HomeMy WebLinkAbout3051 LOYSBURG BAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 069. b/i I I /" , P I - a I i
CITY OF COSTA MESA p PERp4IT NO T _ N LOT NO. BLDG�10.
CONSTRUCTION PERMIT ' 7 !�
S n//{
Applicant's Mailing Address �r P i / f �V ,, • 1 - sr4 TYPE OF CONSTRUCTION NEW ADD LJ'ALTERATION U REPAIR
Project Address 'W . Fan i ❑ CONVERSION ❑ DEM LISH ❑ THE . . . .
Owner's Na,.• `mgss • DESCRIPTION OF WORK TWO
�try��[4l(�j��3/�J�� �q ,
�r �wrpp.'ery �a 1 • r� pW '7Qp11NG REGULATIONS
Address SP it illi r:.i illi! �I .r• S;�
. .
• r TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL A.P.qW �I U_ Is,3'-1.7'
' ZONE ���
Arch/Eng, 1, 1. 7_ .r. s' ❑ TENANT 0 ELECTRICAL 0 PLUMBING 0 M CHANICAL PLNG.REF.* BUILDING' - - 'i •'•'•• -,
�FYa�I �al�,r..a �� �1- F' 'w► / /��"IU ccrnerle rii cT
Address ' lee �11f1 II! 41 be / LI • p TO BUILDING �, LL - r!
;1t�� FCF r PROPERTY LINE C_ REAR YARD (TO P/L)
COW�SIr 'Phone ■��'., PROJECT DESCRIPTION So.Bs:LLtll I�iU '
Contrectoc's Nam: 1s,�✓J' `. " ,OCCUPANC
Addresslmailing) • ISA I - 'CON ST py�/sCT ON TYPE V ATION$ 51 LEFT SIDE YARD ��' � . ��/pIGHT SIDE VAR05�,,,/ '
ZONE • (I GRADING CU.YDS: ��(} ACRES+•�L'IS--. PKG.SPACE REQ. _9 d.• lift PROVIDED ^ 5 .1/ 0 -j-ol-�)
License No. _ i fff/// I a (-T� [>! I Gl' J l Vo LJ I+✓
LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH • r�o7 PARK FEE$ 8C7� J
'_hereby affirm that I am licensed under provisions of Charter 9(commencIng
with section 7000) of Division 3 of the Business and Professions Code,and I SPECIAL CONDITIONS: - •
my license is In full force and effect.
beanie Class License No. ' PLUMBING • HOLD FOR SPECIAL REQUIREMENTS - : 1
Date ' ' Signature
WORKERS'COMPENSATION DECLARATION Bar Sink Sewer Cap , ELECTRICAL
tetchy affirm that.i have a Certificate of consent to selfdnsure or a certificate - Backflow Preventer- - - -Sewer Connection ' - . . - . Automatic Washer - 'Meter Dover 100 amps
Workers' Compensation insurance, or a certified copy thereof (Section 4800, Lab. C.) Backflow Irrigation Solar Collectors Construction Pole ,
Sub Panel
P cY No. Company - - - - - i '-
Certified copy Is hereby furnished. - Bathtubs Solar Piping ! Cooking Unit Sub Pole _
''LL!! Certified copy Is flied with the city Building Division. • Dishwasher Motors ❑0-1 HP ❑1X-B,+'-
Date Applicant Clarifiers ' Solar Tank •- _ •
EXEMPTION•FROM WORKERS'COMPENSATION DECLARATION Dishwasher SwimmingPool w/SpaDryers ❑Gas ❑Electric: '
(This section need not be completed if the permit is for one hundred ($100)or i _ �!• Inc.Solar ❑9-15 HP 016-15+ -
less).
certify that in the performance of the work for which this permit Is Issued I Drinking Fountains • Urinal I , - Fan Microwave -
shall not employ any person In any manner so as to become subject to the - F •
-A.U. Pole Light -v •
workers' Compensation Laws of California. Floor Drains Water Closet I - • _ , L '
r
Data Signature - - Fixtures
NOTICE:If,after making this declaration, you should become-subject to the - - Floor-Sinks - - - - - Water Heater-•• - - - - - - - -a- Range _ _
Workers' Compensation provisions of the Labor Code,,you must forthwith, - ' ' -
comply
'with such provisions or.this permit shall be'deemed revoked. ' r Gas Service, Outlets Water Service _ Device Boxes Sign t
CONSTRUCTION'LENDING AGENCY - - • - - - -
I hereby affirm that there is a construction lending agency for the .erformance ; , Interceptors , - ' ' Outlets • • I Standing Sections
of the work for which this permit is Issued (Section 0.7- Civ. C.)- - - •
Switches
Lender's Name- • 7, I ! a s Kitchen Sinks - - ' Trash Compactor
Lender's Address f<l�INIfI�grl�1a11�OiAW%8711.'111 .- - ' .
OWNER BUILDER D CL' -AT :A - 'Lavatories: ' Garbage Disposal
I hereby affirm that I am exempt from the Contractor's License Law for the - ' •
Generator ❑0.5 KW 05-15 KW
following reason (Secllon.7031.5 Business and Professional Code: Any city or p-Trap' _ ,
county which requires a permit to construct,alter Improve,demolish or repair • • Transformer ❑1550 KW ' '
any structure:prior to its Issuance,.also requires the.applicantforsuch permit • Roof Drains -
•
-to file a signed statement that he/she is licensed pursuant to the provisions of - • - • 05U+KW '
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Reinspection Fee $15 ,
'vision 3 of the Business and Professions Code) or that he/she,is exempt Showers - Reinspection Fee $15 '
•refrom and the basis for the alleged exemption:Any violation of Section • - Meter ❑up to 100 amps
J31.5 by any applicant for a permit subjects the!applicant to a civil 4 Issue Fee: $ 3
anally of not more than five hundred dollars($500). Service Sink' - • Issue Fee S 3 Zoning Approved By S L / s - Date • '/17/6)
O I, as.owner of,the property or my employees with wages as their sole •
compensation will do the work,and the structure Is not intended or offered I - MECHANICAL• ' Application Approved By a Date e 7 g
for sale.(Section 7044', Business and Professional Code: The Contractor's ay.-ran,
License Law does not apply to an owner of a property who builds or Improves Refrigeration System , 1it.
