The URL can be used to link to this page

Home My WebLink About2160 RALEIGH AVE - Building PermitsCITY OF COSTA MESA - - � BUILDING p1VIS10N � � DEVELOPMENT SEFiVICES DEPARTMENT � - � PERMIT PERMIT NUMBER '�`P E98-00927 (714) 75a-5273 • Fax (714) 754-4856 , 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2160 RALEIGH AV Suite No Vicinity: Parcel Nunmber: 42240124 Applicant: MADRID, MICHAEL Address: �;r' i'JG - ;,,i/�- \ . • Owner: MOON; WILLIAM D TR � ,,,, � Address 2160-RALEIGHAVE i -./ /l � : -,� i % A ` ' _ - ; COSTA MESA,CA:-% , - ii //i,% i - i � . , �.,�' ELECTRICAL PERMIT Status: ISSUED Applied: 0 8131 /1 9 9 8 Issued: 08/31/1998 ' � �__.- i . � '� Phone:� 714-722-7399 - � � . , Z�P; � .. - . . `,' -�\ � � � ' `� , � \ . .. '_ --.« - � . ' � •�� `, � �� Phone: / =� Zip: 92627 � ' � �. :�:. .i. ,' ., \-� ;,' ' �1 Contractor: - �� . � Address: � � � " - ,;., _ Phone:� . _ � � , _ • • .Zip:,� i� , ', � . . .r . - � �., � i ; . % , ' �.� ,�. r 'ricense f�.r s .-�. ' . / " ,� ' SCOPE OF PERMIT � ` �ADD NEW SERVICE UPGRADE TO EXISTING SERVICE. � V� . / r � . . _ - . . . - . ' / �-r . '.. � . . -j 'r'��° i' _ . .. . , -, . , .. . ., . .. , FEESUMMARY ' a . ISSUE FEE � ' ' Temp service test Res. a/c package � New Res (1-2 units)� � ' New Res (3+units) - Pool / Spa , , Lighting Fixts - � Recept Outlets � . ' Switches Non Res Appl _ , Res Appl � . � Service to 200a Service to 1000a � Service over 1000a Motors to 1 hp � _ Motors to 10hp �; �� Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole � �`Quantity � � .�� Quantity � $22.00 ._ ' ��`��'� ,- "-Temp�DistSyste'm'ILighting.• $0.00 0 $0.00 - " - - ;=8usway /100�R t``.,,- � � �' $0.00 0 , $0.00 �� `" -' Standing Section $0.00 0 � � $0.00 ' 0 Misc Elect�ical�Equipment $0.00 0 � $0.00 - 0 Transfo`rmers up to 1 kva/kw �$0.00 -0 $0.00 0 ..........-...upto:l0kva/kw $0.00 �0 . � $0.00 0 , .................up to 50 kva/kw $0.00 -' :0 � � ,$0.00 0 �' ....:•...........up to 100 kva/kw $0.00 - 0 � . '� $0.00 0 , � ...:.::.: ........over 100 kva/kw $0.00 �- � � 0 ,$0.00 0 , - , ` � Cow Voltage Equipment $0.00 " 0 ' _ $0.00 , 0 ,.� low Volt Wiring System / Ckt $0.00 0 $2725; �-, i . � 1 . � - , " - . , �Misc. Conduit " - , � - $0.00 0 . � � 50.00 -. ; � „0 � Misc.�Conductor- . - � �-$0.00�' 0 $0.00 � 0 . � Circus ( gen or ride) " $0.00_ � 0 - , - $OAO-�� 0� � ��, - - ' � �Circus{mech dde or Ilght's) � $0.00 � � � 0 � $0.00 ' 0 � . . �-; Christmas Tree Stand � � ' - $0.00 � � � 0 �' i � -, $0.00 - 0 �� FireworksStand , $0.00 - �-0� $0.00 � : �,' �0 ' Other Electrical Fee " $0.00' . �$0:00 . . p _ ' . . , � $0.00 - 0 � � Imestigation Fee . � - $0.00 $0.00 � 0 � ' � Plan Check Fee " � $0.00 $0.00 0 , . Reinspection Fee- � $0.00 $Q00 0 � � � • ` " - $0.00 0 TOTAL CALCULATED FEES 549.25 $0.00 0 COMMENTS / SPECIAL CONDITIONS EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. ,' . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapectlona and finel epproval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKEqS' GaMPENSATION DECLARATION: � I hereby atfinn untler penalty of pe�ury ona of lhe following Aecleretions: ❑ I heve entl wlll melntain a certificate of consent to seli-Insure for workers' compensetion, es provided far by seclion 3700 of the Lebor Cotle, tor the pertormence of the work for which Ihis permit is issuetl. ❑ I have aM1 wiil maiMain wrnkars' canpe�ualion insurance, es requiiad by sacUon 3700 of Ihe Lebor Coda, for the perfortnance oi Ihe woAc tw which ihis pertnit is issuetl. My workers' compensation Insurance cartier entl pollcy num�er ara: CaMer: - - Policy Numbec (Thls sectlon need no( be comp/etetl l/Ihe peimit is velued et on hundred dollers ($f 00) or /ess.J I cenlTy ihel In the performance at the wo or whlch is permit is issued, I shall not employ eny person in eny manner so as to become subJect to the workers' compenSellan lews af CalHornla, end egre thet If I sh ultl become subJect to the workers' compensetlon provislons of Sectlon 3700 of the Lebor Catle, I shell farthwith With these pravisions. 9 ApPlicant SI e: Date: � j� � C� WARNINO: FAILURE TO SECURE WORKER$' COMPENSATION COVEMGE IS UNIAW FLL AND SHALL SUBIECf MI EMP�OYER TO CRIhUNPL PENPLTIES ANO CIViI FlNES UP TO ONE MllNORED T10USFND DIX�7E (5100,OOD), IN ADDff10N TO THE COST OF COMPENSATION, DAMAGES A$ PROVIDEO FOR IN SECTIIXJ 3]Og OF THE LABOR CODE, INTEREST, AND FTTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn that I em licansed untle�m k lorce entl etted. �c. p _�%S _, with Section 7000) of DiWsion 3 of the Busineu and Professio � CaOe, and my Ilcense is In full _ Class a � _ Date: CONSTRUCTION LENDING AGENCV; ❑ I hereby eHirm thet there is a constmction lending egency tor the peAortnance af ihe work lor which ihis pertnit Is issued. (Sec. 3097, Civii Code). Lenders Name: Lenders Atltlress: SlgneNre: Date: OWNER-BUILDER DECLARA710NS: I hereby eHlrtn ihet under penalty ol perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the followinq reason (Sac. 7031.5, Buslness antl Professions Cotle: Any ciry or counry which requires a permit to consWq, alter, improve, tlemalish, or repeir any structure, pdor to its Issuance, also requires the appllcaM tor such permtt ro ille e signed stetemem that he or she Is licensed pursuent to t�e provisions of the Contrecrors LJcense Lew (Ghapter 9(commencing wlt� Section 7000) ot DlNslon 3 oi the Business end P�ofessians Cotle) or t�el he or she is exempt thereirom end the 6asis for ihe allegetl exemption. Any violation of Section 7031.5 by any eppllcant for a pertnit sub�ecca Me apPlicant lo e civil penalry ot not mora Nen flve hundred tlollars (3500).): ❑ I, as owner ol tha properry, or my employees wit� weges es iheir sole compensation, WILL UO THE WORK, and Ihe structure is not In�ended or ottered for sale (Sec. 7044, Busineu and Professions Gode: The Contractors License Lew does not appty to an owner oi property who builds or improves Ihereon, end w�o tloes such work himseN a hereelf or through his or her own employees, provltled that such Improvemems ere not ImentleC or oHeretl for sale. If, howevar, Ihe bulltling or improvement Is sold within one year of completion, t�e owner-builtler wlll have the burden of proving ihat he or she tlitl not bulld or Impmve for puryose d sele.). ❑ I, as owner oi the D�aPerry, em EICCLUSIVEIV CONTFACTING WITH LICENSED CONTRACTORS to con5tmct the project (Sec. 7044, Busineu end Profassions Code: Tbe contractors License Law does not epply to en owner ot property who builds or Improves ihereon, and who contracis for suc� project wlt� e conirecior(s) licensa pursuant to ihe Contractors license Laws.). 0 I em exempt untler sac. Business antl Protessions Code lor ihis reason: SlgnaNre: Dete: Owner ID venfietl Dy tlrivefs license. ❑ Ves ❑ No DriveYs License No. Expires: Vedilcetion of Ow�ership by (type of daumen�, I.e. - property tax bill or deetl): DIVISION OF INDUS7RIAL SAFETV PERMR CER7IFICATON: ❑ 1 herehy �ertl�y Net no ezwvaUon tive (5) or more laet in depN Into which a person is �eQuired to tlescead, wIU be made in connectlon with wark euttwdxetl by this pertnit, e�d t�at no huilding structure, sceXoltling, felsework, or Aemolition or dismantling thereaf, will be more then thirry-six (36) teet �igh. (Chap. 32, Grp 2, Art 2. Sec. 3a1, Tltle B, CelNamla Administretive Code). ❑ As ownerhuilder, I will not emplay enyona to do work which would require e pertnit from ihe DMslan of Industdel Salery, es noted above, unless such pereon has a pertnit to tlo such work from the tlivision. SlgneWre: Date: Dlvlslon ot Industnel Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AIfT}fORIZATION OF EMAY: I certity under penalty of perjury thet I have reed this application and stete �hat the Informetion given is correcl. I egree �o comply with all state lews and city ordin nces rela�ing to building consiruction, and auihorize representatives of Ihe City ot Casta Mese to enter upon ihe ebove-descri6ed p�operry tor inspection pyrposes. I agree ot to occupy or allow occupancy of eny building authorized Dy Nis permii until finel inspeIXion. COOE �. NtncrYIOXTYVE 1816 Fiaed 5ystem Flnel Fire Prevention 1268 Pool Spe Final 200 Final Fe-Roof 201 Final Blak/Retaining Wall 202 Finel Fectory Fire Placa 203 Final Sign 204 Final Demolition zane-ae �g I�� G � / Date� � Dete � jppEj INSYECTIONTYiE 206 Finel Mechenical 20B Final Plumbing 210 Final Eleciricel 212 Final Fire Preventian 220 Finel Planning Apprwel 222 Final Site 250 Final Bulltling/Occupancy pl1i�,�.1ti, �""'�'� Applicant to fill in all spaces exee0< tnose within nea.r eo.aer itnes ana sign all avPrapriate Oeclarations. CITY OF COSTq e a C NST CT N PE IT ' Project Address Applicant'S Mailing fe5s �'� , � . Owner's Name Address ' Arch/Eng. � License No. Address // Contract� rygh� � Address (mailin � Ciry License No. LICENSED CON7RACT0 DECLARATION ' � I M1ereby a�(l�m that I am licensetl untler prpyisions of Charte� 9(mmTencing with section ]000) of Division 3 ot the 6usine55 antl Pwf¢SsionS Cotle, antl my Iicense is in to tl eitect. � Licen CI 55 � �j�� Dat � � Si � WORKERS'GOMPENSAT N DECLA ATION I hereby afflrm that I have a certificate of cOnsent to self-insure or a Cer I}Icate � of Warkers' Cotppensa`tion Insurance, or a ce�titie0 copy thereof eGtion i8��-�� " �/ � N V `V Compan Certitiea mpy is hereby fumi ea. � Cer ietl5i s a i MI ' ivision. � Date��/�� li EXEMPTION FRpM WORK ' COMPENSATI ECLARATION - (Thissection neeq not be completetl if the permi[ i or one huntlretl ($100) or less). I ce�tify that in the pertormance of Ihe work for which thi5 perm�t is Iisuetl, I r sball not employ any person in any manner so as to become subject to t�e Workerz' Compensation Laws o( Califomia, Date Signatur¢ ' NOTICE: If, atter makin9 this tleclaration, you should become subject to the Workers' Compeqsation provisions ot the Labor Cotle, you muzt forthwitM1 comply with such provi5ions or this permi[ Shall be tleemetl �¢voked. CONSTRUCTION LENDING AGENCV I hereby affirrtm that there is a mnstruction lendin9 a9ency for the performance of tne work fOr wnich this permit is issuetl' (Sectlon 3097 Civ. CJ Lentler's Name Lentler's Atltlress � � �� OWNER BUILD�R DECLARATION ' 1 hereby affirm_that I am exempt from the Contractor's �icense Law for the tollowing reason (5¢�(ion �031.5 Business antl Professlonal Cotle: Any city or county which requires a permit to conStruCt, altev,-improve, tlemolish or repalr any structure, prior to its issuance, alzo requires the applicant tor such permit to tile a siqnetl statement that he/she is licensetl pursuant to the provisions of the Contractor's License Law (Ghapter 9(commencing witb Section 7000) of Division 3 ot the Business antl Professions Cotle) or that ne/she is exempt -theretrom antl the basis for the allegetl exempfion. Any violdtion of $ection 7031.5 by any applicant for a permit subjects the aDP�icant to a Livil �enalty of.not mbre than tive huntlretl tlollars ($500). I, as owner bf the property or my employeez witM1 wages as their sole compensation, w�p tlo the work, antl Ne structure is not intentletl or offeretl for sale (Sectioq 7044, Business antl Protessional Cotle: The Contractor's License Law tloes not appty to an owner of a properry who builtls or improves thereon, antl, who tloes such wo�k hiinself/he�self o� through M1I5 0� h¢r own employees, provitletl that such improvements are not intentletl or offeretl for sale. If, however, �he tiuiltling or improvement is soltl wi[hin one ycar of com- ple[ion, the owner well have ihe bu�tlen oi proving ne/she tlitl nOt builtl or im- ��ove tor the putpose ot sale). I, as�owne� ot the property, am exUuslvely cont�atting wi[b IiCensetl con- tractors to mnstruct the project (Section 7044, Business antl Protessions Cotle: Tne Contractor's �icense Law tloez not appry to an owner of oroperty wno builtls or improves thereon, antl who contract5 for such projects with a con- tractor(5} license punuant�to-the Contractor's �icense Law). I am aware that prooT ot their Worker'S Compensatlon in5u�ance shoultl De provitletl [o me.. ❑ I am ezempt 4ntler $ection� B. & P. C. for thi5 reason� Ihat I h rect. I a latina to the TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LI REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OFPERM7T U GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECNANICAL ❑ OTHER � PROJECT DESCRIPTION Sp. FT. � OCCVPANCV_ CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. � ACRES— Remarks: Bar Sink Backflow Preventer-' Backflow Irrigation Bathtubs Clarifiers � Dishwasher Orinking Fountains � Floor Dreins � Fioor Sinks ' ' Gas Service � Outlets Interceptors . Kitchen Sink Lavatories � Roof Orains ReinspeM{on Fee � � $15 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System � Multiple � Firepl/Fact. Blt. ICBO # Heating System & Ducting �U7 00,000 BTU � 100,000 BT �verY License 4r 55 � I I fieinspec[ion Fee I $15 CMF 0865-46, rev, q/gq White - Builtling; Canary -Applicanf: Pink - Attounting; Goltlenrotl -Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors ' Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service laue Fee Hood or Typel ❑ Canopy Type I I Q Refrigeration System ❑0.100,000 BTU ❑ 100,000 BT System RepaidAlteration Issue Fee A.P. �k S Main Buildi E 7 Froni B Rear A C Right K Left S Ping. Ref. # Planning Notes: � 7627 2/15/85 _' Zone . Accessory Building: Parking Req./Provided Automatic Washer ' -' Constructior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elect Fan F.A.U. Fixwres ' Device Bozes Outlets ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter ❑up ro 100 amps Meter ❑over700amps Garbage Disposal Generator 00.5 KW �5-15 KW Sub Panel Motors �0-7 HP O7 %- 8 Inc.Solar 09-15 HP �16-15+ Microwave ' Pale Light ' Range Sign Standing Sections Trash Compacror $ 3 ' �— Reinspection Fee $15 Issue Fee FEES -- DEVELOPMENTSERVICESRE�UIREMENTS: Zoning Approved By Buildin9 APPraved BY. Appliption Isued By �� $ 3 7o0G FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ � PLAN CHECK $ PERMIT PLUMBING . $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTFICAL �y GRADING $ PLAN CHECK 50°� $ 'MICFOFILM $ � MECHANICAL $ � d� TOTALFEE $ �70d PLAN CHECK 25% $ Z O N I N G R E Q M T $. CONSTRUCTION AND PLANNING �� POOL &.,. A . , APPROVALS Permit# �Date Inspector qppROVALS Permit# Date , Inspector 1. Temporary Electrical Service or Pole, . 52. Pool & Equipment Location . � i.. 2. Soil Pipe-Undrgrnd. ., • 53. Steel Reinforcement % 3.'Electrical Conduit Utility�Undrgrnd. - 54. Forms . ' - 4. Electrical Conduit-Undrgrnd. �. . , � 55.- Electrical Bonding � ' 5.'Steel Reinforcemeriz ' � � 56. Rough Plumbing & Pressure Test � � , . . 6. .Electrical UFER�Grnii. � ' 57. APPROVALTO COVER-GUNITE � 7: Footings �'� � � ` .- 58. Electrical Conduit-Undrgrnd. �� / 8.,.Foundation � � �. . 59. Gas Pipe, O Undrgrnd., Test ;�' 9/ Water Pipe-Undrgrnd. � " ( 60. Backwash Lines, P-Trap, � Undrgrnd. ' � 10. Structural Floor System .� ' � 61. APPROVAL TO DECK �`� 1;1'. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer CaP ' . . t � � '' . � . � j 63.�Heater & Vent-Final 13. Roof Drains ' , ' � �' � 64. Plumbing System - Final � - 14. RougFi Plumbing � � 65. Electrical-Final a 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 1,9!�Rough Heating & Air Conditioning - � .!;(t FIRE DEPT. REQUIREMENT , �4. 20. Rough Factory Fireplace �. ��"APPRbVALS Permit # 1�1:; � 21. Ducts, in Structure ��';� � 70. Underground Hydro 22. Ducts, Ventilating � ";71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test ,� � 72. Underground Flush 24. Roof Framing ; . 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing . . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frameand Flashing 76. DryStandpipe � � 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 pomestic-Final � . 42. Backflow�Preventer � 43. Backflow Irrigation ,.- . . . 44. .Landscape Irrigation System � . 45. Sound Attenuation � 46. Handicap Regulations 47. FINALSTRUCTURE&BUI�DING. 48. Special Requirements Completed , 49. Electric Release to Edison � � 50.� Gas Release to Southern California Gas Co - � 51. CERTIFICATE OF OCCUPANCY . ' No. Date � ' � Aop��cant to fill In a11 spaces ezeeot those within'heavy eortler lines anC sign ali avo�opriate eeclaratians. CITV OF EOSTA MESA COnNSTRUCTION PERMIT � 'Project Address +� �� 1` G,n'� �eF�-'-. ��-+�y��t Applicant's Mailin9 Address S � 4? .�1.9 � S/-} -h-} ��{ r ��ti Owner's nlar}�el 4 J " Phonelry L �b�%% }� Address �l 24 \-c � u� S u� � Arch/Eng..' License No. Address� Contractor's Name L�` �' S � , � "" � Phone ��i �I �� .5`� Address'Imailing) S�N� O�SA "F� �� Ciry License No. �� 4+7 � � LICENSED CONTRACTOR DECLARATION . � 1 hereby afflrm that I am licensetl untler prqyisions of Charter 9(commencing with section 7000) of Divislon 3 0� the BUsiness antl Professions Cotic, antl rriy license is in fu for aj�tl� effect. I' License Class � � � `+ � _License fyo.�� `�y� oate 1'�� -h5� Siynature ��•-4r�.,-. ��- WORKERS' COMPENSATION DECIARAT�ON I nereby atiirm tnat I have a certificate of ronsent to selt-insure or a certiticate af Workers' Compensation' Insurance, or a certifieB copy thereof (Section . 900, Lab. C.) ulicY No.��wL/SS.1b�rl ComPanYA1<� 4ncl�.f` (-IltxAhC��I L7 Certitietl capy is nereby (urnisbetl. �J CerHfie.Q c py is f' etl with Ihe city uiltling Divisiaa. Date �"�*� -h� Applicant��-+�"S ��nYvi %� 'EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThiS Section neetl no[ be Complete0 if the pBrmit is fo� one huntlretl ($100) ar less). I certify that in the pErformance of [he work for which this perm�t is i55ueC, I Shall mt employ any persOn in any manner so as to become zubjeGt to [he Workers' Compensation laws of Califomia. Date Si9nature -NOTICE: If, after making tnis tleclara[ion, you shoultl become suDject to the Wo�kers' COmp¢nsalion provi5lon5 of the I�bor Cotle, you must torthwith comply with such prOVl5ion5 or this permlt shall �be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' I hereby afBrm that there is a construction lentlin9 agency for the performance, of the wotk for which thi5 permit is issuetl-(Section 3097 Civ. CJ , Lentler's Name - ' Lentlev's'Adtl�ess OWNER BUILDEN DECLARATION I hereby aftirm that I am exempt from the Contractorfs License Law for,the following reason (Sectihn 7031.5 Business dnd Professional Cotle: Any city or county which requires a permit to construct, alter, iinprove, tlemolish or repair 'any structure, p�ior to it5 i55uance, al5o requires the applicant for such permit to file a signed Statem¢nt thd[ he/she I5 IlcQnsetl pu�suant to the provisions of the ContraGtar'S License law (Chapter 9(commencing with Section ]000) ot � �ivislon 3 0� the' Business and Profession= Cotle) or that he/she is exempt . theret�om dntl the basis fo� the allegeil ex@mption. Any�violation �ot $ection �031.5 by any applicant tor a permit subjects the applicant to a civil � enalty ot not more than fiv¢ huntlrEtl tlollaYs ($500). � J I, a5 owner ot the properry or my erqployees with wages as thei� sole <ompensation, will tlo tne work, antl the structure is not intenaetl or offeretl for sale (Section ]044, Bu5ine55 antl Proi¢ssional Cotle: The Contractot'S License Law tloes not apply to an owner of a property wno buiids or improve5 thereon, antl who tloes such work himself/herself.or through his or her own employces, provitletl that such improvements are not in[entletl or offeretl fo� sale. It, however, the bWltlinq or imProvement is Soltl wi[hin one year of com- pletion, the owner wlll have the ISurtlen Of broving he/she tlitl not builtl or im- , p�Ove tor tM1e purpose of Sale�. . ❑ I, as owne� oi the property, dm exclusiyely cont�acting with licensetl con- t�actors [o construct the project ($ection 7044, gusine55 antl Wotessions Cotle: The Convacror's License l.aw does not apply ro an owner of property wno builtls o� improves thereon, antl who contract5 for such projecls with a con- Vactor�sl license pursuant to the' Contractor's License Law). I am aware tnat proof o� their Worker'S Compensation insprance ShoWtl be provitletl to me.�, ❑ I am exempt untler Section B. & P. C. for this reason Date Owner � - I hereby certify that I nave reatl Nis applica[ion antl state that tne above � information is correcL I agree to wmDly wjth all city antl munry ortlinances antl state laws relating to builtlin9 construG{{on, antl hereby authorize repre- sent5tives of this city t0 lnter upon lM1e above-mentionetl O�aperty (o� inspeCtion Ourposg5`. (� - ' � �.� ,� � @ Signa[ure�=.��.. `f��_.�..A ' Date�Z2 . Driven' License or,55 �`�> � / � • v �-+ TYPE OF CONSTRUCTION NEW AOD � ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. REGAIR TVPE OF PERMIT LI GRADING LJ FOUNDATION LJ $TRUCTURAL ❑ TENANT ❑ ELECTRICAL ��PLUMBING � MECHANICAL O �OTHER , • . . PROJECT DESCRIPTION SQ. FT. ' OCCUPANCV_ - CONSTRUCTIONTVPE VAIUATION$ ZONE GRADING CU. VDS. ACRES_ Remarks: ' � � . . Sink Preventer Irrigation Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Sink P-Trap' Roof Drains .Reinspection Fee FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w Urinal Water Closet� Water Heater Auto-Wash ' . , . � � .LaundryTrays •' ' $15 ' Issue Fee ' $ 3 Boiler Duct - Under Ground Duct-Structural ' Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System_& Ducting ❑a� oo,000 aru O � oo,000 Reinspection Fee I $15 CMF 0865-46, rev. 30/84 White - Builtlin9: Canary - Applicant; Pink - Attounting; Goltlenrotl - Assessor Hood or Typel� ❑ Canopy Typell ❑ Refrigeration System . ❑aioo,000sru ❑iao,000 System Repair/Alteration Fire Oampers Registers ' 1 ' Issue Fee $ 3 A.P. # S Main Buildi E T Front B Rear A � Right K Left S Pln9. Ref. # Planning Notes: 4685 2/04/8D• . Zone . ' Accessory Building: ` t , Parking Req./Provided � �.-i.��urn «D � ��ii ELECTRICAL Automatic Washer, ' Transformer ❑ 15�50 KW Construction Pole Sub. ❑ 50+ KW Cooking Unit � Meter ❑up to 100 amps Dishwasher ' � - ' Meter ❑over 100amps, '� Dryers �Gas ❑Electric Sub Panel � Fan _ Motors �0�1 HP 01 %- 8 F.A.U. ,Inc.Solar �9-15 HP �16-75+ Fixtures � Microwave � Device Boxes � Pole Light O ut lets R ange Switches' . Sign � Gartiage Disposal . ; Standing�Sections � Generaror �0-5 KW �5-15 KW ,Trash Compactor � 0 � Reinspection Fee � '$15 � � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2onin9 APProved BY . Building Approved By 5o0U TL Z O ,. N I N G R E Q ` M T S FEES $ 3 SUMMARV OF FEES • BUILDING PERMIT $ SMIP' $ � PLAN CHECK $ —��-� PERMIT /7]�.�, PLUMBING $ � J`�/�/ 'ISSUANCE $ w�r�r� . PLAN CHECK 25%� $ ENERGV P.C. $ ELECT�RICAL , $ GRADING $ ; PLAN CHECK 50% � $ MICROFILM $ �_ MECHANICAL $ TOTAL PEE $ � ? PLAN CHECK .25% $ _ _ . _ CONSTRUCTION AND PLANNING POOL & , � APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1,. Temporery Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 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, O Undrgrnd., Test 9. Water Pipe-Ur�drgrnd. 60. Backwash Lines, P-Trap, � 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 i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18:'�Rough Electrical-T 6ar Ceiling 69. POOUSPASYSTEMS F1NAL 19'. }iough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r 20,.;,.Eough Facmry Fireplace APPROVALS Permit # __ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventileting 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 Fl�shing 76. Dry Standpipe ' 28. Lathing & Sidin9 77. FIXED SYSTEM FINAL 29. Insulation 78. FIREPREV.�FINAL 30. Drywall Nailing HEALTH DEP7. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSI�ID 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 . a�fY (��/tl 39. Watex Service-Final ' 40. Gas Service-Final 41. Solar pomestic-Final :7} 42. Backflow Preventer � % ' - � � 43. Backflow Irrigation �' ' Y� 44. landscape Irrigation System l� 45. Sound Attenuation rt� 46. Handicap Regulations � c 47. FINALSTRUCTURE & BUILD,�NG 48. Special Requirements Completed�. u. 49. Electric Release to Edison "'' , 50. Gas Release to Southern California Gas Co � 57. CERTIFICATE OF OCCUPANCY No. Date ' OWNER NRJON� WILLIAM D. • DATE 5-9-58 ]OB ADDRESS 2160 Raleigh Ave. BUILDING PERMIT NO. 6'%31 E L CONTRACTOR - VALUE $ . o. LOT TRACT . FIRE ZONE DESCRIPTION OP WORK Redwood Fence GROIIP .i 1'YPE 4 "ZONE RI� � PLAN NO. fi7'il ?ECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER coat /.7 Z'1 F w W � H N a 0 F T. I ST. COSTA AAESA BUILDOPIG DEPARTRAENT P. 0. BOX 317 COSTA MESA CALIFORNIA C.L. OF STREET ' �iPROP. LINE r 10 FT. FOR 60 FT. STREET � � � � � � 0 r_.pR—PR�oP. ��N (� � .�9e ' l 1�9 ,1j L OF C,: T A *:`E 'a AN 1"�i D�.F�T REQ-. , pEFS 1 �.. . ;:.' ��J � r PROP LINE �` —1�—=---�---- C.L. OF STREE � zl J� al O ¢ a� _., � .10.I� FTI � � � , f , i 1 - � ------� t ao FT 60 H W W � F y LL 0 J ti S T. MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------ MAXIMUM 6 FT. FENCE MAY 8E PLACED ON SOLID LINES i i �� i FOR AP'PLIC�ANT TO FILL/ IN � BUILDING ADDRE,SS�G// Il�2e��j l.Q_ss. Mail City (_��- -� _ - - -Ph. No.�°�_= Contractor��Z/ Ph. No. � � � "'-'--- -'-- City Lic. No. State Lic. No. Size of Lo ' - - � - - - AP No. � �� =5 ' s•�� n/ - Li�:� $p � , Setbacks: C/L S�etT S� �,1' � Rear Side Yard - ght �i� � �� eft � �� ..( � C�� Type oE Fg c ��( --� .Y� .� /.�J � /� 'Y� • n ,. . i I hereby acknowle�c ge that Vhav� re'L4c�/jthiss'�plic�£ion and state that the above is correct and agree to comply with all City Ord- inances and State Laws regulating building construction. , - - /I111✓.�/`�/% ii.r� '•- FOR OFFICE USE ONLY � I �s =,9- s^d i .�-� VALUATION "3'lt,c... d�-d Permit Fee $� Plan Check o--D TOTAL FEE $ �, '� USE REVERSE SIDE FOR DETAILS OWNER t+iF:SA PdAN�Ri INC: DATE p_Qg_rj'j JOBADDRESS 2160 Ralei�h Street BUILDINCa PERMIT NO. #({399 GENERALCONTRACTOR Ric]]yT•d j-lyZ•t VAWE s 10,166.00 ��- 3 BLOCK TRACT 291�7 Single res. w/att, gar. INSPECTIONS 'I ;ATE � SUBCONTRACTOR I DATE PIRMITS�NUMBI Foundation Forms an _ o GarS � -� Fiough Freming � /-� ' Plumbing, Rough to Slab ��T y,�/ , ��_ �s, Plumbing, Rough Complete /{�/� S -2-t:� ' �� Final st. Septic Tank or Cesspool Lathing,ln f ( :rin� Plumbing, Final, Fixtures Plumbing, Fin,al Gas Test, Wiring, Final Occupancy FORM 210 3M 10�•v5 i�-1' 3v-S7 �1 Sa 0 �-- .,r_2�.c-� 9aGy ✓ �'J 7 I �fSo Costa Mesa Bnilding Department ' APPLICATION FOR PERbIIT ;�' ' P.O.Box3�� 429`� BUiLDING ' - ":•COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOYZ APPLICANT TO FII.L IN Receipt No. Permit No. nadress 2160 Haleigh St i Costa Mesa, Cia�OPllla Re�celved �by/ Date Rec'd. Date Issued Nearest / _./'�� '3d�S�7 FFR � � �n� owner 51GSA I�'L9NOR, INC Mail Address 17639 Vanowen St Van Nu s rel. cicy y , Calif No, Architector Lfc. Engineer Ay2'C'9 $c Fle�B No. Address 1�253 Coldwater Canyon� cic, itractor R1Ch2T'CI H8T't No. ACdress 17639 Vanowen St., Ve Legal �ot Descriotion No. i 81ock Size of Lot l�se of Existinp BI X Repair � � Movir 3 il�ldin9 115� SCl '�i. Exterior Wall �vering Plaster �e of New Building Six�le F&m�.. No.of No. Familles Roc Rear Vard—S 0 � � Demolish � �f ns 6 Stories �- Roof Address Costa Mesa, California Approved of CORRECTIONS APPROVALS �"b Farms, Materials, Under-Pinning //� Frame: Fire Stops, f� Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to rnmply Lath. Int. with all Clty Ordinances and State Laws regulating building construction. Lath. Ext. 3ignatureof P�FSA OR 7S1 Permittee Plaster, Int. Authorized Agt. Plaster, Ext Valuatlon Permlt Fee $ OZ ^ Mawnry Reiniorced D /�� Plan Check $ � ' go�d Beam $ 1 i To�i Fee � � FINAI O z � 2 D r i LV L i LAl� Show Iocation and distancee from property Ilna antl between buildinga � ' .'\ .. � i �. - � • --'�:'