HomeMy WebLinkAbout2972 ANDROS ST - Building PermitsPHOJECT AOOPESS: Z y•I % A':VDROS S i
OWNEB'S NRME: NIATHEWS
i R�OBESS: ���y .
' 2S72 ANDROS ST
COS't'A M,ESA, CA
APCH/ENGINEEfl: �
AOONESS:
uxiT:
92626
flEG.NO.:
UNIT:
PEPMITTEE: 7�..�RC)NET.LA ROOf'ING ( 719 ) 548-1645
aooeess: �626 NEWPORT'
COSTA N,ESA CA 9L627
LICENSEO CONTflRCTOfl DECLAHATION: I hereby alfirm Ihal I am bcensed under D�avisions o� Chapter 9(commencing wit� $ection
7000) ot �iv��sion 3 ol Ihe Business antl Pmfessions Cotle, anC my hcense is in tulliorce antl eifer,t.
CITV LIC.: STATE LIC.: C1A55: r
032605 00460�70� —/{J�� ,�,_,�
�aie: � ' � ' �. ( SignaWre�`
WOBKEHS' COMPENSRTION OECUINATION: 1 hereEy ' have a ceni�icate o� consem m setl� re or a cetlilica�e of Workers'
Compensation Insurance, or a cenified copY �hereol �Section 3800. Lab. C�.
POIICYNO.: 1OI99H%-9�. E%P.DATE: OIIOlI9�
fAMPANY: ST.ATL `UIt1P
Cenihetl copy is hereby lumished. � Cenilie0 coDY �s file0 with the ciry Building Division.
Date: � - ZL ' Q � Applicam' � �
E%EMPTION FBOM WONNEHS' COMPENSATION UECLABA ION: is sec�ian neetl no� be comple�e0 il Ihe permi� is far one hundretl ($100) or less).
I certify �hat in I�e petlormance ol ihe woB �or whic� 1- ermit is issue4 I shall not employ any person in any manner so as �o become
subjeci �o Ihe Workers' Compensatmn LawS of Califomia. .
'i �a�e: Signa�ure'.
NOTICE: I�, aller making ��is tleclara�ion, you s�oula �ecome subjec� Io Ihe Workers' Campensa�ion pmvisions o� Ihe Lahor
Cotle. you mus� lotl�with comDty wi�h such pmvisions or I�is permii shall be Oeemed revoketl.
CONSTPUC7ION LENOING RGENCY: I hereby alfirm inai Ihere is a constmction IenUing agency for ine Dedormance ol ihe work for
which Ihis permil is issuetl �Sectian 3097. Civ. C�.
LENOEN:
AO�HESS:
OWNEfl BUILUEfl DECIAflATION: I hereby a�tirm Iha� I am exemp� �mm Ihe ConVac�ors' Sia�e License Law for ��e following reason
(Section 7031.5 Business antl Pmtessional Code: Any ciiy of coun�y which repuires a permi� to cons�mct, alter, improve, tlemoli54 or
repair any 51mC�ure, prior Io i�5 i55Uance. also reQuireS �h¢ applican� �or suCh permit �o file a 5ignetl S�a�emen� lha� helshe is licensetl
pursuanl to the pmvisians ol t�e Coniramors' Stale License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of Ihe Business
antl Pmfessions Cotle� or Ihai he/she �5 exemp� Ihereimm antl Ihe basis tar Ihe allege0 exemp�ion Any violation o� Sec�ion 7031.5 by
any applicant lor a permil sublects �he applicani �o a civil penalry oi no� more ihan five huntlretl Oollars ($500�.
I, as owner ol Ihe pmperiy or my employees wiih wages as lhelr sole compensa�ion, will do �he work. and the
❑ nmcture is nol imentle0 or oflere0lor saie 15eC1ion 704A. Business and Pmi¢55i0nai Code: The ConVac�oR' Slaie LiCenSe Law
tloes nol apDty Io an owner a� a pmperiy who �uilas or impmves the�eon, antl who tloes such work himsel�/hersel� or Ihroug�
his or her own employees. pmvided Ihal such impmvements are nat inten0ed o� ottereU lo� sale. Ii, however Ihe Duiltling or
impmvemem is soltl within one year ol comple�ioq t�e owner will have �he hurden ol pmving he/she Oitl no� builtl or improve
. lor ihe purpase o� sale). '
' I, as owner of �he pmperry, am eKCWsively contracting wi�h licensed contrac�ors �o cons�mcl �he prole�� (Sec[ion 7044, Business �
❑ and Pmfessions CoOe: The ConVac�ors' State License Law tlaes not apply �o an owner of Dmperty who builtls or impmves ��ereon
and wno conlracis lor such prolecls wi�h a coniractor(s) license pursuan� to �he Con�ractors' Sta�e License Law),I am aware
Ihal pmol ol ��eir Warker's Compensa�ion insurance.shoul0 be pwvitled to me.
� I am exempl untler Secbon� B. 8 P. C.
lor Ihis rea5on:
Date: Owner
I Do �ereby cenify Ihat I am aware ol an0 understantl Ihe requirements o� Califomia Healih and Salery CoOe Sections 25505, 25533, antl
25534 ana ��at I or anylulure �uilding accupant willlwill noi (circle one) neetl �o comply with saitl s�ale codes and�ihe repuiremen�s fora
permi� �ar conslmc�ion or motltlicaiion tmm �he Air �ualiiy Managemen� Dislrici. ResiOential tons�mc�ian applica�ions are exempi imm
ihese Orovisians. '
Date'. Applicant:
I hereby certily I�at I have read Ihis applica�ion antl Slale Iha� ihe above inlormation is correct. I agree Io comply with all ciiy and couniy
ortlinances antl slale laws rela�ing Io builtling conslmclion and hereby au�horrze representalives ol Ihis city �a en�er upan the above�mentionetl
pmpetly lar inspeciion purposes '
s� o �
-Date: v� Z � �` l SignaWr - .—,
Driver's License or Social Securiiy #: _ .
t641a6 Whue-Builtlmg; Green-Cotle EnlorcemenC Canary-Applicant Plnk-Revenuel Galdenratl-Assessor
CITY OF COSTA M�SA - BUILUING PER,�i3 PERM ti0; B U5349& �
L'ERNIT NO; B 053498 PLAh C'rIECK.NU: N GOVT; h SUPP; N '
CONSTRUCTTON 1'YPc; V-N PERMIT. TYI�E; .^�TR YJr-1POSr:: AL3' ''
.7UB DESCRIPT'IO2d : T/OFF RE5HT R�ROOF W/ COMP .�;Q rT; 6,190 ;
CLAIM �!ALUE; 6,190.00 CALC-VAiJB; 6,19U.OU GROIIP OCC: R--3 /' �
COMMENT5: 'l/bFr^ RESY"7' REROOF W/ COMP
�D: 7E iFic ��: IE �:{.K �%�Yc �k ���%�i: k 1F ie-0E �if 1E �E iF # iE �:i �� i: �?F'r: �%i� �li iE iF 3F if i( �%�7c �If��iE iE lE # �k �1Eli if # N �Yr i:.?F.X I�.1F.)E.%..Y:.M..k # ?f �i �� �K� x� # i%�� 'i: �1k i( �k % at tiE>: -%
1 O N l N G R E�[I S P, E M E N T S
s z r s A c� s
----------- vAS� BUILDING ---------- -----�-- ACCESSORY BUILlllNG ---�---�--- ,
FR7vT; FT TN REAR; FT IN '=RA�T: FT IN REP.R; FT ��
LEFT; FT IN RGHT: FT IN LEFT: rT T.N RGiiT: : T IN'
PARKI�TG REQ: PROV: PARCP.L: 2397.110?. F,iVE;: REF iJO:
PLANNIN(; NuTES>
i
ic ii' iE 3f 3E iE ib k iE ii if �1'r iF 3F:t� iE if� iF 3E �X 1E �F kV.� if > je i6 Y.� iP iF # 3f iE �3E iE 1!- if �i iF 34� � iE iF?i� Jc 3F i( if i%�N� ie?f x if l't ie iE if iE ir±E-lE �lF?f if 3f ir'4 3i- 3i- k,L'; if� 3i� X�'r. iF iE
D: V E L O F N E t�i T S E R V I C E a^ R E Q Ci I R E M E N,•T S ,
ZONTNG AFPRt7VED BY � DF1TE; *
3Uii.DING AAP�20t7�D 3Y : DATE;
__ �
APPLICA'['ION ISSG�D H ": - DA3E• ����;'�Ii—_�
?cj(-1i%�ii�#Eihi'tiE%i4�i-if#xiFiEiEi'tir: � - .RftiEifkY±Pic#�3e x...r rrir�lri4
f#iE#�iFifl�KiEd(�ii�ibRir�3f��ifiEli-if#iPieiEfcific?ff'ri(�3PiE}:�Y�ii�ifiF -iEii�ii�lfiifle9EiEx:if�F3e+-ie-#'�3f?FiF74�kfFiEN-.'ric3F3't#"�3�:ieiiii3cliEM'.kY.��.
LEGALIZATION:N F F E 5 J M Y A R Y STRliCTiiRAL SEG1^.ENT;f
BI,D(> FMT PLUMSIt�IG i:I��C'TRIC. N.r.CiiANIC rIRE S.V,�i�/rtF.5 GRAUING
}?���V.L1. 5�.�0. .�7%:� .
, SMIr%: I�ON-RnS
pr av '
ISSiJE F'EE '
BIiILDZNG-bIV-� PER,�iET T.iSUG PLAN-C:'zYCK T(�TAL PA1D J' DTJi
TqTALS----> "90,62 Q,00 0,00 G0,62 90.62 ,00
REV�NUE DIVISIU� TOTALS--> COI,LECTcD: 90,62 OV'r'.R/SHOR3: � .00
3I�DG PieT PLliNiBiNG aLaCTRIC MECrikiViC FIRE SNIP/iOT C;Rr`.DING;'PLAiV-C3ct_'K
50,00 ,6'L '
J'
-k�� �lt iF � iP #-.\`�N iE+� �(� fE # le fE Y iE if #E Y.� %� aE IE !6 if 3F f'r #c 3E 3E 1r ii ft fE �k ie r if iE iE if iF- 3E k� ii� L:� Y.� iF iF f� iE #?4 jE 3f #` Y# if iP !t if� ii� if �iF iE it iE 3E iE iE Ik #F i4 if R�?k �(
I N D I V I D 0 A i F E E B R �' A'r: D O Y! N .. '�
r
TYPE �,iTY D E S C R Z P T I O N UNIT COST •TOTAL COS.T
�rR 6190 r�tnA00F BY VAi,IIn RESIDF.itiTZAL 1�'OZONS 1.00 ' f', 190, 00
EiVD OF FE�S •
V .
D10a04�i92—GOi14`293 7'e'�'�' i'L,5!
DA7E: 4Ef22.`50 TIfkE: 15:4E
�CONSTRUCTION AND PLANNING � POO ;PA � � . � '
APPROVALS Permit # Date . Inspector qppROVALS Permit # " Date Inspector
� 7.-Temporary Electrical Service'or Pole . � 52. Pool & Equipment Location. �
2. Soil Pipe-Undrgrnd. . ' � 53. �Steel Reinforcement �
3. Electrical Conduit Utility-Untlrg�nd. � - " 54. Forms . � - ;4
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 r J �;' 59. �Gas Pipe, O Undrgrnd., Test �,�
9. Water Pipe-Undrgmd. . 'L� �� �' . 60. Backwash Lines, P�Trap, O Undrgrnd. 1'�;
10. Struciural Floor System /� � 61. APPROVAL TO DECK 'I
11. Property Sewer Line & House Connection '^. 62. Backwash & Receptor�Final
P �.-
12. Sewer Ca � �" -� 63. Heater & Vent�Final �a
13. Roof Drains � t" �; � 64. Plumbing System - Final ,�
14. Rough Plumbing ��' �,� 65. Electrical-Final � �
15. Rough Electrica6Conduit ',�� I 66. Solar System-Final �
16. Rough Electric Wiring � 1� � 67. Fencing & Access.ApP�oval
17. Rough Wiring Sign � . 68. APPROVED FOR PLASTERING -
18. Rough Electrical�T Bac 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 77. ProductPipin9OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24, Roof Framing 73. Undergrnd.SCorageTank �Gas ❑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 & Ai� Condi(ioning - '
35. Final Gas Pipe-Test
36. Hood or Canopy ,
37. Final Factory Fireplace ' ,
38. Final Plumbing �
39. Water Service-Final �
40. Gas Service-Final
41. Solar pomesticFinal �
42. Backflow Preventer . �
43. Backflow Irrigation
44. Landscape Irriqation System '
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING ��j�� - �� �f O��
rx-
48. FINAL PLANNING ��
49. Electric Release to Edison . -
50. Gas Release to Southern California Gas Co � � i � ,
51. CERTIFICATE OF OCCUPANCY
No. Date /
�
- r G� �' Applicant to fin in a11 spaces except those within heavY boraer lines ane sign all appropriate Eecla�a[ions. I�B�QO TL
a+ �I600 8%15/B6
--.... - � - _. . _ . .. ._.._ - - - r- —
CITV�F-COSTA�MESA 'C�pTION�P�RMIT , � PE ^^i=0. ; 'TRACTNO. LOINU. • �UNITNGf �� ,.� � � , � � � j ' , - �
r7roectAddress � l ,%� ,Q'.�I�itOS � i . � � � ' � � ' . � � ' . i ' , , . . , , 1 ( . •
ApplicanYs Marling A dress I ��i� � ' � . TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI.R �' • �
� a291-OS6G - � CONVERSION ❑ DEMOLISH ❑ OTHER � � �� Ap # � � � � ` � • � Za�e 1 —
Owner's Name' ' ' Phone ' DE CRIPj�ON OF WORK/U E OF BLDG. —�Q/�S � d- 1DCT/liC9�� � »`�S �� � ' � — - -
Address ` aq � 2 A�{ D2C_S ST i :�� )-<pjl�^ q��. �p/�� . ' t . ; [`��_ E Main Building:-' � ' Accessory Building: i . Z
Arch/Eng: ' � License No. � TVPE OF�,PEFMI�ADIrvG ❑ FOUNDAT1oN ❑ STRUCTURAL .� � T F.ront� -��-- ' ' j . � . ' � ' p
Addiess � � � ` � � � ' 0 TENANT C�fELECTRICAL C�PLVMBING 0 MECHANICAL �� B Rear � . �q , � � i � ; �, N
NIZQ.� � Q OTHER � - � , I�' A I
Cont�ractor's Nam �� � ' � Phone � � . � � , C RighY' ' " " � � ' - ' " ` - � - ' � 'T-" 'N
, . i PROJECT. DESCRIPTION SQ. FT. � OCCUPANCV ' ' - '
Addresslmailingl � � QUlLt�(Z%�: " . ' � , , 1 '�( . . � . , . G
' � t � CONSTRUCTION TVPE ' VALUATION $ . S Left � � i � � . � �
R
City.LicenseNo. ' � � • ' � 2oNE ' , cRAOINc cu.vo5. � ACRES ping. Ref. # � � � - Parking,Req./Provided � E
LICENSEO CONTRACTOR DECLARATION � ' . ' ' ' � � . Q
I hereby affirm that I am ficensetl hntler provisions of Charter 9(commencing Remarks: ' � - � ' ' = Planning Notes: ' -� � '.' � M
witn'section 1000)•of Division 3 ot the Business antl.Professions Cotle, antl '
my license is in full (orce antl effect. ' i . , . ' - � � , ' • " , " . ' �, , � � ' - � . � • T
License Class ' � ' License No. . . ,. , S
Date Signature ' � � PLUMBING � ' � �FEES ' - � ' �'
WORKERS'COMPENSATIONDECLARATION � . � Ba�Sink� � ��� _ ,ShOwC�s � ' - � ELECTRICAL . FEES
`�ereDy affirm inat I have a certiticate of consent to sel(-insure or a certificate ' ' � �
Workers' Compensation Insurance, or a'certifietl copy, thereof (Section ackflow Preventer �- Service Sink ' � ' � � � � `�
,00, Lati. CJ � ' � - ' Automatic Wasfier' _ Transformer ❑ 15-50 KW . � } : 1
Poiicy No. � ' ' � Company Backflowirri ation � � � ' ' _ � - � i � , s� 50+KW _
g . . � Sewer Cap , . Construction PoleSuh.
8 Certified cooY is hereby tumishetl. . - ' _ ' - , � ' ' � -
Certifiea copy is tiletl with'the ciry Builtling �ivision. � Bathtubs SewerConnection � Cooking�Unit . Me[er �up �to 100 a'mps '�
Oate Applicant � � . '
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION, CI21ifiElS� � ' S013f C0112Ct0�5 . Di5hwd5h¢f � . . M¢t¢�, OOVE� 100 amps � - -
(ThiS section neetl no[ be mmpletetl if the permit is tor one huntlretl ($300) or - , ' , ,
iess). � � Disfiwasher- ' ' Solar Piping . . Dryers ❑Gas ❑Electric Sub Panel ' . �
I certify th in e Derformance of the work for � ich this perm�t is issuetl, I ' � � ' . - ' �" ' ��
shall�not e plo any pe�son�in any manya as [o beco e subject to the . Drinking.Foun[ains � Solar Tank " � Fan ' Motors �0-1 HP O7 %-B
Worker on Laws ot Cal or� ,: ' _
Date Si9nature ,FloorOrains� � � /Spa F,A.U. ' � 'I'ncSolar�9-75HP1�16-75+
NOT.IC If, at er making this declarat 5 ultl.b ome.zubjec4 to.the _ ,
Workers COmpensation provisions ot th� bor Cotl , ou must folthwith FIW�SinkS' � � Ufifldl � ' FixtUf¢5 ' � MiCfOWdv2
rompty with sucb, provisions or this e mit Shall tleemetl rEvoketl. ' �
CONSTRVCTION LENpING AGENCV ' � � 5'S¢rviCE Outl¢LS � 'Wat2�ClOset � � � i
I nereby aftirm that tnere is a constiuction lentling agency for rne perloimance Device Boxes , ' Pole Light �� �
ot [he work;for'which this permit is issuetl ($ection 3097 Civ. G.) . "' i � . .
, `�, Inte�ceprors � � � Water Heater tlets ' Ran e . �
Lentler's Name 9 �
. �enaer's.Atldress "` ' Kitchen $ink _ . _. i. Water Service. . . . t � _ _ Switches-- • ' �� Sign � ' '
OWNER 6UILOER DECLARATION ' ' � � � ' ' ' '
I her¢by atfirm that 1 am exempLirom the Contractor'S License Law io� the ,�'� L2v3tO�i¢5 ' � ' AUtO-WdSh � � Garbage Disposal . ' i Standing Sections.• � �
followin9�reason (Section 7031.5 Business antl Professional Cotle: Any city or � - � ' i •
county which requires a permit to construct, alter, improve; tlemolish or repalr ,���• p-'��ap ' Laundry Trays � Gene(amr �0-5 KW �5-15 KW - Trash Com actor � '
any st�ucture, prior to its issuance, also �equires [he applicant to� such permit � P - �•
to file a signetl statement that he/she is licensetl pu�5uant to the provi5ions of . ' ' . � ( � , , ,
the Contractor,'s License Law (Chapter 9(commencing with Section 7000) of _ ROOf'DrdinS , . . � -
.�.Division 3�of�the Businessantl ProfessionrCotle)�or that�he/she is'exempt -, , . � � . � � -� . --� - � -
�'M�erefrom and the basis Por the alleqetl ezemption. Any violation of'.Section . � . � ' ' �.. � �� � (j
t',�')31.5, by any applicant fo� a permit subject5 the applicant to a civil � ' ' ' ' � '-
�nalty of not'�more tM1an five hundretl tlollars ($50�). ; � , ,
I, as owner oi'the property ' � ' ' ' Rainipection Fee $15 , laue Fee $, 3 ` � ' ' '
wipaAcat� will tlo the w- , antl tM1e structure is not intentletl or offeretl ' Reinspaction Fee -'$15 ISSue Fee _$ 3 �
� for.sale (Section 7044„ B in ss antl �Professional Cotle:.The •Contractor's - � � MECHANICAL � FEES .
License Law tloes not ap to n owne� of aiproperfy who builtls or imp�oves - '
thereon, antl who tlo rk himselt/tierselt or through his or her own '' , i � . ' _ ;DEVELOPMENT SERVICES REQUIREMENTS: ' � � .- � �- i '
employeas, provitletl ffi improvements are �not intentletl or otteretl for BOil2f . HOOd Of Typ¢ I:❑ ' _ 1 � ' . • -
�esale: It; however the b i i g or improvement is soltl within one year ot mm- . �Canopy Type I I :❑ � , � 'Zoning Approved By Date f�
'pletion` the,owne e Ihe burtlen oi proving he/she ditl not builtl or im- Duc[ - Under Ground ' � � Building Approved By � � Date
' prove for the purpose of sa e :- , „ � ' � � ' . ' ' ' , �
❑-I, ai o'wner. ot the,properry, am exclusivety contracting with licensetl con- Duct -Structural . � ' Refrigeration Sys[em � -' ' 'Appliption luuad By "- ' Dat
tractors to construct the project (Sectian 7044, Business antl Professions Code: •' � � • �.
The Contractor's license Law tloes'not appty-to an owner oi property who � Duet - Ventilating � ❑0-100,000 BTU ❑100;000 BTU • .� � SUMMARV OF FEES ; -! ''' m �
builtls�or imp�ove5 thereon, antl who contracts fo� Such projects wlth a com � -- • �� � 1 ' -� �
tractor(s)�ucense pursuant'to�tne Contractor;s�,License+�awj. I"am aware�thaC ' - ' ' ' BUILDING PERMIT� �$� ' SMIP' $ ' -
Exhaust System-❑ Multiple ❑ System Repair/Alteration . ' � ,' �
proot oi'tneir Worker's,Compensation:insurance shoultl. be providea to me: _ PLAN CHECK $- PERMITv. � _� '-
❑,I am eze pt u der Section ' -- - •� ef & P. C. for this reason- Firepl/Fact. Blt. IC80 # Fire Oampers �' -�'• - ISSUANCE �) $,
." ni� _ .. . PLUMBING � � $� � .
Oate � owner -- ' � - � - Heating System•& Ducting` _ Registers ' ' �� PLAN CHECK '25% $ ENERGV'P.G �$ �
I nereby ertit that I nave reatl this ap ic tion �ao cate that the above� ' �6100,OOOBTU 0100,OOOBT ' � -� " �O - GRADING� �� �$ �� �
intormati n-is c rrect. I agree to comply i all �city tl county ortlinances:� ' � ' - - 'ELECTRICAL .$ � ' .
antl state�laws relatin utlin9 construc' n, ana hereby aumoriz repre- . - , . - - ' PLAN CHECK 50°6 '$ � � MICROFILM� $ `� `
Sentatives�, o( th's nter .the above-mentioneG'� pr pe ty Por - • ', , ��. �J�
inspection purpo es � � � .�,G, ' � � � MECHANICAL � '$ TOTAL�FEE :$ �id_rli��_
Si9naturef . . Date � r . . - '. . - . - ,
- Drivers^License or 5 Rainspection Fea $15 • , laue Fee � . $ 3 - � . PLAN CHECK �25%� $ � ' ' � ' ' .
1F 0865-46, rev. ]0/84 White - Builtling; Canary - Applicanq Pink - Accounting; Goltlenrotl - Assessor
�- � POOL & SPA
CONSTRUCTION AND PLANNING "" ' � � �"
t �' Date � Inspector � Date -Inspector ;
APPROVALS Permit.# . APPROVALS Permit # , �
1. Temporary ElectricahService or Pole 52. Pool & Equipment Location �� -
, 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms . � ' � _
, 4. Electrical Conduit-Undrgmd. ' �tL 55. Electrical Bonding , � � � ' _
5. Steel Reinforcement . � 56. Rough Plumbing & Pressure Test .,��
6. Electrical UFER Grnd. � 57. APPROVALTO COVER-GUNITE
� 7. Footings ' � ' � 58. Electrical ConduibUndrgrnd. � �. � � ��
8. Foundation . ' � . �59. Gas Pipe, O Undrgrnd., Test , � � ��
�
� 9. Wate�.Pipe-Undrgrnd. � • 60. Backwash Lines, P-Trap, � Undrgmd. , '
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 �l 1(% � tJ
14. Rough Plumbing ' " _ � - 65. Electrical-Final ' . ' � ,
15. Rough Elect�ical-Conduit � , , 66. Solar System-Final . . •
, 16. Rough Electric Wiring �- - � - 67. Fencing & Access Approval' ,�
17. Rough�Wiring Sign - ' ' 68. APPROVED FOR PLASTERING � �� ��
18. Rough�Elearical-T Bar Ceiling � � 69. PO�SP SYSTEMS FINAL $ �„/
19. Rough Heating & Air Conditioning . FIR PT. REQUIREMENT ' ' '
� 20. Rough Factory Fireplace � APPROVALS Permit# � ..
21. Ducts�in Siructure, 70. Underground Hydro � . - ' �
' 22. Ducts, Ventilating� , � 71, product Piping OGas ❑Oil .'
23. Gas Pipe-Rough & Test . � �i72. Underground Flush i ' .
24. Roof Framing ,' .�. � . J3. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � �,74. Overhead�Hydro � '
• 26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical � � ' � �
27. �Frame and�Flashing ' 76. Dry Standpipe � � , � � - ,
i
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-F,inal 80.. FOOD CERTIFICATE ISSUED �
� 33. Final Electric - � � ' �I� � Notes:fj (�Q'� �, /�(O:M,�fF.t, Q�G.I�P G�t� �
34. Final Heating & Air Conditioning ' ! •, � ' ' : ' �
35. Final Gas Pipe-Test � ' � � ��p L(f! � . � ' ' . -
36. Hood or Canopy � . - ' . .
37. Final Factory:�Fireplace , � �
� 38: Final Plumbing~ � . - ', � ' . ,
• 39. Water Service-Final � . � � � � . � � �
40. Gas Service-Final � � � ' . �
41. Solar pomestic`-Final . - � .
42. BackflowPreventer" .. '. . � � � � ' � '
' 43. Backflow Irrigation �= � , � . ' _ • .
44. Landscape� Irrigation System ; _ ' - . - '
� 45. Sound Attenuation� - , � _'
46. HandicapRegulations �'� �;� � . . '. � ��-
� "
47.-FINALSTRUCTURE&BUILDING � � , - -
' .48�. Special Requirements Completed �, - � . , . w
49. Elec[ricReleaseto�Edison� ' �' - " �' • � �
- � . �. - .- � . - .
50. Gas.Release,to Southern California Gas Co - � �. - - -�
�
51.-:CERTIFICATE OF OCCUPANCY � - • , _ . . .
No. ' � Date ' ' J
,
CITY OF COSTA MESA
. BUILDING DIVISION
OINNER-BUILDER VERIFICATION
A citY or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner�builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received. ,
1. I personally plan to provi e the major labor and materials for construction of the proposed
property improveme � Yes ❑ No
2. I(have/have not) V signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address
City
Phone ( 1 Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( 1 Contractor's Lic. No
5 I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name Address Phone � Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of California Health and Safety Code and have completed the above information to the best of my
personal knowledge, in com li e with this State law.
Signed: Date: Q
Name: -
(Printed or T e �
C.D.L. # or s.s. � ��
754-5273
CMF 3042-46
,
;�I
�
J
-- �1 ���--� Pa.::� r� l .
ADp�icant to�fill in all spaces
CITV OF COSTA M q CO STRUCTI N,PERMI�T �
�7� � � '
PrOject Address NO.Pa�s T
ApplicanYs Mailing dress M/Z - �
Owner's Name - ho e '��'���✓L
Address . �97� /qA/Q�BS_��T
Arch/En9. � License.No. �
Address
Contractor's Nam R - � Phone '
Addresslmailingl V«'��� �
City License No. ' �
LICENSED CONTRACTOR DECLARATION � '
I hereby aftirm Ihat I am licensetl untler provisions ot Charter 9(commencing
with section ]000) of Divislon 3�of the Business antl Protessions Cotle, antl
my Ilcense is in full torce'antl efiect. �
License Class License No.
Date Si9nature �
WORKERS' COMPENSATION DECLARATION .
ereby aftirm that I have a certifiWte ot consent to selt-insure or a certificate
Worke�s' Compensation Insurance, or a certifietl 'copy Nereo( (SeCtion
.00� Lab. CJ . . �. . . �
Policy No. � Company
8 Certifietl copy is hereby tumisnetl.
Certifietl copy is tiletl with the city Builtling Division.
Date Applican[ �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION'
(Thissection neetl not be.completetl i/ the permit is for one huntl�ed ($300) or
less)' : �
I certify that n the e�fo�mance of the wo�k Po� hl h this pe�m�t is issuetl, I
shall not e loy a person in any an so 6 t becom subject to the
Workers' S i LawS.of Calif rnia .
Date Signature '
.NOTICE: I, after rciakin9 this�tleclaration, o shoultl b ome subject to-the -
Workers' Compensation orovisions of the or Cotle, y u must (orthwith
comply with such provision5 0o this p It shall e tleemetl r¢voked.
CONSTRUGTION LENDING AGENCV
I hereby affirm that there i5 a const�uction lentlinq agency for the performanCe
af the work' for'�which fhis permit is issuetl (Section 3097 Civ. C.)
Lentler's �Name �
Lentler's.Atltlress - -
OWNER BUILDER �ECLARATION
1 hereby aftirm that I`am exempt from the Conlractor's Li[ense Law tor the
iollowing reason (Section ]031.5 Business antl Professional Cotle: Any city or
county which requires a.permit to construct, alter, improve, tlemblish or repair
any structu�e, p�io�.to-its issuance, also require5 the applicant for such pe�mi[
to file a signetl statement that h¢/She is Ilcensetl pu�suant to the'provisions of
the Contractor'S License Law (Chapter 9(commencing witM1 Section 7000) of
:'.?�IviSiOn 3 ot the-Bu5ine55 antl Profezsions Cotle) o� that he/5M1e' is exempt
'�+ refrom ane the �asis for the allegetl exemption. Any violation o( Section
�"i�';�31.5, by any applicant fo� a permit Subjects Ihe applicani [o: a civil
`r":"!3 alty, of nobmore than five huntlretl tlollars ($500). .
I, as owner ot [he �property O/ � �
will tlo tFK work, antl the structure is not intentletl or ofleretl
for sale (Sec ion� ]044! �usiness antl Professional Cotle:.The Cont�acto�'S
those within heavy bortler lines anE si9n all appro0�iale tleclara[ions.
'TRACT NO. LOT fyp. � UNIT NO. �
T,) — G J J J f'S /O
TYPE OF CONSTRUCTION NEW ADD ALTERATIOfJ F
. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
. DESCRIPTION OF WORK/USE OF BLDG.' �TIO OVRIi
TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER '
PROJECT DESCRIPTION 5(�. F OCCUaANCv�
CONSTRUCTIONTVPE �� � VALUATION$ �0!
GRADINGCV.YDS. A(
Remarks:
I
� Bar Sink . �
Backflow Preventer �
Backflow Irrigation -' '
Bathtubs - '
Clarifiers �
Dishwasher - - '
Drinking Fountains �
' Floor DrainS ' { ' -
, Floor Sinks � , �
� Gas Service � Outlets .
Interceptors j . '
Kitchen Sink+ -
Lavatories ' , �
r-�rep,
Roof Drains , !
� Reinspection Fae�
Service Sink ' � �
SewerCap • �
Sewer Connection
Solar Collectors' -
Solar Pipin9
Solar Tank.
Swimming'Pool'w/Spa
Water Closet
Water Heater
Water Service - �
Auto-Wash � �
LaundryTrays ' �'
$75I I . ; Issue
employees, pro t t such�improvements�are not intentletl or o��eretlVtor � Boile� � � ' �
sale. It;.howeveq th .b iltling or improvement Is soltl within oneyear of com- - .
pletion, the owner have the bu�tlen of proving he/ihe tlitl not builtl or iT- DUCt - UndC� G�Ound .
•prova tor.the pu�pose ot sale): � � ' -
❑°I�, as owne� of the Oroperty, am ezclusively contra<ting with licensetl con- DuCt-$t�uctu�21 ' �
tractors t0 mnstruct Ihe project (Section 7044, Business antl Profession5 Cotle: ''
The�ConVactor's' License Law does not apply to an owne� ot property wno Duct- Ventilating
builtls or improves'thereon, antl who contracts tor such projects wifh a'com - � -
tractor(5) hcense�pursuant to�the Conttactor'S License Law). I am.aware tltat Exh2ust $y5t¢T-❑ MWtipl¢ ❑
proof of their Worker's Compensation, insurance should be pwvitletl to me. ' .
❑ 1 am ex ivt u tler Section � .& P. C. far this reason Firepl/Fact. Bit.-ICBO # �
Date. ' Owner - Heating System & Ductin9
I h¢reb teiti y that_I have reatl [M1is pli ation antl � te that-the above. �� ❑0.100,000 BTU 0700,OOOBTI
intormation,is correcL-I a ree to comply wi � a1l•city county ortlinances
antl�state laws relati g t uiltlin9 �onstr ion, antl h0 Y authoriz repre- - .. .
sentatives' of t i o enter ♦ the above-mentionetl p�op �ty• �! . �• - �
inspection purp se . n' O '
Signd[ure ' _ Date� '�o � �painspection Fee - $15�
Dri'vers' License or � � '
F OB65-4fi, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Hood or Typel ❑ '�
Canopy Type I I ❑
Refrigeration System '
❑0-100,OOOBTU ❑100+,000
Fire Dampers ; �
Registers - •
Iwue Fee
��
�
_FEES'.
A.P. # j �
S
- E
T Front
B Rear
A
- C Righti
_ g Left �
s
- Ping. Ref.�# �
Planning Notes:
�
Dishws
Dryers
Fan
--, - -- 1. -4110 ,9%30/86 � . 26.;90 TL
-i.//'
�Q,ria l
O�— �
— O
tian Pole Sub.
Unit
Elecvic ,
� Zone
Accessory Building:
t
i
Parking Req./Provided �:
o.. . . .
� Z
O
N
I
� N
� . G
R
' . E
r n
M
T
S
ELECTRICAL' �'; � , FEES -'
Transformer ❑ 15-50 KW _
� ' "0 50+KW' �.
. Meter ❑up m 100 amps ,
Meter pover 100'amps � ��
-. Sub Panel .. I � '
i Motois;00-1 HP'O1 % - 8 . � �
P.A,U - ' ' " Inc Solar �9-15_HPt�16-15+' '_ ' '
Fixtures . '
Device Boxes . � �
Outlets !
Switches ; ' ' -
Garbage Disposal �
Generaron�65 KW 05-15 KW
�
R
� Pole Light '
Ran'9e
Sign' '
' Standing Sections
. �Trash Compactor
� Reinspection Fee �$15 �� � Issue
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By --�
Appliwtion Issued Bv �
!s
date _�.1Ji1_.-C(�
� . _ ;. SU /1RY OF FEES' �
� BUILDING PERMIT $� l0 OO �SMIP - $� �•-r�
� PLAN CHECK � $ � � �D• S�O pERM1T �
, PLUMBING �$ - ' �SSUANCE - $,- '
PLAMCHECK �25% $ _ . ENEFG�' P.C. ,$ � '
, 'ELECTRICAL�� . $ ' � GRADING � $
� PLAN CHECK 150% $ ' � MICROFI LM $ " �
� . MECHANICAL �$ TOTALFEE $ ��(O,
�$ 3 � P�AN CHECK 25% $ - � � , ,
CONSTRUCTION AND PLANNING . _ POOL & SPA � . • �
� Date Inspector � ' � �-Date � Inspector
.APPROVALS „Permit# APPROVALS Permit#
1. Temporary Elecirical 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. �Electr,ical Bonding � ' , j
5'. Steel Reinforcemen4� ". . � ,� 56. Rough Plumbing & Pressure�Test a
6. Electrical UFER Grnd..�' '� , � �57. APPROVALTO COVER-GUNITE � �
�
� 7. Footings _ . • (fi f � 58. Electrical Conduit-Undrgrnd. _ �
8. Foundation�' �� � - , 59. Gas Pipe, O Undrgrnd., Test. , '
9. Water Pipe-Undrgrnd. . • _. . �� � 60. Backwash��Lines, P-Trap, O Undrgrnd.
10. Structural Floor System ' � 61. �APPROVAL TO DECK •
11. Property Sewer,Line & House Connection � 62. Backwash & Receptor-Final � �
12. Sewer Cap . . . , 63. Heater & Vent-Final ' � ' '
13. Roof Drains ' . , 64. Plumbing System - Final '
14: Rough Plumbing � 65. Electrical-Final ,
� 15. Rough Electrical-Conduit � . 66. Solar System-Final �- .
76. Rough Electric Wiring , � ' � 67. Fencing & Access Approval •
17. Rough Wi�ing'Sign ' �' ' 68. APPROVED FOR PLASTERING ��
18. Rough Electrical-T Bar,Ceiling 69. POOL/SPASYSTEMS FINAL
19. Ro'ugh Heating & Air Conditionirig � � FIRE DEPT. REQUIREMENT. �. �
20. Rough Factory Fireplace ' • APPROVALS Rermit # � �
� 21. Ductr in�Structure � 70. Underground Hydro; . '
22. Ducts, Ventilating__ , 71. Proiiuct Piping O Gas ❑ Oil
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. Dry Chemical � � , '
� 27. Frame end Flashing �i �� � � � � 76. Dry Standpipe �
r
28. Lathing & Siding -, 77. FIXED SYSTEM FINAL .
29. Insulation � . 78. FIRE PREV. FINAL �
30. Drywall Nailing . . HEALTH DEPT. REQUIREMENT .�
�37. Plaster Brown Coet � � 79. FINAL INSPECTION . .�
32. Elecfrical�Power MeterFinal ' ,, 80: FOOD CERTIFICATE ISSUED � �
` 33, Final �Electric � � � � � ' Notes, , . � '
34. Final Heating & Air Conditioning . � , , ' �
35. Final Gas�Pipe-Test ' - { ' � . '
, 36. Hood or Canopy_ . _
� 37. Final Factory Fireplace � . � -. �
, 38. Final Plumbing � ; .
� 39. Wate"r Service-.Final . � �� , .
�40. Gas.Service-Final '
41. Solar�DomesticFinal, � , � - � - �
� 42. Backflow PreJenter � :
' 43. Backflow Irrigation � - �
' 44. .Landscape �Irriqation System � , � , .
45. Sound :Attenuation � ' � � � � � . '
46. Handicap Regulations . . - - - .
47. FINAL,STRUCTURE & BUILDING � � N/ � � � . :
' '48. Special• Requi�ements Completed _ - � � ' '
49. Elect�ic Release to Edison ' - . � � �
.50. Gas.Release to Southem Califomia Gas Co -. '
• 51�. CERT.IFICATE OF OCCUPANCY .- � � �
. i ��
' �No.�� � ' Date � .
CITY OF COSTA MESA
BUILDING DIVISION
O�NNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. 1� Yes ❑ No
2. I(have/have not) vl signed an application for a building permit for the
proposed work.
3.
4
I have contracted with the following person (firm) to provide the proposed construction:
Name
Address ��� City
Phone ( 1 — Contractor's Lic. No.
I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name —
Address —
Phone 1 1
/L
Contractor's Lic. No
City
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name
Add ress
Phone Type of Work
I hereby affirm that I have received a copY of the information set forth in Section 19830 of the
State of California Health and SafetY Code and have completed the above information to the best of my
personal knowledge, in co liance with this State law.
Signed: Date: °� a
Name: _
(Printe or Typed)
C.D.L. #or S.S. # �?
CMF 1042-66 7545273
� `�
NOTE: SHOW AN�� �D�TIMENSION PROPOSED
PATIO CUWE+� ��R�O YARD AREAS
ELECTRICAL LINE CLEARANCE RF�I�IREMENTS
IN ACCC�RDP,N E WITH STAT� SAF�Y REGULATIOt�S, I
�:.Jl'd:e.Tr, �I . L tJ�' 1 ( � R��tl\�.�
i1R i-ii;tiS' ?!� �_V!C�S TO GE !N PROXIi�'I!Y OF 0`%�"RHEA
EL�,:.T=:: .=i;_ I:'JES, ^R UNDE t�ROli1JC) ELit;7Ri
('`'':i-i. ' �f.' `:'.'i?eTEiE�;!'dCA�i� T..:'A�UI.��ONl:Ui4'i�,-',.
'.:;t.. .' , .., �pr. � i�:J
IMF�i�A ELY �714) II3�- s� �
I J��i I
0
�CI�TY OF COS
PLANNING
$U61ECT TO BLDG
plPECTOR OF
s��ucr
REG.
–1 W '
i hPFRiJVAL DPlI`!
� SeF�.-AT; 'Efi�6iT5 ARE R^pUIrEL'
� �:`i', =!.C�' .'C�•' PLIJN1oIP�t=
� - 1. T ,.
! , .,iit;,, .c�'iiL!�rliv�� :,j�.�i)
. _. � a. i i ; r.: �;; .: �; �(
_ _ - --- --. --�=_2 S'SS
' , . . �- -,
. . : _... 'i•iv. . .. �, � �..i�J:..".T`...
� ,,._._._._.._e__._. ....... ........._.._,.....------
; _...__...__`--._.__...._ ...�_.,.__._..._S�
� FC;n Si�It�iT:;`.'� .:i?:)r ; :c�ir!.'. :;�'," iJ 6c
- ���li'EI;'..4� S�iu��i, �IiQl �... a::�.TE vF
' COYdSUi'fEG F�7R
•_ �t IAE�Ie�`dTS.
L
No Final Inspection Will Be M
UNT1L C�MPLETE SUBCONTRACTORS LIST IS APPROVED
9Y CtiY BUSfNESS LiCENSE DNiS10N.