thereon,-and who does'such work himself/herself or through his or her own Boller - Application Issued By ' Date // l
employees, provided that such improvements are not Intended or offered for ❑0.100,000 BTU ❑100,000 BTU I
sale. If, however, the building or improvement is sold within one year of cdm• Duct-Under Ground , I SUMMARY OF FEES '
?on,
the owner will have the burden of proving he/she did not build or Im- - - - '/e rot the purpose of sale). Duct-Structural Sstem Repair/Alteration BUILDING PERMIT $ 3 T� SMIP , $ d 01, as owner of the property, am exclusively contractingwith licensed con- ..Sorsto construct the project (Section 7044,Business and Professions Code:-- . Duct-Ventilating - PLAN CHECK $ ' / U PERMIT Contractor's License Law does not apply to an owner of property who • ISSUANCE ' $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 PLUMBING $
tractor(s) license pursuant to the Contractor's License Law). I - PLAN CHECK $ GRADING $
1 ❑.I am exempt under Section B.6 P.C.for this reason , Firepl/Fact.Bit.ICBO+
1 $ •
Date owner Heating System&Ducting ELECTRICAL, $
I - MICROFILM $
d hereby certify that I have•read this application and state that-thenabove -, , CI al 00,000isTU El 100,003 BTL - - -- -- -.- PLAN CHECK $ ,
Information is correct, I aj-ee to Comply with all cd d county ordinances 1 • TOTAL FEE $
and-state laws relating o wilding construction,above- hereby authorize repro- ' - !MECHANICAL $,
sentatives of'this-cit I•
enter upon the above-mentioned pope or Hood or Type I ❑ • • Reinspection Fee' $15 - , LESS
inspection9purposes. /;�; /n'1/tel Canopy' Type II 0' • I ,PLAN CHECK• $ , ADVANCED PC ' $ ' •
SI nature / Date / / - I
pricers' License or 5; ' Registers ' ; Issue Fee $ 3 I ,
�„^� FINAL FEE. $ /;,5-7
CMF 0865-46 rev.12/62 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
J
3; r-CONSTRUCTION AND PLANNING _ - '- '- - : ; - . POOL .PA -
- ' - - • Date • - Inspector. - .Date Inspector
•-•APPROVALS „ Permit#' - - APPROVALSPermit#
_ •T. (Temporary Electrical Service or_Pole , ?_ -:r - _ _ 5'22 Pool &':Equipment Location F - ' -
2: Soil Pipe-Undrgrnd_ ` s r - ! - , j-- . : 53. Steel Reinforcement . -
- 3. Electrical Conduit Utility,Undrgrnd; ; ' ' - ` - 543 Forrtm-s o•-:' - -
44 4•. Electrical Conduit-Undrgrnd. _ n _. ; . , _ - X55:'ElectricalBonding :- -- - -
•
5, St• eel Reinforcement 1 r. ' ' . ' . ,56. Rough Plumbing& Pressure Test
6. Electrical.UFER•Grnd. i ci: ' r,t ' ' - 57: APPROVAL TO COVER-GUNITE _ •
7. Footings i �, - ;_ - 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 8,/,House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap. - , 3 3 - 63. Heater&-Vent-Final. -
13, Roof Drains, '' r. ' •• '
.64. Plumbing System- Final _ .
14. ,Rough Plumbing , ' - - '65. Electrical-Final --
•
-15.-Rough Electrical:Conduit , - •-- -*--I• _I' - .--- T -16.1 Solar System-Final - -
'16.iRough Electric Wiring, ,, f E :�' . -1 -:" -1.- ; -' -;_ 67:Fencing& Access Approval -k17,!RoughWiring Sign; ' "•r I . , ,I 1. , i -. I 1 ! 68! APPROVED FOR PLASTERING _
18.,Rough Electrical-T Bar Ceiling ' ' - ( , ' '69. POOL/SPA SYSTEMS FINAL ,
- 19.•1Rough_Heating&'Air Conditioning ! ' T. ! i t I ( 'FIRE DEPT. REQUIREMENT. • - •
20. 'Rough;Factory Fireplace ! t. t, I ' - ' I APPROVALS. Permit# '
21. ucts,-in Structure ii I i I
+D 70. Underground Hydro •
22. .Ducts, Ventilating '•' . c. I I i t (
' 71' Product Piping 0 Gas 0 Oil
• 23.',Gas Pipe-Rough & Test j ! 02., Underground Flush' - -
.-24:3Roof Framing ; I 'or ,,,( I ; 1 r. - I - • I I. 73. Undeigrnd.Storage Tank 0 Gas ❑Oil
25,•Roof;Sheathing ,;-- - ' ' ' `" . I 1 - `- 74.. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ' - , ' ^ 75 Dry Chemical •
'• 27.,Frame a_nd'Flashing; -' 2i ! i U /S/3s,/ . D.,--i i76.t Dry Standpipe
28. ,lathing & Siding l �I ! i / ! , 77: FIXED SYSTEM FINAL
X29 .'Insulation ' I. I ' �! • I (�\i; 78.• FIRE PREY. FINAL b •
-, 1:30. Drywall Nailing - . i ,, ! J2a/gy / Notes:: ' , . 4 •
,131.;Plaster Brown Coat. ! 1, 7 -
i , i I I I . -
-32.!Electrical.Power Meter-Final I ' I ! I
't 33, 'Final Electric ' t,L .-1 _ ._ .. _ .. ' i ' '
1. 34. Final Heating &'Air Conditioning l! I ' ' '
35. Final Gas Pipe3Test' r. . I I y ; • ' .
36. Hood or Canopyi.t n, id _ I_ _ i I -
37. Final Factory Fireplace 4 H - tr _ •• ' I . i ; -
38. Final Pluimbing I I I. I i 1 ' 1 - . . - .
•
39. Water Service-Final • • ' ' } ' 1, , ' . , o _
40. Gas Servicinal • i ! tt ' , ' ' , ' ' . - i -
Service-Final .
, 1. I i - �
41. Solar Domestic-Final I ! 4 I_ +_ ' I
_ _• _ _ I _ • - 1,
! . i I _i
42. Backflovi;Preventer - 1 '
43. Backflow,Irrigation ! ! I - 5:! _ I `( t I I ` .
44. Landscape Irrigatfon-System i , ' -
45. Sound Attenuation I i
I I ;, _ ' i • i
46. Handicap Regulations• ' I, I h I , r i I
47. FINAL SfRUCTURE'& BUILDING, �5! ! �r ;
48. Special Requirements Completed
49. Electric Release to Edison • ' -- '
50. Gas Release io Southern California Gas Co 1 I ! i 11 t ! ; ' t I i i •, ••
51, CERTIFICATE OF OCCUPA _ II _' ! ,
No OygfI Date
�' � � I _ I -•
1.10.4.1 Li/LI /r 1 y •
_ Applicant to till in all spans except those within heavy border r lines and sign all appropriate declarations.CITY OF COSTA MESA PERMIT NO. - TRACT NO. LOT NO. BLDG.NO. ' •
CONSTRUCTION PERMIT - p 7.5-97
Applicant's Mailing Addrressss r '( 1 In' - J TYPE OF CONSTRUCTION- NEW ❑ ADD U ALTERATION U REPAIR - ' '
Project Address - 5-a-11- .1-..-00 •f 1.1 Kri f )�-� rv� �J 0 CONVERSION -❑ DEMOLISH 0 OTHER
1 �ltS (b I Phone' /-/"•33/6 DESCRIPTION OF WORK ' - ZONING REGULATIONS
,� Owner's Namen �1 ,�y11 -
Address �_!` `QiP WA'v -•li l-
` TYPE OF PERMIT UGRADINGI(sU.1FOUNDATION 0 STRUCTURAL A.P.'N. ZONE
' Arch/Eng. License No. 0 TENANT 0 ELECTRICAL '/ PLUMBING 0 MECHANICAL • PLNG.REF.•�'• - BUILDING - '
•Address - rill
❑ OTHER - • TO BUILDING-
Scranrr C/, Sr
Contractor}Name • -K'm) - Phon _ - I PROJECT DESCRIPT•
ION SQ. FT- - OCCUPANCY PROPERTY LINE - REAR YARD(TO P/L) 1
I Address(mailing) -PO • Irl 1 5-+7 7) JI1 CONSTRUCTION TVVF ' VALUATIONS • LEFT SIDE YARD RIGHT SIDE YARD
--Q fri ,0 . ZONE • - ' • GRADING CU.YDS. ' ' ACRES PKG.SPACE REQ. • PROVIDED
License No. __ - f�s /l
LICENSED CONTRACTOR DECLARATION Remarks: // 75" 3 9 STREET WIDTH PARK FEES
I-hereby affirm that I am licensed under provisions of Charter 9(commencing - r i
with section 7000) of Division 3 of the Business and Professions Code,and SPEC •
IAL CONDITIONS:
my Ilcense'is in full force.and effect. _ ' - - •
License Class f" P /) License o. }' /'1 - • PLUMBING . i .
