HomeMy WebLinkAbout693 PLUMER ST - Building Permits� • .
;, .. . . � �1Si�
COSVA MESA BUILDING DEPARTMENT
' �� P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
�ooRE55 693• Plwmmer St. A, H, C
• COSTA MESA. GALIFORNIA
OWNER n• W• i1V11 111Vtl
"""" 1555 Placentia
A �55
�,Tv rlewport Beach
ARCHITECT
OR ENGINEER RaymondLevan
ADDRE55
: Co� Inc.
TNO. T^.1 �3227
LIC. .
NO.
cD"rlTantrb'011 r.Ori9't. CiO. c�Tv N�o.
TEL.
NO.
IEGnL LOT
DESCRIPTION NO.
A.P. NO.
SIZE �O X �^� I�'o.oF o�ocs. �
OF LOT Fr PIOW ON �OT
use oF
EXISTING BL�G.
SETBACK LINE FROM � C
cervrEn oF srw[[r 45 REAR YARD J�
p g'-3n
51 4RD RIGHT J LEFT
DESCRIPTION OF WORK
NEW d ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
BUILOING 31�/ sQ. 11� ROOMS 1� STORIES 2
SIZE W
b' �� ��C�����
DEC 3 t�r
�I�1AftCE DEPT.
r.�rv oF casta r��►
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
ADDRE55 ��'J C/ J / /U � � �
t
COSTA MESA. CALIFORNIA
FIRE �
ZONE
20NE NO.OF TYP GR �IF
vurvs �
APPROVED � �
BY � �yp p ATE
CORRECTIONS
/p i:
t'Y f � L.�. t "
CITY OF _ _ �TA 2 :� •
n n a:t .t F'
L�� �� ECT TO G. DEPT. REG.
BY P��H. f %
I ` '?j ��� :l , ,
�� �. � i 4
� i! .`e ... ri', N -�,5—� �x; .,
EXTERIOR WALL ROOF � A- --' �IG �
COVERiNG $tuCCO COVERING WOOd shingle �� t .�t/ �/G.�.� � , C
USE OF NEW �( [�y �
a,,,�o,N� Apts. Triplex and attached - , �.�- -�
1 car garage & 2 car cArpor . ,J�4� r..ip ArPROVED .-/,r- .
� �--
;� � 7 �- �sL
I HERE9Y 4CKNOWLEOGE THtT I HAVE READ TMIS PPPLICPTION PNO '�
$TPTE THAT TME ABOVE IS CORPECT AND HGREE TO COMPLY W!TH PL� •
CITY OROINANCES D STATE LAWS REGULLTING BVILDING CONSTRUC� �% -
riorv. ,, ' ) VALUATION
SIGNATURE OF // / ` _ � / PERMIT FEE $ µ�
PERMITTEE ��� �-�«�—�
L J �i ��//` PLAN CHECK S p.Z�. S'�!
$ ,` �
nurHORrzeo nGeN1 TOTAL FEE $ 6�.S CJ �e'�=
( I
� C I Y O F C O S T A M S A
INTER OFFICE MEMORANDUM
,7,1v 24 , 19 �_
File and treet Address Jacket
TO and Plan Review FROM Vic Newton
693 PLUMMER - OCCUPANCY INSPECTION
WITH ZUM MACDUFF ON JULY 22, 1981
The foll�ing corrections are required:
1. 9noke sensors in each sleeping roan.
2. Extend relief valve piping (Piv) to within six inches
(6") of garage floor.
3. Open walls of illegally constructed office to determine
canpliance with Electrical Code requirements.
4. l�move cabinets and/or other obstructions to provide
three-foot (3') minimwn clearance in all directions at
the electrical meter serving the property.
VN:sam
cc: Mr. Twn Macduff
� F+om the Des1� of . . .
BOB COCHRAN
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PHOJECTAOOflESS: 693 PLUMER ST �
awxex s Name: CALLANAN JOHN P
aooness: z54 AVE f.OBEIRO #A
SAN CLEMENTE,CA 92672
ABCHIENGINEEB:
aooe[ss:
NEG.NO.:
UNIT:
uxiT:
PENMITTEE: PACIFIC COAST APPLIANCE ( 310 ) 329-8976
anoness: 139 W VICTORIA ST
GARDENA CA.90248
LICENSED CONTflACTON UECIABATION: I here�y aifirm ihal I am Iicen5e0 untler pmvision5 ot Chapier 9(commencing wiN Section
7000) ol �ivision 3 of Ihe Business ana Pm�essions Code. antl my license is in �ull �orce and effec�.
ciTruc.: 6 3 1 s'^'E"c.:362692� cuss:
e: — —�Y SignaWre: — . _ _ _ . _
OflREBS' COMPENSNTION DELLANATION: I hereby a��irm Iha� I have a cerlificaie ol consent to sell�in5ure or a cetlilica�e ol Workers'
Compensatmn Insurance. ar a cenilied coDY �hereof (Sec�ion 3800. La�. C).
aaucvxo.:NWC119009 E%P.UATE: OBIOSI99
comraxr: GOLDEN EAG�E
� Certilied copY �5 hereDy lumis�ee Cetlified capy is filetl wi�t.h /�/�p ciry Builtling Divi .
Oaie' ���'�i Applicant:�/%L�.����
EMPTION FBOM WUBREBS' COMPENSPTION OECLANATION: Qhis sec�ian need nol be mmpl¢�e0 ii �he permit is lar ane �undred ($100) or less�.
I cetlity Ihat in Ihe petlormance al the work for which ��is permii is issued, I shall not employ any person in any manner so as l0 6ecome
sublect to ihe Workers ComDensalion Laws o� Califomia.
�ate: SignaWre:
NOTICE: II, aRer making �his aeclaralion, you shoultl became suGlect Io Ihe WorkerY Compensalion pravisions o� Ihe Labor
Cotle. you musl forlhwilh compty wii� such Orovisions ar Ihis permii shall �e tleemetl revaketl.
CONSTflUCTION LENUING AGENCY: I hereby allirm Iha� I�ere is a constmc�ion lending agenty br Ihe per�armance ol Ihe work for
which Ihis Oermit is issuetl (Seciion 3W7. Crv. C�.
LENDEfl:
AOOHESS:
OWNEB BUILOEH OECLAflATION: I here�y affirm Iha� I am exempi imm �he Conlractors' S�a�e License Law for ihe following reasan
(Sec�ion 7031.5 Business antl Pmlessional Coae: Any city at counry which reQuires a permit �o coretmc4 al�er, impmve. Aemolish, or
repair any slmtlure. prior �o ils issuance, also requires �he applicani for such permi� lo �ile a signed 5ta�ement t�a� helshe is licensetl
pursuam�o Ne O�ovisions oll�e Conlraqors' $tate License Law�C�apter 9�commencing wilh Section 7000�of0ivision 9 oithe Business
and Pm�essions CODe� or ��al �e/she is exempi I�erelmm and ihe bass �or �he allegetl exemption. Nny viola�ion at Sec�ion 7031.5 by
any applicani for a permit sublec�s �he aDPlicant to a civil penal�y ot nai more than five hunaretl tlollars �5500).
I, as owner oi Ihe Oroperty or my emplayees with wages as t�eir sole compensaiion, will do �he work, an� Ihe
❑ simcWre is no� imentle0 or otleretl far sale (Sec�ian 7044, Business an0 Pro�essional Cotle: The Contracmrs' S�aie License Law
does nol apply lo an owner ol a propetly w�o �uilas or impmves thereon, anA who tloes such work himsell/hersel� or �hmugh
�is or �er own employees, pmvide0 ��at such impmvemenis are noi iniendetl or offere0 br sale_ I�, however Ihe builtlmg or
impwvement is sol0 wiihin one year of completion. �he owner will have ihe Durden ot pmving he/s�e ditl not builtl or impmve
for Ihe purpase o� sale�.
I, as owner of the pmperty. am exclusively contracting wiih licensed contraclors �o cons�mct Ihe pmlect (Section 704a, Business
�❑ antl Pmlessions CoOe'. The Contracmrs' Slate License Law aoes nol apply to an owner o� pwpeny who builtls or impmves Ihereon
' antl who conVacis lor such pmjecis wiih a coniracloqs�license pursuant �o Ihe Con�rac�ors' State License Law�. I am aware
'. Ihat pwoi ol �heir Worker's Compensation insurance should �e pmvideA to me.
'I � I am exempt unaer Sec�ion: B. 8 P. C.
lor lnis reason:
oam Owner
I tlo hereby cetlify Iha� I am aware o� ane un4ers�anOlhe reQuiremenis ol Califomia Healih and Safery CoOe Sections 25505, 25533, antl
25594 ana I�ai I or any fuiure �uiltling occupam will/will no� (circle one) need to comDly with saitl state cotles and the requirements for a
permil lor cons�mc�ian ar modilica�ian imm Ihe Nir Ouality Management DislricL Residenlial canstmction applica�ions are exempt fmm
IheS¢ provlSl0n5. �
�a�e: ApplicanL
I hereby certily I�atl have reatlihis applicaiion antl slaleihat the a�oveiniorma�ionis correcL I agree lo romply vn�h all ciiy and couniy
ordinancesantlslalelawsrelatinglo�uildingconsimc�ionantlhere�yamhorrzerepresen iveso��hisciry�oemeruponlheahove�memioned
praperiy lar inspection purposes.
�u '� �! Signalure� ����5����
er's License or Social Seariiy
1644a6 Whne-9utlOmg�, Green—Cotle EnbrcemenL Wnary—Ap0licant; Pmk—Revenue; Goltlenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 065456 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU
JOH DESCRIPTION ; DI5HWASHER CHANGE—OUT
CLAIM VALUE; CALC—VALUE;
PERM NO: P 06545
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:
GROUP OCC: A-3 /
COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT
*+t�t�t*�t**itititfr*x�t*****+r�+r*****�tx�*�t�r*�+r*�r*�t+��r*+r***r*x�*�r�r�r+t********�t�tx�*r*�r*�t�t+��t�t**�
Z O N I N G R E Q U I R E M E N T S
S E T H 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 REQ• PROV; PARCEL: 13942105 ZNE; REF NO:
PLANNING Nf3'PES>
i
x�r*�r��e+r�r*+r+r�rx****kx*+�*+r�r�r*xx�*x�r�r�r�r�r�r+r�r*��r�r�r�+r+�x�+r*�r�r�e+r+r**+r�r****x��+�+r*x *w���+�*�r**x�
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 HY DATE:
BUILDING APPROVED HY : DATE:
i�' DATE: ����3
APPLICATION ISSUED BY:
ifiklflkiE1f1f1fit7Flf1Elf1EiflfiFikiFikiflk 1EiEfflEiEiEiE1!lF1f 1k1E
lt�flflkiEifktF1E1E1f1t1f1f1fif1tltifiElflfiFiEklEifikififlfMlfillklfiflf7hltifllfliflfitiF%iEifMklEitiEiFNiEiElElkiElfifilfkiEiEfEiEiE 1lfEif ifiFif
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
z5; SMIP/NON—RES
PLAN
ISSUE FEE 20,00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7,00 20.00 0.00 27.00 27,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27,00
if if iE 1E ff iE fklFlf iFlF 1F iElF ff %if it if 1f 1E �E 1f 1E 7E M!E!F iF if ff 1f 1k i! if K 1f 1f %i! iE 1t iF iF 1F iF 1E if if if 1E iF 1E iE 1E M it IE 1E IE 1f fE iElf �F ik �lE �f if 1F if if 1f 1f iE if iE �f iF
I N D I V I D 0 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 IINIT COST TOTAL COST
PLU 1 DISHWASHER 7,00 7.00
END OF FEES
�: ooi:.�v?-cois3>>� Ta� a�,00
:spTEo O1!fl4/9# TIi1E: 14:"ss
CONS7R�CTION ANp PLAMi��iNG
APPROVALS Permit #
1. Temporary Electncal $ervie2 or Pol�, �
� L.
2. Soil Pipe-Undrgrnd. �� ^"7
�
..,�i'.,�Etect�ical Condult Ur lity-Undrgtnd��
J C..€tectrical Canduit•Undrymd. ..-. ;
-^��, �
�:�`5t?.�� Reinforcemenc� ''
7':
�: 6. _Eiectr�cai UFER Grnd .c � �
r
':��' ooungs � '
_ - ..
,8.,_Poy�ndation - . -
9. PJater P�pe-Und7qrnd.
10. 5tructurai FioocSYstem ' ;p
G
i t. Proper ty Sev�er Line & Houae Conrect�on
12. SCKver CaP �f '
�,
'.3. Roof Drains �
14. Rou9h Piumhlrtg, "
i5. Rouyh Electrical•Condurt
i6. Rough Eiectric"1Vi�ing
17. Rough W�ring Sign
18. Rough Electric�al=T Bar Ceiiing
19. Rough Heating & A�r Cpr.diLOni�g
�+--��
20.�•5�oifh FAcxdnj Firep!ace '. a C"
f � N '� j
27 f
�-�---
Daze Inspector
POi t SPA
APPROVALS Permit;�
� 52. ?ooi & Equicrmcnt Locat o��
53. Steel Reinforcement
54. Farrns '
55. Elect�ical Bording
5S. Rough Piumbing & Pressure Test
57. 4PPROVAL ?C COVE?-GU''!�.`[
+
Date
58. Electneai CorculFUnd�G�na. I
_f
59. Gas P�pe, rJ Unt;�prnd., TeS �
B0. Bacl�tvash I.:��Es. P"rar. C Uc: r.,, d--� -
BL APPROVAL TO OECK �
62. Badc.e�zsh iL R�c�p;c -5.�. �- ---
63. He�ter & Ven(-Finai
GG. Flumbing SYstem � F'r21
65. Eiectrical�F�nal
68. Solar System�Finai
6J. Fencing & Acc�ss AnP�a�.�l
68. APPROVED FOr� NLASTCRING
69. POOLiSPASYSTEh�iSFINAL
1
inspett�r �
i
- -J
I
___ _y
i
i FIRE DEPT. REQUIRER?E�JT I '
.:-�-�a�.�.��.. _ _��;,r - . r, !
� ( D �^> '�cAAPRUVA��' �O�'ermit -,� " � _- -
�_
i H ^'�' A 1 J.�� � -" 7��
ti -� -1-� 'R � �«iC �r'� i „i .
.:9uGt5, �n $i,uctu o. .. .. .-, ; ry I ..a . 9;c1� W1, •
S o �-�0. trad_r y� �
22. Ducls. VcntilaUna ' I •'aS �-��-<� • � �� ` � -- � � - -- -
- � r, • •' �t_. 7._^�t . 1. Produc�i�+'��nq � �s -:Q�I
23. ;Gas�F,ipe_F?ou�h &'1'�es[ i r.� r � `r ,ti i * .` � %2. U�'Flu=�iy '
- . � � .• r--� _ ' -`-f ^7-=�- �-^- - I --- -� - - .
24.tfiooi Fr2�'iin^y: � - � -.-, ..c., , J x x Sdo -Und�rgrm7 S��rfict a• �c 'r. Gas - -t•� '
.» � r
7.5. Roo{,She3thing ; � 'v
-�-
26.�i'-B� Ceiling (Str�cturail & h7Eeocoat
27.�ra�neand FlaShing� '� r
.28. L2thing g • . . ':y�.:,r_-
& Sidin -�;
i- ' ' ��x---.-
r H .. •. �
�29. insulat�ais � - ; „
r-. ..
*30. Dry:.a'I_"4aihng �'� ' -
.: �..�. �---
��7. Piaster Bfu�vr, Coat � �. � r ,, _
32.cElectnc,y.Pol•+�r ti!etef ��r�al i �`�
_� _ . - `--T.;� - -r
,33.-,.�in� Electric � ` ; i �
-�4.:Fi�a�He;7tin�&Air��o�dit�o� ��r j
35.•; �nAt^Gas Pipe�Te� " �
�_l_ _ _ _c_
36.'�'iood or CanoPY .,. ;�' �� . �:� .i .
��^ �.--._:--
�7.�z.�aTFactorvF�reo�;cE ' ' .'�
,?8. Final Piumtr:ng �,r � �� j .�
.. �_,-t. v-
J9. �`.'ut�t Service-Final �'
.�0. Gas Se•v�ce-Pinal �.; ,,, �
K�
_-{-�-ii� 'Y
z31. $oiar pomestic�Finai = � i ^ � �h
'r2. �ac�<flor✓Preventer'.;''
43. Backflow irriyation� � :�
� �4 Landscape Irugatiaa System ��� ,�
i , . D'�7C: ..
i �,5.�ound Att2rtuaiior� �-�,�^-[��-
___� -' , . .4 -i . ..
�� �6. `�IandicaP..Regulatioiis � -
I 41.�IN�LSTRUCTUf!E t4 BUIS�JING .
� a8.:rtNALPLRi�tNI�G '
� 49. �fecYric Release to Edison �
60. Gas Release to Southern Calrf�pr_n�a Gas
�1. CER IPICATE OF OCCUPA Cl'
Date
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AVV�icant ta fill In all soaces ezceo� thoze within neavy boraer lines an0 sign all aooropriate aeclarations.
CITY OF COSTA MESA CONSTRUCTI N PERMIT PERMIT N� ` � � TRACT NO: LOT NO. UNIT NO.
Project Address 9
Applicant'sMailingAddress Q�' � '9�
Owner'sName � � Phone�-Un-'/
Address � � •��LLON Q19, �/2 . �r1' �J�H %hP�/Q
ArchlEng. License No.
Address
�
Contractor's Nam -� �� Phone �
Address (mailing) ' � �=%
City Licenu No. ���
LICENSED CONTRACTOR DECLARATION
I hereby aHirm Iha[ I am licansetl untle� provislons ot Charte� 9(commencin9
witn section ]000) of �ivision 3 of [M1e Business antl Pwtessions Cotl/e� antl
my Iicense is in full torce antl effect. �— 3 Qn/
License Class���f,'�' �� ( License No.
Date3 �iY.— �7 5l9nature � •/
WORKERS' COMPENSATION DECLARATION
iereby a(firm tnat I nave a certl/icate of mnsent to salt-insura or a cerUBcate
Workers' Compensation Insurance, or a certifietl copy the�eof (Section
�dB00, Lab. C ��—,r �// / T
p�licy No. �WC��� Company//Y( 1-L!C
fp,�Q Certitietl Copy i5 hereby fumis�etl.
LJ Cer �'f�', tl c9 py is filetl with the clty Buirtl�nd Divis}� �
� Date.� f2/! (2/_$..�— APPlicant ��S/'� `�%/-
\E%EM frioN FROM WORKERS' COM NSATION DE LARATION
(This seclion neetl nal be completetl it the permit is tor on¢ huntlretl ($100) or
�Ie55�.
I certity Ihat in Ibe perfo�mance of the work tOr whith this p¢rmit i5 isSueQ I
SM1all nOl employ any pelSon in any manner 50 as t0 become subject lo the
Workers' Compensation L,aws of Califomia.
Dat¢ $i9naWre
` NOT�CE: It, a(te� mdking this tleclatation, you shoultl becoma SubjeGt t0 the
� Workers' Compensation provisions ot the Labor Coda, you must for[M1witn
comply with sucb provislons or [his permit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
�I hereby afti�m tM1at tM1ere i5 a wnstruction lentling a9ency for the pertormance
of [he work for which this permit is isSueG ($ection 309] Civ. C.)
Lentler's Name
Lentler's Atltlross �
OWNER BUILDEH DECLARATION
I hereby affirm tnat I am exempt from the Contractor's License Law for the
followin9 reason (Settion 7031.5 Business antl Professlonal Cotle: Any city or
counry wni<h reqWres a permit to construct, alteq improve, tlemolisn or repair
any structure, prlor to its issuance, also requires the applicant tor such permit
to tile a Sign¢tl statement that he/sne is IicenS¢tl pureuant to tbe prOvisions of
•he Contractor's Litense Law (Chapter 9(commencing with Sectlon 7000) of
'viSiOn 3 of t�e Busin¢55 antl P�ofe55iOns Cotle) o� that h¢/She I5 exempt
erefrom antl the basis for tne allegetl exemp[ion. Any violatlon of Saction
.031.5 Ey any applicant for a permit subjecfs the applicant to a civil
�enalty of not more t�an five huntlretl tlollars (E500�.
I, as ownC/ of the property or my employee5 with waq¢s as th¢ir sole
compensation, will tlo Ne work, antl ihe sVucture is not Intentletl orolferetl
for wle (Se<lion 7044, Business antl Professional Cotle: Tne Contratlor's
License l.aw tloes not appty to an owne� ot a property wno builtl5 Or imp�oves
thereon, antl who Eoes such work himseli/herself or throu9h his or her own
employees, pwvitlCtl Ihat such imOrovemen[5 are not intendatl or oHeretl for
sale. I1, howeveq the builtling or improvement is solG within one year o1 com-
O�etiOn, [he owner will have ihe burtlen of provin9 ne/sne tlitl not builtl or Irt�-
prOv¢ tor lh¢ purpose of sale).
❑ I, as ownet of lhe proper[y, am ezclusively contraGtinq witn IlcenSetl con-
tractors to construct the project (Section 7044, Businesz antl Pro/essions Cotle:
The ConVactor's License Law tloes not apply to an owner of property who
builtls or improves lhereon, antl who conVacts for such projects with a con-
iractor(s) license pursuant to the Cont�acto�'s License Law). I am aware thaf
proof o( their Worker'S Compensation insurance zhoultl be prOvltletl [o me.
❑ I am exempt undcr Sectlon B. & P. C. for thls reason
Date Owner
1 hereby certify ihat I nave reatl this appiication antl state that tne above
informatlon is correct. I agree to comply with all tlty antl county ortllnances
antl state laws relating to builtling consVuction, antl hereby autnorize repre-
sentatives ol tpl� �{ty o ente upon the above-mentionetl property for
InsPection pu�6ef���� -�_ �� j}q
Signature ��6 Dat�s ,�,"__t��
Drivers' Licensc or SS � '� — �—��
TYPE OF CONSTRUCTION•> LJ NEW LJ ADD U'ALTERATION LJ REPAIR
❑ CONVERSION ❑ OEMOLISH �OTHE n
DESCRIPTION OF WORK/USE OF BLDG ��h ��,6..��'L�
TVPE OF PERMIT LJ GRADING LJ FOUNDATIdN LJ 5T(3UCTV RAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sq. F7. � OCCUPA/NC,V—_ '
� CONSTRUCTIONTVPE VALUATION$/'(O(}G
ZONE GRADINGCU.VOS. ACRES—
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtu6s
Jrinking Fountains
=1oor Drains
=1oor Sinks
.�i25 $ENICE Ol1LICl5
I nterceptors
Kitchen $ink
Lavatories
P-Trap
Roof Drains
Reinspection Fee $15
Boiler
Duct - Under Ground .
Duct - Strucmral
Duct - Ventilating
Exhaust System ❑ Multiple
Pirepl/Fact. Blt. ICBO #
Heating Syscem & Ducting
❑0.100,000 BTU 0100,000
Reinspection Fee � ' S15
CMF 0865-46, rev. 30/Ba Wnite - Builtlinq; Canary - Applicant; Pink - Accoun[Ing; Goltlenrotl - qssessor
Showers
Servite Sink
Sewer Cap
Sewer Connection '
Solar Collectors
Solar Pipin9 �
Solar Tank
Swimming Pool w/Spa
Urinal
W3[2f CI052L
Water Heater
Water Service
Auto�Wash
laue Fee
Hoodor Typel ❑
Canopy Typell ❑
Retrigeration System
❑0-t00,000BTU ❑t00,000BT
System Repair/Alteration
Fire Dampers
Registers
I�sue Fea
FEES
$ 3
$ 3
A.P. #
S Main Building:
E
T Front
A Rear
C Right
g Left
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction PoleSub.
Cooking Unit
Dishwasher
Dryers �Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
OuHe[s
Switches
Garbage Disposal �
Generator DO-5 KW C
4441 3/23/87
Zona
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meref ❑up ro 100 amps
Merer ❑over 100 amps
Sub Panel
Morors �41 HP � 7 X- 8
Inc.Solar �9�15 HP 016-75+
Microwave
Pole Light
Range
Standing Sections
15 KWT Trash Compactor
� Reinspection Fae I S75 � � laue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
ZaninB APProved 8y
Building Approved By
Appliwtion Issued By �
SU ARV OF FEES
BUILDING PERMIT 5 SMIP
PLAN CHECK $ � PERMIT
PLUMBING . $ ISSUANCE
PLAN CHECK 25% $ ENERG� P.C.
ELECTRICAL g GRADING
PLANCHECK 50% $ MICFOFILM
MECHANICAL $ TOTALFEE
PLAN CHECK 25% $
FEES
S 3
$ • ��
B
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CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical�Service or Pole 52. Pool & Equipment Location I
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-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 67. 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
20. Rough Factory Fireplace APPROVALS Permit # _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (5tructural) & 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 �
i
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
39. Water Service-Final -
40. Gas Service-Final
47. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation 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
Aoo���ant to riil in all zoaces except those witnin heavy borGer Ilnes ana sign all aoarooriate aeclarations.
CiTY OF coS7A SA AC N.STRUCTION PERMIT
Project Address _� 'li ��L�.C�JyNI'���12 � l'
ApplicapY;jNailingAddress Zdr! � %� 7/ /l�i �i
Owner's Name ��� �-Q�� PhonE�42'���
Address
Arch/Eng. t Licenu No. G� 7 �
Addrext ���- � `
Con[ractor's Name � Phone �
Addreu (mailing)
Ciry License No.
LICENSED CONTRACTOR OECLARATION
I hereby atti�m tha[ I am licensetl untler provi5ion5 0( CM1arfer 9(commencing
with section 7000) of Division 3 0l the Business antl Professlons Cotle, antl
my license is in IWI force antl effect.
�icense Class LicenSe No.
Date Signature
WORKERS'COMPENSATION DECLARATION
' hereby affirm t�at I have a certiticata of con5en[ to self-insure or a certificate
Workerz' Compensation Insurance, or a cerUfietl topY thereof (Section
J00, Lab. CJ
Pollcy No. Company
BCertifietl copy is hereby fumishetl.
Certifiea copy Is tilea with the city Builtlin9 Divislon.
Da[e Applicant .
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION
(TM1is section neetl not be tomple[etl if the permit i5 tor one huntlretl (5300) or
Iczs).
I certity that in th¢ Performance of the wo�k for whiCh thi5 perm�t is i55uetl, I
shall not empioy any person in any ner so as to beco e s-�
Workers' ompe ation Laws of Calif r ia
Dale Z. _�� Si9nalure
NOTIC . If, att�making this tleclara on, you shoultl become subject to the
Workeri' Compensation provisions o the LabOr Cotle, you mu5t tarthwith
comply wilh such p�ovisions or thi5 permlt Shall be tleemetl �evoketl.
CONSTRUCTION LENDING AGENCV
I hereby attirm that there is a construction Ientling a9ency tor the oerformance
ot tho work tOr which this Oermit is issuetl (Sectian 309] Civ. CJ
�.entler's Name
Lentler's Atltlress
OWNER BUILOEH �ECLARATION
I hereby aftlrm that 1 am exempt irom the ConVacror'S License Law Por tM1e
foilowing reason (Settion 7031.5 Busine55 an0 Professional Cotle: Any clty or
county which reqWres a permit to construct, alter, Improve, tlemolish or repair
any scruciure, prior to its issuance, also requires the applicant tor such permit
to file a siqnetl statement that he/she i5 licensetl pur5uant to the provlsions of
the Contractor's License Law (Chapter 9(commencin9 with Section ]000) of
��vision. 3 of Ihe Business antl Profess�ons Cotle) or fhat he/she is exempt
�refwm antl the basis tor Ihe allegetl exemptlon. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more Ihan five huntlretl tlollars ($500).
Q I, as Owner of the property o� my employ¢es with wages as their sole
compensation, will tlo the work, antl the structure is not intentletl or offeretl
for Sa12 ($ection 7046„ Business antl Professional COtle: The Contractor'S
License� Law tloes not apply to an owne� of a,p�ope�ty who builtls o� Improves
lhereon, antl who tloes sucn work himself/herselt or through hls or her own
emplOyees, provitletl [hat such improvements are not Inientletl or ofteretl (o�
sale. It; however, the builtling or improvement is soltl within one yea� of com-
pletion,. the.owner will have itte burtlen oi proving h¢/she tlitl not bulltl o� Im-
p�ove for the purpOse of sale). �
� I, as owner of the pro0erty, am exclusively contractinq with licensetl con-
tractovsto conSlrUct the project (Section 7044, Business antl Profes5ion5 Cotle:
The Contractor's License law tloes nol apPly to an owner ot prope�ty who
builtls or improves lnerean, antl who mnttacts for Such projects with a con-
traclor(s) bcense pursuant to tM1e Contractor's License Law). I'am aware that
proof of their Wo�keYs Comp¢nsation insuran<e shoultl be provitletl to me.
❑ I am exemp[ untlet Section _ B. ¢�f. C. for [his �eason
Date
Owner
iwtion and state that tne above
th all clty antl county ortlinances
:ion, antl hereby authorize repre-
above-mentionetl Or erty for
- Date 1' 7 �
�� � ' '"
CMF 0865-46, rev. 10/04 White - Builtling; Canary - Applicant; Pink - Acmuntlnq; Goltlenrod - Assessor
$15
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System;
❑0-100,000 0 100,000
Sys epair/Alteretion
Fire Dampers
Registers
luue Fee
$ 3
, .��`- + ,.__�,,��-== °�
,.
A.P.#424--2�2-oz: r� ���a
S Main Building: �' � cceszory Building:
TFront S� � �I� _'"_"
A Rear 2 �,� .c�.;rUra;u>�,s��..rc�'
C Right .�{�GC��( ,
S�eft y� � �.� _.
Ping. Ref.qi� Parking Req./Provided
PlanningNotes: p�[{-p✓i!]Y �/IiY(!1V'_ r'�PX
Automatic Washer
Construction Pole Sub.
Cooking Unit �
Dishwasher
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
$wiLcheS
Garbage Disposal
Generator �0.5 KW
Fee
ELECTRICAL
Transtormer O 15-50 KW �
❑ 50+KW
Meter LJup to 700 amps
Meter �over100amps
Sub Panel
Motors OO-1 HP � 1 h- 6
IncSolar 09-15 HP �16�15+
Microwave
Pole Light
Fange
Standing Sections
5 KW � Trash Compactor
��
$15 Issue Fee
DEVEIOPMENTSERVICESRE�UIREMENTS:
Zoning Approved By��`�
Building Approved 6y ._f5 ._- �/
FEES
$ 3
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� SUMMAFV OF FEES v _ ��
� BUILDING PERMIT $ - l U' dU SMIP �$, � v
PLAN CHECK $ �__• ��% � PERMIT
PWMBING � $ ISSUANCE $ -.
� PLAN CHECK 25% $ � ' ENERGV P.C. $ - "
ELECTRICAL �$- 3,�f0� 'GRADING' $ �
PLAN CHECK 50% $ • a0 MICROFILM $
MECHANICAL $ _ TOTALFEE $ ��'�
PLAN CHECK 25% $ - �
CONSTRUCTION AND PL�ANNING POOL & SPA .
� Date Inspector AppROVALS Permit# Date Inspector
APPROVALS Permit #
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 UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation � � a� �� ��/,.o' S9. Gas Pipe, O Undrgrntl: , 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 & 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
20. Rough Factory Fireplace APPROVALS Permit # _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating . 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergmd.StorageTankL]Gas ❑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
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. FINAL STRUCTURE & BUILDING � '.� ,
48. Special Requirements Completed �
49. Electric Release to Edison , � ��
50. Gas Release to Southern California Gas Co � ' i
51.CERTIFICATEOFOCCUPANCY � j
No. Date
:
�OWNER GALLEMORE,-William W, UAIt 5_�_
�JOB ADDRESS 693 P1uP^r Street p1�ILDING PERMII
soii
GAS
� WATER
�u
LINE U HOUSE CON.
SYSTEM
AND AIR CONOITIONING
UNDERGROUNO � POWER LJ
ROUGH WIRING
TFENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
60�� BEAM � STEEL REINFOftCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT [�
PLASTER.BROWN COAT
HEATING, VENT., REFFIG. AND A.C.
PWMBING, FINAL AND GAS TEST [
ILDING, FINAI
FIRE ZONE VALUE
GROUP TYPE
SUBCONTRACTOR
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' 36592
COSTA MESA BUILDING-SAFETY DEPARTMENT
F.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING �93 /�L�/`�EiP s T
ADORE�S
OWNEFi �jjLL/�f� 6i/ C,�LLE/'70/PE
ADDRESS a��y �ED��-tiDs DR�
cirv C(ASTiS� /�t ES.4 No`.SS�O�..
BRANCH
ADORESS
ARCHITECT
ADDRESS "//
CONTRACTOR ��/ � e��.� '/. //JI✓!/.
Y���
ADDRESS
TEL.
CITY NO.
STATE CITV
LIC. NO. LIC. NO.
512E y� / NO.OF BLDGS.
OF LOT .S {/ �C J,rU NOW ON l0T I
EXISfINGBLOG. ���5/ /JQ�G
SIZE OF /a�X / NO. OF '1
NEW BLDG. FOOMS � STORIES �
EXTERIOR WAIL ROOF �p
OOVERING ,ST�CCO COVEPING WOO �/�//vl
USE OF BUILDING AND WORK TO BE PEFFOFMED
I hereby acknowletlge ffiat I have read this application antl state
Mat the above information is correc[ antl a8/ee to comply with
all laws repulating builtling consnucfion, antl I shell not employ
any person in violation of the workman's compensation laws of
the State ot Calitornia.
I �ereby certify that I am properly licensetl as a conbactor untler
the State of Calitarnia Businass antl Protessions Cotle, Divisicn 3,
Chaprer 9, and ffiat such licenzes are in full force antl etfect, or I
am exempt from t1 e provisions of ffia Sta[e of Calitornia Business
antl Professions Coue, �ivision 3, Chapter 9.
S i8natu re of �nG��vLLY/'✓ W���[/fL�1✓✓r/7Q�
Permittee
Authorizetl Agent
.,,,, _��-�3NF,�00 2�,� � . ::,�,•.:<5.50
AP LI ATION FOR BUILDING PERMIT
R C � DATE R EIVED DATE I SUED
`�— _ 7J. / r ,��
7
PERM7S NO:Q�
A.P. NO �! J /L
BUILDING O � � �
ADDRESS �
TRAC LOT eLOCK
W ADD A R P
\
OWNER � A�{�
SE , �f6 ��� �1U /
FIflE
ZONE VPE GROUP ^
RVPROVED /I � ! � DATE.") �/�
9
VARDS APPFOVED
MAIN BUILDING
FOM GL STREET)
VAR. #
VARDSAPPROVED
FT
&
DATE
APPROVED
_ ��
• '
b
SQ. FT. o
THE AMOUNT SHOWN UNDER VALUATION IS FOR �
THE PURPpSE OF E5TABLISHING A PEFMIT FEE ONLV: p
VAIUATION � � m
PERMIT FEE $ �
7
m
$ ��PLAN CHECK $ � E
lY `Jl o
'�Z� LL
TOTAL FEE $ ,