HomeMy WebLinkAbout2523 BOWDOIN PL - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 2523 BOWDOIN PL
Suite:
Vicinity: HOUSE & ATTACHED GAR4GE
Parcel Number: 14141214
Applicant: BABBITT, JENNY JOY
Address: 2523 BOWDOIN PL
� �. �
COSTA MESA; CA�� �, .
�- ' .
owner: BABBITT,:'JENNYJOY�'
Atldress 2623 BOWDOIN PC � -
/, �, � .. ' . .
%COSTA MESA, CA �
Contractor. OWNER-BUILDER
.Addresa: � � _ ;'
Zip:
Arch :
Address: '- .
Zip: •
� . ,� i
'�-, Phone:
License:
Zoning:
� . -Phone: (714)545=1774 �
� � Zip: 92626
Phone: (714)545-1774
Zip: 92626
Phone:
� License: � 0
- , ' Eng:
� Addre`ss:
Status: ISSUED
Applied: 09l27/2001
Issued: 09/27/2001
ISSUED BY: -
`
�
:�'
1i � �
� � � ��
�i
�
� , ,�
, `�, .'.
, - - , Phone: , . �� �` �
. � � � License: � ,
- . 5G(JPE UF PERMIT
i REROOF EXISTING SINGLE FAMILY�RESIDENCE & ATTACHED GARAGE(30 SQ). TEAR OFF EXISTING ROOFING & �
RESHEATH WITH 7/16" OSB. INSTALL 1 LAYER OF 30# FELT UNDERLAYMENT & REROOF WITH 25 YEAR GAF � � �
TIMBERLINE SHINGLES. _ • = � � ' '
. �
� _ '_ �_� FEE SUMMARY/� . . -
Plan Check: $0.00 Calc Valuation: Sa,00aoo
Permit: $97.25 Claim Valuation: Sa,000.00
SMIP Res:
SMIP.Com:
Other:
I nspection:
Total:
$0.50
$0.00
$0.00
$0.00
� $97.75� - �" ,
' �
`i ,
SETBACKS�� '• �.
MAIN STRUCTURE Front� 0- 0"� � Rear
�
AGCESSORY Front � 0-0 �� � ��Rear
PARKING Existin : 0 ' . Required:
NOTES:
PLANNING & ZONING
0- 0 Left 0- 0
0- 0� Left 0- 0
0 Proposed: 0
. �
, ,,
Right� ' "0- 0 �
Right - 0- 0 -
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under CaliFomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all
requlred Inspectlona and final approval must be obtained. Failure to obtain inspections and Final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 I
2446-48 (C✓00)
WORKERS'COMPENSAnON DECLARAnON: '
I hereby aHirm untler penalry of peryury one of the following declaretions: �
❑ I heve ana wlll maintein e certificate of consent lo self-Insure for workers' compensetion, es provitletl for by section 3700 0l the Lebor Code, for Ihe peAortnance oi Ihe
work tor which this pertnit is issued.
❑ I have entl will maintain workers' compensetion Insurance, es requlred by sectlon 3700 of ihe Lebor Code, for the peRortnance ot the work for which this pertnit is issued.
My workers' compensatlon Insurence carrier and policy number are:
Cerrier: Policy Number:
(This section need nof be comp/eted il fhe Oerm/f75 ve/ued et one hunOretl tlollars ($100) or Iess.J .
❑ I certify ihat in t�e perfortnanca of the work tor which this pertnit is issued, 1 shall not employ any person in eny manner so es to becwne subject to lhe workers'
compensation laws of Caliiomia, end egree thet If I should become sublect to the workers' crompensatlon pmvisions of Sadion 3700 of ihe Labor Cotle, I shell totlhwith
comply with these provisions.
Appllcent SignaNre: Date:
WARNING FAILURE TO SECURE WORKERS' COFAPENSATION COVEfiAGE IS IINLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAI. PENALTIES AND CIVIL FWES UP TOONE HUNDRED
T}IOUSAND DOLLARE (5100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOF IN SECTIIXJ 31060F THE LABOR CADE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION: ��.
I hereby eNirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 ot ihe Business end Professions Code, and my Ilcense is in full
force entl eHect Llc. q Class #
Cantrectors SignaWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm thet ihere is a construction lending agency for the pedormance ot ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Address:
SigneWre: Date:
OWNER-BUILDER DECLARA710NS:
I hereby eHlrm ihat unCer penalty of perjury thet I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Protesslons
Code: Any ciry or wunry which requires a pertnit to consiruct, elter, improve, demollsh, or repeir any structure, prior to its issuance, also requires the applicant tor such permit
to file a signetl stetement thet he or she is licensed pursuent to ihe provislons of the Contractors Licensa Law (Chapter 9(commencing with Section 7000) of Dlvislon 3 of ihe
Busin end Professions Code) or that he or she is exempt Iherefrom entl the basis for ihe elleged exemption. Any violation of Sactlon 7031.5 by eny epplicent for e perm�l
su `cts the applicant to e clvii penelry o1 nol more than five hundred doilars ($500).):
I, es awner of Ihe property, or my employees with wages as ihair sole compensetion, WILL DO TME WORK, and Iha sWCNre Is not Intended or oReretl for sele (Sec.
_�7044, Business and Professions Code: The Con�ractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work
himself or herself or through his or her own employees, provided ihat such improvements are not Intendetl or oHered for sele. If, however, the building or improvemant is
sold within one year ot completioq Ihe owner-builtler will have the burden of proving that he or she did not build or improve tor purpose of sala.).
❑ I, as owner oi the property, am EXCIUSIVELY CONTRACTING WITH LILENSED CONTRACTORS to con5tmct lhe project (Sec. 7044, BuSiness an0 Protes5ions
Code: The contrectors License Lew tloes not apply ta en owner of propeny who builds or improves thereon, and who coniracis for such project wlth a coniractor(s)
license pursuant to the Coniractors License Lews.).
under
Owner ID v�fified by
Venficetion of Ownei
Business antl Protessions Code for this reason:
;8. ❑ Y85 ❑ No
ot document, i.e. - property tax blll or
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no axcevetion five (5) or mora feet in depth into w�ich e person is required to descend, will be made in connection with work euthorizetl by ihis
permit, entl t�at no building structure, scaHoltling, talsework, or tlemolition or tlismantling ihereof, wiil be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Ttle B, Califomla Adminisiretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit Irom the Division of Intlusiriel Sefery, es notetl above, unless such person hes e
permit to do such work irom Ihe division.
Signeture: Date:
Division of Indusirial Safery Permit Number:
CERTIFICATE OF COMPLJANCE IWU AUT}iORIZATON OF ENTRY: I certily under penalry ot perjury ihat I have reed this applica�ion and sta�e �hat the information given is
wrred. I egree to comply wlth all siate laws and ciry ordinances relating to building construction, end authonze representatives ot ihe City of Cos�a Mesa to enter upon ihe
eb�j escnhed prop for in n pu oses. I agree not to occupy or ailow occupancy of any building euthorized by this permit until tinal inspection.
LAOiJ//N,// �.li .l.�- C/ �27�D /
SignatureOfCagel�Owner(s) — �� Da'e
t�;,, , ,� _ . - py; . ; .
And/Or Authonzed ADplicant - Date
40oE �. INSPECTION TYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roo1
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Fin01 Sign
204 Final Demoliiion �
um
R7i .,�sl 1
COUE� INSVECTIONTYPE
206 Final Mechanical
200 Final Plumbinq
210 Finel Elecirical
212 Final Flre Prevention �
220 Final Planning Approval
222
250
Final Site
Final Building/Occupency
j1ajF INTIfULS
POOL b i
CONSTRUCTION AND PLANNING : _ 'i
APPROVALS Peimit � Date Inspector AppROVALS Permit #� Date � Inspector
1. Temporary Electrical Service c�h��Pole 52. Pool & Equipment Locauon _ '
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement -� �
� ;3.�Hectrical Conduii UtilitY-Undrgrnd. 54. Forms � � ' _
' 4: Electrical Condui�,Un`drgrnd. �' ��� 55. Electrical Bonding
;�5�Steel Reinforcement�� 56. Rough P�um6ing & Pressure Test � ' �
_ I.
� 6��Electrical UFERrGr�d. 57. APPROVAL TO COVER-GUNITE �
_ �.
-,=9� Footings '�"' , � 56. Electrical Condi'it"Undrgmd.
y� 6. Foundation ;i . 59."Gas Pipe, � UrtFlrgrnd., Test
-: r.�t �-
'_�9. Water Pipe-Undr,grnd. �' �. 60. Backwash �ines�P,wTrap, E3�ndrgmd.
70. Suuctural FloorrSN@tem .` 61. APPROVAL TO D�CK. �
11. P�operty Sewer Lii+e & HouseConnection 62. Backwash & Receptor-Final . -' ,
12. S'ewer Cap � � � 63: Heater & Vent�Final ' '
13. Roof Drains • � 64. Ptumbing System�� Final �'
14. Ro�gh Plumbing, - 65. Electrical-Final � �
15. Rou9h Electricai-Condult -- 66. Soiar System-Fi�aJ
76. Rou9h Electric lVirin� � 67. Fencing & Access Approvai ' '
� 17. Rough Vdiring Sign � 68.� APPROVED FC�Fi'PIASTERING
- .�
18. Rough Electrica�ijT Bar Ceiling � 69. POOVSPA SYSTEMS PINAL
79. Rough Heating & Air Conditioning FIRE OEPT.,_REQUIREMENT
r.. - -
20. �ouqh �actoryFir.ep)ace ' .� ; �_ ,��y � �,APPE30VACS; � Per`mit# ' �
27. Ducte,in'StruCture:x � •� - '� _ " _ * `� 70. "Undergroun`{1 F{ydro *
22. Dutts, Ventilafin ' ;. � ` '.- "`-' :' • '�'`� �. � `
i , 9�. ''~ ,� �_. ��, �.�:, 77. Produei��PingT��Gas C70i1
23. Gas Pi e-Rou h& 7est r_, - ''� -
P fl . ti. _ ' 72. Unde�ground F�tusti
24. Roof-framing" """ ' -"- '- � % Y� - ^' � '-'r
..., .;;,, , x -. 73:. Undergrnd.Sto(aqeTank;OGas ❑Oil
25. Roof Sheathing �;: � �� i'�r � 74', pverhead HYdro�K '
4a 1v
26. T�Ba�'Ceiling (Sirq�t[�raiY & MonoLoat � '- `'�A 75� Dry Chemical __� f y �� �:.
27. Fiame and; Fiashi g;r �.,;� z� ��� �� ;, 76. Dry Standpipe r� "b�
�• 28. �athing &ySiding �✓;r " ` � � J .4 �- " 72; FIXED SYSTEftA?�iNA� _ �-. -
..29. Msulation. � : � _ � .. t �� �x 7g; FIRE'PREV. FINAL ' ' " �"
rt+
-�' 30. Dry�vall Nailing �� r, X � � - __ G: HEALTH DEPT.�REQUIREMENT . �l
�_� --> , x . . �:,.'. � ,�. � ,. ..
,; 31. Plaster B;qwn-Coat.= - F - 79. PINAL INSPECT��N y� ��
i
� 32 Electricai-�ower N�f2rFinal � s�' ' �" �' 8Q; POOD CERTIFlCATE 1$SUED
- 33. Finz4;;Eleairic� �,� �; � � � �' N� Noter. � i•*! " - _ '
'� 34. FinatFHeaifng'�& A'i7�Conditionirig"= "� + Y � l / =W ��� -
T_ � .. ._. 'q �r. x:_. . '.* . ^4 � � •
35. �Finai Gas Pipe=Test=' - .. '� r. , 't ' �," _ _
' 36. Hoo�d or CanoPY =. . �=' ry '. ^ _, x .- I �a . _ - a. ~., - -
- � .-i • i ; � .^-' a1. A . . -: m
� 37. Final.Factory Flreplace -, � �'`� _. M ��' =r � ,.
.: r
_ 38. Final�Plumbing * �� � ' "': . - ` :.
. i + t: >
39. Water Service-Pinal �' 4 .' �: � . , ` r '-
z� , 1.- `�- t-`
� 40. Gas Service-Final : 'T. r't* .' � -. ^+ G!- =+�� ` ^
..� � �.' y . � i y� E
41. Solar pomestic-Final' -- ' ` " �� ' '' n `"" _ _
• e -� o -
42. Backtlow Preventer ., ;� � ` t ! '.� - - `� -
� ,, , _
43. Backflow trtig�tion �', ',-� '' �" .
. �j
ti. � �;
��4A. Landscap8lruqation�System�T?;C -- r T� - � � * � r� ;•; , i ^ -.
� r -� _� .r c.• � ! ' z. ` 7 '
45. Sound ''. . :�.a;�_ ��. � :. _. ; _ ^, ,�;� ,
Attenua[ion_ � .. .. � .. ,. �. _ . .�J• [ .; _
46. Handicap�Reg�lations �- �� � � _ . 'r
c c � `; c
47. FINJ�L STRUCTUR� & BUILDING ' � � "e � � ' -
. � l%' ^ �_
!,
48. E�INAL PLANNING' - �- �' "� � � j �`` ' - � ' `.
+ i. - r �.
49. EVect�ie Release to Etlison ' ° = ��" ,�;. = ` '
y .�; .
50. Gas Release to Southern Calitornia Gas Cn a � - %"� '�� '
, .� �- . z � - - � :`v
51. CERT.IFICATE OF OCCUPANCY +' �- �"� �� r` `
No Date
.
�oonEssaew�awc: z523 BOWDOIN PL
OWNERSNAMEIFqlOWN: BABBITT, JENNY JOY
/iUDNE55: 2 S Z 3 H �wL%� I N
COSTA MESA,CA 92626
' Iuv�.Wuuxo�ooness:
1qLXRECT OII FNOINEEX:
AIICN.OP ENO.'8 ��UqE55:
�Ii1::A
UNT:
UNT:
coNm�crarsruue: DP PLUMBING S INSTAL. ( 714 ) 991-9477
COMflACTOR'8M�IlINO 220 N. CRESCENT WAY
AUDNESS: ANAHEIM CA ucao.: 563793
92801 uNr: M
LICENSEU COHfHACTOfl4 DECLAPATION: I hanby eflim uMer pariely d psrjury tlw I em lironaad uMw pmieione ol Chaqa B
(mmmendnq - M1 Secll n �o00) d Orvixon 0 W tha Buairiw �nd PMaceione Lode, eM my lioenae ie in lull lacs ud eHed.
cm uc. uc. cuss: C 3 6 �� j�\'9\ 3 EXP ;
o�e: ` com�a: ' e r, v�
�
OWNEN BUILDEP DECL�H�TION: I heroby ��m under penety of perjury ihel I em eumq trom Ihe ConVetlon Licenee Lew lor Me
follovnn9 �ee� (�bn ]031.5 &»iwu eM Pmlasaions CoEe: AnY ceY a countY �^'hid re9uires e pertnil to mnhucl. elter. "unprova.
demoleh, or mpeir eny etmcWm, pnor �o iia oauerwe, ebo reQuires iha eppli�ani for swh permil lo ble e aip�wd ele�ement ihel M or aha
o licemed Ws�t lo ihe provisiona d ihe Con�redwe licenae Lew [Chaqer B(mmmendip wtlh Setlion ]000) d Dvuion 3 d ihe
Business enE Prolassbns Cade� a Ihet ha or ahe ia ezemp ihaeham eM iM bsvia fw Ihe dleped eaempbn. My violetion d Seaion
�os, s M�r eod��n re, e re,mu wdm. ina md�� m e ddi re�enr o� �a mo,. md, r a n��a„d adi� Issooll.
� I, es owner ol lhe pmpe�Y or my emply�eae wYh weges av iMi ede mmpenution, will do iha xork, end �M Mructure c eat imeMed
«ollered rm sde (Seciion )oad, eusinase arM Prolandone coda:7M comrenas Limns. Lewdaee na eppty lo en own« ol pmpaity
wM10 budds or in0�'� thereon. eiW wfw Eoea such work IimsaM or hene� a Nraph he or her own ampb�esc. qwidad ihq such
improvamenta ere rot imendad a oilered br sela. It, howaveq tha buiMiiq or im0�mam ia soN xnhin aro yeer d mmplMion, iM
owrerWiHer will M1eva iM W Nen d povinp he or elie d'M iwl WiN or improva ta �he purpwe d sale).
� I, av ownar al ihe prapaM. � eRdusivety mntrecting with licanaetl conlrectac to cmmrua tha propd (Sedion ]OH, Buair�ma eM
PMessione Gode: The Convetlae L'reree Lew doea ml epWy lo en o�mer d propenY ��iWe w impwes Iheroon enE who
convec�a fa cuch prol�s �� e mMredor(s) Ikemed W9�t �o tha Coniredaa Liceme lawl.
� 1 am examp �Mar Saciion: B. 8 P.C.. Iw �ho �eeson:
Date: O.mar:
I do haraby ronity ihel I em ewere ol enE unEenlenC iha reyuiremema N Celifomie Heell� eM Salaty Code Sed'wm 25505, 25S1A, erd
25511, eiM ihai I or eny INure buikiip aoapent will / wil rw� (circb one) need to compy w[h eeid meb oodes vM �M reQuiremenis br
epe�mnlorcansvuctionarmoE'ifm�ionhwn�MAv�a liiy.aiagamentDistnd.ReskenlielowlivaioneppMaianereewmqlmmtheaa
pranaiane.
Deta: / vWK�c
WOflKEH'S COMPENSATON OECI�NATION: I Mreby e/firtn ueMer peneM1y d pe�jury ma d �he /olbwirp Eedareliona:
� I hava vM wil meinten e caNlicete d mnxnl b sell�iroure fa wwken' compenaelbn, es prwitleC fa by Sedion �]00 d the lebor
ceao. �or �ne wno,mence a ine woix �« w�:cn mi. oa�u u n.uea.
fl i neva ena wi� me�me:�.ron�n �w�� ��„�m. � rcawrce M see� aiao d me i.eor coae. ror me ve�rorma,ce a me
7C wark Iw vfiich thia peemit e eaueE. My wnken' mmpansman imurence fariier end pdiry number era:
carnar: FARMERS EXPIRES
Policy Numbar 0 2/ O 1/ 9 6
'This section needriw be com0lefeC /'ha perm,tisla one hundred dWkrs (St001 wlesv.J
�] I can �het in the perlormenca d Ihe wak br whch thia l sheA nd empby eiry perwn in erry memror eo m io
baca�e s'e to ihe wwkare' cwnpanmlion kws W al' E ae il I ehouk become wbl� io tha woAeii
' a' i na Sauun 9'!00 d the lehor C hwil � iM» pmviabm.
Deie: Apq : -
Wam/ny: Fellun ro sxuro woArsri rnmpsiwHon rovereps Is unlewlul, enC sNll su6/ec! en mp/oyx (o cNMnel perwMu enC
c/v// flm� up ro wn �indred tMuientl tlo/4n (SfOq000/, ln eWJtlon ro Ms ewf ol rompaus(bn, E�mryp� u prov/dsd br /n
Sxflon 3106 oI tlie L�or Code, /nferuq and ettomsy'a I�si.
CONSTIiUCT10N LENOING AGENCY: I MmEy �rm uMer penely al parryry ihel there ia a oonxrudian IeMirq epency tor iM
pBf�Ol1118fICB O�IhB MOf�I�Of W�IIC�1�h9 pBf111A 5 4811Bd ($BL1U1130Q�, (�iN.Ci�.
LENDEN'S NAME:
LENUER'S ADDNESS:
icen�ryinmine�e.�eein�se�,pi�mio„anes eihatiMebovain/armytioniscorted.lapreetocanplyxi�hilldlyendmunryoNinerces
e�a swe b..s �imoe io ewbvp ca�w�ao �� er eu r¢e re�aenlatiw� o/ lhia aryto eriter upon the abova-maniur�ad pmpeM
i a o purposea.
� � M Neme , ' � � �
oma:
S�gnelu e W OwnatlqgenUApplicenVConVeclor
(5151d6.WP) Whne-Buikip 8 Sa�ety; GreeMFle: Canery-AppYrant: Pink-Revenue: Golden�oE-Aaaeawr
CITY' iI;;'�OSTA MESA - BUILDING PERMIT
— -rT
PERMIT NO: P 073669 PLAN CHECK NO: N
CONSTROCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION : REPLACE DISHWASHER
CLAIM VALUE: CALC-VALUE:
PERM NO: P 073669
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-1 /
COMMENTS: REPLACEMENT OF EXISTING DISHWASHER
iliEiElElklEiEfElEifiFiE1f1E1f1Fil1Eit1E1fiE3FiF1EiEdflElkifiElEfEiEiE1ElEfFiE1E1E1E1E1flElEiE1E1E1EfEiE1E1E1E3EfFfElkikiE�EjFiEfEiE1EiE1E1Elk�FlfifiElEiEfElf
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL; 14141214 ZNE; REF NO:
PLANNING NOTES>
i
iE 1E iE iE iE iF iE iE iE iE iE �E iP iE iE fE iP iE 3E 1E iE fE iE iE iE 1f iE iF iE 3t iE iF iE iE i! 3E iF iE if if iF iE iE iE iE iFif it if iE iF �F it it iE 3F fE 3E if iE iE if it it 3t iE 1t if it if it iE iE iF it aE if 1E it
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
ZONING APPROVED BY .
�Cii��+����.i�:��li;i�iy
APPLICATION ISS
iE fE iE 1E 1E 1E iE 1E iE 1E!(� 1E 1E 1E 1f
LEGALIZATION:N
HLDG PMT
PERMIT
DATE;
F E E S U M M A R Y
PLUMBING ELECTRIC MECHANIC
% . 0 �
2si
PLAN
ISSUE FEE 20.00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 7.00 20.00 - 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
27.00
3EiElEiF��i(�ik
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON-RES
TOTAL PAID DUE
2%.�� 2%.�� .0�
27.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
iF jE iE iE 1E 1E iElE iE 1E 1E iF �f'%iF if If iE i(� if 1E �E iE if df 3f 1f if if iklE iE IE iF iF iE i6 iE 1E iE 1E IE iE IE iE iF 1E if jF iE 1E if iE 1E if 1F 1k �f 1ElE IE iE if 1E ik 1f if� 3f if i(� if if iE iF ik iE IE If iE
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLO 1 DISHWASHER � 7.00 7,00
END OF FEES
1
E�.�I� �
DA1'E
�
"u? C+71�7435-COI87�"35 T��r7 27.�D
L?ATE; C�8/(191�5 'IP!c'; .ii:t!f
� ,
ADP���ant to fiil in all soaces except those witnin heavY bortler lines antl sign all appropriate tleclaratlons.
� _
•� ci�:Jl�oF cosra mesa � CONSTRUCTION'P,ERMIT �pJ"���f. PERMIT NO. �" ' TR^ACT NO. LOT NO^.''� UNIT,NO. •
Pr0lectAddrns �bS`c.2Z ��LU/�C]//.i �. �E'.SK � � Z`J�.I � p�.�� � /� ' � ,
ApplicanYs Mailing Address --�j �� � � � . TYPE OF CONSTRUCTION NEW aDD ALTERATION REVAIR �
O�+'�ef'SName �/92�-E�/• �%��%�✓!T Phone � 5����1� � CONVERSION ❑ DEMOLISH � O HER Ap #
DESCRIPT N OF ORK/USE OF BLOG..��N U CT 0/?�P�
' Address ���-s a 3 f30�.e�DOi,�J f7G. ('as-na :� • �,Q'�� . �— s Main Building:
"`� - cSE L� E �
Arch/Eng:; License No. ' TVPE OF PE MIT ❑ GRADIrvG ❑ FouNDATIorv STRUCTV RAL T Front
�_..�
,AddFre45-�'� � � ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' B Reaf
Con[feCtor'SNamP �/�%���=��� _ 'Plione ��� ��%7� , �'�THER ' � . C Ri ht
i � � q � • . ' - ' � � PitOJECT DESCRIPTION SQ. F _ OCCUPANCV ` 9
,Addfesslmailing) CONSTRUCTIONTVPE VALUATION$ ..7.���� g Left
CitY License No. - . _ . � , , � /
,
... _._ _ .. ._ _ . _. . ZONE ' GRADING CU. VDS. ACRES
LICENSED CONTRACTOR DECLARATION , Ping. Ref. #
I hereby affirm that I�am licensetl untl¢r provi5ion5 oT Chart¢r 9(comT¢nCing Remarks: � , Planning NOteS:
wit� section ]000) ot Dlvislon iOt he Business antl' Profes`ions Cotle, antl
my Iicense is in tull forco antl effdcc> ,
License Class � ��� Llcense�No. .
Date Si9nature � �
WORKERS' COMPENSATION DECLARATION . � . � � �
ereby aHirm that I have a cerHficate of consent [o selt-insure or a<ertificate
Workers' Compensation Insurance,� or a certifietl copy thereof (Section
.00, Lab. C:) , '
Pollcy No. Company
eCertifietl coOY is hereby turnlshetl. '. . '
Certitletl copy is filea with tha city Builtling Dlvision. .
�ate Applicant — •
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This se<tion neetl no[ be completetl if the permit Is for one huntlretl (5100) or '
1255):
I certity that in th2 Perfo�mance ot tne wo�k fo� which this p¢rm�t i5 ITSuetl I
shall no[ employ any pe�son In any manne� so as to become subject to t{�e
Worker�% ompen5� o� LawS ot CalifOmi �� ��J --� �>��
Dale' —/�'— _y Si9nature �r� L�
NOTICEi If, after making this tleclaration, you shoultl become subject to the
Workers'�Compenwtion Orovisions o( the Labor CoCe, you must (orthwith
tomply with -Such 0/Ovi5ion5 0� thi5 pe�mit shall Ge tleemetl revoketl. ,
CONSTRUCTION LENDING 'AGENCV � � �
I herety atfirm t�at there i5 a con5t�uction lentling agency (o� the pe�fo�mance
oi the wark for which this permit is issuetl (Section 3097. Civ. C.)
Lentler's ' Name '
Lentler'S A�Cre55 '
OWNER BUILDER OECLARATION '
I hereby affirm that I am exempt.from Me ConVactor•s License L.aw Tor the'
following reason (Section ]031.5 Business antl Professional Cotle: Any city or
county whicnvequi�es a pe�mit toicOnst�uct, alteq imp�ove, tlemoll5h Or repai�
anv structure: odar to its issuanre. also reoWres [he aoolicant for such oe�mit
,31.5 by any applicant tor a permlt suo�ects tne appiltant.t
,�enalty of not more than five huntlretl tlollars ($500). - .
L� I, as owner oYthe property or my'employees with wa9es as
COmpensation, will.Go the work; antl the StrUcture is not InienGetl �
.for sale:(Section ]044; Business antl,Professional Cotle:�The•Co
Lic¢nse Law Ooes not apply to an owner Of a p�operty who buI1G5 0�
thereon, anC who Hoes'suchlwork himselt/herself or throu9n his w
em0loy¢e5. prbvitletl that suCh improvements are not Intentletl or O�
. sale. It, nowever, tne nWlaing or improvemenc �s soia wiimn one year�or com-
ple[ion, the owner wlll have the burtlen of proving he/she Gitl not builtl or im-
�rove tor the purpose ot 5ale):
I, as owner oi the pioperty, am exclusively contracting witn Iicensetl con-
ttactors to construct the project (Section ]044, Business and Profezsions Cotle:
The Conbactor's License Law does not apply to an owne� ot p�operty who
builtls o� improve5 thereon, antl who contracts for SUCh Orojects with a con-
� t�actor(51 licenie pu�sUant to the Cont�acto�'s License Law). I am aware that
� proo( ol their Worker'S Compensation insurance Shoultl be provitled to me.
�
❑ I,em exempt unCer Section B. & P. C. tor this �eason
' I �hereby �, certi(y� [h5t I
'iniormation Is correct. I
'antl state laws relating I
;sentativez of this city
�inspection purposes.�J�
Signdture __ (/VL
• Drivers' License or 55 �
CMF 0865-46, rev. 10/86 -'
Owner _�
ive reatl this
iree to comp
builtling con
Sink
Preventer
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
I nterceorors
Kitchen Sink
LaJatories . '
P-Trap .
Roof Drains � �
Reinspection Fee . I $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating �
Ezhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO # ^
Heating SVstem & Ducting �
❑ ai oo,000 eru O i oo,000 aT
I I peinspection Fee
Bulltling; Canary - Applicant; Plnk - Accounting; Goltlenrotl - Assessor
$15
PLUMBING
Showers
� Service Sink -
Sewer Cap� �
Sewer Connection
$012f COIICLLOfi j
Solar'Pipin9 "
Solar Tank ' � �
. Swimming Pobl w/Spa '
Urinal --
Water.qoset �
Water Heater
Water Service
Auto-Wash
FEES
Issue Fee , ;_ � $ 3
�Hood or Typel ❑ ,
Canopy Typell ❑ '
Refrigeration System
❑a�ao,000eTu ❑ioo,000
�System Repair/Alteretiori
�' Fire Dampers , . '
Issue Fee
"U
$ 3 '
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator OP5 KW
za9� iiii5iaa
2299 '
5y, i �. �` ,
— � y zo�e
Accessory Building: ��b
�91..-_p u _ . • , o
N
I
� • O/_�r� N
'7 �— O `� c
R.
Parking Req./Provided - ' E
�
/� � M
� „",�V \ ` � T
$
15
I Reinspection Fee I $15
DEVELOPMENT SERVICES REQI
Zoning Approved By�
Building ApproVatl By �
Appliption Issuad By
ELECTRICAL
Transformer ❑ 15-50 KW -
❑ 50+_KW
Meter ❑up to 100 amps,
Meter ❑over100amps
Sub Panel
Motors�41 HP O1X-8
Inc.Solar �9�15 HP �16�15+
Microwave '
Pole Light �
Range
Siqn i
; Standing Sections
Trash Compacmr
luue Fee
FEES
i
$ 3
SU� yMARY OF FEES
BUI�DINGPERMI7 $ 3�.5� SMIP � $ � "��
PLAN CHECK ,$ a /� / �L pERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ' ' ENERGV P.C. $
ELECTRICAL $ GRADING ,$
PLAN CHECK 50% $ � � MICROFILM �$ �
MECHANICAL '$ � _ TOTAL FEE $ -5 �
PLAN CHECK 25% $ ;
�I
M•
. �
R,ANSTRUCTION AND_PLANNING � ' . - POl ,.SPA � � . ' ." �
�� qPP.ROVALS � • Permit # - �� Date Inspector p�ppROVALS - � Permit # Date Inspector �
1. Temporary Electrical Service or.Pole - 52. Pool & Equipment Location: � .
2. Soil Pipe�-Undrgmd. � . � , � 53. Steel Reinforcement . � ' �
� 3. Electrical ConduitiUtility-Undrgrnd. '. � . 54. Porms � " ' � '
�
4. Electrical' Conduit'-Undrgrnd. " �� - - � � 55. Electrical Bonding � , . � ' � �
5. Steel Reinforcement � • - � 56. Rough Plumbing & Pressure Test �
- 6. Electrical UFER Grnd. •. .�' ' 57. APPROVAL TO COVER�GUNITE , . � j
i
7. Footings� . � ' . ��� �C,J 58�. Electrical Conduit-Undrg'rnd: � : i � '
8. Foundation, ' .. . � 59. Gas Pipe, � Undrgmd., l'est � '
�
9. Water�Pipe-Undrgrnd�. � � . ,.60. Backwash Lines, P-Trap, � Undrgmd. ,
-10. Structural Floor System � �� ��v;!� � '� 61."APPROVAL TO DECK � -
11. Property �Sewer Line & House Connection � �� � `62: �Backwash & ReceptorFinal' . ��
12. Sewer�Cap � , ,- . � 63. Heater & Vent-Final � �
13. Roof Drains � . • 64. Plumbing System�- Final ; I
14. Rough PI'umbing � � 65: Electrical-Firial �
15. Rough Electrical-Conduif-� , � 66. Solar SYstem-Final � �
16.. Rough.Electric Wiring � , 67. Fencing & Access Approval �
17. �Rough Wiring SignT .. � �, 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T,Bar Ceiling � '69. POOL/SPA SYSTEMS FINAL � � ��
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � .
20. RoughfactoryFireplace � , '� APPROVALS Permit#
21. Ducts, in Structure�' . ( 70. Undeiground Hydro �
22r Ducts, Ventilating ; . , , 71. Product Piping 0 Gas ❑ Oil ,
23} Gas Pipe-Rough & Test , ' � 72. Underground Flush �
24: Roof Framing ., � � � - 73. Undergrnd. Storage Tank O Gas ❑ Oil
.25: Roof Sheathing � ' r/ � t2 . 74, pverhead Hydro ' � � '
26. T-Bar Ceiling (Structuralj & Monocoat - 75.� Dry Chemical � . ' ,
27! �Frame and Flashing • ��K (�� 76.� Dry Standpipe .
28' Lathing & Siding � , 77. FIXED SYSTEM FINAL
29. Insulation �- � . . � 78. FIRE PREV. FINAL
30. Drywall Nailing ' � HEALTH DE°T. REQUIREMENT
31. Plaster'Brown Coat - ' 79J FINAL INSPECTION
32. Electrical Power Meter-Final � ' 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 P.lumbing � . ' i '
39. Water,Service� Final -•� � , , -
40. Gas Service-Final , . � ' ' ; �
41. Solar pomesticFinal . , � � - - � - - - � - � �
42. Backflow Preventer � _ _ , . _ _ _ . , , - ' ,
43. Backflo�m Irrigation � � � ' ' � : � � . � � , �.
i
44. Landscape.lrrigation System . . � , � i
�
.,
45. Sound Attenuatio"n' j ' �II���' , i' � � ,
46. HandicapRegulations� I !.� �. i'� . �,
47. FINAL�STRUCTURE & BUICDING , � 8 �' ' . � i � '
48. Special Requirements Completed� , . j i � � ' , . , �
49. Electric Release to Edison f � - � � - �� ' � � � � � "
,
50. Gas�Release to Southern California GasCo � ' ' �� ' •, �. �
51. CERTIFICATE OF-OCCUPANCY - --- � �- -�- '--- -� r - � � � , , ,'
�
No. : � Date�� �. � . . . . _ . . -
owx�.x O�NEILL,_JOifN C. DnTE 10-6-59 _
JOB ADDRESS 252i BOwdOlri Pl BUILDING PERVIIT NO. 10�t7S
Bilt Const. Col
AP. No.
1 CCTIONS DATE _I GROUP
L :ground Soil U.G. Water —I SUBCONTRAGTOR
Low,m;
Form 210-3M-4-59
TYPE
Block �r7a11
I -1�3�"7`3
CQSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 3f] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/LL /N COMPLETELY
TYPE OR PRINT
BUILDING -a 3 ' /
AODRE55
COSTA MESA. CALIFORNIA
--� --- _ , i _ � /' ifl 7 _ /., � i �
MAIL
ADOI
CITY
LIC.
�C?TC{i�i /7 Ge NJTR C �
ONTRAG O L
�'�d E� .e, p/� ��e�
�E�a� I �oT n/� I
�SIZE I NO.OF BLOGS.
OF LOT How oH �or
m=EE R�,G �1IED
FINANCE DEPT.��
APPLICATR�N��ORMPE RM IT
BUILDING
fo,e ofFicF asF aacy
I RECEIPT NO. I PERMIT
COSTA MESA, CALIFORNIA
TYPE GROUP
ZONING
NO. OF USE OF NEW IU
PLANS � BUILOING C
� . /Y r !]GTF /V�
ICENTER L�NE ST4
SETBACH LINE FFOM � � � �
CENTeR OF STREET � REAR YARD O R
�� tI
SIDE YARD ILEFT IRIGHT �
DESCRIPTION OF WORK
REPAIR I IIMOVING I IIDEMOLISH I
BUILOING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL IROOF '
COVERING COVERING
USE OF BUILDING AND WORK TO 9E PERFORMED �/
� C
��"f I��`� 0 K J ii�C.% !'r" _
1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION
AND STATE THRT TXE ABOVE IS COFRECT AND AGREE TO COM�
PLY WITH ALL CITY OROINANCES ANO STATE LAWS REGIILATING
aUILOING CONSTRUCTION.
SIGNATURE OF �' � ' �
PERMITTEE ��V
AUTHORIZED AGENT _
THE AMOUNT 6HOWN UNDER VALUATION IS FOR THE
PUNPOSE OF ESTA6LISHING A PERMIT pEE ONLY.
VALUATION
OJ�,J/'\ � PERMIT FEE $ � ^�
G+l <C. �
$ d�
�Cr.� PLAN CHECK S
TOTAL FEE $ C7 �-
� � �0 �.. .
�OSTA MESA BUILDING DEP,4RTMENT
P.O. BOX 31]
COSTA MESA, CALIFORNIA
6'�� RE; :I���
�,,v- APR al t
FiNaNCE oEPr.
�� � r ut COS?,4 MFSc
FOR APPLICANT TO FILL 1N APPLICATION FO'R PERMIT
ADDREI55 2523 Bowdoin Place ' BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIGT NO. PMIT N .
OWNER Crotim Homes Inc. (J �l
MAIL 1555 Placentia. aE�E��Eo BY C�lAT/E RECENE� Df�TE ISSl1ED
ADDRE55 j��� — -� � -J'�r
cirv Ne Oi't Be&Ch Cal. �No: r;z 6-3zz7 AooRe�ss
ARCHITECT $a,j(Q LIC.
oR eNcweeR No. COSTA MESA. CALIFORNIA
FIRE
ADDRE55 {J $'�ye' r�'��/ ZONE
�{ j'j n�l]. COIS3y• CO• CITYLIC. 1(.J.(, �aNE NO.OF TVPE GqOUP
CONTRAC�OR � NO. � P�p�s L � K
ADORESS S2SI1@ NO. SSi12 BYPROVED DATE
�E�A� - �or � CORRECTIONS
o[scnivnorv NO. 27 BLOCK TRACT 2882_
A.P. NO. •
SIZE � [/� ^ NO.OF 9�OG5.
OF LOT �J\/ ?[ �O/� Now ON LOi O
USE OF
EXISTING BLDG. '
SETB/�CK LINE FPOM ry
CENi[a OF siac[T �O REAR YARO �I
SI�E VARO' RIGHT LEFT
DESCRIPTION OF WORK � -
NEW � ALTERATION IAOOITION
REPAIR MOVING OEMOLISH
SIZEDING 1611�µ2O ROOMS O STORIES 1 .
EXTERIOR WALL ROOF L
COVERING t7iCCO COVERING VjQ� $�ySke-
USE OF NEW ' �
BUILDING residence and att. ara e �
Flan 1—B
o n shown under valuation is for the
I MEFEBY ACKNOWLEOGE TFIPT I HAVE FEhO TMIS APPLILATION AND purpose of establishing a permit fee only.
STnTE THwT THE RBOVE IS CORRECT FNO TGREE TO COMPLY WITH ALL
CITY ORpINANCES !� f�TE L4W5 REGULATING BUILUING CONSTRVC-
norv. VALUATION
SIGNATURE OF ,
PERMIT FEE S �S�OO
PERMITTEE
s
15,967�0� PLAN CHECK $ 17.50
AUTHORIZED AGENT TOTAL FEE g S2�SO
a..
n