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HomeMy WebLinkAbout120 19TH ST - Building PermitsMORE `I'M� owNENs YOUTH EMPLOYMEN' ` HARBOR AREA ADDRESS 114 E 19TH ST « COSTA MESA,CA APPL. MMIMG ADDRESS ARCHITECT OR ENGINEER: SERVICES UNIT.. 92627 UCND.: ARCK OR ENG.'S ADDRESS: UHT: CONTRACTORS NAIM: CRANK BROS ROOFING CO (714)548-5569 CONTRACTORSMAILDNG 126 COMMERCIAL WAY ADDRESS: COSTA MESA 92627 CA DDNo: 408677 UNIT.- LICENSED xr:LICENSED CONTRACTORS DECLARATION: I hereby dfim uecr Penally of Pedury that I amm lice leedpu� darrr PPrrwitiosnDe of Chstser 9 (commenor5 U V J 7 7 .J d Division 3 d he Buemew sec PMeaa'vu xl U O L] // rink Y :' V O/ 9 8 CITY LIC. No.: uC LMS: l...S `J LIC. NO.: {/�j' - l A Data: Canrectar.-:/ k4pidBUILDER DECLARATION: 1 hereby efum under parol, of Perk" Ihel I rn exempt from IN Comrrfon Lica e t Law In he Idowehp reason (Seers 7031.5 Business aec Proleniom Code: Am Cry or courtly which requirm s permit to corebroN, after, improv, demoleh, or repel any structure• prior tom muerte, also recuins IM-POICenl for such permit to fib .. Igresd setement he he or she Ikxmed pursuenl to IM pro+®ons d he Contract. License Lew ]Chapter 9 (commencing With Section 7000) of Ownico 3 of IN einem nd a Th eProfessions Cods] at he or she is exempt thranom sed IN basis In IM Nlepad Arty yiold exemption. ion of Section 31.5 by any appticam la s perms subjects the Millicent to a evil Penalty of not more than live hundred dollen 15500]). ❑ I, as owner of the pmpary or my rnpicy. with wages as thsi sola mmpesudion•will do the work. sec the slmctu, a rot iMeMed or offered for sale (Section 7006, Business and Pro omeces Cods: The Conlredae License Lew does ml appy to an timer of property Who Jamas or knprovee thereon, erci who does such work himself or herself or through he or bar own employees• powided that such improvements are nd intended or Mend nor sW. U, hewwer, the Wilding or snprwemee is sok within one year of complaice, the owrorA,uildw will hays the WMsn of Proviohp he or she did not build or improve for the Purpose of sale). I. as owner d IN property. em axd wM contracting Wnh hummed contractor to costumed he prpjad (Sectkn 7 , Bhnhrs and Professions Code: The Corrector Licanes Law does nett apply to as owron of property Who builds or knprmw thereon end who comracts for such "ects Wish a cemractor(e) licensed prusuaN to the Caprmon Liceree Lew). I aen except under Section: B. 8 P.C.. fur the reason: Dene: OWswr: I do hereby candy the I am aware of and hnMnW W he reauiremeeAs of Celfanie Naetlh end Salary Cade Seakse 95505, ?5533, and 85530, end dust I a ury Mus buildvq ocoryen Wig I W Y rest (cots oro) road to mrey with avid pate codes and the seldnememe kr e peomill«wuvuctian amndifxxtion hamlMAi awry enegerrwM Oeti .Reskardiel mnYOWion eppicabores. exampt 1. hese provisions. Dale: Apptcam: WORKER'S COMPENSATION DECLARATION: I thereby affirm under Pen -KY of Perpay aro of the oDoweg dedumiAn: 0 1 have and W1/mvinnn a cenlfic se d asfor connl to selfireum Worker' oornas nbelod n, m Provided for by Section 37M IM Labor Code, for IN pedormams of he Work for which this perms is issued. }�] I hays sec will mvintan Workers' eompar ration ireurence• asn arechuired by Session 37W d IN Labor Code, for the performance of the work for which this permit 1a Issued, My wadurs�3argnietge mpreM Byer end pogcy numbs see: EXPIRES PdryNumber. 