HomeMy WebLinkAbout1671 LABRADOR DR - Building Permits PROJECT ADDRESS: UNIT:
1671 LABRADOR DR CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 069034
OWNER'S NAME: THOMAS PAULINE
ADDRESS: 1671 LABRADOR DR PERMIT NO: P 069034 PLAN CHECK NO: N GOVT; N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE; PLU PURPOSE: OTH
ARCH/ENGINEER: 641-1699 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : DISHWASHER C/O SQ FT;
E: CLAIM VALUE: CALC—VALUE: GROUP OCC ; R-1 /
PERMITTEPACIFIC COAST APPLIANCE ( 310 ) 324-8476
ADDRESS:TT
139 W VICTORIA ST COMMENTS : ONLY FOR THE DISHWASHER C/O
GARDENA CA 90248 *+E**N*** Fir** , ****-,F*************if**er**-x**** *er*er*er*+r*eFx->ETr*****u+r***+e+r«**+e+k+F****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 al the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LC.: 0 1 STATE UG.: 56264 f ' 10 E : 09/95
Dat .g� .6/ Signature:. (iL.— MAIN BUILDING ACCESSORY BUILDING
oRKERS'COMPENSATION DECLARATION: I hereby affirm that I have a Ificate of sent to sell-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
1 Compensation Insurance.or a certified copy thereof(Section 3000.Lab. LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: NWC26825303 EXP.DATE: 08/01 /95
COMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 13918140 ZNE; REF NO;
❑ Certified copy is hereby furnished. ER Certified copy isstt7`iedd with the city Buildm ivisio . PLANNING NOTES>
/care: e 9 C Applicant: •V r '11r cQ� ***************c-*****>E********ye**********************+6**************************
MPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need be compi the permit is for one hundred(sero)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not em ny person in any manner so as to become
subject to the Workers'Compensation Laws of California. 2ONING APPROVED BY
• DATE;
Date: Signature:
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
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: fl1�c�L
which this permit is issued(Section 3097.Civ.LI. ************************************** *******.*******.************** *. .. .. 3.iii'# '
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: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 . 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($508). ISSUE FEE 20,00
I. as owner of the property or my employees with wages as their sole compensation, wit 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 TOTAL S————> 7 . 00 20 , 00 0 . 00 27 ,00 27 , 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
improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 27 , 00 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 27 . 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 contractorts)license pursuant to the Contractors'State license Law),l am aware .*,*..*ie****.*.*.*.*.*******.**.**.**.*.*.*.**.**.*.*.**.*,*.**.**.*.*.*...***.**,**,*,** *,**,*,*******************
mat proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N ' UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU 1 DISHWASHER 7 . 00 7 , 00
25534 and that I or any suture building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the TrraW Management District.Residential construction applications are exempt from -
these provisions,
Date: Applicant: .4'` c////
I hereby cetluy that I have read this application and state that the above information is correct.I agree to comply with all city and county
ort• •..nd state laws relating to building construction and h eby authorize represen ves• this city to enter upon the above-mentioned
r 'Derry ,r ins.'Mien p poses. •. / / 01 00168615-00168615 TOT 27.00
Dar / d L Signature: 41 > DATE: 09/29/94 TINE: 10:34
Driver's L cense or Social Security♦: I ilfr
1641.46 White—Building;Green—Code Enforcement:Canary—Appbcant: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-Undtgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER 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, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11, Property Sewer Line & House"Connection 62. Backwash & Receptoi-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 I 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 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 PREY. 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 , L
G.d-.l rt�`t`I F L-PG_�C7
35. Final Gas Pipe-Test .77)
36. Hood or Canopy
37, Final Factory Fireplace
38. Final Plumbing � -ce_1- ( {J
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. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas 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.
•
CITJYUF COSTA M CO T UCTIff��N P RMIT aR PER T NO. TRACT NO. . •
LOT NO. UNIT NO.
