HomeMy WebLinkAbout444 ELMHURST LN - Building Permits�
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(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
�obAddress: 444 ELMHURSTLN
Suite:
Vicinity: HOUSE & ATTACHED GARAGE
Parcei Number: 14137221
Zoning:
Status: ISSUED
Applied: 08/24/2001
Issued� 08/24/2001
Applicant PONIEWAZ, ROBERT F ISSUED BY:
Address: 444 ELMHURST LN _ � .�.,�� � ='-- " �"_ '- - - � � - _
, ' // � � � . Phone: (774) 757-8194 . _ � `�.
'�-%/� '
COSTA MESA; CA�' i.-�.� � � Zip: 92626 : � ���\�
���' " /� "� �.A
- %,�.�� ��� ` '� '' .� � � - ��
Owner: PONIEWAZ�, ROBERT F� � �. � � � �/; �i� ��,� �� � ���
� \
Address 444 ELMHURST LN � - — _ - � - �; -- ` � ' �' � � � ,, �
� ,,: % � , Phone: (714) 751 8194 , . `• � � '� ��,
. �
��CO&TA MESA, CA � - Zip: 92626 ; � ��� �� `-
.. .� � �:.�. " . � . . . � � .
Convactoc �QWNER-BUILDER �' � ' �� / � �
-Address: - - - ' � ' ��
. . � ' �i Phone: � � � �
Zip: � � � License:.: 0 . �; ,� � . . .
Amh :
Address:
`Zip:
'_ ,.
- ' . Phone: . -
: _
,. � ; License:
.
S
.:" REROOF EXISTWG SINGLE FAMILY RESIDENCE 8 A�
REPLACE SHEATHING AS NEEDED. INS7ALL 2-LAYERS OF 15# FELT
ASPHALT SHINGLES. ,
Eng: . ,
Address:� � �
.. .. �\ Phone: _
-- .- A,.. . � .
� � �`Lfcedee:
m�i
E�(20 SQ). �TEAR OFF EXISTING ROOFING & ,
& REROOF WITH 30 YEAR � �
� _ _ _ , __ �_ _ FEE SUMMARY."; �
��PlanCheck:� $0.00 � . . �� -
Permit: $83.25
SMIP Res: $0.50
SMIP Com; $0.00
Other , $0.00 :- - .. -. .
Inspection: �$0.00
_ .�,:....,
._ , _
Calc Valuation: " '
Claim Valuation: '"
�Sotal: . � $83.75 ` � -- -. . , ; • _ . .
SETBACKS , ��
MAIN STRUCTURE FronY . 0- 0�
ACCESSORY Front �,0-0
PARKING Existino: o
NOTES:
Rear 0- 0
��Rear 0-0
� Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
� � Proposed:� 0
$2,500.00
sz,soo.00
Right ��0-0 �
�
Right ; 0- 0 , �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and relatad
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO 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 applicable codes, and all
requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CAL�; (714) 7545626
241646 (8'00)
WORKERS' COMPENSATION DECLARATION:
I hereby eXirtn under penalry ai perjury one of the fallowing tleclarations:
❑ I have end wlll mflinteln e certiticate of consent to setl-Insure tor workers' compensation, es providetl tor Cy section 3700 of iha Labor Coda, for the Oertortnenca of the
wark for which Ihis pertnit is issued.
❑ I have end will mainlain workero' compensatlon insurance, es requiretl by section 3700 oF Ihe Labor Code, for ihe pertortnance of Ne woAc for which this pertnit Is issued.
My workers' compensation Insurance carrler end policy number are:
Carrier: Policy Numher:
(Thls seIXlon need nof be comp/eted i! the perm/f is ve/ued et one hundred ddlars ($100) or less.)
❑ I certity that in tha performance ot the work for which this pertnit Is issueq I shell not employ any person in any manner so es to Decome suDject to ihe workars'
compensation laws ot Califomia, and egree thet il I should become sublect to the workers' compensatlon provislons of Sedion 3700 of the Lebor Cotle, I shell forthwit�
comply with t�ese provlsions.
