HomeMy WebLinkAbout3008 GARFIELD AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.costa•mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626
,lobAddress: 3008 GARFIELDAV
Suite No
Vicinity:
Parcel Number: 14113438
ApplicanC
Address:
Owner:
PHILLIPS, AMY
8884 WARNER AV
SUITE 116
FOUNTAIN VALLEY,CA
ISHIHARA, FRED M
MECHANICAL PERMIT
Address: 3008 GARFIELD AVE
COSTA MESA, CA
Contractor. EFFICIENT AIR SYSTEMS LTD
Address: 8884 WARNER AV
SUITE 116
FOUNTAIN VALLEY. CA
ISSUED BY:
Phone: 714-962-6900
Zip: 92708
Phone:
Zip: 92626
Phone: 714-962-6900
Zip: 92708
License: 520089
SCOPE OF PERMIT
CHANGE-OUT OF AN EXISTING FAU IN A SFD.
1 INST FAU < t00K 8TU
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
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
Refng 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
AirHandlers> 70000cfm
Floor Furnace
Floor or Suspentl Heater
$23.50
$14.80
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
i0.00
$0.00
` 50.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
So.00
Quantity
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillatlon System
Evaporative Cooler
Comme rcia l I n ci nerator
Domestic Incineretor
Compressors / Absorolion Systems
Upto3hp/100kBTU
3To15hp/SOOkBTU
75 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp� �
30 to 50 hp
Over 50 hp
Olher Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Siatus: ISSUED
Applied: 12/03/2004
Issued: 12I03/2004
Quantity
50.00 0
30.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
50.00 0
30.00 0
50.00 0
SO.00 0
50.00 0
ff0.00 0
30.00
50.00
50.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
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 ot 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions end (inel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmit.
FOR INSPECTIONS CALL: (714) 754-5626
zaaa�ae �eroo�
WORKERS' COMPENSATION DECLARA710N:
I hereby eHirm under penalry of perjury one ot the following tleclarations:
❑ I heve antl wlll maintain e ceNlicate ol consent to self-Insure lor workers' campensatlon, fls provlded for by sectlan 3700 of the Lebor Catle, for the peAormance of the
work for which this permlt Is Issuetl. ,
(� I heve end wlll meintein workere' campensatlon insurance, es requiretl by section 3700 af Ne LeUor Code, lor Ihe peAortnance of Ihe work for whkh ihis pertnit is Issued.
�_ My workere' mpensatlon Insurence ler entl poliry number ere: 9� / 'j� `7 O�
Cerrier: e�-r "l��P ��li� l'l� Palicy Number. �.�i ( 7GCi /—�
(This sectian need no( e crompbfed It the permit is voluetl ef one hundred tlollers (3100) or Iess.J
❑ I certity ihat In the pertormance of the wark for which Ihis pertnit Is Issuetl, I shell not employ any person in eny mennor so es to 6ewma subJect Io ihe workers'
wmpensatlon laws ol Cellfom�a, end agrea � 11 I oultl Decome subject to t�e workers' compensatlon provlsions ol Section 3700 ot the Lflbor Cotle, I shell torihwith
comptywiththese Wsions. ,., „�� � ��i
� !1 Y
Applicent Slgnature: l Date: �=
WARNING: FAILURE TO SE RI� 5' COMPENSATION Cql � IS UNLAW FUL AND SHAIl SUBIEGT Ml EMPIAYER TO CRI�AINPi PENALTIES PNO GYII FlN UP TO ONE HUNORED
T110USAND DOLIARE (5100, . IN AD�RION TO THE COST OF YpMPEN$AT10N, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF iHE U00R bODE, IMEflEST, M!D ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLAAATON:
I hereby affirm ihat I am licensetl untler r visions of Ch ter 9 ommencing wit Seclion 7000) of Division 3 of the Business and Professions Code, entl my licensa is in full
force antl eNecL Lic. a% c ���� Ciau 8 � ��i
�—
Con�rectors Slgnature: '�Liu � Dete: o`Z (n � � � /L
� � i
CONSTRUCTION LENDING AGENCV:
❑ I hereby eNirm that there is e consiruciion lending agency lor the peAortnance of the work lor w�ich ihis pertnit is iuuetl. (Sec. 3097, Civil Code).
Lentlers Neme: Lenders Atldress:
Signeture:
OWNER-BUILDER DECLARATIONS:
D8�9:
I �ereby eHirm that under penelty of Oerjury thet I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the tollowing resson (Sec. 7031.5, Business end Professlons
Cotle: Any ciry or counry which requlres a Oermit to consiruct, alter, Improve, tlemolish, or repair flny siructure, pnor to Its issuance, also requires Ihe epplicent tor such pertnit
to lile e signetl statement that he ar she Is Ilcensed pursuent to the proNsions ot the Contractors Ucense Lew (Chapter 9(commendng with Sectlon 7000) ot Divislon 3 of Ihe
Business and Prolessions Code) ar thet �e or she is exempt Iherelrom anA t�e besis lor the elleged e:emption. Any violatlon of Section 7031.5 by any epplicant for e pertnit
subjects Ihe epplicant to a civil penelty ol not more Ihan five hundred dollars (5500).):
❑ I. as owner ot the property, or Iny amployees with wages as t�eir sole wmpensation, WILL DO THE WORK, antl the strucwre is not intentletl or ottered far sale (Sec.
7044, Business and Professio�s Coda: The Con�ractors License Law dces not eppry to an owner of property who bui105 or improves thereon, entl who doas such work
himself or hersell or t�rou9h his or her own employees, provitletl ihat such improvemenis ere not intended or oHeretl lor sele. ��, however, the building or improvement is
sold within one year of comple�ion, the owneo-builder will heve t�e 6urden of proving Nat he or she did not builtl or improve lor purpose oi saleJ. '
❑ I, as owner of Iha property, em E%CLUSIVELY CONTRACTING WITH IICENSED CONTRACTORS to construct lhe pwject (Sec. 7044, BuSiness entl Prote55ion5
Cotle: The mntraaors License �ew does not epply to an ownar ol property who builds or improves ihereon, end who contracis for such project with e coniractor(s)
license pursuam to the Contractors License LewsJ.
❑ I am eaempt untler sec.
Signatura:
Owner ID venlied by tlrivers license. Ves Q No
Business and Prolessions Code lor this reason:
Verllication af Owners�ip by (rypo ol document, i.e. - properry tex bill or deetl):
DIVISION OF INDUS7RIAL SAFET' PEHMI7 CERTIFICA710N:
DrivefS LJCense No.
Date:
Expires:
❑ I hereby certify that no excevatlon flve (5) or more feet In depih Inlo which e person Is requlred m descentl, wlll be mede In connection wlth work authorized by this
permit, antl Ihat no building structure, scaHolding, talsework, or demolition or dismantling thereot, will be more Ihan thirty-slx (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec.
341, Tltle B, Celilomia Adminls�retive Code).
❑ As owner-builder, I will no� employ enyone to do work which would require e permit from the Division of Industnel Selery, es noted abova, unless such parson hes e
pertnit to Co suU work trom the tlivision.
Signature: Date:
Division ot Intlustrial Sefery Pertnit Number:
CER7IFlCATE OF COMPLJANCE AND AUTHORIZATON OF EMRY: I certify under penelry of perjury i�at I have reatl this application and state thet Ihe infortnation given is
correct. I egree to comph with ell sta�e lews end city ordinances relating to building constructlon, end euthotlze representetives ol t�e City oi Coste Mesa ro enter upon the
aGove�dascnbed pmperty tor inspectien puryoses. I agreo not to acupy or ellow occupancy of eny building aulhorized by this permil umil linel inspection.
GOUC/�. INSPECTION T1PE
1616 Fixed Syslem Finel Fire Pre�ention
1266 Pool SOa Final
200 Finel Re-Roof
201 Final BIocWReteining Well
202
203
Final Factory Fire Placo
Finel Sign
204 Final DemoliUon
PAIE
0
ItiI�Li
SOOE 1 INSVECTION TYPE
206 Final Mec�anical
20B Final Plumbing
270 Final Elecirical
212 Final Fire Preventlon
220 Final Planninp ApProval
222 Final Site
�250 FinalBuildingiOccupenry
_ '�
Y
, CITY OF COSTA M�,S A �
CONSTRUCTION pERMIT
Appliant't Meilirp
VroJ�ct Addrm _
Owner'� Wm0 �
Addrap �.•n
ADO��unt to �Ill ln all iD�uf axc�pl t�ow wlt�ln heavy DorCer Iln�> anU tlqn all approDrlate 0ecbntlont
VE�iM1T nNO. i/ TRACT NO. LOT N0.
�J �9(./ �> �` '� � .. ...�- �[' (.;�' .. �
- TV��OFCONSTpUCTION NEW ADD ALTERATION REVAIR
CONVERSION ❑ DEM4 L4SH. OTHER
.�.. OESCRIFTION OF WORK C' � Y ��� �� �' � �+ � !.� /I."L� "
,Arch/Erq. . Lkona No. ,
�rddfOO . , , .. ` .
r.OntfYMf'��U � v � hOnO' .
ACtlrealmeilinp) ' � . .
I . •
Licana No. �
LIC[NS[D GONTRACTOM D[CLARATION ' ' � � �
1 hsfeby HfIIm tMt 1�m Ilc��u� untl�r provlslom oi Cturtp 9(wmm�ndn9
wlt� Mctlon 7000) M Divislon J of lM Buslnas �n0 Rofuslom COC�, anG
TY IIpnN It In fYll 1pn anU Nbct. ' • , .
Up11M G�ff 1 4MW f'�O. ..
te � � 9pnatiu� . . .
�oK[RS'COMP[NSATION D6CLARATION ' ' • � �
'� alO�m tMt 1 h�v� � qrt�/1uN o/ conYnt la MI/�nWn oI a prtlilut��
ot .��: Raf' Comp�ns�tlon inwnnu, oi � umnw. wcr tnaroot (secuon
380... `IJE. C.) ' . , � ., i ' •
Po11cY Nc. ' - = C�mD+^Y .
BGrtI11W �CODY �s �R�bY fYrnlsMC. . ' I , , � ! ;
prtltlW mDY Is IIIW wlt� tM UtY.Bul101n9 Dlvislon. �
Date ApDIIGnt � .
E%QMPTION�PROM WONKRRS' COMPENSATION GECLARATION
((7h1� Mtllon nN0 not W fAnlYMteO 11 Ma p�rmlt Is for ona �unEnC (j100) or
le�rtlry lhet In t�e p�rtwmr�u a1 ths work for`wbicf� tNf permlt la Isiustl I,
s�all not amDloy any psrsoM �� ��y mann�r w ss ta Dscom� tuG)att lo ll�e �
Workefs' ComWnsitlon lJwf o} Gllfomlaf • . � '
Data �Y�+�un �
NOTIClt 11, �fbr maklnp thl� Oatlantlon, you s�oultl Wcom� wU7�ct to t��
Worken' ComWnYllon D/o�s�ons O} tM Ubof COG�, y0u must forthwltll
complY `�'��� sucll proHslo��'or Nls permlt�sM�ll bs:Uam�C nvokeC„
CONSTRUCTICN LEN�INO AOENLV �
1 hereby aHl�m t�at tMre li a wnftructlon IanGin9 ayency fo� t�aq rformanG
a/ the Iwork for rhlctl t�b permlt b IpuW (Sectlon 3097 Clv. C.)
una..•s wme '
Lenaer•s AGarw; ' ' � � � , �
OWNER BUILD[R DHCLAqAT10N ' ' ' � - � �
1 neney'�f/lrm thal 1�m �aem0� from Ne�Contrattor'i l,luns� uw for tna !
/ollaWln9_nason'�SeCllon 7031.5 Buslneb u1tl P/ofeulonal CoOa: Any Gty or �
[ne T ana [ne uasR ior ��� anweu �avmvaron. nnY a�'�uvn v� rcu�n �
�70: py any aDW�unt,fw a parmlt�suDjects tM•apV��Ca�l to a tivll �
Q� �Ity o1 not mon tnan flve �unArea Eollars (f5oo�. '
L�I I,�as�oWnef oi t�e property or my �mployMs wlln waqes'as t�alr sole '
comp�nsatlon wlll tlo the vArk, antl t�e strucluro.ls not InbnCeE o1 Offerotl
tor sa4 (5ec{lon 70s4, Buf��eu anC P�ofesslonal Cotle: The Contr�[tOr'f �
llunfe Lsw Goes pol aDG�Y �o an owner of a proparty wha bullGs or ImDmvaf �
tnareon, an0 w�o tloai tucn wa�k �imsalt/I�erwll or t�ro�qh �I� or ��r own �
lmp10yeef, O�OvIOW Ih�t suGh'ImO�OVOmentf ero not,IntenOeO or oHeroC tor
wle. 11, �owevar, t�a DuIIOInY ar Improvem�nt Is so1G wlt�ln ona yaar.of com- �
o�etlon, tna ownerwill naw t�e Dur00n Of provin9 �e/s�e OIE nol Dulltl Or Im-
Qr.,ow tor t�e O��Da� a� %+la�.
lJ I, B owna of tha propar�Y, +m axcluslrery contnttlnp wIM IlunseO com �
tractors to construct ths oro1P� (�«�on 7016, Buslness anG Protasslons COGe: •
T�e Conlrattor's LJcansa Lsw does nOt aOP�Y to an owntr ot Oroperty who �
bulltls or Improres tMraon, antl who tontocls Por su<� projxls wIt11 a mm
tractor�s) Ilunse Yurswnt to ��e Contr�ctor'f Liuns� ldw�.
❑ 1 am exempt untler Secllon B. 6 V. 0./ar tnls reawn .
: , � � . .
Date ' ' ' Owner ` ' � � � �
1 hereb y� certlTy that 1 �aA �ee0 t�is applica[lon an0 sttta t�at t�e aDow .
Intarmatlon Is corrett. 1 aqrtle to comply wltn all city ana county oralnancas .
antl sbb lawc ml�tlrq �to OU��tllnp tonitructlon, antl �eraGy authorize re0r> '
s�nUtiv�s o1 tMs Nty to Inta uDon tM aoove�mentlonea prop�rty for ;
Inspectlon ouf0�i. ! ! % � 1
519nnWra �! %"�/ .l •�l.f. � .J�:l: Oate 1_!(i- ��� � �
TYPEOFPERMIT ORADINO FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL PLUMBINO ❑ MECMANICAL .
❑ OTHER
PROJECT DESCpIPTION SO.FT. OCCUPANCv—
CONSTRVCTION TVPF VqLUATION = �,.5 '✓��
1 20Np pRADINOCU.VDS. ACRF�
R�marku . • �. . . . .
� PLUM8ING •
Bar Sink - Senar Cap . ' .
' � Backflow Prevanter � ' Sawar Connxtion - - . -
ikinp Founuinf
)! Of81�f' � '
fr Sinks
Service Outleu
Interceptaa �
' Kitchen Sink
Levetorlaf ' ' � .
' P-Trap
Roof Dreina �� ' -�
i ,
, Showart � � , .: .
, Service Sink i ' � � '
' Boilor `.� . • i �
Duc[ - Under Ground ' i
� Duc[•Structurel � ;
Duct - Ventilatinp, '
� Exheurt Sy�tem � Multipl
Firepl/Faet.8lt.IC80� �
Heating System & Ducting �
• ❑aYoo,000eTuO�ao,oa
Hood or Type I ❑
DAvers' lJcenze or'S5 � _ '-� � � � — Ae9�ners �
CMF 0865�6 rav. 12/B2 N�plle �BUIIGInq; Gnary - ApD��GnQ Pink - Attountlnq: GOIGenmO - Assessor
Soler Collactori �
$oler Pipirg �
Sokr Tank �
Swimming Pool w/Spa
Urinal '
�'V6TBI CIOSBI'
Weter Heater
Water Serviu
I:
, i
. �
� � Rdnsp�ction,Fw st6
Isuw FM � � f 3
1ANICAL
Refriparation System �
❑0.700,OOOBTU �100,000BTU i
System Repair/Alteration �
i ! • , �
:
� � Reimqction Fw� S76
� � Issw Fs . � i 3
LEFT SIOE VARD
PKO.SPACE REU.
STpEET WIDTH
Autometic Washx .
Consbuction Pole ' .
CookinB Unit � �
Dizhweshar .
DryaR ❑Gaz� OEletviC
F.A.U. � � '
Fixtures
Device Boxes � �
OuNets � �
' 73.:�. � iL
REAR YARD (TO P/L) '
RIGHTSIDEVARD �
PROVIDED
� • . PARK FEE S .
. ;Meter tJover100emas � .
�SubPenel � �
• Sub Pola � � � '
• Moron �Pt HP ❑115-8 �
' �- � 'Inc.Salar�O945HP ❑1615+ - '� � -
Micrqvave ' � '
Pole�Light ' , . .
fl�� � �
. S�B�� , � . �
'StendingSections `
• Trash ComPnctor ' t
GefhagB DispOml ! ' � � �
Generetor�0-5K1N�546KW � � ! ' '
TrenAormer �16-50KW j � � � I � • ' •
' , ❑5U } KWi � � fUirup�ction W ;
Meter ❑up to 100 emps � � �� FN
ZDII��Y AVO�ONd BV i 1 i ��
qpp�imtion Apwovtl By ^aq —
MP�ieafion lawd BY � �'���1 � • i . n.t� �' �
� I/ S MMARY OF FEES ' ' i ;
�BUILDINGPERMIT $'�"�SCJ i gM�p ' I I SI .S�
-PI.ANCHECK � $ ����•'%7_ � PERMIT ' '
PLUMBING , s + � ISSUANCE � '; S
•PLAN CMECK, : $ � i GRADING � i S°
ELECTRICAL � S � - • ' � � s
�PLAN CHECK � j ' � i i MICROFILM ; S; .
MECHANICAL , � ' � � I TOTAL�FEE, ; S �
S LESS • � � � �
'PLAN CHECK; � ' qDVANCED PC � S �
; i � �
' � � ' � � � FINAL FEE � E '' � •'�
g�,,� �� `�s a t•B3
� f � �-�� N . � � w n �2 �ea,� Dos.l �.. �) .
`` � S _ n-Q�, �v-:� �..�� �e �J� � 5 � -/�--�3
� Joc��h yJ/W IS 0' Gf e45�Fnd 7� uI wPs7� end, Grvy�Pd�
S�eel was v�tily ihSPCGf2d in rC��ni�wall Sec'il0h o'� $'outhwu��. C�pPC�_
2 N� t ��W 'i5 9�o4fed d co�ped.
� N2Ed eh9i��eFr�hq oh 7�d-�i� i�W . Svufh wA��� 9-6-�'7 .,jp
-�` � ,�ra�, � s q - c z --8'3
' ADV�ionl to fill in all so�ces e:capt tnose witnin �eavy DorCar Ilnes anG ilgn all apProorlate Oeclarotions.
• CITY OF COSTA MESA , f. • PE MIT NO TR T NO. LOT NO. BLD . � .;j ) J� �/„j i/,;;; . �,�� „�, i
CONSTRUCTION PERMIT ' - �p`� �. 3Z -� ' ' _ , ,
.
ApplicenYs Maiiing ��drea � ��^'' � TYPE OF CONSTRUCTION NEW ADD ALTERATI.ON - REPAIR . ' � , - • : ' - ' , .
Prol�tAddless " � . ' ' �� CONVERSION ❑ OEMQLlSH OTHE:=- - ' .. � . . ' . . , 1 ' � ' . � .
r �!/� , DESCRIPT ONOF W K �
Owner's Name r� � �Phone �� % i � . , . � I .REGULATI . .
Addfea �' �� � �� ' � 7YVE OF P RMIT G DING � FOUNDA N STRVCTURAI . A. P. qW . � " ' � ZONE � " ' '
Arch/Eng. _ - Licensallo.' � ❑�7ENAN7 ❑ELECT AL ❑PLUMBINO ❑�MECHANICAL � PLNG.REF.gW.• , •'BUILDING � . ' .
Add�Ms - � - �� ❑9TMER' � ' � � .TOBVILDING ' . � '
REAR VAflD (TO P/LI: . . r •
Contrectoi i Nem a � hone � PAaECT DESCRIPTION 5q. F7. �'�OCCUPANCv ' � ' P ��N n'
' � � � - ' ' LEFTSIDE VARD � RIGHTSIDE VARD • � � �
'CONSTRVCTIONTYPF ' - VALUATION$ � %C�i - f� '
Addrez� (meiling) ' � � � - . i � .
, ' � ' . ' ' ' ZON� � GRADING CU. VDS: ' �ACRE� �PKG.SPACE REQ. . , PROVIDED ' '
Cicense No. � "
LICENSED CONTRACTON DECLARATION ' Ramarks: , ' � , � � ' ' - STREET WIDTH ' . . � �PARK FEE.S � ; �
I hereEy� a/firm t�at 1 am IlcenseU untler provisions oT Charter 9(<ommancing �� ,
wlth SGctIOn 7000) Of OlvlsiOn 3 Of t�G Bu51ne55 dOC Praf85510�5 Cotle, anC �' , , ' , . � � ' SPECIAI CONDITIONS: � • �
my Ilcense is In hll lor<e anC e/Poct. ' ' , , ' ' • , . ,
LlcenseClass - � LlcenseNo.� I �� � � PIUMBING �� � � ' ' ' �_ �
Date ' ' Si9nature � � � - �
BaiSink � SevuerCap ' � ! ' ELECTRICAL , - i '
1RKER5• COMPENSATION DECLARATION � � � ' � - - - �
eraDy afflrm tnat i navo a certificate:of consent to self-Insure or.a certincate � - � _ _ _ . Automatic Washer _ � Meter Over 10� amps; -'
.,� Workers' Compensation Insurance, of p certlfleC' coDY thereof (Sectlon , � Backflow Preventer - Sawer COnnection - . -- - :
Conrtruction Pole
3800. Lnb. c.7 � : � . i ' . � ' : ; ' ' Backflow Irri tion . . .- � . �Sub Panel
' � ga Salar Collecrors . � � i :
Policy No. ' ' � � �• Company - � � � � � Cooking Unit � Sub Pole ' ' � � ' �
BCartltiatl coDY �i hereby furnlsheC. ' � � ' � �' Bathtubs � $plar Piping I , . ' ' � '
Certlilatl copy IS flletl with the tlty BultCing DIvlSion. � . . . - � DiSh�vdsh¢r ' MOtUrS �0-1 HP 01 X$ � � ,
Date .appu�ant '-�- � Clerifiers Solar Tank I � I
E%EMVTION FROM WORKERS'�COMPENSATION DECLARATION - . Dryeri ❑Gas �� OElectric� � InC.SOlaf 09-15 HP 016-15+ '
(Thlssectlon neetl not ba complatetl if Ihe permitis for one huntlretl (f1W) or Dishwashar � i . Swimming Pool w/Spa • .
iess). • � • . � , � . � . i � • - , , � Fan ' Microwave ' _ - � �
I certNy that In t�e parto�man<G Oi th0 wO�k }O� whiGh th s DGrm�t IS ISSu9tl I Orinking Foun[ains �J�in01 � j . � ,
.� snall not employ any perion In any man so' �[o b ome sub ecLto t�e � . � - -�� . � ' • . �
Worker ' m e satlon; Laws ot Calliorn ' � Floor Drains' ' � ' Water qoset. ' � . F.A.U. Pole Light �'
� Oate ' Slgnature � .- ' . � - � � � Fizfures !
_ �
� NOTICE: f,�alter maklrig�thls tla<Iaratlon, you Snou betome 5u jBtl to the � Floof Sinks '� -- ' '�-- - Wat2f HeetCf; , - � - - - - - - - -•- ---- - �' -�' ,:Range _ � "� �
Workers', Compensatlon Drovlilons ot the Labor Ue, you.must fo�thwith . ' ' ., ' „ . .
comply wilh such rovislons':or this permit ' S alt be . Geemetl' revokeC. ;- '� Device Box25 , �
v ,, � GasService � �Outlets �WaterServ¢e � � � �Signi �
CONSTRUCTION � LENDING � AGENCV I - I � � ' - ' � � � QUtletS � ' � -
I �ereby affirm t�at there is a construction�lentlin9 a9enty�Tortha parformance � Interc¢pt0�5' ' + ' . � ' ' �S[anding Sections � i '
of Iha �work tor; whlt�•Shls permit'Is�issueC,($ectlon-�3097� CW. C,. � ' , .
Lentler's� Nama- ' i - Kimhen Sink� �. % � " ' � ' �; � ' Switches ' �Trash Compactor '
Lenaer's"Aatlre�s' � � ` ` - - , � • -� _ � Garba e Di oml � '
, OWNER BUILDER DECLARATION' � - ' . � " Levatories � , � � 9 . �
I nereby atiirm that I am exemOt trom the•Contractor's Llcense law ior tne � � . � � . Generator �0�5 KW �5-15 KW ' � ' - ' '
tollowin9 reasom.(Sectlon 7031.5 Business antl Professional Cotle: Any ci[y or ?-TiBp� � ' -�� � � �
, mounty which requlres a permit to construct, altar improve; aemollsn�or repair . � - • Trenstormer � 75-50 KW
any strutture, prlor to Its�lssuanta; also �aqWres t�e applicanl (or such permit RoOf D�ains ' � - : � • � �� ' ' '
(o iile a ilgnatl statemen['that he/she is Ilcensetl purivant to the proWsions ot � , : - i ❑5U+ KW
r Contractor's Ucense Law�(Chapter 9(commencing with Section 7000) o( • f� Rains ection'Fee � � � � ReinSpec[ion Fee . $75
i'"'Azion 3 of the Buslness antl. Pro(esslons Cotla)•or that ne sne-Is�enempt ShOwe�S ' 1 ' •� � � P $15
� 3,k�-`,'iefrom anE t�e� basls tor the alle9etl exemptlon.�Any violalion-ot 5action --' � ' . Merer ❑up to 100 amps � �Isue Fee� '3
�i031.5 Gy-any applicant for�a<permlYsubJacts;the applicant to a civ(I ' � '" .. 1 . � . ; __ . . _
/� -�p �enalty ot not more t�an flve huntlretl tlallars (y500). �' � '�' � Service Sink � � , Iuue fea ? 3 - � --
UQ I,- as ownar of tha y '� ' ' � '' 2oning Approred By pate
/! .proper{ ' ' e , , _ . , � ' ,
Y rertrpertaelwn wiu:tlo tho work; antl,the ztructure Is not intentletl or otfereC , � , I' � MECHANICAL . qpp��m��on AppraJed By � ate
for sale,(Secflon 7044, Business antl Protossional Cotle:'The'Contractor's '
Licensa Law tloes not apply So.an ownar of a property' wno builtls or Improvas Boile� � ' � Refrigeretion System � � . � � �( 3/. �
thereon,�antl who tloes;such work Himself/hersal/ or t�rough his or her own � ' ' � Application Issued By '� • DatO � �
employ a05, prOvltletl tha[ zuchimprovamenfs are nOt Intentletl o� oftereG tor ' ❑0�100,OOOBTU ❑10�,0008TU
sa1e. If, however, the builEing or Improvement Is soltl within one'year of com- ; . Duct - Under Ground � ' ' , , � ,
pbtlon, tha owner wlll ham the burGen of proving he/sha Citl not builtl or�im- ' - . ! �, , . /� �SUM�M�ARV OF FEES ;
�roveforthepuroosaofsaie�. � � �' �. , Duct-Strucmrel ( ' - SystemRepeir/Alteietion �BUILDINGPERMIT $ 1T_.�o � SMIP ' $' ���
I, as owner of the property, am excluslvely contractin9'.wlth Ilcensetl con- ' � - . . • I, ,
tractors to cons(ruct the_pro�ect,(Section 7044„Business ana Professions Coae:. . Dutt - Ventilating _ ,� � 'PLAN CHECK� � • �
Tne Contractor's Llcanse Law does not apply to an owne� of property who ' , � $�� TZ ' PERMIT � ;
� builtls or improves thereon, antl who contra<tz �or such orajects with a con- t Exhaust System ❑ MWtiple ❑� � �PLUMBING . $ : ISSUANCE $,
' tractor(s) Iicanse pursuant to me Contractor's License Law). : " ' ' - � $ � GRADING � $ � �
� � I am exempt untler SecUon e. & P. C. tor this reason Firepl/FaCG BI[. ICBO # ' �PV+N CHECKi ! i $
.r. . f , . . � : : . . $ .. I �
Date � Ov+ner � � ' ' ' � � � ' Heating�$ystem & Ducting ' � • •� ; ELECTRICAL ' , , ,
1 hereCy certify that �I� have �reatl-Ihls apP�lcatiom anC ztate that the above-+ �' OP100,OOO,BTU �d00,000BT �^ - '
'PLAN CHECK� $ , MICROFILM ; $ •
Information is corr ct. I agree to comply with all dty antl 2oun[y ortllnances - , ' � ' � � TOTAL FEE� �$' �
ana state laws r g to builtling co ru tion antl here�y authorize reore- � . , - MECHANICAL �. $ � � , . .�
santatives of t 5� �[o enter up n t a ve-menUonatl p Per y for , HOOd Or TypO I ❑. ' ' Reinsp9etion Fee $15 � ' LESS ' � '
Insoectlon p . . / P 3 Cano T e I I ❑ ' , .
�PLAN CHECK $ �� qDVANCED PC : $ �
� SlgnaWre � Date • , , ' � ' � � �
i � Fiegisteis � laue Fee § 3 � , �
• Dri'vers' Llce or�555f - , FINAL FEE '$�
CMF 0865-06 rev. 12/82 Wnite - Builtling; Gnary - Applifant; Pink - Accounting: Goltlenrotl - Assessor
" -_�-
�� •'CONSTRUCTION.ANDPLANNING' d ��" - ' � _ . .- ' �d SPA,�� _ - _ - - . +
� .APRROVALS ` Permit #�: °' ` ` ' ' �" � �Date ylnspector yAP.P.ROVALS Permit # �� � Oate Inspeetor �
� !Y ;Temporary Electric5l Service or�Pole � �:' .` ' - _ ' '52: Pool & Equipment Location � � - � .
� •2: iSoil Pipe-Undrgrnd': � � `'t ; - = '. `: � �53,�Steel;Reinfo}cement -�
C-
�' 3: �Electrical Conduit UtilitwUndrgrnd! I', _ � "' _ - ;54,� Porins,' - . . � - ' � -
<" 4: Electrical ConduirUndrgrnd'.=y = � � '' � > - ' �-, " � �. .55^. Electrical�Bonding - � � - ��
� � z;
` 5: �Steel;Reinforcement � � ; �' ( : � � `� T '' ` 56. Rough Plumbing & Pressure.Test . _ � "
a, � �
6. ,Electiical UFER �Grnd. , � ' � , - , . ` �. � �' 57.-, APPROVAL TO COVER-GUNITE.
7. Footings . � j ' � _ a • - �;5, = ;�` �58�.Electrical��nduit-Undr�r+d. ' _ . � �
� 8. Fountlation � . � � ��� ; _ ' 4' ^ ' -, ?° � - `59. Gas Pipe,�O Undrgrnd., 1"est � -
•,
9. Water Pipe-Undrgrnd. � , `.' ' � . �_, • .sp. gackwash' Lines, P-Trap,!O Undrgrnd. ,
•10. Structural FI'oor Sy�tem ; ' , ' , 61. APPROVALTO DECK =' .
11. Property Sewer Line &'House�Connect�ion - � � 62. Backwash'& ReceptorFi�al, ���.
12. Sewer Cap , � , ' � ; � � , � ' 63. Heater & Vent-Pinal ' - - �
13. Roof,Drains , ' � � � " � : f � � - 64. Piumbing System • Final:. ' •
14. iRough Plumbing � � � . � � ' ` � - � 65. Electrical-Final ! � •
_ '. 75. �Rough Electrical�-Conduit'*' '�-�-t"�- � : 'i'� � � ' ; - - "�66., Solar System-Final� - '� - � -
��16,. Rough-Elecfric Wiring, - � e ' '.' � � -. -_ " '� .: , ''- �67.� Fencing & Access Appioval •- "�
- r'17. !Rough Wiiing"Sign ? ; ' , , 'j j �� � � -, sg! APPROVED FOR PLASTERING '
_ �� 18:.'Rough'Elect'rical=T:Bar Ceiling ' �` � � I -. ' � ,'� . �69.� POOUSPA SYSTEMS FINAL
l9.'Rough.Heating & Air'Conditioning i` . � � � i ' FIRE DEPT. REQUIREMENT � . �
20�Rough Factory Fireplace ; � ' � � � ' APPROVALS ' Permit�h �
` 21. Ducts; in Structure•. ' � , �� � , � � ' 7p! Unde�ground Hydro • �
� � � �
'�.22. �Ducts,'✓entilating ,- ' � ; ', � , � p1. Product Piping � Gas ❑ Oil . '
= ,,23. �Gas Pipe-Ro�ugh & Test : i ; �.i� ;r�� � ' ; { 72.� Underground Flush � � �
� 'i'-24t, �Roof Fiaming, �� ' • !," �. ..f � . � ' J3. Undergrrid. Storage Tank O Gas ❑ Oil •
r i 25. :Roof Sheathi'ng ' � ^ ! � , %. - ` I ' - � 74. Overliead Hydro ' �� � ,
�: : 26. T-Bar Ceiling (StructuralL & Monocoaf� � , .� � ; - , �75. Dry Chemical - ' . .
��27. Frame and �Flashing� � � ' � ' � � _ � 76. Dry Standpipe . , �
;^28. yLatfiing &'Siding; ;' -� , i � �, � � � j ' ' ,77 � F�IXED $YSTEM FINAL � � _
29.'Insulation = � � " .� t � �� �j I j I ' � ,78: FIRE PREV. FINA�L � �
30. Drywall Nailing ' � ' � ^' i �� ' i � � � i � � Notes: � ' -
r� , : , � � � I(� -. ' , : .. . , . _ . _ . . _
�'31. Plaster Brown Coat'" 1 � � � i ' � � �1 .
` 32. �Electrical Power Meter-Final i �; �'. i ' � , � ; ; � ' . '- ' '
, Ir ,; . : ; ' : ' � , , .
�. 33. `�Final Electric ;^�- ,�_- -t- -, � � ' t
34. Fina� Heating &�Air Conditioning i ' , . � ' ' ' . � _ - �
i i.. F �
35. FinaPGas Pipe-�Teit - � �� ' ! ^ ; , ' .- � ` . - ' � � �
� r �
36. Hood or Canopy' -i .� � � r,l ' } ' � " � � - . ' ' �
� � y � , . . . � .
37. Final Factory`Fiieplace'' = � �� � �: ' � -, . . . ' '
�: �
38. Final ?lu ti�ng � � . . � . I i � � ' ' ; i � , ' - � ,
k
� ry,
39. Water.Service-Final'� . i i I � ' � ,' ' , . •.�
40. Gas Service-F'inal � i ' � ' ' � ; �. ,
� � • .��
41. Solar pomesticFinal � . - I ' ' �� . �• .
I ' - i-- - - _. . � . '�
42. Backflow Preventer ,' � � � � � : � . � '" ! � , �
� , _..� ,. _ i __ �._
43. Backflow I�iigation ' � � � � r�� _ .. � . � � .� .� � '
,� �
44. LandscaPe I�rigation,SYstem' , �:�;� ; . �.' o� ; � � . � .
. - `,' . -- ,, , ,
45. Sound, Attenuatiori�� „ � ' i �' " � � , ' . . .
r i
46. Handicap Regulations � i � � ' � � . � �
47. FINAL STRUCTURE & BUILDING �' � � � �
s , �. �
48. Special Requirements Completed � � l � � ' � � . � ` � . �
�
49. Electric Release;to Edison• � � , ,•�� � .- - -� - --- - �' . ' _ •�F ; i'
�
50. Gas Release to Sou4hem California Gas Ca �. � � , � � �� .
, l : �..
51. CERTIFICATE�OFOCCUPANCY � , . ,__; _'_ ! . i _ _ ! ' . .0 ' • �•.I
� �
No. �' �� � Date ' ' ' ' '
,
�
•
O BARS �
i P�
2 �M3 BARS—�,
1.
CONCRETE
MASONRY '
WALLALLCELLS ��
FILLEDSOLID ,
WITH GROUT +
OMIT HEAD '�
JOINT IN FIRST .'
COURSE AT 32" � �+�
O.C. FOR WEEP '
HOLE I �,'
GRADE
�
CITY OF COSTA MESA
BUILDING DIVISION
RETAINING WALLS
GRADE
J �.�
�1 v
^� �
� a.
X
�
0
i
.li O
I
t� �
i. I
� 2' �
I I
' .IjB�MS N I
1,{
�- 1 I
POUR FOOTING ° � �
AGAINST
UNDISTURBEp �� C�— I
NATURAL SOIL
TYPICqL SECTION 3'-0" MAX.
� BARS _
� ME3 BARS
CONCRETE MASONRVi
WALL • ALL CELLS �
FILLED SOL�D
WITH GROUT ' �
OMIT HEA� JO�NT IN �
fIRST COURSE AT �
32" O.C. FOR WEEP HOLE .
r- GRADE
i
rr-c
X
Q
f
0
i
i�
GRADE � ' � �j� z•
,�iv..—T,r � +'m�.— � • i
t _ .
� �
� ' P'i3BARSCONT.
NI �
,, �
POUR FOOTING �
AGAINST �---�.°
UNDISTURBED �
NATURALSOIL
TYPICAL SECTION 3'-0" MAX.
1 BeRS ��vj BRRS ( QZ BAHS
3 at 2a" O.Q fi 3 at 4B^ o.C.
1�01 ES:
1. Retaining wall shall be grouted solid.
2. Reinforcing splices in masonry shall be lapped not less than 15", in concrete not less than 12".
3. Omit mortar at head joints of first course at 32" o.c.
4. Mortar shalt be no leaner than 3 to 1.
5. Inspeaion required Drior to grouting cells.
6. A 4" block fence with pilasters may be constructed on top of the retaining wall for en overal I
height of 42" high on the sidewaik side.
SPECIFICATIONS:
CONCRETE: 2000 psi at 26 days.
BLCCK: Type "A" A.S.T.M. C-90 or C•145.
REINFORCING: Grade 40 A.S.T.M. A615 or A617.
�E�Ji L4J
��,�7.��:,_f.1.5
�
;�; -�� '� �� �'ti "� r I' j,\
i
City of Costa Mesa Building Depi.
lY�� "�_._DATE.�/��_I9�h
THESE PiANS MUST BE ON JOB Af ALL TIMES
MAKE NO CNANGES WITHOUT ARION APPROVAL
OF DEPT.
THE ISSUPNCE OR GRkYTIHG OF A PERMiT OR pPPROVpL
OF PLFNS F��� £FECIF(CdTIO':5 SH LL NOi BE CONSTRUED
TO BE A PEFNIT FOR, OR FN ApFROVA! CF, ANY YIOLAT10N
OF ANY OF THC FROti'J:O;;S OF THIS CODE. NO PERMIT PR6
SUMING TO GIVE AUTHURITY TO VIOLATE OR CANCEL THE
PROVISIO�S OF THIS CODE SHALL BE VAL�D, IXCEPT IN SO
PAR AS THE WORK Ok USE WHICH IT AUTHORIZES IS UIWFUL
THE ISSURNCE OF A PERMIT BASED UPON PLANS AN�
SPECIFICATIO�S SHqLL NOT PREVENT THE BUILDING OFFICIAL
BOM THEkEPf1ER REQUIRING 7HE CORRECTION OF ERRORS
IM SFID PWNS AND SPfCIFICATIORi Oft FROM PREVFNiING
fUILDING OPERFTIONS BEING CARRIED ON THEREUNDER WHEfI
IN 1'ICIATICV OF THIS CODE OR OF ANY OTHEA ORDINANCF
� ('� THE CIT(.
STRUCTURAL APPROVAL ONLY
SEPARA7E PER� �ITS r�RE REQUIRED
fOR ��.FC7R�C :C, P� �";9!� �S,
k�:/,i� •,, i,�.� ,/`
lii�`J
RE:=R�G_�;r�if��;; :.,P3K
� � T �C7'"�e� # �._��d� /_
, , ALL _!�, ' - ^STS���Y
, ,., _� . ,.
� i�11 E..L j
� L'E Ei.:FiO.C' . ''$AT THE
STATE G; " . . � _V ,J,StOiV OF '
Q'�S�^' .5 . r.
G; — ,, .: � J',SDLTED FOR I
(�DD(L"U;:r�_ ;�G.,;i!lu,iEi.?S.
yr.t�.D��'��' V"!f'�
C1tY 4F COSTA MESA
FLA?a?J:NG DEPT.
Su21"eCT TO BIDG. DEPT. RE6.
Bv D�G.I,iL. DATE..L�.�L.�.��.�
DIRECTOd OF PIANNINO
T
SITE STANDARDS SPECIFICATION
RESIDENTIAL FENCE AND LANDSCAPINCr
0
�
�0 O
4
�_�/^
P
�
- \'
O
GLF11e FoR
VISI61LITj'
LANDSCAPING MAINTENANCE
SFiGTION A-A � NTTE2�E�GU N� ND�D21 WAyS
�
�9
2�TAINING WALI..
C.rRL1DE
�,1
�'
GRAD�
ELEvATION �E�TIoN
N�TE : FENC'E f�LUS UNE HALF W0,1L � 6 FEET OR LE�
co ame �
RFSIDEDPPIAL' NOISE ;ATTENUATION WALIS '.
Standards and Specifications
LOCATION
� Side or rear of residential properties abutting the follaaing streets:
Adams Avenue from the Santa Ana River to Harbor Boulevard;
Baker Street fr�n Harbor Boulevard to Bear Street;
Bear Street from Baker Street to Sunflower Avenue;
Fairview Road fran wilson Street to Sunflaaer Avenue
Harbor Boulevard frcm Fair Drive to Princeton Lane;
Placentia Avenue fr�n 17th Street to Adams Avenue;
San Diego Freeway fran the Santa Ana River to the Costa Mesa Freeway;
Sunflcxaer Avenue fr�n Fairview Road to Bear Street; and
Victoria Street frm the Santa Ana River to Newport Boulevan9.
� Where required as a mitigation measure in an adopted Negative Declaration or
Envirorunental Impact Report
• Where noise studies identify on-site noise levels in excess of residential
standards
HE;IGHT
� 8 ft. maximum (where grade differential exists - 8 ft. fran middle of retain-
ing wall)
u e �['i�;ii:1iC�
• Concrete or masonry
• All walls in the same block must be of same r.iaterials, color, and design
EXTQVSIONS
• May be returned along property line perpendicular to the street as follaas:
- when the rear property line abuts the major street, the noise attenua-
tion wall may be extended along the side property line for a distance
equal to the setback of the main structure.
- When the side property line abuts the major street, the noise attenua-
tion wall may be extended along the rear property line for the full
width of the lot.
- In the case of a corner lot, the noise attenuation wall may be extended
for the normal fence length alony the intersecting street.
VISIBILITY
• Walls adjacent to driveways or street intersections must canply with visi-
bility standards illlustrated on the reverse side of this sheet. �
�
cosCa �csa
. . _ .. . . � 6/81
3' � r Hpplicant to fill in all spaces within neavy bortler lines antl sign all apDropriate Oeclarations.
C�TY OF COSTA MESA P IT N TRACT NO: LOT NO. BLDG. NO.
CONSTRUCTION PERMIT � - �Z-838 4232 (p(0
Address '
Arch/Eng.
Address '
Contrec[or
�/�L,(/ ' ' TYPE OF CONSTRUCTION „ �
PhOn2 Q� �-j�J(�� '❑ NEW ❑ ADD ❑ ALTERATION -'
� ❑ REPAIR ❑ CONVERSION� ❑DEMOUSH
LiCenSeNo. "" ❑�OTHER �� '
_ D�S�IPTION OF WORK _
Phone
� Addres5 ` vI' � " - - � 'O�GRADING'Y' ,O FOUNDATION �I STRUCTVRAL -
LICENSED �CONTRACTOR�DECLARATION � � ❑ TENANT ❑ ELECTRICAL OPLUMBING -❑MECHANICAI
�I hereby aftirm th:.t I am 1��¢ns¢tl Under provi5ion5 Of Charter 9(com- ,
menGn9 with section 7000) ot Divislon - 3 ot- the - Business �antl ❑ OTHER - - -
Pro(essions Cotle, antl mY �Itense is in fuil force antl eifect. �
Litens¢ Class ' Lic¢nse No. PROJECT DE _ TION. . . _ _ . . . _
Date '. . - - - ' Si9Pature. � . . -'. ..� ._ .� SQ. F.T. . __ . . � _,
WORKER$' COMPENSAT�ON DECLARATION- --- . OCCUPANCV C STRVCTION TVPE �
9 nereby affirm that I have a certificate oi consent to selt-insure or.a VALVATIONs��ZONE
:certificate of Workers'�Compensatlon Insurance; or a certifietl copy . _ .
"-�reof (Section 3800, Lab. C.). GRADING CU. VDS. ACRES
:y No. � CompSny- - ' - -
Jertifietl copy is�hereby Turnlshetl.. . _ � • qEMARKS: � �� _ . _ _._ .._ . _
❑ Certifietl <opy is�(iletl with the tity Builtling Division. ,
EXEMPTION FROM WORKERS' COMPENSATION DECLARHTION " " ' - ' " - - - " -� -
(This-5¢Ction neetl not be completetl if the perrtlit.IS fo� one huntl�¢tl . , ., . �
($100) O! I¢551. . . -• .• a �
I�certify.that in the performance of.the work tor whlch this permit �is
issued, 1 shall not employ any person in any manner so as,to. become r P,LUMBWG� �� � . PCAN CHECK - � -
subject to the Workers' ComPensa[ion.�aws of California.`..� "._ ._ '' ' '
Date � Signature � BATHTUBS SHOWERS �
NOTICE: If after making this tleclaration, you sboultl become:subject ;TOILETS, ,�.aURINALS'- "-�- '
to the Workers' Compensat�on provisions of the Labor Cotle, you must � �� ,
forthwith comply with such provisions or this permit shall be deemetl LAVATORIES DOUBLE L'AVS� "- - '
revoketl. _ . • _ . . _ . , _ ..
CONSTRUCTION LENDING AGENCV KIT. SINKS " "'-' DISHWASHERS'-" ""
I he�eby.af(irm that Ihere is a con5t�uction lentling dgency �o� the pe�- . SERVICE SINKS �� '�•. SUMPS "' "� " "
formance�of. the work for �+hich!this permit is issuetl (Setllon_3097
Civ: C.). '" " "" ' " " ' " � � . FLOOR SINKS � -FL.00R DRAINS - ' �� '
�Lentler's.Name
'. '_'" ' _.___.__. .... ..`. . .
Lentler's Atltlress DRINKING FOUNTAINS' � '-� """ -` - ' -
OWNER'BUILDER DECLPRATION'" ' '-' - - " - " �NTERCEPTORS CLARIFIERS ' �
I hereby affirm [hat I am exemp[ from.the Contractor's License Law for
the following reason (Section' ]031.5 Business antl Profess�on5 Cotle: SWIMMING POOL' ' `P TRAP ""'"" '" '
Any city p� county whi[h requirCs a permi[ to consVuct, alteq
improve, tlemolish or repait any structure, prior to'its issuance, also re-- yyqTER�SERVICE ALTERATION--`- � '
quires the ap'.liGant tor SUCh permit to file a signetl statem¢nt that he
is licensetl'pursuant to the P�o��sions-oYthe Gontractor's License Law - GAS SERV ICE � �- OUTLETS � - ��
(Chapter 9.(commencing with Section ]000) of Division 3 of Ihe
for the dlle9¢tl exemptbn, qny violatlon of SeGtion �03L5 by
appllcant for a permit sub�ects'the applicant to a civil"p¢nalty
�wt more than five nuntlretl tlollars ($500).
❑ I, as owner of the property, or my employee5 witb wa9ei as thelr
Sole.mmpensatiOn, will tlo the wo�k, antl. the st�uctur¢ i5 not intentletl
o� otferetl fo� sale. (SettioFl �044, Business antl Professions Cotle: ThC
Conl�actor'S License Law Joes.nOt apply to dn.owne�, ot.a propev.W
who builtl5 or improves thereon, antl who tloes suGh work himseli or
th�ou9h.hi5 Own employee5. Provitled that such improvements are not,
Intentletl or otfered for sale. �f, however, the builtling or improvement
is sold� within.one year of Gompletion, Ihe owner will have the burtl2n
of proving he tlitl not bqiltl or improve for the purpose of sale).
�-I, as- owne� of [he� properry, am exclusively contracting with
�ICEf15Etl COIISIdCLOfS IO COqSIlUC[ [hE p(Oj2CS ($2Cf1011 �O4R. BOSI0055
antl Professions Cotle:-The'Con[�actolY License Law tloes not apply to
an owner of property who builtl5 or imprOves [hereon, antl who Con-
t�acts'trom such pro�etts-w�th a[ontrattor(5) �licesn¢tl pursuant to
the Contractor'S License La�+).
❑ I am exempt untle� Section B. & P. C. fo� this
reason - -
Date OwPer -
Ihat 1 have reatl thi5 appli[ation antl Stat¢ that the above
Wrrect. 1 a9ree to comply with all City dntl munty
state laws re�ating to cOnstruction, antl hereby authotize
of this citY fo entF� Qpon th¢ above mentionetl
�,pgectiQ, r ozes.
✓� �'ii 3-J-8L
WATER HEATERS � � - �BTU OUTPUT -" "
SEWER CONNECTIONS �" ' ' ' "' - '
SOLARTANK� --�CO�LECTOR'
SOLAR PIPING SVS. �;�
ISSUE FEE '�' � ��
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-100:000 BTU_
AND'DUCTING 100,000�+BTU_
REFRIGERATION 0-300,000 BTV_
SYSTEM - � - � - `- - �
100,000. i BTU _
BOILERS BTU
SYSTEM REPAIR,ALTERAT�ION
EXHAUST SVSTEM MULTIPLE
Signature � � /w �% Date ��
Drivers' License or 55 � � �> >-� � �- - ' '�SSUE FEE � - -
CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor
2677
3/OI/82
GULATIONS - . .
REF.
27.00 7�
_I
�
�-r
PI<G.SPACEREQ. y• � OVIOED� � �
STREET WIDTFi - , PARKFEE-S �
ZONING APPROVED BV, �(�/, ��} OATE q� p).
L CONDITIONS: - - ' ! .
ECECTRICAT'�-� "" � �Pucrv CHECK ` '
_ "' _ _. ... _ . . __ 1
Sp. FT.
�GENERATOR - - 0�1 KW �_ 1-lO,KW '
TRANSFORMER .I �
APPCIANCE'�� '30-50-KW=50+KW' - ' - -
�
':MOTOR$' "04�'HP "_Id0 HP " ' , ' '
.(INC..SOLARI- -1PSOHP-=50�t�HP �
'�FIXTURES' ' � `OVTLETS' SWITCHES " " -' -
-GASTVBE'SIGNS-""' - --- -' - �- - �
'�POCE LIGHT5 ' "' ' ' ^ '- ' '- ' ` . -
POLES METERE� SUB �
PANELS" '-MAIN ' SUB" -'
'SERVICE' " ' ' " ' •AMP ' " '
� - ISSUE'FEE- " " ' -'- ' � ' '
-APPCICATION'APPROVEDBY- - � DAT �
; aB� • UMMARY OF FEES. ��� A
i
'BUI�.DING -or
:PERMIT $ �y� - SMIP��' $�
PLAN CHECK E PERMIT ' -
iPLUMBING § - - " -'ISSUANCE $ -
�PIANCHECK�S � -- --GRADING.'.�y " '
• ' 1 i . .J4 �1
ELECTRICAI $ � � - � � " a , '
*PLANCHECK' $' � _ �.. MICROFILM.$ ' ' �
,'MECHANICAC..$ � _ .: � _ TOTAL'FEE $ ',. �' �
PCANCHECK' $ ' � -� .� LESSAD- ' � ' �
" VANCEPC $_ �
' • � . . .. .... ..
� . _ FINAL FEE 5 �� OO �
r
} �. .i
CONSTRUCTION AND PLANNINGQ��y��+ � POOL & SPA
APPROVALS Permit #�.✓� Date � Inspector - qppROVALS Permit # �" - Date - Inspector
1. Temporary Electrical Service or Pole ' � 43. Pool & Equipment Location �- � � - � � -�� � -
2. Soil ipe-Undrgrn -� ' � 44. Steel Reinforcement - - - --
3. Electrical Conduit Utility_Undrgrn 45. Forms • - -
4. Electrical Conduit-Undrgm '¢6. - Electrical Bonding. � - - - "
tee ein orce � 47. Rough Plumbin & Pressure Test �
, 6. Elect�ical UFER Grn " 48. APPROVAL TO COVER-GUNITE -
7. Footings___ .. ' 49. Electrical Conduii-Undr rn '
. : � .. . . � ,. �
.6. Foundation . � ' 50. Gas Pipe, ❑ Undr m, Test • - �
9. Water Pipe-Undrg?n. , ' 51. Backwash Lines P-Tra ❑ ndr m - - - -�
10. Structural Floor System ._ 52. APPROVALTO DECK" ' "' '
71. Prope[ty Sewer Line & House Corinection ' 53..'.Baekwash & Rece tor-Final
' .12. ..Street Sewer Connection_ _ ' ' � � ' 54. � Heater & Vent-Final. � �
....- -- �..
. . _ . _. . . _.
13. Rough Plumbing _ � ' �' • � ' ' � -
14. Rough ElectricConduit - -- ��- - �56. Electrical-Final
15. Rough ElectricWiring �� � 57. Solar System-Final � ' ' -
16. Rough Heating�& Air Conditioning ��- • encing & Access Approval �
17. Ducts, in Structure '� �-- � � APPROVED�FOR PLASTERING '
--18. Ducts,.Ventilating ' _� _ . � � _ . _ . . __ _-. � _
� 19. GasPipe-Rough&Test� � � ' ' 60. POOUSPASYSTEMSFINAL � . ., ��
--20. Roof Framing - ' - ' " � � � ' �
�. 21. Roof Sheathin � ` � � - � • � ' �� _ � '
22< Frame and Flashin � � NOTES:_ 5 � '� -
23. Insulation-- � ' ' - � � - ' . � `' ' �
24: Lathing & Siding . . _ - - , -- -
25. Drywall Nailing ' � � � ' �
;- 26. Plaster Brown C6at � ' " � -
� 27. Electrical Power Meter-Final ' - � � ' '
28. Final Electric � � � � � � �
29. Final,Heating & Air Conditioning - - � ' "
' 30, Final Gas Pipe-Test � ' � - �� -
� 31, Final,Plumbing ' � ' � �
-32; Water Service-Final -' ' � ' � � �
' 33„ `Gas Service-Final � � " - ' �
� 34, Solar pomestidFinal � ��S �- ' ' � ' '
' 35 �' Landsca e S rinklin S stem. '- � � � _ ' ' ' � "
' 36, Sound Attenuation � � ' � � � ' ' � �
; 37. Handicap Regulations � - � • � �
' 38. FINAL STRUCTURE & BUILDING � � ` .S_ _ .S`2,..
; 39. Special Requirements Completed � � - '
' 40. Electric Release to Edison ' ' � -
i 41, Gas Release to Southern Califoinia Gas Co. � • �
42. _CERTIFICATE OF OCCUPANCY .
' No Date
March 31, 1982
I Mohamed Sekandar will accept respon-
sible o£ liability for patio located at 008
Garfiel� Due to back of inspections at the
' e of installations.
��1.� Jti�X�/��L
Mohamed Sekanda�
p��- � ti a g s sr
oWNER TOMLIN� PERRY� JR.
�Jos nnnitcss 300 Garfield Ave.
GENERAL CONTRACTOR DaL1iB CAO
�� nr --,,1 1-133-3 r.oT T�u
� _.
FIRE
ser 1 i 1964
BUILDING PERMIT NO.
VALUES 1.5 0.00
SUBCONTRACTOA
c �T�/�� 22932
�STA MESA BUILDING-SAFETY DEPARTMEM
P.O. BOE Ht] COSTA MHHA. CALIFOPNIA
For Appllcant !o Fill In Completely
TYPE OR PRINT
■ pqCHITECT
COSTA MESA, CALIFORNIA
rv0. O� oLDaO.
FROM
DESCRIPTION OF WORK
NO. OP
EXTERIOR WALL
COVERIN6
USE OF BUIL�IN
Garaae
I1 NEpEBY ACKNOWLBDaH TN�T �
ANO BTATB THAT TN8 �BOVQ IB
PLY WITH /1LL'CITY CPDINANCHB
9WLOINOCONBTAYCTION. /4O
� AUTHORIZED AOENT
FEE RECEIVED
SEP 1119se
FINANCE DEPT.
,�Puc�i�Yo r� FF�R��SA
BUILDING
For Office Use Only
p8C81IT NO. PERMIT. NO.
eui�o�No
aooaess
FIRB
BV � DATH d '
ZONINf3
�A/ l ruNa �j eu��oinoew .L
IF'� y�s fp-Qi.l
�a�� � o�� � C rL�L3 L
nescrtimo �y
A. P. NO. j� I�-- 1� J � 7(1
NOTH: NO EAVE OVERHAN6 BHALL BH LE33 THAN
90' TO 81DE R REAR P..L.
EAVEB
ALLOWED (U.B.G.REOUIREMHNT'
YARDSMPROVED YARDSAPPROVED
MAIN BUILDINO AGCESSORY Bl11LOIN6
VAR. Ji
OATE
APPLICATION TMB AMOUNT 9HOWN UNDHH V�LU�TION 18 POR T1�6
iHE TO COM� PUNP08H OP EHTABLIBN�NO A PBqMIT F8fi ONLY. _
PBODUTINO �
VALUATION G m
PERMITFEE S / '� j
�` s � �y� - Sd =
a
0
4
TOTALFEE U
�or 66 TRACT 42 2
r/,d � r" J�
. t.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA. CALIFOitN1A
For Applieanf fo Fill In Complefel�r
TYPE .OR PRINT. � �;'�Gn f
COSTA MESA CALIFORNIA
Inc=Ei nr. %/1 f v �(�n t NO. OP'BLDGB.
f
�.{� REAR YARD ���
�� �� I RIGHT S�t ��
fION OF WORK
OF
WALL
� GARAGE
I HBREBY ACKNOWLEpO¢ THAT I XAVE R6AD TX19 APPLIGTION
AND BTATE THAT THe ABOVB I6 CORRECT AND AORB6 TO COM-
PLY WITH ALV WTY ORDINANGE6 �NO BTATE LAW9 RCOULATIN6
BUILDINO CONBTRURION.
SIGNATURE OF ����.. I u _
PERM ITTEF L -CiC_
AUTHORIZED AGENT
FEE RECEIVED
SEP 271961�
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
ReLE1PT NO. I PERMIT NC
BY
COSTA MESA. CALIFORNIA
APPROVED
ZONING
ZONE NO. OF 118E OP NEW S�4 �
��� I PLANB Zi BUIIDING W/��
.L.DOAL.e...... .LAI— /O b /'\ �/ z 3 z
YARDS EVES
APPROVED ALLOWED
fCBNTCR LINB 8Tq �/,J —�
FRONT / -/ FT.
R. SIDE � FT. /
, �L. SIDE � FT.
REAR �� F7. �
APPROVED / � �A �.�� 9,
d�
THE AMOUNT BXOWN UNOEP VALUATION IB FOR THE
PURP08E OF EeTABL18HINp A PEpMIT FEE ONLY.
VALUATION
PERMIT FEE $ 3� �
S�✓� ��� PLAN CHECK $ //.� .�'i v p
S
r 2
iOTAL FEE .J � iS� LL