HomeMy WebLinkAbout1692 MADAGASCAR ST - Building Permits b-OD52.1 /
ADDRESS OF BUILDING: 1692 MADAGASCAR' ST UMP CITY OF COSTA MESA - BUILDING PERMIT
OtNERSNAMEIFIaowN:ALDERFER, CLARA• L TR PERM NO: B 087711 1./
ADDRESS: 1692 MADAGASCAR ST
COSTA MESA,CA 92626 PERMIT NO: B 087711 PLAN CHECK NO: N GOVT: N SUPP : N .
•
APPL.MAIUNG ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORENCINEER: L1C NO.: JOB DESCRIPTION : T/OFF ROCK ROOF & REROOF W/COMP. SHINGLE SQ FT: 3, 669
ARCH.OR ENG'S ADDRESS: UMT:
• CLAIM VALUE: 3, 669 . 00 CALL-VALUE: 3, 669 . 00 GROUP OCC : R-3 /
•
CONTRACTOR'S NAME: SCOTT SIMKINS ( 714 ) 545-5775
CcNTRAcTOR'S MAILING 6100 E BAYSHORE WALK COMMENTS : X
ADDRESS: L .B . CA uc.NO.: 581594 ****************** **Tit*at*** -*St SE*****1r***1r************+E**sESH*******x-*aE****St*****yS
• 90803 DMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under Penal(of perjury thet 1 em licensed under provisions of Chapter 9 SETBACKS -
(commendng with Section 7000)of Division 3 of the Business end Profession and my license' in f II face and effect.
cm - uc.CLASS: C 39 UC.NO 58�XP : MAII BREADING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: ' FT IN
ore: PS— �Y coraecta: l LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER : LDER DECLARATION:I hereby affirm under penahy of perjury that I wept from the Contractors License Lew for the
Idfo ' . eason(Section 7031.5 Business and Professions Code:Any city or county whirl,requires a permit to cruhud.aner,improve. PARKING REQ: P RO V: PARCEL: 13913430 Z NE: REF NO:
or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she PLANNING NOT E S,>
canoed pursuant to the provisions d the Contractors License Law[Chapter 9(annmendrg with Section 7000)of Division 3 of the
iness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >r, I As
.x31.5 by any applicant for a permit subjects the applicant to a civil penahy of not more than live hundred dollars[MOD. *******************************************************************************
❑ I.as owner of the mapenyor my emploYeea with wages as their sole compensation,will do 0w work,and the structure c nal intended DEVELOPMENT S E R V I C E S R E Q U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who builds or improves thereon. work
and wt.o does such k 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 ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose d sale).
• Pnowner dthe The exclusivelycontractingLaw does not
licensed conownerato roperya the project(Sectionipiov7044,seoni and and BUILDING APPROVED BY DATE: ^
Professions Code:The Contractorswth License Law does nor applyn to owner of properly L builds or improves thereon end who 1,!}4
contractsw;444_ 171
for such projects with a ardredar(el licensed pursuant to the Contractors License Law). •)
❑ lamexempt under Section: B.&P.C..for this reason: APPLICATION ISSUED BY: DATE:
ti Date: Oyster LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,end
25534.and thai I or any&tura building oocupant will/will not(circle one)need to comply yeah said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modifcationfrom the A'r uehty anagement District.Residential construction applicationsare exempt from these
provisions. PERMIT 87 . 25 . 50
•
Date: Applicant: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Hum and veil maintain a eertifrAne of consent to sall-insure for workers'compensation,as provided!cc by Section 3700 of the Labcc BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the performance athe work for which trete permit is issued. TOTALS----> 87. 75 0 . 00 0 . 00 87. 75 87 . 75 . 00
❑ I have end wit maintain wodcea'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 carder and policy number are:
Carrier: REVENUE REVENUE DIVISION TOTALS--> COLLECTED : 87 . 75 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
ifs section need not be completed r the panni is Ar,one hundred dollars(5100/Of lea) 87 . 25 . 50
13 I may that in the performance of the work for which this permit is in ,I shall not em ' y in any manner so as to
subject to the workers'compensation laws of California. agree that f I ld subject to the workers' *********************************.**..***.*.***..*****.********************************
ram nsaion sons Section 3700 d the tabor cede,I.hall awn "irons. INDIVIDUAL FEE BREAKDOWN
ate: gY57/i - Applicant:
Wand :Failure to secure workers'compensaton cow Is unlawful,and.AAl stb/act an employer to erlMm/penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
nes up to one hundred thousand dollars(5100,000),In addidon to the cost of compensation,damsgn as provided for In '
Secdon3706 of the Labor Code,Interest,and attorney's leaa SFR 3669 • REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3 , 669 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a constnsdion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME: .
LENDER'S ADDRESS:
I certify that I have read this application end stele that the stove information is correct.I agree to comply with et city end county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes.
SCOT c MKINS 84-15-1998/09:49 Nt1/$87.73
2431
e //Y�� T:087711
Delis. GEFch9IT:0&7711
velure d owns/AgenuApptiramVC� .
(5151-45 WP) White-Building 8 Safety;Green-File; ppkunt;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL PA ' r
/ Date Inspector Date ' Insepertor
APPROVALS. Permit# r' I APPROVALS Permit #1 -
1. Temporary Electrical Serdice 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
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Uhdrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK-
11. Property Sewer Line & House'Connection 62. Backwash & Receptor-Final
12. Sewer Cap r 63. Heater & Vent-Final I • 1
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 ❑Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 'No _7'g jy y 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 4-lr sh75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe:Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service•Final
40. Gas Service-Final .
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow'Irrigation
44. Landscape Irrigation System
- 45. Sound Attenuation
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING q l r
48. FINAL PLANNING
49. Electric Rele/se to Edison _
50. Gas Releafe to Southern California Gas Co •�-
51'. CERTIFICATE OF OCCUPANCY -- --
No. Date
ADDRESS OF BUILDING: 3375 LARKSPUR ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT �9 `- Ce0(ag
OWNER.NAME 1.4.F WPMFEHER, ERNEST G FLOOD: AH-38 PERM NO: P 084882
`-"OREBB' 3375 LARKSPUR ST
COSTA MESA,CA 92626 1 '�'- PERMIT NO: P 084882 PLAN CHECK NO: N GOVT: N SUPP: N
APpL.MMUNOA00RE5s: // ` CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: REP
ARCHITECT ORENrnNEEB: MJI UC.IC: 49919 JOB DESCRIPTION : STRUCTURAL REPAIR DUE TO FIRE SQ FT:
AROILORENO.'SADDRESS: 3033 GOLD CANAL DR 010 200
RANCHO CORDOVA CA 95670 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
ta)tfIMCT3frSNA1F: PROTECH CONSTRUCTION ( 909 )734-5944
COIIIRAcImr"mDID 7987 SYCAMORE AV COMMENTS: REPLACE BURND OUT ROOF REF:B-84879
ADDREss: RIV CA ucHO.: 485114 *****+Eie*at3tatat*egret****+E*;,t*iEat**+e*at****Tt*rtatatat*at****ir*at*****stat****;t;,t*;ratat;tac*;tstat**;nit**
92504 WMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aim under penalty of perjury Net I am licensed under provisions d Chapter e SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Prgesalons Code,and my license is in lull torte and effect.
LIC.CUSS: LIC.
48
B . 14 EXP; MAIN BUILDING ACCESSORY BUILDING
i ' �e. 2 Contrera FRNT;: FT FT IN REAR:
IN RGHT: FT IN FRNT: FT IN REAR: FT IN
LEFTFT IN LEFT: FT IN RGHT: FT IN
:UILDER DECLARATION:I hereby affirm under penaey d perjury Ihat I am exempt from IM Contractors License Law for the
.reason(Section 7031.5 Bushes*and Professions Code:Any city or county which requires a permit lo construct alter,improve.
••,h,or repair any structure pia to itsewance also requires the applicant for such permit to Tib a signed st0teem Nat he o she PARKING RE,('{'/• PROV; PARCEL ; 41218256 INE: REF NO;
'tensed pursuant to the odes ons of the Contra License Law[chapter 9(commencing with seems 7030)dDivision 3 d the PLANNING N V TES>
,.rain**.and Professions Codes or that he a she a exempt thereforand the basis for the alleged exemption.Any violation d Sectors
7031.5 by any applicant fa a Perms Subjects the Meted to a cid Penalty of not more than fire hundred dollen > y
R5ctu . *********dF************************************dE if***************************'sir***
❑ I offered dthe(Spenn or my employees whweseseslheyaThoCmned's('Licensll doe thework,and the structureOwner Of
/x
orwo bred Cf improves
ad wh*.oe Professions wrkinse:or oamre ghs L hatowneaployto*nowwdlaisucY D. .E V E L O P M E N T SER V I C E S R E Q U I R E M E N T S
who beidenf ieeoaestnded.endwho does swMf work tinsel the building or
through etis her inoofprovidedpNilSure
improvements sae have
intended ora offered for sale.B,however.n d improve mpoaama S se f sale one year d mnplelon,the
owner-0uikle will hew the laadwdproving MpMe did not build aimpove fa the purpose of w*). ZONING APPROVED BY DATE:
o I,as owner of the propMy,am exclusively coniradi g with licensed contractors to construe'the projed(Saxon 7044,Business and , '
Prdesbons Code:The Cron"LeenaeLae mmd pbade ea cwtappy enovmeraPerty who de o Svcs,* wio thereonendBUILD ING APPROVED BY : • - "r DATE:
contracts for web projects Mei a comrador(al ficereed pursuers to the CLicenseared:as Live Law). �(� e
❑ Iesexempt undeSection: B.AP.C..foNereason: APPLICATION ISSUED BY: � DATE• / J
Date: Owner **************************************** **1
Ido hereby candy wtIam aware ounderstand of ewadaHemhand SdryCode Sections asw5,zs533,and LEGALZZATION:N F E E S U M A R Y STRUCTURAL '.EGMEN :N
25534,and cat I or any hdure building coorped wig/wilt not(Sole pct)need to comply with add pate codes and the requirements for
a permitter costructiona modification born lheAi say anegement Diwid.Residentialmnstnwon applications are exempt from New BLDG PMT PLUMBING ELECTRIC CMECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 104 . 00 '
Date: Applicant: 253 :. SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby alfa under perwly of perrvry one of the fdowag declarations: PLAN r+ •'
o I have and win maintain a cerMicete of consent to self-insure for workers'compensatoda
n,as provided for by Sen 3700 of the labor ISSUE FEE 22 . 00
Code,for lMperformanw a the worktorwhichthhisPermei.issued, BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
IFI have end MIMahale*where'wnpensdiun insurance.es required by Section 37004 the Labor Code,Mr the performance el the TOTALS----> 104 . 00 22 . 00 • 0". 00 126 . 00 126 . 00 . 00
work for which this permit is Sued.My weaken'compensation insurance carrier end policy number are:
Carder: 2.9(I u INS EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 126 . 00 OVER/SHORT: . 00
Policy Number: A0920306.0 07/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
,me section need not be completed Idle panni S for one hundred down MOO;Of Ises.l 126. 00
❑ I candy that in the pedonnence of the work for which the perms is sued,I shag not any person in any maw sew to -.
