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HomeMy WebLinkAbout1918 HARBOR BLVD - Building Permits COSTA MESA BUILDIq 7E_PART% 981 kNT \jO t 111 East 20th Street `/ 11 a Fi 1 Costa Mesa,,California Date ` 3 — SZ..._ CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY /n/ 7s/ Building Permit No-577d. b.3 Electrical Permit No . Plumbing Permit No.( 'L..7 6 .--- • Safi Use of Building..c. - •a' 'A � Q AP*05 $_ // / The building located at /7/5 �A !ea 170 , e. //J t'/• Lot. Block Tract//•4-- 2f o 6 (See reverse side for Mete% and Bounds) has been inspected and found to comply with the provisions of all City of Costa Mesa Or- dinances applicable thereto for a Group r— Occupancy. IS EDTIi"t• A. y --NOLO t. �( rcr f 7 c./ Cit 121 /1 ;yy�'lGy (/JJ' (Owner of Building) By -t - -CC: 0 Original—Owner ❑1st copy—Gas Co. ❑2nd cop "\o. p 3rd coyy�F'ile Form 206 G-12 1M 12-63 V r .. 5145 . FEE RECEIVEDSTA MESA BUILDING DEPARTMENT )---°) 1 (1 r?rS P.O. BOX 317 RNA-a DEPT. COSTA MESA, CALIFORNIA CITY OF COSTA MESA •�i� •R -PLICANT TO FILL IN APPLICATION FOR PERMIT ADI �G /9/ ? SIDE �G v.j BUILDING ADDRESS .� SI-tt' Co lPA MESA. CCAALIFOORNIA t FOR OFFICE USE ONLY `� ',1 /� RECEIPT NO. PERMIT NO. V , W OWNER , 1Y O^i 6 02x 4 MAIL C� 4^� A' E RECEIVED BY refl..,jt E_• DATE ISSUED ADDRESS //-2_0 nT/ °r1.--0 A - 'ye ,� _ 4. -s CITY f'-L Ick O fl Ts L/TMytNO. NG ADDRESS�`/9Z? , ARC CT LIC. OR NEER NO. COSTA MESA. CALIFORNIA . FIRE ADDRESS I LLL.��. ZONE ' A, T' `(j,eoo ITP NID / !� ZONE ^ PLLANS TYPE GROUP �ZCIONTRA.C�TIO/R v 1V es M ,r (01.1 ry ! O/�'. �� ADDRESS `/-YC '1 Lica ( 6'..^JpTEL. L./O (0O7 C APPROVED DATELEGAL LOT 6 DESCRIPTION NO. BLOCK TRACT5cQ7 CORRFC lia A.P. NO. ii -5-.-4Q Y - a 6, APPROVED SIZE So V //% NO.OF NOW ON LOTS OF OF LOT ^ CITY COSTA MESA USE OF PLANNI ' DEPT. EXISTINGBLDG. RFC suaJ:cr TC e e SETBACK LINE FROM I CENTER OF STREET �j 0 REAR YARD SIDE YARD RIGHT 0 LEFT 0 BY,/AL_ _, DATE E7'-e) DESCRIPTION OF WORK FLrN -�� ' NEN % ALTERATION _I ADDITION - ' 'REPAIR , MOVING • DEMOLISH BUILDING 5u r (—/E FRO •STORIES EXTERIOR WALL�tvd Co ROOF -n I7 • COVERINGUSEOF (�[�� J.,yy�� COVERING r/_�, BUILDING EW •\� / IT L 5-I�O IC I� S 8700 A ' /Ca I HEREBY ACKNOWLEDGE THAT I HAVE R 0 THIS APPLICATION AND STATE THAT THE ABOVE I ORRECT AND AGR TO COMPLY WITH ALL . CITY ORDINANCES AN LAWS ULATIN BUILDING CONSTRUC- TION. VALUATION SIGNATURE OF PERMIT FEE $ T72,-- PERMITTEE // �� % PLAN CHECK S l)l $ J AUTHORIZED AGENT / TOTAL FEE S fGa — 4mfr • • r7 >r�r�-,1 s� !OSTA MESA BUILDING DEPARTMENT � "_���}��P.O.BO% 31]COSTA MESA, CALIFORNIA COY FOR APPLICANT TO FILL IN APPLICATIFON FOR PERMIT S /9/f; Alnil /�/.�,1/ BUILDING J////J` COSTA MASA. CALIFOR FOR OFFICE USE ONLY ,'I' • Jetsy RECEIPT NO. /P T NO. OWNER ' _. �j///� / ifX} VN) y^57 /:"f/ !/1�" ,�/�_�.'�r iY �I�i i�Y DA TE �r�Y 04 DATE MAIL /�� A ADDRESS 7 t.CITY TNEa n fc✓�'..i BUILDING/7 /{� _W�0 / leA ADDRESS //�J — n��j a ARC 4E `K/��c LIO. COSTA MESA./CALIFORNIA OR 1. .JEER NO. FIRE ADDRESS ZONE ZONE NO.OF TYPE GROUP CITY LIC. // PLANS OF 2 CONTRACTOR ��iy����""'�/A�iii NO. //le (fir ADDRESS /IA. iYo"�I A.c NO. BYP; DATE �//PAP LEGAL LOT CORRECTIONS DESCRIPTION NO. BLOCK TRACT r A.P.NO. /I. L(''2 A.c / !/� 2< � �J -p L Cr L/ a /..<2 SIZE p / /� NO.OP BLOCS. o 4/AtI&R fr OF LOT ` /`/�✓ NOW ON LOT _���' / /� .� USE OF EXISTING BLDG. - ]n, Cu,4L !�- CES yA,Ze_.{ / l SETBACK LINE FROM �7 CENTER OF STREET �jC real— REAR YARD 33� ��� � [ Q ��j� SIDE YARD RIGHT e% LEFT 6 w(�-0 ie e� T -7- i-41 N DESCRIPTION OF WORK 1,2t e.l��� �'�. - NEW ALTERATION ADDITION ^�''[GC,(;'+r'�C.��J/ c REPAIR J( , LOVING DEMOLISH aT ese_7(L.�S}� ��'�i f BUILD,NiS- � � ROOMS NO.OP / STORIES / 4-1, j XLe a SIZE EXTERIOR WALL ROOF Y ^SS COVERING COVERING h• 6P Ft r,i l !! [� '\j :; X 4 USE OF NEW h 1 ii_h L LI ". BUILDING t`�I / CY ^ I1/4..1-(44-17.