HomeMy WebLinkAbout2817 EUROPA DR - Building PermitsADDNFSSOfBNLdNO: Z81'� EUROPA DR UNT:
°""E"s"'°'E'°'aav": NOLING PETER R TR FLOOD: AE-46
/i00NE55: 281'� E�JROPA DR
COSTA MESA,CA 92626
� APPL. M111IN0 ADUPE54:
AIICNRECT OP EHOINFEN:
�, /�RCN.ON ENO.'9 /i00NE55:
CONTNACTORSNIYE:
CONiN�CTORS YYtdlO
,�oonEu
�I
uc. No.:
UNT:
uc no:
UNT:
LICENSED COMHRCTOflS DECL�X�TION: I Aereby ellim uMar pem�y d pmjury Nm I em Icaued uMa pewivane d Chaqx 9
(canmeMinY vm� Seclian ]000) d Divi+un � d Ur Buainen xd Vrtlue'vre Code. and mY 4oenee e in NII forca vd alleq.
cmuc.r+o.: uc.cuss: uc.No.: EXP:
Dete: Camadm
OWNEN BUILDEfl OECLAN�TION: I Mieby etfirm under penely d perjury Ihet I em memq hom iM CaM�edon liuroe Lew la �he
Idbwip iseson (�� )�1.5 Buaiwaa enE Prdeavms Cods: My ery a eounty xfiidi epuiras e psrme to warvun. eliw. imprwa.
damd'eh, a repai+ny evunve, pia l0 4s iaueme, +bo iepwrae tAe eppli�u 1« ach prmn lo fib e aprd stmemen� thel M a sM
'e I'icemed Du�auen� ta �M prov'tions d Na Con�raqan L'renae Lew �Chaqx g(mmmemiiq wnh Secun lOW) W DH¢ion 3 d ihe
a��� �d r�dass� coael «mm na «.na e �.�a �nerx�, �,e n» nsse �« me �o� ��qo�. N,r.wmo� a s«roo
)031.5 by eny epqiceni iw e permn subjeUa IM1e eppli�ant io e cvil peneM1y d M mae �hen fna hurdrad doAen �5500��.
�I.momierMlMCWaMnmYemdoi�exfh p�mtheimbmnD�setan.rriOdoMexwk.ardthenrumnuroivneMed
w oNarad Iu mle (Sxtion ]Oad. Bm� enE Prdeaeona Code: The Contrmon Lioanaa lawdoea rol eppyto en ownmd propeM
who Wiee a inpaw� iheiean. eM xtn doea euM wak h'unaetl a Axad a Wougn ha a her own amvbl+�a. Va'� thm wM
�mo�wemem. �a �a �me�ea «one�e ia.aie. n. no.ev«. me w�u��w a mwwemmi �. eou �;mm o�. v.a. w WmW��,, ine
owmrauildm xill haw �ha buNen tl pm.�'up he «she dd nd dAd a'unprow lu Ne pvpose d eebl.
� I. d owmr d tM pW�Y. em e�dusi.eN mntredYq vAh IiemeeE canuenon �o rn�mue Na Mq� (Saeion )01I. Bueinave eM
vide�au coae: rne caureca. Li�� lm, eom m roW a m, o.n« d ww�r wno wua� « onpwo inenm ,ne wno
eonlrecn lor m h peqeaa with e ooMretlw(s) Icenaed punuem io the Conlredae limnsa Lewl.
� 1 em eRemp uMm Seclian: 8.8 P.G.. br eeaon: �
De�e: Z � i.�%-�N5 9'..]� o.,�er. � � ��
i m n.eM �nwr u�.� i.m ....s a�e �.eersw�a m. �w���«�.m a cwon:e �enn .�w smen ae s.aom usos. zsss�. �a
25551, eM tM1el I a eiry Mure Wiki�q ompenl wiil / wil iwl (e2b ane) neeE lo canply x1h eeb s mEu enA tM rtaWremenls ta
eG�diamawc�unaimEJretionhomlM/v u�8�ly�a�janva0iur'vf.RsudruilmmiucuneGV�iammaenempiromthave
provhiona.
Date: MN�
WOHKER'S CONPENSATON OECLAR�TION: I hsreby elfvm imdx pmMy d papvy w M tlw b0owinp Aedutlbm:
� I heve eed xil meinlen a eenJ'rme tl ooroenl �o eap�mun br wMen' eanpenwion. n proviEeE la Ey Saabn 9]00 d Ila LeEa
ca.. ia �n. wn�. a m� .� i« wxn mm o�m o��.e.
