HomeMy WebLinkAbout3205 IDAHO PL - Building Permits�
E SS
ACT
I Location
Main Drain
Steel Reinforce
Elec. 6ond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines �
Backwash Lines and Recep.
Elecirical Final
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final
ApprOval for Finish _
!6�
BUILDING P
CRIPTION of WORK priva+F
= ZONE VALUE $ 5,
ROUP J TYPE
SUBCONTRACTOR
Electric
L.CJ�I L
Plumbing '"
-�81 <I</80'X -
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� C0.STA'MESA-BUILDINGSAFETY DEPARTMENT
.' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS JZOS 14Jr'•HO �'�-/1 '
'OWNER��MCS �G�. 1� �\t1+ �
ADDRESS ao 5 S-o�.-.o a��
^ TEL.
CITV ( 'c'�G-V1 M�� NO.
BRANCH
ADDRESS
ARCHITECT L P�` e . TEL.
OR ENGINEER �
ADDRESS � �JS ( SJ 2Ggp�TJ�v ��
CONTRACTOR t3(��J e�1 �J � ���s a I �
ADORE55 ��_r? � � Sn �_,4R„c�[atJC
TEL.
CITV 1 �QO NO.
� STATE CITV
'i LIC. NO. �� ZZ�j� LIC. NO.
,
{,atl SI2E NO.OF BlOGS.
�. OF LOT NOW ON LOT
a USE OF
� EXISTING BLOG.
h
�iF Separate permits are required for
0 electric, plumbing and heating work.
(.W.� USE OF BUIIDING AND WORK TO 8E PERFORMED
0
Q �,wc� PUE�-�+ S�p�l
7
%'
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W
QI hereby ocknowletlpe that I have reatl thif epplication entl state
y� that the abova Information is corract antl aprea to comply with
� ell laws reBulatlnp buildlnp construction, antl I ahell not employ
Wany verwn in violatlon af Me workman'a compensation lews of
x the State ot Calitornio.
3 I hereby certify thni I am properly Ilcenxtl as a contrector untlar
t�e Stete of Colifornle Business entl Protessions Code, Olvlsion 3,
Chaptar 9, antl chat euch Iicenms ere in full force entl effect, or I
am ezempt from tha provlsions of the Stete.ai�elitornia Businoaa
and Profasslona Cotlg, Dlvislon 3, Chepter 9. �
Auihorized
—
I'I /03/
1'1'/03/
RiQEIV2DBV I DATE
/ —VO� �/ d I
ZUS �o�uo PCJi� e,
�SIo.J-� LOT4� BLOCK
� I I � �
OWNER ��MeS �e—rCHJ
�����D�nl �r.o�SPA VAWa
FIRE
ZONE T
APPROVE
BY
ZONE NO.OF
PLAN$
VAqDSAPPqOVED
MAIN BUILDING
(FROM C/l STREETI
ROM � FT.
_ ..._.. C/ _'
DISTANCE BET
MAIN BLDGS.
VAR. �+
C. V.P. �
THEAMOUNT
THE PURPO6E G
VALUATION
s �. ti0 Cl —
USE OF NE W •
BUILDING C
VARDS API
ACCESSORV
BET. MAIN &
VN UNDER VALUATI
"ABLISHING A PERMIT
PERMIT— FEE�
PLAN GHECK E /
TAX �
TOTALPAID E
7
54.50 TU
54.50LKT0
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OWNEA (1Aj�j L�'FDE J. llATE: 1G 'G4 07 _
Date
SUBCONTRACTOR
ZONE
'-"�� 25032
� COSTA l�AESA 6UILDING-SAFEfY DEPARTMENT
P.O.�BOX 1200 COSTA MESA. CALIFORNIA 92628
For ApplicaM ro FIII In Complet�ly
et
TYPE OR PRINT
OUILDINO L`
ADDRHiG J
COSTA MESA. CALIFORNIA
crwre
LIC. Nd
8lZE
OF LOT
U8E OP
TSL
wo. o► etoo�.
DESCWPTION OF WORK
� x¢neev Kxo
�NO OTAT[ TXAT
PLY WITN ALL CI
� AUTHORIZiD AOHM[
TO
NAY6 pND 1'HI/ AP►LIGTON
CORR6C} ANO AOq66 YO COY.
Al/D BTAi[ L11YY� qi0YL11TN0
U
�
CITY � ��' a � �: ��SA
DEC 24 1965
i 11rPLICATION FOR PER
':'i � �,pilfl r{iL�¢
Y/ I/ Z/29 /r 4 I/ Z-/'z4/,
euaoino
ADOR D 2 O S/ �a
PIR6
ZONQ TYP OROIIP
MPROYQD /� �
BY' DAT6 � A
ONING 1 ,
20N xo. 01 s[ o� N�
�uws suuo�xa
��„� �.or �� 7"G� C 2
D�DCIVRION
�. ; �c�_12� � -��
A. P. NO.
�
NOTH: NOEAVHOVEHHAN08HALLBHLd98THAN
YARDI MPROVlD
MAIN BUILDINO
�i
�
YARDBAPPROVHD
ACCHB80RY BUILDIN6
D16TANC! 86T. BET. MAIN Q
MAIN BLO08. ACCESS. BLD06.
VAR•# DAT6
C. . APPNOVHD
/1r�ROV � , � ��'. �
Y DATE
h
W
_ �
� �P p BQ. PT. �
RN8 AMOYNT �XOWq UND61i VALUATION 19 POR ii18 �
►URPoBi O! 6fiApL18MIN0 11 P6HMIS P6[ ONLY.
