HomeMy WebLinkAbout2544 ELDEN AVE - Building Permits P - .\. lb 1
CITY OF COSTA MESA ilb
l R
•
,,_r. BUILDING DIVISION
x v A.. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us
0.4f FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBE B08-00249
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 43916110 DATE ISSUED: 09/02/2008
• ISSUED BY: CAC
JOB ADDRESS: 2544 ELDEN AV OM Suite/Unit:
Vicinity: GARAGE
Squares: 0 - Valuation: - $7,800.00
SCOPE OF WORK: TEAR OFF BUR.OFF GARAGE AND REROOF WITH BUR 14 PLY.GRANUARL SURFACE
OWNER: WENDLER,HARRY ENIS TR Address: 18472 DURFEE CIR Unit:
PHONE: 714-435-9200 . City/State/Zip: VILLA PARK,CA
APPLICANT: JAMES ELLIOTT ' Address: 2505 MIRA MAR AVENUE - Unit: :
PHONE: - . • City/State/Zip: LONG BEACH,CA
CONTRACTOR: ELLIOT ROOF MAINTENANCE AND INSPECTION SERVICES License No: •465344
Address: 324 S EARLHAM STUnit: . - _ " . PHONE: 714-997-4938 '
City/State/Zip: ORANGE,-.CA ' 92669 - CELL:
ARCHITECT: License No. PHONE:
ENGINEER: •
- . License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: ..$153.25 . . ,
Reinspection Fee: $0.00
TOTAL FEES $153.25 -" - .
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
WWUE/ INSPECnON TYPE pLE lNmmAL4 soots INSPECTION TYPE pm " I_mpaiL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final p 208 Final Plumbing
200 Final Re-Roof el-z)'15' . 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
204 Final Demolition 250 Final Building/Occupancy
r `
r r
1/2
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv se. 0 Yes 0 No _
I Hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the _
pe ormance of the work for which this permit is issued. -
I have and will maintain workers'compensation insurance,as required by
sec n 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
m.er are: person is required to descend,will be made in connection with work authorized
( by this permit,and that no building structure,scaffolding.falsework,er demolition
J yN� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
b s... be not be completed a the perms waked at one hundred dears($100)a less)
2,Art 2,Sec.341,Title 8,California Administrative Code).
- IicyN .er. 0000110 2.0157
o As owner-builder, I will not employ anyone to do work which would
❑ 1 certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code,I s all forthwith comply with these provision
Mvlra '� Division of Industrial Safety Permit Number:
r
Ap.ear re HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file
m ' ense is in full force and effect. '7 a registration form for acutely hazardous materials? 0 Yes 0 No
Lic. . • 0L-J (Section 25533 of the California Health and Safety Code, with some
,,,,,�44ggq,,,/// exceptions, requires registration with the Costa Mesa Fire Department by
/ F Tet of each business which at any one time has on hand a quantity of acutely
vee gruture 7�-�e 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
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 (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes-, the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If yes',attach certifcate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE:'f.certifyithatunder•penaltyof. perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree,to comply with all state laws and
property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
❑ I, as owner of the •.-. ..
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of - Signature • Date •
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION'OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application.and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: • 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. .
' Signature of Legal Owner(s) Date -
Signature ' Date /
3057.4630 ) � • 0
AndS.Applicant
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERBT NO. TRACT NO. LOT NO. UNIT O.
cls OF COSTA MESA CONSTRUCTION PERMIT . .39A.P.# Zone
' ,Project Address 2x14 Elam t / ff � - Building: Accessory Building:
TYPE OF CONSTRUCTION LJ NEW U ADD ALTERATION L. REPAIR S Main
`- Applicant's Mailing Address 324 So. P` rnwri, O- E Front Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T o
Owner's Name IAC F�1tOY Phone 756-2505 Caere
DESCRIPTION OF WORK/USE OF BLDG. Ulf & ] 1.035 A Rear N
Address 18022 rs ate 202 8, Tt1nre PrF'Sti . 1ac PTT l ..
Arch/Eng. License No. TYPE OF PERMIT GRADING .LI FOUNDATION LJ STRUCTURAL ' C Right G
Address rn ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s - Left G
1:s• lirt- PME MalntEra Ce 99 ❑ -OTHERPing. Parking q E
Contractor's Name Phone_ 7938 Ref.# Re /Provided E
324 S . Farkan, 92668 PROJECT DESCRIPTION SQ. FT. / 3o C OCCUPANCY Planning Notes: M
Address(mailing) `�'•"M CON ST RUCTION TYPE VALUATION Si, 3 aw0J T
City License No. 0.iyy65 ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and ELECTRICAL FEES
my license is in fuli-for�e and effect. 465
License lass
k.:-.3y 33_ Llins,s►
Date t — • Signature •L. . . — '/ -i�� - PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW
1 WORKERS'COMPENSATION D'r LARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW
'•eby affirm that I have a certificate of consent to self-insure or a certificate '
J, Lab. C Backflow Preventer Service Sink - -
71785 Dishwasher Meter Dover 100erps'
Policy No. Company SSfte Fan Backflow Irrigation Sewer Cap
BCertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certifiedcollgqjjy is fled with the city�i ldJ 9 Divijion Bathtubs Sewer Connection " l
Date y �� do Applicant s': �'O r+• Elliott• * - Fan Motors❑0-1 HP 01;A-8
EXEMP ION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar 09-15 HP 016-15+ ' '
• less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is Issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California. Device Boxes Pole Light
Date Signature Floor Drains Swimming Pool w/Spa .
NOTICE: If,after making this declaration, you should become subject to the Outlets 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.
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name •
Generator ❑0.5 KW ❑5-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
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
I" inion 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3
from and the basis for the alleged exemption. Any violation of Section
.5 by any applicant for a permit subjects the applicant to a civil
fty of not more than five hundred dollars(8500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
LII, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By
Compensation, will do the work,and the structure Is not intended or offered _ - �. Date
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 on improves - _ -_— - — 0134/al
/� �/u
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 1 0 Application Issued By Date
employees, provided that such Improvements are not intended or offered for •
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUISAIY QXEES
pletion, the owner will nave the burden of proving he/she did not build or im- Duct-Under Ground 3// [(/J Li , s
prove for the purpose of sale). BUI LDING PERMIT $ SMTP $
O 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 $ ISSUANCE $
builds or improves thereon, and who contracts for such oroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System'Repair/Alteration I PLAN CHECK 25% $ -
•
proof of theirWorker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P. C.for this reason Firepl/Fact.Blt. ICBO Vk Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers MECHANICAL $ 33/SDI hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL. - - - TOTAL FEE $
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to enter upon he above-mentioned property for
inspection purposes. — !.r���
Signature Date 7 (�I 9� 01. 00041502-00041501 TOT '1.`'0
Drivers' L cense or 5 Reinspection Fee $15 Issue Fee $ 3 DATE: 08/31/89 TIDE: P7:02
0865-46,rev.5/88 Pink -Accounting; Goldenrod - Assessor
•._4 CONSTRUCTION_AND PLANNING - , POOI ^SPA
Date Inspector Date 'Inspector" ,
APPROVALS Permit# - - APPROVALS ` Pr.._dt#
' -1. Temporary Electrical Service or Pole ,
i 52. Pool & Equipment Location r it-
-2. Soil Pipe-Undrgrnd.' ' _ - • , 53. Steel'Reinforcement - -
3. Electrical Conduit Utility,-Undrgrnd: .7 - 54. Forms - -
•
A. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - - �
-
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test /9,2
6• Electrical UFER Grnd.
•f 57. APPROVAL TO COVER-GUNITE
- • - .
• •7. Footings _ 58. Electrical Conduit-Undrgrnd. i',; ..
.-8. Foundation • ' • 59. Gas Pipe, 0 Undrgrnd.,Test. -
1 9. Water Pipe-Undrgrnd. - . 60. Backwash Lines, P-Trap; 0 Undrgrnd. ".
.
10. Structural Floor System !1 • 61. APPROVAL TO DECK ... -
'11. Property Sewer Line & House Conriection • - 62. Backwash & Receptor-Final - .
-12. •
Sewer Cap ' ,� 63. Heater & Vent-Final .
. 13. Roof Drains . �; 64. Plumbing System - Final i.' .
14. Rough Plumbing .. 65. Electrical-Final - '
15. Rough Electrical-Conduit - . - - ,66. Solar System-Final - - - - - "- - - . - _
- 16..Rough Electric Wiring - •. . , • 67. Fencing & Access Approval -- - -
r •
._ `17. Rough Wiring Sign', • 68. APPROVED FOR PLASTERING
.
11T. 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 I r 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 O Gas O Oil
•25. Roof Sheathing ,2//at, 74. Overhead Hydro - • "
26. T-Bar Ceiling (Structural) & Monocoat , - 75. Dry Chemical
27. Frame arid Flashing ,76. Dry Standpipe , • ; '
28. Lathing & Siding - i r77. FIXED SYSTEM FINAL •
29. Insulation . . . . I .78. FIRE PREV. FINAL
•30. Drywall Nailing -
HEALTH DEPT. REQUIREMENT
-31.".Plaster Brown Coat : ., -• 79. 'FINAL INSPECTION -
'32. Electrical Power Meter-Final ' ' i ' i 80. FOOD CERTIFICATE ISSUED '
33. Final Electric ` i • ' Notes: - .
• 34. Final Heating & Air Conditioning , : I - - -
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 PreventerL)
-
43:Backflow Irrigation I , '"- f 7
•,
44: Landscape Irrigation System - , " '';•) •
45. Sound •Attenuation _ - ,
' 46.- Handicap Regulations , - - ' , • i
47. FINAL'STRUCTURE&,BUILDING : 7 , -
48. Special Requirements Completed ' '
49. Electric Release to Edison , ; - '
50. Gas Release to Southern Califorriia Gas Co , .,,.
51. CERTIFICATE OF OCCUPANCY �2 ,I- I '
No. .Date - - - ._ r 1
• .iJ
4 •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER , NO. TRACT NO. LOT NO. UNIT Xn.
,' CITY of COSTA MESA CONSTRUCTION PERMIT ��y9 / A.P.# Zone . -
` Project Address 2544 nC)31Y' 11,-... MM..�.-.. - 7`I(OJ v S Main Building: • Accessory Building:
Applicant's Mailing Address 324 So. lknn, .,.aIMp TYPE OF CONSTRUCTION U NEW ❑ ADD .�: ALTERATION U REPAIR E Front Z
756-2505 ❑ CONVERSION El DEMOLISH ❑ OTHER i T 0
Owner's Name _Phone DESCRIPTION OF WORK/USE OF BLDG. 'Ther nff gr/r^t rcf B Rear N
Address 18022 Wars Suit. 202 B. Irvine PITA-fr TT , irg1tes �`y
Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION LJ STRUCTURAL C Right _ G
Address �-�.,,p - ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s Left R
Contractor's Name E11Dtt PtJD,L(�t"b�J�.7vtB'1I'1 a Phone 997-4938 ❑ OTHER Ping. Ref.# Parking Req./Provided E
Address(mailing) 324 Y11)rilla �ct(1]C 92669 PROJECT DESCRIPTION SQ. FT. COD OCCUPANCY Planning Notes: M
039965 CON STRUCTI ON TYPE VALUATION$ J O,oJ
City License No. - ZONE GRADING CU.YDS. ACRES
S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: '
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full tp,Kce and effect. ELECTRICAL - FEES
License Class C.De se 48
Date 5r-�1-8°I Signature •j"y AAA ' PLUMBINGI FEES Automatic Washer Transformer CI15-50KW
C� WORKERS'COMPENSATION D CLARAT ON Bar Sink Showers Construction Pole Sub. 0 50+ KW
V ' `ereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
i0, Lab. C.j_
Policy No. 7178 � Rai Company � Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
c-• 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Cert' i co 87filetl with tic city)Iu_:ItlJ9 I- 1-1.n E1l t. Bathtubs Sewer Connection
DateX ��>N F KAERS' OM SATIS tl Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors❑01 HP ❑1'fz-8
• sis section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U.
lesInc.Solar 09-15 HP 016.15+I certify
that in the performance of the work for which this permit is issued, I Fixtres
shall not employ any person in any manner so as to become subject to theu
Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:if,after making this declaration, you should become subject to the e Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYSwitches Sign
I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address - Kitchen Sink Water Service Generator DO-5 KW 05.15 KW Trash Compactor
OWNER BU:I_DER DECLARATION •
I hereby affirth 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
^vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3
¢from and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
�laity of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the propertyor my employees with wages as their sole Reinspection Fee $15 Issue Fee
e $ Zoning Approved By Date
compensation, will do the work,and the structure is not The ed 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
thereon, and who does such work himself/herself or through his or her own Hood Or Type I ❑ Application Issued By Dat
employees, provided that such improvements are not intended or offered for Boiler -
sale. If, however,the building or improvement is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES
Motion, 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 $ ,3 , . D
6 SMTP $ J
❑ 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 $ ISSUANCE $
builds or improves thereon.and who contracts for-such projects with a con-
tractors) license pursuant to me Contractor's License Law). I am aware that ,Exhaust System ■ Multiple ■ System Repair/AlterationI PLAN CHECK 25% $
ELECTRICAL $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section B.S. P.C.for this reason :e Fire Dampers
GRADING $
PLAN CHECK 50% $ MICROFILM $ / •
TT
Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 3/-(J
I hereby certify that I have read this application and state'.that the above 00100,000 BTU 0100,000BTU 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 enter pon th above-mentioned property for
inspection purpses. Q
nature `R -I_ ,` / 5 Date( I 1- 1
Driberss .icenz or 55 Reinspection Fee $15 Issue Fee $ 3 ID
'Z( 71/ 01 00041506-00041
507 TOT 31.50
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DisTC: 08/31c9 latiE+ cc:UT
7
'CONSTRUCTION AND PLANNING POOI WA
� ` 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, D Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D 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
61).: Rough Wiring Sign 68. APPROVED FOR PLASTERING
.18Y. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20`. Rough Factory Fireplace APPROVALS Permit#
VJ
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-:Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing % HEALTH DEPT. REQUIREMENT
31. Plaster Biown 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. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7 1 De'
48. Special Requirements Completed
49. Electric Release to Edison Cr:
50. Gas Release to Southern California Gas Co 'N)
51. CERTIFICATE OF OCCUPANCY II')
No. Date 'r)
Applicant to fill in all spaces except those within heavy border lines and sign-all appropriate declarations. ' /
CI X59F COSTA MESA CONSTRUCTION PERMIT PERJy11T NO. qs I TRACT NO. LOT NO. UNIT-y0. A p il� Zone
Project Address 2544 Elden Avenue - 1(LJ 3 lf7A rr II ``^^`` /UJ S Main Building: Accessory Building:
Applicant's Mailing Address 324 So. Earlham, Orange TYPE OF CONSTRUCTION LI NEW LI ADD Ad ALTERATION U REPAIR
Essex Realtor Managementphone 756-2505 ❑ CONVERSION ❑ DEMOLISH 0'OTHE11' T Front 0
Owner's Name 4 tPhone DESCRIPTION OF WORK/USE OF BLDG. Tear off & re—rnnf B N
Address 18022 Co.vans Suite 202 B, Irvine P - lel - I so . f• A Rear I
TYPE OF PERMIT . GRADING IN FOUNDATION U STRUCTURAL C Right N
Arch/Eng. _License No. K G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R
Contractor's NamfElliott Roof Maintenane.hane 997-4938 ❑ -OTHER I Ping. Ref.# Parking Req./Provided E
Address(mailing) 324 Farlham, Orange 92669 PROJECT DESCRIPTION SQ. FT. / 3 0 J OCCUPANCY Q
COrvST RUCTION TYPE VALUATION$ 4/300,
pa Planning Notes: M
039965 T
City License No. ZONE GRADING CU.YDS. ACRES -
S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and • ELECTRICAL FEES
A my license is in full f,Qrrt,tppnd effect.
License Class U-37 L' n e 46 344
0` Automatic Washer Transformer 0 15.50 KW
( Date ERS'CO r-3/1r5 Signature s" / PLUMBING FEES
WORKERS'COMPENSATION D CLAR ATION- Construction Pole Sub. 0 50+ KW
,reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers .
1 Norkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
T Lab. C.
Policy No. 5Dishwasher Meter Dover 100amps
1785 Company State'Fund Backf low Irrigation Sewer,Cap _
ACertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel ,
Cery,{ie copy fled with the cl(y Buil q�pg DIvIsic Bathtubs Sewer Connection
Date Ar 7i/ or V Applicant/6y: James ii, El liott,PreS. Fan Motors 0O-1 HP ❑1.'' -6
EXEMP ION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solac Collectors
(This section need not be completed if the permit Is for one hundred ($100)or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+
less).
I certify that in the performance of the work for which this permit Is issued I - • Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar:Tank Microwave
Workers' Compensation Laws of California. Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
NOTICE:If,of ter'making this declaration,you should become subject to the Outlets 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.
CONSTRUCTION LENDING AGENCY . Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) ' Garbage Disposal Standing Sections
Interceptors Water Heater
Lender's Name
Lender's BUILDER
Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
_
OWNER BUILDECLARATION
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(Chapters(commencing with Section 7000)of
"vision 3 of the Business and Professions Code) Or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3
•
:efrom and the basis for the alleged exemption. Any violation of Section
11.5 by any applicant for a permit subjects the applicant to a civil
venally of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS:
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ Zoning Approved By Date
compensation, will do the work,and the structure is not intended or offered
far sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By -------
y _ Date
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 Application Issued By Dat
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 corm Canopy, Type II 0 SUMMARY OF FEES •
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Cl
prove for the purpose of sale). BUILDING PERMIT $ S . Dee SMTP $ c� `�
❑ 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 00100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con-
•
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% $ ENERGY P.C. $
proof off their Worker's Compensation Insurance should be provided to me. •
ELECTRICAL $ GRADING $
0 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 $ 1:+Q
/-C6
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU 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 n[er up n the ab ve-meniionetl property for
Inspection pposes. /
Signet ure nep •Date �-3>8� Reinspection Fee $15 Issue Fee $ 3 612- (/9i
Drivers' L. ense or SS# �_ 01 00041496-C0041497 TO- 51.5:
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: DS/31/89 TIRE: C?:1'•
CONSTRUCTION AND PLANNING PO0 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 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, D 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 - Finales
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
rA
1.8& Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
t
i20", Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. hoof Framing 73. Undergrnd.Storage Tank D Gas ❑Oil
25. Roof Sheathing toil_ / 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing <' HEALTH DEPT. REQUIREMENT
31: Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
6
38. Final Plumbing -:
. 39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation :� ;J
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations 7k
/ {yr
�,/
47. FINAL STRUCTURE & BUILDING 7/�`e/
48. Special Requirements Completed /""/ vv
49. Electric Release to Edison
' rt
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
0
•
., _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER N TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA CONSTRUCTION��„ PERMIT X996 eieo D A.P.# Zone •
` Project Address 2544 IICh1 r-+w 3 .E �srl - '
324 So. Far]Yan, ay-am -756-2505 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ml ALTERATION LI REPAIR E Main Building: Accessory Building: • Z
Applicant's Mailing Address �W y- Front -
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T 0
Owner's Name ' Id70E PhoneMOM< DESCRIPTION OF WORK/USE OF BLDG: `lar aEE & 7P--TCQE B Rear .
N
Address 18022 Cadens cli to 412 B livire P3stigLe ii 'F'e_ i A .
Arch/Eng. License No. TYPE OF PERMIT II GRADING ❑ FOUNDATION U STRUCTURAL- C Right N
G
Address C7 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - S• Left R
Contractor's Name Elliott Pear Mairtename Phone 997-4938 CI OTHER Ping. Ref.# Parking Req./Provided - E
Address(mailing) 324 F�rltan• (� 92669 PROJECT DESCRIPTION SQ. FT. /3oc) - OCCUPANCY Planning Notes: • M
" r"'T CONSTRUCTION TYPE VALUATION$ / 300eoc--
City License No. 039965 - E T
ZONE GRADI NG CU.YDS. ACRES I S_
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: '
with section 7000) of Division 3 of the Business and Professions Code, and - i • - •
my license is in full fsrce and effect. ELECTRICAL FEES
S License Class C 3N Lic s Nb Automatic Washer Transformer 0 15-50 KW
46
13> Date c��� $ATI t D LARA`. r Ree/ _ • PLUMBING FEES ,
WORKER COMPENSATION D to of co ONConstruction Pole Sub. 0 50+ KW
`ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink , Cooking Unit Meter Dup to 100 amps
N. 00, Lab. C.) Dishwasher Meter ❑over 100 am s
Policy No. 571785 - Company State Fid Backflow Irrigation Sewer Cap --
'
ampS.--'
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric -- Sub Panel
Cert fled co yyl'yjlled with the city Building Division. Bathtubs Sewer Connection ,-t
Date t/11 or Applicant_12t,7: ,T�vFc H Ell ic t, PIT-Cirht - Fan Motors 00-1 HP ❑1%•8
EXEMPT ION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(Tleshis section need not be completed if the permit is for one hundred ($100)or - Dishwasher $olar,Piping F.A.U. - • Inc.Solar D9-15 HP ❑16-15+-
I certify that in the performance Of the work for which this permit is issued, I - Fixtures Microwave
shall not employ any person in any manner so as to become subject to the Drinking Fountains Soler Tank - 'w
Workers' Compensation Laws of California.. . - -
Date Signature _ Floor Drains Swimming Pool w/Spa - Device Boxes J Pole Light
NOTICE: If,after making this declaration, you should become subject to the ¢Outlets Ran
Workers' Compensation-provisions of the Labor Code, you must forthwith Floor Sinks Urinal9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Servic.e Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections
Lender's Name Interceptors Water Heater
Lender's Address - Kitchen Sink Water Service • Generator Do-5 KW D5-15 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
'vision 3 of the.Business and Professions Code) or that he/she is exempt Reinspection Fee ' I $15 Issue Fee $ 3
refrom and .the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil '
penalty of not more than five hundred dollars($500). - _ DEVELOPMENT DEVELOPMENT SERVICES REQUIREMENTS:
$
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By
compensation, will do the work,and the structure is not intended or offered - Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I ,FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves
=
-5 1
thereon, and who does such work himself/herself or through his or her own Application Issued Bya Dat 'j
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 0 SUM vp V DE FEES
pietlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground O rt)prove for the purpose of sale). - - BUILDING PERMIT $ •O SMIP $ ' .� L/
❑ I, as-owner of the property,am exclusively contracting with licensed con- Duct-Structural - Refrigeration System •tractors to construct the project (Section 7044, Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and'who contracts for such oroiects with a con-
tractors) license pursuant to me Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration • PLAN CHECK 25% $ ENERGY P.C. $
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.Bit. ICBG# Fire Dampers MICROFILM $
PLAN CHECK 50% $ 2�
Date Owner Heating System& Ducting Registers MECHANICAL $ �SV
I hereby certify that I have read this application and state that the above' ❑0100,000 BTU 0100,000 BTL TOTAL FEE $
information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $
and state laws relating to building construction and hereby authorize repre-
sentatives of this city to enter upon th above-mentioned property for
inspection .urposes./ . / _ �._p/�- q _
Signature a.iie /
Reinspection Fee $15 Issue Fee $ 3 U� 01 00041500-00041501 SCI
Drivers' • cense or SS T '31..,510
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 08/31/89 TIME: n9Lh:; •
_ _ ,. ,r.y..r,r r•..
