Loading...
HomeMy WebLinkAbout2011 IRVINE AVE - Building Permits Is 15837 • FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT c P. O. BOX SIT COSTA MESA. CALIFORNIA NOV 10189' FINANCE DEPT, For Applicant to Fill In,Completely APPLICATIOtPilpplapE®8tA MESA TYPE OR PRINT w BUILDING ADDRESSBUILDING „7 0 i/ _z-g,„.,A.E /FYF . COSTA MESA . CALIFORNIA For Office Use Only OWNER?BATT / 4 de-5 I REC PT No. I /P IT i 3 I' MAIL R IVE 0Y DATE RECEIVED DATE IISSS1VUED ADDRESS 20 52. NEu/PORT �VD . K. 7 I //-/0-C � I T 6/ CITY as-r-14 rn_54 N0501//-6 an BUILDING //(� �`T ADDRESS r O yYY�(7<E/ ia-e-., ARCT 1 ORCENGE EER..re/RCIL,ei-D,- Nair COSTA MESA. CALIFORNIA (( �'1/ ADDRESS ✓]n I ai99T Nair• 6,3•4 - FIRE '�7/ / /- �l ZONE PE GROUP /-�({/1 CONTRACTO(t �O�SEFQT rp/� S�vw�e'� APPROVED 'JI�f ay, . J BY DATE /� / ADDRESS 20/x,52 4.e.„,,„2. B€-" " TONING x CITY a5 e IFFEM/T ION / PLANS r �BUE OF NEW / I PLANS {� BUILDING NJ STATE TEL ''// �•� }^ .F-� // .-+ ( �vL1, LIC.NO. q NO./VI(- 6^rZ$"Z DEE,e'PTI ONO I� I �J ..0 43 .uJFEc.AL \ , OF LOT ,2,51 A ItQ I No. OF BLOCS. 7/1 1 y/� 2 �'i �)/� Qr 1•Jpf NOW ON LOT p a.NO. / V —l 0 2-- 3 610W S u Et.. USE OF YARDS EVES .EXISTING BLDG. ' ' APPROVED j ALLOWED SETBACK LINE FROM (CENTER LINE ST.I 1 n�NrA/lt CENTER OF STREET REAR YARD FRONT SD T'Z VI) C F" IN. SIDE YARD I LEFT I RIGHT R.SIDE ) FT. IN. DESCRIPTION OF WORK i • L.SIDE 6 FT. IN. X NEW I II ALTERATION I II ADDITION Ir REAR S FT. IN. REPAIR II MOVING I II DEMOLISH I AAPPROVE. is, U-t .- 11 SATE `/��' C BUILDING p I NO. �.� SIZE /3-DO ROOMSS 7 STORIES / �V/(,./ EXTERIOR WALL Si•'�� I ROOF c r COVERIN4-G COVERING OLy USE OF BUILDING AN• • •RK TO BE PERFORMED QlX ry _. ... . 7--L • -_.._. . • ....:_. e -I-- W) ' 49 n .CSb.A-.'✓y� - C:t-Qa ` IP Sji rslru ' ) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I • 2� 4 ' THE A SUNT SHOWN UNDER VALUATION IS F THE AND STATE THAT THE AB CORRECT AND AGREE TO CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 9 AND STATE WS REGULATING BUILDING CONSTRU VALUATION Q SIGNATURE OFO', PERMIT FEE $ c) PERMITTEE 15 p -- IIS16s q'( PLAN CHECK $ / 0 AUTHORIZED AGENT �� rc . - TOTAL FEE - . u r • 23i2s FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 22 1964 P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT. CITY OF COSTA MESA For Applicant to.Fill In Completely APPLI ATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING �J1,/,.-.6- .x- For Office Use Only ADDRESS &9// ,/C g RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 3/2-4. SEC[V BY DATIVIECElyED DAT ISSU D OWNER "3e i c,e /67 bon-water /Ozzfor BUILDING 20// , l Rut Al/= MAIL n p �/ AB DU l / FIRE ADDRESS 2G+// //� Y�iYE' /f Y� ,,,,,,p TEL. ZONE TYPE GROUP �Q /' �" CITY �ST �f��ES�S/�. NO. sr. / OR ENGINEER�/ARCHITECT /7 �,-T/,Y ;VOL../ b// 7'? BTAPPROV HD 'JlJyw�(1./I./ ATE L (79 ADDRESS y�S'3 COLD infra? Orr. ('i�Lrl`tING "—tit' ' ZO NO.Or USE Or NEW.h( J li4_� CONTRACTOR S^/�� ' I PUNK �I BUILDINGismr �YI4v .7..v.0 LEGAL /7�,A,--1- g I Kl ADDRESS /HZ:, /%Nl�d SE ST. DESCRIPTION rJo� I S/l� K#z-i -- 67 i /F // SP --- .3 O. A.P.NO. NO CITY �nT '' p Jq� RAVE LIC.TN O. ur'� 