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HomeMy WebLinkAbout1201 DORSET LN - Building Permits r / 9 71 r CITY OF COSTA MESA' 4 ' BUILDING DIVISION h • ,., .�I DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER �aef nst PERMIT -`'1Gae�`m+s'"� 1302-01467 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1201 DORSET LN Status: ISSUED Suite: Applied: 09/11/2002 Vicinity: ROOF Issued: 09/11/2002 Parcel Number: 14115401 Zoning: R1 R1 Applicant: VASQUEZ, JULIUS L ISSUED BY: Address: 1201 DORSET LN Phone: 714-641-5160 COSTA MESA,CA Zip: 92626 • Owner: VASQUEZ, JULIUS L Address 1201 DORSET LN Phone: • COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 Arch : Eng: • Address: - - Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL DIMENSIONAL ROOFING MATERIAL,30YR, PLYWOOD SHEATHING,AND 30# FELT. 1700 S.F.INCLUDES ATTACHED GARAGE. FEE SUMMARY •Plan Check: $0.00 Calc Valuation: $3,400:00 Permit: $97.25 • Claim Valuation: $3,400.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 PLANNING &ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0' Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 . Right 0-0 PARKING Existing: 0 Required: 0 Proposed: -0 ' NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: 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 180 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 • 2446-46(6/00) • L WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensation Insurance carrier and policy number are: Carrier: • Policy Number: (Thisyysection need not be completed if the permits valued at one hundred dollars($100)or less.) Older I certify that In the perfor th fo ' his permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' �� compensation laws o, alito ,a re: /hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these ovisio . q _� WARNIemSignetu T irENn ENsF � Dare: /9--,7// C� WARNING:FAILURE TO RE WORKERS' GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS( 100,000),IN ADDITION COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.4 Class 4 Contractors Signature: Date: , _ _ _ CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.It,however,the building or Improvement is sold within one year of com•etion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I.as owner oft•• .npe•. am EXCL LY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The • tra•or- : ense :J•• /of apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license - s sua o ntra•• se Laws.) 74-1 am:=. em•a ?ids / Business and Professions Code for this reason: Signature:- -ate ./02 r 7 T/Or CDate:: V //-0 L Owne Grilled by drivers lice/;1: �� ❑No crodVers'LTcense No. _ cExplres:-.- Verification of Ownership by(type of doc t,Le.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes 0 N (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7' If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERT ATE OF COM ANC A -• : ON OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is torr t. I agree to ply w' state„L. "city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abo e-describe rope act- w s.I agree not to occupyur ally.*occupancy of any building authorized by rmit tyfinal inspection. 4SIg� 'Oats And/Or Authorized Applicant Date ;DDE I INSPECTION TYPE PATE INTOIAL$ ;ODE( INSPECTION TYPE QSTE INRf1AL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final y / 208 Final Plumbing I' �L 200 Final Re-Roof ' �`*,- 210 Final Electrical 201 Final Block/Retaining Wall - 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •�+ • PEWIT NO. a TRACT NO. LOT NO. UNIT NO. CITU of COSTA MESA n C NSTRUCTION PERMIT ` 8� 1 07 ( 8� e 8909 3/08/85 :1003 L 'Project Address i'AO/ Be' �/4 1-�A1 tl pn �A]/ �7�/I! r 1 4 Applicant's Mailing Address .p f7'1� 11�� L�(r Pec Qi TYPE OF CONSTRUCTION LJ NEW Ii ADD L I ALTERATION U REPAIR ,V7 -1- ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �// • Owner's Name et,,, /1'1E.Uf3Es Phone 53 7 7/ A.P.# 1 K ' — '1 , 44 0 . I Zone R ' DESCRIPTION OF WORK/USE OF BLDG. 1L/ • Address 4'44-e- S Main Building: xp e F LU4I( Accessory Building: 6.g. La F U40/Z Arch/Eng. License NO. TYPE OF PERMIT Ell GRADING El FOUNDATION CI STRUCTURAL T Front 4+0•• } ' r7 at' o ❑ TENANT ❑ ELECTRICAL CI PLUMBING CI MECHANICAL B ---1-0 ft /t,.�t N Address �,1 '/ Rear CYI� Contractor's Name, Is M( t144-S'adR� Phone ea ❑ OTHER • C Right 'D Z '1"D ft. G /J n44.,KdJ .l PROJECT DESCRIPTION SQ. FT. OCC UPANCV Leil Address(mailing) /��,Qdx/255 G ,v`�Lf'X� 4�u CONSTRUCTION TYPE VALUATIONS Z 530.1") $ Left G/(, .t•r, R so City License No. _ ZONE GRADING CU.YDS. ACRES ' Ping. Ref.# ParkingRe E �1•/ LICENSED CONTRACTOR DECLARATION 9 q./Provided O 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Not�r jf pi 0 h Co�N� � tat M M •...1 with section 7000) of Division 3 of the Business and Professions Code,and r1T _ my license is in full force/end eff•ct. �3'�` License Class " Lice s o �0� s 1V." Date-, -$I5Y Signature - r.c/ PLUMBING FEES WORKERS'COMPENSATION D LARATION Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate ^y Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW 300, Lab. C1) p 3 Gs 5P4Q P. Ce No. T� 0�_2 Company Backflow Irrigation Sewer Cap Construction Pole Sub. • - ❑ 50+KW ,r Certified copy is hereby furnished. - _ Certified cgpy' filed with the city Buildinfi Division Bathtubs Sewer Connection Cooking Unit Meter ❑uprto 100 snips Date 3-, Vi7 Applicant JI.rorC 4fp,✓ArrA-$rl'UQ •-- - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 apps (This section need not be completed if the permit is for one hundred ($1 )00 or - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 7 I certify that in the performance of the work for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank \-- Fan Motors❑0-1 HP 01%- - Workers' Compensation Laws-of California. Date Signature l Floor Drains Swimming Pool w/Spa F.A.U.'NOTICE: If,after making this declaration,you should become subject to the _ - Inc.Solar.09-15 HP �i6-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures ✓' comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service • Outlets • Water Closet Device Boxes 1 hereby affirm that there is a construction lending agency for the performance _ _ „� POIe Light' _. of the work for which this permit is issued (Section 3097 Civ.