HomeMy WebLinkAbout2349 CORNELL DR - Building Permits• CI7Y OF COSTA IVIESA CONSTRUC�ION'9�PFRMIT
Project Address �3 K 9 eo �SrL-4 �" Z �
Applicant's Mailing�Address � � � .s . �l Qo uF� , � , :
n
Owner'sName� �✓<«� !-��%i' ' Phone.�g��'0 'r
nddiess 9� 3�.� Co?C�uc:'�L f7�( �
Ffirch/Eng. � � � �icense No.
. i � : i , . � . '
Address
Contractor's�Nama ' � �.I � � Phone
Address (mailing) . Q �� , �
Ciry License No. � ��
LICENSED�CONTRACTOR DECLNRATION ' '
I hereby a(tirm tha[ I am licensetl untler provislons of Charter 9(mmmencing
with section �000) o� Division 3 of the Busine55 antl.Professian5 Code, antl
' my iicense is in full force and effect. � �
License Class � License No.
• Da[e� � Signature
WORKEftS' GOMPENSATION DECLARATION ' '
I nereby affirm that;l have a certificate oi consent to self-Insure or a certi(lcate
of Wo�ke�s' CompenSatiOn InSurance, or a certifietl copy.thereot (SeCtion
' '900. Lab. C.) , ` , .
�licy No. Company �
L� Certitietl mpy is hereby �urnishetl. ; � � � •
❑ Certifietl copy is filEtl with the tity Builtlinq Division. ,
Date � APPlicant � �
EXEMPTION FROM WORKERS' COMPENSATION DEGLARAT�ON
(This section neetl not be completetl if the Oermi[ is for one huneretl (E300) or
less).,
I certify that in [h¢, Perto�mance of the wo�k fo� which this perm�t is issuetl, I
shall not employ any person in any ma�P so as �cy m�j u�ect to the
Workers' Com ns io�Laws of Califor{q // /(�
Date � Y Signature l� ����
NOTICE: 1f, a(ter making this tleciaration, you shoultl ecome subject to the
Workers' Compensation provisions of the labo� Cotle, you mu5t forthwith
compty witM1 sucM1 provi5ion5 or thi5 permit shall be tleemetl �evoketl.
CONSTRUCTION LENDING� AGENCV � '
. I nereby affirm that there is a construction ientling agency for the oerformance
of the work (or wNth this permit is i55uetl (Section 309] Civ. C.)
Lentler's Name
Lentler's AtlOress �
OWNER BUIL�ER DECLARATION '
I bereby affirm that I am exempt from the Contiacto�'s License� Law for the
following reason (Section ]031.5 Business antl Professlonal Cotle: Any city.or
county which requires a pe�mit to conSGucf, alt¢r, improve, tlemolish,o� repair
any sVut[ure, prior. to its issuance, also requires the applicant tor Such permit
to file a signetl statement that he/she Is licensetl pursuant to the provisions ot
[he Contractor's License I.aw (Chapter 9(mmmencin9 w�tM1 Section 7000) of
Division 3 ot the Business antl P�o(essions Cotle) or� that he/Site is exempt
tnerefrom antl the basis for the allegetl exemption. Any violation oi Section
=:•'031 5 by any applicant for a perTit subjects tM1e applicant lo d civil
� '"'} nalty+of not more than five huntlretl tlollars ($500).
� �.
�,�y�}j� I,, as owner of Ihe properry ' as-Sheitiele
���pp�^''''�n, wili tlo the work, antl the structure is not intentled or offeretl
' or s�le (SeGtion 7044, Bu5ine55 antl Professional Cotle: The Con[rac[or's
' Litense l.dw CoeS not apply lo an own¢r Of a property wbo builtls o� improves
', thereon, anG who tloes such.work himself/herself or throu9h his or her own
emDloyee5, provitletl that such improvements are not intentletl or oiferetl for
sale. If, howeve�, the builtling or imp�ovement is saltl within one year ot com-
pletioq the owner will have the burtlen of provin9 he/she tlitl nOt builtl or iT-,
� prove for the purpose of sale).
❑ I, as owner,otthe,property, am exclu5ively ContraCting with licensetl�con-
Vactorsto mnsVuct the project (Section 7044, Business ana Pro(essions Cotle:
, The Coniractor's. License Law does not apply to.an owne� ot property who
builtls or imp�oves thereon, antl who contracts fo� such projet[5 with a wn-
tractor(s1 ilcense pursuant to,the Contractor's License Law). 1 am aware tnac
proof of their Worker'S ComPensation insurance shoultl be provitletl to me.