•Date CO—���1�� signature /V f'1/1. .�1/.lQ f%/11A(:Gf �,ri1 -
WORKERS'COMPENSATION DECLARATION r Bar Sink Sewer Cap , , ELECTRICAL •
hereby.affirm.that I.have a certificate of consent to self4nsure or a certificate ' Backflow Preventer --J Sewer Connection' -- - � Automatic Washer_;. . _ -- Meter Dove.100 amps _ .. _ - --
Workers' Compensation Insurance, or a certified copy thereof (Section:
100, Lab. Ca, - " "- Sub Panel '
x�llln �.)91;3�/a �)i SSiO n Backflow Irrigation Solar Collectors • Construction Pole •
, Policy No, m^DanY - -- -
Certified copy is hereby furnished. / , / �,Bathtubs i Solar Piping �/ _ Cooking Unit Sub Pole '
❑Q
Certified c p filed with the city Buildihy Division. -•�/ //�� 1 - / Dishwasher Motors D0-1 HP ❑1X-R
Date CL'(�- a Applicant 'I '1✓I9-'V LQ /4.uni X�� Clarifiers • Solar Tank . I
E%EMPTION,F ROM WORKERS'COMPENSATION DECLARATION U Dishwasher Swimming Pool W/$pe • 9�•11 Dryers ❑Gast ❑Electric - Inc.Sola! D9-15 HP 016-15+
(This section need not be completed if the permit is for one hundred ($100)or-' '( 1 : _ g p( —
I certify that In the performance of the work for which this permit is Issued 1 Drinking Fountains •
Urinal , • • Fan I Microwave '
shall not employ any person in any manner so as to become subject to the �a - - ll _ ' F.A.U. 1 Pole Light i • '
Workers' Compensation;Laws of I l Floor Drains• /Y_ Water Closet �- • •
Date Signature -California., , Fixtures
NOTICE:-lf,after-making this declaration,you should become-subject to the ' - Floor Sinks - - Water Heater - - - - - - • - - --z f Range - - .,
Workers' Compensation provisions of the Labor Code, you must forthwith - 1
•
Comply with such Drovl5lons'or NIS 'permit Shall be deemed revoked. -• Gas Service Outlets • Water Service ` Device Bo%es Sign '
CONSTRUCTION 'LENDING AGENCY • Outlets
• I hereby affirm that there is a'construction lending agency for the performance ' ' Interceptors , - . : L. ' 1 j - ' Standing Sections
• of the work for which this; permit •is Issued (Section 3097 Civ. C.) _ Switches
Lender's Name j •
, kitchen Sink • '
Trash Compactor
Lender'sAddress' •2 Lavatories' ' '! Garbage Disposal - '
, OWNERR BUILDER DECLARATION • / (O
•
' I hereby affirm that I am exempt from the Contractor's License Law for the - - - Generator 00-5 KW 05-15 KW •
following reason (Section 7031.5 Business and Professional Code: Any city of P-Trap; ,
county which requires a permit to construct,alter,improve,demolish or repair - Transformer ❑15.50 KW i -
•
any structure, prior to its Issuance, also requires te applicant for such permit - Roof Drains ' ' _
to file a signed statement that he/she is licensed pursuant to the provisions of - 050 KW, -
tne Contractor's Ucense Law(Chapter 9(commencing with Section 7000)of Reinspection Fee $15
,�7,I vision 3 of the Business and Professions Code) or that he/she is•exempt 1 Showers -• . ' Reinspection Fee $15
eefrom and the basis for the alleged exemption. Any violation of Section ((( Meter ❑up to 100 amps Issue Fee $ 3
•'1";111.5 by any applicant for a'permit subjects the applicant to a civil •• •
'' s/laity of not more than five,huodred dollars($500). - Service •Sink t Issue Fee $ 3 Zoning Approved By Date
•
'U I, as-owner of the property or my employees:with wages as their sole - " -- --
compensation. will'do the work,and the structure.Is not intended or offered - . . MECHANICAL Application Approved By "Date
for sale (Section 7044, Business and Professional.Code:-The Contractor's , 'v^y�/
License Law does not apply to-an owner of a property who builds or improves Boiler. - • , Refrigeration System I n 3 G-�7-cF3
thereon,•and who does such work himself/herself or through his or her own Application Issued By Date
employees, provided that such Improvements aro not Intended or offered for Duct• =Under Ground ❑0;100,000 BTU 0100,000BTU
sale. If, however, the building or improvement is sold within one,year of com- SUMMARY OF FEES j
elation, the owner will have the burden of proving he/she did not build or Im- , ' ,
prove for the purpose of sale). Duct-Structural System Repair/Alteration BUILDING PERMIT $♦ SMIP $ '
O I,as owner of the property,am exclusively contracting with licensed con• .
