HomeMy WebLinkAbout1953 CONTINENTAL AVE - Building Permits- Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CIT'@• QF ttOSTA•MESA • PERMIT NO/ TRACT NO. LOT NO. BL .
=WLwr =RUCTION PERMIT �r ,�G aS� (7 IZ / c':c}" •rj �-
Ss
'Applicant's Mailing Addr 0 TYPE OF CONSTRUCTION IJ NEWADD LJ ALTERATION LJ REPAIR ,
P t Add SAH F 1:1CONVERSION ❑ DEMOLISH 1209THER
CMF 0865-46 rev. 12/82 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
rojeq rasa /
Owner's N�ejma Aj/� - C/1J1'P,f1 E L 'phos/,
Addresspyo 0Ca" I //VF�' A�
-
DESCRIPTION OF WORK
ZONING REGULATIONS
TYPE OF PERMITyy,, GRADINGFOUNDATION STRUCTURAL
TENANT 8 ELECTRICAL 1`'y7 PLUMBING ❑ MECHANICAL
A.P. Irl -47Z. ZONE-
Arch/En .- EL i'^^-e^zO No. -
9
PLNG. REF. 4%
BUILDING !(
Address
_
IJOTHER
PROJECT DESCRIPTION' SG FT ^ 'S C) OCCUPANCY _
CONSTRUCTION TYPE VALUATION $12,00 0--'-'
---7
ZONE - GRADING CU.YDS. ACRES
TO BUILDING
PROPERTY I
/� It
Q REAR YARD (TO P/L) %� i,C'F£
Ddntlaptpr's Nem ^ hone
Address (mailing)
' License No.
LEFT SIDE YARD I C
� Le! (( RIG HT SIDE YARD (C � n v (
PKG. SPACE REO.
� PROVIDED
'
__
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
Remarks: S
��
y0
STREET WIDTH
PARK FEE $
SPECIAL CONDITIONS:
-
with section 7000) of Division 3 of the Business and Professions Code, and
my license Is in full force and affect.
License Class - License No. -
PLUMBING
a-ZC:-� %�As,z _ �-r--•t
1 - l!C%: I •-G
Date Signatur0
WORKERS' COMPENSATION DECLARATION -
" " ereby affirm that.l.hava a certificate of consent to salf41ssUre or a certificate
orkers' Compensation Insurance„ or a certified copy thereof (Section
6 ;100, Lab. C.) '�
PoOOY No. ' - I Company
BCertified copy is hereby furnished.
Bar $ink
Sewer CAIS
ELECTRICAL -
- - -
Backflow Prev¢nter SBwer Connection
Automatic Washer
Meter Dover 100.amps
Backflow Irrigation Solar Collectors
Construction Pole
Sub Panel .'
Bathtubs Solar Piping
Cooking Unit
' Sub Pole
Clarifiers
Solar Tank
Dishwasher
Motors 190-1 HP 111%-8
Certified copy is filed with the city Building Division.
Date Applicant _
EXEMPTION FROM WORKERS' COMPENSATION DECLARATIOND..yr
(This section need not be completed if the permit Is for one hundred ($100) or
font
I certify that In the performance of the work for which this permit Is issued I
shall not employ ampbtn of any m rl¢o as.t become ubl to tela
Worker mp a Ion Laws of any rine /
C
Dish Washer
Swimming Pool w/Spa
-
t i Inc.Soler�O9-15 HP 1316-'15+
Drinking Fountains Urinal
_
J -,microwave #
, Floor Drains' 1
J Water Closet `
F.A.U.F?U: ,
'Pole lLi ht
g
Data Ignature ,� (/�pj'
NOTI E: I , aft making th6 declare you Should become subject to me
Workers't Compensation provisions of the labor Code, you must forthwith
comply with such provisions or this permit 'shall be deemed revoked..
-
Floor Sinks - - - -
-Water Heater
_
_ Fixtures ', 1
- - -
- . Range. _
/ GaS Service a� Outlets
rp I' p
Water Service G vl / STNO
a
Device Boxes
-
'Sign,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for me performance
of the work for it is Issued (Section 3097 CIV. C.)
Lender's. NameP r
-
Interceptors •.
- -
�Q Outlets
,
% Standing Sections CJI
-
Kitchen Sink.
