HomeMy WebLinkAbout3224 NEBRASKA PL - Building Permits� Applieant to fill in all spaees e:cept those within �eavy Eortler Iinas anE sign all apDraorlate 0aclantlons.
CITY OF COSTA MESA � � � ! pE IT NO TRACT NO. ' LOT NO. , BL . .
CONSTRUCTION P.ERMIT - - �p �' � �
ApplitanYs M2iling Ad eu E �q L TYPE OF CONSTHUCTION NEW ADD �ALTERATION REPAI R
� ProjectAddreu� -3�� ' �VG/`SI�IL�.�/d� /-L , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER '
OWner'S�Name ` � '����n�� han¢ �� 7 � �.J DESCRIPTION,OF WORK .
- �.22� � �t` 2N� k.�. STA /Ylc.cR . . -
�. Addreu - , TVPEOFPEflMIT � -GRADING FOUNDATION STRUCTURAL A.P.yy�
Arch/Eng..� . LlCense NO. ❑� TENANT ❑ ELECTRICAL PIUMBING ❑ MECHANICAL PLNG. REF. qp
� AddlEu' ' ❑ �OTHER - � • TO BUILDING �
�TR� .e1 . S�3�If=77U PROJECT DESCRIPTION SQ. FT. OCCUPANCV PR PE TV uNE
Contractor's Nam /h/one � 1
AddreSslmailingl���� ��T/�ONy /fArP��t..C/ CONSTqUCTIONTVPE VALUATION$ LEFTSIDEVARD
LICen5eN0. �-�9�� ���ij/� ZON� GRADINGGU.VDS. ACRES �PKG.SPACEREQ.
GCENSED CONTRACTOR DECLARATION � � Remarks: ' ' ' STREET WIDTH
. I hereCy atfirin lhat I am Ilcensetl untler provislons o/ Charter 9(mmmancing -
wFth seclion 7000)p DIvlSion 3 0/ the Butiness antl Profe55ion5 Cotle, an0 ' - � ' . � � SFECIAL CONDITIONS: �
rtly IIC8�5¢ IS IO fU{Yly -antl effect. • , ^// ' ' � . .
� LICBf158 Id55 � nsa No. �� ' PLUMBING : � � �
� oate �� � 3 cig�a���.a . s�.. Y7 � .
, WORKE0.5'COMPENSATIONDECLARATION � BerSiak . SewefCap ' '
.1 h¢reby dfflrT that I hdvU a cnitlflcate ot WnSent lo Selt-InSufe of a celtltlCdte.. - .. _ _ _ - AutOlTdLiC W25hCf � �
o( Workar5' Compensatlon Insurance, or a certifle copY � reof (Section ' Backflow Preventer Sawer Connection'
. 3800, �ab. C.) � � ' Backflow Irrigation . � Solar Collectors � Construction Pole"
PoIICY No. _�CJ��%L+I� ComPanY �CLI: �.� .. . " ,
❑ ��fietl coDY �s hereDy /'umisneC. J y Bafhtubs 1 $olar Piping � � • Cooking Unit ,
❑ICertifietl c DY �z il wit� the city g n ��- / Dishwasher
'�. Data �- �� Applicant � 4��'��U�V'� Clarifier$ . SO�arTank � i � . �
' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION • i � DryerS ❑G85 -OElectric �
, Dishwasher Swimming Pool w/Spa �
�(Tbh sectlon neetl not be complatetl if [he permlt Is fon one huntlmtl (E100) or � .�L!
� — '
less): • , i . ' � - - Fan' . ' •
1 ce/[ify Nat In the pa��oimanCO Of the work f0/,whlch thl5 plrT�t IS ISSuad I . Drinking Fauntains Urinal . i .
, s�all. not employ any person In any mannar so �as to become subject. to t{�e , � - � , . F.A _U. � �
Workers'�Compensation,LawS ot Calitornia. • , � FIOo� Drains� ' � Wate� CloSet . '
� Data � Si9nature � - � , ' ' " � .