.,‘• 'CONSTRUCTION AND PLANNING • POO WA . ,
•
‘'. APPROVALS - Permit# Date Inspector
APPROVALS Permit# Date Inspector
}
•
",1. Temporary Electrical Service or Pole-% - 1,, 52. Pool & Equipment Location - - _
2. Soil Pipe-Undrgrnd. . ' ,- - ' •t,, . 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd ] . 7 54. Forms _ .
'4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding ••
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. v� 57. APPROVAL TO COVER-GUNITE .
7. Footings - 58. Electrical Conduit-Undrgrnd. ,
' 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test -' ,.0
t-9. Water Pipe-Undrgrnd. .-tom 60. Backwash Lines, P-Trap, O Undrgrnd.
. • 10.- Structural Floor System _j�, 61. APPROVAL TO DECK
1.1. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final •
•
12, Sewer Cap � 63. Heater & Vent-Final
13. Roof Drains . . 4. 64. Plumbing System - Final - -
14. Rough Plumbing ' ' 65. Electrical-Final - 1 • 1
15. Rough Electrical-Conduit - - - - 66. Solar System-Final - • " -
16. Rough Electric Wiring - 67. Fencing &Access Approval
•
1171 Rough Wiring Sign • 68. APPROVED FOR PLASTERING -
•18. Rough Electrical-T Bar Ceiling I 69: POOL/SPA SYSTEMS FINAL
1-9? 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 ❑Oil
23. Gas Pipe;Rough &-Test 72. Underground Flush - • •
24. Roof.Framing . ,. 73. Undergrnd.Storage Tank ❑Gas •❑Oil
25. Roof Sheathing , , ro/(1'0) . - 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 - 7...--1. - - ' HEALTH DEPT. REQUIREMENT
va' 31°, Plaster Brown Coat (, ' - 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ..0 Notes:
•
34. Final Heating & Air Conditioning • -
35. Final Gas Pipe-Test - ,
36. Hood or Canopy i' „
37. Final Factory Fireplace • , 1
38. Final Plumbing - - •--
39. Water Service-Final -
40. Gas Service-Final , - ,
•41. Solar Domestic-Final
42. Backflow Preventer .. LA
43. Backflow Irrigation 1 • ='} ;
T
44. Landscape Irrigation,System - . - V •
45. Sound Attenuation •
46. Handicap Regulations L '
•
47. FINAL STRUCTURE & BUILDINGS 7/ / pi--48. Special:Requirements Completed.- ./ t ' ,
49. Electric Release to Edison .- _" _ _ _ ,_ _- ' - - N9.
I
50. Gas Release to Southern California Gas Co ..1 .f f..
51, CERTIFICATE OF OCCUPANCY - i^ • J i-V
No. - - • - - Date - - - .r t:)
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER T NO. TRACT NO. LOT NO. UNIT NO.
ci ,oA Address 544 CONSTRUCTION PERMIT 399loa F A.P.# Zone
- Project 2594 Elden AVH'Lt' S Main Building: Accessory Building:
TYPE OF CONSTRUCTION U NEW U ADD _1s$s ALTERATION LI REPAIR
Applicant's Mailing Address 324 SO. E`dY1113B. E Z
{ 11�C' 756-2505 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0
Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. 'Thar Clff Fr 1T-7TT1P B Rear N
Address 18022 �s Slit 202 B, Irvire • �7 - I tpie A I
Arch/Eng. _ License No. TYPE OF PERMIT GRADING . FOUNDATION ❑ STRUCTURAL K Right G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ . Left
Elliott RODE Maintenance 997-4938Ping. 9 q R
Contractor's Name Phone ❑ OTHER Ref.# Parkin Re /Provided E
Address(mailing) 324 FA1-lltne Cuange 92669 Planning Notes:
PROJECT DESCRIPTION 50. FT. 1 3 0 0 OCCUPANCY - Q
ff
CONSTRUCTION TYPE VALUATION$ I, 5Oo •oM
a T
City License No. 039965 ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full force and effect. ELECTRICAL FEES
License Class C-39 LI se No.673 Automatic Washer Transformer 0 15-50 KW
Date 150-•:3/41—4 7 Signature J* . 00 / .•C• PLUMBING I FEES
WORKERS' COMPENSATION CLARATION Construction Pole Sub. 0 50+KW
',relay affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
_.00, Lab. C. Dishwasher Meter
1 Policy No. 71785 Company �P ard Backflow Irrigation Sewer Cap Dover 100 amps
8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric —
Sub Panel ._.
Carol' copy i fed with the cit Builg1�m9 DIvIsiop, ,a.�- Bathtubs Sewer Connection
Date c"7//�� ApplicantW: MMES H. Elliott.• }OY1xi[1PIlt - Fan Motors 00-1 HP ❑1'/i-8
EXEMPT ON ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred($100) or Dishwasher Solar Piping F.A.U. Inc.Solar ❑9.15 HP ❑16-15+
less).
I certify that in the performance of the work for which this permit is issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the •
¢Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYSwitches Sign
I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet —
of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections
Lender's Name Interceptors Water Heater
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 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 .. -_
;vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3
erefrom and the basis for the alleged exemption. Any violation of Section
J31.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of the property or my employees with wages as their'sole Reinspection Fee I $15 Issue Fee $ 3
Zoning Approved By Date
fom sale c, will 0 the work,and the orucion is not intended C oroffered Date
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
thereon, and who does such work himself/herself or through his or her own - 5 Application Issued By Dat ___i____i_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 co m- Canopy Type II 0 SUM r1� FEES
p , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground D7�
prove for the purpose of sale). BUILDING PERMIT $ xi LJ SMTP $ r CO
❑ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: - PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such orolects with a con-
tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
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 4Fire Dampers - MICROFILM $
PLAN CHECK 50% $
' Date owner Heating System& Ducting Registers MECHANICAL
I hereby certify that I have read this application and state that the above ❑O-100,000 BTU ❑100,000BTL - $ TOTAL FEE $ 3/SO
Information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to -liter u•on the .bove- entioned property for ..
Inspection p poses. nt
Signature h- 's, — .i -
Reinspection Fee $15 Issue Fee $ 3 (/2{ 9/ 01 00041504-00041505 TOT :±1,'11.'
0865-46,rev. 5/88 White - Building; Canary - Applicant: Pink -Accounting; Goldenrod - Assessor DATE: 08/31/89 TB1E: 7i%Qi,
CONSTRUCTION AND PLANNING PO( 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 r
7. Footings • 58. Electrical Conduit-Undrgrnd. e
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test e-
, 9. Water Pipe-Undrgrnd. • 60. Backwash Lines,P-Trap, ❑ 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
rl
'17: Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
49: 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 O Gas 0 Oil
25. Roof Sheathing . r �/5 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 '7 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 (el
43. Backflow Irrigation �. C?
44. Landscape Irrigation System r_/ v
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 2/rL‘h Oki-
48. Special Requirements Completed (%7
• 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.
, COY OF COSTA MESA CONSTRUCTION PERMIT 1 PEEWIT NO. TRACT NO. LOT NO. UNIT NO: A P # Zone
. Project Address 25 n( 1 AVaLE _ - L/1J dJ rr I ++���� rr!''T S Main Building: Accessory Building:
�.^ l�h1,.��,n� TYPE OF CONSTRUCTION u NEW II ADD Cd ALTERATION u REPAIR E z
Applicant's Mailing Address 324 R. �ti ru mall, ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front o
Owner's Name 1 Phone -n16'2 1 DESCRIPTION OF WORK/USE OF BLDG. '1r C7f"f & fl 1TTJF I B Rear • N
Address 18022 Suite 202 B, Irvine TT Qj��1 F`; -
TYPE OF`y, PERMIT lJ GRADING LI FOUNDATION LI STRUCTURAL C Right N
• Arch/Eng. License No. K •
G
•
Address CITENANT CIELECTRICAL ICIPLUMBING CIMECHANICAL S Left R
Contractor's Name ELhatt PicaE m11n mance_ Phone 997-4938 ❑ OTHER I Ping. Ref.4 Parking Req./Provided E
�y-,,�..� PROJECT DESCRIPTION SQ. FT.13Q° - OCCUPANCY I PlanningNotes: Q
Address(mailing) 324 �r1]NR•�+s,sas cJ - . /I QO r op‘ M
039965 CONSTRUCTION TYPE VALUATION$ '1) ti • T
City License No. ZONE GRADING CU.YIDS. - ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I em licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and ELECTRICAL • FEE$
my license is in full force and effect.
cLicense Class ._1 e s 0.
Date 1-.7/-17 Signa tune cheer- / ads,. PLUMBING FEES Automatic Washer I Transformer 0 15-50 KW
WORKERS' COM ENSATION CLARATION / Construction Pole Sub. 050+ KW
1 ' -^reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers •
Yorkers' Compensation insurance, or a certified copy thereof (Section Cooking Unit Meter Cup to 100 amps
0, Lab. C
Backflow Preventer Service Sink
Policy No. D71785 Company Sts I' 1rd1 Backflow Irrigation Sewer,Cap Dishwasher• - Meter ❑over 100.ainps
—
BCertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Ce tt'fi d copy is filed with the city wld{� Div{sion_ Bathtubs Sewer Connection
Date_ l 7//89 Applicant 'O tT•r+L110tt rIC�31t Fan Motors❑0-1 HP ❑1'h-8
EXEMPTIOf•!/FROZ WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors —
,
(This section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar'Piping . . F.A.U.
less). - Ina Solar 09-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued, I • FI%tures 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
Date Signature Floor Drains Swimming Pool vv/SpaPole Light
NOTICE: If,after making this declaration, you should become subject to the -
Outlets flange
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit Shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) interceptors Water Heater l Garbage Disposal Standing Sections
Lender's Name 1
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 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
^ivision 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee , $15 Issue Fee $ 3
refrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil
nasty of not more than five hundred dollars($500), DEVELOPMENT SERVICES REQUIREMENTS:
b I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 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 1 FEES Building Approved By Date /
License Law does not apply to an owner of a property who builds or improves �ry� /// n
thereon, and who does such work himself/herself or through his or her own . Boiler Hood or Type I ❑ • Application Issued By Date l 3
employees, provided that such Improvements are not intended or offered for
sale. If, however, the building or improvement Is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground T�v
prove for the purpose of sale). BUILDING PERMIT $ 3 . Qt/_ SMIP $ rS0
❑ 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 $ ISSUANCE $
• builds or Improves thereon. and who contracts for such oroiects with a con- —_ _
tractor(s) (,cense pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • PLAN CHECK 25% $ ENERGY P.C. $
proof o1 their Worker's Compensation insurance should be provided to me. yl ELECTRICAL $ GRADING ' $
0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4 Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System & Ducting Registers MECHANICAL $ .'S T
I hereby certify that I have read this application and state that the above - 0o-100,000 BTU 0100,000 BTL—
information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repre- - '
sentatives of this city to enter upon the above-mentioned property for
Inspection pu poses- q
Signature
-Accounting;Goldenrod - Assessor DATE: 08�31i�9 -{I�IE' 89'06 -
• - 4 ,CONSTRUCTION AND PLANNING POO 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-Undrgrhd. - 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 COVE R-GUNITE i•• "1
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. i
10. Structural Floor System • i 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 I/
15. Rough Electrical-Conduit 66. Solar System-Final •
1.6r Rough Electric Wiring 67. Fencing & Access Approval
rAl
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
ry
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 &I-est 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing lGine:9 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
37. 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 It:
43. Backflow Irrigation
nr
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7R, � at
48. Special Requirements Completed
49. Electric Release to Edison
.I
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY <0; C7
No. Date �'�
•
•
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1
PE RAT ND 49 sy TRACT NO. LOT NO. UNIT NO.
