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HomeMy WebLinkAbout1963 FEDERAL AVE - Building Permits Bea-- / c r I PROJECT ADDRESS: 1963 FEDERAL AVr UNIT ,IOWN ER'S NAME: JOSH E, CANNER 1(l CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 045720 AGDREs5: 1963 FEDERAL AV PERMIT NO: M 045720 PLAN CHECK NO: N GOVT: N SUPP: N • COSTA MESA CA92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: ALT (714 )646-6746 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL FACTORY FIREPLACE ( ICB0#3195) SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: JOSH E. CAMMER ( 714 )646-6746 ADDRESS: 1963 FEDERAL AV COMMENTS: RE: BPE18811 PRIMARY BLDG. PERMIT. COSTA MESA CA 92627 *****:ear******************+e:r*********:E**it**********+r**********err***:r************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 71100)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE UC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN "wnpensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN JCY NO.: UP.DATE: OMPANY: PARKING REQ• PROV: PARCEL: 11548206 ZNE: REF NO: ❑ Certified copy Is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > . Date: Applicant: ****.*****************************************M********************************* DEMON FROM WORKERS'COMPENSATION DEcURAIlON: (Tis section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E R V I C E S REQUIREMENTS 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. ZONING APPROVED BY . DATE: • Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : 4 r DATE: 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 APPLICATION ISSUED BY: DATE: which this permit is issued(Section 3097,Civ.C). ******************************************************************************* UNDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N • •OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6 . 50 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 25SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I, as owner al the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE structure is net intended or offered fa sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 6 . 50 15 .0 0 • 0 . 00 21 . 5 0 21 . 50 .00 _ does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through hisoris employees,provided ar al that such improvements are not intended hedeoof for shl/.Iinotd buildingve REVENUE DIVISION TOTALS--> COLLECTED: 21 . 50 OVER/SHORT: .00 his or her ownsold within one year t1 completion,hlmp the entsr wit have the burden of rdprovingfo he/shelttrio not however buildthor improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting wily licensed contractors to construct the project(Section 7044,Business 21 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and whocontractstheir Worker's CompswRnaceurancershould licensepursuanto the Contractors' late License Law).lam aware *************M*M************************************M******MM*******.*******.M{!,**. that proof al their Wooer's Compensation insurance should be provided to me. • INDIVIDUAL F E E BREAKDOWN pici I am exempt under Section:B p 7044 B.A P.C. for this reason: ALL WORK BY OWNER. TYPE QTY D E S C RII P T I O N -, UNIT COST TOTAL COST Nur Owner. MEC 1 ` FACTORY FIREPLACEI I do hereby certify that I am aware of and understand the requirements of Calitomia Health and Safety Code Sections 25505,25533,and 1 * END OF FEES 6 . 50 6 . 