HomeMy WebLinkAbout307 18TH ST - Building Permits PROJECT ADDRESS: 307 E 18TH ST UNIT: A/B CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 059517
OWNER'S NAME: STANFORD WEST
/:•ADDRESS: P 0 BOX 1701 PERMIT NO: B 059517 PLAN CHECK NO: N GOVT; N SUPP: N
NEWPORT BEACH,CA 92663
i CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
645-5512
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF 0/1 LAYER W/COMP SQ FT; 2, 750
ADDRESS: UNIT:
PERMITTEE. ACADEMY ROOFINGCLAIM VALUE: 2, 750 , 00 CALC-VALUE: 2, 750 . 00 GROUP OCC: R-3 /
( 714 ) 973-1261
ADDRESS: 1833 E 17TH ST 308 COMMENTS• SMOKE -DETECTOR REQUIRED
i6�EBr
SANTA ANA CA 92701 ******** *B6�F>t�6*B6�E+E>Eit�EatTr*E **** *Br***BELE***REdr*Bt*>E***u -*BE7E ****** ******** ****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITYuc.: 045951 STATE LIC.:533762/// O ss: -39
1---1717---Jo-S___ Signature:_(_) MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm yyjt l have a ceni to of consent to self-insure or a ceniticate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PWC184945 EXP.DATE: 08/01/93
COMPANY: GOLDEN PARKING REQ. PROV: PARCEL: 42501419 ZNE: REF NO:
❑ Certified copy is hereby furnished. ® Certified copy is I d wit the Building Division. PLANNING NOtES>
— 3Ip ¢: -`O-44'-eta Applicant: ********************************************************************8E *********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: Is section need not be Completed if the permit is for One hundred($110)Or less). DEVELOPMENT SERVICES REQUIREMENS
r
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws 01 California. ZONING APPROVED BY DATE: ?:
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ..._: \ E DATE: ,.
Code.you must forthwith comply with such provisions or!Itis permit shall be deemed revoked. x C �' J `D�/-/ 4 L�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: /• DATE: s/ ! A("_/
which this permit is issued(Section 3097.Civ.C). **********************4r:** ** **4c*x* ******le* * *****J!************+c xyt*ir*ae*ant**
LENDER: ********************************************************************kr**********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES../ GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 54 . 00 5.0
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed �.
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON mR E$
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation 01 Section 7031.5 by PLAN ��1d
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($51101. ISSUE FEE
I. as owner 01 the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or of feted for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 , 50 0 . 00 0 , 00 54 . 50 54 , 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
himprovementis or her is soln dlowithmoneyear of completion,rovided that such improvements
owner are
have the burden of proving he/shed or offered for sale. e did noter the bud or improve REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT• nn 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADINGi3?L AN-CHECK
ofesr of the d :property,am etractois's tecontractingLicnwithw licensed capp to
an to of the project hrov, theress on
I. 54 , 00 , 50 1T
❑ and wo Professions s for
The projects
State License Law does pursuant ut to theowner of property'Sarobuilds or improves thereon /
and profcontracts ftheirforsuch contractor(s)licensebeothe Contractors'State License Lawl.l am aware *******************************************************************IE'3E*lE********
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for reason: TYPE QTY DESCRIPTIO N UNIT COST X`OTAL COST
Date: Owner: 1
I do hereby certify that I am aware of and understand the re0uirements of California Health and Safety Code Sections 25505,25533,and SFR 2750 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 750 , 00
25534 and that I or any future building occupant will/will not(circle one)need to compy with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Ouahly Management District.Residential construction applications are exempt from "e.
these provisions.
il
Date: Applicant: n
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. //
Date: d ( 4)— Signature: (FC, Ll . .
Driver's License or Social Security a: .
1641-46 White—Buddin0:Green—Code Enforcement;Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor
.
POOL e. „PA
CON:';RUCTION AND PLANNING
APPROVALS Permit# I Date Inspector Date Inspector
APPROVALS Permit #
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 OF ER 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 OGas ❑Oil
23. Gas Pipe-Rough & Test 4 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 I 78. FIRE PREY. FINAL
30. Drywall Nailing I I ''I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I I . I 79. FINAL INSPECTION
32. Electrical Power Meter-Final "�
80. FOOD CERTIFICATE ISSUED
33. Final Electric 1 Notes:
I.
34. Final Heating& Air Conditioning I ,Y,• r
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace ! ;
38. Final Plumbing I
t �
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer I
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
' 47. FINAL STRUCTURE & BUILDING j -21-41 �� $ - . !,C_ L
48. FINAL PLANNING Cgralf-!S"" (CT W
49: Electric Release to Edison I I - '
50. Gas Release to Southern California Gas Co I !•fr'
51. CERTIFICATE OF OCCUPANCY
-
No. Date
PRO " :PROJECT ADDRESS:
307 E 18TH ST UNIT: C/D CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059518
STANFORD WEST
ADDRESS: p O BOX 1701 PERMIT NO: B 059518 PLAN CHECK NO: N GOVT: N SUPP: N
NEWPORT BEACH,CA 92663
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; ALT
645-5512
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF O/1 LAYER W/COMP SQ FT: 2, 750
ADDRESS: UNIT:
PERMITTEE: ACADEMY ROOFING ( 714 ) 973-1261 CLAIM VALUE: 2, 750 . 00 CALC—VALUE: 2, 750 . 00 GROUP OCC: R-3 /
ADDRESS: 1833 E 17TH ST 308 COMMENTS• ATTACHED GARAGE ALSO INCLUDED
SANTA ANA CA 92701 ***>t>E***i>f***rt-x*** Est***yEx**slx>t*****7E****x*x***xx* >f**x*****>E*>F*x0x**-x********
LICENSED CONTRACTOR DECLARATION: I hereby alfirm that I ant licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY..ie:_(0-/ 4-- STATE LID•,533762 A GEss: —39
r.le:_�0—/�=e'7)-•— Signature:—/_(Si/,A,.SIa' MAIN BUILDING ACCESSORY BUILDING FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm this I have a tenni to of consent to self insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR:
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PWC184945 EXP.DATE: 08/01 /93
COMPANY: GOLDEN PARKING REQ: PROV: PARCEL: 42501419 ZNE: REF NO:
, ❑ Coddled copy is hereby furnished. ® Cenified copy is filed with the 'ty ending Division. PLANNING NOTES>
>
. 10 —'("4— q1-- Applicant: 9E********************************************************************a)E*********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: Chis Wit need not be completed if he permit is for one hundred(S100)for less). DEVELOPMENT SERVICES R E Q U I R E M E N: T S
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 nF
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: 41,
~e
NOTICE:If,alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED B .. • _a /t / DATE: .-r
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for APPLICATION ISSUED B Y: / . DATE: 'L�
which this permit is issued(Section 3097.Civ,C).
**********************3E*** '. *****• 4**** ***Cr** ***x*********** kft,exxxxxx**
LENDER: ***************************************** ***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 0 05 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON f R ES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ,
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN $
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE .,,
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID .tit DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 G . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
or
improvementissold wiinnnewyear ofd t such completion.improvements the ower will have(the burden of ed or offered
povnfor
gsale.
he/she did not build or improver the iREVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT 00
forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING _I,AN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 54 . 00 . 50 y
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license Pursuant to the Contractors'State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN f.
❑ I am exempt under Section: B.&P.C.
lot this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR 2750 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 ' 2, 750 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 7>
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit tor construction or modification from the Air Italy Management District,Residential construction applications are exempt from '7
these provisions.
Date: Applicant: A
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above•mentioned
property lot inspection purpo5es. r //
e.te: (Q1—(tk—t771 Signature: _ .. . . ..
Driver's License or Social Security n: p ' _ .
