HomeMy WebLinkAbout1804 ALASKA AVE - Building Permits MFs9 CITY OF COSTA MESA
4
BUILDING DIVISION •
7 4ta_• 4..1 7 DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER
! PERMIT
B06-01418
Ramo ft
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BtLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
•
Job Address: 1804 ALASKA AV Status: ISSUED
Suite: Applied: 08/22/2006
Vicinity: ROOF Issued: 08/22/2006
Primary Occ: R-3 Dwellings/Gong Res<10 Type of Construction: V-N
Parcel Number: 13958107 Zoning:
Applicant: JORGE ANTONIO VARGAS
Address: 15945 BRENDA LN /
AsoPhone: 310-625-8563 ISSUED BY:
RIVERSIDE,CA Zip: 92506
Owner: CASTROREALE, RODNEY A
Address 1804 ALASKA AVE
Phone:
COSTA MESA,CA Zip: 92626-2009
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL#75 BASE,2 PLY 11 PERMAPLY, 1 PLY 90#CAP SHEET,HOT MOP FOR FLAT ROOF. 12 SQUARES FOR
S.F.D.ONLY.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,000.00
Permit: $97.25 Claim Valuation: $4,000.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced.within 180 days,or if work is suspended or abandoned
for a period of 180 days. •
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
•
2446-46(6/00) •
DECLARATIONS 1 �""\
WORKERS'COMPENSATION DECLARATION: . . r
I hereby affirm under penalty o1 perjury one of the following declarations: :. • , _
❑ I have and ea is uete of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued:
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
+' rcertify 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'
I compensation laws of elifomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr inions. /� ,/
Applicant.Signature:—/- s-J�f �Z' I/i/'!i'? . (—Dale / STV -
WARO:
NIN 'FAILVRETO SECURE WORKERS'COMPENSATTI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPCOYERTOCRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE Ort. OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.4 Class#
Contractors Signature: Date:
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
s jects the applicant to a civil penalty of not more than five hundred dollars($500).):
rI,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
t\
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale"If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑❑ m exem under sec. Business and Professions Code for this reason:
' -signature:—^ ;y/)A i✓ ,nt '
L. - 7 46/C
Verification of Ownership by(type of document,i.e.-property tax bill or deed)
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number: _ _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires, with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aaermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
B (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions"
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
n r
Signature Of Legal Owner(s) Date
J; ,.u. 00.c.
).A <'Or Authorized Applicant -' t-;:Dale'-
CODE 0 INSPFCtION TYPE CAM 1NTRIALS CODE r INSPECTION TYPE PATE INTtMLS
•1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final208 Final Plumbing
200 Final Re-Roof 4.4®;- 210 Final Electrical
201 Final Block/Retaining Well 212 Final Fire Prevention
•
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
•
204 Final Demolition -, ,, 250 Final Building/Occupancy
•
[DECLARATION OF AUTHORITY Bldg. Permit# W(0 -O(q/K-
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS This Permit#
Street Address: / $'Ot/`` G-/ 2C<j Kc . 5 f'- AP Number:
1. I (we), Krag�� lc,/ reel ff , declare that I am the Owner of Title of the above
referenced real property, and that I (we)hereby authorize:
Name: lir f f/v✓yo—, - Telephone Number: 3/0 - 6' S '6/S(o 3
s/
Street Address: /5 7 `/ Ljve,tdc. i._4 -
City: /Q I L)e;s /Ct'4 State: - Zip: r/i 5—C9 r _
to obtain permits in my behalf,as owner/builder,for
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa.
5. I declare under the penalty of perjury that the foregoing is true and correct.
Executed this day of 20 , at , California.
cPrinFN5-015 RCD 1;
i
Signatur : 1
Note: This authorization does not grant authorization to perform the work as owner,
ft solely provides for limited power of attorney to secure this permit in any behalf.
0779-46(rev.11/00)
•
ADDRESS OF?UILORKI: 1804 ALASKA AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT
O SNIME#Ices*'' ENCINAS, THEODORE FLOOD : AE-37 PERM NO: B 073240
PDDREss: ENCINAS, KAREN M
I 1804 ALASKA ST PERMIT NO: B 073240 PLAN CHECK NO: 02689-95 L GOVT : N SUPP : N
COSTA MESA,CA 92626434-0506
APPL.MMUNGADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : CONST . 2 OPEN LATTICE PATIOS SQ FT: 279
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 2, 500 . 00 CALC—VALUE: 4 , 346 . 82 GROUP OCC : R-3 /
CCNTBACTaFSNMt WAYNES MASONRY ( 714 ) 630-7260
CONTRACTOR'S HALING 1093 DRIFTWOOD CI COMMENTS : 6 ' X 15 ' & 9 ' X 27 'OPEN LATTICE PATIOS
ADDRESS: PLACENTIA CA MAO.: 599023 ****** -*+ **>Eit*************at*x****->E************stat*xis*********at***u x-it****at-*******
92670 9MT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lug lap and affect.
LIC.NO.: 65 05 LIC.CLASS: C 29 LIC. 599023 EXP : 05/96 MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN
7�3 9f c«aad«: all LEFT: FT IN RGHT: 5 FT IN LEFT : FT IN RGHT: FT IN
PIER BUILDER D CLARATION:I hereby affirm under penalty of perjury t I am q from the Contactors License Law for the
demoow or ren wr(Section
struucpwre,Business
Ile issuance,ho requireCode:s the city county
succh permihich t to files goad statement alter,improve,
or she PARKING REQ: PROV: PARCEL : 13958107 ZNE: R1 REF NO:
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commendng with Section 7000)of Division 3 of the PLANNING NOTES> OPEN PATIO COVER ATTACHED TO RIGHT SIDE OF HOUSE AND OPEN PA
Business and Professions Coded or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section > TIO COVER( 6 ' X 1 S 5 ' ) OVER PART OF ATRIUM.
7031,5 by any applicant for apermk subjects the applicant toacivil penally of not more than five hundred doled 155001). *******************************************************************************
❑ I,es owner oflhe property or my employees with wages esthei sole ccmpenstian,will do the work.and the structure enol intended D E V E L O P M E N T S E R V I C E S R E
Of offered/a sale(Section 70 .Business and Professions Code:The Contractors License Law does not apply to en Owner of property Q U I R E M E N T S
who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such /�I�
improvements are not imandndaoffered for sale.R.however,the building or improvement is sok whin ore yaad completion,the ZONING APPROVED BY I�'•J - DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). _ __
❑ I.as owner of the popery,an exclusively contradig with licensed contractors to cor mud the project(Section 7044,Business end ���
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : �^ DATE
contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law). C '
❑ I am exempt under Section: B.BP.C.,for this reason: APPLICATION ISSUED BY: DATE:
LWY**
Date: Own«:
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT : Y
155 hereby I that I u'aware of and understand the and(ismer o of need toc plyhas Safety Code Sectionsthe 25505,requirements
25533.and
s25534,penand that c any future building occupantA will/will lid(date one)need comply con said state codes and erequiremm these
for
epermHtor oonstrtationormalifiraionfromtheAiWalnyManegememDiatdct.Residential cwtataaonappiptionaeraexemglremthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 72 . 00 . 50
Dae: Applicant SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dederaons: PLAN 46 . 80
❑ I have and WI maintain a certificate o consent msen.insure for workers'compensation.as provided forty Sen WOO of the Labor ISSUE FEE
Code,forthe perfomanceof the work for which this pemitisIssund. BUILDING DIC > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
lir
I have andwil maintain workers'compensation insurance,as required by Section 3700o to Labor Code,for the Performance drho TOTALS----> 72 . 50 0 . 00 46 . 80 119 . 30 119 . 30 . 00
work la which the permit aissued. n'issued.My ovariacomponeation inw
ra cis carrier and policy number are:
Canter: REVENUE DIVISION TOTALS--> COLLECTED : . 119 . 30 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
's section need nor be completed I the pend is for one hundred dollars 15100)or leas.) 72 . 00 . 50 4 6 , 8 0
I certify that in the performance of the work for which this pemii a issued.I Mall not empty person in any manner so as to ,.
becorne wbjed to the workers'compensation laws d Cefilorne,and agree that I biome subject m the worked' *************************************1E*****iE')f**********************************
compennaar9,^prow/s•46-
3
^a d Section 3700 o the Labor Code,I s lot h;oro* provisions. I N D I V I D U A L F E E B R E A K D O W N
Det . / /, /—I� Applicant: S/
eminp:Failure to ecure brothers'compensation coverage is unlawful nal sublet(an avnploye,to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines rpt to one hundred thousand dollars(6100,000A In addition the cost of compensation,damages as provided for In •
Section 37ogoyma LaborCode,lnrotattorney's ea +nd+ ayaa. SFR 279 RES—PATIO COVER—POST & TRELLIS 15 . 58 4 , 346 . 82
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction ending agency for the END OF FEES '
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and sten 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 oily to enter upon the above mentioned properly
for inspection purposes.
WA NE FOGAL .
4
Print Name
� r 7 �,,��r O1 0013;125-00186127 TOT i15.3
/„ i / �� Date: / 1/ DATE. 7/1 7 1 --, 0
�r 4/.5 It:-. 5
Signature of OwnedAgenUApplip "•nVeda
(5151-46.WP) White-Buildig&Safely:Green-Fle:Canary-Appfcent:Pink-Revenue:Goldenrod-Assessor
a _
j CONSTRUCTION AND PLANN � �DL & SPA
APPROVALS Permit# Date • Inspector APPROVALS Permit# Date Inspector
W 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 UF ER Grnd. 57. APPROVAL TO COVER.GUNITE
7. Footings .?...z (-2s' d4 58. Electrical Conduit-Undrgrnd.
8. Foundation 59, Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Undrgrn ,.
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
20. Rough Factory Fireplace APPROVALS Permit #
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 7 zS _e
cd
6�`
35. Final Gas Pipe-Test p LL & - _ a
36. Hood or Canopy [�:
37. Final Factory Fireplace 'F--9:-/T- F 7 4. (,z-.� ,
38. Final Plumbing 1 �`0 1 ,V
39. Water Service-Final . , �",c([L
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 t v'94(Q wAC
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
iCri
I DK TO RO�!D WITH PLAN CHECK.
-0r3 Fr
THIS DOES NOT CONSTITUTE FINAL
PLANNING APPROVAL.
95-INITIALS DATE ----
1� M CITY OF COSTA MESA
yip Y �` v J 1 P •NNCINGOS DEPT.
Q�F- WIPE TO BLDG. DEPT.
it D- / r �f DA
\L 4 ,1. • .� Kama �d
cr
51 f,,,' a
• NoY
. e :eueo •Jo' 'OPi uulDm(P)
>, i. _ ... PaulelU7m7��l ." t :'-,e ,t.� Hr.
ppion puepi -•QPuetb/1e pi. ., -:•,,,.• pwio . ::'7asay.' q ,. '
4111
1 I alsap Io d ,,.w suoisvo.O. oin 'Ip io Ie ° T1 4 V
_/� li, , , fa N TIVHS`� ;a ' a ae1 n,
1 Rsa ain'Alo,eS 14f . 9 l uols(nlp a,QIr •
wpm enoyl,2 i .. ioreiali' .. safiuetioma a P&I_f,£t. '" J
Sa:ug fie le oI a al uo 1.42, iSfYl suopeolpoa u;GD w� r I,1 #\:\
4
Vie( I Q3AOHddV°e�s S �N.,1P1 V.LSOO 30 ul0 �I I.A.I':-- - - D.)NIQ'llflfl dO NOISIP ' • —..I =�I/:tat 4
N. ---\
sls3�o
ANbdpy003 3N�,1�038 177v Si p• ILUst
` �uv
k.
, d
•
:44%44 w ' u
M~
1 0Q ( I.Lsiz
•
Is
•
•
•
( yy�i QOCt r5 t ,,Gt,
8
Hivt- , ._ 11. t, a'o•c•
tiN
J
3
V DDV _; (,'• .. •
Mme, •
n
k5 .�� Np�.Is
J i...
17t
Op
3 ` �g�'oF eUi
• %S , �� oOST��'c
\ Ad• uta �ioands �R�bkb AI �FTY _
►y la m„Deed
LASS =.,rsAPTI �':` 'O;ys-any0 roils
Doo ' e. e-ananoo/lhjs °Di ooj�4ngoMS\°a/e
- tin a
• -. .. . re'se[, r -WO t°fto Odsne leg dnds alio A/on oh.
�0i,bOj�. `.d orssa a Wo'D Crhhali 440, on sa sl°o
,. ..4‘44 •e Ol p.an lair on n! oris s ciy0 me . mail
V .1= .:t -t„ a nshali • dny HA( !c �0ut des
4 in
11C y�lb H�' `�y 0jrss 00/3/4P r°oYli prULs/�OOabeh�laMe dfl
�e U E ' pooh. ' °
elite.
xpd`'a/ r0n and .,>y �npanhi
l'Sti��} ai laaPd�o�ePlliandy0jr�s�f .
Uec�3C� • Y i
�k ��
•
C!
1 •
•
_._://-
•
I o y Pc_A-sK_4 sT /�,�4/.
74
ADDRESS OFPpILDNO: 1804 ALASKA AV UMT: CITY OF COSTA MESA — BUILDING PERMIT
O**EITSNAMEIFItNOWN: ENCINAS, THEODORE FLOOD: AE-37 PERM NO: B 072799
ADDIS.SS: ENCINAS, KAREN M
1804 ALASKA ST PERMIT NO: B 072799 PLAN CHECK NO: 02247-95 S GOVT: N SUPP: N
COSTA MESA,CA 92626
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR MINCER: UC.NO.: JOB DESCRIPTION : 52LF CITY STANDARD BLOCK WALL SQ FT: 52
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 1 , 100 . 00 CALL—VALUE: 1 , 040 . 00 GROUP OCC : R-3 /
CONTRACTOR'S NAME: WAYNE' S MASONRY ( 714 ) 630-7260
CONTRACTOR'S*WHO 1093 DRIFTWOOD CI COMMENTS : PERMIT ISSUED FOR EXPIRED PERMIT #B67087
ADDRESS: PLACENTIA CA UC,NO.: 599023 SE3t1E+tiEaEiEiElFiEiEiE!(-3EiElEifiFiE3tiflElf-itiEiE3tif3EifitiEaElEiElE3f#itit#3E***iE)f#IEIElEafiEiEiElElElfiEiEi(** 1EiE+ ***x-j(-it-ftiflt#itit
92670 UNIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(aanmencing with Section 7000)of Division 3 of the Business and Professions Cade,and my license is in full force end effect.
CRY UC.NO.: UC.CLASS: C_29 Uc 593 EXP: MAIN BUILDING ACCESSORY BUILDING
t FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ale' � �//Qf Contractor: / emLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
WN ER BUILDER DECLARATION:I hereby affirm under penalty of per' that I exempt from the Conlracton license Law for the FRNT:
following reason(Section 7031.5 Busiwes and Professions Code:Any or county which requires a Perrin to constnwr,atter,improve. PARKING REQ: P RO V: PARCEL•: 1 3 9 5 8 1 0 7 Z N E• R 1 REF NO:
demolish,or repel any structure.pod to is issuance.also requires I applicant for such permit to fib a signed statement that he or she
S licensed pursuant to the provisions of tie Canradors License Law[Chapters(commencing with Section 70110)d Division 3 d the PLANNING NOTES> ADD ADD I T 6 ' HIGH BLOCK WALL TO EXISTING 2 ' MAX HT W/I CORNE
Business and Professions Code]a that he or she ls exempt therefrom and the basis for the allegedexemgion.Airy violation of Section > R CUTOFF. TO BE CONSTRUCTED ON RT/STREET SIDE PL
7031.5 by any applicant for a permisubjMe the applicant to a civilpenay of not more thanfire hundred dollen(WOW *,*N*, *,K***,****,N**,*,**,*,*,*,**,*,*„ MN, N*,**,*******************************************
❑ I,as owner of the property or my employees with wages as thek sole compensation,will do the work.end the structure is not intended DEVELOPMENT S E R V I C E S R E U I REMENT S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does not apply to en owner of property Q
who builds or improves therein,end who does such work himself or herself or through his or her own employees.provided that such t n
'mprovemema are not intended or offered for sale.If.however,the building or improvement best dax
within she year theRd
ZONING APPROVED BY 9G DATE: Ca( Is lR.r
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property.an.exdusirely contracting with licensed contractors to construct the project(Section 7044,Business end
Professions Code:The Contrarian License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a cntractor(s)licensed pursuant to the Contractors License Law).
❑ lemexempt under Section: B.&P.C.,for this reason: APPLICATION ISSUED BY: DATE: CI; ( (, (cir-
Dale: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y
I do hereby certdy ghat I am aware of and understand the requirements of Caliank Health and Safety Code Sections 25505,25533,and
25534,and that I or any future building owment will/will not(circle ole)need to comply with said slate codes and the requirements for
a permit for constructionor modification from the A. , y anagemenl Distrix Residential constmdioneppiations are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 27 . 00 . 50
Date: Applicant: SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affhnm under penalty of perjury one of the following dedo
arairo: PLAN 17 . 55
ISSUE FEE
� ❑ I have fowilmairma a certirotea oornenl tOhis self-insure for waken compeneation,as Pnovirlad fa bY Semon 3700 a the Labs BUILDING—DIV-> ' PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
code.falhepedoma edMewakf«wNhMapem eq ee. TOTALS----> 27. 50 0 . 00 17 . 55 45. 05 45 . 05 . 00
❑ I have and will maintain it is i ss'ed,My atkinsurance,as required by Section 3700 of the Labor Code,for the Performance of the
work for which this permit is issued.My workers'compensation insurance carrier end policy number are:
Carder: REVENUE DIVISION TOTALS--> COLLECTED; 45 . 05 OVER/SHORT; . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed I the perm/is for one hundred dollars(sioui or leas.) 27 . 00 . 50 17 . 55
certify that in the performance of the work for which this permit'a®hid,I shall nor employ any person in any manner so as to
omeroFFFthe wo �Wd
California. ree t�H I beoone tabled to lha worked' ***************************************************************
****************
cpe ° r of the Labor Code, INDIVIDUAL F E E BREAKDOWN
cif paw b3/9r Applicant:
Warning:Ffla are workers'conpenssdon
coverage is unlawfu std shall Joel an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($rO4000),M addldon the cost of compensation,damages as provided for In
S« cedon37ofda LaborCode,Intelsat,end attorney's fees SFR 52 RES—CONCRETE BLOCK WALL / FT. 20 . 00 1 , 040 . 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME: r
LENDER'S ADDRESS:
I certify that I have read this application and dale that the above information is correct.I agree to comply with all city and county ordinances
and state laws relating 10 building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes.WAYNE FOGAL
Print Name ��� Of E: 04/`13-051840`b '60:036' ; ,OG
//J � DATE: Ob/13(9s ;IMC: 1J•03
s 2/ '-•nature of Owner/AgeWApp&an/Comrade(
(5151'46 WP) White-Building A Safety:Green-File:Canary-Appkant;Pink-Revenue:Goldenrod-Assessor
• CONSTRUCTION AND PLANNlnn -uOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatipn !. - ' : '
1. Soil Pipe-Undrgrnd. 53. Steel Reinforcement a '
- 3. Electrical Conduit Utility-Undrgrrd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
-15. Steel Reinforcement M-75 SeAv 56. Rough Plumbing & Pressure Test
- 6. Electrical UF ER G hd. 57. APPROVAL TO COVER-GUNITE
T-7. Footings G--If-�7 aet,(0t 58. Electrical Conduit-Undrgrnd.
