HomeMy WebLinkAbout1212 PARNELL PL - Building Permits PRD/ECTADDRESS: 1212 PARNELL PL UNIT: GARAG CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048370
OWNER'S NAME: RAY HORTA
ADDRESS: 3130 SHARON LN ,C.M. PERMIT NO: B 048370 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH
546-0782
ARCH/ENGINEER: RED.ND.: JOB DESCRIPTION : REROOF 600SFW/COMPOSITION 6 SHEATHING SQ FT: 500
ADDRESS: UNIT:
CLAIM VALUE: 500 . 00 CALL—VALUE: 500 . 00 GROUP OCC: M-1 /
PERMITTEE: CHAMPION ROOFS ( 714 ) 898-8600
' , ADDRESS: 3257 VERDUGO COMMENTS : X
ORANGE CA 92667 ************+r********er************er******eHx*EE*****gr*******gr** ear*****er**********
ll(g��NSED CONTRACTOR OECtARATION: I hereby affirm that I am licensed undo ppr�oovisions at Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S
'rl4A of Division 3 of the Business and Professions Code,and my license s i force and effect. SETBACKS
cliyuc.: 042725 ST ix.:429481 —
Date: -1— 7 ( —. 6 (Signature: q`w MAIN BUILDING ACCESSORY BUILDING
2
NERS'COMPENSATIONOECURATION: (hereby affirm that - taoseffinsureoracertificateolWorkers FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
KERS'pensatiC aqcqp(zry RA th bSection3800.Lab. ) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
cr NO.: V o L o i —��—�}°d EAP.DATE: 6/02 /91
c0MPANY: PAC COMP. PARKING REQ• PROV: PARCEL : 14104606 ZNE: REF NO:
,,ssem�
❑ Certified copy is hereby famished. C] Certifed copy is fil i din Division. PLANNING NOTES>
Date: O
—3� `Applicant: *******************************************************************************
DEVELOPMENT SERVICES R E
EXEMPTION FROM WORKERS'COMPENSATION DECIAIMTION: (This section need not be sled 8 the Dema is for one hundred($100)Of less). Q U I R E M E N T• S
I certify that In the performance of the work for which this permit is issued,I shall riot employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED. BY DATE:
Date:__ _ _ Signature: BUILDING APPROVED -BY
NOTICE:It,after maldng this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE;
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 APPLICATION ISSUED B Y: DATE: t r1 u
which this permit is issued(Section 3097.Civ.C). *'*****'***'******************************** * *********************** 1—*******
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 . 00 . 5 0
repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State 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.My violation of Section 7031.5 by ISSUE FEE
y 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 property or my employees with wages as their sole compensation, will do the work and the TOTALS----> 15 . 50 0 .00 0 . 00 15 . 50 15 . 50 . 00
.J 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 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: 15 . 50 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 15 . 00
. 50
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Cede: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon *****,**,**,***,**,***,**************************************************************
and who contracts for such projects lith a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compenstiton insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR 500 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 500 .00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant wilUwlll not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air uality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and - ; y}A;. in'.correct.I agree to comply with all city an county *DUPLICATE RE C E I P T
ordinances and state laws relating to balding cons ) natives of the city to enter upon the above-m boned
property for inspection purposes. ( �� 01 00066543-00066544 TOT 15,50
Date: ?/`� 1 signature: �� DATE: 07/31/90 TIME: 14:06
Driver's License or social Security N: 01 00066543-00066544 T O T 1.`
~ 3 II1 �� DATE: 07/31/90 TINE: 14:06
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - .
CONSTRUCTION ANC/LANNI# L & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole-. 52. Pool & Equipment Location
a.2. Soil Pipe-Undrgrnd: _` 53. Steel Reinforcement
3cElectrical Conduit.Utility Undrgrnd.: 54. Forms
.4.,;Electrical Conduii-Undrgrnd. - 55. Electrical Bonding
• .S..Steel;Reinforcilnient =• • • 56. Rough Plumbing & Pressure Test
z
_ 6.17Electrical UFERGrnd. 57. APPROVAL TO COVER-GUNITE' -
7.• Footings 58. Electrical Conduit-Undrgrnd.
- 8.• Foundation 59. Gas Pipe, C Undrgrnd., Test
9'. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK •
11. Property Sewer Ling.& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains - 1'6'
64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electri iI-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
r17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
:18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19__Rough Heating & Air Conditioning _ ..,. * ; `.FIRE_DEP.T. REQUIREMENT,
71 •':1C:1 ''
20rRough Factory Fireplace - . t- _ •-'. 7•k * ;APPROVALS- Permit# r - T
- '1 `i x r r 7' C-7•-7.e rr
21_Ducts, n Structure;, '• c. (-) =:x :
PROJECT ADDRESS: 1212 PARNELL PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048369
OWNER'S NAME: RAY HORTA •
ADDRESS: 3130 SHARON LN ,C.M. PERMIT NO: B 048369 PLAN CHECK NO: N GOVT: N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
. 546-0782
-4 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; REROOF 2200SFW/COMPOSITION & SHEATHING SQ FT: 4 , 800
ADDRESS: UNIT:
CLAIM VALUE: 4, 800 . 00 CALC—VALUE: 4 , 800 . 00 GROUP OCC : R-3 /
r PERMITTEE: CHAMPION ROOFS (714 ) 898-8600
l ADDRESS: 3257 VERDUGO COMMENTS ; X
ORANGE CA 92667 ****** re(*** t*** **** r****i ********** e* r************************* r**yk****+LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EMENTS SMOKE DETECTOR
7000)of Division 3 of the Business and Professions Code,and my license is in full for • .•• :�• SETBACKS
CITY LJC.:0 4 2 7 2 5 'STATE LJC/.:4 2 9 4 8 1 C ss. •*'e p
Date: 7-17 (—`1e/ l Signature: I MAIN BUILDING ACCESSORY BUILD-DECI–I�R D.
,RKERS.