'i �"I am exempt untle�'$ection , Cyf �2hi5 reason
Date �Y Owner
I hereby certi/y that I have reatl this application ntl state tnat the atiove
iMormation is correcL I agree to comply witn all ty antl wunty ordinances
antl State laws rel to builtling construGtiOn, tl hereby autttorize reprz-
senta[ives of c' to en1 er p ie'e ove-mentionetl� prop ty r
inSPection P Pos G� �"Y �6
Signature Date
oplicant to till in ail spatts exeeDt those within heavr �ortler lines antl sign all appropriate tleclarations.
P.ERMIT NO. ' ' TRACT NO. . LOT NO. " '�UNIT NU. . f �
t. � ��,5-3j /�
TYPE OFCONSTRUCTION NEW� �ADD ALTERATION REPAIR
� ❑ CONVERSION ❑ �DEMOLISH � OTHER � � � �� �
� DESCRIPTIONOF�yORKNSE�F BLDG. �� � �1 " � AP #
' ' �.vSTA6�iiiC ��°�f TA� C� � i S Main Build
E
TYPE OF PERMIT GRA�ING �❑/ EOUNDATION STRVCTURAL .� ' T Front
❑ TENANT �CTRICAI LKPLUMBING ❑ MECHIiNICAL , B R¢a�
� Q OTHER � - � ' • � %�
PROJECT DESCRIPTION Sa.�FT � ocCUaANC '/k- C" Right
iCONSTRUCTION�TYPE ` 'VALVATION$ ��� $ ef�
ZONE - GRA�ING CU. VDS: � ACRES �
Ping. Ref. #
Remarks: Q^# 9�L�� ��„ t , � , Planning Notes
Bar Sink
eackflow Preventer
Backflaw Irriga[ion
Bathtubs
OIBfIfICfS, ' -
Dishwasher �
Drinking�Fountains
Floor Drains
Floor Sinks
Gas Service '
Outlets
Lavatories '
�—Trap �
Roof Drains ; �
Reinspection Fee $15
Duct-UnderGround '
Duct - Structural
Duct - Ventilating '
Exhaust System O 'Mul[iple ❑
FirepUFact.6lt. IC80 #
Heating System & Ducting
❑aioo,000eru�O.e ,000ar
Drivers' L cense or 55 � '— �einipection Fee
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting; GOItl¢nrotl - Assessor
�
$15
Showers
Service Sink ' . .
Sewer Cap
Sewer Connection �
Solar Collecrors-
Solar Piping - '
Solar Tank� ' -
��9COIRRRrtRJPee+n�/Spa
Urinal
Water Closet "
Water Heater �
Water Service •
Auto-Wash . �. �
Issue Fee
-FEES � ' � ' ��
_ � . , .. �
Automatic Waslier ' .
Construction,Pole Sub.
Cooking Unit . -
. Dishwasher ' . , 1
$ 3
Hood or � Type I ❑ `
Canopy Type I I ❑ �
Refrigeration System �
❑0-100,000 B 100,000 BTU -
Syst epair/Alteration ' �
Fire Dampers � -
Registers� � �
luue Fee �� , $ 3
Dryers LIGas ❑EIE
Fan '
F.A.U. �
Fixtures �
Device Boxes �
Outlets
Switches - — '
Garbage Disposal �
Generator �65 KW
. ' " ' . . .. . �
8399 12/�9/86 �
, . . _ . � Zone
iAccessoryBuildin9: '
. /. � ' I
� �3.25 ;TL
��
� � I
� �L_� �/.__I
��� . i
CTRICAL <: ' • � "
� Transformer ❑ 15-50 KW .
. � . ❑ 50+KW; ..
' Meter �up to 100 amps .
� , Meter �over. 100 amps �
� Sub Panel . � � '
� Motors�0-1HP�7'f,-8
� ' Inc.Solar �9-15 HP �16-15+
� Microwave � �
Pole Light' . . �
Sign' ' _ ' . ._
$tanding Sections � �
15 KW Trash Compactor - � .
'_ ' S P
I Reinspection Fee I$15 � � luue Fee
,DEVELOPMENTSERVICESREQUIREMEN Sf /
'Zoning Approved By � L
• 8uilding Approved By
Z
O
N
�
N
G
R
E
Q
M
T
S
.._"_ �02
' � � � , SUMMARV OF�FEES - .
- BUILDING PERMIT $, � SMIP , $ _ � �
. PLAN-CHECK $ . �' PERMIT ,
" ' PLUMBING ' _ . $ , Co �'"� �SSUANCE � ,$
, �� � PLAN CHECK . 25% $. ' •%S . ENERGV P.C. $ - �
' ELECTRICAL $ �� .007 GRAD,ING• � $ - �
PLAN CHECK 50% $�. �.,+" MICROFILM' $ " � �
MECHANICAL $ - TOTALFEE $ 3•.�s
• PLAN CHECK 25% $ ' �
/'
CONSTRUCTION AND PLANNING POOL & SPA .
