HomeMy WebLinkAbout1142 DORSET LN - Building PermitsADDRESS W BUILDING: 1142 DORSET, LN UNIT: _
DWNERSN EIFKfKIWN:KLETT, JERRY -A TR FLOOD: X - 47
ADOXs 21542 KANEOHE LN
HUNTINGTON BEACH,CA 92646
375-0714
APPL. W LNG ADDRESS:
\, IARCHITECT OR ENGINEER:
ARCH. OR ENG'S ADDRESS:
03
UC. NO.:
UNIT:
CONTRACTCRSfU1i ROOFING _ (714)391-3754
CONIRACTOITS MADRID 11691 LUZON -
ADDRESS CYPRESS CA m"D: 639447
90630 UNIT:
LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commmang with Section 7000) of Division 3 of the Business and Professions Code, end my license is in full force and effect.
CRT UC. NO.: n LIC. CUSS: CVA�
: 63944t� 4�XP •••
Dela: i b z Yry M _ J..r.11�
OWNER BUILDER DECLARATION: I hereby affirm undethat I am eeempt from the Contractors License law la Ne
Idkmig reason (Section ]031.5 Business acrd Proleseioncounty which mquisa a pemd to mnetrud. Mer. improve.
Hemoleh, or repair any structure, prior to its eauarim, also requires the appliranl for such permit to file a signed wetement Net he w ehe
ricensed pureume to the provisions of IM Contractors License Law [Chapter 9 (commwrdnp with Section 7ot0) of Division 3 of tho
arsss and Prole tions Code) or that he m she is exempt theranan and the basis he the elbged exemptkm. Arty violation of Section
J31.5 by any applicant for a Permit subjects the applicant to a civil penMy of not move than live hundred dollen [55W)).
❑ 1, as owner of the property or my employees with wages as their sole mmpeneetim, will do Ne wort, and IM structure is not intended
or offered for sale (Section 7044. Business and Prdessim, Code: The Contractors License Law does nal appy to an owner of property
who beide or inproves thereon, and who does suer work Nowed or herael or through his or her own employees, provided Ned such
improvements are not intended or offered for sorb. 9. however, the building w knprovamem is sold within one year of completion, the
owner -builder will have the burcen of proving M or she did not build or improve for IM impose of sale).
❑ I, As owner of the popery, am exclusively connecting g with ficeneed contredors 10 constme IW protea (Section 7044. Business and
Profession. Code: The Connectors License law does sol apply to an owner of property who Wilds w Lnprovea Irs. and who
ra len Such Dialects
lectswithda contreaons) ficeesed pureuem to the Comrmwa Lioanea law).
I an exempt under Section: B. d P.C., for this mann:
Dale: Owner.
1 do hereby cw* that I an aware of and understand the requiremems of Cd'iwnie Health and Soley Cade Sections 25505, 25533, and
25534, and the I or any bture building occupant will l will not Idrob one) need to campy with Said wee codes and the recanown hi ler
e permit Iwconetmclm m mndifiuticnhorntha Airy . morgan ens District. Resideraial omarwun eppi®tiws sae evempt from these
provision..
Owe: Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of prjtsy one of the fdbwin dedarmiona:
I have And wilt maintain a cortTrae of moment to veffineu s ler wwken' compensation, m prwMed for by Section 3700 of IM Leber
Cade, for the performance of the work for which this permit is issued.
[7 I have and wilt maintain wwhere' compemwion i... m required by Section 3700 d the labor Code, ler the porfor m d the
jp wwk for which this perms is issued, My wwkero mmpensal insurance owner rd policy number we:
Cannon: _RTATR FTTTd11 EXPIRES
Policy Number. 1354072-97 04/01/98
�`u', .oaivr na.d mr m mmdafoe r m. Pum. is rw orro hunead edfan Isto01 w bse.l
1 ceniy the in the pe e werico d the work for whish Ihte do . iwsI a I ahM nor eI sho arty perm subject
cry manner oro ss to
became subject to the worker' compensation byygLCalibmb.)erd spree Net ! I should become urotea to the wwkw3'
Dove: v Applicant +
Warning: Fallen rosifif
unlswNl, and well sub/ect an employer to criminal pereatlea and
civil fires up ro pro hundred thousand detain 1$10a 00), In addltlon to the cwt of compers rtlun, deposits, As provided far In
Section 3705 of Ne Labor COW, Inf veer, and attorney's feu.
CONSTRUCTION LENDING AGENCY: I hereby Minn under penalty of perjury thin them is a mnwrudion landing sterol ler the
pedormamee of the work for which this permit is tested (Section 3 , Civ. CI.
LENDER'S NAME:
LENDER'S ADDRESS:
I candy That I have nail this application end some Ihw the Move information is caned. I Agree to campy with M ply and county miner se
end slue laws reading to buildup construction and hereby aMarae repreaenlwiwea of this My to enter upon the above-mentioned Mop"
for inspection purposes.
KEN SMITH
Dover t O ci
(5151 d5.WP) White-GsIdi g A Sal Green-Rie; Conary-Appican; Pink -Revenue; Goldmrad-Asxsmr
CITY OF COSTA MESA - BUILDING PERMIT. PERM NO; H 0 829
PERMIT NO: B 087224 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF AND REROOF W/COMP SHINGLES - SQ FT: 2,860
CLAIM VALUE: CALL -VALUE: 2,860.00 GROUP OCC: R-3 /
COMMENTS: REROOF 2500SF RESIDENCE W/COMP
iEiE 9t dE dEdE RE dE iE dEiE iidEiE 9E 9EdF iE REiEBEdE 4E iE dFMiEdF dt**dE REdE didFBE iERERE**iE dE dE iF ihdFdE RE iEdE dE REdEBE iE Hh dE Rt RE Rt BE�f iE iF iEiFaE dF BE dFBE 9E RFiE dE*dE
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN
PARKING REQ: PROV: PARCEL: 14114211 ZNE: REF NO:
PLANNING NOTES>Y
iF dF*if*iE iE*irk**k*irkfF.ik if irk Bt Rtk BE*irk dt iE BEK****iE*iE dt RE iE#*9F BF**irk****irk irk itk iE*Bt*BE*iE*dE BF iEk BE dE*dE RE,d^E.RF dF**irk RE iE*
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 TSS
ZONING APPROVED' -BY. -_ DATE:
BUILDING APPROVED BY-: DATE:
APPLICATION ISSUED BY: 3k DATE:��lCi
9E*irk irk iE iE iF dF iE******k kif BE 1E**3FiFSFiF3FiR�iFif3F3FiF'iFiF dEitdr9E REdE*iE RE 9E FiF'i�'iFiF;FRr iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT..PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT -_ 74.75.....___ .50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING -DIV-> PERMIT_ ISSUE PLAN -CHECK TOTAL PAID DUE
TOTALS ---- > 75.25., 0,00 0.00 75,25 75.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
74.75 .50
*dt irk iE49F 1HiH dE dE dE 9E iE±k RE RE RE BE irk dE dE Bb*kdE if iEit*irk REii irk irk dF irk*BF irk*iE BE*Ri BE dF dE BE irk iE iE*irk RE dE irk RE dF dE**dE*iF di dF iE dE BF iE RE BE dF*iE RE 1E**
I N D _I V,_I D U A L F E E B R E A K D 0 W N
TYPE QTY D_E_S C R I_P T.I 0 N UNIT COST TOTAL COST
SFR 2860, REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,860.00
END OF FEES
D
83-09-1998/11:38 W$75.25
RCPTN:01-0026596
PERMIT:087224
CONSTRUCTION AND PLANNING
f'bOi PA
j
APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector
�
Irl
1. Temporary ElectricalServiceor Pole
52. Pool & Equipment Location,-
.,
2. Soil Pipe•Undrgmd. !'
53. Steel Reinforcement '-
_
. W',3:.Electrical Condµital1Hlity-Undrgrnd.
.54. Forms
:r 4:'Electrical Condtiit�t P^drgrnd. '-
55. Electrical Bonding
'
E rS{eel Reinforcement
56. Rough Plumbing.& Pressure Test
c'CA"Electrical UFER:Gind.