Switches
Trash Compactor !Qc
Lender's Address,
OWNER BUILDER DECLARATION - - -
Lavatories.
_
Garbage Disposal
1
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason. (Section 7031.5 Business and Professional Code: Any city or
'county which, requires a permit to construct, after Improve, demolish or repair
any structure, prior to Its Issuance, also requires the applicant for such permit
- -
P - Trap 1
-
_
'
Generator ❑0.5 KW ❑5-15 KW
Roof Drains 1
- -
Tronsformer' [] 15.50
KW '
'
• to file a signed statement that he/she Is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Islon 3 of the Business and Professions Code) or'that• he/she' IS exempt
BfrOm and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
a ally of not more than five hundred dollars ($500), '. I , t
❑5U+
I
KW' Reinspection Fee §75
l +
Showers Reinspection Fee $15
,
Meter ❑up to 100amps 'Issue Fee • $ 3
Service Sink 1
Issue Fee
$ 3
Zoning Approved By•
'Date ' [ 71'sS -V 3
I, as•owner of the property or my employees with wages as their sole
compensation will -do the work, and the structure is not Intended or offered
for Sale (Section 7044, Business and Professional. Code: The Contractor's
' Llcansa 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
amployeaz, provided that Such improvements are not Intended or offered for
' Sate. If, however, the building or Improvement IS Sold within one year of con-
elation, the owner';will have the burden of proving he/she did not build or Im-
rove for the purpose of sale).
I, as owner of the property, am exclusively contracting with -licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of properly who
' builds or Improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). i
❑ I am exempt under Section B. & P. C. for this reason
Application Approved By
Appliration Issued By
-��• v
Date
/�'
�O' Date / ��•�
,- _ MECHANICAL
Boller. Refrigeration System
Duct -Under Ground ❑0.100,000BTU ❑100,0006TU
'
,
.BUILDING PERMIT
PLAN CHECK
♦ I
,PLUMBING
PLAN CHECK'
'ELECTRICAL
PLAN CHECK
- '
MECHANICAL
PLAN CHECK
I
-
SUMMARY OF FEES
$ {..L SMTP - $ •!��
, ^ , , ,
$ �. / PERMIT '
$, % t ISSUANCE $ '
' GRADING $ j
$ _—
$,V $
$ �' MICROFILM $
/ TOTAL FEE ' $
$ Y
$, $
.� t7 -�
FINAL FEE $
'Duct
- Structural System Repair/Alteration
-
Duct - Ventilating -- . - ._ . " -
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. ICBO
Date - - Owner' i l
I hereby certify that I have read this application and-state-tliat•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 repre-
sontatives of• his <It o enter u on above-mentioned pro rty -for
Inspection p o S '�" .,
I Signature Date
Drivers- License Or SS
-
Heating'System & Ducting
0D100,000 BTU ❑100;000 - - -- -
l
'
�-
/
Hood or Type I Reinspecsion Fee
Canopy T e 11
$15
I
Registers i Issue Fee
$ 3
CMF 0865-46 rev. 12/82 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
W
' r'(66NSTRUCTION AND PLANNING _
Date
Y •PPROVALS „ Permit#-
Inspector
_
,APPROVALS Permit# '
Date
Inspector
Temporary Electrical Service or Pole
.y'
.' '•
52: Pool & Equipment Location
23 Soil Pipe-Undrgrnd. - ,.
%t (g'7
r?
53. Steel Reinforcement
-
,�3. Electrical Conduit Utility-Undrgrnd. -
-
54. Forms
Electrical Conduit-Undrgrnd. '
55, Electrical Bonding
-
5: Steel Reinforcement -
-
- -
56. Rough Plumbing .& Pressure Test
fi Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7;. Footings 1 . •4
N"�� tl3
58: Electrical Conduit-Undrornrl.