. NOTICE: If, after mtkiOg thi5 tleGlaratlOn, y0u �shOultl DetOm!-SUbjeCt [O the^ - -. FI00� Sipl(5 ' � - -- - - �WatE� HEat2I � - � -��� FixtU�¢5 • . _
Workers' Compensatlon provlyions of the Labor Cotle, you mustiorthwitn . ,. � � .. . DeviceBo%es
compty wnn, sucn provialons or';this•,Dermit,shall` be tleemetl revoketl.t � , GaSSCrvice' � �Outlets � �Wate�ServicC ,. �
� CON5T0.UCTION IENDING �AGENCV ' ' � ' � ' OUtletS
I hereby aftirm tnat there is a construction IenOing agencytor tha'pariorman<e, �, .� � IntercEptO(5 � �" ' '� - • �
� ot tbe work for which [his permil is ;issuetl (Section 3097, Civ. C;, , - '( i
� Lentlerh Name. " - � KitchenSink ' � _ -� � . ' ' . ' ' � $witches �
� LenUer•s Atltlrass , . , .. ' , , , � .
� OWNER BVILDER DECIARATION : , �i , � � � ' CevatOrieS � � f" � , , • Gefbege Di5po5al
. I hereby ai(Irm that I am exempt irom [na�Contractor'i,Llcante Law for the � -� �� • _ � 1. , Genereto� 00�5 KW �5-15
'. following reason (Sectlan 7031.5 Buslneii antl Pro/esslonal Code: Any city or i ' P.-Trap• � _ - � „�. � ' '
' county wM1lch requlres a permlLto construct, alte�, Improve, Cemblish or repzir , - , . .� i- - „ � Transformer ❑ 75-50 KW
any structure; p�bF to i[5 issuance,.alzo requires tho'appllcant tor such permit � , ROof�Drains �' � � j �� _;
; to tile a signetl statement that he/she is Iltensetl pursuant to the provisions of �� - ' � '" �5U+ KW'
� the Contractor's'License law'(ChaDter 9 (commencln9,with Se[tion 7000) of � ' i �r C ' _ ' ' - � ' • '
� DivlSion 3' of the'Bu5in855 antl� Protessions COtle)'b� thel he/she`.B�exempt ShOW¢fS � - . . Reinspection FeB' $15 ,
. therefrom antl the{ba5i5 for the allegetl exomptlon. Any violation of.5oction .� '' , � , ; , - MetCt ❑up to 100amps
703L5 �yany applicant for��a permit subjects tha appllcant'to a civil ' ' ' . � . .
enalty of not more than tive huntlretl tlollars (E500�. • - ' Seivice Sink �� ' ,- laue Fee S 3
I : .: , ZoninB APProved By
� I; as owner of the�property or my�employees with wages�as their zole MECHANICAL ' � �
! compensation will:tlo the work, anq lhe stru<ture is not IntenCetl or offered � ' �, - ' ' Applintion Approved By
tor sale.(Secfion 7044, Bu5ine55 antl:ProfeSSlonal,Cotle:'The�Contractor's �.
� License Law tloes not apply to an owner of a property who bulltls or Improvas � • Boil2� � ' � R2frig2rajion Systein � A lifation Is-0ued B ,
: thereon, ana wno"aoes�such work himseif/hersaH or tnrou9h hls or her own - • ' PP � Y
5111 '3/03/93 'r: S.Q�
' BUILOING .
ecTaerv riLer
REAR VARD (TO P/L)..
RIGHTSIDE VAFD '
PROVIDED ',
� PAFK FEE $
Meter LJover 100 amps �
Sub Panel �. ' .
Sub Pole � • � � -
.Motors OO-1 HP ❑1'/:$
Inc.Solar �9-15HP �16-15+�
Microwave I
Pole Light . � �
i
Range �
Sign� ^ I
Standing Sections : • �
Trash Compactor �
i � i
t �
� � �Reinsoection Fee �
'Isue Fae. i ' � $ 3
—Date
� �
—Date �p '
—Date � � " �1 -�
. employel5, provltletl thal su<h {mOrovements are not Intentletl 6r offeretl for i ❑0-100,OOOBTU ❑100,OOOBTU .
