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Home My WebLink About2449 FORDHAM DR - Building Permitst�. CITY OF COSTA MESA V" ° � BUILDING DIVISION � > ._ � DEVELOPMENT SERVICES DEPARTMENT M98-00230 �+y,� PERMIT PERMIT NUMBER `"ybna�m'� . (714) 754•5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Jobnddress: 2449 FORDHAM DR Suite No VlClfll�Y: Parcel Nunmber: 14'143'I'I S Applicant: GERLICH, JEFF Address: Owner: Address: Contractor:. Address: KURNETT,STANLEY 2449 FORDHAM DR - COSTA MESA,CA , MC KENNA'S AIR SUPPLY 761 n richman� , fullerton, ca. ArchlEng: � Address: , , � ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU ' Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace . � Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers � Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Fioor Furnace Floor or Suspend Heater Phone: 2ip: Phone: .. �... . . �_ Zip: 92626 -c.: Phone:. <714-879-4444 Zip: �i92832 License' 626029 i - Phone: � � . � . Zip: License: Status: ISSUED Applied: 06/09/1998 Issued: O6/09/1998 J \ SCOPE OF PERMIT INSTALL NEW A/C UNIT & REPLACE EXIST. F.A.U. Quantity $22.00 $1325 30.00 50.00 0 $0.00 0 $13.25 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0. $0.00 , 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 FEE SUMMARY � Repair% AIt Absorbtion Unit Repair/AIt�RefrigerationUnit . Ventillation System Evaporative�Cooler Commercial � Incineretor Domestic Incinerator ' � -' � Compressors / Absorotion Svstems � � , Up to 3,hp / 100 k BTU � � . 3Toi5hp/SOOkBTU , ,�� 15 To 30 hp. / 1,000 k BTU . �.30 To�50 hp / 1,750 k BTU . �' �, Over 50 hp7 Over 1,750 BTU Boilers � . - � - . � . Up to 3 hp� � - - 3To15hp i5to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee ' Investigation Fee . � Plan Check Fee � Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Quantity $0.00 0 $0.00 , 0 �, $0.00 0 , $0.00 0 $0.00 0 $0.00 0 $0.00 ' 0 $0.00 0 $0.00 0 $0.00 0 ^�0.00 0 $0.00 0. $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 548.50 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. �NSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetiona end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � � WORKERS' COMPENSATON DECLARATION: I hereby aHirtn under penalry of per�ury one oi the following declarations: ❑ I heve end will meintein a cetltllcate of consen� to setl-Insure for workers' campensation, as proNAetl for by section 3700 of the Lehor Code, for the pertortnence of the work for which Ihis pertnit is issued. ❑ I have end will maintein workers' compensetlon insurence, es raquired by sectlon 3700 ot tha Lebor Code, for the peAortnance of Ihe woAc fw which this pertnit is IssueA. My workers' compensetion Insurence carrier entl policy number are: Cartier �' �L. i� �i�ii PolicyNumber. �-�q�'A �b5 2s� (lh/s secfion nesd not be comp/eted il he permif /s va/uetl at one hundred Ool/ars ($100) or /ess.) ❑ I certify e pertormance ot the work for which ihis partnit is issued, I shall not employ any personNi5n1 �a�ny menner so es to become subject to the workers' com of Cali� d egr9e Ihat it I shoultl 6ecome subJect to the workers' compensetion pr//�dlon 3700 of Ihe Lebor Cotle, I shell forthwNh ply with Ihes r� � lons. � � + � / g Aooll nt Si4natur . V»"`+��'-1 Date: �2- I —�� TO SECUR�NORKE�IS'�OMPENSATION COVEqAGE IS UNLAWFUL ANO SHALL SUBJEGT E(5100,000), IN ADDfTIIXJ TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIOED FOR LICENSED COMfiACTORS DECLARATION: I hereby atfirtn t m ensed under provisions oi Chapier 9(commencing with Section 7000) oi Divislon 3 Iaree and eN d �� Cu ZL� O Z"j / PENALTIES AND CIVIL FlNES UP TO IXJE MUNDRED OR CODE, IMEREST, AND ATfORNEV'S FEES. end Protessions Cotle, end my license Is in full ,2� — G' � t9H5TRUC710N LENDING AGENCY: � ❑ I �ereby affirtn Ihat there is a wnsiructlon lending egency for ihe padortnance ot ihe work for whlch ihis permit is issued. (Sec. 3097, Civil Coda). Lendefs Name: Lender's Atldreu: SlgnaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby elfirtn Ihet un0er penalry of perjury Ihet 1 em EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a pertnit to wnsWd, atler, Improve, tlemolish, or repair any structure, prior to its luuence, elso requires the applicent lor suc� permit to flle e signed stetement that he or s�a Is licensetl pureuant to the provisions of the Conirecrors License Law (Chepter 9(commencing with Section 7000) of Divlslon 3 of Ihe Business and Professions Cotle) or Ihet he or she is exempt iheretrom end the basis for the alleged ezemption. Any violation of Sedion 7031.5 by any epplicant for a permit subjecls Me epplicant to e civil penalry oi not more than five hundred dollars ($500).): . ❑ I, as owner ot the properry, or my employees with wages as their sola compensation, WILL DO 7HE WORK, and Ihe siructure is not inientletl or.oHered tor sale (Sec. 7044, Business entl Protessions Cada: The Contraclore License Law does not epply to an owner of properry who huilds or improves therean, and who does such work ❑imself or hersetl or through his or her own employees, providetl t�at suc� impmvements ere nm Intentled or oflered for sele. H, however, the building or Improvement Is sold wilhin one year of compleGon, the ownerbuilder will have the burden ot proving that he or she did not builtl or improve tor purpose of sele.). ❑ I, fls owner at lhe pmperry, am E%CLUSIVELV CONTRACTING WIT}1 LICENSED CONTRACTORS to consiruct �he project (Sec. 7044, Business end Professions CoOe: The conirectors License Lew tloes not apply to an owner ot properry who builds or impmves iherean, antl who contrects for such projec� with a contractor(s) licensa Oursuanl to lhe Contrectors License Laws.). ❑ I am exempt untler sec. Signature: O.vner ID verified by dnver's license. ❑ Yes ❑ No Business and Pmfessions Cotle for ihis reason: Verificetian of Ownewhlp 6y (rype ot tlocument, i.e. - praperry tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: Drivers Ucense No. Date: Expires: ❑ I hereby ceNiy that no excavation five (5) or more teet in tlepth Into which e person is requlred to descend, will be metle in connedlon with woAc euthotlzetl by ihis pertnit, end ihat no builtling siructure, ScaNOlCing, telsework, or tlemolition or dismentling Ihereof, will be more than ihirry-six (36) feet �igh. (Chep. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Celifomie Atlministrative Code). ❑ As owner-bulltler, I will not employ enyone to tlo work which woulA require a pertnit from Ne �ivision oi Induslrial Safery, as notad above, unleu such person has a pertnit ro do such work fmm the division. Signetura: Date: Division of InCustrial Satery Partnil Number: CERTIFlCATE OP COMPLIANCE AND AUTHORVATON OP EMAV: I certify under penalty of perjury Ihei I �ave reed this applice�ion end stete thet Ihe informetion given is cortecL I egree to comply with all state laws and ciry ordinances relating to builtling construction, end authorize representatives of the City ot Coste Mese to enter upon the ebove-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until final inspeclion. j�qj�� INSVELTIONTYPE �� 1676 Fixed System Finel Fire Prevention 1266 Pool Spe Final 200 Flnel RaRoot 207 � Final Block/Retaining Wall 202 Finel Fedory Fire Place 203 Final Sign 204 Fnal Demolidon 2648 <8 PAjE 11�9�,5 LQpE� INSPECf10NTYGE — 206 Finel Mechanical 20B Final Plum6ing 210 Final Eledncal 212 Final Fire Prevention 220 Flnal Planning Approvel � 222 Flnal Site 250 Final Builtling/Occupancy Qe1E II�LS � j � /�8' � F CITY OF COSTA MESA � � ,t _ � BIIILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT � � F4a_Q0533 �� PERMIT PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 . 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 2449 FORDHAM DR Suite No � Vicinity: Parcel Nunmber: 14143115 Applicant: GERLICH, JEFF Address: Owner: KURNETT, STANLEY Address 2449 FORDHAM DR ., COSTA MESA,CA � _ _ Contractor: MC KENNA'S AIR SUPPLY �Address: 761 n richman � fullerton,'ca. ISSUE FEE Temp service test Res. a/c package New Res.(1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl , Res Appl Service to 200a Service to 1000a Service over 1000a Motors to ihp Motors to 10hp Motors to 50hp Motors'to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ` 1 H.P. FOR NEW A.C. UNIT. $22.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ` $0.00 $4.25 $0.00 $0.00 $0.00 $4.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantity : 0. _' 0 0 0 0 0 0 1 0 0 _ 0 1. . 0' 0 0 0 0 0 0 0 0 0 Phone: Zip -. . �. ,� �, ="n - Phone� . .- � Zip: 92626 � - Phone 714-879-4444 L Zip: �! 92832 i �;'License:626029'-� SCOPE OF PERMIT FEE SUMMARY � Status: ISSUED Applied: O6/09/1998 Issued: O6/09/1998 Temp Dist Systeml�Lighting Busway /100 ft � � - � Standing Sectiori � ' � ' � Misc Elecirical Equipmeni - Transformers up to 1 kva/kw .............,.up to,"70 kva/kw ............._..upto�50 kva/kw .......... `.....up to 100 kva/kw ..................over 100 kva/kw . Low Voltage Equipment ' `Low Volt Wiring System / Ckt � � Misa Conduit , � Misc.�Conductor . , ' Circus ( gen or ridej_ :� - � " ,. Circus (mech ride or.lights)� � - - Christinas Tree Stand " � Fiieworks Stand - • Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 • $0.00 0 $0.00 0 $0.00 0 $0.00 0. $0.00 0 $0.00 0 $0.00 0 $0.00 , 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 ,' 0 � $0.00 0 � - $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $30.50 COMMENTS / SPECIAL CONDITIONS � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned I i for a period of 180 daya �� I INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all '� requlred inapectiona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration oi this permit. FOR INSPECTIONS CALL: (714) 754-5826 � WORKERS' COMPENSATION DECLARATION: I hereby ettirtn under penalry of perjury one of the following declaretions: � ❑ I �eve and will meintein e ceritllcate of consent to self-Insure 1or workers' compensetlon, es provitled for by sectlon 3700 of the Lebor Code, tor Ihe pertormence ot the work for which this pertnit is issued. . �have end wlll maintain workers' compensetion insurence, es raquired by section 3700 ot the Lebor Code, for Me peAortnence of �he work for whic� t�is pertnit is Issued. My workers' compenutlon Insurence cartler en0 pollcy number are: � - Carr%r. � Policy Number. (Thls secHon neetl not be campleted /I fhe permit is velued af one bundred dollars ($ f 00) o� less.) ❑ 1 certity Ihet in the pertortnance of Ihe work for which Ihis permit is issue4 I shell not employ any person in any manner so as to becoma suDject to the workers' co sation a t Califomla, antl egree4hat if I sh; ultl become subject to the workars' campenutlon pro f Section 3700 of the Lebor Code, I shell forthwith ese p vi I�\ns. -�D {1� /� �j plicent Si n . �i�.J-Y-A . � ' i /�ete:�� c "— 7 � f! J ING: FAILURE TO SECURE RKER ' iMPEN$ATION COVEMGE IS UNLAWFUL AND SHALL Sl/B1ECT AF�. INAL PENALTIES AND GVIL FINES UP TO IXJE MUNDRED TIIIXISAND DOILARE (5100,000), IN ADOITION TOTHE COST OF �MPENSFTION, DAMAGES AS PROVIDED FOR IN SECTION 3108 OF TME LABOR CODE, INfEREST, AND ATTORNEY'S FEES. IJCENSED GONTRACTORS DECLARATION: I here6y eftirtn thet I am Iicensed under pmvisions of torce an cl uc a with Sectlon 7000) a�t Di ''° Business entl Professions Code, and my license is In full / �"'�� _ o . lv—l—i �CONS7FiUCTION LENDING AGENCY: ❑ 1 hereby effirm that thera is a construction lending agency for the perfortnance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: SignaNre: _ Date: OWNER-BUILDER DECLARATIONS: " I hereby ettirtn Ihet untler Denalry of per�ury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Professions Code: My,ciry or rqunry which raquires a pertnit to consiruct, alter, Improve, tlemolish, or repair eny structure, prior to its issuance, elso requires Ihe appllcant for such permit to file e signed stetement ihat he or she is Ilcensetl pursuant to the provisians af tha Contractars License Law (C�apter 9(commencing with Sectlon 7000) ot Divlsion 3 of the Business and Professlons Cotle) or �hat he or she is exempt tharefrom end Ihe basis ior iha alleged exemption. My violation of Section 7031.5 by any epPlicant for a pertnit subjecis Me epplicant to e civil penalry oi no� more then five hundred dollars ($500).): . ❑ I, fls owner of t�e property, or my employees with wages as thelr sole compensation, WILL DO THE WORK, and the structure Is not intended or ofleretl for sale (Sec. 7044, Business end Protessions Cotle: The Contractors License Law does not appty to an owner ot property who builds or improves thereon, and who tloes such work �imself or herself or Ihrough his ar her own employees, providetl that such Improvemenis ere not Intentletl or oNeretl for sale. It, however, the bulltling or Improvement is sold within one year ot completion, ihe owner-builtler will have the burtlen of proving ihat �e or she Citl not build or improve tor purpose of sele.). ❑ I, as owner oi Ihe property, em E%CLUSIVELV COHTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Cotle� The wniredors License Law does not eppty to en owner of property who builds or Improves thereon, and who conirecis for such project wlih a contrector(s) license pursuant to ihe Contrectors License Lews.). ❑ I am exempt under sec. 8usineu antl Professlons Code for this reason: SlgneWre: Date: Owner ID verified by tlrivefs license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (rype of document, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CEHTIFICATON: ❑ I hereby cetlify Ihat no ezcevetlon ilve (5) or more feet in depth into which e person is required to descend, wlll be made in connecHon wlth work euthonzetl Dy t�is pertnit, end Uat no Duiltling siruclure, scettolding, falsework, or tlemolition or tlismentling ihereol, will be more than thirty-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminisiretive Cade). � ❑ As owner-bulltler, I will not employ anyone to Oo work which woultl require a pertnit irom the Division of Industnal Sefery, es noteC ebove, unless such person has e permit to do such work from Ihe Oivision. . Signeture: � - Date: Division ot Industrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJfHORIZA710N OF EMRV: I certify under penalty of perjury that I have read this applicetion end state ihet ihe intormetion given is conect. I agree to wmply with all state laws and ciry ordinances relating to building construction, antl authorize representetives ot the Ciry of Costa Mesa to enter upon the abova-describetl properry for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until final inspection. �QyEy MSPECfI0NT1PE . - 7616 Fized System Finel Fire Prevention 1286 200 Pool Spe Final Final RaRoof 207 Finel BIOCWReteining Wall 202 Finel Fedary Fire Plece 203 Flnal Sign 204 Final Demolition 2668d6 .im: . COOEt INSPECTONTYVE 206 Flnel Mechanical 208 Final Plumbing 210 Final Eleclricel 212 Final Fra Preven6on 220 Finel Planning Approvel 222 FInalSile 250 Finel Building/Occupancy OAg I/iT s�//%� It�ELS 'r\— `-'c/ ' I cn . . . ..ApO��ant to fill in all spaces exce0t those within �eavY Dortler Iines anE si9n aII�aOPropriate-tleclaralions. � - - - � - � -� - - - �� - �• --�� - _ CITY OF COSTA.M S `/ CO�O U /�rv1n N.PERMIT : PE?M NO. TRA T,NO : LO NO. . UNIT NO. � � , . � . � • � - , -' ' . ! - , � - , � � � ' �Prolect Address � � � 7 ! n�'/ � � � ��D �� —' . . , � � � � � J� / � i C -. . T ' � TYPEOFCONSTRUCTION , � NEW � ADD' -ALTERATION. REPAIR' - '4�'69 �/OIi�6 - - .,rr [F �Applicant's Mailin A dress - - � -- ' � - . L ❑ CONVERSION��❑ DEMOLISH ❑ OTHER q.p;# ! � � Zone Owner's Name �H � ��"K � � Phon�q %v� DESCRIPTION OF W / OF G: � � ^ � Address ' ' � - - ��G� " . S Main Building: � � - Accessory euilding:' ' ' Arch/Eng: LicenseNo. - TVPEOFPERMIT - GaaoING FOUNDATION �STRUCTURAL ' T Front. � _ .� � _ - ' . . _ �� . Address ' • � � ' ' � . ❑�TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' � �A Rea� � . - ' _ � . - � � �� . N Convactor'sName ' Pho/� �183�� 'OTHER. . � ' . . � , _ Address (m �i� �1�� 3�� , S�i �7-�-4 �� PROJECT'�DESCRIPTION SQ. FT. -- oCCUPANCpV/�� _ K Ri9ht .. G ' � Z' CONSTRUCTIONTVPE " VALUATIONS /JNp S Left Citg'LicenseNo. �1�� -''� � ZONE � GRADINGCV.VDS. ACRES , " � R LICENSED CONT,RACTOR DECLARATION '� , PInJ. flef. � . Parking Req./Provid2d E I�hereby atfirm ttiat.l am licensetl untler provisions of Charte� 9(commenGing Remarks: � Pianning Notes: • . � ' - - �^ Q with se<tion;]000) ot Division 3 ot the Business antl Professions Cotle, antl � � ' M my license is in fl� force ana effect. ' - ' � ' ' � . 1 i . . '_ T i License Class icense No3�3`Z4 � � 5 Dare�� ' Signeture� ' � � PLUMBING� . ' FEES � � ' ' � WORKERS' COMPENSATION DE AR TION. I Bar $ink , . Showers J � � � hereby atfirm that I have a cert' cate of consent to self-insure or a certificate � � � � � ELECTRICAL ' ' � i FEES f-Workers'-Compensation-,In rante,-or a certitied-�coOY thereof (Se [on - � ' - �-- -" - ' ' - � � - s80o, Cab. �y� C/ rv'. ff , � Backflow Preventer � Service Sink � ' ' Automatic Washet Transformer ❑ 15�50 KW Policy No. '^� CG 70a3 E�i1-Qpmpyny � ✓t gackflow Irrigation Sewer Cap- � . - Construction PoleSub. , � . � SO+�KW Certifietl coOY �s hereby furnished. j � � � '- � � erti�C copy i; ti�etl with the city Buil Di ' - � � . Bathtubs . i Sewer Connection � - Cooking Unit � . Meter ❑up to 100 amps Date �^ 56C qpplicant ! � - . � � � , � • ) EXEMPTION FROM WORKERS' C P SATI N DECLARATION --- . Clarifiers � ,. ._ _. _ Solal Collectofi.�� .�. ,- . -� DiShWasher � � - Meterv Oover�100 amp5` -� �� (Tbissection neetl not be mmplete f t �pe�miYis tor one huntlretl ($100 or . . ' Iess). ' , �_. , � � Dishwasher . SolarPiping' � Dryers ❑Gas ❑Electric .Su6,Panel ��-j,'' • . I c¢rtify tM1at, in tlie performance Of the wOrk fo�. which this pe�mk is Issu¢tl, I � - � shall not employ any pe�son in any manner so as to become subject to the D�ipking FoUntain5 . 5012� Tank � Fan � � Workers' Compensation Laws ot California. • Motors �0.1 HP 01'h- 8 Date ' Si9nature � � ' ' • ' Floor Drains � , Swimming Pool w/Spa � F.A.U. � � �NOTICE: If, af[¢r making this tlecla�ation, you shoultl betame subje<t to the � Inc. SOId( �9-15 HP �16-75+ Workers' Compensa[ion provi5ion5 of the Labo�' Cotle, you must forthwlth � FI00� SinkS �---�� U�inal ' • Fixtu/25' Microwdv2 1 comply witb such 0/ovisions or this permi[, shall �be tleemetl �evoke0. - �,,i� CONSTRUCTION LENDING AGENCV. . � ' ' . ' - �' GaSServiCE' •�OUtlets -WaterClo9et � � � - I hereby affl�m that the�e is a const�uction lentlin9 ag¢ncy fo� the perto�mance _ � D2ViC2 BOx¢5 � ' � Pol¢ Light , ' of the work�tor which,this Oermit is issuetl,-(Section�309� Civ. CJ - ' . ' Interceptors � Water Heater '�O`utlets � Ran e LenOer's Name . 9 Lentler's Aatlress ' ' ' Kitchen Sink ' . � Water Service - � � �. . � OWNER BUILOER UECLARATION - � - ' ' n Switch¢5. Sign �� I hereby afti�m'thaf 1 am exempt from the Contractor'S Litense law for the Lavarories' �• • Auto-Wash , G3�ba ¢ Di5 OSdI 1 following'reason (Settion ]031.5 Business antl Professional Cotle:.Any city or �� " 9 P ; Standing Sections I � county which requires a permii to construct, alter, impiove, tlemolish or repair p-Trap , _ � . Laundry Trays. � •- � Generator �0-5 KW �5-15 KW ' a -any structu�e, p�io� to it5 issuance, also require5 th¢ dpplicant for suCh petmit ' � .� T�ash COmp2Ct0! �, �to file a signetl statement thaEhe/she is licensetl pursuant to�the provisions of Roof Drains � � � " '' 'tne Contractor's License Law (Ghapter 9(commencing witfi Section �000)�of - ' .:� � � ' i-�ivi5ion 3 of the Busine55 antl Professions Cotle) o� that he/5M1e is ekempt � _ , _ � _ _ . �,�.¢refrom' antl thE ba5is (or tM1e allegetl exemption. Any, violation of Sectlon - . - - , . � � , � �:131.5 by any applicant for a pe�mi[ Subjects the_ applicant to a civil -� � . � � � � '�ienalty of not more tM1an five huntlretl tlollars ($500). . � � ... _ . $� 3 . ' � � ❑ I,�az owne� ot the property or my em0loyee5 with wages as their sole � ReinSpectiO�.Pee $15 �" ,ISSue F88 - „ - tompensation, will tlo the work, antl the'sfructure is not intentletl or off¢retl � R2in5peCti00 PeB � $15 Issu¢ Fca � � .$ 3 for sate (Section�]o44, Business and Professional Cotle: The Contractor's' -• -.MECHANICAL � FEES License law tloes not apply�to-an owner oha property who builtl5 or imprOves ' - . , tnereon, antl who tloes sucn work himsel(/herself.oqtnrouyh nis or her own � DEVELOPMENT SERVICES E R NTS: � � � employee5, provitletl that such improvements are no[ intentletl or offeretl fo� BOiI¢f � HOOd O! Typ¢ 1 ❑' ' � ' � sale. If„howeve�, the builtling or imp�ovement is soltl wi[hin one yea� o( com-' , Cenopy � Typ211 ❑ -' 2oning'Approved By � Ddte � pletion, the owner will have the burtlen ot proving he/she ditl not builtl ar im- - DUct - Unde� GrouOd • � ' � prove im the� purpose of sale). � ' � ' . � ' � ' � Building Approved By "Data ❑ I,�as owner ot �the property, am exclusively conVactin9 with licensed con- Duct - Structural Refrigeration System �� . Applitdtion IRued By ' � � at t�actors4o construct the project (Settion ]046, Business antl Pwte55ion5 Cotle: � ��- The Contractor's License Law tloes no[ apply to an owner ot�property who - Duct � Ventilating :•-.-+- -- �0-100,000 BTU ��100,000 BTU � --- • ' SUMMARY OF FEES ' � � builtl5 or improve5 thereon, antl who contracts fo� sucb projects with a com ' • '� ✓% i tractor(s) license pursuant to the;Contractor's License Law). I am aware�that ' ' " +.� BUILDING PERMIT $� ��'. �$� � roof of tneir Worker's Com ensation insurance shoultl be Exhaust System ❑ Multiple ❑ System Repai}/AI[eration p , p providetl to�. me.t +� PLAN CHECK ' j$ EFiM1T r j: • j i ❑,1 am exempt untler Section � B. & P. C. for this reason FirepVFact..Blt ICBO # � Fire Dampers � � ��' ' G� • , . - ;ISSUANCE � $ � ' ' ' • � ' + ' � �' PLUMBING �j � Oate � ' owner' ' ' • Heating System & Ducting Registers � � 'Y� PLAN CHECK .25%, 5 ENERGV P.0 I'hereby "certity thaf I"ve re this application�antl state thzt fhe above ❑00.100,000 BTU�0100,000BT ' � ' GRADING� into�mation is wrrect. re o omply with all city antl wunty ortlinances � � ' ' /. ELECTRICAL � +$ � . antl state laws relati o il g consvuttion, antl hereby authorae repre- i . , � � � �I ROFIL�M $ ' sentatives of' this� y: er: upon the above-mentionetl 'property ,for : ; . � ' , ' PLAN CHECK 50°,6 $ inspection pur0 1 • . � � ' - . Sigh`ature � � Dater —�+ , � ' MECHANICAL � $ �TOTALFEE �, $ � Drivers' Lic se ar 55 � � Reinspection Fee $15 � ' ��ue Fee $ 3 PLAN CHECK '25% $• � � . .. . . . . _ _._ .._ . _ .... .._ . .. . .. F 0865-4 , rev. 30/84 White - Bulltling; Canary -•APPlicanq Pink - Accounting; Goltlenrotl - Assessor CONSTRUCTION AND PLANNINf` � ' POO nPA _ . , APPROVALS Permit# '�I' Date Inspector AppROVALS Permit# Date Inspector � 1. 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 . i 5. Steel�Reinforcement. ; . �, 56. Rough Plumbi�ng & Pressure Test �. �' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.�'Foofings ��'� L ' S - 58. Electrical Conduit-Undrgmd. � 6. -Foundation � � 59. Gas Pipe, O Undrgrnd., 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. Sewer Cap � . 63. Heater & Vent-Final . , � 13. Roof Drains . 64. Plumbing System - Final ' 14. Rough Plumbing� - . 65. Electrical-F.inal 15. Rough Electrical-Conduit � 66. Solar System-Final � 16. Rough Electric Wiring - 67. Fencing & AGcess 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. Fough Factory Fireplace �� APPROVALS Permit# 21. Ducts,in Structure � 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil ' 23. �Gas Pipe-Rough & Test � 72. Underground Flush �� 24. Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bar Ceiling �StructuraQ & Monocoat � 75. Dry Chemical . ' 27..Frame and Flashing � 76. Dry Standpipe 28. �Lathing & Siding � � 77. FIXED SYSTEM FINAL � � � � 29.,Insulation � 78. FIREPREV.FINAL 30. Drywall Nailing � . HEALTH DEPT. REQUIREMENT � � 31. Plaster Brown Coat , 79. FINAL INSPECTIOIV 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '33. Final Electric Notes: � 34. Final Heating & Air Conditioning S'� ` �s . f � 35. Final Gas Pipe-Test ' ! .� ,� S�'� 1J CrJCa.� 1 'v !'�O 'i 36. Hood or Canopy � '� 37. Final Factory Fireplace 38. Final Plumbing . - � 39. Water Service-Final 40. GasService-Final -� � 47. Solar pomesticFinal � - _ ; � - , 42. Backflow Preventer - • 43. Backflow Irrigation .' 44. Landscape Irrigation System � � ' ' 45. Sound Attenuation � � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING l.L (�' F (� 4�' fiC �.o� • 3 0 7j C(�b U 48. Special Requirements Completed � � 49. Electric Release to Edison - � - � ' 50. Gas Release to Southern California Gas Co ' � , � 51. CERTIFICATE OF OCCUPANCY , , � _ . . ' � No. Date , i � f OWNER Costa Mesa Estates � � JOB ADDRES3 21+49 Fordham �I'1V8 GE�IERAL CONTRACTOR Roven-Spiegel Co L 74 GROUP I & J I� INSPECTIONS BLOCK TVPE V IDATE TRACT 275� ZONE �= SUBCONTRACTOR DATE 4-�-2-Sb FI 2671� UE $ �.� sZOO.00 ngle Res w/att gar E DISTRICT2696 PEHMITSISSUED DATE � NUMBER Foundation Forms and Grade to Gara e(!G /� 3. 9 Rough Framing �Z Plum6ina. Rouah to Slab .�� @.w e_ c i. Jet � � 0� .. _� ... �..-.� . 9-i I-�L �.7 ,</ — Plumbing, Rough Complete Temporary Pole � Wiring,Rough d�/�/.� //-�a/ fZ� .11��i� //�/�.�� 9 S� 2� — Heating, Rough 7��( �L(p.��Gp-y��Q� �/%, 5 L�_ (/ /��.�5-� Heating, Final / S a'/a-5'7 � Sewer, House [ sewer, st � � ./a ��6 (,�. � ,N , �� ,Y -/ -S J/^�. � b — �S Tank or Cwspool Y L. .g, In Outx „/ , _lg��,�jZ Plastering 2 �19 "r Plumbing, Fin�al, Fixtures Complete/k }f� S' ;/-12 y� % ' Plumbing, Fin,al Gas Test/,$ lYjfd S ;� P9 ^�% � � Wiring,Final � Mq1 1 1957 occupancy MAY 1 1957 VCS � FORM 2�0 3M 10�•v5 Costa Mesa Building Department . � 177 EAST 20fh STREET •� � •-� ;� COSTA MESA, CALIFORNIA FOR APPLICANT TO FIY.L IN naa�e� ,��/ j-?�� .C��J�J L��1, Costa. Mesa, California Nearest ��;Z� �' /�C 7-�-(/ Cross St. owner ��i%� f1��f�� ll%f�C�j ,M4ddress •1�.�' LU' ?' G/� <- /L/(/FCFS �/y� Tel. �� d City � No. Arohitector' �//, �� Lic. Engineer �� C � �! i Na. Addrew ��i��l�'7I/ �/i�i�. %��%7%%%�� Contrector ��Z G�CoY %�� l � �'' � Address � �� % S G'� Legal I Lot � I �I �7 Description No. Block � Tract�� ret��..�, nae�ve�..w e......we� ��O Size of Lot / / �" / U�(/ Use of Existing Bldg. Setback Line from � � j � Center of Street Demolish " Building S--/x� No.of Size Rooms � Exterior Wall I Roof Covering �%��v Cove Use of New��l' / ��Cu/ Buildina �r_e APPY.ICATION FOR PERMIT \ 2�� BIIILDIPIC: ' °� FOR OI+`FICE USE ONLY � � Receipt No. � Permit No. �.>.. I �r� i � - �a-� � i y Building Address Costa 1Vlesa, California Nearest Cross St. Zone ,� � No. of � Type ,/ APPROVALS Foundation Location Inspector Forms, Materials, Under-Pinning Frame: Fire Stops, Bracina. Bolts I hereby acknowledge that I have read this Application and state that the above is crorrect and agree to comply Lath. Int with all City Ordinances and State Iaws regulating building mnstruction. Lath. Exl. Signatureof ��/�iK�.� .s^—_T`l/F� Permittee � r Cl i Plaster, Int. Authorized Agt, f�/i'Z��7 G� �� Plaster, Ext Vaivation Ptirmit Fee $ �.� Masonry Reinforced �,� Pian Check $ / � ga�d Beam $ ��/ �d�f�� Totdl Fee $ '� FINAL RM 204 5-BP 2bI B-55 u .�� OWNER COLLEGE-PARK '--- DATE 12-11-56 JOBADDRES$ p5j�9 Fordham Drive BUILDINGPERMITNO. �LlOF3O ' VERALCONTRACTOR HHTUOP CORSt. CO. � VAWE $ 11.2��.�� L�T jl BLOCK TRACT 2'j2(� Res. w�det. gar. GROUP I Sc J TVPE V ZONE RL� FIRE DISTRICT :-L12S PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR ' . / __ DATE I NUMBER Foundation Forms and Grade to G Rough Framing Plumbing, Rough to Sia - 'o.(T' Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating. Final �Sewer, Hous� � Sewer, St. +Tank or Cesspool L .�ng, In Out Plumbing,Final,FixturesComplete�i�j'!�S_I6-a7•S7I ' � Plumbina.Fin,alGasTest �' k�t� S�•2�Si'� �� _O_ �� ' Occupancy FOHM 210 3M 10�55 - J'-il `l �0 5' �/