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Home My WebLink About1761 PITCAIRN DR - Building PermitsPROJECT ADDRESS: 1761 PITCAIRN DR OWNER'SNAME: CAMP, PATRICIA A ADDRESS: 1761 PITCAIRN DR COSTA MESA,CA 92626 ARCHAINGINEER: ADDRESS: REG.ki UNIT: UNIT: PERMITTEE: PETERSON ROOFING (714)720-0812 ADDRESS: 2816 PCH CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY 1^045445 q:STATE LIC.: 468553 CLASS: C— `ate: —1 —A S Signature: 1ORKERS' COMPENSATION DECLARATI I hereby affirm that I have a certificate of consent I elf -insure Or a certificate of Workers' Compensationi Isypap g( §rguhed copy thereof (Section 3800. Lab. GL4 / 0 1 / 91 POLICY NO.: V L 1 D E%P. OAT.: V COMPANY: STATE ❑ Carried copy is hereby furnished. IN Cenilied copy is filed with the city Building Division. Date: _/C_ Applicant: EXEMPTION FROM WORKER S' COMPENSATIO DECLARATION: (This section need not be corrunifeled it the permit is lot one hundred ($100) or less). I cenily that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to became subject to the WorkersCompensation Laws of California. Dale: Signature: NOTICE: 11, alter making this declaration. you should became subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked, CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Cry. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commenting with Section 7000) of Division 3 of the Business n0 Professions Code) or that he/she is exempt therelrom and the basis for the alleged exemption. Any violation of Section 7031.5 by iy applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). Elssas owner of the property or my employees with wages as their sole compensation, will do the work, and the tructure is not intended Or offered for sale (Section 7044, Business and Professional Code: The Contractors' Slate License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build Or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts lot such projects with a contractor(s) license pursuant to the Contractors' State License Law). 1 am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. lar this mason'. Date: Owner: Ido hereby cattily that l am aware of and understand the requirements of California Health and Safely Code Sections 25505, 25533, and 25534 and that I or any future building occupant willlwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification Irom the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read In,, appbcati n and stale that the above information is correct. I agree to comply with all city and county ordinances and slate laws totaling to buldm anslruelion and hereby authorize ^representatives of this city to enter upon the above me coned property lolor inspectiioon^purrpposess Date' -7 )Ge Signature, E--�—� Drivers License or Secral Security 111IIIYYYYYY,,,,,, 164146 While—Bmldmg: Green—Code Enforcement: Canary—Applicant: Prnk—Revenue; Goldonrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0 1 PERMIT NO: B 050191 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : REROOF 3200SF RESID & GARAGE W/COMP SHIN SQ FT: 4,500 CLAIM VALUE: 4,500,00 CALL—VALUE: 4,500,00 it+tTr**** �F�r**�r�E�r*�riEkraE*�rTe�E GROUPOCC:R-33 /M_11 COMMENTS*wpwr—lDr*T dTQ Z O N I N GS E R T E B Q A U C I K R S E M E N T S REQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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: 13934127 ZNE: REF NO: PLANNING N TES> > JE IF 3E*if tt iE if 3EiEiEiEiEiE iFiFiFk**RE***iE 1E*iE ik ififiE*3t iE*iE**BE iE KE*BEiE iE***iE iEfE****iE*1E iE iE iFiE*iE**iE*k*iE it iF *4E iE iE BE 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 APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: k iF if iE**iE iE kiFk kifkkBf k4t if *Rfk F'iF"if"iFiF"{f �iF;FiE**iE*kiF if lF iE k3E k klE if MY lE iE**ii IE 1E 1FM*1E iE*iE±f iEMMMBE MiE 1f IEM*iF*iE**if 4E 3f iF%iF iF♦F**k**iE iE***iE*1E aEK**iE iF JE*iE*'**aF IE BF IE**3F iF iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72,00 50 PLAN SMIP/NON-RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 72,50 0,00 0.00 72,50 72.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 72.00 .50 *iF*iE if****it 3E iE MiE BE*iEiE**BE BE BE**BE iE*IE iE*iE*IF 4E*BE*****iE 3E iE iE JE 1E 3F JE aE iE if iF JE iE iE*If JF*�E iE iE iE fF KE tE iE *iE if *aE iE *iE aEiE 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 4500 REROOF BY VALUE RESIDENIAL NOZONE 1.00 4,500,00 END OF FEES V �i 000�sh�a no�a6;a � X - DATE; 12/06,'90 TT' Za. G9: r�ti;, r ,-p CONSTRUCT�(ON AN PLANIVrNG . POOL & SPA APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd._ 53. Steel Reinforcement 3:" Electrical Conduit Utility-Undrgrnd." r 54. Forms -•4' Electrical Conduit:Undrgrnd. 55. Electrical Bonding - ' .'Steel Reinforcement_ 56. Rough Plumbing & Pressure Test - 6.•EI§ctrical UFER:Grnd. t 57. APPROVAL TO COVER-GUNITE 7.',Footings 58. Electrical Conduit-Undrgrnd. 4: -:Foundation 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &Hovse 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 ElectricYViring 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 _ _ -L'�• - '1 - 'L .APPROVALS;,; Permit 4k ' 20. -Rough Facto Fireplace U;"? `� -• = J "'�- - . . 21.'Ducts, in Structure; .• .- 7 ,g p n j0. UndeFgtorRtd Hydro 22. Ducts, Ventilating • 1 t E" ! :�71. Product p Ping OIG -as 0'011 23. ;Gas Pipe}Rough & Test Lr. y = ' • ' ,i. t o ' --72. Underground FIJsh-, ;.. •`• 24:•Roo4.Fri Ming- * - t, ^ _ T y s73 .�'Undergrnd'Storag(F-Tank ED Gas 00i1 F „• �; 25. Roof, Sheathing�74.. : 'r ' C =' "' ` Hydro,-- , ;Qverhead , 26. T -Bar Ceiling (Structural) & Monocoat '= to r •` 75r, Day Chemical - - T 27. -Frame and Flashing.u' . 76' Stand i e ;-28. Lathing.& Siding :S6r ? y > 77 - FIXED SYSTEM ANAL '29. Insulati 78">FIRE PREV. FINAL l + .30. Drywall Nailing % j+' HEALTH;DEPTrREQUIREMENT .31. Plaster Brown Coat.; w 79.' -'FINAL INSPECTION ' ,. 32., -Electrical Power Meter Final. ;80: -FOOD CERTIFICATE ISSUED' ,.33: Final Electric 'Notes: J .S. '34. -Final Heating'& Air'Conditioning: a ti. • r j - Kr 35. :Final Gas Pipe -Test* 'I ,36. Hood or ;Canopy .� �: r x 37. Final Factory Fireplace$ -38. Final Plumbing - n .39.Water Seilvice-Final• - •- • I ! ^•? ^`� ,40. Gas Service -Final 41. Solar Domestic,Final.t - •' .42. Backflow: Preventers - I W`- 43. Backflow Irrljation+ ";�`=•I =t - '-44. Landscape Irrigation Systems a_ ,S z -;45.'-Sound Atteouatiorr-- ' -:r z'; - :46. Handicap Regulations '' d Mk- 47. FINAL STRUCTURE & BUItDING _ j- -48.'FINALPLANNING 48.* FINAL PLANNING' ;49.:Electric Release to Edison i + :''i' - - '-• l ' 50. Gas Release to Southern California Gas Co i (• !'. ~ - s ;= _ '51. CERTIFICATE OF OCCUPANCY , No Date V� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ON T UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. I Project,Address Applicant's Mailingjdr.sss�� Owner's Name I-1�/ L,-',/ Phone <15 i AddressL��7" r % Arch/Eng: v_ License No. Address Contractor's Nam _. hon/99OD� Address (mailing) �/ , L�i l City License No 30 3 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my' y license is in fu fp < and effect. ' / License GI ss c s n Date . SIg t "+OR KERS' COMPENSATION DECLARATIPN ereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified co y thereof (Section 3800, Lab. C � (� moi/ Policy No. 9192/7 —0 7 Company Certified copy is hereby furnished. Cern oy�� Iled with the cit ;yyyy''I��tl i��n��g7dQ/Ig�on Date!Mol — Applicant i6G� { LX-'(/ EXEM TION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit Is for one hundred ($100) or less). • certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this perrnit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address _ OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of ,,^he Contractor's License Law (Chapter 9 (commencing with Section 7000) of vision 3 of the Business .and Professions Code) or that. he/She is exempt ,erefrom and the basis for the alleged exemption. Any violation of Section .7131.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employeeS with wages as their sole compensation, will do the work, and the structure is not Intended proffered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, thebuilding or improvemerlt I5 sold within One year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). - 11 I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractor(s) -license pursuant to the Contractor's License Law). 1am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify -that I have read this information Is correct. I agree to comp and state laws relating to building Scan Sentatives of 15 Pity to enter of inspection p Se : I Signal SirI Drivers' License or SS tion and state that the above all city and county ordinances t, and hereby authorize repre- TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION L1 REPAIR ELECTRICAL - FEES Backflow Preventer - fl ❑ ❑ Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Backflow Irrigation - CONVERSION DEMOLISH OTHER • Bathtubs A P # DESCRIPTION OF WORK/USE OF BLDG. Solar Collectors Dishwasher Meter LJ over 100 amp Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel S Main Buildi Fan Motors-lHP❑1'/1-8 Floor Drains E F.A.U. I . olar ❑9-15 HP ❑16.15+ TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT 13_ ELECTRICAL PLUMBING ❑ MECHANICAL B Water Heater 00 ❑ OTHER Kitchen Sink A Rear Lavatories Auto -Wash C Right PROJECT DESCRIPTION SQ. FT. OCCUPANCY 25% $ 'CONSTRUCTION TYPE VALUATIONS S Left ZONE' GRADINGCU.YDS. ACRES Ping. Ref.# Remarks: Planning Notes: FEES Zone Accessory Building: Z O N I N G R Par kingReq./Pro—v�iQded E AUL L .I fJ Q M T S Bar Sink Showers ELECTRICAL - FEES Backflow Preventer - Service Sink Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Backflow Irrigation - Sewer Cap • Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter LJ over 100 amp Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors-lHP❑1'/1-8 Floor Drains Swimming Pool w/Spa F.A.U. I . olar ❑9-15 HP ❑16.15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes z 7z Pole Light Interceptors Water Heater 00 Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator 00-5 05-15 KW Trash Compactor Roof Drains Reinspection Fee; 1 $15 Issue Fee $ 3 FE I I Reinspection Fee 1 $15 1 1 Issue Fee 1 $ 3 1 1 Reinon Fee I $15 CMF 0865-46, rev. 10/84 Pink - Accounting; Goldenrod - Assessor Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ �• oD ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $_ MECHANICAL $ TOTAL FEE $ 5�(J PLAN CHECK 25% $ ' CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL &SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. -• 57. APPROVAL TO COVER-GUNI,TE 7. Footings 58. Electrical Conduit-Undrgrnd.�.' ' 8. Foundation 59. Gas Pipe, E3 Undrgr.nd., Test'.i.i 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK (� 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final •• 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping []Gas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ElGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:10.2g•87 44Sj0rC&4g* 34. Final Heating & Air Conditioning '.W.BS CA(V GG.. PER ,Aa UP4. L- 35. Final Gas Pipe -Test 35. 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison .50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1761 P I TCAIRN DR UNIT: OWNER'S NAME: CAMP, PATRICIA A ADDRESS: 1761 PITCAIRN DR COSTA MESA,CA 92626 549-3482 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: NOCK PLUMBING (714)895-1246 ADDRESS: 11610 SEABOARD CIA STANTON CA 90680 LICENSED CONTRACTOR DECLARATION: I hereby allude that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade. and my license is in full force and effect. CITY iD50386 STATE LIC.: 511971 SSS: \gale: 2,9Signature:_�_�_j/ NORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Inst lig 9( c�(1i eQ copy thereof (Section 3800, Lab. POLICY NO.: 11b�7�1i1/ EXP. DATE: 3/01/91 COMPANY: STATE ❑ Certif d copy is hereby turnished. Certified copy is filed with he city Building Division. Date: �� I 1 Applicant: �� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need net be completed it the permit is for one hundred Spool or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sublect to the Workers Compensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work lot which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the ContractorsState License Law for the following reason (Section 7231.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed wrsuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 1d Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption, Any violation of Section 7031.5 by iy applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a Comedy who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. if, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who comracts for such projects with a conlractnr(e) license pursuant to the Contractors' State License Law). I am aware that proof of (heir Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B. 8 P. C. for this reason: mm I do hereby caddy that I am aware of 25534 and that I or any future building permit for construction or modification these provisions. Owner: and understand the requirements of California Health and Safely Code Sections 25505, 25533, and occupant wilftill not (circle one) need to comply with said state codes and the requirements for a from the Air Quality Management District. Residential construction applications are exempt from Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all city antl county ordinances and stale laws relating to building construction and hereby authariae representatives of this city to enter upon the above mentioned properly fnr linspecti purposes. Dale: tRI Signature: ! i' e Driver's License or Social Security #: /164146 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05106 PERMIT NO: P 051065 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION CHANGE OUT DISHWASHER SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: CHANGE OUT OF DISHWASHER IEM RE iE *iE iFiEiE *iL iE*BE iEiESE iF**ikif it iE iF*iE*iE BF k 1E BE 9E**�E �E RE *iE RE BEiEiE iFiE***iE*iEiEiE**iEiEREaEiE �E 9F iE BE iE iE 9E iE iEiE iE iEiEif iE** Z 0 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--------- 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 REQQ• PROV: PARCEL: 14155807 ZNE: REF NO: PLANNING Nt7TES> > Rf iE iE iH BE iE iEiEitiEiH BE**iE iE It iEiE 9P IE iP BE*IEiH*BE iE iE 1E*1H IE**iE iH BEit kit lF iE Bf iE*ifiN iPiHiN 3E**iE*9E iP*iE*1E tE BE 3f it iE lE iE is iE iP iE 9k**iP Bt D E V E L O P M E N T S E R V I C E S. R Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: iE iE aE iE * Bt * iEaL iE iE 3F iP 9L iF iP * Bc iE iE it lE 7FiFiF�iF;FBE iF iE * * * * $H if3FiFIF3FiFiFjE BEMKiF*RF1F Bf Bf iPif IE SF �E iE Bf iE RE BE SERE RE****RE IP BP �E BE 9E IE Rtif iE iE Bf lE at iF BE 1E iE k iFif iP 9E iE iE RE lE*BEiE Bt*iE kBE lE 3E 9E*iE BE Bt**IE It if**iFREiE 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 2 00 25t SMIP'/NON—RES PLAN ISSUE FEE 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 2.00 3,00 0.00 5,00 5.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 5.00 IF iP BF iF if iFM iE NFRHiFiE MiE*iP iE*iF iE 1E iE BE RE*RF BEiE IE iH BE BE BE*IEiH Bk BE BE RE iE IF*aHBf kiEiE iPiE iE 3Eit kIE BE iE*MiE iEiE it iP BE 3t it iE lE**kaE iEiE iE 3P** 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 PLU 1 DISHWASHER 2.00 2,00 END OF FEES / 01 ,0 .! DATE: TV12/91 TlrE: 16:34 r, A& W POOL & SPA CONSTRUCTION AND PLANN NG APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Servt�e or Pole z 52. Pool & Equipment Location 2. Soil Pipe•Uncirgmd. J on 53. Steel Reinforcement ,3.;LElectri aI Conda l;,U�ilitY Undrgrnds;' 54. Forms - 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding C. 5. $reel Reinforcement 56. Rough Plumbing & Pressure Test' I6yEMctrical UFE'R,Grnd. •- 57. APPROVAL TO COVER-GUNITE _jTuFootings Sit o' 58. Electrical Conduit-Undrgrnd. ` � 6.k Foundation J 59. Gas Pipe, 0 Undrgrnd., Test _y '^ 9. Water Pipe, Uncirg rid. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System _ 61. APPROVAL TO DECK 11. Property Sewer Lin-,& Hoose Connection 62. Backwash & Receptor -Final 12. Sever • Cap ti:v m (y 63. Heater & Vent -Final 13. Roof Drains •t; 64. Plumbing System - Final 14. Rough Plumbing '� 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough EleCtric+Wring 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 _ 7 _LT ri tri (_ G [- �pPPRQVA.�3 �`Peernit 20rRough Factory Fireplace ! kr7 4.• � -+ D x :t u: to T_s I : !w W -x .r .S r C. A ., t7,' ,•. p3'I� I, 215ucts,in-Stryctue;; -'S - r� ^70. Undergrotpt4Hydro x 22, Ducts, Ventilatin3l. .-s `S �t} 171, ProducE`liDiflg C7?C}ins C(,Oil - + 1 _ Z • 1 23. Gas Pipe -Rough &'jest t'. n; . („ Z, S 3o-, * L,7 2. Underground Flustr' _ _ tea• 24: -Roof Framing `x i -••F- ^„l Y> -, a S73?UndergrndCStoragTank0Gas 0011 �y �». 25. RoofShpzthing ,='' y . • ; T' ;� - .:, S74 Overhead Hydro_ .ti 26.,T -Bar Ceiling (Structural) &;t✓lonocoat w � '�? '� 75='Dry Chemical "- - •D C •-'•1 27 cFrame and Flashing `� 'o '1 ' 76: Dry Stand' -J Y, - S IV cu o r- o.cta; . �. m� :. ipe _28. JLathin9`&Siding r. �� IZ d >; W 77 FIXED SYSTEM f SIAL' v _V �'29. InsulatiRn I 78 FIRE PREY. FINAL tr, ? ,V30. DrywallNailing h-r•u wHEALTH;D EPT.[R'EQUIREMENT .31. Plaster Brown Co t; 79. If�ALIMP_LCTI3,N t y 1 .r (r + �, IT Y .T p,I 1, ' -. '-_32_cal ElectriPower Meter, -Final; ` -fir .• :f. v. r80.jFOOD CERTIFICATE ISSUED 33.`-rFin I EleFttic'Notes:- ;t34.+inai Hgating-& Air,Conditionsg '35.,;Final �`p - , GiV Pibe-Test-" - ` 1 >; " • • '+� ' tr D [.� 's. .T I I .f I 1 • • ,r36: Hood or Canopy 7 : tr I T C) r T 'n nl 37. -Final Factory Fireplace x=38. Final Plumbing r j Co + ; r 5 It `•39. Water Service -Final, h t1 6 T Y r cc' 0. Gas Service -Final -A7. Solar Domestic -Final's r: 142:=8ackflow Preventers 43. Backflow Irrigation, ?44. Landscape Irmgation System;,,;:,;,, >45 Sound Attenuation' +-•�•t-' ^' ' '� `- �"' s '46.-Handicap,Regulations ` j -FINAL STRUCTURE & BUILDING :� �I F- _' �� -' • _47 _ 48:-'FIN'AL PLANNING ! tr'tr '` , I I ^t. 'r"� ;'• `� -1 _ ti J V c49:-Eleotric Release to Edison =50. Gas -Release to Southern California Gas Co ,51! CERTIFICATE OF,OCCUPANCY No. Date GEORGE N. JOB ADDRESS 17b1 Pitcairn VriVe BUILDING PERMIT NO. 2014t$ GENERAL CONTRACTOR _Owner -Builder VALUE $ 792.00 AP No. LOT 99 TRACT PTI H FIRE ZONES DESCRIPTION OF WORK Patio Add tones ' 'PECTIONS Signature DATE GROUP .Zr TYPE V ZONE Rl SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. 0 St. Swr. ❑ S12rinkling System Construction. Pole Underground ❑ Power 0 Rou h W Trenches Virin Forms ❑ Steel Reinf. ❑ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Plc r brown coat F 217;. E, Air Con. ❑ Final I4tn9, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final ZML —i - OCCUPANCY Form BU4--6M-3-87—S-B P P01 471 I ,." 101 20148 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPPEE OR PRINT BUILDING ADDRESS 1G r COSTA MESA, CALIFORNIA I A' 'TECT TEL. SEE RECEiV[ D dU L 1 0 1983 AP(I4, Vg, N fC1�PERMfT YI �V Ij�d�C� I GMbr0QfG06wA#4vAy BUILDING I RECEIPT NO. 1 PFRMI9 HIS. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IG CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF 'q PERMITTER mon a /, I AUTHORIZED AGENT N SD. FT. 0 THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURP05E OF ESTABLISHING A PERMIT FEE ONLY. D VALUATION m PERMIT FEE S $ /e� `� PLAN CHECK $ 4 TOTALFEE ZONING ADDRESS ZE O NO. OF USE OF NEW PLANE BUILDING PA�/O CONTRACTOR O W h LEGALLOY- 99 7rf lao B DESCRIPTON ADDRESS A. P. NO. CITY - NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. ..� 80' TO SIDE B REAR P. L. LIC. NO. NO. EAVES SIZE/F�AI / IL 12-0 No. OF SLOGS. ALLOWED CU. B. C. REQUIREMENT) OF LOT V NOW ON LOT YARDS APPROVED YARDS APPROVED USE OFTL 1 EXISTING BLDG. LL// �� IF MAIN BUILDING ACCESSORY BUILDING C/L STREET) SETBACK(FROM LINE FROM FRONT FT, l7 ff FT. CT CENNTERTEROF STREET REAR YARD SIDSYARDI LEFT I RIGHT R. SIDE FT. FT. DESCRIPTION OF WORK L. SIO FT. X REAR^— NI I ALTERATION ADDITION DISTANCE BET. BET. MAIN S: MAIN BLD 8. ACCESS. BLD S. REPAIR MOVING DEMOLISH BUILDING/ �1 I NO.OF �� ZV VAR. 49 DATE SIZE X ROOMS STORMS C.U.P. -APPROVED EXTERIOR WALL ROOF / APPROVfiD �O COVERING OO _i(% COVERING P N Y DATE USE OF BUILDING AND WORK TO BE PERFORMED RT c/ , A'j'0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IG CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF 'q PERMITTER mon a /, I AUTHORIZED AGENT N SD. FT. 0 THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURP05E OF ESTABLISHING A PERMIT FEE ONLY. D VALUATION m PERMIT FEE S $ /e� `� PLAN CHECK $ 4 TOTALFEE COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT ADDREISS 17 f T IfA- D"(• COSTA MESA. CALIFORNIA FES R_EC- p JUL 31 1901 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only Jt. RECEIPT NO. ,q P(RMIT NO. OWNER Pacesetter Venture MAILRECE 1653 Minorca" -o ED BY I DATE RECEIVEED— DATE ISSUED dJ_ ADDRESS Costa Mesa TEL. K;1 BUILDING CITY NO. -O ADDRESS AR `CT TEL. COSTA MESA. CALIFORNIA NEER NO. OR ,INF FIRE ADDRESS ZONE TYPE GROU APPROVED Mesa Verde Builders Inc. CONTRACTOR BY DATE ZONING ADDRESS 20N6 NO. OF USE OF NEW lw rlM � . I Z Costa Mega CITY %r�r PLANE BUILDING W STATE TEL. LEGAL p /� LIC. NO. NO. Q OR pESCRIPTION Q SIZE 7500 St.Ft. NO. OF SLOGS. OF LOT NOW ON LDT A. P. NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM 17 53 �'F 'C' LINE ST.) F7 CENTER OF STREET REAR YARD FT. IN. I 6 I 6 SIDE YARD LEFT RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L L. SIDE FT. IN. I x I I I I ALTERATION ADDITION REAR -� FT. b—/IIN. APPROVED `✓ J LI DATE/Z'I / 1° �l (T REPAIR I MOVING I I DEMOLISH I O. BUILDIN 1750 Sq.7 1 8 ZE .Ft . ROOMS STORIES l Q EXTERIOR WA Sync COI ROOF Shale COVERING ((11 COVERING h' le ��I y8 USE OF BUILDING AND WORK TBE PERFOR ED an Single family residence garage AH. Standard Plan No. 750 C Xataehed garage 450 Sq.Ft. I HEREBY ACKNO GE THAT 1 HAVE RGD THI AP ]CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT T E A VE IS CORRE AND A R TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL C ORD ANCEB Ag LA ULATINO VALUATION BUILDING' CONS O SIGNATURE O PERMIT FEE $ ya— PLAN CHECK S FERMITTE s AUTHORIZED AG T 3�F LIC �3— TOTAL FEE S