HomeMy WebLinkAbout218 PALMER ST - Building Permitsaooxesswamiortw: 218 PALMER ST °M`
°w"Eas"'"'E"'wa"": BELNA, SAMUEL
ADDRE35: P O BOX Z S 3 B
1 NEWPORT HEACH,CA 92659
�vV�. �,uuwc �oo�ss:
MCXRECi OP FHf�EEP: � IIC. ND.:
APCN.OR FNG.'S AODRESS: UNT:
ca�m�cTarswu�: WHZTNEY ROOFING
I camucToasMuuNc 15396 PO BOX
�noness: N . B .
( 7y4�i�,4�8 — 0 7 6 9
06022
92659 uxr:
110EN5ED COMNACTOflS DECLIN�TION: I hareby N'rm unLm {b�ellY 'ury OW I nsed un�' d Cheqa 9
(mmmmtlip xith Seclbn 1oa0) N U-mion J ol tha BuvMse enE Prdes � COEe, e�M my ' o in lull faru eHed.
cmuc. 0.:0280 uc.cuss: C 39 " 0 406 XP 07/95
o�a: c���eoe.--.
OWNEX BUILDEN DECLAHATION: I heraby eifiim unEer panetly d paiNrv �� � azemp /rom the Convmaa Licema Lew fa Ne
�dbxm9 �eefon lSedion "/03�.5 &reireea erN Prdeaeions Coda: MY cYY a ooun�y v.fiitA rtyuint e%rmA lo mnsVucl. ellx. imV�ova.
damaleh. or �eP� env swctwa. pbr 10 0.s esuenoa. alan �eV���� tha eoW'�reN I« wcn O�d m file a c9� eb�emem Naz M«aha
:;.i licemed pureueni to the prwisbna d iM Con�rmon liceiva Lew IGhepler 8(canmercinp wnh Smion ]000) ol Diveion � d ihe
;;;;yainess aM Prdessiau CaJe� or Ihet M w sM is ezemq IherelraM end �ha bmw la �he ellepeL exemqion. My violeton d Swion
�.�'A1.5 Ey enY eGClicanl lw e permu e�bpee �he epd�l �o e civil pMeM a� more then iva hundred dollen jE500�1. '
.. � I. es mmer d Ine propeM w mY emdweee wih wapes d �Mi ade mmpenwion, will do Iha work. eM ihe alrvclure e ral inleMeE
o, ane,ed �«.da (s«iia, )oaa, auainess ene aiweasion. cea: rhe conireaon license Lew eoe. � ewh�o e� owna. d o,orem
wla Wdds or in0� IMrean. eM who doea auch xro�c Ivmaell a heneX «thraph h's a Mr own ampbyaee. provided thel wch
'mpaementr ere nd imeMed a o/laad la sab. tl, lawever, tha buJdinp w vnpiwemeM is eok wilhin ane yaer d complelion, tM
owner-buiNm x�ll heva IM buNen d qavi�q M or sM did iwl W�b a imprare lor tha W�e d aeb�.
� I. u mmer W ihe propeM. � utlutirely o�nlrm"rp wnh liceneed cmirecron b mnstrutl iM propd (Seaion 101d. Buairwa erd
Pmte�ma Code: Tha Cmtreaoro l'cense lew doee m� epply to en ownar W pmpeM who Wilda a improvee iharean a�M wfw
conlrecls /m euch prqeqa vnN e comrepw(e) IcansaE punuent to iM Comrmwn License Lew). �
� I am uemq under Senion: B. 8 P C., lor Nie reeaon:
Dele: - Owner:
I da hereby cenM �het I am ewera d enE uMente�M I�e requiremenb d Celfwnie IlaeAh enE Sefety Cade Sea'vre 25505, 25St3, vd
2553a, eM tIW I w any Mure Wikirp aowpent will / wJl nw (arcb d�e) neeE lo comply wih eeid mate mdas end Ihe reQuiremaMa br
o�a: noa�.
WOflKEN'S COMPEH3ITION DECUfiATON: I Mreby dfirm uMx Pe�e�iY d pe�jury a�e
❑ Ihevaer.dxilmantew,cenilkmeaconeanitoaM-ineumM�WMeis'can .�
Coda, la tM perlormence M tM v.wk la wlic� �Ne pemul ie ise�ed_
❑ I hew vq xil meiMen worke�e' mmpenmtion imurer�m. m rey�ieed by im 9100 a
WOA IM WM1IA1 �M1R GO�� O�YBE. MY Wp�•B2 COIII%11891q11 I�&If U!!�M B11d q
c�.:
Pdcy Number:
his secfion r�eeC � be candMeC [ tFs pemr! ia M are huM dabis �S� W/ a 1
,j i�nNmmmm.c«� �mewaxrorwncmm �u�.i i
baeome wbpo lo the w a' eanpeeum'ion lewe d Celilamu, aM
canpeneetbn provisi n Sedion 31W d Ihe Lebor Cade. I el�� foMh '
De�e: Appl'rent:
by Se'lion 3100 W iM leba
Ire perlormence M IM
EXPIRES
O1/01/96
m anr m.��w eo � a
auEjec b �M xpkert'
W�mlip: F�Ilun b��euro workara'rnmpwwtlon rovenps l� un , ntl II wbNe! en x�v/oysr to eNMnel pm�Ms� �M
clHl flriu ,q N aw hu�MrW tMuxnd 0allen (S1aqOWA M�YJ/ � Ms roat ol romps�uetbn damspp u poHMtl br In
Swtlon 3)fl6 0l fM1s LeDor COM, Intwu4 No attomey i/sex �
CONSTtiUC110N LENDINO 1OENCY: I hereEy e1fi�Mer d per'puy ihe� there n e wnatrvqbn bMi�p epvicy lor Ma
parlamerim W Ihe wA la which Ihe pe�mY is' (Seau 309]. Cw. CI. .
LENDEN'S NMIE:
LENDEX'SRDOFE%: ROO APT/ GARAGE
1 ca�ity Ihel I heva lead Nis epplicetion d meb ihe e ebayym1 iption u mrte �. I epree �o wmply r.nh ell ury eM couMy mdirencm
endste�elewereWn9taWik' can �lanud reb/e�Fo�e �eeentalrve dlhutilY�oenleruponiMebv+e-mentionadpapMy
lorinspeaion Wrpa � \ �
' � G
Pi e '
Dme
' ,�a��„�.,.,p,,,,„�,,.�.,.�„�,�
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(St5tdfi.WP) Whds-BuiWip85dety:areer�-FIe:Cenery-�PNcanpRnk-Revenue;GOlEanm6�Maeasor
�- _
CITY OF COSTA MEsta----.....____
`.------r---
PERMIT NO: H 072945 PLAN CHECK NO: N GOVT:
CONSTRUCTZON TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES /BUR GARAGE SQ FT:
N SUPP: N ---
PURPOSE; OYH
5,250
CLAIM VALUE: 5,250.00 CALC—VALUE: 5,250.00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED IN EVERY BEDROOM & HALLWAY
**��***��***« ��**�**� **�******�x *�*�r****�***+�****�*�� �***��*x��**+r*��+�***+�*+�+��*�r
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42533205 ZNE: REF NO;,
PLANNING NOTES> .
i
�E 1E IE iE 1E 1E iE iE iE �E if i6 ik 1E iE iE iE 1E IElf �E if iF if IF 1f iE 1k 1E if if if ik iF �E iE IE iE 1E iE if �E iE 1E 3f iF iE iE if iE jflf 1E 1(� if iE 1E 1E iF if !E'1E 1F iE 1E if iF iE iE �F if iE 3E 1E iE iF IF �E iE
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY . DATE: ��"� _
BUILDING APPROVED BY :
APPLICATION ISSUED HY:
iE iF 3ElE 1ElF iE 1E 1E if jklE if iE 3E 1f ik 1E if iE iE �E
LEGALIZATION;N F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 81.00
PLAN
ISSUE FEE
HUILDING—DIV—>
ITOTALS---->
PERMIT ISSUE PLAN—CHECK
81.53 0.00 0.00
IREVENUE DIVISION TOTALS--> COLLECTED:
I BLDG PMT PLUMBING ELECTRIC MECHANIC
81,��
DATE: � ''
iFif7FiEiF��1f iE ik iF iF if if iE iE 1Ei��iFiFif 3E
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
.53
SMIP/NON—RES
TOTAL PAID DUE
81.53 81.53 .00
81.53 OVER/SHORT; .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.53
�)E 1E fE �E iE 1E iE k if �E 1!!k ik �k fE iElE iElF fE k 1E 1E 1Elf 1E iE 7f 1E if 1f iE 1E IF fE 1E iE 1E 1E!! if 1f !E if if iF 16 iflE if �k fE iF �E iE i! 1E iE 1E iE iElE 1F fE jE fE fE 1E iE 1! iE 1f iE iF fE fF if iE 1E
I N D I V I D U A L F E E H 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 5250 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,250.00
END OF FEES
i±i 'l(:?°t31 s—('15�.6•374 Tn t?
s.',h?c: USl-b/9-, !i.CfE: 1�'7&
�
CONSTRUCTION AND PLANNING
� APPROVALS Pe�mit #
i. TemDorary Electrical Service or Pqli
2. Soil Pipe-Undrgrnd. �'
'3. Electrical Conduit Utiliry-Undrgrntl
4_ Electricai Conduit�Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER�Gmd. •
7. Footings � �
8. Foundation � _
9. Water Pipe-Undrgrnd. .
10. Structural Floor SYstem "
i i. Property Sewer Line & House Conn
12. Sewer CaP •
.
13. Roof Orains , � • -
74. Rough Plumbing. >" �
15. Rough Electriwl-Conduk �
.
76. RoughElectricWiring �
17. Rough Wiring Sign
78. Rough Electrical-T Bar Ceiling
79. Rouyh Heating & Air Condltioning
20. Rough Factory Fireplace �
�
21. Ducts,in Structure �
i 22. Ducts, Ventilating ,
I23. Gas Pipe-Rough & Test
1 24. Roof Framing
25. Roof Sheathing . �
�T.
26. T�Bar Ceiling (StrucYuial) & Monocoat
'1 27. Frameand Flashing �
I, 28. Lathing & Siding � _
29. Insulation .
� 30. Drywall Nailing ,_ ,
I37. Plaster Brown Coat .
; 32. Eiectrical Power Meter-Final
33. Final Electric
�
34. -Final Heating & Air Conditionirig
�35. Final Gas Pipe-Tast
�36. Hood or Canopy � � �
Final Factory Fireplace -
Final Plumbing
SNater Service�Final .
�. Gas Service�Final
, Solar Oomestio-Finat -
. Backflow Preventer
, Backflow Irrigation
: Landscape Irri9ation System
Sound Attenuation`
Handicap Regulations � '
ffNALSTRUCTURE&BUILDING
FINAL PLANNING . �
:lectric Release to Edison
Release to Southern California Gas Co
TIFICATE OF OCCUPANCY
Date
I POO L A I
Date Inspector P .# Date Inspector
•
3 -�
APPROVALS ermn
52. Pool & Equipment Location'
53. Steel Reinforcement �'+
54. Forms 1'
55. Electrical Bonding ,'
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd. '
59. Gas Pipe, O Undrgrnd., Test '
60. Backwash Lines; P-Trap, L7 Uncfrgrnd.
61. APPROVALTO�DECK '
62. Backwash & Receptor'Finel %� �
63. Heater & Vent�Pinal
64. Plumbing System - Fin3`I �
65. Electrical�Fina1 �
66. Solar System=Fina1 '
67. Fencin9 & Access Approval
68. APPROVED FOf; PLASTERING
69. POOL!SPASYSTEMSFINAL
, FIRE DEPT. REQUIREMENT .
'� APPROVALS � Permit # "
70.�CJnderginund HYdro '
71. Product Pipin����Gas OOiI
72. Underground Flush
73, Undergrnd. Storage Tank G Gas ❑ Oii
?4.-Overhead Hydro '
� 75. Dry Chemical '
76. Dry Standpipe ' � '-
' 77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL ' � �
� - HEALTH DEPT. REQUIREMENT
+ 79. FINAL INSPECTION • -
- 80: FOOD CERTIFICATE ISSUED
• Notes: � - - _ �
' ; r
' � _.
� •
N
9
, __ � _
. /�ovlicant to fi11 in all spaces within heavy boraer lines ana sign al1 appropriate aeciarations. , 5899 �J/ 1 4/8'2 �j QQ . T
• L�
j'�"CITY'OF COSTA'MESA^ � "— "aea IT NO.- - - ' " ' TRACT NO. ` LOT NO.' -" B�D . NO.' �' " - � - "� '-' "'-' �" - • -' � -
Ir ; CONSTRUCTION PERMIT — �57�" ' '`'�' ' a r � �--. ?�.�. +a o �.�•. �.Cii.^_'.',' .� �i
I Project Address i - .. i;�, s _= t PE OF �CONSLRUCTION � �� � � �7� � � ' 7 �` � � . . �
y�� t . -� f••pyvn.
"OWn2 ' ' PhU �NEW' 'O ADD ❑ ALTERATION� � I '� Tr
i ',1. ' - - -� ; : - ,
I '-Addre ' .S{ . -_ - -O-nEPAiR� �oNVER ION- �D SH , �ZONINGREGULATIONS „� '',J �'
. .Arch/Eng.-" ""�` �' ' � '"' - -Lirense'No.'--+...� .0 �oT19ER_ ,_ , .'_ _ _ _ _. _ „ _ _ .
I DESCRIPTION'O WORK � `. ' A.P. � � . . i ... L . .l�i �� . .i .
�Addre55 __" ',-..-' ' _'" '_' " __ ' " ._. _ _ � q. 'r-� n, {. . . _'" .. ._ _., i�.__._. _. .ZONE� , - �,PLNG REF � ' "__
.I� -Contracro - ' � - Pho TVPE OP PERMIT , ' . �_ '_- -"' ."-"' B _ � _ �ROPE�RDYN�INE _
A 1 � SETBACK L ST.
!r Addre ' " ', ❑-GftADING .❑- FOUNDATION- � STRVCTURAL' SIp EVARD "
I � IICENSED-CONTRACTOR-DECLARATION - ' . . ' � � �' ��' ���� �' ' LEF � , , � = l � _
I hereby atflrm ttiat I am litensetl untler provisions ot Charter 9,�<om- ��TENANT ❑�EhECTRICAL WMBING-OMECHANICA � 5IDE VAR --- -�� - ,
� 'menting�wlt�^section -�000)-of Division��3 o/-the-Business-and ��OTHER----- -�- -���-� - RIGHT �
Professions tl� 'fnC my license is In full fp ffect. •� ' � •' • � REAR VARD (TO P/L) „, .,'r t.
- ----- - - - -�. - -.-_- .-- � PROJECT DESCRIP,TION . � _ . ., _ +.. .
Litens I s � LicenSe � „ 1 � � � - ' PKG. SPACE REQ' ' � PROV,IDEO �
Date �L • 'Si9naturc � ' - S�1F_T.'... ' ;. .. _ .._ "" '.. ... _ . _' ' _ '_'
' WORKERS' COMPENSATION-DECLA ATION--�' - •- - - OCCV?ANCV_CONSTRUCTION TVPE ' ST0.EET WIDTH ry n�: 7.4RK F.EE $,
I hereby'aftirm that I have a ceitiFltate of tonsent to self-msure'or a ' '� ' � " -Z�NING APPROVEO BV ij -' DATE �, -
cerLflGate'bf"Wo�ker5'^ mpen5ation Insurance, o� a-Certifietl copy VALVATION" � ZONE .� - �. .
thereof ( ' ,`.,� •jGRADING CU^VDS. -� ACRES SPECIAL CONDITIONS: - � p •, �
POIicY No ' omPanY L.YJV - ... . _, . .. . . _� ._ "__ " ' ' ' " . _ "_ ' ' _ _' ' '
'" _' ' _ ' "_ � . . ...... ..
- 'ertifietl copy�is hereby furnishetl. -. . -- �L..' - �'REMARKS: "' �� - " ' - y - ' '� �0�
:ertifietl capy is filetl with thacity Builtlinq �ivision. � + ^ .
�..EMPTION FROM WORKERS'�GOMVENSATION DECCARATION " � - ' - "'��" -"""-"' - " " - ' ' - �, r �� � -���~
_ -'r..
'..', ".'._, _... ."'..,'- �•'
(Shis_section.neeG_not be.completetl it,the permit,is for. one huntlretl ___ _ _��, _ � �- _ ,,. � � ' ( � � •- ; �'.: �. ' _
=r-_... ' _' " ' ' _". _.._. .' "'
� (5100) or Iessl. � . .� .... .. .._ _ . . .. . '_ '" _ ., . . _ � .. �T' __ . _ '
I.certify_thaLin the.performance�ot the work (or_Which,this permiYis _
issuetl, 1 shall not employ any person in any manner,so•as to:become f�PhUMBINGr��; �� -�_rl PCAN�CHECK �- ' -- -'- ' ELECTRICAC �"" �"PLAN CFIECK -` �- - �
-subjecLto.the.Workers',Compensation. Laws ot California::._ _ _...,1. '_' '_ _- .�_ _ __� _ , ,._ _. . ., . .. - .__ �___ �_
Date � Si9nature' BATHTUB$ � SHOWERS ' �- � -�' � �- "
1•
NOTICE: If atter'making this tleclaration, you shoultl become.subject {TOILETS� �� r�, URINACS �-"--�" "- '`GENERATOR '"0-1 V(W_1-10 i(4V ?- = '
to the Workers' Compensation provislons of the Labor Cotle, you must TRANSFORMER � � �.. � `4 �� 1 y
forlhwitM1 comO�Y �"/ith such provisions or this permit zhall be tleemetl LAVATORIES DOUBLE'LAVS' " "- --' qppLIANCE' �-� 10-50 KW_50 + KW "- -' '" ' "�
� .
.revoketl.._..___._!._ _..._..._' . • ...• �
_"' _.__'"'. " � _'_ '_.... ... _
CONSTRUCTIONLENDINGAGENCV � KIT:SINKS '"� 'DISFiWA5HER5"" -'- — 'MOTOFS -�"-'0-1HP_1dOHP"-"-"-"��" - '
I hereby affirm that there is a construction lentling agency for the per- -- �--- --� - pN0. SOLAR) - 10-50 HP-=50�+ HP-�- ---- ��
formance o( th¢ work for which this permlT is issuetl (SeCtion 309] SERVICESINK5�3'� �1�� SUMPS .- _
''� ' ... _...� ..
'Civ.'C:)"- "'-'—"'"'- " � " --' � "-"--' '�- - - FLOOR SINItS ~� - FL'OOR DRAINS �� " � � FIXTURES"- -OUTCETS' --SWITCHES " " � ' ' '-
! Lentler's Nam¢
_ _ . _.._ "__ '_ _' '' __ ' ' .. . . . �
� � � -� DRINKING FOUNTAINS "�-'"' � -" - -' " � "'� GAS'TIIBE'SIGNS"' '
LenGer's Atltlress ' � � ,�, � ' � �"� I
OWNERBUILOER'DECLARATION' . '-_`. _.' `--- " . "�--""� '--` - -�_.-�. -�...- .-.
� I herEby affirm that I am exempt from the Contrdctor'S License Law fo� INTERCEPTORS � CL'ARIFIERS � � POCE'LIGHTS""-' -"-' . '. � r, �,'. �
the'following'reason'(Section']031�.5'Business"antl ProfesslonrCotle:- 'SWIMMING'POOL`�-' -"P,TRAP'" '-"' "-' -" ' "-- - -" ' ^'-� -- -
Any city.or�county which reQuires a permi[ to construct, alter, POLES METERED . SUB���..�
"improve� GemolBn"or"repair�anystructure, prlor to its Issuance,-also�re- 'yyqTER SERV ICE -� A,LTERP,TION` '- ` -PANECS "' � "'MAIN ' ' ` SUB' r -' - - _ _ _�
I ' quire5 the dp4����< <or suGh permit fo tile a Signetl statement that he -�' •� _ _
"is`litensetl"pursuanYto'the'provisions of the Contractor'S'Litense Law --�-- � �-�- ���� ��-�- �-�-- ---�-- - �-� � - � SERVICE' '" -"AMP'
. -..
(Chapter 9(commencing with Section 7000) o( DiviSion 3 of the GASSERVICE OUTl.ETS .
I� Business antl'PrWessions CotleJ'or that'ne is exempYtherefrom antl-the ' yyqTER FiEATERS -BTU'OUTPUT '"' "- ' � ' " -"' " ' '-' � """ ^ ' ^" - -'
basis fo� Ihe alle9etl exemp0on. Any violation of SeCtion ]031.5 by ��-^� ��
� '�.;,�`a IlcanY'for'a' e�mit sub'ects the'a - � - � --�- - -- • - - ��---�- � - -�— �- - - - -. „
I pp p � pplicanYto a'clvil'penalty SEWER�CONNECTIONS -�� -' - _ � - +- _ � ` '
,ot more than IivC huntlretl tlollars ($500). t` r�
1, as owner af lhe property, or my employees with wa9es as their- �SOLAR TANK - --COLLECTOR5,1�,�y `?"�.`,� •+ ,.,�11��� '-E
._ e.compensation, will.tlo,the work, antl the,structure is not intentletl _ _ . " ._ __ „__ ' ` _ _ _�. ,_ ,.'.�
or offeretl Por sale. (Section 7044, Business antl Professions Cotle: The SOLAR PIPING SVS. ' = ISSVE FEE" � - -�
.Cont�dctor.'S_Lice05e.Law..tloes.not_apply.to.an ownEr_of.a propC(ty ' � � �� +
.i.. .... . �.
'__" __" _' � _'_... -..._ �. '
who builtls or improves roereon, antl who does 5uch work himself or ISSUE FEE �; �� � � � � APPLICATION'APPROVED'BV' "' � � DqTE' ,-�"�j
_throu9h_his.own,employees, pravitled that..such improvemenls are,not,
.__ .. ..._ .:. . .
intentletl or offeretl for sale. I(, howeveq the builtling or improvement '- - - -- - �- '-" - l
.is.sold..wit�in.one year.oi wmpletion, the owner will nave the burtlen MECHANICAL. cLAN CHEGK � SUMMARY OF FEES �� ", ,���y., �c
of proving he tlitl not builtl or improve for th¢ purpo4e of sale). `BVICDING - -""-' -"-'-" --' '-' --- �-
p p y-am-exclu5ively contracting-with- HEATING SVSTEM 0-100,000 BTU PERMIT $ �`���`- '.�� ��SMIP �.1f '-�$••� � ?' �
'� I; a5 owner ot-the- ro ert 'ANDOCICTING'-'-� --'— "' "' ' � -"'- � ' -- �- '�
licensetl conVactors to consbuct <ne project (Section 7044, Businesz 100,000+^BTU PLANCHECK S R�.PERMIT tt$�:,?����_
•antl�Professions•Cotle: Th¢-Contractor'sLicense law tloes no[ apply to - - - -- - - - �--ISSUANCE- - - -
an owner of property who builtls o� imp�oves the�eon, antl who con- REFRIGERHTION 0-100,000 BTU PLVMBING $�'. ')1'�•'�9�1 "
'tractrfrom-zuch-projects-witn a^contractor(s�-licesnetl^pursuant ro -SYSTEM-' ' ---•-- - -'� -- - ---- -�-- - - - � � - ---- -- - - -GRADING� �y'�F' �� y
the Contrac[or's License Law). • 100,000 + BTU PLAN CHECK } S"' :,^_"' �:� ��)-[')!'+' '� � - .�� �
❑��I�am Bx¢mp[ untler $ection � -�- �8. & P.0. (o� this BOILERS BTU ' '_ 1$
'reason"-"._'" '. �_.... ""_" _'_' . _� ._ ._."' __ .. ELECTRICA� S� +� �..'MICROFILM'E �•°•
SVSTEMREPAIR,ALTERATION PLANCHEGK�S- •� �
-Date wner - - - - ' � TOTAL FEE.$'�- •�
"MECFIANICAG-$-'"— � - (
I herebycertify a hav reatl this application antl state [hat [he above EXHAUST SVSTEM MULTIPLE ��. �-' �� - ��'�Y -' "'��'�LE55`AD-' �-� I� 1
, Informatio i r ct;- agree �to mmply with all� city antl county � - � - � � `PLAN'CHECK-�$' �'-'"""'- '" VANCE PC �g _ - ""' "'�"- "'
ortllnances a s la relatin9.�o construction, antl hereby authorize �. . ` �^: ��y"1� �')(jt �-� � 7' y, �• � i 1�� c�
�r¢presenta � s is city [o n[Er upbn the above entionetl' ., �� . �/ !
.property_ f i s ection purpos 1 �f�
$i9natu .-� . . � a� "� Z ' " "' _ N!P�I - ' _ _.. FINAI FEE. § V. QD �
_. . . ._ """ ""ISSUEFEE .._..Jl___"' "_""--..-_-"__:_ ____" {
Driver' i s or55�� - ' "J-" ' '-- -'�'-' '-". .."' ""--'
CMF 0865-46 WM1ite-Builtling; Canary-APPlicant: Pink-Accounting; Goltlenrotl-AsseSsor M' ' �
�
�.r.. ,. ' � . � �
CONSTRUCTION AND PLANNIyi�'.,_ __ � \ , ' POOL & SPA - � �.-..\ .
c�J -�c � Date � Inspector � � � Date. Inspector
APPROVALS Permit # 1 0"�-� � �,\ . . APPROVALS � Permit # ; t . . � " . . '
1. Tempoiary�Electrical SerJice or pole ' ' �. � 43. Pool & Equipment Location � �- ' -- • � ` �•. .�' ' �-- �
Soil ipe-Undrgrn � � ,� : 44. Steel'Reinforcement � "- - �• -• � -- � � -• ` � • �
..3., Electrical Conduit Utility-Undrgrn 45. Forms �
. 4�. Electrical Conduit-Undrgrn . � - 46. Electrical Bonding - � � � '
tee ein orce � -� - 47. Rough'Plumbin & Pressure Te's4 -' � : � ' ' --::'�� - ��"
6. Electrical UFER Grn. _ " ' 48. APPROVAL TO COVER-GUNITE' -'�' -
7. Footings ''� � 49. Electrical Conduit-Undr rn ' ��.
� 8. _Foundation. - ' 50. . Gas Pipe, ❑ Undr rn, TesC++" +,^� ' � ' -
9. Water Pipe:Undrgrn -� '' 51. Backwash Lines P-Tra '0 n�r rn ' • • �
10. Strucwral Floor System. : 52. APPROVAL TO DECK' '' ''` � '
7 7. Property. Sewer Line & House Connection � .53. _ Backwash & Rece � tbr-Final ' � �'
. 12. . Street Sewer Connection � ' ' � � " � - 54. Heater & Vent-Final - • �: l"- . �:'.� �
1�3. Rough Plumbing _ - ' - •' '�' ' - �" + '' '
14. Rough ElectricConduit - � - • •56. Electrical-Final � ' �
15. Rough Electric-Wiring - � ' � "- -- - - - 57: --Solar SYstem-Final " � ' � ' � � ' '
16. Rough Heating & Air.Conditioning- �� � � - - - •- encing & Access Approval � � '
17. .�Ducts in Structure � ' ' ' "" � "` APPROVED FOR�PLASTERING,: .' ' ' ' "
18. Ducts, Ventilating - . _ ' _ _. . . . , .. . ... �•
19. Gas Pipe-Rough & Test '' ' " ' ' 60. . POOUSPA SYSTEMS FINAL •
-20. Roof Framing ' " . � ' - � � • �� - � �
21. Roof'Sheathin " ' _ �. - � "'� , � •. � • �� � , . .
_ 22. Frame and Flashin - NOTES:' • '' , r
23. Insulation '�' � ' � - ' ' -� - � '�' ' � - •
24. Lathing & Siding - ' ' '" ' ' � � - � �
25. DrywallNailing ' - ' ' •'� - � � ' ' �� - - �
� _ 26. Plaster Brown Coat � � _ _ ' � ' - - � � - " � �
27... Electrical Power Meter-Final � ' - � " - • � � - � �
28. Final Electric � ' � � ' � � � � � �
..29. -Final.Heating & Air Conditioning y� • - � � • ' ' - -�
30. Final Gas Pipe-Test. . � ' � ' -� - � � ' ' � ' �-��„N
31. Final Plumbing � b2 � •' ' �� • � • ,�'��
32.� Water Service-Final; . ' � � ' • � �' � • - � � � '
. 33. - Gas Service•Final � � � ' ' ' i1 - ' ' ' � ' r � ' • �
34. Solar pomestic-Final ' + � � � � - - ` � - ' � '
35. Landsca e S rinklin S stem� � ��a" � � � - � ' r � �
36. Sound Attenuation . � '� � ' � � • � �
37. � Handicap.Regulations � • - ' � . • � ••' � � - � �� �- - - � � �� �
38. FINALSTRUCTURE&BUILDING , _ , • •
39. Special Requirements Completetl ' � � ' � � '� ' " - ' �
40. Electric Release to Edison � - ' ' ' - - � - - - � �' � - '
41. Gas Release to Southern�California Gas"Co. ' • � � - �
42. .CERTIFICATEOFOCCUPANCY � _ . __. �
� ' No Date � . . ' . - ' � �
�,.
ADDRESS
A 77.i11
INSrECTIONS
GAS
WATER �
ROIIGH PLUMBING
PROP. $WR. LINE �J Hi
SPRINKLING SYSTEM
M I SC EL LAN EOf15
ROUGH HEATING ANO AI
TEMPORARV SERWCE O
UNOERGROUNO
ROIIGH WIRING
TRENCHES � FORMS
FLOOR SVSTEM
PAUL AND HORN, TOM DATE �+-22"74
IONING
STEEL REINFORCE
FRAME ANO FLASHING r/� �
LATHING - IN OUT y��
PL' -R, BROWN COAT
Sl URAL, FINAL
HEATING, VENT., REFFIG. AN� A.C., F
PLUMBING, FINAL AN� GAS TEST
ELECTRIC. FINAL
BUILDING P
SUBCONTRACTOR
r �
• � ' � �940
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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ARCHITECT
CONTRACTOR C'{Ia�P�j'
ADDRESS J Q
CITV ��
STATE � �CO� �
LIC. NO.
S��E � _ i3 2
OF LOT
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EXISTING BLDG.
SIZE OF /J / ,/� O. OF
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EXTERIOR WA ROOF
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USFAF BUILOI)GG AND ORK T� B'
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BUILDING
ADDRESS
FIRE
ZONE
APPROVED
Pn1D
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FOR BUILDING PERMIT
' TEL . 20 1£� NO.OF
NO. P��
CITV �'AR�S APPROVED
LIC. NO. MAIN BUILDING
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C.U.P.�
I hereby acknowledga Mat I have reatl ffiis apPlication antl state�
that ihe above information is mrrect antl agree to comply wit�_
all laws regulating building construction, antl I shall not employ�
any person in violation of the workman's compensation laws ot,
the Sta[e of California. �
I hereby certify that I am property licensetl as a controctor untler� � SQ. FT.
the State ot California Business antl Professions Cotle, Oivisicn 3,� THE AMOUNT SE
Chaptar 9, antl that such licenses ere in full torce antl effect, ot I THE PURPOSE OF
am exemp2 from the provisions of the State ot Galifornia eusiness VALUATION
antl Professions Cnoe, Division 3, Chapter 9. �
Signature of / /� —y�_-_�y , ��� �j r/%
Permittee �-= \� \ /i`�T�-�-9 $ Q �v
/
{�USt10f13Bd Qe2lIS
PER
USE OF
VARDSAPPROVED
BET. MAIN &
ACCESS. B�D�
DATE
APPROVED
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3 A PERMIT FEE ONLV: m
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TOTAL FEE S
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COSTA MESA BUILDING-SAFETY DEPARTMENT
;PZ 7_2-744�,`—.�00 811 ;;�;: � 1 c0.��
Y.O.BOXI"2W GUSIAMtSA,GALIYONN1AtlZtilti '
� . A PL ATION FOR BUILDING PERMIT
� For Applicant to Fill in Completely
fl CE BV DATE RECEIVED DATE ISSUED
BUILDING �/� .
ADDRESS
OWNER Ai.QLL �+.P.NO. �
MAIL BUILDING A'Q w`M� ST
ADDRESS �+DDRESS d � i�
� TEL. TRACT LOT BLOCK
CITV NO.
CON5iRVCiION W ADD A P
LENDEF
BRANCH A /J� �
OWNER ^L�iG I�J��
ADDRESS VALUE
ARCHITECT TEL. S ��LE $
OR ENGINEER N .
FIRE
ADDRESS ZONE TVPE GROUP
APPROVEO
CONTRACTOR BV DATE
ADORESS
TEL. Z�NE NO.OF USE OF NEW
CITY NO.
PLAN$ BUILDING� �
STATE CITY � 1'AROSAPPROVED VARDSAPPROVED
LIC. NO. IIC. NO. MAIN BUILDING ACCESSORY BUILDING
S12E NO.OF BLDGS. (FFOM C/L STREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. S FT. FT
SIZE OF NO. OF
NEW BLDG. � ROOMS STOFIES L.SIDE FT. FT.
EXTERIOR WALL • ROOF
� COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACGESS. BLDGS.
' VAR. � DATE
C.U.P.# APPROVED
APPROVE�
I hereby acknowletlge that I have read this application and stare
that the above information is.correct and agree to comply with
all laws regulating building construction, antl I shall not employ'
any person in violaiion of the workman's compensation laws ot
the State ot Galifomia.
I hereby certify [hat I am propetly licensed as a conbactor under SQ. FT.
ene srate of Calitomia Business antl Professions Coda, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chep2ar 9, and that such licenses are in full force antl effect, or I• THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�v:
am exempt trom tt�e provfsions of the Sxaie of California Business
antl Protessions Cncie, Division 3, Chap[er 9. VA�UATION
PERMIT FEE $ O ��
SiBnature of
Permittee �� PLAN CHECK $
Authorized Agent TOTAL FEE $ /QO �
OWNER
� JOB ADDRI
�� GFNERAL
�' � �. 11
C� Ih,rECTlO
�� SOIL
GAS
BALALIS� PAUL AND HORN�„ TOM
DATE 4-22-74
IT N0.
LOT TRACT FIRE ZONE � VAWE $ 5 460.00
Siqnat�re Date TVPE V GROUP J
�I iV��l..V1�IrtN��..IVR � �-
PROP. SWR. LINE U HOUSE CON. U
SPRINKLING SYSTEM
MISCELLANEOUS
ROl1GH HEATING ANO AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH wIRING
TRENCHES I-I FORMS n STEEL REINF.
BONO BEAM � STEEL REINFORCE
SMEqTMING
FRAME ANO FLASHING
LATHING - IN n OUT n
PI -ER, BROWN COAT
5 :URAL, F�NAL
ELECTRIC. FINAL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING C Y . ) / - n
ADDRESS � � �^ � �
OWNER �('�U//J(�i/���.iQL�
CITV
BRANCH (
ADDRESS
ARCHITECT
CONTRACTO � e
ADDRE553 ," U�
CITV
STATE ^
LIC. NO. � 9 b0 / �
OFLOT ��d XI � ^
USE OF ��.
EXI5TING BLDG.
SIZE OF .' NO. OF
NEW BI�G. � ROOM'
EXTERIOR WA ROOF
COVERING COVER
USE OF 6LILDING AND WORK TO 81
rE5 -f?-74P"�u00 439�= ::**�1�i.50
��.,.
FOR BUILDING PERMIT
FIRE
ZONE
APPROVED
.7 U �
TEL. ZON NO.OF
No 3 � 2 P�� �
CITV �'ARDS APPROVE�
LIC. NO. MAIN BVIIOING
,,,,�,��,,,,�,,,.. (FROMGLSTREET)
�
I hereby acknowledge that 1 have reatl this application antl state
ihat the abova intormation is corract and a8ree to comply with
all laws regulatinB builtling consttuction, and I shall no2 amploy
any person in violation of the workman's compensation laws of
the Staie of Calitornia.
I hereby certify that I am properly licensed as a contractor under
[he Sxare of California eusiness antl Professions Cotle, Divisicn 3,�
Chapter 9, antl ffiat such licenses are in tull force and eftect, or I
am exempt trom ffie provisions of ffie State of California Business
antl Professions Cnoe, Division 3, Chapier 9.
Signature ot � � •
Permittae
Authorizetl ABent
VAR. #
C.U.P. #
USE OF NE
BUILDING
VARDS
BEf. MAIN &
ACCE�i. BLD
DATE
APPROVED
0
[/ O m
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D SQ. FT. o
THE AMOUNT SHOWN UNDER VALUATION IS FOR �
THE PURPOSE OF ESTAB�ISHING A PERMR FEE ONLY: Q
VALUATION
m
PERMIT FEE S �
/^ j � �� m
$ � r� �/„�/� '/ ' PLAN CNECK $ E
LJ Q/(� `o
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TOTAL FEE
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA. CALIFORNIA 92626
+r� ��-,�a�::`°o� 875 �:�,. :� :.Z�.r�o
A PLI ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely �
C VE BV DATERECEIVED DATEISSVED
BUILDING �/
ADDRESS {� '
-\ P N .
OWNEP L�LQL/S ��VR1� A.P.NO.
MAIL
ADIDRESS �(p L�G/c..�
ADDRE55
' TEI. TFACT LOT BLOCK
CITV NO.
CANSTRUCTION - W ADD A P
LENDER
BRANCH
OWNER LI
ADDRESS ' � VALU$ ��
ARCHITECT TEL. S
OR ENGINEER N .
FIflE •
ADDRESS ZONE TVPE GFOUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. �ONE NO.OF USE OF NEW
CITV NO.
PLANS BUILOING
STATE CITV VARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OFBLDGS. (FROMGLSTREET) .
OF LOT NOW ON LOT FRONT FT. FT.
VSE OF
EXISTING BLDG. SI FT. FT.
SIZE OF NO. OF
NEWBLOG. ROOMS STORIES 1.51DE FT. fT.
EXTERIOR WALI ROOF
COVEFING COVERING REAR FT. FT.
USE OF BUILDING AND WORK TO eE PERFORMED DISiANCE BET. ' BET. MAIN &
MAIN BLOGS. ACCESS.BLDGS.
VAF.� � DATE
C.U.P. # APPROVED
APPFOVED
I hereby acknowledge thax I have reatl this application antl state -
that the above intormation is correct and agree to comply wiffi
all laws regulating builtling construction, and I shall not employ'
any person in violation of the workman's compensation laws ot
the Stare of Calitomia. �
I hareby certity that I am properly licensed as a contrector untler SQ. FT.
Me State oi California Business and Protessions Cotle, Divisicn 3, , THE AMOUNT SHOWN UNDEF VA�UATION IS FOR
Chapter 9, antl thac such licenses are in full foroe antl eff¢Ct, o� I- THE PURP06E OF ESTAflLISNING A PERMIT FEE ON�V:
am exempt frorn tt:e provisions of the State ot California Business VALUATION
. antl Professions Cnue, Division 3, Chapter 9. � Z 1
- PERMIT FEE $
Signature ot
Permittee $ �^ PLAN CHECK $
Authorizetl Agent ��_i7.--/i
TOTAL FEE $ � V