been subject to the workers'compensation laws of
/
and agree that a I become aurea to the workers' ************************************ f************** E***********
****************compensationion embalms d Section 3703 d the Labor Com.I If hwbh ads
6--. r— / - Applicant:
rep:Fawrosum workan'mmpwuatlonowaapa/sunlerAd,and sHl/pepdanamployeroctlmndpenaMeserM fines apt to one hundred thousand ddb*.($504130),In ad8ltlon to the owl of conpewtbry darap*a a prorWM for Id TYPE QTY INDIVIDUAL ' F- E E
DESCRIPTION ;. BREAKDOWN
UNIT COST TOTAL COST
Section 3738 of the Labor Code,Intelsat and attorney's/see. • /
CONSTRUCTION LENDING AGENCY:I hereby affirm ander PLU 2 BATHTUB . 75 17 . 50
Peralty of perky tha""ere is a oawnacton lending agency for the PLU 1 DISHWASHER / / . 75 8 . 75
pert«maeofthe work fow+whNewmieewed(Swin3097,Cb.C). PLU 1 SINK, KITCHEN 1 LENDER'S NAME: � . 75 8 . 75
LENDER'S ADDRESS: PLU 2 WASH BASIN . 75 17 . 50
I certify that l have road applicationiapplicationp
ion end ate that the above Warnan
ation cored.l agree to comply with an city end county ordinances 2 WATER CLOSET (TOILET) . 75 17 . 50
end sae laws relating to come/ocean Nentern and hereby authorize representatives e city to upon the abavemerdkped propertyPLU 1 WATER HEATER AND/OR VENT 1 . 00 11 . 00'
fb inspectionpurposes. PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS . 50 5 . 50
DWANE GANT a PLU 2 GAS RE-PIPE . 75 C:-E�'x997/C4:117r}:'S.0;,:3
_... Q n END OF FEES !<C119;1:'-,-%•--;__"
I i --2 J a—5.7 ` ':pRi:,_ :.:tit4L'`'>i
Si. .uro of Own d Ben ApPlican�q Ode:
(5151'46,WP) White-Building&Safety.Green-Rl.:. . .. . ,:Pink-Revenue:Odderuod-Assessor
III. CONSTRUCTION AND PLANNING - POG SPA r r_,.
APPROVALS . \Permit# Date Inspector APPROVALS Permit# Date Inspector
i,. Temporary Electrical Service or Pole 52. Pool & Equipment Location
=r
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
. 3.:Eiectriral'Conduit Utility-Undrgrn8.. 54. Forms _
"M.:Electrical Conduit-Undrgrnd. 55. Electrical Bonding
•
5._;Steel Reinforcement 56. Rough Plumbing & Pressure Test
:6. Electrical UFER_Grnd. 57. APPROVAL TO COVER-GUNITE
-•.','%-,footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation :, 59. Gas Pipe, 0 Undrgtnd.,Test
9:1Water Pipe-Undrgtn'd. _ 60. Backwash Lines,.P-Trap. 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
•
1.3. Roof Drains j _ 64. Plumbing System - Final-
i . Rough Plumbing: -, l22i [2 A . 65. Electrical-Final
15. Rough Electrical-Conduit 7 � 66. Solar System-Final.
16. Rough EliCtric Wiring 67. Fencing & Access Approval•
f
17. Rough Wiring Sign 68. APPROVED Fd3 PLASTERING •
i%. Rough Electrical,T Bar Ceiling ' `
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ,•- f - FIRE.DEPT. BEQUIREMENT _ , _ .,
20. F ougd Fagtor'Firyb ace '': ' t. - , ,172'k APPR9OVA'L'S t ,Penult# ;
c '7:. 'C r :: - _ ..
21. Ducts-in•Struttuterir •• •• 2 r •_ _ -'!' 170. .Undere-OAid 1-1 aro !
22. Ducts,Verltilaimg.0 r - . •_T S is r 6 71. Prod uct;Piping 0 Gas 0v Oil
23. Gas Pipe-hough & Test *• Lt I' 72. Undergroudd FNNISh I,
�,. r , I-hi OGas ❑OII ,
24. Roof-Framing" '•„ .Y .T. ..-1t '73•-', Undergrrl"d.Storage••Tank,
r_. �..... .%
25. Roof:Sheathing I. y C '> cJI 74�Overhead Hydro._ k
t.
26. T-Bar'teilin (StrJ'ctural) & M000Eoat T^ ^- tar - _ :-+ '1 I -
9 ,N till 7� Dry Cherai G7) t_,;-",_ k +• � -
27. game ane Flashings k , t. f ,• II I • ,)., 76. Dry Stan'3pipe -' ' - •S. '!•
!, .. -it, 77.E FIXED Y TEE14:NAIL
28. Lathi g 'Siding ;_.-
. 29. Insulation s Ir 78., FIRE PREV. FINPPL 1, > .- - _-
30. Drywall filing - t - . •_ p . ;_ _'HEALTFVDEPt. aEQUIREMENT
•^! 4 I { is -. • c _,
-- 31. Plaster BrownCoat)k . . . 5r -79. FINAL INSPECTION t:
a r _ c
32. Electrical Power Meter-Nal ! ''- ) k' 780:FOOD CERTIF:ATE I1SUED„
- I r I :, n' ,. • , c t
33. F nal Electric ^ d r Notes: .' r . -. _ Y
.. _ r r
'u 34. Final`-Heating & Air Conditioning c - 'k ` ' ''- 7 t •� -- '
= - i /011
11// 7_,7"% 0 ;,ems_it'..
35. Final Gas PiPe:Test_ ' - I. ;` I It. L0,,i, 'Q u0 G'ces - /�.0 _
F f
=36. Hootor Canopy . I: '� - I - C '! '�' I .
�,: a :r ., - !
X37. F.inal.Faotory Fireplace - - / I
`38. FinarPlumbing : 1-• 7 e4 ' .-
'139. Water-Service-Final B : - r. • it - o «'
, .
^40. Gas Service-Final 1 . n r S - D
_
`41. Solar Domestic-Finali - - - ,r -. !. .-
42. Backflow Preventer t - r '�' e -'
43. Backflow Irrigation i i • r ... . ;. - .
44. Landscapb Irriigation!System ' -.L." ; ' • - . " • - k - '~
45. Sound Attenuation . . z 1I 11
. . . - 1 •
46. Handicap Regulations - - x - ;
• 47. FINAL. STRUCTURE & BUILDING � '-
48. FIN• AL PLANNING ! - ' " I '
t
' 49• . Electiic Release to Edison .--1 -.. •-
R
50. Gas Release to Southern California Gas Co l- -' = ' - ' - •
51. CERTIFICATE OF OCCUPANCY - -
No. Date
_ _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _
CITY LSF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO.. •
y 7707 14/25/83 h I e iS T
CONSTRUCTION PERMIT I ��o �.�7 S 4 '3 - ' 1
A•pplicant's Mailing Address ' - / `TYPE OF CONSTRUCTION NEW ADD U ALTERATION•.0,REPAIR - •
Project Address!�� ��� / �' •
_ -�-•' _ ❑ CONVERSION .0 DEMOLI /❑/�'T70TH ���� - _ •
,� Owner's Name - � - ' /` ' 'hon! 1� DESC IpTI ON pr WORK 'Dime tf 24/!..(/ e/c/C -
X �}7Jb � .�/I !h P ((�]]l ��J`� tea/ �'.} •.. Z I G. EGU ATI
Address 16 92- lid i. Vii^ Cl'. ZZ_4 ke-�1,, TYPE OF PERMIT LJ GRADING .LiJ WOUNDATION L51 STRUCTURAL ' A.P.#W 13q –J?L,'_ 3 ZONE -
Arch/En . - - License NO. •
PLNG.REF.sift .
Arch/Eng. ❑ TENANT 0ELECTRICAL 0PLUMBING 0MECHANICAL t'7>ZT
��jj r M� CC ❑.BOTHER SQA REAR YARD(TO P/L) O
Address "� �l �/y •
PROPERTY INLINE
Contractor's Name. 'P�ts'frf'� •cep,
PROJECT DESCRIPTION SO.FT. • OCCUPANCY
r f, • LEFT SIDE YARD /) RIGHT SIDE YARD
Address(mailing) v j . t _ - CON STRUCTION TYPF VALUATION$ { / �'�
C� Ary L-Le ! '1 A// , ' _ - ZON$ GRADING CU.YDS. ACRES PKG.SPACE.REO. PROVIDED
License No; /� ( /^
LICENSED CON�AGTOR DECLARATION Remarks: ' STREET WIDTH .VA // PARK FEE.$ _
I hereby affirm that I am licensed under provisions of Charter 9(commencing
wlth'section 7000) of Division 3 of the Business and Professions Code,and ' ' SPECIAL CONDITIONS:
•
my license is In full orce and effect. •
q
Li �_ Lice e J 7� 5 PLUMBING • - • -
Date jf- -w✓t Signature' • t- �— - -_,
WORKERS'COMPENSATION DECLARATION • Bar Sink Sewer Cap ELECTRICAL
„r ereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer - Sewer Connection - - Automatic Washer. .. Meter Dover 100 amps -
'-;'Workers' Compensation Insurance, or a certified copy thereof (Section _
-: 1$0, Lab. C.) Backflow Irrigation Solar Collectors l - - ,
Construction Pole Sub Panel '
Policy No. Company - - - Cooking Unit Sub Pole
ElCertified copy Is hereby furnished.• 11 ; Bathtubs Solar Piping
Certified copy Is filed with the city Building Division. Dishwasher Motors 00-1 HP ❑VA-8
Date Applicant _ ' Clarifiers Solar Tank i _ ,
' EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimming Pool w/Spay Dryers ❑Gas, ❑Electric Inc.Solar ❑9-15 HP 016-15+
(This section need not be completed if the permit Is for one hundred ($100)or •
Iecertify.that In the performance of the work for which this permit is issued I Drinking Fountains Urinal Fan' , ,Microwave ,
• shall not employ any person in any mann so to becoome subject.to the - F.A.U. Pole Light - I '
Workers' Compensation Laws of.Californi / Floor Drains Water Closet
Date -meq Q�t''l� Signature /�)1?/�_ /lam'/[� n ' - ' - Fixtures : i
NOT,C :If,ager dialabg'this declarathSr,you Shoultl become subject to the -' Floor Sinks - Water Heater - .. - _ Range._
Workers'. Compensation provisions of the Labor Code, you must forthwith Device Boxes ' • 1
comply with such provisions or this permit .shall be 'deemed revoked. ' I Gas Service Outlets' -Water Service l i+.: Sign ,
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.) "' - - - ,
' 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-Trap - - Generator 00-5 KW 05-15 KW -
following reason (Section 7031.5 Business and Professional Code: Any city or, . - • - • - -
county which requires a permit to construct;alter,improve,demolish or repair • - - - Transformer 075.50 KW
any structure, prior to its'Issuaoce, 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• Reinspection Fee
the Contractor's License Law(Chapter 9(commencing,with,Section 7000)of - ' - - _ $15
ftvislon'3 'of the Business and Professions Code)'or that he/she_'is'exempt • Showers Reinspection Fee $15
t efrom and the basis for the alleged exemption. Any.violation of Section - Meter Opp to 100 amps 1 Issue Fee• '$ 3
'.$1.5 by.;any applicant for a permit-.subjects the applicant to a civil - ___ _. _ ^ _
w laity of not more than five hundred tlollar5($500 : • Service Sink r . Issue Fee. $ 3 . L ;,�/Y�c y� ��"�
- Zoning Approved By K� Date
❑ 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 _ 1 -
for sale (Section 7044, Business and,Professional Code:'The Contractor's - Application Approved Bynate •
License Law does not apply to an owner of a property who builds or improves , Boiler . •? - ' - ' Refrigeration System Application Issued By `v,'IA1 •
' ` `na
thereon, and who does such work himself/herself or through his or her own ' PP V ,S _ Date I idict�7 I V
employees, provided that such Improvements arenot intended or offered for - ❑0-100,000 BTU ❑100,000 BTU -
sale. If, however, the building or improvement is sold within one year of com- Duct=Under Ground _ i SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build or im •
-
grove for the purpose of sale). - Duct-Structural System Repair/Alteration BUILDING PERMIT $ :7 S - SMIP ; , $ , , `S�
LJ I,as owner of the property, am exclusively contracting with licensed con- - I / r } (..
tractors to construct the project (Section 7044,Business and Professions Code: • t Duct-Ventilating r - _ , - PLAN CHECK, $ 4i SFJ PERMIT
The Contractor's License Law does not apply to an owner of property who . ISSUANCE• $ ' l
- builds or Improves thereon,and who contracts for such projects with a con- ' • Exhaust System 0 Multiple 0 I PLUMBING $
_, tractor(s) license pursuant to the Contractor's License Law). I - - l PLAN CHECK. $ GRADING , $ '
■ l.am exempt under Section , _ B.& P.C.for this reason • • Fii-epl/Fact.Bit.ICBG•O • { - , , $ 1 '
I
ELECTRICAL $ •
Date Ohner' . Heating System& Ducting l MICROFILM l $ '
I-hereby certify that'1.have-read this application and state that the above , ❑O-10Q000,BTU 0100,000 B11, - -- - -- .PLAN CHECK $
information Is correct. I agree to comply with all city and county ordinances ' i ' 1 -v $ TOTAL FEE - $ y
and state laws relating to building construction,and hereby authorize repre- ' Hood or - , 'MECHANICAL
sentatives of this to enter on the above-mentioned property for Type I ❑ Reinspection Fee. $15 LESS
c�(y yP , PLAN CHECK $ l ' ADVANCED PC $
inspection ors f7 / z G� Canopy Typ¢II ❑( -' '
Signature /•T )O/1Ma.t.,�.- Date y 25-7.-5
Registers , Issue Fee $ 3 I • •
Drivers' License or'SS 0 - _: - 9 _ - l FINAL FEE, $ _I I r7
CMF 086546 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
.!� - -- - --- -- - -- - POOL
: - - � - - ' - - -
. £+.CONSTRUCTION;AND�PL'A Ne ` `_ c- - _ - -
+ •.Date Inspector ' Date Inspector
::APPROVALS - Permit:# APPROVALS Permit# -
1: Temporary;Electrical Service orrPole - - re, , '52: Pool & Equipment Location i. . ' ,
2! Soil Pipe-Undrgrnd. - - - - r - . 53: Steel Reinforcement _ '
..- 35 Electrical Conduit Utility-Undrgrnd._ ;, - • 54, Forms - . - , "'
'u 4- Electrical Conduit-Undr rnd' r; t a 55:- Electrical,Bonding
'+. ,
5. Steel Reinforhent .�f �- .i-q_yr3 8 .. 56_ Rough Plumbing& Pressure.Test - -
6: Electrical UFER Grnd._• ' - ' - s . 57,'APPROVAL TO COVER-GUNITE
7. Footings' = - e -58, Electrical Conduit-Undrarnd- - -
sy$3 :8 + •
8. Foundation r r. ¶ , _ - - - 59. Gas Pipe, O-Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, O Undrgrnd.- - -
10. Structural Floor System `` ' �, - - • 61. APPROVAL-TO.DECK• - _
11. Property Sewer Line & House Connection. .62, Backwash.& Receptor-Final
12. Sewer Cap , • 1 `; •- 63. Heater&Vent,Final
13. Roof Drains , - “64. Plumbing-System - Final • --
,- 14. Rough Plumbing - = - • - 65. Electrical-Final -
15tRough Electrical-Conduit -, - - "i -- " ' 66., Solar;System-Final -- _ . . -- - -
-16. Rough•Electric Wiring_ : , i• 1'- - • - 67. Fencing& Access Approval - -"
.r17, 'Rou"ghWiring'Sign ' - i - 68.'APPROVED ;
1, 18, ;Rough Electripl-T;Bar'Ceiling: '; i : X69.' POOL/SPA SYSTEMS-FINAL
C
d 8 19. 'Rough Heating & Air Conditioning ! +• I • ' •FIRE DEPT, REQUIREMENT' - _
- .i 20. Rough;Factory Fireplace ' ' I APPROVALS I Permit#
, 21. Ducts,in Structure , .i j
70.' Underground Hydro
•
22. Ducts, Ventilating - ' 71. Product Piping O Gas O Oil
,'23. Gas II-pp-Rough& Test r- , I ' ; 72,. Underground Flush
rr-24. Roof Framing] i • I ,73. Undergrnd.Storage Tank O Gas 0 Oil ,
,. 25, Roof Sheathing ' I V; I' _ ' t ;;_ , . ' - 74.' Overhead Hydro - '
6-26. ,T-Bar Ceiling (Structural).&, Monocoat •- ; =.I ,' ; I " 75. Dry Chemical , ' " - • .
'r27. Frame and Flashing - 76. Dry Standpipe , ..
•
` 28. ;Lathing &Siding' ' . , ;t 77. FIXED SYSTEM FINAL
i, 29_,Insulation -; - ,i ' ' ,i r i ' 78, FIRE PREV. FINAL
9 '-30, Drywall Nailing ' . ! Nto 5--t4 e , l..,.v4
'31. ;Plaster Brown Coat , ' r "-r\ 1 l-OL•t4 �.¢ � �- o set k g
^ 32. (Electrical Power Meter-Final ' , , - '-69 ' • ir-ae� .�J 7
33. :Final Electric,-_ , _ l -•� _,.. i• .., ' • . . I e
34. Final Heating&!Air'Conditioning I ' i •
35, Final Gas Pipe-Test - •
r - -
36. Hood or Canopy - •
37- Final Factory Fireplace- ' i - , + _
38. Final Plumbing ii 1,- , ' ; .- . ` �. - •
39, Water Service-Fiiiel1 � I ' .
40, Gas Service-Final- � .1 ' I i ' I . -_ - .
41. Solar Domestic-Final ! _! -
42. Backflow Preventer - _ _ _ -
43. Backflow Irrigation • _ _
44. Landscape.IrrigationSystem I •. - - -
45, Sound Attenuation ' Ir. , - ,
46, Handicap Regulations i ' - , 1 '
f
47. FINAL STRUCTURE'& BUILDING : `rlt�-' -i : - `
48. Special Requirements Completed - - � ' 1 .
49. Electric Release to Edison' , - . , I -
50. Gas Release to Southern California Gas Oa • 11 ' ' I •
,-
•_
51. CERTIFICATE OF OCCUPANCY _ _ - • .... - - • ,
No 1
Date • 1
- � L ' APPROVED
S_.- . _- . V City of Costa Mew Building Dept. 1
SFPf R4"' FFRI;u T, Ft,' -v' D
" I' F ' By (4713 422 C-
THESE PLANS MUST BE ON JOB AT ALL TIMES
.!R_
1 FOR P'FC -I T.'..G MAKE NO CHANGES WITHOUT PRIOR APPROVAL
• i;Fr' 'c At44.1.3
'l-0 .[IDy OF DEPT.
{ THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
OF PLANS AND SPECIFICATIONS SH„LL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
i t'j�� f ! ! ' OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE-
!] `1,7 I SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
•V I PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO
I-•�, 1,... . �,J •• FAR AS THE WORK OR USE WHICH If AUTHORIZES IS LAWFUL.
- '
---' THE ISSUANCE OF A PERMIT BASED UPON PLANS AND
- SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL
. "'' - S ARE TO FROM THEREAT1ER REQUIRING THE CORRECTION G.` CRRO:S
' FE •, •,_1, ',YC :' 3G . �!iHT THE IN :AID FLANS AND SPECIFICATIO::; OR FROM PREVENIINS
��i U.'' v.,_!F.'.", ,� li!i'i$iOi' OF EUILDING OPERATIGNS BEING CARRIED 0'1 THEREUNDER WHE.I
.vDO. „2!HL S^FET .BE CO,4SULTEO FOR N VIOLATION OF THIS CODE OR OF ANY OTHER Oi OL:.''E
hDDITC.-„L REOUIRE:v;Ei'lTS.__r OF THE CITY.
f
. ) lL( 6''
61
4 {
1S
• �
_ 4 RESIDENCE
+b RESIDENCE RESIDENCE
RESIDENCE D W
W
IC
h y
W
W
a •
1
1 L
/6'91 `f� ao.cai\
STREET - ---�—
s—
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional --� - -- • • GENERAL— NOTES
Channel Block With 1-3/8 '
0 Horizontal Top of all • if ---
Fences MORTAR: One Part Plastic Cement, and
Three Parts Sand
' ,� GROUT: One Hart Cement, Three and
For Fences 5'or Less _� f
Mj One Half Parts Sand
Vert.Bars 3/8"Oat 4"A"O.C.. o COPING: One Part Cement, Three
Ile ix x
4 II _� Parts Sand
For Fences Higher Than 5' CONCRETE: Well Mixed 12-1/2: 3-1/2
Vert. Bars 3/8"0 at 32" O.C. >- w
= r Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout
I °> Z L _ f Water Per Sack of Cement
Where Steel Occurs > - 1 —,-- -- • - -
Reinforcing Steel Shall f w — - , �� GROUT MAY BE POURED FROM THE TOP
Conform to Sec.A-15-39 ....._Th w o ---- OF THE FENCE IN CELLS WHERE STEEL
r OCCURS.
A.S.T.M. ' 2 ~ f CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT
w n SHALL BE CLEAR.CLEAN&
All Steel to be Lapped w I - FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code 'Iial PROVIDE CLEAN-OUT AND INSPECTION
1s HOLES AT THE BOTTOM OF CELLS CON-
NATURAL GRADE �t I TAINING VERTICAL REINFORCEMENT.
. , UTR6u1 •'I'.•,, BONDS LOCKS IN LL BE STRETCHER
REINFORCEMENT.
ED LAYING BLOCKS IN STRETCHER COURSES SO THAT
•;':-:;:`<"4, /j f - OM _ VERTICAL JOINTS ALT
FRN7�.A�sTE INpT{EACH�/7ITH�- 7■-�■
�.iBARS -\ °. . -0 i_, . e • COURSE. J PlIO ♦ JJ l/
TWO 3/BOBARS _a� L ' - �. o .� . �` .. . . I
CONTINUOUS TOP
. . ... .. &BOTTOM , . � • • . ' 1.--..-.-WIDTH ` TO 16• O.C. MAX. p CITY OF COSTA MESA
D" SEE CHART �• . . PLANNING DEPT.
ALL STEEL MUST BE TIED IN i BELOW a DE PTH OF EARTHTOOTH SUBJECT TO BLDG. DEPT. REG
PLACE AT TIME OF TRENCH • II � I I L I/3 THE HEIGT1H OF FENCE
INSPECTION. D' . L L. SLOW BOTTOMOFFOOTING..
• - . 3
1.-...t''.. ..4'1-'
�q� // DATE �(/?
