HomeMy WebLinkAbout2742 DRAKE AVE - Building Permits�
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C05TA rviESi�, CA
241-G797
APPL. MAIIPlO /�OUNESk
�PCHIfECT OP EN(iNFEA:
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cwm�croaswuuxo 17bb2 IRVINE bL
aooxess: TI75 i IN
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LICENSEU CONJpACTOflS D�TION: I hereby eflim u�Mer panaly d perju
(mmmena�q v�lh Seciion ) d on 3 d ihe Buainen end Pm/easbns Coda,
cm ua No! GL 2 1 uc. cuss: C 3 9 uc. No.: b 2
UNf:
IlC.NO:
UNf:
(714)748-97G7
CA ucxo,; 626955
urr: t
ry thet � em �i�reW �Ma, aa�ma,. a ��q„ B
eM mY I� e in lull lap vd allep.
b955 EAP: G6i98
oma: rrv ��v� co�vmo�: -
OWNEN BUILDEp �ECIARATION: I Mreby unEer pen d rjury ihet I am exemq imm IM CoMrepon Licenae lew la IM
Idbwinp reemn (`�� ]0.'11.5 Busiiess vd Prd ' e: RnY cry a oounry xfiitli repuirm a permn to mmwn. aXx. imprwe.
'ynol'sh, or repei eiry etNCWn, prior �o ne ivauence, elvo requiw t�e eppliceM fm mxh pe�mil lo fib e ep�wE eWxront thet M a nM
'icenved punuenl lo Ihe prowiau d Me Can�retlare License lew �Cheqer 8(cammend�p wilh Sed'pn )000) W DNubn 3 of Ihe
tinex vM Prdeasona Cada� a thel M a she ia memq iherehwn end tM beaia /w Ne albped eaemqun. Nry violetion d Saiion
.0�1.5 by e,ry epplifanl b� e permil e�kjx.tf IM epplianl lo e tivY parelry d �wt mae �hen frve FuMrod tldlen �5500��.
� I,mownardtMpopenyamy«nployeeawYhwepeesvlheiwlecompanwion,willdolhaxwk,eM�heelv.Yune�wlinteMeE
a oMered br eeb (Section ]Mi, Busmea eM PrdeaeionaCade: The Conlredas Liceroa LewEaea �at epplyto en owrixd papeny
wM buMs a'vnprovea ihareon, vd Ma Ema auM wak NmeeM or heraetl or ihrouph h'o a her ovm empb�me, qwided thel euch
'mprovemenls era ml in�aMed a d1areE la eeb. tl, howaver, tM buitli�q w inqwemeM is eok wilhin aie yeer d campletion, ihe
owiwr-0uiNer will M1eva ihe buNen d prwiig he w she d'd ml Wik a impove lor �M puryose d eele). ,
� I. m owier d Ihe propeM. � e�dinnNy contrmiq wnh lioansad wnVedon to can&�utl IM piojaU (Setlion ]OM. Buvina enE
Pmleasima Cab: TM COMrapon l'cense Lew dme mi epply la en owrw d qopeMY ��bs a imqwee Ihereon enE wfa
conl2cla fa wM pqetls wiN e mnlredoHe) IicensaA punuanl lo the Conlratlps Liqva Lawl.
� I em axamq uMar Sec�ion: B. a P.C., M thie ranwn:
Oaia: Owner
I da hareby canily tMi l em eware d eM uMamtend Me reQuirementl d Cellortue Heellh eM Salery CoEa Sepbns 25505.2553�, eM
25511. enE Mel I a e�ry Mun buiNieq ooeupem will / wdl na (arcb wre) nead to eanply wih eek atate mdee W �ha requiramems M
epeim�lormnavunionamoEifretbnhanllwAr ua�ty —enepameMDistria.ResdeMielmMiupionappirel'vreenuemqtmmNeea
pfOV1910119.
Deb: Appl'rax:
WOHKEP'S COMPENSATION DECLRfl�TiON: 1 hereby effirm �nEer paneily d parjury an d tM lolloxinp dedumiom:
❑ I M1eve vW vrie meintein e c.nificme d oonsenl to.Winwro M wakwe canronatlion, u Ma+� t« M Seqim 3)a0 d �M lebv
COEe. iw �M1e paAwmence d the wak Iw w1Ych t�e peimil u usueE.
p ine.re�a�em�m���•�w�.����w,.�,m.��a�„aewssa��a�oodme�.s«caa..m,inev«i��.am.
•• work Iw whi A thie paimn ie iesueE. My wakeii mmpenaetbn inwrenca mrrier eM poli�y numEar ere:
�� Si.vTE FUNL EXPIHES
Polcy Number: 1 L J b O b O— / U// G 1/ 9 8
�v� ��e,�m ne �obrae r u� w�. a ro. o�a n��d�d ea�� Is,oui ,�,.�
[] i anh �nm m m. rono�wa d ina .�.a� ro..m�n m�. v�u 4�,sa Mell M em� enY D� in enY men�ror m m to
bacame wbjeG to xakera' campenmtion levn ol calXomie, eM rea Opl G I wutl become wEjW to tha woMe�e'
mm �/n a�$edian 3)0o d tM lebor Cada, I shdl n' � wl Hwva eione.
Dale�. / / Applicem: I %��
Wernlny: Fellun ro sx�ro woM1'en'rompwwtlon covereW l� vnlewNl, antl LWI �u6/xt en emplqw ro a/M�W pwltlu mC
c/Hl flnu ay ro one hun0rs0 tMuaer�d rlo/l�n (5/00,OpDJ, M eEJ/fbn ro M� roat ol compMuetbn, tlemspu u povldM bi In
S�ctlon �)O6 0l Ms labor Corls, Infsrsaf, erM attomey's /su. '
CONSTNUCTION LENDIN6 AOENCY: I Mroby eifiim uMer penelry d perju�y thm iMre u e mr�nrudpn bMi�q epenry M the
paAame� af �he xvrk la wh'rA ihe perml ia uwed (Sed'on 30B], Crv. C�.
LENDEF'S NAME:
LENUEfl'S AUUflESS:
I ceniy ihm I heve reed tnis evd'cetbn eM ame ihm Ure ebove inlormetion ie wnea. I qiae �o camM' wi�n ell r'nv vd mumY orEinencee
ard sle�e levn rele�ing to builtlug conatrWian end hxeEy eulha¢e repreaeMe�ivea olihia ary lo mim upon IM abwe-man�ionad papeM
f«irepeaion purposee.
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Sio��ure MOwner/RgenVAppl enUContreda
(S15t�a6.WP) Whue-BuiMip 8 Sefely: Greeri-Fle: Cenery-App5cenl; Rnk-lie�anue: (3ddenro�Maem
CITY OF CuSTii MESA - BUIiL�ING rEFtD9IT
PERM Nu: B u$9o�,
PERMIT Nu: b G84687 PLAN CriEC3i NU: N .+GOVT: N SUPP: iV
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CUNSTRUCTIGN TYPE: J-N PERMIT TYPE: STk PURPGSE: OTH
JOB DESCRIPTIuN : T/U SHEiaTH � REkOGF W/FIbEkGL�55 SHINGLE SQ Fi: �,ii"VG
CLAIM tiiaLUE: S,Ou0.00 CIiLC-VALUE: 5,0"v"v.G"v GFtGUY OCC: R-3 /U-1.