•.: C...2,.-;T:. ,..,.,. p�p.-q Reje��7( �CA jj•- a A-/mac� ��i�'•. ;:.,;. :G 3 APT. /�.GQ�S • y. b BJECi 1C) SLUG. DEFI. t2 LG. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL IZ CITY ORDINANCES AND STAT I S REGULATIN :UILDING CONSTRUC. 4 _ 5 TION. VALLA Ib •PLAN TtT O 1� MIT FEE SIGNATUREERMITEOF I / / / PERMITTEE / PLAN CHECK $ /yjf'J✓.e. ZED AGENT TOTAL FEE S aC O Q 19Mr ( 11467 FEE eel �_RECEIVEDCOSTA MESA BUILDING-SAFETY DEPARTMENT C t ei /7-6 P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPdIbXTODICaSI i ?gi t(li BUILDING TYPEORPRINT BUILDINGMpg.ADDESS NAA aIII) •L 8DI COSTA MESA. CALIFORNIA For Office Use Only /�/Ae / I^11 �� I RECEIPT NO. I .$lRMI�;xo. OWNER y�eRT , F)JK A1Y_V' d MAIL 0. ! D 8 IS SEC/ADDRESS rqle RA PBC* ac✓�P BY DATE RECEIVa -/?-Z'OI 9 Gl [� TEL. BUILDING /� CIT^• �- rat A1& /7 NO. ADDRESS /7/7 E. � • AI FECT TEL. COSTA MESA. CALIFORNIA OR _.4GINEER NO. FIRE ADDRESS ( ZONE j/{/frT (y/ �}/T�YP,E RO re,it, CONTRACTOR ..7F M4T'Ai.I APPROVED IB - ' DATE / �/ O�/ . ADDRESS $lir lAtiAI-•PIVT - I4ONING `fJ �J(�`_ ZONE O.OP USE OF NEW aptivtpa CITY ataI/4 (� ^J c. /LAMS •� II�BUILDING STATE 413 vo q NO.TEL. TA. 1 I R 3 0 DESCRIPTION 1.[> 1 �r '/ l LIC.NO. Y\/., SIZE I NO. OF SLOGS. OF LOT NOW ON LOT A.P.NO. l/•S o Cofom/ - 3 6 a - USE OF1� C YARDS EVES EXISTING BLDG, 24�E r . L,ticP APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT . Dir. IN. I LEFT SIDE YARD DESCRIPTION OF(WORK GHT R.SIDE � 0./ N. L.SIDE -el IN. NEW I II ALTERATION$ V ADDITION I REAR '/ ^� IN./ REPAIR I II MOVING II DEMOLISH I APPROVED /_ j/� n DATE //7% , BY \f/ 1/ J lr BUILDING NO. OF ^ SIZE ROOMS �' STORIES / J EXTERIOR WALLROOF COVERING I COVERING USE OF BUILDING AND WORK TO BAF PERFORMED 4 RWnmLIKLa. s- -71e! / 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 PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRU ION. VALUATION SIGNATURE OF PERMIT FEE $ PERMITTEE �' / {q `- n $ PLAN CHECK $ - 11;ITHORIZED AGENT CCC C TOTAL FEE $ 6' 0O 0ti c. 18706 60574 COSTA MESA BUILDING-SAFETY •DEPARTMENT cR 15-F P�COS T 1 t1x *****r_OD P.O.BOX 317 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING . BUILDING / For Office Use Only ADDRESS 19/ 0 46 Aor i&Jud. �.rel- RECEIPT NO. PERMIT COSTA MESA, CALIFORNIA 18706 J J RECEIVE t IL REMh . DATE IBBU ED6a OWNER 111 /Yeiled SS/ .$J1A_C/ /g IJV ���J��✓" ADDRESS tMAIL ' L'dA 9{a VViz,c,/I1�C-La ADDREI68 /I! Altarri1t/ /11'471( p / TEL. ZON4 TYPE r GROUP r- 3-- C ITY ��Q /„fr.QL31 Noh O/37 7 FIRE/ ' Y. /�I/�//_ B�:.J/{/�/ / AF TECT' TEL. O BY APR I- I /ilk DATE // J/G O; NNEER NQ._ FR1IW,' .� ZONING ADDRESS �,t� �� ZOeIE' No.OF USE OP New `A„/e //�/I/ ...g."4 � '�z I PLANS © BUILDING _ 1 CONTRACTOR (( NN NN LEGAL ADDRESS DESCRIPTIONQ CITY _ A.P.NO. /i.r - — / 1/4f• NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TRI 90'TO SIDE 3 REAR P.L. LIC.NO. - NQ. `) EAVES SIZE NO.OP SLOGS. l ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT USE OF �t /' YARDS APPROVED YARDS APPROVED EXISTING BLDG. .i,/�// MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM FRONT FT. 1 FT. CENTER OF STREET REAR YARD SIDE YARD I LEFT f RIGHT R.SIDE FT.' DESCRIPTION OF WOK L.SI tIlk FT. FT. 0. NE. Fr" ALTERATION ADDITION REAR FT. FC. • DISTANCE BET. BET.MAIN Q REPAIR MOVING • DEMOLISH MAIN BLDGS. 'CrEFS BLDr6 J I* Y BUILDING NO.OF 1 VAR.# APP ED SIZE ROOMS STORIES C.U.P.