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Home My WebLink About129 ROCHESTER ST - Building Permits V OWNER PAPINEAU, Wm, DATE 10/16/72 JOB ADDRESS 129 Rochester St. BUILDING PERMIT NO. 35571 Nr' GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Restrm. Partition Ar lo. 117-092-10 LOT TRACT FIRE ZONE VALUES 100.00 r. - lit .CTIONS Signature Date GROUP F-2 TYPE V ZONE C-2 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumyb�' g ry ROUGH PLUMBING ft4 Cla c--1/1/40,ytQh��/��)f//Jf1/� _./�/ yrJ/Jn 0�Jy7/{'/7 (p a 3 PROP. SWR. LINE ❑ HOUSE CON. ❑ �V) SW Z-� .n wa-.Ian/ /0 777-t‘/fr7 SPRINKLING SYSTEM (fU' MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF, ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN El OUT fl PLASTER, BROWN COAT $' -TURAL, FINAL Elertric • H. NG, VENT., REFRIG. AND A,C., FINAL / y� PLUMBING, FINAL AND GAS TEST n /r',n c/j-`. `rY ELECTRIC, FINAL /Jnp n� BUILDING, FINAL 1gfl o_/7 pJ7_� 35571PAIR FT 18-7?" ,,00 806* *****5.01 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APP 1 ATION FOR BUILDING PERMIT For Applicant to Fill in Completely R Y DATE RECEIVED ///�� ISSUED BUILDING �) /� /1/� r �'L.�� /0// 7L ADDRESS l�"� C ..�'( j l-tL yy /� U OWNER 6UR�l . ?4.4 ! P AO. A.P.NO. f/7-O/ �/)-70 PERMI1TrII% BUILDING MAIL ADDRESS I .) q 2�;hes—G Qr-,J Si Z ADDRESS W W TEL. TRACT ;2:7 '�I LOT s /'� BLOCK a W CITY NO. ZZ < CONSTRUCTION NEW ADD Al TER REPAIR MOVING DFMOI LSH O N LENDER O.CO 1 J D BRANCH JN OWNER clPl 1 ! m J ADDRESS f��.1 .7//� VALUE g�� J m ARCHITECT TEL. 1 USE 1 eST I\ $ IOD Q OR ENGINEER NO. Z< FIRE �l/ UZj K ADDRESS � ,r ZONE //dYP ROU/P / �J •a.Ly CONTRACTOR ��:'s`'P/s' APPROVED I. DATE /(Y�(�-/ �� W Z /N [ J Q m Z J w ADDRESS ' W W ZONE_, 'PLANS OF. USE OF NEW BaTh_... 0 TEL l/ PLANS BUILDING J T" Z F CITY NO. e--n.,.yin_ W STATE CITY YARDS APPROVED YARDS APPROVED NCC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING J O (FROM C/L STREET) SIZE S. OF LOT INOW ON LNO.OF OS FRONT El./� // /)FT. USE OF R.SID_ I FT�(L/ / 6/ f �F /,0,P , EXISTING BLDG. I— SIZE OF NO.OF ...��TTT / Q NEW BLDG. ROOMS STORIES L.SIDE /ATT//�/( U EXTERIOR WALL ROOF ` re:::—/2_41-.7/0/(/ � / (// _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a MAIN BLOCS. ACCESS BLDGS. a �j `1 / /JDATE 0 ` C/ `/�//!/,s/, /r-/ C.U.P.�S APPROVED I— ca �i/ /C //_/tel`=/� Qlr APPRO(.[JC-n Vwe' 1 DATE in//-7/71- 2 ` L '1 r /`' ` ` 0 VI hereby acknowledge that I have read this application and state SI TA D that the above information is correct and agree to comply with ix all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of • (n the State of California. co I hereby certify that I am properly licensed as a contractor under SQ.FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUAT A'I FOR ; Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -1\ CC am exempt from the prov ion/•f the St.te of California Business VALUATION and Professions Co .d . on •,Ch. er :. Jl m V�vC./ PERMIT FEE $ —� Signature of - _ 1 ./� . D Permittee ��/ $ /a69 PLAN CHECK $ E -. J —G—L/ o -LL Authorized Agent TOTAL FEE $ 5 • Applicant to fill In all spaces except those within he""horde Ones and sign all appropriate declarations. --- "- .-- 4 ..CITY OF COSTA MESA PER T NO TRACT NC. - OT NO. BLD . t•. 538`_ 5/ I2/�-- - 5.011 TL CONSTRUCTION- PERMIT ` 18 i • Project dA dregs • Ma ! d cippL�L'—�fli�,/- TYPE OF CONSTRUCTION • NEW al ADD . ALTERATION . REPAIR. , Applicant's Mailing Address // /6 ( G/F Ct/f/ 714 /4 s'7/ ❑ CONVERSION ❑ DEMOLISH T❑ OTHER ,GQ • _ A.P.# - Zone Owner's Name / 7� �t . -4/ Phone C4/?-47Tt DESCRIPTION OF WORK 'A-( F4 I 4-7--e-1 rr� .(.t/(- Ave Main Building: Accessory Building: Z . Address /4/'o f GFN'�(/� 'T • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U-STRUCTURAL E Front 0 • Arch/Eng. License No. - N ❑ TENANT ❑ ELECTRICAL 1'CJ PLUMBING 0MECHANICAL B Rear - 1 Address ,r}hi - ❑ 'OTHER • A' - N Contractor's Name 56i�lc C// V Phone-SW -6 31T PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G Left R Address(mailing) CONST RUCTION TYPE VALUATION$ _ $ E City License No. • ZONE • GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q LICENSED CONTRACTOR DECLARATION Remarks: I D 2 oC ❑ Parking Req./Provided • • I - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Use of Building: 1 R with section 7000) of Division 3 of the Business and Professions Code,andE my license is In full force and effect. License Class License No- PLUMBING I FEES _,,,Planning Notes: E Date Signature • Bar Sink Showers WORKERS'COMPENSATION DECLARATION' N I • T 7 'hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S f Workers' Compensation Insurance, or a certified copy thereof (Section • - ----' - 3800, Lab. C.) - Backflow Irrigation Sewer Cap ELECTRICAL ' FEES Policy No Company ' - , ' 8 Certified copy is hereby furnished. ! Bathtubs Sewer Connection Automatic WasherTransformer 0 15-50 KW Certified copy is filed with the city Building Division. 0 50+KW • Date Applicant Clarifiers • Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION-DECLARATION Dishwasher • - -- Solar Piping ' - CobkingUnit - • Meter - " ' . (This section need not be completed if the permit's for one hundred($100)or P - Oup to 100 amps less). Drinkin Fountains I certify that in the performance of the work for which this permit is Issued, I 9 Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. Floor Drains • Swimming Pool w/SpaDryers OGas []Electric Sub Panel • Date Signature - " - NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal . Fan • Motors 00.1 HP 01 X-6 Workers' Compensation provisions of the Labor Code, you must forthwith - • - - - - - comply with such provisions or this permit shall be deemed revoked. Gas ServiceOutlets• 'Water Closet - F.A.U. • Inc.Solar 09-15 HP 016-15+ -CONSTRUCTION LENDING .AGENCY. i • - - I hereby affirm that there Is a construction lending agency for the performance Interceptors, Water Heater . • •ctr Fixtures 'Microwave of the 'work for ,which this permit Is issued '(Section' 3097 Civ. C.) _ Lenders Name - Kitchen Sink . Water Service Device Boxes ! .Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION Outlets Range , I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra following reason (Section 7031.5,Business and Professional Code: Any city or - p ' - - Switches Sign • . 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 Roof Drains: - - . ' Garbage Disposal Standing Sections 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 t Generator 00-5 KW 05-15 KW • 'Er vision 3'of the'Business and Professions Code) or that he/she-is exempt • 1 Trash Compactor "•refrom and the basis for the alleged exemption. Any violation of Section • - - - . • ,< 31.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee. $25 Issue Fee $ 3 • ' oeaalty of not more than five hundred dollars($500). 