Landscape Irrigation System
45. Sound Attenuation ( /,
46. Handicap Regulations • .--
, 47. FINAL STRUCTURE & BUILDING -y
48. Special Requirements Completed
49. Electric Release to Edison �;- (..'
50. Gas Release to Southern California Gas Co - .
51. CERTIFICATE OF OCCUPANCY -<t u.
- .
No. Date v
-
PROJECT ADDRESS: 234 24TH PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME: SCOTT WESTERFIELD
ADDRESS: 234 24TH PL PERMIT NO: M 044561 PLAN CHECK NO: N GOVT: N SUPP : N
• CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ADD
ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION SQ FT:
ADDRESS: 0 'UNIT: •
00000 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: IRWIN BUILDERS ( 714 ) 650-2360 '/�
ADDRESS: 785 WEST 17TH STE.H COMMENTS: .r &co. _ 2_S7 $ • 3 9-2.c a
COSTA MESA CA 92627 • *****sE*a6�a**?'a*******e6*�taa*rt**tuft*lr*lt**** . **4**********************************
***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commenting with Section Z ON ING REQUIREMENTS .
7090)of Division 3 of the Business and Professions Code,and my license is in full farce and effect. SETBACK S
cmix:039420 STATE UC.g94452 Cuss: '
Date C0//!�/ Signature: MAIN BUILDING ACCESSORY BUILDING IN REAR: FT IN FRNT: FT IN REAR: FT IN..
WORKERS'COMPENSATION DEC MtION: I hereby affirm that I` certificate of consent t` oracenifiwte of workers' FRNT: FT
Compensation Insurance,or a certified copy thereof(Section MOIL Lab.C), LEFT: FT IN RGHTI FT IN LEFT: FT IN RGHT: FT IN
POUCYNo.:0776056 EmP.DATE: 07/01 /90
COMPANw:STATE FUND PARKING REQUIRED: PARKING PROVIDED: PARCEL: 11910112 ZONE:
❑ Certified copy is hereby furnished. ® Certified copy is filed with the city Building Division. PLANNING NOTES>
/ p-y� '' '' �k >
Date: /0 6 (7 n ' Applicant: 7e# ****************lE***********!E****3E*****************i!*******IF******if************
EXEMPTION FROM WORKERS'COMPEN✓F-Ml1ON DECLARATION: (This need not be completed B the ' is for are hundred(5790)or less). ,. DEVELOPMENT SERV ICES R EQUIREMENTS
I certify that in the performance of the work for which this permit Is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY •
DATE:
Date: Signature: BUILDING APPROVED BY ': DATE:
NOTICE:ff,after making thiso declaration,with you should become this subjectpmithe Workers' revoked.
provisions of the Labor
Code, •
U you must NAG comply I such rwats or ehis pe cont shall be deemed yl /: ii ,
•
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION* ISSUED BY: ...sea ,N di ;alarm,. DATE: /407/7(
' wnch.this permit'a¢sued(Section 3097,Civ.C). ************************• * ' ' 9147. ' * * e • • • • •************* lite ****
LENDER: ********************************************** *******************************
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 13,00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed • 258 SMIP/NON—R E S
-pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business .
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.-Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a dull penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 •
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE t
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 13 . 00 15 . 00 • 0 . 00 28 . 00 28 . 00 • 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> • COLLECTED : 28 . 00 OVER/SHORT: 00
improvement ttheepuerppose soldwithinone year of completion,the owner will have the burdemol proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING ' PLAN—CFIECK
I,as owner of the property,am exclusively contracting with licensed contractors Co construct the project(Section 7044.Business 28 . 00 ,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ********************************************************,***********************
that proof of their Worker's Compensation insurance should be provided to me. IND IV ID U AL F E E B R E A K D 0 W N
o I am exempt under Section: , B.&P.C. •
for this reason: , TYPE QTY, DESCRIPTIO N UNIT COST TOTAL COST
•
Date: Owner: MEC 2 FACTORY FIREPLACE •
6 . 50 13 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - .
permit for construction or modification from the Air Oualiry Management District.Residential construction applications are exempt from /(r/1�l�'�
these provisions. - �+ 111, ,• '
Date: Applicant: • (�7 17 1989
I hereby certify that I have read this application and state thdt the above information is correct.I agree to comply with all city and county O�J 1
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned _ —
J1H'
propertyfor inspection purposes. • I �
—�Dale: 0 l/ ` Signature: CITY .A J
Driver's License or Social Security#:
164146 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL.. SPA
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service Or Pole '' 52. Pool & Equipment Location
2.•Soil Pipe-Undrgrnd. - 53. Steel Reinforcement -
:;3.'Electrical Conduit,Utility-Undrgrnd_.., 54. Forms -
4._Electrical Conduit•Undrgrndi - cC 55. Electrical Bonding
' 'S::Steel Reinforcenehi rf - 56. Rough Plumbing & Pressure Test
' 6.-_Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE
"7, Footings 58. Electrical Conduit-Undrgrnd. N ,
.8. Foundation '• 59. Gas Pipe, 0 Undrgrnd.,Test '
9. Water Pipe-Undrgrnd. ice ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. %'
10. Structural Floor System ; ,," • 61. APPROVAL TO DECK
11. Property Sewer Line & House Conriection • y2 62. Backwash & Receptor-Final
12. Sewer Cap = ±; - ? 63. Heater & Vent-Final '
13. Roof Drains` - Z �' 64. Plumbing System - Final .
14. Rough Plumbing . .
.• 65. Electrical-Final
tr
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .
19...Rough Heating & Air Conditioning - - FIRE-DEPT. REQUIREMENT
20..Rough Factory Fireplace F . /o/j/Qy- ifir APPROVALS - lE,,Permit# • -
21. Ducts,in:Structure: •: _ •
70. Underground Hydro ,-
22 �Ducts, Ventilating .. : ^.71, Product Piping 0Gas OOid
23"Gas Pipe:Rough & Test _ ., • 72. Underground Flush ,
24.-Roof Framing - _ - 73: Undergrnd.StorageTank OGas 0 Oil
25..Roof Sheathing - ' ' , - .
74. Overhead Hydro-
26.LT-Bar Ceiling (Structural) &`Monocoat 75T_Dry Chemical - -
27.:,Frarne and Flashing 76. Dry Standpipe ,
`
228. Lathing & Siding' 77.. FIXED SYSTEM.FINAL
-29. Insulation ' . _ -' ,, 78`;FIR EPR EV. FINAL
,30. Drywall Nailingi•. - • • - r HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - _ , ' rod- '79. FINAL INSPECTION - . -
-,32,:Electrical Power:Meter-Final, i �:�_ '80t-FOOD CERTIFICATE ISSUED -
_33 Final Electric _ - Notes:
d34:,-,Final Heating& Aii Conditioning' ._ .* : •- .
35.'Final Gas Pipe-Test - _, _ . -1-,' `, - _ .
_36. Hood or Canopy(' ' - - - -`. -
--'37:Final Factory Fireplace-: - 3l�fp / ?�� '
.:38. Final Plumbing . _ - ;
- 39. Water Service-Final - +
40. Gas Service-Final 1•
, " . _ - , -
?41. Solar Domestic-Final '-' - - - . _
42. Backflow Preventer '
43. Backflow Irrigation - . - ' ` • -
44. Landscape Irrigation System ' ..i . • ; �� ._
45. •Sound Attenuation - • . - -
46. Handicap Regulations -
47.-FINAL STRUCTURE & BUILDING - •-
' - -
48.:'FINAL PLANNING - ; ' 1�
49. .Electric Release to Edison • / ' -' + -
-
50.-Ga{ Release to Southern California Gas Co % _
51. CERTIFICATE OF OCCUPANCY -
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• PERMIT NO. TRACT NO. LOT NO
CITY OF COSTA MESA COp.STlIR TION PERM T M�,O 4-50 . UNIT NO. A.P.# Zone
Project Address _r�+ 3 ; "[_, C o � - - S Main Building: Accessory Building:
Applicant's Mailin Address TYPE OF CONSTRUCTION U NEW U ADD ALTERATION U REPAIR
`tg, `1.- < ,^ ❑ CONVERSION ❑ DEMOLISH ❑ OT,J4R ,--� T Front O
Owner's,Name 11�1�K�VtC-�&Wa��e�• r one DESCRIPTION OF WORK/USE OF BLDG. ^eS1G�P IAC 2
Address
_SAL 11 . B Rear N
TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL C Right N
Arch/Eng. License No. K G
Address ❑ TENANT ❑ ELECTRICAL ❑ XL
PLUMBING MECHANICAL S Left
❑ OTHER Ping. Ref.# ParkingRe R
Contractor's Nam- U' • - s- - _ • .. •I • one 55-4 051 q./Provided E
Address(mailing) a PROJECT DESCRIPTION SQ. FT. OCCUPAVY
���— O
�I 1- a _, C.' A Planning Notes:
City License No. 64 Val6O CONSTRUCTION TYPE VALUATION$ T- M
T
ZONE GRADING CU.YDS. ACRES
S.
LICENSED CONTRACTOR DECLARATION '''' 111l t p
I hereby affirm that I am licensed under provisions of Charter 9(commenting Remarks: ,\ \ `yPJYs+11'l' 3 1'_l Ob
with section 7000) of Division 3 of the Business and Professions Code,and (��- ` 4s
—
my license is in full force an�tltl11 effect. ELECTRICAL FEES
License Class C-vsl0 ' es , i D469_y7/ —
'-) Date_I.2-ci-A`'I Signature r \ PLUMBING FEES Automatic Washer Transformer 0 15-50KW
OWORKERS' COMPENSATION DECLAR• NConstruction Pole Sub. 0 50+ KW
hereby affirm that I have a certificate o' .t•enl to self-Insure or a certificate Bar Sink Showers
-' Workers' Compensation Insurance, o • certified copy thereof (Section Cooking Unit Meter Duo to 100 amps
Lab. Backflow Preventer Service Sink _
Q ,icy0, ND.`NC /35a�_`-"'Company Fee AO'1Co` RP . Backf low Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
fW� =
Certified copy is hereby furnished. Ar
S- C Dryers ❑Gas ❑Electric —
Sub Panel
LJ Certifigd,g y I5 filed with the city Bu In ,� Bathtubs .. Sewer Connection
Date In/i• 9P Applicant — ^ . . Fan Motors❑0.1 HP 'h-8
EXEMPTION
FROM WORKERS'COMP -ATION DECLARATION —
(This sectionion Clarifiers • Solar Collectors
need not be completed if the • rmit is for one hundred ($100)or Dishwasher Solar Pipi F.A.U. Inc.Solar •-15 HP 016-15+
less).
I certify that in the performance of the work for which this permit is Issued, I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar nk Mic ave
Workers' Compensation Laws of California.
Date Signature Floor Drains .l imming Pool w/Spa Device Boxes 'ole Light
NOTICE: If,after making this declaration, you should become subject to the - Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCVGas Service Outlets Water Closet Switches Sign
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name - Generator 00-5 • ' 05.15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drai
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
—
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil
:any of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
.: I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved B Date
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By Date �Q p t
I e f_
employees, provided that such improvements are not Intended or offered for Boiler
sale. If, however, the building or improvement Is sold within ono year of com- Canopy Type II ❑ SUMMAR OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). - BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who liktpuCt-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon,and who contracts for such DroiectS with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple El System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers GICROFILM $
PLAN CHECK 50% $
Date OwnerHeating System& Ducting . Registers •Z...4�^ .09
I hereby certify that I have read this application and state that the above 1 X 0.100,000 BTU 0100,000 BT 9 MECHANICAL $ TOTAL FEE $ 7,i-1.--sinformation is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws re acing to building construction,and hereby authorize repre-
sentatives of thi cit to en er upon the above-mentioned property for
inspectiongnaturepurpos- Date 0•e ' y 1r
Drivers'riverure —
P �J ;11 [°'
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 1)17:-.- JI'/r1J.' 3 st' • 'S'
CONSTRUCTION AND PLANNING t: POOL 'A
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Terr,porary Electrical Service or Pole 52. Pool & Equipment Location
Pi e-Undr rnd.
! P 9 h
2. Soi 53. Steel Reinforcement
3.. Electrical Conduit l.kility-Undrgrnd. _ 54. Forms
4;•Electrical Conduit-Undrgrnd. 1. "j 55. Electrical Bonding •
5. Steel-Reinforcemen[- n It 56. Rough Plumbing & Pressure Test
-6:- Electrical UFER Grind. .;j 57. APPROVAL TO COVE R-GUNITE `
7; Footings 58. Electrical Conduit-Undrgrnd.
IS°•FouRdation i; _ 59. Gas Pipe, 0 Undrgrnd.,Test
92 Wates Pipe-Undrgrnd: 60. Backwash Lines, P-Trap, 0 Undrgrnd.
r' N.
10. Structural Floor,System �' , ! 61. APPROVAL TO DECK u'
11 f Property Sewer Line& House Connection -1 I 62. Backwash & Receptor-Final ,
•
121;Sewer Cap ' ) • f 63. Heater & Vent-Final ,-
13:Roof Drains 1 64. Plumbing System - Final .,%
Mr.?,Rough Plumbing: ` 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final •
• -/-
16:
r16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
is: 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 J' 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ;.", 74. Overhead Hydro
26. T-Bar'Ceiling (Structural) &Monocoat ' 75. Dry Chemical
27.•Framyiand Flashing76. 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 i,
33. Final Electric • Notes: l n
34. Final Heating & Air Conditioning y/1.1s0 O
35. Final Gas Pipe-Test .
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing •,
39. Water Service-Final '
I
40. Gas Service-Final
41. Solar Domestic-Final •
42. Backflow Preventer . , ,,•
43. Backf low Irrigation '., 1
••
44. Landscape Irrigation System t
45. Sound Attenuation r ' '
46. Handicap Regulations " '
47. FINAL STRUCTURE & BUILDING r
/
48. Special Requirements Completed
49. Electric Release to Edison r
-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
No. Date L.
Applicanl to fill In all spaces except those within heavy border Tines ane sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF1111IES clONS�'RU TIO��ERMIT E 4053 - "P. zona
P roject AQ^5'( fl,(c/ ( S Main Building: Accessory Building:TYPE OF CONSTRUCTION L I NEW U ADD U ALTERATION U REPAIR
Applicantnddress —� E Front Z
���//`[[(,t ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . T O
Owner's Name // a • .hone:z`LQ_(!_J (,
Z y� �� DESCRIPTION OF WORK/USE OF BLDG. B Rear N
Address 39 ps`fa f! &3 r• N'14'�eq tt � . A I
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING L I FOUNDATION ❑ STRUCTURAL ' C Right N
Address ❑ TENANT ❑ ELECTRICAL El PLUMBING ❑ MECHANICAL S Left R
rr
Contractor's Name [[t/Fi1tti2do / Qr(f - •f Phone yin_I/,l ❑ OTHER Ping. Ref.#' Parking Req./Provided E
Address(mailing) TQ`S QU G_a P PROJECT DESCRIPTION SQ. FT. OCCUPANCYQ
CON ST RUCTION TYPE VALUATION$ Planning Notes: M
City License No. 7 L2�9 ZONE GRADING CU.YDS. ACRES T
LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that I am licensed under pr'visions of Charter 9 (commencing Remarks: 3c, 7 0—CD 1 ,
with section 7000) of Division 3 of the s' ess and Professions Code; a d L// CJ
my license is in full fort-..ndct. ELECTRICAL FEES
License L •--ss L i ' o.
Date . MI! Signature, re 7f• . /A ��� PLUMBING FEES ' Automatic Washer Transformer 0 15.50 KW 3 CV
WORKERS' 0 ' 'SATION DECLARAT •N , Constructionsr POI¢Sub. 050+ KW
'ereby affirm that I have a certificate of consent o self-Insure or a certificate Bar Sink Showers
Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps
,00, Lab. C.)
Policy No. Company . Backflow Irrigation Sewer Cap - j Dishwasher ' Meter E er100amps 2I
8 Certified copy is hergt�y furnished. ` '
Certified copy Is filed with the city Bulldini B on. Bathtubs Sewer Connection / Dryers as ❑Electric Sub Panel 3 ov
Date Applicant AM. Fan Motors DO-1 HP ❑1'h-8
EXEMPTION FROM WORKERS'COMPEN- • ON DICLA- ;TION - Clarifiers Solar Collectors
(This section need not be completed if the p• is for - h . .red ($100) or - -Dishwasher
r! F.A.U. Inc.Solar 09-15 HP DI 6-15+ 3 r......
less). Solar Piping
I crtify that in the performance of the wo • which hi • mit is Issued I _ Fixtures (�
shall not mplUqy an person in any mann: / .•e su•ject to the Drinking Fountains Solar Tank .;Q ' Microwave '1,-'L t
Workers' mggn n Laws of California. a Device Boxes Pole Light Date [f Signature �a�♦ // Floor Drains Swimming Pool w/Spa 9
NOTIC : If,after ma ing this declaration,y E should b r: subject to the Outlets Range Workers' Compensation provisions of the Labor Code ou must forthwith Floor Sinks Urinal 9 2y r..
comply with such provisions or this permit shall ..e deemed revoked. fff
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet sof witches Sign `Qt?
.Ct
I hereby affirm that there is a construction lending ag- cy for the performance
of the work for which this permit is issued . -ction 3097 Civ. C.) interceptors Water Healer I Garbage Disposal Standing Sections Qy
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW I Trash Compactor 3 ev
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to Its issuance, also requires the applicant for such permit
-to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 'r (--
the
,the Contractor's License Law(Chapter 9 (commencing with Section 7000)of
'ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee ,$-$'-.
ierefrom and the basis for the alleged exemption. Any violation of Section -
031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
- U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
. Zoning Approved By ^ Date
Compensation, will do the work,and the structure is not intended etl or tl
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL JrFEES" Building Approved By \ Date
License Law does not apply to an owner of a property who builds or improves r �!•
thereon, and who does such work himself/herself or through his or her own m _ Hood or Type I ❑ Application Issued By Dat: O CU
employees, provided that such improvements are not intended or offered for Boiler
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES
pletion, the owner will have the burden of proving he/She did not build or Im- Duct-Under Ground
prove for the purpose of sale). - BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law Claes not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU i PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such nroiects with a con- ro ENERGY P.C. $
tractor(s) license pursuant to sne Contractor's License Law). I am aware that —Exhaust System ❑ Multiple❑ I System Repair/Alteration / PLAN CHECK 25% $ S
proof of their Wor s Compensation insurance should be provided to me.
❑ I am exempt un. -ction B.& P.C.for this reason Firepl/Fact.Bit. ICBG# I Fire Dampers \
ELECTRICAL Ibf14 GRADING $
PLAN CHECK 50% $ MICROFILM $
Date owner a s - Heating System& Ducting Registers MECHANICAL $
I hereby certify hay- re.- his .pplication • state that the above ❑0100,000 BTU 0100,000 BTU / TOTAL FEE $
Information is co •ogre• t .•m. y with - ity and county ordinances / PLAN CHECK 25% $ I ' \U
and state laws r to bui :in co st '•n,and hereby authorize repre- /
sentatives of th- ' ' erair e above-mentioned prop rty for
Inspection purpo • �--
Signature r. -
Reinspection Fee $15 Issue Fee $ 3 C. -L-,Y 1.”Z _. t>.. ti�J 7
Drivers' License or S$ - D TE: I5/11-/:9 Thi.: l : :,--
0865-46,rev. 5/88 White Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
7
•
• CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
e '•
1,- ,rnporary Electrical Service or Pole 52. Pool & Equipment Location
.il Pipe-Undrgrnd. 53. Steel Reinforcement
ectrical-Conduit Utility-Undrgrnd.,, 54. Forms
4: Electrical Conduit:Undrgrnd. " 55. Electrical Bonding '..
S.:Steel Reinforcement; -I 56. Rough Plumbing & Pressure Test
6. ElectricarUFERGrnd.' 57. APPROVAL TO COVER-GUNITE �t
7.: Footings y 58. Electrical Conduit-Undrgrnd.
•
'8:-Foundation I _ 59. Gas Pipe, 0 Undrgrnd.,Test
9. .WaterPipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10.tStructu-al Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewers Cap63. 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 Dv/ % ,- 67. Fencing & Access Approval
17. Rough Wiring Sign 77 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
•
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil •
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ������ 79. FINAL INSPECTION ,•
32. Electrical Power Meter-Final j v '-� 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning - . V+ •S. •
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
r 42. Backflow Preventer - r •-
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison - .
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY -
No. Date ,
COUNTY OF ORANGE -Application for Building Permit-'
BUILDING DEPT. L�/II`
7.3
636 No.Broadway AND FOR A Permit No........... ...
Santa Ana,California
i Phone:KI 2-6211 Certificate of Use and Occupancy •
Date Sept. 22 1952
I. OWNER'S NAME F.H.Paulsen PHONEBet"sal6749J
MAILING ADDRESS 258- Santa Isabel St. CITY Costa Mesa
Name Owner Name Owner
(Architect or Engineer) (Contractor)
I Address Address
City City
State State
Lic. No Phone Lic. No Phone
PROPOSED USE• Dwelling and attached garage
2. JOB LOCATION 234 - 24th Plaice Costa Mesa
(House No.) (Name of Street) (Town or School District)
NAME OF AND DIRECTION FROM NEAREST CROSS STREET 5destminieter Place Mast
3. LEGAL DESCRIPTION: Lot 24 Block Tract 1442
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT ( ) INTERIOR LOT (x ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG - 36 x 41 AREA- 900 SIZE OF LOT- 67x 100 AREA- 7200
6. HEIGHT OF BLDG . 14 CEILING HEIGHT. 8-4 NO. OF STORIES 1
7. NO. FAMILIES 1 Size of Smallest Bedroom-....10..;Lig Size of Kitchen....9-.6Zifi
8. EXTERIOR WALL CONSTRUCTION• Stucco INTERIOR WALL COVERING plaster
(Frame, Stucco,Etc.) (Plaster-Drywall,Etc.)
ROOFING COVERING Composition Shingles
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH none
10. SETBACKS: Front Yard From Center Line of Street 50-0
Nearest Side Yard 10-0 Rear Yard.39__......_...Distance in Feet Between Bldgs. on Same Lot none
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing: Width 14" Depth in Ground 12" Width of Wall 6"
(b) Size of Studs• 2x4 Spacing 16 "CC Material of Floor wood
(c) Size of Floor Joists• 2x8 Spacing 16 "CC
2x4 24
(d) Size ofkaf[er's• Spacing "CC
I3. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ - -6369:0tr 5%n C) G 0
14, I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
TH'E.COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPL ABLE THERETO.
Signed• 7 if,
Plans Filed SEP 2 4 1952 (Owner)
By.
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: T CCH,pECCKING BY
Bldg. Permit $ GROUP Y `-1- APPLICATION �2 HEALTH
Plan Check - $ 3 TYPE If--._ ZONING
r FIRE
Total - - - $ `9- i 00 DIST. MARSHAL
G /� PLANS AND v
Receipt No. - S� MAP_ SPEC'S STATE
Paid to - • ;irSHEET NO...._7 r gng p PrrrnN.NC FNG,IN IFFR
Date SEP 2 4 1952 C IWAY: OH14 t(COUNTM, 1-LDING
PERMIT ISSUED Y: �1�
SEP 2 4 1952 L.EPUTY
DATE
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