- C.) Interceptors Water Heater Outlets Lender's Name Range`+„ Lender's Address Kitchen Sink Water Service Switches Sign . OWNER BUILDER DECLARATION. I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or ar9 P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permitY - Generator DO-5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of r Division 3 of the Business and Professions Code) or that he/she is exempt 5`Merefrom and the basis for the alleged exemption. Any violation of Section • jl=7031.5 by any applicant for a permit subjects the applicant to a civil - 'malty of not more than five hundred dollars($500). - LJ 1, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - it Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's' MECHANICAL I FEES License Law does not apply to an owner of a property who builds or improves • thereon, and who does such work himself/herself or through his or her own - - - _ --- DEVELOPMENT SERVICES REQ IREMENTS: Vs/es—employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Q 3 sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By DK OAF) Date ` pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By _ " ,CtaAa" Date 3/9) prove for the purpose of sale). - - - - n El I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By -W_Oate %/Pt tractors to construct the project (Section 7044,Business and Professions Code: ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SU ARV OF FEES whocontracts builds or improves thereon, and for such projects with a con- - - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration - BUILDING PERMIT $ .SO SMTP $ • CO • proof of their Worker's Compensation insurance should be provided to•me. _ PLAN CHECK $ 25'03 PERMIT 0 i am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ • • • Date owner Heating System& Ducting Registers ENERGY P.C. $ t PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU - GRADING $ information is correct. I agree to comply with all city and county ordinances • ELECTRICAL $ and•state laws elating building construction, and hereby authorize repre- • PLAN CHECK 50% $ MICROFILM $ r inspection sentatives o Is ci o cote On the above-mentioned proper y for / ,f inspection roses. L yJ/y� O / MECHANICAL $ TOTAL FEE $ LP-}•�3 Signature se or �/eaif i 4?-e - Reinspection Fee J $15 Issue Fee $ 3 PLAN CHECK 25% $ ' CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor i1 ' _ . - _ - _ _ CONSTRUrTION AND PLANNING `• -- - POO` `d SPA • I u ' - • Date : i Inspector f i • - I Date I InsW _ ,i. ' APPROVALS - Permit # t i i APPROVALS Permit # - X ,1 '. Tdmnnrary.Clectricai Service or Pole - I - I 52. Pnnl Rr Ectuioment Location •- - I • _1 t .I 2.- Soil Pipe-Undrgrnd. L_- 1 i 1 • 53, Steel Reinforrremerit • ' 3. Electrical Conduit Utility-Unrtrgrnd. I 1 54. Eo:ms t - 4', Electrical Conduit Unrh qr rid. - r - 55. Electrical Bonding - - • 5ySieel RP.infar ra,nt.nt --- - =361/6- t toele.,, ,,,. ,onutth Plumbing & Pressure Test - 6;.;Electrical LIF ERC,n'l, - I . __67., APPROVA.LT000VER_-GUNITE , 74Fnntinns - -_ - 3 /t,7sr: ___ Electrical. >'a ' Gac Pi ue..t Undrgrnd,,Test . -"5' Wa't re Piot, I,.c• ; _ -- - -_•-`- RO. Backwash Lines, P-Tran, Ll Undrgrnd. - • ' - . • -10. Stnir•u,i • -- - - - ---- - ._S. A°P ROYAL TO DECK • . _ . 11. Prover* 8 - ._ Backwash & Receptor-Final' : :•- _ • i . 12. Sewer Car' ',3 Heater & Vent-Final - . 13. Root Drain. . "4 phambmg System • Final - 14. Rough P'.rr _ _ _ .. .. • _____._.__ •5. Electrical-Final 1, 15. 'Pourm P,11,11.-,, n., t•. - - - q3. Sniar System-Final __ ---- - --- ---- --- "----L--- . 16. Rough Electric IYrrnq • " I I 67, F=acing RAccess-APtyroval - - - - . 17. •Rour,h Wiring Sign_ r > • I • SR. 'PPROVED FOR PLASTERING . • - -----H----- __.• - 18. Rough Electrical-7-0:n Ce-1 'r 69. POOL/SPA SYSTEMS FINAL j 19.•Rough Heating P An C.o...-1 r`r. nn • FIRE DEPT. REQUIREMENT - 20..Rough Factory rireaiace - I i APPROVALS Permit# j - 21. Ducts, in Struc;ur-: ----- --_- - - ' --- - lI-�__---� ! � '0Urrinrgrciurrd Hyrlro Z2,JDucts, Vorr ilrnri ' 11 Product Piping EA Gas ❑Oil ' 23.iGas Pipe Rough & Test I I 77, Underground Flush 24" Roof Framing } I� • I 73. Under-gnarl.Storage Tank O Gas. 0 Oil • ; '74. Over head Hydro 25. Roof Sheathing I - - 26.,T-Bar Ceiling (Structural, ±+ Mr,nornat ( • � '75 Dry Chemical ' -i- : : 27. Frame and Flashing - -- I 76. Dry Standpipe • - ' 28. Lathing & Siding I ' ' rIXED SYSTEM FINAL 29. Insulation __-•-_ `--- 1 ` r, -IRE PREV. FINAL - ' 30. -Drywall Mining - - - HEALTH DEPT. REQUIREMENT . - - - .31. Plaster Brown Coat 7., r 1.-L INSPECTION - 32. Electrical Power Me,er•P n_i __ _ 71,-.1) C=RTIFICATE ISSUED 33. Final Electric 34. Final Heftl.ul °, ,,.• ,.nor .ern, /� 3� XV77 .may ki2icy. 35. Final Gas-Pine-Test ' 36. Hood or lannny 37. FinalrFa(tto1c'F,ireolaee I.• i • ! 38. Fina!PInr+hmri -1 - - - -- -- -- - -- 39. Water Sre? « }nal - ra ' 't?ivV 40. Gas Se1rice-c-ina1 r - -, r• d1 Solar Dr4r c' r ' I, t _. • 42. Backftnw.Pr>ver I 43. Backririw Ire-,:a•i-- : 1 • - 44. Landscaper r 4ati.n 5,.,;= - : L,,., _ 1--� G- r7rU," _ . . - . 45. Sound A.ttpnuntaOn -��� I J.tG 1 46. Hanrlica cr- egti-y:nn- _• 1' -- L ) - ' - - , a«or-.y _I PS* d • /l._- - 47. ENPL . ..1 ?t'R r& ?U'LD'N�, L C//e,'%✓ ' 0 42. Snec;ai,Regrlin>mnnis Comolntert , V _ i . 49. Elnrtrjr. Re1Pt5e'In Ed'son :: ., i • 50; Gas_R.eiapse Southern Cali/nuns Gas Or( ' I r 51. CERTIFICATE OF QCCIJPA.'I,C;y, ' --- -r �- -, -- _ _ - . - ... -_ _ - -/ � � `.� �' oci uxk sidia 1 rm. C - ' , CITY OF COSTA MESA r. PLANNING DEPT. .7- -. 'P., ` \\\\ SUBJECT TO BLDG. DEPT. Rt _.. G, 'J _ ����F� �i� �` dY,Qkc CA1) DATE__ '.i?\ •t • f. \ ' v✓,'-? � - OP PLANNING 6 . r,-4 4oi `Bb C y \ • Vin, a VotF� !<, ii 6V0 f iu.. • Z e lb IS I NESIDEl Y NQIOINCE NFISDINCI C •1$mENCti 4 WI. �i w ILL It ItL. N _ N 0 x Si- � I W/ DoPSE-r LN •• STREET 6 TYPICAL 611 CONCRETE BLOCK FENCE • Cement CopingOptioal---. • Channel Block With One 33-0" I. I 1 I I I GENERAL— NOTES FencesHorizontal Tap of NI • ;.' I I MORTAR: One Part Plastic Cement, and L Three Parte Sand "'" GROUT: . One Port Cement Three and For Fences 5'or Lea • :!. Vert.Bars 3/8 at 4' O O.C.—` : o 2 `� III One Halt Cement, Stand • a = COPING: One Part Cement, Three For Fences Higher Than 5' — 1 ` u I. I I Parts Sand • Vert.Ban 3/814 at 32'O.C. > W CONCRETE: Well Mize? I: 256 : 3Y2 1 c = MaK. o/ T/2 Gallons of Fill Cells Solid With Grout i z I ` I. 1 • Water Per Sack of Cement Where Steel Occurs I..M > Reinforcing Steel.Shall A e I I I MI* GROUT MCBE E POURED FROM THE TOP THEConform to'Sae A-15 38 ..t IL' O A.S.T:M. ' a I - • I I t CELLSANDAREASOFNORIZONTALREIN• Steel to be Lapped y n _I - I I FORCEteEMT SHALL BE CLEAR,CLEAN i i M All or t0 Cade • FREE OF ALL MORTAR DEBRIS.ETC. 1 1 NATURAL GRADE I I I BONDS SHALL BE PROVIDED BY LAYING 111-111=III= , Nh_I _N . ft BLOCKS IN STRETCHER COURSES SO THAT •> VERTICAL JOINTS ALTERNATE IN EACH CONTINUOUSIL TWO BARS TOP a '� • •.• &BOTTOM . J • Q' —WIDTH TO. 16. 0 C. MAX. �e O SEE CHART p '• p .. . - •1 la BELOW n Ae • Q' ' • DEPTH OF .EARTHTCOTN. • , til t 1/3 THE HEIGTH OF FENCE ea . O �' . MOW BOTTOM OF FOOTING. O . •O i0 i • e.� SCALE: In'a II 1 I _FOOTING REQUIREMENTS _ � ' WALL HEIGHT 6' 5' . 4' 3' :i WIDTH OF FOOTING 14= 14' 12' 12' • THICKNESS OF FOOTING 10' - • 10' e' 8 ' DEPTH OF EARTHTOOTH 24' • 20" 16" 12" ' • SPACING OF EARTHTOOTH 12'. 14' 16' IC OWNERS NAME: City of Costa Mesa, California JOB ADDRESS: a Building, Department _ • Applicant to fill In all spaces except th rtler lines and sign all appropriate declarations. F CITY OF COSTA MESA PERM 7 i TRACT N ' ' LOT NO. BLDG.NO. 1 54 I • 311',0/83 3,1,,85 Ti CONSTRUCTION PERMIT ' -' i - - • '�5-6,6-Ta : '247/ ' : •'/64 ' - t , •. 4- to Applicants Mailing Address 'r if• - i r c- • :TYPE OF CONSTRUCTION; ' tit,NEW U A_DD'U•ALTERATION •U REPAIR - - - n - ti % i ojedt Address. O s 4--kms f . • ❑ CONVERSION ❑ DEMOLISH r�❑ OTHER • t • 1. 1'1 M. 1 • y T 1- • ' ,r ' .;d ,/ - c ' :•1 ,r_�'f7 '77//1 DESCRIPTION.OF WORK . Ci.7, • .. / -41-1A- Owners Name ; ��� _ 1 `' • �ti A CA,' ALL ' I - - _1 r' ! ! - ZONING REGULATIONS: ' - ' e.• Address l - r _ • _ /�' /� / 4/' • • \ rs - f`, _ , ,? , TYPEOF PERMIT. y GRADING�DQJ�FOUNDATION 'STRUCTURAL A.P.gW O ZONE i _ ' ' 1 Afch/Eng - - License N_o I -i ' ❑ TENANT ❑'ELECTRICAL LJ!PLUMBING • ❑ MECHANICAL ' PLNG.REF.. , - BUILDING tv/as , • CFTAA K 1 CT I I I Address) n ' ; ❑ 'OTHER I T i • ! 'TO BUILDING., , - / ' r - PROPERTY LINE - 'REAR YARD (TO P/L) ' - i Contractor s Name /MtN/ �vAS.nt/ phone'‘..AT-2g/17 PROJECT DESCRIPTION I SQ'FT,• '- •• ' OCCUPANCY ' - .. - 1(, ,L` Iv?" •� � e1'/✓te r I1 5 - ; , ' $. ) O ;LEFT SIDE YARD ^ 1 RIGHT SIDE VARD9'/ ��(,��G �7_- 1 Address(mailing) r t p rse „ ti� I - I CONSTRUCTION TYPE VALUATION /•/ /� " �D,S�? �. ' - I - I ZONE i I' • GRADING CU.YDS,• ' ACRES ' 1 • - PKG.SPACE REQ. I PROVIDED • ,J License NO: I ' : i I. ' L • ICENSED CONTRACTOR DECLARATION t Remarks: 4 i I I - . ' 'STREET WIDTH 'PARK FEE.S 1 + •+ Thereby affirm that I am licensed under provisions of Charter 9 (commencing : ' _ - with section 7000) of Division 3'of the Busineis and Professions Code,and I 1 ! ! 1 SPECIAL CONDITIONS: ' I I _ - • • my licenseIrs in tub-force nd effect. I ' • < , • License Class ' ( ' 7 I • Lice e 3oY73y1 I • Y PLUMBING - , _ - Date /k/7i.[f-/r$igna�•V• ' rear .re LAC.7'dH . , ORKERS'COMPENSATION DECLARATION I ' ' _ Bar Sink' - Sewer CaO - I ! ELECTRICAL , 0rebyaffirm that•I have a.certificate of.consent to self-insure or.a certificate. ' - - �__ - 1 _ - - Automatic.Washer_ __ , •,. •Meter_,❑over100 amps I Workers' Compensation Insurance,)or a certlfietl copy thereof (Section Backflow Preventer'--'� - Sewer Connection 0, Lab,f�) i I . i I 9a I . - - Construction Pole Sub Panel. _^_ •• �^ Policy No 7.00c).2.10 Sal A Backflow Irrigation Solar_Collectors • I Company ndirv7rq cis 1 i - i - Cooking Unit Sub Pole 7 ' entified-copy is hereby furnished. I t Bathtubs 1 ' Solar Piping i ' t I 1' Certifietl 4:p py is filed ith the city a Ming Division/ r ! 1 Dishwasher' 1 Motors 00 1,HP 011/2-8 I i I Ant N'/`/9g2gpplicant, /c+%vru� // ••�•-w✓t ' ' ' t Clanfier's p i Solar Tank _ 1 '...5__ • -• Dryers OGas ❑Electric - "- ?