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Home My WebLink About547 TRAVERSE DR - Building Permits��a� �sa-s2�a • Fa�c pia> �sa-aess CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT Jobnddress: 547 TRAVERSE DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 41802214 Applicant: NGUYEN, CUONG Address: 14351 EUCLID ST UNIT E GARDEN GROVE, CA owner: TOWNSEND, PAUL E Address 547 TRAVERSE DR COSTA MESA, CA BUILDING PERMIT Zoning: R1 R1 Phone: (714) 545-6994 Zip: 92843 Phone: Zip: 92626 Contractor: VILLA ROOFING PROFESSIONALS INC Address: 14351 EUCLID ST UNIT E Phone: (714) 545-6994 � GARDEN GROVE, CA Zip: 92843 License: 758361 Arch : � Eng: Address: _ Address: Phone: t PERMIT UMBER 00-00769 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: OS/31/2000 Issued: 05/31/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING 2 STORY SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (22 SQ). TEAR OFF EXISTING LAYER OF WOOD SHAKES & RESHEATH WITH 7/16" OSB. INSTALL 1 LAYER OF 15# FELT UNDERLAYMENT & REROOF WITH 25 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 Calc Valuation: gs,qoo.00 Claim Valuation: $s,aoo.00 PLANNING 8 ZONING Left 0- 0 Right Left 0- 0 Right Proposetl: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if woik.is nobcommenced vnthin 180 days, or if work is suspended o� abandoned for a period of 1 BO days. � INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSATION DECLARAnON: I hereby eilirtn untler penalry oi perjury one ol ihe tollowing decleretions: �� ❑ I heve antl wlll maintaln a certificate at consent to self-Insure for workers' compensatlon, as proNded for by section 3700 of the Labor Cotle, tor the peAortnence of the ._work for which lhis pertnit is issuetl. �.I.have and will maintain workers' componsetion insurence, as required by saction 3700 ot the Labor Code, for the peAortnance of the work for which this permit Is issuetl. My workarsG' c�ompe�nJ �atio�n I uranc/e� rner entl policy number ere: . /� �/ �Cerriar.—""�/! /! /� Y7G.l,/% Lcy N�--�__`-.w rC �> F%Q (�his.sectlon need not be comp/eted illhe permitls velued ef one huntlred dollers ($100) oNess.J ❑ I certify that In the peAormence ot Ihe work for which thls permit is Issued, I shell not employ eny person in any manner so es to become subject to the workars' compensation lews of Califomia, and e ree Ihet if I shoultl become su6�ect to ihe workers' compensation provisions of Section 3700 of ihe Lebor Cotle, I shall forthwilh comply with these provisions. ApplicanYSignature: � �� . ..�� Date: �/��m � WARNING.`FAILURE TO SECURE WORK SATION ApE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINA� PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDOOLLARE�5100,000),INA�TP/I COSTOFCOMPENSATION,DNMAGESASPROVIOEDFORINSECTIQV3IWOFTHELABORCOOE,IMEREST,AN�ATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I here6y aNirm �haLl.em licensed u�ployl�syf�Clppter 9(commencing wlih Section 7000) of Division 3 o�he Business antl Professionqs Code, and my license is in full force and eHect.