,tractors to construct the project (Section 7044,Business and Professions Code: " , Duct-Ventilating "-. — - - PLAN CHECK $ ' PERMIT (
The Contractor's Ucense Law does not apply to an owner of property who I q ' ISSUANCE $
builds or Improves thereon,and who contracts for such projects with a con- • Exhaust System 0 Multiple 0 PLUMBING $' rx�— .
tractor(s) license pursuant to the Contractor's License Law). GRADING $
❑ I am exempt under Section B.&P.C.for this reason Firepl/Fact.BIL ICBG.0 ,
PLAN CHECK 4 $; �� I
,
ELECTRICAL $ ' . $
i Date Owner • Heating System&Ducting MICROFILM • $ '
1-hereby. certify that I'have read this application'and state-that the above , • ❑0.100,000BTU D100,000BTU " - - 1• P LAN CHECK $
' Information Is correct. I agree to comply with all city:and county ordinances I ' . TOTAL:FEE $and state laws relating to building construction, and hereby authorize repre- MECHANICAL $ -
sentatives of this Icity to ant r-upon t e ab ve-mentioned property for Hood or Type I ❑ •
_ Reinspection Fee $15 LESS
Inspection our oyes: // i //,, fj2 ' Canopy Type II 0 PLAN CHECK $: • ADVANCED PC , $
Signature ✓�/i( C.J �GL! ' Date irl e J • I j • - 9
f Drivers' License or 5S 9P • - I Registers ' Issue Fee • " $ 3 ' FINAL FEE' 1 $ J 6
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
•
2 "-CONSTRUCTIONAND'PLANNING! '1;•, - � _ ,t POOL A - - - `
1- c7 ' o a - a : Date_ .Inspector , - - Date Inspector ' -
> •APPROVALS Permrtl# - , , APPROVALS- Permit.# - • •
- -
'- .1: Temporary Electrical Service oLPole 1 ? " ', , _ 52. Pool &:Equipment Location
2i Soil•Pipe-Undrgrnd. ! ;. o ; I- i ' /yy'l;3f� 53. Steel Reinforcement , - - '
•a
3! Elertrical Conduit Utility-Undrgrnd! i a: i- ,s- r. '.>: 54., Forms - - _ ,
'A; 4: Electrical Conduit-Undrgrnd; e ` _ 1- 1; :2„'-c. `yf :55: Electrical Bonding -
5, Steel.Reinforcement 1 i ' ` 1 - ' 56_ Rough Plumbing& Pressure Test ' -
6. IElictrical LIFER Grnd.l ' 1, ..5711 APPROVAL TO'COVER-GUNITE _
7. Footin9s
, f _ y _ ' - 58. Electrical Conduit-Undrernrt...
8. Foundation ' ' i I - ' - _ •_ , ',59. Gas Pipe,-0.Undrgrnd., Test - - _
9. Water Pipe-Undrgrnd. _ - `a _ _ -60. Backwash Lines,P-Trap, 0 Undrgrnd. .
10. Structural Floor System , :`� _; - , 61. APPROVAL-TO DECK •
11. Property Sewer Line &: ii1 House`Connection - 62. Backwash & Receptor-Final
12. Sewer Cap ' ' `r ' , ._ •63. Heater& Vent-Final- -
I
13. Roof.Drains ' I ; "64. Plumbing System - Final - - '
e 14. !Rough Plumbing' - - ' • - -
'Jf�n/f J. M� 65. Electrical-Final
w�15. Rough'Electrical-Conduit';'---' - - : "r" I - i -T--'-66.j Solat,SysZem-Final -- ---' -
r.;}v
816, )Rough-Elec'frigiWiring ,' ,
t t . _ _ 1 , ,�. ^,:- j 67., Fencin &g- Access_Approval -- - - •.
1.11i.17.,IRough,WiringSign ftC ' i i E 1 . I- i i • i 1 1 ,68.! APPROVED FOR PLASTERING : • ' :
i2 I 18. 1Rough:ElectricahT,Bar Ceiling' ' 11 ; ' - • ; ' ' ; ' : '69.. POOL/SPA SYSTEMS FINAL ,
g , 19:'11Rough Heating & Air Conditioning = 1 ' 1'. ! , FIRE DEPT. REQUIREMENT - -
,1 20. Rough:Factory Fireplace I 1 !' � I iAPPROVALS, Permit# -- '
121. (Ducts Liin Str'uctuie' '-, •, 1 ! I I i , ' • 70., Underground Hydro
, j,,22. Ducts, Veniilating fi n ' -,t ,i " , I 1 i I71.1 Product Piping ❑Gas ❑Oil
I11123. Gas-Pipe-Rough & Test o 1. it. I! • 'I i 1 '. I-." 72. Underground Flush • ,
VV24. !Roof Framing, , I• • i
• ,4 ,,,t . � : I- .-) • rl 73.• Undergrnd.StorageTank 0Gas, 00i1
e •
_25.;Roof Sheathing "= " , , � I _ ,Li - ! 74., Overhead Hydro •
' . 26. IT-Bar Ceiling (Structural).& Monocoat• i - ' ' 11 : 1 I • .75. Dry Chemical
'i.-:27.)1 ;Frame and Flashing. ' I it , ' I i 76.! Drily Standpipe I - „
L l• 28. Lathing & Siding' u ;, I i l 1 I ' 1 i77.1 FIXED SYSTEM FINAL '
7.a x 29,),Insulatiori -• '_ i - r n l �' , ' i i ' ,78.; FIRE PREY. FINAL
' -
-30.;Drywall Nailing > I 1 li t 1 , iNotes:' ,
31.'Plaster Brown Coat ! I, , 1 i , I 1
li 32. Electrical Power Meter,-Final i 1 'i i I • i t ' i ' •
,
t 1. 1 ,
- q-33. .Final Electric _ .,� .- 1-_ L.. _ L '. 1 .dl . , - ._ , i 1 . • !. .'.
34. Final Heating&!Air Conditioning . ' , ' , ! 1 '
35. Final Gas Pipe =Test - ' . i' i ' • - 'rt , -
36. Hood or!Canopy- 1 _- 1 :1 ' I = 1 ' ' ' ' I -
37. Final Ntory Fireplace _ j o : L ? P ' I , I 1 • _
38. Final Plumbing I , l^ i 1 til , i #2y/,-f' /'?'/' ; i I
39. Water Service-Final i I ; I ' c
40. Gas Service-Final ; . l ! t1 I • ' '1 ' •
41. Solar D`orihestic-Final ' i .1 •L , i ' I 1 .- - -
,`
42. Backflow P,reventer1 - ; i •.,; � i • ITL ! '
".. 1n:
43. Backflow;Irrigation - !•_ ,, '. - , •I • 4I
44. Landscape Irrigation^System , IT),1 r ' 1 - ; Ia ,
45. Sound'%Attenuation '1 ,'' ; _I ' • -
46. Handicap:Regulations 1 r i 1 1i: , I ' ' ' 1 ° ' -
47. FINAL STRUCTURE & BUILDING ° .l i I i
48. Special Requiremerits Conipletedi a i ' •l l' " ,
49. Electric Release;to Edison) , 1r ' '
50. Gas Release to Southern California Gas Co ( 1 ' 1 1 -. ,
•
51. CERTIFICATEOFOCCUPANCY r L s _ -i_ -i_:.- , -_ _ _ -_
No % 1' ! I Date . I !
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF.COSTA MESA I 1.—PERMI�NO90� j� TRACT NO LatT BLDG 0. 7239 10/ I =/F'' T'.
