HomeMy WebLinkAbout1781 BAHAMA PL - Building Permits • a
CITY OF COSTA MESA
oRs Fq BUILDING DIVISION
'A
• E 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: M11-00028
PERMIT TYPE MECH STATUS: ISSUED
APN: 13912223 DATE ISSUED: ' 02/15/2011
ISSUED BY: KJB
JOB ADDRESS: 1781 BAHAMA PL CM Suite/Unit:
Vicinity:
SQ. FT: 0
SCOPE OF WORK: FURNACE CHANGE OUT. 115K BTU. SAME LOCATION
OWNER: BITZER,CARL TR Address: 1781 BAHAMA PL Unit:
PHONE: 714-540-5021 City/State/Zip: COSTA MESA,CA
APPLICANT: JACOBY, ERIC Address: 22911 SAVI RANCH PKWY Unit:
PHONE: 714-777-7777 - City/State/zZip: YORBA LINDA,CA
CONTRACTOR: SERVICE CHAMPIONS License No. 799170
Address: 22911 SAVI RANCH PKWYUnit: PHONE: 714-777-7777
City/State: YORBA LINDA,CA ZipCode: 92887 CELL:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $41.70
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $41.70
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•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
600E p. INSPECTION TYPE DATE INTITIALS CODE IS INSPECTION TYPE DATE INTIPALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical X c /1 The 19(4(X�
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION Owner ID verified by driverense. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
.ormance of the work for which this permit is issued.
.h I r •- and will maintain workers'compensation insurance,as required by
n 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
�OW 'f _ •
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: . +-rT�Q • or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Gm
(This section need not
t becompleted,A/the permit is valued at onehhundred dollars($100)or less.) 2.Art 2,Sec.341,Title 8,Califomia Administrative Code).
Policy Number: C.(' oc_.lC) 290 it
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the worke compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Co shat rth lh comply with these provisions.
Division of Industrial Safely Permit Number:
2,
cant's Si n ur tl31e
g HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO URE WORK RS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in fel fore and eft s. _ / 0'1 a registration form for acutely hazardous materials? 0 Yes 0 No
°.L�ic.-#- 4 l 1, "I U CI s — l� 20 (Section 25533 of the California Health and Safety Code, with some
n �� 'c — 1 exceptions, requires registration with the Costa Mesa Fire Department by
�. - :i Ci each business which at any one time has on hand a quantity of acutely
(C trablri!!rnawr" 1.. toSce_-, hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION L7 •ING AGE 'Y: temperature and pressure).
❑ I hereby affi that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes IDINo
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter. improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
ature of\Legal Owner(s) Date
Signature Date �/ ✓�f7 4 1---i_c.--/ (
3057-46(3/07) or.Authorized A acanl` tDate_
Simplified Prescriptive Certifi of Compliance: 2008Ravi/lent/a/HI�'4C. aiozzs CF-11t-ALT-FI1'AC
^►
Climate Zones I and 3-7
Ill �(-O Zr •
site:Address: Q/� /(j/��
Enforcement agency: �/ ,D.ere:// //, Permit tl:
17 SI / l U (I���- d:495-r4 epsifA /Z6 S �/J/S1/(
Conditioned Duct insulatioc'
Enuiutnent Tyne' _ Lisl Minimum Efficiency' • I floor Area renuiremeni jm ( Thermostat
Pa red Unit i
unlace AFUE!a/// ❑ co1' Over 40 tor due z
back
Served by system added rrenlutaf in etahea
❑Indoor Coil ❑SEER ❑ 1-1SPF ' (l nor already present,must be
•
❑Condensing Unit D BER 0 Resistance sf roam to pace fnsrafled)
❑Othet R 6 (C2/, 3-S) •
I. Equipment Type.Choose the equipment being installed;if more than one system,use another CF-Its-ALT-H VAC for each system. •
2.Minimum Equipment Efficiencies. 13 SEER,78%AFUE,7.7EISPF for typical residential systems.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete. •
• 1 ant eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts I and 6 of the California Code of Regulations. '
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable
compliance forms, worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit
application. k �
Name:9 /J ` : I \f 4—o ,, /'/ ``S'ignature: C�. C...�
7 �J
Compao>gjet. Y S1ll�jfT•
/�I���Q N� �� J/
Address: - . . License:
22�i 9<f-Y/ E iirN /ee-0 7 � 9t / 70 •
City/State/Zip:- 4 C1� q -� Q-P�j Phone:• 7/ 777 7 77 7
•
20W;Residential Compliance Forms March 20)0
SWFURCEMENT A G.IIINCY
CAA'CUS,tuyAIIZE WJTHLE2'IERREAD/SEAL)
2008 I3nilding Energy Efficiency Standards Residential m'AC Alterations
Climate Zones 1 and 3 through 7 CL ( = Las”rrPsA •
-
BUSINESS AND PROFESSIONS CODE,SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building Code,and •
local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board
working in conjunction with the local building department. This action may consist of fines up to 55.000 per
violation or suspension/revocation of a contractors license. •
WHEN IS A PERMIT REQUITED? •
• A written construction permit shall be obtained from the enforcement agency prior to the erection,construction,
reconstruction, installation,relocation, or alteration of any mechanical system,except as permitted in Appendix
Chapter 1, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include,but are not
limited to:
• New HVAC installation
• HVAC Changeout
• Replacement of furnace, coil,FAU, or condenser •
•• Relocation of an existing HVAC unit
Adding or replacing more than 40ft ducting in unconditioned space •
26118 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24.Part 61 REQUIREMENTS INCLUDE: •
I. Heating equipment must have a minimum 78%AFUE(Exception: Wall Si floor furnaces;room heaters).
2. Central air conditioners&heat pumps less than 65,000 Btufnr must have a minimum 13 SEER. •
3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. •
4. A setback type thermostat(24 hr clock with four set points)is required for all alterations.
5. New or replacement ducts must meet the mandatory requirements of Section 150(m): •
• All joints and openings in the in the HVAC system must be.sealed.
• Only UL 181,UL 181A,or UL 181E approved tapes or mastic shall be used to seal duct openings.
• Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts
must he connected using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4ft.max for horizontal runs with no more than 2"
of sag between supports and 6 ft. max for vertical runs.
6. The CF-6R-MECB-114 must be completed and signed by the installing contractor. The Inspector will collect
this form and verify that the model numbers are the same as the installed equipment.
11093 _
t �
COSTA MESA BUILDING-SAFETY DEPARTMENT y b� RE/97-E_�� �"�
P.O.BOX 317 COSTA MESA.CALIFORNIA �J 2--,)
FOR APPLICANT TO FILL IN COMPLETELY APPLICa�tIbN�E!1FFSURTPERMIT
TYPE OR PRINT ClT)BUIL`DIN8VItSIk
ADDRESS / 7R1 A4-#44,/,4 FL-
COSTA f�MESA. CALIFORNIA/I FOR OFFICE USE ONLY
OWNER
5l /N VC .JC7(`/�> RECEIPT NO. I Pii oy3
MAIL j� `,I� RECEIVED BY DATE RECEIVED ,D^ATE ISSUED
ADDRESS 2- A. ✓�- y(/ - / i PMAII 9 n - -
.VDV
(� TEL. .�J n BUILDING
CITY /, /), NO.6.C-3TfO49 , ADDRESS
4
ARCHITECT f p LIG.
i ,OR ENGINEER (.r> NOC ZOSI COSTA MESA, CALIFORNIA
RE
ADDRESS 2 F1``13/('�(./i�Fy T. 73�V a /J /F. ZONE TYPE V/ GROUP(J r
CONTRACTOR��,J -/$ //./ V. LIC.NSTATEO./,Q /D BY DATE DATE ®/
ADDRESS 28/7 ,ui77 5c- VP T/C,`/7 ZONING r /, j I:
LEGAL LOT/- /" 1336 J (I,. " �/I
DESCRIPTION NO. ` BLOCK TRACT J
' APPROVE
BY U F— ��//pgTTE /Y—C
YARDS / Y gasl
REQUIRED ALLOWED
USE OF
(CENTER LINE ST.) I ,
EXISTING BLDG. ; 4
' FRONT 1 ) FT. t IN.
SETBACK LINE FROM An I. gyp) iii 7
CENTER OF STREET /e, r L. REAR YARD Pa,- R.SIDE 13 FT. IN.
L.SIDE IN.
DESCRIPTION OF WORK
- ' REAR JJJ���J O FT.'- IN.
NEW LL--- I II ALTERATION I II ADDITION
REPAIR I I MOVING I // DEMOLISH I
't 5 ZIE DING/ /ni NO.OF ROOMS ,C.: /
EXTERIOR WALL uJ OOD ROOF GSDGL/i//'/�
COVERING ,5706(7( COVERING J#F/+cw
USE OF BUILDING AND WORK TO BE PERFORMED
: 2-C,C p e5 3 Af/2 Gi-R /
A. .. \
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ��M SHOWN UNO j-,L ION i THE /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM PURPOSE OF ESTABLISHING A RMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING _
BUILDING CONSTRUCTION.I VALUATION ///---���
SIGNATURE OF 5' _.,. 5 /�vtbTO,cS PERMIT FEE $ , 6-e::2
.. PERMITTEE
I gat
ACJ 0 tag-- : $ 2 PLAN CHECK $ �n �Cif,AUTHORRII AUTHORIZED AGENT (•/ ✓ > TOTAL FEE $ / 3,J o
L FEE RECEIVED
14452 MAY 1sTx!
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1781. BAHAMA PL
COSTA MESA. CALIFORNIA For Office Use Only
4 OWNER FRANK. RICE_ I RECEIPT NO. I PER y 1L0�
ADDRESS 1646 IRVINE • RECE�fro BY oA RE l5 ,+ IDATE`Y[�yrs
CITY
NEWPORT BEACH TEL
NO. BUILDING
ADDRESS 1781 BADAMN
/
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. Jr // ri-
ADDRESS ��q FIRE am/q�/� TYPE L! GRO P
CONTRACTOR ANTHONY PQD1,8 BYAPP/G�// DATE �S L�
ADDRESS 5871 FIRESTONE BLVD. ZONING
CITY SOUTH GATE, CALIF ZONE ��) 1 ..OF rY I use or NEWh /J
f PLANS BUILDING I�U'�T.�l/.�
STATE TEL. LEGAL ^ ) �J 7/ TR
Sa
LIC.NO. NO. LEGAL
IO ) /L/ e.. 1� w
(VELDT �j 1.6"rX L�.1 I NO. OF SLOTS. / A.P.NO. J / 3— list—.>C r \�
NOW ON LOT
USE OF YARDS EVES S
EXISTING BLDG. APPROVED ALLOWED \dl`
SETBACK LINE FROM (CENTER LINE SZ.) , 6n
CENTER OF STREET REAR YARD FRONT JO `r) ,---,Z. FT. L IN.
SIDE YARD I LEFT I RIGHT R.SIDE e,cFT. IN.
DESCRIPTION OF WORK L.SIDE // 8' FT. � • N.
NEW I X II ALTERATION-I II ADDITION I REAR lit S FT. if IN.
REPAIR
1 MOVING I II DEMOLISH I APPROVED
BY
DATE
BUILDING NO. OF /
SIZE ROOMS STORIES etre_ : ,/(}--'`)b o /1. -4- Div/pi
WALL
ROOF
COVERING EXTERIORWALL I COVERING RA l c j T e J/a (1./-(
USE OF BUILgINGANH.WORK TO BE PERFORMED JJ
JI11M .CV VL fg yt t)e}—N o CP 9�l 7-0 Q��oLu
ems{_ to i' NCE NtYGI «/L
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT OVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH AL IV ORDINANCES AND STAT REGULATING J
BUILDING BTRU ON. / JI VALUATION 1 /
PERMIT FEE /
PERMITU OF $
p ^, y� S
PERMITTE/ `/f,', /�' I /I $ ZBOOJ.00 pLAN CHECK $ 4'
AUTHORIZE., 1 EN/Fs/C�Ze2, e—v„ Cr-� E
TOTAL FEE - '�
OWNER SCF FRANK PAG DATE > >
JOB ADDRESS 1781 Bahama Pl. BUILDING PERMIT NO, 114-62
GENERAL CONTRACTOR Anthony Pools VALUE $ 2,800.00
a• 113-5112-23 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt. swim pool
IN_,-ECTIONS DATE I GROUP Pool J TYPE III ZONE R-1
Underground Soil}'SN U.G. Water PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas _
Rough Heating
Rough Plumbing FI s}-a.r (�7TK .., 1°olr t-Jc--(j 21899 '
Miscellaneous Ryt,„,ira�a rF7�4 3 h✓�G� Sia�P_4w .A 5-14-6) �pn4S`�
Prop. Swr. Line Houge—e-thi. St. Swr.
Sprinkling System _
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power -/,/,,n A //''
Rough Wiring Power //4.,/,4
'IY c� aro, J-7,/-�1 /J-0-7
Trenches Forms Steel f7')1_ �j'_2$ J
Floor System
Steel Reinforce Chimney Re-Rod _
Beam
aing
Frame and Flashing
Lathing, In Out
Plaster, brown coat _
Plasm Nina Fixtures Final
37083JUL 31-73PA 002923* ****39.50
CKA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A:P IC •TION FOR BUILDING PERMIT
For Applicant to Fill in Completely .
BUILDING I%/[� I i� I1 1I ty M..(I T7I ` RECE /�V DA=EE�VED DATE ISSUED
ADDRESS r8 [�1D��(/"�TI/-\1 r♦ I�(� �j^��Oi q5�
•
OWNER Fj 1'. L L . 1•IO ,E1 L�/, R . ) A.P. NO.I3,^�-Q\C..L.—Zi ^P RMIT 7—� V/
1 / 8 I TTAMu4 PL . ADBUIORING ESS 1 7 0 1 -BAt4A&1 t-4- .
MAIL •
z Lii ADDRESS �{`r� /� �j /
a U CITY ab-}l r s MESA NO. TRACT J�Lp�I LOT BLOCK
I—Z _
Z Q CONSTRUCTION M NEW ADD ALTER REPAIR MOVING DFMOI ISH
O- N LENDER b('LI IJE
a m
_p J BRANCH
J N OWNER L 1 A(�/) 0 e LLE2
LU
< J ADDRESS ^',r VALUE [�/�
m ARCHITECT AAC Cvial k� TEL. USE FNGG�S r 0 3. }(//
J Q OR ENGINEER NO.
U U) FIRE
WQ ZONE T PE t GROUP
< ADDRESS �p `\
d W CONTRACTOR McC'�i lam. J) APPROVED ./G OAT-
wZ
J p11 �'1 ` ' /� \ 7�y
:I cc ADDRESS 1L.—I Y / A Pr14Ygf _
W W TEL. �7_ ZONy1I( NO.OF USE OF NEW �O
z F CITY Oil Le Far / {��'CAA NO.TEL./
0 4 1� PLANS Z BUILDING ADD 4 1`(.moD.s
YARDS APPROVED
N LTC.NO.E I `I / I tla TS 1 LIG. NO. It053 CITY VMA NS BUILDINGD ACCESSORY BUILDING
D 0 /�/ �J (FROM C/L STREET)
SIZE OF LOT - CD+ ( I I Q + I NO.OF BLOCS. I 'Y
NOW ON LOT FRONT FT. .-3,1'
J FT.
USE OF C �f .2A,n. 1 /•�R/
EXISTING BLDG. 5 I`�" rT'•1 I^'T B.SIDE FT. Air-
FT.
I— SIZE OF NO.OF
ZZ NEW BLDG. ROOMS STORIES L.SIDE FT. 8 FT.
EXTERIOR WALL �yy. ROOF �,�/
t_.1 COVERING 5� 6 COVERING REAR FT. ,4i FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
a.
a D
MAIN BLGS. ACCESS. BLDGS.
_N /(/SP/ ioFo� DATE
• RCUP.#
APPROVED
Poo 7K I / •- AAPPROVED( U�r
—3I--7?N ) DATE
VI hereby acknowledge that I have read this application and state
M that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
in the State of California. I m
zI hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT • •ER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I vATHE PURPOSEOF - • r
am exempt from the provisions of the State of California Business
• PERMIT FEE $ 076r m
and Professions Cod.../$ivision 3,Chapter 9. N
/ �I 7
Signature of - ,// m
Permittee !✓ i - E
0
Authorized Agent u
TOTAL /'
45076PAID
:0V 15-77CN5A00 850* ****514.50
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely -Use Ink Only
/�{�1 �,/�t AMA
RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESSBULDING
Il7ff/ /3/' /T,Ti1 PL
OWNER .L. �r 37—•it92 23 PERMIT NO.
�/�Qj1I I ZC.C� A.P. NO. G•
MAIL //�1 BUILDING d78/ ,4mJ Pc.
ADDRESS S/y./n L— ADDRESS ! // 'y� �"'
TEL. TRACTa3 LOT 0 BLOCK
CITY CO/ " Si/} J� NO.
CONSTRUCTIONNEW ADO ALTER REPAIR MOVING DFMOI1514
LENDER No Ne- (fa/y
BRANCH ---,
—j OWNER
ADDRESS _
VALUE �/?�/�
ARCHITECT � ) TEL. USE $ .9Tr/–!/
OR ENGINEER f I/Cl�r` NO. //�
FIRE
ADDRESS
ZONE TYPE41/4-- GROUP
CONTRACTOR Ail-to e 6 NT CA Z BYAPDATE e"------
ATE
ADDRESS /1flf .5 4pA-cI, .
ZONE / NO.OF
CITY SI-/Q n/4[71.5A1,✓ L NOJ27-2 17/ ( •
PLANS z BUILDING USE OF NEW
A
F
.. STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. a0/ /6.2.s LIC.NO. MAIN BUILDING — ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM CIL STREET)
3e OF LOT NOW ON LOT RONT FT. FT.
ate. USE OF s/
EXISTING BLDG. / , R.SIDEFT.
CO ///���,,, 1
Separate permits are required for L.SIDE FT. ' ' FT.
C electric,plumbing and heating work. REAR FT. / FT.
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USE OF BUILDING AND WORK TO BE PERF/1a RMED / ' DISTANCE BET. BET.MAIN&
„v-2LLt/t/s_ J/1,I'-rScjo,A ,. ,./r(p/&Ld/O- MAIN BLDGS. ACCESS.BLOCS.
C VAR.# DATE
"'1 C.U.P.-/k APPROVED/J''
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APPROVF��jz / 'J DATE /• C /J • 7
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the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE NLY:
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am exempt from the provisions of the State of California Business VALUATION e!
and Professions •• Division% toter 9. PERMIT FEE E 3 �o
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Signature of / 471) •✓ / cla PLAN CHECK $ //(�O� oPermittee $ /C aao TAX $ lr,- U.
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Authorized Agent TOTAL PAID $ 1 '
UtYNtK CARL BITZER VAIL 11-14-77
JOB ADDRESS 1781 BAHAMA Place BUILDING PERMIT NO. -• 45076
GENERAL CONTRACTOR Hi-Lo Const. Inc. DESCRIPTION of WORK Int. Alt In Res.
A -. 139-122-23 LOT 179 TRACT 3363 FIRE ZONE VALUE $ 6,000. r
I :TIONS Si Dote TYPE GROUP ZONE R-1
so. IZ,•L •77PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number i Signature
WATER � _Plumbing
ROUGH PLUMBING T1'` "0°4?°'/'/ WC -`/e, rte, J-rt i/-is-)) O30a1 "---
PROP. SWR. LINE [] HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
( TEMPORARY SERVICE OR POLE
1UNDERGROUND ❑ POWER
OUGH WIRING C.d /2.-to sr Heating and Vent.
TRENCHES ❑ FORMS E STEEL REINF. Q
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFORCE,fl
SHEATHING / v
FRAME AND FLASHI `j�r/y�QIl� g
LATHING — IN - OUT / C 7."..r. •J
PLASTER. BROWN COAT
5' 'URAL, FINAL Elect is
H i. VENT., REFRIG. AND A.C., FINAL L , ii . /`J -7 F
PLUMBING, FINAL AND GAS TEST ❑ ,o 2-^
ELECTRIC, FINAL 2-.y1.7j( •
BUILDING. FINAL / _ 2' -2W 7
SPECIAL REQUIREMENTS •
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
e'0 ILRECEIVED 4GN9698
For Applicant to Fill in Completely— Use Ink Only p
BUILDING �7 81 3,4N/}/I.IA PLACE A.P. NO. 137— i n — '13
ADDRESS r
OWNER ORF ADDRESS / 7 9/ 74-A44 t4 PL-
TENANT CRRL- 3) 7 E
SI(
UNIT OR
,
ADDMAILI ,y ADDRESS 17 8/ 3ANAA+4 , SPACE NO.
TR.37a3 LOT /79 BLK.
CITY C05r4 Matti C.4 fZGLG TELNO Jro
3�/0-J02t
I NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER /V_
BRANCH p
OWNER Crfe(L 33/7E4
ADDRESS USE R I VALUE$ �f //���,,,,0�s
ARCHITECT TEL. Q I / �v'
OR ENGINEER NO.
ADDRESS ZONE R—/ TYPE y GROUP /4— 7
N/ — L 0 YPROVED
CONTRACTOR /} ,�(( n / yJ f BY DATE
ADDRESS IOE✓r Q€c..GIL LS I V FA,.frcy Zoo., f )/N/NF "co"
TEL.'J '213) aX re s,o.f/
F. CITY �'fant4 o44 NO.73 ..437246, APPROVED SETBACKS
STATE CITY 7
LIC.NO. 2d' / 6 2 LIC.NO.
aIii SIZE q LR NO.OF BLOCS. (FROM C/L//STREET)
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C. OF LOT ?et Co X /Zy./7 / NOW ON LOT ' FROM (O FT.
Q USE OF //
.Ii EXISTING BLDG. -5-CMC PAA-r RES. R.SIDE 3 FT.3 +
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PE Separate permits are required for L.SIDE 477-4 e 7o EX is7/yG
G electric,plumbing and heating work. REAR A774C/IEp 72, Ex rT.
FT.W
ft USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
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.WW the State of California. f pY / n
37_$Y -�7 2SO. FT. / O O m
I hereby certify that I am properly licensed as a contractor under N
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the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPLE OF ESTABLISHING A PERMIT FEE ONLY; —
in
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am exempt from the provisions of the State of C fora Business VALUATION PERMIT FEE $ /Y 1 , �—
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and Professions Code, ' ision 3,Chapter 9.
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Signature of ter./ r PLAN CHECK $ O LL
Permittee S 72,00. TAX $ /U ca, 50 Or
Authorized Agent Date Al frQ TOTAL PAID $ G6 .5--o
OWNtR CARL BITZER • DATE 2-25-2SU
JOB ADDRESS 1781 Bahama Place BUILDING PERMIT NO. 49698
GENERAL CONTRACTOR Hi-La DESCRIPTION of WORK Ram t;xtention
'4. ' "n. 139-122-23 LOT 179 TRACT363 FIRE ZONE VALUE S 200,00
CTIONS Signature Date TYPE VGROUP ZONE kil
' _ PERMITS ISSIUED
SUBCONTRACTOR
` GAS Date I Humber I Signature
WATER Plumbing
ROUGH PLUMBING
^u
PROP. SWR. LINE HOUSE CON. fl
SPRINKLING SYSTEM
ioMISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE -
UNDERGROUND f POWER E
OUGH WIRING p� I _� -2—� • NQating�pnd Vent. �/
TRENCHES FORMS AT STEEL REINF..0 — — 4:4 l?�/('_Y 4J-. /I/
FLOOR SYSTEM 3- 9p
BOND B M STEEL REINFORCE n `�.C 6"
SHEATHING l $ 3 e7 p•tV
FRAME AND FLASHIN(r�,� rig pS 5 -.21.-St,
LATHING — IN �ISUT I}�-•/ S y�--2I-�>
PLASTER, BROWN 5 ' 3 J It¶7
S" -TURAL, FINAL �f (a-9 40 JI l �./A� FleNriC
IG. VENT., REFRIG. AND A.C., FINAL P �/� /JyA (`(1/).J -- �1-�25JO -' 718g-
PLUMBING. FINAL AND GAS TEST n fff���` (((/// occ
ELECTRIC, FINAL (2,,.C.. 6-2-?s
BUILDING, FINAL .53S .(0-÷1
er
SPECIAL REQUIREMENTS