VALUATION � o O p
. PERMITFE6 I �
�q � o� m n w
' TOYAi PEE � � �
`
TRACT
���.�9�3 �
A BUILDING-SAFETY DEPARTMENT
OX 817 C08TA M88A. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT �
COSTA MESA CALIFORNIA
oWNER KENKOL CONSTRUCTION CO.
MAiL �555�PLACENTIA AVENUE
ADDRE6S
��T, NEwPORT BEACH No
ARCHITECT TEL.
oRK.W• KOLL
i555 PLACENTIA AVENUE
N£WPORS BEACH
6i�g5 TE�.
NO. -�
7O.78X�OO IRREG INO,OP
NOW O
UBE OF
EXIBTING BLDG
B6TBAGK 11N8 FROM 5O�
CewreR o� BrnxHT REAR YARD
BIDE YARD I LEPi �� t I R�GMT, � 17"
DESCRIPTION OF WORK
ucw �I X II ei �reoet�nu I II enn�r�...�
BUILDING NO. OF 6 ,
BIZE � ROOMS STORIEfi
PXTERIORWA�LSTULCOIROOF ROCK
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
SINGIE-FAMILY R6IDENCE AND ATTACHED
GARAGE - PLAN Z-B
0
Lr� '�r'' ., �-, � -...`.�= �.
��s LL.=.Ofm_ m.✓
�?C� c� .S- �3,-•(` o
L',i:lt�w : , '
/ :"l,' � :" ^'�^•.1 �CC��
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RELEIPT NO. PCRMIT NO.
BUIL�ING
COSTA MESA. CALIFORNIA
APPROVED
ZONING
ZONE� � I NO. OP � I tISE OF NEV
ruNe amtnmc�
`�°"� �SYL� �:�.� TF
DBBCPIPTIi
A. P. NO.
YARDS EVES
APPROVED ALL
(CENTCR LIN[ OTJ ��
a�
3O "
i
1 H8RB6Y ACKNOWLE008 TXAT 1 HAVB REAO THIB APPLIGTION TXE AMOUNT BHOWN UNDER VqLUATION 19 IOR TH¢
AND 9TAT6 THAT TMB ABOVB IB CONREGT AND AGREe TO COM- pURP086 OP 88TABLIBHING A v¢RMIT FHH ONLY.
PLY WITX ALL Wn OFDINANCQ9 AND BTATE LAWB q80ULATINO
emtmxo coNsinucno VALUATION
81GNATURH OP PERMIT FEE $ ��'�
n
PERMI7T8 - ,Q n
S /6' �SJ�� PLAN CHECK $ � V � £
AUTHORIZED A6E T �, �1 �
� ����4� TOTAL FEE\ S I y
�
J
`-� I 7 I 46
A BUILDING-SAFETY DEPARTMENT
- . OX 917 C08TA M�A. GLIRORNIA
�
For Applieanf fo Fill In Complefely
TYPE OR PR�NT
BUILDING _. . _ _ , __
COSTA MESA. CALIFORNIA
FE RECEIUED
MAY 2 21^61 �-
FINANCE DEPT.
APPLICATIONTFOA PERIC�IIT MESA
BUILDING
For Office Use Only ,
nece�vr no. I xp�i��
�
PHC D GY DAT£ HECEIV/yD DATE I66U�_E)O
� J� Zi^J'tlZ^l S �...i.—GZ
BUILDING �,� � �^ � �-/%/1
ADDRE66 J � ri
COSTA MESA. CALIFORNIA
FIRE
� 6Y Yl OATE J—�G L'
A�DRESS � r� ZONING
CITY . ZONH `� � PLANB � I BUELD NO ��IOG
LIC. NO. - " NO. Leaw� /�- L/� �/J 3� 2 �
D66LRIPTION ���~ ��
'eRE 74.�� )! ivp INO.OPe�oao. 2JC� _ O�+''2r _��'i
OF LOT NOW ON LOT � p, p, NO. /
EX HT�ING BLDG � ��' C k WRLL �'ARD6 EVES
�•� APPROVED ALLOWEO
68TBACK LINB PPON �/ <��r • .�.�,�� (C8NT6R.LIN6 BT.1[�JS
CHM'eN OP eTitleT T v REAR YARD FRONT � �FT. If:
BIDE YARD LEF7 O I RIGFiT O R. SIDE FT. 1�
DESCRIPTION OF WORK
EXTERIOR WALL
COVERING
USE OF BUILDIN
APPROVED
ii.i ..�.i.i /
�
�
r7o � 6D R i� D�� �OC QO�U
1 HlfiHBY ACKNOWLHDGH THAT 1 XAVB MEAG TX�9 APPIJGTION n{g AMOUM BHOWN UNOHq VALUATION �B POR TXE '
AND BTATH TXAi TXE ABOVe 19 CORAeR A� A6R¢H TO COM- pY18098 OP EBTABL�9N�N0 A PERMIT PE6 ONLY.