164646 White—Building:Groan—Godo Enlorcement:Canary—Applicant:Pink—Revenuol Goldenrod—Assessor
rONSTRUCTION AND PLANNING r- POOL a . PA Date Inspector
Date Inspector APPROVALS Permit #
-"APPROVALS Permit#
5. 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-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System e'' _ -• 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 OOil
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 I 77. FIXED SYSTEM FINAL
I
29. Insulation 1 I 78. FIRE PREV. FINAL
30. Drywall Nailing ;Y ��; HEALTH DEPT. REQUIREMENT
31. Plaster Brown CoatI� i 79. FINAL INSPECTION
32. Electrical Power Meter-Final � � 80. FOOD CERTIFICATE ISSUED
33. Final Electric 1! Notes: -
34. Final Heating & Air Conditioning -'!' I
Ir tl
35. Final Gas Pipe-Test !�
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing I
39. Water Service-Final ! '
40. Gas Service-Final
41. Solar Domestic-Final I4 I 1
42. Backflow Preventer I I I .
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 'I~h► � ,[ s � CI� 3
48. FINAL PLANNING I I y , f 4�1 w G7�
49. Electric Release to Edison i
50. Gas Release to Southern California Gas Co i I
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
COSTA MES C $. C ION PEp�[y/��1��'I/T PERp�IJr CI) O y� TRACT NO. LOT NO. UNIT NO. A P #
jog c A/lJ IVY /7/ Zone
ddress / • S Main Building: Accessory Building:
Ap iCant'S Mallin• Address 3 / �� TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E Z
�//� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front - 0
Owner's Name i/ ��� Phom�YG�?• DESCRIPTION OF WORK/USE OF BLDG. 1 B Rear N
Address N
C Right
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U� OUNDAT ION U STRUCTURAL K G
Address - CC p CI TENANT El ELECTRICAL PLUMBING CI MECHANICAL S : Left R
Contractor's Nam
eGA/C/� ,0LUmAJiwn Phon-22Q3LD ❑ OTHER F Ping. Ref.# Parking Req./Provided E
Q
Address(mailing) I PROJECT DESCRIPTION SQ. FT. OCCUPANCY 9
City License No. _ s 'S t CONSTRUCTION TYPE _ VALUATION$ Plannin Notes: RECEIVED SEP 2 71°Q
I. 89 T
ZONE GRADI NG CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION /I /� /� ' c 12_ /
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /�5"T/+u- ,0 O �(/A�C� /.J2&r�•
with section 7000) of Division 3 of the Business and Professions Code andII��+--- ELECTRICAL FEES
my license is in f fo nd effect. /1/)/ �h
I Licens-1 -14-_ hr M'. ns: dam[ (N / -
k Date ``11 - Signature /. ._ i,si PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
•` WORKERS' COMPENSATION DECLARATION - Construction Pole Sub.
0 50+KW
Bar Sink Showers
Q I hereby affirm that I have a certificate of consent to self-Insure or a certificate CookingUnit Meter ❑U to 100 amps
Workers' Compensation Insurance, or a c led copy thereof (Section PP
0, Lab. C.nv J(4/ Backflow Pr Irrigation
r Service Sink
_1_A-f ea.ve ,� Dishwasher Meter ❑over 100 amps
icy No. Company Backflow Irrigation Sewer Cap
resort-I- ietl copy is hereby furnished. •
Dryers ❑Gas'❑Electric Sub Panel
Certj�y''ed Fgpy . ed with the city "epee D}v io � Bathtubs Sewer Connection
Date '/d/ L-9 Applicant / •7`. ` �s,si✓✓'� Clarifiers Solar Collectors Fan . Motors 170-1 HP 01%-B
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION •
(This section need not be completed if the permit is for one hundred($100) or F.A.U. - Inc.Solar 09-15 HP❑16-15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued I Fixtures C' Microwave
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank "� .
Workers' Compensation Laws of California. Device Boxes •' Pole Light
Date Signature Floor Drains Swimming Pool w/Spa u/ 9
NOTICE: If,after making this declaration,you should become subject to the Outlets t Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
Switches
CONSTRUCTION LENDING AGENCYcioGas Service Outlets Water Closet Sign
I hereby affirm that therewhiis a permit
ssue (Section
for the performance
it�� Garbage Disposal Standing Sections
of the work for which this permit is issued (Section 3097 Civ. CJ Interceptors ' Water Heater OC
Lender's Name
Lenders Address Kitchen Sink Water Service Generator ❑O-5 KW ❑5-15 KW Trash Compactor
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
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its Issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof 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 Reinspection Fee $15 Issue Fee $ 3
.--!.!terefrom and the basis for the alleged exemption. Any violation of Section
*1v;31.5 by any applicant for a permit subjects the applicant to a civil
-malty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
--b I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ Zoning Approved By Date
compensation, will do the work, and the structure Is not Intended or offered ---
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves "'6/'•'��
thereon, and who does such work himself/herself or through his or her own Application Issued ByDat
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. if, however, the building or Improvement is sold within one year of com- Canopy Type II 0 - SUMMARY ES
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ SMIP . $
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
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 PLUMBING $ -JrISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers _ PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ a/00
I hereby certify that I have read this application and state that the above 0o-100,000 BTU ❑100,000BTL PLAN CHECK 25% $
Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to nt u o the above-mentioned ropert t r '
inspection purpp aJ, �yy
Signature �, �� / Date Lir-ill- ht C'137t;t!'._��:�.:,7 1:1 `_ � _
Drivers' License or 55 Reinspection Fee $15 Issue Fee $ 3 nP'L` 09/20 % I: t r. if.
0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
I
• t- .-, '
)NSTRUCTION AND PLANNING POOL 'A
ROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
. 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, ❑ 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
1-47. Rough Wiring Sign 68. APPROVED FOR PLASTERING
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 1 71. Product Piping ❑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 Il4
33. Final Electric - Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing7/1 „Sr9. Water Service-Final �!
40. Gas Service-Final U.
41. Solar Domestic-Finale;
42. Backflow Preventer
43. Backflow Irrigation cd
44. .Landscape Irrigatiori'5Ystem
r."-
45.
r45. Sound Attenuation
46. Handicap Regulations,-
47. FINAL STRUCTUREj& BUILDING
48. Special Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date ice.
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA'MESA - - P IT NOl _- - TRACT NO. -LOT NO. •BLDG.NO. - - - s
CONSTRUCTION PERMIT S D •
`
Project Address,So 7 (f/ p
/ Ai,,y- D TYPE OF CONSTRUCTION
M Owner J`'74AA/-�i'Y7) /4�Psf Phone6Yf J-C-72tir5 , .
�j d� +� 0NEW 0ADD 0ALTERATION ,v ` 2580 1 /05/83 • 5 011 Ti..
� Address�l) .(70,Y /70/ PGI O/T L)�'AeiA •❑ REPAIR ❑ CONVERSION ❑DEMOLISH
'O Arch/Eng. - License No. 0 OTHER
ZONING REGULATIONS
N
Address - -- DESCRIPTION OF WORK A.P.
( ZONE ' PLNG. REF.
Contractor�g �P r/y',h7Mw4.J/
�, �/, phonep) -.3570 TYPE OF PERMIT - - BUILDING TO BUILDING
O SETBACK C/L ST. PROPERTY LINE
Address/ 33 �4f �,/AJ AJ4 J - ❑GRADING 0 FOUNDATION
• ❑ STRU,C,TU RAL SIDE YARD - -
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL Id P LUMBI�[JG`n1M HANICAI/
LEFT
YARD - - •
I hereby affirm that I am licensed under provisions of Charter 9(corn. RIGHT
mencing with section 7000) of Division 3 of the Business and ❑OTHER " - .
Professions Code, and my license is in full fort and effect. / REAR YARD (TO P/L)
License Class "> - License Not PROJECT DESCRIPTION Q ..y
_
/ � PKG.SPACE REQ. PROVIDED'
• Date/w2 77—it"— Signature sLt� -G?/l/ • SO. FT. • -
S� rSTREET WIDTH -PARK FEE$
„ -
WORKERS' COMPENSATION DECLARATION. OCCUPANCY - '•• S ON TYPE ZONING APPROVED BY DATE
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION •
certificate of Workers'-Compensation Insurance, or a certified copy _ _
thereof(Section 38pgU Lab.C.). GRADING CU.Y! ACRES 'SPECIAL CONDITIONS: -
Policy No. 4246•f�L Company-hem ve F� /✓S - -. • -. .
❑� Certified copy is hereby furnished. . . REMARKS: •
_ - _
R'Certified copy is filed with the city Building Division. _ _
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - -- -
(This section need not be completed if the permit is for one hundred - -
($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 PLUMBING - PLAN CHECK ' - - ' ELECTRICAL PLAN CHECK •
subject to the Workers'Compensation Laws of California., - DWELLfN6-. - .. - GARAGE
Date Signature BATHTUBS - - SHOWERS - SO FT SD FT •
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 LAYS- -- - - ' APPLIANCE -' - 10-50 KW-50+KW ,- - •
revoked. _ _ _ _ • -
CONSTRUCTION LENDING AGENCY 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 -- ' ' - - - -• (INC.SOLAR) 10-50 HP 50 + HP -
formance of the work for.which this _
permit is�issuetl (Section 309T - _ '
- - FLOOR SINKS - FLOOR DRAINS' `-" - • ' FIXTURES OUTLETS - SWITCHES - -
Lentler's_Name_
- ,`a.', "DRINKINGCFOUNTfSINS - • - ' • .GAS Address, • - ` -' +, _ - -
OWNER BUILDER DECLARATION"' - v ''''''''.+ ' ' '-4-'•-• INTERCEPTORS- \ -CLARIFIERS POLE LIGHTS '
I hereby affirm that I am exempt from the Contractor's-License Law for '
the following-reason (Section 7031.5 Business and. Professions Code: .SWIMMING POOL -P TRAP - - - CurvSI HULTIUN- - - -
Any city or county which requires a' permit'tosconstrdct, alter, - - c" POLES METERED SUB
improve, demolish or repair any structure,'prior to its issuance,'also re- WATER SERVICE' • ALTERATION -- --' - 'PANELS MAIN'-- SUB - - ^ -
quires the applicant for such permit to file a signed statement that he
-
is'llcensetl pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS I
SERVICE ' -- - - -AMP- -
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS" ' BTU OUTPUT - • - ' -
basis for the alleged exemption. Any violation of Section 7031.5 by -
any applicant-for a permit subjects the'applicant to a civil penalty SEWER CONNECTIONS' " --- "- - - ' - - - '• ' - -" - -- - -
of not more than five hundred dollars ($500).
❑ I, as owner of the property,or my employees With wages as their - SOLAR TANK - ` COLLECTORS - -` "- - - ' - -- - '
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, �2 APPLICATION APPROVED BY- -- DATE-
who builds or improves thereon, and who does such work himself or ISSUE FEE - - - yr D� . . ..
through his own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK ' SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden '
of proving he did not build or improve for the purpose of sale). ' BUILDING - - - - - - -
HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP • $
❑ I, as owner of the property, am exclusively contracting with AND DUCTING- -- - --
licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMITc. 1
and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $- - "
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU • PLUMBING $ + '
tracts from such projects with a contractor(s)-licesned pursuant to SYSTEM - - - - GRADING $ _
the Contractor's License Law). 100,000+BTU PLAN CHECK $
❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ - -
reason - - - -- - MICROFILM $
r -- - PLAN-CHECK $ - —' 'c
Date Owner SYSTEM REPAIR,ALTERATION -TOTAL FEE$
MECHANICAL $
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • LESS AD-
information is correct. I agree to comply with all city and county PLAN CHECK $ - VANCE'PC $_ - '
ordinances and state laws relating to construction,and hereby authorize - - •
representati v9s of this city to enter upon the above mentioned - '
property fW nspec(I pyrpas _ C✓ r FINAL FEE $
Signature/% 6 f^ .a,,,,-,� /n Date 0 - - - - -
Drivers' License or SS 98_,.- •
"" ISSUE FEE - • - - - - - - - - -. -_
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor24o�Dy Yp/�,/.5QOGL^,�jo,cl
•
•
CONSTRUCTION AND PLANNING - POOL&SPAS •. -� , -
APPROVALS Permit# "Th�98a Date Inspector APPROVALS Permit# • Date Inspector
1. Temporary Electrical Service or Pole C 43. cool& Equipment Location -
2. Soil Pipe-Undrgrn . - .. 44. -Steel Reinforcement _
.3. _ Electrical Conduit Utility-Undrgrn _ - __ _ __ -__- 45. ' Forms - - - - -- --- - - ..
4. Electrical Conduit-Undrgfn -, _ _ 46. Electrical Bonding
5. Steel Reinforce . _ . _ 47. Rq",,h Plumbing& Pressure Test
6. . Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE '
7. Footings _ _ - 49. Electrical Conduit-Undrgrn '
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn _ • z' 51. Backwash Lines,P-Trap. 0 Undrgrn
. 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. Plumhinn SvvPm - Final •
14. Rough Electric-Conduit .56. Electrical-Final -• .. I
15. Rough Electric-Wiring - • - 57. Solar System-Final • - -
16. Rough Heating &Air Conditioning 58. Fencing &Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING '
18. Ducts, Ventilating - -
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing - - - -
21. Roof Sheathing
22. Frame and Flashing NOTES: --no an r 1J P Ae/r CatYc✓ c-7'fl _a- r
23. Insulation / L'•4./.4C'C, 2? Z/Jis i 4i."."'""--
25. Drywall Nailing
24. - Lathing & Siding - l /�� i"
t . !/" ,2�
26: Plaster Brown Coat - _ aQr. s .
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. FI NAL STRUCTURE& BUILDING - _ •
39. Special Requirements Completed
' -40. - Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY •
No - • Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA • '• - . - _ 3244 6/29/84 . - -MO . TL
PERMIT N TRACT NO. . LOT NO. BLDG.NO.
CONSTRU• CTION PERMIT ���' CI�� _
•
Project Address / • • C'• T t, • • U TYPE OF CONSTRUCTION NEW • ADD U+ + AL•TE RAT IONREPAIR." - - )
. U"
Applicant's Mailin Address �r�.3 �f� ,iiej�n� ❑ CONVERSION - ❑ DEMOLISH - A.P.#
//'' // ,// ❑ OTHER• •
• I Zone
Owner's Name A//f-n t-D lit1 GS Phone
&`�3 .5' ' DESCRIPTION OF WORK •
'
• S Main Building: Accessory Building: O
Address 7/) :AY 110 / /fie r,/ t-7i>Ar L) 9oL663 (( � E
TYPE OF PERMIT Ll GRADING FOUNDATION U STRUCTURAL T Front _ N
Orth/Eng. License No. [ - • I
❑ TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL ' B Rear _ _ - - - N
Address �, // �•'y •
• - ❑ OTHER • - A G
Contractor's Noma-%e-cal/S /-/i(ii+/iii'! one7V� -.470 PROJECT DESCRIPTION! SQ. FT.- OCCUPANCY •
C Right ,
/ � / K Left
Addresslmailing)In'-3 L1/id
iigje /n ' 'CONSTRUCTION TYPF • r i VALUATION$ - $ 1 - E •
,r93 • ' ZONE GRADING CU.YDS. ACRES - Ping. Ref.yp Park $ 0
City License No. • - U
LICENSED CONTRACTOR DECLARATION ' i ' I ' ' ParkingReq./Provided • • - R
Remarks: ' I
1 hereby affirm that I am licensed under provisions of Charter 9(commencing Use of Building:
with section 7000) of Division 3 of the Business and Professions Code,and - E
` my license.is In lull force .nd effe t. • M
J\` License Class • - .3 LIce•se • •s/ 26-7 PLUMBING • I FEES Planning-Notes: 1• •
E
p Date - - -. Signature if 41 -� - ice- i - N
/ WORKERS' COMPENSATION DECLARATION Bar Sink Show¢rs T
'-hereby affirm that I have a certificate of consent to self-Insure or a certificate .1
•S
Backflow Preventer. Service Sink ,
`
j ' Workers' Compensation' Insurance, or a certified-copy thereof-(Section
- . ' - -
200, Lab. C.) Sewer Cap - ELECTRICAL FEES
dBackflow Irrigation '
mo
Ponds, NO. ' DL . . ' - companv�PA✓r T,/S 0 75=5o Kw I•
ertified copy Is hereby furnished. ' Bathtubs Sewer Connection Automatic Washer 'Transformer
•
Certified dopy is 4-
with the city,B9lding plpisiop. -• 0 50'+KW
Date T-/S--:(- - Applicant/V/7-41LSI ,Cr ?ZL[:o Clarifiers Solar Collectors Construction Pole Sub. '
'EXEMPTION'FROM WORKERS'COMPENSATION DECLARATION ..
(This section need not be completed if the permit is for one hundred ($100) or •
Dishwasher - Solar Piping Cooking Unit • ; - •Metes Oup to f00,amps - -
less) - -
I certify that In the performance of the work for'which this permit is issued I Drinking Fountains • Solar Tank • Dishwasher • f r• •
Meter Dover 100 amps j '
shall not employ any person In any manner seas to become subject to the - -
Workers' Compensation Laws of California. , Floor drains ' Swimming Pool w/Spa- i Dryers ❑Gas' ❑Electric Sub Panel -
Date - Signature - •
NOTICE: If,after making this declaration,you should become subject to the Floor Sinks 1- Urinal Fan - Motors 00.1 HP 01%-8
Workers' Compensation provisions of the Labor Code, you must forthwith - "- - '' - "' - - -
•
comply with such:provisions or this permit shall be deemed revoked. Gas Service ' 'Outlets' Water Closet - F.A.U. - ln0.Solar'❑9-15 HP ❑16.15+
CONSTRUCTION LENDING AGENCY- - - - - _
I hereby affirm that there Is a construction lending agency for the performance i , •
Interceptors Water Heater a ed Fixtures ,Microwave
Of the work for which this permit 9s issued (SecBon 3097 Civ. .C.) ' _-_
Lender's Name,' - Kitchen Sink - Water Service - . - Device Boxes Po •
le Light
Lender's Address - _ ,
OWNER BUILDER DECLARATION - - Lavatories' _ - Outlets ' Range . ' l
I hereby affirm that I am exempt from the Contractor's License Law for the 'following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap - _ i - 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 i l StandingSettions I
'to tile a signori statement that he/She is licensed-pursuant to the provisions of ' - •
the Contractor's License Law(Chapter 9(commencing with SectIon'7000) of - 1 r
Division 3 of the Business and Professions Code) or that ne/she is exempt 1 -. Generator 00-5 KW 05-15 KW Trash Compactor '
'hergfrom and the bails for the alleged exemption. Any violation of Section - - _ - .
031.5 by any applicant for a permit'subjects the applicant to a civil - -
�e -
naity of not more than five hundred dollars-($500), Reinspection Feo I $25, ' • Issue Fee $ 3 • '
•U 1, as owner of the'property ormyemployees with wages as their sole • - --- - •
Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work, and the structure Is not Intended or offered - ' - MECHANICAL FEES
for safer(Section 7044, Business and Professional Code: The Contractor's e. ' PUBLIC SERVICES REQUIREMENTS: - '
License Law does not apply to an owner of a property'who builds or improves Boiler Hood or Type I ❑
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 ' - Canopy Type 11 ❑ , .
sale. if, however, the building or Improvement Is-sold within one ear,of corn- Duct--Under Ground C.y -91-1
,J
y -. • Application Approved ey • Date r( -1
pletton, the owner wlll,ha le the burden of proving he/she did not build or im• •
Kove,for the,purpose of sale). Duct-Structural Refrigeration System • Application Issued By �� Date
L1 I,as owner of the property, am exclusively contracting with licensed eon•
tractors to construct the.project (Section 7044,Business and Professions Code: Duct-Ventilating 00:100.000 BTU 0100,000 BTU SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who -
builds or improves thereon: who contracts for such projects with a con- Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK . $ .1r�. � I PERMIT Art)
❑'l am exempt udder Section • B.& P.C.for this reason Firepl/Fact.'Blt. ICBG# .--�• 9-'O ISSUANCE : $ "
PLUMBING $
Date Owner - Heating System& Ducting '
PLAN CHECK i 1 $ • ENERGY P.C. $ '
I hereby certify-that I have read this application and state that the above . • ❑0.100,000 BTU ❑100,000 BTL ELECTRICAL . ' $ - GRADING •' $
information Is correct.'1 agree to comply with all city and county Ordinances "' "�' '" - -
and state laws relating`to building construction,and hereby authorize repre- - ! PLAN CHECK $ ' • MICROFILM $
sentatives of th{s city to enter upory�[he above•rmtlentioned property for • ,/ `�
inspectiop r es. / }5 ( / I • I
Signature V /H tie- /,EE[[ `_ /j-1L;ca/ Date 5---/.17-1 1` MECHANICAL $ TOTAL FEE $
Drivers' License or SS p , Reinspection Fee .$25 Issue Fee ' $ 3 PLAN CHECK 1 $ • ,
- -
CMP 0865-46 rev, 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - •- .. - ..
- - -- - t -- - - - --
POOL
CONSTRUCTION AND PLANNING - •
..PA
. 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 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:Bough 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 OGas OOil
- 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
-.,33. Final Electric' Notes: 171/46(2/5- [e r-cao tent
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 17l EO
C
39. Water Service-Final 11 l
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 within heavy border lines and sign all appropriate decla(ations. %
CITY OF COSTA MESA PrE}3{vll �� TRACT NO. LOT NO. BLDG;NO. '
'CONSTRUCTION PERMIT f/r(
Project Address 3,r)% e r'` TYPE OF CONSTRUCTION _ 2565 I /05/83 5eQQ I�
/ /� /9 sr Apt' _
Owner :-.5-7-AA)-4,rn /ties r Phone/(--5r/14 ❑,NEW 0 ADD 0 ALTERATION
e •AddressRQ•-Roy /1(?/ 0 REPAIR ❑ CONVERSION ❑DEMOLISH
`p Arch/Eng. -• •- License NO. -- ❑ OTHER ZONING REGULATIONS
( Address - - DESCRIPTION OF WORK A.P.
\ ZONE • PLNG. REF.*
l ContractorT7,e e,)r/5 •-pA64 9 I,✓Cr Phone777-3 y?) TYPE OF PERMIT BUISETLDINGACK W0 W(5T. ZINE
Q Address/4-4s 4) t/aid/x •• 0 GRADING 0 FOUNDATI Ot) 0 STRUCTURAL SIDE�,YARD
`� LICENSED CONTRACTOR DECLARATIONI-ld•P
LEFT
` I hereby affirm that I am licensed under provisions of Charter 9(tom- 0TENANT ❑ ELECTRICAL LV MBING ❑MECHANICAL RIGHT
mencingmencing with section 7000) of 'Division 3 of the Business and 0 OTHER. - REAR YARD(TO P/L)
Professions Code, and my license is in full force and effect. PROJECT DESCRIPTION
Licens, lass 0License No. PKG.SPACE REQ. PROVIDED .
/
Date ' Z Signature $../ . z- / ✓ SQ. FT. STREET WIDTH PARK FEE E
WORKERS'COMPENSATION DECLARATION -- OCCUPANCY_CONSTRUCTION TYPE. ZONING APpROV ED BY DATE -
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE _ '_
certificate'of Workers' Compensation Insurance, or a certifieder' copy - 'SPECIAL CONDITIONS:
thereof(Sectlop aago, Lab.C.). �/jPA are r .z-7✓,J GRADING CU.YDS. - ACRES
Policy No. F/�fX'C Company .
laCertified copy Is hereby furnished. - -- - - REMARKS: - - - - •
I. Certified copy is filed with the city Building Division- _ _
EXEMPTION FROM WORKERS' COMPENSATION DECCARATION - -
(This section need not be completed if the permit Is for one hundred - . • . .
($100) or less).
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 .PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK •
subject to the Workers'Compensation Laws of California. DWELLING GARAGt .