-8;'Foundation ` • - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd.• 60. Backwash Lines,P-Trap, 0 Undrgrnd.
. 1
10. Structural Floor System - 61. APPROVAL TO DECK ',/ •
11. Property Sewer Line & HouseCeofinection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final )
.13. Roof Drains 64. Plumbing System - Final ;
14. Rough Plumbing 65. Electrical-Final
1
15. Rough Electrical-Conduit 66. Solar System-Final
.16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68, APPROVED FOR PLASTERING I
-18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • _ APPROVALS., Permit# -
21. Ducts,in Structure ' •. . = 70.,Underground Hydro i
22. Ducts, Ventilating . , , ,. . - 71. Product Piping 0 Gas 000
23. Gas Pipe-Rough& Test • - - 72. Underground Flush ii t
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 )I
27. ,Frame and Flashing - 76. Dry Standpipe.
28. Lathing& Siding - i i 77. FIXED SYSTEM FINAL.
29. Insulation - -. - 78. FIRE PREY. FINAL •
30. Drywall Nailing fi - -HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION •
32. Electrical Power Meter-Final t • 80. FOOD CERTIFICATE ISSUED
33. Final Electric it:i. • r Notes: - I
34. Final Heating & Air Conditioning - _
35. Final Gas Pipe-Test • - -
36. Hood or:Canopy i .
II
- 37. Final Factory Fireplace- - . •
38. Final Plumbing • -
39. Water Service,Final - - ,
40. Gas Service-Final . - . • - • -
41. Solar Domestic-Fina) ' - - - ,
42. Backflow Preventer -
43. Backflow Irrigation
_44. Landscape Irrigation System: c, - - _ -
45..Sound Attenuation . , - .
46. Handicap Regulations t - - - I
_47. FINAL STRUCTURE & BUILDING 7-7.-@§-
.•.7 G,q 6(,4' - - ..
48..FINAL PLANNING !- '
49. Electric Release to Edison . /
50.-Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY - /
No. Date
•
TYPICAL 6" CONCRETE BLOCK FENCE
•
® -
CementCopingOptional :711 _ GENERAL— NOTES
Channel Block With 7-3/80 11 .��''
Horizontal Top of all
S MORTAR: One Part Plastic Cement, and
Fences 1 1J Three Parts Sand
For Fences 5'or Less 11 I Cr•l. Ill GROUT: One Part Cement Three and
Vert. Bars 3/8"¢at 4' -0"O.C. idi o _ t is - One Half Parts Sand
I _
COPING: One Part Cement, Three
For Fences Higher Than 5' r I` c; " Parts Sand
Vert.Ban 3/8"¢ at 32" O.C. �` > w s '"°"' CONCRETE: Weil Mixed l'.2-1/2: 3-1/2
= 1' Max. of 7- I/2 Gallons of
Fill Cells Solid With Grout Ii zr> z II: ��® . _� - - Water Per Sack of Cement
Where Steel Occurs > - --
Reinforcing Steel Shall f f _ GROUT MAY BE POURED FROM THE TOP
Conform to Steel S 5-39 w 0 i.. �r • I• OF THE FENCE IN CELLS WHERE STEEL
A.S.T.M. ��� LL/ In t '� ' CELLSOCCUA.
2 t CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped i . �,I� -- -- FREE OF ALLNT SHALL RE DEBRIS CLEAN&
24"or to Code FREE OF MORTAR DEBRIS,ETC.
IN 1
NATURAL GRADE _
,.7/ N • ,rgA Pr. . % I ,I,
%moi ,($•TPr,e -o n •
TWO3/8"Q BARS '�� an r e - • o
CONTINUOUS TOP
& BOTTOM � I--.—WIDTHTO 16. 0 C. MAX.
SEE CHART p. •
HORIZ.STEEL MUST BE TIED IN BELOW e DEPTH OF E ARTHTCOTH
PLACE AT TIME OF TRENCH I e ' I/3 THE HEIGTH OF FENCE
INSPECTION. ' , L P- BLOW BOTTOM OF FOOTING
•
•
.1 o" 2" , 1— SCALE: 1/2° = I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 51--------7-1-4 3'
WIDTH 14" 14" 12" . . . . . 12"
THICKNESS 10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH . . 24" . . . . . .20" 16" . . . . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' . . . 16' . . . . • . . 16'
City of Costa Mesa, California
Building Department
i=E'er IsED NOV.ES
9 133WAS
I
N _ H
m
A
`1
1311301113V 131330193M 33N30113N 3744301131
4111,
Ip P
•
•
•
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
Date (0I13( r
111 This set of plans and specifications MUST be kepi on this lob at all times
and it is unlawful to make any changes or alteration on same without written
permission from the Division of Building and Safety,City of Costa Mesa.
The stamping of this plan and specifications SHALL NOT be held to permit
or to be an approval of the violation of any provisions of-ny City of Costa
Mesa Ordinance and/or State law. . .PS-17-1
p\Z'1 C q
These plats end permit shall expire by limitation erc hecnma; rd and void if
the building or work is not commenced and mains c., • s. CDG§3O3
(d)within 180 days of issuance.
• //o-` e_./..e4 airs IU,v . �,c/U�c./ ,
? PG4.Ir e 4*AC.mu . • 49e1/2441/49_544- dvt - • .• . . --4,J--E--- - tNu! = 1 Goy
i
i , - • f F • I. _- _ ■■■! 1 •
—1 - ia: Davlsa --op- . 1 . 14. rti ■■ III
- —a-. 1 'Ir-Alt;-A If/- .11 NMI A MINOMIL kVA k • -
•
• 7a* i 01 EFAR"MENT ,/ 1 IM■� FSOu?f� R t i
�" 117 t.`�■
�_ .tea.___. ���,,I= ••i , J..J • !. •IjJ4
•
- .--STO. .*MAIM, SINICILW"ffrarri• .. It ititta-- 4 -mesas MI Mal Mill L
� te _ ��� ___ � ; - ti Mil r_ ■■■l :: -■ ■ -_
__ _ r ■
ii
.
1_
llitii
EMIR
Ill
- _ . -Q�,.. . .. T_. - -- -- -.
ail.
i.
■ - _ Ic- , -
_Lim= e ,- .:.cam.' �i Io ice■ Ma. _�■ 114-IP � � r'
_ _A V (T . . : �:��._ v.. � .i( ids; _- - ni - ty •
-ma_-s. • _ - •��■ ------------ ,*42,- -,: '�-!!� N
a �II
-ter-a`■_ all t0vo_4( ._ , ■
,) . -ft - mimlifil Si 46....---Irp.:::_tai, ,Ajialnk.1 _ i
HIM
— — ■rfiL ■■■`�� W' �imminiroanillatiallia � rN �1Mitt ■
\ f0 •
11, gee terbegar •
ALS a35.% NeAsuetimAd -
7- 7- gc -
Cdr- G
Pr:i bi g7fl 1T
PROJECTOJECTADDRESS: 1804 ALASKA AV • UNIT:
•• •S NAME: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 067087
P THEODORE & NANCY ENCINAS
. LI ,
ADDRESS: ALASKA ST PERMIT NO: B 067087 PLAN CHECK NO: 01630-94 S GOVT; N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: ADD
714 ) 434-0506
ARCH/ENGINEER: flEG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : CONST. BLOCK WALL SEE COMMENTS SQFT; 98
PERMITTEE; CLAIM VALUE: 2, 000 . 00 CALL—VALUE: 1, 960 . 00 GROUP OCC ; R-3 /
ADDRESS: THEODORE 6 NANCY ENCINAS (714 ) 434-0506
1804 ALASKA AV COMMENTS ; 22 ' X6 ' 6 15 ' X2 ' INSIDE. ALSO CONST22 'X 6 ' 6 29 ' X 29 ' @ STREET
C.M CA 92E26 +6*�L*v6vr�6***rxs6�E*�E+Eacx**�E�E�E*****+t*+r*+6�6v6x**TL**�6*, Nor***vt***atv6**** ****+e**vEv6*********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of unapter 9(commencing with Section `L O N I N G R E Q U I R E M E N T S
70001 0l Division 3 of the Business and Professions Code.and my license is in lull force and effect.
CITY LIC.: STATE LIC.: CLASS: SETBACKS
Dale: 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' F' T: FT IN REAR: FT IN FRNT; FT I N R EAR; FT IN
Impensaticn
Insurance.or a certified copy thereof(Section 3800.Lab. C). EFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
LICY NO.:oMPANY: EXP. DATE:
PARKING REQ: PROV: PARCEL: 13958107 ZNE: R1 REF NO:
Cenilied copy is hereby furnished. El Certified copy is filed with the city Building Division. PLANNING NOTES> ADD ADDIT 6 ' HIGH BLOCK WALL TO EXISTING. 2 ' MAX HEIGHT W/IN
> CORNER CUT—OFF. TO BE CONSTRUCTED ON RT/STREET SIDE P . L .
Date: Applicant ************************************************************************** ***
EXEMPTION FROM o'KERS'COMPENSATION DECLARATION: (This section need/•t be c •feted ifth is for one hundr:.($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that i�the.erformance of the work for which this permit is iss / all no • ploy any":w in any mann- so as to become
su.'• to .rkers' n mpen alien Laws of California. ZONING APPROVED BY �,
./ O' " Signature. ..�i.<_ - . . , �r���Li// �� 'ISA DATE; 1
NOTICE:II.aft-r making this declaration,you should become subject to the Workers ompensation p.visions of the Labor BUILDING APPROVED BY " 1
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. C DATE; `� l
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for I performance of the work for
P L I CAT ION ISSUED BY: /` A.
which this permit is issued(Section 3097.Civ.C). ( DATE:
. ************************************* *re************************* . .* Cil—
********************************************************************** *** ****
�FREss: BLOCK WALL AROUND PLANTER LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
10 ' X2 ' @ STREET SIDE
OWN" BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor' ' ate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING
(Section t 5 Business and Professional Code: Any city of county which re. '•: . .ermit to construct,alter,improve.demolish,or PERMIT 4 5 . 0 0
repair any struc I . i suance.also rewires th• .. ' c permit to file a signed statement that he/she is licensed . 50
pursuant to the provisions of the Contrac ors a e 'cense Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/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 29 , 25
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 4 5 . 5 0 0 . 0 0 2 9 . 2 5 7 4 . 7 5 7 4 . 7 5
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through 0
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 74 . 75 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 . 00 . 50 29 . 25
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to theContractors'State License Law).I am aware **,*****************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
am exempt under Section: B P 7044 B.8 P.C. / 4' I N D I V I D U A L F E E B R E A K D O W N
or his reason: / -•moans..—""^"s"'„�-�
OW ER—BUILDER TYPE QTY D E S C R I P T I O N I� . UN CST TAp��TTL CO
late' -I Ir Ow _.ii _ i/ �• i. "'MONK
k ti I. ,1n n '!
SFR 98 RES—CONCRETE BLOCK WALL / F
.I hereby certify hat I am aware of and understand the requirements of California Health and Sa ely ode Sections 25505,25533,and
S$ Q 0 's•'1', 9 0 , 0
.
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES - a �il
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from !- •
- s- IR.cca.
these provisions.
Date: Applicant; �^ ` L q_(.4---,
I hereby certify that I have read this application and state that the above in mat' - correct.I. comply with all city and county , F}�1 t[_ Q. _ i . ,� 1
ordinances and stale laws relating to building construction and hereby I e r natives of t ,moo."o enter upon the above-mentioned ^ I V �� '
TOT
�openy r inspecti n purposes. ' I ly 1 //w155
Date: 09� Signalu AV1k ' DATE: 05/09/94 09:13 74.15
rivers Li ense or Social Security a' 5,..aq16414s White—Building',Green—Code Enforcement',Canary—Applicant;Pink—Revenue;Goldenrod—Assessor ' _95
CONSTRUCTIONAND PLANNIN -� & SPA
' .l f•.PPROVAI_S Permit Date Inspector APPROVALS Permit , Date I Inspector
1. Temporary Electrical Sarvice or Pole 52. Pool & Equipment Location I t
I
2. So : P'pe-Uncrgrnd. 53. Steel Reinforcement
1 3. Elec:rica! Co-duit Utiitv•Undrgrnd. 54. Forms I
--------- - --_-- i
� 4 Ele2trcal Conduli-Undrgrnd. 55. Electrical Bonding • I I I
-77 Th7-
j U. Si. : Rarfio•cement 56. Rough Plumbing & Pressure Test Il
6 zc'. UFER Grnd 57. APPROVAL TO COVER•GUNITE I I
7-1
-- - -- - I -
7 Footings 58. Electrical Conduit•Undrgrnd.
is Fo.c :3t o 1 I' 59. Gas Pipe, El Undrgrnd., Test _-_ • __I
I- -- I l
I C. \4ater 'Ipe-Undrgrnd. , ' I• 60. Backwash Lines, P-Trap, Undo ,d I I
•
1u. Structura_Floor System 61. APPROVAL TO DECK
' -pp,- S -_'ne & -'.ojse Connection • 52. Eacks,acn & Receptor-Fina!
12. Se-or Cao ,
33. Heater & Vent-Final I
I ~
r -1
3. Peer Cra,n, 64. Plumbing System • Final I 1 i
mac_ • r n �• 55. Electrical-Final
1-- r _ T-- I.�- -Pp Rn :gm Electrical-Conduit 66. Solar System mai
i
IC. R o_gh Eliectrl L'.'•I ring 67. Fencing & Access Approval ---I------ - --
Rp ,. !V,r,rg S•gn � 68. APPROVED FOR PLASTER!;;GT-I
c '' j
-8 Rim JP Electrics! T Bar Cel6nq 69. POOL/SPA SYSTEMS FINAL + I 11
'�D Rc...l, Hcu �
l Air Cdit:onu,cr -f
��g & 9 � FIRE DEPT. REQUIREMENT I
77. F„c:c E '11:I;acLm
e APPROVALS Prrtt ___l
�.-- -i "-H
21. Ducrs, in Structure 70. UndergrounJ '-tydro
72. DL-., Vrnt ::ting _ - 71. Product Piping .' 1
p g :�Gas Li
7.3. Gt. ' ne- Sough L Test72. Underground Flus '
2•' ;out Fraring - - -i�__-_-- I 73. Undergrnd.Storage lank E Gas D 1-
1 -n Rein Orr-er'..ng I 74. 0•.erhead Hyoro ' I. __ I
ERE .- r_ . Cr-,. 'q ,Structu-a!) & '. 3 socoat I I 75, Dry Chemical -
�
-
7 - ne aro Flashing --- I 76. Dry Standpipe --- __- - - -
Lth. Sd.rg --- --- 77. FIXED SYSTEM FINIAL -- --- I - --
HZP • rtm---- 78. FIRE PREY. FINAL --- -
--._- __J. _ _t
I 30 Drywall F'n-I,,.g HEALTH DEPT. REOUI.'E?.'1: "'T
' 3• "- s E o.t. an r --- 79. FINAL INSP CTIC a -- -- _ -- -� - .
I
'- c'
- err`,rr ---- 30. FOOD CERT, ICA
- -- -� -
gn S L"D
I 33. 17-inal Electric . } Notes:
• _ . teal.r q I A,r Conri.:Toe...
I---- --- - -- - - - -- -- - - - 1
35. "n,' ':z, PIpe.Te<. -
35. Rood er Canopy ---_ _ • _ _________.-__ - ____. _.____ _ --
32. Pine: F3c;or, Fireplace i -_ ---
39. Water ST:•:ice•Final
'l-C. Gas Service-F-na'
4' Soler Domestic-Final
-
,2. Bao;hc.r Freventer --- _ -3 33 c' 1'
- o'.. Jr -atr'
to- " _
___
2:7-
4',. l andsLipr Ir•igatier Systrm erre-
,
45 Sound Attenuation
- - -
o
43. Harr' tap Regulations .. . .
47 '-Ih!F I STRUCTURE & SUILDING 1
=8 FILIAL PLANNING _-- - _ ---
45. EIec' .c Re:ease to Edison.
6o. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY ._...• -�, y
No - Dace I
i 1
fixA /ALL EXTc`'US/0 J bile/ A#S
`/10/4/4 17ati7 #hfo er 4791z /8o/ 474-s-444vt �cAL t 14,,IN = 1 s>i
{ i _ �Ag ■■■■ ■ ■— -- __ ■■ I
_ __E�..�■ IAA■■■uE
ur a._p - ..i®a`i■r.5 i 1 �it' `'r-- rr� ..+�1 J i 'I
r atoll 33 riyim/o.
iimilorffitql lio
rarrA
em
i
ARI ; sob Er 1111 ithfrridicizz 7onsii,,. ii 1 ne I -
t 7sr����
— I Al It€I I % {m " -- I T`^ A o, axis 41 %'
Fa!
lemortioni r
Iiii,
. - PI --
.mar GI Rt�l
srm . mill 1 4_ _ • ACI----
, _
•
.1.
I C.0 .■■ ... . .. z¢ - ._ID D tint. A
L
- nianmi-
. 11
1 11 a‘lar I- - 111 er Qr-A headif ‘ /I I H
I U. agifirlinalliall0 k?? lo AcR ,Q i___.
--tt -etrt. Mi
oi7i.
C■■■■■■■C.■U...__ _.Ss.. ,,
ft ,iiminaict
Frye//YLZC4AIT
/250,55'a McISaeeNe .'
PROJECT ADDRESS: .1804 ALASKA AV' UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 062660
OWNER S NAME:SANCHEZ NANCY AMANO
ADDREss: 1804 ALASKA ST PERMIT NO; B 062660 PLAN CHECK NO: N GOVT; N SUPP; N
COSTA MESA,CA 92626
1 CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE; ALT
" ARC^ DRESS:: UNIT: SQ/EW;RESSflEG.NO.: JOB DESCRIPTION : APPLY NEW COMPO SHINGLES OVER WOOD SHING FT; 1 , 650
In
' CLAIM VALUE; 1 , 650 . 00 CALL—VALUE; 1 ,650 . 00 GROUP OCC; R-3 /M-1
PERMITTEE: BEST ROOFING ( 714 ) 557-4040
ADDRESS: 670 W 17TH ST 37 COMMENTS- SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UHC
COSTA MESA CA 92627 ********iE******************* **************************************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS SMOKE DETECTOR.
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITvuc.:050047 STATELIC.:570720 _y� u" C 39 ^I ''n
Date':_(o '1( ` 91, Signature: MAIN BUILDING ACCESSORY BUILD QUI-RED
ORKERS'COMPENSATION DECLARATION: I hereby affirm th t 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
compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
oLICYND.: 1137512-93
coraraxY:STATE FUND EXP.DATE: 06/01 /94 PARKING RE PROV; PARCEL: 13958107 ZNE; REF NO;
❑ Certified copy is hereby furnished. R Certified copy is filed 'INI h the city uilding Division. PLANNING NOTES>
4-14 4q, ��L�� �f >
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: ((This section need not b completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMEWT S
I cenify that in the performance of the work for which this permit is issued.I shall n t employ any person in any manner so as to become ,
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE; —
Date. Signature:
ode.NOTICE:uf,afterstmaking thiscywithdeclaration.you should become subjectmithe Workers'mrempensation provisions of the Labor BUILDING APPROVED BY ; G�� � 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• s i - DATE- 6:'-S
which this permit is issued(Section 3097.Civ. Cl. *********.***.**********,**** .*.**** * * .)!.ss/ *,***,*)!,*,{(k**,N,**,****,** **
LENDER: ******************************************** ;]' ********************************
ADDRESS:
LEGALIZATION:N FEE "S.- U M M {{�• R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law4or the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
PERMIT T 3 9 . 0 0 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 SMI P/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 •
I, as owner of 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 not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law TOTALS----> 39 . 50 0 . 00 0 .00 39 , 50 39 . 50 , 00
does not apply to an owner of a properly 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 owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED- 39 , 50 OVER/SHORT• 00
for the purpose ol sale): BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 39 . 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Stale License Law). I am aware *,*,*,*,X,*,**,x,****,*******,*****.************9f,****,******,***************,*,***,**,*****,**,*,**
that proof of their Worker's Compensation insurance should be provided to me.
0 I am exempt under Section: B.&P.C. INDIVIDUAL ' F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N" UNIT COST TOTAL COST
Dale: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and SFR 1650 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 650. 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
N
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these providers.
Dale: Applicant. •
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county i
ordinances and state laws relating to building construction and hereby authorize epresentati s of this city to enter upon the above-mentioned
property for inspection purposes. / '
Date: w •74 r 9117Signature: , AAA / 01 00141251-00141252 TOT 34.50
Driver's License or Social Security a: - DATE: 06/21/93 TIME: 08:19
1641,46 White—Building:Green—Code Enforcement:Canary—Applicant'Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNita Ill-0 & SPA
APPROVA;.S Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Tempora, Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipf-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. ST 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 66.'Solar System-Final l
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace , - APPROVALS , ' Permit#
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating - - - . -71. Product Piing 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 - I 77. FIXED SYSTEM-FINAL
29. Insulation I 78. FIRE PREV. FINAL
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final I ' - 80. FOOD CERTIFICATE ISSUED ������ ���//////]]7
33. final Electric Notes: G pi 6 k-- ��0'�/ CZ'�"C�
34. Final Heating&Air-Conditioning - • � I - / - //'
,35. Final Gas Pipe-Test - - I r r
36. Hood or Canopy -
3J. Final Factory Fireplace i __
38. Final Plumbing - i '
39. Water Service-Final t 1
40. Gas Service-Final •
I v
41. Solar Domestic-Final
I 42. Backflow Preventer
43. Backflow Irrigation -
44. Landscape Irrigation System -
45. Sound Attenuation - -
-4
46. Handicap Regulation's.- . 15.01 _ r - -
47. FINAL STRUCTURE & BUILDING r I
p
48. FINAL PLANNING - I '
49. Electric Release to Edison i-I I -
50. Gas Release to Southern California Gas Co !-- ` '
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: UNIT:
OWNER'S NAME: 1804 ALASKA AV CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068981
•
- ADDRESS: ENCINAS, THEODORE 6 KAREN FLOOD: AE-37
F 1804 ALASKA ST PERMIT NO; B 068981 PLAN CHECK NO: N GOVT; N SUPP : N
COSTA MESA, CA 92626
• CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE: REP
•
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPAIR DAMAGED WALL FROM DRYROT 6 MILDEW SQFT: 1 , 600
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: 1 , 600 . 00 CALL—VALUE: 1 , 600 . 00 GROUP OCC : R-3 /
ADDRESS: KAREN ENCINAS 1(714 ) 434-0506
1804 ALASKA COMMENTS : REPAIR WATER DAMAGED WALL
CM, CA 92626 ** ****xarar�r**** ***�r*****�6**g¢*�t�r�r1¢x >E�r�ratg¢*1r16x **** *1¢+t1 ******* *******rr*,r«n****
LICENSED CONTRACTOR DECLAATION: I hereby affirm That I am licensed under provisions of uhapter 9(commencing with Section ZONING N I N G R E U I R E M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full three and effectQ
CITY LIC.: STATE LIC.: CLASS: SETBACKS
EXP ;
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
compensation Insurance.or a certified copy thereof(Section 3800.Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
OLICY NO.: EXP.DATE:
COMPANY: PARKING REQ; PROV; PARCEL: 13958107 ZNE; R1 REF NO;
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: **********************i(7f**iF***!t*****iE************************if*****3E**fe*****?t*?f
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this per it is issued.I shall not employ any per in any manner so as to become
subjects th Wonnrkers'Compensaion Laws of California.
ZONING APPROVED BY
Dale: d 3 ' Signature: - DATE:
NOTIC :If.after ma ing this declaration,you should ecome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. C q
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: V2-3 l 1
which this permit is issued(Section 3097,Civ.C). *. tdi
*******.*.********-**.**.*,*********,*,*.*******,******{;;ttt**********************°*****y***.
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm mad 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 I T 37 , 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed . 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 70001 of Division 3 of the Business ....• SM I P/NON—R ESS
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 - x
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
ISSUE FEE
SI, as owner of 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 not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
TOTALS—---> 3 7 , 5 0 0 , 0 0 0 , 0 0 3 7 ,•5 0 3 7 . 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
his or her own employees.provided that such improvements are not intended or offered for Sale.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 37, 50 OVER/SHORT; 00
mr me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 37 , 00 •
, 50
• Q 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). lam aware **********************************************************• *********************
that proof of their Worker's Compensation insurance should be provided to me.
0 am exempt under Section: B.8 P.C. I N D I V I D U A L F •E E B R• E A K D O W N
f reason: 24 TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date. LI 5Ig � Owner l(lJl--man
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1600 STRUCTURAL BY VALUE PER $1 0 0 1 . 00 1 , 600 , 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a EXPIRED END OF FEES •
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. In omplete Inspections ,
-
I
Date Applicant: �I I a /�/� i& . ��'
hereby certify that have read this application and slab:that the above information is correct. agree to comply with all city and county J LE V "'
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned �1 . . _ t
property for inspection purposes
4/� 01 00168270-00163271 TOT 37.50
Dater I a -3114 Signature: I /') • G/! l DATE: 07/23/74 TINE: 09:46
Driver's License or Social Security#:
b__.2_9....___16414in6 White—Building:Green—Code Enforcement:Canary—Applicant:Pk—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING - & SPA
.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 LIFER 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 Unclrgrnd.
