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HomeMy WebLinkAbout251 19TH ST - Building Permitsir- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - - I PERMIT NO. TRACT NO. LOT NO. BLDG.NO. 8692 I I/:;;j/"4 - - fid^ TI ~I CONSTRUCTION PERMIT ._— 947g' - ' •• rig ` .1 Project Address •r S/ F r� �� • - • TYPE OF CONSTRUCTION U NEW rig ADD U ALTERATION_ ❑.REPAIR .0 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Applicant's Mailing Address. S'AnN E • - A.P,# - I Zone ,11 7 p DESCRIPTION OF WORK Owner's Name -D0.1116LA/E�ih/a�� Phone GYL--2a8S Main Building: Accessory Building: Z Address SAMvZ_ .s.-s ASO JE. - E . - _ _ TYPE OF PERMIT' U GRADING ❑ FOUNDATION U STRUCTURAL T Front N Arch/Eng./08/L Mtde . ' License;No. ❑ TENANT ' ELECTRICAL ❑ PLUMBING El MECHANICAL B Rear I Address s4� N 099a K/4/�O 0 OTHER A _ N Contractor's Name 9A / • Phone/- 7 2/r�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - - - - / K Left R Address(mailing) - CONSTRUCTION TYPE VALUATION$ S E ZONE GRADING CU.YDS. ACRES Ping. Ref.# , Park.Fees $ - Q City License No. G - U ' LICENSED CONTRACTOR DECLARATION Remarks: ffi-7875 Parking Req./Provided ' ' - • - I .1 hereby affirm that I am licensed under provisions of Charter 9 (commencing `tom - R with section 7000) of Division 3 of the Business and Professions Code, and . ' Use of Building: E my license is In full force and effect. PLUMBING I FEES Planning Notes: M License Class License No• . - E Date Signature •• Bar Sink Showers ' ' • N "' RKERS'COMPENSATION DECLARATION - - treby affirm that I have a Certificate of consent to self-insure or a certificate T Backflow Preventer Service Sink S Workers' Compensation Insurance,,or a certified copy theieof (Section '- . 3800, Lab. C.) i Backflow Irrigation . Sewer Cap ' ELECTRICAL FEES Policy No. Company - - A Certified copy Is hereby furnished. Bathtubs • Sewer Connection i Automatic Washer 'Transformer 0 15,50 KW • Certified copy is filed with the city Building Division. - • - 0 50-+ KW ' 1 Date Applicant Clarifiers Solar Collectors _ Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping •- - CookingUnit .Meter Sup to 100 amps- (This section need not be completed if the permit is for one hundred($100)or , -I /� P p less). . I certify that in the performance of the w or which this permit is Issued I Drinking Fountains Solar Tank Dishwasher i . Meter Dover 100 amps, shall not employ any person In any ma er o as t pppeee���oma object to the workers ICgtgpe ,t)on Laws of Califo i ( / ,I�) Floor Drains Swimming Pool w/Spa Dryers ❑Gas, ❑Electric • Sub Panel i ' Date l LLYY (l�� Signature fon (,/J�p `A NOTICE:If,after making this declar Bon,you should become s ect to the Floor Sinks ' Urinal Fan Motors 00.1 HP al h-8 Workers' Compensation provisions of the Labor Code, you mu forthwith -- -" _ - - . • comply with such provisions or this 'permit shall be•deemed revoked. Gas Service • Outlets • Water-Closet F,A-U. - . Inc.Solar ❑9-15 HP 016-15+ CONSTRUCTION LENDING AGENCY- - - - ' • I hereby affirm that there is a construction lending agency for the performance Interceptors . - Water Heater - Fixtures Microwave ' ' of the work for which this permit Is issued (Section 3097 Civ. C.) Lender's Name A_PaNiE Kitchen Sink Water Service - - L.entler's Address �� - . . ' _ - Device Boxes Pole Light • OWNER BUILDER - DECLARATION . _ - Lavatories ' - • O• utlets Range - • I hereby;affirm that I am exempt from the Cdntractor's License Law for the P-Trap - following reason.