HomeMy WebLinkAbout1917 ANAHEIM AVE - Building Permits `AODPESCS OFBUIWtNO: 1917 ANAHEIM AV DMT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERtNWElraoww:SILVA, HORACE FRANK PERM NO: E 077867
ADDREBS'SILVA GLORIA MENDEZ
• 1917 ANAHEIM ST PERMIT NO: E 077867 PLAN CHECK NO: N GOVT: N SUPP : N
- OSTAMESA, CA 92627714 ) 6423963
M �ADDRESS:
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
ARCNRECTORENm1aTJOHN LINNERT UC.ND" 0 JOB DESCRIPTION : CONST. 675SF DETACHED GARAGE SQ FT:
ARCILORENG'S ADDRESS: 1980 CONTINENETAL AV UAB:
C.M. CA 92627 CLAIM VALUE: CALC—VALUE: GROUP OCC: U-1 /
C0N CTWSNMZEJONES, LARRY D ( 714 ) 650-3170
CwmACTONSMMUNG 5820 COLORADO RIVER RD COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT RE:877350
ADORESS:BLYTHE CA LCNO.: 401687 ****+r***4***** ***,E*** -x******Tr*********** -*****r4*N•**************x************
92225 LW: Z ON ING R E Q U I R E M E N T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly d perjury that I sum licensed under prodaiam ol Chapter 9 SETBACKS
(commencing en Section 7000)of Division 3 d the Business and Professions Code.and my license is in full force end effect.
CITY LIC.NO.:035523 LIG.CLASS:C 10 LIC 01687kir:EXP: 05/96 MAIN BUILDING ACCESSORY BUILDING
'gC FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
,:� ! contact«: p LEFT: FT IN RGHT: FT IN LEFT: £T IN RGHT: FT IN
,NER BUILDER DECLARATION:I hereby affirm under penely d perjury that I exempt from the Contractor.License Law for the FRNT:
'dinning reason(Section 7031.5 Business and Professions Code:Any city or county which requires a pane In construct,alter,improve, PARKING REQ: P ROV: PARCEL: 42214219 Z N E: REF NO:
demolish.or repair any structure,prior to its issuance,also requires'he applicant'Of such permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commendng with Section 7000)01 Division 3 of the PLANNING NOTES>
Business end Prolusions Code)or that he Cf she is exempt therefrom and the basis for the alleged exemptin.Any violation of Section >
7031.5by any applicant(or apermhsubpcts theappliant toe civil penally dn«Mont than five hundred dollar MSSOOD.r *******************************************************************************
❑ I.as comer of the propeny or my employees with wages es thei solo compensation,all do the work.and the stnicture is nd intended D E V E L O P M E N T S E 'R V I C E S R E Q U I R E M E N T S
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an Owner of property
who
builds improves thereon.and who does such nut fimself or herself or through his or her own employees,provided that such
improvemenswe noliladedurdleredf«eale.if'however,the building«:nPreemem:ead"anti ens Yew el e mptdion.Ne ZONING APPROVED BY v DATE:
owrer'wader MEI have the burden d proving he or she did nal orad Of improve for the pwpcee ci side).
❑ I,as owner of the property.ant exclusively contracting with licensed contractors to construct the project(Section 7044:Business end '
Professions Code:The Contractors License Law doss Oct apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a contracted.)licensed pursuant to the Contractors License Law).
❑ Iamssamprunder Sedan: B.aP.c.. «Nereesan: APPLICATION ISSUED BY: � 1 DATE: S- 12t 1.9c
Date: Owner:
*********************************************** ********************** *********
LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I am aware of end understand the requirements of California Health and Safety Code Sections 25505,244.-.3,and
rements for
are«that act anyfuture modification heAibuilding occupant v"lla ManaConde w tnc.RRd ewmW0lb odd Male codas and ere exemptfinen BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 2375,
Date: Applicant: •,.., 50$ SMIP/NON—RES
WORKER'S •
COMPENSATION DECLARATiON:I hereby affirm under penalty of perjury one d the following declarations: PLAN .