PLY WITH ALL WiY OIIDINANCHB �ND �ATC LAW9 R86UTATINO
Bu1tDINa CONernU N. ' , VALUATION �
61GNATURE OP PERMIT FEE $ �"'��
PERMITfE � n
$ � � PLAN CHECK $
AUTHORIZED AGENT � � � 4 D'� �
Aoplicanl l0 1111 in all spaces axcept those within neavY eoraer lines ane sign a11 aoG�opriate tlaelaratlons.
ciTv OF COSTA� 5��01�1STHU�TION PERMIT
Project Address �Q O
Applicant'sMailingAddress ���L eN1liP� 37Vb
Owner's Name 1L� V� Phone
Addreu 'Z 201� � y �/ V
Arch/Eng, y ;j ��v�lfi.b Licens¢ No.
Address �
Contractor's Nama J laoy 'iCw�V�rY phone y-8S L
Addresslmailingl Z�,�ln^�`w/%�r �!/'-P
City License No. y�4%
LICENSED CONTRACTOR DECLARATION '
I hereby alfirm [hat 1 am lit¢nsetl un�e� O�ovi5lon5 of Charllr 9(comm¢ncing
with section 7000) ot Olvislon 3 ot the Business antl Professions Cotle, antl
my Ilcense iz in full fort af� tl effect.
LJcenSL¢ Class C' ��/ LiC Se Na. SgZ��
•lc�t�(�-�— Si9nature '�� jy/'/`,—�y..��� �
)RKERS'COMPEN$qT10N DEBLARATION
.iereby at(irm that I have a certitiwte of conseqYto seltansure or a certlficate
of Wo�ke�s' Compensa(ion Insu�ance, or a ceititietl tOpy thereof (SettiOn
3800, Lab. C, �7�
Policy No. �`� j� Company�� S ND /�� v/J
¢r[ifietl copy is �eYeby /umishetl.
Certifietl copy IS tll@d �y��h the city Builtling Division.
Date Applicant
EXEMPTION FROM WpRKERS' COMPENSATION DECLARATION
(Thiz section neetl nat ba completetl if the permit ii tor one hundretl (E100) or
lezs)
I c¢rtify tnat in Ine pe�formance ot MB wOrk t0/ wnich lhi5 p¢rT�t Is ISSuetl 1
Shall not emPloy any porson In any mannet so a5 to becOme subjeCt [o [�e
Wo�ke�5' Compen5atl04 I,.awS of Califomia.
Datn Si9nature
NOTICE: If, after mak�n9 tnis declaratlon, you shoultl become subjoct to tne
Workers' Compensatlon provisions ot [he Labor Cotle, you must forthwith
COmply with such pYovislons or titls permll shdll be tl¢emeC rovoketl.
CONSTRUCTION IENDING AGENCV
I be�eby atfitm that th@re Is a Conitruction Ientlin9 aglncy tOr lhe performance
of th0 work for whicn lhi5 Permit is ISSu¢tl ($ection 3097 Clv. C.)
lpnGer's Name
Lentler's AtlOress
OWNER BUILDEH UECLARATION
I horeby affirm thal�l am nxamp[ from the ConVaCtor'S �Icenso Law tor the
�..u........� .e.enn rCw�u.... vna� c wucineea antl Pmfaeelnnal Cntlo: Anv N[v of
ro const
iC¢. d150
7031.5 by any appqcant for a permlt SUDjects the appliwnt to a civll
�enalty ot not more t4an five huntlretl dollars (5500�.
1, ai Owner 014h¢ property of my empl0yC05 with wagos ai IhOir sole
compansation, wiii tlo tne work, antl the ztructuro is not Intentletl or otieretl
tor sale (Section ]044, Business anE Prolossional Cotle: Tna Contractor's
License Law tloes not applY to an owner of a properry who builtls or improves
thereon, antl who tloes such work himzell/nerselt or through his or her own
employeet, provltletl that such improvements are not intentlotl or offorea ior
Shce. II hOwever, lne builtling or imp�ovemenl IS Soltl wi[bin on0 y¢a� oi cortl-
pleUon, tne owner wpi have the burtlan ot proving he/she ditl not builtl or im-
plOve for tlle purpOse o1 Shca).
❑ 1, a5 owner Of tha prOp¢rty, dT exclutivery conttacfing with IlcenSetl cOn-
Hacto�s to const�uct lhe ProjeCt ($ection 7044, Business antl Prolession5 Cotle:
The Contractor'S Licpnse Law does not apply [o an owner ot property who
bu1105 or improves t4¢reon, antl who con[tacb to� Such ProjGcts with a Con-
battor(51 littnz¢ pulsuanl to Ihe Con[raCtor'S Ucense Law). 1 am awdr0 Ittat
proot o( their Wo�k@r's Compensalion InsU/anc0 Shoultl ba proviGeO to me.
❑ I am ezempt untler 5¢ttlon B. & P. C. for thit reason
Dato 0
I bereby cer[ity tbat I have reatl tbis application anG state tnat the above
information is correct, I agrea to comvly wlth all city and county ortlinances
antl state 1 s relating to builtling construcUon, antl hereby authorize repre-
sentativez o this city enter upon tho anove-menuonee Oroperty for
inspection pu s s. ` _ a1
Si9nature Data
Drivers' Li e e or 55 - �-
CMF 0865�a6, rev. 10/84
� z as34- I 3Cn25 I 4� I—
TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ D@MOLISH ❑ OT E
DESCRIPTION OF WORK/USE OF BLDG. ���et � CN:�`��
� �
TVCE OF PEFMIT GRADING FOVNDATION STRUCTURAL
'� TENANT ❑ ELECTRICAL ❑ PLUM ING MECHANIS.�L
❑OTHER � L1�V �f L��Ot�EC[JA`�
PROJECT DESCRIPTION Sp.F7. oCCUPANCv
CONSTftUCT10NTYPE VALUATIONS ���0 • D
20NE GRA�INGCU.VDS. ACRES
Remarks:
Bar Sink
8acktlow Preventet
Backflow Irrigation
Bathtubs
Clarifiers
Dishw2sher '
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Intercepmrs
Kitchen Sink
Lavarories
P-Trap
Roof D ins
Reinspection Fee $15
Boiler
Duct-UnderGround
Duct - Sttuctural
Duct � Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact.8lt. ICBO # /
Heating System & Duc�g�
❑6100,000 BTU C�100,0008T'
Fee � $15
Whl[e - Builtlin9: Canary - Applicant; Plnk - Acwunting; Goltlenrotl - ASsasso�
Showers
Service Sink
Sewer Cap .
