HomeMy WebLinkAbout3131 COLLEGE AVE - Building PermitsJobAddresS; $i$'I COLLEGEAV
Suite:
Vicinity: DETACHED GARAGES
Primary Occ: U
Parcel Number: TPN98079
applicanC VES PEARSON
Address: P O BOX 3908
Type o( Construction: V-N
Zoning:
Phone: 562-429-7663 ISSUED BY:
SEAL BEACH, CA _ ' Zip: - 90740
, - �,�,.�._�,.,. '-
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Owner: FRENCH QUARTERS-`HOA }!�� �, � � ���_
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Address 2020EFIRST;STi ��"�.— ' � . � � -_'-`� ��
SUITE SOOi �( �` _ � � Phone: 714;285-2626 X271�,�' ' �
i � , � � _.A
Status: ISSUED
Applied: 08/02I2006
Issued: 08/03/2006
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SANTA�ANA; CA � � ` > > - ' Zip 92705`� i �� � � �` ��
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Contractor G'M ROOFING COMPANY �- � �� V�> , � � �%�.A
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AddresS, � P"0 BOX 3908��j�= - �` �� � � � � ���� �
� � < ` % �� �� Phone. 562-429-7663 V� V ' i ' � � �
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� !Zip; 90740��� �/ � License: 472668 � ':���� � � ��-`�
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Add�ess^ `� �i/��/ � Address: , �� � �
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� TEAR OFF EXISTING ROOF..INSTALL 2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMPOSITION SHINGLES AND .
� REPAIR/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES FOR 3131 THRU 3737 COLLEGE AVE. �
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� ' �FEE�SUMMARY-
� � PI2f/li)h2QiC:J 1 $�.�� ,/ �,I�r �^t,+,J /%' )ti, -�r,l� � �;!�i,�r;�\C.0�CV8�U8tlOf1: . , $4,200.00'
; � Permit:- $11125 —"-��--'- ' - �``�-' " '=`'- "" "` Claim Valuation: � 8a,2oo.00
� SMIP ReS:; � $0.50 \'- --- -= - - ,,,. . � -
� �� ,
� SMIP Com � i._ $0.00 _ � � ' �
J�"�` .. -� ' � ,�/ n
� " �. Other , $0.00 � `-- - ��-- � /- �� ,_ f , � - . , t
,
� Inspection:', . $0.00 _.� _.. -- __ ._. - -- � "a - - � �
! � , ; i,- �
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, �: .�Total `���:' $711.7b �' ` � �'
1 \\\\\ � , � �.
`\ C f \� � • �\��� Y �y�� I � /.._\ J
� `� `,�'-'' � `.��., � P_LANNING & ZONING j
SETBACKS` V�oC, ' v-� ,� ' ., ;; ' � , , �
MAINSTRUCTURE;Front�O-0 � Rear 0 0-, " Left 0�0 Right 0�0 �- ,- �� �,
��A� ��..: ���\-1-+�. fi�.+: i. `;'.� �' ..r.' �7// - �" .
ACCESSORY Front� 0-0�� � =Rear ' 0-0�. .. � Left ; 0-0 �Right;�0-0 � `� j � -
VAA %/i ���� "i� � ��. „'i . %� �� � 'j•
�A �/i n � VA _, � � % �; �
PARKING � �Existin , 0 ��, Reauired . 0 _�� Pr000sed: 0 i � -�, � ,
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. Np. g2-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not Commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. - � • �
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapectiona end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTION$ CALL: (774) 754-5626
tas�ae (aroo)
WORKERS' COMPENSATION DECLARATION:
I hereby aHirtn untler penalty of per�ury one of the following tleclarations:
❑ I heve and will malntein e cenificate of consent ro self-Insure br workere' compensatlon, es provided far by section 3700 of the Lebor Code, br ihe pertortnence ot ihe
yaKrr which Ihi9 permit is issuetl.
I have antl wlll maintain workers' compensation insurance, as requiretl by sectlon 3700 ot Ihe LaDor CoOe, for the pertwmance ot the work for which ihis pertnit is Issuetl.
�My workeraL `1n �pensetio�n Insurance der and policy number are: .� ,,.�,�I
ar:—_"�Y �; ` � ,�,'� '� �,�!p (—'�PWicy.Number. � I I Io�Z� �-(J(.�
section need not be cnmp/eted /l fhe permrt is velueo at one hundred tlollars ($100J or less.) ���-
❑ I certify Iha� In the pertortnance ot ihe work for which this permit is luued, I shall not employ eny person in eny manner so as to becoma subJecl to the workers'
compensetlon laws ai Calitomia, and agr that ii I should become su��ect to Ihe workars' wmpensation provislons of Secti n 370 of Ihe Lebor Cotle, I shell torthwith
comply with these pro 'sion . p I
�Pticant_SlpnaNre:�----�� �_ /�- �Dete:—.. A �� �7b
WARNIN�: FAI W RE TO SECURE RNERS' COMPENSATIIXJ COVERAGE IS UNLAW FUL AND SHALL SUBJECT AN EMPLOYEH TO CRIMIN�L PENALTIES AND GVIL FMES UP TOONE HUNDRED
THOUSAND DOLIAFE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTON 31W OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
ihet I em Ilcensed un�er�p�i^on�iFhap}9r 9(commencing wllh Sectlon 7000) of Division 3 of the,Business and Profes�orpS,Code, end my Ilcense is In full
GONSTRUC710N LENDING AGENCY:
❑ I hereby aflirtn thet there is a construdion lending agency tor the pedormance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil CoCe).
Lendefs Name: Lender's Address:
Signature: Date:
OWNER-BUILDEq DECLARATONS:
I hereby ettirtn that under penelry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professlons
Cotle: Any ciry or counry which requires a pertnit to construct, alter, improve, tlemolish, or repair any structura, prior to its issuance, also requires the epplicant for such permit
ro file a signetl stetement ihet he or she Is licensed pursuant to the proNsions o1 Iha Cantrecrors license Lew (C�apter 9(commencing with Secllon 7000) of Division 3 of the
Business end Professians Cade) or that he or she is exempt therefrom entl t�e besis for Ihe elleged ezemption. Any violaUon af Sectian 7031.5 by any epplicent for a pertnl[
sublects ihe appllcant to a civil penalry of not more than five hundred dollers ($500).):
❑ I, es owner oi Ihe properry, or my employees with wages es iheir sole compensation, WILL DO THE WOHK, and Ihe structure is not intentle0 or ottered for aele (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to en owner of property who builds or improves thereon, end who does auch work
himself or hersetl or ihrough his or her own employees, providad that such Improvemenis are nat intentletl or offered for sale. It, howevei, iha bullding or Improvement is
9old within one yeer o1 complation, ihe owner-builder will have ihe burdan oi proving that he or she did not builtl or improve ior purpose of sele.). '
❑ I, es owner of Ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Businesa entl Prafesslons
Cotle: The contrectore License Lew does not epply to an owner of pmperty who bullds or Impmves t�ereon, end who coniracis for such proJect with e con�rector(s)
license pursuant to ihe Coniractors License Laws.).
❑ I em exempt under sec. Business and Professions Coda tor ihis reason:
Signelure: Date:
Owner ID verifled by dnver's Ilcense. ❑ Ves ❑ No DAvefs License No.
Vedficatlon of Ownership by (type ot tlwument, i.e. - properry teu bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION:
❑ I hareby certlly ihet no excavatlon tive (5) or more fee� in depih into which e person Is required to descend, will ba mada in connectlon with work euthorizetl by ihis
pertnit, end thet no building siructure, scaHoltling, talsework, or demolition or dismantling ihereof, will be more than ihirry-si: (36) feet �Igh. (Chep. 3.2, Grp 2, Ar12, Sec.
341, Tltle B, Celltomla Adminisiretive Cade).
❑ As owner-builder, I will not employ enyone to do work which would raquire e permit trom the Division ot Industrial Safery, es noted above, unleu such person has a
pertnit to tlo such work irom the tlivision.
Signature: Date:
Division of Intlustdel Safery Permit Number:
CEfiTIFICATE OF COMPLIANCE AND AUTMORIZATON OF EMAY: I cenity under penelty ol perjury that I heve read this epplicetion entl stete that the informetion given is
correct. I egree to comply with ell stete laws and city ordinances releting to bullding constructlon, antl aut�orize representetives of ihe Ciry of Coste Mese to enter upon the
above-described property tor inspection purposes. I egree not to occupy or allow occupency of eny building authorized by this pertnit until final inspection.
LOUE I,
7616
1266
200
201
202
203
Fixetl System Finel Fire Preventian
Pool Spe Final
Final Re-Roof
Final BIocWRetalNng Wall
Final Fedory Fire Place
Finel Sign
204 Finel Demoli�ion
OpTE UII�L&
COOE1 INSPECTONTVPE
206 Final Mechanical
208 Final Plumbing
210 Final Eleclrical
212 Final Flre Prevention
220 Final Planninp Approval .
222 Final Site
250 Finel Building/Occupency
i��
QAg Iti�lLS
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.���LDING PERMIT �� FAIR DfiIVE, COSTA MESA, CA 92626
Job Address: 3131 COLLEGE AV
Suite:
Vicinily: ROOF
Parcel Number: TPN98079
Applicant: PEARSON, VESS
Address: P O BOX 3908 .
SEAL BEACH, CA- � .
Owner: FRENCH QUARTERS FiOA
Address 2112 E 4TH ST
SANTA ANA, CA
Contractor: G M ROOFING
Address: P O BOX 3908
SEAL BEACH, CA
Zip: 90740 -
Arch :
Address:
Zip:
Phone:
License:
Zoning:
Phane: 562-429-7663
. Zip: 90740
Phone: 714-285-2626
Zip: 92705
Phone: 562-429-7663
License: 472566
Eng:
Address:
JG
TEAR OFF EXISTING ROOF. INSTALL 30# ASTM FELT l
MODIFIED TORCH DOWN CAPSHEE7 ROpF SYSTEM (FLAT PORTION).
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$15325
$0.75
$0.00
$0.00
$0.00
$154.00
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
Status: ISSUED
Applied: 07/29/2002
Issued: 07/29/2002
ISSUED BY: �
Phone:
License:
YR GAF COMPOSITION SHINGLES,
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation: S�,soo.00
Claim Valuation: S7,soo.00
Right 0-0
Right 0- 0
I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
. regulations. (Ord. No. 92-28, § t, 12-21�g2)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all
requlred inspections and final approval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�
WORKERS'COMPENSAnON DECLARAnON: � ^
I hereby attirtn untler penelry of perjury one of ihe following declarations: �
❑ I have entl will maintain a cenificate oi consent to self-Insure for workers' compensation, es provitled br by section 3700 of the Lebor Code, for the pertortnance ot the
,./ wark for which this permit is issuetl.
,CI I have antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, tor the pedormance of Ihe work for which this pertnit is issued.
My workers' compensation Insurance carnar and policy number are: ' I -
Carrier: S'rl�F�l�' Fll,v1� PolicyNumber. h'Y�e (JLLT /%7III �oZ
(This section need not be complefed i! Me permit is valued af one hundred dollars ($100) or less.)
❑ I certity thet in the pertortnance of the work for which this permit is issueq I shall not employ any person in any manner so es to become subject to the workers'
compensation laws ot Celifomia, and aqree Ihat il I should become subjact to tha workers' compensation provisions oi Section 3700 of the Labor Cotla, I shall forthwith
comply with thesa rov ions. '� �
ApplicantSignatura: �,��.,, 1jX1,A r�-�. - Date: � S� Z
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�RED
THOUSANO OOLL4RE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDE� FOR IN SECTION 3]OB OF TNE LABOF CqDE, IMEREST, AND ATTORNEI^5 FEES.
LICENSED CONTqACTORS DECLARATION:
I hereby aHirm ihat I am licensed undar provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my licensa is in full
torca and e8ect. Lic. x `�.. Cless ri
Contracbfs SigneWra: ��_ ��bebn Date: 15 n�
CONSTRUCTION LENDING AGENCY:
❑ I here6y aRirm Ihaf there is a construction lending a9ency for Ihe pertormance oi �he work tor which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Adtlress:
SiqnaWre: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby aMirtn that under penalty of perjury Ihet I am EXEMPT FFOM THE CONTRACTORS LICENSE LAW for iha tollowing reeson (Sec. 7031.5, Business antl Professlons
Code: Any ciry or counry which requires e permit to consWct, alter, improve, demolish, or repair any stmdura, prior fo its issuance, elso requires the applicant for such permit
to file a signed stetement that ha or she is licensed pursuant b the provisions ot Iha Comractors Licensa Ww (Chepter 9(commencing with Section 7000) ot Division 3 of ihe
Business antl Professions Code) or Ihat �e or she is exempt theretrom antl t�e basis for the alleged exemption. Any violation ot Section 7031.5 by any appliwnt for e pertnit
su6jeds ihe aDPlicant to a civil penalry of not more t�an five hundred dollars ($500).):
❑ I, as ownar ot Ihe properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, anOlhe structure is not intended or ottered for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law dces not apply lo an owner of properry who builds or improves thereon, and who dces such work
himself or herself or through �is or her own employees, provided that such improvemenis ere not intendetl or oflered lor sale. If, however, tha building or improvemant is
soltl wit�in one year of completion, ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contrectors License Law does not apply to an owner of property who builds or impmves thereon, antl who coniracts tor such pmject wi[h a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am ezempt under sec. Business antl Professions Code tor Ihis reason:
Signature: Date:
Owner ID verified by driver's license. ❑ Yes � No Driver's License No. Ezpires:
Verificetian at Ownership by (�ype ot tlocument, i.e. - property taz bill or daed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify ihat no azcevation five (5) or more feet in tlepih into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building simcture, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan ihitly-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Galifomie Administrative Cotle).
❑ As owner-builtlar, I will not employ anyone to do work which would require a permit from the Division of Indusirial Setety, as notad above, uniess such person hes e
permit to do such work from the division.
Signature: Date:
Division of Indusirial Safety Permit Number:
CERTIFICATE OF COMPl1ANCE AND AUfHORIZA710N OF EMRY: I certify under penalty oF perjury Ihat I have read ihis epplication and state that the infortnation given is
wrtect I agree to comply with all stete laws entl ciry o�dinances relating to building construction, and authotlze representatives of the City of Costa Mesa to enter upon the
above-described property for inspection puryases. I agree not to occupy or allow occupancy ot eny huiltlinq au�horized by ihls permit until ilnal inspection.
gnatu� galOwner(s) � ��� e�
�� bt
AnNOr Authodzed Applicant Da e
COUE �, INSPECTIONTYPE
1 fi16 Fixetl Sys�em Final Fire Prevention
12fi6
200
201
202
203
204
Pool Spe Final
Final Re-Roaf
Flnal BIocWReiaining Well
Final Factory Fire Place .
Final Sign
Final Demolition .
P� INitf1AL5
� �
CODE� INSPECTIONiYVE
206 Finel Mechanical
20B Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final euilding/Occupancy
Pdh It�LS
/
Applicant to fill in all ipaces except those wit�in heavy bortle� lines antl sign all appropriale Eeclarations.
�ITY�OF COSTA MESA CO STRUCTIO°N''� PERMIT PERM N0. _ � TRACT NO. LOT NO. UN1T NO. .
ProjectAddress 313 ) �(����J�C�A�� .
Applicant'sMa�i{li-n�gA.vddto�`.\,.� `S�J� . \ ,N
Owner'sName�^ "T" `1,+`��,v � Phone / 12�-
Address �1a m e"
Arch/Eng. License No.
Address
Contractor'sNam 1 rn I�Phone�7a3U�(%
Address (m 'I' 1 ! �3 � NCi%L,V
City Licensc No. ���3
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensetl untler provisions of Gharter 9(commencing �
with section ]000) of DiviSion 3 ot the Business and Prof¢ssions Cotle, antl
my IicenSe is in tull for e antl ttect. �' ,7� j.,
'icen I / C��}5���
ite� - 5'9 t y //
.IORKERS OMPENSATION DECLARATION
1 hereby aHirm that I have a certiFlcate of wnsent to self-insure or a certiflcate
ot Wotkers' Compensation Insurance, or a certifietl copy the�eof (Section
3800, Lab. C.)�, ` f�^ . Company �����
Poliq No. ���T (J
rtifietl co r¢by fumishetl, ' �
er f' y'S T e with the city BuilQy�gjJi�lsi �D/n��
Daie - ' APDlican[ ����
EXEMP W00.KER5' COMPENSFTION.OEGIARATION. _
(This section need mt be completetl i( the permit is tor one huntlretl (E300) or
less). � •
1 tertifylthat �in the per(o�mance of the work for'wnich this perm�t is is5uetl, 1
shall not employ any pe�son ip any manne� so as to become SubjeGt to the
Wo�ke�s' Compensation Laws of Calitomia. ,
Date Signature
NOTICE: If, afte� making [his tlecla�ation, you SM1oultl become subject to the
Workers' Compensatian Orovisions ot the Labor Cotle, you must forthwith
comply 'witM1 Such p�ovisions or this petmit snall be tleemetl �evoketl.
CONSTRUCTION,LENDING AGENCY . "
1 he�eby affirm that tM1ere i5 a tonstruction lentling a9ency fOr the perfo�mance
ot tne work for which this Oermit is issuetl (Section 3097 Civ. CJ
LPntler'S Name
LenGer'S Atltl�e55 - �
, OWNER BUILDER DECLARATION ' ' �
I hereby affirm that I am exempt from the Contractor's License t1w for the
Ifollowin9 reason (Section �031.5 Business antl Professional Cotle: Any cify or
county which vequires a permlt to consiruc[, alter,�improve, tlemolish or re0air
any structure, prtor to �its issuance, a1m requires the applicant for such permit
to tile a signetl statement tha[ he/she is licensetl pu�suant fo the provisions of
:the Cont�actor'S License Law (Chapte� 9(rommencing with Section ]000) of
Division 3 of the Business antl Professions Cotle) or that M1e/sM1e is exempt
therefrom antl the basi5 for the allegetl exemption. Any violation of Section
7031.5 by any applicant for a permit subjects tbe apP��cant to a civil
�enalty of nat more than five huntlretl tlollars ($500).
I, as owner ot [he prop¢rty or my employees wifh wage5 as their sole
mmpensation, will tlo the work, antl Ihe structure is not Intentletl or otieretl
lOI SdIC ($¢C2100 %044. BUSIpC55 dlltl Pf0(CSSIOOdI Code: The Contractor's'
LicenSe �aw tloes not apply to nn owner of a property wno builtls or improves
thereon, antl wha aoes such work hlmselt/herselt or tnrough his or her own
employees, provitletl tha[ such imProvoments are not incenaed or offe�etl tor
sale. If, howeve�, the builtling o�'imOrovement is soltl within one yea� ot com-
pletion, the owner wi11 have tne burtlen of provin9 he/she tlitl not builtl or im-
�rove for ihe purpose of sale).
I, as owner of the property, am exclusiv¢ly contractinq with licensetl mn-
tracto�s to Const�uct [he O�oject (Section ]044, Business antl Profession5 CoOe:
The Contractor's License Law tloes not apoly to an owner oi property who
o�uas or imp�oves Ihereon, antl who contracts fo� such 0/ojects witn a con-
tractor(sl license pureuant�to the ConVactor's License Law). I am aware that
proof of their Worker'S Compensation insurance shoultl be provitletl to me.
❑ I am�exempt untler Section 8. & P. C. for thi5 reason
Date Owner
I M1ereby certify that I have rea�
informa[ion is co�recL I agree [o
antl state laws relafing to builtlir
sentativ¢5 of [his city to [e�
inspection pu oses.
Signature '
Drivers' License or 55 �
upon
that
TYPE OF CONSTRUCTION ! LI NEW U ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEhiOLISH ❑ OTHER Ap #
DESCRIPTION OF WORK/USE OF BLDG.
S Main Buildi
TVPEOFPERMIT ❑ GRADING -FOUNDATION ❑ STRVCTVRAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL 8 Rear
O OTHER ' A
PROJECT DESCRIPTION SQ. FT. OCCUPANCV C Right
K Left
CONSTRUCTIONTVPE VALUATION§ $
ZONE GRADING CU. VDS. ACRES Ping. Ref. #
Remarks: , ' � . ' � Planning Notes:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains '
Floor Sinks
GasService :Outlets
Interceptors
Kitchen Sink
Roof Drains
Reinspection Fee $15
Boiler .
Duct - Under Ground
Dutt - $[ructural ,
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIt. ICBO #
Heating System & Ducting
❑aiao,000 sTu oioo,000
Reinspection Fee � $15
CMF 0065-46, rev.4/84 White - Builtling: Canary -Applicant; Pink - Acmunting; Goltlenrotl -Assessor
Showers
Servite Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service '
� - Auromatic Washer ' '
Constructior Pole Su6.
Cooking Unit ,
Dishwasher ,
Dryers ❑Gas ❑Elec
Fan
IsSue Fee ' I $
�ANICAL F
Hood or Typel ❑ .
Canopy Type II ❑
Refrigeration System
❑0-t00,000BTU ❑100,OOOBTU
System Repair/Alteration
Issue Fee � $ 3
Fixtures
Device Boxes
Outlets
1409 12/II/87
Zane
Accessory Building:
Parking ReqJProvided ,
ELECTRICAL
Transformer ❑ 75-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors OO-1 HP O1'f. - 8
Inc. Solar 09-15 HP �16�15+
' Microwave
Pole Light �
Range
Garbage Disposal ' Standing Sections
Generator �0-5 KW OS-75 KW Trash Compactor
Reinspection Fee $15 Issue Fee
` DEVELOPMENTSERVICESREQUIREMENTS:
Zonin9 APProved By
i Builtling Approved By
'APo�i�tion Issued By
5.Q0 TL
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S.
� SUMMARV OF FEES
BUILDINGPERMIT $ SMIP $
— � PLAN CHECK $ PERMIT
�'PLUMBING $ � �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
.ELECTRICAL $ GRADING $ �
.PLAN CHECK 50% $ MICROFILM $
— MECHANICAL $ TOTAL FEE $ �L�D .r
PIAN CHECK 25% $
�CONSTRUCTION AND PLANNINI. - 1-�.JL & SPA . .
APPROVALS Permit # � Date Inspector p�ppROVALS Permit # Date Inspector �
. i
' 1. Temporary Electrical Service or Pole'� � `.� 52. Pool & Equipment Location
�2. Soil P,ipe-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: �
S. Foundation � � ' 59. Gas Pipe, O Undrgrnd., Test
.9. Water Pipe-Undrgrnd. �� 60.. Backwash-Lines, P-Trap, � Undrgmd.
10. Structural Floor System �- 61. �APPROVAL TO DECK �
i t. Property Sewer Lino_ & 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 -
76. Rough Electric Wiring � 67. Fencing & Access Approval � -
�:�1'7. Rough Wiring Sign .� 68. APPROVED FOR PLASTERING
18 rRough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79. 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 O Gas ❑ Oil
23. Gas Pipe-Rough & 7est �' 72. Underground Flush -
24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheaihing � � 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. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED
� 33. Final Electric - ,Notes>�2' (8"8i �.�F'T GAiLD L.E.D
34. Final Heating & Air Conditioning z'ZS'�y L�r Ga�e„� L•E,j�
35. FinalGas��Pipe-Test 2_�-�tY C,qyt¢�,, iObPriR Zot3tJ.�P�C, C.IEO
36. Hood or Canopy . • '
37. Final Factory Fireplace , �
38. Final Plumbing .
39. Water Service-Final
40. Gas Service-Final -
fti
41. Solar pomestic-Final il', �. _
42. Backflow Preventer' j'('� � � - �
43. Backflow Irrigation . ;! � �'� � --y ,
44. Landscape Irrigatiqn System � ����7 �
45. Sound Attenuation �"' � . -
„^+ 47
46. Handirap Regulations c.v c')
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed� �
�-
49. Electric Release to Edison ;'': � . • , .
50. Gas Release to Southern Califomia Gas Co -
51. CERTIFICATE OF OCCUPANCY ' �
No. Date
, , 22%� :
COSTA MESA BUILDING-SAFEfY DEPARTMEMT
P.O. 60J[ 917 COBTA MBHA, CALIFOXNIA
For Applicanl ►o flf! !n Compfetely
TYPE OR PRINT
BUILDING � j 2/ /.). D
ADDRE59 J (�(/"t
COSTA MESA, CALIFO NIA
$ P. o. Box 2066-
Santa Ana
�s 3w32 Via' Opor
,c�or, Lifetime
,8 P. 0.' Box 206
Santa Ana
549-z2o5
NO. OP BLDOB,
6ETBACK LINB FFOM
CHNTHROp8TR6ET �S' REAR
61DEYARDI LEk7 0' I RIGHT
DESCRIPTION OF WORK
NFW I� IIn�TCOST1I1tJl Ilnnn
BUILOIN6 NO.OP
SIZE ROOMS 8 STORiI
EXTERIOR WALI� ROOF
COVERING ..i..��� GOVFo�Nn ibCk
f � RECEIVED
Lot ?6, Plan N��NU'ZQ'E ����4
_ APPLIC�C�TC���O��i�v1ME`�
BUILDING
For Office Usa Only
111C[I'T NO. PqQlyj •�n
PIRH
zorve
APPROVHD
nuno
YARDSAPPROVE�
MAIN BUIL�INO
(FROM GLBTREETI
1 �/� 11 FftONT Ff.
with J construction garages, �
I HEREBY ACKNO�y�gDO6 TN�T 1 HAVB pBAD TX19 APPL�CATION
�NO 8TAT8 THwT {Hg ABOVB 19 COPHHCT �NO AOREe TO COM-
PLY WITH ALL CITy OROINANC9B AND BTATB UW9 R80ULATINO
BUILDINO COry9THUClION.
SIGNATURE OF I
P6RMITTE )
AUTHORIZED AqENj ( f/ -
VAR. �F
/!— J`-�
BHALL BE LE58 THAN
(U.B.Q REQUIREMBNT',
YARDSAPPROVED
ACGESSORY BUI4DIN6
6EL
ACCE
DATH
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TIIe �MOUNT 9HOWN UNDQP V�Ll1ATION 19 POH TH8 =
PURPOSB OP 88TABL18H�N0 ♦ PEHMIT iE8 ONLY. �
VALUATION i /� — r
PERMIT FEE $ �J� j
�� a �3 � °
s
§ — ¢
O
//_ W
TOTAL FE8 $ (�� �