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HomeMy WebLinkAbout1900 ADAMS AVE - Building Permits • CITY OF COSTA MESA �g BUILDING DIVISION Fµ 1l) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 4. FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: E09-00062 PERMIT TYPE ELEC STATUS: ISSUED APN: 13935128 DATE ISSUED: 03/0512009 ISSUED BY: BJK • JOB ADDRESS: 1900 ADAMS AV CM Suite/Unit: Vicinity: ADOBE HOUSE AT ESTANCIA PARK SCOPE OF WORK: INSTALLATION OF A 60A SUB PANEL IN THE"ADOBE HOUSE"AND COMPLETELY WIRE INTERIOR AT ESTANCIA PARK. OWNER: CITY OF COSTA MESA Address: CITY HALL Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: WHITE,MIKE Address: 3195 REDHILL AVE. Unit:UNIT D PHONE: 714-5S6-5684 City/State/zZip: COSTA MESA,CA CONTRACTOR: CHOICE ELECTRICAL CONSTRUCTION ' License No. 811367 Address: 3195 REDHILL AVE.Unit: UNIT D PHONE: 714-556-5684 City/State: COSTA MESA,CA ZipCode: 92626 CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $0.00 Reinspection Fee $0.00 TOTAL FEES $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE/. INSPECTION TYPE Dag INTITIAI$ CODE I INSPECTION TYPE aTh INTMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 2006 PoolSpa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 4C g2tJ 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by Section 3700 of the Labor Code, for the p rformance of the work for which this permit is issued. C✓ have and will maintain workers'compensation insurance,as required by ectbn 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: - person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carder:, L/, Si '/ r .42'" • ..••• • or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (miss-.ionneednotbecomple •athepermdsvaksedatwrehundredcbears(SiW)wtess.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy_Number: Eng-go - //— St- 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California. and agree that if I should become s ject illt workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor e, with comply with these provisions., 3 Division of Industrial Safety Permit Number: App --- Si-- a )— 43:: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 's WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in fullfforce andaneffect. /1 a registration form for acutely hazardous materials? 0 Yes 0 No Lic.#- g/ l. r0'7 Class#. d/v (Section 25533 of the California Health and Safety Code, with some ��° /A. /I ---- 2 8 exceptions, requires registration with the Costa Mesa Fire Department by(/ \ `'/17/ each business which at any one time has on hand a quantity of acutely CpntraGw_s sig ureY Date- hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished onn applications fa non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of control officer). completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and O I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig reotL� 3qa� V Signature Date 3057-46(3/07) Andror Autnodzed Applicant Da . ^ r; 1 CITY OF COSTA MESA >4"'''' - BUILDING DIVISION a!S. I - 1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us A. I FOR INSPECTIONS CALL: (714)754.5626 C *tot...mote PERMIT NUMBER: B09-00018 PERMIT TYPE B_ROOF2 STATUS: ' ISSUED • APN: 13935128 DATE ISSUED: 01/28/2009 ISSUED BY: BJK JOB ADDRESS: 1900 ADAMS AV CM Suite/Unit: Vicinity: ESTANCIA PARK ADOBE HOUSE , Squares: 2000 Valuation: $22,376.00 SCOPE OF WORK: REROOF'DIEGO SEPULVEDA ADOBE HOUSE"AT COSTA MESA'S ESTANCIA PARK:REMOVE EXISTING TILE ROOF, REPAIR/REPLACE SHTG,AS NEEDED,GARLAND FIRE-TIGHT UNDERLAYMENT,STACK& INSTALL 2-PIECE RELAY CLAY TILES. PITCH 4:12 2000 SQ FT 9.6PSF(REPLACING LIKE-FOR-LIKE ROOF MATERIAL). OWNER: CITY OF COSTA MESA Address: CITY HALL - Unit: PHONE: - City/State/Zip: COSTA MESA,CA APPLICANT: DOWNING, FRANK Address: 1217 E WAKEHAM AV' Unit: : PHONE: 714-973-6233 - City/State/Zip: SANTA ANA;CA CONTRACTOR: LAVEY ROOFING SERVICES INC - - - 1 License No. 811111 Address: 1217 E WAKEHAM AVUnit: PHONE: 714-973-6233 City/State/Zip: SANTA ANA,CA 92705 . - CELL: ARCHITECT: • License No. - PHONE: ENGINEER: - . • License No. PHONE: FEE SUMMARY • Reroof Plan Check: $0.00 Reroof Permit Fee: $363.25 , - ' Reinspection Fee: $0.00 . • Bldg Std Admin Fund $1.00 • TOTAL FEES $364.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COPE r INSPECTION TIDE 21E INTMALS COMM INSPECfON TYPE a% IN1111At& 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Poot Spa Final 208 Final Plumbing 200 Final Re-Root 3 —//-777 L"-la 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 ' Final Demolition ' - 250 Final Building/Occupancy ( 1 r ii WORKERS'COMPENSATION DECLARATION: Owner ID verified by dri cense. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the . performance of the work for which this permit is issued. - t I have and will maintain workers'compensation insurance,as required by . section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrierm and policy 0 I hereby certify that no excavation foe(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized LI,clLn-M co,e r by this permit,and that no building structure,scaffdding,falsew ork,or demolition Cartier.- `T/'� ��++��RR-- or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need rpt be competed awe peon!is valued al one hundred Bred dollars(5100)or lass) �'ec2g 2,Art 2,Sec.341,Title 8.California Administrative Code). WV-6V)- Policy Number: y wg7-38-g --- 0 As owner-builder. I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the rkers' compensation provisions of Section 3700 of Applicant's Signature Dale the La6Dr Code, hall hwith comply with these provisions. r ..�g�0 9 Division of Industrial Safety Permit Number: Applicant's Signature— 'l- - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEYS FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. ////'� a registration form for acutely hazardous materials? 0 Yes 0 No Lic:#-Jf( / Class#.e'39 (Section 25533 of the California Health and Safety Code, with some � �� �� 8�0� exceptions, requires c registration with the Costa nsa Fire Departmentof y each businessre which at any one thas on hands a qup of acutely tractors °nature: •Date -) hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property,or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I dertify'that'under penalty of perjury the did not build or improve for purpose of sale.). - information given above is correct. I agree to comply with all state laws and • city ordinances regarding Hazardous Materials and Emissions. ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH ' LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 2Signator L er(s) Date Signature ;7-97 e1re Dale / O_9Q 3057.46(ala]) And/or Aut on ed Appleant /( COW,- ` ,(,,,,,, QJ/, .,... I gi ifyird 1 , . r, 11 , c( . • '. wsspc: �� C4EOLUT TO 6E FILLED Iti 2". • k AFTE2 POLE IS sal-. t ; ^-,e' ;, •1 ' PLUME. • Wn I Ill 2V' • 4°' . ' cElm ISH 6.P.hDft \ 'b; tee *In j iiiritv,i- !y. - j S.P ltti-- a �l- IP,: f Tr"(M rte ; . 1 , : v u1 F"aQy . ' l ,Yet Si Q , ,c4;;;,.. ti ; t sail " '. 'COLIC, MiM1MUM t.f, r ?,..-4 -srREu TH 3200 fit. Vt;1.1 ' 'X z-`4 0 P. 5. 1. .'IN 28 PA j44:�- " to 'it v t' . f in i i i 1t„Py,,.$ ' '41- aii.i g0;1*/Y,nr'4, R 'a 1. •.,1 J. o- v Q 4- 0 0 ANCHOR •a' y, ,r �,• 3 � ,,' 2.' ..'� w2NISHFD ,; M •, ,�z,,., , 6Y c Ire. ' 41.,.h.�;• ���r,��.,td� 14 ey :.. • :ami k2'(o"as odea j_ � 6,6 FOUNDATION . DETACI. 2 - E-STANCIA . .PA2IG. : `LA4 POLE • �p � CITY OF COSTA . MESA APPcOvE2 1 __.P Cn'7/l .art.... ENG.I NEEIz[ M4 - PEP.T e.c.�: 12 54ra - SL JESTED FOUNDATIONS FOR i. _,NOTUBE POLES Foundations for Monotube poles can be as simply constructed and as economi- cally practical as need be employed for other type poles carrying equal loads and installed in similar soils. The foundations listed below are general sug- gestions which have proven satisfactory in many localities where the soils have been specifically known, Each foundation should be designed and approved by qualified foundation personnel, as soil conditions vary considerably in effective resistance and cannot be generally predicted. An effective aid in the design of foundations for Monotube poles, and the basis for those shown below, is Highway Research Board Bulletin 247, Publication No. 733 of the National Academy of Sciences--National Research Council. FOUNDATION DATA yI 11 Ga. Steel 7 Ga. Steel 3 Ga. Steel 0 Ga. Steel W ^ 1 Pole or . 188" & or . 250" & or . 375" & or Dia. . 219" Alum. . 312"Alum. . 438" Alum. . 500" Alum. D - D ' W D W D W D W <'ii'•i ii • in. ft - in. in. ft - in. in. ft - in. in. ft - in. in. 1 �� '�j: ; 6. 5 4 - 0 22 7, 0 4 - 3 22 5 - 3 22 5 - 9 27 \ . A 7. 54 - 6 22 5 - 3 24 5 - 9 27 /3/eh� 8. 0 4 - 9 22 5 - 3 27 6 - 3 27 e uc_ i-� 805 4 - 9 27 5 - 9_ -2_7 6 - 3 30 Square or 9. 0 5 - 0 27 5 - 9 30 _6 - 9 30 6 - 9 36 cylindrical 9. 5 5 - 3 _ 27 6 - 0_ _30 _ 6 - 6 36 7 - 3 36 shape 10. 0 5 - 6 27 6 - 6 30 6 - 9 36 7 - 9 36 For loads 11. 0 I 6 - 6 36 7 - 9 36 8 - 9 36 in any 12. 0 7 - 0 36 8 - 6 36 9 - 6 36 direction Note: Check Condition # 1 when using bolt circles greater than 17-1/4". Design Conditions 1. Minimum concrete cover around the outside of anchor bolts is 2" plus bolt diameter. 2. Concrete, 3200 psi minimum strength in 28 days. 3. Undisturbed soil--should not be fresh fill. (Remove any safety cribbing during pour. ) 4. Resisting moment of foundation is equal to or greater than that of the pole at yield stress, (48, 000 psi steel and 25, 000 psi aluminum. ) 5. Medium clay soil whose values are: a=4, 000 and b=40. Assume N=1. (HRB bul 247, p8, table 2. ) THE UNION METAL MANUFACTURING CO. CANTON, OHIO ;�St Lith 14L-4 Drawing No. 2G- 1724-G21 (R1) June 1962 Printed In U. S. A. .pr '' z, .v • --------- -� r 11-1/2 • DIA BOLT CIRCLE— I I , f _1 s-i/8 sSCI. NOTE l t THS TEMPLATEI I I THIS ORDER ONLY. 1 /v. \ I I L 1 FINISH GRADE I (. 2-3/4 n + I %, ��• r4 IPH : , .. . . • , . • NitN 4 .\' ft FOUNDATION LEVEL /),< dl 4: ' a be N% 1 3 fro NOTE ' •1. '1'2\ o,' °n g GROUT TO BE FILLED D . ' • !2; -; v •. F' IN AFTER POLE IS '�p '• ' •. .0 e W 36 n SET 4 PLUMBED. ©. ° • : a, . '.'$ ' a b p• ,• c ' . '- 1 ,• Q nom, NUTS UNDER BASE '4 , p TO PLUMB OR RAKE A : , + ' D 6" n, •'• 0OC POLE. 6 ,O. i n . • 1 A., 1 :.D L7 Du' o, p d FOUR 1 DIA. ANCHOR .a �' .6 : " • • G ' RODS. _, .. 4., % - ' / PUMCO DES. 5572-35 (Et5) ACTUAL DEPTH OF CONCRETE FOUNDATION VARIES WITH CUSTOMER City of Costa tress SOIL CONDITIONS AND POSSIBLE UNDER-GROUND OUST. P•O. 685030 PUMCO S.O. 45770 OBSTRUCTIONS. JOB NAME BYCoarifl park FOUNDATION DETAILS PACIFIC UNION METAL MARK 685030 A DIVISION OF UNION METAL MFG. CO. LONG BEACH, CALIF REMARKS CHK. ! DATE: 7-27-66 APPR. LITH, I • • • • City of Costa Mesa • Building Safety Department CERTIFICATE OF OCCUPANCY N? 2338 C P. 0. Box 317 Costa Mew, California ft* The Building located at 1900 Adaac Avenue has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group FP Occupancy. Use of Building restore_historicta landmark Legal Description 139-351-28 (See reverse side for Metes and Bounds) Building Permit No. n7h4 Electrical Permit No. 25P83 Plumbing Permit No. Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and/or guest rooms ISSUED TO: Building Official / /�J �1, City of Cnate Mena by iftie� v �ry x'(/ �- Date !t'WCh 2, 1966 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form Bv34—IM-11-$3—S-B r :U PROJECT BODRESS: 1900 ADAMS AV •-• UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B D58674 OWNER'S NAME: CITY OF COSTA MESA ADDRESS: 77 FAIR DR PERMIT NO: B 058674 PLAN CHECK NO: 03932-90 S GOVT: Y SUPP: N CM CA 92628-1200 C/O "DAVE ALKIMA" CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT 642-5304 ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : STAIRS IN ESTANCIA PARK SQ FT: 10, 000 ADDRESS: UNIT: CLAIM VALUE: 10,000. 00 CALC—VALUE: 10, 000.00 GROUP OCC: A-4 / PERMITTEE: JA—MAR ENGINEERING ( 310) 436-6931 ADDRESS: 2815 JUNIPERO AV COMMENTS; STAIRS IN PARK SIGNAL HILL CA 90806 *****df**4****df******x*******Sr******>ESE*dE**************dE**SE************dE********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a• ensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 0l the Business and Professions Code.and licr s' 's in full force and effect. SETBACKS CITY LIC.: 0 67 9 STATE uc.:388981 Dale: � �9tMAIN BUILDING ACCESSORY BUILDING 11 Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'C PENSATION DECLARATION: I hereby affirm that I hav44bof(Øeofwors' LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN Compensation cs copy thereof(Section 3800.L. 15/01 /S/O1 / POLICY NO.: EXP.DATE COMPANY: STATE �A PARKING REQ: PROV• PARCEL: 13935128 ZNE: ISR REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is B the city Building Division. PLANNING NOTES> FOR THE PLACEMENT OF STAIRS WITHIN ESTANCIA PARK. i- � / > N. 9e: V( (514L/ jApplcant,. • ..� _ * ******************************************************i ** ******* m'' ��' � DEVELOPMENT SERVICES Q NTS/ _(EMPf10N FROM WORKERS'COMPENSATION DECLARATION: (This . n need .. . one hundred(8001 or 1es56 I certify that in the performance of the work for which this permit is is ed,I shall no emp oy any person in any manner so as to become / elle to the Workers'Compensation Laws of California.. ZONING APPROVED BY (n ` F • DATE: � p /et .4 ',v Date: Signature: BUILDING APPROVED BY : DATE; .n NOTICE:If.after making this declaratjun,you should become subject to the Workers'Compensation provisions of the Labor Code.you mustforthwithcoAGENCY: I iarsurn provisionsmthaIf e this pa construction shru tii be deemed co. APPLICATION ISSUED BY; - . iF. *3/* which CONSTRUCTION LENDING hereby Cffirm t(lat there is a construction lending agency for the performance of the work for iF DATE- f I� which this permit is issued(Section 3097,..-Civ.CI � ***'* '******************************** * * * se******if*********** *** * *** LENDER: *********************************************************************4********* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y IL OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRICA MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Prulessional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 117.00i repair any structure.prior to As issuance.also requires the applicant tot such permit SO file a signed statement that he/sbe is licensed 2 pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 7605. �� 1 . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(3500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK--\ . TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business ess and Professional Code: The Contractors'State License Law TOTALS----> 0. 0 0 0. 00 0. 00 ;\ '4::- 0 . 00 . 00 . 00 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 employees. provided that such improvements are not intended or offered for sale. It,however the building or REVENUE DIVISION TOTALS--> COLLECTED: f i ' .00 OVER/SHORT: 00 for improvementpis soldfs lel. one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC i FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 1 I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business �\ 7 1-1 • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who bards or improves thereon 1\ �' and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware **'***'************************************************************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL , F.-E E • B1 REAKDOWN ❑ I am exempt under Section: B.8 P.C. - torthisreason: TYPE QTY D E S C R I P T I O 'N • �". IYT UNIT COST TOTAL COST Date: Owner: SFC 10000 ALTER BY VALUE COMMERCIAL r\NOZONE 1 .00 10, 000. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES) 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a permit for corrsl,uction or modification from the Air Quality Management District.Residential construction applications are exempt from r�� these provisions. ' Date: Applicant: i I hereby certify that I have read OS application and state that th •hove information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and he authorize representatives of this city to enter upon the above-mentioned . -•\ property for inspection purposes. — '.11..,1I'` /7•t�'�')< '1:. ^ _. Qale �l/ Signature: •• Drivers License or Social Security a: ' 1641.46 White—Buildmo:Green—Cole Enforcement:Canary—Aoolicanl:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & S. ' APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service br,Pole - 52.-Pool & Equipment Location 2. Soil Pipe-Undrgrnd. -: 53, Steel Reinforcement 3`. Electrical Conduit Utility Undrgrn8. • 54. Forms 4..Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5.'`$tge) Reinforcement _fc[L fist[-_ 56. Rough Plumbing & Pressure Test 9 ectrical OF ER Grnd. . 57. APPROVAL TO COVER•GUNITE • - T Footings _ c.. ,-lSyL6 58. Electrical Conduit-Undrgrnd. =i -8. Foundation - ( 59. Gas Pipe, 0 Undrgrnd., Test - r '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 :: / j 62. Backwash & Receptor-Final f l • 12. Sewer Capr ii 63. Heater & Vent•Final 13. Roof Drains - 4 lit 64. Plumbing System - Final ; f ti 14. Rough Plumbing f f /1 65. Electrical-Final I 1 15. Rough ElectricaI-Conduit / it i 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 • r V if - 20.rRough Factory Fireplace ' r.' t- - T ----1c -, rAPPEMVAJ Permit # - r S , ._-i R ,` - cvS " Cr11. f 21.'Ducts, in Structure -y i 1 . _70. Underground Hydro .. C 22. Ducts, Ventilating Ii-.% "` I. S+ + ;71. Produc,L,P-lping 0 Gas gOil 23:Gas PiperRough& Test x •• 4- I •` r - • c . 72. Underground FlQs.h r 24.-Roof Framing ' - - ' - r' s - Tr = :,..73.:•Undergrnd.Storag.9 Tank,p Gas D Oil 25. Roof Sheathin - g r .. L. r 4., 74.:Overhead Hydro- 26. T-Bar Ceiling (Structural) & Monocoat - ` _ ,n 75: Dry Chemical - • ' r 27.=Frame and Flashing _^ r .- : . 76. Dry Standpipe .r. • - -28. Lathing& Siding - r ' r a s• •• •• 'I. - 77._ FIXED SYSTEa�ARINAL` 29. Insulation .• • - .. . . 78, FIRE PREY. FINAL x : . 30. Drywall-Nailing - r I HEALTHiDEPT. REQUIREMENT 31. Plaster Brown Coat , ,; I r79- FINAL INSPECTION • - ;, -32.-Electrical Power Meter-Final - _ • • -80.r FOOD CERTIFICATE ISSUED 33. Final Electric Notes: q 34: Final Heating& Air Conditioning: . `.- - ,,-5 . (4,i;.- p/y - •li re -- 35. Final Gas Pipe-Test - I /Veda,- a(/ ; . TA-5-/i _--____ .36. Hood or-Canopy , - r I -' : I. .. /' 37. Final Factory Fireplace =' r i' ;° .r. •- ` . Co ..\ ".38..FinaI Plumbing . ' I _ • _ --• 39:yater Service=Final' 3 4I « 40. Gas Service-Final ( _ .- - :41,'Solar Domestic-Final : • ^ r - 42.-Backflow Preventer rr It. 43. Backflow Irrigation - - - - - _ :44. Landscape Irrigation System T. - •• , - - _ - :« ,. - - - • - 45. Sound Attenuation - , . - -1/45 46. Handicap Regulations _ - - • _ - 47. FINAL STRUCTURE & BUILDING //._ d^ j I• nt - •-s• •1--- 48::FINAL PLANNING . 49. Electric Release to Edison I - I 7 > -- 50. Gas Release to Southern California Gas Co -I I it - - 51. CERTIFICATE OF OCCUPANCY . - - , - • . No. Date i Rnlk `. Applicant to fill_In all spaces except those within heavy border lines and sign all appropriate declarations. _ '.ITV Of COSTA ESAJ ! i PE I O. - TRACT NO: - LOT.NO. ' BLDG.NO. - 13q 14'1"''• i CONSTRUCTION PERMIT " • 6834 ,••3%3q✓83' ,` .oa Ga Applicant's Mailing Addre 0'' _ yy ,�' TYPE OF CONSTRUCTION_ U NEW ❑ ADD [kr"ALTERATION U�REPAI R - - '` • v' t • Project Address• �� '/D r e• -•:' •�� L�,i' /'�'� ❑ CONVERSION•-❑ DEM! H ❑ •eTHER s� r'�� ° x• t •hone/-'•• • DESCRIPTION OF WORK a a'seeteIU//!a!ra«SJ/r Owners Na - ' I `'tl s00 /� ' �; • ° , .. Z•.I� '•E •L _ Address' r1_a>'. 1 "1Q' •/i J - - I ��✓ 1 '. i - /1,,. Q�.� yj/}� • • TVPE OF PERMIT ,U GRADING U OUNDATION Ltl STRUCTURAL 'A.P.•qW E I `f Arch/Eng G/M' ' '2-""�r'� ^'�License No.� /2�� , El • - i . _ BUILDING - -' - �,/ - ❑i ELECTRICAL PLUMBING ❑ MECHANICAL, i 'pLNG.REF.I$4.- - • - CFTBACIC Ctl ST I ^ Address, 3/Ski -fie•LejA,! / j fg•3 '0ris'I -❑ BOTHER : I _ i - - - TO BUILDING - - i t ' - - - . - '..REAR YARD (TO P/U• " I - I j I LL ! ' PROJECT DESCRIPTION; Sq!FT. ' 1 - •OCCUPANCY • PROPERTY LINE - r Address Name Phone • -LEFT SIDE YARD , I - ' RIGHT• 'SIDE YARD • , • j ' I'^ i - ' l i - , , ' . - I k 'CONSTRUCTION TYPE 'VALUATION$ • - Address(mailing) I . I - I 1• ZONE • • • GRADINGCU.VDS. ,ACRE4 • PKG.SPACE'REG. • - P.ROVIDED License No. ( i I'- , \ I. ,.�a, [ , _ LICENSED CONTRACTOR DECLARATION 1 i ; r i e Remarks: ). Ai ve4/1�f/i—I GGJ, ( J Lit//v 0 . STREET WIDTH , I 'PARK FEE$ I 1 I hereby affirm that-I am licensed under provisions of:Charter 9 (commencing , '/p�s R'`/ . , , :- Mysection 7000) Dlvlsionl3 of the Business and Professions Code,and 1 I /? \ 1ari�T,C//, ,/J - O`,� ' i i SPECIAL CONDITIONS: • i _ my license is in-fu-11 a effgat? .-1a • l'U 111 V / 'S otos, /l/y_/n�(y_-�A''_�, - • •• License Class C I I/7 I License No-' ' ! I PLUMBING I 1 • , ' _ I I i ' j ( _ Date ' ture ' r Bar Sink ,% Sewer Cap • ELECTRICAL i Lhereby'affirm that.I have a.certificate'of consent.t• If-Insure.or ertificate... WORKERS'COMP, SATION DECLARATION, , I ' BeCkflOuvPreventer-- I -- - - - Sewer Connect'- 7 -j-- - • ' �� Automatie,Waiher. . ,-1•-.- i C ISA'Meter .0'over-100 amps' - 'H Workers' Compen .tlo Insurance,.or-A cer 'tl,copy there• (Section - - Sub Panel l • L0, Lab. 1 1 ' - / ►' - - - . Construction Pole I I S ' / , j . , Backflow Irrigation ' Solar Collectors I • i ' i Icy No 11 L..� C•mp_n - - Cortin :�nereby furrtishea :' i , S� i , ; Bathtubs • ! :, Solar Piping ! . . Cooking Unit ' 1 i ® )Sub Pole i •• • i ' , ) I Certifl- i i -E with the ci w •- • , Dishwasher �t: =/ i%l se APp57can I�e:1% �� .e 1 , . Clarifiers ,- -_ _ .Ir __Solar Tank _ -_-, _s i tIIII Motors 00-1 HP 01•h-B I , • • EXEMPTION FROM WORKERS ,C••MPENSATI+ CLA'ATION - I Dishwasher I I '� Swimmin Pool w/S Dryers-OGas ❑Electric ® Inc.Solar•09-15 HP 016-15+ (Thissection need not be completed If the perml is or,one hundred ($100)or • i ' e - , 9 pa • _ less). , ' ' /44I ; N : • j , , Fan- 'Microwave ' ' • : I certify,that In the performance of the work for which this permit Is issued I '' Drinking Fountains , • ' Urinal I • l { t shall.not employ any person In any manner so as to become subject.to the • , - - � F.A.U. '- ,Pole&Light - i '' , 1 , , Workers' Compensation, aws'of,Callfornia,j ' I , , Floor Drains( i i . Water ClosetI i , Date j ' I Signature - ' - - ' - NOf,after making thissions of- ,'you-should-become subject'to the-; '!.,- Floor Sinks :,---'- , --:— ,j. -Water Heater .-, -Fixtures-�-_, Range _ _ Workers' Compensation provisions,of-the Labor Code,beyou deemed revhwith - - ' comply with'. such 'provisions'or•this ermit shall I deemed revoket , `! + _ i ?' I i. I a• . Device Boxes ripGas Service I „Outlets Mater Service - ,a ?i .. ( Sign' - I I CONSTRUCTION LENDING AGENCY' ' i - - - Ihereby affirm that there Is ajconstructiondentling agency-for the performance Interceptors {� i'<. i �' _ ( -.- 'ri Outlets ). I 1 'Standing Sections • ' ' of the work for which;this; permit'-is Issued._(Section- 3097• Civ C., - - - - ' Lenders, Name- .- ' - r. -. 1 , , „- 1 , ) ; s , r -; I ._.;'.'' Switches ' I . ak I a x KitcherrSink { i ; I _ I . 'Trash Compactor • , Lenders Address; -. T -4-2;•---,---21-4 ' t I , I •Garbo a Disoral-"1- --'- - ' �- .�. ( - 1 - ,• . • OWNER BUILDER DECL`A, RATION ; '1 • 1 L_ 7 • ( , :' 3• LBvatdrle5 .0 ' I _ - r I 9 P ' I hereby affirm that I am exempt from the'Contractor's.LIcense Law for the r 1 - I Generator 00-5 KW 05-15 KW I following reason,($ectiom.7031:5-Business and ProtessionaPCotle: Any city or _Cr. P,-Trap , i , 'i i I : ' _. - - ' I ' : I county which requires a permit to construct,alter,improve;demolish-or repair ' .- I l - , ' • Pak •Transformer 015-50 KW 1 I - I any structure; prior to its issuance,;also requires the-applicant for such permit Roof Drains' i '. to file a signed statement-that he/she is licensed pursuant to the provisions of • - ' " - P �' I 050+KW: I the Contractor's-License Law(Chapter 9(coinmencingiwith;5ection 7000)of - ' I i I i �" I , e - IReinspeetion Fee $15 ,Division 13'of the'Business and Professions Code)-or that he//she is,exempt Showers 1 _ Reinspection Foe i $15 I - ' • therefrom and the basis for the alleged exemption:,Any violation•of Section ' ` I • ' •- -.1 Meter ❑up to 100 amps ; 1lasue Fee ' . $ 3 7031.5 byr any applicant for:a'permit-subjects-the applicant to a"civil f ' ' I q I - ' enalty of not more than five hundred dollars($500). . „ I Service Sink 'i} y' Issue Fee ) '$ 3 - - - -a- I Date o ' -- - i I Zoning Approved By ? ' -✓ I, az'Owner will the property or my emuctur ess not wages.as their sole I - - I , ' compensation do the work,and,the structure Is not intended or offered ' ; • Y, • _ . '` ' , MECHANICAL' t Approved '� !•ate } 1 for sale'(Section 7044', Business and!Professional,Code:'The'Contractor's ---- - --- - _ - Appliratibn ��. _ • By , ; v License Law does not apply to an owner of a property—who builds or improves //XX�•1 goile4 "Y I ` ; j Refrigeration System jc' I -� —i 1 ► a E , thereon, and who',does.such work himself/herself or through his or her own X17 ! ' r 1 Application Issued By t Date ' employees, provided that such improvements are not Intended or offered for 1 I - , IP ❑D-.100,000 BTU El 100,000 BTU, ' • sale, If, however, the ng or improvement is sold within onotyearlof com- ' Duct--Under Ground • J Motion, the owner-will have the burtlen of proving he/she did not build or In'- - - -' , l , SUMMARY OF FEES ' move for the purpose of sale): F , Duct-Structural ? - i System Repair/Alteration --•BUILDING PERMIT $ I SMTP I I $ ' ' U I,as owner of the property,am exclusively contracting'with,licensed con 4 t ' tractorsto construct.thejproject(Section 7044,.Business and Professions Code ..i, Duct-Ventilating--.*-' _ _ -j_.-'_ I _ '_ - '!PLAN CHECK' • $ I • i• PERMIT I 1 t The Contractor's License Law does not apply to an owner of property who ) - bullds or Improves thereon,and who contracts for such projects with a con- 1 Exhaust System 0 Multiple 0• ' 1 I , I '''PLUMBING ' $ _ I ' ISSUANCE, s , tractor(s) license pursuant to the Contractor's License Law)._ { i • I GRADING ! $ 1 i • 0-I.am oxen' t unser Section ' —i B.& P.C.for this reason • ! 'PLAN CHECK + i i ' .I p , { 1 ( FirePl/Fact.Blt.ICBG# r ..I ; 1 $ I ! ; .$ i I • , ' I - 1 (ELECTRICAL' $ ' Date : I I owner' ' - •J • Heating'System&Ducting ' 1 .-I-hereby' certify-that-R have-read•th is application and'state-that the above -� - 0P100,0001BTU-17100,000B -- -' -r•- . - - -I -—l _ ,PLAN CHECKS 1 $ MICROFILM , $ - I ` Information is correct. I agree to comply with all city,antl county ordinances -I i • i ' 1 -MECHANICAL • TOTAL'FEE. $ and-state laws . Ing to building co struction,;and hereby authorize repro- I - ' - I. I $, - I ! sentatives of his city'to e e •:n the above-mentioned property for i l Hood or Type I 0i 1 Reinspection Feel -7515 s�I 1 1 ' i ' LESS ' • - I (inspection p•r..s- 1 'Ill" / I , ' I Cano• T .e 11 ❑! I I ; PLAN'CHECKJ $t - - : ADVANCED'PC $ s4 signature /, _,i/ /i ,f/i/ / i Date d ' a Drivers' License or'SS# IIN, 1 i 1 1 I r'. , I . t i ! FINAL FEE' I $ t Q�� CMF 0855-46 rev.12/82 ' to-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - r' . . „ • N J ."-)dONSTRUCTION,AND-YeANNircIG-1, . ; tC ::: am. ;I::f3jil S-r.:;;;-_-„r 7 -,ol 1:99L-81 . . 7. 7. ism.- 1.4,- . -tuate• t. )nipector'.." -'''‘'' 5 ` ' -.7 . .- • - ‘ -'-17, .- •• --.,..•••• • -- -.: Date :1:44ieter.. .,,.'• ). APPROVALS -- Perinii"#'- '1 ::, - ' -* --- - I:* • '' - 7..:.APOR-OVALS ?rifeimii# - - '; - ' ... 11, .". '7 ., FS Ir.• el e P. co i.i :: 'il ! rti i 7-:•1 . "*. " ' Li -•-e 1 t 1.- ... tt- 7. - • r r t: -t ....•r ' t:, • •' t : • I:'It, IT'grnt,or'a'ry1Electrica1 Service or-EPole I !;:: :-. ' i•:' '2;1 '• '52,7•I'Ool & Egulortient'Location' ----. :;• ' '-' • :-7 '. t."E g. I c,j I ''': Sil 1;i6e-UndrgiAdl ! :i-'4--I. ! , r!-• : '-',.-=4- •gi. r E,`. I:'153.6 Steel keiOfoitt•E'el-iiint;' !;• 'Lc"-.: ; • t-• I-- I. C I 1 I • .=. .... It- TtY t ft- :. . ' :' -.11--.C1 : ' . 7 - rt t • t: - 3' FrObtitt911.6p114ti Iftilitv•lndigril! ' E; ,i ., ; f..-1-h -,1--c:i"., f,. •'''c 1,;•',54;Eprinici: J;'•-•:!',t:,,t,:.•-1 - 1 : ';) -,4;.:•;,' •,-i ; ; :.." 1-• " ni! fol. cLi•4-. r Elecir"icalCOnauli-Undgrrc1'. --Y, - ' = -1 t,!:= ' ' 's '11 i '6. Electrical 62 • °"6 titrig' '- -• ' ? - 7 • .•-• --- • ' I f . • < r.-. , .- ; I ; • , t , t • ,-,z. , t.;! ; '-' 'i'?-n: ' '-: *: ter1.119einfiprcerttnt, i nor/T17; i.741//e:SiCifid 66gh:: ot0114nicirgr,,&P ki .tsLie Teit 'ers ...i.!!: ):'•• ''-;?LI; '. ; L ;:lc.,.....7. .. •1; ts As, 6: jElect!rical UFER'Grnd.! i : 2 ' ;• ' -.. se- • --r': " 571APPROVACTOV5VER•GLINIt E. .:': ' l',.if ' !...;,••••._:- i E .:-• • i . • . !-' '..:-•tr , . .2.7. r. . - ...•••' • 0 7. Footings i : , I ; I ': Z ''' ! !, ?', 7/44:3; ,&fie ' ..58: _EleJ,tricaPdoridult-Undratritly ' ;t.it' ',.: !,..; , i ' g 8. F8uii'dat!iorl 1:.' ;1.59 bs4PipeL13ri c . . drgrna4 Test :!-• ;•-•-•• .- ' . , A • L -../,: • ; --; , t -* ; -trsz • • rh. ! r.*.tr : • ! •:.r^• •- : 1:- .-:-,•- -: .J 9. t1/ ter .. ; •i Pipe- 1cdrdrne , •., L..,I 1., , fr;.,.ec.o. . Eck.Wasi..''Lined"sP Trap e'fIu rgrnd ' 2' ?, '; • ' ' I ; t" • ; I • I 1 ST ; • . .1 . t tt: tttt 0 : i i" 2" I r 1. --tt,r•- ' .n 10. Structural FIctoy 8vierri 1 7.E -0 I -. :::,. 41, 61. ekPFIROV,f :1-0j.DECK .. •..- -.d.:, ,; !,..•;:i 1 : '!!!'''• I . ,.".• 11. ProjiertiSewe'r Line &iHolusetlinnection r ""r ct . t.62. Backwash!&ffleceptor-Final -' :. . •• '-. ' : • 4 : :. I I u , I • a•.1., ! I . :Li 12. 8e;ifer C,,i) 1 ; t I ' ; I •;'ii , vr _- 1 163. Heater &We-nt-Firial - - - st•t C t't; 1' • t 't . •‘ t'. • • •ttlItIIII t".1 • ., - 13. TROofiDrinis l• I ! ; 1 • :i''.? i ..; titi n .4..: • .-:64. Plumbingstem ....Final ...;- - . z• • 7 , ' .: •••`• I ' t • i . . 1 , I 4 • a .• ,. :., , . 14. lRoLuegil F"lurhbikg •-65. ailCdtricai-Finalz Th,2 7 t , ,:;,-.- • • -.; - - r 2 . i ? v_ tr • .; 1.15.--IR6ugh-Electrical,Conduity-1-7-1- ,rF T- f - - :- I T-_-1---- -,-,66., -Soli. i'SNitgii-i-Fil-faITT-C-7.- -- -, --.--f- -: -I- , 6:,!!:1ugh:Elearic,Wiril1g1 , ! I 11 ::":611-rritii-N I 2.t"5;--- 'IT -67tFertidcrig-ge-teca's-sTAlipthaltt;7' •„ :. E. - -•-•-Hi.: •--- -;-t).-1-..-- • -. _ c. • , . . .. . 7:: ii-17.. rRaught-Wititig:Signc. TT I .: I...A i'. ' : ••• - I•. I •:I • *-. I 68 I APPROVED FOR'PLASTERING 1 • •E' - - - • ' ..); r - .. ;-: :. _ •.•‘. .1. ..... . - rt , I. ,. i ..--• t > lei ,: - ..; "E ;0 I '•• . . ! -• . .. .-• i • . , . . 4 ..• . crs1n• , I 1 - I : I . 1• ` ,. . i.. ; •• a . .2 I ' Ct 7 )8. r@ughElecTriCaIT3aceilng ! II 4 I 69POOL/SPA SYSTEMS FINAL ; : • •• ! ''''' !' .! •i : •• .., t 19. IRousgh'Helaiing 8/tAir'Conditioning :! : 3i ; I 1 I % i 1 I ! FIRE DEPT REQUIREMENT • -• ' '..• ' t• ' . r : . ' ' .21 •;-- o ; . ;-, 2., i t ; i. I 1 , Il, I , ' : - , tit • iii .; 20!'F;610ghl;'FaCtory, Fire-placej t 11 'i I I I ; ' i ' ! ; APPRO,VALS i !Permit# ; te I ; :,, • 1; n I . ':: ;; ; . ; . ! , t 1 I ' • •• ....t ii_21Ducts,in 5tfucturie,y ' It 1 ' i' 1 1 I . I i ; I f 72.• LIcidertground Hydrci ' . : ., , „ ' 1-- . ;t- ' ! ' • I„k22. !Ducts, Vanilla-ling LT ! - I ' 11. 14 1 1 ' I 1 1 ! : ! ' Product Piping 0 Gas 0 Oil .. ; . , ,... -1, .. t I71•t • 23. tis•Pipe-Rough &Test 6 I .p: .0- 1 , I i i i t ---1 l' 12. Underground Flush .- . !, . I 1 11.24. azio'of.FloriiiniE 1 4, : I, .4114 it( 1 s1 '7' 1 -,,,I;.-.2 j r.e, j.:..j 1,',., ;7 . UAdei-grn:c1.5toragerank17 Gas...1:150 I ' It ;••• I t, 1 ` . "."I _ . ' I 7 25...4±1:1961.Shelthing . i : : ! .1 ,..,11,A II.: I .: i :2 I; ..: i : . rm•-'i t 7,4. Oy1erli1ead Hydro I ;:: il ,' • • , ; I ; t:.126. T•baa'r•deilirfg IStrcuctur'aiiik rvionalcot.'I ?- 1 -f I 1. R 1 -.'l , ...;.,-, , , , , - , . . • :1 !, , . ; - . 1 : I f. .9s- i !lg.-6i Dr& ghernH0 t. "rt t -7- '• :I. C. L-L- , 1: t' , I , r , • ti -1 : • e i r 0 I „ i ;..;!27. 'Frame and'FlaShingL-Th r i 1 '. 1 I ' ' I `'': i : i76.1Dr:y tanapitoe ! P - ,. 4... : .-, . . : • ' :- , ' ... h ..., 1 I n i n I I- t I i ' e 28. L.Lathino Si-Siding. 1 :, ' 'C.- -; li I 1 1 I i'l I I b7.1 FIXED 8Y6TE\4FINAi .`- ''•/ 1 ',. ' . • : 7 2-, , 29.311;1114i106 !c.: i." I : i:).cA i il I; II ; e I 1 ! 1 i 1 108.: FIR PAD). FIKIAL • ii ..• I i , 7 1 ; . i I i , ! O F. . .:- • •, ii .c.- .x, irsil I I, ti , t r 1 1 1 ]. .. 5 fao. •pry‘liall Naiiing ! '5'; 1 1 ! . • II I!. ; I I I. I I I i iNoies:11 ; ! : I i 1 - is 2 •II• ' . • I a 11111 1 II ,,- I T..; iL31. Ipl.p.str !Brown Coat i ; I I :,} 11 ',I -I' •••1 I I ii- ri 1-7,-ap_ g3 I Sleatex ,c4 ii,L, .47c zeinalrol , t ; • F321EtecridagPower Meie4FiriLl', li 1 II ! II , . . . • , C! ., ,. .. , . ! i i• I ji I I I I I i 1 .c) 1. 1t1 i " - 1 i a?, ,,Winal,Electtic _Ht, LI I _I.,_fi•JL ".. 1 ..l_i__t_,Ld.1_1:"!,,S dluc,„„ E-2,4,10. -', _c .eithi,...,! ....ACilialty. t.1 34. Final Heating &lAit,Conditioning t I i ' .1 i i 1 ! i• ,! -;t I 4 . ,i. .. „ „ itt.irt 't f I ' 1 pt.1,,.., 4Si-fa I ElS •Ia. 4;109A r....11tie.... etsaitDCAQ.1,•-••&2, 35. Final Aa1P114,e;-eeA.! tt tr: i '` ! ., I !' I l': !2 14 T: I ',2 r, 1- in- (-ii-ii.; H ! 131 ;: ...; ": :,c• v: II .4. •IfIll /.1 14 I In 1 •••1 i• • I a I J I a i•• 1 T • • 1 1•Ifte:h., c.a ' -:. .... ••• -.. a ir•• •I • -", • tr: - 36. Hood It!,bancq;c1,;2! r-11 1 1,1 i i'; 1 1 Zi I '': ' ; -• I 5' fi 1 1 *, ;t. i .; •-i ell •-• ', _ ',-- ' -, - ; .t...)-11 ; r' ; !' I -' - : :: . . ''' i .2;I !...- ! F • r . 1: L-. ‘. -.: •-•2 tr. '; `_ C.' 37. Final.FaCto tit FireIJI?cer; IY Ai 1 i"3itz! II; I - I Ts!1 I I ! r.fj I I : i j 1 1 .;,, .• 7 . 4 1.; V.! 38. Final Oluiiibing 1 l - 1 I I -1 .; V; ;fl I 1 .:n i j 1 I I V! •‘-' I :;' k ' .-.,, II •I a 39. Water 5elwice-Ffnal! 1 I I 1 I' ! H : 17••• i ! il f i 1 1 a g , I I , iJ I t I i ! , ! i 1 , I i i :I= - -. I •; - i.‘ " 1 ' : rI ; 11 - 1 , - 1, i I f ; ' _ - • 40. GasSeitrvice-FinaIIIHI Lit . t ; III ti ! • 7; I - 41. Solar acirhOiic-Fintal 1 I 1 i ;; ; , ; ; L ; 1 I 1 i -,.".] I , 1 . 1 .-. 42. BackflbPregventer! I I ! I 4ro i 1: t 1 .1 .t. It ! . ! • i I ; 1 , ' . 43. BackfloutIrtigat!idn; 'II ! 1 I !!!:12.1,-7 `1; 1''? j");; ITJ::-.,: 10,;• 11': : CV-f •••.': C 4 i I i ' ; 1 H . in I t 1: 5 it f. •.. - : J- + t. it• . tt t ; e. iii t : t 1 . , 44. Landscise.&i.itatib!t&eciVm I 1 fit74•1.- lir; I i ! i,-I i I 7E.,!- 1 - ; I -q ; ; : ; : . . , .. _ _ • t, ;...- -. 45. SoundPttetiaiitgri I g rt ! I ,i0-11'; li -;Z. 11 i i i i.1 ;:fi , u . kati,Rebeihtide;t I ' I I ti if:: I I 14' I rbi I I I I f•-.-I r i 1 . . • -: . •,-- 46Hand , .: . ., 1; •••• . . i_ . -•,- t 4/7 • 4 4 • c ' . . 1 •; • , •-. 47.•FINALIth-Rbd-i-GAE 'siBuiLoiNGII 1".,3-_ kirtepez 7 I ! I I tiiiiiii -6 , :. - , • ' • Arttc: ilii . , , .. _, 48. Special Reqtlitem erits Oortlipldted! 11 ; 1 i I i 1 , t ; I It:I : I : II ' i A." ,,, , 49. Electric AeleIase!to Edi;on I i 1 .I. 1.... 4. i 4.12.-,.i_i___L_.4 I...___L_4_.i.. ........L...4___,:. ,.,.,. •/,: I a 50. Gas R;lele lo out.her•In cIalifOrnia Gals c:o I fiei 1 I 1 I ! i ' ; ' 1 • ! %-i'fr ' i.... ! ; i . ;; / 111111 111 • • ! : : ' '. : . •' •i 51. CERTIFICATE ONOCCUPANCY ! 1 .1 I. i : I I I, ''-' .? ' / i ; , ; -'• No 11 i! ! l 1 6ate I i .! ; i 1 1L11J I I . 4 • i \ • r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. :�I I//lU4J,•. .CITY OF COSTA MESA FST/I-✓I /C//9` //' 4 R� PERMIT N TRACT NO. LOT NO. BLDG.NO. ]61�J 4/2I YQ3 CONSTRUCTION PERMIT ' U ' J E -69 30 _ .1 T ► e�b �� Applicant's Mailing Address / I � / `� L, TYPE OF CONSTRUCTION NEW U ADD IJ ALTERATION U REPAIR Project Address 0 e la'a �-+��� ❑ CONVERSION ❑ DEMOLISH 0 OTHER � - - • Owner's Name �' S -. - ��a�'hone DFSC RIPTIQ QeJ 9gK/A) `AJ to' Dy` - �t ZONING.� REGULATIONS Address 71�f�+=���r - �w C'• TYPE OF PERMITITC 0iGGRADING FOUNDATION 'U' STRUCTURAL A.P.50 I � OS —fel J [JJ ZONE I Ws._. 'a Arch/En - Pi •••• • a License No /Z SZ- _ PLNG.REF.# q..�, 9 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0MECHANICALBUILDING 1n Y/.4/! Address /s/ /+y R LO/4^) 3 C. ,V1 ❑,OTHER • TO BUILDING ePTgerr rn T (f' (J\� �7 r1/ or- 41 Phone PROJECT DESCRIPTION SQ. FT- OCCUPAN Y PROPERTY LINE 'REAR YARD( �q�� Contractor's Name y` �-y�� Address(mailing) • • 't CON STRUCTION TYPE VALUATION$ 6/ / LEFT SIDE YARD -PIG` YARD License No. - III ZONE GRADI NG CU.YDS. ACRFS PKG.SPACE REQ. PROiaP -�1 _ LICENSED CONTRACTOR DECLARATION - - • Remarks: STREET WIDTH • ARK FEE$ I'hereby;affirm that Lam licensed under provisions of Charter 9 (commencing with'section 7000) of Division 3 of the Business and Professions Code,and - - SPECIAL CONDITIONS: CP.• I ,.1 ‘0. , my license Is In full force and effect. _• __ Il License class- • - License No. _ i PLUMBING • Date Signature WORKERS'COMPENSATION DECLARATION Bar Sink _ _ Cap I ELECTRICAL "I I hereby affirm that I have a certificate of consent to selfansure.or a.certificate Backflow-Preventer - Sewer Connection Automatic Washer Meter.0 over 100 amps' , of Workers' Compensation insurance,:ova certified copy thereof (Section - _ - _ - ' 00, Lab. C }�• J % , Backflow Irrigation Solar CollectorsI • Construction Pole I Sub Panel Ar‘- • '"'=icy No. /-�,LXJ company - - - • - - Cooking Unit I Sub Pole . 'i- I Certifiedcopyis hereby furnished. •_ . Bathtubs Solar Piping I r'. 1 LI Certified copy is filed with the city Building Division. Dishwasher , Molars ❑0-1 HP ❑1X$ , Date Applicant - _ • Clarifiers Solar Tank i ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimming Pool w/Spa Dryers ❑Gas• DElectric Inc.SOlari❑3-15 HP 016-15+ r ' (This section need not be completed if the p• It Is for one hundre• ($100)or _ less). ' ' . • I • Fan I Microwave I certify that in the performance of the or k or wh • t •• • R Is Issued I Drinking Fountains Urinal , t� , shall not em oy son in•any • anne so a ' bleat.t• the - F.A.U. Pole Light ' Wor s' C news of Call •r'x; / Floor Drains .. Water Closet- ' Dat Signature .rJ a� /i / t Fixtures NOTICE:1 , frac m king this declare on,you s • become subject to the • Floor Sinks - Water Heater - - ._ Workers' Co pensation provisions of�the Labo ode, you must.forthwith , • comply with such provisions or this' perm!-l�all be deemed' revoked. Gas Service ' Outlets - Water Service • • • Device Oozes Sign - CONSTRUCTION'LENDING AGENCY Outlets I hereby affirm that there is a construction lending agency for the performance . . Interceptors .t , l . I `• Standing Sections of the work for which this permit is issued (Section 3097 Civ. C.) - Lender's Name '( ), A - Kitchen•Sirik - - Switches ;Trash Compactor ' �'• • Lender's' Address N /`'1 - • I Garbage Dis Deal OWNER BUILDER DECLARATION •- ' I Lavatories - - — ., - • g p 1 i I hereby affirm that I am exempt from the'Contractor's License Law for the P—Trap • Generator ❑0;5 KW ❑5-15 KW following reason (Section.7031.5 Business and Professional Code: Any city or • county which requires a permit to construct,alter,improve,demolish or,repair - - -- Transformer 015.50 KW ' any structure, prior to its issuance,also requires the applicant for such permit Roof Drains > I • to file a signed statement'that he/she is licensed pursuant to the provisions of _ • - 050+ KW the Contractor's License Law(Chapter 9(commencing with-Section 7000)of Reinspection Fee $15 Division:3 of the Business and Professions Code) or that he/she is exempt i Showers , . ' Reinspection'Fee • '.$15 ' therefrom and the'basis for the alleged exemption. Any violation of Section - Meter ❑up to 100 amps Issue Fee '$ 3 .7031.5 by any applicant for a permit subjects the applicant to a civil '• - _ - enait of not more than five hundred dollars($500). • • Service Sink , Issue Fee $ 3' h Y Zoning APProved BY U� (� Date u/ ( ' • o I, as owner of the property or my employees with wages as their sole - MECHANICAL `t,��'•' compensation will do the work,and the6fessiore is not intended or offered - Application Approved By S. F. • Data • 2/ 83 for sale (Section 7044, Business.and!Professional.Code: The:Contractor's License Law does not apply to an owner of a property who builds or Improves , Boiler. Refrigeration System ! • 5.11/413•� thereon,-and who does,such work himself/herself or through his or her own - Application Issued By • ,t 'Date 7 �41J employees, provided that such improvements are not Intended or offered for ❑0-100,000 BTU ❑100,000 BTU - sale. If, however,the building or improvement Is sold within one year of corn- Duct'-'Under Ground - • ' • SUMMARY OF FEES pie on, the owner will have the burden of proving he/she did not build or im- .. ' • r ye for the purpdse ofsale). I Duct-Structural I System Repair/Alteration BUILDING PERMIT $ SMTP $ 0' 56 • I, as owner of the property,am exclusively contracting with licensed con- ' ' tors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating -• , PLAN CHECK $ PERMIT • The Contractor's License Law does not apply to an owner of property who I - `� 1� ISSUANCE • $ - builds or improves thereon,and who contracts for such projects with a con- . • Exhaust System ❑ Multiple❑ PLUMBING • $ -tractor(s) license pursuant to the Contractor's License taw): - . l� GRADING ' $ . • ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# • PLAN CHECK $ • , • Heatin S st ELECTRICAL $ ' $ Date Owner l 9 Y em&Ducting .PLAN CHECK $ MICROFILM $ • I hereby certify that I have read this'applica on and state that the above • - - C10-100,000 BTU 0100,000 BT1T - information is • :et. I agree to comply wi h Al city and county ordinances TOTAL FEE $ and-state la - rel. Ing to b /air' con u• Ln,and hereby authorize repre- Hood orMECHANICAL $ _ . sentatives • thi- Illy'to • t- u•: e - e-mentioned Dro r for Type I ❑ ' Reinspection Fee • $15 \ 0 : LESS Inspection •urp• -s 1 /Yrg�� a •» �i�, Canopy Type II ❑ pe PLAN CHECK $' • ADVANCED PC $ • Signature' // . . / // - ti •Mea+ t Drivers' License or SS# ` . Registers Issue Fee $ $ - FINAL FEE. $ D•St CMF 0865-46 rev. 12/82 ite-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - -- t$ CONSTRUCTION.ANQPLANNINGI a c, ' or• +'. -- 4, TAPPROVALS Permit# n/- -&T•3o -antete inspectA 'PPROVALS "Permit# - Date Inspector. .fir 11. Temporary4Electrical Service 8r1Pole - ' _ 52.; Pool & Equipment Location - •- ' - Ki: 2. ;Soil Pipe-Undrgrnd.- I i-.s- ' ,; . •2-:;>,:6:: r . 7 •53. Steel Reinforcement - - - r . . 3: Electrical Conduit.Utility-Undrgrnd. µ; • 9 -• - ;54,' Forms :•:), -- 4, Electrical Conduit-Undrgrnd. t• - ' f- . - • 55. Electrical Bonding , . - - ',. 5: Steel'Reinforcement -0// 56.• Rough Plumbing"& Pressure Test - - ` .. ' I 6: 'Electrical UFER'Grnd.i ; c -- -,- ; ' ? - - _ 5 APPROVAL TO COVER-GUNITE 7. Footings, .4.. <. 00-3 aiiviii8. Electrical Conduit-Undrgrnd. - • I'I: 8. Foundation : I - c ' ' '- ` • 59. Gas.Pipe, 0 Undrgrnd Test` 9. Water Pipe-Undrgrnd. o . 60. Backwash Lines, P-Trap;❑ Undrgrnd. ' 10. Structural Floor System • i , " . 1 61. APPROVAL TO DECK 11. Property Sewer-Line&'House linnection . I 62. Backwash & Receptor-Final. . - '12. Sewer,Cap I "1 I ? ' .. .. _ 63. Heater & Vent-Final 13. :IRoof;Dreins' 1 ' ' I I _, I - i tz, ' ; 64. Plumbing System -_Final • .1. r r ¢ 14. Rough'Plurimbingi ' I `7 . ' ' e - - -65. Electrical=Finaln - u '-15 Rouh Electrlcal:Conduit- --i 'r- �� - -,- - -i "66. Sola rSystem-Final ! _ - - ' .i r 1'..16.'Rough.Electric Wiring A I L- ' I - -.2,-,---t-- `� ' 67. Fencing •&Access Approval ; • - . - - - , R 17': 'Rough Wiring Sign' i r_t .; . , 1 ','. _ I " ,68.' APPROVED FOR PLASTERING , - 118. Rough"Electrical:T,Bar Ceiling) 11 ' j'' 1 ; I - I - : . ' 69. POOL/SPA SYSTEMS FINAL :, 4 19i Rough'Heeting& Air Conditioning i . , I 1 ! ' FIRE DEPT. REQUIREMENT - 20. Rough;Factory Fireplace 1 II I APPROVALS, Permit# N '. 21. Ducts,inStructure, "I I ! ( II I : ' ! '70.: Underground Hydro ' . ', Cr• Ventilating I I, I I I I l i �, .71. Product Piping 0Gas 0 Oil 23.:Gas Pipe=Rough & Test `-, I 9P :' -1 ^, '72.1 Underground Flush , 4 j24. 'Roof Framing ' •,' ! I S i - I 1 I ,y' ', I r 73. Undergrn1 d.Storage Tank 0 Gas 0 Oil . 1 y, _ : J 25. Roof Sheathing ' ' - I - ' ' • i,. 74. Overhead Hydro ; -26. T_Bar Ceiling (Structural).& Monocoatl " ; 7 _ I _ 75.. Dry Chemical 27. Frame and Flashing I i i ' ' I - : I i l _I 76., Dry Standpipe - : r28. .Lathing &'Siding' � I ii I 77. FIXED SYSTEM:FINAL - _'! 29._•Ilnsulation -r .t i I ¢ `, °_ i I „ �1 i I I I ' l i78. FIRE PREY. FINAL i• i -30. 1Drywall Nailing :.:22:4," , 1 i II : I I 1 T: ' 1 Notes: . . , • , : _31. 'Plaster Brown Coat '"•I • 'I 1 ' I ' ' 7-e2G.-S3 -7...77;15d-c -Peon�C6 ' 32. Electrical Power Meter-Final I '; I ! I 1 I I . , ,FtQL ,7-, , p/,y -" c' LX e n n 33. ]Final Electric i I, L i' I • I l / I 34. Final Heating&!Air Condi ioninag i, I I ' 11 r1 I . :c I"1 I I ' r ' 35. Final GasiPipe Test' � , •� � ,, 1 i � - -- '_ 36. Hood or Canopy R. i - - 37. Final Factory Fireplace • I '_ I- - p , - I 38. Final Plumbing i i I l - I , I 1 ; , . ' - - e , , .I ; 39. Water Service-Final' I p, , ' 40. Gas Service-Fin !al ( I �. I Ii ! ' ' ' : - • ',-... ` _• + -, 41. Solar Domestic-Final I I I I I ' I I - • :1; _ ' 42. Backflow Preveriter. =I I I ! H _ L- I - , 1_ :--__ ` .. '- " 43. Backflow:licigat!ion '1,. i I • i ,;,..;13i- , = IS S . - 1 _ ,I 1-:'r ' 10. 1 I C-, ' C :ai I ,. ', 44. Landscape Irrigation,System I r;;� I �; - ! , - - i 1 =' `',1 - - - 45. Soundl:Attenuati0n ^ 1* 141 I ,13 I ,I I ! _ a , 46. Handicap;RegulationiI- I .rl I : I,. i I V I - ' `; :! 47. FINAL SfRUdJUAE:& BUILDING ' I , • I 1 l • 1 • `10-1�-8� 1� 1 48. Special Requirements Completed { I I I I I 1 , 1 v 49. Electric Releaselto•Edison1 I I II I_.• I _ _ _ , - I •-•--- •, 50. Gas Release to Southern California Gas CO I I 1 ( , `I. 51. CERTIFICATE:OF'OCCUPANCY ' , .+_ _ �.__ .. - _; '-4 '.r No I I I Date I i; ' - -- •_ .-_!_ _'_ ..T .y _�_'-�+ _..- -- -- - ' -- --. - - - . . L• -9 -bRF 01071 do***3.00 ii, 2es9 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 12® COSTA MESA, CALIFORNIA 92020 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BU I LDI NG ADDRESS 1900 Adams Ave. RECEIPT NO. J([ 77 COSTA MESA, CALIFORNIA O:r/OV7 RECEIVED BYDATE [ OWNER City of Costa Mesa . rY ) 2 / BUILDING ��{{ Q/ AMAIL DDRESS P. O. Box 1 ZOO ADDRESS /tOo A{ps //f e-. FIRE TEL ZONE TYPE f, GROUP CITY Costa Mesa, Calif. NO. 834-5300 j^/ ARCHITECT TCL APPROVEDR �� DATE /- 4p OR ENGINEER R. L. Pedersen No. 834-5323 ZONING ADDRESS P. 0. Box 1200, C. M. T 2 I no.or n I W[Or NEw-.�DQcara17o,l Jl MANS G BUILDING 1rile, il tAdv, CONTRACTOR Owner-Builder t'. LEGAL ADDRESS Same DESCRIPTION pp p CITY -- A.P.NO. I S / - 3 io �7'' - ✓8 NOTE: NO SAVE OVERHANG SHALL BE LESS THAN STATE TEL. SO'TO SIDE&REAR P.I... -- LIC.NO. -- NO, VES SIZE NO OI ELDG[. 2 ALLOWED (U.B.C.REQUIREMENT) OF LOT 10Ac res I NOW ON LOT USE OF YARDS APPROVED YARDS APPROVED EXISTING BLDG. Museum & Rest Room MAIN BUILDING ACCESSORY BUILDING (PROM C/L STREET). A10.. . AI.../7Ph/Casty' SETBACK LINE FROM FRONT 18 O nr. ct_A hms -277-40 PT. L f((/asis CENTER OF STREET REAR YARD SIDE YARD I LEFT I RIGHT R.SIDE -0"---. FT. .. FT. DESCRIPTION OP WORK L.SIDE ( cSFT. IP_ -1/1,02-n. P' i NEW X TERATI N ADDITION REAR PT. PT. DISTANCE BET. .., + BET.MAIN B + REPAIR MOVING DEMOLISH .UMAIN BLDG$, I O - ACCESS.BLOCS. i 30- V 1 .* DATE SIZELDING 81X121 ROOMS - STORIES 1 C.U.P. APPROVED EXTERIOR WALL I ROOF No Cover, APPROVE (Si./.- USE '�(/ ,f / COVERING Open COVERING Open Beam BY K �. ,X.k DATE 1 -�a'1' -lJ� USE OF BUILDING AND WORK TO BE PERFORMED 7 a As per U. B. C. construct detached Grape Arbor SQ.PT. g I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION Is FOR THE AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND LA S REGULATING BUILDING CONSTRUCT VALUATION PERMIT FEE $ 3_ - D7 SIGNATURE PERMITTfi 50 $� PLAN CHECK S AUTHORIZED AGENTet 3 •.:...: .a .. .... ....:.. . .. . ... .L..,..a....: : TOTAL FEE r ' 26327 ' L... 31-66 001335* ****31.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 - For Applicant to Fill in Complotoly APPLICATION FOR PERMIT TYPE OR PRINT BUILDING Hu1LDINo /fop 61--D 1;2 1ff; U For Office Wo Only 7 AGGRESS 7 ,v/ J I - / RECEIPT NO. EEM TiNO� /COSyT-A1 MESA. CALILIFORNN�IA.A{//�/f/�/� �yyY /p/ ..--- l!/- ) L OWNER C .J (_ 1/ 6/ * C�a5///'/(/('Q S/I RIC —,�(`� /•� ~D- v!/FJ.�9 r/ .75,* ^' NG MAIL ._ / ADDRBUILDESS / / o'o ADDRESS AO� FIRE CITY / 74101-Th ZONE '�1 ,, ��TIP GROUP ,/�/�/_ ARCHITECT _ TEL.,-__ APPROVEDY /U/ ATB/�-�J (fib OR ENGINEER ' NO, �� �/l ZONING ADDRESS �I I y. HO.OF USE OF NEW -11/ CONTRAOTOR -e.-//21 / oSJ!/ f/�[,//' ", - 7? I Ft{�A19 I UWLDINO J LEGAL ADDRESS /9719 L%r n 4"Y ?✓'- DESCRIPTION y y; / //.., / � CITY Gt I i I A.P.NO. /31 g 5--/—„,2/ • �� NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE k TOL. ?9 iTi:O.//' DO'TO SIDE B REAR t... EAVES LIC.NO. / V'-`lYC7T SIZE No.op nous. ALLOWED (U.B.C.REQUIREMENT) OF LOT • e IBJ „IA I NOW ON LOT I USE OF GC/ YARDS BUILDING YARDS APPROVED EXISTING BLDG. 7nLQjy MAIN BUILDING ACCESSORY BUILDING (FROM C/1l// lGz /t¢ aSETBACK LINE FROM FRONT / yPT. CENTER OP STREET REAR YARD 'f//� tii•dal& HIDE YARD I LEFT I RIGHT r SIDE D26or, ' cleft- - LD RIPTION OF WORK L.HIDE CAT. c NEW ALTERATION ADDITION v REAR /70PT. DISTANCE BET. BET.MAIN B .{� REPAIR MOVING DEMOLISH MAIN BUDGE. ACCESS.131-13011.024.) BUILDING G7� NO.OF VAR.* DATE SIZE Sa DOMS STORIES / C.U.P•$ 1 APPROVED EXTERIOR W ROOF APPROVED V$ ii DATE /10 (91/-‘4 v/ /' COVERING COVERING vi-L-L1'. PT UH BUILDINY AND WTO BE PER ED 0. bl-ec- T b-a ST N coF)l S . • ,y0 Sal HQ.FT. I HEREBY ACKNOWLEDGE THAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE D AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT Pit ONLY. PLY WITH ALL CITY ORDINANCE.AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTIG 027— PI SIGNPERMATURE O J^ ,{/'y �(f PERMIT FEE $ ea,/ S c�(/DX PLAN CHECK S .Cir 6G IC. AUTHORIZED AGENT TOTAL PEE $ 3 / 5O ' AIM 10-66 00 58903_*****6.00 -' 25r 1 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92620 For Applicant to Fill In Completely APPLICATION FOR PERMIT ` TYPE OR PRINT BUILDING . BUILDING /(7. 0 374,41) 4V For Office Use Only ADDRESS /'7/� - ;von�CCOSTA MESA. CALIFORNIA � z,S-Y- O /, D 5o/ p►T6• �TD 11/1-7/-• 661*-- L / i//BGi OWNER ` int D-F RCA NCSA MAIL ADRE S/yto /�e� /4Ae ADDRHHSQo -150 xIZaO RE ((''''''�� �JJ TEL ZONE TYPE GROUPC CITY �P••{_'. H 4u4 No. 41 -I,24I/ ARCHITECT TEL BvPROV[D /� _/ DATE • /0�� OR ENGINEER ppp'''- NO. Yd�/� ADDRESS -"lam{�.0 C. �la.�IA g R- ZONING figs /��,y L rA PLANS 7/I BUILDINNEW �' "�� CONTRACTOR ✓t , / fy /y LEGAL ! `sii` / f//4y r/1 ADDRESS /S� eat um orOf A' t). _ 77C.09- DESCRIPTION L /� w.P.No. /3 T_ 3 r .- - Z CITY l-o s-rn Ai<5,q NOTE: NO RAVE OVERHANG SHALL BE LESS THAN LIC.NO. r2 S'16,9 NO. S4GS-7SS L ATE TEL. 3O TO SIDES REAR P.L. EAVES SIZE I NO.OI SLOGS. ALLOWED (U.S.. C.REQUIREMENT) OF LOT NOW ON LOT / YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. A PROM C/L STREET) (/JI 1 SETBACK LINE PROM FRONT PT. 1/, a v•FT. CENTER OF STREET REAR YARD �[\ R.SIDE PT. 1,///('I+ " FT. SIDE YARD LEFT RIGHT /I V DESCRIPTION OF WORK L.GIDE aern* PT. { v NEW _ ALTERATION ADDITI•N REAR PT. F7. DISTANCE BET. BET.MAIN& MAIN BLDG'S. ACCESS.BLDOS. REPAIR MOVING DEMOLISH BUILDING NO.OF VAR•# DATE SIZE ROOMS STORIES C.U.P.# APPRO(V)ED EXTERIOR WALL I ROOF APPROVED Po� •r (d �f.// 'O COVERING COVERING BY G /Jn, DATE'/ USE OF BUILDING AND WORK TO BE PERFORMED /L two,' P. �Ay W 1 1 AS S f.''Q(17--(17-- l/Lr• ,rk LuJ 4._L.- � 6'4/GK SQ.FT. 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT*AND AGREE TO COIL PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. F15 PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING VALUATION 6,00 BUILDING CONSTRUCTO PERMIT FEE $ a'19 SIGNATURE F "' y. e P, ✓ !{ , �PERMITTHF 47496 o s it PG PLAN CHECK S W AUTHORIZED AGENT /P'00-- 6,60 ��+� .. •, .. l . . ......,.. ...i Y' n. .. TOTAL FEE 5 / L� �a�. ... CITY OF ` S MSSA do JCOSTA MESA BUILDING-SAFETY DEPARTMENT qp (] 1 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 SEP 28 IJb5 For Applicant to Fill In Completely . (¢PPLICA+TI ; PE IT TYPE OR PRINT ��''.JJ ��``''f __ 7 Fat BUILDING /�00 / //� .w' ADDRESS (� /UW" RECEIPT NO. PE"Rp IT NO. COSTA MESA. CALIFORNIA 24/744 RECEIV Y DA RBCgV D BASEISB ED OWNER City of Costa Mesa `r 2g 6., 972- MAIL BUILDING i9OO �t�s ADDRESS 695 W. 19th St. ADDRESS 1 l ,`e FIRE ' Y CITY Costa Mesa, Calif. ;T7642-2411 ZONE /}ry GROUP APPROVED �J/T q AR TE HIC ER Regan & Shoemaker nc 646-1636 BY DATE i T . ZONING Gs-e ADDRESS 542 W. 19th St. Cotta Mesa Q N[ NO.OF q I St OF NEW i !frk PLANS /� BUILDING CONTRACTOR ,DON Avo.c,�St�N /� C ,de SZGAL OCVZ W 1/i/V/I//C -/`GkX ADDRESS /7�, ,$ / dMN , DESCRIPTION RDA/ICJ CITY „5.4,4-7-4 ,A-NA, CAL✓ A.P.NO. / 3q -35/- acZ NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE `/ NO. 5 ./ 30'TO SIDE&REAR P.L. LIC.NO./7C 570 NO. Sy.5' 27�G VES SIZE - I NO.OF ELDGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT I NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (PROM CM-STREET SETBACK LINE FROM FRONT FT. Fr. CENTER OF STREET REAR YARD ` SIDE YARDI LIFT I RIGHT R.SIDE PT. FT. DESCRIPTION OF WORK L.SIDE PT. FT. _NEW ALTERATION X ADDITION REAR PT. FT. DISTANCE BET. BET.MAIN Q MAIN SLOGS, ACCESS.SLOGS. REPAIR X MOVING DEMOLISH BUILDING NO.OF VAR. DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF APPROVEDA - 7- --r?-6 Se COVERING COVERING BY /Vy/ /p/ITI USE OF BUILDING AND WORK TO BE PERFORMED rVMI'/ a T Restoration of city monument el SQ.Fr. 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE LL CI TN JNAN IS CO CTA AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. X31 PLY WITH ALL CITY RDJIUNCY AND T LAWS R[OYLATING VALUATION BUILDING CONSTR ION. QO 72 CO PERMIT FEE $ ///' SIGNATURE OF ) C PERMITTEr '/ �,�/I�:Q/�7'L� o / S 3 000 PLAN CHECK $ 3 6 W AUTHORIZED AGENT 1 " O-J 00 $ TOTAL FEE d OWNER CITY OF COSTA MESA DATE 1-24-68 JOB ADDRESS 1900 Adams Avenue BUILDING PERMIT NO. 28149 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Detached Grape Arbor AP No. 339-35L-28 LOT TRACT FIRE ZONE VALUE $ 250.00 INSPECTIONS Signature Date GROUP J TYPE V ZONEI & R SOIL _ PERMITS ISSUED N. - - - ---- --- - SUBCONTRACTOR Dote I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER n ROUGH WIRING Heating and Vent. TRENCHES U FORMS STEEL REINF. U FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING - FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL