HomeMy WebLinkAbout2237 RALEIGH AVE - Building Permits�
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PflOJECTADOPESS: 2z37 RALEIGFi AV
OWNEfl'S NAME: IC�ERSON, DEHRA M
nooxess: zZ37 AALEIGH AVE
., COSTA MESA,CA
APCNIENGINEEH: 6 Q z— 7 8 6 7
aooeess:
uxir:
92627
PEG.NO.:
uxir:
PEpminEE. RICHARD B FRENCA CONST ( 310 ) 867-3661
aooeess: 9T8�j5�7pj�COMPpTON BL p q
LICENSEO CONTBRCT41( �CIANATION�WheEreT.y affirm Iha� I am Iicen5e0 undef pidvi5i6n5�o�Ch�aO�e� 91�ommencing wit� Section
]000) ol Orvision 3 oi Ihe Business and Pmlessions Coae. antl my license is in fult mrce anG efiec�.
ciir uc.: sTaTe uc.: 6 7 7 5 5 cuss: H /t
IDaie: _LP'�� ' �'3 Signature: �_e.��s...6� 'v �"=-+— —
WOPKEHS'LOMPENSFiIONOECLANl1tI0N: IhereGyallirminaUnaveacenilicateotconsemtosell-insureoracenilicateoiWofrcers'
� Compensalion Insuranw, or a certili¢C CopY ��er¢af ($¢clion 38p1. Lab. C�.
POLICY N�.: E%P. DATE:
COMPRNY:
❑ Ceniliea copY 4 here6y WmisAeU. ❑ CenilieC�caDY �s IileO wilA tlle cily BuilEing Division.
Oale: Applican[ �
E%EMPTIONFPOMWOBMEflS'COMPENSATIONOECIABATION' (Thi55ec1ionneeUnalbecampleleUillhepermi�isbronehunA�e0�5100�or1e55�.
I ce�ify ��a� in I�e pedormance ol the work lor whic� Ihis permii is i55ue0, I shall noi employ any perwn in�anner so as to become
suDiac� �o tne Workers Compensaiion Laws ol Caldomia� �
Date�. %O�I / — 9 '3 Signature: %�.�._� � �'�
NOTICE: If, atter making I�is de[laralion. you s�oultl becom¢ 5u0ject lo Ihe WoherS' CamDensa�ion pmvisions of IAe Labor
Co4e. you musl Ionnwiln comoty ��� such o�ovisqns or IRs Dermit Stull �e aeemed rewkee.
COBSTflUt7lON LENDING RGENCY: I nereby affirm ih3t thete is a tAn9mtlion lenaing aAenty far tne petlormance ol ine work for
which I�is Permit is issue0 �Setlion 3097. Civ. C�. .•,'y
LENOEP:
RDOflE55:
OWNEP BUILOEN OECLANATION: I �ereby allirm Iha� I am exempl imm t�e Conirac�ors' S�a�e LicenSe Law br Ihe �allowing reason
(Seclion 703L5 Business and Professional CoOe: Nny ci�y o� couniy which requires a Dermi� �o wnSVuc�. aller, improve, Oemolish, or
repair any slm[Iure, pnor to its issuance. also repuires lhe apP�ican� lor suc� p¢rmil �o lile a 5igne0 stalemen� I�at �e/she is licensetl
Dursuant la t0e pmvisions ol ihe ConlratlorY Slale License Law (Chap�er 9(commencinp wi�� Section 7000) oi Oivision 3 0l ��e Business
anE Prolessions Code) or �ha� helshe is ¢KemO� �herefmm ana Ihe Dasis lor Ihe alleqea eKempiion. Any violaiian ol Seclion 703L5 by
any apD�icant for a permit su6ie��s Ihe aODlicant to a civil penalty of not more tnan live hundred tlollars (5500).
I, as owner of ��e O�openy m my employees with waAes as t�eir sole compensation, vnll Ga ihe work, and ihe
❑ simcture is not imenAetl or ol�erea lor sale (Seclion 70aa. Business anU Pm�essionat Cotle: The Coniracmrs' Siale License Law
Aoes nol apPly to an owner ol a O�openy wno UuilOs or impmves Ihereon, antl w�o does such work �imselllhersell or Ihmug�
hi5 or her own ¢mplayees. D�ovided �hal SUCh improu¢menis are nol iniend¢tl or oflered �or Sale. II, however Ihe huilOinA Or
impmvemen� is sold wilhin one yeai o� complelion, Ihe owner will have I�e burtlen o� pmving he/she Did no� build or imD�ove
for Ihe purpose ol sale�.
I.as ownerolthe properry, am ezclusively coniracting withlicensetl conVactorslo constmctthe pmlec�(Sec�ion 7044, Business
❑ antl Pmlessions Co4e: T�e Conlraciors' State License Law Aoes not apply Io an owner oi pmperty who Uwltls or impmves �Aereon
ana who caniracis for such Omlects wi�� a coniractor�s)license pursuan�io Ihe ConVactors' State License Law�. I am aware
�hat prooi of I�eir Workefs Compensalion insurance ShoWd �e provitled lo me.
� I am eeempt under Seaion�. B. 8 P. C.
lor �his reason'.
Oaie: Owner. `�
I ao nere�y cenily ihat I am aware of an0 uneerstan0 the reQuirements of Calilomia Heallh anA Salety Cotle Sections 25505. 25533, an0
25534 and lha� I or any iWure Auilding occupanl willlwill nai (circle one� neetl ta comply wiN saie state codes an01�e repuirements for a
. permii foi constmclian or moddicaiion Irom Ihe Nir Oualily Managemenl Oisiricl. Fesidenlial construction aDDlicaiions are exemp� Uom
I Ihese pmvisians.
Oate'. Applicam:
I hereby cetlitytnal I nave�eatlinis applicalion ana slate Ihatihe aeove inlormalionis correct.lagreeto comply witn allcily anJ county
orUinaM¢5 an0 sla�elawsrelalingio Guiltlmg con5lNclion and �erebyaulhorRerep�e5enialive5 olt�i5tityia enleiupOnl�e ahOve�mentionetl
piope�ty lor inspection pmposes. �� �
oaie: =a —/ /— 73 Signamre: t y �
Drivefs License or Social $ecmiry +:
�6at�46 �"/h�te—Builtlmg�, Green—Cotle EnlarcemenL Ganary—AOP��canl: vink—Hevenue; tioiaenraa—nssossoi
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06439
ERMIT NO: B 064397 PLAN CAECK NO: 03995-93 S GOC'T: N SUPP;_N
ONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
OB DESCRIPTION : 290SF SLAB FOR FUTURE PATIO COVER SQ FT: S00
'LAIM VALUE; 500.00 CALC—VALUE: 500.00 GROUP OCC: R-3 /
OMMENTS: PERMIT FOR SLAB ONLY, PATIO TO BE PERMITTED LATER
� ik iF ik M iE if iE it if i! iE i! iE fE ff 1f i! iE i! it iE iE ik 1k 1f if k 1k ik 1E if i! ik if �! 1E if jf if !f M iF ih 1f if iE iE iE k iE it it if iF iE 1E 1E M ff if iE M iE i! 1! 1f iE 1E iE iFlf if i(� iE iE 1E fE �F
Z O N I N GS ERTEH�AUCIKRSE M E N T S
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
'RNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
�EFT: FT IN RGiIT: FT IN LEFT: FT IN RGHT: FT IN
'ARKING REQ: PROV: PARCEL: 42240203 ZNE: R1 REF NO:
'LANNING NOTES> INSTALLATION OF PATIO SLAB AND FOOTINGS FOR FUTURE PATIO COV
> ER,
�if if ff ifif if 1E iE k iF iE iE if if % if k iF k 1E 1E fE if 1E �f 1f if ifif !f if !f ff iE ifiE if k 1f1E MtFiFif 1f if itiF if iE k 1f if 1E if 1E iE iEfE 1fiEfE% k�f if !F 1F if if !E iEiE �E 1E if if if
D E V E L'O P M E N T S. E R V I C E 5 R E Q U I R E M E N T S
�ONING APPROVED BY L��,� DATE: �b � Lt L°i�
iUILDING APPROVED BY : DATE:
�PPLICATZON ISSUED HY: DATE; �bLl� � �
:�iEiFititififiEiEjEiElEjEiEMMififiEifiElE3f�� �FiF�iFiEifMKiEiE�E3f*iF ifaE
':iEiFlf�ififlEfEfEfEiElElEffllllifMlfifillllllllfiEiFifififMkiF1lil1F�E�f!!lffflFifiElfiE�fklFiflEkif#1lMiFifffiEMlfifiEfEfliflflfiEififibifiElE�E1fiE
�EGALIZATION:N F E E 'S 0 M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
�ERMIT 15.00 .50
SMIP/NON—RES
�LAN 9,75
:SSUE FEE
tUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
'OTALS----> 15.50 0.00 9,75 25.25 25.25 ,00
IEVENUE DIVISION TOTALS—.—> COLLECTED; 25,25 OVER/SHORT: .00
BLDG PMT, PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
15',00 , .50 9,75
Fif if ikiE it !f 1E�)f if 1E jE ik iFif�lE if iE !f if 1f 1f if iE i! if 1f it 1F if if if if ik ik !k if ff it itif i4 1E 1f 1E i! iE N iE�1Eif fFif if iF i(�if iE iE fE if jE�lf iE iliF if if if jf 1E�)f if iE iE Maf 1f ft
I N D I�V I D U A L F E:E B R E A K D O W N
'YPE QTY D E S CIR I P T I O N UNIT COST TOTAL COST
iFR 500 STROCTURAL BY VALQE PER $1.00 1,00 500,00
END OF FEES
EXPIRED
DATE��'=���
?3 OD148537-0�14°639 T C�T 2`.1`
�Ai'e: 10!11/93 TItIE: 14:1.5
�.:-.
COftlSTRUCI"ION AND PLANNING POOL & SPA
APPROVALS Permit # � Date Inspector qppROVALS Permit � Dace Inspector
t. Temporary Electrical Service or Pole 52. Poot & EquiAmenc l.ocation
2. Soil PiPe•Undrgrnd. 53. Stee� Reinforcement
3. Electriwl Conduit UtilitY�Undrgmd. 54. Forms
4, ElectriCal Conduit•Undrgmd. 55. Electrical Bonding
.5. Steel Reinforcement 56. Rough Ptumbing & Pressure Tzst
6. Electrical UfER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings `� 2s-9 �� ��� 56. Electrical Conduit�Undrgrnd.
$. Found3tion 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe�Undr9cnd. 60. Sackwash lines, P�Tcap, Q Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
11. Propertv Sewer Line & House Connection 62. Backwash & Receptor-Fina�
12. Sewer Cap 63. Heater & Vent-Final
73. Roof �rains � 64. Plum�ing SVstem � Final '
14. Rough Plumbing 65. Electrica��Final
75. Rough Electrical�Conduit � 66. Solar System-Final I
76. Rough Eiectric Wiring 67. Fencing & Access ApProval
17, Rough Wiring Siyn 68. APPROVED FOR P�ASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. DuCts, �n Structure . � )0. Underground Hydra
22. Ducts, Ventilating )7. Product Pipin9 O Gas ❑ Oil
23. Gas Pipe-Rougfi & Tes[ � � � 72. Underground Piush
24. floof Framinq 73. Undergrnd.StorageTank �Gas ❑Oit
25. Roof Sheathing � 74. Overhead Hydro -
ra^�
26. T�Bar Ceiling jStructural) & Monocoat 75. DrY Chemical
27. Frame and Flashing 76. Dry Siandpipe p^'' ,'--�
•28. Lathing & Siding � 77. FIXED SYSTEM FINAL F"" j
29. Insulation 78. FIRE PREV. FINAL }�".;
30. Drywal� Nailing HEALTH DEPT. REQUIREMENT--�:
31. Plaster Brown Coat 79, FINAL INSPECTION �
32. Electrical Power Meter-Final 80. F000 CERTIFICATE ISSUED
33. Final Electric , Notes: �
34. Final Neating & Air Conditioning �
35. Final Gas Pipe•Test �
36. Hood or Canopy
37. Final Factory Fireplece -
38. Final P�umbing
39. Water Service-Final
40. Gas Service-final
41. Solar Oomestic-Final
42. 8ackflow Preventer .
43. BackflOW Irrigation _ .
44. Landscape Irripation System . , • • , �
45. Sound Attenuation
46. Handicap,Regulations "
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING � � '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
;�
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
City of Cost sa Building Depi,
Bv ____1-��5_ oarf el�\ �a�
THESE PLANS ,'+,a�,l�, f,i � ic :;)
,p ,,,,:,-, . ; ., :,- j- �i A7 All 'fIMF5 MAKE
��-��,�`1 � . f+rr�;::•,�,A� c [PT.
iNE :..� - ,-
'1ANS Ar.,;c � . °c t': '.. �1 u�,;.:i� �:1+''E A
�RN�i : ' .. . . . . �iA !.'iJ!lf A��- [�F
HE F�:',�'• . . �� . v:�h4;PC'st4AINC; �" �.:�.i[
U?V�it •. � . .� ' IJIG4;: � � ;111,9
GL`r . .. . '- `
. . .- ::tr{ h::•li�F i;OR:; .. fi I :;G
'HIL'ii'� .,
7H� i:'_'U:... . � n q
� ECtFi�.k�....�,... .:. .I � � t p,�P� �•, y,.:7.,� iu'4/C': �p'
�,ri:�;;e:.. _,_vl:•.n.�Fr,��t��ft;7?��'lC.r:�pFb;[IAL
' �::-�;;tr
' � n.:�„t: •:n.:� ::!;EC:F.,'l.fqGN$ CiN t";'�iM(NFi'irVF.NfRJi..
11LDIG;S CP�F55T?^.r., � l�EIl: ; f:P.Hq11�0 ON ;+L; Ur-:OEF VYH N
' VIGL:,.-i:BJ Ci� :�i:::y::OJi." CN _'f ANY Oil . i�li:::A7:CE �
Ki CI7Y.
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PLANP:i\i, d�?i.
�IfCT TO 6:C�. C=i:. G�?
ST EET
DAT'c..
011PiT08 OP PIANNING
PLOT PLAN
N
0
7
F
N
�
z
0
J
�
m
f
N
X
SEE DETAILS ON REVERSE SIDE
_X_R
ar_ o.c.
ROOF SHEATHING
T- AP EA.
F POST- E
J
DROP PATIO � W LL
F100R 2' o 0
m
Q
J
N
U
Z
O
V
Z
�
OVE
SLOPE TO T IN I I ABC
: o:: i .. . e . _ �t a. `. . .� . . . . .
GA. G. I. FLASHING
WOOD FLOOR
PIERS 12��
SIDE ���ATION
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL
a �
a z
F F , f,
y IX N
- a O
'� Q a
O �
=� � O
Z ~
N O W
x J Z
' z
\ � V
2
LL
W
>
O
m
Q
1 �� �
SLAB r
. �,�o��.�.'.
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1
N � �
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LL
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20ltn.ROOF CONNECTION
DETAILS
CONT, SOLID BLOCK
LEDGER
RAFTER
I/2�� DIA. X�� AG SCR.
AT 32�� O.C.
DETAIL I
CONT.
LEDGER
CR 9 CL ��TECO��
GRIPS OR JOIST
HANGER
3/g'� DIA. X 5�� LAG SCR.
AT �(�° O.C.
DETAIL 2
n�oPr�rr
s�cEs n�r�rir�r
BUILDITIG SAFETY DIVISION
OWNER:
ADDRESS� —
CONTRACTOR:
ADDRESS�
NOT
SIZE
2"x4':
2"x6"
Z��X �
RAFTERS
RT.,` PORCH OR PATIO
UPPO ING CEILING
SPACING SPAN
12"O.C. o�_<sr
16"
24"
32"
16"
32"
Lon
6' -0��
5'-0"
16'-6"
14'-6"
12� _0��
10'-6"
n�_nn
13'-6"
„ �_ci�
IOi�OR LIGHT WEIGHT ROOF a"xe^ z4^ n•-o^
ONLY CONNECTION DETAI 32" 15'-0"
36" 14'-0"
2� X FACIA-MIN.REO. 4"x8" 24" 21�-0"
, 1 32" 19'-0"
36" 18'-0"
�� 48" 16'-0"
RAFTER 4"x10" 32" 22'-0"
36" 21'-0"
APPROVED ME7PL
48" 7.0'-0"
HANGER %2'� 1J��0"
DETAIL 3
PATIO COVER
TYF PLANS
DATE : �
PHONE �
,
LIC. N0. :
PHONE: ��„
� RAFTERS
LIGHT WEIGHT ROOF COVER-OF
LATH, FIBERCLASS, ALUM..
SIZE SPACING SPAN
2"x4" 16"O.C. �-9'-6" '
24�� 8 � _0��
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
\32��. 12' —0��
i.o�� ,n�_n��
32" 15'-6"
48" 13'-6"
HEADERS
LIGHT WEIGHT'ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 5'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
APPROVED FOR
.�BUILDING PERMIT
By. •� i � Date .
GENERAi. NOTES:
1. These plans must be
kept on [he job.at
all time during
construction,
2. All framing [o be
Douglas Fir N4 � .
grade minimum,
3.. Rafters may not
attach to facia ex-
cept for 10�,eroofs
as shown on details;
2Qlbsroofs must use
a continuous ledger
a ached as shown•-
on de ils �k1E�2.•
4. Ligh[ we �roofs
may attach to facia
for 14' span max„
spans over 14 must
use a continuous
ledger as shown in
detail ii3.
� aa��oa
a'
ADP��cant to lill in all spaees except those wit�in heavy Oorecr Iines anC sign all aporopriate tleclaralions.
CITY OF COSTA MESA CONSTRU TION PERMIT PEnPMIT NO. TRACT NO. LOT NO. UNIT NU.
Proiectnddress ca,c/-C� r 3� 93�9 4/25/8^ 5oU" Y
Applicant'sMailin Address �D YZo - � . 7VPEOFCONSTRUCTION NEw ADD ALTERATION � PAIR
Owner'SName ��� ���'�>✓✓ PhoneL�f/.2—�,FL7 ���NVERSION ❑ DEMOLISH ❑ OTHER p,p, # Zone
2� �� �QQ� 2�— DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Buildin9: Accessory Building:
E Z
Arch/Eng. l.icense Na. TVPE OF PERMIT GRADINGp� FOUNDATIOrv S7Ruc�'URAL T Front p
❑ TENANT ❑ ELECTRICAL IL�IPWMBING ❑ MECHANICAL B N
Address A Rear
Contractor'sNam � Phone9y7%s-3/ �OTHER C Right N
Address (ma�i'��I h�09 O 7Zu � #1U ,�a..s.��� PpOJECT DESCRIPTION SQ. FT. � Z�U occuaArvcY K G
�r S�^ CON STRUCTION TVPE VALUATION $ S Left
CityLicensallo. � 20N[ GRADINCCU.YDS. ACRES R
LICENSED CONTRAC70R DECLARATION Plny. Ref. qY� Parking Req./Provided E
Q
I hereby aHi�m that I Am licensetl untle� provi5ion5 of Charf¢� 9(tommencing Remarks: PldOning NOLeS: M
with section 7000) of Division 3 of the Business antl Professions Cotle, an0 T
�my Ilcense i5 in tull f Ce ang etfect.
�icense ciass �'-S � �y'cens,�N o.3y2 7S0 S
oate��32�� , '-1 /J/�t.t.CX.- PLUMBING FEES
WORKERS' COMPEN$qT�pN DECLARA 1 Bd� Si�k ShOw¢f5 ELECTRICAL FEES
1 1 hereby aHirm that I nave a certificate of consent [o selt-InSure or a ceriificate
of Workers' Compensy�ion Insurance, or a c¢rtitietl copy tnereof (Section gackflow Preventer Service Sink
Automatic Washer Transformer ❑ 15-50 KW
� 3800, Lab. -
Policy No.�� � 7 � 3 Company �Q"" Backflow Irrigation Sewer Ca ❑ 50+ KW
P Construction Pole Sub.
� � Certifictl mpy is hereby furnlshetl.
Ce�tif'etl co y 6 filBtl with [he city Builtlin Di si BathLubS $2W¢! COnn¢CLiOn Cooking Unit MEL¢� ❑up �O 100 BmpS
Oale �- �� �S' APPlicant . P ��1�--.
EXEMPTION FROM WORKERS' COMPENS 1 DECLARATION Cld�ifiClS $ple� COII¢CLO�S Di5hwd5hE� Meter ❑Ov¢� 100amps
(This section neetl no[ be comple[etl if the permit is for one huntlretl ($100) or
less). Dishwasher Solar Piping Dryers �Gas ❑Electric Sub Panel
1 certity lhat in lh¢ perfo�manGe Of the wo�k tor whlch thls pe�m�t is issuetl, I
shall not employ any person in any manner so as to become subject to Ihe Drinking Fountains Solar Tank Fan
Wo�kers' Compensation laws of Cali�omia. Momrs �0.1 HP �1'h- 6
oate Si9nature Floor Orains Swimming Pool wlSpa F.A.U.
NOTICE: If, after makinq tnis tleclaration, you shoultl become suble�t to the Inc. Solar �9-15 HP �16-15+
Worke�s' Compen5ation provisions of the Labor COtle, you mu5i fo�tM1with FIOOtSinks U�ipol FiXN�¢5
camO�Y �+�th such provisions o� this permit shdll be tleemetl revoketl. MicrOwdvE
CONSTRUCTION LEN�ING AGENCV ' �'ia5$ENic2 �utl¢ti WatC�CIOSCt D2vic¢BOxes
1 nereby attlrm that lhnre Is a constru<tion lentling agency tor the pertormance Pole Light
of the wolk for which thi5 permit is issuetl (Sectlon 309] Civ. C.) InL2R¢ptOls Wdt¢I H22t¢I OULI¢[5 Range
Lender's Name
Lentler's aatlress Kitchen Sink Water $ervice Switches Sign
OWNER BUILDER DECLARATION
I hereby atlirm that 1 am enempt trOm the ConVactor'S Llcense L:dw for the LdvdtOfi25 AulO-WdSh
following reason (Sect�on 7031.5 Business antl Professional Cotle: Any city or Garbage Disposal Standing $ections
county whicn requiree a vermit m construct, alter, improva, tlemolish or repair p-Trap Laundry Trays Generator �65 KW �5-15 KW Trash Compactor
any slructure, priOr t0 it5 i55uance, alm require5 [�e applicant for Such permit
to tila a slgnetl ztatem¢nt Ihal he/She Is licenzetl OurSuanl to lhe Provisions of • Z OJ
Ihe ConVactor's License Law (Cnap[er 9(commencing with Section �000) of Roof Drains
Division 3 of tne Bu;{ness antl Professions Cotle) or tnat he/sne is exemOt
therefrom ana the basis tor the allegetl exemption. Any viOlation ot Section
7031.5 by any applicant for a permit subjects the applicant to a civil
�enalty ot no[ more tqan five M1untlretl tlollars ($500).
LJ I, as owner of the PropertY or my employees with wa9es as thei� sole ReinSpBGtiOn F¢0 $15 14Ue F¢¢ $ 3
compensation, will tlo tM1e work, antl the structure is no[ In[entletl or offeretl Reinspection Fee $15 Issue Fee $ 3
for sale (Section 70qq, gusiness antl Professional Cotle: The Contractor's MECHANICAL FEES
liGense Law tloes not apply [o an owne� of a p�oper(y who builtls o� improves
therean, antl who tloes such work nimself/herself or tnrough his or her own goiler Hood or T e I ❑ DEVELOPMENT SERVICES REQUIREMENTS:
¢mployCes, provitletl [ryat zucM1 Improvements are not intentletl or offered for �P Zoning Approved By Date
sale. If, howeve�, lhe builtling or improvement is soltl wlthin one year of com- CanODY TypC II ❑
pletion, the owner wiii have the burtlen of proving hC/she tlitl not builtl or im- DuCt - Und¢r GrOund Building Approved By Date
prOve tOt lhe pu�pose of sale). �� �$
❑ I, as owner of the prooerty, am exclusively contractin9 with licensed wn- Duct �$truclural Refrigeration System Applitetion luued By Date
tractors to construct the D�ojec[ (Section ]044, Business ana Protessions Cotle:
The Contractor's Lic�nse Law tloes mt appy to an owner of oroperty who Duct - Ventilating ❑0-700,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtls or improves lqereon, antl who cont�acts for such Orojects wifh a mn- �
tractor(sl i�cense pursuant to tne Contracror's License Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteretion BUILDING PERMIT $ SMIP $
prom o( their Worker's CompensaHon insurance shoWtl be provitletl to me. PLAN CHECK $ PERMIT
❑ I am exempt untler 5¢�tion B. & P. G, for this reason Firepl/FacL Blt. ICBO # Fire Dampers PLUMBING $ �. o�✓ ISSUANCE $
Date owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. S
1 hereby certiry inat � have reaa this application ana s[ate chat the above ❑6100,OOOBTU �100,OOOBT ELECTRICAL $ GRADtNG 5
informatlon is rorrect. I agree to comply wiN all tlty antl county ortlinances
ana state laws relating to builtling construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
Sentatives Of lM1is city to en[er upon the abOve-mentlonetl p�operty for �
InspecUon purpo e.� MECHANICAL $ � J li
Signature oate �Y-L2-YF TOTALFEE $
Drivers' License or 5� Reinspection Pee $15 luue Fee $ 3 PLAN CHECK Z5% $
CMF 0865-46, rev. 10/84 White - Builtling; Canary - ppplicant; Pink - Ac[ountin9: Goltl¢nrOtl - ASsassor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Elecvical 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. Founda[ion 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electriral-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.StorageTank�Gas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Freme and Flashing 76. Dry Standpipe '
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. 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 , f i' -�
38. Final Plumbing � � , ";. ;� i
39. Water Service-Final - - � ��
40. Gas Service-Final . _ ; � �
�
41. Solar pomesticFinal � ` ', � � '�
+ .� �
.42. Backflow Preventer ' • � �
l � 1..
�43. Backflow Irrigation ` - • . . � � _
r
' 44. Landscape Irrigation System � � . 4 � � ,.
'45. Sound Attenuation � ,
.� .
-46. Handicap Regulations , . �� . ' - '
y7. FINAL STRUCTURE & BUILDING � ' ' - � - � ,
� ' �;
48. Special Requirements Completed ' �' � � � ' '
49. Electric Release to Edison • : �
50. Gas Release to Southern California Gas Co . . ;�
51. CERTIFICATE OF OCCUPANCY -.
No. Date
X
���.., _ . 'wr-. ...e. -.....�-
NER �MF�'.SA MAN�R. TNC_ onre 9_9A.K7 .
GENERALCO
VALUE
MITNO.
LOT Q(� J BLOCK THACT Q9(y% Single P85. W�det,_���
GROUP •'I Sc J TVPE V ZONE FIRE DISTRICT (1j2Q
PERMITSISSUED
INSPECTIONS UATE SUBCONTRACTOR
Qva�p � I;19-$% DATE I NUMBER
Foundation Forms and Grade to G
Rough Framing �
Piumbing, Rough ta Stab KI �:q
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Fina �
�wer ouse - '. �,��� Sewer, St.
Septic Tank or Cesspool
Lathing, In�S�.� �i�Q�� Out (�/
Plastering �--�
Plumbing, Fin�al, Fixtures Compie�
Plumbing, Fin.al GasTest / ti
Wiring, Final
Occupancy
FORM 210 3M 10-v9
� ��
=,'J1-
Costs Mesa Bnilding Department :�PPLYCATION FOR PERiViI'1'
�'" P.O.Box3�� , BUILDING
� COSTA MESA, CALIf-0RNIA 4�20
FOR OFFICE USE ONLY
FOYt APPLICANT TO FILL IN
Receipt No. I Permft No.
Building
nddress 2237 Raleigh Ave �.422
Costa Mesa, California Received by Date Rec'd. Date Issued
rvearest —]' Q', � FEB 2$�95�
crossst. Victoria - s�ud��y
Address
Owner y8S8 ?Yianor Inc � Costa Mesa, California
Mail
Address 17639 Vanovren St Nearest
cicy Van P?u s Cali£ No': DI 36606 c�oss sc.
Zone I No. of I 7ype Group
Architect or ��c. Plans
Engineer .q ' e e No. C 1 Approved
Address 1�253 Coldvrater, ho Hollywood b Date
c�tY i . CORRECTIONS
Contrector aichara tiart Na. `1f5286
Addrew j. 6 Vanowen $'t
De cr ption I No. 26 I Block I Tract 2%�L%
(AtWch Metesand 8ounds)
No. of Bldgs
Size of Lot i37X54 Now on Lot �One
O
4seof No.oi No.of �
Existing Bldg. Familieg Rooms �
Setback Line from Rear Vard Z
Center of Street � Sida Vard � y
DESCRIPTION OF WORH � �
New I X I Alteration I I Addition I
�
Repair I I Moving I I Demolish I �
Building ,�7 o. of _
Size u5� SQ r kooms b Stories 1
Exterior Wall Roof "�
Covering plaster Covering �00C1 $�ll]1g1 ApPROVALS �
Use ot New �
6uilding S1Zlgle FaIDlly D192L1.171g Foundation Location Inspector � Date �
Forms, Materlals, �
Under•Pinning
Frame: Fire Stops, p
Brecing, Bolts d
I hereby acknowledge that I have read this Applicatlon
and state that the ahme is correct and agree to rnmply Lath. Int. �
with all Clty Ordinances and State I.aws regulating
bullding construction. Lath. Ext. �
3ignatureof �SA MAN INC
Permittee Plaster, Int ��
Authorized Agt. ,l plaster, Ext.
Valuatlon � Permit Fee $ ,Z.�P — Masonry Reinforced
/D O�a � Pian Check $ � J� ' Bond Beam
$ � Total ,
Fee � � FINAL
FORM R04 10�R� O. P. 0 S.
PL()T PLAN
, Show locatlon antl dlstances irom
_- property Ilne and between buildings
b
�
�. •� � ,
J -� 'r
.. •� •_