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HomeMy WebLinkAbout1681 GISLER AVE - Building PermitsCITY OF COSTA MESA A pMFgp BUILDING DIVISION i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.croosta-mesa.ca.us �. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E09-00266 PERMIT TYPE ELEC STATUS: ISSUED APN: 13913433 DATE ISSUED: 10/21/2009 ISSUED BY: RMD JOB ADDRESS: 1681 GISLER AV CM Suite/Unit: Vicinity: SCOPE OF WORK: UPGRADE SERVICE PANEL TO 200 AMP FOR THE INSTALLATION:OF A/C UNIT AT A SFD. REF#: E09-00221 AND M09-00076 ' -- - OWNER: CHARIDAS, NIKOLAOS = Address: 1681 GISLERAVE Unite- PHONE: 714-241-8829 _ _ -, 'City/State/Zip: COSTA MESA, CA ..' - APPLICANT: CHARIDAS,'NIKOLAOS - Address: 1681 GISLER AVE Unit. PHONE: 714-241-8829. City/State/zZip: COSTA MESA, CA - CONTRACTOR: OWNER -BUILDER `.- - - _ -- License No. 000000. . Address: Unit: PHONE: City/State: ZipCode: -" 'CELL: - ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 - Reinspection Fee $0.00 TOTAL FEES $54.00 . 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, 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. CODES. INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE DATE INTMALS 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 Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aNrmylnder penalty of perjury one of the following declarations: ti ❑ f have and will maintain a certificate of consent to sell -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 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: (This section need not de mmpletedd the partners valued atone hundred dollars ($1 00) cvIess ) Policy Number: Xscertify that in the performance of the work for which this permit is ed, 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 1 should become subjectb the workiii compensation provisions of Section 3700 of the Lab r ode shall (oR Ith comply with these provisions. fo- at -o D) Applicant's 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 DOLLARS ($100,000), IN ADDITION 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. # Class # Contractor's Signature Data 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 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. 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).): ❑ 1, 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 ICENSED 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: 11 49 ) / F10-21-0 9 Signature - ' Date 3057-46(3107) Owner ID verified by dZes[:1 No - 1. Driver's License No. Expires: 0 -if -Lot o Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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, wilt 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? ❑ Yes ❑ 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? ❑ 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? ❑ Yes ❑ 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 permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government 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? ❑ 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? ❑ Yes ❑ 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. Date 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 entyr upon the above-described property for inspection purpose . I agree no 0 occupy or allow occupancy of any building authorizeyW this ermit until fjspection. t z I 1 ��j��l� O- _ O �S�e pf Legal 0wner(s)of Legal 0vher(s) _ Date Andlor Authorized Applicant City of Costa Mesa (BuiCding division'' 77 Fair Drive, Costa Mesa, CA 92626 Costa Mesa 714-754-5273 / Fax 714-754-4856 OWNER BUILDER VERIFICATION Permit # E Oc - y �� Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit ljas begn submitted inyour name listing yourself as the wilder of the property improvements specified at 1 �i P(I �ii j SL �1= AyC-N V F� nos i A Nki -Y 1 CA 926,2 We are providing you with an Owner -Builder Acknowledgment and Information Verification Form tomake you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder ''arrnd am aware of the limits of my insurance coverage for injuries to workers on my property. Iv '�2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. N(� 3.1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. N-6-4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their rlicense numbers on permits and contracts. N C 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. N r6.1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packet template 1 of 2 11j�— 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent , (construction defects in the workmanship or materials. ," 9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www,cslb.ca.gov for more information about licensed contractors. �6-10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction pctivity at the following address: �11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. ()'/ �12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issuecj,tp vrerifyjhe propertl/owner'slAignature. Signature of property owner y (v/ii{.io %iUmvti n.,�/� Date::, Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 3148-30 CALBO Jan 1, 2009 OB Packet template 2 Of 2 Address' - I - i �- , -' I ' - . , . _J ,OTHER f Z-7 - Contractor's Name "Pho6e PROJECT DESC I RIPTI . I N' SQ�T.f OCCUPANCY I Y _ir') ONSTRUCTIONT PE_ VALUIATION ' 5b Address (mailing) r L GIiADINGC.1U.YDS' 1ACRES Z6NjE i - i 1 6 License No: I- .,.T-- t LICENSED CoWTRA'CTOR DECLARATION J Remarks:' -h 6 1 ti a I I C11 t 6 d TO BUILDING: Applicant to fill in all spaces ex P1 those within heavy border lines and sign all appropriate declarations. P - PE TY LIN ,REAR YARD (T6i/ CITY OF COSTA MESA, 3 PER IT NO. ses sessss� TRACT NO. LO �T?NO,�!, B.LD 0 I L l") .fKG.SPACE I, I ELECTRICAL CONSTRUCTION PERM'IT, - 'PAR.KFEC$ i: 4 I , x Ba�kflow IrribatJoh S Is 5 Collect& Construction Pole Sub Panel 'et Bathtubs j I Solar Piping � Cooking Unit :Sub Pole fl21/�3 J L lJ UI Applicant's MaiZlingg;d 55 Clarifiers Solar Tank I as TYPE'OF CONSTRUCTION LNEW''-LAob r'LAL!TALTERATION. - ,a! Pr6ject Address �_F� Drye'r's'OGas 0 Eircti"CE I nc.-§o la-r'l, C1 9215 HP 1116 -1 -5,+ - - FCONVERSION 'TDEm6_jsHEOTAER % Drinking, Fountairis Urinal Fant Micr6wwa I I Drains' I Walter Cl Owner's:Name ZdV-5-05FIO 2 DESCRIPTION OF WORK r- Fixtures Range ',' IZONING Device Boxes !Sign' 4d�ess' I& 'Z4U _t16' ; e ! _. Kitchen Sink':Tiasili , I -- REGULATI•ONS-- Lavatories ri it -._ii t" Garbage Disposal TYPE:OF PERMIT- � LJGRADING-�XFdUNDATION- STRUCTURAL P - Inapt : 'n -ZONE 'R/ Afrch/EngT_ I License lTrarisformer E]15.! 50 KW 1 5L).+ KI/C ;Reir;s I I P I I coon Fee $15, T 0 TENANT, El ELE�c RiC'AL: EYP'LumsiNG LJiMECHANICAL 1 11 _ I I '. ; 7 —vis Showers r Reirispeption,Fee #-.1.1 Mefer El up to 100 amps il=6 Fee 3 r Service Sink Issu'a Fee 1 $ 3 Approve Oats Application7 Ap ication Islierd 'By LT73 _Uatol pi MECHANICAL is f ! - '; - I ­ t. I . I I i I �PLNG. REF.,*, 1 . 16 ; J. � "'BUILDING;T , Address' - I - i �- , -' I ' - . , . _J ,OTHER f Z-7 - Contractor's Name "Pho6e PROJECT DESC I RIPTI . I N' SQ�T.f OCCUPANCY I Y _ir') ONSTRUCTIONT PE_ VALUIATION ' 5b Address (mailing) r L GIiADINGC.1U.YDS' 1ACRES Z6NjE i - i 1 6 License No: I- .,.T-- t LICENSED CoWTRA'CTOR DECLARATION J Remarks:' -h 6 1 ti a I I C11 t 6 d TO BUILDING: C, P - PE TY LIN ,REAR YARD (T6i/ - I I SPECIAL L CONDITIONS: 'LEFT SIDE RI'GHT'SID9 YARD b- PLUMBING I REQ. U PROVIDED 1 L l") .fKG.SPACE I, I ELECTRICAL STREET WIDTH 'PAR.KFEC$ r Aut6matic.WaSher t Meter Po_VR_r10qamPS:_ 4 , , A �b I ere y a f rm that am I cense under or visions of'Charter 9 (commencing with',sactimn 7000) of Division 3 of the B6siness and Professions Code, and my license'Is in full force and!effe I. lYcLnse Cliiss ''l- License No. I Z, ! � I - - I I SPECIAL L CONDITIONS: I I it PLUMBING I as . 7 Date, • 'SIgnaiu,e ­ I I I - I , 1 RKERS' COMPENSATION CLAR '0 ; ; ' I , P f -Insure ofa certificate- orkers' Compensation �n7ance,ior;ta certified copy thereof (section #eby affirthatt havoa1:rtjlE1cat. M.T.n.N.tit. self -insure )0, Lab. C.) 0 pol No. Company HIcy Certified copy IS hereby furMlitied. ! Bar Sink $ewer Cap- I I _ I I ELECTRICAL Ba6liflow Pre�entfir - S6weT ConnectioK - I . r Aut6matic.WaSher t Meter Po_VR_r10qamPS:_ 4 , , A �b Ba�kflow IrribatJoh S Is 5 Collect& Construction Pole Sub Panel Bathtubs j I Solar Piping Cooking Unit :Sub Pole lJ UI Certified Copy IS filed with ttifi�, city Buil�ing Division. ,Is _,ADPticant DIM EXEMPTION FROM %W6RKEKWC IIPEN�ATIONDECLARATION section need not be completed If the,permit Is for one hundred ($100) or less),. a I certify !that In the performancS'of the 'work for which this permit Is Issued I s 11 not employ any person In any manner I so �lls to become subji ct to the ha IFloor Work enuai n MIS of�-Cal flnia. Date.qgrafu NOTICt��If l6n, you should affir-rnakirig this dec(irat become� subject -to- the Workers', compensation provisions,of the Labor Code, -you,m ust- forthwith comply '.witn; such provIsionsc�.or'thIs,,,permIt shall beldeemed revoked, CONSTRUCTION !LENDING AGENCY' 1 -1 " ; - . . , I I ir I hereby affirm that there Is alconstructibn.le*ndin I agei4cyffor the performa4e 9 of the work for- which;' this-, permit -is ilssued c(Section t309T Clv. C:), Londir'51 Name: , I t I - ! -, ! � I - i , i ; , " I . I - : " Len qe�,'s' Address I Vr OWNEWBUILDER DECLARATION' I herabylaffirim that I am exemptifrom the- Contractor'S'Llcense Law for the following reason-( SectionC7031-.5 Business and Professional,Code: Any city or county which' requires a permit to construct', alter, improve; demolish-or,repaii -any structure' prior torts,issuance, also requires the'ap plicant for such permit to file a signed statement:that he/she is licensed pursuant to the)provisions of the Contractor's-LIcense Law (Chapter 9 (commencing,with Section 7000) of -s E11MLion 13 'of the Business and Professions Code) 'or that, he/she -Is exempt tIIIIIIIIIjrom-and the t basis for the alleged exemption i -Any -violation of. Section .7qW.5 by ; any applicant for��a 1 permit.. subjects the applicant to ar civil .nnaZon!ng ,,liry of not more than five: hundred dollars ($500)� 1 as io�7,n;r of: the [properiy oF"my employees with_wages'.. iri.., solaI compensation' will do the work, a ndj the: st ruct u re . I s not In ten tied or offered for Sale I Section 7044', Busi ness • a no : Professional Code: I Th is I Contractor's License Law does not apply to an owner of a propertyiwho builds or improves i thereon.and who ;doesi such work himself/herself or through his or her own employees, piovIded that such Improvements are; not Intended or offered for Sale. If, however, the b ul Idi ng or Improvement Is sold within one: year'of com- pletion, the owneriwIll have the burden of proving he/she did not build or Im- Me for the purpose of Sale)' 1. As owner of the property, * t lngfwlth� 0 perty, am exclusively con ract licensed con - ..tractors to.constru.t th.�p Ole, �Section,7044..Business,and Professions, Code:.. The Contractor's License des not apply to an owner of Law builds or Improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractors License Law): El i'am exempt uncer Section B. & P. C. for this reason Clarifiers Solar Tank I DiShwaShir I I I 'Motors 00-1 HP El 1 %-8 Dishwasher Swimming Pool w/Spa Drye'r's'OGas 0 Eircti"CE I nc.-§o la-r'l, C1 9215 HP 1116 -1 -5,+ - - Drinking, Fountairis Urinal Fant Micr6wwa I I Drains' I Walter Cl FA.U. PolelLight 4 1 1 FloorSinks-Woter-Water- Fixtures Range n3 Gas Service' I puliA;is mate(servici . I . . Device Boxes !Sign' -T— I nl�grceotors i I Outlets Standing Sections Kitchen Sink':Tiasili , I Switches Compactor Lavatories ri it -._ii t" Garbage Disposal P - Inapt : Gen6rator 00-5 KW E15-15 KIN Z Rciof-Drai­ ins,' lTrarisformer E]15.! 50 KW 1 5L).+ KI/C ;Reir;s I I P I I coon Fee $15, I 1 11 _ I I '. ; 7 —vis Showers r Reirispeption,Fee #-.1.1 Mefer El up to 100 amps il=6 Fee 3 r Service Sink Issu'a Fee 1 $ 3 Approve Oats Application7 Ap ication Islierd 'By LT73 _Uatol pi MECHANICAL is Refrigeration System I Boiler, Duct UnderGround L.JU-.IUOI000 BTU El 100,000 BT I ,i I i SUMMARY OF FEES t I I !BUILDING PERMIT $ $ SMTP ;PLAN CHECK, 1 PERMIT ISSUANCE 1 $ PILIJMBII�G PLAN CHECK GRADIN, 1 $ 1 $ ELECTRICAL $ i MICROFILM $ i IPLAN CHECK! . I T I I I I I I I I I MECHANICAL $ TDTAL�FEE�� $ LESS PLAIN H ADVANCED PC $ C ECK! $ --- FiINAL I EE' $ Duct - Structural Sj5tam Repairp/Alteration - ­ I I I I Dact�yentifating. Exhaust System 0 Multiple El I I Flrepl/Fact. Bit. ICBG Date Owners I hereby-certify-that-l�,ha�e-reid,this-applicati�n and -state -that the above Information is correct. I agree tc comply with all city and county ordinances and state lam relating,to-buildi 19 construction,jand hereby authorize Col.- sentatives of Ith, tcItyl to, ente'l upo I -mismioned property fpr Inspection Fp0s: /above f Zr W 0 Date Signature �Vf. D$ I-Gertse orj�g Wp;pllcant,PCnk-Acc;Z ng; Goldenrod -Assessor h hCONSTR UCTION�AND`PL'AN NG. '_' > V, -r "yiti^ °er �� r o, „��. --POOL,- PAI „7'C } APPROVALS Permit#.�,y 2�%dd' -:Dater), Inspector ,o ` s ,_ � -Pe °Date= Inspactor, „ ,:,,APPROVALS%' #' ,' •.Nr9 n i o'a1 G _.cam '• _n^,t - n' Temp"orary Electrical Seniice o`r;Pole i _+% - •y:: U� .52 Rool &:Equipment'Location-"''�x=.:: yo- F? Soil Pipe Undrgr nd� a' P ` 53 Steel Reinforcem'e`nt -L- ' F h zo_ I, :� i nr, _ z 3! Electrical Conduit Utility Undr rndi s 9 " 1'= °'o:54" - ^^eat ` ;' ° FOrmS.t- " euy _ 1 .. 4 I +m $o enc ^-: r c .e 'r•J4: Electrical Conduit-Uhdrrnih.t-'- • - �y� "o �'�, _ 65.: Electrical Bo'ndin ��`_ C g _ r• •.11 I 1 I ! 1 1 _ SQA- [I:j l_I : , 9- > A` �1,-0 GSteel•Reinforcement,fl)j�,;56._RoughPlumbmg;pis'ureJest�.� .,� - •;3o t 6: !Electrical LIFER &;td.l I u �` • e4 A7' -*APPROVAL TO COVERGUNITE ( , -. 7. FootiingS I I I I i i=7" i r/� g,g ;s�. '�58r_ElectricalCoriduit=Undrorr,rl:-` '• - I� B. Foundation II ( 15 E ; { 59. Gas!Pipe,.8 Undrgriid , Test`; a' a it 9. Water, Pipe,Uridrgrnd.�'60 Backwash Lines P.-Trap,'0'Undrgrnd.`^ . tO.StiucturalFloorSystem vo j p F^ i .61._APPROVAL°TO`DECKt=;��- 11. Property" Sewer Line &!Ho'use Connection' - c< 7E' i62. i _IV, ' I . , :r• -Backwash &. Receptor -Final: _ � ' ea -1 12. Sewer CaP-)I ! �•� ! �a Heater&;,Vent-Final., ?: ! 1 . `�� ;W3. 13. Roof'Drains ! + ' ! = f 1';;64. Plumbing-System''Final'`�_• '• - t '' ;� I 14. Rough Plumbing! 1 I cc ac ) 1 1 c t ° -� '''65. Electrical`Final`` 'I `15` -Rough -Electrical -Conduit"' r� -"�'-r' i i--('-'� �66� So'Iar�System=Final j -IF-l- 17 T I- 44 6. iRough, Electric;Wirin9t H (� I li ' u i s ! ci io `0 - I!-' - 67: Fenan &•Access.A`roval,-r rl-- 9, PP ""! } �„ i "r �, �r. --� 11�:loi1-1r. _n ,1 _, .,,--,-."_: - I^ Iz + 17.IRouh'Wi�i'n'Sin� s t1v t i,. 4,' !681 APPROVED PRFOR:PLASTEFIING' _- '. 13 '_- 18.oug�lectric=Tlingi r: 169 POOL/SPA SYSTEMS FINAL 19. QW-Heaiing &;Air Conditioning I( i i I I i I (FIRE DEPT.!REOUIREINENT� _+ 1 I APPROVALSi j Permit+# I ` 20. iRough;Factory Fireplace' (r( ' e-�1 i I •� I ++I (( L2_'D'ucts,in':Stru4ture r"• f II t 70 Underground Hydro j p0.2^.!Ducts, VenfilaRing m. I I i� i' I 1 ' ) - I { 171.1Product Piping 0 Gas ❑Oil _• r F Q I Ar -1- _ �.{ 7' + -t'--T-t--•-I"-( _q._ �.-._- I� 1-.-..�..r...-_ f ,y ._ r ---i- ,ii -24. Roof Framing 1 C ; I i �!M1;Irk �: �'�) +i of jyi ( !r y f73j Undergrnd.StorrageTanklOGas_0Oil 25. Roof Sheathing i I { 1 = .`-- s I Overfiead Hydro I . > I;;; 1! •, • ; 1 i ,. _ 1741 1-26. 'T Bar Ceiling (Structural), & Monocoat' It Dry Chical ¢ r em ! i ,- v 1 sl. C, 1-27. Frame grid •Flashing, I I I ; t `! 176. Dry Standpipe i A- I I I it + S I 1 r n 28. Uthin &'Sidin 9 gt i �� 1 ! : ` '! FIXED SY$TEMiFINA�L. •' I W i ! r ) r^ M 1 i n 0 ( i77 . i i I ^' ' c `" a C 29. fnsulat� it s i i06 _ I ;: 1 I 11 I f j I I '78.1 FIRE PREY. FINAL i; a! ! t I j ,` 1 1 i 1 n cI 1 r 1tr-30. Drywall Nailing > i tiNotes:'( i. i I (i 1 ( ( ! r 1 1 ) _ f I I 1 ( { I I ifN� 1-f--i--r-i-- k .i--�--��I f -f-''---i; y ---"1"-T'-,- ,y,31.�Plaster�BrownCoat• -i t 32. �. a! • I 1 1 ! Elecfrical,Power Meter -Final I I, I � i , i �I t � 1 r i I ! -. 1, II I j, 1 t I , 1 ,i 4 33. 1Final Electric I 34. Final bleating &!Air Conditioning v. 11J r+�Tn 35. Final Gas Pi e"st - a n>t�le'imi r.l � i,c loi='1 - _ - - ;7�l 36. Hood or lCa nopy�11 7 37. Final factory Fi eplacem 1_! i o ! -'' = 1 ! j I 38. Final Plainbing '7 39. Water Se"vica-Finall 39. 1 40. Gas S' v ce=Final . r- 1it I I :1 ! ' 41. Solar btic-Final L l_ ! 1 i ! i ! i- i I i = , ; •� �--- i t -Ii-+ ;-I , - 42. Backfl'ow�P,eventerl.i 1 ! 1 _r_ +_., iji'' •'c; --`r+I--�--}�-i-.-i-_ --�-�._! _j�'�I _1. 1LTIi [I 1 eni 43. Backflow)Irr!gation :e Irk.' -.I U:'fll 44. Landsca a Irrl atidn.S stem p � 1 ! i i 1 � � ' < 'i a 9: ,. 1 _ Y> , I +i%• 4 � (c+ . '' 1 -, n l � ' I I 1 '>, c I I i . +; .'� I { 45. Sound!�Attenuatlon ¢ ! o � � 1 1 � � ¢ i ! i (•-: � I 1 ' I � 1 � ( ! , , •:( v, ry I Ire _1 I� -rt, r 1 > I 1 1 _ i ' = 1..-\•r I t� - _1 46. Handicap Regulations I 1 ^ I j i i 31 ! i �+ 1 i I { 1 `t 1 m7 o : 11 ., r, I rt l. i '+ ! n 47. FINALS BUILDING 48. Special RequireineksCompleted 49. Electric ReleaseitoiEdisonl i - ,�_ V .. 11 I t 1. !r elease to Southern California Gas Co 50. Gas Rde Iea se 1 ' 1 ( 1. 1 I r 1 ' 1 - 1 ' . (• 1 It 1 1 1 I ( 51. CERTIFICATE OF OCCUPANCY No Date . TYPICAL 611 CONCRETE BLOCK FENCE - -. WALL HEIGHT . . . . . . . . . . .6 . . . . . . 57. . . . . . . . . . . 4' Cement, Cop °9 Op"anal , WIDTH . . . 14° . . . . . . . .14'. . . . . . . GENERAL- NOTES Channel Block With 1-3/8 1 THICKNESS . . . . . . . . . . .10". .10" . . . . . . . . . . . 8". 0 Horizontal Top of all i Fences DEPTH OF EARTHTOOTH .. . 24" . . . . . . . .20" MORTAR: One Part Plastic Cement, and . . . . . 12" SPACING OF EARTHTOOTH. 12' .14' . . . . Three Parts Sand V _ - GROUT : One Part Cement Three and For Fences 5' or Less '_ _ f14 P One Half arts Sand Vert. ears 3/8"0at 4' 0" O.C.. 00 COPING: One Part Cement, Three For Fences Higher5:a ,7 '+�`-� I" z w Parts Sand ;Than Vert. Bars 3/8"Oat 32"O:C:—'- >w - CONCRETE: Well Mixed 1:2-1/2:3-1/2 I i Max. of 7-1/2 Gallons ct Fill Cells Slid With Grout >,Z Water Per Sack of Cement Where Steel Occurs>!- - - - Reinforcing Steel Shrill i GROUT MAY BE POURED FROM THE TOP Conform to Sec.A-15-39 --� w O _ OF THE FENCE IN CELLS WHERE STEEL OCCURS. A.S.T.M. Z ~ CELLS AND AREAS OF HORIZONTAL REIN- he Lapped LL m - I FSHALL BE CLEAR, CLEAN & All Steel to F ALL MORTAR DEBRIS, ETC. FRREEEE OFAL 24" or to Code PROVIDE CLEAN-OUT AND INSPECTION HOLES AT THE BOTTOM OF CELLS CON. NATURAL GRADE C VERTICAL REINFORCEMENT. TAININGSHALL BONDSHALLBEPROVIDED LAVING BONDS __ BLOCKS IN STRETCHER COURSES SO THAT n VERTICAL JOINTS ALTERNATE IN EACH p a > n a COURSE. TWO 3/8"0BARS r e e- .' ♦- e CONTINUOUSTOP &BOTTOMWIDTH 10 To 16' 0. C. MAX__ L SEE CHART ALL STEEL MUST BE TIED IN PLACE AT TIME OF TRENCH BELOW -e I DEPTH p p OF EARTHTCOTH 1/3 THE HEIGTH OF FENCE INSPECTION. L e L .. L BELOW BOTTOM OF FOOTING. IO'L oL° 2,.� SCALE: 1/2' 1' City of L Building F'01 OWNERS NAME. __ — — _ _ _ Costa Mesa California JOB ADDRESS PERMIT NUMBER:_ Department SIGNATURE. _ _ _ FOOTING REQUIRFMENTS CHART WALL HEIGHT . . . . . . . . . . .6 . . . . . . 57. . . . . . . . . . . 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' City of L Building F'01 OWNERS NAME. __ — — _ _ _ Costa Mesa California JOB ADDRESS PERMIT NUMBER:_ Department SIGNATURE. _ _ _ STRUCTURAL APPROVAL ONLY SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLU1,d IG, HEATING, VENTILATING Ai".D REFRIGERATI00 VVbRI( (� Ger' THIS "J,.I'+7li ]COMPANY ALL ;b.. r' GI,;ESTS FOaE_4Sf BE EjvPM,:i STATE OF INDllSh11AL S lb -_U. S ANE TO THAT THE ![VISION OF FETY BE COn'IIIT.n FRN RESIDENCE 4 m of Costa Mesa Building Dept. IMESEV PLANS MUST BE ON JOB AT ALL TIMES MME NO CHANGES WITHOUT PRIOR APPROVAL CV. DEVI. THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OFPLANS AND SPECIFICATIONS SH,+LL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE- SUMING VAUTHORITY TO VIOLATE RCANCEL T HE PROVISIONS OFTH SCODE SHALL BE VALID.EXCE EXCEPT FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL THE ISSUANCE OF A PERMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NOT PREVENT CMI: BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE iIRECTIC(V�Q'-RFhS BUIL DING OPERATIONS BEING CARRH h ON THtntUNVLK nno. IN VIOLATION OF THIS CODE OR 01 ANY OTHER OROINANCF Of 1 1E CITY. RESIDENCE RESIDENCE /0 r( _ VwV I�S`IREET LE _ CITY OF COSTA MESA PLANNING DEPT. SUBJECT TO BLDG. DEPT, REG Byakr, lC, DATE..s�// DLRECTOR Of PLANNING RESIDENCE W LU Q In In OWNER NFFDA MRP(1RATToN DATE )y_7_5- _ JOB ADDRESS 1681 Gisler Ave. BUILDING PERMIT NO. 8949 GENERAL CONTRACTOR ROmar Builders, Inc. VALUE $ 13,529.00 AP. No. LOT 481)TRACT 2353 FIRE ZONE DESCRIPTION OF WORK R _ s _ W att k ar. GROUP I & J TYPE v ZONE Al PLAN NO. 891 PERMITS ISSUED ECTIONS DATE SUBCONTRACTOR ......e�e coat Gas Test 894-9 COSTA MESA BUILDING DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA FOR mmAPPLICANT JTO FILL IN BUILDING SEE RECEIVED ,4-_ , ,f,, RNANCE DEPT. CITY OF COSTA Mme► APPLICATION FOR PERMIT BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PE`R,MIq OWNER �l� �Q li G��� 549 O / T' / P -� 11 MAI LADDRESS REECCEEIIV�ED. BAY RECEIVED. DDAATTE RECEIVED —/I DATE ISSUED, — Ci �� �J JLs' // "^-'! LL / / % —�' �1 Clf TEL. CITY Q A 4/� / NO. BUILDING ADDRESS ARCHITECT LIC. OR r 'EER NO. COSTA MESA. CALIFORNIA FIRE ADD,. ZONE i ITV LIC, INS. ZONE 1 NPL..OG TYPE GROUP// coNTRAcP6AMAR BUILDERS, NO, L/'� COSTA MESA. CALIF. TEL APPROVED ADDRESS NO. BY DATE LEGAL LOT CORRECTIONS DescalPnoN NO. BLOCK TRA i A.P. NO. SIZE jf I,./ ) / NO. of SLOGS. / (O Rq 4) _ .1 OF LOT /QD VA /e® clow ON LOT II 1 USES OFBLDG. O` -TA MESA CITY1 �L �11V n1'. Ut.-JT. SETBACK LINE FROM / �© Q CENTER OF STREET REAR YARD !//J� PT, REG. ',g SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIRry MOVING DEMOLISH p BUILDING ��BO If/T NO. OF SIZE o A$ ROOMS 61 STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF NEW BUILDING C.T�,��19)yJ oZO a'S .cr' The Amount shown under vatuatinn is for the. T.. ., COMPLY WITH A. STATE THAT THE ABOVE IS CORRECT ANDD GREE TO COMPLY WITH ALLLL CITY ORD INA NC ES AND STA TE LAWS REGULATING BUILDING CON STR UC- nUN. SIGNATURE OF�ryf2r�J/ purpose of eslaMsiriag a pe+(nit fee only. VALUATION /a3 q7 PERMIT FEE01 S > I Qc�2 PLAN CHECK S ZED AGENT �.�,j(9 TOTAL FEES (