HomeMy WebLinkAbout2074 MEADOW VIEW LN - Building Permits/ '°.
CITY OF COSTA MESA
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BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT ann_n++nd
V PERMIT PERMIT NUMBER
(714) 754-5273 Fax (714) 754.4856 BUILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2074 MEADOW VIEW LN Status: ISSUED
Suite: Applied: 06/22/1998
Vicinity: i Issued: 06/26/1998
Parcel Nunmber: 42201212 Zoning:
Applicant: GARRETT, JOHN H TR
Address: 2074 MEADOW VIEW LN
Phone: 714-631-8806
COSTA MESA,CA-- -'Zi -- 92627 -
Owner: GARRETT, JOHNN,H TR�'�
Address 2074 MEADOW VIEW-LN�'—A
Phone:
COSTA,MESA;CA A �'� = Zi : -=92627----,,
Contractor:
Address,�/� �� �//`s
Phone: "� �
Zip:
� License:
��� , \
Arch /rEng 'Cy i
Address \l -?–
zip
License:�`---__
SCOPE OF PERMIT 1
g34SO. FT. INTERIOR -ADDITION OF MEZZANINE FLOORSPACE TO AN EXISTING SINGLE-FAMILYt
IDWELLIN
(`�I�7 !�'�'r'i�
__ -- -FEE-SUMMARY
P,Ian4Check 'it tt$40.46 1 _% Calc Valuation r; 121000.00il'!
Permit , fi $62.25 lam' l y?w� chimed Valuation: / $2,006.00j'f
z _—'—.!
MIP Res: W <$0.50
SMIP�Com3,40.00
%Other: 100 / //p
ns ection: $0.'1$0.00
Totals-� $101210;;
}PLANNING &'ZONING V
SETBACKS,�:
,..
< ` f. /�'� �`.� fit"§-7,� r,� �� I�''�" Y> �✓"- t Cj <�
MAIN STRUCTURE Front 20-'0
ACCESSORY Front 0 0 {�%��Rear, �0 0— - -Left -0--0 Right', 0 O�i��
PARKINGExishn �., 2r'_ _, Required Proposed*) -.2
NOTES: ._-�-�� �.��,;. - ✓/ ,t'�
EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714) 7545826
r•^ T ♦ I .\
WORKERS' COMPENSATION DECLARATION: ,
I hereby affirm under penalty of perjury one of the following declarations: '
❑ 1 have and Will maintain a cedifcate of consent to self -Insure for workers',compensatlon, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit Is issued.
❑ 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 permit is Issued.
My workers' compensation Insurance carder and policy number are:
Cartier: Policy Number:
(7his section need not be completed if the permit is valued at one hundred dollars ($100) or less.)
❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full
force and effect. Uc. M Class a
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its 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 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 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. It, however, the building or Improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 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 property who builds or Improves thereon, and who contracts for such project with a contractors)
license pursuant to the Copblictors License Laws.).
empt under sec. D Business and Professions Code for this reason:
ure Date:
r ID Verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth Into which a 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 or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sac.
341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
....................................................................................................................................................................................................................... .......................................................
2 Does or will the applicant or present or future building occupant neetl to fie a registration form for acutely hazardous materials? []Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure).
....................................................................................................................................................................................................................................................................................
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Sectlon 25534 of the California Health and Safety Code provides that the 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.
......................................................................................................
. .. ................. ................................................................................ ...................................................................
4 If an RMPP s- presently required, hes Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No
....................................................................................................................................................................................................................................................................................
5 Does or will the applicant or present or future building occupant require for the work which is the subject of thisa plication aemit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 8 Yes 8 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
............................................. :......................................................................... ..............................................................................................................................................................
6 WIII any part of the facility to be constructed under this pernit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If yes', the facility must meat the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
....................................................................................................................................................................................................................................................................................
7 It a pernit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
....................................................................................................................................................................................................................................................................................
8 (If yes", attach certlficote of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of 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.
Signature m Legal Own (s) Dete
And/Or Authorized Applicant Data
CODE L INSPECTIONWPE gejF IIQIDELS CODE r INSPECTION ME lim gITTIA�
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final - 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical "
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Plece .. 220.. Final Planning Approval, -
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
244646 1.
CITY OF COSTA MESA
BUILDING DIVISION
OWNER -BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner -builder verification.
Attention Property Owner:
An 'owner -builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement. des ❑ No
I (have/have not)signed an application for a building permit for the
proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone ( ) Contractor's Lic. No.
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have receive4 a copy of the information set forth in Section 19830 of the State
of California Health and Safety Codaernd have completed the above information to the best of my per-
sonal knowledge o Iia w' State I w.
