HomeMy WebLinkAbout2446 ORANGE AVE - Building Permits�.' � Pp�cr nooltif,Te 2 4 4 6 ORANG E AC'
� OWNEH'SlIAME: G:.AMS, bYRON
aooRess: 2 q q 6 ORANGE AV
COSTA MESA, CA
646-9199
APCHIENGINEEfl:
A�OPESS:
uxit:
92626
NEG.NO.:
UNIT:
PENMITTEE: RIiNDY GRAMS ( 714 ) 6 31— 2 3 9 2
aooeess: 370 LA PERLE nLN
C.M. :� CA 92627
LICENSEO CONTHPCTOH DECLAPATION: I �ere�y aliirm that I"am licensetl un�er provisions of C�apter 9(commencing wi�h Seclion
7000) o� Drv�sion 3 0� I�e Business and Pmlessions CoOe, ana mylicense is in �ull farce antl el�ect.
pTY LIC.: STATE LIC.: '� C1A55:
n�
Oaie: Signature:
WOBKEBS' COMPENSRTION DECLABRTION: I herehy aifirm thal I have a cehificate o� consent to sel4insure or a cetlilicaie of Workers'
ComOensaiion Insurance. or a certifietl copy Ihereoi (Sec�ian 3800. Lab. C�.
POLICY NO.: E%P. DPTE:
COMPPNY: „e / *
� ❑ Certiliea capy is here�y lumishetl. '� Cetli�ied iopy i5�lile0 wi�h Ihe ti(y Building �ivision.
Oate: ADPi
EXEMPiIONfflOM WONNENS'COMPENSRTION OECLAI
I ceriity ��ai in �he pedormance o� Ihe wark lor w�if
sublect lo Ihe Woiker5' Camp¢nsalion Laws.of Ca
0 1-�y s� " 5�9�
NOTICE: I�, af�er making ��is Ueclaralion, you
CoDe. yau mus� �arthwiih comply with such p
CONSTHUCTION LENUING RGENCY: I hereby afli
whic� Ihis permn is issuea �Senion 3097?Civ. C�:
lENOEN:
POOHESS:
be completee it the permil is lar one huntlred (510�) ar less�.
9oi employ any pefson in any manner so as to become
oul e[om¢ subktl �b Ihe WorkerY Compen5ali0n O�ovisi0n5 Of t�e labOr
I f15 Of fi115 p�mit shall be Oeemed revoketl.
Ihai there.is a canstmc�ian lentling agency �or ihe Oe�ormance ol �he work for
�•. /�
OWNEfl BOILOEX OECIAHFTION: I hereby alfirm Ihat I am exempt �mm t�e Contraciars' Staie License Law lor the following reason
�Sec�ion 7031.5 Business anA Pmlessional Code: Any ciry oi couniy which repuires a Oarmi� to constmct, alter, impmve, Oemolis�, or
re0air any simcture. prior Io iis issuance. also requires �he appli�an� for such permi� ta file a 5igneA Slatement iha� �elshe is licensetl
pursuant lo ��e pmvisians o� I�e Convacmrs' State License Law (Chapter 9(commencing wilh Sec�ion 7000) ol DiviSion 3 oi Ue Business
antl Pmlessions Cotle� ar Ihat he/she is exempi Iheretmm and �he basis for Ihe alleged exemption. Any violation af Sec�ion 7031.5 by
any applicaN for a permi� sublecls the applican� to a civil penalty al nat more ��an five hunOretl tlollars ($500).
I, as owner ol ��e D�oDehy or my employees wi�� wages as their sole compensalion, will do Ihe work, antl ��e
❑ stmcmre is not imended or oflere0 for sale (Section 7044, Business ana Pmiessional Cotle' T�e Canlractors' State License Law
does nol apDly �o an owner ol a pmperiy who builtls or impwves t�ereon, and who does suc� work himsel�/hersetl or �hmug�
his or her awn emplayees. provitletl �ha� such improvemen�s are no� intentletl or aflere0 Por sale. II, however t�e builaing or
improvemenl is sold within ane year ol compleiion, the owner will have �he burtlen o� pmving he/she Aia no� Duild or impmve
lor Ine ouroose ol sale�.
I. as owner of Ihe D�oDetly, am exclusively conirac�ing wi�� licensetl conVac�ors lo constmc� ��e pwle�t (Section 7044, Business
❑ antl Pmtessions Code: The Conlraciors' Sta�e License Law does no� appry �o an awner o� pmpeny wAo bui105 or improv¢5 thereon
ana who con�raclsior such pmlecis wi�h a conlracior(5) license pursuanl to Ihe ConVaciors' Stale License Law�. I am aware
�hal Dmol ol Iheir Worker's Compensa�ian insurance shoultl be pmvi0etl to me.
Dy I am exempt untler Section: B p 7 Q 4 4 B. 8 P. C.
m��ms�7reason. [/pWCNER—BUILDER
OLe. /-G ` / 7 ' / � ow r.
�
I da here�y cetlily lhal l am aware o� antl untlerstantl �he requiremeni alifamia eallh ana Sa�ely Code Seclions 25505. 25533, and
25534 and �hat I or any W�ure builtling occupanl willlwill no� (circle on ed to co ply wilh sai0 s�a�e co0es anJ Ihe repuiremenis �or a
permi� for conslmqion or motlificalion irom I�e Air �uahry Management �islricl. Fesiden�ial cons�mclion apPlications are exempt �rom
Ihese pmvisions.
Oale'. Npplicant: _
I here0y cerli�ythal I have reaa Inis applicalion antl 51alelAai
ordinances ane sta�elawsrelatingla �uilding conslmc�ion antll
prop¢tly �or inspe`L�ion purposzf5.
�ale: �2��'7 —�i Signamre` /�/j//-
OriveYs License or Social Secunly
t64ba6 Wlute-6uiltling�. Green—Cotle Enbrcemen�', C
ma�ion is correcL I agree �a comply wi�h all ti�y an0 cowry
representatrves of Ihis ciry to enter upon ihe a�ave�mentionetl
Pink—Revenue; Goltlenroa—Assessor
CITY OF COSTA MESA — BUILDING PERh1IT PERM NO: B 065321
PERMIT NO: B 065321 PLAN CHECK NO: 04406-93 L GOVT: N SUFP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEF!
JOB DESCRZPTION ; NEW TWO STORY ART STUDIO & GARAGE SQ FT: 1,38�
CLAIM VALUE: 20,000.00 CALC—VALUE: 25,779,60 GROUP OCC: M—i /
COMMENTS: 693SF 2ND FLR 'NON—HABITABLE 'ART STUUIO & 693 SF 1ST FLR GARAGE
**+r***���***�***+��****�*�**�**�**����*****�**+�*�***�***���******�**�+��*�***��+��
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 BUILPING -----�---
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: 42 r^T IN
LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: 5 FT IP7
PARKING REQ: 2 PROV: 2 PAACEL: 11910220 ZNE: RI REF NO:
PLANNING NOTES.> DETRCSED TWO—CAR GARAGE WITH ARTIST STUDIO ABOVE (NOT TO BE
4 USED'AS RESIDENCE — LAND USE RESTRICTION PROVIDED)
*�r�+���r**�*x*�r*i€�r**ic*se�*�r***�r�r�r�rie*�r****�*�r*�***ie*x+r****xx*��**�r+�**x�*�+�*�r� �*#*�*x
D E V E.L O,P M E N T S E R V 2 C E S R E Q U I R E M E N T S p
ZONING APPROVED BY %— ?_G� �`}fY� C� r% DATE: �2/� �' 13
BUILPING APPROVED B�' : ^ I% �� DATE: _I Zr� � I��
APFLICATIOA] I5SUED�SY;:. � ��'L DATE; IZi( �Q/( ��
**�-**�***�tu�***#*****�i�'��.,.�ic���-rt,r�riF*�+r*+r�r** �ri� x���F'�******i�*�f* r���,Fir��*r-
iE * 9f if it iE k it iE iE ih it i! iE if iE jE iF jf iE iE f!� iE if iF iE if iE 3E if 3E 1E fE if if it 3c iE iE ik iE it iE �E it 9f if if 1E if iE iE iE iF if if if ff it dE # iE if iE iE 3F aE �f !F iE iF iE iE iF iF if iE iE if
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 258.50 2.58
_ SMIP/NON—RES
PLAN 168,03 •
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—�HECK TOTAL PAID DUE
TOTALS----> 261.08 0.00 ;. 168.03 429.11 429.11 ,00
REVENUE DIVISION TOTALS--> COLZECTED: 261.�' OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC M'ECHANIC FTpT:' SMIP/TOT GRADING FLAN—CAECK
258,50 2,58
�7
iE if if iE it'F iE iE'k iE iE 1f ik iE i! if ### if it iF i! iE if iF #!t if if iE if iE 1fi9F 1flE iF iE it iE iE �E iE !F # 3E 1t ## iF �f iE it if 1E If fE iF if iF iE iE iE if iF?E iE -IE iPlE iE jt 1E 1F !E 9F 1t if�
I N D I V I D U A�I, 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 1386 RES—GARAGES TYPE V 18.60 25,779,60
�ND OF FEES
%
ui �C��"�60-001`23t�i TpT =o1.4E
DATt.: 1?/i</93 TT:1E% 1339
t
_�
r_
_ CONSTRUCTION AND PLANNING
APPROVALS Permit #
�� . Temporary Eiectrical Service or Pole
2. Soil Pipe-Undrgrnd.
-�3. Electrical Conduii Ut��itY-Undrgrnd.
4. Electrical Conduit�Undrgrnd. -
5. Steel Reinforcement `�
6. Electrical UFER Grnd. tZ
7. Footings � l.Z,
8. Foundation s�� � •, n'
9. Water Pipe�Undrgrnd.
70. Structurai Pioor System
11. Property Seveer Line & House Co��ection
12. Sewer Cap
73. Roof Drains
14. Rough Plumbing
15. Ro�gh Elect�iwl-Condu�t
16. ftough Electric �Viring
77. Rough Wiring Sign
78. Rough Electrical-T Bar Ceiling
79. Rough Heating & A�i! Conditioning
20. Rough Factory Firepiace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Tast ^
24. Roof Framing
25. Roof Sheathing '
26. T�Bar Ceili�g (Structurail & Mor.ocoat
27. Frame and Flashing 3
28. (athing & Siding �G
29. Insulation
30. Drywall Nailing rj
37. 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 Pl�mbing
39. �Vater Service-Finai
40. Gas Service-Final
41. Solar pomestic•Final
42. Backflow Preventer
43. Backflow Irrigation
44. landscape irriqation System
45. Sound Attenuation
46. Handicap Regufations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Q
51. CERTIFICATE OF OCCUPANCY
Date
i
,
FOO. SPA - .
Date =lnspettor APPROVALS Permit # � Date
� 52. Pool & EquiPment Locatioq
- 53. Steel Reinfo�cement
54. Forms
55. Electrical Bonding
`��� (� G�� 56. Rough Piumbing & Pressure Test
/S_Q� ��y� 57. APPROVAI. TO COVER�GU�ITE
4
�s-l13 �pLv�6[. 56. ElectricalConduit-Undrgrntl.
�S_!t3 , 6Lv� 59. Gas Pipe, � Undrgrnd., Test
60. Backwash lines, P-Trap, O Undrgmd.
67. APPROVALTODECK
62. Backwash & Receptor-finai ' .
63. Heater & VenbFinal �
- 64. Plumbing SYstem - Finai
65. Electrical�F+nal
� 66. Solar System-Final
67. Fencing & Access ApProval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FfRE DEPT, REQUIREMENT
APPROVALS Permit #
70. Underground Hydre
77. Product Plping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank �7 Gas ❑ Oil
?-�(Y �W N� 74. Overhead Hydro
75. Dry Chemical
:�-°fK �fj�� 76. DryStandpipe �
Z��L� �.j(,v� 77. FIXEDSYSTENIFINAL ��
� ,' � 78. FIRE PREV. FINAI.
-L_�L� �(,a�J HEALTH DEPT. REQUIREMENT !•-•R
•'� -� 79. FINA� WSPECTION �^T�
" � 80. FOOD CERTIFICATE ISSUED �' � "'
��
� Notes: �^($'��(�- B� j�g �,,,,(�ira�."j'
m
Inspector
A
DECLARATION OF AVTHORITY
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
Bldg. Permit # 32-
This Permit # ��532 �
,c �q S 3 Z 2
�=� �%/6 O�.E �lJE I/� - iaz -� �
Siree� Address � AP Number
1. I(we), 8y��� �' ���s , declare that I am the Owner of Title
of the above referenced real property, and that I(we) hereby authorize:
�,v�Y �- �c�eE 7/� �3/ -23Y�
� � Name Telephone No.
t3 �v
�
�
�
to obtain permits in my behalf, as owner/builder, for �G'P'��
at the above referenced property.
9�G'z7
2. Should any person become an employee engaged in the improvement of the property, I(we) shall im-
mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
3. As ownerlbuilder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, Company or corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties as a result of work authorized
by the permits from the City of Costa Mesa. ,
5. I declare under the penalty of perjury that the foregoing is true and correct.
Executed this ��J day of ��� 19�, at ��'� , California.
V `/iC�O�"I I`/ C�'�j�r�%or5 /O /� �l
Printetl Name � Date -
Signature
NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides
for limited power of attorney to secure this permit in any behalf.
W79�4fi (Aev. 7J91)
NOTARIZATION REQUIRED
1�
4
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
no[ice, and, as a condi[ion precedent [o 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 verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property impro,vement. f$, Yes ❑ No
2. I(have/have not) /� -rcV� 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 Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my per-
sonal knowledge, in ompliance witF} this State law.
Signed: �� � Da[e:
Name: L>y �/� , U/2�?/%iS
(Printed ar Typed) �
C.D.L. # or S.S. # ��
109236
754-5273
:
COSTA MESA SANITARY DIST 'T
P.O. BOX 1200 '
COSTA MESA, CALIFORNIA 92628-1200
' 1�
Application for Sewerage Facilities Use and Connection Permit
.,
Permit No. �aa��
Ordinance No. 20 Effective 3-28-89 Date ��
FIXTURE FEES Applicant to fill in this area only
NUMBER FIXTUHE FEE/FIX. FEE Building Addres�7' `7l' "" ""'��� Q��
Bathtub/Shower $ 15.00 �S%A ���� �cf
Laundry Tub or Washer 15.00 prJ,�� ,( /^n,� J' ` �
Owner ticiy N L��C'*'"v
Sink, Bar 7.50 ,
Sink, Kitchen 15.00 Applicant ���E
Wash Basin 7.50 pddress S�C
Wash Basin (Set) 75.00
/ Water Closet (Toilet) a5.00 � //`
aidet �5.00 Telephone Number "� �`�' ��`�9
Dental Units 7.50
� Drinking Fountains 7.50 SPECIAL CONDITIONS . '
Floor Drains 15.00
interceptors for Grease, Oil, Solids, Etc. 22.50
Interceptors for Sand, Auto Wash, Etc. 45.00 �
Laundry Tub or Washer (Self Service) 22.50 �
Receptors 22.50
Shower, Gang — Per Head 7.50 TOTAL CHARGES
Sinks, ear—Gommercial �5.0o Total Fixture Fees $
Sinks, Commercial or Industrial 22.50 �th8f �
Sinks, Floor 7.50 Penalties
Sinks, Flushing Rim 45.00 TOIHI DUB $ W� •
/ Sinks, Service 22.50
Swimming Pool 45.00 Penalties: Charges are double if connection is made prior to
obtaining permit, plus $70.00 a�day. ($50.00 a day tor a public
Urinals, PedeStal 45.00 corporation.)
Urinals, Stall � 15.00 � � ,/�
Urinals, Wali � 15.00 Processed by_��k�`�"'�' ,
Urinals, Wali 7rough 22.50
Total Fixture fees $ ��_ _
NOTE: A sewer permit is required at the time of ��'_�:' — ' T;.':'�'' ��;�, �7 �' E �
Sewer Hook-up. `-"• E � : :: ' i;.-'; ' 1 ..:v . _. .,
PERMIT VALIDATION
Q/08-68 rev. 12-90 Original - Applicani: �ellrnv - Sani�ation; Pink - Finance: Golaenrotl - BuilEing
PqplECT ROONE55: Z q q 6 VRANGE AV
�OWNEP'SNAME: GRAMS, BYRON
aooaess: 2 q q 6 ORANGE A��
COSTA MESA, CA
646-9199
AflCH/ENGINEEH:
aooR[ss:
UNIT:
92626
sec.No.:
uxir:
PEflMITTEE: RANDY FOR E ( 714 ) 6 31- 2 3 9 2
aooxess: 370 LA PERLE LN
C.M. C� 92627
LICENSEO CONTHACTOH OECIABpTION: I hereby allirm �hai 1 am Iicen5e0 unaer provisions of ChaD�e� 9(commencing with Seciion
70001 0l �ivision 3 0l the Business an0 Pmlessions Cotle. antl my license is in full lorce and eifecl.
CRY LIC.: STRTE LIC.: ' CLASS:
Da�e: Signamre:
WOBREBS' COMPENSFTION DECNflATION: I hereby a�hrm �ha� I have a certitica�e o� consent Io sell-insure or a certilicaie oi Workers
Compensation Insurance, or a certi�ietl copy thereol (Secnon 3804 Lab. C�.
POLICY NO.: E%P. OpTE:
COMPANY:
❑ Cenifiea copy is hereby Wmishe0. ❑ Ce�ilie0 copy is filetl wi�� I�e ciry Building Oivision.
Dale: Applicanl:
E%EMPTION FflOM WOBREPS' COMPENSATION OECl�1FRTI0N: Q�is section need n�i be compl¢�ed i� Ihe permit is �or one hundred ($Ilq) or less�.
I cetlify Ihai in Ihe pedormance oi �he work for which t�is permii i'r9 ed. I shaW mploy any person in any manner so,as �a became
sublect to ihe Workers' Compensation Laws o� Cali�omia. -
D '. �� ��i 3 • Signature: t'�
NOTICE: II, after inaking I�is Dedaration, you sh I ecome sublep t the Warkers' Compensaiion pmvisions of�the Labar
Code. you musi lorthwilh comply wi�h such pr i' ns or this Def'''ii s all be OeemeO revoke0.
CONSTBUCTION LENUING RGENCY:• I hereby aliir �h t�ere fs ahons�mc�ion lentling agency �or the pedormance of Ihe wark lar
which I�is permi� is issuetl (Seclion3097. Civ C),
LENOEfl: J
R�OflE55:
OWNEH BUILOEB OECIABATION: I hereDy a��irm Iha� I am exempt imm Ihe Conirac�ors S�ate License Law for the lollowing reason
(5eclion 7a31.5 Business ana Pmiessional Code: Any cily ol counry wnich reQuires a oermit to constmct. alter, impmve, Aemolisn, or
repair any slmciure. Orior �o ils issuance. also reQuires the applicant �ar such permil to �ile a signe0 s�a�emen� �hat he/s�e is licensetl
pursuant lo the provisians ol lhe Convaclors' State License Law (Chapter 9(commencing wi�h Sec�ion 7000) ol Division 3 0� the Business
antl Pm�essions CoOe) or Ihat he/she is exempt �herelrom antl �he basis lor the alleged exemD�ion. Any violation ol Seclion 7031.5 by
any applican� lor a permi� SUElects �he applicani to a civil penalty at no� more �han �ive hunareJ dollars (5500).
, as owner o� the property or my employees wrth wages as their sole compensation, will do Ihe work, an0 the
❑ s�mcture is nol in�enAeO or oileretl lar sale (Sectian 70a4. Business antl Pm�essional Cotle: The ConVacmrs' Slaie License Law
Ooes noi aODly lo an owner o� a pmpehy w�o builtls or impmves Ihereon, and who tloes suc� work himself/herseli or ��mugh
his or her own emDloyees. Dmvi4e0 iha� sucA improvemen�s are no� inlendetl or oiferea �ar sale. II, however ��e builtlinp or
impmvement is sola wiNin one year ol comple�ion, Ihe owner will �ave Ihe �urtlen ol Omving helshe Oi0 no� bui10 or impwve
��tor the purpose of sale�.
I, as owner ol Ihe pm0erty. am exclusively contracting with licenred contractors lo consimc� �he prole�� (Sec�ion 7044, Business
❑ antl PmIe55ion5 COAe: The Conlrati0r5' S�ate License Law tloes nol apply �o an owner oi proOehY who builtls or impmves Iher¢on
antl who conirams lor suc� pmlems with a contracloqs) license pursuam lo ihe Comracmrs' Slale License law). I am aware
ihal proof o� �heir WorkeYs Compensa�ion insumnce shoultl be provitletl �o me.
Q I am exempl untler Seciion�. B P 7 � 4 4 B. 8 P. C.
mrmisreaso� OWNER-BUILDER
oate: / �^ � � ^� 3 Own : 4L
� hereby cendy Ihal I am aware of anA undersiand Ihe reQuiremems I omia Heal�� iC alery Cotle Sec�ions 25505. 25533, and
25534 antl I�ai I or any Iuiure building occupanl will/will not (circle one) need Io compty h saitl staie cotles and the requiremen�s �or a
permil for conslmciion or mo0ifica�ion �rom ihe Air Ouality Managemenl DisVic�. ResiAential constmc�ion applications are exemp� Imm
Ihese D�ovisions.
Oaie'. ApphcaN _
I hereby certify��a� I have reatl this aDPlication ane sta�e Ihal I�e
ortlinances an� siale laws rela0ng lo �uiltlmg consiroclion antl here
pmperry lar inspection purpos?es
Date: /� / / — � J SignaNre: �
r
Driver's License ar Social Securiiy
AOPlicanl: Pink—Revenue: Goltlenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: E 065322 PLAN CHECK NO: N
CONSTRUCTION TYPE; PERMIT TYPE; ELE
JOB DESCRIPTION ; NEW TWO STORY ART STUDIO 6 GARAGE
CLAIM VALUE:
CALC-C'ALUE:
PERM NO: E 06532�
GOVT; N SIIPP; N
PURPOSE; NESd
SQ FT:
GROUP OCC: M-1 /
COMMENTS; REF" B-65321
.%..N..N..M ��k #�%� dE it jE �lh iF iE iF N� 1E ih'X �If- if �IE iE if �%� �fE 9t �%� it �N-9E 1E iP i! if 9f �I! iE',E-1F 9E 9h iF it iE �lE-� �k iF if iF i! i4 df 1E iF iE iF i(� iE if -k �k-9h-0f i(� if �X� 9F �k iE �]!�-lE k�` i'r-1E�1! fP
Z 0 N I N G R E Q U I R E M E N T S
S E T H 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 T.EFT; FT IN RGHT: FT IN
PARKING REQ • PROV; PARCEL; 11910220 ZNE; REF NO;
PLANNING NbTES>
>
if iE it it iE 1E it k iE iE 3E �E 3k 3E i! fE !t iE jf !f jt i4-It iE iE 1F 1F iE iE if iE iE it iE 9E iE iE ik-IElE if i4 iE if if 1E iF jf 1E if 9E if iE if 1E jE if iF if iF if 1f iF if ic if #� if if 1E iE �E if * iF iF fE # i(�
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:
HUILDING APPROVED BY ; DATE:
APPLICATION ZSSUED BY: ��� DATE: I U` ��''S,•
�t******�*�t*ic�*i��-��t****�r�'`T-'x',� �FiF�,.,.. **�r*****�rt�'iF"iF.�'F'�ie�F.e�
iE if if iE if it i[� iE iF #�fF jE 9h if iF �lE if it iE iE� if iE 3f if iElE �E �E i(� iE if if �lf ik # iF iE iE iF if ii� �lE iE iF iF iE iE iF iF iF iE �1F if if iE 3f �)f 9E iF iE iF if # if iE iF 3E iE iF i4 iF ib iE 3b K iM1 iE ic� iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 23.75
- 50� SMIP/NON-RES
PLAN
ISSUE FEE ;'1.5.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 23.75 15.00 0.00 38.75 38.75 .00
REVENUE DIVISION TOTALS--> COL�ECTED: 38.75 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIAF aMIP/TOT GRADING PLAN-CHECK
38.75 ,�
-1(� iE iE iE iE jE iE if if if jE iE iE if 1F iF iF iE 1E 9E !E iE 9E if ii # iE ft if if iF iE iE iP jE iE ic 1P 9E �E iE iE 3E �f iF 9E iF 3F jE dF dF iE if 3t iE iE iF iE iE ii�-1f iF 3: if iF iE #t * iF iE i' iP if 9F } iF Y� 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 b,N UNIT COST TOTAL COST
ELE 5 FZXTURES, LIGHTZNG^ 1 ST 20 EA. .75 3 75
ELE
ELE
ELE
1 ST 20
- 1 ST 20
END OF FEES
,�
EA. .75
EA. .75
11.00
ui Up1�,23�i2—ODl`2'0? 'g'Y�aT
�AiE� 12I14193 TIME: i's:v9
6,00
3.00
11.00
3°.?a
,
--�
+ CONSTRUCTION AND PLANNING
u
APPROVALS Permit #
� 7. Temporary Electricai Service or Pole
2. Soil Pipe-Undrgmd.
< 3. E�ectrical Conduit UtilitY�Undrgrnd.
. 4. Electrital Conduit-Und�grnd.
'' 5. Steel Reinforcement
6. Electricai UFER Grnd.
7. Footings
8. Foundation
9. Vt'ater P�pe-Undrgmd.
10. Structural Floor System
i i. Property Se�ver Line & House Connection
72. Sewer Cap
73. Roof Drains
14. fiough Plumbing
15 Rouyh Electrica6Conduit
i6. Rough Eleciric Wirin9
17. Rough lYiring Sign .
19. Rough Electrical•T Bar Ceilmg
79. Rough Heating & kir Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Siructurali & Monocoat
27. Frame and Fiashing
28. Lathing & Siding
29. Insulation
30. Orywail Nailing
31. Plaster 8rown Coat
32. Electrica� Power MeterFinat
33. Final Efectric
34. Final Heating & Air Condi;ioning
35. Final Gas Pipe-Test
36. Hood or CanopY
37. Final Factory Firepiace
38. Final Plumbing
39. Water Service�Final
40. Gas Serwce-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUI LDllJG
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas
51. CEftTIFICATE OF OCCUPANCY
No. Date
`
- � . POOL AA �'
Date �Inspector AppftOVAIS Permit#
- - 52. Pool & Equipme�t Location
53. Steel Reinforcement
- 54. �Forms
�s _y,/�� 55. Electrical @onding
-/
56. Rough Plumbing & Pressure Tezt
57. APPROVRL TO COVER-GUNITE
. " 58. Electrical Conduii-Undrgrnd.
59. Gas Pipe, Q Undrgrnd., Test
� 60. Backwash Lines, P-Trap, � Undrgmd. .
�' 67. APPROVAL TO DECK ,
� 62. Backwash & Receptor�Finai �
I 63. Heater & Vent-Flnal .
64. Plumbing System - Pinal ' .
65. Efectrical-Final
�66. Solar System�Final
'f,l�d ���y"�"_ 67. Fertcing & Accese APproval
«7
68. APPROVED FOR PLASTERING
69. PO4L/SPASYSTEM1�ISFINAL
� FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oi!
74. Overhead Hydro
. 75. Dry Chemical
76. Dry Standpipe
1
77. FIXED SYSTEM FINAL
� 78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. fOOD CERTIFICATE ISSUED
, , Notes: (.%-/X-9y lU6 nAA �,.
��
�
�
�
Oate �Inspector
�
��
PXOJECT p00PESS: 2 4 a 6'(]RANGE AV
owxEa•sxame: GRAMS, BYRON
nooxess: 2 y 4 6 ORANGE AV
COSTA MESA, CA^
AflCH1ENGINEEB: 6 9 6— 9 1� 9
ADOPESS:
S� UNIT:
92626
FEG.NO.:
UNIT:
PEPMITTEE: RANDY FORE (714)631-2992
aoosess: 370 LA PERLE LN
C.M. CA 92627
UCENSEO CONTflACTOP OECUIXATION: I hereby a�firm t�ai I am licensed wder provisions oi Chapter 9(commencing wiih Seciion
7000�'0� Div��sion 3 0l Ihe Business and Pmiessions Code, and my license is in lull force antl el�ect.
CITY LIC.: STqTE LIC.: CUISS:
Oaie'. Signature:
WOflNEHS' COMPENSATION OECLAFRTION: I hereby a��irm Iha� I have a cerlificaie of consen� Io setl�insure or a cetlifica�e o� Workers'
Compensalion Insurance. or a cer�i�iea copy I�ereol (Sec�ion 380�. La�. C�.
POIICY NO.: E%P. OFTE:
COMPANY:
� Cenifietl copy i5 hereby Wmished. ❑ CeniLea copy is file0 wiih lhe city Builtlmg Division.
Oale'. Ap0licant:
E%EMPTIONFFOMWOBREBS'COMPENSRTIONOECLAMTION: (ihi55ec1ionnee0notbecomple�etlil�hepermili5foronehuntlre0�S100�oNe55)
I terti�y I�al in ��e pP�btman[¢ 01 IhE work IOr w�ich ��i5 p¢�mit i5 i55 hall not emplpy.yai erson in any manner so as to become
Subleci to I�e Workers[/' Compe/nsation Laws oi Cah�omia.
�ate: %Z � / � Y � SignaNre'. �
/ NOTILE: Ii, atler making ��is tleclaration, you shoul0 b e SUDIec� �o ih Work rs' Compensation provisions oi ihe Labor
Cotle. you must Iorthwiih comply wiih such pmvisions or this permi� shal be tleeme0 revoke0. �
CONSTflULTION LEN�ING pGENCY: I hereby altirm Iha� Ihere is a con5iruction lendmg aqency �ar �he. peAormance oi Ihe work for
wAich this Oermit is issued (Section 3097. Civ. C�. - �'-
LENUEfl: � � �
RDOHESS:
OWNEP BUILOEB OECIAHRTION: I �ereby allirm Ihai I am exemp� irom ��e Coniractors' $Iate License Law far Ihe following �eason
(Section 703L5 Business antl Prolessianal Catle'. Nny city oi couniy which repuires a Dermil to con5�mci, alter, impmve, aemolish, ar
repair any slmciure, prior to i�s issuance. also requires I�e applican� lor such permi� �o tile a signetl slaiemen� iha� he/she is licensetl
pursuam to �he pmvisions o� the ConVac�ors' Slaie License Law (Chap�er 9(commencing with Sec�ion 7000� o� Oivision 3 ot �he Business
antl Pmlessions Cotle) or Ihat �e/s�e is exempi Ihere�mm antl Ihe �asis �or ihe allegetl eMemption. Any violaiion oi Sec�ion 7Q31.5 by
any applicani for a permil sublec�s Ihe applicani �o a civil penalty oi not more �han five �untlred aollars (8500�.
I, as owner ol Ihe propetlY or my employees with wages as �heir sole compensa�ioq will tlo I�e woB, and Ihe
❑ 5lmciure is noi inlentle0 or olfered for sale (Section 7044, Business and Pmtessional CoOe: The Coniractors' Sta�e License Law
Does na� apDly lo an owner al a pmDerty who builtls or improves thereon. and who Aoes such work �imsell/hersell or Ihmugh
his or her own employees, provided thal such impmvemenls are not in�ended or oifere0 �or sale. If, however �he builtling or
improvement is soltl wilhin one year o� campleiion. �he owner wtll have Ihe burtlen a� pmving he/she tlitl noi builtl or improve
� for Ihe purpose of sale�.
I. as owner of Ihe Oroperty, am exclusively canVac�ing wi�h Iicense0 conlroc�ors lo cons�mct ihe pmject (Section 704A. Business
❑ antl Pmiessions Cotle' The ConVac�ars' Sta�e License Law tloes no� aDPly lo an owner of propetly who Ouilds or impmves Ihereon
and wha conlracts for such Orolec�s with a conlrac�or(s) license pursuani �o ihe ConVac�ors' S�a�e License Law�. I am aware
ihat pmot oi Iheir Warker's Compensation msurance shaultl be pmvitletl to me.
Q I am exemp� untler Semia¢ $ P 7 O q 4 B. 8 P. C.
�or mis reasan:�/ OWN ER — B U I LD ER
e: / 2 ��'7 � � 3 Owner
I ao here�y cenity Ihal I am aware ol ana untlers�antl �he reQuiremenls ot Ca nia Healt� Sa ely Cotle Sections 25505, 25533, and
25534 an0 �hal I ar any fuWre building occupant willlwill nal (circle one) neetl lo compty wii saitl s�a�e codes antl �he requiremen�s tor a
permii fo� constmciwn or moei�ica�ion imm Ihe Nu Ouali�y Management �isVicl. flesideniial cons�mction applica�ions are exempi �mm
�Aese pravisions.
�aie / �_ � /� � � Appl¢anl'.
I here�y cer�ify Nal I �averead �his ap0lica�ion and slalelhaithe a0ove- alion is carrect. la ree lo camply wilh all cily and counly
or�inances and sia�e laws rela�ing lo builtling consimc�ion antl �ereby a o� e represenlativ ' to enier upon Ihe above�mentioned
pmpeny for inspeclian purposes
aie: � 2 � �� —�� SignaWre: �
Driver's License or Social Securiiy
ant: Pmk—qevenue: Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILPING FERMIT
PERMIT NC�: P 065323 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
JOB DESCRIPTION : NEW TWO STORY AAT STUDIO & GARAGE
CLAIM VALUE; CALC—VALUE:
FEF,M NO; P 065323
GOVT; N SUPP: N
PURPOSE: NEW
SQ FT:
GROUP OCC: M-1 /
COMMENTS: REF" D--65321
���**�*+��r**+�*��*�r*���*+����*�*�*xx�x�****x+�*��x*#**��*+r���*�v��**u�**��r��*x�*��u
Z O N I N GS ERTEBQ�UCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUSLDING ---------
FRNT: FT IN REAR: FT IN E'RNT: FT IPd REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ; PROV: PARCEL; 11910220 7.NE; kEF N0:
PLANNING NOTES>
>
it j(- i! if fF k')E iF 1E 1f iE if iE # if �lE if jElf �lE if if iF 9E 1E # iE iE #'lE if if ft iE iE ik iE iE iFl1� iE iE 1F iE it iE if ib K iE �F if iE iE �E if if iE �E 1E iF IF iE iF if #-F It ff # dk if if iE jE �k-IF if iE�
D E V E L O P M E N T S E R Cr I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROC�ED BY :
DATE;
DATE:
APF'LICATICJN ISSUED BY: �
�/y(� L_ DATE: I Z� � �
�EitiliEieihititiEiEifiFiEiEilkildEit#iE�1E it �tifx�iF�iF��EiF�FifTEif�3FiEififiEiEiFiEifiliF�iE�FiF�%ifit
if # iE if ±f if iE if 9E i! iE'lE if iE ik 1k iE iElf 1f 1E iF 1E iE if iE if fE if ik 1E if iE #'i iE 3ElE �lE iE 1! iE iE �E 1f !E if� if iF if if 9c iE if �1F iE �IE if 1E ii* iE iE iFlF+c iE �1E iF if iE if Yr iE fE iE 3E if iE i:
LEGALIZATIONcN F E E ;S�G M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC,- MECHANIC FIRE SMIP/RES GAADING
PERMIT 19.00 �,
25� � � SMIP/NON—RES
PLAN ' .. �
ISSUE FEE 20,00 -
&UILDING—DIV—> PEkMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 14.00 20.00 ,' 0.00 ae nn 34.00 .00
REC�ENUE DIVISION TOTALS--> COL•LEe+ E�: '� 34.00 :C�ER/SHORT: 00
HLDG PMT PLUMHING ELECTRIC MEQfir�NI'C � Fi:," .,�-�1P/TOT GRADING PLAN—CHECK
34,�� ;-'}ly' ^
i(� iE if k i(� iE')f �E i(� jf iF �lf if it �f it �E �E �lE iE �lE iE If if'lE iE iE �)k jE fE it i! if iF dE iE�#' iT if if if iE �1E 1h ik i(� if iF iE if',E 1F iE �?f iF ff !E �F iE �1F iE iE if jf if ik # iF iF if� iE iE'F #�lt iF iE?E'F.�
I N D I V I D U A L� �`I F-E iE B R E A K D O W N
.- ' "'1 .. r1
TYFE QTY D E 5 C R I F T I O�,N� � �% UNIT COST TOTAL C05T
FLU 1 WATER CLOSET (TOILET;)- �, 7,00 7,00
PLU 1 SINKS, SERVICE / MOP ' ' 7.00 7.00
�E�1D'OF FEES
�I ED - � '� �'i
EX ,, ,.
/ ��\ I .:�1
I+
DATE _��� r'� �
��,i�- � JI Ol}15';SQ3-OfJE`.�2;Q3 �i�t�T 's4.0��
%; h-.,..:'� C�ATE� 1:llb/93 TI17E: i3:4�]
=�
CONSTRUCTION AND P�ANNING P00. ;PA �' �
APPROVAIS �Permit�_- Dat@ inspector AppROVALS Permit �F Oate inspector
� 1. Temporary Elearical Service or Pole 52. Pool & Equipment �ocatio� � �
2. Soil Pipe•Undrgrnd. /��f-/SS .��/J� 53. Steel Reinforcement �
� // /
3. Electrical Conduit Utdi�y�Undrgrpd. `� 54, Forms
4. Electrical ConduiFUndrgrnd. _ 55. ElecFrical Bonding � ,
� 5. Steel Reinforcement 56. Rough Plumbing & Pressure'Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footi�.gs 58. Electrica( ConduirUndrgrnd.
8. Foundation 59. Gas Pipe, 0 Untlrgrnd., Test •
9. Waier Pipe-Undrgrnd. 1/�S/S� �� 60. 8ackwash Lines, P-Trafi.,� Undrgrnd.
7�
70. Structural Ploor System 67. APPROVAL TO DECK �
it. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Finai '� �
72. Sewer Cap ' 63. Heaier & Vent-Final .
13. Roof DrainS ' ." 6A. Plumbing SYstem � Pinal '
74. Rough Plumbing �._�1 L' �.%��' 65. Electricai-Final '
`.._Ti. �T,�P�`r'
15. Rough Electrical-Conduit ` 66. Solar System-Final .
76. Rough EleMric Wiring 67. Fencing & Access ApP�uval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING (
18. Rough Elecvical-T Bar Ceiling 69. POOUSPASYSTEMS PIfVAI {{
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEM1lT I
20. Rough Facxory Fireplace APPROVALS Permit �
I
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping dGas �70i�
23. Gas PiAe�Rough & Test 72. Underground Flush
24. Roof Framing _ 73. Undergrnd.StorageTank OGas ❑Oii �
25. Roof Sheathing � 74. Overhead Nydro '
i
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chem"rcal
27. Frame and Flashing 76. Dry Standpipe �-� I
28. Lathing & Siding 77. FIXED SYSTEN7 FINAL i
t.»..,; �r
29. Insulation 76. FIRE PREV. FINAL (j �
30. Drywall Nai�ing HEALTH DEPT. REQUIREMENT� I
�,� a
31. Plaster Brown Coat 79. FINAL INSPECTION jjj �
- �- --j
32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED • �_ {�-- �
33. Final Electric Notes: ��-�'G�" _ �� �--�
�
���_�"��
34. Final Heating & Air Conditioning � _ •' ..�' � '��"�-Z71R( ^ q�.�
� � L> ��� /•v�J'L Lc". _ (��
35. Final Gas Pipe�Test � ' �• t •
-4- %'�� L�N.t��Yl�i'�.tdq_5o?ci• a��.
36. Hood or Canopy �-� Sj�- h, a T ��z..a'�%Y-� _
��
37. Final FactorY Firepiace '
38. Final Plumbing -
39. Water Service-Final !
40. Gas Service-Flnal
41. Solar pomestic-Finai
42. Backflow Preventer
I
43. Backflow irrigation
44. Landscape Irriqation System
45. Sound Attenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUtLDING _-- .
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to $outhern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date