sale. If, nowever, the Eulltlin or im rovement Is soltl wlthin ona' ear ot com- Duct - Under'Ground � • � ,
9 P r . . . , � SUMMARV OF FEES
. pletioq the owner:wlll hava the burtlen of proving �e/she tlitl not builtl or Im- ! , '� " ' � - � :
�mveforthepurposaofsale). . �' ., � .� - � Duct-Structural � SystemRepair/Alteration BUILDINGPERMIT $ ' ' , SMIP � $
I, as owner of the proparty, am eacluslvely conlractlng wlth,licensetl com . . . .. � , - , , . � '�
tractorsto canstruct t�e Oroject (Sectlon 7044, Business antl Protessions.Cotle: _�. . .. Dutt - Ventilating ' . , _ _ ' � 'PI.AN CHECK, � $ � PERMIT ' f
The ContractorY Ucenie Law does not apply to an owner of Droperty who - - . , ' � '
' builtls or Imorovas thereon, antl who contracts tor zuch pro7ectc wlth a con- • � Exhaust System ❑ Multiple �� � �` + � PLUMBING �1 . $ '•� � ISSUANCE �$'
. tra<tor(s) Iicense oursuant to Ihe Contractor's License Law). ' ( - � � . GRADING ' $ �
� 0�I am exempt untler Se<tlon e. & P. C. for tnis roason � Firepl/Fatt.8lt. ICBO # . . . � � 'PL/1N CHECK $ �
� � ,EIECTRI�CAL� ' $ � � $ �
� Date ' � � Owner' ' � ' � � � Heating'System & Ducting + � � � , 1 , � , .. � .
1 hereDy certiy thal I hare•reaC� this ap011<aHomantl stete that Ihe aEove -`❑a100,000 BTU �700,000 - - r -� PLAN CHECK � $ MICROFILM $
information is correcL I a9ree to comply wlth ali tity.antl county ortllnances ' . � � ' . ' "� � �� ' � j TOTAL�FEE� �$ '
antl 5tate IawS atiq g lo ulltlinq construction, anA hereCy aulhoriza repre- � , � MECHANICAL $ � ' ,
Haod or 7ype I ❑' � �
sentaHvas o�•thl cily en er upon the above-mentlonetl D� Perly fo ( • Reinspee[ion Fee ;$15 � � LESS
"""_ "_ .. �. � . �--r�- .. i � . . R .nn. I7� r ����., T.,..e n fl �PLAN CHECK $ �
�riverz• License or 55 5
MF 0865-46 rav. 12/82
Pink - Accounting; Goltlenrod - Azsessor
Iswe Fee 1 • '' E 3
� . ADVANCED PC ' $
� � i
• � FINALFEE.' ' $ � "—
. .� . .. ''r,
- ;� CONSTRUCTION AND PLA� N�I�N�G�� y . ��L & SPA � - . .
- APPROVALS Permit #1_.SC1lSC= Date Inspector qppROVAIS Permit y1E - Date Inspector, .
` 1. Temporary Electrical Service or Pole - 52. Pool & Equipment location �
- 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
• 3. Electrical Conduit Utilitv-UndrgrnA. • , 54. Forms � �•
,' 4. Elec�rical Conduit-Undrgmd. 55. Electrical Bonding , - �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - �
6. 'Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � �
7. Foofings ' ' 58. Electrical �pnduit-Undramd. ��� •
8. Founda"tion 59. Gas Pipe, O Undrgrnd., Test � ._
9. Watei Pipe-Undrgrnd. � ' 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Floor SYstem 61. APPROVAL TO DECK -
11. Property Sewer Line & House Conneaion , 62. Backwash & Rec�ptorFinal- � � :� -
12. Sewer Cap • �� ' 63. Heater & Vent-Final �
13. Roof Drains g4. 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. POOLISPA SYSTEMS FINAL .
: 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ��
20. Rough Factory Fireplace APPROVALS Permit # ' �
27. 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. Storage Tank O Gas ❑ Oil
�. 25. Roof Sheathing � . _ 74. Overhead Hydro �- •
� 26. T-Bar Ceiling (Structuraqi & Monocoat 75. Dry Chemical � � �_
� 27. Frame and Flashing 76. Dry Standpipe _ � �
28. �lathing & Siding 77. FIXED SYSTEM FINAL. �.
29. Insulation 78. FIRE PREV. FINAL � ��
Q 30. Drywall Nailing ' Notes: 7/ J
'. 3t. Plaster Brown Coat
32. Electrical Power Meter-Final � . - �
33..Final Electric ' ,
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test � ,
36. Hood or Canopy - �
37. Final Factory Fireplace "
38. Final Piumbing . "
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 ..
48. Special Requirements Completed � • . _
49. Electric Release to Edison � � •
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No Date
PH0.IECT RDOHESS: ] Z� 9 r7EH RASKA PL
owxex�s x�Me: MARY ARGO ,
nooxess:3��4 NEflRA.r,KA
r , _
RNCHIENGINEEB: �
RODRESS: � � �
00000
� PEBMITTEE: MARY ARGO � ( 714 ) 5 4 9- 3 6 fi 2
nooness: 322q NEBRASKA PL
C.M. CA 92G16
LICENSED CONTMCTOB OFCUMTION: I hereby aflirm that I am licensed under D�ovisions ot ChaD�er 9(commencing with Section
7000) ot Oivision 3 ot the Business and Pmfeuions Cotle, anE my license is in full farce antl eHect.
