HomeMy WebLinkAbout1815 PITCAIRN DR - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF C(QQo/�,STA MESA r�OsNSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Project AiAssl 1 rl 1 Qh.�
Applicant s Ivilailing Address 10(a11Z��(�____�_r.o�ste f'1 1� �A1M17
Owner's Name biA0112 t-uTIT1 �0/-t� Phone S`I9
Address 1,8 15 PtTeA1RrJ
Arch/Eng. /JO IL9✓E License No.
Address W,.I
Contractor's Name F -ow AJ C► A*-NQ-si Phone 1�2
Address (mailing) 1ID07-1 64AMa2swr F17 T 4L 4y4yM(Tftw�
City License No. 3 '
LICENSED CO1. NTRACTOR DECLARATION
I 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 license is in full fortna effect.
License Class nze s� i
Dale Signature
WORKERS' COMPENSATION DE TION
I hereby affirm that I have a certificate of consent to self -insure or a certificate
sf Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C a(.., c �+
Policy No. s`� is Company J?`
^CerCertCJIe�LapPfied Dy its hereby ith theehcity.qgu`llding Division. 1�,s�� .'
Date 1^•�r�ra Applicant rttbMIGo4J IV 90*AA&0#3W
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This sec
Mss)tion need not be completed if the permit Is for one hundred ($100) or
.
1 certify that in the performance of the work forw i[IL this permit is Issued I
shall not employ any person in any manner so o become subject to tie
Workers' Compensation Laws of California.
Date Signature
'NOTICE: If, after making this declarationo§ou Should became subject to the
Workers' Compensation provisXi.nSofCa Labor Cotle, you must forthwith
comply with such provisionspermit shall betleemetl revoketl.
CONSTRUCTION LENDING I hereby affirm that there is a clending agency for the performance
of the work for which thiis 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, prove, demolish or repair
any structure, prior to its issuance, also requires t e applicant for such permit
to file a signed statement that he/she is licensed ursuant to the provisions of
the Contractor's License Law (Chapter 9 (tom ncing with Section 7000) of
Division 3 of the Business and Professions tla) or that he/she is exempt
herefrom and the basis for the alleged exe of,on. Any violation of Section
/031.5 by any applicant for a permit ejects the applicant to a civil
Mollify of not more than five hundred dol is ($500).
1, as owner of the property or m employees with wages as their sole
compensation, will do the work, and a structure i5 not intended or offered
for Sale (Section 7044, Business a Professional Code: The Contractor's
License law doe' not apply to an o Per of a property who builds or improves
thereon, and who does such wor himself/herself or through his or her own
employees, provided that such i provemenls are not intended or offered for
sale. If, however, the bulltling improvement Is sold within one year of com-
pletion, the owner will have a burden Of proving he/she did not build or im-
erOve for the purpose of sale .
LJ I, as owner of the pro rty, am exclusively contracting with licensed con-
tractors to construct the oject (Section 7044, Business and Professions Code:
The Contractor's Lice a Law does not apply to an owner of property who
builds or improves t on, and who contracts for such projects with a con.
tractor(S) license pursuant t0 the Contractor's License Law). I am aware that
proof off 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 aore, to tomo
Signature y�
Drivers' Li n or SS zr
CMF 0865-46, rev: 10/84
n and state that the above
city and county ordinances
and hereby authorize repre-
ve-mentioned property for
Date
6781 1/31/8
TYPE OF CONSTRUCTION DSI NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑DEMOLISH ❑OTHER A.P. ./je (� 54- I ,� Zone01
D SCRIPTIONOFWORK/U EOFBLD Sb 4u— 1�IVkA
Pet �l S Main Building: Accessory Building: _
E
TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL T Front i
❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICAL BA Rear r
❑ OTHER
PROJECT DESCRIPTION SQ. FT. OCCUPANCY-
CONSTRUCTION
Right �rj f
CONSTRUCTION TYPE VALUATION $ ZJ g Left 1
ZONE GRADING CU.YDS. ACRES Ping. Ret.# Parking RecidProvided,
Remarks: I Planning Notes: I_ ! .nIJY'✓ i,/L& l
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Kitchen Sink
Lavatories
P -Trap
Roof Drains
Reinspection Fee $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Bit. ICBG #
Heating System & Ducting
❑ 0.100,000 BTU ❑ 1 oo,000
Reinspection Fee I $15
White - Beluding; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
FEES
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto -Wash
Issue Fee 1 $ 3
Hood or Type ❑
Canopy Type I1 ❑
Refrigeration System
❑0-100,0009TU 0100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee 1 $ 3
ELECTRICAL I FEES
Automatic Washer -
Construction Pole Sub.
Transformer ❑-15-50 KW
❑ 50 + KW
Cooking Unit
Meter ❑up to 100 amps
Dishwasher
Meter ❑over 100 amps
Dryers ❑Gas ❑Electric
Sub Panel
Fan
Motors 00.1 HP ❑l h - 8
F.A.U.
Inc. Solar ❑9-15 HP El 16-15+ -
Fixtures
Microwave .- - -
Device Boxes
Pole Light
Outlets
Range
Switches
Sign -
Garbage Disposal
Standing Sections .. _
Generator ❑0-5 KW ❑5-15 KW
Trash Compactor .. _ '=•`
rl
l
Reinspection Fee $15
Issue Fee -, $ 3'
DEVELOPMENT SERVICES REQUIR
Zoning Approved By
Building Approved By _
BUILDING PERMIT
$
SUMVAPY OF
'1
PLAN CHECK
$
�
PLUMBING
, $
ENERGY P.C.
PLAN CHECK 25%
$
$
ELECTRICAL
$
PLAN CHECK 50%
$
MECHANICAL
$
PLAN CHECK 25%
$
Z
O
N
R
E
O
M
T
S
TOTAL FEE $ ���
iw
SMIP.'
$
PERMIT
ISSUANCE
$
ENERGY P.C.
$
GRADING
$
MICROFILM
. $
TOTAL FEE $ ���
' CONSTRUCTION AND PLANNING
APPAOVALS Permit #
Date
Inspector
POL a SPA
APPROVALS Permit#
Date
Inspector
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. -
-
52. Pool & Equipment Location -
53. Steel Reinforcement
3e Electrical'Conduit Utility-Undrgrnd.
t '�
54. Forms
4.; Electrical ConduR-Qndrgrnd.
!
55. Electrical Bonding
-
5. Steel Reinforcement
56- Rough Plumbing & Pressure Test
0! ElectrioalLIFER .Grnd.
57. APPROVAL TOCOVER.GUNITE
7r Footings
58. Electrical Conduit-Undrgrnd.
8. Fdurjdation
59. Gas Pipe, ❑ Undrgrnd., Test
9. Wettir Pipe-Undrgrnd.-
�•
60. Backwash.Lines, P -Trap, O Undrgrnd.
10. Structural FloorSystem
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
'
62. Backwash & Receptor -Final
12. Sewer Cap ;i .
-
63. Heater & Vent -Final
13.' od' Drains = r_
,R �
64. Plumbing System -Final
14. RBUgh Plumbing!
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough;.Yectric 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. Qucts, Ventilating
71. Product Piping O Gas ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ClGas ❑ Oil
.
25. Roof Sheathing
74. Overhead Hydro
26. T-Bai'beiling iStructural) & 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 IElectric
Notes: '
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
,
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final '
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
'
44. ,Landscape Irrigation System
45. Sound Attenuation.
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
g '
48. Special Requirements Completed
49. Electric Release to Edison
- -
-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
fAIjC7U
SfPnR4T npp60PAI
Flr�,`,fpf�„urs aNCY
4,9
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APPRoVED
Co
5'+' ' GGA �llor
fTY OF COSTA MESA
PLANNING DEPT.
SUBJECT TO BLDG. DEPT. AEG.
�
DYsC
DA "I
DIREcf'OR Of PLANNING
SfREEi
OtNO[Ott
O[t10tOC!