CONSTRUCTION PERMIT /j /'`J • o Lf(C/N/�
Applicant's Mailing Address •l• A /it , TYPE OF CONSTRUCTION 1•4 NE�UDD LJ ALTERATION IJ REPAIR
Project Address -A • �' -Y ❑ COVERSION ❑
NDEMO -H . OTHER
1111/
DESCRIPTION OF WORK • ig ,v
Owner's Name Q'f2G"s -hone••979" 76 ZONING REGULATIONS
Address `rd -I We MINN -•' a, •
'
TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL A.P.qW ZONE -
Arch/Eng•.' ' License No. El TENANT El ELECTRICAL ❑ PLUMBING X MECHANICAL - PLNG.REF.REF.* BUILDING
S•FTRaCW CP Si
Address - ❑.OTHER • TO BUILDING REAR YARD (TO P/L)
• / / /y.� - • PROPERTY LINE
' Contractor's Name- E' PtTt� 0 & Phone -/5 r-0.✓� _ PROJECT DESCRIPTION SQ.FT. OCCUPANCY LEFT SIDE YARD RIGHT SIDE YARD
{��j� r� / S a, CONSTRUCTION TVPF VALUATION '�7 p�
Address(mailing) �� /• • «C 07'✓(t.7,�p ✓Q•!7�#--d�Yl /��(✓0
•
ZONE GRADING CU.YDS. ACRFc PKG.SPACE REQ- PROVIDED
License No; __ . .. �1 LICENSED CONTRACTOR DECLARATION Remarks: - /n-75J3 cJ STREET WIDTH PARK FE• E$
I herebyionr7 that tam licensedion under provisionsnof Charterro9 ns code,and s-_v / (
with section 7000) of Division 3 of the Business and tesslons Code,and SPECIAL CONDITIONS:
my license is in full f9,rt�and effect. •
License Class (.-- Uc se No. cgP"/yq/(O PLUMBING . . ,
Date /40-trig Signature (h`; , Bar Sink Sewer Cap ELECTRICAL--
• `WORKERS'COMPENSATION DECLARA -
ereby affirm that I have a certificate of consent to self nsure or a certificate - - Automatic Washer Meter Dover 100 amps
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Presenter Sewer Connection:
3800, Lab. C)r.I. s�q�Q // ....--cmc Backflow Irrigation Solar_Collectors Construction Pole Sub Panel
Policy No. • ANC/oaS't '7 Company f1,, , - Ste- Cooking Unit Sub Pole
Certified'copy is hereby turn) ed. Bathtubs .. Solar Piping • 'r
Certifieq�p(ty fllad with the city Buildysy plwJs�i ph ;tit Dishwasher • Motors D0-1 HP 01%-8 -
D e ( tF- Applicant c- 1>-/LC.%.'��, //7� Clarifier's i Solar Tank
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Dishwasher ' • Swimming Pool w/Spa Dryers ❑Gas ❑Electric • Inc.Solar 09-15 HP 016-15+
(Thissection need not be completed If the permit Is for one hundred ($100)or _ _ •
' less). --- - - - - - - • Fan Microwave
I certify that in the performance of the work for which this permit is issued I Drinking Fountains Urinal •
shall not employ any person In any manner so as to become subject.to the - F.A.U. ' Pole Light
' Workers' Compensation Laws-of California- Floor Drains Water Closet
Date - signature ' • Fixtures
NOTICE:If',-after making this declaration,you should become subject to the Floor Sinks Water Heater - Range - -
Workers' Compensation provisions of the Labor Code, you must forthwith - - - - Boxes such .provisions .or this permit shall be deemed revoked., Gas Service Outlets Water ServiceDevice ' Sign •
CONSTRUCTION LENDING AGENCY - - Outlets
I hereby affirm that there z.construction lending agency for the performance Interceptors ' ' - Standing Sections •
of the -work for, wh permit is issued (Section 3087 Civ- C-)' - - - - . - -
' Lender's Name - - Kitchen Sink Switches Trash Compactor
Lender's' Address, ,
' OWNER BUILDER DECLARATION ; ' , Lavatories Garbage Disposal
I hereby affirm that I am exempt from the Contractor's License Law for the __.- p-Tri •p ' ' Generator 00-5 KW 05-15 KW '
following reason (Section 7031.5 Business and Professional Code: Any city or . p -county which requires a permit to construct,alter,Improve,demolishor repair -' Transformer ❑15.50 KW '
any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains• '
to file a signed statement that he/she is licensed pursuant to the-provisions of
,1 • ❑5U+KW•
t1)e Contractor's License Law(Chapter 9 (commencing with Section 7000) of • - - - - - Reinspection Fee $ '
4r'ision.3 of the Business and Professions Code),or that he/she Is exempt Showers Reinspection Fee $15
J _
15
efefrom'and the basis for the alleged exemption:Any violation of Section - - Meter Oup to 100 amps Issue Fee '$ 3
• 31.5 by any applicant for,:a l permit subjects the applicant to a civil • ' • ••• - 3 ,_- _
LIenalty of not more than five hundre$dollars($500). Service Sink. • Issue Fee ' $ Zoning Approved BY - Date
I, as owner of the property or'my employees with wages as their sole _ MECHANICAL
compensation' will do the work,and the structure is not Intended or offered - Application Approved By 'Date
for sale (Section 7044, Business.and Professional.Code:.The Contractor's ( -
License Law does not apply to an owner of a property who builds or improves • Boiler Refrigeration System ' D -13-er
thereon, and who does)such work himself/herself or through his or her own • - i Application Issued By /// •Date
employees, provided that such Improvements are not Intended or offered for Duct Under Ground 00-100,000 BTU 0100,000BTU
I • SUMMARY OF FEES
sale. If, however, the building or improvement
rovement I5 sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im- "
rove for the purpose of sale). , - Duct-Structural System Repair/Alteration
o I,as owner of the property,am exclusively contracting with licensed con- BUILDING PERMIT $ SMTP $
' tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating _ . - 'PLAN CHECK. $ - PERMIT •
The Contractor's License Law does not apply to an owner of property who i ISSUANCE $ , •
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple❑' PLUMBING ' $
tractors)license pursuant to the Contractor's License Law). - PLAN CHECK $ ' GRADING $
❑ ham exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4= ' , . $
Date - Owner f nng System&Ducting ' ELECTRICAL $ - ,