Sewer Connection
Solar Collectors
Solar Piping �
Solar Tanlc�
Pooi w/Spa
Wate� Closet
Water Heater
water Service
Auta�Wesh
laue Fea
Hood or Type I
Canopy Typel
7aioo;000sru ❑ioo,000eTu
i
i
3ystem Repair/Alteraiion
Fire Dampers �
Registers
Issue Fee
FEES
S 3
FEES
S 3
A.P. SW j 'j
S Main Buildi
E Front�' �
T
B Rear , �1
A
C Right
K Left
$
Ping. Ref. �p
Planning Notes:
9740 6/I'/?7
—
.. � g . � ZOne
�Accessory Building:
Aummatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher ,
Oryers.�Gas ❑Electric
Fan
F.A.U.
Device Boxes
Outlets
Switches
Garbage �isp
ELECTRICAL
Transformer Q 75-50 KW
❑ 50+ KW
KW U5-15KW
Meter �up to 100
Meter �over 10�
Sub Panel /
HP �1'h-8
�15 HP O16d5+
Microwave
Pole Light
Range
Sign
Standing Sections
Trash CompaCtor
Fea �$15 � � Issue Fee
DEVELOPMENTSER I gEUUIREMENTS:
Zoning Approved By ! n�� Date
Building Approved By - �r� ;tw Data
..�_
FEES
5 3
z
O
N
1
N
G
R
E
�
M
T
$
SUMMARV OF FEES
BUILDINGPERMIT $ Z, •� SMIP g d• SO
PLAN CHECK $ � �+ . 2.S PERMIT
PLUMBING $ �SSUANCE $
PLAN CHECK 25% $ � ENERGV P.C. $
ELECTFICAL $ GRADING 5
PLAN CHECK 50% S MICROFILM $- �
MECHANICAL S TOTALFEE �S -3� '28
PIAN CHECK 25% $
CONSTRUCTION AND PLFINNING ' POOL & SPA .
APPROVALS Permit# Date Inspector qppROVALS 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. � 5J. APPROVAL TO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation ' 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-Finai .
12. Sewer Cap � 63. Heater & Vent-Final •
73. 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. Duc[s, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush ' '
24. Roof'Framing 73. Undergrnd.StoregeTank ❑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. E�ectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •
33. Final Electric � Notes: �A�� ' �L
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. Gai Service-Final � �� ' � •
41. Solar pomestic-Finaf '
42. Backflow Preventer
43. 6ackflow Irriga[ion �
44. Landscape Irrigation System � �
45. Sound Attenuation .
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING G • ' .
48. Special Requirements Completed � '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
AGD�icant lo till in all spaces exee0� tnose within heavy EorCe� Iinci anE si9n all apOroDriale tleelarations.
CIT�1<-()t� COSTA MESA CONSTRUCTION PERMIT PERMIT NO. T CT NO. LOT N UNIT NO.
Project qddress r'3�r ����� ��— •
Applicant's Mailing. A/d—dress ��
Owner's Name •`� `L�'4'V Phone -��".�
Addreu � -� . ������- •
Arch/Eng. License Nc�� 3�'1�z'7� ^
Addreu � ,,,�..( ��.� p����
Contractor's Name ��Fho�e n—l� `-' �1
Address Imailing)
City License No. _ 2U �
LICENSED CONTRACTOR DECIARA ION
1 hereby aHirm lhat I am Iicansetl untler provls of Charter 9(commentln9
with section ]000) of �ivislon 3 o�u az; antl Professionz Cotle, anU
my Ilcense is in fuu faj{e antlgLfe�j� � / ,,,�� ���
'ate Si9nature
7RKER5' OMPENSATION DECLAR TION •
oereby affirm that I have a certilica[e ot cons salf-insure or a certificate
of workers' Compensation Ins , certifl d copy thereof (Section
3800, Lab. G /
Policy No. ' ,�Com ny • 8 C
Q �¢rtitiey copyI IS h¢reby umisltetl. //,1/ %q n
I�J'Certifiedmo�.74.1i1etl w h the ci[v B i i �mvKi n. X� . 1L-�
E%EMPTION F0.OM WORKERS' COMVENSATION DECLARATION
(Thissection neetl not be campletetl If the permit is for one huntlratl (5100) or
less).
I certity that In the performanta 01 [ne wo�k tor which thi5 Oerm�I i5 i55uetl, I
shall not employ any persOn (n any manner So a5 [O bemme sub�ect to [he
Workers' Compensatlon Laws of California.
Date Signature
NOTICE: II, atter making this tl¢tlaratlon, you shoultl become subject to lhe
Workers' Compensatlon provi5ions oi Ihe Labor Cotle, you mu5t forthwi[h
comply wlth SUCh provl5ion5 or thi5 p¢rmit Shall b¢ tleemetl revoketl.
