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152 BUOY ST - Building Permits
ra Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO, ^ TRACT NO. LOT NO, UNIT NO, CITY OF COSTA MESA aC�ONSTRUCTILON PERM�ITI 3S ul A.P.# I zone Project Address /S Z FJ��7l.� s-L 4(,l�C(^ 4tlG ' !.,(P� • EJ I ��V S Main Building: Accessory Building: A% 1 's Mai 'ng Address SAW' TYPE OF CONSTRUCTION' U NEW' a ADD LI gLTERATION LR REPAIR E Z ' / / qS 1&i7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 1 T Front • _ 0 Owner s nlame 0 1►� Phone ,� SCRI 10 F W K/U F DCS. Rear Address/4 ICI'S KS LL ay 3+ ccysf.. .'1-t esti ` �‘ a--111(0° F�F�'`' A - I C Right - • N Arch/Ert9, License No. TYPE OF PERMIT RADING ❑ FOUNDATION ❑ STRUCTURAL K- ' G Address /J r� '/ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIC L t- $ LeftR Contractor's Name�C4i i%L.-(Z.oO�i ✓s-1 Phone ..-1')'3 S6T9 CI OTHER let too Vt vy�� Y/��oeflr4,. oyes-, �C..KG Ping. Ref.# • Parking Req./Provided E Address(mailing) 'fa7?_ ✓tve14f l'io x.Q PROJECT DESCRIPTION SQ. F'i:' `/aG�� - OCCUPANCY Planning Notes: M City License No. Ile 33 CONSTRUCTION TYPE VALUATION$ 4°U 1 T ZONE GRADING CU.YDS. ACRES - S. LICENSED CONTRACTOR DECLARATION ' / Thereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ( c.ot© 3`1c7' (.Q 2 Ct / 5 / with section 7000) of Division 3 of the Business and Rust, '....n nd t O� my license is in full force and eH- .S 7 3%:." he Q� -�-- ft ELECTRICAL FEES License las L Lice a h'o.- -tip - - Sw 6 pes.o(otr($) Rpt.,;tree Tem, 1-t'n,•,t.. Sign lure Ur. -- // -..�. Automatic Washer Transformer ❑ 15-50 KW O Date Si n. _ . PLUMBING FEES I -aK RS COMPENSATION D- LA-eV ION .Construction Pole Sub. 0 50+ KW eby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps v 3800, Lab: C.) I,r ,f.. Backflow Preventer . Service Sink \` Polic No.OIW L10t 7.0121/'9 Company S,,p 0C. p Dishwasher Meter Dover 100 amps V /- P y Backflow Irrigation Sewer Ca ertified copy is hereby furnished. ,/ . Dryers ❑Gas ❑Electric Sub Panel Certified�f py is filed with the city w ding Divi ion, T // Bathtubs Sewer Connection Date C// fS/$1 Applicant '"'� G_r•V Fan • EXEM VTION FROM WORKERS'C PE fq SST ION DECL ATION Clarifiers Solar Collectors Motors❑0-1 HP ❑1'/x-8 (This section need not be completed if the rmit is for one hundred ($100)or F.A,U, ` less). Dishwasher Solar Piping c.Solar 9-15 HP ❑i6-15+ I certify that in the performance of the work for which this permit is issued, IFixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank • Microwave Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa9 NOTICE:If,after making this declaration,you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal . -- Range • comply -with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Sign • '� - I hereby affirm that there is a construction lending agency for the performance - - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater "" Garbage Disposal Standing Sections Lender's Name _ - - - Lender's Address Kitchen Sink - Water Service Generator 00-5 KW 05-15 KW Trash Compactor -•" OWNER BUILDER DECLARATION - - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or - • •county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit t' file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains it-VI Contractor's License Law(Chapter 9 (commencing with Section 7000) of lion 3 of the•Business and Professions Code) or that he/she is exempt - - Reinspection Fee $15 Issue Fee " J'_ $ 3 .efrom and the basis for the alleged exemption. Any violation of Section - 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). • - • - DEVELOPMENT SERVICES REQUIREMENTS: ., 3 ❑ 1, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ -t compensation, will do the work,and the structure is not intended or-offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES4-• I Building Approved By 'i Date License Law does not apply to an owner of a property who builds or improves _ _ thereon, and who does such work himself/herself or through his or her own Application Issued By -Dat: ` "CLW employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0. SU RY F F S pletion, the owner will'have the burden of proving he/she did not build or im- Duct- Under Ground ' O prove for the purpose of sale). - - i BUI LDING PERMIT, $ l• �J SMIP �' $ ••� ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: t - �" .' $ PERMIT, The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ' ISSUANCE $ , builds or improves thereon. and who contracts for such oro iects with a con- - tractor(s) license pursuant to the Contractor's License Law). 1 am aware that Exhaust System 0 Multiple 0 stem Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ • proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ • ❑ i-am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ �`/� +,,, Date Owner Heating System& Ducting i Registers MECHANICAL- $ p�. c V I hereby certify that I have read this application and state that the above ❑0100,000 BTU ❑100,00013 1- . ". TOTA L;FEE $ Information is correct.;) agree to comply with all city and county ordinancest' PLAN CHECK 25% $ ' and state Ilating to building constructi•n, and hereby authorize repre- sentatives t is city to ent-r upon the 6bove-mentioned pro.erty for yv `.inspection rp.,,ses, I '-� L tl " 'Signature f s�� i.--aL/. ' - Date ' 'si7 - ' Reinspection Fee $15 • Issue Fee $ 3 Dmere': - d • ; 01 00032947-00032748 TOTrt 81.50 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor - 'DATE% DS/15/8D Tltie: 12:J]' - r ,, .i . _ _ .. . `; \a' 'Z'' • CONSTRUCTION AND PLANNING ! PC & SPA , APP OVALS Permit# Dat Inspector tti APPROVALS remit Date Inspector l 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 12` 2. Soil.P,ipe-Undrgrnd. S 53. Steel Reinforcement '-'; .s 3.>Eledtrical Conduit l-Jtility-Undrgrnd. 54. Forms i 4."1Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5..YSteeieinforcerrent :,( . J 56. Rough Plumbing & Pressure Test 6:".1 Electrical UFER'Gfndr + 57. APPROVAL TO COVER-GUNITE ' '1 1. ' 7.LF.00tings ,;; .r . ', 58. Electrical Conduit-Undrgrnd. C. - 8.;Foundation '+ i,) 59. Gas Pipe, 0 Undrgrnd.,Test 9.'Water Pipe-Undrgrnd. .. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. I . 10. Structural Floor System hi • ! '' 61-. APPROVAL TO DECK • 11.1 Property Sewer Line & House1Connection 62. Backwash & Receptor-Final 12.'Sewer Cap v - 63. Heater & Vent-Final - • 13. Roof Drains ' ;'1� 64. Plumbing System - Final ! '. 14:.!Rough Plumbing 65. Electrical-Final r 4 15. Rough Electrical-Conduit r 66. Solar System-Final 16/ Rougli'Electric Wiring = 67. Fencing &Access Approval 171. Rough Wiring Sign --fc 68. APPROVED FOR PLASTERING i ' l 118. RoughE`ctrical-T Bar Ceiling-r- 69. POOL/SPA SYSTEMS FINAL • ,19.. RoughgHeating & Air Conditiohii g FIRE DEPT:REQUIREMENT - . !20. Rough Factory'Fireplace - ,`' ' APPROVALS Permit# - 21. Ducts�i�� i Structure " 70. Underground Hydro , . 22. Ducts, Ventilating •; 71./Product Piping 0 Gas 0 Oil • A 23. Gas Pipe.Rough,&Test �' X72. Underground Flush • ` 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil ,,' 25. Roof Sheathing - J1 74. Overhead Hydro 26. T-Bar Ceiling (Structural)&.Monocoat 75. Dry Chemical 27/Frame and Flashing . Z. • 76. Dry Standpipe 28. Lathing & Siding , 77. FIXED SYSTEM FINAL 29. Insulation ? 78. FIRE PREV. FINAL 30. Drywall Nailing_ • `i HEAJIIH DEPT. REQUIREMENT 31. Alaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ) /� , /I ,N,. 34. Final Heating & Air Conditioning fe& / • t ' ;i� . •'04.�ff _ 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final :i 40. Gas Service-Final (/ J. 41. Solar Domestic-Final . ./ 3' 42. Backflow Preventer 7/ j. 43. Backflow Irrigation ,•J i 44. Landscape Irrigation System i v� / r+ / 45. Sound Attenuation L iad:,cei. P- I 46. Handicap Regulations 5/2iF 0 e �X-� so ScK 47. FINAL STRUCTURE & BUILDING r ( / �-� //��''�� __ 48. Special Requirements Completed 49. Electric Release to Edison :' ri:' 50. Gas Rele2se to Southern California Gas Co /` A 51. CERTIFICATE OF OCCUPANCY 'tin J tv No. Date f%''r ' OWNER SHERWOOD FOREST DEV. DATE 3_13_57 JOB ADDRESS 152 Buoy-Street BUILDING PERMIT NO. #4667 GENERAL CONTRACTOR Lido Construction VALUE $ 12,304.00 LOT 8 BLOCK TRACT 3106 Res. Watt. gar. GROUP I & J ' . TYPE V ZONE FIRE DISTRICT 4580 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench .K-k,-fr i Foundation Forms and Grade to Garage � Rough Framing £-#t . a_. Plumbing, Rough to Slab S Jei 1. P1 / 2r SI Plumbing, Rough Complete Y4 t 5 11,..1=r7 Q Temporary Pole Wiring, Rough APR 5 1857 vcb - S •. - a-•/9-S, y/ a < Intl' °uSt Heating,Rough 1' ci 9' 'S-/ :O& / IS = a9-s7 _ g-s.&fr Heating,Final _ _ _ ��' S S%;o;,S) _ S wer. House 1,>/l Sewer,St.144,g`j 44. ..1-,..17 /rsw&s S/-/S-.S7 s ,/ - - Septic Tank or Cesspool Lathing, In Out A g,-s-f 4-n. 7 Plastering a/sy�,� .6 /-'37 _ Plumbing,Final,Fixtures Complete /TICS 61/74`) -' �. Plumbing,Final Gas Test ViL. -5 d�7-J 7 ` , . � ��G Wiring,Final 7 �� 3YY 1 3 1957 VCB IG Occupancy i�(�5''J FORM 210 9M 10-55