'OP NO. .?Jb_ -le y 30'r TO SIDE G REAR p.L. SHALL BE LESS THAN EAVES SIZE —1X /30 I NO.OP SLOGS. ALLOWED (U.S.C.REQUIREMENT) OF LOT NOW ON IAT SE OF YARDS APPROVED YARDS APPROVED U USEOF GBLDG. �Es' MAIN BUILDING ACCESSORY BUILDING - . (FROM C/LSTREET) SETBACK LINE FROM 7�0.r FRONT a (jr r Fr. CENTER OFSTREET - REAR YARD R SIDE YARDI LEFT r I RIGHT g 7 .J / R.SIDE 33IFT, FT. DESCRIPTION OF WORK L.SIDE cm FT.. FT. NEW I- ALTERATION ADDITION I REAR FT. FT. - 7I DISTANCE BET. BET.MAIN Q B MAIN LDQS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH BUILDING NO.OP VAR.# DATE SIZE !3 ((/7 ROOMS ) STORIES / C.U.P.# APPROVED EXTERIOR WA ROOF /'^ AP VH COVERING �CC tQ I COVERING ` e,n,1/ ' 9YLP 1) DATE /� --.2-,--6,y USE OF BUILDING AND WORK TO BE PERFORMED \ .00 u. 1Z\ 2 7h c4/ 4d1G,&moi. ,l n A � .2/ o SQ.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY ORDINANCES ANDS T[LAW REGULATING VALUATION 0 d - oU m BUILDING CONSTRU . i PERMIT FEE $ /a(/ SIGNATURE OF / G PERMITTER G 0G N $� rrr--777� J E X/ Q AUTHORIZED AGENT $ at /g L TOTAL FEE oC1 2 2 1964 OWNER BUCKLEY, DR. C. E. DATE • .S. JOB ADDRESS 2011 Irvine Ave. BUILDING PERMIT NO. 23126 . GENERAL CONTRACTOR Frank Niesner VALUE $ 2,210.00 Add Rec. > AP No.115-302-3d LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKRm. to Res. INSPECTIONS Signature DATE GROUP I TYPE V ZONE R1 Soil SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Com. Refrig: 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power f] Rough Wiring Ad fI /17/ -y„1Ly��...G-��.✓ f/4.2/6 Y .23 k 7 d' Trenches El Forms �, Steel Reinf. 0 R t ,g G / Floor System Bond Beam 0 Steel Reinforce 0 Sheathing /14.." it 44 Frame and Flashing ellig //�9�y Lathing — In ei Out it ;rt l r .4,/ Plaster, brown coat �I " IT- % -b Refrig. 0 Air Con. IX Final ' ' lz-/S-• 7 Heating, Final Plumbing Fixtures, Final APR 1 0362 • OWNER FORBES, ROBERT - DATE 11-27-61 JOB ADDRESS 2011 Irvine Avenue BUILDING PERMIT NO.15837 GENERAL CONTRACTOR Owner VALUE $ 16,9115.00 ' AP No.118_307_1 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res w/att gar. INSPECTIONS Signature DATE GROUP I & j TYPE V ZONE R-1 Soil 51.7-42..e., PERMITS ISSUED Gas SUBCONTRACTOR Water ",f _ _ - DATE NUMBER Rough Com. Refrig. ❑ Air Cond. 0 - Rough Heating ,lLf/_ Z/3Zi1�.Gy "� " �� /oS� ✓ �Ga�Qxe�es..kst Rough Plumbingg I w 377? Miscellaneous !'�• ' /' ¢ �;—• ��'- �t-''� =V="_ .Ja�� _ /I Prop.Swr.Line p.lfouse Con. B'St.Swr. 0 �r �(�f 6 2 S o6-z-c-v� y ,(9G 4(14 Sprinkling System Construction Pole Underground 0 Power El 0,-.2.0-C 1 S/7 Li 6, Rough Wiring y/2J6 /-/6 CL. _ `� y. Trenches gl Forms � Steel Reinf. ❑ '¢� a-2e- Floor System Bond Beam 0 Steel Reinforce 0 Sheathing ..-P -G [ Frame and'Flashing c-..- Z — Is - C. Y 0 Lathing — In ®' Out WI' **-2( 2-''''K Plaster, brown coat mfr .{r + t, +„,,_ kefrig. 0 ,Air Cond. 0 Final Heating, Final /64•/3 4/4,0-6'2' Plumbing Fixtures,eFinal /� /26-4 Pr Final Gas Test �% jj Electric Fixtures, incl ( ,%/�Jry��'� �, 1 , ,_ 1 n Building, Final gat, •) 1 el.t,.- 1 l \', I. ti OCCUPANCY o roam RIIA.SM — ).S) 178_5 1 , 4 4 . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . • vis . PEMVIIT NO__ TRACT NO LOT Na, uN-n-No. . s • CITY OF cosTA MESA' CONSTRUCTION PERMIT . 53 — /EY /et/ 11 — 0.141 • • • • . , • 3556 5/31 /85 - - ; - • . Project Address ' 2-0 le 112-via.::e Peve- 9.2072, IL . . TYPE OF CONSTRUCTION NEW Li ADD H ALTERATION H REPAIR • . ' ; Appl icant's Mailing-Address ic26144 gs.,GsAile-flas-k.Ps.,‘, 4•91-E. , 0A.P.CONVERSION CI'DEMOLISH D OT ER I a • A # Ve9 / 5s) 35 . , Owner's Name. An e ...Snii,ADIC:X.; Phone 442.-42g-244 6'44, Go --02 . i Zone•p- t r DESCRIPTIQN OF WORK/USE OF BLDG. 04i 10114-0Cie---Ls.Th4 Address 2-011, I Rue/...s. AVE: -5 2. ' $L-C2CY:- it uiALL 1 ' 4tA4 _„ S Main Buil ' (?) Accessory Building: ,E 1 Z Arch/Eng. - t•--,C)ha= License No. TYPE OF PERMIT LI GRADING El FOUNDATION W.:STRUCTURAL T Front.2 8:2.2 . _ .Address •/ A El TENANT El ELECTRICAL El PLUMBING 111 MECHANICAL B Rear /• ..... 056 ON I Contractor's Nam i-elgi_kerage.621./A__LnASIC _Phone t Z:Z lcig7 El OTHER A • • . PROJECT DESCRIPTION SQ. FT. " OCCUPANCY • C Right a, 4ficii,e. . . N • Address(mailing) 1094( SO•taille-Fia-m P.L.• Sc 4sinic °Italie) K G CONSTRUCTION TYPE ' VALUATION$ .5-* 22S S Left p L . P53 • City License No -40 Ars 2.... . . I . c . / • R . ZONE GRADING CU.yos. , . ACRES' . Ping. Ref.#blob 15 p.,_, ,on te,cifar glartiptol_. • ),06 T E 4 i . -LICENScD CONTRACTOR DECLARATION - . I hereby affirm that barn licensed under provisions of Charter 9 (commencing I / Q Remarks: , Planning Notes: c2 / - 'with section 7000) of Division 3 of the Business and Professions Code, and ' (..1-zeLta .1/4-ern_ in Lirt-m •my license is in full rce anc!effect. KC . 3e7- <RC ;.5- . F /0/ T •••- ra- . _ S , . Ln 'License Class LImeLen_q±ifin Date ‘i-SS- Signature WORKERS',COMPENSATION DEC I N .8-•-• i • Bar Sink • . PLUMBING Showers • • • FEES . la401174eirl-/CAlialt . • C:" • / „ prnperAl I hereby affirm that I have a certificate of c ent to self-Insure or a certificate • . ELECTRICAL 1 t'miss ksb .of Workers' Compensation' Insuranc certified copy thereof (Section . , Backflow Preventer Service Sink Automatic Washer . Transformer.0 15-50 KW . -- _ 3800, Lab Policy No. ,Q,s.g r-rits- ti , mpany • grATE-- PoiolS , Backflow Irrigation i . Sewer Cap' ' . • . 4 Construction Pole Sub. • 0 50+ KW iit,Certified copfis hereby furni . . , • Cer$L.tiedaopy is Ted with cityrBuilching DiviManso_ Bathtubs Sewer Connection ' , . Cooking Unit Meter pup to 100 amps • , it Date 0' --.5j 1-'5? N Applicant' •••-) . EXEMPTION FROM WORKERS'COMPENSATION ECLARATION t • • (This section need not be completed if the permit is or one hundred ($100) or r•--.... less). I certify that in the performance of the work f which this permit Is issued, I Clarifiers Dishwasher • • Solar Collectors ' Solar Piping i ' Solar Tank t 4 , - Dishwasher • Dryers 0Gas 0Electric • FFa.An.U. . Meter [Dover 100 amps ' Sub Panel • shall not employ any,person In any manner o as to become subject to the Drinking Fountains 1 Workers' Compensation Laws'of California • , Motors 00-1 HP 011A-8 . .Date ' Signature Floor Drains • Swimming Pool w/Spa .