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Home My WebLink About613 19TH ST - Building PermitsPfl01ECT110URESS: "6I3 �FI 19TH ST OWXEH'SN�ME: CASCIO anoxeu: Z RUE CHATEAU ROYALE � . NEWPORT BEACA CA 92660 (714)760-1410 i� �flCH/ENGINEEB: RUGHESS: NEO.NO.: uxrt: UNR: PEpMITTEE: DOM CASCIO ( 714 ) 760-1410 ^oo"Ess: 2 RUE CHATEAU ROYALE NEWPORT BEACH CA 92660 , LICENSED CONTMCTOB OEIXAMTION: I here0y affirm ttut I am IicenSeA unOer pravislons ol Clwp�er 9(wmmencinp wltA Sectian � 7000) ol Oivision 3 oi IAa Bpsiness and Pmtessions Code, an0 my licensa is in full torca anE etlecl. CITY llt.: 8711TE LIC.: LUSS: Oate: Sqnature: , WORNEHS' fAMPENSATtOX OECUMTION: I Irere�y affirm Wt I luve a urtifiwro ai m¢ent to sdl-i�ure or a aNfkate al Workers' � ComPe�u�on InSurdnce. or a ceRifrcO coDY Neteot (5ectim 380D. Lab. C�. PoIILY NO.: FRP. U�TE: LOMPANY: r] CeNfieE mpy Is �ereUy ry�MsAeE. ❑ CeNfieE wpy is fYetl wiU Ne dty BWOinp Divlsion. ..ate: MWiam: ' . aunmaM FxoM vroxrtma• coxrw�irox o[ewuirox: f� seam rcea na x mm�ea a me oam� m mr me nu�weo Itioo� a�ss). I cenity ttwt in Ne pertormariu oi tM xrork lor x1uch N¢ pemN I5 LccueO. I stutl irot empoy a�ry person in am/ manner sa az to Eewme suhject to tM WorNers' Campensalion Laws ol Califomia. ' Date: Sipnature: � NOfICE: If, aher malanp th6 tleclaatlon, you 5Iiw10 bemme suEject to tAe Warkers' Compenutim Orwisrons ai t�e LaCor Catle, 7rou must torthxltp compry wit� wU provisiore or this pertNt snall he OeemeO�revokeE. CONSTBUCTION LENOING AGEXCY: I �¢aEy amrm tAat l�em ¢ a comVucGon IenNnO a9ency lor tM petlormanca ot Ne wark tar wAic� t�is permit is IssueO (Section �W7, Civ. C). LENOEfl: I 1100flE53: OWNEB BUIlAEB OECUMiION: I Ircre�y alfirm Itwt I am uem0� irom tM Contacfors' State Licrose Law Im Ihe fqbwinp reason (Soctbn 7091.5 Business anE Pro:esslonal CaEe: My titY ol cowry wlticli reQWra a permit ro wnstnxt, altu, imD�%'e. Eamolis�, ar aDair any sVucture, prlar IO its Lssuance, also repWres Ne apWkant lar wU permii la IOe a sipne0 sfatemen� that �e/slie I5 Ilcensetl pursuanl Io I�e DmWsionS af �� ntrattors' Slaie License Law (C�aD�er 9 gommendnp wil� Sectlon 7000) ol Uivision 3 0l IAe Businass � anU Pmtesslons Cotle) or t�at he/she is exempt t�emfrom anE tAe bazis tor tAe alle0e0 exemD�ion. My Nolation al Secllon 7031.5 Ey any aDDllcant lor a Dermit Subjects IM ap0�icant to a dvil penalry 01 mt more than five AmMreC OOIWrs (5500). I, as ovmer ol the properry or my emp loyees wIN wapn u Neir sale campen5atlon, will Co NB work, and the �❑ slrucNre Is noi intepOeO or otlerM lOr s�le (Sattion 70Ad, Buslnus an0 Proleaional CoOe: Tne Contactors' Staro Licenu Law daes not apoN �o an ovmer af a propeM ��ds or improves ttmreon, aM vrtu eoa wcn work Nmseltmersen or tluouyn hh or Aer own emp�ey, prouiOeO Wt wN improvemen6 are roI inlmOM or oflere0 lor sala, tl, tnwever t�e Eulltlin0 ar ImO�ovement 6 soltl vriWn ane year ol mmpetion. Ne awner will tuve Na GurGen af provinv �d¢M Ola no� ouiiE or improve Por Ine ouryose ol sa�el. I, u�owner ai tM prope�ty. am eKUusivery cmVactlnO �U l�nsatl wnUactors to wnslrucl lAe D�olect (SecUon 7010, Businass ❑ end Professlons CoGe: The Coniractors' SWte License Law Eoes not apDN �o an ovmer ol O�Darty who hml0s or improves IAeiean and w�o comracts for suc� D�at� �iN e contactor�s) Ilcense Dursuant lo t�e Contacton' State License Law�. I am awam tlut Drool al tAeir Worker's ComPo�:lbn uaurance 51aW0 Ee DrovWeO to me. � I am eMemp� unear Section: B p'J Q Q Q B. 8 P. C. munrs reason: pI,L WORIC BY OWNER — Date: S—.3 C7 —� O p.mr. I Eo OereEy cenlry t�at I am aware ol aM unEerslaM ttre reQuiamenis ol Glilomu Hevth anE Safery CoOe Sectians 25505, 255J3, anU 25531 anU t�at 1 or any tmy�e GulWinp oaupant wllWrill not (arde one) nee0 ro mmpty wit� uN stata coAes an0 Ne repulamenls lar a � p¢rmit tor construcibn or moEiliwtlon irom tAe ATr �'ry Ma nt OisWct. HeaCential wnstrucllon aODliwtions are exemD� hom tnese a 'sbns. . Date: D Appticanf I �ereGy ceN t I turo r¢� �li¢ Nplkation an0 sute WI Ne aUove Nlwmation is cortal. I apree �o co all ciry anO counry orOinanus ute laws relatlnq ro Eu00Np crostruc�on anE tereEy e� e rtpresentaWes o1 Nb dry m tne anwe�memioneC ' OmDenY lar spectron purp�es. • Oate: -�� 3� � �� S�p�ture: � onver's uunse or sacia� 5ecudry x: W�iro—BuilOi�q; GroBrCotla Entorcemant: Cenery—Appfcan4 Pink—Ravenue; Gokanro6—Aveasor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BP 047542 PEAMIT NO: BP 047542 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU STR PURPOSE: DEM � JOB DESCRIPTION : DEMOLISH SINGLE FAMILY DWELLING SQ FT: r CLAIM VALUE: 1,000.00 CALC—VALUE; 1,000.00 GROUP OCC: R-3 / COMMENTS: �rx��r**it***��e�r�r*it*�e��exit�r*�****�rit�r�r��r�r***�r*x*+rx***it�r�*+t***�+r*�r**�r*�**��**��*�*w* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ---------=-- MAIN HUZLDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING RE�• PROV: PARCEL: 42214209 ZNE: REF NO: PLANtJING N Y'ES> > if if ik it 1f !F iElE M iF jf tf iF'lE if fk iE iE it iklf !f !F iE iE if 1E it it if if !F iElf !f iF iF if it iF iF ik iElE iElf !k i!'M!! jf 3! 1t i! it 1f it ik �E it iE if 1! iF fk iF 1f ik iF iE iE iF iE it iE if iE 1E i6 D E V E L O P M E N T S E R V I C E S: A E Q U T A E M E N�T S �: ' � ZONING APPROVED BY " BUILDING APPROVED BY : APPLICATZON ISSUED BY: . � if if iF ih if i! ik 1f if 1t if i! if iF if 1t ik it iE if it it it if iF ik if if i! ik iF it if it iE iF ik ik it k i! if i! if ik i! k if it 1f iE it if if i! iflh it if it it iF if 1k iiit if LEGALZ2ATION:N F E E S U M M HLDG PMT PERMIT 25.00 PLAN ISSUE FEE DATE: -� DATE: � 99� DATE: ��D 7F�3F1t4ikifilififif%if NiE �! ifiFiFkifillkihkifMitlflkiElEifikiEMitlElEifklfififiE�kik R Y STRUCTURAL SEGMENT:Y PLUMBING ELECTRIC. MECHANIC FIRE SMIP/RES GRADING 2 . � � 252 SMIP/NON—RES .50 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 27.50 3.�0 0.00 30.50 30.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 30.50 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 25,�� 5,�� ,5� if if it if iklF f! ik ik ik ik if if N if ik 1F ik 1k �f if i! 1klk ik k ik k if 1f k iF �k if 1f it k!F ik if if k ik ik M if k k if k it k if ik ik i! 1f it iF if ik if iF ik if k ik if it it ik 1! if if ik i! k if ik I N D I V I D U A L F E E H R E A K D O W N TYPE QTY PLU 1 D E S C R I P T I O N SEWER CAP / DEMOLITION END OF FEES UNIT COST TOTAL COST EACH 2,00 2,00 01 OOG619S6—�C�0619$8 T C� T 30.SQ� DATE: 05/30/90 TIItE: 09:57 _ _,_. _ • . CONSTRUCTION AND PLANNING POOL . .PA . Date Inspector Date, Inspector APPROVALS Permit # . APPROVALS Permit # .�/ - 1. TemPorary Electrical $ervice or Pole 52. Pool & Equipment Location �• ;, 2. Soil Pipe-Undrgrnd.. 53. Steel Feinforcement ' �� '. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � . 4'. Electrical Conduit•Undrgrnd. 55. Electrical Bonding ' '- � 5. Steef Reinforcement 56. Rough Plumbing & Pressure Test 6�' Elettrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE -'7.��Footings � 58. ElectricalConduit•Undrgrnd. �� 8. Foundation ' . 59. Gas Pipe, O Undrqrnd., Test . '`� ' j 9.. Water Pipe-Undrgr`nd. 60. Backwash Lines, P�Trap, O Undrgrnd. �'' � ., 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line &-House Connection 62. Backwash & Receptor�Final �.!� �� 12. Sewer Cap ?,7(�v L(D 63. Heater & Vent-Final l , �' .. 13. Roof Drains � 64. Plumbing System � Final . 14, Rough Plumbing 65. Electrical•Final ' 15. Rough Electriwl-Conduit 66. Solar SYstem-Final %� � 16. Rough Electric Wiring 67. Fencing & Access ApProval � i 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING ' i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' � 19. RouBh Heating & Air Conditioning , FIRE DEPT. REQUIREMENT . 20.�Rough Factory Fireplace , ' , ' � � � -APPROVALS � Per'mit # 21. Ducrs,in�Structu�e � �_ � ' `70. Underground�Hydro . 22. Duct's, Ventilating�' � - ' � �%71. Product�Piping �Gas OOiI 23. Gas Pipe�Rough & Test . � -� 72, Undergro�nd Flush�- �' ' 24. Roof Framing �. � �73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 7q,-Qverhead Hydro . 26. T�Bar Ceiling (Structural) & Monocoat 75; Dry Chemical �. � 27.� Frart�e and Flashing � � 76. Dry Standpipe ' � '. .. 28. Laihing`&Siding , - � . , � . 77,�FIXEDSYSTEM,FINAL , • 29. Insulation • • : • � ` 78:,FIRE PREV. FINAL ' " � �30. Drywall Nailing . � � � , FIEALTH DEPT. REQUIREMENT _31. Plaster Brown Coat- . �� • 79. FINAL INSPECTION .32..EIecSricaLPower MeterF,inal ' % �; � 80.'FOOD CERTIFICATE ISSUED : 33. Final Electric � � '�' ' Notes: , � � � 34 � Final Heatiny�& Air, Conditioning ' , • ' -• � � � 35.'Final Gas Pipe•Test � ' . _ 36. Hood or Canopy ' , � ' � ,.. ' - � 37. �Final Factory Fireplace - . � � - " '�38. Final Plumbing • T �� -- ,.ZJ �(D L�r. :' -- ' �39. Water Service-Final�� - � -. " • • •. 1 40. GasService�Final �. , " . -- 47. Solar pomestic-Final � � � � � -- � � • 42. Backflow Preveoter ' : ' " � . 43. Backflow Irrigation . � � 44. Landscape Irripation SYstem � � - � . , ' ' , � 45.� Sound Attenuation , . .. - . . • "46. Hand�eaP Regulations � 47.-FINAL STRUCTURE & BUILDING (0 7 QQ (�iD, - 48. FINALPLANNING 49..Eiectric Retease to Edison , , • 50. Gas Release to Southern California Gas Co � . �' 51. CERTIFICATE OF�OCCUPANCY ' No. Date CDSTA ON P��tMIT Appllcant to fill In all s0aces eacept tnose wit�in �eavy Eortler Iines anE sl9n all apOroprlata Ceclaratloni. PEfi NO TRACT NO LOT NO. UN17 NO Applicant's Address y _ •'�/ A A�dtl eu N��i�l Glf� l�C, D�}G� Arch/Eng. —�!_Y Licenu No. Adryress � � Contrector's Nama � � �� Phone i Atltlress (mailingl City License No. � �� L�CENSED CONTRACTOR•DECLARATION I hp�¢by aHirm tnat 1 am IlcenSetl untler prOvisiOnS Of ChdrtM 9(comTencin9 with section 1000),of Otvislon 3 of t�e Buziness antl Profe55ions Cotle, antl my license is in (ull foice artl eitect. License Class License No. Date SlgnaWre WORKERS' COMPENSATION DECLARATION ' hgreby at(frm that I have a cerUffrvte ot consent to sel!-insure or a certificate WorkerY Compensa[ion�lnsurance, or a certifietl copY theraof (Section JQ Lab. C.) ' � Polity No. �- -' - Company 8 Cer[ifietl mpy i5 hereby fUrnlsh¢tl, Certiiletl copy Is.liletl'with the city Builtlin9 Division. Date ' Applicant EXEMPTION FROM WORKERS' COMVENSATION DECLARATION (Tllis section neetl not be <ompleteG it the permit Is for one huntlretl (5300) or Icss). •.. I CQrti1y [hat in tlte' Oe�forTdnce O� the work for which th{5 perm�t ii ISSuetl, I Shap nOt emplD any person in any ma er as to become Subject [o the Workers' p ' n 4aws of Calif ia. �/'� Date Si9nature N071C t, a i akin9 this tleclar ' n, yo�f shoula become sub�ecl fo the Warkefs' COTpenSdtion OrOvl5ion5 Of th¢ LdbOr Cotle, y0u must f011hwith co�nplY �+��n Sucn provl5ion5 O/ thls pe�mlt inall bG deemGtl �Bvoketl. CONSTRUCTION LENDING AGENCV 1 boreby afllrm tnat there iz a consVuction lentling agency for tne perlormance ot tho work lor wbicn IniS permit i5 issuatl (Secllon 309] Civ. CJ LRntler's Name Lehtler•s Atltlress OWNER BUIIOEH OECLAFATION I �er¢bv atOrm that I am exampt trom thn Contractor's Ucense Law for the also ie is nefrom and tne oas�s tor tne ano9ea exemp�ron. 'any vm�aamn o� �rcuon )1.5 by any applican[ ror a permit subjects tne applicant to a<ivll ealty of not more than five buntlred tlollars (E500). 1, as Owner ol IM1e prOPerty � la will tla t�e work, antl th¢ sVUCture 15 not in[entletl or otferaC or sale (Soctlon ]04a, Business antl Vrotesslonal Cotle: Tho Contractor's Li�¢nse Law tloCs not apply to dn oWner 01 a prOperty w1�0 bull75 or iTproves th�reon, antl wlto tloes Such wO�k him5elt/hOrsell Or In�ou9h his or he� own CR�Oloyee5, Provltlntl tha[ such Improv¢menls dro not Intentletl or otferetl for sa�o. If, howaveq the bulltling or improvement is soltl wil�in one Year of com- P�OIIon, tM1e Owncr will have tha bU�tlen of proving he/she tlitl not bui1C or im- �Ove f0� the purpo5e of salo). 1, as ownar of Ue property, am ¢aclusively contractinq with Ilcanzetl con- tractors lti construct the project (Section 7044, Hustness antl Profesilons Cotla: The ConVaclor'S License Law does not appty to an owne� of properry who b�iltli or Improv¢s thereon, antl who cOnVaGts br such prOjtcts witb a con- Ilaclor(5) lit8nse pursUant to thp ContlacfOf's LICenSe Law). 1 aT aWar¢ Ihat PVOof of Iheir Wo�ker's Compen5atlon insu�an<e Shoultl ba prOvitletl to me. � I am exempt unpgr �ction �-�.-_�— Be 3 P. C. for this reason Date 1 have reatl this I agree to compl to builtlm9 cons ' to enter u0on Drivers' License or 55 � � 3 33 5�/ TYPE OF CDNSTRUCTION NEW ADD ALTERATION REPAIR � ❑ CONVERSION ❑ DEMOLISPI d OTHER �/AESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ /E�LECT/R�IC/A7L/' ❑ PLUM/�BIN ❑ MECHANIGAL ❑ OTHER �d<�/a-G�-`Tl//� PROJECi DESCRIPTION SQ. FT. OCCUPANC/ v�_` CON STRUCTION TVPE VALVATION 5 J_J_Ql 20NE GRADINGCU.YDS. ACRES__ Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Ouclen Intercepwrs Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fea � $15 Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ P100,000 BTU � 100,000 6T Reinspection Fee � $15 CMF OBfiS-46, rev. ]0/84 White - Bulltlin9: Canary - APD��ant; Pink - Accounting; Goltlenrotl - Assassor Showers Servite Sink Sewer Cap' Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinel Water Closet Water Heater Warer Service - Auto-Wesh laue Fea Hood or Typel ❑ Canopy Type II ❑ Re(rigeralion System �41 W,000 BTU ❑ 10p,0p0 System Repair/Alteration Fire Dampers Registers Isue Fee S 3 S 3 A.P. dp S Main Buildi E T FrOnt B Rcor A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Su6. Cooking Uni[ Dishwasher Fen F.A.U. Fix[ures Device Boxes Outlets Switches Garbage Disposal Generator �0�5 KW Fee 9862 5/G4/�� Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50 + KW Meter []up [o lOpamps Meter �over 100 amps Sub Panel Morors�0.1 HPdiK-8 Inc. Solar �9-75 HP 016�15+ Microwave Po7e Light Range Standing Sections 5-15 KW 7rash Compnctor $15 laue Fee OEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By _ Building Approved By L'5,.:i.'� il FEES $ 3 2 O N I N G R E a M T S SUMMAR O�F /F�EES T BUILDING PERMIT $ o!. �- W$MIp $ . S(J PLAN CHECK $ pERM1T PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ -ENERGY P.C. $ ELECTRICAL S GRADING S PLANCHECK 50% $ MICROFILM 5 MECHANICAL S TOTALFEE $ �� PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA + r• ^ Date Inspector Date Inspector APPROVALS Permit'# APPROVALS Permit # r' 1.�Temporary Electrical•Service or Pole 52. Pool & Equipment Location ' r_ i, 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elec[rical Conduit-Undrgrnd. 55. Elec[rical 8onding � 5. Steel Reintorcement � 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 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 & Acce55 Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T 8ar Ceiling � 69. POOL/SPA SYSTEMS FIN,SL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �:� i ' �- 20. Rough Factory Fireplace APPROVALS Permit # � 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI� 23. Gas Pipe-Rough & Test . 72. Underground Flush �'r� 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro i" � 26. T-Bar Ceiling (Structurel) & 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. REQUIREMF�NT y, 31. Plaster Brown Coat 79. FINAL INSPECTION � � ' hr � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �� 33. Final Electric Notes: - ' 34. Final Heating & Air Conditioning ;�-� � 35. Final Gas Pipe�Test �' �>� , ;.i 36. Hood or Canopy �;,:>' �; � . � 37. Final Factory Fireplace • ,1s,�� ' i 38. final Plumbing ' `� �; � �• 39. Water Service-Final � •��! � a r r • 40. Gas Seryice-Final � " '� �j'i��Y, � i,.•1, . r� 41. Solar D"omestic-Final ' � � •� � / /' ti i ; 42. Backflow Preventer • ' � ; :.� ;' ;i, i i:s;�r i43. Backflow Irrigation � . - ��.r,,_ �/� ; : �- � 44. Landscape, Irrigation SYstem � � ��-, . '�45. Sound�Attenuation ��;/�; ' • ' 46. Handicap Regulations k j � - ,, •�1 ., r, J' V 47. FINAL.�ST'RUCTURE&BUILDING �� ' "% /� vL 48:,Special Requirements Completed ' � �d � t- 49. Electric�Release to Ediso� ; . ' -�i „' L_y 5b. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY � No. Date � � -�_ . � Avp��canl la fill �n a�� soaces witnin heavy boraar Ilnas anE sign all aoP�ooriala eeclaralions. CITV�OF COSTA MESA PEf1j.11T NO. .��CT NO. O. •BLDG. NO. �CONSTRUCTIONPERMIT — M��.aAiR' t 3430 B/14/81 26090 1 Projec2 Address /(/�/ TVPE OF CONSTRUCTION OWn2f PhOnC -� �NEW ❑ ADD ❑ ALTERATION . Addf2ss 5 T S�G� ❑'REPAIR ❑CONVERSION ❑DEMOLISH zONINGREGULATIONS ' Arch/Eng. License No. ❑ OTNER _ D SCR�P ION OF W(� A'P' � � AddtCss ,�y� ZONE PLNG. REF. � Contrectar Phon TVPEOPPE I d I�IL�qWG � Addl2u S� SETBAC T. R V LINE {� -� i ❑GRADING ❑ FOUNDATION �STRUCTVRqL SID VARD LICENSED NTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA L5Ep E � t horoby af/irm thdl I aT Ilcenietl u0tler provliloni Of Gharte� 9(COm• ' � RIGHT � mantln9 wlth 5attlon 7000) of DlviSion 3 of Iha Businaii antl ❑ OTHER Protasslons_ Cotla, antl my Iicense Is in full force antl effec[, pROJECT DESCRIPTION REAR VARD (TO P/L) Litense Class LlcanSe No. ' PKG. SPACE REQ. PROVIDED Data Si9�ature 5�. FT.�� WORKERS' COMPENSATION DECLARATION OCCVPANCV �� CONSTRUCTION TVPE � STREET WIDTH PARK FEE 5 I hereby affirm [bat I have a certificate of tonsen[ [o seiNniure Or a VALVATION� O� ZONE ZONING APPROVED BV DAT wrtififata of Workers' Compensation Insurante, or a certifiatl copy thereof (Section 3800, lab. C.). GRADING CU. VOS. ACRES SPECIAL CONDITIONS: "'cy No. Company , artifletl topy Is hereby turnishetl.' REMARKS: ' ' ', ,;ertlfietl <opy Is tiletl wllh tha city Builtling Olvision. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectlon ntetl nOt b< COmplet¢tl if tha plrTit K fOr onG hunOfGtl� - - , - , SS100) or leu1. - cartlfy Ihat in tha performance oi [he wark tor whicn this permit is issuntl, 1 shall not emPloy any person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK sub�ect to the Workers Compensation Laws ol Glifornia. ' Date Si9nature BATHTUBS SHOWERS NOTICE: It after making thli tleclaratlon, you shoultl becoma sub�ect TOILETS . - VRINALS GENERATOR p.l KW_1-30 KW to the Workers' ComDensation provlsions at lhe Labor COCe, you must TRANSFORMER - - forthwith comply with suth provisions or this permit shall be tleemotl �VATORIES DOVBIE LAVS APPLIANCE 30-50 KW_50+ KW rovOkOtl. CONSTRUCTION LENDING AGENGV KIT. SINKS DISHWASHERS MOTORS 0-1 HP_1-10 HP ' I hereby affirm tnat there i5 a�construction lentling agency for the per- SERVICE,SINKS � SUMPS UN0. SOLAR) 10-50 HP 50 + HP formance o/ the work tor wbich this parmit Is Iszuetl (Settlom 3097 Civ. CJ. � I �! �� (� FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lentlor's Name - ' - Lontler•S�Atldress , ORINKING FOUNTAINS GAS TUBE SIGNS OWNER BUIIDER DECLARATION ' INTERCEPTORS GLARIFIERS POLE LIGHTS - ' I �ereby attlrm that I am oxnmpt (rom.cha Contracror•s License taw4or, the followin9 reason (Section 7031.S.Businei5 antl Protei5ions Cotlo: SWIMMING POOL PTRAP Any cily or- tounry whicn-reQuires x- permit to'construct, alter! ---- 70LE5 METERED SUB Imp rqve, tlemolish or rapair any structure; prlor to Its iszuance,also re�� yyqTER SERVICE ALTERATION PANELS MAIN SUB qulras tho appllcznt,tor such permit to tlle a signetl�statement that ho � is Iltensetl pursuant to lhe proNSioni of tho Con[ractor's LlcenSo Law GAS SERVICE OVTLETS SERViCE AMP (Chupter 9(commencing with Settion 7000) ot Division 3 0l tha Business antl Rdes51on5 Cotle) or that ho is exempt therafrom anG tM1e y�qTER MEATERS BTU OUTPUT ba<Is for tne allegetl ezamptlon. Any Wolalion of Section 7031.5 by vpplicant br a permit subjecls the appli�nt to a civll penalty SEWER CONNECTIONS ' It more t�an tivo huntlretl tlollars (E500). L. as owner of the property, or my employces with wages as tnelr SOLAR TANK COLLECTORS sol¢ �<OTp¢n5dtion, wlll tl0 Itla wofk, antl the stfuctufe i5 nOt In[CntleO or of(eretl for wle. (Section 7044, Business antl R'ofesslons Coaa: The SOLAR PIPING SVS. �SSUE FEE Co�tratlOf'S Lit¢n50 Ldw tloe5 not apply to 8n ownef of a Droperty who builtls or improves thoroon, antl wno tloes sutn work him5elf or ISSVE FEE A7PLICATION APPROVED BV DATE [hrough his own ¢mployee5, provltletl that suclt Improvemenl5 drC nOt Intentletl oi offeretl tor sale. If, however, the builtlln9 or improvement MECHANICAL P�AN CHECK . I5 soltl wlthin'onc year ol completion, tho ownar will have the burtlan . SUMMARV OF FEES ot prOving he tlitl not Dulltl or improve 1or tho purpose of sale). HEATING SVSTEM 0-300,000 BTV BUILDING �� ^ � PERMIT §��Q_ SMIP. E�" � ❑ I, as owner of ihe property, am excluilvely tontratting with qNDDVCTING ��.� PERMIT Iicensetl contra<[ors to construct tbe pro�ett (Section ]044, Businesi 100,000 + BTU PIAN CHECK S antl Professions Cotle: The ConVactor'z Ucenso Law tloes not apply lo ISSUANCE E an owner ot property who builtls or improves t�areon, antl who <on- REFRIGERATION 0-300,000 BTV PLVMBING E ' lracts trom such projetti with a contractor(s) Ilcesnetl pursuant to SVSTEM •- �- • GRADING S t�e Contractor's LJcense Law). 300,000 + gTU �� ' .� ��- �� PLAN CHECK S ❑ I am exampt untler Section 8. d P. C.lor thlz BOILERS BTU ELECTRICAL y ' b ieason PLAN CHECK g MICROFILM $ Dat�,�Z �'u-8� Owner . SYSTEM REPAIR,.ALTERATION MECHANICAL E TOTAL FEE E 1 heteby certify [hat I have reatl t�is a Iication antl Stale lhat Ine above EXHAUST $VSTEM . MULTIPLE � . LE55 AD- IMormaUon is mrrect. I agree to omply wilh all dty antl counry PLAN CHECK E . VANCE PC S oltlinanRs antl State lawt reldting to cOnstruGtlOn, dntl h<rtby autholli¢ ' ra0rG5entaHveS of [his tlty l0 enter upon the above mentlOnetl property (or " pectlon purpo ��l(�� Slgndtur¢ DaterLjL.�'LL ' FINAL FEE E Orivers' License or 55 � �SSUE FEE Cmr utlba-Vo wmie-nuuamg; wna�y-nYVuum, un r��.wu�u ny,.a u....-..aaoa... CONSTRUCTION AND PLANNI{�NG-'�^ ` ' POOL & SPA _ APPROVALS Permit #� Date Inspector - qPpROVALS Permit # Date Inspectbr 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location Soi ipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn � . � 46. Electrical.Bondipg . tee ein orce `47. Rou h Plumbin & Pressure Test 6. Electrical UFER Grn ` ' 48. APPROVAL TO COVER-GUNITE 7. Footings ' '� S .$ t 49. Electrical Conduit-Undr rn 8. Foundation - - 50. Gas Pipe, ❑ Undr m, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ n r � 10. Structural Floor System 52. 'APPROVALTO DECK 11.• Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Stieet Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � 14. Rough Electric-Conduit ' �56. Electrical:Final 15. Rough Electric-Wiring - � 57. Solar System-Final 16. Rough Heating & Air Conditioning � • encing & Access Approval - - .- 17. Ducts in Structure ' APPROVED FOR PLASTERING 18. Ducts, Ventilating ' 19. Gas Pipe-Rough &Test - �60. POOL/SPA SYSTEMS FINAL � . 20. Roof Framing _ � 21. Roof Sheathin - 22. Frameand Flashin NOTES: � �o 23. Insulation 24. lathing & Siding �� d 25. Drywall Nailing - 26. Plaster Brown Coat � 27. Electrical Power Meter-Final � ' � $ 28. Fina� Electric 29. Final Heating & Air Conditioning ' 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final ' 34. Solar pomestic-Final 35.. �{.andsca e S rinklin S stem . 36. Sound Attenuation � 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING , Z. _ 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. � � 42. CERTIFICATEOFOCCUPANCY , : , No Date .., ..- COUN'IY OF ORANGE BGTII.DII��G DEPT. 636 No. Broadway Santa Ma, CaliEornia Phone: KI 2fi211 a '1 Pcrmit No...d./...7.�..�.-- Application for Building Permit AND FOR A Certificate of Use anci Occupancy �uN6lo Sv Date.. �.... - .............. 1. OWNER'S NAME..... -.....SN./Lt.,.......�.:.......�E��.Kf�.....�..R.-'- .............:.......... PHONE:.....�. _�-_�_y_%- MAILINGADDRESS.........�..�.�..---�-�-AN_A�G!.�..�.�'..... �..�.�..... CITY_....�:'.d�'J.F;,_..�+.��.�./� � � ,.+�"" '�.' "�— �~ -..:..:aa _ Name ......... ..... .. ..._ ...... ....... ..... .. .... - .: Namc , �i'�+w--�- .... _... (Architttt or Engineer) � � (�*acror _ � ./� G-�/� . �—'y Addres�._%�-�"--_._/.:_l.._�.`...i..'....'.5-"�--...:..,`.`..-- ............. Addres � - wr��.mw � ""'-"__ . _ _ ......-. . . ' �:.+. _ . _ _ .:�.,. ..- . c�� L o c_T..t1....._...I. �. ES A c,�y ....-.:� _ .....................:... -_ Y ........................ ............_.................................. ..--'-"-...........-'-".....---....... . .�.... State � State ��'� Lic. No......-- - .....- _._ ..._.... Phone ...... ...:.................. .. Lic. No............ ..................-- P �ee!er�^- PROPOSED USE:.........._....._ e . ;_ ^ ' .�i,:� �" =,� •� I -`' - ...........................- _.................- -.......---................................... -............ .._.._ -....--..._. / q h C<- �,0 IOB LOCATION .... lP I. 3..- -..... --...8-�! --`..:_........,2._L..:........._ ..............C.1�.5.T.f1...... J%.��_A -........__........... - I (House No.) � �( -(Name of Sveet) (Town or School District) LEGAL DESCRIPTION: Loc........_..._I.� � .............. Tract.. ,.�� .. . � � .......................sio�k .................................... N Pr�R+...M..S.R (Meces and Bounds Desaiption—Use reverse side of (orm) CORNER LOT (. )- INTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( ) , � �` ' ` �e v a SIZE OF BLDG.:�_�._.X.�`I....... -AREA:-.��__�-=:�_..�.'�.T..SIZE OF LOT:...�(�.._IO..X._��o....AREA: %-�.%.�...��,�`f. HEIGHT OF BLDG.:....._.....L.I../.�..,'..-_-.......CEILING HEIGHT:-.__._�_�_......_---._--NO. OF STORIES---.---....I.._-_-.-_.__... . / /Y i� / / NO. FAMILIES...��.........( .......................Size of Smallest Bedroom;--..�d...!1...�...............---... Si:.e of Kitchen.....L...X.I`.�.C.---........ EXTERIOR WALL CONSTRUCTION:_:_S.TU�_�_D_.__..._.,__�NTERIORWALLCOVERING......�.�.y�5��..L..,.,...... (Framc, Smcw, Em.) PlastcrvD II, Etc. i R'� ) SETBACKS: Front Yard From Center Line of Sveet............��..._ �. � ................_.......................... ...................__....... - .....- � � i , �- p Nearest Sidc Yard----...� .............Rear Yard..I�'?.............Distance in Fcet Between Bldgs. on Same Lot...... 3.................................. 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 1 �l . �l 1]. ' For (a) Footing: Width_....l. �........----._:....----.Depth in Gro�nd.......�. �-------------Width of Wall------....-----------...._.. Accessory Bldgs. and ' 0 �� (b) Size of Srods:..�...i�.�.k �.....Spacing----....�.?..........-_"CC Similaz Structures: • Material of Floor..... �....;. :�� " ( r> ' � . .................... - - F��I�HlF69' 9/ i (c) Size of Floor Joists :..........................................Spacing._ - -.................................."CC , . .. I/ (d) Size of Raf[ers:._......._t�....!Y. �...... -- ............Spacing--- ... --......�.� ............ ..CC 72. VALUATION OF PROPOSED W ORK: ndudin all labor, plumbing, clectrecal wiring, heating, fire sprinklers, painting and sewagc disposa] 5......w.�f-.—<...5:�� .. �1 13. I riEKEriY"C,'EtCTIFY THAT�TO-?YIE�BEST�OF MY KNOWLEDGE AND BELIEF THE INFORMATION ]N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OP THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. `� Signed:....lN ..��C � ... ..... ........................................ �-..a........ ..._ A. ...e�-�i�..... � . / C/ �'��Avt� l 3 � .... Plans Filed:.......... b--_— � — �� (Oaner) ....................-......-'--......_............. By:.........._.... ............................'•---......................................� ................ (Authorized Agent) � , FOR DEPARTMENTAL USE ONLY Bldg. Permit Plan Check Total - - Receipt No. Paid to - +' M—e-Sf FEES: $.../ �. °.d ............... a ci � 5....-�`�-o' ------"-'--• _ �. DATE....._LJ-..-��..._'. S. _a-- - -- GROU P...� ..................... �' , TYPE-- ---� ....................... DIST. L '/ MAP......... /..�. `�....----......... SHEET NO..,,.5 .................. ZONING ....v'--.......... PLANS AND SPEC'S ......._�........ CORRECTIONS 111 H EA LTH ............................ FIRE MARSHAL ...................... � STATE.. .......................:... ENGINEER J v�- COUP7IY OF ORANGE BUII.DING DEPT. 636 No. Aroadway Santa Ana, Califomia Phone: KI 26211 y Permit No..L.. /../.......5..."' Application for Building Permit AND FOR A Certificate of Use and �ccupancy Dace....._��%. N E......_��.!... �7.`� �.-_...... OWNER'S NAME ---�^�--�.......GE.N��K.F.......�GZ ..............- --- .........--- --. PHONE: MAILING ADDRESS........��::I.b .............M.O�i'S�_D.0 l.�...........�I..U.Fr._- ................_.... CITY....h..�..N....�.�._--....��f!�.!7.......... n' � Name................---{. �' �Q -N.........---..............--'-----...'_-'...........-'- (Archicect or Engineer) Addre�s ,_in.�.3_......... � 9 L....__S. T :........................'-"'-"- Cicv ..-.- C"QS.T/.i ...mE.��t4 ......... ........._ ........... State Lic. No..... ......_.----......... Phone....- -....._---� ........... Namc ..�-:.�.�^' "r^�^-...'-� ...�...-..-._��`.r.^`.`.--.....- ---- �„_r,,,,,m�y;�-.� (Contractor)�--�� - �.r_w. ,f� - ' • - �. !�(�l ,.'. �. ..a'.'C'u ..�I ,-q.,-.r�,F�+N (�fC55''"_'_"_ ^�.��'A.y'.'3�grUt._.. r "t!,s!� . . R_....'__"'... - A.,i -,-.-. "'e . � , -n ._ � ��r'� c�tv �.:et�, as..�� s.<w��!4,R�'`�?eU"�'-::_ ..... State ""—""�� Lic. No ................ . .......... - ..... Phona ��te - .. ..�,c..- ... Pxo�osED usE: --...... G A ?_A. G G ...............- - Q.........-�---..... - ..._..:.......: - --...---.... - -- ........ - - .......- ... -� � Q. `�=... s�".. �....... f ............. . . ..-.. . ...:......... ?. IOB LOCATION..........�0-/-3-- - .... .:L ............-- - .... �Q:S... � � �- SA ................................ (House No.) (Name of Sueet) . (Town or School District) 3. LEGAL DESCRIi'TION: Lot. ......._�Q.� ----�-�- ----.....----Block ....... - --- �� -- ...... - - Tract�� :....��cSA (Me[es and Bounds Description—Use rwerse side oi form) 4. CORNER LOT ( ) INTERIOR LOT (� THROUGH L07' ( ) SLOPE OF LOT ( ) ' `/ � r ' r � i. SIZE OP BLDG.:..I..Q..X_...�. .....AREA:.---��-�---.....--.S1ZE OF LOT:----T.�...�.X'U.�...AREA:......��..ZS ............. � �� O � � G. HEIGHT OF BLDG.:__._.�.D..._....�....-.--.-_-.....CEILING HEIGHT:.--.._ ...........................NO. OF STORIES.....--.---_--................. 7. NO. FAMILIES............� ........................Size of Smallest Bedioom:.....---.....�...................:.--- Size of Kitchen.._.....�....................... &. EXTERIOR WALL CONSTRUCTION:....2.��.�.e C.U. INTERIOR WALLCOVERING.....�.1.`�ET� ................... (Frame, Stuccq Etc.) . .�.� ............. (Plasrer�Drywall. Etc.) 9. SETBACKS: Front Yard From Center Line of Streec .......................� . ...-.----..._...........---.._-....................... � - r / �� Nearest Side Yard..._...�...........Rear Yard....��..__...Distance in Feet Betwcen Bldgs. on Same Lot.._........� ............................. 10. A COMPLETE PLOT PLAN ]S REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 1 ]. For �� (a) Footing: Width----.... ��....---.--._..........Depth in Ground...-----��.........-----Width of Wall----- ...................-.... Accessory C' Bldgs. and Y',17C � J� d l % � � ' [,° /✓C _ �/' � Similar �b) Size of Studs ............................Spacing........................---.'CC Matcrial of Floor....... .G.........�........i.......... Strucmres: (c) Size of Floor loists :..... ....... ... ........ -.Spacing - � - -- ... -- -- - .....CC (d) Size of Rafters:.........a�.%�.�........... ��- .........Spacing--..........'�..'.� ..................:'CC 1?. VALUATION OF PROPOSED RK: Induding a11 labor, pinmbing, electrical wiring, heating, fire sprinklers, painting and --- sewage disposal $.....---±--��.Q .......:.............. ]3. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF 'THE INFORMATION 1N THIS APPLICATION IS COZRECT_AND THAT THE CONSTRUCTION WORK WILL C4NFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA AYPLICABLE THER/E�TO. Si ned:.....1�!1.�1'X.1�Rd..+�•..�.�.-.�..��..�.-��;�4��/�i ."�.. w..-- .\/. . y�.. f/.............. .. / f� . U (Owner) U � ..: Plan� Filed -.....19 - � � -__ ................._..._..._g.. B• FEES: GD Bidg. Permit - $....� .......... ........-'- Plan Check - �....----..f.� L Total , . . $.... fj...rs��- .... �-- � Receipt No. - .lrnc��_.'�.�.. �:�........._-- Paid to • - ...P..Il.P...�.........._-----' �Date ..........................�?...�..%�.....-.��c..... DA7'P..._�...�.�_3.. �.: S� 5 M-&•uf Y• FOR DEPARTMENTAL USE ONLY GROUP...� _---...._-- ............. TY P E...... � ....................... DIST. C Mnr.._.....-- �? �/...-� ....... SHEET NO...,.�l ................... (Authorized Agent) CHECKING BY APPLICA'I'ION..� HEALTH ....:....................... ZONING ............._�..�. FIRE -- -- PLANS AND '� SHAL ..................._---. SPEC'5.----- .................... STATE.......................... -��- CORRECTIONS ENGINEER VERIFIED._.......... � .._... CAL ...................................... PE 1�(T�Sj Sl�`�$ ' j� L' �p S ECTOR INp .................. .. �i�"f��'!L�............................................. 'n• •-v -� V •