'fa 1, as.owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure Is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's • -- - - ----- PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who.bullds or improves Boiler I • Hood or Type I 0 ' thereon;and who does such work.himself/herself or through his or her own - • • s Zoning Approved By • nate ' employyees, provided that such Improvements are not intended or offered for Canopy Type II 0 - sale. If, however, the buildingor improvement is sold within oneyear of corn- Duct-Under Ground • A lication Approved By ' P pp Issued Date./�._— pletion, the owner will have the burden of proving he/she did not build or im- Duct-Structural Refrigeration �_ ;[,y7�_�•� prove for the purpose of sale). geration System Application Issued By Dat LJ I,as owner of the property,am exclusively contracting with licensed con- 00100,000 BTU100,000 BTU - ❑ tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating !SUMMARY OF FEES ' The Contractor's.License Law does not apply.to an.owner of property who - BUILDING PERMIT $ SMIP builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0, System Repair/Alteration • $ tractor(s) license pursuant to-the Contractor's License Law)-. ' PLAN CHECK $ PERMIT • • ' 0 I am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Bit. ICBG# ' - _ PLUMBING $ S — ISSUANCE $ Date Owner Heating System&Ducting / PLAN CHECK ' $ ENERGY P.C. $ • • I hereby certify that I have read this application and state that the above .. ❑0100,000 BTU 0100,000BTL ELECTRICAL $ GRADING • $ ' • • Information Is correct. I agree to comply with all city and county-ordinances - ' and state laws relating to building construction,and hereby authorize repre- , - -• • - PLAN CHECK $ MICROFILM ' $ sentatives of,this,city- to enter upon the above-mentioned property for Inspection purpo s. f-/2 a3 MECHANICAL • $ TOTAL FEE - $ ' G----- SignatureDate Reinspection Fee [ $25 Issue Fee $ 3 . PLAN CHECK • $ Drivers'/License or SS CMF 0865-46 rev. 7/83 s White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor- - `- . - .. - - - - -- __ -.. - ' CONSTRUCTION AND PLAN41,G POC SPA APPROVALS Permit# • G'5 Date Inspector APPROVALS Permit# Date- Inspector • 1 Temporary Electrical Service or Pole ' 52. Pool & Equipment Location • 2_''Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms- - '4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • ' 5. Steel Reinforcement • - 56. Rough Plumbing & Pressure Test _ 6: Electrical UFER Grnd. 57. 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-Final 12. Sewer Cap63. 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 ' r" 1 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69.-POOL/SPA SYSTEMS FINAL 1'9. Rough Heating &•Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro ' 1 22: Ducts, Ventilating I 71. Product Piping 0 Gas ❑Oil - 23. Gas Pipe-Rough & Test . 72�Underground Flush • • 24. Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro , • 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 11 29. Insulation , 78. FIRE PREV. FINAL • • 1 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80.,FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 7/3�, -J8 / _ n,24/.7724-2475g. 4 34. Final Heating & Air Conditioning, �172° 35. Final Gas Pipe-Test . 36. Hood or Canopy . h • - 37. Final Factory Fireplace • • 38. Final Plumbing - i0/743 ''A�( 39. Water Service-Final _ 40. Gas Service-Final . • ' 41. Solar Domestic-Final I - • - 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,Releaseto Edison . . , - - . 50. Gas Release to Southern California Gas Co . , I., •, 51. CERTIFICATE OF OCCUPANCY _ - ' No. - •Date - Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF�COSTA MESA PERMIT NO. ..