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Home My WebLink About3103 COOLIDGE AVE - Building PermitsApplicant lo flll in all spaces withln GTY OF COSTA MESA � � aeanaiT No. ` +'CONS'TRUCTION PERMIT (� // C% Addrea Nrcn/tng.— - � Address" C.00tfOCtOf ' �� ' License No. Phone I hereby aftirm that I am licensea untler provislons ot Charter 9(com- mencin9 with—sec[lon 7000) of Division 3� of che Business antl Protesslons Cotle, antl my Ilcense is In full fortt antl e(fect. License Class License No. � Date � � Signature � WORKERS' COMPENSATION DECLARATION� I hereby attirm [hat I have a cartificate of consent to selt-insure or a C¢rtifiwte Of Worker5' Compen5ation Insurance,�or a�certifietl Copy thereof (Sactlon 3800, Lab. C.). . Policy No. � Company - � Certifietl copy is hereby furnlshetl. . . ❑ Certlfietl copy is filetl with the city Builtling Dlvision. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl. if the permit Is for one huntlretl SE100) or less�.- � C¢rtity that �n th¢ perfo�rtlanCe Of fhe wOrk for whiGh this permit is issuetl, I shall not emPloy any person in any manner so as lo become sUbjetf to the Workers Compensatlon Ldws Ot Cdllfornia. . __ Date Siqnature DorEer tines antl sign all aOV�aVriate tleelarations. TRACT N�. L071yfJ. . �BLDG. NO. " - �i 1�.� •i `Z�.A= X— L�� TYPE OF CONSTRUCTION � ❑� NEW ,� ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER' DESCRIPTION OF WORK . _ TVPE OF PERMIT � - -' ;O,GRADING' ' ❑ FOUNDAT�ON ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHANI( O OTHER - PROJECT DESCRIP710N_ SQ. FT! OCCUPANCV � CONSTRVCTIONTVPE V ALV ATION�Q.�SXiLONE GRADING CU. VDS. ACRES REMARKS:� � PLUMBING` BATHTVBS NOTICE: If after makin9 this tleclaration, you zhoultl become subject ��OiLerS �; to th¢ WOtkers' COTpensation provl5ion5 of the Labor Cotle, you must � forthwlth comply with su<h provisionz or this permit shall be tleemetl LAVATORIES �¢vOkea. . _ CONSTRUCTION LENDING AGENCV KIT. SINKS I hereby affirm that there is a construction lentling agency for the per- SERVICE SINKS (ormance oi [h¢ work (or wnlch this p¢rmi[ is i55ued (SeGiion 3097 Civ.C.).. " ..1�.q� �� >��.,.n•.a�l'�. �... �' .�FLOPR�SINKS". Lentler's�Nartle � \ � G// S- '- � PLANCHECK SHOWERS URINALS DOUBLE LAVS ' '- DISHWASHERS ' SUMP$ " , �- FLOOR �RAINS —�- owntKnuiwtKutc�s�nia�iun' '\ � INTERCEPTORS CLARIFIERS I hereby affirm that 1 am exempt fromSM1e ConVactor4 License l.aw for the following r¢ason (SeCtion 7031.5 Bu5ine55 antl Profe551on5 Cotle: • SWIMMING POOL '" PTRAP Any city or county wn�ch requires a permit to construct, alter, improve; tlemolish or repair any stru<[ure, prior to It5lssuante, also re- yyqTER-SERVICE ALTERATION qWres the appliwnt (or such permit to file a siqnetl statement that he is Iicensetl pursuant to'the provision5'oftne Con[ractor's License'Law' GAS SERVICE �OVT�ETS 1Chapter 9(commencing with Settion ]000) of Division 3 of the Business and Professions Cotle) or that he is exempt therefrom antl the yyATER HEATERS - BTU OUTPUT basis for Ihe allegetl exemption. Any vlolatlon of Sectlon 7031.5 by any appliwnt for a permii subjetts the'applicant to a civil'penalty SEWERCONNECTIONS f not more than five huntlretl tlollars (g500). I, as owner of the property, or my emplOyees with waqes as their' `SOLAR TANK COLLECTORS ole compensation, will tlo the work, antl.the structure is not intentletl or otferetl for sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING SYS. ' Contractor's License Law tloes not apply to an owner of a property ,_ wh0 builtls o� Improves the�eon, antl who tlOes suth wOrk him5elf Or ISSUE FEE [h�ough M1is own employees, provitletl that sucn.improvements are not intentletl or oifered for sale. If, howeveq tM1e bulltling or Improvement MECHANICAL PLAN CHECK is soltl within one year of completion, the owner will have the burtlen of provinq he tlitl not builtl or improve for tne purpose o( Sale). HEATING SVSTEM 0-300,000 BTU ❑ I, as owner of the �property, am exclusively conVactin9 with qND DUCTING '- licensetl cOntractors to construcl the project (Section ]044, Bu5ine55 100,000 + BTU _ antl Professlons Gotle: The Contractor's License Ldw tloes not apply to an owne� of property who builtl5 0� improves thereon, antl who con- REFRIGERATION 0-100,000 BTU_ tracts from such projects with a tontrattar(5) licesnetl pursuant to SVSTEM - � the Contractor's License Law). 100,000 + BTU_ ❑ I am ¢x¢mpt untler Section B. & P. C. for this BOILER$ BTU reason Date- Owner SVSTEM REPAIR,ALTERATION I hereby certifyttlat I have reatl this applicafion antl siate that the above EXHAUST SVSTEM MULTIPLE information is cortett. 1 agr¢e to tompty with a❑ City-aotl county ortlinances antl state laws relating to construction, antl hereby autnorize representatives of this city to enter upon the above mentionetl � property for in yn� �purposas. .�,�p� �� Signature ��5.7�� Date �L . Driv¢rs'�Li<ense or 55 � Applicanh, Pink-Accounting; GOltlenroG-Assessor \ NA�R - v� A.P. g-` ZONE '. REAR VARD (TO P/I PKG. SPACE RE�. STREET WIDTH ZONING APPROVED ELECTRICAL 8336. 7/OB/BI PLNG. REF. � - 24'.42 TI E PROVIDED PARK FEE S . PLAN CHECK 5(0. FT_ V 5[J �FT_ � GENERATOR 0-1 KW_1-30 KW _ TRHNSFORMER. �. APPLIANCE 10-SOKW_SO+KW'_ MOTORS- ' 03 HP_1-10 HP _ (IN0. SOLAR). 10-50 _ _ FIXTURES OVTLETS' SWITCHES GA BE SIGNS OLE LIGHT$ ' " ' ' iPANELS MAIN' SERVICI C � � . " ISSUE F ' APPLICATI A ROVED BY $UMMAR BUILDING / O PERMIT $ PLAN CHECK $ PLUMB $ PLAN CHECK $ ELECTRICAI_ $ PLAN CHECK $ MECHANICAL' $ PLAN CHECK $ � OF FEES , ��SMIP $ , S� PERMIT. � ISSUANCE $ GRADING $ S - MICRORLlvI $ TOTAL FEE $ LE55 AD- VANCEPC $_ FINAL FEE §��1 CONSTRUCTION AND PLANNING � �,z `_ -.' _ POOL & SPA , . � _ APPROVAL$ Permit # Date Inspector ' AppROVALS � Permit # Date Inspector � 1. Temporary Electrical Service or Pole ' 43. Pool & Equipment Location - - 2. Soil ipe-Undrgrn- ' - 44. Steel Reinforcement - �- 3. Electri�yl Conduit Utility-Undrgrn -' � 45. Forms - 4. Electrical Conduit-Undrgrn �,+ _ 46. Electrical Bonding - . tee ein orce c.. � � 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn � ' 48. APPROVALTO COVER-GUNITE - - � � � ' 7. Footings - . 49. Electrical Conduit-Undr rn � � 8. Foundation 50. Gas Pipe, ❑ Undr m, Test � - 9. .Water Pipe-Undrgrn � � 51.� 8ackwash Lines P-Tra ❑ Undr rn � - 10. Structural Floor,SYstem 52. APPROVALTO DECK ' 11. �"Property_$ewer Line'&'H'o`use Connectio . 53. _ Backwash & Rece torFinaP° - � 12. Street $ewer Connection • 54. Heater & VenbFinal '- � 13. Rough plumbing - ' � - 14. Rough Electrio-Conduit i� - �� - �56. Electrical-Final ' � � 15. Rough Electric-Wiring � � � �� - - �- � 57. Solar System-Final - i6. Rough Heating & Air Conditioning -- . � •- encing & Access Approval '� � 17:- Ducts, in Structure ' ' 5. APPROVED FOR PLASTERING � 18: - Ducts; Ventilating . . . . _ 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL ' � 20: Roof Framing �' . . . �� 21. Roof Sheathin -' � . � 22. Frame and Flashing � NOTES: - 23. Insulation - - � O- / � / %o dGC/N .C� 'B ' �P . .B. ' 24. �lathin & $iding �' ` - Q i . �.. ma-e , 25.'�Drywall,Nailing � • �� ' � � �, 26. � Plaster�Brown Coat ' ' � . 27. Electrical Poweu'Meter-Final ' '� � 28. Final Electric "� �� •• ` � ' � � � 29. Final lieating & Air,Conditioning "+ ' ' � � � 30. Final Gas;Pipe-Test' ` i , � � - - 31. Final �Plumbing ' � - � - � �'� � 32: - Water Service-Final ' � � � � � � ' ' � 33.-� Gas Service-Final . � � � 34. Solar �omesticFinal � � ' ' � ' 35. � Landsca e S rinklin S stem � � "� � 36. Sound Attenuation � ' � � 37. Handicap Regulations � � ' 38. FINA�STRUCTURE&BUILDING � 39. Special Requirements Completed � � 40. Electric Release to Edison � � � ` 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY !Vo - Date r. ` .��. '�� r�1 ,� •:/) � :'� CNy of Costa Mesa 6uilding Dept. THESE PL4N5 MUST BE ON JOB AT ALt TIMES MAKE NO CHANGES WITHOUT PAIOR APPROVAL OF DEPf. THE ISSl1ANf,E OR 6RANTING OF A PERMIT OR APPROVAL Of PLAdS FND SPECIFICATIOP'S SHALL NOT BE CONSTRUED TO BE P PERMIT FOR, OR AN APPROVAL OF, ANY VIOIATION OF ANY OF THE PROVISIONS OF THIS CO�E. NO PERMIT PRE� SUMING TO GIVE AUTHORITY TO ViOLpTE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS iHE WORH OR USE WHICH 17 AUTHORIZES IS tAWFUI. THE ISSUPNCE OF R PERMIT BASED UPON PLANS AND $PfCIflCATIONS SHALL NOT PREVENT THE BUILOING OFFICIAL FROM THERfAFfER REQUIRING THE CORRECT�ON OF