HomeMy WebLinkAbout2537 BACK BAY LOOP - Building Permits F
' ADDRESS OF BUILDING: 2537 BACK BAY LOOP UNT: CITY OF COSTA MESA — BUILDING PERMIT
ONNEnsMMEIFmma JOHN WINGER PERM NO: P 071491
ADDRESS 2537 BACK BAY LOOP
COSTA MESA, CA-92647 PERMIT NO; P 071491 PLAN CHECK NO: N GOVT; N SUPP ; N
APDL.MuIDM ADDRESS 1640 ADAMS AV CONSTRUCTION TYPE; V PERMIT TYPE: PLU PURPOSE: OTH
COSTA MESA, CA 92627 l
ARCHITECT OR ENGINEER: / UC N0.: JOB DESCRIPTION FINALIZE EXPIRED PERMIT #PE32684 SQ FT;
ARCH.OR END'S ADDRESS: WIT:
yes
_ NAME CLAIM VALUE: CALL—VALUE: GROUP OCC; R-3 /
-
CQRRAACTDWS MMUNO COMMENTS: EXPIRED PERMIT FOR PORTABLE SPA, RE: #E71490
ADDRESS UC.NO.: ***********************************,********************************************
um: Z O N I N•`G IREQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby Aim under penalty of perjury that I em licensed under provisions of Chaplet S SETBACKS
(commencing with Section 7000)d Division 3 d the Business and Profession Code,and my license is in WO force and died,
•CITY UC.NO.: UC.CLASS: UG.NO.: EXP; MAIN BUILDING 1•
f ACCESSORY BUILDING
FRNT; FT IN REAR: FT ' IN FRNT: FT IN REAR: FT IN
Date: Contractor LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
• OWNER BUILDER DECLARATION:I hereby effin,under pertly of perNry that I am exemia from the Cmaadm License Law for the
following reason(Section 7031.5 Business and Professions Code:Any offor comfy which requires permit toccnetnwt alta,improve, PARKING RE PROV: PARCEL; 93765065 ZNE; REF NO;
demolish,or raper any structure.prior to is issuance,also requires the applicant for such perms to Be a signed wtenNnt that he or she
is licensed pursuant to the promans d the Contractors License Law lchapler 9(commencing with Soren 7000)d Dkraon 3 d the PLANNING N TES>
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation d Section >
�70I31.5 by any applicant for a permit subjects the applicant to a civil peak,d rid more than the hundred doom 155001). ***********************************************,********************************
xe / he ProPerlY 70) withwages compensation, intended
D E V E L O P M E N T 4.
SERVICES - ; REQUIREMENTS
E Q U I R E M E N T S dlredaveb(Seecton01B'nwenProfProfessions The Contractors en
who bolds or in proves thereon.and who does such work Firmed or herself o through his or her own employes,provided that such
improvements ere not intended d dfered for sale.If, the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
ownsrbuilder will have the burden of proving he or she did rid Wild or Improve for the purpose d sale).
❑ I,as owner of the propMy,m exclusively contracting with kneed contractors to construct the project(Section 7044.Business and
Professions Code:The Contractor License Law does not apply to an owner of property who builds or improves thereon end who BUILDING APPROVED BY ; 4.._ DATE;
detracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ lamexempt under Sectioo B.AP.c.. . APPLICATION ISSUED BY; DATE:3 1c—/ql
0011 Owner /!�'J.. —`1/A LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby candy that I am aware of and understand the requirements of anomie Health and Salcey Code Sections 25505,25533,and
25534.and that I or any form buildup=unfelt will/oil not(circle one)need to tarn$,with said alae codes end the requirements for n
a permit or modification from the Aa catty aag«mnl Diddd.Residential applications exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
proMiona. PERMIT 725% .00
Date: Appicab: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affnn der pn*By d Poetry ono d tb
the following dedaena: PLAN
undere 00 n
❑ Ihave end witmaintanacentn�eddwentlosefu
inseforwMm'oompensSion,as provided for by Section 3700dthe Labor ISSUE FEE 20 .