- ,_'\ TRACT NO. LOT NO. BLDG.NO. • w CONST UCTJON PE' ' IT 'Yl GO . fAll—�' TAt 3413 b/15/33 5a0C TL N Applicant s MailingfAddr:, /] TYPE OF CONSTRUCTION U NEW U ADD L ALTERATION U REPAIR . Project Address l r/c c-/frc Thy ,[Q 0 CONVERSION 0 DEMOLI$M ❑ OTHER C Owner's Name // d �/ /� a Phone�H V � DESCRIPTION OF WORK V/T—U'- S e_ C 'P \r— 'p\ / O P,r d '7 avn ,�I I - ZONING REGULATIONS Address �G l� Pte.¢r'eN r/� V� •, .G. TYPE OF PERMIT -Z a GRAD:?oTl-G' LLFOUNDATION U STRUCTURAL A.P,# ZONE • Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ' PLNG.REF.# BUILDING . Address ..Cr ' ❑,'OTHER TO BUILDING - SaTR Ark.CEnST Contractor's Name `f/-' Phonefin-e3'f PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE REAR YARD (TO P/L) • t vrn CONSTRUCTION TVPF VALUATION E LEFT SIDE YARD RIGHT SIDE YARD Address lrnailing) - - - - ' - ZONE ' GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED License No. • __ _ LICENSED CONTRACTOR DE LARATION Remarks: STREET WIDTH 'PARK FEE S ' ['hereby affirm that I am licensed under provisions of Charter 9(commencing - with section 7000) of Division 3 of the evilness and Professions Code,and - • SPECIAL CONDITIONS: ' my license is In full force and'effect. License Class' • License No. . ' PLUMBING l Date Signature --; Bar Sink f 'ORKERS'COMPENSATION DECLARATION -- •-Wer Cap ELECTRICAL , lereby affirm that I have a certificate of consent to self-Insure or a certificate .Preventer 'Sewer Connection Automatic Washer 'Meter Lover 100 amps- - of Workers' Compensation Insurance, or a certified copy thereof (Section - - ' 3800, tab. C.) : Backf low Irrigation Solar Collectors Construction PoieY' Sub Panel, Policy No. ' Company - - -'- - -.- •- ' 1 Cooking Unit Sub Pole • 8 Certified-copy is hereby furnished. I I ' Bathtubs Solar Piping , 1 _- ' i • , Certified copy is flied with the city Building Division. Dishwasher /;'s Motors ❑0-1 HP 01•h-g • Date - Applicant ; Clarifiers Solar Tank - • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Dryers 0G-as ❑Electric �•• 'Ina Soler'❑9-15 HP ❑i6-15+ (This section need not be completed if the permit is for•one hundred ($100)or I Dishwasher I Swimming POOI w/Spa ( , less). i - Fan= �' Microwave , i I certify that in the performance of the work for which this permit is issued I Drinking Fountains � Urinal i Ic'�' shall not employ any person in any manner so as to become subject,to the , - F.A.U. �i Pole Light ' ' Workers',Compensation'Laws of California. I Floor Drains'' , , . Water Closet. / 1' Date Signature ' ' ' • ' • Fixtures Ran e • • NOTICE:If,after snaking this declaration,you should become subject to the- - ' Floor Sinks Water Heater - - .- - - • - - 9 - . . --, _ _ Workers'; Compensation provisions of the Labor Code, you must forthwith ' ,j Device Boxes / .I j I comply .with; such provisions/or this rPermil shall be deemed revoked. -I . Gas SerVlce ', I 'Outlets Water-Service t -;2 pp Sign , CONSTRUCTION'LENDING AGENCY - - • Outlets ' ' I hereby affirm that there Is a construction lending a9encytfor the performance, Interceptors ' • b Standing Sections ' _ , of the :work for which this,permit Is Issued (Section 3097. Civ. C.) - - ..