HomeMy WebLinkAbout1033 DAMASCUS CIR - Building PermitsCITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 - (714) 754-5273 - Fax (714) 754-4856 • www.cLcosta-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754.5626
PERMIT NUMBER: BC09-00006
PERMIT TYPE: B_COMBO
STATUS: ISSUED
Sub Type: RES_ALT
DATE ISSUED: 01/08/2009
ISSUED BY: RMD
JOB ADDRESS: 1033 DAMASCUS CI CM - Suite/Unit:
APN: 41237141
.. Zoning:R1, -
Vicinity: INTERIORPrimary�Occ:
R'3
Const Type: V -B SQ.
FT . -0 - ::. Valuation: $8,000.00
SCOPE OF WORK: INTERIOR ALTERATION TO A SFD. CONVERT AN (E) CLOSET INTO MASTER BATHROOM AND RELOCATE
CLOSET. 1 WASH BASIN„ 1 WATER CLOSET,
2 NEW LIGHT FIXTS, 1 OUTLET, 1 SWITCH. NO ADDED SQUARE FOOTAGE, ALL
WORK INTERIOR. REQUIREMENT -FOR 'DETAILED PLANS EXEMPT PER CODE SECTION'.106:1.
WNER: ERTZ, JULIAN'S •
Address' 1033 DAMASCUS CIR _ . ,. Unit:
Phone:
-City /State/Zip: COSTA MESA, CA
.:
APPLICANT[ MORAD, OSHRAT
Address: - - Unit:
Phone: 818-519-7706.
•City/Slate/zZip: - '-
CONTRACTOR: DIVINE DEVELOPERS INC
License No. 884148,
Phone: (800) 985-5518
Address: 4872 TOPANGA CANYON BLVD #355Unit:
Cell: -
-. _ City/State: - WOODLAND HILLS, CA - ZipCode 91364 .
ARCHITECT:
License No. r - - ' PHONE:.
ENGINEER: -
License No. PHONE:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
$99.61 '
Building Fees:
$153.25
Electrical Fees:
$27.90
Mechanical Fees:
$0.00
Plumbing Fees:.r,;.$43.10
SMIPResidential:
`$0:80''.
SMIP Commercial:
$0.00
Bldg Std Admin Fund
$1'.00
TOTAL FEES:
$324.66
"Refer to fee receipts for all fees paid for project
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, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with aft applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will.result in the expiration of this permit.
ieDE i. INSPECTION TYPE DAF INIMAL CODEI INSPECTION TYPE DATE INTITIAL
1016 Fixed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under pegalty of perjury one of the following declarations'.
[I I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
[] I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number
Camey.
(_(This, iecfbn nee0 rrolIb-e— W�m�pletetl tithe pennh is valuee of one huntlied Dollars (Sr00) orlessJ
Pt` Number: �J SLS I
[] I certify that in the performance of the work for which this permit is
issued, I shall not employ any person In any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, I ha comply with these provisIons. _ t O
l/ Appgr2m's'Sig relure t ` Dale
r� -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
r�
_ gN[ectpfs Signature
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code),
Lender's Name'.
Lender's Address:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penally of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the 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 the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractors) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Owner ID verified by drive. ..,tense. ❑ Yes ❑ No
1Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature Dale
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications far non-residential building permits).
5. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. 1f a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
S. (If 'yes", attach certificate of compliance from the appropriate air pollution
control officer).
"CERTIFICATE OF COMPLIANCE: I certify that under penalty'of'perjury the
information given above is correct. I agree to comply with all state laws and
.city ordinances regarding Hazardous Materials and Emissions. - ,
Signature
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final Inspection.
C^ Si azure of Legal Omer(s) at
Signature Date If
0057-46(3107) _
� 'Autmohzetl'Applicanl
kirctEA/
_ �IrJING �OOk H�i1L� C,COA
- - LiVwG 9-oO4,�, _
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
-BYDO i D`
This set of plans and specifications MUST be kept on 1this job at ahl times and d w tadaw4ld b
make any changes of alterations on same without writtengeerrmi.ssion from the Divjs'g
and Safety. city nl fasd Mesa. rTt /9(/� - !. /, ion of BmT6rJ
The slam;„f a, ;; „ r„„„a;;d speat,aroc s 5 L NUO_T a held b permit ort an apprprd
of the woi,, ,n„,rny Wf”-Ons of any City of Costa Mesa Ordinance and/or State haw.
