HomeMy WebLinkAbout1199 EL CAMINO DR - Building Permits1 CITY OF COSTA MESA
o "F, BUILDING DIVISION
i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC10-00187
PERMIT TYPE: B COMBO
Sub Type: RES—ALT
JOB ADDRESS:199s rCAMINOr,,
APN: 14156117 - Zoning:
Vicinity:
Const Type: V -B
SQ. FT: 338
STATUS: ISSUED
DATE ISSUED: 06/92/2010
ISSUED BY: VZ6
Suite/Unit:
Primary Occ:
Valuation: $48,000.00
SCOPE OF WORK: 336 SQ FT FIRST FLOOR FAMILY ROOM ADDITION. DEMO EXISTING PATIO ROOM. UPGRADE/RELOCATE
SERVICE TO 200 AMP, 6 LIGHT FIXTURES, 15 OUTLETS, 5 SWITCHES. MECHANICAL TO INCLUDE: 1 DUCT EXTENSION INTO
NEW FAMILY ROOM. NO NEW PLUMBING PROPOSED.
OWNER: DEAN, LEE A TR Address: 1199 EL CAMINO DR - Unit:
Phone: City/State/Zip: COSTA MESA, CA -
APPLICANT:
GUSSIN, AL'
- 'Address:
- -,
Phone:
714-538-1007
City/Stale/zZip:
CONTRACTOR: WEST CARRIAGE
CONSTRUCTIONINC
License No. 627346
Phone:
714-538-1007
- Address:
18512-1/2 SANTIAGO B_LUnit:
Cell:
City/State:
VILLA PARK, CA -
ARCHITECT:
ENGINEER:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
- License No.
License No.
$405.63
$624.05
$82.60
$37.20
$0.00.
$4.80"
$0.00
$2.00
$1,156.28 - -
Unit: :
ZipCode 92861
PHONE:
PHONE:
'Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thou Friday -7:00 am thru 7:00 pm. Saturdays -6:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidays:
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODER. INSPECTION TYPE DATE INTMALS CODEX IN SPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical x "I - 28-/0 MN
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site /
204 Final Demolition 250 Final Building/Occupancy > —
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compe ration, as provided for by section 3700 of the Labor Code, for the
erf ance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
45; -son 3700 of the Labor Code. for the performance of the work for which this
permit is issued. Mm ensation Insura carrier and policy
number are:
(ZCarder.
(rhts sedw neetlnot be I Wmy(o� fjthTom aOlu atp en redodfars(3100) odes.)
P_ol� icy -Number: va
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become sultipct to the workers' compensation provisions of Section 3700 of
the Lab all fo 'th compl these provisions.
A cam's'Signature Dale
WARNING: F ILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is In full force and effect.
�w-# YK 10r"Class #- /
VMYors Sigruture Da,
CONS UCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Owner ID verified by driver's license. ❑ Yes ❑ No �.
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feel in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsewfirk, or demolition
or dismantling thereof, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(if "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (if -yes', attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature
Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and slate that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Owner(s) Date
Signature Date 0
W5746 (=7) �—Andlor Authpnzed Applicant IF`Date,
If -Scott 9pecial
P O BOX 15262
Newport Beach, CA. 92659
Inspection4T
949-307-3400
Fax# 949-200 9806
Type of ❑ Welding / HS Bolting
Inspection ❑ Rebar Placement
❑ RebarWelding
❑ Reinforced Concrete ❑ Shotcrete
❑ Fireproofing Epoxy/ DIA
❑ Reinforced Masonry Other
Project Name:7 t- t- n
Permit# (,jq — C1 0$
Address:
p t
Jurisdiction: CS p,
Architect:
I Contractor:
Engineer:
Subcontractor:
Type of Sample:
lNo. of Samples:
Welder's Cert.'s. etc.
INSPECTION REPORT
Date: njr Z 3 It 6
31\Z Srt,p .cr`T- 4S� 7'71-3-
I hereby certify that I have inspected to the best of my knowledge all the above reported work unless otherwise noted.
I have found this work to comply with the approved plans, specifications and applicable sections of the governing building codes.
Inspector's Signature ,
Print Name _C�U— 23)AJ. %.A
Certification Type RC
Certification Number a \yytZ -
All inspections based
on a minimum of 4 hrs, and
over 4 hrs. is an 8 hr. minimum
Reg. Time Over Time DBL. Time
Approved Byli)odk 1 ,
CITY OF COSTA MESA
BUILDING DIVISION
FA 77 FAIR DRIVE, COSTA MESA, CA 92626 - (714) 754-5273 • Fax (714) 754-4856 - www.d.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: V BX07-00085
PERMIT TYPE B_MISC STATUS: ISSUED
DATE ISSUED: 08/17/2007
ISSUED BY: SOK
JOB ADDRESS: 1199 EL CAMINO DR CM 'Suite/Unit:
Vicinity: BATHROOMS AND GARAGE' Prlmary,Occ Const Type
??
SQ. FT: 0 Valuation:' $1,900:00
SCOPE OF WORK: REPLACE 2.1NINDOWS LIKE FOR LIKE LOCATED INT,HE'BATHROOMS AND
FRAME, BUILD UP OPENING, INSTALL NEW WINDOW
IN GARAGE, FLASH ANDRE-STUCCO.
OWNER:
DEAN, LEE A TRr ,':
' Address:: 1199 EL CAMINO DR - _ Unit
City/State:
COSTA MESA,'CA.., •'
Zip.Code::'' 92626-5542 .
Phone:
Final Re -Roof
201
APPLICANT:
STEVEN JANOSIk
Address:: 1621.E ST'ANDREW PL Unit:
City/State:
SANTA ANA, CA
Zip Code: 92705
Phone:
714-259-5120
CONTRACTOR:
DIAL ONE WINDOW REPLACEMENT SPECIALISTS`° License No; 523043;
Address:
1621 ;E ST ANDREW PL
_ Unit:
City/State:
SANTAANA,,CA'
Zip Code:
92705Phone
714-259-5.120 Cell:
�. N ..
ARCHITECT. Icense, o.
Phone
ENGINEER: License No:
Phone
-
_FEE SUMMARY ,
Building Plan Check:
Building Permit: $66.20
Electrical Permit: $0.00
SMIP Residential $0.00
SMIP Commercial $0.00
$O.00TOTAL FEES $66.20
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE $.
INSPECTION TYPE
1616
Fixed System Final Fire Prevention
1266
Pool Spa Final
200
Final Re -Roof
201
Final Block/Retaining Wall
202
Final Factory Fire Place
203
Final Sign
204
Final Demolition
DATE INTIIIALS CODED INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
DATE INTITIALS
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one or the otlowing declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
pe rmance of the work for which this permit is issued.
I, have and wilt maintain workers' compensation insurance, as required by
C ecfion 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
�number -are:
(T/tis seticw nryHndf7be(¢?vnfVele00Ne pemWis alueltla�rmehunpieNch4ars (SrIXJlpress)
Policy Number: - 6 1 J \ O� R (0 `U
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the La C de, I sh I rthwi[h comply It these provisions.
L�Apirer's, pnmure L—Dale -
WARNING: FAILURE O SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
CLc, # 3 G 5s � _ B
I LA
8 -/lp
/ Cwtra is 'igruture — Date - J
CONSTRUCTION LENDING AGENCY:
Q I hereby affirm that there is a Construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
Q I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her.own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
Q I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
31157-a6 (M7)
Owner ID verified by dri0se. ❑ Yes y❑ No III
Driver's License No. Expires:
Venfication of Ownership by (type of document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, Scaffdtling. falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a pennit to do such work from the division.
Signature Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of Compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration forth for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such constructi0n
or modification from the South Coast Air Quality Management District or from
any other air pollution Control distract or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(if 'yes', the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If yes", attach certificate of Compliance from the appropriate air pollution
control officer). '
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to Comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and slate that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Sig a e of Legal ) Date
�- (10 _C)_7
LMwmr Aulhpttel plu,an, r Date--\
JOB SITE
Window & Door Chance Outs
1 The FollowNg locations Require Tempered Glass
A Glass N Doom "
B. Glass In WIndays WBMn 24• Fmn Doors And- Than 60' Wgh
C. Glaft W"5 FestFinn Paul Or Spa
D. Glaang N WhWmvs Al &mwOrBaft b & Stora Landings
Mast Be <Than 60' Above Floor
2 Ali Construction Shad Comply With The 2001 Cal. Budding Code.
NI Wmdm Are Rated And Cabled For 200slsf Of Wind load
AO Wineows Meet UBC sec. 2406 For Safety Glaring.
AO Windows Morel UBC sec.1203 For Light Are VeM0aton.
All Windows Meet 2005 Energy Code Requirements -
U Factor =0.67 Or Less
Solar Heat Gain Concent= 0.40 Or less
3 - ke Alarms N AM Bedrooms.
A0 Bedrooms; Must IAt Lead One Wudoer IDoor Opening Directly
To The EAss or -0 Must Mae The Following Cdters
Min ClearVII z20' MN.CIear Heght=24'
Ml%Ama=574FL Max Se Height =44'
4 Stucco &askout4'rovide MdstSlop Flashing Around AN Window, Doom.
Provide W*uthaneAt Other Needed Loc. SUChAs lnreRvIdIng
EA C visuudlon Sudaces, Smd EA Shelves And Al Fid. Peres bo s.
EAedor Saxons Shall Comply With Chapter25 UBC. Min. 60 -reports Bldg.
Paper For Ehdenor Slu= Inspedbns For Saatch, Blown and
Color Coat Required
Provide 2 -Layers Of Grade D Paper At All Edenor Walls With Wood Base
SheaOdng and Stucco Covering Par 2506A U8C
PILI &2' Clearance From Weep Saeed To Grab And 'Paved
Sudace Per 2506.5 L EIC
5 Does Any french Dar Suring Out? YES NO
The OulswIng Door Must Open Ova Uvdiq Not More Than i"Below
Interior Floor Sudeca
The Larding Must Be At Least As Wide As The Daahs)Arid Eldend
Out Fran The Thrashhold The Dlslznee Of The Doom Outawaighig Arc
Tea sry swsr ore is verse As som 000as
ua eusr sxrsro more ruu ro ruu aursvxy
w scores
Some Values May Differ Slightly
See Sticker On Individual Glass
EXI5TING WATER
MANAGEMENT MEMBRANE
STUCCO PLASHING TUCKED UP
BEHIND WATER MEMBRANE
A MINIMUM OP I-
ANDER5EN 5EALANT-
BACKER ROD -
TRIM KEKF TO
ACCEPT FI1415111NG TRIM
ANDER5EN IN5EKT WINDOW
APPROVED ANDERSEN INSERT WINDOW
ANDERSEN PATIO DOOR DETAIL
Dior
1W jumow
Wlodouv 16lilacement Spoela/fefc
S6 LM CAM\NO
---PIL-- -- -- --------- - - - - --- -.
L
21' 1-JIUKT AhU
i
i
_._..- — — EL CAMINO DRIVE -- - - - -- --- - --- - - - - - -.G_..
NO. ROOM
EXISTING WINDOW I DOOR SIZE
NEW WINDOW I DOOR SIZE
1 BATH
44 X 32 ALUM XO WINDOW
44 X 32 RBA XX WINDOW
2 MEATH
22X 37 ALUM JAL WINDOW
22 X 32 RBA DH WINDOW
3 GAR
62 X 69 WOOD XO WINDOW
62 X 37 RBA PIX WINDOW - BUILD UP
LEGEND:
XX SLIDER, SLIDER
XO SLIDER, FIXED
GW GARDEN WINDOW
CST CASEMENT
PIX PICTURE WINDOW
CONTRACTOR
DIAL ONE WRS
1621 EAST ST. ANDREW PLACE
SANTA ANA, 92705
714-259-5120
JOB:19143 ja
AWN
HOMEOWNER
NAME:
LEE DEAN
ADDRESS:
1199 EL CAMINO DRIVE
CITY, ZIP:
COSTA MESA, 92626
PHONE:
714-546-5614
Prepared By.
Steve Janosik
LEGEND:
XX SLIDER, SLIDER
XO SLIDER, FIXED
GW GARDEN WINDOW
CST CASEMENT
PIX PICTURE WINDOW
CONTRACTOR
DIAL ONE WRS
1621 EAST ST. ANDREW PLACE
SANTA ANA, 92705
714-259-5120
JOB:19143 ja
AWN
AWNING WINDOW
DH
DOUBLE HUNG
SH
SINGLE HUNG
RBA
Renewal By Andersen
PD
PATIO DOOR SLIDER
ALL NEW WINDOWS HAVE DUAL GLAZE, LOW - E GLASS UNLESS OTHERWISE STATED
SCOPE OF WORK:
REPLACE 2 - WINDOWS WITH ANDERSEN RENEWAL WINDOWS
REMOVE ONE WINDOW AND BUILD UP OPENING APPROX. 32" - INSTALL NEW WINDOW, FLASH AND
RESTUCCO WITH TEXTURE TO MATCH
NO HEADER CHANGES
at, ..