❑ � ne.. end xi� meimew..ax..� mmw�o� um,rerce. m nc�.e M seaim a�ao a ms �neo, coe.. ror me w�«menoe a ine
w«k 1«.MiM �hie G�n u usued. MY raFen' can0emtlian imurenu wris uW O�Y nivnbx ars:
Carna:
Paliry Numbar:
,hia aecfim mad rat be mnNMed l �M prmt e b ars huMrea EOAus (SIWI a Im.)
�, � 1 canAy Nei in Ne pMomurca d ihe wark br xfiich �hu pem�u b mueE. I 4WI nol amqry vry px�on in ury men'wr eo s� lo
� becan� wEjad to iM v.oMrs' mmpenmion b.s W GeNarve W y�es thm i I�haM become viAjw io iM wwl�en'
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 072864
PERMIT NO: B 072864 PLAN CHECR N0: 02316-95 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PEAMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : 66LF CITY STANDARD BLOCK WALL SQ FT: 66
CLAIM VALUE: 1,300.00 CALC—VALUE: 1,320.00 GROUP OCC: R-3 /
COMMENTS: CITY STANDARD BLOCK WALL
*�rieitx�it�r*it***iE+rat�*�r*it*�x�r**�r*��*�x*x****et�r�***x�*�t�****ie�eitetit*�*x*�iE�it�r�iEit***�t*+t**
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 HUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: 39 FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRZNG REQ: PROV; PARCEL: 13940409 ZNE; R1 REF NO:
PLANNING NOTES> 61 LF, 6' HIGH HLOCK WALL ON THE LEFT SIDE PROPERTY LINE
> WITH A 6' HIGH, 5 LF RETURN BETWEEN THE WALL AND THE HOUSE.
1E 1E iE iE'lE iE �E fE iE 3E 1E 1E 1E 1E iE 1E iE iE IE if 1f i(-1E 1E 1f iE 3E ff iE 1E iE if iE iE iE iE 3F IE iE IE 1E'lE'1E iE iE 1f 1f IF if IE 3E 1E 1E iE 1F'k iE 1f !f 1E 3E 1E tE 1E 1E 1F iE fE 3f' �F iE 1E iE 1E �f 1E �E If iE
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 �`nl� DATE: % 2o I
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: �P,I� �� �
iF iE 1E iE iE iF iE iF iE iF iF i4 if iE if iF if iF if iF iE iE iE 1F 1E iF if iE ih 1F iE IEif"�F'7F�F�iF{E iE
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 33.00 ,5p'
, SMIP/NON—RES
PLAN 21,45
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 33.50 0.00 21.45
!
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
33.00
TOTAL PAID DUE
54.95 54.95 .00
54.95 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50 21.45
comCenmlbnD�'�+uneMSaaun9)OOdlMlaborCOEe.lehelllonhw'nhmmWfxnhthoveV���a. iF1l1tf41EkiE1E1E1f1f1EiE1F14141F1EikiEfEfEiE1Efl1EiE�E1E1E1Ek1E1tiEiflEN�iEfkiE1E�1F1EiE1l1E41l1EiFiEikihlFlElEitklkiEiE�E1EfE�lEiFiE�E1E�t�EiEiflki(-141E1E
o�a. ��;�: I N D I V I D U A L F E E H R E A K D O W N
Wam/np: F�llun ro i�cun wor,F�n' mrrywustlon rov�rp� li unNMul, intl �N/l r!/�cl �n wnplay�r ro MMnsl qneNu en0 TY P E QTY D E S C R I P T I O N UN I T COS T TOTAL COS T
e/vll llro� W ro om M1VMrM fhourn0 Co/Mn (J/0q000A M aetlltlon b N� ewe o/ rompmufloM1 A�m�pu u pov/ASC hr In
Sxtlon J10S ol Ms lebor Cotls, IntwS �� attomsy'� I�u.
CONSTNUCTION LFNqNO AGENCY: I huetr/ dffm urdx paxRy d perjury �het �Mn u e mruuuaion bMirp epency Ior iM SFR 66 RES—CONCRETE HLOCK' WALli / FT . 20 . 00 1� 320 . 00
parlormenee N ihe work ror wh' h iAc peem� u c�ued 1�� �1. Crv. Cl.
LENOEP'S NAME:
LENDEH'S �ODPE55:
I canity thei I heve reeE Ihv epplcmion eM 9a�a thei �he ebo+a informelbn u corteq. I�rae lo wmply xith dl ory eM coumy ordinenree
�e ewa r� ��a m w�u�c �w� �a na�r dmb,ae „p,,,oim;�. a�w mv ro am., �o«� �ns eewo-m«no�e po�ny
for inspaqion W�O�ea.
NOLING ➢�$TER
(5151-dfi.WP)
Dme2' �'� Nii lr-��
Whna-Buikiq 8 SafetY OrearFb; Canery-pppirenl; Rnk-Rewnue; Goldenro�Aaseasor
END OF FEES
"i ��Glc"C4�.- ..1�-�r,�er ?it_ . . -
;�Fl�.. p_�7.G.`S5+ iIi4E: u9:?1
. i
`r ., .,
CONSTRUCTION ANDPLANNING POOI PA
APPROVALS Permit # Date inspector p�ppROVALS Permit # Date inspector
i. Temporary Electritai Service or Pole 52. Pool & Equipment Location �
2. Soii Pipe�Undrgmd. � 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4: Electrical Conduit-Undrgmd. 55. E�ectrical Bonding �
5: Steel Reinforcement 56. Rough Plumbing & Pressure Test
6� Electrical UFER Grnd. �/ 57. APPftOVAL TO COVER�GUNITE
�7. Footings �p1� O�/�" 58. Electrical Conduit-Undrgrnd.
L
8. Foundation ` 59. Gas Pipe, O Undrgrnd., Test
9• Water Pipe-Undrgrnd. •;� 60. 8ackwash Lines, P-7rap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Piumbing SVsrem - Final
14. Rough Plumbinq 65. Electricai•Final
15. Rough Electrical-Conduit - 66. Solar SYstem-Final
b6. ftou9h Electric Wiring 6J. Fencing & Access Approval .
77. Rough Wir�ng Sign 66. APPROVED FOR PLASTEFING
78. Rough Electricai-T Ber Ceiling 69. POOUSPA SYSTEMS P INAL f
i9. Rough Heating & Air Co�ditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace . APPROVALS, Permit #
21. Ducts, in Structure' • � 70. Underground Hydro
22. Ducts, Ventilating " 71, product Piping O Gas ❑ OiI
23. Gas R'�pe-Rough & Test �� _ 72. Underground Flush
24. Roof Praming ,. ��i � � . 73. Undergmd.Storage�Tank QGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat -, 75: Dry Chemical .
27. Frame and Fiashing� r 76. Dry Standpipe ' �
28. Lathing&�Siding � � � 7Z, FIXEDSYSTEMFINAL
29. Insulation . - � 78. FIRE PREV. fINAL
30. Drywall Nailing _ , HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINA� INSPECTION
32. Electrical Power Meter-Final , S0. FOOD f ERTIFICATE ISSUED
33. FinalElectric, � - - Notes:�p ZL P�''�^-/G„ ,�d� � y
34. Finaf Heating & Air Conditioning - _ � �--- '�
�. ' '`% S-% /� �'6 ��y
35. Final`Gas Pipe�Test , � � � •
36. Hood or Canopy - - ,
- 37. Final Factory Fireplace �. � � .
38. Final,Plumbing , � ' -
39. Water Service-Fjnai ; - � � �
40. Gas Service-Finai � � n � ' �
47. Solar pomesticFinal, � . � - . -
� 42. Backfiow Preventer ' . - •
t�
43. Backfiow Irrigation : , �
44. Landscape Irrigation�System ' ' , : '
45. Sound Attenuation � � , , , ' '� ^ � '
46. Handicap Regulations ` � � �
47. FINAL STRUCTURE & BUILDING �� (I, . �
48. FINAL PLANNING � ..
49. Electric Release to Edison =
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No. Date
,)
,
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this �� day of
�G/�Lo �995 , by and between ��T�2 �• N�G ��'�j
hereinafter referred to as "LANDOWNER," and _�4 ^s U'mrn',y /S �Tr g�.yt'f
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between _� 8 �7 � v%z
(Address of
/ 3 �✓
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book , Page of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LA OWNER ADJACENT PROPERTY OWNER
�� � , .
(Signature) � � (Signature) /Z%L�
��r6��„ �Li•rf� ELLSIn,ra RTH 13vr?6GL�l�_E�
Name (Typed or Printed) Name (Typed or Printed)
_2_��� �'vxoPg .�rz. �!3 Cv_go�� DR casTA M�s�
(Address) (Address) q a � z4
1906 A6
NOTARIZATION REQUIRED
DIVISION OF BUILDING SAFETY
CITY OF COSTA NIESA
APPROVED
� �*�� ��
Thls set of plans anA specmcatbns MUST be kspt on Nis job at ail ltmes
end II Is unlawlul to make any changes or alteration on same without wrlUen
pertnis5ton ham Ihe Division ot Building and Satery, Ciry of CaSta Mesa.
The stamping ot Mis ptan and sDecifica9or�s SHALL NOT be held M penn6
or to be an apprwal ot ihe violation of airy provisions of erry City ot Costa
Mesa Ord!nance anNor Slate tav�. �--) Z.� �` 1
These p',, ru znd permit shall ezpire by funitation and become null and wid fl
the building or work 5 not commenced antl mainiained active per UBC §303
(� wilhin 780 days o� issuance. _
e[slD[Ma
IILt10[NC[
2 Ff'/ 3 ��/RVM
�
�� �V�6I�lL '•y'�+�x�.
b�DITiO'rJS, DEtETIOP�S, OR CORRECTfONS SHAIL
�'f St�PROVED BY THE PLANPIING DEPF,RTh,1ftJ7
R[�ID[MC[
re,�u�r.n —
S�REET �
f
���(�'i�E� 1
�` 4 � �Q COSTA qq��rq
F�ANM1iNc r,e�ar.
' ����T TO �L6G. Dl�a�-Y. 0,.�
h C•<..�.i:L . (X/, ,. , .. _
Qwi.C7p,7 QP P1p�yy{gp�'�
11pIDt11C[
Cement Coping Outional --
Channel Block With 13/8�
Horizontal Top of all
Fe�ces
For Fenees 5' or Less
Vert. Bars 3/8"yS at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/S"� at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-1539
A.S.T.M.
AllSteelto be Lapped
24" or to Code
NATURALGRADE
TWO 3/8"¢ BARS
CONTINUOUS TOP
a BOTTOM
HOR72.STEEI MUST BE TIED IN
PLACE A7 TIME OF TRENCH
INSVEC710N.
TYPICAL 6�� CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS CHART
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS. ETC.
DCpTH GF E4RTHTCOTH
V? iPIE HEIGTH Of FENCE
� ��ELOW BOTTOM OF FOGTING
WIDTH . . . 14" : . . . . . ... . . .14�' . . . 12��. .
THICKNESS . 10�� . , 10° 8,; .
DEPTH OF EARTHTOOTH . . . 24" . . . . 20" . . 16" . . .
SPACING OF EARTHTOOTH. . 12� 14� .... 16�. .
City of Costa Mesa, California
Buildi�g Department
�'a,:!�,af+ Nnv.A^.
SCALE: I/2�� = I'
12..
8 ��
12��
16'
�i
S
, and
and
I/2
of
ent
Applicant to filt in all spaces except t�ose within heavy bortler lines anG si9n all app�opriate Geclarat�ons.
�iTY O� COSTA MESA CONSTRUCTION PERMIT PERAyf NO. TRACT NO. LOT NO. UNIT NO.
Project Alidress 1�� � �(%�O PA � I'— .
P.pplicant'sMailin Address 1g� F_vRo �i2
Owner's Name F •��� �� Phone 96E3- 90� y
Address
Arch/Eng. �icense No.
Address
Convactor's'Nam � Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATIpry
I hereby affirm that I am Ilcensetl untler prpyi5lons of Charte� 9(commenGinq
with section 7000) Of DiviSion 3 of the gusiness antl Pr0lessions Coae, antl
my license is in f WI (orce antl eftect.
License Class LicenS¢ No,
Date Signature
WORKERS' COMPENSATION DECLARATION
I hereby aftirm that I have a certificate Ot tonsent to self-insure or a C¢rtifi<ate
' Workers' Compensation Insurance, or a certitietl mpy thereot (Section
)0, lab. C.) '
..licy No. Company
BCertifietl copy is hereby fumishetl.
Cezrtifi¢�o�y�filq9xgththecity il � gDivisi
Date ��� �y�Applicant
EXEMPTION FROM WORKERS' COMPErySATION OECL RATION
(Th1s sectian need not be completea if the bermit is tor one hundred ($1 ) or
less).
1 certi(y tbat in the pe�to�mance ot the wO�k to� which thi5 perm�t is Issuetl, I
shall not employ any person in any manner so as to become subject to ihe
workers' Compensation Laws of Cali(ornia.
Date Si9nature
NOTI[E: I(, after making this tleclaratlon, you shoultl become subject to the
Workers' Compensation provisions of the �ybor Gotle, you must �orthwitn
complY �+�th such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 he�eby afflrm tM1at Ihere is a const�uction lentlin9 agency fo� the pe�Po�mance
of the work for which tM1is permit is issuetl (SectiOn 3097 Civ. C.)
Lentler's Name
Le�tler's AOOress
OWNERBUILDER DECLARATION
I hereCy affirm ihat I am exempt from the Contractor's License Law tor the
following reason (Section 7�31.5 BusinesE antl Protessional Gotle: Any city or
County wM1ich requi�es a pe�mit to constrUCt, alte�, improve, tlemolisn or r¢pai�
any structure, prior [o its issuance, also requires the applicant for such permrt
to file a signetl statement that he/she i5 Ilcensetl pu�suant to the p�oviswns ot
tne Gontractor's License Law (Chapter 9(tommencing with Section 7000) of
Division 3 of tne Business antl Professions Coae) or that he/she is exempt
'-=retwm antl the basis for the allegetl exemp[ion. Any violation of $ection
j';ry;'?,,1.5 by any ap0licant for a permit Subjects the ap0���ant to a civil
;;.¢'"'�alty of not more tnan tive huntlretl tlollars (5500).
I, as owner of tne property Y '4h wap ' "
will tlo the work, antl the structure is not intentletl o�-ofteretl
r�sale (Section �044, Business ana Professional Cotle: The Contractor's
icense Law tloes not appry to an owner Of a property who builtls or improves
tnereOn, antl who tloes such wo�k him5elf/herselt or through hi5 or her own
' employees, provitletl that Such improvemQnts a�e nOt intentletl o� ofteretl to�
'� sdle. If, howeveq tne bulltling or improvemenc is sola within one year ot com-
pletion, the oWner will have the buttlen Of proving he/she tlitl not builtl o� im-
prova tor the purpose of sale).
❑ 1, as owner oi the property, am exclusivery contracting with licensetl ton-
tractorsto construct lhe project (Section >044, Business antl Professions Cotle:
The Contractor's license Law tloes not apply to an owner of property who
bui105 or improves tM1erean. antl who coqtracts fo� such oroiects with a r.on-
tractor(5) Lcense pursuant ro me ContractoYs License L.aw). I am aware titat
0/oot of [heir Worke�'s Compensation Iqsurance Shoultl be pwvidetl to me,
❑ 1 am exempt untler Section B. & P. C. f�his reason
Date G�� `��`—i "
I hereby certify that I
information is correct. 1
antl state laws r ing
sentatives of t rs 'ty
Inspec[ion pur ses.
Signature
Drivers' LI<en5 or 55 �
0865-46,rev.5/88
s Owner
have rea tnis application antl sta4
a9/ee [o complY witn 1 city antl u
o builtling constructi n, ntl hereby
o enter upo e b ve-mentiom
� �
White - Building; Canary - Applicant
TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 54. FT. oCCUaaNCv
CONSTRUCTION TVPE VALVATION $
ZONE GRADINGCV.YDS. ACRES
Remarks:
✓
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Jrinking Fountains
Floor Drains
Floor Sinks
GaS Service 3 Outlets
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Reinspection Fee � $15
Boiler
Duct-UnderGround
Duct - Structurel
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. iCBO #
Heating System & Ducting
❑aioo,000 sTu Oioo,000
Reinspection Fee � $15
Pink - Accoun[Inq; Goltlenrotl - Assessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Au[o-Wash
Issue Fee
Hood or Typel O
Canopy Type II ❑
Refrigeration System
❑4100,000 BTU ❑ 100,000 BT
System Repair/Alteretion
Fire Dampers
Registers
Issue Fee
FEES
$ 3
$ 3
A.P. #�
S Main Building:
E
T Front
B Rear
A
C Right
K - Left
5
Ping. Ref. #
Planning Notes:
Accessory Building:
Parking Req./Provided
Zone
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction PoleSub. � 50+KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over100amps
as' LJElectric
F.A.U.
Fixtures
Device Boxes �
Outlets
$Witch¢5
Gar6age Disposal
Generator �65 KW 05-75 KW
Sub Panel
Motors �0-1 HP �1'f.- B
InaSoiar �9-15 HP Oi6-15+
Microwave
Pole Light
Range
Si9n
Standing Sec(ions
Trash Compactor
Fee �$15 � � luue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
Building Approved By — � —
FEES
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ SMIp $
PLAN CHECK $ PERMIT
PLUMBING $ � � ISSUANCE $
PLqN CHECK 25% $ ENERGV P.C. $
ELECTRICAI $ GRAOING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $ � Q�
PLAN CHECK 25% $
O
N
N
G
R
E
�
M
T
S.
G3 rOGf7654-0�01?654 76aT 7.00
DATF: 10/27l82 7IiiE: 16:�?
'• CONSTRUCTION ANDPLqNNING POOL 'Pa�
r APPROVALS Permit # Date 1 Inspector AppROVALS Permit �` Date Inspector
- 'a
1�. Temporary Electrical Service or Pole ; � 52. Pool & Equipment Loca ion �
�
i 2. Soil Pipe-Undrgmd. � . 53. Steel Reinforcement ' . •
3.� Electrical Con�iuit Utility-Undrgrnd. _ 54. Forms I
4. ElectricalConduit-Undrgrnd. r" 55. Electrical8onding . ;` - L
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
- 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE �'
� � r7,. Footings _ '�� I 58. Electrical Conduit-Undrgrnd. -
8. Foundation "� 59. Gas Pipe, O Undrgrnd�, Test +
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgmd �,: "_=
10. Structural Floor System 61. APPROVAL TO DECIC �7
11. Property Sewer Line & House Connection , 62. Backwash & Receptor;Final
12. Sewer Cap �� 63. Heater & Vent-Final ; �J
,
13. Roof Drains 64. Plumbing System - Final � '
14. Rough Plumbing � 65. Electrical-Final ' K'
; (�
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 FINqL
�19. Rough Heating & Air Conqitioning FIRE DEPT. REQUIREMENT
�20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure • 70. Underground Hydro
22. Ducts, Ventilating -, . 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing •4 ' 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. Electriral Power Meter-Final �80:;FOOD CERTIFICATE ISSUED
33. Final Electric �Nofes:
34. Final Heating & Air Conditioning '
35. Final Gas Pipe-Test � �/� L�y� .
36. Hood�or Canopy �
37. Final Faaory Fireplace
38. Final Plumbing /Z a� G�yj
39. Water Service-Final
40. Gas Service-Final �
41. Solar pomestic-Final
42. Backflow Preventer � ��
��`1
43. Backflow Irrigation �-• ��
44. .Landscape Irrigation Sysiem , � .
45. Sound Attenuation �
46. Handicap Regulations
�47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed .
49. Electrie Release to Edison �
50. Gas Release to Southern Celifornia Gas Co � '�i �,,
r�� 51. CERTIFICATE OF OCCUPANCY -:r- �,, �
No. Datp �;�
�
�
Applicant to /ill in all spaces extept thase wit�in �eavy EorCer lines antl sign all a00�opriale Oeclarations.
C17Y oR coSra MES, , � S UCTION PERMIT ""'""�"a ��S / ""�' '"" ""' •.� "'"" '
`• Proj ct Address
�D
A�nYs Mailing Address ��� � � �� TVPE OF CONSTRUCTION rvEW ADD ALTERATION
�l'/ / � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name �'/cJ ` hon _!G DESCRIPTION OF WORK/USE OF BLDG.
Address ��,�� � ��������
Arch/Eng. Licenu No. TVPE OF PERMIT GRADING f � NDATIQN� STRUCTURAI
❑ TENANT ❑ ELECTRICAL UMBING U�MECHANICAL
Address
Convacro 's Na ,�j /1 r � Pti��I�<'S �� •��
Addresslmai'�9�-of���/� /�7���'P�/7R�
CitY License No
LIGENSED CONTRALTOR DECIARATION
1 nereby atfirm that I am Ilcensea untler provisions of Charter 9(rommencing
with sec[ion 7000) of Division 3 of the Business antl Protessions Cotle, antl
my license is in full f � e ar�y et �ct. `'f� /�Li i.� _
License Class p Liceo�i� "fl� ����V
Datp�2—�� 5'9 t <,� 7� ..� J�_�_
WORKERS' COMB�NSATION DE LARATION
I hereby affirm that I have a cer[if%ate of consen[ to selt-insure or a certlficate
N Workers' compensation Insurance, or a ceriitietl copy ther of (Sectlon
5800. Lab. C,mr���'.+�� ComPanY ���/ �
Policy No. «��� ��
8 Certifietl copy is hereby furnisheq_
C�erjfi ie op jS�fletl with the ciEy B�la n 'Vf5 OP.
Date'x ��� � Applicant
EXEMPTION FROM WORKERS' CO ENSATION DECLARATION
(This section neetl not be completetl ' h¢ permit is tor one huntlretl (g100) or
less). •
1 certify that in the perfo�mance ot the wOrk for which this perm�t is issuetl, I
Shall nol employ any person In any manne� so as [o become subject to the
Workers' Compensation tdws of Calitomia.
Date Signa[ure
NOTICE: I/, after making �nis tlecla�ation, you Shoultl become Subj¢ct t0 lh¢
Workers' Compensation provisions o/ the Labor COtle, y0u must forthwith
comply wilh such prOvi5ion5 or this pe�mit ihall be tleemetl �evoketl.
CONSTRUCTION LENDING AGENCV �
I hereby atfl�m tnat Ih¢rG i5 a mnstructlon lentling agency fo� the pe�formance
of the work tor which this permit Is issuetl (Section 309] Civ. CJ
Lentler's Name
Lentler's Atltlress
OWNER BUILDEH OECLARATION
�. I hereby affirm [hat 1 am exempt trom the Contractor's License Law for lhe
'� following reasOn (Seclion 7031.5 BuSiness antl Profe55ional COae: Any city or
Icounty whlch requires a permit to construct, alter, improve, tlemolish or repalr
any structure, prior to Its Issuance, also reqWres tna appllcant lor zuch permit
It0 tlle a signetl Stalement that h¢/She i5 Iicensetl pursuant IO th¢ provisions of
the Contractor's Llcense Law (Chapier 9(comm¢nUn9 with Sectlon ]000) of
'� - Division 3 of the Business antl Pro/esslons Cotle) or tha[ M1e/she I5 exempt
perefrom antl tbe basis (or the allegeC exempUon. Any vlolation of Sectlon
031.5 by any applitant fo� a permit SUDjectS the applicant to a civil
�+e,nalty of not more [han five nuntlretl tlollars (5500).
l.� 1, as owner of [Ito proper[y ot my employees witlt wages a5 their sole
compenSatiOn, will tlo the wo�k, antl lhe Struciure is not iOlenGetl o� offe�etl
for Sa10 (Sectlon 7044, Busine55 antl Profe55ional Cotle: The ContraCtOYs
License Law tloes not apply to an owner of a oroperty who builtls or imoroves
lhar¢on, antl who tloe5 Such work bimsel(/h¢rSClt or tM1rough his o� her own
employ ees, provided that zucn improvements are not Intentle0 or oiteretl for
581¢. H, however, the bullaing or Improvamen[ is Soltl within one year of com-
-'platlon, tha owner will have the burtlen oi provin9 he/she altl not builtl or im-
�rove for the purpose of sale).
I, as owner o1 Ihe proOerly, am exclu5ively contra[tlng with licensetl con-
I�actor5 to const�uct the proj¢C[ ($ection ]044. Buziness antl AOfession5 COtle:
The Contractor's License Law tloes not apply to an owner of prooerty who
builtls or improves Mereon, antl who contraCts lor such prOjec[5 with a cOn-
tractor(sl iicense Oursuant to the Contrac[o�'S License L.aw). I am aware tha[
proOf Of Iheir Worker's Compensation insuranCe ShOultl be prOvltletl to me.
❑ I am exempt untler Sectlon B. & P. C. tor tnis reason
Date Owner
I hereby certify ttlat I have reatl
Intormation is correct. I agree to c
or 55 �
pplication and state that the above
with all clty antl <ounty ortlinances
�uctlon, antl nereby authorize repre-
,the/ above-mentionea property fQr
J r_ • oat� 30 7
/��iD! —
❑ OTHER
PROJECT DESCRIPTION SQ.FT. OCCUPANCV
CON STRUCTION TVPE VALUATION 5_
. ZONE GRADINGCU.YDS. ACRES_
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Orains
Floor Sinks
' Gas Service Outlets
Interceptors �
Kitchen Sink
Lavatories
P—Trap
� Roof Drains
Reinspection Fee $15
Boiler
Duct � Under Ground
Duct - Strucmral
Duct - Ventilating
Exhaust System ❑ Mul[iple ❑
Firepl/Fact. BIL ICBO #
Heaf"r�5ystem & Ducting
C7ai oo,000 eTu � i oo,000 aT�
Reinspectian Fee � $15
CMF OB65-46, rev. 10/84 Whit¢ - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - ASSe55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collec[ors
Solar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Laundry Trays
laue Fee
REPAIR
ES
$ 3
A.P. iW
S Main Building:
E
T Front
B Rear
A
C Right
SLeft
Ping. Ref. #
Planning Notes:
Auromatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
as CJElecttic
Fan
F.A.U.
Fixiures '
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0.5 KW
2383 2/17/87 7000 TL
Zone
Acceuory Building:
Z
O
N
I
N
G
R
Parking Req./Provided E
i � M
T
5
ELECTRICAL
Transformet ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps �
Meter ❑over700amps
Sub Panel .
MotorsDO-7 HP�1h-8
Inc.Solar �9-75 HP �16-75+
Microwave
Pole Light
Range
Standing Sections
5�15 KW Trash Compactor
Reinspection Fee $15 luue Fee
IANICAL FEES
Hoodar Typel ❑ DEVELOPMENTSERVICESREQUIREMENTS:
Canopy Type I I ❑ Zoning Approved By � Data
Buildine �+PP�oved 6y �7, Date
Refrigeration System
❑o�oo,000aru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
laue Fee � $ 3
FEES
$ 3
' SUMMARV OF FEES �
BUILDING PERMIT $ - SMIP $
PLAN CHECK $ PERMIT
PLUM8ING $ ISSUANCE 3 •�"�T�
PLAN CHECK 25% $ ENEFGV P.C. $
ELECTRICAL � $ GRADING 3 �
PLAN CHECK 50% $ MICROFILM $
MECHANICAL �$ � TOTAL FEE $ �
PLAN CHECK 25% $
e
CONSTRUCTION AND PLANNING POOL & SPA ,
APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit U[ility-Undrgrnd. 54. Forms "�
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,t,�
5. Steel Reinforcement 56. Rough Plumbing & Pressur��est
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GONITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., T[
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O-,lJndrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
72. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. 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
20. Rough Factory Fireplace APPROVALS Permit # _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Siorage Tank O 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 Noces:5 2Y��'7 �FfG4R0. t.t.0 '•
34. Final Heating & Air Conditioning l._��_�� (% ^�
/
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
3S. Final Plumbing
39. Water Service-Final '
40. Gas Service-Final
41. Solar pomestic-Final ,
42. Backflow Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation '
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
/
� I6520
COSTA MESA BUILDINC�SAFETY DEPARTMENT
P. O. BOX 917 COB'TA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE O(t PRINT
BUILDING L�Y 3o r,eN�'T 3�F9
wooREss 2 B f E uR o Pf! AR �✓�
COSTA MESA. CALIFORNIA
�
1 ARGHITECT
�iTM Co3r9 M�9A ['ALir
�� No. iB�i�� No: /l' 9a3ys
SIZE n n�. . I NO. OP BLDGB.
86TB/.CK LINE YROM �j
cer+rex on 6rneer / REAR YARD �L
SIDE YARO I LEFf G RIGHT `
DESCRIPTION OF WORK
8 ZE DING / A� A NO. OF
H N ROOM6 STORIEE
IXTERIOR WALL WmOD ftOOF LJoOp
COVERING S pOOo COVBRING �NNKC
USE OP BUILDING AND WORK TO BE PERFORME�
.5�.✓..S�f= F's�w�iG✓ �EsioeNnE i
FE RECEIVED
117AR 2 1��
FINFlP�CE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
eua�iN�
For Office Use Only
RECEIPT NO. PEqMKilO�
BV
BUILDING
ADDRESS
COSTA MESA.
FIRE
ZONING
ZON NO. OP �J U82 OF NCW � f �J.
�� � I PUNB (� ( BUILDINO (�/Q x- �
�;;.`o,,.,,,,, � o t 3 o T.? y 3 y 9
LING BTJ u [�
�7 /
6
6
3�
/
2/�c/6z
1 X6REBY ACKNOWLEQG6 THAT 1 XAV6 RBAO TXIB APPLIGTION THg AMOl1NT 9HOWN UNDBR VALUATION IB FOR TXE
AND 9TAT8 THAT rNe ABOV6 19 �ARP� AND AGPl6 TO COM- pUPP08E OP EBTABLIBHING A PERMIT FeE ONLY.
PLY WITH ALL CITY OHOINANCE9 AND BTATH LAWB iiH6ULATNO
Bu1tnlNo coNeTrtucTloN. VALUATION „
r
ATURE OF PERM17 FEE $ �
ER ITfE ('
/�-
�� ..e���.. �.� �9 $/� �/ PLAN CHECK S / �. �lI
,✓
rc
O
a