HomeMy WebLinkAbout311 19TH ST - Building Permits r.
CITY OF COSTA MESA
II
1,
,t•"•, �, BUILDING DIVISION
I-0 "'"'I' ' DEVELOPMENT SERVICES DEPARTMENT PER/MIT/NUMBER
:•; � PERMIT
• B99-01305
(714)754-5273 • Fax(714)7544856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 311 E 19TH ST Status: ISSUED
Suite: Applied: 08/17/1999
Vicinity: Issued: 08/17/1999
Parcel Nunmber: 11725419 Zoning:
Applicant: PHIL HARPISSUED BY:
Address: r;,'-
C. ' Phone: 949-642-29713r y
�� Zip: I /
f1/4- ----- —
Owner: SARABIA;'MADELINE G
Address 31/1'E';17971-FIST//��,, \� `,
�ifjY �� \ _\ C Phone � \ ••,-1,,,,.-; J,\
,/�f/COSTA MESA;CA ' i - Zip 92627 , ` /' \ k--\
Contractor: HRP,
A (PHIL<GENERAL CONTRA ,_,.. .\., \,/, 7,,� \, ,�
Address: �00345.UNIVERSITY DR ' ,,N 7,/ '‘
t
/ i� ./1/. ! Phone: 949-642-2913 �'• �` �
/„/% (�/ COSTA ESA CA
< /7,//r
Jr.': �Zip:� 92627/ e[Licens1 518409
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„Arch : ' 1/72.-" . - , / _ Eng_
Address: f-— / �� ', Address:
= t ,� • ', ! Phone: - Phone:
r
7/ 1
1,i N Zip: i , ,License: `License: ‘'
' : .4, > SCOPE OF PERMIT ` i
4 /CONSTRUCT NEW 12 FOOT X 18 FOOT(216SF)-OPEN LATTICE PATIO COVER AT THE REAR OF AN EXISTING HOUSE. 1I
\.\
} FEE SUMMARY - i
Plan-Check: $63.21 Calc Valuation: - 13,481$
_ fL.
��� \ Permit „‘�� $97.25 /t' .ii / _' , _ .� L. , .1 Claim Valuation: 50,00;
SMTP Res ,.., $0.501
`> SMIP Com $0.00 ;/�/
Other: .A $0.00 i ,
\I nspection:\ _' ,'$0.00 ;
/1lvTotal:' $160.96 � �
\`
PLANNING8, ZONING
�� OSETBAC , / -- , /
MAIN STRUCTURE Front 0-0 - _ Rear- 00-0 Left 20-_0, Right 7r 0' %
ACCESSORY 'NFront', 0-0 Rear 0-0 Left 0-0. . , Right 0-0 %
PARKING Existing: 0- Required: - 0 Proposed: 0 /
NOTES: ,; _ , .
i---: '
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
1
•
DECLARATIONS Ir
r
WORKERS'COMPENSATION DECLARATION: -
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit Is valued et one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the wo ers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisl C1
Applicant Signature: - i J Date: 4 111 199'
�-
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100p00).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7990)of Division 3 of the Business and Professions Code,and my license is in full �-
force and effect.Lic.a S Y64o R ( Class a LS V
Contractor's Signature: fu.--Q Date: $) 1 Z q 5
CONSTRUCTION LENDING AGENCY:
1
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within One year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors license Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? C1 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes Q No
(Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a errnit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certifyunder penaltyof
perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection.
/
_ Sjgnnaatture Of Legal Owner(s) /�' q Date
/ And/tSAuthorized Applicant f t I Date
;ODES INSPECTION TYPE DAIS IIDIDALS CODE it INSPEC11O14 TYPE BATE 20:MALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval _
203 Final Sign 222 Final Site p
204 Final Demolition 250 Final Building/Occupancy !—/_{�f
7 ‘CCA4
2446-46 \/
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
• CITY OF COSTA MESA' PERMIT NO. l ••TRACT NO. - LOT NO,. - , ' BLDG.NO. ' , i '
CONSTRUCTION PERMIT" ' ' - , r 5 4979 '8/31/133 I 10143 Tl.
Applicant's Mailing Address 27--wp S ye4M 4C I' TYPE.OF CONSTRUCTION- . El NEW 1 Li ADD XI ALTERATION -U.REPAIR' •
I • '
Project Address �w il' �• ' /I e IS/ - Ca-'rd-M /r' ❑ CONVERSION -❑ DEMOLISH El OTHER - _ •
, • • I - •
-/✓al'��.FC.LrvlC. *-AE4S*Phone s�-l11Z ` DESCRIPTION OF WORK Ie-r7fyYNr• ' S?s7'- e vti�T- ZONING REGULATIONS '
owner•s'Name ' _ _ /gyYQ - DGl.7 .35/STi -Tc� /E'XISr,(a/G /74�Mr�_' - .
Address S4'�1Aw ' TYPE OF PERMIT 1 U-GRADING FOUNDATIDI'j u STRUCTURAL A.P.•N• - ZONE• - '
Arch/Eng. License No. _ _ ❑.TENANT ya.ELECTRICAL ❑ PLUMBING• 134.IIECHANICAL + . BUILDING ,
• PLNG, REF.,sW •
` ,•OTHER • REAR YARD(TO P/U -
Address , . TO BUILDING'. -
Qn-SFfer :PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE
Contract ors Namr 22 SC)�6//A' k//LS7 / ��f Cphone 1.�` LEFT YARD RIGHT YARD '
Addressimailing) l• Z7 Ad �-Funs illcu,.'5i71/Td- z1i CON STRUCT.ION TYPE - VALUFITION$ - _
License No. _'SC-5S"a /110 T - ZONE ' GRADING CU.YDS. ACRES 'r PKG.SPACE'REO. f PROVIDED
LICENSED CONTRACTOR DECLARATION Remarks: - STREET WIDTH ' 1 •- !PARK FEETS '
I Ihereby affirm that I am licensed under provisions of Charter 9(commencing - - -
with section 7000) of Division 3 of the Business and Professions Code,and 1 1 -SPECIAL CONDITIONS: • . It I • y ' )
�. my-license is in full force and effect. • I t - _ - , ' ..\ -
I License lass- C.- - License N• • / • - ; PLUMBING t - c ' -
Date : _ r 3 s /i9%//
'Signature . - aV&s. l'. - : r_
WORKERS' COMPENSATION DECLARATION Bar Sink Sewer Cap- ELECTRICAL I •
hereby affirm that.' have a certificate of consent to self-insure ora certificate - Automatic Washer , 'Meter Clover 100 amps !
Workers' Compensation Insurance, or a certified,copy thereof (Section 68ckflowPreventer- - -- - Sewer Connection_ - - • - - ---_ - _ �- _ -
.lo, Lab. C. r� Backflow Irrigation Solar Collectors I 'Sub Panel , I I
•
r`. Construction Pole
Policy No. �/- •4117 OZ' Company � en OPTS Lc./ e - .. - -" - Cooking Unit Sub Pole , -
❑❑ certifietl copy Is hereby furnished. "Bathtubs Solar Piping
Qf�aWi ed wqqy is filed with the city uTUUl9yptvision, .,. /`A_, I Dishwasher ' 'Motors 00-1 HP ❑1'h-s 1 '
Date g}gt /rZ Applicant ate/-��!!//// •� 1�•Y `�Clarifier_s Solar Tank -•l
EXEMPTION kRGM WORKERS'COMPENSATION DECLARATION - , Dryers-❑Gas ❑Electric - , 1Inc:Solarl❑9-,15 HP ❑16-15+ ', • "
(This section need not be completed it the permit Is for one hundred ($100)or : Dishwasher • I Swimming Pool w/Spa 1
lecertify that in the performance of the work for which this permit is Issued I • Drinking Fountains , Ur• inal j •: Fan' . 1 , Microwave ' , I 1
shall not employ any person in any manner so as to become subject to the • F.A.U. Pole Light '
Workers' Compensation'Laws of California. Floor Drains, , I Water Closet_ I• - 9 / 0�
Date Signature - • Fixtures •
NOTICE:-If,-after making-this declaration, you should'became subject to the - - Floor-Sinks-'- - _- -_' _ _ — - - Water-Heater - . - - - - I- _-. a - - . / • -Range - - ' _— - 2.4/
Workers' Compensation provisions of the labor Code, you must forthwith • - Device Boxes '
comply with such provisions,or this permit .shall be deemed' revoked. , Gas Service Outlets Water Service • Sign , ' I
CONSTRUCTION LENDING AGENCY - - - - Outlets• { ' •
I hereby affirm that there Is a construction lending agency for the performance Interceptors ' _ 1 Standing Sections '
of the 'work for which this permit is issued (Section 3097- Civ. C.): - - - ' '
' Lender's' Name - - - - - - • • Kitchen Sink' _ I , Switches • Trash Compactor '
Lender's Address' - , •
- - ,
OWNE R'BUILDER DECLARATION • Lavatories.+ - Garbage Disposal , , ,
I hereby;affirm that I am exempt-from the Contiactor's.Llcense Law for the ' . - , 1 Generator ❑0.5 KW ❑5-15 KW ' '
following reason-(Section 7031.5 Business and Professional Code: Any city or P-Trap' ,
• .county which requires a permit to construct,alter Improve,demolish or repair I Transformer ❑15.50 KW '
any structure, prior to its issuance,also requires the applicant for such permit ' , Roof Drains O . - . 1 - ! - 1
to file a signed statement that he/she Is licensed pursuant to the';provisions of -- ❑5U+KW -
the Contractor's.License Law(Chapter 9(commencing with.Section-7000)of 1 t .- ' 1 . • 'Reinspeetion Fee ,. $15
Division-3-of the'Business.and -Professions Code) or'that he/she is exempt • Showers �., , ,7 - { Reinspection'Fee $15
tM- ", from and the;basis for the alleged exemption. Any violation'of Section I .. - , - - Meter Cup to 1001amps I 'Issue Fee4 •
'$ 3 '
y:5 by.any applicant for-a.permit subjects!the applicant to a. civil . , $ 3 -
L `£!sy of not more than five hundred dollars($500), Service Sink' • Issue Fee -' Zoning Approved By Date 1
'LJ'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 _ ' 1 - MECHANICAL ' -
for sale (Section 7044, Business and Professional Code:•The Contractor's ApPlintion Approved By •
Date
License Law does not apply to an owner of a property who builds or improves - Boiler I t .'t' �. ! • Refrigeration System , - •
____ r
thereon, and who'does such work nimself erseif or through his or her own , - Application Issued By - -Date )
•employees, provided that such improvements are not intended or offered for - ' - ❑o-100,000 BTU ❑100,000 BTU.