- r 'NOTICE: If,after making this declara ' n,you should become subject to the ' Inc.Solar LJ9-15 HP 016-15+ . Workers' Compensation provisions the Labor Code, you must forthwith Floor Sinks .. Urinal ' Fixtures • - Microwave - •- - - -' - ' comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY • . . • • Gas Service Outlets , Water Closet . Device Boxes • . i hereby affirm that there is a construction lending agency for the performance . Pole Light • of the workfor which this permit is issued (Section 3097 Civ. C.). • . Interceptors • Water Heater -- • Outlets• • Range • Lender's 'Name ' PDOB•.)- - Lender's.Address Kitchen Sink' • Water Service • Switches OWNER BUILDER DECLARATION Sign . I hereby affirm that I am exempt from the Contractor's License Law for the _ Laiatories - - ; .. - Auto-Wash . • - . • Garbage Disposal :Standing Sections • following reason (Section 7031.5 Business and Professiona Code: Any city or county which requires a permit to construct,alter,Impro ' demolish or repair P-Trap Laundry Trays . . • . . ' • any structure, prior to Its issuance, also requires the ap• 'cant for such permit Generator 00-5 KW 05-15 KW Trash Compactor ' to file a signed statement that he/She is licensed ours nt to the provisions of Roof Drains -the Contractor's License Law(Chapter 9 (commencl with Section 7000) of . - ' . . . • Division 3 of the Business and Professions Code) r that he/she is exempt , therefrom and the basisbor the alleged exemptio,..Any violation of Section • . • . , • - ' 7031.5 by any applicant for a permit subjec the applicant to a civil waits/of not more than five'hundred dollars(S;00). •. • U I, as owner of the property or ms emp •yees with wages as their sole •Reinspection Fee I $15 Ise e Fee • $ 3 • , compensation, will do the work, and the str ture is not intended or offered Reinspection Fee I $15 . Issue Fee $'3 for sale (Section 7044Business and Pro -sslonal Code: The Contractor's MECHANICAL t FEES , License Law does not apply to an owner o a property who builds or Improves _ - •••• ' thereon, and who does such work hims- f/herself or through his or her own employees, provided that such improv- ents are not intended or offered for Boiler Hood or DEVELOPMENT SERVICES REQUIREMENTS:a-e nate —3E85 Type I 0 . sale. if, however, the building or Imp •vement is sold within one year of.com- Canop • it.i .5, pletion, the owner will have the bur-en of proving he/she did not build or im- . Duct-Under GrOund y Type II 0 @Love for the purpose of sale). • Zoning Approved By •D Building Approved BY U I, as owner of the property •m exclusively contracting with licensed con- Duct-Structural Refriaration SystemAlication Issued By D a t e Vic tractors to construct the proje (Section 7044,Business and Professions Code: ; • ppData, The Contractor's License does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ID 100,000 BTU builds or improves•thereon and who contracts for sucn projects with a con- SUMMARY OF FEES tractor(s) license pursuan't to the Contractor's License Law). I am aware that .St. eitgb Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ Cg SMIP , $ 1 proof of their Worker's Compensation insurance should be provided to Me. 0 I am exempt Under Section B.