-- - — - - -These plans and permit shalt expire by limitacon and become nus and void it the building or
work is rpt otrmlenped and makdained active per CBC Sec. 105.5 within 180 days of issuanoa,
- - - - -
' ZXZC�� ! SLrO n1G LJCOR E i i '• i
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DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA
AP ROVED
7w set of puns an specit canonsMbST be kepLis b al ah ti m aild it iS
mdse am, rnanoes o weua ns on VAI/W �iIteenf�permiss on horn the ��1YuI��^�.^.� of
a10Safelwy.Lay of uW Mesa y�i N �-�alm -
111e not his Ian ands cd cat ALL N0 be beam
y provlsions at any City of Costa Mesa Ordinance anya.Stab'
fiese Dans and MW s!>ap expire by Imitation and become null and vdid d the
��ET - �pkemtcomm�toedaMmae�eda'MperC8CSec.105.5wftIg0daysdi
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PE ---T NO. TRACT NO. LOT NO. UNIT Nn
Project Address 1033 DAMASCUS
Applicant's Mailing Address 5142- AAT.M 11104
Owner's Name ASZTTERBAUM Phone 546-5516
Address 1033 DAMASCUS
Arch/Eng. License No.
Address p
Contractor's NameAMERICAN HOME SERVICES Phan 91-1280
Address (mailing) 5142 BrOLSA 11104
I
City License No. _--- / -
LICENSED CONTRACTOR DECLARATION
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force slid effect.n
`{7 I Date 4/IU/OJ Signature
(� WORKERS' COMPENSATION DECLARATI
hereby affirm that I have a certificate of co t to Self -insure or a certificate
Workers' Compensa on Insurance, or a certified copy thereof (Section
J800, Lab. /�/1 Busfi. I,eNOn[I
Polity No. v pany
Certified copy is hereby
furniss
lfOIs filed ty B "9 •D ""
sycsDte4Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred ($100) or
less).
certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California.
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such. provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Cade: Anycity or
county which requires a permit to construct, alter, improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
7nysion 3 of the Business and Professions Code) or that he/she is exempt
ierefrom and the basis for the alleged exemption. Any violation of Section
.031.5 by any applicant for a permit subjects the applicant to a civil
malty of not more than five hundred dollars ($500).
LJ 1, as owner of the property or my employees with wages as their Sole
compensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im
-
rova afor the purpose of sale).
L as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a Con-
tractor( pursuant to the Contractor's License Law). 1 am aware that
proof o1 their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section B. & P. C. for this reason
Date
Owner
that I have read this application and state that the above
rect. I agree.to comply with all city and county ordinances
ating to buildi9p construction, and hereby authorize repre-
Cily to enter/ upon the above-mentioned property for
TYPE OF CONSTRUCTION LI NEW LJ ADD A4ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
$ 3
A.P. # Zone
S
Main Building: Accessory Building:
TYPE OF PERMIT LJ GRADING FOUNDATION ❑ STRUCTURAL
❑ TENANT ❑ ELECTRICAL 19 PLUMBING ❑ MECHANICAL
❑ OTHER
T
Front
B
A
Rear
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION$
ZONE GRADING CU.YDS. ACRES
C
Right
g
Left
Ping. Ref. # P r ' eq./Provided
Remarks:
Planning Notes: �^r111�n
IN chan gout
—fit
PLUMBING
FEES
SUMMARY
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $
PLAN CHECK 25%. $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
DFlTL!
Bar Sink Showers
System Repair/Alteration
ELECTRICAL FEES
Backflow Preventer Service Sink
Fire Dampers
Automatic Washer Transformer ❑ 15-50 KW -
Construction Pole Sub. ❑ 50+ KW
Backflow Irrigation Sewer Cap
Registers
Bathtubs Sewer Connection
Cooking Unit Meter ❑up to 100 amps
Clarifiers Solar Collectors
Dishwasher Meter ❑over 100 amps
1 DishwasherSolar Piping
Dryers ❑Gas ❑Electric Sub Panel
Drinking Fountains Solar Tank
I
Fan Motors 00.1 HP 01 h- 8
Floor Drains Swimming Pool w/Spa
F.A.U. Inc. Solar 1:19.15 HP 1:116.1 S+
Floor Sinks Urinal
Fixtures Microwave
Gas Service Outlets Water Closet
Device Boxes Pole Light
Interceptors Water Heater
Outlets Range
Kitchen Sink Water Service
Switches Sign
Lavatories Auto -Wash
Garbage Disposal Standing Sections
P—Trap Laundry Trays
Generator ❑0-5 KW ❑5-15 KW Trash Compactor
Roof Drains
Reinspection Fee I $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Bit. IC80 #
Heating System & Ducting
❑0-100,000 BTU 0100,000
inspectlo p p
Signature—- te 4�10�89
Drivers' License or 5 Reinspection Fee $15
CMF 0865-46, rev. 10/84 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Z
O
N
I
N
G
R
E
Q
M
T
S
Issue Fee
$ 3
Reinspection Fee
$15
Issue Fee
$ 3
1ANICAL
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Application Issued By.
Date
Data
Dat
Hood or Type ❑
Canopy Type 11 ❑
Refrigeration System
00-100,000 BTU ❑100,000 BTU
SUMMARY
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $
PLAN CHECK 25%. $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
DFlTL!
OF FEES
SMIP $
PERMIT
ISSUANCE $
ENERGY P.C. $
GRADING $
MICROFILM $
TOTALFEE $fI�
G6'1WZ? TI9.: 15:G�
System Repair/Alteration
Fire Dampers
Registers
'
Issue Fee
$ 3
CONSTRUCTION AND PLANNING
-
APPROVALS Permit #
Date
Inspector
POOL & SPA.
APPROVALS Permit#
Date
Inspector
1. Temporary Electrical Se7"vice 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
I
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNI`.EE
7. Footings
58. Electrical Conduit-Undrgrnd. ••__
8. Foundation
59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, O Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -F inalti'
12. Sewer Cap
63. Heater & Vent -Final ;^`=
13. Roof Drains
64. Plumbing System - Final <e•(
14. Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
16, Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit# -
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping O Gas O Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing
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 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
-7/by
LAW
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
43; Backflow Irrigation
44. - Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE&BUILDING
48 -Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to:Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1 0 3 3, DAMASCUS CI UNIT:
OWNERS NAME: ASZTERBAUM MARTIN TR
ADDRESS: 1033 DAMASCUS CIR
COSTA MESA,CA 92626
ARCHIENGINEER: (714)546-5516 REG.NO.:
ADDRESS: UNIT:
PERMITTEE' IRVINE WEST HEATING & AIR (714)921-0800
ADDRESS: 638 SOUTHERN
ORANGE CA 92665
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 fcommencing with Section
7000) of Division 3 of the Business and Professions Cotle, and my fit r Is in full forte and effect.
CITY LIC.: 5 729 STATE LID.: 345284 ftd.ASG C-20
bate: ��� Signature: �' � �
WOflKE COMPENSATION DECLARATION:hereby affirm That have certificate of consent to self -insure or a cenilicaie of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C).
POLICY NO.: WCP1 2760-9 1 EXP. DATE: 07/ 1/92
COMPANY: CITATION
El Certified copyishereby burnished. 1� Certified copy is filed with the ci 'n 'ion.
47 t7 Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less).
1 certily that in the performance of the work tot which this permit is issued, I shall not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: It, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097, Civ. Cl.
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt tram the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that helshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
h as owner of the property or my employees with wages as their sale compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a progeny who builds or improves thereon, and who does such work himselftherself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving helshe did not build or improve
for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7D44, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a cantrattor(s) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
Dale: Owner
I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533 ,
antl
25534 and that I or any future building occupant wilt will not (circle one) need to comply with said state codes and the requirements for a
permit lot construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant
I hereby certify that I have read this application and state that the above
ordinances and state laws relating to building construction and hereby a IIn
property for inspection purposes(.�— \
—Bale:/r"` Signature.
Driver's License or Social Security
I agree to comply win all city and county
this city to enter upon the above mentioned
164646 White—Building, Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenroet—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 05658
PERMIT NO: M 056586 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH
JOB DESCRIPTION : INSTALL ONE A/C UNIT & ONE FURNACE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REgUIRED IN THE HOME
�E*�H�r�r�E�r�rarit�r�H��t*�E*�E�r�ear�Eir�tit�t�E�r�t�t�r�r�E�H*Rr�H*Rr**��t�H*�t�t+t*�t+t
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------
MAIN BUILDING
----------
---------
ACCESSORY
BUILDING---------
FRNT: FT
IN REAR:
FT IN
FRNT:
FT IN
REAR: FT IN
LEFT: FT
IN RGHT:
FT IN
LEFT:
FT IN
RGHT: FT IN
PARKING REQ:
PROV:
PARCEL:
41237141
ZNE:
REF NO:
PLANNING NOTES>
>
**kit iF 9f iFiE et iF*iE
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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
ZONING APPROVED BY DATE:
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY: ` DATE: 3`——
iP 9f if BE JE 3f BE JF iE 9H * iE Jf iE * 9:1t if * * 9E 9F iN iE 9F * 9E iL• ik ie BF iFiF'iE"iF"iF'iFiF'iFiF"{F�if 9e
k if 9E * iE iE * iH iE * iE 3t it * * if * 9F * M 9E iF 9E iE iE k iE 9t 9t k ie 9t 9t iP iE 9E 9H 9f 9F iF iE 3E iE * * * * 9EiF iH Jt iE iH iE iE4P ie9E 9E JF iF 9e iE RE 9e 9t Nt if.{E 9E * * iP 9f iE 9t 9F 9E Rt
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18,00
25k SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 18,00 15.00 0,00 33.00 33,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
k9l9t iE*k4HiF iF**9F*iE**9aiE**9FiE**iH*iE*JP 3t**Jt BP iF%kJe iF iEk*9ekiF 9t 9E RE ie iE IF Ne JF*9F*3F 9E*NE k9e iE iP iE Bf iP iF iF iF BE 9E 9E 9Ek iE*9F 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
MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00
MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9,00 9.00
END OF FEES
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POO a SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Polr;.
