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Home My WebLink About1201 PARNELL PL - Building PermitsApplicant to fill in all spaces except those within heavy ississir CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT No. T CT No. Project Address 12- o l n� 7/,�_/tea/ �' Applicant's Marlin Addreslt Owner's Name Phone_979 Z/ya Address Arch/Eng. License No. Address Contractor's Nam' am Phone Address (mailing) City License_ No. 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 force and effect. License Cla s � zf Licen o. Dale _Signature s WO RKERS'C MPE SATION DECLARATION lereby affirm that t have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section J800, Lab. C.) Policy No. Company. BCertified copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant I EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). certify that in the performance of the work ford fhich this per t is issued, I Shall not employ any person in any manner so beco me(S� ject to the Workers' C �p nsation Laws of Calif ` \ Date Signature `- NOTICE:If,after m king this declaration, you should b me subjec the Workers' Compensation provisions of the Labor Code, You most 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.) Under's Name Lender's Address _ OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or -'/`division 3 of the Business and Professions Coat,) or that he/she is exempt -j,^erefrom and the basis for the alleged exemption. Any violation of Section " '°031.5 by any- applicant for a permit Subjects the applicant to a civil ' ,ppnalty of not more than five hundred dollars ($500). I, as owner of the property.or my employees with wages as their sole . compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves 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). I, as owner of the property, am exclusively contracting with licensed con- tractors to constr act the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply t0 an owner of property who builds or improves thereon, antl-who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner s.C-f' d I hereby ertify that I have read this application and state that the above I nformati n is correct.,, agree to comply with all city and county ordinances and state laws relating to buil ng construction, and hereby authorize repre- sentatives of this, city o efl 14 upon t above-mentioned property for inspection purpose t 1I1 O `. Signature ��_ Date Drivers' License or SS Sr and sign all appropriate declarations. SS I 1�1 b 1 1 0 TYPE OF CONSTRUCTION LJ NEW LJ ADO LJ ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER. A.P.# DESCRIPTION OF WORK/USE OF BLDG. a�� SEMain Buildi 1ANICAL FEES TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL Hood or Type ❑ Canopy Type If El ❑ OTHER A Rear f BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $Q] $ $ $ $ $ $ CCUPANCY PROJECT DESCRIPTION SG. FT. OCCUPANCY - SMIP $ S� PERMIT ISSUANCE $ ENERGY P.C. $ 'GRADING $ MICROFILM $ TOTAL FEE $ System Repair/Alteration CONSTRUCTION TYPE VALUATIONS 7 7,1V CONSTRUCT ION g Left ZONE GRADING CU.YDS. ACRES Ping. Ref. # Remarks: _�C., y a e ,r./4-lrna N Planning Notes: Sink Preventer ' - Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P=Trap Roof Drains Reinspection Fee $15 Duct- Under Ground Duct - Structural Duct - Ventilating .. Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting 00-100,000 BTU 0100,000 Reinspection Fee 1 $15 CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service 9478 10/04/84 21,5E TI_ I Zone 1, g: Accessory Building: - ( Z O j- ( N Automatic Washer Construction Pole Sub, Cooking Unit Dryers LJGas LJElectric Fan F.A.U. Fixtures' Device Boxes Outlets Switches Garbage Disposal Generator 1:10-5 KW 05-15 K Parking Req./Provided E M r -o' U N� , T S. ELECTRICAL Transformer ❑ 15-50 KW - ❑ 50+KW Meter ❑up to 100 amps Meter ❑aver 100 amps Sub Panel Motors 00-1 HP 01% - B Inc. Solar E:19-15 HP 016-15+ Microwave Pole Light Range Sign Standing Sections W Trash Compactor Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 1ANICAL FEES DEVELOPMENT SERVICES RE Zoning Approved By -� Building Approved By Application Issued By-- UIREMENTS: , Date kl Data ' ! f Dat _� Hood or Type ❑ Canopy Type If El Refrigeration System ❑0-100,000BTU ❑100,000BTU f BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $Q] $ $ $ $ $ $ SUM ARV OF FEES �S SMIP $ S� PERMIT ISSUANCE $ ENERGY P.C. $ 'GRADING $ MICROFILM $ TOTAL FEE $ System Repair/Alteration I Issue Fee $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit # 7Dt,1nspector POO 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 p 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. FootingsfU 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK. 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66: Solar System -Final 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 O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. -Roof Framing 73. Undergrnd. Storage Tank 0Gas El Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /Oh -A/I-r FT -,7 cV Gam- 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. .. 44. ,Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING o G� 48. Special Requirements Completed 49. Electric Release,to Edison - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. -Date STRUCTURAL APPROVAL SEPARATE PERMITS ARE REQOIF FOR ELECTRICAL, PLUMBING, HEATING, VE17T'LATING AND REFRIGERATION WORK 3 Permit # h 1555 Z- 7. THIS NUMBER (MUST ACCOMPANY ! i ALL INSPECTION REQUESTS 1 FOR BUIL DINGS 19HHE PERSOAT BE EMPLOYED, !iE SLIGUST d STATE OF MIT iiNM O PINDUSTRIAL SAFETf (3c CURS ADDITIONAL REQUIREMENTS. � t33als N o \ ^ t N U F@I a w 6 Q U o O s ®II JlpZ� aZ v m 0 arZ o Q s v Y STRUCTURAL APPROVAL SEPARATE PERMITS ARE REQOIF FOR ELECTRICAL, PLUMBING, HEATING, VE17T'LATING AND REFRIGERATION WORK 3 Permit # h 1555 Z- 7. THIS NUMBER (MUST ACCOMPANY ! i ALL INSPECTION REQUESTS 1 FOR BUIL DINGS 19HHE PERSOAT BE EMPLOYED, !iE SLIGUST d STATE OF MIT iiNM O PINDUSTRIAL SAFETf (3c CURS ADDITIONAL REQUIREMENTS. � t33als N o \ ^ t N U 6 s 0 w s � t33a1S Cement Coping Optional Channel Block With One #00 Horizontal Top of all Fences For Fences 5' or Less Vert. Ban 3/810 at 4' -0" O.C. For Fences Higher Than 5' — Vert. Bars 3/8'0 at 32" O.C. Fill Cells Solid With Grout — Where Steel Occurs Reinforcing Steel,Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lopped 15 " or to Code NATURAL GRADE TWO 319" BARS ' CONTINUOUS TOP & BOTTOM TYPICAL 611 CONCRETE BLOCK FENCE LL N_-0SEE CI BELOW FOOTING REQUIREMENTS GENERAL- NOTES MORTAR: One Part Plastic Cement, and Three Parts Sand GROUT: , One Part Cement Thee and One Half Parts Stand COPING: One Part Cement, Three Parts Sand CONCRETE! Well Mixed 1. 2%, :3%2 Max. of 7%2 GDllons of Water Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. BONDS SHALL BE PROVIDED BY LAYING BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. rH OF EARTHTCOTH 1/3 THE HEIGTH OF FENCE TnOW BOTTOM OF FOOTING. SCALE: 1/211 a Is WALL HEIGHT 6, 1 5' 1 t 4� 3� WIDTH OF F007ING 14 14" 12" 12" THICKNESS OF FOOTING 10; 10" DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12 14' 16, 16, OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ City of Costa Mesa, California JOB ADDRESS: _ _ _ — — _ — _ _ _ _ — _ _ Building Department PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this /p/q/ / -�/ day of 198q, by and between Cd r //� /� �t– Z �' a hereinafter referred to as "LAND OMER", and 66"" IAUI�j�F�� hereinafter referred to as "ADJACENT PROPERTY CWNER". It is hereby agreed that a party wall will be constructed on the property line between /tb/ rJ X )0 h- in the City of Costa Mesa, Canty of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS VHEREOF, the parties have entered into this Agreement the day and year first above written. LAND CWNER (Signature)) (J ,rr //!O –l2 2 c•_ r /¢ Name (Typed or Prihtcd) /zo/ Qle��i� (Address) f�!1II�7 ��r�etiSJ� NA (Addr (NOTE: Please see reverse side for notary's statement) T_ STATE OF CALIFORNIA ) ss. COUNTY OF ORANGE ) before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared ]mown to rte to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS my hand and official seal. Signature Name (typed or printed) STATE CF CALIFORNIA ) ss. COUNTY OF ORANGE ) (SEAL) before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared known to rre to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS my hand and official seal. (SEAL) (Signature) Name (typed or printed) January 26, 1959 Property Owner 1201 Parnell Place Costa Mesa, California Dear Sir: . It has been brought to the attention of this Department that you have recently installed a wooden fence on y property. The City of Costa Mesa requir s a perm for he installation of any fence within the city, main y for the reoul t'on of the proper setbacks, in order to have uniformity of es and structures within o city. ' W ind no permit our recarils or your fence and we feel s e it_Would be y ur wish to comply with the Ordinances of your 'ty, therefore _ wi11 expect to hear from you. Very truly yours, A. J. VOLZ BUILDING OFFICIAL DL/,jm BY; DALE LIT&IFORD -DEPUTY BUILDING VSPECTOR Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CI I Y OF COSTA MESA CONSTRUCTION PERMIT P MIT NJO//. j � � TRA T NO. O N N G R LO/ 0 UNIT NO. Front ' PrAjact AdH,ess / 2 O/� R e_// PROJECT DESCRIPTION O. FT. OCCUPANCY CONSTRUCTION TYPE V ALUATIOq • ZONE GRADING CU. YDS. ACRES /V / Righ — 8 ` V11 Ping. Ref. # Parking Req./Provided Remarks: PlanninNotes: )q g&!Z_AZ15131 it Q M BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR T S. Applicant's Mailin Address FEES ❑ ❑ ❑ 9Ty f{O CONVERSION DEMOLISH OTH Ap # c Owners Name �� 1'C Al L`h7 K � '�i Phone Z� DESCRIPTION OF WORK/USE OF BLDG. �� - � ld ^U b O S M B Id Address �7 -/¢Z a'� �/f Arch/Eng. License No. Address If Contractor's Nam Phone Address (mailing) City License No 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 is in full force and effect. License Class License No. Date Signature VOR KERS' COMPENSATION DECLARATION 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 3800, Lab. C.) Policy No. - Company eCertified 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 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 amtr�become $�blect to the Workers' Co ensation Laws of Calify[grev/� I\/(J ( I Date Signature 0 V.X l NOT I E: I , after aking this declaration, you should bec a 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'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 violationofSection 7031.5 by any applicant for a permit Subjects the applicant to a civil enalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for Sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves 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). 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such Projects with a con tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date % Owner ' I ner by certify that 1 have read this application and st a that the above information is correct. I agree di comply with all city and county ordinances and state laws relating [t building construction, and hereby authorize yfor repre- sentatives of this city to er upo to above-mentioned property for inspection our L Signature �•/ cam` Date 11 7 11.1984 Reinspection Fee . 1 $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0.100,000 BTU 11100,000 Drivers' License or SS Reinspection Fee I $15 CMF 0865-46, rev. 4/84 White - Building: Canary -Applicant; Pink - Accounting; Goldenrod -Assessor Issue Fee I $ 3 am ul mg. O N N G R TYPE OF PERMIT ❑ GRADING ElFOUNDATION El STRUCTURAL 1:1 TENANT ❑ELECTRICAL ❑ PLUMBING ❑MECHANICAL ❑ OTHER T Front A Rear PROJECT DESCRIPTION O. FT. OCCUPANCY CONSTRUCTION TYPE V ALUATIOq • ZONE GRADING CU. YDS. ACRES C Righ — 8 Left tom_ ' i Ping. Ref. # Parking Req./Provided Remarks: PlanninNotes: )q g&!Z_AZ15131 it Q M BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% r SUMMARY OF FEES $ �.�. s� $ . S-% $ $ $ $ $ $ ` System Repair/Alteration T S. PLUMBING FEES Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink - Automatic Washer - - Construction Pole Sub. Transformer ❑ 15-50 KW El 50+.KW Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors ❑0.1 HP 011.- 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 1:116-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink - Water Service Switches Sign Lavatories Garbage Disposal 'Standing Sections ' P7 Tao Generator ❑0.5 KW 115.15 KW Trash Compactor Roof Drains Reinspection Fee . 1 $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0.100,000 BTU 11100,000 Drivers' License or SS Reinspection Fee I $15 CMF 0865-46, rev. 4/84 White - Building: Canary -Applicant; Pink - Accounting; Goldenrod -Assessor Issue Fee I $ 3 Reinspection Fee $15 Issue Fee $ 3 1ANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By P&-- — k AC Building Approved By Application Issued By— Date Date Data _Z�_ �� Hood or Type I ❑ Canopy Type 11 ❑ Refrigeration System ❑0100,000 BTU 0100,000 BTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% r SUMMARY OF FEES $ �.�. s� $ . S-% $ $ $ $ $ $ SMIP $ s'L' PERMIT ; ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ System Repair/Alteration Issue Fee $ 3 / CD NSTR UCTION AND PLANNING APPROVALS. Permit# ' Date Inspector POOL & SPA' _ APPROVALS Permit# .,'.'i Da'te:,' 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 ,,l; 7. Footings 4 ¢ 58. Electrical Conduit-Undrgrnd. i+ 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test lilt! 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. "'15 10. Structural Floor System 61. APPROVAL TO DECK - I' 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final I 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 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 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 ❑Gas ❑Oil ' 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank []Gas ❑ Oil ' 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brawn 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 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound,.Attenuation , 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING �y g 48. Special Requirements Completed 49. Electric Release to Edison' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Cement Coping Optional —� Channel Block With One 3/911 Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8'0 at 4' -0" O.C. For Fences Higher Than 5' — Vert. Bars 3/8'0 at 32" O.C. Fill Cells Solid With Grout — Where Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 15 " or to Code NATURALGRADE TWO 3/6" BARS - CONTIN000S TOP & BOTTOM TYPICAL 611 CONCRETE BLOCK FENCE . fJ `J'JI_'dIL O WIDT �� I—SEE Ch II -Q BELOW a` O . FOOTING REQUIREMENTS GENERAL- NOTES MORTAR: One Part Plastic Cement, and Three Parts Sand GROUT: . One Part Cement Three and One Half Parts Sland COPING: One Part Cement, Three Parts Sand CONCRETE: Well Mixed I: 2%, : 3%2 Max. of 7/-z Gallons of THICKNESS OF FOOTING Water Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE CELLS AND AREAS OF HORIZONTAL REIN. FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. BONDS SHALL BE PROVIDED BY LAVING BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. 'H OF EARTHTCOTH 1/3 THE HEIGTH OF FENCE TrLOW BOTTOM OF FOOTING. SCALE' 1/2 Is = I' WALL HEIGHT 6 51 4' 3' WIDTH OF F007"ING 14" 14" 12" 12" THICKNESS OF FOOTING 10" 1011 B" 8" DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14' 16' 16, OWNERS .NAME: _ _ _ _ _ _ _ _ _ _ _ _ City of Costa Mesa, California JOB ADDRESS: _ Building Department Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. F COSTA MESA CONSTRUCTION PERMIT I cIAddress 1201 PARNFI 1 Applicant's Mailing Address -L ---- 2_22D L DLIPONT DRIVE Owner's Name MR VAI FN70ELA Phone Address 1201 PARNFI I Arch/Eng. License No. Address Contractor's Name CAL PAC Phone Address (mailing) 2220 5 I1 IMR DRLVE City License No. 027633 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 force anteffe� 37 503 License L. Class ll.• License N Dale 9/x/86_ Signatureia� WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance, Or a certlfied copy thereof (Section 3800, Lab. C.) RCS137886 R YAL Policy No. Company _ rtified copy is hereby furnishatl. 'V�C.+ye, i i tl y Is filed with the city B irn} P, ate_ J Applicant EXEMPTION FROM WORKERS' COMP ATION DECLARATION (Thissection need not be completed if the permit is for one hundred ($100) or less). I cer lify 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. Date Signature 'NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions Of the Lobar 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'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 exemptlon. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil enalty Of not more than five hundred dollars ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, antl wM10 tloes such work himself/herself or through his or her own employees, provi detl that such improvements are not intended or offered for sale. Ii, however, the build Ing or Improvement is sold within one year of com- plellon, the owner -111 have the burden 0f proving he/she did not builtl or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Con- tractorsto construct [he project (Sec ti pn 7044, Business antl Professions Cotle: 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- Irac[or(s1 license Dursuarit to the Cont rat[ot'S License Law). I am aware that proof o tneir Worker's Compensation Insurance should be pro vitletl to me. ❑ I am exempt under Section B. 8 P. C. for this reason TYPE OF CONSTRUCTION LI NEW LI ADD U ALTERATION L.' REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - DESCRIPTION OF WORK/USE OF BLDG.RFROOF WITH DECRA TILE A.P. # S Main Buildi E TYPE OF PERMIT GRADING FOUNDATION STRUCTU AL T Front ❑ TENANT- ❑ ELECTRICAL ❑ PLUM BI ❑ MECHANICAL R Rear ❑ OTHER _ A PROJECT DESCRIPTION So. FT. OCCUPANCY C Right CONSTRUCTION TYPE , VALUATIONS 300.00 S Left ZONE GRADING CU. YDS. ACRES Ping. Ref. # Remarks: Planning Notes: FEES ' 3387 9/18%86 Accessory Building: Parking Req./Provided Zone 24•P TL Z O N I N G R E Q M T S Bar Sink I Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+KIN Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 1 Drinking Fountains Solar Tank Fan Motors 00-1 HP,❑1%-8 Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range 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 Reinspection Fee 1 $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG # Date owner Heating System & Ducting I hereby certify that I he a read this applicat nand state that the above 00-100,000 BTU ❑100,00087 information is correct. I ree to comply with Icily and county ordina ces and stale laws relating building nstr ucti , antl hereby authorize e senta[ives of th s c enter on t ave -mentioned pr Inspection purpos Signature Date ' Reinspection Fee $15 Drivers' Li c¢nsD SS w IF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee. • 1 $ 3 Hood or Type I ❑ Canopy Type 11 ❑ Refrigeration System ❑0-100,000 BTU ❑ 100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee t I $ 3 I Reinspection Fee I $15 I I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By. $ 3 PLAN CHECK 25% $. SUMMARY OF FEES BUILDING PERMIT $ 24.00 SMIP $ .50 PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 5016 $ MICROFILM $ MECHANICAL $. TOTALFEE $ na In' PLAN CHECK 25% $. ROVALS Permit # Date F1TIPNSTRUCTION AND PLANNING Inspector POOL 'A APPROVALS Permit # Date Inspector 11 mporaryElectrical Service or Pole 52. Pool & Equipment Location il Pipe-Undrgrnd. L 53. Steel Reinforcement ctrical 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, E Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, E 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 _ W. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POO VSPA 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 E Gas E Oil 23. Gas Pipe -Rough & Test 72. Underground Flush -24. Roof Framing '. , 73. Undergrnd. Storage Tank O Gas E Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 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 f-,' 42. Backflow Preventer , 43. Backflow Irrigation .. -44. Landscape Irrigation System � 45. Sound Attenuation '46. Handicap Regulations - .. X47. 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 OWNER COLLEGE -MESA COMPANY DATE 10-11-56 JOBADDRESS 1201 Parnell Place BUILDING PERMIT NO. #3826 GENERAL CONTRACTOR TLhy Hale Co. _ VALUE $ 10,248 00 t 170 BLOCK TRACT 2671 Single dwelling SJ/iatt- &ar. GROUP I & i TYPE V ZONE Rh FIRE DISTRICT 3856 INSPECTIONS DATE SUBCONTRACTOR - PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage&;- / Q Rough Framing f Plumbing, Rough to Slab I„� , , RL",#n"12 /0 -30 -5-6 Plumbing, Rough Complete V6�,G5 /a'u'-5a Temporary Pole Wiring, Rough 28,zi Heating, Rough 114, in Heating, Fal M/�S -f = "-f'+Yi.l : i :..7- �'�1 - C� �2 (`-4 C' ewer, House Sewer, Septic Tank or Cesspool t ing, In Outx t -ering Plumbing, Final, Fixtures CompleteAm5 Plumbing, Final Gas Test/S- Wiring, Final AIA 2 E 957 y�g Occupancy Al /aC FORM 210 9M 10-55 Costa Mesa Building Department IT t BU FOR PERM COSTA MESA,Ill EAST gCALI ORNIA th STREETriFj U O L D I N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. Permit No. 3GoZ o Building Address 1201 Parnell Place Costa Mesa, California Received by Date Rec'd.�� /a -/U `J (a /Date Issued A5) Nearest Cross St. Loren Lane Building Address Owner College Mesa Company Costa Mesa, California Mail Address 1777 W. Lincoln Avenue Nearest Cross St. Tel. City Anaheim No.KEY 3-3161 zone I No. of Plans I Type Grou Arch itect or Lic. Engineer Davis & Quigley No, C-1790 Approved oy Date Addrew43 Malaga Cove P1aza,Palos Verdes CORRECTIONS City Lie. Contractor The Hale Company No. 3422 Address 1777 W. Lincoln Ave. Anaheim Legal Description Lot I No. 170 1 Block I Tract2671 (Attach Metes and Bounds) No. of Bldgs. Size of Lot 78 x 125 Now on Lot None O Use of No.of No.of Existing Bldg. Families Roomst 70 Setback Line from Rear Yard Center of Street 50 Side Yard 10.8 8 y DESCRIPTION OF WORK r New I X I Alteration I I Addition Repair I I Moving I I Demolish Building No. of Size 1181 Rooms 5 Stories 1 Exterior Wall Covering Stucco Roof Covering Rock APPROVALS Use of New Building Sin le familydwellin with Foundation Location Forms, Materials, Under -Pinning Inspector Date 163 Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. Signature of THE HALE COMPANY Permittee Authorized Agt. f1A 1l. Lath. Int. Lath. Ext. Plaster, Int. Plaster, Ext. Valuation Permit Fee $ 26.00 Plan Check $ 13. 00 $ 10,248.00 Total Fee $ Masonry Reinforced Bond Beam FINAL FORM 204 S -BP 2M 6-55 9 e C m r r J � , . d J � a a CL Street PIAT PLAN Show location and distances from CI:) property line and between buildings. n +-I O a LN d as Q IA _ Q r r i %! , . o:.... .. . _ Q r r