-
57. APPROVAL TO COVER-GUNITE
N
1- :'Tootings _
58. Electrical ConJWr'.Undrgrnd:
oundation C- -
59. Gas Pipe, O Und grnd., TV
'"9. Water Pipe-Uncirgrnd.';'
P!Trap, -Undrgrnd.
60. Backwash Lines, O
.r
10. Structural Floor System
DECK ,
61. APPROVAL T6_
11. Property Sewer Line& Hou4e--inection
62. Backwash & Receptor-FinaPz
,o
12.'$ewer Cap
63. Heater & Vent -Final
T3. Roof Drains
-,64. Plumbing System . Final
"14. Rough Plumbing, _ - r:
65. Electrical -Final
15. Rough EleciricabConduit :.
66. Solar System -Final
'
•16. Rough Electric4Vinriig
67. Fencing & Accets_Approval
.17, Rough Wiring Sign
'.68. APPROVED FOR -PLASTERING
18. Rough Electricaf-T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
19. Rough Heating &Air Condition)ng. Ctr•
�. _
.. �,
47 w; x: '-
FIREtDSPT�REQUIREMENTro
-Jt10
APPVt8s' Pe~imit #
20.'Rot4h Factor¢ FiFeplace
E
'-+ 7 C
21. rDugs, in trtictur`e g �'
r, n
r� fl?: `
70.i-UndergroUtid 131+dro x
22..Duds, Ve"ntii&iinj" C�
'r 7 °$:
J =
71. Produq{PiPingIltas Oil
vst
23. Gas`sp e. -go ^ugr &.7`Ct0
* t^
^' S:i• C
�:
72. Underground Fjus�_
24. Roof Framing �Z m
*•>
73' Undergrrid.Stc§F*Tang'OGas OOil
_•
n;
a: ;r
n ry:r.
,J v J
25..3oofShethin9 �'
- ,.a 3-'
�p
� �`l4
���,y
� X
l`u
7.�Dverhead Hydrg
d
26. S -Bar Ceiling (Structural) & Mdd'Scoat
O >'
�+
7E, -pry Che ical �� '" '-'1
rn
Y
r-. _ � '.1:
e Flashi
27. ,Framand r =��
=
76. Dry Sta plpei ;-w x '
28. Lathing Siding J J J
I
I St
77- FIXED`SYSTEM1�INAl
•
r^
y
29. Insulation "�
� 1r•* �
�` !
� -> I
I {e
r t-
7$t FIRE PREY. FbN�iL is
-S
l i'
30. Drywall (Nailing
n.HEALTlR DEPff.,AEQUIREMENT
31. Plaster Brpwr~'1Coat�t c , �: ;�
I9,
y O
79. FINAL FN SPECTTDN
* I
�
r, p iTf
V 32. Electrical_Power Meter Final i
.; •
1,
!
80; FOOD CERTIM SATE IS30ED + z
33. -FW Electric,' •''' `T:
"rzzM
I "
N.gtes:
„',t
34.;tinil:Heating_& Air Cortditioriin'g171
I
>
' . r
i FrL
1. _ _ r„
35. `Final Gas:Pipd:Test X ��
~'
`
M_3 ;•;`i * �,`'
i:.
36. -Ho4orCanopy J!: t-
r xo xt7 Win
37. Final'Facmry Fireplace,,"!
I
�
l
�t
•y m K S
38. Fina4l`luinbing
" 39. Water Service Final
' 40. Gas Service -Final
41. Solar Domest2•Finac
rr
`•
42. Backflow Preventer
0 nj fi r
n
_ _
- 43. Backflow Irrigation =
.t: S
J
o
-J r., u :A ^•,' J -:
44. rLandscae Irrig
pation System 7-N r
fit 7
* a
^
�. '_' .
•q 4
..
_ O
45. :Sound ACtenuationX • •• -
': :r.
tr! i-1 r.
