Loading...
HomeMy WebLinkAbout1022 NANCY LN - Building Permitsit It I 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> > /. dE *dFdf df ie ie*id dE**irk**ii dF dFjE**dE dE dE iE dE iE dE df iE*iE ie*dF dFiE iP iE dE*dE dE iE dE nE iE dF irk**iF iE iE*iF nh*df dE dE*df ii dF ii*dF 9f dE dF *ie irk df iE if iF dE 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 " ` _1 TNS s '_ 'moo.--� N _ �,� _� %�•J. _ ti C.L v� G 2657' 27.1- 7-4 -/�a o cooiZ5 f .f1/ � /���� r Vie/_ _ t_ 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