0[t10[OC[
Ott10[OC[
SfREEi
Cement Coping Optional �
Channel Black With One 31800
Horizontal Tap of all
Fences
For Fences ti' or Less
Vert. Bars 3/9'm at W 4" O.C.
For Fences Higher Than ti' —
Von. Ban 3/8'V4 at 32" O.C.
Fill Calk Solid With Grout —
Where Steal Occurs
Reinforcing Steal Shall
Conform to Sac.A•15.39
AS.T.M.
All Steel to be Lapped
IQ " or to Code
NATURAL GRADE
TWO 3f$" BARS
CONTINUOUS TOP
B BOTTOM
TYPICAL 611 CONCRETE BLOCK FENCE
tr
W
IDT
E CI
BELOW
REQUIREMENTS
GENERAL- NOTES
MORTAR: One Part Plastic Cement, and
Three Parte Sand
GROUT: , One Part Cement Thu and
one Half Parts band
COPING: One Part Cement, Three
Parts Sand
CONCRETE: Well Mizep 1: 2!12s 3�
Mae. of 7/2 Gallons of
Water Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE
CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR. CLEAN •
FREE OF ALL MORTAR DEBRIS, ETC.
BONDS SHALL RE PROVIDED BY LAYING
BLOCKS IN STRETCHER COURSES SO THAT
VERTICAL JOINTS ALTERNATE IN EACH
COURSE.
rH OF EARTHTCOTH
1/3_ THE HEIGTH OF FENCE
-BELOW BOTTOM OF FOOTING.
SCALE: 1/20@ I'
WALL HEIGHT
WIDTH OF FOOTING
6.
5'
4'
14
14"
12"
12"
THICKNESS OF FOOTING
10"
10"
B"
6"
DEPTH OF EARTHTOOTH
24"
20"
16"
12"
SPACING OF EARTHTOOTH
12'
14'
16'
16'
City of Costa Mesa, California
OWNERS NAME: _ --
JOB ADDRESS: _
_ _ _ — _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _
Building Department
e .�r r: • n; Du �u�
THIS AGREEMENT, made and entered into this 3 / day of
i9gS
i983 by and between
hereinafter referred to as "LAND CHER", and
hereinafter referred to as "ADJACENT PROPERTY OWNER%
It is hereby agreed that a party wall will be constructed on the
property line between
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded in Book , Page_ of Miscellaneous Maps, in the office of the
Canty Recorder of said County. The party wall shall be permitted to encroach
0
IN WITNESS VHEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND Cr7NER
(Sig ture)
Name (Typed ox Printed)
Name (Typed or Printed)
(B(S P# -rcA,, tt,.:, .
(Address)
(NOTE: please see reverse side for notarv's statement)
STATE OF CALIFORNIA )
ss.
COUNTY OF ORANGE )
On January 31, 1985 before me, the undersigned, a Notary Public in
and for the County of Orange, State of California, personally appeared
V. Joanne Walker
]mown to me to be the person(s) whose name(s) is subscribed to the within
instrument and acknowledged to rte that (he/she/they) executed the same.
WITNESS my hand arca official seal.
Signature/
Carmen L. Valdez*
Name (typed or printed)
STATE OF CALIFORNIA )
ss.
COUNTY OF ORANGE )
On J'//�%�� , before me, the undersigned, a Notary
Public in an for the County of orange, State of California, personally appeared
I64. e I L++I
known to me to be the person(s) whose name(s) is subscribed to the within
instrument arca acknowledged to me that (he/she/they) executed the same.
WITNESS my hand and official seal.
(Signature)
144 le n /�. /4 o re"
Name (typed or printed)
(SEAL)
OFFICIAL SEAL
HELEN A.%VIOREEN
m � NOTARY PUBLIC -CALIFORNIA
ORANGE COUNTY,
M➢ Gomm. expires MAY 17, 1;;5
OFROAL SEAL
CA.L'IMEN L. VALDEZ
•
,
NOTARY PUBLIC - CALIFORNIA
•'
FAR:1-i?AL OFrla IN
OR:,NGE COUNTY
_
My Ccm.'�,i;>icn Exp. Feb. 25,1035
On J'//�%�� , before me, the undersigned, a Notary
Public in an for the County of orange, State of California, personally appeared
I64. e I L++I
known to me to be the person(s) whose name(s) is subscribed to the within
instrument arca acknowledged to me that (he/she/they) executed the same.
WITNESS my hand and official seal.
(Signature)
144 le n /�. /4 o re"
Name (typed or printed)
(SEAL)
OFFICIAL SEAL
HELEN A.%VIOREEN
m � NOTARY PUBLIC -CALIFORNIA
ORANGE COUNTY,
M➢ Gomm. expires MAY 17, 1;;5
1� ADORESS OF WILDING: 1815 PITCAIRN DR
/ ONNERSHIIm
ME PETTIBONE, EARL W
„.MIDREss: 1815 PITCAIRN DR
COSTA MESA,CA
549-1650
APDL."LNG ADDRESS:
UNIT: CITY OF COSTA MESA - BUILDING PERMIT
92626 PERMIT NO: B 079362 PLAN CHECK NO: N
ARCHITECT O9 ENGINEER: M. NO,
MICE OR ENG'S ADDRESS: UNIT:
LroNmACT01rs NEitE,- LORDS ROOFING (714)638-4912
cwmAcroxsuml 16478 BEACH BL
ADDRESS: WESTMINSTER CA mho.: 382380
92683 UNIT: 129
UCENSED CONTRACTORS DECLARATION: 1 hereby affirm uMr psnnly d perjury that I am ,ices unow provisions d Chapter 9
(oommawdrg alth Section ]000) of OMiaion 3 of the Business; acct PMassiIXm Code, act my koarmse is in full Race and effect.
C� 0,038175 LIC. CUSS: C 3 9 UC.NoO.: 38 60 EXP: 00/00
We: -3— 9 G Cmveaor
OWNER ILOER DECLARATION: I hereby affirm under Penalty of perjury that 1 am exempt Imm IM Cmtracron lkarca law for the
Alowkg exon (Section 7031.5 Business and Professions Code: Any city IX courtly which reuses a permit to conegud, eller, improve.
lemo' m repair any otmctum, prior to hs esumce, dee requires the applicant for such mmk to fib a.grcd elalement Omt M or act
sed pursuant to the prw'niau of the Contmotore Lircrce law (Chapter 9 (oommencrg with Section ]000) of DMeion 3 of the
Buznesa acct professions Codel or that M or sM is exempt IhmahIXn act the basis for the staged memprimn. Ary violation of Section
703,.5 by any applicant for a Permit wubpm the apPicaml to a cal penalty of act mon Then We hundred lagers ISsuDD.
❑ I, as ovnrr of the pparty or my emptayem wih em w; As heir sole ownpmsaten, all do the work, and the stndun is nIX hdemded
or offered for sale (Section 7044, Business and Profession Code: TM Contra sms License Law done not apply to an owe rof Property
wM Wide or inpwn thereon, and who done such eras Named or herself or through M or her ww wmpk yeas. WWded that such
imwovemew are not imerdad IX offered for wale. ff, hoaaver, [he building or inpawwnW a add wEhn one year of cumpMun, the
owmrbuiNer will M. he bumlen of Awing M or was did nor bract or impaore tar IM purprce of wale).
❑ I, as oxmar of the Property. am mciishely omtractng with lim,.Gd omnxmore Im co,mud the Paolsd (Section 7041, Btnuasw and
pint. Code: TM Convectors License Law does not apply to an marc, of property, xfg Mede IX eawwm thereon aad xlho
com uts for wNh pro els with a oorwasm.) licemed Pursuers 1. the Cmnmadon U. law).
❑ I sm exempt under Section: B. A P.C.. for this laeaon:
Gets: orwhnr:
I do herbycomity UseI am same d act molaw rd the nquimmerna d California leech and Safety Godo Radians; `2505, 25533. and
25511. end that I or my more buidbg oosuPern win i wD nal (dace arc) mad to oomply "It said stere codes and the ngtmame ds for
a Mme for oomtructionIX modifwonhanlMAi iy .anepemeM Dirtdct. RawidamielmM odion epplism. are wars 0om Near
Dole: Applicant
WORKER'S COMPENSATION DECLARATION: 1 hereby affirm molar penalty d pedory orc of the Ideeiap dederetbm:
❑I Mw and any maintain a canifcate d oxwent to eaffinsun for workers compenW ion, m provided tar by Session 3700 of the labor
Code. for he performmm of IM amps for wtkch this permit is issud.
❑ I have and wit msintaln ova m' compenadpn insurmn, m required by Seclimn 3700 d Iha Labor Code, tar tM perbrmmm d IM
work for ahich this permit is esmd. My workars comperaellwr insurance caner end policy number we:
Camer:
Policy Numbw:
(chis mown need not be conpraled, the perm, is ler one hummed dollar I$I001 w kas.l
K] I moty Nat in the pMwmwce d IM work M whish the permit I. lowest. I shall not employ arty person at any re. an as ,o
become abject 1. the eorNarJ pompenmtion leas of Caldo mia, act &Arts the, S I shwM becvsrc subject to IM worker'
V.uln:.41
emmion panni a d Sec' n 37W d the labor Code. I Jro forth comply with Nom Provisions.
� 3 •%a-e—an R mean wohkws'rnprlwauaffon uw'wM h onlaNuA and•hall atiblaolm parployw R plMrel PMatllfm act R oat hrwdmd baweepd doles (SIOROOOA n sddldon ho Ne pmf of sgniammtloR danvpp as proyldsd for In
of tlr Labor Coale, /nMm4 and allpme is /sea
CONSTRUCTION LENDING AGENCY: I hereby affirm uMer p r ally of perjury that Items is a wwrctbn ending apwwy Rr the
per ommce of the cork for which the perms is issued (Section 3097, CM. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I unity liter I bat red this application and cats that the above information is coma. I agree to comply arch an p9y nal county ardineaare
and ewe laxer nelig to Wilding construction and hereby auth True rpeeanntives of this dry to Grow upm the above-mentioned prop"
f«inspection wapmaa BRUCE LORD
(5151-19WP) WhaeBuilCng A Salary;
Dale: �� G
Pink -Revenue; (3ddemod-Meson
PERM NO: B 079362
GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION T/OFF INSTALL PLY 6 COMP 6 B.U.R.ON FLAT SQ FT: 8,400
CLAIM VALUE: 8,400.00 CALL -VALUE: 8,400.00 GROUP OCC: R-3 /U-1
COMMENTS: RESIDENTIAL REROOF WITH SHEATHING/ SMOKE DETECTORS REQUIRED
iE dE RE 1t 1E 1E ii 9E 3E iE 9E iE 9t oft 3E 1E 1E RE 1E 1E 3E 9i iE iE iE iE * iE 1E Rt dE 1t 1E iE iF RE * * iE * iE 1E 1E iE * RE RE RE iE 9E RE iE 3E * iE * iE * 1E RE 1E it 1E iE 1E iE dE iF iE Rf 9E * RE oft ib 1i dE d! it
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---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN
PARKING REQ: PROV: PARCEL: 13934117 ZNE: REF NO:
PLANNING NOTES),
}>
1E 1E * 1E ♦E ♦E iE ♦E 1E 1E 1E 1E 1E 1E,1k 1E 1E 1E RE 1E * * 1E 1E ♦E * iE iF * dE 3E 1E Rf ♦E 1F 1E 9E RF ♦E iE 3E 9E 9E RE RE RE * RE * ♦E 1f 1E k 9E dE 1k 1E 1E dE ♦f 1E 1F * 1E 1F 1E 1E dE,dE dE 1E iE 1E RF 1E RF iE 9E 1E
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- ; �D
APPLICATION ISSUED BY: DATE:s31
1E 9f 1f iF iE lF gE 101E♦E*iF*♦E 1E***SE RE RE IE Ri 9E iE RF 9E RE RE**4 RF 1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEG EN
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 149.75 84
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 150,59 0.00 0.00 150.59 150.59 .00
REVENUE DIVISION TOTALS--> COLLECTED: 150.59 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
149.75 .84
1E**1F*1E 1E 1E*****♦E1E**1E*♦E***K1f RF 1i iF RF dE if lE RE if iF RFR*ii♦Eif♦E*****♦E♦E*K9E 1E*1E REK IE♦E 9E iE iE iF iE**iF 1E 1(-1F**1E RE RE 1E 1i*♦E
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 8400 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 8,400.00
END OF FEES
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
Pt & SPA ---
APPROVALS Permit #
Date
Inspector
}1 Temporary Electrical Service or Pole=
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
�Iacttical Conduit U�Ility-Undrgrnd.
54. Forms --
:J4.. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement-
56. Rough Plumbing & Pressure Test
- 6. Electrical LIFER-Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings -
58. Electrical Conduit -Undrgrnd.
�8- Foundation = _
59. Gas Pipe, ❑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 & House Connection
62. Backwash & Receptor -Final
}2. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64, Plumbing System - Final
14. Rough Plumbing
r
65. ElectricaI-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 t.
21. Ducts, in Structure ... -
_ _
--
s-
70. _Underground Hydro
22. Ducts, Ventilating-;
71. Product Piping'gGas (D oil
23. Gas Pipe -'Rough & Test
`" -
72. Underground Flush -
24. Roof Framing' - ;
-
- r
73. Undergrnd. Storage Tank 0 Gas 0 Oil
25. Roof Sheathing =
74..Overhead Hydro
26. T -Bar Ceiling (Structural( & tilonocoat
T.
75. Dry Chemical
27. Frame and Flashing;_
,_
76 Dry Staniipipe.-
28.Lathing & Siding ' _
w -r
•• i
77. FIXED SYSTEM FINAL
29. Insulation
-
78. FIRE PREY. FINAL - - -
30. Drywall _Nailing •`
r
-•-HEALTtH DEPT. -REQUIREMENT
31. Plaster Brpwn.CoaI ` ...
"
I
i `� _
79. FINAL INSPECTION =
32. Electrical Power Meter -Final
-
80. FOOD CERTIFICATE ISSUED
_ 33. Final Electric _
Notes: - _ -
• 34. Final Heating-'& Air Conditioning.
-
35. Final Gas Pipe -Test
I
-
�f• ,
36. Hood or -Canopy ` ^.� - _
I -pr
r
37. Final Factory Fireplace
38. Final Plumbing - - •• `�
i
` - _ -
39. Water Service -Final
r
-
40. Gas Servite-Final
i
41, Solar Domestic -Final -
-
't
42. Backflow Preventer :-
-
43. Backflow Irrigation _
--
44. Landscape Irrigatioq System
-
45. Sound Attenuation
46. Handicap Regulations -,
•• _-
47. FINAL STRUCTURE & BUILDING
�� !1�
�i✓1
_
48. FINAL PLANNING' -
i
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
--
Ma
GENERAL CONTRACTOR F & J Gerwick VALUE $ 2,500i00 Ae8,
AP i 139-341-17 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add Fmm,_Fa.-to
I 3CTIONS Signature
DATE
GROUP I TYPE v ZONE R-1
So..
SUBCONTRACTOR
PERMITS
PERMITS
ISSUED
Gas
NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
_
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑
S rinklin S stem
Construction Pole
Underground ❑ Power
Rough Wiring
-/s-
/ -Trenches
Trenches❑ Forms ❑ Steel Reinf. ❑
r
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
-f 46
Frame and Flashing
Lathing — In ❑ Out-
;. r brown coat
i5c . ❑ Air Con. 0 Final
�.
Heating, Final
- /
Plumbing Fixtures, F'na1
Final Gas Test
Electric Fixtures, Final
�1
_
Building, Final
OCCUPANCY
Yorm nua--sm- -u -a r 1 ass) 14H
�-
I9238"ASNIERES
OSTT MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 3I7 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
ADDRESS ADDRE9
COSTA MESA, CALIFORNIA
■ ARCHITECT
SIZE
OF LOT
USE OF
EXISTING BL
SIDE YARD LEFT .7 RIGHT
DESCRIPTION OF WORK
' S ZELDINO 00. OF
/Lf /3X/1S /ROOMS
EXTERIOR WALL/_ .. _. I ROOo
IPO 2 1963 _ Al
FINANCE DEPT.
CI PLICATIWIFOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. PERM
BY DATE RECEIV A
FIRE
17 1 I NO, OP I USE OF NEW
, PLANS ,'v BUILDING
LEGAL
DEscgl/,a
DESCRIPTION
A. P. NO. /3 /3
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
SO" TO SIDE 9 REAR P. L.
EAVES
ALLOWED (U. B.C. REQUIREMENT]
YARDSAPPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
REAR FT. YT.
DISTANCE BET. BET. MAIN e
r MAIN BLDGS._____ ACCESS. BLDGB.
■ VAR. SC I DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION
THE AMOUNT
SHOWN
UNDER VALUATION
IB FOR THE
ANO STATE THAT THE ABOVE IB CORRECT AND AORES TO COM-
PURPOSE OF
ESTABLISHING
A PERMIT
FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS
BUILDING cONSTRU N.
g=OULATINO
yALUA ON
/O[
SIGNATURE OP
/
PERMIT FEE $
�%
PERMITTEE
(�
CHECK 5
Z 1
AUTHORIZED AGENT
✓IN
1 /% _
04�
' COSTA MESA BUILDING -SAFETY DEPARTMENT
BOX 917 COSTA MESA. CALIFORNIA
For Appliconf fo Fill In Completely
TYPE OR PRINT
BUILDING -
ADDRESS l.S
COSTA M A. CALIFORNIA
FEE RECEIVED
JUL 311961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
OWNER P$CESetter Jt. venture
RECEIPT NO. ��eeWAIT�N0.
MAIL 1653 Minorca
RECEIVLYiED BY OATBi ICE' =D DATE ISSUED
ADDRESS
I
Mesa No: 910395
BUILDING
CITY C(Ista
ADDRESS
ARC tCT TEL'
COSTA MESA. CALIFORNIA
OR NEER NO.
FIRE
ADDRESS
ZONE
TYPE GROUP
Mesa verde Builders Inc.
CONTRACTOR
APPROVED
BY
DATE
ADDRESS 1653 Minorca Drive
ZONING
ZONE p
NO. OP
2
U8E OF N8W S/�IIf �Ay
I
CITY
(?
PLAN9
BUI IND
1. iic No. 181269 No: Ki 9-0395
"GAL RIPTION
1-Ot /08 %i C/o08
SIZE7500 SL1.Ft. I NO. OF SLOGS.0
OF LOT NOW ON LOT
A. P. NO.
17�
USE OF
YARDS
EVES
EXISTING BLDG
APPROVED
ALLOWED
SETBACK LINE FROM
2 5
(CENTER LINK
ST.)
CENTKR OF GTR.UT REAR YARD
FRONT
2 FT. IN.
I 5
I 5
SIDE YARD LEFT
RIGHT
R. SIDE
-5 FT. -- IN.
DESCRIPTION OF WORK
3" —
L. SIDE
FT. IN.
J�
I I ((ADDITION I
r
NEN W ALTERATION
REAR
FT. IN.
REPAIR I (MOVING I I DEMOLISH I
APPROVED �./!I
•!J� DATE v
NOOMS Z
,/�1
NB6
SBZIELDING
% STORIES
EXTERIOR WALL UCCO ROOF Ldlulw
(COVERING
COVERING WrIod Shingle
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence and garage
Standard Plan No. 800-B
Attached
garage 450 Sq.Ft.
1 HEREBY ACKNO OE THAT I HAVE READ I8 APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND BTATe THA T B AD.Ie CO ANO ORE TO COM.
PURPOSE
OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL 1 O NANCES ATE ULATING
VALUATION
BUILDING CON TA /
SIGNATURE
e..�
q
PERMIT FEE $ _�
_
//'/J✓
PERMITTE
C•
PLAN CHECK $
AUTHORIZED AGENY
TOTAL FEE