Applicant Signeture: Deta:
WARNIN�: FAILUiiE TO SECURE WORKERS' COMPENSAPON COVERAGE IS UNLAWFUL AND SHALL SUflIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
THWSrW D DOLLFRE (5100.0OO�.IN ADDRION TO THE COST OF COMPENSATION, DAMAGES NS PRWIDED FOR IN SEGTIXJ 3/060F THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I �ere6y ettirtn Ihat I em licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 0l the Business and Professlons Code, end my license is in full
farca end eflecl Uc. a Class A
Contrectofs Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aNirtn t�al there is a wnstruction lending agency for Ihe pertormance of Ihe work tor which this pertnit is issued. (Sac. 3097, Civil Code).
Lendefs Name: Lentlers Atltlress:
Slgneture: Date:
OWNER-BUILDER DECLARATIONS:
I haraby efllrtn Ihet untler penalry of perjury that I am EXEMPT FROM TF1E CONTRACTOpS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professlons
Code: Any ciry or counry which requires e pertnit to construct, elter, improve, tlemolish, or repair any sirucNre, pnor to its iuuance, also requires the epplicant br such pertnit
to file a signetl statemen� that he or she Is Iicensed pursuent to tha pro�risions ot the Comrectors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 of tha
Busin entl Profeuions Code) or thet he ar she is exempt theretrom and the basis tor the allegetl e:emption. Any violatian af Sectlon 7031.5 by any epplicant for e pertM1
subT ts Ihe eppliwm to e civil penalry ol not more Ihen live hundred dollars ($SOOJJ:
I,—es owner ot Ihe property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and the structure Is not intended or otteretl 1or sele (Sec.
�17044, Business anC Professions Code: The Coniractors License Law does not apply to an owner of Droperry who builds or improves ihareon, antl w�o does such work
himselt or herseli or Ihrough hls or her ov.•n employees, provided Ihat such improvements are not Intended or otlered for sale. If, however, ihe building or improvement is
sold within ona year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose oi sele.).
❑ I, es owner of the pro0erry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAGTORS to consimct the project (Sac. 7044, eusiness end Protessions
Code: The contractors License Lew does not appty to an owner of property who builds or Improves thereon, antl who contracts lor such project wit� e contwctor(s)
license DursuaN to tFjg Contractors Lic9ry5qLaws.).
❑ lem
by driver's
❑ No
Vedilcation of Ownership by (type oi documem, I.e. - properry tax blll ar deed):
DIVISION OF INDUSTRIAL SAFETV VERMIT CER7IFICA710N:
Code for this reason:
❑ I hereby ceriify Ihat no excavetion five (5) or mo�e feet in tlepih Into which e person Is required to descend, will be matle in cronnection with work authonzetl by ihis
permit, and that no building siructure, scattolding, falsework, or Cemolition or tlismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitornla Administretive Cotle).
❑ As ownerDuiltler, I will not amploy anyone to do work which would require a permit from the Division of Industriel Safery, as noted ebove, unleu such person has e
pertnit to do such work irom the tlivision.
Signawre: Date:
Division of IndusMal Sefery Pertnit Number.
CER71FlCA7E OF COMPUANCE AND AUfHORIZA710N OF ENTRV: I certity untler penalry of perjury that I have read this application and state ihat ihe infortnation givan is
correct. I egrae to compty wit ell state laws end city �11 ia as relating to builtling consWction, antl authonze representatives ot ihe City of Costa Mesa to anter upon Iha
ebove-descnbed prop�� i �A ' n p rp sQar ree not o occupy or allow occupancy ot eny building euthorizad by ihis permit unt' tinal ins� ction.
� ?-�f/(�-/-
—� SignaWre fLe s)�;.. ��D�ta� "
�~
AnNOr Authorized Applicant Data
COUE t. INSPEGfIONTYVE
7876 Fixed System Finel Fire Prevention
1288 Pool Spa Final
200 Flnel Re-Roof
201 FIneI BIocWRetelnlnp Wall
202 Final Fectory Fire Place
203
204
Final Sipn
Final Demolition
PLIE INiITIALS
/� �"'-'
COpE I INSPECTION TYPE
206 Final Mechanical
20B Final PlumDing
210 Final Eledncal
212 Final Flre Prevention
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
PdIE It�LS
�AVGlicant to fill in all s0aces exceo� tnose witnin heavY Dortler Ilnes anE sign all aporoo��ate Oeclarations.