COMPENSATION DECLARATION: (hereby affirmthatlhave ecertiecate+ consentself-insureora certificate of Workers' FRNT: FT IN REAR; FT IN FART; FT IN REAR: FT IN
(Section 3800,Lab. ) LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
LICYNO: EXP.GATE: �6/O 1
OMPAxr: PAC COMP , PARKING REQ: PROV: PARCEL : 14104606 ZNE: REF NO:
❑ Certified copy is hereby furnished. 1 Certified copy is filed yy he • !/: m) r . PLANNING NOTES>
Date: 7-;(``U Applicant. ` ll ( *****************'**************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need-not be com eted N the permit is for one hundred($100)or less). D E VE •I, 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
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. ZONING APPROVED BY DATE;
Date: signature: BUILDING APPROVED' BY
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions al the Labor - DATE: ,
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 APPLICATION ISSUED BY : DATE: -7`3 1 -?1,
which this permit is issued(Section 3097,Civ.C). ****************************************** ** ***************************** ***
LENDER: *************.******************************************************************
ADDRESS: LEGALIZATION:N . F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,aper,improve,demolish,or PERMIT 72 . 00 . 50
repair any structure,prior to es issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State 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
my applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).ik
ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 72 . 50 O ,O0 0 . 00 72 , 5O 72 . 50 . 00
Does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersett 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 ; 72 , 50 OVER/SHORT: 00
is within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose sold sale).).
improvement wBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 72 . 00 . 50
❑ and Professions Code: TheContractors'with License Law does not apply too theownerCof properly who builds or improv es thereon *******************************************************************************
and who contracts for such projects with a eLawdoes
pursuant to the of proper State License Law),I st aware
that proof of their Worker's Compensation insurance should be provided to one. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C. '
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 4800 REROOF BY VALUE AESIDENIAL NOZONE 1 .00 4, 800 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality 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 ab• nformation i • •ct.I agree to comply with all and county
ordinances and state laws relating to building construction and hereb .uthodze repr—41•
-es of this city to enter upon th hove-mentioned -
property for inspection purposes. / i •
Date: el•`3 (`re 1/ Signature: re 01 00066541-00066542 TOT 72.50
Driver's License or Social Security x: DATE: 07/31/90 TIDE: 1405
1801-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
_-mo,
CONSTRUCTION AND PLANNI ; & 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
=3: Electrical Conduit'Gtility-Undrgrnd'.0 54. Forms
"4. Electrical Conduit-Undrgrnd. L C 55. Electrical Bonding
54Steel Reinforce`m`enth . 1..3 '< - 56. Rough Plumbing & Pressure Test
B- ElectricalUFER=Grnd. _' < 57. APPROVAL TO COVER-GUNITE m
7.:Footings. - 'x 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. •Water Pipe-Undrgrnd. J -. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Lirie& House Connection 62. Backwash & Receptor-Final ,
12. Sewer Cap °' -=i y 63. Heater & Vent-Final
13. Roof Drains r., r� 64. Plumbing System - Final
14. Rough Plumbing65. 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 ^, t, x ‹+ $, ,FIRE.DEPT. REQUIREMENT. -;
20..4-:Rough Factory Fireplace 1 c•; r• K f-; C-t r :APPROVA.LSI+FPermit#
-ter wC - •-.,Y1 .0^� -e • _
21. Ducts,in.Structu ce.. '• •- `•'' ,. 'S 7 'i"` x -70. Under roinnd Hydro '
T
22.^Ducts, Ventilating* I 'D a: J nr.M. F.:: ' C71. Productt,Piping Oas G0"Oil
23.'Gas1Pipe Roi?gh & Vest _i" C,5 t" M (..1)*
1_ z 372. Underground Flush y'.' x >I c
24.-Roof Framing l-r, !' _ - -,•* .73r-Undergrnd.Storag€Tank-0 Gas 0 Oil
25.,Roof Sheathing y 3j}/7 ! * 7400-verhead Hydro] , „
26:-T-bar Ceiling (Structural) &"Mon]pcoat +: U > t* :. 75TDry Chemical -
4. _ ' v., -,-•27:_Frameand Flashing.' DacC t" )" �* ` 76Dry Standpi6.e t1W _ ^! 8#
28. Lathing-& Siding �_ atc-. O # `• r y 77: FIXED SYSTEMIF:INAL+' i-+ -^
29. Insulation s S * S 78iFIRE PREY. FINAL rc b.> :,-•
30. Drywall_Nail ng x --. I ,c 1-4 ' !* 4, S HE'ALTH-DEPTx REQUIREMENT
231. Plaster Brown Coati i :lir it ..
79^FINAL INSPECTION
rn •-• et r-) # N I H; T tn : a:
:z32:"Electricat Power Meter-Fjnel, p; q, '80=FOOD CERTIFICATE ISSUED-i '..0
J
733 Final Electri8 t r ' ` H i, y { Notes: r `;n et `a 'r`1
, 34 Final Heating";& Air(Conditioning- tr. g ,t c •,a ^
35.. Final Gas-Pipe-Test"' Ci •• t ^ 1 1# ;c -D =r` 'i-+ *
736..Hood oLCanopy x Jr: , m_t*j7:., x: n . " i, ^'O * ti11
-
_37. Final'Factory Fireplaces :-.1:-• O - * •-•
38. Final Pluma t<:Plumbing ; ^i 0 * 4 * .7: t-..-1 M r w
39. Water Secvice:Final s. * 4 > LY ..
40. Gas Service-Final ., :I*'^" " * • • r, 4 '_,I" "' • 0 '"
41. Solar Domesi c-Final j X -. o
x r -. r .
42. Backflow Preventers` N (j�-i r, + , n FTC-,-)
43. Backflow Irrigation'. > ^ v n .r - i ' •
r. 'r ..• 1
x K * . .. -
_44.,.Landscape Irrigation System'• z-t " _ < " r , 2 =' '' T
L v a. .
45.;Sound Attenuation' • -. z •r- x .qy n I- C • . --
-
46. Handicap'Regulations ;,
-47.-FINALSTRUCTURE & BUILDING ffi / r '+a.
-
48.=FINALPLANNING, H`" - .. ".
-
.49. Elect'ric-Release to Edison i it
50.-Gas,Release to Southern California Gas Co t; '; ; I,,, • _•
51. CERTIFICATEOF-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 TRUCT ON PERMIT — PE MIT NO. TR CT NO. OT O. UNIT NO. 7723 9/06/84 51 ,65 TI,.
