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HomeMy WebLinkAbout2953 JACARANDA AVE - Building Permits- ADY��cant ta /ill in all spaees axcep. rEer Iines anE s19� all apD�ooriata Eaclarotions. CITY OF COSTA MESA � ' VE IT N � TRAC NO. LOT NO. BL . . , ' � - ' � � �''`��� � �� � �/��: � ' ;`f °=%�. T� CONSTRUCTION PERMIT � (,,, � ��p" Cl ' . ' ! • • ' M. . � � _ , -, - . - = � ':. � , ' r ; - . , �I '� �TVPE OFCONSTRUbTION NEW� ADD ALTERATION REPAIR. �� � �Applicent's Mailin7g �Add eu r� PfojettAddfe55 r�^i�S� v� .��y �' C��iJ ❑ CONVERSION'❑ DEMOLISH ❑ OTHER � � , /i�/Q�i / /�5 % ohonesy�%�7/� ~ 'OESCR�PTION OF WORK ' ' ' � OwnePs'Name � —� . , � . ,_ . ' ' " . . . . . _ . � G, ' � . , Aildress: 6�S!S�3 i.�iCllIP�4�i[�/i li�' �'7 . . . , � - ,- . . ,� � � . � . �'TVPEOFPERMIT �GRAOING FOUNDATION STRVCTURAL � A.P.9Y+ ' • ZONE � � Afth/Eng. _ , _ LltenSB ND. � ❑�TENANT ❑ ELECTRICAL ❑ PCVMBING ❑ MECHFNICAL � PLNG. REF.*�M � � � BUILDING � ' - ' � � ' � ' � ❑.�OTHER �. - ' • • � V INE ' REAR VARD (TO P/U • . . Addreu � r�� � �y 7 TO BUILDING Contrector's Nam � G �"/iJK _. 5 � � hone � ^ PqQIECT DESCRIPTION 5�. FT. � � /�%O � pCCUPANCV . . � � � ' LEFTSIDE YARD ' - RIGHTSIDE VARO. ' ' � Addresslmeilingl-4� ����'����� ��y C� ; CONSTRUCTIONTVPF � � _VALUATION$�..Z��/ • ' ° CiTN" OOS�� � � ZON� GRAOINGCV.VDS: �ACRFS PKG.SPACEREO. i PROVIDED _ �' License No: � ' �n � - + LICENSEO CONTRACTOR DECLARATION � � � Ramarks: ' . � - � . � � � STREET WIDTH � � , � I here0y afflrm t�at 1 am Ilcenzetl unGer provl5ion5 oT�Charter 9(commencing _ I I 'PAHK FEE $ wit� Sectlon 7000) Of DlvlslOn 3 ot tne Businau antl Profasslons Cotle, anC � ( , �: � � ! � � , � ' - . SPECIAL CONOITIONS: � ' j � - � my Ilcanseils In fyl�torce an0 efJect. . . , � � , . � - ❑unse Class � -5 C� � Llcan e N � O �7 � •' ! ' : PIUMBING : .: I ' ' � 1 . i . . . Data�-�3 �� 519natura � . W00.KER5' COMPENSATION LARATION � � � � � ' Baf Sink ' � SeVuer CBp- • . ' ' � ELECTRICAL � � � , I hereDy alflrin that I �ave a cer47flrzte of consent to selMnsuFe ar a certifl�ate � ' ' , ' ' ' � Automatic Washe� � � �. Meter ❑�ove� 10b amps � � ' of Workais'-Compensatlon IniurSnce;� or 'a-certifietl'copy tnereof "(Sectlon ` ' - Backfiow Preventer . _ . _ . ServeLCqnnection_ _ _ ___ . . . . . . _ _ _ __ _ _ 3800, Wb. ��7�� � "� � Backflow Irrigation ' Solar Collectors � ; � � Construction Pole � 'Su6 Pane��. �'�� � � Policy No. �:1'� Company '��� � � � '� - i �' Cooking Unit ' ' ' �Sub Pole .- ' - � eCertifiee coov li haroey furniznea. , . ' � ' ' j � Bathtubs Solar Piping � . � : , � , , � ; • Cery.�letl cpy y I fl tl witn the Uty B 1 Ing Dlvlsio � � Dishwasher . � , Motors �04 HP ❑1X$ � Date v'� ��S- �� AVP���nt �' ' ' , Clerifiers j j , So1ar Tank � � ' � -EXEMVTION'FROM WORKERS'�C ENSATION DECCARATION "'` '"f ' ' � � - 1 - - - Dryers'OGaS• �El2ctrit � -- ��1naSolar 09-15 HP 016-15+- •� - " (This sectlon peetl not be comD�ated� the Oermit is for one huntlratl (5300) or � � Dishwasher � � Swimming Pool w�Spa � � � less)- . , � ' ; I . � ' • . ! � � ; i i , , Fanj : � ' • •Microwave � . I certify that in tha periormanta of th6 work for,which Ihis perm�l is issuetl I f Drinking FounWiris Urinal , , :'t - shalP not amploy any perion In any manner so!as to become suEjactto t{�e . � - , . . ' � , ' Workers',Compensatlon Lawsaf Cailfomla. � � . j FloorOrains� t � • F�'0';U� ( � ' �Pole�Light ! � � � ' . . I i Wate� ClOset� i � ' � ' � ' Date ' � � <I9nature � � . � i t : - ' , Fixtures ' ' 1 Range { • • �� NOTICE: If, alter_makin9 this Eeclaralion„you ihoultl becoma subje2t to the___ .� Floo[ Sinks I ,__ _�, _� Water Heater ,. , 1 � Workers' Com08nsatlon prodsions of [hG LaDoc Code, y0u mUst fOrNwi[h ' � � D¢ViC¢ BOxCS ! � � � � ' � , comply 'with; suc� provlsionS�or �IhtS .permit shall ba � tleemetl revokeC: �_ Gas SerJice� � �Outiets `Wate� ServicC � - 'Sign, ' CONSTRUCTION�CEN�ING AGENCV � '- '- � ' • ' '� ' " - - ' ' ' � Outlets , , ' � ' i hereby a/firm that there I5 a conztructlon lenainq agency for the performance Interceptors �' � - � � I � � -Standing Sectians I o/ the �work /or w�ich mis- permit 'is �issuetl '�Sectlon �30B7 Civ. C ;. � ' ' � � � ' . . - � . � Lentler's�, Name � : • � ' ? Kitchen�Siuk� • . � ' . ' � � . � Switches , � �, � � �Trash Compactor . � � LnnCer's Atltlress' � �' � - � � - � - - . . . . � � ' ' . . OWNE0. BUILDER DECLARATION� " . � ' Levetories � �" � ' , - � �� � Gerbage Disposal i I � � I heraDy aflir�n thal I am examOt'from tha�Contractor's Licensa L.aw for lhe I - � • GEneratOr� �0-5 KW �545 KW � ' tollowin9 reason (Sectlon, 7033.5 Buslness anU Pro/esslonal Cotla:'Any eity or P-Trep� ., I�• _ �; � �, � ' � <Ounty wnich requires a permit lo cOnstrucq altei ImD�ove, Oemoilih.or repalr , � , - , , 1 . . � � I � , ' any structure; prior to Its �Issuance, also requims t�e applicant !or such permit ; Roaf; '' ' Trensformer � 75-50 KW � j Drains' �: � ' � ' '• 1 � � ' , , . � I to fllp d Slgnatl StdtBTent Shd[ ha/511¢ Is IICGn28tl O�rSUant tOIhB'prOviilOnS of ' ' " ' � ' � � ' ' ' - � � - �i ❑5U+ KW � Ihe Contractor's'Ucense Law (Chapter 9 (commencing wit� Section 7000) of � " ' � r, � ' , ' ' ' - � , � ;Reinspec[ion Fee . §75� ,'Olvlsion 3' o/ t�e Buslnass antl ProTassions Cotla�,-or� that he/she, is exempt � ShOwCrS ' I nc - f"'' ' � � Reinspection'Fee $15 ' � Sherefrom antl the' basis tor the alle9e0 exemption. Any �violation-ot Sectlon '� : . ." , ' Met2r ❑up t0 100 amps , � �laue Fee � $ 3 7031.5 by.any aDP���ant for.a permit-sub7acts'-the•apP��cant�to a Gvil �- �• '� �. � • ' ' . analty of not more t�an five huntlratl tloliari (E500). � � . ' $eivice Sink j ., , = � Issue Fee � • � 3 - - i � - - � � ,� Zoning Approvad By � ' Data �� � I,�as owner oYtha properry ormy employeas with�wages as t�eir tole � . � ; i � j 1 � . ' , . compensatlon' wlll tlo the work, antl the structure Is not Intentletl or offerea ' �, � �� !�' �' I � MECHANICAL � � � i qpplitation Appmved By � ! Date � (or sale.(Secflon 7044, BuSiness:antl Professional Cotle:.T�e Contractor'S . , , , , � � � Llcense Law tloes mt aDP�Y to an owner of a Droperty'who bWltls or improves Boilei. �� -: •• t' ��- Refrigeration System • I ' � � thereon, antl who tlols such wo�k'him5elt/he�self o� tn�ough h15 or her own ` -- ��� � � • � � Applirati00ISSUBd By � - � ' DetB "emoloy aes, proviaetl mat sueh,lmprovements are•not Intentletl or o(feretl for -• I � ❑0-100,OOOBTU ❑100,OOOBTU � � ,�---� , sa1e. If, �oweveq tha Dulltling or Improvament Is soltl wlthin one yeaKof com- � ' DuCT2 Under Ground • ; � ' ' ,� ; ' � SUMMARV OF FEES ' ' ` pletlOn, [he ownerwlll have the burtlen of proving ha/she tlld nOt bulltl Or IT- ' � � � ' ' � erovaforthapuroqseof,sale). � � . -, t � � �, i Duct-Structural � : SystemRepeir/Alteration � 'BUILDINGPERMIT $ � --� I Stv�1P , ! � $ � ,� S� lJ I, 55 owner ot tho property, am exclusively contracting,wR�dlcensetl tbn- � � � � � ' � • • , tractors to wnstruct the project (Section 7044, Businasz antl Protessions COHe: � i Duct - Ventilating � � � ' . � �PLAN CHECK. � $ � � ' PERMIT � , i The-�Contractor's-License �law does not apP�Y'to an ownlrof p�operty'who"' � � , • ' i � j � � , • � ISSUANCE , $ Culltls or Improvas thereon, antl who contracts (or such projects with a con- , Exhausf Sys[em ❑ MWtiple ��, � . 1 ; � PLUMBING i $' , . ; '� tractor(s) Ilcense pursuant to tha Contractor's License l.aw). . � ' ' !PLAN CHECK. I $ � ' � GRADING , , $ � ' �`I�am exempt unper Section � B. 6 P. C. Por thls readon � Fiiepl/Fa[L Blt. ICBO'� � � • � ' , � � � � ' � ! �E�ECTRICAL' { $ � � � ' ! $ � Date ' � � � O'wner• ' • � � � ' � � Heating System & Ducting • � � ' � � � . ' ' � MICROFI�M � $ ° ' I hereby certlfy that I hava reaq thi5 applicatlon antl state.thaLthe above. '. ,❑a100,000 BTU,O,100,0008 __._ ._ � P�N CHECKI $ � � ' , Informatlon it correct. I-agree to comply with all city ana county ortlinances � . � . �` t�� .�� ' ' � � � TOTAL�FEE j$. antl•state laws relating to builtling constructlon, antl hereby authorize repre- , . , . � . � 'MECHANICAC � $; � � , sentatives o this ;Uty, to e 8Y upo the above-mentionatl propert tor � HoOd Or Type I ❑ � � � � � . Y Rei edion Fee • $15 • . LESS � tnspection o p ses � � � _� �� . Ca�no � T e II ❑: � � � � _ , rPLAN CHECK, , $, ! . , Si9nature Date � ; ' . , � � � i � ; ADVAf�CED PC � $ n-� ,� � Drivers' � enze or 55 � � ' Registers . ' , � � laue Fee � . 5 3 , ' �, • � ; FINAL FEE � $ �:Ls]1.G� � � CMF0865=46'rev:12/82 - White=8utl0in9:�nary-APPliwnt;Gink=�Accountln9:Goltlenrotl-'Assessor '--"" -""'.' ' . " -""' ""-� " "' "i - ` __. . -. `. _... � ., . . . ._ .` . ,._ ..._. ._..,,. __ .-. � 1. . � � � � _�\ , '� • � . . . . _ . _ ._ . . . . . . _ -'_. ? � CONSTRUCTION AND PLANNING :� ,r. � :: _ � - . -ry ' :_ : _ � , ' -� � ., � POOL� &SPA : _ ' � : ,_ _ - :._Date,' Inspector: - . �Date� Inspeetor' � .'APPROVALS� Peimit# " � i : . ' APPflOVALS Permif�# _ .� . .� u . . .�_ _ . . ��i. �Tertiporary Electrical Serdice or @ole ' �. -- - � � ' � � �� ' '� * 52. -Pool,&;Equipment.Location, � � - '' � � � . _ .. ��- -- � , '2. � Soil Pipe-Undrgrnd; _ � Y -� � � - `: - ' .; � �.53;�.Steel Reinforcement � � � �� ' S3.�Elec[rical Conduit Utilitv;Undrg�nd. i ?-' : - : _� _ }54i -FormS �� - - � , - � -, `,' �4.�Electrical Conduit-Undrgrnd. =� � � - _ � - : � t � -. 55'. -Electrical Bonding . - � ' '5.1Steel, Reinforcement � , t ' , �. � ; ° � � � -' `' � _;• ` � � 56. Rough`.Plumbing & Pressure Test: . . � '6. Electrical UFER Grnd, ; � ,; � � ; � _ - '= ' -.57. :APPROVALTO COVER-GUNITE _ ' �. 7.-Footings ' � ( . . � �.� �.;� _ , � ;n ` - � 58.'EleciricalCpnduit-Undrarnrt. . • , I BJ Foundation ' . � -' - _ _' � „ • � � � . - 59. ;Gas Pipe, O Undrgmd., Test � , � 9. � Water Pipe-Undrgmd. � . � . � , ` � ', sp. `gackwash Lines, RTrap, � Undrgrnd. - ' 10. Sfructurel,Floor Sy,stem - _ � i; '-" 61.'APPROVAC-TO DECK' � 11. �� Properfy Sewer Line & House�Connection ' - 62..Backwash & ReceptorFinal = � � 12.�Sewer Cap' - �' ' � � j^ •"63. Heater &•Vent•Final ' i � 13.� Roof Drains � � , � ^ � � � - { � - : 64. "Plumbing System - FinaF � - - - � . 74.� Rough Plumbing . , v � ' - � ' - � -65. -Electrical-Final �- ' - 15.�.Rough-�Electrical=Conduit� �� -;-�-- r'----- -- - - - � � - � - �.. � , � „ � ��-T , � � 66. �Solai System-Final �� . � � .st6. RoughElecntricWiring „ I ; � ---f; i-'r-a �_',;� ��,�,-,"67'.=.Fencing�&AocessApproval � ��� � � � " � _ u `-.77 �Rough Wiring Sign' ^ . ' r, r� � • �- ° ' � t � � ^ � gg.'APPROVED.FOR PLASTERING . r � - - - ( I �. ` ' -1 I ` _ . -��8.., Rough Electrical-T.`Bar Ceiling i� �� �: �- � i ��` �- 69. ��POOUSPA SYSTEMS FINAL � - �19.; Rough, Heating & Air_Conditioning � I : i - ,i ' � : ; � � ! ' FI�RE�DEPT� REQUIREMENT _ ' : _ ' 20. �� Rough Factory Fireplace , � � I� � ' � � 1 ' �APPROVALS Permit # . �- t I � ' 21.�Ducts;'in $4ructure� �� � '� � � � � � �70. Under9round Hydro i r22.��Duc[s,�Ventilating ' r ' � ( ' � i . f � � � �7�� Product�Piping��Gas ❑Oil �`23:' Gas`.Pipe-Rough & Test. ' ' � �' � �1 ! � � 7p, Undergrourid F,IusH � � � i � �:24.' Roof Framing �� ;." �' � i ���+ ,-:' - � r �� 73. Undergmd.'Storage Tank O Gas O Oil � r i ,4� t�,. -� 25: Roof Sheathing , � � - �' ' � ' � ; � . _ ` �� , 74, Overhead Hydro ' � � � � ^26.,,T-Bar Ceiling (Structuralh& Monocoat I . � � � �'� � + � ; � � 75. Dry Chemical ' . . � �;27.' Frame and'Fleshing � � ' � � �� � ry � I . � ' � 76. Dry Standpipe �� . _ � ' 28.��� Cathing &,Siding , = , � �; ! � i ' � � � � 77: FIXED SYSTEM FINAL. . 29. Insulation� ': � � � ,� � � � j � � � i 78. FIRE PREV. FINAL .� "=,30+Drywall Nai�ing �. ' r'. I � I� �� � i j � � ; j , Noter. � . . • . ."31. Plaster Brown Coat i 1 .� ;� f- t-- �-�-- � i � �-� � - �-- - - � -�� - � -� - -- --�- - ^ �32:' Electrical Power MeterFinal ' �� � f � � � � , � �� ' � ' � - � i i � � j f - ' � : + � � � � , � 33!� Final Electric _.� ; � � ! i ' � • � � ` 34. Final iHeatirig.& AirConditioning . � j � '� j ' ; '. j � , � . ' 35. Final Gas Pipe-Test �- � .' i ' ^ `• i : !' , � � - i � i , � � � - � - . � 36. Hood,�or�iCanoPY:: -. � � : lj ^ � � i ' � ! . l , - c, j " ' �� ' � _ . - ' � - - r. 37. Final:Fac[ory Fi�eplace � � _' ' s �' i - , � � -^ � � - .1 � � � � � 38. Final�Plumbingi � i I � �j , " '. � j � � � ' i. ' ( • . . 39. Watec�Service-Final � ' � � ' j ' ' ' � � ` -� � � � � � . 40. Gas Seniice-.Final ' � j i + ' � � � ' ., , - � i � � � '.i � i - � � � i � � .. t� . ' 41. Solar�Domestic=Final , ' ' � • �., _.� � � t ---+--- -- -'- -" - - -- - ��� - 42. Backflow Preventer� � ' � -- -..._ -- � � - ---' - � -! - •- . � � . i �, � . _ i _ " , , - . 43. Backflowlrrigation: � ''.'� � z � �� `� �'i � ,� � . � -.r 44. Landscape Irrigation $ys4emr j ��� ' ; i " i - � ," � � � - � r_'� . . � . � i . . . 45. Sound-Attenuation ! � i i j � i i' • 1 � . , , , . , a ,r. i= � 46. Handic`apRegulations�� � � � ° �_ � ��! '� ' ' �' ' � ' ' , - , - ,� . i .i i i 47. FINAL STRUCTURE & BUILD,ING� ; ` a/°�- � � i ' � ; � i ; � 48. Special RequirementsiComplete� ' I �� � ��� i � - ' � i � '�•%"' � � � 49. Electnc�Release to� Edison � 1 4 � - - - - • � - � ...i� - --� -� � --r-- +-„ ; � �- ' . 50. Gas Release'to �Southem California Gas Co � ' � j ; ' � � � � , , , � II � � 51. CERTIFICATE OF OCCUPANCY I. '_ � i �_ _ __I i _i _ • , , .. No, �' � � IDate � � ' i j � ; , � i � . ,._ > »> _J_ . _� _ .. - - - ' CITY OF COSTA MESA . � . CONSTRUCTION PERMIT AppticanYs Mailing Addres� , Projat Address � Owner's Name � t'�T ohone ��-'i�`�', AHdress� �� - Arch/Eng. , Lice�sa No. Addrext Contrector'sNem AAA PL(AG- +�T� —vhoneiC��2'7 Address (mailing) , �Cicense No_ ___ _ ��%�4Q� � ' . LICENSED CONTRACTOR DECLARATION 1 �ereby aftirm t�at I am II<ensetl unCer O�ovlSions of Charter 9(CommenUn9 �wlt� sectlon 7000) 07 Olvislon 3 ot the Businass 9�4 �ole55lon5 GOEe, anG my Ilcensa Is In full force an0 affec . (� llcensa Class � C"�� Ucens N,�,� � �O L I Date -a..aQ-u'i 519natura 1.,�-� � d'^' �r \ WORKERS' COMPENSATION DECLARATION ' 1 �areDy a/firm t�at I �ave a certlflcate of consent ttl se��-0nsuro or a.certlfl�ate of Workeri' Compensatlon Insurance, or a certlileG coOY thereot (Sectlon 3800, lab. CJ �e� ��1��,^ p PoII<Y No. �Q��V+ ComDanY—.:=- ��P'"" ' Q �ertitletl copy is hareby furnishetl. —� I!i'Certitlatl copy is f11eG wit� the U[y Builtlinq DIviS�on. Date ADp���nt ' � _ . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThlssecHon neetl not ba complatetl if tha permit Is �or�one huntlratl (5100) or • Iess).. � ' • 1 certi/y that In t�e par/ormance of lhe work for w���h lhls parmit Is iisuatl 1� z�all not amploy any perian In any manner so as �o becoma sub7e<Lto tile Workeri' ComDensatlon Laws of Calitarnla. � - Da[e �ignature NOTICE: If, a/ter making tMs tlaclaratlon, you shoqltl become sub)ect to tba .` � Workers'� CompensaUon DrovlSlons of t�e Labor Cotle, you must /orthwith � comply with, such prOvislons"or this� perml[ spall be Geemotl revoketl. �CONSTRUCTION.IENDING AGENCV ' ! 1 hereby affirm that lhera Is a'con5trutUon lentling agency for t�e per}ormance o! lhe wofk Tor v.TlCh thii Dermit 15 Issuetl (�ttlon 3087 Civ. C.) LpnAer's' Name LenOer's AtlCress � - OWNER BUILDER DECLARATION � � � ' I hareby atllrm that I am exertiptHrom tho�ConVaatoYs liconso Law Tor the � follOwing r0d5011 (SOCIIOn 7031.5 Bu5I�05i dntl Pro}aSSloflal Cotle: Any clty of county which requlres a parmit to construct, attar ImOrovo, Oamolish or'ropalr any StruCWre, O�br to Il5 ISSUHntO, 8120 reqWre5l�0 applicanl IOr suc� �Brmit � to /ile a Slgnetl slatomeM lhat ho/5no iz IICOnsetl Ou�Suant to Iha provl5 on5 of , the Contractor's Llcense Law (Chaptar 9(tommencl�9,w�th Sectlon 7000) of � �ivlslon'3"of tho Business and Professlons Cotlo) or.that ho/ino I5 exempt ; therafrom antl the. Dasis fo� lhe allegetl axempllon.'Any. violatlon-ol Sactlon , 7031.5 Gy any aDPlicant for a pormit subjects tho applicanl to a" civll � enalty of not more than five.huntlroC Aollars (5500)• � ' � I, as,owner ol�the property or my amployeo5 `�'��� wagas as thelr zole . � compen5dtlo� wlll�tl0lh0 wOrk, a0tl tha St�uGtuto �S not Intentlotl o�otleretl for ulo'(Secfion 7044, Business.and�Pro/esslonal CoAe:�Tha Contractor's - Litenso L�w tloos not apply to an ownor of a propartY �o bulltls or Improves ' tneraon, antl wno does such work nlmself/herself or throu9n his or hor own � employ oas, provltled that such imvrovuments arp'not intentletl or o/leretl !or - ule. I/, hOwBver, thB bulltlin9 Or ImOrOvement IS Soltl witnin One yadr of com- � Oletlon, tne ownonwlll have the burtlen of proving do/s�e tlitl not bulltl or Im- �rova 1or tha purposa at sale). ' I, ai ownar ol tha property, am exclusivaly con�racting with Ilcensetl ton- . tractors to construct Iho Dro7ect ($attion 7044, Busi�ezs antl Professlonz Cotle: ' � The Contractor'S Litanse law does not apply to an owner of pro0arly wha Euiltls or Improves theroon, antl who contracts for such projects witn a con- � tractor(5) Ilcense Dursuant to the Contrattor'S LlcenSe Ln'w'1. ' ' � I�am exempt untlor Sectlon B, 6 P. C. for thit roason � Date _ - 1 hereby: certl Ifl(OfTdIlOf1 IS antlState lawz ' sentatives of Inspectlon our� ' Signature _ Owner hava' rea m f tnis appllcation antl state that tne above ' comply wit� all c�tY antl county orAinances . g conttruttlon, adtl her¢by aulhorize reDre- ,upon lne above-mentionaG Oroperly for Date�� to flll In all spaeaf e:cepl those within �aary EorGar Ilnei an0 sign all aoD�oorlate Caelantions. �� . .�j C) ry : .7 I : _ - -' , I — . I -- - � o / TVPEOFCONSTHUCTION NEW ADD� ALTERATION REOAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _DESCRIPTION OF WORK TVPEOFPERMIT GRADING FOUNDATION STRVCTVRAL ❑ T,ENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ UTHER . � PRQIECT DESCRIPTION 5�. FT.' OCCUPANCV CONSTRUCTIONTVPF VALUATION S ZONp GRADINGCV.YDS. ACRFc Remarks: . ' ' - Bar Sink . Sewer Cap Backflow Preventer � � Sewer Connection Backflow Irrigation Solar Collectors � Bathtubs � ' $oler Piping , Clarifiers � � Soler Tank - ' Dishwasher . . Swimming Pool w/Spa rinking FOuntains loor Drains, IoorSinks . as Service � .Outlets rterceptors • � - itchenSink �� • ' � j Roof Diains' - Showers ' Service Sink ' " Boiier , � r_ Duct - Under�.Gn Urinal Water qoset Water Heater Water Servica � ' � � - ReinzDection;Fee $15 � ' laue Fea S 3 . MECHANICAL Refrigeration System . ,� ❑0-100,OOOBTU ❑100,OOOBTU Exhaust System ❑ Multiple ❑ Firepl/Faet Blt. ICBO # Heating System & Ducting ' ❑6100,000 BTU 0100,OOOBP Hood Or.Tvoel ❑ , Drivers' lJcense or 55 � I IHegisters ' CMF 0865-46 rev. 12/82 Whita - BuilGing; Cdndry - APP����t: Pink - ACCounting; GOltlenrOC - ASSGzsOr � Reinspection Fee $15 laue Fee • S 3 � 20N A.P.qW FLNG. REF.�M TO BUILDING PROPERTV LINE LEFTSIDE VARD PKG.SPACE RE�. ' STREET WIDTH � ' SPECIAL CONDITIONS: �v�wasnar � �, ryers ❑Gas ❑Electri� an .A.U. /�-. v. ix[ures �� evice eoxes • Garbage Disposal ' . Generemr �0�5KW 05-15KW Transformer �15�50KW � ❑5U+ KW Meter ❑up to 100'ampe � 2oning APProvad By ApPliwtian ApOroved BY . BUILDING PE�RMIT PLAN CHECK ' PLUMBING PIAN CHECK ELECTRICAL PLAN CHECK MECHANICAL �PLAN CHECK 61.I�; , u/t^/. 7oC T, 20NE BUILDING REAR VARD (TO P/U RIGHTSIDE VARD . � PROVIDED ' ' PARK FEE $ ELECTRICAL .Meter �werlODamps Sub Panel Sub Pole Morors �0 InC.Solar [ Microwave Pole Light Range . -- HP LJ7'h-8 �15 HP 016-15+ Tresh Compat[or � ! � ' Reinspection Fea � � SUMMAqV OF FEES � $ SMIP $ PERMIT a � � ISSUANCE $� . . GRADING $ $� MICROFILM $� TOTAL FEE $ . LESS ADVANCED PC , , , FINAL FEE 0 S15 � S'CONSTRUCTION AND"PL�ANJ���I G�_��� � � ' . �, ' .- .- � POOL & SPA - . - ! ` � �7(}(,�(�']- .Date�� Inspector � - - _ ` - ' " • ` Date �rispector •APPROVALS � Permit;#��_i- � APPROVALS� �Permit#�- ,,1. � emporary Electrical Service or Pole �, �' �"52=' Pool & Equipment Location � � 2: ;Soil Pipe-Undrgrnd. , s -� _ - � . , � � � 53� Steel Reinforcement � � � , � � 3t Electrical Conduit Utilitv-Undrgrnd. �' � " � �54.� Porms ' � � '. 4: Electrical Conduit-Und�grnd� -_ . 55.� Electrical Bonding �� - 5�. Steel �Reinforcemertt �,'� � -- � _ '_ - � "� 56. Rou�h Plumbing & Pressure Test � 6. Electrical UFER Grnd. � � " . 57:� APPROVAL�TO COVER-GUNITE- � � , 7. Footings � -• ` - � 58.' Electrical ConduibUndrar�d. . 8. Foundation ' " � � 59. Gas Pipe, ��Undrgrncl., Test � . 9. Water Pipe•Undrgr'nd. � �- . , ' 60. Backwash.�Lines, P-Trap, O Undrgrnd. 10. Si�uctural Floor SYstem � , 61. APPROVAL TO DECK 11. Property Sewer Line & �House Connection � - 62. Backwash & �Receptor-Final - � � 12. Sewer Cap � '� " " � � �� ' - 63. Heater & Vent-Final I. 1 13. RooflDrains � � ��` _7 � � , - � �64, Plumbing System - Final .• 14. Rough Plumbing ' . � � - ' 65. Electrical=Final� � ' n � ,; 15. RougKElectrical-Conduit" �""" . -- " - ' -� -- f- �- �- -66.� Solar System-Final � � � ''-16. Rough-Electric Wiring. < � � -- ' , ' � �. ` }- � 67.; Fencing'& Access �Approval - � � �' - 17. RoughWiring�$ign�? - • � _ ' • , ' . 68.� APPROVED FOR PLASTERING � �r "�16. �Rough Electrical-T Bar Ceil�ing' ' - � 69. POOL/SPA SYSTEMS FINAL " 19. ,Rough Heating & Air Conditioning � � , - � FIRE DEPT. REQUIREMENT ' �0. ;Rough Factory, Fireplace; ; � �� � ; '� � APPROVALS � Permit # � � . '� 21. Duas,.in Structure � � � ' , + � � . 70.; Undeiground Hydro � �'22. Ducts, Ventilating '' � .�' , � 71:. Product Piping O Gas ❑ Oil �� ��23. �Gas Pipe-Rough & Test ;+ :'� i � 72. Undeiground Flush � � ' 24. Roof Framing- � � - � • � - . , 73. Undergrnd. Storage Tank � Gas ❑ Oil �t 25. Roof Sheathing . ' � � , � � � � ' 74. Overhead Hydro � -26. T-Bar Ceiling (Structural�. & Monocoat � � �. � • � 75. Dry Chemical � � 27. Frame and Flashing . � � � 76.' Dry Standpipe �: � - "• 26. ,Lathing & Siding . � . I � 77. FIXED SYSTEM �FINAL � ` � 29. 'Insulation , � . � ! ' � �, ' 78. FIRE PR.EV. FINAL � � 30. �Drywall Nailing � � � � 'Notes:1 � `_ i�31. Plaster Brown Coat ; � � , . , � 32. Electripl Power MeterFinal ' � ' � � i - " 33. Final Electric � �� � � i � � 34. Final Heating &�Air Conditioning � i � � 35. Final Gas Pipe=Test �� _ _ � .' - . ' . ' 36. Hood or Canopy � , �- • ' � � � � � ' . . � 37. Final Factory Fireplace'- , . � - � ' � ' � � • _ , 38. Final Plumbing � ; , � . ' � � � _ - . � i 39. Water Service-Final, � , - � � � � ' ` � ' � ' ' � � , , 40. Gas Service-Final � ' ' � � � , � � � 41. Solar pomesticFinal � � '' _ _ ; _ _ • _ i _ _ ' _ � _ �� 42. Backflow Preventer - ! � ; . , 43. Backflow Irrigation' � � ' � - � ' � ' � � . i - , , 44. Landscape Irriqation System � �' - ' - ' • � � � - c 45. Sound°Attenua,t',ion `. . � � ' ' �� ' � � i -,'. � � 46. Handicapfiegulations �� ' ' �� �' � --I � ' , I � � . • _ � 47. FINAL STRUCTURE & BUICDING ' � � ' � � � � ' 49. Special Requirements Completed � I � . ' ' � � � i 49. Electric Release to Edison .' . __ _. _. ' . . . , . , , 50. Gas Release co Southem California Ga's Co �! � (' • � � 51. CERTIFICATE OF,OCCUPANCY _ _ ' t .. _ _ __. , : � No. � Date • • i � � ' TYPICAL Cement Coping Opfional = Channel Block With I-3/8 � 0 Horizontal Top of all Fences 6° Concrete Block Fence For Fences 5'or Less S Vert. Bors 3/8" 0 at 4'-0"0. For Fences Higher Than 5� = Vert. Bars 3/8" 0 ot 32� O.C. Provide Inspection and Cleanout Nole at Location of Vert. Reinforcement ¢ FII Cells Solid With G►out— Where Steel Occurs TWO 3/8�� D CONTINUOUS STEEL MUST 8E TIED IN PLACE AT TIME OF TRENCH INSPECTION. . 6�� CONCRETE BLOCK FENCE GENERAL- NOTES MORTAR: One Part Plastic Cemflnt, and Three Parfs Sand GROUT: One Pmt Cement Three and One Holf Parts S�and COPING: One Part Cement, Three Parts Sand CONCRETE: Well Mi:ed 1:2-I/2:3-I/2 Max. of 7- I/2 Gollons of Water Per Sock of Cement REINFORCING STEE� SHALL CONFORM TO SEC. A-i5-39 A.S.T. M. ALL STEE� TO LAP WHERE SPLICED, 2-0� MINIMUM. GROUT MAY BE POUREO FROM TOP OF FENCE IN CELLS WHERE STEEL OCCURS. HOLES SHALL BE CLEAR,CLEAN, AND FREE OF ALL MORTAR, DEBRIS, ETC.,WITH INSPECTION HOLES AT BOTTOM. BONDS SHALL BE PROVIDED BY LAYING BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. DEPTH OF EARTHTOOTH I/3 THE HEIGTH OF FENCE BELOW BOTTOM OF FOOTING. SCALE: I/2��= I' CHART HEIGHT. . . . . . . . . .6'. . . . . . . . . . . . 5�. . . . . . . . . . . . 4' . . . . . . . . . . . 3� ... WIDTH . . . . . . . . . . . . . . .14° . . . . . . . . . . .14�: . . . . . . . . . . . 12". . . . . . . . . . . 12�� THICKNESS . . . . . 10'�. . . . . 10'� . . . . . . . . . . . 8��. . . . . . . . . . . 8" DEPTH OF EARTHTOOTH . . . 24" . . . . 20�� . . . . . . 16�� . 12° . . . SPACING OF EARTHTOOTH. . 12� . . . . . . . . . . .14� . . . . . . . . . . . 16�. . . . . . . . . . . 16� City of Costa Mesa, California Building Department FORM BU2!-2M�0�02 OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ JOB ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ - _ PERMIT NUMBER:_ _ _ _ _ _ _ _ _ _ _ _ _ _ SIGNATURE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ STRUCTURAL APPROVAL p;��y _'._---- — $EPARA7E PERMITS ARE P.�'���^-p fOR ELECTRICAL, P' 11•� � � HEATING, VE171� ';; �� , !p � aEiRiGERATIO;! ,:�q;i PG�➢� # `� ��/ THIS CUiti,B�R �' �;T .,L��,,; �;�i}Y ALL 1�'$PECTIO�� ;;EQIJESTS FOR BUILD1iJ5$ „ri� ._ ��„S�;:S AAE Tp � BE EP.�iPlOYED, l7E s.�._�, 7�{:,7 THf STpiE OF C. L�'r� i: A 0::451pN OF i INQUSiRiAL S=fEi; .7- C,;,,»LiED FOR ADDliIONkI REqUi'Ep,fEN7S. � \ D7;�px �osra AP City of C� 1�� f �j`,� THESE PLANS MUST 8� ON JOB AT ALl TIMES MAKE NO CHANGES WlTHOUT PRIOR APFROYAL OF DEPT. TNE ISSUANCE OR GRANTiNG OF A PERMIT OR APPR04AL OF plAyS AND SPEpFICATIONS SHAIL N6T BE CONSTRUED TO BE A PERt.11T FOR, OR AN APPR�YAI OF, ANY YIOlATION OF ANY OF THE PflOYIS10NS OF iNiS CODE. NO PEflMIT PRE• SllMING TO GIVE AUTHORITY TO VIOIATE OR CAO ,El THE PROVISIONS OF THIS :ODE SNALL 8E VAU0. IXCE T IN SD FAR AS THE WORK OR SE WHICH IT AUTNOftIZES IS WFUL 1HE ISSUANCE F A PERldIT BASEO UPoN PLA 5 ANO SPECIFICIVTIONS SHALL IOi PREVENT TH£ BUILDING 0 FIf,IAL FROM 171EAFAtTER REQ IRING THE CORREC710N OF E ROFS IN SAID PIANS AND SI ECIFICATIONS OR FROM PREVE �TING BUII�ING OPERATIONS 8 IN6 CARRIEO ON iNEflEU� Fa " IN VIOIAiIOfl OF THI� `^tl ^, . UR ._�l:F nE510ENC� $TREE� � OWNER WFST� I�N DATE JOB ADDRESS P9S� SACATAIIBR AVPTtl]P BUILI UL1 SUBCONTRACTOR PROP. SWA. LINE �J HOUSE SPRINKLING SVSTEM MISCELLANEOUS OUGM HEFTING ANO �IR CON TEMPORANY SENVICE OR POL UN�ERGNOUNO � POWER ROUGH WIAING THENCHES FORMS FLOOR SYSTEM BOND BEAM � �STEEL RE SHEATHING FRAME AND FLASXING LATNING - IN ❑ OUT � PLASTER, BROWN LOAT STRUCTURAL, FINAL NEATING, VENT., REFRIG. A� PLUMBING, FINAL AN� GAS T ELECTRIC, FINAL BllIL01NG. FINRL 4�392 PASO ja irir**4 JUL 26-77cwsa�02916 • 5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 P CA ON FOR STRUCI'URAL PERMIT For Applicant to Fill in Completely — Use Ink Only R c i eo DATE RECEIVED T uE e�i�oirvc .�_ ADDRESS � � Q��, / ^ PERMIT NO. OWNER A.P. NO. � MAIL BUILD�NG /A' � fO �J ADDRESS �+ODRES$ �NL // TEL. TFACT LOT BLOCK CITV NO. CONSTRUCTION W A LENDER eFANCH � � OWNER ADDRESS �/ - , fJ�� � VAW$ � �- ARCHITECT TEL. S Grl OR ENGINEE � fIRE ADDRESS ZONE VPE GROUP APPRO EO CONTRACTOR BV DATE ' ADDFESS TEI. ZONE NO.OF USE OF NE � CITV NO. � PLANS BUILDING'� STATE CITV YARDSAPPROVED YARDSAPPROVED LIC. NO. IIC. NO. MAIN BUILDING ACCESSORV BUILDINO SI2E NO.OF 8LOG5. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT FT. USE OF EXISTING BLOG. SI T F c Separate permits are required for L SIDE F� Ff' elec[ric, plumbing and heating work. .� ^ REAR FT. USE OF BUIIDING AN� WORK TO BE PERFORMED O4STANCE BET. Ef. MAIN & � MAIN 8LDG5. ACC6S. BLOGS, VAR.qW DATE C.U.P.� APPROVED APPROVE ��/ 1 heraby acknowlatlpe t�at I hava raetl tAl� applleetion ond state t�at tho ebova Informetion Is <orrocT entl a0rea to comply wIM ell lawt rapulotinp bulitlinp conRructlon, antl I ahell not omploy ' any perwn in vloletion of Ma workmen'� componteNon lew� of tha Smta of Caiifornle. I hereby cartify that I em O�ope�ly IleanaaC es a eonttector untlar Sd. FT. tha Stata of California Bu�ineu entl Profanion� Cotla, Olvl�lon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ChaDter 9, entl that �uch Iicansea era In full foree antl offaet, or I TME PURP06E OF ESTABLISHING A PERMR FEE O em exempt from Ma provlatonf oi t S[ata af CelHornla Bu�ineca VALVATION PERMIT FEE E ontl Profe�sion� Cotle, Dividon 3, Chep 9. ��./� � O- PLANCHECK S Slpnetur o w ^ �� Pormltte � p ��j1 TA% S Authorized AOant TOTAL PAID S � s� :f � ='� �'� `�'"' � AUG 7 _t959 COSTA MESA BUILDING-SAFETY DEPARTMENT •����-�����t 1+�.�1; P.O. BOX 31] COSTA MESA, GALIFORNIA � .' . fOR APPC/CANT TO F/LL /N COMPLfTELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADORESS 2953 Jacaranda Avenue COSTA MESA, CALIFORNIA FOR OffICE USE ONLY I PECEIR NO. I PERMIT NO. OWNER Adams Acres, Inc. AODRE55 4�/ E• ��lill Sp• RECEI EDBY DAT E<FJVEo" 'GA�6��B�SUEI /�, 1!k/_y_ I.i / 1`� flltP � 1f ... y �. cirv Costa hSesa TNo:LIBll BUILDING ADDRESS ARCHITECT C3T`ZSOri Sc ���• COSTA MESA, CALIFORNIA Oft ENGINEER NO. nooREss .. Garden Grove ZONE �'� h�'f" coN D]k o& Colegrove� Iric.Lc No 167293 APPROVED BY DATE ADDRESS �F�-] F+• 17tik1 Ut• riOS�.$ Mesa ZONING. LEGAL LOT ZONE INO.OF ' IUSE OF NEW DESCPIPTION I�o. 135 ( BLOCK ITRA(.'T PLANS � BUIL�ING A.P. NO. i1PPROVEO BY DATE OF LOT 6O X 11 �O. OF BLDGB. I�ow orv �ot O REQUSRED ALLOWED USE OF (GENTER LINE 6T.1 }�`�.� EXISTING BLOG. FRONT lJ v �, IN. SETBACK LINE FROM T I ccN1eR or staEEi ��- REAR VARO 33, R. SIDE FT. IN. SIDE YARD ILEFT l' IRIGHT Si L.SIDE � �- IN. DESCRIPTION OF WORK REAR FT. IN. NEW I g II ALTERATION I II ADDITION I REPAIR I IIMOVING I IIDEMOLISH I SZ'EDING 145o ROOMS � STORIES 1 EXTERIOR WAL�.tuCCO I ROOF gh].71 le COVERING COVERING [�i USE OF Bl11LDING AND WORK TO BE PERFORMED Sin le famil residence with attached garage. I HENEBY ACKNOWLEDGE THAT 1 HAVE HEFD THIS APPLICATION AND STATE THAT TME ABOVE IS CORNECT AND FGREE TO COM- THE AMOUNT BHOWN UNDER VALUATION �8 FON THE PLY WITM ALL CITY OHDINM1NCES ANO STA COU�qTING PIIFPOSE OF E9T4BL18HING A PERMIT FEE ONLY. BUILOING CONSTNIICT N. _ VALUATION �] SIGNATURE OF � / PERMIT FEE $ /��� PERMITTEE ry ( 't. $ L+,552 PLAN CHECK $ 1(��� AUTHORIZED AGENT D1ne & Colegrove� j11G r TOTAL FEE S �Z.00