HomeMy WebLinkAbout1078 EL CAMINO DR - Building Permitss5a9wLlwlc: 1078 EL CAMINO DR
"""""""SMITH, KENNETH R TR
ADD"E!&P 0 BOX 2622
COSTA MESA,CA 92628
ADPL. MAIUNG ADDRIM'
ARCHITECT OR ENGINEER:
AROIL OR ENG.'S AWREW:
UNIT:
al- L
UC. NO.:
UNT:
cOlfl1ADTOR%NAK DP PLUMBING & INSTAL. (714)991-9477
C@BRACTOWSILAJ N 1588 S ANAHEIM BL
ADS ANAHEIM CA =w: 563793
92801 um: B
LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty d priory m Ii
thel I am under provisions d Chesser 9
(commends, with Section 7000) of Division 3 of the Sudne w s,1 Prolmsions Code, end my license a in lull Mm ane effect.
C uc.No.:05 67 uc.CuS:C36 LIC NO,;79/33 yEXP: 09/97
ale: Conlredor: C!-(Gfy�L7T'j'
O ER BUILDER DEC RATION: Mra rt affirm under piety d armory toot I y s hamar Iron a c Cardmaors Litems law ler the
dbwnp or
r (Session 7031,6 Busgtoa arae Pmfea Mans Code: Any calla county which waft to a pertna ml consauct, saes,. e..he
f
dish, a rep. any the or e, ants, IO as is aro rsRuiru the (Chapplicants rfor such pelma to fib a eipnM atatemae Vat M a sM
Ey+,"�t<dcamed Wrsuut a IM ode] or w d the r she I wea License law [CMpler a (commee we with xem pti 7. A vi Division 3 d the
•F�„.?n .5m ant Prdesaona Capel or Ism M o he a t t a ovil and the breis for Use moped exemption. Amy violation d Section
'r5p1.5 by any apelicent for a prma aubpW the epdiaarm to a civil penalty d not maa than INA hundred ddars 15500[).
❑ I. as comer of the popdy or on, employees with wages u they sole compensation, will do the work, and gu structure a not imandad
or offerhd for sale (Section 7014, Buarwas end Prdessione Code: The Contractors License Lew does not apply to an owner of property
who Want or knprovu thereon. wall who ecce such oak hbmsM or herself orthro it his or her own employeee. Fronded Ism ach
improvements are cot imeMet or dlamd lor seta. N, however, the Wildimg or rnpmvemem is sold within one year of completion, the
wner4wiker will have IM When of pmvirq he or she db not WiM or improve to IM purpose of ere).
❑ I. as owner of the property. hat e[dmively co neasm wilh licensed contractors, a canatruct the project (Sedion 70141 &uinse end
Pmfessio s Cade: The Contractors Lceme Law does M apply 10 an ovmer of property wW Wada or impose 1Mrean ant who
comrade for sunt projects with a oomrectorys) I"M ad ursuml to the Contractors Limine Lew).
I❑ 1 sat evemss uMer Section: B. A P.C., for this mason:
Date: Omher.
II do hereby mrtay that I am aware dant uMeretaM the mpdremws of California Health ant Salary Code Sections 25505.25533. and
35534, end the, I or any Muse, Wilding occupant will I wil not (circle me) neer to corn* with said meta odes and the rsRdramems for
a pmsa lorcomlmgim amadifimtionhmmtMAiMeEly ampement Diauio. ReeideMid wnetrudion eppfralkseen exempt from meas
p ovre oat.
Date: Appliceni
WORKERS COMPENSATION DECLARATION: I Mreby effim under pemlty of perjury aw d the foWvmq tesscamxma:
❑ I have and oil maiman r pertaFate, d consent to sea-insw lar M wmrkars' compnwian, u provided for by Session 3700 d 1M Labor
I Code, lor thepdmrwnce of the oak la wlvch thie penia is issued.
[� I hew ant oil maintain woken'wnperwaten imumos, as required by Baglan 37M of the Labor Code, for the perermsnm of the
j�- work for which this anon is iwued. My wakere' mmpnution insurance wrier and policy number me:
Corder: TRTT(-KF FARMFRS EXPIRES
Paley Number, nt0.10_794—Q4r 02/01/9'7
is sedan need nal be ownpbfed r the prmx is for oat hundwd dollars (51001 or mesa)
❑ 1 minty that in the pedormernce d tM work for ws" this pima a asued�l shell t employ corp perwrm in corp to mo so n to
bacwnme Sub ct 10 Ih workers' compenaetior laws d Cafifomw, I m 1 Mount become many, an the loam to
canpenaal' n prwii 1 Section 3]00 d tM Lobar Code. 1 Mei1 f p with a rte.
mIM: Failure 0 secure women' compem<do s covereps Is un/ewNl, and shall wablecf an employer fo almMeripenaNlu and
clv0 fines W to one hmndred tbousard dollars f$100,000A In adaffam to the cwt of vernpsru rtlan derrupsw as provided for In
Secfion 37tM of ma Labor CAW, Interest, any of measy'a feu.
CONSTRUCTION LENDING AGENCY: I hereby affim under penalty of partury that there is a cOnatmgion eMirp apncy for the
pedormame d the wok M which the army is causal (Section 3087, Ch, C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cemify that I Mve reed this application eM date tMt the above infomaten a coned. I Agree Io campy wah all city cast coumy on inencee
and me awe rehen8 to Wilding construction ant Mreby authorize repremntmivaa of this dry la enter upon IM abwewnemimed popery
for inspection prpses.
P P ILLA
P fit
Dme.�
Sig Vre Dorsad e p ten I
ss ssaasssssaasa�caas�
(51514 .WP) White-BuiMiq A Smmy; Grmn-FIe; Carry-AppEcent: Pink -Revenue; Gddwa to Aseeucr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 080318 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION C/O WATER HEATER
CLAIM VALUE: CALL—VALUE:
PERM NO; P 080318
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: X
IE 8E 8F RE iF iE f( -!b iE ib iE tE 8E * 1E * 1E i! * iE RE * 3E tE tE fE fE 1E iE Ri ik iE• cE iE iE iF if iE * iE iF * iE 8E 8E lfE tf iE * 8( -RE * iE 8F lfE 8E IE 8E tE # ii iF tf * * * 8E if * * 8E dE IE cE-iF IE dE iE iE
Z 0 N I 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 BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RIGHT. FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14137405 ZNE: REF NO:
PLANNING NOTES>
>
tk 1E Rt iE lF ik iE iE fE iF Rk 8E RF f! i! 3E if iE * iE iE fE lfF lfE fF RE fE tF IF iE iE RE iE lF iE ib 3E ib iF iF cE iF ik Rf iF dE 8E lE 1E df 1E 1(-8E iE 1E 8E'lE dF iE * cE lE RE fE lE tE tE * 8E * dF tE dE Rk IE iE Rf lF 8f
D E V E L 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 BY DATE;
APPLICATION ISSUED BY:
ie***ic-3EtE1EaERfiEiElEiEiEaEiEitiE*�(-R(-Tf3FTf'iFiFiFTF7F�FTF'ifTF7F iF�iF;fF7F�F3FTFTFiF3F7F�F7FTF�F**ieieDiAE**iEi(- *ie
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11,00
258 SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 11.00 22.00 0.00 33.00 33,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
fE tE tf iE * fE fE ik iE lfF iE fE iE 1E 8E tE lfE 1E iE tE tE tE 8F * ♦E * ♦E 4 * iE eE 1E iE iE 1E iE eF 1E iE 1E 8E * iE 8E iF iE * dE cE 1E 1E 8E 1E iE tE iE * fF cE fE IE RF iE 1E iE 8E 8E 8E iF dE iE if iE RE iE RE RE lk tE
I N D I 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 TOTAL COST
PLU 1 WATER HEATER AND/OR VENT 11,00 11,00
END OF FEES
EXPIRED
DATE �� -,t L
01 00213667-00213667 T CIT
DATE: 11/06/95 TINE: 12:13
33.00
CONSTRUCTION AND PLANNING -
APPROVALS Permit # Date
Inspector
POO r SPA -
APPROVALS Permit # -
Date
Inspector
1. 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
58. Electrical Conduit-Undrgrnd.
B. Foundation
59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, ❑ Unclgrnd.
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
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
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping ❑Gas 00il
G�
23. Gas Pipe -Rough & Test
-
72. Underground Flush .
,-A tT
24. Roof Framing
-
73. Undergrnd. Storage Tank 0Gas ❑Oil
1' •i
I
25. Roof Sheathing
74. Overhead Hydro
j
26. T -Bar Ceiling (Structural) & Monocoat
75; Dry Chemical
- t
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. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes'.`�� 9 b fvo RCC7, S ,:� n/
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 Domestic -Final
_
42. Backflow Preventer
43. Backflow Irrigation
-
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
,
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
CITY OF COSTA ME5A
CALIFORNIA 92618-1200
DEVELOPMENT SERVICES DEPARTMENT
BUILDING DIVISION
P.O. BOX 1200
NOTICE OF PERMIT EXPIRATION
To: D P Plumbing & Installation
1588 South Anaheim Boulevard
Anaheim, CA 92801
Project Address: 1078 El Camino Drive
Costa Mesa CA 92626
Date: 5-15-97
Permit: # P80318
Our records show that the listed permits were obtained for property improvement or alteration at
the above address and the project was not properly completed.
The permits were obtained by: ( X ) Contractor
( ) Owner
Name: Pat Padilla Phone:991-9477 License Number:563793
To construct or install: C/O WATER HEATER
The permits are valid for 180 days from issuance or your last inspection, per Section 106.4.4 of
the 1994 Uniform Building Code. Should we not hear from you within 10 days, your permits
will expire and additional fees will be required to finalize the permit. Your permits will expire on
May 25, 1997
Please be on notice that without a valid permit and required inspections completed, you will have
encumbered your property with an illegal structure.
If you need assistance, please contact THE BUILDING DIVISION, at (714) 754-5273,
between 8:00 a.m. and 4:30 p.m.
77 FAIR DRIVE
Building Division (714)754-5273 Code Enlor ment (714)754-5623 • _ Planning Division (714) 754-5245
FAX (714) 7544656 TDD (716) 754.5244
F
r -
not more
Applicant
to fill in all spaces except those within heavy borderlines and sign all appropriate declarations.-
Reinspection• Fee +
1 +
•
r-
-
OF COSTA MES CONST I�CTI�IV PERMIT - -
ct Address /G7 �L lririo IJi7
7,Applicamt's
PERMITpp
L�
TRACT NO.
LOT NO..
-ALTERATION
'UNIT NO.
TYPE OF CONSTRUCTION NEW ADD - REPAIR-
E] CON ❑DEMOLISH ❑ OT�q- - -
[ DESCRIPTIONOF WORK/USE OF BLDG.�-moi'
P ` • .MECHANICAL
Mallin d1Q{��ss _ �y��"
r's Nam !sem' �N Phone-- "�i�
/p
ss / G L 'N ole: ae-
I
A.P.#
S
Main Building:
.
Arch/Erig.' License No:
Address - -
TYPE O PERMIT GRADING 1FOUNOATi6N STRUCTURAL.,
❑_T�NANTc_❑ ELECTRICA ❑ PLUMBING ❑ MECHANICAL
WY
"❑ 'O1 HER '
PROJECT.DESCRI TION O. FT: " Q OCCUPANCY
+1 - {
CON ST;RUCTI ON TY E LUATION $ T•�TGY/
-ONE---' GRADING CU. YDS. - ACRES
E
T
Front > I
B
-A
Rear - 1
Contractor's Name I Phone? 5� Z
Address (mailing) �/ Nt!�QTOS C:F�'iCA//vO
i City License No. -�Se� SV
LICESED CONTRACTOR DECLARATION - +
N
I hereby affirm that 1 am licensed under provisions of Charter 9,(commencing
with section 7000) of 'Division 3 of the Business and Professions Code, and '
C
_
Right
K
S
Left _
Pin Ref. #
9' 1
Remarks: i
Planning Notes: +
Duct' --Ventilating - ”' "�
_
j ,SUM(�i�(iY QF FEES
�(/,
BUILDINGTERMIT $ SMIP $ -+ '
,
PLAN CHECK $ PERMIT
I ISSUANCE $
PLUMBING $ ! ,
my license is in full fo ice an a feet.
Y$
License Class: — License No: 'C 7
Parking Req:/Provided
PLUMBING _
FEES
Firep/Fact •BIL ICB O;# !
Date 1:'f4 7— Signature g,e —
WORKERS' COMPENSATION DECL ION
hereby affirm that I have a certificate of consent to self -Insure or a certificate
:'. Workers' Compensation- Insurance, or acertified copy'thereof'(Section r'+
•;•e00, Lab. C.) +
-
Bar Sink (
Showers 1
Date Owner, - !
_ _
certify that I have read this application and state that the a5ove
information is correct ,I agr to'Comply with all city and county ordinances
information
a d. sta to laws relat in .t ildirig construction, antl •her by authorize repre-
ntatives ofi t enter upon the above -men oned property,fm 1
nspection p e. I� /Z^O/
Siq ature Date 9
•
0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
I
I
Heating System & Ducting I 1
❑0-100,000 BTU ❑100,00087
/ I I
Backflow Preventer I Service Sink +
I
Automatic Washer .
Backflow Irri ation I
19
Sewer Cap
I
l
I
Construction Pole Sub.
Policy No. Company 1
Certified copy is hereby furnished. 1
Certified copy is filed with the city Building Division.
Bathtubs i
,
Sewer Connection
Goldenrod
Transformer C]15-50 KW
Cooking Unit',
Date ` Applicant '
EXEMPTION FROM WORKERS. COMPENSATION DECLARATION —i
Clarifiers
-
Solar Collectors- -
- -- - -
- -
Dishwasher
,(This section need not be completed if the permit is for one hundred ($1006 or
less). I - I
certify that in the performance of the work for :ch this permit is issuetl, I
shall not employ any person in any manner o' to become subject to the
Workers' Com Rgnsattiou Laws of Califor �p
�6.f�(+G-.
Dishwasher
Solar Piping•
i
Motors ❑0-1 HP❑1'/x-8
Dryers ❑Gas ❑Electric
Drinking Fountains Solar Tank
-
Microwave
Fan
Floor Drains
Swimming Pool w/Spa t
Range
,
F.A.U.
. Date 5lgndltlla
'NOTICE: If, after m king this declaration, you should become subject to the
, Floor Sinks
Urinal
-
Fixtures
Workers' Compensation 'provisions of the Labor Code, you must forthwith
comply with such provisions or thi5•p¢rmit. shall be deemed revoked'.
Service "Outlets
+ Water Closet •' +
(
DevIC¢ Boxes . '
CONSTRUCTION; LENDING ' AGENCY.'Gas
I hereby affirm that there is a construction lending agency for the performance
Interc eptors• -
-Water Heater -
-
- -
Outlets ` !
of the work for 'which this perm:blls issued (Section 7.3097 Civ. •C:)
-
Lender's Name
Kitchen Sink �,
'Water Service
Switches
Lentler'sAtltlress t. ice- - - +-
OWNER BUILDER DECLARATION Il
I hereby affirm that 1 am -exempt from the Contractor's License- Law for the
following reason (Section 7031.5 Business and Professional Code: Any, -city or
county which requires a permit to construct; alter,- improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit :
;to file a signed statement that he/she is licensed pursuant to the provisions of
-the Contractor's License Law (Chapter 9 (commencing with Section 7000),of
"%division 3 of the Business and Professions Code)or that he/she is exempt
°'" erefrom and the basis for the alleged -exemption. Any violation of Section
�':1631.5 by, any, applicant for a permit' subjects -the .applicant to a civil
'" � Itof than five hundred dollars ($500)
-
Lavatories.. - ' I
Auto -Wash -
-
Garbage Disposal
_
P -Trap Laundr Tra s. '
1~ - V Y
Generator ❑0-5 KW 05-15 K
i Roof Drains
'
y •+ -
-
'
'6/12%86
30.50; TL
Reinspection• Fee +
" Zone -
-
Issue F¢e'• _
Accessory Building
i ,
Reinspection Fee + $15 Issue Fee' $ 3
P ` • .MECHANICAL
Z
I
FEES
O
Boller i
N
-
..
Duct - Under Ground I
Duct -Structural I } }
G1(
---'•-
Duct' --Ventilating - ”' "�
j ,SUM(�i�(iY QF FEES
�(/,
BUILDINGTERMIT $ SMIP $ -+ '
,
PLAN CHECK $ PERMIT
I ISSUANCE $
PLUMBING $ ! ,
E
Parking Req:/Provided
Firep/Fact •BIL ICB O;# !
Fire Dampers
-
M
Date Owner, - !
_ _
certify that I have read this application and state that the a5ove
information is correct ,I agr to'Comply with all city and county ordinances
information
a d. sta to laws relat in .t ildirig construction, antl •her by authorize repre-
ntatives ofi t enter upon the above -men oned property,fm 1
nspection p e. I� /Z^O/
Siq ature Date 9
•
0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
I
I
Heating System & Ducting I 1
❑0-100,000 BTU ❑100,00087
/ I I
T:
Registers 1 _
r
S
PLAN CHECK 25k1 $ ENERGY P.C. • $ ,
! GRADING $ ! 1 '
ELECTRICAL $ I
PLAN CHECK 50%• $ - { MICROFILM $ ' t
MECHANICAL $ I TOTAL FEE $
_ -
✓
I
l
I + I
ELECTRICAL J
FEES _
Goldenrod
Transformer C]15-50 KW
1150rmKW
I
Meter ❑up to 100 aps
- Meter Dover 100 amps -
Motors ❑0-1 HP❑1'/x-8
Inc. Solar E39-15 HP Ell 6-15+
-
Microwave
Pole Light
Range
,
Standing Sections
Trash Compactor +
MB
.
r ena Y, . .-
. ❑ I, as owner of the property or myemployees with wages as their sole'
compensation, will do the work, and the structure is not Intended or offered 1
for sale (Section 7044, Business and Professional Code: The Contractor's
License, Law does not apply to an owner of a property who builds or Improves I
thereon; and: who does such workhimself/herself-or through his or her own I
employees, provided that such improvements are not. intended or offered for II
sale. If, however, the building or improvement is sold,within one year of com-
pletion„the owner will have the burden of proving he/she did not build or. Im- 1'
�Tve for the purpose of sale).
LI I, as'owner of the property, am exclusively contracting with licensed con- ,
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's 'License Law does not apply to.an owner .of -property -who :
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the: Contractor's License Law). I am aware that
proof off their Worker's Compensation insurance should be provided to me.
1 i
❑,I,am exempt under Section B. & P. C. for this reason
I
Reinspection• Fee +
§15
Issue F¢e'• _
$ 3
i ,
Reinspection Fee + $15 Issue Fee' $ 3
P ` • .MECHANICAL
I
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
I -
Zoning Approved By Date I
Building Approved By . + Date '
,
Application Issued By Data
Boller i
Hood Or Type I I ❑
Canopy' Type II ❑ .
I I
-
..
Duct - Under Ground I
Duct -Structural I } }
Refrigeration System 1
E]0-100,000 BTU 0100,000 B_TU
---'•-
Duct' --Ventilating - ”' "�
j ,SUM(�i�(iY QF FEES
�(/,
BUILDINGTERMIT $ SMIP $ -+ '
,
PLAN CHECK $ PERMIT
I ISSUANCE $
PLUMBING $ ! ,
Exhaust System ❑ Multiple ❑'
System Repair/Alteration
Firep/Fact •BIL ICB O;# !
Fire Dampers
-
Date Owner, - !
_ _
certify that I have read this application and state that the a5ove
information is correct ,I agr to'Comply with all city and county ordinances
information
a d. sta to laws relat in .t ildirig construction, antl •her by authorize repre-
ntatives ofi t enter upon the above -men oned property,fm 1
nspection p e. I� /Z^O/
Siq ature Date 9
•
0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
I
I
Heating System & Ducting I 1
❑0-100,000 BTU ❑100,00087
/ I I
Registers 1 _
r
CMF
PLAN CHECK 25k1 $ ENERGY P.C. • $ ,
! GRADING $ ! 1 '
ELECTRICAL $ I
PLAN CHECK 50%• $ - { MICROFILM $ ' t
MECHANICAL $ I TOTAL FEE $
_ -
✓
-
c�
'
I + I
+
Goldenrod
t
Reinspection Fee $15 ,
- Assessor
1 Issue F __- 1-...._,.. -_..
__. _
CONSTRUCTION AND PLANNING
Date
APPROVALS Permit #
Inspector
POO' 'PA
APPROVALS Permit #
Date
Inspector
1. 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 LIFER Grnd. -
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. 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
-
16. Rough Electric Wiring _
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling69.
POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
-
22. Ducts, Ventilating
71. Product Piping ❑ Gas ❑ Oil
23. Gas Pipe -Rough & Test
-
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0Gas ❑Oil
25. Roof 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 PREY. 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:
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 Domestic -Final
42. Backflow Preventer
"
43. Backflow Irrigation
44' Landscape Irrigation System
45. Sound Attenuation ,
46: Handicap Regulations
4T FINAL STRUCTURE & BUILDING
7786
48. Special Requirements Completed
49. Electric Release to Edison
50:�Gas Release to Southern California Gas Co
57�.)CERTIFICATE OFOCCUPANCY
No.0 Date
_ - -
A
T21
jo(OSTA MESA BUILDING -SAFETY DEPARTMENT
•� P.O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
®
ADDRESS 3800 F. Coast
is Same as above
as
■ STATE
61ZE p p ND, OF OLD"
OF LOT 811 X 871 NOW ON LAT idone
USEOF None "
EXISTING BLDG.
SETBACK LINE FROM 1
CENTER OF STREET I REAR YARD 29
SIDE YARD I LEFT 1 0 t I RIGHT 15 1
DESCRIPTION OF WORK
I I I II 1
TY)II 1611
garage.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY W)TH ALL CITY ORDINANCES AND STATE LAWS REGULATING
"BUILDING CONSTRUCTION.
SIGNATUREOF Ma,CC R t CO•
PERMITDT.E.
AUTHORIZ GENT
FEE RECEIVED
U11 L 2 5 1989
AP,p
,LICA ION R PERMIT
I A UILbINNG
CITYhk O"iIAWl Znly
REceIPT NO.
PEE11
RECEIV 'O BY
DATE RX IVSD
DATE REC IVSD
DATZ IIOSOEO
DATE IBSOEDBY
—���
• JUL 2 4 196
BUILDING
ADDRESS
FIRE
//
ZONE TYPE Y GROUP
APPROVED
BY
DATE
ZONING
ZONE
NO. OP
USE OF NEW .L • 1
R�1
PIANS
BUILDING
r
LEGAL
tE�
DESCRIPTION
1
A. P. NO. none
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN -
90" TO SIDE 3 REAR P.
L
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDSAPPROVED
YARDSAPPROVED
MAIN BUILDING
ACCESSORY BUILDING
FROM C/LREET)
FRO CFFT:
FT.
R. SIDE J FT.
L. SIDE A0PT.
FT.
+
REAR FT.
FT.
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. SLOGS.
VAR.*
DATE
C.U.P.#
APPROVED
APPROVED
Y
DATE
266
F
F'
SQ. FT.
THE AMOUNT SHOWN
UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY.
VALUATION
/j
'
PERMIT FEE $ /
CI 07
$ 23,925.00
PL
'TOTAL ///'-
FEE S
r 22953
`COSTA MESA BUILDING -SAFETY DEPARTMENT
4 P. O. BOX 317 COSTA MESA, CALIFORNIA
VIERIESEMPI
For Applicant to: Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
2 J.
TEL
/L7 .. NO..
TEL.
:R NO.
.R ifs C.2r7F7- N
STATE
E
07 43- e,
7/
LIC.
RHC81Vey BT
DA fiRBCEIVE
�O/ fx
OF LOT
FIRE
ZONE
PE GROUP
SETBACK LINE FROM
NO. � /
7�t I NO. OF
NOW OI
DESCRIPTION OF WORK
® EXTERIOR WALL
NO. OF
ROOMS
ROOF
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM.
PLY WITH ALL CITY O ANC88 D STATE LAWS REGULATING
BUILDING CONSTRUCTI
E O
SIGNATURF ',
PERMITTE
AUTHORIZED AGENT /
FEE REGEIM
SEP 15 1964
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
1
_f–
RECEIPT
RHC81Vey BT
DA fiRBCEIVE
Dr ISSUED
BUILDING
ADDRESS
FIRE
ZONE
PE GROUP
APPROVED
BY �
`
DATE /
ZONING
ZONE/] I
/YYYYYY/.L`
NO. OF
PuN
USEOFNEW
BUILDING
LEGAL L- ^T[l,
DESCRIPTION V If FO
A. P. NO.
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
80" TO SIDE B REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDSAPPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
( FROM C/L STREET)
FRONT FT.
FT.
R. SIDE O FT.
FT.
L.SIDE— PT.
FT.
REAR OFT.
FT.
DISTANCE BET.
MAIN SLOGS. -
BET. MAIN B
ACCESS. SLOGS.
VAR.#
C.U.P.#
DATE
APPROVED
APP
BY
DATE b
SQ. PT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE' ONLY.
VALUATION -
ii
PERMITFEE f Y/7A
PLAN CHECK
TOTAL FEE 5 (1
1
_f–
E .. •3
r .,COSTA MESA BUILDING -SAFETY DEPARTMENT
�• P.O. BOX 317 COSTA MEGA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING ADDRESS C e�M/
Al
BUILDING
COSTA/ MESA, C/AI,.IF�ORyNIA
OWNER •w! 1/ 1' F>•
MAIL
ADDRESS
TEL.'
CITY NO.
ARCHITECT TEL.
I DESCRIPTION OF WORK
WALL I ROOF
PAID
MAY 16-6'Ct1SNO 893 �<<�*ii=5_CO
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
REC��LLYYHD BY D TH RECEIVED DATEISSUED
VC/J i � 1,6 /�77 S /6
BUILDING /A -7C1 (//AA z
BYPROVED ��9/7 DATE
!!/ ZONING
O _ I NO. OP OSE OF NEW W
EUI NG
LEGAL
YARDS APPROVED
MAIN BUILDING
IOM C,4)- STREET)
TANG SHALL BE LESS THAN
YARDS APPROVED
ACCESSORY BUILDING
7DFT 7e,,,-
DISTANCE BET. BET. MAIN d
MAIN BLOCS. ACCESS. SLOGS.
VAR.# DATE
i/GSG.
FT.ACXNOWLBDGE
THAT 1 HAVE READ TXIE APPLICATION
THAT THE ABOVE I8 CORRECT AND AGREE TO COM.
ALL CITY O INANC"A D BTATE LAWS REGULATING
ONSTRU i.�.//.
OF;
4`1
Lh
ADDRESS
ZED/LGENT
CITYSTATE
4
LIC.��
L Y9 NO.
�LI d �iY6
SIZE
NO. OR BLDGS
OF LOT
NOw ON LAT
USE OF
EXISTING
BLDG.
I DESCRIPTION OF WORK
WALL I ROOF
PAID
MAY 16-6'Ct1SNO 893 �<<�*ii=5_CO
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
REC��LLYYHD BY D TH RECEIVED DATEISSUED
VC/J i � 1,6 /�77 S /6
BUILDING /A -7C1 (//AA z
BYPROVED ��9/7 DATE
!!/ ZONING
O _ I NO. OP OSE OF NEW W
EUI NG
LEGAL
YARDS APPROVED
MAIN BUILDING
IOM C,4)- STREET)
TANG SHALL BE LESS THAN
YARDS APPROVED
ACCESSORY BUILDING
7DFT 7e,,,-
DISTANCE BET. BET. MAIN d
MAIN BLOCS. ACCESS. SLOGS.
VAR.# DATE
i/GSG.
FT.ACXNOWLBDGE
THAT 1 HAVE READ TXIE APPLICATION
THAT THE ABOVE I8 CORRECT AND AGREE TO COM.
ALL CITY O INANC"A D BTATE LAWS REGULATING
ONSTRU i.�.//.
OF;
4`1
Lh
THE AMOUNT ENOWN UNDER VALUATION I6 FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.O
VALUATION
'}� NE
PERMITFEE S Lv ' (/ (/ O
PLAN CHECK S
ZED/LGENT
4
TOTAL FEE $