.... .... , .
else...
Energy Efficient Windows & Doors
Renewal
byAndersen
WINDOW REPLACEMENT
W
1
PROJECT ADDRESS: 1199 EL CANINO DR
A0x17:
OWNER'S E: DEAN, LEE A .
DOflESS:, DEAN, 'MARGARET T
1199 EL CAM.INO DR
COSTA MESA,CA 49626
ARCHIENGINEER: REG.NO.:
ADDRESS: , UNIT:
PERMITTEE: SAHARA POOLS ('7114) 392-07.81
ADDRESS: 1768 ARROW H'WY
LA VERNE CA 91750
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisors 3 of the Business and Professions Cotle, and my license is in full force and effect.
CITY uc.:0539'78 STATE LIC. CLASS: C'-53
Date'. Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insuranceor a certified copy•thereof (Section 3800, Lab. C).
POLICYNO.: 475:780--90 EXP. DATE: 12 /01 /9.1
COMPANY: STATE
T Certified copy is hereby furnished. Lq Certified copy is filed with the city Building Division.
Date: Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less).
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner se as to become
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must fodhwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097, Civ, C),
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: Ihereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Cade: Any city of 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
I, as owner of the property or my employees with wages as their sale compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his ocher own employees. provided that such improvements are not intended or offered for sale. If, however the building. or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section. - B. 8 P. C.
for this reason
Date'. Owner'.
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle ane) need to comply with said state codes and the requirements for a
permit for danstruction or modification from the Air Duality Management District Residential construction appllcation4 are exempt from
these provisions
Date: _ Algol cant
,.
I hereby certify that I have read this application and state that the above automation is correct. I agree to comply with all city and county
ordinances and state laws relating to budding construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. +
Date ' � - ."-". .... .. _,..e Signature' --._... ..
Driver's License or Social Security #:
164146 White—Building: Green—Code Enloreement. Canary—Applicant, Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA,- BUILDING PERMIT ;PERM NO; B 053488
PERMIT NO: B 053488 PLAN CHECK -NO: 03164-91 S GOL?T: N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW
SOB, DESCRIPTION : IN GROUND POOL '& SPA SQ FT: 360
CLAIM VALUE:, 1.0,000.00 CALC-VALUE: 4.,320.00 ,GROUP OCC: R-3 /
COMMENTS: POOL F SPA
w##.#######-#iE-i'#"dE X. XIE##.Ys###%X;KX. ###i,#W#3E######
Z O 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 RGHT; FT IN LETT: FT I I RGHT:r FT IN
_ f
PARKING REOp• PROW PARCEL: 14'15611.7 ZNE: R1 REF NO:
PLANNING NlSTES> IiNSTALI:ATION OF A POOL.
D E V E L O P M'E N T S E R V I C 5S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY DATE.
APPLICATION ISSUED BY: DATE:
LEGALIZATION:N F E E S U M M A R Y ;STRUCTURAL'SEGMEiNT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRAT) X1G
PERMIT 72.,00 ,50 '
' sMIP/,.TON-RES
PLAN 46.80
ISSUE FEE
BUILDING -DIV-> PERMIT ISSUE PLAN --CHECK TOTAL PAID DUE
TOTALS ---- > - 72,50 0.00 46.80 119.30 119.30 ,00
REVENUE DIVISION TOTALS-->- COLLECTED; 119.36 OVER/SHORT.: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN -CHECK
72.00 ,50 46,80
I N D I V I D U A L r E E B R E A K D O W N
TYPE QTY
D,E S C R
11? T I O N
UNIT COST
TOTAL. COST
SFR 360
RES -POOLS
PER SQ FT OF SURFACE AREA
12.00
4,320.60
END OF :'EES
01 0004`254-00095256 Tl ?
DATE= 03/21141 TItiE' 11.57
I
D
CONSTRUCTION AND PLANNINGPOO
. APPROVALS' Permit # Date
Inspector
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
8. Foundation
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, 0 Undrgrnd., Test
iAq(
-00'
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 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. Rougli 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
'fl' •----
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 0Gas C3 Oil
23. Gas Pipe:Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank O Gas 000
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 PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT -.!Z
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
-
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Go
,
51. CERTIFICATE OF OCCUPANCY
No Date
-
I
PROJECT ADDRESS: 1 1 9 9 EL CAM I NO DR UNIT:
OWNER'S NAME: DEAN, LEE A
ADDRESS: DEAN,MARGARET J
1199 EL CAMINO DR
COSTA MESA,CA 92626
t7y.1ENGINEER: REG.NO,:
ADDRESS: UNIT:
PERMITTEE: SAHARA POOLS ('714) 392-0281
ADDRESS: 1768 ARROW HWY
I,A VERNE CA 91750
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
CITY 053978 STATE it C: 350250 CLASS: C-53
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereby alinm that I have a certificate at consent to self -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800, Lab. C).
POLICYNO.: 475530-90 EXP. DATE: 12/01/91
COMPANY: STA'L'E
I Certified copy is hereby furnished 1� Certified copy is filed with the city Building Division.
Date: Applicant.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (51110) or less).
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: If, alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwgh comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is Issued (Section 3097. Civ. C).
LENDER:
ADDRESS: '
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the ContractorsState License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit splatters the applicant to a civil penalty of not more than five hundred dollars ($500).
1, as owner of the property or my tmlayers with wages as their sole compensation. will do the work, and the
❑ structure is not intended or offered for sale (section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon. and who does such work himself/herself or through
his or her awn employees. provided that such improvements are not intended or offered lot sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale)_
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code : The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section, R. 8 P. C.
to, this reason:
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/wilI not (circle one) need to comply with said state codes and the requirements for a
permit ler construction or modification from the Air Quality Management District. Residential construction applications are exempt train
these provisions. r.-irf
DaleApplicant: / •''� ''+�''
I hereby relay that) have read this application and slate that the above information is correct. I'agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property tar inspection purposes.
;s-
Date: Signature:
Buyer'a License or Social Security e:
164146 White—Building: Green—Code Ent rceni Canary—Applicant; rnon—Havenue; uomenroo—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 053490
PERMIT NO: P 053490 PLAN CHECK NO: N GOVT:'N SUPP:,N
CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: NEW
SOB DESCRIPTION : IN GROUND POOL G SPA SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 ./
COMMENTS: REP B53488
7.'0 N T N G R E Q U I R E M E N T S
S E T B A C K S
------------
MAIN BLTILDING
-----------
---------
ACCESSORY
BUILDING---------
FRNT:
FT IN REAR;
FT IN
FRNT:
FT IN
REAR: FT IN"
LEFT:
r'T' IN RGHT;
FT IN
LEFT;
FT IN
RIGHT: FT IN
PARKING
REQ: PROV;
PARCEL:
1.4156117
ZNE;
REF NO;
PLANNING
N TES>
>
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; DATE:
LEGAL'I'ZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT. 2.00
PLAN
25& SMIP/NON-RES' .;:-
ISSUE FEE 3.00 -
BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE
TOTALS ---- > 2,00 3,00 0.00 5,00 5,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5,00 OVER/SHORT: $00'
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAIN-ti:HaCK
5.00
##k###i!'if?F'F.iE}i-if#ifi%'fiii'if"?!'iE'j('#ie k'ic i!"k iEk%'k#iF i43i-#iEklF#kir#'k ie kii}Fk'#'kiE};iEk#kkk#3f}t'i!'if k'#k'kir h`ib if ie#fC'k:F'
I N D I V I D U A L F E E B R E A K D 0 W
TYPE QTY D E S C R I P T I O N
PLU 1 SWIMMING POOL
END OF FEES
UNIT COSI' TOTAL COST
2.00 2.00
Y
01 00095257-00095257 TLI-r
DATE: 03/21/91 TIME: 11:57
CONSTRUCTIO'J AND PLANNING
APPROV/�r1S Permit # Date
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, El Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 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 Ceiling
69. POOL/SPA SYSTEMS FINAL
L
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 0 Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing -
73. Undergrnd. Storage Tank O Gas G 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 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:
'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
I
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
I
51. CERTIFICATE OF OCCUPANCY
No. Date
1
PROJECT ADDRESS: NAME: 1199 EL CAM1NO DR UNIT:
OWNE AD NAME: DEAN, LEE A -
agOREss: DEAN, MARGARET J
1199.EL CAMINO DR
COSTA MESA,CA 92626
ARCH/ENGINEER: - REG.NO.:
ADDRESS: UNIT:
PERMITTEE. SAHARA POOLS
ADDRESS: (714)392-081
1768 ARROW HWY
T YRA N. CA 91750
LICENSED CONTflACTOP CLARATI hereby affirm that am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is 1n full force and effect.
CITY 053978 STATE LIC .:350250 CLASS: C-53
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C).
POLICYNO.: 475580-90 EXP. DATE: 12!01/91
COMPANY: STATE
__q'Certified copy is hereby furnished. �] Certified copy is filed with the city Building Division.
Oil Applicant.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit 1s lot one hundred ($100) or less).
I certity that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: It, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3197. Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the ContractorsState License Law for the following reason
(Section 7031-,5 Business and Professional Code'. Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance. also requires the applicant Tor such permit to file a signed statement that berate is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). '
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
❑ structure is net intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. 11, however Ile building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
❑
1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business an
and Professions Code'. The Contractors' State License Law does not apply TO owner of property who builds or improves thereon
and who contracts for such projects with'a contractor(s) license pursuant to the Contractors' State License Law),I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason.
'Date: Owner:
I do hereby carry that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and
25534 and that I or any furore building occupant will ill not (circle one) need to comply with said state codes and the requirements for ar
permit for construction or modification from the Air Or Management District. Residential construction applications are exempt from,
-
these provisions.
Date' Applicant. -�%•
I hereby terrify that I have read this application and state that the above information is correct I agree tontomply with all city and county
ordinances and stare laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned
property Tor inspection purposes, <
Date: Signature: ff`
Driver's License or Social Security #
1641-46 White—Building: Green—Cone Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor
CITY O: COSTA MESA — BUILDING PERMIT PERM NO; E 053489
PERMIT NO: E 053489 PLAN CHECK NO: N GOVT:.N SUPP; N
CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE: NEW
JOB DESCRIPTION IN GROUND POOL 6 SPA SQ FT:
CLAIM VALUE; CALL—VALUE: GROUP OCC; R-3 !
COMMENTS: REFiB53488
>EaEaEsEtra;##>Fr:#>E�6xk#rc#rE�e�ErE>Ertie�Ef�-xrc}.>EkE#�L*k-�-�ErE�6###xit-�trE-#�f�ErtaE�rt�Ex—aEr��;-#kErE-r.+Ei6±r•#>fr;#�F?E�Er:-�EN# '
'Z. O 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
RGHT;
FT IN
LEFT;
FT IN RGHT:.' FT IN
PARKING RE
PROV:
PARCEL;
14156117
ZNE; REF NO:
PLANNING N TES>
>
'IF k of ae##iF##iE ie#}=##!F#?E##if####!r*#######ib##if#######±k
ii##ie
iF if a:rr-a(-?si(-3F#iE ri"kie#ii if "J4#*3c is#�-iii!i•E a}#
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:
FIi11ii1Mllfd[ei�i:�'�
DATE;
APPLICATION ISSUED BY: DATE:
##RF.aiiE i( -#3E RF-lE#3f######iF##iE� .. +r .. rt#rF if ii•Bf ii-###�k#
Tp 9r#jF#IF ie�#if########f##a6##if###it##dF##i-#iF#K"�'i(ib#1F iE lf-#i:iillf 1E#k 3f lf-W IE iF#####ifi #,`t3f-3f#3r }.Y Nk*Y.##ik
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 30.00
PLAN 503 SMIP/NON—RES
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT" ISSUE PLAN—CHECK TOTAI. PAID DUE
TOTALS ---- > 30.00 15.00 0.00 45.00 45.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED': 45.00 OVER/SHORT 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE S,`4IP/TOT GRADING PLAN—CHECK
45.00
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
E L E 1 SWIMMING POOL — IN GROUND — NEW EA. 30.00 30.00
END OF FEES
01 000952533-00995253 T U --
DATE: 08/21/91 HnE: 11456
V
CONSTRUCTION AND PLANNING'
APPROVALS Permit # Date
Inspector
- POC A
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.
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
92,
jaw
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
18. Rough Electrical -T Bar Ceiling
19. Rough Heating & Air Conditioning
68. APPROVED FOR PLASTERING
69. POOUSPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
L
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22, Ducts, Ventilating
71. Product Piping 0Gas 0Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑Gas ❑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 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:
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
_ _ I
CITY OF COSTA MESA FEE RECEIVED
15731 OCT 2 5?,
Building Safety Department e °BY
Application for permit for the fabrication and erection S� w JV FINANCE DEPT.
of awnings, advertising signs or devices. / ..r CITY OF COSTA MESA
q LOCATION FOR OFFICE USE ONLY
Building Site Address /19 14 _D Lr n5T2 G Date Issued t Permit No/r�.7-3/_-
Name of Leasee CCI) e)Phon
Fire Zone Type Group
—
Approved
%s
�� ) Approved by ate ���Y�
Contractor �%PLbt�V �? .(%if � /✓C State License No. /�-�� � �
/ ZON147
address,24.7 A,/
.o//!04 city -'
L A Phone Ll L !c 0 Zoned Use of Bldgs.
Ar<hitect or A. P. No. Z-e-� / 17 -7 r T oz- ya-a
gineer State License No.
address City Phone- Bldg. Site Address
-�e
C
DESCRIPTION Legal Own rYY�
Description of awning, advertising sign, or device: 37
Awnings canvas El metal EJ Width: ft. in. Length: fr. in. Address"
Ground Sign Projection Sign Roof Sign Wall Sign Metal Letter Sign City`
� Yards Approved.
Banner FJ Canvas Sign F-1 Gas Tube Electric Sign (Sub -section 1.44, Ordinance 313) E] Large Sign in excess of 8 sq, ft. Setback from center line
Combination Sign Special Device (other) 0 Explain: of street to front property line -`ft. in.
From property line to edge of sign ft. in.
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on Side Yard Setbacks:
plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18"
by 24" and non -erasable. Left Side KcIft. y in.
If within the 10 -foot area of front property line, owner is to sign written agreement with the City. Right Side 6c, ft ` n�n.
. of Sign — Thickness ft. in. Height�fr. in. Length�ft. in, Building Line Setback from
center line of street _' ft. in.
Weight lbs. Height above grade---7—ft. in. Projection ft. in. Area of Sign -ft. in.
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and U
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of Height above Grade -ft. in.
the City of Costa Mesa), and all amendments thereto. Projection ft. O in.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN. Awning Size—Width ft. in.
SPECTIONS SHALL BE CALLED. 9
Length fr. in.
Signature .r+ui The amount shown under Valuation is for the purpose of Awning Height above Grade ft. in.
Permite ) establishing a permit fee only.
Authorized A ent Projection ft, in.
9 y' VALUATION Permit Fee $
ob � Location and size
/ $ pZ 5'D = Plan Check $ approved by
Recd. by !z Date c�✓Total Fee $-477 Date
Form 214—iM—II-60—S-8 P
CITY OF COSTA MESA 6) V 16381
Building Safety Department I �
Application for permit for the fabrication and erection ( O
of awnings, advertising signs or devices. l
/, LOCATION
Building Site Address
� e Y
Name of Leasee COQ' _AFI%!J/V Phone
Contractor 64-6—IFP C/(, /V r "It4p4w 5:' State License No.
address 2.7/L UZ, 54.57- City ' 60-S 7W 144F5,4 Phone el V 261 %
Architect or
gineer_
State License
address City P
DESCRIPTION
Description of awning, advertising sign, or device
Awnings canvas' El metal ❑ Width: --,6—ft. — in. Length: eft. —in.
Ground Sign E" Projection Sign ❑ ) Roof Sign E] Wall Sign ❑ Metal Letter Sign 0
Banner ❑ Canvas Sign ❑ Gas Tube Electric Sign (Sub -section 1.44, Ordinance 313)
Combination Sign LJ Special Device (other) ❑ Explain:
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on
plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18"
by 24" and non -erasable.
If within the 10 -foot area of front property line, owner is to sign written agreement with the City.
of Sign — Thickness ft. in. Height--6—ft. — in. Length-_260—ft. in.
Weight Ibs. Height above grade -ft. in. Projection ft. in.
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
the City of Costa Mesa), and all amendments thereto.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE GALLED.
Signature of
Permitee�
Authorized Agent Ck1Rmp- &L N Cc, .
Recd.
Form 214 -1M -11-64-S$ P
The amount shown under Valuation is for the purpose of
establishing a permit fee only.
$
Dat
VALUATION
Permit Fee
$
�t�/
X
Plan Check
$
Total Fee
$
FEE RECEIVED
�t FEB 8 1962
//Y' FINANCE DEPT.
CITY OF COSTA MESA
FOR OFFICE USE ONLY
FEB 14 1962 �� . ,
Date Issued Permit No.
Fire Zone a Group
Approved by Date
ZONING
Zone Use
� of�tBB gs. q/'' /
el
Bldg. Site Address ll j9 (�J�l�i-«'•-a V' r,
Legal Owner"-��--�f
Address
G
City
Phone
Yards Approved.
Large Sign in excess of 8 sq. ft.
Setback from center line
of street to front property line
in.
From property -line to edge of
sign ft.
in.
Side Yard Setbacks:
Left Side
ft.
in.
Right Side
ft.
in.
Building Line Setback from
/�
—ft.:
center line of street
in.
Area of Sign .
�g�',o ft:
in.
6t.
Height above Grade
in.
Projection
ft.
min.
Awning Size—Width
ft.
in.
Length
ft.
in.
Awning Height above Grade ft. - - in.
Projection ft. in.
Location and size p �(��`��, /�'
approved by—
Date�-
CITY OF COSTA MESA f
Building Safety Department pj 16382
Application for permit for the fabrication and erection / �V
of awnings, advertising signs or devices.
LOCATION
Building Site Address 11 97 LC QL */II j. to U RNV 1`
Name of Leasee �A ACC -0 C'n%PnRu-T1 IN ISI Phone I_ Con!g6 11
Contractor C'AE'TCe i.C�w C n . State License No.
address'"Z11 "Xu l . _i_�� , ity a&N_ A- ANA Phone K1 7) I �_
Architect or
gineer_
ME
DESCRIPTION
Description of awning, advertising sign, or device
State License No.
Phone
Awnings canvas metal EJWidth: �� .ft. in. Length:�ft. min.
Ground Sign Projection Sign Roof Sign F] Wall Sign Metal Letter Sign
Banner Canvas Sign 0 Gas Tube Electric Sign (Sub -section 1.44, Ordinance 313)
Combination Sign ❑ Special Device (other) ❑ Explain:
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on
plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18"
by 24" and non -erasable.
If within The 10 -foot area of front property line, owner is to sign written agreement with the City.
Of Sign
— Thickness
ft. in. Height—!4—ft. •—
in. Length—Lo—ft. — in
Weight
lbs.
Height above grade__,:; --ft. n.
Projection ft. in
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
the City of Costa Mesa), and all amendments thereto.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE CALLED.
Signature of \
Permitee n
Authorized Aaent S1c,>r
The amount shown under Valuation is for the purpose of
establishing a permit fee only.
r. 2a
$
Recd. byDat �
Form 21�1M-11-6"-B P
VALUATION Permit Fee $ r-2
to / Plan Check $
Total Fee S C _
FEE RECEIVED
FEB 8 1962
FINANCE DEPT.
CITY OF COSTA MESA
Date Issued FSB j 4 1962 Permit No.
Fire Zone a Group
Approved by Date
ZONING�
Zone L�� 7 Use of Bldgs. L,n �ll7 •
A. P. No.
Bldg. Site Address
Legal Owner
Address
City Phone
Yards Approved.
Large Sign in excess of 8 sq. ft. Setback from center line
of street To front property line 8 ft. in.
From property line To edge of sign 5�ft. in.
Side Yard Setbacks:
Left Side—slZ-ft. in.
Right Side
Building Line Setback from ��-------
center line of street /�0 t. in.
Area of Sign { ..ft. in.
Height above Grade ft. in.
Projection ft. in.
Awning Size—Width ft. in.
Length ft. in.
Awning Height above Grade ft. in.
Projection ft. in.
Location and size /L X 'n
approved by W /-ce
Date�—
V
CITY OF COSTA MES ;p
Building Safety Department �{
Application for permit for the fabrication and erect n
of awnings, advertising signs or devices.
LOCATION
Building Site
16385
Name of Leasee %V%QCp f.Ao,O A -r, Phone /1/E 60
Contractor CR,PTF_.P L%G/J iOMO.gNt' State License No.
address 2 7/L G - 5 S% CitR
y % M TA 44117 Phone K� 6L7
Architect or
gineer_
City
DESCRIPTION
Description of awning, advertising sign, or device:
State License
Awnings canvas ❑ metal 1-1 Width: _ ft. — in. Length: CG ft. in
Ground Sign
Projection Sign
Roof Sign El . Wall Sign E] Metal Letter Sign
IJ
Banner ❑
Canvas Sign F1
Gas Tube Electric Sign (Sub -section 1.44, Ordinance 313)
Setback from center line
Combination Sign
❑ Special Device
(other) F] Explain:
From property line to edge of sign 1 ft.
Two copies of plans and specifications shall be submitted with application for permit forjeach sign. Plot on
plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets must be 18"
by 24" and non -erasable. I
?If within the 10 -foot area of front property line, owner is to sign written agreement with' The City.
I
of Sign — Thickness ft. in. Height -62 --ft. —in. Length l ft. in
Weight lbs. Height above grade ft. in. Projection ft. in
The undersigned hereby agrees to fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with the provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
the City of Costa Mesa), and all amendments thereto.
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHALL BE CALLED.
Signature of
Permitee��
Authorized Agent_clol SILK C
The amount shown under Valuation is for The purpose of
establishing a permit fee only.
VALUATION I Permit Fee $
0 I "'/ Plan Check $,_
Recd. by Dat " Total Fee $
Form 219 -1M -11-6"-B P
FEE RECEIVED
FEB 8 1962
FINANCE DEPT.
CITY OF COSTA MESA
FOR OFFICE USE ONLY
Date Issued €-ER 1 4 1962 Permit No. 16_31J
Fire Zone —(7//, a Group
Approved bye Date
ZONING
Zone Use of Bldgs.
A. P. No.
Bldg. Site
Legal Owner
City
Phone
I
Yards Approved.
Large Sign in excess of 8 sq. ft.
Setback from center line
of street to front property line
—®Lft.
in.
From property line to edge of sign 1 ft.
in.
Side Yard Setbacks:
Left Side
ft.
in.
Right Side
% ft.
in.
Building Line Setback from
center line of street
'��fT.'f
in.
Area of Sign
-2 1/ 54./ ft.
in.
Height above Grade
ft.
in.
Projection
ft.
Oin.
Awning Size—Width
ft.
in.
Length
ft.
in.
Awning Height above Grade
ft.
in.
Projection
ft,
in.
Location and size
/
approved by
Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
'CITY OF COSTA MESA'
'ONO? RDCTION PERMI C=zy
PERMIT NO.
Z— .3 3Z
TRACT NO.
�ilao�%+
LOT N30.
BLDG.
- _
.
BC?9 I ��4'%�B3-
'
Project Address, -
A licani• Malin Address �WA'y1
l�P - Phone
Owner's Name Ptyr++�— `�"
- TYPE OF CONSTRUCTION LJ
❑ CONVERSION E❑ DEMO'
.DESCRIPTIO W RK e -b
�j �\l r.�% '� W A.
NEW OD Ll ALTERATION , REPAIR,
H OTHER a_..
'77q=) 'V�- �r0 ��`�
� 4 ' -
q,p,;# /
' Zone00
E
-
Main Building:' Accessory Building:ZO
(�
Address ���-{ T \ 1l' Q��ih-� l
Arch/Eng. �� • • d�le ` License No. ' �` I
Address ��
Contractor's Nam o
Address (malting)
I
'
I
'. TV\P E�OF PEFRM`IY j.• .GRADING- FOUNDATION STRUCTURAL
- .❑iTENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAC
❑ OTHER _ r - -
PROJECT DESCRIPTION SO. FT. ` ' IOCCUPA� V I
' CONSTRUCTION TVPE - l 'VALUATION$
•f
Front"�. e (•.
NJ
B''
%t
Rear ' /
I
N
C
Right y -
G
K
S,
/ '.
'Left, 7 .- , ,�
1
R
E
Ping. Ref. #
Park. Fees $(
-
,p
O
�.
'
-
City License No.
LICENSED CONTRACTOR DECLARATION ''
I hereby'affirm that I.am licensetl. under provisions of Charter 9 (commencing 1
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full ce a d'effect. L�' ��J
Lice ns���...a•••...0IIIaae�111s��- icense No.L1'��
Date Signature��� ._
WORK RS' COMPENSATION DE A I ,
hereby affirm that I have a Certiflcat2 onsent to self -insure Or a Certificate
Workers' Compensation lnsurance,'or a'cerLfietl co py er o (Section-
- 0 >
rrr i' (Y�7
Company
It led copy' hereby furnished. )'
Ce ti c py d with the city B ' ng v s o -
Date Applicant
ZONE GRADING
`
CU.YDS. - ACRES
j
,
1'
?
l
-
Remarks: Lilv /
Parking Req./Provided
U
i - -
Use sof Building: ` 't
-
E
PLUMBING FEES
-
Planning Notes: -
-
NI
E
Bar Sink Showers _
-
,
,
N
Backflow Preventer. i I Service Sink 1
Backflow Irrigation Sewer Cap i I
i i
i I
, ' ELECTRICAL ! - �„
- T
:. S
FEES
' Bathtubs Sewer Connection
Automatic Washer
Construction P_ole_Sub
'Transformer ❑ 15'50 KW
' ,El 50+KW
-
Clarifiers t i Solar Collectors . 1�
'
EXEMP ON.F OM WORKERS"COMPE A I N DECLARA ON - -
(This section need not be completed if the per 't I for one hundred ($100) or
-ti f
Dishwasher
Solar Piping
a. _ _ _
-" Cooking 'Unit
9
Meter ❑u to 100 am s-
1 P p
•
'
Ilecertify,that lin the performance otthe work forlwhlch this permit is Issued, I
shall not employ any person in any manner so gas to become subject to the
Workers' Compensation' Laws of California.. ' :'
Date Signature
NOTICE: if, after. making this declaration, you should become subject to the i'
Workers' Compensation provisions'of the Labor Code, you must forthwith
comply Iwithi such iprovisionsy or -th isopermit shall be deemed revoked., i
CONSTRUCTION LENDINGCAGENCY;�' •. { -
-
Drinking Fountains i Solar Tank ( %i
Dishwasher :Meter Dover 100 amps -
1
Floor Drains• Swimming Pool w/Spa • i
-
'-
Dryers ❑Gas) ❑Electric I Sub Panel r
Floor Sinks' Urinal
Fan _ r
_ .. , i s_ _ _ M_ot_Ors ❑_0-1 HP U /' 8
Gas Service. - °Outlets Water. Closet ( I i .�
_
F.A.0 f 'Inc Solar ❑9-15 HP -❑i6-15+ 'i
interceptors
Water Heater
Fixtures I
Microwave
(
I hereby affirm that there Is a construction lending agency'for the performance
of the (work <(or 'c his Permit -as. issued. (Section .3097 Civ. C.)
Lender's Name' -
i
1
_
Kitchen'Slnk .-
Water Service -
Device Boxes
.Pole) Light
Lender's -Address' -
OWNER BUILOER DECLARATION -
I hereby affirm that I amrexempt from the Contractor's:License Law for the
following reason (Section'7031.5;Business and Professional' Code: Any city or I
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
herefrom and the basis fonthe alleged exemption. Any violation of Section
I
_ -
Lavatories - -
Outlets 'Range
_
P -Trap• - +' -
Switches; Sign
-
I
Roof Drains _ - - •�
Garbage Disposal r Standing Sections
i
Generator ❑Q5 KW ❑5-15 KW Trash COm actor
_ P
`
r
Reinspaction-Fee
$25
1 f I -
Issue Fee $ 3
031.5 by any applicant for' a permit subjects the applicant to a civil
:3 enalty of not more than five hundred dollars ($500). -
1, as owner of the property or my employees'.with wages as their sole I
compensation, will do the work, and the structure is not Intended or offered i
for sale (Section 7044, Business antl. Professional Code:, The Contractor's
License Law does not apply t0 an owner of a property who builds or improves
thereon,. and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the buildingor Improvement Is within one ear,of com-
p v
pletion, the owner will.have'the burden of proving he/she did not build or im-
�Tve for the purpose of sale).
LJ I, as owner of the property, am exclusively contracting- wilhl licensed con-
tractursto construct the project (Section 7044, Business and Professions Cotle:
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 acon-
tractor(s) license pursuant to the Contractor's License Law).
❑ I am exempt under Section B. & P. C. for this reason
Reinspection Fee $25 , Issue Fee
$ 3
MECHANICAL FEES
PUBLIC SERVICES REOUIREM NTS:
Zoning Approved By Date
Application Approved B
PP Pp y Date
Application Issued By Da
''1
O� rR
Hoo
Boiler Hood or. Type ❑ '
Canopy Type II' ❑
Duct - Under Ground '
1
Duct - Structural Refrigeration System
Duct- Ventilating ❑0.100,000 BTU ❑100,000 BTU
SUM RY OF FEES
BUILDING PERMIT 3'•s $
$^ SMIP
PLAN CHECK $ IX �' f Z PERMIT
PLUMBING $ ISSUANCE $
•PLAN CHECK $ �I ENERGY P.C. ' $
ELECTRICAL T O GRADING $
$
PLAN CHECK 0 MICROFILM $
$
MECHANICAL $ TOTAL FEE $�j...0
PLAN CHECK $
Q'J—�
I
Exhaust System ❑ Multiple ❑ System Repair/Alteration
Firepl/Fact. Blt. ICBO +
Date Owner -
I hereby certify that I have read this application and state that the.above
information -is correct. I agree to'comply with all city and county ordinances
and state laws relating to b tiding construction, and hereby authorize repre-
sentatives of this city Ater' upon the above-mentioned pr pert
inspection.pur ses.
Signature Date 1
Drivers' License or S'9'
Heating System & Ducting
❑Q100,000BTU ❑100,000BT
- -
-
Reinspection Fee $25 - Issue Fee $ 3
'CMF 0865-46 rev. 7/83 Wnite - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND.P
APPROVALS" Permit # Date
Inspector
POOL iPA- _
APPROVALS Permit #
Date
Inspector
i. Te{tporary 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 TOOOVER-GUNITE
7. Footings t - "
-
58. Electrical Conduit-*Undrgrnd.
8. Foundation _ -
59. Ga's Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. -
60.- Backwash Lines; P -Trap, 0 Undrgrnd.
"
10. Structural Floor System
61. APPROVAL TO DECK
11: Property Sewer Line & House Connection
62. Backwash & Receptor -Final.
12. Sewer Cap
- -
' 63.7 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
)� a$
Lv'•
67. Fencing & Access Approval
'1'7. Rough Wiring Sign
in -
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
1`11*9.
Rough Heating & Air Conditioning
i
' , FIRE DEPT. REQUIREMENT1A
APPROVALS Permit #
,2 q. Rough Factory Fireplace -
-
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating .•
71. Product Piping 0Gas 0Oil
23. Gas Pipe -Rough & Test -
72. Underground Flush
24: Roof Framing
73. Undergrnd. Storage Tank OGas 00il
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
{I'�j g3
��C.
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
r
42. Backflow Preventer
,
43. Backflow Irrigation
,
44. ,Landscape Irrigation System
"
45. Sourid Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed.
+
49. Electric Release to Edison
-
-
50. Gas Release to Southern California Gas Co
-
51. CERTIFICATE OF OCCUPANCY
No. - Date -
1
t of_Costa Mesa Building Depi.
— -��-- Y ,/¢G -//b/n (?
— -
HE .ANS-61V5T'BE-ON JOB-ATTALL 71 VA _
- -CHANGES.- WITHOLIT PRIORI APPROVAL
OF DE-EPT
I I THE -ISSUANCE OR1GRANTING OFA I ERMIT'OR APPROVIAL
--
OF PLANS AND SPECIFICATIONS SHALL 1' _BE CQ
=
�-
IOT1017
I TO BE PERMIT-FOR,`ORTFN"APPRO'/A rANY-YCA
TO A
-GF-ANY-OF THE_P.ROVIS10iY'S_QF THIS C E. NO PERMIT PRE-
i
SU.'Alk TO GIVE AUTHORITY TO VIOL TE OR, CANCEL THE-
I PROVISIONS OF THIS"'COOE-SHALL BE -'ACID, -EXCEPT -IN -SO -----1--
HORIZFS IS LAWFUL.
i
i
- }— -+-FAR-fS-THE-WORK•OR..USE,WHICH_ITAU
- —
�-THE-ISSUANCE' f.-IrPERM1T-BA D-UPoN-PLANS AND_ _
iTH T rNS S L,- 'dT PREVENT T BUILDING OFFICIAL
ING THE COR ECTION OG ERRORS- `
IiID"FL"ANS-AYD'SPECIFICATIONS-O -FROM-PREVENTING__
-C.I
;LDINGt PERA IONS.BEING CARRIED 0 THEREUNDER (WHEN
IN VICLATICN OF THIS CODE OR OF AN OTHER ORDINANCE
--
�— - — —DE TtlE CITY'
—._«_�—•—T—
—�--
+-- T STRUCTURAL APPROVAL
I
O_�_
f ��LY_-_T
_
. $EPARATE_PERMITS-ARES REQUIRED
FOR ELECTRICAL;-PLUMB!E�Ir,
--�
-� - -- -� -
HEATTN.G _VE,^ �ATFN-AND -
_REFRIGERATIFAI Inn 1,
ifdGil�
n H , NUr B R-ry �-
}�� ,R` t�
CT ACQONIPANY
-
-
l, A
�G�?aI
'
QUESTS
APPRO T IY
I,
-+ . — t 1 RE _�ia�_ax :e �'=c: U �T -- -
Sl,li: OF ` C n IHS THE j
.IFD'..A
-
- -
- - — -
— CITY -:OF -COSTA MES? _._.�_� . W
L! L
DIVISION OF --
FET1«br- CIINSI
t _ ;_ACDLiiJNaL P;EpU!E1l�ENTS. �LTED FDR_
I
—PLANNING DEPT.
I
I SUBJECT TO BLDG. DEPL u—
DATE,/Oj 7-
-
oiucm.OF-PLANNING �
21015
COSTA MESA BUILDING -SAFETY DEFARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
AADDRESS 1199 E1 Camino Drive
COSTA MESA. CALIFORNIA
rtt KLULIVED
NOV 1 5 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For. Office Use Only
RECEIPT NO.
P RMIT NO.
OWNER Mesa el Mar DevelopmentCo.
O J
MAIL
RE@I BY
DATE RECEIVED TE ISSUED
ADDRESS 3800 East Coast Ri hwa
/—/5-G3 (
�t�l 2 1992
TEL. ..
BUILDING
CITY Corona el Mar NO.
ADDRESS
0 No.
COSTA MESA. CALIFORNIA
EER Ma ealt Co. OR3-422
ADDSS Highway,FIRE
ZONE
APPROVED
TYPE GROUP
_..GATE/
/ L
CONTRACTOR
ING
ADDRESS s a
CITY Corona Del Mar
ZO
—
NO. OF
I PLARS'
USE OF N
I BUILDING
(lw
SAE T'L_LTC.TNO. 207343 -SBI NO. R3-4220
LEGAL Parcel
DESpDPTION
A Tract
-
�k4204
SIZE NO. OF
LOTS.
OF LOT NOw ON LOT
A. P. NO,
USE OF
YARDS
EVES
EXISTING BLDG.
APPROVED
ALLOWED
SETBACK LINE FROM
(CENTER LINE BT
CENTER OF STREET 60' REAR YARD 35'6"
FRONT
FT.
IN.
SIDE YARD I LEFT '
RIGHT'. 16'
R. SIDE
61 FT.
IN.
DESCRIPTION OF MORi
L. SIDE
FT.
IN.
/
I
C
ALTERATION ADDIT
REAR
(
SSS FT.
IN.
REPAIR I I MOVING I I DEMO
BYPR.
DATE
BUILDING NO. OF
'
x55' ROOMS 8 ST1
y�55'
COVEREXTERI11 NG WOOd $tUCCIIOOF
COVVERING Cedaes
USE OF BUILDING AND WORK TO BE PERFORME-Sin
le Famil Residence w/attaPIM
11dd
/I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ION
THE AMOUNT SHOW UNDER VALUATION
IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGROM-
PURPOSE OF
ESTABLISHING A PERMIT
FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWSINGBmLOTU
VALUATION
SIGNATURE OF
OFMESAxDEL MAR DEVELOPO.
PERMIT FEE $
57
PLAN CHECK S
7"
PERMITTE
-
s l6, 599.60
/ /7
AUTHORIZED AGENT '% ( ;�.
TOTAL FEE S�'~