� + ' PE IT NO. TRACT NO. . LOT NO; UNIT NU. � �'�'
� �`iTY O�Co§TA MESa CONSTRUCTION'PERMIT , � D � ; ,' 0254 1/ I 4/87 ; 41 .75 TL
� � ProlectAddreSs ���� �G/JIiV,CS�! .LNi � � a �'' '2' . '3� . � � �'...' . . ' • .
�- .App,IicanYSMailingA ress ! ' �M , TYPEOFCONSTRUCTION NEW� ADD ALTERATION REPAIR ' ' � '
�� � � ❑ CONVERSION ❑.DEMOLISH ❑ aTHER � ' A p # � � � Zp�a p
Owner's Na"m�e� �GE:CT f . o.Ji£wAfSone��/'�c3/1�?� '- . � ' . _ _ _. " ' - . — 3 %.�- � � . _ . _ � _ I� �
y7�CC/YJ/N{5i � DESCR�p7�pryp� WORyyJ,$ EO DG. .
Address ��%� � C-CJNC! �/:JF-O�' � 5 Main Building: I Accessory Building:
Arch/Eng. ' License �No. � , TVPE OF PERMIT GRADIN� , � T t�.�s �' � � ' � ' ' p
� ❑ FOUNDATION STRUCTURAL Front o,P/-,
� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' B � � ' ' N
Address � � Rear � .
Contracror'sName on -s.�%'0��� � OTHER ' C Right ' ' - - ' " ,L "N
Address (mailingl�sy� AlSf2.OEfN CNi �q(y�� ��� y� PROJECT DESCRIPTION Sc�. FT. � OCCUPAN-� s�— K ' - G
, � , - CONSTRUCTION TVPE � - ' VALUATION $ S Left On P �"'� -
CityLicenseNo. � - � , �ZONE - .GRADINGCU.YDS: ACRES ' I R
LICENSEO CONTRACTOR DECLARATION � Pl�g. R¢f. # . • ' Pa�kincJ R¢q./P�Ovided � E
1 hereby affirm l�at I am licensetl untle� provislons of CM1arter 9(commendng Remarks: • � � , � ' � . Planning Notes: ( p LO��,( (,p (�C.L � n
with �section ]000) ot Division 3 of tne Business antl P�ote55iOn5 Cotle, antl V % �M 6� P�, (:7p� nn
my lirense is in full torce antl eftecL 1 , . "� . ' - ' l.j � T
6.oN6 BETwEUa 4 4 cchr2 y�5o E�mµu,es7''� � s
License Clazs ' ' ' LicenSe No. , ,
Date� Siqnature - � � - PLUMBING . FEES 139A�.1.. reIQEEM�N '
WORKERS' COMPENSATION DECLARATION ' � ' - - - ' .
� hereby aftirm matl have a certificate ot consent to seli-insure or a certiflcate 8ar Sink � , . Showers _ � -' - EIECTRICAL . ' FEES '
Worke�s' Compensation InSuran[e, o� a certitietl copy.tnereof ($ection ' � r -, � - .
00; Lab. C.) � ' � . Backflow Preventer . Service Sink - Automatic Wasfier - Transformer '❑ 15-50 KW .
✓olicy No. � � Company � Backflow Irrigation � Sewer Ca ' ' ' - . ❑ 50+' KW
i P , � ConstiuctionPole5u6.
8 Certifietl copy is hereby furnishetl. � ' : �� - '
Cevtifi¢tl copy is filetl �with the clty Builtling Dlvlsion. 82thtub5� �. S¢w¢f COnOECtiOn COOkiOg Unit M¢t2r Dup [O 1002mp5
�ate � APplicant � -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � CI21ifi¢!5� " , � 5012� COIIEctOlS - � ' � � DlShwd5h2� � � � , M2tEG �Ov¢t 100�amp5 � � �
-(This sec[ion neetl not be completed if the pe�mit i � one huntlretl 0) o� - -
less). , Dishwasher , � - . � Solar Piping . ' ' , Dryers ❑Gas ❑Electric - , Sub Panel � •
1 certify that in tM1e pertormance of the wo�k r I M1 tbis per is i uetl, I � _ .. , , ., ,__
� shall mt employ any person in any mann s s o b subje m the � Drinking Fountains . � Solar Tank � � Fan � � Motors DO-1 HP �1 Yz - 8 �
� Workers' omp s i n 'aws of Califo . ' �� � . � ' .
Date -_�Si9nature Floor Dreins' � . Swimmin9 Pool w/SPa ' ' F.A.U. . . . � , _ . .
�_ NOTICE If, af r making thi5�tleclaratiOn, you.ShOUltl.b¢c me subj¢t the . InC $Old� �9-7$ HP 016-15+
Workers' Com ensation O�ovision5 of the l2bor Cotle, you mu5t forthwith PI00�$i�k5 ! ' ' U/i�21 - �
comply with such p�ovisions or Ihis; pe�mit SM1all be tleemetl revoketl. � ' � ' FixtufES MiG�owdv¢ •
CONSTRUCTION LENDING�AGENCV � � ' � ' � -
Gas Service • Outlets Water Goset Device Boxes Pole Li ht •
I hereCy affitm that fhere�is a mnstruction lendin9 agency for. the performance � � ,. 9 ' '
of the work �tar ,whicM1 tM1is pe�mi[ is issuetl (SeCtion 309J Civ. c.) ' Interw LO�S • � W3t2� H2d[¢f �, � � � �
Lentler's Name � - P Outlets Range - i
_Lentler's Aatlress_ �' � � Kitchen Sink_' _ . _ • Water Service: ' i_ . _ �Switches - ' �- - Sign ' - ' ' ' - ' -
OWNER BUILDER;�ECLARATION ' .
I he�eby afiirm that�l am exempt from the Gontracto�'s LicenSe Law�tor [he LavdtO/i25 � � AutO-WdSh � ' � '
Garba9e Disposal Standing Sections
foilowing reason (Section ]031,5 Business antl Professional Cotle: Any city or �
county which requires a permit to construct, alter; improve. tlemolisn or repair P—Trep ' � � Laundry Trays ' � Generator DO-5 KW �5-15 KW Trash-Com actor '
any structure, prior to its issuance, also�requires the applicant for such permit � P -
to tile a 5igne0 statement that he/she is licensetl pursuant [o the provisions of • ROO( D�OinS � ' � � - � �
the ConVactor's License Law (ChaO<er 9(commencing wi[h Section 7000) of ' ' e ' • • . -
� DiviSion 3� ofdhe Business�antl Pro(essions Cotle) or thaLhe/she is exempt -�-- . - • � -, - - - � . . � -
'tierefrom, antl roe basis for the allegetl'exemption. Any violatlon of Section , . . . , . �
'91.5 by any applicant tor a permit subjects the applicant to a civil - '
nalty of not more than,five huntlretl tlollars (y500). • � , � � ' , � ' • j
"'L�I, as' owne� of the' property o� my employee5 with wages as thel� sole ReIrI5p0ctiOn F¢e � $15 , � � ISSUe F¢e $ 3 '
compensation, will tlo the wo�k, antl the struc[u�e is not intentletl o� ofteretl ReinSpection Fe¢ '�$15 ' IsSU¢ Fee • � $ 3 �
, � for'sale (Section-7044,�Business antl Professional Cotle: The Contractor's , . � ' MECHANICAL� , ' FEES,
. license Ldw tloes not.applY to an owner of a properry wito builtls or improves `.
tnereon;.antl who tloes such work himself/nerself or through hii or ner own • � � DEV,ELOPMENTSERVICESRE UIREMENTS: . , ' � .