& P.C.for this reason Firepl/Fact.Bit. ICB0# Fire Dampers • PLAN CHECK $ 36:72- PERMIT 1 t PLUMBING • $ . ISSUANCE $ , Date Owner I Heating System 8t Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000B7 . information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $ and state laws relating to building construction, and hereby authorize repre- ' sentatives o this city to enter pon the above-mentioned property for • ' PLAN CHECK 50% $ MICROFILM: $ inspection p Nteses. I r f . MECHANICAL $ TOTAL FEE $ 93.72. Signature ise$X..... a-a-a -.• Date°Tit('-'8"5 . ..... Reinspection Fee $15 ' Issue Fee $ 3 PLAN CHECK 25% $ . Drivers' L ense o SS# •• __ • . . . . . illIM.INI=111=1MINIMMIll== sa CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink 'Accounting; Goldenrod - Assessor r CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# - - Date Inspector APPROVALS • Permit# Date Inspector lb 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement C. t 3, Electrical Conduit Otillty-Undrgrnd: '}J • 54. Forms, • . 4r-Electrical Conduit-Undrgrnd. 55. Electrical Bonding lk 5,Steel,Reinforcement - {I u� ,56. Rough Plumbing & Pressure Test •..,./ ‘•` - ' orcemen 6..Electrical UF ER Grnd. . 57. APPROVAL TO COVER-GUNITE ' - .-- 7. Footings `• , OAF- tic/ 58. Electrical Conduit-Undrgrnd.,- ..+ • 8. Foundation Ti 1 t . ' ' / 59. Gas Pipe, 0 Undrgrnd.,Test - 9.-Water Pipe-Undrgrnd. • - r 60. Backwash Lines, P-Trap, 0 Undrgrnd. v 10. Structural Floor System ' ;f .. 61. APPROVAL TO DECK v' 11. Property Sewer Line'& House Corinection •7 .'i - 62. Backwash'& Receptor-Final 41 12. Sewer'Cap 7_,.„, '9 _ L. 63. Heater & Vent-Final J 13. Roof.,Drains ='1 64. Plumbing System - Final 14. Ro`ug1iPlumbing`I 'n, 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 is...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, inn Structure :A 70. Underground Hydro •I 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil . 231 Gas-Pipe-Rough& Test , 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25'. Roof.Sheathing 74. Overhead Hydro r 26. T-Bar�Ce�iling (Structural) & Monocoat 75. Dry Chemical 27; Frambiarid Flashing 76. Dry Standpipe ;28i Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • 3i. PlasterlBrown Coat ' ' 79. FINAL INSPECTION - . i 32. Electrical Power Meiei--Final 80. FOOD CERTIFICATE ISSUED , 33. Final Electric Notes: r-f .-Z Var o6, _,S 6.4 c, t 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy - . fki 37. Final Fa ory1Firkplace l t. 38. Final Plumbing .ri ' 39. Water Service-Finch, 40. Gas SArvice-Final - . I 41. Solar.Domestic-Final ;} r_1- 42. Backflow Preventer -'I., ! ,.., . 43. Backflow Irrigation • - 'r - ' r 44. ,Landscape Irrigation System!•.' - - - 45. Sound Attenuation _ • 46. Handicap Regulations 4 '.% . - .47. FINAL STRUCTURE &'B.UIL.DIN.G /64.2-43.....- •'48. Special Requirements Completed 49. Electric Release to Edison:- r ' 50. Gas Release to Southern California Gas Co _ 51`. CERTIFICATE OF OCCUPANCY ,.. .. . -.