HomeMy WebLinkAbout2183 MEYER PL - Building PermitsAop�icant to flll tn all spaces except ihose wljnin hn- bortler Iines ana sign all appmpriate eeclarotions.
CITY OF COSTA MESA CONSTRIJC,TION PERMI � PE�R�MIT NO. O3 TRACT NO. LOT NO. UNIT NO. A P# Zone
Proj�:'t�'ddiess �1 ` �3 /V�tv2rr � � • G� �
y�c— S Main Building: Accessory Building:
> r �` TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR E Z
ApplicanYs Maii�ng Addiess �-S^'�� � f 5 t• % C. �
Owner'SNaA}Q�i��/��S i+Y� ,,��/ 6�/6 •ld� � CONVERSION ❑ DEMOLISH ❑ OTHER B Front N
�'''''�'��Phone DESCRI TION OF WORK/USE OF B�LD�j . I Rear
Addreu LI $3 �/tr'S rl . �. �1 ' r i �Q V��P ct V0. - A �
Arch/Eng. License No. p TVPE OF PERMIT GRADwG F U nTlOrv $TRUCTURAL I K Right G
Addf255 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left q
Z2 � 6 ❑�OTHER Ping. Ref. # Parking Req./Provided Q
Contractor's Name • Phone � pROJECT DESCRIPTION Sq. F7. OCCUaANCv
Address (mailing) /S� E. 21 �" Sr # 9 Planning Notes: M
CONSTRUCTIONTYPE � W VALUATION$ T
CiLyLiCenSeNo. ���0� ZONE GRADINGCU.VDS. ACRES $,
IICENSED CONTRACTOR DECLARATION
I �ereUy affirm [hat I am licensetl untler proviSion501 Charler 9(commencing Remarks:
with zection 7000) of olvision 3 of the Business antl Protessions Cotle, ana ELECTRICAL FEES
my license is in full torce antl efiect. �,� ^�
License CI s — i ense �" Automatic Washer Transformer O 15-50 KW
oate Signature - PLUMBING FEES
WORKERS'COMPENSATIONDE ARATION ConStfuctiOnP01¢Sub. ❑SO+KW
I M1ereby aftirm that I have a certititdta ot consent to Selbin5ure or a C¢rtlfltat¢ Bar Sink $hOW¢R
ol workers' Comoensation Insurance, or a certiiletl cooY tnereof (Section gacktlow Preventer Service Sink CAoking Unit Meter �up to 700 amps
3800, Lao, c.) Dishwasher Meter over 100 amps
Policy No. Company Backflow Irrigation Sewer Cap
BCertitietl copy is nereGy furnishetl. Dryers �Gas ❑Electric Sub Panel
Certifietl capy is filetl with the city Buildin9 Division. Bathtubs Sewer Connection
Date Applicant Fan Motors �0.1 HP 07X � B
E%EMPTION FROM WORKE0.5' COMPENSATION OECLARATION Clarifier5 $olaf ColleCtors
(Tnissection neetl not be completeU if ihe permit is for one nunaretl (5100) or Dishuvasher F�A�U� Inc. Solar �9-15 HP �i6-15+
lezs). Solar Piping
1 c¢rlity Nat in the Oerformance ol th¢ work tor whiGh this p¢rnf�t i5 iszuetl I
snall not em lo an y��K q.n � 9 Solar Tank Fixmres Microwave
p y y p¢rson in an mann o t0 bec e subje t to the Drinkin FOufltdini
N�OfkC(5' dll0ll �.dWS O( �d�liOf �� Device Boxes
Date Signature a�-- � Floor Dreins Swimming Pool w/Spa Pole Li9ht
NOTIC : 1, a t r making Nis tleclaratl n, yo�ome sub7ect lo the Outlets Ran e
Workers' Compensation provisions of the Labor Cotle, you mu5t forlhwith FloorSinks Urinal 9
comD�Y �+'�th such O�ovisions or thi5 p¢rmit Shall b¢ tlGGm¢tl tovOketl.