CONSTRUCTION LENDING AGENGV
I nereby af(Irm [na[ fnere Is a constru<tion lentling agency for tne periormance
o� the work tor whiGh Ih15 Permit Is issuetl (SecUon 309� Civ. CJ
Lentler's Name
Lentler's Adtlross
OWNER BUILpEIi UECLARATION
I hereby af(irm that I`am exompt Irom tha ConVactor's LI<enze I..aw for the
tollowin9 reason (Soclion 7031.5 Businezs antl Protessional Cotle: Any city or
<Ounty wbith reqWras�a Oermlt t0 Conslruct, dltCq Improve, tlemOlisn or re0air
any stru<ture, prlor to i[s issuance, also roquires the apptitant for such permit
file d Tignetl StdtCrtlGnl [hat h0/Sh¢ IS Ilcen58tl DurSuant lo [he O�OviSiOns of
: Contraclor'S Licenso Law (Chapter 9(commencing witb Seclion 7000) of
�viSiOn 3 0/ thC Buslness antl PrOte551on5 Cotle) or thal he/sh¢ is exem0�
iherefrom antl lne ba5is 1or tho allegetl exemption. Any violation ot Sec(ion
7031.5 by any aOPlicanl tor a permit sub�ecl5 lh¢ applicant to d civil
�enalty of not more than ilve huntlretl tlollars (5500).
LJ I, as ownor o� the pr000rty or my employeos with wa9os as their sole
compensatlon, will tlo Ihe work, antl tho structure is not Intentletl or otferetl
for sale (SCClion 7044, Buslne55 antl Prole55ional Cotle: Th¢ Cont/actor'S
License Ww tloez not appty to an owner of a proporty v+no builtls or improves
thereon, antl wno aocs sacn work himself/herzell or through his or her own
em0�oyee5, provitletl thdt such Improvamen[5 are no[ InlenCed or oflere0 for
sale. ir, nowever, tnn builtlin9 or improvoment ii soltl within one year oi com-
pletion, tho owncr will hpve the burtlOn ot Proving �e/she tlltl not builtl or im-
prove tOr lna purpOse ot sale).
❑ I, as owner oi Ihe p�operty, am exClusively Contractlng wilh licensetl con-
Vactors to consttuct [ha project (SG<fiOn 7044, BuSiness antl PrOte55ion5 Cotle:
The ConVactor'S License Law doos nOl apply to an owner ol proPmty wpo
builtls or Improves thoreon, antl who contracts tor such projects witn a con-
tractor(5 bcense pursuant to thC COntracto�'S LlcenSe Law). I am aware that
proo/ o� [heir Worker'S Compensatlon in5uran<e Should be providetl lo me.
❑ 1 am exempt untl¢r Seltiqn B. & P. C. ror thi5 rea5on
! 1
Date
certiiy
m isu
f state that the abova
dfltl COuO[V�Of410dfIC¢5
B 3 0 3¢ d .L5 �-F � �
TVPE OF CONSTRUCTIO NEW ADD ALTERATION REPAIR
❑ CONVERSION DEMOLISH ❑ OTHER Ap y�t -.
DES RIPTI$, ON OF WORK/�USE�OF�DG.G� � �� 9
�.,r-y �L�� S MainBuildin
TVPEOFPE MIT GRADIrvG FOUNDATION STRUCTURAL� T Front
❑ TENANT ❑ ELECTRICAI. ❑ PLUMBING ❑ MECHANICAL 8 Rear
❑ OTHER %�
PROJECT DESCRIPTION Sp. FT. OCCUPANCV C Ri9h
CONSTRUCTIONTVPE VALUATIONS,��I �L_�- $ e�t
ZONE GRADING CU. VDS. ACRES Ping. Ref. #
Remarks: Planning Notes:
Sink
Preventer
Irrigation
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
Interceptors -
Kitchen Sink
Lavatories �
P-Trap
Reinspection Fee � $15
Duct� Under Ground
Duct - Svuctural
Duct - Ventilating
Exhaust System � Multiple
Firepl/FacL BIL ICBO #
Heating System & Duct�
❑0.100,000 BTU 00,000
xI � namspecuon n
Drivers' LicenS O� 5
CMF 0865-46, rev. 30/B4 White - Builtlin9: Canary - Applicanh Pink - Accounting: Goltlenrotl - Assessor
$15
Showers
Service Sink
$eWer Cap
Sewer Connection
Solar Collecto
Solar Pipi
Pool w/Spe
Urinal
Water Closet
Water Heater
Warer Service
Auto�Wash
Laundry Trays
laue Fee
Hood or Type I
Canopy Typel
7�,000 BTU ❑ 100,000
a
iystem Repair/Alteration
Fire Dampers
Registers
3
FEES
laue Fee � $ 3
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher �
Dryers ❑Gas- �Eleci
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposa
hhHY V IM/o7 e�. n �L
- ZonB
Actessory Buildin9:
—1� O
� N
1
N
' G
R
Parking Req./Provided E
� � w(.(.✓� M
T
S
ELECTRICAL FEES�
Trans(ormer ❑ 15�50 KW
❑ 50+KW
Generator -5 KW �5�15 KW
Meter LJi
Meter ❑i
Sub Panel
Range
[L•II�Z�7
0-7 HP �1'h-8
❑9�15 HP �16�15+
Sianding Sections
Trash Compacror
t
Fee �$15 I I �uue Fee
DEVELOPMENT SERVICES RE�UIREME
Zoning Approved By
Building Approved By
Aaoliration Issued Bv
$ 3
J
SUMMARV OF FEES
BUILDING PERMIT $ ZO • ii� SMIP $ �' J�
PI.ANCHECK $ � �• 3�i pERM1T
PLUMBING g ISSUANCE � $
PIAN CHECK 25% $ ENEFGV P.C. 3
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $ '
MECHANICAL $ TOTAL FEE $ �4�
PLAN CHECK 25% $
� CONSTRUCTION AND PL'ANNING POOL & SPA ,
APPROVALS ��Permit# Date Inspector qppROVAIS 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. Elec[rical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement . I . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE "
7. Footings ��• . 1 58. Electrical Conduit-UndrgrnA. �• - � •
y
8. Foundation .�� � 59. Gas Pipe, O Undrgrnd., Test
, ,.
9. Water Pipe-Undr,grnd. , 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 •
72. Sewer Cap � � ' 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-Pinal �
76. 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 i' '
20. Rough Factory Fireplace ' APPROVALS Permit #-T_ _ .
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilatin� 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush ' � �
24. Roof Framing � 73. Unilergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74.. bverhead 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 , �
�.
39. Water Service-Final ( . I . . . , .
� 40. Gas Service-Final � _ � ' ,
, -
�-47.. Solar pomestio-Finaf ' ' � �-
i ; � '
42. Backflow Preventer � • � , ( � . -
'43. Backflow Irrigation � - � - '
�
; 44. Landscape Irrigation SYstem '' ' � - .
' 45. Sound Attenuation � � � � -
i
46. Handicap Reguiations � , , . • �
47. F�NAL STRUCTURE & BUILDING p . ',- , , i� �
48. Special Requirements Completed , „� " ' : - �
49. Electric Release to Edison '' ' . t
50. Gas Release to Southern California Gas Co • - ' L
51.-.CERTIFICATE OF OCCUPANCY � � � .
No. - Date � � � � �
. .
TYPICAL 6" CONCRETE BLOCK FENCE
Cement Copirg Optional �
Chennel8bek With 1•3l8�
Horizontal Top of all
Fences
For Fenees 5' or Less
Ven. Ban 3I8" �i at 4' -0" O.C.
/-�, For Fenees Higher Then 5'
� Vert. Ban 3/8"� at 32" O.C. �
Fill Celh Solid With Grout
Where Steel Occun
Reinlorcing Steel Shall
Conform to Sec.A•15•39
A.S.T.M.
All Steel to be Lapped
24" Or t0 Code
NATURAL GRADE
TWO 7/8"� BARS '�-j�
CONTIMUOUS 70P 1�
di BOTTOM .�.�
0
HORIZSTEEI MUST BE TIED IN
VLACE AT TIME OF TRENCH
INSPECTION.
o'
•A �a
�WIDTH
SEE CH<
� BELOW
FOOTING REQUIREMENTS CHART i
E
GENERAL- NOTES
MORTAR; pne Pa�t Plastic Cement, and
Three Parts Sond
GROUT; One Purt Cement Three ond
One Holf Parts �and
COPIN�: pne pert Cemenf, Three
Parts Sand
CONCRETE: Watl Mixed 1:2-I/2:3-I/2
Max. of 7-I/2 Gollons of
Water Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELIS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORI20NTAl REIN•
FORCEMENT SHALL BE CLEAR, CLEAN B
FqEE OF ALL MORTAR DEBRIS, ETC.
�
M Of E4RTHTCOTH
��/3 THE MEiGTN OF FENCE
�ECOW �BOTTOM OF F0011NG.
SCALE: I/2" = 1'
WIDTH : . . . . . . . . . . . . . .14" . . . . . . . . . . .14". . . . . . . . . . .I._12�.,_:. : : . .:. �. . . t2`.�
TNICKNESS . . . . . . . . . . . .10". . . . . . . . . . . .10" . . . . . . . .`. . . 9�. . . . . : .�. . . . 8' '
DEPTH Of EARTHTOOTH . . 24" . . . . . .20� . . . . . . . . 16". . . . . . . : 12� '
. ... .
SPACIN� OF EARTHTOOTH. . 12� . . . . . . . . . . .14� . . . . . . . . . . . 16�. . . . . .'. . . . . 16'
OWNERS NAME: � �CC -� � , �7 �
City of Costa Mesa California J0e ADDRESS' \Zc __ T iTQ -�'`
1 PERM�1 N BER:_
BVII�.III IC� DGpQI IIIIG111 � SIfiNATUR : � � �---^. _
� o,�.. �.,.:,_,•._._,.: RCvh�e.o Nov.ez
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APPROVED
City_of Costa Mesa Building
Tv{F�g ot,q�5 M1;ST R< CPl 1C3 AT All TIMES M:�KF �;
i"' :�Nc,n,;: c:. ',�: '.{�.!i'S p?�OR A?P40VAl Of DE?T. �
-� g o 3.. �{- c� r
.:., :�. , e:. I. �. ,,;:' : :4/,',It OR APPRJVPL OF
P�.d�:'_.._r:;vc,-".<. �n,.i-a ,-.ct:••OCoZCONSYRUFDiI�BEA
Ff:i.ifi: .pF ��V .,. .�...cU4 . . A��•: L':Olf.IION OF ANY OF I
�:nF. PFOV!•.IGMS <•' .� 5 CC �' :.0 F%'v1G �NtSUMIMG TO vNE .i
AUlt1URIT� 7.^. ••�:�:��' �JR C;.='Ccl 'c'_ PPUVISIONS OF [HIS y
CODE SMAii BE Y+.IiG, @i:GeP'� !M SU rA;; AS iriF. wURK OR USE q
WHICM VT n'JTHURRiS !S :AvtFL'!. �
THF I.SSUANCE OF A PERh117 dASED UPCN PtANS F.ND �
SPECIFICATIONS SNAtI hGT PFEVEr:T THE RUIIDING aFF1:lAl
FROM THEREAFTER REC)UI31NG TFIe CGRRc_C110N O� 'kRORS IN �
SAVD PlANS AND SPFQHCATIONS (Ai :ROM PRiViNi1NG �
BUIIDING OPERATION$ BEING CARRIED ON THFREUNDER WH:N
IN VIOtATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
THE CITY.
