HomeMy WebLinkAbout3409 DEEDEE DR - Building Permits��I
PHOJECTRDOHESS: 3qO9 DEEDEE DR
OWNEN'S NpME: MC CONNELL, ROBERT E
aoosess:MC CONNELL LUCINA M
3409 DEE D�E DR
COSTA MESA CA 92626
(719)662-3'385
AFCH/ENGINEEfl: NEG.NO.:
FO�flESS:
uNiT; ,\�
(�� 1
UNIT:
�+ PEflMITTEE:LEE ROOFING ( 714 ) 642-7223
�;' aooness: 1653 SUPERIOR
COSTA MESA CA 92627
LICENSEU CONTFACTOB OECLAPATION: 1 hereGy a�firm that I am licensed under provi b 5 0l Chapter 9 �commencing wii� Seciion
7000) ol DiNsion 3 ofihe Business antl Pmfessions Cotle.�p�ym Jieou '' � I�ect.
ciTvuc/.:02�.8/751 srnTeuc.:349686 cuss:
�ate:.Jp— / �9 � Signaiure: _ _ . . J
WOBKEHS' COMPENSRTION OECLAXATION: I �ereby a��irm �hat I �ave a� i�icaie ai�oqsen� to selbinsure or a cetli�icale of Workers'
Compen5alionJn�rAnr,e.pr p r,erli�i��oDY �hereot �Section 3800. Lab�C� � 3 0% 9 3
POLICY NO.: 1 V V 7 4 C E%P. DATE:
comraxv:STATE FUNDy,
� Certilied coDY is �ereby lumis�etl. CJ Cenitietl copY' ' iIC�� .
Daie: �� � � � NpplicanL t'����e�
E%EMPTIONFXOMWOPKEflS'COMPENSATIONOELtl�PATION: (Thi55etiwnn tlno�becomple�eUiRheDe�milis�oronehunOre0�3100�ar1e55)
I cer�ity Ihat in ihe petlormance ol ��e woB br which I�is permi� is issuetl. I shall not employ any person in any manner so az to �ecome
subject lo Ihe Workers' ComDensalion Laws of Califomia.
Oaie: Signalure�
NOTICE: If. a�ter making Ihis declara�ion, you should Oecome sublecl �o Ihe Workers' Campensalion pmvisions o� �he Labor
CoOe. you musl fotlhwilM1 comply with such pmvisions or this permi� shall be deemed revaked.
CONSTflUtTION LEN�ING AGENCV: I here6y aliirm Ihal Ihere is a coretruction lendmg agenty �or Ihe pedormance of the wark for
which this permii is issued (Seqion 3097. Civ. C�.
LENOEH:
AODPE55:
OWNEH BOILOEB �ECLABATION: 1 hereby aflirm Iha� I am e�empl �mm �he Coniractors' Sia�e License Law �or �he following reason
(Sec�ion 7031.5 Business antl Pmtessional Code: Any ciiy of counry which requires a De�mi� �o conslmct, alter, improve, demolish, or
repair any stmclure. p�ior b ils issuance, also requires the applicani lor such permii �o lile a signed stalemeni Ihai ne/she is licensed
pursuant io Ihe pmvisions ot �he Con�rac�ors' State License Law (Chapter 9(commencing with Section 7000) ot Division 3 0l l�e Business
antl Pmle55ions Cotle) or I�ai �e/s�e is exemp� ��erelmm and ��e basis lor Ihe allege0 exemp�ion. Any viola�ion of Section 7031.5 by
any apPlican� tor a permit sublec�s Ihe applicantlo a civil penalty of nol more �han hve �unCretl tlollars (5500�.
. as owner a� Ihe pmperty ar my employees wit� wages as �heir sole compensation, will ao Ihe work, and I�e
❑ slmcNre is noi inlentletl or af�eretl �or sale (Sec�mn 7044, Business ana Pralessional Catle: The Comracmrs' S�ate License Law
tloes not apply �o an owner o� a pmperty who builtls or improves lhereon, antl who Ooes such work himself/hersell or �hmugh
�is or her own em0loyee5. pmvitletl Ihai such impmvements are no� intentled or oifereA for sale. If, however ��e builtling ar
impmvement is sold wilhin ane year of compleiion, Ihe owner will have �he burAen of pmNng �e/she Oid no� builtl or impmve
for �he purpose ol sale)
I, as awner of �he pmperty, am exclusivelp cantrac�ing with licensed contractors �o conSVuct the pmlec� (Section 7044, Business
❑ antl Pmlessions Code: T�e Contractors' Slate I.icense Law tloes nol apply to an owner o� pwpertY w�o builtls or improves ihereon
and who contracis �or such prolec�s wilh a contraclor(5)license Dursuant�o �he Con�roc�ors' S�aie License Law�. I am aware
Iha� pmol of Iheir Worker's Compensa�ion insurance 5hou10 be DroviOetl la me.
� I am eKempl untler Seciion: B. 8 P. C.
lor �his rcason:
�ate: Ownec
I Ao hereby cetlily Ihat I am aware oi antl untlersiand the repuiremen�s ot Cali�ornia Heal�h antl Safety Gotle Sections 25505, 25533, antl
25534 antl ��at I or any �ulure bwlding occupant will/will nol �circle one) neeU to com0ly wilh sai0 sta�e codes and Ihe requiremenis for a
permii lor cons�mclion or moeilicalion Imm �he Au Qualily Managemenl Disirict. Besitleniial conslmqion applica�ions are exemD� ��om
ih¢SC p�0Vi5i005.
Date: Applicanl'.
I hewby cetlity Iha� I have reatl Ihis apphcalion antl s�a�e �hai �he above inlorma�ion is correct. I yQe �o comply wi�h all ci�y antl county
oi�mancesandsla�elawsrelalinglobuiitlingconstmc�ionan�yawlpe' e�ie�.wlelivesJ � 19�oen�erupon�heabove�mentionetl
pmpetly lor mspec�ion putp05¢5. /.�i�
Date: �� � � Signalure: �j / � �—
ori�ers uce�se o� sociai seadry x: 7 �
i64t-a6 Wliite—Builtling; Green—Cotle EnlorcemenL Canary—Applican�; Pink—Revenue; Goldenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H
PERMIT NO; H 062975 PLAN CHECR NO; N GOVT: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT'
'JOB DESCRIPTION ; T/O SHAICES REROOF W/CLASS C MED, SHAKES SQ FT; 7,624
CLAIM VALUE: 7,629.00 CALC—VALUE; 7,624.00 GROUP OCC; R-3 /M-1
COMMENTS; SMORE DETECTORS REQ�UIRED PER THE 1991 EDITION OF THE UBC.
��*�r*+r+�***********�r��+��r**�r** *��*****��***+��r**��*�*�r�r***��r�*�rx�*�****�*�*�******
2 O N Z N G R E Q U I R E M E N T S "
- S E T B A C K S �
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT '; IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT ` IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ• PROV: PAR�EL; 91207116 ZNE; REF NO:
PLANNING N15TES>
�• iJ' .
if if 1f iFiE iF iF iF it iFif iE k i! 1flf if i!ilik 1E iE if iEif iF k �F �E1F �f 7E iF 1F 1E iEiE iE �f if if i! �f iflE iE iE if �k iF k if iElF 1F 1t 1F if iFik if iFlE iFikjE iEiF iE iF �f iE iE iE it iE iF 1E�E
D E V� E.'I:� O P M E N T S E R V I C E S R E Q- U--I--R E M E N'T S
ZONING APPROVED; ;BY DATE: � �
BUILDING APPROVED HY : DATE;�-,
APPLICATION ISSI7ED BY: t9� DATE�c i_n , 3
�kiFfkfk�l�kiklkkikikifit�iE.MifiEifik�f�l�! ikkiElFiE1lkifiEiF , ifk
if�Fit�FiFiFlFiklF�FiFikiFif*1E1EilkiF�FlFiFif�f1liFif�FikiElEiFiFiF�FiEiEif�ElEikiEifiE 1F1kiElkiF�klE�FifiEiflEkif�FikiE�f�F1FiE�iFiEiFikiE�kikififikiE
LEGALIZATION:N F E E S U M M A R Y STRUCTUItAL�SEGMENT;Y
� A i
BLDG PMT PLUMBING ELECTRIC ,MfiCHANIC FIRE SMIP/RBS GRADING
PERMIT 99.00 � "" 76
��� •� SMIP /NON—RES
PLAN : ��„•
ISSUE FEE �� �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PASD i
TOTALS----> 99,76 0,00 0,00 99,76 199,52 0 —99D76
�*
REVENUE DIVISION TOTALS--> COLLECTED• � 99.76 OVER/SHORT: %,
BLDG PMT PLUMBING ELECTRIC MECHANIC .`. FIRE SMIP/TOT GRADING PLAN—CHECR
99.00 . .76
i ,�
k1F 1k ik if iE ik M if K!f if if 1E iF iF af k IF M If 3klk iF iF k M iFlF iF iFif 1F 1F iE If fF iFikikik ik�iklk iF iF iE iF af �k 1F iE ik 1f 1f iF ik1E iE if iF ik iE iE ib iE iF1F iE iE.iE �E iE �E iF 1F �k iE IE
I N D Z V I D U A L F E E��,B R E A K D O W N ,;
TYPE QTY D E S C R I P T I O N �,�. UNIT COST f TOTAL COST
/
SFR 7624 REROOF BY VALUE RESIDENTIAI:i NOZONE 1,00 ✓,�7 624.00
END OF FEE � ����y �
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a� n i't ° pi Q014044�7-pC140441 TC1 T Qo,7b
�%" �`%', �� CATE: Ob/04:"?� TIME: t1:45
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CONSTRUCi�O{� AND PLANNING ' �` "' "
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
i
1. Temporary Electrical Servi e orPole.:_ - 52, Pool & Equipment Location �.�
.2..SoiLPipe�Undrgm�. � V = ,. 53. Steel Reinforcement
�-3. Etectrical Conduit Uiilitv-U�9Gnd:� ' 54. Forms � '
'�4.,EIeLiyYcal Condoi��tlndrgrnd. �,5 , 55. Electrical Bonding �
J 5. Steel Reinforcemer�� • l� 56. Rough Plumbing & Pressure Test
; s• He`tjrical UFFR�'G�nd. t 57. APPROVAL TO COVER�GUNiTE 4
' J. �ootiri9s i, 58. Electrical Conduit�Undrgrnd.
_.c. _ y
'�Bti^Gundation � ' � : �� 59. Gas Pipe, Cl Undrgrnd., Test �
�. i r
•� /
tq�Mater Pipe-Undrgrnd. '� �„ ': �i�'' 60. Backwazh Lines, P�Trap, L7 Undrgrnd. �,��
10=Structural Floor System, �:'�' ` "tF 61. APPROVAL TO DECK �
17. Prd�ierty Sewer lin,� & HSo`seJ'yon"�ciion _ 62. Backwash & Recepmr-Finai ,��
r
72. Sevmr CaR v;.�r...,•� o. '� �;'� 63. Heater & Vent-Final '-'''7 �
73. Roof Orains _ . � � 'v! %� � 64. Plumhing Syscem - Final ! ` ��
14. Rough Plumbiirg � �� 65. Electrical-Fina� ' i',. �
15. Ro�gh Electric3i-Condurt - 66. Solar System-Final �
I I
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough WiringSign 6$. APPROVED FOR PLASTERING
�.
18. Rough Electric.�l•T Bar Ceihng 69. POOLISPA SYSTfN1S FINAL
19. Rou9h Heating & Air Cor,ditioning „FIf�E D�PT. F�EQUIREMEf�IT ,�
-ti r�, o i � +'> x r n �'
20�Ro�gh FactarY Etr�piace j r rv x ��'�� "' PPR�rVl�.;S�y� Pe�iit �r` � �
� 1 - � � T�- � � :'-k �q
21':�DJcts, ia St9,ctucez � � . .. �.S .x s � n � ^ "70. Jjndergitli � H�Jro �
22. Ou4s,�ro n,,?atiA ` � CJS x S qr• 3: - � _ �tr
.� C� `� �.�Y: I r cC G CJ N�4:x �71. Produci;(�jpjngL�i;as ��Oil
� �-t-r. ' � . .
23.�Gas-Pipe-Rpugh&�est i :,5 �t�; iY < C�"r�'�. 72. Undergrd•:ankiFtm�y n . �� I
. T � -.�.. . .�.'. �.� �-, .r c � � .�. L. �� - �
24=flo`dfframirS ?" '`'�' _ x� C c+ x+�. -� :.� t.-�T r
9 �;� ��;� ,� :.., _ � ndergrrfd\Srora�s-�nkrGGas U�lil
% \ .� � , .
25. Ao�f SFeathing;r,.- �1c,�\ •+•���(� % ��: � 7q�,Qverhead Hydr6: '� �
_ _. � 7-� �-� � ,_ o �:
2�T•B`dr Ceifing (SM{�turap & .'To-T.ncoat �` "` 7 !dr Chemical �
✓ �S r.0 y --�- �...Y :.� .. ;r
27 �Fr- e aad F sFi}n� x > ` � ` � � ,c � ^ -�
.- M� Je .9 ,�oc�r: � cr- 78�DryStant�e. � i
- ;g• ^ „ �. �
i I ^<u, ^74` x .cf ••::hc �~
28. La�ing-$i Sidin¢'� �N. J � .•I , x 7� FIXED �'-%TEZy�INAI. r �. C` I
y29. Insulatian i:+:�' ;�.•. �••I-.r'� 7�PIREPREV.FI{�,e5� .�> t: a-
` 30. Drywall�Na(ting T,� �� � � _ ' `,i ,`� � :�EALTt�DEP'�° h�l'EQOIR�MENT
�37. Plaster�BroWn Cp�k � i :n-r �� � : x •79. FINAL I�tSEECTfBN + �_��T-
- o--u
+; -�� r r
=3�yElectric�l Pc�,"wer`T�t�r:��na4 . - � �•;� ,, -80;.-FOOD CERTIFi;,^lYTE I�S�'EDH
-33`>-Fir�l Giectris �z r, � z ' � z x , = �^ -`
� v� ---. �NcRes: . ;tr, > i;;::
F--1 T.-�-E'+i � ` � '
�`34^Fin21 Heating &.Al' Cdr,tli:ibrS�J_' "< 4- �? t� � '>' i�.t > S �%'
� o._ 4 . Zx,+7 '^ x'� ���:: h. I rd < r•.
Y "- � ' .. � _ Y .. ' _ "a '.J
� 35i.�Final Gas Pip.e-Test�,�; .. ;�. -, a� t Yc: C-� x E-!r
� 6 ootl ofCanoPYr "` •:. � .^' -, a. x �^� �� � x < �' �// Z.: v -... � � �, r ( ��%�0 rU' �/�.
] �l T . Y. (� I rJ. P V K I 2 K � f/�.C.O ✓l /J:•L� S II'LO �
T� .. `-r K h-I � "T V '1 � a � � )
�37�.Fina1 Factory Fi�Place�• i �.,�. u :: + 'I _ .. � ^ � �/�Y�P� r�� �
�38. Fi�fel Pl�mbing `- x � 1 i � I ....�..• :; - # s i: / �`/ �
. :. � I ::�:. � �- ,_ Gf'/
r .+
t C ''� �-� K Y. t � . .. �..
"39. Wa{8r $ervir.�-Fia��",T: .- � � � � y � K �
r 40. Gas Service-Fin3�->- .�, i rc� S x 7 F: X ;�� -.� ,a � -
[ � _ t I� - n :t J +' �''
�41.. So�ar pomestic�-iha� � •• A' r- 4 X ~r J y -
_ ' 1 . .i X -�= '1: . . .. J J' K �.0 �
J42. Backflow Prevenler � ,3 ���: Y - �i- • �_ .� : � ,
- !1 ti� X \ T } C+
43. Backflowtr�igatiqg` ��'S s F x:: 1 � ` {" �
y i C1
r44. Landscape lrri9��sn Svscertc.vc� :r �:x ; - C� �x ;. n_ -,. _. ,: r .. � N o
:c x c Cj •�.�.`. � �
~ T � = - 4 _.k '4 -� r �i [I.' ..
' 45JSound AttenuairbQ - , , �. - ;,. - - •,T � . ._ :: ;; �
j46. HandicipRegulations �- .^. ?� �� _i��, ^ •�-�'�-t=cr S •< �
.. ' /.. . '.,.;�r'; I
p47�FIATALSTRtJCTIiRE&BlY?LDING ����'3 �/ ~ � '''"�,i�y�0�t. DI�;�� �
f G�
48:;FINY�L PLANNING ' �'- � = I- - I� <: ' t7 :2 �: ' -
_ . . • �, �: ;.. _ - , ,r ;
�49: Ele�[ricReleasetoEdison � 1 I " ;rz � o; i i >< _ .
c � •f N q+, ' L :'l #� ✓
.50r,Gas�Retease to Souihem Califomea Gas Co +: ' �>: =: � _ • c •�: _ •
- � i. ,+
51. CERTIFICATEOF�OCCUPANCY * * • �. rc . � c
No. Date
_ nvu�ica�t to tiu i� au suaa: excePt tnose witni� neavv eoreer ��nes ana s�y� au aaaroo�iate aeciarauonz. - a_ _ 9(yr3O- - 4/'27/B�B' � $�Jo'2�J' T�.
C}T-Y�F COSTA MESA �CONSTRUCTION.PERMI'f t i PERMIT NO. ' .TRACT N0. � � LOT NO. � iUNIT N0. � , '
�;- � � y L'� 33Z.36: ,q8(�Lo , l�; , . , , � -,� :�
ProjectAddress 3��a5�"rD1'c�KaD�.e�-�-�^� - � . � . � .
ApplicanYs Mailing Address ' • ' � ' TVP�Ey OF CONSTRUCTION NEW �/,DD � ALTERATION REPAIR; � ' � '
q ' t LICONVER510N�O�DEMOLISH �OTHER ' ' � qp.#(..��a. -(� � ^,!� . - ' Zone ,{�.C.-L�
' Owner'sName�'1a6 Mc C.01dlq��v� 'phone DESCRIPTIONOF•WORK/US OPBLD -L�����oG���1�' � ���
3yoq ` � e p, � � � /� S Main Building: � � �Accessory Building:
Address y� . . � � ���� T—��•' o��" C' ,N^i��, ��/A �� E . � Z
� Arch/Eng: � License No. ' TVPE OF PERMIT � LJ GRADING IJ FOUNDATION LSl STRUCTURAL � T Front, � t , �-I'. S i 1 � � ' O
� Add/255 ' � � � y� ' . ❑ TENANT �❑ ELECTRICAL �❑ PLUMBING � MECHANICAL � . B Rear � � �1 � � , ' N
ConVactor'SNam � CO' w •� 7 On pnone5ye��93 � OTHER__' =, f ' ' ' %� - . � , _ _ ,_, _ _ _ _ . _ �
' PROJECT DESCRIPTION :Sq. FT. � ocCUParvCv C Ri t ""��� - � ' M
Address(mailin 1341� �J�� A1 w00.., �icA.a..� ' . . K . . , - G
CiryLicenseNo.I(DLq9' � �C� ' ' CONSTRUCTIONTVPE VALUATION:$4+.,1.ii�� S Left � � . �' � ` R
ZONE GRADING CU.YDS. ACRES ping. Ref. # � j Pa�king R2q./P�Ovided � E
LICENSED CONTHACTOR DECLARATION . � � ' ' :' Q
1 M1ereby atfirm that I am licensetl untler provision5 of Charte� 9 (commencing Remarks: � , � � � ;�, � : Planning Notes: , � ' ' • � � ' ' ' M
with section 7000) of DiviSion 3 of the Business antl Grotessions Cotle, antl ''
my license is in'full torce antl effect: � ]9 ' '� � ' . " . • � ' � � - ,I T
License ClassC: � 11 � ' License No1.iJl� � 1 Z ' � �Y - , � ' S
oate��'%� Signamre ' ' �,: � PLUMBING � ' - ��FEES. � ' • � 1 ��
� "dORKERS' COMPENSATION OECLARATION ` � � Ba� Sink ^ ' • � ShOw¢�S � ' •
ereDy affirm that I have a certiticate o( mnsent to self-insure or a certiticate � . ELECTRICAL `� . . "FEES
Workers' Compen5ation Insurance, or a certitietl copy thereof (Sectlon ' ' _
Backflow Preventer ' ' - ' Service Sink -
.,800; Lab. C.) � ' � � � Automatic Washer ' � � , Transformer ❑ 15-50 KW .
Policy No: � Company � ' � ' Backflowlrrigation � ' �SewerCa � "' ' ' �� ' � '�'50+KW ' ,�5,
8 Certifietl copy is hereby fumishetl. � � Y P Construction Pole Sub.-
Certifietl mpy is tiletl with fh¢ city Builtling Division: � Bathtubs� 'SeWer,Connection � Cooking Unit Meter ❑up to 100 amps ;'�
Date ' ADPlican[ ' - , � '
EXEMPTIONFROMWORKERS'COMPENSATIONDECLARATION Clarifiers � � SolarCollectors � . Dishwasher � � Meter ❑over100amps �
(This section neetl not be wmpletetl if the permit i5 to� one huntlretl ($300 or � � � - - ' � - -
iess). � , � , � � �ishwasher ' � '_ SolAr Piping Dryers'�Gas ❑Electric ' Sub Panel ' i � '
I certity tha[ in the performance ot the wo�k fo� which this pe�m�t is issuetl, 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 �1 %- 6 �
Worker� �CQ mpensation Laws oi Califp$1B� ' ' � ' - � � � '
Da[e- M-tl-4S Signature'C�Z� ' FloorDrains�. '� , 'Swimmin Poolw/Sa
� � 9 P F.A.U. . .. , Inc.S � 9-15 HP �i6-15+ .
.NO,TICE:Jf, atteLmaking this'tleclaration, you shoultl b oi e subject:to the . -
Workers' Compensation provisions ot the Labor Gotle, must forthwith Floor Sinks � '
� nnal Fixtures icrowave�
�ompty with Su[h provisions or, this pe�mit shall be tleemetl revoketl. '
CONSTRUCTION LENDING�AGENCV ' ' GBSS¢NiC¢ Out12t5 WatE�C105Et Device6oxes �
I hereby afflrm Ihat there is a mnstruction lentling agency fonthe performance � � Poi¢ Liyht � �
of the wo�k for which this permit � is i55u¢tl (Section' 309] Gv. C.) Ipt2fCE t0�5 Water Heater � ' " ' '
Lentler's Name � P Outlets � � Ran9e
LenGer's AGCress . " ' Kitchen Sink , _ - . Water Service _. .. _ - .. Switches - � Sign ' ' ' ' ' - ' '
OWNER BUIIDER-�ECIARATION � ' . . '
1 hereby af�irm that 1=am exempt from the Contractor'S License Law for the LavdtO�ies � AUtO-WdSh ' �
followin9 reason (Section �031.5 Business antl Professional Cotle: Any ciry or Garbage Disposal . Standing Sections ,
munty wnich requires a permit to construct, alter, improve, tlemolish or repair p_T�ap Laundry Trays ' ' Generator �0-5 KW,�5-15 KW Trash Com acmr
any structure, prior to Its issuance, also reqW/es Ihe applicant fo� such permit � P ' '
t0 file a si9netl slatemeOt thdt he/she is licensetl pursuant to the provisions oi ROOf DfdinS ' � � •
the Con[ractor'.s License Law (Chapter 9(commencinq witM1 Section 7000) of _ ' � � ,.
� bision 3 of-Ne-Business antl Profession5 Cotle) or that h¢/She is exempD - -- ; � - -. - -- ,-
xrefrom'antl�the ba5is.fo� the allegetl exemption. Any violation of Section � • , � � ' '
J31.5 by any applicant tor a permit subjects the applicant to a civil ��
� � eenalty of not more than'five hundretl tlollars ($500). � � � 3 � � � �
LJ I, ai� owner o( the. property or my employee5 with wag¢s as thei� sole ReinSpec[iOn Fee $15 ISSU¢ F2e '$
:` mmpensation will tlo tne work, and the xtructure is mt intentletl or otteretl ' Reinspection Fee ;$15 luue Fee `$ 3 -
for salc'(Section-7044,�eusiness antl Professional Cotle: The Contractor's MECHANICAL� :FEES
, License, 12w tloes not apO�Y to an owner Of a properry who builtls or imp�oves �
tM1ereon,.antl who tloes such work himself/herself or through his or her own � � � - DEVELOPMENT SERVICES REQUIREMENTS: �p- �
employees, provitletl that such improvements are not intentletl or offeretl for Boile� • Hood or Type I ❑ y�,�,�,�� p�a
sale. If, however,'the bulltling or improvement is som witnin one ycar ot com- �" � , Canopy p¢ II ❑ � � Zoning Approved By �^�' `^'�"�Date ����1v
pletion, tne owner will have the burtlen of proving he/she tlitl not builtl or im- Duct - Unde( Ground � ' . - �
prove for tne purpose of sale).; . Building Approved By Date ��7-��•
-� I, as ownerrof the property, am exclusively contractin9 with licensetl con- Duct -Structural ' - Ref '�era[ion System� � � ' Appliption Issued By � Dat Y^.Z7 ^ 88
tractor5 to wnstruct th¢ project (Section 7044, Business antl Profe55ion5 Cotle: ' �
The Contractor's-License Caw does not apply m an owner ot property who Duct - Ventilating ' �' 0.100,000 BTU"0100,000 BTU ., � �. � � �� SUMMARV OF FE S' ' 1�
:� builtls or improves thereon; antl;wh0 contracts for such Oroject5 with a con- - ' � ' �
' tractor(s �ncense pursuant to Jhe Contractor's License Law). I.ar'ri aw5re'tnat� ' ' - - � BUILDING PERMIT� ��S' �U '.SMIP ♦ � . �$- � ' S �
t Proof o� their Worker'S Compensation insurance'shoultl be provitletl to' me: Exhaust $yStEm �' MWtiple ❑ - Syitem Repair/AI[eration i - $ ' ..
� � - - . . PLAN..CHECK �� $- � �� TSS-'_pERMIT ' � � � _ ]
❑ I am exempt untler Section ' � e. & P. C. for this reason �• FirepUFact: BI[. ICBO # Fire Dampers . - � - �
` - ' t .- � ' '� � PLUMBING � -- $-' � ISSUANCE .. $ _ . ; ,•
Date owner ' � ' HeatingSystem&Ducting Registers' � � - ` pLqN�CHECK .25% $� ' ENERGYP.C.� $_ �- ' C
I hereby certify that'.I have reatl ttiiz applitatiori ana state that tne above �❑P100,OOOBTU �100,0008T �- - " $ - ' GRADING -$� '�� -
information is mrrecL I agree to.compty with all city antl county ortlinances,- ' � � ELECTRICAL ' ,'.
, antl state laws relating to builtling construction; and�hereby authorize repre- . _ . ' • � � . PLAN CHECK 50°� $ ' '.MICROFILM '� $ � • - �
Sentatives ot..this city to nte� upon�the�dbove-mentionetl'prope�ty to�- - � � ' .- -
' IpSPet(IOII P 6 5 • . . . ' � ' � - • • . .�
signature � - Date�:' LZ�•fr Y � � � , „ , _ MECHANICAL $ � . TOTAL PEE ., $ /�'r_��as
�I `.Drivers' License or 55 � � � ' ' Reinspection Fee � .$15 , � luue Fee � . $ 3- � PCAN CHECK � 25% $ � � ' ' � � �
_' ., . . . . . _ ' '_-' _ " " . . _ .�. ' _ "" ' ' ' _ . . .. .. _. . _ .. .. . . . _ - ' _ . _ _ .
CMF 0865-46, rev. 10/B4 White - Builtling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - A55e55or '
CONSTRUCTION,AND:P.LANNING . POOL&SPA • - . .
APPROVALS Permit # Date Inspector pppROVALS Permit # � Date ' Inspector
1:'Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. �Soil Pipe-Undrgrnd: �'� 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms� ' - '
4. Electrical Conduit-Undrgrnd. ' 55. Elect�ica� Bonding
5. Steel Reinforcement i�' � 56. Rough Pluimbing & Pressure Test � ',
6. Electrical UFER Grnd. �.' 57. APPROVAL TO COVER-GUNITE • �
7.Footings .. "�•�'� �� . 58.ElectricalConduit-Undrgrnd. ' �
' 8. Foundation .� � . • � , 59. Gas Pipe, � Undrgrnd., Test � ' •
9. Water Pipe-Undrgrnd��; . 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System �; 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit � 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ,
19. Rough Heating & Air Conditioning � �� "- FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure � 70. Underground Hydro �'
� 22. Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test ' � 72. Underground Flush � ' '
24. Roof Framing ' '' - , 73. Undergrnd. Storage Tank O Gas ❑ Oi� � ' "
25. Roof Sheathing , � � � 74, Overhead Hydro - �
26. T-Bar Ceiling (Structural) & Monocoat .- 75. Dry Chemical _ .,
27. Frame and Flashing - � �r 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. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED �"
�
33. Final Electric � Notes: -
34. Final Heating & Air Conditioning � 4 a �� ,�, '
' i,
35. Final Gas Pipe-Test - � "'
36. Hood or Canopy ��
37.� Final.Factory Fireplace � .
,
38.. Final Plumbing - -
39�. Waier Service-Final � • �
40. Gas Service-Final - • '
41. Solar D'omestic-Final . .
42. Backflow Preventer � - '� " �
,-43. Backflow Irrigation � '. _ �� _
� �44. .Landscape Irrigation System - ��� - � ' � �
'45. Sound Attenuation .. - � � ._
46.� Handicap Regulations _ � � ' - ._ `�
-47.. FINAL STRUCTURE & BUILDING j� 8Q, ' � ' �. , �� -
48. Special Requirements Completed ' , ^ < �. - ...
49. Electric Release to Edison . ,_ -
50. Gas Release to Southern California Gas Co � � ,
57. CERTIFICATE OF OCCUPANCY
. �'
No, Date
,..
������
�' ci bF co� � �
PLANNiNG
eua�ccr ro s�. c�. �o.
er� nA,e.���° � 88
p@� O! VtANNINO . _
������
ADDITIQYS, DELETIuiVS, 0? CORRECIiCt�lS SHALL
BE APPROVEU DY "iHE fL?,'sd�ii�lG D[PARTPdENT,
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City of Costa Mesa Building Dept.
BY DAiE Z7 �q $$
THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE
NO �GE53WITb,O�P3 � PROVAL OF DEPT.
THE�ISSUANCE OR GRS TING OF A PERMIT OR APPROVAt OF
PLANS AND SPECIFICATIONS SMALL NOT BE CONSTRUED TO BE A
VERMIT FOR, OR AN APPROVAI Of, ANV VIOLATION OF ANY OF�
THE PROVISIONS OF THIS CODE. NO PERMIT PRESUMING TO GIVE
AUTHORITY TO VIOiATE OR CANCEL THE PROVISIONS OF THI$ �
CODE SHALI BE VAtID, EXCEP7IN 50 FAR AS THE wORK OR USF
WHICH IT AUTHORIZES IS IAWFUI,
THE ISSUANCE OP q PERMIT BASED UPON PlANS AND
SPECIPICATIONS SMALL NOT PREVENT THE BWLDING OfFICIAI
FROM THEREAfTER REQUIRING THE CORRECTION OF ERROFS IN
SAID PLANS AND SPECIFICATICNS OR FROM PREVENTING
BUIIDING OPERAT10N5 BEING CARRiED ON THEREUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
THE Cltt.
J
D �`
oe.�
STREET � _
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Optional -�
Channel8bck With 1-3/8� •
Horizontal Top of all
Fences
For Fe�ces 5' or Less
Vert. Bars 3/8"� at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Confo�m to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURALGRADE
�.,...�s.�r�- - . a
TWO 3J8"� BARS � �
CONTINUOUS70P � ,
� BOTTOM
D
.HOR7Z.STEEL MUST BE TIED IN �
PLACE AT TIME OF TRENCH
INSPECTION, o' �Q
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4-� W IDTH
SEE CHl
� BEL'OW
FOOTING REQUIREMENTS CHART �
GENERAL- NOTES
MORTAR: p�e part Plastic Cement, ond
Three Parts Sond
GROUT; One Port Cement Three and
One Half Parts S�and
COPING: One Part Cement, Three
Parts Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Muk. of 7- I/2 Goltons ot
Water Per Sack of Cement
GROUT MAV 8E POURED FROM THE TOP
OF TME FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREASOF HORIZONTAL HEIN-
FORCEMENT SHALL BE CIEAR, CLEAN &
FREE OF ALL MORTAR DEeRIS, ETC.
H OF E4RTNTCOTH
1/3 iHE HEIGTH OF FENCE
�BECOW �BOTTOM OF FOGTING.
SCALE: I/2��= I'
..,.« .._...... _ _ . ..
WIDTH . . . . 14" . . . . . . . . . . .14" , ��
. 12" . _ .. . 12 '
. ..:. . .
THICKNESS . . . . . . . . . . _ .10". . . . . . . . . . . .10" . . . . . . . . . . . 8". . . _ . . . . . . . 8,�
DEPTH OF EARTHTOOTH . . . 24" . . . 20�� . . .
16...... 12.�
SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14� . . . . . . . . . . . 16'. . . . . . ". . . . . 16�
pWNERS NAME: RC� �10 C,O�v �► C_� _, _ _ _ _ _ _
Cit of Costa Mesa California JO8 ?ooREss 3y�9_pse_Qsc_ �___ __ —_ _
Y 1 •FERMIT NUMBER' _ _, _ _ _ _ _ � _ _ _ _ _ ,�
Building Department SIGNA?URE _ _ _ _ _ _ _ _ _ _ _ _ _
. . � . . -, i_... .. (ZEVnED NOV. B2
6
CITY OF WSTA MESA RE9,UEST FOR OCCUPANCY
TRACT N0. / ���
LOT N0. � Z
ADDRESS .�y'09 J.FF DE` l�/.�.�, C• M,
DATE � — � � � ,�'
The developer of the above entitled tract desires to sell the above set forth
lot prior tc� the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
I, The undersigned, by executing this agreement, acknowledges that (he-she-they)
FL� (was or were) �j/q ,� advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnii� and hold the city harmless fram any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
� J
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�v��� �,j,C�C �E i
�<. ,� � �,- 6 �,
S� � � �C� �j`�y,� /
. ������ �:.�
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1
BY '
Purchaser
BY ���ri�
Developer or authorized
representative
OWNER �Q
JOB ADDRESS
I
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WS
W AT
PROP.�SWR. LINE I_f NOUSE CON.
SPRINKLING SVSTEM
MISCELLRNEOUS
ROUGH HEATING RN� rIIR CONOITi
TEMPORARY SERVICE OR POLE
UNDERGROUNp '�_I POWER �
ROUGN wIRING
TRENCMES FORMS STE
FLOOR SVSTEM
BON� BEPM rl STEEL REINFC
SFEATHING
FRAME ANO FLASHING
LATHING — IN �ll
5' -URAL, FINAL
F . VENT., RE
PL.__..ING. FINAL F
BIIILDING, F�NnL
DATE 6-12-79
SUBCONTRACTOR
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COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOIa$fQUC�'�J��ERMIT�'•�
P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626 - - 3�
RECEIVEDBV PERMIT 7�T0 48222 �
For Applicant to Fill in Completely — Use Ink Only ���
BUILDING '�A /1C�) O EL jl! f D2. A.P. NO. y��. -� D`j ��
ADDRESS �V-� li YGG ^ G j�� n
OWNEROR .�y BUILDING �409 •J��% `�"� DI�
TENANT C VQ \�S D� LOR�Z ADDRE55
MAILING CAr�. SPACENO. � �
ADDRE55 a�.a
/� j-2 p TRQ,jV O. /� LOT � � BLK.
CITV C�N. No`7S� `�"Ol v �++
CAN5TRUCTION C np� NEW ADD AITER REPAIR MOVING DEMOLISH
LENDER J��'CI�P'� ��A�«A`" �/
��
BRANCH
5,�22� n- OWNER �.��cr� s D• �o2�Nz
ADDFESS �I�D2� �'-�.1' VA E
AflCHITECT TEI. USE $
OR ENGINEER coNTR�G O
ADDRE55 ZONE T PE GROUP J
CONTRACTOR
GPZ CUS � OM C(�/JST' BVPROVEO DATE � ��
ADDRESS,�T_f U� �l `�`'�
CITV vK.Rl�UV _12�0�4 NO`Z�I�"d���
STATE �/ ��Q'7 CITV APPROVEDSETBACKS
�IC. NO. �O O 7 LIC. NO.
SIZE� NO.OF BLOGS. (FROM GLSTREET)
OF LOT NOW ON LOT '� qONT
EXI5TINGBLDG.S��GLE f-A►'l1L`t. R.ES.
I
Separate permi[s are required for L. SIDE � Z FT. d
electric, plumbing and heating work:
REAR � FT.
USE OF BUILDING AND WOFK TO BE PERFORMED PLANNING ACTION
p�' ��./ GOV�� APPROVED
Sk �/L APPROVED I� /��/7
! !
I hereby acknowletlge thai I have �ead this applicetion and stete �
that the above informetion is correct and ogrea to comply wit�
all lews reg�leting builtlin8 �onstruction, and I shell not employ �
any person in violation of the workman's compensation laws of °
tha Stata ot California. '
I hereby ceriity that I am properly licensed as a contractor under OSQ. FT. ��`+
xhe State at California Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, antl that such licenses are in full force end effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am ezempt from the provlsions of the State ot Callfornfa Business VALUATION PERMIT FEE $ 3`L� v
and Protessions C Div 3, Cha 9. �+
n
PLAN CHECK $ v m
Signature o � /{, /�/''' �
Perm�fttee ,� '' $/ 7.f��� TAX S u
b-l2-l`t ` • `•
Authorized Agent Date TOTAL PAI D $
30
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAII FORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS
OWNER
ADDHESS 508 29th Street
TE L.
cirv Ne rt Beach CA No• 6- l
CONS'fRUCTION '
LENDER
BFANCH
��nv i o-��`A'o00 s6�� �=�� 122.64
CI1`.F
APPLICATION FOR STRUCTURAL PERMIT
BUILDING
ADDHESS
�
OWNER
PE
VALUE
FIRE -
ADDRESS 2240 Ne rt B1vd��Ne �Q ZONE V E GROUP
� APPfiO V ED �
CONTRACTOR BV DATE
ADDRESS
TEL. E NO.OF USE OF N W
CITV NO. ' P�� ' BUILDIN � �
rF-i STATE CITV YARDSAPPqOVED VAROSAPPROVE� -
LIC. NO. IIC. NO. MAIN BUILDING ACCESSORV BUIL
{i7 S12E NO.OF BL�CS: (FROM C/L 5 EET)
M OF LOT A rp][ (�' X 8� � NOW ON LOT Q NT FT. FT. .
a USE OF
i.N. EXISTING BIDG. � ' FT
h
� Separate permits are required for L SIDE PT. FT.
; electric, plumbing and heating work. �
REAR FT. FT.
USE OF BUILDING ANO WORK TO BE PERFOFlMED pj�7qNCE BET. L�.� BET. MAIN & �
�Q MAIN BLDGS. 'i/ ACC65. BLIXiS.
� Construct sin le famil 4 bedroom C URP. APPROVED P.�7
a
� se . P # "°°R
�
a �
w
� I �ereby ecknowlatlpe ihet I heva rea is applicatio ntl atate
y� that tha abova Informatlon if wrreei nd apree to eomply wlSh ��_„! �-�� C �( A r� 1 �7:�r qf'��
�+ ell laws repulatinp building consiruetlon, anE I shall not amploy . _ •
Z any verson In vlolation of <he workmen's compenaetian lawa of
� the Stete ot Callfornie. , - '
3 I heraby cartify that I am proparly Iicenced as a contractor under SQ. FT. Z% O
the State of Californle Business entl Profeuions Code, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION
Chapter 9, entl that such Ilcensas are In full force entl effect, or I THE PURP06E OF ESTABLSHING A PERMR FEE
am exempt f�om tha provi�ons of tha State of Callfornia Buelnees VALUATION PERMIT FEE E
antl Profassions Cotle, DI i�lon 3, Chapter 9. �
` PLAN CHECK § 1;
s�e�et�,aof < � $ 73,400,
Permittee < f TAX S
Auffiorized AB �t . G Lr , ' _ TOTAL PAID E
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7.50 0
5.14 �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ to Fill in Completely — Use Ink Only
BUILDING
ADDRESS
�
OWNER
MAIL
TEL.
CITV NO.
CANSTRUCTION
BRANCH
ADDFESS
ARCHITECT TEL.
CONTRACTOR L! // /fJ'f�/)'�.� ���/
AODRESS
TEL.
CITV NO.
STATE .CITV
IIC. NO. IIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXI5iING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowledpa thet I have read thls application and staie
that the above information Is correct antl a8ree to compiy wiih
all laws regulating building construction, and I shall not amploy
eny persan in'vlolatlon of Ma workman'z compansation laws of
the State of Californla.
1 hereby certify that I am properly licensetl as a contractor untler
the State of Callfornia Business antl Professlons Code, Div(sion 3,
Chaptar 9, antl that such Iicenses era (n full force antl etfect, or I
am exempt from the provisioJ�s of the State of California Bus(ness
entl Profassions Cotle, Divis'dn 3, Chapter 9.
Sipnaiure of '—
Permittee � -�'�
Auihorizetl A9enf <j'C/�L � � t�� .
a�c-9-;��„;Aao s,3 �r:*�235.OQ
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED nnToiccimn
A.P. NO.
BUILDING
ADDFESS
FIRE
ZONE
APPROVED
20NE
VAROS APPROV ED
VAR. 3M
APPROVED
THEAMOUNTS
THE PURPOSE OF
VALUATION
$//
PERMIT NO.
DATE
USE OF NEW
BUILDING
VARDSAPPROVED
ACCESSOFY BUILDING
BET. MAIN &
ACCE�. BLOi
DATE
APPROVED
ABLISHING A PERI
PERMIT FEE S
PLAN CHECK E
TAX S
TOTALPAID E
N
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m
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ON IS FOR m
FEE ONLV:
LL
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