CITY LIC.: STRTE LIC.: . . CU38:
Date: Sipnature:
WONI(EBS' COMPENSIITION OECLIIMTIDN: 1 herehy aifirm that I have a certiticate ot consent to sell-insum ar a cenificate of Workers'
Compensation Insurance, or a certi/ie0 coDY �hereol (Section 3800, Lah. C).
PoLICY NO.: . ' EXP. UPTE:
COMPANY:
❑ Certifietl copY is herehy furnisAeO. ❑ Certifie0 copy is filed wit� the ciry BuilAinp Division. .
eEc.xo.:
UNIT:
UN17:
� CITY OF COSTA MESA = 1?UILDING PERMIT
PGRMIT NO: H 094592 � PliAN.CHECK N0: 01062-89 S GOVT: N SUPP; TI '
� . �
' CONSTRUCTION TYPE: CrN , PERMIT TYPE: STR • � PURPOS�: ADD
JUB UESCRIPTION : 280 SQ FT PATIO COVER' � ' SQ PT: 280 `•
CLAIM VALUE,: 5,000.00 CALC-VALUE: 3,791,.20 GROUP OCC: R-7 /
COMMENTS: •
�lf#�E7EjEfEifiElEfElElE�E',E1tiEN�lE1t1EiE#jFifikiE�iPi!#ifiElF3EiE�K1tk�lFlkiFfEklfif�lllFlflEiki(�dfiElkiElE��IEiFihfE9f�If1kiElFff#iE1ElE1EiElfiEiEiFiFiE�)F �
Z O N I N G R E Q,U I R E M:E N T S '
' S E T D A C K S ' '
Date: Applicant
E%EMFf10N GBOM WOflKEHS' COMPENS�TION DECIAMTIOX: (�his section neeU not Oe compieted ii t�e permit is tor one huntlreE (51 W) or less�.
I cenity that in Ne petlormance oi the work lor which �nis�pe�rmii is issued, I snall not employ wson in any manner so as ro becoma
su�ject ta tAe W kers' Compensation Laws,di CalitortAa�
Date: �C / � � SiOnaNre: .L. � �t� �� - - �
NOTICE: If, atter makinA ��is declaration, you should become suble the Workars' Compensation pmvisions of tAe La�or
Cotle, you must fonAvntA compry wit� such OmWsions or t�is Oer s�all he aeemed revokeE.
CONSiflUCTION LENOING RGENCY: I here0y al/irm I�at tAere is a consimction IenOing agency tor t�e pedarmance of Iha work far
which Ihis permit is iuuetl (Section 3097, Civ. C). '
IFNDEP: �
RA��PESS: � - �
� ,
OWNEB P.WLOEH OECUMTION: I �ere6y aifirm that I am exem0� ��om tAe Coniracrors' State License Law tor tAe followin0 reuon
(Section 7031.5 Business an0 Pmiessianal Cotle: My ciiy oi counry which requires a Dermi[ to constiuct, alter,�impmve, tlemolish, or
repair any StmcNre, pnar ro ils issuance, also requires ihe apDlicant lor such.permit to file a sipne0 statement ihat �e/s�e is licenud
pureuant to t�e provisions of the Contracrors' S[ate License Law (ChaD�er 9(c6mmencinA with Section 7000) of Division 3 0l t�e Business
anU Pmiesvons Cade) or that he/she is exempt thereiram an0 I�e Oasis for the alleped exemD��on. Any violation ot Section 7031.5 by
any applicantior a Dermi[ suGiects Na applicant to a civil penalry of not more ihan five hundreA aotlars (5500). .
I, as awner of Ihe proDeM o� mY employees wit� wapes as Neir mte compensatian, will tlo the work.� and the
� stmdureis notintended orattere0lorsale(Secbon 7044, Business antl ProtessionalCOAe: T�e Contracrors' State License Law
does not apDly to an owner of a properry who huilOs orimprovesthereon, and who Aaes such work himselt/herseli ortArauqh
�is ar her own em0loyees, D��4e0 Ihat sucA impmvemenis are nnt inten�e0 or aifered tor sale. If, Aowever the 6uil4inA or
improvement is so10 within one year ot complation, tAe owner will have lhe burtlen of pmvinp he/sha diA not huild oi improve
�or tne vuryose of ulel. .
I, as owner oi tAe pmperty, am exclusive�y contractinA with licensea contracrors ro constmct,the prole�� (Section 7044, Business
❑ • anC Pmiessions Code: The Coniractors' State License Law Ooes not apDN �o an owner ol properry wfw EmIAs or imD�s ihereon
an0 wha coniracis �o� sucA D�olects with a coMractor(5�license Dursuan� b Ihe Contractors''S�ate Licen50 Law�.l am awaf0
[hai proof ot their Worker's Campensatlon insurance sAOWA be D�ovidetl ro me: ,
� I am exempi under Section: � B. 8 P. C.
lor IhiS re G/.� '�^
Oate: /D�� / d / - �nwner. � �1
I tla �ereUy certity tAat I am aware of and understan0 the requirements of Califomia Healih an0 fery Code Sactio s 25505, 25533, ana
2553d an0 ihat I or any luture UuitOing acupant wilUwitl not (circle one) neetl to compty with sa s�aie codes ana �he repuiremenis for a
permit for constmction or motlification from ihe Air �ualiry Management Disirict. Resitlential consimction applications are exempt irom
[hese pmvisiuns. .
�ate: Ppplicam: �
I herehy certiy Ihat I Aave rea0 tAis ap0�ication antl sta�a Nat ihe a�ove information is correct I aA�ee �o comply with all city an0 counry
ortlinancesanE statelawsreWtinO�o buildinp constmctlon andly¢ autharrze representativesoiihisci toenteruD��he abme-meniionea
pmDanY �o� �nspec n pumoses.
Date�—a���� Signature: dw.�.- �� Si0
orner's License or Socia� Secudry
1641d6 White—Builtlina; Grcen—Cotla Enbrcemem; Canerv-AOGlicam; Plnk—Revenue; GoltlenroE—Asaessor
---------- MAIN HUILDING ----------• --------- ACCESSORY BUILDING ----------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN'
LEFT: G PT IN RGHT: J4 FT IN LEF'T: FT IN RGHT: FT IN
PARKING REQUIRED: PARKING PROVIDED: PARCEL: 13908307 ZONE: R1
PLANNING NOTES> APPROVAL FOR 280 SQUARE FOOT PATIO COVER
> .
�t�t*��t�t***�t*��t*x�*�t�t�t*�t**�r�t**�c**�t*i��*****+�x�*�*-�t**+t***********� �ta�**�c*�x�**x**�t�t���
D E V E L O P M E N T S E R V I C E S R E,CJ U I R'E M E N T• S,
ZONING APPROVED BY Cp���� DATE: ��_�� .
BUILDING APPROVED BY : , DATE;
APPLICATION,ISSUED BY': DATE:�,� �����
iF IE iE iE 1E IE iE 14 if� iE iE iE 1E if iE iE 3E i4 iE iE �E iE�� �FiF{4�7FjE iE iE iE IE iE iE 3E ik iE3F3F. Ih
iE �)E 7k iE fE i! iElE �)E i(� %� �IE �1F 1F �lE �lE if 1F �t if iElk iElF 1E 1!� if 1E 1f !(-iE iF it 1E if 1k ik iF if 1E iE if fF iF iE �E iE �IE �lk if iF It iFif it iE 1! ik k iElE �(-iFlF iE 3F 1E �E �1E ff if� iE%1h ft fE 3t # dk
LEGALIZATION:N F E E S.0 M M A R Y - STRUCTURAL�:SEGMENT:Y
, � � ,
HLDG PMT PLUMBING ELECTRIC MECHANIC �FIRE ;MIP/RES GRADING
PERMIT 69.00 ,50
' SMIP/NON-RES
PLAN 40.95 " .�
ISSUE FEE ' � ' '
BUILDING-DIV-> PERMIT, ISSUE PLAN-CHECK TOTAL PAID ' DDE
TOTALS----->, . 63.50 0.00 40.95 104.45 104.45 ' ,00
�^
RF..VENUE DIVTSION TOTALS--'> � COLLECTED: 104.45 OVER/SHORT: ✓ .00
BLDG PMT PLUMBING'ELECTRIC MECIiANIC FTRE SMIP/TOT GRADING"•PLAN-CHECK
63.00 .50 ` 40.95
�f 1E iE iF iE iE if� jE 9E if �E iE iE iE 9E �1E �1f X� iE iE jF iE jF if� iE 3f iE �)f� iE 3E iE iE iF iF 3E iF �)F iE jE iF if df i( if iF iE dE �E Ik if 9f iE-)E �E iE iE if iF 1E dE �f iF fE if iE 3E iE iE iF 3f iF iE �%� #�E jf if if 3E
I �l D I V I D U A L F E E B R E A K D O W N
,TYPE (�TY � D E 5 C R I:P T I O N UNIT COST TOTAL� COST
SFR 2L+0�' RES-PATIO COVER-POST 6 TRELLIS 17.54 f:'.3,791.20
END OF FFES - '
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CONSTRUCTIOIV AND PLANNING POOL & SPA •
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location ., �
2. Soil Pipe•Undrgmd. 53. Steel Reinforcement . '
3. �Tectrical Conduit Utility-Undrgrnd. 54. Forms ' '
� 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,' �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
'' 6� Electricat UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footinqs 58. Electrical Conduit-Undrgrnd. �
8. Foundation _ 59. Gas Pipe, O Undrgrnd., Test . ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrqrnd.
10. Structural Floor System 61. APPROVAL TO DECK' • '�
1 t. Property Sewer Line & House Connection 62. 8ackwash & Receptor-final �
12. Sewer Cap �� , 63. Heater & Vent-Final � �
73. Roof Drains �.. � 64. Plumbing System - Pinal � �
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 �. �
20=�Rough Factory Fireplace _, -� �� � �APPROVALS - �Permit # • -
21.'Ducts, in Structure "' '- - � 70. Underground Hydro `
22._Ducts, V¢ntilating - � --� 71. ProducYPiping OGas ❑Oil
23.'Gas�Pipe-Rough & Test _ - _ �.� ` "7Z, Underground Flush , ..
24� Roof Framing :- � �� 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Foof SFieathing ' " _1 `� � , - r `� ' 74. OverN�ead Hydro:. '
26..T�Bar Ceiling (Structural) & Monocoat- _, . _ �, . 75t:Dry Chemical - � ,
27. Frame and Flashing - ; � 76. Dry Standpipe -' . .
�
28. Lathin & Sidin " � ' X . - "
9 9 .. 77-. FIXED SYSTEM�FINAL -
"29. Insulation � ' - - � ^ 78:' FIRE PREV. FINAL '�
�30. Drywall.Nailing �_ - _ . , HEALTH DEPT. REQUIREMENT
��31. Plaster Brown Coai' = -'" - ; I * A 79. FINAL INSPECTION ', _,
_32:,Electrical Power MeterFinal " i - ��, � �SO.�FOOD CERTIFICATE ISSUED_
33. Final Electric ' _ '- -� � " � �� � Notes: " - � � '
� 34._Final Heating & Air Coaditionin9 � �: � ": _ - ";
35. Final Gas Pipe-Test� _� - � - a _ �t -
36 Hood or Canopy - � � ; ' _ . � .
- 37. Final Factory Fireplace�' �- - , . ' �- _ �' '
38. Final Plumbing . : � , � - � . � -
39.,Wa{er Service-Final _ � - . � � � - 1
�40. Gas Service=Final ' � ' _ ' ' � ' � - - �
_ . . ,�• :� . . , _ .
41.- Solar pomestic-Final � . - - � � � �
'42. Backflow Preventer . _ ; {: - ; - , � - .. ,
43. Backflow Irrigation , � �' �� � _
. r _ - .
44. Landscape Irripation System�'y . �. ` � � ' ;; �_ `-' �� - , - -'
45" Sound Attenuation - �• • _ � . . - "� ' ' . � : - �
46. Handicap Regulati'ons , _ - � � ' �
47. FINAL STRUCTURE & BUILDING'� �� _ �
48.-FINA� PLANNING ' " - . . . , ' '
49. Electric`peleaseto Edison � � �� . - . � ��
50. Gas_Release to Southem Califomia Gas Co ' ' �• ` " ' - - -
51. CERTIFICATE OF OCCUPANCY ' " '
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-�UILDER VERIFICATION
A city or counry, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder veri(ication.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this ,. �mation in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verifiCation is reCeived.
1. I personally plan to provide the major la�bp r and materials (or construction o1 the pro-
posed property improvement. O Yes �"No
2. I(have/l�ot� /��g�/F signed an aoplication for a builCing parmit for tha
proposed work.
3. I have contracted with the following person ((irm) to provide the proposed construction:
Name _
Address
Phone (
City
Contractor's Lic. No..