',� � < • E-, C7 �;
'46. Handicap Reg itatiogs
+47. FINAL STRUCTURE & BUILDING
48. RLANNING< ; J
T
�. ,`
1J ru t; W
�F1Na'L
.A9. 'Electric Release to Edison
<
o z r,
50. Gas to Southern Califo Gas Co
'
r
release iia
x
r
. S :E �;
L. f�
51. CERTIFICATE OF OCCUPANCY
No. Date
U
A
NTY OF•COSTA MESA :CONSTRUCTION PERMIT
Project Address `ren
Applicant's Mailing Address .ZD,Sz. /YPiu-.on�.Ti�inl. C/Ys
Owner's Name 1✓r9/1Gjid• PC 9 1 ce n_CfPhone
Address - .$•R,.a�- t
Arch/Eng. License No. '
Address
Comtractor's Name P^ Phone sEV111-w/0
Address(mailing) l il�/3l C•'M•
City .License No. Odd
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 inrjulI force and effect. I
Li censse Class P- 1- - lNo.4 Ff1J i- •
Date/p—,;/_.kli Signature
%i1..✓/n
WORKERS' COMPENSATION DELLA ATION
I hereby affirm that I have a certificate of consent to self -insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section
.00, Lab. C.)
Policy No; Company
eCertified copy is"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
ess). I
I certify that in the performance of the work for which this el is issued i
ant to fill in all spaces except those within heavy border lines andsign all appropriate declarations
P M1 ��
TR CT NO.
i LOT NO.
UNIT NO..
s
TYPE OF CONSTRUCTION 29 NEWSLJ ADD LJ ALTERATION U REPAIR
❑ CONVERSION E] DEMOLISH ❑ OTHER - I
' DESCRIPTION OF WORK/USE OF BLDG. I -Fisc e.
,•
A.P.. #_
S
.
Main Buildi
TYPE OF•PERMIT GRADING FOUNDATION 11 STRUCTURAL
❑ TENANT ❑ ELECTRICAL .❑ PLUMBING ❑ MECHANICAL / /J/�
ElL\ OTHER 01ge- N/�l, yk 1(9.CX'
T
B
A
Front
Rear
�Z`_[/
PROJECTpDESCRIPTION SO. FT. occu Ncv
RKNCY
CONSTRUCTION TYPE VALUATION $•
ZONEP-" GRADING CU. YDS. ACRES' _e •
C
S
Rigt.
Let
Ping. Ref.#
Remal C -L., f,4 %% fin., _.A _ . _ 4,0l /_ _ . ' _
Planninq Notes:
Preventer
Irrigation
P
shall !not employ any person in any manner so as to become subject to the
Workerej' Cp{nprflyltion Laws Of Califg r�j
DrinkingTountain
-
Floor Drains
late &4 SCI Sig nature / I
-NOTICE: If, after making this declaration, y6u should become subject to the
Floor Sinks
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
'Gas Service
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there.is a construction lending agency for the performance
Interceptors
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name E
Kitchen Sink - -
Lender's Address
OWNER BUILDER DECLARATION
Lavatories
1 hereby affirm that -1 am exempt from the Contractor's License Lawtfor the
following reason (Section.7031.5 Business and Professional Code: Any city or
P -Trap
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
ROOF Drains
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
Date' Owner - -
Division 3 of the Business and Professions Code) or that he/sheis'exem pt' -
refrom and the basis.for the alleged exemption. Any violation of�5ection
I hereby certify that I have read .this application and state that the above
i 1.5 by any applicant for a permit subjects the applicant to a civil
dlt of not more than five hundred dollars ($500)
❑0-100,000 BTU El 100,000 BTI
information is correct. I agree to comply with all city and county ordinances
i and state laws relating to building. construction; and hereby authorize repre-
•sentatives of this city,•/to enter upon the above-mentioned prOperty�fpr-
inspection putposes. / ��� �•
Signature Ct�e+ Date
1
Outlets
Y
IJ I; as owner of the property or my employees with wages as [heir Sole
compensation, will do the work, and the structure is not intended or offered
Reinspection. F¢e'
$15
' for sale (Section 7044, Business and Professional Code: The Contractor's
License' Law does not apply t0 an owner of a property who builds or improves
Boiler
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-
grove for the purpose of sale). '
LJ'1, asowner of the.property, am exclusively contracting with licensed con.
tractors to construct the project (Section7044, 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-
Duct - Under Ground
-
- BUILDING PERM
Duct - Structural
$
Duct -Ventilating
$-'
Exhaust System 0 Multiple 0
tractors) license pursuant to the Contractor's License Law). Lane aware that.
proof o/ their Worker's Compensation insurance should be providetl to me.
❑ .I am exempt under Section' B.,& P. C. for this reason
$-
Firepl/Fact. Bit. ICBO #
Date' Owner - -
..
Heating System & Ducting
I hereby certify that I have read .this application and state that the above
$.
❑0-100,000 BTU El 100,000 BTI
information is correct. I agree to comply with all city and county ordinances
i and state laws relating to building. construction; and hereby authorize repre-
•sentatives of this city,•/to enter upon the above-mentioned prOperty�fpr-
inspection putposes. / ��� �•
Signature Ct�e+ Date
- PLAN CHECK
25%
-
- -
ENERGY P.C.
$
Drivers' License o 55 -jr
_•
Reinspection Fee
$15
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Showers
Service Sink '
Sewer Cap
Sewer Connection -
Solar Collectors
Solar Piping
Solar Tank
Svvimming Pool vv/Spa
Urinal
Water Closet
. Water Heater
Water Service' - �'-
Auto-Wash
Laundry Trays
Issue Fee
Hood or ' Type I ❑
Canopy Type I I •❑
Refrigeration System
❑0-100,0006TU ❑100,000
System Repair/Alteration
Fire Dampers _
Registers - -
Issue Fee
$ 3
$ 3
I
Automatic Washer
Construction Pole Sub.
Cooking Unit
2816 9/I�/86 31.85 (,T6..
'Accessory Building:
/ { Z
N
I
/ G
R
Par king. Req./Provided E
e JV' M
ELECTRICAL
Trans'
I
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator ❑0-5 KW 05-15 KW
i
Meter
Meter
Sub Pal
F
;r -❑ 15-50 KW
0.50+KW
p io 100 amps - 1
ver 100 amps
Motors LJO-1,HP LJ1'h-,S,
Inc. Solar Os -15 HP ❑16-15+ '
Microwave ,
Pole•Light
Range - -
Sign '
Standing Sections
Trash;Compactor 1
Reinspection Fee ' $15 Issue Fee $ 3
•DEVELOPMENT SERVICES REO M T /O
Zoning Approved BY ate
.Building Approved BY `' ,vy_Date y rC'
Application Issued
SUMMARY OF FEES
- BUILDING PERM
IT.
$
Z%Ot7 "SMTP
$-'
''S•
PLAN CHECK
$-
1`2 .PERMIT
..
_ PLUMBING
-•
$.
- ISSUANCE --
$
- PLAN CHECK
25%
$-
ENERGY P.C.
$
ELECTRICAL
_•
$
-GRADING
$
PLAN CHECK
50%.,$-
MICROFILM
$
_
MECHANICAL
-
$
TOTAL FEE.
$
�S It"B'S
PLAN CHECK
25%
$
.
i`
Y
CONSTRUCTION AND PLANNING
APPROVALS Permit
Date
Inspector
POOL &'SPA,
APPROVALS Permit #
.1
Date
11.
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 ReinforcementZQ/
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57, APPROVAL TO'COVER-GUNITE
1
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 Connectioni
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 . y
APPROVALS Permit#
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro" r
-
22. Ducts, Ventilating
71. Product Piping O Gas ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24: Roof Framing
73. Undergrnd. Storage Tank OGas ❑Oil
25. Roof Sheathing
74. Overhead Hydro
-
26: T -Bar Ceiling (Structural) & Monocoat
i
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 ISSUED
33. Final Electric
l/CERTIFICATE
Notes: m/�/ O' /
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
'
36. Hood or Canopy
37t' Final Factory Fireplace
36. Final Plumbing
_ -
39.,WaterService-Final
40. Gas Service'Final -
-
41. Solar Domestic -Final
42. Backflow Preventer
"
43. Backflow Irrigation
- -
44. Landscape Irrigation System
:46. Sound Attenuation
"
.46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING171
48. Special Requirements Completed.
Al
-
49�'Electric Release to Edison.
r
50. Gas Release to Southern California Gas Co
.51. CERTIFICATE OF OCCUPANCY
No. Date
APPROVED
Oily of Costa Mese Building Dept.
-
THESE PLANS MUST BE ON JOB AT AL'L' TIKIFS
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OE DEPT.
OE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRF.
SLIMING TO GIVE AUTt10RiTY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN. SO
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS,LAWFUG
THE ISSUANCE OF A PERMIT BASED UPON PLANS AND
SPWRCATIGNS SHALL NOT PREVENT THE EUILDI,YG OFFICIAL
FROM THEREAFTER k[QUIRING THE CORRECTION OF ERRORS
IN SAID PLANS f ND SGECII KATION i OR FROM PREVENTING
�IIlA1NG Of'Ef2A7fON56EiXG CARRIE) ON THEREUNDER WflfA ,
IN VIOLATION OF THIS CGCE OR OF ANY. OTBER OR044A;9SP.
OF THE CITY. _
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
FOR ELECTRICAL, PLUMBING. ,
HEATING. VENTILATING AND
REFRIGERATION WORK
Permit
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION RF.Gf ESfS
FUR BUNIMINlys LVH -nnE 0Ei. OHS AM
£i4i'LOYEO, L? � 5UuGEST PT TiiE ;i'^•:"E OF
L,LIFORMA 01VISION N INC'!STRIIL 'AFETY
p,: CONSULTFO FOR ALDINONAL
—�:OUIRfMF.JiS.
� QI
b
A
NRRRNt�t Ilnoe.et
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Von 6&T
CITY( OF COSTA MESA
PLANS'Nr, DEPT.
SUBJECT To,
81:4X•a OEM RE(: p
BY—•—=�---_..`"""^8'A7Et 9 �D CJS
DIRECTOR OF PLANNINO�
C36 � 16vc � .L,;
/0(
�jl,pt �C2_eC� Lo
RI
TYPICAL 611 CONCRETE BLOCK FENCE
Cement Coping Optional �1
FCIOTING REQUIREMENTS
Channel Block With Orm
Horlrontal Top of MI
6'
5'
Foam
l�
For Fences W or Lase
14
1 14"
a�{
Ven. Bon 3/V'# &1 4' -0" O.C.
12+
F�nar Higher Then 5'
a°
_
u
Ve1TBen 3/8'0 at 32" O.C.
Q
DEPTH OF EARTHTOOTtt
24'
m`wI 20"
Fill Cells Solid With Grout
>
Z
Where Steel Occurs
r
14'
Reinforcing Steel.Shell
a
Conform to Sw—A•15-38
F
A.S.T.M.
s
All Steel to be Lapped
owl.
".
K " or to Code
NATURAL GRADE
TWO 3/e" BARSD
CONTINUOUSTO►
iBOiTOM .�.� WIDT
SEE
_CI mp
eaL
O
GENERAL -NOTES
MORTAR: One Part Plastic Cement, and
Three: Parts Sand
GROUT: • One Part Cement Three and
One Holt Parts land
COPING: One Port Cement, Three
Parts Sand
CONCRETE: Weil Miss1: Yh s 3
Max. of 7/2 .Gallons of
Water Per Sack of Cement..
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE
CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR. CLEAN i
FREE OF ALL MORTAR DEBRIS. ETC.
BONDS SMALL BE PROVIDED BY LAYING
BLOCKS IN STRETCHER COURSES SO THAT
VERTICAL JOINTS ALTERNATE IN EACH
COURSE.
nH OF EARTHTCOTH
1/3 THE HEIGTH OF FENCE
IMOW BOTTOM OF FOOTING.
SCALE: 1/2" a I'
v City of Costa Mesa, California
Building Department,
OWNERS NAME: — — — — — — — —. _ — — — _
JOB ADDRE SS: _ _ _ _ _ _ _ _ _ _ _ _ _ _
FCIOTING REQUIREMENTS
WALL HEIGHT_
6'
5'
l�
WIDTH OF F0011NG _
14
1 14"
a�{
12" .
e
12+
THICKNESS OF FOOTING
100
���" 10"
e
B
DEPTH OF EARTHTOOTtt
24'
m`wI 20"
16'
12
SPACING OF EARTHTOOTH
12'
14'
16,
16'
v City of Costa Mesa, California
Building Department,
OWNERS NAME: — — — — — — — —. _ — — — _
JOB ADDRE SS: _ _ _ _ _ _ _ _ _ _ _ _ _ _
THIS AGREEMENT, made and entered into this day of
1966, by and between � li1�/�
hereinafter referred to as "LAND OWNER",, and J®h n /T u� 1
hereinafter referred to as "ADJACENT PROPERTY OWNER".
- 1
It is hereby agreed that a party /wall will be constructed on the
property line between �/� Dor.5eT /ten• /- ,li -
_
in the City sof JCosta Mesa,c County of Orange, State of California, as per map
i a32 �nJ�np
recorded AnBook 1Page�6 of Miscellaneous Maps, in the office of the
°iY7i:DJ ?igRh'1i 1. ��ti%o J
County RecordeY;of lsaid4County. The party wall shall be permitted to encroach
IN WITNESS WiEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND OWNER
(Signature)
�6 l ' L]� Gly R o e-- A),11>
(Typed or Printed)
(Address)
PROPERTY
CKa5ff:`.
Name (Typed of Printed)
6
1.1`f D a SSE i L-A) Yes
(Address) Cy C,L(7 2 {�
(NOTE: Please see reverse side for notary's statement)
.-1
STATE OF CALIFORNIA )
ss.
OOUNW OF ORANGE )
before me, the undersigned, a Notary Public in
and for the County of orange, State of California, personally appeared
]mown to me to be the person�sf whose namesaf is subscribed to the within
instrument and acknowledged to me that (.!9/She/they) executed the sam.
WI S my hard and official seal.
Signature
JC !`i/FE2/NJc ! �TIP/�ISi /�c.'V to
Name (typed or printed)
STATE OF CALIFORNIA )
ss.
OWNTY OF ORANGE )
(SEAL)
ffmEAL
GMS
CAUFOMNIUNTY7,.190
Ona,O% �, l9,sl� , before me, the undersigned, a Notary
Public in and for the Canty of Orange, State of California, personally appeared
known to Ire to be the person(s) whose name(s) is subscribed to the within
instrument and acknowledged to me that (he/she/they) executed the same.
WI my hard and of •cial seal.
l .
(Signature/
Name (typed or printed)
(SEAL)
OFFICIAL DEAL
o AU.EN J FAItUICI
NOTARY PUSL LIFOI
ORANGE COUNTY
MY LOMM. EXP. MAY 11,1990
1j1
14;
OWNER
CJOB ADDRESS 1142 DOT'S,
GENERAL CONTRACTOR
AP,No. 141-142-11 LOT
DATE 4
BUILDING
TRACT FIRE ZONE 3 DESCRIPTION OF WORK
In-'"•'CTIONS Signature
DATE
GROUP J TYPE V ZONE R 1
Soup
SUBCONTRACTOR
PERMITS
ISSUED
Gas
DATE
NUMBER
Water
Rough Com. Refrig. p Air Cond. p
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line p House Con. g St. Swr. ❑
Sprinkling System
Construction Pole
-
Underground 0 Power ,p
Rough Wiring
Trenches �o Forms ❑ Steel Reinf. ❑
Floor System
Bond Beam E) el Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In p Out �D
Plaiu'. brown coat
Rem ;� Air Con. ,p Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
-GG -�(i
--- --- - —-
--------
Building, Final
OCCUPANCY
for. 21972
972FA I.
_ COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX 517 CO$TA MESA. CALIPORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
.MAIL
COSTA MESA, CALIFORNIA
U
USE OF
EXISTING BLDG.
SETBACK LINE FROM -
C'S A
TEL.
NO. SS,41' 0// /
TEL
R 8
O TE RECEIVED
AT�1 �8�5
NO 77'2 , o
(1
�_ I I NO. OF SLOGS.
NOW ON LOT
ADDRESS
/✓J Nr��, II /A/.�.
�,[
\ REAR YARD
ZONE TYPE GROU
APPROVED
DESCRIPTION OF WORK
). OF
)OMS
ROOF
COVER
TO BE
'- S
THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
SIGNATURE O
PERMITTER
AU THORIZED AGENT
FEE. RECEIVED
`�Pfl T 3 11184
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
If
"SCRIPT NO.
R 8
O TE RECEIVED
AT�1 �8�5
BUILDING
ADDRESS
FIRE
ZONE TYPE GROU
APPROVED
BY
DATE
NING
ZON
NO. OF
UBE OF NEW
PLANe
BUILDING
I
LEGAL'
(J r
DESCRIPTION .
i� 7
A. P. NO.
NOTE: NO EAV E OVERHANG SHALL BE LESS THAN
SO- TO SIDE @ REAR P. L.
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDSAPPROVED
YARDSAPPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM '7E Tl
--
CD
FRONT
R. SIDE •T.
FT.
L.SIDR 5 FT.
FT.
REAR.
FT.
DISTANCE BET.
BET. MAIN e
MAIN SLDGS.
ACCESS'. BLDGS.
VAR.#
DATE,
C. U. P. .$
APPROVED
APPROV,6p/
BY /J '
1
DATE
.
SO. FT.
C p
THE AMOUNT SHOWN
UNDER VALUATION 18 FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
400
PERMIT FEE S'
CHECK
g J
00 /PLAN
I
TOTAL FEE IS C
If
f LOT.47 TRACT 4395
t 16322
COSTA MESA BUILDING -SAFETY DEPARTMENT
'P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applieanf fo Fill In Completely
_ TYPE OR PRINT
BUILDING %,/ y0 /
ADDRESS /'jam .C.
COSTA MESA. CALIFORNIA
FES RECEIVED
JAN 311962
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
OWNER R� K K DEVELOPMENT CO. INC.
RECEIPT NO. PEp�M 32
1lOVY%l
MAIL
RECEI
BY OATS R CEI ED ATE ISSUED
ADDRESS 1 PLACENTIA AVENUE
--J�iN 31 1961
/
CITY NEWPORT BEACH E 6 NO. 22
BUILDING
ADDRESS
oRG" iNEER NONE oio ----
COSTA MESA. CALIFORNIA
FIRE
�L
ADD55
ZONE
TYPE f� GROUP /
CONTRACTOR K. W..KOLL
APPROVED
BY
DATE
ADDRESS 1 PLACENTIA AVENUE
LONE �_�
ZONING
PLANS BUIUSE OF
INLAE USE OF Newx;,p
CITY NEWPORT BEACH
STATE TEL.
LEGAL
L -' 4/ 7X H3
LIC. NO. NO.
DESCRIPTION
O
SIZE /
NO. OP BLDGS.
OF LOT Il OO
NOw oN LOT O
A. P. NO.
USE OF
YARDS
EVES
EXISTING BLDG. NnNrAPPROVED
ALLOWED
SETBACK LINE PROM �J //
�3 ' y
(CENTER LINE ST.)
S-�
CENTER OF STREET REAR YARD
FRONT
FT. IN.
%
SIDE YARD LEFT. �
RIGHT 7
R. SIDE
_
7 FT. IN.
7
DESCRIPTION OF WORK
L. SIDE
FT. IN.
NE` X ALTERATION I ADDITION
REAR
APPROVED
zs— FT. IN.
4 DATE
REPAIR I 'MOVING I DEMOLISH
BUILD NG / 03 S9 NO. OF
SIZE .e J.S ! ROOMS STORIES
EXTERIOR WALL ROOF L9om?0
COVERING STUCCO COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
ATTACHED GARAGE.
//Q
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE
OR ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION.
SIGNATURE OF
N /l
/
PERMIT FEE $ -3,7
PLAN CHECK $ 6
' / • P�L�
PERMITTERa
J (J D/3_—
�
AUTHORIZED AGENT
TOTAL FEE 5'5_1