' sale. If, however, the building or improvement Is sold within one year:of corn- Duct-Under,Ground 1 ' 1 i SUMMARY OF FEES '
•
pletion, the owner•wlll have the burden of proving he/she did not build or im- , •
rove for the purpose of sale). • Duct-Structural ' System Repair/Alteration ,BUILDING PERMIT $ , SMIP ' $ T
U I,as owner of the property,am g exclusively contracting with licensed con- s
tractors to construct the project (Section 7044,Business and Professions Code: _ -_- Duct-Ventilating- . _ _ _ - . -- t-- ' - a 'PLAN CHECK. $ . ' PERMIT ' 1 ' '
-The Contractor's License Law does not apply to an owner of property who ' - ISSUANCE $ ' I
builds or.improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑. PLUMBING _ ' $ I , •
tractor(s)license pursuant to the Contractor's License Law). - ,PLAN CHECK. $ 1 GRADING $
❑'Tam exempt under Section B.& P.C.for th •
is reason Firepl/Fact.Bit. ICBG*i@ •I 1 ! r ,I D, i $
Dates - •. • owner' - HeatingSystem& Ducting ! - �� • (ELECTRICAL $ K MICROFILM
I $
1.-hermatio amity that.II have-read-this application-and-state that the above�. I . X0.100,000 BTU 0.100,000 BTU--- - - y - _ (PLAN CHECK' $'
'.information Is correct. I agree to comply with all city and county ordinances , 4 )^ - ' .'° -` I ' -•••) TOTAL FEET 1
' and state laws relating to building construction, nd hereby authorize repre- 1 , - 'MECHANICAL ' $, -!•O0 1 $
.sentatives or!this by to enter p e ab a Cloned pr per for • Ho•
od y)• Typal ❑. 1
inspection purposes � Canopy) Type 11 ❑1 einapection Fee $15 PLAN CHECK' s LESS
�/� !� ADVANCED PC $
Sig •
Driverura or SS
_ ''7 FINAL FEE} $
CMF 0865-46 rev,12/82 White-Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor - - " .
• 'CONSTRUCTION AND PLANNING p ` - - . --' POOL R' A .
APPROVALS :- Permit# If -- / Date Inspector. , APPROVALS Pern...4- Date Inspector
1. Temporary Electrical Service or.Pole: I 2 - 52. Pool & Equipment Location-
;.i 2. Soil Pipe=lJndrgrnd. ...y, .53. •Steel Reinforcement l..- - ,
•
. 3. Elecirical Conduit jitility-Undrgrn'rf. . 54: Forms " -.
4. Eleefrical Conduit-I ndrgrnd. - 55. Electrical Bonding '
5. Steel Reinforcement " ' A t. 56. Rough Plumbing& Pressure Test
'6: Electrical UF ER Grnd. ' 57. APPROVAL TO COVER-GUNITE
7. Footings - -! _ 58. Electrical Conduit-Undrarnd: 1
8. Foundation ? 59. Gas Pipe, 0 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 'r - • . 62. Backwash & Receptor-Final . , -
12. Sewer.Cap r• :• - '� ,4 63. Heater & Vent-Final . ",!
.
13. Roof Drains -- - " <7 - 64. Plumbing System - Final =
14. Rough Plumbing ••••• - 'y 7 -65. Electrical-Final •
r
15. Rough Electrical-Conduit " ,- - ' .... - ;-• 66. Solar System-Final , - ' ' - q
16. Rough Electric Wiring, . , ' - 67. Fencing&Access Approval - --
1'7 Rough Wiring Sign • : . 4 68. APPROVED FOR PLASTERING -
18. Rough Electrical-TBi Ceiling 69. POOL/SPA SYSTEMS FINAL -
19. Rough:Heating &Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS , Permit#
21. Ducts,.in•Siructure• 70: Underground Hydro
22. Ducts-Ventilating . , - - ' 71. Product Piping 0 Gas OOil,
23.,Gas Pike Rough& Test ,: i 72. Underground Flush '
24. Roof Framing. - • - . 73. Undergrnd.Storage Tank O Gas O Oil
- 25. Roof Sheathing ' _ ' _ 74. Overhead Hydro
-26..T-Barieeiling1Structuralh& Mondcoat 75. Dry Chemical •
27. Frame and Fleshing 76. Dry Standpipe
28. Lathing& Sii ing 77. FIXED SYSTEM FINAL
29. Insulation ' 78. FIRE PREY. FINAL
30. Drywall Nailing Notes: - •
31. PlasterB'rown Coat
32. Electhc.ellPower Meter-Final - • -
33. Final Electric 9//q/eYifi g :�
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; l
45. Sound-Attenuation ' • I •'
46. Handicap Regulations ' - , •
47. FINAL STRUCTURE & BUILDING .
-
48. Special Requirements Completed , - I - •
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. 7520 6/13/86 8.00 TL"
•
`'�CITY•OF COST AI ESq, CONS TRU TI1QPERMIT' p MIT NO/S_O TRACT NO. - LOT NO. UNIT NO. " •- ,
• Project Address _ /y,?f•� ,n '�" ,l 2/7/ f�
Applicant's Mailing Address St �; v'rry 7 •7 4 •/ G� TYPE OF CONSTRUCTION U NEW L{y f�DO Li ALTERATION LI REPAIR -
A% ., Jp f/ , 7,r ❑ CONVERSION ❑ DEMOLISH ❑IO_THER s A.P. Zone
Owner's Name/L'cL�3dzlei,.s Phone ( DESCRIPTION OF •RK/USE OF BLDG. ',
�
Address 3 uppVl� / 9 - - „v Sari / _ a `� _ S Main Building: Accessory Building:
Arch/Eng. License No. TVP 'OFRMIT��II ma _ ��_-
GR-DING IN FOUNDATION U STRUCTURAL T Front •
• - - Z
Addresss. •', .i ' CI TENANT OJ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - N
•
Co tractor's Name.� A S./ 1 'Y• 4 4 .,ay'.. . . Phone ❑ OTHER A - I
• yz1� • -� . PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Co
(mailing) y'[ • i ` 7 u .` �, �41.-/1 /i/�' K - - G
8 CON ST RUCTION TYPE OCCUPANCY
VALUATION s Left
City License No. 3 s 'r ZONE GRADING CU. ACRES - Pl ng. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION - Q
I hereby affirm that I am licensed under provisions of Chartei'9 (commencing Remarks: Planning Notes: ' M
with section 7000) of Division 3 of the Business and Professions Code, and -
my license-is in full force and effect. / 7T
/
Licens- Class ' Jr Lic�,-e No..� zi 7 ' S
Date •r Signature _ Art-. - - • PLUMBING - FEES .
WORKERS'COMPENSATION DECLARATI• . Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FE
_
ES •
_
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink •
3800, Lab. C.) - Automatic Washer Transformer 0 15-50 KW
•
Policy No. Company Backflow Irrigation Sewer Co050+KW
• ® Certified copy is hereby furnished. ' p Construction Pole Sub. /
Certified copy is filed with the city Building Division. Bathtubs I Sewer Connection Cooking Unit I Meter I�up to 100 amps � /J
Date Applicant - • - 5 J 1��
.EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers - Solar Collectors Dishwasher ' Meter Dover 100 amps r - '
(This section need not be completed if the permit is for one hundred ($100) or •
less). Dishwasher Solar Piping, - Dryers OGas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit Is issued, I •
shall of employ any person in any ner so as to b••ome subject to the Drinking Fountains Solar Tank Fan
Worktpfj Co pa sa o laws of Ca' •y ia, j - ' Motors 00-1 HP 01%-8
Dat gX{ 1e�, Signature -. A -. . ✓ - Floor Drains' . Swimming Pool w/Spa 1 F.A.U. •
.NO ICE: If,after eking this declaration, you s .uld •ecome subject to the _ _ Inc.Solar 09-15 HP 016-151
Workers' Compensation provisions of the Lab• Code, you must forthwith Floor Sinks i Urinal
comply with. such provisions or this permit shall be deemed revoked. - Fixtures • Microwave j '
CONSTRUCTION LENDING AGENCY `• - - Gas Service , .Outlets Water Closet Device Boxes •'
I hereby affirm that there is a construction lending agency for the performance Pole Light ,
of the ,work for which this permit is Issued (Section 3097 Civ. C.) Interceptors ' Water Heater - - Outlets
Lender's Name Range • , •
Lender's Address •
Kitchen Sink - - Water Service Switches Sign '
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories - • Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;$tanding.Sections
•
county which requires a permit to construct,alter,improve,demolish or repair P-Trap tLau ndry Trays ,
any structure, prior to its issuance,also requires the applicant for such permit - - Generator 00-5 KW 05-15 KW Trash Compactor 1
to file a signed statement that he/she Is licensed pursuant to the provisions ofRoof-Drains' '
the Contractor's-License Law(Chapter 9(commencing with Section 7000)of
.Division 3 of the Business and Professions Code) or that he/she is exempt ,
ti therefrom and the basis for the alleged exemption. Any violation of Section -' • . 1 I
•
=7031.5 by any applicant for a permit subjects the applicant to a civil - •
penalty of not more than five hundred dollars($500).
O I, as owner of the property or my employees-with wages as their sole •Reinspection Fee ' I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL - FEES pI $15 Issue Fee $ 3
License Law does not apply to an owner of a property who'builds or improves - I -- • - -
thereon; and who does such work himself/herself or through his or.her own ' - • DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not.intehded or offered for . Boiler • - ( Hood or Type I • 0 -
sale. If, however, the building or improvement is sold within one year of corn- Canopy I Type II 0 , Zoning Approved By I Date
pletion, the owner will have the burden of proving he/she did not build or,im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale). • - /A �7
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System t Application Issued By Date y' �3 li p
tractors to construct the project (Section 7044,Business and Professions Code: •
The Contractor's License Law does not apply to an owner of property who- Duct-Ventilating •- 00-100,000 BTU 0100,000 BTU ' -'
builds or improves thereon, and who contracts for such projects with a con- - _ 'SUMMARY OF FEES
tractors) license pursuarit'to the Contractor's License Law). I am aware thatBUI LDING PERMIT $ SMIP ' $ �-
proof off their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration
PLAN CHECK $ • PERMIT
O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ 'ISSUANCE . $ ,
Heating -. _ r PLAN CHECK 25% $ ENERGY P.C. . $
Date _ • Owner' System& Ducting _Reg_isters '
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000BT 1e 0'2GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ Q
and-state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city to -nter upon the above-mentioned property for ' , e ,^
MECHANICAL $ TOTAL FEE $ • 6 •
spection • . .oses. // V
Drivers' License or S le - Reinspection Fee I $15 IssueFee $ 3PLAN CHECK 25% $ ,
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•I CONSTRUCTION AND PLANNING POOL of SPA
• y- APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
a 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. ElectricalUFER-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 ❑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 6% / 80. FOOD CERTIFICATE ISSUED
•
33. Final Electric Q 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
b44. Landscape Irrigation System
•
•
245. Sound Attenuation
.4146. Handicap Regulations
rmo47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison - •
•
rt50. Gas Release to Southern California Gas Co
c51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
1 CITY OF COSTA MESA • I ,• PERMIT NO. TRACT NO. , Lp1T NO. BLDG.NO. •I
CONSTRUCTION PERMIT "
$-8 41 //O � �p 5220- '9/GI/lam 474 . ,i:.
