HomeMy WebLinkAbout1376 GARLINGFORD ST - Building Permits . PROSECT ADDRESS: 1 '476 GARLINGFORD ST UNIT: • CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 046826
?:- OWNER'S NAME: THOMAS TERSIGNI
ADDRESS: SAME AS ABOVE ' PERMIT NO: E 096826 PLAN CHECK NO: N GOVT : N SUPP : N
CONSTRUCTION TYPE : PERMIT TYPE: ELE PURPOSE: OTH
714/546-2472
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ELECTRIC HOOKUP FOR PORTABLE SPA SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC : /
PERMITTEE: THOMAS TERSIGNI ( 714 ) 546-2472
ADDRESS: 1376 GARLINGFORD STREET COMMENTS:
COSTA MESA CA 92626 ***************************************i****xw*****ao-*j4$e******44************* -****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7. ON I NG R EQU I R EM EN T S
7000)of Division 3 of the Business and Professions Code,and my license Es In lug force and effect. S ET B ACK S
CITY UC.: STATE UC.: CUSS:
Date: Signature: — MAIN BUILDING --- --- ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that)have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT 1N REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,ora certified copy thereof(Section 3800,Lab.Q. LEFT: FT IN RGHT: F T IN LEFT : FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: ' PROV: PARCEL : 14102205 ZNE: REF NO:
' ' Certified copy's hereby furnished. 0 Certified copy is fled with the city Building Division. PLANNING NOTES>
> --
Cate: Appricam: *************?E*******************fE*********************************************
EXEMPTION FROM WORKERS'COMPENSATION DEUAnTION: Obit ' nod not be comlletW B the permit's for are hundred(57001 or less). D EV FLOP M EN T S ER V IC ES R EQU IR EM EN TS
I certify that in the performance of the work for which this permit I ed,1 shall nos jmgfoy any person in any manner so as to become
Subject to to the orke Compensation Laws of CaGlomia. / �.
�� ZONING APPROVED BY _ DATE:
Date: L.�. S V - Signature: / • - -
NDTIE N,a lr mating this declaration,you Stnld/b me subject to the Wofkers Compe provsions of the Labor BUILDING APPROVED BY : DATE: 9_\�y
Code,you must forthwith comply with such provisions or this permit shall be deemed revoke) - _ — �7�J• V
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : DATE
which thipermit is issued(Section 3097,CN.C). *'*********************************4'***** ***********1F'fe *****************-W*FTt=**
LENDER: *************************aE*****************************************************
ADDRESS: LEGALIZAT.ION: N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State license Law for the following reason . BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/RES GRADING '
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT . 12 - 50
repair any structure,prior to its issuance,also requires the apptcant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0% SMIP/NUN—RES
and Professions Cede)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty 01 not more than live hu oilers($500). ISSUE FEE 15 . 00
I as owner of the property . will do the work, and the BUILDIblc-Div-> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
.au structure is not intended or offered for sale( action 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——— > 12 . 50 15 . 00 0 . 00 27. 50 27 . 50 - 00
does not apply to an owner of a properly who builds or Improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not Intended or offered for sale.If,however the building or
Improvement is sold within one year of completion.the ownerwill have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS- -> 'COLLECTED : 27.50 OVER/SHORT: 00
torthepurposeofsale). t BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 2 7 • 50
❑ and Professions Cede: The Contractors'State License Law does not apply to an owner of property who builds or Improves thereon '
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware *************Nit*********************14******************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: 4 TYPE QTY D ES CR I P T ION UNIT COST TOTAL COST
Date: 4- /0 OmeciknYter 0't^ ELE 1. RECEPT/OUTLET 1 ST 20 EA. . 75 - 75
I do hereby certify that I am aware of and understand the requirements of California Health and Salary Code Sectio 505,25533,and ELE • 1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75
25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and t requirements for a
permit for construction or rrodifiaten from the Air Duality Management District.Residential construction applications are exempt from ELE ] M I S C CONDUIT NOT LISTED REQ PERMIT 11 . 00 11 . 00
these provisions. END OF FEES
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby
the representatives of this city to enter upon the above-mentioned '
property for inspection purposes. T •
-
Date: Li- -: 7d Signature' loyfr�L 0100057925-00057925 TOT 27.50
Other's License or Social Security e: DATE: 04/05/90 TIME: 12:21
164146 White-Building:Green-Code Enforcement:Canarv-Apoliant:Pink-Revenue:Goldenrod-Assessor -
'rt"
•CONSTRUCTION AND PLANNING POC PA
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, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. I 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 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 ,j/3/f0 ,,OL Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test.
36. Hood or Canopy
37. Final Factory Fireplace . -
38. Final Plumbing
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. FINAL PLANNING
49. Electric Release to Edison ice.
50. Gas Release to Southern California Gas Co ;,
51. CERTIFICATE OF OCCUPANCY
No. Date
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 proposed
property improvemen 3(Yes O No
2. I (have/have not) /4-1,iic _ 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
1. 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 ( I Contractor's Lit. Nn
5 I will provide some of the work but I have contracted (hired) the following persons to provide
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
personal knowledge. mpl ante with this State law.
Signed: _/�/f_yiv/�1� Date: 90
Name: [//0MAs 7-672.5 All
(Printed or Typed) ']
C.D.L for S.S. f /
7545273
CMF 304246
PROJECT ADDRESS: 1376 GAALINGFORD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068464
OWNER'S NAME: TERSIGNI, THOMAS TR
ADDREss: 1376 GARLINGFORD ST PERMIT NO: B 068464 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
714 ) 546-2472
ARCRIENRESS: REG.NO.:
ADDRESS: UNIT: : SQ
JOB DESCRIPTION T/O EXIST. FLAT 6 REROOF W/BUR FT: 1, 500
CLAIM VALUE: 1 , 500 , 00 CALC—VALUE: 1, 500 . 00 GROUP OCC: R-3 /M-1
PERMITTEE: NEWPORT COAST ROOFING ( 714 ) 631-6991
ADDRESS: 817 W 17TH ST COMMENTS : REROOF GARAGES 6 ENTRY WAY ONLY, SMOKE DETECTORS ARE REQUIRED
COSTA MESA CA 92627 ****xit+r+r:raEer*+E**** ** x*:t:r*x*er*xx. .*x.+r:reEeL+E:E*x*** Cor*****+rx**** *+r*+E+E***+E*+r********
LICENSED CONTRACTOR DECLARATION: I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
CITY LIC.: O 0 1 6= STATE LIC.: 6 5 3 2 0 1 cuss: S E T B A C K S
rS pn V 39 _XP: 05/99
� Signature: MAIN BUILDING ACCESSORY BUILDING
��
IRKERS'COMPENSATION DECLARATION: I hereby affirm that l have a cenificale of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1315909-94 EXP.DATE: 10/01 /94
COMPANY: STATE FUND PARKING REQ• PROV; PARCEL : 14102205 ZNE: REF NO:
r] Cenilied copy is hereby furnished. L3 Certified copy is filed with the city Building Div ion. PLANNING NOTES>
//� 19. >
N/ 7/�7 Applicant: *******************************+¢+f**p+�rt�y y{P* titter*�*p******************************
EMPTIER)FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(51001 or less). DEVELOPMENT tY 1 Y\ E c./T®R U I R E M E N T S
I certify that in the penormance 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. ZONING APPROVED BY
Date: Signature: REQUIRED DATE:
NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : -- DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. a
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for APPLICATION ISSUED BY: DATE:which this permit is issued(Section 3097,Civ.C). ********************************** *******************************LENDER:
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 35 . 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed . 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7900)of Division 3 of the Business SM I P/NON—RES
and Ptofessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL/ PAID DUE
❑ structure is not intended oroff eredfor sale(Section7044.Business and Prof essionalCode: The Contractors'State License Law TOTALS----> 35 . 50 0, 00 0 . 00 35 . 5 35 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 35. 50 OVER/SHORT; . 00
tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 35 .00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.&P.C. I ND I V IDUAL F E E BR EAK DOWN
for this reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
Dale. Owner: SFR 1500 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 1 , 500 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Ai�ality Management District.Residential construction applications are exempt from /
these provisions. ,EV////
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
9le: ces and state laws relating to building construction and hereby authorize representatives of this city to•4ter upon the aboveimentione0 01 00165906-0Q165907 TOT 3.5.50
y for inspdcbpn pu Oses. DATE: 08/15/94 TIM: 09:49
Signature:frilliallOW. i
Driver's License or Social Security>:
164646 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
.. .
•
CONSTRUCTION AND PLANNING POOL .PA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
1
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement I
3: Electrical ConduitrULlity-Undrgrndc; " 54. Forms
,4: Electrical CondGit Uridrgrnd. 55. Electrical Bonding
'•5: Steel Reinforcement i -- 56. Rough Plumbing & Pressure Test
..6: ElectrigaI UFER:Grad. 7, 57. APPROVAL TO COVER-GUNITE
c'7: Fo'btings -. 58. Electrical Conduit-Undrgrnd.
-8: Foundation . 59. Gas Pipe, 0 Undrgrnd., Test
91 Water Pipe-Undgrnd. 60. Backwash Lines, P-Trap, C Undrgrnd.
r{o: Structural Floor;System 61. APPROVAL TO DECK
11. Property Sewer'Cine& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
'13. Roof Drains _ 64. Plumbing System - Final I
14. Rough Plumbing • 65. Electrical-Final
15. Rough Electrical=Conduit , 66. Solar System-Final I
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.,8ough Factory Fireplace - • • APPROVALS}-.;Permit # 4 -
21. Ducts, in-Strutturet -, { ~ -;, =70. Ugdergreugdi,Hyeho ...1
22. Ducts, Ventilating-, - r r 71. Product_Pi}iing ❑c DCI
23. Gas Pipe-Rough&Test ., .-: a ',2. Underground Flu , •
24. -Roo$Frarning' *i •-C - - .73.''Undergrnd:Storage_TankOGas COiP
25. Roof•Sheathing •
st-(6='Ry 6-4.,-ht . 14. Overhead Hydro. '
26. 1,-Bah Ceiling (Structural) & P onocoat ' 4 - 75.-Dry Chemical • ' z ,
27. Frame and Flashing %I 14 ' 76.'UY Stand f e i {' --
28.`Lathing 8; Siding ` ..r -, -.; .: - 77. 'FIXED SYSTEM FINAL
-29. InsulatioHHi 1 ' t ° •• - , i j , . 78.;T-FIRE PREV. FINALS I, - ›.-13,
,30. Drywall Nailing - . i t HEALTH-DEPTtREQUIREMENT
'31. Plaster Brown Coat 7 „-, 1 '` 9.•FINAL INSPECTIGN
32. Electrical-Power Meter-Final � I r - ,80. FOOD CERTIFICATE ISSUED
. d
33. Final Electric • I t , Note's: -1
44. Final Heating& Air Conditioning' I )' i
35, FinalGas:Pipe-Test t I ` �=�
36. flood-or C,anopY ,Imt -
,
37. Final Factory Fireplace - ,"� t• ); - _ `38. Final Plumbing . . - -, 1 1
39. Water Service-Final I ! , - -
.
40. Gas Service-Fi al -
Service-final -
41. Solar Domestic-Final- ' - I f. - ,
42. Backflow Preventer ' • t .. _ .
43. Backflow Irrigation s _ - • ) '
44. Landscape IrrigationSystem . ' c r _ - r-' 22 4
,
45. Sound Attenuation- • :r�
46. Handicap,Regulations
47. FINAL STRUCTURE & BUILDING ...fg4q i • . -
48. FINALPLANNING •., , -
u
49. Electric Release to Edison - - _ - -
SO. Gas Release to Southern California Gas Co • . . - - , -
51. CERTIFICATE OF OCCUPANCY '
No. Date •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CIV;Y OF COSTA MESA CONSTRUC/TIONN .ERMI/T/� . • 1 P ITN TRACT NO. LOT NO. UNIT NO.
