HomeMy WebLinkAbout3363 NEVADA AVE - Building Permits�
�
l
PHOJECT ROOflESS: 3 3 6 3 NEVADA AV
owNEn s enme JAEGER PETER
nooness: 3363 N�VADA AZIE
� COSTA MESA,CA 92626
• 557-5887
� AflCHIENGINEEN: BEG.NO.:
� AOOflESS: � �
UNIT:
UNIT:
PEflMITTEE:._PETER JAEGER ( 714 ) 557-5887
aooness: 3363 NEVADA
C,M. CA 92626
IItEN5E0 CONTNAC7aP OECLAHATION: i �ereGy aflirm t�at I am IicenseE unaer pmvisions af Chapter 9(commencinp wilh Secrion
70110� of Oivision 3 0l ��e Business antl Prol¢ssions Coae. ana my license is in tull lorce an0 elleci.
CITY LIC.: STATE LIC.: CIASS:
�ate: Signaiure:
WOPNEflS' COMPENSATION oECIABATION: I nereoy affirm Inat I have a cenificate of consenl to selbinsure or a cenilicale of Workers'
Compensation Insurance, or a certifietl copY �nereof ISection 3800, LaO. CI.
POLICY NO.: E%P. DRTE:
COMPANY:
�I 0 Cenilie0 coOY is �ereCy lumished. ❑ Ceriilietl coOY a filed witA t�e city BuilOing DiNsion.
Oate: AODlicant:
ENEMPTION FBOM WOflNEflS'COMPENSATION OECLAPqTION: (ihis Sedion neea notbetompl¢�eCili�e permAi5lorone�unEr¢O�S100�orless).
I certity t�al in the edorma e ai Ihe work for which this permil i' eue , I s➢all o emDloy any De�son in any manner so as to betome
suD�ectto Ine o� er ' Co De^ 'on Laws ol Calilomia.
�ate: � SignaWre: ��
NOTICE: II, alie� n aking Ihfs Oeclaration, yau 5houl4 Eecame 5ubieCi IO y Woders' mpen5atqn prOvi5i0n5 0l IAe Lahof
Coae. yau mu5i brlMvith complY ��� 5uc� pmvisions or INS permit 5� Ue AeemE revokeG.
CONSTflULTION LENDING ACENCY: I hereey ailirm inal ihere is a consimction IenAing aAe��Y lor Ihe pehormance ol Ihe vrork for
whicM1 Ihis Oermil is issued �Setlion 3097. Civ. C�.
LENOEP:
aooxess:
OWNEB BUILOEN OECIRflATION: 1 �er¢Oy allirm I�ai I am exempi Imm �he Con(ractors' State License Law lar tne lollowinp reamn
�Senion 70.31.5 Business and Pmiessional Cotle: Any city of wunry wAicO repuires a permi� Io conslmcl, alter, imprwe, OemalisR or
2pair any simcWre. orior Io �is issuance. alSo repuires t�e apD�icanl for such vermit ta file a siqne0 statement ihat he/sne is IicenseA
pursuanlloihe pmvisions olt�e ConlractorY Slale License Law�Chapter9lcommencing wilh Sec�ion 7IXp�ol Division 3 oilhe Business
antl Pmlessions Cotle) o� I�al he/s�e is eKempl t�erelmm an0 Ne basis lor the allegea exemplion. Nny violation ol S¢ciion 70.31.5 hy
any applicant for a Dermil subjects tne apvlicanl ta a civil penally ol nol more tAan live hundretl tlollars lu�).
�I. as owner of Ihe D�openy ot my employees wit� wages as t�eir sole compen5ation, will tlo ihe wOrk, ana ihe
stmcwre is noi inrende0 ar auereC loi ule 15ection 70<a. Business anC Pmleuional Code: The Contractars' State License Law
does not apply to an owner of a Dmperty wlp builGs or improves t�ereon, antl who OOCS 5uch work hirt5elf/hersell ar I�muqh
h$ or her own.¢mployees. prmiJeG Itul wch impwvemenis aa no� in�¢nUeO or oltere010r 5ale. 11. however lhe builEing or
imOrovemenl is soltl wi��in one year ol complelion. �he owner will have Ihe Uuraen oi pmving �el5he aiE no� �uilU or impmve
lor Ine purpose ol sale).
I, as owner ol ihe pmDeny, am exclusively coniractinp wilA licensetl conlractors to conslmd l�e prolec� ISection 70AA, Business
❑ and Pmlession5 COOe: The Coniratlors' Sla�e License Law Uoes noi apply Io an ownef o� pm0etly who buil05 or impmv¢51Aereon
antl wh0 tonlraqs lor Sucll O�olet�s vn�h a[oniratlor�s) litense pursuan� Io �he CaliraCtOrs' S�a�e liCenSe Law�. I am aware
that 0��� ol their Worker's ComDensation insu2nce 5hou10 Oe pmvitleC to m¢.
� I am exempl unGer Section� B. 8 P. C.
�Or IhiS (¢d50n:
i %
Date� � ^ Owner:
I Eo �ereby ceN�y ��a 1 am a' are ol ana unAerSlanC ihe requiremenls oi Califomia Healih Sa�el de Seciions 25505, 25533, ana
2553d antl �hat I or any IWure builtlmg acupam wiNwill nol (circle one) neetl to comply w�sai0 sla co0es anOlhe repuirements tor a
permii for consimction or moddication Iwm �h¢ Air Ouality Managemen� Di9lict. PeSiEeniial COn5lmclion aDDlica�ions are e�emp� irom
inese o�ovisions.
� Date: pDP�icani:
� her¢by t¢r�ity Ihai I hav¢ reaa Nis applitaiion an0 51a1e IM1a� Ihe a�ove inlormalion i5 Corretl. I agree Io mmply wilh all tiry anA COuniy
ortlinantes antl slaielawsrelaungto building canslmction antl hereb aiizerepre talives ollhis cilyio enleru0onlhe above�menlioned
p�OpffiY �Ot i05pCLil pII�p05
Oate: � SignaWre:
�nver's Liwnse a� Socia Securi�y
16<La6 Whne—Bwltlmg�. Green—Cotle EnbrcemenC Canary—Applicam; Pink—Revenuo; Golaenrotl—Assossor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05990
PERMIT NO: H 059906 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE; OTH
JOB DESCRIPTION : T/OFF SHEATH 6 REROOF 1500SF W/ASPHALT S SQ FT; 5,500
CLAIM VALUE: S,S00.00 CALC—VALUE: 5,500.00 GROUP OCC; R-3 /
COMMENTS; REROOF RESIDENCE W/ASPHALT SHINGLES �r /�-
�r�e��r�r+e**r*�e+r��*�**�r�r�r�er�r��r+��r�r�r*�e�e��r�rr�r*�rx*�**�x��r+r�r��rr��r�r�e�r*�����C 1 �l� 1 �ll
Z O N I N GS—ERTEBgAUCIKRSE M E N T S
------------ MAIN HUILDING ------ --- --------- ACCESSORY BUIL��������
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT ZN LEFT: FT IN RGHT: FT IN
PARRING REp • PROV; PARCEL: 13957238 ZNE: REF NO:
PLANNING NfSTES>
�
if M if 1f iF 3F iF M iflF k M 3kMit it 1f kikMiklk 1t if k k 1F if iF ff 1F iF iFlFit k if it iFif 3f iF if iF �t 1k if if iE iE If �t ff 1f if 3k k!E k if if if !F if IF if iF M iE M iF iF ik�f it �f ik 1k M
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 APPROVID BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: � DATE; II�IZ l�
iFiF�tkif�FifiEif�fitlfiFikif1f1E1kk1Fif�f �iF1E�Fifif�t�FifiFiEif �Ek
�k M!f �f if M �F k 1f iF 1f if �F if if iF �f If if if 1F 1f ikif iE iF ik K if iF1k i! k iF k it Ik iE iF iE it %ik iF iE�t �F if IF k k iFiF if �F3f iFiF k1Fif MiE if �F it If 1F IE 1! iF ik if iF if �f if 1F ik
LEGALI2ATION;N F E E S II M M A R Y STRUCTURAI. SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81.00 -• 55
PL� �, SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN.�CHECK TOTAL PAID DUE
TOTALS----> 81,55 0.00 �. 0.00 81.55 81.55 ,00
REVENUE DIVISION TOTALS--> COLLECTID; 81,55 OVER/SHORT: ,00
BLD81P00 PLUMBING ELECTRZC�MECHANIC FIAE SMIP/TOS GRADING PLAN—CHECK
iF iE k�F it ikiE iF if 1f iE iflE iE if �E ik if if �f iE iE iflflf if M�f �k IE�f iF itr iF iF if if iF iFiFiF3f 3F 3f iF iF iF if iE iFM iF if if if 1f if iFiF iE if iF 3f iF IFlE if iF aF M k 1F af k M if k iE 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 Z P T I O N ' UNIT COST TOTAL COST
SFR' ' S500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 ' S,500,00
END OF FEES
� . , .
CONSTRIiCTION AND PLANNING P�OI & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2`S,¢il P�pe-Undrg�nd.,. 53. Sieel Reinforcement
�,� ,riEl��ctrical CondititJl.O�ity-Undrgmd. 54. Forms
'%Z�lectri�ral Condurt+Undrgrnd. � ' 55. Electrical Bonding
.,�5��tegl Seinforcer�+ent 56. Rough Plumbing & Pressure Test '`
�%� ` ectrical UFER��jynd. 57. APPROVAL TO COVER-GUNITE
�,f tings �'`Z 58. Eiectrical Conduit�Undrgrnd.
.
::� 8.:$oundation 59. Gas Pipe, O Undrgrnd., Test c
� 9. Water Pipe�Undrgrnd: 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. P��perty Sewer Line¢& House Connection 62. Backwash & ReceptorFinal
12. 5"�wer Cap y 63. Heater & Vent-Final
13. Roof Drains ti 64. Plumbing SYstem - Final
.-. N
14. Rough Plumbing 65. Electrical-Final
15. Rough ElectricaJ Conduit 66. Solar System�Final
16. Rough ElectricVlJiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrit�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
^ ' C G^�+G';` t� �:
c- V
20.�ot�h f�cto�+/ ��lace i S� z� � S M �* M PpR�VFI� ',��fery,�iit #�_
21.-DuFFt, iqyStrp�tutq.x I r•• r:5 .* S C�"C rr.. s: ,70. Fk�dergt6ChYtlHX3ro �: �
�
22.`Du�{s. �nt tin�.� � �-S x ^ �' `tx � "71. Produc2iP�ing (�`�'s Ll'�Jil
.� �� 1 fJ :R O �t CJ i-* x
�23.. a�kipe�io�gh &'Cest i ;ryS � rh tr K� M? 72. UnderginG�d Flus�;.m : _�.�i
_���� .
24:�AoeTi F Htniny �X � '-� ••F k 5 O C" ^ * �� .73�Undergmc�. Stor�r��nk �7 Gas ❑ (,s,l
t*1 %t� ;> K r+ 7 x .
25. Ro9� S� ething Gy .Q v ». O � tt;i::e 74;j@verhead Hydropr x�
26`�f-&�1 Ceiling (St�uLYuraq &AAd� "coat •*' �' d �4�x � 75='�n( y Che i al '�''� � 'z
1 �: Y X K �j �� X :]
27��ame F,Jash' `� � :`. 'i �" +:;x, �� .
�d � pc�t�C *�r y¢:�: x 76. [Yry Stan�.@ipe r.m x m �;
-�8. VLathing'& Sfdin�JY %= ��iT � :ri S ••'K � 77M FIXED ��'E,M1� iNA�` w ,..� �"
Y [� O S.Y. O .• .•• � fi C� .. R ^ i ..
29. Insulation . ny, S� .. * y,; 78�FIRE PREV. Fl�d.fSL ?> u; �
�'30. DrywalF�JaiFtig � u ✓ � �� H f:EALTH�DEPT'',� RfQtlIR ENT
1f h: � X J
�31. Plaster �ow�n�Cc�ytx s � n,�. � � �.79'�FINAL If�R�CTI`�{V * � � �
.r �
r ^_"ry.--?'_ ,
E-32:M lectrical PovOer 7Dltlt�c Final� � a' ti '� **�0lTFOOD CERTIFI�,cC7fE IS} U�.FD�
�
' tC �-� t tT :< M >�1 J' "7' F r'
�33.�ir`��I El�ctric� ..;* M � ry t � x No�s�-/�i ,. x
�4�"/ ��_' • . - T � - YTi /
�ti;34: Fi Heutingl& i\iKCopditiar�� Cl �' � »: � Y � .1.. . � .� � p
3 5!�*� i n re l G�j P i"�, - T e� t'' ,� T'' ^ Y: K* n�-
i : f T�" .-.+. ,� • x �-+ . r � o �U' �-S+ .7 M� S O
uti6. No� oc-CanoPY:�:v 7 t R"7 �. x C1 k�. ; E :'10 r rt;r
!� � m rn
y37'�irY� F�tory Fir�ac�.,. � SC^ � � iT7 * C� � Ir
t FF !v w� �. T � fi
, 38. Final Plumbing %: N i � u w .� .X S i-+ R a1 O
�e v
�39. WaEe� S�vicre,'Fina� s., i � *� R* n �•m * Q O
S
; A0. Gas Sery e- nal � �y S[T't�' s � m x O� r�r� � �
��
S�yl. Solar D�iheS�lcFirt I� n� � .. > Os � " x �S'� �.-+ y�
-+ o � a * .. c� .v o� sx o
`�42.'�ackflo�Prevente'r;�' n; x`"� � K s �c � i.., •+. C;..�
�
43. BackfloPJ Ir�atior� xSs R ** tcE-r.: �* O -+ �
�: �+ = tC $ ;� i x n .
r. .. � � �
�4. Landscape I�igati�n Sysrerp�.�r� t� � th O t� Gx Y N N ;rr1 * �,� p
= .-, .
F45.�ound Atte' atioR�`� r'"xF [r x r E"' E"' F"` *. '' "+ "� ._ _ [� ` -
� �. ;.. r. th cn tnt .. c v �:, • t-c� x
546.�-landic� R gulatiij�s ,:� p w� :� r. t;; •S Ov S �
47SFIfGAL STR�CTURE�& BUSLDING 'F r( = �� :'s �r�
ir r � a I .T * (�
48;=,flf�f,AL PLANNIN6Y - - � FH �f N a. �*f t*f �y x F v
�
c49.7Electric Release to�dison i r * x' � � '� •'-�
„ a. r. �. a �n .: o
• ., J .K r v ' � .�
°'�O.�Gas•Re �se to Southern Cali�fornia Gas Co x. � � Y � O• c!�: �r J •
,-`�51. CEFi�-TIFICATE OFi�OCCUPA Y * �•: „ tr�p C 9. ,r C
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a cbndition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information 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 verificati0n is received.
1. I personally plan to provide the� m� jor labor-and materials for construc[ion of the pro-
posed property improvemen[r �"Yes �❑ No
2. 1(have/have not) ac� signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name_ _
Address
Phone (
City
Contracror'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
Contractor's 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 Worlc
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safet Code and have completed the above information to the best of my per-
sonal knowledge, ' So I' n with this Stata law.
Signed: Date: � �
Name: �� +� �L"—'v°�
(Printed or Typed)
C.D.L. N or S.S. N
754-5273
Appileant ta fitl in all spaces exceo� those within heavY borEer lines ana slgn atl approDrlate tleclarations.
�OF GoSTn MESA CONSTRUCTION PERMIT
�' Project Address 3363 NBVada CP.,
Applicant'sMailingAddress �26 Commerc�a �� OS Q BSR
Owner's Name Mr.: Peter JQBCJBI' phorie
Address 3363 N2VAda CC.�.� C.M.� 92626
Arch/Eng. License No. �
Address
Contrector's Name Crank Bros.. Rfq.� CO.• phone 548-5559
Atldresslmailing) 126 Commercial. C.M.• 92627
ciry �Icensc No. _--005993
LICENSED CONTRACTOR DECLARATION '
1 hereby aftirm that I am Iicensetl untlar provi51on5 0( Chavt¢r 9(commenClnq
with sectlon 7000) oi Dlvlsion 3 of the Business antl Protesslons Cotle, an
� my Ilcense is in tull Porce antl effect. ' 7
License Class � License No
Data_ Siqna[ure _ � � :
WORKERS' COMPENSATION DEJ} ARHTION
I hereby aftirm that I have a certpfo te of mnsent to snl/-insure or a certifica[e
of Workers'. Compensa[ion Injj�•Snce, or a cerlliietl copy thereot. (Section
3800, Lab. C.)
aou�r No. �2/C718(l4fi2 comoaqr Home
�Certifi¢tl COpy is hereby fumisM1ed. � .
Cartlflej� caq IS (Iletl with [hC Uty BW� Inng Div,kiDps. Roof in C0.
Oate �%/ ��=/��% qpplicant e n�t trr'� 9 �
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION
(This seclion neeC not be cam0�etetl i� the permit is for one huntlretl (5300) or
less).
� I certlfy that In the per/ormance ot the work for whlch this perm�t is issueQ I
'shall not employ any person in any manner so as lo become subject to the
Workers' Compensation Laws of California.
Date Signature
�NOTICE: It, after making this tlatlaratlon, you snould become subje<t to the
WOrkers' Comp¢n5ation proN5lon5 Of [he ldbo� CodO, y0u mus[ forthwith
comply with such provizions or [his permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV.. �
1 he�eby dffirm that there I5 a cons[�uctlon lentling agency fo� the pertormance
of lhe work iot whiGh thii permlt i5 ISSu¢tl (Se<tion 3097 Civ. CJ..
' l.entler's Name
Lentlar'S Atltlress
OWNER BUILDER bECLARATIOfJ �
I heroby afflrm [hat I am exemp[,from the ConlractOr'S License Law tor thC
following reason (Seciion 7031.5 Business antl Professlonal Cotle: Any city or
county wnlch requlre5 a permlt to con5[rutt, alter, improve, tlemOlish or repalr
anv sVuc[ure. odo� to I[5 IsSud�t¢. also reOWreS th¢ applicant f0/ such permit
]031.5 by any applicant fOr a pe�mil subject5 tne aDO���ant to a clvil
�enalry of not more than five nuntlretl tlollars (E500).
I, ai Owne� of IhG Property o� my emO�oYe¢5 with wages as their SOIo
compensation, will tlo the work; antl.the structure is not intentletl or offeretl
for sale (Section 7044, Businass antl Professional Cotle: The Contractor's
. Licenze I�w tloes nol apply to an owner of a pro0erty who builtls or improves
Mereon, an0 who tloes such-work himself/herself or through his or her own
emo�oy eas, provltletl tnat such Improvements are not intentled or ottered for
sale. I/, however, the bulltling or ImOrovoment is soltl within one year of com-
pllfiOn, Ihe Owner will �ave tha burCen ot proving ha/she did nOl builC or irt�-
pfOVB 1or the purpOSe ot Sale).
❑ I, as owner of the oroperty, am extlusively contractin9 with Ilcensetl con-
� tracto/5 to con5t�uct theA/oject ($ection 7044, Business antl PrOtesslon5 Cotle:
' The Contractor'S License Law does nOt apply to an Ownei ot property who
builtls or improves ihereon, antl who contracts for such projects wlth a con-
. tractor(sl license Ourtuan[ to t�e Contractor's License Law). I am aware that
pwof o( tbeir Wo/ke�'s Compen5ation InSurance shoultl be prOvlUetl to ma.
❑ I am exempt untler Section B. & P. C. for this reason
Dato Owner
C3 - /� �D,S- I ' I I
TVPE OFC�NSTRUCTION NEW AD� ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF B�DG. ,� Q_. �
TVPE OF PERMIT U GRADING U FOUNDATION LJ STRUCYU
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
O OTHER
PROJECT DESCRIPTION Sp.FT. '• OCCUPANCY
CONSTRVCTIONTVPE res�iden �a� VAWATION$>>�'
ZONE 'GRADING CU. VOS. ACRES.
Remarks: ' . � .
Sink'
Yflow Preventer
kflow Irrigacion
Dishwasher �
Drinking Foun[ains '
Floor Drains
Floor Sinks
Gas Service � OuLets
Interceptors ' '
Kitchen Sink - '
Lavatories
P—Trap �
Foof Drains
Reinspection Fee
Showers ' �
Servite Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping ,
Solar Tank
Swimming Pool w/Spa
unnai
Warer Closet �
Water Heater
Water Service
Auto�Wash -
Laundry Treys
§15 � Isue Fee
Duct - Under Ground
Duct-Svucmral '.
Duct - Ventilating '
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO �
Heating System & Ducting
❑6100,OOO�BTU �700,OOOBT
�,,,,���„�„ M�}'MV� y/hT� „�l�l���� , _,_,J�
Signature �[� Date
orivers�Cy�nse or 55 9f Reinspection Fee $15
CMF 0865 , rev. 30/84 White - Bulltling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor
Hood or Type I � ❑
Canopy Type I I ❑
Refrigeration System :
❑0-t00,0006TU ❑100,OOOBTU
System Repair/Alteration
Fire Dampers
Regizters .
Issue Fee
FEES
$ 3
$ 3
A.P. �/+
S Main Building:
E
T Front
ARear
C Right
g Left
Ping. Raf. #
�Planning Notes:
4908 I/03/85
2one
Accessory Building:
Parking Req./Provided
ELECTRICAL
Aummatic Washer Transformer ❑ 15-50�KW
Construction PoleSub. � 50+,KW
Cooking Unit
Dishwasher
r
Dryers ❑Gas 'DElecvic �
Fan
F.A. U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal �
Generator �0�5 KW OS-15 KW
Meter Llup to 100 amps
Meter ❑over100amps.
Suh Panel �
Motors 00.1 HP �iX''8
Inc.Solar �9-15 HP �16�
Microwave -
Pole Light
Range
Si9n
', Standin9 Sections
Trash COmpactor
� Reinspection Fae �$75 � � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning ApprOvad By
Building Approved By
Appliwtion Issued Bv � / � �
5�
�OouO . j'L
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
� SUMMARVJQ F FEES '
BUILDING PERMIT $ ��� O v SMIP $ � S� D
PLAN CHECK $ PERMIT ' �
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ '
ENERGV P.C. $ � '
ELECTRICAL $ GRADING �S ,
PLAN CHECK 50% $ MICROFILM S
MECHANICAI $ TOTALFEE $ �iS
PLAN CHECK 25% .$ �
i
CONSTRUCTION AND PLANNING • POOL & SPA
• APPROVALS Permit # Date �Inspector AppROVALS Permit # Date Inspector
�: 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinfarcement _
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.
$. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK -
1 i. 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
77. 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 Strucwre � 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 Ceiting (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 y Notes: � L1r � N
34. Final Heating & Air Conditioning � � �
35. Final Gas Pipe-Test ' • '
36. Hood or Canopy .
37. Final Faaory 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
47. FINAL STRUCTURE & BUILDING ��'�-�
48. Special Requirements Completed
49. Electric Release to Edison ��
50. Gas Release to Southern California Gas Co
�57. CERTIFICATEOFOCCUPANCY ,
No. Date
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. `y—
LOT N0. ��
ADDRESS ��� �, 3 �� ��t�
DATE % ( — � _ � d
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
� ��
� 7 ��/
/� ��
� � �
�
.�r_.�....���_.�
Y
Lencier
OWNER APOLLO DEVEIAPMENT DATE 4-20-70
JOB ADDRE$$ a��� uo.,�a� e„a.,�,< BUILDING PERMIT N0. 3i�75
AP No. LOT TRACT FIRE ZONE VALUE
INSPECTION$ Si not�re Dote GROUP I S J TYPE
SOIL � _
�As SUBCONTRACTOR
��z� .
WATE��../l ��i / _ . ... /J . _PI��m64...., i
LI
SPRINKLI
ROUGH HEATING qN0 AIR CON�ITIONING �(
TEMPORARY SERVICE Oft POLE
UNDERGROLINO POWER �
ROUGH WIRING �7(f
TRENCHES FORMS STEE� REINF. � .7 O
FLOOR SYSTEM i�.?�»i
SMEATHING
FRAME ANO F�ASHING
LATHING — IN �/.�1
HEATING, VENT., REFRIG. AND AIC.
PLUMBING, FINqL ANO GAS TEST �
ELECTRIC, F
BUILOING. FI
Z .
aV
zQ
ON
am
J7
J �
Q W
p] J
J m
Q
U N
Z a
W �
aw
W Z
J �
m Z
J �
W W
O
z�
w�
N �
� �
?��;�5
COSTA MESA BUILDING-SAFETV DEPARTMENT
P_o.eoX 12U0 COS7A MESA.CALIFORNIA 92626
=
�
APR 22•70P=20001287�+ *** 141.00
cwsr.
ForApplicanttoFillinCompletely APPLICATIONFORBUILDINGPERMIT
RECEI D D/a7E?ECEI��D D E ISSUE?
nooaess 3363 Nevada Avenue U` �~� ���'� v
OWNER Apo110 DEV2�.0�2I1C COT�1. A.P. NO. �_ PERMI�r�e�5
ADDRESS 1104 E.17th St
ao� R'Ess 3363 Nevada Ave.
cirv Santa Ana nTio� 547-9673 TRACT 6694 �oT 20 s�ocK
CONSfRUCTION U.S. National Bank `N
LENDER X
BRANCH 'M31I1 affice
ADDRESS 190 S. Broadway, San Diego OWNER A ollo Develo ent Cor .
VALUE
ARCHITECT TEL. g Residence $�
OP ENGINEER K NO. — �
FIRE
ADDRESS A C ZaNE TVPE G:�OUP
CONTRACTOR Apollo Development Corp. ByPROVED DATE
ADDRESS �'�'�4 F'. �'7th St.
TEL. Z � p�,� BUILDING E
cirv Santa Ana No. 547-9673
STATE CITY VARDSAPPROVED VARDSAPPROVED
��c.No. 252549 LIC.NO. �.G9O MAINBUI�DING ACCESSORVBUILD G
512E NO.OF BLDGS. (FROM C/L STAEET)
OF LOT SO X LI.H NOW ON LOT '— OfYT FT. FT.
VSE OF
EXISTINGBLDG. �� F FT
SIZE OF NO. OF
NEWBLDG. L]JO S F ROOMS % STORIES 1 L.SIDE FT, FT.
EXTERIOR WALL er AOOF
COVERING Plans COVERING wOOd shin 12 REAF FT. FT.
USE OF BVIIDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
MAIN BLOGS. ACC6S. 6LDG5.
VAR.3W Q4TE
COriStLUCt ilBw residence C.V.P.9W AppROVED
with attached garage. �aoveo � ,� D
�L �
I heraby acknowlatlpe chat I hava reatl this applicallon and state
that the ebova intormetlon is correct end epree to comply with
all lews reBulatinp buildinp con�truc[ion, antl I shall not employ
ony parson in vloletiOn of th0 wOrkman's compansation laws ot
the Stata of California. Q o
9 u
I hereby certify Mnt I um properly Iicensetl as a contrector untler �� SQ. FT. i7 �
the Steta of Californie Busi�ezs entl Profeszions Cotle, Dlvizicn 3, THE AMOUNT S WN VNDER VALUATION IS FOR
Chnpter 9, antl that such IiGanuf are In full torce antl etfect, or I TME PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: �
em eaampt from Ihe provla�Ona Of the $tete of Callfornia BuSlnesS �
VALUATION
ontl Profaasiona Cotl , Ivblon 3, Chepter 9, a
� PERMIT FEE 4 � O O
Sipnature of o
Permlttea / � 5 �%�/J�'7i1 � P�qN CHECK S ` i�� �
�C J ///
Authorizad Apant � ' '/ 6 �
TOTAL FEE S 7 � d