0
❑ Iheveand
Wmaims"
aceniiusd«scentlose14rswebrmrkers'ocmperewon,eprovdedforbySectbn3700dtheLeber
ISSUE FEE 1AN-C
Code,f«Nep.dormancealteworkd«wlchthispermitisissued. BUILDING—DIV > PERMIT ISSUE 'PLAN—CHECK TOTAL PAID DUE
I have and col maintain workers'compensation insurance.as required by Section 370001 the Labor Code,for the performance of the TOTALS----> 23 . 75 15 . 00 0 .00 38 . 75 38 . 75 . 00
work for which this permit is issued.My workers'compensation insurance caner and policy number are:
Ganer: REVENUE DIVISION TOTALS--> COLLECTED: 38 . 75 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not becompleted ythe penal isfor one hundred dollars I$lOOJorless.) 38 , 75
❑ I eerily that in the performance of the work for which this permit is issued,I shat nd employ any person in any manner so as to
become subject to the woetam'compensation laws d California are agree'hat lf I ahomd subject'p ten"rimed. *********.**********************************************************************
sum Ion provisions d Section 3700 d the Labor Code.I with comply with
9. Date: ,���[/ Aopfieam: I N D I V I D U A L _ F E E B R E A K D O W N
Warning:Failure to secure workers'compensation coverage is unlawful,and R.rept'an employer to cdrdnel penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines rpt to one hundred thousand dollars(ff04000).M addition to the cow of compensation,damson as provided for In
Secdon3706 of the Labor Code,,Intern',and attorneys fa.. ELE 6 FIXTURES LIGHTING
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty d perjury that there is a construction lending agency for the 1 1 ST 2 0 EA. . 75 4 . 5 0
performance dthe work for which thipermit isisued(Sw,on3097,CW.C). ELE 6 RECEPT/SWITCT 1 ST 20 EA. . 75 3 . 754 , 50
LENDER'S NAME: ELE 5 RECEPT/SWITCH 1 ST 20 EA. . 75
LENDER'S ADDRESS: ELE 1 SUB—PANEL 11 . 00 11 . 00
I certify that I have mad this application end state that the above information is correct.I agree to comply with all city and county ordinances END OF FEES
and state laws relating to building construction and hereby authorize representatives of this d'y'e enter upon the above.menloned property
for inspection purposes.
LARRY JONES
Ae/.y `�P //�\--�
'—ZS- G
Date: _ _
•
pneluro down rlgandAppkaanVd«
COnlre (h U�-s- '117 ,r ,
(5151-40.W P) White-Building Greer'-Fie: w
i g b Selety:Greer'- e:Cury-Appicant:Pink-Revenue:GMerce
dderuod- r
. - -
5 I CONSTRUCTION AND PLANNU DL& SPA tel„
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
•
1. Temporary Electrical Service or1Pole 52. Pool & Equipment Locatio /n
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
-3._ElectricalConduit Utility-Undrgrnd. 54. Forms
•4.t 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, O1 .1nprgrnd.
10..Structural Floor System 61. APPROVAL TO DECK l
11. Property SeWer Line & House Confection 62. Backwash & Receptor-Final .,
12. Sewer Cap - r 63. Heater& Vent-Final
13. Roof Drains . --- i 64. Plumbing System -Final "./'
14. Rough Plumbing- - 65. Electrical-Final - 1 - ._
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring e kk r4 67. Fencing & Access Approval -
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating.& Air Conditioning. - FIRE.DEPT. REQUIREMEPL7 r •-
20. Rough Factory Fireplace = . APPROVALS- r- Permit# ` ` ^'
21. Ducts,in Structure_ , -• 70. Underground Hydro -
22. Ducts, Ventilating -. .. r. 1^ . - 71. Product Piping ❑Qas D Oil
23. Etas Pipe-Rough & Test _ ; 72. Underground Flush ,
24. Roof Framing - - 73, Undergrnd.Storage Tank.O Gas 0 Oil
25. Roof'Sheaihing _ i74._ 74. Overhead Hydro ,-,,
26. T-Bar.Ceiling (Structural) & Monocoat ,� 1 - 75e.. Dry Chemical
r•
27. Frame and Flashing , r ,.. 76. Dry Standpipe a .1 ' -
'28. Lathing &Siding • '" + 777. FIXED SYSTEM•FINAL -- -
29. Insulation El.- -- 78: FIRE PREY. FINAL
30. Drywall Nailing I-LEALTH'DEPT. REQUIREMENT
31. Plaster Brown.Coat , ' - 79. FINAL INSPECTION -
. 32. Electrical.-Powe'r Meter-Final 9n.jF 0 rCRTIFI_CATE ISSUED fr
33. Final Electric _ 7 r�pZ /� /
��8f/T I~ �v / -0 • Qcwielle Q&of `e rizaa,
34, Final-Heating& Air Conditioning r"
• 35. Final Gas Pipe-Test- • • - _
36. Hood or Canopy ' " . " = :`- r
37. Final Factory Fireplace .
38. Final Plumbing fr, - - -
,. ..
-39. Water Service-Final , '
,40. Gas Service-Final _ _
fi. _ 7.
.41. Solar Domestic-Final. -
42. Backflow Preventer ' _ - .
.
43. Backflow Irrigation • - - .
44. Landscape Irrigationtystem _ ' er r _• -
45. Sound Attenuation •- - - _ - - -
4- Y
46. Handicap Regulations -
E.
47. F1INAL STRUCTURE & BUILDING .
48. F\NAL PLANNING
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.
CITY OF COSTA U
MESA CONSTRUCTION PERMIT — PERMIT NO.
r TRACT NO. LOT NO. UNIT NO.
Project Address NI I-2 .4l.rst11:\1•414` floe-ler L' I /1 / • t• -
Applicant's Mailing Address • I. sr is• •c t. s rs 2TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION LJ REPAIR
Owner's Name )" 1'l• ( r C' 1l. 1 r� Phone El CONVERSION ❑ DEMOLISH ❑ OTHER A P # . Zone
DESCRIPTION OF WORK/USE OF BLDG.
Address 1'1 1•i !"1/27% ; I, 'a'1•\'1 1'"'y - S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT L I GRADING U FOUNDATION U STRUCTURAL T Front O
Address TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear N
i
Contractor's Name ..-' I.v., f -fir•ss 4' ' Phone " •It') ' 170 ❑ OTHER A I
y ' PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) ' !. • v�f Si, ,i s. 1.1 i/ K G
en R4, Z CON ST RUCTION TYPE VALUATION S Left R
City License No. v5ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Q
with section 7000) of Division 3 of the Business and Professions Code,and
Planning Notes: M
my license is in full force and effect. �I 1 ' %7
T
License Class (--- i(1 • License No.'•1 O ( S
Date )7 —1-''%/ Signature `— ?' I.,A' / PLUMBING I FEES _
WORKERS'COMPENSATION DECLARATION
-'ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section
.00, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
Policy No. Company - Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
B Certified copy is hereby furnished.
-
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit / Meter`Pup to 100 amps 3
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or — — -
less). Dishwasher Solar Piping - Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued I - —
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8
workers'..compensation Laws of California. ``,/z
Date I %-1 )--7CDeSignature --SetI` DY V'" Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this declaration, yourshould become subject to the In0.501af 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) -
Interceptors Water Heater Outlets Range
Name
Lender's Address Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 sp Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' Generator ❑0.5 KW ❑5.15 KW
any structure, prior to Its Issuance, also requires te applicant for such permit - Trash Compactor
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
erefrom 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 _ .
enalty of not more than five hundred dollars($500).I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee S 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By nate
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale).
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - Date ' 1 ' t
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 SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con- _
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/AlterationBUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. VPY
PLAN CHECK $ PERMIT
❑ I am exempt under Section - - B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers ISSUANCE$ $
Date -. Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BT - - $ 7 GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ - MICROFILM $
sentatives of this city to enter upon the above-mentioned property for •
Inspection purposes. f�
Signature 'Z yr I , s- Date /7—I ').---)L. • MECHANICAL $ TOTAL FEE $ •
Drivers' License or SS.* / Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL&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 56. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing& Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
•
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No._ Date
r
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CiTYIOF COSTA MESA CON STRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. •; i I ! r •
a" Project Address I0j 1 f�V�he.• 5 'f.� -fems e 06s7� I 6673 12/15/86 • •
6.00 TL
Applicant's Mailing Address Z Qn^1Du 4 4-1/ TYPE OF CONSTRUCTION U NEW Li ADD ALTERATION LI REPAIR i •
p
t ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I _ Zone- _ _
Owner's NameGakC'L SIwJo'� Phone - DESCRIPTION' OF V�QRK/USE OF BLDG.
Address ` t lay.0.1'�.ktV.1 gd'i•CCa' ` V a-•,�,� e • S Main Building: I • Accessory Building:
Z
Arch/Eng. License No. • TYPE OF PERMIT
(�y GRADING LI FOUNDATION U STRUCTURAL T •
Front { O
Address nn \ 2 �7 0 TENANT yn ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear • N
Contractor's Name •r�Y N Jev.!7 Phone 1 L OTHER A - _ 1
�f I- PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N'
Address mailing) Cf".�� lAIM[ra�S - t. CONST RUCTION TYPE VALUATION$ $ Left G
City License No. L U Z3 ZONE - -_ GRADING CU.YDS. ACRES R
. LICENSED CONTRACTOR DECLARATION I - s _ • Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: • - • M
with section 7000) of Division 3 of the Business and Professions Code,and _ - ' '
my license is in f�f1{f•r a and effect. [ T
License Class ` JO Licen - o - �'e p - - S
Date - I Signature- �• . .•, ��J - PLUMBING, i i :-FEES _ •_ '
•
WORKERS'COMPENSATION DECLARATI• Bar Sink Showers
`ereby affirm that I have a certificate of consent to self-Insure or.a certificate - ELECTRICAL FEES
• Workers' Compensation Insurance, or a'certified copy thereof (Section Backflow Preventer Service Sink •
-
.00, Lab. C.) , - Automatic'Washer • Transformer '❑ 15-50 KW .:
•
Policy No. - Company Backflow Irrigation - ❑ 50+KW
9 Sewer Cap Construction Pole Sub. .
8 Certified copy is hereby thehetl. .
Certified copy is filed with the city Building Division. • Bathtubs Sewer Connection - • _* Cooking Unit • / Meter 1/up to 100 amps . in'
Date Applicant -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION " Clarifiers S• olar Collectors. • - - Dishwasher - • Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or „
I less). •
Dishwasher ' Solar Piping . Dryers ❑Gas '❑Electric Sub Panel • . "
I certify that In the performance of the work for which this permit is issued, I .
shall not employ any person In any manner, so as to bec9mesubject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011.S-B
WorkersSorppp wn Laws of Califor ///•'j.!—��
Date I �+I O � Signature Floor Drains Swimming Pool w/Spa - ' F.A.U.I NOTICE: If,after making this declaration,you houltl become subject to the Inc.Solar ❑g-1$ HP ❑16.15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall 'be deemed revoked.
I CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptotsrs Water Heater Outlets •
Range Lender's Name - - g '
•
Lender's Address Kitchen Sink Water Service - Switches- ' Sign " • . .
OWNER BUILDER DECLARATION . i
I hereby affirm that I am exempt from'the Contractor's License Law for the Lavatories' Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap . Laundry TraysGenerator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit . r P
• to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drain S' -
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 - -
lrefrom 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 .1 - -
enalty of not more than five hundred dollars($500). r.
I, as owner of the, property or my employees with wages as their sole Reinspection Fee, I $15 . Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee - I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's ' MECHANICAL FEES
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 -- - DEVELOPMENT SERVICES REQUIREMENTS: - •
employees, provided that such improvements are not intended or offered for Boiler Hood or , Type I 0 f
sale. If, however, the building or improvement is sold within one year of com- - - Canopy Type II ❑ - Zoning Approved By Date '
prove the owner will nave the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Dated,-.-
-c rove for the purpse osale).
I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - Dat
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 ❑o-100,000 BTU ❑100,000 BTU _ SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- - •
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. • PLAN CHECK $' PERMIT
❑ I am exempt under Section B.& P.C.for this reasonFirepl/Fact.BIC ICBO# Fire Dampers PLUMBING $ ISSUANCE - $
•
Date' Owner - Heating System& Ducting Registers PLAN CHECK . 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000BTL ELECTRICAL fl•00 GRADING $ '
information is correct. I agree to comply with all city and county ordinances $-
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM- $ 00
sentatives of is city to en r upon the above-mentioned property,for
Inspection pu es1:5 MECHANICAL $ TOTAL FEE . $ T.
Signature Date l2-�5-5TL •
Reinspection Fee $15 Issue Fee $ 3 - PLAN CHECK 25% $
Drivers' License or S #
CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. -
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. . 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION ' 1 .
32. Electrical Power Meter-Final -j• , ,his' 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: J 1_)1_d6 R tIe at Beh i•,-
34. Final Heating & Air ConditioningI ,i(/�/
0 A. J"--'} A.c-71 PI Mr') /fact/.- }v0�
35. Final Gas Pipe-Test
3q., Hood or Canopy
37. Final Factory Fireplace -:7 r 1
38' Final Plumbing c - 1
39'Water Service-Final r': (-'• -
-
40. Gas Service-Final r
-'-
41. Solar Domestic-Final - r ' ��
..-.42. Backflow Preventer - • • -
43. Backflow Irrigation �, • : '
-44: Landscape Irrigation System - !,. 1 .
;44.: Sound Attenuation •
.46::Handicap Regulations ;
47. FINAL STRUCTURE & BUILDING •
48: Special Requirements Completed .. ,.,. l i . •
49. Electric Release to Edison •-
50. Gas Release to Southern California Gas Co .- I.
51. CERTIFICATE OF OCCUPANCY
. .
No. _ Date �.
ADDRESS Of BIIILBND: 1917 ANAHEIM AV • UMT: CITY OF COSTA MESA — BUILDING PERMIT I
OWNER'S PLUM IFlww/N:SILVA, HORACE FRANK /PERM NO: B 077350
YDSSILVA.
RESGLORIA MENDEZ -
1917 ANAHEIM ST PERMIT NO: B 077350 PLAN CHECK NO: 00880-96 L GOVT: N SUPP : N
'OSA, CA 92627714 ) 6423963
APDL $ORESS CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: CON
ARCNOECTORENmIEETJOHN LINNERT UC.NO.: 0 JOB DESCRIPTION : CONST. 675SF DETACHED GARAGE SQ FT: 675
ARCH.OR ENG.'S ADDRESS: 1980 CONT INENETAL AV sen
C.M. CA 92627 CLAIM VALUE: 10, 000 . 00 CALC—VALUE: 13, 905 . 00 GROUP OCC: U-1 /
CONTRACTOR'S NAME:
c3NTNACTORSMNl010 COMMENTS : DEMOLISH PART OF DETACHED GARAGE TO BE USED AS LAUNDRY ROOM
ADDRESS: UC NO.: *******************************************************************************
UHT: ZONING R E Q U I R E M E 'N T S
LICENSED CONTRACTORS DECLARATION:I hereby alum under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect.
CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: 155 FT IN REAR: 3 FT IN
a: Contractor LEFT: FT IN RGHT: FT IN LEFT: 2 FT IN RGHT: 30 FT IN
.NER BUILDER DECLARATION:I hereby effirm under penalty of perjury that I am exempt from the Conradon License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a perma to conetmd,alter,Improve. PARKING REQ• P RO V: (i PARCEL : 42214219 Z N E : Cl REF NO:
suchfile PLANNING NOTES>-.,CONSTRUCT NEW.-2 CAR GARAGE BEHIND AN EX. , NON—CONFORMING DU.
is licensed pursuant to the provisions of The Contractors License Law[Chapter 9(commencing with Section 7000)of Melon 3 of the
Business and Prdeesions Code]or that heor she bexempttherefrom and the basis for the alleged exemption.My violation of Section >; WON' T ..EXTEND LIFE OF DU, EX, GARAGE TO BE REDUCED . SEE FILE
7031.5 by any applicant for a permit subjectsthe applicant to a civil penalty of of nmothanfive hundred dollanjf500U. {({({!•{p{E{!•'E{E{({E1E{(.{(-{E1E.{(-{(.{E{b{b{E{({E1E{E{E{p{(.{F{E{t'•{E{E•{(-*{(-{E!(-iE{E{EiE1E{b{E{E{E•{({({(-{({E'E*{p{0*{('p*3E{g.K.3E{E{E)(.**.{(.{E*{E*{E{p.***
El I,as owner of the prepenyormyemployees withwayrieastheir sole compensation,willdothe work and the structure snot Intended DE V E,L 0 P M' E N T S E R V I C E S REQUIREMENTS
or offered for sale(Section 7044.Burnes and Professions Code:The Contractors License Law does not appy to an Owner of property , -
who builds or improves thereon,and who does sod)work himself or herself or through his or her own employees.provided that such
improvements we not intended or peered for sale.ff,however,the building or inprovernent is sold within one year of armpietion,the ZONING APPROVED BY C 0 DATE:
ownerbuiier will have the burden of proving he or she did not build or improve for The purpose of sale). / �W
o I.as owner Athe propend.amexclusiveycontradhgwith licensed contractors tocormnct the project(Section 7044,Business and BUILDING APPROVED BY : ' �~ / DATE: P ‘
Professions Coda:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who / /
pat acts f«such• - with a oamras:Si licensed pursuant to the Contractors License Law). 4 i, , - Il//`__JLy�_
).{] I seri event. u�.t1.. ion 1 / ::8 P.C..for Ino nasorc a "�•/ limb y, } '- DATE:
l ` Alt V***#* *WW*44#**F**A#s y.rr.r."r4r.*as :1 #**A,r*w*,.,cw,a,e,r,w7ax,a,tw,r,k,L********** **
�' e'er ° �6"`Q�� e- " � LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
catty that I am aware d and understand the requirements d California Health arta Safety Code Sections 25505.'Wm.and
.and put I o any future building=upset will/tail Iver(deice one)need to said role codes and the requirements for
apermit
provisions.«construction or modification Iran the AiWy are9ament Dimkf.r ' region apploati«n ere axonal from these BLDG PMT PLUMBING ELECTA-IC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 212 . 25 '.. 1 . 39
Date: Applicant' PLAN 137 . 96 y SHIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the bowing declensions: ISSUE FEE
