HomeMy WebLinkAbout1022 NANCY LN - Building Permitsit
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AnDRESSOFSUILMNG: 1022 NANCY LN
ORNER'SSNAMEDIDfoWN: WALLKER TRUST
ADOREss 1022 NANCY LN
ADPL. MAILING ADORESS:
ARCHITECT OR EMOUREER: 11C, NO,
ARCH. ON ENG.'S ADDRESS:
uxT:
CITY OF COSTA MESA - BUILDING PERMIT / qts a "
PERM NO: B 087715
PERMIT NO: B 087715 PLAN CHECK NO: N GOVT: N SUPP: N
UNT:
caxmAcTDInuuE ISLAND PACIFIC ROOFING (714)637-2493
CONIRAcmRSMMLMG 17762 CAMERON ST
Alxiam. H. B. CA uc ND.: 631472
92647 UNIT: 2
LICENSED CONTRACTORS DECLARATION: I hereby Nim under coaly of perjury Net I ern licensed under aovlebns d Chaser S
(mmmenarq rah Season 7000) of Division 3 of the Rua'. end Pmlessions Code, ad to 163hae o n IW brta end eXect.
CITY UC. NO.: 9 57709 uCLASS;c. CLASS; C 39 .NO 6. 1 12 T;) P • 09 198
Done: Y Camectm
OWNER SUILDE DECLARATION: I hereby slfirm ands praly of
perjury Lha I Me eampt from the Contact. Lkerse Lew for the
IdowwV reason (Se asm 7031.5 Sussaas and Pdfeaebro Ccde: Any sly or county which re rears a pond to eombua, alta, Imprae,
IemclIsh, or repair any structure, pia to va lsaueno, also Maters the applicant for such Arms to No a signed eNtemed that be or end
a housed moa to the paiorms of Ne Contractors, Lichee law [Chap. S (conanencing wah Section 70DO) of Derision 3 of the
Business and Prdwsvre Cnda] a trust he a she as exempt thaehan and the basis for the aibged exempion. My violation of Semon
7D31.5 by any epplirart fa a pemd subjects the appfiom to a chill penalty of not mss than fee haired dales [S500]).
❑ I. as owner of the Property, a ort employees win wegm as river sale compergann, sal do the work, and the striaure 6 ntitandeel
m eornd nw sale (Swtwa )Ota, ewihea end Profwsom Code: The Omtrams Ldore Law dos of appy loan bwnerd propdy
wW Wide a kngam thereon. end who does cacti walk Nmwd a haaei a thrangh his a her awn empbrw, provided the sunt
improvements sue rM intended a fibred la alba M, howeel a Wileio a vnpwemeM ie add within Drx Yea d awnDlason, IM
owherbuikbr wtl have the burden d prodng he a aha didd norot bold a impow la int Prwpcee d asbl
❑ I, as heron d the pcpeny. am exdtrswly contracting web SoN ca tarsi e b construct the prO*d (Season 1011. Business end
Professors; Code: The Contractors Liana law dos no, appy, to an owner of properly who Wide or tmpuvw thereon and who
contract, M such prapaa wan a camsocs(s) Icerwd Pesten, to the Constants License Lew).
❑ I em axamp under Section: S. A P.C.. Ion this remm:
Dae: Chwa,.
I eso hereby only that 1 an, ewes, of end undraand are requests" of California Health end Selery Code Se cis, 25505, 25533, and
2553x, and this I a any future Wilding occupant will / wit of (circle one) heed to comply with said pas odw ad the requirements lar
.partes loromnavioner hmdifiwbnhan the A"r a 7W.aagemwa Dicoria.Readedblmhmafuneppiutiowen exams Iran Nw.
pradpone.