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
� :a .
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 ConduibUndrgrnd. ' �
8. Fouridation � - 59. Gas Pipe, O Undrgmd., Test � • � .
9. Water Pipe-Undrgrnd.. � . 60. Backwash Lines,�P�Trap, � Undrgrnd. �
10. Structural Floor System 67. 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. Elect�iCal-Final � ��
15. fiough Electrical-Conduit � 66. Solar System-Final ' �
16. Rough Electric Wiring k, � 67. Fencing & Access Approval . '
17. Rough Wiring Sign "' � 68. APPROVED F.OR PLASTERING
18. RoughElectrical-TBa�Ceiling � 69. POOUSPASYSTEMSFINAL � �.�'y �
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � - APPROVALS Permit # _
21. Ducts, in Structure 70. Undergraund Hydro ' �
22. Ducts, Ventilating 71. Product Piping OGas OOiI-'
23. Gas Pipe-Rough & Test 72. Underground Flush �. �
� 24. Roof Framing � 73. Undergmd. Storage Tank O Gas ❑ Oil ;
. 25. Roof Sheathing ., 74. Overhead Hydro � �
26. T-Bar Ceiling (StructuraQ & 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 - , - - '
• ..c. .
35. Final Gas Pipe-Test �'"'�
� 36. Hood or Canopy ,
��37. Final�Factory Fireplace . � ' �
38. Final Plumbing � 1' �
v
39. Water Service-Final , � � . � �
�
'40. Gas Service-Final
f '�• • -
'41. Solar pomestic-Final
A2. Backflow Preventer . � ' �
r43. Backflow Irrigation - �'i � .
.•
�44. Landscape Irrigation System . . �
45. Sound Attenuation .
46. Handicap Regulations � - ' �
47. FINALSTRUCTURE&BUILDING " +> � � ' �
�.
48.'Special Requirements Completed � � ' �
49. Electric Release to Edison . � i�
�
50. Gas Release to Southem Californ a Gas Co � � .� ' ��
51. CERTIFICATE OF OCCUPANCY . .
No. - Date _ � � " �
���.���
�F COSTA MESA
PLANNING DEPT.
61161ECT t0 BLDG. DEPT. YEQ
er.�����nA� �
W llAttNl?i6
m
��ek a,� �.�D�ec�
i
__----.,._.._--7 O— —__- ---
�
•\
�. �
• �. . Z��,: " _ _'_.
-J .'_ . _ _..
4'�—.u:�_' _ _
_..__ _...�.
%�
� _r
��p�oSe __...__
C f+p�C.����
,
i
\ �c,e ci'--�-- �•---- -- w.._---
� •. �'�p % �ro� � . Z
, �1 i
, , , r�Y y� ` `� I i .
• ~ ;.�pa,\ � ( �. �^ ;
h : \. .^ �V _ \
• �
; , , lJ — .---;— -
� - . ,�=_"g�- � —�---_--
\, ', _�.�_
.. -
; ,
' ----__.._...__- -------�--�
�
� -- ; 4,- -
_ ,
, ,
,
' "\ t J --- �
�_ _._,_....__ __- 1� �t v �.._...1( --Y
_c--�- i-_ _.-._:,.��_�_�..._ .... � - �..�=—._�_-__ _ _. ...
� �
� �V��
�1e STRUCTURAL APPflOVAt ONLY,�—�
, G SE?AflATE PERMITS ARE RE�UIRED�,
� ,r l � ` FOH ELECTRICAI, PlUM81NG.
E----�� --- - — � � `J ��S HEATING, VEMTILATIhG kN0 �
� r � REFRlGFP.AIIO�: �tlJRK
5 • J{ �' o%.[� s3 I
���J ���'�'�i� }�--.
�
rHis hl�prs;r�; "' � � r;.•�;�Nv
ALL lhSu�r-___.�.__.i'',�
FOA B�y,lGiBiuS 'v':R�kc F�<ii;u�dS iA?E T� EE
EMPLOYE�J. W: SUGP�E;iT i?i+li'(N: STA?E OF
CAUFOflNIA OIViS:O:'E �'r :tiuUSTnIAI SAfETY
BE CONSUL'i ED FOft AG�ITIONA�I
AFDUIREMfNTS. �
L
� J,� ,,, . . �,, .
�q c,or�vE 1�
Cos� m,�so- �
6Kq -40 �s
� �6�����
����D �
� "' SA
rP �
� ?4��'�` � 1
��T`� C'� i' �'�'Y"
+rica� Secl+on �
l F,1��a � S��iio� . . 1
h,,nr..� ��
�P;�"�!?G �l
\ „ � 4nr..ti�1 �
� 1:;`:�'�Y�):•:'�� �" � o (
�. y, D,i;stio 2 0,1� ��
� � , DaCe..... s...
� �
.. � � �a �.No
- : d1i . ,�t�� }YfwAt''.
F ^ ' ..,1'.' �".. 6f cRF�� '.
'` � rt::V"t6',1 ,.-�:,p-f` . � .
_ � _ ;:o; .,�,� cor.;.. � aivti;i;,s:�
->'��" �\y�-uJ' S., k;G;vi'ND`,aClt�'tfl �
.. � � `4 ) SS 4 F �.;'�V t, -i:;E(i=� �H�NCE �
' �6;•FFfi�CD �V �lHE� OAD� y
. . � q���ui.S - 754.5213 �,
� tS�����
.. _lt . S vi� Or �<lr'i4 �P�
FU(i lt r":i:�
��.cs �' �tt't.
Df 5dc
', ��_
APP�����
City of Costa tvlesa �c�;��±in;;; 'Jn�`.
BY ��-- ;: !>a�� :r S�
THESE r! . tdc re t — .. �
NO CNA'��=cc � � � � � � =f . ..
iHe�t�Sntni ..Cc �� ..; r .
PLAN AF f - t ! i '
PERMR h�2 Uk . A'r' ' �? ! �
7FE FFCL�- �'J�+; C, .t , ! �
AU7h'GR11Y :� !':, i �� • T S
CODC �Hn 1 C' V-? � � ,. � o - .z ;�: r
WHICh' IT AV-^10:12 5 t' ��i' L .
THE i55UANCE Cf A r E i t o. .� ° �� ANJ "
SPEGFICATICNS SNALL f�,J i�p _v ,: �. i ,J�r �' c,�
FROAh TH'cREAFTER REO�I:`^lf ' i ..'c."� � �, c'8ROn5 :N
SAID PIANS 0.ND SPiCIF!CAT ) G�t r':Ci�i oR:vEN`-�IIG
BU�LDING OPERATIONS BEiNG CFrcRIcG C;i �'d'c2EUNDEit WHEN
IN VtOLAT10N Of THIS CODE OR OF ANY OTNER OHDINANCE OF �
THE CITY. � n/
1^ (�
V �
�� V V f � �
y�,r 5 CQ�f.
cieC t�w' ----
PflOJECTAUGHESS: �399 �CORNELL DR
OWNEX'S NRME: OTTO; RUSSELL J
� aooees,s: z399 CORNELL DR
COSTA MESA,CA
549-4065
AHCHIENCINEEN:
AODflESS:
UNIT:
92626 ,
flEG.NO.:
UNIT:
PEflMITTEE: SANDKAMP ROOFING ( 714 ) 557-3666
nooeess: 3130 GRISET PL
SANTA'ANA ' CA 92704
LICENSEO CONiflACTOB OECNflFTIUN: I hereby affirm thal I am Iicense0 untler D�ovisions of Chapier 9(commencing with Section
7000) oi Oivision 3 oi Ihe Business antl Pmfessions Cotle, and my license is in full force an0 etfect. ,
ciTruc.:041643 srnTeuc.: b2896 cuss' 9
�aie: -� � — � SignaNre'. _ — ' �
WOBKEHS' COMPENSPTION OECIAflATION: I hereby aflirm �ha� I have a ceriifica�¢ consem m setl-insure or a cenificate oi Workers'
Compensanon a c c r p copy thereof (Sec�ion 3800. Lab.
woucvxo.:����%�b�$ E%P.DATE: 9�ZSI9I
COMPRNY: TRUCK INC ,Ey�J{CHA
� Certi�ietl copy is hereby IumiS�etl. L9 Ce ed coDY is �iletl wi�h the city Builtling D� ' .�
Oa�e: .� %— / � qp�
EXEMPTIONFflOMWOHKEflS'COMPENSI�TIONOECL�IRPTION: (Thisseclionnee0no�becompleteaif mi�istaranehundreA�3100�orIMs).
I cetlity ��ai in Ih¢ pedormanCe Oi lhe work for whiCh thi5 Oermit i5 isSueQ I S�all nol employ ny person in any manne� 5o as t0 OeCome
subject Io Ihe Workers' Compensalion Laws o1 Califomia. �
Dale- Signature:
NOTICE: I�, afler makmg this tleclara�ion, yau should 6ecome su6led m Ihe Workers' ComDensa�ion provisions o� Ue Labor
Cotle, yau must �otlhwilh comply wilh such pmvisions or Ihis permi� shall �e OeemeU revoketl.
CONSTBUCTION LENOING AGENCY: I hereby a��irm that �here is a conslmc�ion lending agency for Ihe De�ormance oi �he work for
whic� �his permn is issuetl (Seclion 3097. Civ. C).
