HomeMy WebLinkAbout154 GEORGEANNE PL - Building Permits P�( iAOOREss: 154 •GEORGEANNE PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05206C
OWNER'S NAME: MAINENTI ATTILIO - -
ADDRESS: 154 GEOR�EANNE PL PERMIT . NO: B 052060 PLAN CHECK NO: 01684-91rS GOVT; N SUPP : N •
COSTA MESA,CA 92627 •
CONSTRUCTION TYPE: V—N . PERMIT TYPE: STR PURPOSE; 0TH
ARCHIENGINEER: REG.NO.: ' - JOB, DESCRIPTION : C'ITY STD BLOCK ,WALL 93 L,-F, • 'SQ FT; '93
ADDRESS: - - UNIT:
•
CLAIM VALUE: 2, 100 , 00 CALL—VALUE: 1, 860, 00 . GROUP OCC: R-3 /
PERMITTEE: BENGOCHEA BRUCE MASONRY ( 714 )645-2368
ADDRESS; 3707 SEAHORE A COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME .
NEWPORT BEACH, CA 92663 ************9f,************** ***************************************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E M E N 'T S • '
7000)of Dlwsion 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK S • -crry LIC.: 053 1.17 STATE UC.:516 2 6 5(� cuss��
abate S-�� —°�( signature:_(� `� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that have atenincate of con to sell-insure ora certificate of workers' FRNT; FT • IN REAR: FT IN FRNT: FT IN REAR:' FT IN=
LEFT: FT IN RGHT; FT IN .
Compensation Insurance:ora certified copy thereof(Section 3800.Lab.C). t LEFT: FT IN RGHT: ,FT IN
PCOMY PANY: EXP.DATE:CPARKING REQ: PROV: PARCEL: 43926212 ZNE: R11 REF NO:
eaxY: PLANNING NOTES> 93 L'.F. BLOCK WALL BUILT TO CITY STDS, INSIDE PROP.
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. > LINE, r
Date: Applicant: *N********NN*************N*N************* E#####**************************#*****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:.(This section need not be completed if the permit is for one hundred($110)or less). DEVELOPMENT SERVICES R E Q U I RE M E N' T S
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become r
subject to the Workers'Compen anon Laws of Caldornie. ZONING APPROVED BY •
DATE:
i
(� Date: C4 ( signature: �U " BUILDING APPROVED BY : ' DATE:
NOTICE:If.after making this declaration.you should become subject to the Workers'Co ensation provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. wy�/,// t
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of•the work for APPLICATION ISSUED BY:(—/ // I ��� DATE- 14/t2(
which this permit is issued(Section 3097.Civ.C). ####*######*###########* ##* **#*** *#*********#***#**####### ##*
LENDER: **###***********************#********* ********#**************#**************
ADDRESS: LEGALIZATION:N - F E E SUMMARY - STRUCTURAL SEGMENT:Y
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Sectton 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT • 4 3 : 00 • . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON-RES
' pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 2 7, 9 5 '
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any appIrcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE '
rI, 'as owner of me pmpeny or my employees with wages as their sale compensalion, witl do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID - DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law TOTALS--——> 43 . 50 .0 . 00 '27 . 95 71 . 45 71 . 45 . 00
does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through •
his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> ' COLLECTED: 71 . 45 OVER/SHORT: 00
for improvement is sold sale). one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE . SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale).
43 . 00 . 50 27. 95
I.as owner 01 the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ****#*#*****#***************************************#**************************'
mal proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: ' B.8 P.C. P
for this reason: . TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: • Owner SFR. • 93 • RES—CONCRETE BLOCK WALL / FT, 20 . 00 ` 1 , 860 ,00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a •
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
r
I her n Applicant: _
hereby es and that have read this application and state that the above information is correct. agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned - .
property d JpLinspet/tion urposes. Q_ ���
! /7 • Signature: ��/ ]�4°- •
__----- f -
Driver's License or Social Security a:
164146 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor —_------
----------------
r
1PGCONSTRUCTION AND PLANNING "
y SPA
APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector
G
1. Temporary Electrical Service or Pole / r 52. Pool & Equipment Location • I
•2. Soil Pipe-Undrgrnd` r' - , 53-Steel Reinforcement
3._ Electrical Conduit ljtility-Undtgrnd. 54. Forms
• :4:Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
',. S,jSteel Reinforcement 56. Rough Plumbing & Pressure Test
. 6.•:ElectricalUFER_Grnd. 57. APPROVAL TO COVER-GUNITE
- 7. Footings ' - .., 58. Electrical Conduit-Undrgrnd. •
. 8. Foundation - + 59. Gas Pipe, 0 Undrgrnd., Test �`�
9. Water Pipe•Undrgrnd. -� 7 60. Backwash Lines, P-Trap, Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer%'Line & House connection C. 62. Backwash & Receptor-Final ,v
12. Sewer Cap ` y :r 63. Heater & Vent-Final : -f,
13. Roof Drains ••-) 4.
r 64. Plumbing System - Final
14. Rough Plumbing ` t
g / 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 I
20.1Rough Fact? Fireplace - f. ' t ; - " • :APPROVALS' 'Permit #
21.1"Ducts, in Structuie• ,s - -- -- a . .70. Underground Hydro •.
22. Ducts, Ventilating • • - - -- = T t 71. Product Piping OGas CI Oil (
23. Gas Pipe`-Rough &Test ;- . = , = _ _ t -. 72. Underground Flusti ,
24,,Roof Framing z':•- • - : 73?-'Undergrnd.Storage_Tank OGas OOiI •
25. Roof Sheathing , . _ -. ;;.r . '74`:Overhead'Hydro_
• I
26. T-Bar Ceiling (Structural) & Monocoat ✓ _ _ _ : , • 75' Dry Chemical = I
27: Frame and Flashing 76: D'ry Standpipe "',' '
.28. Lathing& Siding - - _ •• • I^• ti 77•"-- FIXED SYSTEM FINAL' I
I
29. Insulation ' ` " ` - •- x - , ); : FIRE PREV. FINAL _ I
.=30. Drywall'Nailing •+. • A}• HEALTH.-DEPT.. REQUIREMENT I
T31. Plaster Brown Coat, , r I '''' 'i', , 79:'FINAL INSPECTION I
32..ElectricalPower Meter-Final: rl° : .-80.• FOOD CERTIFICATE ISSUED -
33aFinal Electric i rill,: r' Notes: - '' I
1.
,34. Final Heating.& Air.Conditioning, : . - _
35.'-Final Gas Pipe-Test v ':-"" r C`'•' ' ! "
L36. Hood or CanoPY..� a. - �• , ` - .1 •
37.,Final Factory Fireplace ''" .1 - �' _ �t. Lr I
38.-:Final Plumbing > • I - . .
.-39.)Water Service-Final= - ' - .r' I
V T >
:140.;Gas Service-Final „ . - I_ ' `` ; ' I
A
41.-Solar pomestic-Final• - ' _ I - - iC • • • I
42.'Backflow Preventers u. ' ° if L. , " -
l
43. Backflow Irrigation' •t':- - ' ' • .. ^ • - -
v
.'44. Landscape Irrigation System.. '- T. - - - _ -
45._-Sound Attenuation ''i r - - - ' - _
46. Handicap Regulations ,; '. ° `
47.-FINAL STRUCTURE & BUILDING S Tic
a,; J- e'
48.'FINALPLANNING j
-49.•-•Electric Release to Edison • _ '`• : -- '
I.1 ,' . . - -
_50..Gas Release to Southern California Gas Co : 1 i /r - _ ` . -
51. CERTIFICATEOF:000UPANCY , -; • _ , _
No Date
., I
7
APPROVED
' City of Costa Mesa Building Dept.
41/1471/fgt_______ DATE 671541942/
THESE PLANS MUST BE ON JOB A7 ALL TIMES MAKE '--------:-------
-' -----� T�
{ NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT, p _ I 6
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF •Permit #'_,CJ ,5 Z Q_�LQ ADDITIONS, DFLETL`.1P.'c, CSR COiRECTIONS SHALL
PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A ED;
PLANNING
{ PEPH FOR, OR AN APPROVAL OF:ANY VIOLATION or ANY Or THIS NUMBER MUST ACCOMPANYBE AFPROV D B1' 7 he DEPARTMENT
I "-^-PROVISIONS OF THIS CODE.NO RE RMIT PRESCAING TO GIVE
MUI HOR!TY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS AU INSPECTION REQUESTS
1 CODES SHALL BE VALID EXCEPT IN SO FAR AS THF WORK OR USE -'-— - -.- _________ - • .
1 :C PACT?'T AUTHORIZES IS LAi:i JL. y .
"HE ISSUANCE OF A PERMIT BASED UPON PLANS AND 9o9,
- 0
-ICA:ICKHONS SHALL NOT PREVENI THE BUILDING OFFICIAL
4
,FERP�O THE CORRECTION OF ERRORS
PLANS AND SPECIFICATIONS OR FROM PREVENTING
..I OPE RATIOn ENG CARRIED ON THEREUNDER 4!JEN _- - - - -` Ch �
i- . OF THIS CODE OR OF ANY OTHER ORDINANCE O' L
• CRY OF COSTA MESA j
PIANNINO DEPT.
._. - Vat TO BIOG. DELL at
FOR INSPECTIONS •Y DATE -/-119/
swam Or NmNIII* '
CALL
754-5626
or ii
754-5627 •
AOKE DE CTOF. cu
REQUIR DID
e[[a[Mc[ RESIDENCE RESIDENCE RESIDENCE
w I.
WW
N `.)• N
ft- LiAs_LI,
c.
O
• d
STREET
•
, TYPICAL 611 CONCRETE BLOCK FENCE
•
Cement Coping Optional :77j • a •ar GENERAL- NOTES
Channel Block With 1.3/80 lt.
Horizontal Top of all N I I
Fences MORTAR: One Part Plastic Cement, and
Three Parts Sand
IFor Fences 5'or Less �� GROUT: One Port Cement Three and
Ica
One Half Ports Sand
Vert.Bars 3/8"�at 4' -0"o.C, id 0 = — COPING: One Port Cement, Three
For Fences Higher Than 5' � LL i-- ' I-, Ports Sand
Vert.Bars 3/8"0 at 32" O.C. ).- w --- CONCRETE: Weil Mixed 1:2-1/2: 3-1/2
• R = Max. of 7- 1/2 Gallons of
Fill Cells Solid With Grout > z ell .' Water Per Sack of Cement
Where Steel Occurs.." - - a —es
Reinforein Steel Shall - f ao — GROUT MAYBE POURED FROM THE TOPg _ _ OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 w 0 OCCURS.
.' - I '1 CELLS A.
CELLS AND AREAS OF HORIZONTAL REIN
ro• rn _ FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped ��■ -- -- - i FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code H •
I
• NATURAL GRADE - - -.. ;II v ' I- " IIII
•ii*' q�Rw - < T4s
TWO 3/8"0 BARS J D _
CONTINUOUS TOPI r r s s . .
& BOTTOM l--or--WIDTH TO 16' 0 C. MAX.
• SEE CHART �. �.
Hola+z BELOW STEEL MUST BE TIED IN a DE PTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH . r .e. s/3 THE HEIGTH OF FENCE
INSPECTION. L { I SOW BOTTOM OF FOOTING
1 f
L } 111
1.....i.22:_, o" 2 �1� . SCALE. I/2° = I' •
•
FOOTING REQUIREMENTS CHART
' I WALL HEIGHT 6 ' S '
4 "3'
WIDTH 14" 14" .12"... . . . . . 12"
THICKNESS 10" 10" 8 " . 8 " .
DEPTH OF EARTHTOOTH . . . 24" . . . . . . .20" . . . . . . . . . 16" . . . . 12" I
SPACING OF EARTHTOOTH. . 12' 14', 16' 16'
City of Costa Mesa, California
Building . Department
r Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
'�I fY df�'COSTA MESA' - - P�RMIT NO. _ TRACT, f�0. -LOT NO. BLDG.NO. - - - - ` -
CONSTRUCTION PERMIT �c44- 36 SY '- �,-"/�p1(C6 q •-• •
Project Address -'(F' , , a, _ -QJ , • TYPE OF CONSTRUCTION ': '•• - ._ .4- --6126: 5/20/82 .. - 68.06 TU;
_9 'Owner . .. / -r" AS-i_ , i�l lA , Phon• , i4 ,y' ❑ NEW 'XADD, ❑ ALTERATION • - , - • - _1_ • _ _ - _ .
"-Address -- - O REPAIR .0 CONVERSION ID DEMOLISH
,� _ ' T „
I^Sy a - -- -fM AA P� ZONING REGULATIONS
) Arch/Eng- - er • ( License Nor • - -•
' ' OTHER
A"P'46 � - Z —IZ� DESCRIPTION OFWORK -
Address- _ _ rAAAA. - pM .. ADDertON ' ZONE RI
•
.
Contractor ' D1UAJE2. • - Phone" - - ' -•TYPE OF PERMIT -- '-- BUILDING Tp B�1ILDING - '
Address' _ . -'- ' -- ---- - • - - SETBACK C L ST. OM! PROPERTY LINE ' `
,� : ' O GRADING,. „❑ FOUNDATION '�$TR VCTU RAL SIDE VA RD `PC IQN • , ,
_ 'LICENSED CONTRACTOR DECLARATION_.. 0 TENANT iv ELECTRICAL OPLUMBING �MECHANICA • SIDE YARD �J -/-/-
•I hereby affirm that I am licensed'under provisions of Charter 9 (coin- '• . r" z I RIGHT att. •
-
' ' mencing-with section -7000)-of' Division-3-of-the-Business -and -O.OTHER- ---- -- - -- -- -- "--
Professions Code, land my license Is In full force and ;effect. •
. ' REAR YARD(TO P/L) 33'f't a •
' PROJECT.QQ��SC PTION.- . 1
License Class _ License No. 3o t I ^ PKG.SPACE REQ. , PROVIDED -T a
s Oate _ ' ` - - -Signature" .. ._: - SQ F.T. i .... _. _ ._ __ ;
WORKERS'COMPENSATION DECLARATION - - - OCCUPANCY CONSTRUCTION TYPE y ' STREET WIDTH PARK FEE $•.•,�-. •—
,I hereby affirm that have a certiLGate of consent to self insure or,a ;ZONING APPROVED-BV. sry�, r, ,tp DATE J7/�
certificate Of Workers' Compensation Insurance,-Or•a-certified copy • VALV ATION •
ZONE - - slit S- •
11� 1 R7) • v.//rrV'� •
'thereof(Section 3800, Lab.C.). ` ,GRADING'CU:YDS. - ACRES SPECIAL CONDITIONS: ,7. - ._, - I •
'ertified copy.isjhereby furnished. - _. - _ - .. .• - _REMARKS:' -Dela.I f'"r, � R�
' 3 cx „ -
.
lertlfied copy is filed with the city Building Division. •/ � _• _'
,EMPTION FROM WORKERS' COMPENSATION"DECLARATION ZAST" tj{J ELTI'ON 40-43-;-9" 27/19/
'(This section need not be completed if.the„permit Is.,for one hundred,' _nit/ •p���s 8....37E. ta• r _ - ' _ . _
, ($100) or less). i r 0 r.An'be _. X
1 certify,that in the,performance of the work for which this permit his _ ._ __- -. . _- __. . _.._ .. _
• issued, I shall not employ any person in any manner so as-o become PLUMBING _ ' • "PLAN CHECK ELECTRICAL v PLAN�CH ECK �i;
' subject to the Workers_Compensation Laws of Califo nia-...' .-_ - - - ' ,
ba �•- fel) Signature4N-et' /tt BATHTUBS SHOWERS lu'tLLiNG. a:
h]�a�' b,Y•) _ __ _ _ _ ._ '
NOTICE: If after making this declaration, you should become`subject ;TOILETS.. _(',f• , ;URINALS "GENERATOR 0-1 KW_1=10'KW; j
to the Workers' Compensation provisions of the Labor Code:you must __ TRANSFORMER--
_ !
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAV$ ,APPLIANCE . 10-50 KW_50+ KW ` ,.,.-L7--
••CONSTRUCTION LENDING AGENCY - KIT.SINKS ^ DISHWASHERS ,MOTORS” 0-1 HP 1-10 HP„ j
i II hereby affirm that there is a construction lending agency for the per- SERVICESINKS ' - M - - ' - - ♦ INCS50 LAR - --
^
iformance of the work for which this.permitis issued (Section 3097 _ - • •.•'41
Len C.): -'--'^'--"-- - Y-'.t- - =FLOORSINKS �•- T-TFLOOR DRAINS' FIXTURES OUTLETS SWITCHES
!Lender's Name _ _ - �_-_ - _ _ 1
• ;Lender's Address - , i - -. DRINKING FOUNTAINS 'j _r ,GAS TUBE SIGNS --
'OWNER'BVILDER INTERCEPTORS ,CLARIFIERS POLE LIGHTS
-I hereby affirm that,I am exempt from-the Contractor's,License Law for' 1-.
•the•following reason (Section-7031.5 Business-and Professions Coder rSWIMMING POOL ' - P TRAP`"'-- .t Nbr tit-HUN --- - - - -- - - - - i
'Any city or county which requires a permit to construct, alter, POLES METERED -SUE
1-,-;7
or repair•any'structure, prior to its-issuance,also-re. WATER-SERVICE' '' -_ - /s-1 -"
ALTERATION 'PANELS {'lCf� MAIN SUB .'
quires the aPF1ICant for such permit to file a signed statement that he (e. •'" '�'•••
Is-licensed-pursuantto-the provisions of-the'Contractor's-License Law - -- - - - --- -
(Chapter 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE OUTLETS \ , ., SERVICE/ •Pin
Business and-Professions-Code) or that-he is'exempt therefrom-and the WATER HEATERS' 7 BTU OUTPUT I, .AU. ELEct - - AtE'- _
basis'for the alleged exemption. Any violation of Section 7031.5 by _ ... `
applicant-fora-permit-subjects the-applicant-to-a civil-penalty' SEWER CONNECTIONS - ' -
w' -
more than five hundred dollars ($500). .I '.¢CSO �Q EXGEP'T THCs' -� '
as owner of'ttie7property, "r -SOLAR TANK - COLLECTORS IS.SCJE - ' -nI•f ;
h.. IO ossus44Gp, willao the work, and the structure is.no intended_ -
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE • }•i; -, • ` > •'
Contractor's License Law.does.not.apply_toan owner of a property - _ _ _ - _ ' `� ` 1
who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION'APPROVED BY '`r; DAT `2.
through.his.own employees, provided that such improvements.are not_ �'
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK // 1
is sold within one year of completion, the owner will have the.burden_ �■ 2 _ SUMMARY OF-FEES 1. SEE�'rf•.
of pr Oving he did not build or improve for the purpose of sale). •• UI EDI NG- e•aqr '
air-as owner -of the - ro ert am-exclusively -contracting 0-100,000 IPERMIT $.'�Q:CJ ' _x SMTP _ $ COPY"'
licensed contractors to construct the project (Section 7044, Business 100,0004 BTU 'PLAN CHECK $ SEE(4TT•Ori'PERMIT A -
and-Professions Code: The Contractor's-License Law does not apply to- - - ISSUANCE $ --- ^
an owner of property who builds or improves thereon, and who con- • 0-100,060 c ) 'PLUMBING $ _ i IL , •s •.--
tracts-from such-projects-with-a- contractor(s) licesned pursuant to- ,--q' -- -- - - ,- ,-- .�Gthe Contractor's License Law). - s s ' '_l+';. f 'PLAN CHECK S' ' ' - • _ 'jI, . Iv' '1 l'''.
O I am-exempt under Section' -B.8, P.C.for this =• ' ELECTRICAL $ ^•' 8 "
1_, PI, If(•_ •, _
- -_ _ _ _ REPAIR, i AN CHECK $. • -- ::: _"MICROFILM'$- ti _ --SYSTEM
Date ' Owner OO-. TOTAL FEE:$ - -I
Information
MECHANICAL.$ _ r
I hereby certify that.I have read this application and state that the above '.'LESSAD li )� i
Information is correct.-I agree to comply with all city and county 2 PCAN'CHECK ' y - VANCE_PC $_
rep
ordinances and state laws relating to construction,and hereby authorize- ' _ ' ' ,C.'7'!:.3.-,C1 7 1, ; \.•
representatives of-this-city to enter upon the above mentioned • - 111.
• i
property for '•_•-ctlon.-purposes. ____ _ - _ _ ('7 6
b '•1 - . FINAL FEE $ u ..+G
Signature ✓ ••
___� --
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL& SPA . * ,
APPROVALS � - ' '•• Permit# I5LI 31o5( Date Inspector APPROVALS - Permit# , Date Inspector
1. Temporary Electrical Service or Pole ". &
43. Pool Equipment Location - ' - - • -
2. Soil Pipe-Undrgrn • . - 44. Steel Reinforcement - -- " -- --. 3.3. Electrical Conduit Utility-Undrgrn r _ 45. Forms. -- - - "
• 4.- Electrical Conduit-Undrgrn - - 46: ' Electrical'Booding. - - •
5. Steel Reinforce • _ 47. Rough-Plumbing & Pressure Test - - - -• - - - - - - --
6. Electrical UFER Grn - 48" APPROVAL TO.COVER-GUNITE • -
7. Footings + N. - ' 49. Eledfrical Conduit-Undrgrn ' " . • ••
8. Foundation _ - - • ' • - ' - 50.. Gas Pipe, 0 Undrgrn,Test t - ••s‘ . . -
9. Water Pipe-Undrgrn . . - 51- Backwash Lines. P-Trap; ❑Undrarn - - " • ' •
10. Structural Floor System • ' , . . 52. APPROVAL TO DECK .. ... .
•
` 11. Property Sewer Line & House Connection - • ' ' - '53.-. Badkwash.& Receptor-Final -
12. Street Sewer Connection - . , - - 54. Heater & Vent-Final - '
13. Rough Plumbing - - 55. Plumbinc System -Final .• -
14. Rough Electric-Conduit ; - • - - " - - - ••56; Electrical-Final- I
-" 15. Rough-Electric-Wiring - -- -- g-W.-$/ -GG/ec, -57" 'Solar-System-Final' , " , - ' •,
16.- Rough-Heating &.Air Conditioning - - - . . - " . .. 58- Fencing &Access Approval
17. Ducts, in Structure • , 59- APPROVED FOR PLASTERING " ..
• '18: - Ducts, Ventilating • - . -, _ _ - ' - _. �_�.:. . ... _ .
19! Gas Pipe-Rough &Test • " . , -_ --_- _ - ' - '60. POOL/SPA SYSTEMS FINAL -
20._ Roof:Framing _ - ... • - - --- - . . - - . . . .
21. Roof Sheathing _ 1 _' ' - • . - . ... - - - - - - -
22: Frame-and Flashing = :._ .- _ _. I. -NOTES: ,
23: Insulation - _ : �G 'i-L�1 -n- _ de* .4 ///LrD#II/ • . • . -
24. Lathing & Siding (/ - - - -
I 25: Drywall Nailing •_ - - _ _" _ • - __ *'m-L ' aia ,9 Loin, -Q .-.1-;-a-•' Jla.. ••4- gin . ..PKL-a'.6.
26. Plaster Brown Coat _ - - - - - T
27. - 'Electrical Power Meter-Final - _ - • - • •- _ . - ,
. -
• 28. Final Electric _ ' - Stit-S . oo/°
- ' -, '
29. Final.Heatin - Hing. _ - 24•4q.-. -"'S
•30. Final Gas Pipe-Test ". - - • . - T. ; • ._ ..- . . '- -
31: Final Plumbing - • •,•«,,.,_ .,,,,�,,.,.,_ .,..-.:,,
•
- 32. ---Water Service-Final '' - - - _ ' .' , '
33:._ 'Gas Service:Final _ '
_" 34. -.Solar Domestic-Final I,c •• •
35. -Landscape Sprinkling System ., .. . . - • ' •'"
• 36. Sound Attenuation - . . _ _- - .. - - " -
37. Handicap Regulations -. . - - - • _ -
1 38. FINAL STRUCTURE & BUILDING •. 12-2g-442 D_S - - -
39. Special Requirements Completed ,. -r+ ' • - - ^ - - . - - - - ' - -
•
40. Electric Release to Edison .. : - .;
• 41. Gas Release to Southern California Gas Co. •
.. .
•1 42. CERTIFICATE OF OCCUPANCY - ' : -- - _._ - - - - - _ :
No• Date -
en"its ItY OF : STA MES,_
O q a CAUFORNIA 92626 P.O. BOX 1200
J e FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY
Project Address /,..cg acm-- /OA Permit # S8 723
Project Name � � ,� ,e-n7v Un Type t/
Owners Name /f4A/IDEM j/
Owners Address /$ 7 O,t9EA-i,t) E 7=i . City Use Chly
Owners Telephone Sycf- /3e ?
I/rJ`/Li/ 0 -44//4/b-///7/ as Owner, 6ostraeese•, agent (strike out all
except one) do hereby attest that employment of any person, or persons, is not
anticipated at the time of seeking the above-referenced permit. In the event that
any person, or persons, are employed under the provisions of this permit, I shall
immediately cause a valid Certificate of Workmens Compensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my own cost, and to indemnify and hold harmless, the City,
its officers, agents and/or employees, from and against, any and all liability,
damage, costs, losses, claims and expenses, howsoever caused, resulting directly
or indirectly frau, or connected with the improvement under this permit.
I further state that I have read and fully understand the implications and re-
sponsibilities of the above statements, and will comply with all provisions of the
Contractors State License Law found under the Business and Professions Code,
Division 3, Chapter 9, of the State of California.
Arr/L / a 444///FAQ rl
Print Name
gya
Signature" Date
CMF 0777-46
\PPLICATION FOR A BUILDING P' 'IT
•
BUILDING PERMIT NO. Electrical CO
Tract Block Lot Permit No. C
Building /1 �/ Plumbing
E.
Address 154/ [ „00/9eCr we CO7 2-/Z Permit No. Ip
_ ,p �� `- Cross I� �7 Mechanical a
Area 4 egjea,./neJLL Street jebei, $ 9eorfri-e°m i, Permit No.
//�� l(lYl -i
Owner/Jr., J tic j/)/�c/t r7-/ Type of Project: ❑ New Alter ❑ Addition B
Address//51/ G.�,O/9P_Rr)ne pf > n ❑ Repair ❑ Convert ❑Demo ❑ Occupancy Pmt.
City („G /)rang_ ZIP C>�0 Phones 8 A.P. I sp.AreaSup. /
Architect/ Zone Spl.Pmt.No.
Designer License No.
Setbacks P/L Front C/L St. Street Width
Address
Yards Left Right Rear
City ZIP Phone
have Prof. Left Hight F,P.
Engineer License No.
C Parking Spaces Required Provide Covered
O. Address
Cu - Struct No.of No.of
m City Zip Phone Height Stories Family
LICENSED CONTRACTOR'S DECLARATION Park Fees I Yes Fee
CO Required ❑ No C.T, Receipt
m I hereby affirm that I am licensed under provisions of Chapter 9
L (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date
fr. Professions Code,and my license is in full force and effect/.
License Class License Number
T Date Contractor Misc.
E Address Proposed Use
of Structure
y- City and Zip Phone
in CONSTRUCTION LENDING AGENCY
al I hereby affirm that there is a construction lending agency for the
a performance'of the work for which this permit is issued (Sec. 3097, CCone Yea
e
' Civ.C.). Class Const. Year
C Lender's Name USE/OCCUPANCY SIZE SQ.FT.
Lender's Address
J OWNER-BUILDER DECLARATION
• y1.
hereby affirm that I am exempt from the Contractor's License Law
dfmr the following reason:
u I, as owner of the property, or my employees with wages as their 2.
c sole compensation, will do the work; and the structure is not
« intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with 3
licensed contractors to construct the project,
N ❑ am xe under Sec. PC for te'—aeso 4•
a Dat Owner //L/,'1 y I�
E RKERS'CO SATION DEC ARATION Total Valuation
3 I hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Required ❑ Yes ❑ No
or a certificate of Workers' Compensation Insurance, or a certified
C copy thereof. Grading Pml, Grading
0 Policy No. Company Required Eves ❑No Pmt. No.
ca ❑ Certified copy is hereby furnished. Rough Grading
0. ❑ Certified copy is filed with Orange County,EMA, Approved by: Date
Cr Date Applicant 3
• CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATION INSURANCE Z
(This section need not be completed if permit is for $100 or less). C
I certify that in the performance of the work for which this permit is Q,
issued, I shall not employ any person in any manner so as to become it,
subject to the Workers'Compensation Laws of California. PERMIT FEES
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $
Exemption, you should become subject to the Workers'Compensation
provisions of the Labor Code, you must forthwith comply with suchSpecial
Electrical $ Invest. $
provisions or this permit shall be deemed revoked.
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing $
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
THE ABOVE MENTIONED PROPERTY FOR INSPECTION PUR- Pre-Grade
npeio
POSES Mite;r /FAO PRRec.No.ree-Graraddee Permit
$
Signature of Applicant or Agent Date $ Issue
$
r=\TTI4/0 MAIN Ear/ MB6o292—
Prmt Applicant's/Agent's Name /f
Issua
All spaces within this box must be completed to process _ Plan I/ i Approve
Check By: (�_ I Approved:
CMF 0335.46(BU-28) rev.6/80
-fa=ze 7 1W E1VED
[7546 9 �a JUL 1%2
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /ry01, Ha< �44
ADDRESS UC
COSTA MESA. CALIFORNIA For Office Use Only
i RECEIPT NO. PEIM.ye7N034
OWNER (//
MAIL �•�3 c , /��I RECEIV�O BY I DAT RECEIVED DATE ISSUED
ADDRESS
/� 3 / TEL.`7 G '/�j PIAL 7 !/-G ULII, 1 11Stt
CITY 1_ ///. NO.PtIC//iti7 BUILDING 0--,/ _�rttye � jf /l'L(/��(i• '
ADDRESS 1,f
ARC' ITECT COSTA MESA. 4ALIFORNIA
OT .(NEER NO. / n /
ADDRESS FIRE ;! . Yy
//�, /,�/,M�7/P/,•/ ZONE TYPE YYY GROOU/PPP//����l /
CONTRACTOR /(�Q,('.(7 /�(//v�'f / • APPROVE DATE/// c,--c.
ADDRESS Sl-4'n, ZONING / �j
ZONE o NO.OF USE OF NEW A /J
h .,"Cc
CITY /1 _L �1 I PLANS y I BUILDING
STATE - TEL. %� LEGAL / �(. /J y
LIG.NO. // C� �y? NO. (-� •
DESCRIPTION `0/ 7 /Ie / 6' fcP
OF LOT 57 k /19 I NO. OF NOW ON LOTS Ll A.P.NO.
USE OFYARDS EVES
EXISTING BLDG, APPROVED ALLOWED
SETBACK LINE FROM- (CENTER LINE ST.) �Lf �
CENTER OF STREET REAR YARD FRONT ,S-1/40 '%W FT. _ IN.
SIDE YARD I LEFT C 1 RIGHT R.R.SIDE / L FT. -----
IN.
DESCRIPTION�/ OF WORK L.SIDE . FT. N.
NE' IX II ALTERATION I V ADDITION I REAR / 9 FT. CI IN.
REPAIR I V MOVING I V DEMOLISH I ABBYPROVED /�,,6'e5 DATE 7///4 T_
BUILDING NO. OF `�'l
SIZE /4'70 1-540 ROOMS STORIES7
//
EXTERIOR WALL541 I ROOF „{'
COVERING l'C COVERING LU/yl1
USE OF BUILDING AND WORK TO BE PERFORMED _ _/�S o.•
/
. 0 an7 �. I/ /t1l
c/5/ o ,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF, ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONBTRUg1ON. q�L VALUATION _y/
SIGNATURE OF //yam Owl/y a PERMIT FEE $ -3 ( N
PERMITTEE 4 / '7 '7
$ 45/7 X PLAN CHECK $ ., 7'_
,,-HORIZED AGENT y G
TOTAL FEE $ O /�- LL
.� 2098.8FEE RECEIVED
F
+ j•,OSTA.MESA BUILDING-SAFETY DEPARTMENT NOV 1 3 1963
.. P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
• For Office Use Only
BUDRESS •►S4 GEOR6EAaNE PA
ADDRESS RECEIPT NO. PERjtIT NO.#'
COSTA MESA. CALIFORNIA ✓-j0 7
RECEIVED lY DATE�ECEIYED% DATE188UEED /•�
OWNER ATT►L1° MAiment► {/ �� ti-��/ //17 -0
/
BUILDING ✓
MAIL r�Wu;
,e1 r ADDRESS
ADDRESS IS� LI/�6EQRtS ES Wu; �rtJ t�,,.7� FIRE
CITY -r�//1 NO.l7ry y�/�/'�r ZONE TYPE GROUP
�o hSSA
APPROVED
ARCHITECT TEL. BY DATE
OR-`IG I N EER """... NO. •
-
ZONING
-
A .55
UBE OF_ ,_ _. ZO C r 1 I NO.OF
PLANS '� MUILDINO W ( IU�II`Il{/"�
CONTRACTOR /I / p I7- 7_ / ytl n/
LEGAL tag/
' ADDRESS - DESCRIPTION/��.�
a - A.P.NO. - Li" -
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE /� TEL. 90"TO SIDE a REAR P.L.
LIC.NO. w A NO. ^��
.EAVES
' SIZE r� I No.OF BLDGS. ' ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
F ,,tt s,/� •, YARDS APPROVED YARDS APPROVED
EXISTING BLDG. �t V V iN MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)1
SETBACK LINE FROM FRONT 3 FT.
CENTER OF STREET REAR YARD /rr,� .
R.SIDE /✓ 1 - / FT.
SIDE YARD LEFT I RIGHT 11,61.
DESCRIPTION OF.WORK L.SIDES F NA FT.
Nr I ALTERATION ADDITION REAR (J FT. 'FT.
DISTANCE BET. BET.MAIN 3
REh..IR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.# APPROVED /
EXTERIOR WALL I ROOF APPR /1r8 J
COVERING COVERING • BY ATE . ///
-' USE OF BUILDING AND WORK TO BE PERFORMED
cPj „! l ,,,,,,.r . .. FF e. a '
Sq.FT. o
'$ I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. m
I
•
• SIGNAITUR OF 1 /lt , PERMIT FEE § S
, s q
' AUTHORIZED AGENT 3 �_ L
TOTAL FEE $
OWNER MAINE/UT, ATPILIO DATE NOV 1 3..1963
JOB ADDRESS 154 Georgeanne Pl. BUILDING PERMIT NO. 209160. -
t GENERAL CONTRACTOR Owner-Builder VALUE $ 266.00
'o. LOT 7 TRACT 4698 FIRE ZONE 3 DESCRIPTION OF WORK Com. Block Wall
L.._:ECTIONS Signature DATE GROUP J TYPE III ZONE R1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground ❑ Power .0
Rough Wiring
Trenches 0 Forms 0 Steel Reinf. ❑
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
L -`ug— In❑ Out 0
I r, brown coat
Rerrig. ❑ Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final t�
Final Gas Test l�o wuNCe.l�o+w „n.ca-
Electric Fixtures, Final ,n,_11 �q
Building, Final ,yo Cert�ret�1� - .iE� -25•�'T-- -
OCCUPANCY 11
Form BU4-5M-3-63—S-B P 20988
COBOE20BUILDING-SAFETY
CDASACAO9626T APPLICATION F8999FIPERMI� P O X1OSTM , ALIFRNIIA2M95 TL
F. RECEIVE Y PERMIT,- 7s To 50723
For Applicant to Fill in Completely— Use Ink Only rel
.BUILDING g i -a. / M A.P. NO. 4/ � /
ADDRESS `J7 0-901.00n e p . �
OWNER OR Jo ADOR SS 1 (`� Cep
r1 m p/.
TENANT fin) 4,-/ <NtNT/ ADDRESS 7
UNIT OR
MAILING C• Qmc SPACE NO.
ADDRESS J // ,r q�j //p/Jy
CITY �STfr M65 NOLO /)7�sNEW ( ADD f1OTERREPAIR MOVING DEMOLISH
CONSTRUCTION YJ
LENDER
BRANCH •
4 'AS-
/
OWNER , t/1//0 1/�/ /,tum,' S-f
ADDRESS VALUE
ARCHITECT TEL. USE Rnµ, "jet $
OR ENGINEER NO `_' A'
ADDRESS ZONE Al TYPS3+'r- GROUP P- 3
s� APPROVED IIII o�
CONTRACTOR o/ FS • BY DATE Q-Z3-8D
ADDRESS I'
TEL.
CITY NO.
.F. STATE CITY AVE VED SET A• S
LIC.NO. LIC.NO. • .�jU - / .1-----77
�—q
is SIZE NO.OF BLDGS. (FROM C/L R /
0. OF LOT NOW ON LOT FRONT c eP
a USE OF /
ca'� EXISTING BLDG. R curd/ aq C//) o e
FSeparate permits are required for L.SIDE , 7 FT.L,/ ,/ •
c electric,plumbing and heating work. /REAR �j F . "- f --
f_i USE OF BUILDING AND WORK TO BE PERFORMED PLANN G ACTION
R ` 1 ' DATE
�( ///-� �� APPROVED �{.r��
2-/ 1 s X /C- 5- / DROVED- /:J�_ // OATF-/J/7r1'- f
I:4
G�fj/ Cd//� ((
w
0 I hereby acknowledge that I have read this application and state N.
e4 that the above Information Is correct and agree to comply with
❑u all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
W the State of California. /Jn
7' ,3 I hereby certify that I am properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ 6S, a
and Professions Code, Division 3,Chapter 9.
/yam ' o,
•Peimittee of� ���„j L[/J/.0�—
$13,62/
VASs �J�I co
PLAN CHECK $ 3�. _' LL
/ I/�' /.�• / TAX $ CO. `'
or JJ U
Authorized Agent Date TOTAL PAID $/o2 ,en
UWNtK MAINENTI, ATTILIO DATE 9/23/80
JOB ADDRESS 154 Georgeann Place BUILDING PERMIT NO. 50723
CEI4ERAL CONTRACTOR Owner-builder DESCRIPTION of WORK Roan Addition
,. 439-262-12 LOT 7 TRACT 4698 FIRE ZONE VALUE $ 13,621.00
In..:ECTIONS -Signature Date TYPE V-N GROUP R 3 ZONE R1
SOIL PERMITS ISSUEP
GAS SUBCONTRACTOR
Date I Number 1 Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE [, HOUSE CON. n
SPRINKLING SYSTEM r)
MISCELLANEOUS cai'"i swkaE in. 155I-.27•CC1
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ —'� N.
ROUGH WIRING ����/ Heating and Vent.
TRENCHES FORMS STEEL REINF. �.lR/ry „/".0..0,. ..... ."- 1
-P FLOOR SYSTEM // EXPIRED
•--1 BOND BEAM n STEEL REINFORCE n 1� n / Incomplete Intpectlons )
it SHEATHING Cb 5 1•a?•5/ /n' --f nce
r7 FRAME AND FLASHING I Date (eigic —(4'� `�
H /
LATHING _� V OUT II -),1. 4 rf I !
7/9 1 ges`
F TER. BROWN COAT
CB :TURAL, FINAL
❑ /� Electi'c b ��W
iC HEATING, VENT., REFRIG. AND A,C., FINAL (0 //-3-Xo Tti 'J7
aPLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL
[PFCIAI RFOIIIRFMFNTS
e--/e- a! ONL-
L--C 3 -