• -'' , No.a Date I: ,. -1 - ADDRESS OF BUILDING: 2011 IRVINE AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT CWNERsUWE intNov'N: STAN ICKI JOSEPH LOUIS TR PERM NO; B 081148 A ADDRESS: 2011 IRVINE AVE t / COSTA MESA,CA 92626 PERMIT NO: B. 081148 !ULAN CHECK NO; N GOVT: N SUPP: N AM..MARDID ADDRESS: CONSTRUCTION TYPE; V-N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/BUR 6 COMP . SQ FT: 4, 980 LACK OR EIG.'S ADDRESS: WIT: CLAIM VALUE: 4, 980 . 00 CALC-VALUE; 4 ,980 . 00 GROUP OCC: R-3 / commACTarsNAIC PETRONELLA ROOFING ( 714 ) 548-1645 CaNTRACTORSMARam 2626 NEWPORT COMMENTS: REROOF W-BUR OVER FALT AREA & COMP. OVER PITCHED AREA ADDRESS COSTA MESA CA MHO.: 00460707 **BRB(•******+E+EBE+ ***BE**BEu•x**********BEBR*iL•if*BEB ***itx•x**** ***+E**+E*Bri ********BEaE******* 92627 ufn 201 Z ONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby shim under penalty of perryry that I em licensed under provisions of Chapter 9 SETBACKS (mnm...- .*eh Section 7000)of Division 3 d the Business end Proles:. . end my license is in full law end effect. C ' ':032605 uc.cuss: C 39 uc.No.:� 07 EXP: 07/97 MAIN BUILDING ACCESSORY BUILDING /� -1 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN C..--- i LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 0 NER BUILDER DECLARATION:I hereby affirm under. : of penury I'. I em exempt from the Contractors License Law to the f•lowing reason(Swan 7O315 Buena and Professions.ode:Any city or my wind requires a permit to construct,seer,improve. PARKING REQ: PROV: PARCEL: 42625235 Z NE: REF NO: demolish,or repair any structure.feria to is issuance,also .uses the app'. for such point to file a signed statement that he or she N licensed pursuant to the province's a the Contractors . Law(C ..erg(commencing with Region 7000)d Division 3 d Ile PLANNING NOTES> Guineas and Profession Code]or than he or the is exempt shone and basis for the alleged exemption.My violation of Section >. 7031.5 by any applicant for a permitablws the applicant lo a-" .. . . ' d 'Ih reman five hundred dollenPOD)). *************BL*.*****************************************************sh ********* o Lasowner of the property err my employees with wages as :.compensation,will do the wen•and the structure is nes intended D E V E1L OPMENT SERVICES R E Q U I R E M E N 'T S or offered for (Section sale 7044. Professionsress and Professions Code:The Contractors LicenseRP*doesnot epto an owner of propory who bolds or inproes thereon,and who does such work himself or heraea or t raol+his or her own employees.provided Ma such J.r; improvemenlu ate not intended orcitered for sale.If.however.the building Or improvement is sold within One year d completion,the ZONING APPROVED •By DATE: L- owrer-0rulder will have the burden of proving he or she didnot build or improve for the purpose of sale). ❑ I.as`vat's"prWarty.em mrthaell oavrwng with fvned Cana"'to cwauq the Pt9w Math"']Ores.&rebus ad '2 Professions Code:The Capron'License Law doss not appy to an awe of property who bwee a anpra/es thereon and who BUILDING APPROVED BY •: DATE: commas for midi projects with a contractor(s)licensed pursuant to the Contractors License Law). • --_ ❑ lamexempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: . Dem: Osman LEGALIZATION;N F E E SUMMARY STRUCTURAL EGMENT: Y I do hereby certify that I am emus of and understand the requirement.of California Health and Safety Code Sections 25.505.25533.end .