HomeMy WebLinkAbout1160 GLENEAGLES TERR - Building Permits CITY OF COSTA MESA
•
BUILDING DIVISION
y �a:� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. .us
rea FOR INSPECTIONS CALL: (714)754-5626
1 •
PERMIT NUMBER. P08-00150
PERMIT TYPE PLUM STATUS: ISSUED
APN: 42233102 DATE ISSUED: 06/12/2008
ISSUED BY: YH •
JOB ADDRESS: 1160 GLENEAGLES TR CM • .Suite/Unit
Vicinity:
SCOPE OF WORK: REPLACE 40 GALLON GAS WATER HEATER WITH SAME TYPE'S IN`SAME LOCATION.
OWNER: ABELS,PAUL A TR' -Address: 1160 GLENEAGLES-TER
PHONE: - - -City/State/Zip: I COSTA MESA^CA
APPLICANT: MAZARIEGOS BYRON ,, t-
PHONE:
CONTRACTOR: AFFORDABLE WAHEATERS AND PLUMBING License No
TER :.` 627368 . i •'f)
Address: 24707 SAN:FERNANDO RD • — . - - - - -
PHONE: 661-259-7151:,;i .' • -
City/State: SANTA CLARITA CA ZipCode: 91321 CELL:
ARCHITECT: - Licerise No. - • rPHONE:.."+
ENGINEER: •
- _ License No. , PHONE.,
PLUMBING PERMIT FEE SUMMARY . .
PLAN CHECKFEE:r $0.00 •
PERMITEEE _. $35.80' '
TOTAL FEES: $35.80
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes; andiall
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE. INSPECTION TYPE DATE INTmALS CODER INSPECTION TYPE DATE minima
1816 Fixed System Final Fire Prevention 206 Final Mechanical A ,/
1266 Pool Spa Final _ 208 Final Plumbing •Om —Bl4
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 Site
204 Final Demolition 250 Final Building/Occupancy -
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv.._ _..cense: .❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: •; • Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' • Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, the
Qerformance of the work for which this permit is issued.
12.1 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation flue(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
Carrier - --r by this permit,and that no building structure,scaffolding.falsework,«demolition
(]hs section need not be completed a me permits valued el one hundred dollars(Sr00)w less.) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
Policy Number:
206 7 9 3 2,Art 2,Sec.341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensati.n laws of California, and agree that if I should
become subject to 1 -rs' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Cod- s - . . wit c• ply with these provision5s /
I _,_.4 � oi`� /V, v Division of Industrial Safety Permit Number:
Ap• s'ign. re Date O HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAI URE TO ECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds. or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure),
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# _ �Z 411... Class# L' 3,6 (Section 25533 of the California Health and Safety Code, with some
h.# - 4
__ /6 y exceptions, requires registration with the Costa Mesa Fire Department by
�L C each business which at any one time has on hand a quantity of acutely
' c87 ra^ .g•-lure Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
Lender's Address: (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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the California Government Code requires that the requested
that he or she is licensedpursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon;and who does such work himself or herself.or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she 'CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury,the
did not build or improve for purpose of sale.). , . information given above is correct. I agree to comply with all state laws and
city ordinances.regarding Hazardous Materials and Emissions: '
❑ 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 signature Date . •
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. _ the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: - • 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• Leg wnerls Date
Signature Date 1.14 /' Dated.
•
305]<6(3b]) And/ Aut•.n.441 Date
IPROJECXADDRESS: 1160 GLENEAGLES TR UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 050341
-•� OWNER'S NAME: AB ELS, PAUL A ' - •
ADDRESS: ABELSSONIA L PERMIT NO: B 050341 _ PLAN CHECK NO: N GOVT: ' N SUPP; N
1160 GLENEAGLES TER .
COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N 'PERMIT TYPE: STR ' •
PURP.OSE: .ALT
642-0794 ' •
ARCH/ENGINEER: • REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/ SHAKES • - - SQ ET: 3, 500
ADDRESS: - UNIT: •
CLAIM VALUE: 3, 500 . 00 CALC-VALUE: 3, 500 . 00 GROUP OCC: R-3 /
PERMITTEE'ADAMS ROOFING ( 714 )965-0245 • • - ' • - ' - . •
ADDRESS: 1925 ANAHEIM' AV B-2 COMMENTS: T/OFF' REROOF .W/ CLASS' C SHAKES '
COSTA MESA CA 92627 *kFkF**>F*>ESE***** *****EF******:E***x**:F->E*ac>E********* ***DE*DE*iE**>E>EBF***+E*******+E*>E***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code, and my license is in full force and effect. SETBACK S •
CITY LIC.: 04 6 2 STATE LIC.:52434 1 uSS: C- � • ,,
Date: 0 Signature:_�d( MAIN BUILDING • ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate 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 Cl. LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: • FT IN
POLICY NO.: EXP.DATE: •
t ,OMPANY: • PARKING REQQ• • PROV: PARCEL : 42233102 ZNE; REF NO: •
'i Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> (
> ..
Date' Applicant: ***1F***lE***********3h****************************************IE********.******1F***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MOO)or less). DEVELOPMENT . SERVICES R E .Q U I R E M E N-•T S
I certify that in the performance of the work for which this permit is issuetl shall not empl any person in any manner so as to became •
subject to th w rkers' ompensation Laws of California. ZONING APPROVED BY DATE
Date: l L (70 Signature:_ ' ' - 4•
NOTICE:I,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : _ gromm.—__ DATE: d ''.
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /' I •
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• dI1_ mirDATE: / Z/7`,0
*.
which this permit is issued(Section 3097.Civ.C). *** **.***.**.X(.*.*-**.1(..X(.*.**4 —` 7 *.*.***.*..Ihlf4* *.*{(.d(.*M, ****
LENDER: ******************************************* *****************************W****
ADDRESS: LEGALIZATION:NI - F E E --
S U MARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT: C MECHANIC FIRE SMIP/RES GRADING r
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6300 • . 50
repair any structure.parr to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NONN-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)a1 Division 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 PLAN /y,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE ) '
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the -BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 63. 50 0 . 00 0 . 00 63 : 50 63 . 5 0 I . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through '
his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 63. 50 OVER/SHORT• 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for 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• 6 3 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'Stale License Law). l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L . j F E E BREAKDOWN
.
o I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N • UNIT COST ' TOTAL COST •
Dale. Owner: SFR ' 3500 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 3, 500 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END' OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a , -
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from - ' i.."
these provisions.
•
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 slate laws relating to building construction and hereby autho'ze representatives 1 this city to enter upon the above-mentioned '
property if als t tiosurposes. ' 1 01 75400 TOT
�•`
Dale �2�)/TO Signature i .� DATE: 12/17/90 TIME: 14:06 b3,:.�/
Driver's License or Social Security a: -
•
1641-46 While—Budding'.Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - • '
-.1 / I
• CONSTRUCTION AND PLANNING - POI SPA
' r APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary.Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. t: 53. Steel Reinforcement
- . El
3ectical Conduit Utility-Undrgrnd. 54. Forms
4: Electiical Conduit-Uridrgrnd. 55. Electrical Bonding
,5. Stee:Fieinforcemeniii 56. Rough Plumbing & Pressure Test
- 6:'Electrical UFER'Gind. 57. APPROVAL TO COVER-GUNITE
r7. Footings : •• " 58. Electrical Conduit-Undrgrnd.
,8. Foundation59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ 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
r.
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
_ ". - 'a-. .'j
20.1-•RouyhFactoryFiieplace r -i.. 4 C I- - ' -APPROVALS;r-'CPerritit#_ ' �"' ..
.. :. •.�:-. ) c
21. Ducts, in Structure.. ` _ `> O � 'a70. Undergr-o n
d' ydro
., H
22. Ducts, Ventilating;, -: _ -r S ? X71• Product;Piping 0Gas ❑sOil
23. Gas Pipe-Rough & Test • ,r 1 ` •. -72. Underground Flush;?„
24. .Roof Framing _ Y J73aUndergrnd'-Storag&Tahk 0 Gas 0 Oil
25. Roof.Sheathing y `•
.� - :"t �, `74I.Operhead Hydro
26- T-Bar Ceiling (Structural) &:Monocoat :' 75C Dry Chemical - i.
27:,Frame and Flashing _ ; r... .n.- C.>. " tx
g ;:u _ r : . 76- Dry Standpipe
' 28 Lathing& Siding=.a " l;S';:: �: 'S • •• ^» 77'- FIXED SYSTEM•FINAL: _ 'r
X29. Insulation r ' 1.1 ,) n
. i ; ,,* , 78::.-FIRE PREV. FINAL -.
•30. Drywall-Nailing • a HEALTH^DEPTTREQUIREMENT
'-31. Plaster Brown,Coat; - 1 i IrII_ s ,_79:'FINAL INSPECTION -
•32.:Electrical Power Meter=Final' ., 1• 4 I'I : :80.••FOOD CERTIFICATE ISSUED
_
:33 Final Electricsj )Y,til Fri;- � `Notes: - -� _3t - {: ,'
,.34.,-Final Heating & Air.Conditionings iI ; t!� Y ,/-,y�/cL '5 Gh6!,ICG' ;Ol�}/�
>
35. :Final Gas Pie-left' -- I• t ( •` •r • C-f./4,--
,,36. Hood or Canopy .i 2, ,- : i ,.1 , + y _ ^` . r'
I 37.�Final Factory Fireplace: ; . t '; 'r l I' •`7, '• r1
138. Final.Plumbing A ,_ - _ i ! ,••. • •s c
39. Water Service;Final' 'I i ``� • ' 'r.
•
Ur
'40. Gas Service-Final
541. Solar Domestic Final - 7 :It _ tk I i 'S"V�
42. Backflow PreventeC • ;'; I 1 ti �� ' _
43. Backflow Irrigation'4.
`1 % >- - - U.L' _ - - 1
.
il
'44. Landscape Irrigation Systema;,-.= - - ,- -,• - - � ' •
'45..Sound Attenuation: - 1 - i ,-,
46. .Handicap Regulations - ' ', ;
47. FINAL STRUCTURE & BUILDING J41.{..1 aw . •
K
48.'FIMAL PLANNING . ,
49._Elecaric Release to Edison ,I• ' > i _
r "
' 50.Gas Release to Southern California Gas Co I 1 'i; • a - `
';51. CERTIFICATE OF:OCCUPANCY .. . . ;,
No. Date
• Gunite ) Post-Tr ioned Concrete ( )
REPORT OF INSPECTION Masonry ( ) Firepr, ,ng ( )
Concrete ( ) Reinforcing Steel ( )
haat TO: cr44, 1• P,.a
Address : 1`
OWNER: (—\i e'S
PROJECT: S,0,m,T-M1J 134..t.4 At, I.A,iq Report No.
Address : , Woo 6I0+4 `IA �et Permi t No. S_Fc,,J,,at.et.,
Architect : SHi,t'.s tot. 14> Contractor: SII1st2S P,Jc
Address : Address : 1
Engineer: th. c, n; :r5 Subcontractor: VcRw
(Gunite)
Address : Masonry or
Concrete)
Inspector: nr\t, S,H-� Address :
l` P.c. 4 xa-1544 rill rek1/4,
Mix Used:
Slump, inches :—O-
Admixture : k+
Designed Strength, PSI :ea,. p r
The following inspection was performed in accordance with the approved drawings :
Cu. Yds . No. of
DATES Placed Cyls . Remarks
—3 steet cJ.<>c.-,-t
a(c�1a i�
Oke. .,ct, (RP 3��+ pee"Cl'
Copies of Reports to: ( Indicate which Bldg . Dept . & furnish address of any not listed)
.
1111k:°��, Twining Laboratories of cCoutEtn C L'1Ja� 2�, L7,2c.
- 3310 Airport Way / Mailing Aoaress P.O. Box 47 / Long Beach,CA 90801 / (213)426-3355 / (213)636-2386 / (7141828-6432
TESTING BRANCH OFFICE: 1514-0 North Susan Street / Santa Ana CA 92703 / 17)4)554-2645
October 30, 1987 Examination: SC87-11387
COMPRESSION TESTS ON GUNITE CYLINDERS
Max Sitter
P.O. Box 3454
Fullerton, California 92637
PROJECT SWIMMING POOL & SPA
ADDRESS 1160 Glen Eagles, Costa Mesa
ARCHITECT CONTRACTOR
Shields Pools. Shields Pools
ENGINEER SUBCONTRACTOR
B. C. Adams Vern Anthony Gunite, Inc.
SAMPLE FROM Main Drain
SPECIFIED
MIX 4.2-1 STRENGTH 2,000 psi
DATE CAST 10-20-87 SLUMP — — SIZE 4}" x 12!"
DATE TESTED 10-29-87
SPECIMEN NO. 1 2 & 3 "HELD IN FIELD"
COMPRESSION 9—Day
TOTAL LOAD. LBS. 32,000
POUNDS PER SO. IN. 5,160
28-DAY AVERAGE, PSI --
COMPLIANCE 9-Day test complies with specified strength.
MADE BY DELIVERED BY RECEIVED ON
• SPECIMENS Gary Max - - 10-26-87
DISTRIBUTION:
Max Sitter - 3
.fee5172-Mesa Bldg. Dept.
Rik Hyden
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS.AUTHORIZATION FOR PUBLICATION OF OUR REPORTS.CONCLUSIONS.OR EXTRACTS FROM
OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC AND OURSELVES.
330-1_
4 - .
Applicant to fill in all spaces except those within heavy border lines and sig. all appropriate tleclaratio ns.
rITY OF COSTA MESA CONSTR UCTION PERMIT PERMIT NO. TRACT NO. LO N UNIT NO. 1.� ,
i'�fk>oiect Address 1/6 0 'G�' nl. I �'�/ S 7 ' -• ''I 633 ' 7/ I =/ - '
E F,UG,CF_s TEA. PE.. 2b O
TYPE OF�CON$TR UCTION ❑ •
NEW kg ADD ❑ ALTERATION ❑ REPAIR +� •—
Apelicant's.Mailing Address ' SAM, - �'�• ••
•� n app ❑ CONVERSION ❑ DEMOLISH ❑ OTHERc- Zone
Owner's Name' /fT//� -z ,'un(f } A4674. S Phone 412 OM;i a A'.P.# {as — O31-1-0"2---. I
/ DESCRIPTION OF WORK/USE OF BG.' POdF ({NO SPA
Address . LII-6464ety IN. s(/CS T� /c.� '� �uVp� .. 5.,. Main Building: �` I ,_.. I_Accessory Building; ..•'1 .
a pp w.. • w )
Arch/Eng. /9, /4 D/fIYJ S License No. /0/ g3 TYPE OF PERMIT • ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T. Front: ;� \ ' 1, (r,'yG.l- bl_ ,_ -_ - 0
Address - [S/?ol/� ❑ TENANT' ❑ ELECTRICAL ❑ PLUMBING H MECHANICAL • Bi Rear v • eI N
Contractor's Name S/t'f/E•CDS. /�OGJ�S'j�S'a�tS Phone/5-2 .5 • ❑ ETHER Poo[ 4N0 i S/o/)7 '?' A' • '"1 'v • I
L
Address(mailing) 2O$/ ,((3t/$- CT Dip /Bp �Z,Q�/%,tyF-ya's -_PROJECT DESCRIPTION •SQ FT64/7V
.'' 35p OCCUPANCVQ K- Right - - .; CO - - G
Z05 �4(p e _ 'CONSTRUCTION TYPE • �y/J/TC VALUATION$ / CO0 $ L �� 1
i City�LicenSe No. `� ~� ZONE GRADING CU. ACRES'
R
LICENSED CONTRACTOR DECLARATION • r sr Ping. Ref.# 6„ Parking'Req./Provided E
I'heieby affirm that I am licensed under provisions of Charter 9 (commencing Remarks-: • - Planning Notes; G{„i M
with section 7000) of Division 3 of the Business and Professions Code, and-, - - 1
myicense is in full force'.ntl effect. - - r".'2 Z•, * A/_Zy� lYls- / t S
License Clas _ '-t - ` - z- V Yffl-/ 3 7
;i.;:,_ /J .% ,r I . • -
Date : • _ Signature --`i_. _ _ —a.__, PLUMBING : FEES -
WORKE-S' OMPENSATCL • •
ION DECLARATION • Bar Sink - - ' Showers. - ELECTRICAL • FEES
hereby affirm that I have-a certificate-of consent to self-insure or'a certificate . .• -
'"Si`', Workers'-Compensation Insurance, ora certified copy thereof (Section _
`=')0, Lab. C.) _ - Backflow Preventer Service Sink - Automatic Washer - /Transformer 0 15-50 KW
•
`�'ulicy No. Company _"' eackf low Irrigation Sewer Cap - Construction Pole Sub. 0 50+ KW •
-
•
8 Certified copy is hereby.furnished. • ; � • - - -. • 4 - -
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 ($100)or.. . . . . , -
• less). - Dish vrdsher - Solar Piping • Dryers`❑Gas -❑Electric. Sub Panel
I certify that in the performance of the work for which this permit is issued,l• - - . -shall not emplo any in any mann so as t y9oqa€syggp ct to the Drinking Fountains Solar Tank Fan -
Workers' on Laws of CaliforniC/ Motors❑0-1 HP ❑1%-8
' Date Signature Floor Drains ' - Swimmin Pool w/$ a 2 'a �— -
_ NOTIC If after making this declaration, youshouldbecome subject to the /� 9 p 3 E F.A.U. Inc.Solar ❑9-15 HP ❑16-15+'
• WorkersCompensation .provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fixtures 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 Clv. C.) '
Interceptors Water Heater : Outlets '
Lender's Name ' _ - t •
Range
Lender's Address w. - ' - _ Kitchen Sink _ Water Service Switches- Sign
OWNER BUILDER'DECLARATION - - g '
•
I hereby affirm that I am exempt from.the Contractor's License Law for the • Lavatories Auto-Wash Garbage Disposal Standing Sections •
foliowing'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 , 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
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of ' • 41.018$$•1140.-9 f'p0� •
Division 3 of the Business and-Professions Code) or that he/she is exempt - .. /
' ,eretrom and the basis for the allegetl'exemption. Any violation of Section / l p, U
31.5 by any applicant for a ,permit subjects the applicant to a civil SpA l-�L•('�1�� /- / O
nalty of not more than five hundred dollars ($500). •
• Li I, as owner of the property Sr 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 ' ! $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 REQUIR ENT c ��(11s ((('11l '-1
employees, provided that such improvements are not intended or offered for Boiler -Hood or Type I 0 �ry�j�TJJ //I
sale. If, however, the building or improvement is sold within one year of com- - Canopy Type I) ❑ Zoning Approved By
/ 1 {Aek.,Date J e�
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date?/! iT
prove for the-purpose of sale). p�
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By • K� Date"1'/T—t1
tractorsto 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 ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- - ❑ Multiple - ,1'
tractor(s) license pursuant to the Contractor's License Law). I am'aware that -- - BUILDING PERMIT $ 14.COO SMIP $ C/3
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 System Repair/Alteration ��.
• - PLAN CHECK $ -2- , PERMIT
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# - Fire Dampers • PLUMBING $ th, so . ISSUANCE $
Date - - - Owner • Heating System& Ducting Registers PLAN CHECK 25% $ •/C• ENERGY P.C. $ -
I hereby certify that I have read this application and state that the above . ❑0-100,000 BTU 0100,000BTL - ,
information is correct. I agree to comply with all city and county ordinances . - ' ELECTRICAL _ .$, La •op GRADING' $
and state laws relating to buil•ing constru tion,a d hereby authorize repre- MICROFILM $
sentatives of chi icy to er a ."-mentioned p perry for ...P--LAN CHECK 50% $ �'5� A
inspection pyat",(' // / /yam , ,. - MECHANICAL $ ' 146 . a
Signature Date/ 7f/$z. TOTAL FEE $ O
Drivers' License or SS t ' - -=' 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 11
APPROVALS 'Permit# Date Inspector APPROVALS Permit # /Date Inspector
1. .Temporary Electrical Service or Pole 52. Pool & Equipment Location' fa/ ?, ow-
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 > 11 ' i
7. Footings 58. Electrical Conduit-Undrgrnd'. , Pit Ia7 P l3
8. Foun•dation - 59. Gas Pipe, ndrgind.,Test i� $7 t ' p
9. Water'Pipe-Undrgrnd. , ' . , • 60. Backwash Lines, P,Trap,
10. Structural Floor System' 61. APPROVAL TO DECK ft j. Dr
11.
D --
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . i '_
12. Sewer Cap 63. Heater & Vent-Final - •
13. Roof Drains /
64. Plumbing System - Final . z//S-7 0e
i ,14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit •
. 66. Solar System-Final '
16. Rough Electric Wiring • - 67. Fencing & Access Approval 13 117 pR-
17. Rough Wiring Sign • - 68: APPROVED FOR PLASTERING ,
18. Rough Electricil-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • ��
' 19.,Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# -I�_
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil - .
23. Gas Pipe-Rough & Tet 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 .7. 6. 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:744 87 �.e'C�-c_Ci
34. Final Heating& Air Conditioning - •
�O +}� � +1��, their 'C -
35. Final Gas Pipe-Test ' 'I/lie `,t,- Cin-, /D`^, f. n •
•
36.„..,Hood or Canopy • h1`47 .- J9 '
37..Final Factory Fireplace
38./,Final Plumbing ' . • - ... '
-
39. Water Service-Final
40. Gas Service-Final ..
' 41. Solar Domestic-Final - . • .- . - •
42:•Backf low Preventer `
43. Backflow Irrigation .. - - -
44:' Landscape Irrigation System ' - - . / �, -
45. Sound Attenuation
46:,'.Handicap Regulations i
47. FINAL STRUCTURE & BUILDING ?,
-
48. Special Requirements Completed - r: s - : • - ,.
49. Electric Release to Edison - • • - •
-
50. Gas Release to Southern California Gas Co - • •
_d
51. CERTIFICATE OF OCCUPANCY - ' " '"4
No. . < p
Date
* . - .. . - . . r ..I
1
City of Costa Mesa INSULATION CERTI FI CANON . Building Safety Division
. • . Jr ins r/7/? ce9 cfa / lirlv5t6
Number and Street City County
Subdivision Lot Number
DESCRIPTION OF INSTALLATION
ROOF
Material Brand Name (716'a .4./ c1/244 t_C
Thickness (inches) 42 /q Thermal Resistance (R Value)
V
EXTERIOR WALL
Material 17 // � Brand Name U even' CcWini9
j/ C
Thickness (inches) Thermal Resistance (R Value) 1�
CEI LING
Batt or Blanket Type ilt2/ /9 Brand Name
Thickness (inches) L• 4.1 Thermal Resistance (R Value)
Loose Fill Type Brand Name
Minimum Thickness (inches) Number of bags Weight per bag lb.
Area Covered (ft2) Thermal Resistance (R Value)
FLOOR, ELEVATED
Material Brand Name
Thickness (inches) Thermal Resistance (R Value)
FLOOR,SLAB
Material Brand Name
Thickness (inches) Thermal Resistance IR Value)
Width (inches)
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance (R Value)
DECLARATION •
•
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24
of the California Administrative Code).
General Contractor(Builder) License Number
Signature and Title Date 1,5
ub Contractor(Insulation Appli ator) License Number
„,_4?
Signature and Title /71,7 Date
CMF 1106-46
- - c: 51.73 4/01 /87 364.59 I�
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
CITY OF COSTA MES)k CONSTRUCTION PERMIT PERMIT,�O. TRACT NO. LOT NO. • UNIT NO. -
Proje)ddrASs./40 (:0:.--yea /L4./u �4._m f:24.27 G027981 • 3417c4/ 3s- _
�t TYPE OF CONSTRUCTION Li NEW DD U ALTERATION ❑ REPAIR f '
Applicant's M ngpAddress �7 y /� r❑ CONVERSION ❑ DEMOLISH ❑ OT ER / /•
Owner's Name 110=1. '2/1-4'/ / /7 Phone�j�� -• I - BL
'!�.. A.P,#- .//'5 (r- QOM, „r _ Zone ,-
c r DESCRIPTION OF WORK/ELSE OF BLDG. - �y,J •�usw. �V• Q .nnlM •
Address ✓�AlI/ -v ° p./QV• 4:,,,s..1-4 Tr i\el /CV: rpC i•• I .�--~ S Main Building: Accessory Building:
Arch/Eng. License No. STYPE OF PERMIT LI GRADING-Y❑ Flu NDATIUN ED STRUCTURAL .T Front T///�Ids'•--yyy����ejot CiaripC- - O
Address / • ❑ TENANT ❑ ELEyCTRICAL ❑ PLUMBING ❑ MECHANICAL B �O" . 4 N
Contractor's Name ' O Phone��3 /rX1 .�' (Ell OTHER -3 '. k••,5gt• w'^r—Lt.l $/624/kPoe. . A Rear / ,
Address(mailing) /� `'PROJECT DESCRIPTION 5 1' OCCUPANCY C Right �� • N
11 11 p G
g CONSTRUCTION TYPE U VALUATION$ �'.2 V•/{O $ Left •]71., Ory ` _ R
City License No. ^ZONE - GRADING CU.YDS. ACRES Ping...Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing I Remarks: /�'q�p' , PlanningINotes; / p /�
with section 7000) of Division 3.of the Busines4 and Professions Code, and • G 4 /fQ� YIH� ���7 /// TLLY4 �Nn • eJIJGN" Cite �t 4 R. M
^� ✓ T
my license is in full force and effect. ' / /.356CQ R �r�6 tlP S
License Class License No. • 'Y//, .
bate Signature '''a 1. • "PLUMBINQ' -. FEES'
WORKERS'COMPENSATION DECLARATION - ; Bar Sirik Showers'
I hereby affirm that I have a certificate of consent to self-insure or a certificate • - • - :ELECTRICAL - FEES
` Workers' Compensation Insurance, 'or a certified copy thereof (Section Backflow Preventer, Service Sink -" , Lab. C.) .T- +- Automatic Washer Transformer• -❑ 15-50 KW
•
.1-iicy No. Company Backflow Irrigation Sewer Ca 0 50+ KW
Li Certified copy ^ p Construction Pole Sub.
❑ is hereby furnished.
Certified copy is filed with the city Building Division. Sewer Connection Cooking Unit Meter ❑up to 100 amps -
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION. Solar Collectors Dishwasher -- Meter Lover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). oy- • • - Solar Piping Dryers ❑Gas ❑Electric.- Sub Panel - •
I certify that in the performance of the work for which,this permit is issued, I. . ., '
shall note ploy any person in any manner�o as t_/t become ssy bject to the • Solar Tank • Fan Motors❑o-i HP ❑1X-8
Workf n Laws of Calijofnia,{� / s `^^ `I ^ _ _
Date Signature/ /� •4 C i ' ✓ • Swimming Pool w/Spa F.A.U. -
-NOTIC : I , ter making this declaration,you should become subject to the _ _ - _ Inc.$Olay ❑9-15 HP ❑1fi-15+
Worke ' Compensation provisions of the Labor Code, you must forthwith ' Urinal r------‘
comply with such provisions or this permit shall be deemed revoked. / cc
Microwave
CONSTRUCTION LENDING AGENCY • Water Closet I `•` Device Boxes
I hereby affirm that there is a construction lending agency for the performancePole Light • -•
of the work for which this p mit is issued (Section 3097.'Civ. C.)
�r Water Heater Outlets Range / Vo
Lender's Name %I if M 7 9
Lender's Address - /y f-� • - - - - •, Water Service - Switches - - -•
Sign' 4'Q
OWNER BUILDER DECLARATION
I hereby affirm that'! 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 a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays rs 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 �7 e•f .
the Contractor's License Law (Chapter 9 (commencing with Section 7000)oft}pY'g�tA [� p•. 00 ` •G.��f 71 _.7�'�- / 06
Division 3 of the Business and Professions-Code) or that he/she is exempt �+�J t�'f'Y C/�
therefrom and the basis for the alleged exemption. Any violation of Section :1' ,
131.5 by any applicant for a permit subjects the applicant to a civil Patty of of not more than five hundred dollars($500). .
-,
L -•I, as owner of the property oes-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 r Reinspection Fee $15 Issue Fee ' $ 3
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES f �`
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 REQU -EMENTS: •
L^
employees, provided that such improvements are not intended or offered for Boiler Hood Or • Type I 0 _ re- G..%/� Date V 40 7-
sale. If, however, the building or improvement is sold within one year of com- . Canopy Type II ❑ Zoning Approved By _ ,
pletion, the'owner will have the burden of proving he/she did not build or im- Duct-Under Ground - i -/` Building Approved By I _ IE W-��/�+ eLd Date it:
• prove for the purpose of sale). �J ••.ar/ara�� Ar •-1r❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By . mG_ _ Dat:
tractors to construct the project (Section 7044,Business and Professions Code: �� i _
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 =°e�M 100,000 BTU ''�,C�'` SUMMARY OF F E 40
builds or improves thereon, and who contracts for such projects with a con- - 11( SOF (
tractor(s) license pursuant to the Contractor's License Law). am aware that Exhaust System 0 Multiple 0 S • BUILDING PERMIT $ •0-06•.. ✓ SMIP $ 2.3
of p •pair/Alteration
proof their Worker's Compensation insurance should be provided to me. a PLAN CHECK . $ �3 V'�'� PERMIT .
❑ I am exempt-under Section ' B. & P.C.for this reason Firepl/Fact.BIt. !CBO# . al ire Dampers •S ISSUANCE ' $
—a ' _ PLUMBING $
vat:--2af.1AM Owner ./e �l �/�rgr •A
Heating System & De•r Registers I . • `- OD PLAN CHECK 125% $ t ENERGY P.C. $
I her:.y cer ny that I have read this application and slate that the above 00-100,000 i. _-i 100,000 BTU--- - GRADING $
'information is correct. I agree to comply with all city and county ordinances I ELECTRICAL : :$ • ••.,•°
• -and state-laws relating to buil.i ng construction and hereby authorize repre- - ) - /� MICROFILM $ •
sentatives of this yp+tI, to ever upon the above-mentioned .•r•perty f. _ PLAN CHECK 50% '$ t
inspection
• TOTAL FEE $
SY
Signature . 3L-• .. / Da - / MECHANICAL $ �o
r
- Reinspection Fee , '$15 - Issue Fee $ 3 PLAN CHECK• 25% $ z7,3
Drivers' License or SS - - — •
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor I
, Y
"CONSTRUCTION AND PLANNING : . POOL & 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,Condujt-Undrgrnd. - 55. Electrical Bonding
' 5. Steel Reinforcement t 56. Rough Plumbing & Pressure Test •
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •
i 7. Footings, 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, D Undrgrnd.,Test .
•
9. Water Pipe-UridrgrncL . ' - 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Floor System •- 61. 'APPROVAL TO DECK i
11. Property Sewer Line:& House`Connection - ' 'f I • 62. Backwash & Receptor-Final. I
12. Sewer Cap • - 63. Heater & Vent-Final '
TM
13. Roof Drains . 64. Plumbing System - Final , 1
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final .
16. Rough Electric Wiriingg2 panniT Ai ens.Bt9'.f.(t+• 67. Fencing'&Access Approval .
17. Rough Wiring Signer 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 w
28. Lathing & Siding 77. FIXED SYSTEM FINAL'' • . .
29. Insulation . 78. FIRE PREV. FINAL . - .
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79: FINAL INSPECTION • • :
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .
/r� 9 3-€7 j J ,
33. Final Electric �•3'fr�• Notes: Zo.. Lj 6 ��cTll l c L✓..N-$:r
34.'Final Heating & Air Conditioning Appnwh cR .C c.a... ''->- 77 1 f
y
35. Final Gas Pipe-Test Y
Sp 3,, lA,,•S 4940:Cion a # 44,ast
36. _Hood or Canopy. ^ .4
37. Final Factory Fireplace ' - • - -
38. Final Plumbing I-34Z (ice - .
39. Water Service-Final
40. Gas Seivice-Final
. '41. Solar Domestic-Final
42. Backflow Preventer -
•
43. Backflow Irrigation . l; T'
144. Landscape Irrigation System •
•
-
'.45. Sound Attenuation .
-46. Handicap Regulations • '
.
47. FINAL STRUCTURE & BUILDING ci/7/may64/6
48.`Special Requirements Completed "bin
49.'Electiic Release to Edison •
50. Gas Release to Southern California Gas Co •. •
51. CERTIFICATE OF OCCUPANCY _
No. Date _ -
. j
JOB ADDRESS 1160 Gleneagle Terrace BUILDING PERMIT NO. 42589
GENERAL CONTRACTOR Owner/Ric-1r DESCRIPTION of WORK Add Fam.Rm. over Garage
.1AP Nom 5_611_07 LOT TRACT FIRE ZONE VALUE $14.000.00
NIN"OECTIONS Signature Date TYPE v GROUP I ZONE B_1
G SUBCONTRACTOR PERMITS ISSUED_ Date I Number I Signature
WATER Plumbin
ROUGH PLUMBING^ 431 6 / ��9%Ilil�� Jt /7f 7/9S/
PROP. SWR. LINE lJ HOUSE CON. 0
SPRINKLING SYSTEM _
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONINGer r� �� _�
TEMPORARY SERVICE OR POLE 1^ '.i '�
UNDERGROUND E POWER n b •� �,. A I > ,I 1 a 'i
ROUGH WIRING L g-2-7) Nev 'na a, Yen `` 'CAI •,;e.':o
TRENCHES ❑ FORMS ❑ STEEL REINF. [/I�te.eye3. 7C �s. lel
J rhe
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE
SHEATHING //yy♦♦♦ • '1 DATE iZfr� �I(L
FRAME AND FLASHING /11 yr8 97
LATHING - IN OUT pi /rf7l ,_,'h-1osi....a
PLASTER. BROWN COAT
STRUCTURAL. FINALww
"EATING, VENT., REFRIG. AND A.C., FINAL ((J / X• 76,ii �
IJ/
IMBING, FINAL AND GAS TEST n V
_ECTRIC, FINAL
BUILDING, FINAL
SPECIAL REQUIREMENTS
/: ,.
42589 PAIG
MIR 110'7E� Sn.0
na02171+f t**102.910
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -
A P C TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
`// / p REAS Y DATE RECEIVED' DW ISSUE
•
ADIDL RDESS )/ VD 6I 4/42,997/el Xe4 "" t 2 .�/ a`/'l/(v'�
A.P.NO. ' I / — �J O/ . PERMIT NO.
OWNER .5���/ /� BUILDING / I v
AMAIL
DDRESS //4'Q 6/,'v �9/e5/a,q ADDRESS //-� LENE '-LE� �
CITY Cry / , NOTE L4,r t;c. TRACT I��///QlvI LOT t55 BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR I MOVING DFMOI ISH
LENDER •
BRANCH
OWNER . • 1114
ADDRESS • . r
ES'420
ARCHITECT TEL. USE M t I
vALu
OR.ENGINEER NO.
FIRE
ADDRESS ZONE YPE V GROUP
APPROVE•
CONTRACTOR _ 4 a/2 N BY Zit DATE I
ADDRESS •
ZONE I NO.OF,,n USE OF N
TEL. 1 IPLANS ' BUILDING .%�Ul . -
CITV NO. 1, TTT�������VV 1
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO.-- MAIN BUILDING ACCESSORY BUILDING
Irj SIZE NO.OF BLOCS. (FROM�C�/L STRyE�T) I!�\ (w,
OL ' OF LOT NOW ON LOT FRONT " "'�`✓ - FT. VM`
USE OF ' N ",
EXISTING BLDG. IDE ? FIFT,
�'. Separate permits are required for L.SIDE. /F/T. O I FT.
F electric,plumbing and heating work. 'I
W - REAR FT. FT-
F., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
GMAIN BLDGS. ACCESS. BLDGS.
F_ • 1 � VAR,#
DATE
Q M So G n� C.U.P.# APPgOVED -
APPROV . /^
>0 •
�—ELY
DATE Y�]_�--7 W
a. .
GW., _
O I hereby acknowledge that I have read this application and state - N
pf, that the above information Is correct and agree to comply with - m '
•0. all laws regulating building construction, and I shall not employ
Z anypersonin violation of the workman's compensation laws of L/�
��„ the State of California. / PALL
�•�C//
3 I hereby certify that I am properly licensed as a contractor under
l(ys SG, FT. �OLri/tV iiJ T
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR - 00
D
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:" b
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ �is n
and Professions Co ivislon 3 Chapter 9 /fir`/�71/_s Yv��
Permittee Signature of '"'1 $!T✓VD f TAX CHECK $ � LL
g
U
Authorised Agent TOTAL PAID -$/D�r f
•
12'71° [
3
COSTA MESA BUILDING-SAFETY DEPARTMENT 6 C'nlln -- ' 0,: I J :..
P. O. BOX 317 COSTA MESA. CALIFORNIA '
For Applicant to Fill In Completely . APPLICATION:.FOR,PERMIT 4 �
,,7, 3Y77) TYPE OR PRINT/47—*- 33 BUILDING I If.4
AADDRDESS 1160 Gleneagle Terrace 32/
COSTA MESA. CALIFORNIA For Office Use.Only
I RECEIPT NO. I PER,IIT NO.
OWNER p4?CCG Corporal-ion f.( r,
MAIL 3800. E. Coast Highway RECEIVED BY DAT,RECEIVED ATE 1 SDI
ADDRESS - _ (i//Le..--- -//r-el2T
TEL. BUILDING MA/4 U Mb 7
CITY Corona del MarNOOR 1-4770 ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER Co rge WjSnn;n NQHP.-ta,22n_ /
c FIRE `Jn
ADDRESS - ZONE TYPE I/ GROU<'-+O
CONTRACTOR Mace° Corporation APPROVED DATE
ADDRESS ZONING ,ee'
380D E. Const HighT•Lay
Corona del Mar, California ZONE NPLOA.OF 7������UDOF / tVL1Gor Z-4,
STATE TEL. LEGAL � ��yy' jj// Tp ^�
LIC.NO. NO. nR 3.-1.770 DESCRIPTION �(5.'4 / I\, .'"] /)0
SIZE I NO. OF BLOWS. c7
OF LOT 60 Y inn NOW ON LOT n A.P.NO.
USE OF • YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARp ��
FROM c_) On. IN._
SIDE YARD I LEFT ''i I n 11 I RIGHT . 51011 R.SIDE L57 .KJ FT. IN.
DESCRIPTION OF WORK L.SIDE (S FT. IN.
NEW 1YX I ALTERATION I V ADDITION 1 REAR ' - /`FIFr. XT �IJN./' ,.
REPAIR V MOVING I DEMOLISH APPROVED it J �I I / r DATE V —icS -l�i'Ll
SIZE
29 x 49 RNO. OFOOMS STORIES 1 EXTER / C/
ROOF
CO ERIING OR WA Stilt'CO (COVERING Cedar Shakes .
USE OF BUILDING AND WORK TO BE PERFORMED
CMDpiete Construction '
House Sq. Ft. 1450
- Garage Sq. -Ft. -420
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION �J
SIGNATURE OF PERMIT FEE $ _J �—
PERMITTEF Marrn//{/,`nrpnrn t ol
Art j‘......)
/FjO `� �J
AUTHORIZED AGENT /C/GC/L� Q" — $- / PLAN CHECK $ // 'B
S
�/ R
-- . _ -•^ - TOTAL FEE - n