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Home My WebLink About2916 JACARANDA AVE - Building Permits^ ,y ` J�� s4^^� 1 ��-\ `�� p` ` AOp��ant lo fill in all ipacez except those within heavy CorOer lines anE sign all appropriate tleclarations. OSTA MESA CONSTRUCTION PERMIT PERMITjfj'A. __�, __ TRACT NO. LOT NO. UNIT NO. eci Address �9Y6 J.?ro,P.,a.liD�f Applic$nYsMailingAddress � S/P/�*f . Owner's Name t 1- �� d � Phone ` 2 � Address 3� ��% s�' Td U/S /i% CS �/��lJ Arch/Eng. License No. Address � ' � Contractor's Name / Phone Address (mailing) y�� l�� `d� � � � City License No. LICENSED CONTRACTOR DECLARATION� � I hereby atfi�m that 1 am licensetl untler provi5ions of Charter 9(commencin9 with section 7000) of Division 3 of the Bu5ine55 antl Protes5ion5 Cotle, antl my license is in full force antl effect. License Class License No. Dale Si9nature WORKERS' COMPENSATION DECLARATION I nereby affirm lhat I have a certificate of mnsen[ to self-insure or a cer[ificate of Workers' Compensation Insurance, or a certifietl copy ther¢of (SeCtion 3800; Lab. C.) Poli<y No. Company ❑ Certifietl copy is hereby furnlSM1etl. � , ❑ Ce�tifietl copy i5 filetl with the city Bulltling Divlsion. Date AOP��ant EXEMPTION FROM WORKERS' COMGENSATION DECLARATION (Tbissection neetl not be completetl if [he permit I5 for one huntlretl ($300) or iess). � I certity tnat in the perfoimanre of the work for wnich this permk is issuetl, I shall not employ any person in any man r s to e me�sub'ect to the Workers' Comp� nsatio Laws ot Califor Date ��yy�-5i9nature NOTICE: If,af[er ma in9 this tleclaration, o Shoultl be e Subject t0 the. Workers' Compensation provisiOns a! Ihe Labor Cotle, y u must forthwith comply wiln such provisions ov tbis Oe�mlt shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV � I M1ereby aftirm Ihat [here is a const�uction lentling a9ency for the perPormance of the work fo� which tM1iS permit is issuetl. (SecOon, 309] Civ. C.) Lentler's Name Lentl¢Ys AtlCreis OWNER B.UILDEN DECLARATION I he�eby aftirm that I am exempt trom the Contractor'S License Law tor the tollowing reason (Section ]031.5 Business antl Professional Cotle: Any city or county which requires a permit to const�uct, dl[eq improve, tlemolish or �epai� any structure, prior to its issuance, also requires the applicant tor such permii to file a signetl statemenf thal he/she I5 licensetl pur5uant to the provisions of the Contractor's License Law (Chapter 9(commencin9 with Section ]000) of �Division 3 0( the Business antl Professions Cotle��or that he/she is exempt therefrom antl the basis for the allegetl exemp[ion. Any violation of Section ]031.5 by any applicant for a permit subjects the applicant to a civil ' pen y of not more tM1an five huntlre0 tlollars ($SOD). , /� I, as owner ot tM1e'property I w+,na..wwx:wn wi�l tln tne work. antl tne structure is not intentled or ofteretl TYPE OF CONSTRUCTION LJ NEW U ADD LI ALTERATION IL��REPAIR. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p # DESCRIPTION OF WORK/USE OF BLDG. - � S Main Build TVPE OF PERMIT GRADING FOUNDATIOIV ❑ STRUCTURAL T F}ont ❑ TENANT ❑ ELECTaICAL ❑ P�UMBING ❑ MECHANICAL B Rear ❑ OTHER %� PROJECT DESCRIPTION Sq. FTx � 77'%� oCCUPANCY C Right � �CONSTRUCTIONTVPE .VALUATION4,l,(y�g�J� g Left ' .ZONE GRADINGCU.vDS. ACRES- PIng.Ref.# Remarki: - � ' � � . Planning Notes Sink <flow'Preventer <fluw Irrigation Drinking Fountains Floor Orains � Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P—Trep Reinspection Fee Showers Service-Sink Sewer Cap Sewer Connection Solar Collectors 'Solar Piping Solar Tank Naier Service Auto�Wash Laundry Trays $15 � � � . Issue Fee "" tior iale (Section ]044, Business antl Protessional Cotle: The Convactor�s � LiGense Law tloes not apply to an oWner of a property who builtlz or improves thereon, antl wno �oes such wo�k hirnself/M1e�selt or through his or her own employees, provitletl tnat. such improvements are not intentletl or ofieretl for Boiler ,SdIE. If, howeve�, Ihe builtling or improvement is soltl within one year of com- � ,pletion, tM1e owner will have Ihe bu�tlen ot proving he/She tlitl nOt builtl or im- DuCt - UOdE� G�OUnd prova for Ihe pu�pose o( zale).. ❑ I, as owner of the property, am exclusively cont�acting with Iicensetl con- Duct-St�uCtU�al ' tractorsto�ronstrucYthe,Droject (Section 7044, Business and Protessions Cotle: . The'ConVacior'S LiCense I�w does not appty to an owner of properfy who Duct - Ventilating builtls or improves thereon, antl who conVacts for iuch proiects with a Wn- trac[or(5) Imense pursuant to the Contractor's Lic¢nze Lawj. I dm aware that ExhduSt SySt¢m ❑ Multiple � proof of Iheir Worke�'s GomDensa[ion insurance shoultl be provitletl to me. • _ � L7 I am exempt untler Section--a—.¢��,�&�i.�his reason ' Firepl/Fact. BIt. ICBO # 5 �Y' 9 �t ��— —�� O . .�f� `�� Heatin95ystem&Ducting. I hereby certity that I have reatl this application antl state that the above ❑aioo,000aru Oioo,000si information is correct. I agree to comply with all city and county ortlinances antl state laws relating to builtling construction, antl hereby authorize repre- � sent3tives of cnis city e ter up tne above-mentionetl property for - ' inspection purpo / ' .signature _ . oate/d-�%—�'( '• . Drivers' License or 55 � Rainspection Fee $�5 CMF OB65-46, rev. 10/84 � Wnite - Builtling; Canary - Applicant; Pink - Accounting; Golaenrotl - Assessor Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,aooeru ❑ioo,aoo System Repair/Alteration Fire Dampers � - Registers Issue Fee. , Automatic Washer Construction Pole Cook i n4�Jrtiit� JR . 48b1 10/09/66 � 28.50 !TL . 5 i _ ! ' Zone ' Accessory Building: � . � Parking Req./Provide ELECTRICAL Dryers ❑Gas ❑Electric Fan P.A.U. . ' Fixtures Device Boxes ' �ULI2[5 Switches� � - Gar6age Disposal • . Generator DO-5 KW �5-15 KW A Meter Merer Sub P ( ier ❑ 15-50 KW ❑ 50+KW , up to 100 amps . over-100 amps Motors 00.7.HF � 1 X- 8 Iric.Solar �9-15 HP �i6-15+ Microwave � Pole Light , � . � Ran9e Sign - -' Standing Sections � � Trash Compactor $ 3 Heinspection Fee $75 Issue Fee FEES DEVELOPMEN7 SERVICES REQUIREMENTS: � Zoning Approved By � Building Approved 6y i � Application luued By � $ 3 Z O N I M G R E Q M T 3 BUILDING PERMIT $ SUMM6�Fy3,yc ESMIP $ _�4� — f�� PLAN CHECK $ � PERMIT • PLUMBING � $ ' �ISSUANCE _ $ , PLAN CHECK . 25% $ ENERG� P.C. $ � ELECTRICAC $ ' � .GRADING , -, $ PLAN CHECK 50% $ ' MICFiOFLLM $ � MECHANICAL � $ � ' TOTAL FEE $ �"� `� PLAN CHECK 25% $ ' ' ' ' � CONSTRUCTION AND PLANNING POOL & SPA , ' APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipme�t Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elect�ical 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. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAI TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing'SYstem - Final 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �, 20. Rough Factory Fireplace AFFROVALS Permit # �. 27: DuCts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating - �� 71: -Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing ��-' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 0 y�Fj fj� 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoa[ � 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 Notes: lp /� 6 �j 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 3S. Final�Plumbing . � � 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final 42. Backflow Preventer . , ,43. Backflow Irrigation ' , 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co .., 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A citY or county, which is required to give notice pursuant to Section 79830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder 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 t major labor and materials for construction of the proposed property improvement. Yes ❑ No 2. I hav have not) 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 ( 1 Contractor's Lic. City q, 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 ( 1 City Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Add ress 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 personal knowledge, in compliance with this St e law. Signed: �- �� Date: �� ' �'�(� Name: - � •L. /� ��l�G % (Printed or Typed) C.D.L. #or S.S. # � � > �� 754-5273 CMF 3042�46 � W6�'�°°""' "g 16 JACARANDA AV OWNEfl'SWYME: MC�. ELIGOT, MICHAEL L noosess: MC ELIGOT ANNE J 2916 JACAi2ANDA AVE COSTA MESA CA 92626 PfltNIENGINEEfl: � 7 1 4� S S%—%� Z O qEG.NO.: RDONESS: UNIT: � - � UNIT: reeminee: MICHAEL L. MCELIGOT ( 714 ) 557-7220 AODflE55: 2(� 1 6 JACARANDAAV COSTA MESA CA 92626 LICENSEU LONTNACTON UECUPpTION: I �ereby a��irm Ihat I am IicenseE unEer O�a�sions of Chapler 9(cammencing with Sec�ion 7000� o� Oivision 3 0l I�e Busin¢ss ana Pmfessions Cotle, antl my license is in lull lorce anG etleci. CITY LIC.: STRTE LIC.: CUSS: Oate: Signalure' WONKEflS' COMPENSRTION OECIABATION: I hereoy affirm ihal I have a ceniliWte of consent to sell�insure or a cenificate of workers' Comoensation Insurance. or a cenifie0 cooY ��ereof (Sectian 3000, Lab. C). PoLILV NO.: E%P. �RTE: COMPRNY: ❑ Cenilietl copy is hereUy fumis�etl. ❑ Cenified copy is fileA wiN ihe ciry BuilOing Division. Oate: ADPlitan�: E%EMPTION FBOM WOBNENS' fAMPENSATION OECIAPRiION: (ihis section neeE no� be wmplete0 ii Ihe perrtti� is r one huntlred �411q) ar less�. �� I cetlity Iha� in �he p¢dorman[e o� Ihe work lor which Ihis permit is i ueQ I shall no[ emDloy any p son i ny manner so as �0 0 me ' su�le�� lo IA¢ Worke�rs' CojmOensation Laws ol Calitomia. �ale: 3��3' /� Signalure: NOiICE: II, afler malting inis aeclaration, you shoultl b ome su�iect to the W rkers' ComDensation pmvisio tl Labor CoCe. you musl lotlhvnih [omply wilh such pmvisions or this Dermi� s�all be 4eemeA revoke0. LONSTBIICTION LENOING RGENLY: I �ereby allirm that there is a consimction lenaing apency lor IAe Detlarmance af ihe vrork for which �nis permn is issuea ISection 3W7. Civ. CI. �� lENOEfl: RODNESS: OWNEB BUILOEB OECIAMTION: I �ere0y a�lirm �hai I am exem0� Irom I�e ContratlOrs' State License Law lor the followinp reason (Seciion 7037.5 Business anE Professional Coae: Any city ol counry which requires a De�mit to constmct, alter, impmve. Oemolish, or repair any slmclure. prior to it5 issuance. also requires ihe aDPlicani lor suc� permii to lile a vqned staiemen� ��al he/she is licensed pursuant �o t�e pmvisans ol t�e Conlraciors' Slale License Law (Chapier 9(wmmencing vnth Seclion 7000) of DiNvon 3 0l �he Business antl Pmfessions Coaq or itui �e/she is e�empt therelmm an0 the Uasis for t�e allege0 exemptbn. My Wolation ol Seclion 7031.5 �y any applicant lor a permil suUjetis ihe applicanl to a civil penalty ol not more Ihan tive Auntlre0 tlollars (35011). I. as owner ol iAe O�oOerty or my employees wiih waAes as t�eir sole comDenution, win do the work, and ihe ❑ stmcmre is no� imenEed or aflere0 tor sale (Section 7044, Business an0 Vrotessional COEe: The ConVaciors' S1ate License Law Does no� aDDly �o an owner of a pmperty who builtls or impmve5 ihe�eon, and who dces suc� waA �imSelVAersell or t�mugh his or her awn em0�oyee5. pmviDeU Ihal such im0�a�ements are nol inlenaetl or onere0 lar 5ale. II, however ihe builtling or impmvement is soltl wi�hin one year o� comple�ion, Ihe ownerwill have the burtlen of proving he/she Oi0 not buila or impmve for Ihe ourpase af salel. � I. as owner o� ihe pmperty, am e�Uusively con�mcting with Iicense0 contracrors to constmct Ue pmleci �Seclion 70da, Business antl Pmiessions Co�e: The ConVactors' Sia�e LiCense Law tloes nol apply t0 an owner ol prOp¢tly who buA05 Or imD�oves �hereon antl who convacts tar Such pmjects with a conVacioqs)license pursuant�o Ihe ConUactors' S�a�e Litense Law�.l am aware ��al 0�� o� IAeir Worker'S CAmpenSation insurance shoNd pe provitletl �o me. � I am exempt unAer Section: B. 8 P. C. lat ihis reasan: — Oaie: .�.?'7 �� Owner. I Oo here�y certily Ihai I am aware ol ana untlers�ana �he requiremenis ol Calitomia Heall� an0 5 1¢�y Code $eciions 25505, 5, anJ 2557a antl ��at I or any luwre OuilOmg occupam will/will not (cncle one) neetl to comply vnth said s�aie catles and tAe reQuir Is lor a permil lor consVuction or moaificalion Irom I�e Air Oualily Management �i9rict. Residential consimciion aODlicaiions are exemDl imm t�ese pmvisions. Dale: AppliCanl: I herehy terliiy ��al I �ave read �his applicaiion and S�aie Ihal ihe aC e iNOrmaii0n i5 mrroCl. I ordinancesanUSlalelawsreWiinglo�uiltlingconstruc�ionantl�ereb Whorizer¢pru¢nia�iveso�l properly brinspeclion Durposes. " Dale: e'�� { � $ignalure' DriverS �icense ar Sacu� Securiry a: . all I6abJ6 Whi�e—Builtlinp: Green—Coae En�orcemenc Canary—Aool¢anC Pink—Revenue: GOldanroE—Fxseswr CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 05655 PERMIT NO: E 056558 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION ;}(ITCHEN CABINET REPLACEMENT 6 MISC, ELEC SQ FT: CLAIM VALUE: CALC—VALUE; GRO[]P OCC; R-3 / COMMENTS: WORK IN KITCHEN ONLY **�***�r*�r��tx**�tx**�e*��r*�x+t*�tx*+t*+t�t**�r�tx�t*�t*+t******x�*x *+�*�t*x�**+r�ex **********�t*�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 BUILDING --------- FRNT: FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT: ET IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN PARRING REQ• PROV: PARCEL: 13928424 ZNE: REF NO: PLANNING Ni3TE5> 1 k iF 3FiF iF if k iE �E iF iE if iF 3f k iE fF if iF k kk if iF �F �F k if k if iFlf 1F �E if it iE �E iF if it M if iFlF iF �F if !E!F kiE if if k�1F iE ff IE If i! fFlE 3f k it iF iF fE ik �E M IF iE iE iF if iF 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 DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY• �� DATE• �--�� kififikiFifkltlfiEkkMikkk3fikkiFikif itiflE�lfikiFiflf�Fik 3f �fiFififMifMififiFkMifiFif�fiF�kifltlF�t�FifiF�kifilkiklfiFkif`�fkifkif Fififi f1FifMMkififlFkifiFif!!klf�klfitikifiFititififkif�Fif�FifffMlf 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 1'1�OY SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 14,25 15,00 0,00 29,25 29,25 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 29,25 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 29.25 if iF if it k iE iE iE!! 1E k IE ikiF �f ik if if iF iFlE iF 3FlF iE iF 1F 1E iF k iFlE k k!f iliF k iF iF 3F it iF if M if if k iE M iE if 1k IF if 3! 1F �F k iE if IE �E iE iE if if iE iE if �f iF �F iF if iF iE �tlf I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE 8 ELE 5 ELE 6 i��^t�i:1i�lli��:l FIXTURES LIGHTING 1 ST 20 RECEPT/Oi1TLET 1 ST 20 RECEPT/SWITCH 1 ST 20 END OF FEES UNIT COST EA. ,75 EA. ,75 TOTAL COST 6.00 3.75 4.50 I. CONSTRUCTION AND PLANNING POO� & SPq � APPROVALS Permit# Date Inspector qppROVALS Permic# Date Inspector M �i . Temporary Electrical Service or Pole 52. Pool & Equipment Location 2,,.$oil Pipe�Und�grndw � 53. Steel Reinforcement �'3.' Ele�:rical Condui}�,�}ilityUndrgrnd. 54. Forms L 4.'Elecfriral CondtfiSliCitlrgrnd. 55. Electrical Bonding �� r ' 8:St$E�'d intorce 56. Rou h Plumbin & Pressure Test r t��_ ry�� 9 9 ,�. a 6. Ekc#ical UFER�ISr�nd, 57. APPROVAL TO COVER�GUNITE -. �::}. ;��ingz s = 56. Electrical Conduit-Undrgmd. � ''�8: ,�oundation � . 59. Gas Pipe, O Undrgmd., Test � :s�3, ltiJyter Pipe-Undrgmd. 60. Backwash Lines, P-Trap, � Undrgmd. 1Q. Structural Flaor System _ 67. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �z• Sev`!�� CaP 3. 63. Heater & Vent-Final � 13. Roo� Drains - . 64. P{�mbing System � Final �� 14. Rough PlumbiPg � � 65. Electrical�Final . 75. Rough Electrical-Conduit 66. Solar System-Final , � i6. Rough Elearic Wiring � 2^� Q` 67. Fencing & Access Approval .�� '� �" � 17.Tyough Wiring $ign 68. APPROVED FOR PLASTERING � 18. Rough Electric�l-T 8ar Ceiling 69. POOLlSPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT� - ' - - - ' - - � - 20.'Rough F.�cto�Y F.ir�place T � = 'F : � -* u TAPPROVA�.S,= =permit # ' " ^ � = .%. � f ' J: . ♦ 'i. r " 3: � .n[n r 2�._DU�LS, iR-SL�UMUfR. .` . . � j � � _70. Underg �nd Hynro i 22. DuEts, Ventitating.� � ^� '�� -77, Produc ��ing Q��C'�ias Q'Oil 23:;Gas�ip{Rough $��Test . : � - ._ '; Y 72. Underg'o�d Flustr '- 24_�Ro6f Framirig �: • r�� " _� ��73.' Under9rn8'. Srora�g�Tank O Gas O�I � 25. Roo( Sheathing ' , r '; � �� `- - "'. . '74 �Overhead HYdro_ � ; 26.'-T-Bar Ceiling (Stri�eiurall &-Monocoat - .�T � 75JDry Chemical - ' = �'� s+ = �• . n r 27.�Frameagd flashing' _� r ;�- �, i'.' 761Dry Stand,pipe '':s Y, j r._ � �28. Lathinq.&Siding r.: - ^ _ �: - • • : 77;- FIXEDSI'STENF�INALY T±" � 29. Insulation S;;" �T .. �' : � � 'y,•' 78; FIRE PREV. FIfVAi . _ �`,; �3D. Drywall Nailing � � �� - �> . HEALTH*DEPT. FFEQUIREMENT �31. Plaster Brown Coat:� � t :, � �:� � ,J9.• FINAL INSPECTI�f�, � � � 32.:�Electricat Povrer MetepFinal• • v .. � � �80.•.FOOD CEFTIFI,CRT�& ISSUED . �33.�rFin�1 Electrii. -' r, � `� Q � � Notes: I _ - ' ,34,-Final Heatin�& AiFConditioni�y; �- e �� y ,, '.��. 'i�r > - � . � .� ' �35.=Final Gas Piki'e-Test` _ - � " , - - •T�5 - � ' �o , ^ . - - ;36.�Hood o�,Canopy . - ; � y �; . �'37.-Fitta1 Pactory FirePlacp_t ¢ ` - � � - . "_ ' ` . - � � � -_ > . _ - � +. . - 38. Final Plumbin9 . � . r ' � � "• • J . . _ ."'39. WatEr Service'Finai� . - � � . ^ ' 'c t C �n . ., rr r r40. Gas Service-F�nal , _ . .; ' ; ? , ' � . . -. . n . i. +Al. Solar pomeSUoFinel : "' •� � ' � * � � - r t' 1 � 42.`-flackflow Preventer � k� h� " •_ 43. Backflow In)gatiorr _ • • � . �� . . '.44. Landscape Irtipation System. r.- ' ! ' , : .. �,: , � ' ". '. r ; - , . _ - : A5. Sound Atteduation� - � _ - ' * � � - " - � m r . - - > '46..Handicap Regulatio`ns - - . � � � ��; � � � �' Y, �47 <PINAL STRUCTURE & BUI-LDING � � � � . !�' � , _ 48.:PIN'AIPLANNING � - ''H ; �, `" - , ' �49.^Elec(ric Release to,Edison • :. ' �a . ,r � . � � - ,`�50., Gas Release to Southem CaliSo,n� Gas Cu = � ' , �., : '_ ` ' - - - �. 51. CERTIFICATE Of OCCUPA V , ., r�- - : No. Date �� u.c. � Fl�a, � l� � .� x 63 Di 5�. I Exi�,TirJl� � �� 6.��sp• . �xi51i,J6 �4011A�- , �/ G � �po�,-roP � �e ��5� J,� �-��`� _ �._ — _ _ _ �_ __ ' �`/ / T �\ i / /� � .��\�\ / ` \ \ � � \� � `� r� , W /' � � �� f �QN��i �SS�50 � �nN w�� o�� -�s5 �h,L��z�� w �sw �,icx�U�� Bdi11�b;� CnaJV �b � ' y� � �I�a}J �US�'j y��t��+�s �lrbz � m r Pp0.1ECT ADOflE55: 291 ( JACARANDA AV OWNEX'SNM1E: MC ELIGOT, MICHAEL L aoosess: �C ELIGOT ANNE J 2916 JACAi2ANDA AVE COSTA MESA(,CA 92626 ANCN/ENGINEEfl: � 7I �i % S S%— % L Z O qEG.NO.: AODPE55: UNIT: ., � + UNIT: PEflMITTEE: MICHAEL L. HCELIGOT (714)557-7220 nooxess: p g 16 JACARANDAAV COSTA MESA CA 92626 LILENSEU CONTBRC70B oECIAMTION: I hereey allirm Inal I am IicenseU under O�ouisions ol Cnapter 9lcommencinp wih Section 70110� ol �vision 3 0l Ine Business antl Pmlessions CAtle, and my liten5e i5 in lull lorce an0 e��etl. CITY UL.: STRTE LIC.: CUSS: Oaie: Sipnature: VJOpNEBS' COMPENSRTION OECIAFAT10N: I hereby a��irm Ihal I have a canilicale oi consenl lu selbinsure or a cetlilical0 0� Worker5' ComDensa�ion Insurance. ar a ceni�iea copy t�ereai (Seciion 3800, Lab. C). POIJLY NO.: E%P. OPTE: COMPANY: ❑ cen�reo cony is nereny iumisnea. ❑ cen�rea coo� �s riea wi�h IAe ciiy BUIItlinB Divislon. Oate: Appliunc E%EMVIION FflOM WOBNEBS' COMPENSITION DECUBATION: (ThiS utlion nee0 irot Ue tompleleE iI lAe peflM k Iq one hurtlfe0 (510%Of k55). I certily �hai in t�e petlormance o� t�e work br whic� ��i5 0e�mi� is iss U, I shall nol em0loy any ers in any manner so as �o Oecome subjecl lo 'I�e Wo'rMers' ComOensa�ion LawS ol Cabbmia. Oa�e: �3 —QZ— Siamture: �� NOTICE: II. alter making tNs Oeclaration. you s�oultl bewme suble�� o �he Workea' Compenu�ian pr�l� ons of ��e Labor Co0¢. yau mus� lorlhwi�� Comply vnt� Suth pwvisi0n5 ar Ni5 Dermi� Shall be Ueem¢tl r¢vOkeU. CONSTBUC1lON LEN�ING RCENCY: I nereby aflirm thal inere is a con9mclion lenainp aBency lor Ine pedarmante al ine wark lor wnicn mis oermit is issuee (Section �097. Civ. C). lFNOEN: ROONESS: OWNFB BOILOEfl OECIAHRTION: I �ereby allirm ttul I am ezemp� irom I�e Contrac�on' State License Law br t�e lallowing reason �Section 7031.5 Business anA Proleuional COAe: Rny city oi counry xTic� requires a parmit to constmct, alter, imprwe, Eemofis�, w repau any sVuclure. prio� to its iuwnce. also repuires t�e aOW��nt lor suc� permil to lile a sipnetl statement t�at IwJs�e i5 1ken5eE purwant to the provi4ons ol t�e Convacmrs' Stare License Law (ChaO�er 9(commenpnp vnih Section 7000) ol Oivision 3 of tAe Business aM Pmlesvons CoOe) or tliat �e/she is erempl i�erelrom anC Ihe Oazis br Ihe allegeU exem0�ion. Any Nolation al Sectian 7031.5 Cy any applicant far a Oermil su�l��s IAe appliwnt �a a �ivil penalry ol nai more I�an live hunOretl Odlars (SSpq. I. az awner al Ne pmpeny or my employees witn wapes as ineir sole wmpensation, wiu Oo ihe work. aM tM ❑ svucmre is not intenaeA or offereA (ar sale �Seclion 70ad, Busines5 anG Pmlessional Code: T�a ConVactors' Slale License Law Goes not aOPN lo an ovmer of a pmperty wip Euibs or improves l�ereon, anE x1q Eoes such work �imSelUliersell or tkoup� nis or her ovm empbyees. prmdEeE tlut such impmvemenu are not intentlM or offeretl lar sale. Ii, tqwever Ihe bWeinp or imprOvemeni is solE within one y¢ar ol com0leiion, t�e owner vnll have ��e bur�en ol pmvinp hpJshe Oi0 nui Ouiltl ar improve �Or t�e purpose a� sale�. �q I, as mmer of Ue pmcerty, am e.Gusively contraaing wit� IicenseA contractors Io wnstmct t�e projtti �Section 7Du, Business W a� Prate5siW5 CoOe: The CanVactorz' Slaie L'cen5¢ Law �oe5 n0i appty Io an ovmer 01 pmpe�Iy wlq MnIES Or imprOveS itkrtan NA wtq tantractt lor wcn v�al��s witn a Coniractorls) li[¢nse pursuant ta �he Cqniradars $tate LiCense Law�. I am axaR Ihat ptool ol ��eir Worker'S CqmpensaGon inSWanm ShoulG Ce prwiOeU lo me. � I am aempt uMer Section: B. 8 P. C. fat tlLLt teason: /y� Date: � ' 7 � Ownec ' _ _ I Oo �ere0y 'ly tlut I am aware af anG unGerstanG �he mpui�emenls ol Galilomu Neallh anC S' ¢ly Cotle Se[tions 25505. . aiM 2553a an0 Inat I or an y tuture Euilam p acu p ant wilVwill nol lcircle one) nee 0 to comoly wiln uiU state coa es ana ih e i e puir ements Ior a vermi Im consuuction or moanicatim tmm ine ni� uahty Manapemenl Disidct. FesiGential wnstruction appliwtioris ara e�empt Imm inese orovisions. Oate: Ap0litanl: I �ereEy ttriity IINI I hdve reatl INS applifdli0n antl SIa4 orNnances an� sute lavrs relatinp ta �uilUinp cansimtlion pmperly lor in5pec�ion Ourpose5. Wie: ��13_�Z Siqnaiure: Driver's litense o� Social Secunly a: is carred. I aprlj to comply wl�n atl city dnE nlatives ajlhis r/lyla enterupon tlle aEoyyfne i5a1-a6 Wbne—BwWmg: Gre¢n—fqpe EnlorcomanC Canary—Apd��anl; Pink—Rovonuo; GOICanrotl—Assesaor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; P 056559 PLAN CHECK NO; N CONSTAUCTION TYPE; 5—N PERMZT TYPE; PLU PERM NO; P 05655 GOVT: N SUPP; N PURPOSE; OTH JOB DESCRIPTION : KITCHEN SINK REPLACEMENT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: WORK IN KITCHEN ONLY r�r*�t�t�t�t**�e��r*��****�**�r�e**�t�t*�t*****�r�r�rr*�***�r�r�rx*�t+�****�r*�t*�r+t****�e�e**�t*x*�t****x 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 HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAA: FT IN FRNT: FT IN REAA: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13928424 ZNE: REF NO; PLANNING Nt7'FES> > **�e�t**�e�r�r�t��t*�r�er**�**��t*�*��r*��r��rx��x�t�t***�tfe�r*.ier�r�*�r�r�r*�t�t**�r+t+t�t�t*r�e�r***�r**��r��r* D E V E L O P M E N T S E R V I C E S;: R E(j U I R E M E N T S 20NING APPROVED BY . ____ DATE: BUILDING APPROVED BY : ' DATE; 1, APPLICATION ISSUED BY; DATE• / .Z ifiFklkifiFkiFiFifklFlFitifiEklEiflfifi! iEiFifikifiEiFiF1EiE k�k 1kiPiFiEkififiEiFiFiEMififlEiEiElFiEiflEif3flfifiFiFlFiFikklEklFlFiEiEiEiEiE�E %ififiFififiFklE�ElfikififlfifiFlkifififiFiFjkiEiFifiE�fkiFitiflfiFif LEGALIZATION;N F E E .S U M M A R Y� STRUCTURAL SEGMENT;N 1- BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2.00 25t -"}• SMIP/NON—RES PLAN � ' ISSUE FEE 3.00 " BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 2,00 3,00 � 0.00 5.00 5.00 ,00 REVENOE DIVISION TOTALS--> COLI.ECTED; 5.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECR 5,�� . k iE k if iF if if if 1E IF M iF i! iF if if iE iE M Ik if iE if ik iF iF aE 3Flf iE iF iF iF iE 1f 1F i! 1f iF k if k iF if if iF if if iE k if k iF if if iF IF M if 1E k k iF if iF iE 1E k iF 1E k if iF if if iF iF iF ik I N D I V I D U A li F E E B R E A K D O W N TYPE (jTY D E S C R I P T I O N� UNIT COST TOTAL COST PLU 1 SINIC, KITCHEN .^ '� 2,00 2,00 END OF FEES CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date In:pector APpROVALS Permit # Date inspector 1. Temporary Electfical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe•Undrqmd. 53. Steel Reinforcement . 3. ESecj�iwf CondaitlUt+fity-Undrgcnd. 54. Forms �� 4. EIecY?ieal Conddit=Untlrgrnd. 55. Electriwl Bondmg - 5. Stee( Refnforcem�a� 56. Rough Plumbing & Pressure Test �'6. EkcTcieaIUFEFi�l3rnd, 57. APPROVALTOCOVER�GUNITE � j?: Fciptirtgs � ` 58. ElectricalConduifUndrgrnd. -�.t i- � � . •� 8, �oandation 59. Gas Pipe, O Undrgmd., Test . .� i7' VJaier Pipe-Undgrnd. 6Q. Backwash Unes, P�Trap, � Undrgmd. � 7Q Structural floor System 61. APPROVAL TO DECK � . 11. Property Sewer UnE& House Conneciion 62. Backwash & Receptor�Final t 12. Sewer CaD _ 63. Heater & Vent-Final 73. Roof Drains - 64. Plumbing System � Final 14. Rough Plumbing � 65. Electrical-Final � 75. Rough Elect�ical•Conduit r 66. So�ar System-Final � ' 16. Re�igh Electric W�ring . 67. Fencing & Access Approval ' . 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rtigh EleCtricd(�T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL � 79. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT -- ' � z * ' 20.TRouyh GGct 1 F�ePlace � � r � *� - T' ' {�PPROVA�S, :`Perrfiit # '' -- 27. �Dutis, in Str�ctu�.e. � .. ' _ . _ 0. U�dergrounctHydro � 22. DucRs, Ventilfting � ' �-5 _ =- ]1. Product�PiAipg Q��i's O'}0�1 23. ;�ias Pip�Fough &"�est -_ , . _ ,_ - 72. Underground Flu'shj � = 24.-Rodf Framing _ � r�� :' " 573: � Undergrnd: Stora�@?ank Q Gas ❑ Oil 25. Foof Sheathing �'� , . • �' � �� .� '" ' '74, Overhead �lydro �:' 26. T-Ba� Ceilin9 (Strvaurall &•ItAonocoat ^ ' " 75.�Dry Chemical • ' � � ., 27., Frame and Flashing' _ � 76. Dry Stand�ipe � T� � S "� z 28.'�Lat ing& Siding.' •. . s�* ' ' ••• 77,'F�XED SY TEM1MF� AL -- ' .... - � , � r� . - �29. Insulatidn - �. , r. 78.,-FIRE PREV. FINAL �+: c A-� •30. Drywall Nailinq - � � • . ' - . •HEALTH�DEPTr REQli1RBMENT - �. •..31. Plaster&ownCoat. _ . _ - � i � ' �7g, f�'1NAL`iN$P.ECTION � ' ' 32._flectricai Pov¢er MetervFinal � + . � - � �SO..FOOD C�RTIFIC.KYE ISSUED ��3.�ina`I El�iri� ,� - -_ F ` � TNotes: 3�/]!� �(p�Qj��» L�Q - . � � �� 34.-Final H tin & Air�Conditioni - � � . ` ' � � 9 39, , �{/%y�4Z KO�(ZEq'Oy-GGO - 35. *Finaf G�rs, Pip�-Test' _ _ ? ' • �� _ j : - r � 136. Hoo�l oi�Canopy � � - � . - . � � - � � ' , � � I Y \ 37. Final Fattory Fireplace , , • r ' - � ' r 38. Final Plumbing . � .. . _ 5/trl�, (,�Q'�, . ,_ ' 39. Water Service-Finah - - . � • > � r . 40. Gas Service-Final _ , ,. _ � :. � ,� ; , ; ' At. $olar pomesticFinal . - •• _ - � . � � 42. 8ackflow Preventer � �' ' '' ` [ a: - 43. Backflow Irr'��gation Y--. ; - : - .� _ .. i . 44. Landscape lel�iaation System� - A r - .t v ''.;. ` 45.'Sound .4ttewation - • • � . - � �- - -� - � - � . _ ._ ,-. � 46: Handicap Regulations - � ; �` . . . , � .. ", � _ S 47. PINAL STRWCTURE & BUfIDING i � 48. FINALPLANNING "'` � � ' ' " - �. * r r _49. Eleciric Release to Edison � i,, `5�. _Gas Release to Soutrem Califo,rnia Gas Co - _ - ' F - .�. c r x I . -,. . _ . � 51. CER.TIFICATEDF.00CUPANCY , ,r _ .,. ; . , No Date �� "uJ . AUG r 1959 COSTA MESA BUILDINGSAFETY DEPARTMENT 'II`i"��'�i'f O[PT, P.O. BOX 31] COSTA MESA. CALIFORNIA .. � ' � . . i=C, FOR APPL/CANT TO F/LL /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 2916 Jacaranda Avenue ADDRESS p r �/ �/ COSTA MESA, CALIFORNIA FOn OFFICL USE O/I�7 �, _ A.,.,. I RECEIPT NO. I�N6TiMIT WQ� OWNER A�"$ Acres TILi7 • MAIL 1_lC1 �j`• lqth St• HECE EO9. I DqTEaR�CEIVEO I OATEISSUED ADORE55 �"�'�� Q� y. � CITY COSt'a �e$a TNo�$1159 BUILDING aooaess aRCHi7ECT Carlson BC �ic. COSTA MESA, CALIFORNIA OR ENGINEER n NO. ADDRESS Garden Grove FIRE ../ ZONE TYPE % J GROUP,- G e O e�rove, nC.STATE GONTRACTOR �,�.No. 1bq293 BYPROVED DATE ADDRESS `F�'] E• Z7�i.}7 Sti� � riOStiB 1'LeSTri ZONING LEGAL I LOT [ I I 2822 ZONE I NO. OF I USE OF NEW DESCRIeiION NO. �J� BLOCK TRACT / PLnHS eu�Lo�Hc APPROVED A.P. NO. BY � DATE ,�, � SIZE 6� X�6 �o.�Fa�°�s.none Yp`RDS EVES OF LOT I Now ON �OT REqU1RED ALLOWE� USE OF ICENTER LINE STJ EXISTING BLDG. FRONT C � Ff. IN. SETBRCK LINE FROM � CENTEN OF STFEET �O REAR YARD 33� R. SIDE Fr� IN. rt t SIDE YARD ILEFT � IRIGHT 5 L.SIOE � Ff. IN. DESCRIPTION OF WORK - REAR FT. IN. NEW I X II ALTERATION I II ADOITION I REPAIR I II MOVING I II DEMOLISH I BUILDING �SQ NO.OF �j 1 SIZE ROOMS STORIES EXTERIOR WALL . IROOF . . � I HEREBY ACKNOWIEDGE THAT I HAVE READ THIS APPL�CATION /NO 6TATE THAT THE P00VE IS CORRECT ANO AGREE TO COM- TNE AMOUNT BMOWN UNDER Vr�LVqTION IB FOR THE PLY WITH ALL CITY ORDINqNCES ANO STATE LAWS REGULATING PURPOSE OF ESTABLI6HING A PERMIT FEE ONLY. BUILDING CONSTPUCT ON. VALUATION M SIGNATURE OF � PERMIT FEE s 34�W PERMIITEE ry I $ PLAN CMECK $ � r �OO AUTHORIZEDAGENT D7�C8 & Colegrove� jI1C. �*�552 l�� TOTAL FEE $ 5