employees, providetl that such impravements are not intentled or ofteretl for � Boile� _ Hood or Type I ❑ � '�- .` � `1C�_g
sale: If, however,-the buildin9 or improvemenc is soltl within one year of coin- . , ` , Canopy Type I I ❑ 2oning Approved By Date ' �
i pletlon, the ownei will have the burtlen.of proving he/she tlitl not builtl or im- ' DUCt � Und¢f G�Ound � • BuildiOg AppMv¢d By ' Date �
� . p�ov¢ fot the pu�pose of sale). ; � � • , ' ' . i /
��'� I, as ownerbf the o�oPerty, am exclusively mntracting with licensea com � Duct - Structurai , Refrigeretion System' : • ' -. Applicatton luued By � r - Dat�
t�actors to constiuct the projett (Section �044, Bu5ine55 antl Professions Cotle: ' � j;
, The� Contractor's'License Caw does not apply to�an owner o� property.who Ouct - Ventilating � ' , " 04100,000 BT.0 ❑100,000 BTU ' � '�� SUMMARY OF•FEES � �� -
• builtls;or improves Ihereon, antl who conVacts.for such prOjects with a�con- � -� �% - ' � � ���+__ . _
tracmr(s) iicense pursuant m the ConVactor's License Law). I•,am are,thaC - ' • - " ' • � ' , BUILDING PERMIT $ � � SMIP � $ " ' �.Sa =
! proof of their' WorkeCS,Compensation insuran[e.5houltl be pr tl tl ro me: EXhduSt SyStem.� Multipl¢ �, SyStem Repdif/Alt¢fatiOn _ � - _ ,,
� - PLAN�CHECK $✓ 2 +�. PERMIT�
� L7 I am exempi un0er Section � �B. & P . toi his'reason' ' Firepl/Fact BIt.iCBO # � - Fire Dainpers � � � ' PLUMBING � . . $ � - ISSUANCE ' �$ �
� Date' /-� Owner Heating System & Ducting� : . ' Fegisters� ' ' ' � pLAN�CHECK `,25%- $' ENERG�' P.C., $
- 1 hereby certity that'1' have reatl this a tion antl state tha abo've_� - ❑0-100,OOOBTU �100,OOOBT � - ' '� ' �' GRADING $-
� iniormation is wrrecL' 1 gree to com wit all city antl�count" rtlinances-, � -- - -• ELECTRICAL $� _ �
and state laws.relatin bwlEip struc on, antl hereby authori repre- . . . . , . , � ' - � MICROPILM $ � -
sentabves bf this, e t �. • t a ve-mentioned -pro erty or - ' ' �, - � = . - PLAN CHECK ,-50%' $; . /�
; inspectlon purpo " ' ' ' � MECHANICAL. • $ - TOTAL FEE $ '7'/.7.�'
Signature __� � Date � 8 %_ , . . -' • i i � �L ' . • . , . -r � , � � , � � _
=Dri'vers°l.icense or 55 �� 7 ' Fee �$15 .' Issue Fea �$ 3�� PLAN�CHECK 25% $ ' .
' _ ' _ ' ' _ . _ ' ' ' ' ' ' . . — . 1 � _' � _ ' _ ' _ . _ _ . '
� Cfv1F�08fi5-46,�rev. 10%04 � Whit'e -�Builtling: Canary - Applicanh Pink - Accounting; Goltlenrotl - Assessor �
CONSTRUCTION AND PLANNING � POOL & SPA .
�APPROVALS Permit# � Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.� 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement J� 56. Rough Plumbing & Pressure Test -
6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Footings ' - . /� 58. Electrical Conduit-Undrgrnd.
8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test , ' �
9. Water Pipe-Undrgrnd. , . . 60. Backwash �Lines, P-Trap, � Undrgrnd.
� 10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
72. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains �� . 64. Plumbing System - Final
14. Rough Plumbing � � 65. Electrical-Final �
15. Rough Electrical-Conduit • s 66. Solar System-Final .
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
18. Rough Electrical-T 8ar Ceiling ' � 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. RoughFactory�Fireplace � APPROVALS � Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating: . 71. Product Piping O�Gas ❑ Oil
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 (Structural) & Monocoat 75. Dry Chemical �
27.�'Frame and Flashing ' - 76. Dry Standpipe
28.i 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. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33. Final Electric � Notes:. . �
34. Final Heating & Air Conditioning ' ..
• 35. Final Gas Pipe-Test � ; �
36. Hood or Canopy
� 37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final . � .
40. Gas Service-Final � - , . ,
41. Solar pomestic-Final • • � ,
42. Backflow Preventer . ' - �
�
.43. Backflow Irrigation . � � , .
