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Home My WebLink About1716 MADAGASCAR ST - Building PermitsI Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA CONST UCTION PERMIT P M�; �.O fY� TRACT NO. LOT NO. UNIT NO. Projdct Address � 71 4 d- v'lJ . TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Applicant's MailingAddress � p ❑ CONVERSION El DEMOLISH ❑ OTHER A,p., Owner's Name Phone a DESCRIPTION OF WORK/USE OF BLDG. Address W40-9 I Arch/Eng. License No. Address Contractor's Nam LLJP PI}one Address (mailing) City Licence No \3 r S LICENSED CONTRACTOR DECLARATION 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 my licens�1" c antl of feet^9e=License CsDateSigna lureWORKESATION D CLA RATION hereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section .00, Lab. CJ� ^"'/ n,� Policy No. ��lY/ Gf�" Company A�/ ertified copy Is hereby furnished.— Cer "f ARE" filedhere with the city -XEM A(�_KERS'Ct EXEM io FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($300) or less). 1 certify that in the performance an the work for which this permit a issued, I shall not Compo any person to any California. 50 a5 to become Subject to the Workers' Compensation Laws a California. Date Signature NOTICE: Compensation after making this declaration, you shoultl become ust f t h the - c orkers' suchprprovisions of the Labor Code, you must forthwith d. comply with such provisions or this permit shall be tle¢metl revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lendingagency for the performance Issue of the work. for welch this permit is Issued (Section 3097. Civ. C.) Lantler'i Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason (Section 7031.5 Business and Professional 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/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section.7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt `erefrom and the basisfor the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil ,natty 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 (Section 7044, Business and Professional Code: The Contractor's License law doesnot 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. II however, the building or Improvement is Sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im. prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildsorimproves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation Insurance should be provided to me. 0 1 am exempt under Section B. 8 P. C. for this reason Date Owner Ihereby certify that I have read information is correct. I agree to o and state laws relating to buildini sentatl Vey thl CISy t0 enter inspection rp e Signatur Drivers' License or SS this upon above 6050 10/27/86 Zone 5.00 TL S Main Building: rccessory buuumg: E TYPE OF PERMIT GRADING_ OUNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL 1�'PLUM BI NO ❑ MECHANICAL B Rear ❑ OTHER A PROJECT DESCRIPTION SQ. FT. OCCUPANCY 'C Right K CONSTRUCTION TYPE VALUATIONS $ Left ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided Remarks: Planning Notes: _ t Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee 1 $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System 0 Multiple 0 Firepl/Fact. Bit. ICBG+ Heating System & Ducting 00-100,000 BTU 0100,000 BT' Reinspection Fee 1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant: Pink - Accounting; Goldenrod - Assessor FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool'w/Spa Urinal Water Closet Water Heater Water Service A uto-W ash Issue Fee I $ 3 Hood or Type ❑ Canopy Type II O Refrigeration System ❑0-100.00OBTU 1:1100,000 System Repair/Alteration Fire Dampers Registers Issue Fee I $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers []Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 00-5 KW C ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW' Meter El up to 100 amps Meter ❑over 100 amps Sub Panel Motors 041 HP ❑ 1'A - 8 Inc. Solar 09-15 HP❑16-15+ Microwave Pole Light Standing Sections 5 KIN I I Trash Compactor 1 Reinspection Fee 1 $15 1 1 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Data 3 Z O N 1 N G R E O M T S PLAN CHECK 25% $ SUMMARY OF FEES ' BUILDING PERMIT $ SMIP, $ PLAN CHECK $� PERMIT PLUMBING $ —d }, C ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ , PLAN CHECK 50% $ MICROFILM $ MECHANICAL $_ TOTAL FEE $ C700 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector i. 