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1680 MADAGASCAR ST - Building Permits
S CITY OF COSTA MESA • 4 FUIILDING DIVISION 4-, .- DEVELOPMENT SERVICES DEPARTMENT F RMIT NUMBER f ( •,�. - PERMIT M07-00079 . 111011.4 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1680 MADAGASCAR ST Status: ISSUED Suite No Applied: 0�T2//00888//20 17 IssV • ' " 2rr7 Vicinity: HALLWAY CLOSET Parcel Number: 13913428 �' ISSUED BY: ��'� Applicant: JEHLE, BILLE R TR Address: 1680 MADAGASCAR Phone: 714-545-4433 COSTA MESA,CA Zip: 92626 Owner: JEHLE, BILLE R TR Address: 1680 MADAGASCAR Phone: 714-545-4433 COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License:000000 SCOPE OF PERMIT MECHANICAL PERMIT TO INSTALL A NEW FAU IN A HALLWAY CLOSET FOR A SFD. WORK TO INCLUDE: 1 FAU< 100 K BTU. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $6.15 1 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers' $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 -0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm - $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 - 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $44.45 COMMENTS/SPECIAL CONDITIONS NOTICE:. The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.prd. No.92=28,§1,12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-4616/001 DECLARATIONS !- WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: \ ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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,and agree the should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi s. /f Applicant Signature: J _.2., P .l --Date_ + WARNING:FAILURE TO SECURE WORKERS'COMPENS ON COVERAGE UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OW-ARE(5100,CCe),IN ADDITION TOME COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.s Class a Contractor's Signature: Date: • CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 penalty of not more than five hundred dollars($500).): ❑ 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 for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). L❑il es owner of the property.am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursu nt to the Contractors License Laws.). ❑ I am axe underAse1c. Business and Professions Code for this reason: } -Signature: ./le_...) /) -Dater-al--G e--e2 7 ') Owner ID Verified by driver's license. 0 Yes ❑No Driver'sLicense.No. - . ' Gxpire`s:/P-4 9-/X Verification of Ownership by(type of document,i.e.-property tax bill or deed):C—' DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akiermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 66850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If Nes'',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 11 a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all statslaws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-d scr�ii d property for 1 ec puurpossess.l agree not to occupy or allow occupancy of any building auttttiorized by this permit until final inspection. `519414re-OfLegal'Owner(s) - [Date--_ And/Or Authorized Applicant Date MX• INSPECTION TYPE f2A.TE PRIME CODE• INSPECTION q dTYPE -fire 1616 Fixed System Final Fire Prevention 206 Final Mechanical /4 Lir 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy _ w • 3 =_"_�__ ` &tg di &Idea 2?Zeaa FrnuE Dueithua , '' OWNER-BUILDER VERIFICATION r jd tress: /t 'PG /// ie -� Permit#: A city or county,which is required to give notice pursuant to Section 19830,shall attach to such notice,and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner- builder verification. Attention Property Owner: An `owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued_until_this verification is received. l'7 I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ Yes RNo G2? I(, av'e t e not) signed an application for a building permit for the proposed work. 3/ I have contrac d with the following�person (firm)to provide the proposed construction: Name //,Ofi d /; — Address City Phone( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042-46 (Rev.11/04) hits teal CITY OF COSTA MESA t eel. ___ BUILDING DIVISION PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT • P00-00061 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1680 MADAGASCAR ST • Status: ISSUED Suite No Applied: 01/31/2000 Issued: 01/31/2000 Vicinity: Parcel Nunmber: 13913428 ISSUED BY: Applicant: NOCK, RON Address: 11612 KNOTT ST Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 Owner: JEHLE, BILLE R TR Address 1680 MADAGASCAR Phone: COSTA MESA, CA Zip: 92626 Contractor: NOCK PLUMBING • Address: 11612 KNOTT ST Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 License: 707775 Arch/Eng: Address: • Phone: Zip: License: SCOPE OF PERMIT WATER HEATER CHANGEOUT. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS, WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have nd will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the —w or which this permit is issued. 1 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. M1My workers'compensation Insurance carrier and policy number are: C/ Carder: ? ,Cf)/OGkj Qf-`3/_ l Policy Number &JC--:7 2 3 �yd (Thissection need not-be completed i/the permit is valued at one hundred dollars($100)or less.) ❑ 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, agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. APPcam Signature, • —\ _ ` _ I Date: ? 7---3 nC: WARNING:FAILURE TO SECURE WORK MPENSATION CO ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOI I ARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm t at I am,licensed under orovis;Qns ofap 9{commencing with Section 7000)of Division 3 of the Business an es ns Code,and my license is in full force and effect Lic_# _S? / / 7 ) CCIass.R� •Cdntraddr's Signature: ) — rDete:�• 7 < ` 2-(JZ17 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 penalty of not more than five hundred dollars($500).): ❑ 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 for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ora volume of 55 gallons. or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? UYes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If'lyes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7...._ from South Q-___ pollution control district gency i_—__.f._— __.ic_ .._u. --tis 7 a a patron v tae South isclos Air Quaky ed bygement is Heat hr nS alt p Odeon n33 been agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 made? ❑Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is - correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property/foruinspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / `'lSl\r�f:legal Ownerls) ate va' \ ///I AndwOr Authorized Applicant , ( Date ) CODE! INSPECTION TYPE PATE INTRULS CODE1 INSPECTION TYPE PIM INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 3f0Za/Ba 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446.46 1680 MADAGASCAR ST CITY OF COSTA MESA — BUILDING PERMIT r ^ OD" � ADDRESS OF BUILDING: user: OWNEWSNAMEIFQC.wJEHLE, BILLE R TR PERM NO: P 086461 AD S 1680 MADAGASCAR COSTA MESA,CA 92626 PERMIT NO: P 086461 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MMUNG ADDRESS( CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : WATER HEATER CHANGE OUT SQ FT: ARCS.OR END.'S ADDRESS: WIT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / OGnBACrarsNAIIE: NOCK PLUMBING ( 714 ) 895-1246 caxmACTOWSIIMLDIG 11612 KNOTT ST COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT ADUNEss:GARDEN GROVE CA LIC.NO; 707775 *******************************************************3Els****at***3ti4*3E3tat*4****4* 92841 WIt 17 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby edam under penally d perjury that I am licensed under provisions of Chapter e S E TB ACK S (commencing with Section 7000)of Division 3 d the Business and Professions Code.and my love a in lug lace and effect. CrryLICAM:050386 LIC.CLASS: C-36 uo." ' 0 5 EXP: 02/98 MAIN BUILDING ACCESSORY BUILDING ere _/ y—9i Contactor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally d perjury that I am exempt from the Contractus License Law for the-- following ldbw'angrfor suAny thy NO:• or signedstructure, toitsforfile statement that he or she ' 3 licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 d the PLANNING NOTES> 3usinesa and Professions Code)a that he or she is exempt therefrom end the hese for the alleged exemption.Any violation of Section j 1 70318 by any applicant forM apensubjects the the applicant toe tivipenaltyda nmore than lova hundred dollars(MOD. ***********************************************4******* ************************ ElI.al owner of the PmPertY or rnY emPloyees with wages as thei ode compensation,will do the Molt.and the structure is net intended DEVELOPMENT SERVICES R V I C E S R E or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does rel apply to an owner of property Q U I R E M E N T S who bads or improves thereon.and who does such work limeeff or Mantel or through ha or her own employees,provided that such imprwemats are ml'intended or°feted la sop.it,however,the bulling a knproverned S sold within one year d mnpolion,the ownerbmlder wit have the burden ci proving hex not bo she did nld or improve la thepurpospurposed sale). ZONING APPROVED BY DATE: o I,as owner of the property.em exclusively contractwith licensed centred=to construct the project(Sectio('7014,Business end Professions Cada:The Contractors License Law does not apply to en owner of progeny who builds or improves thereon end who BUILDING APPROVED BY : . ,- DATE: contracts ler such protects with a contractor(s)licensed pursuant to the Contractors License Law). `., ❑ Iemexempt under Sectiop: B.AP.C..for thireason: APPLICATION ISSUED BY: i .." DATE: ************************************************ .•' ** *)(.*******4****** rki/ * Date: Owner; I do hereby certify thatem aware I eaware d and understand the requirements of California Health Sections h and Safety Cade 25505.94913.and LEGALIZATION:N F E E SUMMAR STRUCTURAL GM N T; N ?S54,end Net I or any Mum building occupant will/wit nor(circle one)need to comply with said state codes end the requirements for apemd formnbvaionor modification from the N Quality Management Dimdd.Reudemid mutrwonappicetoro en exempt horn Owes BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 11 . 0 0 Date: Applicant: 2 5% SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby am under penally perjury one of the following declarations: PLAN alum d ISSUE FEE 22 . 00 ❑ I have Code,f dwn4irmancewda»nembhispen efor worker, compewater,es provided faWsection37rodthe La= BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Code,for the performance of the work for which this permit is lamed. .Cl Ihave and wilmaintain workae'cempenationinsurerce.es required bySectin3700alteLabor Code,for the performance oftM TOTALS----> 11 00 22 . 00 0 . 00 33 . 00 33 . 00 . 00 a work for which this permit is issued.My workers'compensation insurance canter and folic'number are: Genie,: GOLDgN E LL EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 33 . 00 OVER/SHORT : . 00 Policy Number: NW(' 479'1 265 09 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK MIS Seek.,need nor be completed i the pa petrol is for one hundred dollars MOW or less) 33 . 00 0 I certify that in the performance of the work for which the permit sued,I shall not employ any person in any manner no an to m becoe subject to the workers'compasation laws tm Caia ism. .. shad bewsub$dto the wlws' ******************************************************************************* compensationre d p ovisosection y the Lebo Code,I ply cm pmveias. Da a: --I S — a Apwi ant: INDIVIDUAL F E E BREAKDOWN W+ming:F+Uunma+eure workers'compensation coverage la unlawful,and shall artl/ecf+n employer to criminal penalties and PE QTY D E S C R Z P T I O N UNIT COST TOTAL COST civil fines up fo one hundred Thousand dollars($104000A p In addition to the cost of compensation,damages es provided for In Seddon 3106p/tMLabor Cods,Interest,and+domay'a Nes. PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm ands penafly d y perjurthat there a a oxstnrticn lending agency for the END OF FEES performance of the work ler which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application end date that the above information is coned.I agree to comply with M city end county ordinances and state laws relating to building construction and hereby authorize representative*of this thy to enter upon the above-mentioned property for inspection purposes.RON NOCK P • Name 81-15-1998/89:54 BM/$33.88 !`� r RCDTI$:81 8818175 "� Date: / PERMIT:086461 sgnature d Ower' ,—., (5151.46.W P) White-Building A Safety:Green-File Cerory sppkat;Fink-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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement , 56, Rough Plumbing & Pressure Test , • • '6: -Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE r '77•Footings - 58, Electrical Condgit-Undrgrnd. - 84Foundation 59. Gas Pipe, 0 Undrgrnd.,Test /•� 9. Water Pipe-Undrgrnd. • I 60. Backwash Lines,P;Trap, 0 Undrgrnd. 10. Structural Floor System -- 61. APPROVAL TO BECK I ' , 11. Property Sewer Line & House-connection 62, Backwash & Receptor-Final 12. Sewer Cap I 63. Heater & Vent-Final •. l 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 ElectricalT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL, 19. Rough Heating & Air Conditioning, r •-i 2' .- FIRE DEPT.REQUIREMENT . . - - _ -. 1, _ - II 20. Rough Fabtory. Fireplace r' -;- ' + '7 _ . APPROVALS•: Pe_imit# 21. Ducts;in Structure ' 1 ,- 70. Underground Hydro 22. Ducts, Ventilaiing'a .: • 1 71. ProductPiping 0-Gas Q Oil 23. Gas Pipe.Rough & Test J -1 - J1 72. Underground F,fuzh • 24. Roof Framing ": " 732 Undergrpd.StrAg`e Tank O Gas 0 Oil 25. Roo{Sheathing • - 74'. Overhead Hydra-, 26. T-Bar'•Ceiling IStructurall & Mdnocoat - ' • 75'. Dry Chemical . • 27. Frame and Flashing ; - .. 76. Dry Standpipe,= - . - _ -- 28. Lathing& Siding - - 77; FIXEDSYSTEM FINAL -' 29. Insulation ', - 78i FIRE PREV. FINAL 30. Drywall Nailing ^ - -^HEALTH DEPT. REQUIREMENT 31. Plaster Brown coat,. 79. FINAL INSPECTION , - 32. Electrical Power Meter-Final 807 FOOD CERTIFICATE ISSUED 33. Final Electric 1 - sf Notes: • 34. FinalHeating & Air Conditioning + _ 35. Final Gas Pipe=Test - - - . .1 36. Hood or Canopy ' r ,1 1 y 37. Final Factory Fireplace - .: : r , 38. Final Plumbing /!R2. /72_= ��� •j, e 39. Water Service-Final • / ' 40. Gas Service-Final - - :- -�' J . • 41. Solar Domestic-Final - - 42. Backflow Preventer • _ _ 43. Backflow Irrigation -. _ - • - 44. Landscape Irrigation System • , - - - - 45. Sound Attenuation -1 r: -• ' 46. Handicap'Regulations - - 47. FINAL STRUCTURE & BUILDING "l 48. FINAL PLANNING , _ _ • _t 49. Electric Release to Edison .� r' <. 50. Gas Release to Southern California Gas Co - �- 51. CERTIFICATE OF OCCUPANCY No. Date Applicantspaces. y to fill In all border lines and sign all appropriate declarations. _ CITY OF COSTA MESA - PERMITNO. 1,.., NO. LOT NO. BLDG.NO, CONSTRUCTION PERMIT / 7`� �� S i Applicant's Mailing Address `�t7.'¢qAS 'p�., C•��• TYPE OF CONSTRUCTION NEW ADD ALTERATION U REPAIR - (3657 5�I C� 1J Project Address ' �•5A ( /Q 0 CONVERSION 0 DEMOLISH 0 OT ER - Owners Name a• ^ . J \'T�� DESCRIPTION OF WORK 4� / O - OC/�'kJA LL • �y1 �s "Phone ZONING REGULATIONS Address/6$Oz•/ �Y v /` •�• ,)`4a� ID STRUCTURAL _A.P.W. 17,9 -13y-1F ZONE RI 9 / TYPE OF PERMIT U GRADING U FOUNDATION ` Arch/Eng. - License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Ell MECHANICAL PLNG.REF.9W BUILDING I ,n rfFTBIfQK its gr Address ❑ 'OTHER TO BUILDING Y YYY /-. Q PROJECT DESCRIPTION SQ. FT. OCC UPANCV PROPERTY LINE Orli,c , _ REAR YARD (TO IP ST • Contractor's Name Phone Orli, C• ONSTRUCTION TYPE VALUATION$ O��'J LEFT SIDE YARD RIGHT SIDE YARD Address(mailing) ' ZONE GRADING CU.VOS. ACRES PKG.SPACE REO.V PROVIDED • License No. __ LICENSED CONTRACTOR DECLARATION • Remarks: STREET WIDTH 6,0 J, • PARK FEE S - I 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 SPECIAL CONDITIONS: my license is In full force and effect. - License Class License No. PLUMBING Date' Signature ELECTRICAL Bar Sink Sewer Cap -:e reby COMPENSATION DECLARATION - - -;""baby affirm that I have a certificate of consent to self-Insure or a certificate - - Backflow Preventel' Sewer Connection' Automatic Washer Meter Dover 100 amps Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow Irrigation Collectors Solar Coller. Cooking Unit Sub Pole • • E Certified copy is hereby furnished. • Bathtubs Solar Piping • Certified copy is filed with the city Building Division. Dishwasher Motors D0-1 HP 01'4-8 Date Applicant Clarifiers I Solar Tank EXEMPTIONFROMWORKERS'COMPENSATION DECLARATIONDryers ❑Gas ❑Electric �Int.Solar D9-15 HP 016-15+ (This section need not be completed if the'permit is for one hundred($100) or Dishwasher i Swimming Pool w/Spa less). DrinkingFountains Urinal Fan ,Microwave • I certify that in the performance of the work for which[hi���ppp ermlt is issued I . WorIen t a pica any person In any manner sq^d{:o yp e su0jegt to the F.A.U. Pole Light Dockery. Jtrtstn Laws of Cali a`(,j-(1, /• -_,e le Floor Drains Water Goset • - Date. L.If, r ma Signature tea• 1C Fixtures Range • NOTIC If, flex making this declaratio you uld be a subject to the Floor Sinks - Water Heater - - - Workers'. Compensation provisions of the Lab Code, u-must forthwith Device Boxes comply with such provisions or this permit •shall b deemed revoked., Gas Service .Outlets - Water Service Sign CONSTRUCTION LENDING AGENCY Outlets 'Sections I hereby affirm that there Is a construction lending agency for the performance Interceptors - Standing of the work for, which this permit Is issued (Section 3097 Civ. C.)- - Switches Lender's Name. Kitchen Sink • ' -• Trash Compactor Lender's Address • - Garbage Disposal OWNER BUILDER DECLARATION. Lavatories • I hereby,of firm 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 or • P—Trap I - county which requires a permit to construct,alter,Improve,demolish or repair - - Transformer 015.50 KW 'any structure, prior to its issuance, also requires the applicant for such permit • Roof Drains ' • tofile a signed statement that he/she Is licensed pursuant to the provisions of • 050+KW s 'Reinspection Fee $15 -;Z a Contractor's License Law(Chapter 9(commencing with Section 7000)of ' Reinspection Fee $15 .tdsion 3 of the Business and Professions Code) or that he/she is exempt ' Showers • Meter ❑u to 100,am S -t"� refrom and the basis for the alleged exemption. Any violationofSection - P p Issue Fee $ 3 '' /031.5 by any applicant for a permit subjects the applicant to a civil — penally of not more than five hundred dollars($500). Service Sink Issue Fee $ 3 Zoning Approved By OP/. /Pi Date 5/ii/ U 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 for sale (Sec/ion 7044, Business.and Professional Code: The Contractor's • "115 - S//7 �� License Law does not apply to'an owner of a property who builds or improves Boiler • Refrigeration System Application Issued By Date • 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 • ❑0-100,000 BTU ❑100,000 BTU • sale. If, however, the building or improvement is sold within one year of corn- Duct-Under Ground , SUMMARY OF FEES Diction, the owner will have the burden of proving he/she did not build or im • - proveforthepurposeofsale). Duct-Structural System Repair/Alteration BUILDING PERMIT $ �6 SMTP $ ' LJ 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 $ /0 PPERMIT The 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❑ PLUMBING tractor(s) license pursuant to the Contractor's License Law). • PLAN CHECK $ GRADING $ 0 1 am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Bit. ICBG# $ •Date Owner' - Heating System& Ducting ELECTRICAL $ i-hereby. certify-that I have read this'application and-state that the above - 00-ioo,000 BTU'0100,000 BTU PLAN CHECK, $ MICROFILM $ . information is correct. I agree to comply with all city and county ordinances MECHANICAL $ TOTAL FEE $ and state laws relating t• building con ruction,and hereby authorize repro- Hood or Type I ❑' ' • sentatives P/,tel 'city enter upo the ab•ve-mentionee pr per for pyType II D • Reinspection Fee $15 PLAN CHECK $ - LESS , inspection our• /. aJ/ ^O ADVANCED PC $ Signature �._ Dat Registers ` Issue Fee S 3 1 CQ( • Drivers' License or 55 :� �> 9 FINAL FEE ' $ �� •�O CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor . . 1 '-CONSTRUCTION AND�PLA NI _ - - ' - -- .POO _3PA ' -- - 0-.Li83 Date Inspector. u Date ' .Inspector -APPROVALS r• Permit# - -APPROVALS Peimit# -- - - • : 1,. Temporary,Electrical Seniice orPole • - .- 527 Pool & Equipment Location .. • n.• 2: Soil Pipe-Undrgrnd:- - "` 53.'Steel Reinforcement r 31 Electrical Conduit Utility-Undrgrnd. _ 54. Forms . - •• 4. Electrical Conduit-Undrgrnd2 .. - 55.. Electrical Bonding . . - '•i ,` .5: Steel/Reinforcement , , ' S-l9-11 4_ le'-"i . 56. Rough Plumbing & Pressure'Test 6. Electrical OF ERGrnd. _ n - • 571 APPROVAL TO COVER GUNITE - • 7. Footings - S aG-Ss B 911.• -58. Electrical Conduit-Undrarnd. 8. Foundation - , r • . 59. Gas Pipe, O•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- L ' ..63. Heater & Vent-Final - . . 13. Rdof Drains • _ , .64. Plumbing,System -.Final - •- - 14. •Rough•Plumbing - 65. Electrical-Finel - - 15: Rough Electrinal=Conduit 66. Solar System-Final - - •• 16. • ,Rough Electric Wiring . . 67.i Fencing'&-Access:Approval 17. Rough Wiring'Sign[' - - : 1 68. APPROVED FOR PLASTERING ' 18. 'Rough Electrical-TBar Ceiling; • - 69. POOL/SPA SYSTEMS FINAL • ' 19. Rough Heating & Air Conditioning 1i • - ` FIRE DEPT.REQUIREMENT _ I r 20. Rough'Factory Fireplace , ' ` APPROVALS, Permit# - -_ 21. Ducts,in Structure - 70. Underground Hydro 22.'Ducts,,-Ventilating - 71. Product Piping El Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing ; ' ! • 73.' Undeigrdd.Storage Tank O Gas 0 Oil, 25. Roof Sheathing I I 74. Overhead Hydro - .-26. T-Bar Ceiling (Structural).& Monocoat 75., Dry Chemical . 27.• Frame and Flashing i; - 76. Dry Standpipe ., 28. Lathing & Siding 1 , 77.' FIXED SYSTEM-F,INAL f.29. Insulation , , • 1 I i 78., FERE PREV. FINAL 30. Drywall Nailing i Notes: ' 31. Plaster Brown Coat • 32. Electrical Power Meter-Final I 33. Final Electric 34. Final Heating& Air,Conditioning . i . 35. Final Gas Pipe-Test' . - ' " ' 36. Hood or Canopy I _ 37. Final Factory Fireplace- - ' - . ' , i ! - 38. Final Plumbing ' _ ' 39. Water Service-Final . ' Ii __, 40. Gas Service-Final - . ' 41. Solar Domestic-FinalI ' -- - 42. Backflow Preventer . - ' • , 43. Backflow Irrigation • • . • 44. Landscape Irrigation System . .• : _ ' c - - _ . . 45. Sound Attenuation . • 46. Handicap Regulations i • I . 47. FINAL STRUCTURE & BUILDING 520 3 A 77,, 1 ' " 1 I ! - 1 48. Special Requirements Completed ' '' , 49. Electric Release,to Edison 50. Gas Release to Southern California Gas Co ' ' ; , ' 51. CERTIFICATE OF OCCUPANCY •, ; 1 r t , No Date - ' , • i ' PROVED F� (� ©V �® STRUCTURAL APPROVAL ONLY CI7Y OF COSTA MESn w ��1 .p SEPARATE PERMITS ARE REQUIRED PLANNING DEPT. oy of Costa Mesa Building Dept. SUBIFCT TO BLDG. DELT. RE6 FOR ELECTRICP.L, PLL"4."'G -1------------u AT t9 HEATING, UC' . n ID BV C/fCClh n� DATE5-0(7g, Bre REFRIGERF,"' ' "( Dm oT NN TE UST BE ON JOB AT ALL TIMES • CHANGES WITHOUT PRIOR. APPROVAL THESE PLANS M -- MAKE NO OF DEPT. A PERMIT OR APPROVAL ((�� yy�� �D 3 CONSTRUED lr�`JL�ii@s iiE_ /J-_�-� THE ISSUANCE OR GRAiY N A OF LL VIOLATION THI$ NUi.: . - OF PLANS AND SPECIFICATION 1.11.CL CF, ANY NIT PR& - TO BE A PERMIT FOR. IOOR PN THI:. CCM.. NO PER• ALL INS. .' Of ANY Of THE EROUIHO S Cf VIOthTE CR CANCEL THE _ SLIMING TO GIVE AUTHORITY 13 CEPT IN SO PROVISIONS OF THIS CODE SHALL BE AUTHORIZES EX FOR B� "• - += tn T FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL BE EPaPw :TDA T TRE T STATE G; C . d Si ,! OF THE ISSUANCE OF A PERMIT BASED UPON PIANS AND INDUSTn:A! �.,FET, ��1 :I" SiED FOR E.R REQUIRING THE CORRECTION OF ERRORS SPECIFICATIONS SHALL 60T fRLVEt;T THE E9ILCING OFFICIALiNous N? REQUiF.E(9E(T<S. BUILDINGIRON THEREAFTER 0p S AND SPEC'FICATIRI OR FROM PREVENTING TIONS BED G CARRIED ON THEREUNDER WHEN ' IN SAID PIAN IN VIOLATION if OR OF ANY OTHER ORDINANC` , VIOLATION OE THIS CO flETHE C—... _ /La / �Oo / / -03 iLl, RESIDENCE RESIDENCE RESIDENCE RESIDENCE W W W I- • DI N 2 I6eOQ 0 v STREET e - -- TYPICAL 611 CONCRETE BLOCK FENCE ® . Cement Coping Optional �� . -' 'il' GENERAL- NOTES Channel Block With 1-3/8 —) �� ,' U Mai 0 Horizontal Top of all Ile �I. Fences EMI MORTAR: One Part Plastic Cement, and Three Parts Sand i' 111.111 - . '� Ii GROUT : One Part Cement Three and For Fences 5'or Less __:: > One Half Parts S'and Vert. Bars 3/8" Dat 4' -0"O.C.. o _ _ COPING: One Part Cement, Three For Fences Higher Than 5' —`�� I` 111111 �. Parts Sand Vert. Bars 3/8" Oat 32" O.C. v L7,1 4 — - — _ CONCRETE: Well Mixed 1:2-1/2 : 3-1/2 Max. of 7- 1/2 Gol,cns ct Fill Cells Solid With Grout > III I 11 Iz I Water Per Sack of Cement Where Steel Occurs >:- - - Reinforcing Steel Shall „I_„I_ a- fti, GROUT MAY BE POURED FROM THE TOP Conform to Sec.A15-39 W O I. OF THE FENCE IN CELLS WHERE STEEL I OCCURS. A.S.T.M. I z, w r'1 I FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped w I — -. --”' M= FREE OF ALL MORTAR DEBRIS,ETC. 24"or to CodeH PROVIDE CLEAN-OUT AND INSPECTION HOLES AT THE BOTTOM OF CELLS CON- NATURAL GRADE I �I. TAINING VERTICAL REINFORCEMENT. �, ` �• ,. . , 1 / , - PI II I, BONDS SHALL BE PROVIDED BY LAYING • BLOCKS IN STRETCHER COURSES SO THAT �`/"'�'`• _ ■r 0 VERTICAL JOINTS ALTERNATE IN EACH c,`...s\ -0 nl o .�.o n COURSE. CONTINUOUS TOP & BOTTOM . - WIDTH • 10 16 O.C. MAX. LI t• SEE CHART Y - is� ALL STEEL MUST BE TIED IN BELOWli DEPTH OF E ARTHTCOTH PLACE AT TIME OF TRENCH % _I ° 1/3 THE HEIGTH OF FENCE INSPECTION. „ L BELOW BOTTOM OF FOOTING. lO'� o 2,. -.--- SCALE: 1/2" : I' FOOTING 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' OWNERS NAME: City of Costa Mesa, California, JOB ADDRESS: PERMIT NUMBER Building Department SIGNATURE: VO M PU2•_0N_0_5? Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY Oft COSTA MESA' - - • - t - r a PE�^ITJ'�O. •/ / , TRACT NO. LOT NO.. BLDG.NO. t. ' • !' . CONSTRUCTION PERMIT - pp (7 (O' �/O (O Zw5?j yL� • • Applicant's Mailing Address - L IA 0A-U.. S I ^ ' S 1 TYPE OF CONSTRUCTION•'LJ N'tW U ADD LI ALTERATION. U".REPAIR ' I - • _ 7S2 • 4"726/33 . /, •, Project Address- _' - s / •— '- ' 0 CONVERSION :❑ DEMOLISIj 0 •.TH R - - _ Owner s,Name/e'ro- r/2- '4, • / e #0 ,_�'hoonyne `, ' �'nJ DESCRIPTION OF WORK SS i / (0iA . __4„....__¢-e i 'ZONING REGULATIONS7 •• - • Address' iW - D�4d gse�rze O5lA/J,ex . __ - _ - -• - �. 7' /�-fT�' �J /L� ' l - • TYPE OF PERMIT I♦ GRADING le. 'FOUNDATION a TRUCTURALA.P.9W ZONE. Arch/Eng. - License NO. - ' ❑ TENANT 0 ELECTRICAL M.PLUMBING 0 MECHANICAL PLNG.REF.# - BUILDING ' ' • CFT Aric l•/I CT - �' I - 0',OTHER ' 'gEAR YARD (TO P/L'1 Address. - TO BUILDING Contractor's Name' tq Phone• 'PROJECT DESCRIPTION SQ. FT.• OCCUPANCY � / PROPERTY LINE - CONSTRUCTIONTYPE VALUATIONS �'fQ �- -LEFT SIDE YARD P�`�(�A RIGHT SIDE YARD .. Address(mailing) 7 f L_ .. - - ZONJ= GRADING CU.YDS. ACRES PKG.SPACE REO. PROVIDED License No. __ - - _ LICENSED CONTRACTOR DECLARATION Remarks: - - STREET WIDTH PARK FEE$ - I hereby affirm that-1 am licensed under provisions of Charter 9(commencing _ - - . with section 7000) of Division 3 of the Business and Professions Code,and ' SPECIAL CONDITIONS: • my license Is In full force and effect. - - License Class License No.' PLUMBING ' . - r • Date Signature ' I l - ".JRKERs'COMPENSATION DECLARATION Bar Slnk Sewer Cep I ELECTRICAL _, �"';%3reby affirm-that I have a certlficate.of consent to self-Insure or a certificate- .. S - - - - Automatic Washer - _ _Meter Dover 100 amps - '".'Workers' Compensation Insurance, oq a certified:copy thereof (Section ,- Backflow'Preventer ' , ' , Sewer Connection. • 3800, Lab. C.) ; I 1 Backflow Irrigation ' Soiar Collectors ) Construction Pole Sub Panel'. ; ' ' • Policy No. -" Company - - - --- Cooking Unit Sub Pole . ' 8 Certified copy is hereby furnished. • 1 Bathtubs . Solar Piping • I ; Certified copy is filed with the city,eullding Division. Dishwasher Motors 00-1 HP 01 Ya-13 Date ' • Applicant • - Clarifiers t i Solar Tank ' - EXEMPTi n need M WORKERS'COMPENSATION DECLARATION - - - - ' Dryers ❑Gas ❑Electric 'Inc.Solar 09-15 HP 016-15+ (This section need not be completed if the permit Is for one hundred ($100)or ' Dishwasher I Swimming Pool w/Spa • less): I f , -f' ' r , - Fan ;Microwave 'I' ' • I certify;that in the DrinkingFountains Urinal I , . I - • performance of the work for which this permit Is Issued I _ - shall not employ any person'In any manner so as to become subjectto the 1 - . - F.A.U. Pole Light I Workers.,Compensation/Laws of California: I Floor Drains. f - Water Closet i i - - , ' Date ' I Slsnature • 1. I I I _ - - ' i __`. -.__ _. Fixtures ' I NOTICE:!Letter making this declar f 't the should become subject to the-1 - .r Floor Sinks --Water Heater-- - -� - '�- - -- , - -. Rang¢. .. , Workers'. Compensation provisions.of the Labor, Code, you-must forthwith l - DiB comply with( -such 'provisions-or this:•permit :shall be 'deemed' revoked:: I 1 Gas Service, ' 'Outlets :Water Service , Device- - ' Sign 1 CONSTRUCTION LENDING AGENCY - ' • Outlets ' ' I hereby affirm that there is a construction lending agency for the performance - ' Interceptors ' _ , Standing Sections ' of the work for' which this permit Is Issued (Section 3097 Clv. C.) - - Switches Trash Compactor , I Lender's; Name • ' - - Kitchen,Sink - _ _ ,,- P , Lender's Address• - ' - • ' - I Lavatories i - `- - j Garbage D isposal 1 ' I I OWNER BUILDER DECLARATION _ r ' I hereby:affirm that I am exempt from the'Contractor's.License Law for the � P-Tia _ Generator ❑0-5 KW 05-15 KW ' i ' I following reason-(Section 7031:5 Business and Professional Code: Any city or ' p - • • ' county which requires a permit to construct,alter,improve,demolishorrepair - - . � Transformer 15-50 KW l 1 • any structure;prior to its'issuance,'also requires the applicant for such permit . ' Roof Drains 1 : p , r , . ' • to file a signed statement.that he/she is licensed pursuant to the'.provisions of ' • ❑5U+KW' a Contractor's License Law'(Chapter 9(commencing'with'Section 7000)of ' • r ' 4 1 (Reinspection Fee $15' " vision 3`of the Business and Professions Code)•or that he/she Is exempt . - Showers „ •' ' Reinspection Fee '$15 i-efrom and the;basis for the alleged exemption. Any violation'of,Section _ l • Meter ❑up to 100 amps • issue Fee: � j[�'$$33 ' .Y1315 by:.any applicant for.a!permit subjects the applicant to a civil ' _ -' � / -- - I • e lty of not more than tivelhuntlretl dollars($500). Service Sink ) Issue Fee • $ 3 F �.., Zoning Approved By -Date I, as.owner the property ormy employees with wages as their sole compensation willill do do the work,and the structure is not Intended or offered ' " - MECHANICAL Application Approved By - Date for sale (Section 7044; Business,antl•Professional Code: The Contractor's __ • . License Law does not apply to'an owner of a property who builds or improves Boiler Refrigeration System . / q licaion Issued By t - 7•e ' 17-7426,.77-3 thereon,land who does:such work himself/herself or through his or her own . - PP Date employees, provided that such improvements issolt intended or offered for , • - ❑0.100,000 BTU ❑100,000 BTU , sale- II however,the building or improvement sold within one year of com- I Duet-Under Ground SUMMARY OF FEES ' elation, the owner'will have the burden of proving he/she did not build or in,- { ,,ter rove for the purpose of sale)'. I .•+ 1 ! I i Duct-Structural System Repair/Alteration 'BUI LDING PERMIT •$ 5� i ' I SMTP $ ' I,as owner of the property,am exclusively contracting.withalcenssd con- ) - p r-�r tractors to construct the;project(Section 7044,.Business and Professions Code: ., .,. Duct,-Ventilating - _ _ - ,_ ._ . . 1.._. ( PLAN CHECK $ N7c-J c+ I PERMIT I The Contractor's License Law does not apply to an owner of property who , i I ! ISSUANCE $ builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑ PLUMBING $' tisktractor(s) license pursuant to the Contractor's License Law). ' - • ' ` P GRADING $ 1`I,l 0 I am exempt under Section B,a.P.C.for this reason i Firepl/Fact.'Blt,ICBG# PLAN CHECK. $ J Date • owner I Heating System& Ducting ELECTRICAL $ $ k, I hereby'certify that I have read ,Is application and state that, above • - - ❑0-100,000 BTU'0100,000 BTU •- PLAN CHECK $ MICROFILM $ Information is correct. I agree to •o •ly with all city and county ordinances - . ' TOTAL FEE • $ and'state laws relating • •uildl,r con truction,and hereby authors re re- 'MECHANICAL $ sentatives of this city ent po the above-mentioned pro arty for - Hood or Type I ❑: ' Reinspection Fee -''$15 ' LESS t ' Inspection it.). /..se - , r • (� / t ' Canopy Type II 0' , ;PLAN CHECK: $ ADVANCED,PC $ )-77-WC ' h t Signature .J - i I At.le_� : Date / ?etv�� - - , Drivers' cense-or SS* - Registers I ' Issue Fee $ 3 /7�7,�� _ 1 •- ' FINAL FEE, • ' $ ' CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' rtCONSTRUCTION AND,PL'ANNING : y,"..1- ` -::".TC! t ;'rl ; ' .91::::'-.90 'PA ' - ° : _' L. - L - L. .•-Date a Inspector -E - - - Date Inspector i c • _APPROVALS ' Permit* 4 . APPROVALS '.-Permit# 1. Temporary,Electrical Service or Pole ' - • '6. .r.= ' i•.r57 .Pool & Equipment Location . - - 'o '•• 2. Soil Pipe-Undrgrndr -�''i� ^ . :1:::: '.'537. Steel Reinforcement : 1 • • -. r 3! Electrical Conduit Utility-Undrgrnd. 1,,""3 -`54."Forms° -1- 't,,•=- ' _ a . ,t" 4: Electrical Conduit-Undrgrnd,; ,- j ::' 's,..: t r? - S'; ;_ 7 ;557 Electrical'Bonding' - _ • - ' z 5. Steel Reinforcement r - Y'�•- 56.: Rough Plumbing & Pressure Test.:- ' r b'3_ _ 19 : 6. 'Electrical UFERGrnd.i ' - ' -IA a ".)- 57 APPROVAL TO COVER GUNITE .. : 7. Footings ` ' ' 58' Electrical:ConduitrUndrornrl. - n 8. Foundation ' • ' - j "? 59. Gas1Pipe,;Owndrgrnd.,Test _ 9. Water Pipe,Undrgrnd. j . : 7 = , ,s" _" i 60. Backwash'Lines,.P-Trap,*0 Undrgrnd._, • ' ' •10. Structural Floor System .' „ I 61. APPROVAL TO-DECK . . p -. 11. Property Sewer Line&,House Connection I f:• C•• 62. Backwash & Receptor-Final - 12. Sewer Cap ,i- 63 Heater& Vent-Final ' : 13. Roof Drains w I ;'64. Plumbing.System r Final= , 14. Rough Plumbing I I g - ! ''' - 65. Electrical=Final' - 15. Rough-Electrical:Conduit- -f'��'". ; ;--1 -i `J- -•,66"., -Final - - - ,-.16 •Rough-Electric Wiring . . I' i 14'7: ,-'_-i" '67i Fencin & Access APproval : - - - - - ' r 17,.,Rough Wiring;Signr. , I : ' i ' I ^ ' : I '4- ' 4; ' '68., APPROVED FOR PLASTERING ' . ' - . - - _ 1fl .__ f _ f = 1 : . 18-.'Rough Electrical:T;Ban Ceiling! ;! '.' c I I "l', 1- 169.; POOL/SPA SYSTEMS FINAL . - - ; - - 19.'.Rough Heating &•Air Conditioning II I , ; 1 { .^ 1 I i 1 'FIRE DEPT-REQUIREMENT ' • I t 1 • il 20:,Rough-.Factory Fireplace ' j I ' . 1 I I - 1 i APPROVALS; I Permit# - .j ` 21. :Qiicts,-in Structure_ I I � I I 1 170.: Underground Hydro c. `22. Ducts,•Ventilating I I I I I I 171.1 Product Piping P Gas 0 Oil . 23: Gas Pi a-Rou h&Test { T T I- ,: p - 9pm b 11 1 I I ;72.1 Underground Flush I 24,'Roof Framing. I ry „ 4. { r_i r I,: M' I - 73.i Undeigrnd.Storage Tank 0 G_ as' 0,O01 ; ; ' 25. Roof Sheathing _ '` ' . ` . 8 ;' ' I _ - - I ' ' J4.1 Overhead HYdro • 26. T-Bar Ceiling (Structural),& Monocoat' ' 1 .,I - i T{ I I X75.1 Dry Chemical ; , , ,27 .;F• rame and Flashing' _ ;l ; I I I 2 I i i X76.: Dry Standpipe ,,• , - • 28. 'Lathing& S,iding i k ;� � I i Igi I I 77.' FIXED SYSTEM FINAL • • 29. Insulation '" o ' it 9 1 • I I I 1 I I X78! FIRE PREM. FINAL •, . '• ; 30. Drywall Nailing , • . ' I ! , I : INotes:' ' I u �7-$P BIk . WFne .cam Act- , { 1 -I r U 7 - 31. Plaster Brown Coat • 'i -y-- • %Lc.b .O�CF/C .w �.Q�..�D 32. Electrical Power Meter-Final1 'Ii • 1 i I t 33. Final Electric _,_I I _ I -;t._ ' _I_ ! I ..I 1 ! 1 1 .i - ' .r_ c34. Final Heating&'Air, Conditioning _ I `i �l { 1. ; I • ' 35. Final Gas•Pipe-Test, ' ,i .,Ts '"j I" ! Y IC I , 1 I - ' " - - -' : - 36. Hood or Canopy: ' p.- i 1' I r' ti . • I _• . _ ; 37. Final Factory Fireplace *' I' • .. 1 I I - _ - • 3. 38, Final Plunibing I i - I ' r•' . ' 1' 1 l I ; - sl 39. Water Service-Final ::I 1 1 1 i I I I 1I ' F_ • .'-0 40. Gas Service_Eina,l I 1 I I I l I i ' ' 41. Solar Domestic-Final-" , _- __.i-_ _- ! 1 • , , 42. Backflow•Preventer , p :- '_ ; , i_ I ' "' - 43. Backflow Irrigation, I ' , I : ,o 12 i r ' I = I . `-1. r; `v l I ! I '' t ,;- :-, ICI r' . ' ' I .1 „ . 44. Landsca pe.lrrigetion•System a; m , ,. , ,I ' "! i 1 ' ' - 45. Sound; Attenuation - ; '• l ' u i l I !l ,. I . I . - 46. Handicap.Regulations ' I " I I "'i .i "� - - - ''' .. I 47. FINAL STRUCTURE& BUILDING • 1 y ' . , 1 I ' l ; I . ^ S-Ct-V3� B?'?i I i . 48. Special Regyirements Completed! l I 1- I I I 1 1 .- ' I ;I • 49. Electric Release to Edisoni ( 1 L. i ' 1 I_ I__'1 I-_� _1_- -, _ :•,',-. si , 50. Gas Release to Southern California Gas Co i I I I I � i 1 ' ! 1 r ,`r - ' ' 51. CERTIFICATE OFOCCUPANCY 1I _!•---{_ _ ._: ' _' i___` t -' " ' No ' : I I Date I . , 1 I 1 i I 1 ' •, 1 , 4 STRUCTURAAL APPROVAL ONLY I • City of Costa Mesa Building Dept. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, ^:.LI[VP1' BY—(123 __DATE../i3C0 Ie2 HEATi';G til F'T" AT THESE PLANS MUST Or: ON JOB AT ALL TIMES ftJG AND MAKE NO CHANGES WITHOUT FRIOR APPROVAL REFRISERATIO:'! WORK PP A � R.® D OF DEPT. cert1 g a,v e THE IESI;!',CE CR GF'CTI ; OF A PERMIT OR APPROVAL I D , 9 CITY-OF COSTA MESA OF PLANS !' .F., .T S C 'L "'Ci EE CONSTRUED PG?iiT.�.q i OF TO PEA T"' rt / ..,,:lL U:, ANY VIOLATION THIS P;. .I ACCOMPANY PLANNING DEPT. CF !RY r. , I NO PERMIT PRE- ALL II _ - ' S ; I;II; (:LJ :S(-C;FO.: i.`QJESTS SUBJECT TO BLDG. DEPT. REQ • SU,.i1R0 TO C,'rt F'... :7:7. I; VIOLATE 0$ CANCEL THE -- - ritzi�� �3 • PRCViOIJI S l; T'C CuDL SHALL BE VALID, EXCEPT IN SO BY //cc[/C+l`fDAT T^R!S THE V 7:,.( L.J L'SE ri1I::H IT AUTHORIZES IS LAWFUL - DIRECTOR OF PLANNING WI'tr-. UiiS ARE TO PIE ICSEINCE CF A tan�01T BASED UPON PLANS AND ' 6E `t •-" •• - SJ.uST THAT THE i.'. I ;,;i;l;, DIVISION OF : :iCCI::CNT:L..S SPALL NUT W.i:VEI;T THE BUILDING OFFICIAL ' T;r•I 'LE,",C"FTCR RZUUIRING THE CORRECTION OF ERRORSE CONSULTED FOR 1 is P'ID FLANS F.1:0 SPECIFICATIONS OR FROM PREVENTING Al:olileNa� REOUIf;EMENTS. CJILOIN" Cr:RATICNS BEING C RRIEO ON THEREUNDER WHEN IN VIOLATION OF THIS COOE Ci OF ANY OTHER ORDM4AIJG@ CF THE CI Iy. • • • iIt ' t RESIDENCE RESIDENCE RESIDENCE I RESIDENCE 0 W W It • N /6€5O )6e0 M& b Ac 4s6;AF2 STREET 6 _ _ TYPICAL 6" CONCRETE BLOCK FENCE Cement Coping Optional s-. 1 • GENERAL- NOTES Channel Block With 1-3/8 ■_�,__� 0 Horizontal Top of all Fences UM MI MORTAR: One Part Plastic Cement, and' Three Parts Sand GROUT : One Port Cement Three and For Fences 5'or Less �> A'�'—'� One Halt Ports Sand Vert.Bars 3/B"Oat 4"A"O.C.. o COPING: Cement, CC _ — One Pari Three For Fences Higher Than 5' w 1 -1111111CONCRETE: Welts M Sand 1:2-1/2 : 3 I/2 Vert.Bars 3/8" Oat 32" O.C. >. w Fill Cells Solid With Grout I > Z - .�����' Max.cc z of 7-1/2 Gallons of Water Per Sack of Cement Where Steel Occurs • >- — r Reinforcing $teal $hall f f,p GROUT MAY BE POURED FROM THE TOP COntorm to $ec.A-15-39 —� w o '-- ' OF THE FENCE IN CELLS WHERE STEEL OCCURS. A,S.T.M. ' Z ~ CELLS AND AREAS OF HORIZONTAL REIN- w n FORCEMENTSHALLBECLEAR,CLEAN&All Steel to be Lapped w � FREE OF ALL MORTAR DEBRIS,ETC. 24"or to CodeIIIM PROVIDE CLEANOUT AND INSPECTION HOLES AT THE BOTTOM OF CELLS CON- NATURALGRADE ' ��- . !! TA1NINGBONDSS VERTICALREINFORCEMENT. " . '. OW. ."•I.., BONDS SHALL BE PROVIDED BY LAYING II BLOCKS IN STRETCHER COURSES SO THAT �! '•'�`v� wei - • ^ VERTICAL JOINTS ALTERNATE IN EACH -"aB :4N O�/� p °. , `p N . ,� ° COURSE. TWO CONTIN"OBARS ja� f CONTINUOUS TOP 1 . &BOTTOM . . -11.-1 , • ., tom--WIDTH TO 16' 0 C. MAX. SEE CHART ALL STEEL MUST BE TIED IN r BELOW DEPTH OF EARTHTOOTH PLACE AT TIME OF TRENCH I r t• 1/3 THE HEIGTH OF FENCE INSPECTION. P'L ' L' L` SCOW BOTTOM OF FOOTING. Io" i0" 2..-J,^ SCALE: 1/211 = I. FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5' 4' 3' WIDTH 14" 14" 12" 12" THICKNESS t0" • 10" 8 " 8 " DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' �+ OWNERS NAME: City ofTr Costa Mesa, California PERMIITDDRESS:NUMBER Building Department SIGNATURE: IPROJECTADDRESS: 1680 MADAGASCAR ST UNIT: OF COSTA MESA — BUILDING PERMIT PERM NO: B 048557 OWNER'S NAME: JOE JEHLE • ADDRESS: 1680 MADAGASCAR ST PERMIT NO: B 048557 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT (714 ) 545-4433 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION REROOF WITH 25YR COMP SHINGLES SQ FT: 2, 877 ADDRESS: UNIT: CLAIM VALUE: 2, 877 . 00 CALL VALUE; 2, 877 . 00 GROUP OCC: R-3 /M-1 PERMmEE: ALL ASPECTS OF ROOFING ( 714 ) 646-0706 ADDRESS: 160 E. 163RD ST COMMENTS: SMOKE DETECTOR( S) REQUIRED IN HOME. GARDENA CA 90248 ****************************** ************************************************ ICENSED CONTRACTOR DECLARATION: hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN TS 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect. S E T B A C K S CITruc.: 044�9.358 STATEUC.:470724 it: C-39 Date:g' J " JS' Q�..-�Lto MAIN BUILDING ACCESSORY BUILDING signature: Q 0 �^ -R K FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN 'RICERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sed-insure or a cert tate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN pensation Ins r ied copy thereof(Section 3800.Lab. ). .dCY No.: W U D $� EXP.DATE: 04 /10/91 COMPANY: CA COMP PARKING REQ• PROV: PARCEL: 13913428 ZNE: REF NO: ❑ Certified copy/is Thereby fumished. Certified copy�is filfiledd with thecityBuilding Division. PLANNING NOTES> Date:�1 /—/ �'f O Applicant' ci % Vns� .c___ ***********i 4iF*******************************************************;k********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hund d(3100)or less). D E V_$ L O P M E N T SERVICES R E Q U I R E M E N T- 'S 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: Signatuyousha: BUILDING APPROVED BY : � DATE: -•••) NOTICE:If,after malting this declaration,you should become subject to the Workers'Compensation provisions of the Labor _ Code,you must forthwith comply with such provisions or this permit shag be deemed revoked. 1 ., 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: n..- J7{., [p. which this permit is issued(Section 3097,CR.C). ********************** ��"yEr'**********************+�* *4*iFiE*** LENDER: ************ ******************************* ********************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 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 54 . 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 SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN t' and Professions Cade)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by L -"Ty applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(3500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, wig do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE J structure is not intended or offered for sale(Semen 7044,Business and Professional Code: The Contractors'State License Law TOTAL S--——> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 I 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 : 54 .50 OVER/SHORT : 00 Improvement pose of sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). , I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 • . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or Improves thereon l and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **************************************************)k**************************** that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U A Lx/ F EE BR EAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY D E S C R I P T I O. N UNIT COST TOTAL COST Date: Owner: — SFR 2877 REROOF BY VALUE RES%IDENIAL NOZONE 1 . 00 2 , 877 . 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 front the AirAir Ouxlity Management District.Residential construction applications are exempt from these provisions. J "r ^ i . Date: Applicant: ' (. el 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 y ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned / property for inspection purposes. ,.�j ^ ,,'.. Date: $- /14 -9 a Signature: fliAtn- r . O- .+.�IG7 fc �' ', 01 03067508-00067509 TOT 54.53 Driver's License or Social Security 4: N DATE: 08/14/90 TIE: 13:37 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANN,. . ' JOE_ & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - • 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. -, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final 5 14. 'Rough Plumbing •65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro - 22. Ducts,Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing 52-.22$ 6644 •-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: 8-_2.Z-Q0_ � k-'e d • 04 34. Final Heating & Air Conditioning /' jl/ 35. Final Gas Pipe-Test • !d 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 & BUILDING i0 N`90 �p&<j - 48. FINAL PLANNING �( 49. Electric Release to Edison • • 50. Gas Release to Southern California Gas Co n 51. CERTIFICATE OF OCCUPANCY No._ - Date ADDRESS 0f BUILDING 1680 MADAGASCAR ST zo 6 uMT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 071133 OWNER'S NAME IF Th: JEHLE, JOSEPH R ADDRESS: 1680 MADAGASCAR ST PERMIT NO: P 071133 PLAN CHECK NO: N GOVT: N SUPP ; N COSTA MESA,CA 92626 maL MULDaADDREsx CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH ARCNRECT OR MAW: UC NO.: JOB DESCRIPTION ; C/O DISHWASHER SQ FT; AROR OII EMI ADDRESS: uMT. CLAIM VALUE; CALL—VALUE; GROUP OCC: R-3 / CONTRACTORS NlhkE. NOCK PLUMBING ( 714 ) 895-1246 COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT cON(NAcroRSNMLIG 11610SEABOARD CIR ***+ * ****+ *****x' ***************+ ****+ + + xx***x*- **xvrx+r•sr***Wv-+r**4N.xxx*x�i-�k*xx*it ADDRESS: STANTON CA MHO.: VE1971 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Minnunder er iy9of perjury thatI am licensed under provisions of Chapter 9 SETBACKS (commencing:nth Section 7000)of Division 3 of the Business and Professions Code,and my license is in NO force and effect. CRY LIC. LIC.CLASS: LIC. MAIN BUILDING ACCESSORY BUILDING 050386 C-36 511x71 EXP ' 02195 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN 4X04 :2 ^/S ^�l5 Contractor: F stzt PLu,n / LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN NER BUILDER DECLARATION:I hereby affirm under penally d perjury that I run exempt from the Contractors License Law for the following reason(Section 7031.5 Buelness and Professions Code:Aro Cly or county whish requires a permit to constant.aper.improve, PARKING R E P RO V: PARCEL: 13913428 Z N E; REF NO: demolish.or repel any structure.prior to its issuance,also requires the applicant for such pencil to file a signed statement that he or she PLANNING N TES> is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)a Division 3 of the > Business and Profaners Code)or that he or she is exempt therefrom and the bath for the alleged exemption.Any violation el Section 7031.5 by any applicant for a Permit rb subjects the applicant to a civil penalty of not more than fee hundred dollen(5500D. ************if*4f*if****************cif********x**********xx*****x***x****4*44******* ElI.asowmer of the pmpem«myempkyees with wages as their sole compensation.wit do the work.and the structure is not intended DEVELOPMENT SERVICES ' REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not applyto an owner of properly who be:Ws a improves thereon,and who does such work lensed or hem,or through his or her own employees.provided that such pr imovemerts are not intended o offered foraale.g,leftover.the baikingorimprovement h sok within one year o completion,the ZONING APPROVED BY DATE; owner-builder will have the burden el prove.;he or she did not brad or hnnprose for the purpose of sale). ❑ I.es owner a lheproperty.am extiavelyconttatig with Warmed contractors mc«mrwthe project(Scion 7044.Business and BUILDING APPROVED BY ; % DATE: Professions Code:The Contractor'License Law does not apply to an owner d M propy Mho builds or Warmer'thereon and who contracts f«such prged04h a mntreaorp Inensed pursuant to the Contractors License Law). "I 0 am exempt under Section: B.A PC..kr this reason: Owner: APPLICATION ISSUED BY ; ****** K*N******************************* * **************DA*TE*ci2 x ****************************************************************************** *x S do hereby unity that)am aware of and understand the requirements of Calori Heath and Safety Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N 25534,and that I or any Mure building occupant will/wit not(circle one)need to comply with said sale codes and the requirements for apennofor construction«modification from As�TahyMaattegement Disakt.R««kenconstructionel construction appiratktware existent lmmthew BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. BLDG 7 . 00 Dale: Applicant 25% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN ❑ Ihave and Wit mantel,acedifereof consent tosellinsuator workers'compenWkn.as provided for bySetion3700othe Labor ISSUE FEE 20 . 00 Code.bthe performance ofthe work for whchthe permihissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE alaeve and wit maintain workers'oompenaalioninsurance.as required by Section 3700 of the Labor Code,for the performance o the TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 , 00 . 00 work for which this permit is Issued.My workers'compensation insurance carrier end policy number are: Carden 3TaT: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 27 . 00 OVER/SHORT: . 00 be• clicyompleted Number. ' • 03/01 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK '(nJa radion need not Mc«npietedI the mama is/«ba rex d.,... _St0 .,«ion.) ❑ I certify that in the performanced the won for which this permit is iss .•,I shell not employ any person in any manner so as to 27 , 00 become subject w to the ortes'compensation laws of C,-• •. and ,•nee that if • become subject to the workers' compensation pro+sdoa of Seaton 3700 of the Labor Code.I -.'f� h comply ath: •... protons. *************************************if**+F*************4********************x*xx a-,5^`Il 'S— INDIVIDUAL F E E B R E A K D O W N (� Ap05 eN: // 'Firming:Failure te« fesecureaian'conwgoncoverageIsunlawM,andshallsubjecteneployertocnmmlpenalduand TYPE QTY D E S t' R I P T I O N UNIT COST TOTAL COST I� civil fines up to one hundred thousand dollars($I04000A in addluon to the cost of compensation,damages as provided for In Section 3706 0l the Labor Code,Interest,and a0umey'.hies CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that then is a contusion lending agency for the PLU 1 DISHWASHER 7 . 00 7 . 00 performance of the work for wh this permit is issued(Section 3097.Ckr.C). END OF FEES LENDER'S NAME: , LENDER'S ADDRESS: I certify that I have read this application and stale that the above information is correct.I agree to comply with all dry and county ordinances and state taws relating to buildng construction and here• authorize representatives of this city to enter upon the shwa-mentioned property for inspection p It r it _Pdn\iT,,,iT���•77i1Neme+• Date: a7—/ 5�.� DATE�102/15195 TIME:6696 11:G9 Q9 ellr 27.00 &OMAN• • s .rlAQep{/applicant/Contrad« r (5151-46.W P) White-Building A Safety:Gree-File:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POO . 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 UF ER 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 DECI4 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 O Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑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 ':-2 rcc: :c? G1442 (7:17(:)) 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace �/f�� 38. Final Plumbing --,fzt s � 4 � 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 OWNER SUMMERLAND LAND CO. DATE 5-3-57 _ JOB ADDRESS 1680 Madagascar Street BUILDING PERMIT NO. #4971 GENERAL CONTRACTOR Owner Bldr. VALUE $ 11,11211.00 No. LOT 111 TRACT 2353 FIRE ZONE DESCRIPTION OF WORK Res, w/att. gar. GROUP I & J • TYPE V ZONE R1 PLAN NO. 5021 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel- 4-¢3.7 Floor System Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing A.- i- 2 -at- Lathing, In Out i, 9 /6 -.5 Plaster, brown coat .--g_-' /0 -/- .{ i Underground soi1S" S7W/(i Pipe Testh(LS '' ,- S'z Top Out �.t..L1` YYLtS t'�y/•s ) Furnace 044. h1. -5 8-31 4.1-7 (2,i Ai- (L -v .,cc e.--L /J- L"_ -51 / 0 A.6 p Gas Vents // Rough Plumbing lid 17'44/jn d-Sim_,...)w a-S7 22 s-ri Cesspool Septic Tank iJ' (�rop. Swr. Line /,H $/I /,House Cox{j4St, rS /0.4.9•8 r"),!..1.4 fly.0 ,w3, 6--s-7 g'5 5 cling System 7 I. .19 Final )4l e S ,(/-74-.17 / Plumbing Fixtures, Final 1.1 i P_ S /L76-c.('( _ /��,11' 1 / t C )/-'4"./.// _ Final Gas Test 2..t ' 'kir C //- -h-0 k .(t•l/(/ ciX�- .",\ , --1" /d /4i/?/ Construction Pole - / / Underground Power Rough Wiring 7_ )'V P,. /' r,':ie '7---17. f/.34 Fixtures, Final r r-t'�_ 1),_17 rcep t .--r .n 1 n /1-- 6 2 1( --x:-/a OCCUPANCY ybl Q .,.4.ZU• /1- . -c7 Form 21O-5M-1-57 5021 E E RECEIVED COSTA MESA BUILDING DEPARTMENT . a. ry-1 .) cl Ci --caQ • P.O. BOX 317 FIN NCEEPT. \ COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING ADDRESS 168o GigdRCa,ae?r treat BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY uuuiii yyy RECEIPT NO. P/ 971 OWNER Cnrnrnonl nnrl T.anr'i (;n_ _ LL�� ' 4 MAIL RECEIVED BY DATE RECEIVEDryi} ��I p�A/TE IS^AUcit57 ADDRESS -n-^-7a/ // S—r+( -S7 MAY 33 JJ TEL. BUILDING ` CITY T Am-n1 r. r'nl fl NO. ADDRESS �0...c -.., may .. 1._ ORCH-ECT LIC. COSTA MESA. CALIFORNIA OR NEER 1'lll 11 laws NO. FIRE ADDRESS a ZONE Suinmerl and Land CITY LIC. bt8� ZONE PLANS TYPE,' GROUP CONTRACTOR CO. NO. i.� 4 ,p/(/\j'y. TEL. APPROVED ADDRESS.ne L nrval cc ('nl 4 f NO. BY DATE LEGAL LOT CORRECTIONS DESCRIPTION NO. hi BLOCK TRACT -J3v.,2 A.P.NO. SIZE NO.OF BLOCS. OF LOT 6pno NOW ON LOT none USE OF EXISTING BLDG. 1. SETBACK LINE FROM rr CENTER OF STREET ' 'l fl I REAR YARD 52 1 SIDE YARD RIGHT Q I LEFT C I DESCRIPTION OF WORK NEV X' ALTERATION II ADDITION REPAIR MOVING Ilry4ll DEMOLISH BUILDING / NO OF SIZE 116 ROOMS 6 STORIES 1 EXTERIOR WALL ROOF _COVERING .S�tLieCO COVERING Rock USE OF NEW BUILDING Ci ncl c „Ori 117 Tlnral 1 -i no. V V- .r: Y'—_ .� gC7e td_.L I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM LY WITH ALL CITY ORDINANCES AND STATE LAW REGULATING BUILD G CONSTRUC- TILv. VALUATION SIGNATURE 02,0:‘, / �A , 724.-2t-' PERMIT FEE S 28x00 PERMITTEE ���((( ,C S // 7 OC�j� PLAN CHECK S 1)1.w AUTHORIZED AGENT TOTAL FEE 54,2.00 \p,