2x99- 9 SUN ; i 2 2 4 01/01/99 sealer mad ser be, compered I he Nock is Por ane hundred dMen ($1001 or Jaws.) ...n I erns he n IM pIN Wa nca d the work for which the perms a owed. I shell rot ampby arty person In rR' manner eo ce to become wbiea to Ise Warks' Ism of Celaada. end the a I should become rhbies Io Dor woolen' ion a Sedon 3700 d the Labor coda.! fiua Gwen rhe 'Int ore poo+ierms. ee: AppN: em2F�Iurto ro s<un warksn'roorywatlon roveraps Is WubsWU surd sIWI sublacf m srrplayw ro cylMml pmYtlm she to aro Modred fleusuW olden ($1IX{9g0), Jar sddltlon b Use cwt of rompsrlmdor0 d+rrlWes as povMsd M In sctlon 3103 of Me Labor Code, ImrssL end altoms" fsea CONSTRUCTION LENDING AGENCY: I hereby affirm order pw^ of pw*ny tel then is e cerwruction Whdvp •CarcY M the pedamaree of IN work for Which the parol is issued (Swoon 3099. Civ. C). LENDER'S NAME LENDER'S ADDRESS: h1 I m! se the I M. rend the idin come end eche that IN above ire rAlm on ie shores. I agree to campy With all spy and entntyKO d Prorces end erste laws slump to Wildnp mutrudion arc hreW aehoree r6prsasmeives of this dry to enter upon the above"mentioned popery hr inspection purpose. RICHARD CARD Dee: �/.e z - 'ls (5151<6.W P) Wee-80kin9 A Slay; Gomm ; Pink-Ravanu ; Goldsmucdl wssv CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 087586 PLAN CHECK NO: CONSTRUCTION TYPE: V -N PERMIT TYPE: STR JOB DESCRIPTION REROOF W/1LAYER COMP. OVER EXIST, 2 N PERM NO: B 0875861 GOVT: N SUPP: N PURPOSE: OTH SQ FT: 3,719 CLAIM VALUE: 3,719.00 CALC-VALUE: 3,719.00 GROUP OCC: B / COMMENTS: LAYERS OF COMP. *****�r�E�r*�E���E���;G�*�Hx ��r����*x�x��H*�r�H�H*x*x����r�E*>F+Her*�c***�***�E>t�*:r*-x•*��E>E���x***�E�H Z 0 N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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 REQ: PROV: PARCEL: 42626118 ZNE: REF NO: PLANNING NOTES> **dfli iE dl lE fF ie isE ii isE*dE fEdE jE if*iF iE if 9F iE it dE df iE dE***if ih*dF isi 1ElE9ElE iE it ii dF iF olid iE iEii ii ib sF if Rtkif*isE iE iF iF*1E lid O(-*dF dF"**iE dE if lE k*iE if D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'`T S ZONING APPROVED BY DATE: L, BUILDING APPROVED BY DATE: APPLICATION ISSUED BY:� DATE: aE iflEdElh dF iE lE iE*iE iF iE jE iE dE lE if iE iE if ii>�iF�iF�lf iF iF iF iF dE�FiF iFiF�FiF'iFiF df���ii sF dE �E3F3F3FTF3l: df iE if iE iE ii iE iE iE dEif ii LEGALIZATION:N F E E S U M M A R Y STRUCTURAL'SEGME T:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE•;, SMIP/RES GRADING PERMIT 87.25 PLAN )� SMIP/NON-RES .78 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL «> PAID DUE TOTALS ---- > 88.03. 0.00 0.00 88.03 88.03 .00 REVENUE DIVISION TOTALS--> COLLECTED: 88.03 OVERISHORT: 00 BLDG"PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTS GRADING PLAN -CHECK 87.25 .78`A iE*ii ii de iE SE if iF df SE'1E 1E jE 9E ik it*1E dF iE iE if ii sE iE*iE dFfE dE iE if if iE iE ii**if iE if dE rfE ii iE dF*isE 3E dE*dF*iE dh*dt iF*if *iE dF iE ik iE*RE *iE iF if***ori lEfE I N D I V I D U A L F E E B R E A K D'O"'W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 3719 REROOF BY VALUE COMMERCIAL NOZONE 100 3,719.00 END OF FEES I 04-06-1948!11:©& AK/t6B.03 RCp14:01-8021936 PERMIT:087586 CONSTRUCTION AND PLANNING -; APPROVALS APPROVALS Permit # J Date - Inspector' ' POOL r'A APPROVALS Perm,c # j I i bate' 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 1 - 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; 0 Uricirgrnd., 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 63. Heater & Vent -Final 13. Roof Drains r• 64, Plumbing System -Final .