#,S• EXTERIOR WAI I ��[[ ( ROOF APPRQ T/A. _J + -\'�� 3 COVERING 1ILGa I COVERING BY a IV CITY�P CaSTA(VA I-.l USE OF ILD AND WO BE PERFOFj81 pNTNG DEPT. LV .4' , ht. �// C - Br... .0 L....,. D..I. r6/7 CI 76 go _ al �9(AA 2 /S v ) BY..1.. DATE 1:3 r / _a.FTD ,-Ten Pc mev.nnp,c O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I THE AMOUN UNDER-VALUATION-IS-POR-THE— Y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGU TING BUILDING CONSTRUCTIO VALUATION _ it SIGNATURE OF ,/J n ^ PERMIT FEE $ PERM ITTEF Q/��a, yeektet)/ //// B $,� -� PLAN CHECK S C AUTHORIZED AGENT f Ga E .TOTAL FEE O� --- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. — CITYOFCOSTA//KIylSAA CaO�NSTRUCTION /FjC}.RM4IT - PERr T" L/ ' TRACT NO. LOT NO. UNIT NO. 4928 9/10/87 1340'! . Tt. -- Project Address / YOB rhoe • �L�. , / . Applicant's Mailin Addres /?0' /4oyr 655/ TYPE OF CONSTRUCTION LI NEW ❑ ADD U ALTERATION LI REPAIR /I 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.# I Zone - Owner's Name moo Phone. DESCRIPTION OF WORK/USE OF BLDG. Address pina' T S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT LI GRADING Li FOUNDATION EO U STRUCTURAL Front I 1 Address qyJ G 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL BA Rear t N Contractor's Name Brr tt� Phon 0 OTHER Address(mailing)Z�6 �/% Cot.. ir hr 9 1 �5/ /ti .� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Rieght G g. � /© CONSTRUCTION TYPE VALUATION $ ft 1 City License No. YY ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E Q I hereby affirm that I am licensed fltler provisions f charter 9i ns Code, ng Remarks: Planning Notes: M withysectioneis 7000) of Division 3 of the Business and Professions Code, and T Uc license is in -t fo and effect. L— ZS/9 Lice Class �1' se No. $ 4, Date/' 117 Signature O/J PLUMBING FEES WORKERS'COMPENSATION CLARATI N Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate ` of Workers' Compensation Insurance, or a ceUified copy thereof (S¢COon Backflow Preventer Service Sink ' 3800, Lab. C.) ..../62-0,0y92.77—0 Automatic Washer Transformer 0 15-50 KW •� Policy No. .4� CompanyLab ' ry sK/Lt! Backflow Irrigation 0 50+ KW _C7` d 9 Sewer Cap Construction Pole Sub. 8 Certified copy is hereby furnished. Sup copy is filed with the city tiding Divi ' n. Bathtubs Sewer Connection Cooking Unit i Meter to 100 amps Date 9 —43-9'7 Applicant - - EXEMPTION FROM WORKERS'C MPEN ION DECLARATION Clarifiers . Solar Collectors Dishwa er Meter Clover 100 amps (Tills section need not be complete If the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers Gas ❑Electric i Sub Panel 101D/it' 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 FanMotors 00.1 HP Om-8 Workers' Compensation Laws of California. 011.11a - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. ola ❑ Inc.. r 9-15 HP 016.15+ NOTICE: If,after making this declaration, you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCYGas Seavice Outlets Water Closet Device Boxes Pole Light 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. CJInterceptorsr Water Heater • Outlets Range Lender's Name - _ Lender's Address Kitchen Sink' Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatbries'- Auto-Wash Garbage Disposal Standing Sections 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 i Laundry Trays Generator 00-5 KW❑5.15 KW Trash Compactor 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 Rood)raiOs 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 - - - therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). • I, as owner of the property or my employees with wages as their solo 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 sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type 11 0 Zoning Approved By Date pl4Uon, the owner will have the burden of proving he/she did not build or in- Duct- Under GroundBuilding 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 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 ' 00.100.000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon,acid 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 Combensatlon insurance should be provided to me. PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers : PLUMBING $ -ISSUANCE S 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 0o-100,000 BTU 0100,000 BTL ELECTRICAL $ /�� 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 ' $ sentatives o is city. to enter upon the above-mentioned property for inspection oses. - I MECHANICAL $ TOTAL FEE $ /2-Sial Signature �G Dat lo'5-7 . Drivers' L cense SS 46 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. '. 8. Foundation . 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrndl 60. Backwash Lines,P-Trap,0 Undrgrnd. 10. Structural Floor System 61. APPROVAA.TO DECK 11. Property Sewer Line & House Connection 62'/Backwash & Receptor-Final 12. Sewer Cap 63'. Heater & Vent-Final 13. Roof Drains £4. Plumbing System - Final 14. Rough Plumbing 65"Electrikal-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 1 32. Electrical Power Meter-Final 5/10.1 80. FOOD CERTIFICATE ISSUED 33. Final Electric 910107 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37! Final Factory Fireplace 38. Final Plumbing r,.` it. 399_Water Service-Final 40. Gas Service-Final fr / " i 41. Solar Domestic-Final 7 42. Backflow Preventer /43. Backflow Irrigation r 1, , 44. Landscape Irrigation System � ,45'. Sound Attenuation ,f" 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i • 48. Special Requirements Completed , ; .• 49. •Electric Release to Edison • 1s 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date J 'Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations, CITY OF COSTA MESA P MIT N TRACT NO. LOT NO. - ' `�j i// NO. BLDG. 7079 9/01/82 IB•00 TL CONSTRUCTION PERMIT VIII a • p ' - - Project Address/�/� L+9-/ a.c. f%(_i/1j TYPE OF CONSTRUCTION ., ' • 1.9 Owner '7 QR�s Le F �. Phone • 0 NEW -0 ADD 0 ALTERATION ft Address N 11cy µ11Q'cni /3L txt. 0 REPAIR 0 CONVERSION DEMOLISH 9ZONING REGULATIONS . Arch/Eng. ,'J• - License No. - 0.OTHER DESCRIPTION OF WORK 'tom.fr.c„. trf I . •(eV Address • •:-51 a' 9r S 'I ,'Ca ,,,, • Phunr�," ..J - 4.-.1 TYPE • ■ • • • I ••. Address . ■ GRADING ■ FOUNDATION ■ LICEggNSED CONTRACTOR DECLARATION ■ ■ ■. ■ _55 pp a - mehncing affirm th section 7000)m soot -Divisr ion ofs the harter 9 Business(c and ■ • RIGHT -- Professions Code -and m !Iconic Is In full force nand a fest- •• • DESCRIPTION REAR YARD(TO P/L) Llcensepcl/ps5 Llc se o.�T��A-7�'J PKG.SPACE REQ. PROVIDED• - • Date_G••/I(r2 Signature 'eJ �"�+/ 770 - • WORKERS'COMPENSATION DECLARATION • • STREET WIDTH PARK FEE$' I hereby affirm that I have a certificate of consent to self-Insure or VALUATION i� •NE ZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a certified copy 1^-roof(Seflton 3B_ ). II /� GRADING ACRES SPECIAL CONDITIONS: I y No.b L•'�� Company ����r•O•- . ,ertltied copy is hereby urnished. ACertitletl copyls filed with the city Building Division. - - - EXEMPTION_FROM WORKERS' COMPENSATION DECLARATION - - - (This section need not be completed it the permit Is for one hundred _ . ($100)1 or less). - - - certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become 'ELECTRICAL- • • PLAN CHECK _ subject to the Workers Compensation Laws of California, - _ UW tLLINt, - faH HAbE Daten- Signature • , - ' • - NOTICE: If after making this declaration,you should become subject • GENERATOR"' 0-1 KW__1-10 KW - - _ - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES •• APPLIANCE ' 10:50 KW___50+KW revoked. CONSTRUCTION LENDING AGENCY"_ • MOTORS - 0-1 HP .1-00 HP " I hereby affirm that there is a construction lending agency for the per- (I' SOLAR) 10-50 HP 50+ HP - .. • formance of the work for which this permit Is issued (Section 3097 Civ. C.). - ._ .- _ FLOOR-SINKSFLOOR •• FIXTURES OUTLETS SWITCHES Lender's Name _ __ _ _ _ • - ' Lender's Address - •- ' - • - • • GASTUBE SIGNS - •' • t, . OWNER BUILDER DECLARATION • POLE LIGHTS " - - - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL I - - - Any city or county which requires a permit to construct, alter, •LES METERED SUB -^f improve,demolish or repair any structure, prior to its issuance,also re- ALTERATIONPANELS MAIN SUB ' quires the applicant for such permit to file a signed statement that he -- • is licensed pursuant to the provisions of the Contractor's License LawGAS SERVICE • LETS SERVICE" AMP(Chapter 9 (commencing with Section 70001 of Division 3 of the - - P 'ness and Professions Code) or that he is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by replicant for a permit subjects .the applicant to a.civil penalty • • -- -- - - - t 0, wit more than five hundred dollars ($500). __ _ .; 0 I,..as owner.of the-property,or my employees with wages as their • • • . . sole compensation,will do the work,and the structure is not Intended or-offered for sale. (Section 7044,-Business and Professions Code: The' • ISSUE FEE Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or APPLICATION APPROVED BY DATE ae I/e. , through his own employees, Provided that such Improvements are not Is detl or offered for sale. If, letion, tM1C buildingwll or ImprovementCHECK MARY OF FEES Is sold within one year of e. If, ho Oe, the owner will have the burden l/-/��•YlARY of proving he- did not build or improve for the purpose of sale). HEATING SYSTEM I ,I , BUILDING , s St 0 i, as owner of the property, am exclusively contracting withUCTING BTU PERMIT ,E SMTP '$ licensed contractors to construct the project (Section 7044, Business • • 100,000 r PLAN CHECK $ PERMIT - - ' _ _ _ _ and Professions Code: The Contractor's License Law does not apply.to - - -' ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATioN 0.100,000PLUMBING S tracts from such projects with a contractor(s) llcesned pursuant to -- - GRADING S the Contractor's License Law). 100,000• - \PLAN CHECK E - - , 0 I am exempt under Section 8.& P.C.for this BOILERS ELECTRICAL $ $ reason PLAN CHECK $ - - MICROFILM $ SYSTEM Date_ Owner - TOTAALTERATIONL FEE$ MECHANICAL $ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE PLAN CHECK $ LESS A PC $ information is correct. I agree to comply with-all city and county ordinances and st to laws etifl g to construction,and hereby authorize ' representat• —this city oter•upon above entioned /fps property I p ction pose ' ea ignat ore x Date �/ . $SS- _ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POOL'&SPA . 6346° Date Inspector • _ ' ' Date 4 Inspector APPROVALS Permit# APPROVALS Permit# . . _ 1. Temporary Electrical Service or Pole - - ,- 43. Pool & Equipment Location - 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - - - _ 45. Forms - - - - 4. Electrical Conduit-Undrgrn h-_ . _ _-- . . " . -46. - Electrical Bonding- . - - '� 5. Steel Reinforce ,_f • 47. Rough Plumbing & PPessure Test - - 6. Electrical UFER Grn - a"17 ,j, 48. APPROVAL COVER-GUNITE ' 7. Footings - -- 49. Electrical Conduit-Undrgrn . ' • 8. Foundation _. ' 50. Gas Pipe.'0 Undrgrn,Test - - 9. • Water Pipe-Undrgrn 51.. Backwash-Lines, P-Trap, 0 Undrgrn 10. StructuraLFloor System - - . - 52. APPROVAL TO-DECK • Property'Sewer Line & House Connection - - - - ' -53. -Backwash & Receptor-Final - - _ • 12. Street Sewer Connection _ -' . . - - - - -- --54. Heater & Vent-Final - 13. Rough Plumbing - - 55. Plumbing System -Final .t 14. Rough Electric-Conduit - - - - - - -56. - Electrical-Final - . . - - 15. Rough Electric-Wiring - -' - - - - -- -- - - - 57: Solar System-Final - . 