(Section 7031.5 Business and Professional Code: Any city or . - •- 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. - • „e Contractor's License Law(Chapter 9.(commencing with Section 7000)of - - - I • Generator ❑05 KW 05-15 KW Trash Compactor''...))%sision-3-of the Business and Professions Code) or that he/she is exemptP ._ar;-efrom and the basis for the alleged exemption. Any violation of Section - - - - `JJ1.5 by any applicant for a permit subjects-.the applicant to a civil •Reins coon Fee 3 - ' enalty of not more than five hundred dollars($500). pe I $25 Issue Fee " $ I,'as owner of the property-or my employees with wages•as their sole MECHANICAL - - Reinspection Fee $25 Issue Fee ' $-3 compensation, will do the work, and the structure is not intended or offered FEE$ - • 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 builds or improves Boiler Hood or Type I 0 - thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such Improvements are not intended or offered for i - Canopy Type II ❑ ^ , sale. If, however, the building or improvement is sold within one year of com- Duct:-Under,Ground . - Application Approved By !!• - Date pletlon, the owner,will have the burden of proving he/she did not build or im- - l.IYF ' prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Date g t4 S3 0 I, as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 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 Contr.: is License Law). - PLAN CHECK $ PERMIT 0 I am exempt under Section ' =.& P.CAfor this reason Firepl/Fact,BIL ICBG# • //��� �"j� °' ; t- _� 1 // PLUMBING $ .ISSUANCE $ Date f owner lil.1C.(./• Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ ' • I hereby certify that I have read this application and state thS the above ❑0-100,000 BTU ❑100,000BTL— - -. ELECTRICAL $ �'�� GRADING $ information is correct.'1 agree to comply with all city and coun ordinances - - end state law. . .ting to building construction,and hereby authorize repre- • - $ l MICROFILM $ sentatives of this city to ter ul•n the above-mentioned propertyor PLAN CHECK inspection pu P• et _,- ti-a-a-3 MECHANICAL $ TOTAL FEE $ Signature S Q.. . -��. a :Ito V Drivers' License or 55 est - Reinspection Fee $25 Issue Fee • $ 3 PLAN CHECK ' $ . - - CMF 0865-46 rev:7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - - - - - . r CONSTRUCTION AND PLANNING!�� POC SPA APPROVALS" Permit# e��u1Date 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 COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 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 ABY Cc_ 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 -" Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. .A MESA a PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CTIONPERMTIT e` • � '' I.•AApncdni4 Mailin Address 2 S L -' IY�I TYPE OF.CONSTRUCTION NEW IX ADD L1ALTERATION LI REPAIR • • • • - ProjectAddress�,,,77'�I L. I�IM - 'L • ❑ CONVERSION ❑ DEMpOOLISH �OTI)IR .s - -1 OWners Name •VAUIO ...JEGEIJEC Phone y22lSYi. ' DESCRIPTION OF WORK 'h-PSi i,. to A.- ' s (af I• �� t. • ZONING REGULATIONS Ad�ess .2 cI �-I .-` '0.5 1 m Es A ',�• `1.26 2� I p{ _ -•7 /� -.So- ��.(� m TYPE OF PERMITlp1 IJ GRADING SIU FOUNDATION i1=Y STRUCTURAL _ A.P.90 �I •I • c2 I '`-'."' , ZONE 1 �,� I .Arch/Eng. 7�KIRH-! - License No. , ❑ TENANT �I ELECTRICAL 171 PLUMBING MECHANICAL - r I 1 BUILDING - ,,ir ^-•„/ • PLNG. REF.9Y' T�-'r9��1LF[� -Cr its CT /.LM Address - ''❑ OTHERS _ w.