HomeMy WebLinkAbout718 JOANN ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 •�+�ci.costa-mes���DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 71H JOANN ST
Suite:
Vicinity: ROOF
Primary Occ: R-3 Dwellings/ COng Res <10 Type of Cons�ruction: V-N
Parcel Number: 42237114 Zoning:
Applicant: MOLLISE, DANIELLE
Add�ess: 7653 SUPERIOR AVE
COSTA MESA, CA
owner: BROWN, DENNIS E TR
Address PO BOX 4004
MAMMOTH LAKES. CA
Contractor: LEE ROOFING OF COSTA MESA
Address: 1653 SUPERIOR AVE
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Zip:
Phone:
License:
Phone: 949-642-7222
Zip: 92627
Phone:
Zip: 93546
Phone: 949-642-7222
License: 349686
Eng:
Address:
Stalus: ISSUED
Applied: O4I18/2006
Issued: 04/182006
ISSUED BY: �
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTAL4 1 LAYER 30# FELT, CLASS A, 20 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS
NEEDED.
FEE SUMMARY
Plan Check: $0.00
Permit: 513925
SMIP Res: $0.69
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.94
PLANNING 8 ZONING
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0-0
PARKING Existina: o
Rear 0. 0 Lefl 0- 0
Rear 0.0 Lek 0-0
Reauired: 0 Pr000sed: 0
Calc Valuation: ss,e�a.00
Claim Valuation: se,sia.00
Right 0- 0
Right 0-0
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under Calilornia statutes and related
regulations. (Ord. No. 92-28, § 7, 1241-92)
EXPIRATION: This permit shall automatic211y expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period ol 180 days.
INSPECTIONS: In order for the work autNorized under this permit to be considered legal, such work must comply with all applicable codes, antl all
raquired Inapectlone and (inal epprovel rrws� be obtained. Failura to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�..o- o �aH,�
WORKERS'COMPENSATION DECLARATON: ' �
I hereby eMirtn under penalry of perjury one ol tha following tleclarations: �
❑ I heve antl will maintain a cenilicete of W�senl to sell�lnsure for workere' compensation, as proNtled lor by section 3700 0l the Labor Code, for the peAortnanca of the
wark far which this permit is issuea.
L I:have end will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Cotle, lor ihe peAortnanca of the work for which this pqrmi[ is issuetl.
My workers' co pensation Insurance cA�ne� enA policy num6er ere: 1 _
�Cart(ec �� �—\l�[j �Iicy.Number.. 1 �I�.V��i` n— �(�Cl�]_
(lhis section need nat be canpletetl ii fhe perm�� is ve/ued al are huntlred tlollars ($100) or /ess.)
❑ I certity that in tha peAormance ol tha work lar which 1�i5 pertnit is issuetl, I shall no� employ eny person in any menner so es to becoma subject to !he workers'
compenution lews ot Celifamia, enA ep�ae that i� I shoultl Decome sublect to the workors' compensetion provislons oi Section 3700 oi the Labor Cade, 1 shall torthwith
complywithlhese a �
Appilcan(Signature: ����.�P� �� '—. r-Dete:.. L�/ �S(/(1 �-
W ARNING: FAILURE TO SECURE WORKERS' COMP��T10N NVERAGE I$ UNLAWFUL AND SHALL SUBJECi Ml EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
TNOUSAND DOLURE R��.�I.IN ADDRION TO TME CQST OF CONPENSATION, OAM4GES AS PROVIOED FOP IN SECTION 3]OB OF THE IABOR CODE, IMEREST, AND ATTORNENS FEES.
LICENSED CONTRACTORS DECLARATION:
aNirm �hat I am licensed under provis�ons of Chapter 9(commencing with Section 7000) of Olvision 3 oL�he.Business entl Professions CoOe, end my license is in lull
i enea. uc. a -',�I�i l r a (aass a— '�'— 3 r
ors Signeture:�0./,/� �Y �� �-Date:_ C� I ff%Ulr
CONSTRUCTION LENDING AGENCY:
❑ I hereby aMirtn that Ihere is e consiructio� lentling agenty lar the peRormance ot the work for which ihis permit is Issued. (Sec. 3097, Civil CoOe).
Lentlef5 Name: Lentlor'S AOdro55:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby etfirtn thet under penalry ol perjury t�el 1 em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor Ihe lollowing reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a pert�i� to wnsiruct, altar, imprave, tlemolish, or repair any structure, prior to its issuance, elso requires the applicani tor such pertnit
to tile a signed statement Ihat he or she is IIcB�seA pursuant to the proWsions oi the Contractors License Law (Chapter 9(commendng with Section 7000) ot Division 3 oi the
Business antl Professions Code) or t�at he ot she is e:empt theretrom and ihe basis lor the alleged ezemption. Any vloletion of Section 7037.5 by any appliwnt }or a pertnit
subJects the applicant to e cMl penalry of not more than live hundred dollars (5500).):
❑ I, as owner ot the pmperty, or my employees with wages es their sde wmpensaiion, WILL DO THE WORK, entl ihe sirucwre Is not intentlad or otteretl br ule (Sec.
7044, Business entl Protessions Code: ihe Conirectors License Lew does not apply to en ownar of properiy who builds or improves thereon, and who dces such work
himself or hersell or through his or �er own employees, provided that such improvements are not intended or oHeretl for sale. If, however, ihe buiiding or improvement is
sold within one year ot completion, the ow�er-builder will heve the �urtlen ol proving that he or she did not build or improve tor purpose of ule.).
❑ I, es owner oi ihe propetly, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the projact (Sec. 7044, Busines5 and Professions
Cotle: 7he contractors License Lew tloe9 �ot flppty to en owner ol propeny who builds or Improves thereon, antl who contracts for suc� project with a contrac[or(s)
license pursuam to the Contractors License Lews.).
❑ I am exempt under sec. Business antl Professions Code lor this reason:
Signature: Date:
Owner ID venfietl by tlAvels Iicense. ❑ Yes ❑ No Orivers License No. Expires:
Venlication ol Ownership by (type oi daumen�. i.e. - pmperty tax bill or tleed�:
DIVISION OF INDUSTRIAL SAFETV PERM17 CERTIFICATION:
❑ I hereby cetlify that no excavation five (5) or more feet in 4epN into which e person is requiretl to tlescand, will be matle in connection with work authorized Dy this
pertni6 end ihat no builtling structure, scaHolding, lalsework, or demolition or tlismentling Ihereof, will De more ihen lhiny�six (36) leet high. (C�ep. 32, Grp 2, Art 2, Sec.
341, TiUe 8, Cellfomia Adminislrative Code).
❑ As owner-�uildar, I will no� employ any0�e to do work which woultl roqWre a permlt Irom Ihe Division of Indusirial Sefety, as noted ebove, unleu such persan has e
permit to do such work from Ihe division.
Signature: Data:
Divislon of Intlustrial Safery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUTMOp�nON OF ENfRY: I cenity unGer penalry ot perjury ihat 1 heve read this application and state thai the intormation given is
correct. I agree to compty wlt� ell state laws enC city artlinances rela�ing to building construction, antl authodze representetives ot the Ciry of Costa Mesa to enter upon Ne
ebove-described property tor inspeciion purya5es. I egree not to occupy or ellow occupenty al eny building authorized by this permit until tinal inspection.
Signature OLLe al Owner(s)
�.Mtl/O[Aut�orizetl Appliwnt
CODE 1. INSPEC710NTYPE
1616 Fixetl System Final Flre Preventlon
1266 Pool Spa Final
200 Finel Re-Rool
201 Finel Block/Retaining Well
202 Finel Factory Fira Placa
203
204
Finel Sign
Finel Demolilion
GdIE It�Lfl
7 L �-o �
COOE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plum6ing
210 Final EleMrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Sile
250 Final Building/Occupanq
D� 1[�E4S
ADp���ant to fill in all spaces except tnose within heavY Ooreer Ilnes an0 sign a11 appropriate tleclarations.
GTV O�F�COSTA M n CONSTRUCTION PERMIT P�R �T NO TRACT NO LOT NO �UNIT NO
� Project Address �
: Applicant'sMailin ddress.
Owner's Na e Phon '
Address %a
Arch/Eng. License No. —�/J( n�/4
Address �.r7/ `7 /JJ
ConVacmr's Name
Address (mailing)
City License No _V2
LICENSED CONTRACTOR DECLARATION
I hereby affirm [hat I am Iicensetl untle� provi5ion5 ot Chart¢r 9(commencing
with Section ]000) f �ivi5ion 3 of the Business antl Prof sions Cotle, antl
my license is in ful force fect.
License ss P�s `o.
Oate Si9na[ure �
WORKERS' COMPENSATION OEC ION '
'�ereby atfirm that I have a certificate oi consent to self-Insur or a certificate
� Workers' Compensation Insurance, or a cerU(ietl copY hereof (Section
l0, Lab. . /���/�7�
( Polic No. ���'�[L� Company �
er[ifi¢tl mpy is hereby fur ishetl.
CejY tl y i�}� tl with the cit iv' i �
pate • ���if�L_ Applicant
EXEMPTION FROM WORKERS' COMPE N DECLARATION
(This 5ection neetl not be completetl if the perm� is fo� One huntlretl ($300) or
less).
1 certify that in the per(ormance ot the work for which this pe�m�t i5 i55uetl, 1
shall not employ any person in any manne� so as to become subject to tne
Workers' Compensation Laws of Calitornia.
Date Si9nature
-NOTICE: If, atle� making this Ceclaration, you shOultl become 5ubject [o the
Workers' Compensation provisions of Ne Labor Cotle, you must torthwith
comply with such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENOING AGENCV '
1 hereby affirm�tha[ Nere iz a construction lending a9ency (or Ihe pertormanc¢
ot the work tor which this permit is issuetl (Section 3097 Civ. CJ
Lentler's Name
Lentler's Atltlress
OWNER BUIIDEN OECLARATION �
I hereby affirm that I am exempt frOm the Cont�actor'S LI[en5e Law fo� the
following reason (Section 1031.5 Business antl Professional Cotle: Any city or
county which requires a permit to <onstruct, alter, improve, tlemolish or re0air
any structure, prior to its issuance, also requires the applicant for such permit
to tile a signetl statement that he/she I5 IicenSetl pur5uant to the provisions ot
the Contracror's License taw (Cbapter 9(mmmencing with Section �000) of
Division 3 ot the 8usiness antl'Professions Cotle) or that he/she is exempt
`^ref�om antl the basis fo� the allegetl exemption. Any violation of Section
l.5 by any applicant for a permit subjects the applicant to a civil
dty of not more tnan five huntlretl tlollars ($500).
u I, as owne� of the property or my em0loyee5 with wages as their sole
compensation,'will tlo the wo�k, antl Ihe stru<ture is not intentletl or otteretl
!or sale (Seciion 7044, Business antl Professional Cotle: The Con[ractor's
License Law tloes not apo�Y to an owner ot a properry who builtls or improves
thereon, and who tloes such.work himself/M1erself or througM1 his or her own
employees, provitletl that such improvements are not intentle0 or offeretl tor
sale. It, however, the bulltlin9 or improvement is Saltl within one year o( com-
pietion, the owner will have the burtlen ot provin9 he/she tlitl not builtl or im-
��ova for [he pu�pose of sale).
I, as owne� of the property, am exclusively coniractin9 with IicenSetl con-
t�acto�s to mnstruct the ptoject (Section ]044, Business antl Profe551on5 Cotle:
The ContractoYs License Law tloes mt appty to an owner of property who
builtls or �improves thereon, antl who contracts for such projects with a con-
tractor(s1 iicense pursuant to Ihe Contractor's License Law). 1 am aware that
proof of theii Wo�ke�'s Compensation insurance shoultl be provitletl to me.
❑ 1 am exempt untler Section B. & P. C. for this reason
Date' Owner
certify that I 1}�ve reatl thix application antl state that the a
�n is mrrett. I/dg�ee to cQe*�ply with all city antl county ortlin:
Si9nature
Drivers' L
���a6
TYPE OF CONSTRUCTION NEW ADD ALTERATIOfJ REPAIR -
�-0 CONVERSION ❑ DEMOLISH ❑ OTHER A p # �
'DESCRIPTION OF WORK/USE OF BLDG. '
� J� 5 Main Building:
TYPEOFPERMIT GRADING ❑FOVNDATIONJuSTRUCTURAL • T Front �
❑ TENANT. ❑ ELECTRICAL ❑ PWMBING ya MECHANICAL B Rear
❑ OTHER %r
PROJECT DESCRIPTION SQ. FT. ocCUaANcv C Right.
CONSTRUCTIONTYPE , VALUATION.$ g Left
ZONE� GRADING CU. VDS. ACRES p�ng. Ref. #
♦
Remarks:' . ' ' Planning Notes: \
. -+
Sink
Preventer
Irrigation
Drinking Fountains
Floor Dreins
Floor Sinks
Gas Service Outlets
Interceptors '
Kitchen Sink � �
Lavatories
P—Trap .
Roof Drains �
Reinspac[ian Fee � $15
Boiler
Duct-UnderGround .
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact BIL ICBO #
/ �H ating System & Ducting
6100,000 BTU 0100,000
peinspectian Fee � $15
CMF 0865-46, rev. 30/84 White - Buildin9: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Pipin9
Solar Tank
Swimmin9 Pool w/Spa
Urinal
Water Closet
Water Heater �
Water Service
A uto-W ash
Issue Fee
Hoodor Typel ❑
Canopy TYPe I I ❑
� 0137 I/13/87
Zone
� Accessory Building:
Parking Req./Provided
FEES
„ �, ELECTRICAL
- Automatic Washer , Transformer ❑ 15-50 KW
� � Construction'PoleSub. ' � ❑ 50+KW
Cooking Unit . Meter ❑up to 100 amps
Dishwasher Meter ❑over 100 amps
- Dryers ❑Gas ❑Electric Sub Panel
Fan � Momrs�0-iHP�iX-8
' F.A.U. � � � Inc.Solar 09�75 HP �16-75+
Fixtures ' � Microwave ' �
� � Device eoxes Pole Light
Outlets Range
Refrigeration System
❑0-100,000 BTU ❑100,000 BT
Sys[em Repair/Alteration
Fire Dampers
Registers
$ 3
FEES
Issue Fee � $ 3
Switches ' - " Sign
Garbage Dispoul Standing Sections
Generator �0.5 KW �5-15 KW � Trash.Compactor
Fee �$15 � � luue Fee
DEVELOPMENTSERVICESRE�UIREMENTS:
Zoning APProved By
Building Approved By �
Application Issued By
%o��
FEES
$ 3
B
e
SUMMARY OF FEES .
BUILDING PERMIT $ SMIP � � . $
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $•�
PLAN CHECK'� 25% $ ENERGV P;C. $• "
ELECTRICAL $ �GRADING $
PLANCHECK 5Q'� $ MICROFILM� 3
MECHANICAL $ � . TOTAL FEE $ � '
PLAN CHECK 25% $
2
O
N
I
N
G
R
E
Q
M
T
S
CONSTRUCTION ANDPLANNING POOL&SPA .
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
i, Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical 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. Structurai Floor SYstem � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final �
13. Roof Drains 64. Plumbing System - Final �
14. Rough Plumbing 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval . �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS 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.StorageTank OGas ❑Oil .
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL �
29. Insulation 7S. 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: �12,(��'7 L,�"iFl`- �.QQ.f�
34. Final Heating & Air Conditioning .--� Z.�o-Y6 CAnGf�, Qp,t /�R2 302.D �UYqC. LL�D, •
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory Fireplace � ; . �
��
36. Final Plumbing 4
39. Water Service-Final � '
40. Gas Service-Final . '�
41. Solar pomestic-Final ' "
42. Backflow Preventer ' �
, 43. Backflow Irrigation � �
44. Landscape Irriqation 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 -;ti. s.
No. Date � � �.�
AOC���ant to fill In all spaces excepl those wit�in �eavY bo�Ea� Iines anE si9n all dpP�oD��ale tleclarations.
CITY QF COSTA MES CO STRUCTION P RMIT PERMI O�� � TRACT NO. LOT NO. UNIT NO. A P�y 2one
-Project Address _ S Main Building: Accessory Building:
Applicant's Mailin Address � TVPE OF CONS7RUCTION r�EW ADD ALTEan71oN aEPAIR E Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0
Owner's Name �-5 Phone � DESCRIPTION OF WORK/USE OF BLDG. A Rear N
Addreu
TYPE OF PERMIT GRADING VNDATION STRVCTVRAL I C Right N
Arch/Eng. License No. � K G
Address � TENANT ❑ ELECTRICAL PLUMBING ❑ MECHHNICAL � g Left R
//y� ❑,oTHER Ping. Ref. # Parking Req./Provided E
Contracto�'�ti=m= _1���5 �V%% � PhoneLl��� Q
PROJECT DESCRIPTION SQ. F7. OCCUaANCv Plannin
Addresslmailingl__�.i _//�)nn(A� 9Notes: � M
CONSTRVCTIONTVPE VALUATION$ ,� . �.
City LiCense No. 20NE GRADING CU.YDS. ACRES $,
LICENSED CONTRACTOR �ECIHRATION (`
I hereby al�irm [hal 1 am licensetl untlEr p�ovi5ion5 of CM1arte� 9(ComTencing Remarks: r �� � J � ��
with sectlon ]000) of Divislon 3 of the Business antl Professlons Cotle, antl
my Ilrense is In /ull f e effect. ^/7/ S n ` ELECTHICAL FEES
^ Licen ass — LI �en e No(a� V � PLUMBI FEES />utomatic Washer Transformer ❑ 15-50 KW
Dale $i9nature
WORKERS COMPENSATION DECLARqT10N Construction Po12Sub. � 50+KW
I hereby atfirm tnat I have a certificate of tonsent to self-Insure or a certiticate Bar Sink Showe�s
` Workcrs' Compensation Insurance, or Cookin Unit Meter ❑u ro100am s
a cer��yLL(({letl copy thereof (Sectlon 9 P P
O o, Lae. C.)�j,/`///� ���`Ue� BackflowPreventer ServiceSink P
�rdYV Dishwasher Meter ❑over700am s
` licy No. Company Backflow Irrigation Sewer Cap
�rtilietl copy is hereby tumishetl. , Dryers �Gas ❑Electric $ub Panel
Cer ifetl copy ih fileE with the city Byry tl�'yJ pi isi n. Bathtubs Sewer Connection
oate �� �C %Yy a.Poiicant %�„[L�/ D,//1�YSQ Fan Mo[ors O47 HP O1'h - 8
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cldrifiers Solar COIICCtors
(Tnis section neetl not be completetl it tne p¢rmit is tor one hunAretl (5300) or Di5hw2sher Solar Piping F�A��� Inc. Solar 09-15 HP 016-15+
less).
I c¢rtify that in lhe perfo�mance ot (h¢ work fot whlch thi5 p¢rTR is Issuatl, I Fix[ures
Shall not emplOy any pe�son in any Ta�ne� so as to b¢come subject to the Dflflkiny FOufltein5 $OId1 Td�k Microwave
WOrkets' Comp¢nsatlon Laws ot California.
Date 5ignature Floor Drains � Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If, afler making this tleclaratlon� you Shoultl become subjett to [he �Utl¢t5 ReOgE
Worke�s' COmpenSalion Orovisions ot thC Labor Cotle, you mu5t for[hwlth FIW�Sinks Urinal
comply wi[h suc� proviSiOns or thi5 p¢rTit snall be tle¢matl revoketl.
CONSTRUCTION LENDING AGENGV GasService �utl¢t5 Wdt¢�C1052t $witch25 Sign
1 he�eby atflrm that Ihere i5 a const�uction I¢ntling agency (or the pe�fo�manc¢
of the work tor which this oermit {s issuetl (Section 3097 Civ. CJ Garbage DiSposal Standing Sections
Interceptors Water Heater �
Lentler's Name
Lentler's naaress Kitchen Sink Water Service Genereror 00.5 KW �5-75 K W Trash Compactor
OWNER BUIIDER DECLARATION
I hereby aftirm lhat I am exempt from tne Contractor's Licanse Law for the Levatories Auto-Waih
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
munty whlch fequi/es a permit to constlUct, dl[¢I, ImprOve, tlemOli5F1 oI r¢paif P—TI3p LdUndly T�dyi
any slructure, prbr to Its issuante, also r¢quires the appllcant for such permit
to fil¢ a signetl statement that he/she is licensetl pu/suant to Ihe D����5ion5 ot ROOi Df2i�5
the ContraclOr's LICenSe Law (ChaDter 9(commencln9 wi[h $ectiOn 7000) ot
DiviSion 3 of the Business antl Profe55ipns Cotl¢) or Ihat he/sh< is exempt ReinSpection FBB $15 IuuB FBB $ 3
�nerefrom antl tbe basis for Ihe allegetl gxemption. Any violation of Section '
�.5 by dny applicanl fo� a pe�ml( Subfect5 tho ap011cant lo a civil
iry oi not more tnan tive nuntlrea tloliars 1E5o0�. $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
I, as owner ot [he property or my em0loyees wilh wa9es as [heir sole ReinspBCtion Fee $15 Isiue Fee
compeniatiOn, will tlo the wo�k, anE the st�uttu/e I5 not intentletl o� o(ter¢tl 2aning Approved By Dete
(or sale (Section 7044, Business antl Pwfessional Cotle: The Contractor's MECHANICAL FEES Building Approved 6y Date f�
License Law aoes no[ apPly [o an owner vf a property wh0 bulltl5 Or Imp�oves
thereon, antl who tloes 5u<h work him561f/herselt or through his or ner own gOiler Hood or Type I ❑ APP�icatie^ �u°°d By Dat
employees, provitletl tha[ such improvements are not Intentletl or offeretl for
sale. It, however, tne bulltling or Imorovement is soltl within one Year of com- Canopy Type II ❑ � SUMMARV OF FEES
Oletion, lhe owner will have the burtlen Of proving he/sh¢ tlitl nOt builtl o� Im- D�Ct � Und¢f i�i�0u�d
nrove tor the vurpose of saiel. BUI LDING PERMIT $ SMIP $
❑ I, as owner of the oroperty, am exclusively contractln9 `�+��h Iicensetl con- Duct -Structural Refrigeration SyStem P�AN CHECK $ PERMIT
trattors lo ConStruct the project ISectiOn 7p44, BuSIn¢55 antl Protessionz COtle: /l',
The Contractor's License Law does not apply to an owner of property who Duct � Ventilating ❑6100,000 BTU ❑100,000 BTU PLUMBING $�w ISSUANCE $
builtls or impwves thereon. antl who conVaGts fo� SUCh oroiect5 wltb a con-
tractor(s1 hcense pursuane m me ConVa�fors License Law). 1 am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration PU+N CHECK 25% $ ENERGV P.C. $
prool o( tneir Worker's Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GFiADING $
❑ I am ezempt untler SecUon e. & P. C. for this reason Firepl/Fact BIt �CBO # Fire Dampers PLAN CHECK 50% $ MICROFILM $
Oate owner Heating System & Ducting Registers MECHANICAL $ �,�v
I hereby certity that I have reatl tnis application antl state tnat the above ❑O�100,0008TU �100,OOOBT • TOTAL FEE $
information is correcL I a9ree to comoly with all tlty antl county ortlinances PLAN CHECK 25% $ .
and Sta�e laws relaling to builtling constructlon, antl her¢by aulho�iie rep�e-
' sentatives of this cit to ent �p n the above�mentioneG Oro ert for
InSp¢CfiOn pWPaS
Signdtu/e ��� Date�� S" tf' ' � Ol 00051581-ODOS1581 T4T 5.00
Drivars' License or 55 � � Reinspection Pee $15 luue Fee ,$ 3
' DATE: 01/11/90 TIHE: 10:19
0865-46, rev. 5/ea WM1lte - tlwipmg; Canary - Appllcanp Pink - ACCounLng; t�0iae0ro� - ASSe550�
, \ e . � ; \ .`t . . . . . .
\
- CONSTRUCTION AND PLANNING POOL' 'A .
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
'1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement
3. �Elec[rical Conduit Utility-Undrgrnd. � 54. Forms �
4. Electrical Conduit-Undrgrnd. ' 55. Electriral Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
`- 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE �
7. Footings • 58. Electrical ConduirUndrgrnd. -
�8. Foundation 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
,
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewec Cap . 63. Heater & Vent-Final �•
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electrical-Final "
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
`17- Rough Wiring Sign .� 68. APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
,19� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20•, Rough Factory Fireplace APPROVALS Permit #
21�. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating 5 y 71. Product Piping O Gas ❑ Oil
' 23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing �� 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing _,� . 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing �: 76. Dry Standpipe
28. Lathing & Siding L' 77. FIXEO 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: Z- � 2�Yv �r�u� Gy�.,�-L�
34. Final Heating & Air Conditioning (�-7-90 ��Vrl�"r It,¢.P�!"GC� �S (p��
35. Final Gas Pipe�Test 20,.?j V"PG- �..�tiD•
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing �'•
77�
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. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison • _.
50. Gas Release ro Southem Califomia Gas Co ,C1 .
51. CERTIFICATE OF OCCUPANCY -'-,
No. Date '. � �
WAYNE COI�ST.CO. DATE
�&Ess 718 A& H Jo3nn St.' ' Bu�L[
.L CONTRACTOR '�ayne Const.Co. VALU
AP. No.11S'bzl-3S LOT TRACT FIRE ZONE
IN"��ECTIONS . ,., I DATE
��
coat
SUBCONTRAGTOR
ZONE
6�
. �'` . �.��� � �
COSTr1 MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. �LIRORNIA
For Applicani.fo Fill In Compleiely
TYPE OR PRINT
ADDRESB R19 Joann St � �
COSTA MESA CALIFORNIA
� ARO"�THCf
ucTNo. 156430 NoAit 836
OF LOT 5Z� X ZOO � I�O, oP atnas.o
NOW ON LOT
USE OF
EXIBTING BLDG.
88T6/�CK LINB PPOH
ceHiea oP aineer 4S REAR YARD 11
SIDE YARD I LEFT 5� I RIGHT V �
DESCRIPTION OF WORK
SIZEu���42� x 74� Rooms
EXTLRIOR WALL ROOF
COVHRIN6 9Yi COVERI!
UBE OP BUIL�ING AND WORK TO BE
I H6HHBY ACKNOWLBDOB TXAT 1 NAV6
AND BTAT!'THAT�H ABOVB I8 CORPF
PLY WITX ALL GT' OMl I1NCH8 AND�
BUILDINO CONBTfiUR10N.
81GNATU�
PERMITfEe C �
AUTHORI2ED AGENT
AOMC6 �.COM-
FEE RECEIUED
� 4iPR 1 �'"�f
FINANGE DEPT. ,
CITY OF COSTA MESp
APPLICATION FOR PERMIT,
, .BUILDING
` For OHice Use Only'
' REC81Pf NO. � P6RMIT NO�
.. . ���Sr�:
��,�.��. �l °� �7 °�% I �=���°°G �
BUILDING
ADDRE66
COSTA MESA. CALIFORNIA
ZONE TYPE I/( �-�1 � //
GROUP
pPPROVED �1�eT�
i Mhn /'� l�V " ti
NO. OF U86 OP �
PLANe Y BUILDINO
YARDS
APPROVED
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APPROVEO
vi
�
�
PERMIT FEE $� 7 �
/%�� �
S ' �/ ��� ,� PLAN CHECK $ � ��.�i
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Conditions: ' � :
(1) In accordance crith revised plan dated March 27,1961
(2) Installation of residential side�alks and concrete
driveway approaches by the•'applicant, at his expense,
under the direction of the City Engineer; �
(3) Alley design under the direction of the City Engineer
and the Director oY Planning; ��
(4) Two Por one off-street parking ratio under the direction
oY the Director of Planning ' ' ' '
< •-
,
t•
i , i
OWNER F.7MS� RICHARD DATE 6_2�_6g
JOB ADDRESS 718 Joann Street BUILDING PERMIT NC
ti_ .�o. �1� _ LOT T
INSPECTIONS
SOIL
GAS
W ATER
ROUGH PLUMBING
PFOP. SWR. LINE HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND A�R CONDITIONING
TEMPORARV SERVICE Ofl POLE
UNOERGROUND � POWER �
ROUGH WfRING
TFENCHES OFMS Q� STEEL REINF..
FLOOR SVSTEM
BONO BEAM $TEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LO""ING — IN OUT
f ER, BROWN COAT
STnJCTURAL, FINAL
NEATING, VENT., REFRIG. AN� A.C., FINAL
PLUMBING, FINAL ANO GAS TEST
ELECTRIC, iINAL
BUIL�ING. FINFL .
SUBCONTRACTOR
..� 52
�•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA. CALIFORNIA Y2E20
For ApplTmn/ fo Ffll In ComplNdy
TYPE OR PRINT
oui�oiNa 7%Fi �J""t)i9Ni✓ S"T.
ADDRHDY
COSTA MESA, CALIFORNIA .
o,�� R � c���2�n � c�r s
M��� 7iu g ,ru �.��✓
�eewm
■ BTATE
no. or e�oo�.
BEfBACK LIN6IR011 �
CeNTCR OP 9TR86T RRAR YAR I
� /
SID$YA LlFf � RIOlTT
DESCRIPTION OF WORK
� �..�. �� N�]
Bt
Z%�i �i
1 X8R6lY ACKNOWLiGO[ TXAT.I MAV6 11fAD T1�1� APPLIGTION
ANO BTAT6 TNI�T TN[ ASOV[,19 CORR[R ANG AON66 TO COM-
vLx WITN ALL CITY OpDINANC�i I1ryO RAi[ MWt It[OYIATINO
BNLOINO CONBiAU/tTjQJ N.
SIGNATVRlOr//��� �
P6RM1TT8 �
AUTNORIZ[D AO[N7
�,+2a�oozoos o*****b.00
ArPLICATION FOR PERMR
BUILDING
for Offln Ua� Only
116C[IRNO. ^Fl
^/ S
euaoiHa
ZONING
m � no.or us[
_ nww� eu��
��,� �_,- �1 1� �' 3 u6 6
-6/.S-n�/
i0 SXALL D8 L688 THAN
(U.B.C.RlQOIREM8NT1
YA0.D9APPROVHD
ACCHBSORYBUILDINO
YARDlAPPROVED
MAIN BUILDINO
( FROM C/L HTF�H[T�
' � li
L BID FY.
l s
R6AR FT. �
DI6TANClB6T. BLT.I
MAIN BLDOB. ACCE
VAR.� DATB
V�"� � a
I4
�
-� 8C. PT. �
iX6 IIMOUMT BXOWry UHD6R VALUATION ls POR TN8
PU0.PoBi 01 YTAGLIBXIN6 /. PlPMIT P68 ONLY. �
VALUATION / p
PHRMIT F88 �J • �
_�,�'�.�a — w
TOTitL PEE