50 25534 and that I or any future building occupant wilMwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from if 1plete Inspections these provisions. �- . +� g & IdgA u . l � 0,4/9Ii tCate—) Date: Applicant: °i!e!�4P - SI �� � 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 building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature: 4 , " Driver's License or Social Security 4: 1641-46 White—Building;Green—Cade Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor 1111.1rill CONSTRUCTION AND PLANNINL A. & SPA x APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2,..,$q[Bipe-Undr.grnckn 53. Steel Reinforcement •-Oa0 O. -0 1i r:I7.al Condjjr 'fltility-Undrgrnd. 54. Forms • _4 'AtrEle Beal Condgi'i Undrgrnd. 55. Electrical Bonding - W-' � 5.03Cfgel'Reinforcg;rtrN 56. Rough Plumbing & Pressure Tot to � E9ect2al UFE vc d. 57. APPROVAL TO COVER-GUIJITf `n ys czl,. "Footittgs r'1 - 58. Electrical Conduit-Undrgrnd. > 4• r � •f x --, > 8.''Foundation 4 59. Gas Pipe, 0 Undrgrnd., Test 3 9. Water Pipe-Undrgrnd. 60. Backwash Lines,•P-Trap, 0 Undprnd. 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 zAW 13. Roof Drains - cn 64. Plumbing System - Final 14. Rough Plumbitr� 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final c • "16. Rough ElectricjMiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrics]-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19,ofioygh 1-lea rim &Pir ConditioRjq.g c o, * v m 4* * i ;J.FI gJ. fecEQUIRFMENtT, z 20.'„efioeih 6acto>vy F eplace I St„ �1�cc< ii//49g i ' 40; * Ct1PPR@At97HF- VPeriait # x r. ^ t s n1 H Y_x .c. ...-.4-7H --t _5 . c ' * * c" r - nn-i 42 Ir K m 21;T:Duts, iiStrtrTctt4' (• • SS * CS J H* * . HOy2 � *I ...S 5 '> Zt s D. (•'S , .z., r 22,sDufs, Veuntatinii•* I n K t7 4 CJ r'* * 471. Productr1 ing 0 tis 01011 r. . ' 23'Gas' ip Ro qh flfc'*est ; R,z, o * m c S* * �O"72. Undergro24FI;10 . * - �- 1.. .. (:1.K I r t-. ..F., * U L• x * J W H., a 24.�tooFraming .•* tq * > X H* * 73.'7Undergrnd.Storaq ank ®Gas ❑Oil ` i o * X :,1 * [7 r'n rl nit * S' ri v HF. x 25. Roa Shathing 7I' 4 v '* o > N* * 74.00verhead'Hydro° O C H * '7 SI '>* * S T K 7 26.e7Bta'r Ceding (Stiq[ural) &M rs oat * -.J `m* * uD • l * H . C„ - 9 9f5c ' 0 O* ' 75 F-• Chen tical C•t * 'C _ ;0 1- a '• 9 +' F tri ^S * S 27r�FraAie anti Flash'" OIXx * :N •'p* * FCY. * c. ,mac 76. Dry Stan I'ae n o I S t*t� * >.* * '2 H * N J "d 0 * z •• ••* * C' Hsu '7S * ... 8. Lat�ing Siding-4; N 8.--ti-E. O * I • 4 77 CI gV&9 EfPUF7NAL* H n > O S > * "' * * > "^ R` 29. Insulatia X* S CJ * S I ` * 78mFIRE PREY. FI44_ * I: •- .. `n30. DrywalloNailing d c r-- I * r 'Y' I I I * S tta LTryv EPT*R41QUIR&ENT .4 •Y♦ - tCJ a' E vC c' V31. Plaster 8dovv`Co3i* S , N * I * 79. FINAL I( CTI� * O F i--' * CJ I * N tc * M M n t� :Q 32.=€IectricRPower 4e�ter-F,;ial I * I t; * 80. FOOD CERTIFI+E IStU DH tn. 4 T car. C * t9 I I kK * ri n - hE t Z33. Fin;;{�11 Electrie I�* m I 4 * (* * Notes: ` `i '7'q * '1 O m -. t>; m C •* cc I HH 5 * G i I i* * r• 4 tin * S !` i ;' I S !, * * d". S f 1 :+1 4 S v 4;Jr: H .. to gir*Cq�t�ditiontt� t* * ti * CO H 5j-r 7.-......,,,s 2...A.±.i 4 si .1 135.C'Final Ga'Pipe-TBR* 0 * H kv * O zo OHru * rr _a x* c * * . --no * ri n6.SHoad ort-Canopyrr; I ^^] u * n I ' * x E o * T t^ * n m * * im xo K . R . 51-• r-4 a' :" Z n * m '137.-Final-Factory Firept'ece%-• I HF. a ,�....��J i! �A * -. * N ri -. * r.. , •• •• b _Iv c..