Thereby certify that it have read this application and state that the above 100,000 BTU 0100,000 BTL - -- PLAN CHECK $ MICROFILM $
Information Is correct, I agree to comply with all city and county ordinances
if and'state laws relating to building construction,and hereby authorize repre- Hood or Type I ❑� �O MECHANICAL $ �� TOTAL FEE $
sentatives of this city o enter upo the above-mentioned property for • VP Reinspection Fee $15 LESS
Inspection purposes. �� /6.,f/,�p� ' Canopy Type II ❑' PLAN CHECK $: $
Signature ,a...afA i✓/ •ate C T U I ADVANCED PC
Drivers' License or SS# • IT Registers I ' I , Issue Fee $ 3 FINAL FEE $ •
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
`? ;:CONSTRUCTION'ANDTPL'ANNING . , ' _ 4 nC - • j -` . - - .1^ POOL PA - • ' - -' 7 - '
(3 s c _ �, - - • Date ) ,Inspector " ` - -, - .Date Inspector
°APPROVALS Permit# ,• APPROVALS 7 "TPermit# _
: 1;r Temporary Electrical Service oi'.Pole - , - , :,'r I :.'52.- Pool &Equipment.Location - ' n
•:' 2_ Soil Pipe-Undrgrnd ' v - - - _ • ` , r• ,53;Steel Reinforcement - -
3? Electrical Conduit Utility-Undrgrnd.) _ ' . o _ 54• :;Forms; `-' . - . - '
4. Electrical Conduit-Undrgrnd. - - °• , . 55`Electrical Bonding • :
Steel Reinforcement' 1 <r -. 1 : ; _ _ ... Rough Plumbing:& Pressure Test - -
6' Electrical LIFER Grnd -;,l ';ss . - - : - 57.- APPROVAL TO COVER-GUNITE •
7. Footings' 1 ' I ' o :--r ;,
• _ - ,, - _7, 58. Electrical Conduit-Undrarnd. . : -
8. Foundation i I " 1,, - 59. Gas Pipe;❑'Undrgrnd.,Test
9. Water Pipe=Untlrgrnd: • - L, 60. Backwash'Lines' I'--Trap, ❑ Undrgrnd., '
10. Structural Floor System 61. APPROVA'L'TODECK - ,
11. Property Sewer Line & Hoiuse Connection - 62. Backwash & Receptor-Final
12. Sewed Cap . - - " -63. Heater'& Vent-Final
13. Roof'Drains r n • S ' '64. Plumbing System•- Final -
14. Rh Plumbinou '
9 9 1 - 65. Electrical=Final- -
I`m _ _ 1 ,-j -r.r_L._'_+�._ . I , 56.�SollarSystem-Final ' - - . •"
152R.- Electrical-Conduit 1 T
' 16. RoughElectric Wiring. I i• '1' ---i -1-: • -17 - '67 rFFncmg&'Access.ApprovaI - ".. _ -- _
17. 'RoughrWiri'rig Signer s I ' 1 -` ` i ` , n I - i i _ ; '68. APPROVED FOR'PLASTERING .
18. Rough Electrica(T'Bar,Ceiling ll u is I-: I i 1' II!, I - '69.! POOL/SPA SYSTEMS FINAL . ' _ -c.
P 119., Rough Heating & Air Conditioning !i his4ter 'pie 1 FIRE DEPT. REQUIREMENT
20. SRough_Factory Fireplace i ' i ' , ' I APPROVALS' , Permit!# -
121. Ducts/in Structure-+ , i 1 ' ; I I �70.i Underground Hydro ,
C 22 Ducts Ventilating � - j .• i 1 I •71.1 Product Piping 0 Gas ❑Oil
1'23. Gas:Pipe-Rough & Test .. p?,. 1 1 . 'I I 72.1 Underground Flush
.1 ,"24. 1Roof,Frarningi '• . n ! 1`_, ' . • j. i. . '-, I 73. Undergrnd.StorageTank 0Gas,.0oil.
c ' 25: 'Roof Sheathing 1 i r' j , - = I - - I-- , 74.1 Overhead Hydro ^
26. T Ba- Ceiling ,Structural).& Monocot` I n l t ' ' - 1 ' X75. Dry Chemical ' - • -
" °_27r;Frame and flashing; 7 i j h j - i ; I i I I 76 .; Drly Standpipe 1
I .
,' g, - . II , i I I ; • ' 177.. FIXED SYSTEM FINAL
,r a 28. ;Lathing & Siding;!..'ti 29.29. Insulation - , ' r 'i �l h i 78: FIRE PREV. FINAL _ ' ,
h,30. Drywall Nailing .-.' I I i' , i I 1 :Notess 1
'31-:ryPlaster Brown Coat ' I I I I - - -
a 32. ,Electrical Meter-Fina
•„ l • I I -
•
33. ��Final Electric . -- !.-.r�-,_I i i .-.i I
34. Final Heating &sAir, Conti itioning I. df-441; ,,,A,:. ' • I
35. Final Ga 'P pe'-Testi l_ -ii ;2 ` o i' 1 ! 1 -
J
36. Hood orCanopy,r1 w 0 - ! , I I I . - ' 2 I 1. I
37. Final Factory Firepla`-tie,• t• y k 1-
38. Final Flu nbing 1 1 I i 1 4' , ' - ' 1 I ! i
39. Water'Service-Fi.nali i , ii I 1 i . , 1 I ,-
40. Gas Service-Final I 11 ' I
, ' l ' " ' ',I 1 I I' .
4 It I 1 1 i 1
41. Solar Domestic-Final 1 +j i --i- I I ' _.- _" - 1. - ,, A
�, 1 1 I E-
42. Backflow-"P,reventerj . I • _'_ 2-- r _- i . . ,
43. Backflpw Irrigation _1` `� - _
-.
44. Landscape Irri9ation�-SYstem, - I V Imo ' I , •i -
1 ' -
45. Soundj$ttenuation '! I <_ -J .
46. Handicap Regulations : • I u I- 1 I. 1 `-1 - I - - - '
47. FINAL STRUCTURE& BUILDING -
1 l ; if1 . - r '
48. Special Requirements Completed ( I :0 • '
49. Electric Releasejto Edison, l c ;; I_- .f --1.- _ _ ! -- ' - I - '_ ,
50. Gas Release to Southern California Gas Co 1 1
51. CERTIFICATEIOF OCCUPANCY • ' _ -. _, - ' '. _ -
No 1 Date . n 1 I -1 . .1
1. - -. . .
Applicant to fill in all spaces except those within heavy border lines and sign_all appropriate declarations.
CITY OF COSTA MESA 1 f PER IT NO. TRACT NO. LOT NO. BLDG.NO. • . . '
CONSTRUCTION PERMIT • /•
- 9 7A(p '
Applicant's Mailing Address 1080-IV N. Batavia, Orangi3 TYPE OF CONSTRUCTION Ex] NEW 0 ADD U ALTERATION U REPAIR , • • _ •
Project Address 3051 toys-burg -Bay 0 CONVERSION 0 DEMOLISH 0 OTHER _ - - _
Owner's Name M.A. Janes CO. Phone DESCRIPTION OF WORK mPtA1 fireplare •
'ZONING REGULATIONS
Address - '" TYPE OF PERMIT U GRADING U FOUNDATION U-STRUCTURAL A.P.+ ' - ZONE • _ ' '
•Arch/Eng. - License No. 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG. REF.+ ' - - BUILDING. • •
•
•
Address! • - 0 OTHER TO BUILDING_ - cora nrx C/' CT
Cdntrac of s Name - ' ••% • t. 'hone639-1 R20[ . PROJECT DESCRIPTION SO;FT. OCCUPANCY PROPERTY LINE • REAR YARD(TO P/L)
Address(mailing) 1080-N N. Rat a V 1 a,Orange , 92667 CONSTRUCTION TYPE VALUATION$ LEFT SIDE YARD RIGHT SIDE YARD
ZONE GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED '
License No. — 16uO6 - - -
LICENSED CONTRACTOR DECLARATION Remarks: -. /i -753 7. -STREET WIDTH I • PARK FEE$with
?hereby ion affirm that i am licensedion under provisions Charterro9 ns(commencing, _ ( -
mhsense is n00 II of a 3 of the Business and Professions Code,and SPECIAL CONDITIONS:my license's in II to and effect.