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd..
53. Steel Reinforcement
3.`Electrical ConduitAility-0ndrgmd.. '
54. Forms
4. Electrical ConduiPUndrgrnd.
k
55. Electrical Bonding
•-.5, Steel F(inforcer)4&
56. Rough Plumbing & Pressure Test
,`t:6 Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7.. Footings rj
58. Electrical Conduit-Undrgrnd.
B.,Foundation
59. Gas Pipe, 0 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
12. Sewer Cap ;t _
-
63. Heater & Vent -Final
13. Roof Drains z
64. Plumbing System - Final
14. Rough Plumbing -
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
'
18. Rough Electric4L-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
U.
;APPR5VALS`,•_-Permit# '• `l'•
^!U.
20.Rough Factor Fireplace [
�t r �.r
a _
_
r
y
21. 'Ducts, in-Strugtuie • - -
. ,.
.70. Undergrotlad. Hydro
22. Ducts, Ventilating_
_71. Product`.Piping QGas ODil
23. Gas Pipe -Rough & Test
- r
-
72. Underground Flush
24.. Root Framing r
-
.73._1Jndergrnct: Storag,ETank Q Gas ❑ Oil'
25. Roof,Sheathing+•�74.
Overhead Hydro,.
26. T -Bar Ceiling (Structural) & Monocoat_'
75. Dry Chemiyal ' - r
27. Frame and Flashi ' S
q0.
"
- c
76. Dry Standpipe - �• '
28.'Lathng.&Siding* - .4' {
'
77.- FIXED SYSTEM"FgNALy _
29. Insulation
78: `FIRE PREV. FINAL '
•30. Drywall Nailing +
,
HEALTH DEPT: REQUIREMENT
•-31. Plaster B�own-Coaf,
,79: FINAL INSRECTIQN
-32..ElectricaLPovsr M_etef:Final,
_ '-'-
'80..'FOOD CERTIFICATE ISSUEDVI
I
33. Fin4 Electric.'N
r �-
oies: -'
34. Finaf Heating-& A rsConditionirIg-.
^
3 �7
ti ` i
35. Final Gas Pipe -Test n
- r
:L, - S • `--
r
,36. Hood or Canopy d, , •-3
r
37. Final Faqtory Firripjace
a
s 'L
-38. Final; Plumbing , _
I
- _• r.
.39. Water SOvice-Final'
I
_
- -•' ° '- -
o'
'A0. Gas Servile -Final
41. Solar Domestic,Final
4 •n
42. Backflow Preventer
43. Backflow Irrigation
; „
- - °•
A4. Landscape Irrigation System,
-c.:• ,t
.45. Sound Attenuation
�16.`Handicaq Regulations
:r t
47. FINAL STRUCTURE & BUILDING
t
48. FINAL PLANNING .. .
_ t •z
-49. Electric Release to Edison
t
�• Y
r
'50. Gas Release to Southern California Gas Co
f ,
51. CERTIFICATE OF.000UPANCY
No. Date
-
PROJECT ADDRESS: 1033 DAMASCUS CI
OWNER'S NAME: ASZTERBAUM MARTIN TR
ADDRESS: 1033 DAMASCUS CIR
COSTA MESA,CA 92626
ARCXIENGINEER: (714)546-5516
ADDRESS:
REG.ki
UNIT:
PERMITTEE' IRVINE WEST HEATING 6 AIR (714)921-0800
ADGREss. 638 SOUTHERN
ORANGE CA 92665
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am II sed under provisions of Chapter 9 (commencing with Section
7000) of Oivision 3 of the Business and Professions Code. antl m nse is in full force and
effect.
CITY LIG.: 55729 STATE LIC.:345284 CLASS: C-20
Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. Lab. Q.
POLICYNO.: WCP12760-91 EXP.DATE: 07/01/92
COMPANY: CITATION
❑ Certified copy is hereby furnished. (j( Certified copy is filed with the t Building Division.
Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less).
I codify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If, after making Mis declaration, you should became subject to the Workers' Compensation provisions of the Labor
Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097. Chi. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt tram the Contractors' Stale License Law for the following reason
(Secured 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to Its issuance, also requires the applicant for such permit to fee a signed slatemem that he/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a pernut sublecls the applicant to a civil penalty of not more than five hundred dollars (5500).
I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the
❑ structure is 0ot lnlanded or offered for sale (Section 7044, Business and Professional Code: The Contractors' Slate License Law
does not apply to an owner of a property, who builds or improves thereon, and who does such work himself/herself or through
his or her own employees. provided that such improvements are not intended or offered for sale. IL however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044. Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of probe rty who builds or improves thereon
and who contracts lot Such projects with a contractors) license pursuant to the Contractors' Slate License Law). I am aware
that proof of their Workers Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
lar this reason:
Date: _ Owner
I do hereby codify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant wiNvdll not (circle one) need to comply with said stale codes and the requirements for a
permit for construction or modification Irom the Air Ouality Management District. Residential construction applications are exempt from
these provisions.
Date. Applicant:
I hereby certify that I have read this application and state Ih 1 above information is correct. I agree to comply with all city and county
ordinances and state laws relating to building constructbn and r by pane lepmsentailVes of this city to enter upon the above-mentioned
proerty lot inspection purposes. /
<11-L—_3: /l J— Signaturt:
Driver's License or Social Security Y:
1641 46 White—Buildino: Groep—Code Enforcement: Canary—AePllaant: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05658
PERMIT NO: E 056585 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE: OTH
JOB DESCRIPTION ; INSTALL ONE A/C UNIT 6 ONE FURNACE SQ FT:
CLAIM VALUE; CALL—VALUE: GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL; 41237141 ZNE: REF NO:
PLANNING N TES>
kMMMkMMMMBFkkkkkMMkkMkkkkkMMMkkkkkkMMkkkkMMMMilk kkkMMkkkMMkMkkMMkkkMMkBE BEkMMkMkkkM
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
ZONING APPROVED BY
BUILDING APPROVED BY ; '
APPLICATION ISSUED BY:
kkMMMMMMMMMkkkMkMMMkM k>�iF
k kkMkkkkkkMMMMkkkkkkMMMMkkkkMMMkkkkMM ick
LEGALIZATION:N F E fi S U M
.i
BLDG PMT PLUMBING ELECTRIC M
PERMIT r7.50
50%
PLAN i
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS ---- > 7.50 15.00 0.00
DATE:
DATE; —
i�
DATE:
k�KifkkkMkkkkkkkMMkkk k.kkMkkMMkMkMMkMMk
M A R Y STRUCTURAL SEGMENT:N
ECHANIC FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
22.50 22.50 .00
REVENUE
MkMkkkkkDkkIVMkISMTON TOTALS-->
OTALS--> BE k BE BE BF Cil
Oil•LML9lEMCkkTEkDkk• kBlk BE BFkkk22.50 MMOVER/SHORT
BLDG PMUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADkkfNkGkkPkLkAkNMk—kH
22.50
M Mk
kk
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
ELE 1 MOTOR/POWR APPARATUS 1.1 — 10.0 HP 7.50 7.50
END OF FEES
CONSTRUCTION AND PLAN ING
APPROVALS Permit #
!
Date
Inspector
POC._ 6 SPA
APPROVALS Permit #
Date
'
Inspector
1. Temporary Electrical Service or Poles..
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd._ -
53. Steel Reinforcement
- 3,.`Electrical Condu`it,UFility-Ondrgrnd,:'
54. Forms
- 4. E14ctrical Condut:LFndrgrnd. -
r rn
55. Electrical Bonding
�!K;S'el Reinforcement
56. Rough Plumbing & Pressure Test
�rQ'ElectricalUFERGrnd.
57. APPROVAL TOCOVER-GUNITE
-
7.•,�4otirWs ` j'
58. Electrical Conduit-Undrgrnd.
_ 8., Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Und?grnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System .-
61. APPROVAL TO DECK
11. Property Sewer Lind ,& Hoiue Connection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains =
64. Plumbing System - Final
14. Rough Plumbiog
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Final
- 16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sjgn
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
- _
FIRE DEPT. REQUIREMENT
_ a _
j1PPROVAI,Ss^ 'Permit # T
_
20:-Rouyh Factory Fireplace
7r
21"Duds,in-Structure°
70. Underground.Hydro x
22. Dulls, Ventilating.• -
_
r71. Product_Piping 06,'is 00il
23..Gas PiperFooh 8i*Tesc ;;
R;
` -� a
,72. Underground Flush,- -
24. Roof Framing 7 7 7•:-
_
>73: Undergrnd:StoranTank 0Gas 0Oil
25. Roof Sheathing ;:', -, 'u'74„Overhead
Hydro,_
26. T -Bar Ceiling (Stroctural) & Monocoat
'
-
75.7Dry Chemical
27. Frame and Flashing
- + . r r
_
,.• r �. ,
76. Dr - '
Y Standpipe C,.,'
28. Lathing Siding
+
77.-- FIXED SYSTEM, FINAL
`29. Insulation
!
I
78 --FIRE PREV. FINAL
30. Drywall Nailing ,+
"-
- HEALTH DEPT. REQUIREMENT
.31. Plaster Brown Coat". . ,.
f'
r - _
79. FINAL IIVSP.ECTI(1N,
32.Electrical' Power Meter Final -
..
'_
+ •'
FOOD CERTIFLCA ISSUED
. 33._* Final ElectricJ ..
- .''Notes:
.7
,,34. Finpi Heating & Air,Conditioning
1
`-
35.`Final Gas Pipe.Teet'- =
` `
'° '- _ _ t•`•
36. Hood orCanopy I - • •4 r -
a
�. - +
-37 -Final Faetory Fireplace
'
-
•-38. Final Plumbing -
-
I
�.
39. Water Seevice-Final'
-.40. Gas Service -Final '� .•, _'
,,
;j
_• - , '
'41. Solar Domestic -Final': - ••
a
�,
�+
Fr
-
42. -Backflow PreventerA.
43. Backflow Irrigation+
-
,r ..
A4. Landscape Irrigation System, - -
�,
- -.
45: Sound Attenuation
46. Handicap,Regulatio'ps
47. FINAL STRUCTURE & BUILDING
-'
48:'FINAL PLANNING'
''
r
.0
49. Electric Release to Edison
�+
� t
t
50. Gas -Release to Southern California Gas Co
r
-
51. CERTIFICATE OF OCCUPANCY
No. Date
'T
Applicant to fill in all
CITYOFCOSTAMESA-CONSTRUCTTIION PERMIT y�
Project Address ,,23-s � �'J�-'��S ✓'P
Applicant's Mallin'%�ggg Address ����
Owner's Name /ao�/.,y �Sz7ee ai+'1 PhoneLL29 __/16
Address -r+�
Arch/Eng. License No.
Address
Contractor's Nam p� Phona �rq�
Address (mailing)�Q
City License No.��r�
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in f orce antl effec p
License CI �! �+ ¢nse N 0 7
Date ��/ Z " 5'g t l/ - ->e . ��
WOR KE R S' COMPENSATI ON DECLARATION
I hereby affirm that I have a certificate of consent to self -insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Dlicy No. Company
Certified copy i$ hereby furnished.
Certified copy is filed with the city Building Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred ($100) or
less).
1 certify that in the performance of the work for which'this permit is issued, I
shall not employ any person in any manner so as to become subject to the
' o pn t'
Workersn Laws of Calif � `ems
Date Sig nature��9��6i ho Goma subj/r�
NOTIC . C fter making this ions f the you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance
of the work for .which ermit is issued (Section 3097 Civ. C.)
Lender'S Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter, Improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/She is exempt
therefrom and the basis, for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).
1, as owner of the property or my employees with wages as their Sole
'ompensation, will do the work, and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that Such improvements are not intended or offered for
Sale. If, however, the building or improvement Is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im-
prove for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Can-
tractorsto construct the project (Section 7044, Business and Professions Code;
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that
proof o their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
Date Owner
I hereby certify that I have read this application antl state that the above
information is correct. I agree to comply with all city and county ordinances
and State laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for
ins pectlon pu -
Signature Date
Drivers' License or SS T -
except those within heavy border lines and sign all appropriate declarations.
11 1 TRACT NO. I LOT NO. I UNIT NO,
TYPE OF CONSTRUCTION LI NEW LJ ADD YN ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WW�RK/USE OF BLDG-
TYPE OF PERMIT LA GRADING LJ FOUNDATION LI STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SO. FT. OCCUPANCY—
CONSTRUCTION TYPE VALUATION $
ZONE , GRADING CU.YDS. ACRES
Remarks:
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K
S Left
Ping. Ref. #
Planninq Notes:
6962 60686 V j4.00' TL
Zone
Accessory Building:
Z
O
N
I
N
G
R
E
Q
M
T
S
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
PLUMBING
FEES
3ar Sink -
Showers
ELECTRICAL - FEES
3ackflow Preventer
Service Sink
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+KIN
3ackflow Irrigation Sewer Cap
3athtubs,
Sewer Connection
Cooking Unit
Meter ❑up to 100 amps
Clarifiers
Solar Collectors
Dishwasher
Meter Dover 100 amps
Dishwasher -
- Solar Piping
Dryers []Gas [-]Electric
Sub Panel
Drinking Fountains
Solar Tank
I
Fan
Motors 00-1 HP❑1h-8
Floor Drains
Swimming Pool w/Spa
F.A.U.