Code,for the BUILDING—DIV PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Ela
Ihave dwit maintain workers'compensSnas
ninsuravice, requiredbySection3700oftheLWathe d
peddle/mos TOTALS----> 7 . 00 20 .00 0. 00 27. 00 27 .00 . 00
work for which this prime is issued.My workers'compensation insurance wilt and poky number aa:
Cartier REVENUE DIVISION TOTALS--> COLLECTED; 27 . 00 OVER/SHORT: . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This sed;wn need not be completed I the permit is for one hundred deltas WOO]or less.) 27 . 00
C
❑ I essayhare
that in the pante of the work for is manner r which this permissued,I shell nemploy any person any manrso to h
become subject to the woolen'cannmoving'lows d Calmat and egad Nish B shdeca
I dd bme°ihe nice"'ia°to tlare' *******************************************************************************
compensation provisions d Section 3700 of the Labor Code I shall forthwith comply with those provisions. INDIVIDUAL .F E E BREAKDOWN
Dale: Applicant:
n
Warning:Failure bsecure workers'compensation coverage IsunleW/w,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N'./ '„, UNIT COST TOTAL COST
civil fines cc to one hundred thousand dollars($1051100),is addition to the ret of compensation danage.-prorated ler In yv
secdon 3106 of Na Labor Coot Interest,anrdatromeys fees. PLU 1 FIXTURE SET/TRAP W/PIPING 6 BACKFLOW 7.00 7 . 00
CONSTRUCTION LENDING AGENCY:I hereby affairs under parer/of peddle that there is a construction leafing agency for the END -OF FEES
performance d the work for whish the permit is issued(Section 3097,Cit.C). /;
LENDER'S NAME .-
LENDER'S ADDRESS:
I cenh that I have reel this epp4Wion and date that the above iddmdion is correct.I ewes to comply with s0 dryad=MY wigwag
and state taws mating to buildig commotion and hereby authorize reressnbUves of this thy to enter upon the above-mmnned property
for inspection purposes. BONNIE TURNER ' r
'..1 ., —Trim Name l
/AP-a. . . ' ..�,d Date: e3 —is—yf
Signatu a
•Gal r.. . Ppkw,utontracd 01 00178189-00178129 TOT :.I
: �J
1 - DATE: 03/15/9` TIKE: 15:58
(5151.46 WP) White-&ridig&SSS,Green-Flo Canary-Apparent:Pink-Revenue:Gddervod-Assessor
- ..
CONSTRUCTION AND PLANNING - : PG.,L & SPA
ti . 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 •
.,�3ii£lectvical Conduit Utility-Undrgrnd. 54. Forms j
'=4:: leciric I Conduit-Undrgrnd. • 55. Electrical Bonding ' I
,_
. , !Stee&feinforcement 56. Rough Plumbing & Pressure Test
.6"ElecjriVal UFER Grnd. 57. APPROVAL TO COVER-GUNITE Ti -
7•a Footings 58. Electrical Conduit-Undrgrnd. :_.
' B.;F.oundation59. Gas Pipe, 0 Undrgrnd., Test
,
t9.'Water Pipe-Undrgrnd. " 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. nftructuital 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 tit 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 i '(R; s ' ' r L.' 4' APPR'OVA il3 14.7(1111t# 4 '
w21. 'Ducts., in Structuroi` •• '••
: c ,'�a L 70.YUnder§ u�d EYdroa
22. Ducts Vdntilaf,ingO,� ' , .dt c`•,"; ° 71. Product;Piping'Naas
L�1 Oil
23. Gas Pipe-Rough & Test :1% =- � ,,; r * ,- 72. Underground Ftifsh ! :4
24. Roof'Framing" >"t ""' "bi ' = :2, c :,, = 73, Undergrnd.Stofi a Tank ❑Gas ❑Oil
25. Roof.Sheathing tri v �J ^J 1 - 741 Overhead Hydro -
- �:- -, ,
26. T-Baf?Ceiting (StructLrall & Monocoat : <__ ``; -
• `?_, 75: Dry Chemical F, - _,
27. rare and Flashings _I o;tr: r C. - 7S:-k 76. Dry Staffl pipeFc'- s I-
28. Lathing&Siding 21 �' .y� •-i '• -.7. 7y, FIXED SYSTEM-) iNAt,-., �j
29. Insulation - •• ' ^ I I k. 7$; FIRE PREV. FINAL . ^,
' 30. Drywall flailing , Hs, •- F� - - •c';HEALTH DEPJ 'REQUIREMENT
31. Plaster B owruCoat , . i :1 ,. t i I 1' a 79.FINAL INSPEC• TION • - :r
,. 32. '.Electricat,Power N'i'ts:Fioal : ?' i I y n- 8Q5 FOOD CERTIFICATE IrSq.UED�
r- r. I .;:• C' a 1:71 j .n ' C' '1 i.