CONSTRUCTION LENDING AGENCV GeSServiCe Outlet5 WetefClOut Switches $ign
1 �e�eby affirm that the�e is a const�uction lentling agenty tOr the plrfo�mance G3�62 2 Di 0521 Stdndi0
o� tlte work 10� w�icn this permit i5 i55u¢tl (Sectlon 3097 qv. CJ IptC�C¢pt0�5 Water Heacer 9 � 9$QCtiOnS
Lentler's Name
Lenaer�s aatlress Kitchen Sink Water Service Generator �0.5 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hefeby affifm lhat I am exempt frOm Ihe ContfacloPs License Law fOl the LdvdtOfiQS AutO-W85h
IOIIOWIO9 fEd500 (Section 7031.5 Buslness antl Protessional Cotle: Any tltY or
county which requires a permit [o construct, alter, imOrove, tlemolizn or repair p—Trap LBundry Tfeys
any sVucture, prbr to ils issuance, also requirez lhe apP��<ant for such permit
to fil¢ a Si9n¢4 itatemen[ that ne/sh¢ iz Iicensed pu�5uant t0lhe O�oviSiOns of Roof Drains
the Con[ractor's Li<ense Law (Chapter 9(commencing wi[n Section 7000) of
Oivision 3 oT tne Business antl Professions Cotle) or that ne/she is exempt
tnere/rom an0 tne basis for the alle9e0 ezemption. Any violation of Sec[lon Reinspection ae 75 Issue Fee
]03L5 Dy any applicant for a permit subjects [ne applicant to a civil
enalty of not more than five hunGrea tlollars (5500). DEVELOPMENT SERVICES RE�UIREMENTS:
� 1, as owner ot the prooerty or my employees wilh wages as thelr sole Reinspaction Fee $15 laue Fee $ 3 Zoning Approved By Date
compensation, will tlo tne work, antl the structure is not IntenAetl or ot(eretl
for sale (Section �044, Businesz antl Profezsional Cotle: The Contra<tor's MECHANICAL PEES Building Approvad By Date
License Law tlo¢5 not apDly to an own¢r Of a ptop¢rty wno buIIES or Improves
thereon, ana who tloes such work nimself/nerselt or throu9h his or her own Appliqtion ISTued By d��.Dat 3
employees, provitl¢tl [hat Suth imprOvement5 are not inteOtletl or oHeletl for BOiI¢� HOOd OI TypC I ❑
saie. Ii, however, tne builtling or improvement is soltl within one year of com- Canopy Type I I ❑ SUMMARV OF FEES •
oletion, tne owner wlll have the burtlen o/ provin9 ne/sne aia not bwltl or im- Duci - Under Ground
prove tor the purpose oi saie). BUILDING PERMIT $ SMIP $
❑ I, as owner oi the property, am exclusively contracting with licensetl con- Duct-Struciural Fefrigeratfon System pLqN CHECK $ PERMIT �
tractors to tonsttucl [he project (SeCtion ]044, Business antl ProteSsions COEe:
The Contractor's License Law tloes not apo�Y to an owner ot property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builtls or improvez fhereon. antl who contrac[5 tor such oroiect5 with a r.on-
tractor(s1 license pursuan< <o cne Contractor•s License Law). I am aware tnat ExhauSt System ❑ Multiple ❑ S em Repair/Alteration PIAN CHECK 25% $ ENERGY P.C. $
proot of theu Worker's Compensatbn insuranca shoWtl be provitletl to me. ELECTRICAL $� GRADING $
❑ 1 am exemot untler Section B. & P. C. for this reason Firepl/FacL Blt. ICBO dk Fire Dampers MICROFI LM $
PLAN CHECK 50% $
Date owner Heating System & Ducting Registers MECHANICAL $ � 3• S�
1 hereby certi(y that I have reatl this application antl state tnat the above ❑0.100,000 BTU �100,0006T TOTAL FEE $
information is correct. I a9ree ro comply with all Nty antl county ortlinances PLAN CHECK 25% $
antl State laws relating to builtlin9 ConStruction, antl h¢rlby authONie �ep�e-
5¢ntalivez ot his c ty en[er On tlte a ove-mentlonetl p�o0¢rt f0/
Inspection pu
Signature � Date peinspaction Fee $15 Iwue Fee $ 3
Drivers' License or 55 � � �� Ol OCG297�5-OOD2975.5 i�lY �o..`v .
0865-46, rev. 5/BB White � Builtling; Canary - Appllcant Pink - Accountlng; Goltlenrotl - Assessor u�;te (Il;��]��i]�] i��jt; 147 ];�
,. "CONSTRUCTION AND PLANNING POOL & SPA
:y.PPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
r
?r.. Temporary Electric8l Service or Pole , 52. Pool & Equipment Location
� �.. �
2. Soj�'Pipe-Undrgrnd. � 53. Steel Reinforcement �
:.
3. E��ctr`ic�l Cond'uit Utility-Undrgmd. 54. Forms - ��
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding �`�
5�.�Steel Reinforceinent � � 56. Rough Plumbing & Pressure Test '�
6� Elecf'rical UFER'�Grnd.` • 57. APPROVAL TO COVER-GUNITE .
7. F,00tingS � � � � i 58. Electrical Conduit-Undrgmd. � �
8, F.oundation ' • / i� 59. Gas Pipe, � Undrgrnd., Test
9.j.Water Pipe-Undrgrnd"" • � 60. Backwash Lines, P-Trap, O Undrgrnd.
10.� St�uctural Floor System ,� , 61. APPROVAL TO DECK
11.� Property.Sewer Line'& House Connection �� 62. Backwash & Receptor-Final
12.-Sewe� Cap � � ' '� •_ 63. Heater & Vent-Final �
13. Roof Drains � '! �` 64. Plumbing System - Final '
14. Rough Plv�nbing � i 65. Electrical-Final
•'15. Rough Electrical=Conduit � 66. Solar System-Final
' d�6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
��
1ti8; Rough�Electrical-T Bar Ceiling 69. POOUSPASYSTEMS FINAL
19. Rough Fleating & Air Conditioning , FIRE DEPT. REQUIREMENT
2b. Rough Factory Fireplace APPROVALS Permit #
21: Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping �Gas ❑Oil
23. Gas Pipe'Rough & Test : 72. Underground Flush �
� 24. Roof Framing � J 73. Undergmd. Storage Tank O Gas � Oil �
r.
r 25. Roof SR'e'athing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Ory Chemical
27. Frame and Flashing 76. Dry Standpipe
28.'Lathing�& Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electriral Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric �y 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 pomestic-Final . '
�� •J�
�'
42. Backflow Preventer r,
43. Backflow Irrigation �- ' ��
�
44. Landscape Irrigation System
45. Sound Attenuation
.;,--
46. Handicap Regulations � j�
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison "' �
:1
50. Gas Release to Southern California Gas Co , I. ��
51. CERTIFICATEOFOCCUPANCY � ',', ,�
No. Date ' � • - r
CITY OF COSTA' MESA .
CONSTRUCTION PERMIT
Address-
Address � � "
C t [
fill in all spaces within heavy bortler lines ana sign all apprapriate Geclarations.
iM1T NO�.q ��.�/ TRACT NO. LOT NO. BCDG. NO.
%c5 VCS / � . . . . .
Phone
License No.
TVPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLI51�
❑ OTHER
DESCRIPTION OF'WORK
� on rac or ��y�i � ���� �,�/ TVPE OF PERMIT
� �AddreSs� ✓ R r .�e1 OZ ❑ GRADING ' ❑ FOUNDAT�IO/N ❑ STRVCTURAL
LICENSED GONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ljd'Pl.UM81NG ❑MECHAI
I hereby affirm tn;.[ 1 am Iicensetl untler provisions of Char[er 9(com-
mencing wlth sectlon ]000) of Division 3 0( the Business antl -.� OTHER �
Protesslons Cotle, a A my iicenso is Im fun torce ana effect. pROJECT DESCRIPTION
Llcense Class ��� - Licanse No.-p�-3� Z '
` _ Dat✓[7'S�.F t 'Si9na[ure � 1^�"� ��. � SQ. FT. �' _ . . .
v� WORKERS' COMPENSATION DECLARATION OCCUPANCV_CONSTRUCTION TVPE
V I hereby a/firm tha[ I have a cer[ificate of consent [o selhinsure,or a VALUATION � ZONE
f� CertifiWt¢ O( Worke�s' Gompensation-Insu�ance, or a certifietl coDY --
v tbereof (Sectlon 3800, Lab. C.). � GRADING CV. YDS. � ACRES
V� Policy No. Company
�`y1\ ❑ Certlfi¢tl COpy Is h¢r¢by (urniShGtl. REMARKS: _ .
`�' ❑ Certifietl copy Is tiletl �with the city Builtling Division.
EXEMPTION FROM WORKERS' COMPENSATION DECIARATION '- ' ' ' �
�This 58Clion need not be completetl it the permit IS Por one nuntlretl
E100) or less). , ' � . .. _ -' ' - -
certlfy that in t�e pe�formance of Ihe work fo� which this pe�mit I5
Issuetl, I shall not employ any person in any manner so as to become PLUM8ING- � PLAN CHECK' �
subjett ro the Workers' Comoensation Laws oi Calitornia. �� '
Date Si9nature ' BATHTUBS � SHOWERS � ' -
'NOTICE: II af[er making this tleUaraOon, you shoultl betome zubject � TOILETS URINALS '
to the Workers' Compensatlon provisions of the labor Cotle, you must -
forthwith comply wi[h suGh provi5ions or lhis p¢rmii Shall be tleemetl LAVATORIE$ �OUB�E LAVS �
revoketl. � - KIT. SINKS ' ' - ' "DISHWASHERS �
CON5T0.UCTION LENDING AGENCV
I he�eby a)fi�m that [here is a construction IenOing agency for [he p¢r- SERVICE SINK$ SUMPS "' -
tormance of the work tor which [his permit i5 IssueC (Section 3097
C��' �'�' � - ` ' FLOOR SINKS �FLOOR'DRAINS � � �
Lender'S Ndme
l.entler•5 AtltlrMS � � DRINKING FOUNTAINS " '
OWNER BUILDER DECLARATION � ' INTERCEPTORS CLARIFIERS ' '
I hereby atflrm Ihat I am ezempt from Ihe Contractor'S License Law for _ .
a
fOr suGh p¢rmi[ to 1
to �he p�ovisions ot
Protessions Cotle: - SWIMMING POOL PTRAP -
i Cons[rvc[, alter,
ts issuance, also re- ,yyqTER SERVICE ALTERATION
sta[ement that h¢
�tor's License Law GASSERVICE OUTLETS �
Division 3 of the
Da515 lor IDe allege0 exempLon. Any v�olatlon ot Sft[IOn /031.5 by
dny appliWnt for a permit�subjects the applicant to a civil penalty
ol not more [han (ive huntlretl tlollars (E500).
❑ I, as owner of tM1e prope�ty, or my employees with wage5 as their
Sol¢ ComOensation, will tlo the work, antl the structure is not intentletl
or of(eretl for zale. (Section 7044, Businezs antl Protessions Cotle: The �
Contractor's License Law tloes not appty to an owner of a properry_
who builtls or ImOroves lhereon, antl who tloe5 zuch work himself.or
through hiz own ¢mployee5, provitletl tha[ such improvements are not
intentletl or offeretl for sale. I(, however, the'builtling or improvemeni
IS Soltl within one year of complelion, fhe owne� will have thc burtlen
o! proving he tlitl nol builtl or improv¢ fo� [he purpose o( sale).
❑.I, as owner of the property,-am exclusively con[racting wi[h
liG¢ns¢tl mntraclors to' construct Ihe project (Section 7044, Business
an0 Professions CoOe: The Contracior's Licens¢ Law tloes not apply to
dn owner of property who builtls or imprOves [herean, antl who con-
traGts from such p�ojet[5 with a contracto�(5) licesnetl Outsuant to
tne Contractor'z License Law).
❑ I am exempt untle� Section B. & P. C for thi5
reason
Date Owner
I ite�eby certify thal I have reatl this application antl state tltat the dbove
information is Correct. I agree to comply witM1 all city antl county
O�tlinances antl stale laws rela[ing to construction, antl her¢by autho�ii2
SEWER CONNECTIONS �- ' '
SOIARTANK „ COLLECTORS'
ISSUE FEE . �
MECHANICAL vLnrv CHECK
HEATING SYSTEM 0-300,000 BTV _
AND DUCTING 100,000 + BTV _
REFRIGERATION 0-100,000 BTU_
SVSTEM 100,000+BTU_
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
l.._' :�•"`i' 8692 IU/U5/B2 , p<F1' �il
A.P. 9
20NE
REAR VARD (TO P/L)
PKG.SPACERE��
STREETWIOTH �
SPECIAL CONDITIONS:
ELECTRICAL
PLNTGO.REF.-�
PROPE�RTY LINE � �
' '
' i
PROVIDtD. � '
PARK FEE 5
DATE ,
PLAN CHECK ' I�
GENERHTOR " 0�1 KW_1�30 KW _
TRANSFORMER
APPIIANCE � �30-50KW_50+KW_
MOTOR$ 0�] HP_1-10 HP _
,(INC.SOLAR) '10-SOHP 50+HP-=
FIXTURES OUTLETS SWITCHES
�GAS TUBE SIGNS �
PANELS
SERVICE
ISSUE FEE
APPLICATION
� � MAIN � - SUB
AMP
DATE
' SUMMARV OF FEES . .
BUILDING " �
PERMIT E " SMIP� .. "S___
PIAN CHECK E PERMIT "
PLUMBING $ • O O ISSUANCE E
• � GRADING� .S�
PLAN CHECK E ' � � '
ELECTRICAL 5 � ' a
PLAN CHECK. $ • MICROFILM S.
MECHANICHL �$ ' ' ' . TOTAL FEE S
PCAN CHECK S� LE55 AD- '�� '.
_ VANCEPC $____
reD�eSentallve5 oi ttlls tlty t0 en[er upon the above "menlionetl -
property for inspeGtlon pur oses. t
Signature Dat¢ �O'y �O� - '
' FINALFEE S_�•OO
Drivers' Lirense or SS # ' ' �SSUE FEE - - • � - � � • � - � —�
CMP 0865-46 White-Builtling; Gnary-APP��cant; Pink-Attounting; GOIEenrotl-AsseSsor
�
CONSTRUCTION AND PLANNING - � POOL & SPA � ' • , , � ;� ^ �
APPROVALS Permit# ��DS'� Data Inspector pppROVALS ' Permit# �' Date� - Inspector
1. Temporary EleMrical Service or Pole � 43. Pool & Equipment Location - - " �
il ipe-Un rgrn � �• 4. Steel Reinforcement - - � � -- �
3. lectrical Conduit Utility-Undrgm 45. . Forms � � � - � -
4. Electricai Conduit-Undrgrn • 46. Electrical Bondin , --
. tee em orce � 47. Rou Ii�Plurribin & Pressure Test - - �
6. ElectriplUFERGrn ' 48. APPROVALTOCOVER-GUNITE--- - •
7. ootings � 49. Electrical Conduit•Undr rn �' �
8. Foundation � � -• � 50. � Gas Pipe, ❑ Undr rn, Test '
9. Water Hpe-Undrgrn � 51. Backwash Lines P-Tre ❑ n r m - ' ' -
10. Structural Floor SYstem 52. APPROVAL TO DECK ` - -
11. Roperty Sewer Line & House Connection 53. Backwash & Hece tor-Final ��
12. Street Sewer Connection � �� � • 54. Heater & VenFFinal '
13. Rough Plumbing � � ' - '
14. Rough Electric-Conduit -- �- - :56. Electriwl-Final � '
15. Rough Electrio-Wiring ' � -- - - - 57. �Solar System-Final - -
76. - Rough Heating & Air Conditioning _- - � encing & Access Approval
17. Ducts in Structure . ' ' APPROVED FOR PLASTERWG
18. Ducts, Ventilating - - _ � _ _ . . .
19. Gas Pipe-Rough & Test 60. POOUSPA SYSTEMS FINAL ' •
20: . Roof Framing � - " � � ' � -
. 21, floof Sheathin � - _ '
22. Frameand:Flashin � ' NOTES: - Qy _ � A
23. Insulation ' ' ' � _ Z � .
24. Lathing & Siding -
25. Drywall Nailing ' ' ' �
26. Plaster Brown Coat � � -
27. Electrical Power Meter-Final �' � • - � �
28. Final Electric � � �
29: Final Heating & Air Conditioning � � -
30. Final Gas Pipe-Test - ' . �
31. Final Plumbing , ., �_ 3�� ' ' '
. 32: WaterService:Final ' -� ' '• ��..�._� , �� ��� � �
33. . Gas Service-Final_ ' '
34. Solar pomestio-Final + ' � � ' ' " � � �
35. Land:ca S rinklin S stem ' � ' '
36. Sound Attenuation � - � -� ' -
37. Handicap Regulations - � � ' � � � � , �
38. FINAI STRUCTURE & BUILDING _ . �
� 39. Speciai Requirements Completed " - - ' � � � �
� 40. Electric Release to Edison - '
' 41. Gas flelease to Southern California Gas Co. ' - �'
� 42. CERTIFICATEOFOCCUPANCY � _ '
� No Date � � � , � . �
- - - -. .. _ . . . _ . ` . . . :
Pfl0.1ECT p��NE33: z 1 8 j MEYF.R PL
��OY/NEN'SN1ME: GEORGE ARNOLD
poopE't: SAME
Ei45 -851?_
�NCHIENGINEEP: ' flE0.N0.:
AODflE35: ' � .
uXR: CITY OF �US1'A MESA - BUILDING PERMIT
PERMIT NO: B 0q6761 PLAN C.HFCK NO: 03434-90 S
CONSTRUCTIOM TYPE: PrRMIT TYPF.: STR
JOA DESCRIPTIODI : STD DLOCK F7ALL
UNIT:
PEBMITTEE: JIM JF.NNTNG5 ( 714 ) 645-8512
nooeess: Z136 NGWPORT
CM CA 92627
LICENSED CONTMCTOR DELUfUTION: I e y aifirm that m IicenuA unAer Drovisions of Ctupter 9(commenclnp with Sectian
7000) al Oivivon 3 of I�a Business antl Pm ssions CoOe, an0 m' e is in lull lorce antl efleci.
ciTr uc.: 0 7. 4- 4 7 sTnTe uc. 3 9 2 7 0 7 cuss: �. -
Date:' � �ew�e� M �
WOBNEBS' COJM�PENSATION OECUMTION: I here0y attirm that I Aave a certificate ol cansent lo self-insure or a certiliute oi Workers'
PoL1CY N0. n y�sCapce, y�cqrti}ietl capy lAereof (SecoE%3BO 7Eab. C�.
L � b �l 1
winrnxr: GOLDEN EAGLE
❑ CertilieA copy is hereby tumisheU. � Cetlified copy ¢ GIeO vrii� the dry BuiIEInA �on.
Oate: MP����-
IXEMFfION iflOM WOHKFAS' COMPEN511710N OE um iree0 not 6e compkt ce�mit ¢ fa one hwNre7 �5100� w less�.
I certiry t� tAe Detlorma� � nce of I�e work �or whi this permR is i l e0, I a ot em0� on in i ny ma�5o as to Oecome
sueiect ta t wade�5' � en5ation Laws of lifomia.' ��
..__ �are: � g� �� /, Y t
NOTICE II, atter mlking t�is OecWration, you s�ould Cecome suhl�t to ihe Warkers' Compensaiion provisions of t�e LaGor
CaCa, you must IotlhwiU tomply wilA such pmvisions or this De�mit sAall be OeemeC ravokeE. �
CONSTBUCTION LENOING RGENCY: I herehy aifirm Ihat Ihere is a constructian IenCinp agency far t�e petlormance of I�e xrork for
wAicA ��is permii is iuuetl �Section 3097, Civ. C�.
LENUER:
nooeess: ,
OWNEB BIIIWEB DECLAMTION: I hareEy aflirm that I am e�empt fmm the Contractars' State �Icense Law br t�e following reason
(Section 7031.5 Busineis anG Pmiesaonal CoOe: My ciry of counry which requires a Dermii ro constmct, alter, imD�ove, Oemolish, or
repair any S�m[�ur0, pdof lo Its issuance, also fequifes the aOPlitanl for Sut� permil Io Ii10 a SlgneO Slai¢ment �hal �e/She i5licenSeE
pursuam m t�e D�avisions ol t�e Contraciors Stata Licenu Law (Chapter 9(commendnp with Section 7000) ai Oivision 3 of ihe Business
anU Pmlessions Code) or that �e/she is exempt therelrom anC Ihe Eazis tor tAe alle0� e�emption. Any violation of Section 7031.5 hy
any aDDlicant lor a permit sublects t�e apDlicant to a cNil penalry ot irot more t�an INe hunCreC tlollars (5500�. �
I, az owner of I�e propeM a� my employees wiN wages as iheir sola compensation, will Uo t�e xrork, and ihe
❑ simcwa is not intenOeE ar ottere0 tor sale (SeCfion 70a4, Business antl Prolessianal COEe: T�e Contractors' SGte License Law
Ooes not apDly to an owner of a propeM who builds or improves tAerean, and who tloes suc� work �imsell/�ersell or tArouAh
his or �er own emDloyees, pmvitleE that suc� improvements are irot inttnEeE or otleretl lar ule. If, however I�e building or
imD�ovement i5 so10 within one year oi completian, the owner will �ave the �ur0en of DroNnA ��sAe Aid not Uuiltl or imprwe
ror �ne ourposa ot saiel. . - - .
I, as awner of tAe O�aVahY. am exclusiveN coniracting wrth IicenSeE wntraclors lo mnsiruct t�e D�qect (Section 70M14, Busness
❑ an0 Protessipis CoOe: T�e Contrutors �tate License law Eces not appty to an owner of Droperty wtn bwl0.s or imprwres t�ereon
� an0 who cantracts for sucA Orole�u �tA a contractaqs) license pursuant io.lhe Contractars' State License Law�. I am aware
, t�at 0��� ol tneir Warker's Compensaoon insurance snoul0 Ce pmrdeE ta me. '
I � I am exem0� un0er Section: B. 8 P. C. � '
br tAis mason:
PERM �10: [3 046761
GOV7',: N SUPP,: Dl •
� PURFOSE: OTH
sp rT: ti5
CliAIM VAI,UE: L,000.00 CAI�C-VALUL:: : 2,300.00 GROUP OCC: R-3 / -
COMMEb11'S: L15 1.,F CTTY �S'CA BLOCK WALL '
lE�'k iE lf Y iF iE Y Y� k if iE k If iP �H� � 3E �1E iE N� iF iE iE iE 9f �)E �IP iE * d! ## iE �fF iE K dK iE 3! #' IE If �N� 1E if IE �E 9f i4dE �% i4 if iF iE if 3F if 3E iE iE dF # iE iE 9k # iE if 1F iF �E �� �lE iF i4 il� �)F
Z O N I N G R F, p CT I R L' M E N T S '
S E�T B A C K S •
, �
----------- MAIN BUILDING ---=------ ------- ACCE550RY DUZLDING ---------
CRNT: FT IN RCAR: FT St�l FRNT: CT IN REAR: rT IN
LEFT: FT SN RGHT: FT IDl I,Ef'T: FT TN RGH'T: L'T IN
PARKtNG REQ: PROV: PARCF_L: 97_21l3215 ZNE: R1 RF.F NO:
PLAN�IING NOTES> FOR A 6FT. AIGH, 115I'T. LONG BLOCK WALI., ONLY. NO WALLS
> HIGHR TIIAN 30INCIiF.S ALLOWED WITHIPI lOFT. OF P/L.
**x*x�**��r*�e�ex�e*�c��e�*�rtx****�x���*x��*�*+��rrt�***�*�xxxx����xxx**�c*x�*x�x�rrt*���*�*�r*�
D E l� E I, O P M, E �l T ' S E R V I C E S R E Q U I R E M E N T S
ZONING AFFROVGD DY :_G�� �— _ DATG: �_���
BUILDING APPROVCD 13X : _ _ ___ DATE: '
AL'PLICATION ISSUEU B. : DATE: �•�D '�jj
��**�t**�t****�r�x�iexx�** x�*�Fi�TE�F'�F��i'iF7F3F� �r�t�i -C iF7�iF�'iF'�'iF�iF#�*�e�rti��trt****�-" *� 'iFfF#'�-n`x*
-I(�iEiFiEiEiElEiEiEiEififif�%1EiC�itiEiEK�#3EiEifMlEfbifiEiEfFiE�ltdlkir *3EifiE .if3EiEik�lElEiElfildti(jE1EiE?f�ltifiEiEiE�IEiF?kiEikiki(�ifiRiE7f9ElElt3k�lf3f�
LEGALI2A'PIOAI:TI . �' E E' S U M M A R Y STRUCTURAL SGCMENT:Y
DLUG FMT FLUMBIP]G ELECTRIC MECHADII�� � FIRE SMTP/R£S GRADIh1G
r�aMxT sa.00 , .so
sM7�iNoni��rtr:s
eLnn� 3s.to
TSSUE F`L•;E
BUILDING-liSV-> FERMIT . ISSUE PLAN-CHHCK TOTAI, PAID DUF.
TOTAI,S-----> 54.50 0.00 35.10 F39.60 8y.6U .00
REVEIdUG AIl'ISI:ON TOTALS--? - COLLECTED: Ei9.60 OVER/SHORT: .00
BLDG PM'P PLUMBING ELECTRIC MECHANIC FIRE SMIP/T01' GRADIMG PLAN-CHECK
54.00 .50 35.10
aEkiE3(-iFiF�E3E-M1f1Ei4iFiF�fik�(-ifNdkiEiF�EiE1E1E1EiEiElEiEaEaEiEfEififiEifififiFiElP1EiE1f1ElfiEiEifiE9EiEifiEiEiE�EifiE1E3(�iEiekifXNiEiEitiEiEfE3Ek9( ,
I �l D I' V I D U A' L r E E A R E A K D O W N .
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS'I'
Uale: Umer. I SFR
1 Ao �ereDy caniy tAat I am aware of an0 w4erstanE the reQuiremenis of Calilomia Healih anG Salery Cade Sectbns 2550.5, 25533, an0
25530 anOlhai I or any fuiu2 6uiltling occupan� wilVwill not (circle one) neeU fo comply wilh saitl state cotles and IAe requiamenis �or a
permit for consimction or maAification irom IAe Air Oualiry ManaAemem Distnct. FesiAenlial construction aDPlications are exempt trom
t�ese pmvisions. �
Data: Applica '
I here0y ceniry that I have reaG tAis aDPlication 4 stare tAat the aDa info i is ca ree to compty with all ciry antl counry
ar0inances an0 state laws relaGrry to buildinp con iruction an0 hereW autho' repr entati es ot lhis ' to enter upon Ihe a�ove�mentioned
propeM iofi Spedion p GpOses.
Daie: � r v Sipnatur .
Driver•s �icen e ar Sai Secudry »: �
1691�a8 W�ite—Buibino; Green—CoEa EnlorcemenC Cenarv—Aoo���enC Pink—Revanue: GdEenroE—Assaswr
11S RES-CODICRE'PE BLOCK WALL / FT. 20.00 2,300.00
END OF FEES .
O1 70057485-OU�5748] �'�7"6'
DATE: 03/:�\/4D TIItE: i5�Q3
�
E"v, xr,
r
,
� CONSTRUCTION AND PLANNING POOI & SPA y
APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector
. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. '• • 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
" 6. Electrical UFEFi Grnd. . 57. APPROVAL TO COVER-GUNITE
7. Footings � � y � � 58. Electrical Conduit-Undrgrnd.
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. • i' 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11.. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
i
13. Roof Orains 64. Plumhing 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
19. Rough Electrlcal-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Duc[s, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test � - ' 72. Underground Flush
24. Roof Framing � 73. Undergrnd.Stora9eTank OGas ❑Oil
25..Roof Sheathinq 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical • .
27. Frame and Flashing 76. Dry Standpipe "
28. Lathing & Siding ' � . ' 77. FIXED SYSTEM FINAL
29. Insulation . �; j � 78.� FIRE PREV. FINAL
30. Drywall Nailing _ r�, 'i � HEALTH DEPT. iiEQUIREMENT
31. Plaster Brown Coac �� 79. FINAL INSPECTION
32. Electrical Power Meter�Final r. .i, 80. FOOD CERTIFICATE ISSUED
33. Final Elecvic � , � �; ' Notes:
.:
34. Final Heating & Air Conditioning �� },.
35. Final Gas Pipe-Test , r„ r '
�'36. Hood or Canopy " - - �' �C, �.
37. Final Factory Fireplace � � �' �
�38. Final Plumbing • - ��
39.-Water Service-Final .
:40. Gas Service-Final - �
41. Solar pomesticFinal � �
42. Backflow Preventer � � �
43. Backflow Irrigation , .
�� 44. Landscape Irripation SYstem �. , � �
45. Sound Attenuation .
46. Handicap Regulations � - �
.i�
47. FINAL STRUCTURE & BUILDING ,� ,(� , i,
48. FINALP�ANNING � �,; v:� .
49. Electric Release to Edison .' � '
50. Gas Release to Southem Califomia Gas Co �'" �
�" � �
51. CERTIFICATE OF OCCUPANCY " "
No. Date
Cement Copin9 OPtional �
Chan,rel Bbck With 7-3l8�
Horizo�tal Top o1 all
Fences
For fenees 5' oi Less
Vert. Bars 3/8"� at 4' -0" O.C.
For Fenas Higher TAan 5'
Vert. Ban 3/8"m at 32" O.C. �
Fili Celh Solid With Grout
Where Steel Occurs
Reinforcing Sleel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURALGRAOE
TWO 3/8"4 BARS
CONTINUOUSTOP
6 BOTTOM
HOR1iSTEEI MUS7 BE 11E0IN
PLACE AT TIME OF TRENCM
INSVECTION.
TYPICAL 6�� CONCRETE BLO�K FENCE
a x
4 F
u
� W
a =
a
>Z
a
i�
W O
u r
2
w n
en �e
� W IDTH
y SEE CHl
� BELOW
oI�
FOOTING REQUIREMENTS CHART
. ;; ,-�
GENERAL�- NOTES .
MORTAR: p�e Part�Plas4icrCemeM, ond
Three Rar,fs Sond
GROUT;'"��"'One Poit`"Cement �Three-'ond
One Half'%'PuitS�S�unC• :;.
COPING: `On'e Puif Cerrment, Three
Par15 Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Max. of 7- I/2 Gallons of
Water Pe� Satk of Cement
GNOUi MAV BE VOURED FNOM 7HE TOP
OF THE FENCE IN CELLS WMERE STEEL
OCCURS.
CELIS AND AREAS OF HORI20NTAL HEIN-
FORCEMENT SHALL BE C�EAR, CLEAN &
FREE OF ALL MORTAR OEBRIS, ETC.
N (iF E4RTHTCOTN
VJ THE NEIGTH OP FENCE
BECOW BOTTOM OF iOGTiNG
SCALE: I/2��= I�
WIOTH 14�� . . _ . . . _ . 14�' . . . 12". 12"
THICKNESS 10�� . 10" g". 8„
OEPTH OF EARTHTOOTH 24'� 20" 16�� ,.. 12"
SPACING OF EARTHTOOTH,. 12' 14' ... I6'. 16'
Cit of Costa Mesa California ����`��
Y + �.1�3 �E�-`�i��-'�- ��_:
..
Building Department G�;-����-
A�P_VMSrp NOV. A:.
1b��'Dz�-9�
._ APPR.O��
C�ry OF COSTA MESA �
pLANNING DEPT.
W\I�.T TO YDG. DEPT. RlO. .
�Y�— DA'� 3 � o �
yue� or ruu+++ �
l t 5' ��, � b'�--� �.,-�.Q.� .
�I
.�,�. a �^��' r
�
�
W
Q
`.
N
'��r��str :'� (�6� 6 —�---
,. ;,�aNv
jVi;� N'J ..ic .v:', ,�cQ'� �TS
All tA��'C:;7i0-. _
IItNY[IIK
�P����,���
City of Costa
THESE PLANS
NO CHANGES
�u;luirg rJep4. '
n;, � e�,�.���
BE O!� !G."; ,." ALL TiME$ M.ARE
`.UT PR1GR A,PFiOYAI vF DEPT.
THEy ISSUANCf C�� GBPN?iNG CF A P"eRM1T OF A�?dOVPl OF
PIAt$ AND 5('[C!FICn'101+5 SHAii NCl �E COi�I5T8UED TO 3E A
CEkMIT FOR, CN: HN a?FRpVAt OF, AN'! V:(3iATIpN CF ANY Of
THE fn'�Y75%�J�� OF ?:IS f,6^f� �'O i'ERMIT GRfSUMING TO GI E
AUTtK;RI:i 7 �.cr,�c,:i CAN.. (° "�('�'�� i��`T I
CODE 5' Ali 3�'�f,J ::�p? If.54.�A )�L'�."-�•.t:. Ux U:.�
WHIC}}�fT :.�2��IT=S i5 LAN:FUt_
£ i'.�C?.`-tC: GF A FER.t! ; LA5E0 l;'OK ?LANS nND
$p �1�;('ki�?N; 5%?ALl ik.': Ff.=1E.�'T (HE %'JY:i{+4'� OFF:CIAL
f.GAi ':St_:iE.�FfE? R: idU:n.:NG Tuc CCF.ffECTION :JF EE:NP.$ iN
..AIU P�J_�.:5 :.Ni- 57i'1f!.A?IONS OR tROh9 PRE�Era11NG
CUIiD;tvia ik Erch�G'�� EEIt�G CAR7tEO ON T#iEitEUt�t[)ER WHEN
IN V10laTION QF THIS CGUE OR OF ANY OTWER OBDIWANCf �F
THE C1:Y.
�[�IY�MCI
z1L��
1 �'����L—
11[�IOl�ti
_ STREET A� _ �
in the City of Costa lSesa, Co�n ty of Orange, State of California, ss pez mnp
recorded in Bodc � , Page= of yiscellanecus Maps, in the oifice a� the
:ou�ty Recorder of said Co�nty. Tf�e party wall shall be pezmitted tc encrxd�
TN WIZNFSS W�tEOF, the parties have entered inta this Agreeirent the
!a� and year first abwe r+ritten.
. . �a-
. � ��� ��� ��
" l�_� . I � . w � �i�
� � ' _
�=- - f. ' a ' ,/C �
- - . -
;� ,:. � � .: :
- �.
� . ra "w • y • a-
��
/�� '`� �/ � .a���i%
., `,
; F _
�- �flJ �ey� `°l��
c�aa�ss> �
:�
�
OW NER POLKINGHORN CONSTRUCTION C0. DATE 3_7_57
JOBADDRESS
BUILDING PERMIT NO.
GENERAL CONTRACTOR Q�,mer B1C�Z'. VALUE $ 10� 31Z.00
�oT 15 e�ocK TRACT 3135 Res. w/att. zar.
I & J
INSPECTIONB / ,_p _D�� FS'I SUBCONTRACTOR I DATE P IRMITS �NUUM81
_nL..�._.. ��1ffl `/ /
Footi
Plumbing, Rough to Slab (�{�/G� I3'?c5-
Plumbina, Rouph Complete M k S 61�/1�
Lathing,ln Out
Plasterina
Fixtures
riumoingr nna� uas � es[ i� /�/I� � L/ J / \ /l/�,. Of i..// . � / � / �V / � ���Y
Q � �
Wiring, Final � � � _� �}'7 _
Occupancy T �,;f ]� � _r7
FORM 110 3M 10�'JS r
�.
' ' ' 461'7
.,` ,
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA. CALIFORNIA
FOR
ER
CITY
ARCHItECT
OR ENGINEER
LEGwL
DESCRIPTION
A.P. NO.
TO FILL IN
�— —
� � �
COSTA MESA. CALIF RNIA
✓
OF LOT V � X ��J`�l
USE OF �'
EXISTING BLDG.
TEL.
NO �'
LIC.
NO.
CITY LIC.
NO.
TEL.
NO.
TRAC
NO.OF BL�GS.
NOW ON LOT
SETBPCK LINE FRO �
cEr+r[rs or slac[iM 'SD REAR VARD �p ,
r �� /
SIDE YARD RIGHT � LEFT
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING OEMOLISH
BUILDING a,^ ROOMS STORIES
SIZE
EXTERIOR WA L ROOF
COVERING �T�.�)� OVERING ���,.
BIJELDFNGEW A L%_ �f �� / ��.a I
r� p�/� r"ti y �` '
� �.►, f�Li��I f �:J �
`\�o..�.r1 ��t�
FINANCE DEPT.
A P P LQILY40A ��STR'C� E R M I T
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERyILNp_�
�J5
PECEIVEO BY Df�Ti REC=IVEO MAR,TE �SSI�F��
�J I IyJ
BUILDING I
R'DORESS
COSTA MESA, CALIFORNIA
APPROVED
BV DATE
� CORRECTIONS
STnTE TNAT TME RBOVE IS CONNECT wND wGPEE TO COMPLY WITH wLl
CITV OROINANCES ANO ST4TE L�wS REGULnTING BUILOING CONSTRUC-
TiON. VAIUATION - /
SIGNATURE OF PERMiT FEE $ a(� �
PERM�TTE y
g /D ��� � PLAN CHECK S / ,J �
nurHoa�zEo nceNr TOTAL FEE 8 j � �°'"