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name _
Address
Phone (
City
ContractoPs Lic. No..
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated:
Name Address
Phone Type of Work
I hereby aHirm that I have received a copy of the information set forth in Section 19830 oi the State
of California Health and Satety Code and have completed the above intormation to the best o1 my per-
sonal knowledqe; in-c�qmpliance wrth t ete law.
Signed: 1 � l�.t�u �<<� Date: �G,�� /�f9
Name: /T('�� �� � • �7 K G �7
(Printed or Typed)
C.D.L. # or S.S. fl %�� --�� �
754-5273
iazse
1�
s
NOTE� �HOW AND DIMENSION PROPOSED
� PA'f10 COVER AND YARD AREAS
6�
_Zo � � '� _ _
� I uxv;os%
� �
I � I
���C �� V LJ1U' I
pr/ Of COSTA MESA
pIANNING DEPT.
6��{ TO BLDG. DEPT. REO.
��._ � _....Jn—�4-�`t
STREET
PLOT PLAN
a
City of Costa Mesa.Buiiding Depi. h
8Y � DATE ���.19. ��� �
�THESEP� SMi15TR�5���'BETA C�i�I�EREVERSE SIDE
� NQ �, �ANGcS� �' T�T PR!OR 4PP O A Of U' "i
� � �-1 S9 2 N
i T'.E�ISSI �' Cf:OB GR NiING Of F f2RMli OR hPJRCVA. G�
p�� hc qh i °��fICATI NS SMAII NG7 BE CONSTRU�D TO. :- ��
PEF NIT FC i. '�s . " OVAL OF, nN�'�OOF` HE e�THING
TtIF 'FOV� - +� � T�' O�".n A�caU�n�.o i� �
AUih�diT. `�,C:•.. A P?Ov151ON:iOF '
coos s. �' bc �� �� . e>,c�'n . � wvar. oa OVERHANG��
wr,cr r a�:.oa�zes is tnwFu�. "'
THe c�. nr:ce bF ��ytTp�{€RS',' , i r��nNs .. • c
�c�{iqC< ::m�j ,y��.Z . E`�i:^1i in= 5:%I:DIidG OFRC. l �
�a0/., .'� .v ='='pF!:�O.C.IE � n':t-.�TIC.:.! UF ERRO4` �
:oJC: u_.� .�d:: �Ys":"n. �CNS C:� FdC'�4� PRcVENTI ., �
:.J �v" : wY:i..>ic yt,...i� ::AF..::c' „I �:F.E�PG ���HF: i
` �, c O.` : �. Of TF+15 ..��c iit G.., �.O�P, xF({/A�BE'AM ,
1 iri.
�
z
e
J
7
m
f
y
X
W
FOR POST- BEAM
�CONNECTION.
J
� DROP pqTlO � w LL
FLOOR 2" g �
a fn
SLOPE TO DRAIN I�
—�
26 GA. G.1. FLASHING
WOOD FlOOR
CONSTRUCTION
SlDE ELEVATION
m
Q
J
y
U
2
O
U
2
i
o :�
a � u
a z Q
� W
f H ;F
N Q tl1
a p
_, � �
O �
� V, O
Z
x O W
2
Z
\ O V
I _ � i `1
N � �
J--1 _ _ J
PIERS 12'� SOJ�
CONSTRUCTION DETAILS
W
O
Q
rc
l7
Z
LL
W
O
m
Q
/
w
0
a
�
�
z
�
201bs.ROOF CONNECTION
DETAILS
CON7.
LEDG
�!
t
f �
'�
CONT, +
LEDGER
OI.ID BLOCK
DavEnoPr�nrr
sm�nces n�e�rn�ar
BUIIDITIG SAFEPY DIVISION
RqFr fR , I OWNER: NI n� � �. H tZG O
ADDRESS� -��-?`� i✓E.s.e�s,�.�
�I/2�� DIA. X 5�� LAG SCF.
AT 32�� O.C. .
CONTRACTO
ADDRESS:_
DETAIL ,I RA�cERs
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
CR 9�.CL��TECO��
GRIPS OR JOIST
HAN�ER
RqfT R
�
3/g° DIA. X 5�� LAG SCR.
AT �b'� O.C. .
DETAIL 2
IO�e60R LIGHT WEIGHT ROOFS
ONLY GONNECTION DETAILS
2�� X FACIA-MIN. REQ.
RAFTER
APPROVED METPL
HANGER
DETAIL 3
SI2E SPACING SPAN
2"x4'! 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32" 6'-0"
48�� ' S�_���
2"x6" ' 12" 16'-6"
16" 14'-6"
24" � 12'-0"
32" 10'-6"
48" .8�_���
2"x8" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0"
36" 18'-0"
48" 16'-0"
4"x10" 32" 22''-0"
36" 21'-0"
48" 20'-0"
72�� 1��_���
PATIO COVER
TYP. F�LA,NS
DATE �. /0%��9
PHONE: �`s�9 -�6-��
LIC. N0.
PHONE��.
RAFTERS ApPROVED FOR
LIGHT WEIGHT ROOF COVER OF gUILDING PERMIT
LATH, FIBERGI,ASS, ALUM. By Dete_
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24,� 8�_���
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
� 14'-6"
32"• 12'-0"
48" LO'-0"
2��x8�� 24�� 19�-���
32" 15'-6"
48" 13'-6"
NEADERS
LIGNT WEIGHT ROOF ONLY
SI2E POST SPACTNG
4x4 6'-0"
� 9 � _0��
4x8 12'-0"•
4x10 15'-0"
CARPORT,
SIZE
4 x4
4x6
4x8
4x10
PORCH OR PATIO
POST SPACING
5'-0"
8'-0"
10'-0"
12'-6"
GENERAI. NO�fES:
1, Theae plane must be
kept on the job at
all time during
construction.
2. All f�aming to be
Douglas Fir N3 2 .
grade minimufi.
3.. Raftets may not
attach to facia ex-
cept for l0�sroofs
as shown on details;
20IWroofe must uae
a continuous ledger
attached as shown
on details I�LF�2.
4. Llght weight roofs
may attach to facia
for 14' epan max.,
spans over 14 mus[
use a continuous
ledger as shown in
detail 1i3.
.�.� . � � �
Lor 35 - TancT 62
. ��c��,0
•COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MHBA. CALIFORNIA
Fo� Applicdnf fo Fill In Complefely
'I'YPE OR PRINT
BUILDING
ADDRE55 2Z� NEBRASKA PLACE
CASTA MESA CALIFORNIA
oWNeR KENKOL CONSTRUCTION C0.
MAIL �555 pLACENTIA AVENUE
ADDRESS
c�TM NEWPORT BEACH T�I 6-3zz7
ARCHITECT TEL.
ADDREss �5�5 PLACENTIA AVENUE
C17,�, NEWP�RT BEACH
8TATE 7 TE�. M� 6-32z�
uc. No. No.
aize (0 X 1p0 NO.ORBLD08. _Q
t�c � nr unw nu � nr
FIRE
ZONH
LHOAL
FE� RECEIVED
��.`�h s-i3-h�
ffNANCE DEPT.
CITY OF COSTA MESA
APPLICATtON �OR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. PlNj1LT�NOq
ev
COSTA MESA. CALIFORNIA
ZONING
NO. OF /'� U8E OP
PLAN9 // BUILOIN
HHTHACR LINH PPOM O� 2� � (uNTHR LINH 6Td
ceHiER OP BTReeT � REAR YARD pRONi
F� f
91DE YARD LEFT J RIGHT � R.SIDE f
DESCRIPTION OF WORK S F
L.SIDE
NEW I X II ALTERATION I II ADOITION I REAR � S
BUILDING �597,5sF NO.OF 6 �
SIZE ROOMS STORIES
EXTERIOR WA ROOF OCK
COVERING �UCCO COVERING
USE OF BUILDING AND ORK TO BE PERFORMED
SINGLE-FAMIl7 ESIDENCE AND ATTACHED
GARAGE PLAN -
1 HEREBY ACKNOWLEOGH THAT 1 HAV6 R6AO TH18 APPLIWTION
AND BTATE TXAT TXE ABOVC 18 CORRECT AND A6RE6 TO COM-
PLY WITH ALL CITY OMG�NwNC¢9 AND HTATH LAW9 fiH6ULATIN6
BUILDINO CONBi11UCT10^N.
81GNATURB OF / I (�
� AUTHORIZED
THE pMOUNT 9XOWN UNDER VqLUAT�ON IB POH THC
PUPP096 OF E9TABL19HIN6 A pERNIT FE8 ONLY.
VALUATION y
PERMIT FEE $ J � '
/6 / -s" % q �
S / PLAN CHECK S / O ' o
i
rc
TOTAL FEE 5 r LL