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 ,s- 5. Steel Reinforcement 56. Rough Plumbing & Pressure'Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrhd? ;,7 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Tl;;t .9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, [D Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK .i 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 07 469;7 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date CMF 0865-46 rev. 12/82 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor '- -- - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ' CITY OF COSTA MESA PERMIT 0. TRACT N . - LOT NO., C%,� BL CONSTRUCTION PERMIT Q ' 5661 9/1'3/9 Applicant's Mailing Address TYPE OF CONSTRUCTION -• LJ NEW 2<1 ADD LJ ALTERATION LJ REPAIR -- - y -- L� Project /i/' MA:d+C7LR/R-I O CONVERSION 1:1DEMOLISH F1OTHER - - ' I' roje ..-', �p�a - /, 'L{NN/(E'fL- _ DESCRIPTION OF WORK %6'—e'r 42/brl 't"Wr. c-0bL�'r= e-W"01M-XB -- .. .. -. - 4 Phone LlJlD Owner s:Na/m,/e Cw$rh.•c>r ,i/Q✓. C E�.2Ga HL - ZONING REGULATIONS _ Address 11t !Y2kD/i]fAf1CA-a TYPE OF PERMIT LJ GRADING LJ FOUNDATION STRUCTURAL - A. P. #. ZONE _ Arch/Eng. ` �T� a' aGi License No. ❑ TENANT XELECTRIeAL ❑ PLUMBING ❑`MECHANICAL PLNG. RE F. 06 - BUILDING I Address - - ' ❑ BOTHER - - TO BUILDING A Jrj �' Contractor=s Nam /✓� « Pio "Phone • PROJECT DESCRIPTION' SOJ FT. 2�..� OCCUPANCY AAS P I REAR YARD (AR P/U _ 7L/NEF`.fL[$ •�'Q,. Address lmailingl� CONSTRUCTION TYPE VALUATION $. 900•00 E 'LEFT SIDE YARD II CI I,� ,t UI(it RIGHT SIDE YARD i d% ZONE GRADING CU. YDS. ACRES PKG.SPACE,REO. PROVIDED .. _ License No:'Zth_, l � , LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH .- -- C PARK FEE $ - Ihereby 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: Ty license Is In II force antl. effect. /I r'�� -� - ' ilcensa.f;l ss µcMae No. 1 j PLUMBING Date N •�I_ SIg at T - Bar Sink Sewer Cap' r - ELECTRICAL , 1YOR KE $' COMPENSATION DECLARATION § retiy affirm that I nave a certificate of consent to self -insure or a certificate - Automatic Washer Automatic _ ' •Meter ❑over 100 amps - - - - .+ - Backflow Sewer Connection - -} Workers' Compensation Insurance,. or.. a certified' copy thereof (Section _ - Construction Pole Sub Panel ' j s -jog, Lab. C.) - 7 I"' ��( Backflow Irrigation Solar Collectors \ Policy No. Company ❑ Certified copy is hereby furnished. ' •. 1 Bathtubs 1 Soler Piping Cooking Unit Sub Pole ; 1 Certified copy is filed with the city Bu �n�g� Dlvis�i ^��-- i Clarifiers Solar Tank Dishwasher Motors 00-1 HP 1:11X$ , D ata Applicant d COMPENSATION DECLARATION EKEMPTI N FROM WA ' - __- ❑❑Electric Dryers Gas, -Solar _ _ IneC39:15ORKERS' 9-15 4 El 16-15+ Dishwasher Swimming Pool w/Spa (This section need not be completed if the permit Is for one hundred ($100) or ' less)rtify 1 ce,that In the performance Of the work for which this permit is issued I any In any manner so as to become subject to the- - Drinking Fountains - - Urinal Fan ' Microwave shall not employ person Workers' Compensation Laws of California. Floor Diains1 • Water Closet F.A.U. Pole Light g Date Signature - Floor Sinks -• - -t Water -Heater -- - Fixtures Range _ - _ _ NOTICE: I1, after making -this declaration, you should become subject to the Norkers' Compensation provisions of the Labor Code, you must forthwith comply with. such provisions or this -permit (shall, be deemed' revoked. Gas Service ' Outlets 'Water Service Device Boxes Sign " CONSTRUCTION LENDING 'AGENCY for i Outlets Standing Sections ' I hereby affirm that there Is a construction lending agency the performance Interceptors ) - - - of the work for whi��pp this Permit Is Issued (Section 3097 Civ. 0.) . tender's Name NO,t/� Kitchen Sink. - - - / Switches , Trash Compactor _ _ Lender's Address - Lavatories, - Gartiege Disposal OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the P -Trap '- - Generator, ❑0.5KW 05-15 KW ' i I 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 ❑ 15.50 KW _ 1 any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains - t0 file a signed statement that he/she Is licensed pursuant to the provisions Of • -- - _ ❑5d+ KW Reinspection Fee $15 the Contractor's License Law.