16. -Rough Heating &Air Conditioning -- _. -_ F, _ - - - _ = - -_58. Fencing & Access Approval • •• 17. Ducts, in Structure - .. . __ _ _ _ _ - __ 59. APPROVED FOR PLASTERING . 18. Ducts, Ventilating . - , . _, _ - • - - • - - . . -- 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL . 20. , Roof Framing _. '- _ _ . - - _ - - - - - • - -- • - 21. Roof Sheathing ` - '_ - - -- -- - - - - - -- - - • 22. Frame and Flashing : . - _-_ - - NOTES: -- - 23. _ Insulation _ - - - • - ___ ._---- '',a,^-.«J ---- _ _ � - - - - - --- - _ _ __. ___ . . 24.' Lathing & Siding _- - - - - -- - -- -� Y . _- - - - _ , ._ _- , 25. Drywall Nailing _ _ _ r _. -/ _ - _ -- - - - ' ' 26. Plaster Brown Coat . - - ?�, _ - - 27. Electrical Power Meter-Final- `""`v% :: - • 28. Final Electric. _ . _ _ - - - - . 29. Final Heating & Air Conditioning .. .__ -. _ - _ - -- - -- - . 30. l Final Gas Pipe-Test _ - . - . _ . . l_ _ . _ . _ ' . _ -. 31. Final Plumbing • - ;/ . ' - - _. . . .'_ . . _ ' - - - , 32.• Water Service-final ___ - _ 0 -. i 33. ;Gas Service-Final.• - . - - - - • 34. Solar Domestic-Final - - - 35. Landscape Sprinkling System�S. _ - - - - . 36. Sound Attenuation .. . . - . - 37. Handicap.Regulations • ' - ' 38. FINAL STRUCTURE & BUILDING ' `�L/gt. arycl. ' - _- - - ' 39. Special Requirements Completed , 40. Electric Release to Edison _ • 41. Gas Release to Southern California Gas Co. -• • •. • 42. CERTIFICATE OF OCCUPANCY - - - n .. No Date _ - - _ - - _ - . - _ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. -- •CITY OF COSTA MESA PERMIT NO. - TRACT NO. LOT NO. BLDG.NO. - .. . '- COP �IUCTION PERMIT a.E. - . S-81/3 .0 o S • • 1944 12/20,82 Iy6e90 1 Project Address ' • I*. .A /\•M PrTYPE OF CONSTRUCTION ' - pop _ Owner SW 4 eI I Phone�S•1•G77 0 NEW 0 ADO ALTERATION - - - • Address ICE16 ',"-(/44^/1` . I3L Gini t6 REPAIR 0 CONVERSION ODEMOLISH { ZONING REGULATIONS (ys Arch/Eng. Chn .License No. 0 OTHER _ � A.P,3• �-g--2-15 7- I'fj -. -' - -•( Address s-' t'-""1—• � DESC RIPT ION OF,WORK Ifd's 7�L i-EXrYM IC. n 7� 972 tsz _ _ I _ _. - • - . - ZONE 'C .Lr - PLNG. REF.* A ' —I(P ( Contractor Vjl/n 'tt5 CD(Us • Co Phone R6-an TYPE OF PERMIT . -' - - Tp BUILDING ,�// SETBACK C/L ST. PROPERTY LINE. 'Address 9,x7" CO'T . L [nv1yC. _ - - - 0 GRADING 0 FOUNDATIO L7 STRUCTURAL I E YARD ' 1 �q��7 /O / /fy, �Lt�FT 1 Ll elm\r7.� q �eten 1 CM.\ I LICENSED- CONTRACTOR DECCARAT fON . 0 TENANT LJ ELECTRICAL L•J PLUMBING ❑MECHANICAII siDE YARD ( ` rr�ss I hereby affirm that I am licensed under provisions of Charter 9 (coin- RIGHT 2ry �fj�I IMoa4 sr4 ievIS `•-.... mencing with section 7000) of Division 3 of.the Business and 0 OTHER ' Professions Code d license Is in full fort d., 1 REAR' YARD(TO P/L) - , ' `j pL'••!. SFT. , 770 License Class �/b`�C' s C"L'-/'�f-- 7�7 fr - - PKG:SPACE'REO- ' PROVIDED • Date -' Signature ' -� SQ. FT. / ( _ WORKERS'COMPENSATION DECLARATION. - - l; -OCCUPANCY) NSTRUCTION TYPE _ STREET WIDTH - PARK-FEE E' I hereby affirm that I have a certificate of consent to self-Insure or-a VALUATION.� g57 "ZONE _ - - ZONING APPROVED B �;.jl-;IL DATE ' L1�/OZ certificate of Workers' Compensation Insurance,.or a certified copy s�•� (J ,thereof (Section 3800, Lab.C.). GRADING CU.YDS. • ACRES SPECIAL CONDITIONS: - - • Policy No. - Company_ - - __ - . ._ _ .. - _ .. ❑ Certified copy is hereby furnished, - REMARKS: !� C?7, 6(/, Q? - •- _ • _ • _ -_ ,ertlfied copy Is filed with the city Building Division. - /r_ ( - - - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION . (This section need not be completed if the permit is for one hundred - - .qe^ ($100) or less). - .. -- - _-._ . _ . .. _ I certify that in the performance'of the work for which this permit is Issued,'I shall not:employ any person in'any manner so as to become PLUMBING - - PLAN CHECK -- --- ELECTRICAL -- PLAN CHECK _subject to the Workers'Compensation Laws of California:' - - -" UWtLLING _ GHHAtat _ Date Signature BATHTUBS - "- -" --SHOWERS - - - ._ . 