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
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hyclro
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 PREY. FINAL
•
30. Drywall Nailing HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat. 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning '--2.7-1q„ (fit Sr i/ / t
35. Final Gas Pipe-Test r€704,4Y - 64409C
36. Hood or Canopy --
37. Final Factory Fireplace •
38. Final Plumbing ate
39. Water Service-Final
ed
40. Gas Service-Final _ G�"�
41. Solar Domestic-Final ����1/2 S
42. Backflow Preventer i ICI 6R2 L r
�t/'nA„e ..r ^ o"n,L
I
43. Backflow Irrigation �� `�,�
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
r •C-4 • 028 28 al
APR 24-69PAm0
COSTA MESA BUILDING-SAFETY DEPARTMENT CNSA01322* ***137.6
CALIFORNIAP.O.BOX 1200 COSTA MESA,CA92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
Q H „. �, ' / RECEf rJE% DQ7i RECEIVED DATE ISSUEDBU9
ADILDING DRESS /0c / fiaae etiri-c-o'LL.t.�— __ ////fi /7/��`� 0----/—4!
PERMITNO..
OWNER Hermes Dev. Co. A.P. NO. Qn 1 8
BUILDINGMAIL S �7J
ADDRESS 1104 E. 17th St.
ADDRESS / (�Qy�f�i(/`_`may
Z / '/
0- U CITY Santa Ana TEL.547-7044 TRACT up., LOT 7 _ BLOCK
E-- Z
z Q CONSTRUCTION_ NEW ADD ALTER REPAIR MOVING DEMOI ISH
o N LENDER United States National BAnk /x/` ``// nn ��11 Iu/
a m �ItFJtnx-t-eJ fikti- CA�O�/nR-*.l�
D BRANCH 190 Broadway Ave. rr
J CO OWNER
ADDRESS San Die o• Californi
m•m ARCHITECT TEL. USE A. VC/tot/Jail',VALU$ �t�4 °
a �ftm K. Dorius NO. 675-11645 u) Q/
IC
FIRE y
d2 ADDRESS 2712 R Coast Hwy. Corona D. M. ZONE 4.3TV PEGROUP���/
APPROVED
J O CONTRACTOR Owner BY DATE
mZ I
J cc ADDRESS 1
W w TEL. ZE/� INO.OF ^/ USE OF HEV ' Iq/�'
ZH CITY NO. PLANS / BUILDING "//A"
STATE CITY YARDS APPROVED YARDS APPROVED
N 2 LIC. NO. 252560 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZE NO.OF BLDGS. ^}
OF LOT 100 X 50 NOW ON LOT 0 FRONT ]FT. FT.
USE OF
!!!
EXISTING BLDG. p R.SIDEFT.// _ FT.
I-" SIZE OF 1 82 sq. f't,NO.OF 1
Z NEW BLDG. 7ROOMS 9 STORIES L.SIDE fri FT. FT.
Q EXTERIOR WALL ROOF Compo or
_V COVERING Stucco COVERING wood REAR A FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 BLOCS. ACCESS. BLDGS.
0. MAIN I/` 1 '
Q C U.P#Y SS-'(P ? APPROVED C' yv.4?
p Raci riPnra w�a tta ch Pd nage ' � / A ��
I—
ROVED / / / /// DATE ri-// - /
O ����VVV
UI hereby acknowledge that I have read this application and state HOLD FOR SPEC! L REOUrREMMENT�.
D that the above Information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F- any person in violation of the workman's compensation laws of
CD the State of California. 79 T QQ co
Z I hereby certify that I am properly licensed as a contractor under 1 /t/O SO. FT.-743 o
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: F
am exempt from the provisions of the State of California Business 2
VALUATION ��'50
and Professions Code =ivisio 3 • •ter 9. N
PERMIT FEE $ D
Signature of h�.a/ , I-t3� , / m
Permittee ��_i�� q�-.�/v'� ,L/J, / PLAN CHECK $ 45. 75 E
0
Authorized Agent ` TOTAL FEE $ X37. ai a
UOPILI HIHMES JJ V1511JYMEFJ.' WAIL 7-y-07
JOB ADDRESS 1804 Alaska Avenue BUILDING PERMIT NO. 30128
GENERAL CONTRACTOR Owner-BuildeDESCRIPTION of WORK Res W/Att. Garage
AP Ne LOT 47 TR T 6693 FIRE ZONE VALUE 473.00
INSPECTIONS SiL
,Dat GROUP I & rT TYPE V ZONE R-4.
SOIL 5)-3/1 PERMITS ISSUED
GAS 6Q__ LF, SUBCONTRACTOR
ff� Cl-"C Date Number I Signature
WATER ( (- s-(1 t-7 (6,i ft 7, Plumbin9 e ,
ROUGH PLUMBING ` ll ! C�� -'JC� �' �// -�,,.���j
PROP. SWR. LINE HOUSE CON. r-IJ , " dy/'j`� St
SPRINKLING SYSTEM '� `hi- •ON T •
MISCELLANEOUS i
ROUGH HEATING AND AIR CONDITIONING � 7M-74/_ i
TEMPORARY SERVICE OR POLE /� l 6
UNDERGROUND 0 POWER I] ln
ROUGH WIRING nit •SAY Heating a • Vent,
TRENCHES FORMS W STEEL REINF. 0 9 -29-(j�N i5� / ,J e�i9 4.{y- =
FLOOR SYSTEM r"� / / 'See". � (7 6.// /
BOND BEAM n STEEL REINFORCE n
SHEATHING 'L (E
FRAME AND FLASHING 1.( � f;6
LATHING - IN V OUT gl 'L G'
PLASTER, BROWN COAT -11. ro�
STRUCTURAL, FINAL I- .'c, I
HEATING, VENT., REFRIG. AND A.C., FINALL_ l� / ,n Ar erL � EMAP t
PLUMBING, FINAL AND GAS TEST 9 (o-23 -
ELECTRIC, FINAL i? i •4f
BUILDING, FINAL !/ ' (/-C -
SPECIAL REQUIREMENTS &.-p1_4 fl-I. - '
' err a
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. ieigV--3 DATE ii-/.2b
LOT NO. 1-9 •
ADDRESS /8a 9- A/a,S 4 e
The developer of the above entitled tract desires to sell the
above set forth lot prior to the time that the tract has been
completed and its streets accepted by the City of Costa Mesa .
The undersigned, by executing this agreement, acknowledges
that ( -they) (Waammw were) advised
that this tract has not been given final inspection nor has
it'• been accepted by the City of Costa Mesa as having complied
with the conditions of approval which were imposed by the city
at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by
surety bonds
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
undersigned by reason of the aforemention uncompleted condition.
BY �v ""`.
char r /
B& erg t
Deve oper - d/or authorized
represent- ive
BY
Lender
N