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HomeMy WebLinkAbout1609 PONDEROSA ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •• CITY OF COSTA'MESA CONSTRUCTION PERMIT _ P IT TRACT NO. LOT NO. UNIT NO. •• /(oo y 7.0 A,......._--117-6f/ � � 7 3349 9/18%86 5.00 TL P{oject Address Applicant's Mail' P,.ddress 4533 /AJ /.tf�/� , TYPE OF CONSTRUCTION NEW U ADD U ALTERATION' U REPAIR - �n5 / / i ,//�/&/ ❑•CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone Owner's Name f7!/// - DO fC Phone�Y" '•+r DESCRIPTION OF WORK/USE OF BLDG. Address ��-m S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT El GRADING�❑ FOUNDATION ❑ STRUCTURAL E Front • ZO Address �) /' / ❑ TENANT ❑ ELECTRICAL LJ PLUMBING ❑ MECHANICAL B Real - N Contractor's Name! e Lor/ l'!///1•7bit✓R Phone77 SL70 U -OTHER A - I �1 Address(mailingll--0 3Lt/ / PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right /r1/co/60• AV K Left G ,ry.�� CONSTRUCTION TYPE VALUATION$ s "Q • City License No. .-! ] ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided - E CI I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: �11Q 1 198. ' M with section 7000) of Division 3 of the Business and;Professions Code, and D vu my license is in full forte/.,antl effect. �f r I I:IV� T • License�}lass `— License ,•,b/9to - - -- • - - • 1 '(�s�� . - 0 A1,(] 5 1386 $. Date •/—/0 -d' Signature 1� t rrt ' PLUMBING FEES AUG WORKERS'COMPENSATION DECLARATIONBar Showers �_ I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Service Sink Automatic Washer Transformer ❑ 15-50 KW • , 3800, Lab. G) f �%4✓ems 0 Policy No. ��a Company ='�'S • ' Sewer Cap Construction Pole Sub. 0 50+ KW i Certified copy is hereby furnished. — .t'Cer letl opy�.ii filed with the city/BJ4hdin9 Division. Bathtubs Sewer Connection , Cooking Unit Meter pup to,100amps- ., Date —/� �!P APplicant/Lv//t-�1L�-/�__.• t /`Q,M4 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . ,Clarifiers Solar Collectors , Dishwasher Meter Dover 100 amps i (Thissection need not be completed if.the permit is for one hundred ($100)or - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric I Sub Panel 1 certify that in the performance of the work for which this permit is issuetl shall-not employ any person in any manner so as to'become subject to the Drinking Fountains Solar Tank , Fan • Motors Li 0-1 HP ❑1%-8 Workers' Compensation Laws of California. Date Signature - Floor Drains Swimming Pool w/Spa • • F.A,U. 'NOTICE: If,after making this declaration, you should become subject to the In0.501ar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' Fixtures comply with such provisions or this permit shall be deemed revoked. - Microwave _.CONSTRUCTION LENDING AGENCY • - Gas Service' Outlets Water Closet Device Boxes • I hereby affirm that there is a construction lending agency for the performance. Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors - Water.Heater .( Outlets Lender's Name C� Range Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION - Switches Sign I . I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash' ' Garbage Disposal • following reason (Section 7031,5 Business and Professional Code: Any city or 9 P Standinmil Ig Sections 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 P—Trap Laundry Trays 1111 Generator ❑0-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 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 exemption. Any violation of Section 7031.5 by any applicant for'-a 'permit subjects the applicant to a civil Lienalty of not more than five hundred dollars($500). I, as•owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will'do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee $15 •loos Fee $ 3 ereon Law does not apply to owner f a property through builds s or improves •thereon, -- andwho does such work himself/herselfs or intende his or her own _ DEVELOPMENT SERVICES REQUIREMENTS: employees,f, provided that suchimprovements are not intended or year c for • Boiler Hood or Type I 0 • sale, If, ehowever,wthe building improvement of pro issold within one yeur of rim- Canopy Type 0 'Zoning Approved By - Date prove the owner will have the burden of proving he/she did not build or im- Duet-Under Ground Building Approved By Data rove for the purpose he of pope). U I,t as owner tr tthe property, Se tion contracting ing with licensedioncon- Duct-Structural Refrigeration System 'Application Issued By cS WA Dat' tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES 1 builds or improves thereon, and who contracts for such projects with a con- tractor(si license pursuant to the Contractor's License Law). I am aware that ■Exhaust System 0 Multiple 0 System Repair/Alteration - BUILDING PERMIT $ SMIP $ proof o their Worker's Compensation insurance should be provided to me. --- - PLAN CHECK $ PERMIT • /lei1 am exempt under Section B.& P.C.for this reason . Firepl/Fact.Wt, ICBO# 1111FireDampers PLUMBING $ � ISSUANCE $ Date • Owner • Heating System& Ducting Registers PLAN CHECK 25% $ • ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000BT • GRADING .5 - •information is correct. I agree to comply with all city and county ordinances t ELECTRICAL $ • and state laws relating to building construction, and hereby authorize repre- MICROFILM $ sentatives of this city to enter upct the above-mentioned property for PLAN CHECK 50% $ inspection p p MECHANICAL $ Jai b"U Signature PI v7 ' � Date12-70 7Q - b TOTAL FEE $ Drivers' License or SS# ( Reinspection Fee $15 Issue Fee .•y PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor - - • • CONSTRUCTION AND PLANNING . POOL & SPA APPROVALS Permit Date Inspector 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-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,.❑ Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & 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 0 Gas ❑Oil - 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 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: . 47 Cdricet, RG eve a o opcs L€t 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 ,r 40. Gas Service-Final 11; 41. Solar Domestic-Final 11 42. Backflow Preventer 'TT) (7; 43. Backflow Irrigation i'`1 • '44. Landscape Irrigation Systemj AFF 745. Sound Attenuation 46. Handicap Regulations, r47. FINAL STRUCTURE &/ROILDING i 48. Special Requirements Completed' 49. Electric Release to Edison .•.;, 50: Gas Release to Southern California Gas Co 51,. CERTIFICATE OF OCCUPANCY No. Date • PROJECT ADDRESS: 1609PONDEROSA ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063891 OWNER'S NAME: COOK, PAULINE K ADDRESS: 1609 PONDEROSA ST PERMIT NO: B 063891 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT f ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : T/O ROOF,REROOF W/ALCOA ALUM ROOF SQ FT: 1 ADDRESS: UNIT: PERMITTEE. CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 3, 100 .00 GROUP OCC: R-3 /M-1 ALUNUM ROOFING SPEC ( 714 ) 558-0678 ADDRESS: 15 9 MCFADDEN COMMENTS: REROOF 3100SF W/ALCOR ALUMINUM ROOFING SAN ANA CA 92705 ********4*+F*x**+r***********+r****+FSE**x+t*+r******* *sr*****x****kF****************** LICENSED CONTRACTOR DECLAR TION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 ul Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: 03 3723 STATE LIC.:5 2 3 0 4 3 CLASS: 3 9 Date',9—/0— � Signawre:`1 OL_n )9/4‘ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent toself-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 046—93UNIT0 31 17 EXP.DATE: 01 /01 /94 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 13931204 ZNE: REF NO: 0 Certified copy is hereby furnished. 51 Certified copy is Med with the city Building Division. PLANNING NOTES> Dale: `�—/O' Cr-) Applicant: r-1. FiTe--- reb- *****************************************+t.***************************lF********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S100)or less). DEVE L. OPMENT SERVICES R E Q U I R E M E N •T S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California. ZONING APPROVED •BY DATE: rr Date: Signatures: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: r Code.you must Iprthwith comply with such provisions or this permit shall be deemed revoked. / p'j CONSTRUCTION LENDING AGENCY: I hereby al firm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• -L. DATE: tF • - 1.e which this permit is issued(Section 3097,Civ.Cl. **.**********.*********4*****.***** ******.***.**1E*********M.****.******* * *ii.***, LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E S U MMA R Y STRUCTURAL SEGMENT:Y • OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES. ' GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter.improve,demolish.or PERMIT 63. 00 ' . 50 • repair any structure.prior to its issuance.also requires the applicant for such permit to fife a signed statement that he/she is ficensed ' Pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-R E S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . r any applicant for a permit subjects the applicant to a civil penalty of not more thanWO five hundred dollars(ST ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ', DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0 . 00 63. 50 127. 00 —63 . 50 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 ownisemployees,provided r mac mpl improvements me are not intended bd de offeredofprovingfon she/ ainotd building or REVENUE DIVISION TOTALS —> COLLECTED • 6 3. 50 OVER/SHORT• 0 0 improvement sold withins,one year oft such lion,mp the entsr will have en burden ffforhe/she dict not howeverbuildthor improver p for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING -KLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 :50 / ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon i' • and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* mat proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D' OWN o I am exempt under Section B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 3100 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 100 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant wiIUwill not(circle one)need to comply with said state codes and the requirements for a Permit for construction or modification from theAir Duality Management District.Residential construction applications are exempt from these provisions. • Date: Applicant: n I 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 slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property lot inspeection purposes. --Y� x /`� �/ 2 Date: Q—/0 — Cr) Signatarq: I C C ti 01 00146617-00146618 TOT Driver's License or Social security DATE: 09/10/93 TIME: 11:38 63.50 1641.46 Wfrite—Building:Green—Cade Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor G' NSTR~UCTION AND PLANNING •- POOL & SPA 1 APPROVALS Permit 5'r= Date Inspector APPROVALS Permit Date Inspector i 1. Temporary Electrical Service or Pole 52. Pool & Epuipm.:nt Location it 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 1 3 Electrical Condu`t Lirlity-Undrgrnd- - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ` 1 - I ' 6. Electrical OF ER ernd 57. APPROVAL TO COVER-GUNITE •7. Footings 58. Electrical Cordut-Undrgmu. 8. Foundation 59. Gas Pipe. '7 Undrgrnd., Ter I 9. Water Pipe-Undrgrnd. 60. Backwash I -re.,P-Trap, H _1rrir7r J - i i 10. Structural Floor Systom 61. APPROVAL TO DECK i 11. Property Sewer Line & House Connection 62. Backwash & ReccptorFinal 12. Sewer Cap 63. Heater & Vent-Final }f ( 13. Roof Drains - 64. Plumbing System - Final 1 j - -a 14. Rouen Plumbing 35. Electrical-Fra; • 15. Rough Electrical-Conduit 66. Solar System-F.na --1 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 i ' • • - APPRQVALS• ,i Permit ;r. T 211 Ducts, in Structure. i 70. Underground Hydro - i 22. Ducts, Ventilating. 71. Product P.oiipg "Gds ;_0i1 23..Gas Pipe-Rough 8/Test i t� 72. Undeir,?oune. F'esh --II 24. Roof Framing • i i • f 73, Undergrnh.Sre-age'Tark n. Ga,. ^ri.- ' 25. Roof Sheathing � •41-lS� 6Lt,� 74: Overi.ead Hydro I 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical i 27, Framednd •Flashing - - 76. Dry Standpipe ------• -- - - - 26. Lathing& Siding .• , - I, 77. •FIXED SYS-TE.. EINAL 29. Insulation ! 78. FIRE PREY. FINAL • 30. Orywali Nailing I - HEALTH DEPT. REQUIREMENT ' - 7 31. Plaster grown Coif H 79, FINAL IN''pECTION_ _ • • + 32. Electrical Power Mete-_Final' ;-{--:?9:-FOOD CERTIFICATE ISSUED _--L �_ 33. Final Electric i III ( -' I Notes. --- - -------- -- - --- --• 34- Final Heating.& Air Conditioning i I I ,35. Final Gas Pipe-Tett I 36. Hood or-Canopy i . - 37. F,nal Factory Fireplace . i ! -l--'- -- ---- ---- ---- -- - - t 38. Final Plumbing I ! 39. Water Service-Final I F • 1 40. Gas Service-Final •41. Solar Domestic-Final 42. Backflow Preventer _ I ! ' I-17- qf- �71 k -/ - --1 43. Backflow Irrigation • • - - --- -1 44. Landscape Irrigation System - --I 45. Sound Attenuation . ' � 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 7jo-CO ‘a4? 48. FINAL PLANNING 49. Electric Release to Edison 50, Gas Release to Southern California Gas Co . i • 61. CERTIFICATE OF.OCCUPANCY -'t No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESAI a_6 12/E3/• “ 7.: . Ti. PERMIT NO. TRACT NO. LOT NO. BLDG.NO. z CONSTRUCTION PERMIT r--I111 — 10-7_01-- '�.� Project Address 7407 'box- dr Oa-.*' TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION H REPAIR ' Applicants Mailing Addressr/ Vr�/rF�erC.kT/ /�/�/r'/e ❑ CONVERSION C DEMOLISH ❑ OTHER ' A.P.# Zone T C--GO honed' /a.- DESCRIPTION OF WORK • Owner's Name /lir- K Phone ( _ - S Main Building: Accessory Building: Z Address ZL�G r �/1-/eX-r•-tel/¢ E ' . O TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL T Front - • N Asch/Eng. . License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALB I Address ❑ :OTHER A Rear /� // 7 �iK N Contractor's Name ldt'_9/lc/%+n �c,r)6 Phone P7j'5..frj PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - G T Address(mailing/"'VP.F S 1-0—J jf/`5�/1-,{ . CONSTRUCTION TYPE VALUATION$ $ Left E (b City License No. �d�s—� ,aZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.F. $ Q U I LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing - _, R N with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: . E my license is in full force and,effect. License Class - • License o. .-Z/2 Ga 9 7 PLUMBING - FEES Planning Notes: M E Date72---Ar-,- T Signature 4i - WORKERS' COMPENSATIONp€ A• •TION Bar Sink Showers T I hereby affirm that I have a c cate.•f consent to -If-insure or a certificate Backflow Preventer ,Service Sink S of Workers' Compensation surance; or'a certified copy thereof (Section .. - • 3800, Lab. Can q ,y� A -` n - Backflow Irrigation Sewer Cap ELECTRICAL FEES Polly No. b I CZ 1 IOZ /CCA Company E71v+IT - Certified copyis hereby furnished. Bathtubs Sewer Connection ' Automatic Washer Transformer 0 15-50 KW Certified cop is filed with the city Building Divisio 0 50+ KW Date Jam. 're-0 Applicant T Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPEN ATION DELLA ATION • Dishwasher Solar Piping CookingUnit Meter ❑u to 100 amps (This section need not be completed if the p rmit is for one hundred ($100) or P P less). DrinkingFountains I certify that in the performance of the work for which this permit is issued, I Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to te Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature - NOTICE: If,after making this declaration, you should become subject to the Floor Sinks • - Urinal - Fan- - Workers' Compensation provisions of the Labor Code, you must forthwith - - - Motors❑0-1 HP ❑iX-6 comply with such provisions or this permit .shall be deemed revoked. Gas Service ' Outlets Water Closet •� F.A.U. Inc.Solar 09-15 HP 016-15+ ' CONSTRUCTION LENDING AGENCY . , - - I hereby affirm that there is a construction lending agency for the performance Interceptors Water HeaterFixtures 'Microwave of the 'work for which this permit is issued (Section 3097 Civ. C.) . . - - - Lender's Name - - - Kitchen Sink - Water Service Device Boxes Pole-Light Lender's Address ' OWNER BUILDER DECLARATION' Lavatories • Outlets 4 Range I hereby affirm that I am exempt from the Contractor's License Law for the • - P-Trap reason.(Section 7031.5 Business and Professional'Code: Any city or p - Switches Sign • t, county which requires a permit-to construcalter,improve,demolish or repair . any structure, prior to its issuance,.also requires the applicant for such permit Roof Drains - • Garbage Disposal Standing Sections 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 Generator ❑0-5 KW ❑5.15 KW Trash Compactor 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 Reinspection Fee penalty of not more than five hundred dollars($500). Po $25 Issue Fee • - $ 3 LJ I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee • $ 3 compensation will do the work, and the structure is not intended or offered FEES - s for sale (Section 7044, Business and Professional Code: The Contractor'sPUBLIC SERVICES REQUIREMENTS: • License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I ❑ thereon, and who does such work himself/herself or through his or her own I. Zoning Approved By • Date employees, provided that such improvements are not intended or offered for Canopy Type II 0 — sale. If, however, the buildingor improvement is sold within oneyear of com- Duct-Under Ground P Application Approved By Date prove , the owner"will have the burden of proving he/she did not build or im- AA ,y Crove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By a • Date�.�- �b I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 00-100,000 BTU 0100,000 BTU • SUMMARY OF FEES ' The•Contractor's License Law does not apply to an owner-of-property who ' builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP • $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑ I-am exempt under Section B.& P.C.for this reaion Firepl/Fact.Bit. ICBG# • PLUMBING $ ISSUANCE $ - - Date Owner • Heating System& Ducting/4 / l/ PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above . / R1-100,000 BTU 0100,000 BTL GRADING . $ information is correct. I agree to comply with all city and county ordinances _ ELECTRICAL • $ and state laws relating ,to building construction, and hereby authorize repre- PLAN CHECK • $ • MICROFILM $ : sentatives of thi city to enter upon the above-mentioned property for �7 qq f Inspection purp•, -5. �: - MECHANICAL $ / r OV TOTAL FEE $ C Signature .. .e _ �/ Date/.2-..7af 1'I / Drivers' LI - - or # _ Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ . rime. \, CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor -- - - - - - .. - - - • CONSTRUCTION AND PLANNING • POOL&SPA APPROVALS Permit# Date Inspector 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-Undrgrnd. 54. Forms 4. Electrical Conduit-Unilrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7..Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd.• 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & 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 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 2k. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 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 $/341( CCP 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 Co 51. CERTIFICATE OF OCCUPANCY . No. Date urvNtrc DATE" JOB ADDRESS 1609 Ponderosa Ave. BUILDING PERMIT NO. 39945 GENERAL CONTRACTOR Alum Kool DESCRIPTION of WORK Add Patio Cover to Hes. AP No139311-04 LOT TRACT FIRE ZONE VALUE $ 2,500.00 INSPECTIONS Signature Date TVPEV GROUP 1 ZONE n-1- SOIL lSOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumbing • ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. / '`4$ -/c•7 t FLOOR SYSTEM BOND BEAM n STEEL REINFORCE in SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER. BROWN COAT STRUCTURAL, FINAL Electric HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n r. ear ear r,..., PA1C / . .=� 9945 �ItV? -7-75-.-00 2627? ****36.50 rCOSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For ApplicanttoFill in Completely �6 © / 1 Q,y Qt RECEIVED BY DATE RECEIVED' DATA—I,_,s- ADDREBUILDING ' / I Jam" "I/,_,s- ADDRESS rp` r� //�� t, 'J C] g ,t (L PERMIT NO. OWNER i niVA1.D I COO IC A.P. NO./3 - '311 -42 MAIL f // y� BUILDING J/099 1 Z ADDRESS I ( p Qel on1OEROSA ADDRESS /(0 7 c`)�.t ale /'050 til til TEL. o. 0 CITY COSI-/t M ge•Apab NOi 70 7 TR LOT 76 BLOCK ▪ Z CONSTRUCTION / NEW ADD ALTER REPAIR MOVING DEMO'ISH 0-m LENDER / Y J D BRANCH /� y _I L/) OWOnK Q w ADDRESS �/ �/ o� DO m ARCHITECT r� TEL. Sraisin/ LQ vet ALUS /7 co J Q OR ENGINEER So f Se F NO 0 Q FIRE wCC ADDRESS d w ZONE TVP it-GROUP APPROVED W Z CONTRACTOR c - J m A. idOnt By GATE _7-2s- J0 CO Ise.(. r. uJPs(M . & I. J ADDRESS lN�,�.� ZF CITY � , A . NOTEL 748--pa* ZONE /e/ PLANS n BUILDING NO.OF USE OF E / (tr VfLC W 0 STATE \ '^ CITY / �^ YARDS APPROVED` YARDS APPROVED • O LIC.NO. )-vk 0010 LIC. NO.1O / MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. .q (FROM C/LST ET)ire ÷ ' . 1 OF LOT I NOW ON LOT 1 FRONT FT. USE OF �J ,s /}� EXISTING BLDG. 1)1,.,o CL_L,I/4(, R SIDE J7F�Py(�J+T Cl.� FT, (- SIZE OF2 NO. OF Z NEW BLDG. 3-9( ROOMS STORI ES L.SIDE CET. FT. EXTERIOR WALL ROOF I ' �} 0 COVERING COVERING i^"1�� Vin REAR 45 FT. FT. AND WORK TO 1 U401iFJBUILDINGMSc-r�EftJ BE*tyu MAIN BLDGS.DISTANCE T. BET.ACCESS.IBLDGS. O Ie .n4ta40G ca 3'Rg 17 ) C.U.P.70 APPROVED I- APPROVED IA _BY DATE Z II STA I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with C3Lall laws regulating building construction, and I shall not employany person in violation of the workman's compensation laws of ythe State of California. � j I hereby certify that I am properly licensed as a contractor under SQ. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: lf am exempt from the provisions of the State of California Business /00 CC VALUATION and Professions Cnae, ivision 3,Chapter 9. 2‘e" CO PERMIT FEE $ Signature o([;� - Ig J $ \ oO PLAN CHECK $ f go 2 03 D o Permittee I,C\-/LY_ / """WWWY--- C �� LL Authorized Agent TOTAL FEE $ 10753 FEE RECEIVE_ D COSTA MESA BUILDING-SAFETY DEPARTMENT at/ r - _ - P.O.BOX 317 COSTA MESA. CALIFORNIA 1 5 FINANCE DEPT fOR APPLICANT TO f/LL IN COMPLETELY APP10n4'oIOeopR. RMIT TYPE OR PRINT BUILDING BUILDING 1609 Ponderosa . ADDRESS A r COSTA MESA. CALIFORNIA FOR Off/CE USE ONLY OWNER Knig.htwell Land Company DDI RECEIPT NO. I ADAP JM'�'lyo, ARESS 419 E. 17thStreet RECEIVED BY DATE RECEIVEDDE ISS ATE ,cam //y- NUv ti i95:S CITY Costa Mesa, Calif. iLI 81159 BUILDING ARCHITECT Carlson & LIC. OR ENGINEER Midd ,ehrnnk NO. COSTA MESA. CALIFORNIA ^/ ADDRESS Garden Brook FIRE �/r ZONE _ TYPE GROUP (//(/// CONTRACTike OR Colegrove, Inc. L STATE C NO. 167293 BY DATE DATE ADDRESS 419 E. 17th St. , Costa Mesa ZONING �} 3487 ZO E NO.OF USE OF NEW/� DESCRIPTION I NOT !6 I BLOCK I TRACT /' I PLANS ')�''BUILDING 1 '/ A.P.NO. APPROVED \f!! / BY \kgDAT /' SIZE 751 x 100' I NO.OF BLDGS.None YARDS (Aar) OF LOT NOW ON LOT REQUIRED ALLOWED USE OF (done (CENTER LINE ST.) EXISTING BLDG. FRONT 5� FT. IN. SETBACK LINE FROM 201 CENTER OF STREET REAR YARD 251 R.SIDEJ// FT. IN. SIDE YARD I LEFT 10' I RIGHT 51 vT.L.SIDE /�/ /Ft IN. DESCRIPTION OF WORK n' REAR / S FT. IN. NEW I X II ALTERATION I II ADDITION REPAIR I II MOVING I II DEMOLISH I ?_!e ZIE DING 1647 NO.OF ROOMS 7 STORIES 1 _ EXTERIOR WALLROOF COVERING S AUCCO I COVERING Shake . epL i USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with ofd CI attached garage Plan X 760 C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT N. /� VALUATION PERMTURE L AITTEE OF ! V- PERMIT FEE $ 36.00 $ 16, PLAN CHECK $ 18.00 AUTHORIZED AGENT Dike & hi egrove, Inc. ---c TOTAL FEE $ 54.00