�' 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19.'Rough Heating & Air Conditioning FIRE'DEPT. REQUIREMENT APPROVALS - Permit # - 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOiI 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 d 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43, Backflow Irrigation fC�� 44. Landscape Irrigation System. 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING !� !a 48. FINAL PLANNING ✓Y - -• 49. Electric Release to Edison'. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date -4I ADDRESSa aultlula 120 E 19TH ST OlIKER9NAMEIFwN .NEWPORT CHAPTER OF THE AOORm NATIONAL CHARITY LEAGUE P 0 BOX 2274 J�WPORT BEACH,CA 92659548-0467 Z. Mmulf) AOORE34: RECTI OR FNGIIEEN: UC, N0.: 1ROl OR M'S ADDRESS UNIT: WNRACTORSbWE: CRANK BROTHERS (714)548-5569 COMOACTOR'S MAIM 126 COMMERCIAL WAY ADOREu COSTA MESA CA ucNo: 408677 92627 UNIT: LICENSED CONTRACTORS DECLARATION: I herahed y ciliate oder paky pwpr Loretta, QIat I kermd pr«mba d Chapter g (mmmaairq mh Seclian ]000) d Oianion 3 of that Bummaa and Prduaiau Coda. Areal my ficerus is in fug form ad affect. c"uc.mo�.:005993�y/buc.cl :C39 NO.: 4086 EXP: 06/97 GA.:""Y —2 1— / CadreCa: OWNER BUILDER DECLARATION: I hereby alfim+ tad d prFay that I r ramp frown "Caralectan LicarNe law for 0e l000m,; neem a (Sween MI Bteirei. d Pbl.sami : Ary rly or mAvy w acy realms a partes to ooY ober. "Tome.. dwnolah. or repair any ibuaa.. prior b m battens. abo raalirm IM eppGmd for wnch pamW to We a mated aNerlard tlat M or SM : Boated Promo« to IM Prem ism of IM Crractan tiparus law ICMPrw 8 (mownmaq mh section 7000) of OM ion 3 of ted juaa. ad No.. Cada) or that M or mIe b erpi thsaMm arld tM dlm for Oa .edged uampturt Any violation of section 7041.5 by ay, app"uN lar a Prate able le Iha eppNam to n aW Pwmby of now mere that fed how Wad doom ISSDOD. p I. As Derr of Ne property or n epb,. cath wqy as their W mnpatNatim aA do led eget. ad Ua.trrdm.'w cit eare dad a Mored por oma IBaarier+70... Busman rd Prtleaowe Com: Th.Crrrata.lbwa tawme nal apply lowo ma d Property WM bWmampmmIhelww,erd wiu done slvA werk IlnnaeA or Mree" or Oeough M or Mr own m,Wgeai. pmnded il,ra h 'ungoetewm arc rot btertded or dhred 1«..h. 9.lnow'a a.IM bwVM or inprownwa b UM wake ma year, of ion.doe owrw-0amdw aria Mea the chlor of pnmr, M r alta dial nate dill or bnao a for tie* pupre of W.). ❑ 1. as owner d th property. as ad mal, m rV wen "mead mmecmn b casPlra led Paiw (Brion 7DIe. Buaele. ertd Plot Com: TM Crrmm limes lav doe n« apply b m ower d OrapadY Wb doled. a mwoy« threon w who cenbacb for arA projects vW a maerctr(i) forwd ptavuary to the Comremtn upea. Lata. ❑ I r evrpl t dw Section: B. A P.C., lr Nb reser: nu Ower: I ie hereby tartly mm I r ewva of ad adw.wd the rendreeude of CaurNe Ne."h area! Salary Coda Sadbe 25505.73551. and 73533, Arld