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Home My WebLink About1017 AMERICAN PL - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. C,S y OF COSTA MESA CONS RUCT ON PERMIT- PERMIT NO. ' - TRA T NO I LOT _ „ UNIT NO.. I i ` 1 , , , 1 Q9�7 4/ I l7/9,y' 1 �.. z 'c ' ' a`lQ i� A Tf5I. Project Address I D �'� M__ W r CU 4 C.� l.lx'td. ii1C5t� ' _ - ` . JPPlmcant's MarlinfLAddress' - - - ' - '- ' '-_ ' TYPE OF CONSTRUCTION "� ❑ ❑DEMOLISH NEW ADD WALTER ATIONREPAIR - -- ❑ r' ' l ' _ - _ q I Owner'sNaive r 1J r Way- - �[.it \aNwL}J�Phone '� �L S CONVERSION . OT R - - '+eil\/�"Iy lU I7�1�LL A.P.#` �' _ [ ! ! :: ``_- .. _ < Zone Addreu' t�u..-sem' - + DESCRIPTION OF WORK/USE OF BLDG. g' - 1' ;-- _ r -� 1 _ S, , Main Bumldmg - - Accesso'ryBuilding.; - ArchlEng,� License No I- ;TYPE OF PERMIT GRA[]ING' FO UNOATION •.STRUCTURAL T. FPont �� I.S -- I O j Address ❑ TENANT C] ELECTRICAL' ❑,PLUMBING ❑-MFA-4ANICAL I BA, 1'� �' .' " r N OTHER -'- �R ear _ Contractor's Nam 'Phone L :❑ _- PROJECT DESCRIPTION i@FF _, 0- 'OCC K: Right - m _ _ 1 c IN Address (mailing) ) A Y - ``11''r,$µ �0 1 �; G ' ' 1 City License No. CONSTRUCTION TYPE - - V LUP.TION`�AL r` 1 - - i g :Left _ R' : ZONE GRADING CU. VDS.' 'ACRES C - _ 'Ping: Ref # I t Parking Req./Provided - E_ LICENSED CONTRACTOR DECLARATION I hereby affirm that ]'am licensed under provi ions of Charter,9 (commencing Remarks: - I Planning Notes: - _ < M with section 7000) of Division T of the Bus' npWrofessions code, and ' - T ; my license is in full force and;effect. "- j ' 1 - - D Llcen Se Class r 1 C I ` �` $ Date Signature j - PLUMBING FEES t ' ; 4 1 WORKERS' COMPENSATION DECLARATION i i - 1 hereby affirm that 1 have a certificate of consent,to self -insure or a certificate Bar Sink Showers - ELECT91CAL � •FEES 1 -f Workers' Compensation Insurance, or a certified copy thereof (Section ._ .-. - _.--. _-- ._--.__ -. - -- _ _ - Backflow Preventer---E-- '- - 1_. ---Servme Sink -- �- t_-_ i __._.,-__ _ -1Automat;c Washer _ - Transformer❑ 15-50 KW " ^� 300, Lab. C:)' _ T_ I 1 *I 'olicy No. •' Company - Backflow Irrigation Sewer Ca P - Construction Pole Sub. I ❑ SO I Certified copy is hereby furnished. ® - I Certified copy it filed with the city Building Division. 1 , Bathtubs Sewer Connection, i 'Cooking Unit ' 1Meter ❑up to 100 amps. ' Date Applicant— pplicant - ' EXEMPTION EX EM PT•ION FROM WORKERS' COMPENSATION DECLARATION' - I Clarifiers i¢r5 - Solar COIlectors , Dishwasher 100 am 5___ p I - (Thissection need not be completed if the permit is for'one' hundred ($100)'or _ _Meter _❑_Over less). - I , Dishwasher Solar Piping i .Dryers ❑Gas ❑Electric Sub Panel cerhf that In the performance of the work for which his e t is issued, I v -. 5ha11`not employ any person in any m r s as t eco subjec ^the Drinking Fountains Solar Tank 'Fan 'Motors ❑0-1 HP ❑1'/x- 8 Workers �ConzPensatierrLaws of Califor �/j/�r.�. ! , , - Date l L37 Signature��1 Floor Drains Swimming Pool w/Spa ! F.A.U. Inc. Solar ❑J-15 HP ❑i6-1 $+ , OTa If, after making this declaration, you should become subject to the Workers' Compensation' the Labor Code, forthwith t FIOor Sinks :- , provisions of you must ._ _)-._ ,_ .! _ Urinal - -- -y-- --' -- --- f 'Fi%tore$ - - ---i-- - - - -�--- - - - -- - Microwave` `i comply-'with'such provisions or this permit ,shall, be deemed revoked. CONSTRUCTION LENDING AGENCY , r, 1 hereby affirm that there Is a construction lending agency for the performance Gas Service' Outlets _ - WatectCloset' - , 7' - - c - Device Boxes Pole Li i 9 ht of the work for which this permit ;s issued , (Section 3097 Civ. C.) Lender's; Name.- c Interce tors -P, - Water Heater „ - Outlets Range ! _ Lender's Address-- - - Kitchen Sink' [- - Water Service ' - Switches Sign i OWNER BUILDER DECLARATION - I hereby, off irm'that I am exempt from the Coni ractor's.License Law for they _ Lavatories mAuto-Wash' - _ ` r, ! Garbage Disposal Standing Sections ( ! following reason(Section7031.5 Business and Professional', Cotle: Any city or - county which requires a permit to construct, alter, improve, demolish or repair ' _ P -Trap, m - I Laundry Trays = _ - Generator ❑0-5 KW ❑5-15 KW ' Trash Compactor any structure; prior to its issuance, also requires the applicanbfor such permit , to file a signed statement that he/she is licensed pursuant to theprovisions of Roofi Drains P -� r- r' 'the Contractor's' -License Law,(Chapter 9 (comment ing; with,Section 7000) of ° - r ; 1 �' i 1 Division 3 -of the lBusiness and_P,rofess;ons Code) ' or thati he/Sheds; exempt 'herefrom F i u• I and thel basis for the alleged exempt i on-- Any,violati on of;Section 1 _ f ( T i `31:5 by any applicant Wr'al permit subjects the :applicant 3o P, civil r natty of not more than five. huntlretl dollars ($500). r, I I `fin• I,'as owner oft the I property r` my ertiploy¢es�wdh' wages, as their sole ' '- = - Reinspection Fee '1 i$15 - Issue Fee 31 - Compensation, will ao the work, and the structure is notintendedor offered Reinspection Fee $15 Issue Fee I i 1$ 3 for sale .(Section 7044, Business' and Professional Code:I The! Contractor's ' _ r t �, ., _ MECHANICAL' t I FEES - I License Law does not apply to an 'owner of a property who builds or improves thereon„antl who does such work himself/herself or through his or her own 1 employees, provided that such' improvements are not intended or offered for improvement is sold within one yeacof com- u_ '- �. - Boiler- '- _ i 1 r-' rr, Hood or , Type I ❑ Canopy ❑ rn j r' j DEVELOPMENT SERVIC $' O Zoning Approved By ITS:: , I �-� i 4 Date i sale. If, however, the building or 1 pletion, the owner will have the burden of proving he/she tlitl not build or im- t Duct - UnderlG round; ' - Typo II - ` ' I Building, Approved; By 1 pat t� ( prove for the purpose of sale). 1 i ❑ I, as owner of the property, am exUusively contracting with'Iicensed con- Duct - Structural t _ Refrigeration System n i Application Issued By 11!5 Date—' tractors to construct the project Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct - Ventilatin 9- - i❑0-100,000 BTU ❑10Q000;BTU 1 1 SUMMARY OF FEES t builds -Or improves thereon, and who contracts for such projects -with -a con--+----:-- --- - -�-- ----- --- ^-- - - - -. -+— ! I$ I-1 rJQ0p' '$ tractor(sl license pursuant to the Contractor's License Law). I a'm aware that I Exhausq System ❑ Multiple ❑ System Repair/Alteration r- j BUILDING PERMIT a $MIP 1 proof off their Worker's Compensation insurance should be provitled to me. PLAN CHECK ;$ t I 1C 1 i +•� 1 PERMIT j ❑ I am a empt under section 1 B. & P. C. for this reason 1 n Firepl/F,act. Bit. ICBO # , 1 Fire Dampersl , ISSUANCE i$ j �- n r , PLUMBING ;$ , Date - O ' \• v r Heating System & Ducting ; i Registers i ' PLAN CHECK 25% '$ ENERGY P.C. i$ I hereby'.certity_tnot _I Inave'.read, this application ana-state that -the -above- 4 -- ;- 00-100,000BTU.0loo,OOOBT -\'_ _ _ ___ _ y, _ _ :$ GRADING i$ information is correct. I: agree to comply with all city'and county ordinances ; I ELECTRICAL I and 'state laws relating to building nstruction, and hereby authorize repre- I j PLAN CHECK 50°,G$ MICROFILM ,$ ! ' sentatives of is city , o nter on the above-mentioned property for1. inspection Pur s �+ 1 1 I MECHANICAL ) '31p) 1 Signature , Dates LJ�_ 1 ' ' - i$ TOT i$ . 1 - t Reinspection Fee j $15 Issue Fee $ 3 I PLAN CHECK 25% t��is Drivers' Drivers' License or SS -P i CMF 0865-46, rev. 10%84 White Building; Canary - Applicant; Pink - Accounting; Goldenrod Assessor I•�� COlSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL PA I APPROVALS Permit# Date I Ins i •l . Temporary Electrical Service or Pole 52. Pool & Equipment Location i 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3._Electhcal Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5:. Steel Reinforcement ti 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings - ii 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 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 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 341. Plaster.Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Nntes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Ca nopY 37. Final Factgry•F•ireplace ` 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. Special Requirements Completed_ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY Mn. Date , 3 Esa 1�V'CSC� OF NK ,�� Q City=staMesaildir3 C=p.LATF�_l THESE PLANS MUST BE C71 JOB At Ll 71MEi� MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSEY..'= CA CRAAT(P„ G A PERVir C.2 0PROVAL OF RAU)S AND SPECIF!CAVONS SHALL P:OF E CONSTRUED W BE A MWIT f:R, OR fN fPCRTILL G, ANY %'=A,ION CFJW CFIK FRCVIZ:2":3 CS THC COC,. NO FLR.Hl1 PRE- SIAt= n CMIE AUTHORITY 17 1':GLATE 0.,1 Ci'.NCEL THE RMZMU C? T, -i13 COCE SHALL 6E 1'f -.LID, E%CEPf IN SU TMAlIHE*XftA®R L:.EW:!C''A IF AUTdOA:Z,:S IS LANFUL, '3HEII. -NCEfF A I-.%V'f 6 ::) C"" I F:f4S k0) SPECIFSp 103$'a.L M Cf"CV :.T THS C'. "._:-., Cl::'; !R=-,7KEP.E0W& RLQdlaf:'G pi, t.-"'_"Ai`i c° I WSAID61 MlfA]' S, ECIfICFT— T C t A T_.. AIJlLDIK000PEF":'SECt,:Gc—^ IN VJMIICN-L" ;. C OB IN rim RttlDCRot )('b q(ti RESIDENCE rt'hL¢n CQ.J _ TREET STRUCTURAL APPROVAL ONLY i SEPARATE PERMITS ARE P,E4UiflEG FOR ?LLTABING. HEATING, VET;, L6 TING ANG REfRiGERATI"' u?iGRK. Permit THIS NLINISER '-'tl;; g,rCIMPANY ` ALL FOR BLIRDINGS WK'!P':' 45 ARE TO BE I EMPLOYED. WE SC id 1 I H',AI THE STATE OF j CALIFORNIA DIViSI0 GF iNOUSTRIAL SAFETY j BE CONSULTEG FGR A601TIONAL RE0'JIREMENTS. RtSIDtNCt I I I tttlDtRtt 14 Places TYPICAL 611 CONCRETE BLOCK FENCE CementCopl Optional Channel Block ith One�Bue� For Fences 5' or Less 3' 12" Vert. Bars 3/8'1. at 4' -0" O.C. 1116' o F 16" ¢ x For Fences Higher Than 5' Vert. Bars 3/8"0. at 32" O.C. > w x Fill Cells Solid With Grout > Where Steel Occurs — Reinforcing Steel.Shall a i iO Conform to Sec.A-15-39 w o A.S.T.M. u z _~ All Steel to be Lapped LL "'. IS " or to Code NATURAL GRADE 0 oe o pN TWO 3/8" BARS a O. CONTINUOUS TOP & BOTTOM .� b W c SEE I I oL FOOTING REQUIREMENTS 60,6 HEIGHT 6' 1 5'. IDTH OF FOOTING 14" 14" THICKNESS OF FOOTING 10" 10" DEPTH OF EARTHTOOTH 24" 20" SPACING OF EARTHTOOTH 12' 14' City of Costa Mesa, California Building Department 7-6-84 GENER - NOTES MORTAR: a Part Plastic Cement, and Three Parts Sand GRO One Part Cement Three .and One Half Parts Stand OPING: One Part Cement, Three Parts Sand CONCRETE: Well Mixed 1, 2�t2 : 3%2 Max. of 71/.z Gallons of Water Per Sack of Cement GROUT MAY BE POURED -FROM THE TOP OF THE FENCE CELLS AND AREAS OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. BONDS SHALL BE PROVIDED BY LAVING III= BLOCKS IN STRETCHER COURSES SO THAT VERTICAL JOINTS ALTERNATE IN EACH COURSE. DEPTH OF EARTHTCOTH �. 1/3 THE HEIGTH OF FENCE SOW BOTTOM OF FOOTING. 2.. SCALE: 1/2" = I' 4' 3' 12" 1116' 81, F 16" 16' OWNERS NAME: _ _ — — — _ _ _ _ _ _ _ _ _ JOB ADDRESS: _ — — — _ _ _ _ _ _ _ _ _ _ 4 PROJECT ADDRESS: 101.7 AMERICAN PL _ UNIT: B OWNER'S NAME: BUSCHMANN, ROBERT EMIL -. ADDRESS: 3RD • - , 1017 AMERICAN PL(" COSTA MESA,CA2627 " 695-3255 . ,ARCHIENGINEEfl: / flEG.NO.:. ADDRESS: - UNIT: ' PERMITTEE: AKS ELECTRIC (714)641-3550 ADDRESS: 1315 EAST ST. ANDREWS PLACE C, SANTA ANA CA 92705 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 in license is in full force and effect. CI `.: 04 /39 STATE LAC.: 480224 CLASS 10� . ��Signature: _ _ ✓, _ WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to seltt name or a cert' .o of Workers Compensation 1p�urarJrJ��e qt.a cg(1 cpppY thereof (Section 3800. Lab. I. POLICY NO.: WP2SO J4U��)4 EXP. DATE: X10/01/92 `OMPANY: FIREMANS FUND' \ . J Certified cop is hereby Iurnlshetl. IN CeNhed copy). -td with the ity Builrling Division. ¢: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION:, (This section need not be completed it the permit is for on undr¢d (5700) or )1.). I certify that In the performance of the work for which this permit is issued. I shall not employ any person in any mqzr so as to ome subject to the WorkersCompensation 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 isssued (Section 3097. Civ, C). LENDER: ADDRESS:- - t OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing 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 the 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 live hundred.dollars ($500). - 1. as 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 (section 7044, Business and Professional Code The Contractors' Stale License Law, -does not apply to an owner at a property who builds or improves thereon, and who does such work himselflherself or through his or; her own employees, provided that such improvements are not intended or offered for sale. It, however the building or improvemenI is sold within one year of Completion, the owner will have the burden of proving he/she did not build or'improve .. far the purpose of sale)... I. as owner of the property,am exclusively contracting with licensed contractors to construct the project (Section 7O44,,'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 connections) license pursuant to the Contractors' State License Law). I am aware . that proof of their Worker's Compensation insurance should be provided to me. . r I am exempt 6ndenSection: 8. ,8 P. C. ` for this reason'. Date: - Owner: I do hereby firmly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 425534 and that I or any future building occupant willlwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Dusty Management District. Residential construction applications are exempt from these prabisions. ` Date' Applicant. I hereby certify that l have read this application and stale that the above information is correct. l 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 J�Orriyer orty for in pedion/yurposes. /1 , it / f Signature ' 1 'S License or Social Security >:, 1641.46 Whne—Building: Green'CodeEnforcement: Canary—Applicant; Pink—Revenue: Goldenrod CITY OF.COSTA MESA - BUILDING PERMIT PERM 'NO: E 054902 PERMIT NO; E 059902 PLAN CHECK NO: N GOVT: Y SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION SERVICE CHANGE 6 CONNECTION '! SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS:CITY PROJECT NO. 91-07### 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 RIGHT: FT IN LEFT: FT IN RGHT: 'FT IN' PARKING REQ PROV: PARCEL: 42208209 ZNE: REF NO: PLANNING N(3TE_S> _ - > D E V .E L O P M E N T ..S;yE R V I C E S I R'E Q U I R E M E N T S ' ZONING APPROVED BY '� DATE: r BUILDING APPROVED BY : DATE: APPLICATION ISSUED-BY:4 �r •r DATE: 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 18 50 10$ SMIP/NON-RES PLAN ISSUE FEE'; 1,5.00 BUILDING -DIV->• PERMIT.: ISSUE' PLAN -CHECK TOTAL` PAID' DUE, TOTALS---`-'> 0.00 0.00 0.00. of, 00. - '00 .00 7. REVENUE DIVISION TOTALS--> COLLECTED: .00 OVER/SHORT: .00. ';BLDG PMT PLUMBING ELECTRIC, MECHANIC FIRE SMIP/TOT, GRADING,PLAN-CHECK 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 P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V S BELOW 201 AMP ,18.'50 18,50 END OF FEES 01 00102619-00102,419 3 5LT DATE: 11/19/91 TIE',[: 17:37 D D .00 EXENIPTION VEr2iF;ED_ _ -- 1. CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PC S SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test - 9. Wate,""fipe-Uncirgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. S, ctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOil 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 26. T -Bar Ceiling lStruct Ural) & 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 32. Electrical Power Meter -Final 33. Final Electricdotes: 34. Final Heating & Air Conditioning 7p FINAL INSPECTION - - FOOD CERTIFICATE ISSUED 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 Irriqation 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 41-1 51. CERTIFICATE OF OCCUPANCY No. Date r PROJECT ADDRESS: 1017 AMER I CAN PL OWNER'S NAME: BUSCHMANN,'ROBERT :EMIL ADDRESS: 3RD 1017'A1-iii;_RItiAN PL, COSTA-MESA,CA 92627 645-3255' 'ARCN/ENGINEER: REG.NO.: ADDRESS: UNIT: A UNIT: PERMITTEE: AKS ELECTRIC(714.)641-3550 ADDRESS: ' 13 15 EAST ,ST. ANDREWS PLACE C SANTA ANA CA 92705 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code. and my license is in full force and effect - CITY uc.:'04 sTATE l48022.4 CLASS'S' 10 act � 1 Ep1S Signature: — "Av�_ WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure ertificate of Work 1s' Compensation Insurance, or a certified copy thereof (Section 3800. Lab:C). POLICY NO.: WP80540504 EXP: DATE: 10/01/92 COMPANY: FIREMANS FUND' I Certified copy (is/h/¢rreeby furnished. E Climbed copy"d with the cit Building Division ,Applicant •�C//�/J n� 'EXEMPTION FROM WORKERS' COMPENSATION OECLARATION: (This section need not be completed if the permit is for ane e0 pit lerest in . I certify that in the performance of the work for which this permit is issued, I shall not employ any person any to become subject to the Workers' Compensation Laws of California. Date: -' Signature:- .NOTICE: ignature:•NOTICE: It. alter 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 pedormante of work for which this permit is issued (Section.3097; Ci¢ C). , LENDER: ADDRESS , OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State 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 subjects the applicant to a civil penally of not more than five hundred dollars ($500). I, as Sumer' 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 (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. If, however the building or • improvement is sold within one year of completion, the ownerwillhave Ihe,burden of proving he/she did not build or improve M : for the purpose of sale). I, as owner of the property. am exclusively contracting with licensedcontractors 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 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: Dale:. - - Owner. . I do hereby certify that I am aware of and understand the requirements of California HeaNh and Safety Cade Sections 25505, 25533, and 25534 and that I or any future building occupant walll not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Dale: Applicant ' 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 hereoy plhdrme representatives of this city to enter upon the above mentioned .property f purp sesr / slgnm m Driver's License or Social Security p: 1641 46 White—Building: Green—Cons Enforcement; Canary—Applicant. Pink—Revenue: Golden: CITY OF COSTA MESA - BUILDING•€,ERMIT PERM NO: E 054901 PERMIT NO: E 05490.1 PLAN CHECK NO: N. GOVT; Y SUPP: N. CONSTRUCTION TYPE; V -N :. PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION'.: SERVICE•CHANGE 6 CONNECTION SQ FT: CLAIM VALUE: CALC—VALUE: '. 'GROUP OCC: R-3 /. COMMENTS: ##%' CITY PROJECT NO. 91-07 ###' ####%#######9E############iF##-3f####ic•k####%##x--1F#######%1E 1E##%#'#iE###k %###-0E##%dF iF###lE# ' 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--- :----r---------'ACCESS'ORY BUILDING FRNT: FT IN REAR: FT IN •FRNT: FT nIN REAR: FT IN LEFT: FT IN RGHT: FT IN, LEFT: FT IN RGHT: FT IN PARKING REQ• PROV PARCEL: 42208209 ZNE: REF NO: PLANNING N TES> ########%#####IP##%#r#iE#k•####.####if;##########7f if#####i(##iE%#iF#ic ic:b if ie#Y.#le###i(##ie#ii##%3F . D E V 'E L O P M E N T SE',R V I C E S R E Q U I R E M E N T S. ZONING APPROVED -BY r DATE: BUILDING APPROVED BY a'_✓' DATE:. APPILICATION ISSUED BY; DATE., ##+F#tf#############iE#iE####dh######•it'it•'-x-#-h ##If#3f#3r it###16Ari•%lE ii 3f it####XE#ie###.aE 3tTic#3E#3f##it# LEGALIZATION:N F'E'ES 'S U'M'M A R Y — STRUCTURAL SEGNJENT':N BLDG -PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18.50 50% S,`:IP /NON—RES PLAN Y; ,ISSUE -FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID, DUE TOTAL S7-7—> 0,00 0.00 U,00 0,00 ..00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 00. OVER/SHORT: ,OU' BLDG PMT. PLUMBING ELECTRIC 'MECHANIC • FIRE SMIP/TOT. GRADING PLAN—CHECK, IND 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 .ELE 1 SERVICES BELOW 600 V.& BELOW 201 AMP. 18.50 18,50•• END 'OF FEES' 01' 0010261840102618'' T'C+T. ' p0 DATE, 11/19/91 -TIME. 17:36 EXR;PTIO?i W:FIE.) — — _ CONSTRUCTION AND PLANNING. .APPROVALS Permit # D'ateInspector POC 1. SPA- •• APPROVALS Permit # s Date Inspector ^.1.: Temporary Electrical Service or Pole 52. Pool &-Equipment Location " 21' Soil Pipe-Undrgrnd. - - _ 53., Steel Reinforcement - s ...3; Electrical Conduit Utility-Undrgrnd. 54.`Formst -t ' 4.Electrical Conduit-Undrgrnd. .. - 55: Electrical Bonding ' -5. St el Reinforcement 56. Rough Plumbing & Pressure Test - ? V-Flctrical UFER Grnd. .. .- 57. APPROVAL TO`COVER:GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation ` 59. Gas Pipe, O:Undrgmd.,`Test - 9. Water Pipe-Undrgrnd. .. r• 60.-BackwashLines, P -Trap,❑ Undrgrnd. 10. Structural Floor System - r - 61. APPROVAL TO DECK',_ 11.. Property Sewer Line & House Connection 62. Backwash &'Receptor -Final 12. Sewer Cap 63. 'Heater & Vent -Final ' P. 13. Roof Drains., 64. Plumbing System = Final 14. Rough Plumbing ' 65.•Electrical-Final` - 15. Rough, Electrical -Conduit C '. 66: Solar System -Final 16. Rough Electric Wiring ., � 67_F.encing &'Access.Approval 17. Rough Wiring Sign - 68.. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69.POOL/SPA SYSTEMS.FINAL 19, Rough Heating -& Air Conditioning " - '- 'FIRE DEPT. REQUIREMENT APPROVALS, _•_Permit# l 20. Rough Factory Fireplace '' _ 21 .'Ducts, in Structure '.. '� _ - ' _70. Under ground.Hydro 22. Ducts, Ventilating Product' Piping O'Gas ❑'Oil 23. Gas Pipe -Rough & Test 72. Underground Flush - 24:*Roof Framing 1 `-737 Undergrnd. Storage7ank 0 Gas ❑ Oil 25. Roof Sheathing - '74. --'Overhead Hydro 26.' T -Bar Ceiling (Structural) & Monocoat 75: Dry Chemical 27",Frame and Flashing .'. 7. - - 76. Dry Standpipe 28. Lathing.& Siding : 77, FIXED SYSTEM F:IN.4L 29. Insulation ,.. ., 78.. FIRE PREY. FINAL - 30. Drywall Nailing ` - I-, I" HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, ,, ..7c. FINAL INSPECTION 32. Electrical Power,Meter-Final 33. Final Electric _ �� i Cyl '� :; a0- FOOD CERTIFICATE ISSUED '� "I otes: .: 34. Final Heating,& Air Conditioning, t ' .tAl. , •-, - 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 , - c d' 42. Backflow Preventer ._43. Backflow Irrigation' 44. Landscape Irrigation System,.,.;.,, -45. Sound Attenuation L 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 7', 48..FINAL PLANNING _.49. Electric Release to Edison r , S 150. Gas Release to Southern California Gas Co i. ,�' 51.. CERTIFICATE OFrOCCUPANCY No. Date +^ I FEE RECEIVED: Qt� FEB 20ISM COSTA MESA BUILDING -SAFETY- DEPARTMENT FINANCE DEPT. P.O. BOX 917 COSTA MESA. CALIFORNIA - CITY OF_COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT• TYPE OR PRINT BUILDING ADDRESS 1017 American Place' ' COSTA MESA. CALIFORNIA For OfficeUse Only PRINCETON INC. RECEIPT NO. Fr OWNER z. MAIL Baker RECEl?yygp BY �Ci' DATE REC D DATE ISSUED I I � ADDRESS . 1533 St. . �/•-� Costa Mesa No: K191151 UILDING ADDRESS CITY ARCHITECT Carlson, MidcUebrOOAL. COSTA MESA. CAL FORNIA OR ENGINEER P,,ge NO. ' Garden Grove FIRE ,�///ISL ADDRESS ZONE TYPE GROUR� 1/" CONTRACTOR" Dike RL Cole rove Inc.- APPROVED BY DATE ADDRESS 1533 Baker St. ZONING ' ZONE - NO. OF USE OF NE p e CITY Costa' Mesa g_4 I PLANBZ I BUILDINGfam. iwe lin STATE TEL 167293 Ki. 9-1151 LEGAL w att gar. LIC. NO. NO.. DEBCRIPTiON SIZENO. OF. SLOGS. OF LOT 1 X NOW ON LOTnone A. P; NO. none USE OF YARDS - EVES EXISTING BLDG. 'APPROVED ALLOWED SETBACK LINE FROM" CENTER OF STREET '601 .REAR YARD 1 - 'M LIxE 8T.] FRONT ,,11 V FT. IN. I l61 5f- I SIDE YARD LEFT RIGHT R. SIDE -FT. IN. DESCRIPTION OF WORK LL L. SIDE FT. IN. NEW I X II ALTERATION( I ADDITION REAR - FT. IN. REPAIR 11MOVINGI IDEMOLISH APPROVED W. L. D. DATE 2-16-61 BUILDING DING 1758 f l0 1 sq. 00OMS STORIES " EXTERIOR WAL ROOF ( 'rock COVERING SL UCCO� COVERING CO m . USE OF BUILDING AND WORK TO BE PERFORMED Multiple family dwp1ling idt attached garage. (two living units.) Gar. 441 sq. ft. Plan B. I HEREBY ACKNOWLEDGE THAT I HAVE READ THJAPFLI�TIGN AND STATE THAT THE ABOVE 16 CORRECT AND A THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PLY WITH ALL CITY. ORDINANCES ANO STATE LABUILDING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION CONSTRUCTIO SIGNATURE OF PERMIT FEE S 37.00 Jj'$ PLAN CHECK $ 18.50 PERMITTE 17,979. AUTHORIZED AGENT Dike & olegr 55.50 TOTAL FEE