- - - - • - Lenders: Name - ' • - - ' - Kitchen Sink `�, .."1 Switches //, Compactor • ' '', Trash I r Lender's Address• - - - Lavatories - -- / " -r Garbage Disposal' ' • OWNER BUILDER DECLARATION , , ' I hereby affirm that I am exempt from the Contractor's.License Law for the ' - - • ,. . Generator ❑0-5 KW ❑5-15 KW ' • 1 following reason (Sectiont7031.5 Business and Professional Code: Any city or .r P-Trap -' I - - • - j i .. county which requires a permit to construct,atter,improve,demolish or repair " •- Transformer ❑15-50 KW - - any structure,prior to Its Issuance,.also requires theapplicant for such permit Roof Drains • -' 1 - I - ' I r 4p file a signed statement that he/she Is licensed pursuant to the provisions of - - 1 ❑' SU+KW Contractor's License Law(Chapter 9(commencing with'Section 7000)of - .- I !;. "' - Reinspection Fee • $15 ��--)zion 3 of the Business and.Professions Code) 'or that he/she-ls'exempt Showers ; Reinspection Fee -I:$15 ;�"-,,'refrom and the basis for the alleged exemption. Any violation'of Section ' - - -• - • Meier ElUp to 100 amps - 'Issue Feel • '$ 3 3'031.5 byany applicant for'a permit subjects 'the applicant to a.,civil Service Sink Issue Fee' 'S 3, ' '� - - -- analty of not more than five hundred dollars($500). • ' Zoning Approved By '' 'Date I 'U 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' : '_•� Application Approved By - Date -• " for sale (Section 7044, Business and-Professional Code: The,-Contractor's - - - ' License Law does not apply tolan Owner of a property who builds or improves Boiler ' :' , • Refrigeration System 1 • 5'� I • - thereon,and who does such work himself/herself or through his or her own ' - 1 I';. • �. Application Issued By,/ Date- ' employees, provided that such improvements are'not Intended or offered for ❑0-100,000 BTU ❑100,000 BTU' Yt' - sale. If, however, the building or Improvement Is sold within one year of com- I DLitt-Under Ground ?' SUMMARY OF FEES ' pletion, the owner will have the burden of proving he/she did not build or im- - , 1 r ,'prove for the purpose of sale), r Duct-Structural Sy• stem Repair/Alteration F BUILDI NG PERMIT $ ' SMTP $ U I,as owner of the property,am exclusively contracting with licensed con- I tractors to construct the project(Section 7044,Business and Professions Code:. ' Duct-Ventilating I__ _ _ __- - -_ , ," PLAN CHECK $ PERMIT I The Contractor's License Law does nota I to an owner of property who - ' • builds or improves thereon,and who contracts for such projects with a con- ( - Exhaust System 0 Multiple❑; I 'Y. I PLUMBING.:• $ 500 ISSUANCE • $ 1 Ira tor(S)license pursuant to the Contractor's License Law). , " ' d. I T GRADING $ ' • 1 am exempt under Section ! - B.& P.C.for this reason Firepl/Feet.Bit.ICBO# ••F r ' ' 'PLAN CHECK $, Date E_ owner' '. .-moi_I ' • . Heating'System& Ducting I a i,; ,ELECTRICAL' $ _ - $ i • • PLAN CHECK' • I $ • MICROFILM $ ' , -i-hereby Certify that I.have-read-this application and sta e that the above-, ❑0-100,000 BTU 0100,000BTL -- - ' - ^' - I information is correct. I agree to comply with all city.and county ordinances I ' : Iy , I , : TOTAL'FEE $ , and-State,laws relating to building construction,and hereby authorize repro- I Hood or ! - 'MECHANICAL $, ! , ' Sentatives of this•city'to enter upon the above-mentioned property for Type I ❑ � Reinspection Fee �$15 ./ ' LESS ' inspection pt1�poser.�� Q ;p ) OR c G,y Canopy' Type II 0 1 PLAN CHECK' $ -signature `/se or'S u'O""� / 1 , Registers1 Issue Fee $ 3 • 00 / g I FINAL FEE 1 $ •� ' CMF 0865-46 rev.12/82 White.-Building;Canary--Applicant;Pink-Accounting;Goldenrod-Assessor S: • CONSTRUCTIONAND:PLANN NG � - E? - << Pk SPA • „ , ,�(yJ{-17-T ..Date "Inspector Date • Inspector : APPROVALS Permit:# 'J T AP_PROVALS'..,-Permit-# • - • - ,r LJ Temporary,Electrical Service or Pole ; ' r , ,i r - ' -52:'•'Pod! &Equipment Location.. - 7 . - I , c a • „ - • ryf- _ C : •- _ ., - - I ' - -- .. - :c 2: 'Soil Pipe-Undrgrnd; = - - ,' I• ° r . ' 53 Steel Reinforcement ' - - - = `,,:l - 3: Electrical Conduit Utility-Undrgrnd. „ .; - :I - 54. Forms,,, - •- - - 7 v 4,,Electrical Conduit-Undrgrnd'.- - _ ` • c•,, 't55: Electrical Bonding- _ -.;'• , bT'. Steel(Reinforcement i -I'- ' : - ' It- _ ;'56. ing Rough Plumb & Pressure test " I • ,I I' 6: 'Electrical UFER Grnd.- a _ `' ° - 57: APPROVALtt: .TO COVER-GUNITE- .'+1 7. Footings I • ' 'I ! q - -: :'_I• •• _ ."58" Electrical Conduit-Undrornd: 8. Foundation 1I `t •� [ `' 'r •- ; 59• . Gas Pipe,;D_Undrgrnd- Test •• •- • `6 9. Water Pipe-Undrgrnd. I - _ I = 'i. 60- Backwash Line' ,.P-Trap• ,,O Undrgrnd. • - f 10. Structural Floor System • ' ` r e r - ' x.61. APPROVAL.TO'DECK 11. Property Sewer Line&.House Connection _ •a: ,62. 'Backwash'&`Receptor-Final ; - " 12. Sewer Cap i I 9:: '� - `-` . I . ,n i - '? • - 1 -'63. Heater& Vent-Final ,, 13. Roof,Drains `--� 1 I , r "c :64. Plumbing.System :Final - 14. Rouilh Plumbing : - I - `- ' I -65. Electrical-Final I - i , 1-15:-,Rough'EtectricaPConduit-I- , ---;:'„'- -r ;� � 7-- j66:jSolar,SystemFinal I 7 .- I- - - - ' - - - - - "• 7 c i16- 'Rough Electric Wiring; , ' s 1 if '+ 67.. Fencing&Access Approval a 17. Raugh`Wiirng Sign `- 1 ' t II !1 ' I i• {•. ° I !68 ' APPROVED FOR PLASTERING ' ! 18- Fough Electn• cal T'Bar Ceiling' ' '' ! I I 1 '69., POOL/SPA SYSTEMS FINAL =i " - ` fol 9. •Rough'Heating &)Air Conditioning - FIRE DEPT. REQUIREMENT I • • . r 'j;20.cRough.Factory Fireplace 1, I' , I I ' , APPROVALS; ' Permit# I I`- I 1 ''`11. 'Ducts?in Structure " ! � I i, ' I 1 I ; ' • ' '70.: UndeFground Hydro !' • • • : 1 c • '12.'Duct's, Ventilating I. • I 1 I , I t 71- Product Piping 0 Gas 0 Oil I I s "23.'Gas-Pipe-Rough&Test _ 1 t l 172, , Underground Flush ?24. ',Roof Framing: i ; ' - ' 1 z - ' , l It, 1 f, ;, ' ' I I _ v , • I _ ; f' : i =; - 73.E Undergrrid.Storage Tank.D Gas ❑Oil ti25. Roof Sheathing ' 1 4,1' i,: 1„ r I ' f -- I , 174.j Overhead Hydro - _ , - 1 •26- T�Bar Ceiling (Structural) & Monocoat ":' ` 175. Dry Chemical n. -- - : .27- Frame and Flashing, _ I . I - 76. Dry Standpipe 28. ,;Cathing&-Sidingi 1. o ! '' I ?, II ,I r , •„ I 1 _ 77. FIXED SYSTEM FINAL ` 29. 'Insullatiori ' - : -- t ; 'j 1 1 i ' I j 78. FIRE PR_EV. FINAL i 4 30. Drywall Nailing I ' • I. ' Notes: y� I / y g 1 1 //O-- 1CY /"Ssa-F-l7-6fr/CTS Y/cP ! 31. Plaster Brown Coat I JJ p ?taster !� - .--- ^ caro-/�i7 <r iu. e/"aLYI+ a ,• 32• . `Electrical Power Meter-Final _I 1 _ I 1 I ' •- , - ; „ 1 - i 1 1 ) p.�� lr - 33. Final Electric •( I t �i dr-42 f'G-/f �/ �'- _ .__ _ ._-. -._. „- ' _ --- _ a3' a �rn x m.• 34. Final Heating& Air Conditioning I I 1 ' I ' , ' 35. Final Gas Pipe Test, ; ,�Q/�/ 3i� �• •` •• /- 36. Hood or tCanopY ° < , I v I r : , , - - - I I , , •- , 1 ' '77.441 e, r ati Ade , 37. Final Factory Firepla"cer.i ( s1 I1" I I - • I I d A • 1..," .„ sG •:z9-t7 • �- , , I , - - I ' I i 7 1 I 1 38. Final Plumbing i i i `I .. '1444e/ #0 �1_ (IJ�f - i re ..$f/" 39. Water Service-Final I - 1 I 40. Gas Serviice-Final I I ! i l 11 1 i 1 . I'-; I , 41. Solar Domestic-Final 1 t 1 • • n- !--2- _I _ 1 _i _ -' i• _ - _ 42. Backflow Preventer . ' 1 I 43. Backflow,Irrigation 1 I a^i - i 7i 1 1 I ' 44- Landscape Irrigation:System I .nj l - > • p e I ,••i 5. , ' + • 45. Sound'-Attenuation :I. r;; i - 46- Handicap Regulations I I . I Ir: I I " 1 11 ' ' 47. FINAL STRUCTURE & BUILDING ' ' , I !•- I I I . I, , 1 I. : ' ! - .. - 48. Special Requirements Completeq I I ! :c; I 1 ! 