HomeMy WebLinkAbout2920 ANDROS ST - Building Permits/
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PHOJECT IIOOqE38: 2 cj z O ANll1tOS S T
OWNEp'SNRME: VINCENT ANllERSON'•'
�� aoneess: z920ANDR05 ST
,� COSTA ME5A
CA 92626
? (714) 545-2400
"u pNCX/ENGIXEER: +
100RES3: � -. � .
UNIT:
�
REG.NO.:
uxn:
PE"°"�rrEE: VIhiCE1VT .7�NDEIiSON t 714 ) 545-2400
nooeess: 2920_ ANDROS ,`
COSTA MF..SA . � CA 32626
LICENSEU CONTMC70P OEQAp�7�ON: I hereby a@irm t�at I am licensed untler prodsions oi Chapter 9(commencinq wkh Sec�ion
7000) oi Division 3 of the Busineu anE Professions Cotle, and my license is in full torce anA eHect. .
CITV L1C.: �, ' $TATE LIC.: � ClABS: �
Oate: Signature:
WOqNEHS' COMPENBATION 6ECUMTION: 1 hereby aiflrm Ihat 1 have a certl9cate at consem to Seli-Insura or a certifcate ot Workers'
Compensatian Insurance, ar a�certitieU caDY Iherea� (Section 3800, La�. C). ' �
POLICY NO.: E%P. OATE:
COMPRNY: � �
� CertitieC copy.is hereby tumished. ❑ CetlifieE copy is fileC wit� t�e etty Builain0 Oivision. �
Date: - qpplicant:
F%EMPfION FflOM WOflKERS' COMpEN&ITION OECIAMTION: (ITis 5¢ttlan neeA irot 6e completed'R Ne permtt is far a� hunAretl (5100) or kss�.
I cetliy that in Ihe pertormance oF the work tor which Nis permit is issuetl, I shall not emplay any person in any manner sa as to become
sublect �o ihe Workers' Campen;ation Laws of Califomia.
Oa�e: - SipnaturB: • -
NOTICE If, atter malting tAie Aeclaation, you should become sublect.to ihe Workers' Compe�sation provisions oi t�e Labar
Cotle, you must torihwith cOmD�Y with sucA provisions orihis permit shall be tleemed revokeO.
CONSTRUCTION LENDING RGENCY: I here6y ettirm t�at there is a constmctian IentlinB aAency far Ihe OeNormance oi Ihe work tor
which Ihis Dermit is i55ueE (SecYon 3W7, Civ. C). �
lFNOEP: � . . .
aooeess:
OWNER BIIILOER OEClAMT10N: I hereby aftirm thal I am eMemD� �rom the Coniractors State License Law tor Ihe followinp reason
(Section 7031.5 Business and Prqie3sional Cqde: Niy ciry oi counry w�ich require5 a permit ro consiruct,'atter, impmve, Oemolish, nr
N
reDair any struqure. D�or to Rs iu�unce, also requires t�e applicant tar suc� permh to tile a signe0 s[a�ement [ha� he/she is Ilcensed
pursuantta[Ae pmvisions oithe Contractors' State License Law�Chapter9�commencinq wilh Section 7000)pf0ivision 3 nilhe Business
and Professioris Coae) or that he/s�e is exempt t�eretmm an0 the �uis Por t�e allepe0 exemption. My dola[ion oi Section 7037.5 by
any apD����� �ar a'Derm% 5u01�1s t�e appliwnt ro a cNil penalry of not more ihan fHe �un4re0 dollars (5500�.,
I, as owner of the prbperty or my employees wtth wages as iheir sole com0ensa6on, will tlo Ihe wark, an0 Ihe
❑ slrucNre is wt intendeA or attea0 for sale (Secllon 7044, Business antl Pm(euional Code: The Cantractors' S[a�e License Law
Coes na[ apDly ta an owrier of a propeM who huilOs or imD�oves thereon, antl who tloes such woM himseltlhersall ar �hrouph
his or her own employees, proviUeO [hat suc� improvements are not intendetl ar ottere0 for sale. If, however ihe buildinp or
improvement is soltl within ona year ai com0��ian, the owner will �ave the �urtlen o/ proNng he/she tliU na[ 6uild or improve
, for ihe purpose�ot sale). - .
I, as owner of IBe property, am exclusively coirtractinA with licensed con[racrors to constmct t�e project {Sec9on 7044. 8usiness
❑ antl Professions CoOe: The Comracrors' State License Law dces not appty ro an owner oi pmperry who bmltls ar improves Ihereon
anU who cuntrncts to� su�h pmjecti with a contractar(s) Ace�u Oursuant to the Cantmctws' State Ucense-Law). 1 am awa�e
ihat proof of iheir.Woder's Campensatl0� insu2nce ShoulE Ee pmviEetl�ro me+ _ ,
� I am ezempt untler Sectbn: �� 0 4 4 e. 8 P. C. .
rormisreason: p�.7NER DOINC WORK--�B/y/ SELT'.� f
Date: �_1-�t y���. Owner: ✓ �-.t��7rv1-'sa-us2'9e' +�.
I Oo �ereEy certiry that I am aware af antl un0erstantl the reQuiremen[s ol Galifornia Health and Satety Code Sections 2550.5, 25533, anE
25534 anE t�at I or any fuNre Duildinq occupant will/wlll not (cirde one) neeA to comply with saiU state caUes antl the requirements for a
permit Por cansVucU9n oPmoCifiCaUan ifam the Nr Qualiry Managemert Dis[tiCt RCSi6ential wnn�UCliat appkcations are exempt from
ihese provi5ions.
.�-�� _//n �i
Date: �'" � Applicam: VA��" : ,
I �ereby certiy that I have read [his application and state t�at the a6ove information is carrect. I aAree ro comply whh all ciry and counry ,
oNinanus anE state laws relatinA ta EuilCinp constructlon arM he2Ey amAonze apresentatives W t�is ciry ro enter uDon the above�menGanetl
pmperry for ins eclion puryous; . �
Date: � ��� ' SipnaWre: v��—
oriver's License ar Sodal, Securiry q:
18C1J6 Whiie—BuilEing: Greg�—�e Enla¢emenij Cenery—Applicent; Pink—Revenue; GOltlanroC—Assesso�
� , CITY. OF COSTP. MESA — BUILDl'NG PE.RMIT PERM NO: � 045417
FERMi1'� NO,: B 045417 PLAN CHECK NU: , N , GOVT: N SUPP: N
CUNSTRUCTZGN TYPE: 5-N _PERMIT TYPE: STR PURF'OSE': ALT
`JOD DESCR�IPTION : REMOVE WINDOW; INSTALL DOOR SQ FT: S",00 ,
CLAIM VALDE: . 500.00 .CALC—VALUP: - 500.�00 GROUP OCC: R--7 /'
. _ , _
COMMENTS: h1U INCREASE IN AOUGH OPENSNG. �
�*�****x*�:�x��***�t*tt�F�**x�x�ic�***�***�**�x�****-���ic��*it****�t+�*i��t�t�t****�*********at***#*x�
. Z O N I N.G R E Q U I R E,M E N T S
S E T Q A C SC S .
—'--------- MAIN DUSLDING —�—�--------
FRNT: f'T IN REAR: F'P 'IPl
LEF"C: FT IN RGHT: E'T IN
--------�— ACCESSORY AUTLDING' ------ - — ---
FR�1T: PT IN RGAR: L'T IN
L�PT: FT. IN RGHT: FT IN.
PARKTNG LtEQ: PROV; PARCIiL: 13928404 ZNT': REP NO:
Pl�ANNIPJG NOTES> �
_,. r .
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D E V E L O P M E N T ; G� R V I• C G S R E Q U I R E M E N,� S
r'
20NING APPROVEll BY ' DATF:
DUILDING AP!?HOVEi7 fsY : _ � _ DATE: '��
APPLICATTUN I:35UEi� €s`L:� �:�`� llATF:.: �2�l��
3'�Y3EiFiF#!E##3Fi4iE?f3��#�±E?£iE1Gi%#FdEi�i'��krc'�k'-�g'-� iE iE �1E �.�T�EjEiE�1E%iE9E3hiE3EiEiF��� �GiF�eTt l��iE
iFiEif.iFiEif3EiFi%iEfi'l�iEy:3fiFifiEiFiFiflFiEikiFiEi(�iElklEiEiEiFiE3E1l3EdFiF3EiE�F 9E3FiFiFiF�kiFiEiEik3EYcRiFiFi1-jFiEiEiFi(-iEiF,-IE#iEi4iE#iEiEiEifiE
LEGALTZA'CION:P1 F E E S U M M A R Y STROCTURAL SEGMENT:Y
BTUG PMT' PLUNIBING ELEC'CRTC MECHANSC FIRE SM•IP/RES GRADING
PERMIT 15.00 � SO
� SMIP /r10N—RE�
PLAN ' �
ISSUE EEE •
IIUILDl'NV-DIV—> P�RC9IT ISSUE PLAN—CHF•.CR TOTAL PAID bUE
T09'ALS----> 15.50 0,00 U.00 15.50 1}.50 .00 .
REVENUE DIVTSIUb]'TUTALS---% COLLECTF:D: . 15.50 .OVER/SHORT; 00
DLDG PMT PliUMBING £•.LECTRSC MEC;HANTC FIRE ShtIP/TOT GRADSNG FLRN—CHECFt
15.00 . .50
iE ik X iF iF 1k dF iE iF �k �F?F 3F # iF it # 3E iE 34 3f- f:� )F 1F iF 3F dE 1(-iE 3E lf ?E 3E iE ?F iE,?E if 3E if iF i[.iE i(� �If # 1E iE iE dF if itaf if 3E 3E 1E iE 3E ib dE iE iF iE if jE ih 3F 3E iE 3' iE 3f 3F �lE iE 3E iF 3E
I bl U I V'1' D U A L F�•E B R� A K D O W N
TYPE QTY U E S C R I P'I' I O N �' UNIT COST . TOT'AL COST
•'Y ;. •
SFR • 500 ., ALTER BY VAC,pE RESIDED1TIAti F NOZONE 1. 0 -
r:�iD o�' },r�s
a
0
�
'1 DEC 15 1989 �
• ��
' GITY OF COSTA MESA
_a4' . . . .. .. ... . . .. .. ... ... .. :..: .
� . � �—
.-
Ct7N57R�IJCTION AND PLANNING ��' -'PA �
Date Inspector � ' Date Inspector
APPROVALS Permit # ' APPROUALS Permit # _. ,, _.
1. Temporary EleGtrical Service or Pole � �. ��' -- -
� 52.�Pool &.Equipment Location �
� 2: Soil Pipe-Undrgrnd. � . 53. Steel ReinforcemenT _ �- '' •'� � �
3..Electrical Conduit Utility-Undrgrnd. ' . 54. Forms - � "�,�
'4. Electrical Condu�t-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, O Undrgrnd., Test � �
9. Water Pipe-Undrgrnd. �� � .� 60. Backwash Lines;P-Trap,�� Undrgmd.
10. Structural Floor System' ' ' 61. APPROVAL TO DECK" '
. i
11. Property Sewer Line & House Connection 62.' Bacliwash & 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. Fencirig & Access ApPioval
17. Rough Wiring Si9n 68. APPAOVED.FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL '
-�19. Rough Heaiing & Air Conditioning � - .FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - � , APPROVALS Permit #
21. Ducts,in�Structure �� - 70. Underground Hydro
22. Ducts,Ventilating -t, 71. ProductPipingOGas ❑pil
23. Gas Pipe•Rough � Test ' . 72. Underground Flush
24. Roof Framing ' � 73. -Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing -� ' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat ' 75. Ory Chemical � � -
27. Frame and Flashing 76. Dry Standpipe ,
28. Lathing&Siding � 77. FIXEDSYS7EMFINAL
29. Insulation ;.:�:�- 76. FIRE PREV. FINAL
30. Drywall Nailing . ,� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat t�' 79. FINAL INSPECTION
-, �
32. Electriwl Power Meter-Final /�"'.��, S0. FOOD CERTIFICATE ISSUED
33. Final Electric 2,j_�j ap6 Notes:
34. Final Heating & Air Conditioning�� � � �
/
35. Final Gas Pipe-7est - �
-• �.
36. Hood or Canopy � � . ' ` ,�^2 � /'G,,�.6�b�C
t.
37. Final Facmry Fireplace � � '�"�' � 8�• `�
'38. Final Plumbing ' ��} -
39. WarerService�Final ���� � '
40. Gas Service-Fina� � � - ' , � , , -
41. Solar pomestic-Final � . , .
42. Backflow Preventer � ��
43. Backflow Irrigation - ' . . -
44. Landscape Irrig2tion System � � . �
45. Sound Attenuation
46. Handicap Regulations � . . � �
� 47. FINAL STRUC7URE & BUILDING �',Z,7-q� �,�L �
48. FINALPLANNING :
49. Electric Release to Edison . ���� -
50. Gas Release to 5outhem California Gas Co � �'✓ � ' �
51. CERTIFICATE OF OCCUPANCY �
No. ' Date
rnaecrnooeess: 2920 ANDROS ST
ownew�sx�Me: VINCENT ANDERSON
nooness: 2920ANDROS ST
COSTA MESA
CA 92626
(714) 595-2400
RRLHIENGINEER:
��ONESS:
REG.NO.:
uxrt:
UNR:
� PEBMITfEE: VINCENT ANDERSON ( 714 ) 545-2400
nooeess: 2920 ANDROS
COSTA MESA CA 92626
LICENSED CONTMCTOB OELIAMTION: I hereby alfirm Ihat I am licensed under OroNsionS oi C�apter 9(commencinA ��h Sectlon
7000) ot Division 3 oi the Business an0 Professions Code, and my license is in lullfarce and ettect.
CITV LIC.: STRTE 11C.: ClASB:
Date: SignaNre:
WOHIIEPS' COMPEN9ATION UECUMiION: I heraby aifirm Ihat I have a cenXicate ot consrnt to self-insure ar a certifwte of Workers'
Compensation Insurance, ar a certRietl coDY �Aereof (Section 3800, LaC. C).
POLJLY NO.: E%P. ORTE:
COMPFNV:
Certitietl coOY is hereby turnished. ❑ CertiXetl copy is tiletl wiN ihe cily Buildinp OiNsion.
Oate: ADPllcant �
IXEMFlION FflOM IVOflKERS' COMVENSIITION UELIAMTIOX: (�his sec6on neeU not be completed'A MB permit is for ane hunAred �(E10� ar kss).
I cartiTy that in the performance oi the work for which this permit is issued, I shall not employ any person in any manner.so as to hecome
suGject to the cW�orkers' Campensation Laws i CalNomi�a. /
�ate: > —� � � rSiAnaNre� !/� � �
NOTICE: Ii, aher makinA �his Gecla2tlon, you shoul0 become su6lect to ihe Worke ' Compensalion provisions oi the LaOor
CoOe, you must forthwith compty wiN such Orovisians or t�is permit shall be deemeE revokeA.
CONSTBUCTION LENDING pGENCY: I hereby alfrm that there is a cnnstmction IenUinA apency lor ihe peAormance of Ihe wod tor
whicA this Oermit is issueC (Seclion 3097. Civ. C�. .�
IENDER:
aooxess:
OWNER BUILOEH OECWMTION: I heieby aifirm that I am exempt irom IDe Can[ractors State License Law for tha followinA reason
(Section 7031.5 Business antl Prolessional Cotle: My ciry of counry whic� 2quires a permil ro consimct, alter, improve, demolis�. or
repair any sWcture, prior ta its issuance, also repuires Ihe aDDlican[ for such permit to file a sipn¢d statement that he/she is Iicensa0
pursuant ta Me D�ovisions of Ihe Contracrors' Sta[e Licensa Law (ChaD�er 9(commenclnA ��h Sectian 7000) o/ Division 3 oi Ne Business
and Pmfessions CoCa) or I�at he/she is exemOt theretrom anU t�e hasis for [he allegeE exemp[ion. My violatlon M Section 7031.5 by
any applicant for a De�mit sublec[s Na apPlicant to a civA penalry ai nat moa ihan frve huntlretl tlollars (5500).