. �44. Landscape Irrigation System
� 45. Sound Attenuation � . �
46. Handicap Regulations ' ,
�.
47.'FINALSTRUCTU.RE&BUILDING . � l,%' � ' � '
�48. •Special �Requirements Completed � _ �
49. Electrie Release to Edison � .
50. Gas Release to Southern California Gas Co .
' 51. CERTIFICATE OF OCCUPANCY - �
�� - �
No. � Date ' . �
I
I
Cement Copi�g Optional —�
Channel8lock With 1•3/8�
Horixontal Top of all
Fences
Fot Fences 5' or Leu
Vert. Bars 3/8"� at 4' -0" O.C.
For Fences Higher Than 5'
Ven. Bars 3l8"¢ at 32" O.C. �
Fill Cells Solid With Grout
W here Steel Occurs
Reinforcin9 Steel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code �
NATURALGRADE
TWO 3/B"'$ eARS
CONTINUOUSTOP
& BOTTOM
HORI2.STEEI MUST BE TIED IN
PLACE AT TIME OP TRENCH
INSPECTION,
T Y PI CAL 6�� CONCRETE BLOCK FENCE
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p SEE CHl
9 BELOW
D' I 'Q.
FOOTING REQUIREMENTS CHART"�
;
GENERAL- NOTES
MORTAR; p�e Part Plastic Cement, and
Three Parts Sand
GROUT; One Part Cement Three and
One Holf Poris �and
COPING: One Part Cement, Three
Parts Sand
CONCRETE: We1i Mixed C2-I/2:3-I/2
� Mdz;of'7-I/2 Gall�ns of
Wdter Per Satk of Cement_
, r . . ,
GROUT MAV BE POURED FROM THE TOP ''' �
OF 7HE FENCE IN CELLS WHERE STEEL
iOCCURS. . � '
CELLS AND AREAS OF HORIZONTAL REIN-� '.
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAfl DEBHIS, ETC: ��
. .. .o; . .��,� ;; �
H OP EARTN3COTH
I/3 TNE HEIGTH OF PENCE
�OW �BOTTOM OF FOOTING
SCALE: I/2�� = i'
WID7H �4" . . . . . U4" . � 12"."
—.^.�
. ... ...:..:.. .
THICKNESS . . . . . . . 10��. . . . . . . . . . . .10'� . . . . . . . .' . . 6'�. �. . . . 8"
DEP7H OF EARTHTOOTH . . . 24'� . . . . . 20�� . �6��. . . . . . f2��
SPACING OF EARTHTOOTH. . 12' 14� . . . . . . . . 16' . . . . . . . . . . 16�
OWNERS NAME: _ _ _ _ _ _ __ _ _, _ _ _ _ _
Cit of Costa Mesa California ��B ADDRESS , _ _ _ _ _ _ _ _, _ __ _ ^ _
Y i PERMIT NUMBER'_ _ _ _ , _ — _ _ _ _, _ � �
Building Department SIGNA7URE _ _ _ _ _ _ _ ^ _ _ _ _ _
,. �::., �,..-, _�.�_, _,._ R.Ev15EEn �-lov. az
K��`�
CAUiION �-
ELECTRICAa LINE CLEARANCE REQUIREMENTS
IN ACCORDANCE WITH STATE SAFETY REGULATIONS, IF
CONSTRUCTtON REQUiRES WORKERS, EQUIPMENT, CRANES
OR !'c;;�tr;;di; CEVICES TO BE IN PROkIMITY OF.OVERHEAD
ELFC'R!rNL LINES, OR UNDERGROUND ELECTRIC
FAC�Li?f�S, GALL SOUTF;[RN CALIfORNIA EDISON COMPANY
IMMEDIATELY (714) 95-0�44
�'f' S�P I "I �J �
APPROVED
City of Costa Mesa Building Dept.
'� {>,-o�alT � DATE ` 19_
T1 E L-4 P� '��..,�^1 }�B AT ALL TIMES MAKE
�p � yC,�4�i'PR(OR APPROVAL CF DEPT.
