HomeMy WebLinkAbout3061 GIBRALTAR AVE - Building Permitsi r'ti ♦
� CITY OF COSTA MESA
� evn��N� oms�oN
� �
� DEVELOPMENT SERVICES DEPARTMENT 898-01063
�• PERMIT PERMIT NUMBER
��
(714) 754-5273 • Fax (714) 754dB58 BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
.� ., .� . � , .
JobAddress: 3061 GIBRALTARAV
Suite:
Vicinity:
Parcel Nunmber: 13918309
npp�icant: BRAD FAUBERT
Address:
Zoning: R1 R1
Status: ISSUED
Applied: O6117/1998
Issued: 06/77/1998
Phone:
Zip:
Owner. STRANG, WILLIAM KENNETH
,
Address 111 � -�-" ; �� - . � � ' � � �
, , '
3061 GIBRAL�TAR AVE \ , . � � Phone: ' � � � ' .. ' '
j� i
STRANG;,CYNTHIA LEA� ; ' Zip: 92626 � . � �
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Contracror: j STAR-COURSE ROOFING CO.' � ��. -����� �'��� A
.
Address: �"24981 HON AV, �'%; :% �, �_ = ,' _ � - = ` � �
���/ \ �'/�ii�� Phone: ��\,'� � � `� .
i
'" ' LAGUNA HICCS CA Zip: 92653 �`� �- , i '
� �.
',���1 ,7 ,ii i� license:.532778 �� ���;�-.
Arch/Eng!�.�,� ,�/:�� ,�. �� � ,
�'
%,Address: _ � ,�;�,%� i ' - `
; �, . .. •
� ; � , ' :'�Phone:- ` � .
, . ' . , . i -"ZiP � _. ' .
, � _ - � � �% r �� s ._Cicense:' .
�.�.. . ,��- . �� � �. ( ��, - - - - ' � .. -
; � SCOPE OF PERMIT
� : �� � T/OF,F�AND REROOF 2400SF RESIDENCE W/FIBERGLASS SHINGLES \
� � , ., ��) ,,, � �' . � "���• , • �� �� .
i
P.lan Check:
Permit:
SMIP Res:
SMIP Com>
`= Other�
Inspection:
�,
�Totel:
$0.00
$74.75
� � $0.50
�� $0.00
$0.00
�; $0,00
� $75.25
�,. .
,��,
SETBACKS'�
MAIN STRUCTURE Front
ACCESSORY Front
PARKING existinq:
NOTES:
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>�j�. PLANNING 8 ZONINC
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0- 0 '- �. � ��Rear-�� -0. 0 ' �� C Left� �- 0- 0 _ .
0- 0�� ,- Rear, 0- 0 Lek 0- 0
0' �Re uired: , 0 � � 'Proposed: 0
.
Calc Valuation: Sz,zao.00
, Claimed Valuation: 52,2ao.00 �
,,
Right
Right
i: �� � � . , � , ;
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0- 0 �
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must compty with a�l appiicable codes, and all
required InepeeUone entl flnel approval must be obteined. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
WOPKERS' COMPENSATION DECIARATION: �
I �ereby eflirtn untler penelry of per�ury one of the following tlederetions: '
❑ I heve entl wN malntein e ceNflcate ot consent to aetl-Insure tw wwketa' compensetlon, es provitletl for by sectlan 3700 of the Lebw Cotle, for Ne pertortnence of the
work Ia whkh Ihb pertnit is LSwed.
❑ I heve erW wm meNtein woAcera' oompansetion insurance. es requireC Dy secUm 3700 0l Ne LeOor Catle� fw Ne peAwrtisnce of �he wwk fw whid� NLa portnll Lv issued.
Mv vmhwm' mmmrtonllnn Inciimnm rnrrinr anA mlirv n��mAn. ero�
Certier.
(Tir/s se
�
Poliq Number. l� � e ��O Z�47
or less.)
❑ I cantly ihat In Iho rf�rtnance ol ihey� n`k-tc hi INs pertnit is issuetl, I ahall not employ any person In eny menner so es to becwne subJect to iho workars'
compensetlon la ot CelltorN�nR� rea that � I aultl Eecome auD�ect to Ihe wo era' oompensetlan provLaloru at SecUon 3700 of the Lehor Cotle, I shell lanhwlth
wmpty wiN Ihe Nslo . / 4
AppllcantSigneture: 4� Date: ( 9 '� �� — �G
WARNINO: FAILURE RJ W R KER$' OOAIPENSATION COVEMOE IS UMAWFUL ANO SlULL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES MD CML FlNES UP TO ONE HUNOR D
Ti10U5AND OOLIARE , IN ADDRION TO THE CQST OF COMPENSATION, DAAIAGES AS PRWIDEO FOR IN SECf10N 3)OB OF THE LABOR CODE, INfEREST, AND ATTORNEI^S FEES.