- 33. �finatiElectric t• , v; I w L, Notes: '-1 -;p; 1, '-1 r - a
34. Final:HeatingA Air Conditioriing I I I• - 1! e,s- i-i : f-7•_: �
= nl 'n i1 . : s ti/G Acte_0:TS t'i r-eAlltita �N'
35. Final Gas.Pi e,-.Test - rt k
_ •i_V�
p I S<io ,,,, ' . mil v`
i. 36. Hood-or Canopy '° -; 1 941 a, .1 i I. ,. .„. 1, -.� '/I _
i. C. I all 1 * .N[ L'. . -IAV4. ftlL7
.. l1 I
y37. Final.FaCiory Fireplace4 Y i := o,F. ' I ria�� . - >:n;
-138. FinallrPlumbing : •' 'U i
--
' avf_ r `• == f-1 - ' .'
-, 1 PJ [ i '181 - •�'
39. Water Service-Final,. L _ * , I I It . u.
i' 40. Gas Service-Final a,* to b':^•',i' # tit I I k r.•[- -!o'
y 41. Solar Domestic-Finat; - `_t - { '-' I i ;,, ";" ,
42. Backflow Preventer ! . ni i I i2 t:: t n! :•1
43. Backflow Irrigation "• 2. •1 -
} i n1 4
44. Landscape Irifgation\System'sp ; W.it4. PI t:% ti CIA ' ' n; t1: + �, ^r c.
•• -.,! '^4 m t S - .1':. . T. • V QT a :r .
45. Sound Attenuation; _ , •• ' f"' co. t:, u;
46.• Handicap•Regulatiorts 0 . 4 t 'n ' Jo _
- .- , I 1 -t -. tr; '+ V
,4,7. FINP,<LSTRUCTURp & BUILDING 1, E4 I I_ `
I F' . '
48. FINAL PLANNING! I .-' ". ! P; 1 i . It 1 i "ti �'
, t, n .v
49. Electric Release to Edison 1 * i 1 ,
1 a I ', ti - •C`
: o
50. Gas Release to Southern California Gas Co -' - T - "' - on J •
51. CERTIFICATE OF OCCUPANCY .':c -'
No Date
F.
,.ABO'nt55 OFBUILOMO: 2537 BACK BAY LOOP UMT: CITY OF COSTA MESA - BUILDING PERMIT
VNNERSNAMEIFQCrft JOHN WINGER PERM NO: E 071490
Ja ADDRESS: 2537 BACK BAY LOOP
.�� COSTA MESA, CA 92627. PERMIT NO; E 071490 PLAN CHECK NO; N GOVT: N SUPP : N
Appi.ummuRES£ 1640 ADAMS AV CONSTRUCTION TYPE; V PERMIT TYPE; ELE PURPOSE; OTH
COSTA MESA, CA 92627
ARCHITECT ORENmiEER: UC.NO.: JOB DESCRIPTION ; FINALIZE EXPIRED PERMIT 413E32684 SQ FT;
ARMOR ENG.'S ADDRESS: UMT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
CONTRACTOR'S NAME: 0
CONTRACTORSIMRIO COMMENTS: EXPIRED PERMIT FOR PORTABLE SPA
ADDRESS: RIC.NO.: ************************************************kF******************************
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty d perjury Use 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 fug force end died.
CITY L1C.NO.: LIG.CLASS: LC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Date ContrBcor - LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am esa ng from the CoMrauon Lice se Lew for the
(„�gllnwigreason(Section 7031.5 Business and Professions Code:Amcdy a aunty which requires a parrot! construct,alter.improve. PARKING REQ; PROV: PARCEL: 93765065 ZNE; REF NO:
, :noleh,or repair any structure,prior to it.issuance,also requires the applicant for such permit to file a signed statement that he or she
r ioenaed pursuant to the provisions din
n of the Contractors License Law[Chapter 9(commencing with Section 7000)d D'weion 3 of the PLANNING N ES>
'T' rinses and Professions Code]or that he or she is exempt therefrom and the beds for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a cert penalty of not mom than five hundred doten(55000. *******************************************************************************
m I,as owner of the property or my empkwees with wages as their sole oornpansaion.will do the work,and the structure is not intended DEVELOPMENT V E L O P M E N T S E'R V ICES E S R E Q U I R E M E N T S
or offered for see(Section 7044,Business and Profession Code:The Contractors License Law does noam/Weeppe en Oxnard properly Q
who bolds or improves(hereon,and who does such work himself or herself or through he or her own employees, uch provided that s
improemes are not intended olesale ed for sa .however.the buddo ing inproreruery a of sold witMn one yawcompletion, o ZONING APPROVED BY
dDATE:
ownerhutder will have the burden d proving he or she did not Mold or inprose for the pumas of sale).