ERRORS IN SA10 PUINS AND SPECIfICATfONS OR fROM PREVENTING ; BUILDING OPERRTIONS BEING CARRIED ON THEREUNDER WHEN - IN VIOlHTION QE IHIS CODEI OR OF ANY OTHEA OHD)NANCE OE THE �17� � I � ` � �+ F� W � � � 7 PESIDENCE STRUCTURAL APPROVAL ONLY � �SEPARATE PERMITS ARE REQiIiRED FOR ELECTRICA�, PLUMBING, NEATING, dEIVTILATING AND REFRIGERATION WORK Pennit # 1� I 1 � THIS NUMBfR MiJST ACCOMPANY ALL fNSPECT(ON REQUESTS FOft BUILl�itiGS �`i'NE �?ERSOYS ARE TO BE EPdPLOYED, Wt SUGGcSi TNAT T}tE STATE Of ChCIfORNiA DIVtSION OF INDUSTRIAI SP.FETY EE C�NSULTEC FQR ADDIiIONAI REQUIREMENTS. HESIDENCE RESI�ENCE TREET � 3�0 3 �oo�"�j� i St ; ' I' i '1� /:il ;1� Cf1Y OF COSTA MESA PIANNING D�T, i1HJEC► 70 BiYf. 06T. R[6. ��6Se� �IA7E. � e�l am¢�e � �n� pE510ENGE � � u w 4 ti H �T'YPI;C�L TOP VIEW 3/9''Bar � ': - � i „ 4�� Blocks B��Blocks � � I/4° 0 Pencil Rod Below-_.Top i i Course Of AII Fences i� 4�� Concrete Block Fence With 8" '' Pilasfers. One 3/8�� Vertical Bar i� CQntinuous From Earfhtooth Thru � � 8' Pilaster. � � 3/8'� Vertical Ties 2� Long �; HQoked In Footing, And Grouted In ' ;; 4 Blocks 4 0/C Maximum. ' I� Provide Cleanout And Inspection ' I� Hole At Pilasters. , f ; � i� � � -. i ,.. ._.._.� 4�� CONCRETE BLOCK FENCE �i �� ;� � �i i i i i � i i i i i � i � i I ' � NATURAL GRADE-��j.�o._�'lp,,• �'.�'�o�!i�,�o:od:`''.O:��o9,�"'o.,rp._i �p,-•:Ptipv::p.o�i VERTICAL STEEL OCCURS. HOLES N � Oeo v�a I ' o.a.a SHALL BE CLEAR, CLEAN, AND r iro, o' v��a c:= b •:�I ��'op 'p;o � FOR WIDTH SEE CHART ,p ,o �e r a�qi'o ..�'bse r.P �� o';a� � r:, i b�_�;� FREE OF ALL MORTAR, DEBRIS, i�. �r� . I�y v';j ECT. WITH INSPECTION HOLES �� TO 16��O.C. MAXIMUM ��" , . TWO 3/8 BARS CONTINUOUS �o�.,�.. �. tl0� AT BOTTOM. BOND SHALL BE �^:-��'i � � �b' r/o� PROVIDED BY LAYING BLOCKS � FENCE MAY VAAY IN HEIGHT ibe :obi DEPTH OF EARTHTOOTH I/3 i� .`�'�� IN STRETCHER COURSES SO FROM 3� TO 6� �.'.' �� I e_.• � i,v.�ol THE HEIGHT OF FENCE ip �.-� THAT� VERT. JOINTS ALTERNATE i'm''s� BELOW BOTTOM OF � i';i:.�i. STEEL MUST BE TIED IN PLACE ��M1o�.VJ FOOTtNG. LJ��+J iN EACH couRSE. AT TIME OF TRENCH INSPECTION — � �y � SCALE; I/2��= I� 3�� CLEARANCE FROM BOTTOM ��'1 CHART HEIGHT. . .. . . . . . .. . .. .. .. ..6� .. . . .. .. .. . . .. . . 5�.. .. .. . .... .. ... . . . 4�. . . .. .. .. ... .,. .. . 3� WIDTH .. . ... . .......... ....14��.. . ............. 14��....:..:......... �� 12 . ............... 12 THICKNESS. .. .......... ....10��...... .......... 10��........... _......8°. ............... 8�� DEPTH OF EARTHTOOTH . . . . . .24�� . . . . . . . . . . .. . . . 20��. .. . . ..... .. . . .. . .16��. . . . . . ... .. . .. .. 12�� . SPACING OF EARTHTOOTH....12� ... ..... ........ 14�..................16�.. .............. 16� ��GENERAL-NOTES�� MORTAR: One Part Plastic Cement And Three Paris Sand. 6ROUT One Part Cement And Three. And One Half Parts. Sand. COPING: One Part Cemen"1, Three Parts Sand. CONCRETE Weil Mixed 1:21/2, 31/2. Mazimum Of 7 I/2 Gallons Of Water Per Sack '� Of Cement REINFORCEING STEEL SHA�I . CONFORM TO SEC. A-15-39 ' A.S.T.M. ALL STEEL TO LAP WHERE SPLICED, 2�-0�� MINIMUM. GROUT MAY BE POURED FROM TOP OF FENCE IN CELLS WHERE City Of Costa Mesa,California Building Department formBU�3-2M-0-61 S-BP OWNERS NAME� _�� `� ��/` JOB ADDRESS� ��C/� _G'�6G/l�G� _Ca8'T�m�� PERMIT NUMBER�_ _ _ _ _ _ _ _ _ SIGNATURE:— — — �///O�Gyr' — — — — — — — �i�� ! _ Aop�ieant to /ill in all soaces excev< those witnin heavY Doraer lines anC sign ali aoorooriate Aeclaratians. • - �� ' - � , PERMIT N . ' � , TRACT NO. � LOl- NO: 'UNIT ' ' � � - � ' CITY OF �OSTa MESa !CONSTRUCTION PE MIT ' - �; . Pro�ect Address_ 3�03 . �'00.� l �i0�+ , ✓E. � •. . , ,' 3.C}, : ; � . � .. . . � _ _ - '. ':. . �� SyOZV _D p �TYPEOF.CONSTRUCTION i� NEW ' ADD ALTERATION', REPAIR � 5619� 6IC�J�a.`7� �� ,-^.�`,]Q ,j� i Appl¢ant s�Mailing•Ad ess 8� �N • C .C` f� . . dr �x p i �.C�Q LJ CONVERSION ❑ DEMOLISH. 