Inc. Solar 119-15 HP 1-116-15+
Floor Sinks
Urinal
Fixtures
Microwave
Gas Service Outlets
Water Closet
Device Boxes
Pole Light
Interceptors
Water Heater
Outlets
Range _
Kitchen Sink
Water Service
Switches
Sign
Lavatories
Auto -Wash
Garbage Disposal
Standing Sections
P_ -Trap
Laundry Trays
Generator ❑0-5 KW 115-15 KW
Trash Compactor
Roof Drains
1
I ,
Reinspection Fee
$15
Issue Fee
$ 3
I I
Reinspection Fee
$15
Issue Fee $ 3
MECHANICAL
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By Date
Building Approved By - Date
Application Issued By Date
Boiler
Hood or Type %L
Canopy Type I I ❑
-
Duct - Under Ground
Duct - Structural
Refrigeration System
Do-100,00OBTU 0100,000BTU
Duct- Ventilating
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK 25%
ELECTRICAL
PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
SUMMARY
$
$
$
$
$ fC•
$
$ 'DO
$
OF FEES
SMIP $
PERMIT _
ISSUANCE $
ENERGY P.C. $
!7 L/ GRADING $
MICROFILM $
TOTALFEE $ a
Exhaust System ❑ Multiple ❑
System Repair/Alteration
Firepl/Fact. Bit. ICBG #
Fire Dampers
Heating System & Ducting
E10-100,000 BTU ❑ 100,000 BT
Registers
Reinspection Fee
$15
Issue Fee
$ 3
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit#
Date
Inspector
POOL & SPA
APPROVALS Permit
Date
r^
Inspector
i. 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
i
'
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
Vj
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
C/
B. Foundation
59. Gas Pipe, 0 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
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
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar'Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit# _
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping ❑ Gas ❑ Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑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. 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
6447_�4
L490
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 Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
.
45. Sound Attenuation
46. Handicap Regulations-
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
. .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
oJr /
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CiTy OP COSTA MESA
p ANNtNG DEPT.
su81ECT To BLDG. DEPT. REo.
City of Costo Mesa Buildinggpt.
,_..�...... DATE.I !_ /.19G
THESE PLANS MUST Bc ON JOB AT LL TIMES
AKE NO CHANGES WITHOUT PRIOR \PPROVAL
DEPF.
THE ISSU'.'ICE OR (Z"' "TI"S OF J.ER'.' F 0 ^"P.OVgI
OF PLANS AND SPECIFICA.'Oi'S b.l''L i''I r.r )N.IRUED
TO BE A PER'AIT FOR. OR AR r'. "F, ytF?Y,�IQd
OF ANY OF THE PROV1510' S Oi IHIS :UPR!-
SUMING TO GIVE AUTHORITY FO VIOU..E M IAYCFI fHf
PROVISIONS OF THIS CODE SHALL LE YALIC, EY lc IN SG
FAR AS THE WORK OR USE YMICH IT AUTI10f, ZE:, �3 Wi U; '
THE ISSUANCE OF A ^' ";T 6—ED
. "O'IMATIOt:S SHALL NO!
'R - 'M THEREAFTER REQUIRING
I 5411' ?LAVS "'^ SPECIFICAT.':
' OPERiT' d7."= -'-.� n. - '
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City of Costo Mesa Buildinggpt.
,_..�...... DATE.I !_ /.19G
THESE PLANS MUST Bc ON JOB AT LL TIMES
AKE NO CHANGES WITHOUT PRIOR \PPROVAL
DEPF.
THE ISSU'.'ICE OR (Z"' "TI"S OF J.ER'.' F 0 ^"P.OVgI
OF PLANS AND SPECIFICA.'Oi'S b.l''L i''I r.r )N.IRUED
TO BE A PER'AIT FOR. OR AR r'. "F, ytF?Y,�IQd
OF ANY OF THE PROV1510' S Oi IHIS :UPR!-
SUMING TO GIVE AUTHORITY FO VIOU..E M IAYCFI fHf
PROVISIONS OF THIS CODE SHALL LE YALIC, EY lc IN SG
FAR AS THE WORK OR USE YMICH IT AUTI10f, ZE:, �3 Wi U; '
THE ISSUANCE OF A ^' ";T 6—ED
. "O'IMATIOt:S SHALL NO!
'R - 'M THEREAFTER REQUIRING
I 5411' ?LAVS "'^ SPECIFICAT.':
' OPERiT' d7."= -'-.� n. - '
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JOB ADDRESS 1033 Damascus Circle BUILDING PERMIT N0. 49800
0.
SOIL
SUBCONTRACTOR
GAS
WATER Plumbin
ROUGH PLUMBING
PROP, SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
ROUGH HEATING AND AIR CONDITIONING I 1 II 1 1 1
UNDERGROUND U POWER Lf
ROUGH WIRING Heatina and Vent.
TRENCHES D FORMS STEEL REINF.
FLOOR SYSTEM
BONO BEAM STEEL REINFORCE
SHEATHING Incomp ete Fr sec Ions
FRAME AND FLASHING
LATHING — IN 1 OUT
PLASTER, BROWN COAT
HEATING, VENT., REFRIG. AND A.C., FINAL I 1 11 1 1 1
BUILDING, FI
i.
J:III it I4fou uua JV
CdSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
RECEIVE V PERMIT v
BUILDING O3 A M ,CCUs
ADDRESS �'`/-•!Y
7 (�
A.P. NO. %//Z �! 7
OWNER OR ,Z E ' `
TENANT V
BUILDING a ` J5�
ADDRESS ��J J
SPACE NO. �—
MAILING I O ^1
ADDRESS J
TR.NO. Or LOT 3�
BLK.
rr CCGG
CITY 0.T {� NOLJ tI ��S51b
NEW
ADD ALTER
REPAIR
MOVING
DEMOLISH
LENDER �
LENDER
BRANCH
OWNER ZTG u
ADDRESS
II VALUE
USE C SIQ,Q./r1.'f'I• I E0'
ARCHITECT TEL.
OR ENGINEER NO,Q
PD
ZONE I' J' T E GROUP
ADDRESS
CONTRACTOR
APPROVED S
BY DATE J
ADDRESS
TEL.
CITY NO.
STATE CITY
LIC. NO. LIC. NO.
APPROVED SETBACKS
SIZE f I
OF LOT GD X too
NO. OF BLDGS.
NOWON LOT
(FROM Car
R Ni FT. 4774(f Y 19Xf%'T
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.fle
L.SIDE FT.
Q
C� FT.
U�S� .0,BBUILDING AN ORK TO BE PERFORMEDING
ACTION
/ ��
DATE
APPROVED
VED �Q
3 -/Y -tea
DATE
I hereby acknowledge that I have read this application and st
that the above Information Is correct and agree to comply with
all laws regulating building construction, and I shall not empl
any person in violation of the workman's compensation lawsthe State of California.I hereby certify that I am properly licensed as a contractor unOfJ
State of California Business and Professions Code, Division
Chapter 9, and that su licenses are In full/force and effect, o
a 9 exempt fr hp ivislo n�fof tho Ste 6 of Ilfornia BusinTION
Profassions Dlvialo,Chapte
nature oPermittee -OO•%
SO. FT.the
AMOUNT SHOWN UNDER VALUATION IS FOR
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
�PLAN
PERMIT FEE Eantl
CHECK $SI
TA% EorAuth
dAgent Date l�TOTAL
PAID
OCT 21-77'001083* ***373.02
CASA
�c '.. DLx
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
1PVT
TION FOR STRUCTURAL PERMIT
For Applicant to Fdl in Completely — Use Ink Only
RE E 11
ATE RECEIV
O'
D TE ISSUED
V /—�
2 ^�
ADIINGDRESS 4933 .[RC1 FYl -i
PERMIT NO.
OWNER FOLEY FAMILY TWST
A.P. No. (�
MAIL
ADDRESS 2101 E. FOUrth St., #100
BUILDING
ADDRESS 1033 Damascus Circle
CITY Santa Ana, CA 92705 ITvo.�543-9471
TRACT9901
LOT 39 BLOCK
CONSTRUCTION
W
ADD
AL
P
LENDER U.C.B.
X
BRANCH 1010 N. Main St.
OWNER Q
ADDRESS Santa Ana CA 92704
.ry�e� t✓ VALUE
USE ISG J ii $
ARCHITECT TEL.
OR ENGINEER —
FIRE
ADDRESS
ZONE TV E GROUP
APPROVED
CONTRACTOR Foley Cmstruction Co.. In
BY DAT
ADDRESS Sme as above
ZONE
NO.OF
USE OF NEW
TEL.
CITY NO.
PLANS Z
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO.OF SLDGS.
(FROM C/L STREET)
OF LOT
NOW ON LOT 0
RONT FT.
FT.
USE OF
EXISTING BLDG. N/A
R. SIDE L5 FT
FT
Separate permits are required for
L. SIDE ' FT.
FT.
electric, plumbing and heating work.
REAR FT,
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN SLOGS.
ACCESS. SLOGS.
New construction, single family
VAR.*
DATEC.U.P.
APPROVED
detached, Plan 5, 5 Bedroans.
APPROV BY
/p o20 - 77
HOLD FOR SPEC
-Q4T9
AL RLIQUIREMERT
1 hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
2920 SO. FT. (.Tar. 658 sq. ft.
I hereby certify that 1 am properly licensed as a contractor under
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or 1
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
VALUATION
PERMIT FEE $
and Professions Coda, i Islon 3, Chapter 9.
aJ
PLAN CHECK E9
Signature of
TAX $
Permittee
Y �/ /I
S 79 -In
/ /VI V V
Authoriz t
TOTAL PAID s