HomeMy WebLinkAbout3260 NEW YORK AVE - Building PermitsRUDNESSOFBVILUING:,,_3ZGO NEW YORK A�7 .
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� 6512 COMSTOCK AVE
WRITTIER,CA 92626
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uNr. ._. „_.,_ __. _CITY OF COSTA MESA —. BUILDING..PERMIT
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110EN5ED COHfPACTONS DECLAPATION: I Mreby elivm uMm panely d perjury Ilel I em licenaed uMx pwisions ot Cheqm 9
(cwnmend�p xilh Section ]000) b�� 3 d iM Buairem eM Pm/eauana Cada. enE mY licmx is in lull force vW e%ed.
cm uc. No.: uc. cuss: uc. No.: EXP :
Data: Comraaor:
OWNEH 9UILOEP UECIANATION: I Mnby elfirm uMn peroly tl perj�ry tIW I am e�emq Imm �M Conlretlon Liwnea law lar iM
�abxig remm �swio� 1oi�s a,.:n.. ene aiweaions coee: nm �a o, mumv �.+�Kn rev��� e ro�u m mn.mict. enar. {mpro,,.
demdsh. a rapei enY avuc�ure. qbr lo ps ewence. eho reyuiree tha eppli�sM la wch permn to Rb e nymE stalemant Ihe1 M a aM
o licemed pursuent to tM provisbm d IM Contreaore Licensa law �Cheqet 9(oomme�iq xiih Sepon ]OW) d DH'sbn � d the
Buaina� eM Fdwims Coda� a Ihe� he a el�e a eaemp Iheteham eM the bavie Iw Ihe albpeE nvemqion. My vulaton d Setlon
)W 1.5 bJ 9ny eppliranllW e permn wbpae �M eppliCanl lo e avil pB�Bl�y d fql mM IhBn (xa hurMRtl Ed1819 �$$N��.
xi] 1. aa ox�rer d �M propeny a mY �VM�a �h wpm m �hai ede mmpenaetion. xill do �he wwk. eM IM niunure u ria imandad
-w oAereE for sale (Seclbn ]066. Busrbw vk Proleasiona Coda: The ConVeppa Lirorua lewdoea � epplyio en ownerd propeily
xia Wide « inv�a �hereon, vM xfia doee auch xak limaell or hanell or ihrouph he a hm own empbyeae, v�dad �he� such
' prcrvemante va rot imaMetl a Wered Iw aele. X, howevm, �M WiMiip w'vnqovemenl is eoN Milhin aie yeer ol mmpl&ion, Iha
owmrbuiker will lave tM buNen d provirp M or ehe dk rwt Wild a imqove la tM WR�e d eele).
� I, ea ox�rer d the popeM. em eadueiveN �be�1Yq wilh IbeneeE coni nwa to wnevua Ne qqea (smion �oaa, Buaiirena eM
Pedeadone Code: The Coniredwe Lieenae lew droe iw1 epply to en wner d popaM � buitla a'unpova the�wn aM who
conVecb brwtli prol�a wnh e mmraGoha)IceneeA W���toth Comreaore License Law).
� I em eaempt ueM/ar'$7Mion:/�/ B. 8 P.C., br I�ie ro q
� Dale: � / 7 — % 6 O�ner:
I do hareby cenity thv I em ewere ol eM uMentarM IM rpui vd afay Code Sed'ana?5503, 25533, end
25531, eM thet I w eny INure hiki�p rcwpenl will / will na (circh ana) nead lo compty wilh pete codee eM iM reQuimmenN tor
epertntllamnsvunbnormoCifice�bnlrom�heAr uaiR�iiy enepemenidelrid.Rwidamialmnnrup neppXralianeraeump�fmmNane
oda: Avoiw��:
WOflKEP'S COMPENS�TION DECL1flAT10N: I hereby alfirm uMer penelly d parjury an W tha lollovnrq dedereliona:
❑ I heva end wil meintein e ce�Hicete d mneent lo satl�ineure la waken' compeneetion, ae prwided br by Sedion 310� d ihe Lebor
COEe, fa ihe perlormence d Ihe woA lor which Ihia pertnit i� laued.
� I han end wil meiman woAan' canpenaetun insurarKa, ea �syuired by Seclion 3)00 d Ihe Labm Code, la �he perlameMe ot iM
work for which Ihie parmit ie iaued, My wakere' wmpenaelion inaurer�ce wner eM poliry number ere:
c�a,:
Pdky Number:
(This seclion need no� be comd�b S�M permrt h lw one hundrad Cdlere (S/OJ) w lue.)
❑ i caniry ihe� in ihe pMormenca d tM woA br whc� ihie permn ie ieeuad, I ehell na empby ury pe�mn in eny men�rer eo av �o
becoma aubl� lo IM v.orkera' mmpanambn lewe d Cdibmie. end pree the� X 1 ehould becwm wbjw m iM vrorken'
mmpensmian v�sA�s ol Seeion 3]00 ot �ha lebor Coie, I ehell /onhwnh compN �h thwa prowiana.
oe�e: now�c
Waminp: F�Nun ro�xun woikx�' eompxwtlon rov�rp� 4 unl�wlul, mtl �N/bW/�ef an miployx ro etlMNl p�naMu mtl
clvll Ilm� �.y ro on� hunerW fMua�nC Jo/Nn (S/0q0001, M M11tlon ro M� ewf o/ eompuu�fbn, tlam�pes �a provlLW br In
Sxtlon 3M5 0l Ms la6or Corb, InfMlq antl ettomsy i/wa.
CONSTNUCIION LENDING R4ENCY: I MnEy �im uiMer penelry d perNrv �� �ha�e m a mnaeud'pn kedi�q �anty tor the
�IBfiOf1118fICB O� ��1B Nq�. iW W�1M: ��IB Dsflll� 9 OHIMd (�J�M9I1.'iQQ%. �iN. Cl.
LENDEN'S NAME:
LENDEfl'S AOONESS:
I cenity �het I heve read Nis epplicalbn uM atete ihel the ebave inl«metbn u comcv. I epree lo mmpy wilh ell ay eM coumY �inam.ea
eM atnte kxs relelip �o buikvq cona�wion eM Mreby eNMrize repreaenlaiivee d the ary io entx upon tM ebv.e.memioned pmperly
fOf105p0tlionpu�JERRY MORGAN
� � � �
� Si� u bl 1lqm0
„^ (St51db.WP) Whno-BuildvpBSefely;
�
om. �i�- s�
CanW-ApW�t: Pink-Revenue:OdEenroE-Avmewr
PERMIT NO: B 077728
CONSTRUCTION TYPE:
PLAN CHECK NO: N
PERMIT TYPE: STR
PERM NO: B 077728
GOVT: N SUPP: N
PURPOSE: DEM
JOB DESCRIPTION .: DEMOLISH ILLEGAL CLOSET PER ATT LETTER SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT
iE it it�t iE 1E �E iE iE 1E �f if if �E iE iE iE 1f iE iE iE iE 7E it iE ii it iP iP if it it ih rt if if if if �E �f it iE iE if aE if iE it iE iE itiF iE it # aF iE {E �E if *** i6 if 1t �E �f 1E ib it i4 iE it iER �t iF if
Z O N I N G R E Q 0 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 RGAT: FT IN LEFT: FT IN RGHTe FT IN
PARKING REQ: PROV: PARCEL: 13904219 ZNE: REF NO:
PLANNING NOTES>
i
if if if 1E if 1E 9f'N' if ik 1f 1E i%ih IE i4 i4 if' iI' iI' iI' ik if' iE iElE iE iE ih iI' iE 1E iE ik iFlElf iflh ii' �E iE fE fE iE 1E iE fF iE iE iE 1E ih if if ih 7E'lE if if if iE ff ih 1h i%ik if 1I' 1('!E iE iE iI' 1E'X' iE iI' if
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 .
BUILDING APPROVED BY :
APPLICATION ISSUED BY
fE if iE iE 1E iE 1E 1E 1E 1E 1E IE 1E 1E 1F 1F 1f IE iE IE 1f
LEGALIZATION:N
BLDG PMT
PERMIT 34.75
PLAN
ISSUE FEE
F E E S U M M A R Y
PLUMBING ELECTRIC MECHANIC FIRE
DATE:
DATE:
DATE: (� ��,�
fEiElEiElEff�iEiE 1E'lE
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
SMIP/NON—RES
.50
HUILDING—DIV—> _ PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS---.—> 35.25 0,00 0.00 35.25 35.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
34.75 .50
iE iE 3E iE iE 1E �E iE iE if fE * 1E IE fE 1E 1E 1E iE iE iE iE IE fE iE iF ik iE It 1E iE iE iE iE 1E iE iE iE ik �E if iE iE 1E if ff �E jE iE iE iE IE iE iE 1E iE iE IE 1E iE ik �E iE iE iE iE if �! IE iF ik 1E iE iE iE {E iE iF iE
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
NO FEES WERE SELECTED FOR TAIS PERMIT
• • ,
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D�?:: L'��]?/': ?Ii�c� i::G'v -
April 19, 1996
CITY OF COSTA MESA
CALIFORNIA 92620�1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
Ryan Penn, Project Manager
M.A. Properties, Znc.
6512 Comstock Avenue
Whittier, CA 90601
�� �
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����
SUBJECT: 3260 NEW YORiC AVENUE, COSTA MESA
Dear Mr. Penn:
Thank you for meeting me at this address on April 16,
noted, a closet has been constructed in the living
dwelling. This was done without first obtaining
building permit.
1996. As we
room of this
the required
: =.. .
This can be rectified by either obtaining a building permit to ,
construct the closet, or obtaining a building permit to demolish
the closet. Application for permits may be made at the Building ��
and Safety Division counter on the second floor of the Costa Mesa '
City Hall located at 77 Fair Drive in Costa Mesa.
We would expect permits to be obtained and work completed within
thirty (30) days of the date of this letter. If you have any
questions, please call Fred Norton at (714) 754-5629. '
Sincerely,
Tony C'De Baca
Assistant Dev. Svs. Dir/
Building Official
By•�� /// `��_
�'red Norton
Housing & Code Enforcement
Znspector/Consultant
�
77 FAIR DFIVE
Building Division (714) 754�5273 • Cotlo ENorcgment (714) 754-5623 • Planning Division (714) 754-5245
.. I"A% (7�A� 7!iA nqbf, . 11)fl (/7n) 75A 5744
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CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
�
Job Address: 3260 NEW YORK AV
Suite:
Vicinity:
Parcel Nunmber: 13904219
Applicant: LATIMER, JEFF
Address:
Owner: WILSON, JAY R
Address WILSON;DEBORAHA
COSTA MESA,CA
3260 fYEW YORK
BUILDING PERMIT
� Zoning:
Phone:
Zip:
Phone:
Zip: 92626
Contractor: J R CONSTRUCTION
Address: 03218 OREGON AV
Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
COSTA MESA CA
Phone: 714-641-7448
Zip:' 92626
License:�� 485367
- ; :
, , , PERMIT NUMBER /
/
698-01999 ✓
77 FAIR DAIVE, COSTA MESA, CA 92626
-Phone:
ZiP
License: � �
SCOPE OF PERMIT .
T/O EXISTING AND REROOF WITH COMP. SHINGLE, ROOF CERT ATTAHCED TO PERMIT.
$0.00
$87.25
$0.50
$0.00
$0.00
$0.00
$87.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : o
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Righl 0- 0
Right 0-0
1 � l�' _
StatuS ISSUED
Applied: i t/02/1998
Issued: 11/02/1998
$3,500.00
$3,500.00
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 7 BO days. . '
INSPECTIONS: In brder tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby atfirm untler penalty of perj�ry one of the following declaretions:
❑ I �ave and will mflintaln a certHicate of consent to self-Insure tor workers' compensation, es provided for by section 3700 ot Ihe Lebor Coda, tor the pertortnance of the
work for which ihis pertni� is isgued.
❑ I have ana will maintain workers' compensetion insurance, as requiretl by seqion 3700 of the Labor Code, for tha perfortnence ot ihe work for which this pertnit is issued.
My workers' compensation Insurence carrler end policy number are:
Cartier: PoliCy Number:
(TT/s section neetl nof 6e cromp/etetl i1 the permit is v ued et one hundretl tlollers (5100) ar less.)
❑ I cenity ihat in Ihe paAormanca of ihe o r which this permit is issued, I shall not employ any person in any manner so es to become subject ro fhe workers'
wmpensatian laws t i m tl t if I should become suhject to the workers' compensation provisions ot Section 3700 of the Lebor Code, I shall forthwith
com0ly with these ro isi s /
ApPlicam Signawre: Date: J �/ � � �/(� �
WARNINO: FAILURE TO SECU ' �pMPENSATION COVERAGE IS UNLAWFUL PND SHALL SU8IECT AN EMPLOVER TO CRIMINAL PENALTIES AN� GVIL FINES UP TO IXJE HUNDRED
THOUSANDDOLLARE(5100, ),I A ITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3lO80FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES.
LICENSED CONTRAC70RS DECLqpqTION:
I hereby aHirm ihei I am licensed under provisior�of Cj(�(pter 9(commencing with Section 7000) oi Division 3 of the Business antl Professiuns Cotle, end my license is in tull
force and eNect. Lic. p ���� Ciass a
Contrector's Signeture: � � Daie: / � % — %r
% r�
7rii 1ei
r�
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm that Ihere is a consirucUon landing agency for iha paAortnance of Ihe work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lendefs AtlGress:
Signature:
Date:
OWNEH-BUILOEH DECLARA7tONS:
I hereby ettirtn Ihel untler penalry of perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Protessions
Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any strucNre, pnor to its issuance, also requires the applicam tor such permit
to file e signed stetament thet he or she is Iicensed pursuent to the provisions at ihe Gontractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of tha
Business and Professions Code) or thet he or she is exempt thereirom and ihe basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant for e permit
sub�ects Ihe ep0�icant to a civd penalry of not more Ihen five hundred dollars ($500).):
❑ I, as owner ot t�e property, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, antl the structure is not intendad or otteretl for sale (Sac.
7044, Business entl Professions Code: 7Te Contractors License Lew does not epply to en owner ot properry who builds ar improves thereon, and who daes such work
himself or herseN or through his or her own employees, provitled that such improvements are not intended or ofleretl tor sale. It, howeveq the bullCing or improvement is
sold within one year of wmpletion, ihe ownervbuiltler will have ihe burtlen ot proving Ihat he or sha ditl not build or improve for purpose of sale.).
❑ I, es owner ot the property, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professions
Code: The comrectors Licensa Law does noi epply m an owner ot properry who builds or improves thereon, and who comrecis for such project with a contrecbr(s)
Ilcense pursuant ro the Con�reciors License Laws.).
❑ I em azempl untler sec.
SignaWre: -
Owner ID veniieC hy drivers license, ❑ Yes ❑ No
Business and Professions Code tor this reason:
Verification ol Ownership by (rype ot daument, I.e. - pmperry tax bill ar daed):
Dnver's License No.
Date:
Ezpires:
DIVISION OF INDUSTRIAL SAFETY pERMR CERTIFICATON:
❑ I hereby ceNiy that no e:cavation tive (5) or more teet in depth into which e person is requlred to tlescantl, will be mede In connection with work authodzetl by this
permit, end Ihat no building stnicture, swXolAing, talsework, or demolition or tlismantling Ihereoi, wlll ba more than Ihirry-sia (36) feet high. (ChaO� 32, Grp 2, Atl 2, Sec.
341, Title 8, Calllomie Atlmini5lretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Industnel Safery, es notetl ebove, unless such person has e
permit to tlo such wark Irom the division.
Sipnature: Date:
Division ot Industnel Safety Permit Number:
CERTIFlCA7E OF COMPLIANCE ANp AUTHORIZATON OF EMRY: I ceriity under penalry oi perjury ihat I heve read ihis application and state t�et t�e infortnation given Is
correct. I egree lo comply with all g�te laws and city ortlinances ralating to building consWction, and authonze representatives of the City ot Costa Mesa to enter upon the
ebove-tlescribad propeny toyipsDp�Ltion purposes. I agree not to occupy or allow occupancy ot any builtling aut�orized by this permit until final inspection.
y�l, INSVEC7WN�YVE
1676 Fixed System Final Fire Ptevention
7266 Pool Spe Final
200 Final Re-Rool
201 Final Blak/Retaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
2a46 46
�ff 1��
"// /✓� is �
� �� �—�� oe,e
Date
CODE � INSPELTION TYPE
206 Finfll Mechanical
20B Final Plumbing
210 Final Elactncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupency
qpp�{Eant to fill in all
OF"COSTA MESA - veR�y r nc
CONSTRUCTION PERMIT /"— !
witM1in heavy bOrtler Iines antl.sign all appropriat<tleclaraHons.
_ TRACT NO. LOT NO. � BLOG. NO.
. ProjectAddrns •��0 �yV 0�. t :�9? TVPE OF CONSTRUCTION
OWnef � 7uIICn PhO�eSS 9�.�1 ❑ NEW ❑ ADD ❑ ALTERATION
H
"Address- �(o p nJ(��C C,r LC � C�-/N ��'REPAIR-�NVERSION ❑DEMOLISH/�
( (N ... KY d
�'Arch/Eng.- �- " ' -' License No.- a SCR PTION OF WORI< c S �,.t iG �y
Addr`ess '� � �' '
� Contractorr� � �� Phone �T� L�.v�K
�W Ge Lt �,/d #� �,�.TVPE OF PERMIT . .
R
' Address ��$' .r -. � � � � - �❑ GRADING •❑ FOUNDATION ❑ STRUCTURAL
'LICENSED CONTRACTOR DECCANATION ' ' ' ' :� TENANT,O ELECTRICAL ❑PLUMBING-❑MECHANIC
I hereby aHirm tha[ I am licensetl•under provisions of Chartar 9'(com- . .
.mencing wlth section 7000)" ot� Di�lsion 3" of "the" Business _antl �� OTNER ' -
.Professions Cotle,•antl my Iicense is In full torce antl eifect. .pROJECTDESCRIPTION - '
License Class . __ � Licensa No. . -SQ. FT. �� � - - - -- � � �
fDate Si9nature ,
�WORKERS"COMPENSATION DECLARATION''• '' " OCCUPAIVCV_CONSTRUCTION TVPE'- -
'I hereby afflrm Ihat I have a tertifita�e ot consen[ to sel(-Insure or a- ' !
'certitiwte of Workers' Compensation Insurance,br a certl(letl copy VALUATION ZONE
tM1treOf ($ecflon 3800, Lab. CJ. , _ ,. 'GRADING CV. YDS. ACRES
PoIiGy NO. COmpanY
❑'Certitietl copY'is hereby fumishetl. -- " ' -"' " REMARKS: - ^' - "� - -" '
❑ Certitietl cOpy is fllea with the city Builtling Dlvision. '�
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '� S�I I L CW �/%�R �N {�jG p j�
(This sectlon neetl� not be completetl-i( the permit is for one huntlretl
15100) or iess). S STEYN.- O(�� J�'G� �C9 ' e
,1 tertiry that-in the performance of tpe work-for �whi<h this� permit is�
.issuetl, I shall not employ any person in any manner so as to become � PLUMBING `� . PLAN CHECK �
'subject to the Workers' Compenzation Wws of Call(ornia. - -
Date Si9naturE '
BATHTUBS SHOWERS
'NOTICE: If a(ter making this tleclaraUon, you shoultl become sublect, �TOI�ETS �, .�� VRINALS
'to the Worker5' Compen5ation provi5i0ns of the Labor Code, you mus[
forthwith comply with such provision5 or this permi[ shall be tleemetl LAVATORIES DOUBLE LAVS
�evoketl: - - � - �' � - - �
CONSTRUCTION LENDING ACaENCV KIT. SINKS DISHWASHERS
�I hereby a(firm that there is a constructlon lentling agency for the per- SERV IGE SINKS SUMPS
tormance oi the work tor which this permit is issuetl (Sectton 3097
Civ. C.). FL000. $INK$ FLOOR DRAINS
Lentler's Name
Lender'S Atltlress DRINKING FOUNTAINS
OWNER BUILDER DECLARATION
irm that I.am exempt from the Contract�
ng reason (Section ]031.5 Business antl
o�. county whi<h �equire5 a pe�mit f
�molish or reoair anv structure, prior to �
nsetl pursuant to the
ter 9 (commencing
•55 antl PrWessionz C
for.the alleged_exem
ppliWnt for a perm
[ more than fivE hur
as own¢r of thE pro
ompensation, will'tlo
eretl for SdIQ. ($QCI�O
actor's License Law
�uiltls or improves tl
)h hIs own employee
wrtmn one year ot
ving he tlitl nat b
as owne� of the I
tl contractors to co
�fe55ion5 Cotle: The
isions J* ine ConVatror's L¢ense Law
5¢�t�pn 700a) of Oivision 3 of the
or that he I5 ezempt therehom antl th¢
i. Any violation of Section.7031.5 by
ajects ihe applicant to a civil penalty
aouars (asoo>. . _
, o� my employees wifh waqe5 as th¢ir
work, 2�d the struc[ure is not intenaee
14, BuSin¢55 antl Professions Cotle: The
not aOPty to an owner of a property
n, antl who tloes such work himsel( or
>vitletl that such improvements are not
howev¢q the builtling or improvem¢nt
iletion, [he owne� will have Ihe bu�tlen
or improve for the purpose of sale).
rty, arn exclusively contrac[in§ with
an owner of prOperty who builtls or imptove
t�aCts f�om such projGcts wi[h a coP«acto�
the Contractor's License Law). ., .
❑ I am exempt untler Seciion
L �a ... . .
reason
Date Owner
Ph¢reby certify that I have reatl�this application
information is wrrect. 1 agree to comply H
brtlinances antl state laws relating to constructi
representatives of this city to_ eptG�" upon
property t in5pection' pur0�ts; /
$Ignature. ��n� / % ��%, f •.�
�rivers' License'or 55 �_�� <
CMF 0865-46 White-Builtling; CanaYY-Applicant;
B. & P. C. for this
at the
antl �
�Y aut
INTERCEPTORS CLARIFIERS
SWIMMINGPOOL PTRAP
WATERSERVICE ALTERATION
GASSERVICE OUTLETS 3
WATER HEATERS BTU OUTPVT
SEWERCONNECTIONS �
SOLAR TANK COLLECTORS .
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL a�qN CHECK
HEATING $VSTEM, 0-300,000 BTU_
AND DUCTING 100,000,+ gTV _
REFRIGERATION _0-100,0008TU_
SVSTEM �OO,OOO+gTU_
BOILERS � BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM . MULTIPLE
_' ISSVEFEE � � ��
Goltlenrotl-Assessor
c�J�:v; ' `� � \ .
. 8701.11/25/81
5�00 . -T'�,.
�..
A.P. if , . � . .
ZONE PLNG. REF. � • . � . '
REAR VARD (TO P/L) . '
PKG.SPACE RE�. PROVIDED
STREET WIDTH - • PARK FEE $ �
20NING APPROVED BV � ' . DATE � '
SPECIALCONDITIONS: �
ELECTRICAL PLAN CHECK I '
GENERATOR 0-1 KW-1=10 KW
SRANSFORMER -- . � -
APPLIANCE 30-50KW_SO+KW
MOTORS 0-1 HP__1-30 HV ' '
QNC.�SOLAR) � 30-50 HP_50 � HP - � �
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS • •
POLE IIGHTS ,
PANELS MAIN � ;SUB -� I .. �
SERVICE AMP . -
!i
ISSUE FEE � I' I
qPPLICATION AGPROV ED BY , �.qTE
SUMMARV OF FEES- , _ '
BUILDING � � � �
PERMIT . E SMIP $'-.' '
PLANCHECK $ PERMIT .
�-' � � ISSUANCE $
PIUMBING $_��- GRADING y
PLANCHECK 'S' ' ��
ELECTRICAL 5 ' a �
PLANCHECK $ 'MICROFILM�$_ �
- � TOTALFEEg '_' "
MECHANICAL $ �
LE55 AD- '-
PLAN CFiECK S _ VANCE PC ..$ �'
. .. . . _" . . FINAL FEE S S �� .
CONSTRUCTION AND PLANNIN�
APPROVALS �
1 ;� �i...� � Permit;# --.
� 1.� Temporary Electrical Service or Pole
6. Foundation � �
9. Water Pipe-Undr rn ' ��
10. Structural Ploor System -
11. Property Sewer Line & House Connection
12. Street Sewer Connection -
13. Rough Plumbing - '
14. Rough Electria�nduit
15. Rough Electric-Wiring � � -
16. Rough.Heating & Air Conditioning
17. Ducts in Structure
16. Ducts, Ventilating
19. Gas Pipe-Rough & Test � �
' 20. Roof Framing - .
� 21, Roof Sheathin
22. Frame and Flashin
23. Insulation
24. Lathin & Sidin
25. Drywall Nailing �
26. Plaster 8rown 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 pomestic-Final,
� 35. Landsca e S rinklin S stem
36. Sound Attenuallon
37. Handicap Regulations
38. FINAL STRUC7URE & BUILDING
39. Special Requirernents Completed
40. Elect"ric Release to Edison � �
41 . Gas Release to Southern California Gas Co.
42. CERTIFICATEOFOCCUPANCY
No Date
POOL & SPA
Date Inspector ' APPROVALS - Permit# • Date .�Inspector
� 43. Pool & Equipment Location' - � � �� ` � ' .
44: Steel Reinforcement ' " �
45. � Forms � `
- 46. Electrical �Bonding "
47. Rough Plumbin & Fressure Test � � • �
48. APPROVALTOCOVER-GUNITE .
� 49. Electrical Conduit-Undr rn
�� 50. Gas Pipe, ❑ Undr rn, Test � � � ,
51:� Backwash Lines P-Tra ❑ ndr rn
52: -APPROVALTO DECK - -
53. Backwash & Rece for-Final • � � ''
54. Heater & Vent-Final � � � �
:56. Electrical-Final - � �
' � ' � ` "' "" . 57. Solar System-Final • ' ' ' � �
, � encing & Access Approval - � - �
9. APPROVED.FOR PLASTERING •• • �
� .
60. POOL/SPA SYSTEMS FINAL �,
NOTES: �
��
��
��
s�
� 12�'73
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 317 COSTA MEBA. CALIRORNIA '
For Applicanf fo Fill In Complefiely
� TYPE OR PRINT '
COSTA MESA. CALIFORNIA
'A MAIL
�
Ce
■ SIZE
BETBACK LINE PROM
__..R., ..< a..___ s� i
�E� RECEIVED
�-� ,ut � ��sso
FlNANCE DEPT.
CiTV OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only .
`-�• COSTA MESA, CALIFORNIA
�o. -
FIRE
ZONE TYPE GROUP
T.... APPROVE�
NO. OP BIDGe.
I LEFi ]_G � � I RIGHT � 5 t
DESCRIPTION OF WORK
I61ZE�'NG].SEJO SQ..'�i.ROOMS
EXTERIOR WALL IROOF
i
1 HEREBY ACKNOWLEDGE TNAT 1 HAVE ReAO THIB APPLIWTION
ANO eTATE THAT TXE ABOVE IS GORRECT AND AGREE TO COM-
PLY WITM ALL GITY ORDINANCE6 AND eTATE LAW6 R¢6ULATING
BUILDIN6�CONBTRUCf1/0Ny. �. �)- �
SIGNATURE OF t�//l `/ Ci/�l'.w ie�--
ZONlNG
ZONE�I NO.OF � U8E OP N
I PLANS � BUILDING
LEGAL _ _
YARD6 EVES
APPROVED ALLO
(CENTCR LINE BT4 i ,_
THE AMOUNT BHOWN UNOER VALl1ATiON Ie POR THE
PURPOBE OF EBTABLIBHIN6 A PERMR F¢E ONLY.
:UATION
� I PERMI7 FEE $ �6•
I� � s 16,101.
AUTHORIZED AGENT Dike �C CO grove� ZI1C•
18.