HomeMy WebLinkAbout993 PRESIDIO DR - Building PermitsPfl0.1ECT AODflESS: q q 3 PR ES I D I O DR
OWNEN'SNPME:NICFiOL.S' JAMES C
aooeess:Z1212 AVENIDA PLANICIE
EL TORO,CA 92630
APCNIENGINEEH:
p00flES5:
NEG.NO.:
UNIT:
UNIT:
: PEFMIT7EE: DI DONNA' S CUS'IOM MASONRY ( 714 ) 858-3437
aooness: 3 DAYLILY.
RANCHO SANTA MAkGARI CA 92688
LICENSEO CONiFACTOP OECIABATION: I �ere�y atlirm tha� I am licensetl under provisians o� C�ap�er 9(cammencing with Section
7000) ol �ivision 3 oi Ihe Business antl Pmlessions Cotle. antl my license is in lull �orce antl effect.
CITY LIC.: Q STATE LIC.E 1 E G H�i ,_ cyass: C- 7. 9
Oaie: 7 � � _ •� SignaNre: _/�� _
� WOBREBS' COMPENSATION �ECLl�BATION: I hereby attirm ihat I have a certilicate ol consent to sel4insure or a cenificate of WaBers'
Compensation nyir n r tlifi opy Ihereo� (Section 3800. Lah. C)
roucrxo.:�L�4`�Ha#-�� EXP.OATE:OQIOLI94
COMPANY:S�CATE FUNDtI,
❑ Cetlihetl capy is �ereby Iumi5he0. CJ CenifieU coDY is file0 with ihe city euiltling oivisian.
Oaie'. � � ��� � Applican���1i%�
EI(EMPTION FAOM WONREBS' COMPENSl�TION OECLANpTION� (i�is section need nol be completea i� ihe permi� istor one hundretl ($1W) ar less�.
I cetlily Na� in Ihe pedorman[e oi Ihe work �or which ihis permit is issuetl. I shall not employ any person in any manner so as to became
sublecl to �he Workers' Compensalion Laws of Califomia./
Oaie: SignaWre:
NOTICE: II, after making Ihis declaration, you should'become sublect to Ihe Workers' Compensaiion pmvisions of Ihe La6ar
Coae. you mus� Iorihwi�h comply wi�h such O�ovisions or �his permit shall be tleemetl revoked.
CONSiPUCTION LENUING AGENCY: I hereby aflirm•t�3t there is a cons�Nciion IenUing agency lor Ihe pedormance o� Ihe work lor
whlch Ihls permil IS 155ued (Semion 30W. Civ. C)- �
LENOEP:
AODNESS:
OWNEfl BUILOEfl OECLAHATION: I herehy affirm Ihat I am exempt irom the Contractors' Slate License Law for tAe Pollowing reason
�Sedion 7031.5 Business and Prolessional Catle: Any city ol counry which requires a Oermi� Io constmcl aller, im0�ove, tlemolish, or
repair any s�mcWre, prior Io iis issuance. alm requires the applicaN lor such permi� to �ile a signed sta[emenl Ihai he/s�e is licen5ea
pursuani �o �he pmvisions ot Ihe ConVatlors' S�a�e License Law (Chapter 9(commencing wi�h Section 7000) of Orvision 3 of the Business
an� Pmfessions Cotle� or thal hehhe is exem0� Iherelmm anA Ihe basis tor �he allege0 eKemption. Any viola�ion o� Section 7031.5 6y
any appl¢anl br a permi� sublects �he applican� to a civil penaliy of no� more than live hundretl tlollars �8500�.
I. as owner ol �he property or my employees wilh waBes as I�eir sole com0ansa�ion, will tlo �he work, antl ��e
❑ slmcWre is not inienaed or oflerea �or sale (Senian 70a4. Business an0 Prolessional Cotle: T�e ConVactors' Slale License Law
tloes not apply m an owner ol a propeny who builtls or impmves ihereon, and who does such work himseli/herseli or thmugA
his or her own employees. provi0etl �ha� sucA improvemen�s are nol inlenaetl ar ollered lor sale. If, however �he builtling ar
impmvemeni is sold wit�in one year of completion, ihe owner will �ave the burden o� pmvinA helshe did not build or impmve
for Ihe purpase oi sale).
❑ I, as owner o� Ihe pmpehy, am exclusively conlraciing wi�� licensed wntraclor5 io conslmc� �he pmle[I (Seclion 7044, Business
and Pmlessons CoOe: The Cnntractnrs' S�ate License Law tloes noI appty to an owner of propehy who �uiltls or impmves �hereon
ane who conlrac�siar such D�ojecls wi�h a conlrac�or(s�license pursuant�o ��e GanVac�ars' SIaIe License Law�.l am aware
Ihal pmot ol Iheir Warker'S Compen5aiion insurance s�oultl be pmviaetl �o me.
� I am exempt untler Sectian: B. 8 P. C.
Ior ihis reason:
Oa�e: Owner
I tla �ereby cenify 1�aI I am aware ol an0 untlerstantl Ihe requiremenis ot Califamia Heal[h an0 Safety Code Seclions 25505, 25533, antl
25534 antl Iha� I or any fuWre �uiltlinq occupant will/will na� (circle one) nee4 io comply wi�h saitl state codes antl [he requiremenis for a
permi� lor canslmqion or mo0ilicaiion Irom Ihe Air Oualiry Managemen� Oislrici. FesiOeniial conslmc�ion applications are e�empt �mm
�he5e provisions.
Daie'. ApplicanC
I hereby cetlify�ha� I have reatl this ap0liw�ian antl siatethal ihe aboveintorma�ionis correci. I agree to comply with allcity antl couniy
or0inanws antl state laws relating Io builtling consimclion ana hereby amhorize representatives ol ihis ciry to enter upon Ihe above�mentionetl
pmpetly �a� in5pec0on purpo5es. /^/
oaie: �% � /3 -� 3 SignaWre �� / —' /`wti.
oriverS �icense or Sacia� Securi�y
16a��46 Whnc-8utlaing: Green—Cotle Enlorrement; Canary—Apphcanl; Pink—Revenue; Galdenrotl—Assessor
CI'fY OF COSTA ME5A - BUILDING PERMIT PEKM NU; H bs 9
PEkMIT NO; B 063004 PLAN CHECK NO; 02530-93 5 , 5�Y;
CONSTRUCTION TYPE: 5-N PERMIT TYPE; STR PURPO5E: OTH
JOB DESCRIPTION : 75 LIN ET OF RCMU WALL @ 6' HIGH SQ FT; "IS
CLAIM VALUE: CALC-VALUE; 1,500,00 GROUP OCC: R-3 /M-1
COMMENTS; 75 LINEAR FT OF RCMU WALL @ 6' HIGH AT' THE REAR OF THE PROPERTY,
*��r*x��r*�e***�r*�*��r*�rt��r��x**�r�r+r�t**�t***�rx**�t��c*�� x***x-�*�*�r�c�r��r*�rx�**�**�**�fa�t��r
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 HUILDING ---------- --------- ACCESSORY BIIILDING ---------
FktJT; FT IN REAR; FT IN FRNT; 20 FT IN REAFt; FT 1 IN
LEFT: FT IN RGHT; rT IN I�EFT'; FT IN RGHT: FT II`1
PARKTNG REQ• PkOV; PARCEL; 14164502 7,NE; R1 REF NO;
PLANNING Nj3TES> 6' HIGH 7S LINEAL FEET OF NASONRY WALL AT kEAR OF PROPERTY-
>-WALL T(5 kEPLACE WALL DESTROYED BY VEHICLE.
�f iE 1! iE IE ik if if iE iE �)f if iE ik i! 3f 3F 1E i!� iE il� if I! dE if 1E iE if k iElf 1f 3f k iE iF if iE �l! iE 1! !E iF iF �IE iE iF ik 1E i( �k-%16 iE iF-1EiE iE i4 iF ihlE %iE 3E 7@ lE jE �%�if iE iE fE )F ff if if �7F if
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 1' S
20NING APPROVED BY C� DATE; 3`
HUILDZNG APPROVED BY : DATE;
APPLICATION ISSUED BY; DATE;
ikiE�EiFiF�F3ElE?Ei4ifitiEiF#�%�3F�IEiFiEifif - , � x � if�fiFiEiFiEiE3kiF�1'r � �-�txx�c 3FjE
ikiF�kiEif�ll36iE3FififiEiElF1l�lEiEiF3EiEififiFiEiFiEiEiEififiFif�l�fiPiFiFif3ElEff1(�IE%iFiEiE1EiF iEifif�lFifiElEi(�il�3FiEiEi6lfif�if�EiE�lhiFiFi4#�iFif1F#�!E
LEGALIZATION;N F E E S U,�1 M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 35,00 50
� 5MIP/NON-RES
PLA.N 22,'75 ;
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE P,LAN-CHECK TOTAL PAID DUE
TOTALS----> 35,50 0.00 i; 22,75 58,25 SB.25 ,00
REVENUE DZVISION TOTALS--> COLLECTED; 56.25 OVER/SHORT; .UU
BLDG_PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
3S,U0 .50 27.75
,,
�lf 1E IE �lt iF �f if if it iF it if 3E # if iF it-If 1F iE iF iElf X� 1E if-1t �IF iE iE if iF iF iklE'34 �IE if �lE lE lE iE iF-lE if� iElt if iF if �1E if �IF iE 3E �11� k�1F !f iE?E ik iF iF 7E 3E 1P iF If M� it iE ]E iF iF it �lh iElF
I N D I V I D U A L F E E H Ft E A K D O W N
TYPE QTY D E S C R I P T I�O N UNI'1' COST TUTAL COST
5FR 75 RES—CONCRETE BLOCK>WALL / F7', 20,00 1,500,00
"•fiND OF FEES
i"
-�
�
�XPI ED ; �
� � 6 ' `�` y.:
01 00142716-OOi42718 T OT 5,;,25
DATE: Q7/13193 TIriEe 12:05
1 "
��1�
CONSTRUCTION AND PLAfVP11NG, - POOL & SPA
APPROVALS Perm�t # Date Inspector p�PpROVALS Permit # Date Inspector'
1. Temporary Electncai Servic0 or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � . 53. Steei Reinforcement '
- 3. Electrical Conduit Ut��rty-Un`drgrnd. 54. Porms �
4. Electrical Condurt�Undrgmd. " ' 55. Elect�icai Banding .
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. / 57. APPROVAI TD COVER�GUNITE
7. Footings 7�!///%3 F7�/ 58. Electrical Conduit-Undrgrnd.
l �Y�
8. Poundation 59. Gas Pipe, Q U�drgrnd., Test �
9. Water Pipe�Undrgmd. � �� 60. Backwash Lines, P-T�ap, � Undrgrnd. %�
�
10. Strucmral Floor Svstem � 61. APPROVAL TO DECK '�
� 71. Property Sewer line & House Connection � 62. Backtvash & Receptor-Pi�al `
12. Sewer Cap '• 63. Heater & VCnt-Final .
13. Root Drains � � 64. Piumbing System � Final .
14. Rough Plumbinq 65. Eectrical-Finat
75. Rough Electrical•Condua 66. Solar System-Final -
I 76. Rough Electric Wirin9 67. Fencing & Access ApProval
t
� 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electripl�T Ba. Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Aough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firep�ace - � APPROVALS Permit �`'r _
21. Ducts, in Structure ' 70. Undergraund Hydro
22. Ducts, Venti!ating . 71. ProductPiping �Gas ❑Oil
23. Gas Pipe�Rough & Test - 72. Underground Flush - '
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil ^� x
.� r
25. Root Sheathing 74. Overhead Hydro � y
i-�
26. T�Bar �elliag (S.ructurall & Ulonocoat 75. Dry Chem4cal r
�
27. Frame and Flashin9 76. Dry Standpipe �+'�e
28. Lathinq & Siding ' 77. FIXEO SYSTEM FINAL � `'�
!
29. InsulaUon '� •� �� � 78. FIRE PREV. FINAL ti"� �
i•
30. Drywall Nailing j � � HEALTH DEPT. REQUIREMENT
31. Piaster Bro�vn Coat ;�'! 79. FINAL INSPECTION
32. Ekctncai Power Meter�Final i �1 ' S0. POOD CERTIFICATE ISSUED
33. Final Eiectric � �'�, � Notes: �� /O ��y.�� 'j�0/QS'�
34. Final Heating & Air CondRionmg ' ��I - r� `
( �
35. F�nal Gas Pipe-Test � � + �
36. Hood or Canopy � ' -
37. Final Factory Fireplace � I� i
38. Final Plumbing � i -
39. .Nater Service�Final ' � '
�
40. Gas Service-Finai �
47. Solar pomescic-Final � � � .
42. Backflow Prevenxer � ' .
A3. Backflow Irrigation
44. Landscape I�rigation System � �
45. Sound Attenuation
46. Handicap Regulations , i
47. FINAL STRUCTURE & BUI LDWG � �
48. FINALPLANNING � �
49. Electric Release to Edison � . ,
50. Gas Reiease to Southern California Gas Cn `
51. CERTIFICATE OF OCCUPANCY
No. Date
�' ���-
�i� �5' �.F. wu�sowu., ��-
_ � hean, v� e,,c. SF' rev
:
I* �� +�� i�, i`'". ,,;,�1 _�''
Y
Q1Y OF COSTA MESA
PIANNING DEPT.
NYLCi TO 61D6. DEif. �.
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APPROVED
' City of Costa Mesa Building Dept.
BY ��— DATE �� 19�3
THESE PLANS MUST BE ON J05 AT ALL TINES MAKE
NO CHANGES WITHOUT PRIOR HPPFOVAL Of DEPT.
THE ISSUANCE OR GRANTING Cr A�ER�!IT OR APPROVAL Of
PLANS AND 9PECIFICATIONS SkLALI. PlO� BE CONSTRUEO TO BE A
PERMIT FOR, OR AN APPRO\ML OP, APIY VIOLA��ON OF ANY OF
iHE PROVISIONS OF 7HIS CO�E. NO PERldIT FRESUMING TO GNE
AUTHORITY TO VIOLATE OR CA\LGL THE PROVISIONS OF THIS
CODB Si1ALL BE VALID EXCEPT IN SO FAR AS THE WORK OR U3E
YJHICH ITAUTHORIZES IS LAWFUI. �
THE ISSUANCE OF A PERMf� BASED UPON PLANS AND
SPECIRCAT'IONS SHALL NOT PREVEM THE BUILDNJG OFFICIAL
FROM THEREAFfER REOUIRING THE CORRECTION OF ERRORS IN
SAI� PLANS AND SPECIRCATIONS QR FROM PREVENTING
BWLDING OPERATIONS BEING LARRIED ON THEREUNj�R WHEN
. . � ANV OTHER ORDINANCE OF
Permit # 3��
THIS NUMBER • MUST ACCOMPANY
p�� INSPECTION REQUESTS
e
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Ootionat �
Channel Block With 13/8�
Horizontal Top of all
Fences
For Fences 5' or Less
Vert. Bars 3/8"�iat 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"¢ at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-1539
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURALGRADE
TWO 3/8"¢ BARS �-i
CONTINUOUSTOP 1
& BOTTOM � _�_�
HOR7ZSTEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
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9 BELOW
o' I '�.
FOOTING REQUIREMENTS CHART
GENERAL- NOTES �:
MORTAR; p�e part Plostic Cement, and
Three Parts Sand ;. '
GROUT: One Part Cement TAree and
One Half Paris S�and
COPING: One Part Cemenl, Three
Porfs Sand
CONCRETE: W¢�I Mixed 1:2-I/2:3-I/2
Max. of 7- I/2 Goltons of
Wafer 'Per' Sack of -Cement
GROUT MAV BE POURED FROM THE TOP
OF TME FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREASOF HORIZON7AL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MOHTAR DEBRIS, ETC. .
i
'H OF E4RTHTCOTH
i/3 iF1E HEiGTH OF FENCE
��COW BOTTOM OF FOGTiNG.
SCALE: I/2��= I�.� �
WIDTH . . . . . . . . . . . . . 14" . 14: . . . 12...,. . , . 12..
THICKNESS 10�� . 10�� .... 8��. 8�,
DEPTH OF EARTHTOOTH . . . 24'� . . . . 20�� . . 16" . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' . . . . . 16�. . . . . 16'
City of Costa Mesa, California
Building Department
k�F�'!'�F_A NOV.62
AVYlicant to fill in a11 spac '� except t�osa wltnin �heavy p•�er iines antl sign all apvropriate aeclarations. . '
CITY OF COSTA�MESA. - . - _ - — - �j. . ` . pe ir nl¢, - • TRACT Pi(`..• LOT NO. ' BLD . - ' , ' ; � ` � , .. �� ]yG% �I el��/�3 � � - �34•'S� TL
� CONSTRUCTION P,ERMIT ' ,. � -. ;. �:, � �- '7,3`D o� ' ' ' '
- �: ;,
Pro�ect Address - � � u� Co�_�• � � TVPE OF CONSTRUCTION , ' NEW AOD.. �ALTERATION � ' REPAIR - � ' ' ` •
' � ApplwantfSMailingAddfe ' 30J /7/�/ � '�� ' ��CONVEq510fV'❑ ��EM/Q LISH ❑ OTHE �� " � ' ' q,p,�(.' ': , � i . I '� � 'ZOnei ' ", t
� - I '�/ - . . ' �. � � � SCg �IPTIO OF WORV(/ ' � • , �'r,/+!' ' I . � .
'� Owner's Name �� � -5 • Phone i ii . - i _ 'i S �Main Bmldmg: � � � � - � Accessory Buildmg.-• � � � - � , Z
. �//>l.�c'��.�-9iO/�• �/JJ � i . , ,�:�/fJT /�1��� � %�JJii�/�� . . , E ' . , . , . �,� � O
Address . . _ VPEOFPERMIT . - �GRA�WG� ' �FOUNDATION �STRUCTURAC � ,T Front ' ' � ' � ' ' � N
'Arch/Eng.- � z' ' Licen52 No. � ❑ TENANT ❑ EpL ECTRICy ❑ PLVMBING- � MECHANICAC , ' g' Reaf � � -' 1' � ' . t . • ' ' t ' N �
AddfE55 - . ' . ' ' 1 " ,� • ` . � �OTHER �G��d./-✓iiQ ' . _ � ..i .� . A -" � . � .
� Contractor s Namafp L`•lOS g�,s'��j �/_'/-c:n�. �`/J%,liA ' , PROJEC7 DESCRIPTION Sp. FT. � '�✓G d ' ' ' C Right ^ � ; _ � ,_' � . _ y , G �
Pljbn '',OCCUPANCV K R �
� Addresslmailing) o��-S�"'�'g4 � �"-� �y���� ' , �CONSTRUCTIONTVPE '�: �, VALUATION$ �DO6 �� S �Left� �= ,� ; - � � � 'E
. � �.�-' �'� O ' , � ' � ZONE � - GRAOING CU. VDS. ��ACRES � ' � � � � -- - n
City License No. � _ � Ping. Ref. # . . Park.Fees $ , .� +
, U
LICENSED CONTRACTOR DECLARATION � . qemarks: . � ' � �� � ' ' � _< P3rk�ing Req./Provided , � .� ' - ' ' �'
' 'I•hereby'affirm that I. am licensetl untler provi5ion5 of Charten9 (commencing � � ' t ' � � R �
. witti section ]000) ot Division 3 of the Business antl Grofesslons Cotle, antl , �' �� : � ''� � �' i � Use of Building: . • I - � E
mY license is in (ull foice a�p effecL ' ' � ' � . , . - , : , - I.
Cicense CI;ss_� �j-��.% ' U�ense o.���-�� � ' � - PLUMBING � FEES Planning Notes: ' - I � M�
Date �0��//Y 519 t , � /ls�./���_/1 _ Y . ' � , . , " i . ' . � �f N '
Bar Sink � � Showers -
, WORKERS' COMPENSATION DECLARATION � ' '� ' � � . . � � � • T
1 neretiy atfirm tnat I have a certif¢afe ot consent to selt-insure or a certiticate • Backflow Preventer � Service Sink � + � � � � � ' � � �� S
' of-Workers'�Compensation9nsurance;:or a�certi(ietl'-copy-thereof (Sectlon . - -
� 3800, �ab. C. p' - � i a�/ .� � Batkflowlrrgation � I SewerCap � ' � � ' I ELECTRICAL ; � �,-� FEES -
. PolicY No.'5���%S9 lJ .� ComPan�J.G'lp�j. o f��,//.�✓ � ' . . . • , . . •
' '0 Certrtietl copy is hereby turmslietl. . ` � : " � Bathtubs ' : f Sewer Connection � IAutomatic Washer • � Trensformer � 15=50'KW
� C�erbfie�ftopy is iiletl witM1 the city mq Div on./ , � � , . � � ❑�50.+ KW '�
Dat °'/�� ��� r�pplicant �-�e������-�+ i ' Clarifiers � Solar Collectors • � . Construction PoleSub, , � I. ' � � i
�. , � . . ..._'__ .
-EXEMPTION FROM WORKERS';COMPENSATIONbECLARATION� -. - Di5hwa5h¢f' " "" "'" -'" SOlar_Pi In9- �"' "' ' ' " ' ' '" �' " � ' ❑up t0 IOO�amps- r - '
� (Thissection neetl not be <ompletetl if the permit is for, one huntlretl (EI00) or P 'i Cooking Unit . f�"' �" ' Meter � � f
less): j ' ' ' � I � .- ' � Drinkin Fountains � � - � ' .S .Me[er �over100am s •
1 certi(y•that in the pertormance o! the work fOr�.which this p¢rm�t is i55Uetl, 1 9 $OIdLT3pk j Dish�wd5h¢� 1 p.
shall not employ any person in any manner so as to become subject to the � � , .. � , - � - •
� Workers'. Compensatiom Laws ot Calitbrnia. . .� � � � Floor Drains� y � -Swimming Pool w/Spa Dryers ❑Gas� �Electric iSub Panel � �
Date � � � Si9nature � � � � " � ,� . , � ` � �
� NOTICE: If,'atter making this tleclaration, you shoul[I become iubject to the , FIoo1 Sinks ; ' Urinal +' � Pan. � ,MotorS �0.1 HP �1 X-�8 - j
Work¢rs' Compensation"provi5ions of'the'.Labor Cotle, you'must'fOrthwith",' ' - , ' -'- ' -'' '- -' � ,
' compry�with such.provisions-or-this,.permlt�shall be�tleemetl revoketl. � GasService � Outlets� WaterClout� -� - � . i�_ F.A.U., ' � �InaSolar�9�15HP�i6-15+ �
CONSTRUCTION�LENDING'AGENCV. ' 't %- ' _ ,. .. _
I hereby'affirm that ttiere is a�construction lentling agency for the performance Intercepto�s � ' Wate� Heater � _ Fixtu�es � � ��;Microwave � •
ot the.wark tor which this permit ,is•issuetl',(Sectlon..309� C)v. C'.) ' ' ' ' " _ - ' '
• Lentler's Name: ' " ' _ ' Kitchen Sink � � � WateP'Service Device Boxes ; ' . Pole Light ' ' ' ' '
LenGer's Atldress ' � - � ' � ' � - '
' OWNER BUILDER OECLARATION � - ' ' Lavatories . � ' � ' - � - OUtletS � . ' Range � • � '
I hereby aftirm that I am�ezempt from the•Contractor's.License Caw for,the � p_Tra ' ' ' � - � � �
tollowing reason (Section 703L5'Business antl Protessional Cotle: Any_tlty or . P. � � _ ' ' _ Switches' � ' Sign � � ( •
, courlty which requires a pe�mit to const�uct, alteq improve, tlemolish�oi �epab � . � , ;
any structure, prior to its issuance, also requires the applicanLtor such permic ,Roof'Orains � - � � . Garbage Disposal - ' : Standing Sectibns ' +
to tile a'signetl statement that-he/she is Iicensetl pu�suant to'the prOvi5ion5 of �
the ContracYor's License Law (Chapter 9(commencing-with Section 7000) of ' • - � - . -- I_ Gen2rator �0.5 KW �5-15 KW 'Trash Compactor :
Division' 3" of the�8usiness antl Professions Cotle) or that he/sne•is ezempt . . � � ' •_
therefrom antl the basi5 tor.the allegetl exemption: Any violation'ot Section " - . ' ', , - . '' � � . . : -- . ;
�]031.5 by any applicant for a permit�subjects-the applicant to a civil '� � ' `r . - , ' � ; ' ' ! :
'. enalty of not more than tive huntlretl tloliars ($500). � � �i �Reinspection _Fee $25 ' Issue Fee . + rt �$ 3
� i, as owner of the property or my employees with wages as their sole � , Reinspection Fee $25 luue Fee !$ 3' �
compensation, will tlo tha work, antl the structure is not intentletl or ofteretl a ` MECHANICAL � FEE$ � ,
for sale:(Section ']044, Business antl, Professional.Cotle: The Contracmr's - PUBLICSERVICESREQUIREMENTS: � ' ' � �
License Law tloes not appty to an'owner of a property who.bulltls or improves � gpiler ` HoOd or. Type I ❑ ' ,_ . � .
the�eon, antl wha'does sucn wo�k hirtiselt/h¢r5¢It o� through his or hCr own � . • : . Zoning Approved By � Date �
employees, provitletl that such improvements a�e not intentlatl o� offeretl fo� . CBnOpy Typ¢ I I ❑ �. . � ;
sale. If, however, the builtling or improvement is soltl within one year of tom- " Duct - Under Ground ' -� Applica[ion Appraved By � Date �
pletlon, the owne� will have the bu�tlen of proving he/she tlitl nOt �uiltl o� im- '
�rove tor the purpose oi sale), � ;�' - . Ouct�- Strucmral Refrigeration System � ..v ApplipC Issu d By c_N L � Datfl.�
LJ I, as owner ot the property, am exclusivery mntra�cting with' Iicensetl com �0-700,000 BTU ❑100,000 BTU
tractore io wnstruct the project (Section 7044, eusiness and Protessions Cotle: Duct - Ventilating , ' • � ��SUMJM,ARV OF FEES � , '
The Contractor's License Law tloes not apply to an owner of.property.who ; �. .- ' - -• � � � - - - _ � � � gUILDWG.PERMIT � $ '3V-id � SMIP $ � .SD
builtls or improves [he�eon, antl who contracts to� SUCh project5 with a com ExhduSt SyStEm ❑ Multiple O� System Repair/Alteration � .
tractor(s) license pursuanf to the Contractor's License Law). � PLAN CHECK ' $ ' PERMIT
❑ I.am exempt untler Section B. & P. C. for this reason Firepl/Fac[. BIt. ICBO # ' PLUMBING �$ � ,ISSUANCE $
�
Date ' ' Owner' ' Heating System & Ducting ' . � � - p�p,N CHECK $ - ' ENERGY��P.C. $ �
I hereby certify that I have reatl this aoP���ation antl state that tne above � �0.100,OOOBTU �100,000BT ELECTRICAL $' ' GRADING �$ ' '
intormation-is correct.- I agree to comply witn ali city antl county ortlinances ' " ' - ' - ''
antl'state laws relating to bulltlin9 mnstruction, antl hereby authorize reore- � . � � ' PLAN CHECK $' � MICROFI LM $�
sentatives ot this city' to enter upon the above-mentionetl pro0erty ,tor � ' ,l
inspection pupr �o4s's. � ,(., � - - ' H- d
Si9nature 3/il/y.,,�/��
. Reinspection Fee $25 laue Fee . $ 3 PLAN CHECK � $ ' - t
�CMF 0865-46 rev. �/B3 White- Builtling: Canary - qpp�{can[; Pink - Accounting: Gbltlenrotl - Assessor - � . _. . ... + . _ _ ' , , , , _ ,
� ' � � CONSTRUCTION AND PLA%I�I��V I�N.jJG� ' ' j ` .. ' -� • POOL & SPA
' -�d�-P�- Date�' Inspector - � � Date -InsPector
�� 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-Undrgmd: ' ' � � 55. Electrical Bonding _ �
,5. Steel Reinforcement , . � ' '56.� Raugh�Plumbing & Pressure Test �
- 6:.Electrical UFER Gmd. . �� � � 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, ��Undrgrnd. ,
10. Structurab 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 & P,ir Conditioning � FIRE DEPT. REQUIREMENT
` 20. Rough Factory Fireplace � � APPROVALS Permit #.
�, DuCts, in Structure , 70. Underground Hydro
. 2.:
2-'
Ducts, Ventilating � � 71. Product Piping OGas ��Oil
-3. Gas Pipe-Rough & Test . 72. Underground Flush .
i
124..Roof Framing � ' , 73. �Undergrnd.StorageTank OGas ❑Oil
�� 25�. Roof Sheathing � � � 4. 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. Domestic-Pinal � . ... . _
42. Backflow Preventer � � .
43. Backflow Irrigation � � ' ' � � - -
44. ,Landscape Irrigation System � � � . � ' '
� ,
� 45. Sound Attenuation , , � . .
46. Handicap Regulations ` ' � - � � ' . � • .
47. FINALSTRUCTURE & BUILDING �'� �� �
. J ' iy.l, $
48. Special,Requirements Completed � ' , - , �
49. ElectridReleaseio Edison � � , � - � ' ' � ,� � , . � , '
�
50. Gas Release to�Southem California Gas Co , � � -
� 51. CERTIFIC9TE.OFOCCUP.ANCY, ' � _ _ _ �� . �
No. . . . Date� ' � . , , . . � .
OWNER NTr.xnrs_
JOB ADDRE— S 9
GENERAL CONTRAC
AP No.lk1=645-02
INSPECTIONS
SOIL
WS
WFTER�
ROUGN PLUMBING
PROP. SWA� LINE � HOI
SPRINKLING SVSTEM
MISCELL4N�OU5
ROUGM HEnTING nN0 nIR
DATE
of
I[���:l�i:Z[�i�R.Cii:�df: � . _ a
CON.
ITIONING
lINOERGaOUND � I POWER U
ROUGM IXtRiNG
TRENCHES FORMS STEEI FEINF.
FLOOR SVSTEIA
BONO BEAM U STEEL
SHEATHING
FRRME PNO FL/SHING
-LATHING � IN� OUT ❑
PLASTER,BROWN COAT
STRUCTOR4�.FINAL
HERTING. VENT., REFRIG. nND P.C., FI
PLUM9ING. FINAL RNO GAS TEST n
ELECTRIC, FIN<L
RIIII llluf. GIN41
SUBCONTRACTOR
r=p
n� ��.�:�:�a
COSTA MESA BUILDING-SAFETY DEPARTMENT
497L 3%14779 5�.60 ,TL
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR STRUC7'URAL PERMIT �
For Applicant to Fill in Completety - Use Ink Only �y y�
ao�oaess � �i. ' ` � v D� ��I'" ���y �
OWNER �YS /C O�,J' A.P.NO.
/'1/—(��Ys —�OZ PERMITNO.
nnAi� AD'DRESS 9y3 iR�fioia y�t
ADDRESS �/ � f � p�j
CITV b � NOL ��- TFACTygog LOTp 7 BIOCK
CANSiRUCTION EW ADD ALTER REPAR M
LENDER
BRANCH
OWNER TA-�`'i� 1'. V/ �rt pLr
ADDRESS ���f� y� �U$ �O�O
ARCHITECT TEL /'}LL I
OR ENGINEER N . ��a'' r
FIRE T
ADOFESS ZONE TVP GROUP t,/
APPROVE �j� �J
CONTRACTOR p y.' pyv�'r� BV ATE �% / %
ADDRESS � Q � � � .� C
CITY � � NOL y/' � y ZONE��� P��'7 gUILDINGEB�CW/!L?
n .�
STATE / CITV - �'ARDSAPPROVED VAROSAPPROVED
IIC. NO. ' O �� LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE q NO.OF BLDGS. (FROM C/LSTREET)
OF LOT %� x ! 3 NOW ON LOT RONT FT. ��
USE OF Q
EXI5iING BLDG. S T. FT
Separate permits are required for L. SIDE Fr. -F��
electric, plumbing and heating work.
REAR FT. �T
USE OF BUI�DING AND WORK TO BE PERFOIiMED DI5TANCE BET. BET. MAIN &
MAIN BLDf3S. ACC6S, g�DGS,
D � �% / / / � /f VAR. �I`- DATE
vC/l1iC.F� C.U.P.ak qPPROVED
� APPROVED �(�% ✓7—/�f'—� 9
I hereby acknowletlBe thet I have reatl this application antl rtate �
that the above info�mation is eorrect and agrea to comply with �
m
all laws regulating buildlne �onztruction, and I shall not employ
any pe�son in violation of the workman's compensation laws ot �
a
the Sta<e of Califomia.
I hereby cettify that I am properly Iicensetl as a contractor untler SQ. FT. tO
N
the State of California Business antl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
cnapxer 9, anO that such Ilcenses are in (�II force and effect, o� I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the provisions of the State of California B�siness a
VA�UATION PERMIT FEE $
antl Professions Cotle, Divislon 3, Chaprer 9. D � 0 �
� Q AN CHECK -$ �— M
Sie�atura of /�� �
Permittee ��v $ /a TAx $ O �
Authorizetl Agent v nr.� —� TOTAL PAI D $ � `� u
�.J
�/,
. ;� ! 8946
C65TA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA, CALIPORNIA
For Applicani fo Fill In Complefely
TYPE OR PRINT
� MAIL
COSTA MESA. CALIFORNIA
Macco Realty Co
Macco Realtv Co.
� i c. �No. 20 7343 -A-S B-1
arse 6696 S.F.
OF LOT
USE OF none
EXIBTING BLDG.
34220
FIRE
ZONE
APPROVED
�,�q -C,•R�Pllcosrh o��g� o�,�a85.50
APPLICATION FOR PERMIT
Bua�iN�
For Office Use Only
COSTA MESA. CALIFORNIA
ZONING
ZON I NO. OF UBe OF N
) � � � PLANB BUILDINO f
No: OR 34220 ''epA1' Lot 84 Tract 4808
DEBGRIPTION >
I x0. OF BlDf�g�.�e /jr!� — -
�TReeT iU � REAR YARDL.$ �
I LEFf 6� .I RIGHT C7 �
DESCRIPTIOtd OF WORK
ILDING �n��Sn� NO;
WORK
1
EVES
1 HERE6Y ACKNOWLEDGE THAT 1 XAVE RGD THI9 APPLIGTION }HE AMOUNT 9HOWN UNUER VALUATION 19 POR TH6 �
AND BTATB THAT rxe ABOVE I6 COPRECT ANO AGREE TO COM- pUpp08H OP, EBTABLIBHING p PERMIT FEE ONLY.
PLY WITH ALL CITY OROINANCE9 AND 6TAT6 tAW9 R80UI.�TIN6
euILDINc doNernurnorv. VALUATION � �
SIGNATURE OF MCSd DE�. MSY DCVCLOpIRO[1C CO PERMIT FEE $ N
PERMITTE �8f O n
By;�` � ��J PLAN CHECK S � ��
AUTHORIZED AGENTj� k d, �/ C/ O• p[I /OE y
0 OTAL F E LL