Dae: Appkmt:
WORKER'S COMPENSATION DECLARATION: I hereby afn aide, penalty of prjuY one of the Idlew'ing dectaasom:
❑ I hew end wilmeintain a cMifcpe d consent to aed.iheure for wakes compvafwn, m pro,,Wad la by Section 37W d the Labor
Cale, for IM glomes. of the wwrk la which this pemp is Issued.
❑ I hew and will mitten hwrkae' canpaaason umrerpe, m nyured by Section 3700 of the Labor Code, ler the petlormanoe of IM
work for which this Arms is aswd. My walan' comprmlon insurance carder and policy number are:
Carder:
Poky Mother;
a seaim need nor ba ompleted d the permit's was hundred cite an, /51001 or ism.)
/,CLQ -Jird I catty hip in the pedamance d the work la whsob IhIs prop b issued, I shell rrd emp4 yany person in any manner so ere to
1 beanie m 'ea ro the workers' cornDeneaign b se d Caxomi end s Na J I cont becotro subject to the
ompna tarns' a Seaign 3700dIM Labor Cab.I aN y cop! wYJh o Pro
Dpa: Applicant:
Wmemg: FL. ro union Mosems, separation ommign, /s .4VU and scall "*t an smplOye, to Wanlml yaratlw and
cldl #"A W to was handiest thousand dollars ($LOG OW), b addition ro Ns cwt or coppsrwWra darraps as ptov/ded br In
Secdm 3706 of tlu Labor COW, Irl eraaD and atorrtayl Asia
CONSTRUCTION LENDING AGENCY: I hereby When unclear penalty of perjury ,ha there Is e cormrudipn bndirng is mo,, for the
pdammo of the work In which this perma's'smed (Section 3097. Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I caNy thes,1 here mai Nc appfk:etion and Pae Lha the stores idmhwion Is cones. I epee to comply rah MI dry ad comly ordineraw
and state Ism raising to Widng conpruaion end hereby a firma a repessamivw of Ida city to enter upon the show -mentioned propny
far inspection pmww.FRANK MIRANDA
(5151d6.WP) Whae-Baldkng 8 Safety: GneamFb: Carry -Apple.; Rnk- tor; Gddanmd-Avaewa
CONSTRUCTION TYPE:
V -N PERMIT TYPE:
STR
PURPOSE: OTH
JOB DESCRIPTION :
REROOF W/1LAYER COMP. OVER
EXISTING
SQ FT:
1,400
CLAIM VALUE:
1,400.00 CALC-VALUE:
1,400.00
GROUP OCC:
R-1 /U-1
COMMENTS: 1 LAYER OF COMPOSITION SHINGLE.
Z O N I N G R E Q U I R E M E N T S
S E T B A C K 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
RIGHT: FT IN
PARKING
REQ:
PROV:
PARCEL:
93530012
ZNE:
REF NO:
PLANNING
NOTES>
>
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D
E V E L O
P M E N T
S E R V I
C E S R
E Q U I R
E M E N ,T S
ZONING APPROVED BY DATE: r1
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY:DATE:
nk�*�didi9idi*��11528*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL;SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 45.75 .50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING -DIV->
PERMIT ISSUE PLAN -CHECK
TOTAL PAID
DUE
TOTALS ---- >
46.25 0.00 0.00
46.25 46.25
.00
REVENUE DIVISION
TOTALS--> COLLECTED:
46.25 OVER/SHORT:
•00
BLDG PMT PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN -CHECK
45.75
.50
dE yE iF dF dE*dE dE dFMdE dE di dE*dE iE frudE iE*dE iE df df df dElE iE iF dF dF if dE jE.'lE if***di dE*irk iE*di irk dF ii lF i4 dE dE dE ff iE nE df dE df dE*irk dF dE ii*dF*dF 3k if iF iF iF***
I N D I V I D U A L 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
SFR 1400 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,400.00
END OF FEES
01
L
04-15-1998/10:33 Nn/546.25
RCFT0:01-1322443
PERMIT:087715
• CONSTRUCTION AND PLANNINGDate
r APPROVALS Permit #
Inspector
PO(. . 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-Undrgidd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
.