G�kOF COSTA MESA CONSTRUCTIONT.� „ PERMIT /` d1 A.P.qW Zone
Project Address 2544 ; 1'1.'9vp LC - ,7 ++,n.,�f U REPAIR S Main Building: Accessory Building:
't TYPE OF CONSTRUCTION U NEW U ADD IQI ALTERATION
E1. Z
Applicant's Mailing Address 324 lvE g rtent OPhoneew= 0 CONVERSION El DEMOLISH 0 OTHER T Front 0
Owner's Name EC�SP7C Phone DESCRIPTION OF WORK/USE OF BLDG. �r off & If-ref B Rear N
Address 18022 Pnil-r 202 Ft, T7'1/1PP . a. • - II •11s... A 1
Arch/Eng. License No. TYPE OF PERMIT I♦ GRADING MI FOUNDATION STRUCTURAL C Right N
Address 0 TENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANICAL S • Left R
Contractor's Name
Ellit±t,Id7CE Maintaare Phone 997-4938 0 OTHER !Ping. Ref. dl, Parking Req./Provided E
Address(mailing) 324 So. Ear11an, 92669 PROJECT DESCRIPTION SQ. FT. / 3 0 0 OCCUPANCY
Y oo , O ' planning Notes: Q
CONSTRUCTION TYPE VALUATION$ ./ 1 T
City License No. 039965 ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
my license Is in f II-'lnprce and effect. i ELECTRICAL FEES
License Class - -'J LC se
,(Oate^ I Signature ?LO • PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS'COMPENSATION D CN Construction Pole Sub. 0 50+ KW •
1 hereby affirm that I have a Certificate of consent to self-insure or a certificate Bar Sink $hewef3
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
lic
uCooking Unit Meter ❑up to 100 amps
c0 571785
y No. Company Backflow Irrigation $ewer-Cap Lab. C.) Stalm and Dishwasher Meter Dover 100 amps:_
_ •
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Cer lied copy fled with the city Buildingat.
Division Bathtubs • Sewer Connection -
-
Date ?,F Applicant H✓' T3ir¢ 11 �ir^H-� PIPCifIY Fan Motors 00.1 HP 011/5-8
EXEM ION ROAAM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors
(This section need not be Completed if the permit Is for one hundred($100) or - Dishwasher Solar Piping F.A.U.
. less). Inc.Solar 09-15 HP 018.15+
I certify that in the performance of the work for which this permit is issued,I - Fixtures
shall not employ any person in any manner so as to become subject to-the Drinking Fountains Solar,Tank Microwave •
Workers' Compensation Laws of California. Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
• NOTICE: If,after making this declaration, you should become subject to the Outlets 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. -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches• Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.) interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name -
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05.15 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
',refrain and the basis for the alleged exemption. Any violation of Section
:1.5 by any applicant for a permit subjects the applicant to a civil
.alty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of the property or my employees with wages as their sola Reinspection Fee ` $15 Issue $ 3 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 _
thereon, and who does such work himself/herself or through his or her ownBoiler Hood or Type I ❑ • Application Issued By Dat
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES
pletion, 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 $ 3/.0 0 SMIP $ . St
❑ 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 $ ISSUANCE $
builds or Improves thereon,and who contracts for such orolects with a con- _ —._
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% $ ENERGY P.C. $
I proof o their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
0 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 $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100.00087E TOTAL FEE $ �/
information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter •on the above-mentioned property for
inspection purypses. y n _
Signature hts.4/�
Pink -Accounting; Goldenrod - Assessor DATE: 08/31/89 TIME: 09:03
e AJC c`
CONSTRUCTION AND PLANNING POOL °A
Date Inspector Date Inspector
APPROVALS Permit# 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 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 j 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
_ 118. Rough Electrical-T:Bar Ceiling 69. POOUSPA 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 &Jest 72. Underground Flush.
24. Roof Framing .73. Undergrnd Storage Tank 0 Gas 0Oil
25. Roof Sheathing •- Jolts, 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 C. HEALTH DEPT. REQUIREMENT
311. 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 , V•
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations ' ,) •
47. FINAL STRUCTURE & BUILDING 71 9 i Pt
48. Special Requirements Completed /
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - C./ •
51.\CERTIFICATE OF OCCUPANCY
No. - Date _ .J
l
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - . �+'
PER NO. TRACT NO. LOT NO. UNIT NO.
Cll"{�OFCOSTAMESA CONSTRUCTION PERMIT PERE
r A.P.# Zone -
- . Project Address LJ 7 L�� bh 9: Accessory Building:
25441 C�'1 A4H11 Pg
S Main Building:
Applicant's Mailing Address 324 So. E37-11x111, TYPE OF CONSTRUCTION U NEW U ADD v"^ALTERATION LI REPAIR E Z
ESC 1�1isx "ho 756-2505 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0
Owner's Name Phone I B N
18022 Suit 202 B, ITVIIL DESCRIPTION OF WORK/USE OF BLDG. `I1. I ]'P-YOC1E Rear
Address �• _ _',D:.- :__ & :_ :`fe+ .IfU A I
I TYPE OF PERMIT GRADING . FOUNDATION CI STRUCTURAL C Right N
Arch/Eng. .-__ - -- License No. ' G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S A Left •
R
Contractor's Name Ea.lcltt BOCJE Mainnamte Phone 997-4938 ❑ -OTHER - I Ping. Ref.# Parking Req./Provided E
Address(mailin ) 324 Eariyar PROJECT DESCRIPTION SQ. FT..2.0 00 OCCUPANCY 0
9 y4 929 Planning Notes:CON ST RUCTION TYPE VALUATION$ .2,OOO row - M
City License No. 039%5 T
ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in fttlt tzgce and effect. ELECTRICAL FEES
Linen Class cense Nom 46 PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
Date -i-§1 Signature 7i- L -#•••.° e
WORKERS' COMPENSATION D CLARATION •Ber Sink Showers Construction Pole Sub. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-Insure or a certificate •
f workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - Cooking Unit Meter ❑up to 100 amps
800, Lab. C.-; Statp fhtL Dishwasher Meter Dover 100 amps -
(' fl Policy No. Company Backflow Irrigation Sewer Cap '
D Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel _
Cer hygcoy y i filed with the city.Builging Di�� fop,, Bathtubs Sewer Connection Date M,37//D - antw: iAH tl.DECLARATION
Pn i[illt Fan Motors❑0.1 HP ❑1'h'-8
EXEMPTIOJC FR M WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
—
(This section need not be completed if the permit is for one hundred ($100)or F.A.U.
less). Dishwasher Soler Piping ~— Inc.Solar 09-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued, I - Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave -
Workers' Compensation Laws of California. Device Boxes •
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: If,after making this declaration, you should become subject to the -
Outlets 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. -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
Of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name Generator ❑0-5 KW ❑5.15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service -
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
herefrom 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
denalty of not more than five hundred dollars($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue FeeApproved
By
•compensation, will do the work,and the structure is not intended or offered _ - ZoningDate
for salese (Section e Business and f aProfessionalprCode: The Contractor'smroves MECHANICAL FEES Building Approved By Date
erese Law dues not apply to owner f a props who builds or Improves
thereon, and who does such work oemntshimself/herselfror through hos or err own Application Issued By Dat
le. lf,employees, ,tlthat such or poare ootld intendedihior ofr of d for Boiler Hood
ano y Type I 0
sale. If, however,wthe have
building improvementfro i sold within one year com- Canopy Type II0 SU ARV F FEES
platten, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground �--y)
prove for the purpose of sale). BUILDING PERMIT $ %OSMIP $ .J �/
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 $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con-
tractors) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof oftheir Worker's Compensation Insurance should be provided to me, ELECTRICAL $ GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $
PLAN CHECK 50% $ _ --
Date Owner Heating System& Ducting Registers MECHANICAL $
I hereby certify that I have read this application and state that the above ' 00-100,000 BTU CI mow BTL TOTAL FEE $ S/SST
�
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter on the above-mentioned property for
Inspection puo e��s. &
Pink -Accounting; Goldenrod - Assessor
,'e
• CONSTRUCTION AND PLANNING POOL ,PA
Date Inspector - Date Inspector
APPROVALS Permit# 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE - a
7. Footings • 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
a
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
-.r;
• ' 17' Rough Wiring Sign 68. APPROVED FOR PLASTERING
18) Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
i97 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20! Rough Factory Fireplace APPROVALS Permit#
211. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil •
23. Gas Pipe-Rough &.Test 72. Underground Flush
24. Roof Framing r . 73. Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing ,, pun 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation • C''
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7/19 08
48. Special Requirements Completed v
49. Electric Release to Edison
.1' '
,50. Gas Release to Southern California Gas Co ��
51. CERTIFICATE OF OCCUPANCY • j (v
No. Date
r
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. '
• �• PER T NO. TRACT NO. LOT NO. UNIT NO.
cr�oF COSTA MESA CONSTRUCTION PERMIT T 4 S A.P. • , I Zone
Project Address ?-5-g 9- el De A, Av'iv gg fl 15 3 • 9ls pp'1I
1s lrJ ALTERATION L REPAIR S Main Building: Accessory Building: Z
'3..;6 S• e{J}`H/ ✓�1 0* nip( TYPE OF CONSTRUCTION ❑ NEW LI ADD
Applicant's Mailing Address' 'f �` III CONVERSION DEMOLISH ❑ OTHER T Front _ O
er
Owner's Name S5SEX /Z f'AIiTO} fl hitt-. hoe 7 J( j}'0r D SCR IPTION OF WORK/USE eF BLDG. • I B Rear N
Address 1802 Cof+'ANJ stare ?.0}O. J<vi4e S - I , l,_: 1E . A 1
Arch/Eng. - License No. TYPE OF PERMI- 7 I GRADING gd FOUNDATION ill STRUCTURAL ' C . Right G
Address. - p . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S ' Left R
fN.%0 it At:LTaJ.a4AVPJFafPh e/ ❑ OTHER. Pin Ref. # Parkin Re /Provided Q
Contractor's Name ad_take.,
g: 9 Req
./Provided
SQ. FT. 1306 OCCUPANCY Planning
Address(mailing) 3) '. S E4rA hit 61 Otarye 9Ace y' - Notes: - - M
0 q 6 5 ✓ CONSTRUCTION TYPE ' VALUATION$ /, ODA OD — - T
City License No. 19 ZONE GRADING CU.YDS. AC ES - S.
