The URL can be used to link to this page

Home My WebLink About1790 PANAY CIR - Building PermitsApplicant to fill in all spaces within heavy border lines and sign all appropriate declarations. IL M7 OF -COSTA MESA PERMIT NO. TRACT NO. - LOT NO. BLDG. NO. CONSTRUCTION PERMIT E• 13 - 3S� .' 'r srS&1, 7 %70.1 TYPE OF CONSTRUCTION ❑NEW ❑'ADD ALTERATION ❑ REPAIR ❑CONVERSION ❑DEMOLISH - ❑ OTHER • 1 s • 5766 5/1:21621'' ''•'130.14 - - .. .. ,1 .ZONING REGULATIONS: Project Address1 104 A119 ZC'I C4 Owner Phone f / 'Address 509^2 r- Arch/Eng.( License No. DESCRIPTION OF.WORK A.P. _ - - - - Addressj3 - _ 'ZONE .PLNG.IREF.yp' I� h -Contractor - Phtine 677)--5f& TYPE OFPERMIT+ ,� - I I�SETBAC 13GRADING 0 FOUNDATIIIO�N"" KSTRUCTORAL--" - Q.TENANT-ELECTRICAL '�gPLUMBING �MECH AN IC -- 1 I G'� ST. RT LINE+ 1 YARD , Si 14, - 1 'I - Address Z- O C X - • LICENSED CONTRACTOR DECLARATION - - - - -- ll.hereby 9 affirm that 1 am licensed under provisions of Charter (com- ma cing'wlth section -7000) of Division 3 of the Buslness-antl ❑�OT'HER ---- --1------ - RIGHT �Professlons Code, my license is in full force and effect. - r 1 REAR YARD (TO P/L) ,an �. _ _- - PROJECT.DESCsRIP.TION.... _ _ _ - _ - _ _ _ _ License class ' LitenSe No. 1 ".2 y2 r. 11 -SG -.FT. ___ _ 1 PKG. SPACE REO. PROVIDED _ _ �B-Signature_ - Date..T-/L _-_ 1 (OCCUP.AN6'CONSTRUCTION TYPE. _ ___ STREET WIDTH r PARK -FEES tWORKERS' COMPENSATION DECLARATION - - - -�' 41 hereD affirm that I have a Certificate of consent to wit insure ora t ,VALUATION '" "��'s�s' -ZONE 1 'ZONING APPROVED BV DAT o rcertificate-of 'Workers` Compensation -Insurance, or -a certifier) copy _ _ _ - ,; GRADING CUIYOS. ^"' 11 ACRES _ I (SPECIAL CONDITIONS: •- 1-- , �+ C ( thereof (Section 3800, Lab. C.). i No:. -. _ Company_ 'I •Certlfietl copy-iz hereby furnished.-:_ _._._ _ _ ._ __�"-" r'— a- / - -� ';; �� Certified copy is filed with the city Building Division. - r l L r+ i t EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -- -- -"+�- --- -'(This section need not.be completed -if the Permit_.nre. less).1 - - ___ T� y,_ ____ _ _.___ F^J +•r "1'---- __ __-_______I(E30%or ;I'certify.that in the performance of the work for which Ihis. permit.Is - shall not employ any person in any manner so as to becomeG gREMARKS;PI't _ _ _____Issued, ny. p, ''t'-PLAWCHECK - - '. ELECTRICAL PLAN CHECKtothe.Workers' Compensation Laws.of California.- -_ - _ _ _ _- BS L� SHOWERS __-__U Nu _-___"-__�_'Date ,t '1•'NOTICE: Signature If after r6king this declaration, you should become subject ;7t j `.� ,,,aURINALS--� -- - r 'GENERATOR' -- Od KW_1'-70�KW -I ITRANSFORMER .f Itothe Workers' Compensation provisions of the Labor Cotle, you must comply with such provisions or this permit shall De tleemetlRI E$ 'DOUBLE CAV$-_-'�-- ______.forthwith 'I APPLIAIJCE - 10.50'KW=50+ KW' 1 ;;1. .CONSTRUCTION LENDING AGENCY :CONSTRUCTION 'I DISHWASHERS ASHERS-�' �--- 'MOTORS -- RS-' -- -0-1 HP -140 -HP - herebyaffirm .that there is a construction lending agency for the er- 9 Y P '— E SINKS-zj j; ('SUMPS _ - - - (INC. SOLAR , t I' -'"'3050 -HP= -50 +-H. ^ - Iformanceof the-work,for which thiy:permit IsIssued, (Section 3097 e FLOOR DRAINS-J� IFIXTURES OUTLETS SWITCHES 5, Civ. C.). - "--/-'_-= 7 "--T '_-: `-SINKS' 'Lenders Name' __ _ ,fNG _ _ - -� ILentler's Address ^\ •' k1T.KS FOUNTAINS'' 11 �GAS'TUBE-SIGNS'-'----'--- OWNERIBUILDER DECLARATION', ' ` - t--- I hereby affirm that I am,exempt from.the,Contractor's License,Lew toc EPTORS' -\ CLARIFIERS,-, �.s 1 rPOLELIGHTi r �-RTRAP- ---�-"' -'Any the -following' reason (Section 7031.5,Business' and Professlons-Cotle:-NGPOOL city or county which requires a permit to Construct, alter, $OLES METERED 1 UBImprove, SERV ICE ALTERATION 'PANELS - - MAIN demolish orrepair any structure,' prior to Its' Issuance,'also-re-' quires the ap:licant for such permit to file a Signed statement that he - ' r ,--SUB Is -licensed -pursuant totheprovisionsof the -Contractor's License Law _ GAS SERVICEy OU7 LET$ + �' SERVICE -- - AMP. -� - (Chapter 9 (Commenting with Section 7000) of Division 3 of the - _ ' WATER -HEATERS- -BTU_ OUTPUT` - 1 9 usiness and Profeszions'Code) or that'he IS exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWERCONNECTtON$ anyapplicantfor 'a-mrmit subjects the applicant to -a civil penalty of not more than five hundred dollars ($500). SOLAR TANK "- —COLLECTORS 1 ' i❑ 1, as owner of the property, or my employees with wages ai their Sole compensation, will.do the work, and the structure isnot Intended _ _ r "rrt •' it ! or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. jl _ I I ISSUE FEE tr. jl :Contractor's License -Law does not apply to.an. owner Of a property_ who builds or improves thereon, and who does such work himself or _ ---__..- ISSUE FEE if 5- - +- '- " 1 APPLICATION APPROVED BY - .DAT.E�. throughhisown employees, provided that.such Improvements are not - intended or offered for sale. If, however, the building or Improvement intended Is sold one.year of completion,. the owner will have the.burden_ MECHANICAL PLAN CHECK I I SUMMARY OF,FEES• ,i,(. -within of proving he did not build or Improve for the purpose of sale). HEATING HEATING SYSTEM 0-100,000 BTU ( (BUILDING' PERMIT �:' SMIPr E' I P, -as owner of -the Property, am exclusively Contracting with 7044, Business - _.. l' - - - -- -'.I ---- -- S -. -"-- - _. ," 1 llcensetl contractors to construct the project (Section and Professions Code: The Contractor's License Law does not apply to 100,000i 1+ BTU 1 PLAN CHECK E}moi_ gPERMIT' - - -ISSUANCE 'E -f Improves an owner of property who builds or thereon, and who con- from lo- REFRIGERATION 0-100,000 BTU -SYSTEM"-- -'-" -' j - PLUMBING E—/ '..t• .\L tracts such projects with a contractor(s)-licesned pursuant the Contractor's License Law). I. BT 100,000 BTU , "- 't-` 'C 11 " 1 - - -- - - "-^"'- - -GRADING S - --- -b - - -I ❑ I am exempt under Section B -&-P: C. for this - 1 BOILERS BTL) r ,PLANCHECK _ - 4ELECTRICAL 5 � E reason- - - -- - - - -- - - - - - SYSTEM REPAIR, ALTERATION -- EXHAUST__SY_ST_EM__ MULTIPLE -'PLAN I - - -- -MICROFILM E PLAN CHECK E _ 1 J _TOTAL FEE b- MECHANICAL -5 - 'LESAWE L5 . ' 1 Date Owner - - - certify that I have read this application and state that the above information information Is correct. I agree to comply with all cit and count 9 PY Y Y 1 CHECK --; ;; VAN VANCE PC. b_ ordinances and state laws_ relatl_ng to cpnstupon and hereby authorize •" of this City E ter Upon he above m¢ntibhed Iq 1 -property _Property for for spection p pose o /3—Drivers'License Signature CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # �. Date Inspector '• POOL & SPA APPROVALS Permit # Date, Inspector 1. Temporary Electrical Service or Pole 43: Pool & Equipment Location 2. SoilPipe-Undrgrn e.g Z. 44. Steel Reinforcement " 3. Electrical Conduit Utili y-Undrgrn. _ 45. Forms 4. Electrical Conduit-Undrgrn _ _ - 46.- Electrical Bonding - - 5. Steel ein orce 1• 47. Rough Plumbing & Pressure Test ' ~ 6. _ Electrical UFER Grn _ '' 48. APPROVAL TO COVER-GUNITE ' 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. - Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - ' 14. Rough Electric -Conduit - 56. Electrical -Final 15. Rough Electric -Wiring - - -- 57: --'Solar System -Final 16. Rough Heating & Air Conditioning bts. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating - Gas Pipe -Rough & Test Roof Framing _ - - 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathin Frame andFlashin p -gam ' NOTES: .. 23. Insulation 7-9r.Z_ CM 24. Lathing & Siding'_7Z 25. Drywall Nailing 26. Plaster Brown Coat Cz 27. Electrical Power Meter -Final ' 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test _ 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING j -$a 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. If 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill In all spaces within heavy border lines and sign all appropriate declaratior CITY OF COSTA MESAPEAR�Pf1T TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT Pow - IT Business and Professions Code) or basis for the alleged exemption.. .any applicant ..for a permit Subic of not more than five hundred d 11I, a5 owner of the property.( sole compensation, will do the WC as a permit to construct, alter, cture, prior to its issuance, also ve- to file a Signed statement that no s of the Contractor's License Law the applicant to a Civll S ($500). or offered for sale. (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of a property who hullds or improves thereon, and whodoessuch work himself or through his own employees, provided that such improvements are not I ntended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner will have the burden of Proving he did not build or improve for the purpose of sale). ❑ I, as -owner of- the .property, am exclusively Contracting with licensed contractors t0 construct the project (Sects On 7044, Business and Professions. Cotle: The Contractor's License. Law does not apply tO an owner of property who builds or improves thereon, and who con- tracts from such projects with a contractor(s) licesned pursuant to the Contractor's License Law). ❑ I -am -exempt under Section B. L P. C. for tnis reason Date Owner hereby certify that 1 have read this application and state that the above Information is correct: -I agree to comply with all city and -county ordinances and state laws relating to construction and hereby authorize representatives of ,;this city -to entdr upon .1,�e above mentioned Project Address -a CXA'", TYPE OF CONSTRUCTION --ALTERATION NEW ❑ ADD ❑ ALTERATION Owner ' _ Phone �rfIrWe❑ WATER HEATERS- ❑ REPAIR 11 CONVERSION El DEMOLISH Address tic ❑'OTHER DESCRIPTION OF WORK - U Arch/Eng.oli `, / License No. Address 3 L Contractor hone TYPE OF PERMIT - ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL Address / a (/ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (com- mencing with Section 7000) of Division. 3 of the Business and Professions Code, an y license is in full force and elf t. m License ass a se N Date -Y- ZSignature WORKERS' COMPENSATION DECLAR TION _ v \ { ❑TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANIC 11 OTHER - ' PROJECT DESCRIPTION SO. FT. OCCUPANCY NCV_CO CONSTRUCTION TYPE REFRIGERATION SYSTEM - '1 hereby affirm that I have a certificate of Consent to self -Insure or a 'certificate -of Workers' Compensation Insurance, or- certified COPY VALUATION ZONE .. - thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES - - EXHAI.�T SYSTEM Policy No: Company - - REMARKS: — ❑ Certified copy.is hereby furnished. _. ,0 Certified copy is filed with the city Building Division. -f METERED EXEMPTION FROM WORKERS' COMPENSATION DECLARATION .PANELS (This section need not be completed if the permit is for one hundred SUB,- - SERVICE - - ($100) or less). ,I certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner'so as to becomePLUMBING subject to the Workers' Compensation Laws at Calttornia._ ' 1. � I AMP - PLAN CHECK - - " BATHTUBS' - SHOWERS-- - S _ Date Signature NOTICE: If after making this declaration, you should become subject TOILETS. . URINALS - -- - •. PLAN CHECK to the Workers' Compensation provisions of the Labor Code, you must . forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS • - -- MECHANICAL revoked, CONSTRUCTION LENDING AGENCY - - - KIT: SINK$ - - -- - DISHWASHERS �- SERVICE SINKS •, SUMPS - - - • r • $ - -' I hereby affirm that there is a construction lending agency for the per- formance of the work for which I5 permit is Issued (Section 3097 (Section Civ. C.). - - - - li -^ -- -- Lender's Name �4A FLOOR SINKS- ' —FLOOR DRAINS n Lender's Address DRINKINGFOUNTAINS - - -- - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the 4ollowino reason ,Section 7031.5 Business antl Prof eisions Cotle: `INTERCEPTORS CLARIFIERS - - SWIMMING POOL --' ' PT -- - - - Business and Professions Code) or basis for the alleged exemption.. .any applicant ..for a permit Subic of not more than five hundred d 11I, a5 owner of the property.( sole compensation, will do the WC as a permit to construct, alter, cture, prior to its issuance, also ve- to file a Signed statement that no s of the Contractor's License Law the applicant to a Civll S ($500). or offered for sale. (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of a property who hullds or improves thereon, and whodoessuch work himself or through his own employees, provided that such improvements are not I ntended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner will have the burden of Proving he did not build or improve for the purpose of sale). ❑ I, as -owner of- the .property, am exclusively Contracting with licensed contractors t0 construct the project (Sects On 7044, Business and Professions. Cotle: The Contractor's License. Law does not apply tO an owner of property who builds or improves thereon, and who con- tracts from such projects with a contractor(s) licesned pursuant to the Contractor's License Law). ❑ I -am -exempt under Section B. L P. C. for tnis reason Date Owner hereby certify that 1 have read this application and state that the above Information is correct: -I agree to comply with all city and -county ordinances and state laws relating to construction and hereby authorize representatives of ,;this city -to entdr upon .1,�e above mentioned Signature;/ i Drivers' License pr S$ ISSUE FEE CMF 0865-46 White -Building: Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 6103 5/19/B2 4.00 TLI ZONING REGULATIONS A.P.ff ZONE PLNG. REF. 7P REAR YARD (TO P/L) PKG. SPACE REO. - "PROVIDED - STREET WIDTH PARK FEES . SPECIAL CONDITIONS: 'ISSUE -FEE- ELECTRICAL - - - PLAN CHEEK . UW�LLiNG SO. FT, GARAGE 5tQ FT GENERATOR- TRANSFORMER APPLIANCE- 0-1 KW=V10 10-50 KW_50+KW KW - - MOTORS - -(INC. SOLAR) _. 0-1-HP_1=30 10-50 HP HP , 50 + HP' ._ •FIXTURES OUTLETS SWITCHES -- GAS TUBE SIGNS -- -- -- - - POLE'LIGHTS-- — - -- POLES METERED -SUB- -� .PANELS MAIN SUB,- - SERVICE - - - AMP - 'ISSUE -FEE- - - $APPLICATION APPROVED BY - - DAT E,r SUMMARY OF.FEES - BUILDING $ ,PERMIT S SMTP, , •S PLAN CHECK ,t $ PERMIT .. _... ISSUANCE $ IPI.0 MBING § - GRADING § PLAN CHECK § ' • I - $ \ELECTRICAL S - MICROFILM$ - •. PLAN CHECK $ ' MECHANICAL § -OO TOTAL'FEE $ PLAN CHECK • $ - -' LESS AD - VANCEPC $_- FINAL FEE S n CONSTRUCTION AND PLANNING 1/ APPROVALS Permit # c -J rO'j Date Inspector POOL & SPA - APPROVALS Permit # ' Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - - - 4. Electrical Conduit-Undrgrn 46:: Electrical Bonding_ - tee eior_ a _UF_ 47. Rough Plumbing& Pressure Test 6. Electricall Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation - - 50. Gas Pipe, 0 Undr rn, Test 9.. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap, 0 ndr rn - 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final - 12. Street Sewer Connection - - - 54. Heater &Vent -Final 13. Rough Plumbing _ _ - 14. Rough Electric -Conduit 56. -.Electrical-Final 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air Conditioning W Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test - - _ 20. Roof Framing - 21. Roof Sheathing- - - - - NOTES: ' 22. Frame and Flashing 23. Insulation - - 24. Lathing & Siding - - - 25. Drywall Nailing - - - - 26. Plaster Brown Coat - 27. Electrical Power Meter -Final 28. Final Electric - 29. Final. Heating & Air Conditioning �d 30. - Final'Gas Pipe -Test- -- 31. Final Plumbing 32.. Water Service•Final - 33:. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release t0 Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY. No. Date r" C �(� ® ?wininq Laboratories of ,S0ut E:n eat/otnia, -q,=c. 3310 Airpon Way / Mailing Address P.O. Boa 47 / Long Beach. CA 80801 / (2131428-3355 /12131636-2386 117141 8286432 TESTING BRANCH OFFICE: 1614-1) NoM Harper Street / Santa Ms. CA 92703 117141531-2045 May 14, 1979 EXAMINATION NO. 79-3066 COMPRESSION TESTS ON GUNITE CYLINDERS Dean Lowe 5140 Atherton $37 Long Beach, California 90815 PROJECT __TAv nnnT. — WTT SPA Rei BLAnln ADDRESS 1790 Panay Circle, Costa Mesa, CA ARCHITECT CONTRACTOR Owner ENGINEER SUBCONTRACTOR B. C. Adams Unlimited I / SAMPLE FROM East wall midway SPECIFIED MIX STRENGTH 2,000 DATE CAST 4/28/79 SLUMP SPECIMEN SIZE 611 X 12° DATE TESTED 5/14/79 5/14/79 5/14/79 SPECIMEN NO. 1 2 3 COMPRESSION 16 Days 16 Days 16 Days TOTAL LOAD LBS. 67,000 66,000 73,000 POUNDS PER S0. IN. 2,370 2,335 2,580 AREA. SO. IN. 28.27 COMPLIANCE 16 Day test comply with specifications. MADE BY: DELIVERED BY: RECEIVED ON: SPECIMENS Ben1c pp( Lowe 4/30/79 RDISTRIBUTION ` E' V E D CITY O( F COSTA MESA Dean Lowe - 3 PLANNING DEPT. Costa Mesa Bldg. Dept. 171819'10 11111211,213,415PM 16 ALL REPORTS ME SUEHIAiTTEO AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBUCATION QF OUR IRMATS. NCLU510N OH E%TRACTS FROM OR RE2ARD:RG THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. 11 INSULATION CERTIFICATION ' NumDb antl 5 nel CITY County X3(03 /%O Subdivlaion Lot Number DESCRIPTION OF INSTALLATION ROOF Materiel Brand Name Thickness (inches) ;rcl Thermal Resistance (R Value) EXTERIOR WALL I Material _L rrat ��_� Brand Name Thickness (inches) Thermal Resistance IR value) I CLILING Batt or Blanket Type _1qj % Brand Name ✓s"" G l ' C O[� /V� Thickness (inches) _ Thermal Resistance (R Value) / 7 Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag to Area Covered Ill 2) Thermal Resistance (R Value) FLOOR,ELEVATED Material /V b,U�4— Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAS �t' Material /V o A)c 'Brand Name Thickness (inches) Thermal Resistance tR Value) Width (inches) FOUNDATION WALL ` Material /(f O AJF Brand Name r Thickness (inches) Thermal Resistance (R Value) I DECLARATION j I herebs• certify that the above insulation was installed in the building of the above !oration in conformance with the ! current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California 4dmirristra ye Codel - ��gy W1g C)M,�� 2ylc� 3o J General Contractor (Builber) License Numuer _ tie _ i Signature antl Title — Date ' ' ' , Sue Contractor (Insulation AOolicator) License Number -- - 5gnat are antl Title - -- Date Figure 4 -i. Example of a compliance ceniflcre 4-9 �g Q Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address 10170 PA Nab" PERMIT NO. TRACT NO. LOT NO. UNIT NO. f !�- A P + 2ona E Main Building: Accessory Building: TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR 1:1 CONVERSION ❑ DEMOLISH El OTHER DESCR OPTION OF WORK/USE OF BLDG. �—[- I�.,-w-��y C N9.((� AMYt- .it, � 4 �1 _ Applicant's mailqing Address i.Q.i,/! S._ IAAY11Ast•A... L]=�£Q4. /tel S+IS .47r� Owner's Name gcZfils�l Phone - Address 1740 I?Ax) T Front Z O A Rear N C Right - N Arch/Eng. License No. Address TYPE OF PERMIT GRADING FOVNDA ION STR VCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY C' CON ST R U TION TYPE VALUATION$ �� ZONE GRADING CU.YDS. ACRES K S Left G R Contractor's Name Msf;C �OuAr4.5 Rr-L_. Phone S_5/ Address (mailing) City License No. D o6G LICENSED CONTRACTOR DECLARATION Ping. Ref. vR Parking Req./Provided Q Planning Notes: M T S. Remarks I hereby affirm that I am licensed under provisions of Charter 9 (commencing With section 7000) Of Division 3 of the Business and Professions Code, and my license is in 1011 for a and a ecl. / License '— ELECTRICAL FEES cmm( `fit Class Lim fyGz�� Date 4-1U—RE Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent l0 self -Insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) ((''� Poli No.07 ZO f� Company VA✓AIDS e00, -IV 3 s -1-. Certified copy is hereby furnished. Cery(a'fie opxx Iiletl with the city B iltlin Dlvisjj Date_C-��-E Appli<anl./(, EXEMPTION FROM WORKERS' COMPENSATION OEC ARATION IThis sect ion need not be completed if the permit Is for on hundred ($100) Or less). PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW ❑ $0+ KW Cocking nd Pole $U . Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps x- Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Bathtubs Sewer Connection Dryers a5 EI tric Sub Panel Clarifiers Solar Collectors n Motors 00.1 HP ❑i'h-8 Dishwasher Solar Piping F. Inc. Solar 09.15 HP Ell 6-15+ Drinking Fountains Solar Tank Fixtures Microwave I certify that in the performance Of the work for which this permit is Issued I Sha II not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/S a Device Boxes POIe Light r 9 NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith comply with such provisions or this permit shall be deamad revoked. CONSTRUCTION LENDING AGENCY Floor Sinks Urinal Outlets Range "ft ' Gas Service Outlet - Water Closet Switches Si n g 1 hereby affirm that there is a construction lending agency for the performance Of the work for which this permit Is issued (Section 3097 Civ. C.) Lender's Name Lender's Address Water Heater Garbage Garbage Disposal Standing Sections - Sink Water Service Generate 0.5 KW 05-15 KW Trash Compactor \ \`thereon, 1 OWNER BUILDER DECLARATION1hereby affirm that I am exempt from the Contractor's License Law for the reason (Section 7031.5 Business antl Professional Cotle: Any city orcounty which requires a permit to construct, alter, Improve, demolish or repair structure, prior to its Issuance, also requires the applicant for such permit -tofile a signed statement that he/She is licensetl pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Cotle) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty 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 (Section 7044, Business and Professional Code: The Contractor's License law does not apply to an owner of a property who builds or Improves and who does such work himself/herself or through his Or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is Sold within one year of com- pletlon, the owner will have the burden of proving he/she did not build or Inn- Prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who wilds Or Improves thereon. and who contracts for such aroiects with a con- actor(, license pursuant to the Contractor's License Law). I am aware that oof o their Worker's Compensation Insurance shoultl be provided to me. lam exempt under Section B. 6 P. C. for this reason es Auto-Washfollowing Laundry Traysany ains Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: • Zoning Approved By Date Building Approved By ; . Application Issued By Dat, Reinspection ee 15 Issue Fee $ 3 MECHANICAL EES Boiler HO Or Type I ❑ Ce opy. Type II ❑. Duct - Under Ground BUILDING PERMIT -PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL - .PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES � 1 $ l l SMTP $ $ PERMIT" $ ISSUANCE $ $ ENERGY P.C. $ $ GRADING $ $ MICROFILM $ TOTAL FEE $ $ 144 $ Duct -Structural Refrigeration System Duct - Ventilating ❑0.100,000 BTU ❑100,00 BTU ' Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO 4116 Fire Dampers Owner by certify that 1 have read this application and state that the above id nation is correct. 1 agree to comply with all city and county ordinances tante laws uric, n to b lding constr uolh al antl hereby authors re ,a. 55 O/ tph ins Ci IO ter I On the above -menti notl pro arty f Intpectian P / Signature Date Drivers' License Or.55 Heating System &Ducting ❑0.100,000 BTU ❑100,0008 Registers Di ODDD7065-00007066TG7 144.9i Reinspection Fee $15 Issue Fee $ 3 0865-46, rev. 5/88 White - Building; Carry -Applicant: Pink -Accounting; /( Goldenrod -Assessor1 C g0 rk -Z 6 S/ 1� CONSTRUCTION AND PLANNING APPROVALS Permit # 1 Date Inspector POOL &SPA ., l APPROVALS Permit# "°'pector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.; Electrical Conduit UFility-Undrgrnd. 54. Forms �• 4. Electrical Conduit-Uhdrgrnd. 55. Electrical Bonding 5. Steel iReinforcement ` 56. Rough Plumbing & Pressure Test 6. Elhclrical LIFER Grhd.' 57. APPROVAL TO COVER-GUNITE ,- 7)•Footings '` 'I '-� 58. Electrical Conduit-Undrgrnd. 8. Foundation _ 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrg{'nd. .; 60. Backwash Lines, P-Trap, O Undrgrnd. h 10. Structural Floor System 'i ;' _ 61. APPROVAL TO DECK , 11. Property Sewer Line.& House Connection 5i 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 161 Rough electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign ;;. 68. APPROVED FOR PLASTERING 1 ' $, Rou hEl,ectrical-T Bar Ceili g r. 69. POOL/SPA SYSTEMS FINAL 19•. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace •• ry 21. Ducts-in, Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 13 Oil 23. Gas Pipe-,Rough & Teit 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank ❑Gas 'D Oil 25.. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) •&'Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing.& Siding _ 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV.'FINAL _. 30. Drywall Nailing HEALTH DEPT. REQUIREMENT' -- 31. Plaster Brown Coat - 79., FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD-CERTIFICATE ISSUED 33. Final Electric Notes: -5. 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final _ ' t 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer J_. 43. Backflow Irrigation j; 44. Landscape Irrigation System inrnmofete Inspections 45. Sound Attenuation D 46, Handicap Regulations ate 47. FINAL STRUCTURE & BUILDING ; 48. Snecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -• ' ;- CITY OF COSTA MESA PLANNING DEPARTMENT �.nd 11 v.1' �.1..✓�Y1 ...�✓K..I IN A.P. No. 1IU_ 17?_14 I Bldg. Permit No. 3i3o� PARK AND RECREATIONAL FEES - Apartment Developments -�) I Fee Payment Receipt y Project Address GlizG66 G86A rz �. .r, Owner's Name i -..U1 !. Tucker Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 Total Number of Dwelling Units 1 Total Fee Planning Department Approval Date _:J,A. 11. 1977 Park Area No. 1) By!1.L.0, n1r� Applicant's Signature CITY OF COSTA MESA PLANNING DEPARTMENT A.P. No. 134-127-13 Bldg. Permit No. 3r2cn PARK AND RECREATIONAL FEES - Apartment Fee Payment Receipt Project Address 1707 PIWAY GIRCL9z COSTA 9,99A., G L19Q IP Owner's Name Paul E. Tucker Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units 4 - Bedroom Units $55.00 = $70.00 = 5 - or more Units 5 @ $75.00 = $75.00 Total Number of Dwelling Units 1 Total Fee Planning Department Approval Date Sent -.-11" 1972 Park Area No. 12 BY,.l.L.D. nim, Applicant's Signature V /'+ CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT Registered Deputy Building Inspector — Certificate of Compliance Date of this Certificate 4-28-79 Building Address 1790 Panay Circle Owner Berry Branin Address Owner Same Permit No. 47639 Date Issued 3-9-79 To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provi- sions of the Building Code applicable thereto. [ ] Concrete [ ] Masonry [ ] Welding [ ] Reinforced Gypsum [ ] Special Cases Swimming Pool Size ] Gunite ( ] Hand Pack .l Sacks(of Cement- 228 Tons of Sand 60 Approximate-p6rcent of water in aggregate 0.35 This report covers work completed during week ending 4-28-79 REMARKS: Pool in good condition All Bonding connection secure. I had bonding added to Registered Deputy Building Inspector diving board location. A" + 0117 Workmanship and materials NameT. nAar T.n,xre satisfactory subject to lab. reports. Address 5140 Atherton St. Beach. Calif. Laboratory Twining Telephone 213-597-6100 CMF 0406-46 (BU 6) REa Eo V EE SA DEPT. pm AM i2i3i4151 71919�1011111211 VOB ADDRESS Location Main Drain Steel Reinforce Elec. Qond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines Backwash Lines and Recep. Electrical Final Heater and Vent Final _ Filter System Final Backwash and Recep. Final Fencing Final e- .44— .Q., . BUILDI I I NU. -- 47634 FIRE ZONE VALUE S 11,00 ite GROUP y TYPE a-11 SUBCONTRACTOR Dat Electric •'7 Plumbing etch D - 3- 4- oT i( Ogy 7—sT ASI a3.10 -a335 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only RE I O 8Y QA CEI BUILDING F" ADDRESS OWNER NI/L� .NO. 'x'11 MAIL UILDING ADDRESS ADDRESS Q TEL' TRACT LOT CITY NO. CONSTRUCTION W ADD A T P BRANCH I OWNER APPROV D LDATE ADDRESS S VALUE ARCHITECT f� t TEL. OR ENGINEER �G `�^�� N FIRE TEL. ZONE Btr 77cX a "IA" 1 APPROV D LDATE CONTRACTOR By ADDRESS TEL. ZONE NO. OF 7 1 USE OF NEW CITY NO. 9 PLANS BUILOINGd— a� fy STATE CITY YARDS APPROVED YARDS APP VEO LIC. NO. LC. NO. MAIN BUILDING ACCESSORY BUILDING W512E (FROM C/L STREET) NO. OF BLDGS. 4 OF LOT NOW ON LOTFRONT FT. FT. USE OF EXISTING BLDG. R S FT. FT. rn FSeparate permits are required for L. SIDEa FT. FT. electric, plumbing and heating work. REAR FT. FT. IO [.� USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOCS. �In� VAR. y DATE f�Y C.U.P.. qW APPROVED Q APPROVE �� r r G a w 0 1 hereby acknowledge that I have read this application and state (x that the above Information Is correct and agree to comply with a all laws regulating building construction, and 1 shall not employ any person In violation of the workman's compensation laws of LZii y. the State of California. 3 1 hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FC the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONL) em exempt from the provisions of the State of California Business end Professions Code, Division 3,/jChapter 9. VALUATION PERMIT FEE E PLAN CHECK $ .�s Signature of /� TAX $ dr^ O.N« Permittee �.0 $ / / Authorized Agent TOTAL PAID $ f Btr 77cX a "IA" 1 UWNtK URS JOB ADDRESS GENERAL CONTF AP No. 139-122 170 TRACT DATE FIRE ZONE . VALUE $ ONSPECTIONS Si re I Data GROUP Z & J TYPE v ZONE R— SOIL SUBCONTRACTOR PERMITS ISSUED ,GAS Date I NumberI $i Si nature WATER ROUGH PLUMBING/If PI bi - PROP. SWR. LINE OUSE CON. _ SPRINKLING SYSTEM - MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGRO UNO POWER ROUGH WIRINGHeatin ~.-/b-, a d,& TRENCHES FOR 5, STEEL REINF,. �] -� 'F OOR SYSTEM cg 2(. • j .{� ND BEAM STEEL INFORCE S EATHI NG FRAME AND FLASHING 6-' 1. 0 ..• B - LATHING — IN Xj OUT ajl 7-3- C571 PLASTER, BROWN COAT -%f%(t STRUCTURAL, FINAL HEATING, VENT., REF RIG. AND A.C., AL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL -Z ` BUILDING, FINAL 7&i- 28758 COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA E2M For Applicant to Fill In Completely TYPE OR PRINT BUILDING % 7py �A,VA C,-i/CCC� ADDRESS COSTA MESA, CAL FORNIA_ SETBACK LINE FROM CENTER OF STREET REAR SIDEYARDI LEFT I RIGHT DESCRIPTION OF WORK NEW ALTERATION ADD REPAIR MOVING DEM BUILDING .1/� _ 47 NO. OP GROOF //� COVERING S/'/ .G & _ I HEREBY ACKNOWLEDGE THATA HAVE READ THIS APPLICATION AND STATE THAT TyE AEO�A.IS CORRH AHD ORRE TO COM. PLY WITH ALL CITY OROIpLNCES Np S Ti MIO REGULATING SUILDINO CONSTRU KK L SIGNATURE OF PERMITTB AUTHORIZED AGENT JUL-Z'GBPAfOOO IQIr. f Yis .S0 [YSA APPLICATION FOR PERMIT BUILDING For Office Use Only REcalFr no. oVmER (/.J/r 47 GA n//�e MAIL A7A D BY ADDR 77 �t /J.�q /J CITY l� O$%.4 ,y7O� To / % L= $.d NOL • O -Y3 ARCHITECT TEL ^ OR ENGINEER NO. ADDRESS US[OF NEW .Sh FJ�kCI SUILDINO %/ % CONTRACTOR �Ci OG//S '�5. ADDRESS '002L- J`il.a-Sr.Es NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 90'TOSIDE BREAR P.L. CITY ALLOWED (U. B. C. REQU I REMENT) LIC.TNO. ��O �Tl� TE MAIN BUILDING NOL £12F_ __t;—Sr 11CIf1T / SETBACK LINE FROM CENTER OF STREET REAR SIDEYARDI LEFT I RIGHT DESCRIPTION OF WORK NEW ALTERATION ADD REPAIR MOVING DEM BUILDING .1/� _ 47 NO. OP GROOF //� COVERING S/'/ .G & _ I HEREBY ACKNOWLEDGE THATA HAVE READ THIS APPLICATION AND STATE THAT TyE AEO�A.IS CORRH AHD ORRE TO COM. PLY WITH ALL CITY OROIpLNCES Np S Ti MIO REGULATING SUILDINO CONSTRU KK L SIGNATURE OF PERMITTB AUTHORIZED AGENT JUL-Z'GBPAfOOO IQIr. f Yis .S0 [YSA APPLICATION FOR PERMIT BUILDING For Office Use Only REcalFr no. �C[RLIT 0 bI '(:7 6 `['[StIV[D� 6 66 A7A D BY BUILDING ADDRi S FIR[ a ZONE TYPE / GROUP APPROVED BY DAT ZONI G ZON4 — I NO. OP ►LAN[ � US[OF NEW .Sh FJ�kCI SUILDINO y/pr t � L[OAL / D[YCRImToN ^o / O 4 Y 3 -- i 3 7 Z Z � /f It A. P. NO. NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 90'TOSIDE BREAR P.L. EAVES ALLOWED (U. B. C. REQU I REMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FIR STRHHT) / —� R.awlt%s FT Fr. L 61019 FT. FT. Z Q �FT. REAR FT DISTANCE OCT. BET. MAIN D MAIN SLOGS. ACCESS. SLOGS. VAR.* DAT[ C. APPROVED APPROVED A VS DATE OLD FOR TIALEQUIREMF..N�$ THH AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHIHO A PERMIT FEE ONLY. VALUATION FEE //2,Q� PERMIT D0 8 oJo//dam^PLANCHRCK 5 TOTAL PEE 5 Cqr TA MESA BUILDING—SAFETY DEPARTMENT P.O. BOX 1200 I. Costa Mesa, California CONTRACTOR Address City �. Zip Code State License No, Class. City License No. Tel. No. NUMBER 7')'pl? OF FIXTURE OR 1TEM1 Slachine Sinks, Commercial or Indus Sinks, I9oor Sinks, Se,,ice Sssimming foul Urinals _ Dishwasher ' Gamer Disposal \Paler Softener \Cater Hvan•r a.nd Vent Cas S11". ..Outlets ... 6 TOTAL FEE .-, r-- CMF 0450-46 W 17 3/09/79. 9.00 TIIACr N 63 RECD. eY LOT No . f pATE I66t�EO Ia DI LD..G USE Address ZI IU rti rA/ C_/.0 Owner (6.6a✓,�f mall Addres�% 1 reby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ordinances and State taw's re¢ulatine plumbine. I certify that 1 possess the above valid State of California classi- fication or 1 am the legal owner of the residential property de- scribed above. I certify that 1 have obtained a permit from the State Division of Industrial Safety for excavations, other than swimming pools, five feel deep or deeper and into which a person is required to descend. Signamn ee oPerf _2'x l / E 0 W F Q O J Q } J ir W IL 0 cc a 2 W F cc W o_ cc 0 Y (Al N Z H COSTA MESA BUILDING—SAFETY DEPARTMENT P.O. BOX 1200 CD$ta Mesa, Californla '/ S 3 yc� n TL ®2E� jKTD ELECTRICIAN I lOT NOO 4 I6 O9 �_ R BDY E PERA9TIN a �o ' ...,. ra DATE ISSl1✓;D� s J ��r ADDRESS '� �j• / Jit BUILDING USE CITY re). -"r'4 /tris' TEL. NO. STATE LICENSE NO. CLASS, L�� - CITY LICENSE NO. NO. HIM EACH FIU LADDRESS COSTA MESA, CALIFORNIA Dwellin g, Sq. Ft. f Garage, Sq. Ft. w t First 20 Outlets, each MAIADDL Outlets, Additional TY .r _ TEL. NO. I First 20 Fixtures, each HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLI- CATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REG. C ULATING ELECTRICAL WIRING. V -P v1 CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF CALIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF ME SINGLE FAMILY RESIDENTIAL PROPERTY DESCRIBED ABOVE. SlRnature of �u `��—_ IERMITTFE Fixtures, Additional Dryer -C '� \ Fon .. i}. Hearer 1 e, y _) Oven, Domestic {A ) NO. ITEM EACH FRI$ Pete, Constructionr�� Y Sign 8 1 Trans. 2.00 Range, Oomeitic } Tronaformen KW 4 OGenerators KW Motors IS,, Schedule) - '""'✓ I i Ea �! .HPC t` _.^ .:.SHE• tol Fees y •i1P„_' - -- APPROVALS Meten, ta, II61lCT0R —" DATE pTP yp � I _ Permit k s p,7E 1 " 00 ::OK GGROUND CONDUIT I C C I ROUGH I I Sub -Total Fees _ FIXWRES POWER I I Total Fees Q� UTILITY 'CO. NOTIFIED I fINAI CMF 0313-46, reV. J/76 BLDG. PERMIT NO. For items items not listed refer to Fee Schedule