11. Foundation '
I
59. Gas Pipe, ❑Undrgrnd., Test
'
9. Water Pipe-Undrgrnd.
1f /7G p,�
. ;
. 60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL.TO DECK
11. Property Sewer Line & House Connection
,t
-
62. Backwash & Receptor -Final
12. Sewer Cap •
63. Heater & Vent -Final.
13. Roof Drains
64. Plumbing System - Final
14. Rough plumbing •P .H C"d
65. Electrical -Final
15: ,Rough Electrical -Conduit
-66. Solar System -Final„
,
_t Q. Rough_ ElectriclWiring`-•'
_t���?,"
C -"
-67. Fencing & Access Approval -
17. Rough Wiring Sign'
68. APPROVED FOR PLASTERING
18; Rough Electrical -T Bai Ceiling
69. POOL/SPA SYSTEMS FINAL
19.1 Rough. Heating & Air Conditidning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
•;,
-20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating i I
71.' Product Piping 0Gas 00il
23. Gas Pipe -Rough 8i Test
-72., Underground Flush
241 Roof Framing • 1
73. Undergrnd. Storage Tank 0Gas 0Oil
25. Roof SheaUiing5_3
2�: T Bar Ceiling (Structural) & Monocoat
g
1
-�
74. Overhead Hydro
75. Dry Chemical
Frame and Flashing ,
'r
76: Dry Standpipe
28. •Lathing &-Siding
%
77. FIXED SYSTEM FINAL
.29. Insulation i
sip, -
78. FIRE PREV. FINAL
•Notes:
30 Drywall Nailing 15=Z
_g3
/ ^6•S _ y_jp
• 31,. Plaster Brown Coat.
rj.� :•io
32. Electrical Power Meter -Final
33. Final Electric
•lO'o�-9-fJL
'C
34. Final Heating & Air Conditioning
i
35. Final Gas 'Pipe -Test • '�
- ,�, - �,
36. Hood or Canopy
i}
37. Final Factory Fireplace
38. Final Plumbing , .i :•
39. Water Servi -Fina "..
40. Gas Service. -Final';' ;
41. Solar Domestic -Final '_
-- - -�
_ _ _
_ ;6 ��'• ; 'i
42. Backflow Preventer,
43. Backflow Irrigation
44. Landscape`rrrigation-System _
45. Sound Attenuation "
46. Handicap Regulations
I•
r
47. FINAL STRUCTU,RE.&BUILDINGjrZ
t
48. Special Requi rnghts Completed '
49. Electric Release to; Edison
-
50. Gas Release to Soutfiern California Gas Go
a •j fIl �l
51. CERTIFICATE 00 OCCUPANCY
No, Date
l_�
i
r
•
IT
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
'6-000ST4MESA NRMIT NO. TRACT NO. LOT NO. BL _
$TRUCTION PERMIT (,. Z'Z5 7 .1.1,;1 �2 A-7 q 1202 6/P7/133 131-3 T
%Applicant's Mailing Address L 1 5 1
Project Address 9 5 a 5,-2 'ly. (�_ �Y;w�w
OV'ner's Name honea a 4
Address /953 G7'yll neo. Z
Arch/Eng.License No.
Address J 2
Contractor's Nam 2 Phone �lettif9L�t
Address(mailing) j�-Sn *F'; ��'-��T
Q'
License No: __
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license Is in fu=rcp and effect.
License ss License No.'
Date _ signature _
WORKERS' COMPENSATION DECLARATION - l
treby affirm that I have a certificate of consent to self -Insure or.a certificate
Workers' Compensation Insurance, -or•a-certified copy thereof (Section
_a00, Lab. C.), ,
P0114 No. " k Compahy
BCertified copy Is hereby furnished. - r,
Certified copy Is filed with the city. Building Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed If the permit Is for one hundred ($100) or
less). �,
I certify •that in the performance of the work for which this ptirmlt Is Issued 1
shall not employ.any person In any manner'so•as to become subject to the
Workers' Compensation Laws of California:
Date Signature r
NOTICE: If, after making this declaration, you should become subject to the
Workers'. Compensation provisions of the Labor Code, you must forthwith '
comply with' such provisions or this permit shall be :deemed revoked.
CONSTRUCTION 'LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter Impve, demolish or repair
any structure; prior to its', Issuance, also requires the applroicant for such permit
to file a signed statement'that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
'vision 3 of the Business and Professions Code) or that he/she Is exempt
refrom and the basis for the alleged exemption. Any viola ton of Section
31.5 by any applicant for a permit subjects the applicant to a civil
chatty of not more than five hundred dollars ($500).
I, as owner of. the property or
comlaeha will do the work, and the structure is not Intended or offered
for solo (Secf i on 7044. Business and' Professional Code: The Contractor's
License Law does not apply to an owner of a property Who builds or Improves
thereon, and who does such work himself/herself or through his or her own
errts��ployy ees, provided that such Improvements are; not Intentletl or offered for
Safe. If, however, lha builtlin9 or Improvement Is sold within one year of com-
pledon, the ow ner. will have the burden of proving heshe did not build or im-
rove for the purpose of sale).
I, as owner of the property, am ax c lusively contracting with licensed <on-
LlaCtprs to ConslrUp[ lhe.DrbfOCt (($BCBOp ]044, Ba$Ine$$ antl P!q}eiilop5 Cotle:
The Contractor's License Law does not apply to an owner of property who
bulltls or Improves thereon, and he contracts fo is Uph projects with a con-
tractpr(s) license pursuant to the Contractor's License Law).
❑ 1 am exempt unoar Section B. & P. C. for this reason
Date Owner '
�I
e'so
'-certify that 'I have read this applicationandstate that the above
' information Is correct. 1 agree to comply with all city and county ordinances
and, state laws relating to building construction,'pnd hereby authorize repre-
TYPE OF CONSTRUCTION J NEW LJ ADD 14 ALTERATION LI REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ -4-4- OTHER
DESCRIPTION OF WORK csz?,wL Plo/N .9,0 ,0
TYPE OF PERMIT LJ GRADING L7I FOUNDATION %J STRUCTURAL
❑ TENANT ® ELECTRICAL ® PLUMBING ❑ MECHANICAL
❑ 'OTH E R
PROJECT DESCRIPTION S FT. OCCUPANCY_
CONSTRUCTION TYPE Kcn=dpe VALUATION $_
ZONE - GRADING CU. YDS. ACRES
/ f
Remarks: . r �. 1, .. `Hn u — G7 <L4
i
Preventer - ; - --
Backflow Irrigation Solar, Collectors-
"Bathtubs
ollectorsBathtubs Solar Piping - --
Clarifiers Solar Tank r '
Dish Washer I
_Swimming Pool w/Spa 1
"
Drinking Fountains
Urinal',
_
Floor Drains
Water Closet
?KG. SPACE REQ.
Floor Sinks
Water Heater
2 -
Gas Service Outlets
Gas
Water Service
,
Interceptors
-
Z' 0 0
Kitchen Sink
ELECTRICAL
$
Lavatories
PLAN CHECK;
P—Trap,
s 16,
MICROFILM
Roof Drains
$CO
Showers - '
Reinspection Fee
$15
Service Sink - I
Issue Fee
$ 9
• -
MECHANICAL
'
Duct - Under Ground
Duct - Structural '
Duct - Ventilating
Exhaust System D Multiple D
Firepl/Fact. Bit. ICBG #
I Heating System & Ducting ,
D 0100,000 BTU D 100,000 BT
Hnnd nr
inspection -1 "..est ._'.• � "'�j' Ca'nop Type
Signature
Drivers' Licenw'o 55 ` /%'�/— Registers
CMF 0865-46 rev. 12/82 White - Building Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Refrigeration System
00;100,000BTU D
System Repair/Altera
Issue Fee
0,000 BTU
A.P.# 11S -'frJ 5 0'5
ZONE F,I
PLNG. REF. yh
DI !
.acrBUILNG o nr•v r -r eT
TO BUILDING
PROPERTY LINE .--1 I
REAR YARD (TO P/L)
LEFT SIDE YARD "
RIGHT.SIDE YARD e r / . U
?KG. SPACE REQ.
PROVIDED,
STREET WIDTH !1^vrsUc/x✓-
'PARK FEE $ —
krPECl/IL CONDITION 5:
'
vatic Washer _
'.ruction Pole ..
ing Unit
Dasher '
s VGas, DElectric
Fan
F.A.U.
Fixtures
Device Boxes
Garbage Disposal
Generator D0.5 KW 05-15 KW
Transformer 015-50 KW
D50+ KW
Meter Oup to 100 amps
Zoning Approved By
Application Approved BY
Application Issued By
Meter IJover 100amps
Sub Panel
Sub Pole
Motors D0-1 HP D1X$-,-
Inc. Solar 09-15 HP Dib -15+
Microwave
Pole Light
Standing Sections
Trash Compactor
Reinspection
'
U RY OF FEES
' BUILDING PERMIT
$
/o'S•USMIP
PLAN CHECK'
$
PERMIT
PLUMBING
$
%I 0'C7
ISSUANCE'
PLAN CHECK
$
Z' 0 0
GRADING
ELECTRICAL
$
3 3"O
PLAN CHECK;
$
s 16,
MICROFILM
MECHANICAL
$CO
TOTAL FEE
PLAN CHECK
$
. 50"
LESS '
1
ADVANCED PC
t
I FINAL FEE:
$ II-
$'/
-
$ 3l, 33
-a ONSTRJJLTT N,AND�PLANNING -
• _
- -. r POO L 'A
' 1-' _ ".
- - -
, -.
d - - Date
•'APPROVALS Permit#
T-Inspectoi
' �
APPROVALS- Permit#
Date
Inspector
.r ,
Temporary Electrical Service or:Pole
_
52 Pool &'Equipment Location
-
I
.-� 2: Soil Pipe;Uridrgrnd.:c - -
$�f��_ j
L'.
53. Steel Reinforcement
3: Electrical Conduii Utilitv-Undrgrnd -
-
54.-' Forms '
4: Electrical Conduit-Undrgrnd: -'
55:: Electrical Bonding.
5: Steel Reinfordement
56. Rough Plumbing'& Pressure Test
6. Electrical LIFER Grnd.'
g�/f/dj
57. APPROVAL TO COVER-GUNITE
7. Footingsin
` 58. Electrical Conduit•Undramd.
e_.by
S. Founaatioqti'
59. Gas Pipe; (j-,Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, Undrgrnd.
10. Structural Floor System r
10.
61. APPROVAL TO DECK,,
11. Property. Sewer Line &House Connection
G
62. Backwash & Receptor -Final
12. Sewer Gap . , .
,:
i
63. Heater & Vent -Final .
13: Roof Drains
64. Plumbing System -Final
l
14. Rough -Plumbing' '
"65. Electrical -Final -- -
-
15: Rough- Electrical -Conduit'-
66.' Solar System -Final - -
.16.' Rough Electric Wiring,
//�
G __
67. Fencing & Access Approval
17. Rough Wiring.Sign:' '
68. APPROVED FOR PLASTERING
18. Rough Elecitical .T -Bar Ceiling, ',
- • •
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
-, FIRE DEPT. REQUIREMENT
• i
APPROVALSPermit #
• 20. Rough,Factory Fireplace -
21. Ducts,'in Structure, '
70. Underground Hydro
22. Ducts, Venfilating l
71. Product Piping 0 Gas 0Oil
,'23. Gas Pipe -Rough & Test =
72,E Undelground Flush
2% Roofflaming-
73. Undergrnd. Storage Tank 0 Gas 0Oil
25. Roof Sheathing
9 2�
74. Overhead Hydro
s
26. T'Bar Ceiling (Structural)y & Monocoat
i °'
75. Dry Chemical
27_.;.Frame and Flashing , • •'
'/ ��
-�
176.' Dry Standpipe ' t
r 28. 'Lathing & SidingQ' s.
S • ;� y
`-
77.1 FIXED SYSTEM FINAL
29. 'Insulation < ., ' 6S +�;
ay1
1 1 1
78. FIRE PREY. FINAL
30. Drywall Nailing „ ',,,�, t
•, '
'
Notes: 7621
31. Plaster Brown Coat t`
32. Electrical Power Meter -Final t
0- f 15
e�
a C�` d (�
33. Final Electric _ x'
,7.¢,5'J
., Cl [_ _
.y, At pgval:y_ Ihr•2A.0<1 C
34. Final Heating & Air Conditioningi
.�, i
''C
CY� '�v
-S1l-3�
35. Final Gas Pi pe=Test
36. Hood or Canopy
37. Final Factory Fireplace',-
ireplace?38.
38.Final Plumbing
C
39. Water Seivice-Final
,
i
40. Gas Service -Final
41. Solar bo"mestic-Final ' 1
42. Backflow Preventer
43. Backflow Irrigation,
,
44'. Landscape Irrigation -System I
45. Soundp;4ttenuation I
1'
46. HandicapiRegulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
t
49. Electrc Release to Edison'
50. Gas Release to Southern California Gas Co
'
51: CERTIFICATE OF OCCUPANCY
No Data
v
°a
Ate
V,
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Project Address _
Applicant's MaipApadress
Owner's Nam Phone .R-er.ic ,Y
Address
Arch/Eng. License No.
Address -
Contractor's
Contractor's Name "e� " C Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
nse Clare ss License No.
Signature
. ORKERS' COMPENSATION DECLARATION.
1 hereby affirm that 1 have a certificate of consent to self -insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.) -
Policy No. Company
BCertified copy is hereby furnished.
Certified copy is filed with the city Building Division.
he Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection need not be completed if the permit is for one hundred ($100) or
less).;
I certify that in the performance of the work for which this permit is issued', I
shall' not employ any persong in anymannerso t b�om subject to the
Worker o e Sat' Laws of Calif'yy�Ljj yyMM���QQ 66"6
Date Si nature se,
i� -:.[M+'/�!�
NOTICE: If, of er making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you mustforthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY '
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued, (Section 3097 Civ. C.)'
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
anystructure, prior to its issuance, also requires the applicant for such permit
.to file a signed statement that he/she is licensedpursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
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
5nalty of not more than five hundred dollars ($500).
1, as owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im-
Tve for the purpose of sale). '
1, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License- Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the C ,j License Law).
❑ I am exempt under Section B. & P. C. Lor this reason
O cu v -PK /
Dat -E owner
I hereby certify that I have read this application and state that the above
Information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building con WILICtiOn, and hereby authorize repre-
sentatives cd [ ity t e Fer u h the above-mentioned Property for
inspection as. Q•�
Si natur Date 161
7927 10/24/82
TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION U REPAIR
❑ CONVERSION ❑ DEMOLISH OTHER,
DESCRI PTI N OF WORKU/" .�' �&Q
!%JNb k_ r°>T �f U
Boiler
A.P.# Zone
E
Main Building: Accessory Building:
TYPE OF PERMIT RADING F UNDATIIO�N"❑STRUCTURAL
❑ TENANT 1-1ELECTRICALPLUMBING ua MECHANICAL
❑ OTHER
T
Front
B
A
Rear
C
Right
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
CON STRUCTION TYPE VALUATION$
ZONE_ GRAOINGCU.YDS. ACRES
KLeft
$
$
Ping. Ref. # Park.Fees $
Remarks: -..� S7
Parking Req./Provided
MICROFILM
TOTAL FEE
Use of Building:
PLUMBING
FEES
Planning Notes: -
Bar Sink
Showers
Heating System & Ducting
00-100,000 BTU ❑100,00013T
Backflow Preventer
Service Sink
Backflow Irrigation
Sewer Cap
- ELECTRICAL
Bathtubs •'
Sewer Connection
Automatic Washer Transformer ❑ 15-50 KW
Construction Pole Sub. ❑ 50+ KW
Clarifiers
Solar Collectors
Dishwasher
Solar Piping
,2 —
Cooking Unit Meter ❑up to 100 amps
Drinking Fountains
Solar Tank
,' Dishwasher !Meter ❑over 100 amps
Floor Drains
Swimming Pool w/Spa
Dryers ❑Gas ,❑Electric Sub Panel '
' Floor Sinks
Urinal
Fan Motors ❑0-1HP❑1%-8
Gas Service Outlets
Water Closet
F.A.U. Ina Solar 09-15 HP 016 -
Interceptors
Water Heater -
Fixtures'Microwave
Kitchen Sink
Water Service
—
Device Boxes Pole Light
Lavatories
-
Outlets Range
P -Trap
Switches Sign
Roof Drains -
Garbage Disposal Standing Sections
'
Generator 1:10-5 KW 1:15-15 KW Trash Compactor
Reinspection Fee
$25
Issue Fee .,
$ 3
FEES
g
Al Drivers' License or SS I I Reinspection Fee I $25 I I Issue Fee
CMF 0865-46 rev. 7/83 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor -
$ 3
Reinspection Fee 1 $25 1 Issue Fee
PUBLIC SERVICES REQUIREMENTS:
Zoning Approved By
Application ApproIssued y BY 9 t3C `r '
Application Issued BY (��/6"'-�-
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK
ELECTRICAL
PLAN CHECK
MECHANICAL
PLAN CHECK
144Ct T.
Z
O
N
I
N
G
R
E
U
R
E
N
E
N
T
FEES
$'3
SUMMARY OF FEES
Boiler
Hood or Type I ❑
Canopy Type 11 ❑
SMIP
$
$
Duct - Under Ground
Duct -Structural
Refrigeration System
❑0-100,000BTU 1:1100,000BTU
$
$
ENERGY P.C.
Duct -Ventilating
$
Exhaust System ❑ Multiple ❑
System Repair/Alteration
$
$ 7
MICROFILM
TOTAL FEE
/
Firepl/Fact. Bit. ICBG
Heating System & Ducting
00-100,000 BTU ❑100,00013T
g
Al Drivers' License or SS I I Reinspection Fee I $25 I I Issue Fee
CMF 0865-46 rev. 7/83 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor -
$ 3
Reinspection Fee 1 $25 1 Issue Fee
PUBLIC SERVICES REQUIREMENTS:
Zoning Approved By
Application ApproIssued y BY 9 t3C `r '
Application Issued BY (��/6"'-�-
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK
ELECTRICAL
PLAN CHECK
MECHANICAL
PLAN CHECK
144Ct T.
Z
O
N
I
N
G
R
E
U
R
E
N
E
N
T
FEES
$'3
SUMMARY OF FEES
$
SMIP
$
$
PERMIT
$ %.'
ISSUANCE
$
$
ENERGY P.C.
$
$
GRADING
$
$
$ 7
MICROFILM
TOTAL FEE
$
$
$
CONSTRUCTION AND PLANNIN
APPROVALS Permit#
Date
Inspector
POOL & 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. 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
�?
C
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
✓.;
Yo`
/,1/7�
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0 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
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
'
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
do
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
No. Date
OWNER SHERMAN. Frank E_ DATE 11-30-76
JOB ADDRESS 1953 Continental Avenue BUILDING PERMIT NO. 431 n3
115-483-08 LOT TRACT FIRE ZONE VALUE $ 3.200.00
INSPECTIONS
Signature
Date
TYPE V GROUP J
ZONE R-1
SOIL
SUBCONTRACTOR
M 5 ISS
GAS
Dote
Number Si nature
WATER
Plumbin
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
'
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
N'M'7
H*atina and Vent.
TRENCHES U FORMS M STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
�✓
-7%
FRAME AND FLASHING
FiC
y.y �J
LATHING — IN OUT
PLASTER, BROWN COAT
-77
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
h ✓��//L7
LOiO
PLUMBING. FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
f
t�7
43103
COSTA MESA BUILDING -SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
:Ti zl1-7�.crIr.QQ152�� a:. ..l#2.5.
PP IC TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RE ED
DATE RECEIVED E UED
BUILDING �/� <�
ADDRESS 7J
PERMIT NO.
OWNER
A.P. NO. --L
BUILDING
MAIL
ADDRESS DSO
ADDRESS
TEL.
`7
CITY NO.
TRACT
LO ( BLOCK
CONSTRUCTION
W ADR�J;L�ERJREPAI
LENDER
BRANCH
i
OWNER
ADDRESS
UE
ARCHITECT TEL.
S' S
OR ENGINEER Nn
FIRE
ADDRESS
ZONE VPE
GROUP
APPROVED
CONTRACTOR
BV DATE
ADDRESS
TEL.
ZON
NO. OF
USE OF NEW a.(�
CITY NO.
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO. OF BLDGS.
(FROM C/L STREET)
FT.
OF LOT
NOW ON LOT
FRONT FT.
USE OF
EXISTING BLDG.
I FT
FT.
el
Separate permits are required for
L. SIDE FT.
FT.
—
electric, plumbing and heating work.
REAR FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. BLDGS.
VAR. aB
DATE
Q
C.U.P. 46
APPROVED
/
APPROVED(—/Vx
DATE 7
I hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shell not employ
any person In violation of the workmen's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
SO. FT.
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
and Professions Code, (vision 3, Chapter 9.
VALUATION
PERMIT FEE E
�
PLAN CHECK E
��
TAX E
Parmasignature
too ^'r� ���� � =
Pormitttlo
�
E�
s
Authorlied Agent
TOTAL PAID E
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
North
SANTA ANA. CALIFORNIA R MIL®N q
rLvt rLAr4
Show location and distances from
property line and between buildings.
T