- -I"- 1.- - t.1 Dishwasher I i _Swimming Pool w/Spa i 'Inc Solan❑9-'. HP ❑16-1 . , (This section need not be1completed if . .,- r mit is for,one hundred(E100)or , , - - - - car. I t ' Fan : 1 t 1 . I certify!that in the performance of the work for which this permit is Issued I I Drinking Fountains Urinal / - 1 i • ;Microwave shall:not employ any person in any manner so as to become subject.to the •_ i p r c - - i F.A.U. 'Pole. Light 1 j I. ' Workers'.Com ensatlon'Laws a California.;• •"' , ' I Floor Drains i , (' s Water Closet , _ Date' - I Signature • ` 1 • f 1 i , • } t'NOTICE:Ifs after-making•this declaration;you shoultlFbecome subjecbto the Floor Smks '-- - - •-•- - --- -Water Heater--- -- I - - - --_ F_ix_tures_ •1 1 -,._ ;Range. --,-, -3/4...14.j,�_ , -_ • Workers', Compensation provisions yof the Labor.Cotle„you„must,forthwith, ' I - _I. _ - ' "• -. -, - 1 comply with'; such rovisions�-or this: ermlt+shed- be•deemetl. revoked ” ' i • Device Boxes • I _ P nP i � �'I. GaiService. `Outlets 'WateGService • } Sign, i i k [ '- CONSTRUCTION•LENDING AGENCY I . ' i- ' - .' 1 - - f. I hereby affirm that there Is a constructionlending agency for the performance; t k ; Interceptors { �; _ I • t Outlets • ! ; : Standing Sections 4 1 ! ' r. of the work for which;this permit is :issued '(Section 3097; Civ C.). - - - ' Lender's: Name`- • t - y • - r Switches ; ' - I ,f. l Kitchen Sink - - - l 1 , , i :Trash Compactor , y _ j. •-Lender's• Address- ' • .• ' 'z , •OWNE RIBUILDER DECLARATION ' _ „ t i - 4S % Lavatories r�. y • iz I • Gartiage Disposal ± j 1 YI hereby(affirm that I am-exempt:from the Contractor's,License Law for the' • I _ , I r Generator'❑O-5 KW ❑5-15 KW 1! t 1 • 1 following ( Anycity t r. { P fl--Trip; t 7, I ; c I r , - I. I' uny ;chn. Sees;a permit,t Bonstru•tntl er,improve; of E I. 'rv_ _ 1' I • i 'any my which'prior requires a issua'to calso re t,alter,Improve; t for rr - Transformer ❑1550 KW • i' ' +any structure;prl or to its Issuane/she sis requires the Applicant for such permit. ' I Roof.Drams . r ' -- i ' v. i I ` .I i ' t , I to file a signed statement'that he/she is licensed pursuant to ctionovisions of 1 - ' F' f t ❑50 a KW1 1 ' a,Contract f the Bu si Law�(Chaptfe 9(commencing}with'Sec she 7000)of , ” j . I 4- , 111 ' ,Reinspection Fee $15� ydslon •3'of the'Basin ass antl:Professions Cotle);PorrthaL he/she-is'a xem pt 7 Showers i I' r r" i t Reinspeaion;Fea I $15 1 efrom•and the;basis for the alleged exemption,-Any.violation of,Section i ._ ; , -' Meter ❑up to 100 amps !Issue Feel I . 3 f1'raalt by,any applicant for 'a I pe dolls s($5 s'the applicant to; a' Civil 1 I I •. ♦..__ _ - halty of not more than five hundred dollars($500) ) r r Service Sink w - Issue Fee a - $ 3 , -1 • •-- r ` I , r , r `- 1 ' Zoning Approved By Date • V �' I,'asaowner oft thelproperk, or.my employees..with wages(as their sole i •I I MECHANICAL` 1 , .t • I 1 - I • compensation' will70 the work, :and not Intended of offered -2.1 , ,. J. I , v. L 1 ' 1 Application Approved By 1 •i Date 3 D '�� • I ' for sale)(Section 7044, Business;and•Professlonal,Code:.The l Contractor's ' „ 1 • j �,,� , License Law does not apply to.an owner of a property who builds or Improves t 1 I ; I- Refrigeration System7 1 ' ! } ! I thereon,;and ,who tloesisuch'work himself/herself or through his or her own , i Bo'le(- . • I ..; • : 'I I ' Application Issued.By ! • •�(.I_') : I Date l d 'C�-3 I employees, provided that such'improvements arelnot intended or offered for .. .❑0.100,000 BTU ❑100000 BTU 1 I sale. If, however, the building or Improvement Is sold within one year,of com- 1 ; Duct'-UnderGround. , I ) i t I• ' I I 1 r ! SUMMARY OF FEES 1 I7 ) 1 pletion,the owner)will have the burden of proving he/she did not build or im- I i I , rove roc the purpose of,sale). 1 * I ) • r • I 1 Duct-Structural 7 I 1 f System Repair/Alteration I I ;BUI; •BUILDING PERMIT T 1 $, ._1 SMIP r $ 1 . ,SD 1 I, as owner of the poperty,am exclusively contracting lwlthilicensed con- .1 - r c + r i { I tractors tract struct.the'.proaect (Sectio t ,.Business.ane of propertysions.Code: ,. Duct:Ventilatin .1„,.........)„....) -._ T I 1 ,_,1 - 'PLAN CHECK: lI •3S 1 PERMIT r I The Contractor's License Law does not apply to an owner of '� -t--r--+w••---f--• •��- 1 $' who , r 1 . ' { I ISSUANCE ' $ : 1 butls'or improves scan to ande who contractsto 's for such projects with a con- Exhaust,System D Multiple❑; I I ' r i ' 'PLUMBING r I 5. • I ( • r I ? $ } I ; tractor(s)• license pursuant to the Contractors License Law): • y I I I (PLAN CHECK 11 $ I GRADING I 1 ❑Lam exempt under Section ' -1 B,& P,C,for this reason : ! Flrepl/Fact.Bit.IC30# 1 � i l } + , I 1 ; , I $.i / f ..: 1 1 . t i I i , - ELECTRICAL'• $ - ' I i • Date 1 i _1 Owner' I I 1 1 ! i I 4 Heating1System& Ducting I _t I - 1 - 1 ( i" I • f ' •1 I • PLAN CHECK I i . I MICROFILM •$ ; 1 • !-1-hereby- ertif -that-II have rto co isIrappith alln ane•std county ordinances -"i' 00-100,000BTU'(]100;0OBT _ I $ 1 1 information Is acct, I agree to comply with all cityane county ordinances , : 1 I i 1 I , •. i 1 I^J1 I 4 1' i 1 • j 1 TOTAL:FEE' 1 $ ; 1 i • and;state la relating b Id t r MECHANICAL' g cpons ructlon,:antl hereby authorize @`trap or I I Hood or Type I ❑t I 1 I ! I ' ' $ I ( ( I I 1 sentatives gfyr' his;city:to en on the above-mentioned p y , . t ' i Reinspection Fee k $15 i i LESS ; ' inspectio b ,poses: r I 1 . 1 ' ' i Canopy' Type II ❑, I I ! SIgnatur, - • to •� - 1 I Daterffoga M)/Yfg71 i - I 1 ( i ) {PLA; CHECK{ i $' 1 lit ADVANCED'PC $ I • _ 1 Drivers' icense orSS j ,.. - I Registers i 1 I Issue Fee I $ 3 , I 13�,�� i I , • I i • 1 FINAL FEE 1 1 $ 1 _ CMF 0865-46 rev.12/82 • White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor c-. - .)t• r/ QCONSTRUCTION-AND•PL'ANNING: rT ��w- r r ,;pif 3-3 -,? 'POOL'`"' 'A tt _ , _ SAPPROVALS m Permit# 'tt 'P6-5�a' •'Date )nspectorl. ``APPROVALS Permit# - Date 'Inspector s- r- :- . ., .. 1 . . _ • n i1; Temporary Electrical Service or,Pole _ -° "s,.;'' ' `_ 252',Pool &:Equipment Location.,,_t'". : ;;_- '• I :2-' 2? Soil Pipe-Undrgrnd.': ' 1',c: I a i 3 ' %IT'` Y ! 53''Steel Reinforcement s -1-."'::?,' " 1. . ,,. 3Y Electrical Conduit Utility-Undrgrnd: ;7; •; `' 'g i !...54:1 Forms:'.' ` ?- - ;r - r• i ;4. -s? 4,-. ,EleetC.334icailConduit-Undrgrnd r.•,- , : n; r _;Q 'S ',.P, .I :!55rElectricalBonding•• _:3 ' O2 5: SteeCReinforcement• ' ! ;; ' It)-42;:•;' _' `3-:`!•963' 56 Bough P-lumbing& Pressure Test. . , , ' • ! • 6: 'Elecctrical LIFER Grnd.I ' . 2 ' c, c - lit - �`` ;57;APP.ROVAL TO COVER.-GUNITE „, � i, 1 a'•' 1 • ( o-: 3-t48� .0 I 1 7. Footyngs• 'i i I ' o ^z i.' Z3.!;!, '` .�58' Electrical'Coriduit-Undrarna. ; � ' ▪_ - `. 8. Foundation I r I ' o e • °.` - 59 Gas'•Pipe ❑ Undrgrnd Test: i.' ' 7 9. Water Pipe-Undrgrnd. 1 1 ?I.'''. • i so i.`;; _; I ),60. BackwasI%YLines,yP,TIra p,'0 Undrgrnd.:' .• _ i ' , 10. Structural Floor System , -c •Z , e_ 1 - „ .n • ;•61 APPROVAL TO,DECK --•: -!...,,c, 1 ; 11. Property Sewer Line'&-'House Connection' -: : 1 :-62. Backwash &LReceptor Final..: ' - - 12. Sewer CaP i � I _r, �3 :? 63. Heater&_Hent-Final- _', 13. Roof.Drains ' ' • i „G 9 -; ,•64. Plumbing'Syte ; Final':` '; '" I '� i m ,, r r . I A a 14. Rough Plumbing • • ' t -t' - '65. Electrical=Final- - -•• - • a.-rr • • ' • - _ ) , 15. Rough-ElectricaPConduit-I r " II- '- 1- -r 77- i,-'- "-667Solarisysien--Finai-n- ; -.- ,--!__r.. _ _-;_. _ .. k16.'Riiugh_Electric Wuiring, I d 't?,-11. I.n I ,-';;t 67 rFencin& Access�A 'oval : ,t -_1r - , r'• 7 `17. Rough Wiiiriig;Signt- i s-• 1 - I li ' ) > 1' : "' ! ' I is ' , 68.; APPROVED FOR•PLASTERING 1 • r : i,. ;I ` - 11 18.rau tt Electriaal-`TfBa Ceiling Il ll ; - ; ' - ' I " i l '69.,POOL/SPA SYSTEMS FINAL I _ I I :II!: il P• 19. �R ugh Heating &'Air Conditioning f - I I i r i I j FIRE DEPTJREO.UIREMENT: CI i i • !?' ' '• ! •`' ' rt 1 I I, ' 1 - I i ' i . ' APPROVALS! ! Permit# ' r t t r 20. ., ni . , •• i r, Fireplace i p d 21. �D'ucts, jn Structure; `i 1 i 1 i� ; I I i 1 : 70.. Unde'rgro'und Hydro . ' ` ° ! ! i ' �';,_22.iDucts, Ventilating c i• 1 f' ' Ili 1 I I j 71.I Product Piping 17Gas 17Oil : ' - • i : '- ! 23i Gas Pi a-Rou h &Test . II , -' r I . • P, __ 9 r o , I r i 1 ! 72.r Underground Flush' I i 4'. YRoof Framing ' 1 ; I I {ice r l ' t i Cu ' I n> I::I I 17.3.I Uridergrnd.Storage Tank dGas,O,Oilf, t ' • I 1 25.^Roof Sheathing I 1 4' I j ,'•.' I : ; . .. i 1 I. ! kPPROVED STRUCTURAL APPROVAL ONLY City of Cost© Mesa Building Dept� pATF �'� +� BY_- SEPARATE PERMITS ARE REQUIRED THESE PLANS MUST BE ON JOB AT ALL TIMES FOR ELECTRICAL, PLUMBING, MAKE NO CHANGES WITHOUT PRIOR APPROVAL HEATING, VENTILATING AND REFRIGERATION WORK OF DEPT. ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLANS AND SPECIFICATIONS SH`.LL NOT BE VNO RUED - AP-IRO-VELD TO BEA PERMIT FOR, OR AN APPROVAL OF, Permit kk OF ANY OF THE PROVISIONS OF IRIS CODE. NO PERMIT PRE- TION T I�e�[Q # U E , aciC r,✓.4L.C� SLIMING TO GIVE AUTHORITY 10 VIOLATE OR CANCEL THE THIS NUMBER MUST ACCOMPANY F COSTA MESA PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO I ALL INSPECTION REQUESTSFAR AS THE WORK OR USE WHICH iT AUTHORIZES IS LAWFUL Dc NING DEPT. O BLDG. DEPT. AEG. THE ISSUANCE OFA PERMIT BASED UPON PLANS AND I3 /0�3 SnCIE ATIONS SHALL NOT PT THE BUILDING OFFICIAL 8EMPLOY D,; 'i;E SUPERSONS ARE TO f DATES_ SFROMPECT THEREAFTER REQUIRING THE CORRECTION OF ERRORS ®E EmFLaiED, Y'iE S ;TEST THAT THE FLAICCX3 IN SAID PLANS AND SPECIFICATION: OR FROM PREVENTI'r1G STATE OF CALIFORNIA DIVISION OF BUILDING OPERATIONS BEING CARRIEDOM: ON THEREUNDER WHEN INDUSTRIAL SAFETY BE CONSULTED FOR IN VIOLATION DF. THIS CODE (:A OF ANY OTHER ORDINANCE ADDITIONAL REQUIREMENTS OE THE mu. N� F'b 44 *I a(� V bite, 4 l a/� n �I RESIDENCE tale V RESIDENCE RESIDENCE RESIDENCE F. I/ 10 r W I.- ` 4, y Igo ?y 2 STREET e TYPICAL 611 CONCRETE BLOCK FENCE a Cement Coping Optional l� -- - -• . GENERAL- NOTES Channel Block With 1-3/80 1 Horizontal Top of all , - Fences S�} I MORTAR: One Part Plastic Cement, and Three Parts Sand For Fences 5'or Less RIIli GROUT: One Port Cement Three ana = o One Half Ports Stand Vert. Bars 3/8"¢at 4' -o"O.c. ld : 1 COPING: One Part Cement, Three For Fences Higher Than 5' i�i i` 0, 1 ili I-1 CONCRETE: wellSand 1:2-1/2: 3-1/2 Vert. Bars 3/8"¢ at 32" O.C. I >- w Max. of Mixed7d 1Gallons of Fill Cells Solid With Grout ,! > Z I"Tire" ' Water Per Sack of Cement Where Steel Occurs > - - - - Reinforcing Steel Shall f - GROUT MAY BE POURED FROM THE TOP 111 1 OF THE FENCE IN CELLS WHERE STEEL Conform to Sec.A-15-39 w o OCCURS. A.S.T.M. 3��1 w ' CELLS AND AREAS OF HORIZONTAL REIN- All Steel to be Lapped ��. t I FREE OF SHALL BE CLEAR,CLEAN& FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code ill NATURAL GRADE 'I; V ;" . r , "WA! ltd n e TWO 3/8"S3 BARS 'S� D^ e . . .� e ♦.. .� CONTINUOUS TOP I & BOTTOM Leo--WIDTH ' -a•- TO 16i O.C. MAX. %SEE CHART -HOR1Z.STEEL MUST BE TIED IN BELOW e DE PTH OF EARTHTCOTH PLACE AT TIME OF TRENCH p li • —I�/,�3- THE HEIGTH OF FENCE INSPECTION. i BrliOW BOTTOM OF FOOTING. [- 9- 1 o 2"AL • SCALE: I/2" = I' FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5' 4' 3' WIDTH 14" 14" 12" 12" THICKNESS 10" 10" 8 " 8 " DEPTH OF EARTHTOOTH . . 24" 20" 16" . . . 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME: • __ City of Costa Mesa California ADDRESS: _ - _ _ _ _ __ _ FE RMIT NUMBER: Building Department SIGNATURE 26v15Eo Nov.82 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. . . - CITY OF-COSTA MESA" --- PE ^IT N ' 'TRACT NO. - "LOT NO:'r' BLDG:-N� - - - f - -- - - ' CONSTRUCTION• PERMIT /' - PC9 1` " •7.648 ,. 9/ 14L82 6.00 ;Tl • Project Address ,` ac, , boas<1'• .L$-.- • TYPE OF CONSTRUCTION ,l I _ ,I ' + •o + t: 'Owner ' -M ENGs 1_e .�'P: --'Phone ❑'NEW - ❑ ADD-- 0.ALTERATION- x'_ f r.•.- - _ _,-. - . . I-Address---O Atke AS -R%ci st- " -• -•-- ❑ ROCYR• REPA . ONSION DDEMOLISH ' ?'Arch/Eng:-__ . ZONING REGULATIONS, - .P -- _. . _.. _ -- ..License No: - - - . OTHER , - A.P. _ __ _ - _ DESCRIPTIONFo: ' O WORK _ -!ZONE - _ PLNG REF ,^ It `Contractor7re'A''C, `C 1‘3S1-,,t ktehone$39-917o TYPE:OF PERMIT_ - - - "- -• " "-' FG - ST. TOBUILPpINC _ SETBACKIDC/LST. PROPS RTV•LINE U- '-Address"r"I�j4 I"• K,1 -h rCN V2; a, ❑ GRADING FOUNDATION' ❑-STRUCTURAL- ' SIDE YARD - _ -' - yy LEFT ! ILhereby D CONTRACTOR OECLA RATION --• --", ❑ TENANT 0❑•ELECTRICAL`- LUMBING-0MECHANICAV-, SIDE YARD-- - - - -"i v '1 hereby affirm that I am licensed Under provisions Of Charter ss-ands .,. f - - - I. ,. I ' RIGHT T men Cing with-section- 7000)-of'Division-3-of-the -Business-and ❑ OTHER - - - _-. - - - -- - — .--. 4' -- -- - - -- - 1 - ---- --- - --- - - - .- Professions Code, )and my cense s In full force and effect., ' REAR YARD(TO P/L) - , • • PROJECT DESCRIPTION• License Cla s YL` - '�' •- 'LW- se No. .9I 18 q - r, ��' - - - ,L -""-" -PKC.SPACE REQ. PROVIDED.I i J / / _ : - -u• ".S C t FT: I : , 'firI -i._ t 'Date - Sigodt ure .$ • _ -__ .- _. _ -WORKER 'COMPS NSATION DECLARATION __ .`,`• 3IOCCUPANCV-i i_' CONSTRUCTION TYPE ." STREET WIDTH ,r f- PARK FEE $,•.,,,t?'- fl-hereby affirm that I have a certificate of consent to self-insure,or a, r f- j !ZONING APPROVED.BV- DATE -• i 'certificate'of-Workers'-Compensation-Insurance, or a certified. ' - ---- --- -N - ZONE_ - _ ' - 'thereof (Section 3840, Lab,C.). ' copy GRADING CU:YDS. a- _ ACRES , SPECIAL CONDITIONS: .,, n I ,r , 9!e'1-I—•Comoanv _ _. I :rtlfied copy is.hereby.furnished- 1 - REMARKS: _1,." _ _ ' _ _edified copy is,f fled with the city Building Division. - ^' - T - f Ii•�' r , in ' I -. - .. EXEMPTION-FROM WORKERS'"COMPENSATION DECLARATION ''"'-' `_"` _ --- '." --'-"""^-" '- "' - '-'- "- -" '--"- "'� _-"--' - - -•' '-------" '(This_section-need_not,be completed if. permit is for one-hundred - -_ - -_ : :• -., ($100) or less): j ) r n_ _.__ . .+ ._. !I certify that,in the performance of the work)or which this permit is R _ Issued, I shall not employ any person in any manner so'es to become 2 PLUMBING -„-.sqj, j;PLAN'CHECK” - -' - -'ELECTRICAL" -- - -'- PLAN CHECK,, ' subjecttothe Workers_Compensation,Laws•of-California. p• ate Signature ( BATHTUBS- - NOTICE: If after making this declaration, you should become subject ;.jTOILETSag`, fn{}c, ,,)URINALS--'- _ -----' -,GENERATOR"'- p.1 KW-=110-KW to the Workers' Compensation provisions of the Labor Code,-you must , !TRANSFORMER - . - s , forthwith comply with such provisions or this permit shall be.deemed LAVATORIES DOUBLE-LAYS - ' -i -- .- '-' _APPLIANCE` '10-50'KW_50-+-KW- '• ' --^ --- ' --" 3 CONSTRUCTION LENDING AGENCY -KIT:SINKS- DISHWASHERS"' ( 0-1 HP_110HP: 4', ri. t I herebyaffirm that there is a construction lendingagency for theper- "SUMPS----- - - •- 'n .'e Y SERVICE SINKS_-Al' "-�"' •- j(INC.SOL-AR)---10-50'HP=-50+•HP�--� formance of the work for which this permit is issued (Section 3097 ............ ... . ......'. '. FLOORSINKS FI: ORbR-AI NS --?•)- ,FIXTURES`--OUTLETS ' SWITCHES-'- d. j_ Lender's Name - -^.• •- Lender's Atltlress1 OWNER'BVIL'DER'DECLARATION - ' --- '- -"----' - ----- INTERCEPTORS CLARIFIERS -'- ' thereby affirm that exempt 31.5 the Contractor's Professions Law for -- tny city or county(Section-]031.es B uspermitnd Pconstrut,Code:- •.SWIMMING-POOL`---"P'TRAP- "" -- - - .PONElseuui - Any city m county which requires permit to construct, alter, 1- .PANES METERED -SUB -,a- (O --• , improv ed ap tic nt rrepair-any mtostructure,tilprior ne [st tement,aat re-- --WATER SERVICE' --ALTERATION '-"? -- - �•PANECS' -`-MAIN '_:--"-SUB ' �r ---- '"'-" i quires the aprllca nt for such permit to thea signed statement that he ,.S .• -• • " n `,• , is(Chapter provisions of-the Contractor's License•Law- '-GAS SERV ICE - - —66TLETS'- 1 " ' - 'ISERVICE "- - 4 (Chapter 9 (commencing with Section 7000) of Division 3 of the - {^1 Rosiness and-Professions ons Code) or-that-he is ion pt•theiofrom and the - for the alleged-exemption. Any violation of Section 7031.5 by - - opli more than t-s-subjects-the-applicant to a-civil•penalty SEWER'CONNECTIONS - t than five hundred dollars ($500). - • --" __ _ _.__. . . .. __. ._ _ ___ -tr_.._ • . -.; r.-;75. - ('c' . •. as'ownir of the properly,or my ernplo reel'with wages as their SOLAR TANK --�-' COLLECTORS - ti - ' - -� _ '- -'-"` `-- '- sue.COmpensation,_will do the work,-and the Structure is not intended ..- _ I• _ ,}r or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. - -I! _ - j -ISSUE-FEE -- - _ ------1-7.1"::, c,, I Contractors_Llcense-,Law_does not-apply_to,an_owner_of a property, _ _ _ _ __ who builds or improves thereon, and who does such work himself or -ISSUE FEE - ---Ir --- 'i_,, BY '0 •/APPLICATION-APPROVEO'B ' OAT- ' ' 'I Ihrough_his own w employees,-protled that such.improvements are not - -re intended or offered for sale. If, however, the Minding or Improvement' MECHANICALPLAN CHECK a 1 SUMMARY OF FEES is sold within one year of completion, the owner will have the burden 1 jj+f of proving he did-not build or improve for the purpose ofsale),- 4" i BUILDING'-$ "-- ❑ 1,-as-owner- f-the-property, HEATING SYSTEM 0-100,000 BTU __ _ _- PERMIT - -$_ _ _ - _SMTP,- t,.$•' o am-exclusively contracting with- I � �� - (_ licensed contractors to construct the project (Section 7044, Business `•AND DUCTING"'-""'-" P j 100,000)+BTU _ f PLAN CHECK $ •P SUAIN $— and-Professions of Code:-The-Contractor impro ese Law does-not-apply-to-, who - CE - ' an owner of property who'builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU . 'PLUMBING $ -+ S pry. '< , s� tracts-from-such-projects-with-a•contractor(s) licesned-pursuant-to- --SYSTEM--^-^••- - - -- --G DI - RA G 1$-- the Contractor's Contractor's License Law). 100,000'+BTU /PLAN CHECK $'"" - :,.;(!f' yi!1- r ''a Z); 0'I'am exempt'under Section-"' - - - - -"'-B.&-.14:-C.for'this" - -- - -- $ - -� BOILERS BTU /ELECTRICAL $ p pc. - -. , PL'A N'CHECK '$ -. �__ _ .MICROFILM $.n°4i SYSTEM REPAIR,ALTERATION ) :ol-- j Date. Owner _. _ _ .TOTAL FEE�$' ` I herebycertifythat I have read this aSYSTEMMEC HANICAC.$ .. , application and state that the above EXHAUST MULTIPLE ! , + - LESS'AD - Information is-dere laws-agree to comply-with all city and county- -- - - - - - - - PLAN CHECK $`,' - - VANCE PC $ '' " representatives-Of epes ordinances and state laws relating to construction,and hereby authorize I • I N.-rt.' /, 1 1]/J .- x representatives Of this—city—to enter' upon the above-mentioned- I - V //- property for insp tion purp s s. W ' - - _ i' I i FINAL FEE. $ Signature _�74 Date - _ • . - • Drivers' License or$S • -- CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - . • v CONSTRUCTION AND PLANNING ' .% POOL&SPA ' APPROVALS Permit # (44801 Date - ' Inspector APPROVALS Permit •# • • , - Date Inspector _ 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location-- - • - • - - - - 2, Soil Pipe-Undrgrn - .. - ,., - 44. Steel Reinforcement- - . - - - - 3. Electrical_Conduit Utility-Undrgrn - ._ __ 45. Forms • - - -- - - _ 4. Electrical Conduit.Undrgrn,-_- _ .. _ _ _ 46. Electrical Bonding l - --- - - - - _5. Steel Reinforce ' . - 47. Rough Plumbing & Pressure Test - - -- 6. Electrical UFER Grn _ - _ _ '48. APPROVAL TO COVER-GUNITE - - ,- -- 7. Footings _ - - - 49. Electrical Conduit-Undrqrn • ' • • -__8.. Foundation _, �__, . _ _ _ 50. , Gas Pipe, EDUndrgrn,Test •-' ., ' ,__ 9..-Water,Pipe-Undrgrn. .. _ -_-_ ___ _" _ 3 51. Backwash Lines, ❑'Undrgrn -- - ' - 10. 'Structural:Floor System _ . 52. APPROVAL . . 11. Property Sewer Line & House Connection .. .... i 53. Backwash & Receptor-Final • •• "' ' . . 12. Street Sewer Connection _ _`• _ . . . ._54. Heater& Vent-Final 13. Rough Plumbing • - - _ - - 55.' Plumbing Svstrm`Find 14. Rough Electric-Conduit -• - - .- - -56. Electrical-Final - • ' - : • -• 15. Rough Electric-Wiling - " " - - - • - 57.-- Solar System-Final " ' -. ' ` . ;I. '-'16. Rough Heating & Air Conditioning. _ 58. Fencing &Access Approval ' 17. Ducts,"in Structure'. . . _ _ _ I. --. . _ ' " 59. APPROVED FOR PLASTERING' ' , r 18. Ducts,.Ventilating- .- . _. . .. '.. _. _ __._ _. . - __ ._ . ' . _ - - __ _ . - . __. , _ _ _ . . , 19. Gas Pipe-Rough &Test , .- _ _ " ._ '. '. 60. POOL/SPA SYSTEMS FINAL ' -` - _ 20i Roof Framing. - . . __. .. _. _ . _ _ _ _-. _ r • 21' Roof.Sheathing' ' c" - -� - - 22 Framit e and.Flashing. •-- '._ . •- - . _ .__ _' ... . . .. .-- .- '. -_NOTES _NOTES:' •°_ .. :. , 23 Insulation . - : _ _, -- - -'- - --' - I. 24 -Lathing & Siding_. _. " •"" ' ' '" 25 . Drywall.Nailing _. __ - .'... !- - --- I ,. ., . , ,i . . • I 26:. Plaster Brown Coat ..... -- ' - • " ' - ; 27: . Electrical Power-Meter-Final - - - I 28: Final-Electric-- ----- _- --- '-2-- - - i. -. I _ - - - - - ' -• ' ' - . ' - 29. .Final Pleating &.Air Conditioning _ __ . . I. I _ __ _ _ t 30. Final Gas Pipe-Test . _ _ _ • • ' i 31. Final4Plumbing _- " -- _ . _ . _ (2_. . 1r' ./$-.R `' . , , - - •, co - ` _ :- .. 32. . Water.Ser.wce,Final_... --- --•�--- --• .__ _-- - -• � - � - -- -•� - -- . "._ _..._':'-_.H •,.. �,. ". - .. it t't . 33. . Gas Service-Final -- - - . . ... -_ ..- ' . , .1 _ .;__- -- - --- - _ . . . . . lY9.' • . , s .. • )v . , A_' .ILVii . -,. . , • ., ,. 34. Solar Domestic-Final - i . 35. Landscape Sprinkling System _ . . .I . m -'. - • . 36. 'Sound Attenuation _- _ - -••r'a - - 37. Handicap Regulations' . a1. - . . _ I ' __ ._ , + - ,. i -• 38. FINAL STRUCTURE & BUILDING - ' -- - - - 3 - - I 39. Special Requirements Completed . _ " . it 40. Electric Release to Edison • ,, v . . “. . 41. Gas Release to Southern California Gas'Co. t ' " ; ,, . . . 42. CERTIFICATE OF OCCUPANCY _- - _ _ _ .. - ' } No - Date _ OWNER COLLEGE-MESA' COMPANY DATE 10-11-56 JOB ADDRESS 1201 Dorset Lane BUILDING PERMIT NO. #3842 GENERAL CONTRACTOR The Hale Co. VALUE $ 10.248.00 L"- 186 BLOCK TRACT 2671 Single dwelling w/att. gar. G.,.iUP I & J TYPE V ZONE R4 FIRE DISTRICT 3872 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench /0 '12 - - ' Foundation Forms and Grade to Garage /0 -3/-.1. - Rough Framing �. .-4. / / S. Plumbing, Rough to Slab`��� �'c� •'fit' " e,V„A ' ,2WIreffa /o-30-56 730/ .7 Plumbing, Rough Complete ))t 5 /,2 is-s6 (.1 Temporary Pole ,�//�` Wiring, Rough 42P3 /? It- AI " - //- 2C-a .36 Y ✓ Heating,Rough L m e 5 �,,. Heating,Final M11-S 'e 2)r; ,✓i`'- / A/2-- A:/-/iJ -Com/ 7s—a/ ✓ SiXe- /),/// wer, House Sewer,St. S /,sx,__i7 19. j,PT f/-aL-S4 6783 Septic Tank or Cesspool : Lathing, In X Out X �I /Z.-2a- '. g • ing • G-4✓4_ 2/1 .ibing,Final,Fixtures Complete " - -_,..:-S7 . ar Plumbing,Final Gas Test /3 /Uf/--. --7-�1 \ �- 0-4.12/- ;T Jl. Wiring,Final MAY 1 (gsjij��- /J Occupancyl t/ # g sij -re' I • FORM 210 3M 10. 5 i itCosta S esa Bu dingDeP a • 1 APPLICATION FOR PERintT ' t a: P. 0:Box 30 — 3,?72 BUiLD1NG �4. C©STA MESA, CALIFORNIA 14 j' - - FOR OFFICE USE ONLY .-- FOR APPLICANT TO FI L IN Receipt No. Permit No. Building2 lz� Address 1201 Dorset Lane -- - - Q T Costa Mesa, California --Received by_ Date Rec'd. Date Issued Nearest I/Q...,0_r� /d2 -// -�_ Cross St. Fairview Road Building Address owner College Mesa Company Costa Mesa, California Mail Address 1777 W. Lincoln Avenue Nearest Tel. Cross St. City Anaheim No.KEY 3-3161 zoneNo.of Ty '/ croup n Architect or Lic. I pe Plans v , / Engineer Davis & Quigley No. C-1790 Approved !/lJ by Date Address43 Malaga Cove Plaza, Palos Verde: CORRECTIONS City Lic. tractor The Hale Company No. 3422 Address 1777 W. Lincoln Ave. , Anaheim Legal Lot I Description I No. 186 1 Block I Tract 2671 - (Attach Metes and Bounds) No.ofgs Size of Lot 69 x 117 Now onBldLot.None 0 Ilse of I No.of I No.of 21 Existing Bldg. I Families I Rooms y, Setback Line fromRear Yard 46.8 Z Center of Street 50 Side Yard 19.4/5 D DESCRIPTION OF WORK r New I X I Alteration I I Addition I oo Repair I I Moving Demolish I CI Building No.of i- Size 1181 Rooms 5 Stories 1 terior Wall StuCCO I Roof ' Bring Covering Shake APPROVALS se of New Foundation Location Inspector - Date Building Single family dwelling with Forms,Materials, attached garage. under-Pinning SA Frame: Fire Stops, -0 Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all CIty Ordinances and State Laws regulating S L building construction. Lath. Ext. Signature of THE HALE . Permittee ,:15L�; Plaster, Int. ,. Authorized Agt. Plaster,Ext. 0 Valuation Permit Fee $ 26.00 Masonry Reinforced 0 Plan Check$ )3 00 Bond Beam $ 10,248.00 Total c Fee $ 39.00 I FINAL FORM 204 1055 O.P.&5. x .. • • • c u J c cur; L :,12::..'1 1 ..,.. J a o a a. J_'•L.. .'S.zI .i". 1.'ITU.J s;:.5 . c_£.1.1 u:) o ...wily .......�. d.J:B". x:...:!.� ...D) • tic) 41 i . f . . . Street y, .,.f,: PLOT PLAN Show location and distances from e. property line and between buildings. O IO..., r. G./ ' ;"'-- ; Sn :3: G O IA d O (1 . .r OWNER MENDEZ, PIJI DATE9-26-74 '\JOB ADDRESS rse Ln. BUILDING PERMIT NO. 39028 GENERAL CONTRACTOR Air Kool DESCRIPTION of WORK Alum.Patio Cover AP No.141-154-01 LOT TRACT FIRE ZONE VALUE $ 630.00 CTIONS Signature Date TYPE \7 GROUP j ZONE R1 Sy" SUBCONTRACTOR PERMITS ISSUED p, p GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. S SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 5 POWER n ROUGH WIRING Heating and Vent. TRENCHES FORMS 5 STEEL REINF. ❑ FLOOR SYSTEM BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT -RUCTURAL, FINAL Electric TING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL . ett.1/yi . i" • 39028 PAID ' SEP 26-74EN-F00 7 097* *`***7.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • A�P I ATION FOR BUILDING PERMIT For Applicant to Fill in Completely REG BV DATE RECEIVED D TE ISSUED ADIDRESS �av/mD,�cA�.-t 2ti (1_3`1 `!/ -24-74- OWNER// e„,/t" z A.P. NO./ij /i v-o/ PERMIT-f��( ADDRESS /& U!!!//// y i yyJJ// BUILDING y/�' ./e...-- Z C ,III tay/�/nS�S'�/' h/f/ ADDRESS���� V �SP �C�'� l� U CI TY/'''vs /3 /970,5 7r NOTEL.-- 0_ ..>67&K / TRACT:2201 I LOT/tk BLOCK. CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH OF LENDER co IAr am J D BRANCH l ' --// _Ito OWNER PI./ I 1r//y�1L`I()Uc Z-' ADDRESS �/J� 1 q./� ARCHITECT. / TEL. USE // GI!'/d � J�/"'LU$ /�©yJr- -N OR ENGINEE � NO r� U FIRE Z 2 ADDRESSLjJ//I/ ZONE OtoTt E1- CB0UUP APPROVED CONTRACTOR�j� AO/ DATE -/ / ,JO CO 2i/ J ADDRESS p?6I7 5 (V. , i/14-a /1/ w W - TEL. ZONE NO.OF USE OF NE O= /� /J ,sr� ('_97' PLANS �//� BUILDING t-- Z H CITV ✓/�/1yu/r, NO. b /•+4JG 6^ � (�D ��/� —O STATEIll / CITY YARDS APPROVED YARDS APPROVED jO LIC. NO/f/&" -C- j / LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE /�/ //s/ NO.OF BLDGS. (FROM C/L S�R�,�ET) OF LOT 4/¢ 1 I NOW ON LOT / RONT /Tjfdl.4 FT. USE OF /.5n>'/-4- EXISTING JJ ���i {{ EXISTING BL / /� � d a/0 R.SIDE _sJ FT, FT. I- SIZE OF • NO. O Z NEW BLDG. ROOMS STORIES L SIDE (-5 czQET. FT. Q EXTERIOR WALL I ROOF / V COVERING COVERING REAR REAR aJ FT. FT. USE OF BUILDING AND ORK TO BE PERFOR DISTANCE BET. BET.MAIN& I nA ,/ MAIN BLOCS. ACCESS.BLOGS. O �' (}M 4-mo C.UR.. DATE APPROVED Z ROVED /x / ,{�� S DATEd -7� IiiQ N �l/l—�l� VI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with I( U CC all laws regulating building construction, and I shall not employ IJ/� I— any person in violation of the workman's compensation laws of H the State of California. �^(t '`)� m ? I hereby certify that I am properly licensed as a contractor under • !/`--' SQ. FT. TAX c the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION ell and Professions Code,D ision 3 Chapter 9. co C�1/ PERMIT FEE $ ""�� N Signature of co 7 Permittee $ '!n/j PLAN CHECK $ E (1 �) o Authorize �� u \ TOTAL FEE $