O Move and witmaintanaceni'raledmounttoselfinsureMnn
worke 'compaion,es pr 'E
provided for by BUILDING PERMIT ISSUE PLAN CK TOTAL PAID DUE
Code.for the performance dnawakf«whimnapernmsa alt. TOTALS----> 213 . 64 0 . 00 13 - 96 351 . 60 351 . 60 . 00
I have and will maidaii workers'cmperuationinsurance.es nqubsd by Section 3703 d the Labor Code.b The performance d the —
work for ch whithis panne sissued.My was compenscompensationkcompensationinsuranceinranne carrier and policynumber are:
carnes: REVENUE DIVISION TOTALS--> COLLECTED:• 252 . 15 OVER/SHORT: 00
Paliry Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/TOT GRADING PLAN—CHECK
(This section need not be completed r me mime is for one hundred dollars($l00]or less.) 212 . 25 r;" ; 1 . 39 38 . 51
0 I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to 1 lc '
become subject to the workers'compensation laws of California, and agree that it I should become abject to the workers' ******************************************* ***********************************
compensation provisions of Section 3700 of the Labor Coda,I shall forthwith comp&with those provisions. I N D I V I D U A Lir' •F 'E E 1 BREAKDOWN
Date: Applicant: •�/
Warning:Failure to secure works"'compensation coverage Is unlawful,said shall subject an employer to cdMrW penalties and TYPE QTY D E S C R I P T I O,Ni • , \ UNIT COST TOTAL COST
civil tines up to one hundred thousand dollars($100,000),In addition to the coal of compensation,damages as provided for in
Section 3706 of the Labor code,Interest,and attorneys lees. SFR 675 RES—GARAGES TYPE V -,,',„ ,..r 20 . 60 13, 905 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally ofconstruction that there isconstruction lending agency for the ENOF FEES
performance d the work for which this permit is issued(Section 3097.Civ.Cl.
LEN'S A'D NAMS: e r a 11 D
LENDER'S ADDRESS: r /
I candy that I have read this application and state that the above information is coned.I agree to campy with ag city end county ordinances V - 11)
and stale laws Mang to bulkily muvudion end hereby authorize representatives el the dry to enter upon the above-mentioned property / I
for inspection parlxnes.�ACE s I�VA f ' APR 2 2199.6
� ��Vi�f�iwi/w_w. Date: y 27—r‘ I,l•
19 cart OE COSSA MSA
nUApplcant/Conlndcr
r\(5151 w6.WP) Whae-BWdig&Safety:Green-Ale:Canary_AppicaN:Pink-Revenue:Goldenrod-Assessor . /,
• 1
t CONSTRUCTION AND PLANNII DL & SPA
j Date Inspector. Date Inspector
VALS Permit# APPROVALS Permit#.
1, emporary 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
T
6. Electrical UF ER Grnd. S 2Z 57. APPROVAL TO COVER-GUNITE
7. Footings it /7 8. Electrical Conduit-Undrgrnd.
8. Foundation ! 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final .
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains ' . - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . APPROVALS , Permit#
21. Ducts, in Structure ' . 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Frarriing. -473. Undergrnd.Storage Tank O Gas ❑Oil
f
25. Roof Sheathing /en. O : 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and Flashing - . , 76. Dry Standpipe
- 28. Lathing& Siding 7-2:2-t* 6cal 77. FIXED SYSTEM FINAL
29. Insulation 7 . 78. FIRE PREY. FINAL
30. Drywall Nailing -2-1____2.2-'-'c b ‘C4L. HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat /o-/--476 .� 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric -
Notes: ,5/Z.�/lr6 g,O, G , /�
34. Final Heating& Air Conditioning - • -6-72-Y-796 / e /�
35. Final Gas Pipe-Test j/I���� vv est ItnG
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final "'
tc
42. Backflow Preventer -_-
w
43. Backf low Irrigation r' ��
44. Landscape Irrigation System •24.,
45. Sound Attenuation 1•
46. Handicap Regulations ( All .
47. FINAL STRUCTURE & BUI LDING 'j�y/�� // �• !' •
48. FINAL PLANNING G /J -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
�No Date
-\