HomeMy WebLinkAbout609 PLUMER ST - Building Permits(7�a) �sa-sv3 • Fan (�ia) 75a-aess • www.ci.costa-mesa.�{�LDING PERMIT n FAIH UHNE, GOSIA MtSA, GA 926'26
JobAddress: 609 PLUMERST
Suite:
Vicinity:
Parcel Number: 42421221
Applicant: REDI ROOF
Address: 1423 WALMAC PL
FONTANA,CA
Owner: LUJAN, RAMON V TR
Address 19442 NORTHSTAR LN
HUNTINGTON BEACH, CA
Contractor. REDI ROOF
Address: 1423 WALMAC PL
FONTANA,CA
Zip: 92337
Arch :
Address:
Zoning:
Phone: 909-357-3281
2ip: 92337
Phone:
Zip: 92646
Phone: 909-357-3281
License: 641947
Eng:
Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: 12/05/2003
Issued: 12/OS/2003
;i
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXIST. 2 LAYERS OF COMP, INSTALL 1 LAYER 15 LB FELT AND 30 COMP. SHINGLES.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0 �
$3,200.00
$3,200.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 1 BO days, or it work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final epprovel must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
tabfi-48(6/00)
WORkEqS' COMPENSAnON DECLARATON: � ' - �
1 hereby eHirtn untler penelty ot perjury one ol Ihe following declarations: -� �
❑ I heve and will malntain a certificate o� consent to self-Insure for workers' compensation, as pmvided for by section 3700 of the Labor Code, lor Ihe pertortnance of t�e
- work to� which ihi4 pertnit is issuetl.
� I have and will maintein workers' compensetion insurance, as required by section 3700 of the Lebor Cotle, for ihe peRormance of the work for which this permit is Issued.
My work_g�s' cpmpe ion Insuranca camer entl policy numCer are: ?� /�
Carner. �'�tiiC "1� PoliryNumbar. i D 2' 1' 2a��
(This section n�etl not be comp/eted A the permiNs velued at one hundred tlollars ($100) orless.J --
❑ I cenify that in tha pedormance 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'
compensa�ion lews of Galitomia, and egree Ihat If I should become subject to the workers' compensation provisions oi Sectlon 3700 of Ne Lebor Code, I s�all forthwith
comply wi�h these provi�\ _
Applicent Signe�ure: d �U---� Date: i21 �� a 3
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL $UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES l/P TOONE NUNDRED
THOUSAND DOL(ARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAhNGES AS PROVIDE� FOR IN SECTION 3708 OF TME LABOR COOE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby afllrtn Ihat I am Ilce e untler� Prppsions of Chapter 9(commencing with Section 7000) of Oivision 3 of the Business end Professlons Cotle, end my license Is in full
force antl eHec6 �c. x= �9y� � Class k ^
Contrecrofs Signawre: Date: 11� � 'D3
CONS7RUCTItlN LENDING AGENCY:
❑ I hereby aKirtn �hat ihere is a construction lending agency for the pertormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
� Lantlers Name: Lender's Atltlress:
Signeture: Date:
OWNER-BUIL�ER DECLARATIONS:
I hereby eflirtn that unCer penelry ol perjury ihat I em EXEMP7 FROM 7ME CONTRACTORS �ICENSE LAW for the follawing reasan (SecJ031.5, Business end Professions
Cotle: Any ciry Or county which requires a permit to consiruct, alter, improve, demolish, or repeir eny siructure. prior to its issua�ce, also requires tha eppliwnt tor such permit
to file e signed btatement thet he or she is licensetl pursuant to the pro�sions of the Contractors Llcense Ww (Chepter 8(commencing with SecNon 7000) of DlWsion 3 of Ihe
Business end P�ofessions Code) or that he or she is azempt iherefrom and the besis for the elleged exemptlon. Any Wolation ot Seciion 7031.5 by any applicent for e pertnit
subjecis Iha applicant to e civil penelry of not more Ihan five huntlred dollars (5500).):
❑ t, as owner ot t�e property, or my empbyees with wages as ihair sWe compensation, W ILL DO SME WOAK, and tha strudure is not intandad or otteretl for sale (Sac.
7044, Business and Professions Code: The Contractors License Law tloes not epply to an owner of property who builtls or improvas Ihereon, and who tloes such work
himself or hersel( or ihrough his or her own employees, provided lhat such improvemenis are not intended or oHeretl for sale. If, however, Ihe building or improvement Is
sold wi�hin one yeer of completioq the owner�builder will have iha burden of proving that he or she ditl not build or improve for purpose of sale.). •
❑ I, as owne� of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professions
Cotle: The contraaors License Law tloes noi epply to an owner of property who bullds or Improves Ihereon, antl who contracts for such pmject with a comrector(s)
license Dursuam to the Contractors License Laws.).
❑ I am exempt untler sec.
Signature:
Owner ID veriFietl by tlrivefs license. � Ves ❑ No
Business end Protessions Code br �his reason:
Verilicetion oi Ow�ership by (type of tlaument, i.e. - pmperty tax bill or Oeed):
Dnvels License No.
Date:
Eapires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby c�rtify Ihat no excavation fNe (5) or more faet in dep�h IntO which a person Is required to tlescend, will be matle in connection with work euiho�ieA by Ihis
permit, and ihat no 6uiltling siructure, scettoltling, talsework, or Aemolition or tlismantling thereof, will be more than thirty-Six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Ttle 8. Celifornia Atlministrative Code).
❑ As owner-builder, 1 will not amploy enyone to tlo work which would raquire e pertnit Irom tha Division ol Intlustriel Sefery, es notetl ebove, unless such persan hes e
permit to do such wOrk irom ihe division.
Signawre: Date:
Division of Indus��al Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cenity under penalty oi perjury that I have read ihis epp�ication and state Ihat the infortnetion given is
correcL I agree to comply with ell st�te laws end ciry ortlinances relaiing to building cons(ruction, end authonze representatives of the City ol Costa Mese to enter upon the
ebove-described properry tor inspection purpaaes. I egree not to occupy or allow occupancy of any building authorized by this pertnit until finel inspection.
Signature Ot Legal Owner(s) � Date
� �---- Li S a 3
And/OrAuthorized Applican� Date
GOUE �. INSPECTONTYPE
1616 Fixetl Sys�em Final Fire Preven�ion
tt68
200
201
202
203
Pool Spe Final
Flnal RB-Rooi
Final Blo�k�Retalning Wall
Finat Faaory Fira Plece
Final Sig�
204 Final Demolition
P� Ui�945
e�
fs1�% ?�'
COOE 1 INSPECTION TYPE
208 Final Mechenlcal
208 Final Plumbing
210 Final Electncel
212 final Fire Preventlon
220 finai Planni�g Approval
222 Final Site
250 Final Building�Occupenty
PAIE 1[{�ALfi
AOV���ant �o�fill in all s0aees ezce0� tnose within neavy Gortler Iines ana si9n a11 aDVropriale Oeclarations.
cirv_OP�cOSTA M�^S,n� yxrONSv,T}/,p'l/U/rY�TIO MIT
. � Y V�! !�W"' �
roject Address
Applicant's Mailin ddress /
Owner's Name Phon //���
Address �� 7 �Ty�-� D 7ldE� 2
Arch/Eng. License No.
Address
Conlrocror's Name ' Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby affirm lhat 1 am licens¢tl untle� D/ovi5ions ot Charter 9(commencinq
wi[h sectlon ]000) of Oivlsion 3 Of tho BuSiness antl Professlons Cotl¢, antl
my license is in /ull force antl eHect. �
'License Class License No.
Date Signature
�� WORKERS' COMPENSATION DECLARATION
iereby ai(irm ihat I nave a certiticate of consent to selbinsure or a certificate
Wo�ke�s' Compensation InsuranC¢, Or a ce�tlfletl coOY the�eof (Section
3fl00, Lab. C.) .
Policy No. Company
i BCertitietl copy is hereby fumishetl.
Certitietl copy is filetl with Ihe dty Builtling Division.
'�, Date APPlicant
�I EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
��, (Thissection neetl no[ be compleletl if Ihe permit is for on¢ huntlretl (E100) or
less).
I certify tha[ in [he Oerfo�manCe of Ihe wo�k fo� which t s permR is lssuetl, I
shall not mpl y any per5on in any�����su�(he
Worker lion Laws of Calit
Date S�9nature
�NOTIC : If, ft aking this tleclarabon, y0u s�OUltl become Sub�e[t [o the
Warkers' Comp¢nsalion ptovision5 of [he 12bo� Cotle, you must torthwith
comply with such provisions or this vermit shall be tleemetl revoketl.
CONST0.UCTION LENDING AGENCV
1 nerety affirm lhat there is a construclion lentling agency for the pertormance
of [he work fOr whicn thi5 permit is issuetl (Section 3097 Civ. CJ
l.en0er'S Name
Lenaer'S Atltlress
OWNER BUILDEH DECLARATIOfJ
I hereby af/irm tltat I am eaempt 1rOm [he Contrac[o�'S LI<en5c Law for the
following reason (Sec[ion 7031.5 Business antl Professional Codo: Any city or
munty whicn requires a oermit to construct, alter, improve, tlemolish or repair
any structure, pAo� to it5 issuance, alm require5 [he applicant tor such permit
to tile a signetl statem¢nt tM1at he/sne Is Iiten5e0 pur5udnt t0 the O�ovi5ion5 of
�he Contractor's License Law (Chapter 9(commenCing with $eCtion 7000) ot
`Ivision 3 of the Buslne55 and Prote551ons Cotle) o� lhat ne/she is exempt
ierefrom antl [he basis fOr the all¢getl exemp[ion. Any violdtion of Section
,031.5 by any applicant for a Pe�mlt Subjects the applicant to a civil
pe alty of noi more than five huntlred tlollars ($500).
I, as owner ot tbe prOp¢rty y PN Y" �� �3 '"""""�dle
-- - �_�'� ^•ill tlo the wo�k, antl the structu�o is not Intentled or Offeretl
for sale (Section ]044, Busin¢ss antl Professional Cotle: The Contractor'S
license Iaw tloes nol apply to an owner of a property who builtls or improves
thereon, antl who tloes such work himselt/herself or through hls or her own
employees, providetl (ha[ sucM1 improvemonts aro not In[entletl Or ollered fOr
Sale. If, however, Ihe builtlinq o� imp�ovement is soltl wlthin ona year of Com-
pletion, tbe ownet will have lhe burtlen of proving he/she tlitl not builtl o� Im-
prove for the purpose of sale).
❑ 1, as owner of Ihe property, am exclusively contractin9 with licensetl con-
tractor5 [o construct the projec[ (SeCtion 7044, Busine55 antl Prole551ons Cotle:
The Contractor's License Law does not aPP1Y to an owner of property who
builtls or improves tnereon, antl who conVacts for such projects wlth a con-
t�actor(5 license pursuant to the ConVacfOr's LiCenze Law�. I am awar¢ that
proof o� tM1el� Worker'S Compensatlon Insurance shoultl be provltletl to me.
❑ I am exemot untler $ection BAB, P. C. /or [nis reason
Date / Owner " ��
1 herebv certi chat I have reatl h s aoP�ic tion antl state that the above
inspectlOn pwp
Siqnature
Orivers' Licenze or 55
, ��,�.,. a� � ....... . -- -- - .,,.. , ,.,,.
TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR
❑-CONVERSION ❑ DEMOLISH ❑ OTHER q,p, �6
OESCRIPTION OF WORK/USE OF BLDG.
S Main Buildin9:
E
TVPE OF PERMIT GaaoWG FOUNDATION S7aUCTURAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear
❑ OTHER
PROJECT DESCRIPTION Sq. FT. oCCUPANCv C Right
K
CONSTRUCTION TVPE VALUATION 5 g l¢ft
20NE GRADING CU. VOS. ACRES p�ng. Ref. #
0.emarks: Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Orinking Foun[ains
Floor Drains
Floor Sinks
Gas Service Outlets
Inrerceptors Q./ Occ¢%
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
Boiler
Duct - Under Ground
Duct - Strucmrel
$15
Exhaust Syscem ❑ Multiple C
Firepl/Fact.Blt.IC80# �
Heating System & Ducting.
� �0�100,OOOBTUO100,OOOBI
R'PLa�nT-r
peinspeccion Fee $15
CMF 0865-46, rev. ]0/84 White - guiltling: Canary - ApO�lcant: Pink - Accountlnq; Goltlenrotl - Assessor
PLUMBING
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater .
Water Service
' A uto-W ash
Laundry Treys
Isue Fee
Hood or Type I ❑
Canopy Type II ❑
Refrigeration System
❑4100,OOOB7U ❑100,OOOBT
System Repair/Alteration
Fire Dampers
Registers �
Issue Fee
FEES
$ 3
$ 3
Automatic Washer
Construction Pole S�
Cookin9 Unit
Dishwasher
Dryers ❑Gas ❑EI
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0-5 KW
a1
6915 I/07/66
2one
Accessory euilding: -
Parking Req./Provided
ELECTRICAL '
Transformer ❑ 15-SOKW
❑ 50+KW
Metef ❑up Lo 100 amps
Meter ❑over100amps
Sub Panel
Motors�P7 HP �1X-8
Inc.Solar 09-15 HP �16�15+
Microwave '�
Pole Light
Range
I I' Standing Sections
5-15 KW � Trash Compactor "
144Q" TL
FEES
Z
O
N
I
N
G
R
E
Q
M
T
$
Reinspection Fae �$15 Issue Fee $ 3
� DEVELOPMENTSERVICESRE�UIREMENTS:
�Zoning Approved By Date
Building Approved By Date��j
Appliwtion Issued By Date—J�(L�
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
—� PLANCHECK $ � PERMIT
� PIUMBING $ � ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
�.. PLAN CHECK 50% $ MICROFILM $�
<, MECHANICAL $ � TOTAL FEE $ �,�
PLAN CHECK 25% $
� �ONSTRUCTION AND PLANNING PO� SPA
� APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
i
�'1. Temporary Electric2l Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement .
3. Electrical Conduit•Utility�Undrgrnd. 54. Forms
4. Electrical�Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ' 58. Electrical Conduit-Undrgrnd.
8. Foundation " 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Recepior-Flnal
12. Sewer Cap 63. Heater & Vent-Final �
13. Roof Drains 64. Plumbing System - Final
14. Rougli 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
78. Rough Elec[rical-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 Struc[ure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
.24. RoofFraming � 73. Undergrnd.StorageTankOGas ❑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: �� �� -
34. Final Heating Sc Air Conditioning /��. ��
/ /�G �.� < d o��, mo
35. Final-Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing , - 1`d0j�/�
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer _
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
51. CERTIFICATE OF OCCUPANCY �
No. Date
AOP���ant to fill in all soaeas except tnose within neavy EorCer Ilnas ana si9n all apPrao/�ate eeclarations.
I oF COSTn ME A ONS UCTION PERMIT
. oject Address ��
Applicant's}vlaili A ess %��
Y�
Owner's Name P
Address
.Arch/Eng. License No.
Address
Contractor's Nam ' Phone
Address (mailingl
City License No.
LICENSED CONTRACTOR DECIARAT�ON
I hereby af(irm that I am liGansetl untla� p�ovisions of Chdrtet 9(commencing
with SeGtion ]000) Of Dlvlsion 3 OI thq Business antl Prof¢sslOns Cotle, anC
. my license is in full for<e ana eftect.
Lic¢nse Class Llcense No.
Date Si9nature
"�ORKE0.5'COMPENSATION DECLARqTION
ereby aftirm thaf I have a certiticate o� consent lo selt-insure or a cerUilcate
Workers' Compensation Insurance, Or a certlfleC copY �hereot.($ection
.f800, Lab. CJ
Policy No. Company
BCertified copy is hereDy (umishea.
Certi/ie� copy is filetl wltb the city BUiltling Dlvision.
Date AppliCant
EXEMGTION F0.0M WORKERS' COMVENSATION OECLARATION
(This zection neeC not be cOmpletetl il Ih¢ permit is for one huntlretl (§300) or
less).
I certify that in lhe performance oi the worl for w, ilch this perm�t is issuetl, I
�, shall not e ploy y person in any mann so t. ecome subject to the
Worker n ws of Californl
Date Signature
'NOTI . f, afte making this tleclaratlon, ou shoultl Oecome subject to the
Workers' ompensation provisions of lhe Ldbor CoOe, you mu5t for[hwith
comply with such provlsions or [bis p¢�mit SM1all be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
I he�eby af(irm that there is a Cons[tuction lentling ag¢ncy for Ihe perPormance
of Ihe work for which this permit i5 ISsuetl (Sectlon 309] Civ. CJ
Lentler's Name
' Lentler's Htltlress
OWNERBUILDEH UECLARATION
I her¢by atfirm Ihat I am exempt from the Gontractot's License Ldw Po� th¢
following reason (Section 7031.5 Bu51nQ55 antl Professlonal Cotle: Any ci[y or
counly which �equire5 a pe�mit to cOnst�uct, altCr, improve, tlemoll5h or repaP
a v svucture. orior to its is5uance. also reoWres [he aoDlicant for such permit
ile a si9netl statement tha
Con[racror's LiCense Law
ision 3 of t�e Business a
'efrom and the Dasis for t
1.5 by any applicant f
alty of not more than Ilve
I, a5 owner ot the D�op
�p�wce!'�ew-�will ao tne wo
Sd�2 ($CCSI00 J�44� BO51
:n5e Ldw tloez nOt aOP�Y �
�eon, antl who tloes TUGh
�loy¢e5, provitletl that suc
. It, however, lhe builtlin
'.ion, the'owner will have t
ve for the purpose ot sale).
I, as owner oi lhe propert
bWltls or Improves tne�eon,
tractor(s license pursuant�to-
proof o� Ihei� WorkerY Co
❑ I am e%empt untler Sectlon
have
t he/sho IS IICCfISBd PWSOdfII l0 Lt1E P�ovisions oi
(Chapter 9 (tommencing with Section ]000) of
ntl Pro/e55ipn5 Cotle) or that he/she i5 exempl
he allegetl exemptlon. Any violation ot Section
or a perm�i subjects the applicant to a civil
huntlretl tlollars (E500).
erty �o le
rk, antl tne structure is not intentletl or o(teretl
ne55 antl Pro(e55ional COtle: The COn[factol's
O an ownet of a properry who builGs or imprOv¢5
work him6elf/h¢rsoH o� Ihrough bls or h¢r own
h improveinents are not intendetl or oftere0 for
g or ImOroyament I5 soltl within one year of Com-
he burtlen a{ proving he/she tlitl not bulltl or Im-
y, am exqusively <ontractln9 with Iicensetl <on-
Ct (5¢C[IOq 7044, BUSine55 dntl PrOfe55iOn5 COtl¢:
q tloes not apply to an owner o( properry who
antl wh0 cont�act5 lov such proj¢cts with a mn-
the Contractor'S Llcense Law). I am aware that
mpen5ation Insurance shoultl be provlaetl to me.
w�. B. ddJ/9. G for this reason
TYPE OF CONSTRUCTION LJ NEW LJ ADO LI ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑�OTHER p„p, �6
DESCRIPTION OF WORK/USE OF BLDG.
S Main Building:
� E
TVPE OF PERMIT' GRADING FOUNDATION STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL I�.PLUMBING ❑ MECHANICAL A Rear
❑ �OTHER C Right
PROJECT DESCRIPTION Sq.F7. oCCUPArvCv K.
'CONSTRUCTIONTYPE VALUATION$ g left
ZONE- GRADINGCU.VDS. ACRES p�ng.Re(.#
Remarks: . Planning NOtes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwdsher
Orinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Citchen Sink
Lavatories � . '
�—Trap .
Roof Dreins �
Reinspec[ion Fee $15
Boiler
Duct-UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ 0100,000 BTU O t 00,000 BT
. I sentatives ot mi ty e er upon the above-mentlonetl pr arty ��
inspectlon purpo
Signature ' Da[e �� -
Driveri' license or 59 � _
����� _-
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Appllwnt; Pink - Accounting; Goltlenrotl - Assessor
$15
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
$wimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Laundry Trays �
Issue Fee
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System
00.100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
$ 3
$ 3
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher �
Dryers �Gas ❑Elec
Fan "
F.A.U. �
Fixtures � -
Device Boxes
Outlets
Switches
Garbage Disposal
Generator 00�5 KW C
Fee
Zone
Req./Provided
ELECTRICAL
Transformer ❑ 15=50KW—
❑ 50+KW
5KW
$15
Meter ❑up to 100 amps
Meter �over100amps
Sub Panel
Motors�0-1 HP 01Yh-8
Inc.Solar �9-75 HP �16�15+
Microwave
Pole Light '
Range
Sign '
! Standing Sections
Trash Compactor
Issue Fee
FEES
$ 3
2
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N
1
N
G
R
E
Q
M
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S
DEVELOPMEN7SERVICESREQUIREMENTS:
Zoning Approved By �ate
Building Approved By Date
Appliption lauad By � Date� l�
' ' SUMMARV OF FEES •
' BUILDING PERMIT $ � SMIP $
' PLAN CHECK $ PEFMIT
PLUMBING $ � ��UANCE $ �
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GflADING $
PLANCHECK 50% $ MICROFILM $ �- (�%�
MECHANICAL $ TOTAL FEE � $ � •�
PLAN CHECK 25% $ .
TL
NSTRUCTION AND PLANNING P�� SPA �
APPRI�VALS Permit # Date Inspector qppROVALS Permit #, Date Inspector
':1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � "
� 3. Electrical Conduit Utility-Undrgmd. � 54. Forms .
4., Electrical Conduit-Undrgrnd. 55. Electrical Bonding � .�
� 5. Steel Reiriforcement 56. Rough Plumbing & Pressure Test .�
6. Electrical UFER Grnd. 57. APPROVAL TO COVFR-GUNITE
7.,Footings' 58. Electrical Conduit-Undrgrnd. •
8� Foundation , 59. Gas Pipe, 0 Undrgrnd., Test
9.:Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System �' 61. APPROVAL TO DECK . . -
11. Property Sewer Line & HouseConnection � 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent-Final I ��
13. Roof Drains 64. Plumbing System - Final
r
14. Rough Plumbing .65. Electrical-Final � �
75. Rough Electriral-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. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
. 20. Rough'FactoryFireplace � APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating �� 77. Product Piping O Gas ❑ Oil �
� 23. Gas Pipe-Rough & 7es[ � 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 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:
34. Final Heating & Air Conditioning - '
35. Final Gas Pipe-Test . .
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing • �I��� 8
39. Water Service-Final �
40. Gas Service-Final '
41. Solar pomestic-Fina�
42. Backflow Preventer .
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations ' ' � '
47. FINALSTRUCTURE&BUILDING �
48. Special Requirements Completed
49. Electric Release.to Edi'son` ' .
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOF.00CUPANCY
No. '. . � Date .. ,
R,
JOBADDRESS bO
V DATE
MIT NO.
G ?RALCONTRACTOR M37C W. Pooe._Snc, VAWE $ ZOpOOO.00
�oT 1�02 (See Legal) a�ocK TRACT Npt. Mesa Res. & Att. Gyrage
. GROUP I TVPE V ZONE RLl FIREDISTRICT 799
PEflMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
• DATE NUMBER
Footing Trench . y.- � �
Foundation Forms and Grade to Garane
Plumbing, Rou
Plumbing, Rou
Temporary Pol
Wiring, Rough
Heating, Rougl
Heating, Final
Se•�—• �'L
—t�'--�
S� Tank or
Lathing
' Plastering
Plumbing, Fin.
Plumbing, Fin:
Fixtures Complete :% � �
Final F�
_ _- �_
Y'orm 210 C-H lAt I2-69
(�osta Mesa Building Department APPLICA7L'ION FOR PEKMl�
''-'�� '�_ 111 EAST 20th STREET �gg g U I L D�� N G �
COSTA MESA, CALIFORNIA � -�
FOR APPLICANT TO FII.L IN 1' OR O++ CE USE ONLY
-I Rec� o. � Permit No.
Building . � `
naaress 609 Plumer St l T
Costa Mesa, Ci&�IiOTIII& Recefved by Date Rec'd. Date Isaued
Nearest �l _>�_ Sw
crosssc. Anaheiu� Building G J�
Address � � / -�✓ -ti7
Owner R. L. i:iC Ca r S Cost Mesa, California
Mail
Address +i�% pO1Sa h`V@ .,n Nearest
Tel. " '" Cross St.
c�cy IQew�ort Beacri rvo. LI 8-22= Zone� . I No.of I Type ✓ i Group�
Architector ' �io. � Plans
Engfneer No. ApprovW n
6v � % . Ilolai 1 �l_7
contrector !,iax v'J . YoOe inmo. 1D1:; L,.!/ / �
nddress �t07 BOlsa Av2. , riB
Decr�ption I No��L I B�ock I7.Q�1�i0SH � ' i
(Attach Metesand Bounds) over
No. ot Bldga
Size ot �ot �7 2X135 Now on �ot 0
Useof No.of No.of
Existing Bldg. � Famliles Rooms
Setback Line from Rear Vard ��1
Centeroi3tl'eet 7� SldeVard � �
DESCRIPTION OF WORH -
New I X I Akeratlon I I Addition I - . r(1(�C
�dd�
Repair I I Moving I I Demolish I
9uilding No. of
ze 1:s50 sq' pooms 6 Stories 1
xterfor Wall t Roof
Covering stucco Covering co���po ApPROVAI.S
Use of New
Building r85 & BLt,�Ch, g8T', �FoundationLocation I�specto
Forms, Materials,
� � Under•Pinntng
• • Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to rnmply Lath. Ext.
with all City Ordinances and State Laws regulating
building construction. ,
Signatureot R. L. i.,C,, 7S Plaster,lnt.
Permittee +�+dh ' p0' e � C.
Plaster, E�ct
Authorized Agt. / �
Mawnry Reinforced
Valu,ation t� B Permit Fe $ �.
Plan Check $ 3�- Bond Beam p �.
$ /p/� Feea� S .�"� �' (o�l"/�
FINAL
cncu ona n_u 4M 3-St
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. ,�� . . _ �, � y' —
��;� o _ �- ' - � � : - � . .. ;
' � � �— I .. .� � .
� �' - Street ' � , ' ' - • ' '
� . . i ' ' ' _' ' _ '
" " ' . _ .. ' . '�' " .. .. —,—.
- � PLOT PLAN . �. .
, 'Show locatlon and,distances from � � � "�� ' � ..' _ _. �
- ... , �� _
; property line and betweeNtiuildings. .. .- . �,�r� � � . ,
r ' ' _ . .+ ' . '
__ _. _ The 5'Jest�r.ly .57.6�- faet of the Eastarly 3c0,.�0 faet -
� of lot' 402'; New;;ort .s;esa Tract as sho�ti�n ori�a map thereo:.,, re-
j'--,".;•-C"orda,d,-.in,Eoo�C 5, Page_l�of ��:iscella�eous.I.iaps, records •of.
Qrar.ge Cour.ty, Galifornie., exce��ting tnerefrorn the Southerly
; 165.00 feet and ttie _Ilortherly 30.00feet.
.�. ri � - -
+ ' ,. --
' - - - �