HomeMy WebLinkAbout3273 CALIFORNIA ST - Building Permitsm
PNOJECT FDONE55:
OWNEN'S NAME:
AOOHESS:
.
(714)549-0573
92626
UNIT:
AHLH/ENfiINEEH: pEC.NO.:
RUUNESS: � UNIT:
PENMITTEE: ANTHONY MITANI MASONAY ( 714 ) 967-2269
19929 HRANDYWYNE TERR
aooxess: GARDEN GROVE CA 92694
LICENSED CONTBACTOB UECIAPATION: I �ereby aliirm ��at I am licensetl un0er pmvisions of ChaD�er 9(commencing with Sec�ion
7000) of Oiv�is �Q�f ��usiness and Proip�iln$Cide2 �tl my license is in f�l4igeP 4tl eflec�.
CITY UC.: STFTE LIC.: � ClA $:
Date: 4/�� �9Z SignaWre: _ —
WOflNEflS' COMPENSRTION OELLAflATION: I hereby attirm iha� I �ave a tenilicate o� consem ro sel4insure or a cehificaie o1 Woders'
ComDenSaiion Inmrance. or a certilietl copy the�eol (Section 3800, Lab. q.
POLICV NO.: EXP. DRiE:
COMPFNY:
❑ Certilie0 copy is hereby fumishea. .❑ Cetlifie0.copy is file0 with ihe city Building Division.
7
Date: �. Applican[''
E%EMPTION FNOM WOHKEN$' COMFENSRTION OECLAHRTIONV (This 5eciian n¢¢tl noi be Comple�etl il �he permii is �or one hunOretl ($10�) or 1e55�.
I cetliry Ihat in Ihe pertormance of �he work lor which ��is permit is issuea. I s�all no� employ any person in a� manner so as to become
su�ect to Ihe orker Com ensalion Lawvof Califomia��/f?� �
i �'-��0�9 "z , �; _
Oaie: � Signature-
NOTICE: Ii, afier making Ihis Oeclaralion. you 5hou10'become sublecl Io IAe Workers' Compensation pmvisions ai ��e Labor
Catle. you musl fonhwilh comply with�uc� pmvisions or ihis permii shall be AeemeA revoke0.
CONSTflULTION LENDING RGENCY: I hereby a��irm �ha� �here is a tonSlmciion lentling agency lor the pertormance oi Ihe work for
which �his permit is issued (Semion 30WrCiv. C�. �
LENUEF:
nooeess:
OWNEfl BUILDEP OECLAflRTION: I hereby aflirm Nat I am exemp� �mm Ihe ConVacmrs' State License Law �or Ne �ollowing reason
ISec�ion 7031.5 Business antl Pmlessional Cotle: Any city of county which requires a permit Io consiNc6 alter, imo�ove, eemolish, or
repair any simc�ure. prior lo ils issuance. also requires the apPliran� lo� 5uc� permit lo tile a signetl statement lhai he/she is licensed
pursuanl to the pmvisians of Ne Cantractors' Sla�e License Law (ChaD�er 9(commencing with Section 7000) of Division 3 of ihe Business
antl Pmlessions Code) or Ihal he/s�e is ¢xempt �herefmm antl �he �asis �or I�e allegetl exem0�ion. Nny violaiion ol Seciion 7031.5 by
any applican� for a permit su�lec�s Ihe applicani to a civil penalry o� not mare Nan live �untlretl tlollars (5500�.
I, as owner o� the pwpetly or my employees with wages as their sole wmpensation, will Co the work, and the
❑ S�mcWre is not in�ended or o��ered tor sale (Section 7044, Business antl Pmfessional Cotle: ihe Coniractors' State License Law
tloes nol apply to an owner of a pwpetly who builds or improves ��ereon, and who does such work himsel�/herself or �hmugh
�is or her own employees, pwviAeA Ihat such improvemen�s are no� inientletl or afferetl �ar sale. I�, however �he 6uiltling or
improvement is sold within one year of completion, ihe owner will have Ne 6urtlen oi pmving he/she Jia not build or imDmve
lorihe purpose of sale�.
I. as owner of the pmperty, am exclusively contrac[ing with IicenseA conVac�urs �o cons�mc� �he Drole�� (,Seclion 7044, Business
� antl Pmtessions Code: T�e Coniractors' Slate License Law tloes no� aDON �o an owner o� pro0erty who bwltls or impmves Ihereon
antl who contracis tor such pwlecls with a conimdoqs) license pursuant m ihe Contracmrs' State License Law). I am aware
�hat pwol o� �Aelr Worker'S Compensalion insurance 5hou10 De pmntletl to me.
� I am exempt under Section: B. 8 P. C.
for Ihis reason:
�ate'. Owner.
I �n herehy cerlily ihat I am aware of anA untlerstantl �he requiremenis ol Calitornia,Health ana Satery Code Sections 25505, 25533, antl
25534 antl Ihati ar any iuNre butlUing occuDaN willlwill no� (circle one) neetl to compty with said s�a�e cotles anU �he reQuirements �or a
permil for consiNction or modification Imm ihe Fir �uabty Management Oisirict. Resitlential consimc[ion applications are exempt imm
�hese pmvisions.
Dal¢: ppplicant:
I hereUy ceriily Iha� I have reatl Ihis a001ication antl stale tha� Ihe above inlormalion is correcL I agree to comply with all ci�y anE counry
ortlinances antl s�ate laws relaling 10 �uilaing cons�mc�ion an0 hp{eby am�orrze reD�esemalives of �his ciry lo en�r upon Ihe aUove-mentione0
o�ooeny Im insqectiory purposes. /� � � ,,,� /
�aie: D� /O�Y 2_
Oriver'S License or Social Securiiy p.�
16a1-46 Whne—Bulltlinq: Green—COEe Enlorcemem; Canary—Aoo��cam; PinN—Revenue: Goldenrod—Assessor
� CITY OF COSTA MESA — HUILDING PERMIT ,
PERMIT NO: H 058528 PLAN CHECK.NO: 03024-92 S.
CONSTRUCTION TYPE; 5—N; PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION ; 179 LIN FT OF RCMU WALL @ 6' HIGH SQ FT: 174
CLAIM VALUE; CALC—VALUE; 3,480,00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) RE�iUIRED IN HOME.
*�r�r��r**�*�r*�r***�r*+t**�*+t**�r*�t** *�r�r�r�*+t*�*�r*�t�t***�r�r�r�r+r�r�t*******+t+r*+t*+r***+e���t*�r**
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT ZN
PARKING REp • PROV: PARCEL; 13905408 ZNE: R1 REF NO;
PLANNING NtSTES> 179 LINEAL FT. OF 6' BLOCK WALL BUILT ALONG SIDE AND
> REAR PROP.
��*��r�*�e**��r+�*�r*+r*�r*�»�*�r��*+r**�r*�r***�r���r��r�r��r*�r�r**�*�r�r****�r�x�r***�e�r+t*:�r**�e�t*�*�e*�r
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N^�,T S
n
ZONING APPROVED BY SC'C. DATE: /a 2
BUILDING APPROVED BY :� DATE; �/O
APPLICATION ISSUED BY; � DATE: r3'LO �
kif�lfiFIF3F9FiFafif�FikifiFiFMlfkiEiFiFiF iFikiEkifikifikifiF �f�F
iFifififif3fiEiEiFif�fifiFikifMif�FiFif3Fjfififkififif�kiFiFiFlFifik�lEif�k ifiE dFifiFifif�F�kiFififitraElFlk�EiPiFifMiF�E3EifiFafiF.iEiF�ki!lF�fjfifitk
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAli SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC-'MEGHANIC FIRE SMIP7RES GRADING
PERMIT 63.00 � � . i� 50
PLAN. 40.95 -"`t_';: �" SMIP%NON�RES
ISSUE FEE j�i ' " � �� �� �'.
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECKr''" TOTAL PAID. ��, DUE
TOTALS----> 63,50 0,00 ='r 40,95 `^ 104,45 109.4'S � ,00
REVENUE DIVISION TOTALS--> COliLECTED; 4 104.95 OVERISHORT:'r'��n .00
BLDG PMT PLUMHING ELECTRIC MECHANSC FIRE SMIP/TOT GRADINGIPLAN—CHECR
63,00 ; �', " �y .50 � � 90,95
ik jF if it iF �F jF ik �F �F if af iF iF iF �f jt iEiF if �t M it it �E �! iF k iF if �lf �f iF iE iF if iF if k iF ik jf iF k iF iF 3f if if if 3t if iFit 3f �f ak�f iFiF iF 3t if iF iF �F i!it if �f 1F �t if iFk if ik i! af
I N D Z V I D U A L F?E E:. B R E A Ir D O W N �I `�,
TYPE QTY D E S C R I P T I O N� - � UNIT COST ' TOTAL COST
A
SFR 174 RES—CONCRETE
HLOCK��WA/I�L r / FT,
END OF FEES'
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20.00 '� �; 3,480.00
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'+-. -DJ1_ 1'F07 TP'{-r
ilf.?=; �.�r:���.. ..ICE: 11: a _ ,.q5
�
� CO.NSTRUCTION AND PLANNING . - POOI & S.
Date Inspector Date Inspector�
� /XpPROVALS Permit:# . •� APPROVALS Permit#
t.� Temporary'Electrical Sert ice or Pole . . � 52. Pool & Equipment Location �:'
2. Soil Pipe-Undrgrnd. ' ' �'` � 53. Steel Reinforcement � .-
- -�. : ,
:,"r.�3.;Electr,ical Cond'u'i4.�Utilitj✓Und.rgcnd. - 54. Forms
l
���'4.•Elecfrical Conduit•�Jndrgrnd. 55. Electrical Bonding
r- n
`,�-.5. 3tee1'Reinforcement �.���Z �W� 56. Rough Plumbing & Pressure Test ^' �
,���f>�-Electrical UFER GYnd. -- " . � 57. APPROVAL TO�COVER�GUNITE �� �
..- ,
, ' �Y:•Foo'tings �- '�^ " �-`7��1 �q/�,[ 58. Electrical Conduit-Undrgrnd. � �
..n:. 7
'•_8r Foundation � -` - 59. Gas Pipe, � Undrgrnd., Test ��
.i�9' Water Pipe-Undr9rnd. �, • � 60. Backwash Lines, P�Trap, O Undrgmd. �
�'0. Structurel FIo9�SYstem • - 61. APPROVAL TO DECK _
11., Property Sewer-Li�e & House Connection 62. � Backwash & Receptor-Final '
;'
12.;Sewer Cap ' � � 63. Heater & Vent-Final �
13. floof Drains ^; • 64. Plumbing System � Final �
14. Rough Piumb�ng'' � 65. Electtical-Final ��
15. Rough Elecv�ca6Conduit ', � 66. Solar System-Final . � �
76. Rough Electric Wiring � 67. Fencing & Access�ApProval
17. Rough Wiring Si9n - _ 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiting . 69. POOUSPA SYSTEMS FINAI
19. Rough Heating & Air Conditio�ing PIRE DEPT. REQUtREMEN7
2�'. Ro'ugh.Factory_Fireplace 'rt�i �I � O . O" = �T pppROVALS^C� P'eimit # t� '" �-J
�' .,, :..4 �-r:� r�e r .?". Y. � YS.�,�., ." � r C;
2.15 DuCts, in StNctude .. ;: S S •� ,�tt y 70?Untlergrgupd Hydro � �TM
22. Oucts,'Ventilating� � �� _ ,f �`i � :: 71. Produr�`pibing�'��as ',�Oil
23: Ga's Pipe�Rou9h'� Test ' `r . � � '.;'�. ,. _ � . � `�' = '� :-', �,
i �,y _; � �.� , �� ' 72. Underground Ftushp i
24t Roof Frarriing :�� .. �•E� - �! - 73. Undergr.nd. Sto �a,qP� ank O Gas ❑�Oil
25.�Roof Sheathing„ � v��,, �" �� '-�-{ ; � Z�l,,.,Qve�hea'd Hydro`�` *
26: T•9ar Ceiling (Structural) ;&�Monocoat�•Y�. �n � i t�-Y �� T5�Dry Chemical � x✓+ �7 �t
- � . ,. .- .
27: Prameand Flasfiing �= y �'L'j:• - :. �+ � ^: ..'...T'- =r 3 S !-+ c��
.n: L�r_.`X �..:�r � re:. 76.`Dry�Sta.4dF§Pet n t �
' i 28'. Ld,thing & Sidingk :a ���f',' '.-,r-+:r � ••i • '-•7, : 7.7, p�XED SXSTFf�/I�FINAL � 1
'' 29. Insulation '` � � ' " -�'`�� � {r � "'�' 79. FIRE PREV. FINAL s ^ ��
�_. v '�..' :C
30. Drywali Nailing4: � � � � , I � '' `��. i �� �..HEALTH DEPh-REQUIR�EMENT
i . .,
31. Plaster Brown at,, � .,, `•' '.� !'� `." v 79'. FINAL'INSPECTION # � -
�P K " ,.. � f. '=
�� 32�. Electrical PpwerMeterFinal � �• �,,y;T �#, n 80: FOOD CERTIFICATE ISSUED "
�
. 33. Final Electric in ; �� , �� � . {:' � r � .;: � Notes: . �%��,� : " _� �, R:
. . � � .v�••��
, 34. Pinal �Heating & Air"Co�ditionigg �� `"� ' �;� � M ` ��=
:.. . - - � I : . _ 0. ��.E�J.` m v:� '�v' / �-
35;FinalGasPiPe•"FeSt_'-� I y7'*^ ."' ! > ?�^ r"- ."
� - � - I {. � 3.�' Y _ {� L �'Y'� : `�d 1 ]O p w ✓ r �5" �
36: Hood or CanoP`1� i -. ,•� , � +, ..: � •. �..:-� / ���
�. l i t ,.r,- 2. t� �`
'' 37' Final Factory FireplAcg !`_�' �"� ''� � ��.� * F' ;'!�'. p`p3�-_Ts� v{� '�-:, /' bG� ���
^ • ! _b'`t=[r
•x y�• .. .. � �� : �.. ! �'��r n. �-
:� 38. F.inal Plumbi�9 . ' .a.^ i i + r a i. i�.} - G
' I r �, '
• 39� N/ater Service-Final � ��r i `+ � tl c , 'r : !^
�. i �-' � : r� � _. .s a- r� -
. 40: Gas Suvice-Final� �y �:'. �.Iy . „� � i �.:; . = . " "
� i
. 47�. Solar pomest�o-P`naf C�� � `�4 " � , j• 't �.:. ri q y
:i X IC pl L^ 3 9' �7
1 � tU �'�! '- L� � � �Y- 7. 1.-� :,i/ a � .
' 42. Backflow Preventer ,,; ,_, , ., � ',. , .� _ �;
43. Backflow Irrigation �K.SS Q ��+� � GF := + L � a
- �.i x .i. i � .. s. �� .
� � 44. Landsca e Irri, a'ion S stem"; = s" � �' �' �� � �'� "
t P,i Q( Y . �e ,�'� � �:7 H r� G�} � y C; N - :�:,1 .. �7 C.
✓ �� " _ ' ,
` 45: Sound��Attenuation �-�.t-^ �'m ' `-: �� C � [- • ��-+ �-+ e� �. is:c, � �
- "� � i^ v c: Nl
� 4Q: HandicaP Regulations ;- �',c � „ '.. '�� s � J �;�9 ` L--,�/�j '� `�� s�. � r
v �_ s �c.v
� 47:.FINALSTRUCTURE&BHILDING J�S.� �'r,w�� ;��•�sC �� A_ � �-_�-
� : ! O��i.
48� P`INAL PLANNING ', E��_ ��` i y,� i, �: �- , ,'
i.,
� 49: Electric Release to Edison i ;, �- ,, -t+ .F t � � � a: �1 .
i.. � - .s -
50. Gas Release to Southern Calif rnia Gas Co � � � Y� f; ''' �' ='"`' " :' "
, � � A-. � , i_ �-; p . ��i-: • U -
�: 51. CERTIFICATE OF OCCUPA'NCY ,. ., i=,;, Yr �.. , j
No. Date
� ' ADO���ant to till in all 50aees eace0< <�ose within neavy borner lines anE sign a11 aDProo��ate aeclarations. '
.' CIT�Y OFCOSTA'MESA7 � _ --' '"'� . . . � " p MIT NO. � ' TRACT NO. LOT NO. � BCD . . + ' -' � -' ' ' " ' " -' ' -�- ' -c '
; CONSTRUCT�ION PERMIT ' � �:, -' O (p (�'_ : , ' . � ' , . ' . ;. ! c43 I'"�/•"c�/B3 , -. ' 5aQ0 : TL
Projett A�ddfe55 � � � '� � a ' 0 ���q = � TYPE OF CONSTRUCTION �' ( - NEW � ADD-'� ALTERATION >REPAIR ! � '
AppliCanYs Mailing Address ' � ❑ CONVERSION � 0 OEMOLISH � OTHER � � � A p # � � " - - Zone - ' c - �
1 � � _ ' -DESCRIPTION OF WORK
Owner's�Name ���'0.T�� Phone ' � - � . _ ' � S Main Building: � • � ' � Accessory Building: ' O
I. Address� ' ' � ' � ' . � TYPE'OF PERMIT • �GRAOING.� � FOurvDaTiOrv STRVCTVRAC ) T Front`� � � .,; � ' - r � �� N
I Arch/Eng.' � � " License No.' � � ' :❑ TENANT � ELECTRICAL� PCUMBING ❑ MECHANICAL , . Br . � _ . . - . � �
IA�ddreis' - � . • . � � ' ❑.�OTHER � c . ._ ' � .. . A� Rear . _ . r N
�'� Contractor;s Nam ��'�"�1 ,� "��Z e�l hone��2-34/j: PROJECT DESCRIPTION. 5�, F7. '" ' oCCUPANCY' - K Riglit • r'� - ' ,. R
I AHdress'Imailingl�s",W��; . o- O�^�� . CONSTRUCTIONTVPE 'VAWATION$ S Left � ' � � . - E
'� ' - . � ' . ' � � � ZONE - GRADING CU. VDS: ACRES � Ping. Ref. # • � - n
I City License No. . Park.Fees $,
� LICENSED CONTRACTOR DECLARATION � '� �� � ' � ' ' � � � - ' � U ,
Remarks: ' ` 1 � s� Parking Req./Provided i I 1 - I�� �
1 hereby. afti�m tnat I am licensetl untle� p�avislons of �Charte� 9(comm¢n<ing � ' , � �' . , R
with section 7000) of Division 3 ot the Buiineis antl Professlons Cotle, antl � � i Use of Building: ' ' . . •.. ' E
�my license�is in f I force antl effect � r � m � ,
icense Clas �- � ' e No. Y " ' PLUMBI G ! � FEES Planning No[es: � - � ' - . ' � ' - - E .
�ate� � � ' Si9natur ' � - i F . , � � ' ' , �. : � .. N •
ORKERS' COMPENSATION D LARATION � ' Bar Sink � ShOWerS �- � �
1 he�eby�atiirm that I have a certiticate �ot wnsent to self= � � � ' • ' ' - � � ' • t � T
msure or a certificate ' Backflow Preventer Serviw Sink �'�� ~` S
of Wo�kers' Compensation Insu�ance, o�-a certitietl coOY thereof (Sectlon , - ' - - �- -- �� - - -- - , � - 1 �
3800, Lab. C. r� � ' . � ' ' 7! • �
q� y/h,��r Backflow Irrigation Sewer Cap � , : � ELECTRICAL . . . � FEES j
PolicY No. ���{�� I' ComPanY1�GG't1�-�-�-V15�� Lry � • ' - ' I�
❑ Certitie copy is hereby tumishetl..: • i i Bathtubs Sewer Connection ' , Au[omatic Washer t ' Transformer ❑ 15-50 KW
�-Cer ifi tl o is filetl with the city Byj� in vi �ion./ �/�� , , , �� , ; �\ ❑ 50 + KW
Date � - Applicant �'"� � �L�-.YG' �-rF'/'L-� ' _ � Clarifiers : � ' Solar Collecmrs � . ' � - � ConStructioqPole Sub. , � ' � � '
N �
EXEMP 10 FROM WORKERS•�COMPENSATION�DECLARATION - - ^ '-' DishvJaShef �` � � �- � ' � ' � � - '
(Thissection neetl not be completetl it the permit is for one huntlretl (E100) or � Solar Piping ' - Cooking Unit ' `�" '';Meter ❑up to 100 amps ' .
less). � ' ' . . . � . . � � �i' . .
I certi(y�that �in th¢ pertormanCe of the work fol which this perm�t is Issuetl I D�I�king FOUOtei05 Solar Tank � , _ � Dis6washer f. Meter ❑Ov2f 100 dRIpS . . ' �
shall not em loy any penon in any manner sb�as to bE�me subject to t�e ' ' ` i
Worker - C m e Lon� Laws of Calif�n" �� �� . Floor Drains� Swimmin9 Pool w/Spa. • � Dryers ❑Gas� �DEleceric �Sub Panel •'
Date � �` Si9nature � � ' - .
NOTICE: 1 af � making this tlecla�atiOn, you shoultl become Subject to the '. � FI00� Smks.� . Ufinal � � ' Fan Motors OO-1 HP �i h- 8 i �
' Workers(' om ensation prowsions of�the Labor'Cotle, you muzbtorthwlth ' ' . — � - -
comply�with� such-provisions•or,this. permit'shall .be,tleemetl revoketl. • GasService' �Outlets � _ WaterCloseC i : _ � _ .F.A.U. � • InaSolar.O9-15HPO16-15+ �
. CONSTRUCTION CEN�ING AGENCV.'• � ' '� ' � " ' � - ' " � - ' � -
�� I hereby affi�m that there is a mnstruction lentling agency�to� tbe periormance � IOt¢/C¢ t0�5 � ' '' � a O � � �
'(i �. Water Heater Fixtures %Microwave
' of the. �work for which tnis, permit',is issuetl (SecNon 309] Civ. C.) ; •
, Lenaer's' Name� � - - Kitchen Sink • ' � - .Water Service � ' ' Device Boxes � � Pole,Light � �
� Lentler's �Atlilre5s ' �� ' , �- � .. _ .
OWNER BUILDER DECLARATION ! � • - Lavatonei. �. � . , . i _ � Outlet5 ' Range �
'�. I hereby afTirm that I am�exempt from the, C6ntractor's License Law for [he ' - - -
''tollowing reason (SectionJo31:5 Business antl Professional Cotle: Any city or P-Trap � - � , SwiMhes' . Sign �
county which requires a pe�miCto con5truct; alteq improva, tlemolish or repai� ' � . . - � . - -
�any structure, prlor to its issuance, also requires the applitant for such permit ,Roof Drains; - . _ '� Garbage Disposal � Standing Sections ' ' �
',to tile a'signetl sfatement-that he/she is licensetl pursuant to the pwvisions oi � �
the Con4ractor's.�icense Law (Chapter 9(mmmencing with Section �000) ot .. ! � � - ' �- _ ' i
'Division 3 of the�Business antl Profes5ion5 Cotle): o� that he/she is exempt ; ' • - � �' ' ' ' i�i¢f1E�dt0� �0-5 KW 05-15 KW 'Trash Compactor � j
�tM1eretrom antl the basis tor.the alleqetl exemption. Any,violation of Section � ' ' � . " ' , ,. . . , �
]031.5 by_ any •applicant fop a' pe�mit subjects'the .applicant -to a clvil ' - � . � � , • �
�enalty of not more than tive huntlretl tlollars (g500). , r- � ' ReinspeMion Fee - $25� � , Isue Fee'- _ ! $ 3 ' � � '
lJ I, as owner oi the. properry or my'employees with wages as theii sole Reinspection Fee $25 Issue Fee '$-3
compensation, wiu tlo the work, antl the�structure is not intentled or offeretl � MECHANICAL FEES
, for sa1e.(Section �704a, Business antl. Protessional Cotle; Tne Contractor's . Y . - PUBLICSERVICES REQUIREMENTS: ' � ' ' '
License' Law tloes not apply [o an,owner of a properry who builds or improves • BOiI¢� � � � � Hood O� -Type I ❑: � ' �-
thereon; antl who.tloes such work�himselt/herselt or through his or her own e - "� . �'� �� Zoning AppfOved'By � � � Date �
employees,provltletl that SUCh�improvement5 are not intentl¢tl o� offeretl'fOt � C2nOpy � TYP¢ II ❑ i � ' , - . ,
sale. If, however,.the builtling br improvement is soltl within one year ot com- Duct- Unde� Ground ! � . -_� � ' ppplication Approved By. � � ' Date
pletion, the owne� will'have.the burtlen Of proving he/she tlitl not builtl or iT- � � . � � � �
�ove�tor the purpose ot sale). = � , Duct - Structural • R¢frigera[ion System � . � Appliration Iuued:6y - •'`u / � Dat�
LJ I, as owner oi the property, am exclusiveiy contractlng witn Iicensetl con- � .
tractorsto construct the project (Section ]044, Business antl Professions Cotle: Duct- Ventilating '� '' . ❑0.700,000 BTU ❑100,000 BTU . '.SUMMARY OF FEES
-The Contractor•5 License Law-does�not apply to an owner of pmperty who - � �
bulms or imoroves thereon, antl who contracts tor such projects wrth a com Exhaust5ystem ❑ MWtiple O� System Repair/Alteration � �� Y � BUILDING PEAMIT �$ + SMIP $' ,
tractor(s) license pursuant to'ehe Contracmr's License Law). � i PLAN CHECK $ � ' PERMIT � - .
❑ I am exerript untler Section ., B. & P, C. for mis reason Firepl/Fact. Blt. ICBO # - � PLUMBING $�� ' ISSUANCE �$
Date Owner` � Heating System & Ducting � PLAN CHECK $ � ENERGY P.C. $
i nereby certity that I have reaa thii apoiication antl state that the above ' ❑0.100,OOOBTU �100,OOOBT ' _ ELECTRICAL ' GRADING $- '
'Information'is correct. 1 agree'to comply with all city antl county ortlinances - � - '-' • $ i
ana=state laws relating to builtling constructlon; antl hereby autnor ze repre- � . � , � � PLAN CHECK $ MICROFILM $� �
sentatives of; is c'ty t teY u�the above-mentionetl pro erry for ' � , � ' . � i O' '
inspection pur s � " � MECHANICAL � S��
Signature { Date �� � � a � $ � TOTAL FEE $
Reinspectian Fee $25 laue Fea � � $ 3 PLAN CHECK ' $ ' ' • '
Drivers' LicenSe or 55 � �
CMF oess-a6 rev. ]/83 � White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor - . - - �- -�. . - ' "
-,�_ _--_ �'�.� __
+ ' . _ . - - . . .. POOL &,SPA - .
� �'�; CONSTRUCTION QND PLA IN �. � ' • - � " � . ' "
�� • �' APPROVALS� '•Permit #-,�0-� . � Date. `' . Inspector � ' " . . . . � .. . 'Date- Inspector �
6 - -: APPROVALS �, i �Permit # �
- . :. ' -
: � 1. Tempo�ary Electrical Servicebi Pole � ` �' � " ' �� - `�-: 52. Pool &,Equipment,Cocation'` � ' .
i
�
,r; i2.� Soil'Pi`pe-Undrgrnd. = � ��`. ,; `: �`�`• � - . , "�'�' -' -'53._Steel.Reinforcement - - � � ' �
:3.� Electrical Conduit Utility-Undrgrnd ' - . . 54. Forms ' � - ' " _ .
' : 04.� Electrical Conduit-Undrgmd :; ,_ , � ` "' " . -� ? 55.r Electrical Bonding' -_ _
:y
�5: Steel Reinforcement � � - ' - , ' `„`56..Rough.Plumbing&PressureTest � � �
^6.`Electrical,UFERGmd. � - %"= �- � ' ' ,.59. APPROVALTO�COVER=GUNITE ' _
�
a
7 1 Footings ' ' ' . , � 58.= Electrical Conduit-Undrgrnd. •', - �
8.t Foundation � � � } � � ' �' ' ' . S 59.'Gas Pipe�,'O Undigrnd.,,Tesf � - - . �
r_
9i Water Pipe-Undrgrnd. . - . � ' 60. Backwash L-ines; P-Trap, �.Undrgmd. .
101 Structural Floor�System � ' _ ��` . ^ 61.�-APPROVAL-TO-DECK` � ���� '_ •
11., Property Sewer Lirie & House Connection �� 62.- Backwash & Rec'eptor-Finaly -�� , �
12. Sewer Cap � , � • � . - � ' ' 63. _Heater & Vent-FinaY - . - �
13� Roof Drains . � � ' . i � 64.-Plumbing System -�Final - . '
� i � �
74i Rough Plumbing � � � �- 65. Electrical-Final �- . � -
- 15, -Rough Electrical-Conduit ' � � . '- � � � - � -.'" 66. -Solar System-Final � " - ' '
�
=+-16. �Rough Electric Wiiing . � , , � .- . ��.,, � = 6Z� Fencing &'Access'Approval , � ' - '
- 17. Rough Wicing Sign� � ' . � ' , i _2 i " � 68. �APPROVED FOR �PLASTERING � :
18. Rough Electrical-T Ber Ceiling ' - , - � 69.�POOL/SPA SYSTEMS FINAL' '
19. Rougli Heating &�Air Conditioning , • • ; i FIRErDEPTc REQUIREMENT' � � , �
201 Rough Factory Fireplace ! ' � ' � � � � � �.� � APPROVALS ' Permit # ."
21' DuCts; in Structure ' . � i � ' � 70. Underground Hyd[o � ' � ,
22.� Ducts; Venti�lating, � � , ' � . ' I 71. Product Piping �Gas �DOiI �' '
. 23: Gas Pi e�-Rou h & �TesY ' � ' � ' � ' - t � � � ,
P g j � � 72...Underground Flush ���
�
' 24.� Roof Framing �� = � , . � .' �' � 73. Undergrnd.StorageTank �'Gas ❑Oil . .
�
25: Roof Sheaihing � � - : ' � ` ' _ : : � 74, � Overhead Hydro � � , -�
�- 26; T-Bar�Ceiling (Structural) & Monocoat' � ' . ' - 75.�Dry.Chemical , � • li
� 27. Frameand Flashing.� ' � � ' � ' � . 76. Dry,Standpipe _ � ' �
2S, Lathing&�Siding•� � ' � '7 ' � � 77. FIXED,SYSTEMFINAL� : 'r .
� .
29. Insulation. ' ' {' � 78. FIRE PREV. FINAL � "
''- 30� Drywall Nailing, � _ � � � , � � � HEALTH DEPT. REQUIREMENT
'� ' 31, Plaster Brown Coat ' ; � j � � � � , 79. FIN'AL INSPECTION � ' �
� 32' Electrical Power Meter-Final, , � � f , 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' ' � � . • ' ' ' Note's: ' � � ,
34. Final,Heating & Air�Condiiioning � ' � ' ' � , , . . � ' . -
35. Firial Gas,Pipe-Test � ? ^ � �. • ' ' �� � • � - , �
36. Hood or Canopy i-• , , , ; � i " � � , � .- . - �
� � i _ . .
37. Final Factory Fireplace ' , �� , � ,� � ; . , �-' { . � , . �� ; .
r:
9. � � 8l Z/ '. ,
38. Final Plumbin f � , � _ � �
39. Water Service-Final � ' � � � � �• . �-
. ' j ,
40. Gas Service�Finai � � . � , � ' � ' � � � . -, � � , ' � � . � .
41. Solar, DomestioFinal ' � . _ . ' . • � � � '
42. Backflow Preventer � � � ' � �� ' + � ' � � ' ' �
� �
43. Backflow Irrigation ` ' � ' , ' � • � - � - ' ��
�
44. .Laniiscape Irrigation System � ' � � , . ' � � . �
. , {, _
45. Sound; Attenuation . � , , . � �
'
46. Handicap Regulations ; _ � 4�- � . � , , � • ' � • � . • � .
47. FINALSTRUCTURE & BUILDING , � � ' � .
. � . �
48. Special Requirements'Coinpleted . ; , " � � ; . , � � � � : �� • . .
49. Electric�Release to Edison � I � -_ .--. . . . . . . . .. . � � � t
�
50. Gas Release to•Southern �California�Gas Co � � � . � , '
� � •
� • �
51. CERTIFICQ.T,E,OFOCCUPANCY� , , . _ - _._ . ' � ._' ' i ' "
No. " - � ' ' Date � �� ; � � � i � -
� . . -_ � _ �. � - - . .
AP. No.
INSPECTIONS
Water and Gas
In
OCCUPANCY
Form 210—SM-11-59 5-B P
�s�x c. auc s o �ssti
)ali£ornia
Anthony Pools
LOT (7 T1tACT 3$%5 FIRE ZONE
� DATE I GROUP
VALUE § Q�SQQ.QO �
D�SCRIPTION OF WORK PVt.sWifi Aoo'
TYPE TTT ZONE R_l
SUBCONTRACTOR
� �-���a9.�..
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MEBA. GIILIPORNIA
Fo� Applieanf fo Fill In Complefiely
TYPE OR PRINT ��
euiwiNc 3273' CALIFOtZ1V7A
ADDRESS
GOSTA MESA. CALIFORNIA
MAIL 1242T K��NG �
ADDRESS
���.Y STUDIO CITY No:
ARGHITECT TEL.
aOUTH GATE
� SIZE I NO. OP BLD66.
� SETBACK
DESCRIPTION OF WORK
WALL
PIRE
F�E RECEIVED
�''�— MAY 2 91961
FiNANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RGCEIPi NO. PHF
BY DAj$ RECHNE OAT¢ 11
� -�9-�/ r� -�
3273 CALIF'ORN]A
COSTA MESA. CALIFORNIA
�' I Ho. o� I uee OF N6W
- PIAN BUILDINO
tCENTlx LINB 9TJ
APPROVED
1 HEREBV AGKNOWLED6E THAT 1 MAV6 ReAo TX18 APPLIWTION THE AMOUNT BHOWN UNDER VALUATON IS ROR TNE
AN� 8TAT6 THAT TH BOVE 18 COPREGT AND AORCE TO COM- PURPo9E OP EBTABLIBHING A PERMIT FEE ONLY.
PLY WITH NLL C O INANCEB AND BTATE 6 ULA NO '
BUILDINo Co u ION. � VALUATION
SIGNATUR OF PERMIT FEE $ `D �
PERMITTE �/ /
AUTHO
C%�1�'...LPi��r./ � I i�S ��� PLAN CHECK $ tS �
�..�u �n.- ¢ /�i
2
0
� �___�
��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 9f7 C08TA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
'TYPE OR PRINT
BUILDING gp�g Caliiornia St.
ADDRES9
COSTA MESA. CALIFORNIA
OWNER '�mherst Development Co. � -
MAIL 1533 Baker .Sti•
ADDRESS
C.IN Costa Mesa � NE�'K1911S1
Garden Grove
FEE RECEIVED
��.QCT 1 �+ 18uU
'FINANCE pEPT.
APPLICATIOIV F6R �Rivf17MES{l
BUILDING
For Offiee Use Only
rseceirr xo. I re
av
/� 07
o�re �esuec
COSTA MESA. CALIFORNIA
ADDRESS 1533 Baker St. ZONING
C�TM VO$ta. hiesa, V�11 IONE I NO.OF I u8E OF New
• R�1 PLAN92 Bl11LDIN� W
i;� No. 157293 No: KI. 9-1151 ���� i,ot 6 Tr.
DEBCRIPTION
SIZE No. OR BlDGB.
OF LOT 6� X 1 � 4 .rvow oN LOT A. P. NO. ROII@
USE OF np� YARDS EVES
EXI6TING BLDG. APPROVED ALLOWED
66TBACK LINE FROM � � [CeNT6R YNe 9T.)
cenrea or srrseEr 0 REAR YARD ��' FRONT . FT.
SIDE YARD I�EFT S� IRIGHT �i R.SIDE FT.
DESCRIPTION OF WORK !'
EXTERIOR WA�J,, ROOF
GOVHRING S�LllCCO COVERING rock
U8E OF BUILDING AND WORK TO BE PERFORMED
Single family residence with
attached garage. Plan l�LA
1 HBREBY ACKNOWLE06! TXAT 1 XAVE RPJ.O THIB APP4CATION
AND 9TATE TXAT THE ABOVE IS COqRECT AND RGREH TO COM-
PLY WITX ALL CIiY ORDINANCE9 AND BTATE LAWB REOULATIN6
BUILDINO CONB'RiUGT10N/.�
BIGNATURE OF �/ �/�//f/J/
'AUTHORIZED AGENT �ike 8rf�olegrove� Inc.
APPROVED
�
��
TH6 AMOUNT BXOWN UNOCR VALUATION IB FOR TNE
PURP09E OF, EBTABLIBHINO A PERMIT FEE ONLY.
VALUATION L
PERMIi FEE $ 3u•
� 16,014���1 pLAN CHECK � ,'V •