7. Footings
58. Electrical Conduit-Undrgrnd.
S. Foundation
59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P•Trap, ❑ Undrgrnd.
-
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor-Final
12. Sewer Cap
63. Heater & Vent-Final
13. Roof Drains
64. Plumbing System • Final
14. Rough Plumbing
65. Electrical-Final
15. Rough Electrical-Conduit
66. Solar System-Final
16. Rough Electric Wiring
67. Fencing & Access Approval-
pproval17.
17.Rough Wiring Sign
68. APPROVED FOR PLASTERJNG
18. Rough Electrical-T Bar 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 0Gas ❑Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0Gas 0Oil
25. Roof Sheathing
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
I
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter-Final
80, 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
-t
40. Gas Service-Final
•-
41. Solar Domestic-Final
ti
42. Backflow Preventer
43, Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING
G4/4"
48. FINAL PLANNING
49. Electric Release to Edison
1 '
50. Gas Release to Southern California Gas Co
�•
51. CERTIFICATE OF OCCUPANCY
No Date
I-tq'8b --/ 3/�� Applicant to fill in all Spaces except those within heavy borderlines and sign all appropriate declarations.
CITY OF COSTA MESA�/t1 CONSTRUCTION PERMIT
Project Address /Qdnd A1AA)cV I -A-)
Applicant's Mailing,� ddress �'r33 /1 ). .LI UA A-) /_
Owner's Name OIan,)AA) _ phone CY
Address /1��— Q�-I(I-U A -A) 6T/2
Arch/Eng. License No.
Address
Contractor's Na " a%R.G S of LC17'I I.'J\6''P Fin jnn
Address (mailing) 3 0).. /�C P+t-� A� lA)
City License No. V3
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
mylicenseis in fulYa and effect. � , �/ �`n
-GJpn_ Cl7 CD cense o,2' -J
net, G. AT t }"
RISERS' RS' COMPENSATION DECLARATION
:r affirm that I have a certificate of consent self insure r a certificate
or Workers' Compensation Insurance, or a certified copy thereof (Section
1 3800, Lab. C.) �//��
Policy No. /o `� Company
ifilled copy is hereby furnished
Date art t}ie,YLjy:,VilAd witthh Applicant
thCad [y 'ding DI is
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred ($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.
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's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional 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
file a sian.rl statement that he/she is licensed pursuant to the Provisions of
arefrom and the basis for the alleged exemption. Any violation of Section
,J31.5 by any applicant for a permit subjects the applicant to a civil
nmalty of not more than five hundred' dollars ($500).
I, as owner of the property or my employees with wages as their sole
cpm pensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an ownerofa property who builds or improves
thereon, and who does such work himself/herself, or through his or tier own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or,improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or, im-
prove tar the purpose of sale).
❑ 1, as owner of the property, am exclusively Contracting with licensed con-
tractorsto construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a Con-
tractors) license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section t B. & P. C. for this reason
Date Owner
I hereby certify that I have rail
information is correct. I agree to
and Slate laws relating to buildir
sentatives of this city to enter
inspection purpa& /) 1
Signature
Drivers' License or SS
tion and state that the above
all City and county ordinances
t, and hereby authorize refire.
bove-mentioned property ��ffjor
o1,5/00I
-- -1
I
_, . *
1156 3/18/86
:- oJ ..