/Project Address /F6 7/ r7. en AV/f- • • (O oZ`l y 6868' 11 /10/86 26.50 TL
Applicant's Mailin ddres TYPE OF CONSTRUCTION 1� NEW LI ADD ❑ ALTERATION LI REPAIR
., ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ,
Ownec's Name Q././n-_-��y"-<//"a" Phond2l L/�� DESCR�TIONJJ��F WQRI��SE OF BLDG. ��.� /-✓ !"'" . A.P.42 _ Zone
Address -Got& V./0 Cy C2 / - S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT U GRADING FOUNDATION LI STRUCTURAL E Front ZO
Address ID/ ❑ A TENANT ❑ ELECTRICAL El PLUMBING CI MECHANICAL BRear N
Contractor's Nam- 1 I 4_ L/� Pho e9fU'7tGS /
/, er G PROJECT DESCRIPTION(-- O. FT._,X6 80 OCOUPANCv C Right N
Address(mailing) % 4 7 a5 J - a ( @ -j '� G
�,y_..' J CONSTRUCTION TYPE VALUATION ..g S.),-/ $ -Left
City License No. _3 7 7 ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping, Ref,# Parking Req./Provided , E
I hereby affirm that I em licensed under provisions Of Charter 9 (commencing Remarks: Planning Notes: • M
O
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in fulJ,�orce and effect. rsS
License Class C, T'Li se N„�t�J °
Date/�// -(-1i. Signature G ( si PLUMBING FEES •
WORKERS'COMPENSATION DECLARATION Bar Sink •
Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certif" c y thereof Backflow Preventer Service Sink
3800, Lab. CA - Automatic Washer Transformer 0 15-50 KW
Policy No. r •
Company Backflow Irrigation Sewer Cap0 50+KW/ �/j Construction Pole Sub.
Certified copy is htdeuy furnished. ///q��� — `
- titled cop i filed with the city Bu/diy�Di�ysly)l.�q�/y Bathtubs Sewer Connection Cooking Unit Meter Oup to 100 amps
Dat Applicant �L�Z ��//���� ��- 9'
EXEMEM TIO�RKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher • Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or -
less) Dishwasher Solar Piping • Dryers OGas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California. Motors❑01 HP O1 K-8
• Date Signature _ Floor Drains Swimming Pool w/SpaF.A.U. - -
NOTICE: If,after making this declaration,you should become subject to the Inc.Solar 09.15 HP 016-15+
•
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fi%lutes Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Boxes
I hereby affirm that there is a construction lending agency for the performance • DevicePole Light .
of the work for, which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater .
Lender's Name OutletsRange
Lender's Address - Kitchen Sink Water Service •
Switches Sign
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 Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap
any structure, prior to.its issuance, also requires the applicant for such permit • Laundry Trays y Generator 00-5 KW 05-15 KW Trash Compactor
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
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil .
Eof not more than five hundred dollars($500). .
L I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered —
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee $15 Issue Fee $ 3
License Law does not apply to an owner of a property who builds or improves
thereon, and who dues such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
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 com- Canopy Type II ❑ Zoning Approved By Date
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 Approved By Date
O I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By
Dat
tractorsto 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 ❑0-100,000 BTU ❑100,000 BTU SUIv]ktlj,R VOF FEES
O
builds or improves thereon, and who contracts for such projects with a con- ofd fp C(f,
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ �+
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ - PERMIT t
O 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# ,Fire Dampers PLAMBING $ --IERUANCE $
Date Owner Heating System& Ducting Registers pLAN CHECK 25% $ \ ENERGY P.C. ss
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT 'GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- MICROFILM $
entatives of t s city to ter on the above-mentioned property for PLAN CHECK 50% $ .
/inspection pu ses.�j� `' / G-OCC MECHANICAL $ A62-50
ignature "'/// • /�� to/
I-VG TOTAL FEE $
Drivers' License or SS -
�$ Reinspection Fee �$15 Issue Fee $ 3 PLAN CHECK 25% $ _
CMF-0885-46,rev, 10/84 White - Building: Canary - Applicant; Pink -Accounting: 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-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, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 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 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 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. FINAL STRUCTURE & BUI LDING /$$_f / •
48. Special Requirements Completed •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY r
/
No. Date
/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
• CITY of COSTA/MESA (]ONSTR.gUCTION PERMIT I N QTRACT NO. LOT NO. UNIT NO.
r, 3833 9/25/86 5850. TL
Project Address/6 7( 4-6._ BAR-DO i , !lam L r� �
Applicant's Maili{9/9�Addre ss TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION -L^LREPAIR et
Owner's Nae ( s.t-.a.9.,M L.t �AfOYN{''S / El CONVERSION ❑ DEMOLISH ❑ OT ER A•P•# Zone
^7 L/ �I 7 Phone DESC IPTION OF OR /USE OF BLDG.
Address �� / / f a / J4LQ. r-t_ tan • 'Itio , �e • aC� S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING�f❑ FOUNDATION ❑ STRUCTURAL T Front _ Z
•
Address -�/�/,ap - /, q 0 TENANT 0 ELECTRICAL ,MPLUMBING 0 MECHANICAL B Rear N
Contractor's NamP6 A L Phones l46J/I ❑ OTHER A I
Addres •s(mailing) 30 Q2 2n/it � . /N 1 , PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right • G
��I V CONSTRUCTION TYPE - VALUATION$ S Left .. R
City License No. I I • ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION - .• Ping. Ref.# Parking Req./Provided •
Q
I hereby affirm that I am licensed under provisions of Charter 9 (comms tip% A��Remarks: Planning Notes: M
With section 7000) of Division 3 of the Business and Professions Code,
my license is in full force an• effect. q T
• Licens-de, •• ass ^ c-2 O I No. a /J
Date - 'Signature - _ ✓ .t� PLUMBING FEES _
WORKERS'COMPENSATION DECLARATION / Bar Sink Showers
♦ I hereby affirm that have a certificate of consent to self-insure or a certificate ELECTRICAL • .FEES
1111, of Workers' Compensation Insurance, or•a certified copy hereof (Section
I. - - _
3800, Lap .) oy Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW ,
Policy Nq./�/?/59 f',�50/39zYCompany --0-124`ti'-"'``• SKS Backflow Irrigation Sewer Cap , 0 50+KW
' _ Certified copy is hereby furnished. Construction Pole Sub. ,
_..0 r i`�l• c I/y is filed with the city•gyu��I,d�ing io • Bathtubs Sewer Connection ChokingUnit Meter ❑u to 100 am s
DXEM IION) SCM ApplicantR 'COMPENSATION�✓ 11 ®,
EXEMPTION FROM WORKERS' he rmit iDE LA ndred ( ,Clarifiers , Solar Collectors „ Dishwasher ' Meter Dover 100 amps
(This section neetl not be completed if the permit is for a huntlred ($100)or
less). -Dishwasher IIISolar Piping .. Dryers ❑Gas 0Electric EllSub Panel • MI
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 t(te ,Drinking Fountains ' Solar Tank ,■ Fan II. Motors 00-1 HP ❑l%-8 '
Workers' Compensation Laws of California.
Date Signature ' - Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:If,after making this declaration,you should become subject to the Inc.Solar ❑9-15 HP 016.15+
Workers' Compensation provisions of the Labor Code, you must forthwith��Floor Sinks Urinal , Fixtures c
comply, with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY •- !p Gas Service' _Outlets ate• Water Closet �, .11
of Device Boxes
I hereby affirm that there is a construction lending agency for the performance AJ ..I i Pole Light
of ,the work for which this permit is issued (Section 3097 Civ. C.) Interceptors ' ' Water Heater il
Outlets '
Lender's Name Range I
Lender's Address - Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby.affirrn that I.am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
' following reason (Section 7031.5 Business and Professional Code: Any city or
- 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair , P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permitTrash Compactor
• '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 ,
'therefrom and the basis for the alleged exemption. Any violation of Section _ - , • -
7031.5 by any applicant for a permit subjects the applicant to a civil - '
E
. nalty of not more than five hundred dollars($500).
LJ I, as owner of the property or my employees'with:wages as their sole Reinspection-Fee . : I $15 Issue Fee- $ 3
compensation, will do the work,and the structure is not intended or offered - , Reinspection Fee - $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • ' FEES p $15 Issue Fee
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 _.- DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ,
sale.,1f, however, the building or improvement is sold within one year of com- -- - Canopy Type II ❑' Zoning Approved By Date
, pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground I
glove for the purpose of sale). - • Building Approved By Date
LJ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) licensepursua nt to the Coritractor's License Law). I am aware that ■ ❑ BUILDING PERMIT $ SMIP $
proof o their Worker's Compensation insurance should be provided to me. •
Exhaust System 0 Multiple System Repair/Alteration
C I am exemptPLAN CHECK $ PERMIT
I PLUMBING $ SS
under Section - B.& P.C.for this reason ISSUANCE $
• FireI/Fact.Blt. ICBG# Fire Dampers p CCS'—a
- - PLAN CHECK 25% $ ' ENERGY P.C. $
Date Owner Heating System& Ducting Registers
I-hereby certify that I have read this application and state that the above 1:10-100;000 BTU 0100,000 BT • $ GRADING $
information is correct. I agree to c. h all city and county ordinances ELECTRICAL
and state laws relating to b (ding f
q isn, and hereby authorize repre- .. PLAN CHECK 50% $ MICROFILM $
1
sentatives of city t up nove-mentioned pr P� q erty'for
inspection p e r •
/2S/�t MECHANICAL $ TOTAL FEE $`-- 1/41-. ^0
Signature /
Date
Drivers' Li nse or SS 16 / Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ , i
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
•I ,
i POOL &SPA
CONSTRUCTION AND PLANNING
, APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
r 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, 0 Undrgrnd.,Test
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 Electric Wiring '671., Fencing & Access Approval
1
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
i 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 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
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test ¶_24_4 LED
36. Hood or Canopy .
37. Final Factory Fireplace
38. Final Plumbing q-z -at, ca
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. 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 .
N
OWNER MESA VERDE ESTATES DATE 12-9—S8 _
JOB ADDRESS 1671 Labrador Dr. BUILDING PERMIT NO. 8229
GENERAL CONTRACTOR L. G. HOblriSOri VALUE $ �'hf319.UU
AP. No. LOT 131 TRACT 3115 FIRE ZONE DESCRIPTION OF WORK Res & Att/gar
GROUP I & J TYPE V ZONE Al PLAN NO. 8229
INSPECTIONSDATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Form tccl 2, W 1-2-0 .
Floor System •
Steel Reinforce Chimney Re-Rod ^
Bond Beam 5'q ,- 6 3 - -- s_9 S1r�
Frame and Plashing y4�y g- _ � 1I
Lathing, In Out /"C %.5
Plaster, brown coat - L}-. :K2
Underground soil S W/G Pipe Testi w /-2-4•0
Top Out /)."-Ifee
Furnace AV}f$ 3-e/-59 A/�� ly, Z+ZS i7a 67
Gas Vents r l/ f
Rough Plumbing A-fts z-2H-Sq A .t{t�P f� -).-yr . t D -/61-c[Y /G 79 V L'
Cesspool Septic T f I
Prop. Swse-Eine Hoon. St. Swr. )(arc (R
- .4 Ei4.J 2—f t c (j. &I)- +-y •
Sprinkling System _
Heating Final MIS Str,s9 i I
Plumbing Fixtures, Final A4-1K £ /-Sq VI
Final Gas Test /s— AHS StS
/ y J
Construction Pole 'CO
_
Underground Power /�
Rough Wiring2.-7 �/` -4,/,-, 227 /
Fixtures. FinSr /)_r Al
OCCUPANCY fr.,,,-
l-- J-_/ .�{ `, tY
Form 210-5M—t-57
8229L.
!,.. , . .1.,, „
COSTA MESA BUILDING DEPARTMENT t itt1'',;.i E DEPT.
' P.O. BOX 317 ClIf Of:
".'".1.". ;,I-�.1,
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 1A71 Labrador Dr.
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. ERMIT N .
OWNER Mesa Verde Estates 8-a-a-y
RECEIVED BY DATE RECEIVED DATE ISSUED_
MAIL
ADDRESS 1701 Gisler -7Y/ )--)2 /2- 9-SA' 1?--9 -sa
TEL. BUILDING
CITY Costa Mesa Na Xi 5-1751 ADDRESS ,
ARCHITECT LIC.
OR ENGINEER J.R. Shelley NO. 0-2170 COSTA MESA. CALIFORNIA
ADDRESS Long Beach Ge 9-0908 FIRE
ZONE
ZpryE NO.OF
PLANS TYPE /GFOIIP
CITY LIC //y1 PLANS J� a-�`
CONTRACTOR L. G.Robinson NO. 1123 / l /
ADDRESS 1701 Gisler TEL.NO. Xi 5-1751 APPROVED DATE
LEGAL LOT CORRECTIONS
DESCRIPTION NO. 131 BLOCK TRAC115
A.P. NO. ` /�(
SIZE y.1 .-Vi p' NO.OF BLDGS.
OF LOT NOW ON LOT none •
USE OF C
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STREET 50$Flua REAR YARD 201p111.8 _
SIDE YARD RIGHT 5ip1 VB LEFT 5Opl us
DESCRIPTION OF WORK
NEW X ALTERATION I ADDITION
REPAIR ; 1-OJ�MOVING DEMOLISH '
BUZIEDING11,33 sq.Ft. ROOMS 6 STORIES 1
EXTERIOR
COVERING WALL Stncrn ROOF COVERINGAsphalt & Rock
USE OF NEW
BUILDING Restdence & Attached Garage
i
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP KATION AND • \
STATE THAT THE ABOVE IS CORK F,Ct AND AGREE.TO CO PLY WITH ALL
CITY ORDINANCES AND STATE YS REGULATING BUI ING CONSTRUC. �v�r
TION. rte/ VALUATION V
SIGNATURE OF �N,/-. /\ YL / PERMIT FEE $ `JJ ,/
PERMITTEE l 6A- ` J J'Y 1'bZ��",/
41 PLAN CHECK $ /7.
,
OatAUTHORIZED AGENT $ �� 3/y. I XTOTAL FEE $ 7. L� VBAri
V