IENUEP:
ROOflESS: �
OWNEP 601LUEfl DECIAflATION: I �ereby aflirm t�atl am exempllmm ihe Conlraciort' S�ale License Law forihe following reason
�Seciion 7031.5 9usine55 and Prolessional Cotle- Nny ci�y of counly w�ich requires a permit �o cons�mct, al�er, im0�ove. Oemoli5h, or
repair any stmciure. prior Io i�5 i5suance. also requires Ihe appliCanl for SutA permil �o lile a SigneA S�al¢ment that he/She i5license4
pursuam io t�e O�ovisions ol the Contractors' Stale License Law (Chapter 9(commencing with Section 7000� oi Division 3 0l �he Business
antl Pmiessions Catle� or ��al �e/s�e is exemp� there�mm and I�e basis for ��e alleged exemp�ion. Any Nola�ion o� Section 7031.5 �y
any applican� lOr a Dermii subleCls t�e applicani �o a civil penalty oi n0� more than five AUnAretl tl011ars ($500�.
�I. as owner ol Ihe pmpetly or my employees wilh wages as �heir sole compensalion, will tlo ��e work, and ihe
n simcWre is no� in�entled or oiteretl �or sale (Section 7044. Business an0 Professional Cotl& The Contractors' State'License Law
tloes nol apply Io an awner o� a pmpetly who builtls or impmves Ihereon, and who Ooes such work himself/herself or �hrough
" his or her own employees, provitled ihat such imDmvemenis are not intentleU or offereU for sale. If, �owever ihe buil0ing or
impmvemen� is sold wiihin ane year a� campletion. Ihe owner will have �he burden of pmving he/she ditl noi builtl or improve
�or �he purpase ol sele). ' ' ' �
I, as owner o� the properiy, am exclusively conVac�ing with licensed contractors lo conS�Nc� [he pmject (Section 70.14, Business
❑ anA Pro�essions Cotle: The Conlractors' Sla�e License Law tloes nol apply �o an owner of OmOerty who builtls or tmpmve5 ihereon
and who comracis lor such pmlects with a caniracmr(s) license pursuanl lo Ihe Contracmrs' State License Law�. I am aware
'�ha� pmol ol lheir Worker's Compensa��an insurance shoula be D�ovided Io me.
� I am eKempl unJer Section: B. 8 P. C.
br Ihis reason:
�aie Owner � �
I tlo here�y cenily I�at I am aware a� ana untlers�and the requiremenls of Califomia Heal�h antl Safery Coae Sections 25505, 25533, antl
2553d and Ihai I or any lulure building occuDan� will/will not (circle one) neetl lo wmply wi�h said state cades and �he requirements for a
permii for cons�mction or modificalion imm Ihe Air Oualiry Management �iSUic�. Fesitlential canstmc�ian applica�ians are exemp� imm
ihese pwvisions.
�a�e: AppliwnL
I hereby certlty �ha� I have reatl Ihis appfica�ion �d slala Na� Ihe above in�ormalion Is correcL I agree to comply wi�h all cl�y an0 cou y
' ordinances antl stalelawsrelaiinglo Owltling c stmction an� hereby aN�orizerepresenta�ives otthis ciry�a enteruponlhe ahove�menii ed
propetly loi inspection pur[poyses.
�ate- .5� � — ( � Signamre:
oriver'sLicenseor5ocia15ecuriryx: . �
I6aL4fi W�pe—Bmltlmg; Green—Cotle EniorcemenC Canary—Appl¢am; Pink—Revenue: Goltlenrotl—Assessor
, CITY OF COSTA�MESA ,= HUILDING PERMIT PERM,NO: B 0�187
PERMIT NO; B 051875 PLAN CHECK NO: N GOVT; N�SUP,P: N;
CONSTRUCTION TYPE: V—N • PERMIT TYPE: STR ' PLIRPOSE:.ALT
JOB DESCRIPTION ; T/OFF REROOF 2300SF RESID & GARAGE W/COM SQ•FT: 4;150,
CLAIM VALUE: 9,150.00 CALC—VALUE; 4,150.00 'GROUP OCC; R-3-�/M-1
COMMENTS: T/OFF REROOF W/ FIBERGLASS,SHINGLES
�*,�t*�t+t**�r**+�*�r+c******�***�t�t*****+t�x�**�+t*�t+t+��r*�r�t�r��t�t�r�***�t�t*****�+t�**�***�r+�*�t**�r
, Z 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 FANT: FT IN FtEAR: . FT IN
LEFT: FT IN RGNT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 42607208 ZNE: REF NO: "
PLANNING NOTES>
i
******�t*�r*�r�**�r**�**�r*�r�t*****+t+t�t�t�r�r*�e�r�t�+t�r�t**�r+t*,r*��r�r�***�******�r*�r*�r**�t+r****x*
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
�f
20NING APPROVED BY ' DATE:
BUILDING APPROVED BY ; DATE; � '
APPLICATION ISSUED HY: �SS DATE: �����
iF1E�FififaEif�fifififiFk�fifiE�fiFaF�fif1F iF1EiEiFiFiFiFiF'1FlF 3EiE
1f iF �E aE if �E iF jE K iE iF if iF if iF iF if iFif iF if *�EfF iF iF iF aF iF if if iF �lE iF �F 1F1E it if �F �E 1E*if if 1E 7F iE iF If if if iF if �4 iE if iF iE 3F iE �F �t iE�F iE �f if ff iF ik if �f af iEiE 1f 3E k
LEGALIZATION:N F E E S U M M A R Y STRDCTURAL.SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 ,50.