Project Address __L 74 lrk.•L/////�.1o.t//� � ��� ,/ t t
Applicant's Mailing Address /57 �/ e1 /.+-.GD/ e 4,4_..1-1-7 TYPE OF CONSTRUCTION ❑ NEW LI ADO Id ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Owner's Name T a. .S se. Phone DES R(' TIO RK/USE OF BLDG. ' y`G ( /I e
Address f• - s S Main Building: ilAcc �yngi O8
❑ STRUCTURAL E FrontZ
Arch/Eng. License No. TYPE OF PERMIT GRADING ❑ FOUNDATION k_ ,. N ......z."-- . 0
Address ❑ TENANT ❑ Et,ECTRIGA L ❑ PLUMBING ❑ MECHANICAL B RearN
�T�INit Rob`4� ��$ '1�1 D-OTHER �L�} }/ QIlY OF COSTA MESA I
Contractor's Name 1 Ci
r k Phone • PROJECT DESCRIPTION SQ. FT`•~/ 2g0a OCCUPANCY[� «/7 C Right G
` C 1 , �I� I $Cu-PST CONSTRUCTION TYPE
VALUATION$ 7LOL—D• $ R
Address(mailing) 3 ff �� t �� Left •
City License No. ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided
I herebyaffirm that I am licensed underprovisions of Charter 9 (commencing �-1 �\� [� Q
Remarks: D,��1�Y7 +4.e...\_'. /its-, - Planning Notes: ryl
with section 7000) Of Division 3 of the Business and Professions Code, and c-1ect_i.
my license is in full force,and f t. q ^ s (� / IV\ T
License Class C:. c se N / /" • ' S
Date 1—IU -Re Signature •+ PLUMBING FEES ._
WORKERS'COMPENSATION OEC LA RATI Bar Sink Showers ELECTRICAL FEES
>:-0ereby affirm that I have a certificate of consent to self-insure or a certificate .
`,11.,".'. Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
100, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW
ACertified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up 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 OGas DElectric Sub Panel
I certify that in the performance of the work for which this permit is issue , I
shall not employ any person in any manner so as t ecome s bject e Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'/:-8
Workers'_2omp do Laws of Califor i
Date A " Signature `'
Floor Drains Swimming Pool w/Spa —` F.A.U. Inc.Solar 09-15 HP 01615+NOTICE: If,after making this declarata n,you sh uld becom subject to the — --
Workers' Compensation provisions of the Labor Code, you must forthwith 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 '
thereby 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 -
ater HeateOutlets
Lender's NameRan e
_
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 DisposalStandin g Sections
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 Generator ❑0-5 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
Division 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
)31.5 by any applicant for a permit subjects the applicant to a civil
-
,Ienalty of not more than five hundred dollars($500). $ 3
' . El I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee ! $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 •_ _ 1
thereon, and who dohs 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
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By /7 Date
prove for the purpose of sale). - Sit❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dato
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 SU MARY OF FEES -
builds or improves thereon, and who contracts for such projects with a con- — cei
CV
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ `3 — SMIP $ ---
tractor(s)
of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
information is correct, I agree to comply with all city and county ordinances
and state laws r-bating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentaf fives of city to er upon he •ve-mentioned property for 1d
inspection p 5. e / ''') �� MECHANICAL •
$ TOTAL FEE $ �3
Signature _ _ .j, si -�— Date/—j,/5.
Drivers' Lice se or SS 7) , Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit#
Date Inspector APPROVALS Permit# Date Inspector
11. Temporary Electrical Service or Pole 52. Pool & Equipment Location
i
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, 0 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 ,
1
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing 73. Undergrnd.Storage Tank ❑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 " 1
33. Final Electric Notes: Z111J8/gp ,`
34. Final Heating & Air Conditioning -___ ( --�-d� ')9
35. Final Gas Pipe-Test e .
1e3 1 _
36. Hood or Canopy
37. Final Factory Fireplace • -
38. Final Plumbing / '
39. Water Service-Final
' 40. Gas Service-Final . '
-
' 41. Solar Domestic-Final
I •42.-Backflow Preventer - ,
Al
143. Backflow Irrigation '
44. Landscape Irrigation System 7
45. Sound Attenuation '' -
• 46. Handicap Regulations !o /' •
47. FINAL STRUCTURE & BUILDING N /?o) �" , V
48. Special Requirements Completed �( , •
49. Electric Release to Edison .
-
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY --
No. Date
OWNER aftSIGNI, TH(MAS DATE 7-13-70
JOB ADDRESS 1376 Garlingford St. BUILDING PERMIT NO. 32044
G:' , RAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio Cover
Atx4`ro.141-022-05 LOT TRACT FIRE ZONE VALUE $500.00
INSPECTIONS Signature Date GROUPJ TYPE V ZONE R1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. 9
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 9 POWER 9
ROUGH WIRING / Heating and Vont.
TRENCHES FORMS 9 STEEL REINF. 4 t 7ue/to
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHINGr�J
LATUING — IN OUT 9
P :R, BROWN COAT
ST.._.,TURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST 9
ELECTRIC, FINAL p
BUILDING. FINAL n-t/-10 _
. . ' : 32044 s.00
JUL 10-70Ens,00 881 0*****
COSTA MESA,BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
.4
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVFQ BY DATE RECEIVED DATE ISSUED
BUILD(SG/374 GAez/NGFbRD 57 v55( `7—J0-7/1 7 '/
ADDRESS T / �/ /f /J h /'/�-7Q
�hC�9R.$ 4C /6 A// A.P. NO. sir 6 2—c' PERMIT-NO.
OWNER /' ���j/jjj�
MAIL 'j'76 6 �t / 57
BUILDING /576 /I/
Z ADDRESS /J/`� ✓/���"L/�U��� �[7. ADDRESS .� J!
a. U CITY COSTA MC-s4-- NOL''54 2.Yh TRACT /S.5 LOT- _ BLOCK
Z < LENDER �c,1 e L^46 2 LLiz NEW ADD ALTER REPAIR MOVING DFMOLISH
a no L,//VV` J T/ `/Y`'
J D BRANCH • '•
Q N OWN E a*'m{4J pat/4e7�M.I/
C ADDRESS VALU '
J Q ARCHITECT TEL. USE $
OR ENGINEER NO.
U It Q FIRE
W2 ADDRESS ZONE TYPOC GROUP
Q. w �] APPROVED TQ
JO CONTRACTOR 6w it)./r IeLD�', BY r19 DATE 7�riq
'70
mZ ✓ \ /
W W ADDRESS ZON NO.OF USE OF Z9dii lHrL(i
Z= CITY NO. _ (PLANS a BUILDII� J / .,_ 9
w-0 STATE CITY YARDS APPROVED YARDS APPROVED
try X LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE / J NO.OF BLDGS. (FROM C/L STRF •
-
OF LOT BOJ`� (NOW ON LOT / FRONT fa. t , FT.
USE OF f
EXISTING BLDG. Res/ DE AiG E R.SIPS 4,_654 FT. FT.
I-- SIZE OF �1 �1 NO.OF —�
Z NEW BLDG.' Or" ROOMS STORIES L.SIDE 6 FT. FT.
UEXTERIOR WALL ROOF
_ COVERING COVERING REAR 23 FT. FT.
USE gk BUU�IJI--DING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
ii-II 0 CL eV Glc /' MAIN BLDGS. ACCESS. BLDGS.
VAR.+ DATE
O .0-R LU FXI / � 13 S C.U.P.# APPROVED
I— APPROVE /�
zBY /fi.(` a- - 7-is-70
•0
VI hereby acknowledge that I have read this application and state
7 that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
CO the State of California. co
b
zI hereby certify that I am properly licensed'as a contractor under O 0 SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that s licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: u
am exempt from thf isions of the State of California Business m
and Professions Co.- ision 3, Chapter 9. VALUATION z� co
e 0 PERMIT FEE $ V 001O
Signator- � , �v /�/�/ m
Permittee - - / $ DO PLAN CHECK $ E
0
a_
Authorized Agent ` TOTAL FEE $ r e 0
OWNER HARBOR HALL OF FAME HOMES, INC. DATE DEC 1 1 1962
JOB ADDRESS 1376 Garlingford St. BUILDING PERMIT NO. i 84-00-
C"NERAL CONTRACTOR Lifetime Res.Bldg. Corp. VALUE $19,055.00
e 7o. LOT 18 TRACT 4355 FIRE ZONE DESCRIPTION OF WORKReS.watt.Gar.
INSPECTIONS Signature DATE GROUP1 & J TYPE V ZONE Rl
Soil / ((J.. ./ PER FITS ISSUED
Gas tit,
�/ !--v G3 SUBCONTRACTOR DATE NUMBER
Water I.-fl43_
Rough Corn. Refrig. 0 Air Cond. ❑ y ��
Rough Heating G.""V -S-�.-Z .2 `'' ;`., ,�?d(-(, j:o1 `/ ---
Rough Plumbing fJ
Miscellaneous /—-,-�-�-�
Prop.Swr.Line 0 House Con. t f St.Swr. ❑ !�EZk 2--L (i? _ d. .,&-42-3 3.jam
Sprinkling System /
Construction Pole a lf.o /_y_G 3 ,rt rr _ 2C Qa.Z_ 1! —,0—/W/ all) :
1
Underground 0 Power El ��[LSS�� _
Rough Wiring _ /Y(yd$ 3.15',63 e The Xl c�r -61 i k.c i ;2N-(o A /9 J O S
'Trenches 0" Forms Fr Steel Remf. 0 6* /.-2-L'2)
Floor System &IA /-.Z1-. b�
Bond Beam ❑ Steel Reinforce 0
Sheathing t"P /(� 3 4-C3
P "•7,e and Flashing ,--ed 9-/-6•,
lI.',g ng — In IB�Out r Rt,.je 9_/7 4)
Plaster, brown coat n ,3"-2-8"'63
Refrig.
atin 0 Air Cond. 0 Final < � _ JI
Heating, Final '7 3l G,3
Plumbing Fixtures, Final v 70 3 -43
i 18400 �[[
COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 18, Tract tbf PaRL.90-1V ED
P. 0. BOX 317 COSTA MESA. CALIFORNIA N DECF1 1 1982
For Applicant to Fill In Completely APPLICATION F��uyyRy2F8EPT.
TYPE OR PRINT / BUIL�iNG GGGUUUUS�rA MESA
BADDRESS 376 VISI�/4 1,0
COSTA MESA. CALIFORNIA For(Office Use Only
I • ' ' ^
'W
I RECEIPT NO. I 1P`B411R.
OWNER Harbor Hall of Fame Homes, Inc. 111___111
MAIL RECEIVED BY I DATE RECEIVED DATE ISSUED
ADDRESSP.0. Box 2066 L., _ *--y0 /-1//, /[ - DEC 1 1 1962
CITY SantaNO
Ana XI 9-2204 %DDREIN
AOORRCHITECT
NEER Jamison NOLL544-0040 COSTA MESA. CALIFORNIA
ADDNESS 225 11D" St. , Tustin ZONEFIRE
TYPE GROUPI�{// S/
CONTRACTOR Lif etime Residential Bldg. CorTEPPROVED !�
Y DATE
ADDRESS 2131 So. Artesia • ZONING
CITY Santa Ana EON NO.OF p USE OF NEW. /6.
'1 Z'
r I PLANS ` I BUILDING 1J/440-9*-. .
LIC.70. 208676 No. KI 9-2204 LEGAL
DESCRIPTION LOf 'a re V35--r-
Ulm- 6000, I NO. OF BLDOS.
OF LOT NOW ON LOT 0 A.P.NO.
USE OF NoneYARDS
EXISTING BLDG, C APPROVED ALLOWED
SCENTERKOF NE STREETM /0, REAR YARD 46.931 F TR LINE ST.)j FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE Sr- FT. IN.
DESCRIPTION OF WORK ,—
L.SIDE '-� FT. IN.
[/
NEV I X. II ALTERATION I II ADDITION I REAR / C. 73 FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED /���p DATE /072✓/et'
SIZE
1790 RNO. OF OOMS 10 STORIES 1 �I/�l
EXTERIOR WALLlastROF
er I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED
Single Family Residence
`tel' , fin.. J- /790 .0' Q Vao
I HEREBY ACKNOWLEDGE ILLY I HAVE READ THIS APPLICATION THE AMOUNT SHOWN ANDER/JVALUATION IS FOR THE
AND STATE THAT THE A•O+E IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY 'RANGES STATE LAWS REGULATING
BUILDING CONSTRU• VALUATION
/ l.3—
PERMAIVFEF �.`$tGl l�� PERMIT FEE $ N
/ ` q
S 9 LO�✓ PLAN CHECK S 48/SI/4
AUTHORIZED AGENTy/y C
� ,/ i
N TOTAL FEE $ / / LL
OWNER TERSIGN!, THOMAS DAIS 5-8-69
JOB ADDRESS 1376 Garlingford BUILDING PERMIT NO. 30242
Gr""RAL CONTRACTOR O 1er-Rninex DESCRIPTION of WORK Comm, Bi nek Wall
k A x.141-022-05 LOT 18 TRACT 4355 FIRE ZONE VALUE $ 350,00
INSPECTIONS Signature Date GROUP j TYPE TTT ZONE R-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ORMS STEEL REINF. -,tj Me c/acAs.
FLOOR SYSTEM
BOND BEAM in STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PS-i;,FR BROWN COAT
S.PY,;'TURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL ANO GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL .2-2/. 67
. it 30242
AY -8-69PM;�00 523 o*****5-00
COSTA MESA BUILDING-SAFETY DEPARTMENT .
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
/376 6-' eL/NG FORD RECEIVED BY DATE!RECEIVED DA IS�y� �
BUILDING t/O_ (/(J_/Q X (/r,
ADDRESS y ��p / ,s, / M{ j1I►�t
OWNER 77-041/1J- /C 5/ G ,V / A.P.NO. /1j O '-'Q) PE I I L�
MAIL �t BUILDING
ADDRESS SAM /Et/f�( ADDRESS /. /76 I(/i(,d r
z
a 0 CITY 0.0.5 rig z•/ �vJ ND. 5�6-��fj� TRACT-LF3j LOT / BLOCK
ZQ CONSTRUCTION NEW ADD ALTER I REPAIR [MOVING DFMOI ISH
O I-
LENDER
J D BRANCH �J / 1 // -
ttr ADDRESS
J to QW N E R//NN���:////nn,J?PPr,ttyy`�-7�"// �L v 'C/(A-�
B ARCHITECT TEL. USE
USEvti l ?Oa a. VALLIS .9�(I.0
5 III J Q OR ENGINEER NO ? /�
Z
cc ADDRESS .� ZONEFIRE ? TYPE �/J GROUP y
OWN CR. rSouL ✓D�� APPROVED J c::9‘) M(K GATE 5
J O CONTRACTOR [t03 Z /J
L- cc ADDRESS ''S/'f 7 c Night*
fn~ TEL. ZONE ! INO.OFy USE OF NEW
= CITY NO. PLANS BUILDING ��
-U STATE CITY YARDS APPROVED YARDS APPROVED
LU
NCC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O SIZE / y�,y / c"NO.OF BLOC'S. / IFROM Cit.STREET)
OF LOT 6 Q X ,ti2= '//.J/t II NOW ON LOT FRONT FT. �T
LISE OF
EXISTING BLDG. r\ ES/DE' V 1..� E R SIDE FT, r
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. O FT.
UEXTERIOR WALL ROOF _
_ COVERING _COVERING REAR FT. �—
USE OF BUILDING AND WORK TO BE �WPERFOR"MED DISTANCE BET. BET.MAIN&
FOoR /NCH ,3 GO C .eC A Le... MAIN BLOCS. ACCESS. BLDGS.
VAR.* DATE
0 . ,( ali&N ON Wass- /Reotaiy/L C.U.P.# APPROVED / // 9
C/) L/N 9 /meal YT RAPPROVEDOjai
� DATE C5• / 6 / �/
0 ( l
UI hereby acknowledge that I have read this application and state
7 that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
H any person in violation of the workman's compensation laws of
N the State of California. m
2 SQ. FT. to
I hereby certify that I am properly licensed as a contractor under 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business CC
VALUATION
and Professions Cod 'vision 3.Chapter 9. /t.-�I N
PERMIT FEE $ (l t/
D
Signature ofm
Permittee ✓ a> Aar $ 2 6 PLAN CHECK $ _^ E
O/ILJI /`�(l'(�
') 0
Authorized Agent ` TOTAL FEE $
�. LL