HomeMy WebLinkAbout875 PRESIDIO DR - Building Permitse�
o�crnoonEss: 875 PRESSDIO DR
OWNEp'SNqME: STERN� HARVLY E
nooRess: STERN DONNA M
875 P{tESIlliU DR
COSTA ME5A,CA
� 751–R389
AflCNIENGINEEF: �
aooeess:
UNIT:
9262Ei
flEG.NO.:
I1NIT:
Pesminee: R.C, ROOFING ( 7i4 ) 534-6205
aooxess: 11787. REVA
GARDEN GROVE CA 92640
LICENSEO CONTHFCTON �ECLAHATION: I hereby a��inn Ihat I ain licens'etl untle� pmvisions of Ghaple� 9(commencing wil� SeciiOn
7000� ol Oivision 3 0� Ihe Business and Professions Cotle. antl my license is in �ull �arce and eflec�.
c�Tvuc.: �40�7�qz�q srnreuc.:456490/�/.�� cu/ss': �39
Ba�c--�i� �{-. / ` / I Signawre: �// \l9ri�'"'�l9��-
WOflKEXS' COMPENSATION �ECIABRTION: I here6y aflirm tnai I Itave a ceRitica�e of wnsent to self-insure or a cenifica�e o� WoBers'
Compensaiion 12saagcg�q, �cer f�t�pyiher�e�(Sfc�ion 3800. Lab. �11 / 2 S/ J 1 �
Poucv no.: S TATE FUND EXP. OFTE:
COMPANY: �(
❑ Cehilietl copy is hereby �umis�etl. IJ Cenified copy /is f�ileU wit� the city Builtling �ivision. ,
mia--- .�/ 0 ��l—i / APPiicam: �A ✓� �i —�
E%EMPTION FqOM WOflREflS' COMPENSpTION �ECLANFTION: (This secti n neetl noi 6e complele0 ii �he permil is br one hunared �$100) or less�.
I cetlily �hai in �he pedormance oi Ihe work �or w�ich this permit is issuetl, I shall not employ any person in any manner so as �o become -
sublecl to Ihe Workers' Compensalion Laws of Califomia.
Date'. Signalure:
NOTICE: Ii. afier making IAis declara�ion, you s�oultl 6ecome su�le�� to �he Wo�ke�s' Compensa�ion pmvisions oi the Labor
Cotle. you must �otlhwiih tOmply wi�h Such O�ovisions or t�is p¢rmii 5hall 6e UeemeA revoketl.
CONSTqUCTION LENOING AGENCY: I here�y affirm that there is a consimciion lending agency for the pedormance of Ihe work for
w�it� I�is permii is issuetl �SeClion 3W7. Civ. C).
LENOEfl:
AUDflESS: ' -
OWNEfl BIIIL�EP �ECLPBNTION: I �ere�y a��irm ��at I am exempt Imm the Contracmrs' S�ate License Law �or �he �allowing reasan
�Section 7031.5 Busmess antl Pmiessional Code'. Any nty oi counry which requires a permit to constmcl, aller, impmve. Oemolish, or
repair any slruclure, prior to i�s issuance. also requires Ihe applicant for such permit ro �ile a 5igne0 sia�ement ��al he/s�e is licensetl
pursuant m the provisions ol Ihe Conttactors' S�ate License Law (Chap�er 9(commencing wi�h Sec�ion 7000) o� Oivision 3 0l �he Business
ana Pwlessions Code) or Iha� he/s�e is exempi therelmm antl the basis lor �he allege0 exemp�ion. Any viola�ion of Section 7031.5 by
any applicanl far a permit sublects the applicant lo a civil penal�y ol nol more �han five hundretl tlollars (8500).
❑ I. as owner o� ihe pmDe�y or my empinyees wi�h wages as �heir sole compensaiion, will Oo ��e wo�k, antl �he
simc�ure is nol imendea or o�lereA lor sale (Section 70a4. Business antl Proteuional Cotle: The Coniracmrs' Slate License Law
tloes no� apply lo an owner ol a pmperty who builds or impmves �hereon, antl who tloes such work �ims¢I�/herseA or Ihmugh
his or her own employees. pmvidetl that such impmvemen�s are nol inlen0etl or oReretl lor sale. Ii, however �he huilding ar
' impmvemem is so10 wn�in one year o� completion. ��e owner will have Ihe burden of pmving Aelshe OiA not build or impmve
lor the purpose o� sale�. � '
.❑ I, as owner ol �he pmpetly, am exclusivety cantracting wi�h litensed conlrac�ors �o constmc� �he pmlect (Section 704d, Business
antl Pmfessions Co�e�. The Conirac�ors' Sta�e License Law Uoes nol apply lo an owner of propeny who �uilds or impmves �hereon
and who tonVacts lor such pmlecls with a conVactaqs)license pursuan� �o Ihe Contractors' S�ale LicenSe Law�. I am aware
�hat pmof o! iheir Worker's Compensa�ion insurance shoultl be pmvidetl to me.
� I am eKempt under Section: 8. 8 P. C.
for I�is reason:
Da1¢; Owner.
I tlo hereby cenily Ihat I am aware ol antl un0erstantl �he requiremems ol Cahlomia Health antl Sa�ery Code Seclions 25505, 25$33, and
25534 antl Iha� I or any fuWre �uil�ing occupan� willlwill not (circle one) neeU Io comply wi�� said sta�e cotles an0 �he reQuiremen�s lor a
permA far consimclion or motlificaiion Imm Ihe Nir �uality Managemenl Dislrict. flesitlential constmciion apDlications are exempt �rom
Uese pmvisions.
�ale: ApplicanC
I hereby cetldy �hat I have read t�is apPlmaiion and sia�e Iha� Ihe above inlorma�ion is correcL I agree �o wmply wi�h all ciry antl counry
ordinances and stale laws relating �o buil0ing cons�mction and hereby aWhorize representaiives of ihis ciry �o enler upon Ihe a0ove-menlione0
pmpetly for inspection purpo5es. /�
tr*^—�" �9 — / ( Signamre- �'\���
ori�ers ucense o� sociat secumv n: �
164t�46 Wbiie—Bwltling; Grem—Cotle EnlorcemenC Canary—Appllcam; Pink—Revenue; GOICenroa—Assassor
CITY OF COSTA MESA – BUILDiNG�PERMIT t�t,x N; 7 b
PiRMIT N0: H 054769 PIAN CHECK NO; N � i; , uir: �
CONSTRUCTION TYPE: V–N PERMIT TYPE: STR P(JRPOSE: ALT
JO$ DESCRIFTI0�1 : T/OFF RESHT. REROOr W/CLASS A SHINGLES SQ FT; 5,000
CLAIM VALUE: � 5,000,00 CALC-VALUE: 5,000,00 GROJP OCC; R-3 /
COMMENTS: � y� �e.�
�***�*�r***��*�***���***�*��r******�r�**�r�**��ux�r��;�*�*s�***��V������V [ ��
Z O N I N G R E Q D I R E N n N T
S 6' T H A C K S p�a���Cn '
MAIN Hi.iILDING ---------- --------- ACCESSORY BUILDING – ��-��----
FRNT; FT IN REAR: FT ZN FRNT; FT TN REAR; FT IN
LEFT; FT IN RGH't; FT IN LEFT; FT ZN RGHT: FT TN
PARKING REQ• PROV; PARCEL; 14132603 ZNE: REF NO;
PLANNZNG NtSTES> ,
i
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D E V E'L O P M E N T S E R V T C E S R E Q U I R E M E N!T S
J .-
7.ONZNG APPROVED BY DATE: �
HUILDING APPROVED BY ; DATE: �
APPLICATION ISSUED BY: DATE: Ia"Z� /
ifiEiEiEiEiEjElfifjElE3FiFi(�ifih�iElfiEiFiFif Y � iEiEiF1E3EiF7EN�iEil�iF�Tc . �%!E
1(�iEiEiFiFifiE3EiEiEihiFiElEiFififiFlfiElElEiF7E3E1E1kififiEiEihif�EieifiEiE �14iflfiEii3FiFififkiElfi(--IFiEiE3FiF1EiFiE3E#FlfiEiE3E#iF1Eif3fif#iF%�ie%�
LECALIZAYZQN:N' F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECiiANIC FIRE SMIP/RES GRAUING
PfiRMIT 72,00 • ,50
5MI P /NON–RES � `�
PI,AN
ISSUE FEE –�—�
BUILDZNG–DSV–> PERMIT ISSUE PLAN-CHECK TOTAL PAID ' DliE
TOTALS----> 72.50 0.00 0.00 72.50 72.50 ,pp '
REVENIIE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT; .,;00
BLUG PMT PLUMHTNG ELEC7'RIC MECHANIC FIRE SMIP/TOT GRP.JING PLAN-CHnCK
72,00 ,50 `;
ir
iF +E if#3F' �3kiEiEjE)EiEdEIEiE .
i!�'.f��lfifikif�lE1F�}(��43f?Flfif�lEiFifiE�lFifiF .ifififlFiFiflfiEiFlEiEiEiE#iFRiEiEififikiElEiEiFM�1Eif3EiFlEiEiE. �1EifiEiE i�if if�1FiE�:�f-
I N D T V I D U A I� F E E B R E A K D O W N 9' •
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL~COST
SFR 5000 REROOF HY VALUE RESIDENTIAL A70ZONE 1.00 S,OOO,QO
END OF FEES
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OS 0'J1G7t?32—n@1Q:333 -�TC�i"• - -i.::
6pTE: 10/2919i iIl1E. �lr;,h. :
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�
• CONSTRUCTION AND PLANtVING � • POOL & SPA ' I
`� APPROVALS Permit� Date Inspector AppROVALS Permit# Date Inspector
r �
1. Temporary.Electrical Se���ce or Pole ` - 52..Pooi & Equipment Location '
2. Soi6Pipe-Undrgrnd. _ . • 53. Steel Reinfor.cement .
� 3. Electriwl Conduit Utility-Undrgrnd.� 54.'Forms
4. Electrical Conduit�Undrgmd. �- ,� .� - 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, O Undrgmd., Test '
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. �
70. Structural.Floor System ' 61. APPROVAL TO DECK
1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent•Final
73. Roof Drains r 64. Piumbing System - Final
14. Rough Plumbing • 65. Electrical-Final
15. Rough Electrical-Condu�t 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign . 68. -APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning ' '� '� FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � ��_ APPROVACS . Permit # �
21. Ducts, in Str,ucture .: 70. Undergraurid Hydro
22. Ducts, Ventilating ". � � � 77. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough &.Test , � " 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑�Oil
25. Roof Sheathing - `J�SC+� ��� 7q; Overhead Hydro
( 4
26. T�Bar Ceiling (Structuraq & Monocoat - u� 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 ' � j� �. 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: - ' '
34. Final Heatin9 & F.ir Conditioning ' �' � . . ,
1��
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 pomesticFinal ' _ � � � �
42. Backflow Preventer � � � _; . : '
43. Backflow Irrigationc � � - ' '
. 44. Landscape�liripation.SVstem " _ � • � �
45. Sound Attenuation� � �- � . .
. 46. Handicap Regulations ._ � � � , � . , � "
a7. FiNALSTRUCTIiRE&,BUILDING 1�'_/3 �C.Viii ,
r < <
48:' FINAL PLANNING ` %� � � .
49. Electric Release to� Edison ,' _�"�� S�� j.� /J _,/ �
,; ✓ /" O�-TiT
50. Gas Release to Souihem California Gas Co ! �,! �
" 51. CERTIFICATE OF'OCCUPANCY
-� .
No. pate
F' ~ �
r }_ "'� � Applicant to till in all spatts ezcept those wit�in heavY borEer Iines anE si9� all apOropriale tlecldrations. ^;e -
' _ _ � _ ' � . . . _ "'�..— � _ _.._ . .. . ._ ' .. .'.
"'_ � '_ _� _. _.. _ __" _ _ _' '___ ' " '. .
� CITY OF COSTA�t ES� ONSTRUCi. ION PERMIT ! PERMI O: ' TFACT NO. 'LOT�NO.' , UNIT NO. � ' � ! ? � � � ' � ' � _ �', �
. � ProjectAddress 117��i��si�ial7P -C`�r�.��-C'i�. � � �I � ' � • . � , . • �6398 10/30/66 • �,pp TL
i Applicant�sMailingAddress ' s�m� �S'��OVC ' � TYPEOFCONSTRUCTION . NEW ADD �ALTERATION REPAIR� � � � ! ' � '
����� �, �������g,� � ❑ CONVERSION � O DEMOLISH ❑ OTHER q.p, # ' ' ' � .� _ . ;� ,� ,_ �, Zone � � �
Owner'sName Phone ' DESCRIPTIONOFWORK/USEOFBLDG. � .-+��
Address ����RFsidio, P. osr.v�6s�--C'9� 9zGzL � . . � � � 1 ' S MainBuilding: �AccessoryBuilding: '
, E . . Z
Arch/Eng. License No. � � 7YPE OF PERMIT .0 GRaoirvG��q FOUrvoqTloN ❑ STRUCTURAL • T Front ' � ' ' � ' p
Address � ' � � : � � TENANT �❑ EIECTRICAL p,� PLUMBING 0 MECHANICFiL � , � , - • ,
S j A Rear ' � � N
Cont�actor'sName ��'e � Phonc�� �❑ OTHER... � - ' ' � � ' _,. ._ „ _ _ ._ _ ._ . _.,_ , _ N
� PR0.IECT DESCRIP710N 5p. Fr. � oCCUrANCv C Right '
� K � G
� Addre551mailing) �CONSTRUCTIONTVPE � VALUATION$ ' S Left • . . . � ' � �
CityLiC2n5¢NO., ' '� ' � ,ZONE � GRADINGCU.VDS., ACFES� - , ' R
LICENSED CONTRACTOR DECLARATION� , ' ! � Ping. Ref. # � � ,Parking,Req./Provided } � E
1 he�eby a(lirm�.that I am�licensetl untle�,provisions of Charter 9(commencing Rema�kz: ,. ' , '� � , Fl2nninJ NOt¢5:' � � ' � � j� M
wi[h Section ]000) of Division 3 of Ih¢ Business antl Profession5 Cotle, antl - _' T
my license�is in (ull force antl ef(ect. ' ' � . � � ` ' ' . . ' - � . � S
� License Class ' License No. � F
1 oate SignaWre , � ' � ' � PWMBING ' . � j � •FEES ' � ' ' ^ ' � • 1 1
WORKERS' COMPENSATION �ECLARATION : � - - ' . � . . . ' ' � �_
BarSink � Showers � ' ECECTRICAL� ' . . . FEES 's'
1 hereby affirm tM1at I have a cer[iticite of consen[ to SelLinsure or a certificate ��: • .
oi Workers' Compensatian Insurance, or a certifietl copy thereof (Section � ' _ � ,
� Backflow-Preventer . � ServiceSink • � , � i AutomaticWasher" � �Transformer "
3800, Lab. C.)� , � � ` . . �❑'15-50KW �� ,
Policy No: ' �� � Company � Backflow'Irrigation � � " ,SewerCa ' ' � ' . . � r `��50+-KW ; '
❑ Certifietl co . � ' - P ' . ' � ConstructioqPoleSub. . -� � ' ., '�
py i5 hereby (urnishetl. � . ` �
❑ CertitieG cooY B tile0 with t�e city Builtlin9 Division: , Bathtubs _ Sewer Conneciion : � Cooking�Unit' Meter ❑up to 100'amps .
Date • APplicant - - -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' ClarifiCrs . • Solar CollectOrs� �_ . . DishWasher. " ' Meter� �over100 amps, � ''
(This zection neetl not be campletetl if the permit is for one huntlretl (5100 ar _ � � �' �
less). � � : � Dishwasher . � . ;SolarPiping � ` - � � ' Dryers ❑Gas ❑Electnc� � SubPanel .
I certiry that in the performance of the work for which tM1is perm�t is issuetl, I - - ' '- '' ''' �
shall no�employ any person in any�nerso as to c me s'echto the Drinking Fountains. - .Solar Tank ._ � +_ � Fan ' � J�`
Wo�kers' COmpe satlon Ldws O( Calif la. Motors �0 1-.HP �1 f. � 8. ,�
Date �Si9nature � Floor Drains Swimming Pool w/Spa . ' F.A.U. � ' ` Inc Solar��9-15 HP 016-15+ '
=.NOTICE: f,aft r m5king�thi5 tleGa�ation,.y0u shoultl.bewme.subject to the — - �- --
� Workero' Compensation provisions of tM1e Labo� Cotle; you must forthwith FI00� SinkS . . ' . U�indl � � ' FixtU�¢5 � MiC�owave �
comply with such p�ovision5 or �thi5 pe�mit 5M1a11 be tleemetl�.revoketl. �
CONSTRUCTION LENDING AGENCV � � " ��' G35S2rvice �OuH¢t5 � �W2t¢fC1052t ' � D2viCeBOzes � ! � �
I hereby affirm that there i5 a construction lentling agency fo� the peifo�mance � Pole Light
of the work for which this permit is issuetl' (Section- 309J+Civ. C.) Int¢�ce t0�s . Wat¢� HBdt¢� � ' �
LenEer's Name � ' P Outlets Range
� '
; �entleCSAtlmess. � � ' - � � � � ' Kitchen.Sink _� .. ;. . � . . WaterService ,_- - . ' .-. '- Switches �� - �- � — - Sign �- ' � - -'-"- '
OWNER BUILOER DECLARATION , ' � . � f ; ' • ' ' ,
I ne�eby affirm that I am exempt from the Contracto�'s License �Law for the Lavatories , ' � Auto-Wash � � Garbage Disposal . Standing Sections ' �
following reason (Section ]031.5 Business antl Profe55ional Cotle:lAny;city o� ' ' � _ � �
county which requires a permlt to construct, alter, improve, tlemolish or repair P-Trap �� � ' Laundry Trays • i Generator 00.5 KW 05-15 KW Trash Com actor '
any siructure, prior to its issuance,.also requires the applicant for such'permit P j
to file a signetllstatement that he/she is-Ilcensetl pursuant to the prOvisions ot R001 D�dinS � � • '
'the Contractor's License Law (Ghapter 9'(commencing with Section 7000) of • � � '
. ' � '
"Dlvislon 3•oYthe Business'antl'Professions-Code) or that he/she-i5 exempt - - - � - - � - - � • -� ' — � -' -- � "-- � . ' � ' ' �
' tM1erefrom an0 Ihe basis for the allegetl exemptian. Any violation of Section ' . ' , ' � ' � . � ' � ' �
]031.5 ,by any applicanl for a permit subjects tne applicant to a civil � �
��^ ally of not more'than five huntlretl tlollars ($500). ' . ' , � . • � ! � 1 ' I
��TI arowner of the`property ' ' ' Reinspection•Fee � � $15 IsueFee� ' $'3 ' ' ' _ � '
kew�p�a.osat�en, will do'the work, antl the structure is not intentletl or oitered Reinspection Fee - $15! Issue Fee ' � '-�$ 3 =�
� for sale. (Section 7044. Business antl Professional Code: The Contracmr's +., � , MECHANICAL � , ' 'FEES � � � � � �
' i License�Law tloes'not apply to an owner of a propevty who builtls or improve5 ' � � �- �
• thereon, antl who tloes such work himself/nerself or tbrou9h nis' or her own ' i ' � i � � DEVELOPMENT SERVICES REQUIREMENTS � '' .,# �
employees, provitletl that such improvements a�e not intentletl o� otteretl for BOiI¢� � HOOd;O� TypE I ❑ '' � � .
.sale.' If, however, the builtlin9 or improvement is soltl wi[hin one y¢ar of com- - � . C2nOpy Typ¢ 11 ❑ _ ZOning App�oved By D2te
'pletion, tne owner wiu�have the burtlen ot proving he/she Eitl not Cui1tl or im- Duct - Under Ground - i ' ' 'Buiiding Approved By �Dat�
; p�ove for the purpose of sale). ' � ' , . - u � � �
❑ I, as owner of the property, am exclusiveiy contractin9 wiih licensetl con- Duct - SVuctural • Refrigeration System . . ' %�Pp��Cdtion ISsued By �=`— -� ' Dat 7'
: tractors to construc[ the project (Section ]044, Business antl Professions Cotle: '- {� . ., �
The. Contractor's Licen"se law tloes not appry to an owner ot property who Duct - Ventilating i ' ❑0-100,000 BTU ❑100,000 BTU , _ , ' � � ^,SUMMARV OF FEES � , � ��
� builtls o� improves thereon, antl who mntracts for Such projects wrth a con- - � ��•- -• � _ �• i� � _
. tractor(s1 Iicense pursuant to the Contractor's License Law). I am aware"that, Exhaust System ❑ MWtiple ❑ System'Repair/Alteration�� - �; BUILDING PERMIT $. '-SMIP -$',�
� proot of their Worker's Compensation insurance,shoultl be provitled,to'me. - - ' - ' pLAN CHECK � $ -• � + �PERMIT � � � '
� L7 I zm exempt untler Section B-& . C. tor this�reason Firepl/Fact. Blt. ICBO # � - � Fire Dampers �� � �' �(i �- ISSUANCE� T�$%-
� . . . . . � PLUMBING. � ` $_ �:' .
J Pi '.
Date / � Owne , Heating System & Ducting' " �Registers � � �� ' ' ' p�qN CHECK .25%'. $' ; ' ENERGV��P C" $ � i �
cer ify that 1 ha this applicationtandstate that the above.. 06100,000 BTU �100,0006T -. '' �- .GRADING � $= -
information is wrrect..l agree to comply wim all city antl munty ortlinances _ � _ - - ELECTRICAL �$ � � �,_
antl.state laws elating'_to builtliug construction, antl�hereby,aufhorize repre- � - � i. � i - , � pLAN�CHECK 50% �$' ! MICROFILM �$ r � 'r
sentatives � . his' city_ to n r u �,y{� �t�pe ;above-mentionetl ,property 6fOr � - . - . _ .. •�. ' � � -. � • �1 • , ' � - � p
inspection 'pases.; ;,�% L�'
Date , . y . ,n
:Drivers'�License or 55 �
peinspection Fee � $15 � � � � Issue Fee � ✓� � $'�3- PLAN�CHECK 25%-' $`'' � � i �
� + • . .. � .. __ .�. _..- .
, CMF OB65-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accouniing; Goltlenrotl - Assessor � {
. CONSTRUCTION AND.PLANNING , , � POOL & SPA. , �
Date Inspector ' ' Date- . Inspec'tm
APPROVALS Permit # . - APPROVALS Permit # � ,
� 1. Temporary Electrical Service or Pole � � 52. Pool &, Equipment Location
2. Soil Pipe-Undrgrnd. ' , . 53. Steel Reinforcement � �
. 3. Electrical Conduit Utility-Undrgmd�. � ' �54. Forms - . �
4. Electrical Conduit-Undrgrnd. 55. EleCtriC21 Bonding �
' 5. Steel Reinforcement: � 56. Rough Plumbing & Pressure Test � �� i
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , -
� 7. Footings � � . ' 58. Electrical Conduit-Undrgrnd. � � 'c�i
8. Foundation � 59. Gas Pipe, � Undrgrnd., Test ti
9. Water Pipe-Undrgrnd. , . .�� 60. Backwash Lines, P-Trap, O Undrgrnd. '
10. Structural Floor System . 67. APPROVAL TO DECK � - �
1 t. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final �
12. Sewer Cap - �, 63. Heater & Vent-Final
i
13. Roof Drains .� � 64. Plumbing System - Final
14. Rough Plumbing � � , 65. Electrica6Final � �
15. Rough Elec2rical-Conduit � 66. Solar System�Final .'
16. Rough Electric Wiring - � 67. Fencing & Access Approval .
17.- Raugh 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. Undergrnd.Storage Tank O 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. Lething & Siding � � 77. FIXED SYSTEM FINAL ' ' - .
29: Insulation - 78. FIRE PREV. FINAL'
30. Drywall Nailing , , HEALTH DEPT. REQUIREMENT . �
31. Plaster Brown Coat ' 79. FINAL WSPECTION �
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 ' �j��((p (,�.p . � �
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 � �
L46. Handicap Regulations � � '
47. FINALSTRUCTURE&BUILDING � �
48. Special Requirements Completed �
.,.�
49: Electric Release to Edison � �
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOFOCCUPANCY�y .
No. � Date � ' '
�
:PTION OF WORK
:ONE VALUE
�UP J TYPE
SUBCONTRACTOR
4 Gy 00
PEFLMIT NO.
:,_
% --
w = 25649
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 - COSTA MESA. CALIFORNIA YZ61!
For �9pplicant to F711 In Completely
TYPE OR PRINT
B°„°�"° � PR t
ADDRESG
COSTA MESA, CALIFORNIA �
Y
��
� �
THL
NO.
TEL
66TlACK LIX[ �110Y 1/2 �. . 1. 1
CBNiCR OP YTR6R � 7 w/� � R[AR YA D�
�J r �/'� ��
81DSYARD) ULlT �l lC/ � �I R16l7T ���J
DESCRIPTION OF WORX
WALL .I ROOP -
�f HC/eCeY ACKNOWL6D06 TMAT I MAY[ IfBAD THIO MPLICATION
AND 6TAT8 THI1T TX[ AGOVQ U CORNBGT ANO AOPB[ M GOM-
PLY WIiM ALL CITY ORDjIUXCp 11NO iTAT6 N1WY R[OYIATINi
BUILOINO CONBiRUL710N.
� AUTHORIZ[O AG[NT
CITY Oi ��SiA ME
APR 29 1966
: 11[C[IPT No.
RCi1V ■ ' �pyT2C�I D
4
ao�no � %'>' '= S (
ORE6Y
t6
N! TYP 6RC
PROV6D
DA7E �
ZONIN(;
HO.O� UitOIN6W
_� �uru e2 AiW4�»N4•.
YARDB MPROV6D
MAIN BUILDINO
IOMG//L�9T�R�'f'r �,
)NT/!'7 PT. LL.L�I
�I ^
� � ��
f1OL PT. �O
. �
D18TANC[ BR
MAIN BLDOi.
YM• �F
- 3a.s - �
i SXALL BE LE88 T AN
(U.B.C.,REQUIRHMHNT'.
YAROS APPHOVHD
ACGESSORYBUILDINO
BBT. MAIN Q
ACCE88. BLC
DATH
a
w
�
ac. rr. �
TH6 AYOUNT 4NOWX YNOBR VAlUAT10N 16 �OR THC �
rUPPOl6 OP [BTABLIBHINa A P6RNIT REH ONLY.
VALUATION � � G'0 �
PERMITFEE p
1�� w
s _
tNSPECTION!
��,y}Pool Locatior
l? Forms �
\
Main Drain _
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
'Electrical Final
Heater and Vent Final
Filter System Final _
Backwash and Recep. Final
TRACT
C�
Q �
Fencing Final L ��N'-7�
"----.. � �_. �._:_�. � ec i�r.t
or
SUBCONTRACTOR
Electric
Plumbing
42568--
- 42�ba
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
�AD'DRESS' /S �" S �
�
OWNER`, ,£ -
MAIL
ADDRES&
CITY GG_S'tA� A�l <r'e • L.4 • NOLw �% (�
BRANCH
ADDRESS
TEL.
ADDRESS'
CONTFACTOF-' ��O�QGC
AODRESS�l�A9� /tif�}('j-`U
� f
dTY �
NO.I II ^
IRE
T
R
t � [ �a,�QQ o •;;•u:;-
a.rr �5-7b-,..-,. 7,32=: 5550
FORSTRUCTURALPERMIT
DATE RECEIVED D TE ISSVED
^ O PER I NO. .
LOT BLOCK
R P
� C.� 12ENC�
, VALUE O
� TVPE. � GROUP' T .
DAT �
NO.OF USE OF NEW � ' ' -
PLANS BUILDING
F STATE ' .. pTY VARDSAPPROVED. VARDSA
� LIC. NO. � LIC. NO. MAIN BUIIDING ACCESSOR
{x� SIZE . . , NO.OF BLDGS. (FROM GL STREET)
6. OF LOT NOW ON l0T ppNT FT.
a USE OF - � ' � -
^ � �
EXISTING BLDG. SI . T. �
y
� - Separate per`mits are required for � �, sioe � Fr. 6
0 electric, plumbing and heating�work. REAR FS. "'
�� USE OF BVIIDING AND WORK TO BE PERFORMED
F . DISTANCE BET. BEf, MAIN &
Q '' ' � MAIN BlDGS. ' ACCESS. BLDi
q ' , . � _ VAR.# . DATE
a' - C.U.P.# APPROVED
7. . � APPROVED O' ,
�• d
a ' �
�
� I hereby acknowledpe that I heve reatl this applicetlon antl state ' ' �
y� that the above information iz correet antl a9rae to comply with
a all laws reBuleHng buildlnB �onstrucHon, antl I shall not employ
�a�V Oerson in violation of the workman's compensallon laws of
� the State of California. . ,
3 I�hereby cartify that I am pro0arly Ilcensatl as a contrecior untler - SQ. FT. �
' the Steta of California Business and P�ofeuions Cotle, Oivision 3, THE AMOUNT SHOWN UNDER VALU.
cnaprer 5; end rher such licenws are !n full force and effect, or I THE PURP(�E OF ESTABLISHING�A PERP
am exempt from ffie provislons of ffie State of Celitornla Business VALUAT�ON �, PERMIT FEE
antl Professions Code, Division 3, Chapier 9. � $
� ' PLAN'CHECK E
.Signature�of ' ���) .
. Parmittae $ ���� TAX $
' AUShorized ABent . ' 'TOTAL PAID E
n .
m
i
m
� � N
TION IS FOR m
T FEE ONIV: "
n
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N. .
m
m
0
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. �
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,
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA. CALIFORNIA
For Applieant +o FJII In Complefely
TYPE OR PRINT
BUfLDING
ADDRESS SV2
COSTA MEBA. CALIFORNIA
OWNER Hesa Del Mar Development Co. �
ADORESS' OO E� - CO83C H tlWB
arv Corona del r ' No`:OR 3-42
ARGNITECT TEL.
OR ENGINEER�'i8CC0 Coiporation No.OE 3422
■ STATE
7X-�J�'/ No.
/ �_� I NO. OF BIDGB.
��� REC�I����l
DEC 9 1960.
Lo�t 6, ���u�IN��1�e�e.�?T.
APPLICATION FORT�PERMITOSTp �Ei�
BUILDING .
For Office Use Only
' qELEIPT NO. � (.1�'f(��.10'.,Ti
il�d! L:
RECEI EO BY OA RECEIVED OATE I66UED
�ir/ I /�2 � 7- F d I 11FI` � n xoem
FIRE
ZONE
R
LEGAL
COSTA MESA. CALIFORNIA
ZONING
NO. OF I USE OF
U8E OF � YARDS
EXIBTING BLDG� APPROVED
S6TBAGK LIN6 FROM � �� / ICENTER LINS BT.)
CENTER OP eTP¢!T � REAR YARD FRONT
SIOE YARD ILEFf IRIGHT R.SIDE
DESCRIPTION OF WORK n
EXTERIOR
COVERINC
USE OF BI
•'i
I MEREBY ACKN
AN� 8iAT6 TH/
PLY WIiH ALL �
BUILDINO CON9
BIGNATURE OF
PERMITTEE�
AUTHORIZED A
OF
0
�
EVES
�
TXA� � MAVE READ TNIB APPLIGTION THE AMOUNT BHOWN IINOER VqLUATION I6 FOR THE
Jyg 16 COHRECT ANO A REE TO COM- pURPOBE OF EBTABLIBNING A PERMIT FEE ONLY.
UNCEB AND eTATE LA 9 REOULATINO�
VALUATION ?l,
PERMIT FEE $ J �! • O �
$ I i� � 3 O�,OO PLAN CHECK $ ��%. O(