0 OTHER ' q,p, # �' - , ' . . - . Zone � .Owner'sName��.MA.' iNQ� " � Phone�isL�(�,� : �' . . .' � . .. - , � � a3 = �n 0O r DES�PT,ION'OF�K/USE'OF/BLDG. , _ , _ � 5� Main Bwlding: �� ' Accessory euilding: ' IAd7ress A L I Gi(pQ� � A��. . _ �n. �� . - � Aich/Etng.: N !d � � - License No. ' � TVPE OPPERMIT � GRADI FOUNDATION, ❑ ST�ftUCTURAL . ,T' F�Opt . - ' V • � , c � � ` O � � ` � ' � ^ , d TENANT. O ELECTRICAL O PLUMBING. ❑�MECHANICAL � g' ' ' , - ' . ' i 'N 1Adtlress � ' ` � ' � � - . � . Rear - . , O;OTHER 9 � _ . ' �Convactor'sName L e -� �l r/�phoneSZ «� -pROJECTDESCRIPTION �5c3.'FT. �d�' ' � � ocCVPANcv ' � �C- Ri ht �� G .Adtlresslmailingl�O7- BIS,l�OP� 5�., C'Y� �C, � . � - ` K' � . _ - �_2��9� i.� 1+y J�.� t CONSTRI%GTIONTYPE ' - VALUATION$ �. `��' g.'Left � �CityLicenseNo. �t '�tE�o ZONE 'GRADINGCV.VDS.� ACRES ' . �R . LICENSED CONTRACTOR DECLARA710N I � - PIOg. R¢f. # ' � Pd�king R¢q./P�ovid2d .- '�E � I M1¢reby afti�m [hat I am litensetl untlei provisions O/ Charter�9 (�ommenci�ng Remarks: - ' � � � � ' �Planning Notes: � � • � � � � �M ' with section 7000).ot DiviSion 3 of the Business antl Professions Cotle, antl T ' I mY.licens=�.s m tulJ,tp e tl eftect. � 1 0 r � . ' � � � � � � � . , � � � � . ; � S � j N� Licensy� Class �� o. _ ' �� Date (p_ ��'�rsiqnature - • ' ' PIUMBWG . FEES WORKERS'COMPENSATIONDE LARA oN � IBarSink ' j - Showers '-+ �. ' j � � •ELECTRICAL � � 'i ' FEES � 1 hareby atflrm thaf I nave a certificate of consent to sel(-Insure or a cert�ticate �' i ' ` of Workers'-Compensation Insurance, or a certifietl copy thereof (Section -' gackflowPreventer - - �ServiceSink-' - - .. . ' 3800, eab. ) �s RU % •' t' � Auromatic wasber '-. . �Transtormer. O 15-50 KW _ . _ Poli� No. � L�� `� • Com an �� • � ��'v D - ' . i ❑ SO+�KW.. �`1 v p v Backflowlrrigation SeweiCap� ConstructionPoleSub. � - ' F!'� Q certifietl coov is M1erebv fiirnishetl. _ �� Ad ' i. i� . . . -iess).__.____'_ _---'.:_._-__. . __-....-., _.__ ___."•"__-•_' Dishwashec I ��erLfy that i0 the pe�(o�rciance of the veork fo� which this,pe�m�t is i55uetl, I , shallpnotiemploy any person in any manner so as to become subject to the , � Orinking Fountains , ' workers' �Compensation ,Laws oi California. • � � � �, i i ' . Date ' ' Si9nature � � Floor Drains� ' .'NOTICE:If,afier making this tlecla�atipn, you ShoUltl become subject to the .Workers',Comp¢nsation�provisions of the Lzbor Cotle, you must torthwith ' Roor$ink5 � coTply with such provisions ,or IM1iS Oe�mit �shall be tleemetl �evok¢tl. - .CQNSTRUCTION �LENDING AGENCV �� ' GdSSCrviC2 OutlEtS -� 1 h¢reby affirm tnat IhCre is a construction lending agency (o� the peifo�mance� of the work tor which thi5 permit is 'is5uetl ($¢ction 3097- Civ. C.) IOt¢fC2 tOfS � ' � LenCer's Name - - � � - P � � ' Lentler'S Atltl�ess � Z� � Kitchen Sink� � ' � � OWNER BUILDEH dECLqRATION ' ' � `- � '' � ' - I hereby affirm that I am exempt from the�contractor's License Law for the, , l.avatories ^ _�, , ��` following �easOn (Section 703LS,Businezs antl ProfesslonaLCotle: Any tlty or County whicn requires a p¢rmi[to conStruct, alter, improve; tlemolish or repair i � P-Tfdp; �. �,' ' 'any structure; prior to its issuance, also requires the applicant for such parYnit - � to file a;signetl statement that he/she is licensetl pursuant to che provision5 afs _ ROof.Drains y' + ,�the ConCractor's'License Law (Chapter 9(commencing with�5ectionJ000) of- ' 1 Di��sion 3 of the Business antl Professions Cotle) or that ha/she:is exempt � , � , �herefrom antl the basis foi-the alle9etl exemp[ion. Any violation'of Section f. 031.5 by;any�.applicant (or a pe�R�it subjects [ne'appliCant to a civil ' ' ' . 3nalty ot not more than five hundretl tlollars (§500). -.. . . � I, as,owne� of [hei0roperty;or my employees with� wage5 as their 4ole � 'ReinSpBGtiOn F¢¢'� , $1 �com0ensation, wil! tlo khe work, antl the structure is not intentletl oi ofteretl for sale• (Section 7044, Business andi Professional Cotle: The Contractor's - s � ' Li�ense Law tloes not apply to an'owner ot a propertyi who�builtls or improves "' - the�eon, antl who tloes sucn wo�k him5elf/Iterself o� tb�ough his or �h¢� own 1 gOil2� er�ployee5, proviCetl that Such'imprOvement5 are pot�intentletl or Offeretl�fo� � , ' ' t sa�e. Ii, however, the building or improvemeni is'soltl �within one year of com- . � pl¢�ion, the owne� will haverthe burtlen o( provin9 he/she tlitl not builtl or, m- i Du,ct - Under Ground •` . � P�ove!foithe purpose of sale). . - , � i � � ' ' � ❑ I as bwner of the property, am excluzivery contractinq with licensetl con- 1 Duct - Sttuctural { trac{orstb consVucl the project (Secti6n 7044, Business and Protessions Cotle: ' � ...The.Cont�actor'S,.License, Law tloes not apply ro an bwner of property who � '_ Duct ;Ventilating .' �. � bUiltls or imp�oves thereon, antl who contract5 for zuth proj¢cts witM1 a con= � - � �- �'-� �- tractor(s) license pursuan[�[o tne Contractor's License Law). I am aware that ' Exhaust SyStem ❑� Multiple � P�oo( ot their Worke�'S Compensation insurance shoultl be provltletl tokme.; __ �-� 1'am exempt untler Section e. & F. C. ior this reason Firepl/Fact. Blt. ICBO # ; Date � � . owner� ' � Heating System & Ducting � I�he}etiy certify {hat I have"reatl tnis appliwtion-antl state tliat the.above'^ ' OP100,OOO;BTU-0100,OOOB information is correcL I agree to comply with all city antl coUnty ortlinances � � a�tl`�state IawS �elating 4o builGing conSVuction, antl h eby duthorize �ep�e- ' � • sentitives of this city� t nt � pon th e- � fonetl "Oroperty Por � ' - � ; inspectionpu ' ��_�C � XSignature � � '� Reinspactia�n Fee $1: - Dnvers' Licenie or55 � � ' ' - CMF b865-46, rev, 30/84 White - Builtling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor Solar Pipin9 � Dryers LJGas �L]Electric Sub Panel �:5 � � SolacTank ' � � Fan ' Mow�s00-1HPO7F`-8 ` Swimming Pool w/Spa �� • �F.A,U. � � �IncSotar CJ9-15 HP C]16-15+ Urinal . ' � _ Fixtures. _ . �. . _ _ Microwave Water Closet � _ " Device Boxes � �Pole Li9ht • . � � Water Heater� � ,. � Outlets ' Range � ' WacerService � .-� � Switches � � ,Sign' � ' Auto:Wash '- - . � -Gartiage Dispo4al �- ' � ; Standing Sections : � � Laundry Trays " ' - ''' ,Generator �0-5 KW �5=75 KW ,Trash Compacmr � - ! . , .. , - � � •a , � � � .. . . . . I .. , . t 1 :t ' Issue Fee �` • � � $ ,3 � � ,Reinspection Fee � $15 .luue Fee � : $ 3� IANICAL ' ; , FEES " '- Hood or � Type I ❑ � ' _ ' DEVELOPMENT SERVICES REQUIREMENTS: ' � . � � i r1 . Canopy Type I I� 0� i- � �% ; Zoning Approved By ' Date � � �'i . � • ' �' � � Building Approved By ' � ' Date iefrigeretion System ' ' , ' • Appliqtion Issued�By ` ' � � Dat � Z � �0-100,OOOBTU ❑100,OOOBTU � i. , � , ,SUMMARVOFFEES � �, ' c � I BUILDING PERMIT ' $ L�'� SMIP ' , $ ' • v� System Repaii/Alteretion . � , , , � Fire Dampers' � � � PLAN CHECK $ PERMIT ' , � � PLUMDING , $ ' �ISSUANCE � $ � Registers -' ' ' , p�,qN CHECK �25% $ ' � � ENERGV P.C. ; $ � � � � ' i . r " ' ELECTRICAL ' $ GRADING �� $ + � � � PLANCHECK 50% $ ' �NICROFILM ;$ � � ' ' � MECHANICAL . $ � � ZS.SO � y , 70TAL FEE ' $ � i._ Issue Fee j $ 3 �,� • PLAN CHECK �25%; $� 1 � � _ ... . . .. .�._. . - " ' - . ' _ ' . . .... . . ._ _ ._ . ' _ '_ '-. .. _ _ _. : .. � .. . r ..r. .r. . ... _ �. . Y .. _ i . . . � . a �, CONSTRUCTION AND PL'ANNING ' �''� ; . ; � -• � � POOL. A . _ ., ; Date� Inspector ' -• . - Date � Inspector_ ' ~ QPPROVALS ._Permit # ' � ''� .,�� _ � � APPROVALS - Pe�mit # . . • �i. SemporarN Electrical Service or PoIA • 52. Pool & Equipment Location , . � ' ':� - ; � �'2. SoilPipe=UrnJrgmd.. � - ��.' ':�1�. � _ 53.-SteelReiuforcement- � ' � �'�<< � 4 • ,�� - � i yi .. -3:,.Electi,ical ConduiT�Utilify-Undrgrrx)j . 54. Forms . _ - � - ::� ' 4?�,;�Iectrical�Conduit=Uad�grnd. ' , _. . � .55. Electrical Bonding , � _ -�! ,� r.� �. � 5. �Sieel:�Reipforcement : r;; �' . � � 56. Rough Plumbing & Pressure:Test � � ��'` ' 6rsElectribal UFER Grefd:''� . ��'! � '� � „�, , .57. APPROVAL�TO COVER-GUNITE � � 3��'�`� f 'n .' 7.`�Footings;� ��-'�?'''�� . - ''��.,., � - �� 58. Electrical Conduit-Undrgrnd.'_ _ ' �;,._r , 8rFoundation � = %? . � � � "�'�' � �.>? 59. Gas Pipe, O �Uridrgmd.,.Test � " - r�� 9FWgjer Pipe-UndrgCnd! 1 _�� ";� i,,,r . - 60. Backwash Lines, P-Trap, � Undtgmd.-� ' . i,i�; . ;, . . , � 70.,Structura4"Floor Sy`siem � �l - ..;'1 . 61: APPROVAL TO DECK � � , � -;,.'� . - 77.�PidpertySewer Line�&�HouseCoiin�tion .�� - �62. Backwash & Receptor-Final. � � � ' ,. 12. SeJoerCap ' . � t.��:..., r � .,., . , . . ,.. ,; ,�: � =} ,�� _ � 63. Heater & Vent-Final . , 13. Roof"Drains `'� . ' ` ��°..� % �� , � 64: Plumbing System�- Final � - � � i��! iii ,/•! . � 14. f�o��]S Plumbing.�l!", `^'' / ` : ;; - - • . , , . 65.�Electrical-Final 15.'RougkElectrical-Cortduit � -� - . - � 66. Solar�System-Final � � ' -' " � - 16.��Rough:Electric Wiring: � ' - , 67. Fencing & Access Approval• -- ` • " -' • 17. �Rough Wiring Sign = , ' . - 68. APPROVED FOR PLASTERING � ' , t 18.'Rough Ele'ctrical-T Bar Ceiling �69. POOUSPASYSTEMS FINAL .�. 1 19:.Rough Heating & Air'Conditioning � � FIRE DEPT. REQUIREMENT • .- - ' ' - 20. Rough�Factory Fireplace . ' APPROVALS Permif #� . ' �� 21. �Ducts� in Structure , 70: Underground Hydro � � � 22. Ducts; Ventilating � 71: Product Piping �Gas OOiI � 23.�Gas Pipe;Rough Si;;Cest � �:� 72. Underground Flush' � � � � 24.'Roof Framing �i} � � ' • � 73. Undergrnd.Storage�Tank O.Gas ❑Oil � ' . 25. Roof Sheathing i� � ' � �S �, 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 FINAi - . 29. Insulation -, � 78. FIRE PREV. FINAL �' � `' � 30., Drywall Nailing t,, ", ' ' , HEALTH�DEPT. REQUIREMENT � B1. Plasier Brown Coat �` � � . 79. FINAL INSPECT�ON � 32. Electriral Power Me{er-Final ' - � � �80. FOOD GERTIFICATE ISSUED i � 33. Final Electric _ , ., _ ' � � Notes: ' 34. Final Hea4ing:& Air'Conditioning � � , . 3 . 35. Final Gas Fipe-Test � � - � ' . � ' . ' " � 36. Hood or CariopY ' . . ' � - . 1 . � - - 37. Final Factory Fireplace . , . . - ' • - � - - . 38. Final Plumbing' . . t , ' . � � � ' � . � � 39. Water Se�vice-Final . � -' ; - . � - ' 40. Gas Service-Final . , � ' . � � - ' - 41. Solar pomestio-Final : ' - � ' ' _� i- 42. Backflow Preventer . �" , � � . _ � '' _ " -r 43. Backflow Irrigation � ' � � - � .� . �� ' � ' . " � , . 44. ,Landscape Irrigation System � - � ' . ' � � .. � ' • - 45. Sound' Attenuation � ' � � � � � � � � - • � ` ' . � � . 46. Handicap Regulations • � � - � � � y � �. ' , ' � �47. FINALSTRUCTURE.&�BUILDING � , . � � _ „�'� " - 48. Special Requirements;Completed , � . ' - ' � , 49. Electric Release to' Edison - - - ' '" • - "� '; ' �' -'' ' , 50. Gas Release to Southern California Gas Co ; � ' � , � . 51. CERTIFICATE OF OCCUPANCY - - - - -� . No. Date- - -' -. _ � . ... . ... .� . . . . — =e ApD��anl to fill in all s0aces except those witM1in heavY tcrtler lines aRE'SRJR�LII appropriate tle[lardtia �' CI7Y OF,cdS7A MESA CONSTRUCTION PERMIT '3 � 'U� �..0 t3 � 1 d , , ProlE`'t:,ddrese.� 'a'v . ;� 3�0 3 ��,��., �c << pplicanTS Mailing Address Uwner's Name CD�✓!�'O?� �i%.n/sJ'./�// %-�.u�hone Sa'7-7kZi Address�i0��p4�p(rE- '. _ Arch/Eng.EtMC2%�. lyi�t5" i1/Y70/`� License No. �%�Dy Address `��2 -S GUnpE�� ST S/.1�/n7 ft=R/f� Contractor's Nam � � Phone Address (mailing) � �� City License Na � LICENSED CONTRACTOR DE LARNTION � I hereby affirm that 1 am licensetl untler prOvislons ot Chdrtei 9(commenclnq with section �000) ot Division 3 of the Business antl Pio�essions Cotle, antl my license is in full force antl effect. LICCOSC CId55 License NO. Date � 99nature WORKERS' COMPENSATION �ECLARATION ' I he�eby�affirm that I have a certificate oi consent to selt-insure o� a t¢rtiticate o! Workers' Compensation Insurance, or a certifietl copy thereof (Section 9800, L'ab. C.) �licy Mo. . Company �Cer[ifietl copy is hereby fumisbetl. Ce/tifietl copy i5 tiletl with the city Builtling Division. �ale Applitant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl it fhe permit is for one huntlretl ($100) or less). I certity fha[ in the pertormance of the work for which this permi{ is issuetl, I shall not employ any person in any manner so as becom subject to the Worker C pens ti� La s of Califo - � Da[e 1��9`�!yj�9nature ' NOTICE: If, aft r making this tleclaration, you shoultl become sub' t to the Wo�kers' Compensalion provisions of the Labor Cotle, y0u mu5 forthwith � comply with such provisions or tnis permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby a/firm that there is a construction lentlinq agency tor the performance � ot the work for which this permit is i55uetl (Section 309] Civ. C.) , Lender's Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby affirm ihat I am ezempt trom the Contractor's License Law for the followinq reason (Sec[ion 7031.5 Buziuess antl Professional Cotle: Any city or county which requires a permit to cons[�uct, alter, irtlprove, tlemolish o� r¢pair any structure, prior to its issuance, also requires [he applican[ for su<h permit to file a si9netl statement that M1e/she is licensetl pursuant to the provisions of 'tne Contracror'S License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Profes5ions Cotle) or that he/she is exempt. therefrom and [h¢ ba5i5 (o� the allegetl ¢x¢mption. Any violation of $ectlon ]031.5 by any applicant for a permit subjects the applicant to a civiP; �dlty ot noi mo�e than tive huntlretl tlolla�s ($500). I, as owner ot the p�o0erty Or my employee5 with wages as their Sole .npensation, will do tne work, antl the sVucture is not intentletl or offeretl � � for sale (Section 7044, Business antl Pro�essional Cotle: The Contractor's License l.aw tloes not apply ro an owner ot a property who builtls or improves � i, thereon, antl who tloes such wo�k.himsel(/he�self or thrOu9h hIs o� her Own ' employees, provitletl that such improvements are not Intentletl or oifered Por � sale. It, however, the builtlinq or'improvement is soltl within one year of com- � pletioq the owner will have the burtlen of provin9 he/she tlitl not builtl or im- prove for the purpose of sale). ❑ I,�as owner oi the property, am exUusivery contracting wlth Iicensetl con- tractors to construct the project (Section 7044, Buiiness antl Professions eotle: The Contractor's License Law tloes nol apply to an owner of prooerty who builtls or improves tM1ereon. antl who contracts fo� such oroi¢cts with a con- tractor(s hcense pursuan[ [o [ne ConVactor's License Law). I am aware chax � proai o their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason bate [� � ,� O ' 'S10'O-➢ .� . �o<-'if'iwJcvlT'w/ i — `lihereby certify that I have reatl this application antl state that tne above - ' iniormation is correct. I agree to comply with all city antl county ortlinan<es antl state laws reldting� to builtling construction; antl he�eby du[horize rep�e- 'sentatives of this city to ent r upon tne above-mentionetl property for InSpeGtion p ose5. � Siqnatur / { Date •�� Drivers' License or 55 $ Gi�JCiB��_�:I '¢,�UZ TYPE OFCONSTRUCTION� NEW " ❑ CONVERSION��O DEMOL:51d- ��( DESCRIPTION OF WORK/USE OF BLDG �s -- �IFOUNDATION STRUCTVRAL PLUMBING � MECHANICAL .TVPEOFPERMIT �. �GRADING ❑I� TENANT � ELECTRICAL LJ OTHER ADD PRQIECT DESCRIP.TION Scl. FL �' oCCUPANCV C O N ST RUCTION�TV PE V A LUATI ON $� '�ZONE � GRADINGCU.YDS. ACRES_ rks: �! ��"/�.�d'[ _' r 5ink ckflow Preventer.�; . ickflow Irrigation'" . ahtubs ,:�,' arifiers " shwasher �, , _ Drinking Founta Floor Drains Floor Sinks Gas Service Intercep[ors Kitchen Sink Lavatories P—Trap Roof Drains ReinSpection Fee � $15 Duct - Under Ground Duct - Structural Duct - Ventilating - Exhausc System ❑ Multiple Firepl/FacC Blt. iCBO dk��/y Heating System & Ducting ❑U700,000 BTU 0100,000 peinspection Fee �' $15 $howers ServiceSink , Sewer Cap Sewer Connection ' Solar Collectors � Solar Pipin9 Solar Tank � � � Swimming Pool w/Spa' Urinal � Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ Canopy Type I I ❑ A.P. # S Main Buildi R ) T Front g Rear A —'i C Right K Left S _ , Ping. Ref. # � , Planning Notes: t,� • 5 • !J� FEES Automatic Washer Construction Pole� Cooking Unit Dishwasher�- � � , Dryers ❑Gas -❑ ftefrigeratlon System - ' ❑0-1000006TU ❑100,OOOBTU System �R epair/Alteration Fire Dampers Registers • - . Issue Fee 0865-46, rev. 5/80 Wnite - Builtling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor � � � � � F.A.U. Fixtures Device Boxes DUtI¢t5 Switches .� , Garbage,Disposal. Generator��0.5 KW Req ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel � Motors OO-1 HP O1 X� 8 Inc.Solar �9-15 HP �16�15+ Microwave ' ,' rore uym • RangL + Sign . Standing Section3 - i�15 KW .Trash Compactor . , r , . $15 . Issue Fee ''. ' � � LOPMENTSERVICESREQUI ZoninB APProved By'. FEES ,Building Approved By � " �^ ApPI1C8tiOf1 ISSUBd BY ,� - . j f�'SUMMARVaOF, BUILDINGPERMIT'$; "�.�•�. �• , PLAN CHECK �$' PLUMBING $ �T_ � PLANCNECK 25% $ �v ' ELECTRICAL .+ �$� Z� PLAN CHECK 50°,6 $ MECHANICA� $ �� PLAN CHECK 25% $ __ ,�. t�,,,�s; �, SMIP � $�'.� PERMIT � � ' � ISSUANCE- :�$�.�'� ENERGY P:CB' $ � GRADING� $ � -�-"°=��` MICROFILM �„$"�� _�yi �TOTAL'FEE $ 01 O�Q�i!'