HomeMy WebLinkAbout999 PRESIDIO DR - Building PermitsPq0.1ECiP0�XE55: (�(�(3 p�E5IDS0 UR
OWNEfl'SNRME: DGVA�)
ADUNESS: 9p(� pRESTDIO DR
COSTA MESP.
CA 92626
� AHCN/ENGINEEH: � 7 1 4� 5 4 �— 9 71 �
nooness:
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NEG.NO.:
UNIT:
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resminee: kOGERS ROOF.iNG, INC. (7f4)995-2826
aooeess: q g 12 L INCOLN
CYPRESS CA 90630
LICENSED CONTflRCTOfl DECIAflFTION: I hereby ailirm Iha� I am li nsea un0er provisions ol Chapter 9 enting with Sec�ion
7000� oi �rvision 3 ol I�e Business an0 Professions Cotle, an icens s in tull force antl elfec�.
c�.vuc.:03504a $TRTELIC.:AGHB 4 ss:�q,
Daie: —rB � �2 Signamre: _ _
WONREPS' COMPENSRTION OECLABATION: I hereby a t I have a cenificate of cansent m seu- or a cenificate of Workers'
Compensation Inmrance, or a ceritlietl copy Ihereof (Section 3800. Lab. q.
roucrxo.:p�Cii.i942—01 EXP.ORTE: O2I26I93
comraxr: GOLDEN EAGi.E
� Cehi�ie0 copY is hereby lumishetl. `� Ceni�ietl copY is file W/Mqe cily Building Division.
IOale'. � '��.% � �Z NPPlicanL �-iv`t - �j�`�
E%EMPTIONFpOMWOPREBS'fAMPEN5PTI0NOEClABRTION: Qhisset�ionn¢¢tlnOtbetOmplei¢diit�eDe ' toranehu�Mretl�5700�or1¢s5�.
I certily Ih he petlormance o� Ne work far which [his permu i' u, I shall no� e/m�ploy any person in any manner so as m hecome
suble�� ��� � ers Compe� tion L�rnia. /.Ii� �.�--/�.
ii. o
Oaie�. ,o,l.d L/ , _ _
NOTILE: Ii. after making this Aeclaration, you s�oul ecome subject to t�e Warkers' ComDensation pmvisions ol ihe Labor
Code. you mus� forthwiih compty wilh suc� pmvisions or [his permi� shall 6e deemed revoked.
CONSTflOCT10N LENOING RGENCY: / I here�y a��irm tha� Ihere is a cans�mction lending agency �or Ihe pedormante o� the work for
which �his permit is issued (Sectian 9097, Civ. C),
LENDEfl:
RUOflESS:
OWNEB BUILUEP �ECLl�BATION: I here6y affirm thai I am exemD� irom �he Contractors' State License Law for the following reasan
�Seclion 7031.5 Business an0 Pmlessional Cotle: Fny city o� toumy which reQuires a Dermi� �o conS�Nc�, alier, improve, demolish, or
repair any simcture, prior �o i�s issua�ice, al5o requires Ihe apDlicant fo� such permi� �o file a signed 5Ia[ement �hal �e/she is IicenSeJ �
pursuanl to ihe Omvisions ol lhe Contraclors' State Licenre Law (Chapter 9(commencing with Section 7000) oi �ivision 3 01 ihe Business
ana Pm�essions Code) or I�a� he/she is evemp� Ihereimm and the basis lor ��e alleged exemption Any Nolation of $ecli0n 7031.5 by
any applican� �or a Dermi� sublecls �he apDlican� �o a civil penalty of not moB than �ive hmdred dollars ($500).
I. as owner of the D�openy or my employees wi�h wages as Iheir sole compensaiion, will do Ihe work, an0 I�e
❑ stmcmre is nol imende0 or oifere0 for sale (Section 7094, Business antl Pmlessional COAe: The ConUac�ori S�ate License Law
aoes no� apply m an owner oi a proDerty who builtls or improves �hereon, antl who does such work himsel�/herselt or Nwugh
his or her own employees, pmvide0 ihal such imD�ovemenis are not intentled or oflered lor sale. If, however ihe builtling or
impmvemenl is soltl within one year af comple�ion, the owner will have Ihe burden o� pmving he/she Aid not hui10 0� impmve
lor ihe Durpose of sale�.
I, as owner ol �he Dmpetly. am exclusively conirac�ing wi�h licensea contracmrs �o constmc� lhe pmlec� (Sec�ion 7044. Business
❑ and Pmlessions Coae�. The Conimclors' Slate License Law Ooes not apDly io an ovmer ol pmpeM �o �uilds or imD�oves ihereon
ana who coniratis lor such pmlecis wilh a coniractor�s) license pursuant to the Coniractors' Slate Litense Law�. I am aware
�hai pmoi oi Iheir WOBeYs Compensaiion insurance should �e Omvided to me.
� I am e�empt unaer Section: B. 8 P. C.
for this reason:
Daie: ' Owner:
I tlo �ereDy certify I�ai I am aware ai antl untlerstan0l�e requiremen�s oi Calilamia Health ana Sa�ery Cotle Seciions 25505, 25533, ana
25534 ana Ihat I or any future building occupan� will/will no� �circle one) need to comply wi�h saitl sta�e cotles antl �he requiremen(5lor a
permit tor consimc�ion or matli�icalion iwm �he Nir Ouahry Managemen� DislricL Fesitlential conslmciion apDlica�ions are exemp� imm
t�ese Dmvisions.
Ua�e: NpplicanC
I here�y certilyl�at I have reaa Ihis applicalion antl state�hal Ihe abeve intorma�ionis correcl. I agreeto comDly wi�� all ci�y antl counry
orainance5andsialelawsrelatinglobwltlmgconslmctionantlh ' aul orirerepresenta�ivesolthisciry�o k nlhea�ove-men�ione0
pm0erty lor inspeclion paw�pa1ses. �
Dale , � �� �/ L Signa�ure: ��
�riveYs I icrnse nr Sncial Securiro
160t�46 W�i�e—Buildino: Green—Cotle Enbrcemen�; Canary—Aool¢anC Pink—Pevenve: Goldenrod—Assessor
C.I'PY OF COS1'A uESA — IIUII.,DING PERMIT PEkM NO: B OSb51F
PERMIT NO; B 056518 , PLAN CHECK NO: . N GOVT: N SuPP: N
CONSTRUCTION TYPE: 5—N PERMI7" TYPE: STR PJRPOSE: A'LT
JOB DESCRIPTZON : T/O OLD ROOF/APPLY NEW 30YR COMP SHINGLE S� FT: 3,200
CLATM VALUE; 3,200.00 CALC—VALUE: 3,200,00 GROUP OCC; R-3 �Mj:TO r�
COMMEN'PS: SMOKE DETECTOR(S) RE�UIRED IN :�a�E. ��ETE�
*�����.**��.������.���*��*�����** *��.*��*�����.�������������.���,�V! � QUIF��D���-
Z O N I N G R E i1 I R E!u! E N T S p
5 E T H A C K S {lE
----------- MAIN 3UILDZNG ---------- -------- ACCESSORY HUILi�ING ---�----
FRNT: F"t IN REAR; FT IN FRNT: FT IN REAFt: FT IN
LEFT: F'f IN RGHT: FT IN iEF'P: FT IN RGHT; FT IN
PARKING RE � FROV: PARCEL; 14164503 7,NE; REF NU;
PLANNING N TES> '
i ��
�3F 3F iE If df 3E �)E �1E )k �N� if if iE !f 3f it fF?c !E jF #'��f jf'�(�ie �F �Jf iE iE ii� 3E ie if # it 3e �1E # 1hiEjF 3E iF �,F �IF 3t iE �)f �!� if �lE �f'.f 3E iE je 1E jf f41E iF iE 1F3F iF iE ?E-If 3� if ii� i'r 3i� ��k-1i-3i� N� jf-
D E V E L O P M E N 1 S E R V I C E s R E Q li I k E M E i�f`i%P S
ZOhING AFPROVED BY . DATE• 'y'
HUILDING ABPROVED bY ;
APPLICAI'ION ISSUED BY: �'6
tEit-lEiFi(�iFiF+ElE3FiE�t!��tEx�i;lFi4#iF3cit?i-iRx"i.+c�eiExn�t�.'�- � l,Ff�
ie 3E iF iE * if N� if iF if iE 1c iE )f iE �k if 3f il� iE iF ii* K• ff if ic 3f 3E �F +i�jF-IF 3FiE iE iE 1E �t �lE �lE
LEGALI7.ATIUN;N F E E S U
BLDG PMT FLUMBING ELECTRTC
F'ERMIT 63,00
YI.AN
zssuE FEr.
HJILDZNG—DSV—>
To�rAzs---->
. _�_
DATE; �'�
DATE; ��O/���
' � 'T '��3FiI'iEi('iF'Ii'i'tiEiEY'iF...aT'�ti[' RI63'E
iF 3Fi(�iFir3i3i-#�jE�7eiF�lEiFlffEihih�}:�jfit'Fjhle#fiEji�l(�r�k��le�IPiEi¢�x�3E3t�iE#
M M A R Y .S'TRUCTURAL' ScGA;c.NT:Y
NiECHANSC FIRE SMIP/kES GRP.DING
��1�
SN,.IP ; I�Ot�qRES
s
FERMIT ISSliE PLAN—CHECK TOTAL PAID Di7£
63.50 U.UO U.00 63,50 63.50 �d ,00
REVENliE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHOkT; y� ,00
BLDG PMT PLUMBING ELECTRIC A7ECAANSC FIRE SMIP/TOT GRADING PLAN—CHaCR
63,00 .50
iE iF ae jE Y% iE if lE %� IF 3E � if IF lk lE IE iF k- Y.-�4 iF #f i'r 3f )c 3E� iF # iE if ik jf-�lf Si�lE iE # 3( f!� iE 3e iF'rt # k iF )F iE iE ii� li !f� iE �E iE it 3E 1E ?E 1+ iE i(� 3'r i(•�3i� iE,�k'rie 7f N� 3E ii� �1(-Y.� 3! 1i� ji�
I N D I V I D U A L F E E B R E A R D O W N �f!
TYPE QTY D E 5 C R I P T 1 U N liNIT COST 'TOTAL COST
SFR 3200 REROOF 3Y CrALJE RESIDENTZAL N07.ONE 1,00 ,.�.,200,00
END QF FEES ���
fj� �
(. /�!
�
C'1 DOliQ348-00?E0347 '�"��Y 63,g{�
DAiE: 03lii/92 TInE: 16:3D
�- (�, r t
CONSTRUCTION AND PLANNING :�� - POO SPA .
APPROVALS . Permit # Date inspector ApPqOVALS Permii # Date Inspector
1. Temporary Electriwl Service nr Pole . . - 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. - � � 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. -� 54. Forms �-
4. Elec[rical Conduit-Undrgrnd. . 55. Electrical Bonding -
5. Steel Re�nforcement � 56. Rough Piumbing & Pressure Test
6. Elec[ric8� UFER Grnd. - ' � 57. APPROVAL70 COVER�GUNITE � -
7. Footings _ 58. Electrical Conduit-Undrgmd.
8. Foundation _ � � � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. y". �' ���;'' 60. Backwash Lines, P-Trap, � Undrgrnd, �
10. Structural Floor System � 61. APPROVAL TO DECK �
it. Property Sewer line & House•Conneaion ; 62: ,Backwash & ReceptorFinal ��
12. Sewer Cap '- 63. Heater & Vent-Pinal
13. Roof Drains � � � 64. Plumbing Syscem - Final .� .
14. Rough plumbing , 1� � 65. Electrical�Final : �
55. Rough Electrical-Cond�it. � � 66. Solar SYstem-Final �
76. Rough �lectric Wirin9 • � 67. Fencing & Access ApProval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough ��ectrical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINA�
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, i� 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.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Cei�ing (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. InsulatiPn 78. fIRE PREV. FINAL
30. Drywall Nailing �' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electric2l Power Meter�Final i` 80. FOOD CEflTIFICATE ISSUED
33. Final Etectric � , J Notes:
34. Final Heating & Air Conditioning �/
35. Final G�s Pipe-Test �,�
36. Hood or Canopy � . ;
37. Final Factory Fireplace ,
38. Final Plumbin9 '
\
39. Water Service•Final
40. Gas Service-Final
41. Solar pomestirFinal
42. Backflow Preventer
43. Backflow Irrigation
44. LandscaPe Irripation System , �
45. Sound Attenuation
46. NandicaP Regulatioas�•-'
47. FINALSTRUCrURE;&BUILDING �/.�2 6w`�/ S�b'�(._ �,`i� ��(F��
!O l.�.pi1�
48. FINAL PLANNING , -, ��U�
49. Electric Release�to Edison � .-
50. Gas Release to SButhern California Gas Co '�1
�
51. CERTIFICATE OF OCCUPANCY
No. Date
�: ;i• �i'r (� �. �:i
Ciry of Costa Mesa Bui!ding Dept.
BY.,�����Y4a'.'-(__._DAT�..!_7....-..19�. �
THESE PLAN MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITHOU7 PRIOR APPROYA4
OF DEPf.
THE ISSUANL'E OR GRAftii(!JG OF A PERMIT OR APPROVAt
6F PLANS AP:D SPE.^,If1CATIDNS SHAiL NOT BE CONSTRUEO
TO BE A PERMIIT FOR, OH AN Af'P1tOVAL OF, HNY VtOLNTiON
Of ANY 01' THE PROVlSIONS Oh (HIS CODt. NU PERMIT PRE�
SUMING i0 GIVE AUT7;ORITP TO VIOLATE OR CANCEL TNE
PFOVISIONS OF TNIS CODE SMAI! BE VALIC. EXCEPT IN SD
FAR AS THE WORN OR USE WHICH IT AUTHORI2ES IS LkWFUI.
7HE ISSC
SPEClFICATlONS .
FFlDM THEREAiTE
IN SAID PlANS .
BUIIDING OPERA'
IN VIOLATION OF
OF THf CIIY.
►:'
CE OF A PfRMIT BASEO I1PON PLANS ANO
�« nor PetveNr r��e aui�nir�c oFFir,ipi.
REQUIRIN6 FVE C�RHEC7101! OF ERRORS
> SPECIFlCAT')NS OR FROth °REVFN711Jf,
NS BEING CAF" ^" T FRfUIlUER 4}Hfl9
IIS GODE OR OF ANY OTNEP. OR61NP �::
AESIDENCE
� r � ,� :�; ��_�;
CITY Of COSTA MESA
PLANNING DEPT.
EUBIECT 70 BIDG. DEPT. REG
,vh�qr�A�/7�" B'Gec.� u'��
er.,���'.__._._ oarE.
3.�,y _7 q
OtRECfOR OP PLAMHIN6
�% �
AESIDENCE
��9
%Z P..S /�'%, �
RESIDENCE
— �._._sr»�er ___ �__,_ _
��'�,z�
� STRUCT�RA1 AppROVq� �
SEPqRA7f AERMITS �NLY
��
F�R EIECTRIC�tt ARE REOUfREp
NFATING, VENiliA�ltJ��B1iV(;,
RE�RlGERA710N A'�D
�_ woRx
rr�Pen�°yt f R
ALf, lNSPECiIOPJ �REQU S7S
�--._ M�'AMY
%�+! �A7E��OOYGpSWF�S7EP.
�t 1 Ab0 fSipNAI RFFFT �8F C(
, "~---...� IREMFiyT.
TYPICAL 4�� CONCRETE BLOCK
TOP VIEW 3/8 Bar
� �:�.
4�� Blocks B��Blocks
I/4° 0 Pencil Rod Below Top
Course Of All Fences
4�� Concrete Block Fence With 8°
Pilosters. One 3/8'� Vertical gor
C4ntinuous From Earfhtooth Thru
8' Pilasier.
3/8'� Vertical Ties 2� Long
Hqoked In Footinq, And G�outed In
' Blocks 4 0/C Mazimum.
rovide Cleanout And Inspection
Hole At Pilasters.
�� �; �
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�� � �
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i � � � -
i i � i -
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��!��
�����'�
�_�_�
FENCE
��GENERAL-NOTES��
MORTAR: One Part Plastic
Cement And Three ParTs Sand.
6ROUT: One Part Cement And
Three And One Half Parts Sand.
COPING One Part Cement,
Three Pacts, Sand.
CONCRETE Well 'Mixed 1:2 1/2,
31/2. Maximum Ot 7 I/2
Gallons Of Water Per Sack
Of Cemenf
REINFORCEING STEEL SHA�L
CONFORM TO SEC. A-15-39
� � � i i � i A.S.T.M. ALL STEEL TO LAP
i i i I i i
' i i � i i I I WHERE SPLICED, 2�-0�� MINIMUM.
; i �� i i � � GROUT MAY BE POURED FROM
� ii �� �' �� TOP OF FENCE IN CELLS WHERE
X ��-o,' QipO��^�o.'.e•�.�,'p,'o?,� �'i v,`��:�.d.�"� �0�' VERTICAL STEEL OCCURS. HOLES
NATURAL GRADE � �'��� �' o n o... �.e.�'D� i„• . i-'? .�i
i� /,c�,••._p.:I��,•G.[:.:r4'�"_..Pno.'.o...0�:.00sl ��'�OiY.d�
r„r^o, ;;o •� •v.��.a�>:-'•'a:o'.':'%I �o- pp�� �p,o SHALL BE CLEAR, CLEAN, AND
FOR WIDTH SEE CHART �: �: -.. be a� �T,
_� '�_�=�_•� e� -�_ _e:'��:__�__i�_�a=Q� �Q=��,',�•�zf_s�f FREE OF ALL MORTAR, DEBRIS,
�•! 'rr ��,➢ ���I ECT. WITH INSPECTION HOLES
TWO 3/8 BARS CONTINUOUS ''' .� TO 16��O.C. MAICIMUM � n��
� lol � I�B, � AT BOTTOM. BOND SHALL BE
�^���'�'i �b%�s/p� PROVIDED BY LAYING BLOCKS
FENCE MAY VARY IN HEIGHT �a� 'b� DEPTH OF EARTHTOOTH I/3 i� •`Ip`� IN STRETCHER COURSES SO
FROM 3� TO 6� I!%,� ��' � y�.y v0�
i, o.�ni THE HEIGHT OF FENCE ip a•-i THAT VERT. JOINTS ALTERNATE
STEEL MUST BE TIED IN PLACE i 0��'�� 800� NG,BOTTOM OF �',%:.�i IN EACH COURSE.
I'/, n n i
AT TIME OF TRENCH INSPECTION Lno• �J� �L�,y'�� " '
3�� CLEARANCE FROM BOTTOM �`--'--1 SCALE� IIZ = I
CHART
HEIGHT. . .. . . . . . .. . .. .. . . ..6� .. . . .. .. .. . . .. . . 5�.. .. .. ..... .. ... . . .4�. . . .. .. .. ... . . .. . 3�
W I D T H . . . . . . . . . . . . . . . . . . . . . 14��.. . . . . . . . . . . . . . . 14'�. . . . . . . . . . . . . . . . . . 12" . . . . . . . . . . . . . . . . I 2��
THICKNESS . .. . . . . . . .. .. ... .10��. . . . . . .. .. ... . . . 10��. . . . .... ... .. . . .. .8'� . . . . ... ...... .. . 8��
DEPTH OF EARTHTOOTH . . . . . .24�� . . . . . . . . . . . . . . . 20��. .. . . .... . . . . . . . . .16��. . . . . . ... . . . .. . . 12��
SPACING OF EARTHTOOTH....i2� ... ..... ........ 14�..................16�... ............. 16�
City Of Costa Mesa,California
Building Department
FormBUl]-2M-�-64 5-BP
OWNERS NAME: 1V � cGJ,o LJ! ^_ ���¢�r- p� I LC ��%11 r�
JOB ADORESS� _�9�,-_�9�-_ 1Q0�� `���Q��
PERMIT NUMBER:_ _ _ � _ _ _ _
SIGNATURE�— ( J �� // _ — — — — — — — — —
\ J/_
._ . _ AOp�icant to (ill in all s0aces except thosa within beavy Eortler lines anE si9n all apOroOriate Oeclarations.
CITY OF COSTA M S� qp_ . �pNST{�IICTiON PERMIT � PER IT. O. C�` TRACT NO. LOT NO. _. UNIT NO, , � '.'•
Project Address �{_�_���y��� - "� ,
ApplicanYsMailing/A�ddres51 �S. rn,���' �' �'�Ai�li TlSLn a TVPPOFCONSTRUCTION: NEW Ao,D ALTERATION REPAIR'
Owne�'s Name � E7nJ't�0 Si�k Phoi{�� ' z �❑ CONVERSION .� DEMOLISH ❑ OTHER �yp #•
. . DESCRIPTION OF.WORK/USE OF BLDG.
Add � �� � � - � - . - ' - � 5 Main Building: -
4396 12/Q0/84 . 5.�6 '.T�,
a
- - - � Zone .,
� - Accessory Buildin9:
ress - Z
Arch/Eng. � License No. � � � � TVPE OF PERMIT ' GanoING ' FOUrvoA710rv S7RUCTVRAI. � T Front ` ' _ ' - � � _ � �p
� i ' � � � : �❑ TENANT -❑ ELECTRICAL PWMBING ❑ MECHANICAL g . - ' � ._ -. � - �r N
Address ' � ' ' - � - , ` I � .� . A Rear • `�
- /" � .Q �orHER � ' C Ri9ht � .. � - � - . . . � : N
Contractor's Nam ' � ' Phone � ' �� � � � � . G
,ry� 1 - ! I P,ROJECT DESCRIPTION Sq. FT. � ' -� OCCUaANCv� ' ~
� Address Imailin9) �-Llt LAJ?w � ��i� . �%f U� nP . � � _ � S Left; - ' - . . 1 ' � � ' R
/ ' ' � CONSTRUCTIONTVPE VALUATION$
City Licens2 NO. �O� iJ ' �'- � ZpNE � GRADING CU. VDS. ACRE$ I
Q LICENSED CONTRACTOR DECLARATION � i- � ' PIn9. R2f. i� Pa�kipy Req./Provid2d - Q
' I he�e�y�affirm that I am licensetl untler provislons of �,Charter 9(commencing Remarks: � • � ' � . ' � Planning Notes: ''1-� r ' � ' _ M
with sec[ion ]000) of Division 3 of the Business antl Professions Cotle, antl - T
my licenze is in (W f rce antl etfect. � %/ (//' Q % ' � . � , � � , ' � ' . S
� Cicense Cla ' '� ' ' ' ' u N�j'-( —V 7.7 ✓ ! . - , ' , '
(�, oate�a,/y—rY s�9 � 'l , . ,j` �j � . ' ' � ' " PLUMBING . FEES � . ' ' � . .
� WORKERS' COMPENSATION DECLARATION ' � BafSink . , . ShOWEIS � ; ELECTRICAL � . FEES
,z;hereGy affirm that I have a certificate of consent to self-insure or a certificate ' � '
f Workers'-Compens5tion -insur5nce, or 5 cer4if tl� copy Ihereot. (Section . gackflow Preventer ' - ' ' Service Sink: ' � �
� �`800, Lab. C.� ry � • � - � . � � � FFlutomatic Wasfier ,"' "� - - Transformer ❑ 15-50-KW - � - � "" �
�P�cyNo. /*'��`�%���� Company 0. Backflowlrcigation SewerCap � . ' ConstructionPoleSub. i �50+KW ,
Certifietl copy is hereby fumishetl. � ' '��/ ' �! Cookin Unit ' ' � � Meter ❑u to 100am s
Cer /p py1'S f"letl with the�city Byy d��py oiv�yyy�� . � Bathtubs � Sewer Connection ' ' �
Date ���,7 `s'� . APPlicant l%�'G`1�/LCL . , • . i 9 . P P i
EXEMPTION FROM WORKERS':COMPENSATION OECLAHATION _. I Cl2rifiers � Solar Collectors � � Dishwasher � � Meter ❑over'1002mps� ' -
(This section neetl not be completetl i( the permit iz for one huntlretl (5300) or . �� � � � ' - " ' ' - ' -- '- - - - " -
less). � ' Dishwasher , . i , Solai Piping ' ' Dryers ❑Gas ❑Electric ' Sub Panel ' � '
I certity�that �in the pertormdnce of the work foYwhich this pe�m�t i5 issuetl, I . '
shall� not employ any person in any manner so�as to b$� om bject to the Drinking Fountains � � SolarTank Fan Motors �0-1 HP �iK-8
WorkerY �6o ns i n l2ws of Califo� � /Y/ '� � �
Date •�` Signature �- �y�l 1 ' Floor Dreins i Swimming Pool w/Spa � � F.A.U. IncSolar �9-15 HP �16-15� � �
NOTICE: If, after ma ing this tleclaration, you shoultl become Subject to She
Workers' COmpenSa[ion provisions of the Labo� Gotle, y0u must forthwith - FIoO� SinkS ' . - U�indl ' - ' ' ' " ` Fixtu�es ' - " � � - - - �
comply with such provisions or this permit.SM1all be�Geemetl revoketl. Microwav2'- � .' Y" •
CONSTRUCTION LENDING 'AGENCV � . • � � • GasService �'Outlets .W2tef Closet r ' ' '
I � � � - • Device Boxes ,
I hereby affirm that tnere is a construction lentling agency tor the performance `! � ' � Pole Light � �
oi the work tor whi 5 permit .is issuetl� (Section -309� Civ. CJ ' ' . �, � -
��j'� � Interceptors . . Water Heater (j_ � G Outlets ' - Ran e ' �
LPntler'S Name 9
txntler's Adtlress � � � � ' - Kitchen Sink � ? � � �Water Service ' � Switches� , � . �
OWNERBUILDE0. ECLARATION�-.� ' " - . ' _ $ign .
I hereby affirm thai I dm exempt fiom the Contrac[oCs Li<ense Law for th¢ L3vdtO�i¢5 ' � � . � � . � . ' •
followin9 reason (Section 7031.5� Business antl Professional Cotle: Any ciry or � C . Ga�bage Disposal � ' Standing Sections ,
counry wM1ich �equi�es a pe�mit to con5truct, alter, improve, tlemolish o� repair� P-'r�yp GCn2�dt0� OO-5 KW OS-15 KW � � '
�any stlOcture, prior to'itYi55uance, alio fequires the applicant for such permit ' - Tf35h COfilpactOf �
. to file a signea statement:thafhe/she is licensetl pursuant to the provisions ot � Roof Drains � - -� ' '
.the Cwtractor's License Law (Chapter 9(commencing with Section 7000) of ' • • ' �
';y7+�]ivision 3 of the Business antl Professions Cotle) br that he/she is exempt ' , - _ � _ � , , ,
>:�ierefrom antl the basis foi the allegetl exemption. Any violation of Section � . _ , , • �
�':"031-.5 by any applicant tor a permit subjects the applicanLto,a civil , " ' '' � .
`'-i�enalty oi not moie than five hundred tlollare (E500).' ' �_ � . ' , , , 4 ' � ,
LJ I, as owner of the property oL my employee5 wim wages as their sole - R¢in5pettiOn FBe , ,$15 ' , IssuO PB¢ $ 3 �
wmoensation, wiu tlo the work, and the structure is not intenGed or offeretl ' Reinspection Fee $15 Issue Fee � $ 3
for sale (Section 7044, Business antl Professional Cotle: The Contractor's' ' MECHANICAL FEES
License Law tloes�not apply to nn owner of a property who builtls or improves
thereon; ana who tloes sucn work-�himseit/ne�self onthrougM1 his or her own' � + ' .DEVEIOPMENTSERVICESREQUIREMENTS: .
employees, provitletl Na[ suth improvements are not infentletl or offeretl tor ' BOil2� � � HOOd O� Typ¢ I ❑ I , 1
sale. Ii, however, the builtling cr improvement is sola within one year ot com- Canopy Type II ❑ � � Zoning Approved By Date
pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- ' Duct - Under Ground � , ^ Bhilding Approved By Date
�ove far the purpose of sale). ' �. ' . - ' � �
LJ I,�as owner of�the property, am exclusively mntracting with licensetl con- Duct -Structural Refrigeration System Applicatian Issued By Dat � L 2
t�actor5to construc[the projeci (Section 7044, Business antl Professions Cotle: •
�The Contracmr.'s'License Law tloes not apply to an.owner of property who Duct-.Ventilating . ❑0-100,000 BTU ❑100,000 BTU � SUMMARV OF FEES •
builtls or improves the�eon, antl who con[ratts for such projects with a con- '
tractor(s) license pursuant to tne Contractor's License Law). 1 am aware that .- . _ BUILDING PERMIT $� SMIP $
. proot of tbei� Worke�,'s Compensation insu�ance shoultl be p�ovitletl [o m¢. ExhduSt SyStCm ❑ Multiple ❑ � System Repair/Alteration
PLAN CHECK $ � PERMIT
❑:I am�exempt untler Section—�.lL..— B. & P. C. for this reason Firepl/Fact: BIL ICBO �k � ' PLUMBING - $���-� ISSUANCE �$
/1 // /1
Date � Owner -� _. ', Heating Sysrem & Ducting ' . ENERGV P.C.. $
' � ' , � � PLAN CHECK 25% $ .
I�nereby certiry'ihat I have reatl this application antl state that the above ❑P100,OOOBTU �100,OOOBT '- - ''` ,GFiADING '$ �
iniormation is wrrecL I agree fo mmply with all city antl county ortlinances ' ELECTRICAL $�
anG�state laws relating to builtling tonstruction, antl�hereby authorize repre- � PLAN CHECK 50% $ MICROFILM $
Sentatives of this city to fer pon the ab e-mentiOnetl P�ope�ty tor , � � � . . � �
Inspectionpurposes. � -��/ D, � �' MECHANICAL � $ � ' :TOTALFEE $' � iOO /
Siqnature � Da[e LD
Drivers'�License or 55 � � Heinspection Fee $75 Issue Fee . $ 3 � PLAN CHECK 25% $� � •
CMF0865-46,rev.4/84 Wni[e-Builtling;Canary-Applicaut;Pink-Accounting;Goltlenrotl-Assessor � -�
� CONSTRUCTION AND PLANNING � � P��' 'PA . -
APPROVALS Permit # 'Date Irispector AppROVALS Permit # - � Date Inspector
' 1. Temporary Electrical Service or Pole, 52. Pool & Equipment Location -.
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
. '3. ElectricaPConduit Utility-Undrgrnd. , 54. Foims � ' -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - -
'' �5.�Steel Reinforcement � - 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. � . ` 57. APPROVAL TO COVER-GUNITE . -
Z. Footings , � , • � . 58. Electrical Conduit-Undrgrnd. . � '
8. Foundation ' � � 59. Gas Pipe, � Undrgrnd ; Test . . �
9. Water Pipe-Undrgrnd. � � � 60. Backwash Lines, P-Trap, � Undrgrnd. �
10. Structural Floor System � 61. APPROVAL TO DECK �
11. Property Sewer �ine & 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,�nduit- - 66. Solar System-Final � � -
16. Rough Electric Wiring ' ' 67. Fe�cing & Access Approval � �
17. Rough Wiring Sign ' � . � � 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling • � . 69. POOL/SP,A SYSTEMS FINAL •
19.'Rough�Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,
20. Rough Factory Fireplace � APPROVALS Permit# .
. 21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � � 71. Product Piping O Gas ❑ Oil ��
23. Gas Pipe-Rough & Test ; 72.' Underground Flush -
, 24. Roof Framing . , � �73., Undergmd.StorageTank OGas ❑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: y �' �,� �,�� CjC�,/L/j (y � �
34. Final Heating & qir Conditioning ' yl,�,�(� Q.�' �'(,�ElC, �.0•$ � U F'�- i�Z %i �`�
35. Final Gas�Pipe-Test , ' � ' � � � ' • - -
36. Hood or Canopy • � ,
37. Final Factory F(replace . � - . . -: �
38. Final Plumbing � � � � �
39. Water Service-Final � ' - �
40. Gas Service-Final ' � � . . ,
41. Solar pomestic-Final � � � _
42. Backflow Preventer - . � � �
43. Backflow,lrrigatiom.:.;,.�. , ... ,
44. .Landscape Irrigation System . ' ,
45. Sound Attenuation ' .. �
46. Handicap Regulations � '
47. FINAL STRUCTURE & BUILDING , �
48. Special Requirements Completed � . � � •
49. Electric Releise to Edison , ' � � � �, - . �
50. Gas Release to Southem Califomia Gas Co � � . -
51. CERTIFICATE DF OCCUPANCY
No. � � Date ' �
vnvcrt $pRTOSIK� E,
70B ADDRESS 999 Presidic
G�"ORAL CONTRACTOR AiT£Lo
� 141-645-03 LOT
IN�rECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGM HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND [] POWER �
ROUGH WIRING
TRENCHES FORMS STEEL REINF.
F�OOR SVSTEM
BONO BEAM � STEEL REINFORCE ❑
SHEqTHING
FRNME AND FLASHING �I '
LATHING - IN n OUT L'
F 'R, BROWN COAT
URAL, FINAL
HEni ING, VENT., REFRIG. AN� A.C., FINAL
PLUMBING, FINAL ANO GAS TEST n
ELECTRIC, FINRL
BUILDING, FINAL
VAIC
SUBCONTRACTOR
ERMIT N0.
►
��li�i6
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For App/icant to Fill in Completely
BUILDING
OWNER
MAIL
ADDRE'.
CITV
BRANCH
ARCHITECT
OR ENGINEER C . F
ADDRESS 1220
CONTRACTOR A
ADDRESS 1190�,
��7� Hawthor
STATE
�IC.NO. �C�61�
SIZE
OF LOT
USE OF
EXISTING BLDG. DW
SIZE OF _ � „
TEL.
NO.
TEL.
No. Ex3
. S.M.
tai;iS.—i{-/��4?IcrVV (_.70:: •••••"'•l.lV
,�P. -R-7 �t7i��0 7_46R� 5.50
Fi'. t!cac• Jf:i:,tt.tr
APPLICATION FOR BUILDING PERMIT
�IVFyD BV �TE�ECry EP �TE� SU�
/J. {{-
A.P. NO. I�I � (p�`�
BUILDING ��(
A�ORESS
TRACT 4���
IX
OWNER
FIRE
20NE
APPROVED
�
DATE�1/
^ r. -�
K
TEL. �ONE NO.OF USE OF NEW `� p
0250 No. 973-540 P�� � BUILDING C���
CITV �'ARDSAPPROVED VARDSAPPROVED
1 LIQ NO. MAIN BUILDING ACCESSORV BUILOIP
INO.OF BLDGS. (FROM GyL ST�REET)
NOW ON LOT 1 �RONT /T// FT. FT.
NO.OF
EXTERIOR WALL I ROOF
COVERING COVERI
USE OF BUILDING AND WORK TO BE
15x8 Open Patio Cove
of the house. IC
3O FT.
i� C / �/
DISTANCE BET.
tt.to rear �:�:P:#
2138 oPPROVEDW
DATE
APPROVED
- — ?-
I hereby acknowletlge that I have reatl this application antl stete �
that th¢ above information is correct antl agree to comply with
all laws regulating building construction, antl I shall mt employ
any person in violetion ot the workman's compensation laws of �
the State of California.
I hereby certify that I am properly licensetl as a contractor untler ��O SQ. FT.
me Scare ot Calitornia Business antl Professions Cotla, Divisicn 3, THE AMOUNTSHOWN UNDER VA
Chapter 9, and [ha2 such licenses are in tull torce antl etfect, or I THE PURPC6E OF 6CAgUSHWG A P
am exempt trom Uie provisions of the Stare ot California Business VALUATION
and Professions Cnde, Division 3, Chapter 9. PERMIT FEE
Signature of � � ���,^ (}4l
Permittee 'r� ' $ `�y ` '� PLAN CHECK :
�•w
Authorized Agent ��' , ��
TOTAL FEE t
FT.
taX/ �'
O
UATION IS FOR �
RMIT FEE ONLY: Q
!i� m
_
m
._/ E
/ UV. LL
OWNER gpgTOSIIC. ED
JnR ADDRESS 999 �'esidio Drive
2AL CONTRACTOR M�ern Construct
n. .o.l�tl-61t5-O� LOT 84 TRACT
cns
W4TEF
ROIIGN PLVMBING
PROP. SWR. LINE I� MOUSE CON. �
SPRINKLING SYSTEM
MISCELLFNEOUS
ROUGH NEAT�NG ANO AIR CON�ITIONIN
TEMPORAR� SEFVICE OR POLE
UNOEAGROUND � POWEP �
ROUGH WIqING
TRENCHES FORMS STEEL F
FLOOR SVSTEM
BONC BERM ❑ STEEL REINFORCE
SHEnrHiNG
FRAME RND FLASMING
L 'G � IN �I OUT [f
I q, BROWN C04T
Sl,.,,�TURPL, FIN>L
HEATING, VENT., REFRIG. AND A.C., F
PLUMBIN0. FINAL NNO G45 TEST I�
ELECTRICfFiHnL
Blilillluf. FINCI
D
DATE
SUBCONTRACTOR
F
�
W
L
Q
.VJ.
�
S
F
sr���t���8
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. eOX 7200 CnST4 MESA. CALIFORNIA 92626
49Ip, � 31J 4l79
!�ti= 3/I'4779 _,
. e�� a00044�6 �e
o�� , ..__.. ._
23,:p0 T
'23.QOCKT�
_ ��R_�
APPL[CATION FOR STRUCCURAL PERMIT '
� For Applicant to Fill in Completely — Use Ink Only qECEI V ED BY DATE RECEIVED
DATE ISSUEO
--BUILDING ' e
� ADDFESS � �1
/'J�_�6/�5.._� PERMITNO.
OWNER �` O SJ A.P. NO. 7
MAIL BUI�OING %i7 � 'D/o ��,
ADDRESS 08
ADDRESS ! a p
TEL. TRACT� l0T Q'3 gLOCK
CITV 3 NO. p .
CONSTRUCfION EW ADD ALTER R PAI
LENDER
BRANCH
OWNER �� B'¢Q TOf'//�
ADDRESS
UE
ARCHITECT TEL., SE 5
Oq ENGINEEfl N .
FIRE
ADDRESS ZONE TVPE ROUP
/] -�{.. APPROV ///_
CONTRACTOR �(j %j{'� l.i�N�J/ • BY ATE �� yf
ADDRESS / Q �p (,J L
S TEL. ZO�y�r, NO.OF USE OF NEW �'�'�MLw�l t�
CITV NO. r�� P�� � BUILDING w�LL
STATE ,,.� CITY �'ARDSAPPROVED VARDSAPPROVED
LIC. NO. �IC. NO. MAIN BUILDING ACCESSORV BVILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT 7�Z K 9 3 NOW ON LOT RONT FT. �—
USE OF O
EXI5fING 6LDG. SI FT FT.
Separate permits are required for L. SIDE FT. FT. D
electric, plumbing and heating work. �"
REAR FT. FT.
USE OF BUILDING AND WO%�K TO BE PERFOflMED DISTANCE BET. BEf. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
r/�� � � ' ` - , VAR.# DATE
y (�f C.V.P.#�` APPROVE�
� APPROVED /� af� 3—��/—T %
�
oT�r w�4« /{�Ro � 2�.9.4 is �s,—
I he�eby acknowledge thet 1 have reetl this applicaiion and stete �. CC�h�tu.✓/j L�-,. �
that the above information is corract antl agree to comply with
m
all laws re0ulating builtling co�sttuction, antl 1 shall not employ
i
any person in violation of thC workman's compensation laws of d
Me State ot California.
I hereby certtfy that I am pto�erly licensed as a conttactor under SQ. FT. a
xhe 5<ate ot Calitorn(a Busine5s and P�ofessions Cotla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and thet suc� licenses are in full force and effecS, or I THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt trom the prOvisions of the State of California Business y
Chapter 9. VALUATION PERMIT FEE $ 5 DO
entl Professions Cotle, Division 3, D m
Signanre of / (//�//� � PLAN CHECK $ � o
Permfttee $/ J5 / TAX E j_'D ��. V
� �� �
Authorizetl Agen � TOTAL PAIO $ , � �-
��K
� i�sa�
COSTA MESA BUILDING-SAFETY DEPARTMENT
y P. O. BOX 8f7 COBTA MEBA. CALIRORNIA
For Applicanf to Fill In Complefely
COSTA MESA. CALIFORNIA
GONTRACTOR Macco Realty Co.
ADDRESS Same as above '
c�rr Same as above
�icTnEio207343-A-5B-1 NEo`: OR 34:
81ZE ccnc .. �. INO.OF
"�R -6-f" R?Icosrh �t�7r trA+t�g11:50
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
R¢CEIPT NO. PERMIT NO.
BY
COSTA MESA. CALIFORNIA
FIRE � A
ZONE TYPE� GROUP(
APPROVED
BY DATE
ZONING �p�
ZON` ` I PLANB � I OUILDINQE 1//:
�eaw�
(C6Ni[P LIN6 BTJ
�ineerM 50� REAR YARO ZZ�Z�� FRONT
ILEF7' 6' I RIGHi 6' R. SIDE -�
DESCRIPTION OF WORK
L. SIOE
I X II e� rcos�rinv I II enn�rinu I __ __ .
""""�"60�x50�10" iooms
SIZE
EXTEHIOR WALL SCllC�OIROOF
COVERING WOO COVERI!
USE OF BUILDING AND WORK TO BE
Sinale Family Res. w/at
Li
i HEREBY ACKNOWLEDOB THAT I XAVE REAO THI9 APPLIGTION T�{g AMOUNT 9HOWN UNOER VALUATION �8 POR THE
arva aTwTe THAT THE A90VE 19 GORRECi ANO AGREE TO COM-
PUIiPOBE OF EBiqBL18HING A PERMIT FE8 ONLY.
PLY WRH ALL QTY ORDINANLEB ANO BTATE /.AWB REOULATING
BUIIDiN� CONBiNUGT10N. VALUATION � �'
SIGNATURE O - PERMIT FEE $
PERMrrtE �`Sesa Del Mar Develo ment Co. 19,065.00
� By� �,/��� $ PLAN CHECK $� ��Z
// /
AUTHORIZED AGENT ,�t�-�X.%AJ . �.�. � � i/ r-.
�
k
a