❑ I.asowner of the property.amexdusivety contracting with licensed contractors to construe the project(Section 7044.Businesses BUILDING APPROVED BY : DATE:
Professors Code:The Cantmeon License Law doe.not empty to on owner of Prcpsly who bulbs or improves thereon end who
contracts for such projects with a cadadods)licensed pursuant to the CoMractas License Law). :al//
❑ Iaro exempt under
/-5---o : B.ane..o� ;a �D APPLICATION ISSUED BY: ,Jr *ATE: S
J *********************************** ********** *************DATE; ______ �F**
Dere: � 'IS- l � oma !' � LEGALIZATION;N F E E' SUMMARY STRUCTURAL SEGMENT:N
I do hereby candy that I am aerated and understand the requirements of anis Health W Safely Code Seders 25505.25533.and
25534,end that I or any Mon building omrpert*ill/wit not(crime one)need to an*with said dale codes and the rsquiresrients for
a penile for rommo
hctionmoddationfromtheAi- deg«nentAddd.ReNdetieloawruaenapplatiosareexermptfromthese PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions.
Date: Accordant: PLAN 50% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declaration: ISSUE FEE 15 . 00
❑ Ihave and MImeiMeinacertificate oconsent toselinsuretor workers'compenWon.=provided for bySedian3703otheLabo BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
•
Code,tor the performance of Ow work for which mrm
this pen*eissued.
TOTALS----> 4 . 50 15 , 00 0 . 00 19 . 50 19 . 50 . 00
❑ I have and w l maintain workers'compensation insurance.es required by Section 3700 ofCode,o
the Labor r the performance d the
work for which this permit Is issued.My worker'compensation insurance carrier and policy number are:
Caner: REVENUE DIVISION TOTALS--> COLLECTED; 19 , 50 OVER/SHORT: 00
Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(rose section need not be completed I the plank is to one hundred dollars(St001 or Ares) 19 . 50
❑ 1 certify the 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 IM rakers'compensation Laws d Caliome:end tarn that B I should become sables to the waken' *************************4t*****4t*************lf*********************************
compensation provision d Section 3700 o the Labor Cade,I shall fathw\th comply with those oprovisos. INDIVIDUAL F E E BR EAKDOWN
Date: Applicant:
Warning:failure a secure wedrera'conpw sedan coverage Is unfair/14 and WWI aub/aet an employer to Mora penalties we TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil fines w to one hundred thousand dd/ars($oo{nDOA In addlfon to the cost of compenesdn damaged me provided for In
Section 37o5ofthe Labor Code Interest,and enomsy'afees. ELE 1 RECEPT/OUTLET 1 ST 20 EA. .75 . 75
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury the then is a construction ey er
lending agency the ELE 1 REC EPT/SWITCH 1 ST 20 EA. . 75 . 75
a
performandtheworkkrwhicthispermiisissued(Sedion3097.Ce.C). ELE 1 MOTOR/POWR APPARATUS 0 . 0 - 1 .0 HP 3. 00 3 . 00
LENDER'S NAYS END OF FEES
LENDER'S ADDRESS:
I certify that I have read the application and date that the above Wormalion is caned.I epee to comply With aS dry and county ordinances
end stale laws retails to building eautrWm and hereby authorize napreseteies el the ally to enter upon the above-menti reed properly
for inspection Purpesea. BONNIE TURNER
Pmt lL ,y
owm>; .C'/!na\ Date: C '/.�-2c 01 00178188-001781EE TOT 19.50
Signature d /AgenuApptiunUCantreda
DATE; O'sti5/95 TICfE: 15:57
(5151'46.WP) Whte-Buildig&Safety.Omen-Fe:Canary-Appian:Pink-Revenue:Goldenrod-Assessor
I CONSTRUCTION AND PLANNING x POC SPA
. •AAPPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
-4 1 /
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
j
.Electri
-: cal Conduit Utility-Undrgrnd. 54. Forms
c '::41.glecfridl Conduit-Undrgrnd. 1 55. Electrical Bonding _ -
'.f.,S.,SteettReinforcement 56. Rough Plumbing& Pressure Test
r^ ,
• `131 lec flal UFER Grnd. 57. APPROVAL TO COVER-GUNITE
]: ootings 58. Electrical Conduit-Undrgrnd. C.
8.1foundation 59. Gas Pipe, 0 Undrgrnd.,Test
'i 93:15.1ater pe-Undrgrnd. i 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. -Structutal 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 p1 I 65. Electrical-Final
15. Rough Electrical-Conduit c' 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
rr'-, r..r-1 e ' rti Zr: , - t'1 PIP:
C:
20.,pottgh Factory Fireplace I 7c2 14-.-..1 A q • _ APPpVA'LSr;:-. Permit # '•
21..bucs,in Stractuie _ :• - -' •-": - ^ L 70.'-Undefljrou;jd NE,dro
22.pucd, Venti &• . •Tu ••' •
_ _ ' ' Oil
!a',tin , .. - 71. ProductpipingnGaa
23.`Gas;Ripe.-Rou h & Test i ai,5: + ,n ,> r i it-,
_ 9 _ - 72. Underground Fti'slt
24.tRoof-Fr thing' ',;`t ”, "t- " = - ±.,� laUndergriid.StdrageTan& OGas 6biS`
25. Roctf,Shething -r n _*, -: a r7 74. Overhead Hyctrii
26.=T-Ba'r;Ceiling (Str9cfural) & Mand'coat a 1: 4:1 1; 7K Dry Chemical z•,:....."3 ° rI - ;; ;'-
27.framearyl Flashing, :u t1:�: .1 - 76. DryStantlpipeE`tn -,^ t
,. 28. Lathing&Sidingtr 7'rF. Ci i - "I "I77 FIXED`SYSTE\4! / L
FINy '�`•:
• 29. Insulation 'f• •• • I 1` 78. FIRE PREV. FINAL • J•
• 30. Drywall Nailing ;?. ,y1 : .� I i I. _ „iFlEALTH DEPTITREQ'UI070IENT
; 31. Plaster By.pwp Coat;.. �; 1 •: -:• 0 1 ;e - 79. FINAL INSPECTION
32. _Electricagower Meter=Fipal i -t I I Ir " 8Qi FOOD CERTIFICATE 15S.UEQ .
33.,Final;Elemotric, ` , .- j 4 ay ' ' Notes: _:16. �j- n
, 1•
34.(Final7Heating-& Air Conditioning.: 1 1 1. •3-:47-L;
; •:., • I t G
,, ;:; 41 .:1 '-1 t .1 try I I Ir - -,-J7 C 1 e "„•-'
r., gi♦ u: -1 . " I I. • r -,... _ i 1:1` • r. '.1
35.;Fina!Ga Aipe:Test Cr •• •-� i I I' - '1:`.D ""4 'u t';`�D<
36. Hood'or(GanopY * ' : -1 a (• t . I -, ?. -
'' a .op'
C' t r o• ,: to - t" -:n rn 1„4.1 rn
j 37.(F',ina(:Fasiory Fireplace s_ i ;gip. f"-t; -• I ' ?I: 'ry r CO
•i: 38. Finat.Plumbing • v o ! I i ' , I. .
•Y A •n 3. I 'i e rr t: 1
•' 39. WatePSece-Final; g 141, � I a -
i I ter.
bi • '71.7' _
; 40. Gas Service-Final . -t <':-,4 t -• 11 C.1 r... .1 7 : :"_
• • 1 � rr t t I (- . p r
i 41. Solar Domestic-Fina] .; i, I i 'r ,i c :t
42. Backflow Preventer. %1; L_, r I I• 'i•F •• t7
43. Backflow Irrigation: .'' " * •r ' •,•• - .`.
,44. Landscape Irrigation SYstembirn'.J o: + to J 7 m C; 6:7 :r ~ n% r•111.,c,
:45. Sound .%;tterivation,, y `r- •K' c• c- •C • r-•C .
6:46. HandicaP.Regulations - J 1 ii ;r• - CIc> 5.7 4
47. .FINAL STRUCTURE & BUIt'DING ! -, I I 2. '; c . r
48. gINALPLANNING* i [ I?_ i - r .!
:49. 'Electric Release to Edison :. I I; r `_ • - ;
.50. Gas Release to Southern California+Gas Co • [ C. • 0•i=� - C
- `- Cl :, , 'F 'I l
;51. CERTIFICATE OF OCCUPANCY
No. Date .
�. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY"�F COSTA MESA C,ONSTR{UCTION PERMIT ER IT NO. TRACT NO. LOT NO. . UNIT NO. �I DI .3/2I /B(3 24p50 TL
Projbct Address "-fl K.app4�C4yC K Ay to DA
�G •3 ZOO y `�L�' �1
• Applicant's Mailing Address p 1 7 ACT ter bet
TYPE OF CONSTRUCTION LJ NEW U ADD sly ALTE RAyTION L2 REPAIR
TMA/ Rt I✓/A// E� Phone gen erY ❑ CONVERSION ❑ DEMOLISH 0 OTHER /_ A.P.#N• I Zone
Owner's Name 1 8
S f��E DESCR�TJ ON e n•K/USE BLDG.
Address f OY / - , S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT U GRADIN �OUNDATIOryE '•
USTRUCTVRAL Front
Address ' ❑ TENANT C LECTRICAL PLUMBING ❑ MECHANICAL A Rear N
Contractor's Name 0�� Phone ❑ OTHER .
PROJECT DESCRIPTION SQ. FT. OCCUPANCY 1t/ C Right • N
Address(mailing) G
CONSTRUCTION TYPE dr VALUATIONS S Left -
City License No. ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E
0
I hereby affirm that I am licensed provisions of Charter 9(commencing Remarks: Planning Notes: Ni
'with section 7000) of Division 3 of the Business and Professions Code,and
of erT
my license is In full force and effect. '
License Class License No- - S
Date Signature :- PLUMBING FEES
WORKERS'COMPENSATION DECLARATION ' Bar Sink Showers ELECTRICAL FEES
•ereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section . Backflow Preventer Service Sink .
_d0o, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW .
Policy No. - - Company - _ . Backflow Irrigation • Sewer Cap Construction Pole Sub. 0 50+KW -
8 Certified copy Is hereby furnished. -
Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant
/ Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps
EXEMPTION. FROM WORKERS'COMPENSATION DECLARATION P
(This section need not be completed if the permit is for one hundred(5100)or ```,,,...���
leis). Dishwasher Solar Piping ^ Ly' Dryers ❑Gas ❑Electric Sub Panel `
I certify that in theperformanceperson of the work for which IS permit is issued, I Cl�yj]'yn
snail not employ any person in any man er sois to some subject to the i Drinking Fountains Solar Tank Fan
Workers' Co/n pen on Laws of Calif ni //p v a f Motors❑41 HP ❑1'h-8 '� 00
Date ;/ %t/ /r&- Signature "/c.J'I Floor Drains Swimming Poo av a F.A.U. Inc.Soiar 09.15 HP 016-15+
NOTICE: Is atterr making this declot n, you should b ome subject to the '
Workers' Compensation provisions the Labor Cod ou must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or his permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes •
Pole Light I hereby affirm that there is a construction lending agency for the performance g
of the work for which this permit is Issued (Section 3097 Civ. C.) interceptors . Water Heater i Outlets Range 7�
Lender's Name
Lender's Address Kitchen Sink Water Service i Switches Sign
/ OWNER BUILDER DECLARATION
/ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories 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 Laundry Trays Generator 00-5 KW 05.15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit I>a
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains �`�,r h� Q� r1 Q(7 I1
the Contractor's License Law(Chapter 9(commencing with Section 7000)of "Spa . /� 16`� �� JI
'lvision 3 of the Business and Professions Code) or that he/she is exempt '— 1 l r
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
pee natty of not more than five hundred dollars($500).
LJ I, as owner of tile'property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 _`
compensation, will do the work,and the structuro is not intended or offered - - Reinspection Fee $15 Issue Fee �$e Cs
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 1 0
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale). �r
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ' / ' Date•T-2./S8
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 FEE
builds or Improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that . BUILDING PERMIT $ SMIP $
pr of of their Worker's Co mpenjryiltlg.zurance should be provided to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration
I am exempt under Section `Z Ke-& P.C.for this reason —1 Firepl/Fact.Blt. ICBO# Fire Dampers ' PLAN CHECK $ v7� PERMIT
PLUMBING $ p ISSUANCE $
Date Owner Heating/R/ ting System& Ducting Registers PLAN CHECK 25% $ --.. ENERGY P.C. $
I hereby certify that I have read t application a state that the above 00-100,000BTU 0100,000 BTL
Information Is correct. I agree to c ply with all ci and county ordinances ELECTRICAL $ !9•J 0 GRADING §
and state laws relat'ng to buildi)• construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of thisity t• ent/ upon the above-mentioned arty for
/
inspection our••s.! t pro�X( , MECHANICAL $ TOTAL FEE $ 2"�^5�
• Signature a. i _ - Date
Drivers' Lis,/ or SS# ` Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $
n a
‘CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNING- POOL& SPA-
APPROVALS Permit# Date Inspector I 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 COVE R-GUNITE
7. Footings : r 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, O Undrgrnd.,Test
•
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 .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling S 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 I.