�Lic. a i 7'7IS �� /� _ Class x � ��3 J. CONSTRUCTION LENDING AGENCV: ❑ 1 hereby attirm that there is e constructlon lenaing aqency for the pertormanca ol ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lantler's Name: Lentlefs Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm thel untler penal�y of perjury �hat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to construct, alter, improva, demolish, or reDair any structure, prior to its issuance, also requires the applicani tor such permit to file a signed stetement ihat he or she is Ilcensetl pursuant to the provisions of Ihe Conirectors License Law (Chapter 9(wmmancing with Section 7000) ot Division 3 of !he Business and Professions Cotle) or that he or she is exempt iherelrom and the basis tor t�e alleged exemption. Any violation of Section 7037.5 by eny applicent lor e permit sub�ects the applicent to a civll penalty ot not more Ihan five hundred tlollars ($500).): ❑ I, es ownar of tha proparty, or my employees with weges as their sole campensation, WILL DO THE WORK, antl the structure is not intended or oHeretl for sale (Sec. 7044. Business and Professions Cotle: The Contractors License Law does not epply to an owner of property who builds or improves ihereon, antl who tloes such work himself or hersetl or Nmugh his or her own employees, provided that such improvements are not intended or oMered tor sale. If, however, tha building or improvement is sold within one year of completion, t�e owner-builaer will heve �he burden of proving that he or s�e tlid not build oi impwva tor purpose ot sale.). ❑ I, as owner ol Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construc[ the prolect (Sec. 7044, Business and Professions COAe: The contrectors License Lew does not epply to en owner of property who builtls or improves thereon, antl who contracts For such prolect with a contractoQs) license pursuent to the Contractors License Lews.). ❑ I am e:empt under sec. Business and Profeuions Code for ihis reason: Signature: Date: Owner ID venfietl 6y drivefs license. ❑ Ves ❑ No Driver's License No. 6cpires: Venfication of Ownership by (type of daumenl, i.e. - property tax blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity thet no excavation five (5) or more feet In tlepth into which a person is requiretl to descenQ will be made in connectbn with work authorizetl 6y this permit, and Ihat no building swqure, scaHolding, felsework, or tlemolition or dismamling thereof, will be more than Ihirty-six (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, 7tle B. Calilornia Atlminisiretive Code). ❑ As owner-builder, I will not amploy enyone to tlo wark which woultl reduire a permit from the Division of Intlustrial Satery, es noted above, unleu such pereon has a pertnit to do such work irom Ihe division. SignaWre: Date: Division of Industnal Sefery Pertnit Num6er: CERTFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certify under penalry ot perjury Ihat I have read this eppliwtion end state that �he informe�ion given is cortecl. I agree to comply with all state laws entl ciry ordinances relating to building construction, end authonze representatives ot the Ciry oi Costa Mesa to enter upon the ahove-descnbed properry for inspection purposes. I agree not to occupy or allow occupancy of any building authorized 6y this permit until ilnal inspection. 40oE �. INSPECTIONTYPE 1616 Fixetl System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWReteining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition 2d46-66 appucem - PAg 1ti�L5 � �� UEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMtal 212 Final Fire Prevention 220 222 250 Final Planning Appmval Final Site Final BuildingiOccupancy PAIE 1[�d15 Applicant to fill in al1 spaces ezceD� thoze within neavY DorGer Itnes ane sign all aoorooriate tleclarations. CITv oF cOSTp, MEsn CONSTRUCTION PERMIT Project�4ddress �V 7%CAuC•.n-S£ C� 1 n! ZLZ � Appiicant'sfvlailingAddress .SA'✓b� Owner'sName _�'��^� �'��"�A Phone-S�9-3��5 Address 5.�1.7ME .4�5 fi�inuF Arch/Eng. `.�{�� licenu No. t Adtlress Contracror's Nam Phone Addreu (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 M1ereby aHirm tbat 1 am licansetl untlor provisions of CM1arter 9(commencing with section 7000) ot Divislon 3 oi the Business antl Professions Cotle, ana my license is in tull torte an e/tect. License Class N� LlcenSe No. Date $i9nature WOFKERS' COMPENSATION DECIARATION 1 hereby affirm that I have a certiticate of consent to self-insure or a certificate ' Workers' Compensa ion Insurance, or a certlfietl coOY ihereof (Sectlon ]0, Lab. C.) slicy No. Company 8 Certifietl copy is hereby turnishetl. Certifietl copy Is fileE with the city Builtling Dlvision. oate Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl it the permit is tor one huntlretl ($300) or less�. I certify that in the pe�l0rmanCe Of th0 work �or whlch this perm�t is issuetl, I s0a11 not employ any person in any manner so as [o become subject to the Workers' omp nsa[ion ldws of Califomia.O .V_ L� Date �QZ_Si9natureY ��^O `��C�K• NOTIe : If, a ter makin9 this tleclaiation, you shoultl become subject to the Workers' Compensalion provi5ian5 Of the Labor Cotle, you must forthwith comply with such Orovisions o� this pe�mit shall Ue tleemeC revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that there Is a const�uclion lentling agency Po� the perto�mance ot the work for whicb tM1is permit is issued (Sectlon 3097 Civ. C.) LenCer's Name Lender's Atltl�ess � OWNER BVILDEH UECLHRATION I hereby aftirm that I am exom0� from the Cont�acto�'s License Law for tbe following reason (Section 7031.5 Business antl Professional Cotle: Any city or counly whiGh requires a pe�mit lo cOnst�uct, alter, imptova, demolish or repai� any structure, prior to Its issuance, also requires the aoo�icant (or such permit to tile a signetl Statemen[ [hat he/She I5 Ilcen5e0 pur5udnt [o tlte O�ovision5 of the Contractor4 License Law (CM1apter 9(commencinq wltn Section �000) ot Division 3 of the Business antl Professlons Cotle) or [�a[ be/she is exempt theretrom antl the ba5i5 tor the allegetl ex¢mption. Any violation of Secllon �03L5 by any applican[ for a p¢rmil subjects lhe appliCant to a civil � ynalty of not more than five huntlretl tlollars (b500). .a�l, as owner of the Oroperty o� my em0loye¢z with wages as their sole compensation, will tlo lhe wotk, antl the StruGtu�e Is not IntentleA o� otteretl for sale (Section ]044, Business antl Professional Cotle: The Contractor's License Law Coes nol apply to an owner ot a properry who builAs or imoroves thereon, antl who tloes such work himself/herselt or throu9h nis or her own employee5, provitletl tha[ such imprOvemenls are nOt intentletl or ofteretl for sdle. It, howeve�, the builtlin9 or imOrovement Is soltl within ona year of com- pleUon, tne owner will have the burtlen oi proving he/She tlitl not bui10 0� Im- ��ovGfort�e purpOSe ot sale). I, as owner of [he property, am exclu5ively Contracting with litln5etl con- tractors to construct the projeC[ ($ec[ion 7044, Business antl P�ofessions COtle: The Coniractor's License Law tloes not apply to an owner ot oroperty who builtls or improves tnereon, antl who contracts lor such projects with a con- tractor(s) �icense pursuant to tne Contractor's License Law). I am aware that proof of lbeir Wo�ker'S Compensatlon InSurance 5hOu10 be provitletl to me. �I am exempt untler Section 7 A u� B. & P. C. tor this reason n '�J 47 o w�d. I her¢by c¢rlify (hdt I have r¢atl lhls applicalion antl slatC that [he above information is correcL I agree to comply wi[tt all city antl county ortlinances antl state laws relating to bullEing con5tructlon, ana her¢by authorize repre- sentatives ot this city to enter up n the abave-menHonee properiy for inspection urposes. Signa[ ure DatexT/R � Drivers' License or 55 # _ — ' TVPE OF CONSTRUC ❑ CONVERSION DESCRIPTION O� N'1 LJ NEW Ib.1 ADD OEMOLISH ❑ OTHER IK/USE OF BLDG. �! ALTERATION LJ REPAIR TVPE OF PERMIT LJ GRACANG LJ F0IEMDATION LJ STf7UCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sq. FT. � BU�+SArt F'T oCCUanNCv CONSTRUCTION TVPE VALUATION 5 �OD �� ZONE GRADINGCU.VDS. ACRES Remarks: ,.� .., .. i-n 1 �L % � . . _ . w . 3ar Sink 3ackflow Preventer 3ackflow Irrigation 3athtubs �larifiers Jishwasher 7rinking Fountains Floor'Drains ;loor Sinks i25$ENiC2 Qt1t12L5 I ntereepto�s Kitchen Sink Lavatories P—Trep Roof Orains Reinspection Fee $15 Boiler Duct - Under Ground DuCt - $tfuctufdl Duct � Ventilating Exhaust System ❑ Multiple FirepVFacL BIL ICBO # Heating System & Ducting ❑0.100,000 BTU �100,000 peinspection Fee � $15 CMF 0865�46, rev. 10/84 White - Builtling; Canary - qpplicanq Pink - Accounting; Goltlenrotl - Assessor NG Service Sink SewerCap Sewer Connection $olar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal VV2LCf C1052[ Water Heater Water $ervice A uto�W ash Laundry Trays Issue Fea Hoodar Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES A.P. � S Main Buildinc E T Front B Rear A C Right K Left S ' Ping. Ref. �p-` Planning No[es: _O�,t,_ � 2�=� %�:�./ ,... Zone �— � Accessory Building: J ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Canstruction Pole Sub. ❑ 50 + KW Cooking Unit Dishwasher - Dryers ❑Gas ❑Electric Fan F.A,U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �65 KW 05-15 KW $ 3 I I--- Reinspection Fee $15 FEES DEVELOPMENTSERVICESRE�I Zoning APProved BY I Building Approved B��,(J'\�� Appliption Issued Bv_{�2 $ 3 Meter IJup ro 100amps Meter ❑over100amps Sub Panel Motors �0-1 HP �1 %� 8 Inc.Solar 09-15 HP �i6-15+ Microwave Pole Light Range Sign Standing,Sections Trash Compacror Issue Fee FEES $ 3 r7 - 2 `� - Z O N I N G R E � M T S SUMMARV OF FEES BUILDINGPERMIT S r0'bb SMIP $ �,�� PLAN CHECK $ �'6� PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% 5 ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ t"%oa PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA 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-Undrgmd. . 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings �.-i ✓� ,(, 58. Electrical Conduit-Undrgrnd. ' 8. Foundation �y'�\ �� (•{j-�'7 .� 59. GaSPipe,O Undrgrnd.,Tes[ � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trep, � 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 Electrlcal-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ � i. 21. Ducts, 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. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling IStructural) & 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed . . 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co �': " 51. CERTIFICATE OF OCCUPANCY �; � No. Date _ , � Applicant to fill in all spaces except thosa witM1ln heavy Gortler lines antl sign all apOroD��ate tleclarations. CITY �F COSta MeSA CONSTRUCTION PERMIT KProjerwAddress S`f� �a�fG(�r" C.� 5z�2% �{Applicant's Mailing Address Sa"� � iQJwner'sName �L�or' C-aLir� PhoneS� -o73L x.ddress /"7�= - AS . �o a � Arch/Eng. License No. Address Contractor's Nam Phone Address (mailing) Ciry License No. LICENSED CONTRACTOR DECLARATION � I hereby afiirm that I am licensetl untler pravisions ot Cnarter 9(commencing with section 7000) of Division 3 ot the Business antl Protessions Cotle, antl . my license is in tull force an e)t�ct. . �.ICCIISC CId55 � ��7 License No. Date Signa ure WORKERS' COMPENSATION DECIARATION ' I hereby affirm that 1 have a certificate of consent to self-inzure or a certlficate N Workers' Compensati n Insurance, or a certified copY thereof (Section 380Q Lab. C.) • Policy No. � Company BCertifietl copy is M1ereby furnishetl. . Certifietl copy is tiletl with the ciiy Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (Thissection neetl not be completetl it the permlt is for one huntlretl ($]00) or less). 1 certify thal in tM1e pe�formance Of the wo�k fot which this Oe�m�t is Issuetl, I shall not employ any person in any manner so as to become subject to the Worker ompensation La s ot Califorpi��/ .-� /7� `Oate iqna[ure Yo �-o�C�.n.O� NOTICE: If, after making �is tleclaration, you shoultl become subject to the Workers'. Compensation Orovisions ot Ihe Labor Cotle, y0u must fOrthwith comply with such provisions or this vermit snall be aeemetl revoketl. CONST0.UCTION IENDWG AGENCV - 1 hereby af(Irm that there is a mnstructlon lentling agency for the performante Ot ttio work for which tnis permit is�issuetl (Section 309� Civ. C.) Lentler•s Name Len�er's Atltlress OWNER BUILDER DECIARATION� � I hereby aftirm Ihat I am exempt from the Contractor's License Law for the following reazon (Section 7031.5 Businesz anU Professional Cotl¢: Any city or county which requi�es a pe�mit to conztruct, alter, improvB, tlemoliSM1 o� �epair any struciure, Orior lo its issuance, also requires the applicant tor sucb permit LO f11C d SIOOCtl SI2ICT20L IhdL ne/she IS IICCf152tl 011lSOdOI IO Lh0 pfOV151005 O� therefrom antl the basis for the allegea exemption. Any violatlon or Sec[ion 7031.5 by any aOPlican[ for a permit Subject5 the ap0licant t0 d clvil �enalty of not more Ihan five huntlretl tlollar5 (5500). I, as owner of the property or my emploYeeS witM1 wages as their sol0 compensation, will ao the work, ana the structure is not intentletl or o(feretl for sale (Section 7044, Business antl Professional COCe: The Contractor's LicenSe Law tloes not ap01y to an owner ot a p�operty wno builtls or imprOv¢5 lhereOn, an0 who tloes such work himselt/he�self or through his or her own employees, provitletl that such improvements are not InteOtletl or offeretl to� Tale. If, howeveq the builtling cr improvement is sol� withln one year ot com- plelion, the owner will have tne burtlen of proving he/she tlltl not Guiltl or im- �rove forthe pur0ose of sale). I, as own¢r ot the pro0erty, am exclusivery contracting with IicenS¢tl Con- tractors to construci the project (Section ]044, Business antl Professionz Cotle: The Con[ractor'S License Lzw tices m[ apply to an owner ot property who builtls or improves tnereon, antl wbo contracts for such projec[s with a<on- tractor(s ➢cense pursvant�[o [he Con[ractor'S License Law). I am aware tbat proof o� [heir Worker'S Compensati n nsu�ance shoultl be provlEetl lo me. •� I am exempt untler Section �� B. & P. C. tor this reason Date � Own �, �a `��" G �j�'i�"' I hereby Certity�that I have reatl thi5 application antl sta[e that the abOve information is correct. I agree to comply with all cily antl county ortlinances antl state laws rela[ing to building con5truction antl hereby authorize repre- sentatives of this city to enter upon the above-men[ionetl property Jor InSpectloqpurposg5: p_ . /,< . ., ��/ _�/ej/ CS SS7/ �'6 9�' �"ds TYPE OF CONSTRUCTION NEW AOD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH�� DESCRIPTION OF WORK/USE OF BLDG. CiL� �:L� TYPE OF PERMIT LJ GRADIrvG LJ FOUNDATION LJ S7RUcruRA� ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. LiN[A�� F% oCCUPANCv CONSTRUCTIONTVPE � VALUATION$ �F9O 6— ZONE GRADING CU. VDS. ACRES Rema�ks: Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks GasService Outlets Intercepmrs Kitchen Sink Lavamries P—Trap Roof Drains ReinspeMion Fae � $15 Boiler Duct-UnderGround Duct - Structural Duct � Ventilating Exhaust $ystem ❑ Multiple ❑ Firepl/Fact. Blt. ICBO #` Heating System & Ducting ❑ai oo,000 aru � i oo,oao aT� � I I Reinspection Fee I $15 Drivers' License or 55 � � ' CMF 0865-46, rev.4/84 White - Builtling; Canary - Applicanp Pink -Atcountinq; Goltlenrotl -Assessor Showers ServiceSink . Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank . Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hood or Type I ❑ Canapy Typell ❑ Refrigeration System ❑0-t00,000BTU ❑100,000 System Repair/Alteration Issue Fee A.P. � � � S aiN�nBntt �; E I 1� T Front ,_. ARear L.�I^.��' ^� C Right Oy1 .L. 5 Left `3�_ �i� Ping. Ref. # Planning Notes:'��y� /)�,.. Auromatic Washer Constructior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispowl Generator �0-5 KW C $� Reinspection Fee FEES �_ DEVELOPMEN75ER Zoning Approved By_ Buildin9 Approved By AppliptiOn IaUed BV_ $ 3 9551 IpinSiga �C i�%!/ / 17.0" T� � 2ana �— Z O � N I N G R Parking Req./Provided E Q lce�1-'�� r ✓t M O Y� C.. u �+v S. ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors �0-1 HP 01Yh � 8 Inc.Solar �9�15 HP �16�15+ Microwave Pole Light � Range Standing Seccions 15 KW Trash Compactor $15 Issue Fee REQUIREMENTS: FEES e $ 3 SUMMARV OF FEES BUILDING PERMIT $ ��00 SMIP 5 ' � PLANCHECK $ l--r� PEFiM1T PLUMBING S ISSUANCE 5 PLAN CHECK 25% $� � ENERGV P.C. $ ELECTRI `7,�. � RAOING $ 'PLANCH�r�50% $ ICROFILM $ MECHANICAL $ OTA�FEE $ •OU PLAN CHECK 25% $ �� CONSTRUCTION AND PLANNING POOL & SPA ,AFPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Elect�ical 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-Undrgmd. 60. Backwash. Lines, P-Trap, � 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 74. Rough Plumbing 65. Electrical-Final 15.'Rough Electriral-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. REQUIREMEIVT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test ' 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑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 & Sidin9 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: � / ..�1 34. Final Heating & Air Conditioning � i r% 5 ` T � ,p .�IS /'G� % 35. Final Gas Pipe-Test � - 36. Hood or Canopy r � 37. Final'Factory Fireplace 38. Final Plumbing � � � � . 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42.-Backflow Preventer ' � . 43. Backflow Irrigation 44. .Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special �Requireme�ts Completed . 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 7]M301f3Y �� ai�N Q �! ,,,-� U �. ,.. / .r.� '�� .',� • +� i� �fiy�� ' ti � � �'r�l. , �. Lg � 133H1 S` �S�1�v{�Z. C�S 3�N30183tl 3�M301T7tl F� 80! Q311fiSN0� ;a�ti�a;ys Itl�, !D bOIS�P, n Fl�::l r,,. S �-�' Ikl i�^ ,,••.. � �J �� ' C �1.� � : � w� . �„�� ,�, �.%�_ �� :'�d�awn�v siHt .-S'�% # �"YCaA3� ...__ �...�-�.` �1��aAn r�o�lna3s!a�3a Q�V �,•1)�v7l1�.7,M1 '�NIlH3H '��ave�Old '7V�1?J1�373 8pj a3�ina3a 3aa s.uwa3d 3�yaad3s ��r�o one� a dd d �v�ni� � �— 7]N101t3tl � Calt � N Y � m m � T ,►�.__'�'��L� ' .. �" �� ' . City of Costa �41esa Build+ng Dept. gy r�,�J'/�'/ _ = DATE� 19� THESE PLANS MUST BE Ot.� JOB !