50 FT SO FT - - NOTICE: If after making this declaration, you should become subject , TOILETS URINALS - - - GENERATOR ' 0-1 KW' "•1'-10 KW- • • - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER . . , forthwith comply with such provisions or this permit shall be deemed _LAVATORIES , DOUBLE-LAVS- ' - APPLIANCE 10-50.KW_50+-KW _ - revoked. _. ._ - KIT.SINKS l' tki- a'DISHWASHERS T - - I/T /}/.-•s MOTORS CONSTRUCTION LENDING AGENCY S / r`l/ 0-1 HP_1-30 HP - I hereby affirm that there is a construction lending agency,for the per- SERVICE SINKS ~ SUMPS - (INC.SOLA 10.50 HP 50+ Hp '' _ _ formancetof theTwork7for which this permit is-issued (Section 3097• - �- < - -- -Civ. C.). __ FLOOR'S-INKS' - . ' FLOOR DRAINS r' • '- FIX Sin OUTLETS' IT SWITCHES - - - �7- 7-y- Lender's Name - _ • .- - .. _ • • Lenders,, ddress '- DRINKING FOUNTAINS- •'• '- - S TUBE SIGNS --- --- ---.-- - - OWNER BUILDERDECLARATION' - N. - ` '\ INTERCEPTORS - •.0 L'ARI FIERS - 'POLE LIGHTS - - - _ _ _. - I hereby affirm that-1,am exempt from the Contractor's License Law for -- ' - - 'the following.reason (Section 7031.5 Business and Professions Code:. SWIMMING POOL " '-- P TRAP' - ' • Ct./habiCt./haCt./habil-WC. Any.city.or_'county which'requires' a: permit_to, construct;, alter,, - POLES- • METERED • "'SUB' improve,demolish Or repair-any.structure; prior'to its issuance,also re- WATER SERVICE.; - ' ALTERATION • - A MAIN • $UB - - quires the applicant forauch.perinft to file a-signed statement that he - ,_ - is licensed'pursuant to the-provisions of the Contractor's License Paw GAS SERVICE - OUTLETS - '' - - RVICE - - • AMP .. (Chapter v9 (commencing ,with Section 7000) of Division•3 of the - Business and Professions Code) or that he is exempt therefrom and the' WATER HEATERS/ ^._BTV OUTPUT -9.."OD - - - - -._ basis for the,alleged exemption. Any`violation of Section 7031.5 by - !N'9y"'� any applicant for a permit subjects the applicant to'a civil penalty SEWER CONNECTIO - -- - - - • • - ' • ' . - of not more than'five hundred dollars ($500).\ _ • CII; as owner of the property, or my,employees with wages as their SOLAR TANK ' COLLECTORS • - - - - . - - -- ... ...... _ sole compensation, will do the work, and the structure is not intended - or offered for sale. (Section 7044,.Business and Professions Code: The SOLAR PIPING SVS.' - ' - - ISS FEE - - 1.- ' .3 Op Contractor's r improvescense theres no nd.wy-tosan,owner rk hproperty, _ _ ,_ ` _ - -1-. 00 APPLIC ION APPROVED BY We �� DATE iffaf9/clz who builds or improves thereon, ana.who'does such work himself or -' ISSUE FEE •` rthrough:his•own.employees; provided,that such Improvements are.notb ' intended or offered for sale. If, however, the building or.lmprovement• - I FECHANICAL • ' PLAN CHECK . SUMMARY is sold'within:one•year'of completion`;the owner willmave the burden - - •-. _ of proving<he did "not,build_orc improve_for the 'purpose of sale). -- - - • - - BUILDING pp ti. < HEATING SYSTEM 0-100,000 BTU , PERMIT $ 9s'so ,.SMIP $ Q'!7 \ 0:.1, as- owner .of. the^property,am- exclusively.contractingewith- AND-DUCTING r-v^ "-' " - • - - - - - -- - air", licensed contractors to%construct the project (Section 7044, Business '100,000+ BTU PLAN CHECK $ S PERMIT '� -and Professions Code: The Contractor's License Law does not apply to _ ,. ' s ISSUANCE $" -' ' an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,00 $ ly00 0 BTU PLUMBING tracts from such projects-with a. contractor(s) licesned pursuant to SYSTEM l .3-4.5-0 . GRADING S the Contractor's License Law). 100,000+BTU"' y. PLAN CHECK 7,5 ' _ i 0 I am exempt under Section' - B.& P.C.for this BOILERS BTV ' ELECTRICAL E •5'7C - . $ • reason - PLAN CHECK-- $ '��7 - MICROFILMS v �j. Date. Owner SYSTEM REPAIR,ALTERATION • TOTAL'FEE$ �30•I0 I hereby certify that I have read this application and state that the above HAUST SYSTEM MULTIPLE MECHANICAL $ - information is correct. I agree to'comply with all city and coun - PLAN CHECK. E - VANCE PC E - ordinances and tate l.ws rela '•• t• onst tion,and her.. • I e . _, r, 'represented - sem:••' • y t• ;tit- u•on the . Or tlo••• property fo`,,4� ur••s- , /- - , /S. 70 Signature a, Date • s� - , FINAL FEE E ( Drivers'License or SS •���� ISSUE FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor i POOL-&SPA ' -' CONSTRUCTION AND PLANNING � -_ , • APPROVALS Permit# 'e7fMN) Date Inspector - - Permit# lM- , Date - • Inspect APPROVALS L_ Temporary'Electrical Service or Pole - 43. Pool & Equipment Location' -- - 2.. Soil Pipe-Undrgrn - _ , , 44. Steel Reinforcement • • - 3. Electrical Conduit Utility-Undrgrn- . . , , . . ., . - 45. Forms - - - - - - - ' 4. Electrical Conduit-Undrgrn , ' - _ - - 46. Electrical.Bonding. - -- - . - - 5. Steel Reinforce 47. Rough Plumbing&'-Pressure Test - - - •- -• - - 6: -"Electrical-UF.ER.Grn: - 48. APPROVAL TO COVER-GUNITE - - - - --- _, .>. 7.._.Footings . • ' . . ._. 49. Electrical Conduit-Undrgrn' ' ' 8. Foundation. --- - - ._ 50. Gas Pipe, ElUndrgrn Test-- - •• - . - - 9. Water Pipe-Undrgrn- .-_ . ___ - - 51. Backwash Lines, P-Trap. 0 Undrgrn ' -•' - - ' - ' - 5 .10. . Structural-Floor System. - -_ 52. . -APPROVAL TO DECK - ' - 1.1'.= •Property Sewer Line,.&-House Connection . - • . _ 53. - Backwash & Receptor-Final .. ' - - • - 12: Street Sewer Connection . . . _ . - 54. Heater &Vent:Final -- ' 13. Rough-Plumbing -- . - _. __ _ (- 4i' 4.2 •a f , _ t 55. `Plumbing System - Final - • - - -. • 14. Rough Electric-Conduit -/ - ' -- '- •'56. Electrical-Final- - . . , 15. Rough Electric-Wiring 7y�bsyyy� ,�D.�. - 57. Solar System-Final ' '- , " - , . , . _ -16. Rough Heating& Air-Conditioning - -_ . - - - /" - - - - 58. Fencing.&-Access Approval ' • - -17. Ducts, in Structure . - - - - - - - - - - 59.._ APPROVED FOR PLASTERING ' 18. Ducts, Ventilating-- --- - - -- - • - - 19. Gas Pipe-Rough &Test - - . - - - 60. POOL/SPA SYSTEMS FINAL • - 20. Roof Framing- -. -- - . .- -. _ - - . .- . ,Le)C.i./.a & -2./-W) CC . . . . 21. Roof Sheathing , .- -`1 - -- - - - '---- : - ' '• ... . -22 Frame and-Flashing44��_) - NOTES: - 23.-,Insulation -- _ -- - - .1-2.--- .1e�ie,,��+.r C4u7/r 24. Lathing &Siding - -- - - "" -•- d ^7 • l/::to Am 25. Drywall Nailing - "1, - /4/-$3 -n27 . 3-t-S3 1 26r Plaster Brown Coat - - A �--i--"-I-�� 4/ -4; / i , �.y A. I 27. Electrical Power Meter-Final - `"s''•- `- .. - _ 'y ��L.it'�'4- .• _ _ �..uy; rye- //A,�,., ;oe ' 28: Final-Electric -- - - • .' .3.-.'1-W &- - _ ..._a i Q__L�7� S-'.;42-0rO ^7evtivau.a.0. �'�-•C 29. Final Heating &-Air Conditioning , . _ �dtt- .Z -30. Final Gas Pipe-Test - .- Ardu .C6 /ia-r Steen rem:,f fce it- Yei ea fo ong4v.4 31.- Final Plumbing cS a -ot�t. Ns fllesl'et4 .-JI/P/9i .J/r 1 32. -Water-Service-Final- .i7 - - - - ,S.: y-83 T- ,e_..L ...•..4.4 f ' pa�:..n.! ��. ' 33. Gas Service-Final--- - - - - • . . ners .,e s,,s.;,,' ..it.....o.. t..to cam e..'#,(!/ y�,�N,,y� � • 34. Solar Domestic:Final -. .. - rt)w -- C2-4-0- CQOa-ra ..a."--35. Landscape Sprinkling System , „... - .....e,..- -•a > .- J..jj,� .. /8(27 36. Sound Attenuation `-- •0 - �T (J 37. Handicap Regulations, •- • _ - - 38. FINAL STRUCTURE_& BUILDING - 3.2S-E3 $%0/ - 39._ Special Requirements Completed - •- _ - - - - - - 40: Electric Release to Edison - . 41. Gas Release to Southern California Gas Co. - . • , 42. CERTIFICATE OF OCCUPANCY . - - - - No Date - - - ...- . 1� •