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Home My WebLink About287 NASSAU RD - Building Permitst ., Applicant to fill in all ipaces exce0t those within �eavy Dortler Iines antl sign all aDaropriate tleciantions. CITY OF COS:*MESA CON TR U�+ � �UN F'tHMI I PERbt1T NO. _.__ _ TRACT NO. LOT NO, LJNIT Nn Proj�`\�ress --2�% �n55At� Ap'P�icant's Mailing Address Owner's Name ��,p ' � Phone Address �'�� 7 A �� Arch/Eng. �icense No. Address Contracto ' Na e ' �� Pho e�� Address Im '�� Q'� s`" d O.eL10/f � �� rZ City License Na 7g` � 7.�_—��r LICENSED CONTRACTOR DECLARATION I hereby affirm ihat I am licensetl untle isio oi Charte� 9(commencing with section ]000) of Division 3 of tne Busl s antl G�e ssions Cotle, and my license is iTt+ull igrce , fect. O v.Z� IICCOSC Id55� C � �`10 Date��._� Si9nature _ WORKERS'COMPENSATION DECLARAT ON I hereby affirrn that 1 have a certificate of C�nSen[ to wt o� a c tl(icate of workerY Compensation Insurance, or a� ' ietl copy hereoi ection 3800, Lab. CJ ��`� �� Policy . CompanY Jietl copy Is nere0.y furnishetl. Date��ert' ietl [ i tl with the city BuiltliFl9 Di si Applicant EXEMPTIONFROM�. ORKERS'COMPENSATIO CLARATION (Thissection neetl'not:be completetl if the permit i for one huntlretl (g100) or iess). — I certify that in tne perPormance oi the work tor whlch this perm�t is issuetl, 1 shall not employ any person in any manneY so as to become suDject to the Workers' Compensa[ion �aws Of CalifOmia. Date �_Signa[ure NOTICE: If, after makinq thiz tleclaration, y0u shoultl b¢come subject to the Workers' Gompensation provisfons of the Ldbor Cotle, you must Porthwith � comply wilh such provisions or thi5 Oe�mit sltall be tleemetl revoketl. CONSTRUCTION LENDING FGENCV 1 hereby afflrm that Ihere is a<Onstruction lentling a9ency for the perto�mance Of the work for which this permit iz iiSuetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDEN �ECLARATION I M1ereby affirm that 1 am exemp[ from [he Conl�acto�'s License Law for the followinq reason (Section 7031.5 Buslness ahtl Professional Cotle: Any city or county whlcM1 �equire5 a permit to consV uCt, al[er, improve, tlemolish o� repair any siructure, prior to Its issuance, also reqV�res the applicant ior such permi[ to /ile a sign¢tl statement that he/She I5 IlcePsetl pu�suant to Ihe prov6iOn5 of the Contracto�'S LlcenS¢ Ldw (Cnapte� 9(cor�mentlng with SectlOn 7000) oi Divizion 3 of lne Business antl Professions Cotle) or that h¢/Sh¢ is exemOt therefrom and lhe ba5is fo� the allegetl exer*�Pt�On. Any viOlatlon of $ection �031.5 by any applicant for a permit subjects tne applicant [o a civil �enalty of not more tnan tive nundretl tlollars (E500). I, a5 owne� of the prOperty ot my em0loyees with wages as Iheir sole tompensation, will tlo the work, antl the structure Is not intentletl or offered tor sale (Section 7044, Busine55 antl ProfBssional Cotle: The Coniractor'S License Law tloes not appty [o an owner O( a Property wM10 builtls or impwves thereon, antl who tloes sucn work himself/„erself or through his or her own Cmployces, provitlCtl Lhdt SUCh ifilPlOv¢T2IIl5 dtB OOt IOf¢OtlBtl OI OffCletl fOf sal¢. If, howav0r, Ihe builtlin9 or Improveme�t is soltl within ono year ol com- pletion, lhe awne� will have the buttlen Of p�oving he/she tlitl not bulltl or Im- prove ior the purpose of sale). ❑ I, as owner ot the property, am exclusivC�Y contracting with licensetl con- lraclors to con5buc[ the Oroject `Section ]044. Busine55 dntl Pro/es5ions Cotla: The Conttacto�'S License Law does mt appN to an owner of Oroperty who builtls or improves IM1ereon, antl who conVactS for such projeGts wl[b a con- t�actor(5 license pursuant to tbe Con[rac[or�5 licenie Law). I dm aware tha[ pro0f o� tM1ei� Worker'S ComPenSation insu�ance shoultl be provitletl to me. I] 1 am exempt untler SecSion B. & P. C. �or this reason _ i Date Owner I hereby cer[ify [ha I M1ave re>I inspect�on purposes. Si9nature� Driverz' License or 55' TVPE OF CONSTRUCTION U��NEW LI ADD LI ALTERATI N LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER R� DESCRIPYION OF WORK/USE OF BLDG. TVPEOFPERMIT GRA ING FOUNDATION STRUCTURAL O� /TFyHCNT ❑ ELECTRICAL ❑ If UMBING ❑ MECHANICAL LYC)THER J PROJECT DESCRIPTION SQ.FL 0 oCCUaArvCv_ � CON STRUCTION TVPE VAWATION S�� ZONE GRAOING CU.YDS. � ACRES Remarks: Sink Preventer Irrigation Drinking fountains Floor Drains � Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavaiories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct- UnderGruund Duct - StrUctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blt. ICBO # Heating System & Ducting ❑ 0-100,000 BTU O 100,000 BT Heinspettion Fee � $15 � CMF 0865-46, rev. 10/84 Wnite - Builtling; CaPary Applicant; Pink - Atcounting; Goltlenrotl - Assessor Showers Service Sink � Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal ' Wacer Closet Water Heater Water Service Auto�Wash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,000eTu ❑ioo,000er System Repair/Alteration Fire Dampers Registers Issue Fee S 3 $ 3 A.P. 5W S Main Building: E T front A Rear C Right K Left S Ping. Ref. # Planning NoteS: Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electtic Fan F,A,U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0�5 KW OS-� 0091 E/c / 'i �, Zone Accessory Building: Z O N I N G R Parking Req./Provided E Q M T 5 ELECTRICAL � Transformer ❑ 15-50 KW ❑ SO+KW Meter ❑up to 100 amps Meter �over 100 amps Sub Panel Motors �0.1 HP �7'f, � B Inc. Solar 09-15 HP �16-75+ Microwave Pole Light Range Standing Sections KW Trash Compactor � Reinspection Fee I$15 I I Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Buildin9 Approved By � Appliwtion Issued By t./l,( FEES $ 3 BUILDING PERMIT $ SUM�QQV�S�FESMIP $ �v �Q �� PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE S PLAN CHECK 25% $ ENERGV P.C. 3 ELECTRICAL $ GRADING S P�AN CHECK 50% $ � MICROFILM $ �� %� MECHANICAL $ TOTAL FEE $ � ""--' " PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Elecvical 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, � Undrgrnd., Test 9. Water Pipe-Undrgrnd�. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 71. 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-Cohduit 66. Solar System-Final i6. Rough Electric Wirirlg 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL i 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fire�lace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Str�ctural) & 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 pomesticFinal � � 42. Backflow Preventer . 43. Backflow Irrigation " 44. Landscape Irrigation System . , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Irrcom lete Ins ecti n 48. Special Requirements Completed - 49. Electric Release to Fdison 50. Gas Release to Southern California Gas Co � � --•� 51. CERTIFICATE OF OCCUPANCY . �� No. Date ' � OWNER RutdlerS DeV. CO. JOB ADDRESS� 2H7 NaSSaU Rd. GENERALCONTRACTOR Dike & Cc AP. No. LOT 1`� caoue I & J • Id coat DA s�. _e�ove, Inc. vA TRACT �77`+� PIRE ZONE V' DESCRIPTION OF WORK PLAN NO. SUBCONTRACTOR I DATE �-29-58 � �wT No. . -Z358 � - • -- .6 i68.00 ,e s . w a • . garage RMITSISSUED NUMBEH � a � . . '7:�:i8 COSTA MESA BUILDING DEPARTMENT P. o, eox 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA OWNER Rut er evelo �ment Co. MAIL �9 �`� 17t11 St.• ADDRE55 TEL. ciTr COsb& M838 No. I ARCHITEGT Carlson tQL LIC. OR ENGINEEq.��e��el_ NO. Yt it ADDRE55 Garden Grove LEGAL LOT DESCRIPTION NO. A.P. NO. SIZE LL OF LOT (){J♦ USE OF IEXISTING BLDG. INEW � i CITY LIC. gI'1 NO. 4+ TEL � , NO NO.OF BLOGS. MOW ON LOT =ET 7U� REAR VARD LL� RIGHT St LEFT ZOt DESCRIPTION OF WORK 6 ALTERATION ADDITION MOVING DEMOLISH 5 ZIE DING �Ln� $•1 Y ROOMS 6 STORIES 1 R1 E%TERIOR WALL3tuCCO COVERING BUEL�FNGEW S111 ZB 1 attached garage th 1 -.. -� _ . „ {� Y� 1_ V .o � ._ " AUG 27 1958 F�� ;',�'CE �E�T. „ n;.,r'1 ,-�r . APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. p[p1I�IT� ��`II9 d Qi:l� NECErvED BY D/�wTE RECErvE�O-/9 O�TE ISSVEO /1ZUY �! .�' 7� �. � �!I n i i r. � n i COSTA MESA. CALIFORNIA APPROVEO BY DATE CORRECTIONS � STnTE TM/.T THE >BOVE IS CONHECT nND aGREE TO COMGV WITM 4Ll CrtY OROIN>NCES nND ST�TE WS FEGULwTING BUI ING CONSTRVG TiON. VALUATION pERMiT FEE S g�yy SIGNATURE OF 3 PERMITTEE �� ' � $ �L'�L�.�y� PLAN CHECK $ 19�00 n� O VO W AUTHORIZEO AGENT Dln@ OC COZB OVB� Inc. TOTAL FEE S 57�� M