5-4
k. 10•� 10 I Il ®� Inspections•1'• A&E4.M1i2
2
FOOTING REQUIREMENTS CHART T
WALL HEIGHT 6 ' 5• 41. 3 q�
7
WIDTH 14" 14" 12" . . 12 � li
THICKNESS 10" • 10" 8 ' . .l . 77s)tt2.,4e83.;I12i,�
DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12 �1
SPACING OF EARTHTOOTH. . 12' . 14' 16'.
OWNERS NAME:
City oITr Costa Mesa, California JOB PERM ATO DNUMBER
Building Department SIGNATURE:
OWNER SIR4MERLAND LAND CO. DATE 5_3_57 _
JOB ADDRESS 1692 Madagascar Street BUILDING PERMIT NO. #073
GENERAL CONTRACTOR Owner Bldr. VALUE $ 11,112/1.00
AP. No. LOT 43 TRACT 2353 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar.
rut I & J TYPE V ZONE Rl PLAN NO. 5023
INaPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches A Forms Steeleiira:M r
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing £tomp -2/1
Lathing, In Out G/�
Plaster, brown coat /�/� /(I - -
Underground soils-/S=S-7 W/(Pipe Tes 4 -,i.../.7-.6-7
Top Out .w`3 /� fs,
Furnace •,� 19/ 6'11 Ai- C�m.ni,.e't. 6-J/f-J 7 I G t°2 ( ✓
Gas Vents M
Rough Plumbing /1,2 II-- 7-ir,�JA of 'it(2 -S7 9.2 �0 O -
Cesspool Septic Tank IJ r/i/
Lacop. Swr. Line yHouse Con S ,S,Wrr� /A4 n 01_41 40 i, .r p_,r�; 3"5 —S7 R' .5—.5-7
pnn mg ystem
Heating Final Ale $ //-,2.1-37
P ',inn Fixtures, Final M-GS //-26-57 rti
i,. Gas Test Yfl.C5 r/- 6-s1 l Cr.....le e ,--I 1X 7-,.it 5-11if
Construction Pole ° r
Underground Power _ n,
Rough Wiring 1 r y-' I.2,1-; ('' /IL.& F-&e-. 7-9-57 .-/911 1-----
Fixtures, Final �" �9--ri.-Y' //_ 77_pa ��.�_�i}_ 1���,� I �-'l E .tj—) 1n71
4b
OCCUPANCY , e/.J�..a. ik�,).6-Sj
Form 210-5M-1-57
5023 • E RECEIVED
COSTA MESA BUILDING DEPARTMENT a� .� c,l �\
P.O. BOX 317 r I {�
COSTA MESA. CALIFORNIA FINANC DEPT.
FOR APPLICANT TO FILL IN A P P L I CNIMail gala IVFEW MIT
A1692 1,7ada[:ascar Street BUILDING
DDESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PER4 ^
97
OWNER Su nnnierl and Lend 1 o• SS
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED •
ADDRESS •,''.1-4- , N.5.---0?-r7 MAY 3 1957
Calif. TEL. BUILDING
CITY Ensnuples , ClNO. ADDRESS
ARCHITECT LIC.
OR E• -INEER •yIi11i ams NO. COSTA MESA. CALIFORNIA
FIRE
ADDh...oS T ZONE
Summerland Land ZONE NO.OF TYPE GROUP ^
CITY LIC. .+ PLANS (`�` -
CONTRACTOR CO. NO. 618K K, V X
ADDRESS 100 Ar-it-,1 p0 Cal NO. BY DATE DATE v//I
LEGALCORRECTIONS
DESCRIPTION NOT II 3 BLOCK TRACT 21 j O. If
A.P. NO. J
SIZE NO.OF BLOCS.
OF LOT (inn° NOW ON LOT non
USE OF - r
EXISTING BLDG. • L
'SETBACK LINE FROM
CENTER OF STREET 5n I REAR YARD 10.17 I
SIDE YARD RIGHT 51 LEFT 5 I •
DESCRIPTION OF WORK
I
NEW '" ALTERATION ADDITION
REPAIn MOVING DEMOLISH
BS ZE DING1 316 NO.OF ROOMS 6 STORIES 1
EXTERIOR WALL Stucco ROOF
COVERING R& Si fi i Tl` COVERING 'look
USE OF NEW l Dwelling BUILDING ; ]_I'll2l e i'nrnU 7
6-A 9 �tf. .. .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATETHAT IN NCE ABOVE IS CORRE T AND •GRETOMPG WITH ALL
CITY ORDINANCES AND ST L 5 EGULATI G B •Inc CONSTRUC-
TION.
ONSTRUC- VALUATION {�
iloN. /A7�'( PERMIT FEE 5 26 , 00
SIGNATURE aA�/
PERMITTEE /// I
5
j/ VyX-- PLAN CHECK S 111LLP 00
AUTHORIZED AGENT aC TOTAL FEE $ LT2A 00 Vat