Ucense Class -oil . ' a cense No. i • PLUMBING • • -
• Date .7:3 Signature WOWS _ • Bar r Sink Sewer Cap ELECTRICAL
WORKERS'COMPENSATION DEC • R ;TION '
tereby affirm that I have a certificate.of consent to self nsure.or.a certificate - - - . _ Automatic Washer _ _. . _ Meter Dover 100 amps . . -
Workers' Compensation Insurance o a certified copy thereof (Section - Backflow Prevent8r 'Sewer COnnectionl - ,
360°• Lab. D;151730H3QCQA/59JC , Backflow Irrigation Solar Collectors Construction Pole Sub Panel r •
Policy No. !
Company - I- ( - - Cooking Unit. ' Sub Pole '
' ki! Certified copy is hereby furnished. ' , _ Bathtubs - Solar Piping •
CoQrtii/l c p 15 flied with the city B • gv vi• , . I Dishwasher Motors ❑0-1 HP ❑1 X$
' Date_I_L � 3_Applicant _ , Clarifiers Solar Tank )
EXEMPTION FROM WORKERS'COMP 'SA ION DECLAR IONDryers- ❑Gas' ❑Electric 'Inc.Solar.U9-15 HP ❑16-15+ '
(This section need not be completed If the permit is for one hu dred ($100)or Dishwasher Swimming Pool w/Spa-- I ,
II certify,that In the performance of the work for which this permit is Issued I I Drinking Fountains i• Urinal ' I I I Fan ! (Microwave
shall not employ any person in any manner so as to become subject to the I F.A.U. Pole Light I I • '
I Workers' Compensation'Laws of California.' - I Floor Drains' Water Closet - ,
Date I Signature _ - - - I •
NOTICE:If;after making this•decieration,-you should become subject to the - ' Floor Sinks - Water Heater _ _- - -. Fixtures I __ . Range - i - • _ -
, Workers' Compensation provisions of the Labor Code, you.must forthwith. •
DeviceBOxes
• comply with such provisions 'or this.'permIt shall be deemed revoked., Gas Service 'Outlets Water ServiceSign
CONSTRUCTION LENDING AGENCY ' ' • ,
I hereby affirm that there is a construction lending agency-for they performance. Interceptors •- • Outlets Standing Sections '
of the work for, which, this permit Is issued (Section 3097 Civ: C. - - Switches Trash Compactor- '
Lender's Name- _ Kitchen Sink _
Lender's' Address - - - - , , I
OWNER•BUILOER DECLARATION • ' ' - f - ' lavatories • �' Garbage Disposal
I hereby affirm that I am exempt from the Contractor's License Law for the ' • Generator 00.5 KW 05-15 KW '
following reason.(Section 70,31.5 Business and Professional Code: Any City or P-Trap' 'i
county which requires a permit to construct,alter Improve,demolish or repair - Transformer ❑75-50 KW
any structure, prior to its issuance,also requires the applicant for such permit - Roof Drains •
to file a signed statement that he/she Is licensed pursuant to the provisions of - - ❑5U+KW
,I to Contractor's License Law(Chapter 9(commencing with Section-7000)of - ' - fleinspection Fee $15
tislon 3 of the Business and Professions Code) or that he//she,is exempt ' . Showers I Reinspection Fee $15
c -refrom-and the basis for the alleged exemption. Any violation'of Section - - Meter ❑up to 100 amps Issue Fee •'$ 3 •
-c >'31.5 by. any applicant for-a permit subjects the applicant to a-civil - '
Dpenalty of not more than five hundred dollars($500). - Service Sink ••. 'I Issue Fee _ $ 3 Zoning Approved By Data •
I,'as owner of the property or my employees with wages as their sole MECHANICAL
compensation will do the work,and the structure Is not intended or offered Application Approved BY nate 1
for sale. (Section 7044', Business end Professional Code: The Contractor's -- - - - - - - --- - -- - _. - - - -
Ucense Law does not apply to an owner of a property who builds or Improves •
• Boiler ' I ' Refrigeration System I A1) ,%i/ / /
• thereon, and who does such work himself herself or through his or her own 1 Application Issued By Date P�'/�;
• employees, provided that such Improvements are not intended or offered for - Duct-Under'Ground ❑0-100,000 BTU ❑100,DOOBTU
sale, If, however, the building or Improvement is sold within one year of com- ' SUMMARY OF FEES •
oletioil, the ownerwilt have the burden of proving he/she did not build or im- '
orove for the purpose of sale). . - Duct-Structural System Repair/AlterationI
I, as owner of the property, am exclusively contracting with licen•sed con- BUILDING PERMIT $, SMIP $
tractors to construct the project (Section 7044,Business and Professions Code:. _ Duct:Ventilating. - I PLAN CHECK $ PERMIT
The Contractor's Ucense Law does not apply to an owner of property who i 1 ISSUANCE ' $
builds or Improves thereon,and who contracts for such projects with a con- i Exhaust System ❑ Multiple 0 • PLUMBING $' -
tractor(s) license pursuant to the Contractor's License Law). - PLAN CHECK $ GRADING $ -❑ I am exempt under Section - B.& P.C.for this reason 1 Firepl/Fact •
.Blt. ICBG dp 3195 4 D0 $ ,
Heating• System& Ducting
ELECTRICAL' $,
' Date ' - ' Owner - Y 9 MICROFILM $ ,
I hereby certify that L have read this application and state that the above ' 00-100;000 BTU ❑100;000BTI'' -- - • - PLAN CHECK $ 1
Information is correct. I agree to comply with all city and county ordinances QQ TOTAL FEE • $
and state laws relating to buil-Mg construction,and hereby authorize repro- • Hood or Type I 0 MECHANICAL $ j
sentatives of th s;city' • en':r upon the above-mentioned property for VPReinspection Fee $15 2, QQ LESS
Canopy Type 'PLAN CHECK $ ADVANCED PC $ ;
inspection pur - 1 1/1 c/83 Cano II ❑
519nature Date '
Registers Issue Fee , $ 3
Drivers' Llcen e • _ _ FINAL FEE $ 9. 00
CMF 0865-46 rev,12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
- CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
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 Grndr 57. APPROVAL TO COVER-GUNITE
•
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ❑ 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 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 OGas OOil
•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 Notes:
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace 1Wid/ t
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 & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
r 51. CERTIFICATE OF OCCUPANCY
No Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OFCOSTAMESA - -- - • - PERMIT Na,, TRACT NO. - LOT NO. BLDG.NO. _ CJG�73 1717/C;
:
CONSTRUCTION PERMIT I Z - 7635 -
Project Address ' i wA1 v , TYPE OF CONSTRUCTION ...11-----NEW U ADD ❑ ALTERATION ❑ REPAIR r
Applicant's Mai in• •d• Ln �L .,-, M'1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# one
_ le. DESCRIPTION OF WORK
Owner's Name = Phon> S Main Building: Accessory Building: Z
��55 E 0
Address
TYPE OF PERMIT /u GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front N
Arch/Eng. - License No. • ❑ TENANT lf7Jf ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - B Rear I
Address t C 1IL ❑ OTHER • A N
C Right G
Contractor's Nam ,\, 1 yv� -1 ' •- �.�'.9-4a--l� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K -
Address(mailing) �; IL&Ara. ` _ ,>1 CONST RUCTION TYPE VALUATIONS S Left E
�` �_ ZONE • GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ t Q
City License No.