CUMMENT3: REkO�iF 25t�G3F tcESZUENCE W/FIbEkG. SHINGLES, SMORE UETCTkS REQOIRE
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Z c.� N I N G R E�� i] I k E M E N T S
ssr$acks
-------- --- MAIN bUILUING ---------- --------- r�CCESSORY HUILLING --------
FRiJT: FT IN kEAk: FT IN FRNT: FT IN kEP.R; FT I;7
LEFT: FT IN k�HT: FT IN LEFT; FT IN k�H'I; FT Ii�i
PARKZNG REQ: Pkuti: PARCEL: 1413i2G1 ZNE; REF Nu;
PLANNING NuTES"_�., t,. , �,
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D E V E,-L U P M E N T S E R C� I C E S R E Q U I k E M E'�N''�T S
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ttUILLZNG APFkOiiEL bY ; UATE: .: )
� ' • �
APPLICHTIUN 33SUEL BY; LATE:/�: ' �2 C1�
'veiF�lEiciciEiiiFic'vEii�i"siE-ie'ieiFiEi'rififi't�kx%�exi'R1c+cs�xx�e�en%x�tar��ti��t�x+k ir���Fitrr�Fxi'riiiriEici'ri'rifieiv . �eaEx+ �c�rxxiiii�
LEGALZZATIUN:i3 F E E 5 U M M A R Y STkUCTURAL SEGMEN7:Y'
&LUG PMT PLUrvlBING ELECTkIC MECHANIC FIRE SiNI�/ftEs GkIiUIivG
PERMIT 95.75 ,50
SMIP/NON-RES
PLAN
ZSSUE FEE
bIIILUING-UIC�-� PEkMI7 ISSUE FiAN-CHECK
TVT[aLS----� 100.25 G.OG O.Ov
REVENUE UIJIsIGN ?uTALS--� COLLECTEU:
&LDG Pi�iT PLUNibING ELECTkIC ME�HANIC
99.75
TOTAL PAIU DGE
100.25 1"vG.25 .uv
100.25 UVER/SHOnT: .D"u
FIRE SMIP/Ti�T GkAUING PLAN-CHECK
.SV
. .. .... ......... ... . . . ... . . . .
ii�il�ie�iesiifiexx�eic'r' ir�t�eae�t�f:exieiciEir�ticniiic�]iiF}fc�iEicicicicieiFi4iiiiiiiEifiEiEiEici'tiFififiEi'rrtiFiiifie�eEiE.i"rie-4iEticiEiexiEicii
I N U I V I U U A L F E E b k E A ri L u iv N
iYPE �TY' L E S C k I P T I O N UNIT CUST TUTAL COs'T
:;FR 5000 REROOF bY �%AL'UE REs'ILENTIAL NUZGNE 1,Ou �,u"v�.0"v
END OF FEES
C3-12-1997/11:23 FA/b1BB.t5
�t[FT#:GI-251e196
F°ERhi I T : 084687
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CONSTKUCTION AND PLANNING� ' , , • � � POOI 'PA ,
APPROVAtS Permit # Date Inspecim. � AppROVALS Permit # Date In:pecmr
� -
i. Temporary Electrical Service or Pote ��. 52. Pool & Equipment Location •
2, Soil Pipe�Undrgrnd. � � .� � 53. Steel R¢inforcement ��
3. Electrica� Condult 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. Electriral Conduit-Undrgrnd.
8. Foundation " . 59. Gas Pipe, O Undrgmd.,,Test , .
9. Water 7ipe-Undrgrnd. � ,� - 60, Backwash Lines, P�Trap, � Undr9rnd. .
10. Structu�al Floor System � - 61. APPROVAL TO DECK�� �'- . '
11. PropertY Sewer Line & 4ouse ConneMion� , 62. Ba:Jcwash &,Receptor-Final '
12. Sewer Cap � - 63. Heater & Vent-Pinal -� �
13. Roof D�ains ' 64. Plumbing SYstem - Final �• �
14. Rough Plumbing � 65. Electricai-Final � � - ' � ' ' . �
15. Rough Eiectrical•Conduit , ' `66. Solar SYstem�Flnal � ' , . - �
16. Rough Elettric Wiring � • 67. Fencing�_& Access Approval -
77. Rough Wiring Sign ` �' -� y � `68. APPROVEO FOR P�ASTERING ' �
78.�RoughElectrical-TBarCeiling � • �� -69. POOL/SPASYSTEMSFINAL - �
19.� Rough Heating &'Air Conditioning � ' ' -�`- �' � - - ` FIRE�DEPT. REQUIREMENT � ��
20. Rough Factory Fireplace APPROVALS Permit #
21 . Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilatin9 71. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough & T,esc 72. Under9round F�ush
24. Roof Framing ' � 73. Undergrnd.StorageTank �Gas ❑Oii
25. Roof Sheathing ��.. I�� �i..//� 74, pverhead Hydro
"�/
26. T-8ar Ceiling (Structureq & Monocoat � 75. Dry Chemical
27, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insuiation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. RE4UIREMEN7
31. Plaster Brown Coat 79, FINAL �NSPECTION
32. Electrital Power tvieter�Finai 80. FOOD CERTIFICATE ISSUED
33. Finat E�ectric Notes:
34. Fina� Heating & Air Conditioning
35. Finai Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water 5ervice�Final
40. Gas Service-Final
41. Solar pomesticFinal -
42. Backflo�� Preventer �
43. Backflow irrigation - ,
44. Landscape Irripation System
45. Sound Attenuatiun , ' �
46. Handicap Regulations . , �
47, FINALSTRUCTURE&BUILDING , i �y��^�
t �/
48`. PINAL PLANNING - � �
49. Electrit Release to Edison '
i
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY . _
No. Date
` 22�5
' A�plimnt to fill in all spaees azeept those wrtu., • nez antl sign all aDVrooriate Caclantions. 7� � 4�_B.'j .. - I�.'J. Fjo' T
' CITY OF COSTA MESA ' i j. "' - -- ' ' �e- t � ,
PER T Nfl�.��� TRACT ; LOT. NO.; ,�- BL �
' ; CONSTRUCTION PERMIT � - :' . .f ` - ` � . .. ' i': � ; ' '
� AppliCenYS M2iling Addre55 � � T/PE OF CONSTRUCTION.'. , NEW ADD. ' ALTERATION �� REVAIR . � � . � _ { � ' ,
' PfOject Addrea � � � �S.'{l� .S ' . ❑ CONVERSION "❑ DEMO -�6y �� TH R'. � � � , . " �� ' _ - � - _ ' �
� - � . ' 1 ' - o i� J ` q�� �/� ' oEs��t IPTION�OF WOi�K � l500� -l' - 9Cr . �1 , �C5 � `� � ` � i � .
OwnersName - hone�C.C3tl11.1 . �_ � .�/- - � / -�—T � ' � :� . � I UCA I '
Address �.�L17c/{a: /�f�ec�r " '� � . .: � . 7 . :: F�GT rs�t':: � .�.1'E 2S' . . . - .. . �.,� " � "' . .
�, TVPE OF PERMI7 � - GRADING POUNDATION �STRUCTURAC A. P.�{'+ ' � YZONE � i ' '
Aich/Eng. "- � � ' License Nq� y�-+��� � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL , v � PLNG. REF.7k' t � � ` - BUIIDING `' - . ` . '
� Address " O . e'0 . , . � n � .� �OTHER • • ' . . f � I . '... � � ' ,- . - � �
� ' - ' �� TO BUILDING � - i iREAq VARD (TO P/LI. � � � �' (
Contiector's Nam • ^ - ' �� � hone ' ^Z' � . � PROJECT DESCRIPTION, SQ. FT. - � � 'oCCUPAN V ' P PER V INE
/p /� :LEFTSIDE V/iqD ' . 1 RIGHTSIDE VARD
Addre55�ItM�'�el � ��R�D G:J--Sd/l��ir� �+�Flf-!/U���� CONSTRUCTIONTVPE � VAlUAT10N$ �� ^ . �� � -� ` .
'� ' � � � � ZON� GRADINGCU.VDS. � ,ACRE� �?KGtSPACEREQ. � PROVIDED ! " ' • �� � �
Cicense No: � t � �
LICENSED CONTRACTOH DECLARATIOR • � � -� � � � � Remarka: ' � � � �. � ' • �STREET WIDTH � �' � • �' 'PARK FEE § �. � . ��
� 1'�heieby� a711rm [�at�l am II<ensetl untler provisions oT Chartei,9 (commencing ' ' � , , � �
witli'section 7000)'01 DIVISion 3 af the Business anG Rofesslons Cotle, antl • I � .', �� y� , SPECIAL CONDITIONS: �
' mY Iicense'Is in full far antl�effect. , � ���J �- ��� � - � . . . . . '- ' , � ���
. LJcens�,_�� Es _ _ � ' U. N��L7-Z-C-�—� ' . PLUMBING - • , i � i � , . , � . . . � � � � J � .
, Date �(� Signatu�a � �� -
WORKERS'COMPENSATIONDEC R ION � i . BeiSink � . . , -SeYvefCap � ' ELECTRICAL � � � ` 1 � I
reey afflrm tnat I nave a certlilwta ot consen So selNnsure oi a certificate ; ' � J �:_ _ _ Automatic Washer � .� '�Meter ❑�over_10U amps
o.kars' Compensatlon Insurance, or a certlfietl' <opy thareot (Sactlon ' •' Beckflow Preventer � ' $eW9r,ConnECtion` � . - — . ' ' ` ' -- — - - :
00, Lab. G.) r- � , . � - - - � . - � � t , Construction Pole - � Bub Panel i - � !
� � i Beckfiow Irrigation � Solar Collector5 . 1 i . . . �
� PoIICY No. ° � . ' . i ComPanY � � ' " ' . . .. � , � � Z
� Cookin9 Unit � ' Sub Pole
- B CerHileO�coDY �s hereDy furnishetl. � � i ., I . .` ` i Bethtubs . � . • $plar Piping- )' � , ;
Certitietl coDY I5 filetl wlth the dty Bulttling �Ivlslon. � - -„i� Dishwashe� , :MotOrs DO-1 HP ❑ 1X$ I
'..Date � _ _ �' - ,ADPii��� � ' ' � Clerifiers ' � � So18rTank , I i �
�EXEMPTION;FROM WORKERS' COMPENSATION DECLARATION � � � � - - Dryers .OGas' OEI2GtnC i ,InC.Solar �945'HP �16-15+ -
' lessjs zectlon neee not be comD�etea Ii the permit Is tor one huntlretl (5100) or . • DiShweshe� i ; Swimming Pool w/Spa � ; ;�
y� perfolmante of the wOrk for'whlth thl5 permlt is i55uetl I' 9 r � Fen � � � . �MiCrowav2 '�'-�' ; � ��
� . I cartif that In the Drinkin FOuntains � ' � Urinel �� ��'�,' �� � � - . . ! f .
sM1all.not employ any parson In am m �ner so a j b come subjact.to-tl�e ., . � . � -. _ 1 � �. � j
- Work Com enwtion�9 ws of Ca�if iaY � ' � � Floar Drams�. � � Water GouY `t`� � � � ' I � F.A.U. : , � Pole Light ' � � �
� l
Date g�E!b��i nature L. i. t , � � ' . .
• � •' . I _ y � • � , � . Fixtures . . � Ran e ' '
I 9 1 � � �
NOTI � f ermakin this tlaclaration, u s Wtl� becoma�sub ect to the � Floo� Sinks �- -_-�, - - Water Heater � - �� -� - 9� ' -.j-.--+-.. w p �- !
, Workers•' CompenSailon provisions,oi the Laba Cotle, you..must,forthwith - Device Bozes � ' ^�~ � �� I
comply,wlth'such vrovlslons or;this''Dermit�,shall be'tleemea'revoketl.. � GasService�. Outlets � �WateiServlce �.: � ; '� ' '5�9�� '�
CONSTRVCTION�IENDING�AGENCV � , 1 -" �� � • ' � ' ' � �
I hereby attirm that there I5 alconstructlon��lentling agenty�Tor the performance Interceptors I � � z �. '' �' i`. ' �- �'� 1� . OuUets � t ' �Standing SectiOns � ��
� �; ot the wo�k for . which- thISJ permit -Is .I55ueA . (Section 3097� Civ C')� 1 � - � - ' , � � :
Lentler's, Name' `� � ' ^ ^ "� � ' .-• � — C ' �� � v � - Switches � �
j `. ' � 1 ��. � • ir � p. . : ' KitchercSink 1 • �Tresh ComPactor , I � � �,
��Lentler's Atltlresz , � �., . , . Garba e Dis osal
� � OWNER;BUILDER OECLAHATION', �� � ' y N ` � L�atories , �, 9 P ' 1 � � �
I herabyja7firm,tnat I am"exempTfrom the'.Contractor's.Ucense Law Tor the� � � . - �
� P �Tia �' Generator.00-5KW �5-75KW
� following reason;(Sactlom 7031.5 Businesz antl Professlonal Cotle: Any clty or P� � ; . � . ' � # � �
'county whicn requimz a permiPto tonstruct; alter, improve; tlemolish or,repair ' - Trensformer �15-50 KW � � 1� ' '� '
. �,<any structure; prior to its issuance,lalso reqWres the�applicant'for such permiP ' ,Roof'D�ains' � .> � � ` � �; � , ' � � �. . � • ' �
to 111e a slgnatl statement-that he she is Ilcensetl ursuant to the� rovisions of
� t�e Contractor'S°Llcense Law�(Chapter.9 (tommencing,wlth'Section 7000) ot � - �• �- =. . • • � � �- I . � � ❑5U+ KW f � - � �Beinspectwn Fee , g�g� "
on �3"ot the Business antli Profassions, Cotle)'or that� he/she�islexempt P Showers �+^ - i Heinspection Fee $15 - ' , - �
rom-antl theFbasis for the alle9e0 exemptionrAnyylolation-ot Section " - �' ' ' " Meter ❑up to 100 ampi ' ilssue Fee- '$ 3
��5 byany avo�icant forra' permlG suDjects the iapplicant to a- civil ' . � ' ! - '.. r � ' _ _ . _ ' _ '
, i �eTlty of not more than /ive.huntlratl tlallars (5500): � ' ,�� ' � �i � 1 Seivice Sink : � i . r ? Isue Fea . �,, $ 3 ' � , , � � ; - : ,. . - ��
�� 2 2oning Approved By � Date
LJ I,�aSjoWnC� Of.the'property o�`my omployees wi[h wages.as th¢Ir sole ' j � (
I com0ensatlon' will'.tlo the work, antl:Meistructur¢ Is not intenCetl oroTferetl , �. .., I _ j. +�'� MECHANICAL' j j : � � • j 'f � � �
. for sale :(Sec{ion 7064, BuSiness antl� Protesslonal Cotle:+The`, Con[ra<tor'S - Appli�atiOn Approved By� � ' � DaT9 ,
I License Law Coes not apply to-an owner ot a property�wlio builtls or improves f � BoJer' �`� ,_ � Retrigerefion Systein � � ' ���. � � � � �'�i��
' � t�e�eon,!antl who Goes; such: wO�k hIm581t/he�seli o/ through his o� h¢r owO � � 1! �1 } I I i . , � � Appliration ISSUBd By : � Date ,
, employ ees, provltletl that such improvements are'not intentletl or offeratl for � � Duct' Under�Ground I ❑6100,OOOBTU ❑100,OOOBTU' � � , i . , j
, sale. If, �owever, Me Guiltling or improvament is soltl within one year'of com- + . , � , , .. � , i . }� � i/�/ SUMMARV OF FEES ? ' � '
� D�etlon, the ownerlwill hava the burAen of proving he/sne tlitl not bulltl or Im- � .
�ove for�the purpose of sale)L . • � .. � � � � , Dutt-Structural j � � ! System Repair/Altera[ion , � � �BUILDING PERMIT - $ � � SMIP �, ,� � � $ } ' �� f ��
, LJ I, zs owner of the pinperty, am ex<lusively contractin9'with,ll<ensetl con- . - , , . � � 1 � j
', tractorsto construct,the;project.(SectionJ044„euslnesz.antl Rofessions Cotle: _; � Duct; Ventilating__, �„��. _� ._ __ a { � � �PLAN CHECK '. $` �.�. "� j PERMIT � t � i
� The' Contractor's Gcense law doas not apply ta an owner of property.who ; � ; , � , ; � ( ISSUANCE � $ ' ' �
�� Gulltls ar Improves thereon, antl who contracts for such projects with a mn- � 3 Exhaust Sy5t2m� ❑ Multiple �� • l � � tPLUMBING � $. � ; � . ,i
tracmr(5) Iicense pursuant to the Contractor's License Law): , , I ' • � � , ' � � � � � � GflADING $ - � �
' � I_am exempt unEer Settion � � B. & P. C. for this reason � � Firepl/Fa[t. Blt. ICBO # ' j � , • � �PLAN CH�ECK' ' $ ' � � ; ( � ,
I . . � : . i ' . ; . . � i . � . . , : . � , .
� Data ' Owner r ' � � ' ' ' ' ' � : Heating.System & Dutiing �' ' j . � ELECTRICAL' $ 1 ' f � $
i . � � � i � ; f MICROFILM ! $ �
'-I-herebyacertity-that I`have-reatl-thli�appl¢atioman�E s[ate ttiat the above�^� - '- ❑p�700,000�BTU 0100,000B - - - - � � - i �PLAN CHECK $ � � , .
` Iniormation Is correct. I agree to comply with all <ity.antl county ortlinances '. i . i : f Y . � � 1 ' � �� � � . TOTAUFEE� .$ 1 '
antl:state laws relahng to builtling con5truction,�anA hereby authoNze repre- ; � . , � � ;MECHANICAL � $ � � �
�s<ntdSlveS of� IS;cityit ne�i n the.abOve-iTeOtiOneC O�operty tor ' i HOOdOf Typ81 ❑ • � � �' 7 ! - � � , � ) ` ,- . � ��, �
�. Insv,ectlon p es. � ,l : F �. i � Cano , .T e II ❑4 ' ; � � Reinspection Fea�i $15 � �p�p,N CHECK $ . r LE55 f . �
� SignSture �1�c�2��' � oaae 7 /.1/,�3 ; , . , . { i j � { � , , aovnNCEo PC ! $ ��
_ , .
. Drlvers' L cao�55 � -� � . � c Registers i � � : Issua Fee f � - $ 3 . � ' � . ' • � ; � � i
; .
. . � � i f : t i : : . � • i � � I. i ; 1 FINALFEE� $
' _ _ __ '" . .. ._ _ . . . . . .. _ _ . . . ,
CMF OB65-46,rev, 12/82 White - BuilAing; Canary - AOP���ant: Pink - AccounUng; GOltlenroG - Aszessor � ,�
. .. r . .... . . , . .. . , , ]� . _ . . . _ ..�. . .� .. i.+.. . . ...
, nt'7CONSfRUCTIONAND?PLAN ING1Q' `:*;"�CL1�x�:^��V io�o;-`z`�� ��o-�`�A� '` '�� � '�'_, .. ,5� �-1' . �-'�
� � y cAPPROVAIS ,.��- PermiY#� �� Date r �Inspectorr:xy`APPROVALS Pe�� ^:S# " ` � � , ��?:Date ^ lospec'or M
.�eil � . S.�e # ��:nc` .r: 't�-- rP�r:f' _ -a ocr�_ .�" o ' ;
T �1- TIemporery Electrical Serviceor=Pole;�.+' T9 _ o� ?•�n i :e � ' r - •: ... _ ..-. ,^.:` _ _ - ,� i '�- ',. : .i
� _ c - � .to�(.52a Ro'ol &:Equipment;Locatiori�` _ , c? „�,;,.,
l)_ Is E � I n. 'n 'S_ -- na- �
cu 2! �Soil Pi e-Undr rnd" � � s °y ` � Yo ` .. i "a . "` � `- � - - ^.• "E.� >rc< `� ' i , ". o;, ti
P 9 � S �= Ey YY qn. ''s ��:53 Steel Reinforcement _
1-l- i - i �' �i ! � �-co- I.d . •i n _ a . � - � -
� 3+ EI`ectrical Condwt�Utilitv-Undrgrnd•t����; - ' �' �.>^��" rio i -54^.��i Forms ^�� ; aH �`- ' or � z; � - _ � ' �L� "
• t L /y
N 4' Electrical Conduit-Undrgrnd: r'.�"�_ `c ;��� �' � � f> "'"c `''o'� � �55� Electrical;Bonding�� ^" ne- -' ;` "b ,
�Qt�'ll i I_ ,n _�l� :Q7Cc �_SN _ � i_ ,.t�r - 9� �l.�i
5 „- :. ., : � : �• :,m ���s; q � ;� o c:. c '.. .. � �y•�--^ '-c- �' - .: - r^ -=�::
Steel�'ReinforcemenL � n;- ;;� ;���t - N� r�°.��';56 Rough Plumbmg:& Pressure Test � '- ,% '•A" �
r_+.:�.,r.i i_� i � I n. �- � .�� f I-' ,r
�6: Electiical UFER-G nd�i � � � °�' ii r' ; �> ' �'.' " � 57-� APP,ROVAUTO COVER�`GUNITE - ; l ��� =
� .'-.1 ' 1 1" 1 ll... �9� •�� {7 <.� � � I I K^ � j '1 f
7. Footingi I I �� �f i j � �� i : �, - o � ^� a��� :58Y Electrical?Cp"nd"uit-Undraro�l =� -'� - � ; � �`r �,�- � -
- - - {.
8. Fo'undation � . I ,�� �� , � � ; �j �; `� � 'L= �;;� `,' '�69. Gas Pipe ❑ Undrgrnd � Test` �^� , ` . ��� s
9. Wate�:Pipe-Undrgrnd. � i 1.;� ; a � � �� f �•;60. Backwash Lines fP-Trap ❑'Undrgmd . � i -� ` �-l�� �;
� .i-- � � '.i I °± t : n i - ma _z -. .� �".: � - ,a^ : . � �
10. Structuf,al Flo`or SYstem �• °, o . � ; �� � '. �,; . P�';i ;.61. APP,ROVALTOiDECK - ';'.;,� r� - - � � -
a = ., � -
11. Property Sewe� Line &�House%Connection� � ; a`' �F �M : 62. Backw�ash'&�Receptor Final -` ' - " � ' ; � � -
1� i: I m i' I °' - 1 � 1 '? i � - W �+- . � ' 1 a
�z. sewe�;�P `;( <i�� j �" -� ' ' I a' -_ ii :: � �._ , . _ :. � ;q ;�-_ : �-: - . � - '',
t '�� •� �.. E�� `' , 63. 1-leated&'Vent-Fin'al ;o`. `�'. m; `.• ,%
73. ROof Dr31n5�� kn �� m . _^ � � ' Y ' - u+� ' � } � �
� � '� � , ;� ;� � r a � � n , co ?£ •�64. P.lumbing System �Final � � '„�„ ; i �
� 14. RougR�Rlumbingi3� � � a� . ( } ° .i : -'� i �=65. Electrical=Final`�°�_ :�-="-"�r ` - .. ' ,.�� �i `
= 15FRou h'Electrical=Conduit ''�-- .; --r--; -""r-�-�- - --- ' `'-
, 'tl �' 9 �-��r� � t � �` r���r-; �'66TSolar�Sysiem�Final�' � - . �
li . t i � c
c .� � � . . . � . �.
' i16r'fRough�EleciriaWiring, � ; i i w o: n � o � � �6Z. Fencing &�Access:ApP�o'vai�'a; _ i,; ;-� �--. ;:r !- -7=� ; � ' �
: ��� '..n. 1 m � . n � � �I I n f u� �- �� i �, � � rc n � k : �t
- "`1Z. �Rou�h�Wino M� i nF s ' ' ' I �� i • 4 = j= � � � r- i' �--'''' ! � �68.+ QPP.ROVED FOR P.L9STERING- � - � _ 'a `-'' ' ' °
-"S 11,,, 9 a.��i.rl+9 �u't I I �i I�SI >�olc `�'i���c`�GI� �-{� v.r I.. ' loiJ
�' � 1�8..�Rougfi;Elecc�ric'al T(Bar Ceiling� �� i� � : � = � ' i s I o j �; ' � 69.� POOUSRA SYSTEMS FINAL � ' � ° � ' �`� I '� � `: � � - `i
p . � .
r a 19: R�ugh Heating &iAir�Conditioning `� � �� � �' , � f ` � i ; i FIRE DEPT. REQUIREMENT� � _ � � i ( ' �,`� • � `� '
d 20: tRough,Fac[ory Fireplace� ; � ��� i �'' � i I � APPROVALS� I Pe�mit�# tl ' I,�>' I. i
� � n t�-1 � � r i i - r i - �
« � 21. �D'ucts �in Stiucture^ ir �� i � � � i � � � ' � � i� � � ; 4 . �
.� '•) ' �+ �� ' I � f � j M 90.� Underground Hydro i i �;� I�
-h ��' .i x � i i I I i �
'���'22. �Ducts,.Veniilaiing �� !; � i �71. Product Pi in OGas �Oil I � ' i
;, a� � -t- i s � I � � �� I � � � I � � i � P, 9 � � � �-' � i �
� �.,u .� u l � � Q j. !.-1� � i � T_T,_'-T'f`T_'_'_' ^.^" '_.�_. �_
� �-23. `Gas:Pi e R�u h & Test _ �_ ,� , T_ � i ;72. Underground Flush : • �� ' I � � �
, P,- 9 �I 1 rT 1� �� � ��+ � � i
� �24.�RooP��F�amingi � �'�` I' �������+���:Qi..���z�-�'-�• j3. Undeigmd.StorageTank�_�'Gas'�OOiI' � � � ! �
l.��,; ,� t' -I - . i � � � �
i ��. _ : � � " �, e� . _. . � ' ., � �. ` :. , � � � � . ' .� � _ . . � � �
25_ Roof Sheathin9 � + .' ` `�co !� � � . � � 1 c � F I � ! "' � „� j.' �74.! Overfiead Hydro 3 ,. � . - i � � �
-- `,. . �. � _, � . i u K � - ;�r i i . � • ._ ; .
�� o • � 1
--26. T-6ar Ceiling (Structural), & Monocoat c; � "s (" � ' �75. Dr Chemical � ' `- � ! � � � I � � -
. ��., ;�- , , . . � � �� ,� 1 ' i . � IP 1 i .! : i i �Y _ �r �, -. � � _- r
^ri ��27. �,Frameand Flashingl ! � � �t Ii � $-3•�S3 � � , � �76.� Dr�Y Standpipe � � P � ;.= E �i i f � � "
5 �i G m
� n 28. �, athing &��idingl n u i � ! �i iI � ? 1 � �N � � E E77.� FIXED SYSTEM�F�INAC ` � , ; I . i � .' i � � I
~ U. a � 4 A� 1 I ' 1 � 1 I f 1� t � 1 ` 1 � '. ' 1
_,�29�Insulatlori � � � Q°�� m � I'� �� i 1 I+ I E� �; 47g.� FIRE PREV. FINAL a; j � ; i;� �
° �'-30. �Drywall Nailing 1 tl= �l' I �) � � � 1 � � � ! � �Notes:, � i � i I �� E. ;� ; i . � � i i :
i
a'��- f�':� '' P'' a �' i o'� I I � i i' -r--�--�'--:--l--;-f�-� ----'; �i l,�ri-i-_'"- f._-
: �31. �Plaster Brown Coat �' � ; ( �) � ' � , i ' � � � 1 � I � ' � ' �
s � 32. �Electncal;�Power Meter:-Fin�l I +k ir � � � � � � � ! � � ! ` ; ; =� � �' . ` � � j � � � � •. ; o
a � _ � .:. r� i � �, j � , � , . . : i .
-� M 33. rFinal Electric � ' i ����� _�_J_�_. �� � �..,_.� ' } 1_..1.._� ' � , i � � � � �
6 .- �.�i: �9 � �- i � �. 9 . � � I � � , i"I I '� -- ; I �., .:1:
= 34. Final Heatin & Air� Conditionin I. i � ''I � + h'` '
(1 n' �1n�imsoclr.�c. ; I I! I 1 � 1 i:c i
� � i - �-: . ��o � ` � i i7 1 O O - i r' � rr G� D y I: ' r.• - c - ��r T - s: e
35. Final6aslPipe;T�st���,��� i-ml R� .��� 1"ic' ���:'�I� �:I��i,�s �i':�';; �.<1 �•i �';i; =") "
� - .;
36. Hoodor�Cariop`Yo',���Im��$�'ii� k ���^��.I��!�i � J��I ;��"�b <=� ���s. -�� _ r1� _ ; - n ` �i -
f.l � ¢
37. Final Factory Firepl�ce�.�-. �_} o� � �' � c� � I f W i ` � ��� t : c�= i' � ''° '� E!!� k - i S`% '` °' `�
N❑ i -.I - I n I � 5 � T!` I 1 t=' �� � - �-� c 4 i. "
38. Finai Plu�mb i°9 I' V� F � il I I 1-�' 1 � � � I i � I �' � �_ � 2- � o'� � �t
•i i �,. � i - � � i I�� 1 ` I -- �c ^. .
39. Water�ervice-FPnal I � i � �r x ` � � � ' '
�I i I` � I�i �y�i � I �!€' 1 i` i :! z, i.-� I
40. Gas S �vi.ce-Final, � � ( i I tl 1 ' i' � I , � � I � � I � � I'', 1 ^ I {' � ' .:, : � � n, ' ' ; !
� �47. Solar pomesticFinal � � ; � � ! � � � � � � { ' � � . " � ' � � �
x:.:i � � f � I � u. F- ��"-t�-� i__f-�._1.. -1___..T_.J�.n : � ii �. � � � � . - i i
n-Ji ' i � 'j i � i � ' � _. ; � .. ,;i - Y ' � �
42. Backflow Pceventer� Q I I � I . �m � .���� � � - �- �-*--� - �-,. ��_ - � � f - � I i
I. 'rRl'S97 '1 �.t !IF;�:;��'�M1I`nlnl�l[I�+N1;' ` f i �i � ''= �
43. Backflow�lrri ayionl `�m I i � i> i �=I '.I � I i � .
�
i� �-�9- �m�¢1 ��.p, � m IJ�;I� � i''n! 1 I i �,j' 6,� , v_. • --¢ :r
44. Landsaape Im ztl"onSYstem � �.�Q;� f`� �� i.- i I � f i �-;
45. Sound' Atten�aYion r � - � � > , , � .� ' � I � . c . i r,' . . � ' -'
� '� �i°1' I�l�i I 141�,f-�� i! i�� I� �-���: ,., -�o �..�r<
I y ta�l t �'�'^ I r> 1 � e 1 i_ v � I c I `-' j i I r+ -� - �- �-� �; y _ �) �
46.� Handicap�Regulations � I R ` , I ' �' i._ 4 � I _ � r� , � � i 'r � +� � + :< . w ;r. � T �°�'.
� ' 47.-FINANSTRUCTURE&�BUILD�NG� �� g',3.$3I _,�� � �, j � � ! I �T „ ,�� _ � �
48. Special Requirerrierits Corripletedi � � � f � 1 � � � .
,�,�,����,� �{,Ii�'f��li��l.f,� ,i`�i�'; �-";i . ,,.,,.:.
49. Electn Release to Edison � � ��
� �� � I �, I I� I � I- �-=�---�--� �I--�-�- ;---!--!--�- r-a-�---'.-' �' � � � i.'�. i.�F.��
50. Gas Release 4o Southem Califom�ia Gas Co i, t' � - �
, � , i . ,.
;;;;� �;,�, ° ill,l,l�lllt �i<..,, < <i �, �:�=:
� 51. CERTIFICA� E�OF'OCCUPANCY � � � ' � ' _L_ ��`�' ; � �� { ; � � . , `;��:�
� � i � � � I � }� , �� � ��--j� � -�-�� ` �( ` �
No � Date + i I I •
��, -..+V--�. ___.i._� .�� _ - '�-1. - - - - --
�M�
W
N
l
M
AVD�icant to fill in all spaces except�[nose within heavY �ortle� lines antl si9n a11 approoriate tleclarations.
CITY OF COSTA MESA ; CON�STRUCTiIOJY PE,RMIT � _ PE M�T.NO��^ TRACT NO. LOT NO. UNIT N6. � ,_
Pro�ect Address � �`��� QPl�l'�`•�T. ' ' ' � . . � ^ . . < � .
C' � �� TYPE OF CONSTRUCTION ' NEW" � ADD ALTERATION REP'AIR
Applicant's Mailin ddress /�%7.s�� �/�%%� �-�'r �i�' - . . - O
Ownef'S Name � �l2yL�r - phOne 3� ����� . �❑ CONVERSION ❑� DEMOLISH ❑ OTHER � � " � A:P # • ;
� - - DESCRIPTION OF�WORK/USE OF BLDG. "' `
Address ���� ' /Ff'�[' �. . ' ' ' . . � ' ' - r - - S Main Buildi
Arch/Eng. � �� , Licens¢ �o.' `��� TVPEOFPERMIT � �� GRADING � FOUNDATION ❑,STRUCTURAL ' , T Front
O TENANT ,❑ ELECTRICAC �PlUM81NG ❑ MECHANICAL ( g
Address � '�� � "' � ' . . , A Rear �
ConVactor'sName_�i� �� ^ Phone �-�"?I%, �'OTHER � - � . C Right -
�� � - � PROJECTDESCRIPTION 5a.-FT. � ' - OCCUPANCv ` K. �
Addre55�mailing) �y ^7 ��CONSTRUCTIONTVPE ' � � VAIUATION$ S Left
City'Lic¢n5¢NO. ��- J�� [�/ - ZONE GRADINGCU.VDS. ACRES P�n Ref.#
GCENSED CONTRACTOR DECLARATION � � ' � � � � ' � 9'
I hereby af(irm that 1 am licensetl untler provislons of Chartei'9 (commencing Remaiks: � , � . Planning'Notes:
with section 7000) of Division 3 oi the Business ana Professions Co e, anJ - _
my license is in full t ce a QeffecL � � 5�2.'� 0� ' , , ,„, f ' �
Licens Class � � � � Lice N
Date .Signature - • • PLUMBING � ' ' FEES
WORKERS' COMPENSATION DECLARATION � � Bar Sink Showers ' �
1 h¢reby�affirm that I have a certificate ot tons¢nt to Sel(-insure or a[erti(icate �
of Workers' Compensation Insurance,' or a ceriifietl copy the�eot (Section � •
3800, Lab: CJ—�i(.( � . - {�/—� ---- — - BackflowPreventer__ -f ServiceSink' - �� � — - —
Policy No. r 1���� Company r"'�A ((�(��ii� �' Backflow Irrigation Sewer Cap- '
D�Ceriifietl copy is hereby furnishetl. � ' � ' i
rtifi opy is tiletl with the city Builtli���BBB ��_Di���v,,,ision. � Bathtubs � t Sewer Connection �
���LY—Applitant�ZA:�' p I �r ' - �
EXEMPTIO FROM WORKERS,COMPENSA�ION DECLHRA ION Clarifiers � Solar Collectofs
(Thlssection neetl-not be completetl if [he permii is�f000ne huntlretl ($300) or � . �
less). - Dishwasher .� ' Solar Piping .
I certify �that in the performance Of the work for which this perm�t is is5uetl, 1
shall not �employ any pe�son in any manner m.as to become subject to the , D�inkiny FOuntdi05 SOIa� Tdnk �
Workers' Cortipensation Laws ot Calitornia. ' . '
. Date - � Si9nature � Roor Dreins Swimming Pool w/Spa' �
'NOTICE: If,;after makinq this tleclaration, you shoultl become subject to Ih¢ '
Workers' Compensation provisions oi the labor Cotle, you must forthwith FIOOfSiOkS , . Ulin31 �. - .
comply with'such'provisions or-this'permit�shall be tleemetl revoketl. ' "- -
CONSTRUCTdON LENDING-AGEIVCV� - ' -^ GasServiCe � rOuUets ' .Wate�CloSet . ' -�j
I hereby affirm that there is a�conSt�uCtion�le�ntling agency fo� the pe�fo�mance � �
of the ,wo�k to� which thiz permit_ is issuetl (Section 309]'.Civ_ C.) �nterceptors � Wa[er Heater
Lentler's Name -
�entler's�aatlress ' � � ' Ki[chen Sink ' � � � Water Service
OWNER BUILDER DECLARATION � ' -
I hereby affirmthat I am exemp[ from Ne Contractor's License Law for.lhe Lavatories - '-' � quro-Wash ' . • '�
tollowing�reason (Section 7031.5 Busine5s antl Professional Cotle:'Any city or
county whith requires a pe�mit lo wn5truct, alte�, improve, demolish or7epalr P—T�ap , � LduOdry T�ayS- � �
any structure, p�io� to it5�i55uance, also requl�es the applicant for such'pe�mit
to fi^e a signed statement [ha� he/5M1e i5� �icensetl pursuant [o the pfovi5ion5 0/ ROOf DfdipS � ' � ' •
.. ....�.�.- ..... i ��e...e i ..., .. o. �n......e �nn ...ifh cnNinn �nnnl ni . . . ! . . -. ' _
•herefrom•antl tne Gasis for.the alleqetl exemption. Any violation of Section i
'031.5 by any,- applicant Por � a pe�mit subjects the apP�!�ant to a civil �
�enalty oYnot more than five buntlretl tlollars ($500�. ' . � �.
❑ 1, as' owner of the� property or my "employees witb wages as their sole' �
compensation, will tlo the work, antl [he structure'is not intentletl o� offeretl
tor sale (Section 7044, Business anB Professional Cotle: The Contractor's
l.icense law tloes not apply to an owner of a property who builtls or impioves
w rk himself he�self�or throu h his or h¢r own
tnereon, antl who.tloes sucn o / 9
employees, p�ovidetl that such impiovements are not,intentle0 0� of(e�etl�tor `
sale. If, however, the builtling or imp/ovement is soltl avitbin one year of com-
D�etion, the owner wi11 nave the burtlen of provin9 he/she tlitl not builtl or im-
p�ova for tne purpose of Sale). ' �. '.. !
❑ I, as owne� ot the property, am exclusively cont�acting with licensetl con- :
tractorsto construct the projecc (Section ]044, Business antl Protessions Cotle:.
The ConVacto�R License Law tloes not apply to an owner of pro0erty wM10
builtls or.improves thereon, antl who contracts for such Q�ojectz with a ron- .-
tractor(5) license pu�su5nt to the;Cont�actor's License Law). I am aware tnat
proof of their Worker'S Compensation insurance shoWtl be provitletl to me.
❑�I'am exempt untler Section B. A P. C. for this reason
Date Owner'
I hereby certify that I have reaG this applicatior),arW state tbat the above :_
informa[ion i5 cortgQ. I agree to/Qmpyy with all bity/y/�tl caunty ortlinances ;
� .
�.Reinspection Fee :
$1
Boiler', � �' � •
Duct�; Under Ground
Duct-Strucmral '
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/FacL Blt. ICBO # '
Heating System & Ducting i
❑0.100,000 BTU �700,000
Orivers� ' nse or 55 � � ����� � I . I peinspection Fee I'$15
CMF 0865-46, rev. 30/04 " White - Builtling; Canary - Applicant; Pink -�%iccountin9: Goltlenrocl - qssessor
Issue Fee
iANICAL � • -
Hood or � Type l� �; .
Canopy Typell, � � _ '
Refrigeration Sys[em �,
❑0-100,OOOBTU ❑100,OOOBTU
System Fiepair/Alteration '
Fire Dampers � �
Registers � � '
. . � . . . r� t . ,
Issue Fee
e
e
Automatic Washer "'
Construction Pole Sub. �
Cooking Unit � �
Dishwasher �
Dryers ❑Gas ❑Electrii
Fan � �
F.A.U.
Fixtures- � � � -
Device Boxes
Outlets '
3919-12/12/84
. _ ^ ' - � . j ; .
S.pO- TL
. I-'- � ' ,-' �
2one ' ' �'
i
Bwlding:,; �
�
�
�
.,. 2
O
- N
I
N
G
R-
..� ,- Q ;
' - M ,
� :. S
' ELEC7RICAL �
i �
Trensformer �'15-50 KW " '�
❑ 50+KW
�Meter ❑up to 100 amps �
� Meter ❑over 100 amps , �
Suh Panel . �
� � Motors OO-1 HP � i'h - 8 '
' � IncSolar��9-15 HP �16-15+
- �M� ro ae � ' - -
Garbage Disposal
Generator �0-5 KW 05-15 KW
ic w v
,Pole Light �
Range �
Si9n
; Standin9 Sections
Trash Compactor ,
$ 3
Reinspection Fee $15 Issue Fee
FEES •
DEV ELOPMENT SERVICES HEQUIREMENTS:
Zoning Appravad By
� Building APProved By
_. A licatian I� ued B
�xr�un
� PD 55 V
� SUMMARV OF FEES . �
' BUILDING PERMIT ' $ � SMIP � � $
� PLAN CHECK e$� • PERMIT � ,
PLUMBING , ' $ (�' .a'� ��UANCE . $
i P�AN CHECK 25%�� $ � � ' ENERGV P.C. � $ �' �
� ELECTRICAL $ � � � GRADING � $ � �
PLAN CHECK 50%�' $ ' MICROFILM � $ �
�, MECHANICAL� . $ � TOTALFEE ��$ '��n�
� PLAN CHECK 25%,$ . ' ' . � ' � �
� �CONSTRUC710N AND PLANNING r � POO�__.SPA .
' APBROVALS � Permit #� �Date � Inspector APpROVALS Permit # Date Inspecmr
F'
,' 1. Temporary Electrical Service or Pole ' 52.-Pool & Equipment Location . ' .'!� ,
. 2.�-Soil Pipe-Undrgr�d. ` � � 53. Steel Reinforcement , ^� �
�
3'.S.Elecfiical Eo �d�` �Utility-Undrgrnd. . � ' . 54.� Forms . _ ' � �f
��.4?�Electrical Coriduii�Undrgmd. A. - � 55. Electrical Bonding' �� �'
e �n . ir " t
5� S� I�R'inforce�ent � - ' 56.� Rough Plumbing & Pressure Test . �✓��'l� �
� 6. Elect ir cal UFER.',Griid. `j ' - - 57. APPROVAL TO COVER-GUNITE . /i I
•=7 ,,• ,. / i, n
�'i 1 '> , . . i,. Y / � .
. Y.Foo4ings q%F � _ ' . - 58. Electrical Conduif-U�drgrnd. F/
i. n
� 8^Fou� iiation Y��% d) , � 59. Gas Pipe, O Undrgrnd., Test � ���
n.�Water Pipe-Und�lnd. /f� . ' � 60. Backwash Lines, P-Trap, O Undrgmd. '�1'�
� 10 •Structural Floor�S �stem f� � � � 61. �APPROVAL TO DECK � �
j1. P`operty Sewer Line�& House ConLection 62. Backwash & Receptor-Finaf . �,
�2. SQ'^;f CaP, a �� ',j 63. Heater& VenrFinal j
/
13. RoofjDrains f - � �� � � - � - 64. Plumbing System - Final . - � � i�
14. Ro gh Plumbing� ��'f - 65. Electrical-Final � f
J .
15. Rough Elect�ical-Conduit - . 66.- Solar System-Final . � �
- 16. Rough Electric Wiring ' 67. Fencing & Access Approval -_
17..Rough Wiring Sign ' � 68. APPROVED FOR PLASTERING
18. •Rough Electrical-T Bar Ceiling � � 69. POOL/SPA SYSTEMS FINAL ^
� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . � "�
r�:
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure ' 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil • '
23. Gas Pipe-Ro�gh & Test, � 72. Underground Flush •
24. Roof Framing ' � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � 74, Overhead Hydro
26. T-Bar Ceiling (Structuraq & 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: (i�l3`�� (.�� �v�,�_ �(� �[,�,� (��j
34. Final Heating & Air Contlitioning
35. Final Gas'Pipe-Test . � .��/��t L�l.p � �
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. FINAL STRUCTURE & BUILDING , � ' � '
46. Special Requirements Completed, ' - . i � • � • �
49. Electric Release to Edison � � -- - . - -. , " - � � ,
, . ,
" 50. Gas Release to Southem California Gas Co , ' � ' ,
51. CERTIF.ICATE OF, OCCUPANCY. . . . _. _ _ '
No. ' - � Date ' _ ' . . . . . -
CI�
[1 F
COSTA MESA�
O E, CALIFORNIA 82826 P O BOX 1200
� ' � ' : a i c . - .: r t f. � -'_,_ 1 � � � ^ '' . C � - �C� fr�� D�C' -�'T
�� lt .. r11 .-._ �_ � :i. �� � .. _ .. . : ( . r-^
J 6 . . . � . 't-'
�_� n na.fi
�y w _FRO� TN€�OFFICE OF TME DEVELOPMENT'S@RVICES DEVP,RTb�ENT/ :- � -�-
� �OqP��E�.��� �:.r�J ':-".(�i ':�..Cl.�!J:C.BUILDINGSAPETY.DIVI516N� r' —7Ci.^ _ �f' ; jtC
,- -- �,- _ _ i- _cc -rrto sc: . �r.� ._ ,., r!3c. _... ir� �. �--rs � ��� -`.� _�-t.'
- - - _ ..ii1�-:_. ��' ._: �..r r''--'_ -'-_�_:;: .. �_` _-
`£^-�"`'-''`y` � 'CERTIFIED-MAIC
� COMPLIANCE OR OCCUPANCY INSPECTION REPORT �, _, '
�
SubjecY
Mail Rep�or Correctio� Notice to:
Date Rec'a. �/12/83 '
Applicant �Chard & Car07g �I7,1]_3n Telephone ( � 979-0799
Add�ess 2742 Drake Street ZiP Code 92626
Date July 15, 1983
Compliance Inspection No. 78638 CMB No. . 501
Site Location d5 dbO�7B
At your request, inspection was made at the a6ove-referenced address'on Julv 13, 1983
and the Code violations shown on the reverse side were observed.
You will be required to correct the violations listed within fifteen.115) days after receipt of this letter. Failure
to comply within the allotted time will result in a complaint investigation being initiated for compliance of the
Codes.
If you need assistance, please contact the appropriate Inspectors listed below:
Structural Bu�t Nbi'4an ry754• 5295 �
Electrical (754- )
Plumbing/Mechanical
Very truly yours,
� _ i . �.v,_�
/
Hiii 1 �4 �{pT
Title
cc: Inspectors
Property Owner
77 FAIR DRIVE
CMF 1035-46 White-Bltlg.; Canary•Clerical
(714) 754�5273
(754- )
NOTE: SEE REVERSE SIDE
: ; � �,�,.
{ ,.
��J L'r F.i:' t��t � L.'. �' [S' �i � L��1 . �1�':�r.�r-r�`�'.
..,�� i:Cc '_. .�a�[^ :t� .:....... ...: `�'�_.I_.' o._•
�ion of fire delciage at 2742 Drake Avenue reve.aled lic�t fire. '; "�
d�nage bo the'garacje""roof"only: The habitable dwelling was nat''.`�."-._�
affect�ed by ,the fire. , It shall be necessary t,o replace ihree rafte,is `" ,: �
�on the southwest portion of the garage, sane blocking and less than.a�"�
5quare of roof sheathing and roofing material. The only ��;t required
for the repaar.shall be a"structural" nP.n+;t. -
_. : r•... ,. ., _;�,.'... t: .,,.-.... , .. : . �:,�: _ ;..-. . - •
-------�-----.��.-------- --- -- -- - — �---- ---°--==� --- - - -
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_ �-!' ..-"-_':_ .:.� � _ G/%''I`*�L(� �/�-u�- �� � j�
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._..l '•J: � �Ii. ._.��_u,�_
i` � ���`�9
� COSTA MESA BUILDING-SAFETY DEPARTMEN7
P. O. BOX 917 COBTA MEBA. CALIRORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
euaowc .9 r1 i/n / . ! � _ _
COSTA MESA. CALIFORNIA
■ ARCHITHGT
X 931'°'. �" a"`s
�ew aw r
1 rv6uro nv' a*esRveM T �
DESCRIPTION OF WORK.
I II . • I 11
� � NO. OF
ROOMS
ROOF
� � d � COVERII
I AND WORK TO BE
EE RECEIVED
,� ��, �c — � c�_,
INANCE DEP�T.
APP�I�Y4'fl�7t��OR pEi�AIT
BUILDING
For Offiee Use On1y
RECEIPT NO. PE@MIiSlO�
!Y
BUILDING
ADDRE88
COSTA MESA. CALIFORNIA
ZONING
ZONE�/ I NO. OF n �UBH OP NEW
�� PLANB L/ I BUILDING[�
ICOAL �n . � %"� VLA
YARDS EVES
APPROVED ALLOWED
(C6NT8q LINe 9TJ I�/1
FRONT 4 � FT. '
R. SIDE �+ FT.
L. SIDE �� � FT.
i
REAR �FT.
BYPROVE[SQ . �v� OATE u ^
�
_ n i�i ,�, � �i �/'/J - `'.i i
�
1 H6pHBY AGKNOWLEDGE THAT 1 XAVE RC�D TH18 MPLIGTION TH6 AMOUNT BXOWN UND¢P VALIIATION I6 FOR TXE
AND 9TATE THAT TXE ABOVE I6 CORRECT AND ApREE TO COM-
PUPPOBE OR' E9TPBL18HING A PERMIT FEE ONLY.�
PLY WITH ALL CITY OFDINANGEe ANO 9TATE L�4Y8 REOULATIN6
eU�Lolna coq9Tftuci� , VALUATION �� !
81GNATURE OF � • � �J � PERMIT FEE $
PERMI7TE /���� 'yD �/' I $ �/ /��� � PLAN CFIECK $ (p�/ `
AUiHORIZEO AGENT /\\jQ'77M� /� . J�-[G.c--� � _ _ /X �
b
WONG, Mj;, & MRS. SAM DATE
JOB ADDRESS 2'
s�:�
�' -"ECTIONS I DATE
OCCUPANCY
Form 21�5M-11-59 5-B p
SUBCONTRACTOR I PERMITSISSUED
1l�6�9
`� � "-� ef160�
COSTA MESA BUILDING-SAFETV DEPARTMEN�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS � lJ
OWNER � 'CD
MAIL
ADDRESS F'
TEL.
CITV NO.
CANSTRUCiION e�—
LENDER
BRANCH
AFCHITECT TEL.
OR ENGINEER
ADDRESS
CONTRACTOR N8u2 N � P ��
ADDRESS��i�� �. Pnn,�ne�A
� PaiO
;=P?.n-75�,:; ��i?1 f•- ,:;:�,r2�.:��
APPL[CATION FOR STRUCTURAL PERMIT
RECEIVE DATERECEIVED p = pn
L
� _ —Q ERMITNO.
A.P. NO.
BUILDING �) �i, � � ��
ADDRES$� �-
TRACv LO BLOCK
W ADD L R
�
OWNEFi ` � � �
S WV V VAW$ �
FIRE
ZONE TVPE GROUP
ovPROVED _> - ./,
nerc
/I TEL. ZON � NO.OF USE OF NEW
CITV � �i ` NO. � P�� UILDING �
F STATE ' CITV �'ARDSAPPROVED ( YARDSAPPROVED
� IIC. NO. UQ NO. MAIN BUILDING ACCESSOFV BUILDING �
SI2E NO.OF BLD(5. (FROM C/L STREET)
d OF LOT NOW ON LOT � FRONT FT. t FT.
a USE OF
.�.. EXISTING BLDG.
�
FSeparate permits a�e required for - �. sioe PT. FT.
Welectric, plumbing and heating work. REAR FT. FT.
[..i U OF BUIL N^G AND WORK TO B ERF D DISfANCE BET. BET. MAIN &
�Q �IL "%L. �R I MAIN BLDGS. ACCESS. BLDGS.
� � p �1 ^ VAR.# DATE
a C O/� N/J C.U.P.� APPROVED
� APPROV
r -'
�
x
w
� I hereby acknowletlge thet I ha�e reetl this appllcaiion antl steSe � �
{y� ihat the above Info�metion is correct end apree to comply with �
a all lews reBulating buildin0 constructlon, antl I ahall not amploy �
i
W any person in vlolation of Me workman's compensation laws of m
y, ffie State of Celifomia. - m
3 I hereby certify that I em p�ope�ly Iicansed as a contractor untler SQ. FT. n
the State of California Business end Professions Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR m
Chepter 9, end that such Iicensis are In full torce antl effect, or i TME PURPOSE OF ESTABLISHING A PERMIT FE NLY: �
am exempt from the provislonz ot the Staie of California Businass VALUATION d
and Prafessiong Cotl )1Ivieion 3, Chap/ter' �9. PERMIT FEE E � h
SIB�Btufa of YK;`eC{�'/�{/\ LV �\/ o'✓� PLAN CHECK S�"��� o
Pe�mlttae �/�' � S $ �� OO TAX $ � � �
V
AuthorizatlABent � TOTA�PAID y2 �
OWNER ,McMilLan, Richard
J08 ADDRESS 2742 Drake A
F �d41-312-01 LOT
GAS
W ATER
ROUGH PLUMBING
SPRINKIING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUND � POWER �
ROUGN WIRING
TRENCNES � FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM STEEL REINFORCE
SHEATHING L OWd I 'J I ��%S
FRAME ANO FLASHING
LATHING — IN OUT
PI 'ER, BROWN COAT
5 :URAL,FINAL
HEATING, VENT., REFFIG. RNO A.C., FINAL
PLUMBING. FINAL ANO GAS TESi �
BUILOING. FINAL � /�.d/Y �p •
DATE 9-26-75
SUBCONTRACTOR
�� � �2256
� GO�STA MESA BUILDING-SAFETY DEPARTMENT
t P. O. BOX 917 COBTA MHSA. QAL�FORNIA
For Applieanf fo Fill In Complefety
TYPE OR PRINT
�
ADDRESS 2742 ' � Avenue
, COSTA MESh, CALIFORNIA
$uite 1, 3800 E. Coast Highway
Corona del Mar- ;,Eo: � 3�+2Z
Needtaymond Levanae NE`oQr 37010
; 3432 Via Oporto,ll�wpprt Beach
NO..OF BIDOB.O
x 94 �ow ox �o,
USE OF
EXI8TING BLDG
BBTBACIf LANB FROm
'ILEFT S IRIGHT S
DESCRIPTION OF WORK
FEE RECEIVED
�,� �uN i � �ssa
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
Lat � zo gUILDIMG
Plan � fl 2C
For Otfice Use Only
HELEIPT NO. I C�
V
PEGEIVED �Y iI OATE RECEIVEO I iOATE IBSUED
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVEO
ZONING
ZONE yj / I NO. OF � USE OF N£W
K vuNa am�owc
LEGAL
YARDS �
APPROVED�
32 ICENT-R LINH
x 50 ROOM$ 6 STORIES 1
�� Wood :
PERFORMED
C struct Sin le Famil Residenca
with attached garage
I HEftEBY ACKNOWLEOGE THAT 1 XAVE READ THIB APPLIGTION
ANO BiATE THAT THE A9 VE IS CORRELT AND AGR TO COM-
PLY WITH ALL CITY ORD ANCE9 ANP aTATE LAW OULATING
BUILDINO CONBTiNGTIq � //// .
6IGNATURE OF / ``//��
PERMI7TEF �
' AUTHORIZED AGENT I �'o�ect Manager
APPROVED
I�%�9
r� �__
�! Y
THE AMOUNT BXOWN UNOER V�LUATION IB FOR THE
PURP08E OP EBTABLI6HING • PERMIT F6E ONLY.
VALUATION 3Z.00
PERMIT FEE $
g 13�SLS.00 pLAN CHECK $ 16.00
_.._.. ___ a 48.00