�T nCl TI�1h�5 MAKE NO CHANGES WITHOUT PRIGR AP"ROY:1L OF DEPT. THE�ISSUANCE CR GfiANTI�: Gf A f•F.RMiT OR APPROVAI OP plANS FNU SPEQFICAT:GN.: S`:%+! L id01 �E CCN°TRUED TO gE A PERMIT FOR. Oft A�( AP?RO�'AI Of, ANY b'CCAIION OF ANY OF THE PROVI510NS OF 1'i.'S iODE. n0 PE�%".�i �FF.SU/dING 10 GIVE AU(HORftt TO VfG.Ai: OR �AtiCct iHE PRQViSIONS pF THlS CODE SHAII BE VALIU. cXCrpT �N 50'rAR AS 7HE WORK OR USE WHtCH R AUTHOFIZ25 IS thWFUL. THE ISSUANCE OF A P"cd��14T BA�ED UPO,N PLANS AND SPEiIFIC�iIONS 54A1t NOi FR:VENT iHE BUILDING UFFlOAL fNOM THERfAFTER aEG10iR��G fNF CCSREC�ION OF EfiROR51N SAID PlANS AhD SPEQfiCA7t0�5 pR FROM PREVEt:1�NG BUIlO(NG OPERAflONS eEINC CARRIED ON TNEREUNDEk WHcN IN VIO:ATION OF THIS CODE On OF ANY OiHER ORDINANCE OF iNE CITY. � TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Optional � Channel Block With Orre 3/8��r� Hori:ontal Top of all � Fences For Fences 5' or Less � Vert. Bars 3/8'� at 4' -0" O.C. For Fences Higher Than 5' — Vert. Bars 3/8"� at 32" O.C. Fill Cells Solid With Grout — Where Steel Occurs Reinforcing Steel.Shall Conform to Sec.A-1539 A.S.T.M. All Steel to be Lapped 15" or to Cocle NATURALGRADE TWO 3/8" BARS G—� CONTINUOUS70P I & BOTTOM _�.� � O u a = � � u Y W a = a > Z a i� W O —Ni10T SEE CF BELOW fOOTING REQUIREMENTS GENERAL- NOTES MORTAR: pne Port Plastic Cement, and Thret Parts Sand GROUT: , One Porf Cement Three and One Holf Parts S�and COPING: One Part Cement, Three Paris Sand CONCRETE: WQII Mixed 1- 2� : 3%2 Max. of 7%2 Gallons ot Wafflr Per Sack of Cement GROUT MAY BE POURED FROM TME TOP OF TME FENCE CELlS AND AREAS OF HOH120NTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL NqRTAR DEBRIS, ETC. BONDS SHALL BE PROVIDEO BY LAVING BLOCKSINSTRETCHER COURSES50 THAT VERTICA� JOINTS ALTERNATE IN EACH COURSE. fN OF EARSHTCOTH " i/J THE HEtGTH OF �FENCE ��OW. BOTTOM.OF FOOTING. � SCALE: I/2�� = I' WALL HEIGHT 6� 5� � 4� 3� WIDTH oF Foo71NG 14° 14'� 12° --' 12" THICKNESS OFFOOTING 10�� 10�� 9" 6" DEPTH OF EARTHTOOTH 24" 20'� 16" 12� SPACING OF EARTHTOOTH 12� 14� 16� 16� OWNERS �NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ City of Costa Mesa, California �°B ^ooREss: _ _ _ _ _ _ _ _ _ _ _ _ _ _ Building Department � AFFIDAVIT GENERAL jTATB OF CAI.II+OANIA,� - - � �.OUAitJ O%�iSI1pA e& Bsnvc Frnsr Dui.x Swoxx, deposes and says: I t'�e undereigned� oP legal age and legal resident of Costa Mesa. Orange Coanty� State of Califoraie� and owner oY Lot No. 1Q4. Tract No. 5698 ad,acent, or bordering on bot No. 105, Tract No. 5698, the owner of which is Leon Calina, both lots recorded in Book �18 ot miscellaneous maps in the o3fice of County recorder oY Orange Connty, do authoris e my neighbor. above mentioned� Leon Calins� to bufld a block aall in accordanca to plan and speci�icstion and apqkication Por construction permit. `,�-�.� � � Sven Landb OfFICIAL SEAL SNERRY D. GREEN w �. NOTANY YUB4C G��ONNIA r YqtNCIP�I Oi(ICC IN � ORANGE COUNTY � My Commissian Erpires Nov. 28, 1986 Svasa�en and swom to before me this 27th day of Augiast lg 84 � -1 ow � �✓' !J i' V�C�v✓ Notery A�bllcUn end for sald Staro. Sherry D. Green AFFIDAVIT-GENEN�L TW� �hoAud /px0 ppven mmt o�o�l b }� WOLCOTT8 FORM 290-REV. 8-62 �� a �� m Y� �� Vm m 1� 801� mdltlmd• BdGm w�l lYd a' � m��pb. C�ole . lawve* a roa dacbe t8e fa�. emr. t� � ymyc.e. mM:�H KM:H :r JOB ADDRESS ' or una� V GV-O7 Ih'lv2 ' BUILDING PER11[IT NO. olstein DESCRIPTION OF WORK z'es.. W 8t1 TRACT 5 FIRE ZONE VALUE $ 23�350.00 Signature Date GROUP IBuT TYPE V ZONE SUBCONTRACTOR I „_._P�n ITI � ,.. � 24576 ��TY OF COSTA ►°`SA 'COSTA MESA BUILDING-SAFETY D�, .�.RTMENT I `� P.O. BOX 91] COHTA MEBA. CALIPORNIA ni ir. i q 1965