HomeMy WebLinkAbout900 POWELL CT - Building Permits, _ . AOP���ant to FlII in all soaces axeept those wit�in heavy Do�Cer Iines ane sign all aoPropriate Geciarations. '
CITY OF COSTA MESA TUPJ� � -, PEFMIT NU... ' i. TRACT NO. .� �LOT NO.- - BL�o. rv.
'CONS'(RUCTION PERMIT qZ�l . . . , , .
P,roject Address � � " - ` � TYPE OF CONSTRUCTION ,NEW � aDD.- �'
ALTERATION REPAIR '
ApplicanYs Mailing Addreu ( Z4�'iL ��+'^..S�Y DL�� �GFYTP./nls,A � CONVERSION �� DEMOLISH ❑ OTHER _ � . . -.
� . S � ., - . . , . � , . A.P. # • _ �
Owner's Name �G4Glo �UCBL Phone���'!�' �DESCRIPTION OF WORK
� � � S Main Bwidmg.. -
Address qC0'pcl`�%EU,L,T: !n`�i%�/M� Q7L Zlv E
�� � TVPE OF PERMIT GRADING FOUNDATION � 3TRUCTURAL �� �' F o t
' • 6752• $7/16/85� ` , :'�7.00 iTl
��; ' . . ��, . .
• Zone •
: I . . . . , . _ . T. r n . -
AfCh/Eng.' LICenSE No. .❑ TENANT. '❑ ECECTRICAL ❑�PLUMBING ❑ MECHANICAL � . 8�� Reaf ��
- Addre54� � ' ' ' . ❑ OTHER , �•• ' ' � � =• : , . : A. � .
Contractor'sName��'�� BQ�• ' Phone��-�«�� .:PROJECTDESCRIPTION; Sq:F7.� � oCCUPANCv � C Right
K Left
� Addf255lmailing) ' ' CONSTRUCT.IONTVPE � � � VALUATION$ $.
' �e 'r . ' � ZONE GRADINGCU.VDS. �ACRES p�n Ref}�
City License No. L�_�{ _ _ 9.
� - LICENSED CONTRACTOR DECLARATION Remaiks: � ! .� ' ! � � ' i. ` Parking Req./Provided
I hereby afflrm Mat °.I am Iicensetl under provisions of C�arter 9,(commencing
witn sectlon 7000) of �Ivlslon 3 of the Businesz antl Professlons Cotla, an0 , y '" � ' ' i , , � �Useof Building:
, my Iicense'Is in full torce antl�eHect. '� � - '
License Ci ss ' � nse q46. 74�iiOiJ�- i � � , PLUMBING FEES �Planning Notes:. �
Date� Signature � � r . �
� WORKERS'COMPENSATIONDECLA'RATION' � � � BarSink ; Showers , , � !� '
•reby aftlrm thaYf have a�certiilcate of consenbto self-insura or a certificate , .' geckfl0w Pr2vEnt2�' 'Service Sink -'"' "
� Worker5' Compensation Insurance, or� a certlfletl <opY.�hereof (Sectlon � � � �
� ���.�b•\YIS-Q$ZJ_y�j4- f : V����� • � � � Backflowlrrigation . SewerCap . � 1 ,
�Policy No. Company ' '
❑. Certlfled topy Is hereby turnl5hetl. h� BathtUbs Sew2� Connecti0n � Automatid Washer �
Qr Certiileq co I❑letl with tna Uty u Itli olv lo . ' �
Oate 7-Y-�� Appllcant ClArifiers � � � Solar Collectors � Construction Pole Sub.,
� EXEMPTION'FROM WORKERS' COMPENSATION DECLA TI N
(Thissection neetl not be completetl if ine permit I5 for one huntlra (E300) or � OiShwashe� � Solar Piping . � � - Cooking Unit ' ,i
less) i - Orinkin ��Fountains ' ' . �.�
I CBrtHy thdt in thG peliolmanCB Ot th0 work fOf whfth th15 pelm�t is ISSuetl, I 9 $Oldl TdOk Di5hwd5h¢I ,
shall not employ any person in any manner so as to become subject to the � � �
Workers' compensatlon L.aws of Calltomia. � � � . Floor Diains . '. Swimming Pool �w/Spa : � Oryers ❑Gas �ElectricY
, Date � Signature � �
� NOTICE: If,iafteY'maklnq'thi5 tletlaratlon; you ShoUltl betome 5ubjett to.tha '� • Floof SinkS- , ' � ' - - Urinal� ,' ' ` ' Fan' � " 'i ' '
Workers' Compensatlon provisions of the Labor Cotle, you must_forttlwitM1 ' ' ' ' '
comply �wlth such provlsions� or this Oarmlt � shall be tleametl revoketl ;- Gas Service. Outlets ;� Water Closet ' � F.A.U.' ' �
CONSTRUCTION�LENDING AGENCV ' � ,
I hereby afflrm that there Is a mn5truttion lentlin9 agancy for the performantt. Interoept0�5 Water Heat2r _ � �- • Fixtut25�
, of tne work for which. this permi[ .is Issuetl (Section 3097^ Civ. C.)'
Lentler's Name - � Kitchen Sink � Water Service � Device Boxes � �
lBntler'S 'Atltlress ' � l.evetOfieS
OWNERBUILDERDECLARATION ' � � " '" • � OUtIEtS
I hareby altlrm that I am exempt from the Contractor's Llcense Law tor the � • ,. � . � . .
tollowing reason (Sectlon�703Y.5.Business anC Protesslonal Cotla: Any tlty or , P-Trap; ^ � ' , Switches
L'J 13�as,owner of- the
CompenSatlon will.tlo tl
tor sale (Sec{lon 7044
Llcense l.aw tloes not a{
theraon, an0 who tloes
employ ees, provitleC th.
ule. It, howeve�, the b�
platlan, tne ownar wlll
�ove,lor the purpose af
LJ I, as owner of the pi
tractorstd construct the
The Contrattor's Llcan:
bulltls or improves ther
tYattor(S) Ilcen58 punuai
❑ I'am exempt untler 5
�
Date
I heroby certlfy-that 1
Informatlon Is correct. I
antl 5tate IawS relating.
Sentatives of thls clty�,
Inspectlan pur �e �
Signature
Orivers' Llcense or 55 �y
'.MF 0865-46 rav. 12/83
' vlolatlon ot Sectlon
applicant to a clvll
i waaes.as thelr sole
improvements ara not intenaea or orrarea ior
or Improvement is soltl withln one year:ot COm-
ie burtlen of provin9 he/she tlitl not builtl or Im-
am axclusively contracting with Iitensetl con-
t.ISectlon Z044, Business anG Professlons Cotla:
dnws nnt anny to an owner of property who
i
i
��Reinspection Fee
Boiler .
Duct - Under' Grc
Duct - Structural
�a ■
�o ,
��■ �
ts tor such prolects witn a con- Exhaust System ❑ Multiple ❑
License law1. �
— e. & P. C. for this reaion � , Firepl/Fact.8lt. ICBO # '
� Heating System & Ducting
�.atlon antl state�thai'the atiove- • �4100,OOOBTU'�100,OOOBT
i all city antl county ortllnances
on,.antl hereby authoriza rapre- � .
above-mentionetl Property tor • .
�_ Date 7—Q-pJ�
Reinspeccion Fee � .$25
Builtlln9; Canary - Applicant; Pink - Accoun[Ing;
Hootl or� Typel ❑
Canopy , Type I I ❑
�
Fefrigeretion�SVstem �
�0.100,OOOBTU ❑700,000
System Repair/Alteretion
- - Issue Fee ' � . -
$ 3
FEES
$ 3
.
c.
! Park.Fees $
•"ELECTRICAI:
� �, � ❑50+KW
. Meter ❑up to 100amps
� Meter pover100amps
Sub Panel
� "Moto�s'O0.7 HP ��1 % - 8 "
Inc.Solar �9-15 HP 016-15+
� Microwave � �
� Pole Light, � �
O
N
I
N
G
R
U
I
p
E �
; ' M
_ E '
N
T
S'
EES
0
, . Range ,. .. . ;I , ,
Garbage Disposal i Standing Sections r �
Genereto� �P5 KW �5-15 KW Trash Compactor �
Reinspeetion Fea $25 'luue Fee �,$' 3
PUBLICSERVICESREUUIREMENTS: • ;
2oning Approved By � ' Date
Building Approved By Date
APPlication laued BV ' L Dat �.
- � SUMMARY OF FEES � • �
. BUILDING PERMIT $ • SMIP ,$ �
PLAN CHECK $ ' PERMIT . ' � �
. PLUMBING � $ ISSUANCE ;$ �
ENERGV P.C. '$ �
' PLAN CHECK 25% $
ELECTRICAL '$ GRADING $
PLAN CHECK 50% •$ �, ' � MICROFILM •$ �
MECHANICAL $ '��l' �-��TOTALFEE $ �T.�
PLAN CHECK 25% $ � . � - ' ;
_/'�
� -t' 1- .-• �
'��CONSTRUCTIONAND'PLANNING_ � - ,_� - � .POOL. A � �' - . :,� -, �` , � �
Date �Inspector ' �Date ' �Inspectoi .
� _ APFROVAI.S � Permit # - - - , . � � - � � APPROVALS � Permit;# �
�•- 1,�Temporary Electrical Service�or Pole_ - - . , :,� ', ' 52. Pool &:Equipment Location; : . - - �
' 2-� Soil Pipe-Undrgrnd.. . � � n � � _ . 53:: Steel Reinforcement . - ' _ ' .
- � -
, 3. Electrical Conduit Utility-Uridrgrnd. -� � � 54.� Forms � , . _= ' _ - � ' �
' 4. Electrical Conduit-Undrgmd. � � � _ , 55 � Electrical Bonding - , � _ . _ '
5� Steel� Reinfdreement ';"� - � 56.� Rough Plumbing'& Pressure Test - _ ' • c
�
6.� Electrical UFER Grnd. '; �� - ' - � � 57'.� APP;ROVALTO COVER-GUNITE _ - � ,
.� - -
7. Footings, � , ��? , y i - 58: Electrical ConduitUndrgrnd.-" ' � �-�,
"- - � - � ' �" n
, 8. Foundatiou . � � , " : ' , . �' 59. Gas Pipe, 0. UntJrgrnd., Test = ' ( ' - -- . _ .
9. Water Pipe=Undrgrnd, . { � � . • � �� - . � 60. Backwash. Lines, P-Trap, O Undrgrnd., ' _ " �
10. Stiuctural Flopr System ', o' � ?- -. 61. APPROVAL TO DECK •�� ��.` ;
11. Prope�ty. Sewer Line & House Connec[ion ,; 62. Backwash &.ReceptorFinal � ,. -� �
12. Sewer Cap , � � r �_ _ . T . 63. Heater &�VenfFinal� � _. � � � ` � � - �
_
;
13. Foof Drains • ' • ' � -64. Plumbing System�. Final � ' � ' i . ' '
14. Rough Plumbing � � _ �• • � � - 65. Electrica6Final� � � � � � � � � � .
15: Rough Electrical-Conduit� � --^ `-'C-' " - � 66.-� Solar System-Final '�" ' ' ' � 'j --'�- •' �'
t
, 16' �Rough Electric Wiring 'i " - "` ' 67.i F.encing & Acce'ss Ap`proval ; � � - ' n i'-'i = � • '"-- -
� i� 17-. Rough Wiririg Sign: � � � - _ _ i � " � 68.� APPROVED FOR P,LASTERING '' �� . � � ' -
� 18..,Rough Electrical-T Ba��Ceiling �; - ' � - 69. POOUSPA SYSTEMS�FINAL � � � - �
�
19. Rough�Heating & Air Conditioning � � FIRE DEPT. REQUIREMENT .- '- � y �
_ ' �. �
' ' ' , '.
20""Rough Factory Fireplace . � � { � APPROVALS' Permit # ' � ' � �° � "
� � .
21. Ducts, in Struc[ure. �' ' � � � � � � 70. Underground Hydro � � " � T � �
�
:22. Ducts, Ventilating � • . 71.• Product Piping O Gas�;OOiI � -� � � ,
'23. Gas Pipe-Rough & Test ' , . � , 72., Underground Flush � , ' ' i
�
� 24. Roof� Framing'• � ' ' � ,_ - ' , •. � 73.� Undergrnd.StorageTank O-Gas OOiI =� ' � ' �
, 25. Roof Sheathing � . 74.� Overhead Hydro ��` � � �
i
��26. T-Bar Ceiling (Structural) & Monocoat � � 75. Dr;y�Chemical - � - _ i ' 1
.
27. Frame and Ftashing , � . ' � �• , J6. Dry Standpipe ' . � f � � '_ ; � '
�
,28. �Lathing & Siding , , ' ' ;i • � . . 77. FIXED SYSTEM FINAL �, �� " { �
�
, 2g,_ Insulation � _ " '' ' • �� • � � - ' �78.� FIRE PREV. FINAL . � � � �
�' ` ' HEALTH DEPT. REQUIFtEMENT � '
�30. Drywall Nailing � . � � � � � �
`31. Plaster Browri Coat �� - � � � � 79.I FINAL INSPECTION � � ' � I
' 32. Electrical Power Meter-Final i 1; , � ' � 80.� FOOD CERTIFICATE ISSUED � � � �•
„ - - - - , - -� - - ,
33. Final Electric � ' � ' � Notes: �
34.'Final'Heating &'Air Conditioning: . �,3� (�9 � ' j � `
35. Final Gas Pipe-Test ; ' - " I • • r , . ' ,
.�
36. Hood or CanoPY � � i ' . ' , ' ' � � - 1 � � . . ' - -. _ . . ,
;_ ` - . , _ ., ; . _ -
37. Final Facfory. Fireplace � ' � ' ' i � ' " - - " �
38. F.inal Plumbing � � � � , � � ' � , ' � - � � . r
39. Water Seryice�Final � � ' , �__ , � �' - � - :, '
40. Gas Service-Final �, ' � j , i � � � � � , � � - � � ' � ' ' •
_ .> :
41. Sotar pomesticF.inal �- ' . � � ', --, -�-! �--' --• -�1- -� -- -- = - � � ' _ . . � '
' it
42. Backflow Preventer' . � � , - r --- - - . -� - .� , ' . {� �
( �
43. Backflow�lrrigation • � , � • � ` ! � �' - -� � � -. . � ' � �
�
44. }Landseape.Irrigation�System � . `• � � � r:!'. ' ' � �
45. Sound�Attenuation� � � � ' - � i � �;� � , . " � ,
i
_ � . . � � � , - - - -
46: Handicap,Regulations , � ;;' � �. � . � • • . .
��
47. FINAL STRUCTURE & BUILDING � , �' � ' � . ' ' , � , ' '� . •
� � _ ,
. 1 4 ' � � . (> b
48. Special Requi'rements Completed� j . i � � � . ' � , , , . � ��
'a
49. Electric Release to Edison � � I � � �: �--� -' -" I- "� � ' � ^..�' i �4� ' .-
50. Ga's Release to Southem California Gas Co • • � � " ' � � � � � „ ��{ � ; + �
51. CERTIFICATE OF OCCUPANCY- � - V- • - - - ' --+- � -;- -� - . ' ' : '� . , ' '
., - - - - �- �
-
. ,
No. �- �--� J - " D'ate-- ' -'-� .`� ._. ' � _I_ ; � _ �_ . -- - - - - I
�
PBaJECTA00RE$S: �jOO POWELL CT
OWNEH'SNqME: OHLS FIELISSA
aooeess: 900 �OWELL CT
C�STA MESA,CA
FPCNIENGINEEP: J 4 �— 8 9 6 3
aooeess:
Z4 (�( °N�,:
92626
NEG.NO.:
uxiT:
PEHMIITEE: NOCK PLUMBING (719)895-1296
nooness: 1�1'6pp10('�SEABOARD CIR n
UCENSED CONTqpCTON UiC -IdPA�IONN I hereby afhrm Ihat I am Iicense0 un0er pr�ovisio9s�o��h$aD�er 9(commencing with Section
7000) of �rvision 3 of Ihe Business antl Pmlessions Cotle, anU my license is in lull force antl etlecl.
cirr uc.: 5 0, 8 6 $TATE LIC.: S 1 1 9% 1�'�
�
e. SignaWre: _
REHS' COMPENSpT10N OECLAHATION: I �ereby aflirm � a I have a cerlihca�e o o seH�insure or a cetlificaie of Worker
ampensalion Insu�ance, or a cetldied copy theBol �Sec�ion 3800. Lab. C�.
roucrxo.: 1167992-94 E%P.�ATE: O3�OZI9S
comraxr: gTATE
❑ Certitied copy is hereby fumis�ed. � Cetli�ied copy is fil i �Ae ciry Builping,�ivision.
a�e' 7 L Applicant
E%EMPTIONFqOMWOX(ERS't MPENSFTIONOECUPPTION: (Thissectionneeanot�ecompleteUilthepermitisloronehunOreO�StW)oNess.
I cetlify Ihai in ihe perlormance of �he work for which Ihis Dermii is iSsueQ I shall not employ any person in any manner so as to became
subjec� la Ihe Workers' Compensation laws o� Calilomia.
Da�e: Signalure'.
NOTICE: II, a0er making Nis Oeclara�ion, you ShoWa become su6lect to �he Workers' Compensation pmvisions o� the La6or
Code^ you must fort�with comply with such pmvisions or Ihis Dermit shall he deemea revokeU.
CONSTflUCTION LENDINC AGENCY: I �ereby a�hrm �ha� there is a consimction IenAing agency for �he petlormance o� ��e work for
which ihis permi� is issuetl (Sec�ion 3097. Civ. C�.
LENOEB:
p�OflESS:
OWNEH BUILOEfl UECLANRTION: I here6y allirm ��at I am exempt tmm �he Camracmrs' State License Law tor �he following reason
(Section 70315 Business ane Prolessional Cotle: Any city of counly which requires a permit ta canslNct, alter, improve, tlemolisn, or
repair any slrW�ure. pnor Io its issuance, alsa requires �he applicant �or such Oermit lo file a signetl slaiemen� �ha� helshe i5licensed
pursuant to t�e P�ovisions of �he Coniractors' State License Law �Chapter 9(commencing with Sec�ion 7000) ol 0ivision 3 of the Business
antl Pmiessions Cotle) or Ihal he/she is e�emp� �herelmm antl �he Oasis br Ihe alleged exemption. Any violation of Sec�ion 703L5 by
any applicani �or a permil sublecis �he ap0licani �o a civil penal�y of not more �han �ive hundred dollars (5500�.
I. as owner ol ihe pmpeny or my employees with wages as their sole compensation, will Oo t�e work, anA the
❑ simdure is not imen0etl ar oifered far sale (Seclion 70a4. Business ana Pmlessional Code: TAe Comramars' State License Law
tloes noi ap01y �o an owner of a pmperty who �ui105 or impmves thereon, an0 who Ooes such woB himsel�/hersel� or Ihmugh
his or her own employees, pmvitletl I�ai such impmvements are not in�enJed ar o��ered for sale. I�, however �he builtling ar
im0�4°Qmeni is sold within one year ol campletion, �he owner will �ave �he hurden ol pmving Ae/she Uitl not Auiltl or improve
for �he purpose o� sale).
I, asowner oi the pmpehy. am exclusively con�racting wil� IicenseA conlmciors ta consimct t�e pmjec� (Sec�ion 70C4, Business
❑ an07miession5 Coae: The Coniractors' Stale License Law does noi apply to an owner o� propetly who builds or imD�oveS ihereon
and who conlracis lor suc� pmle��s with a contracmr(5) license Dursuant lo ihe Contrac�ors' Siate License Law�. I am aware
Iha� O�oo� ot Iheir Worker'S Compensalion insurance shoWd be pmvided Io me.
� I am exemD� untler Seciion�. B. 8 P. C.
�p�inis reason:
Oa�e Owner
I do Aerebp<enify Ihal I am aware ol antl untler5lanU the requiremenis ol Califomia Heallh antl Satery Code Seciions 25505. 25533. antl
2553a and�hat I or any fuWre �uiltling occupanl will/will not (circle ane) nee0 ta comply with sai0 sta�e codes antl Ihe requiremen�s �or a
pe�mii tar�onslmclion or moailica�ion Irom t�e Fir �uahry Managemen� �is�ricl. FeSitlen�iai conSVuc�ion applica�ions are exemp� irom
t�ese pro�'SiOns. ,
Da�e'. Npplicanf
I herebyoe«ily Ihat I have reatl Ihis applicalion and s�ate Na���e abovein�ormation is correct. I agree to complY wiih allcily antl counly
ordinanc[san� slalelawsrela�ing�o builtling consiruc�mn antl hereb authonzere0�esenta�ive5 olihis ciryto enter upon�he a6ove�mentione0
pmper�y�or inspeciion purposes.
����"�� Signature: A � �y
or sociai security u.�
1finL46 �"h'�e—Bui�tlmg: Green— Pink—Pevenue; GOIGenrW—Ass¢ssor
CITY OF COSTA MESA — HpILDING PEkMIT
\
�EAMIT NO: P 067138 PLAN CHECK NO; N
:ONSTRUCTION TYPE: V—N PERMIT TYPE: PLU �
iOB DESCRIPTION ; WATER I-TEATER
:LAIM C�ALUE:
CALC—C�ALUE:
PERM NO: P 467138
GOVT; N SUPP: N
PIIRPOSE : OTI-I
SQ FT:
GROUP OCC: R-3 /
=OMMENTS: NO OTHER WORK AUTH�RIZED HY THIS PERMIT
4iEiflEjEiEififif-iFlElEiM1iEifiEif�fiE�IFihififlEfEifjEiE iffEiFiEiFiEiEiEif�jElElEifif�ElFaf�lfiE�lEiFlEififiEifiEiFifiFaEifRif�IfiE*iE1EiEifiFiEjEiEifjFiEifiE
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
?RNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
;EFT: FT IN RGHT; FT IN LEFT: FT IN RGFIT: FT IN
?ARKING REQ• PROV: PARCEL: 41808301 ZNE; REF NO;
?LANNING NOTES>
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rt ik iE �E if iE ik 1E iE if iE ii ff iE iF iElE iE iE if iE iE if jE 9E % iF if 1f 3E 1E dE jE iE iE iE iE jR iE iF if iF iE if iF iE.iE.iF aE 1F if iF ik iE if iE 1E fE it M- iE 9E iF aElE iF iE * jE iP 1E 1f ik iE i(� iE iE iE iF
D E t� E L O P M E N T S E R V Z C E S�=' R E Q U I R E M E N T S
\ �!^
ZONING APPROC'ED BY DATE;
3UILDING APPROVED BY : �� DATE:
APPLICATION ISSUED BY: �.�I DATE: � Z
IEaEiFiEiEiEiEifiFiFiFifiEifiFiFjfifififY-iE . if3EiEiEiflfifiEifiF iF�
�E iE if iE 3E aF iE iF 1E jF iR iF if iE iR iE iE iE iF * iE {F if iF iE fE iE iF if af 9f iP if 3E 3f iE aF iE iE iE fE �E 1E if �E iE iE � aE 3F iF iF if * if iE if iE iF 3c 1F if iF iE iF iF �E iE BF M iF iE M dE-)E iF iE # aE
LEGALIZATION:N F E E �S�U�M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC� MECHANIC FIRE SMIP/RES GRADING
PERMIT 7.00 ��
25� SMIP/NON—RES
PLAN L i�
ISSUE FEE 20. 00 -+" �—
3UZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
roTaLs----> �.00 zo,00 _ o.00 z�.00 z�.00 .00
Z
3EVENUE DIVISION TOTALS--> COLLEC.TED; 27,00 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT CRADING PLAN—CHECK
27.00 - '
t
�` .,
IE iF iE iE iE iF iF iF if iE if it iE iE iE ik if if iE iF �E jE 1E iE ic {E aE �G iE if iF 9f iF iE iE it iE i� iE iE.lE 3E iE 1E 1E it iF if a4 iE iE if if iF iE �f iE iE iE �)E iE iE iE if # iF iF 1E iE iE if 9E iF # iE iE iF jE ic
I N D I V I D U A L �F%'E E B R E A K D O W N
i
tYPE QTY
?LU
D E S C R I P T I O N'=
i�
1 WATER HEATER AND/OR VENTr,
ENL1i'OF FEE5
Y ' '
�"�
V � 1
�1 i
y r�
_ �j
_ ;i-
UNIT COST
7.00
TOTAL COST
7.00
O1 0016041E—Q0160418 TO T ?7.00
OATEa OS/12/94 7IhE: 13t02
�
CONSTRUCTION AND PLANAIING �
APPROVALS Permit # -
�,
t. Temporary E�ectrical Servi"ceor Pole
2. So�! Pipe�Undrgrnd. -''�
3. ��ectriCal Conduit Utiiity�Undrgend.
4. Eiectrical Condurt-Undrgrnd.
5. Steel Reinforcement
6. Eiectrlcal UFER Grnd.
i. Footings
8. Poundation
�-T
Date
9. Water Pipe-Undrgrnd. :/.�: �_ `i;
- `
10. Structural fioor $ystem
7 7. Property Sewer �ine & HouSe Connection
72. Sewer Cap � �
.i
73. Roaf �rains • ,
i
74. Rough Plumbing � �^
15 Rough Electrical•Conduic
76. RoughElectricWiring �
17. Rough tV'ring Sign �
18. Rough Electiical-T Bar Ceiling�
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace '
21. Cucts, in Structure�
22. Ducts, Ventilating
23. Gas Pipe•Rough & Tesc
24. Roof Framing
25. Roof Sheachinq
26. T�Bar, Ceding (Struc.urall & Monocoat
27. Frame and Fiashing
28. . oth �v � S:Ufng --
29. :nsulation �
30. Drywal7 Naihng
31. Piaster Bro�a�n Coat
32: £lectrical Power hieter�Pina!
33. fi�at Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Tesi -
36. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbin9
39. Water Service-Final
A0. Gas Service-Final
47. Solar pomestic-Finaf
42. Backfiow Preventer
43. Backfiow Irrigation
44. Landscape Irriqation System �
�15. Sound Attenuation �
46. Nandicap Regulations
47. FINAL STRUCTURE & BU�l01NG
48. FINAL PLANN�NG . .
49. Elecric Release to Edison
50. Gas Release to Southern California Gas Co
Date
0
POQL & SPA
Inspector AppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement �
54. Forms
55. Electrical Bonding
� 56. Rough Plumbing & Pressure Test
57. APPROVAITOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, CJ Undrgrnd., Test
60. Backwash l.ines, P-Trap, � Undrgrnd.
67. APPROVAL TO OECK
62. Beckwash & Receptor-Fina7
63. Heater & Vent�Final
, 64. Plum6ing System � Final
65. Eiectricai-Final
66. Solar System�Final
67. Fencing & Access Anvrovai
68. APPFOVED FOR PLASTERING
69. POOUSPRSYSTEh1SFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
Date � Inspector
70. Underground Hydro
71. ProductPipin9�Gas OOtl
72. Underground Flush .
i3. Undergrnd. Storag¢ Tank O Gas ❑ Oil
14. Overhead Hydro
75. Dry Chemical �
76. Dry Standpipe _ �
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINA{. �
HEALTH DEPT. REQUfREP�1ENT
79. FINAL INSP�CTIO�J �I
80. POOD CEiiTIFICAT'c ISSUED
�
Notes:
r'1
"T
i�
o' .
�
w
�
\�
1
PflOJECT,ADOflESS: 9OO FOWELL CT
�� ��aooness: OHLS, MELISSA
900 POWELL CT
COSTA MESA,CA
pflCH/ENGINEEH:
A�OflESS:
UNIT:
92626
nec.xo.:
UNIT:
PEflMITfEE: BILT—WELL ROOFING ( 719 ) 758-3501
nooness: 3310 VERDUGO
LOS ANGELES CA 9Q065
UCENSEO CONTHpCTOP OECIANATION: I hereby aHirm tha� I am Iiren5e0 under provisions o� Chap�er 9(commencinp with Section
7000� ol �ivision 3 of �he Busmess ana Pmlessions Code, antl m license is in full brce and eflect.
CITY LIC.: TpTE LIC.: C
458(' S C-39 EXP:
Oate: ��/ Signat e: —
WOHKEBS' COMP SATION oECIABpTION: I her affirm ave a cenificate o1 consent to self-insure ar a cenificate of Workers'
Compensation Insurance. or a cerlifie0 coDY �hereof n 3800. Lab. C).
eoucr No.: W 9 3 710 2 4$ 4 E%P. oArE: 0 7/ 31 / 9 9
COMPPNY: (_ j{L COMP I�IS ,
�] Certilietl copy is hereby furnis�etl L,I Cenilietl copy is �iled with �Ae city BuilOing �iNsion.
Oa�e'. ApDlicani:
E%EMPTION FBOM WOHNEPS'COMPENSpTION OECIAflATION: (T�isseclian neeA no�becomplete0ilthe permnisfarane AunOre0�5100�orless�.
I[etlify Ihat in I�e petlormance ol Ihe work lor whic� Ihis permii is i55ue hel o� em y any person in any mannef 50 a510 beCOme
sublecl to ihe orker ' Compen5aiion Laws oi Califomia.
�Ie: Signamre'
NOTIC : II. a ler making IAis tleclaration, you 5hou10 o to � e Worker5' ComDensation pwvisions of lhe LaGar
Cotl¢, you mus� lorihwi�h comply wilh Sut� D�OviSion �is permit Shall �e tleemeE revoked.
CONSTBUCTION LENOING AGENCY: I hereby aflirm Iha�lhere is a consVuc�ion lending apency br �he pedarmance o��Ae work for
which Ihis permil is i=.suetl (Seciion 3097, Civ. C).
LENOEH:
FDDPESS:
OWNEB BNLOEP �EClA8PTI0N: I hereby ativm that I am exempt fmm the Contracmrs' State License Law for ihe following reason
(Seclion 7031.5 Business an0 Prolessional Code: Any ciry oi coun�y which requires a permit �o cons�mct, atle�, imD�ove, Oemolish, or
repair any slmc�ure, prior lo its issuance. also reqmres ihe applicam for such Dermi� �o file a signe0 s�a�ement t�at he/s�e is IicenseJ
pursuam �o ihe D�ovisions of the Contracmrs' Siate License Law (Chapter 9(commencing with Section 7000) oi Division 3 oi �he eusiness
antl Pro�essions Code) or I�al he/she is exempt iherehom antl �he basis for the allegea exemption. Any viola(on of Section 7031.5 hy
any applicant for a permi� sublecls �he applicant lo a crvil penalty o� not more �han five hunO�eU tlollars �E500�.
I. as owner ot Ihe pmpetly or my employees wi�� wages as �heir sole comDensa�ion, will tlo �he work, ane the
I❑ simctuB is not inten0e0 or oilereA lor sale (Section 7044, Business antl Pmfessional Code: The Cantrac�ars' $Iate License Law
tloes no� appty to an owner o1 a prooeny who builtls orimpmves ihereon, and who does such work himself/herself orihrough
his or �er own employees, proviae0 t�at such impmvemenis are not inten0e0 or oHereO for sale. I( �owever ihe builtling or
impmvemen� is sola within one year o� completion. �he owner will have Ihe Ourden of proving he/she ditl not builtl or imprave
lor Ihe purpose ol sale).
I, as owner oi tne Ompe�y, am exclusiveiy conlrac�ing wi�h licensed contractors ro consimct tAe D��lec� (Sec�ion 7044, 9usiness
❑ anU Professions CoOe: T�e Coniramors' State License Law tloes not appry ro an owner oi O�operty who bmlds or improves ihereon
antl who conlmcisior such D�olecls wi�h a contrac�oqs) license pu�suant b �he Con[raclors' S�aiE Litense Law�. I am aware
I�al proof of Iheir Worker'S Compensation insurance shoultl he pmvidetl to me.
� I am exempi un0er Seaion�. 9. 8 P. C.
for �his reason:
Oa�e: Ownec
i tlo hereby cenify iha� I am aware of ana untlersian0 �he reQuirements of Caliromia Health anG Safery Code Sections 25505, 25533. antl
2553A antl ihal I or any Wture builtling occupant will/will nal (circle one) neetl Ia comply wi�h SaiU s�ale cotles an4 ihe requirements �or a
Dermil br cons�mction ar mo4ilica�ion �wm t�e Air Ouali�y Management Oisiric�. flesitlen�ial cons�mc�ion aODlica�ions are exemp� fmm
Ihese provisians.
Oale: ADPlicanl'.
I �ereby cerlily lhal I �ave reatl I�is applicalion antl sia�e �hat Ihe above in�ormalion i5 torrecL I agree IO tamply wilh all ciry anU tounry
ordinancesantlsta�elawsrelating�obuil0ingcons�mciionandher yevlhURR� rese ivesoflhisciry�oen�erupontheabove�mentioned
properiy for ins eciio purpases.
�aie�, Sign tu : ' /
�river's License or Social Sewri�y
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: H 067935 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION ; T/OFF E REROOF WITK COMP, 6 BUR IN BACK
PERW1 NO; H 06793`_
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 1.100
CLAIM CTALUE: 1„100.0U CALC—VALUE; 1,100,00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM G HALLYdAY
�-�**+r**�*����***�*******x�*��***x�***�cr�-+�********�c�*+�**x�*��**��*+e***�*�*� f��-�r�+��c�*
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
------------ N1AIN BUILDZNG ---------- --------- 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 REQ: PROV: PARCEL; 41808301 ZNE: REF NO:.,
PLANNING NOTES> •'
ti ��
�x�r***�-x�**a *#+���+�+r*�*�**z ��****itx�x��i�+�*�**�rx-�*�-��-t�*****�r*�r**�r�**�r*#+�i�#:Fs�***�c-��***
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPRC�VED BY DATE; 1—
BUILDING APPROVED BY : DATE•
APPLT_CATI6N IS�UED HY: �,LJ�y`' DATE: `-7_,_,��
it�Eir���*�ic�iF��kle+r#,3EiF�c�E;riEiE�EiF��rF,r�iF3ririr�r�ir+c3F7'rxiFn-,r,r-n�vr�i �rTe�-Te+"FiF�'cit'r-it*3c�*�kiciEie�/ e:., ,--,r�tE
3fiFiEiEfFlPiFifif�lFiE'sEiEis�iFiF�EiE9EiFiEiFif3E3ciEdE9(�jf3F9e*3f3fiFiE%iFiEiEiEiflEiEiEiciE3�-ifiF#'iE�143EiE3f�EiFifiEi61Fi6iEiEifiEiE' 3Ei6 :iEjEiEjE�;if
LEGALIZATION:N F E E S U M M� R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DICT—> PERMIT ISSUE FLAN—CHECK TOTAL PAID DUE
TOTALS----> 27,50 0.00 Q.00 27.50 27,50 .OU
REi'ENUE DIVISION TOTALS--> COLLECTED: 27,50 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00 .50
3E iF iF i! iE i:�lE f: �k iF �IE iE iF iE aE fE?E fF fE iE jE iE 1E it iF f.` iE if it fE i: ft iElE 1E 9F k#!E 11� ik iE �IE # iE;F iE iE Y K�} # ik 1E if If iF iF *# iF # fF jF 94 �:'r # ic �# iE ihlF iElF 9tlf 1E if
I N D I V I D 0 A L F E^c B R E A K D O W N
TYPE QTY D E S C R I F T I O N UNIT COST TOTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,lOQ,UO
END OF FEES
O1 00163773—OD163773 T�] T
DATE: G7/II/94 TIt1E� 11:2b
�
�CONSTRUCTION AND PLANNING POU� & SPA ,
� APPROVAL$ Permit �` Date I�spector AppROVALS Permit # Date Inspector
:i 1.
L Temporary Electrical Serviae,a� Pole 52. Pool & Equipment Location ��
, !
2. SoiV Pipe�Undrgrnd. J 53. Steef Reiniorcement ���.
i
3. Electrica� Conduit Utility-Uiadcgrnd. .� 54. Forms %'
4. Electricat COnduit-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcemenc - 56. Rough PIum6ing & Pressure Test �
6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Pootings `�� • 58. Eteci{ical Conduit�Undrgmd. ��' � I
. �
B. Foundation � � T' '� ? 59. Gas Pipe, O Undrgmd., Tes[ �� I ��
9. Water Pipe-Undrgrnd. � �:'� f 60. 8ackwash Lines, RTrap, � Undrgrnd. �!�
�
70. Structural Floor System �'"j'� r. 67. APPROVAL TO DECK ✓.1; !.�.7
71. Property Sewer Line & HouseConnection f'�� 62. Backwash & Recepcor�Finai i,�,;'' ;
12. Sewer Cap '� � 63. Neater & Ve�2-Finat ,,:'
73. Roof Drain5 64. Plumbing System � Finai .��
14. Rough Plumbing 65. ElectricaLFinai �
-� I
15. Rough Eiectrical-Conduit 66. Solar $ystem-Final �
. �.
16. Rough Electric Wiring 67. Fencing & Access Approval �
17. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEPnS FINAL
19. Rough Heating & Air Condivoning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVAIS Permit �
21. Ducts, in Structure 7G. Underground Hydro
22. Ducts, Vent�iating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72 Underground Flush
24. Roof Framing 73. Underyrnd.Storaye Tank O Gas ❑ Oil
25. Roof Sheathing 7 C��C� 6W� 74. Overhead Hydro
26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemicai
27. Frameand F�ashing 76. Dry Standpipe
28. Lathing & 5�ding 77. FIXED SVSTEM FINAL
29. Insulation 7B. FIRE PREV. FINAL
30. Drywail Nai��ng HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAL INSPECTION '
32. Elzctrical Po�ver Meter-Final 80. POOD CERTIFiCATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ''
35. Final Gas Pipe-Test '
36. Hood or CanopY . �
37. Final FactorY Fireplace
38. Final Plum6ing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow P�eventer ,��
43. Backflow Irrigation � '
44. LandscaDe i�rigation System �
45. Sound AttBnuation
46. Handicap Regulations �
47. FINAL STFUCTURE & BUILDING /�9� �y�
48. FINALPLANNING
49. Electric iielease to Edison "i
50. Gas Release to Southern California Gas Co � ��
51. CERTIFICATE OF OCCUPANCY '
No. Date � "
TRACT N0. / 10445
LOT RTO. / 56
DATE February 15, 1980
ADDRESS 900 Powell Court, Costa Mesa, CA. 92626
Development Services DeparYment
Planning Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Attention: Mr. Paul Dudley
Dear Mr. Dudley:
Please be aware that the undersigned are aware that a certificate of ::occapancy
� on the above referenced lot and unit is being requested prior to the entire
tract and its streets and cotrmton areas being completed and accepted by the
City of Costa Mesa.
�
BY
(SIGNATURE OF P )
��CEIVED
CITY OF COST.q ,^,q�$q
P� n,"nm� n,-�-
r�s � � tQ�O
AIN
"��8�9���ll��►�r2�3i4e5 �
!
COSTA MESA BUILDING-SAFETY DEPARTMENT
(3 L�6 . # �Z
APPL[CATION FOR STRUCTURAL PERMIT
••V•yV,••`VV yVV•^•••`V^•V^`••v'••••^+`V`V RECEIVEDBV PERMIT ���
For Applican[ to Fill in Completely — Use Ink Only
_, _
.BVILDING , A.P.NO.
ADDRESS
BUILDING
T� NANT�R Biddle Develo ment Inc. Aooaess
MAILING SPACE NO.
nooaess 3848 Cam us Suite 116
TR.NO. LOT BLK.
CITY New ort Beach, CA No�� 540-5505
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTFUCiION
LENDER
BRANCH
OWNER
ADORESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER N .
ADDRESS ZONE TVPE GROUP
APPROVED
CONTRACTO BV DATE
ADDFESS
TEL.
CITY NO.
STATE CITV APPROVED SETBACKS
LIC. NO. LIC. NO. '
SIZE ' NO.OF BLDGS. (FROM C/L STREET)
OF l0T NOW ON LOT RONT FT.
USE OF
EXIS�ING BLDG.
Separate permits are required for L SIDE Fr.
electric, plumbing and heating work:
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
DATE
APPf±OVED
Permit Tract 10445 �Roveo
I hereby acknowletlge that I have reatl this application and rtete
ihat the above informaHon is corract antl agree to comply with
all laws re8ulatlng building construction, antl I shall not employ
any penon in violatlon of ihe workman's compensation laws of
the State of California. '
I hereby certify thet I am properly licensed as a coniractar untler SQ. FT.
tha Stata of California Business and Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDEIi VALUATION IS FOR
Chaptar 9, and that such licenses are ' full torce and effect, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV:
e�„pr irom the provisions e ate ot California Businass VALUATION PERMIT FEE $
and Professions Cod , Ch er 9. - .�
. PLAN CHECK $
Signature of
Permittee $ TAX $
Auffiorizetl Agent Date �FI9I %9 TOTAL PAID $ �
�C.
\�
O' 11
\�
.V
��p'
F
�
a
Q
�
�
S
F
C
�
F
¢
C
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�
a
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�'.
3
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�� /S °,i � 1.� �,
•
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely - Use Ink Only
BVILDING�__ �_, r.,, / _/i�%
OWNER
MAIL
CITY �vew
CANSTRUCTION
BRANCH
BLDG. 4k 19
��� ;r•+
t'!'�RE7 i/23%79 243•65 TL'
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BV DATE RECEIVED neTc �c¢�icn
e D"evelopment, Inc. -• a.a. No �
BVILDING
8 Cam us Dr. Suite 116 /aDDRESS D�. 90�
TEL. /
rt Beach, CA No, 540-5505 TPACT
TEL.
aooaess 180 Newnort ('ant2r Dr NB
CONTRACTOR Biddle Development, Inc
ADDRESS 3848 Campus Dr. Suite llt
CITV Newport Beach;,CA No`•540-5505
STATE CITV
uc. No. g Zg6614 LIC. NO.
S I Z E I NO. OF BLDGS.
OF LOT — NOW ON LOT —
USE OF
EXISTING BLDG. TE51d2Rtia1
Sepaea�e perm�t�s ar�requ�ed for4wsq
electric, plumbing and heating work.
UILDING AND WORK TO BE PEFFORMED
it 16 %856(A) 1284sq.ft.
57(C) 1603sq.ft.
I hereby acknowledge that I have reatl this application and state
thai the above information is correct and agree to comply with
all laws regulating builtling consttuction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certifY that I am properly licensed as a contractor under
tne Sxaio of Calitornia Business antl Professions Code, Division 3,
Chapter 9, antl that such licenses are in full force and atfect, or I
am exempt from the provisions of the S�f California B�siness
and Professions Cotle, Division 3, C apirg
Signatura ���
Perm'
�
Authorized AOant
OWNE
FIRE
ZONE TYPE GP
APPROVED
Bv DATE
NE NO.OF USE Of NEWVL(�/N.{,
PI.ANS ^�' BUILDING � _ _ /f,
v (.�a[Xf<
VARDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDI
�
DISTANCE BET. BET. MAIN & �
MAIN eLDGS. ACCESS. BLDGS.
C URP #LL ��O i/��/ AP ROVED/ �/�j —�
APPROVE �r!� /O'�G!
MOLD FOR SPECIA RE IREMEN7 �/
N
� A(� �
m
'u 'V
. �
� Z SQ. FT. � J U a�( /�
THE AMOUNT SHOWN UNDER VALUATION IS FOF m�l j�
THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLV: "�
VALUATION PERMIT FEE $ �
m��./ PLANCHECK $ �3s � /�
$/�/ / /� TAX $ 'O.�O ,V {7.
TOTALPAIO $ ��� M
ti
�'
�;-
CITY OF C�'I'A
RDQIJFST FOR OCQJPANCY
TRACT NO.
LCri' N0. , 56
ADDHFSS / 900 Powell Court, Costa Mesa, CA. 92626
I�STE: February 15, 1980
Zhe developer of the above entitled tract desires'to sell the above set forth
lot prior to the tune that the tract has been oonpleted and its stteets
accepted b� the City of Casta Mesa.
By execvting this agrePnient; the undersigned adcrx�ledges that he/she/they
was/Mere advised that this tract has not been given final inspection nor has
it been accepted b� the City of Costa Mesa as having avrplied with the oonditions
of approval which were i.nposed b� the City at the time the Final Tract Map was
approved.
The City assimies no liability for the enforcen�ent of the oonditions necessary
for approval other than those oonditions protected b�+ surety bond.
The undersigned agrees to iru3e�nnify and hold the City harmless from any claim
msulting in da�ge or personal,injury to the unaersigned ty reason of the
afore�ntioned unoortpleted condition(s ,�
BY ��.� ,�L ,
(Si ture of Purchas r) ' *
�c�,�l'JE�
CIP' OF C^;rq a�c��
�� � �� .
rEs 2 � 1980
AIN PR9
'7i8�9iID�lll12i1�2�3�4�5�6
�
a/�9
BY��.� ��_L� ���-p��
Si ature of Devel ' r and or
authorized representative
i�!: • �1 , .!.
. .- � �
�. � �, �� �::,.
h .� :�'•a.�,:tt�.
y
CUS!�'���1C