Signed: - Date:
Name AMIAZ
(Printed or Typed)
C.D. . # or S.S. #
754-5273
1042-46
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CITY OF. CgSTA MESA -
BUILDING SAFETY DEPARTM.
POST IN, CONSPICUOUS PLACE
ON. THE JOB
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BUILDING SAFETY DEPARTM.
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-,FIRE ZONE - •Z TYPE - j.
GROUP -
fiPIV21AL RISQUMEMEZIF4'
' SETBACKS.' `
Front Yd ; 5 Side Yd. R 0 L O Rear 10
Side Yd. R ' L Rear
''•F :.- BUILDING INSPECTION. RECORD pl,
�t,,iTO KEEP BUILDING PERMITS VALID' WORK MUST'BE CC
-Y�:aMENCED WITHIN60DAYS WITH .ROUTINE INSPECTIONS"
5 -.LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED.
r TRUCTU AL INSP. DATE
...
Trenches Forms
Floor Sys[em---:-- '"
Steel Reinf............
.'------------- . G�"S �
Sheathing -:----{- ----------------
'•`°- Frameand Fleshing.-,..'..- -- ------------ 'zr"
Insulation --------_---------------
7 - -
,r
v:. le king---
-> .Dry Wall Nailing
Plaster, Brown Coat ' ---------
fg Sound Attenuation. it"..- ...._.:::
C ri Handicap Regulation ----=-
z-" FINAL^
PLUMBING'
xci+:
Soil ---- _-
,�" Underground Water -..--
Rough Plumbing .......................
-- --.--__
Prop. Sewer Line and House Conn .---_-----7
I: Street Sewer Conn- .......................
Water Service -'-----__---------_----
Sprinkling
- _---- ---
.. Sprinkling System---------------,-------�
GasTest - ------ ---------------------
FINAL i
r� HEATING, AIR-COND.AND REFRIGE A'
-Refr. Lines, Pressure Test
,4 Ducts, Underground .; s , -
r '
Ducts, in Structure
Rough Heating and Air ,Cond..
:-: ::FINAL t:
ELECTRICAL
Temporary Service or Pole ----------- --
Underground -----------------------=-
Power Meter
•r'
Rough Wiring ---------------------------
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Special Requirements
ii
NOTICES
24 -hr. notification required when tRe job is ready for inspection. You
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NOTICES
24 -hr. notification required when tRe job is ready for inspection. You
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NOTICES
24 -hr. notification required when tRe job is ready for inspection. You
must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH
RESPECTIVE INSPECTION. CA,LL556-5273. '
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FINAL1,':^'
Do not occupy this project until final insp tion has?
been made and occupancy has b proved
Building Final _n
Special Requirements
Occupancy
NOTICES
24 -hr. notification required when tRe job is ready for inspection. You
must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH
RESPECTIVE INSPECTION. CA,LL556-5273. '
PLANS SHALLBY ON JOB AT ALL TIMES
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TRACT N0. NODI D DAT(o/.70/75;
LOT N0. IvZ I
ADDRESS
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknovledges that (he -she -they)
was or were)
ised that this tract has
not 'ceen given final inspection nor has it been accepted by the City of Costa
7'esa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
RECEIVED
CITY Of COSTA MESA
PLANNING DEPT.
JUS!
AM
PM
71819110111,12,112,314,5 16
:A
BYIN ft Aojyu
Purchaser
BY
W,
Developer and/or authoriz
representative
er
M
TRACT NO.
IAT NO.
ADDRESS
Ul'1'Y Ula CUL I., hll:::A I-I)I: (,CCUI VLIIC'f
D IT,
The developer of the above entitled tract desires to sell the above. set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned. by executing this agreement, acknowledges that (he -she -they)
(was or were)
advised that this tract has
i not been given final inspection nor has it been accepted by the City of Costa
{ Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
F
The city assumes no liability 'for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in dsmege or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.The undersigned acknowledges that this
agreement is wade solely for the benefit of the city and does not inure to
the benefit of the undersigned or any of them.
BY
PUu hs� E R�YA, PA Y
BY
Developer a or authorised
representat ve
GREAT WESTERN
BY LOAN -AS&664Aile1
1' °�VJLSHIkE BOULEVARD
HLVLHLY HILLS, CALIF. 90211
y rJ GGrru .L
�U 'ItLolLw'U.
PROJECT ADDRESS: 2074 MEADOW VIEW LN oxlr:
owNE'AD NAME RIECKEE STEVEN MAX
/AODNEss: RIECKDARLENE F
2074 MEADOW VIEW LN
COSTA MESA,CA 92627
ARCH/ENGINEER: 631-2984 REG.NO.:
ADDRESS: UNIT:
PERMITTEE: NOCK PLUMBING (714)895-1246
ADDRESS: 11610 SEABOARD CIR
LICENSED CONTRACTOR UELCAflIIYIIIV I hereby affirm that I am licensed underCpmvisio9 0 C8 0 r 9 (commencing Section
7000) of Division 3 0l the Business and Professions Code, ani Bid is in full farce antl e0ed.
CITY LIC.: ST TE LIC.: LASS:
Date
050386{�k 51197
Date: Signature: _
WORKERS' COMPENSA 0 AT ION: hereby (Section
m hat have a cemficate of copse selhinsure ora certiticale of Workers'
Compensation Insurance. ora cendietl copy thereof (Section 3800, lab. Cu '
POLICY NOL: 116799290 EXP. DATE: 03/01/92
COMPANY: STATE
7 Coronet copy is herebyfurors ed 1� Certified copy is filed wit e y Building Division
Date: applicant -
EXEMPTION FROM WORK S'CO EA NSATION DECLARATION: (This se ion need not be completed if thek mil i5 for onehundred($lDD) or less).
I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor
Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097. Civ. C).
LENDER:
ADDRESS: '
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish. or
repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that hi is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Eli
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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. II, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
lar the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
El and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
Date: Owner
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Crinkly Management District Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the abo,i for n tion is correct. I agree to c )ply with all city and county
ordinances and state laws relating to building corestruclion and hereby au oree presentxtivesoithiscityto rupon the above-mentioned
property for inspection /purpose
Dater /!_z ` Signature:
Driver's License or Social S cunty N.
1641 46 White—Building: Green—Code Enforcement; Canary—Applicant:.Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 055529 PLAN CHECK NO; N
CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU
JOB DESCRIPTION ; CHANGE OUT WATER HEATER
CLAIM VALUE:
CALC—VALUE;
COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
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Z O N I N G S E T B A C K SR E Q U I R E M E,N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 42201212 ZNE: REF NO:
PLANKING NOOTES>
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ZONING APPROVED BY DATE;
BUILDING. APPROVED BY DATE:
i�
PERM NQ`: P 05552
GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
APPLICATION ISSUED BY: kt-\_ — DATE: I 2� %
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LEGALIZATION:N F E E -S U M A R Y STRUCTURAL SEGMENT:N
PERMIT BLDG. PMT PLUMBINNGG ELECTRIC; MECHANIC FIRE SMIP/RES GRADING
2 00
25% /- SMIP/NON—RES
PLAN "
ISSUE FEE 3.00
BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE
TOTALS ---- > 2.00 3,00 0,00 5.00 5.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 5.00 OVER/SH6RT;00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK'
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I N D I V I D U A I; '.: F`E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N' UNIT COST TOTAL COST
"I
PLU 1 WATER HEATER AND/OR VENT 2.00 2.00
END OF FEES
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POO SPA -
CONSTRUCTION AND PLANNING
_
APPROVALS Permit#
Dspector
ate
In
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole_(,,
52. Pool & Equipment Location
2. Soil Pipe-Undrgrn! .
53. Steel Reinforcement
1!Iecincal Cond&irkJ ity-Undrgrnd.;
54. Forms
=4 ETlegiric4l ConduiYTJrtdrgrnd. .•
-
55. Electrical Bonding
n,n _
_'
S5.•Ste"pRe nforcer 4;>5iS V
_
56. Rough Plumbing & Pressure Test
- r,,
rl
_-6.••Electiical UFEI:.'Grnd. •-•
57. APPROVAL TO COVER-GUNITE
=7h FrpDtµ gs ;?4
58. Electrical Conduit-Undrgrnd.
8. �ggndation
59. Gas Pipe, O Undrgrnd., Test
z;
' Waier Pipe-UndrgcQd.
60. Backwash Lines, P -Trap, O Undrgrnd.
A0. Structural Floor System w
61. APPROVAL TO DECK
11.' Property Sewer Line"& House Conn€Ztion
62. Backwash & Receptor -Final
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12. Sew€Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbinj�. '"
65. Electrica kFinal
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15. Rough ElectricXConduit _ -
66.. Solar System -Final
16. Rough ElectricWiring
67. Fencing &Access Approval
17. Rough Wiring Sign
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68. APPROVED FOR PLASTERING
18, Rough Electric3(T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning_
FIRE DEPT. REQUIREMENT
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76. sfIRE PREY. FINAh *7 > K
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31. Plaster Brow ati.':
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:51. CERTIFICATE OF OCCUPANCY'
No. Date
/'
OWNER THE GREGORY CO DATE 3-3-78
JOB ADDRESS 2074 Meadow View Lane RUll DING PFPMIT ND
LOT J.2 TRACT J.UU10 FIRE ZONE VALUE E 4µ,70U•
II TIONS
Si nature Date
TYPE
V
GR—OU—P--r
& J ZONE —
SOIL
SUBCONTRACTOR
GAS
Date Number Si nature
WATER
Pi
Ina
ROUGH PLUMBING
r
I
_
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
Heat'
and
Va t
TRENCHES Lj FORMS STEEL REINF. Lj
FLOOR SYSTEM
Q
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLA"ER, BROWN COAT
S' 1RAL, FINAL
HE. ..G, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
C.
4.5
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
3679 1/05/76
114:93 TL
For Applicant to Fill in Completely — Use Ink Only
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY
DATE RECEIVED
GAMn
BUILDING s)!
ADDRESS
The Gregory Company
A.P.NO
PEOWNERMAIL
3187-G Airway Ave•
AODFITADDRESSpCITY
Costa Mesa -o�51-3850
TRACT10018
LOT
CONSTRUCTION
W
AD
A R
PLENDER
XBRANCHOWNERa
Gregory compaADDRESSARCHITECT1.rarrlSOn/LOrenZln
5 w/att garbOR
ZONE TYPE V GROFIRE
EL75i-3853
ENGINE H'ADDRESS3187-G
Airway Ave
V
CONTRACTOR Gregory onstruction CO•
APPROVED
BY DATE
ADDRESS 3187-G Airway ave.
.r�r 11
CITY Costa Mesa NOL ! J1 -38`I'
E
9-M4
O. OF
LANS
USE OF �r €W—
BUILDING
STATE 285981 CITY 008179
LIC. NO. LIC. NO.
YMAIDS APPROVED
N BUILDING
YARDS APPWOVE8
ACCESSORY BUILDING
SIZE %.27'x992'
OF LOT
NO. OF LOGS. 0
NOW ON LOT
(FROM C/LSrEET)
RONT FT.
FT.
USE OF
EXISTING BLDG.
R. SIDE^O FT,
FT
Separate permits are required for
L SIDE V FT.
FT.
electric, plumbing and heating work.
REAR (�FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN SLOGS.
ACCESS SLOGS.
VAR. 46
C.U.P.+
DATE
APPRO (P /
attached garage
°PPR PD
QA7F1 %S'
I hereby acknowledge that I have read this application and state
•'REeui✓
f,— /
that the above Information is correct and agree to comply with
"
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
1690 512 garage
SQ. FT.
the State of California.
I hereby certify that I am properly icensed contractor under
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business a Profe i s Code, Division 3,
Chapter 9, d th t such licens ar n force and effect, or I
am axe t from t e provisi of a to of California Business
antl Pro sslons Co a Oi 3, a r 9.
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
PERMIT FEE $
PLAN CHECK $
Signature
TAX $
Permittee
TOTAL PAID $ lid .01
Aut
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Ust Ink Only
MAIL
ADDRESS/ I
Wall
;q•PFiiPPiYF7.
BRANCH
ADDRESS
ARCHITECT
CONTRACTOR
7238 3/13/78 172.00 TL
7238 3/13/78 172.000KTO
7238 0000445318 IA
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY DATE RECEIVED DATE ISSUED
PERMIT NO.
A.P. NO.
BUILDING
ADDRESS 10 ��/�I
OWNE
FIRE
APPROVED
ADDRESS
ZONE
NO. OF
USE OF NEW
TEL.
CITY NO.
DISTANCE BET.
MAIN BLDGS.
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LC. NO.
MAIN BUILDING
ACCESSORY BUILDING
and Professions Code, Division 3, Chapter 9.
(FROM C/L STREET)
PERMIT FEE $
SIZE -
NO. OF SLOGS
OF LOT
NOW ON LOT
_FRONT FT.
FT.
USE OF
Separate permits are required for
electric, plumbing and heating work.
L. SIDE FT.
FT.
REAR FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
MAIN BLDGS.
BET. MAIN 8;
ACCESS. SLOGS.
D
at
VAR.*
C.U.P. 46
DATE
APPROVED
u
APPROVED
e
I hereby acknowledge that I have read this application and state , I I 0
n
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ �
any person In violation of the workman's compensation laws of m
the State of California.
1 hereby certify that I am properly licensed as a contractor under
SO. FT.
N
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
D
at
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
u
am exempt from the provisions of the State of California Business
e
and Professions Code, Division 3, Chapter 9.
VALUATION.
PERMIT FEE $
PLAN CHECK E
Signature of
/
0
0
TAX E.
Permitteeb.
$
U
TOTAL PAID E
Authorized Agent
-