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HomeMy WebLinkAbout1053 PARKHILL DR - Building Permits0 V PROJECT ADOFIi♦ 1053 PARKHILL DR UNIT: 60NER'S NAME: HARGRAVE, DAVID A ADDRESS: ROBINSON MRS W 1053 PARkHILL DR COSTA MESA,CA 92627 646-1035 ARCM/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: W ROBINSON (714)646-1035 ADDRESS: 1053 PARKHILL DR C.M. CA 92626 LICENSED CONTRACTOR 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 lull force and effect. CITY LIC.: STATE LIC.: CLASS: Date'. Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY ND.: EK P. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date, Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: QhiIsadore"" section need not be r,mpRiCLri the permit is for one hundred ($100 r less). I Truly that in the performance of the work for uetl, which this permit is issI trial t eme 0 ny erson in ably manner so as to b orae subject to Workersmpensation Laws of Cablorn Date:'— Sig to e' NOTICE: It, after making this eclaration, yotTi become subject to the Workers' Compensation provisions of the Labor Code, you must lonhwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issuetl (Section 3097, Civ, C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prolessions Code) 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 penalty of not more than live hundred dollars ($500). I, as owner of the property or my em loyees 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 Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such wont himself/herself or through his or her own employees, provided that such improvements are not intended or opened for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ antl Professions Codi The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon and who Contra cis lot such projects with a Contractor s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 amt is read antler Section: B. 8 P. for this reason: Dale: I do hereby cenify that I am aware of and understand the requirements of California Health an0 ections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Gushy Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read This application and state that the above ordinances and state laws relating to building construction and hereby auth proper) for inspection purposes, Date: Driver's License or Social Security ;t. 1 agree to compl�yy''ith all city and county of this city b enter uponl0a above-mentioned 164146 Whne—Budding: Green—Code Enforcement: Canary—Aoolicant: Pink—Revenue: Goldenrod— ssassor ,CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IB 063569 PLAN CHECK NO: N GOVT: CONSTRUCTION TYPE: PERMIT TYPE: OTH STR PURPOSE: REP JOB DESCRIPTION : REINSTATE EXPIRED PERMIT #46136 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: LINALIZE EXPIRED PERMIT #46138 FOR POOL•6 SPA ****r***�rEr********9rBEBEirREBrBrBr+PBEBEBE�EREBr**BFMiNRE�ERFifiklEk*iPEr4FitEriEErREBEBPRt*x*****BEBFBPBF1EkififiEBtBE1f*iNBr Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---- --=------ ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT:' FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42431303 ZNE: REF NO: PLANNING NOTES> > I D E V E L O P M E N T' S E R V I C E S iR E Q U I R E M E N T S ZONING APPROVED'BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY *ifiFBFitifif9EBk******�rBrREkBFBERF� 3Fkkif*D* *iFitW 7-W*7-4lj kBE#lf ikkit Bk lEif*****k*Rfk*****M****IE*ik kBf*9E RFRf****k*)PRE Rf*k*Bf lk k Bf lF 4f iE klfBE**RFiP BE******RP iP BE kiF RE iE* LEGALIZATION:N F E E S UM M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,00 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIiT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 30.0,0 0.00 0.00 30,00 30,00 .00 r REVENUE DIVISION'TOTALS-->' COLLECTED; 30.00 .OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC, FIRE SMIP/TOT GRADING PLAN—CHECK 30;00, I N D'I V I D U A L F ETE B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST INS 1 BUILDING RE—INSPECTIONIFEE 30.00 30,00 'END OF FEES ' DD . P n%M1=01� @1 00145307-0014.5307 TOT 30.00 CATE4 08/19/93 TINE: 14:57 �s CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole •A. 52. Pool & Equipment Location 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement .�- tectrfZal Cond.��ltilityUndrgrnd. 54. Forms Cond, ikt.Undrgrnd. 55. Electrical Bonding ?3.�t�el• RpinforceTre"nt 56. Rough Plumbing & Pressure Test x 6. "kigiirical UFe--- !Arnd. 57. APPROVAL TO COVER-GUNITE rrc ��•'�^Wtltstings '_= 58. Electrical Conduit-Undrgrnd, a- y$,,sundation .1 59. Gas Pipe, ❑ Undrgrnd., Test z. 9,. Water Pipe-UndrgA,d. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line,& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap a 63. Heater & Vent -Final ' 13. Roof Drains v - 64. Plumbing System - Final 14. Rough Plumbin 65, Electrical -Final 15. Rough Electrics -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20t.{ioggh 9cioriy0place t;m d11 T 0 Ix A -APPROVALS: ',-Peimit srS21us, P,,Stdtuur�.,n deHy 'o r I v x. r 22. Ducis, VantfiatigTg I :JS ^ < a d 171. ProduciyRping OG�s C3OilCuk , 23` Ga I ou h &'lest tc P1 " J r r . I ,_„-� , j• Undergrftunfl -� 1 I C7S Cr t7' 4 Or -i72. e• 24: Rc Framing r,-: I f -H ••H a ,^.• O tr a ; :73FIUndergrn2,Stor9?s'�qnk f]Gas 0541 -i' J 25. Ro�! SQ? -thin d • SQ? -thing < ' �; E ' 74,.-;0 erhead''EiYdroi -". d �� F :� � ,: t y NA `- aT Ceiling (Statural) 6940nocoat 26�91. AF m G Tt x 75tTOry Chemical �-i -> _ l 27r7Frameand FlashiK t:; x 76"DiyStandp'tl.Se `r ' ,28° Lathin x �.-i.. g J Sidingrx r+: •7d :, �: f x ` . x •+ 7A FIXEDSYS_TEM.'SINALr q >"29. Insulatipfi xy O j "' d r n 7$s FIRE PREY. FIjVAgL { > x 30. Drywal(-- ailing . J• s + �• MEALThLDEPT., REQUIREMENT t 031. Plaster Prow Go3rji 79nFINAL100SP'ECTI' rh, F.32VElectricg•1 Poyer,•6deiPrlFinall r -:1js .: . SO.rIFOOD CEEATIFI�-CA•TE ISi,UED c •- r ~33'`Fir{al EFe^ctr'v+ r r .. a 'NIles: T� max, j34,-FirigiHHtincA&95ftditio," 35,TFiriai Gal Piet -Test- o;. a: +' x C� !• n3: �� q i :� .ano Y, or Y " Ho�F P < <:r tc361"7 ,rs: -J37CFirW Factory Fifedlace, t'38. Fir1a� Plumbing r,X n; I x 039. Waier Service -Final. F40. GaPtervice-Final" c' xm r tri do :41. Solar Domestic-F'4nel (-42: Backflow Preventers E•' j 1 s' 43. Backflow Irctgatiorr' s.SS r x A x , -144. Landsca,Pe &igatign SYstermm� X ti v cc * ... D v; CJ ]i. v 45.:Sound tte6uationx- rr• T 1.:x J r? n RCAulati(�is ' :,7 ' ' ' " ' " S46.`Handica� _ O x x X S j 47,yFI L STRHGTURE & BU?LDING y4B:�IIvAL PLANNIN4 I T r .'� -_ 1,. a T ,: c149„0eclric Release toldison r x : J: x _ 50.Gas,Release to Soujhern Cali Ti c: �=��36 I@RR 6/3�/7B a6N.a� TL fA MESA BUILDING -SAFETY DEPARTMENT .�0. BOX 1200 COSTA MESA, CALIFORNIA 92626 �+— ' APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only t RECEIVED BV GATE RECEIVED , OWNER JOHNSON, THEUAA JOB ADDRESS 1053 Parkhill Drive AP No. 116-013-03 L( ,INSPECTIONS Pool Location Forms Main Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Fgeater and Vent Final _ Filter System Final Backwash and Recep. Final Fencing Final DATE BUILE N of WORK FIRE ZONE VALLI GROUP ,T TYPE id SUSCOMTRACTOR Electric 11•itii Plumbing Sir, • L_ -31-_7�--- -- - ---- ERMIT N0. 46136. _-_-- Seim_PO01.v/apa-_. .. o,-1 TS ISSi:Erl _ lumhrr i Siqnatur 4 BUILDING GL ADDRESS >< OWNER �yL A.P, NO.MAIL i� _i It �T ADIDAESS�nJ`�3ADDRESS T7ggCT ` % N _CONSTFR / OPCITY C. REPAIR JIS MOVINGLENDER i YAL`ri�l BRANCHOWNERADDRESS VALUA J%% RCHITE -C! ,C -TY ENGINFIRE ADDRESS _ZONE T PE APPROVED CONTRACTO r DATE ADDRESS — TE ZON NO. OF PLANS USE OF NEW BUILDING �! clrY �/9 G' STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. �� LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDGS. (FROM C/ TRE ET)' OF LOT Q x i✓ NOW ON LOT FT fey. USE OF EXISTING BLDG. in/� L 17 Separate permits are required for S � FT FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN SLOGS. ACCESS. BLDGS. _ VAR. 41 DATE C.U,P,� APPROVED ///!! APPRO (j6 ATEi I hereby acknowledge that I have read this application and note Mat the above Information Is correct and agree to comply with ell laws regulating building construction, and I shall not employ any person In violation of Me workman's compensation laws of Me State of California, I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: em exempt from Ma provisions of the Stet• of California Business VALUATION PERMIT �f and Profession» Cp\Q�e, Division 3, Chapter 9. FEE f pry PLAN CHECK S Signature of /y -a\ j u� Permltt.e c t il[[17JJ ill y_J'Cw`/ �i/O� $P500 TAX f Authorized Agent TOTALPAID f D t OWNER JOHNSON, THEUAA JOB ADDRESS 1053 Parkhill Drive AP No. 116-013-03 L( ,INSPECTIONS Pool Location Forms Main Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Fgeater and Vent Final _ Filter System Final Backwash and Recep. Final Fencing Final DATE BUILE N of WORK FIRE ZONE VALLI GROUP ,T TYPE id SUSCOMTRACTOR Electric 11•itii Plumbing Sir, • L_ -31-_7�--- -- - ---- ERMIT N0. 46136. _-_-- Seim_PO01.v/apa-_. .. o,-1 TS ISSi:Erl _ lumhrr i Siqnatur Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations iDate CITYOFFO MES CORSTRUCTION PERMIT Project d -Ne /i��/•,« Applicant's Mailing A rens � I ,' /l0,eeWad, l� Owner's Nam �Q/�S �/� Phone Ny /2 Address 35 � � ��� X_"," ,eq lel ''" "" NO' _. 1659 1 1 /05/84 10000 ' TL TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. A.P.# -, Zone S Main Building: Accessory Building: Arch/Eng. License No. Address - TYPE OF PERMIT - GRADING, ❑ rvDATION STRUCTURAL TENANT ❑ELECTRICL0 PLUMBING ❑•MECHANICALA - - - DESCRIPTION SQ. FT. OCCUPANCYAddress(mailing) CON STRUCTION TYPE VALUATION$ ZONE GRADING CU.YDS. ACRES E T Front IG Rear Contractor's Nam PN Phone-/1'?g+ [[+�',�,,PROJECT /Gos /n)•�✓�A! F1/� rJ/J . Ci.ty License No. �3 p3 LICENSED CONTRACTOR DECLARATION 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 full fUce aqqd effect. License /las C:3f0 p ¢ Signature C Right _ SLeft S - Ping. Ref. # Parking Req./Provided E Remarks: — , Planning Notes: - M T S , PLUMBING FEES WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self-insurelor a certificate Bar Sink Showell ' ELECTRICAL FEES Of Workers' Compensation Insurance, or a_certified copy thereof (Section 3800, Lab. C.) I Backflow' Preventer _ Service Sink Automatic Washer Transformer ❑ 15-50 KW Backflow Irrigation Sewer Ca p ' Policy No. Company -'-y, BCertified copy is hereby furnished. 11 1 ❑ 50 + KW Construction P61e Sub. Bathtubs , Sewer Connection , Cooking Unit Meter ❑up to 100 amps Certified copy i5 filed with the city Building Division. • Date� Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less): I certify that in the performance of the•Wo o which tete rmR is issued - I �. shall -notem ploy an person, in any ma er s 4s/to hep su sect to tie :. Workers' C m nsa n Laws'of Californ' Clarifiers _ _ Solar Collectors _ . Dishwasher Meter Clover 100 amps _ Dishwasher Solar Piping _ Dryers ❑Gas •❑Electric Sub Panel Drinking Fountains , Solar Tank - Fan Motors ❑0.1 HP ❑1'h-8 Floor Drains I Swimming Pool w/Spa F.A.U. -" Inc. Solar 09-15 HP 016-15+, x// L/!/ .' Date- Signature • " 'NO TILE: If iter making this declaration, you should become subject to the _ Floor Sinks - - - Urinal '-` Fixtures- '- - - - Microwave. Workers' Compensation provisions of the Labor. Code, you must forthwith - comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet , ht ht Li Device Boxes Pole jig CONSTRUCTION LENDING AGENCY' I hereby affirm that there is a construction lending agency for the performance Interceptors - '' Water Heater p - - - - Outlets Range i the work' for which this permit is issued ((Section 3097,- Civ, C.) Lender's Name - _ ' Kitchen Sink - - Water Service `' Switches Sign _ Lender's Address - - - - OWNER BUILDER DECLARATION - I hereby affirm that I am exempt -from the Contractor's License Law for the following reason'(Section 7031.5 Business and Professional Code: Any city or _ Lavatories Auto -Wash - Garbage Disposal ! P Standing Sections P -Trap 1 Laundry Trays Generator ❑0-5 KW ❑5-15 KW ' Trash Compactor 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/she is licensed 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 17031.5 by any applicant for ,a permit subjects the applicant 'to a civil enalty of not more than five'hundred dollars ($500). my employeeswithwages d their sole I as owner of'the 'property and ' compensation; will do the work, a and structure is not intended or Contractor's Business and Professional Code: The Contractor's for sale (Section of apply License Law does not apply to an ownerf a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are sold intended or offered for sale. If, however, the building or improvement is Sold within one:year of r lm- w111 have the burden of proving he/she tlId not build or lm- elation, r,the purpose ' rave for the purpose of sale). I, as owner the property, am exclusively contracting with con- Roof Drains ) - _ I y„ r Reins action Fee P - ' r, $15 _ Issue Fee $ 3' Reinspection Fee $15 Issue Fee 1 $ 3 _ MECHANICAL FEES : , Boiler. ' Hood or Type I ❑ -Canopy Type I ❑ , , DEVELOPMENT SERVICES REQUIREMENTS: I .Zoning Approved By Data Building Approved By Dat AppIIC'LIOn Issued By -// 1 ' Duct =Under Ground Duct - StructuralRefrigeration System stens . Th t actor' UL tenser Law (Section 7044, to Business and e Prf ropers Coda: tractors construct ' The Contractor's License Law does not apply to r S owner of property who builds' improves thereon, and who contracts for such projects with a con- ❑0.100,000 BTU 0100,000 BTU _ _ Duct: Ventilating _ ' SUMMARY OF FEES Exhaust System ❑ Multiple ❑ System Repair/Alteiation tractor( 09 t1cense pursuant oto mpee Contractor's License Law). I ov aware that ( 'proof o their Worker's Compensation' Insurance should be provitletl to inn. ❑ I am exempt under Section B: & P. C. for this reason BUILDING PERMIT $ PER $ I ' PLAN CHEC $ PERMIT 1 PLUMBI NG�i-I/ $ �%4 0� ISSUANCE $ _ Firepl/Fact. BIL ICBG # 'Fire Dampers Date Owner 'h hereby certify that -1 have read this application and'state that the above information is'cor} . I agree to comply with all, city and county ordinances and state, laws elating to Iltling tons ctio ,and In authorize repre aentati vee of lis crt tp'byEnte upoy�yylhe/ppbova-mentioned proper$H r Inspection PurlJpogsy:// �'///D // / 'Signature 1C X C�C�•�-� oat r",y y Drivers' License or SS # -� Heating System &Ducting ' ❑0.100,000 BTU ❑100,00087 'Registers PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING' $ , PLAN CHECK 50% $ MICROFILM $ ' ' MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ - Reinspection Fee $15 i Issue Fee $43 CMF 0865-46, rev. 10/84 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 52. Pool & Equipment Location _ 2. Sorl Pipe-Undrgrnd. - - '- 53. Steel Reinforcement it 3. Electrical Conduit Wility-UndrAdl 54. Forms- : 4: Electrical Conduit,-Undrgrnd. ^ a, 55. Electrical Bonding 5. Steel ,Reinforcemen. 56. Rough Plumbing & Pressure Test '4'• 6i";E1ectrical UFER-�rnd 57. APPROVAL TO COVER-GUNITE '4 7. Footings '-:� �� 58. Electrical Conduit-Undrgrnd. Foundation {, , "I 7 ' 59. Gas Pipe, O Uhdrgrnd., Test 9.i :' -, Wa-ter Pipe-Undrgrpq: 60. Backwash Lines, P -Trap, ❑ Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK31 11. Property Sewer Line'& House Conrie)ction -'{ 62. Backwash & Receptor -Final 12. Sewer'Cap ` `� 63. Heater & Vent -Final 13. Roof Drains t ',!, 64. Plumbing System - Final 14. Rough Plumbing;G 65. Electrical -Final 15. Rough Electrical`Conduit 66. Solar System -Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 26. Rough Factory Fireplace 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 I X73. Undergrnd. Storage Tank OGas ❑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 PREY. 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing //Lt�j' Gi-o 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Iriigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -- ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA CON TRMTION PERMIT Project AddrTs �o s.� s(�PLC1:.!<L 'g PER IT NO. '3 TRACT NO. LOT NO. I UNIT NO. 1 1.360 11/01/84 46,,50 TL TYPE OF CONSTRUCTION LJ NEW LJ ADD U ALTERATION WREIAIR ❑ CONVERSION ❑ DEMOLISH ❑ OT H DESCRIPTION OF WORK/USE OF BLDG. c CSflJ.�ifiT.CdL Applicant's Mailing Ai) dress 6 I4 CO.I G Owner's Neme �,�j ��-/.,�j y G Pho'�`�"—�(—�'K� Address 1653 r,42k41LL i0//j�A MCC, 5:A A P # Zone S Main Building: Accessory Building: , Arch/Eng. License No. Address - TYPE OF PERMIT LJ GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SD. FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS ZONE GRADING CU. YDS. A T Front 0 BA Rea \ _ N �"�4�5�-� I� �I�z � Contractor's Nam C n � Phma,�m�n(�A� sz_t!Yat Address (mailing) ��, I�6X /d%0%�r 1.. 1'CCJM x%24.2 f? �I City License No. .� (48 LICENSED CONTRACTOR DECLARATION 1 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 ism full yf rce an effect. —J License lass JC L'cen sg cry]-���� Date/� Signature Qy � C l G Left R Ping. Re(. # Parkin rovid E Remarks: Pla ing Notes: M T S. PLUMBING S - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate ELECT CAL FEES Bar Sink ShOw¢fa of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. 4.) Folic No. a-f'�-r'•?�-/��PTom an JLAi� -Fe>ARC> Y p y' 9 Certified copy is hereby furnished. Cer i Ie Copy is filed with the city Bye r� Dj,visi o'� ����' Backflow Prevenler Service Sink Automatic Washer Construction Pole Sub. Transformer ❑ 15-5 KW ❑50+KW Backflow Irrigation Sewer Ca 9 p 3 Bathtubs Sewer COn nectiOn' Cooking Unit Meter ❑up t0 100 amps Date �'� Applicant_C2 a :CJ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter [Dover 100 amps (This section need not be completed if the permit is for One hundred ($100)' or less). 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 become subject to the Workers' Compensation Laws of California. Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors ❑0-1 He Ell 'A - 8 Floor Drains SwimmingPool w/S a p F.A.II. Inc. Solar ❑9-15 HP Cl 16-15+ Date Signature NOTICE: If, after making this declaration, you should become subject to the Floor Sinks Urinal Fixtures Microwave Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet Device Boxes Pole Light CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Outlets Range of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Kitchen Sink Water Service Switches Sign Lenders Address OWNER BUILDER DECLARATION- I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/She is exempt 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). LJ 1, as owner of the property or my employees with wages as their sole Co.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 thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is Sold within one year of com. pletion, the Owner will have the burden of proving he/she did not build or im- rove for the purpose of sale).,rte I.az 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 builds or Improves thereon, and who contracts for Such projects with a con- tractor(sl license pursuant to the Contractor's License Law). 1 am aware that proof o// their Worker's Compensation insurance should be provl ded to me. ❑ 1 am exempt under Section B. & P. C. for this reason Lavatories - Garbage Disposal Standing Sections ^, P -Trap rC CI -eXkS` l _ Generator ❑0.5 KW 05.15 KW Trash Compactor ROOF Drains Reinspection Fee $15 Issue Fee - $ 3 Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Approved By Data Building Approved By—Dat Application Issued By ,v Dated Boiler Hood or Type I ❑ Canopy Type 11 ElZoning Duct - Under Ground Duct - Structural Refrigeration System Duct - Ventilating ❑Q100,000 BTU ❑100,000 BTU BUILDING PERMIT PLAN CHECK LAMBING PLAN CHECK 25% ''ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY $ $ $ $ $ $ $ $ OF FEES SMIP $ PERMIT Q� ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ Lfb 5� Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBG # Date Owner 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to but Aag construction, and hereby authorize repre- sentatives of this rh to ter upon the above-mentioned property for Inspection purp ,/-/- Signature!ASec Date Drivers' License or SS # Heating System & Ducting ❑0.10o,0008TU 0100,000BT f Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Datel Inspector POOL & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & EquipmentLocation 2. Soil Pilib-Undrgrnd. 53. Steel Reinforcement 3. Eliptr.ical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test " ' 6. Electrical UFER Grnd. ; - 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. - ^ 8. Foundation ,; 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd, -" 60. Backwash Lines, P -Trap, 0 Undrgrnd. _ 10. Structural Floor System - - 61. APPROVAL TO DECK 11.. Property Sewer Line & House;Connection 62. Backwash &Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final - 13. Roof Drains - 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit r 66. Solar System -Final - 16: -Rough Electric Wiring 67. Fencing & Access Approval 17.' Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69" POOL/SPA SYSTEMS FINAL 1,9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd:Storage Tank OGas OOil 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 PREY. FINAL 30, Drywall Nailing i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - ! 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing C'90 39. Water Service -Final - 40. Gas Service -Final - -+ 41. Solar Domestic -Final 42. Backflow Preventer, 4 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&"BUILDING 48. Special Requirements -,Completed = 49. Electric Release to-Edison' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' COMMERCIAL RESIDENTIAL V C. C. COLE PLUMBING & HEATING 645-1161 557-1807 REPAIRS MAINTENANCE REMODELING R� C E 6 V F WD CI OF COSTA MESA ILDINr P,O. BOX 1499 • COSTA MESA, CALIFORNIA 92626 January 25, 1985 The BIG idea is SERVICE City of Costa Mesa Department of Building & Safety 77 Fair Drive Costa Mesa, California 92626 RE: Plumbing Permit 016033 1053 Parkhill Drive Gentlemen: Alh JAN 2 13 1985 01A 7ial.4wIIIl111,11 21314L;5 I6 You are hereby requested to cancel above -referenced Plumbing Permit. Completion as set forth in the permit is being completed by others than this company and we request our respon- sibility be limited to rough installation of (3) bath tubs. We disclaim responsibility for completion of bath tub installations and all other work as permitted. Cancel- lation of the permit is requested on that basis. Thank you for your attention in this matter. Siere �. C. Cole Plumbing & Heating Lu Walker LW/hs copy - Robinson PROJECT ADDRESS: 1053 PARKH ILL DR UNIT: OWNER'S NAME: HARGRAVE, DAVID A ADDRESS: ROBINSON MRS W 1053 PARRHILL DR COSTA MESA,CA 92627 646-1035 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: W ROBINSON (714)646-1035 ADDRESS: 1053 PARKHILL DR C.M. CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensation Insurance, or a Certified copy thereof (Section 3000. Lab, C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date'. Applicant: — EXEMPTIONFROMWORKERS' COMPENSATION DECLARATION: (This section need not be conals,64 he permit is for one hundred ($100) or less). I certify that In the performance of the work for which this permit i issued I shall not a oy a person in any manner so as 10 becom subject to the Workers Compensation Laws of California. Date: _/? Signature : a NOTIL : 11. after making this declaration, you should become subject to the Wo ation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that) am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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 helshe is licensed pursuant lathe provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coca) 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 penalty of not more than five hundred dollars ($500). h as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is nm intended or o0ered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/bersell or through his or her own employees. provided that such improvements are not intended or oflered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractoi license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Comperimlion insurance should be provided to me. ❑ I am exempt under Section. B. A P. C. for This reason: 9 r c� Date: ` / Own r: s II do hereby certily that I am aware of and understand the requirements of California H IIh and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant wilOvrill not fords one) need to comply - said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residenlia c ligations are exempt Irom these provisions. Date: Applicant: I hereby parody that I have read mis application and state that the above information iscgrlec� I agree to corpply with all city and ordinances and state taws relating to busS[w tling construction and hereby authorue repulse es ( this city to enterupon the and Me properly f inspection pwposes. Date: Signature: Driver's License at Social Security =: 1641-46 White—Buildina: Green—Goole Enforcement: CanMV—Aoohoam: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: IP- 063 PERMIT NO: IP 063567 PLAN CHECK NO; N GOVT: CONSTRUCTION TYPE: PERMIT TYPE: OTH PLU PURPOSE: REP JOB DESCRIPTION : REINSTATE EXPIRED PERMIT #46136 SQ FT: CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 / COMMENTS: LINALIZE EXPIRED PERMIT #46138 FOR POOL & SPA Z 0 N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 42431303 ZNE: REF NO: PLANNING N TES> > M MMMif*BfM BhMMM�E BELE**BF1FlF*ikif**iFk kif ikBt kBF***BP k9t9Pit BPitk kit ilk***xitkkiFikitlkk OF Bt BEiE****MfP kiFBt****** D E V E L O P M E N T S E R VII C E S R E_.Q U I R E M E N T S i ZONING APPROVED BY :i DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: LEGALIZATION:N DATE: k MBF BF**iF9EBE**lFBf Bt****klfBB***BE9r***IHkit****iF9P**1f***********iHBBit BE F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 3052 SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 30,00 0.00 0.00 30,00 30.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 30.00 1f****kBf*Mklf kit lf***k1f********k**k*MiF*k*****MMk9f*#*BFM*kifk MBFif**MiFM*kkiE*iH k it k9t iFiFiP**Mit I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 PLUMBING RE -INSPECTION FEE 30.00 30,00 END OF FEES 01 00145305-00145305 TE_l T 30.00 DATE: 08/19/93 TIME: 14:56 CONSTRUCTION AND PLANNING POOL & SPA { APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ^x .�aI Condui,j filitY-Undrgrnd. 54. Forms ���ieNt.661 Condvit.Undrgrnd. 55. Electrical Bonding �fReinforcgment 56. Rough Plumbing & Pressure Test 6. 6grical UFE�,trnd. 57. APPROVAL TO COVER-GUNITE G �+•Z.oF'bbnngs 58. Electrical Conduit-Undrgrnd. cc y .;Fyaundation `7 59. Gas Pipe, 0 Undrgrnd., Test ,rD' �$. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1.1..Propwy.Sewec..Line.& House Connection 62. Backwash & Receptor -Final .. 12. SevYE'r Cap 63. Heater & Vent -Final ' 13. Roof Drains z 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrid-Conduit 66. Solar System -Final r 16. Rough ElectrieViring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrioal-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20; {to®h xoOY enlace 1 a..11 d^y r 0 0 trf x PPROVALSDu3 OPermit # �I 21uCys, ip,StcttEX F.F• y♦ 70.nderg-xxt HOro i •x -IS S V rrot 22.` Ducts, VEnt0atiggz .71. Produ Ing Zqp, C30i1 23!:Ga{ i o, h&'Test tr p � tr - x Undergro0n�J FINS . i [r:S •r to tT Q rjz . .72• K 241 Q Framing 1-+r I t- H ••;• .%> 0 r, x z.73PUndergrnd.Store BTank"L7Gas ❑Oil 25. Rooms Sf�'eathing •?r Q ('v i t'' O O `vv� 74� Overhead'fiydrq, y 26r9-L}ar Ceiling (Styygtural) 8' ePocoat t x � tn.s , ~x 7a7Dry Chemical 4 x IH 0 rT 27r,frame and Flashin " m , 7G.. Dry Stan d;.�ilia _ �•� S t'r D r -`� a;rx r a' r tv..« x (� ti ?C i. N:ii ,-,28. Lathing.& Sidingr>. (n "<;r x x x 7 h. ,. x a i 77Cr FIXED SYSTEM,FMAI3' tp % c >29. Insulatim ;a G S' > Ch 76£,F,IRE PREY. FINAIL *` 730. Drywall Nailing x r x MEALTH.DEP&. REQUIRWENT n31. Plaster Brow Copt? x ' `' 799RNAL IN§f'ECTI IN ' `D W n %vj�.�.- F t.•32trElectrif pAerihetn-Final, ^7 - 00.,,FOOD CEATIF(Cr TE I%' ED x v b Erectr} C [n gN4tes: a �33�ir6i1 �j34nFirt Heating1& `l it C�nditibrwlg r - x n r (%r S 00 r •357irfal Go Pipe-Tpst!_ 136619 %' 0 `-t.*..� • 'r O r-rp xc-` .-h• f 1'.T 36nlo o ono ? .., ,jj ^37.:Fin31 Factory Fireplace,_ 1 -`�'. `i • 'r n Final Ptulnbing Tjk- ,,38. 039. Water Service.Firrak ,. x f �W40. GaLService-Final'X r * - ' M C,rrrr .s Ir s `•� - :.a ' F41. Solar Domestic -F`_ Q_,S '(-it •• > 0 >• x •ice r f-•42.. Backflow Prevente�., .43. Backflow Irrigation• xSS - : 0 a 'T44. Landsca a igation Syste "X I�.t?,0 ' - x 'r� " ` .rl .e '', q:. t7 G 7x :i .7 B .•f O E45 Sound Attenuation j46:-Handicb FtQulati�ns '1 . ..` r � -'It` 47sF1 STRUCTURE & 8 DING x ! < 1 11; N; - _AL S48IfdTALPLATCNINj i t = x V r' x h- "49jEl6gric Release to..Edison r n t,50yGas. Release to SouThern Califon^a Gas Co o `. _ `51. CEL17I F ICATE O,OCCUP NC r * - Co 1c z t, No. Date E 6 _ .ttJJLa1982 6/30 /76 '64.6G TL /MESA BUILDINGSAFETY DEPARTMENT %O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only /� _ _ , / : i _ �i Ir s OWNER MAIL ADDRESS CITY CQS_7 / CONSTRUCTION LENDER BRANCH ADDRESS noCHITE /'• A curuuccra l �i TE RECEIVED BY ATE RECEIVEDDATE ISSUE D BUILDING A.P. NO.BUILDI-L ADDR/^�-/'/ ADDRNGESS C./J_ ` %�� TRACT / OP//,3 BLOCK X S APPROVED YARDS APPROVED LIC. NO. 7 LIC. NO.N OWNER c=L CSL VALUE S� $ FIRE ZONE WEM GROUP APPROVED TE NO. OF �% PLANS USE OF NEW BUILDING /f CITU �/� G� STATE CITY S APPROVED YARDS APPROVED LIC. NO. 7 LIC. NO.N BUILDING ACCESSORY BUILDING SIZE / NO. OF BLOCS./ TREEOFLOT V(F �j x l%NOW ON LOTFTUSE O. FT. N OF 6 the State of California Business and Professions Code, Division 3,UNT EXISTING BLDG. : � /Separate permits are required for :F FT FT. SI nature of g electric, plumbing and heating Work. PLAN CHECK fits REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE SET. BET. MAIN & Authorized Agent MAIN BLOCS. ACCESS, SLOGS. V VAR. qp C.V.P. $ DATE APPROVED I hereby acknowledge that I have read this application and state v+ that the above Information Is correct and agree to comply with m � all laws regulating building construction, and I shall not employ any parson In violation of the workman's compensation laws of e the State of California. I herebycartif that 1 am y properly licensed as a convector under O. FT. N SHOWN UNDER VALUATION IS FOR m_ the State of California Business and Professions Code, Division 3,UNT Chapter 9, and that such licenses are in full force and affect, or 1OSE [THEOF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business antl Profeaslons CSP(ye, Divisi(on�/3\Chapter 9. PERMIT FEE S SI nature of g AO PLAN CHECK fits Y �dJ l Z ♦ H Permittee _— TAX • s Authorized Agent TOTAL PATO SArll s O V ER JOHNSON, THELMA DATE —5.-31-78— — ADDRESS 10 Parkhill Drive �3� BUILDING PERMIT N0. .46136_ _ __.__— _ DESCRIPTION ERA- CONTRACTOR Sunset Pools West. ��— of WORK Pvt. Swim Pool ..x s � pa____._. 1„ I IA -m z_nz I nT TRACT FIRE ZONE VALUE $ s snn_ Pool Location Forms Main Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final :HZ.ater and Vent Final Filter System Final Backwash and Recep. Final Fencing Final C SUBCONTRACTOR PERMITSJSSUEP, Dore_j N"mJIL t j—&—cincture Electric f1,7rgj Plumbing RPM CITY OF COSTA MESA CALIFORNIA 92628-1200 P.O. BOX 1200 DEVELOPMENT SERVICES DEPARTMENT October 31, 1964 ,q W. Robinson � S 1053 Parkhill Dr. / Costa Mesa'Calif. Re: Cartpliance inspection 00 796 Fire Damage STRTJ"I'URAL: Contractor Kirkham -Anderson Inc. Lic, 444014 17751 Mitchell Irvine Ca 92714 a. Replace 5 x 4 aluminon window in kitchen. b. Replace 4 x 4 aluminw window in family rown, c. Replace 8 x 6 alurninutt door in family room, d. Replace 2"x8" ceiling/floor joist in kitchen, ETEC ITZICAL. a. Replace light fixtures in kitchen and family rooms. b. Replace Electrical wiring and outlet in kitchen, PLUMBING: Contractor C.C,Cole (.714)_645 1161 a, Replace kitchen sink. b. Renrve existing fiberglass tub/shower and replace with cast iron tub, 1st floor. c. remove two existing fiberglass tub/shower and replace with cast iron, 2nd floor. Permits will be required for structrual, electrical and plumbing repairs, All permit fees shall be double fees as above described work was cmpleted prior to obtaining permits. Sincerely: /�Y; �<� W.E. Cloud Chief Building Inspector Building Division (714) 754-5626 Code Enforcement/Business License (714) 754-5234 77 FAIR DRIVE Planning Division (714) 754.5245 -D5 CITY OF COSTA MESA, CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/ BUILDING SAFETY DIVISION CERTIFIED MAI COMPLIANCE OR OCCUPANCY INSPECTION REPORT APPLICANT TO FILL OUT 1 Subject Address 10� G^%2� (XY/L Date Rec'd.- Mail Report or Correction No 1 �� ,�_ (;,- Applicant Applicant LA G 1 )US D A) (� Telephone( x)..� f Address r .Jpp �� — II Zip•Cifde Owner's Name (Print) 1l r d ^I ro S N Owner's Address �i'�'l�_ Zip Code Owner's Signature Date -f(r,e. i (lspe,+Lon no }ems.�-� Recorded by � -- initial Compliance Inspection No Site Location At your request, inspection was made at the above -referenced address and the Code violations shown on the reverse side were observed. You will be required to correct the violations listed within fifteen (15) days after receipt of this letter. Failure to comply within the allotted time will result in a complaint investigation being initiated for compliance of the Codes. If you need assistance, please contact the appropriate Inspectors listed below: Structural (754- ) Electrical (754-- Plumbing/Mechanical 754- Plumbing/Mechanical (754-- Very 754- Very truly yours, Name Title cc: Inspectors Property Owner CMF 1035-46, rev. 9/83 White -Bldg.; Canary -Owner; Pink -Clerical 77 FAIR DRIVE (714) 754-5273 A)k0x� �ae2e„ NOTE: SEE REVERSE SIDE Richard Hubbard 17422 Yellowstone Avenue Yorba Linda, California 92686 PRO.IECI SWIMMING POOL ADDRESS 1053 Parkhill, Costa Mesa SAMPLE FROM Transition, deep end cove, deep end bond beam ♦PI nIIFU CQNLP LCiOP Sunset Pools West EhOi nett SUBCONTRAAOR B. C. Adams Enterprise Gunite Co. SPECIFIED mix 4 2 — 1 STRENGTH 2,000 psi 5j" x 1211 9-20-78 3 7 -Day 74,500 3,136 DATE C,ASI DATE TESIEO CS'iINDER NO. COMPRESSION TOTAL iOAD, 188 POUNDS PER SO, IN 9-13-78 9-20-78 1 7 -Day 64,000 2,695 CYLINDER 5122 9-20-78 2 7 -Day 61,000 2,567 COMPLIANCE 7 -day test complies with speicfications. MADE 01 DEIIVER[D BY RECEIVED ON CYLINDERS Friedrics Hubbard 9-14-78 Dnnleun Or. R. Hubbard - 3 -6e- a Mesa Bldg. Dept. )'. ��8.. f., or. („ e, of ✓O o,S CO N4,. 1.5.O.,S Ou t I •r 1Jq Q- �` , c JU tEZft ?wining Laboratories �f s t l OZRCCt, �f ItC. RORE 'Nnv 828.6432 PO BOX N .3710 AiR LONG BEACH CALIF 90801 [717) <Ye 3755 .'7131 elo-2!Ae plq 60.�riC� 1I110EE TESTING .•.. . s.. . n., ..., ., IIS. S3 1G5oQ , ^� &� C. WDs 1 1],2320 September 20, 1978 Ex aminalion: SC78-4558 COMPRESSION TESTS ON GUNITE CYLINDERS Richard Hubbard 17422 Yellowstone Avenue Yorba Linda, California 92686 PRO.IECI SWIMMING POOL ADDRESS 1053 Parkhill, Costa Mesa SAMPLE FROM Transition, deep end cove, deep end bond beam ♦PI nIIFU CQNLP LCiOP Sunset Pools West EhOi nett SUBCONTRAAOR B. C. Adams Enterprise Gunite Co. SPECIFIED mix 4 2 — 1 STRENGTH 2,000 psi 5j" x 1211 9-20-78 3 7 -Day 74,500 3,136 DATE C,ASI DATE TESIEO CS'iINDER NO. COMPRESSION TOTAL iOAD, 188 POUNDS PER SO, IN 9-13-78 9-20-78 1 7 -Day 64,000 2,695 CYLINDER 5122 9-20-78 2 7 -Day 61,000 2,567 COMPLIANCE 7 -day test complies with speicfications. MADE 01 DEIIVER[D BY RECEIVED ON CYLINDERS Friedrics Hubbard 9-14-78 Dnnleun Or. R. Hubbard - 3 -6e- a Mesa Bldg. Dept. )'. ��8.. f., or. („ e, of ✓O o,S CO N4,. 1.5.O.,S Ou t I Applicant to fill in all spaces except those within heavy, border lines and sign all appropriate declarations CITY OF COSTA MESA COV $TR UTI OVER Project Address I0Sg,ek %�� R PER�y11T NO. SOL+ TRACT NO. LOT NO. UNIT NO. 1603 11/02/.84 - 11 1 e00 :Ti - - Applicant's Mailing gddress '__J0 Owner.'s Name �f �h Phone —J _ Address TYPE OF CONSTRUCTION - NEW ADD ALTERATION REPAIR ❑CONVERSION ❑ DEMOLISH ❑OTHER DESCRIPTION OF WORK/USE OF BLDG. ' A,P, # Zone S Main Building: Accessory Building: Arch/Eng. License No. Address TYPE OF PERMIT , ❑ GRADING FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING,, ❑ MECHANICAL ❑'OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY CON 51 RUCTION TYPE VALUATION $ ZONE GRADING CU. YDS. 1 ACRES , E T Front 2 Q A Rear i - _ N ,y. Contractor's Name lhetof eG /%I �. ph 3�- pp I I/ O Address (mailing) 49 cal' nj • we g^eP ?,S w 3 City License No. �,C_ LICENSED CONTRA ' CTOR DECLARATION 1 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 ull force and effect. 6 C 'K Right _ N S Left _ G .# Ping. Ref.Parking Req./Provided E Q Remarks: '� _ / Planning Notes: -- M I T $ .�7f License Class Lice a No O Date �� a ti SignaturePLUMBING FEES Bar'Sink Showers ELECTRICAL' FEES WORKERS' COMPENSATION DECLARATION - 1 hereby affirm that 1 have a certificate of consent to self -insure or a certificate Backflow Preventer - —" Service Sink " Automatic Washer Construction Pole Sub. Transformer ❑15-50 KW ❑ 50+ KW of Workers' Compensation Insurance, Or a certified copy thereof. (Section_ 3800, Lab. C.) - ' Policy No. Company certified copy is hereby furnished. e Certified copy is.filed with the city Building Division. Backflow Irrigation - Sewer Cap _ Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION :(Thissectlon need not be completed if the permit Is for one hundred ($100) or less). I I certify that in the performance Of the wo for whi h this permit is issued 1 shall not �e employ any person in any man er o s t bad sub)ect to the 1 Workers' 5: py gtlon Laws of Cali forni c Date'- A9 Signature i Clarifiers Solar Collectors Dishwasher _ Meter ❑over 100 amps _ Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 116-1 HP 111 j . Floor Drains 1 Swimming Pool w/Spa F.A.U. _ Inc. Solar ❑9-15 HP ❑16-15+ %- iNOTICE::H, after making this decixrat., ou should become subject to the Workers' Compensation provisions of the Labor Cotle,-You must forthwith comply with such provisions or this ,permit Shall, be deemed revoked. , CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending'agency for the performance FIOOr Sinks - - =-Urinal-- - - - - - — Fixtures - Microwave Gas Service Outlets Water Closet - Device Boxes Pole Light. (� Interceptors - Water Heater 1 Outlets Range Q of the work for which this .permit is Issued (Section 3097 Civ. C.). Lender's Name I Kitchen Sink Water Service Switches Sign 'Lender's Address - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she Is licensed pursuant to the provisions oL the Contractor's License Law (Chapter 9 (commencing with Section 70 00)of - Division 3 of the Business and Professions' Code) or that he/she -is exempt Lavatories _ -, Auto -Wash _ Garbage Disposal ! Standing Sections P—Trap - Laundry Trays y y Generator ❑0-5 KW ❑5-15 KW Trash Compactor RoofDrains - - - therefrom and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toy a. civil penalty Of not more than five hundred dollars ($500). - 1 1, -as owner of the property or'my employees.with wages gas their sole compensation, will 'do the work, andthestructure is not intended or offered Reinspection F¢0 $15 Issue Fee _ `$ 3 r i Reinspection Fee $15 Issue Fea I '$ 3 MECHANICAL- FEES 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 thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT 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- pletion, the owner ,will have the burden of proving he/she did not build or im- prove for the purpose oflsale). ❑ I, 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_ builds or improves; thereon, and who contracts for such projects with a con- tractor license pursuant to the Contractor's License Law). I am aware that ,.ofoft; their Worker's Compensation insurance should be provided to me. c ❑ lam exempt under Section B. & P. C. for this reason SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Data I 'Application Issued By Datn I L Boiler. Hood or Type I ❑ Canopy Type I1 11 , , Duct'- Under Ground' Duct -Structural Refrigeration System 1 - ' 00-100,000 El 100,000 BTU - Duct. Ventilating _ - 1 BUILDING PERMIT PLAN CHECK l PLUMBING PLAN CHECK 25% ELECTRICAL : C7•®� PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF'FEES $ SMIP $ $ PERMIT $ ISSUANCE $ $ ENERGY P.C. $ GRADING '$ $ t`7O) MICROFILM $ $ TOTAL FEE $ .�.� $ - _ I <7� Exhaust System ❑ Multiple ❑ System Repair/Alteration - Firepl/Fact. Bit. ICBO # Fire Dampers • Date Owner hereby, certify that I,have 'read this application and state that the above Information is correct. I agree to comply with all City rand county ordinances and state lawsEra ing o building construction, and hereby authorize repre- sentatives of t is it to nter,u bn the above-mentioned property for (inspection purp S"as 1 V I p/ Signature Date I�" a --o Drivers' License or SS # Heating System & Ducting Do -i00,000 BTU ❑100,00087 Registers - - - '- - - - - Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink . Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING - APPROVALS Permit =/A Date Inspector POOL & SPA. APPROVALS Permit # Date Inspector. 1. Temporary Electrical Service or Pole' ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - - - 53. Steel Reinforcement 3. Electrical Conduit'Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrdrnd. 55. Electrical Bonding 5. SteelReinforcement' 56. Rough Plumbing & Pressure Test 6• Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation r 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. - _ 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 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final ' 16. Rough Electric Wiring // 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# , 20. Rough Factory Fireplace 21. Ducts, in Structure "1 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test - _ 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 I 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: _ 34. Final Heating & Air Conditioning s' 35. Final Gas Pipe -Test - 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer - 43. -Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations - - 47. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OF��COSTA MESA CO�jSTRUCTION'PER�I� ProjectA4Qressr�,J?3/g�l� lj�lGL PERN;I ?? � J aK� a /LJ `� TRACT NO. LOT NO. UNIT NO. - 71y(oOj TL 1218 10/31 /B4 TYPE OF CONSTRUCTION LJ NEW LJ ADD L1 ALTERATION X REPAIR ❑ CONVERSION El DEMOLISH EJ OTHER DESCRIPTION OF WORK/ 5E OF-BLQG. y f I/{ {-- Q//F <�( ) aWS �/ r ode— App'licant's Mailing Address /-/✓1 ��LGL ZiL/%• B/.uS-D N Owner's Name 't Phone Address �t��-� ���«-�- U/L�{,w(p A.P. # Z S Main Building: Accessory Bui g: ��(/l.v —S �rN�' LFOUNDATION Arch/Eng. License No. Address TYPE OF PERMIT G ADING '81 STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑'OTHER _ PROJECT DESCRIPTION Si FT. OCCUPAN'C�Y� CO N STRUCTION TYPE VALUATION$ La DOO ZONE GRADING CU. YDS. ACRES T Front .O A Rear N ` ` / Contractor's Nam P_ 7 /�6 '" q� on 4& , Address (mailing) -Z/ �� l� '..� ✓ • 9Z-!� 3�2 City License No. _ _ J LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Cotle, a tl my license is in full rce and effect. may/ License C ss n P No. V Date ��V - Signature +— C Right �N g Left IS R , Ping. Ref. # Parking Req./Provided E Remarks:10 61 Planning N s: M T $ PLUMBING FEES - ' WORKERS' COMPENSATION DECL RAT4 I hereby affirm that I have a certifi ca of consent to self -insure ora certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Iasuran e, or.a:cer tifled copy t hereq f .(Section 3800, Lab. C.,j ` Policy No. /�/��7��� Company d% �qL<<� ❑ Certified copy hereby turn is hetl. ertifi d 9 ' ed wit h�tne city ui n Backflow-Preventer - Service Sink •-� - - - Automatic Washer Transformer ❑ 15-50 KW ❑ 50+ KW Construction Pole Sub. Backflow Irrigation Sewer Ca '+� P Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps, j Dat J Applican EXE PT�N R WORKE RS'CO E SATIO D LARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps P (This section need not be completed if the ermit is or one hundred ($100) or less). - 1 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 become subject to the Workers' Compensation Laws of California. Dish Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains I Solar Tank Fan Motors ❑0-1 HP ❑1 - 8 f Floor Drains - Swimming Pool w/S a P - F.A.U. I Inc. Solar [19-15 HPl❑16-15+ l 'Date ' Signature I NOTICE: If, after making this declaration, you should become subject to the Urinal Floor Sinks - - '-' - - - --' '�- - - Fixtures Mic;bwav¢ ,Workers' Compensation provisions of the Labor Code, you must.forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service 'Outlets Water Closet Device Boxes Pole Light CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance Interceptors Water. Heater - - Outlets Range of the work for which this permit is issued ,(Section 3097 Civ. C.) Lender's Name - -.� ' Lender's Address - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the, following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division '3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section Kitchen Sink Water Service ' ,Switches Sign ' _ Lavatories Auto -Wash - Garbage Disposal ;Standing Sections - - _ p_TraP' - Laundry Trays _ _ Generator ❑0-5 KW,❑5-15 KW Trash Compactor _ Roof Drains . l I - 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 5 compensation, will 'do the work, and; the structure is not intended or offered for sale (Section 7044, Business'and Professional Code: The Contractor's I License Law does not apply to an owner of a property who builds or Improves thereon, and who do 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- ' pletion, the owner will have the burden of proving he/she did not build or im- grove for, the purpose of sale). LJ I, as owner of the property, am exclusively contracting' with licensed con- o ; tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who build or improves thereon, and who contracts for such projects with a con--, 'tractor(s) license pursuant to•the Contractor's License Law). 1 am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section S. P: or this reason & C. for I Reinspection Fee $15 Issue Fee - S 3 - Reinspection Fee $15 Issue Fee $ 3 MECHANICAL, FEES - - Boller - - Hood or Type ❑ .Canopy Type 11 -❑ - DEVELOPMENT SER VICE$rRJj IIREMENTS: - I /S/ -j-(. Zoning Approved By - Date J 'Building Approved By Application Issued By Data Duct - Under Ground3/ Duct -Structural Refrigeration System , E]0-100,060BTU ❑100,000 BTU Duct - Ventilating -- S MMA [1� FEES r '/L/ O& 1 cry BUILDING PERMIT $ • SMIP $ PLAN CHECK $ �a-- PERMIT PLUMBING $ ISSUANCE $ _ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firep l/Fact. Bit. ICBG # Fire Dampers DateOwner - I hereby certify that I' have''read,this application antl state that the above information is -come . I agree to comply with all city and county ordinances and state. laws relay g o uildi construction, an hereby authorize rept - Sentatives of this it e r pon the above-mentioned prop ty or 'inspection our 1 Al `f� �` Signafur at Drivers' Lice s v SS Heating System & Ducting ❑0-100,000 BTU ❑100,000 BT Registers ENERGY P.C. $ PLAN CHECK 25% $ l -'1 GRADING $ ELECTRICAL $ �' PLAN CHECK 50% $ MICROFILM $ u MECHANICAL $ TOTAL FEE / l PLAN CHECK 25% $ _r�L�L r0 ¢ � ---" "' -r - - Reinspection Fee ve; Issue Fee $ 3 CMF 0865-46, rev 10/84 White - Building; Canary - Applicant: Pink - Accounting; Goldenrod - Assessor a If- O 6 CONSTRUCTION AND PLANNING AF7PROVALS Permit# ,- t Date Inspector POOL & SPA APPROVALS Permit •Date Inspector 1. Temporary Electrical Service or Pole 52. Pool &Equipment Location _ 2. Soil PioOUndrgrnd. - 53. Steel Reinforcement 3"lectricaCConduit,Utllity-Undrgrrid. - 54. Forms ' '�• • 4'. EIectPical. Conduif-Undrgrnd. 55. Electrical Bonding `• 5�Stee1 Reinforcement; 56. Rough Plumbing & Pressure Test , IS"-Electrical UFER'Grnd. - 57. APPROVALTOCOVE R-GUN ITE �I 7.�ingq - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 11 Undrgrnd., Test 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. q; 10. Sti uctural Floor System % 61. APPROVAL TO DECK 11 Property Sewer Line &House Connection ' 62. Backwash & Receptor-Final ` 12' Sewer Cap r 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16.' Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing !1 ` r/C. 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing11 hq b Yv HEALTH DEPT. REQUIREMENT 31. Plaster Brown Codi r I 79. FINAL INSPECTION 32. Electrical Power Meter-Final i 80.. FOOD CERTIFICATE ISSUED i 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final _- 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation i 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL' STRUCTURE & BUILDING; J�iS 48. Special 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 CALIFORNIA 92628-1200 P. O. BOX 1200 October 31, 1984 DEVELOPMENT SERVICES DEPARTMENT W. Robinson 1053 Parkhill Dr, Costa Mesa Calif, �S�cJ$ < Re: Complianoe inspection CMB 796 Fire Damage STRUCTURAL: Contractor Kirkhazlr-Anderson Inc. Lic, 444014 -17751 Mitchell Irvine Ca 92714 a, Replace 5 x 4 aluminlun window in kitchen. b. Replace 4 x 4 aluminum window in family xoom. c. Replace 8 x 6al ninu m door in family xoom. d. Replace 2"x8" ceiling/floor joist in kitchen, ELECTRT(AL: a. Replace light fixtures in kitchen and family rooms. b. Replace Electrical wiring and outlet in kitchen, PLUMBING: Contractor C.C,Cole (714).645-1161 a. Replace kitchen sink. b. Remove existing fiberglass tub/shower and replace with cast iron tub, 1st floor. c. Remove two existing fiberglass tub/shower and replace with cast iron, 2nd floor. Permits will be required for structrual, electrical and plumbing repairs, All permit fees shall be double fees as above described work was canpleted prior to obtaining permits. Sino>��7 W.E. Cloud Chief Building Inspector Building Division (714) 754-5626 Code Enforcement/Business License (714) 754-5234 77 FAIR DRIVE Planning Division (714) 754-5245 From the Desk of .. . PERRY VALANTINE 10 S 3 BAR KFku— DQ- WLA-n . COQ Lo G/ia 89 40 a"" J �a•w- J� , rQ,-,4 �. (,-i (,D-1 03 S' /u4M CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT Registered Deputy Building Inspector - Certificate of Compliance Date of this Certificate 9- 13- -)a Building Address 10 5 Owner \ Contractor N \ S1, lc Address ZT aN Wo C3 utn 6 Q V I CA Permit No. L% �. ] '3 �+ Date Issued - 3 1 7(6 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 I r Swimming Pool Sized [4Gunite [ ] Hand Pack Sacks of Cement /19 Tons of Sand 9 :�)_ Approximate percent of water in aggregate V O)b This report covers work completed during week ending Ct- REMARKS: 5"l£%� 63eNo�tS6a - � 1�pC�o{Y� Registered Deputy Building inspector _ _�!•�OG�,MPN Sid^� spZ `S Se,NgIN6 Cv1:iN Ot2i iS\ `ESW-�-S Name Address 1 % y 22 {�-�:D W'S �ON�n pwer — - - - �akap LItabgTCg5f4L(,8L . Laborator I W l N! NCS Telephorte1l y ] 5_1 -QI 5Q_ CMF 0406-46 (BU 6) oft`�✓GF, �— f. ry " PROJECT ADDRESS: 1053 PARKHILL DR UNIT: OWNER'S NAME: ROBINSON, W ADDRESS: 1053 PARKHILL DR COSTA MESA,CA 92627 ARCHIL NGINEEfl: 646-1035 REG.NO.: ADDRESS: UNIT: PERMITTEE: ROWLEY CONSTRUCTION (714)241-8312 ADDRESS: 1331 SHELTON SANTA ANA CA 92707 LICENSED CONTRACTOR DECLARATION: I hereby alfirm 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. CITY LIC.: 014624 STATELIc.:328929 CLASS: B Date r/Y—'f Signature:ir(gl4s— WORKERSCOMPENSATION DECLARATION: I hereby affirm that t have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. Q. POLICY NO.: EXP. OATS: COMPANY: ❑ Combed copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if a permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issupit I shall not empl y perso any manner so as to become subject to the Workers' Compensation Laws of California. Date: O — /7 ,P 3 Signature'�y B 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 deemed revoked. 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 (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATIDN: I hereby affirm that) am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 064038 PERMIT NO: P 064038 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION C/O GAS LINE SQ FT: CLAIM VALUE: 300.00 CALC-VALUE: GROUP OCC: R-3 / COMMENTS: ■�***kkkkk*kkkkk*kk*��Ex+rir�E+r+tit+E*�E*+r�F*�r*��rsit�F*�E**�1F*�r*********�E��****�E**�r*****r*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42431303 ZNE: REF NO: PLANNING N TES> > k k k k kk k k kkk k kkkk k kk kk kkkik k k %kick k k kkk kkkkk k k k k kk k k kkk kk kk k k k k kkkkkkk k k k k k kk kk k kk D E V E L O P M E N T S E R V -1'C E S R E Q U I R E M E N T S ZONING APPROVED BY i DATE: BUILDING APPROVED BY ; V DATE: I APPLICATION ISSUED BY: DATE:��3 k kkkkkkkkkkkkkkkkkkkkk kkkkkkkkkk k ik ik ik ik it ik k ik ik ik it it it ik ik ik ik ik it ik it it ik ik ik k ik iF ik ikkkk kikkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 5.00 25% SMIP/NON-RES and Professions Coot or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by PLAN a, l.' I, any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). ISSUE FEE 20.00 I, as owner of the property or my empjuries with wages as their sale compensation, will do me work, and the 13 structure is not intended or offered for sale (Section 7044, Business and Professional Code'. The Contractors' State License Law BUILDING—DIV—> TOTALS — ---> PERMIT 5.00 ISSUE PLAN�CHECK 2 0.000 0 0 TOTAL PAID DUE 25.00 25.00 does not apply to an owner of a properly who builds or improves thereon, and who does such work himself/herself or through . .00 his roher own employees. provided that such improvements are not intended deor offered Ion sale.If, however the buildingor ve improvement n sold within one year til completion, the owner will have the burden of proving ales he did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 25.00 OVER/SHORT: .00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business 11 The License Law does to who builds or improves thereon 25.00 and Professions Cotle'. Contractors' Slate not apply an owner of property and who contracts for such projects with a contractors)license pursuant to the Contractors' Stale License Law). l am aware that proof of their Worker's Compensation insurance should be provided to me. , kkkkkkkkkkkkkM,kkkkkkkkkkkkkM,kkkkkk,kk, it kiFk kk,kkkkkM,k kkkkkkkkkkkkkkkkkkkkkkkkkkkkkk ❑ 1 am exempt under Section: B. & P. C. for this reason TYPE Date: Owner. I PLU I do hereby certify that I am aware of and understand the requirements of Cabfornia Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one)need to comply with said state codes and the requirements far a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby Cindy mail have read this application and stale that the abpv intormation is correct. l agre to comply with all city and county ordinances and stale laws relating to building construction and hereby horlie mpr¢seOlatlY tihi yip enter upon the above mentioned properly yyyfor inspection purposes. Date .7 '/7 — % I Signature �'LY Driver's License or Social Security a: 164146 White—Building', Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor I N D I V I D U AIL^ F E E B R E A K D O W N .J QTY D E S C R I P T I O N. UNIT COST TOTAL COST 1 GAS PIPING SYS OF 1, TO 4 OUTLETS 5.00 5.00 END OF FEES r r . 01 00147145-00147145 Till 25.00 DATE: 09/17/93 TIME: 11:10 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permits Date Inspector APPROVALS Permit 'r Date Inspector 1. Temporary Electrical Ssrlee or Pole 52. Pool & Equipment Locatwn 2. Soil Pipe-Uncl t%rnd. '0 53. Steel Reinforcement ��ectriSal ConCWIL"'.>l.l_ty O'c•gmd. 54. Forms �-. -. Etctrioal Condnli•':*drgrnd. 55. Electrical Bonding $'emforce+rt:!cd 56. Rough Plumbing & Pressure Test - 6-_Ezctrica; UFEl-`d p Nd - I 57. APPROVAL TO COVER-G�,`: Tr ; �dotings 1� ;y 717 58. Electrical CocduaUndrgf ntl._-_y I • 8lfounoabon y 59. Gas Pipe, ^ Urn„ion�d Trst , 60. Bac'nvash Ln^'�. P -Trap, : 61. APPROVAL TO DECK "= 9. Water P,pe-Ungrrn. y -_-- 10. Structural Floor System --j � i 11. Prcperty Sewer 62. Back::ash & Rrc_,, ,­:':...' - -- -- 12. Sealer Cap 63. Heater &Vent -F insl I ,,.. o, 13. Roof Drams 64. Plumbing System - F ial 65. Electrical-F.ral ^' 14. Rough Plumbing �- 15. Rough Eiectricar•Conduit 9 66. Solar System�f incl 67. Fencing & Access Approv.' 16. Rough Electric l'Viring -� 17. Rough Wiring' gn 18. Rough Electri `&.T Bar Ceiling 68. APPROVED FOR PLASTERING 69, POOL/SPA SYSTEMS FINAL I -' FIRE DEPT. REQUIRENIENT 19. Rough Heating & Air Cord:t�onin 9 9 g 20aWouyh Uctdcv Fufeplace I tr17.1 lz�'-1 t 't Ci :APPRZVA,E37= `•Pcin.it ss 21,=Dins, it♦:Strytctu?�-y I .... �� t y- 7 F ;70. E:'ndergr•1 ¢tiC Hyfiro 71. Producg mg :0>s _,�rO.I 22., DuEt , 23:�.,a'ip8.:}1oh•Test i .,.z I �, -y bi ti - t ;72, UndcrgFI roCrn r� US!rj r 24.:float Fr,,.m.ru _� I F•'- - > > C? c' * 3:'tUnrJcrnrnc Sln•r+7�Ta•'. f- Gc- J, ..741,Overl.7,:aF,•,L 25. Ro6;Stl;. thing ? 75 Or;• Ciienvcal----I^-- i 26.r,T-8.4r Ceiimg (St•ucatura') F:Lkf:+uccat ? to C. + y,=- w " r)-��I .vr F-• -0:_ n r n; : # ''' . t 27,f rame and F!ash-, ^ 'J'-•tlC a C" ., .'-+ • t 76. Dry Sta -:•�" 77." FIXED '_28.JLat• mg.& Siding ..i .. ••s• 781 -FIRE RFEV <>.;L s • - r r1 •% `lK x: T. FhDEPTii}EQU''.RECi ENT '29. Insulate- C, t = • •• l ' i f J t^30. Dry -all halgAg n a '31. Plaster gown Coat 32;.Electnc5l Pot-fer',:a'ta'.F^.,: I ;o I .B0.�iCOD CEH -. F,. -)r -E I51K'_J 7 rt dd El .-33 in3I ectrl , "s rt1 I d � � � 3 ffl �� 7e"� a n• � / rcy, D4,•-Finel Heatin.}-•& An,C6-4�tionmle; ,-. k ::.F I � L - •, r tr //��_t I ^:-:-+-�-=-.�- -ar 357- orbit Gas Pi;13-Test': --. I :.r�-i � /✓?!�-'C✓'Y_l_�i�+t•" iL%KY�� _1icf2�` -_' 36: Ho6 or Canopy :; F_07. rmiQ Factory Ffrep�ai:'L,, IFF I �• 1=38. Finel Plumbing F[39. WatLrService-Finalx ° f^' t 7 ?' ,I10. Gas Service -Final T r, r• Z J^ ti 1 x - --� -- --- '711. Solar Domestic'Fina!_, "• •• ^ 's i "' �� " -� F42rBackflow Preventer+'" 43. Backflow Irr-igation t - N Landscqpe 1f 4gation Systemu. , - t r N N J e h84. a ��5.CSound AtterlJaticr✓ Q:f•+ I s T f-• -r `46.-;HancicaP.Regulati4s _• : - :� ,� STRttCTL'RE & BJfLDING r47.<FIFd1aL 48 If�1L PLA y INCi _ _, t 2. it _ -•-- �--�- - a39. ElectrictRelease to Edison t 50.,Gaaijelease to SO4ero Califoupa Gas Co y$1. CE j;. IFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1053 PARKH ILL DR UNIT: OWNER'S NAME: HARGRAVE, DAVID' A ;A. ADDRESS: ROBINSON MRS W 1053 PARRHILL DR COSTA MESA,CA 92627 � AfiCHIENGINEER: 646-1035 REG.NO.: ADDRESS: UNIT: PERMITTEE: W ROBINSON (714)646-1035 ADDRESS: 1053 PARKHILL DR C.M. CA 92626 LICENSED CONTRACTOR 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 farce and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure ora certificate of Workers Compensation Insurance. or a certified copy thereof (Section 3800, Lab, G). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: ((This section need not be complet d if the permit is for one hundred ($100) or I. I cemly that in the performance of the work for which this permit is issued. I shall net oy ny persor`in;ny manner so as to be me subject m , Workers' Compens lon Laws of California. e.`7/U7�]• Date: 3 Signature- NOTICE: It. after making this declaration, you should become subject to the WO rs-Rompensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Civ. C). LENDER: ADDRESS: CITY OF COSTA MESA - BUILDING PERMIt: -PERM NO: IE PERMIT NO: IE 063566 PLAN CHECK NO: N GOVT; N SUPP; CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE; REP JOB DESCRIPTION : REINSTATE EXPIRED PERMIT #46136 SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 / COMMENTS; LINALIZE EXPIRED PERMIT #46138 FOR POOL s SPA kkkkkkkkkkkk �EitiE�P�ir�P�t�itit RtitRtitit Rt RtRt�t�tit**�t�t�t*Rt**r�ERERE �P*RE�Pit�ErRr*�tRE�titit*�t�E�P�txRtrr *�P�E�t�E�t�yrRr Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING RE PROV: PARCEL: 42431303 ZNE: REF NO: ,E, PLANNING N lES> and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ISSUE FEE > x any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk PERMIT D E V E L O P M E N T S E R,V I C E S R E Q U I R E M E N T S ZONING APPROVED BY 0.00 0.00 30.00 30.00 0 0 DATE: BUILDING APPROVED BY : , his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or DATE: APPLICATION ISSUED BY- improvement is sold within one year m completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT DATE: kkkkkkkkkkkkkkkkkkkkklFiiif FIRE SM IP /TOT GRADING PLAN -CHECK kkkkkkkkkk kik kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk 30,00 ' LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that t am exempt from the Contractors' Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP /RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or structure. to its issuance, also requires the applicant for such to file a signed statement that he/she is licensed PERMIT 00 30 S10% repair any prior permit ] 0 % SM I P /NON -RES pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business PLAN and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE I, as owner of the properly or my em loyees with wages as their sole compensation, will do the work, and the ( TOTALS----> 3 0.00 0.00 0.00 30.00 30.00 0 0 structure is not intended or altered for sale (Section 7044, Business and Professional Cade: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through , his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> COLLECTED • 30.00 OVER /SHORT;00 improvement is sold within one year m completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP /TOT GRADING PLAN -CHECK 30,00 ' I, as owner of the de Th. Co exclusively contracting with licensed apply to an to construct the project (Section Business ❑ Professions Code: The Contractors' Stale License Law does not apply to an owner of who bonds or improves thereon ' and property Prov i and who contracts for such projects with acantractor(s)license pursuant to the Contractors' State License Law),I am aware kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkkkkkkkkkk kkkkkkkkkkk that proof of (heir Worker's Compensation insurance should be provided to me./'� I N D I V I D U A L F E E B R E A K D O W N Iexempt under Section'. B. 8 P. C his reason: /\t/�/ forr this TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: rte I do hereby cency that I am aware of and understand the requirements of 25534 and that I or any future building occupant willlwill not (circle one) n permit for construction or modification from the Air Duality Management these provisions. ELE 1 ELECTRICAL RE -INSPECTION FEE 30.00 30,00 11 -iii Cade Sections 25505, 25533, and END OF FEES laid state codes and the requirements fora construction applications are exempt from Date: Applicant: I hereby certify that I have read this application and state that the above informal a car ct. l agree to comply with all city and county ordinances and state laws relating to building construction retry authorize to sent Sof this cit to enter upon the a bo a mentioned property for inspection purpos�eess. 2 f vA--vt^•"yIAY Date'. �' / 1 signaleirl Drivers License or Social Security a: 1641.46 White—Building; Green—Code Entorceri Canary—Applicant: Pink—Revenue; Goldenrod—Assessor _ raj r 01 00145306-0014.5306 T0T 30.00 GATE; 08/19/93 TIME: 14:56 r CONSTRUCTION AND PLANNING POOL & SPA < APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. M 53. Steel Reinforcement ac lhI Condu sility-Undrgrnd. 54. Forms 1 „¢.-§lectfi l Confit iJ drgrnd. 55. Electrical Bonding ?t�einforcel st 56. Rough Plumbing & Pressure Test o x 6. EL�grical UFEIO�rnd. 57. APPROVAL TO COVE R-GUNITE .cc 58. Electrical Conduit-Undrgrnd. r y :f,apnclation 59. Gas Pipe, O Undrgrnd., Test It X•2 Water Pipe-Undrgfttd. 60. Backwash Lines, P -Trap, 0 Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11-.-P4erty Sewer Linvt& House Conr=tiorl - 62. Backwash & Receptor�Final - 'o _ 12. Se't '' Cap a 63. Heater & Vent -Final r.. 13. Roof Drains ro 64. Plumbing System - Final 14. Rough Plumbing "0 65. Electrical -Final 15. Rough Electri -Conduit 66. Solar System -Final 16. Rough Electric' Wiring 67. Fencing & Access Approval 17. Rough Wiring !tgn 68. APPROVED FOR PLASTERING 18. Rough Electric&! -T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �� tj'* x PPR.BVAt31-_)CPerlit #--- 20rRotlgh Factory FOaplace I tr j x O i: C• H " '� ✓f til •-1 > Y W 21 FDu Str� t 'X IFF e7 -CS r. 1. '-] '7X 5::: -: - ''j < M -a 0. H�J' 1- A I •• •• H$ S t7 1-: x ndergrsu a 227D,=', Vantifatirgpx� I Z; Cn23�-Ga ids a. S <* _ 'r71. Produc ing 131 s C rIil 'Pip,�rr•Ro3p h &**est I -+ Y� ",�' 4 I 'r, �s r * M b' tr S 1 -ax � 0* ? "' I ' Ory . 01 2 Undergt0µ}id FIIJ�{;0 241Aord Framing x> O 0, x a '73mUndergrniTStorh�g9Tankf.7Gas �0Ui1 25 Rot t SIRa <'' N ` n1 T1 lJ Mx * IS 70verhead HydrgJF r -7T < v O > Nx is 1, 26.-jf-far Ceiling (StCUatural) & 'lonocoat b to C tM 75MDry Chemical _17 - A H O t- 27! -Frame an Flashin s, r to s ^ F OE r s D1 76. Dry Stane Mr z� r<t�,• C.r� x o• > ,p,; r 8. Lathing&SidinyS* '7Sxr «:. 77R• "! ~' «'x FIXED SY&TEPOE1NALx -"29. Insulati G '"' (? •- r T• ?' < O 78SFIRE PREV.FI�JAL •>' +<x x> z tr30.Drywalp-Nailing �:. H REALTH+DEPTaR-E061REMENT t)31. Plaster Brow Co 79`dFINAL ll`§UCTIbrd ;32rJElectrit�4 Power Met@r;Finali r �O.;rF00D C rF�T FI�IfliTcSISFiU�ED Sr ... 33.-gi% Electric rl _ _. �. • F �1.DY12�n'Y_�i I� Cp4t^f inj4 H0tingi& fi�19 o�ditignwl�.F- itS %lx ! S i-•. 35TFirw Gas PiFj-Te 00 4 Hood oCano PYtr r `36 > n' • 37 r_Final Factory Firep`a'ce� x ; r. 8. Final PI mbin ... g Y J x to w x S :• a: m c 39. Water Service -Finale • • I -.. > C'-. uta z t 1 • it F � ;r40. Ga3-Service-Final 'r we. 00 ' P i4 1. Solar Domestic -7Z,= r'" 1 •• ? O: ?' r Qo L; t _ .r r x rt• y0 a i. _ �J 42'Backflow Preventer` E pJ 1� � je M 1fr Y ,y 77 tD, 43. Backflow IrrAation: SSS r: -' xi✓ a 0 O "V 4. Landscape I igatioo�l Systen1,j � rr n; 0 1tr „O Y 45 Sound iteiTuation of n sF. i F �M - aO t9 *' -1 .. x r 6''Handicap R4gulatio r 't ; O 0 s -� ;r S 7c s x 47,. 1 A,L STRiOCTURE & B -DING > ! x c s a x r"48A:Ir LPLAWN INC} t;-tr x F7* •�• I (.rL D. �J K i .(1 •r x t.' 49ElAric Release to Edison I x . s ; a 30>Gas�Release to Souiitern CalifgfP Gas Co -.;51. CEF:TIFICATE OF..D000P4NCV No. Date s a ;7S is 7 4 0 i 3 6 I�R� 6/3N /78 64.60 fA MESA BUILDING -SAFETY DEPARTMENT 1!O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT ER AP No. 116-013-03 LOT ,INSPECTIONS Pool Location Forms Main Drain Steel Reinforce Elec. Bond 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 r I— DATE—5-31-7B-- -- -- BUILDING PERMIT N0. 46136 WORK Pvt. Swim POO1.v/spa._. _- SUBCONTRACTOR Electric 11,'754 Plumbing Sir, MITS .ISSOEr, _ NPmhrr. i Signature, RECEIVED By sDATE RECEIVED DATE ISSUED 4 le BUILDING ADOR ESS OWNER �y� A.P. NO. — MAIL BUILDINd ADDRESS ADDRESS ..i TE CITY T N _ TRACT,:;? / OY� BLOCK CONSTRVCTION ADO ALTER REPAIR MOVING nP LENDER � �/ BRANCH _7 OWNER c L ADDRESS ( VALUE \�C!-'L ���% 8 �,.5 �'� T ARCHITE /�''�t ...Y-7 RE FIRE ADDRESS �/ _ ZONE ; PE GROUP APPROVED CONTRACTOFL raxDATE ADDRESS — TE ZON NO. OF PLAN.S� USE OF NEW BUILDING �! CITY �� G STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. ` �� LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZESIZE � NO. OF BLOCS. (FROM C/ TBEET ) , l r Q X G NOW ON LOT F . USE OF17 EXISTING BLDG. A/,_-� C Separate permits are required for FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. L VAR. i DATE C:n '� C.U.P.46 APPROVED APPRO l Cf -J DATE I hereby acknowledge that I have read this application and state that the above Information Is correct and agree to comply with all laws regulating building construction, and I shall not employ any parson In violation of the workmen's compensation laws of the State of California. 1 hereby certify that I am properly licensed as a contractor under SO. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION PERMIT antl Professlons C e, Division 3, Chapter 9. FEE 3 J.1 1 Signature of /`d/J /� .4 /5 PLAN CHECK $ �a r Permlte m epi 1 z H �/`// U 9 DO TAX { s Authorized Agent TOTAL PAID 1 O e ER AP No. 116-013-03 LOT ,INSPECTIONS Pool Location Forms Main Drain Steel Reinforce Elec. Bond 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 r I— DATE—5-31-7B-- -- -- BUILDING PERMIT N0. 46136 WORK Pvt. Swim POO1.v/spa._. _- SUBCONTRACTOR Electric 11,'754 Plumbing Sir, MITS .ISSOEr, _ NPmhrr. i Signature, PROJECT ADDRESS: 1053 PARKH I LL DR s— UNIT: OWNER'S NAME: HARGRAVE, DAVID A ' "' E ADDRESS: ROBINSON MRS W 1053 PARKHILL DR COSTA MESA,CA 92627 ARCH/ENGINEER: 646-1035 REG.NO.: ADDRESS: UNIT: PERMITTEE:W ROBINSON (714)646-1035 ADDRESS: 1053 PARKHILL DR C.M. CA 92626 LICENSED CONTRACTOR DECLARATION:I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Protessions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance, or a candied copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Candied copy is hereby furnished. ❑ Certified COPY is filed with the city Building Division Date: Applicant: EXEMPTION FRDM WORKERS' COMPENSATION DECLARATION: (This section need not be completf I Cerny that in the pedormance of the work for which this permit is sued, l Shall not emplol subject to the Workers' C mpensation L sol California. — Dale: _ / Signature: NOTICE: II, alter making this declaration, you shoo becA subject to the Workers Code, you must fonhvnlh Comply with such provisions or this permit shall be deemet CONSTRUCTION LENDING AGENCY: I hereby affirm that mere is a Construction lending which this Permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: less). any manner so as :nsatfbn provisions of the -Labor ed. for the performance of the work for OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or that be/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 live hundred dollars (5500). CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06356 PERMIT NO: B 063564 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION ; REPLACE 320SF DECK SQ FT: 320 CLAIM VALUE: 4,500,00 CALC—VALUE: 4,736,00 GROUP OCC: R-3 / COBMPBMP4EPiNPiTPBSr: DECK PREVIOUSLY PERMITTED ,P#39491REINSTATE EXPIRED�PPERMIT �B48960:P�Eir:P Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE & PROV: PARCEL: 42431303 ZNE: R1 REF NO: PLANNING N TES> MMMiP ifkkkk KMMRE Tek if•kiiFif***itiE it Re**iEkkkif iPSEit BE*klf iPitit iFkkiF*******k1kBP Jt iEkJEBE***********1PkiP*** D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N -T S ZONING APPROVED BY BUILDING APPROVED BY APPLICATION ISSUED BY: DATE: 8` **M1k**lkkllkkkkifMMlk lP if klf lFifiF Bt MiFkiFkif iF if if�'£�7' F'iFMiF MMMM1k 1f 1kkif BP**Bf Bfkkk MMlf fPklFkk MY kiF Bt Rf kiF*******kiE*iFkk*****MBt Bf kif kiPMkit*****kif****kRf iP**** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.0050 SMIP/NON—RES PLAN ISSUE FEE Date: Applicant: I hereby cenify that I have read this apPlicalion and state that the above information is correct. I agree to comply with all city a county ordmances and state laws relating to building construction and hereby authorize representatives p' to e1ter upon the above -m Toned propertyforinsppection purposes. Date: li—/-9 -- Signatures Drivers License or Social Security P: 1641-46 Whne—Bmldmg; Green—Coda Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor 01 00145308-00145309 TOT 72.50 DATE: 03/19/93 TIME: 14:57 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - •r r °'Col-al&CondwgUjility-Undrgrnd. 54. Forms w- w,�Elecf(ieal Condit-Undrgrnd. 4_ 55. Electrical Bonding inforce;n� t Q 56. Rough Plumbing & Pressure Test =' ttF�7k ?; 6.1Egrical OF ER rnd. _ _ 57. APPROVAL TO COVER-GUNITE _� c +¢.�F'obPl ngs 58. Electrical Conduit-Undrgrnd. 0. dundation 59. Gas Pipe, 0 Undrgrnd., Test ,T x$. Water Pipe-Undrgi+ld. 60. Backwash Lines, PTrap, 0 Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer lin?.& House Connection 62. Backwash & Receptor -Final 12. Sevy& Cap a• 63. Heater & Vent -Final 13. Roof Drains rp 64. Plumbing System - Final 14. Rough Plumbii5 T' 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric -Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' tr o`r-I a1h a, 'I' PPR0VAt3 =)CPermit # * r ,' 20t*fto h Fact' ' FjYoplace in <-J M O 7* * • , I -I .x I FF" XS Du i�Str }cttl x I -t '-7 `fix a: n S�". •i' I. 11r;21 0. abdergra: H1611'0 . � I a' S I..} ., 1 22.` DUcas, Banti tif'-, rJry .r S ax. - .71. Prociucfgf" ing OtG•s O'Oil n r r _ 23�Gad-Pip Roth &`•.est 1 ' ` Flo '' th Under toi d FI '1''r�l-• Y-.. J. I tT.S :r C; o' a; Oh _72. T �� " 9 24:xRopj Fa ming tn,. I r -+ F- ••h y > 0 L" x i:7351Undergrn0tStor1 u?anlpGas ❑(P 25. Rof' S*thing T,} d ry M C1 0 C•Jx a _ ^ I -+h0 �. '74��,0>`erhead�Nydreo �*" J > nt- . ,. 26.p -eaf Ceiling iStmeturall &Monocoat >K Ln f =; K 75': Dry Chemical �`7 x r-+ C x 27f Frame and Flashi?l tr X ' m a x E GE t S ,, u 76. Dry Stan e r.J a _. tr; W. x V y Wx s W HI * 1 t. F B.. Lathing:& Srdingit S •••ic .. 77IT FIXED 8°eSTE"JMNAL* v d X29. Insulati 78XFIRE PREV. Flltl * _ x x> O tr30. Drywall NaiVng trkx y_ r +. fiEALTH• EPT: REQUIREMENT r"31. Plaster Cl�eli x i ;� 79PFINA L Ir Sk�CTID.'N ,,r„ 1.32r„•Electricl Potyerpwe¢glrFinall ,tv � r .� O:;;FOOD CERTIFkS.AITE ISSUED~ F 33aFi d E e tr'c ^''F ' M * ' TINoZ s: tr �? X T = tn. 1 YF r. ',: "'1:r1 R '7 0 r -I n n'1j34�Fin1t HQti4,& 41 Cooditign�y 357ir/ai Gas Pide-T8§tx 7 * K tl n M , x :r NO a36.'Hood or Ca CL. � 1 [* ' a r ; , `ip R tr rG7.-Final Factory Fireiilace i S?' �• �'r, r _ r^ x >tr, r x f: I �. �,. .. ,� �: ' 38. Fina) Plumbing x N I w x r > r a 839. Water Service•Finiah: •• i w s n V ^7 * M ?40. Gas Service-Fanars'e •. t*1 :4trr- n k'S w: f+t x rJ ri '..fU x R41. Solar Domestic-�inef<. i I.•• a< Q, x?- t'42:$ackflow Prevenilkt 43. Backflow Irrt atPorrr 'XSS + x o:h0 > O a• X44. Landsc.8e I5.igarty Systert� •,1� s +- tr, c y br - :; :v ro gra * o E45r.Sound Atterruation r+"xh t' .x F_ :� - h11, V F-+ ,-+ s:,, X4 a �W6 andicep Rrfgulatro is =' " `•� "* ' ^v •• j; r •47aFlr L STR.k1CTURE & BLE7'LDING JS/, 5-y 4 8.0 1WAL PLANNIt� j t_r.r� �3. � i M � �- v Cr 049 Ieairic Release fO.Edison , .' �: �.: 'r: tK - x7! - v rcr •rl 50. to Sou{hern California Gas Co t ` ` ¢� � x _Gas,Release CERTI FICATE OF;OCCUP N YNo. Date M PROJECT ADDRESS: 1053 PARKHILL DR UNIT: OWNER'S NAME:HARGRAVE, DAVID A ADDRESS: ROBINSON, MRS W 1053 PARKHILL DR COSTA MESA,CA 92627 646-1035 ARCHIENGINEER: - REG.NO.: ADDRESS: UNIT: PERMITTEE:W ROBINSON (714)646-1035 ADDRESS: 1053 PARKHILL DR C.M. CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that ) am licensed under provisions of Chapter 9 (commencing with Section 7DDD) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby Atlitm that I have a certificate of consent to seft-insute or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: IMPANY: Certified copy is hereby famished. ❑ Certified copy is tiled with the city Building Division. Date: hpplicanc EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be complet a permit is for one hundred ($100) or lessi. I ceniy that in the Oedormance a/the work for Aich this permit I ued, shall net oy an1;Aper_son�in,an'y manner so as to become stabled to [ Work a' Compensation d s California. /. //. Date: Signature: ✓/�/ NOTICE: If, after making this declaration, you should become subject to the cation provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires Me applicant tot such permit to file a signed statement that halshe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mom than five hundred dollars ($500). I, as owner of the property or my empDloyees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (19chion 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a propeM who builds or improves thereon, and who does such work himself/hersell or through his or her on employees, provided that such Improvements are not intended or offered for sale. If, however the building or Improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors Stale License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: 8. 8 P.C. 1 for Oft reason: (///�� it Date: ,1 /!n Owneer/://IJ//' 1 do hereby cantly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant wily Til not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from theAirAir —Qualdy Management District. Residential construction applications are exempt from these provisions. Date: Applicant:. I hereby certify that I have Rad this application and state ordinances and state laws relating to banking c instinu tion I property for inspection purposes. } G Date: v/ ��^ .pna Driver's License or Social Security N: is correct. I agree to Comply with all citypI orrnd County ntah" o "a city to enter uponthe a17—mentioned 186146 White—Building; Green—Coda Enforcement: Canary—Applicant; Pink—Hevenue; Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 048960 PERMIT NO: B 048960 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP JOB DESCRIPTION REPLACE 320SF DECK SQ FT: 320 CLAIM VALUE: 10,000.00 CALC-VALUE: 4,416.00 GROUP OCC: R-3 / COMMENTS: DECK PREVIOUSLY PERMITTED #139491 ##########################################################8- MOKET'ET Yy### Z 0 N I N GS ERT E B Q A U C I K R 9 E M E N T S TEE—CTOR= - REQUIRED,_ D,_ ------------ MAIN BUILDING ---------- ------- ACCESSORY BUILDING - FRNT: FT IN REAR: 21 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42431303 ZNE: R1 REF NO: PLANNING NOTES> RECONSTRUCT AN EXISTING DECK/BALCONY - 81 DEEP BY 401 WIDE. D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY Ki l�(✓ DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE:I ############################################################################### LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 72.00 50 PLAN SMIP/NON-RES ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 72.50 0.00 0.00 72,50 %,72.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER%5'HORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT 'GRADING PLAN -CHECK 72.00 .50 I N D I V I D U A L F E E B R E A K D 0 W,N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 320 RES -BALCONY, EXTERIOR STAIRWAY 13.80 4,416.00 END OF FEES A. 0� E X P I R E Dtions Incomplete 11"P Sig ®--® Date �_— �`1 CONSTRUCTION AND PLANNING APPROVALS Permit # Data Inspector P( : SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing - 65. Electrical -Final f 15. Rough Electrical -Conduit 66. Solar System=Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING' - 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final ' T., 41. Solar Domestic -Final t; 42. Backflow Preventer P It r 43. Backflow Irrigation 44. Landscape Irrigation System Dale big 45, Sound Attenuation. 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date NOTE: SHOW AND DIMENSION—PRO.P_O.SED PATIO COVER AND YARD ARIR'i'� PROVE 1V MANNING Im= 1D GOO. O PAl0" City of Costa Mesa Build by DATE 1 TI !ESE PI ANS MU7 BE ON JOB AT Al �} NO CHANGES WITH U� IPRI �ApPRC ` T'HE ISSUANCE OR G NING F A PEEr. 1T I PLANS AND SPECTICATIiINS SHALL NC7 6E COf PERfd iT POR, OR AN AP11'ROvAL OE, ANY 'VIOLA ii{; pROv!SIONSOFTH19CODE. NO PE RPof1T PP.i A 1iHORITY 10 v:OLATE OR Cf•.NCEL THE Ri?O' / C, DE A, ,_ r Ii) E: CEi'T lid S F1101/117AUT' ��o _O FAR AS - ,t S iSA.'A'FjL. 5 i THE ISSUANCI A A _PEI*mr EASED -'F �IIdle -Cl SPECIFfCATIONS SI T PREVENT THE OU de•�R9hFTE '_'!RING THECC:RRECTIC' I iA: P ANS AND SPE' L"I•CATIONS OR FRO L4i j?llll IJ'`� rlMv oAT g ING CARRIED ON THE' � iNt[iJG`'f'i'''u'P T ,C[ JE Oil OF ANY 1PIECITC OT;:ER �OL ,_cL q 1 /I_1 1q 053 NOTE STREET ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE KU EV BY ME NLPPP+LNy;�].:PAP ENA N SEE DETAILS ON REVERSE SIDE ROOF SHEATHING APPROVAL � RUED TO © A N OF ANY i _X_RAFTERS rrING TO c! lk AT_ O.C. ONS oIt, 9ORK02U. i s N 0 —X BEAM PLAN? A` iNO ok'c T- STR EA. SIDE 'F ERRS 14 FOR ST- BEAM PRe JEWr,V CON CTION. o 21DERSHE a w iDWANgiC a 2 _ It W J m N a CL p N J C N V O d1 X w Z 0 V Z J W LL U N x 00 DROP P 10' FLOOR 2" 0 i QD O_ 'a a SLOPE 7 GRAIN I j PLATE 1" wOn\2 N AD 26 PA. G. 1. FLASHING )IVOOD FLOOR IDE ELEVATION W 0 M a uq I M I I PIERS 12SOJAIx o a i LL CONSTRUCTION DETAILS C 201b5.R00F CONNECTION DETAILS CONT, I SOLID BLOCK LEDGER Rgpre,, CONT. LED, 1/2" DIA. X 5" LAG SCR. AT 32" O.C. DETAIL I CR 8 CL "TECO" GRIPS OR JOIST HANGER Rq pTER 3/0" DIA. X 5" LAG SCR. AT 1(j" 0. C. DETAIL 2 IOafsOR LIGHT WEIGHT ROOFS ONLY CONNECTION DETAILS, .X FACIA -MI TER APPROVED METAL HANGER IDETAIL 3 DEVELOPb= SERVICES DEPARIMEW BUILDING SAFTTY DIVISION OWNER: ADDRESS: CONTRACTOR: ADDRESS: PATIO COVER TYP. PLANS DATE _ PHONE:. LIC. ONE: RAFTERS ERS - APPROVED FOR CARPORT, PORCH OR PATIO LIGHT HT.ROOF COVER OF, BUILDING PERMIT NOT SUPPORTING CEILING LA , FIBERGLASS, ALUM. By Date SIZE SPACING SPAN E SPACING-- SPAN _ 2"x4': 12"O.C. 9'-6" 2"x4" 16"O.C. 9'-6" 16" 8'-0" 24" 8'-O" GENERAL NOTES: 24" 6'-6" 32" 6'-6" 1. These plans must be 32" 6'-0' 48" 5'-6" kept on the job at 48" S' 0" all time during . 2"x6" 16" 16'-b" 211x6" 1211. '-6" 24" 14'-6" construction. 16" 14'-6" 32"- 12'-0" 2. All framing to be 24" 12'-0" 48" 10'-0" Douglas Fir N9 2 32" 10'-6" -- -grade_minimum.' 2"x8" 24" 19'-0" 4 ' 8'-0" 32" 15'-6" 3y. Rafter.scmay,not, 2"x8" 4" 15'-6" 48" 13'-6" -I'attachtto•'fseia ex- cept for_ 101b&ioofs 32" 13'-6" as'shown''on details; 48" 11'-6" 4' 6" 24" W-011 HEADERS 201b�rbofsf must use a•continuous'1edger 32" 15'-0" 14' -Olt LIGHT WEIGHT ROOF ONLY 1': .attached asf:shown 4"x8" 24" 21'-0" SIZE POST SPACING on d -M l,s�rA";#2 ' 32" 19'-0" 4x4 6'-0" '` 4':'Light-weight.-roof,s- 36" 18'-0" 4x6 9'-0" may attach to facia for 14' span max., 48" 16'-0" 4x8 12'-0" -.spans over---14—'must 4"x10" 32" 22'_011 4x10 _ .15.' -0" : •- - 36" 21'-0" CARPORT, PORCH OR PATIO• use a continuous 48" 20'-0" SIZE POST SPACING ledger as shown in 72" 17'-0" 4x4 5'-0" detail 113. 4x6 ,,8'-0" 4x8 I 10 -0" - 4x10 .1.2, _6.. •• +' - ... fmd�����G "HIM %.e &) 0 A soa -7o -7'4(- 7771- rT, rTI- SO IAMII '0 b� ?Y(, - -efrud u re -41.4 --S4Tor+5 Z aU zQ O v~i am J � J N Q W m J J m _a Z Q Zm W a w wz JO LD Z J 2 W w n= Z I- wo N CC H Z Q U J CL CL Q 0 F z _0 H U N Z ,- 39491 ,tiOSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1290 COSTA MESA, CALIFORNIA 92626 �_F--r,� �,� .., .,','*/. � APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVE BY DATE RECEIVED DATE ISSUED /� DS3 DR /-/.3 ADDRESS 2k O �O PERMIT NO OWNER /N LSC�J/� A.P. NO. V V MAIL //�� ADDRESS 149 3 Pff(LK /.f(Li �IV BUILDING ADDRESS TEL CITY NO. 5 = C��.� TRACT�Q nr LOT pCl7 BLOCK CONSTRUCTION W A A P LENDER ' BRANCH ADDRESS ARCHITECT TEL. OR ENGINEER FIRE ADDRESS ZONE YPE GROUP APPROVED CONTRACTOR E i^ BY DATE ADDRESS TEL. ZONE NO . OF USE OF NE CITY NO. PNBUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO, LIC. NO. MAIN BUILPING ACCESSORY BUILDING S12E NO. OF BLDGS. (F qOM C/LST EET) OF LOT NOW ON LOT FROM FT. USE OF EXISTING BLDG. 0A C Iq FT. FT SIZE 0,/ NO. OF / ( 1x/C)c C �r NEW SLOG. ROOMS STORIES / L. SIDE 15�,T. FT. EXTERIOR WALL ROOF n�'1 COVERING COVERING REAR a.Li FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCFSS, BLDGS. Fmc SCR 511 ✓DfcK F PM 10 VAR. sR DATE C. P. vF APPROVED v �l pgr/o O �, (✓N t� V J APPROVE ` `r•.Ii •t I ' I hereby acknowledge that 1 have read this application and smte that the above information is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person in violation of the workman's compensation laws of _ 3 the State of California. IP I hereby certify that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR 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 ONLY: em exempt from the provisions of the State of California Business antl Protessi Code, Division 3, Chapter 9. VALUATION .fi PERMIT FEE $ Si nature o e /J y� Permittee $ V PLAN CHECK $ - Authorized gent11111 TOTAL FEE § VnnCn JVIANAvil, "1'• VAIC Y ev—I I JOB ADDRESS1051 Parkhill Drive BUILDING PERMIT NO. 43$36 GENERAL CONTRACTOR Rennld Freeman DESCRIPTION of WORK Pil,s+-cr i'nr fpnne> AP No.116-01 -0 LOT 25 TRACT 7o43 FIRE ZONE VALUE E 500.00 INSPECTIONS Si nature Date TYPE V GROUP i ZONE RI SOILp SUBCONTRACTOR M GAS Dote Number Si nature WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ' ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING Heatina and Vent. TRENCHES NJ FORMS 7 STEEL REINF. 41 - FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL SPECIAL REOUIREMENTS I 43836 EOSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 FADD.E.SI---. Applicant to Fill in Completely — Use Ink Only ING y O cESS / JR�l lESSTEL. ,� NO.RUCTIONRH '—ESSITECT .�— TEL. INEER N .ESS ADDRESS TEL. CITY NO. STATE CITY / LIC. NO. LC. N SIZE NO.OF BLOCS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED Jr Pr[ AS�e� rcFT �'t 'Itt�%l1.j JCpc.QU�C3J J...J AP 110T/ON FOR STRUCTURAL PERMIT FIRE ZONE APPROVED DATE ZONE i NO. OF PLANS RECEIVED D ISSUED .2 BUILDING PERMIT NO. 53 r I EEDATE �j J LOT BLOCK the State of California. LT R PAIR MOVING, DEMOLISH the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FO Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY am exempt from the provisions of the State of California Business VALUATION PERMIT FEE E � and Professions Co e, Divislo , Chapter 9. VALUE pry $ FIRE ZONE APPROVED DATE ZONE i NO. OF PLANS USE OF NEW that the above Information Is correct and agree to comply with .2 BUILDING YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) / VAR.+ DATE APPROVED I hereby acknowledge that I have read this application and state that the above Information Is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensatlon laws of the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FO Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY am exempt from the provisions of the State of California Business VALUATION PERMIT FEE E � and Professions Co e, Divislo , Chapter 9. Si9netu of S� PLAN CHECK E Perms S TAX E 1''U Authorized Agent TOTAL PAID E JOB ADDRESS.LV}j Yarkh111 Dr. BUILDING PERMIT NO. 59491. AP No. 110-Ulj-Uj LOT TRACT FIRE ZONE VALUE E I" INSPECTIONS Si nature Date TYPE V GROUP I ZONE R1CP SOILMITS SUBCONTRACTOR 155 D GAS Date Number $i nature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE I—] HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heatina and Vent. TRENCHES FORMS STEEL REIN F. FLOOR SYS EM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL. FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL S SPFCIAI RFnIIIRFMFNTS 39491 ,M 7 l5%V00 361r *****750 I COSTA MESA BUILDING -SAFETY DEPARTMENT • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVE 8Y DATE RECEIVED DATE ISSUE /{ p ADILDING 1 DRESS DS3 A K D R /^/� OWNER L 1. �� Al / SC-rh / A _ O �O PERMIT NO A.P. NO. VQAI MAIL .�t // ADDRESS lat3 3 Ppr(LK l-fLLL 02 BUILDING ADDRESS TRACT'70LOTC261 BLOCH Z d U CITY No, W— Z Q ON CONSTRUCTION LENDER A PMOVI BRANCH am J � J to M J m J N UQ W Ir OWNER ADDRESS VALU te2$ ARCHITECT TEL. OR ENGINEER N ADDRESS FIRE ZONE 14 PE GROUP APPROVED ' d W W Z Jp CONTRACTOR E BY DATE E J Ir W W 0 2 Z ADDRESS TEL. CITY NO. ZONE - NO. OF USE OF NE PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED W O N IY LIC. NO. LIC. NO. MAIN ILDING ACCESSORY BUILDI O O SIZE NO.OF BLDGS. FROM C/ ST EET) OF LOT NOW ON LOT RONT FT. USE OF EXISTING BLDG. QiA 'E� p H Z SIZE OF r1() ,4'LG,rXJ NO. OF / NEW BLDG. ROOMS STORIES / L. SIDE 15FT. FT. Q EXTERIOR WALL COVERING ROOF I COVERING REAR FT. FT. _V J 1 a USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCESS. SLOGS. Q 6MC SC!} SZiNOFtK Y l C VAR. # DATE C.U.P.,W APPROVED In V r( G VnATP APPROVE per_ Z STATE U1 (Al hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and 1 shell not employ any person in violation of the workman's compensation laws of the State of California. Z I hereby certify that I am properly licensed as a contractor under USO. FT. THE AMOUNT SHOWN UNDER VALUATION IS 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 OI am exempt from the provisions of the State of California Business and Profess) Code, Division 3, Chapter 9. Signature a /� VALUATION �s.� .,./sµy. o ✓ PERMIT FEE $ Parmlttee ' `� $ /`//r PLAN CHECK $ Authorized gent E TOTAL FEE $ / V Mi Nice DATE BUILDING 1. AP No. la6-013-o3 LOT TRACT FIRE ZONE VALUE $ 9,500, INSPECTION$ Si noturel Date GROUP T TYPE TTT ZONE — Pool Location Forms •ll•7 SUBCONTRACTOR Date PERMITS� ISSUED Numbs I $Inn oturc Main Drain Steel Reinforce Elec. Bond Electric Approval to Cover Underground Electric C -C'• b"V� .ytk+' ��• �8 Gas Piping Test ,Cjj.jj.-7c6Plumbing Filtering System Lines Backwash Lines Lines and Recep. Electrical Final Feater and Vent Final \Filter System Final Backwash and Recep. Final Fencing Final _I LJIA I t cin_ _ ��UA6 CpSTA MESA BUILDING -SAFETY DEPARTMENT 4.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink ADDRESS OWNER MAIL SA�� ADDRESS '7— CITY C�S/ CONSTRUCTION LENDER BRANCH ADDRESS .ARCHITEcf CITY �1 ( TE - /�f}/V (1' G STATE CITY LIC. NO. LIC. NO. SIZE / NO. OF BLOCS. OF LOT 90 .��J ON LOT -x/ ''NOW EXISTING BLDG. /1/pn/G� N�%iPA c1�L S/'H VALUE 8.5 Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information Is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I am exempt from the provisions of the State of California Business and Professions Cppe, Division 3, Chapter 9. Signature of Permittee r Authorized Agent .I?@a 5%3�U�78 544950 T/l APPLICATION FOR STRUCTURAL PERMIT RECEIVED BV DATE RECEIVED DATE ISSUED � le fT A.P. NO. / ADIDRIESS/OS3 '1Dq"2 TRACT O 3 BLOCK NEW X OWNER EL />- c1�L S/'H VALUE 8.5 FIRE ZONE T PE GROUP APPROVED .� BY DATE SON NO. OF USE OF NEW PLANSZ BUILDING .f YARDS APPROVED YARDS APPROVED DISTANCE BET BET. MAIN & THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE $ N(/ PLAN CHECK E E�� O TAX $ C TOTAL PAID $ es O Z . a_0 Z Z_Q fL aca J7 J N Q W 00-1 to J Q U N Za W 2 aw WZ —lo S2 J Q W W O= ZF W0 W IM D0 z z Q U_ J CL d Q 0 F rn z 0 0 U cc N z 6A I ih)STA MESA BUILDING -SAFETY DEPARTMENT P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 'IAR 26-71Pnce..SBa00 683* ***144.75 ATION FOR BUILDING PERMIT For Applicant to Fill in Completely 3 - BY ppTE R CE VED .2 14 DATE -ISSUED 3 LOt-2 BUILDING ADDRESS 1053 Parkhill nr- Oma-' PERMJ_T1J rZ.� OWNER erial Savings &Loan MAI LNO ADDRESS 3 66 Via -Lido _-_ . BU BUILDING 1053 Parkhill Dr. TEL.T CITY Ne ort—B NO. 7043 DMP LOT 25 BLOCK CONSTRUCTION LENDER ----BRANCHm erial Savin s &LoanADDRESS VALUE SOR ARCHITECT TEL Levanas ENGINEERIle NADDRESS 2 Via—ODort PE GROUP APPROVEDi CONTRACTOR Calah Construction BY DATE ADDRESS O1 Birch St ZONE NO. OF USE OF NEW g . am. TEL CITY Newport -Beach NO -540_88 Rl PLANS 2 BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SIZE NO. OF SLOGS. OF LOT 50 X 1 11NOW ON LOT n FRONT FT. FT. USE OF / EXISTING BLDG.. ---------- R. SI E[y FT. SIZE OF NO. 11 5 NEW BLDG, 1820 S ROOMS STORIES L. SIDE FT. FT. EXTERIOR WALL ROOF COVERING stucco COVERING Shake—co REAR 0 FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED - DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDCS. residence 7L� VAR.* C.U.P.* DATE APPROVED / APPROVED WLD:am AV 3-24-71 DATE I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and 1 shall not employ any person in violation of the workmen's compensation laws of the State of California. 1 hereby certify that I am properly licensed ase contractor under — O. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Cod., Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF WTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State lifornia Business VALUATION and Professions e, islpn . Chapte PERMIT FEE $ Signatur Permltteo $ /l WWW PLAN CHECK $ / a/ Authori gent TOTAL FEE S r