^*, im. . * 4 -"J r) to * _ H x N 1 4.A * * S .c1 • H * PS 8. FinAPl1(rnbing * m o * I I ; * o: Htvt' o CC * • • -t r - no-- o * S -39. Water Seivice-Final* z I * r I I * * >' •_ * - n * C' X I* * F.a • * trI m '1;11:r.tr. S * ci * o'-. rON * n'40. Gas ServF, e-Final * F., .r; * I �* r: F• • of * 4 �.a •• .r 0. I* m Qr'.J ' . t :411. Solar Domestic-Final Ci * I * ^7o e' * ac :J ., 42. Backf low Preventer* N lcI I X * '^ -E-• * ci H ,� * V OI- - * H * * Ri RIO K F + .ST -> _ S + 'RE t O •- 43. Backflow Irrtgation* .>' * cC * x N i * n • • ... x Td * * *j-. N * 2 O N r' m tri CJ cc ',1` el C C cc CJ N ` 0 * N 0 m44. Landscarpe Ifiigatio" System0 a c'i u, 4 w CrI 4 4 .,t): : C. -, .� O Q. * S F �45.15Sound Atterluatiorsw ^. •• •• >: R. in RI* * F C' CI 4 • F. * ' ;46. 'Har ,i cad'Regblatiqs `" 0 * * z S S Cc S * - S * S I I �« K m 0 rJ . .47.`FIN4L STRUCTURE & BUILtDING * i- P' ?u I * h I !* * N cc "! * O • IE-.F• * CJ I 6 * m tri 4 48.�FIN iL PLANNING: I I I ~ .. h ( * 4' * CJ 7 N 5 * 4 C R,. • C‘..4 MI Release to Edison * I I nr *"-RI n •n • t50.:-Gaselease to Sout�iern CalifpEnly Gas Co * I X * -. S DO on k Gn..; i `51. CERTIFICATE OFtCCUPANCY . No. Date �a. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ `" PERMIT NO. - - - TRACT NO. LOT O. UNIT NO. �; „/ 1 C1TOF•cOST NSTRUCTION PERMIT [y)� p / �/7(/ /y IG _ • Project Address �r ,- �4 F� �- Ave "" �� _ / �(�// III/� �/ ` // hc! p TYPE OF CONSTRUCTION Ll NEW CDO ADD LJ ALTERATION Applicants Mailing Address 763 f 7ZAL AVE U REPAIR T ❑ CONVERSION ❑ DEMOLISH. ❑ OTHER Owners Name a1 o - E• c/ry? ' Phone �/ 'Gila4 A.P.# I I S ysao I Zane K�1 Address /yG� r�!)t/CAC.. Cid• DEL SPT OF WORK/USE OF BLDG. 'PjATJ-1" G`s'• Ql��.j,crm__� ,� S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT (J GRADING L'J FOUNDATION I VCTURAL E Front 30 O s AdC))r:ss �j /� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear . . N ' Codtractor's Name ,�^\�i / Phone ❑ 'OTHER C Ri h�O N /a J/`Cy PROJECT DESCRIPTION SQ. FTI�I-I '+' 4Q'. ' • A • Address(moiling) ' 1 OCC UPAN/C^v �1'-� K g ... - G CON STRUCTION TYPE �,J—N! VALUATION$ 4'f.ID�� S Left /// R i Crty License No. ZONE GRADING CU.YDS. ACRES_ "LICENSED CONTRACTOR DECLARATION _ Ping. Ref.g # L2, eq./Prov.- M I hereby affirm that I am licensed under provisions of Charter 9 (commencingEO Remarks: "�G 3�� 8r7 Planning Notes: SAM with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. i- --r- T S License Class _ License No. a;a r - 'ate Signature PLUMBING FEES • .:�l}a� :'l ,'. . IRKERS'COMPENSATION DECLARATION 1 Bar Sink Showers :.:LECTRICAL FEES Hereby affirm that I have a certificate of consent to self-Insure or a certificate ,.I of Workers' Compensation Insurance, or a certified copy thereof (Section ' 0'15-50 KWBackflow Preventer Service Sink - - i•:(.3800, lab. C.) - - - . Automatic Washe"r , ,Transformer L • - ;aolicy No. Company - ‘•Backflow Irrigation.-- Sewer Ca i ' II 0.50+.KW . 1,�' P - �'� Construction Pole.Sub. ,�f 1 - •;. }j, Certified copy is hereby furnished.. - / / C Certified copy is filed with the city Building Division. I Bathtubs ' Sewer"Connection - -,•r„ _- a' Cooking Unit / t • ,� 'Meter Cup to 1(f03r1T1hSl.fo fir, t 15 Date Applicant i - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . _ Clarifiers c Solar Collectors) r ...et' Dishwasher • '` Jai' Meter ❑over 100 amps (This section need not be completed if the permit is'for one hundred ($100) or • 11 less). Dishwasher Solar Piping Dryers Gas %E1Electric -/�., Sub Panel 's{II ii,i' 1 I certify that in the performance of the work for which this permit is Issued, it _ shall not employ any person in any manner so as to become subject to the• " Drinking Fountains,.. Solar Tank n - - , A. r ' f. 'Fan fpt / Motors 00.1 HPr01'hl-6. Workers' Compensation Laws of Califo • _ . Date Y S(-Q4 Signature c z,e. ' Floor Drains '.-' Swimming Pool w/Spa /1 / . .f '' 'R�q,U. ' ' -' „ Q16-15+ 'NOTICE: If,after makingthis declarati _ ;Ii+c.Solar 08;15;HP you should become subject to forthwith vi Workers' Compensation provisions of the Labor Code, you must / Floor Sinks Urinal Fixtures rMicrowav¢ � comply with such provisions or this permit shall be deemed revoked. - "., i. CONSTRUCTION LENDING AGENCY Gas Service • Outlets l Water Closet Z Davice Boxes Pole Light• IIJ,j�' I hereby affirm that there is a construction lending agency for the performance - s - g of the work for which this permit is issued (Section 3097 Civ. C.) Interce tors - Water Heater ' • - Lentler's Name p Q� Outlets -r �' Range l.;p_-i el- /.4 ,a D ' • (I' Lender's Address Kitchen Sink ,F, Water Service V Switches I' s Sign • !I(. / OWNER BUILDER DECLARATION • _ - - f I hereby affirm that I am exempt from the Contractor's License Law for the I Lavatories Auto-Wash Z 'Garbage.Dispdsal '+-C- ;Standing Sectil'►5 following reason (Section 7031.5 Business and Professional Code: Any city or _ county which requires,a permit to construct,alter,improve,demolish or repair P-Trap I Laundry Trays 2 - Generator 00.5 KW 05-15 KW "P . ;,any structure, prior to Its issuance, also requires the applicant for such permit V Trash Compactorr r ;;file a signed statement that he/she'is licensed pursuant to the provisions of Roof Drains , i Contractor's License Law (Chapter 9(commencing with Section 7000)of A b. '?rision 3 of the Business and Professions Code) or that he/she is exempt - ' 1'^"nerefrom and the basis for the alleged exemption. Any violation of Section sII 1 a 7031.5 by any applicant for a permit subjects the applicant to a civil F penalty of not more than five hundred dollars($500). Y ��� :3� 3 • I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 ei-I.v 1. $ mpensation, will do the work, and the structure Is not Intended or offered -if "s7i'' - Reinspection Fee '• $15 Issue Fee $ 3 r sale (Section 7044, Business and Professional Code: The Contractor's • y Cif..n. �• Ly FEES License Law does not apply to an owner of a property who builds or improves - , thereon, and who does such workhimself/herself or through his or her own i- �� DEVELOPMENT SERVI a �•E NTS: employees, provided that such improvements are not Intended or offered for Boiler �!'.�t, p t•t! xI4^•.r '/ t -- -' CA�,gyR .' ,/- T sale. If, however, the building or improvement is sold within one year of con- at ,-,�,1 G,!'Ic .-Ari: >.4!..-.:1 �✓ Zoning Approved By {mss/-� �: ,t Davi �t��1' pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground , y - - Building Approved By 1 ` �-� Dan 5-6 --8-5.- • s prove for the purpose of sale). - t / -Frs. ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System ` Applieetion.Issued By ' / I Date S _"' tractors to construct the project (Section 7044, Business and Professions Code: i The Contractor's License Law does not apply to an owner of property who Duct-Ventilating DO-100,000 BTU 0100,000 BTU .. ' SU M Y OF FEES I� builds or improves thereon, and who contracts for such projects with a con- tractor(sl license pursuant to the Contractor's License Law). am aware that Exhaust System ❑ Multi le❑ System Repair/Alteration _ BUILDING.PERMIT $ p� "�_ SMTP $ Z ' proof o their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ -� WO •t' PERMIT i. 17 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG* Fire Dampers _ - PLUMBING $ I I .. OCA ISSUANCE .$� Date tc S(i-R2 Owner t • �-..ra .1 Heating System& Ducting Registers • PLAN CHECK 25% $ 'r2 r ENERGY P.C. $ I hereby certify that I have read is application and state that the above 00-100,000 BTU 0100,000 BTL ELECTRICAL $ /"r/ 8-0 GRADING $ information is correct. I agree to comply with all city and county ordinances p '� and state laws relating to building construction, and hereby authorize PLAN CHECK 50% $, ]�: T MICROFILM $ repre- sentatives of th city to ent upon the above-mentioned property for inspection pure"SiMECHANICAL $ TOTAL FEE $ • •�3. Drivers' v Date S-�i" Reinspection Fee $15 Issue Fee $ 3 PLAN'CHECK 25% $ LL.Lf Y \ Drivers' Lice e or 55# Y — ,1 CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - - • 1 CONSTRUCTION AND I'LANNIN - L& • Date . Inspector " - • . Date Inspector • A:11t{ Af;PROVALSe Permit# APPROVALS Permit# r .� 1.. J emporary Electrical Service or Pole 52. Pool & Equipment Location 2. 'Soil Pipe-Undrgrnd. - • 7J�'/f'r / 53. Steel Reinforcement ' 7 . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure.Test - I/ 6. Electrical UFER Grnd. f7/ hS 57. APPROVAL TO COVER-GUNITE r+ 7. Footings t&? . S 58. Electrical Conduit-Undrgrnd. 8.' Foundation (�� . "ag' © % 59. Gas 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. Sevyer Cap - 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final • 14. Rough Plumbing' Leiffe1 Li CP 65. Electrical-Final 15..Rough Electrical-Conduit ` // 66. Solar System-Final - 16. Rough Electric Wiring f gf,(�p 67. Fencing & Access Approval 17. Rough WiringSign ///CCD�IIll66 968. 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 (67/f7/qO -t4 ,-XI'PR�S Permit# `� 21. Ducts, in Structure ( l 70. Underground Hydro • `3 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil . ,, 23. Gas Pipe-Rough & Test : 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tanl$:f7 Gas'❑Oil • •25. Roof Sheathing Sec. £ /�' AUPT 74. Overhead Hydro '• . • 26. T-Bar Ceiling (Structural) & Monocoat ` 75. Dry Chemical 27.. Frame and Flashing 497f/10 VC- 76. Dry Standpipe ' , • 28.- Lathing & Siding 2, j-i/la 1„/:C 77. FIXED SYSTEM FINAL - 10; 29. Insulation [ /y q ( („46, 78. FIRE PREV. FINAL {r Vii. 30. Drywall Nailing (go/NI ✓G HEALTH DEPT.REQUIREMENT 31. Plaster Brown Coat (( / 79. FINAL INSPECTION i • , I. 32. Electrical Power Meter-Final /''r. FOOD CERTIFICATE ISSUED 33. Final Electric e / Notes: / G�B194 r�� /��.� lz� �L�� e�� 34. Final Heating & Air Conditioning ! r N��1 �Ar-1 �s Stfz t 5K-- , 35. Final Gas Pipe-Test s-, 10 coGiyie A(-&&Op ,1!o o , 36. Hood or Canopy '• / 37. Final Factoiy•Firepface j,. 1s42,/13 (/G . c -, (.°0&Al r.of4SalC'..',A t(Az.e&1rJ /Lc(-Is 38. Final-Plumbing' / S=l3-9y Nn 3� as 39. Water Service-Final ri 11 `+40. GastService-Final '';� . 1 /B4 s 1r6, OK :C4Pr fCg2 e son 6At 41. Sofar'Domestic-Final - ��f'� w-4ip* a Pett - War 6kcA%,c Or A'gn-j'c D4 42. Backflow Preventer J. `f^1•; 09: ;L , , 6.p)-�4�7„�, • �•---t ,4o -� „ar r� SA S �/ ii 0,,,,,/," " w7a --77--- 44. 6 43. Backflow Irrigation • ' <��//;i;! � � � ��� Z Landscape Irrigation System Hi* 114 '64 . -..s- i - 7.,,,:e 45. Sound Attenuation [' ": �� - `-; _,. ,. __- . 6 1 - , .' .- • 46. Handicap Regulations ss , - ! 47. FINAL STRUCTURE& BUILDING °-r"' 48. Special Requirements Completed - • ked 64_ C-e2-tcf-- ,yd • .. • • 49. Electric Release to Edison . - • 50. Gas'Release to Southern California Gas Co 51. CERTIFICATEOF OCCUPANCY I I • Not Date .. .. ".•t' i L ( \I 1 CITY OF COSTA MESA BUILDING DIVISION • t- OWNER-BUILDER VERIFICATION , A city or county, which is required to give notice pursuant to Section 19830, shall attach to such 1. notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement.'/ &t Yes El No 2. I (have/have not) /AVE signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowled ompliance with is State law. Signed li Date: Name: TosN F. (i07.el:,t' (Printed or Typed) C.D.L. #or 5.5. # 754-5273 CMF 1042-46 ADDRESS: UNIT: '.a )-. CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 0578,5E OWNER'S NAME: 1963 FEDERAL AV "PROJECT ADDRESS: JOSH E. CAMMER 1963 FEDERAL AV PERMIT NO: E 057856 PLAN CHECK NO: N GOVT: N SUPP: Y COSTA MESA CA92627 CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE PURPOSE; ALT • ARCH/ENGINEER: (714 ) 646-6746 flEG.NO.: ADDRESS UNIT: JOB DESCRIPTION ; UPGRADE ELECTRICAL WORK SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESE: JOSH E. CAMMER ( 714 ) 646-6746 1963A FEDERAL AV *O***oNEiTE*4***�E*• ****88***R****A*R***B*D*Ei*******iE*********************************** COSTA MESA CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cent Mate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800, Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ:_ PROV: PARCEL: 11548206 ZNE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOES> .:7 > S : Applicant: -MPTION FROM WORKERS'COMPENSATION DECLARATION: •' section teed .t be completed i .e permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for whi h this• mit is issuy hall not emplo ., person in any manner so as to become subject LjJ to/'the Workers' �Compensation Laws of alit. Ia. / ZONING APPROVED BY DATE: Dale'. —/9- 7 gnam ...41;(re: - rfi/'>ti'^ . NOTICE:If.after making this declaration.you should • owe subject to the Wor ers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provi ') s or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affir that there is a construction lending agency for the perlormancebf the work for APPLICATION ISSUED BY• i which this permit is Issued(Section 3097,Civ.C). DATE• 5? LENDER: . ******************************************************************************* ADDRESS: LEGALIZATION:N F E E. SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1650 50 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 50 t SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - ISSUE FEE 4 , 50 I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 16 , 50 4 . 50 0. 00 21 . 00 21 . 00 . 00 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.If, however the building or Simprovement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED:. 21 00 OVER/SHORT; 00 forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIFIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 21 . 00 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 contractor(s)license pursuant to the Contractors'State License Law).l am aware *.*,*..N.*.**..**.*.*.**,*.**.,**..***.*.*..K.*.*.*,***.*.*.**.*,**.*.**.*,*.*,*.*.*,*.**,*,*,*,*,*,******,***K,* ,*,***,*,**,***,*,*,* that proof of their Worker's Compensation insurance should be provided to me. EL I am exempt under Section: BP7044 BpP, C. / INDIVIDUAL F E E BREAKDOWN -11 mnh��sr¢ason: AD00WORK BY OW — TXPE QTY DESCRIPTION UNIT COST TOTAL COST Date, (o --M--! Z i• A .. 4.....0-.".'-`••-1 q 'ormaHeallhandSafetyCodeSections25505,25533,and ELE � 4 FIXTURES LIGI]TING 1 ST 20 EA. . 75 _ 3 , 00 I do hereby certify that I am aware of and understand the requirements of C. {rr `f�1 _-- 25534 and that I or any future building occupant will/will not(circle one)nee;to comply with said state codes and the requirements for a ELE t 16 REC EPT/OUTLET r 1 ST 20 EA, . 75 12 . 0 0 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 2 RECEPT/SWITCH fi 1 ST 20 EA, , 75 1 . 50 these provisions. END OF FEES EXPIRED Date: Applicant: j I piste Inspections I hereby certify that I have read this application and state that the a inf ation is correct.I ree to comply with all city and county '�7J7JJ����Cjj�/ `/ordinances tyef and statelawsp relating to building cons elton and y autho ¢representatives of city to enter upon the above mentioned � ,L e � - property for inspection purpos¢i // / v0� / f G l v // Date: G (9-/ Z Signature: ✓f�UH-�^^�� / q Driver's License or Social Security N: 4 , 1641.46 Whee—Buildino:Green—Code Enforcement:Canarv—Aoolicant:Pink—Revenue;Goldenrod—Assessor /ii, • 'CONSTRUCTION AND PLANNING POOL# i APPROVALS Permit# Date Inspector 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 UFERGrnd. 57. APPROVAL TO COVER-GUNITE _ 7. Footings ' ' 58. Electrical Conduit-Undrgrnd. 8. Foundation - • 59. Gas 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. Heater & Vent-Final 13. Roof Drains , ' 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit / .tit 66. Solar System-Final 16. Rough Electric Wiring I/) / �F�./„ - 67. Fencing & Access Approval 17. Rough Wiring Sign /- 1 'm'µ`=-`1 68. APPROVED FOR PLASTERING '-18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 111. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1 0. Rough Factory Fireplace = - APPROVALS- Permit # - 21. Ducts, in Structure ' - - ' . � 70. Underground Hydro 22. Ducts, Ventilating - - 71. Product Piping D Gas 0 Oil 23. Gas'Pipe-Rough & Test _ 72, Underground Flush ,- 24. Roof Framing. :73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - ' - 74.•Overhead Hydro - '- i 26. T-Bir Ceiling (Structural) &Monocoat _ 75. Dry Chemical - 27. Frame and Flashing - - 76. Dry Standpipe - - _, 28. 'Lathing& Siding - 1 • 77.. FIXED SYSTEM FINAL 29. Insulation , - , ` 78..FIRE PREV. FINAL -_ - v 30. Drywall Nailing , - HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 1 i n0, FOOD CERTIFICATE ISSUED 33.,Final Electric 60.e. . ei lir otes E'- 2/7_7No .G4- e4.47.� ( 34. Final Heating & Air Conditioning !' 6 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 - a - ' 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 CITY OF COSTA MESA BUILDING DIVISION CERTIFICATION OF SKYLIGHT INSTALLATIONpo Permit No. &PE - lgg 11 Property Address /9963 /21I62A1_ All Owner JOSHUA E. CA/1/4E12 Contractor 0WA101-— 1grCD 2 State Contractor License Number Classification —� I hereby certify that I have installed, or caused to be installed, an approved listed skylight I.C.B.O. # NCR 1/Ca on the roof of above subject address.That I have re-fabricated the roof to the standards of the industry and in accordance with Chapter 32,34,52 Appendix 32, and Section 1704 of the latest adopted edition of the Uniform Building Code as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer.The integrity of the area worked on is as good or better than the rest of the existing roof. XI further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. 3 st♦uk &- 6/4/40.- ggiJ/ -Dal. Company or Corporat Name /9&3 TEDIut Ave Address Received by Building Division COS MESAS (/1 tut-) By: 6 .5144 ignature Date 6 w/¢ 6— /7—9 itich A- E. C'RtINEl2 Initial Date Printed or typed name 1029.46 White.City:Canary,owner;Pink.Contractor City of Costa Mesa California 92628-1200 P.O.Box 1200 Insulation Certificate Permit Number _N Pc / o"/ / _/96 3 i EoE2nt nve Cavt /Ian Number and Street City 012-ANlee /7/ County Subdivision Lot Number Description of Installation ROOF G ` Material 1-186zCLASS .}TT Brand Name_Lcii tti(//L-1-- Thickness LThickness (inches) 6 3/9 Thermal Resistance (R-Value) /Z-/_9 EXTERIOR WALL Material �fAOi 6L4St ,ttrf Brand Name_, tty_04LLC Thickness (inches) 3 f/2- Thermal Resistance (R-Value) R^/_/ • CEILING Batt or Blanket Type Brand Name_ Thickness (inches) Thermal Resistance (R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R-Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R-Value) • Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Adminstrative Code. _OwAcn- $01 LI)t/L Ge eral Contractor(Builder) License Number 42E-, h. 0 Signature and Title Date i}-n e A'S OJ€ Sub-Contractor(Insulation Installer) License Number Signature and Title - Date 190748 ORANGE COUNTY BUILDING DEPARTMENT., - • APPLICATION FOR PERMIT 636 North FORY BUILDING SANTA ANA,, CALIFORNIALI FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. P RMIT NO. BUILDING / a3.1-2_BUDRESS 1963 FadeT+Al Ave. aO SCHOOL DIST. RECEIVED BY DATE OF APPL. DATE ISSUED OR TOWN NEAREST % J3J {''� - -a/-u CROSS ST. 19th.St. YY 1 p OWNER BANNOCK HONES, Inc. BADDRESSG /7 5 re04n.r. l ` c MAIL SCHOOL DIST. /n Cy� ADDRESS 03^3 4J11 SHIRE FIL VII. OR TOWN Od' �bj /Y L'S t7 CITY BEVERLY HILLS TEL-Cc?.NO. 54361 NEAREST CROSS ST. /9 74.-011-' ARCHITECT R TEL. ZONE NO. OF TYPE GROUP ENGINEER AIN HCKE RRAHER;1.1-01-.5 Y. 64 9t / I PLANS I i y�4� ADDRESS 2110 E. WALNUT Sr.,SPASADENA SETBACK LINE FROM yCENTER OF ST. $,5p y TEL. REAR YARL.5f{;_ I SIDE YARD1IR__ Iat CONTRACTOR NEWPORT VISTA CONE. CR. 511361 APPROVED BY DATE ADDRESS 9163 WILSHIRE BLVD. , BEV.HILLs CORRECTIONS ' LEGALI n DESCRIPTION LOT NO. 411 BLOCK 1712 (ATTACH METES & BOUNDS/ TRACT SIZE OF•LOT 67 x 110 I NO. OF BLDGS.NOW ON LOT 0 USE OF I NO. OF I NO. OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK a 0 NEW I M I ALTERATION I I ADDITION I n REPAIR I I MOVING I I DEMOLISH I ! Z BUILDINGNO. OF r SIZE 1034 SQ.FT ROOMS 5 STORIES 1 s WALLROOF COMPO .-,J F�/ COVERING STUCCO I COVERING SHINGLE �' USE OF NEW /yy -. BUILDING RESIDENCE • at/ aftIfe4 �/ • APPROVALS FOUNDATION: LOCATION IN PECTOR �y %%T� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS. APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING rJv AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. 7i BRACING. BOLTS /%//4 dp��s.� 1 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. .19- LATH. INT. .7444/11-7) 441tI SIGNATURE OF .• 11 �- � '& PERMITTE • , a LATH. EXT. �J AUTHORIZED AG - b ter /. ,. PLASTER. INT. /� PLASTER. EXT. . ?5 /5-//(( . 3 $ 4830.00 P. C. X MASONRY REINFORCED FEE / Z • S BOND BEAM VALUATION p/jam a FEE FINAL �(.f/� / 6 4' . . Z L,, - - PLOT PLAN • • 0 re 0 ire ; • , : . • •Du 1 ; 3M ; DThtIA .- v_ I • r -•( • CJJI . VJ-7.7- fV. . 1" ' 3 'DA'. 4-1 • tt."1 t •T T $ . I 7:71: Tr- 1 r 01 x STREET X • T-..r.ze JI De.:40D 3D!13•3121: r - • I 4.1 • . - P:t.