- - - TO BUILDING •,. �y 1 jl - ' i nn _ • ''- - - ' - PROPERTY LINE (�L/J • ' REAR YARD (TO P/L) a/fi I Cddress or's Name nib' - • Phone •PROJECT DESCRIPTION, SQ. FT. - • OCCUPANCY LEFT SIDE YARD /],I II RIGHT SIDE YARD' ' 4 ' Address(mailing) I - - _ CONSTRUCTION TYPE—L�•'�N AL'UATION$ 4^�J��T -I - - I� • - L'icen58NO. • • ZONE -' - GRADING CU.YDS ACRES PKG.SPACE RED. PROVIDED a' • LICENSED CONTRACTOR DECLARATION I Remarks: -I �j'Lj Z'.H I 15 STREET WIDTH •(o O 7 . 'PARK FEE$ , a i I;hereby,affirm'that I am licensed under provisions of Charter'9(commencing - --� - - with section 7000) of Division 31 of•the Business and Professions Code,and )G1 N A USS Ica '(_'- !' SPECIAL CONDITIONS:, I my Ilcense'is In full force and effect, I _ 1 }' - - • 19cense Class License No.' ' PLUMBING • ' ' , Roth FOR SPECIAL REQUIREMENTS Date - Signature I ELECTRICAL ' WORKERS'COMPENSATION DECLARATION I I I Bar Sink Sewer Cap- ,. , ' ereby.affirm.that I have,a certificate of consent to self-insure or a certificate• Automatic Washer Meter Dover 100 amps Backflow Preventer - .- Sewer Connection, - --- - -.- - - • - - ' - - - - - - Workers' Compensation Insurance, or a certified copy thereof (Section i' - ' 480), Lib. C.)"�^ ! j • Backflow Irrigation Solar Collectors C. Construction Pole:: Sul,Panel - Policy No. - Company - - Cookin Unit •r•+ Sub Pole '�' 8 Certified copy Is hereby furnished,' I•' Bathtubs $Olaf Piping Q0 g Certified copy Is filed with the city Building Division . ' - ' ( , / Dishwasher " • Motors 00-7 HP ❑1X-8 • . Date Applicant Clarifiers i Solar Tank ,ter - •EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - I' - Dryers' IJGas'-❑Electric lno.Solar '❑9-15 HP 01645+ - : (This section need not be completed if,the permit Is for one hundred ($100)'or• Dishwasher Swimming Pool w/Spa -less). - - - - - r Fan ' l Microwave • •' I certify that In the performance of thew for which thii permit Is issued I Drinking Fountains Urinal.I i - - • 1 - I .•t . shall,not em boy. ny person In any ma er so as t eco a subject.to the' l- 1 i 4L' ' r7pt�rr�� o p • F.A.U. I,:' POIe Light - , Workers' o e ti Laws of Caliform6. 1 �.y - Floor Drains Water Closet' I 1 Date Signature $ C fI. Fixtures . , ; Range • ' NOTICE: -af r making thvision aratioo,you should become ome subject to the I : Floor Sinks. ' • ., . r , --Water Heater • - - �:.tl0 . . .- . . .- - - ' Workers'. Co ensation• provisions of the Labor Code, you List torthwith t ' comply with; such iD¢VIce80%85 '.I • . - Sign • .provislons-0r,this :permit •shall' be tl emad, revoked„ ; Gas Service, ' •Outlets Water Service " I b0 CONSTRUCTION •LENDING AGENCY I . I I - - _'�"' - - i hereby affirm that there Is a construction lending agency for the'performance • Interceptors -- - m ��Outlets 4 i , Standing Sections _ �a of the 'work for Ice his. permit is issued (Section 3097' Civ. CJI, - ' / Lender's. Name N� Kitchen Sink . • ' ^I 'Switches r ! - Trash Compactor : Lender's Address - - ! Garbage DisposaLr ' I OWNER BUILDER DECLARATION' t : ' ' - ' ' I - ' Lavatories - I hereby'affirm that I am.exempt from the Contractor's.License Law for the - •,i Generator 00-5'KW 05-15 KW:'- , following reason,(Settlor-"7031.5 Business and Professional'jCode: Any city or 1 P-Trap . • - t '. county which,requires a permit to construct,alter Improve,demollsh.or,repair . _ - - .- Transformer',❑15-50'KW ) ) ' any structure; prior to its issuance, also requires the applicant for such permit I • Roof-Drains i - 'to file a signed statement that he/she Is licensed pursuant to theprovisionsof ` • , 050+KW -' ' the Contractor's License Law(Chapter 9(commencing with,Section 7000) of - - I. ,Reinspection Fee • $15 vision 3 of the Business and Professions Code)-or that he/she, is exempt ' Showers ' Reinspectlon'Fee • •- $15t . - _ . . l eefrom and the,basis for the alleged exemption. Any violatioof Section - • - _ - - .Meter Oup to 100 amps )1 +issue Fee '$ 3. ' 31.5ffffby-any applicant for a permit subjects 'the applicant to a civil • I - , , ' , 3 • t ' malty of not more than five.hundred dollars($500): Service Sink .- Issue Fee , • •$ Zoning Approved By s,/ Date �' " I, as owner oh the property or MECHANICAL �-,S// � for mwill do the work;and the structure 5 not intended or offered P . f + Application Approved By KJ�ti•S •'Date t . • for sale (Section 7044', Business!and,Professional Code: The Contractor's - -- - -- - -- - -- ------- - ---- - --- - / License Law does not apply to'an owner of a property who builds or improves Boiler, ' ' Refrigeration System Application Issued B Date /rg-S . thereon,eand who does'such work himself/herself or through his or her own , • PP Y • employees, provided that such improvements are not tended or offered for . ❑0-100,000 BTU ❑100,006BTU .!t " sale- If, however, the building or improvement Is sold within one'year of com- j Duct-Under.Ground ,- -. . SUMMARY OF FEES elation, the 'wlll have the burden of proving he/she did not build or im- - - - 5-p 09 prove for the purpose of sale): ( , Duct-Structural System Repair/Alteration ' ,BUILDING PERMIT $• ' 6'0' SMTP $ '• _5 • LI I, as owner of the property;am exclusively contracting with'licensed con- - p��Z • tractors to construct the project (Section 7044,Business and professions Code: Duct-Ventilating ' • _ _ PLAN CHECK • $ 16/- PERMIT The contractor's License Law does not apply to an owner of property who - - - : J. .11" • ISSUANCE $ builds or improvessham thereon,.and who contracts for such projects with a con- , Exhaust System 0 Multiple❑ '.'P(•.•UMBING S $ tractor(s) license pursuant to the Contractor's License Law) - PLAN CHEC- K, s, $ .74.Oo GRADING '1 $ • 0 lam exempt under Section i IB,& P.C.for this reason I Firepl/Ease-.Sit. ICBG dk ' ' - •"ELECTRICAL. I $ 7-;40 ' $ • Date _ 1;' • Owner ..e. ( . �.-� W ' ' Heating System&Ducting ' _.ZSoer�B av - me ' ; 00 • /O , ' MICROFILM I $ + I hereby-certify-that I have read this application an• tate that the above- ;- -•Jg0.100,000,BTU 0100,00OBT - •• - - - `'I . PLAN CHECK $ Rr' 4,7, ^1/ information Is correct. I agree to comply with all city .ntl county ordinances ti ' oo TOTAL•FEE' $ and:state la, relating to building construction,and hereby authorize repro- ' - ,,MECHANICAL $ /�' i , i •. ' sentatives Is city to en r upon the above-mentioned property for Hood or Type I 0 - Reinspection Fee' .v -t$15: ' ' PL'AN CHECK $ 4-00 LESS ' t ; l inspection es. � i l Canopy. Type II ❑ a j • ADVANCED PC ' $ SignetUri / • - Date [ O Q ) , ' " , ,s �j Le' Drivers' License or SS$* . " - Registers ' Issue Fee $ 3 - ' a _'I FINAL FEE ' $ •4-1 / 1 CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - ' ' - - - - - .,CgNSTR. ' _ - r . n :POOL : . -. -_. - _ - =_ UCTION AND PLANNING _ :.Dater ,Inspector . Date Inspector PPROVALS , Permit# • ` .,, 1., ' 'APPROVALS :Permit# ' , ;amporary Electrical Service or_Pole -�, �• . ''. 52,. Pool & Equipment Location - _ - ' 2' Soil Pipe-Undrgrnd, .- WO •/{�- _ ;53. Steel Reinforcement - i , 1 , ' 3! Elec6}ical Conduit Utilitv-Undrgrnd. ! '•dam- : • 54. Forms.- : - 4; Electrical Conduit:Undrgrnd'.s _•E° - '55: Electrical Bonding - '_ 5. Steel Reinforcement ' ' 56, Rough Plumbing &Pressure Test- . 6. 'Electrical UFER Grnd: r, .., n ‘ `}7r_ 57 APPROVAL TO COVER-GUNITE - ' it 7. Footings , 6 , , ; �r' -"- J -58. Electrical Conduit•Undrarnd. .,' 8. Foundation ' , ' : • S. ' ' _ •59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - - r -. - '60. Backwash Lines,P-Trap, O Undrgrnd .- , 10. Structural Floor System - _ , , , , _ ' 61. APPROVAL TO DECK ' - 11. Property Sewer Line & House'Connection 8/011,, ` 4;17, 62. Backwash Receptor-Final .. • 12. Sewer Cap ? , /�'r &`` • 63. Heater &Vent-Final • • ; 13. Roof Drains , I - 4. 64. Plumbing System -•Final-, - 14. 'Rough Plumbing i i 3/R,/Fit /'65. Electrical=Final- • 15. Rough-elecrical=Conduit ; - - 4- - - -:'66. Solar System-Final - " " 16. Rough Electric Wiring, I ' ' , 4"3t13 - 67. Fencing &Access Approval , . 17.IRouigh-Wiring Signi ' , -. •68. APPROVED FOR PLASTERING ' ' , 18. Rough Electrical-T Bar Ceiling . - 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating& AirConditioning r 1347, / rjp�j 0 • ;FIRE DEPT. REQUIREMENT' ' ; - _ • 20. Rough Fa'ctory-Fireplace ,' -•; ; I ��I r' , APPROVALS Permit , •• • 21. Ducts, in Struture cI �_. � � � 70. Underground Hydro -22. Ducts;Ventilating - , 5 "l , S , I I I ' , 471. Product Piping 0 Gas 0 Oil ' ' ' 23. Gas PiP e-Rou h& Test •,, • 9 - -72. Underground Flush 24. Roof Framing ' 1 _ , _ l: i73. Undergrnd.Storage Tank 0 Gas .❑Oil ' rwf.SI�NYh � y 25..,Roof Sheathing4 .°"1'... ii-?9-8➢ 4 74. Overhead Hydro - 26. T-Bar Ceiling (Structural6& Ivlonocoat , - "4 : •75. Dry Chemical 27. Frame and'Flashing*7.76 811 • ! its ' 76: Dry Standpipe - ' a-Z�ftitF_ ' • • 28.,.Lathing &Siding; -, , 1 77. FIXED SYSTEM FINAL _ 29. Insulation. - i . ' • , • S--t g"I 4/l! 78. FIRE PREV. FINAL , , 30. Drywall Nailing 7 ii �� Notes' � ¢war rpm .02-7-74.4....4.• aiY• ft;kiey hj e - 31. Plaster Brown Coat .r v - - /"./ ! ' em: - Yi eel, eta QT UeilN end- j' attre 32...Electrical Power Meter-Final 5�� I .-'! i• 11 / E I'I'6iS .' 9c<J come> *.4 7''yi aft VC✓ePsr i?,i•n - 33. Final Electric _ //Jl7/1j7 /\p7'7Y).n �/( �/ _. �� ' 34. Final Heating &Air Conditioning • ((-4•$7 GEA 2 ,r % 64' 74/,j 4�rj 35. Final Gas Pipe=Test ' •- • /1487 Leo . 4\16n ;CNr'( -r..e, fr;i9. s i0^1)-)t 36. Hood or'Candpy . `- ' It ( GovS ac EmB 4)5- /s •/7$T 37. Final Factory Fireplace ` ; 44 il-i't•fl 'oft 'to lit apee; Al( 'brit 38. Final Plumbing : ' •. : LEb ,//'4297, - a eVFS.l4: Heir, •139. Water Service-Final . ' ' • ,/,2/j6/fiJ.?o' d#�/ar ' 40. Gas Service-Final , . • 'y i .. * ' t -2 --7-g FRAMIN(& PrNalN&- R©1/c2u 41. Solar DomesticFinal ; . - 42. Backflow Preventer a I 43. Backflow Irrigation '' . - - - - - - 44. Landscape Irrigation System, ! - 45. Sound Attenuation ' ,- . c 46. Handicap Regulations. . • T ' •' - ' 47. FINAL STRUCTURE,& BUILDING 1 :u �f? . • , 48. Special Requirements Completed • • , - 49. Electric Release to Edison -_ '. _- _ - . .. _ 50. Gas Release to Southern California Gas Co . - t ', 51. CERTIFICATE OF OCCUPANCY .- • .. -' No Date _ -_, _• Applicant to fill In all spaces except th se within heavy border lines and sign all appropriate declarations- , CITY-OF COSTA MESA _ //'c'j PERMIT NO. - F u. ' LOT NCZ BLDG.NO. 4509 a/'7/� 34.;35- TI, • CONSTRUCTION PERMIT / • I E //3 r %5 y ' Pfojebt Address --.2,5-1--- -------------:-tc� TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR • ' .,54''a - ❑ CONVERSION ❑ DEMOLISH ElOTHER Applicant's Mailing—Address.: • - q,p-�6 l(7 X21 =Z2 I Zone A/ DESCRIPTION OF WORK Ow•_ner's Name 1D WF612 AJE/L Phone G`/2;24AccessoryBuilding: Q� n �l S Main Building: Z Address 2C1 F_ Ii C•m' /'1" TYPE OF PERMIT � U GRADING U FOUNDATION ❑ STRUCTURAL T Front - • N Arch/Eng. ."• F IL- /NCC T41 License No. ' ❑ TENANT yJ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 8 Rear Address I ❑ OTHER � A N Contractor's Name t) IA Phone PROJECT DESCRIPTION SQ. FT OCCUPANCY =S C Right G .�( K Address(mailing) • CON ST RUCTION TYPF �- VALUATIONS q'i/ac $ Left • • E ZONE GRADING CU.YDS. ACRES City License No. Ping. Ref.# Park.Fees $ • - Q U LICENSED CONTRACTOR DECLARATION Remarks: C. 7 g r7 5 Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E my license is in full force and effect. License Class License No. PLUMBING FEES Planning Notes: M E Date Signature Bar Sink Showers ;r N WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self-Insure or a certificategackfiow Preventer - Service Sink - T I Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. CJ Backflow Irrigation Sewer CapELECTRICAL FEES • Policy No. Company - Certified copy Is hereby furnished. • Bathtubs Sewer Connection -v Automatic Automatic Washer Transformer 0 15-50 KW B Certified copy is filed with the city Building Division. - ❑ 50+KW Date Applicant Clarifiers Solar Collectors Construction Pole Sub. _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dish washer (This section need not be completed if the permit is for one hundred ($100)or Solar Piping Cooking Unit Meter Dup t0 100 amps less). • Fountains Solar Tank Dishwasher ' / Meter Dover 100 amps I certify that In the performance of the work for which this permit Is issued, I Drinking �` shall not employ any person in any ner,so as to be me subject t the Workera' Cpq�p tion Laws of Call rn e • , Floor Drains Swimming Pool w/Spa Dryers OGas ❑Electric / Sub Panel ' Date •1-' (_ Signature r]J��rr�[yj�.'' U - J 013 NOTICE:If,1aftermaking this dedlaratiod, you should beco e subject to the Floor Sinks '- • 'Urinal • -' - - - Fan '- Motors 00-1 HP D1'h.8 Workers' Compensation provisions of'the Labor Code, y must forthwith . comply ,with such provisions' or this permit shall be deemed revoked. Gas Service 'Outlets - - Water Closet •- ' /_ F.A.U. Inc.Solar09-15 HP.016-15+ Vfl CONSTRUCTION LENDING AGENCY - - I hereby affirm that there Is a construction lending agency-for the performance Interceptors Water Heater - ' • ��; ;Fixtures •Microwave - of the work for -which,this permit -Is issued (Section 3097 Civ. C.) - .�- EsU Lender's Name NO rL • _ Kitchen Sink - Water.Service ' Device Boxes Pole Light Lender's Address • Lavatories, �.�s q �� OWNER BUILDER OEC LA RATION •� " ' - /l1J -Outlets ' Range , 9.1-�C 1 hereby affirm that I am exempt from the Contractor's License Law for the —P--,Trap - following reason'(Section 7031.5 Business and Professional Code: Any city or P -. - . ,)J Switches Sign .P- �) county which requires a permit to construct,alter,improve,demolish or repair - - ` any structure, prior to its issuance, also requires te.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 I - Generator D0.5 KW D5-15 KW Trash Compactor ' 'Ivision;3 of the Business and Professions Code) or that he/she Is exempt 1 ! _ rr- - - - p ' eretram•and the basis for the alleged exemption:Any violation of Section " • _ J3 5 by any applicant for a permit subjects the applicant to a civil -Reinapection'Fee I $25 Issue Fee $ 3 •Q.e sty of not more than five hundred dollars($500). -- - - - Cl I, as o nor of the.property or MECHANICAL Reinspection Fee $25 Issue,Fee I $ 3 or 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 builds or Improves • Boiler ' Hood or Type I - 0 • I , thereon, and who,does,such work-himself/herself or through his or her own ' - - . Zoning Approved By ' ' employees, provided that such Improvements are not intended or offered for Canopy ' Type II• 0Date (((��' sale. I however,the building or Improvement is sold within one year of com- Duct-Under�GrOund Building Approved By C-•�- �' 7�g pletlon,the owner will have the burden of proving he/she did not build or Im- - Date rove for the purpose of sale). Duct•Structural Refrigeration System Application Issued By dg Date 3��/7A' oI,as owner of the property, em exclusively contracting with licensed con- , D4100,000 BTU 0100 000 BTU tractors to construct the project,(Section 7044,Business and Professlons,Codo: 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- ; 1 Exhaust System 0 Multiple 0, System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). 1 f PLAN CHECK $ PERMIT 0 I.am exempt under Section B.& P.C.for this reason Firepl/Fact Bit. ICBG 9I • • ) �_ // PLUMBING $ ISSUANCE '$ Date .e.�.'^__-dy Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ 1 hereby certify that I have read this application an state that the above - 00.100,000 BTU 0100,000BTL— ' . ' - - 'ELECTRICAL $ -,j. 3, yc2 GRADING $ information Is correct. I agree to comply with all cityand county ordinances • - , - • and.state law elating to building construction,and hereby authorize repro- , PLAN CHECK 50% $ 4 Q$ MICROFILM $ - sentatives o t s city to a er upon the above-mentioned property for . - InspectlOn p rpo es.A amu) - Signature C1' $h Date 2/7-iq , TOTAL FEE $ ��'MECHANICAL $ 45-5 Drivers' License or SS# - Reinspection Fee ,$25 ' . Issue Fee : - $ 3 PLAN CHECK 25% $ CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink•Accounting;Goldenrod-Assessor j^ 1 'CONSTRUCTION AND PLANNING I _ _ - POOL PA - 1. I Date Inspector " • •Date - Inspector ' APPROVALS Permit# _ . APPROVALS Permit# ' ' 12Temporary Electrical Service or Pole - 52.- Pool & Equipment Locai:idn - - ` I i • 2. Soil Pipe-Undrgrnd. - • 53: Steel Reinforcement y e ' o. • • . 1- i . 3. Electrical Conduit Utility-Undrgrnd. 54.- Forms - ' 4: Electrical Conduit-Undrgrnd. • 55 Electrical Bonding - . r e r .• 5_Steel Reinforcement 56. Rough Plumbing.&Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUN' = 7. Footings - . 58. 'Electrical Conduit-Undrgrnd.- 8. Foundation 59. Gas Pipe;O U drgrnd.,Test° 9-ri. Water Pipe-Undrgrnd. 60. Backwash Lines, P:Trap,'❑ Undrgrnd. ••: - . 10. Structural Floor System . 61. APPROVAL.TO DECK - - 13. Property Sewer Line& House Connection • , • ' 62. Backwash & Receptor-Finl a ' - I ' 12. Sewer Cap , - 63. Heater&-Vent-Final • ,`• ' 13. Roof Drains I 64. Plumbing System•,Final-' ' 14. Rough Plumbing 65. Electrical-Final' • • -- . - - ' 15. Rough Electrical-Conduit - - - - 66., Solar-System-Final . - --.. - - ?"- "" 1-'- ' 16;:Rough Electric Wiring 3/pi.( Co - 67. Fencing &-Access Approval c _ • _ • - - -- - - 171 •Wiring Sign. t / 68. APP •ROVED F,OR PLASTERING ' 18.E Rough Electrical-T Bar Ceiling 69.. POOL/SPA SYSTEMS: FINAL If -• a 19. Rough Heating.& Air Conditioning - FIRE DEPT. REQUIREMENT;• _ • - . , 1 . ' - I I , 20.;,Rough Factory Fireplace 4 APPROVALS i Permit# • , - 21'JDucts,in Structure .r ' 70.E Underground Hydro I ' • • - -122: Ducts, Ventilating , 71. Product Piping OGas. ❑Oil ' 23. Gas Pipe-Rough&Test 72. Underground Flush• i ' I • 24. Roof Flaming 73. Uridergrrid.Storage Tank 0 Gas 0 Oil ' , 25.,Roof Sheathing - 74. Ove?head Hydro ' ':; _ 26. T-Bar Ceiling (Structural) & Monocoat • , • , 75. Dry Chemical ., - - ISI • 1 I , •27. Frame and Flashing • . 176.{ Dry Standpipe , ' ,. ! - ' ; I , 28. 'Lathing& Siding • . - 77.' FIXED SYSTEM FINAL I,' -i • I c 29. Insulation 78. FIRE PREV. FINAL 4 - ' , 30. Drywall Nailing ' - . i .HEALTH DEPT. REQUIREMENT , 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 4( 3131sY ce 80.'FOOD CERTIFICATE ISSUED • ,33. Final Electric WI* g Notes: TX G�,L`.rxr't - 11e,rc.0 lirti--,4 t-7 34. Final Heating & Air Conditioning `� ali3ley _i'fr-i2.nr1r`� tit 4t t.e. 35. Final Gas Pipe-Test _ 36. Hood or Canopy - _ • I' I ' 1 . , ' _ ,, _ - 37. Final Factory'Fireplace t i •` - _ , - r - • 38. Final Plumbing I ' , -n - ' v. , 39. Water Service-Final 1 40. Gas Service-Final . I ` • • 41. Solar Domestic-Final -- - - -- l� ✓�. ' 42. Backflow Preventer - ' 43. Backflow Irrigation _ •,I + � 1 . _ - 44. ,Landscape Irrigation System - ' ; ! 21 - I • 45. Sound Attenuation - - I : '' _ 46. Handicap Regulations , - I 1 I i ' 47. FINAL STRUCTURE & BUILDING _ i , , I i ' ' 48. Special Requirements Completed ' ' , , .- I ` - 49. Electric Release to Edison - - - - •�- , ' --- r-- -•� ' , 50. Gas Release to Southern California Gas Co I rI i ' 51. CERTIFICATE OF OCCUPANCY -- , No. . Date. . - - - -- :\ - 1 '_I I ' - • I FEE RECEIVED . 11111111111111 COSTA MESA BUILD NGSAFE DEPARTMENT FINANCE DEP I%) P. 0. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA ° - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS • 251 E. 19th St . Costa Me a COSTA MESA. CALIFORNIA For Office Use Onlyl_ _ _ OWNER Willis P. Cott I RECEIPT NO. �tE(SRMi�N9' MAIL RECEIVED Y DATE RECEIVED DATE ISSUED ADDRESS 251 E. 19th St . Costa Mes A.. /0 ---2-47AI ./o-3-et TEL. BUILDING (yr/.. CITY Costa Nese NO. ADDRESS 7+-r I C 1 0 ' ✓ 1 ��£SCHITEGTEL. COSTA MESA. CALIFORNIA ENGINEER NO. ADDRESS FIRE ' /� p 0 ZONE TYPE GROUP J CONTRACTOR "WORE CCNSTRIICii I 1!1N APPROVEDBY a /A DATE SIDING DIVISION vv/ V ZONING ADDRESS , I uVNC. TV, U'0.503 ZONE P NO.OF USE OF NEW \ crr 1512 Woodland Plano {� 1 I PLANS I Buaowc STATE S to TJIa."TEL'.IfO'": 7 8 LEGAL , 1 ((CC��,,,,4��/// w I, a -, \�+�, LIC.NO. 1512'-1' NO. KI 5 `-'353 DESCRIPTION / r^. V /-V \". OFSIZ &1 t/ 5-X 13 0- D NOW ON LNO. OF or I / 2- .° �y 7/ CS-- OF T� OF LOT i!/o•7 A.P.NO. 2-1-- USE OF EXISTING BLDG. Residence APPEVESL APPROVED ALLOWED SETBACK UNE FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT E/ IN. SIDE YARD [LEFT I RIGHT R.SIDE jXf IN. DESCRIPTION OF WORK LPA IN L.SIDE / �� V I II ALTERATION I II ADDITION I REAR , / FA" T. IN./ 2 REPAIR I II MOVING I (DEMOLISH I BYPROVED '! gI . DATE /0 —?sIOI BUILDING NO. OF 4( (/ � j,1 SIZE ROOMS STORIES EXTERIOR WALL . • I ' ROOF COVERING V v COVERING USE OF BUILDING AND WORK TO BE PERFORMED Applying JM Siding only no Structural changes I HEREBY ACKNOWLEO• 'THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT = ABOVE E CORRECT AND AS ?COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL '•IHAHCIS AND LAWS AGREE TING BUILDING CO•-W.. V ON. �� VALUATION _,��- SIGNATURE O-AJ„ PERMIT FEE $ /0. PERMITTE ` 4�� I / 1,4 o $ PLAN CHECK $ Li 4' AUTHOR ED AGENT 2489 .001 15.00 TOTAL FEE 5 A