HomeMy WebLinkAbout3092 PLATTE DR - Building Permitsinoon�ssa�euannc: 3U9'l PLATTE. DR
owr+ER=�iFa�a++t THATCHER, MARIA JANE TR
�oopEss 3092 F'LATTE DR
� COSTA MESA,CA '92626
UNT:
�ar�.wiunc .uoxrss: '
urcxrttcTonear��x:- � uc.wo.:
pCll Ofl FlIG.'S ADDRE55: . . UNT:
��T�� OWENS ROOFZNG (714)978-2075
ca+m�croxswuuNc 1580' E EDINGER
,moxess:SANTA ANA CA ucra.: 600402
92705 urar: B
UCENSEO COMH�CTOFS DECL�RATION: I hereby elfvm uMe� penetly d pe�ury thn I em Iceeued uMer prvmona d CMqer 9
'(mmmendnq �mh Section )OW) ol Diviaun 3 d the Busimas end Pmleenians Coda, eM my licenae ie in lull brce enE efled.
cmuc.No.:061174 uc.cuss:C 39 uc.No.:6004 2 EXP: 00/00
�u 14 °, � �,a ���-•-e(�i ..� _
WNEH BUILDEH DECLAHRTION: 1 hareby aifirm uMer perely d parN�Y �M1a� � em axemq Irom �M Comredwa lirenae Lew la Me
bwn0 �eaaon (Sedan ]W 1S Buswee� erd Pmleesiona CoEe: �ny cN a muM' xfiich �aauime e Vartni to mmvucv. elier. "unpa.e
emolmh, or repeir eny evuciun, pim to na uwenw, e6o ropuirae iM epplimM lor euch peimX io file a a'ryrod ete�ement Met M a ehe
e IicenaeC pumuenl to Ihe provisiom d iha Conlredors Licenae Lew �Chepter 9(mmmmdnp wnh Sedon ]000) W Diveion 3 d Ihe
Bwinme eM Prdanurvs COEe� or Ihel M a ehe o exemp thaehwn end �he bme lar the Nleped uemqun. My viole�un M Seq'vn
)W 1.5 by enY eON�I fa e pmmil eubpda the epplicent lo e tivil peialy d ml mwe ihen fNe huntlrad Edlers �550011�
��� I,esawnardiMpropenyormyempbyeeawlhwegesavtMiadecompenulion.willEo�MxnM,eMiMatruclurea�wlintaMeA
«ona�ee ior �a cs«��� �oaa, e�a�.��d a�weaa�o�a caa: rns comr�aon u��e �.ao,a �a rovN�o � ow�a d vrorom
wM Wlds a inpovee iMreon. eM x1w Eoea euch wak himeeM or Mne1 a ihraph hb or her own emplqeee, provided that vuch
'mprwemew ua id imeMeE a allereE fa eele. M. Mwever. the buiNi�q a inpiweinenl n eald xilhin ore Yaer d mmpluion. tln
ownm-0uiNm willhevalM buNen d proviip he m sha Eidrw�Wik wimpwelatM puepaae d ala�.
❑' I. ee ovmer M �he properly, em eKtluervary coniredin0 ��h liceneed conlreclon lo m�rue ihe pol� lSeeion ]OM. Buviiwee eM
Pro/eaime Code: TM COMradore Lieensa lew daea mt epply to en o�mer d propeny wtw buiMs or impovee Iharaon eed who
coMracls In eudi propee wnh e mmema�a) licereed W�a� to iM Conlrenan liwius lnw).
� I em exemq under Section: B. 8 P.C., la Ihu reeaon: .
o�e: o�.,�.,:
i do naren� ceniN �ne� i em ewme a a� u�asie�e me requiremenro d cv���e Haenn �d sdey code seu�e zssos. usaa. ene
25531, end thm I m eny Mure Wikinp xapem will / wJl na (arcb ane) neeC Io campy wIh miE stele oodp eM iM repuiremenn for
epertnAforeonsVunianamoEifretionhantlwA� u�iy�enepemen�Dietna.R videmialmnpiueioneppicatipnenssemqhomlhane
pwiarom.
Da�e: ' AoW��:
WOPKEN'S COMPENSATION DECUN�TION: I hmeby a/firtn uMx peneXy d prjury an d Ne IaDowuq dadveliom:
� I heve eM xil mmmein e ceniliuu d mmenl to eellinwn for wwkere' wmpenaeton. m povitled Iw by SeGion 3]00 d iM laba
Code, fa ihe padamenca M Ihe vroA lor whi<h this pertnn ia iaued. �� ' �
�❑ i n.ro.�e w�me:� �n�en• oomv��, ���.. e�w�v�ea M s«iion a�ao a m. ien« coee. rar me wrto�me�m a m.
wwk Ia wM1icM1 mn W�il is iaued. �A' wokera' mmG�eetion imureMe unier vd VdwY number ere:
t c�a�: STATE FUND EXPIRES
Po��N�mn«: z -t�t�oc� 01/O1/99
Rnisseci��:d�raecanWereermsv�+u�amenu�wreeedw.lsioolwks�.1 , •
�❑ 1 cenAy thel in tha parlamema d IM wark br which ��ie permit is ieeued. I e1Wl rw� empoy e�ry pemn in vy mannx ro m m
become wbj io tM v.orMers' canpenaelion levn W CelAwnie, end eprea ihel N 1 ehouW beco aubl� to Ihe �wMnn'
wm nsal' pro+iaueu �Seaion 3)00 d tM �1, I ahell lo� ' 'Ih thona ';�r%�
i
��1Vam/n0� Fa un ro n wortsn' mmpauetlon amerepl b unbwNl, anC �Nll w6/wl en emyloysr ro crlMiul pmeltlu and
c/HI 1lrwa ro orr hinLrW Ha�uM Jdlan lSlOqppOA In �Af/tlon ro M� cosf o/ romp�nutbM1 tl�pq u provlCW br In
SZHon 9105 0l tlro Lebor Catls, InM1nst, aM efromsY'� Isu. �
CONSTFIICTON LENDINO AGENCY: I heeeby eifirm untler penelry W perlury ihet thero ia e mnrrudion IeMinp eperiey br IM
�pmlameMe o11M v.pk tIX v.filW Ihe petml 19 eeueA (SedAn 309), Cx. C�.
LENOER'S NAME: -
LENOEX'S RUDPE55: � '
I cenM �� I heva ned �hia eppliration vd ame ihn iM aEova intmre�ian u conep. I pree lo comply wilh ell ury ard oouMy adinenoea
eM ale�e kwf relel'vq lo Wikvp mns�rWbn aM hareby eNMr¢e raqeeenteuvef d th'v oly lo enler upon IM ebove-mentioneE properry
����9°�ro�v�"�9CHARLE5 OWENS
�`� /!L/l1 i /��/ _ �e: _ �L�
. s�oo��« a ow�,.�doa�`�aou� w„v a
(5151-iB.WP�' Whne-Build'vp 8 Selaty; preaMFle: Cenery-Applirent; Vink-ibvenue; Goldenro�Aasmsp
CITY OF COSTA MESA-- BUILDING PERMIT
� - oo�� � �/
. . PERM NO: B, Q8��06
PERMIT NO: B 087706 PLAN CHECH NO: N
CONSTRUCTION TYPE: V-N, PERMIT TYPE: STR
JOb DESCRIPTION : T/OFF�RESHEATH & REROOF W/25 YR COMP
GOVT: N SUPP: r`1
PURPOSE: REP
SQ FT: 5,5��
CLAIM VALUE: •5,500.00 CALC-VALUE: 5,500.00 :GROUP OCC: R-3 /
COMMENTS: RESIDENTIAL.REROOF, T/O EXISTING & REROOF W/COMP SHINGLE
x�t*;�*x�r*i��t*x***+t�*�r*#*���r**�*�r**x�***�r**�**�*��*��*i�*�*+t�t�**�x�**�t�*��t***������
' Z,O N I N G R E Q U I R E M E N T S '
� S E T'B A C K S
----------- MAIN BOILDING ------ --- --------- ACCESSORY HUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGhT: FT IN
PARKING REO• PROV: PARCEL: 11721201 ZNE: REF NO:
PLANNING NdTES-7
� D E V E�L O P M E N T
ZONING APPROVED�BY
^n . .
HUILDING APPROUED BY :
��
APPLICATION ISSUED HY:
Y,�•
iF # ff �f 3l-iE 1E iE * dE iE iF 1E iE �E iE if iE iE �1f 3E iE fE if iE 1E 1E 3E if iE ib iE iE iE df �E iE�� fE i6 iE 1E �f jE�E!'r iE iE
S E R V I C E S R E Q U I R E M E N'2 S
�s
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 112.25 �
PLAN
ISSUE FEE
BUZLDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTAliS---> 11Z.80 O.UO 0.00
REVENUE DIVISZON TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
112,25
FIRE
DATE: "'
DATE:-` • n
DATE: 'Q��I� "'L�
�*a:****ic*���*�
STRUCTURAL SEGMENT:Y
SMIP/RES'v GRAUING
.55
SMIP/NON-ItES
%
TOTAL PAID DUE
112.8� 112.80 ,��
n
112.80 OVER/SHORT; ,,'. UO
FIRE SMIP/TOS GRADING PLAN-CHECK
iE if iE iE jf if jf iF �E iE ik if 9E �1E iElf iF iE,iF iE iE iE if iE iE if iE �E 16 if it �E fF iE 3f iP it if 3! if i6 ik iP if jk if jE iF 1(� 3f jE iE iE iF jE iP if �E iE iE iE �f 3f df iE �E if iF iE 9E if jE jf �lF if jE i6 ic jf
I N D I V I D U A L F E E b R E A K D O W N
TYPE , QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 5500 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 S,SGU.00
END OF FEES
0
04-?4-1953/ii§:15 Gnlfi112.a�
RCPT�:C+I-2E2241�+
PERMIT:08778E.
. .. _ . : .
' CONSTRUC7�ON AND PLANNING - . �?O', .SPA �
- ' Date �Inspector " - "� � DAte' Inspector
. � APPROVALS Pe}mit # _ . . APPROVALS_ Permit # - �r �
Y
' L Temporarv Electrical $ervice or Pole . - � 52. Pool & Equipment Cocation� �,
2. Soil Pipe-Undrgrnd. � � � . 53. Stee4 Reinfoscement � ` '
3. Electrical Conduit Utility�Undrgmd. ' S4. Forms � _ - � � � - � ;� '
4: Electrical Conduit�Undrgmd. � - 55. Electricai Bonding . • ' - . - � �'
5. Steel Reinforcement . � . 56. Ro�gh Plumbing & Pressure Test - -
6. Electrical UFER Gmtl. � � , . - 57. APPROVAL TO COVER�GUNITE ' - �
7. Footings � � 58, Efectrical Conduit�Undrgrnd. �
8. Poundation ' -- � 59., Gai Pipe,�O Undrgrnd., Test' .. � � �
9. Water PipB�Undrgrnd. - - � , � , - 60. Backwash Lines, P�Trap, � Undrgrnd: :� �
70. Structurol Floor Svstem �� 61. APPROVAL TO DECK �' � �
, 17. Property 5ewer Line & House Connection . 62. Backwash & Receptor•Final �
. I
� 12. Sewer Cap '� ' � �63: Heater & Vent-Final .- ', , - �
13. Roof Dreins � - � - , ' 64. Plumbing SVstem � Final �, ' '
14. ftough Plumbing � . ' � 65: Electrical-Pinal � • ,-,, . -
15. Rough Electrical-Conduit. �� . � � _ � ,66. Solar Systerti-Finai ' L., � - �
16. flough EI¢ctric Wiring � � � ' . �67t Fencing & Access RpProval� � _ '
17. Rough Wiring Sign ' � � � ' 68: APPROVED FOR PIASTERiNG •'
78. Rough Elactrical�T Bar Ceiling � . _ � � 69. POOVSPA SYSTEMS FINAL � �
-79. Rough Heating & Air Conditioning - FIRE-DEPT-t REQUIREMENT � "
20. Rough Factory Firepiace APPROVALS Permit,-'�
21. Ducts, in Structure' •� � 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oii
23. Gas Pipe•Rough & Test , - � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof SheSthing • Y�� w� 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat ' 75: Dry Chemicai
27. Frame and Flashing . 76. Dry Standpipe �
28. Lathin9 & Siding . - . ' � 77. F�XED SYSTEM.FINAL
29. Insulation . � 78: FIflE PREV. FINAL
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. F�NAL INSPECTION '
32. E�ectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Noies:
34. Fina� Heating & Air Conditioning . ' -
35. Final Gas Pipe=Test , � , .
36. Hood.or Canopy � •
37. F(nai Factory Fireplace �
38. Final Plumbing � � '
39. Water Ser�ice�Final . , �
40. Gas Service•Final - •�
41. Solar pomestiaF'inat � � i
42. Backflow Preventer • . �
43. Backflow Irrigation ' .
-' 44, Landscape Irrigation System . � ' � �
45. Sound Attenuation
46. Handicap Regulations . � � '
�� 47. FINAL 5'fRUCTURE & BUILDING /� � �Q _a� /
Gp't/i
48. FINAL P4ANNING � .
1 i
49. Elearic Relea:e to Edison � '
50. Gas Release to Southem California Gas Co '
' � 51. CERTIFICATE OF OCCUPANCY •
No. Date
1)
APN:
County:
Census:
Map Pg:
New Pg:
Phone:
Owner:
. : IECT PROPERTY INFORMATIO�
Property: 3092 PLATTE DR, COSTA MESA CA 92626-3016 C039
141-512-23
ORANGE, CA Tax Rate Area: 15013
639.08 Prop Tax: $749.94
27-F3 Delinq Tax Yr:
859-CS Exemptions: HOMEOWNER
714/556-7742
THATCHER MARIAN JANE
Mail: 3092 PLATTE DR; COSTA MESA CA 92626-3016
SALES INFORMATION
LAST SALE PRIOR SALE
Transfer Date: 11I09/93 12/08181
Sale Price/Type:
Document #:
Document Type:
1 st TD/Type:
Finance:
Junior TD's:
Lender:
Seller:
Title Company:
Transfer Info:
771998
SITE INFORMATION
Improve Type:
Zoning:
County Use: 1
Bldg Class:
Flood Panel: 06059C-0047E
Phys Chars:
Legal:
Comments:
L38 TR4894/N
Copyright O 1996-97 Experian
iC�36jQ�Yl:i':
Lot Size:
Lot Area:
Parking:
Park Spaces:
Site Influence:
66 X 102
6,732
ATTACHED
2
Use: SFR
Total Value: $58,431
Land Value: $19,683
Imprv Value: $38,748
Assd Yr: 1997
% Improved: 66%
Bldg/Liv Area:
# Units:
# Bldgs:
# Stories:
$/SF:
YrbIUEff:
Total Rms:
Bedrms:
Baths(F/H):
Fireplace:
Pool:
Bsmt Area:
Construct:
Flooring:
Air Cond:
Heat Type:
Quality:
Condition:
Style:
Other Roams:
1,358
1
64
6
3
2
HEATED
:
1
Page: 1 of 1
� . Applicant to fill.in all spaces ezce0� those within neavy bortler lines an0 sign all apProOriate tleclaralionz.
Q° COSTA MESA CONSjRUCTION PE�RMIT ,`', PERMIT,NO. � TRACT NO. LOT NO. � UNIT N6f �,
. ; � � �^1��7 �./ '�i.L : /i ('Y A � 2Q � .
, ,��ect Address 3_. �2 __� '��. _
- Applicant's Mail'� g/q� �dd�ress - ��
Owner's Name' �" � �2 (� �%)� ��'�''���(����ho �� %%��
Address "�Q���� � �'��' % r'��-
Arch/Eng: License No.
Address � ' � - rt�
Contractor'sName ) � ° Phone�� J
Address (m 'I'ng) ( � 3 �� � EA-1 � �%✓��� ��
Ciry License No. �� � ' t'
LICENSED CONTRACTOR DECLARATION •�' '
1 M1ereby a(tirm that I am licensetl untler provisions of Charter 9(commencing ,�
with section 7000) oi Division 3 of the Business antl Protessions.Cotle, antl,
my Ilcense ls in full forc a etfe t. , �� O� rl� �,r
License Class "' ic nse No. d
... Date � -�_^ _�_�.nQ7 Si9na[ure ��
`uORKERS COMPENSATION DECLARATION , - �
�' =reby aHirm that I have a certificate of consent [o self-insure or a�certiticate'�''
� Workers' Compensatlon Insurance or a certitietl copy thereof (Section==�
` .00, Lab. CJ n' �OS/� I -` �
PolicY No. y�(7�a��p+'� ComPanY�r%�'T� F�(hG:/
�ertifietl copy is hereby furnishetl. '
O Certifietl capy is filetl with �he city BYfi�ing�ivision.
\ Dale2 -�3-$'� a.OPlicant S�q� �U�L�Id...cN� _,
EXEMPTION FROM WORKERS' GO�ASATION DECLARATION � y
(Thissection neetl not be com0letetl if the permit IS tor one huntlretl ($100) or
I¢55). �
1 certi(y that in the Performance of the work for which this perm�b,is issuetl, I
shall not employ any Oerson in any manner so as to become subject to tM1e
Workers' Compensation Laws of Calitomia. , a "
Date Signature
NOTICE:-If, after making this tleclaration,.you zhoultl become subject to tM1e .
Wo�kers' Compensalion 0/ovisions of the Ldbor Cotle, you must forthwith
comply with such provisions or, this permit shall be tleemetl revoketl.
GONSTRUCTION LENDING AGENCV '
1 hereby affirm'that tM1ere is a construction IenOing aqency for the per(ormance
Ot the work for which this per 't is issuetl ($ection 309� Civ. C.)
�entler'S Name � �
-Lentler's Atltlress � - i � .
OWNER BUIL�ER OECLARATION � ' '
I hereby affirm that I am exempt f�om the Cont�actoYs License Law for the
followin9 reason (Section 7031.5 Business antl Pwtessional Cotlek Any city or
�
to tile a signetl statement that he/sne Is Iicensetl pursuant to tne provivons ot
..Ihe Contractor's �icense Law (Chapter 9(commencing wiM Sec[ion 7000) of
',��fvision 3 ot the Business antl P�otessions'Cotle) or that h¢/She is exempt
,k��,��erefrom antl'the basis for the allegetl exemption. Any violation of Section
,.*�331.5 by any applicant for a,pe�mit subjects Ihe applicant to a civil
��penalty of not more than five hundretl tlollars ($500).
❑ I; as owner ot:tM1e prOperty or my employees with wages as their Sole
compensation, will tlo the work, antl the structure is not intentletl Or offeretl
for sale (Se<tion 7044, Business antl .Professional Cotle: The Contractor's
License l.aw tloes not apply to an owner of a property who builtls or improves
th¢rEOn, antl wha tloes SucM1 wo�k nimself/he�self or through hi5 or h¢r own
employees, O�ovitletl that such improvements are not intentletl or offeretl for
. sale.� If; however, the building or improvement is soltl within one year of com-
D�etion, the owner will have the burtlen of proving he/she tlitl not builtl or im-
p�ov! for the purpose of sale). �
❑ I, as owne� of the proper[y, am extlusively cont�actinq wi[h licensetl com
tractorsto constructthe project (Section 7044, Business antl Professions Cotle:
The Contractor's l.icense Law tloes not apply ta an owner of property who
builtls or improves thereon, antl wM10 rontracts for sucM1 projects with a con-
tractor(s)•i�cense:pursuant to the Contractor's License Law). I am aware,that
proof of their Worke�'S Compensation insurance shoultl be provitletl to me:
❑ I am exempt untler Section B. & P. C. for this reason
Date Owner
certify
n is cc
mspecuon purposes.
Signature � .
Drivers' License or '
CMF OBfi5-46, rev. 10/8
\
have reatl this application antl state that the above
agree to compty with all tlty antl county o�tlinances
o builtling constructlOn, dntl hereby authorize repre-'-
tq� entpr u n the above-mentionetl property� tor
����ti..i oai-��/�
� TYPE OFiCONSTRUCTION LJ NE
.�� ❑ CONVERSION ❑ DEMOLISH
� DESCRIPTION OF WORK/USE OF
' LSADD LJ ALTERATION LJ REPAIR �
� OTH R � p� p #
pG. � /Sl2L�
� W1 � ' � S Main Buildi
� TVPE OFyPERMIT^/ LI GRADING LJ FOUNDATION STRUCTURAL T FronY �
❑ TENANT' L�YELECTRICAL, � PLUMBING 0 MECHANICAL � � B Reaf J
� O OTHER + ' C Right -'- i
' PROJECT DESCRIPTION � 5 . F V, ' oCCU�g/q NCv
CONSTRUCTION TVPE VALUATION $ JN..�O.7 ��y S Left � (
��
GRADING CU. VDS. '' ACRES ping.'Ref. #
�S. �M� � ' Planning Notes:
Remarks:
+
Bar Sink � ' '
Backflow Preventer
Backflow Irrigation `
Bathtubs � '
Clarifiers . .
Dishwasher . � '
Drinking Fouritains
Floor Drains '
Floor Sinks � , .
Gas Service ' � Outlets
Interceptors : ' ,
Kitchen Sink �� ' � •'
Lavatories ,
P-Trsp . . .
Roaf ms ^ - -i� - -
Rainspec[ian Fee � $15
Boiler •
Duct- UnderGround
Duct-Strucmrel �
Duct- Ventilatin9
Exhaust System ❑ Mul[iple ❑
FirepVFact BIt ICBO #
Heating System & Ducting
❑0-100,000 BTU 0700,OOOBTi
e
• � � ;I I ReinspectionFee� I �$15
White - Builtling; Canary - Applicant; Pink - Acwunting; Goltlenrotl - Asseszor
Service Sink
Sewer_Cap .
Sewer Connection �
Solar Collecrors '
Solar Pipin9 , _ _
Solar Tank
Swim ' g�Pool w/Spa
WarerCloset �
Water Fleater .
WaterService . �
Auto-Wash �
Laundry Trays
y
Issue Fee
A
�t2712 .2/23/87
�o_e_ ':
i �
Building:
n
i
Parking Req./Provided
,.n „o : a-„ n
EES - ' ' ' • ' '
� . � ELECTRICAL � �
� Automatic Washer � '" Trensformer �� 15�50 KW -
� ConstructionPoleSuh. �50+KW
� Cooking Unit � Merer ❑up to 100 amps
� Dishwasher . � � Meter ❑over 100 amps �
Dryers �Ga"s ❑Electric � SubPanel, � . �
Fan � - Morors�0-1,HP�iX-8
F.A.U. " '�� InaSolar �9-75 HP �16-15�
Fixtures Microwave '
, DeviceBoxes � Pole.Light
- '- q Switches �' - Sign - �
� %, �Garba9e Disposal � y Standing Section:
• Generator �0.5 KW �5�15 KW Trash C6mpacror
Hood or Typel �❑
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration -
Fire Dampers - �
Registers
�
luue Fee
$ 3
FEES,
$ 3
+ . ' . I . I . . '
I Reinspec[ion Fee ' �$15 I I Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
2oning Approved By �
Building Approved By
Appliration Issued By
BUILDING PERMIT $�
PLAN CHECK $�
PLUMBING $
PLAN�CHECK .25% $
ELECTRICAI $-
PLANCHECK; 50% $
MECHANICAL : $
PLAN CHECK � 25% $
�
f95.77 TL
a
0
Z
O
N
I
N
G
R
E
Q
M
T
$
SUMMARY OF FEES ' . '
���%)�J�� �.SMIP � ' ' $' ��
^7j� S3 PERMIT ' � .
ISSUANCE $
ENERGV P.C. $
�-SO GRADING $= ' �
� i 9a MICRORLM $ '
.�•d� TOTALFEE $��
_� �
t�
- .,
CONSTRUCTIOMAND PLANNING . � � _ , ' POOL & SPA " -
�APPROVALS Permit #' Date Inspector p,ppROVALS Pe�mit #; � Date Inspector .
,r,t' Temporary Electrical�Service or Pole 52. Pool & Equipment Location�
: �.
,,,2. Soil Pipe-Undrgrli d. � 53. Steel Reinforcement ' . .
3. Electrical Conduit Utility-Undrgmd. � ' 54. Forms � , - - -
4. Electrical Condult-Undrgrnd. 55. Electrical Bonding , ��
5. Steel Reinforcement _ 56. Rough Plumbing & Pressure Tesf �
6. Electrical UFER Grnd.' � � 0 je 57. APPROVAL TO COVER;GUNITE
7. Footings � : • 58. Electrical Conduit-Undrgmd.. . '
8.- Fouridation � ., ^ I ,. 59. Gas Pipe, � Undrgrncl., Test
9. Water Pipe-Undrgrnd: � � '��- - 60. Backwash 6ines, P-Trap, � Undrgrnd.
10. Structural Floor System • � � 3� e' �� 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 ' � � i
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit ' 66. Solar System-Final .
16. Rough Electric Wiring ' 7,p �- ' 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 ❑ 0:1 . � �
23. Gas Pipe-Rough & Test � ` � 72. Underground Flush '
24. Roof Freming � - , 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � �(� �,D 74. Overhead Hydro ' � i
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical .' �
27. Frame and Flashing . � �� �76. Dry Standpipe
28. Lathing & Siding � 0'jj 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. FO00 CERTIFICATE ISSUED " '
', 33. Final Electric � �.,f6.,g 7 J Notes: � (Z ��M C �p �� ��'
34. Final Heating & Air Conditioning � - �
35. Final Gas Pipe-Test'� �
36. Hood or Canopy � ` .
37. Final Factory Fireplace . '�- . �
38. Final Plumbing .` � ' _ /`j
39. Water Service-Final ' � � �
40. Gas Service-Final � •
41. Solar pomestic-Final , �
' 42. Backflow Preventer � � � " � � +F
43. Backflow Irrigation � � , .. .
/ .
44. Landscape Irrigation System � - •
�45. Sound Attenuation � � �
46: Handicap Regulations � ' , �
.,
47. FINALSTRUCTURE&BUILDING � � ,
48. Special Requirements Completed - ,
49. Electric Release to Edison ' .
50. Gas Release to Southern California Gas Co ' . ��
. i
51. CERTIFICATE OF OCCUPANCY
- N0. Date
�YC.. � '+'�:',R�J'�`.";',>'!17�iC. � .a i. ._2 •,.i`.`an"V...�...��
� �
i• 1'x
0
CERTIFICATE OF COMPLIANCE �
� PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
c �.'i:.x+j.����x'���
�.
� /
�1
I�
� '- . '
Developer/Applicant: � �(.I�Y� .`�/nA� � -
A d:d r e s s: ���' � � � l" LZ'Y�(/wwY clx-/t ��Y�i�`'`�c" �
1'elephone Number: �`'� �� �� U
Tract"/Parcel and Lot Number(s):
Location of Project: `,�..1 2- � �iL0.N`-� ;
'. ___ (U „„ �" l/l�t �a-i,.
Number of Square Feet of ` t'
Residential Space Z'7o x$1.50 / Total �� r`�
Number of Square Feet of • . '
Commercial and
Industrial Space x $0.25_ Total,
,.. ` •:\
,,..
The provisions of Government Code;Section 53080'are not
applicable. � � �: �, ,
�� _._• , ,
This certifies that the above-named De•v,eloper/Applicant has paid '
school facility fees in"compliance w'i�th`Godernment Code Sections
53080 and 65995. �, "'- ' `�
�':�`. �.. �- � .
Checks are to be made payable to Ne'wport-Mesa Unified School
District. "
� �..�, ��r�=- .
' ` ' Busiriess Manager
' Newpdrt-Mesa Unified School'Distr'iet -
i ,
The above representation as to square footage is true.
Developer/Applicant agrees that if it is later determined t°ha't�
such repcesentations are not true then this certificate 'shall
automatically terminate and the appropriate City/County shall be '
notified.
/, p '�RC� ��/L- Conitr
Date: �-��(�" %�, ��(/ � Developer Applicant '
i
El
0
e
!i.
CityofCostaMesa li1l�a1LATION CERTIFICATIaN� euildingSafetyDivision
30 9 a P�. �- rTr �� Cc�Sr,� �cs � �2R�N��
Number and Street City County
ROOF
Material
Thickness (inches)
EXTERIOR WALL ,
Subdivision
Lot Number
DESCRIPTION OF INSTALLATION
Brand Name
Thermal Resistance (R Value)
J Material � �1 -I1 �.� g-�3:Brand Name
Thickness (inches�.;"�3�%2 X/S �� Thermal Resistance (R Value)
CEILING irt ��.
Batt or Blanket Type -`.`/Xb�LtiuGl.�' -/Q '.3 � rand Name
� -.. _.e<_ �.::._' .z•�:-- • i.
Thickness (inchesl-�` /0��+-"•fG':l(pr- Thermal Resistance (R Value)
Loose Fill Type _ ' �
Minimum Thickness (inches)
Area Covered (ft2)
FLOOR,ELEVATED .
Material
Thickness (inches)
FLOOR,SLAB
Material
Thickness (inches) _
Width (inches)
FOUND"ATION WALL
Materia l
Thickness (inches)
Brand Name _
Number of bags Weight per bag Ib.
Thermal Resistance (R Value) �
,a .
ti-
Brand Name �
(R Value�-" �.
'' , %
.�;
Brand Name _
Thermal Resistance (R Value
��
Brand �Name
Thermal Resistance`IR�•Value) _
y
',.a°S_
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current regulations settinq Energy Conservation Standards for new residential buildings (located in Title 24
of the California Administrative Codel.
= �.�-t,e,�.eh. C�6-. - -- �c, B -I °d�e' „�7 0 7 �.5�'
General Contractor (Builderl License Number �„ ..
Signature and Title
/ /(irni✓ci4i1'( / VJ/�' /�-- /
Sub Contrac Unsulation Applicatorl
Signature and Title
CMF 1306-46
Date
Ce..c� �rc e -t , , . ,
License Number
%—/�— b'7
Date /
r
X
AOp�icanl [o fill in a
Ci7Y oF coSra MESA : COeNSTRUCTION PERMITt�
Projec[Address ��Q�Z r� � C �-/E��i
Applicant'sMailin9Address S
�
Owner'sName hone Ss6-'19'F
Address ' S�MC'
Arch/Eng� —' � License No.
Address � �
Contractor's Namp �" � � � � Phone
Address(mailing) � '
City License No.
LICENSED CONTftACTOR DECLARATION
I Iteteby a�fi�m that 1 am licensetl untle� provisions of Charter 9(commencing
with section ]000) of Division 3 of the Bu5ine55 antl Professions Cotle, antl
my license is in full force antl eitect. �
License Class � License No.
Oate Si9nature -
�"ORKERS' COMPENSATION DECLARATION �
+reby affirm thaCl have a certificate of consent to self-insure or a certificate
Workers' compensation Insurance, or a certifietl copy- thereot (Section
..d00, Lab. C.) �
Policy No. Company � �
8 Certifietl copy is hereby furnishetl. �
Certifietl copy is filetl with the city Builtlinq Division.
Oate � Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl if the permit is for one huntlretl ($300) or -
less).
I certify that in the performance of the work fo� which thi5 perm�t is i55uetl, I ,
shall not employ any pe�son in any manne� so as to become subjec to the
Workers' ompen ati n Laws of California. `
Date��5ignature `H�nh ��. �% f DI ,
NOTICE: If, aiter mak n9 this tleUaration, you sM1oultl� come subject to�the
Wo�kers' Compensa[ion provisions of [he Labor Cotle, you mus[ forthwith
comply with suth provi5ions or this pe�mit shall be tlEemetl revoketl. •
CONSTRUCTION LENDING AGENCV
1 hereby aifirm Ihat there is a construction IenGing agency for the pertormance '
of the work for which thi5 permit is issued ($ection 3097 Civ. CJ
Lentler's Name �
LentlerR AtlEress � - -
OWNERBUILDEH�UECLARATION � -
I hereby affirm that' 1 am exempt from the Contractor's License Law Por the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
any structure, p�ior_to�its issuance, alm �equires lhe applicant tor Such permit
•retrom ana me oasis tor ine aiiegeo exempuon. Fany vioiauon o� oecoan
�31.5 by any applicant fOr a permiP subjects tne applicant to a civil
pendlty of not'more lhan tive huntlretl tlollars ($500). '
❑ I, as owner of the property or my emoloyees with wages as their soie
mmpensation, will tlo the work, antl the structure is not intentletl or offeretl
for sale (Section 7044; Business antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner of a property who builtls or impmves
thereon, and who tloes sucn work himselt/nerselt or through his or her own
employees, prOvitletl that such improvements are noi intentletl ot offeretl to�
Shce. I(, howeveq the:builtlin9 or improvement is soltl within one year of com�
pletion, ine-own¢r will have the burtlen of p�oving he/she tlid not builtl ar im-
prove forthe purpose of sale). � � •�
I�, as owner, ot Lie proper[y, am exclusively contraCting with licensetl con�
�actors[o con5tructtM1e project (Section ]044, Busine55 antl Professions Cotic:
The Contractor'S Litense Law does.not apply [o an owner ot property who
builtls orimproves [M1ereon, antl who contracts for such�projects witM1 a con-
tracYor(51 bcense pu�suant to the Contractor'S License Law). I am aware that
proot of their WorkeYs Compensa[ion inw�ance shoultl be provitletl to me.
� I am eaempt under Section B. & P. C. for this reason
Date Owner
1 h¢reby certity [hat have reatl this application 5[ate that the above
information.is mrrect. 1 a9ree [o comply with all city antl county ortlinances
antl state laws relating to builtling construction, antl hereby authorize repre-
sentatives of this city to enter upon the abo e-m ntionetl property for
inspection p �poses. /� ��,[ �
Si9nature� ��� 'y_p �� �=/_/�o�
those within heavy bortler linez antl sign all appropriate
;TRACT NO. LOT NO. �UNIT NO.
� z.8t28 ,
TYPE OF CONSTRUCTION NEW A�D ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A P #
� DESCRIPTIONOFWORK/USEOFBLDG.�'�r�0�
5 Main Bi
TVPEOFPERMIT GRADING FOUNDATION �STRUCTURAL � T Fronl
❑ TENANT ❑ ELECTRICAL ❑ PWMBING �❑ MECHANICAL . B Rear
❑ ,OTHER A
PROJECTDESCRIPTION SQ.�FL�3Dd0 oCGUPnNCv - C Right
K
CONSTRUCTIONT.VPE VALVATION$SUOO• S Left
20NE GRADINGGV.VDS. ACRES Ping.�Ref.#
Remarks: . , � � • . Planning No
3ar Sink
ackflow Preventer
3a flow Irrigation
3athtu �
�larifiers .
�ishwasher
]rinking Fountains
Floor Dreins
Floor Sinks
ud5 $2NICE '
Interceprors
Kitchen Sink
Lavatories
P-Trep
Roof Dra s
Duct - r G
Duct - Structur�
Duct - Ventilati
Exhaust Systerr�
Firepl/Fact. Blt
Heating System &
❑0.700,000 BTU
- Drivers' License or 55 xF _ � I�einspection Fee
CMF 0865-46, rev. 10/84 White - Builtling; Canary - APPlicant;
Accounting; Goltlenrod - Assessor
PLUMBING
Showers
' Service Sink
� Sewer Cap -
Sewer Connection
Solar Collectors
' Solar Piping ,
Solar Tank
' ' Swim ifig Pool w/Spa
nal '
Outlets � Water Closet
Wa Heater
Water Se ' e - ---
. � Auto-Wash
Laundry Trays
__'—__._'____ �Fee
1
II ❑
II ❑
e
$75
utomatic Washer
Co truction Pote Sdb.
Cookin Uni[
Dryers LJGas lec
Fan
F.A.U.
Fixtures
Device Boxes �
Outlets ,
Accessory Building:'� t�
�p�7 z
1 • � 73C. ' 1 � O
- � � N
r �
r nn� a GLF^8 •- N
I V V��• .. G
' R
Parkirig Req./Provided E
Q
- M
T
' S
ELECTRICAL ,
Transformer� � 15-50 KW
❑ 50+KW
. Meter ❑up to 100 amps
Meter ❑over 100 s
Sub Panel
- SwrtChei � - -
i Garbage Disposal
Generator ❑ - KW �5-15 KW
orors -1 HP 01 % - 8
olar �9-15 HP 076-75+
icrowave
�le Light
Standing Secit�
Trash Compactor
.$. 3
Reinspection Fee $75 Issue Fee
FE
DEVELOPMENT SERVICES REQUIREMENTS:
. Zoning Approved By ' ' �
' Building Approved By , �1L
Appliwtion luued By b \
a
FEES
'�0100,000 BTU . . SUMMARV OF PEES _
�Iteration � BUILDINGPERMIT $'--�� • � SMIP . $ �.•-��
. J PLAN CHECK $' PERMIT
PLUMBING �'$ ' ISSUANCE � $
� PLAN CHECK 25% $ ENERGV P.C. $ �
� ELECTRICAL _ $ GRADING _ 5-
. PLAN CHECK 50°� $ MICROFILM, $
MECHANICAL $ _ TOTALFEE '$ ✓�Q•S��
Issue Fee - PLAN CHECK 25% .$ �� �
,
�CONSTRUCTION AND PLANNING � . � . � POOL & SPA - 1
APPROVALS Permif # � Date Inspector� qppROVALS Permit # Date Inspector
�I
1.`Temporary Electrical Service or Pole ' 52. Pool & Equipment Location -
�
. � ��
2. Soil Pipe-Undrgrnd. ' ' 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. , 54. Forms - � a
4. Electrical Conduit-Undrgrnd. ', 55. Electrical Bonding . � �
5. Steel Reinforcement 56. Rough Plumbing�& Pressure Test ' �
6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Footings � � � �58. Electrical Conduit�Undrgrnd. �
8. F.oundation ,,,� ., - �• � 59. Gas Pipe, O Undrgrnd., Test•
9. Water Pipe-Undr,grnd. � -� � 60. Backwash Lines, P=Trap, O Undrgrnd.
10. Structurel Floar 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 Electrica6Conduit � 66. Solar System-Final '
16. Rough Electric Wiring ` � � 67. Fencing & Access Approval
17. Ro'ugh 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. Underg�ound Hydro ' �
22. Ducts, Ventilating � . ' 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough &�Test - � . , 72. Underground Flush .
24. Roof Framing � � ' , ' . � . 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � ' •�_° 74. Overhead Hydro ,�
26. T-Bar Ceiling��Structural) &'Monocoat . . ' - 75. Dry Chemical �
27. Frame and�Flashing . �� �"- _ 76. Dry Standpipe ' �
28. Lathing & Siding , �, � � . 77. �FIXED SYSTEM FINAL � .
29. Insulation " ,.i I� 78. FIRE PREV. FINAL
30. Drywall Nailing' y' �" � ' . _ HEALTH DEPT. REQUIREMENT
� 31. Plaster Brown Coat �. � _ ' 79. FI�NAL INSPECTION ' �
�32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33: Final Electric . ' Notes: �
34: Final Heating & Air Conditibning � • �
' 35. Final Gas Pipe-Test' - � �
36: Hood or Canopy
37. Final Factory Fireplace , - ' � � '
38. Final Plu'mbing � � . . �
?39. Water Service-Final - .' . '
�
� 40. Gas Service-Final � � � , �
� �41: Solar pomestic-Final . � �
�42. Backfloiv Preventer - � �
,43. Backflow Irrigation . � � t� � }-!
4'4. Landscape Irrigation System . - '
`45. Sound Attenuation ' . " � � � • '
46. Handicap Regulations � � . � � ' �
�
47. FINALSTRUCTURE&BUILDING ' � � �. � , ' „ �•
t. ;
48.,Special,Requirements Completed � + '
�49. Electric Release to Edison � � . '
50. Gas Release to Southem Califomia Gas Co - ' , � - �
51. CERTIFICATE OF OCCUPANCY �
No. � " � �Date � _ _ _ _ . .�
JOB ADDRESS 3oqz Y.
GENERAL CONTRACTOR
iyr��
�
DATE �UL 5 1963
VALUE
PERMIT NO.
SUBCONTRACTOR I DATE
�
, _ . ?0009. .
COSTA MESA BUIIDING-SAFETY DEPARTMENT ' F E E R E C E I V��
� P.O. BO%91] CO3TA MESA, CALIFORNIA -
�uN �.o �asa
For Applieanf to Fill In Complefely l�P,�4N�40t�1�€Q�. PERMR
TYP� OR PRINT 4894- 8� tIIV 61dd�1Gd �
BUILDIN6 �� � �h �T . CIT'foBF��FeTFU�h&EBA+1y
ADDRE53 � - neceil�'rv0. �P�TN�—
COSTA MESA. CALIFORNIA ��
- xec�� o ev wre rve onre �ssueo
�-r� �� JUL 5 ,9s
owNeR NORTHGATE
BUILDINO
MAIL 1�31.1 QOlden WeS•t 'ADDR699
ADDRES3 4
FIRE �
CITY Westminster C�. No �897-7824 Z�NE - TYPE ' - GROU
� � r APPROVED . �
AF,.'... �$�ECT C• Hl�CI� NO.S37�ZOO7 BY DATE
q}'y,?,r;.-�NEER
wo �� ' . ZONING `
`ess Box ll Anattei.m Cal
20N NO. OP � U8E OF N�
IIonser Constructiori IIIC � PUNB 1�'eu��o ��,�
CONTRACTOR . 7 � n `/�
ADDRESS �. (�IO1dBI1 ��BSU ��CRIPTION�"�'I I ' J ' � � �
CITY ��2StiIfL111S'F2T' CS].O A•P•NO.-
� p NOTE: NO EAV6 OVERHANO BHALL BE LES$ THAN
LIC. NO. Z�. O NO. V97�7 HZ 30' TO SIDE 8 kEAR . L
EAVES
SIZE - � x 1/y]� I No.oReLOae. O ALLOWEO (U.B.C.REQUIREMENT'.
OF L07 . Ll�t NOW ON IAT
, , YARD3APPROVEO YAR�SAPPROVED
USE OF . . MAIN BUILDIN6 ACCESSORY BUILDINR
EXISTIN6 BL�6. '
<FROMGLSTREHT) / . � �
6ETBACK LINE FPOM I FRONT •� FT.
CENTER OF 8TFEeT �� REAR YARD 3� /
SIDE YARD LEFT 11 � R16HT S T R. SID6 S"� MT. ✓ FT•
DESCRIPiION OF WORK �.s�oe I•Fr.:� Fr.
N� R ALTERATION ADDITION REAR � FT.� Ff.
' O19TANCE BET: BET. MAIN @ .
REPAIR � MOVIN6� �� �DEMOLIBH MAIN BLDGS. AGGE55. BLDCi9.
BUILDIN6 NO OF VAR.SC OATE
S¢E . O X �.�� ROOMS 6 BTORIES 1 C.U.P.# MPROVED
EXTERIOR WALL I ROOF ' APPRO -
COVERING COVERING B'( DATE � �I —
USE OF BUILDING AND WORK TO BE PERFORMHD , �
�� �
3 sq. �. • q g o r
1 HEREBY ACKN LEOOE AT XAVH REA TXIB APPLICATION THE AMOYNT BXOWN UNDEP VAW ION 18 FOP TXE
wNo sTaTE i T iHC �BO OHP CT ND A�REH TO COM. PURPOSE OF 88TABLIBHINO ♦'PERMIT FEE ONLY.
PLY WITH A L CITY OPO Qgg ry 6 LAWB fl60ULI�TiNO ypLUATION ' ���y
em�o�rvo NSTeuci�o . , � ' pERM1TFEE S T3i�
SIGNATU E OP
PERMITTE ' S /� �� � , C
AUTHORIZED AGENT Q
' TOTALFEE sL