� 25534.and that I or any ha'building occupant will/wit not(circle one)need to comply with said state code*and the requirements for apermufaam anrLa onmodificationfroueAiorakyManagemetDarie.Resbenuleconstruction evened from BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING laaviaions. PERMIT 99 . 75 • 50:; 4 Applicant: PLAN n SMIP./IJON.-.RES WORKER'S COMPENSATION DECLARATION:I hereby affirm order penalty d pecan,one of the Allowing declarations: ISSUE FEE /i-. ❑ 1 have and WI maintain a certificate al consent lo Be-ins=foor workers'compensation.es provided for eySection 32rodthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL • PAID ` e r DUE Code,for the sodomite's.of the work fon which this permit is Sued. ❑ Ihave aadailme'utainworkers'compesationnw ana surnl . repedbySwion3700011heLa performanceerCode.fortheo te TOTALS----> 100 . 25 0 . 00 0 .00 100. 25 100';25 ! 00 work for which this permit is issued.My work''compensation insurance artier end poke number are: i t Cartier: REVENUE DIVISION TOTALS--> COLLECTED : 100 . 25 OVER/SHORT; .4/ .-- . 00 Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT.•. GRADING •ELAN-CHECK • qts section need redbecanPlpadl aterm e plubaun e hundred dollar 01001 olea.l 99 . 75 . 50 .i --) -•�: I coolly that in the pedne onnas d the work for which this permit le.'..,...I shall not employ any person nmanner n any mso to 4 •become subject Io the workers'compensation lawn 01 C"'le. ..rap that B I should become suhied to IM Ankara. *********************************************************************'t1E********* compensation prose 3700 d the Lagar Cede.I J I. . h comply with those provisions. I N D I V I D U A L F E E B R E A K D O',W N " {. lip : 1— ��— \ 1 App! :. . - ._.� -. 412 .r: -- ming:Fauns b secure wodtwi wmpesetlOn •• Is un/wti,t •shall&Wyatt an employer b criminal penalties end TYPE QTY DESCRIPTION UNIT COST:�- TOTAL COST civil Ones tq to one hundred thet add&on($504... In addition . the cost of competaation,rpm es provded for In ' Section 3nosofMLabor Cod.Imesstedstbmsye - SFR 4980 REROOF BY VALUE RESIDENTIAL NOZONE 1; 00rf - �f 4;.980 .00 CONSTRUCTION LENDING AGENCY:I hereby affirm uncle penally of perjury that there is a construction larding agency ler the END OF FEES C, pwormenoeathe work for whirl,this panne vlensed(s"on .• .CA.C). LENDER'S NAME: / !, LENDER'S ADDRESS: Cy.Yb�e^s� c'••..i I certify that I have read this application and pate that the above information is coped.I agree to comply with at Sy and county ordinances i cid state laws tdating to Naito Wmtumw and hereby authorize representatives of this dry to enter upon the above-mentioned property ' r: taimpaden`•.- JAN 13199J�1r��ova :• LOID WATTS Gf0 . Print Name 13—g� CIT_I•OF COSTA MESA ' Signature de . "•;!STI poi-. Data: 1(St Stile Whae-Sueding A Salary;Green-Fre:Carany-Appicem:Pink-Revenue;GoMwod-Assessor CONSTRUCTION AND PLANNING POOL & SPA r.1PPROVALS Permit# Date Inspector - APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. $oil•Pipe•Undrgrnd. ' u - 53. Steel Reinforcement - ' ra•„ ,F,3- jtectrical Conduit utility-Ungrnd.' . 54. Forms - :-; .... . - -27. CondtitU Tdrgrnd. . 55. Electrical Bonding . . , ._;•Steel Reinforcer ,entz 56. Rough Plumbing & Pressure Test a .>, t- , $&(Electrical UFER=C.�sird. i 57. APPROVAL TO COVER-GUNITE - '_.")j Footings ca 58.- Electrical Conduit-Undrgrnd. + . . r& Foundation ^ ; Cc, c 59. Gas Pipe, 0 Undrgrnd., Test =9. Water Pipe•Undtgrnd.i. 60. Backwash Lines,P-Trap,0 Updrgrnd, L , 10. Structural Floor System 61. APPROVAL TO DECK. til. Property Sewer Line-. Housetonnection 62. Backwash & Receptor-Final 12. Sewer Cap " o , F - 63. Heater& Vent•Final 13. Roof Drains _ ` 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit r 66. Solar System-Final • 16. Rough Electric Wiring, - ' 67. Fencing & Access Approval 17. Rough Wiring Sign o a 68. APPROVED FOR PLASTERING 18. Rough Electrica%,I Bar CeilinW - - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning - FIRE DEPT. REQUIREMENT r-r s rrr on'le r• T Lac H * - ri 20. `.,.. _, F to,`-, FIS yI!,lace APPR. .:... 1- Permit# 21. Ducts, in'Strtatura±x •• •• :iv' r.. S 0 -,,_*-4,.!, "1_4 70.`Underrgiotlt l tjydro 22. Ducts• , Ventilatin 3* r C t*. C • S i-.* < 71. Product RigingTf'- as 0OiI r. • ... A. v' rt-rV t.r I .J .. (-723. Gas Pipe oug7, & T.est - _ * n o m Ffg 0* - 72. Undergraund C-' * F '=+ 24. Mtoof-Frafhintt r` • • - _ * = *O ;t 73 Under rd.Stoi rf an1(.O Gas O'Oil zit rn lc 25. Roos Sh u'thin `e.;.. 7- q� W 4 icOverhead H drp eA 9 l~17- G� y t r G 26.'PBaa ++Ceiling (Str jc ra1) & l9(�$boat x o j vlt 71Epry Cherraical E.._:-..?; * " C I j rame arid Flashi I ; m * w H,3 Ili`...a I 4.. a ...1m 27. ,f ngv : Zz _ .r• c to r 0 > to* 76. DryStantpipeE- +,w s - G... -' 28. Lathing& Si3j'nyr _ g tt v al �* ZI " -,• t 7 F 29. Insulation _• * t� S * S I i 78: FIRE PREY. FINE L * > >' 30. Drywall ailing 9 :r 1 r" '"HEAL1 DEPT.'-BEDUINMENT G . * I tic s c� 31. Plaster Bcowq-Coat; 5 rrr • M I 4• r 7o. FINAL tNSPECTcION rL. G C .:: r I. -.. I , , _ .. •' 32. clectricaCPower Ntet�EP-Ftipal ' * ni I j µ " 8c FOOD CERTI€FATE ISSUED, M Pr'. I Q T. r X r i 11: r, t-; '77.4 r, '-1 • 33. Final-Electric_. i;�* t:; •:.,,- z j Notes: ^tr; z r Uri - 34.tFinatHebtinq& Arc Coneitioriii t r 1 I.- z Z S Ci7 _ VC •L i H r Is tr 'tI I :V ^. I t•-'.; a: 35.Final Ga Pipe;Test c aw .. ,.., I * - w`. -H * r-,C 36. Hootl,or Ca noPY 0-. r'�= - y. ,-, 1 t* Z no * ¢ie .Z m ?: r 1 S tr .. :•: r! I z t c. t•. 37. `F.inal'Faotory Fireplace s_ u. x _ 1: _a+ r „ ' 38. Final=Plumbing 2y - * ^ I I 'r. :-+ - 39. Water ServiceyFinat ; r r" t Z 1 ' t� r C. - om * M S - - q 40. Gas Service-Final t~x r: G:-'? S c: ?I bo sv - x r =.-. .r I e- • tU z x< < 41. Solar Domes@rt•Fi tg. s fr.,: '• ;, I lyx•, _ f, .4- zr r :z rV 42.aackflaw Prevents; r - I 1 Ir V. • t. C r & x rI. r'1 rte,-, x H - 43. Backflow Irri atioox > .: z e ;, I ( x }- r44. Landscape lrSgatiortSystemCzt c a ^ C' d p,t. T c-, ca ` .,.-•,-::71 x r' ¢ n - �. y. r --- r, rr Y. r 4; 'r:* 3 5 Z C :