(Chapter 9 commencing with Section 7000 of the Professions that he/she is Showers ReinspeetionlFee $15 -ision'3 of Business and Code) or exempt r„°/w+"r” from and the basis for the alleged exemption. Any violation`of Section Meter ❑up to 100 amps 1 Issue Fee 3 1.5 by ,any applicant for a, -subjects the to a. civil - _ ',z ,�. _ permit .applicant �'alty of not more than five,hundred dollars ($500). Service Sink Issue Fee { $ 3 Zoning Approved By Date I, as .owner of the . property or my employees with wages as their sole MECHANICAL r . compensation will do the work, and, the structure is not intended or Offered for sale (Secflon 7044, Business_ and Professional Code: The Contractor's - - Application Approved By _ - ate License law does not apply t0 an owner of a property.who builds or improves Boiler - -: ' Refrigeration System - ' t Application Issued By I -Date ? thereon, and who apes such work himself/herself or through his or her own -' _ - aY employees, provided that such improvements arefrot Intended or offered for � Duct -Under Ground ❑0-100,000BTU ❑100,00 BTU - - sale. If however, the building or Improvement Is sold within one year of com- ; ' SUMMARY OF FEES 1 pletion, the owner,wlll have the burcen of proving he/she did not build or Im- ' rove for the purpose Of sale), s - ' Duct - Structural I' 1 System Repair/Alteration r 1 I 18UILDING PERMIT $$"��' SMIP 1, as owner of the properly, am exclusively contracting iwlth Ilicenied con- tra to construct the project (Section 7044, Business and Professions Code: -' The Contractor's does to _� Duct.. Ventilating I a - _ _ _ '1 iPLAN CHECK: $ �S'� 1 PERMIT I License taw not apply an owner of property who ' builds or Improves thereon, and wno contracts for such projects with a con- Exhaust System ❑ Multiple ❑ ipLUMBING $; IS CE ' $ i 1 tractor(s) license pursuant to the Contractor's License Law). I , ' ; Cs $ ❑ ['am exempt under Section - B. & P. C. for this reason _ p 1 Firepl/Fact. Bit. ICBG i# ; - PLAN CHECK' $ ELECTRICAL $� '=!��'3'$� $ I Date Owner , - Heatin S stem&Ductin 9' y 9 I pl� O LM $ ' I hereby certify -that I have read -this application and state that the above - ❑6106,000:BTU ❑100,0006 .". - PLAN CHECK $. .'9-O information is correct. I agree to comply with all city and county ordinances , MECHANICAL $ `O FEE' - $ - and'state laws relating to building construction, and hereby authorize repro- HOOd Or Type I ❑ sentatives of this city to en er upon the above-mentioned property for 'Inspection Can, TypeII ❑' Reinspection Fee $15 PLAN CHECK. $; L f purpo , , I A PC - ' S19nature ate Register - Issue Fee $ 3 _VANICED r,•^$ 1 / Q • �'� Odvers' License or'SS T- 1 , FINAL FEE $ t� CMF 0865-46 rev. 12/82 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor '- -- - CONSTRUCTION AND PLANNING - -"APPROVALS Permit 46 Date Flspector '-� ' POOL 'A APPROVALS Permit# •Date Inspector _1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - - ' 2. Soil Pi a-Undr rnd. - r P 9 - 53. Steel Reinforcement _ I Electrical Conduit Utilitv-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel -Reinforcement ,. - - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrarnd. - 8. Foundation 59. Gas Pipe, 0 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 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 APPROVALS Permit # 20i Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas OOil 23.' Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T;Bar Ceiling (Structural).& Monocoa( 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding' _ 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing Notes: ' 31. Plaster Brown Coat 32. Electrical Power Meter -Final ' 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace _ 38. Final Plumbing - - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final ' - r 42. Backflow Preventer - 43. Backflow Irrigation _ 44. Landscape Irrigation System 45. Sound Attenuation. J 46. Handicap Regulations f' 47. FINAL STRUCTURE &BUILDING , f .S, 48. Special Requirements Completed�i Q 49. Electric Release to Edison - •1 50. Gas Release to Southern California Gas Co 51. CERTIFICATE;OF OCCUPANCY No. Date 6.: Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CON TRUCTIO Project Address Applicant's Mailin ddress Owner's Name+ AddressOL- Arch/Eng. Licer Address Contractor's Nam Address (mailing) City License No. LICENSED CONTRACTOR ECLARATION I hereby affirm that 1 am licensed under orovisI sof Charter 9 (tom mer with section 7000) of Division 3 of the BUSin s and Professions Code, my license is in full farce and ee License CI sscense N Date Signature 1 WORKERS' COMPENSATION DECLARATI N 1 hereby affirm that I have a certificate of consent to self-insurea rtif f Workers' Compensation Insurance, or a certified copy thereo Ser Wo. Lab. C. - Policy No. Co p _HCertified coppy is {dere y (urn i shetl. C lobyii6 lith the city B it i g Divis io PERMIT No. EXEMPTION PROM WORKERS' COMPE115ATION`BeCLr AR2(TIO (This section need not be completed if the hermit is for one hu, r 1, _or - less). 1 certify.that in the performance of the work for which this permt iz is ad, I shall not -employ any person in any manner so as to become su to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making 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 shall be deemed revoked. 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 (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she Is licensed pursuant to the provisions of .the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and Professions Code) or that he/she is exempt '2:' erefrom and the basis for the alleged exemption. Any violation of Section 4:031.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of Com- pletion, the owner will have the burden of proving he/she did not build or im. prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting With licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such proiectS with a Con- tractors) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Seclion S. & P. C. for this reason Nate — I hereby certif that 1 Inform ation is c rrect. and State laws r ati ng t 'centatives of thl cit 4yspectlon purpos Signature Drivers' License or S 9f 0865-46, rev. 5/88 White - Builth and state tv and cc g 3 � Garbage Disposal Stanc BUILDING PERMIT Generator 00-5 KW 05-15 KW Trash PLAN CHECK A.P. # S E T e C S Main Building: TYPE OF CONSTRUCTION LJ NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ orE IR pESC{%PT I¢7�I �pF nR�K./US�E QF BLDG.�!/1'�`��'''`1aL TYPE O PERMIT GRADING FOUNDATION ❑ TENANT ❑ ELECTRICAL ❑ PLUMING ❑ OTHER �2i i LJ ALTERATION XJ REPAIR '/ I fU STRUCTURAL CJ)JAy/.+t ❑ MECHANICAL ` I Front Rear Right Left Ping. Ref. # PROJECT DESCRIPTION SO. FT. ncCUPAI�fq)� L--Irte_�_ —_ CONSTRUCTION TYPE VALUATION$__7,_; / ZONE GRADINGCU.YDS. ACRES PLAN CHECK 25% Planning Notes: Remarks: Sink Preventer Irrigation Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Roof Drains Reinspection Fee 1 $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. 