PL� , SMIP/NON—RES
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL: PAID DUE
TOTALS----> �._ 72.50 0.00 0,00 72,50 72,50 ��,!` ,00
: �i
REVHNUE DIVISION TOTALS--> COLLECTED: '72,50 OVER/SHORT: •'� 00
BLD,G�ZPM�T� PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
I �4
M iF 1f iF 3f 1F 1E if iF iF if iF iE �f Ik 1i if k if iF iFiE iE �F M iF iF iF k�F �f �F iE �f it iE �E iE iF it af iF if ii iF if iF k iF �E iF if �kiE 3f iE iE iEiE iE iF iF iE if iF 1F af IF iE iF 3Ef(� iF iE iFiF iE 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 D E S C R I P T I O N UNIT COST �TOTAL COST
SFR 4150 REROOF HY VALUE RESIDENIAL NOZONE � 1,00 ,• 4,150.00
END OF FEES �, �
, � �
�
\
�
A
ai uaosbz��-o�osb�at � �a�s�
�Ais- �?.id01l9! TIhEe OEa4n
V
72.5�1
�
CONSTRUCTION AND PLANNING � � P� '� SPA
APPROVALS Permit # � Date Inspector qpPROVALS Permit # Date Inspector
- 1. Temporary.Electrital Serv'2e or Pole.,., 52. Pool & Equipment Location
� Z:`.Sgil P pe-Undrg�nd.. �i �;� 53. Steel Reinforcement �
E;�� .
•" '3.��fectr,ical Condmt.U6lrty�Undrgrnd..r' . 54. Forms '
v 4:� Ele'ctrical Conduit=Ufidrgrnd. =+S 55. Electrical Bonding
�-� � � u �-•
';�5(-Sfael Reinforcemenf � - 56. Rough Plumbing & Pressure Test �
: s..-. i�1:: w
=�6.*Etectrical UFER�Grnd. �t• c', 57. �APPROVAL TO COVER�GUNITE a•
�+�^fY1 /l��l �'
� 7.: F.00tings �`' � N` 58. Electrical Conduit-Undrgrnd. ��
•��BuFoundation � � 59. Gas Pipe, O Undrgrnd., Test �'
M /�'
9. Water Pipe�Undrgrnd. ' ' 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System a, � 61. APPROVAL TO DECK
t t. PFoperty Sewer Line'*& House Connection 62. Backwash & Receptor-Final
ra - n�
72. S2wer Cap ;,� � � � � 63. Heater & Vent-Final
13. Roof Drains � ' 64. Plum6ing System � Final �
14. Rough Plumbing a� 65. Electrical-Final '
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign � 68. APPfiOVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling. � 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT: REQUIREMENT �
- � ,r -ryi- �z; :i r cti
201TRough Fcto'•ry Fire"place � ���'1 'S, �r C C7 c* *. �pppR�VAL.S���Permit # � �" '`''
�-C S � �• I Sb' G�. t S r� Cx x J ::.iura.- .y :i' .7�-
e-� z! i �^ c- . � r, �� � w T. � -, •� l � .r. ��
21.`_Duc[s, imStr�cture.r i•- •. .=S 5 j �w �-70. kindergaaund Hys1ro x
22. Ducfs, Ventiiatirig;r � r'� T � `�'� "'77. Product,Plpii�g �t�as QOiI
� � .+� , s � :] +: � G� �++� t .. �
� i cc �: :r �m m- !T��� • �7,� x x a.
23.`.Gas_Pipe?,Rough & Test � �,j� ��,� o. � ��; �, �7Z, Undergro¢nd Flush�c� k (�
24tsRoof Framing %�'� �:-t- •r + 7 O o' yx 4 73bUndergrnd' Smr3ge_T�nk�� Gas ❑ Oil
,� ':-< r:� :K � t.-. tiv� y. . � ...,z r
25. Roo Sheathin �� �' �'� " ' := -� ` s v v �-+ro �.
1 9 ir'�' �?, 2-.� :i. 74,�Qverhead HYdro_i r
26^�T-Bar Ceiling (Strz�ctural) &'�blonocoat * '� h LTit :t 75Q'D'ry Chemical y"7 *�'' � �
r�c w n Y t-7� cj r- F..+•'1 :r ��
p" •• •• ' • CD :Y. CO X. M I-"^: f�l�.-
27. �Prame and FlashiQ �:
� - _$. ,^u:r :�: o' � ��. .. 76. Dry StandP!P.e �i.� * S � p
�.. ^ t•)�J .r - . �y. .� •�r
r28.- Latbing,& Sidingr:t v: y¢� !C `. �•' �� 77�� FIXED SY$7EM�FINALi� r
:-irrtJ :'l s ` "I I K .i -�+ � �.� ] s �.-� 'l
r29. �nsulation ��;� ` S�� �� .. .'x `�1 � � �� 78sFIRE PREV. FINAL a 7 !:; j
:�'30. DrywalbNait ng t�"� V w� ' �� �-+ HEALTH^DEPTit R�EQUIREMENT
H Y. I '.i: •J � 4$ r✓ �-� 't. f.� G
i�31. Plaster Brown Coat� S ��rr. j i -�:.79: FINAL INSPECTION .R �.��
�t �-.+� i r:�. a I .. .- . w ~ \ .
h32.^Electrical Pov,�er.MeteF,-Finali �+. o) � ' fi �Y' �:80:�tPOOD CERTIFICATE ISS,U�,ED�I Y :• �
•33iFinal Electric, `=k � � � '� r`� ' � � * �No�es: 'T �'E �r � p� �' •
: i�, .- ;l'y !T1 <L i: :k '7c� � ^7 C�• .Jrrl
e�34^Firr�l Heatinj & Ai�cCondition_ng; ,-� :i: , � � < x �%: :S f'i;i '+: � =i:..
- •.+ f i� v it ti.,f :n
.35•rFinal Gas Pi�e�T'e'�stf_ �y� ": �T, M � .. x : ; • ; MS .'k cr SO
� I ut�� W 7 .`.: C'7 G ti .t. :-i Cr
y3B.'Hood o �C2noPYCJ`�' �� � m� .t � I {i,f • E � ^O � .t � � �ea�
( " M� Y r:t ^(7 t ,S1 !Y.
�,'�7.-Final Factory FI�.eP,lacer i H� j *« � �� r � �� N
: j .� . y � .. .. � e w � i. .. .., ,• . -
�-�38. Final Pl�mbing :t :L i _ � � i i:r� S �-+ + cu O
r • r.�
G39. Water Se7vice=Finalt � "� r f �r ��� �� L'�� +� p
[,^. �-, :f� S i x a � 1 {r x� v S
�40. Gas Serv�ce�Final �� f � . ,-'J J� .' ,-, • ,
t� �. �n �.t-r^ n � I � s �,�. ^�n� a.
- .� _..
>'41. Solar pomesticFinalS ^ � x �'F � �! F �"� ;-� ,,'
M ';: C� �t {T' .0 C' f. ?: �
� c : ^ �}� .+ t V ` r.J I � :! :Y Ll.� .c
42.-Backflow,Preventera ,L � � �. ;y �' �.E . y, v r
43. Backflow Irrigation� � .i;;s5 .i. - � :�. � kE,o �: p ��
�. � a� :^ r .r. +7 .i ["; •
c c� a ��; �� ,_ .. ,- _. �„ , .. _,
,_�44. Landscape frrigatia,n System�,:Si� •r, a� �n �7 '-�, �.0 n; r, ;;;;, y. ;•� �.
TA5.; Sound Atteduation �-+�r �'' � y �" `- E-'� � � _� �� .T•v+ '�:�5 �
en " + •� . M f%l lTl`. � G �7' •'�; • _' � :�
�46;= Handicap Regulatio;ns ~ i=� .� `f .. . - :r x .: u�'. •t" �:�v �: t
47.5FINAL STRUCTURE & BULLDING ��� � � ., ` ��' S U /f� J B� � L ��
Gv n
48."FINAL PLANNING � d:,� ;, ,; I i �i x. :-� ;n � ii `" .�:.
-49.,Electric Re�ease to�Edison � � :e a u: : �. , -+
+ � � �' r :1 'n af •^. :Y �-1
.Y. Y S '-.J V+. .t � � t.
''ti50.: Gas.Release.to Southem Californi@ Gas Co � I ' �: y� i_� . � � •
`51. CERTIFICATEOF�OCCUPANCY i ,>, y ij si7:; `� , c� o
No. Date
/
OWNER HAF,KF'Y, H. J. � DATE 1�-9-59 �
)OB ADDiiESS 2349 �ornell Dr. BUiLDING PERIviIT iv0. 9005
GENERAL CONTRACTOR pjppt. Int. B1oCk VALUE $ 269 00
AP. No. LOT 1� TRACT Z9S3FIRE ZONE DFSCRIPTION OF WORK BZOCk Tr7311
GROUP TYPE ZONE PGAN IVO. .1(1K
INSPECTIONS I DATE I SUBCONTRACTOR I ___ PERMITSISSUED
brown toat
Tank
Final Gas Test
.��
\`s� '�� �OOS
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 GOSTA MESA, CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLETELY
TYpE OR PRINT �
BUILDING �y
ADDRESS `/���F� Cb u I
� COSTq MESA, CALIFORNIA
i.. cr.aurc�
l: Cd.].Y�.h[N[•]:1
�LEGAL I LOT �
�ESCRIPTION NO.
A.P. NO. L
LIC.
NO.
F9I_\��
� �nO.oF
SETBACK LINE FFOM
���.��e �< <re��r ' � �
�REPAIR
BUILDII
SIZE
DESCRIpTION OF WORK
tWALL IROOF
COVERIN
UILDING AND WORK TO BE
� �.. � _ . / n v
��G, � � '7 `I � � b r� at .
1 HEHEBY ACKNOWLEDGp' THAT 1 XTVE REpD THIS RPPLICATION
ANO STATE THAT THE A@OVE IS CONRECT /�N� AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BVILDING GONSTFUCTIO , �
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT ' �
rEE RECEIVED
tp_�c -S4 J��
FiNANCE DEPT. .
APPLI��Tk � I���RM�MIT
eu��o►n��
Fo,e officF usE a,vu�
NECEIPT NO. PERMIT NO.
�/OD S
IVEO BY )oA�TE RECEIVED —�DAT�E/� 165UEC
YVV I •'i/jh�S �% I�! "! -S
APPROVED
COSTA MESA, CALIFORNIA
ZONING
NO.OF I USE OF
PLANS �J i{ BUILDII
�
TNE AMOUNT SHOWN UNOER VALUATION IS FOR THE
PIIPPOSE OF ESTABLISHING A PENMIT FEE ONLY.
VAWATION Ci.�(�
PERMIT FEE S � �
$ � � C' �C1 PLAN GHECK $
/ TOTAL FEE S oC � (��
OWNER TROJAN I�AND CO. ' DATE 10-10-5%
JOB ADDRESS p3�9 Cornell Drive BUILDING PERMIT NO. 5$5�y
GENERALCONTRACTOR Tilr�l�('nla� yg VALUE$ vy]Ji( 00 ^�
AP. No. LOT �y TRACT Q953 FIRE ZONE DESCRIPTION OF WORK Res W�Sbt qSi'
GR011P I Sc J TYPE V ZONE RZ PLAN NO. KRN�
INSPECTIONS I DATE I SUBCONTRACTOR I DATE I, VNUM9ER
Swr.
; .
.n
��'� `�= 586�
> .
COSTA MESA BUILDING DEPARTMENT
. P.O. BOX 3��
' COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
IOWNER
TEL.
CITV Gtg MeGg NO.
ARCHITECT C3I'1� & ��c.
OR ENGINEER NO.
ADORE55
CITY LIC,
CONTRACTORUlK6 2S1Q "OlE rove �o. _
InCFEL.
ADDRE55 NO.
LEGFL L� 1 �
oEscaivnON NO. BLOCK TRACT
A.P. NO.
SIZE rvo.ov e�ocs
OF LOT � X 102 riow oN ior none
use oF.
E%ISTiNG OLDG.
SETBACH LiNE FFOM
cEmiEe OF SiREET I REAR YARO �
SIDE VARD RIGHT � LEFT I �
DESCRIPTION OF WORK .
NEW ][ ALTERATION ADOITION
REPAIR MOVING DEMOLISH
5 ZE DING �L � ROOMS STORIES 1
O
EXTERIOR WALL ROOF
cnvFa�mr. C4nnnn COVERING l�nme�
i��� RECEiVE�
o�-���-, ►Rs7��•�
FI�!t?I�GE DEPT. �
�ITY OF COSTt1 f:�ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
/� Cil'l�� � C/ '
BUILDING / .
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
�1 IPLRNS I /'
� v
APPROVED
BY DATE
CORRECTIONS
n .
Saly'
STATE THFT THE ABOVE IS CO�PECT 4NO AGREE TO COMPLV W!tH ALL
CITY OROINANCE$ ANO STI�T ��AWS REGIILATING BUIL�ING CONSTRUC�
norv. �/—' VALUATION �
� /� G`l�� . PERMiT FEE $
SIGNATURE OF •OO
PERMITTEE M
� � PLAN CHECK $ 17�VV
$ 7-4, Zk6.00 1
AUTHORIZED AGENT Dike a[ld COZBFSOYB _ InC_ TOTAL FEE S �jy�00 ��M