LICENSED CONTRACTOR DECLARATION Remarks: 6 -?53 9 Parking Req./Provided 1
•
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with section)7000) of Division 3 of the Business and Professions Code, and , Use of Building: • E
my license i in f • ce and i f
Licens- I. y, � �
License . i� PLUMBING FEES Planning Notes: M
Date n�•�Signature `-. -- •• � :��- N
WORKE• CO PENSATION DECLARATION ' I 1 NIRar Sink Showers •
T
'hereby affirm that I have a certificate of consent to self-insure or -rtificate
Backflow Preventer Service Sink S
if Workers' Co mpensaY n Ins ranee, or a e c thereof (Se. ion _
3800, Lab. 4bI - /Sa•1 cy Backflow Irrigation Sewer Cap t. ELECTRICAL FEES
Policy No. copy by Compan - _-
■ Car • copy's hereby furnished., • Bathtubs Sewer Connection x • / Automatic Washer Transformer 0 15-50 KW
• •rt f e• opy istl ith the),4fy qtr' ing Division. ' � ' .� _ y
Date • ��Applicant
- Clarifiers Solar Collectors Construction Pole Sub.
❑ 50+KW
.EXEMPTI ON FR•M WORKERS'COMPENSATION DECLARATI. Nit Dishwasher . . Solar Piping Cooking Unit ,J Meter—p to 100 amps 6
(This sects•n need not be completed if the permit Is for one hundre•($ 00) or
less).
1 Drinking Fountains
I certify that in the performance of th¢work for which this permit is issued, I 9 Solar Tank Dishwasher Meter Dover 100 amps - /
shall not employ any person in any manner so as to become subject to the _
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa 3 Dryers ❑Gas"(''Electric J Sub Panel /0 •"
Date Signature •
NOTICE: If,-after making this declaration,you should become subject to the , Floor Sinks Urinal Fan Motors 00.1 HP 0115-8 / --
Workers' Compensation provisions of the Labor Code, you must forthwith - -
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet / F.A.U. Inc.Solar'09-15 HP 016-15+ / —'
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater /0 Fixtures I Microwave 3
of the work for which this permit is issued (Section 3097 Civ. C.) -
Lender's Name. - Kitchen Sink - Water Service Device Boxes • Pole Light '
Lender's Address Lavatories ,,,1
OWNER BUILDER DECLARATION . Tl/./ Outlets / Range ? g0
I hereby affirm-that I am exempt from the Contractor's License Law for the P-TrapV
following reason (Section 7031.5 Business and Professional Code: Any city or 10 Switches Sign —
county which requires a permit to construct,alter,improve,demolish or repair ,
any structure, prior to its issuance, also requires the applicant for such permit Roof Drains / Garbage Disposal Standing Sections / —
to file a signed statement that he/she is licensed pursuant to the provisions of .
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Generator 00-5 KW 05-15 KW Trash Compactor
livision 3 of the Business and Professions Code) or that he/she is exempt -
lerefrom and the basis for the alleged exemption. Any violation of Section r- - '
031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee I $25 Issue Fee $ 3
penalty of not more than five hundred dollars($500).
U I, as owner of the property or my employees with wages as their sole •MECHANICAL Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered FEES
-
for sale (Section 7044, Business and Professional Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I ❑
thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date
employees, provided that such improvements are not intended or offered for Canopy Type II ❑
Duct-Under Ground
sale. It, however,wthe building improvement opro issold within one yearofrim- - Application Approved By Date
prove the owner will have the burden of proving he/she did not build or im-
�ove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By__ ,��! - Date/L�iG/�J�
LJ I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who - BUILDING PERMIT $ SMIP $
builds or improves thereon,and who contracts for such projects with a con- . Exhaust System ❑ Multiple 0 System Repair/Alteration
tractors) license pursuant to the Contractor's License Law). PLAN CHECK $ - PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. (CBO# • PLUMBING $ ISSUANCE $
Date owner Heating System&Ducting • PLAN CHECK • $ ENERGY P.C. $
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 c•. ructlo an• hereby auth rize repre- PLAN CHECK $ 1 / MICROFILM $
sentati • this city to enter .pen • ,.I`ve ''t entioned pe r /
inspection put.. = - ••WC1�. P MECHANICAL $ TOTAL FEE $ cCS 4122)
Signature - .+•ate
Drivers' License or SS#
plicant;Pink_Accounting;Goldenrod -Assessor - • - - _ - - - --. _ I
f CONSTRUCTION AND PLANNING - POG SPA - .
• Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
` 1. Temporary Electrical Service or Pole • - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms .
' 4. Electrical Conduit-Undrgrnd. .. 55. Electrical Bonding
5:Steel Reinforcement o . . • 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
11C.Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final
12.. Sewer Cap .. - 63. Heater & Vent-Final -
•
13: Rhof Drains - 64. Plumbing System - Final
14. Rough Plumbing •. 65. Electrical-Final '
15. Rough Electrical-Conduit - • -- ' 66. Solar System-Final
'16. Rough Electric Wiring r(19.3(fsJ CC . 6T 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 ,0 at 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 2 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 5/] `�t ^� 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: ,
34. Final Heating & Air Conditioning • • '
35. Final Gas Pipe-Test '
36. Hood or Canopy 1
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 & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison ; •
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date -
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. CI,u46-t4
Building Safety Division
P.O. Box 1200
Costa Mesa,California
The Building located at "incl mvsn Lur7 BAY
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R-1 Occupancy.
Use of Building CaNDCMINILIM
Legal Description 418-131-17
(See reverse side for Metes and Bounds)
Building Permit No EI-7539 Electrical Permit No. E-9635 Plumbing Permit No. F-7597
Mechanical Permit No. M-9068. 14-_9726 Number of apartments and/or guest rr0000�mss /
ISSUED TO: Building fficial �w// /� i ieLsc ^
M.D. JANES CD., Mt. '
by`-!/ �IG�uffh
2960 AIRWAY AVE., D-9, COSTA MESA, CA. - /J ,, /y/,/
Date -) '/
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premi end SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. 1/
CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg.Permit File