Nm I a arty Mora ditlmp ammanl w81 /cal cit (arae row) need Io wrIIPN wih .eM cite code ad IM nw'vamame ler Data: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby alhrm under pmaly a Pavy one of tits following ddambro: ❑ Ihaveadagoaman.mlfcm.dmuwtl lO Wlmra for Aarkan'«agwaatian,m Prodded ler b/Raabe 370DdtM labow Com. for IM pedmrlca d the w«h la Wick that pate" b ueued. ❑ I hat end x11 me'vann wrlar' mnpwNmipn mwaaae, a nan"tl by S.ctba 0700 d the labor Com. b the Oarlarnl«Io. tl IM era"1«wlirinlb Parseb Wlmd. MI' gWWDPNiPrriar .rd DakY"'emir oowe: EXPIRES Ptti.r: Y Z 11 E11'1 CF NIIVVUU Policy Numis: — 01/01/97 yhb eMion need not M coomhted t the p.ml is b oro hav6sd dcdaa 1St WI or beJ ❑ I padM that h ted Pedarrnerba a ted llo which IM p.me b bwwd, I .IW ra arW W ay mme n .ny menu a, lu to became wbpct to led aarkara' carnpeamaetlon le.d Cmao ie. erd .ere OW tl 11ppud baron"' wb)ea to ted waken' ca/mpe�namion prwiairo a m 5700 d IM labor Code. I e I ImhW h campy %.a pmwbro. Dma: V Apgiram' WamMg: F.ffum b.eun vorkr'rompwwtlan s unbe'" ae"d mWl.re/el.n .rtploy.r to adrdnal pa Allen aW dyll ff. w to aw drWred tMu.and dale 0100 .dmtlen b ted ro.t at rottperN.tlott d rrerp.. a ptov lar In S.cdm 3708 o/ are L ' Co* Intreit .M.Ibrroy'e hes, CONSTRUCTION LENOINO AGENCY: I Iw by olfum tach paroky dw pNry lhm llure i. a ponmraipn hMing Agency for ted padormerxe dM Iera" to wfiiai Ihb perma'e bwad (Section 3087. CIi. C). LENDER'S NAME LENDER'S ADDRESS: I cagily tient I Mve read Ihb appicaion aM data IMl IM.bwe imam.ticn is rorl.«. I Agree to ow" with M cAy aM omnly adinmnee ad able lam relatng to MIMkg conawnm erd Welty rMha re mmetalms of We city to row upon IM Wow mrbned property for oapactan urpaea.JIM CRANK Prem Nero -7 s4ure a Oa??mlAgpnuAppkcwa1Cmlrect« (5151�B.WP) WM.-Budmq A Safety. �; Cenery-A k ol: Rn�; OOMmmd-A.emor CITY OF COSTA MESA — BUILDING PERMIT /,PERM NO: B 080048 PERMIT NO: B 080048 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; T/O EXIST. REROOF W/BUILT—UP SQ FT: 2,537 CLAIM VALUE:, 2,537.00 CALC—VALUE: 2,537.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 1200SF RESIDENCE W/BUILT—UP *1E 1ElEifiElfNBEIElEk1616iE�it*�***+r�*�+E�E����+r�E�E�EFEFEar�EFE�E**�Fr��x�E+ESE*�E+E*FE+E��E�E+E�EFE�*�*�*��E�EiEFE�Exx* 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 BUILDING ---------- --------- ACCESSORY BUILDING--------- 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 REQ: PROV: PARCEL: 42626118 ZNE: REF NO: PLANNING NOTES> r' iE♦E 1E lE*♦E1E*1E lE lE*♦E*iE**1E iF*♦E♦Elirif lE**iE iE dE 1E iE*1E "616 d6***"E*1F "E***iE iF d6**161E*1E*iE*iE***16**dE lE.lE iE*d6*d6**1E*iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N.'.T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: 1E iF d6 dE 1E dE dE 1E dE irk dE lE iE * ♦E BE 16 BE 1E dE df k LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE PERMIT 74.75 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 75.25 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 74.75 DATE: DATE: I6-21 — � *1E ♦E iE*16141E 16 BE STRUCTURAL SEGMENT:Y SMIP/RES GRADING 50 SMIP/NON—RES TOTAL PAID DUE 75.25 75.25 .00 75.25 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK .50 1E iE dE*M*lE 1E iE dEiE*d6♦E dE 1E 161E 1E*1E iE 1E*M***dE dE lE♦E**♦E 1E iE dF iF dE 1E lEkkit 1616♦E dE iE lE iE iE lF iE iE BF lE 1E 161E 16 dE*1E 1E 1E lE rF lE if 1E 16 iE tit BE dE*iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2537 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,537.00 END OF FEES 01 00217524-00217525 TOT 75.25 DATE: 10/21/95 TIME: 10:18 CCLhty-Rt`ZTION AND PLANNING Date APPROVALS Permit # Inspector POO iPA 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 LIFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. 