Gment CoPirq Opiiond "
Gunnal Bbck With 13/8�
Hori:onUl Top of �It
F�neas
Fw F�nca 5' a lm
Vut. B�n 3/8" � at M-0" O.C.
fw f�na� HqMr Th�n 5'
Wre. Ban 3/8"� at 32" O.C. �
Ffll Glb SoNd With Grout
When Stael Occun
Rantorchg Stesl Shdl
Coniwm to S�e.A•f S39
AS.T,M.
All Stal to b� L�pp�d
21" or W Codt
NATURAL(iRAOE
TYA L!"m BARS '
COMINWUS TO►
8 BOTTOM
JiOQ�ZBTEEI MUST aE 11E0 IN
PLACE AT TIME�OF,TRENCH
INSVECTION. '
. �
. �
�
�
�
TYPICAL 6" CONCRETE BLOCK FENCE
�.e .oIN�-' .
� 1,.
•. �+—.WIOT►
�' : � SEE� CN,
� � BELOW
.:L .
`�'i
�
FOOTINKi REQUIREMENTS CHART
GENERAL-- NOTES
MORTAR; On� Parl Pbafie Gmmf, and
Th►ee Part� Sand
GRWT: pn� Port Cement Tlree and
On� Holf Porta S�ond
COPIN(i: pn� Pert Csmenf, TAne
Partt Sond
CONCRETE: W�II Miaad 1:2-V2:3•I/2
Mas. of �-I/2 Goltons of
Waf1r Pcr Sxk of Ctmant
QfFOt/r MAY BE 10UNE0 FNOM TIIE TM
OF THE FENCE IN CEIIE M11ERE iTEEL
ocarrts
CELLS AND Al1EAf Of MOpIZONTAL 11EIN•
iONCEMENf EftA�l BE CCEAN, CLEAN i
ipEE Of ALL MORTAp DElRIt, BtC.
r �
H OF E4RTHTCOTN
��J� TNE NE16TN OF F�NCE
$ECON BOTTOM OF i00TING.
SCALE: 1/2" • 1' .
WI OT M ; . . . . . . . . . . . .14 . . . . . . . . .14 . . . . . . . . I. _1��.�.. . . . . . 12'. o
. THICKNESS . . . . . . . . . .10'. . . . . . . . .10' . . . . . . .'. . . 9� . . . . . . . . . . 8. '
. .. . .
- OEPTH OP EARTHTOOtH . . . 24� . . . . . . . . . . .20� . . . . . . . . . . . 16�. . . . . . . . : 12• '
SPACING OF EARTHTOOTH. . 12� . . . . . . . .•: . .14' . . . . . . . . . . . 16�. . . . . .'. . . 16'
�OWNERS NAME: _`�.-e L_"�
City of Costa Mesa, California J08 �°°�gg: �a°s �-a�� - _ - _ _ _ _
PERMII NUMBER;�
Building Department � g�GNATURE: � _ � ��=�- -
.o���. r..:,_,r_._.: I�VM601Jov.as ' .
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City of Costo Mesa Building Dept.
BY �'�' I<�4� DATE 6/G 19�
iHESE PLANS MUST BE ON JOB AT All TIMES MAKE
NO.CHANGES Wl7NQUT PRlOR APPROVq� OF DEPT.
�Z8& 3¢.
THE�ISSUANCE O'r. GSPN?i?:G OF G PE9.`AIT GR APpROVAL OF
Plp NS AND SPECIF�LAACf:4 SMAiI, N07 bE CONSTRUED tC BE A
PERMIT POR, Ofi AN A7PRC�vAL �;,�, AKY 1^C4A710N Of ANY OF
TNE �AOV610N$ Cf T?+.'; CCJ+?E Nq P%NMiT PRfSUMiNG TO G7VE
AUTMOR1IY TO Vlpir.iF OR GuN:EI. i`+E ��'OViSiOt+S OF THIS
COOE SHA(L BE �'AUD, C;:i.FP"i W?� FFF h5 TH.', WORK Cft USE
WHICH IT AUTHOR:ZES IS Lq`A'FUL.
JHE ISSUANCE OF R 7F4b51T bASFD UPO;J PLANS .4ND
S?EQFICATIONS SHALL NOY FBEVEM� �iHE BUIIDING OFICIAI
FROM TkcRfAFTR REOUtRING "!4E CORRECTION OF ERRO.RS IN
SAID PLANS AND SPECIFlCATIONS OR FROM PREYENTING
6UILDING OPfRAT10N5 B'_ING CARRIED ON 7iiEREUNDER wHEN
IN VIOLATION OF THIS CODE OR OF ANY�OTHER ORDINANCE OF
THE CItY. " � '
F-- �9 � -�
...�e.��
�uwaru
•r
F. ,�,,
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�'� �cthr o �0��`��w�
PIAWMING DEpT. ' : ',�.�
WUECT TO DLDO. DEFt � ..� r:
l .f-�
�� DA �/ � � 8fi'
�.L70! O! rLANNINO
NQTE
ADDITIONS, DElETIQIVS, OP, COR8EC710NS SHALL
BE APPROVED BY TNE PLRNitf'�G D:PpRiMENT
u�ios�ca
L I � � . ,
- �a,
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7HIS A(itEENhS]'P, made and entered inbo this � Lj day of
19 8'7 y�-��
. 1983, by and between � �fe:c:G'/l.r.t�s
� �- 0 2 � do/k�S�
hereinafter referred tn as "LAND 44d1ER", and
hereinafter referred to.as "AD�7ACFNP.PR�EKIY CWNIIt".
It is hereby agreed that a party urall will be constructed on the
prcperty line behaeen
3�10 _. .
in the City of Casta Mesa, Coimty of Orange, State of California, as per map
remcc3ed in Book , Page_ of Miscellaneous Maps, in the office of the
Coimty Recorder of said Coimty. 1he party wall shall be permitted tn encroach
IN WI7fIESS 4dIEREOF, the parties ha�e entered into this Agreement the
day arcl year first abwe written.
IAND QdNER
2�1..�.a ; (!v��r.�G�k
(Signa e)
►vt e K e+c_h � w�
Name�7yped or Printed)
�n5 �.daho �'Iqce
(Address)
•��•�,y� ���� • ,
r �I
— �
0
or
� i�
�� fuebrask4 I°Icace
(Address)
- - •• -
i
• y I• •N'OID 17
�IS A(�tEEtk3�T, made ard entered into this � y day of
� 987 �/
Ou-, r�983. bS' and between '�'yf .� l� 1� �Q�ct�IK�
hereinafter referred tn as "LAND 04ddER", and __�,��� � �
here inaf ter referred to . as "ALUACFS]T : PROPERiY Q+1NIIt" .
It is hereby agreed that a party wall will be constructed on the
in the City of Costa Mesa, Co�mty of Orange, State of California, as per map
reco�rled in Book , Page of Miscellaneous Maps, in the office of the
Coimty Recorder of said Coi.mty. �e party wall shall be permitted tn encroadi
IN WI7NFSS �EOF, the parties ha.e entered int.n this Agreertent the
day arc] year first above written.
IAND CWNER
�i'I..eg ����u.�.u�.
(Signa re)
rt ea K et�hv►�
N�'Iyped or Printed)
3zos zdlAho place
(Address)
CuS J/J � e( A, C/� ,�Z6 Zh
. � . � . . �,. .� •
�
1 � �L i / ��►
�, .� i-
„-%'' % � -
.� .-. .. -.
��.
�Z�c, N�eQ�Ask�J r �
(Address)
Go�T/1 �McSli, C/J, 9267.�
::�M .�ilifrN: �I�MI}�1
'LHIS A(�2EEMErPP, made and entered into this � day of
. 19�, bY ard between �.,�jq Z ��i���'C.
hereinaftez referred to as "LAND Q�d,IER", and `�Q� �� �.
hereinafteY referred to as "ADJACQdP P'ROPEKtY Q4NEF2".
Tt is hereby agreed that a party wall will be wnstructed on the
prc�erty line behaeen
in the City of Costa Mesa, Co�mty of Orange, State of California, as per map
remrded in Book , Page_ of Miscellaneous Maps, in the office of the
Coimty Recorder of said Coimty. Zfie party wall shall be permitted to encroach
IN WIINESS �EOF, the parties have entered into this Agreement the
day arci year first abwe written.
f��i�I�Si�l�l:�
�� � ����
(Signatur
wle G ��TcN urt
Name (7�ed or.Printed)
3 � OS c�old,l�.o !s�
(Address)
• � •:��• ��4 �.1� i
s� P �PS. �..,,.;,.sl._._,
(Signat e)
L'laL. U'kiJ�1i��
Name (7yped or Printed)
�2�01 SDpN-o PLr-�t �
(Address)
(NOTE: Please see reverse side for notaLy's statement)
�
��
G
, STATE �' CALSFOI�IIA )
; j ss.
OGpN2Y �' ORANC� )
'f
On before me, the imdersigned, a Notazy Public in
and 5or the Coimty of Orange, State of California, personally appeared
3mown to me tn be the person(s) whose name(s) is subscribed tn the within
instrwrent arci acknowledged to me that (he/she/they) executed the s�ne.
WTZNESS my hand and official seal.
S ic�at�e
Na�re (typed or printed)
STATE CF CALIFt�iddZA )
) ss.
OOUN'IY aF ORANC� )
�
(SEAL)
before me, the imdersigned, a Notazy
public in and for the Co�ty of Orange, State of California, personally appeared
}mown to me tt> be the person(s) whcse name(s) is subscribed to the within
instrunent arrl acknoaledged to me that (he/she/they) execvted the same.
WIZNFSS my harr3 arcl official seal.
(Signatise) -
Name (typed or printed)
(SEAL)