LICENSED CONTRACTOR DECLARATION '
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •
with section 7000) of Division 3 of the Business and Professions Code,and - -
my license is in full force and effect. //+���!O .FEES
Q License ass • '�37 Lice T
No. 1'3 41' '
Date P )�/fq Signature �j+s•y-,9. f P/YS •
PLUMBING FEES - Automatic Washer Transformer 0 15-50 KW
� WORKERS' COMPENSATION DECLARATION' Bar Sink Showers i Construction Pole Sub. • ❑ 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate - •
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Prevenfer Service Sink Cooking Unit Meter Duo to 100 amps
'00, Lab, C.) �• C -
` licy No. C7/ 7crS Company s-74.71 / VD 9 • Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps' -. • '
I,y, Certified copy is hereby furnished. —
Dryers ❑Gas ❑Electric Sub Panel -
LJ Certified cPopyp is filed with the city building Division. r Bathtubs Sewer Connection - -
Date D/ 7//i/ Applicant. ILS rf*nt FLZ,e tOi/J - Fan •
Motors❑0.1 HP 01%-8
EXEM PPTIO((NAJJ FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100)or F.A.U. '
less). Dishwasher Solar Piping Inc.Solar 9-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued, I Fixtures -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California. ' •
Date Signature • Floor Drains • Swimming Pool w/Spa • Device Boxes Pole Light '-
NOTICE:If,after making this declaration,you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - Range
comply with such provisions or this permit shall be deemed revoked. - - -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Switches Sign ,
I hereby affirm that there is a Construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater - g P Standing Sections
Lender's Name
Lender's Address - - Kitchen Sink ' Water Service ' Generator 00.5 KW 05-15 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 , 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 D• ivision 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section - -
31.5 by any applicant for a permit subjects the applicant to a civil '
Patty of not more than five hundred dollars ($500). $ DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner of the property or my employees with wages as their sole Reinspection Fee I I $15 Issue Fee 3
compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date
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 _ '_ '/=�,�/I/={L'
thereon, and who does such work himself/herself or through his or her own P� �� Application Issued By Dat
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 0
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OTg�FEES „
prove for the purpose of sale), - - BUI LDING PERMIT $ 3'.A() SMTP $ t LJ"',
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural . Refrigeration System PLAN CHECK
• tractors to construct the project (Section 7044,Business and Professions Code:, $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- - •ENERGY P.C. $
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ ' System Repair/Alteration I PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG* Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date owner _ Heating System&Ducting Registers MECHANICAL $
-I-hereby certify that I have read this application and state that the above ❑0100,000 BTU.0100,000 BT TOTAL FEE $ 3/•..�D
information is correct. I agree to comply with all city and county ordinances I PLAN CHECK 25% $
and state laws relating to building Construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned pr perty for • •
Inspection purp•ses. Jj s
Date P
Signature /Lr. Reinspection Fee - $15• Issue Fee t$ 3, 01 1�DJt 15'10-00041511 T�1 cr
Drivers' Lic:�or SS#• _ .. r' _ __ __ __ _ _ (P�Z//9I 01' 0 41 10-00 1511 OD: J .31..0,
_ _ C . �3 E:
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ,
. rCONSTRUCTION AND PLANNING POOL `A '
APPROVALS Permit# DateInspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '
`2. Soil Pipe-Undrgrnd. ei' 53. Steel Reinforcement r• . ,
3. Electriccal Condu UUtility-Undrgrnd. 54. Forms
12
4. Electrical Conduit-Undrgrnd. t„fr • � 55. Electrical Bonding
-5.'SteelI Reinforcement /a 56. Rough Plumbing & Pressure Test
6.` ElectricaI UFER-Grad. ;/, 57. APPROVAL TO COVER-GUNITE
7! Footingsv; ! 58. Electrical Conduit-Undrgrnd. • . -i•-"'
8' Foundation '• - V 59. Gas Pipe, O Undrgrnd.,Test
9' Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor.'System L �, 61. APPROVAL TO DECK
11,.-Property Sewer%Line & House Connection r. 62. Backwash & Receptor-Final
12. Sewer Cap ;=.N ,e a' 63. Heater & Vent-Final
13. Root,Drains .' - Y -C 64. Plumbing System - Final
14. Rough Plumbing 'i 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
rt ,
`'17/ Rough'Wiring Sign 68. APPROVED FOR PLASTERING
I18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19, Rough.Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.-Rough Factory Fireplace APPROVALS Permit#
121. Ducts, in'Structure 70. Underground Hydro
22. Duets, ventilating 71. Product Piping 0 Gas U Oil
-23. Gas Pipe RRough & Test 72. Underground Flush
24. Roof Framing H 73. Undergrnd.Storage Tank U Gas O 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 k.V HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat r 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 t'S
43. Backflow Irrigation '4" (7
44. Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7 /l` a
48. Special Requirements Completed (/
49. Electric Release to Edison 'i ,f
50. Gas Release to Southern California Gas Co ,-- V
v
'51. CERTIFICATE OF OCCUPANCY • j - ;'1
' Not Date "J
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
RMIT NO. TRACT NO. LOT NO._ UNIT Nppp,,,
CItyOFCOSTA MESA CONSTR UCTION PERMIT
�39g� A•P.# •
Zone
Project Address 344 IIC�1 ' f �T .w� f '
324 SD. FarIIunr a TYPE OF CONSTRU•CTION LJ NEW IJ ADO "L"J ALTERATION REPAIR $ Main Building: Accessory Building:
Applicant's Mailing Address E Front Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER. ' T 0
Owner's NameESSOC dManaaralt Phone 756-2505 DESCRIPTION OF WORK/USE OF BLDG. gear riff & n''I'CS7F A Rear - N
Address 18022 t� Suite 202 Br Irvine - Prect-igP II Q17C17,PS
TYPE OF PERMIT ' ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right N
Arch/Eng. License No. - K G
❑ TENANT IIIELECTRICAL El PLUMBING III MECHANICAL $ Left
Address R
Contractor's Name Elliott Ito{ Phone 997-4938 ❑ -OTHER Ping. Ref.# . Parking Req./Provided E
324 Fhr r� 9209 PROJECT DESCRIPTION SQ. FT. /300 OCCUPANCY planning Notes: Q
Address(mailing) ual4 `a'-"7- CONSTRUCTION TYPE VALUATION$ /j 3°ca Csa
T
City License No. 039965 ZONE GRADING CU.YDS. - ACRES •
$.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: -
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in fulyf ce and effect. ELECTRICAL FEES
' License Class ` ense 465344
/ Date 7-31—W' Signature /������'�'�Afr �-.c PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS' COMPENSATION CVE LARATION / Construction PoleSub. 0 50+KW
I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers
ICookingUnit Meter ❑u to 100 amps
Workers' Compensation Insurance, or a certified copy thereof (Section P P
l0, Lab. C Backflow Preventer Service Sink
.ulicy No. D71785 • Company State and Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
BCertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Cerci cop }p�5i lied with the city ulld1n g Div�,s�'o Bathtubs Sewer Connection
Date /0-.N FRO Applicant MPE sJ N 1ottr PtT-:Gir It Fan Motors 00-1 HP-❑1'%-8
EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors _
(This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U.
less). Inc.Solar 09-75 HP 016-15+ • -
I certify that in the performance of the work for which this permit is issued, IFixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California. _
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the Outlets 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.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance -'
of the work for which this permit is issued (Section. 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name •
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05.15 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
-refrom and the basis for the alleged exemption. Any violation of Section -
1.5 by. any applicant for a permit subjects the applicant to a civil -
.alty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
U $ 3
Issue Fee I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 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 p/ sry,,
thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 Application Issued By DatO v U!
employees, provided that such improvements are not intended or offered for
Boiler sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 $U ARV F FEES '
pletion, 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 $ • 00 SMTP $ [Si)
❑ I, as owner of the property, am exclusively contracting with licensed con- a Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT
bhetl sontr improse sicensethereorLaandws not apply
to
asuch oir pec property who. a ❑0-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
on-
tractors) license pursuant to the Contractor's License Law). I am aware that ■ '0 ■ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. GRADING $
IDI am exempt under Section B. & P.C.for this reason Elr Be # ElFireDampers ELECTRICAL $
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting - Registers MECHANICAL $ TOTAL FEE $ 3/...S-0
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,0OO BTL 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 enter ujon the above- entioned property for
inspection
u
Signature
•epos../........ ... .
/ , �, Date --5,-,7
Drivers' hoose or J
Reinspection Fee $15 Issue Fee $ 3 Ill L'�/y^" 01 00041508-00041509 TOT 31,52
DATE: 08/32/39 TME: 09:17,
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor
69 -\ _cam
CONSTRUCTION AND PLANNING POOL °A
. .<4CONSTRUCTION
Permit# Date Inspector APPROVALS Permit# Date Inspector
is
1. Temporary Electrical Service or Pole t:---. 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. i; 57. APPROVAL TO COVER-GUNITE
7. Footings • ., 58. Electrical Conduit-Undrgrnd. d.s,
8. Foundation '� 59. Gas Pipe, 0 Undrgrnd.,Test j�'- �
,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. iA
10. Structural Floor System i; 61. APPROVAL TO DECK
11. Property,Sewer Line & House Confection .
62. Backwash & Receptor-Final
12. Sewer Cap r,: 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
-in162 Rough Electric Wiring 67. Fencing & Access Approval
14: Rough Wiring Sign 68. APPROVED FOR PLASTERING
18' Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing 7.,,' 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 (..‘A ' •
43. Backflow Irrigation . r^71
i
44. Landscape Irrigation System GJ
45. Sound Attenuation
46. Handicap Regulations .
47. FINAL STRUCTURE &'BUILDING 7/)3�� / -
48. Special Requirements Completed s��
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -1./... •v
51. CERTIFICATE OF OCCUPANCY -A '
No. Date - 'Y C.
. �''�) 22I3i FEE RECEIV )
MAY 1 3 1964
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEP1.
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92620 -
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING For OffiCS Use Only
ADDRESS 2544 ASt-I/FN Ave.
RECEIPT NO. PERMIT NO,
COSTA MESA. CALIFORNIA c�2 213 /
RECEIVED EY DATE RECnICD/ SUKO i,
OWNBRLA PG .d.IQE DUILoEQS � II// i3- � fL
MAIL ADDRQISY 25-91--94 f4 EL DEN Va
FIRE
ADDRESS iS40 WSW roar FEND //
GROUP
741101:r0410-C°35
E ZONE TYPE CITY COSTA', AA SIS.' NOI'�+la•Sa3$ F !"
APPROVED
A' '•ITECr _ TEL S - BY' DATE
C GINE- NQ.
ZONING r ��
ADDRESS ((((((������ r
/APHH7 XNO,OP .. I UEt o►N •
I• I , f
CONTRACTOR CAPE Alas T3UILLpa S ((,,��`` ` I P ANNs_4c� tU¢RDINGit , F 1
ADDRESS 1540 uewi_roa BLVD. DEtC111R10N rD� A��! ` ' ( (f.`/3
CITY GosTA MESA CALF. A.P.NO. ltl/ a" 070--,5 .
p NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.TNO. I(D /ZSO 'At 6,4-40-50 SO•TO SIDE B REAR r.L.
VES
SIZE cc S p ` I NOW OF
LOTS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT ✓ -
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L RECTI
SETBACK LINE FROM d 1 it 1 I ,�
CENTER OP STREET -` REAR YARD /_ FRONT // FT. PT.
SIDE YARD I LEFT S ( I RIGHT 0 Z /_1 R.SIDEd'6FT. PT. :n
WF-
DESCRIPTION OF WORK L.SIDE 5-1,T. FT. 7
�f� a 2
N. _X ALTERATION ADDITION REAR i! PT. Gam./' - PT'
DISTANCE BET. D BET.MAIN S 5
REPAIR MOVING DEMOLISH MAIN BLDOB. yy ACCESS.SLOGS. a
D' 'VAR.* . ..'S(/i b .( 'LATE WI
SUI-DING .7
77 NO.OP '3 , 67
SIZE / / ROOMS STORIES C.V•P•rE 4�1 - � " APPROVED -3 41_6y a
EXTERIOR W•����SiuGCA 4 ROOFBUILT-UP COMPO APPROVED ' . ��4vl /3 -y Q
COVERING'INoot SIDN!(,COVERING MY
��4"" AT ( !E'
USE OF SUILDINS AND WORK TO Si PERFORMED I4 U
DtnlF/ t IMt a
L:
,y// 1C
/ 80.FT. �(�.o k.
I-HERESY ACKNOWLEDGE THAT" NAVE READ TME APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. -
BUILDING CONSTRUCTION. AND TE LAWS REGUTATING VALUATION mO
PLY WITH ALL CITY ORDINANCE, N .;-
=
SIGNATURE O I PERMIT FEE $ a 7
PERMITTEr �"-"" — 0I (> �O PLAN CHECK 5
/5~L, G W
AUTHORIZED AGENT //D '_D.
sass _ TOTAL FEE $ 7 `�
22132 FEE RECEIVED
'COSTA MESA BUILDING-SAFETY DEPARTMENTaY 1 3 1964- _,l
•
P.O.BOX 317 COSTA MESA,CALIFORNIA MU PIT
For Applicant to Fill In Completely AFIPLIPITION FOR PERMIT
TYPE OR PRINT BUILDING
w R For Office Use Only
BUILDING .Z� r� ^O EL.DEM A ` a.
ADDRESS r n Gj� !'�M 22732
REC[IPT NO.
COSTA MESA, CALIFORNIA
/+ A A Q - R[CE1212Y ...47,73.,„„y„ DATE I(glSUE`DD
OWNER CAP� Ai;ze l aIL.I�GaS �i99 ''// J-o //''I, -r ",//�'Y7/'
MAIL p ADDRESSOIS-Y'*' f-4 [ n [/�f
ADDRESS i54C3 p(EW{�o2T BLVD. u, P!r<<//�'
TA ,/, �^�(/�c� (/ FIRE
CITY CosCA MESA-IE:SA- TNO.ELaIQ o39 ZONE TYPE GROUP
AP-'+ITECT TEL. APPROVED
C GINEER NO. BY • DATE
ZONING
ADDRESS ` r1�� �j ZON NO.OF USE OF
CONTRACTOR C.API: AIRF: BulL.pe2S .,I PLANS 2__ I BUILD!`�; 7
r1 LEGAL ONrp £OT77 / •- ,S "
ADDRESS ts40 `,N Fvu PoTZT {3l. I pr DESCRIPTION 4 I/ �l
CITY COS A A& sn CALIF, A.P.NO. 11 --070'-'S_J
•�
/�4q NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LN
IC. O.I� r(,/Z G o TO. Ip '&^cr o 3g SO" TO SIDE B REAR P.L-
VES
SIZE •�O O 1 I NO.OP BLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT s Si3 NOW ON LOT
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. .- MAIN BUILDING ACCESSORY BUILDING
SETBACK LINE FROM i 'I I �_p I (FROM C/i.ETRE aro / ,
CENTER OF STREET
4 REAR YARD/ 3� FRONT I/ FT. FT.
SIDE YARDI LEFT S1 I RIGHT eZ(ol R.S113,6 FT. FT. .I-
DESCRIPTION OF WORK L.SIDE .FT. PT. L
M
Da
_ X ALTERATION _ ADDITION REAR // FT. FT. C_
DISTANCE BET. BET.MAIN 8 D
REPAIR MOVING DEMOLISH
MAIN SLOGS. t,r� ACCESS.SLOGS. 0'
BUILDING `/ 9,7 C+ NO.OP f VAR.# t o � � ^{ LATE '/^,./� (Y
3
SIZE / ROOMS • STORIES y _ C.U.P. //II J VV 4-.14!Ej APPROVED 3 ( / l�C/Y ,)
EXTERIOR WALL STUCCO II ROOF COMPO, a00 F- APP ql . /-_6j / Q
COVERING woo:, SibIN4I COVERING 13U ICT-LIP BY ((�`���jJJ''tt�r,�„� / ` DATE J / V
USE OF BUILDING AND WORK TO BE PERFORMED 11`Ar`�11 C
T?\At I LI i,f C _ jJ�^ N
cc
/J/�� � j/ � N O
/ SO.FT. "� T n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE -1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. p O
PLY BUILDIITH ALL CITY NO CONSTRU�OJON ORDINANCES AND Si T8 WS REGULATING VALUATION D Z
SIGNATURE O '' ��C�C////J{y�! '�/j �/J+ G^Y,i/ PERMIT FEE ��J7 j
PERMITTEE AGENT 7 $ 7 / pD / _R C, /.7 rJ O N
er AUTHORIZED AGENT 4 9 re) 2
TOTAL FEE $
22ss FEE RECEIVED
.COSTA MESA BUILDING-SAFETY DEPARTMENT WAY 1 o W
P.O.BOX 317 COSTA MESA,CALIFORNIA ����TFTyIINnAFFNC!E����,DEP1.
For Applicant to Fill In Completely APPPCATILIN rut PERMIT •
TYPE OR PRINT BUILDING
BUIINo For Office Use Only
ADDLDRESS z544C ELDEN A vp _
RECEIPT NO. 3
2211
COSTA MESA. CALIFORNIA G� JJ
RECEIV EY D T RECEIVED ATE IBBu ED •
OWNER CAPE Alee BuIL.DMRSiMc. ?/- 6 �/���///�
MAIL 41 ADDRESS 075114 LL(.CQ•-
ADORE88 I5¢d NSA/ Po 2T BLVD.
TEL. • FIRE
CITY CST MeS P. NO. 4.10503$ ZONE TYPE GROUP
PAP^'ITECT TEL. BYPROVED • DATE
0 GINEER NO. -
ZONING '
ADDRESS qqq �
ZO „ NO.OF • . I USEOP -.0 --
l p PLANS PL_ BUILD!
A4
CONTRACTOR r PC At s 641LDeaS
LEGAL �7± C i S t-0 NEW PO CL SLYD, °ESCRIPTI°" D� 7" 3 1 „,i
CITY C0STP•• MESA CAL, A.P.NO. II55-"" 076--3i5-
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.TNO. IC /p Z60 NO 04& -sor3 SO'TO SIDE 8 REAR P.L
1SIZE EAVES
OF LOT 3 o S S S NO.OP NOW ON LOTS ALLOWED (U.
APPROVED I U YARDS APPROVED REQUIREMENT)
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 1 (FROM C STREET*
I _
SETBACK LINE PROM �y C� I FRONT FT. ' I , PT.
CENTER OF STREET -I •� REAR YARD !!��
SIDE YARDI LEFT c 1 I RIGHT `z 4` R.SIDES 6:3P'T. FT.
DESCRIPTION OF WORK L.SIDE ,�Fr. FT. �}/J
XALTERATION ADDITION REAR f ' FT• 1 FT. LULU
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN BLDGS./1 ACCESS. BLDGS.
I VAR.St Sit,) I-1 I DATE CC
BUILDING q7 '7 Lu
4 NO.OF (/ J
81ZE ( 'ROOMS STORIES t C.U.P.AF J APPROVED / "1/
EXTERIOR ��11LLS'WCCO ROOF LOM PO. ;ZOO APPROV='•I `
Ar-, 3"6 •
COVERINGWOOD. SiDiU CT I COVERING Ru I LT.II p BY Iii DATE a.
USE OF BUILDING AND WORK TO BE PERFORMED /.��I'
Dtn/aLLluf� I
b, E
�jC�// // a
---------------- �j
-
' // SO.FT. /.1% ^ 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE A OUNT SHOWN UNDER VALUATION IS FOR THE a
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. G O
PLY WITH ALL CITY ORDINANCES AND ST E LAWS REGULATING VALUATION m
SIGN
BUILDING CONSTRUCT ON. /- `JL(/� ^ N
SIGNATURE OF��'/ -^'` PERMIT FEE - ry 2� X D
PERMITTEE ^` p $ �Ve .-- - AA . C / �/ 4-v
AUTHORIZED AGENT �D tJl 4
TOTAL FEE 5 JV
22134 FEE RECEIVED
.COSTA MESA BUILDING-SAFETY DEPARTMENT Fif4�V4 3
P.O.BOX 311 COSTA MESA.CALIFORNIA
OM
\ �(!! iiyy n(�FF rr ��TTpp MM����py
For Applicant to Fill In Completely APP�1CATfON��Ok PEIfMIT
TYPE OR PRINT BUILDING
For Office Use Only
ADDRESS 2 S ¢0D E.LbEl,l AVE,
ADDRESS
RECEIPT NO. PE22134
/'COSTA MESA. CALIFORNIA L
OWNER (Ape AIRe_ Bu1LC>EQ.S 114E RECE BY DATE ne f'''2 ] e.DATG &,t
MAIL 4�7I 1' vv
BUILDING _?GV-ASe CL.. /
ADDRESS ��'TD IJeWPO2T BLVD. ADDRESS o(V SV X rI
.
FIRE
TEL4-
CITY Co( i/M MASA GAt_ NO.(p41e5OS% ZONE TYPEaRouP
APPROVED
ARr'HITECT TEL. BY DATE
O' 'GINEER NO.
(^-,_) ZONING
ADDRESS -1p
U NO.OP USE DI 0;4164444--%
CONTRACTOR Cape Ake e_ gt11t-op¢S wt. U N8 eDILDtN ,
11 DERIPTION
SCla I-77 7 I- `l 7 1Q
ADDRESS lc40 uEWPOQl Boit,.
CITY COST-P• MESA CALIF. A.P.NO. I/9- 670-r
-�y� /� / Q NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC..NO. I(Q-(ZSV NO.' IP� 50SV 90"TO BIDEa REAR P.L.
I EAVES
SIZLEOT 30 y CSQ V NO.OPBLOOS.
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
OF
YARDS APPROVED YARDS APPROVED
USE OF • MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. •
ET (FROMC(LSTREEr 1
SETBACK LINE FROM ��� Rzt
FRONT I J. FT. i FT.
CENTER OF STREET �� REAR TARP itI�
SIDE YARD I LEFT SI R.SID�wl��I RIGHTZp FT. FT.r
DESCRIPTION OF WORK L.SIDE ...CBE FT. FT.
X h
ALTERATION ADDITION REAR O�'O pFT. FT. L
-
DISTANCE BET. BET.MAIN& • i:.1
REPAIR _MOVING DEMOLISH MAIN BLDGS. }q ACCESS.BLDGS. W
BUILDING rJ q NO.OF VAR.* ' Ltz p DATE ,/ LO
SIZE / / ROOMS 3 STORIES ' C.U.P.*SO OS APPROVED .1-12--6,`J
Stucco Co PO . Roo P �'-
EXTERIOR WALL I ROOF APPRO - /3 - &Y 0COVERING We GO SIOIUG! COVERING 8:Aid-UP BY ��IaAMA DATE ILI
USE OF BUILDING AND WORK TO BE PERFORMED • ••� a
0 WELL1IJCT 0 L, 'a
U
// C) C/ r/,, a.
W
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISH!NG A PERMIT FEE ONLY.
2
0
PLY WITH ALL CITY ORDINANCES AND ATE LAWS REGULATING VALUATION m tl.
BUILDING CONSTRU N.
