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HomeMy WebLinkAbout1178 CHARLESTON ST - Building Permits • 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. .• • 4953 9/10/87 311097 CITY OF COSTA7M>E,A CO�NWSTRUCTIONPERMITI _BEM 3a �-S� SUQ • Project Addirei• i I, t `S G' " `�' IL-ES ff � ����111 AIJR,4.z nt's Mailiin�njjg A/dd d11r11ess / x'a f"v� �p - TYPE OF CONSTRUCTION H NEW /� ADD TE RATION LJ REPAIR •1 /� Owner's Name 1`"-' ft /-IeshI �(--�V Phone ❑ CONVERSION DEMOLISH ❑ OTHER A-P,# /(�/ -/0:/-i9 Zone /`C./ His C�- TO DESCRIPTION OF WORK/USE OF BLDG. 'I J7lyW,._fl AUdress (✓ p ADD FAM IL's F-001"1 • S Main Building: I jjII room .Accessory Building mast*, • .-Z Arch/Eng. FA-6,4 $L-I� CbIU LPLicennsse No. TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front C� J �� O Address f ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear r� I a i ,�-1R,'_ N Contractor's-Name O . 13` PhonEi�a='l-�•'<f/7 ' DI OTHER • �- f ) g /173 0L�K/ � PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right '�� f '�!-�/ N Address(mailing/ �� [/ /v�AJ T S� - ( •20 K Left / i CON STRV CTION TYPE VALUATION $ /_ - $ City License No. ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ret c G 1 $S It Planning Notes: m M with section 7000) of Division 3 of the Business and Professions Code,and I /Y my license is in full force and effect. 04 34,S- [S� 6'7e /'j S License Class License No / �T' IV V /l (1 Date Signature PLUMBING FEES /' WORKERS'COMPENSATION DECLARATION / 6••c:..l. Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW ,Policy_ Ce No. Company Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+ KW Certified copy is herebyw thr e - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit / Meter arirp to 100 amps 5-- OQ Date Applicant • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers . Solar Collectors - Dishwasher Meter Dover 100 amps --•., (This section need not be completed if the permit is for one hundred ($100) or - Dishwasher less). Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued,] shall not employ any person in any manner so as tp berym su ct to the, Drinking Fountains Solar Tan (/ Fan Motors❑0.1 HP ❑1%-8 4 170 Workers' ensatiyp,J.riws of California.� / Ey// • - Date ter•' / Signature fou should Floor Drains Swim• ng Pool w/Spa • F.A.U. NOTICE: If,after making this declaration, you should eco a subject to the Inc.Solar ❑9-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks mal Fixtures comply with such provisions or this permit shall be deemed revoked. ` Microwave l Ili CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Device Boxes PoleLight I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors - Water Heater Outlets 1 Lender's Name - tatRange F 2- Lender's Address Kitchen Sink Water Service - !_ Switches Sign ( 2_C OWNER BUILDER DECLARATION • — �l I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Autp-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections county which requires-a permit to construct,alter,improve,demolish or repair P-Trap • Laundry5 any structure, prior to-its issuance, also requires the applicant for such permit - TrayGenerator ❑0-$KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of • Roof Ora the Contractor's License Law(Chapter 9(commencing with Section 7000) of - Division 3 of the Business and Professions Code) or that he/she is exempt therefrom 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). 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - compensation, will do the work, and the structure is not intended or offered - -- Reinspection Fee ` $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENT S• �-y' Q employees, provided that such improvements are not intended or offered for yp 1� 9' 0'87 sale. If, however, the buildingor improvement is sold within one year of com- Zoning Approved By ` Date p Canopy Type I I 0 0 'L.� prove the owner se of have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By . fid�// Date prove for the purpose theoe). �\ /�{` ❑ I, as owner the property,roject exclusively7044, contracting ng with licensedioncon- Duct-Structural Refrigeration System Application Issued By ' V Data hetors construct the project (Section 7044, to Business and of property Code: The sContractor's License Law does not act to an owner hta who Duct-Ventilating ❑4100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improvesicense thereon, and who contractsc 'sforisuch Iprojects with e that 3- 57 tractor(s) license pursuant to the Contractor's License Law).eI am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 8E+'Q4 SMTP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B. P.C. this reason Firepl/Fact.81t. ICBG#isAI Fire Dampers PLUMBING $ ISSUANCE $ ]( Date /oV `] Owner ^�� �CAs ..fir Heating System& Ducting Registers PLAN CHECK 25% $ _ ENERGY P.C. $ I hereb h certify that I have read s applicationn��jjn d state that the above 00-100,000 BTU 0100,00067 'ELECTRICAL $ LD ' bd GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building c strut ion,and ereby authorize repre- sentatives of this city to ter n t a ye- ntioned property for pn inspection purposes. /110,7 MECHANICAL $ 7 _ae TOTAL FEE $ 31�' I • ,;;;7_10 f Signature Ni... Drivers' License or 5$# -...-•• Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ / • 0 0 CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING • POOL &SPA APPROVALS -Permit _ __ Date Inspector 'APPROVALS Permit Date Inspector 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. toga/$7 p4- 57. APPROVAL TO COVER-GUNITE 7._Footings 58. Electrical Conduit-Undrgrnd: 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 4$q47 67. Fencing & Access Approval 17. Rough Wiring Sign "''7777 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 /44/19 COO APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas O Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing / L 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing (/147 9yk 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat / /- 75. Dry Chemical 27. Frame and Flashingr .1�('r-� (aj �. � 76. Dry Standpipe 28. Lathing & Siding 1hi-1g2; t31.4 77. FIXED SYSTEM FINAL 7 29. Insulation. �'� y�� 44- 78. FIRE PREV. FINAL 30. Drywall Nailing ( . D74 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat // `�tf , 79. FINAL INSPECTION 32. Electrical Power Meter-Final /e ki 80. FOOD CERTIFICATE ISSUED 33. Final Electric 2//p/3 Ri30,4 Notes: /043/el 7 . ( S612-1fc c 4q ate) 34. Final Heating & Air Conditioning t!• L C...(p es 0144 ten 6.7-fitt pp' A tie-40- 35. Final Gas Pipe-Test i rs 08 j „� ` og a y{ 36. Hood or Canopy / v I 37. Final Factory Fireplace 115/51P Nig °c / 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41'. Solar Domestic-Final 42; Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46.. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 9KM /}!�/�n 48. Special Requirements Completed 49. Electric Release to Edison • . J 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ +CITY OF COSTA M'EES(A �CJlo,N,,STJRUCTION PERMIT p R I3 NO.7 TRACT NO. LOT NO. UNIT NO. 7691 10/20/87 50_58 TI 1 Project Address ./J!0.__!%„/YS 6 .0/Gt c• k7 • Applicant's Mailing Addre lLT� TYPE OF CONSTRUCTION ❑ NEW LJ ADD ❑ ALTER TION ❑ REPAIR ! y ”- ?Lode �y-7y ❑ CONVERSION III DEMOLISH ❑ OTHER - A p # - I Zone Owner's Name L` Iy-t k�iP Phone A70.r DESCRIPTION OF WORK/USE OF BLDG.F S Ser- I/;G'' Address `���e7yyyafff��� n >/?/�� S Main Building: Accessory Building: Arch/E ng. �L(fi ,dl ' a+ No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front ZO Address ❑ TENANT ❑ ELECTRICAL © PLUMBING El MECHANICAL B Rear • N /.gyp ❑ OTHER A I Contractor's Name OP • Phon2��QJp C Right N Address(mailing/ / 6'//' ;le GO PROJECT.DESCRIPTION SQ. FT. OCCUPANCY K G Left CONSTRUCTION TYPE VALUATION$ S R City License No. ZONE GRADING CU.YDS. ACRESE LICENSED CONTRACTOR DECLARATION Ping. • Ref. # Parking Req./Provided hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R�.F. 13 N1 01 S / r P L 5 36. -87 5 Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and • my license is in full force and effect. • T License Class License No. - S_ Date Signature . PLUMBING FEES YORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink 3800, Lab. C.) . Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 8 Certified copy is hereby furnished. Cegjiletsopy ped with the city B • on. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date 7 6 CJ O / Applicant EXEMPTION FROM WORKERS'COMP NSATION DECLARATION . Clarifiers Solar Collectors Dishwasher Meter Dove/ 100 amps (This section need not be completed if the permit is for one hundred ($100) or • ' less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the Drinking Fountains _ Solar Tank Fan Motors D0.1 HP D1%•-8 Workers' Compensation Laws of California. • Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016.15+ NOTICE: If,after making this declaration,you should become subject to the . Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY ( Gas Service Outlets Water Closet 2OC Device Boxes • Pole Light I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309]j'+''Civ. C.) " ' Interceptors Water Heater Outlets Ran Lender's Name ge Lender's-Address - - Kitchen Sink Water Service ' ' Switches Sign 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 Garbage Disposal $Landing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor • any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9 (commencing with Section•7000)of )ivision 3 of the Business and Professions Code) or that he/she-is exempt .herefrom 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 pf.nalty.of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ '3 compensation, will do the work, and the structure is not intended or offered • Reinspection Fee ! $15 Issue Fee • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler . Hood or Type I ❑ • Zoning Approved By Date 'sale. If, however, the building or improvement is sold within one year of com- Canopy Type II D • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). Building Approved By Date M-2-15/1/ O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The•Contractor's License Law does not apply to an owner of property who Duct-Ventilating DO.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that D y BUILDING PERMIT $ SMIP $ proof otheir Worker's Compensation insurance should be provided to me. Exhaust System ❑ Multiple S item Repair/Alteration PLAN CHECK $ PERMIT O I am exempt under Section / B/. P. ./•r this reason ' Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ 5' O 8 ISSUANCE $ Date 702_,-. .O 'f1 Owner /� r - • S._ Heating System& Ducting Registers PLAN'CHECK 25% $ 0 • 4TC3 ENERGY P.C. $ a•p a I hereby certify that I have red. is .plcation and "ate that the above 00.100,000 BTU 0100,000 BTI. ELECTRICAL $ GRADING $ information is correct. I a• ee to co ply ith all city and county ordinances and state laws 'relating t. uildi g cons ction, and hereby authorize repre- sentatives of thi ity en u•0 t- e above-mentioned property for inspection pure"- / /or 9q,�. MECHANICAL $ TOTAL FEE $ ....-47-.5.0 Signature 4. Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit,,# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location J 7 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.1 . 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water PiiCe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 Wiring 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 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 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 PREY. 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:46lb hes ass man 2(,1a2ev. to b , 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 142498 Gtj • 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing jiztg 39. Water Service-Final • 40. Gas Service-Final - 41. Solar Domestic-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 I s • - , l Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA/.J fltJSTTftUCTI N PERMIT PERMIT NO./ 9 TRACT NO. LOT NO. UNIT NO. 2447 1/Q4/n;t 4/talc: 7 Project Address /6 ,V `l if�W ? G� E_ 3 ` g rr 11 Applicant's Mailing Addresss666 TYPE OF CONSTRUCTION U NEW LJ AOD H ALTERATION Li REPAIR ( �/ „,r .r ,�� �� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# I Zone , Owner's Name,!(fY/ tg.4n one p St/V �^♦ DES RIPTION OF •ORK/USE OF BLDG. Address A/ / (�4'Jj/4 -G f . I. i i �7:1.•t�r/�_ R_C yy/ _ S Main Building: Accessory Building: Z Arch/Eng.A�/f �`•'e^T' �6ftfC.�-d ense No. TYPE OF PERMIT GRADING S FOV NDATI•N TRUCTURAL T Front 0 Address - ❑ TENANT a ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N ❑ OTHER p I Contractor's Nam' �f d Pho(��f"O - • p_-•( C Right N SrROJECT DESCRIPTION SQ. FT. OCCUPANCY /� J Address(mailing) %%�: r7�' CON ST RUCTION TYPE ' VALUATION$ Left G S R City License No. ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION n Ping. Ref.# Parking Req,/Provided I hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: $�� Q r`s/ Planning Notes: Q with section 7000) of Division 3 of the Business and Professions code, and .13 111 M 1 my license is in full force and effect: T License Class License No. S f.- Date Signature PORKERSCOMNPLUMBING FEES FEES' COMPENSATION DECLARATION Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL of workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 4800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backf low Irrigation Sewer Cap . Construction Pole Sub. 0 50+ KW Certified copy Is hereby furnished. Certified copy Is flied with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 ampsa• (Thissection need not be completed if the permit is for one hundred($ '0) or less). Dishwasher Solar Piping - Dryers OGas ❑Electric Sub Panel I certify that in the performance of the work f hi ,./his m t rued, I shall not em ilyyy any erson in any manse .as.• •ec• ..••JJ. to the Drinking Fountains Solar Tank Fan Workers' coyWensa Laws of California h/ ,, I'/ _ Motors 0()-1 HP ❑1%-8 Date %' Signature / Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+NOTICE: ll,after making this declarati ou should be .--e subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal r Fixtures •1 comply with such provisions or this permit shall be deemed revoked. l Microwave `] CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes 1 hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - a�0utlets Range Lender's Name Lender's Address - Kitchen Sink Water Service Switches Sign 3 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories.,, Auto-Wash Garbage Disposal Standing Sections 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 , Generator ❑0-5 KW ❑5-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains he Contractor's License Law(Chapter 9 (commencing with Section 7000)of ' Division 3 of the Business and Professions Code) or that he/she is exempt therefrom 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). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 I $15 Issue Fee $ 3 ./�3� compensation, will do the work, and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee e, for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 Hood or Type ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Zoning Approved By Date sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ - pletion, the owner will have the burden of proving he/she did not build or an- Duct-Under Ground %6 r Lifer' prove for the purpose of sale). Building Approved By Dateo/ IDI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By .. - -. /- .......-.••...4-e- Data 7^�t]t tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF "ES builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that —Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be pray ded to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B. P. f this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date ‘,/..41.9f_ Owner �.� / j. Heating System& Ducting Registers PLAN CHECK 25% S /� ENERGY P.C. $ I herey certifhat I have read Is application an state that the above 00.100,000 BTU 0100,000 BTU' - ELECTRICAL $ y7.7i� GRADING $ information is correct. 1 agree to comply wi all city and county ordinances and state laws relate lig to :.uildins con tr , on,and hereby authorize repre- PLAN CHECK 50% . 5 MICROFILM $ inspection fives of thi_ate y est-/up. A above-mentioned proper a - �/J inspection pure: / ,[ MECHANICAL S 1" i- i .4 - TOTAL FEE $ Signature _ a .i.I _ Date Drivers' Lic•nse or SSvif Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL & SPA • APPROVALS Permit# Date Inspector APPROVALS Permit # _ Date Inspector 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-Undrgrnd. 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, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 Wiring - • 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 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 t ' 32. Electrical Power Meter-Final 3410= ^ 80. FOOD CERTIFICATE ISSUED 33. Final Electric 2/44 'Ade Notes: 34. Final Heating & Air Conditioning ,` 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-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 • F OWNER BAGLEY. R. O. & V. L. DATE 11-17-75 JOB ADDRESS 117R Charinctnn Rt. BUILDING PERMIT NO. 40861 GENERAL CONTRACTOR Owner/Builder DESCRIPTION of WORK Patio Cover !AP No. 141-691-19 LOT 50 TRACT 5005 FIRE ZONE VALUE E 560.00 INSPECTIONS Signature Date TYPE V GROUP J ZONE R1 13 SOlL SUBCONTRACTOR PEJiMITS ISSUED A5 Date I Number I Signature WATER Plumbing ROUGH PLUMBING SrPROP. SWR. LINE❑ HOUSE CON. 9 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING - TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING 9 Heating and Vent. TRENCHES 9 FORMS STEEL REINF. 9 A O I)— - FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN 9 OUT n PLASTER. BROWN COAT STRUCTURAL. FINAL /Q_C. )-24---7‘. Electric HEATING, VENT., REFRIG. AND A,C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC. FINAL BUILDING, FINAL ALG, p-15-Z. 40661 :.. t F4,: On 6.5.9-:. -:, 6.5 rl' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 jg2ATONFORSTajf5;EIT RURM For Applicant to Fill in Completely —Use Ink Only Y DATE RECEIVED ISSU AADDRESS DILDING/i7B Cf1A�LtsraN Si-,(l.o, t r1 . DAct / //- 6 // OWNER /� �r Q /� A� A.P. NO. �j / LLL ���,,, ..((� ADDRESS 1176 e#4, G/�croft S[7/` 7 ADDRESS l�7S' ( y(IG/ itc,rc , Si CITY COS' to MESA NO.TEIWO��/� TR ACT`Jb O5t •ILOT,C0 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH '/ OWNEfl 04 VI_ E��L.,.� ADDRESS JJ��/� ppV�^ALUE / yJ ARCHITECT TEL. USE 1, /l rt (II OI g !�� OR ENGINEEROW HER TE 1I ADDRESS ZONE TYPE GROUP CONTRACTOR e"}-1011,/ER BYPRO DATE Ile- 17-73 ADDRESS 20NE/,/r NO.OF USE OF NEW TEL. CITY NO. ^ PLANS BUILDING At0 /1..9we✓ F STATE CITY YARD APPROVED YAR S APPROVED C./ LIC. NO. LIC. NO. MAIN BUILDING ACCE ORY BUILDING LY SIZE NO.OF SLOGS. (FROM/C T EET) L OF LOT NOW ON LOT / FRON7 -CA 1017 FT. a —'� USE OF iTs EXISTING BLDG. _ R. I F7. FT. rte.. FSeparate permits are required for L.SIDE ggFT. FT. electric,plumbing and heating work. REAR ST. FT. Q USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& ' I7' Co K1 MAIN BLDGS. ACCESS.SLOGS. Q /// DATE Q /s- .0�� C.U.P.. t}'+ rr/ ] APPROVED/ / BAPPROV�p1A�/�N�DATE /1-17 - 2,s>-' ..1 04 W 0 I hereby acknowledge that I have read this application and state n N ry4 that the above Information is correct and agree to comply with m 0-' all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of m the State of California.Kiii m I hereby certify that I am properly licensed as a contractor under SO. FT. a the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ,0 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F E ONLY: vo am exempt from the provisions of the State of California Business VALUATION P�� vt and Professions Code Division 3,Chapter 9. PERMIT FEE $ ,�� th in Signature of PLAN CHECK $ o �/JJ /mss 0 Permittee / . N + �� $�j/y/ �� TAX $ 30 LL / sa O Authorized Agent .. TOTAL PAID $ 6. - - . 20754 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OGi 7 1963 P.O.BOX 317 COSTA MESA•CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely AF4&1 A*IY`40R PERri1Tf TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 1178 Chart estpn S+ _ RECEIPT NO. gMUU�to.4 COSTA MESA, CALIFORNIA RECH V8D BY DATE REQHI ED DATE ISSUED OWNER Northgate, a partnership /d^ T�3 /d'Y-43 r BUILDING MAIL ADDRESS 1593q LasFiores St. ADDRESSFIRE j(/I TEL. ZONE TYPE (/I/ GROUPb)' )r CITYFountain Valley NO.5316792 ARCHITECT TEL APPROVED OR ENGINEER C. Hiller NQ.KE520o7 _ BY DATE ZONING ADDRESS Anaheim a L'I.e• ION NO.OF fl USE OF NE 'y/� PLANS �( I BUILDING ( - I CONTRACTOR Bonner Const" Tar,. ••'III [J/� r 1 _ �7 LEGAL A T 5"0 i '._00 r ADDRESS 15939 LasFl ores St. DESCRIFr1ON CITY Fountain Va11ev A.P.NO. (/ 'f — - NOTE: NO HAVE OVERHANG SHALL BE LESS THAN LIC.TNO.215049)OW9 NQ.)316792 90"TO SIDE Q REAR P.L. EAVES SIZE I NO.OP BLOCS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 96x118 now ON LOT{}np YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. none (FROM C( Fr' FT. /L STREET) SETBACK LINE FROM I. I FRONT ) CENTER OF STREET 45— REAR YAR�2 I SIDE YARD LEFT 51 I RIGHT K I R.SIDE u / FT. FT. DESCRIPTION OF WORK L.SIDE ))FFT. FT. J I NEW DK ALTERATION ADDITION REAR s 7/FT/ FT. DISTANCE BET./ BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS. BLDGS. BUILDINGNO.OP VAR.$C DATE SIZE 1259snft ROOMS K STORIESI C.U.P.j APPROVED EXTERIOR WALL a. ROOF APPRO - • _ COVERING 5 IsU000l COVERING shingle BY 1 1 DATE /O T USE OP BUILDING AND WORK TO BE PERFORMED single family res w.attach garage /a 5-1 • N BD.FT. B I HEREBY A• OWLED•• THAT I AVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STAT' THAT THE - •RRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. O PLY WIT ALL CITY it ��1{ D STATE LAWS REGULATING VALUATION 9/ m BUILDIN• CONSTRUC t I• • PERMIT FEE $ n SIGNATT E Al n D mow' B r / �� PLAN CHECK $ �� o AUTHORIZED AGENT '/7 E - TOTAL FEE $ o1'-"-