I, ss owner ol Ihe propeity ar my employees with wa0es as iheir sole camDensation, will Eo the work, antl the
❑ stmcture is not intentletl or ottere0 for sale (Sectmn 7044, Business antl Professional Cotle: The Contractoro' State License Law
. does not apply to an owner oi a praperty who builds or imDroves thereon, antl who tloes such work himseli/herseli or throup�
his or her own employees, Drovitletl Ihat suc� improvements are notintentletl or otteretl for ule. It, however the buildinp or
improvement is wld within nne year ot complation, Ne owner will have the 6urtlen of proWng Ae/she did not build or Improve
for the purpou ot sale).
, I, as awner of [he property. am exclusively contractin0 �h licensetl contractors ro constmcl the O�olect (Sedion 70C4, Business
❑ antl Proiessians Cotle: The Camactors' Slate Licenu Law Uces not apply to an owner ol DropeM wlro EmICs ar improves thereon
and who con[racts fo� such pmlec[5 wi�h a co�rtractar(s)license pursuant to ihe Coniractars' State License Law�. I am aware
Na[ pmaf of thelr Warker's Compensation insuance shoulE he pmNUeU ro me.
}� � am exempt under section: 7O 4 9 e. d P. c.
�ortnisreason: OWNER DOING �']'(��RK BY SELF, � /�/_
Oate: � � � � J 1 qwner. ���.W�O-i+�-.-� �
I Uo here�y certity Nat I am awam o/ antl unOersWntl [�e requirements oi Calitomia Mealih an0 Safery CoOe Sections 25505, 25533, an0
25534 and �hat I or any IUWre OUIIGinp occupant wllVwill not (circle one) neetl to camply vn[h saitl state wA¢s an0 the aQuiaments for a
permit for cansiructian ar moUification tram the Nr Oualiry Manapement Oistdct ResiOential consimctian applicatlons are eaempt trom
ihese provisions.
Uate: ApDlicant
I here6y certiry t�at I �ave rea0 ihis application antl sWte [hat the above'niormation Is cnrtect. I apae ro compy vnth all dry antl counry
ordinances and sGte Wws relallnp to EuilNnq canstructlan antl here�y a ons rzpreseMatives oi iha dry to enter upon ihe abovo-me�onetl
proDenY ioi inspection purposes. 1/ `'�"/"i`�—_ I
�ate: � �1 r 1U 1 Sipnature: �
oriver•s �icense or socia� secunry x:
1601-48 White—BuilOing: Green—Code Entorcement; Canery—Appficenf, Pink—Revenue: Goldanrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 047430 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE
JOB DESCRIPTION : REROOTE LECT LINE, REFER TO �H45417
CLAZM VALUE; CALC—VALUE:
PERM NO: E 047430
GOVT; N SUPP: N
PUAPOSE: ALT
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO INCREASE IN ROUGH OPENING.
�rer**�rx��r�t�r�r*irirx*x x +r�t**�r*ir�rx �r*�r*ir*+r�r+r�t�tir�r�r***x�e�t��r*arx�x�r�r�ar�*�r*�*ar�*x��rx��eir*�ir*��t*�r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: 'FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13928404 ZNE: REF NO:
PLANNING NOTES>
>
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D E V E L O P M E N T S E:;R V I C E S R E Q U I R E M E N T S
20NING APPROVED BY ' t DATE:
HUILDING APPROVED BY : DATE; � ��
APPLICATION ZSSUED HY: �� DATE; i—��
ifjFiFiFiFlFiflflFifiEiFlFkiFltiFiFillk�Flf i� �i�F3F�F�iFiFikiFiElklfiflEiE�Flt�if7 iF
if if af it 1k if ikif ik it 1E if if if 1FlF iE 1t iFiE fk iF if itlk ik if i! iF if 1E iE it iF iE iF if �f M ik it iE if iF if M i! i6lFlk if iElF it iF iE 1F 1F 1F �FlF 1F iE±E iE i! iklf if %if if iE ik if iFiFiE iF
LEGALIZATION:N F E"E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING •'ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11.00
SOt SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CAECK
TOTALS----> 11,00 15.00 0,00
TOTAL PAID DUE
26,00 26.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 26.00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
26,00
I
if M 1f iF 1k iF if iF iF iF ik iE ik 1f jF it iF it if ik ik iE if 1F �f !F 1f 1F 1f 1F if if ik ik iF 1k if !F ik iE iF iF iE ik iF iF iE iF k if iF ik if if ik iE if iFlF iF if ik iF 1tlt �lk 1k�F 1f iF1F 1t it �f iE �k fF if ik
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
ELE .. 1
D E S C R I P T I O N
MISC APPARATUS NOT LISTED RE PERMIT
END OF FEE
UNIT COST TOTAL COST
11,00 11.00
01 00061409-0006 f�409 T 6j'�' 26. �0
DATE: O5{27/40 7214E: ib:.i0
� CONSTRUCTION AND PLANNING POG SPA x;
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location �
�2_�SoII�Pipe-Undrg�nd,� � .,,� 53. Steel Reinforcement . 'Y
' ��3?E�ectrical Conduii�OtilitY-Undrgrnd. 54. Forms , 7 . .
�:
»'4�Elecirical Cond�ii-�ndrgmd. 55. Electrical Bonding V m
S 5.�Stee1•{ieinforcemAni: - 56. Rough Plumbing & Pressure Tesi 7
-��ari�.� �i vn-:m w �
��6i�Elect,icalUFER�Gr�hd. 57. APPROVALTOCOVER�GUNITE '
__ _
4rr7s,Footings �;;��� 58..ElectricelConduit-Undrgrnd., � v
,
���8. Foundation `� 59. Gas Pipe, � Undrgrnd., Test '� n
9. Water Pipe-Undrgrnd. , � � 60. 8ackwash Lines, P-Trap, O Undr~gmd. �
10. Structural Floor SYstem � ''' 67. APPROVAL TO DECK � �
11. Property Sewer Li �& House Connection , . 62. Backwash & Receptor-Final �'-i; ., �
72. Sewer Cap n� ` ' 63. Heater & VentFinal . -„� .'"
13. Roof Drains `ti ' �� �
... �y _ 64. Plumbing SYstem - Final
14. Rough Plumbing y 65. Electrical-Final � �
G . i '.
15. Rough Electric�l-Conduit '. 6. Solar System�Final ' �
16. Rough Electric.Wiring 67. Fencing & Access ApProval
17. Rough Wiringyign 68. APPROVED FOR PLASfERING
). -
18. Rough Electrical�T Bai'Ceiling " 69.-POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning � FIRE D.EPT.�REQUIREMEN.T
=^ [l 1-� ('7 ['!r: :K tr; �S d�: x � 4' J _,._,.. ... -+ �.7
20'-Ro h Fsctiy "eplace c`r��,. `_' '� ""�� PP V� H�Permit# 1� � y
.� e. �. x�; W s �:n� �,A � 2,.3'
21�-+p ., s, Iri StFuctu�eK i�.. .. �i S#� S'J N x x -' T�•• •,• �
�y � � _* �.� �, � ti n� y. , =70. UQnderg%n� H�ro ,.
:,t 3: ,�x�a m : � ,:
22�_Dyets, ;/enTil,etirig F; � i� �� ��j ���; * 7�. Product;, ping CYas O.OiI
23vGas'Pipe•Rou9h & Test ' s� %S K c�7 � T O* ���7z, UndergrdM`tl F�sh� '' �
24hRoafFamirig "; �'`"0� ��� M'� fl � ,y# � ',73r,�yUndergmd.Storag�Tank;OGas ❑Oil
25. Robf Shfiathing Si'� �: v���� �_� > sv* * 74.�Overhead Hydr� ��
n. `-. ,: w., x-, .: e .� rn M
`�t i C � � :x Cil O !�l �' � ^ ` + �"'� �
26°'T�Bar Ceiling (SfFL�turel) &'Moa�ocoat *" �, `�; .. 75,�Dry Chemical -,� �; ` :y
1T ••
27:.,Frameand Flashing�� ^G.� :: =' >+ w� � 76. Dry Stan�' ipe �"'p � ^ •'�
'� ^v r�. �Y � r1 ('1 ,Y. 'Y i X w."' H Y: � :U
''28. LaYhin`c�.$ Siding� � " ` x y p � � "� "+ "�* � 77y FIXED S�TEA9�INAL y � i �
^29. Insulat on '< V s � �: � � � � � � 7 � FIRE PREV. FI�NBL '` x �i
-� -+' "' n ee� 1 � i i x�
�~30. Drywall�Nailing �x * *'� " r � � T
�,� r, � ,� � I I �y. ,. c. �E{ALTHDEP�'. REQUIR:EMENT
.,
731. Plaster Brown C62t� S i h+� .� � �� x �7gyFINAL IN�SPECTfOM x J - "�
t T �1(� %:'l
•, n i- ,-� n -. n
y.32:;Electriral Po�er'M�ter-F,inal' f .Y" I {* *� :�FOOD CERTIF�'jATE ISSUED� ;;
�
�33>Final Etectrkc sa ?7 i �C � � �: s ��' dtest �+=� '7[^. * `i 7 � �n
.' e- i i F. m 1 C'
v34�'FinalHeating&��i�C9nditioning• �' '' I � �' r` '^� ,'=' n` ''' S '""�
:r, t-, . � r � .T. .� !, t� � r-� � c o � F�c: ;: -�.
35;iFinal Gas Pipe-Tes�; •: � I � � � � � �r �� V;,,e o� x � �-T
Y. : i
�?36, Ho¢d o�CanoPY y: �n � �:� �, � � , I � : " m x� � ;* � i
� V .l ^ rl
-y37: •Final Factory FireplaceX ; E-. H�a x� � I'' T � Y ;.ls'u
^� ^ � T 1 .1 t' • , i ..S H .4 iii J
��38. Firtal Pl�mbing . ,� � � f �.� �, ,y � .x -
'�39. Water S€rvice�Final. g 4 s� � I I ��' H `� r�' .y �' '.�
e... n i hcl e-.
?740. Gas Serdice�Final m-.' eC`�C'" S �^: I it� `� O� �n% x �
� -. a� h � H t*; � 4* � f • o E �: .�
�41. Solar pomesticFir�l� j; `' I � � � �, .,� � s '� ;>
- 4 C
42.-Backflow Preventer� � �� A: � � �� � >� i� F' .
n > r3 ^, :� i-; .T - # :: [*± tT? r� �; r-. �.
C, X ' � S � .!: � �F '� •J _'
43. Backflow Irrigation• yi •g � � r• is �� a' C'i •
- - h: :R ? r, '�
�'''•44. Landscape 17rigatid'n Syster�T-� � �"'� � � * � • � < �'`� � `'� �
n � "a'S x 'C � ¢xk: % Ca xS'
G. '�' Cl :.. H.'.. c- . � G n t-� -� }. i r. r� . r ..
45; Sound ;Attenuatio�i -, ., ., rv :Ti t� mx * � ^ T K • ,� *
r
046�••Han�dicap Regulations '-' O � � w • � � � % �' ""
� i: S I i lt� *�" z! O !� '�'
475FIAlAL STRCICTURE & BUI'LDING � ! "" Y � :v
f�7 .1: F^ I' . ti I G' � F
48„,FINAL PLANNING � ^" �' �' � �- � W � �" ` ` �.'
>: � :: � G: �: , N s` u
G,49a,Ele�"c,tric Release to�Edison � x � ` H. ;' a •�, '; '.�
-��+ r
a50`�Gas.Release to Southem California Gas Co '� � ��� • �'� � " �'' � ' ��'� " '� '
>: `; �: .�- W • S :O C: ; �' D
=�51. CERTIFICATE OF"OCCUPANCY �' * " � �� '��= ^ � "
No. Date
Applicant to fill in all spaces except those within �eavy DorGer Iines antl.zign all aDV�opriata tleclarotions.
CiTv oF coST,4 nnE3A . CONSTRUC710N PERMIT PER IT NO. TRACT NO. LOT NO. UNIT N6. ,.
2920 ANDROS ST o�3�I 1206 .3/18/Q� :�oJO 1
. P?oject4iddresr• _ . . .
Applicant'SMailingAddre55 ZZZO S DUPONT DRIVE E'�EOFCONSTRUCTION NEW ADD ALTERATION REPAIR
Owner's Name VINCENT ANDERSON ' ` ❑ coNveasioN ❑ DEMOLISH ❑ OTHER p,p, # Zone
Phone DESCRIPTION OF WORK/USE OF BLDG. REROOF WITH DECRA, .
Address Z92� ANDR�S �ST COSTA I�S� _ s Maineuilding: . Acceuory6uilding:
E Z
Arch/Eng. LicenSe No. TVPE OF PERMIT GRAOING FOUND9TION STRUCTURAL T Front - ' ' p
AddreSs . ' ❑ TENANT ❑ ELECTI7ICAL ❑'PWMBING ❑ MECHANICAL B Reaf - � N
Contracror'sNamerAL PAC ROOFING phO�eHOO—S�IH— �IO��OTHER p` �
PROJECT DESCRIPTtON St�. FT. oGCU�.a CY C Right N
Addresslmailinal2%ZO S-DUPONT DRIVE � � RER �6$���--� K G
CityLiCenSeNOn%7H�� CONSTRUCTIONTVPE VALUATION$ g Left � R
ZONE GRADING CU. vDS. ACRES ping. Ref. Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION -
Q
1 hereby affirm tha[ I am licensetl untler provisions of Charter 9(commencing Remarks: Planning N . � M
with section 7000) of �ivision 3 oT the Business antl Professions Cotle, antl
my license is in ce antl effect. - . � T
Licen � Liten3e Ny. � i�iQ� I S
Date� 5'g t � iJf/. /G//�- PLUMBING FEES
WORK� PENSATION DECLARATION @ar Sink ShOW2�i . � ELECTRICAL � FEES
\ ' hereby aftirm thdt I have a certificate of conseht to Self-in5ure or a certificate
, Workers' compensation Insurance, or a certified copy thereof (Sectlon, _ gackflowPreventer � ServiteSink
oo, �ao. �CS 1.3 % H 8 G - ROYAL - /automatic Washer Transformer ❑ 15-50 KW �
Policy rvo. Company _ Backflow Irrigation Sewer Cap - Construction Pole Sub. � 50+ KW
�Certi ' copy is nereby furnishetl. ' ' '
rt i 'i a witn tne city euiltlin Div 8athtubs Sewer Connection Cooking Unit Meter ❑up to 100amps
Date Applicant
EXEMPTION ROM WORKERS' COM 10 DECLAR TION Clafifiers Solar ColleCtors Dishwa5her Metef ❑ovef 100amp5
(This section neetl not be completetl if the permit is tor one M1untlretl (5100) or -
�ess). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel .
I certify that in the pertormance ot the work fqr which this perm�[ is issuetl I ,
shall not employ any person in any manner so as to become subject to t�e Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California. Motors DO-1 HP 07'/a - 8
. Date Si9nature Floor Drains Swimming Pool w/Spa � F.A,U. ' Inc Solar �9-15 HP �16-15+
'NOTICE: If, after making this tleclaration, you shoultl become subject to the
Wo�kers' Gompensation provi5ion5 ot the Labo� COAe, you must forthwith FIOO�SinkS U�indl FixtUfCS
�omply with Such provisions o� this pe�mit Shall b¢ tleemetl �evoketl. MIC�OWdv¢
CONSTRUCTION LENDING AGENCV GaSService OUt12t5 WetelCloSet DeVICeBoXeS
I heteby atfi�m that the�e is a con5t�uction Ientling agency fo� the pe�fo�manCe P012 LiPub
ot the work for which this permit is issUetl (Sectlon 3097 Civ. C.J InterGeptOfS Watef Heatef Outlets �
Lentler's Name Range
Lentler's Atlaress Kitchen Sink ' Water Service Switches Sign
OWNER BUILDER �ECLARATIOIV
I he�eby aftivm that I am exempt irom the Cont�actor'S License Law for the �dvdtOfiCS AutO-WeSh Garhage Disposal � Stdllding $¢CtiOnS
following reason (Section 7031.5 Business antl Protessional CoEe: Any city or _
county which requires a permit to construct, alter improve, tlemolisn or repair p—Trap Laundry Trays Generator �65 KW 05-15 KW .
any structure, prior to its issuance, also requirgs tl�e apP�icant for such permit Trash Compacto�
to file a signetl statement that he/she is Itcensed pursuant to tne provisions of Roof Drains � �
the Contractor'S License Law (Chapter 9(commencing with Section 7000) of
�]ivision 3 of the Business antl Professions Cptle) or that he/she is exempt
+a ^
�.;�refrom antl the basis Tor [he allegetl exemption. Any violation of Section
31.5 by any applicant tor d permit 5ubject5 the applicant [o a civil �
"nalty of not more Ihan iive huntl�etl EOIIaR ($500). $ 3 �
�� b I, as owner oi tne property or my empl0yee5 with wa9es as their sole Rainspection Fee $15 Issue Fee
compensation, will tlo the work, antl the structure is not intentletl or offeretl - Reinspection Fee $15 Issue Fee . $ 3
tor sale (Section �046, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES
License Law tloes not apply to an owner of a property who builtls or improves
thereon, antl wno tloes such work hfmselt/herself or tnrough his or her own goiler Hood or T e I ❑ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provitletl that such improvements a�e not inten0ed or offeretl fpr �P Zoning Approved By �ate
Sale. It, however. [he builtling or improvement is�soltl within one year of com- �ynopy Type II ❑
�pletlon, the owner wlll have the burtlen oi proyin9 he/she Eitl not builtl or im- Duct - Under Ground �8uilding App�oved By � �at�
�rova for the purpose oT sale).
I, as owner of the property, am exclusively �onVacNn9 with licensea con-, Duci - Structural ' , Refrigeration System � Applitation Issued 8y �, a nat
traCto�s t0 ronst�uct the p�oject (Section 7044, Business antl Professions Cotle: �. ,
The Contractor's License law does not apply to an owner ot oroperty who Duct - Ventilating ❑4100,000 BTU ❑100,000 BTU , SUMMARV OF FEES . � ,/
' builtls or improves thereon, ana who mntract5 for such projects wlttra con- ' - O iY
tractor(sllicense pursuant to rne Contracmr's License Law). I am aware that ' " BUILDING PERMIT $ ��, e SMIP $_yy�
proot of thei� Worke�'s Compen5ation Insu�apce shoultl be provitletl to me. Exh3U5t SySt¢T ❑ MUItipIE ❑ Sysrem Repair/Aiteration .
PLAN CHECK $ PERMIT
❑� I am exempt untler Sectlon B. & P. C. tor this reason FirepUFact. BIt, ICBO �k Fire Dampers pLUMBING $ � ISSUANCE $�
Date Owner Heating System & Ductin9 Registers 'pLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that i have reaa this application antl state that the above �4100,000 BTU��100,000BT . -' ' ' - �ELECTRICAL $ GFADING $
in�ormation iz correct. I agree to comply with all city antl county ortlinances . �
antl state laws relating to builtling wnstructlon, E hereby � PLAN CHECK � 5� $ MICROFILM $
se�[atives of this <ity enter u on the a e-mentlo tl pr t � � '
Inspection purpo5 . � ' � ." �_—�
9gnature D t , MECHANICAL $ TOTAL FEE $� s�
Drivers' License or 55�� — Heinspection Fe¢ � $15 ' Issue Fee �$ 3 PLAN CHECK 25% $ �
CMF OB65-46, rev. 30/84 White - Builtling; Canary _ qpp���nt; Pink - Ac<ounting; Goltlenrotl - Assessor
'; 'CONSTRUCTION AND PLANNING P00� SPA '
:���'qPF�ROVALS Permit# �' Da� Inspector qppROVALS Permit# � Date Inspector
1: Temporary Electrical Service or Role � ' 52. Pool & Equipment Location
ti �.
��2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement '
I
,3. Electrical Conduit Utility-Undrgrndr �';,� 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, O Undrgmd., Test .
�9. Water pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, � Undrgmd. �
.10. Struct�ral 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 _ .
76. Rough Efectric Wiring ' 67. Fencing & Access Approval . _ .
17. Rough Wiring Sign' 68. APPROVED FOR P,LASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �-
20. Rough Factory Fireplace ' APPROVALS Permit #
' 21. �Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas.Pipe-Rough & Test 4 72: Underground Flush � , -
'-24..,Roof Framing � ' 73. Undergrnd.StorageTank OGas ❑Oil� � �
25. Roof Sheatliing � 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat . - 75. Dry Chemical
27. Frame and,Ffashing •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 Flectric �� � � � Notes: - � - V
"34. Final Heating.& Air Conditioning � - �
35. Final Gas Pipe-Test' � � ' - � �
36. Hood or Canopy ;. _
37. Final Factory Fireplace 1"T - , � - - . � •
38. F'rnal Plumbing t" � • ,
39. Water Service-Final� '��� � � - .
40. Gas Service-Final `'" � ,
�..
41. Solar pomestic-Final �? '
; ,T.:'
42. Backflow Preventer � t��i � ' � '
43. Backflow Irrigation " ' �V , � . � . - - ,
44. Landscape Irrigation System `;'�`'� -� �
45. Sound Attenuation � , ' � -
46. HandiCap Regulations � '' ' � .
47. FINAL STRUCTURE & BUILDJNG � �
48. Special Requirements Completed � � ,
49. Electrie Release to Edison '
50. Gas R�lease to Southern California Gas Co � � � , . ,
51. CERTIFICATEOF.00CUPANCY .?
No. ' . . ' Date� � � � '
�� -
' � ����9
COS7A MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
i0R AAPUCANT TO f/[l /N COMPIfTfIY
TYPE OR PRINT
ADDRESS 2920 Andros St•
COSTA MESA, CALIFORNIA
OWNER Gleiroexde Homes, Inc.
MAIL BOX 6J
ADDRE55
CITY �lboa ,Island,Calif. TN�flr3�4220
ARCHITEGT � uC.
M8CC0
�LEGAL . I LOT l O
OESCRIPTION NO_ L7
SRE 70� I NOW ON LOT O
OF LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM
ceHT[n oF STREET O REAR YARD �O
SIDE YARD ILEFT � IRIGHT �
DESCRIPTION OF WORK
.��.., I X �I e� r�ver�.,,.� � II ,,.,.,�r�..,.� I
v REPAIR I II MOVING
t/%�, " y o 0
1 NENEBY ACHNOWLEOGE THAT 1 HAVE REFD THIS APPLICATION
AND STATE TMAT THE FBOVE 16 CORRER AND 4GREE TO COM-
PLY WITH ALL CITY ORDINPNCES ANG STATE LAWe REGULATING
OUILOING CON6TN�UC�TION ,,„,
PERMI'I�T£EJF y3'G'���''�'E HOMES,INC•
F�� r��C���l�.�
.-�a�/ lJ-7-7,�5 j
�i��ncE oEPT.
CiTY OF COS?,� r,�Esta
APPLICATION FOR PERMIT
BUILDING
�
I�1[-'fl�la
FOR OFF/Cf USE ONLY
RECEIPT NO. I PE
ar
COSTA MESA. CALIFORNIA
ZON I NG
NO.OF lISE OF NEW
PIANS � _ BUILDING
�
NO.
THE AMOUNT BHOWN IINOER VALUATION IB £OR THE
PURPOSE OF EBT�OLISHING A PEPMIT FEE ONLY.
VALUATION �
PERMIT FEE S��
$/�/(�//J� PLAN CNECK $ /Q �
� �
TOTAL FEE $ lJ7%
� ^
. , �42,a
C'�STA MESA BUILDING-SAPETY DEPARTMENT
P.O. BO%]77 COBTA M86A. CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT
ADDRESS .Z��O �Lj�Y�
COSTA MESA, CALIFORNIA
OWNERWQryd V• �L S
MAIL �
nnnwaea �Q'ao bin hb.j
BTATE
o'x t�or
sFr I C`(o °� � e�orrr
DESCRIPTION OF WORK
BUILDIW6 /-NO.OP
SIZE ROOMB 0
EXTERIOR WA AOOF
GOVERING 0 � COVERINO
U88 OF BUILDING AND WORK TO BE PfiP
1 XBREB'! NCKNOWLEOOB TXAT 1 XAV@ pE�O THIB �PPLICATION
AND 9TqTE TXAT TXE ABOV IB GORR6GT AND AOREB TO COM.
PLT WITH ALL CITT ORD�Gi6 ANG BTAT6 IAWY P;.QULATINO
6U(L�INOCONBTRUSSq�r✓ ii ,
1 AUTHOR�ZBD A6iNT
cirv a� ���ra �Esa
MAY 2 7 1965
For Offica Use
q6C61PT NO.
BY
ZON[ NO.oP UBHO�HEW/-C_
/ PLAH! � BUILOIfiB�y�/�l
LEOAL �j
D88CRIC1'ION IL
�
.�
YAROS APPROVED
MAIN BUILDIN6
f FROM C/L HYRF�T�
Ll-7 C�
FRONT FT.
� �//
R.aioe33• Rr,
' 3"
L.810E �I �•
/�, � � �r
RfiAR
DISTANCB BET.
MAIN BLD68.
VAR. ii
�
� � 0
BHALL BE LE38 THAN
(U.B.C.REQUIREMEN7:
YARD9APPROVEO
ACC6S90RY BUILDINO
DATE
%
3Oa o
84. �.
.TNB AMOUNT 9HOWN UNDER VALUATION IB FOR TH8 F
PURP08i OF 89TA0LI6HIN0 A P6HMIT F88 ONLY. 0
VAL ATION / �d N
� PERMIT FEE $ {!J �
�
m
s �3� �
� D y
♦
JOB ADDF
GENERAL
AT' '�io. �:
L r',CTII
SaIl
owner-
LAIL�' P'itiY � I �
BUILDING PERMIT N0.
DESCRIPTION OF WORKAdd. PatiO Cover
llate I GROUP J TYPE
SUBCONTRACTOR