49. Electric Release'to Edison I 1 U 1---1,- ' ___ 50- Gas Release to Southern California Gas to � I , , i I ; 1 , i 1 51. CERTIFICATE OF OCCUPANCY L . '- - ' I No Date i i -i Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - . ... _• _ • CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. - TRACT NO. LOT,NO. UNIT NO. • _ I _ il q p : et iggis l ; • • Protect Address 'T !( �✓f�/�'-`7��' 5 % ,t 1/Z%vI - , ' r - 'Applicant's'Mailing jAddress p /670 Phys E./yr/A_ 4 v of/I, 'TYPE OF CONSTRUCTION ❑ NEWS L I AOD L I ALTERATION 'L I REPAIR - 1 ' /// // 'Pelt l/Yr�{v . ' Phone cal 4377 ❑'CONVERSION I-TJ DEMOLISH' ❑ OTHER - • qp # - - I - - Zone Owner's Name - ___Th DESCRIPTION OF WOR KIUSE OF BLDG. C y �a Address �L/Q Pt—A r-t€it/7"J/} 4-vG A�• -� afford,�,I, (_i E Main Building: y� yA,,,,• . �ccessory Building: Z Arch/Eng. • - License No. • TYPE OF PERMIT I♦ GRADING M FOUNDATION I❑ tr RUCTLA•AL . ' ,T ' Front 't • f -•„ ! :- Q • - Address ❑ TENANT; ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB' Rear'. .,-- ;J"/ `: , N •Contractor's Name P7�� P.�F/�/N�'4� Phone/it -G37T - ❑OTHER - • C Right /'' / •�� ®,'@ - - N -Address(mailing) _ p� PROJECT DESCRIPTION SQ. FT. - OCCUPANCY 0 t p - ' V /"� 1 CONSTRUCTION TYPE VALUATION$ t( � - $ Left ,1 `�s^ f/�♦j,`SP R • -City-License No. Fes' ZONE GRADING CU.YDS. ' ACRES • VIA V �rnC `'` E -Ping. Ref.# �Q` Parking Req./Provided LICENSED CONTRACTOR DECLARATION • VIA - Q 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing 'Remarks: Planning Notes: y "�.I O ' - - M with:section 7000) of Division 3 of the Business an Professions Code,and . ' L1' Y�(`, T my license is in full force and effect. - • I V , License Class L ce s9I�I�i{o�. . - S.. ' 'I 1•-! • PLUMBING I . FEES I tate Signature - - ! — ' WORKERS'COMPENSATION DECLARATION Bar Sink • Showers , '.hereby affirm that I have a certificate of consent to self-insure or a certificate , ELECTRICAL _ • FEES f Workers' Compensation Insurance, or.,a.certified copy thereof (Section - - . . -' - -. _ - •_ 3800, Lab. C.) I BackflowPreventer —Service Sink AutomaticWashep Transformer ❑ 15-50 KW r Policy No. Company Backflow Irrigation ' Sewer Cap //; z Construction'Pole Sub. I050+KW 8.' Certified copy is hereby furnished. . • , F ' Certified copy.Is filed with the city Building Division. • Bathtubs • Sewer Connection Cooking Unit Meter Dup to 100 amps Date Applicant ' ' • • - ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATIONClarifiers - Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed lithe permit is for one hundred ($100) ori- • less). / • ❑ Dishwasher , Solar Piping i Dryers OGas Electric Sub Panel I I certify that in the performance of the work for which this permit is issued, I . . shall not employ'any person in any manner so as to become swbject to the Drinking Fountains Solar Tank Fan Motors Do-i HP ❑1'f.-8 - �Workers' Cpmpensation Laws of Calif Date 7-R'-15 Signature �tionL y Floor Drains Swimming Pool w/Spa F.A.U. • • NOTICE: If,after making this declaration, you sh uld be ome subject to the • Inc.Solar ❑9-15 HP 016-15+ - Workers' Compensation provisions of the Labor Code, you must forthwith Floor'Sinks • Urinal, - ' -•' -- Fixtures ' -' - • -' - ' comply with such,LENDING or this permit shall be deemed, revoked.. Microwave • CONSTRUCTION ENDING AGENCY - . Gas Service Outlets Water Closet.. Device Boxes 1 hereby afflrm that there is a construction lending agency for the performance - Pole Light of the work for whichthis'permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets ' Lender's Name - - - - Range Lender's Address - - — ' Kitchen_S_ink' ' - Water Service , Switches • Sign OWNER BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash •' ' , following'reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal •_ !Standing Sections ' county which requires a permit to construct,alter,improve,demolish or repair P—Trap - . Laundry Trays Generator ❑0.5 KW ❑5-15 KW ' • any structure, prior to its issuance, also requires the applicant for-such permit Trash Compactor • to file a signed statement that he/she is licensed pursuant to the provisions of • Roof Drains - • 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 - • ierefrom and the basis-for the alleged.exemption. Any violation of Section - , ;',-,O31.5 by any applicant for a permit subjects the applicant to a civil - • _ ' beenalty of not more than five hundred dollars ($500). — - ' LJ I, as owner of the property or my employees with;wages as'their sole Reinspection Fee $15 Issue Fee $ 3, compensation, will do the work, and the structure is not intended or offered • - Reinspection'Fee I $15 Issue Fee - • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's ' - - , MECHANICAL ' FEES 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 DEVELOPMENT,SERVICES REQUIREMENTS: • employees, provided that such improvements are not intended or offered for Boiler . Hood or Type I 0 - • sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the'owner will have the burden of proving he/she did not build or im- Duct-Under Ground - Building Approved By Date orove for the purpose of sale). j�, J� I, as owner of the.property, am exclusively contracting with licensed con- Duct-Structural . • Refrigeration System - - Application Issued By' • �y✓�Y ; • Date 'I B tractors to construct the project (Section 7044,Business and Professions Code: i/ The Contractor's License Law does not apply to an owner of property who Duct-Ventilating - ❑0.100,000 BTU ❑100,000 BTU _ SUMMARY OF FEES ' builds Or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration -' i BUILDING PERMIT. $ I 1-moo ' SMTP $ •SV proof of their Worker's Compensation insurance should be provided to me. _PLAN CHECK ' $ PERMIT ❑ 1 am exempt under,Section B. &P.C:for this reason Firepl/Fact.BIt. ICBG# Fire Dampers I PLUMBING $ J-on ISSUANCE $l \ Date 7- -' �S Owner - .. -. ' 'a i f Heating System& Ducting' Registers PLAN CHECK 25% $ - ENERGY P.C: $' I hereby certify that I have read-this applicat'.n and-state that the above ' 0o-100,000 BTU 0100,000BTL ELECTRICAL GRADING $ information is correct. I agree to comply with all city and county ordinances ' - $ and state laws relating to building construction, and hereby authorize repre- I , MICROFILM $ sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% $' l inspection purpocp MECHANICAL ". $ t 2Z-SO Signature 4.---... ! Reinspection Fee • I • $15 _ Issue Fee $ 3 PLAN CHECK 25% $ ( l CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor -? ' POC SPA CONSTRUCTION AND PLANNING • _ APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. 'Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System. - . • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • ; /Q/g CO 63. Heater & Vent-Final 13. Roof Drains /'�f 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: Rdugh Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 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 • 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date '