T4i;155UF�'::=G: G�.SP��lid30f APERMIi OR APPRO�ALOF
?� A.�:G AND $FEC7; iGA^�)n'b Srta{� pl0? Ge CONSTFUF.D TO BE A
PENMi: F;?p� po c;.i ncy.^ ,v;:i, OF, ANv \'IOI4rION OF ANV OF
tHE PFOv�5i0.!±i,�: ;rh%i C::�^r. h:0 �'C'MIT FF,ESUMIMC TO GNE
pi/?l�ORIN 10 `:";:'!t,t :.`i: (:4P+�i:'. iNc �'v`�ISIONS OF THIS
CO� SHt.U. i.:±•;::: i'. c" :Cre� R•: SC P.4R Ai. �R° Wi�9K OR USE
:YHICH R A::7-I::P.:_ES i5 1.A:rrJi..
ihlE i55l�AIdCE OF A 7F.iMli G.$`^ 0?qN n�q�$ AND
c�,;�iplCPl'IvNS SHC.IL NCT P£c/gn:t ?�+C ."•�1Cb�r�- OFFICIAL
F@QM THERE.:'rTER rvEC�U!J��G 1HE CG'.�nLCiiC�N Oi EkRORSIN
$AIG P'.ANS ANU SPECIFICATI�J�:i: 07, fROi�1 FHEVENTING
N vlrli� TION�OF T�HIiSCODE GR OiIANtOO�HER ORDINnNCE OF
1'iE CITY.
R[DID[NCf
�
IIp10[NC!
STREET A
�.�rn ffu 25T
APPROVED � �- ��
City of ta Mesa Buildin Dept.
BY DATE� �� 19_(
THESE PLANS P�:UST 6E CN JOB AT ALL �TIMES MAKE
NO CHa.hGES bVi?HOUT FRIOR APPRC`JAL OF DEPT.
TNE� IS$UApiC;i ::�? Gf:Ari::P:G� OF r: PF,RMIT pR APPRO`/Al OF
PIAN:• AtiD SYEi:!F�;�1GI:i�15 S4.`.! 1 NOT uc rONi.TRUED TO BE A
PFfMIT F�;�.P, tr: F:V AVPnnJai :1i�, fd:Y V!pLATION OF ANY OF
THE CR'C��!5!v�:� C•; 'i!'!. CO;:e. t;C P:RI•V! FRESUaVNG TO GIVE
AUiHORITV iC� V:G'.".?c QR .".AtJ'F,� rHE Pi:OV�510NS OF TMIS
COCE SH.1:L fc Yptl:i, .);CFf•1 IN 50 FAR AS 1HC WOftK OR USE
WNICH fT AlililCnS.�3 f3 L,1W.7U1. ' .
THE 155U::NCE �F A PERMIT BASrp UPON PL4N; ,.ND
ECIFICATIONS SHALL NO' PREVENT THE BWIDIpiG CfFlGAI
DM 7HENEAFTcR REOUIRING THE CORRECTION CF ERRORS IN '
�U PLANS AND S?ECffICATIONS OR FROM PFEVENTING
ILDING OPERAilONS BEING CARRIED ON 7HEREUNDER WHEN
b'IOLATION OF THIS CODE OR OF ANY O7HER ORDINANCE OF
e aTr.
R[!IDlMC[
ei
F
W
ti
N
. p � ...� �.e-cm.�
f�"� . m m . s ;
SZYITE �' CALIFOIB�IIA )
) ss.
O�UN1Y OF ORAN(� ) �
� On a�'7 before me, the imdeYsigned, a Notazy Public in
and for the C y�ty of Orange, State of Califumia, personally appeared.
�
lmown to me to be the person(s) whose name(s) is subscribed'tn the within
instnvnent arr3 acJmowledged to me that (he/she/they) executed the s�ne.
mv harc7 and
STATE CF CALIF013�17A )
) ss.
OOUNZY'�' ORANGE )
seal.
(SEAL)
� - OFFICIAL SEAL
MARTHA MARTINEZ
��.r Z :'�� �rY.,,o NOTARYPUBLIGCALIFORNIA
t�� LOS ANGELES COUNTY
My Commissian Expires Feb. 5, 1988
On � , before me, the tmdersigned, a Notatiy
Public in and for the Coimty of Orange, State of California, personally appeared
_�r�bP.�,-r r. �onk-eu�aX� ,
Imown tn me tn be the person(s) whose name(s) is s�bscribed tn the within
iristrunent and acknowledged tA me that (he/she/they) executed the s�ne.
