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Home My WebLink About1575 ORANGE AVE - Building PermitsApplicant to fill in all spaces except those witlNn hea4fIrrder lines and sign all appropriate declarations CITY.OFCOSTA MESA - COMSTITUCTION PERMIT PERMIT NO. — 9(� % TRACT NO. LOT NO. BLDG.9k — ex j� I /., - �I,°•1 . I Project Address P • -' Applicant's Mallin Address It, t .T r .l:_ . g 4-:s4. 4)T$A°A2.N5zM4 TYPE OF CONSTRUCTION L1 NEW LJ ADD LJ ALTERATION D9 REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER, A.P. •h`- Zone ' " Pho6ez-�7'a Owner's Name� , T 3?70 Address 40-111fa.,��,ei��s1L �� Asl LI1411O1%t�ns^�� Arch/Eng. License No. Address Contractor's Nam Phone s�'�.=- Address ns .l. . City License N DESCRIPTION OF WORK r'7 R• S Main Building: Accessory Building: Z TYPE OF PERMIT LJ GRADING FOUNDATION 0 STRUCTURAL ❑�-71 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 64 OTHER �r�-�s2•poG s � PROJECT DESCRIPTION SO. FT. ._z� (1r�.d --- OCCUPANCY u,a �Y. CON STRUCTION TVPE - VALUATION$ rlA Aa 3fl 1�—e-_.'_"_--` 20NE-1.L—� GRADING CU.YDS. ACRES T Front O N A Rear I K Right r G S Left E Ping. Ref, dk Park.Fees $' O U Remarks: Parking Req./Provided I LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed untler provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: R E my license is in full force and effect. License Class License No. PLUMBING FEES Planning Notes: M E Date Signature WORKERS' COMPENSATION DECLARATION Bar Sink Shower N Backflow Preventer - Service Sink T S I hereby affirm that I have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Irrigation Sewer Cap _ ELECTRICAL FEES 3800, Lab. ) Policy No. &A.1Z L1:3 w Company • ezV Quit A T Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer -Transformer ❑ 15 -50 -KW Certified copy is filed with the city Building Division. • Date s' Applicant Construction Pole Sub. ❑50+KW - Clarifiers Solar Collectors EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit Is for one hundred ($100) or Dishwasher Solar Piping Cooking Unit g - p Meter ❑up to 100 am s , ' Drinking Fountains 9 Solar Tank Dishwasher Meter Dover 100 amps less): I carall ny that in the performance the work for to this permit is issued, to t shall not employ any person in any orni manner so as to become subject to the an as Workers' Compensation laws California. Floor Drains ' Swimming POOI w/Spa Dryers ❑Gas ❑Electric Sub Panel a Data Signature NOTICE: If, after making this declaration, you shouldCod become subject to the Compensation provisions of the Labor Code, you must forthwith Workers' with complyCONST with such -ENDING Or this ••permit. shall be deemed revoked. Floor Sinks Urinal Fan - Motors ❑0.1 HP ❑i'/a- 8 - Gas Service Outlets W¢Lal Closet F.A.U. Ina Solar❑9-15 HP❑_ 16-15+ CONSTRUCTION LENDING AGENCY ' Interceptors Water Heater Fixtures Microwave �I 1 hereby affirm that there is a construction turtling for the performance (Sec of the work for which this permit Is Issued (Section 3097 Civ. C.) Kitchen Sink Water Service Device Boxes Pole Light Lender's Name Lender's Address —� OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or Lavatories Outlets Range P -Trap Switches Sign r county which requires a permit to construct, alter, Improve, demolish or repair Roof Drains Garbage Disposal Standing Sections any structure, prior to Its Issuance, also requires the applicant for such permit t0 file a signed statement that he/she is licensed pursuant to the provisions of - - •r - Generator 00-5 KW 05.15 KW Trash Compactor the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division•3 of the Business and Professions Cotle), or that he/she is exempt . therefrom and the basis for the alleged exemption. Any violation of Section - 7031.5 by' any -applicant for a' permit' subjects the applicant to a civil gnalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole ompensation, will do the work, and the structure is not Intended or offered 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 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. If, however, the befitting or Improvement is sold within one year of com. Reinspection Fele $25 Issue Fee - $ 3 Reinspection Fee $25 Issue Fee $ 3 ,MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Date Application Approved By Date Boiler Hood or Type ❑ ' Canopy Type II ❑ Duct - Under Ground pletlon, the owner, will have the burden of proving he/she did not build or Im- Eve for the purpose of sale). Application Issued By � - . `'H 7 Data / Duct -Structural Refrigeration System � r LJ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply town owner of property who builds or improves thereon, and who contracts for such projects with a con. Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU BUILDING PERMIT SUMMARY OE FEES $ �(Le—t/..`� SMIP $ �s� Exhaust System El Multiple ❑ System Repair/Alteration tractors) license pursuant to the Contractor's License Law). ❑ I am exempt under Section B. & P. C. for this reason PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK $ PERMIT $ ISSUANCE $ $ ENERGY P.C. $ $ GRADING $ $ MICROFILM $ $ TOTAL FEE $ $ qt .o Firepl/Fact. Bit. ICBO + I Date L4 Owner I hereby certify that I have read t is application and sta that he above Information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city' to enter upon the ab e-menthcned property for Inspection p� ore1s. Signature P^t Date ��Z 7'x� Drivers' �Li cense or SS Heating System & Ducting ❑0-100,000 BTU ❑100,000 BT Reinspection Fee $25 Issue Fee $ 3 CMF 0865-46 rev. 7/83 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor - - - - - CONSTRUCTION AND PLA I - r� APPROVALS ` _ Permit # � Date Inspector POOL & SPA' 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. Fprms 1 4. •Electrical Conduit-•Undrgrnd. � 55. Electrical Bonding '6. Steel Reinforcement �6.! 56. Rough Plumbing & Pressure Test ElectricaPUFER Grnd. 57. APPROVAL TO COVER-GUNITE 7."Fcot ings'' 58. Electrical. Conduit-Undrgrnd. 8. 'Foundation - 59. Gas Pipe, O Undrgrnd., Test •` ; 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd.i 10. iStructuraC.Floor System - -61. APPROVAL TO DECK 11. PropertySewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewertap *' 63. Heater & Vent=Final .t 13. Roof l rains .~ 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 BaF.'Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # - 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping D Gas O Oil 23. Gas Pipe-Rougli:$Test 72. Underground Flush 24. Roof Framing , 73. Undergrnd. Storage Tank OGas OOil 25. Roof 4Sheathing- 74. Overhead Hydro .26. T-Bar Ceiling'(Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe •28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing - f� HEALTH DEPT. REQUIREMENT 31' Plaster Brown Coet 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating &'Air Conditioning 35. Final'Gas Pipe-Test 36. Hood or Canopy , 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 12_4_53�,a? P' •S bout 48. Special Requirements Completed ' 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date zo, 23398 COSTA MESA BUILDING SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING L ADDRESS COSTA MESA. CALIFORNIA FEE �REC,�kED )46 FINANCE DEPT. APPLICATIDfY ({SSR @@UkT MESA BUILDING For Office Use Only R6C61?cc��eeNO. �pw 1 NO. cc7BY - IDA 11cC.ZED / —reA �D CHITECT // ENGINEER 4-;11 THL. 3-j7 NO. % Z. APPROVED /'+4 BY 1 ATH/ ZV O IND DR EBB FAD ' f'�Z G �. 20 � NO, OP _ PLANS L-/ 088 OF NEW BUILDING I 3 DESCRIPTION OF WORK ■ NO s/ OR WALL DISTANCE BET. BET. MAIN MAIN BLDGS. ACCESS. B VAR.# DATE Z P 8 APPROVRO USfi OF BUILD NG AND WORK TO BE PERFORMED // IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ADOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDI NANCBS AND STATE LAWS REGULATING BU' LD IND COrySTRDCTI SiGNATUR OF c • /✓ �ZF/f PETTEE AUTHORIZED AGENT n zd SD. FT. THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOSE OF ESTABLISHING A PERMIT FEB ONLY. O VALUATION PERMIT FEE PLAN CHECK 0 TOTAL FEE A. P. NO. r O V CITY �_� 1--130 NOTE: NO EAVE OVERHLG SHALL BE LESS THAN TLC, NEL' SO^ TO SIDE 3 REAR P. O. Z ALLOWED (U. B. C. REOUIREMENTI SIZE/ Z NO. OF BLDGe.�Y OF LOT NOW ON LOT V YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ( FROMCZ STREET 1 GETBACK LINE FROM CENTER OF STREET /�/, / .J v REAR YARD FRONT FT. FT. DESCRIPTION OF WORK ■ NO s/ OR WALL DISTANCE BET. BET. MAIN MAIN BLDGS. ACCESS. B VAR.# DATE Z P 8 APPROVRO USfi OF BUILD NG AND WORK TO BE PERFORMED // IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ADOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDI NANCBS AND STATE LAWS REGULATING BU' LD IND COrySTRDCTI SiGNATUR OF c • /✓ �ZF/f PETTEE AUTHORIZED AGENT n zd SD. FT. THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOSE OF ESTABLISHING A PERMIT FEB ONLY. O VALUATION PERMIT FEE PLAN CHECK 0 TOTAL FEE DwAtu MQMjMLAN, Dan DATE JOB ADDRESS l S7S nr....o Airs AR.R BUILDING PERMIT NO. AP No.l 17=140-20 LOT TRACT FIRE ZONE VALUE S 125, 400.00 INSPECTIONS Signature I Date GROUPI&J TYPE V ZONE R-2 Soil SUBCONTRACTOR I PERMITS ISSUED Gas Date I Number I Signature _ Water Plumbing Rough Plumbing Prop. Swr. Line ouse Con. 3 6vr Sprinkling System —�%ia; Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power:0 Rough Wiring i Heating and Vent. Trenches LX Forms • Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing i Gs Frame and Flashing i Lathing — In Out Plaster, Brown oat C Structural, Final Electric Heating, Vent., Refrig. and A.C., Final F e uc -/O� .2111.1/ Plumbing, Final and Gas Test Electric, Final ze Gs Building, Final ' Snani al Ramiirnm an}.c t MO4 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1100 COSTA MESA, CALIFORNIA 92628 For Applicant to Fill In Completely TYPE OR PRINT BUILDING /�YVRCii /J J�Lr COSTA MESA. CALIFORNIA ARCHITECT IZE 0. or OF LOT �!/\ .Y SII / I NOW ON LOTS / p c rl USE OF ® DESCRIPTION Of WORK EXTERIOR 1 HEREBY ACKNOWL6DG8 THAT I HAVE READ THIS APPLICATION AND STATS THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING GONSTRUCTRO - . AUTHORIZED AGENT n �I GCT-9-67NcHsntn;.00 365'•. ........11,.�� APPLICATION FOR PERMIT BUILDING For Office Use Only REGEIrt no. Ag LEGAL YARDS APPROVED MAIN BUILDING tOM C/L eTIIEET) 0 V — -J�)-;4/ -T- SHALL BE LESS THAN YARDS APPROVED ACCESSORY BUILDING DISTANCE BET./ . BET. MAIN G MAIN SLOGS. : -ACCESS. BLOCS. VAR.* V— 5`L.G> DATE I-%3'G-�T ® PROVEDIII v7 DATE q-11-`�^• Hti1.n FOR SPEC AL RFOUMFM--a w C7 _ yc I 517- CL- Td- Td- e4. Fr. 0 THE AMOUNT SHOWN UNDER VALUATION 18 FORTH8 j PURPOSE OF ESTABLISHING A PERMIT P88 ONLY. i13 VALUATION I33 TPERMIT FEE D N CHECK S6 �� w UWN LK n JOB AC "tGENER 3 AP No. DATE iii-izn-pn- LOT38m39.40 TRACT 427 FIRE ZONE VALUES 10.000.00 INSPECTIONS pp Si nature Date GROUP TYPE T% ZONE R-2 solL �6 7ew V SUBCONTRACTOR PERMITS ISSUED GAS Data NumberI Si nature WATER PjwmIingj ROUGH PLUMBING _ PROP. SWR. LINE Ej HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING 41, TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGN WIRING Heatin an V nt. TRENCHES FORMS ❑ STEEL REINF. «' FLOOR SYSTEM C BOND BESTEEL REINFORCE SHEATHING �j�jy.(��/jf o - FRAME AND FLASHING f LATHING — IN OUT PLASTER, BROWN COAT Q— STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL I PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL