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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 �� � ��� �..n;�� �r : /,��rd ��� ,z � �% � � 1 �� �� �� ��������� �;, � �,�/.�� ����� �o � sr I 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. $oiar pomestic�Finai = � i ^ � �h 'r2. �ac�<flor✓Preventer'.;'' 43. Backflow irriyation� � :� � �4 Landscape Irugatiaa System ��� ,� i , . D'�7C: .. i �,5.�ound Att2rtuaiior� �-�,�^-[��- ___� -' , . .4 -i . .. �� �6. `�IandicaP..Regulatioiis � - I 41.�IN�LSTRUCTUf!E t4 BUIS�JING . � a8.:rtNALPLRi�tNI�G ' � 49. �fecYric Release to Edison � 60. Gas Release to Southern Calrf�pr_n�a Gas �1. CER IPICATE OF OCCUPA Cl' Date =''-`a'a-�` - �-t��- --- - -�-- - - v .= •'- �. > - � i '� �J. f� /4.��vrr'nead�iYd�or' _ I _�_ ' : . - _ _`--r-_�' __ _ T- ___- _ _ _ _ _ . - ' f 7�_.�'�,',ry ChCrr..^�I �" � "� _ `, ' ._ _ _ _' _ _ _ ti � - . .- I �i t�� 76.E�Jry Star.d:l:l �..'v T� :: rI � �,z . , �. • � -y+.--,-�---r'- '. �: . �- � _ . , . > . 77.- FI;CEDS1�a�E(v?%F�Fd;�LK � ! '�' ' Li.Q_P�1.u__`_r_i,_ fL �_-_ i I �t � {E.�FIRL- PR�G\�. FI"'l;r,. t•. � r -�- :.�r---- -�-^- -�'--'X-�-- -�- � � �+ .� --,� .� , ;a�iaLTH:�EPTtR�EQ:�1R[tri_i��T �l y ,. '- �_:,.::�,- -`�- -ZR---- -- ---- - .�,�?O'f�ALPi$�.��.cCT��. ��� �' I � �1-��x+= ---n-:;- � - �T - - t- � r;�J.r,^,GDC[RT'�u%1C'S'a '_7 � I � � � y, is- - -�._Y�v-t� . ' - 1_.. ';r � •� •7 : + j ";',•1+. . �''�lto.f..`�,s: -] �]r7 • _ ' � i� �- � � T�i��-__'..r.iT-� .F _ 7� � °� ..2=�"-�'4 _ ' P-`-(,l:.L,�L � �_- _� � ' ' _; � , � � r �, • ,. - -;. - _ � �, i _-�- . T__- i l�'-"- _-___ - �. _ < �c .- _ . , • � .Y.� - = �-- -}-- -- �� , - :. � � � ' ^ t v -s+-�-,'�- � e -� � - - j.,- -�-_----- -- ----- . . �. -� ..--~- --F �_Y -- --�- . 1 x ^ t; n I IY * : � � �_if_ FI _r_'_��_ _ 1 � �./' � � T I - -.� . � I � l � �, •-•'-.--� �� ;>,I� ,� G` I� p (�i H-�-ca-�,-�_- _-_ :-' " , J� � � > r� � --�+-3 - -- - .. µ % * ` . ,.- _F S _ �:� i "1 �.� _-.T.-a_<. �,- - -- - 1 i - ', _ �-. . Q,�; . ^' • =.. + q f ' -�_-}--_ ________. _ _� -i _ r C' 4 - ��_ _ _-"_ _- ' ' � x i . - - -y ' - I . + , .^y t . - _. _� • on; . P �. T . -� - 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 5 5 5 5 Z O N I N G R E Q M T S c. . dj, 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 Z O N 1 N G R E Q M T S � 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 Z . aU Z ZQ O v~i am J � J U7 Q W 0] J m J Q UN Z a W ¢ d W J Q m Z J � W w 0 = Z �— w � N � �O H z Q U J a a Q 0 � N Z O F U � � F N z ' 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 $ ,