WI'1NF5$ my hand arr] official seal.
( S lc�]a tIICE )
1 �� � � ��'.SP'� �'� l �
Name (typed or printed)
(SEAL)
��$�•'
OFF�CIAL SEA
�^�.;; ARTH TINEZ
���... ��-
rP NOT � UBLIGCALIfORNIA
�.4° OS AN _ COUMTY
My Commissian EzDir>_s 988
`' .°%�^': ..., OFFICIAL SEAL
`` ; CYNTHIA GELDRICH
a� u^ NOTA;i'( GURIIC - CALIFORNIA
' ` � � o PRINCIPAL UFFlCE IN
F ��- '�� ORkNf,[COUNTV
`�.�,o;° M11Y Commission Exp. Dec. ll, 1981
/• ' !1' ? �7!
2HIS AC�2EEMEN'P, made ard entered intn this
�� ,-�-, by ard between
hereinafter referred bo as "LAND RddER", and
hereinafter seferred to as "AATACFNP PROPEIrIY QdNER".
It is hereby agreed that a party rrall
property line beh,reen
day of
be constructed on the
in the City of Costa Mesa, Coimty of Orange, State of California, as per map
recorcied in Book , Page of Miscellaneous Maps, in the office of the
Coim ty Recorder of said Coimty. The party wall shall be permitted tn encroach
IN WIZNESS YdiQ2EOF, the parties ha�,e entered intn this Agreement the
day arcl year first atwve written.
IAND Q�7NER
/�J/�' r � � �
L"( '�-c�l/ �'/�e� /G•IL' .l�
(Signatu'
i
A��h��e LT � � /�P� �- �� ��
Name ('ij�ped or Print� ) • .
�15� �im�ia,ri��� � o� (,�.1�'1e�
(Address) n � '
�
��r�- �
. � � �. .� •
or
L!�{5l r� v�l/f c�,C 5% �. �
(Address)
C os �� �/���s� C,q�,,�
(NpTE: Please see reverse side for notary's statement)
. , Costa Mesa Bnilding Department
, — `" 111 EAST 20th STREET
�COSTA MESA� CALIFORNIA
FOR APPLICANT TO FII.� IN
Bullding
Addresa 444 lmhurst Lane
Costa Mesa, California
owner College P&Tk Co.
Mafl
wddress 2116 S. Main St .
Pddress
City Lic.
ractor Herbor Con5t.COrw. 376
Address qBmP.
Legal Lot - I
Description I No. ',jfi Block � Tract 2
(Attach Metesand Bounds)
No. of Bldgs.
Size of Lot 64 % 115 Now on Lot
Useof No.of No.of
Existing Bidg. F,amilfes Rooms
Setback Lfne from Rear Yard 9
CenterofStreet 5� SideYard —5
DESCILIPTION OF WORH
New I 7� I Alteretion I I Addition I
Repair I I Moving I I Demolish I
Builtling No.of
Size 1524 Rooms stories
�rior Wall � Roof
ring Covering
� _,: of New .
APPLICATION FOR PERMIT
BUiLDiNG '
FOR OFFICE USE ONLY ; I
' -I ReceiptNo. e�f��
.�
O�
`�X�_ I //!'�/�el S�/
Building . • . , ,
Address
Costa Mesa, California
Plans I W
CORRECTIONS
'v-v i,;..-+ yp
Z
D
'.R�TA I�dj��N r
APPROVALS
in Location I Inspectar I Date
Materials,
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply � Lath. I nt.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Signatureat xa or Construction Co.
Permittee Plaster, InL
Authorized Plaster, E�ct
Valu,ation Permit Fee $ 3)�� Masonry Reinforced
Plan Check $ ( � ' Bond Beam
S 12 � 400, Total ,l�/, /�'�
Fee $ / J FINAL
FORbI 204 S-BP 2bI 6-55
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; PLOT PLAN . . . - . -: ';- .-. - ; . . - - -
i 8how locatlon and distances from � . ,. � , _ � -
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