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Home My WebLink About2564 CARNEGIE AVE - Building Permits� / � �nonEssae�n�ou+o: Z564 CARNEGIE AV o,m�Rsxu�Ei��'": MERKEL, FRANK T TR �� 2569 CARNEGIE AVE COSTA MESA CA 92626 (719)546-0�280 �vr�.r,wuno �oowess: AqCNREti OP FNtlNFEN: �PCH.ON E/q'S �OOPE55: uc.,a.: °�° CITY OF COSTA MESA — BUILDING PERh1IT PERMI.T NO: M 071945 PLAN CHECK NO: N COT]STROCTION TYPE; FERMZT TYPE; MEC SOB DESCRIPTIODJ : REPLACE FORCE AIR UNIT uNr: ��T�'s� GEORGE BRAZIL (714 ) 591-9753 cam�croas�uwx� 3022 N. AESPERIAN WY � �op� SANTA ANA CA �G�= 679898 92706 uNr: 101 LICENSEO CONTHACTOfl OEC WFpTON: I hereby Nim uMx qiWy d Po�ury Net I em licemed uMer poheiona d CAeqer 9 (mmmeriaiq wn i � iCuion J d the BWroe ud Prdeamns CaEs. W mY licenn e in lull Mn erd Nted. crrruc.e+o.:� uc.cuss: C-20 uc. .: 6��79�(8j�9/8 EXP/•y�� Dete: �' .� Ganveaw: � p.% 1/l%C l/ / �!/ J� OWNEN BUILDEF DECL�HA710N: I Iweby dfvm u�� G�Y d per'µy thet I em aremq Imm IM CoMrtlon Liomea Lew lor iM Iolbxin0 �� (�ion ]0�1.5 Bu+ireae erd RoleaeiM+ �e� Any cry a munry xfiidi �eyuiree a pe�mn io cvnewct, Mer, imprwa, demd'sh, a repei eny ebuctun, prior b is eaunnce, elso �e0� �M applkaN ta m�ch pumil lo fib e dpmC atetameN Nm M a aM I. �icensee wnuem w �ne wa;aiwn a me comrmor9 limnse law fclapa s(mmm.,anc wnn seuia, �aoo) a oMcin, a d �he Burness ad hdaeioru Codel or Ihel M a ehe o uPmq thsehan eM IM bmb lor Na elbOb uamNion. MY videlion W SeCion )W 1.5 Ey eiry eppli�aM Iw a permd aubpea �Ae appliap to e tlri penely d m� mas ihen Ms hued�ed do0en �5500�1. ❑ i.�o�.nerainewwenv«mr«�Nn�wanwaoa?mme:.dem„�v�+emn...;uaom.�k.�din..wa��ee�a'une�d a oflerad la seb (��n ]Ou. Buairem ud Profas� ��: The Conlreuas lioense lewEoes not apply loen owrsr W pmpaily W�10 b11�f IX TP�a ��IBfOOII. Blld w}q QOB9 tlKh Mq�. �1C119ld Of �1Bff1� Of �YV Wh � R:IM OMT YflGble�. W� l� WCM1 impovemeM9 mB nd INmded a Wered lor aeb. p. �'e+er. iM bulkuq or inpm.wnw u edd wnhin ar ym d mmplation, the owr�er-buitler will heve ��e WNen d pvmq M d� did m� dnld «�mpo.e la �he WT�e W aele). � I. d mmer d tln pW�Y. em exNlsVNy conireq�q wilh 4cmasd mnireclae ro oonwue Me Wala= (Sxfion 101�. Bw'vime eM aiaee.ian. cade: me com,eeon �csny �.. d� m wpr w.n o�+n« a wawro wno eWw «inw�+� in«ea,.ne wro convecu lor wM proje�e xiih e mmreeor�a) lice�ed WnueM io iM Comrrfon Limnee Lewl. � I em uampt uMer Seciion: B. 8 P.C., br Nis rmaon: o�e: � I do haeaW cenih � I em awae d ud undanwM NO nW��b d Cellarvs fleetlh eed Sdery Code Seeiau 25505. 2553�. erd 2555a. aM Nm 1 a eny luuro WilEirp om�pent will / wn �(�V �e) neaE b compy w1h eaid qeb codee eM Ihe repuiremenie Im eP�itlammlrvc�ionnmodifimiantram�laA'r�t e�pmvKO'atritl.RmkeNielomu�uaionePO�'vnuee�emPtmmiheea pfMl910f18. Dele: �DM�� W OflKER'9 CONVEN9ATION DKL�NATION: I hwabY �� W�Y d pxMy aa M Ns �dbr.irq dsderetom: ❑ �ne+.endwmaiiveneunlicet.amm«viu..u:�vv.k,.p+�en'mmpmWcn..,a�r«Mseeon�>ooaineteno. Cotle,i«iM peAamencs d�M1e xorkl« wlich Uiis permn b usued. � I heva enE wil meinten woMen' oompeimetion inaN�erce. ea �oV�veE W Seilion �]00 al Ne LaEv Code. br IM parlormenm d the wark Ia whiM ihb W^^a u mued. My wa/en' c�W�ion imurerca raerwr md V�wY wmber ua: c�..: rAL TNiIFMi.]TTV EXPIRES Pa:.vN�n�,: *)tn'�t��+n U1/01/96 (m�, een� �e.d �,a as canvbrea r �n. rom. a m. a�. n�ne.ae ed�. R�ool d �....� � I canAy �hm in Ne pMom�arica d ihe wM la xTK� Ihn pe1mn o ueueE. I Mell � ampby e�ry penon in ury menner vo es lo Eecama e�bjed lo iM MOM1are' compenwion bw+ d Cd'dvrva, aeM AW A I ahould e eubjepjp �wkan' COTW�9PI0 Vp`��O d smo�, e�ao m me ub« coa. i.nm �m��%(�no..�. ' /// Daie: < < bd'eaiv: W�minp: F�Ilun ro �ecun woM1sn' mnpwwtlon N�w+p l� un4rF,tl, entlWll ulJ�e! en irrployw ro cihNlxl pmtltlu uttl c/v/l fln�� ,q (o om I��nErM fhouunJ dol4n (fIGAOWA H alltlon b fM cwl al mn�owwtbM1 tlarrrp� �s pavMW br In SxHon 3]O6 0l tlis Lebor Cotls, Inferstt, entl �tlomsY � Iws. CONSTHUCTON LENUINO AOENCY: I hereby �m� �Mer DaneM d perjury iMt iMn u e con¢I�ion bMi�p epezy br iM peAormerce d IM xaF M vhiM Ihe pemii u eaad 1`�n^ �. Civ. CI. LENUEP'S NM1E: LENDEN'S ADDflE55: IcanAytheil1p091sapNueppfice�ianandnmathm�h �'a�^^^d ecanea.lepne�ocanplywnhNayerdcoumymdieurwee d,astelem.wmbtnp3 uiNvpanmuabneM �e +��e n�eiiveadthooybenteruponlheebove-maMioneEprope�ry �Of If18(IBL11011 pll! 989. " �� N b�,: / s ��a a o.,bn,q�wn (5151<B.WP) NTilo-Buik�g 8 Safery: Geeer�Ftla: Gere�Y-AVG�: �k-�b: ��+� CLAIM VALUE: CALC—VALUE: PEAM P10: M 071945 GOVT: N SUPP; N PURPOSE: OTH SQ FT: GROUF OCC: R-3 / COMMENTS: REPLACEMENT ONLY iF iE il� iR �lf aF iE 1E �M iF iE-If iF M af -N- i�-Y� 1R iR *+F Y Y iF if it if M-Y iF iF if if 4�li �F iE �k iF it at 1E �!f aE ✓-iR it if if i�-iR if M�IE if af {c �1F if af iE+F ir ir i4 4 ir� ii iF is �Y -Y� i' iF i� it if Ir 2 O N Z N G R E Q U I R E M E N T S S E T B A C K S ----------- MAIA7 BOILDING ---------- --------- ACCESSORY BUILDING --------- PRNT; FT Z�3 REAR: FT ZT] FRh7T: FT ITI REAR• FT IN LEFT: FT IN RGHT; FT Itl LEFT: FT IP7 RGHT; FT IN PARRING REQ; PROV; PARCEL: 19137307 ZNE; REF NO; PLANNING TlOTE5> i �F if jf iE iF �f if if 1F if af iE iF K jE if #f iF iF if �f �M if iF iE iF i� jE jf jE �L if �f if *{1 {f i� if if if 1f i� if !E a1 af 1f Y if �f iF Y iF M 1R �f iF if �F 1E �f �f if iF �! af iF M iR Y �f if fE if iF �4 -Y aE 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 DATE: BUILDING APPROC�ED BY ; DATE: APPLICATIOA] ISSUED BY; �2�`� ' DATE: /PI/"S� �EififiFifiRif'IE1EiF?EiE-)hifiEi4iFififlfififiR if-K 'lf 1�ififiFY�Fi�'%if%ifiFKi4ifafiFif�('if'MMififif'1F'If�iF1EiFItiiY�KiLi4ifiFifY- iF�iFiFifiRifiEifiA LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:A! / BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 9.00 25� SMIP/NON—RES PLAr� ISSUE FEE 15.00 BUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9.00 15.00 0,00 24.00 24,00 ,00 REVENUE DIC�ISION TOTALS--> COLLECTED; 24.00 OVER/SHORT: ,00 HLDG PMT PLOMBITIG ELECTRIC MECI-IANIC FIRE SMIP/TOT GRADING PLAPJ—CHECY. 29.U0 iF if if if�IM if if if if iE if if if iE iF M'1f V MM if if if'lfif if if N'if Y it iE i! ifdf if'lE if iF iF il�i�'1� if�lE 1lif iEif�Y if if i4 if i�if YiE if 1Fif 1f ifif�ifJf iE if +f if if iF1f if iE iE if iF if I N D I V I D U A L F E E B R E A K D O Sd N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= 100 K HTU 9.00 9,00 END OF FEES Qi 071E0153-001A0163 �'�3 Y 24,QQ UATE: OtliC�.eS TIM�: 53;22 CONSTRUCTION AND PLANNING POO� & SPA APPROVALS Perinit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporery Eleccricat Service or Poie 52. Pool & Equipment Location • � 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement , • 3. Electriwl Conduit UtilitY•Undrgmd. 54. Forms . ' ' 4. Electrical Conduit�Undrgrnd. . 55. Electrical Bonding � � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Elr,ctrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation . 59. Gas Pipe, O Undrgrnd., Tes2 - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ) 61. APPROVAL TO DECK ` i i. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal , 72. Sewer Cap � 63. Heater & Vent�Finai � 13. Roof Drains . 64. Plumbinc� System - Final . 14. Rough Plumbing � 65. Electrical�Final ' 15. Rough Electrical-Conduit ! 66. Soiar SYstem-Finai 16. Rough Electric 4Viring 67. Fenciny & Access Approvai . 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING � 1 B. Rough Electrica6T 8ar Ce(ling 69. POOl1SPA SYSTEMS FlN0.� 19. Ro�gh Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Nydro 22. Ducts, Ventilating 71. Product Pipinc� � Gas ❑ Oi� 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hyclro 26. T•Bar Ceiling 1Sxructurall & Monocoat 75. Dry Chemicai 27. Frame and Flashing � 76. Dry Standpipe - 28. lathing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINA� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plasier Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter•Final 80. FOOD CEFTIFICATE ISSUEO 33. Final Electric Notes: �" � 34. Finai Heating & Air Conditioning �f � � 9S t . ; - 55 .� 35. Pinal Gas Pipe�Test ��- � 36. Hood or Canopy 37. Final Faaory Fireplace � 38. Final Plumbing 39. Water Service-Finai 40. Gas Service-Final 41. Solar pomestic-Final 42. Backf7ow Preventer 43. Backflow Irrigation 44. �andscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. FINA�PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCV N0. Date ADP��cant to flll in�all spaees except those witnln heavY oortler lines antl sign all apD/oDriate aeclarations. PERMIT TRACT NO. LOT NO. UNIT NO. O94% 3/ I 3/86 � ��:: i L CITY OF COSTA M�lj ,�CO 8TRUCTION PERMIT '�30�. . Project ttddress ' �OL� Applicant's Mailing Address �- %� TYPE OF CONSTRUCTION NEW A�D ALTERATION REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, �h Zone Owner's Name Phone DESCFIPTION OF WORK/USE OF BLDG. Address 5 Main Buildin9: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT GRADING�OUNDATION STRUCTV RAL T Fron[ Q Address - `1��7�� ❑ OTHERT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL gA Rea� N Contracror's Nam� /�}� Q� ��y P�hone Ey�� PROJECT DESCRIPTION 5�. FT. OCCUPANCv C Right � N Address (m �I� g) ` '�W.�-L�L-/—/--/ � CONSTRUCTION TVPE VALUATION 5 S Left R City LiCenca No =�� ZONE GRADING CU. VDS. ACRES LiCENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provi E I hereb aftirm that I am licensetl untler rovislons of Charler 9 commencin � Y P ( 9 Remarks: Planning Notes: i �� f� � �� M with section 7000) of Division 3 ot the BuSinesz antl Professions Cotle, ana ` T my license iz in full � ntl eftecL //l � �.V License C as Llcens o. `rl� . S Date Signature PLUM8ING FEES RECEI �.71i WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTflICAL FEES I hereby affirm thdt I have a certilicate of wnsent to self-inwre o� a certlficate of Wo�kers' Compensation Insurant¢, or a cer[ifietl topy fhereof SeCtiOn Backflow Preventer Service Sink � 3800, Lab. C 1 ry� y�` Automatic Washer Transformer � 15-50 KW Policy No. Q/36773��a' Company �A!/�� Backflowlrti ation -' � ❑ 50+KW 9 Sewer Cap Constructwn Pole Sub. M �rtifietl copy is hereby fumi5hetl. �� Certifief y i '1 tl with the city> wynY�- � i"o ��j� � Baihtubs Sewer Connectmn Cooking Unit Meter ❑up to 100 amps Date____�G� APPlicant /� L!'/ � `� � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION CId�i1iE�5 � . $Ola� COIIect0f5 Dishwesher - - Meter ❑OVC� 100amp5 (Tnissectian neetl not be completetl ii [he permit is for one huntlretl ($300) or - Iess). Dishwasher Solar Pipin9 ' Oryers ❑Gas ❑Electric Sub Panel I certify IM1at in the pe�/ormance of the work for which thiz perm�t i5 i55uetl I shall not employ any person in any manner so as ro become subject to t{�e Drinking Fountains SolarTank Fan ' Momrs �0.1 HP �1'f.-8 Workers' Compensation Laws of Cali(ornia. Oate Signature Floor Dreins Swimming Pool w/Spa F.AtU. Ina Solar �9�75 HP �16�15+ 'NOTICE: If, after making this tleclara(lon, you 5houltl become subject to lhe Workers' Compensa[ion provi5ion5 Of NE Labor Cotle, y0u mu5[ /orthwith FI00� $inks U�inal Fixtur¢5 comply wi�h such ptovisions o� this pe�mit shall be tleemetl �evoketl. Mic/Owav¢ GONSTRUCTION LENOING AGENCV G25SEfviCO OutletS Wdt¢rCIOSet D¢ViCeBO%e5 I hereby affirm lhat there is a consiruciion lentling agency for the per/ormance POI¢ Light af the wolk faf whiGh Ihis permit iz i55u¢tl (SeCtion 309� Civ. C.) Int2fc¢PtOfS WdtEf H¢3tC� DuLIQts Lentler's Name Rang¢ Lenaers ndaress Kitchen Sink Warer Service Switches Sign OWNER BUIL�EH OECLA0.ATION I hereby aftlfm Vlat 1 am exempt irom the Contractor'S LlcenSe Law tOr the L2v8tOli¢S AU[O-WdSh (�iBfhd C Di5 OS21 followin9 reason (Sectlon 7031.5 Bu51nes5 antl Professional Cotle: Any clty or 9 P ; Standing Sections counly which requires a permit to construcq alter, improve, tlemolisn or repair P-Trap Laundry Trays Generator �0�5 KW �5�15 KW any structure, prlor to its issuance, also requires Itte applicant tor suth permit Trash Compactor to /iie a si9nua statement that ho/sne is Ilcenze0 pursuant to tne provislons of Roof �rains the ContractOr's License Law (Chapter 9(commencing with SecUon 7000) of Divlsion 3 Of Ihe Buslness antl Professions Cotle) or thd[ h</She IS exem0� tM1er¢frOm antl lhe basis /or Ihe allegetl ex¢mptiOn. Any violatlon of S¢CtiOn 7031.5 by any appliCant for a permit subjects lhe appllcant to a clvil - pendlty of not more lhan (ive huntlretl tlollars (5500). �J I, as owner oi the oropertY or my employees with wa9es as thelr sole Reinspection Fee $15 Issue Fee � 3 compensation, will tlo the work, antl tha s[ructure is not intentletl or oiferetl Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business ana Professional Cotle: The Contractor's MECHANICAL FEES Lic¢nse I�w tloes not appty to an owner of a property wbo builtls or imprOves thereon, an0 who aoes such work himself/nersalf or tnrou9n nls or nar own DEVELOPMENT SEflVICE$ REQUIREMENTS: employCeS. Provitletl lhat sucn improvemenls a�e nol intentletl or offewtl for BOiIC! HOOd Or Type I ❑ 5d1E. I t, M1owever, the builtlin9 or imp�ovement is SOItl wi[hin ono year of com- GlnOpy Typ¢ I I ❑ Zoning Approvod By DatO pletlon, the owner wlll have tne burtlen of Provin9 ne/she tlla not builtl or im- Ducl - Under Ground guilding Approved By Date_/ _l ._ prove fOr the pu�pose of sale). Z��L�y� ❑ I, as owner ot tne proDerty, am ezclusively contracting with licensetl wn- Duct - Structural Refrigeration System Applieation Issuad By � DatfllGL,r�{)_rL baclo/s lo consfruct ihe O�oj¢c[ (Section 7044, Business antl PrO�eszions Cotle: . ine Contractor's Li<ense Law tloes mt aoob to an owner oi property who Duct - Ventilating ❑0.100000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or improves lhereon, antl wtto conVac[5 for such projects with a con- vactor(s) license pursuant�to tne Contrattor's License Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of lheir Worker's CompensaUon insurance shoum be provitletl lo me. PLAN CHECK $ �7�— PERMIT ❑ I am exempt untler Section B. & P. C. for this reason Firepl/Fact. BIt. IC80 # Fire Dampers pLUMBING $ � v v ISSUANCE S Date Owner Heating System & Ducting Registers pLqN CHECK 25%' $ ENERGY P.C. $ I hereby certify that 1 have reatl this application ana ztate that the above ❑6100,OOOBTU �100,OOOBT GRADING $ information is wrrect. I agree m comply with ali city antl county orainances ELECTRICAL $ antl state laws relating to builtling wnsVuction, antl hereby autnorize repre- % PLAN CHECK 50% $ MICROFILM $ Sentatives o/ this city to en[er upon the above-mentionetl Property tOr inspection pur s. MECHANICAL $ ,�DU Signature Date �" -7if� TOTALFEE $ Drivers' �icense or 55 � Reinspec[ian Fee �$15 laue Fee $ 3 PLAN CHECK 25% $ crvir ueto-no, rev. iu/en wmte - Bwiaing: canary - qppucant amk - acwunun9: uoiaenroa -�assessor CONSTRUCTION AND PLANNING POOL & SPA Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-U�drgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgr�d. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11 . Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric WiYing 67. Fencing & Access Approval 17. Rough Wiring Sign � ., 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground HYdro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electriral Power Meter-Final 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 Plumbing - 3�/1'�f(� �k� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final C" 42. Backflow Preventer �'� r 43. Backflow Irrigation !7� 44. Landscape Irrigation System ?: f 45. Sound Attenuation � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Compteted � 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Appllcant to /ill in all s0��es ezcept t�ose wit�in heavy bortler lines antl sign all approprlale tleclaratlons. 3yBO 5/24/B5 7o�G TL CITV OF COSTA MESA CO /STR�UCTION PERMIT P RMIT O. TRACT NO. LOT NO. UN1T NU. . . Project Address ��"1 �'^P � �' AppliCant'S Maili�g .�.ddrncc %J�� VPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p.*, Zone Owner's Name ��"��'� Phone SY�� DESCRIPTION OF WORK/USE OF BIDG. Address �`S G� '�Gi"� 91 S Main Building: Accessory Building: Z E Arch/Eng. LicenuNo. TYPEOFPERMIT GRAD�rvG FOUN�ATION STaUCTURAL T Front p AddrCss ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL � A Rear � N Convactor'sNam �� Phone �»�� OTHER � C Ri9ht N Addreu (mailing) ��9^� �G _ PROJECT DESCRIP710N Sq. FT. OCCUPAr�Cv 3� P,� CONST0.UCTIONTVPE VALUATIONS g LCft G City�iCCn5CN0. ZONE GRADINGCU.VDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. R2f. 9� P2�kiny Req./P�OVid¢d � 1 hereby affl�m Udt I am IIC¢nsetl untler provisiOns 01 Chdrler 9(commencing Remarks: PldOniOg NOf¢5: ry� with section 7000) ot �Ivislon 3 of the Business antl Professions Code, antl T my licensn is in full �te�tl eH-e✓ct O S License lass L �yd Li ¢ns Ny. �� Date — — Signature �lr�� PLUMBING FEES WORKERS' COMPENSATION DECLARATION Bd� Sink ShOw¢�5 1 hereDy attirm that I have a certliltate of consent to seli-insure or a cerHncate ELECTRICAL FEES ot workers' Compensation Insurance, or a c¢rtifiea copy thereot (Sectlon BackflowPreventer ServiceSink 3aoo, i.ab. C.) Automatic Washer Transformer ❑ 75-50 KW PolicyNo. Company Backflowlrrigation SewerCap ConstructionPoleSub. �50+KW 8 Cer[ifietl copy i5 h¢r¢by Iumishetl. . Certifletl copy is flletl with the city Builtling �ivlsion. Baffitubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date AOPlicanl EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers $012� CAII¢Ct0/5 � Di5hwa5h2� � MEt¢� ❑OVC� 10� dTpS (This section neetl not be cample[etl it t�e permit is for one huntlretl (5100� or less). Dishwdsher � Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel I[¢rtity lhal In tne pe�fo�manCa o/ the work 10/ whic� lhis perm�t Is Issuetl, I shall not employ any perzon in any manner so as to beco e subject to Ihe Drinking Fountains Solar Tank Fan . Motors �0.1 HP �lYa - 8 Workcrs'Lp �wo_Ln ws oi Californid Date J""� aJ 5ignaturc Pl'r�� Floor Drains Swimming Pool w/Spa F,A.U. Inc. Solar 09�15 HP �16�75+ `NOTICE: H, aiter makin9 tnis tleclaration, you shoula ecom¢ su� bject [o the Workel5' Compen5dtlon provi5ion5 Of IhG Ldbor Code, you muzt lofttlwlth FIWISinkS � Ufinel FixtulES MiCfOVJBVQ comply wllh Suth provislOns or Ihls permlt inall be tleemetl revoketl. CONSTRUCTION LEIVDING AGENCV GasService , Outlets Wdt¢�CIOSCL DCVIC¢BO%CS I nereby aHirm Uat there is a mnstruction lentling agency for [he performance Pole Lighi o/ thu work lor which Ihis permi[ is issuetl (5¢ctiOn 309] Civ. C.) Interce IO/5 Wdt¢� HCdt¢f Lenaer's Name P Outlets Range Lontler's Aatlress Kitchen Sink Water Service Switches Sign OWNER BUILOER UECLARATION I hCruby alfl�m t�al I am exempt irOm lhe Conlractor'S LI<ens¢ Law for the L2vetO�i¢5 ' AUtO-Wash following reason (SccUon 7031.5 Buslness antl PmlesSional Cotlo: Any Uty or Garbage Disposal ', Stending Settions couniv wnlch requires a permit to constru<t, alter, improve, tlemolish or repair p—Trap Ldundry Trays Generator Da5 KW �5-75 KW Trash Compdttor any slrutturo, prlOr to its issuance, d150 reqWres Ihe aDP��ant iOr such permit to tl�o a signotl statemant that he/5he Is Ilcnnsotl Oursuant to [ba provisions ot Roof �rains the Contractor's Ucense law (Chapter 9(commenUn9 witn Section 7000) of Division 3 0l tne Business antl Professions Cotlo) or that ne�sne is exemp[ thore/rom antl the basis for thn allegetl exemption. Any violation of Sectlon , 7031.5 by any applicant for a permit s�bjects tne appliGant lo a Clvil �Cnalty of nol more lhan five huntlretl tlollars (E500j. I, as ownor ot �he prOperly o� my ompl0y0a5 with wagaz a5 Ihoir sole ReinipectiOn Fee $15 ISsuB Fee g�3 componsatlon, will tlo the work, antl lhe ztructuro is not inlenaetl or aiferetl Reinspection Fee 515 luue Fee 5 3 tor saie (Soclion 7044, eusinasz antl Professional Cotle: The Contractor's MECHANICAL FEES Litente Lnw doas nol appty to an ownCr ot a p�opBrty who builCs o� Improva5 thcroon, ana who does sucb work himselt/herSCtl or tnrough his or her own Hood or T e I ❑ DEVELOPMENT SERVICES RE�UIREMENTS: empioyecs, provitletl that such Improvaments are not Intentlatl or ufferetl for Boiler yp wle. It, howover, tho builtlin9 or improvoment Is soltl within onu year ol com- Canopy Type 11 ❑ ZoninB Approved By Date oletion, tne owner will have tho burtlon oi provin9 he/she ala not builtl or im- Duct - Under Ground Building Approvatl By Data �rova tor [hc pu�posa oi Salu). rn� � q� I, as own¢r OI the pro0erty, am exCluSlvely contractln9 with Ilcensetl con- Duct � SVUctufel R¢F�i9e�dti00 Syit¢T Application ISsued By Date_y �i IldC20f510 COfISIIUCI IhC plOjCCI (SKIIOl1 iO44. 81151f1055 dfld PfOfC5510lIS COdC: The Con[ractor's License Law does not apply to an owner oi property wno Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or improves thereon, antl who mnVatts tor such projecli with a mn- traclor(s1 Ocansa pursuant to tne Contractor's License Law). 1 am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ prool o( thcir Worker's Compensation insuranco shoum be provitletl to me. PLAN CHECK $ PERMIT ❑ 1 am exemo� untler Sectlon e. & P.0. �or chis reason Firepl/Fact BIL ICBO # Fire Dampers PLUMBING $ '%. 4� ��UANCE 5 Heatin S g 9� PLAN CHECK 25% $ ENERGY P.C. $ Date Owner g ystem & Ductin e isters I nereby ceriiiy [nat i nave rcaa cnis appliCa[ion and siaie cna[ me above ❑0.100,OOOBTU 0100,OOOBT ELECTRICAL $ GRADING S inb�matlOn Is corrocL I agree to complY �+�[h dll tity antl county Ortlindnces antl state laws rolating to buiming <onstruction, antl hereby authorize repre- . PLAN CHECK 50% $ MICROFILM $ sentallves of tbi5 c�i y to enler u0 �hC above-mentioneC Property fo� inspection purposep�'/��`� 5.-. �� MECHANICAL $ TOTALFEE $ 7, Qt! Signature L� Feinspection Fee $15 Isue Fee $ 3 PLAN CHECK 25% $ DriverY �Icense or 55 � — - CMF 0865-46, �ev. 30/84 Whl[e - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit�# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipmen[ Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. ; • 55. Electrical Bondinq 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings . 58. Electrical Conduit-Undrgrnd. 8. Foundation , ' 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. • . 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final , 16. Rough Electric Wiring 67. Fencing & Access Approval 17. �Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electriral-T Bar Cei�ing 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23.'Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing' 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structura0 & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. 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 Plumbing `.3`fd'"��' C.KI-� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation SyStem 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' - Costa Mesa Building Department !� 711 EAST 20th STREET � COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Building Address 2564 Carne ie Ave. Costa Mesa, California owner Co�ge Park Co Mail Address $�16 S. Mairi S1 c�ty Santa Ana� Calif. Architect or Engineer Address Contrecto�flrbOS Const.C� Address ga[pg Legal Lot Descriptlon No. rj2 I Block (AtWch Metes and Bounda) 6� � 105 I N� Size of Lot , � ^� Ni Line Building of New No. of Famill Rear Side Rooms I Roof 3761 Atld APPLICATION FOR PEIi�Ml� ►`� BUILD��NG FOR OFFICE USE ONLY Receipt No. Perm(t No. � �� :eived by I Date Rec'd. Date Issued ,p�_ ��L I AUG 1 4 1956 Costa Mesa, California Date CORRECTIONS APPROVALS Foundation Location Inspeetar Forms, Materials� Under-Pinning Frame: Ffre Stops, Bracina, Bolts I hereby aclmowledge that I have read this Application and state that the above is crorrect and agree to rnmply Lath. with all Clty Ordinances and State Iaws regulating building consCruction. Lath. Signature ot Permittee Harbor CO uetion CO. p�agt, Authorized A t p�ay.� Valuatfon PermitFee $ 30 .� Maso Plan Check $ �('�•� Ba�d $ 12 � 400 • Total Fee $ �� FINf RM 204 5-SP 2M B-5'a � i PLOT PLAN &how loeation and distanees from property Iine and between buildings