1CBO # Heating System & Ducting E10 -100,G00 BTU 13100,000 Reinspection Fee 1 $15 ; : Accounting; Goldenrod - Assessor Showers Service Sink Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Issue Fee Hoodor Type ❑ Canopy Typell ❑ Refrigeration System ❑0.100,000BTU 0100,000 System Repair/Alteration Fiie Dampers Registers Issue Fee FEES Automatic Washer Construction Pale Sub. Cooking Unit Dishwasher Dryers []Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter 0 u to 100 amps Meter ❑over 100 amps Sub Panel Motors 110-1 HP❑th-B Inc. Solar ❑g-15 HP ❑1615+ Microwave Pole Light Range Sign $ 3 Fee . Garbage Disposal Stanc BUILDING PERMIT Generator 00-5 KW 05-15 KW Trash PLAN CHECK $ PLUMBING .l PLAN CHECK 25% $ ELECTRICAL • Reinspection Fee $15 tissue DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By— y Building Approved By. sO Application Issued By '$ 3 ;;E FEES . PLAN CHECK 25% $ $ 3 Fee . SMIP $ FEES $ 3 J N G R E Q M T S. PERMIT SUMIyIARV g,F F BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ SMIP $ FEES $ 3 J N G R E Q M T S. PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ 61 G0019267-04019268 Tip F^, 2 DATE: 11/100 -TINE: 15'27 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3:, Electrical Conduit Utility-Undrgrnd. 54. Forms 4. -Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test , 6.• Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.'Footin s g _ 58. Electrical Conduit-Undrgrnd. -' S.;Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. _ �• 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10.'StructuralFloor System T. 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12.'Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final - - - 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing i •�/ 21 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 t HEALTH DEPT. REQUIREMENT 31 'Plaster Brown Coat 79. FINAL INSPECTION 32, Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: Z9% <t (l.S 34. Final Heating & Air Conditioning ,,//// �O Il t1 16 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 _ IncompWte '-i ' 44. Landscape Irrigation System `• 45. Sound Attenuation E J_' 18 _1v 46. Handicap Regulations 1 / 47. FINAL STRUCTURE & BUILDING%f 48. Snecial Requirements Completed 49. Electric Release to Edison. 50. Gas Release to Southern California Gas Co •' sl -. 51. CERTIFICATE OF OCCUPANCY No. Date ' OWNER DATE JOB ADDRESS 1716 Madagascar St, BUILDING PERMIT NO. 9770 AP. No. LOT 71 TRACT 3.363 FIRE ZONE DESCRIPTION OF WORK res det gar Ify, PECTIONS DATE I GROUP I & J TYPE V ZONE R1 gCOLLnd Soil] /wiY U.G. Water u� SUBCONTRACTOR PERMITS ISSUED Underground Gas �— DATE NUMBER Overhead Water and Gas Rough Heating '/E - _ Rough Plumbing W Miscellaneous z_ Prop. Swr. Line House Cont? St. Sy�+4-• Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test i8f e O !L9 fN Construction Pole i�lo7?�rh�. d("�� d. b // _ z 7 Underground Power Rough Wiring o n 9 TrenchForms Steel Zyr-- ,lfj/ Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing F , and Flashing P' t0'97 -ry'F L� ,g, In 1 Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final iJ/ ,!o Building, Final , OCCUPANCY Form 210-3M-4-59 .1 0 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA FOR APPUCAN7 70 F/ll /N WhMEZZ& TYPE OR PRINT BUILDING / ADDRESS O COSTA MESA, CALIFORNIA OWNER Svcamore Land Co. MAIL ADDRESSH 10835 Santa Monica Blvd. Los Angeles 25 TELBr CITY NO. ARCHITECTLIC. OR ENGINEER L.C. Maior No. ADDRESS 11015 S. Paramount Blvd..' Malgren Const. STAT 5 33 CONTRACTOR LIC. NO. ADDRESSj Santa Minnina Blvd. LEGAL I LOT OE>CRIPTION NO. �� BLOCK TRACT33& A,p. NO SIZEI NO. OF SLOGS. OF LO NOW ON LOT USE OF EXISTING BLDG. �T SETBACK LINE FROM 50 21 DESCRIPTION OF WORK NG 1707 AND WORK TO BE PERFORMED IERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM` ( WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING M1DING CONST RUCTIpN NATURE OF f//// ( JL AGENT ;w ��O/e h,+ %'CE DEPT. APPLICATION FOR PERMIT BUILDING FOR OFF/CE USE ON[Y RECEIPT NO. I y9@p{IT_NO. [/p-/A-/�87Lu/En/] RECEIVED Y I DATE REOEIVED BUILDING ADDRESS COSTA MESA. CALIFORNIA FIRE ZONE APPROVED BY DATE ZONING ZONEI NO. OF I USE OF NEW / PLANS BUILDING APPROVED DATE YARDS REQUIRED EVES ALLOWED (CENTER LINE ST.) FRONT FT. IN. R. SIDE FT. IN. L. SIDE FT. IN. REAR FT. IN. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION ✓ Y PERMIT FEE S !/a PLAN CHECK CHECK 51 TOTAL FEE S ,