22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank O Gas 0 Oil `,,
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 1 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. FOODCERTIFICATEISSUED '^ t t
33. Final Electric No s:/D-2/-fid' Patna- EKP/eEw7 ss Peri itt
34. Final Heating & Air Conditioning 200•3 U_f?4 L.E•0. /1_
35. Final Gas Pipe-Test
36. Hood or Canopy
3): Final Factory Fireplace
38. Final Plumbing f'
39. Water Service-Final • •
40. Gas Service-Final
1-'41. Sorar Domestic-Final ;• •.- r
42. Backflow Preventer 1. '-, -y. .
43. Backflow Irrigation •i •
.
44. Landscape Irrigation System �•
45:Sound Attenuation -.. �'=,. . ,
46. Handicap Regulations ,
47. FINAL.STRUCTURE & BUILDING
Jr
48.. Special Requirements Completed
49. Electric Release to Edison - ^-
50. Gas Release to Southern California Gas Co i I v
51. CERTIFICATE OF OCCUPANCY -
i
No Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. •• TRACT NO. LOT NO. UNIT NO. ,/ • 0874 4/09/85 - 3000 IL'
. Project Address £.c3I hp-cii.- V�'r�ppne'..•-///_yy JJJ n nil 1(2).4 0-5 'I�(I �' ��7 Zr
Applicant's Mailing Address //SO . (W.c.�•C Ir (r(A}L TYPE OF CONSTRUCTION Wyv EVi U ADD U ALTERATION U REPAIR - - .
fy1sJ_V+7lys' -/ / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. #, Zone
Owner's Name r-I •�'dL w Phone tQSz-i�l� DESCRIPTION OF WOR K/USE OF
Address D / Z s � zo_2_ + S Main Building: Accessory Building:,
Z
Arch/Eng. License No. TYPE OF PERMIT IJ GRADING FOUNDATION• LJ STRUCTURAL E Front - .. O
Address �I.�� - 1 ''1j -❑ TENANT ❑ ELECTRIC L ❑ PLUMBING ler MECHANICAL B Rear - N
Contractor's Namas`-L/rG•s..LpJO .,� one . V:•_,-2-I-7/6 ❑ 'OTHER - int S\)S A
��`� • PROJECT DESCRIPTION SQ. FT. - OCCUPANCY_ - •
G
C Right N
Address(mailing) ! 3l) P Qr Y/ -rK
U I O I �9 CON ST RUCTION TYPE -_ VALUATION S Left •
R
City'License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION - - Ping. Ref.�k Parking Req./Provided E
hereby affirm that I am-licensed under provisions of Charter 9(commencing Remarks: Planning Notes: - M
with section 7000) of Division 3,of the Busiinness and Professions Code,and - T
my license is in ful force and effect. '?f„�. 2.5c1 1,44-0-1S
License CllaJ b Lia 0. _
•
Date S Signature I +-. r... PLUMBING FEES -
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
hereby affirm that I have a certificate of consent to self-insure or a certificate _ ELECTRICAL FEES 1
f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - - Service Bink- - - - - - - - -
• ly/ • _�_sss,,,��1,,, Automatic Washer ' Transformer 0 15-50 KW
1800• Lab. C.)v ` / .%‘ - - c
Policy No. 3 w l Company ' I I Backflow Irrigation ❑ 50+ KW •
9 Sewer Cap -. Construction Pole Sub.
❑,Certifietl copy is hereby furnished. _ t •
-
ertifietl copy is.,n d with the city Builtli Dsorj '////// �{ - BathtubsSewer Connection Cooking Unit Meter ❑up to 100 amps
Date 3•--C-6-- 1 Applicant •/ •�-("1W^
-
EXEMPTIONFROM WORKERS'COMPENSATION DECLARATION Clarifiers ' Solar Collectors , Dishwasher Meter Dover 100 amps '
(This section need not be completed-if the permit is for one hundred ($100) or - -- - - _s
less). Dishwasher - Solar Piping a Dryers ❑Gas DElectric .• Sub Panel I
I certify:that in the performance of the work for which this permit is issued, I ' -
- shall not'employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank L Fan' Motors❑0-1 HP ❑1 R-8 1
Workers':Compensation Laws of California.
. Date - Signature Floor Drains; SwimmingPool /S a -
'NOTICE: If,after making this declaration, you should become subject to the wp F.A.U. Inc.Solar 09-15 HP 016-15+
Workers' Compensation, provisions of the Labor Code, you must forthwith Floor$inks : Urinal -- Fixtures
comply with such provisions or this permit .shall be deemed revoked. - _ • Microwave- ' ,
CONSTRUCTION LENDING AGENCY - Gas Service, 'Outlets - .Water Closet Device Boxes 1 Pole
I hereby affirm that there is a construction lending agency for the performance Light ,
•
of the work for, which this permit is issued _(Section 3097 Civ. C.)
Interceptors, Water Heater - Outlets Ran
Lender's Name _ _ _ _ _ . - Range
Lender's Address Kitchen Sink ' - • Water Service Switches Sign •
OWNER BUILDER DECLARATION '
I hereby affirm'that I am exempt from the Contractor's License Law for the Lavatories t
•
following reason (Section'7031.5'Business and Professional Code: Any city orA'Auto-Wash Garbage Disposal ;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 Trash Compactor
any structure, prior to Its Issuance, also requires the applicant for such permit P
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 1 , • .- . I
Oivlsion 3 of the Business and Professions Code) or that he/sheis exempt - 1 - r '
herefrom and the basis for the alleged exemption. Any violation-of Section • p - - ' •
/031.5 by any applicant for a permit subjects the applicant to a civil '
s(_enalty of not more than five hundred dollars($500).• . _ -
LI I, as,owner of the property or my employees with wages as their sole Reinspection Fee- $15, Issue Fee ' $ 3
' compensation, will do the work,and the'structure Is not intended or offered . - Reinspection Fee $15 Issue Fee •
$ 3
' for sale (Section 7044, Business and Professional Code: The Contractor's i , MECHANICAL 1 - • 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 r., , Hood or Type _ ,
sale If, however, the building or improvement is sold within one year of com- - Canopy Type 11' ❑ , Zoning Approved By • Date
I 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 Approved ByDate 1
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By 4 Date VI
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 i ❑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❑' System Repair/Alteration BUILDING PERMIT $ ' SMIP' - $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason ; Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date • Owner Heating System& Ducting Registers PLAN CHECK 25% $ l ENERGY P.C. I $ ; •
N6
I hereby, certify that. I have read this application and state that the above -100,000'BTU ❑100,000BTL - - - . - QD 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- 1 MICROFILM $ i
sentatives of!this.city to qpt r upon the above-mentioned property for - PLAN CHECK 50% $
• Inspection purposes 4 // i y ,, / •: IV t 0. q� !l '
Signature F7. .1 kaA•L Date -7-6 MECHANICAL $ 7 +per TOTAL FEE ; $ 'CJ•C��/
Drivers' License ariSS t ' Reinspection Fee ,I $15 Issue Fee • $ 3 • PLAN CHECK 25% .$ • I •OO
pa
CMF 0865.46,rev.10/84 • White - Building; Canary-- Applicant; Pink -Accounting; Goldenrod - Assessor - y/, ttt
CONSTRUCTION AND PLANNING - POC.- s SPA
APPROVALS Permit# Date IInspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
'2. Soil Pipe-Undrgrnd. - ' 53. Steel Reinforcement
.3.•Electribal Conduit-Utility-Undrgrnd. r. 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 •I 64. Plumbing System - Final
14. Rougf; Plumbing. - 65. Electrical-Final - t
15..Rough Electricaltonduit 66. Solar System-Final
16. Rough Electric Wiring . - 67. Fencing & Access Approval ' i
' 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 lashing 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 ' 1..
33. Final Electric Notes: C'?
r
34. Final Heating & Air Conditioning pf/q/� c-to ,
35: Final Gas Pipe-Test Pk
1
3611-lood or Canopy
a
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
I! 51.
/ Date •
.. .