HomeMy WebLinkAbout2118 ELDEN AVE - Building PermitsADolicant to fill in all soaces exceot those witnin heavY OorOer lines ane zi9n al1 aDorooriate aeclarations.
GT'Y 04 COSTA ME �CO� TRUCT.ION ERMIT
Projecf Address
EN f/ �
Applicant's Mai�i g Address Z ���N �
Owner's Name � Pho s
Address � , U�
Arch/Eng. License No.
Address
Convactor's Nam ^ Phone
Address (mailing) / ��
Ciry License No. �
IICENSED CONTRACTOR OECLARATION
I hereby affirm Ihat 1 am licensetl untler provisluns of C��arter 9(commencing
with section 7000) of DiviSlOn 3 of Ine BuSinezS antl ProteSsionz Cotle, antl
my license is in full force antl ei(ect.
License Class License No.
Date Si9na[ure
WORKERS' COMPENSATION DECLARHTION
'^reby aifirm tnat I have a<ertiflcate of conseni lo sali-insure or a certlflcate
Wo�kers' Compensation InSurance, o� a certitietl coOY �har¢Of (Sectlon
_.,00, Lab. C.) .
Policy No. Company
eCerti/ietl copy i5 hereby fumishetl. '
Certitietl copy is filetl with the city Builtling Division.
Date � APPlicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARHTION
(Thissection neetl noi be completetl it the permil is (Or One hunaretl ($S00) o�
less).
I c¢rlify lhal in the performance o1 Lte work for whi[h Ihis pe�m�t is issuetl, 1
zhall no[ employ any person in any man9G r 50 az to become�T ub/j/�ct�!o the
Work§rs' Co�penw�on Laws ot CalilOrry�' —`��.s, // /T ww�
Dat �l �'�' � — � Si9nature ��'��' Y •
`NOTICE: It, atter makin9 this tleclaration, you shoultl become su �ect to the
Wo�kers' Compensation provisions of the Labor Cotle, y0u must lorthwl[b
comply wiM such provisions or ihi5 permit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
1 hereby a((irm that there is a construction lentling a9ency for the performance
of tlie work tor which this permit is issuetl (Seclion 3097 Civ. C.)
Lender's Name
Lentler'S AOtlre55
OWNER BUILDER DECLARHTION
I hereby affirm that I am ¢x¢mpt trom the Cont�actor'S Lic¢nse Law for Ihe
followin9 reason (Section 7031.5 8usiness antl Professional Cotle: Any city or
munty which requires a pe�mit [o const�ucq alt¢r, improve, demolish or repalr
any ztructure, prior to itz issuance, also requires the applicant for such permit
to file a si9netl stalement that M1e/She is licensetl pursuant to lhe prOvisioni of
[he Contraclor'S License Law (ChaO�er 9(mmmencing wilh Seclion 7000) Of
bi5ion 3 of Ihe Business antl ProtesSions COOe) or �hat he/she is exempl
refrom antl the basis for lhe alle9etl exemptlon. Any violation of SeCtion
11.5 by any applicanl for a pe�mlt suGjeclS [he appllcan[ to a clvll
enalty of not more than five huntlretl tlollars ($500).
I� I, as owner of the O�oper[y or my emplOyees wllh wa9e5 as their sole
! compensation, wi11 Go the work, antl the structure is not Intentletl or offeretl
Itor sale (Section �044, Business antl Protezzional Cotle: The Coniractor'S
LicenSe Law tloes not apply to an owner of a properry wlto builtl5 or imp�oves
' thereon, ana wno tloes such work himselt/herselt or through his or her own
emD�oyees, 0/ovitletl that such Imp�ovements are not in[entle� o� offeretl 10�
sdle. If, however, the builtlin9 or improvement is soltl within one year oi mm-
pleUon, the owner will have the burtlen Of Provin9 he/she tlitl not builtl or im-
�r9ve tor tfie purpo5e oi sale).
�9 I, as owne� ot the Property, am exclusively cont�actlng witlt lic¢nsetl con-
tractorst6 construct the project (Se[[ion ]044, Buslness antl Professions Cotle:
The Conlractor's License Law tloes mt appty to an owner ot properiy wM10
builtls,or improves thereon, antl who coniracts Por such proiects wltn a con-
traclor(s1 licenze.pursuan'[ to the Contractor'S License Law). I am aware tM1at
proof o4 tM1eir Worker'S Compensatlon insu�ance shoultl be provitletl to me.
❑ I awexemot untler Section ��� B. & P, C.lor thi5 reason
r¢by certity that I have reatl
matlon is conect. I agree t0 C
state laws relating to builtling
i[ives of [hipJ city [q� enter
(O '$ C
Orivers' License or SS �
C l3 QS r 4^�'-ti. r --
TVPE OF CONSTRUCTION NEW ADD ALTERATION _ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER - q.p, # �
DESCRIPTION OF WORK/USE OF BLCG. � LO� I I
S Main Build
TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL � T Front
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL A Reaf .
❑ OTHER
PROJECT DESCRIPTION SQ. FT. � occUaANCv . � C Right
CONSTRUCTION TVPE VAIUATION 5 If�C�i� 5 Left
ZONE GRA�ING CU. VDS. ACRES p�ng. Ref. #
pemarks: f�l...� �i '�.ni+..rr Planning Notes
Sink
Preventer
Irrigation
tubs
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fea
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Outlets Water Closet
Water Heater
Water Service
Auto-Wesh
$15
Boiler
Duct - UnAer Ground
Duct-Structural �
Duct - Ventilating
Exhaust System ❑ MWtiple ❑
Firepl/Fact Blt. ICBO #
Heating System & Ducting �
❑6100;000 BTU 0100,000BT
Reinspection Fae � $15
GMF 0865-46, rev. 10/B4 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Issue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration SVstem
❑0-100,000 BTU ❑700,000 BTU
System Repair/Alteretion
Fire Dampers
Registers
Issue Fee
FEES
$
$ 3
Automatic Washer
Construction Pole Si
Cooking Unit
Dishwasher �
Dryers ❑Gas ❑E
Fan
F.A.U.
Fixmres
Device Boxes
Outle[s
Switches
Garba9e Dispoul
Generetor 00.5 KN
� Reinspection Fee '
—
DEVELOPMENTSER
Zoning APProved BY_
Building Approved By
lectric
3240 10/30/B5
Zone
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50.+.KW
Meter ❑up ro 100 amps
Meter ❑over100amps
Sub Panel
Motors�41 HP�1Yh-8
Inc.Solar �9-15 HP �16-15+
Pole Light
Range
Si9n
; Standing Sections
5-15 KW Trash Compactor
$15 � � luue Fee
�=
2S,SE iL'
FEES
$ 3
Z
O
N
I
N
G
R
E
�
5
' SU ARV OF FEES '
BUILDING PERMIT $ I e O , SMIP $' �
PLAN CHECK $ � PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ � ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICFOFILM $
MECHANICAL $ TOTALFEE $ ��
PLAN CHECK 25% $ ' � ,
• CONSTRUCTION ANOPLANNING POO" SPA
�
� APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
`K. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3��Electrical'Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5: Steel'Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings, ��.�. �r �� 58. Electrical Conduit-Undrgmd.
�8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9.,Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final . -
13. Roof,Drains 64. Plumbing System - Final
' 14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Condui[ 66. Solar SYstem-Final
- 16. Rough Elearic Wiring 67. Fencing & Access Approval
�17. Rough Wiring Sign �' 68. APPROVED FOR PLASTERING
18; Rough Electrica6T Bar Ceiling 69. POOLJSPASYSTEMS FINAL -
19..Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# •
21. Ducts, in Structure . 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping �Gas OOiI
. 23. Gas Pipe-Rough & Test � 72. Underground Flush
24. �Roof Freming ' . � � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe
� 28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
� 32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning � �
35. Final Gas Pipe-Tes[
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing ' ,
39. Water Service-Final
40. Gas Service-Final ' .
47. Solar pomestic-Final
42. Backflow Preventer '
43. Backflow Irrigation. , , '
44. Landscape Irrigation System ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �� �j �
48. Special Requirements Completed
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY �
No. Date ,- .
. .. ,. . n- �� �
2�iIS AC32EF.h�J'r, made arcl entered inta this � � day of
��
J / /
, , 19 , bY and between 1ii C.� N� � 0( a�•
hereinafter referred to as "LAND O�d�IER", and �f 2CGu.cs ��l2AC.NE
--r
hereinafter referred Go as "AA7ACQJP PRCREKlY CWNER".
It is hereby agreed that a party
praperty line beh.�een
2 /o?-�..C��s�,cJ <
will be constructed on the
in the City of Costa Nesa, Coia�ty of Orange, State of Califnrnia, as per map
recoa3ed in Book , Page of Hiscellaneous Maps, in the office of the
Co�ty I�cordez of said Co�ty. Rhe party wall shall be permitted to encraad�
. 0211 S'��.,� �y�-�s ���G�s �����cA�,�
IN WITNFSS t�F�[tEOF, the parties have entered intn this Agreement the
day and year first above written.
IAND a7D]ER
I�!(��lif/W'�./G!% � %�G`Z�!/
(Signature)
���uL�r✓t v /�o1/f
Name (4yped or Printed)
Z-/l SrG�-��a/,4G�%�.�'-�%�:�
(Address) , �T�v2%
• � • �� • •.� � •� • �-
(Signat e)
�2 �c� ucs D�2.�P�F
N�ne (lyped or Printed)
�' 2/24 E/den /�vc- Ce�st�.l7csz
(Address)
(NO2'E: Please see revecse side for notary's statertent)
STATE �' CALIFI�Fa]IA )
) 65.
�TNZY Cf' �tl�1C£ )
On 6�L. „� /�-�y'gs before me, the �dezsigned, a Notaty Public in
and £or the Co�ty of Orange, State of California, personally appeared
��UL.liJF V ��0/.l�6Q. .�.�f"� �/r1-C�dF� �c=P/�.4
)mown to rre Go be the pers�n(s) whose name(s) 'i subscribed to the within
instrument and acknaaledged tt� me that (6e�Lsbe/they) executed the same.
WITNFS m� hand azr7 �fic' seal.
�
Slc�at e ,
�-a��l� i��C ' i � �
Name (type�7 or printed)
STATE CF CALIFUiS17A )
) ss.
aWN4Y [f' ORANC£ )
�. OFF[CtAL SfiAL
DONAI P O'SULIIVAN
m ' NOTaar oueuc -(SEAI;)via
o�u.ce couNn
My amm. e�im APR 3, 1987
On , before me, the �dersignc�, a Notaty
Public in and £ur the Co�ty of Orange, State of California, personally aopeared
lmown tt� me to be the person(s) whcse name(s) is subscribed to the within
irtstrument arr3 acknaaledged to me that (he/she/they) exeaited the s�ne.
WITNFSS m�+ hand and official seal.
(Signat�e)
Nam (typed or �inted)
(SEAL)
N'•
��pp�0���
' (� ' � �c t� esa Building C=-'
�
p9 A �t ��
THESE PLANS MUST 88 CN JOB Ai ALL TIME
MAKE P10 CHAN6E5 WITHOUT PRIOR APPROVAt
OF DEPT.
THE ISSUA(VCL OR GRaYTl4'G OF A PER'�IT OR APPROVAL
OF PLAyS HfJD 5"C::i1C6T�tiS S4FLL h0i BE C0.`1,TROE^ �
70 BE A PERMIT f CR, CR AN AFf3DYAL OF. ANY V10LA71C .'
OF ANY OF THE PRCJIS�`:S Of THIS C��E. NC'r'CR!AII PRE
SUMIN6 TO GIVE AUTrC31TY TO \'IOLATE OR Cf.�CEL �B.
PROVISIONS OF THIS C6DE SkMLL BE VALI7. E(CE�'T IN. S' �
FARASTi{EWORi(ORUSENHICH IiAL1rI0RiZcSISIAWF,UI.
THE ISSUASVCE QF A FERN:T 8^SCJ UPC'7 Fll•.VS /uV�
SPEC1fICAT(ONS SHALL hOT PREVENJ 7HE f':'_D1YG OI:ICG:_
FROM TNEREAFTER RECUI4IRG THE CORRC"TIOY C' E.-,.cwS
IN SAID pIANS Ahp SGcC4FIfAP.C,YS OR FRON P?_iL�jJ�„
BUILDING OFER0.TIOtiSBE1.�G Cl�u71Eil0:11rtEP"'1V;cd N,._.1
IN YIOLATIOt�'0 � THIS CUUE OH OF a.,f 77.._' : JJ "C.:F
OF THE CjT.Y. _ �_ ' _
Z�Z�(
R[ttD[NC[
ZI �O
R[a1DtMC[
srRuc�uftai. AP�r,nv,� or�i�r
SEPARATE P�°A�IT; qf�E RECUIRED
FOR F1.�;,T;tiGA1. PlUN+9�1'G.
HEG?�f!L, i�=N?:.A71PJ�+ 1A�U
F_; HieEN.aitr,tJ 'lJ;:R �
___.__��,
������:.� �_�a�39.s
THISidU�tr�. ,� ,�5; i",;.• -�,:�y �
ni! �r.;:;P: � _'•: .,_� -sts �
FOR BUI!OIHrc yyMzi,`.:�y;U?t, I:�t, ,0 c[
EMPCGYFO, iNe ShoG;5� iNt�T "tF: ;'q(� OF
CAi1F0ANIA r:IV1:.10:1 OF �hGUSiRtaC SA�ETY
BE CONSL'LTED FOR ACDITIOfaAL
AE�UlREf�FtJTS
11[f/0[MCI
�G��`� STREETY/�'�6 • _
IIUID[MC[
APPRO'
i0 � CO✓iC.
OF COSTA
PLANNING D�T.
f1fUECf TO lLC6. DEPT. !H0.
tYi�_ DATo (O �(� �
W�l1.10! p lIANNiIlO
�,
.o
Cement Coping Optional ��
Channel Block With Orre �8y�
Horizontal Top of all �
Fenees -. ..
For Fenees 5' or le:s �
Vert. Bars 3/8'� at 4' -0" O.C.
For Fences Higher Than 5' —
Vert. Ban 3/8'� at 32" O.C.
Fill Cells Solid With Grout —
Where Steel Occurs
Reinforcing Steel.Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
r6 •' or to Code
NATURALGRADE
TWO 3/8" BARS �
CONTINUOUS TOP
& 80TTOM
TYPICAL 6��
CONCRE�E BLOCK FENCE
—WIDT
SEE Ch
BELOW
WALL HEIGHT _
WIDTH OF FOUI'�NG
THICKNESS OF FOOTING
DEPTN OF EARTHTOOTH
SPACING OF EARTHTOOTH
FOOTING REQUIREMENTS
0 7 — y
14'� 14 �� 12 ��
10�� 10" 8 °
24" 20" 16"
I2' 14� 16'
City of Costa Mesa, California
Building Department
_ -. '_�-e�-
OWNERS NAME: _
JOB ADDRESS: _
GENERAL- NOTES
MORTAR: p�e part Plastic Ceme�f, and
Three Parts Sand
GROUT: � One Part Cement Three and
One Half Parts S�and
COPING: One Port Cement, Three
Parts Sand
CONCRETE: Well Mixed I: 2� : 3%2
Mor. o( 7%2 Gallons ot
YYafer Per Sock of Cement
GROU7 MAV BE POURED FROM THE TOP
OF 7HE FENCE
CELISAND AREASOF HORI20NTAL REIN�
FORCEMENT SHALL BE CLEAR, CLEAN 8� '
FREE OF ALL MORTAN DEBRIS, ETC.
eONDS SHALL BE PROVIDfD BV LAVING
BLOCKSINSTRE7CHER COUHSESSO THA7
VERTICAL JOINTS ALTERNATE IN EACH
COURSE.
fH OF EARTNTCOTH
i/3 TtiE HEIGTH OF FENCE
�S�LOW BOTTOM OF FOGTING.
, SCALE: I/2�� = I�
0
12"
8'
12"
16�
• �z7
AVV���ant to Iill In all spaces axceo� �hosa witnin neavy Dortler Ilnas an0 sign a11 aoo�oprlate aeclarattons.
CITY oF COS7q M OLVS R CTION PERMIT
- ?��������
. P,oject Address
i �
ApFn'kant's Maili dresj� �
Owner's Namye� ��u[,{NF //� f � B�°�,^"° �I� y`S'S
Address t�/ ���P /i"�J�
Arch/Eng. License No.
Address
Contracror's Nam�J • hone'
Address (mailingll� �/�� �B
City Licenw No�'y'.�.SL
UCENSED CONTRACTOR �ECLARATION
I hereby aftirm tnat I am licensetl untler provi5iOn501 Chdrter 9(commencing
with secllon 7000) oi �ivislon 3 0l lhe BuSineSS antl Prot¢sslons Cotl¢, antl
my Iicense is in full for<e ana eflect.
License Class License No.
Date Si9naWre
'"'7RKER5' COMPENSATION DECLARATION
reby atfirm tnat I have a cerllticate oi consent to selNnsure or a cerUtiwte
Wo�kers' Compensafion InSuranc¢, or a CerUfieO cOpy Ihereof (Section
3800, Lab. C.)
Poiicy No. Company
eCertifietl copy is hereby tumishetl. �
Certitietl copy i5 filetl with the city Builtling Division.
Date Applicant
E%EMPTION FROM WORKERS• COMPENSATION OECLARATION
(This section need nol be complotetl H lhe permit i5 tor one hundratl ($300) or
I¢55). ,
I certify lhat m the e�formancB o1 the wo�k for which th15 pe�mR i5 i55uetl, I
shall not e loy a per In any man � SO a to be[�/oy�G 5�[t tbe
Workers s ' wi oLCal� �AA�/ ' ��
Oate ' Si9nature�
'NOTICE: f, aflC making this tleclarati , y0u zhoultl become sub)ect to lhe
Workers' COmpe sation provi5ions o� l�e Labo� Cotle, you mu5t torthwith
tomply wilh sucM1 prOvizions o� thls permit Shall be tl¢¢me0 �avoketl.
CONSTftUCTION LENDING AGENCY
1 hereby atfl�m that [h<re Iz a con5[ruclion lentling ag¢ncy tOr the perto�manco
ot IhC work for wnich [his permi[ iz issuea (SecUon 309] Civ. C.)
Lentler's Name
L.ender'z Aatlress
OWNER BUILOEI2 DECIARATION
I hereby alfirm that I am examp[ Irom the ConVactor's Ucenio Law lo� [ne
following reason (Sectlon ]031.5 Buslness antl Professional Cotlu: Any city or
county which requir¢5 a pe�mil lo coOS[ruct, alle�, Improv¢, Oemolish Or rOpair
any struclurq prior to Its issuanca, also requlres the applicant for sucn pormit
lo file a signetl Slatemenl thdt he/Stle 15 IIC¢n58tl PUISUant to th0 PrOVlsion5 of
tho Conbactor'S Licens¢ Law (ChaO�er 9(Commoncing with Seclion ]000) of
�ivision 3 of [he 6u5ine55 antl ProleSSiOns Cotle) o� thdt he/The Is uxampt
lereirom antl the bails for tne allegetl oxemption. Any violalion ol $ectlon
i031.5 by dny appllcant for a pe�mit zubjac[s Iho applitant to a civll
�enalty of no[ more tban fiva hundretl tlollars (5500).
LJ I, as owner ol the property or my omployeos wltn wagas as tholr sola
compensation, will tlo the work, antl tne structure Is not IntenGetl or oiforetl
for salo (Sociion 7044, Business antl Professlonal Cotlo: The Conlractor's
LicenSe l.aw tloes not apply to an owner ol a p�operty who builes or Imo/ov¢s
lhereon, antl who tloes Such wo�k hlmsolt/her5eli or lM1rOugh bis or hor own
employ¢ez, provltic0 tbal SUCh Improvemenls aro not Iniuntletl or o��oretl for
sale. If, howeveq the bullain9 or Improvoment Is Soltl wilhin ono yoa� of com-
�, P�Btion, the owner will have the burtlen of proving he/zha aiG not bulltl or im-
orbve for [ba pur0o5c of sala). .
i�i�l, as owner of the proDe�ty, am excluzively conVat[tng wilh licensatl con-
tractors to <ons[ruct ihe prOject (Se<tlOn 7044, BuSiness antl PrOle55ioni CoOo:
The Contractor's Li<ense Law does not apply [o an owner o1 pmperty who
builtls or impwves tnereon, antl who coniracts tor sucn pro�ects with a mn-
tractor(s1 license pursuant to tne Coniracfor's Gcense Law�. I am aware tnat
proof o( Ilteir WorkeYs Compnnzatlon insurance ShOultl be prOvitlatl [o mn.
�� I am exe�nP� untler SecliOn B. 6 P. C, br [his reason
Date
or ss �
r No.
TVPE OF CONSTRUCTION U NEW L-J .4DD LJ ALTERATION u REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
" DESCRIPTION OF WORK/USE OF BLDG.
TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sp. FT. OCCUPAr{Cy�
I �J
A.P. #E
$
E
T Front
B Rear
A
� Right
K
CONSTRUCTION TVPE VALUATION 5 5 Left _
20NE GRADING CU. VDS. ACRES I Ping. ReL #
Remarks: ' Planning Notes:
Bar $ink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwesher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Lavamries
P-Trap -
ftoof Orains •
Reinspeetion Fae $15
Boiler
Duct � Under Ground
Dutt - SVuctural
Duct - Ventilating
Exhaust System ❑ Mul[iple ❑
Firepl/FacL Blt. ICBO #
Heating System & Ducting
❑ 0.100,000 BTU � 100,000 BTI
Reinspaction Fee $75
CMF 0865-46, rev. 10/84 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrod - Assessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collecton
Solar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Water Closet
Warer Heater
Water Service
Auto-Wash
Leundry Trays
laue Fee
Hood or Typel ❑
Canopy Type 11 ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
F ire Dampers
Registers
Issue Fee
FEES
E 3
FEES
3 3
in�i ai��iaF • -
' Q Zane Z
Atcessory Building:
Z
O
N
I
N
G
dNi°"4� R
Parking Req.�Provided E
r %U M
- 3 . � r
S
� ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction PoleSub. � SO+�KW
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator DO-5 KW �5�15 KW
Meter LJup to 100amps
Meter ❑over100amps
Sub Panel
Motors�P1 HP�Ih-8
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Range
Sign
; Standing Sections
Trash Compactor
Rainspection Fee � 515 � � Issue Fee
FEES
$ 3
DEVELOPMEN7SERVIC SRE� REMENTS: G� ��� y�
Zoning Approved ey �K�= � Date L�.le�Q.]—
Building ApProved 0y Date
Appliotion laued By Date � %' l�
SU RV �.f FEES , Sm
BUILDING PEFMIT $ � �� SMIP g U
PLAN CHECK $ PERMIT
P�UMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL � $ GRADING $
PLAN CHECK 50% $ MICROFILM $ M ,�j
MECHANICAL $ TOTALFEE $ �7 •✓b
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING PG� . SPA
� Date Inspector Date Inspector
APPjiOVALS Permit # APPROVALS Permit #
�� 1� Temporary Electrical Service or Pole 52. Pool & Equipment Location
,�2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
� � �,Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Elecvical Conduit-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement ,� � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
� 7. Footings 4j .��,� 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11 . Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final -
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrictil-Final
15. Rough Electrical-Conduit 66. Solar System�Final
� 76.4Rough Electric Wiring 67. Fencing & Access Approval
-17�Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.�Rough.Heating & Air Conditioning FIRE DEPT. REQUIREMENT.
20. Rough Factory Fireplace APPROVALS Permit # -
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71 . Product Piping O Gas O Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. floof Sheathing 74. Overhead Hydro
26. ,T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL �NSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning -
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbing �. �•
39. Water Service-Final �'�
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer '
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound At[enuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �y`g
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
i ,
� No. Date ' , '
e•
3 :�Y J: . : tl• i�i7�U
�iIS AQ2EENffS7'P, made and entered intt� this ��/� day of
�itTS �A� z �dl c �/
� �� (3 E2 , �963, bY and beh�+een � , -��•,-�� �'o L A�2
hereinafter referred to as "I.AND adJER". and ��� i2 /.% ..j'(1 M� S
hereinafter referred tn as "ADJAC�TT PROPEKIY �7t1IIt".
It is hereby agreed that a party wall will be constructed on the
pzc�erty line
L�.�,�J �A v �
� I � � �'�.F'�tJ .�l 11 � i � � �1 �� � s�r
in the Ci�ty_of Costa Mesa,- Co�ty of Orange, State of CaliSornia, as per map
re�rded in Bodc , Page of Miscellanews Maps, in the affice of the
Co�mty Recorder af said Co�mty. Zt�e party wall shall be permitted to encroad�
�,.����„ .�� • ���— /lti-�-a�c - - -
� IN WI'INFSS ►�i�REOF, the parties have entered intn this Agreement the
day a� year first above written.
TAND Cy7NER
.
Signature)
��u�„�� Y ���
Name (7yped or Printed)
a I�'����i9-Ff,�riC-
(Adc�ess)
,,��' ,
AA7ACENr PROPERIY QdNER
, ���
( ignature
G� � Y � . �� m� s
N�ne (Zyped or Printed)
� l l�l t G 7�� ,V A U��-���
(Address)
(NOTE: Please see revetse side for notazy's statement) '
STATE CF CALIFOFd�]IA )
, ) ss. '
00[JNZSf CF ORANC£ )
On l5<� � 3�.��`',S before me, the imdersigned, a Notaty Public in
and for the Co�mty of Orange, State of California, personally appeared
� G��-�! � Th2�/G�� ,
�own t.n me ta be the pers�n(S,� whose name� is subscribed tn the within
instrun�ent artj acknowledged tA me that (he/st�tkiey) executed the s�ne.
OFFICiAL SEAL
WI�S irt�� haT1d d71d OFficl •1 Sedl. ��� D��O'SULLIVAN
� � NOTARY PUBLIC - CALIFORNIA
��` OHAIiGE CAUNTY
Si�at�e MY �mm ezptres APg 3, I987
�O�✓/1_�° (/'� �")�l d�'
Name (typed or printed)
STATE �' CALIFt�fSi7A
) ss.
OOUD77Y Q�' ORANC£ )
On (�('i(� .����/ �� , before me, the �a,dersigned, a Notary
�
Public in and for e Co�ty of Orange, State of California, personally appeared
(��-u��✓� �� /�oG�
lmo�m to me tt� be the pers�n(� w+hose name('s.)_ is subscribed to the within
irstrument and acknoaledged to me that (he�/she/t#y) executed the s�ne.
WI4t1FSS Rly ha�ti a7� Official 5281. �p�, FFICIAL SEAL
Z7�NAl P O'SULIIVAN
/f m NOTARY PUBLIC - CALIFORNIA
� �//� ,/,�� oennce couNrr .
c.�/x/ �/- �( � MY mmm exPires APR 3, 1987 j;
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Narie (typed or printed)
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G�� ��CC STREET
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� T�YPICAL
Cement Coping Optional �'/
Channel Block With �� -i�B��� �
Horixontal Top of all �
Fences _. �._� ..
' �For FenceF 5' or Less - '
Vert. Bars 3/8'� at 4' -0" O.C. —
For Fences Highe� Than 5'
Vert. Bars 3/8'� at 32" O.C.
. Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel.Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
IS " o r to Code
NATURALGRADE
TW03/8" BARS'
CONTINUOUS TOP
& eO7TOM
a x
4 1-
u
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¢ _
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a
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w o
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w -in
Tal.eo "�
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.� � F�-�WIDT
� SEE C1
Q BELOW
o�
WALI HEIGHT
WIDTH OF FGU1iNG
THICKNESS OF FOOTIN6
DEPTH OF EARTHTOOTH
SPACING OF EARTHTOOTH
6�� CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS
6 ' 5' 4'
14" • 14" 12"
I 0" 10" ' 8 "
12'� �14'� _ �16
, City of Costa Mesa, California
� '�B�ailding Department
7-ti-84
OWNERS NAME: —
JOB ADDRESS: _
� GENERAL— NOTES
MORTAR: p�e Part Plastic Cement, and
Three Parts Sand
GROUT: , One Port Cement �Three and
.One Half Parts S'and' .
COPING: ,' One Part Cement; Three
Parts Sand '
CONCRETE: Well Mixed I: 2� i 3%2
Max. of 7%2 " Gollons of
, Wafer Per Sack of Cement
GROUT MAV eE POURED•FROM THE TOP
OF THE FENCE.
CEL'LSANO AREASOF MOFIZONTAL REIN-
FORCEMENTSHALLBECLEAR,CLEAN 6
FREE OF ALL MORTAR DEBRIS, ETC.
BONDSSHALL�BE PROVIDED BV LAVING
BLOCKSIN STHETCHER COURSESSO THAT
VERTICALJOINTS ALTERNATEIN EACH
COURSE.
fH OF EARTNT,COTH
�/3 iHE HEIGTH OF FENCE
i3ELOW BOTTOM OF FOGTING.
SCALE`. I/2��= I'
3'
12"
8 ��
12�
16'
� � o r�
��_ � �os�� _
�/ ,
�' � �.4��i:�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 3f7 COBTA MBBA. CALIRORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT "
COSTA MESA. CALIFORNIA
0
I STATE w�/_ / . .. '
I��� �✓rJ�
NO. OP BID6s. O
NOW ON LqT
�,
� 8¢T6ACN LINa FnOG
ILEFT �7 O'` I RIGHT' � J��
DESCRIPTION OF WORK
ROOF
U OF B ILDING AND ORK 70 BE ^RFORMED�
G i 0 ti
1 HlREBY ACKNOWLLDGe THAY 1 MAVB pEAD i}118 MPLIGTION
AND BTAT! TXAT TX VH �8 GOiiREGT AND AGIi!! TO fAM-
PLY WITH ALL CIiY NCI NC88 BTATH LAW6 R6GUTATINO
BUILDINO CONBTR ON. `
SIGNATUfiH OF ' �
PERMITTE
AUTFiOR1ZED AGENT
1
FEE RECEIVED
FI���� gy#,�:h,
ANCE 4EPT. 4�
APPLI��IQF��QR�
BUILDING
For Offite Use Only
RHC6IPT NO. PiIiM�T QNq/
ya 5
RCC8IV�D BY DA HEQIVED DAT¢ 189UlD
y� � -5 =C� '1 _ I �—�
BUICDING
ADDREBS
COSTA MESA. CALIFORNIA
ZONING
Z I NO. OF I U86 OP N
,_ L. PLANO �./ BUILDIN6
LBOAL R ��
O88CP�rtiON
A. P. NO. ��� —O � � —
YARDB EVES
APPROVE� AILOWEO
1�MT[X ttN6 8T.)
FRONT J�, FT.
R. SIDE � Fi.
APPROVED
THE AMOUM 6XOWN UNOEP VALUATION 18 POP THE
PUIiP09H OP EBTABL�9H�N0 A PEIIMIT FE6 ONI.Y.
VALUATION
// PERMIT FEE $ �� �
S /� / /a PIAN CNEGK $ /�—
TOTAL FEE