IJGENSED CONTAACTORS DECLARATON:
I hereby ettirm Ihet I em Ilcansed under provi ' (commendnp with Sedlon 000) ol DlNsion 3 of the Busineu and P�fessions Code, end my Ilcense is In full
torce ena ettect. uc. a � c�ess a C^`S �
� Canirectors Signeture: — . Date: �. � ( % � C
CONSTRUCTION L NDING AGENCY:
❑ I hereby attirtn Nat Nere La e coretruction lending egency tor Ne pertortnence ai the work for w�kh Ihls permil is IssueE. (Sec. 3097, Civll Code).
LenEefs Neme: Lendefa AAtlress:
'�q
Spnature:
Date:
OWNER•BUILDER OECLARATIONS: '
I hereby eHlrtn thet under penelry ot per�ury thet I em EXEMPT FROM TME COMAACTORS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Buslness entl Professians
Cade: Any ciry or counry which repuires e permit lo cnnsiruM, elter, Improve, demdis�, or repalr eny siructure, prlor to its Issuance, elso requires Ihe eppllcant for such portnit
to Ille a signetl stetement Ihet he or she is Ilcensetl pursuant to ihe Orovislons of Ihe Contredora LJcense Lew (Chapter 9(commencinp with Section 7000) of Divlslon 3 of Ihe
Business and Protessions Code) or thet he or sha Is eaempt Iherefrom entl Ne beslv for the ellegetl exemptlon. My Ndation of Section 7031.5 by any epplicent lor e Dermit
sub�ects Ihe epplicent to e dNl penelry of not more Ihen five hundred ddlers ($500).):
❑ I, es owner ol the praperry, or my employaes with weges es ihelr sole compensapon, WILL DO TME WORK, end Ihe structure Is not IntentleC or ottered far sale (Sec.
70a4, Buslness antl Professions Code: The Contractors LJcense Law does nat eppty to an owner at propeny w�o builds or imprwes Nereon, end who Ooes such work
himseN or herselt or ihrough his o� her own employees, proNded Net such Imprrnamants ere not Intended or ofleretl for sale. II, however, the bullding or Improvement Is
sold withln one yeer of completlon, the owner-Duilder will have the burden oi praving Nat �e or sha did nat Euild or improve far purpose of sale.).
❑ I, es owner ot the property, em EXCLUSIVELY CONTRACTING WRM LICENSED CONTRACTOHS to construd the projact (Sec. 704d, Business entl Professions
Cade: Tha coNractore License Lew tloes not epply to en owner of pmperry who bulltls or Improves thereon, antl who contreas for suc� proJect wlth e contractor(s)
Ilcense pursuent to tha COMrectore License Lews.).
❑ I am exempt under sec. Business end Professlons Cotle for this reeson:
Slgneture: Dete:
Owner ID verl9eO Dy tlMefs license. ❑ Ves ❑ No Drivels LJcense No.
Verlticetbn ot Oanershlp by (rype of do�x�ment, i.e. - praperty lex 6111 or tleeCj:
DIVISION OF INDUSTRIAL SAFE7Y PEFMR CERTIFlCA710N:
Expiros:
❑ I �ereDy certlly that no excavatlon Me (5) or more leet In depth Inro which e peraon Is requlred to descend, wlll De maEe In connection wllh woAc euthodzetl �y t�ls
permlt, end Ihet no bulldinp strudure, scaflolding, falsework, ar demditlon ar dismentlinp thereol, w10 be more Ihen thirry-sia (38) faet hlg�. (C�ap. 32, Grp 2, An 2, Sec.
341, TOe B, Celllamie AdminisVetive Code).
❑ Aa owner-bullder, I vAll not employ enyone to do work wMch woultl require e pertnit trom Ihe DNLalon ot IndusVial Sefery, es rwtetl ebove, unless such person �as e
permit to tlo such work from the divisbn.
Slgnature: Date:
Division af IndusMel Safety Permit Number:
CERTIFlCATE OF CAMPLIANCE AND AUTHOF¢ATION OF ENfHY: I certlly under penelty of per�ury thet 1 heve read thls appllcation and stete thet the intortnetlon given Is
wrtect. I egrea �o compty with ell stet cl ordinences relatlnp to bulldinp consWctlon, end euthodze representatNes of the Ciry ol Caste Mese to enter upon �ha
ebovadexrlDed properry tor' c�on purposes. I ag t to oecupy or ellow occupanty of eny building euthorized by this permlt unlil finel Inspecllon.
1618 Flxetl System Flnel Flre PreventlOn
1268 Pool Spe Flnal
200 Flnal Re-Root
201 Final Block/Hetalning Well
202 Flnai Fedory Fire Plece
203 Final Sipn
204 Flnel Demolition
2a4&a8
CAff P�ALS
'Z}—n 'cWN-'
D.ete ¢
l � - �� %�.
Date
y�pp� wsvernoxme peg . ��5
208 Finel Mechanicel
208 Final Plumbing
210. Final Electncel
212 Fnel Fira Prevenllon
220 Flnel Planning Approval
222 FIn815ite
250 Fnal Bulltling/Occripency
0
ADolicant to till in all soaces exeeDt those within heavy bortler Iines and si9n all aooropriate aeclarationf.
CITY OF COSTA MESA _�O�NjS�,RUCIION �PE/��RM�IT� PERMIT NO. TRACT NO. LOT NO. UNIT NO. � P*,
Project Addross �/�(,L__�L1� �i�T C � �'('`• _ � � � O
Applicant's Mailing Addr TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R
/ ❑ CONVERSION ❑ �EMOLISH ❑ OTFIER
Owner's Name � B�� � B � /i�� e DESCF�PT�QNOOF WORK/USE OF B D('., '
Address � L,��_ ( A —�C A Ll1i� `-
Arch/Eng. LicenSeNo. TVPEOFPERMIT GRADING F NDATION rRVCTURAL r—
AddreSi ,I ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL .
ConlfaCtor'SNeme '�r Phone l��' ��OTHER _
Address Imailingl PROJECT DESCRIPTION Sq. FT. OCCUv.aivC{y� �
p^� CONSTRUCTIONTYPE �r_L�J VALUATIONS_F
City License No. ��V � ZONE GRADING CU. VDS. ACRES '
LICENSEO CONTRACTOR DECLARATION
1 hereby affirm tha[ I am licenzetl untler provisions of Charter 9(mmm¢nGinq Remarks: �1 QLK wyL
with section 7000) of Divislon 3 ot the Business antl Professions Cotle, antl
my license is in full force a eitect. � C' �3 - ' � • ��� —^� ��+
License lass licenze o. �
Dale � Si9nahre _
"'ORKERS' COMPENSATION DECLAR ION
3reby affi�m thdt I have a certificate of mn5ent to Self-insure O/ a ce�tlficate
Workers' Compensation Insurance, or a certifietl copY thereof (Section
a800, Lab. C.)
Policy No, Company
BCertifietl copy is he�eby fu/nished. �
Certifietl copy is filetl with the city Builtling Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissettion neetl not Oe Complete� if tne pe�mit is for on¢ huntlretl ($300) o�
IC55).
I certify that in the Oe�formance Of Ih¢ work tot which tM1ls pe�m�t i5 i55u¢tl, I
shall not employ any person in any mannQ( so as to,beCq�ne ject to the
Workers' eqyrti ws Of Californ' l_ / /�
Date ��._.�Si9nature ���"��Q��
NOTICE: If, af[e� makin9 this tleclaration, ou 5 oultl ecomB Subject to the
Workers' Compensation provi5ions of the Labor Cotle, you must fortnwith
comply wi[n such p/oviziOns o� this pe�mit Shall be tleemetl �evok¢tl.
CONSTRUCTION LENDING AGENCV
I hereby aHirm that there is a construction lentlin9 a9ency for the per(ormance
of the work for which this permit iz issuetl (Sec[ion 309] Civ. CJ
Lentler•s Name
Lentler's Atltlress
OWNE0. 9UILDEF DECLARATION
I hereby affirm that I am ezempt from the Contractor's License Law for the
toilowing reason (Section ]031.5 Business antl Protessional Cotla: Any city or
counry whi<h requires a permit to cons[rucq alter, improve, tlemollsh or repair
any structure, prlor to Its Issuanca, also requlres tbe ap0���ani tor such permit
to tile a signetl statemen[ tbat he/she Is IicenSetl pu�5uant [o the provisions ot
'`e ConVactor's License l.aw (Cnapter 9(commencin9 with Section 7000) of
�ision 3 of tne Business antl Protessions Cotle) or tha[ ne/she is oxempt
,rel�om dntl lhe basis for (h¢ allegetl ¢xemp[ion. Any vlolaliOn of SectiOn
. o31.5 by any applicant for a permlt subjects tM1a apP���anl to a civil
��enelty of not more than five huntlretl tlollars (5500).
I, a5 owner of the property or my employees with waga5 ds thoi� sole
I compensalion, will tlo the work, antl Ihe st�uctur¢ IT not IntentleU o� offeretl
for sale (Settion ]044, Business and P�Of¢SSional Cotle: The ContraGtOr'S
I License Law tloes nol apDly to an owner 01 a proper[y who bulltl5 O� Imp�ove5
thereon, antl who tloes SucM1 work hlmself/hcrsolf or thtough his o� M1er own
employees, providetl that such Improvements are not intentleG or oifaretl fo.
sale. II, howeveq tne builtlin9 or impwvement is soltl within one year ot com-
pletion, lM1e Owne� will have th¢ burtlen Ot Pwving he/sne Oltl not builtl or Im-
nrove for the purpose oi salc).
❑ I, as owner ot the property, am exclusively coniracting wiih Ilcensetl con-
[I2CSOISlO COlISVl1Cl �hC plOj2CI (SCCIIOfI 1046� BU51f1855 dOd PfOiC551pp5 COdZ:
The ConVactor's License Law tloes not apply to an owner oi property who
builtls or Improves tnereon. antl who mnVactz for such oroiects wlth a con-
tractor(sl Lcense pursuan[ to me ConVactor's License Law). I am aware Ihac
proof o1 their Worker's Compensation Insurance ShoW� be provitletl to me.
❑ I am exempl untler Section B. & C. C. tor this reason
Date _
I hereby
informati�
antl state
sentatives
inSpeCtio�
Signature
Driver5' L
Owner —
certity tnat 1 have reaa tnis
m is correct. I agree to <omp
laws relating to builtling con
ojiMi� citY to�ent�/ upp;
or 55
a
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Roof Drains
ReinspeMion Fae
$15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust Syscem ❑ MWtiple ❑
Firepl/Fact. Blt �CBO dk
Heating System & Ducting
❑0-700,000 BTU 0100,000 BT�
Reinspectian Fee � $15
0965-46, rev. 5/BB White - Builtling; Canary - Applicdnt; Pink � Accounting; Goltlenrotl - As5255or
$hOW¢!5
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Clout
Water Heater
Water Service
Auto-Wash
Isue Fae
Hood or Type I ❑
Canopy Type II ❑
Refrigeretion System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration
f ire Dampers
Registers
laue Fee
S' MBin 8uilding:
T� Front
0
A Rear
C Right
K Left
S
Ping. Ref. #
Plannin9 Notes:
FEES Flutomatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F,A.U.
Fizture5
Device Boxes
Outlets
$WI[CI1C5
: Garbage Disposal
Generator 00.5 KW �5�15
zone
Accessory
Parking Req./Provided
ELECTRICAL
Trensformer ❑ 75-50 KW
❑ 50+KW
Meter ❑up to 100amps
Merer ❑over 100 amps
Sub Panel
Motors � 61 H P � 1y, - 8
Inc.Solar �9-15 HP 476-15+
Microwave �
Pale Light �'
Range �
Sign
Standing Sections �
I Trash Compactor •
Fee � 515 � � Issue Fee
S 3 ; DEVELOPMENTSERVICESREQUIREMENTS:
2oninB APP�oved By
FEES ��BuildinB APProved By �
Appliwtion Issued By
$ 3
�
e
FEES
$ 3
I
N
G
R
E
Q
M
T
S.
SUMMAFV OE FEES /� ��
BUILDING PERMIT $ C SMIP $ _5�[=
PLAN CHECK $ � PERMIT �
PLUMBING $ �SSUANCE � $
PLAN CHECK 25% $ ENERGV P.C: $
ELECTRICAL $ GRADING .` $ -
PLAN CHECK 50% $ MICROFILM, $:
MECHANICAL $ TOTA'L FEE '$�?�q ��1
PLAN CHECK 25% $ ' �
f1Y nnn^:� ',j q
_ J_.9i. _ �-['_ � �d�. ' 'l� ' .
DA7F: L4�2;ipy ry,�:: i j•..-
�CONSTRUCTION AND PLANNING PO � SPA
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1. Tenlporary 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-Undigrnd. � 55. Electrical Bonding
5.' Steel Reinforcement ,- 56. Rough Plumbing & Pressure Test ,
6. iElectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ` �
7. Footings , , 5S. Electrical Conduit-Undrgrnd.
$. Fouridation ' . • � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrncl. �� 60. Backwash Lines, P-Trap, O Undrgrnd. �-�'
�
10�:Structural Floor�System �� 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final -
12i Sewer Cap . '!, • 63. Heater & VenDFinal '
13 �Roof Drains � ,� �_ 64. Plumbing System - Final
14. Rough Plumbing , t 65. Electrical�Final _
15. Rough Elecvical-Conduit 66. Solar System-Final
16: Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
r
18: RougFi Electrical-T Bar Ceiling 69. POOL{SPA SYSTEMS FINAL
19' Rough Heating & Air Conditioning� FIRE DEPT. REQUIREMENT
20. Rough Factory Flreplace � APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping O Gas ❑Oil �
23. Gas Pipe-Rough & Test .- 72. Underground Flush
24. Roof Framing .� ' ., 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �. � 74. Overhead Hydro
26. T-Bar Ceiling (Structura0 &'Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation , J 78. FIRE PREV. FINAL
30. Drywall�Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ._ ._ � 79. FINAL INSPECTION
32. Electrlcal Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: - eK �
/ • O"
34. Final Heating & Air Conditioning �
O-'L6-
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 pomestic-Final '
42. Backflow Preventer � '
43. Backflow Irrigation -
44. Landscape Irriqation System � •
45. Sound Attenuation '
46. Handicap Regulations
47. FIPYA-LSTRUCTURE&BUILDING �r L�B9
48. Special Requiremenis Completed �
49. Electric Release to Edison -
50. Gas Release to Southern Califomia Gas Co � � '
51. CERTIFICATE OF OCCUPANCY �
No. Date � ' . �
AOP���ant to /lll in all spaces exceD� tM1ose within neavy bartler Ilnes ana sign all approoriate aeclarations.
CITV ui('�OSTA MESA CONSTR C�T1ION PER/M/IT
ProjectAddress �� ��NR1�LT�'I� _
Applicant's Mailin Address S�"�'
Owner's Name hone
Address
Arch/Eng. License No.
AAdress �1 �i
Convactor'sNam � '� Phone�41-1F//F/
Address (mailing)
CiryLicenseNo, �25
LICENSED CONTRACTOR DECLARATION
1 hereby a/lirm [hal I am IicenS@tl untler provislons of Ghartar 9(COmmGnCing
with sectlon ]000) ol Division 3 of the Business antl Professions Cotle, antl
my license is In tull force ntl e/lgct. O �L^L7.��2. J��
License GClass Licer�e o�Zs�L'c��"C
Datc '/ � � Si9nal rg Gi.+!�_�i
'•'7RKER5• COMPENSATION qECLA TION
woy al/irm lhat 1 nave a certifitale ot consent to seli-insure or a certiticate
workers' Comoensation Insurance, or a certitiea copy thereof (Soction
�tl00, Lab. C.)
Policy No. _� Company
1�Certitietl copy is hereby fumishetl.
Certilietl copy iz tiletl wit� the city Builtling Oivizion.
Date APPli�anl
EXEMPTION FROM W00.KER$• COMPENSATION DECLARATION
(Thissection neetl not be comple�etl it the permit is tor one huntlretl (5100) or
iess�.
1 certity that in the periormancg of tne work for which tnis permh is issuetl I
slfall not emplOy any p¢r50n In any maOnCr So as toJ�ec9� e jeGt lo t�e
Work¢rs' o�IIp e at' ws o1 Callfom�' ,, {� /�
Data �' `�—�Si9na�urc v!�. / \
NOTICE: II, atter makin9 this aeclaratlon, ybu shoultl becoma subjoct to tne
Workers' ComPensation provisi0ns of the Labor Cotle, you must forthwllh
comply wltn such provlsions or tnis permlt snall be tlonmetl ravok¢tl.
CONSTFlUCTION LENDING AGENCV
I hereby alfirm that lnere fs a construclion lentling agency for the pertormance
of tbo work for which thls pormlt is issuetl (Section 3097 Civ. CJ
l.ontler's Name
�entler's Atlaress
OWNER BUIIDEit DECLARA710N
1 hereDy alflrm Lhat 1 am exemp� {rom ine Con[ractor's License Law tor the
lollowin9 ret��n (Sectlon ]031,5 BuSiness antl Professional COCe: Any city or
county whin. �equires a Permlt to Consl�u<t, alte�, Improve, tlemOlish Or r¢pal�
any sV ucture, vrior to its Issuance, also requires the applicant tor such permit
t0 iile a siqn�tl Sldl2(�120I Illdl M1C/SIIC IS IICEf158C pllfSOdOI IO Ih2 p�oviSionS of
`^ Conleaclor'S License Law (Chapter 9(commencing with Seclion 7000) 01
isiOn 3 �i� Ihe Bu5ine55 anq Piofe55iOns Cotl¢) o� thal he/she i5 ezempt
;CirOm antl th¢ basis for itt@ alle9etl exemptlon. Any violation ot $ectiOn
. �31.5 Dy any applicant for a permit subjects the applicant to a civil
�enalty of no[ more t�an tive nyntlred dollars ($500).
LJ I, as owner of tne vroperty or my employees with wa9os az their sole
compensation, will tlo the work, antl the structure is nol in[entletl or ofteretl
lor zale (Section ]OC4, Busin@ss antl Vro(essional COCe: The Contrac[or's
l.icen5e Law tloes nOt appty lo an owner ot a property who �uiltl5 Or IR�provGs
tbereOn, antl wllo does Su<h work hlm5tlf/h¢rz¢If or IM1rougb hI5 Of 11er Own
employees, provitletl that such improvoments are not intentletl or ottaretl for
Sale. Ii, hOwevGr, the builtlin9 q� improvement IS SOItl wlthin one yea� ol Com-
pletion, llte owner will have [h8 burtlen OI provinq he/Sh¢ tliG not bulltl o� IT-
prove lor tne purpose ot sale).
�❑ I, as ownor oi lhe property, am exclusivery contractlng wlth Iicensetl con-
(!dC(Of510 COOSIfUC2IhC 0lOjCLf (SCCSI00 lO9Q. B11510055 dOC %01855IOOT COUO:
The Convactor's License Law doos mt appty lo an owner oi property who
builtls or imoroves lhereon. ana wbo conVac[5 �or such oroiects wlt0 a con-
tractor�sl license pursuam ro�he Convacrors Litense Law). I am awaro thai
prool o( lheir Wo�ker'S Compensallon InSuranco shoultl be provitlOtl to me.
❑ I am oxempt under Sectlon B. & P. C. for tbis reason
Date Owner
1'.� `-t � G)�l I�S1/� —/ 5 I
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTIQN,OF WORK/I.ISE�OF BI,pG.—�—�—���—�--�—
TVPE OF PERMIT LJ GRADING �J FOVNDATION LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sa.FT. oCCUPANCx�
C O N STRUCTION TYPE V ALUATION $_� i1
ZONE G0.AOING CU. YOS. ACRES_
Remarks:
$ink
Preventer
Irrigation
rinking Fountains
loor Drains
loor Sinks
as Servic,e Outlets
Kitchen Sink
Lavatories
P—Trap
Roof Drains
$IlOW2I5
Service Sink
Sewer Cap
Sewer Connection
$olar Collectors
Solar Piping
So1ar Tank
Swimming Pool w/Spa
Urinal
Weter Closet
Water Heater
Water Service
Auto�Wesh
Reinspection Fee I $15 I I Issue Fee I S 3 I
MECHANICAL FEES
Dutt - Under Ground
Duct - Svuctuiel
Duct - Ventilating
Exhaust5ystem ❑ MWtiple
Firepl/Fect Blt. �CBO #
Heating System & Ducting
❑P700,000 BTU �100,000
dntl Slale laws rela[�n9 io ouuqing conslluQion, ana nereoy au[nonzC tepfe-
5¢nldllvCs o/ ❑ty o¢ e�' on IhC above-menliOned property fOr
InsDection p oos . ('! �(p�(1
S�9nature 3 � �/� '
0865-46, rev. 5/88
Builtling; Canary - Applicant; Pink - qccoUnting; Goltlenrotl - ASsessor
Hood or Typel ❑
Canopy Type 11 ❑
Refrigeration Sys[em
❑aioo,000eTu ❑ioo,000
Sysrem Repair/Alteration
Fire Dampers
Registers
laue Fee
5 3
n.r.� - — l�SJ — U7 zo�a K./
S Main Building: �(J (�VP�j� A��essory Building:
T Front Q�' � � eX, O
A Rear 13� 1 N
C Right � ' N
S Left aa � y�V Q G
R
Ping. Ref. # Parking Req./Provided E
Planning Notes: � �
� �.O ' i.l� M
T
S.
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishv.asher
Dryers �Gas ❑Elec
Fan
F,A.U.
Device Boxes
Outlets
$Wi[ChES
Gorbage Disposal
Generator �0.5 KW
ELECTRICAL
Transformer ❑ 15�50 KW
❑ 50+ KW
Meter LJup to 100 amps
Meter ❑over700am`ps
Sub Panel
Mo[Ors O41 HP O1'/,'� 8
Inc.Solar �9�15 HF �16�15+
Microwave �
Pole Light
Range
I I Standing Sections
5 KW I � Trash Compactor
FEES
� Reinspection Fee !$15 I � Issue Fee � 5 3 I
DEVELOPMENTSEHVICESREQUIREMENTS: , / ,��t�. 9 , gy
Zoning Approved By �'�"v Date a�
BuildinB APProved By C Date.q.��_���
_ .. _. . . _ _ �/1 � / ( �4
SUMM���777AR...���V ...O���F FEES
BUILDING PERMIT�� SMIP $ ��
PLqN CHECK $ � pERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $ �
MECHANICAL $ TOTALFEE $
Pt,qN CHECK 25% $ _
:� 'C�4-t7C-�C��4+�C; -g::'-
;a'E: 09���1�9 7er,�r t. _
�CONSTRUCTION AND PLANNING PO� ` SPA
% APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
�7. Temporary Electrical Service or Pole �� 52. Pool & Equipment Location
. c.
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. •- 54. Forms .
4. Electrical Conduit-Undigmd. � 55. Elec[rical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test '
6. Electrical UFER�Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Footings � S�J��� ' 2 58. Electrical Conduit�Undrgmd.
8.: Foundatlon �- 59. Gas Pipe, O Undrgrnd., Test .
.
9.� Water Pipe-Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor System • 61. APPROVAL.TO DECK �
11: �Property Sewer Line & House Conriection � 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
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18! Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Fleating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
`
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Stand�ipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulatiqn 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD C RTI ICATE ISSUED
33. Final Electric Notes: Q Q� d 0
34. Final Heating & Air Condi[ioning
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 pomestio-Final . -
42. Backflow Preventer .. ,
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation , ,
46. Handicap Regulations
47. FINALSTflUCTURE&BUILDING (p �
48. Special Requirements Completed
49. Electric Release to Edison -'--
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY . -
No. Date - - �
OwNEu �A VFRDF, ESTATrS � DATE 12-9-58
JOB ADDRFSS 3061 Gibralter Ave. BUILDING PERMIT NO. 8210
GENGRAL CONTRACTOR L. G. Robinson VALLIE $ 1 f 9.00
AP. No. LOT TRACT FIRE ZONE DPSCRIPTION OP WORK �5 & At{, g2T
� UP TYpE ZONE PLAN NO.
INSPECTIONS I DATE I SUBCONTRACTOR I _ PERMITS
coat
Final
.r� .:
� � � 82�. �
COSTA MESA BUILDING DEPARTMENT
P.O, BO% 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE55 3061 Gibralter Ave.
COSTA MESA. CALIFORNIA
OWNER /r�t59 verae �STE
ADDRE55 '7�� Gisler Si•
CITY �-VS14 mCSC NO.n� J�I/:J�
ORCL .JEER �. R. Shelley N'o: C-2170
nooaess Long Beach GE 9-0908
LEGPL ILOT �C
OESCRIpiION NO. J
A.P. NO.
SIZE n.�a.cc�
OF LOT 7v^ � W �
USE OF
E%ISTING BLDG.
SETBACK LINE FROM
,.,� �a�.:e:.a�._..
,,
pF� , ``"f
Fitir,r�c� d��:
CITY 0� C�1 �T'? P,9ESA .
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERMrt NC
�, � � �
COSTA MESA. CALIFORNIA
rv ue. zoHe
�o. 1123 /
Trvo. KI S_I% ( ByPROVED
TRACT 3115
NO.OG e�o�s. None
rmw orv �or
SIDEYARD RIGHT 5�'F LEFT S�'F
DESCRIPTION OF WORK
NE X ALTERATION qDDITION
REPAIR MOVING DEMOLISH
SZIEDING 1560 ROOMS 6 STORIES �
COVERIINGWALL StUCCO COV�ERING Rock & Asphel
BUELOFNGEW Residence & etteched garage
STRTE THAT THE PBOVE IS
CITY OROINANCES f�NO STP
TION.
SIGNATURE OF '
PERMITTEE
AUTHORIZEO AGENT
AGREE TO COf'IPLY ITH 1LL
L4TING BVIypING ONSTNVC�
CORRECTIONS
%ALUATION
PERMITFEE $�� D�
,L ��� d� PLAN CHECK S��, S%
$ J�
TOTAL FEE 5 ��_ S-� "�M�
A" ,x39-r�3-o9 �or
i�,.cCTI0N5
SOIL
GAS
WATER
ROUGN PLUMBING
PHOP. SWR. IINE Q HOUSE CON.
S�FINKLING SVSTEM
MISCEIlANE0U5
ROUGN HEATING AN� R10. CONOITIOry�NG
TEMPORF0.Y SERVICE OR POLE
UNOERGROUN� � POWEN �
ROUGM WIRING
TRENCNES �FORMS STEE� REINF.
FLOOR SVSTEM � -
BOND BEAM � SiEEL REINFOR�E �
SHEATMING
FRqME r1N� FLASHING
LqTHING — IN � OUT n
PLnSTER,BROWN COAT
1TURAl, FINAI
�h...�ING. VENT., REFRIG. ANO A.
PLUMBING. FINAL ANO GAS TEST
FINAI
OUILOING, FINAL
F
VA
SUBCONTRACTOR
'�q,n, 19-7L�Ac��O 633� *�' i�1q.5G\
� 381 ;
COSTA MESA BUILD�NG-SAFETY DEPARTMENT
P.O. 60X 1200 COSTA MESA. CALIFORNIA 92626
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APPLICATION FOR BUILDING PERMIT
For Applicant to Fi// in Completely
RECEIV D BV D TE E DATE ISSUED
BVIIDING 1 �,` � � �/
ADDRESS .� � �7 V�
OWNEFi . /. R� • A.P.NO. � � �� ��
^J/..�y�� C ADIDRESS ��� � �J"�C( (�
ADDRE55 J � R�U /�'� `_ �` ��
CITV � FfR. TEL. �j S 7RACT ,.,J LOT BLOCK
NO.
CANSTRUCTION W �ADD A
LENDER /
V
BRANCH
OWNEP C
ADDRE55
ARCHITECT TEL S ,�� VAW$ l'�� CO
OR ENGINEER
FIRE i"
ADDRESS ZONE TVPE GROVP \/
PPROVED %
CONTRACTOR L /J eiJ .C. BV DATE ``
ADDRE55 U S ..(-Fo ST. SJ!}2
TEL. ZaNE NO.OF USE OF NEW
CITV S(�n/rp /�( N0.��3..�.7Q� 1 PLP'N5� BUILDING e���
STATE CITY YAROSAPPROVED VARDSAPPROVED
�IC. NO. '7Jr WC. NO. MAIN BUI�DING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET
OF LOT NOW ON LOT RONT FT. FT.
�SE oF m!N%��m
EXISTING BLIX'i. E�O T FT.
SIZE OF NO. OF �
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF /�_
COVERING COVERING REAR �"t,/ FT. FT.
USE OF BVILOING AND WORK TO BE PEPFORMEO DISiANCE BET. � BET. MAIN &
p MAIN BLDGS. ACCESS. BIDGS.
D�-/ _ YJ C\ VAR # DATE
C.U.P.� qPPROVEO
APPROVEO � �,� �� �
I hereby acknOwletlge tha[ I heve read this application antl state STATE
Nat Ne above intormation is wrract antl agrea to comply with
all laws regulating builtlin8 �onstruction, entl I shall not employ Q
any person In violation of the workman's compensation laws of �
the Srote of Celifomia.
I hereby certity that I am properly licensetl es a contracror untler SQ. FT. j'
the State of California Businass antl Professions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VALUAT ' S FOR
Chopter 9, antl tha2 such licens¢s are In hll force antl affect, or 1 THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt trom tl•e provisions of the Steta of Callfornia Business VALVATION `�
an0 Professions Cr rvision 3, Chapter 9/./ PERMIT FEE $ /�� �V
Si8^ature of ��1�yyp� r�( f/i/�� ��Q�� /f I � /, � /)
Perminee �'�"� ^ � `/a% �-'w�✓/W $ /� / //( / P�AN CHECK $ �✓ vf/
Authorizetl Agent � Y7 J
TOTAL FEE $ / �'