�1 CSEE DETAILS ON REVERSE SIDE
�— 40�—� �
q
O
7
f
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G� �
2
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PROV DX '�
City of os�esa Buii ng D
� � THESE PU1�5 MUST BE ON JC
�� I I�AAKE NO CIiANGES WITHOUi '�
I I OE DEPT. � �
THE ISSUi.i7 ^y�v,�RF�TINC OF A P
! OF PLANS f,ND PECI.�ICATIONS SHRLL
TO 6E A PERMIT f-OR, OR AN tiPPB09AL
�OF ANY OF THE OVI_f0�!5 OF THIS CO
� SUM11INC TO CIV AUTHGitITY TO VIOLP
' PROVISIONS CF HIS CODE SHP.LL BE �
rT,i� e ��� USEWHICH ITAUI
7kE ISSUANCE UF h f[fi'Ali BAS
EET y�ECIFICATIONS SNA�I NUT NtEV[fIT TH
PROM THCfLhFTCR RCQUIRING TiiE CORI
IN SAID FIAN$ k::p SfECIFICAT'10:�3 QI
EUIIDING OP[RF�T!QRS GEING CnRRIlU 0:
THE C�T�
A7 ALL
SHEATIIINO
�,
�x G� anvTeas
AT j " O.C,
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AIT OR APP . . .—. . . . �- - -"
f BE CONSTRU L�.6,�, f✓�`��i
', ANY VIO(A71Q � ��p FCop[
P�0 FERNIi PRE. G�5:2L�GT/[aN
OR C��CEL THE
IC, E�(CEPi IN SQ
RIZES IS IAWFUL
UPCY PiAN> AND
V0°t'�E ELEVATION
0; Eft �
PREVENiLYG
INDFR WHf+Y i
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STRUCTION DETAILS
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O" ROOF CONNEC7tON -:
DETAILS • .:
CON7
LEDGER
CONT.
LEDGER
SOLID BLOCK
R=FTFR
1/2�� DIA. X S�� LAG SCR
AT 32� O.C.
DETAIL !
CR 9 CL ��7EC0°
GRIPS OR J015T
HANGER
RqFTE�
�e� DIA. X S" LAG SCR.
Ar �6" o.c.
DETAIL 2
1 OR LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2'� X FACIA-MIN.REO.
RAFTEp
APPROVED METAL
HANGER
DETAIL 3
� a • • ia
ti�• ra. � a�. . .� ro
�.� � .
OWNER:
PATIO COVER
TYP. IPLANS
DATE : _
ADDRESS: �q7�2 A�vo�� ST - PHONE: �iy-�r-Ds��
CONTRACTOR: �w-��32 ' LIC. N0. -
ADORESS: PHONE:
.��
RAFI'BRS
CARPOQi, PORCH 0& PATIO
NO! SUPPORiING CEILING
SIZF. SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" B'-0"
24�� 6��6��
32" 6' �0"
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32�� 10��6��
48�� B�_U��
2"x8" 24" 15'-6" ''
32" 13'�6"''
48" il'-6"
4���n 24�� 17��Qi�
32" 1S'=0"
36" �14'-0"
4ux8u 24�� 't1�_�u ..,
3Y'! 14 � _U��
36" 18'-0"
48" 16'-0"
4"xl0" 32�� 22�_���
36" 21'-0"
48" 20'-0" .
72"'. 17'-0"
RAFTERS
LICNf WEICNf ROOF OVER OF
LATH� FIBBRQ.ASS. ALUM.
SIZE SPAC N SPAN
2"x4" 16"O.C. 9'-6"
24�� 8 � _0��
32" b'-b"
� .48" 5'-6"
2"x6" 16" lb'-6"
Y4" 14'-6"
32". 12''0"
48" 10'-0"
_in7c8,� i4n lg�-On
_ -.. 32" 15''6"
, � .48" 13' -6"
_. - NEADERS
LIGi[f WEIGHT RUOF ONL
�ZE . POST SPACING
4x4 6'-0"
4x6 � • 9'-0"
4x$ 12'-0"
4x10 15'-0"
C9UtPORT� POBCH OR PATIO
SIZE �OST SPACING
4x4 S'-0"
4� 8����
4x8 1Q�-0��
4x10 l2'-6"
�APPROV6D FOR
BUILDING PSRMIT
By Date
GENERAL•NOTES•
1. Theee plene muet be
kept on the job �t
all tlme during
conetruction.
2. All fsaming to ba
Douglae Fir y�,2 .
$LBdQ iiD�OWO. � �
3.. Rafteze say not
att�eh to fecia ex-
cept for l0i roofs
ll6 B�IOVq OIl dlCa116�
20# roofe owet uee
• contlauoue ledger
attaehed ae ehown
` oa detaila O1 6f2.
4. Light veight roofa
may attach to facia
for 14' epan mex..
apans over 14' muat
use a coatinuoue
ledger ae ahown in
details S3
���
� �����
COSTA MESA BUILDING-SAFETY DEPARTMENT
-� P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPUCANT TO f/ll /N COMPLfTELY
TYPE OR PRINT
ADDRE'S5 2972 Andros�St.
COSTA MESA, CALIFORNIA�
OWNER Glenverde Homes, Inc.
MAIL [
AODRESS HOX V
��r� Balboa Island.Cal. TN,`,'Or3..L22(
STATE
CONTRACTOR MaCCO CO � LIC. NO.
ADDRE55 BOX 67 Balboa Island C
k«�o,o.,.,N � �oT 6 I �
N(1 RI (1fN
�SIZE 7000 I NO. OF BL�OS. O
OF LOT NOW ON LOT
■ SIDE
G�
DESCRIPTION OF WORK
NO. OF p
ROOMS J STORIES �.
� � �
1 HEREBY ACHNOWLEOGE THAT 1 HAVE qEqD THIS FPPLICATION
RND STATE THAT THE ABOVE IS CORflER NNO AGREE TO COM-
PLY WITH RLL CITY OROINqNCES AND STATE L/�WS FEGULATING
BUILDING CONSTRUCTION.
SIGNATURE OF Dn
PERMITfEE ��1WE I'InMF'C Tr*r
�
�EE R�CE��E�
�C%z,.� �i— z � —s;
EINAhCE DEPT.
CITY OF COST� P�IESI�
APPLICATION FOR PERMIT
BUILDING
fo,e officF usE oNcy
I RECEIPT NO. I I i�
ISSUED
eui�oiN�
APPROVED
COSTA MESA, CALIFORNIA
ZONING
NO.OF USE OF NEW
PLANS '1/ �BUILDING
LINE 6T.)
THE AMOUNT BHOWN UNOER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLT.
VALUATION
PERMIT FEE $ �� �
� PLAN CHECK $ /��
$/� �9-- �^/
/ TOTAL FEE $ �Jf/' ��