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Home My WebLink About2210 AVALON ST - Building Permits� September 13, 1989 CITY OF COSTA MESA Building Safety Department Subject: Drainage Dear Sirs, � I would like to state that the drainage from mp back yard flows toward the street. This is in compliance with Building permit # B1335540. Thank you, Guy G. Earl ��I PflOJECT FDOBESS: Z� 1 O AVALON 5 T OWNEN'S NAME: EARL � i�iUY Ci aooness:2210 AVALON ST COSTa MESA,CA (714)642-7629 AflCN/ENGINEEH: AOOflESS: 92626 flEG.NO.: I1NIT: ' PEHMITTEE:C/�L—PAC ROOFING ( 714 ) 583-0884 nooRess: 9277 JERONIMO 120 • IkVINE CA 9?.718 UCENSEO CONTBqCTOB OECLAPATION: I nereby alfirm Ihal I am IicenseA untler pmvisions of Chap (commencing wi�h Section 7000� ol Drv��son 3 0l Ihe Business and Prolessions Code. antl m license is in lullforce antl efle Y cinuc.:042314 sTaTeuc.:�i2806 ��C39 Z� ��Date: _,L/ � S Signature: — — `� ' WOBKENS' COMPENSATION DECLAflPTION: I hereby af irm ��at I have a c i�icaie of con5eni �o self-insure or a cer(tlicale o� Workers' comoensano�nl a�ta�,or1afenJeed�Ny mereoi Isecron 3eoo. �aeG��t / O S/ 9 3 POLICYNO.�SUPEIiIOR NAT, E%P.DPTE: COMPANY: � Cehihetl copy is �ereby Wmishe0. fl Cehilietl copy is �iled e� g Oivision. �a�e: �J �/ / � ApPlicanL E%EMPTION fBOM WOPKEBS' COMPENS�7TION DECLAPRTION: Qhis section neetl be complete0 ii Ue Oermi� is lor one hunOreA (3100) or less�. I ceNfy tha� in Ne petlormance oi Ihe work for w�ich �his permi� i5 is5ued. I shall noI employ any person in any manner so as to become sublea�lo �he Workers' Compensanon Laws o� Calilomia. �ate: Signamre: NOTICE: II. al�er making Ihis declara�ion. you shoWU Gecome subjec� to ��e Workers' Compensation pmvisions o1 �he La6or Cotle. you must lotl�with camply with such pmvisions or Ihis permit shall �e tleemea revoked. CONSTPUCTION 1EN01NG AGENCY: I hereby a��irm Ihal Ihere is a conslmction IenAing agency �or Ihe petlormance ai ��e work �ar which Ihis permil is issued �Sec�ian 3097. Civ. C�. LENUEfl: aooness: OWNEfl BWLOEfl DECLAflPTION: I hereby affirm Iha� I am exempt Irom the Comracmrs' S�a�e License Law for Me following reason (Section 703L5 Business an� Pro�essional Code: Any ciiy ol county which repuires a permrt �o cons[mct, al�er, impmve, tlemolish, or repair any slmclure. prior lo i15 issuance, also reQuires �he applicant for such permil to file a 5igne0 statement tha� he/she is licensetl pursuanl to t�e pmvisions ol ��e Contracmrs' Slate License Law (C�apter 9(commencing with Section 7000) o� Oivisian 3 oi Ihe Business an0 Protessions Code) or I�ai helshe is exempl �herelrom and Ihe basis for Ihe alleged exemp�ion. Any viola�ion of Sec�ion 7031.5 by any applicant for a permi� sublec�s Ihe applican�lo a civil penalry of no� more Ihan �ive �untlretl Oollars ($500). I. as owner ot Ihe pmpetly or my employees with wages as their sole compensation, will tlo �he work, and Ihe ❑ slmclure is nol intenaeA or o�fereU lor sale (Sec�ian 70aa. Business and Pmfessional Cotle: The ConlractoK S�ate License Law Ooes nol apDly to an owner of a Ompeny who builtls or impmves t�ereon, and who does such wark himselVhersell or ihmugh his or �er own employees, pmvide0 �hal suc� improvements are no� imendetl or oflereJ for sale. It, however lhe huil0ing or impmvement is soltl within one year of completion, ine owner will nave ihe burtlen of pmving ne/she did not 6uild or imD�ove for ihe purpase ot sale�. I, as owner ol the property, am exclusivety contracling wilh IicenSeA conlraclor5 io cons�mcl Ihe prolec� (Sec[ion 7044, Businr.ss ❑ an0 Pmfessions Cade'. The Coniractars' Staie License Law Ooes noi apply to an owner of pwperty who builtls or improves thereon dnd who coniratt5 ��f SUth pfol¢cts wit� 2 con[facta!(S) IiC¢n5¢ pur5uani �o Ihe GOntfaciofs' Siale LiC¢OS¢ Ldw). I dm dwdR thai pmol o� t�eir Worker'S Compensa�ion inmrance s�oula be pmvitletl ro me. � I am exempt un0er Section�. B. 8 P. C. for Ihis reasan: �a�e'. Owner. I tlo hereby cenily Ihal I am aware oi antl untlersiantl �he reQuiremenls ol Cali�omia Health an0 Salery Code Sections 25505, 25533, antl 25534 and Ihat I or any Iuiure building occu0anl will/will nol (cucle one) need lo comply wi�� said state co0e5 and Ihe requiremenls tor a permii lor cans�mction ar matlificalion imm Ihe Air �ualiry Management Dislricl Residential constme�ian aDPlica�ions are exemp� hom IheSe Oravi5ion5. Oate: Applicant'. I hereby cerlAy Ihal I have read��is applicalion antl state Ihatthe abov information is correct. I agree ta co ply wi�h all y and counly orAinancesandsdtelawsrelaungtobwl�ingcons�mctionantl�erehya izere tivesotlhiscily�o erupon bove�mentionea pmper�y br i peclion purpoQses. Oale�. � / Signature'. ` /' od�ers Lice�se o� Sociai Securny a� I64t�afi White—Builtling, Green—Coae EnbrcemenL Canary—Applmanl: Pmk—Revenue; Goltlenrotl—Assessor / CITY OF COS'TA MESA — HUILD'1'NG PERMIT PEkM2T NO; B 061271 PLAN CHECIi NO; N CONSTRUCTION TYPE; S—N PERMIT�T�Y�� S"j,R � '�=Z9'i-� JOB DESCRIPTION : kEROOF O/EXIST COMP-' "„� :.,-, i 1�'r:K NU; tl Ub1.G/1 t� t: t� uc�r; �v PURPOSE: ALT SQ F't; 8, 000 CLAIM VALUE: 8,000,00 CALC—VALUE: 8,000.00 GROUP OCC: R-3 ��y COMMENTS• ROOFING INSTALLED PER ICBON 4361 }r�� 3EiFiF7EiFiFiEiEifikif�lE9EiEjflEiFiF3fiEjEiE3EiElFiFiP�%3F�lt��iFR�fif�iEjfiFlE3fiFlE�fiEjFilifiEi(�X%�aE�N�iFiEj(-i(�3F�+��R'3l- �."�1('�3hN�3c Z O N I N GS ERTEHQAUCIHRSE M E N T S� RE� 1R �y� ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FkNT; FT IN REAR• FT IN FRNT; FT IN REAft: F'I' IN LEFT: FT IN kGHT: FT IN LEFT; F'7' IN RGHT; FT IN PARRING REO• PROV; PARCEL; 41901210 ZNE; REF NO; �LANNING NZSTES> i iE i( if iF if iE iE iE 3F?f ik 3f iE 3E it %� 3P if� if 3Elk if k� if IF iF iF 3f �% % 3E �E iE iE k!t iE if % K N� 1E iE 3ElF 3(� itlh if 34 !E #%%-%iF K� iF i(� 1E IF �E 3F 3f iE 3E �* i( iF iE i(� jE lE li� �(� iE ii- �r D E V E T� 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 7.ONING APPROVED BY DATE; BUILDING APPROVED BY ; DATE; APPLICATION ISSUED HY; t DATE; �� iliFlElElf±flflfiEiFiEiEifIFM'1EIE%!ElEiEiE . . r . . . ....�. . t � c. �. . . . c. e . .%�iF%IE�1f��341E#iFif x tt� � lE:k ih iF lE fE 3E if %� iE 1E 3E 7E %iF # fE 1(� 3f i(� 3f if k%� iE iE 3f i( iF iE X� i! iE iE if iF i! M� iE if if 3F ,f jf jk M ik= �%.%, iE iE it iE if %1E jF 3h ik if K� iE 7(� i(��JE iF % iElF iE ji� iE iE ➢(� N� jFlF It YF �YF LEGALI7,ATION;N F E E S U M,�M A R Y STRUCT'URAL Sc.GMENT;Y BLDG PMT PLUMBING E1�EC'TkIC-= M�''CHANIC FIRE 5MIP/RES GRAD'!NG PERMIT 99.00 ;, . ,. 80 PLAN •=: �Y "' _��`? SMIPINON—RES ISSUE FEE '� '� „ ''', ': BUILDING—DIV—> PEftMIT ISSUE PLAN.=GHECi� � 7'O'fAL PAID � DUE TOTALS----> 99,80 0,00 0",OU J� 99.80 99,80 ,00 / REVENUE DIVISION TOTALS--> COLLEGTED;�� ? 99,&0 OVER/5HOkT; � ,00 HLDG PMT PLU,ABING ELECTkIC MECHANIC �. 'FIRE SMIP/T'UT GRAD.ING,.F?LAN—CHECt{ 99. 00 ,/� �• , . RO , :,. ' � . � if 1E iF if iE?!-3f iE it 1E 3f 7f 3E iF K 1F !E iE i(� !F!E!E �lE !F 1f %%� iE i4 fE k it it iF %;fF if iF if -1E iE �%iF iE ih'/E.iE i€ iE ff iflh k!E 1E 1h �%jo-ib if'.(� IE-% fF iF �(� ff i!� # i6 i(� iF �IF }f iE i6 Ik 1(� ie I N D Z V I D U A li', F�E �' B R c A K D 0 W N , TYPE QTY D E S C R I P T I O N �;�,� ;i UNIT COST TQTAL COST SFR 8000 REROOF BY VALUE kES�IAENTIA�; �NOZONE 1.00 �8,000.00 ,�, END OF- r EE � � p . -• �. �� E X P i R E, Yions ,�� VncomPlete InsJ�� , c ,- �+•.�` f.+ t•'� �ei� _-:_-.��"` `��g �,/;��, . '� i .% �i i � � a Y L'"� � S 5 r� �� i �::_—�_--�— --'-- ---— 'l fr^ .ti f CONSTRUCTIbN AND PLANNING POO SPA APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Polt 52. Poot & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgmd. 55. Electrical Bonding 5. Steel Reinforcemenc 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUMTE 7. Footings 56. Electrical Conduit�Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 6Q. Backwash Lines, P-Trap, O Undrgrnd. � ' 10. Structurel Floor System 1 • • 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection ' 62. Backwash & Receptor�Final 12. Sewer Cap . 63. Heater & Vent-Final 13. Roof Droins � 64. Plumbing System - F�nal � 14. Rough Pl�mbing .� . 65. Electrical-Final 15. Rough Electrirai-Conduit 66. Solar System-Pinal , .76. Rough Nectric Wiring 67. Fencing & Access ApProval 17. Rough 6Niring Sign 68. APPflOVED FOR PLASTERiNG ( � 18. Rough Efectrical-T Bar Ceiling 69. POOL?SPA SYSTE�AS FiNAI 19. Rough Heating & Air Conditioning � FtRE DEPT. REQUIREMENT I 20. Rough Factory Fireptace APPROVAIS Permit �`'r 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilati�g . 71. ProductPipin9 CGas CIOii 23. Gas Pipe�Rough & Test . 72. Underground Flusl� 24. Roof Framing 73. Undergrnd.StorageTank CGas ❑Oil 25. Roof Sheathing � - 74. Overhead Hydro 26. T�Bar Celling (Structurali & Monocoai 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � � � 77. FIXED SYSTEM F�NAL ki � 29. insulation j � � 78. FIRE PREV. FINAL 30. Drywail Nailing � i � HEALTH DEPT. REQUIREMENT t � -' ., 31. Plaster Brown Coat ; ' � 79. FINAL iNSPECTION I 32. Eleciricat Power Meter�Final � �r - 80. F00� CERTIFICATE ISSUED �` �� 33. Final Electric � I �' ' Notes:�b�!�p� L.rD�sr, A%d pwt: (��YiL� 34.� Final Heating & Air Conditioning { ; I 3�g `�� (/�J/J / . �� r , _"_--- � n i 35. Fi�al-Gas Pipe�Test , , _ ; , 3/�9__43 � ��i.e_z._ _ l:a�� 36. Hood�or Canopy' � � - -i � � , 4p4l.lJ ��F �� Sf(7� --- + 37. Fina�.Factory Fireplace � i ' � � � � c� D_p�..��r �-_1-zi--t' 3 - ----' 38. Final Plumbiog { ' � (� 1 : �- 39. 4Vater Service-final I �� 40. Gas Service-Final � I .. - 47. Solar pomes2ioFinai � i 42. Backflow Prevenier ' � � - 43. Backflow IrPigati�n� I 44. Landscape irriq� $ystem . � � �i � � 45. Sound Attenua�,i�n �T E X P I R E D � 46. Handicap Regvlation5j . f1CORIp19tC If15p8C[IOf15 47. FIIdAL STRU,�UR�E.& BUILDING !�.� �!J C�3 � L�te �, Sig�_ � 48. FINALPIANNiNQ; � I � i 49. Electric Release to Edison ' �' ', ; I : � ' f !� 50. Gas Release to Southern California Gas Co � � I � 51. CERTIFICATE OF OCCUPANCY No. `� Date � ' ADDlicant to fill in all soaces except tnose within neavy eoraer lines ane sign ali apvropriale tleclarations. �� Nt IT NO. � TRACT NO. . LOT NO. UNIT NO. ,. CiTv oF COSTA MESA CONSTRUCTION PERMIT �^ 3 S�� Q a�, "�; p n.P. # — Pro�ectAddress ��%�=lON �` ��T � - S Main Building: - ApplicanYs Mailivfg Addr ss V IY O�J � Y 0 TVPE OF CONSTRUCTION _ rvEw' aoD A�7ERATIorv aEPAIR E Owner's NamC�2\:� �- �� Phone Z 7r+�7 � CONVERSION '� DEMOLISH ❑ OTHER � T Front' SI - , . 'DESCRIPTIONOPWOFK/USEOFBLDG. .A Rear � Address ��16 L�V p�0lV S i . ' .- � �J�iJ� � TVPEOFPERMIT GRAOING FOUNDATION STRUCTURAL IC Rlght Arch/Eng. icense N/o�. K � . Address � � � ASS � h. _ 117U�wC� � �1.�� O -� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g � Left �•I Contractor's Name ' Phone ��OTHER Pln9. Fef. # � PROJECT DESCRIPTION 5q. F7. oCCUVANCv '� Addre55 �mailing) / CONSTRVCTION TVPE V VALUATION $ Planning Notes: , CitY License No. LICENSED CONTRACTOR DECLARATION ' I hereby atfirm [ha[ I am licensetl untle� p�ovisions of Cha�te� 9(commencing with seclion 7000) of Division 3 of the'Bu5ine55 antl PrOfesslons Cotle, antl my Ilcense is in fuli force antl eftect. ): License Class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION I hereDy af/irm that 1 have a certificate of consent to self-insure or a certificate >f Workers' Compensation Insurance, or a certitietl copy tnereot (Section ' lB00,'Lab. C.). . ' �- Policy No. Company ^ eCertifietl copy is hereby fumishetl: �� 'i _ Certifietl copy is filetl with the <ityBuiltling Division.,� Date Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (This section neetl not be completetl�if the permit is fo� one huntlretl ($300) or lessl. . _' '� -.; . I certify that in tne performance ot the work for which this permk is issuetl, I shall not employ any person in any�'manner so as to become subject to the Workers' Compensation Laws of Califomia: Date Signature NOTICE: If, atter making this tleclaration, you snould�become subject to tM1e Workers' Compensation provisions of the �abor Cotle, you must forthwith comply �wi[h such provisions ot this De�mit shall. be tleemetl revoketl. � CONSTRUCTION LENDING AGENCV I M1e�eby affirm that there iz a con5t�uction lentling agenty /o� the Oerfo�manc¢ of Ihe wark� tor whicM1 this permit iz i55uetl (SectiOn 309] Civ. C.) Lentler's Name Lentle�'s Atltlress - � OWNER BUILDER DECLARATION. 1 hereGy affirm lhat I am exempt (rom [he Contractor's LiCense Law Tor th¢ tollowing reason (5¢ction ]031.5 Business antl Protessional Cotle: Any city or county whlcb �equires a pe�mit to con5truct, alteq improve, tlemolish or repai� any structure, prior to its issuance, also requires the applicant for such permit to tile a signetl sta(ement that he/she Is licensetl pursuant to the provisions of Ne ContFactor's License Law (Chapter 9(commencing with Section 7000)�of Division 3 of [he Business antl Protessions Cotle) or that he/she is exempt herefrom antl tlie basis tor the allegetl exemption. Any,violation ot Section 031.5 by any applicant for a permit.subjects the 5pplicant to a civil �alry of not more than Lve huntlretl tlollars (E500). 1, az,owner of the property or my employees with wages as their sole o Oensation, will tlo the work, antl the Structu�e is not intentletl oi-oHeretl ' for sale (Section 7044, Business antl Pwfessional Cotle: The Contrac[or's License Law tloes not apply to an owner ot a property wM10 builtls or Improves thereon, antl wM10 tlocs such work himselt/herself o� through his or he� own employees, Oiovidetl that such improvements a�e not intentl2tl Or offe�etl fo� sale. If, howev¢r, tne builtlin9 o� improvement is Soltl within one yea� of com- - Oletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- prove tor the purpose of sale). ' ❑ I, as ownei of the property, am exclusively mntracting with licensetl con- tractors [o wretruc[ the project (Section 7044, Business antl Professions Cotle: The Contractor.'s License.Law tloes not apply to an owner ot property who builas or Improves thereon'. antl wno conVacts for such oroiects wkh a� con- tractor(5) Lcense pursuan[ 20 [ne Contractor•s l.icense Law), i am aware that ' ' proof oi their Worker's Compensation insurance shoula be provitletl to me, ❑ I'am exempt under Section � B. & P. C. tor this reason Date �• owner - I hereby certi that Ishave reatl this appl cation antl state that tbe' above �ntormation is correcL I agree to comply with al1 city antl county ortlinances ntl State law relating to bu'Itling const�uction, an0 he�eby authO�Iie re0�e- sentatives o t is city t e r�f6r� t above-mentionetl pr pe�ty_tor fnspection p es. - ti�� Slqnature � Date T� �r I I Fieinspection Fee Orivars' Lic nse or 55 5/BB White - Builtling; Canary - APplicanh Pink - Accounting; Goltlenrotl - Assessor Remarks: V/._. I _ C '1 X �-Cl P� Bar Sink Backflow Preventer _ Backflow Irrigation ' king Fountains m Drains ir Sinks . Service Outlets Lavatories P—Trap � Roof Dreins ReinspeMion Fee GRADING CU. VDS. A( $15 3oiler Duc[-Under�Ground Duct-SVuctural � Duct - Ventilating EzhaustSystem ❑ Multiple Firepl/Fact. Blt. �CBO �k Heating System & Ducting . ❑o-ioo,000 eru Oiao,aoo $15 Showers Servite Sink Sewer Cap FEES JVltll� VIICI: Solar.Piping Solar Tank , • • Swimming Pool w/Spa Urinal • Water Closei Water Heater Water Service -Auto-Wash -rays • • r. laue Fee $ � 3 _ Hood ar Typel� ❑ , Canopy Typell ❑ Refrigeration System ' ❑6100,OOOBTU ❑100, System Repair/Alteration Fir¢ Dampers ' Registers � � Automatic Washer Construction Pole Su Cooking Unit Dishwasher Dryers ❑Gas ❑Eli Fan F.A.U. Fixtures Device Boxes OUtIetS _ Switches Garbage Disposal- . Generator � � 0.5 K W —�Q Zone \ Accessory Building: O i N I � ' N G R. Parking Req./Provided � E Q — T S. !,... . �PMENT SERVIC pproved By— Approvad 6y � ELECTRICAL � Trensformer ❑ 15-50 KW � ❑ 50+KW Meter ❑up to 100 amps Meter �over 100amps Sub Panel . - Motors�0-1 HP�1�%.-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Li9ht � Range _._ _�� Standing Sections W� % Trash Compacmr �.1 J 'f^ � i luue Fea FEES $ 3 ir • �Y ��i�[�..'.'2 `: � ; � SUMMARV O�F FEES � '[� � " BUILDING'PERMIT �. $: ,�� SMIP � $ ''�_ '�PLAN CHECK . � $ ,PERMIT ' � ' `�PLUMBING -' ' $�,— `�"� ' ISSUANCE ' $ , � � -PLAN CHECK�' 25% $ � � � - ' ;ENERGV P.C. $ � � '-f� 'ELECTRICAL $i � . GRADING . $ ' � PLAN CHECK 50%, $i- �+'� MICROFILM $ � MECHANICAL � $'� - � TOTAL FEE � $ �� '�� J'PLAN CHECK �z5%�-$ ' ~` . 4 r Issue Fee . $ 3 . . DO]SL�32-CL�fl1bQ3i Taf_aT 74f.6� ±oi�,�rss rrr;�: s�:,5 CONSTRUCTION AND PLANNWG - , POOL a SBA . �`'� �"�` ` Date � Inspector: , Date Inspector APPROVALS Permit # - APPROVALS Permit # 1. Tempo�a�y Electrical Seryice or Pole • 52. Pool & Equipment Location !,.•� � �2. ScKyPipe�Undrgrnd. . 53. Steel Reinforcement � v 3: Electrica1l Conduit Utility-Undrgmd. . � . 54. Forms �' � � �- � �� 4: Electrical Conduit-Undrgrnd. � �55. Electrical Bonding � � �� 5. Stee7 Reinforc ment - 56. Rough�Plumbing & Pressure Test �, �� ; i 6. Electrical UFQR Grnd. � � o f� ��- 57. APPROVAL TO COVER-GUNITE � ;i1 `�. :.�. � �� 7.. Footings : S`-� E L �� 5S. Electrical ConduiDUndrgrnd. � � If , 8. Foundation '� . 59. Gas Pipe, 0 Undrgrnd., Test .;-i �y� i 9. Water Pipe-Undrgrnd. .. 60. Backwash Cines, P-Trap, � Undrgmd. I!'� 10. Structural Floor System � ' �� 61. APPROVAL TO DECK �' 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 72. Sewer Cap -{' 63. Heater & Vent-Final , � 13. Roof Drains 64. Plumbing System - Final � • � 74. Rough Plumbing � � 65�. Electrical-Final . 15. Rough Electrical-Conduit � 66. Solar System-Final f' 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 Flreplace ,� � APPROVALS Permit # 21. Ducts, in Struciure -'� %�� . . 70. Underground Hydro 22. Ducts, Ventilating �. � 71. Product Piping OGas ❑Oil � 23. Gas Pipe-Rough &�Test : �'� 72: Underground Flush 24'. Roof Framing C.� .�.�, 73.-Undergrnd.StorageTank OGas ❑Oil 25: Roof Sheathing -�^ .�� (b Q 74. Overhead Hydro ' . 26. T-Bar Ceiling (Structural) &"Monocoat J5. Dry Chemical . . � 27: Frame and Flashing �, 1 ' �� Q$ � 76. Dry Standpipe � 28. Lathing & Siding � lj � (� 77. FIXED SYSTEM F�INAL - 29. Insulation � �� j �� 78. FIRE PREV. FINAL � 30. Drywall Nailing �� -' � �� p �' � � , HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat j .�� '� 6 � 79. FINAL INSPECTION � 32. Electrical Power �Metei-Final_ �� 80. FOOD CERTIFICATE ISSUED n. 33. Final Electric "! i� nJ � Notes: ,p �3 �� 34. Final Heating & Air Conditioning ,o � & �� 35. Final Gas Pipe-Test � � 36. Hood or Canopy �� 37. Finai FactotyJFireplace �� /$9 Q• ��2(3 - �i- 38.�Final�Plumbing ", � , � o j(� 5' 39. Water Service-Final� :� �� / �L �w � 40. Gas Service-Final. �-- (� (3 � . i 41. Solar pomestic-Final• 42. Backflow Preventei�-r7 � ' � � " �� a 8 � '.%f�-�-{' � 43. Backflow Irrigation-1 . ' � � : - , 44. LanUscape�l�ri4ation•System 45. Sourid �Flttenuation r^, A 46. Handicap Regulations ' � 47..FINALSTRUCTUR�&BUILDING �- ,i - 48. S�ecial Requirements�Completed . 49. Electric�Release to.Eiiison � � � � 50:=Gas Release to Southem California Gas Co , � � �� `'� -• . r. 51. CERTIFICATEOFOCCUPANCY . .' � +. .� � . No. ' Date 1 AODlicant [o fill in all spaces eacept thoze within heavy EorEer iines antl sign all aPproprlate tleelaratlons. PERMIT f�J._ � � TRACT NO. LOT NO.. UNIT NO. G7Y '`COSTA M NSTRUCTION PERMIT - • - a.r.� S Main Buildi E T Front B Rear A C Righf SLeft Ping. Ref. # Planning Notes: _ Gt ESA CO Project Address �� `�^� � Applicant's Mailin Addres O Owner's Name PhonQ 2� a� Address ar'� � o Ava� !w 5� �S'�P /%Y2S r' i�f1 Arch/Eng. � �� LicenseNo. Address �� %L �5 S 10 T QV e .�. q � ZD - — / Contractor's Nam Phone Address (mailing) � � City License No. IICENSED CONTRACTOR DECLP.RATI�N 1 hereby atfi�m tnat I am licensed untle� provisions of Chart¢r 9(commencin9 with section ]000) ot DiviSion 3 of the Bu5ine55 antl Professions Cotl¢, antl my license is in fu11 force antl etfeL�. Li<ense Class License No. Date ' Si9nature WORKERS' COMPENSATION DECLARATION � 'I hereby atfirm Ihat I have a certiticate of consent to seli-insure or a certiticate of Workers' Compensation Insurance, or a certifietl copy thereot (Section 3800, Lab. C.) Policy No. Company �certitied copy is hereby turnisped. . . � j,- �Cerfifietl copy is tiletl with the tlty Builtlinq pivision. � Da[e Applic9�� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' (Thissection neetl not be completetl if the permit is tor one huntlretl ($300) or, less). I certity-that in tne performancebt the work tor which thi rm�t is issuetlfl shall not e ploy any person in P�Y ner yf6�e m subjeCt to thG Workers' tion Laws ot Cali a. •- Date 9g�atV�e NOTICE: If, after making this tlec�aratio , you noultl become subject to tne Workers' Compensation provisions ot the Labor Cotle, you muzt forthwith comply with such provi5ion5 or thi5 Oe�mit shall be tl<¢metl revoketl. CONSTRUCTION LENDING AGENCV � ' - I hereby at}irin that there is a const�uction lentling agency for Ihe performa�ce of the �work far which, thi5 permil is issuetl (Section 3097 Civ. CJ Lentler's Name Lentler's Atlaress OWNER BUILDER DECLARATION . ' I hereby atfirm lhat I am exempt from the Contractor'S License Law for the tollowing reason (Section 7031.5 Business antl Pro�essional Cotle: Any city or counTy which requires a permit t0 �onstruct, alter, improve, tlemolish or rePair any structure, prior to its issuance, also requires tne applicant tor such permit to file a signetl slatem¢nt [hdt he/She I5 licensetl pu�suant to the provisions of . the Contractor's License Law (ChaPten9,(commencing with Seciion 7000) ot Division 3 oi the Business antl Professions Cotle) or that he/she is exempt --'theret�om anG the ba5i5 Tor [he 911egetl exemption. Any viOldtion ot $action ��- �031.5 -by any applicant for a Permit 5ubjects tne applicant to a civil peralty of not more [han tive huntlred tlollars ($500).' IR" I, as owner of the prooerty or my employees wilh wages as their sole compensation, will tlo the work, antl the structure is not intentletl or-otferetl tor sale (Settion ]044, BusinesS antl Professional Cotle: TM1e Contractor's License Law tloes nol apply to an owner�of a property who builtls or improves thereon, antl who tloe5 such wofk_himself/he�self o� th�ough his or he� Own employees, provitletl that such:imProvements are not incentletl or offeretl for sale. It, nowever, the builtling or improvement Is soltl within one year of com- oletioq tne owner will have the Purtlen ot provin9 he/she tlitl not buiitl or im- p�ove torthe purpo5e of sale). . ❑ I, as owner ot the property, am exclusively contractin9 with Iicensetl ion- tractors to construct tne project (Section ]Oa4, Business antl Professions Cotle: The Contractor'S LicenSe ldw AoeS not apply fo an owner ot prope�ty wh0 builtls or improves thereon. antl��+ho contracts fo� such oroiects with a con- tractor(s) I�mnse pursuani to me ConVacto�'S License Law). I dm awa�e.that proof of tneir Worker's Compensatlon insurance shoultl be provitletl to me. ❑ I am exerppt�untler Section B. & P.�C. tor this reason Date '�� (1�U" Owner — I �ereby certify that I have read th informa[ion Is correct. I aqree to �ort antl'State laws r¢lating o builtliN9 c< SBIItdiIVES Oi L1115 O EflI2 inspettion purposes. Signature Orivers' License or 55 � II above ZZ TYPE OF CONSTRUCTION LI NEW U ADD L� ALTERATION U REPAI R ❑ CONVERSION Q DEMOLISH ❑ OTHER � DESCRIPTION OF WORK/USE OF BLDG. � TVPE OF PERMIT ' LI GRADING IJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION -Sq.FT. S oCCUPArvCv � CONSTRUCTIONTVPE 'N VALUATION$ �(e.(��4'— ZONE' GRADINGCV.VDS. � ACRES Remarks: � Z �_�-/ / �) . Clarifiers Dishv.asher Drinking Foi Floor D�ains Floor Sinks Gas Service Outlets Kitchen Sink / �� Lavatories b P—Trap Roof Drains Reinspection Fee $15 Boiler Duc[ - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ductin� ❑6100,000 BTU O 100,000 BT Reinspec[ion Fae � S75 0865-46, rev. 5/88 White - 6uiltling; Canary - Applicant; Pink - Ac<ountin9: Goltlenrotl - Assessor Service Sink � Sewer Cap � ' Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool wJSpa Urinal Water Closet Water Heatei . Water Service Laundry Treys laue Fee Hood or Typel ❑ Canopy Typell ❑ Fiefrigeration System ❑a�oo,aoosTu ❑ioo,000 S�m Repair/Alteration �Fire Dampers ' Registers laue Fee FEES /automatic Washer Construction Pole Sub. � Cooking Unit . Dishwasher ' i _ Dryers Gas ❑Electric Fan � "� F.A.U. Fixtures Device Boxes ao�„et= Switches � Garbage Dispoul � �� Generator �0-5 KW �5�1 � zone Accessory Building: Parking Req./Provided ' ' ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter LJup to 100 amps - Meter ❑over 100amps Sub Panel nnocor: Do-� HP O� �- s , Inc.Solar 09-15 HP 016-15+ Microwave Pole Light Range - Standing Sections Trash Compacmr 1Reinspeaion Fee .' $15 � � Iwue Fee $ 3 - DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By FEES Building Approved BY � ��' APPlimtion laued 8Y r9�s.i _ � � FEES � N 1 N G R E � M T S. . SUMMARV OF FEES V , BUILDING PERMIT $ SMIP $ � P�AN CHECK $ PERMIT ' PLUMBING $ r�_AO ISSUANCE $ PLAN CHECK 25% $ ^ ENERGY P.C. $ � ELECTRICAL $ 7��%� GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ � TOTALFEE $ � PLAN CHECK 25% $ � DI ��17p.95S?-C�s{119553 T'C�T 11-:.?5 OATE: ll1i616$ iiflf: il:4F. , . .� ! ;Lv • . .. .. . !. CONSTRUCTION AND PLANNING � . POOL & SPA . . , APPROVALS Permit # - Date Inspector qppROVALS Permit # Date Inspecfor � . Temporary Electrical Service or Pole • �: � 52. Pool & Equipment Location �-"� . � 2. Soil Pipe-Und'rgrnd. . 'n 53. Steel Reinforcement -� - ' ' . ;, ; . 3. �Electrical CBnduit Utility-Undrgrnd: � 54. Forms ' � .. �' , 4: Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � . � ' i . F. Steel Reinforcement • . 56. Rough Plumbing & Pressure Test �, �i .i . 6. El�ctrical UFE'R Grnd. 57. APPROVAL TO COVER-GUNITE . ��,, 7. Footings � � � ` :"� • 58. Electrical Conduit-Undrgrnd. - - `r' ' � ��•� 8. Foundation ' �,- 59. Gas Pipe, � Undrgrnd., Test ,�i . �' .9. Water Pipe-Undrgrnd. �'?^ 60. Backwash Lines, P-Trap, O Undrgrnd. -10. Structural Floor System �' 61. APPROVAL TO DECK `f 11. Property�Sewer Line & House Connection - : 62. Backwash & Receptor-Final " - 12. SewerCip • . . 63. Heater& VenrFinal � , 13. Roof Drains '�' 64. Plumbing System - Final ,. �'� 14. Rough Plumbing � �/,�7_�� G,� �65. Electrical-Final � �� 15. Rough Electrical-Conduit olar System-Final - 16.. Rough Electric Wiring - � �2 �,�� , Fencing & Access Approval ' . - 1,7... Rough�Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL . .19: Rough Heating & Air Conditioning ll-C'i-{!� ^� F,IRE DEPT. REQUIREMENT � � 20. Rough Factory Fireplace � j � APPROVALS Permit# � :� �1�: Ducts, in Struaure �� 70. Unde�ground Hydro � � 22. Ducts, Ventilating �• '_ 71. Product Piping � Gas ❑ Oil � '� 23.� Gas Pipe-Rough & TTst n� ,��-� 72. Underground Flush '- ,� • 24r Roof Framing �� I- „ ' 73. Undergrnd. Storage Tank •O Gas ❑ Oil J, 25. Roof Sheathing �; :; � , � 74. Overhead Hydro �-' . ' ' 26. T-Bar Ceiling (StrLctural) &"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. Electriral Power Meter-Final C /FOOD CERTIFICATE_ISSUED ' �'� 33. Final Electric _ tes: � � `�_�.�C` �r' >. 34. Final Heating & Air Conditioning _. . l Z�;jIC[ (�„/, C, �, �� _ � ' � 35. Final Gas Pipe-Test � � � 36: Hood or Canopy � . 37. Final�Factory Fireplace . � '` - � � �� 38. Final Plumding �- , � ' - 39. Water Service-Final � � . , 40. Gas Service-Final . �= II 41. Solar pomestic-Final - . � � 42. Backflow Preventer � _ ' �.i'� "' " ` . -, ,,., ti •��- 43. Backflow Irrigation - t �� -'� � � ' �� ' ,-� � . i 44: ,Landscape Irrigation System _. • . . . � �� 45: �9nund Attenuation �, � ;��, ' 46. Handicap Regulations � � � _ � �-� � 47. FINAL STRUCTURE & BUILDING � �� 48. Special Requirements Completed� • ' � 49. Electric Release to Edison ' - •�' ��- . �% ' 50. Gas Release to Southern California Gas Co ' _ l _ �� . '% 51. CERTIFICATE OF OCCUPANCY �1 t .. - - j' F : L ' `�' - ;"� ! ` , • No. Date . + �t� �. �� , .-; . r - ... j �l . . M .1 "1 ; � -� 1 - ' �osta 1Viesa Building Department P. O. Box 3!7 , _ ' COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN ng :5= 2?l(1 Avalnn Costa Mesa, California owner Attye—S�aitt Mail Address 19LtI'E An" City Arohitecto � Engineer Harol r] 4 _ ! "'dress 130L Wrivhi ni e es .�trector Bu3:1C1�6FS�`—t Address 1940 Anahei Legal I Lot Descriptia� No. 1� (Attach Metes and 8ounds) sizeof �ot 53 �6��x135' l�se of Existing Bidg. Setback Line from center o� Strcet SO � DESCRIPTIi New I 7C I Altera Repair I I Movin� Buiiding I ize 1205 � erior Wall z No. �� Lic �l ann No. It.—_ GaTrlg rn ctt� S� , No. Olive Ro 81ock I No.ofBl Demolish Staries .�PPLICATION FOR PERMIT z� BUiLD1IVG ' _ FOR OFFICE USE ONLY • Receipt No. Permit No. 3 3�C �R c ed by Date Rec'd. Date Issued 7/� S'6 ,I JUG 1 8 1956 Buii ng Address Costa 1VIesa, California Nearest Cross St. Zone i/J� I No.Of I Type i/ ' Group�� Plans l/ Approved yy Date CORRECTIONS � ; ii � ��,� � � �i �:�e i . � - .'�„_,,,.---- _ J .� _� vering Plaster � Covering (�PPRQV.��S Use of New Building Single £amil,y residence — Foundatton �ocat�on �nsPeaor Forms, Materials, garage attached. Under-Pinning Frame: Fire Stops, Bracing, Bolts I hemby acknowledge that I have read this Application and state that the abme is correct and agree to comply �ath. Int. with all City Ordinances and State Laws regulating buildin construction. Lath. Ext. Signa��¢�ED jIU�STERN BUIL�J:RS INC Permi 1 Plaster, Int. Authorized Agt %%J� /fY /�� plaster. Ext Valuation� �� Permit Fee $ � - � � Masonry Re $ /� Plan Check $ �� gond Beam � � Total %��j Fea ✓ / FINAL RM 304 10�55 D. P, g 5. Date 0 z � Z D r u c J o. � a Street PLOT PLAN Show Iocatlon and distances from propeRy Iine and between buildinga _ ;, _ - �: =� c�,.::_ : .• .. � ��y CDSTAG fr� :4:::7:.Z 1LL 1 3v, . DNESA -• O� a `�3 �Q � _ .. .. .. . , i •_ . � .. .. _ . ` , -'f;. . , ' `��;�rn .,� �aF:;z:��;5.��,� (. _ i. . -- `'�`- .. , - �-.i� 7� .. I'.• - -- ..r- ., � -- 1 � . _ ; .� . � � .. .� �� . • :,i . , , ,•� ,� '.- ' . . ' � • . . ..:. ' . , , �:�: ��.... �� -- 'j `- + ` C \.1` � . 1'�•• . "=<f:• \ ' �. OWNER ATTYE-SI�iITH COMf'APIY DATE �_18-56 JOBADDRES3 2PZO AVd10II � � BUILDINGPERMITNO. #'j'jrjO GENERALCONTRACTOR United Western Builders, TIIC. VAWE $ 1��}32.00 L 10 BLOCK TRACT �� Sin�lP rce �gt{ �gr GROUP I& J TYPE �7 ZONE RIi FIRE DISTRICT ��RQ INSPECTIONS DATE SUBCONTRACTOR PERMITSISSUED — • DA7E I NUMBER FootingTrench ?'�� M� c�—�'77� Foundation Forms and Grade to Garaqe //_ Plu Pole to Heating, Final Sewer, House ��Sewer, St. Septic Tank or Ce`sspool L g, In Out � R_.._ering �� —� Plumbing, Final, Fixtures Corqple'� Plumbing, Fin•al GaSTest � Wiring, Final Occupancy FOftM 2�0 3M 10�95 -�-SGI � 5=6�—