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 & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS - Permit # 20. Rough Factory Fireplace_ 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. Storage Tank OGas OOil 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 PREY. 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 u. 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 Prevertter 43. Backflow Irrigation 44, Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY* No Date '50 T3 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. o 121 11 /Ii/ ,r1 -PITY OF COSTA MESA MITTRACT NO. LOT NO. BLDG. NO. Juo l CONSTRUCTION PERMIT S�3B TYPE OF CONSTRUCTION ❑ NEW ❑ADD ❑ALTERATION LI REPAIR 1:1 CONVERSION ❑DEMOLISH A6 ❑ OTHER - , - ZONING REGULATIONS Project Address /.9 / r- - OWner G° //� nPjp _ / aM y /'"�Oq Address /h Arch/Eng. License No. DE RIPTION OF WORK - A P - ZONE PLNTTGp.. Address' - ,Contractor on T PE OF PERMIT-. E3 -MILDING T. SETBAAddress gR�LE1/F..,pp#l.1 GROPEIRT.VLG NE - ❑ GRADING . FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICALS! WLUMBINGC1ECHANICA IDE YARD - -'• SIEGE V - - LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHT mencing'with section 7000) of Division 3 of the Business and ❑ OTHER - - _ . Professions Code, and my license Is In full force and effect. REAR YARD (TO P/L) - - � PROJECT.DESCRIPTION. License Class License No. ' _ PKG. SPACE REQ. � PROVIDED SQ. FT. Date Signature _ STREET WIDTH PARK FEE $ WORKERS' COMPENSATION DECLARATION - - OCCUPANCY_ CONSTRUCTION,TYPE I hereby affirm that I have a certificate of consent to self -Insure or a VALUATION ZONE ZONING APPROVED BY DATE .. certificate of 'Workers' Compensation Insurance, or a Certified! COPY thereof (Section 3800, Lab. C.). GRADING CU. YDS: ACRES SPECIAL CONDITIONS: `y No. - Company- REMARKS: artifled copy IS hereby furnished. �.. ertified copy Is filed with the city Building Division. EXEMPTION FROM -WORKERS' COMPENSATION DECLARATION - - ' Thissection need not be completed If the permit is for, one hundretl $1001 or less). certify that In.the -performanceof the work for which this permit, is Issued, I shall not employ any person in any manner so as to become _ PLUMBING - PLAN CHECK - ELECTRICAL -' PLAN CHECK subject to the Workers Compensation Laws of California. _ BATHTUBS SHOWERS 90 -FT, �UAHFIT AGE- Date Signature NOTICE: If after making this declaration, you should become subject 'TOILETS URINALS " - GENERATOR 0=1 KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must - TRANSFORMER, - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L'AVS • APPLIANCE 10-50 KW_50 + KW revoked.. CONSTRUCTIONLENDINGAGENCY -KIT. SINKS - -DISHWASHERS "' "' MOTORS - -0-1'HP_1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS" -' "IINC. SOLAR) -• 10 -50 -HP 50 + HP formance of the work for which this permit is issued (Section 3097 - FLOOR SINKS - FLOOR DRAINS FIXTURES 'OUTLETS SWITCHES Civ. C.). - "' Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS -- OWNER'SUILDERDECLARATION' - INTERCEPTORS CLARIFIERS - POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING POOL P TRAP" -' - the following reason (Section 7031:5 Business and Professions Code: Any city or county which requires a permit to construct, alter, POLES METERED SUB WATER -SERVICE ALTERATION - PANELS MAIN - SUB, - ImPro ve, demolish or repair any structure, prior to Its Issuance, also re- qu res the applicant fprsuch permit to file a signed statement that he 'GAS SERVICE OUTLETS SERVICE - AMP Is licensed pursuant to Ihe'provisioni of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT- Business and Professions Code) or that he Is exempt therefrom and the h--'< for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - applicant for a permit subjects the applicant to a civil penalty it more than five hundred dollars ($500). _ SOLAR TANK COLLECTORS - L 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 for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property - ISSUE FEE - - APPLICATION APPROVED BY - - DATE who builds or improves thereon, and who does Such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden - - f proving he did not build or improve for the purpose of Sale). HEATING SYSTEM 0-100,000 BTU BUILDING PERMIT E � SMIP $ I, as owner -of the property, am exclusively contracting with _ AND DUCTING' II nsetl contractors to construct the project (Section Business 100,000 +BTU PLAN CHECK $ PERMIT es not and Professions Code; The Contractor's License Law does not apply t0 - - - - - ISSUANCE $ a owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with acontractor(s)-Ilcesnetl pursuant to tracts SYSTEM - - - GRADING. $ - the Contractor's License Law). 100,000+ BTU PLAN CHECK E � ❑ I am exempt under Section - B. & P. C. for this BOILERS BTU ELECTRICAL $ - _ - $ reason -- SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL: $ - MICROFILM $ TOTAL FEE $ ', CESS AD - Date Owner I hereby certifythat I have read this application and state that the above information is correct. I agree to comply with all cit and count 9 pY Y Y PLAN CHECK $ E P VANCE PC $ ordinances and state laws relating to construction Potton and hereby authorize - repfesen 5 of ihis icy to rtf e} upon t}t¢ be ve mentlo n.d propertFFS)) i [Ion 1 FINAL FEE g�-d, Slgnatu�'re�l ISSUE FEE e .. $ - — Drivers License or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL Z. CONSTRUCTION AND PLANNING APPROVALS Permit # POOL & SPA Date Inspector pPPRO.VALS Permit # Date Inspector 1. Temporary Electrical Service or Pole : _"a 43. Pool & Equipment L6cation - 2. Soil ipe•Un rgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility_Undrgrn_ 45. Forms 4. .Electrical Conduit-Undrgrn 46. Electricals Bonding 5. Steel em orce - 47. Rough Plumbin '& Pressure Test -- 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings _ - - -' 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P - Trap, ❑ Undrqrn- 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash &.Receptor -Final ' 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55, PffirriNno_ Final 14. Rough Electric -Conduit - •r:56.-- Electrical -Final - 15. Rough Electric -Wiring - '. 57' Solar SystemrFinal ' 16. Rough Heating & Air Conditioning ..bB. Fencing & Access Approval 17: Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding - 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. - Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final ' 35. Landscape Sprinkling System. 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING .{�3 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY '-No Date - COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA FEE RECE�Io ED sEP 301t I OV SCO IAPT. MESA APPLICATION FOR PERMIT BUILDING For Office Use Only L. RECEIPT NO, 112925 OWNER a TDA/ LAE E MAILREC81V ADDRESS //S/ Er • OY D R, 81V92 �,- fL"' DATA IBSU /� TEL. CITY LCs NO. BUILDING / ADDRESS G-(� ARCHITECTTEL COS MESA, CALIFORNIA OP 31NEERNO. fl:BY Y ADDRESSFIRE ZONE TYPE GROUP. /- CONTRACTOR DBES AP.PR DATE /J ADDRESS �/damAy N1NG �A ifeS/ Z NE ,/ HO.OP USE OP NECITY ✓PLANE UILDINO CL d� STATE TIL -C. NO. /H / • �'/Z Sz LEDAL DEBCRI FTION a. SIZENO. OP SLOSS. OF LOT NOW ON LOT A P NO —0 USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE PROM (CENTER LINE ST.) /l RENTER OF STREET REAR YARD _ FRONT XN' FT. IN. SIDE YARD I LEFT (RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE 0,1J1 FT. IN. NEV I II ALTERATION I IIADDITION I REAR FT. IN. REPAIR IY II MOVING I II DEMOLISH -I APPROVED DATE 60 ,. _ �(C` BUILDING NO.OF SIZE ROOMS STORIES EXTERIOR WALLROOF COVERING COVERING I n C USE OF BUII,.DING AND WORK TO BE PERFORMED�h,�` .��. - n 1 HEREBY ACKNOWLHOOE THAT 1 NAVE READ THIS APPLICATION THE A U SHOWN UNOBR VALVA ON IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEONLY. PLY WITH ALL CITY ORDINANCESTATE LAWS RBOULATINO VALUATION./{ BUILDING CONSTRUCTION. SIGNATURE OF /j PERMIT FEE $ •7� �_vcv PERMITTE Y $ PLAN CHECK _ $ AUTHORIZED AGENT TOTAL REE � L. "I'E ?7979 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 02026 For Applicant to Fill In Completely ��]�/{{ TYPE OR/PRINT ADO11 67 �T(/ / / ST COSTA MESA, CALIFORNIA S4,we- DEC28,67PDO0 990+► ****13.50 APPLICATION FOR PERMIT BUILDING For Office Use Only ® FIRE 4 -- // - -..- /— t - TEL eT DATE " v ZONING /— [N[z mo.-r— lOr — LEGAL C/AR/C C57' DESCRIPTIONT/isUiuS[1/LODOPINNo8EWF6I� N �.ATKDB-1 /-9760-ZTHoss :G4f6-Da SIZE I NO. or [Loos. 0 Y[T.A.M LINK ® DESCRIPTION OF WORK 9 A. P. NO. NOTE: NO GVE OVERHANG SHALL BE LESS THAN TO SIDE e REAR P. L BET. MAIN S ACCESS. SLOGS. VAR.* ,Es .OWED (U. S.C.. REQUIREMENT) _. YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING IOM C/L STREET) )NT FT. FT. ` IIDE FT. FT. AND STATE THAT THE ABOVE 1s CORREOM. f ME01r.i / PT. _.. PLY WITH ALL WIT ORDINANCES AND STING WE DISTANCE BET. MAIN BLD BET. MAIN S ACCESS. SLOGS. VAR.* DATE C. U. P. APPROVED APPROVE aY GGGGGG......ffffllNNAAllllllll ' p oATr �Z UDE OF BU I LDIN6 AND WORK 16-09id Yid 0. W SQ. PT. 1 HEREBY ACKNOWLEDOR THAT 1 HAVE ION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE AND STATE THAT THE ABOVE 1s CORREOM. PURPOSE OF E[TADLISHING A PERMIT PEE ONLY. PLY WITH ALL WIT ORDINANCES AND STING VALUATION 1 SWLDZNG CONSTRUCTION. • SIGNATURE PERMITPEE �J I�PERMITTE >s I//{PLANCHEC/' AUTHORIZED AGENT 1 &� ) TOTAL FEE