SIGNATURE OR (��// PERMIT FEE $ ❑
PERMITTEE "_ - _ / G ..7
$ 7 99a— PLAN CHECK $ / 3r� a _
AUTHORIZED AGENT 4
TOTAL FEE D/f�
.. 22135 FEE REC U
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 917 COSTA MEBA,CALIFORNIA /
��N(���N(�rr n(�i�pp
For.Applicant to Fill In Completely AFPPLYC'ATI6rYPO� PERMIT
TYPE OR PRINT CITY OFMESP
For Office Use Only
BUILDINGnCA g) E1 peN iLVc -
AOORES8 CC OO''YY 4- h RECEIPT NO. PE1QMTj 135
COSTA MESA, CALIFORNIA ����//(/ GG I J
R[C[IVfp BY DA [C DG9 DATE I88i654
GAPS AIRE Bu1LDs2s Ila c. NG O� JJ
OWNER M1
MAIL ,�11 '�// ADDRG88�\51/44,-,
ADDRESS 'gA}O -IVI=WPO QY R/ VC.7.
FIRE
TEL
CITY C�nsTA MA- No.G465G38ONE Type GROUP
APPROVED
AP^YITECT TEL. BY DATE
C GINEER NO.
ZONING •
ADDRESS
Q/l' 1 �1I NO.OP UHEOPNE ` tuitz1
/� [/ •r �/I PUNS I BUILDING��� i :
CONTRACTOR CAP& AIRF- C7UI Lase._ SEG
{{r/, ,•' D LtGAL FO a t,or 7? " R �7/, Si B5
ADDRESSS / .4o ,NI EW PO Ill" T7 LV p ' 1/4010
DEBCRIPf1ON Q ^7 h
CITY Gn3TP /YIF�7 A. G/>Li P. A.P.NO.1i !— 070 -. .j 71
cc,
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO. llnl STATE • 'b410-So3$ 90'TO SIDE(t REAR p.L.
i. EAVES
OF LOT 3OgS/7 0 I NO.OP BLOTS.
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF w •----• MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. '
(FROM C.L n.-T. 1
SETBACK LINE FRETM �{S 1 REAR YARD, -}}I FRONT f6 �2l 'l PT FT.
CENTER OP STREET 'ZS
aJV ['�
SIDE YARD LEFT ZS1 I RIGHT 0. I? _R.SIDE D'S"-FT. FT.
CI
DESCRIPTION OF WORK L.SIDE D'S FT.r ali ' • FT. f.
r
ALTERATION ADDITION REAR ....c01 PT. FT. t_
III- DISTANCE BET. BET.MAIN B u'
REPAIR MOVING I DEMOLISH I MAIN BLDGS. ACCESS.BLOCS. 5
1 VAR.# aaty y1/ DATE �/ .7.
BUILDING // ❑ NO.OF �{ / q / 3-t7
/ 04 c
SIZE 7�V ROOMS JSTORIHB 1 C.I./.P. y_p ] APPROVED I l
EXTERIOR WALLA(JC. a ROOF 8u)LT-uP ca NPO, APPR cr.r3.. G .,
COVERING WOOD sip/ COVERING COV ERING BY � DATE Q.
USEof�BUILDING AND WORK TO BE PERFORMED .V
VlAlbJ 1 itJd 177vr �, I - >0,
•
m
`—�79 ' ,� N .0
9Q.PT. o 'o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. - F 3
PLY WITH ALL CITY ORDINANCES AND S ATE LAWS REGULATING •"'1`
BUILDING CONSTRU ION.
VALUATION nn eq' 0
-,r'/ '///� / PERMIT FEE $ O� 7 —_ O z
to
PERMITTEE •IT/Yi'�SIGNATURE
1e,/A re / y(pa� 3! ' ¢.
UUUJJJ�jI l///y $ / C E
0
AUTHORIZED AGENT / LL
TOTAL FEE 5 OSZ/1
22136 FEE RECEIVED
COSTA MESA BUILDING SAFETY DEPARTMENT 'JAY 18 1984
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9202E - FINANCE DEP1.
For Applicant to Fill In Completely„,- `‘ APPLICATION FOR PERMIT
OR PRINT CITY OF COSTA MESA
` BUILDING
wlLDINS 1' Q `r ( G For Office Up Only
ADDRESS `sr,�LI✓r ,L}�L , RECEIPT NO. P221•36COSTA MESA. CALIFORNIA
` J, �r�j
RECEIVED ST DAT2217-110 / DA ISSUED
OWNERCAFa Alfa c?UILpeRS `O t'&'cL
MAIL BUILDING z G[///: 41??-
ADDRESS I54-o t,/IAEW Pott 13 L_V P, FIRE
ADDRESS�'Y- O //�J
CITY CO Grt A M EsA- NO.(pg4,co j fs ZONE TYPE f/ GROUP]
D
CHITECT TEL. APPROVE
BY DATE
ENGINEER NO.
ZONING A
ADDRESS / m(�I��'7',j NO. I,.[uI ui[O
CONTRACTORCA Pa ArieaBut Lc>ac .s
LEGAL
ADDRESS tS¢o NEWPORT 5Lup, DESCRIPTION Or 37,E n�ry
CITY COSTA . MN=_s4 CA -LIF, A.P.NO. i/9 —6(//L`j r J trues--
NOTE: NO EAVE OVERHANG BHALL BE LESS THAN
ErC.TNO. I6�YZ so 747 644'
_SO3$
30`TO HIDHA REAR r.L. a- 4/7/
SIZE OF LOT 3oSSS n1 I NO.OP SLDOS. VES
ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OP MAIN BUILDING .ACCESSORY BUILDING
EXISTING BLDG. _
(FROM CC/L STREET)
SETBACK LINE PROM 4 S ` II ` FRDNT 1L. 3gFrr PT.
CENTER OP STREET - REAR YARD�.�1
SIDE YARD I LEFT N Z-1 RIGHT �$ _R.SIDE `/ Fr. FT.
d w
DESCRIPTION OF WORK L aloe 1{�Fr.• ft, PT. •r
// :
REAR I/ FT. ' FT. <
W ALTERATION ADDITION -
DISTANCE BET. BET.MAIN Q C
MAIN SLOGS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH / tj r/ /
BUILDING DI NO.OF VAR.* > if -" f l % DATE _`7''v' CY
icons 3'77/ to
BIZE 7 /� ROOMS STORIES 1 C.V. ipk_P. 5APPROVED O:
EXTERIOR WALL�'IETICCC ROOF au(LT'UP COMPO, MPR Q L
a
COVERING Vie0D 5;RU& COVERING EY DATE �=+_ V .<
USE OF BUILDING AND WORK TO BE PERFORMED C
nCrtI6LL1NC? al. . f0 LI
�J / a.
/ 7 BO.Pr. J/' a
X O
I HEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 54
AND STATE THAT THE ABOVE IS CORRECT AND AOREE TO CON- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. A
PLY WITH ALL CITY ORDINANCES AND ST TR LA SSOULATINO VALUATION 7 Fin
BUILDING CONSTRUCTION. /� / E Z
PBRMIT (//,�/v/r PLAN CHT C 5 E
SIGNATURE O //%,
S �J PLAN CHECK S /,�/ ���w
AUTHORIZED AGENT . I/ASV
taaJWWWWSSWFa TOTAL FEE $
22137 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 1 s 1964.. d,,J
P.O. BOX 1299 COSTA MESA, CALIFORNIA 92620 FINANCEr1c�7TDn�E4P 1.
RYI
For Applicant to Fill In Completely AATFON"R7I PfiSkIT
TYPE OR PRINT BUILDING
For Office Use Only
ADDRESS
■qL�
COSTA MESA. CALIFORNIA RECEIPT NO. PGr7
- RECEIVE RY DATE RECEIVED wn,/j�esu�JD
fF
OWNER CGAPa Ad2E (:3uILDa(tS r}iC ✓� _ n- `/ " �� e'
MAIL ADDRRID S 5� t�
ADDRESS %SIO NEWPo2T RLVo. ai •
{,/ /� PIRA
CITY C AstA. Mf—SA. NOL.to4{o4o35i ZONA TVPK OROUP
HITICY
APPROVED
TEL. DATE
12721% NO.
ZONING ^�^`I J
ADDRESS ` p ZON 2-I NO.OF 1 USE OF NEW-' V
CONTRACTOR C.APe 412E Burtbacs Tirc, I•D? 7•/y/u�N. a-`A, (/_
LEGAL I.. 7" \ ! "s7 P
ADDRESS 1540 Ne.wr92T $UIQ DEEexlmox `l / _
CITY C rntik Masa A.P.NO. Ir- 6.20 — .�
STATE p TR ,I SO"TO DH 8 REAR P.NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO.l(a9Z o NO. 44,-SO3g
VES
OPLOT 3 °SSS 0 l I NOW ON IDT ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OP - MAIN BUILDING ACCEESORYBU ILDING
EXISTING BLDG.
L(0U (FROM C/ STREET/ r
CENTER SETBACOF LINE
44 1 REAR YARD �1 FRONT 1/ FT. 4 *r.
/ 777777
SIDE YARD' LEFT V7314- RIGHT D 1 - R.SIDE GFT. PT.
DESCRIPTION OF WORK L.SIDE 73 Fr. 1`- ' PT. F
' W ALTERATION 1 tO_
J\ REAR PT. Ff. .2
• DISTANCE BET. BET.MAIN S ,111
REPAIR MOVING _ DEMOLISH MAIN BLDGS. ACCESS.BLDGS. ICL
BUILDING NO.OF VAR.* S U V .��/j'{l(//DATE
SIZE 796 ROOMS 3 STORIES 1 C.U.P.# 7(11 APPROVED I (7-6,.V' ,
CER (WOOD TU4U ROOFE MILT-UP COMP°. ETPR� ( g' I
�I
COVERINGrERIoRNone YtpLl41 ROOata ET DATE .S '/
USE OP BUILDING AND WORK TO DE PERFORMED �� 1 D,Q
NAIE=LL.IbIl_, `p �.- PAD
4w
1 HERESY ACKNOWLEDGE TRAY.1 NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE .e U-
AND STATE THAT THE ABOVE ESTABLISHING CORRECT AND AGREE TO CON. PURPOSE OF ESTASSHING A PERMIT FEE ONLY. O
PLY WITH AIL CITY ORDINANCES AND ETA LA PECULATING
BUILDING CONSTRUCTION. VALUATION r/— a �1
62
SIONATURQOIi /���_ , —� .— L.
PERMIT FEE s / _
PHRMITTE. �j /3,s�
P ' $ 7 /eD — PLAN CHECK S W
AUTHORIZED AGENT
- r , TOTAL PEE 5 0/Sti
.. 22138 FEE RECEIV U
-COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
�}
EI= For Office Use Only
ADDRESS ZS 4' / 01 r. I-1 A
RECEIPT NO. P221.938
COSTA MESA. CALIFORNIA
RECEIV:•BY D TB RECEIVED DATE ISSUED
D 60 , V.
1I ADDRESSIvCV 'A {`/ /
ADDRESS ic4o I� WPOn BLvD.
FIRE
TEL! ZONE TYPE V GROUP /
CITY COSI A MESA. Notj4-(0 Co 3:.
APPROVED
ARCHITECT TEL. BY DATE
C NGINEER NO.
- ZONING yyjj��jj''yy-pp�,//�`��VV��
ADDRESS (O `..zI PNUO.NS fly OP I� BUIELDF I USONGEW4 N -
I
CONTRACTOR C_ F I ! ;toll ► _PS •
LEGAL 7• � 37 6
ADDRESS C . a L • E a 's.L V p DESCRIPTION j /�� `
CITY COSI-A M s.A rAL.IF. A.P.NO. A '"V o -r "
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
LIC.N -zso 64-0-c o .g 30'TO SIDE a REAR P.L.
EAVES
LIC. E 11// NO.
SIZE OT 5 J Q C d l I NO.OF BLDDE.
NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
OF (J
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
I FROM Cti
ENTER OF
INE STREET I SDI /■F( 6 rJ•/T(_'ter/'
CENTER OF STREET REAR YARD FRONT PT. FT.
SIDE YARD LEFT lZ I I RIGHT s I R.SIDET..1 ,,{{ '�,, J FT.
DESCRIPTION OF WORK L.SIDE/1�FT. Y' J • Fr.
^ in
f� AA��'
X ALTERATION ADDITION REAR ��PT. &.o 9. FT. 2
DISTANCE BET. BET.MAIN&
2
REPAIR MOVING DEMOLISH MAIN SLOGS. yI �I ACCESS.SLOGS. UI
BUILDING �T NO.OF .t VAR.# ,S O t / I/ DATE �) _C
SIZE / � , ROOMS 3 STORIES 1 C.U.P.# APPROVED 3 -I / -6
STC CGU �� 5 a
EXTERIOR WALL ROOF BuIL7�up CoMPD• AP...�JJJr....y,,,yAAiIµ/�I /3,r` w
COVERING WOOD SiP)ME COVERING BY �]-p /v,W'y DATE. AC
USE OF BUILDING AND WORK TO BE PERFORMED
bW FulUr,
`��// N V)
/ /J� SQ.FT. . t�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE .`
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• VALUATIONPURPOSE OF ESTABLISHING A PERMIT FEE ONLY. OK/I
PLY WITH ALL CITY ORDINANCES AND TATE WS REGULATING 0
BUILDING CONSTRU ION. c2 7— N G
SIGNATURE OF ) PERMIT FEE S / j ..�
PERMITTEE `/J1// /3• .5 d X •z
re
AUTHORIZED AGENT 1/4,-- Ara°'
TOTAL FEE $
22139 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 1 8..19e/
FINANCE DEP T•
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02626
CITY OF COSTA MES
For Applicant to FM In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BmLoma For OHlce Use Only
ADDRESS ZS (2)1=LDaI31 AVE.
RECEIPT NO. LL'1 J�
COSTA MESA, CALIFORNIA
RECEI EY DATE ECEIVED DATE SSUED
owing GAPE A 1 ze au11>ePS 'S -Y3- c - _ y..'
MAIL �} ,` R BU I LDINO (�2�
ADDS[ ISTD New FD 2T BLV�. ADDREAY�JS/- -�l:L
FIRE
CITY Co STA. M&se•• ND.04'cco3. ZONE TYnn V GROUP
APPROVED ,
?RIC/INKIER NO. BY'
ZONING DATE
ADDRESS —
IT
2 HO.of UEEOFN j- D
CONTRACTOR CA PE AIRE gu(LDeIZS - "^ i PLANS I SUILDIN•/ ' 1�.__i
ADDRESS /S40 NeWPoRT 131-v 0- uace,moN 06Z �'
city CosrA. Masa A.P.NO. ''' / '^0 70 "' .S 37�
STATE TEL//� SNOTTO SIDE B REAR F.L.NO PAVE OVERHANG SHALL BE LESS THAN
LIC.NO./e/ ZS NO. 107 4,-5035
OFLOT 30SS 5 GI I NO.OF BLDG/. VES
ALLOWED Cu.B.C.REQUIREMENT)
NOW ON LOT
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. •=�-� MAIN BUILDING ACCESSORY BUILDING
(FROM C L ' REST)
SETBACK LINT FROM /, 1 SO, FR•NT� �J �� I -s - PT.
CENTER OP STREET 4S REAR YAR•
t
SIDEYARD I LEFT 471 • RIGHT --� [_ZI _"'I PT.
DESCRIPTION OF WORK PT. CCIll
I ii
i .W ALTERATION ADDITION
REAR l i41; an"
' FT. W
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH ACCESS.BLOCS. cc
-
BUILDING 7%con , NO.or
•- J VAR.# to (j!i�}- � DATE ]�� I
SIZE ROOMS STORIES C.V.P. • `a 3 APPROVED 3 / Y
EXTERIOR W STUCCO ROOF BUILT-GIP eGppo APP c y ta
Lk
COVERING WOO P S1DI&IC COVERING PT DATE '/ - C,
USE Or BUI LOINS AND WORK TO BE PERFORMED M N
0Imp LLlut. v, o:
In O
IL,
-- 7 9 6 Ho• .!T. r
I HEREBY ACKNOWLEDGE THAT.I HAVE READ This APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE G 1
AND STATE THAT TIE ABOVE,IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES ARO ST TE LAWS REGULATING VALUATION
BUILDING coxerqu/G��oN. / 7_ 0,
SIGNATURE OF
!(S,ayJ/� PERMIT FEE 5 /
PERMIT-Mr �l /�� E
. �e0-� PLAN CHECK S /3,S
AUTHORIIED AGENT �A
TOTAL FEE $ O. 7L/
FEE RECEIVED
22140 yhy i s 19%
- COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEP1.
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92520
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
• ING For Office Us* Only
ADDUILRDESS 2544 sLDE1I AUE R}[RyhJ�{�
RECEIPT NO. GG 140
COSTA MESA, CALIFORNIA �`
RECEI D BY OLT RECEIVED pATR Ig�UR
OWNERCAPa. Ola. Eau/LI,ERS 1I-! t t /3 Co—A —'o�
MAIL ADDR'I" Sit%. e / ,_,
FIRE 1
ADDRESS ICO ��IPlPo t RLV0_
eine OSI/+ MRSA CAL. TEL ZONE TYPE GROUP
NO.694 So 3$
APPROVED
OTECT TEL BY DATE
ENGINEERHING.
a .
ZONING
ADDRESS -PC a
-/ m `)4 NO.OF USE OF .
C0NTRAcTQRCAPE 4f2E BUILDERS •'`N• ■vnDIN"�__,� • ;
ADDRESS IS 46 Mgµ/P02T BLVD DDESCRtmOI�D� h OT' r:y is. -%.74G-- {
CITY COSTA ME5A CALIF. A.P.NO. 1 I n7 — b70 -S
q NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE /!_ / Z SO OL /_/r� SOs 30'TO SIDE a REAR F.a...
LIC. E ffO0 C �P`�" 3
EAVES
OF LOTSIZE --g °S + g a 1 I NOW ON Lot
ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OP C - MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. T
(FROM/�C,YI./L ES((T(�R[Efjjyy//����
SETBACK LING FROM r](/��X/ C O' FRONTr_, 'KILT. H'S//_ FT.
CENTER OP STREET J V REAR YARD I VV /����77
SIDE YARD I LEFT O RIGHT _x 7 , R.SIDE?7FT. (I FT.
DESCRIPTION OF WORK L.SIDE 0 FT. PT, f-
z
tt/ A(��/�J IL.
l .W / ` ALTERATION ADDITION REAR 'j0 FT. (.AJ'�7( , PT. 1
DISTANCE BET. BET.MAIN a CY
REPAIR __MOVING DEMOLISH MAIN BLDOS. ACCESS.BLDG'S. j
BUILDING /� CH NO.OF VAR.# ,'I I//3 / y /BATE 0'
812E /D ROOMS STORIES / C.U.P.# 1 O �OS APPROVED -17 -6 a
EXTERIOR WALL„UCCO I ROOF 51.11L -LIP COMPO. AFP
COVERING COVERING ST DATE. te ' 0
USE OF BUILDING AND WORK?,B[PERFORMED W R
C41.141. elitG!^ Y SPAces .-- ta
N
0 d SQ,FT. /l 1 k.
I HEN®V ACKNOWLEDGE TEAT.1 HAVE READ TIME AFFLICATION ` THE AMOUNT 5140 VALU ON IS POR THE
AND STATE THAT THE ABOVE�ISECORRECT AND LORIS TO COM. PURPOSE OF EST hh SNING A P MIT FEZ ONLY. A q
PLY WITH ALL CITY ORDI 1��AA,�////R��//}}MID Ts{AWe REGULATING VALUATION g
PERMITUR!O / l) PERMIT FEE 5 / m .�'.
PERMITTEC Ci%��'L(�R-r s //7l/ ��(/-i-PLAN CHECK S w
AUTHORIZED AGENT j/�j TOTAL PEE 5 02.2—
28662
•
AIR -6 °118 n3 *****5.00..
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
.IFor Office Use Only
ADDRESS .2 SW F_IdekAub. (.&Aa/\L.. . y
RECEIPT NO. .[RB(T O._
COSTA MESA, CALIFORNIA Q(/(/O67—
— ,I /7 R[ctl BY pAT[H[CH ytD. DA=[ISSUED •./
OWNER gLLwI-1 �. tatendter /Y/"-\(l'///-///6Y (/U/-1�A//����4V
MAIL
ADDRESS /O7i 'KB✓�.I,- . 'w ADDRESS tg$9V L2^i! L.
(p� LL [I � y FIRE �3 r
CITY • e �0.^QIP W\ NO. 445 11711 ZONE V TYPE GROUP
- . APPROVED .1J4/�6/
-HITECT TEL
NO. BY /Vf/f' DATE
ZONING xl t-'
ADDRESS
[ON[ NO.OP /4 USt OPN[MA
L%Q- i,/ /1 YPLANB RUILDINOAlt���'''���"'___L- ,....���.Q_-
CONTRACTOR ;�i///w/ yc-PA/w/ /
LEGAL N90 mi _Q-e-1- 79,
, 7 -
�
-@-UDESCRIPTIOADORBDS A.P.NO. I v Ga — / l°
CITY
STATE TEL NOTE: EIDEO & OVERHANG L. SHALL BE LESS THAN
EO'TO SIDS D REAR P.L
LIC.NO. NO,
�7 I '
/ 3 ^ .,7nl Now ONLOT '/b EAVES
SIZE -i NO.OF BLDG/. ALLOWED (U.B.C.REQUIREMENT)
OF LOT
lJ'�✓ YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ./�,a�0�/B (FROM C/L STREET) �./
SETBACK LINE FROM '1 7 FRONT PT. d'_G/.PTLI '- /'.
STREETCENTER OP REAR YARD J
SIDE YARDI LEFT 0 1 RIGHT 0 R.SIDE PT. 2 PT.
DESCRIPTION OP WORK L.SIDE PT. 2 5--rr./
I0 ALTERATION ADDITION X REAR PT. r/7'e FT.l VG0.
)
DISTANCE SET. BET.MAIN&
MAIN BUDGE. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH p
�/ i _ VAR.# Y�.90-6 O DATEBU .4
SIZE ILDINO A 1,2• ' ROOMS ' STORIES I C.U.P.# APPROVED --3 S
EXTERIOR W VALLC I I ROOF J I_•}-J Q APPROVER- `(, / D
COVERING .JaM'LCa COVERING TV•1 6aPhJ BY il.Y 'lI 0+ DATE (S' - .---6i` 1,
USE OF BUILDING AND WORK TO BE PERFORMED 0'
dl f"'.
L, p�'(A'‘ FraGD FOR SP CIA REQUIREMENTS la
_
I HERE° ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONO
THE AMOUNT UNDER VALUATIONEMIFOR THE j
AND STATE THAT THE ABOVE IS ANDCORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 213
PLY WITH ALL CITY ORDINANCES AND STATE L}WS MCC NGVALUATI
BUILDING CONSTRUCT' W11 I,.,� _ 01
SIGNATURE OP IP�p1 Y - PERMIT FEE $
PERMITTEF
a
I /f $ / 219 I PLAN CHECK $ �_
AUTHORIZED AGENT TOTAL FEE $ �,_
. -- .e....-.- +.tom: