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Home My WebLink About1577 PONDEROSA ST - Building PermitsI PROJECT ADDRESS: 1577 PONDEROSA ST OWNER'SNAME:DE FRANCHI, BARBARA AODRESS:1641 MINORCA DR COSTA MESA,CA 92626 •a1 I ARCH/ENGINEER: ADDRESS: REG.NO.: UNIT: UNIT: PERMITTEE: BEST ROOFING (714)557-4040 ADDRESS: 765 ST CLAIR B COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div;elon 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.:O51718 ,STATE LIC.:6O3323 OtA '-39 EXP: 09/95 ,�Jr _ Signature. y00RKEfl TCOMP NSATION DECLARATION: I hereby affla Thal l have a cert) tate of consent to self -insure or a certificate of Workers' Compensation Insul-n5g a yofied copy thereof (Section 3800. Lab. Cf POLICY N0.: 11/J11-94 EXP.OATE: O6/01/95 COMPANY: STATE FUND ❑ Certified copy is hereby furnished 91 Certified copy is filed with the city (ding Division. Na'e: .2— 1 r of <, Applicant: EMPTION FROM WORKERS' COMPENSATION DECLARATIO . (This Section nee lot be completed if the permit is for one hundred ($100) or less(. I certify that in the performance of the work for which this permit is issued hall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that belshe is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pmlessions Code) or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve lot the purpose of sale). 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts lot such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: naro I do hereby certify that I am aware of and understand the 25534 and that I or any future building occupant wilVwill In permit ler construction or modification from the Air Ouali these provisions CITY OF COSTA MESA — BUILDING PERMIT PERM NO:,B 070897 PERMIT NO: B 070897 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION T/OFF E REROOF W/COMP, SQ FT: 2,893 CLAIM VALUE: 2,893.00 CALC—VALUE: 2,893.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS ARE REQUIRED 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: 13931212 ZNE: REF NO: PLANNING NOTES> MM M MMM M M M MM M M MM M MMM M M M M M M M M M M M M M M MM M M MM M M MMM M MM M M MM MMMM M M M M M MM MM M M M M M M M MM M M M MMM 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 NST S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: MMMMMMMMMMMM�lM MitMMMMMM MMMMMMMMMM MM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMM LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0,00 0.00 54.50 54,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHOAT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 ,50 M MMMMMMMMMMMMMMMMMMMMit itMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM1fMMMMMMMMMMM MiE M iFM i6M I N D I V I D U A L F E E B R E A K D O W N TYPE Owner: I SFR requirements of California Health and Safety Code Sections 25505, 25533, and of (circle one) need to comply with said state codes and the requirements for a ly Management District. Residential construction applications are exempt from Date. Applicant: I hereby certify that I have read this application and state that the above ordinances and state laws relating to building construction and hereby auth property for Inspection purgpel / briver's License ar Social Security 164146 White—Balding; Green—Code Enforcement; Can; is correct. I agree to comply with all city and county mauves of this city to enter upon the above-mentioned Pink—Revenue; Goldenrod—Assessor QTY D E S C R I P T I O N 2893 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1,00 2,893,00 01 0017567.7-00175628 TCT 54.50 DATE; 01/26/95 TIME: 12:04 CONSTRUCTION AND PLANNING APPROVALS Permit # Date inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd., 53- Steel Reinforcement --- 3. Electrical Conduit Utility-Uniirgrnd. i- 54. Forms / 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - k 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. .8. Foundation v 59. Gas Pipe, O Undrgrnd., Test R,. 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 APPROVALS -Permit # 20, Rough Factory Fireplace - 21. Ducts, in Structure • _ -70. Underground'Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas 0 Oil 23, Gas Pine -Rough & Test 72. Underground Flush 24. Roof Framing 73.7Undergrnd.Storage ;Tank 11Gas El Oil 25. Roo; Sheathing ( 74. 74. "Overhead Hydro 26. T -Bal Ceifing (Structural) & M000coat -��. 75, Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing & Siding. - 77.- FIXED SYSTEM -FINAL 29. Insulation •• 78. FIRE PREY. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - ;79. FINAL INSPECTION 32. Electrical Power Meter -Final 60. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning 35, Final Gas Pipe -Test 1 f `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 Presenter ,. 43. Backflow Irrigation _ 44. Landscape Irrigation System r 45. Sound Attenuation' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING-� ; 49, Flecthi; Release to Edison 50. Gas Release to Southern California Gas Co - - 51. CERTIFICATE OF OCCUPANCY No, Date I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations v Cl Y OF COSTA MESA CO STR UCTION PE MIT P RMIT NO. 3�-7 9 Z T T(�jIQ�/, LO N UNIT NO. A.P. � �'%/� 2 Zona Project Address i derc�s� S iS 1 S Main Building: Accessory Building: M TYPE OF CONSTRUCTION rvEw ADD ALTERATION REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHE�7�s � �[ DES RIPTION OF WORK/USE O LDC. ^ y //• C � �,�/—��q.LL� Ejr , `R h _Ism` 'Applicant's Mailing Address IYI Q_ /6 ner's Name De Phone Address 571 Pct eR'JJA S � T Front D B A Rear N I C Right N Arch/Eng. License No. Address TYPE OF PERMIT LJ GRADING FOUNDATIo STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL CD OTHER PROJECT DESCRIPTION So. FT. OCCUPANCY �. g� CONSTRUCTION TYPE =IJ VALUATION $ I. J;1 ZONE GRADING CU. YDS. ACRES K $ Left G R Contractor's Name _ L Phone /� ] Address (mailing) Z-� V v`-' LIQ^ `� City License No. oO J Ping. Ref. # Parking Req./Provided E r Planning Notes: Wt O M T S. LICENSED CONTRACTOR 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 force and effect. Remarks: tKf7 �_ G Qr si Q ti fM ELECTRICAL FEES / � (AE,. v� License Class License No, Date Signature WORKERS' COMPENSATION DECLARATIONConstruction I hereby affirm that I have a certificate of consent t0 self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section PLUMBING FEES Automatic Washer Transformer ❑ 15.50 KW Pole Sub. 13 50 + KW Bar Sink Showers Backflow Preventer - Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Policy No. Company BCertified copy is hereby furnished. Certified copy is filed with the city Building Division. Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100amps Bathtubs Sewer Connection Dryers ❑Gas ❑Electric _ Sub Panel Clarifiers Solar Collectors Fan Motors 00-1 HP Ell %-8 Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Th isseclion need not be completed if the permit IS for one hundred ($100) or - I certify that in the performance of the work for which this permit is issued I shall not employ any person in any man r so s to becom subject to tie Workers Co en(py s Laws of Califf T .— _ S `� Date Signature - ` 1ti110 Solar Piping Dishwasher Solar Inc. Solar 09-15 HP E]16.15+less). Drinking Fountains Solar Tank Fixtures Microwave Floor Drains' Swimming Pool w/Spa Device Boxes Pole light NOTICE: If; after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such Provisions Or this permit Shall be deemed revoked., CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance o1 the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address Interceptors Water Heater Garbage Disposal Standing Sections Kitchen Sink Water Service Generator ❑05 KW ❑5.15 KW Trash Compactor Lavatories Auto -Wash - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for Such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exe m pilon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil Penalty of not more than five hundred dollars ($500). LJ 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offeretl for sale (Section 7044, Business and Professional Code: The Contractor's License law does not apply to an owner of a property who builds or improves thereon, and who tloes Such work himself/herself or through his or her own employees, provided that such improvements are not Intended or offered for sale: If, however, the bullding or Improvement is sold within one year of com- plellon, the owner will have the burden of proving he/She did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or ImoroveS thereon. and who contracts for such orolects with a can- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their worker's Compensation Insurance should be provltletl to me. ❑ I am exempt under Section B. 6 P. C. for this reason P—Trap Laundry Treys Roof Drains Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: rj. �� sl Zoning Approved By Date —j�Ob -3�- Building Approved By Date V APPRpLIOn ISsaed By _ Dat �g Reinspection Fee $15 Issue Fee S 3 MECHANICAL FEES Boller Hood Of Type I ❑ Canopy Type II ❑ Duct - Under Ground SUMMA13Y OF S 3 , 'o BUILDING PERMIT $ _ SMIP $ V PLAN CHECK $ Z�' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% S ENERGY P.C. $ ELECTRICAL $ GRADING S PLAN CHECK 50% $ MICROFILM S MECHANICAL $r FEE $ 6. TOTAL va PLAN CHECK 25% $ Duct -Structural Refrigeration System Duct- Ventilating 1-10-100,0008TU 0100,000 BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. BIL ICBO Fire Dampers Date owner 1 hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county ordinances and stx a laws relating to building constru ion, and hereby authorize repre- Senta � es of t s c y to ter upon [h above-mentioned property fo Ins CIIOO pllr OS SVA p rte -8 f nature _ Dae li �'V Drivers' License or SS — — Heating System & Ducting Registers ❑0100,000 BTU ❑100,000BT r }• lin E. Reinspection Fee $15 Issue Fee $ 3 0865-46, rev. 5/88 White - Building; Canary - Applicant; - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL &SPA APPROVALS Permit # Date __ Inspector 1 . Temporary Electrical Service or Pole, • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 1 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd., 55. Electrical Bonding r 5. Steel Reinforcement1 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE r ' 7. Footings 5'�/L -� I Q� qW' 58. Electrical Conduit-Undrgrnd. 8. Foundation --�• 59. Gas Pipe, 0 Undrgrnd., Test r 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 APPROVALS Permit # _ ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil* 23. Gas Pipe -Rough & Test 72. Underground Flush �• 24. Roof Framing 73. Undergrnd.Storage Tank ElGas 0Oil - 25. Roof Sheathing 74. Overhead Hydro' t ' 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 Domestic -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 Cn 51. CERTIFICATE OF OCCUPANCY No. Date MuNj PN��NS4�cA\/ A`` x u yvisd'ng Dept. BY ---'_.'- DATE91-1E 19 THESE PLANS ' ,,UST Ri f"� 1^;_. iaT'ALL TIMES MAKE NO CHAN3E 14;iriGii? YdtOR `APPROVAL OF DEPT. THEIISSUANCOR GRANTING OF A F`_ERMIT OR APPROVAL OF PLANS AND SP CIPICATIONS SHALL NOT BE CONSTRUED TO BE A FERMI FOR, OR AN .APPROVAL OF, ANY VIOLATION OF ANY OF THE PROVISIONS OF PHIS CODE. NO PERAAIT PRESUMING TO GIVE AUTHORM TO VICLATE OR CANCEL THE '4OIISIONS OF THIS CODE SHALL BE VALID, EFCEP'( IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL. THE ISSUANCE OF A. PERMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NCT PREVENT THE BUILDING OFFICIAL FROM, THEREAFTER REQUIRING THE CORRPCOIO SAID PLANS AND SPEC!;-1CAPONS 6CFR:TING EUILDINO G?ERATIGNS BEIAG Ca.R ON THEREUNDER WHEN IN VIOLATION OF TF;IS CODE OR,15F ANY OTHER ORUINANCE Of THE fcSY. r APPR ------� cdc C►Ty OF COSTA MESA PLANNING DEPT. lU:"or TO OLOG. DEPT. REG wy,' DATEf— ° w ►urmrrw �..��►� �„ SCJ p N v�� gg gIREE� I TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional Channel Block With 1.3/895 Horizontal Top of all Fences For Fences 5' or Lou .147 . . . . . . . . .1...127.._:..: .. Vert. Ban 3/8" Q at 4' •0" O.C. o .10" MX DEPTH OF EARTHTOOTH .. 24" . . . For Fences Higher Than 5' Is. 12" Vert. Bars 3/8"0 at 32" O.C. ¢ �+ 16' Cit of Costa Meso California X Fill Celh Solid With Grout i z Where Steel occurs > — Building Department a Reinforcing Steel Shall i o Conform to Sec.A•15-39 u O AS.T.M. U z �_ All Steel to be Lapped w in 24" or to Code NATURAL GRADE -1_ TW03/8"0BARS >� CONTINUOUS TOP I d [ II BOTTOM 'yy �WIDTH Is SEE CHa 1401e1ZSTEEL MUST BE TIED IN t BELOW PLACE AT TIME OF TRENCH INSPECTION. >' FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR: One Part Plastic Cement, and GROUT: Three Parts Sand One Port Cement Three and One Half Parts Srand COPING: One Part Cement, Three Ports Sand CONCRETE: Well Mixed 1:2-1/2:3-1/2 Max. of 7-1/2 Gollons of Water Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN B FREE OF ALL MORTAR DEBRIS, ETC. H OF EARTHTCOTH 1/3 THE HEIGTH OF FENCE BELOW BOTTOM OF FOOTING. SCALE: 1/2six I' WIDTH . . . . . . . . . . . . . ..14" . . . . . . . . .147 . . . . . . . . .1...127.._:..: .. 12" THICKNESS . . . . . . .10". .10" " DEPTH OF EARTHTOOTH .. 24" . . . 20" . . 16" . . . . 12" SPACING OF EARTHTOOTH. 12. . . . . . . . .14. . . . . . .. . . 16'. 16' Cit of Costa Meso California OWNERS NAME: _ JOB ADDRESS _ _ _ _ — , _ _ _ _ _ _ _ Y 1 PERMIT NUMBER:_ Building Department SIGNATURE: . y I• •H']1 17 THIS AGREEMENT, made and entered into this Z � day of 4V9usf WE, by and between hereinafter referred to as 'LAND OtZR", and,j ...jai hereinafter referred to as "ADJACENT PROPER -f G NM - It is hereby agreed that a party wall will be constructed on the prcperty line between 1.572 E51m Ove - in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Boric Page_ of Miscellaneous Maps, in the office of .the County Recorder of said County. The party wall shall be pernutted to encroach IN WITNESS WiEREOF, the parties have entered into this Agreement the day and year first above written. i+?:iZ•*n r�r: (Signature) ell' Name (Typed or Printed) /S77 (Address) 19 f711/S/1n4 Name (Typed or Printed) / S 7S (Address) Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declaration$ CCKY OF COSTA MESA'1 C STR UCTION PE1R�M T en Project Address 'S /? �'� Vi-��'A vvtQ�Q. �Q.pplicant's Mailing Address / Jwnor's Name Fes • Phone /Address MI 0. 50 1� AS 1T Tye 6V L JWP CJY UNIT NO. A P 916 X312 zone S Main Building: Accessory Building: TYPE OF CONSTRUCTION EW ADD ALTERATION REPAi R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTI OF WORK/USR OF l - d-� (--0 �Qye' (prTl E T Front Z O I A Rear N K G -mac*= Arch/Eng. License No. AddrC,S TYPE F PERMIT LJ GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. TION $ CqN _Y__ .IN Y CON ST RUCTION TYPE VALUATION ZONE GRADINGCU.YDS. ACRES S LeBht R Contractor's Name Q7 r t Phones �' ` I .LS� UA k�WCi4` O6 QPr3 Addre' (mailing) ,� t� '/66 �^1 ,City License No. � 46 Z5 ( Ping. Ref. # Parking 11eq./Provid E planning Notes: [ w r 4 M r /'O A' T S. LICENSED CONTRACTOR DECLARATION Remarks: I hereby affirm that I am licensed under provisions of Charter 9 (commencing ELECTRICAL FEES with section 7000) of Division 3 of the Business and Professions Code, and my license Is in fullfgrce 1p,] ffect. a License Class L- Jit � .3G I t se No.—`jJ'2V7-,%7 - Date_]—A"I' Digi Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self4nsure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) - Policy No. company Certified copy is hereby furnished. Certified copy is filed with the city Building Division. , ( {- ews PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+KW Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Clarifiers Solar Collectors Fan Motors ❑0.1 HP ❑l%-8 Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit Is for one hundred ($300) or less). certify that in the performance Of the work for which this permit is Issued. 1 shall not employ any person in any mann so as to become su act to the Workers' en n Laws of Califor/�� .},t} 'rs �1 Date 1 -�- F�7 Signature • I�zs �-+�" ' g.YJ(Jt Dishwasher Solar Piping F.A.U. Inc. Solar ❑9-15 HP ❑16.15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range Comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW ❑5.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter. Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for Such permit to file a signed statement that he/She is licensed pursuant to the provisions of the Contractor's Uccri Law (Chapter 9 (commencing with Section 7000) of r Division 3 Of the Business and Professions Code) or that he/she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil t(_enalty of not more than five hundred dollars ($500). lJ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure IS not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his Or her own employees, provided that Such improvements are not Intended Or Offered for sale. 1/, however, the building or improvement is sold within one year of com- pletlon, the owner will have the border, Of proving he/she did not build Or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and professions Code: The Contractor's License taw does not apply to an owner of property who builds or improves thereon. and who contracts for such oroiectS with a ron- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof o11 their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Lavatories Auto -Wash P -Trap Laundry Trays Roof Drains Reinspection Fee §75 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS' iq Zoning Approved By Date �� 1 --- Building Approved By Date Application Issued By Data Reinspection Fee $15 lane Fee § 3 MECHANICAL FEES Boiler Hood or Type 1 ❑ Canopy Type I I ❑ SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ Duct - Under Ground Duct -Structural Refrigeration System ❑0.100,000 BTU ❑100,000 BTU Duct - Ventilating Exhaust System ❑ Multiple ❑ System Repair/Alteration Flrepl/Fact. Bit. ICBO # Fire Dampers Date owner I hereby certify trial I have read this application and state that the above Information is correct. I agree to comply with all city and county ordinances and state laws rel alio to to construction, and hereby authorize repre- sentatives of thiS�Il, to rater upon th above-mentioned property for lose Ion pure fe / ' atnre �- Date 7—Z)-tg Drivers' License or SS - - Heating System & Ducting ❑0-100,000 BTU ❑100,00087 Registers r1 �t ry DUE: 07/27/39 TIRE_: Reinspection Fee $15 Issue Fee $ 3 0865-46, rev. 5/88 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# 1. Temporary Electrical Service or Pole Date Inspector POOL & SPA APPROVALS Permit# 52. Pool & Equipment Location Date Inspector 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 Gfnd. 57. APPROVAL TO COVER-GUNITE 7. Footings S'`��c.•L -- 8 Z/ �j ��% 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line ,& House Connection 62. Backwash &Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System -Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18' Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace •- 21. Ducts, iri Structure 70. Underground Hydro 22. .Ducts, Ventilating 71. Product Piping El Gas 0Oil 23. Gas Pipe -Rough & Test _ 72. Underground Flush 24. Roof Framing �' 73. Undergrnd. Storage Tank OGas OOil 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 PREY. 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 Domestic -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 tor Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date TYPICAL 611 CONCRETE BLOCK FENCE gement Coping Optional . .14. . . . . . .1._.�2-...:.. , Channel Block With 13/8 THICKNESS . . . . . . . . . . .10". .. .10" . . . . . . . ... . Horizontal Top of all . . . . 8" DEPTH OF EARTHTOOTH . . . 24" . ;�ances . 16°. . . . . . 12" SPACING OF EARTHTOOTH. . 12' . .. . . . .14. . . . . 16.. .'. For Fences 5' or Less OWNERS NAME: _ _ Vert. Ban 3/8-0 at 4'-0" O.C. o City of Costa MesaCalifornia JOB ADDRESS Ix x For Fences Higher Than 5' I` u Vert. Ban 3/8"91 at 32" O.C. a w x Fill Cells Solid With Grout > Z Where Steel Occurs > - Reinforcing Steel Shall a 10 Conform to Sec.A-15-39 W o A.S.T,M. U z ~ All Steel to be Lapped 4 A 24" or to Code NATURALGRADE -01�1N� TWO 3/8"0 BARS e4 CONTINUOUS TOP 6 BOTTOM WIDTH p SEE CHI HOQt2.STEEL MUST BE TIED IN t BELOW_ PLACE AT TIME OF TRENCH INSPECTION. p' FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR: One Part Plastic Cement, and Three Parts Sand GROUT: One Part Cement Three and One Half Parts Land COPING: One Part Cement, Three Parts Sand CONCRETE: Well Mixed 1:2-1/2:3-1/2 Max. of 7-1/2 Gol;ons of Water Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN 8 FREE OF ALL MORTAR DEBRIS, ETC. 'H OF EARTHTCOTH 1/3 THE. HEIGTH OF FENCE WELOW BOTTOM OF FOOTING, SCALE: 1/2a s II WIDTH . . . . . . . . . . . . . . .14" . . . . . . . . . . .14. . . . . . .1._.�2-...:.. , 12" THICKNESS . . . . . . . . . . .10". .. .10" . . . . . . . ... . _. . 8". . . . . . . . . . 8" DEPTH OF EARTHTOOTH . . . 24" . .20" . . . . .. . . . . . 16°. . . . . . 12" SPACING OF EARTHTOOTH. . 12' . .. . . . .14. . . . . 16.. .'. . 16' OWNERS NAME: _ _ — _ _ — _ _ _ _ _ _ _ _ City of Costa MesaCalifornia JOB ADDRESS � PERMIT NUMBER:— UMDER;_Building I BuildingDepartment SIGNATURE: 1011101/10 1011101/10 133aa S PIDIJ& of City of Costa ,Mesa Building Dept. BY .f '-F DATE 2Z: ( 19!f THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE NO CHANGES )5HQUT PRIDE APPROVAL OF DEPT. THIEL ISSUANCE OR GRANTING OF OF A PERMIT OR APPROVAL OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF. ANY VIOLATION OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRESUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS :AWFUL. THE ISSUANCE OF A PFRMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF THE CITY. Isg 70117011)0 13 =83=30 � I WY OF COSTA PLANNING DEPT. fU119a TO BLDG. DER. of SY--LL DAm7- 021M or ruuHl►ro 'f Permit -#_Z 3=i�W THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQUESTS FOR INSPECTIONS CALL 754-5626 or 754-5627 10745 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA I fOR APPL/CANT M Rif /N CONNEAFLY TYPE OR PRINT BUILDING ADDRESS 1577 Porif'rosa Street COSTA,MESA. CALIFORNIA FEE RECEIVED -u�..— a'9 FINANCE DEPT. APFWVFI0KTAqffSRERMIT BUILDING fOR OFF/CE USE ONLY Knightwell Land Company RECEIPT NO. OWNER II_•' MAIL 419 E. 17th Street RECEIVE I DATE RECE VEO DATE ISSUED ADDRESS ; Costa Mesa Calif. TEL LI 8115 v CITY . ADDRESS ARCHITECT ar son LIC. 167293 COSTA MESA, CALIFORNIA OR ENGINEER NO E. 17th St. Costa Mesa FIRE ADDRESS 419 ZONE TYPE GROUP I COlegrove, Inc. APPROVED LIC NT0.167293 BY DATE -CONTRACTOR 419 E. 17th Street,Costa Mesa ZONING ADDRESS LEGAL I LOT 3 7 NO.OF USE OF NEV DESCRIPTION f� NO. 6" BLOCK TRACT / PLANS I BUILDING I APPROVED A.P. NO. BY ATE SIZEOF 751 X 1001 No. OF BLDGOne YARDSLr� S LOT NOW ON LOT REQUIRED ALLOWED USE OFNone (CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. SETBACK LINE FROM 1 CENTER OF STREET OI REAR YARD R. SIDE FT. IN. SIDE YARD (LEFT 101 (RIGHT 101 L. SIDE FT. IN. DESCRIPTION OF WORK REAR FT. IN. XII I NEW ALTERATION ADDITION REPAIR I MOVING DEMOLISH BUILDING NO. OF 6 SIZE ROOMS STORIES 1 EXTERIOR WAI1,L ROOF COVERING SLUCCO COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED v' Single family residence tir' h attached garage Pian 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION SIGNATURE OF ' --O& PERMIT FEE $ 35.00 PERMITTEE —. Dike C $ 15 PLAN CHECK $ 17-50 & _egrove, Inc. AUTHORIZED AGENT TOTAL FEE $ 52.5()