-
Date Signature BATHTUBS SHOWERS • 50 FT Stl FT -
--
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 LAVS APPLIANCE 10-50 KW 50+ KW _
revoked. - _ - .- - _
CONSTRUCTION LENDING AGENCY 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 - • ^,(INC.SOLAR) 10-50 HP 50+'HP - -
formance of the work for which this permit Is Issued (Section 3097
Civ. C.). -- FLOOR SINKS _ FLOOR DRAINS • - FIXTURES OUTLETS SWITCHES -
Lender's Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS -
OWNER BUILDER DECLARATION - - INTERCEPTORS CLARIFIERS POLE LIGHTS • -
I hereby affirm that I am exempt from the Contractor's License Law for POLE UONSIRLICE7UN
the following reason'(Sectlon 7031.5 Business'and Professions Code: SWIMMING POOL P TRAP - POLES METERED SUB
Any city or county which requires a permit to construct, alter, '_
improve, demolish or repair any structure, prior to its Issuance;also re- WATER SERVICE ALTERATION PANELS• ' MAIN SUB - •
quires the applicant for such permit to file a signed statement that he _
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS - SERVICE - AMP --
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the - WATER HEATERS' BTU OUTPUT 1 D 0 - - - - --
basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS -
of not more than five hundred dollars ($500).
IDI, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS r• I I. r --
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-taw does not apply to an ownerof a property 3 06 APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not -
Intended or offered for sale, If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
Is sold within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING -
HEATING SYSTEM 0-100,000 BTU PERMIT 5 _ SMIP - $
❑ I, as owner of the property, am exclusively contracting with AND DUCTING -
.1�
LY
licensed contractors to construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK $ PERMIT a3rd�b'
and Professions Code: The Contractor's License Law does not apply to - �r�. ISSUANCE $
an owner of property who builds or Improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ ....7
tracts from such projects with a contractor(s) licesned pursuant to 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 - - - - MICROFILM $
Date -- - - Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $
MECHANICAL $ - TOTAL FEE$
•
I hereby Certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD-
Information is correct. I agree to comply with all city and county - PLAN CHECK"$ VANCE PC $-
ordinances and state laws relating to construction,and hereby authorize -
representatives of this city to enter upon the above mentioned , �\
properly tory, I pection burpo5p� Q� FINAL FEE § e)--6Signature AIVMI4/ /7 € -2--zo Date% -y-PY • -
Drivers'License or SS It . - ISSUE FEE - - - - -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor e4 D a7 r =/I/5op e L..-
CMF
.
CONSTRUCTION AND PLANNING ' POOL&SPA . .
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
V
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement _
_3. - Electrical Conduit Utility-Undrgrn __ _ -_ 45. Forms
4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding -- .
5. Steel Reinforce 47. Rough Plumbing& Pressure Test
6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE •
7. Footings 49. Electrical Conduit-Undrgrn
B. Foundation - - 50. Gas Pipe, ❑.Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. LI Undrgrn
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final •
_ 2. Street Sewer Connection - _ 54. Heater & Vent-Final
13. Rough Plumbing F5 Plumbing System - Final
14. Rough Electric-Conduit .56. Electrical-Final
15. Rough Electric-Wiring . 57. Solar System-Final .
16. Rough Heating & Air-Conditioning 58. Fencing & Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING .
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL •
20. Roof Framing - .
21. Roof Sheathing - -
22. Frame and Flashing NOTES:
23. Insulation . '
24. Lathing & Siding _ . .
25. Drywall Nailing _
26. Plaster Brown Coat - .
_ 27. Electrical Power Meter-Final - •
3. Final Electric - . . . - .
.‘9. Final Heating & Air Conditioning - - •
30. Final Gas Pipe-Test -
31. Final Plumbing .5730-4 t.,CP .
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
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
-
42. CERTIFICATE OF OCCUPANCY
No Date •• •
• v
• ' 32333 OCT 13-7OcnsnPF1D00 604* ***157•Zi
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
/,( /J /� //7,'p EI V ED B DATE RECEIVED DATE ISSUED
BUILDING 7 .4' d /sl " E• kr "1 S/• I YAO'�/3/o / d-' Z/"7�/
ADDRESS (!/ Q��-1 q/ J C / / 55��//gq 1=�Ip/µ��+j,
OWNER 4 J. Mint 167,.G. kh,e' N A.P. NO. //7��A// �S-fl P JnM1-/
ADDRESS 2yo E ,r `T ADBUI RESS040 #1.11,1;43" /n- fr.
0 U CITY t fl A,Cf,Q NOIll Lli L ^7-i574 TRACT/ Sr LOT 2 BLOCK
Z
M Q CONSTRUCTION c� /20 /e� J / NEW ADD ALTER REPAIR MOVING DEMOI ISH
d-cn
cn LENDER /'� 2� J [,� A/
D Lo,V� /aE40/ R
J N BRANCH 4,J, 01 ez 10,950-0,1 '
/ G i i?a OWNER ..JJ (�
Q W ADDRESS '�! �]
CO m ARCHITECT /'
TEL
US E.(20/Eir "ief,7 id 6Qe. VALUE
J Q OR ENGINEER Ar 4/0'ay�x No,TEL.
_ //�� /� FIRE
ry
W ADDRESS /3/5 y/, tee Alt TUZC-• • ZONE TYPE / GROUP •
d w APPROVED /
J O CONTRACTOR STi4^/Gb /-/L,O /ne, BY ATE/6 1'- 71
m Z ',/L+�'
J cc ADDRESS ///9‘6AWie.(TA,t2 A/57ee 14/6• %�v� 1/44
w0= USE
TEL. ZONE PLANS �f/' BUILDIN
Z � CITv G,ae0E.f/�7.QOl/E No.537-i/J, D �y / 81:9j)1‘......4.__‘
— 0ST �
ATE / CITY / YARDS APPROVED YARDS APPROVED
(n(rLil
LIC. NO. Zil(e LIC.NO. /(f Zf' MAIN BUILDING ACCESSORY BUILDING
D U SIZE r (FROM C/L STREET)
/? x ,S71r/�/ I NO.OFBLOGS. .
OF LOT (✓J ` NOW ON LOT �d'
__FRONT SD FT. FT.
USE OF
EXISTING BLDG. R.SIDE /6
FT. FT.
(— SIZE OF u' €x/7n
OF
Z NEW BLDG.An-6440 � OOMB lJ STORIES i L.SIDE .5—FT. FT.
Q EXTERIOR WALLS ROOF
COVERING %/CelT COVERING 641/....a. hJ6Z€_ALREAR.4‘, 4c.th✓
`f FT.V
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0-
a SS
MAIN BLDGS. ACCE . BLDGS.
Q VAR.# DATE
Q /gixile7 � �i. Tice"/ / '
C.V.P.qJa APPROVED
cn
z R'.".'VEO.I U' a 'JiI DATE ( 0—�3�) °
O HOLD fFOR(/SPECIAL Rr-eulREMEN�*
UI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shell not employ
I— any person in violation of the workmen's compensation laws of
Zthe State of California. n //�y//��,, CO
I hereby certify that I am properly licensed as a contractor under �( C g �O• FT. ceo
the State of California Business and Professions Code, Division 3, THE AMOUNT SH N UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o1r
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9. /:/5�"Q n
Signature . / /Q/t -s 02 PERMIT FEE $ if
Permittee of- I Al
et{Ql y 5a' .3 02
PLAN CHECK $ --561, 7.5� E8 to
co 13
Authorized Agent �// al/ 6[ TOTAL FEE S /5-2. 2 3
/i
32334 PAID
J OCT 13-70e45 00 606* ***137.25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
ForAppl" ��77fri etel APPLICATION FOR BUILDING PERMIT
L'- �� y DATE RECEIVED DATE ISSUED
BUILDING fv y/
ADDRESS ,JC/7 �. �(1 7rrSS/• i / , -70
OWNER , /_/ i G•G VC7p N /� • _. - /. I .
ARIL 290 E. �O - J T - ••• / �S'
ADDRESS 4 s.f
ZID Ill
CL L.) CITY 3c'/,Q 4,(S:54 NOL�j�j./j� a r LOT BLOCK
Z Efillirn
Z Q CONSTRUCTION _C cr I'(' / / ' ADD u• s
OnriliMI
V) LENDER J� T K 1 C.
J 7 BRANCH Zeofj&z lg�dG'W A. .. I )
ci)cw ADDRESS /SV $ M,t ,E • -'•
- '••
J.C.L.►
m JVALUE
m ARCHITECTETEL. / / a'
J Q OR ENGINEER Q �� N•
WCC ADDRESS AnC ill Agate r-i/GG • ZONE TYPE GROUP-1-
a w (�
DJ Z CONTRACTOR ST.Q>J!O RL,42,4( At.. • • _calk, Ar ' / .
-0 OZ / If
riS
_i ADDRESS// ,, q/ z.,„ E.• 'ALS
TEL. • NO.OF USE OF NE
O= A '��-. I o^ 1 ^jp PLAKS� BUILDING '' J / M
Z F CITY �ff(�f��-1V 6i O4/,E NO✓3JL7(/r� INS
STATE ` CITY / YARDS APPROVED YARDS APPROVED
j O LIC.NO. 20Z 4.trt0 LIC.NO. ,2, MAIN BUILDING ACCESSORY BUILDING
SIZE / n // NO.OF BLOC'S. (FROM C/L STREET)/ /
OF LOT /3 (. ./S.
/rj NOW ON LOT r FRON- O T. Y� . FT.
USE OF _ I
EXISTING BLDG. / R,-$I�"j#TgOr FT,
Z NEW BLDG. 94{rfie O.sal ROOMS/O STORIES/ L.SIDE d•—FT.LS J FT.
✓ EXTERIOR WALLG lr�{� ROOF (� ��/� qa
COVERING /�'//,/J COVERIN 'O gitel REAR / FT. r • • FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a MAIN BLDGS. ACCESS. BLOCS.
a
-C VAR.# DATE
O 6/1/KrklaGr L1I17Lr-/. C.U.P.# APPROVED
O HOLD FOR CPF qL PPQUIR�MLNT5
U hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply.with
CCall laws regulating building construction, and I shall not employ r
Hmy person in violation of the workman's compensation laws of / d
V) the State of California. m
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: d
am exempt from the provisions of the State of California Business cc
VALUATION
and Professions Code,Division 3.Chapter 9. $ O to
PERMIT FEE 9' N
Signature of �- 0/ m
Permittee �s ' ''' 2.C. •G- / . $074 7D V PLAN CHECK $ - E
Authorized Agent re .jy//n TOTAL FEE S/37 LL
A
233 ' OCT 13-70CASA00 605* ****22.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA� 92626
ForApplica �iA-CdYP/etely APPLICATION FOR BUILDING PERMIT
pp' RECEIVED BY DATE RECEIVED DATE ISSUED I
BUILDISS go
. /O d f . t /0-.6-70 Q-2/„7 DADDRE _
`f • PE' • I. L
OWNER EJ. w/ . ' ZE SD de - A.P. NO. '- --P :-.1°E., / 07
MAIL �Jp / BUILDING /moi (/�
ADDRESS //rJ 5,. 1/41� �ll �i� ADDRESS �Q2,-
/Q 2.e....
� (,Q,C�
O U CITY .5T,Q � r4- NO L(�Z.'-47d TRACT 31? LOT // BLOCK
~ Z CONSTRUCTION L� !� ___111 ___ NEW ADD ALTER REPAIR MOVING DEMOI ISH
z- F LENDER TheST / • ✓• 0Z..
0 co
0- CO p�'SJ���f/ ( / yJ ' LJ
BRANCH ��� (d / �✓. , „iC !� Ze joie
J D 7 J OWNER
CO J •
C UJ ADDRESS `;/lJ y / 42t
n �t Q' I__- idit[� VALUE / 420.cry .
-CO ARCHITECT J a OR ENGINEER lie..,
7�y&,e TEL V5 O�Y/Lfi�.Q� $Ji \
n FIRE
�
W cc ADDRESS/5,2-s-A/.%,P1 ' 1�ifGc.. ZONE TYPE GROUP ,3
iL w - APPROVED �S�It ))) / nom(
_,--
111Z CONTRACTOR 5?rALA C0 S . /�G� BY V •�-{. DATE/O^�.�-/(J
m- Z I// 1—.0-1.—k•
J K ADDRESS b / f,1/4„ Jf7,€ 4,4
- •••..._14.1
W= /� Zit_ PLANS OF BUILDING EW o9
CITY GJQ.ep� TEL., g p� NO4-6
w0 STATE n �����z_ / � � CITVO r7���lODS APPROVED YARD PPROVE
N CC LIC. NO. ���� LIC. NO42. (FROM MAIN
C/ BUISTLDING ACCESSORY BUILDING
7O SIZE / EET)
�r`X 7,), //r� NOW ON NO.OF LOT FRONT FT. /, FT. p�js�
OF LOT /� L. O
USE OF
EXISTING BLDG. R.SIDF FT. .11P.
I- SIZE Gr!/1C r� NO.OF ��gg
Z NEW BLDG. 20 ROOMS STORIES / L.SIDE FT. AlW FT.
a EXTERIOR WALdTROOF
ICOVERING LL .0 ROOERING Si9�t� REAR FT. �� FT. P72 ,,
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 S
1 MAIN BLOCS. ACCESS.BLOCS.
O.
ATE
adireee• zdad I r / - _2_ VAR... APPR
O ���`A+ C.UW.V.� (//� APPROVED �j
COI- APP
�$Y I.L/ CTeDATF �� ��-/d
9--n.,
O MOLD FOR SPECIAL pv"QUTpflr FJT5'.
U I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
ythe State of California. `1-1426) to
zI hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: B
CC
am exempt from the provisions of the State of California Business
and Professions Code. Division 3,Chapter 9. VALUATION m
,^,11 PERMIT FEE $ie-00 N
oV
Signature o,'y� ,.f / rJ C re
D
Permittee �// �� L 1 a. / s .70. • r PLAN CHECK $ /- ' 0 E
p
Authorized Agent,�y _it .4 / ./[ TOTALEE -7.s LL
(/
I'.
X2384P"-10
OCT 21-7o00 928 0*****
CNSD 5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
S._ RECEI EDB DATE RECEIVED DATE ISSUED )�
BUILDING ��/ ` ,f' ' /� 4-� /� /b „ i) '/ t/
ADDRESS 7. L 5/677e.
/ ` 1 / Q /
�f. Sty / zG . Kl 444/ A.P.A �/7--a7cY a-O .3 GMIT N !y
OWNER /
MAIL 2yo ///,l- fir
BUILDING ���y// l �// fir
ADDRESSMADRESS ` I C ADDRESS / G J
d U CITY ‘24C1-4 /{,j,�rAt NOill 1Q5•/s,,/ TRACT /ge LOT v BLOCK
Z2
ct CONSTRUCTION (� SiNEW ADD ALTER REPAIR MOVING OFMOI ISH
a m LENDER /j /./JO Jt></L ( 7 ' L/,-/l�
J 7 BRANCH COAD CJ,EiL/� ,J, L.� r,U/YN�O�
J E E OWNER
l J ADDRESS /If r Ade �pz�1�• � VALUE �rz '
•
J m ARCHITECT TEL. US E01C!/1•YM! j�[A� $ J `O
Q OR ENGINEER NO. t9-j1F/�—T
C.)C° FIRE
Z a ZONE TYPE GROUP
W Q ADDRESS +�
d W /' Q APPROVED /��/ .2ii\
J O CONTRACTOR JT O /JU/LL rem kG� BY dr'77" DATE ii‘....--
C:1
Z
J 2 ADDRESS /D`/ YYt1Li{,//�Jire At-,
W W Zs, E NO.OF USE OF NE -\
TEL _� PLANS �- BUILDIN
ZF CITY Gitc7ed 6�de, NO.,y7 D`,a ri i
W STATE CITY / �+ YARDS APPROVED YARDS APPROVED
co O LIC.NO. "tried LIC. NO./(Z y/ MAIN BUILDING _ ACCESSORY BUILDING .
SIZE / / ^ NO.OF BLDGS. (FROM C/L STR TI
OF LOT d3 �(OF `y�p,. ,.r NOW ON LOT 'y FRONT FT.
UX �/ /4 U// T /_4
EXISTING BLDG. �E �/ R.SIOF L FT,
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
VEXTERIOR WALL ROOF
_ COVERING COVERING _REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET,MAIN&
1
a MAIN BLDGS. ACCESS.BLDGS.
Q VAR.# DATE
0
0 Yilfria y &,c
C.U.P.# APPROVED
I-
APPROVE //��
CO _ELY !/" , 7DATE /D 02/" 76)
Z
O
p C-)
I hereby acknowledge that I have read this application and state
n that the above information is correct and agree to comply with
cc all laws regulating building construction, end I shall not employ
I- any person In violation of the workman's compensation laws of
U) the State of California. az
N
? I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
em exempt from the provisions of the State of California Busin CC
VALUATION
and Professions Code, Division 3,Chapter 9. eco N
PERMIT FEE $
Signature of 11 O
�4 I/f $�//1�\IvU PLAN CHECK $ �— E
co
Permittee GO �Q�S t/
/ N- u.
Authorized Agent ` TOTAL FEE $ s-Ci i-
32538 PAID S
DEC -3-700 314 ti****10.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED BY DAIE RECEIVED DATE ISSUED
BUILDING 307 ' ids /re-37o is-3 -7o
ADDRESS v
Pff
OWNER 2i2E,E jo//N S oN A.P.NO. 1/7 2(1-=.1-.o ?"J�i
MAIL ///��� y BUILDING
ADDRESS {yax Sr/ /rIll LIZ ADDRESS so7� / 8 /
0_Z CITY COS in )17E,5.;/9- NO. /c 7r TRAC� U�/j LOT '�^ BLOCK
CONSTRUCTION , / ,y ,(� r NEW ADO ALTER REPAIR MOVING DFMOI ISH
dco LENDER yo /JL --1,/
J D BRANCH // T
JN OWNER tf- ef 3 01„ /t/ S0At
C w ADDRESS �/�� /f�
m-CO ARCHITECT TEL. USE /�JG/(/ (/i(VALUs/�075 Q/
-I < OR ENGINEER NO.
Z Q FIRE / T
Z ZONE �- TYPE-/114 GROUP .
Ill CC ADDRESS PRQQ CONTRACTOR pa3fX7 " /. 6:04,/ /z BY (, si1/ # lie
DATE/ -3-7o
�\JO
Q3 ADDRESS 9, o3/y AC,9C /i4 574• _\
W W TEL. ZONI:k NO.OF USE OF NE n ' ,0
Z CITY s 4/7c Ary 9 NO. .'j/ 73 P�� BUILDING /�(�'u/ MAIL, f6
W D STATE ^� CITY YARDS APPROVED YARDS APPROVED
7O LIC. NO. /2 7 70 / LIC. NO. // MAIN BUILDING ACCESSORY BUILDING
SIZE ANO.OF BLDGS. (FROM C/L STREET) /'j
OF LOT f ,3 / 7S NOW ON LOT FRONT ` j ST. r /� FT.
.4'1-
USE
�
USE O •
F
EXISTING BLDG. 1F'E'S/1/4NCF "VNI,A/- Gwen C R SIDF FT. FT.
I- SIZE OF NO.OF I �/( PT. /
Z NEW BLDG. ROOMS STORIES L,SIDE - ' /11O
Q EXTERIOR WALL I ROOF '3 - f S/
V
_ COVERINGFCOVERING REAR FT. FT.
J US Q/ BUI Lr���''JG`A,N,D(TWO K TO BE PERFORMED DISTANCE BET. BET. MAIN&
1 J-��/ L MAIN BLDGS. ACCESS. BLDGS.
0-
Q / /, [, / VAR,# DATE
0 �/. 0 C/� CA) /�1. CC.U)t.Pte.#9'/ (^/ - APPROVED
I
O amilima
I hereby acknowledge that I have read this application and state
Cithat the above information Is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
r any person In violation of the workman's compensation laws of -
to the State of California. b
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR -
Chapter 9, and that such licenses are in full force and effect,or I THE PURPCSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business ti
VALUATION
and Professions Code, Division 3,Chapter 9. $ /O• to
PERMIT FEE00rs
Signature of �r�,//. of
Permittee ?Po-6E177 9 5. PLAN CHECK S - E
�~ -
Authorized Agent ri 1I LL
TOTAL FEE S/�' 00
325 ! 7 JAN 11-71m 285 cda****10.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely REii BV DATE RECEIVED DATE ISSUED
ABUDIDRESS XLDING 30 7 ,�. J8 .S /—//- 7/ /-//-7/
`yPERMIT NO.
OWNER G ,L se a �J C o a A.P.NO. - - - /
BUILDINGAr
MAIL //zz y ADDRESS .gn 7 �.°/ /c�'
ADDRESS �J O.Y / 4r
W Wt TEL. 6 VS— TRACT 3yLOT 2, BLOCK
o_Z /�CITY f • 7,--/ , NO. ySJY
CONSTRUCTION NEW ADD Al TER REPAIR MOVING DFMOI ISH
D 4 LENDER A(0 N� `/ _
am ,
J D BRANCH
J CO OWNERyy/Q�-y[�
Q W ADDRESS ��-
03 J VALUE
-CO ARCHITECT TEL. USE $
JQ OR ENGINEER NO.
U co FIRE T
Z ZONE TVP ' GROUP `-+
W CC ADDRESS
Ct.w �s � '71 APPROVED j 1
JO CONTRACTOR /7o1P,I 1/ cUli//Z BY DATEt-I/-7/ \
CO Z
JCC ADDRESS 2 03/%_1570/1(4,9 S / -
W W ZON NO.OF USE OF NE
,,/ ,t TEL. ,3-99 PLANS BUILDING D
Z I- CITY 34'1//4 444 NO. 3/ 7,3 t+C. �.��.V
-O STATE CITY YARDS APPROVED YARDS APPROVED
LU
N Ir LIC. NO. a. 2 9 7 0 / LIC.NO. �7 ,3/ MAIN BUILDING ACCESSORY BUILDING
OO 7 (FROM C/L STREET) 1 ,
l
SIZE NO.OF BLDGS. .
OF LOT e / 2 ,fr I NOW ON LOT 3 Li:
FRONT FT. _O FT.
USE OF , //
EXISTING BLDG.plaid-Noe_ pew-49[ . LP/a/Yo3•e R.SIDE FT. FT. l _
I— SIZE OF NO.OF f �J
Z NEW BLDG. ROOMS STORIES / L.SIDE ✓ •n L�! SFT— _
UEXTERIOR WALL ROOF i
_ COVERING COVERING REAR FT. • D rt.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a
1/.. PR/✓Af.F Rio c r-4✓ 211 MAIN BLDGS. ACCESS. BLDGS.
_
Q VAR..W DATE
0
C.U.P.sW APPROVED
—
I— APPROVED
CO BY f1ATF //' 7/
2
0
C-)
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
CC
F any person in violation of the workman's compensation laws of
co the State of California. b
2 I hereby certify that I am properly licensed as a contractor under SQ. FT. 6
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9. 0� PERMIT FEE q f Q, 0 0 co
Signature ofXi/et
/ a /,`/ > •
�. m
Permittee �(Y/ �/y_ /��; $ // OOQ PLAN CHECK $ E
0
Authorized Agent ` $ /Q . 00 u
TOTAL FEE
•
AID
.. 32907 NAR 31-71�isA00 852 v*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING 7 -7�/`1/ 3-3i-)/ADDRESS O O() 2
P RMI NO.
OWNER ,Z/ 2F, .to#lvso/y' A.P. NO. —ice —/ al. 0
MAIL BUILDING
ADDRESS Sr9i17F ADDRESS 0 /� /
al lll TEe t Q
D- U CITY 0 r 2:11._ • NOL.zjr hs TRACT c•3Q q LOT BLOCK
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING GFMOI 6H
F LENDER ^/O.11/4.-.-
am l
J D BRANCH
-I CO OWNER 1,/ �.y[J
mJ ADDRESS / V M� �,•�
!Ac )
m ARCHITECT TEL. Q_.$_ Bar`
J Q OR ENGINEER NO
C.)co FIRE
W Q ADDRESS ZONE TYPE^ROUP \
d W .. APPROVED
W Z CONTRACTOR R0 prey- f9 U at/ tl_ BY DATE
J Q — \
CO Z
.J ADDRESS ‘,2o 3/y /9C'AC//) 5*
W wZO"[s NO.OF USE OF NEW
or
TEL. 7 3 1/� PLANS cZ BUILDING f//J�v
Z F CITY .SAh�A ANA NO �i s 7l !/ 'T S.
W O STATE CITY YARDS APPROVED YARDS APPROVED
to cc LIC.NO. 2 2 4/ a / LIC.NO. /7.3/ MAIN BUILDING ACCESSORY BUILDING
SIZE / ._ NO.OF SLOGS. (FROM C/L STREET) 1
OF LOT 6'3 x 2 7 $ NOW ON LOT aa./ FRONT FT. �FT� l+•IL
USE OF �/ �. N1J
EXISTING BLDG. RifRif.; ,94-0/q• .et- /Y,i •`' R.SII)F FT. /0 FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L,SIDE FT. rt.
UEXTERIOR WALL ROOF
COVERING COVERING REAR FT. /./FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
CL
CL MAIN BLDGS. ACCESS. BLOCS.
/ �j // //
Q 7 zr /J/OC (K/ I6LA ti e/ ' K//.j/• N C.U.P.# JJJ II APPROVED
COI— .LE-KT ri Y/ ' /-.-N . AY. APPROVED ��.I/ DATE \� SSI--?!
0
p C-)
I hereby acknowledge that I have read this application and state
r that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
Ce) the State of California. m
I9
— I hereby certify that I am properly licensed as a contractor under SO. FT. ti
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9. and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE�ONLY: a
Er
am exempt from the provisions of the State of California Business C.%T./
VALUATION
• and Professions Code, Division 3,Chapter 9. Sm
PERMIT FEE $ w
Signature of �/ �/ �/j/ D
Permittee e7' $ '1•(/O PLAN CHECK $ E
VTr ---- C
Authorized Agent u
TOTAL FEE $
7g�6RPR 15-715iSAOO 756 z*w***5.0C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely ompletely AECVE BY DATE RECEIVED DAfTE ISSUED
BUILDING � ,^/ y -/S-//
ADDRESS
6 / / / y `/-4�7
/r /JY� A.P.NO. l� //7
- at(3 -U M�t3t)Rn-2
OWNER Z/ E.-r.- t J n IV SO/ft
BUILDING
Z
Ce
ADDRESS Sfl///lam ADDRESS 0 9MAIL /Q
W .a 0
TEL. Z./.9TRACT a O c, LOT 2— BLOCK
Z CITY C. 77-e NO. ,s-i-4/
— Q CONSTRUCTION ' /Q/V�
NEW ADD ALTER, REPAIR MOVING DEMOLISH
O N LENDER/ Y
am
_JD BRANCH
JV/ OWNER
ADDRESS II�,,�/�/ ��j ,✓�
mm ARCHITECT TEL. USE,.��L:GG'Z.-/ /LZ[-•L_ VALU$ �S 9L•n'"
Q OR ENGINEER NO. x
UN FIRE y�f'•'� (/��(,,
3 W ADDRESS I
ZONE TYPO/// GROUP J«
APPRO rO U ,�\
J O CONTRACTOR r - _- y BY / ' /� f DATE /) \
m Z /U/T—
J IL ADDRESS .Z O,J/ f/ A�'/7 C //� ,S'
LU W TEL. E PLNO.OF USE ON NE
Z).-- CITY SAN//i 4 4/4 NO. 73 l Y PLANS *)...,....-BUILDING
al— CD STATE CITY YARDS APPROVED YARDS APPROVED Y-
NCC LIC. NO. 22 9? c / LIC.NO. /73j MAIN BUILDING _ ACCESSORY BUILDING
r O / (FROM C/L STREET)
SIZE NO.OF BLOTS.
OF LOT [ 3 A ,R ]s NOW ON LOT 7 FRONT FT. 9 P T. / 11
USE OF I
EXISTING BLDG. R 4 1 . rit Nrzr _R/'Nf AL 5 R.5111E ET. /
'
T. y./� '
I' SIZE OF NO.OF _ t}X/
QNEW BLDG. ROOMS STORIES / L,_SIDE FT. A / /I fP7'
U EXTERIOR WALL ROOF I J'
COVERING COVERING REAR FT. / • FT.
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. fl4',{t BET. MAIN& .�I�Ly �/ '
1 _ / //• - MAIN BLOCS.
/t//I ACCESS. BLDGS.1 I/,' �Q
O I /,r ,a1 0 C ie �1./ A'LL B r /7 /y 11 VAR.. VVV DATE V
7 ``I- / 1 V V...#` �J,/7 APPROVED'y r /. /iv. f! - ELYAPPROVED �� N r t OAT I.L../ (if l/
0 L
oI hereby acknowledge that I have read this application and state
r that the above information is correct and agree to comply with
cc all laws regulating building construction, and I shall not employ
I r any person in violation of the workman's compensation laws of
ci, the State of California. 03
W
Z •I hereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the provisions of the State of California Business VALUATION
and Professions Code, Division 3,Chapter 9. /i�v at
PERMIT FEE $ p' N
qq��� 0
Signature of �" ,Jy �//� do 0
P¢rmltteeawed_ //�•�'C�:-).> $IX 7 7 ._.— PLAN CHECK $ _'n o
��l / - v '6
Authorized Agent ` TOTAL FEE $ �——___
Y - l
• 39015PA1p
SEP 24-74cMs,c001002* *****9.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P INION FOR BUILDING PERMIT
For
/Applicant to Fill in Commpleeteelllyy/ C REC I\ V DATE RECEIVED /DATE UED
BUILDING
ADDRESS /3 O 7 ,F // () "4?- / t ��//? �I ]C#7 IS 7
OWNER L/di A 514/Y6Ad A.P.NO. /17- 13-o '-- ER'3 16
MAIL d y BUILDING SO? /- ,re_ 5�/
Z ADDRESS ,S // / ( � ADDRESS Q .it I
0-0 CITY �° '7y� NO•
w 61.1 I.I>Z2 $O/„ TRACT e�n 1 LOT f- BLOCK
z < CONSTRUCTION N 0 Nf_ -K... NEW ADD ALTER rREPAIR MOVING DEMO'CH
I- LENDER \\%
00
•
J a BRANCH S s rP S �-S J
<N OWNER Q ! J
mLB ADDRESS it /,, ALUE eft,
ARCHITECT TEL. �/ W�� $ � �
J VW
4 OR ENGINEER NO.
G Q FIRE I \
vX
W CC ADDRESS ZONE pia TV PE CRT:7 rN
d U1 p /` APPROVED 1
Jp CONTRACTOR 420 S 5/7 f {y' CJ x_/ /2, BY DATE�e- ��\
oa /�// s }- ^ r�
W W ADDRESS t D y� t7,/,,F (' v� ZONE NO.OF USE OF NEW840,41/
/ l
Z CITY 0 'jy1_ NO.TEL‘-- - /Q.L PLANS BUILDING Q(j �0., O
_p STATE CITY " 72 0 ' YARDS APPROVED YARDS APPROVED
N CC LIC. NO. 2 2 92 0/ LIC. NO.42, 0 6/ MAIN BUILDING ACCESSORY BUILDING _
=O (FROM C/L STREET)SIZE NO.OF BLDGS. J
OF LOT G 3 N 2 7 s I NOW ON LOT _FRONT - FT. i4OFT. C/ ..- L
USE OF
EXISTING BLDG. R,SIDE FT. i FT. //L---.
I— SIZE OF NO.OF [[[
Z NEW BLDG. ROOMS STORIES _L.SIDE FT. J! FT k/AI
EXTERIOR WALL ROOF ta� 6' Q
V COVERING ICOVERING REAR FT. FT. it
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a
a MAIN BLOCS. ACCESS.SLOGS.
/,
Q L/ r" A/ O C /\ W A L 4- VAR.* DATE
C.U.P,# APPROVED
1 APPROVED,�,,A/ �/•� /,
e _ f /-5 t N ' F( ,- —RN' ( O _DATE r_ '-a2 '77
O STATE
VI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of '
Wthe State of California. :TAX CO
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9. N
p,,,/��) PERMIT FEE $
Signature of �a,!� /QJ t ! D
Permittee �' a` -� ! / $ O PLAN CHECK $ E
Authorized Agent v o
[7/ u.
TOTAL FEE $