HomeMy WebLinkAbout3052 CLUB HOUSE RD - Building Permits,
._ . ApO��eant to HII in all spaus axcept thosa within neavy Cortler Iines anC sign all appropriate tleclaratians. _ . , r. __
;ITY OF COSTA MESA� � • ' . � , � � ' � � �� �
JOb'�JZH � ' ' � '- PERMIT NO.. • TRACT NO. ' � LOT NO, % � BLD . .. _ , � . , , ,_ _, , � -_ .
�ONSTRUCT,ION PERMIT , / � �� ; "- •� � . .
'roject Addrets �SZ CIU'LIIIO�JS2�DJ". CASC3 I`�$�. G� JZ Z ��" ' 'jYPE OF CONSTRUCTION . NEW � D�DD" ALTERATION REPAIR � �� � ^ '
, � - _.. ; � -.. :.. .: . T�
IppliCanYS Meding Address'��� � �11h��0 ��' 1)f' n. A� S�� "A �� rj2. ❑ CONVERSION ❑ OEMOLISH ❑ OYHER � � � 'q.p. # ' - ' � ' � '�2one ' � t � ' ' ' _
' � ` TLI�V"Id 7}1(liiK1R ' � S�iFNIGZ6- ' � DESCRIPTION.OF WORK - , . . .
Nner's Name - Phone � � � � . � �. � �� - - . . . � S. Main,Buildmg Accessory Bwldmg' , Z
id�e::. 3052 C1ubhouse-Dr.-�.,.sr� Nh.�,� C4 9�h7t,' � ' I ' � : � , - E: . , _ , �o :
� , . ..� � �. . . .. TYPEOFPERMIT GRADING FOVNDATION STRUCTVRAL` . � � T• Front ' � • _ � "" ` � ` c 1 .,� ry f
Ch/Eng. " LiCEn52 NO.. , ' ❑ TENANT ❑ ELEGTRICAL ❑ PLVMBING ,�'MECHANICAL ig Rear : ' � ` �� � � � �
1dre55' � � , � ��• '�Q.�OTHER , s` _ _ . . q. -� ' . N
puactor's Nama ��� BI'Ot172CS. IRC. � � � phone �+E�'Z6S3 1 PROJECT DESCRIPTION� SQ. FT. � � ' ' ' OCCVPANCV � � - C Right . . . . , G �
K ' . ,R
�iress Imaiiinyl 2952 Centurv Place. COS� 1°LS0',`CA' 92626 � CONSTRUCT,ION TVPE '' � VA'LUATION $ � g" Left E
� �� � � ' '� `� : ZONE ' S - G0.ADING CU. VDS. � '� ACRE$ � ' ' , - � Q
i Licen'se No. '�5�' PIng.Aef. # : . Park.Fees $ � . , ,� ..,
ENSED CONTRACTOR DECLARATION ' � Y` � r � ' ' " � ' • ' ' '= ' U
� Remarks: . . . , . Parking Req./Provided , • �� ,�
j, �eby affirm that I am Ilcensetl untle� provislons of Charter 9(commencing , -
sectlon 7000) of Dlvislon 3 ot the Business antl Professions Cotle, antl ' ` � . � � ' � � � Use of Building: � ' 1 . ' ' . ` . � � , �- � E
' Icense,is in full force antl eitec � � � "
�isa Cla � censa - � PLUMBING ' � � FEES; Planning Notes: . ' � � � a M
�. y_�-8 si9�ae ' , ` . e
, k
,
�.� � � . ' BarSink ' Showeis � j � � � N
S'COMPENSATION D RATION � � ' ' �� � � ' �
firm that I have a certlficate o� consent to self-Insure or a�certlflcate� �� �' � - - ' � �
r ' ,� BackflowPreventer' ' " ' -. Service Sink . . .. . _ . � _. . �. � _. _. _ . . _ � _ � .. ' � . ... _.. .. . S
.s' Compensation Insurance, or a certltletl copy thereof (Sectlon y�
I�b•�•�.l� ' ea ' I /J �j Backflowlrrigation � SewerCap ' ;� ' , � . 'ELECTRICAL , . . FEES'
No. ��d'��'�iC]�� ComPanY .i���il9U�F � � . ' �
�tliletl copy Is neraby (urnishetl. ' ' , Bathtubs ' Sewer COnn2ctioni � � qutom2[ic Washef Tran4former ❑ 15-50'KW �
�H/ietl c PY is filetl witn the cltY ull vl n. . . i : �. ' . , t' • ''❑ 50 + KW�
� �'�_ Applicant .. Clafifief5 ��Solar Collec[ofs _ , Construction PoleSUb..... . ' . , !.. - ' , _ _ _
PTION FROM WORKERS'AO�N'DECLARATION Di5hw25h2f- Sol2f Pi in �
3ction neatl not be complatatlJf the permit Is for one huntlretl ($300)�or P 9 ' -�� Cooking Unit : ' Meter ❑up ro�1002mp5,
y•that �In the'performante of Ihe woYk tor whiGh thi5 permk is�i55uetl I Drinking Fountein5 - SolaryTank ' � ' �, DishWasher . � Metef ❑over 700'amp5 ,
ot employ any person In any manner so az to become subject to ttie . . �, � _ �' n
s' CompensaHon Laws oi CallTornia. , ' Floor Dreins Swimming Pool w/Spa j' �Dryers ❑Gas � �Electric � Sub Panel, � •
� Signature � � �
E: If;iafter making this tleciaratlon, you snowa oecome sut)ect to the �-� Floor Sinks � �� - - Urinal ' ��� '- Fan - � , • � Motors OO-1 HP �1'/: - 8 ` ' -
" Compensatlon provisions of'tbe' Laboi Cotle, you must forthwith ' ' ' '
�wlth suth provisions or'thls--Darmit shall be,tleemetl revoketl., GaSService Outlets. �- WaterClo52t• '� • F.A.U. � . '' Inc.Solar09-15HP�16-15+ �
RUCTION'LENDING �AGENCV - ' '�
�afflrm that [hereJs a constructlon IenCing agency for tha pertormance Int2rcepto�5 � ,Wate� He3ter �- ` Fixtures �' � - � Microwave
w0/k fOr, which thif permit IS ISsu¢tl SBCtion 309] Clv. C ). � - ' �' ' . � ' � � ! '
1
� ; • • ' . . __ _ .
� Name � " ' '^ '" ' ' ' KitcFen�Sink� Water Service � ' '' Device Boxes ' •
�Adtlress' �� � � - - Pole Ligh{
BUILOER DECLARATION � ' ; � � �aVetOri25 . •� . , � . . OutlCts . Range
afflrm thai I am exempt trom the�Contractor'S LI<ense Law for the � p—T�a
i reason (Sectlon•7031.5 Business antl Professlonal Cotle: Any cify or "' P. ' ' - . Switches ' ' Sign
filch requiros a permlt to tonstruct, alter improva, tlemolish or repatr �� -.. , '
i�ture, prlor to Its Issuance, also requires t�e appllcani tor such parmlt Roof� DrainS ' ' Garbage Disposal Standing Sections
lgnetl statement that ha/she is Iicensetl pursuant to the provislons of '
'or's Ucense Law (Chapter 9(commencing with 5ection 7000) oi � � ' ,- Gene�ator �65 KW �5�15 KW �
/ the Bu5ine55 antl, Profe55ion5 COCeJ or that he/5he IS axempt . - ' ' . .' . . TfaSh CompactOr
.tl the basis tor the allegatl exemptlon. Any vlolation of SecHon ` } r � .
. any appll<ant for a permit subjects the appllcant to a civil - .. � � .. � " ' � } � �
� not more than five huntlred dollars (5500). . . Reinspeetion F9e � .$25 , Issue Fee �$ 3
�wner of the property.or my employees with wages as their sole . Rainspection Fee $25 Issue Fee $'3
tlon wlll tlo the work, antl the structure is not intentletl or ofieretl � , � MECHANICAL � FEES � �
t'Secfion 7044, Business antl' Professional Cotle: The' Contractor's � � PUBLIC SERVICES REQUIREMENTS:
fw tloes not apply to an owner of a property-who builtls or Improva5 Boil¢r ' ��': � Hood Or � Type I ❑ � ' � �
'InC �who tloes such work himselt/herself or through M1is or he� own Zoning APProved By ' Date -
. 1 p�p�iCetl SM1at such-Improvemants are not Intentletl or ot(aretl for , Canopy � Type I I-❑ , �- ,
, iwever, the builtlin9 or Improvement is soltl within one year of com- ' ' Duct - Under;Ground , , . Building Appraved�8y ' Date �
'e owner wlll �ave the burCen of proving he/she tlitl not bulld or im-
ne puroose of saie). • , . -�. , Duct - Structural Refrigeretion System . ^ Application Issued By Dat�
vner of the property, am extlusively contracting with Ilcenietl con- . . .
<onstruct.tha proiect (Sectlon 7044, Buslness ana Professions Cotle:. Duct �. Ventilating, ., _ 100,000 BTU ❑100,000 BTU � � SUMMARV OF FEES � '
ector'S License Law tloes not apply to an owner of Oroperty who BUILDING PERMIT ' � -
mproves thereon, antl wno contra<ts tor such pro7ects witn a con- . • Ezhaust System ❑ Multiple ❑ System Repair/Alteration $ SMIP '$
1 I<enie pursuant to the Contractor's License Law). ' � � ' '
i� � PLANCHECK �$ PERMIT
I 'mp[ untlar Sectlon B. & P. C. tor m6 reason Fiiepl/Fact. BIt. ICBO # ' PLUMBING � �$ ISSUANCE �$
1 � Owner' Heating System & Ducting . ' � ' PLAN CHECK 25% $ � ' ENERGV P.C. $ �
erilfy that �I have reatl tnis�application and state that the aboJe ��4100;OOO�BTU �100,OOOBT �� ELECTRICAL � GRADING $ �
i Ii correct. 1 agree to complY �+�<h all clty antl couniy ortlinances • $ .
'�w ating to b , conttruction, antl nereby authoriza repre- � ' ' � PLAN CHECK 50% ' MICROFI LM $
M z y enter u n ihe above•mantionatl property for , , � MECHANICAL $ ���i."Z`7 TOTAL FEE $'��• ���
urp e (� •
. � � ' ' � Date y 9-57`F � • , ' . _ � , .
6nse 55 � — � Reinspection Fee $25 Issue Fee ��$ 3 PLAN CHECK 25% $
� S rev. 12/83 White - Builtling; Gnary - AC011wnt; Pink - Accounting; Goltlenrotl - Assessor � � � � � � � � �
1 .
•'""CONSTRUCTION�AND'�PLANNING `-m' I. K_� .;, y,� � -' '. -. - -,.� .� �,.,, -
- r� � - '- - :-;Date: j � Inspector - ' - � - � Date � Inspector � °,
- =APPROVALS � P.erinit#_ � � - -. �� � , APPROVALS Permrt# _ _ '� � � � _ ��
^,.� -
'r 1. Temporary Electrical Service�or Pole �- - ' 52. Pool & Eqwpme ;;`��canon''"�`-"' "� z'" ` � ��«,,�.,��,` �_
� -
'� 2:� Soil Pipe-Undrgrnd.' .`'s - �; i'. . 53. Steel �Reinforcement - . � � � - . �� �
�� �i
" _ t ' ' .,n � . 'hi
, 3. Electrical Conduit Utility-Undrgmd.�� � , . ;,r > � . "�.54. Forms'- : � _ , ' �� �
.,
.4. Electrical Conduit-Undrgrnd: � " . P ` � . - '55:. Electrical�,Bonding ". �- � � -- , r r _ - _ , � �
5. Steel Reinforcement � ; � ` /.�., , ` r�,� _ �561 Rough Plumbing & Piessure Test � ' ; I ' = . 7 ; � �.!.'
6: Electrical UFER Grnd.� � • � � ' 57.� APP,ROVAL TO COVER-GUNITE' _ � � ; � .'��9 t _
- i �
�' - , �-.� . . - . ��:
7. Footings � � , - 'r' � ,i ,- � 58: Electrical Conduit-UndrgrndL� �: �. � � =' ; ,
8. Foundation . ' � G � ' - � ��59. Gas Pipe, O Undrgrnd., l'esf �� � � - � � '
t': f
9. Water� Pipe-Undrgrnd. � ` � ' ' � � 60. Backwash Lines, P Trep,'O Undrgrnd. - � E ' �� {. + .
10. Structural Flobr Sysfem . � ' � � - 61. APPROVALTO-DECK "-� - - - � , � �� -' 'i�i '
11. Propeity,Sewer Line'& HouseCbnnectiod � ' .� � ��_ : � 62. Backwash & Receptor-FinaL " � ' �
. �
12. Sewer Cap � � , ' � �- �� � ' � ' . 63. Heater & VenbFinal , . � . '
�
13. Roof Drains . � � � �. ' , � ' -64. Plumbing System ; Final= �- ` - ' �r
,. 14. Rough Plumbing � � . ' ' " 65. Electrical-Fihal �� ��� � � � � � - '
15�. RougMElectrical=Conduit�r � . -.. ` "`t ' -' "' -, { � � 66. SolarSystem-Final � ' �-' � , - - `i �-" ' "' '- i ;
.16��Rough.Electiic,Wiri�ng . : � ' � - �';�� �- , - ' " �67. Fencipg & Access App`roval ♦ L ` -'� - '"-" , i �-, �' " -" "� .'.
- 17. Rough,Wiring�Sign;_' . '- ' ' '' � " � - . ` 68. APPROVED FOR PLASTERING � " � �
i � 7� - �
' 18.'.Rough�Electrical-T Bar,Ceilingr . � ` � ' �';'� 69.! POOL/SPA SYSTEMS.FINAL � �� i :, i � ' �� �� . , .' � � '
19'. Rough Heating & Air Gonditioning �� � , i �� � FIRE DEPT. REQUIREMENT' 1' � _. , � -
� t � ' !! II � �,- � �; ' .
20. ,Rough Factory Fireplace' � ' �, , ' i APPROVALS' ' Permit # _ � � �
21. Ducts, in Structure'` �. � � - ' ' � 70.' Underground Hydro r . , � � ~
�,22. Ducts, Venfilating ; �, ' ' 77. Pr'oduct Piping O Gas � D Oil i � _. � � � � ��
i i % i
_ . . . : '_ i _ .. . __ . . ._. _ ' _ . ' ._ . '_ " ' _ "
�23. Gas Pipe-Rough & Tesi ; 1 ' �f - � 72.'. Underground Flush � � , 1 � ,
44. Roof; Framing � ; �- � ' ' : �;., ^• j � . 73.� Undergrnd. Storage Tank O Gas.f � Oil` ' � � ' � '
25. R»Efi�Sheatfiiri ' ` � •i ' �',- � � - � ' � �
g , � _ � 74.�Overhead Hydro � � ,
, . � �
. 26. T:Bar Ceiling (Structurall� & Monocoat � - ` ' �75. Dr,y; Chemical ' � - - � � ' -
27. Freme and Flashing �. - - � � "-' , 76 ' D �y Standpipe 1 � .: : � ' � { , ' ,.
� 28. .Lathing &�Siding �� ' ' � , �� � 77.•` FIXED SYSTEM FINAL � � � � '
29. Insulation -• ' . .�! , ' ' � �� 78. FIRE PREV. FINAL ' - � �
30. Drywall Nailing �, . ' � � " � � ' � ' HEAL•TH DEPT. REQUIREMENT � I .
�
31. Plaster Brown Coat '� , j ' ; � . 79.� FI�NA.L INSPECTION , j j -
' 32. Electrical Power MeterFinal . ;��•' � . 80.; FOOD CERTIFICATE ISSUED � ' i�
' 33. Final Electric � ' � "Notese+H�'r (�. � 'L{l���7L((�(J_ �,_
�34. Final=Heating & AiFConditioning; ` � S��/��Y �GE� ` S�Ll.y4• .LE�_C9'L�7 " �L�E����.
._. ,... .. , , , , , ... .
35. Final Gas Pipe-Test - . _ � � � ', t. ' _ � _ ,,
'�
36. Hood or CanoPY� i , ' � . ' , . � i • ; ' - � I : - 1 . ' , - ; _� -' _ ,
i
37. FinalFactoryFirepl�ace' � � , �' � _ � �i •. -, � � - �1� , ' i,r
�
38. Final Plumbing , ' �. � ' � ' �� � � i . t � � . . i :; j I' • ' - IIE i ��� ' -- .
39. Water Service-Final . i � � � • � • ! � - ` ' `
� . � i t; . �. . .
40. Gas Service-Final , . � � ' i � � , ' � � . '` `� " � � -
I I i
41. Solar pomestic-F,inal ' ; � "; , --- , -. - ` � - � ' -- � _ � � . _ , � ^' �
.. �'- T' -� I, i
42. Backflow Preventer, ? ; ��..� � -_ i. _ ,,�7 _ � ' � . � ' ,,
' �'.
43. Backflow `Irrigation � � j � i � i `: - � � ' - � - � , '�
�'
44. ,Landscape Irrigation System � � � a i � � �� � ' -;; � - ; � .
� ,- � i r
: . , - � : , . � ". ;: -� - �,
45. Sound � Attenuation; � 1 ! � ' � � . ; � � ` ! � � � � -- T � �
. I 1 � � � ' � I �� R �!
- � . t � ' ' 1= i ' 1 : - '
46. Handicap.Regulations .� ; y; � " -. � � . ' • � . i . .. .'-� �-
47. FINACSTRUCT�URE&BUILDING� a i �T ,y �� ,_� � � � ,, ��� ' '
� '
48. Spe`cial Requirements Completed' � ;' ` � , . _ � ; ; . , • . - " ' ' ' 'd �' " �
r � i i
49. Electri'c Release to Edison � ! � � ! �'r "' � � " i � �, - ` '� �� - , � � ' '� � � : n,
50. Gas Relea'se to Southerri Celifornia Gas Co - � � ' � � • � � � � i
, e i � I , ia: � :1 1
51. CERTIFICATE�OF OCGUPANCY � �' � ;- • - � - - -=�- -� -� ; -; � 1 ' � , ' { i';� ,
'{' 'wq•: � .a., •- -'7- _:r :� � • �� � ' � . I ! �� '� '
No. - ` Date„ - - , � 1 � _.,, r.. _ .
-_� - . _ .. _ _ . . � . �iJ .... . ._r . . .. �
�� 1
. . _, . ... . . ApPlieant to fill In all spaces exca0< t�ose wlthin heavy bortler Iines anE sign all appropriate Eeclantions. _,
CITY OF COSTA MESA� � • � ` � � . . . ' . � pEqMri NU. � TRACT NO. LOT NO. • BL� . , , ' .
CONSTRUCTION PERMIT ' ` � � � ,3O/7 • . ' ' "
PrOj2Ct AddreSs' '� '� TVPE OF CONSTRUCTION NEW AOD � ALTERATION _ REPAIR
AppliCent'SMallingAddf¢55� , � ' -� ' � • ❑ GONVERSION ❑ DEMOLISH ❑ OTHE�R' ' ,` .q,p,#' �
��VJD: �!-FO�Ii/I AS �' Phone� DESCRIPTION OF WORK ; , , • • S Main Buildin
Owner's Name
/ 9
Address' SRML � ' � ' TVPE OF PERMIT GRADING • FOUNDATION STRUCTV RAL � T Front ' �
ArCh/Eng. � � LIC2n5ENo. � _ ❑�TENANT �ELECTRICAL ❑PLUMBING �.MECHANICA�' , B Rear ' "
Addre55 � ' ❑ �OTHER ' ' ' A
Contracror'sNam '� � � Phone 'r� �PROJECTDESCRIPTION S��FT. � oCCUVANCV � � C Right
�%�/�I�,�� ���/ �CONSTRUCTIONTYPE �- - VALUATION$ - � g Left �
Address'ImA �"�nl /!
.6i�r � - ZONE � GRADINGCU.VDS. ACRES PIng.Ref.#
Cicy License Na.
LICENSED CONTRACTOR DECLARATION � ' Remarks: � P2fking Req./Provided
(�nereby-affirm that I am licensetl untler provisions of �Charter 9(commencing �
with section 7000) of Olvislon 3 of the Business antl Protesslons Cotle, antl � � , Uieof Building:
my Iicense.is In (ull force antl eftect. � �
ucensa qi}ss � Icens No. 3DZ.�OZ � PLUMBING - � 'Planning Notes:
te!f'/'3b/ . Slqnat e Bar Sink Showers
)RKERS'C MPENSATION DECLARATION '
. nereby aftirm that 1 have a certiticate of consent to�selhinsure or a certificate• BackflOw P�2v2M2� - .'Se�vi[2 Sink' "
of Workers' Compensation Insurance,� or a cert!ltletl co y the�re�o�f� (DSectlon �
3800, Lab. i� _1�.�.�`" Backflow Irrigation � Sewer Cap
Polity No. Company �
n�y. Certifle copy I5 hereby furnl5hetl. � . BathtUbs � � SewEf ConneCtiOn
�9, Cerii - copX I �fJ�letl wlth the city B Isio : � '
Oate �/ `/ Applicant ���A'G�� Clarifiers � Solar Collectors
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' , DiShYYd5h2� '. ' SOlar Pi In
(Thls section naetl not be completetl it the permit I5 for one huntlratl (5300) or " P 9
iess). � � ' � ' Drinkin Fountains ' ' '
1 certify that in the pertormanca of Iha work for.whlch this perm�t is issuetl, I 9 Sola� Tank 1
shall not employ any person in any manner so!az to become subJect to tne � - - �
Workers' Compenwtlon Laws oi California. . , ' . Floor Drains. - Swimming Pool w/Spa
Date Signature
n
NOTICE:It,iafter making this tletlaration, you shoultl-become 5ubjedYto the � FIoo�Sinks ` ��- • ' � Urinal '-'�+-" �� ' ' ' ' �
Workers' Compensation provisions of.[he Labor coae, you,musc.mnnwim � ' ' .
comply with�. suc� provisions or',thi5 permlt shall be •tleemetl revoketl. Gas Service� "Outlets' ' v Wate��Closet •� .'� .
CONSTRUCTION LENDING AGENCV � �
1 hereby'aftirm that there is a construction.lenCin9 a9ency for the pertormance InLerceptors Water Heater� C? �'
af- the work for, which� this'permit �is Issuetl (Sectlon .3097 Civ: -C.); � � _ �
Lentler's Name' � " Kitch�en Sink . Water SerJice ' �
Lentler's Atltlrass; � " -� ` �' � �
OWNER BUII..DER DECCARATION f ' - � LevetoNes � . � , ' , '
I
� hereby aftirm th�t I am'ezeinpt-frbm the Coptracto�'s� Llceose Law for tbe �- �- - . -
r,. ..,.,�..,. .e�..... . i...: vnai. c.o.�.i..e..... , ... e....... .. e.. .....u., ... P—Treo t r _ . . .
as
as
LJ l.am
Date' _
Signature
Drivers',L
pr'lor to Its'Issuarica,+also requlres tha applicanDfor such permit �
��tl siatement_IhaLhe/she I5 Iicensatl pursuant to the provisions ot ,
m's Llcense Law, (Chapter 9(mmmencing'witb'Sectlon;7000) of
f thel8uslness antl Profezsions Coae) or that he/she is'exempt -�
0 the basis for the allegetl exemptlon: Any violation�ot.5ectlon '
ny applicant for�a permit'-5ubjetts,-the.appllcant�to a� civll .
t more than tive nuntlretl tlollars (y500). •� . � - ' '• .
er of the. property ;or my employees viith wages, as their iole.
wlll� tlo tha work, antl [he:structure I5 not intentletl or ofieretl
�lon 7044, Business antl. Vrofesslonal. Cotle:' The' Contractor's
tloes not applY to an owner of a property�.who;bulltls or Improves
who'tloes such work.M1lmself/herselt or [nrou9h his or he� own ,
�ovitletl that such�lmprovemants are not Intentletl or oiferetl tor
ver, the bulltling or Improvement is sold wlthin one year of com-
�wner will have,the burtlen of proving he/she tlltl not builtl or im-
purpose otsale). ' •
rt o1 the property, am extlusively mMractlng'wlth Iicansed con-
istrudt the project f5ection 7044,.Buslness antl Pwfessions Cotle:_
or'S Litense LaW does not apply to an owner of proper[y who �
iroves thereon, antl who contracts tor such projetts with a con-
nse pursuant to�,the Contractor;s Lltense L.aw). • 1 •
�.pt untler Sectlon � 8. &'P. C. for thls reason ;
� � Owner' . • ' . . .
9fv •fhat I nave-reztl-thls appllcatlon antl stete that the above L
- Builtling; Canary - Applltant; Pink - Accounting;
Roof Drains.," � �
• � . �' ,t.
i { ' '
Reinspection Fee �
Structural
�
�
�
Firepl/Fact. BIL ICBO #
Heating�System & Ducting �
❑ 0.100;000 BTU�� 100,000
Reinspection Fee
�nroE - Assessor
FEES,.
Automatic Washer
Construction Pole Su6.
Cooking Unit
Dishwasher
Dryers. �Gas � �Elec
� Fan?"
. F G I I
,� „ � '
' � Issue.Fee � $ 3 �
iANICAC • - FEES•
Hood or Type I , ❑ , ' ^, �'
Canopy Typell� ❑ . �
�
Refrigeration�System. � '
�4700,OOOB�TU 0100,000
System Repair/Alteration` �
!
' � � i �
. , laue Fee . .
'F' "
$ 3
�` � � •
98�5' '5/03/84 ; ,' ` 4.7�
. . Gane�� „- � .
Accessory Building: "
Park.Fees $ . ' ' �
' ELECTRICAL � ' ;_ FEI
1 Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑upto100amps;
� Mete� ❑over 100 amps '
Fixtures ' �
Device Boxes ; �
Outlets . . • � ,2C
Sub Panel' ' '
MotorsO0.7HP�1%-6 -
Inc.Solar 09-15 HP 016-75+
Microwave " � t � �
Pole Light . '
.i
Z
O
N
I
N
G
R �
E
Q
U
I
R
E
M
E
N
T
S '
Switches " : Si9n+ ' t .
Garba9e Disposal � � ' ' "Stantling Sections :
Generator �a5 KW �5-75 KW � Trash Compactor ,- �
'i ' - { � ' - � � :
'Reinspection Fee � $25 �ssue-Fea • � .$�3�
PUBLIC SERVICES RE�UIREMENTSi _ ' � � �
Zonin9 APProved BY . .. ' Date � I
,Building Approved By ' � � Date� � � -
,
Appliption Issued 8Y . . Dat�� u a' i_ '
� � ' � ' SUMMARY•OF FEES � �� � �
� BUILDING PERMIT $ � � SMIP ,$ f �� �
, PLAN CHECK � i$ �PERMIT � i' � Zs-.lF
. PCUMBING� .$ � ISSUANCE �$ ���LL
P�AN CHECK� 25% $ ENERGV P.C.-!$ � - �
ELECTRICAL $ � GRADING �$ ' �
, P�AN CHECK 50% $ MICROFILM �$.
� MECHANICAL ;$ � ` TOTALFEE' ,$ �
PIAN CHECK 25% $ � � � � �
;�
%
�
, �
PFlOJECT AODflE55: 3 O S Z C L UB HOUS E RD
owxexsName: pINKERTON, ALFRED L
aoonEss: 3052 CLUB HOUSE RD
COSTA MESA,CA 92626
APCH/ENGINEEfl:
aooness:
flEG.NO.:
UNIT:
uxir:
PEpmiTTEE: pETERSON ROOFING ( 719 ) 979-7111
aooxess: 3006 ENTERPRISE
COSTA MESA CA 92628
LICENSEO CONTHACTOH UECLAflFTION: I here0y afhrm thai 1 am licensetl unaer pmvisions ol Chapter 9(cammencing wiN Section
7000) ol �rv��sion 3 of the Business antl Pmiessions Cotle, and my license is in �ull torce an0 ef�ec�.
cirvuc.:095495 sTarEuc.:607872 c�ass: _
Da�e: �� ��9�� Signa�ure: _
WOPNEBS' COMPENSpTION OECIAflATION: I here�y alfirm Ih I have a cetlifica�e o� consent to self�insure or a cehifica�e ol Workers'
Compensation Insumnce. or a cem�ietl copy �hereof (Seciion 3800. Lab. C�.
roucvNo.: NC3501565 E%P.OATE: O3I2OI9S
comraxv: REPUHLIC
.� Cetlilied copy is hereby �umishe0. � Ceriitietl cop/y iJs filetl wii� Ihe ciiy BuilOing �ivision.
�a�e: S � � �� �� ApplicanL 1Q6�/ -�
E%EMPTION FBOM WOXREPS'COMPENSPTION DECLABATIONV Thissedion nee0 nolbecompletetlitthe permi�is�orone hun0�etl�311p)orless�.
I ceridy Ihat in Ihe petlormance of �he work lor w�ich Ihis Oermit is issuetl, I s�all not employ any person in any manner so as to Decome
suo�ect m the Workers Compensalion Laws oi Cab�ornia.
Daie: SignaWre:
NOTILE: II. after making this tleclara�ion, you should became sublec� Io the Workers' Compensation pmvisions o� Ihe Labor
Cotle. you musi foMwilh com0ly wi�h SUth pmvisions or Ihis permii Shall be OeemeA reroked.
CONSTHUC710N LENOING AGENCY: I hereby aflirm ihat ihere is a consimctian lentling agency for the performance of the work tor
which this permit is i<suetl (Seclion 3097, Civ. C�.
LENOEF:
ADDPE55:
OWNEP BUILUEF OECLABATION: I here�y at�irm Ihal I am exempi imm Ihe Conlractors' Slale License Law �ar the lollawing reason
(Seciion 7031.5 Business and Professional Cotle: Any ciry oi coun�y which requires a permii lo constmct. al�er, impmve, Demolish, or
repair any stmcWre, prior lo its issuance, also requires I�e applican� lor such permit ro �ile a signetl s�a�emeni Ihat helshe is licensed
pursuaN to ��e provisions o� I�e ConVaclors' Sla�e License Law (Chapier 9(commencing with Section 7000) o� Oivision 3 0� Ne Business
antl Prolessions Code) or Iha� he/she is evemp� Uere�rom and the basis for ��e allegea exemp�ion. Any viola�ion ol Section 7031.5 by
any applicant lor a p¢rmi� SuDjects ��e applican�to a civil penal�y oi nol more Nan five hundre0 Oollars (E500�.
I, as owner oi ihe pmDerty or my employees with wages as Iheir sole compen5ation, will do �he work, and t�e
❑ vmmure is not intentled or oifered lor sale (Seclion 7044, Business ana Pmiessional Code: T�e Con[raclors' State License Law
tloes nal apply to an owner ol a pmpetly who Ouiltls or improves ��ereon, and who tloes suc� work himself/hersel� or �hmugh
his or her own employ¢¢s, pmvidetl �hat such improvemen�s are no� intentlee or onered for sale. I�, however lhe �uilding or
improvement is sold within one year o� comple�ion. Ihe owner will have Ihe bur0en ol pmving he/s�e ditl not builtl or impmve
for the ourpose of sale).
I, as owner of Ihe propetly, am exclusively conirac�inB wM1h bcensetl conlractors to cons�mct tAe pmjecl (Section 70A4, Business
❑ antl Pmiessians CoAe: T�e Gontrac�ars' State License Law Ooes nat apply to an owner o� pmperiy who bwltls or impmves �hereon
antl w�o conirac�s lor such pmle��s wrth a conVac�or(5�license pursuant �o ihe Conlractors' S�ate License Law). I am aware
��at proo� ol iheir Worker'S Compensation insurance should be pwvi0etl Io me.
� I am exempi un0er Section: B. 8 P. C.
for mis reason:
Oale'. Owner:
I tlo hereby cenily ihai I am aware al an0 wders�antl Ihe requiremems of Calitamia Healih ane Safery Cotle Sec�ions 25505, 25533, an�
2553a an� Inat I or any fuWre building occuDanl willlwill not (circle one) need �o complY wi�h saitl siale codes ana �he requiremen�s �or a
permii lor consimction or modilicaiion �mm �he Air Oualiiy Managemen� �isirict. Re5i0enlial canstmction applicalions are exempt �mm
Ihese pmvisions.
Date: Applicam:
I here�y cer�ity Ihat I have reatl this ap0lica�ion antl sta�e Ihal Ihe aboveinformation is correct. I agree �o comply with all ciry and counly
orAinances and Slaielawsrela�inglo builtling consimc�ian antl hereby authorizerepresenia�ives olihis cilylo en�erupantM1e above�menlioned
pmpetly forinspecuon purpases
Dale'.�_ �r /C/ Signalure:
�river's License or Social Securiiy
Wnary—AppliwnL Pink—Revenue-, Goltlenrod—Assessor
CITY OF COSTA MESA — BOILDING PERMIT PERM NO: B 067086
PERMIT NO; B 067086 PLAN CHECK NO; N GOVT: N SUPP; N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : REMOVE BUR & REPLACE W/BUR SQ FT; 1,786
CLAIM VALUE: 1,786,00 CALC—VALUE; 1,786,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
�x��*********x�**�-**********+�***+�*�r****+�+�*******�***�*+r*+��-�******i�***�r********�**
2 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 ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGAT: FT IN
PARKING REQ; PROV: PARCEL; 13951519 ZNE: REF NO:
PLANNING NOTES> ,.�
� �•
1E if iE fE 1E fE 1E iE iElE * iE jE iE if iF 1E iE fE �E 1f 1E �E if iE if �E iE it if 1E 1k iE iE iE 1E iE if iE iE if if if if 1tlf jF 1E 1E iE if ik ff iE if iE iE iE 1E iE iE 1FlE ff fE iE �E iF 1f iE 1f jk iE ff !E 1E iE 1E if
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 Ni-T S
ZONING APPROVED BY DATE: '��
BUILDING APPROVED HY : DATE: ��
APPLICATION ISSUED HY: DATE; '���i,��
iflfiEiEiElFiEiElE�IEjElEaEiEiFiFlfiFififiEif affFlEiFiliflEiEjE1f �� 1FjE
!E fE fE 1E 1E 1! iE iE iE iE iE iElElElE if iE if if iE 1E ik iE 1f 1f 1E 1E iElE ff 1f jE 1E 1E iE iE 1E iE iE i! iF iE �E if 1ElElt iE iE if fE ff it ff iE iE iE iE if 1E 1E 1E f! fE ff jf iF �E if iE j! if iE ff 1F 1f iE iE if
LEGALIZATION:N F E E .S U M M A R Y STRUCTURAL SEGMENT:Y
R
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 41,00 50
PLAN ; SMIP/NON—RES
ISSLJE FEE '�
HUILDING—DIV—> PERMIT ISSUE PL'AN=CHECK TOTAL PAID DUE
TOTALS----> 41,50 0.00 ! 0,00 41.50 41.50 ,00
REVENUE DIVISION TOTALS--> COLLEC:TED: 41.50 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
41,00 �/ /. ,SO
� � r ,
9E iE if iE 1E iE iE iE 1F if iE if ib 3E 3ElE iE iF iE 1E 1E iF iE �f if if if !E fE if iF iE iF iP 3f if df ?F iE iE iE iE fF iFlE iE iE jE iF iE 3f If iE iE iE if 3E fE 9E!! �F IF iF iE iE iE 1E jE iE iE iE iE iE 1E iE �E 1E 1E iE
I N D I V I D U A� L-� F E E B R E A K D O W N
,^.,
TYPE QTY I7 E S C R I P T I O N UNIT COST TOTAL COST
SFR 1786 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,786.00
'END OF FEES
�
1
' O1 0016{l235—OQ160236 TCiT 41.50
rc DA7E: OS/10/44 TI11E: f5:29
, ,,
.
J
CONSTRUCTION AND PLANNING
� APPROVALS Permit � , �
t..TemDorary Electrical Serviceor Pole
2. Soil Pipe-Undrgrnd. ' '
3. Electrirat Conduit Utihty-Undrgrnd. .
4. Electrica� Conduit-Undrgrnd.
5. Steel Rei�forceme�t �
6. Elecirical UFER Grnd,
7. Footings '
8�. Foundation � ,
9.,-Water Pipe-Undrgrnd. �
70. Structurai Floor Svstem . ,,
11. Property Sewer Line & Housp Connection
12. Sewer Cap , . ; � -
73. Roof Orains '
14. Rough Plumbing �
15. Rough Electrical�Conduit
16. Rough Electric Wiring
17. Rough Wiring Siyn
1$. Rough EVectric36T Bar Cieihng
19. Rough Heating & Alr Condi:ioning
20. Rough Factory Fireplace �
21. Ducts,in Siructura �
22. Ducis, Ventilating � �
23. Gas Pipe�Rough & Tesc .
24. Roo1 Framing �
25. Roof Sheathing '
26. T�Bar Ceiling (Structural! & Monocoat
27._ Frame and Flashing ____
� 28. !athing.& Siding .
29. insulation . . � � .
�30. Drym�a11 Naihng �- - �
37. Pla:ter Brown Coat
32. Electrical Pow.er R7eter-Fnal
33. Finai Electric
34. Final Heating & P.ir Conditioning
35. Final Gas Pipe-Test
36. Hood or Canop•y . � ,
37. Final Factory Fireptace "
38. Final Plumbing �
39. �ti�ater Service-Fina1 •
40. Gas Service-Final , , .
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation
44. landscape Irriqation System -
45. �und Attenuation ' �
46. Handicap Regulations . '
47. PINAL STRUCTURE & BUILDING �
48. FINAL PLANNING �
49. Electric Release to Ediso� �
50. Gas Release zo Southern Ca�ifornia Gas G
Date
Qate
i
r
s
a
PO�,.. & SPA
Inspector qppROVALS Permit � �
^ � 52. Pool & Equtpment location
� 53. Steel Reinforcement
54. Forms
55. Electrical @onding
56. Rough Plumbing & Pre.ssura Test
57. APPROVAI TO COVER�GUNITE
58. Electrical Conduit�Undrgrncl.
59. Gas Pipe, O Undrgrnd., Test .
6�. Backwash Lines, P�Trap, !-! Undrgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor�Pinal
63. Heater & Vent-Pinai
&A. Plumbing System - Final
65. Eiectricai-Final
66. Solar System�Final
67. fencing & Access ApProval
68. APPROVED FOR PLAS7ERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
�- APPROVAIS •"Permit#
� 70. Underground Hydro
� 7}, ProducTPipin9C�C'ias ❑Oii
. 72. Underground Flush _
73. Undergrnd. Storage Tank O Gas ❑ Oil
. , �'_
7A. pverhead Hydro � - �
- " 75. Dry Chernica� -
76. Dry Standpipb ,
. ' - ' 77: FIXED SYSTE4�1 FINAI.
� . i.
78. FIRE PREV. GINAL
� : HEAITH DEPT. REQUIREMENI
' � 79. FINAL INSPECTION
� . �8Q. �POOD CERTIFICA9'E ISSUED �
� NoYes: //!'/ �,u� _/i_ •C-,
Date (Inspector
N
u
f�
�
r
T
��
`� — G � ' , '�' : ;:
� 3035'
3033
3039 � • ` a
3p41 „ �, • xcv. � � u o
'-MEV'1 " 1 .- �n
v. ' ♦ �
�S �f �� � pE 11' 1 \ \ ^ ' ����� 1� >
1 CAS 30 03 32133 � in a M
�p4� � pE� — - – � .
� ` W _';
C, 'i00'9 • 0 28 ,' 29 M .m ,�.�
� V �5� � o . �� �: — — —
� ��� PE�' \� : � . u' �
0�. � M a o
3oh� ` 4 PEJ .\ � �C � � Q— _ � ' in
7
,�a51 � � ��,0� \Z � y � �,
0 �, � ��S �� �++ • �
� p0� �° _ ` Poo� o
GPS 9 � �
� „\ ( / Q W m
o� ` 0 .. y� v` y —_�
�n � Q . —�_- u '4i
�_ 1�2,-I�+i` � ' � �� ..
� - ` . WADINO � - � - �' �
e � • .s ' l� � , sp . _ ' L �6 . � �'
� � • �"' �
-_ O . ..' .1 _ ___
vl
� � O . . i. . ' . O. O
� I 14 15 16 , 17 � 18 � 19 20 21 22. , 23 , 24 � 25 � 26 27 — --
— W ' , � CASA DEL AMIG S'. I :� I j � N >^
o W o
_ ; � a �
m �.:_, _ m . m
M � a _ - _. _
_..
y _ . _ � � -- --
� I.. . .......-- �
0 0 ¢ . �� ... ' --�—I-... � � i � i --:., � � �. i �� W v�,
V I� G � 8 I B PEV.I G FEV. I B FEV. � B I G. G. 6. I B PEV.I G:NEV. I 6 flEV. B -C � __' �1 �
— --- 3062 . 3060 3058 3056 3054 3052 3050 . 3042 3040 3038 3036 3034 3032 3030 v „ g
>
a
m .
. �
L U B
v �,
_ ; -b
� � � � � � ��� � � �
,
,,; , � J
: �
' HOUSE =. I ROAD
�
5-�° j
1.6 �1 � �
_ . _ _-- _ . _ � ____ _--�_ __ __-- --
_____z _ _
1�A�� VGSlU� L�V�VV.
JOB ADDRESS 3uyz Clup ttouse xoaa
GENERAL CONTRACTOR e DESCRPPTION OF
SUBCONTRACTOR
or
J-4'�7
(I � � i.. 'J � .
'LOSTA MESA BUILDINGSAFEfY DEPARTMENT
- P.O. BO%917 GQSTp M6HA, CALIFORNIA
For Applican! !q Fill In CompleTely
� TYPE OR PRINT �
ADD EIS$ 3a52 Club House Road
COSTA MESp, CALIFORNIA
OWNER Mesa Varde �c.Dev.Co. �
MAIL 28 0 Mesa.Verde Dr.-�
ADDRE88 �
Costa Mesa . re�. 5�+9�:
c�n No.
ORENGNEfiR E. Ka.]..tenbach rypJ47V�4c
ADDRESS 1a23 E�• �7th St.,, �S.A.
STATE 1813P2 TEI
LIC. NO. NO
s�=E 25 x 70
OF LOT
USEOF ' ��__�,_�_��
�FEE RECEIVED
FINANC�E��7DEPJT��.q
APPCICATI�N Y'OR'P@IPMPA
BUILDING
For Offlce Use Only
AEGIPT NO. I P�[�{!11]
rtcc�yv�n er
/G
ZON6
R=4
L80AL
V
DATEISSUED
I & J
ZONING
NO.OF ' YB80PN8W � �
�[wMe 2 e�itoiNu gara�e
Lot 19 Tr. 4660
none
NOTE: NO EAVE OV ERHAN6 6HALL BE LE88 THAN
� � 90" TO SIDE Q REAR F
EAVES
NO.OFBLO08. oo ALLOWED
NOW ONLAi
VARDBAPPROVED
MAIN BUILDING
EFT I RI6HT "
DESCRIPTION OF WORK
x ��..___.- -� ��___._.
BUILDIN6 yc32 NO.OF � � 2
SIZE ii00MS 6TORIHB
EXTERIOR WALL StUCC� ROOF � �1�.'tU�l
COVERING envFw�v[:
VAR. 7F
YAROSAPPROVED
ACCE650RY BUILDING
.BET. MAIN L
�AGCESS. BLD68.
DATE� ii-i6-64
APPROVED
nerv Kl�U _��i
Res.w att.Gar. See permit on Lot� 1 for oonditions
125o a 460 0
so. Fr.
1 HEREBY ACKNOWLE00B THAT I NAV6 FEAD THIB APPLIC.�TION TXE AMOIINT BHOWN UNDER VALUFTION IS FOq THE F
AN� 6TATE THAT TX8 ABOVB �g CORFECT ANU A6REfi TO COM- ]URPOSE OF �HBTAB�IBH�NO A PERMIT FEE ONLY.
O
PLY WITH A iY OROINANCgg ANp 6iATQ LAWB R6Gl1LATII/0 �IpLUATION p
BUILOINOC N9T CTION. �/ n H
- // . ,�l/ _ � Y ' bGGMIT CFF SC � ���' .
� AUTHORIZED A6ENT
OWNER
JOB AD
AP No.
GAS
W FTER
FOUGH
THOMAS, I4�t+IP
5 3��lizbh%�use Rd.
iNTRACTOR Jacobson & AAplebee
84-019 LOT TRACT
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR COND
TEMPORARV SERVICE OR POLE
UNOEFGROUND � POWER �
ROUGH WIRING
BONO BEAM n STEEL REIN
SHEATHING �
FRAME PN� FLASHIN
LqTHING - IN OUT n
PLASTER,BROWN COAT
STRUCTURpL,FINAL
HEATING, VENT., REFFIG. AND
PLUM6ING, FINFL ANO GAS TE'
ELECTRIC. FINAL
ING
REINF.
f INAL
DATE 4'�3'7k
BUILDING PERMIT �
.�
I:I:i�'S�PIq
SUBCONTRACTOR
i `7
� 38316
.'
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For App/icant to Fill in Completely
eui�owc D /-,Q
ADDRE55 � L�'��J � •L
OWNER
MAIL �'
ADOfiE55 � fs
L TEL.
.� CITv � � �. NO.
�
Q CONSTRUGTION o `i -
LENDER {
n
L
� BRANCH
n
J AODRESS
b ARCHITECT TEL.
ADDRE55
ADDRESS�7�jI NQ� ��7�(f� .�l" _ _
/ TEL.
CITV,O�jfiil�VLi NO�'�3 ��.��
STATE ��•�DO �/ CITV
�IC. NO �J LIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF �6u ����
EXISTING BLDG
SIZE OF ` �7 NO. OF Z
NEW BLDG,/O ` ROOMS S STORIES
EXTERIOR WALL���_ ROOF
COVERING 1/(X"L� COVERING TI�%OP
USE OF BUILDING AND WORK TO BE PERfORMED
�1._ ii. � � _� . . � �
R
PaS❑
:��n z s-����,,�:.00 a9r3�:� ::�:>.:,39.5�
ON FOR BUILDING PERMIT
D E�REGEIVED D E ISSUI
LS 2�-,
A.P. NO.
BUILOING
ADDRESS 3O�
TRAC LOT BLOCK ,
W AD A T R P
OWNER Q �
VALUE �%"OO
5 S lj
FIRE Z
ZONE � TVP GROU
APPROVED _`)��� •
eV DATE L./
NO. OF
PLANS
VARDS APPROV E
DISTANCE BET.
MAIN BLDGS.
VAR.#
C.U.P. 3fi
USE OF NEW
BUILDING
5 APPROV ED
, SSORV BUILDING
DATE
APPROVED
I hereby acknowledge that I have reatl this application antl state �
that the above information is correct antl agree to comply wi[h
all laws regulating builtling construction, and I shall not employ �
any person in violation ot the workman's compensation laws ot
the State of California. TqX
I hereby certify that I am properly licensetl as a contractor under SQ. FT.
the State of Calitornia Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION
Chapter 9, antl that such licenses are in tull force antl effect, oi I� THE PURPOSE OF ESTABLISHING A PERMIT FEE
am exempt from tt:e provisions ot the State ot Calitornia Business VALVATION
and Professions C�-e, ivii n 3 h�er 9. 2 �j
�� PERMIT FEE $
Signature ot /
Permittee � $ ��oQ PLAN CHECK $ L
Authorized ABent � TOTAL FEE $
�
�
O
5 FOR �
ON Q
m
N
� '
�— m
E
`o
� LL