Project Address C1/d 1. Pen,eft h 5O �� TRACT No.
�7
Applicant's Mailing Address 1/� Poent I/ C� 91(61 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LI ALTERATION U REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OT7 EI/ A.P.# 'y cYb #'06 Zones'
Owner's Name d' y hone 7s Y, � 6
DE RIPTION OF WORK/U EeF BLgG. L OGx L!//fLL '/
Address Ida. �a�nel/ — e Y . OC / Lox- S Main Building: —"� Accessory Building: 6104E wa/I
Arch/Eng. ''� License No . TYPE OF PERMIT GRADING I FO :. •TION N STRUCTURAL E Front - - l.20-T f L O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
❑ OTHER A en I
Contractor's Name Phone yyte. C Right O N
r/� yn� PROJECT DESCRIPTIOI SD. FT. OCCUPANCY G
Address(mailing) � f
-.tJ CONSTRUCTION TYPE , VALUATION $�A�• g Left
City License No. ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION ' Ping. Ref.# ParkingrkReq./Provided /
•
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: g 5'/•(�n /rH I e''IQ b /1/ ,�( 0I
with section 7000) of Divl of the Business and Professions code, and �"
my license is in full force an ei te�,
!� J T
License Class License No. - J �A// - S.
Date Signature PLUMBING I FEES •
WORKERS'COMPENSATION DECLARATION • Bar Sink Showers •
ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
•f Workers' Compensation Insurance, or a certified copy thereof (Section • Backflow Preventer - Service Sink
800, Lab. C.) • Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+'KW
8 Certified copy is hereby furnished.
Certified copy Is filed with the city Building Division. Bathtubs l Sewer Connection Cooking Unit Meter Dup to 100 amps
Date Applicant -.
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). • Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel '
I certify•that in the performance of the wet'. hich this per,' 's issued,I
shall not employ any person in any ma,..... I: t• •.co,- su• •ct to the Drinking Fountains Solar Tank - Fan Motors 00-1 HP ❑1'h-g-
/Worke pie
Jas on Laws of - •r. .
Date �� o�jr Sign ure '� i... — _ Floor Drains Swimming Pool w/Spa FA.U. Inc.Solar ❑9-15 HP 016-15+ '
NOTIC Iter making this •eel. .ti r.you sho!�b come subject to the - '
Workers' Compensation prov io• of he Labor ode, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisio or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performancePole Light
of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors - Water Heater Outlets '
Lender's Name
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories •
Garbage Disposal 'Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Generator 00.5 KW 05-15 KW Trash Compactor
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 Roof Drains
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).
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee , $ 3
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL -1 FEES'
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 Hood or Type I 0 - DEVELOPMENT SERVICES�REo,y iIR�EMENTS: py���
employees, provided that such improvements are not intended or offered for I Boiler CanopyType II 0 Zoning Approved By -+/��s.-a-1' q,/( / i
sale. If, however, the building or improvement is sold within one year of corn- ypDate �-+
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
pIfor the purpose of sale).
PQ I,, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 Duct-Ventilating 00-100,000 BTU El 100,000 BTU Sgt./MARY OF FEES _
builds or improves thereon,and who contracts for such projects with a con-
traclor(s) a pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration
their BUILDING PERMIT $ r.00 SMTP $ ' Q
proof of their Worker's Compensation insurance should be pro • to me. 20.I
PLAN CHECK $ PERMIT
�/ ❑ I am exempt under Section P. or this eason Firepl/Fact.BIL ICBG# PLUMBING $ ISSUANCE $
"� Date r her ��� w— Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby ce ify tn• h. e .d this application a� state that the above ❑0100,000 BTU ❑100,000BT ELECTRICAL $ GRADING $
information is co •ct. ag • to comp) all city and county ordinances
and state laws -lating ,• -. •ing co•e n, and hereby authorize epre- PLAN CHECK 50°6 $ MICROFILM $
sentatives o his ci • • e •r u-.• above-mentioned pr ee y
inspect'.n • rpo
Sig ! '` ^1 ' ex-- _ Dalev MECHANICAL $ TOTAL FEE $ 51 ',c
y `
x Ori ��� ' _ Reinspection Fee $15 Issue Fee $ 3 'HECK 25% $
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
A
• 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 -
3.,Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5: Steel-Reinforcement 9�1Z4 �W- 56. Rough Plumbing & Pressure Test
6.,Electrical UFER Grnd. Atsf` 57. APPROVAL TO COVER-GUNITE
7. Footings 4�'�{,.e(� 9/9Al a 58. Electrical Conduit-Undrgrnd. •
8. Foundati in 59. Gas Pipe, 0 Undrgrnd.;Test
.9. Water Pike-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
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &;Test 72. Underground Flush
24. Roof Framing Ir 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 1- 74. Overhead Hydro
•
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame end 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
i
38. FinaiPlumbing
39. Water Service-Final * •
40. GarService-Ficial '
41. Solar Domestic-Final •
42. Backflow Preventer
43. Backflow Irrigation .
44. -Landscape Irrigation System '
45. Sound Attenuation '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING //0
48. Special Requirements Completed 1,�
49. Electric Release to Edison"'
•
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
( aldd .
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING AND
- ?o/ra REFRIGERATION WORK
AFFR® � I 113 --
Pa,rilt #_OI z
CITY OF COSA MESA THIS NE:1•;9,-R r
PLANNING' A ME Iy I ACCOMPANY
WUECT to 6 DEPT. 3e6 ALL INSPECPON REQUESTS
Oy w FOR BUID;: S ';"IN.: FERSONS ARf TO
p op pLANNINO BE ENPLO(w, ' 'E SJGGEST THAT THE
- STATE OF C , Jan"A DIVISION OF
INDUSTRIAL SAFETY BE CONSULTED FOR
D1/1 ADDITIONAL REQUIRED,
Q K6' 25-
x6 ,
l
ib 1
N1 _ 1
-
ND
kO
RESIDENCEFS
RESIDENCE RESIDENCE RESIDENCE
I-
W W
W
D
N I-.
\
•
tt
4v'
I
41
/ h
I
//
tic/I P !/ STREET _ - -
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional�—�4t � -- GENERAL- NOTES
Channel Block With One 3/8 r� {, 'I
Horizontal Top of all I r MORTAR. One Part Plastic Cement, and
Fences I
Three Parts Sand
For Fences 5'or Less GROUT: • One Port Cement Three and
2 �' I I c I One Half Ports Sand
Ven.Bars 3/8'cfr at 4'-0"0.C. o '� COPING:
iz
_ I One Part Cement, Three
I
Parts Sand
For Fences Higher Than 5' •
` 1.- CONCRETE: Well Mixed I: 2 : 3�2
Vert. Bars 3/8"O at 32" O.C. �•, > _ - -
•
Fill Cells Solid With Grout I. ' `> Max. of Viz Gallons of
z i Water Per Sack of Cement
Where Steel Occurs > - , -
I
Reinforcing Steel Shall ' .I f I I GROUT MAY BE POURED FROM THE TOP
Conform to Sec.A-15-39 11 w o _ OF THE FENCE
A.S.T.M, -I Z ~ I 2 CELLS AND AREAS OF HORIZONTAL REIN-
w n •,,..,,,, a _ _ _ _ __ _ FORCEMENT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped �l LL I - I - T FREE OF ALL MORTAR DEBRIS,ETC.
15"or to Code
7 II
NATURAL GRADE 0
I
II1S111=111_ MEIII AA i• Iii= BLOCKS IN STRETCHER COURSES SO THAT
e � • I',;,
o - VERTICAL JOINTS ALTERNATE IN EACH
p -O a • . e . . s - 2 ' • COURSE.
�TW03/B BARS' fJ
�M e
j . CONTINUOUS TOP II o r
&BOTTOM' • -may .O O, F-�WIDTH �, TO 16' 0 C. MAX. • •
0
C p SEE CHART 0 . O
U o
r0 BELOW ; lac DEPTH OF EARTHTCOTH
• •
OI • b p� I/3 THE HEIGTH OF FENCE
L L T�OW BOTTOM OF FOOTING.
e, n
v 3 Off .
Io" IG" • 2,.� � SCALE: I/2" = I'
•
_FOOTING REQUIREMENTS _
WALL HEIGHT 6 ' 5' 4' 3'
WIDTH OF FOOTING 14" 14" 12" 12"
THICKNESS OF FOOTING 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH 24" 20" 16" 12"
SPACING OF EARTHTOOTH 12' 14' 16' IS'
OWNERS -NAME:
City of Costa Mesa, California JOB ADDRESS:
- "Building Department
,
PAR'T'Y WALL AGREEMENT
THIS AGREEMENT, made and entered into this S" day of '
..s:70,,-/; »,�8., , 17/ , by and between '/ 1--74._.
hereinafter referred to as "LAND OWNER", and 45/4 .gwzr
hereinafter referred to as "ADJACENT PROPERTY CWNER".
It is hereby agreed that a party wall will
77
ll be constructed on the
property line between /07/01 7Q/nOGJ /
/JO7 / r!/(Address of Adjoining Properties)
in the City of Costa Mesa, County 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 WHEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND OWNER ADJACENT PROPERTY OWNER
_71 : -4--(----"C--
(Si natu e) J at
/1 Ly /e__ Sec.rN.s
Name (T'p/ed or anted) Nam (Typed or Printed)
`a4:2 Pe4OPOf 4iu yo /A,f"
(Address) (Address)
(NOTE: Please see reverse side for notary's statement)
l
• STATE CF CALIFORNIA )
ss.
OCCINT! OF ORANGE )
On 5i 075, //itY
before me, the undersigned, a Notary Public in
and for the Coln of Ora ge, State of California, personally appeared
known to me to be the person(.), whose name) is subscribed to the within
instrument and acknowledged to lee that (he/she ey-) executed the same.
WI - my hare] and official " eal. (SEAL)
1 IVC` ./ ,
Signature 1+ -ion, DOFFICIAL SEAL
T; NOTARY PUBLICO-SCAL FORNIA
Name (typed or printed) w�e� ORANGE COUNTY i
(
T` _ _ My comm. expires APR 3,
, 1987
STATE OF CALIFORNIA )
ss.
CCUNTY (F ORANGE )
On -�rP'(g5 /70(/ , before me, the undersigned, a Notary
Public in and for the Co ty of Orange, State of California, personally appeared
known to lie to be the personN whose name`(*) is subscribed to the within
instrument and acknowledged to me that (he/site58thfpay) executed the same.
WITNESS my hand and official seal. (SEAL)
j001ALQ_____<-,4 .,
(Signature) 1~T OFICIAL SEAL
=x DO'NAL P O'SULLIVAN
—/,�� / / aLi' � NOTARY PUBLIC -CALIFORNIA
,= D/i✓ of Pio SO 114—A(1 mo. ''� ORANGE COUNTY
Name (typed or printed) �T_`___ My comm. expGes APR 3, 1987
PROJECT ADDRESS: UNIT:
OWNER'S NAME: 1212 PARNELL PL CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 067175
ADDRESS: HORTA REYNALDO
3130 §HARON LN PERMIT NO: E 067175 PLAN CHECK NO; N GOVT: N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE: 0TH
ARCNIENGINEER: REG.ND.:
ADDRESS: UNIT: JOB DESCRIPTION ; ELECT. WORK FOR WASHER E DRYER IN GARAGE SQ FT:
PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC : M-1 /
ADDRESS: RAYNALDO HORTA (714 ) 546-0782
('12123�.TPARNELL PL ((``�� �� �qq77 77 COMMENTS• NO OTHER WORK AUTHORIZED BY THIS PERMIT
LICENSED CONTRACTOR OECCAAATION: thereby affirm that lam lensed undetTrtdvmodsb�ttap r9(commeocing with Section *******************************************************************************
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. Z ON ING R EQUIR EMENTS
CITY LIC.: STATE LIC.: CLASS: SETBACKS
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT• FT IN REAR• FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(section 31300,Lao.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV; PARCEL : 14104606 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES>
. >
Date: _ Applicant: **************9E*3E****************.4*********************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TIS section need not be completed it the permit¢for one hundred(5100)or less). ID EV ELOP MENT S E R V ICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in ary manner so as to became
subject to the Workers Compensation Laws of California. //✓✓�`'^
---t Date. J//i4/9¢- Signature: ,'•" l ZONING APPROVED BY DATE:
NOTICE':If,after makingthis declaration,you should become b ect to the Workers'Compensation provisions of the Labor '�
Code.you must forthwh tomtit with such provisions or this permit shall be deemed revoked. BUILDING APPROVED BY '• DATE
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). APPLICATION ISSUED BY; 4, DATE: ct < , Lt
1.
LENDER:
ADDRESS: ******************363E***************************363E*********3616***3E'*******3E'*******
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/RES GRADING
(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 PERMIT 1,4 • 75
pursuant la the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0 t SHIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500).
ISSUE FEE 15 . 00
I. as owner of the property or my epees with wages as their sole compensation, wit do the work. and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Qstructure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS-- 14 . 75 1 S . 0 0 0 . 0 0 29 . 75 2 9 . 7 5 0 0
does not apply to an Owner of a property who builds Or improves thereon,and who does such work himselfrhersell or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or •
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 29 . 75 OVER/SHORT: • 00
lor 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 29 . 75
❑ and Professions Cope: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such with
projects a Contractors)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensationctsinsurance should be provided to me. *******************************************************************************
❑ I am exempt under Section: B.c P.C. IND I V IDUAL F E E BR EAK DOWN
for this reason: / /& TYPE QTY DESCR IP T I O N ' UNIT COST TOTAL COST
Dale: 'S//r/ � � Owner. --144-a-‘4'4, I 1'-`✓v
Ido hereby certify that tarn aware of and understand the requirements of Californla d alth and Safety Code Sections 25505,25533,and EL E 1 R EC E P T/OUTLET . 1 ST 20 EA. . 75 . 75
25534 and that l or any future building occupant will/wit not(circle one)need to comply with said state codes and the requirements for a EL E 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00
permit for construction or modification Iron theArt panty Management District.Residential construction applications are exempt from EL E 1 M I SC CONDUIT NOT LISTED REQ PERMIT 11 . 00 11 . 00
these provisions. END OF FEES
Date: Applicant:
I 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 building construction and hereby authorize representatives of this city to e ter upon the above-mentioned y,
property for inspection puurrppoosses. n
Date: S//6,/7 Signature:, -++.+�� D0ATE: 05/16/94
gt]�T 29.75
Driver's License or Social Security k:
164r'46 While-Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
, c`JSTRUCTION AND PLANNING I F•.,..L & SPA I I 1
I
'R..'"ROVA1_S Permit ==
Dote Inspector APPROVALS Permit :: I Date lrt pector
_ Tcm,_ E' .c•n�a'. Sr ca m Pals I I 52. Poo; & Equipment Locat.on _1
2. 4: . P'cc I: mra•ro• 1 53. Siert Ruinforr-emer t j
?. F.. c. 'c. Cr :I.! f. vi 'ny.c;, 51. F
.or�: � --_-I n::T' -_ _ __ _ -._- -_ __._ ,
i 4 E' Lux.; Cordi,:FUndrq viWaieWirdege 1 55. Electrical Bonding
H. 5, ' I', .,.eo•c„rant 1 156. Rov.•l Plumbing E1 Pi c...ure T:,1
u C.. r " L./ LG G ^i i i r-h7 nPFPOVAI. TO C1JVr:R GU\'ITI: 1
11 , SE. Puctril:.tl Cordu.t•li,Itgrr;l_ _ _ -_ _ - _ -. _.
i
S Fr .,t a1 1 Y
_ 59 G.11, 1712;1, 12 lJndro'i 1 • TLSi 1
1C ..:.'u'::' I=' I^• Sy"te GI. APP;IOVAL TO DE C'< '
.,p. -•, 5 . Cr :.i-, & l-':' ,. CL IP rt u' I• 1 O. Rdci,C•dih & HeL.;rm-1 ilii
_ -._ _ _ _--___ _ ___- _ ___4_ - __ __ ___ ._.___ ---_ __ ___ _,
' 12 SI Til Lip i 63. Hctt-r at Vent•Finni I
1 I _ -1
6i. Plumarng System F nal 1
---- I 65. Ecctric:11'F"AI
•
_
.r R J c_ Ca^^� - - --- _ - - • Iu6S
-f--_-- - -_ -- - -- -- - -_ - - __ -
. n .0 SYst.m Fina.
I
--- -------L- - 67. F.rc^g & q^ sA.l r,rj e' - - -�. -.
;7 I,�_-, n, Sgn � I a6. APPAOVED FOR PLASTERI._G•, _if.___I 18. R;:,.-h cicctrla' T Bar Cx,; -- n 09. POOL/SPA SYSTE'.'S F:NAL
9 Rcu F. N,:„l: & Air ^�- �.' u' r. - _� _h- �_-
y 9 I FIRE DEPI. HEQUIHEIVIEiVI
7' 7
_- ,:,'• - h c i I APPROVALS Permit i ___
L ---- _---- -- ---I- '-- j -- -- - -
. - Etruct..,c I 13, Wtci-rn'C.ri Hyd,o
7 - T- r- I
i 1. Prac..r-t P.13 ng " G. , ,Oi:
• : 3 , .. . •.'.o"•;+--_Tr-it
_-_ _-_ _ 12. U1_t,'.rnround Tiu: '_
T�� -- - I ,- ---- I_#3_Undcrrrnd_Stnr.t -„•-. -� -- - - - - - - -
1- 1..• _ith ;g j I 74 Ohc'h^ad Hymn
c
u
� ! . Ory hncm:rel
7/ ..I, : :, I' 'sn.nri I- I 76. Dry $t'rtl Vioq __ - -
L_.-_ - _ __ __
_ _ __ _ _ _ __ -t- ----- --.;.it i ., i /7. FI;EC sv;ii:,'. "r, ,A:
_' u^ 73. !'!;.IE PRE V. FI'.n
I;FP.I T-; c _YT R:_ ::1:lj, ...-
I 71. -.. - 1:,,, ...- ,- - - - - -- -- --- - - - ?'113. r-;'dAl. !7\: :,"1:r:1r:' -- - -
-`- - .11 ,7 V ,:ctc, r-,.;.,,
_i ___ - - -t- - :'0 : GOD C F II , ,F S
IC, Ii ,' UI D - .. 1
r �3 - -=- -- 15A*tNate,:2S � nn'iP - 2 JPG - pLv TZ_ ,
R7-f--
L _1 1 •.- „ a:r: EAir atm^ , - - taraq t_ftT
: p'r1- - --- - - -T -- ---F ----- --- - -
I 26. -,ac Larop;'
3i. - .J 4_cta F,repIac,
__ I_ __- - _ _ _ _ - -- - _. -
38. F'na'• Pornbing
I 40. Gas Sercice•Finalf- -- --
j
1
I
ria cam rnt�c•Final --�_-.-- - .__ - _ - .
c
:2. :ho:._Prsvanter __.- - --- -_-_- _- - - -' - '-
'.3. = =_;rr.sat 0- J
44. i ,^,hc•r` Ir' ^anon Syr . ___-_.- _ __ _ - ____ _ _ _-._ __ _ -
45. cNu".d Attenuation - - - - - --I- j----- -- ---- - - - -- -- -- - - - -
43. H.,nd-c.:p Rc2u'ationv
F..__
47. FINAL STRUCTURE & BUILDING 1
C2 f-::4:4.1_ P:.4Nl?'G --- --- ----- - -- -- - -- -- - - - -
I 40. c'cGtrlL it:'ILd St to EU Ko - . - - - -_ _ _-__ - __ - - __
-_ _- _.
50. G,'s 1::!c'' to South-,rn Ca�forn•t Gr,G: - --- - -- - - ---
51. CERTIFICATE OF OCCUPANCY
No. Date I
1
L, PROJECT ADDRESS:
SOE: 1212 PARNELL PL 2 UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 067176
OWNEWNE D ESS: HORTA, REYNALDO
1 E55: 3130 SHARON LN PERMIT NO: P 067176 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH '1
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : GAS LINE FOR WASHER & DRYER IN GARAGE SQ FT:
PERMITTEE: CLAIM VALUE: CALL—VALUE; GROUP OCC: M-1 /
ADDRESS: RAYNALDO HORTA ( 714 ) 546-0782
1212 PARNELL PL COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT, RE: #E67175
M CA92h.26 *************�6ir�E�L+ESE***kE****ra**36ar***ic-** �E*�E*kt*at******�F�E*+E*TE****7cTE****dr**7r�E******
LICENSED CONTRALTO dECLA)IATION: I hereby allirm that I am licensed under provisions o aper 9(commencing with Section
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. ZONING REQUIREMENTS
CITY LIC.: STATE LIC.: CUSS: SETBACKS
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a ceniticate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3804 Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL : 14104606 ZNE: REF NO:
O Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
> r.I
Date: Applicant: • *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1001orless). D EVELOP MEN T SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in an anner so as to become
subject to the Workers'Compensation Laws of California. !
DATE:
.---y Date: 5-77‘79•5t Signaturu: �y••..•**Ado l ZONING APPROVED BY
NOTICE:If.after making this declaration,you should beeo e 5 lett to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
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 r 1
which this permit issued(Section 3097.Civ.Cf. APPLICATION ISSUED BY: S\tr�,'�\ c/`. r DATE: ieoC�'l (4
*********************************************t ******************** 9t-****45.**
UNDER:
ADDRESS: *******************************************************************************
LEGALIZATION: N F E E S -U M M A R Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State 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
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement That he/she is licensed PERMIT 5 --
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 20 0 25% SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by p LAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred defiers($500). ISSUE FEE 20 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
4 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 5 . 00 20 , 00 0 . 00 25 . 00 25 . 00 , 00
does not apply to an owner of a properly 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 completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 25 . 00 OVER/SHORT• 00
for the purposeol 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 25 . 00
❑ and 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'State License Law).I am aware -1
that proof of their Worker's Compensation insurance should be provided to me. ****************************************i5.**************************************
❑ I am exempt under Section: B.a P.C. INDIVIDUAL 'F E E BREAKDOWN
for this reason:
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Date. 3---//‘//CT! Owner: �/ ...."......4.4...."......"......4.4 l
I do hereby certify that lam aware of and understand the requirements of California HeaI4and Safety Code Sections 25505.25533.and PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 00 5 , 00
25534 and that I or any future building occupant will/will not)circle one)need to comply with said state codes and the requirements for a END' OF FEES
permit for construction or modification Irom the Air Duality Management District.Residential construction applications are exempt from
these provisions.
�t
/
Date: Applicant:
- r I
I 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 building construction and hereby authorize representatives of this city to enter •in the above-mentioned
property or inspection purposes. •/
01 00160530-00160530 TOT 25.00
Date: )---7/‘79 Signature: Y '- DATE: 05/16/94 TIME: 03:45
Driver's License or Social Security N: ,
1645.46 Witte-Building:Green-Code Enforcement;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING F..JL & SPA -
APPROVALS Permit s';` Date Inspector APPROVALS Permit - Date Inspecto- 1
-4 -
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement ',
3. Electrical Conduit Utrhty-Undrgrnd. - 54. Forms I 1 -
4. Electrical Condwt•Undrn_nd. I 55 Electrical Bonding - -'
I
5. Sure: Reinforcement 56. Rough Plumb-,ng & PrL-,ruru Tst
6 Electrical UF ER Grnd 57. APPROVAL TO COVE R•Glivi-rE 1
` --
7 Foot mgs --- 58. Electrical Corduh.r•d :'n❑-- i - -- --
8. Foundation -I I 59. Gas Pipe, Urd'r i "- ,. j
9. Water Pipe-Undrgrnd ! 60. Backwash Lines. P-Trap, L' U d'rrnd F1 '
' ------- - I - --- ----_ ,---�
10. Structural Floor System 61. APPROVAL TO DECK
1 . Property Sewer Lire & Ho JCL' Cnnr action 62. Basic::csh & Recce;uo- `rie: --
12. Sewer Cap f 63. Heater & Vent-Fina: - I '
13 F.004 Drains - 64. Plumbing System _F nal _i i
14. Fough Plumbing 65. Electrical-F rel
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Aporor.:l
17. Rough kV:ring Sign - 68. APPROVED FOR PLASTERING: - --_ --^ -
18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I I
•
19. Rough Heating & Air Cor.d•t,oning FIRE DEPT. REOUIREMEIJT '
20. Rough Factory FRcplseu APPROVALS Permit * - ___ 1
21. Ducts, in Structure 70. Underground Hydro f {I
22. Just., Ventloting 71. Product Piping re-,Gas .al --_-- I 1- ---
23. Gas Pipe-Rough & Test 72. Urce•grcu•r:' c
24 Roo' Framing ----- --- 73. Undcrgrnd Stnray, T,. G�. u I- I
25. Roof Sheatmng --___ 74. Overhead r+yr•r _" __
26. "- Bir Ceihnn ,Stru::.-all L „ .:'Pct_. 75. Dry Cn,er,ic..
-
}__
27. Frame and Flashing _---- 1-76. Dry Stene:^Ii ^ - - _--_- I}
n -- -- -
2S. Lat ,g& Sd ng 177. F��XED SYSTE'.' L ?.AL 111
29. insulat or. 78. 'PIPE PREY. F:':::L U-
30 D-y'.-&h IYz,l:ng HEALTH DEPT. REOUIRL'..E\'T -
31 astir Brown Co.,t --------- --- 79. FINAL INS''FC' o: - --- - - - - -
32 Electrical Poi:.0 L:c;e" F n„: 87. =OOD CE:' .. ,'E 'SSL.
33. Final Electric Notes:
g -- I-1-31-2•62./4-
-- - ---- --- .r _
34 Finer Heat.n & Air (.ora,.t,ol��i,.i - -- - �� z`l 4-_ _(AMP �7'Z/507( •O Ai
35. l'"-Zi; Gas Pipe Test _ 3- a i- _F(_P!-7 _a_. \ •..
I 36. Hood or Canopy -- ---- - -- -- -- ---- - -- - __
7 37. Final Factory Fireplace
-- -- ------ - _-- -_-- - _ - -- --
1t-38. Final Plumbing 5ZcC'
_ l
1 39. Water Servrce:Final i
� 40 Gas S,.rce-Final
-N - - 5--2S-Se
1 - --
%,1. Sslar Doric c F rel
IT,2 Oackflow Precentor
_-
43. Backflow Irrigation ---- - ---
--
-4- r
-- - .'- -- -- - - -- - _
44. Lardscapo lineation Sv tom
So.nd Atter uanPn
--
I 46. Handicap Regulations
47. FARA_STRUCTURE & EJILJ'N2G it-
48. FINAL PLANNING -1--- I _ I - -- - - - --
-- '-
-
49. Electric Release to Edison i - - ---
5C. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY _,
No. Date
c DETAII
c,011- ¢S_
l ? 'j
C C ' /-1,,
a0apler /
all uta 11 rntve
/ A
—1/2' black pipe
. reducer
to 71 "4' gr and , s8- SC coupler
eple tic piic ne adapter
level
P pipe
6" r
.. .. .... ...... . .. .. .... .
.:..:.:.:.1.:illi...:._:...::..:.::.:,.:;.:_..
3
..
/
DRIV- - - - - - - - - - - - - - - annnnnnnnnnnnnnnnnAnnnnnnAnn„nnnnnnnnnnnnnn
EWAY'
from noose
• •� 1/2• Bleck pipe
9/4• p1n611c shutoff vele[
t/4° uncle rpraund — 1/2• black pipe
redueer
union
steel to plastic adapter
ground Arnd — e/a• plastic pipe
2 • evel
HOUSE
t/2k black pipe
$ t0. under house
19' above ground -.
tap into
ezistitig i
/ scale
t/4• = 1
OWNER COLLEGE-MESA COMPANY DATE 10-11-56
JOB ADDRESS 1212 Parnell Place BUILDING PERMIT NO. 113823
GCNERAL CONTRACTOR The Hale CO. VALUE $ 11,368.00
LOT 167 BLOCK TRACT 26716nSingle dwelling w/det._-gar.
GROUP I & J TYPE V\ ZONE +W FIRE DISTRICT 3853
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
G ,�e .A� •
DATE NUMBER ‘.Footing Trench vesu4. ii —c�
Foundation Forms and Grade to Garagea�� - 2 3
Rough Framing SS,, rt.;� -'-7 �J� G
Plumbing,Rough to Slab -Ca. IOW� ss IVJ �, /0.3d'SZ 7 ;- t— .---
Plumbing,
Plumbing, Rough Complete 2/VI R 5 •: ."St
Temporary Pole
Wiring, Roughti-,Z? "1 •4>re rfici. s--:S - //-210 -56 sca ✓
Heating,Rough lin r 5 /) -4-a
Heating,Final MIF. 6-7 S7 v��c.fi y,.i it/./ /0tZO-4 G Ya.n.. , .."--
ewe
�
ewe House / Sewer,SO hit 5 /,s,7,f f7 Q f —„ - u f/-„ ,,-Sc 6, 7 G 5/
F 'c Tank or Cesspool L (J] "`e^^"'YJ—
L�_.ling, In�( Out X J&/1` ,-l� - 7 s
Plastering f'j- .3 7-s _
Plumbing,Final,Fixtures Complete�,445 a-7-3/ / ,� s,
Plumbing,Final Gas Test/S. 'WIC i�)-3,,t \ /r_• Pt.,/ e s,t .€.SLI yI / `
Wiring, Final JUN 3 95`1-Vta Com`” ` ' - " " / / i
Occupancy il .i6. b 'It-- jt
FORM 210 3M 10.55
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST COSTA MESA,20th STREET CALIFORNIA �`2fZ.ri3 BUILDING 1
FOR OFFICE USE ONLY
t FOR APPLICANT TO FILL IN 1 Receipt No. I Permit�No.
Building 5Q a 3
Address 1212 Parnell Place
Costa Mesa, California Received by Date Recd. Date Issued
Nearest 'in Ail—to 6 �� -7/ S c
Cross St. Loren Lane Building
Address
Owner College Mesa Company Costa Mesa, California
Mail
Address 1777 W. Lincoln Avenue Nearest
Tel. Crnss St.
CityrAnaheim Lic. 3-3161 Zone I No.la s I Type crou�
Architect or Lic. Plans
Fnglneer Davis & Quigley No. C-1790 Approved
by Date
.ldress43 Malaga Cove Plaza,Palos Verdes CORRECTIONS
Contractor The Hale Company No. LI°' 3422
Address 1777 W. Lincoln Ave. , Anaheim
Legal I Lot I
Description I No. 167 I Block I Tract2671
(Attach Metes and Bounds)
Size of Lot 64 x 120 I No.ow ofon Bldgs.Lot None
N
Use of I No.of I No.of 70
Existing Bldg. Families Rooms A Ei
Setback Line from Rear Yard 65 2
Center of Street 50 Side Yard 8/5 D
DESCRIPTION OF WORK - r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
'Iding No.of
e 1321 Rooms 6 Stories 1 0
Exterior Wall I Roof —
Covering Stucco Covering Shake ' APPROVALS
Use of New "
Building Single family dwelling with Foundation Location Inspector Date
Forms,Materials,
detached garage. Under-Pinning
Frame: Fire Stops, v a
IN
Bracing,Bolts
I hereby acknowledge that I have read this Application -
and state that the above is correct and agree to comply Lath.Int. - 0ti
with all City Ordinances and State Laws regulating LI
building construction. Lath.Ext.
Signature of THE HALE MPANY
Permittee Plaster, Int. '
Authorized Agt. ,/t1 lhaisttate. Plaster, Ext. ;3C
Valuation, Permit Fee $28.00 Masonry Reinforced id
Plan Check $14.00 Bond Beam
$ 11, 368.00 Total cm
Fee $42.00 FINAL 0/
FORM 204 S-BP 251 6-55
4
W
J =
d. J
o a
a
a
Street 1.
PLOT PLAN
Show location and distances from
Prgperty line and between buildings
f•-
a u
.' • Vim_. ..
re. w
03 a
C5
O O
/A -
4 q . tas
43
as
• . ..
•
o 0
a t�
,
F .
-OWNER DEUTSCHE; DANIEL DATE 2-13-59 ._
JOB ADDRESS 1212 Parncll P1aCC BUILDING PERMIT NO. 86211-
GENERAL CONTRACTOR Fu rway Lumber VALUE $ 1111*00 -
AP. No. LOT 1(,7 TRACT 2A71FIRE ZONE DESCRIPTION OF WORK Redwood stake fence
i LIP TYPE ZONE PLAN NO. 8621±
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DAZE NUMBER •
Trenches Forms Steel !I`
Floor System /{�
Steel Reinforce Chimney Re-Rod / (/
Bond Beam _ I 4
Frame and Flashing //{{� /
Lathing, In Out fk,l•/� 4
Plaster, brown coat /
n
Underground soil WIG Pipe Test / .1/
Top Out / (// �'
Furnace /.r 1 �^ /y
Gas Vents //l f� iti" 0
Rough Plumbing /-A' ^/� / J /�/
Cesspool Septic Tank t � I J
Prop. Swr. Line • House Con. St. Swr. • �/lt
Sprinkling System 6b,
b„'k;i,K;�Final
7
II5, ging Fixtures, Final
Final Gas Test
Construction Pole -
Underground Power
Rough Wiring
Fixtures, Final
OCCUPANCY
-Form 210-5M-1-57 8621.
•
i , COSTA MESA BUILDING DEPARTMENT
P. •
p�+ •g
O. BOX 317 / I C)(J24
COSTA MESA CALIFORNIA
C.L. OF STREET Lt. RE
EIV ED FOR APPLICANT TO FILL IN
V BUILDING ADDRESS i, "'lig
Y//dsi'nl,
� ><� J
__.,...--PROP LINE SEPT. Owner !/�/✓/eI Zr�) ':GiSt'_{�
10 FT. FOR 60 FT STREET— 12 FT. 61N. rt1T i? O C I- Mail Address t2 r�e�'c,/ �1
50 FT. STREET (!iTY �F etai A I ESA
City t.s49. 7)&5.9 . Ph. No. —
' I I Contractor h9/it' R'I/ IA'4' al Ph.
-.NoOk3?S
/OO
I Address 1.203,E U}P ti/�•.s/P✓4 Mari .C'91
50 TIIF FRONT
City Lic. No. i63/ _ State Lic. No. /�.S •ac0-
IOF PROP. �.or /&3 1-12 .'47/
50 FT w Size of Lot AP No.
tt !v
I- WI ` I- Setbacks: C/L Street '5 ' Rear —'�
w z w n n
¢ 7I co Side Yard - Right '—f O Left 0
y f- 0. Q O Type of 75&42:4;::
Fence Z F %%&Ow000l err///Ve T fi
ALLEY OR PR P. LINEis. al d ic / "/b�/ ' , "7,� / rf/ + O
!r i%9/I7/�/r i
O F'-: :+ L "' \ - , I hereby acknowledge that I have read this application and state
m a= .:.}.010
' �� �. ¢ I that the above is correct and agree to comply with all City Ord-
inances• and State Laws regulating building construction.
\i e - / r._- J r � CO
\ I�--� .,���: 'Fj„i, Signature
4 - 10 I of Permitte•�►` _ "' n ,L) .. V!�- 61)_ _
. ' <) FTIt -
s v I Agent �. . �� ra r =r
`.. `
37 s IN. -� ,• � a a ° I i FOR OFFICE USE ONLY
FT m �� fl. tyles i a, :, I 40
J a L' 'V N a I FT I Permit o.. (�
C O, 1ve C z o i I c4/ 60:1
60 FT ST. Received by Date Received Date Issued
50 FT ST. I' I I I` I - A �/y --/J
�' S�
I� PROP LIN " I VALUATION I / ',
� �- --1�— _-- sF -- -- - - — _ - - - -, / Permit Fee $ GO
Oin
//
I $ ----- Plan Check $
C.L. OF STREETSI �� y I ; —V
TOTAL FEE $ rimeMAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES -- - ---
MAXIMUM 6FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS