HomeMy WebLinkAbout904 PEACE PL - Building PermitsApP���anl to fill in all spaces except those within heavY DorCer
ciTY oF coSTA MESA pCONSTRUt�CTION ERMIT
Project Address 9�� / c� �.c /—� �Q2lAf L��,
Applicant's Mailing Address �9� .5�4''� sr �S �B.
Owner's Name �^s ��^^�"�k� Phone �� 55-63
Address /.s-�%2 G'4^�+v� C%,
Arch/Eng. License No.
Address p
Contractor'SNamP ��ep T���+» /�oe �•�phone ��'229U
Address Imailing) 757� �O' '�S H�. i�6Y7
City License No. � ��
LICENSED CONTRACTOR DECIARATION
I her¢by aftirm that I am licensed untler provisions of Cltarter 9(commencing
witn section 7000) of Division 3 ot the Business antl Pwfessions Cotle, antl
my Iicense is in full force antl eftect. � y��/
License Class License No
Date 5 �i� 6�7 Si9nature
WORKERS'COMPENSATION DECLARATI
`ereby ai(irm thai I have a certlficate of consent to self-insure or a certificate
Worke�s' Compensation InSurante, o� a ce�tifietl copy thereot (Settlon
.00, Lab. CJ
Policy No. Company
BCerlifietl copy is hereby fu�nished.
Certitietl copy is filetl with lhe city Builtling DiviSion.
Date AOPlicant
E%EMPTION FROM WORKERS' COMPENSATION �ECLARATION
(Thi55eclion neetl not Ee com0�eletl if the permii is to� one huntl�etl (E300) or
less�.
I certity Ihal in the petfo�mance of the work for which this pe�m�t i5 i55uEtl, I
shall not employ any oerson in any manner so as to become subject to the
Worken' Cp mf.� ution l.aws ot Calitorni
Date 9/�i/�7 Si9nature ��� T��
NOTICE: It, after making ihls tleclaration, y ould become 5ubjec[ to the
Workers' Compensatlon provi5ions of the Labo� Cotle, y0u mus[ fortbwl[M1
comDry with such provisions oi Ni5 permit shall be tleemeG revoketl.
CONSTRUCTION LENDING AGENCV
I hereby aifirm that there Is a consVuction lendin9 a9ency for the per(ormance
of lho work tor which this permit is issuetl (Section 3097 Civ. C.)
Lenaer's Name
Lentler's Htltl�ess
OWNEft BUIL�EN �ECLARATION
I hereby aHbm tha[ I am exempt from the Contrac[o�'s License Law for the
followin9 rea5on (Seciion ]031.5 Business antl Professional Cotle: Any city or
counly wbich require5'a P2rmit [o Const�uct, alter, imp/ove, tlemoliSM1 o� �epair
any structure, prior to iti issuance, also requires tne applicant for such permit
lo tile a signetl s[atem¢nt lhat he/she is litensetl pur5uant to the provisions o/
the Cm[ractor's License Law (Chapter 9(commencinq wlth Section 7000) of
�'vision 3 of lhe Busin¢55 antl Professions Cotle) Ot that he/She is exempl
refrom antl lne baiis for the allegetl exemption. Any violalion of Section
31.5 by any applicant tor a permit subjects the applicant to a civil
enalty o( not more than five nuntlretl tlollars ($500�.
� I, as owner of the property or my empioyees with wages as their sole
compensation, will tlo Ne work, an0 the s[ructure is no[ intenCetl or offeretl
for sale ($ecfion ]044, Business antl Professianal Cotle: The Contraclor's
License l.aw tloes not apply to an owner of a property who builtls or improves
thereon, antl who tlo¢5 sucn work himself/herzelf or ihrough his o� her own
em0loyees, provitletl tM1at Such improvements are not intentletl or otferetl for
sale. Ii, hOweveq the builtlinq o� improvement is Soltl within on¢ yea� ot com-
plelian, the owner will �ave tne burtlen of provinq he/she tlitl ml builtl or im-
prOve to� the purpOse ot SaleJ.
❑ I, as owner ot the propGr[y, am exclusivety wnirac[Ing with lic¢nzetl cOn-
Vac[ors [o cons[ruc[ [M1e pro)ec[ (Sectlon �044, Buslness antl Pwlessions COUe:
The COMractor's License Law tloes mt apply to an owner ot property wno
builtls or improves thereon, antl who contracts for such projects with a con-
traGlor(s lic¢nse pursuant to tM1e Cont�acto�'s License Law). I am aware [ba[
proot o� their Worke�'S Compensation insurance zhoultl be Provltletl to me.
❑ I am exempt untler Section B. & P. G fo� thls reason
�ate Owner
I �ereby certify [hat I have reatl this application antl 5[ate tbat the above
information i5 correc[. I agree to complY with all city antl county ortlinances
antl state laws relatin9 to builtling construction, antl hereby authorize repre-
sentatives of this city to enter upon Ihe above-menlionatl property for
inspectlon purp9�es.
5iqnature �/�-7a T./'�+�'^�'� oaw 9�/ Ri
Drivers' LicenSe or 9Sr,� `??� ���—
antl sign all appropriate tleclarations.
� UNIT NO.
TVPE OF CONSTRUCTION LJ NEW IJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESC TION OF W�p K/USE F BLDG.
_�—¢v.o o�`F'�— � r � � iv�
TVPEOFPERMIT LJGR°.D�NG FOUNDATION STRVCTURAL
❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION uaV oCCUPAN v —
CONSTRVCTIONTVPE �[AL— VAWATION$ �
ZONE GRADINGCU.VDS. ACRE
Remarks: '
Sink
Preventer
Irrigation
tuhs
Drinking Fountains
Floor Orains
Flaor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
ler
UnderGround
Strucmral
Showers
Service Sink
SewerCap
Sewer Connec[ion�
Solar Collectors
Solar Pipin9
Solar Tank
Swimmin ool w/Spa
er Closet
WaterHeater
Water Service
Auro-Wash
Laundry Trays
$15 Issue Fee
MECHANICAL
� Hood or Type I ❑
Canopy Type I I ❑
DuM _Ventilating
Enhaust System ❑ MWtiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting �
❑0-100,000 BTU �100,006ar
Reinspection Fea � $15
CMF 0865�46, rev. 10/84 White - BuiltlMq; Canary - Applicant: Pink - Acwuntlng; Goltlenrotl - Assessor
Refrigeration System
❑o-ioo,000 sru�ioo,000 sru
�e Dampers
Regis[ers
Issue Fee
A.P. ;W
S Main 8uildi
E
T Front
6 Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Noces:
5016 9/II/87
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Automatic Washe� Transformer ❑ 15-50 KW
Consvuction PoleSub. � 50,+ KW
Cooking Unit
Dishwasher
Dryers �Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
i'
Switches
Gar6age Disposal
Generator �0-5 KW 05-75 KW
Meter Llup to 0 amps
Meter ❑ove OOamps
Sub Panel
0�1 HP 01X-8
❑9-15 HP �16-15+
Pole Light
Fange
Sign
$[anding Sections
Trash Compactor
$ 3
Reinspection Fea $15 luue Fee
FEES
DEVELOPMENT SERVICES RE�UIREMENTS:
2oning Approved By
Building APProved By
Aonlitation luued Bv �
$ 3
SUMMARV OF FE
BUILDING PERMIT S g�• r�
PLAN CHECK $ �•$3
PLUMBING 5
PLAN CHECK 25% S
ELECTRICAL S
PLAN CHECK 50% S
MECHANICAL 5
PLAN CHECK 25% $
113,83 TL
2
O
N
1
N
G
R
E
Q
M
T
S
FEES
$ 3
ta � �
SMIP $ �
PERMIT
ISSUANCE $
ENERGY P.C. $
GRADING $
MICROFILM $
TOTALFEE $ �J3• $3
CONSTRUf,T10N 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 U[ility-Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement � . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd.�• 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-7rep, O Undrgrnd.
70. 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 Plumbin9 65. Electrical-Final
15. Rough Electrical-Conduii 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
� 17. Rough Wiring 5ign 68. APPROVED FOR PLASTERING �
18. Rough Electric�l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � -
19. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT �' �
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil '
23. Gas Pipe-Rough & Test 72. Underground Flush �
24. Roof Framing � 73. Undergrnd.StorageTank �Gas ❑Oil ,
25. Roof Sheathinq /Ip � p 74. Overhead Hydro
26. T-Bar Ceiling (5tructural) & 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 Nailin9 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-Fin81 . : ,
41. Solar pomestic-Final . .' � '
42. Backflow Preventer ;;; " '
1 '
'43. Backflow Irrigation ' . . , ' %". � �.
. �
'44. Landscape Irrigation System ' ' � �
�45. Sound Attenuation �- : . � ,a
"n
46. Handicap Regulations ' � ' . . '
47�. FINALSTRUCTURE&BUILDING � 8 g.�. � ' � 'i;
i
48.,Special Requirements Completed " . ' � �� .
49. Electric Release to Edison ' �
50. Gas Release to 5outhern California Gas Co �� � �
51. CERTIFICATE OF OCCUPANCY �
No. Date
d-
AVD���ant to till in all soaces exce0t those wit�in nea�y eo�der �ines ana siy� all aporopriate tleclarations. %',j�j6 3/23/BB �J � a 6�J T`
CITY OF COSTQA M/Eyg A' �CO�N.`STRmUCTION PERMIT PERMIT NO. T T NO LOT O. UNIT NU.
',project Address 1� 1 �r �-�'-'�' �✓�-d'"�' � � �, � � �
Applican�'S Mailiny Addre55 �'�S�" ��-� -$�" �. TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
�1� �� �p �/� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. � .r � Zone
OwiR's Name,�i^�"'"^�"3��� � Phone5J2L12�3 DESCRIPTION OF W relF LDG. �! Z
Address �I�' �- ��� �� � � �C.-� — S Main Buildin9: Accessory Building:
1
Arch/Eng. Licenu No. TYPE OF PENMIT G ADIrvG FOVNDATIOrv STRUCTV RAL � T Front ' p
Address ❑ OTHERT ❑ EIECTRIGAL ❑ PLVMBING ❑ MECHANICAL A Rear N
Contractor's Na Phon , �Z'
PROJEC7 DESCRIPTION Sq.-GT. �' oCCUVAnICv C Right N
Address�mailing) ��3L �����!��-T��9 C�� �— K G
CONSTRVCTIONTVPE VALUATION$ �Z_CoO� g L¢ft �v� �
CityLicenseNo. Z'�'��� 20NE GRAOIFlGCU.VDS. AGRES R
Ping. Ref. # Parking Req./Provided E
LICENSEO CONTRACTOR �ECLARATION ` ' ' 1 Q
I hereby affirm that I am licensetl un ovi ' ns af Cha�te� 9(commencing Remarki: yy I� � Pldnning NO[¢5: �� M
with seclion ]000) ot Division 3 the m SS dntl Protes5ions Cotle, antl L
my license is i full t e a fec . O �, � 1� � S
License asz LI e Nc
oate Siqnature PLUMBING FEES
'jr°^'�,,�7RKE 5' C MPENSATION DE A ION Bd� Sink ShOw¢f5 -
r;,-ereby atfirm tnat I have a certi(iwte oi consent to seli-insure or a certificate ELECTRICAL FEES
'-3t Workers' Compensation Insurance, Or a c 5 tl copy the of (Sectlon gackflow Preventer S¢rvice Sink
Automatic Washer Transformer ❑ 15-50 KW
3800, lab.
❑oiicy No. 3 Co o r � �� � Backflow Irri ation Sewer Ca ❑ 50+ KW
9 P Consvuction Pole Sub.
C i(ietl opy i heyeqy fu nishea. �
ertifi y i Xft�`wiih he city Bu' i I s Bathtubs Sewer Connection Cooking Unit Meter �up to 100 amps
Date 3 �d 0 Aoa � �
EXEMPTIO FRO WORKERS'COM ENSHTIONDECLARATION Clarifiers SOId�C011¢CtO�s Dishwash¢� Met2� ❑Ov2/100dTps
(Tbis sectlon eetl n t be com0letetl it the per�n�t i51or On¢ huntlretl (§300) or ,
I less). / Dishwa5her Solar Piping Dryers ❑Gaz ❑Electric Sub Panel
1 certity that in the perto�mance of tbe work for whith this p¢rm�t is Issuetl, I
.shall not emo�oy any person in any manner so az to become subject to the Drinking FOuntains Solar Tank Fan Motors �0.1 HP 01'h - 8
Workers' Compensation Laws ol Calitornia.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar �9-15 HP �16-15+
NOTICE: 1f, atter makin9 �his declaration, you shoultl bewme Subject [O tne —
Wo�ke�s' ComOensation provisions of the Labor Cotl¢, y0u muzt forthwith FIOO�SinkS U�inal FixtU�¢5 MicrOw3v¢
comply wiN suGh p�ovisions or [�is pe�mi[ ihall �e deemetl revoketl.
CONSTRUCTION LENDING AGENCV GasService Outle�s WaterCloSet Device8oxe5 PoleLi ht
I hereGy affirm that there is a mnstruction lentling agency for tne performante 9
o( the work for whlch tbis Oermit is issuetl (5¢Ction 309] Civ. CJ InLerC¢ptOrS Wdt¢r H¢at¢r OuUetS
Lenaer's Name Range
Lenaer's Aatlress Kitchen Sink Water Service Switches $ign �
OWNER BUILDER OECLARATION '
I here0y aftirm ihat I am ¢zempt trom the Contractor's License Law ior the LavdtOri¢i AuLO�WeSh
following reason (Section 7031.5 Businezs antl Professional Cotle: Any city or Garbage Di5po5al Standing Sections
� county whiU reqwres a permit to construcq alter, imprave, tlemolish or repalr P-Trap Leundry Trays Generaton �65 KW �545 KW Trash Com ac[or
any stru[ture, pdo� lo it5 i55uance, also requlre5 the applicant tor suGh pe�mit P
�.;�.A ���e a signetl Slatement [hat he/she is litensetl pursuanl to the provl5ion5 ot qoof Orains
�- >:,;c Confractor4 License Law (Chapter 9(commencin9 with Sectlon 7000) of
1{)��tivision 3 0( the Business antl Professions Cotle) or that he/sbe is exempt
l 3''.serefrom antl ihe basis for the allegetl exemption. Any violaLon o/ Sec[ion
r� �031.5 Dy any applicant for a permil suDjects tha appli<ant to a civil
j• penalty of not more than tive huntlretl tlollars (5500).
❑ I, as owner o/ the p�operty or my employees with wages as their sole Reinspection Fee '$15 laue fee g 3
comp¢nsatiOn, will do thG work, anE th¢ s[ructure is not intentletl o� offeretl RBinSpettiOn F08 $1$ ISsuO F¢e $ 3
for saie (Section �044, Business antl Crofessional Coae: The Contractor's MECHANICAL FEES
Licente �aw tloes not 5pply to an owner of a property who builtls o� improveZ
thereon, and who tloes such work bimself/herself or througM1 nls or her own DEVELOPMENT SERVICES RE�UIREMENTS
employees, provitletl lhat such Impwvemenis are not intentletl o� otteretl for Boile� Hood O� Typ¢ I ❑ n Q
sdle. It, nowever, the Duiltling or improvement is soltl within one year of com- C2nopy Type II ❑ Zoning Approved By �� Dat� Ly "�
pletion, the owner will have tne burtlen of proving ne/5he Uid not builtl or im- Duct - Und2r Ground guilding Appmved By �� Date
prOve �or� tlte purpose of sale). q ^,/y
❑ I, as owner oi the property, am exclusively rontracting with licensetl con- Duct -Structural Refrigeration System AppliWtion luued By _ Dat �- �-J
VdCI01510 COl15INCl 1i12 pfOj¢CL ($¢CIIOl1 1044� B11510255 dl1G PlOfC55Y005 COGE: .
The ConVactor's License Law aoes not apoy to an owner of property who Duct- Ventila�ing ❑0.100,OOOBTU ❑100,000BTU SUMMARV�OF FEES
builtlz or improves lnereon, an0 wh0 tontracts fot such projects with a con- ,� '
tractor(s) imense pursuani m the ctor's �icanse Law). I am aware that ExhaustSystem p y p / BUILDING PERMIT $ SMIP $ O�
proof Ot their Worker's Comp [ion nsurance shoultl be provitl¢tl to me. ❑ Multi I¢ ❑ 5 st¢m R2 air Alteretion
PLAN CHECK $ 2�i-- PERMIT
❑ I am r 5ec ' B. 3 P. C. for eh6 reason Firepl/FatL Blt. ICBO # Fire Dampers PLUMBING $ ISSUANCE $
r wner Heating System & Ducting Registers
PLAN CHECK 25% $ ENERG� P.C. $
hereby ceriity that hav rea0 avP ��aiion antl stat¢ tnat he above �0.700,000 BTU �t00,0008T
niormation is rorrec I a9re to p wi II city antl <ounty rtlina ez ELECTRICAL $ GflADING S
_ nB state laws relat' to ou" con n, a hereby autn rize re re- PLAN CHECK 50% $ MICROFILM $�
,• n[afives of this Yy to n iOnetl � perty f
in ctionpurpos � L,4 MECHANICAL 5 TOTALFEE $�
signa ^��� Date Reinspection Fee S75 Issue Fee $ 3 PLAN CHECK 25% $
Drivers' Licen or 55 �
CMF 0865�46, rev. 10/84 White - Bulltling; Canary - Appliwnt; Pink - Accbuntin9: Goltl¢nrotl - AssesSor
CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS .Permit #� Date Inspector AppROVALS Permit # Date Inspector
it Temporary Electr,ical 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 `� ��EL g �, � � 58. Electrical Conduit-Undrgrnd.
8. Foundation � 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 '•
17. 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 O Gas ❑ Oil �
23. Gas Pipe-Rough & Test 72, Underground Flush �� '
24. Roof Framing J3. Undergrnd. Storage Tank � Gas ❑ Oil . '�
25. Roof Sheathing 74, Overhead Hydro � ,
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ,
2J. Frame and Flashing 76. Dry Standpipe ,
26. Lathing & Siding 77. FIXED SYSTEM FINAL � � �'�
29. Insulation 78. FIRE PREV. FINAL ! ' ' y"`
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: � �K - � _
34. Final Heating & Air Conditioning �� �
35. Final Gas Pipe�Test
36r'Hood or Canopy `
37., Final Factory Fireplace �� I " , � •
,
38.�FinalPlumbing ' ,� . � a � �� -
.
• 39. Water Service-Final ' . ... � ,
�� -
.40. Gas Service-Final � , ,
41. Solar pomestic-Final . � '�
� . . .
42. Backflow Preventer ' • � " � � � �
• i ..
43.:Backflow Irrigation _ , , " �
`. �
44. Landscape'Irrigation System � � , � � - ' ` . '
. 45. -Sound At[enuation - . . � � '
l
, �
46. Handicap Regulations � '
47. FINALSTRUCTURE&BUILDING . . , • - � • '
48. Special Requirements Completed ; . _ •- , .
49. Electric Release to Edison � . ` '
5b. Gas.Release to Southern California Gas Co ' ,
51. CE/�RTitICATE OF OCCUPANCY ; •�
No. �'��,_ Date �y
� �
i. ' -- -' -
}
�r,
• •� ,• • n• a �
2HIS AQtEF,t�NP, made arc3 entered intn this 2 I day of
6.�G1--1 , 1989, by and between L`-E�+�1c..J5� �
hereinafter referred tt� as "LAND 04ddER", and 'S1O��-
hereinafter referred to as "AD,7ACE[dP PROPER7Y CWNER".
It is hereby agreed that a party wall will be constructed on the
praperty line betr�reen �1
C`S��b�_
in the City of Costa Mesa, Co�mty of Orange, State of California, as per map
recorded in Book , Page of Miscellaneous.Maps, in the office of the
Coimty Recorder of said Coimty. The party wall shall be permitted t�o encroad�
ZN WI7NESS 4d�REOF, the parties ha�e entered into this Agreement the
day arr3 year first aUwe written.
IAND Q�7NER
�������
(Sign re) '
/1q /� /1 Y � jF�� ,�{7'! .9 /J sK��
Name ('I}�xd or Printed)�j
��•�pi£�^�t .�'�/Q `f� �.P�LL�CJ".��c.ct ��
�� /ss�v�.�,-,-� l� . cu�r
(Address)
AGTACEt�TP PROPERZSC Q4NER
��� � ��
(Sig�i atur
�ou c.�ah r . S tonP,
Name ('iyped or Printed)
4og PGac� P�acE, eNr
I-lowe� a.ac62 Lar iti,� �/'��,.P. . N�l .
(Address)
(NOTE: Please see reverse side for notazy's statement)
� �
STATE � CALZFOFd�IIA )
) ss.
�UN7Y Cf' ORANC£ )
�
.:
On before me, the imdetsigned, a Notazy
and 5or the,,Co�m � Orange, State,of California, personally appeared
��
}mown to � be the person(s) whose name(s) is•subscribed tn
instrument arc3 owledged to me that (he/she/they) exewtecj/
wI�NESS my harcl a�rl of�icial seal.
. .y
STATE �' CALIFUFd�]IA )
) ss.
�[JNTY OF ORP,N[£ )
On
Public in and for the Coup
within
same.
(SEAL)
in
' , before the imdersigned, a Notary
of Orange, State of ifornia, personally appeared
1movm to me tn be person(s) whose name(s) is subscr
instrument arci ac owledged to me that (he/she/they) ew
WI'1NESS my h and afficial seal.
or
tn the within
d the's�ne.
Cement Coping Optional —
Chan�relBbck With 13/8�
Horizontal Top of all
Fences
For Fen�s 5' or Lea
Ven. Ban 3/8"� at 4' -0" O.C.
Fo� Fencea Higher Than 5'
Vert. Bars 3/8"¢ at 32" O.C. �
Fill Celb Solid With Grout
Whare Steel Oeeu�s
Reinforeing Steel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lappad
24" of to Code
NATURALGRADE
TW0�3/8"¢ BARS '�
CONTINUOUSTOP
8� 80TTOM -� _
}{OQIiSTEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL 6�� CONCRETE BLOCK FENCE
aa �D '
� N+IDTH
p' SEE CHl
v BELOW
�L
_,o�r -
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MaiTAR: p�e part Plastic Cement, and
Three Parts Sand
GROUT; p�e part Cement Three and
One Holf Ports S�and
COPING: pne Part Cement, Three
' POf15 SOnd
C�NCRETE: Wel� Mixed 1:2-I/2:3-I/2
Max. ot 7- I/2 Gollons of
Wafer Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
H OF EARTNTCOTH
I/3 THE HEIGTH Of FENCE
$ELOW �BOTTOM OF FOGTING.
SCALE: I/2�� = i'
WIOTH . . . . . . . . . . . . . . .14'� . . . . . . . . . . .14�� . . . . . . . . . . i._12":._,_. _. _ �. 12°.;
THICKNESS . . . . . . . . . . . .10". . . . . . . . . . . .10" . . . . `. . . g". . . . . . . . . . . 6 ��
DEPTH OF EARTHTOOTH . . . 24" . . . . . . . . . . .20° . . . . . . . . . . . 16". . . . . . 12°
SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14� . . . . 16'. . . . . '. . . . . 16'
OWNERS NAME: '�_ �- t't S �L
City of Costa Mesa California ��B ADDRESS _ � _ _-� � _ � �_ `
� PERMIT NU ER:_
Building Depdrtment SIGNATURE _ _ _ _ — — _ _ _
� .. ,. .. . _.., _. _,: 2ev�ea �v. az �.
�
v
�
W
W
�
�
N
� �( � V� ���
�7 �� �[7'7� �
:..�ll �� V 11J� �
CITY O'r COSTA MESA
FIANNING DEPT.
JJJKT TO BLDG, DEPf. ;d0
OP PIAPINIPiO
NEEtD[NCE
N[EIDENCE
�� I
- � -,• �:. -y,? -, ..
� � 6. . ..."-a
- :-�r i
C�tY of Costa blesa Building Depf,
BY___`_--__�._.._`..__G.4TE3'�3.19 Bg
TH:S: PI.p,NS �b,!J�7 i r n;� ;n;, ,,; A« iIMES MAKE
IJO C;iqNGES V�IT,y�;; ,- �.�;��-; �.,oFkOVA� OF DEP7.
ITti:�IS5U,1f�CcGt �fi�'��?"- I T-2"
PIAF:S ANp S`!'CIFICG:.�;p,y .�,�,� "_ . ..._ �� APPROVPL OF
PE•i411T FOS.CJ, CF A��PO Al i;fL p\ �..`�.�o t�7R OD Tn0 BOF
T�F P9 : " �
Ai'.r..� �'��ODE.�dpFr��rii�..
vJTY TO Yi0!Ai.: vR CAHi�� Ic? . :,�NINGTOGIVE
COO� $YAi: GE V.qr ip, ��;-spl I V 507i.@ ,-,� ��: ' GNS OF iHIS
V:hi�h li AUHOfiIZE$ I$ LAIYFUL ... '�J�R� `�:t USF
iii: ISSUANCE iJF l. PERhV7 dAS:O i1:.�•.
sv=cr=rc;,r�ons sr;au. n,or rk:veU; ;r.e :�,� "•vas ,,.�;o
Fc'OM ThcRc.�fTEn ReOIARii,i., r lu't;"_ uqC1AL
SAID fttiNS ANL' �' �Y` `�JnR��*„Or; ;. :24i:R5 W
BUILDING pp[R SPEQFlCAiK:rJS pk f'rpi:, �q� �cHTINC,
IN VI ! ATIONS BtiNG CARHIEU UN ti;:,qEv�:;�th WH[N
O qTI:;N OF THIS CODE OR GF qNY 07HER OfiDInqNCE pF
THE CI7Y,
� /
NE8IDEMCE
�I► ��.� P��
STREET �
REfIDEMC6
, 2544 I `CITY �OF �CD$TA� MES� '�L
COSTA MESA BUILDING-SAFEfY DEPARTMEPR
G.O. BOX 7200 � COSTA MESA, CALIFOHNIA YT62e MAR�23 1966 � �
For Applfcant ro F(11 In Complataly LICATION FOR PERMR ;�
TYPE OR PRINT ��{����(] �
BUILDINQ Of V}�O'��'��� ' ,
ADDRESH z OL� Peace Place ��
R[C611T NO. ! M T O.
COSTA MESA, CALIFORNIA
11ic[IVto r d1i[11[C[rv[D DAr¢�saueo
OWNER U.S. Financial � �O �-� 2 2��
MAIL 1355 Front street wooRe�sa°
wooness �
Te ZO ! TYPC GROUP
cirr D' Calif r+o�BFr 6 1
APP110V[D
NGI HR CiC NO'T�3 194 BY DATB
ADDHE88 12061 Santa Rosalia Stanton zONIN6 _
SO NO. O� YYt OI N '�-
_ �ueu� eu��oina
cowrnwcr R R Schmid
�.eow�
ADDR6i� ndol h Duc111TON /"
n
CITY Casta Mesa C211f • tiP.NO. �-
N0T6: NO [AV6 OV cRHANO BHALL OH LE88 THAN
�C.TNO. 2 NSL 540-0960 �O' TO BIDt a RBAR P. L
HAVES
81ZH xo.or�LOot.o ALLOWHD <U..B.G.REQUIR8M6NT)
oF LOT � � � w� YAROa MPROVBG YARDB MPROV6D
UeHOP MAINBUILDINO AGC8880RVBUILDINO
EXISTINO BLDO.
�f PROM C/L R
GGTOACK LIN[ II10p �
ClNTlR O/ RRtt� � R[AR YA D 2I • SO PRONT ' RT.
BIDQYARDI L[Fr 1 NIOHT 1 R.YID!' �. FT.
DESCRIPTION OF WORK L. YID y�' rr.
h.A T[RATI N ADDITI N RGR �"f' PT. PT.
DIYTANC[llT. BR. MAIN Q
REPAIR M IN QM LIBM MAIN BLD ACGF39. BLDOH.
BUILDINO NO.Or VAR.�C DATE
91ZE 8S $.� ROOMH 6 III 1 C. U. P. MPROVEO
CEOVERIN6WA ],$$'fiBZ' I COV8RIN0 Shinglesn � pR�v�� . 1 DAT! ��/ /
UYQ OF DUILDIlIY AND WORK TO ![ P6RrORM[D p'
F elli with Attached �
Gara e �� �
�.�. �0 � �
0
1 HlR6BY AGICNOM'L[O06 TXAT 1 XAV[ RBAO iXl� MPLIGTION TH[ AMOUM BXOWN UNDeR VALYATION 19 ROR TH8 j
AND BTAT6 TXAT TN6 AGOY[ 1� CORqtCT�AND AORB[ M COM• AIMPODB OP 66TABLIBXINO A PfiRM�i P88 ONLY. g
PLY W�TM ALL CITY OROJNANCO ApD �TAT[ I.AWt R[ TINO yALUATION �" - � CTJ�J �
9UILDINO CONBi1tUC�lON,
PERMIT FEE
SIGNATUREOP
PERMI � �'� $ �O O� /� � k
�p
AUT IZiD AORNT � � �
TOTALFE[