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HomeMy WebLinkAbout1356 GARLINGFORD ST - Building Permits • • jtiL! � CITY OF COSTA MESA % BUILDING DIVISION ,I DEVELOPMENT SERVICES DEPARTMENT PER NUMBER � PERMIT B05-01190 44' (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cazauuuLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1356 GARLINGFORD ST Status: ISSUED Suite: Applied: 07/18/2005 Vicinity: Issued: 07/18/2005 Primary Occ: Type of Construction: Parcel Number 14102210 Zoning: R1 Applicant: UNKNOWN Address: ISSUED BY: Phone: Zip: Owner: FLEURENT, JAMES Address 1356 GARLINGFORD ST Phone: COSTA MESA,CA Zip: 92626-2632 Contractor: Address: Phone: • Zip: license: Arch : . Eng: ' Address: - Address: Phone: Phone: • Zip: License: License: - - SCOPE OF PERMIT - 215 SF OPEN LETTUCE PATIO "" FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,465.80 Permit: $97.25 Claim Valuation: $0.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 - Total: $97.75 • PLANNING &ZONING SETBACKS • MAIN STRUCTURE Front 0-0 -Rear - 0-0 Left' 8-0 • Right- 0-0, ACCESSORY Front 0-0 • Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: 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 of 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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) • DECLARATIONS WORKERS'COMPENSATION D€CLARATON: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have end will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: i Carrier: Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ 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 subject to the workers' ' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith � comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE rnlT OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Lew(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) er license pursuant to th= ontractors License Laws.). rlYexxtel s� Business and Professions Code for this reason: (/�•��:7---/g- �� net B: T.I tEl ner I e' ed by driver's license. aahres 0 No Driver' 'cense No. / xpires: g—29-07 Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mese Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes DI No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND , ORIZATON OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is correct.I agree to ccccccppppppRRmmRRryryryrypplyyIyyyy with all sta,- laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described pr pe fo ..t es.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. r 7—/ g"-US Signature 4 Legal Owner s) �' Date And/Or Authorized Applicant g"-C.6.- Cate CODE F INSPECTION TYPE g9IE 18111194 CODFit INSPECTION TYPE DAIS EMU 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing - 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Slte• _ 204 Final Demolition 250 Final Building/Occupancy 7-17—R ct PL 59 • ' Ir fEriir cw.c sN -I r. i 7 — pp01 — ,gi rt EAISTNL T coN6re7t iy_'ea A 'I -4...._- Jt4? . L . _. I IOroPoS ED LAT1�Ge / • �; I ' Corer str�crvrC ' ie, ��%..O, ' O MR Sq - a• 1&04'8,601W iCf 94 40 44:.,1 . • ab A�'0.s 74 �. (�e arm" ` .• "tar of • 74,0400 at/ a 4 I \o . u�. J^ a 0 / a arc C•. l Ob„' a ett e 400i/74 44 APPRQ�ED a CITY OF COSTMESA PLANNING D VISION 4 SUBJECT TO BL DEPT REG. GArAge a2 a NOTE:ADDITIONS DELETIONS, OR CORRECTION SHALL BE APPROVED BY THE ANNING DIV. 2 ' BY: `Y 1 ATE Io ' • —own i Va ia drrvewar r , , PL. 51' TR ries 4 Lour FLeurp/Lir • /3.S_6 (PAr&la6 con coScAIe I i= Ib Costs, PI CSA ,GA 412.424 Rafter Heade. ' Header(s) . X iRafter(s) [ I - 1 DETAIL OPTIONS Check the ones that apply: Lattice Cover: ❑A Os EIC ❑D ❑E OF • Solid Cover: . - 4_ 0 ❑D ❑E OF r. . it Post EXTERIOR WALL OF HOUSE Anchor Post Lattice Cover Solid Floor Cover Roof Covering 6'min 26 Ga. Roof Sheathing . Footing -Lattice FRAMING PLAN Flashing \y Depth Roofing` A 12" Sheathing J �P A9-F6bTING� Lattice _ O ,f f 750#max \ I / per post Post IL ■ — 6'min Rafter Header v Rafter Joist Hanger Joist Hanger • Led ger 9 Post E Ledger \ '2--SUB 9 c c c .--1 E B' AB G• B O Wm 2% Slab I-- `o in r Slab 2% 2x6 Min 2x Joist Slope Slope •k! FI / to Drain Footing 0 to Drain Existing nq,� a 2._0. 6._0•Anchors Lattice Solid Roof roof Cover Cover Max Max Span - - SECTIONS EAVE CONNECTION C CONSTRUCTION MATERIALS 1/2'x5• Joist Lag Screws SPECIFY LUMBER: 0 DF 0 Redwood 0 Hemfir ®16'ac. SPECIFY GRADE: 0 No. 1 0 No. 2 CONCRETE: 2500 psi min. 28 days waisting Joint @ Y wall Hanger CONNECTIONS: ICBG approved or equal Ledger 1. Roof covering: Slope: 12 WALL CONNECTION D _ 2. Roof sheathing: Maximum spans: E-Lattice lattice: 1, x 1) _@ y ljt"o.c.: 2x2-6';2x3-8';2x4- 10' ly I Bolts solid: "CCX plywood or_"lumber: 1"-2'-8"; 2"-8'-0" Rafter) 3. Rafters: x_@ "o.c. 0 Single 0 Double Summy Post =Support Post 4. Header: Y x /0 0 Single 0 Double .rr Beyond 5. Ledger: _x_(2x min) RAFTER/HEADER E 6. Fascia: _x (2x6 min) 7. Post: y x y _(4x4 min)Raise 1"min above slab surface Ror of Sheathing 8. Footing: SGRx13 12"x12"min for up to 66 sf tributary area; 18"x18"min for 67-150 sf tributary area �� Rafter "depth(Expansive Soil Zone ) Framing -.7%, ,- Anchor r Anchor 9. Slab "thick(Expansive Soil Zone _) Each Block rg 10. Connections: a. Joist to Ledger -Metal joist hanger Header 2 X Blocking b. Joist to Header - Solid blocking with framing anchor Post Column Cap c. Doubled joist or header to post - (2) 1/2"dia. thru bolts w/washers JOIST/HEADER F d. Joist to Fascia -Metal framing anchors each side (min.capacity=0.5"joist span'joist spacing' 15) . e. Header to Post -Column Cap f. Post to Slab or Footing - Metal Anchor/Post Base g. Roof Sheathing -8 d @ 6"o.c. Edges and 12"o.c. Field 273346 back 1997 USC k_ a` BUILDING PLAN REQUIREMENTS • FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) E2 P.L. Feet Post , E�sm 11/4 (tyP.) Edge of —> : `_PROPOSED i-,1 a I pato cover r IJ s I House a I Q I C d E °, Garage ❑ w � 2 70 1 -n CD CD I I - _ - - - ❑2 P.L. Owner Street Address ❑ Scale:_"=— INSTRUCTIONS-3 COPIES MUST BE SUBMITTED Using this as an example draw your own plot plan on a separate drawing. 1❑ Show owner's name, project address, north arrow and scale. El Show and dimension all property lines,easements and driveways. ❑3 Show locations of existing and proposed structures, including all setback dimensions ® Show dimensions of proposed structure. ❑5 Show setbacks from property lines to proposed structure. (3'-0"min.;verify if Planning Dept. requires greater setbacks) © Dimension overhangs 2733-46 SPAN TABLES LATTICE PATIO COVER DESIGN LOAD: 5 PSF DL+ 10 PSF LL REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD RAFTER SPANS(MAX) HEADER SPANSjMAX) OF NO DF NO2 SIZE DF NO DF NO2 , SIZE SPACING("o.c.) SIZE SPACING("o.c.) 16 24 32 36 48 60 72 16 24 32 36 48 60 72 (2)2X6 9'-6" 8'-9" 2X4 10'-0" 8'-9" 8'-0" 7'-7" 6'-10" 6'-6" 6'-1" 2X4 9'-9" 8'-7" 7'-9" 7'-6" 6'-9" 6'-3" 5-10" (2)2X8 1T-1" 11'-3" 2X6 15-8" 13'-8" 12,_6" 1Z-0" 10'_10" 10•_1" 9'-6" 2X6 15-4" 13•-6" 12•_2" 11'_9" 101-8" 9'-9" 8'-10" (2)2X10 14'-9" 13'_9" 2X8 - 18'-1" 16'-6" 15-9" 14'-4" 13'-2" 12'-1" 2X8 - 1T-9" 16'-1" 15'-6" 13'-9" 12'-4" 11'-3" (2)2X12 17'-1" 16'-0" 2X10 - - - 20.-0" 18'-1" 16.-2" 14'-9" 2X10 - - - 19.-6" 16.-10" 15'_1" 13.-9" 4X6 (2)2X4 10'-0" 8'-9" 8'-0" T-8" 7'-0" 6-6" 6'-1" (2)2X4 9'-10" 8'-7" 7'-9" 7'-6" 6-8" 54" 5-11" 4X8 13'-2" 12'-8" (2)2X6 15-9" 13'-9" 1Z-6" 12'-0" 10'-11" 10'-1" 9'-6" (2)2X6 15-5" 13'-6" 12'-3" 11'-9" 10'-8" 9'-9" 8'-11" 4X10 16-8" 15-7" (2)2X8 - 18'-1" 16'-6" 15-10" 14'-4" 13'-3" 12'-1" (2)2X8 - 17'-9" 16'-1" 15-6" 13'-10" 12'-4" 11'-3" 4X12 19'-4" 18'-1" SOLID PATIO COVER DESIGN LOAD: 10 PSF DL+ 10 PSF LL REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD RAFTER SPANS(MAX) HEADER SPANS MAX) DF N01 DF NO2 SIZE DF N01 DF NO2 SIZE SPACING("o.c.) SIZE SPACING("o.c.) 16 24 32 36 48 60 72 16 24 32 36 48 60 72 (2)2X6 8'-3" 7'-8" 2X4 9'-1" 8'-0" 7'-2" 6'-10" 6'-3" 5'-10" 5-6" 2X4 8'-10" T-9" T-1" 6'-9" 6'-2" 5'-8" 5'-3" (2)2X8 10%6" g-9" 2X6 14'-3" 12'-6" . 11'-4" 10'-10" 9'-10" 9'-2" 8'-8" 2X6 14'-0" 12'2" 11'-1" 10'-8" 9'6" 8' 6" T-8" (2)2X10 12'-9" 1Z-0" 2X8 18'-9" 16'-6" 15'-0" 14'-4" 12'-9" 11-6" 10'-6" 2X8 18'-6" 16'-1" 14'-8" 13'-9" 12'-0" 10'-8" 9'-9" (2)2X12 14'-9" 1T-10" 2X10 - - 19•-1" 15_1" 15'-8" 14.-0" 1T-9" 2X10 - - 1T-10" 16'-10" 14'-7" 13'_1" 12'-0" 4X6 4X4 12'-1" 10'-6" 9'-7" 9'-2" 8'-4" 7'-9" 7'-3" 4X4 11'-9" 10'-3" 9'4" 9'-0" 8'-2" 7'-7" 7'-2" 4X8 11'-9" 11-0" 4X6 19'-0" 16'_7" 15'-1" 14'-6" 13'_2" 121_2" 11'-6" 4X6 18'-7" 16_2" 14'-9" 14'-2" 12'-10" 12'-0" 11'-3" 4X10 14•-4" 13•_6" - 4X8 - - 19'-9" 19'-1" 17'-3" 16'-1" 15'-1" 4X8 - 16-1" 14'-8" 14'-1" 12'-9" 11-10" 11'-2" 4X12 16'-9" 15-8" 1997 UBC 2733-46 Triples d 4NJ � CITY OF COSTA MESA 41.11k' : BUILDING DIVISION PERMIT NUMBER t' DEVELOPMENT SERVICES DEPARTMENT T.; ON/ PERMIT 71399-00 590 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1356 GARLINGFORD ST Status: ISSUED Suite: Applied: 04/29/1999 Vicinity: RESIDENCE&ATTACHED GARAGE. Issued: 04/29/1999 Parcel Nunmber: 14102210 Zoning: R1 R1 Applicant: DAVILA, ELIAS M ISSUED BY: Address: HUNTINGTON BEACH,CA Phone: 714-968-6135 19651 EDUCATION LN Zip: 92646 Owner: BENSON, LORI G Address 1356 GARLINGFORD ST Phone: COSTA MESA,CA Zip: 92626 Contractor: E D ROOFING SYSTEMS CO (DBA) Address: (DAVIILA, ELIAS MACIAS) HUNTINGTON BEACH,CA Phone: 714-968-6135 19651 EDUCATION LN Zip: 92646 License: 672009 Arch : Eng: Address: Address: Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF:T/O,CHECK FOR DRYROT&TERMITE DAMAGE;INSTALL 1/2"OSB;APPLY ONE LAYER 30#FELT ASTM; REROOF WITH 30 YR"ELK PRESTIQUE"COMPOSITION.27 SQUARES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 54,200.00 Permit: $99.75 Claim Valuation: $4,200.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $100.25 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: 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 of 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 Inspections end final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 . t DECLARATIONS ;i r" WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the Jwork for which this permit is issued. 'CJ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: - Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars($100)or less.) -ja— 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 subject to the workers' compensation laws of Califomi nd agree that if I should become subject to the workers'compensation provisions of Section 3700 of the bor Code,I shall forthwith comply with these provisions. Applicant Signature: a -a • ad, ;-. 4— Date: O¢(/.29 ¢9 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGEIS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDt ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.N - p Class If Contractors Signature: '-1-97 - 4' 4.jt.Circe Date: 0 41 cat?. 199 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (if yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Data: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Own8)._ � ? c pp \ Cr A 0_94 oA _) C'// ¢/a Date / And/Or Authorized A II ht Dat CODE f INSPECTION TYPE PEI 1NIiILLS CODES INSPECTION TYPE PATE 1NIIII_L5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /�f a208 Final Plumbing � 200 Final Re-Roof 'Z L-L ,' 4- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place • • • 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition . , . 250 Final Building/Occupancy 2446.46 Applicant to fill in all spaces except those within heavy border lines and all appropriate declarations. C4TY OF COSTA MFS CIONSTR UCTION FER IT PERMIT NO. T ACT NO. LO Iy,O. ' UNIT NO. 6 Projectftldress 1_3ab hal I(iv° CIM ' $ 32 213 C' �-,j 7731 3/29/BJ TYPE OF•CONSTRUCTION NEW U ADD U ALTERATION U REPAIR 38045 TI. Applicant's Mailing Address �jn� /�] �a El CONVERSION ❑ DEMOLISH 0 OTHER A.P.# `�{1 — Op—Z^--' ( 0 Zone R , Owner's Name �p���1)•!� Phonecq-f—s-`-'='� DESCRIPTION OF WORK/USE OF BLDG. �7 Address £ / V?Z .J - 11 � Mock WALL S Main Building: Accessory Building: TYPE OF PERMIT ❑ GRADING LJ FOUNDATION STRUCTURAL E Front Z Arch/Eng. License No. _ - T O Address 0 ii, j ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear Qd; 4,:, 1, N .�a,,- ••— 1 • 11---...SAI A 1 ❑- OTHER Contractor's Nam f`.ter ne ,� C Right N Address(mailing) = '��I � -d 1,. '1A. � PROJECT DESCRIPTION 5 . FT. OCCUPANCY K G 9CONSTRUCTION TVPE5IUUm pCto VALUATION$ } .e'D s Left City License No. 5� - • R ZONE GRADING CU.YDS. ACRE g CFC/ Ping. Ref.# \ ' Parking Req./Provided E LICENSED CONTRACTOR DECLARATION • 7 ' /�-f / Q I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Remarks: Planning •Notes: X Y L., 4 O�< (,V 4 // M with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. T License Class License No. S Date Signature - PLUMBING FEES _ WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES lereby affirm that I have a certificate of consent to self-Insure or a certificate . Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backf Tow Irrigation Sewer Cap I Construction Pole Sub. 050+ KW 8 Certified copy is hereby furnished. ' Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dun to 100 amps Date _Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). • Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for w ich this permit is issued, I shau not employ any Person in any man er se to became sybject to the Drinking Fountains Solar Tank —_ _ __ __ _. Fan / Motors 00-1 HP 01%-8 Works"' CarbreS�tLa6h'f zws of Call �.. / Dat d'� Gd Signature 1 /'� Floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar ❑9.15 HP 016-15+ NOTICE:Compensation makingthis ions declaration, you r Code,becomeuustsubject forthwith te — , c orply ith Su h pr prionsio or Of she Labor hlleou et revokd. Floor Sinks Urinal Fixtures -Microwave comply with Such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for 'which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets ' Lender's Name - , Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires Is permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains \, ' •he Contractor's License Law(Chapter 9(commencing with Section 7000) of -- r `vision 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 -Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044 Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 /yJ(�(�� sale. If, however, the building or Improvement is sold within one year of tom- — Canopy Type II 0 Zoning Approved By Dates�'r� Notion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved ByDate " "� pt ve for the purpose of sale). - M 5—'1 yy I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data q'�(aQ tractors to construct the project (Section 7044,Business and Professions Code: ❑0-100,000 BTU ❑100,000 BTU The Contractor's License Law does not apply to an owner of property who Duct-Ventilating SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- S p tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ .5--6 SMIP $ V proof of their Worker's compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 lam exempt under Section ��/ B. & P.C.fo-this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date owner �• w�%tale/� Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read Is application and state that the above ID B-100,000 BTU ❑1oo,000BTL. ELECTRICAL $ GRADING S information is correct. I agree to comply with all city and county ordinances and state laws rely ing to bui ding construction, and hereby authorize repre- sentatives of t Is Icy to er upon the above-mentioned property for -7 J ''r inspection purp Date 3-L 9 e TOTAL FEE $ 3 MECHANICAL $ ZS.7, Signature A.4' Drivers' License or SS 1- � Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ L - CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor — -- • CONSTRUCTION AND PLANNING POOL&SPA li APPROVALS Permit#, _ .Date Inspector APPROVALS Permit Date Inspector • I ; 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings IrI' Q "- 58. Electrical Conduit-Undrgrnd. 8. Foundation ,i 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit# • • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:3/30 /� dinar '\..4 r 4MrW � .2:1 34. Final Heating & Air Conditioning (Jf (S e l or T (94- ' 35. Final Gas Pipe-Test I 36. Hood or Canopy 37. Final Factory Fireplace • 38, Final Plumbing • 39. Water Service-Final i, 40. Gas Service-Final 41. Solar Domestic-Final .. , 42. Backflow Preventer - • 43. Backflow,Irrigation . , 44. Landscape Irrigation System • 45. Sound Attenuation - - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING VVS/ :48. Special Requirements Completed �'0� ' , • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - • No. Date APPROVED . i City of Costa Mesa Building Dept. BY T V...6DATE 3- )1 19 � 1 1 THESE PLANS MUST EE ON JOB AT All TIMES MAKE hC C.4ANGES-ler H t.'..T1 ' O" APPROVAL OF DEPT. g F T4i!LSI IANCE OR GRANTING O` A"ERMIT OR APPROVAL OF Pi 4NS AND SPEC ATIONS SHkLL h0'SE CO,-;TRUED TO FE A II PD MIT 'CR, OR AN APPROVAL Q . ANY +PC'4''ON OF ANv OF WE FROVSIONS OF THIS CODE.NO PERMIT-RF: ,NC '0 AIYE Al1THORli'! TO VIOLATE CR CANCEI THE •tC'+ EONS O° 'H' CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE NO3X C'USc ' <(-.(2._ � , WHICH Ii AUTHORIZES IS LAWFUL. ( `1 C�4 �� mit THE ISSUANCE A PERMIT BASED UPON PLANS OF A.NU I FROMSHALL THEREAFTERPLANS REQUIRING INE COO FROv Z.F.JP ERROPS 1C ity l SAID AND SPECIFICATIONS Od FROM PRCVENT;NG ! BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF :PpLAPNNIIING°1/ED TY OF COSTA THE CITY. DEPTESA ECT TO BLDG, DEPT. REG. nfl, (--W /�S /� OF F'UNNtNO , 477e Rai - eI REDIpE k REr/10ENCE W RESIDENCE RE1104NCE %I k W ti b — lllIIIJJJJJJ�TT�TT��lii���iiiII 1a, SrIMP . ri. • TYPICAL 611 CONCRETE BLOCK FENCE ® imail GENERAL- NOTES Cement Coping Optional :B-1gj Chancre!Block With 1-3/80 e9� _ — m i _ Fences Horizontal Top of all ill ';- - MORTAR: One Part Plastic Cement, and e�{o Three Parts Sand MI — GROUT: One Port Cement Three and For Fences 5'or Less !a One Half Ports Stand yen. Bars 3/8"0 at 4' -o"0.c. Oil a _ ,�� COPING: One Part Cement, Three q U. r- � Parts Sand For Fences Higher Than 5' '� 9 ' CONCRETE Vert. Bars 3/8"0 at 32" O.C. > w Wei I Mixed 1:2-I/2: 3-I/2 11 _ Max of 7- 1/2 Gallons of Fill Cells Solid With Grout > z Water Per Sack of Cement Where Steel Occurs > – ---Reinforcing Steel Shall VI f ��I ''I, GROUT MAY BE POURED FROM THE TOP Conform to $ec.A-15-39 III iii• w o _ _ OF THE FENCE IN CELLS WHERE STEEL ' OCCURS. A.S.T.M. i�� � ~ �� I' 111- CE LLS AND AREAS OF HORIZONTAL REIN- w n FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be LappedIU- I ��= FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code NATURAL GRADE : I ' ��/mss , iC�� `fid -p • o TWO 3/8"0 BARS 'Q� D e . - ♦ ♦ e ♦ s CONTINUOUS TOP I • .. ._ . &BOTTOM 1.,..-1Imo---WIDTH TO 16 0.C. MAX. SEE CHART ' ♦ �- •. .HOCLIZ.STEEL MUST BE TIED IN BELOW DE PTH OF E ARTHTCOTH PLACE AT TIME OF TRENCH I y e �1/T3 THE HEIGTH OF FENCE INSPECTION. . L –11E–LOW BOTTOM OF FOOTING. • 1- °-4 d 2••� F SCALE. 1/2" I • FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5' • .' 4' 3' WIDTH 14" 14" ; 12" ' ., . . . 12" = THICKNESS 10" 10" 8 . . . . . . . .. . .. . 8 " DEPTH OF EARTHTOOTH . . . 24" 20" 16" . . 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME: loll C6 A_ sir City of Costa Mesa, California PERMIT NUMBER: _ � LOP, �IgG� — _ (-VI/ ' _ Building Department SIGNATURE: vaD-r�_ C'Ev(5ED r-lov.az • CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement.Yes 0 No 2. I ave have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person(firm)to provide the proposed construction: Name - Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted(hired)the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, in cJ pliance/,�gvith this State law. p(� Signed: ' N uCd7V Date: e2q o d •Name: 41, C. ill Lori /3{ndn 754-5273 1042-46 t C 6461-E - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 2768 5/10/85 51,0E V. CITY OF COSTA MESA CONSTRUCTION PERMIT I j IT,N.Q TRACT NO. LOT NO. UNIT NO. Project Address 1356 Garlingford 7/f/Os/ Applicant's Mailing Address • TYPE OF CONSTRUCTION U'NEW U ADD U ALTERATION ❑ REPAIR 641-9322 III CONVERSION CI DEMOLISH ❑ OTHER A.P.# Zone Owner's Name Chuck R. Benson Phone DESCRIPTION OF WORK/USE OF BLDG. Address 1356 Garlingford • ' S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ ❑ STRUCTURAL GRADING 0 FOUNDATION - T Front - 0 Address 171 TENANT ❑ ELECTRICAL LI PLUMBING 111 MECHANICAL A Rear N Contractor's Name Culli•an Water Cond, Phone 750-2233 ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) 1911 S. Manchester Anaheim 92802 G CON ST RUCTION TYPE VALUATIONS S Left • _ City License No. ZONE GRADING CU.YDS. ACRESR • LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking R¢q./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: - M M section 7000) of Division 3 of the Business and Professions Code,and T \ my license is in full force and effect. , ...V License Class C55 g Lic sr: N/ . - atS- De 5-7-85 Signature / /yy// J PLUMBING FEES 'NOR KERS'COMPENSATION DEC LAJ1A710 - Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate bbbf consent to self-insure or a certificate of Workers' Compens5tion Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ' 3800, Lab. C. B�G `7' f/�/ f'y�r Automatic Washer Transformer 0 15-50 KW \ Policy No. V7 Company Aa�1 Q '1ef Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW Certified copy is hereby furnished. Cer fi c is filed with the city ul Ing giv[sion / Bathtubs Sewer Connection Cooking Unit ' Meter ❑up to 100 amps I Date 7--C—v7 Applicant �,,Jh ' G(.GfkG's-o(. �y, EXEMPTION FROM WORKERS'COMPEN ATION'DECLARATION Clarifiers Solar Collectors Dishwasher , Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100) or less). . Dishwasher Solar Piping Dryers ❑Gas 0Electric Sub Panel 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 subject to the Drinking Fountains Solar Tank Fan - Motors❑0-1 HP 01%-8 Workers' Compensation'Laws of California. • ' Date Signature Floor Drains Swimming Pool w/Spa iF.A.U. Inc.Solar ❑9-15 HP ❑16-15+ NOTICE:If,after making this declaration,you should become subject to the • Workers' Compensation provisions of the Labor Code, you-must forthwith Floor Sinks - - Urinal - Fixtures , • comply with such .provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance - Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range . Lender's Name - 9 Lender's Address _ Kitchen Sink Water Service OWNER BUILDER DECLARATION- Switches Sign • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or Water Sof1'ener 2 00 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap - any structure, prior to its issuance, also requires the applicant for such permit Generator ❑D-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ....The Contractor's License Law (Chapter 9(commencing with Section 7000)of "'n-Ivision 3 of the Business 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 applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars ($500). I; as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 . ' compensation, will do the work,and the structure is not intended or offered Reinspection Fee f $15 Issue Fee $ 3 for sale (Section 7044, Bu;iness and Professional Code: The Contractor's MECHANICAL jFEES . License Law 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 Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered foryp Zoning Approved By Date sale- If, however,the building or improvement is sold within one year of com- Canopy Type II ❑ pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By /7 5/77/0,7/rernate tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU I. SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ • proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL [CBO# PLUMBING $ C. . ISSUANCE $ U,UV Date Owner Heating System& Ducting I PLAN CHECK 25% $ ENERGY P.C. $ i hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,00067E ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ • MICROFILM $ sentatives of this city to enter u•on the above-mentioned property for inspection purp•ses. - 5.00 . Signature Ii. !id / .Y_ C Date 5-7-85 MECHANICAL $ TOTAL FEE $ Drivers' License or SS - • — •—• Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ GMF 0865-46.rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POt._&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • .5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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-Final •15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 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 (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:5//y/d'3 (am Cleo La) 34. Final Heating & Air Conditioning _ .✓ .. _ _.. .. _ E-0 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing q/Zj/d'S GI 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final ' 42. Backflow Preventer '' 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Concrete ( ) Post-Tensioned Concrete ( ) REPORT OF INSPECTION ON Masonry ) Fireproofing ( ) Gunite ( ) Reinforcing Steel ( ) . EIS t0: Ca Address : OWNER: J1:11(4,FDO PROJECT: Sidoliyyin RiktSCC4 Report No. Address: (36(o�. &AfL/A,5 Permit No.p,pr 3 2,) / � J II }} Architect: dicp ei Peck Contractor: fetfirl.C+L y]ll( Address: Address : 3 Engineer: l iC_ ,Ao n{ Subcontractor: Z_,Ni}[ lip (Gunite) Address: Masonry or Concrete) Inspector: (Y\M ` C) rt Address: Mix Used4a-1 Slump, inches. Admixture:$ Designed Strength, PS12`��A • Cu.Yds. No. of DATES Placed Cyls. Remarks 3o 3 S4eelt, [�,,rd, �c 4FveL claavhrttj 1 .ir=e Qt. p C. �,cp; FRP ({r�?s iman (lr.+,►At k.3 Cdtne'- nnvv +s T,,.y-...3Lai • Copies of Reports to: ( Indicate which 81dg. Dept. S furnish address of any not listed) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 's(Y 4/06/1-6- CITY PER IT_NO. TRACT NO./ LOT NO. UNIT ILD [) WIA CPTY OF COSTA MESA _CONSTRUCTION�PERMIT L' A.P,# l9j-ii -• 10 I zone $ j Project Address ��� �L.1 (L��y YV� Z� R t 38 31 ► Iy��3 �S / rI S Main Building: Accessory Building: Applicant's Mailin Address t • 1 gb 0 .ia c F. TYPE OF CONSTRUCTION I/�SNEW ❑ ADD H ALTERATION o REPAIR E f ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ . I Front I n 4.O AI, O Owner's Name7"1'V � Phone DESCRIPTION OF WO K/USE OF BLDG. 5'l�l'' A Rear `S6/ J• N Addfess ..!?›% ^c%^� �--:LCCc-.WCC-U'/LQ Q rJiJJ .' . r-00( oa.sn� ^i �--I(/ Arch/Eng. � l�-'Pyc�vi 5 \s-i."11 ]��� Liceennssee No. l 01/Lp� TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION �LJ STRUCTURAL I C Right 1 7/ • G 7 Ajdress 1U IY'fl !"CaCOb ` ` '1 �^a �1c'4 C..' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S •i Left 4 p 1�� -�.SP.P E Ctntractor's Name Q-0..5C"" '`c��s Phone• r Ale64Z7t ❑ OTHER ?CUL _ Ping. Ref.# Parking Req./Provided E F� PROJECT DESCRIPTION SQ. FT. St OCCUPANCY t r Q Address(mailing/in`�, 1s-O 90-z.c�J r-_C(fit, -p..n� 3 Planning Notes:TKf�1 if 44._ W tn7 M't/ ./� 1 M s-i 0 Scl CONSTRUCTION TYPE VALUATION$ /57000' f f �S' 1 G 1 .r City License No. ZONE _ GRADING CU.YDS. ACRES !/// S. LICENSED CONTRACTOR DECLARATION • I hereby Jtfirm that I am licensed under provisions Of Charter 9 (commencing Remarks:/'-+ice /�/� s. tea► • with section 7000) of Division 3 of the Business and Professions Code, and ll RY" 6 O my license is in II fgcc�Santl effect. r/ (��f, ed 442 4 '{///� //� ps ELECTRICAL FEES License lass `-J J License NOTO 8'���� �u "'"n 'ienc "'�" Qrkrl d r-L/7 '�T Date l�'dCT Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DE ATIONConstruction Pole Sub, I:150+ KW `;.Phereby affirm that I have a certific e of consent to self-insure or a certificate Bar Sink Showers - qWorkers' Compensation Insurance, or a certified copy thereof (Section ." Cooking Unit Meter Cup to 100amps 'lioo, Lab. C.) - ' Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps ,.., Certified copy is hereby furnished. ` Dryers DGas DElectric Sub Panel _ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors DO-1 HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc.Solar ❑9-15 HP 1:118-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I Fixtures shall not emp oy any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave _ Workers' om tion Laws of Cal a. Date Signature 1 Floor Drains /. Swimming Pool w/Spa / 2.. o0 Device Boxes Pole Light NOTIC : If, fter making this declarati n,you should become subject to the Workers' Compensation provisions of th Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or thi permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' I hereby affirm that there is a construction lending agency for the performance Sign of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑05 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION p l y I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash I 5•144//11/;.1.5-Pio/tt--JDe o e following reason (Section 7031.5 Business and Professional Code: Any city or J / county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of / pie 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 00 t?;'.'erefrom and the basis for the alleged exemption. Any violation of Section -'331.5 by any applicant for a permit subjects the applicant to a civil "'penalty of not more than five hundred oars($500). DEVELOPMENT SERVICES REQUIREMENTS: S// LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By nate f(/ for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES '' Building Approved By Date 14i f A/ License Law 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 Application Issued By a4- Date Hood or T employees, provided that such improvements are not intended or offered for BoilerType! 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). i8. BUILDING PERMIT $ ot) SMIP $ • OS 324 .. ❑ I,pps owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ (OS• a_� PERMIT tractars to construct the project (Section 7044,Business and Professions Code: The-Contractor's License Law does not apply to en owner of property who Duct-Ventilating ❑0100,000 BTU 0100,000 BTU •D QL PLUMBING $ I .T• 00 ISSUANCE $ builds or improves thereon, and who contracts for such oroiects with a con- ENERGY P.C. $ .3 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ stem Repair/Alteration PLAN CHECK 25% $ 1' 2 prop off-their Worker's Compensation.insurance should be provided to me. 0 GRADING $ - �; DEL.,ELECTRICAL $ 7 S - ❑ Ian exempt under Section'— r- B;a P.C.for this reason - Firepl/Fact.BIL #ICBG Fire Dampers MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ .S 0a3 I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000BTU PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances $ _ and state laws relating to building construction, and hereby authorize repre •- sentatives f this city.to enter upon the above-mentioned prlope ty for , inspection • ..•ose(. /- -� (l \11 — 4? 00031444-Q0031950 TOT 520.s'` Signature Date Drivers' Lic- or.SS 9f � - Reinspection Fee $15 Issue Fee $ 3 DATE: 05/02/54 TIE: 11:44 � 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING PO( .SPA APPROVALS ~ Permit# Date Inspector APPROVALS Permit# v Date Inspector TNik _ L •7 r4_ - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • T,._ fri, 2. Soil rPipe-Undrgrnd. ! -�. ' 53. Steel Reinforcement ei 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1/,' 4y Electri`cal Conduit-Undrgrnd. .,7 55. Electrical Bonding 5lr Steel'Reintorcement t t 56. Rough Plumbing & Pressure Test I ,j I' yN. 57. APPROVAL TO COVER-GUNITE 6: EI`ectrical UFER�G�nd., _ F7S) ootings 1, L _�' -tl X58. Electrical Conduit-Undrgrnd. / , vW 8),Foundation 1). - 4 -. 59. Gas Pipe, 0 Undrgrnd.,Test 9, Water Pipe-Undrgrnd. I I 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 10.;Structural Floor Sytem I r 61. APPROVAL TO DECK • - 11�Property Sewer Line & House Connection 62. Backwash & Receptor-Final 123 • Sewer Capp 1- 1- ,- l� 63. Heater & Vent-Final -_ • 13iRoof Drains : i \I ., � -` 3.9 64. Plumbing System - Final 14. Rough Plumbing. 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1'6. Rough Electric Wiring 67. Fencing & Access Approval ,17i. Rough Wring Sign , 68. APPROVED FOR PLASTERING (([��^ k8. Rough Electrical-T Bar Ceiling-4,K69. POOL/SPA SYSTEMS FINAL 7/a/4 t.ze- .9l. Rough Heating & Air Condili p ing FIRE DEPT. REQUIREMENT c r' , Y/ 20. Rough Factory:Fireplace •ice ; APPROVALS Permit# I 21: Ducts,i Structure v, ,,. • 70. Underground Hydro 22. Ducts, Ventilatingi N :- 71. Product Piping 0 Gas 0 Oil 23. "Gas Pipe-Rough'& Test I .' 72. Underground Flush / 24. Roof Framing x::- 73. Undergrnd.Storage Tank D Gas D Oil '25. Roof Sheathing • "d"' 74. Overhead Hydro 26. T-Bar„Ceiling (Structural) & Monocoat . 75. Dry Chemical 27,. Frame and Flashing y 76. Dry Standpipe 28'. Lathing& Siding 77. FIXED SYSTEM FINAL --n 29. Insulation i 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 131. Plaster Brown Coat O .1- 79. FINAL INSPECTION 132. Electrical Power Meter-Final r- h ci 80. FOOD CERTIFICATE ISSUED 33. Final Electric ;I ni v. Notes: 34. Final Heating & Air Conditioningb V 35. Final Gas Pipe-Test ; 1 -36. Hood or Canopy 37. Fi afFa torytFireplace '+t,38. Final Plumbing ; 39. Wafer Service-Final-4- (0. Gas-Service-Final - /, 41. Solar Domestic-Final; LI 42. Backflow Preventer . °1';' '• �1 IU ;✓ ,,, 43. Backflow. Irrigation&' 'd, I -� ,2 ;1 44. Landscape1lrrigation System c , ' 45. Sound Attenuation •,-_.y . 46. Handicap Regulations • qi . 47. FINAL/STRUCTURE & BUILDING - I I 48. Special Requirements Completed ' r - ..49. Electric Release to Edison iy to `5b. Ga/Release to Southern California Gas Co /, /. _ - Pt i 51. CERTIFICATE OF OCCUPANCY to pit. r No. / Date - 1 - 1..10 j '� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1 CITY Of COSTA MESA CONSTRUCTION P RMIT PE IT /v0..p�1� TRACT NO. LOT NO. UNIT NO, A.P.# Zone - project Address '� tP i �� // r� "' " �� rr II ��IIff S Main Building: Accessory Building: Applicant's Mailing ress !s - ill, A I - TYPE OF CONSTRUCTION "LI NEW u ADD ❑ ALTERATION L'J REPAIR L Front IZ H ■ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T O Owner's Name " er' ��1 r Phone IN 7 DESCRIPTION OF WORK/USE OF BLDG. I A Rear N Address i--FOUNDATION Arch/Eng. License No. TYPE OF PERMIT LI GRADING FOUNDATION ❑ STRUCTURAL C Right N Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL S Left GR l ❑ OTHER Ping. Ref.# Parking Req./Provided E Contractor's Name taa. / .14.-J111 Phone - • n,r PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: 0 Address(mailing) • ie Address ' �� >"/ u • 0 p I CO N ST RUCTION TYPE_ VALUATION $ SEP 1 9 ti989 T City License No. -:��— j ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION _ RECEIVED S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Divi Ion 3 of the Business and Professions Code, and my license is in full faat � • effect. �• ELECTRICAL FEES A License as �„[/ o.a- I - 0 15-50 KW •j Automatic Washer Transformer ^�re /" IL Signature ��� �� PLUMBING FEES 'RICERS' COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW :reby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified co thereof (Sects nBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C•j n `f6frt(j�e res/ /'�/ - Policy No. �/ •S 4 Company fff"'((f///UUUU���f Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps _Eertified copy is hereby furnished. t. Dryers ❑Gas ['Electric Sub Panel • eCertindd fy�py ed with the city B in Bathtubs Sewer Connection Dateate � Applicant - Fan • Motors❑0-1HP ❑lh-8 EXEMPTION FROM WORKERS'COMP NSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dish Nldih¢f Solar Piping F.A.U. .. Inc.Solar 0915 HP 016-15+ less). I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance /� of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors i Water Heater '/O� — Garbage Disposal Standing Sections Lender's Name 4 Lender's Address Kitchen Sink Water Service Generator D0-5 KW D5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Contractor's License Law (Chapter 9 (commencing with Section 7000) of .vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves i.._ thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By CDat employees, provided that such improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletlon, tne owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the protect Section 7044,Business and Professions Code: _fl PERMIT Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ SC.' 5. wISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- _ tractoi(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof. o their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. IC80# Fire Dampers GICROFILM $ PLAN CHECK 50% $ Date Owner Heating System 84 Ducting Registers MECHANICAL $ TOTAL FEE $ SIP"/') I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTL PLAN CHECK 25% $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upo•he above-mentioned property for inspection purp•-=-. Signature AT //�e7 Date Reinspection Fee $15 Issue Fee $ 3 01 11GG T`02 TOT '-.fl Drivers' Licen e or SS ( LRGk3ZOf, 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/25/39 TYNE: G9:12 CSS\ \ 1 CONSTRUCTION AND PLANNINC -&SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. ;Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement •� 3. Electrical Conduit Utility-Undrgrnd. ' . - 54. Forms 41iElectrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement'r: 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE T. 'Footings. !- a 58. Electrical Conduit-Undrgrnd. 8;Foundation .. - . 59. Gas Pipe, 0 Undrgrnd.,Test 9: .Water`Pipe-UndFgrnd" • - 60. Backwash Lines,P-Trap, 0 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 e 14. Rough Plumbing' 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16, Rough Electric Wiring 67. Fencing & Access Approval 1 77..Rough Wiring Sign 68. APPROVED FOR PLASTERING 181. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19; Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - - - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing .x (WLa/R ('tO 39. Water Service-Final • T, 40. Gas Service-Final N7 41. Solar Domestic-Final i I7 y. e 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System Cl 45. Sound Attenuation . .} 46. Handicap Regulations+ 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co -. j ` 51. CERTIFICATE OF OCCUPANCY No. Date OWNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 1962 JOB ADDRESS 1356 Garlingford St. BUILDING PERMIT NO. .$ 0 05i GENERAL CONTRACTOR Lifetime Res.Bldg- Corp. VALUE r 13.U0 . / Qo. LOT 23 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Re S.Watt.Gar. Il ,,PECTIONS Signature DATE GROU4 l- TY '7PE " ZONE lir Soil / Ccl76'x3 SUBCONTRACTOR PERMITS ISSUED Gas /L-/' 1-21-63 DATE NUMBER Water / .lel 7 f/u-63 Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating q7- -45 /fJ_// — Rough Plumbing qJ /a-2L A 3738 Miscellaneous Prop.Swr.Line ❑ Houae Con. ri St.Swr. ❑ erfl( - . title, _ Sprinkling System �si '� �s / i • _ .IC Construction 'ole Underground ❑ Power 0 r�-n_ _ nn ���yy���yy- ,Rough Wiring 11,#5 3'/C//. ) �'C� 7iS ¢,&eve y . 3-/5-13 fir Trenches W1— Forms Qi Steel Reinf. 0 /l-W-f /�3,b3 Floor System Av Foot /-2/ _p: Bond Beam 0 Steel Reinforce 0 Sheathing 3-7-63 Frame and Flashing 3 2%-61 I 'ng — In Out ®r i di 1-/-// (�i E ar, brown coat '' ' c-r6-63 Ref rig. 0 Air Coml. 0 Final ,ice Heating, Final Plumbing Fixtures, Final I 7'Zi 5.63 • I 18405 F F�, COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 23, Tract 51ED P. O. BOX 917 ' COSTA MESA. CALIFORNIA /FINANCE DEPT. For Applicant to Fill In Completely APPLICAtItN COORCEMAISA TYPE OR PRINT / BUILDING ADDRESSILDIN /3s6 Gor/i,9 ford Sr-. COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. ran, OWNER Harbor Hall of Fame Homes, Inc. IXI `\�J `n MAIL D RECEIVED BY DATE CEIV D DATE ISSUED ADDRESS .O. BOX 2066 ----.) ,./1 / DEC 1 1 1962 CITY Santa- Ana .XI 9-2204 BUILDING ADDRESS AORCENGIINEER Jamison TN9` ageoini COSTA MESA. CALIFORNIA (� `^y- ADDRESS 225 IID" St., Tustin FIRE ZONE TYPE 3 GROUP tf9I CONTRACTORLifetime Residential Bldg Cor APPROVED DATE ADDRESS 2131 So. Artesia • ZONING CITY Santa Ana .. ZONE ^f, I PLANS 2 I BU LDINE OF G EW r n la".r K a.la 11 par LIC.TE NO. 208676 I.O.KI 9-2204 LEGAL Lot t Z3 7R 413 SS- DESCRIPTION SIZE 1 NO. OF BLDGS. OF LOT 6000 l NOW ON LOT O A.P.NO. USE OF YARDS EVES None EXISTING BLDG, APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET 50' REAR YARD 43.56' FRONT .i--e FT. ` IN. SIDE YARD I LEFT 7' I RIGHT B 6' R.SIDE a FT. ..._..- IN. DESCRIPTION OF WORK L.SIDE 7 FT. IN. KNEW I XII ALTERATION I H ADDITION I REAR y3 4 FT. IN. I REPAIR I - I MOVING I II DEMOLISH I BPPROVED` /lkyfp DATE /O/Zr/IL B ZEBUILDING 1644 NO. OF ROOMS 9 STORIES 2 USN EXTERIOR WA ROOF COVERING Plaster I COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence zrr/t: t._ ,) _ /36 c' j - 9,20" I HEREBY ACKNOWLEDGE T.AT I HAVE READ THIS APPLICATION N AND STATE THAT THE ABO•:' IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN U R VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 1 NCES AN AT WS R GULATING BUILDING CONSTRU••N /@ VALUATION SIGNATURE OF r / C/�(^ PERMIT FEE $ L� — CES rY /17 L N PERMITTEE ` $ /�., 7/� PLAN CHECK $ ��✓U'. AUTHORIZED AGENTt,�[�d o TOTAL FEE $ �A:✓ E