�1-�"O�;SOQ,`. "d'P�t", LRTF: d3�3;/39 7Ift�: 1c.t�1 � . . ar.�fy4,,.p.�..w -; .�.n. . . �� e � CON6TRUCTION AND PLANNING � �: POOL & � - Date� Inspector ' Date 1 spector � �APPROVALS Permit # APPROVALS Permit # .� �' _ 1, T�mpo� ry�Electrical Service or Pole �� 52. Pool & Equipment Location � tx,, � 2�Soil Pipe-Undigmd. �i 53. Steel Reinforcement � �� = 3� Electrical Conduit Utility-Undrgrnd. �� 54. Forms . i• - �4'. Elect"rical�Conduit-Undrgrnd. � , 55. Electrical Bonding , 5. Steel:Reinforcement � 56. Rough Plumbing & Pressure Test ��"'� � n ^ L. � �6� Elect}ical_UFER Grnd. �U-5'-gf� � � 57. APPROVAL TO COVER-GUNITE �' ' � 7.. �ootings ^ �•: � �'�{ � �� 58. Electrical Conduit-Undrgrnd. . � h' � �8. Foundati n � 59. Gas Pipe, O Undrgrnd., Test �� 9.� Wate'r Pipe-Untlrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. � I - y 10. Structural Floor System . ,�� 61. APPROVAL TO DECK '� ,. . 11. Property Sewer�Line & House Connection � ' 62. Backwash & Receptor-Final 12. Sewe'r Cap r �. � � 63. Heater & Vent-Final u, u 13. Roof�Draifis � . \ 64. Plumbing System - Final , 14. Rough Plumbing �� .� ' 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final . �1�� Rough Electric Wiring �+ N 67. Fencing & Access Approval � h,�7; Rough Wiring Sign � 68. APPROVED FOR PLASTERING I 18: Rough Electriral-T Bar Ceil�ng , 69. POOUSPA SYSTEMS FINAL , h9; Rough Heating & Air Condi�ioning FIRE DEPT. REQUIREMENT �'L20. Rough Factory Fireplace � ��_a.� L�p APPROVALS Permit # � 21. Ducts, in Structure �l! `70f Underground Hydro � . 22. Ducjs, Ventilating �: � � 71. Product Piping O Gas ❑ Oil ��" � 23. �G Pipe-Rough & T✓st �`J ��$�( 72. Underground Flush , 24. Ro� Framing � � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25.iRoof Sheathing,M� G_� 74. �Overhead Hydro ' 26. T-Bar Ceiling (Structural) &. Mo,�,nocoat 75. Dry Chemical . 27. Fr`a'me and F,lashing �?; Y� / L $� 76. Dry Standpipe � i_: ��28. LaYhing Es+itific� ,.{,� �� 77. FIXED SYSTEM FINAL r ,S 29. 'Ins lation . �V �^,-. / Lt � � 78. FIRE PREV. FINAL . 30. Dr,ywall Nailing 'i �� {�j7 HEALTH DEPT. REQUIREMENT � ' 31. Plaster Brown Coat.�� V �r L � 79. FINAL INSPECTION ' 32. Electr�al Power Nleter-Finaly 80. FOOD CERTIFICATE ISSUED r ' � 33. F nal Electric N7' '� /-� Notes: C �' 34. Final Heating & Air Conditioning � � '� � �� a � •. 2 G� �l� 35. Final Gas Pipe-Test L�� (.�J ��,y� �36. Hood or Canopy � '_ ' -�37. Final Factory Fireplace Z7 �f �� s fUtc�c �i'�� Qy, �od� . 38.'Final�Plumbing -" " c/(/� �� 5�, /d� Z6- .y � . � 39. Water"Ser�vice_Final;° V- � • � � �, �40. Gas Service-Final � ' . , � , `�fiS��- �41.� Solar pomestic-Final � • ,�42. Backflow Preventer�� "� 3� 9� F•�R� J ^ G a ` L� G : iC� ' �O�c.' ackflow Irrigation t,. � J 5 c� r �� ,� +� � �. ape�lrriqation System � g�j ' ': q . � � ?nuation„ , ,� � i _ � ulations 9` � e��'� t � � .� � E&BUILDING 3 O � leted ?) r• nia Gas Co . � `� � � - i �� !li Y � . .-. � f f� '�j� p r� i� � � � � . - ♦ ' ' 21333 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 917 C08TA M86A� CALIFORNIA for Applican! ro Fill In Completely ' TYPE OR PR1NT - BUILDINO ADDRESS � COSTA MESA, CALIFORNIA ADDRESS Anaheim �� CONTRACTOR' CO.'SSY.. Inc. ADDRESS 1 LSS Flores � cirrF u taln Valle LIC.TNO. �LZ o4 No' 3167 SIZE I no,oPe OF LOT NOW On USEOF OO EXISTING BLDO. BETBACR LINC PflOM .. _ ' FFT 7 . . ..�. RIGHT DESCRIpTION OF WORK {� 1 HEREBY AC� r ANO 6TATE T T TI � PLY WITH L CITY 0 BUILO�NO ON6TRllf Y AUTHORIZED NO. OF ROOMS $' ROOP � 'COVERIN6 $h WORK TO BH PERFORN LEOAL FEE RECEIVED JAN 1 7 1964 FINANCE DEPT. � �CA��ICS��f 101V `POR"PERAAR BUIIDING For Office Use Only — w.�.,.r �o. 2 p3 I oev o�regs,c�ervgo� JAI�'1 �6 1964 /7 / ZONINCi NO.O� U88 N6W ' PLANe pYl e �o�---.�. -T /� � �- 'E OVERHANR BHALL BE LE55 THAN YAROSAPPROVED MAIN BUILDINO lOM C/LBTREET) 018TANCE BET MAIN BLDG9. 1 VAR.?i c u o 8 HAVE RPaU TXIB APPLICATION 19 RRECT ANO ApRE¢ TO COM. G8 � D BTATE I.AWB REOYUTINO YARD9APPROVED AGCESSORV B W LDIN6 BET. MAIN 8 ACCESS. BL[ DATE so. Fr.,.x - iri THE AMOUNT HXOWN �UNOER V� Pl1RP068 OF 88TABLIBHINO A VALUATION , �/ PERMIT $ /59�✓ . � LA � � ��1�� N O L�� _ IB FOF TXE F FEE ONLY. � .�J�� t1 0 � �5.� m S ¢ O �/ i �• 4