TL
TYPE OF CONSTRUCTION NEW ADO LJ ALTERATION 7 "`=111I
- ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
-
A.P. #
Zone
S
Main Building: Accessory Building:
TYPE OF PERMIT GRADING ❑ FOUNDATION El STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑OTHER
T
Front
O
B
A
Rear
N
)
PROJECT DESCRIPTION SG. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION$
ZONE GRADING CU.YDS. ACRES -
C
Right
N
S
Left
R
Ping. Ref. # Parking Req./Provided
E
Remarks:
Planning Notes:
Q
M
ECEIVEP
MAR 4 1986-
T
S
PLUMBING
FEES
Bar Sink
Showers
ELECTRICAL
FEES
Backflow Preventer
Service Sink
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+ KW
Backflow Irrigation Sewer Cap
Bathtubs
Sewer Connection
Cooking Unit
Meter ❑up to 100 amps
Clarifiers -
Solar Collectors -
- -- -
Dishwasher
Meter Dover 100 amps
Dishwasher
Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
Drinking Fountains
Solar Tank
I
Fan '
Motors 00-1 HP 1-118-8
Floor Drains
Swimming Pool w/Spa
F.A.U.
Inc. Solar ❑915 HP_ El 16-.15+
_
Floor Sinks
Urinal
Fixtures
Microwave
Gas Service Outlets
Water Closet
Device Boxes
Pole Light I
Interceptors'
/ Water Heater -
t
Outlets
Range
Kitchen Sink
Water Service :
Switches
Sign
Lavatories
Auto -Wash
-
Garbage Disposal 9 P
;Standing Sections
P -Trap
Laundry Trays
Generator ❑0-5 KW 05-15
KW Trash Compactor
Roof Drains
• Reinspection, Fee
$15
Issue Fee '
$ 3
Reinspection Fee
$15 Issue Fee
$ 3
'
MECHANICAL
FEES
Boiler
_
Hood or, Type l; ❑
Canopy Type I C31
_
-
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Application Issued By
'
-Date-
ateDuct
Date
DateL
o tom/_
Duct-Under Ground
Duct - Structural
Refrigeration System -
❑0-100,000 BTU 11100,000 BTU
- -
-
Duct - Ventilating
-
BUILDING PERMIT $
PLAN CHECK $
$
PLAN CHECK 25%, $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
SUMMARY OF FEES
SMIP $
PERMITPLUMBING
ISSUANCE $
ENERGY P.C. $
GRADING $
MICROFILM $
�
TOTALFEE $ 02)
-
Exhaust System ❑ Multiple ❑
System Repair/Alteration
Firepl/Fact. Bit. ICBG #
Fire Dampers
Heating System & Ducting
❑0-100,000 BTU❑100,0006T
Registers _
-
Reinspection Fee
$15
Issue Fee
$ 3
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
PI : 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. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System -
61. APPROVAL TO DECK
-
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap -
-
63. Heater &Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
-
67. Fencing & Access Approval
-
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
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 0 Gas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas OOil
25. Roof Sheathing
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 PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
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 t-
Rte..
4�
43. Backflow Irrigation •::
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release t0 Edison
- -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all s
.CITY %F COSTA MESA PEnT NO.
CONSTRUCTION PERMIT YJI L
•Address
Arch/Eng. License No.
Address
as within heavy border lines and sign all appropriate declarations
' 'q -AC1 1 , ' LO1 NO. BLDG. NO. -•
1_10 I TYPE OF CONSTRUCTION '�p/•
NEW ❑ ADD AALTERATION
❑REPAIR ❑CONVERSION ❑DEMOLISH_
O OTHER
DESCRIPTION OF ARK
I hereby affirm that 1 am licensed under provisions of Charter 9 (com-
mencing with section 7000) of Division 3 of the Business and
Pfofesslons Lode, nd my license Is In full for����(p�tl(� ovf--fe�ct��.
License Class
Lice se fo:TCj L— �7
Date ��—�
Signature -�
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent o ulf4nsu,e Or a
' rtificate Of Workers' Compensation Insurance, or a certified copy
treof (Section 3800, Lab. C.).
dcy No. Company
Ll, Certified copy IS hereby furnished. ,
C3 Certified copy Is filed with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
This section need not be completed if the permit is for one hundred
S$100) or less).
cert((fy that n the performance of the work for hi It this permit is
"suetl, I shall not employ any pets In any„m n r sp as t0 become
Cat.[p [h�� Wfjfkers, Compensa n ws f If n S
Date ,rj� Signa[ur
NOTICE: If after making this tleclaration, you s said become subject
to the Workers' Compensation provisions of lh bot Code, you must
for,
comply with Such provisions or this ermit shall be deemed
revoked. _
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the per-
formance of the work for which this permit is issued (Section 3097
Civ. C.).
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 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 re-
quires the applicant for such permit to file a signed statement that he
Is licensed pursuant to the proviSionYof the Contractor's License Law
II;^hapter 9 (commencing with Section 7000) of Division 3 of the
:wSlness antl Professions Cotle) Or that he is exempt therefrom and the
eaos for the alleged exemption. Any violation of Section 7031.5 by
y applicant for a Permit subjects the applicant to a civil penalty
of not more than five hundred dollars ($500).
❑ I, a5 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. (Section 7044, Business and Professions 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 or
through his own employees, provided that such improvements are not
Intended or offered for sale. If, however, the building Or Improvement
Is sola within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale):
Q 1, a5 owner of the property, am exclusively contracting with
licensed contractors to construct the project (Section 7044, Business
and Professions Code: The Contractor's License Law does not apply to
an owner of properly who builds or improves thereon, and who con-
tracts from such projects with a contractor(s) licesnod pursuant to
the Contractor's License Law).
❑ 1 am exempt under Section B. & P. C. for this
reason
Date Owner
that I have read this application and state that the above
correct. I agr P to comply with all city and county
state laws rung t tpl uction, and hereby authorize
.qf (hi; ci jp� pfiter upon the above mentioned
Date
or
TYPMF PERMIT - -f -
El GRADING ' ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHANIC
❑ OTHER
PROJECT DESCRIPTION -
SQ. FT. '
OCCUPANCY_CONRUCTION TYPE
VALUATION 52-12' ZONE
GRADING CU. YOS. ACRES
REMARKS: O �� . (�i/n/t/Ole No _
n� J)r Cnu
t -n('
IT
1 ' ZOI
ZONE
REAR YARD IT
'PKG. SPACE RE
STREET WIDTH
L CONDITIONS:
REGULATIONS.
PLNTTGpp: gRLlpp
E1�FL..:
PROPEIRTYNLINE' .
PROVIDED
PARK FEE $
DATE
'ELECTRICAL
PLAN CHECK
PLUMBING- '.
PLANCHECK-
BATHTUBS" -'SHOWERS
GENERATOR
TRANSFORMER
' - APPLIANCE
TOILETS -
URINALS
LAVATORIES
DOUBLE LAYS
KIT. SINKS -
DISHWASHERS
SERVICESINKS
SUMPS '
FLOOR SINKS -
FLOOR DRAINS
DRINKING FOUNTAINS
'
INTERCEPTORS -
CLARIFIERS
SWIMMINGPOOL
PTRAP --
WATERSERVICE
ALTERATION '
GAS SERVICE
OUTLETS
t -n('
IT
1 ' ZOI
ZONE
REAR YARD IT
'PKG. SPACE RE
STREET WIDTH
L CONDITIONS:
REGULATIONS.
PLNTTGpp: gRLlpp
E1�FL..:
PROPEIRTYNLINE' .
PROVIDED
PARK FEE $
DATE
'ELECTRICAL
PLAN CHECK
-- COLLECTORS '
SOLAR PIPING SYS.
/;
GENERATOR
TRANSFORMER
' - APPLIANCE
0-1 KW_
10-50 KW_50
1-10 KW
-
+ KIN -
•- MOTORS - -
7. (INC. SOLAR) .
0-1 HP -1-10
10-50 HP
HP -
50 + HP
" FIXTURES
OUTLETS
SWITCHES "—
GAS TUBE SIGNS
PLUMBING
$
'POLE LIGHTS -
GRADING
-' POLES
METERED
SUB '
PANELS -
MAIN
SUB -
• SERVICE
ELECTRICAL
AMP
' MICROFILM
SEWER CONNECTIONS
SOLAR TANK
-- COLLECTORS '
SOLAR PIPING SYS.
/;
ISSUE FEE
PERMIT
MECHANICAL
PLAN CHECK
HEATING SYSTEM
AND DUCTING
0-100,000 BTU
- 100,000 + BTU
REFRIGERATION
SYSTEM
0-100,000 BTU
100,000 + BTU
BOILERS BTU,
SYSTEM REPAIR, ALTERATION
EXHAUSTSYSTEM MULTIPLE
ISSUE FEE
CMF 0865-46 White -Building; Canary-Appticant; Plnk-Accounting; Goldenrod -Assessor
APPLICATION APPROVED BY
FINAL FEE $ 1 7 ,
SUMMARY OF FEES
BUILDING
/;
�a
PERMIT
$ SMIP
$�'-.2&.
PLAN CHECK
$ PERMIT
ISSUANCE
$
PLUMBING
$
GRADING
$
PLAN CHECK
$
-
$
ELECTRICAL
$
' MICROFILM
$
PLAN CHECK
$
- TOTAL FEE $
MECHANICAL
$
LESS AD-
'
PLAN CHECK
$ VANCEPC
$
FINAL FEE $ 1 7 ,
CONSTRUCTION AND PLANNING
APPROVALS Permit #
POOL & SPA
Date- Inspector'.y+
Date 'Inspector APPROVALS Permit
1. Temporary Electrical Service or Pole
_ _ _ 43.
Pool & Equipment Location-- - -
2.Soil ipe- n rgrn -
44.
Steel Reinforcement - - --- -- - -• --- - --
3.- Electrical Conduit: Utility-Undrgrn _, _
-45.
-Forms - - - -
4.-- Electrical Conduit-Undrgrn _
_ 46.-
.Electrical Banding-- - - - - -
Steel em orce •
47.
Rough Plumbing & Pressure Test -- - --- -
6. -ElectricaLUEER.Grn-.
48.
APPROVACTO COVER-GUNITE- 7--
. 7.-- .00tings..- _ _
49.
Electrical Conduit-Undr rn '
_
--8.- Foundation _
50. ,
Gas Pipe ❑ Undr rn, Test -�
- 9. Water Pipe-Undrgrn.
51.
Backwash Lines P -Trap. � ndr r
-10. Structural Floor System.
.52.
APPROVAL TO DECK
-11. -Property-Sewer Line& Housa-Connection
53.
Backwash & Receptor -Final'
' 12. -Street-Sewer Connection - - -
- - "• - 54.
Heater & Vent -Final
13. Rough Plumbing
-
14. Rough Electric -Conduit
-' '- 156: -Electrical-Final
15. Rough Electric -Wiring
- - - - -57.
Solar System -Final-
' 16. Rough Heating'& -Air Conditioning-- -
-- _ - -
encing &Access Approval
-•17.Ducts in Structure
69.
APPROVED FOR PLASTERING
18.- Ducts; Ventilating
19. Gas Pipe -Rough & Test-
-20. Roof Framing - -- -
-60.
-POOL/SPA SYSTEMS FINAL
21.. Roof Sheathing-
22.' Frame and Flashing
- -
NOTES:
23. Insulation
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
32. --Water Service -Final -
'' 33. • Gas Service -Final - - -
. 34. Solar Domestic -Final
. -35: -Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations -
-- -
-
38. FINAL STRUCTURE&BUILDING
S �y_ �,aQ
39. Special Requirements Completed
, r -®-
40.. Electric Release.to Edison
41. Gas Release to Southern California Gas Co.
_
All
42. CERTIFICATE OF OCCUPANCY
- - No Date
- -
,
"YLIGHT SPECIAL"TIES
i—G60_V!._174h_54..._#,5_-I
G; Costa Mesa, California 92G27.
—
�_rQ_�-645.8645}Orango County,-*= � —�--
1 I I I (714) 721.2819 San Diego:
I � I�--'State -Llcen le.-#395551.' =��.'. -- -- i " `
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7-4
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7-1
00
-
�
APPROr -D-'
-
CfTY-OF-COSTA-
IPIANNING DEP I
sum I ECT i0 {1D0. DV1�
DA Ic\
OWNER BAIALIS & PIGNERI DATE 4-26-77
JOB ADDRESS 1018, 1020, 1022 Nancy Lane BUILDING PERMIT NO. 43575
AP No. 115-023-11 LOT TRACT 9691 FIRE ZONE VALUES 190.900.00
INSPECTIONS et al
Si noture Dote
ITYPE v GROUP
X, T ZONER2—rP
'90 1 LL
SUBCONTRACTOR
PEPMNumber
GAS
Date Signature
WATER 121( 77'
Plumbin
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON, ❑
, `LOI-0
5, r.^/
-
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND E:l POWER 11
ROUGH WIRING
N titin and Venl.
TRENCHES FORMS STEEL REIN F,
i=,�•
FLOOR SYSTEM
r
BOND BEAM 'STEEL REINFORCE
SHEATHING
R& 7t lb
FRAME AND FLASHING K-/
-
LATHING _ T /Q. ).'/
PLASTER, BROWN COAT
STRUCTURAL. FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
-)-}�PLUMBING.
FINAL AND GAS TESTELECTRIC,
FINAL
4=/i
BUILDING, FINAL
SPECIAL REOUIREMENTS
G
_
0
43575
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
OWNER Srr (�14LIS
MAIL
TEL.
CITY A/Ci.i ✓slcT Y/rw N NO. L7;-"
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY I DATE RECEIVED neu MM..F
A
LOT
BRANCH
OWNER L
ADDRESS
UNC VALUE a
ARCHITECT TEL. �r
S
OR ENGINEER l I L• N
FIRE
ADDRESSq &t-KLIfY PIt, Q
ZONE P GROUP
CONTRACTOR Q
APPROVED
BY
G DATE
'
ADDRESS
TEL.
Z
N0. OF
USE OF N
CITY NO.
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
W
SIZE
No. OF SLOGS
(FROM C/ TR EET)l
O.
OF LOT
NOW ON LOT
FRONi
FT.
Q
USE OF
EXISTING BLDG.
R. SIDEFT
Separate permits are required for
L SIDE FT.
FT.
electric, plumbing and heating work.
C
REAR FT.
FT.
r
FW+
USE OF BUILDING AND WORK PERFORMED
DISTANCE BET.
BET. MAIN $
a(/N/
T /✓l%' D
MAIN BLDGS.
ACCESS. SLOGS.
..t
e
VAR. yt
C.U.P, -
DATE -/ -
APPROVED i
APPROV
r
C9
1 Q
1 hereby acknowledge that I have read this application and state
a
that the above information Is correct and agree to comply with
_ -,� _.
m
96
all laws regulating building construction, and I shall not employ
L%i'. ...'SLI .`
,Z
any person in violation of the workmen's compensation laws of
- --
tt3Z�•7
the State of California.
^ _
6 B!t
w
1 hereby certify that I em properly licensed ase contractor under
SO. FT. O
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
D
al
Chapter 9, and that such licenses ere in full force and affect, or 1
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
n
am exempt from the pjbvisions of the State of California Business
VALUATION PERMIT FEE S
and Professions Cod Ivislon 3, Ch r 9.
LAN CHECK E
1O
Signature of
^ ��
Per
$ TAX S
�Y•oa�
LL
f
I
U
Authorized Agent
I
TOTAL PAID S
s
e