// E /4 r! ST e .InThCC1 [� '
Applicant's Mailing Address - O TYPE OF CONSTRUCTION'; NEW ADD ALTERATION U REPAIR
' Project Address i C`IM-C • ❑ CONVERSION ❑ DEMOLISH 71 OTHER ' _ 1 . - ' •
Owner's Name Q &e 7%O r_ Sae—GAJ les. 'Phone�3/'/? }Y DEISC� Ig(•!OF WORKO ��-sr Ir 1 O O r '/ " ' ' ZONING REGULATIONS +
Address 3,// -c 1 9 sr! -'Cos•/-a Mz�o-•-
TYPEOFPERMIT: CLI GRADING IJ FOUNDATION-$STRUCTURAL A.P.W /1 7t ,25--e-,i--/CJ 'ZONE •
, . -
Arch/Eng, J ///J� License No. - , • El'TENANT 0 ELECTRICAL' C.PLUMBING MECHANICAL _ ' PLNG.REF,# "—' - - BUI DING •->•TYl/' /�
Address /// - ❑ OTHER -t' TO BUILDING• 'cPTBerr i•a cT ITL- u
S 1 T��a�If! `REAR YARD (T0 P/U
Contractor's Namni ' • Phone •
• =PROJECT DESCRIPTION SO. FT, OCCOPANC /-✓1- .1• 'PROPERTY LINE'•. -.T`r. �_ S- ,`
' I ✓ O 'LEFT SIDE YARD,,,) 7a� I RIGHT SIDE YARD fa
1 CONSTRUCTION TVPF • ' VALUATION$ '�f /X/� Q '� \ ��� �( '
Address(mailing) - _
•• 4 ! , ZONE ' ' GRADING CU.YDS: IACRFS PKG.SPACE'REQ. PROVIDED
License No •
: __ _ ' _ I - -
LICENSED CONTRACTOR DECLARATION Remarks: i 1 I I { ' STREET WIDTH ' . PARK FEE'S �-. •
-
. I:herebylaffirm that 1'am licensed under provisions of Charter 9(commencing - - - _ -
with section 7000) of Division 3.of the Business and Professions Code, and 1 ' SPECIAL CONDITIONS: ( i + L. I
• my license Is In full force and.effect c_ i - ' , , � �p�•� � '.n �, •
Licenie Class License No. I 1 PLUMBING 1 � /GQ /T�'r'«/ ' / { ' 7 '
0 •
Date ' Signature t ,
'RIMERS' COMPENSATION DECLARATION , i ' Bar Sink Se Wer Cap i ' I I ELECTRICAL
veby affirm that.I have a certificate oLconsentto self-Insure or a certificate.. _ - - _ . Automatic Washer ` , _ 'Meter Clover 100 amps 1
Workers' Compensation Insurance, or a certifletllcopy thereof (Section Backflow Preventer- - Sewer Connection: - -+ -- .. _
Construction Pole Sub Panel' •
3800, Lab. C.) I , I Beikflow Irrigation Solar Collectors ' I
' Policy No. Company ' - - - - - Cooking Unit • Sub Pole '
8 Certified copy Is hereby furnished. i I I • i , 1 Bathtubs I , ; Solar Piping , ' I
Certified copy is filed with the city Building Division. :, , I Dishwasher , 'Motors L00-1 HP ❑1'G-B -
Date I I APpiiwnt - - I Clarifiers ( Solar Tank
• EXEMPTION;FROM WORKERS'COMPENSATION DECLARATION Dish Washer i SWlmmin Pool W/Spa •• , • Dryers ❑Gas'OEiectric-" ' " 'I LIC.Solar.09:115HP-1:1i6-1 -1- '
(This section need not be completed l/the permit Is Ionone hundred (5100)or , 1 I _ 9 '
' less). - - .Fan: Microwave '
I certify,that in the performance oft rk for which this permit is issued . Drinking Fountains Urinal ' - +
• shall•not mploy any person In any n er so as to become sup1act to tli F.A.U. ' Pole Light
•
' Workers o pe sa Laws of Cal rni n (1�� Floor Drains; I Water Closet - '
Date d' Signature / c- •ul e Al y�(act w - I Fixtures Ran e
NOTICE:If,after making this seclar Ion, ydu should become/s}IZsject to the Floor-Sinks - - - Water Heater ._ -, - - - . __ _ 9 ..._ ,. -_ _ __ _
Workers', Compensation provisions of the Labor code, you ( stst forthwith4 • Device Boxes i f
' comply with such provlslons`,or this, permit shall be de ed revoked. Ges SerV lCa' "Outlets Water$eNIC¢ Sign i
' CONSTRUCTION .LENDING AGENCY' -
I hereby affirm that therewh{c is a'�c�ogns permit
- lending agency for the performance •
Interceptors - - . , ' Outlets Standing Sections
of the work for A3�A/t6 permit -Is issued (Section 3097. Civ. C.) —. -. - �-•, - Switches t Trash Compactor -�" -,' -
Lender's Name_ A3 6 Kitchen Smk' 'l. . . _
Lender's' Atltlress' ! .. - ' I 1 - -. - • - ,
Lavatories , •I - , , ,. Garbage Disposal
OW NE R•BUILDER OEC LA RATION' ' ' '� ,r - ' ,
I hereby,of firm that I am exempt from the Contractor's License Law for the - , Generator ❑0-5 KW ❑5-15 KW - 7 +
following reason(Sectlon'7031.5 Business and Professional Code: Any city or . P Trap i • •• , .
•-county which'requires a permit to construct,alter Improve,demollsh,or repair . Transformer 01530 KW
' any structure: prior to Its Issuance,also requires the•applicant for such permit ' ' Roof:Drains' '9 ; ' . - . !
to file a signed statement that he/she Is licensed pursuant to the provisions of - ' ' <]5U+KW '
'.Contractor's License Law(Chapter 9(commencing with Section 7000) of " .. i - { I _ I Reinspection Fee $15'•
'z•slon•3 of the Business'and' Professions Code) or that ho she'is exempt Showers - Reinspection•Fee $15 - • -
7, i1%from and the basis for the alleged exemption:Any vIolation-of Section - ' -' ' Meter ❑'up to 100:ampi ; Issue Fee i• + '$ 3
'u1.5 by. any applicant for a•permit.subjects the applicant to a•civil ; ' ,., t ' -
natty of not more than five hundred dollars MOO). : - • - . Service Sink i _ i Issue Fee $ 3 Zoning Approved By/V, CKLtCI pate y 7 `�
I, as owner of the property or my employees with wages•as their sole - - - �IttoLLUAa7p /�a/�/ 9 _� S
tompensatlon' well do the work,and the structure Is not intended or offered - , - " - MECHANICAL I , • Application Approved By I �n� i/ '�`" Date , i
` for sale (Section 7044, Business antl,Professional Code: The,Contractor's - , • 1 /f . �� ,
License Law does not apply to an owner of a property who builds or Improves -i , Refrigeration System ; !�
thereon„and who,does,such!work himself/herself or through his or her own • Boiler• - t ,: • , ' Application Issued By Date 1
employyees, ed that such-improvements aro not intended or offered for ❑0-100.000 BTU ❑100,000BTU'
sale. If, however,
over• the building or improvement Is sold within one year of corn- I Duct-.Un der1 Gfound_ i • ' , SUMMARY OF FEES +
elation, the wnermill have the burden of proving he/she did not build or Im- I -4 I
drove for the purpose of,solo): , I Duct-Structural 'System Repair/Alteration BUILDING PERMIT $; /Q'— SMTP ; • 1 $ 'QC) - (
U I, as owner of the property, am exclusively contracting:with licensed con- , 1 1 , ...-S-0 ,
tractors to construct the project (Section 7044,..Business and Professions Code:. Duct:Ventilating __ _ - i _- , I _ _- PLAN CHECK' $ re - PERMIT , i r
. The Contractor's License Law does not apply to an owner of property who - , ISSUANCE: • $ '
• builds or Improves thereon, and ho contracts for such projects with a con- Exhaust System ❑ Multiple❑ I , ,PLUMBING 1 i $' ..,.'`• i
tractor(s) license pursuant to the ontractor's License Law): . I I - I GRADING- $ I 1 r
0 Lam exempt under Section - - 1 13•& P. s.for this rea I i • 1 � •
PLAN CHECK( V. : I 1 i
j Fir¢pl/Fact.Bit. ICB09Y' $
11 1 I .ELECTRICAL t 1 ,• - •�•
Da/e �5 ` Owne• f .� f,. At...., Heating System& Ducting ' I _ ${ MICROFILM • $ r•
I hereby•certify that-Knave real, t Is ppiieallon-antl r}r that end-above- ❑0.100,000iBTU 0100,000 BTU . -. {PLAN CHECK { $ : - ,
Information is correct. I agree to omply with all-city:a (. ounty ordinances I t i - i I—i I I 1 I I + TOTAL FEE! . h' $ • I '
and`state law relating to building construction,'and her..y authorize repro- " ' - ' 'MECHANICAL, $ I I
sentatives o It. c ty to enter,)u•on t : above-m:• toned property So yp ' - 1= : ,
04 Hood or T e I
I Fee $15 I i LESS
inspection p•r•os:.. : D Canopy Type II ❑ I Reinspection 'PLAN CHECK $ i
519nature L:../. ' - Data a`a S� • 1 1 I ( ' ADVANCED PCu $ � • I
' Drivers' License or.SS yE :-�� ' I - I ' Registers I Issue Fee . $ 3 I r ` I I , r7 00 ,
t i , I 1 FINAL FEE;-`: $ % '—
CMF 0885-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' -- . -- . _ ._ -_ -• _ ' ._
-riCONSTRUCTION AND PLANNING POO' SPA
APPROVALS Permit# - - Date Inspector APPROVALS Permit Date Insdector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrarnd. - •
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 Eiectrical-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 O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural)i& Monocoat 75. Dry Chemical
27. Frarge and Flashing 76. Dry Standpipe
a8. Lathing 8/Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing Notes:
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
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. FINALSTRUCTURE & BUILDING ti ci ck) �,-,. - Q ,ny� iX . 2- Bo &
48. Special Requirements Completed ``�l �5-n (�g e. Or
49. Electric Release to Edison 111
- 50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY •
No _ Date
Paths() Conr' _
. �g P P9� ® V D i STRUCTURAL APPRUJAL ONLY
FF1 Malaria( / so �p
City of Costa Mew Building Dept. SEPARATE PERMITS ARE P,EQUIRED QLro� 30D la0
(� FOR ELECTRICAL, PLUMBING,
BY SFDAT 9E-ALL TI HEATING, v: TILATING AND
THESE PLANS MUST BE ON JOB At ALL TIMES REFRIGERATION WORK 8o L
�3
MAKE NO CHANGES WITHOUT PRi00. APPROVAL
OF DEPT. p/
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL B'F�I�E' R #—I3 0 t0 51/ '
OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED UMBER
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION THIS ALL
NUMBERREQUESTS
:ION?JST ACCOMPANY
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE-
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO •
FOR BUILDut„S ..I., .E PERSONS ARE TO
-
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL BE EMPLOYES, L SI,�UEST THAT THE
THE ISSUANCE OF A PERMIT BASED UPON PLANS ANO STATEELO C !.E u T THAT OF
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFLCW TEiROF 5:..IF Ni CONSULTED FOR
FROM THEREAFTER REQUIRING THE CORRECTION OF EWQ4 ADDITIONAL
IN `AID FLANS AND SPECIFICATIONS OR FROM PREYENUU Q E Q REQUIREMENTS.
FUNDING OPERATIONS BEING CARRIED ON THEREUNVER Vitati -
IN VICLATLCN OF THIS CODE OR OF. ANY QTHF$ Q
C THE CITY. ‘
APPRO�D
Loti .
' J CITY OF COSTA MESA
PLANNING DEPT.
nLSUBJECT TO BLDG. DEPT. REG
J � r�^�+ .. os
. DATE..Q/7/3
AGL� �Q( � DIBECTOB OF PLWNIN6
V
PATIO COVER DETAIL - 12/9/81 — NOT TO BE USED FOR SUNDECK, ETC. - ' TYPICAL JOIST ANCHOR
o
STATE-jam^ �.7q •" .
uniSPAN 1', •,;,•
SIZE SPACING - `•� `
OVERHANG EMI ��
12 t''
RAFTERS: v y
eala FOR DRAIN Min. 114
�—SLOPED ` ,•,.►�
STATE linTr,
! J 'may :. I
O
MA%IMUM /7 CONTINUOUS ..-
se
• C 3/8x5.Logs 32% LEDGER ."-
A1/47-1
Blocking ,
1,...--4' o/t MAXIMUM Predrill Ledger
Predrill Existing '/�-3 Deep 4
JOIST HANGER
or other approved methods NOTE USE REVERSE SIDE FOR PLOT PLAN.
BEAMo of support a tie.
y - x L SIZE II
STATRAFTFR SIZE AND SPACING
E
ALL LUMBER DOUGLAS FIR No. 1 No.2 —
1y 346X2"-T-STRAP UBC STD. TABLE UBC STD.TABLE
+dy, CONSTRUCTION GRADE FOR 25-214-625-21-R-1
TABLE NO. 1 For open egg crate alumi- For solid sheathing.
1num or plastic roof Shingles or built up
1 X
P #2ORBETTER FOR TABLE NO.2 covering. roofing.
X MAXIMUM SPAN SIZE SPACING MAXIMUM SPAN
ZPOST-BEAM 17'2" 2"x 6" @ 12 o.c. 12'0"
1 i CONNECTION 15'7" 2"x 6" @ 16 o.c. 10'5"
I 1 'n 13' 8" 2"x 6" @ 24 o.c. 8'6"
POST - 10' 11" 2"x 4" @ 12 o.c. -
I ,x � , I _ D. 9'.11" 2"x4" @ 16o.c. -
1
V SHOW SIZE SHOW SPACING 8' 8" 2"x 4" @ 24 o.c. -
- `- SHOW LOCATION ON REVERSE SIDE,
1
II '
ii--- DATIO SLOPE TO DRAIN 2"ROP maxP.@doorFLOORNOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WALLS
. • l• `•gT THICK SLA84 'eARE TO BE BUILT. USE NO.2CHARTONLY.
. . . .SAND FILL FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO WALLS
aARE TO BE BUILT SUBMIT COMPLETE HOUSE AND ADDITION
;. ' -.� Remove Grass And Weeds Down To Natural Grade PLANS FOR APPROVAL.
12. CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCHOR I�. �.•'.: 7# GALLONS PER SACK CEMENT.
For Pipe Post, Embed r12� Provide 26 Go G.I. Flashing At Wood Floor Const. COSTA MESA BUILDING DEPT.
Pipe in Footinto within 3"of Bottom,and ,
Provide detail of Flange or Weld Plate Screwed or Bolted to Frame.
77 FAIR DRIVE INSPECTIONS: 754-5627 1
b
CMF 0012-46(BU 40) rev.12/el
I
. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - -
CITY OF COSTA MESA CONSTTRUCTION PERMIT m MI ANO. n TRACT NO.' LOT_NO, UNIT NO. t (7098 5/23/86 13.25 TL
Project Address 3/i 4. //7 t/1 n LJ� 1111pp000OIIIIII - -
Applicant's Mailing Address Jt/I4//i TYPE OF CONSTRUCTION IJ NEW ADD U ALTERATION U REPAIR - ,
0 CONVERSION' 0 DEMOLISH OT R �_/ - Zone
Owner's Name 1v1 Y4JGlJ/Ait. �9P�9BJ/4 Phone ��_ DE CRIPTION OF WO"K/USE OF BLDG. ICT 5SO/ 4-171 (---
Address •Si/ 6 /?'159 eQSTifl-/lc-g4- it I i. C %O / . - :/ - ' at s Main Building: Accessory Building: i
Arch/Eng: License No. TYPE OF PERMIT I■ GRADING S.FOUNDATIONgU STRUCTURAL 0
Address �-.d' //� 0 TENANT X ELECTRICAL 0 PLUMBING 2Z MECHANICAL . N
Contractor's Name s-fz-//•+'�i1.IAa' //��Sr- 1.¢Phoene' /�� OTHERC Right
PROJECT DESCRIPTION SQ. FT. OCCUPANCY • N
Address(mailing) nI/ vI - I. /Pi '/✓ • G
� w, CONSTRUCTION TYPE .VALUATION$ R
City License No. ZONE - GRADING CU.YDS. ACRES - ng. ng E
LICENSED CONTRACTOR DECLARATION
0
hereby affirm 7 that I am licensedion under provisions Charterro9i (commencing Remarks:
with section 7000) of a and
3 of the Business and Professions Coda„antl T
my license Is in full force effect. I • S
License lis /'A�� 41c¢nse /. *eal.
Date AL Signature - - nr. - PLUMBING FEES •
'ORKERS'COMPENSATION DECLARATION ' .Bar Sink Showers - _.
nereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy-thereof (Section 11Service Sink.
3800, Lab. C.) Backflow , S,, Automatic Washer Transformer ■ I
Policy No. Company ■
.Certified copy is hereby furnished. •
Cert ii'ed c Js filed with the city sun.' ts� Sion. ■ 100 amps
[lats.,' �79�/p�'pyy(s • Applicant _ . . care
XEMMPTION FROM WORKERS'COMPENSATION DECL'RATION / ■• • ssamps -(This Section neetl not be completetl if[he permit is for one huntlred ($100)ormit_jt[
®Im. -'•L■ •
' I.
less).
I certify that in the performance of the work for,which this permit is issued, I •
snail not employ any person in any manner so as to become subject to the .• _■■ ■s .:4 _
Workers' Compensation Laws of California. '
Date Signature •
IIIFloor 11• 1
■ _■. . ■• • ■ _
'NOTICE: If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal -
Fixtures
-
comply with such provisions or this permit shall be deemed revoked-
MicrowaVe
CONSTRUCTION LENDING AGENCY -
1 hereby affirm that there is a construction lendingagency for the performance
issued the work for which this permit is (Section 3097 Civ. C.)
Lender's Name -
Lender's Address - - . ' Kitchen Sink - .. Water Service Switches
Sign •
-
OWNER BUILDER DECLARATION •
I hereby affirm that i am exempt from the Contractor's License Law for theAutO-VVash • II Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or • •
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ■I ■
' any structure, prior to'its issuance, also requires the applicant for such permit -
- oto file a signed statement that he/she Is licensed pursuant to the provisions of ROOF Drains - '
'le Contractor's License Law (Chapter 9,(commencing with Section 7000) of - -
vision 3 of the Business and Professions Code) or that he/she is exempt
,erefrom and the basis for the alleged exemption. Any violation of Section • _ -
/031.5 by any applicant for a permit subjects the applicant to a civil •
-penalty of not more than five hundred dollars ($500).
.L.J I, as owner of the property-or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work,and the structure is not intended or offeredReinspection Fee $15 • Issue Fee $ 3
for sale (Section 7044, Business-and Professional Code: The Contractor's ' MECHANICAL FEES An
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself-or through his or her own ■ • •'
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ■ Zoning Approved ByDate
pletion, the owner will have the burden.of proving he/she did not build or ImDuct-Under Ground
Building Approved By Date
-
prove for the purpose of sale). Refrigeration
O I, as owner of the property, am exclusively contracting with licensed con-
tractors t0 construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to-an owner of property who . , NO-100,000 : -0100,000 : 0aSUMMARY.OF FEES
builds or Improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant.to the Contractor's License Law). I am aware that - 111 Exhaust System ■ Multiple ■ ■
proof of their Worker's Compensation insurance should be provided to me.
1
O I am exempt under Section B. & P.C.for this reason . :• ■ •. 111,.-
•
Date owner. • - Heating System& Ducting Registers• (L.SNN CHECK $ PERMIT
1 • fr
I hereby certify-.that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL I •
Information is correct. I agree to comply with all city and county ordinances
and state laws relating to building co tion, . d hereby authorize repre-
PLAN CHECK
sentatives of- this city o enter . - ab•'- . -ntioned ,pr ert for. ate � .� t
inspection p •• - . z
Signetury - --41.• ,-- Date�Z 6
Drivers' License or SS 4e -- _ Reinspection Fee $15 Issue Fee $ 3 • /
CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNING PO' 1 SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 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 ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame.and Flashing 76. Dry Standpipe
c"
28. Lathing & Siding 77. FIXED SYSTEM FINAL �.
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation I
4D; Landscape Irrigation System
EXPIRED
45. Sound Attenuation Incomplete Inspections
46. Handicap Regulations �/ . a
DateZlSrg 6n 3Z. FINAL STRUCTURE & BUILDING �j
48. Special Requirements Completed
49. Electric Release to Edison - "
50. Gas Release to Southern California Gas Co
51i. CERTIFICATE OF OCCUPANCY
No Date