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HomeMy WebLinkAbout1184 DORSET LN - Building Permits • PROJECT ADDRESS: .1184 DORSET LN UNIT: CITY OF COSTA MESA BUILDING PERMIT PERM NO: 8 ' U499U OWNER'S NAME: DANIEL HEIDELBERGER ADDRESS: SAME PERMIT NO:- B 049990 PLAN CHECK NO: 06774-90 S GUVt ; N SUYY; N• CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD 545-6025 ARCH/ENGINEER: , REG.NO.: JOB DESCRIPTION : PATIO COVER' SQ FT: , 682 ' ADDRESS: • UNIT: • CLAIM VALUE: 1 , 000 . 00 ' CALL—VALUE: . 9; 411 . 60 GROUP OCC: R-3 / PERMITTEE: DANIEL HEIDELBERGER ( 714 ) 545-6025 ONUS: 1184 DORSET LN CA 92626 COMMENTS: PATIO COVER/ DESIGN BY 'OWNER • CM ************************************************************************ **TE*4** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section' Z 0 N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: FRNT: 25 FT IN REAR: 25 FT IN FRNT: FT IN REAR : FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: 5 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT ' IN Compensation Insurance.or a certified copy thereof(Section 3800. Lab.C). POLICY No.: EXP. DATE: PARKING REQ. PROV• PARCEL• 1411 4107 ZNE: R1 REF NO: COMPANY: PLANNING NOTES>' FOR A 682 SQ. FT. PATION ADDITION, ONLY, 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > Dale'. Applicant' i ******************lE*I6*******?E***********•*******#6****************96,****96********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V 'E L O P M E N T '1,] E R V I C E S R E Q U I R E M E N 'T S 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 t subject to the Workers'Compensation Laws of California. ZONING APPROVED, BY DATE: Date, /i//6/,D Signature: a�/ . . L o� ixe . NOTICE:If.Sher making this declaration,you should become object to the orkers'Compensation provisions of the Labor BUILDING APPROVED BY ' 400/27 i/ .� DATE; 1! ! 6 `V Code.you must forthwith comply with such provisions or this permit sha e deemed revoked. / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY:. -� DATE... / 16 6 9 D LENDER: ****************************** -**** • -*************************************** ADDRESS: ' ' LEGALIZATION:N F E E U M MAR Y STRUCTURAL- SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING EL EC TR C • MECHANIC FIRE SMIP/RES . GRADING (Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT' - 117 . 00 ( . 66 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 76: 05 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($500). ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> • 117, 66 0, 00 76 , 05 193 .71 193 . 71 • 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through - " his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 193 .71 OVER/SHORT: 00 ill improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC .MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK . 66 7 6. 0 5 � for the purpose of sale). 117. 00 A I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and hProfessionsCode. Theh Contractors'State alconuraseLaw doespursuatoo hCof ctorsrty aLicense improvesI thereonr **96**9F969696******************************) ******************************x******** and who contracts for he prContract rs'h a e License Law awidoese not apply t to the erContractors'Stateh builds or em aware l that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL •F E E BR E AK D 'O W N • am exempt under Section'$P7044 B. 8P.0 for this reason ALL WORK ,BY OWNER �� TYPE QTY D E S C R I P T 'I O N' UNIT COST . TOTAL COST , Date: 1//14/90 Owner. _5 � SFR, 682 RES PATIO COVER—FOST 6 TRELLIS 13 . 80 9, 411 . 60 I do hereby certify that I am aware of and understand the requirements of California elth and S y Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with d state codes and the requirements for ar—:: . permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from : `f~"•a p these provisions. / Date: Applicant: , I hereby certify that I have read this application and 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 representatives of this city to enter upon the above-mentioned r'^ property for inspection purposes. 9--- Date: / /6/`70 Signature: / Driver's License or Social Security a: ' DI 00074414-00074465 *0193.ii DATE• 11/16/90 TINE: 15:48 1641-46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor . . - .. CONSTRUCTION AND PLANNING pOoq _ . APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement - - 3;i'Electrical Conduit,Utility-Undrgrnd. 54. Forms _ ! • •4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test' . . 6. Electrical UFER'_Grnd. 57. APPROVAL TO COVER-GUNITE _• 7. Footings 58. Electrical Conduit.Undrgrnd. . .8. Foundation :r 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL.TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . • c. 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 Wiring67. 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 20::Rough Factory Fireplace t t.ri r _. 7 • 'APPROVALS' Permit# . 21. Ducts, in Structure. : . - _ . :70. Underground Hydro 22. Ducts, Ventilating.- 1 !_, . • ' :11 ;71. ProducLPiping D as 0Oil 23.,,Gas•Pipe;Rough &Test tri-1.•.z , ;;1 r •72. Underground Flusfi, .- 24: Roof Framing 2. 1 : - • ' Y. x '1 ;•73.iUndergrnd.StorageTank:'0Gas 0 Oil 25. Roof Sheathing `��' '74`OverheadHydro-,'J• 26. T-Bar Ceiling (Structural) &tMonocoat - •:1 ' i• 75. Dry Chemical. .S •I • ' • 'r "27•• Frame and Flashingr � �J"®,"p J6. DrySfand �e �., .., _ . . 0 28. Lathing-& Siding . t _ •,-. •.1 •• ••fr t 777 FIXED SYSTEM FINAL ; '29. Insulation f • r .. - 'r1 • .., 5•', .f _ 78. FIRE PREY. FINAL ,_ , 30. Drywall Nailing • qt ' +'� t ,• :'; ., HEALTH DEPT:. REQUIREMENT - 31. Plaster Brown Coat; I I It ,,, ..79, 'FINAL INSPECTION '. - c 32. Electrical Power Mete -Final, tt� •• tt, : •180: :FOOD CERTIFICATE ISSUED .33._Finai Electric -r- t,, • tr- I -1 i I'/ ; 'Notes: _ 34. Final Heating& AirConditioning' - i 1 ' r z -r 35t Final Gas Pipe-Test _ � Iii44 44 I%Y ' 7. ` cot- 6E,,4 36. Hood or Canopy - ., • -. , , + •y�, 4]1 - .D I - 37.- Final Factory Fireplace , o _ ' -' ` it: 1'f 1$Ill.l. ,. • - a. . .; 38.. Final Plumbing I1 • f . + - - 39. Water Service:Final I, ft ' -1•t•1 i :r: ".40. Gas Service-Final -• : Pt I : I; . ;�- ' ' 41. Solar Domestic-Final' '� - ' a I t' , -i L :, lr 42.-Backflow Preventer, I I; ; .. ,� - 43. Backflow Irrigation - -- - • .2...-.... r- • ,,44. Landscape Irrigation System-. •t - - . 1-t •• t - • --.45; Sound Attenuation ' . - • - ` 46.. Handicap Regulations t = 47. FINAL STRUCTURE & BUILDING z:•./3_G7 _ 4/^ I cam,,= .: 48:;FINAL PLANNING =� I .n I '1 i-ir , ::' ! ` - . 49.:Electric Release to.Edison .'' - .. 4d ,t • 50..Gas Release to Southern California Gas Co 1 Cl:'11 . . :j t,; •,51'. CERTIFICATE OF,-OCCUPANCY i : 9.;: , i-I _ No Date PROJECT ADDRESS: 1184 DORSET LN UNIT: • CITY OF COSTA MESA — BUILDING PERMIT ' PERM NO; P 078199 OWNERS NAME: HEIDELBERGER DANIEL J ADDRESS; 1184 DORSET LN PERMIT NO: P 058199 PLAN CHECK NO; N GOVT; N SUPP; N COSTA MESA,CA 92626 • CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE; ALT 5456025 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CONVERT BATHROOM IN TO LAUNDRY RM SQ FT: ADDRESS: UNIT: ' CLAIM VALUE: ' CALC—VALUE: GROUP OCC_; R-3 / PERMITTEE: DANIEL J HEIDELBERGER ( 714 ) 545-6025 ADDRESS: 1184 DORSETLANE COMMENTS: REF: B58197 C.M. CA 92626 *************x>E'x****>4******>t***>F**s6****K*** >E***>F>E'IE*** EEE********—X-* E*>E>FR6*>Ex**RE*+t LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIR EMEN TS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date. Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: Signaby affirm that lhave acertihwte of consent to self-insure oracertificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR : FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL ; 14114107 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the ci Building Division. PLANNING NOTES> Date: 71/ 6 9s- APPficant: •:.'. *********lE******)E***iE*********iE*******iF•*******'*****************k1E*********ii**iE* EXEMPTION FROM WORNENS'COMPENSATION DECLARATION: (This s on need not be co eted if the permit is for one hundred($100)or less). D F• V E L O P M E N T $ E R V�-I C E $�' R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued.I shall mploy any person in any manner so as to become i. subject to the Workers'Compensation Laws of California. ZONING APPROVED BY la !" DATE: , Date' Signature: BUILDING APPROVED BY : -n ' • DATE: _ NOTICE:IT after making this tleclaralion,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. r' ifj CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for Ihe,pedormance of the work for APPLICATION ISSUED BY• - //� DATE• 7 which this permit is issued(Section 3097,Civ.C). **********************;�;F�^� . . . . ., . . . K.********iESF' 3c* k ** LENDER: **************************** *****i('******************z**********************i** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 4 ,00 _ repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25%% p, SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN / 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). ISSUE FEE 3. 00 (? I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> .4 . 00 3 . 00 L' . 0 , 00 7. 00 7. 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through 1 his or her own employees.provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED• . •.7. 00 OVER/SHORT: 00 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). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 7. 00 . ❑ 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 contractor(s)license pursuant to the Contractors'State License Law).l am aware **********************************'********************************************* that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A .-t F E E BREAKDOWN 21 I am•exempt under Section: B P 7 0 4 4 B.S P.C. for this'reason: ALL WORK BY OWNER TYPE QTY D E S C R / P T I •O N UNIT COST TOTAL COST X Date '1/46 f 91- owner. PLU 1LAUNDRY TUB OR WASHER 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California.Heal and Safety Cod c0ons 25505,25533.and PLU 1 GAS PIPING SYS OF: 1 TO 4 OUTLETS 2 . 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply ith said state co es and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. -1 Date. • Applicant: ❑t I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county i - ordinances and slate laws relating to building construction and hereby authorize represents ves of this city to enter upon the above-mentioned Cy property for inspec ion purposes.p / .T l} Dt. Date: ' �6 (9•2► Signature: •ry 01 00119092`0�':i.5 �' _ � 'Driver's License or Social Security s: DATE: r 1 T �'� t.7%,aJ42 TSI Fe " 7t 1641-46 White—BuiltllnO:Green—Code Enforcement:Canary—AOohcanll Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POO ;PA - APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole ',,„- • 52. Pool & Equipment Location I_ - t,�, 2. Soil Pipe-Undrgrnd. !' 53. Steel Reinforcement , • 3. Electrical Conduit Utility-Undrgrnd. ' .<- • - 54. Forms - _ ,-- 4. Electrical Conduit-Undrgrnd. . 1 55. Electrical Bonding - 1 • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation = ,f 59. Gas Pipe, 0 Undrgrnd., Test , 9. Water Pipe-Undrgrnd. f' 60.-Backwash Lines,P-Trap, 0 Undrgrnd. I ' 10. Structural Floor System rl,`a,�' 61. APPROVAL TO DECK - . .' 11. Property Sewer Line & House Connection J7 ! 62. Backwash & Receptor-Final- t 1^ 12. Sewer Cap • 1/ 63. Heater & Vent-Final :% • 13. Roof Drains 64. Plumbing System - Final ' y' 14. Rough Plumbing F/7/9•Z Ce...,0 65. Electrical-Final • �'. 15. Rough Electrical-Conduit - / 66. Solar System-Final /,/ - 16. Rough Electric Wiring67. Fencing & Access Approval ✓ ' • 17. Rough•Wiring Sign - 68. APPROVED FOR PLASTERING I - • 18. Rough Electrical-T Bar Ceiling r • 69.: POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - ' _ - 71. Product Piping 0 Gas 0 Oil - 23. Gas Pipe-Rough & Test 72. Underground Flush' 24. Roof Framing . • 73. Undergrnd.Storage Tank 0 Gas 0 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 j HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 1, .' 79. FINAL INSPECTION 32. Electrical Power Meter-Final 7 80. FOOD CERTIFICATE ISSUED • 33. Final Electric ,- Notes: r-so- TZ-- ko ons, dy-Ovyrt, „L.,cc .(Ato 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test ,'L`((,`gt cat' 36. Hood or Canopy 1 - 37. Final Factory Fireplace 38. Final Plumbing i (,kz, CO 39. Water Service-Final 40. Gas Service-Final • - 41. Solar Domestic-Final 42. Backflow Preventer i . 43. Backflow Irrigation 44. Landscape Irrigation System 45.- Sound Attenuation • 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . , fi .51. CERTIFICATE OF OCCUPANCY - No. Date i PRDIECT ADLRESr) 1184 DORSET LN UNIT: • CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059554 ,.OWNER'S NAME: HEIDELBERGER DANIEL J • ADDRESS: 1184 DORSET LN PERMIT NO: B 059554 PLAN CHECK NO: 04059-92 S GOVT: N SUPP : N COSTA MESA, CA 92626 CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT • ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; REMODEL KITCHEN SQ PT; 5, 000 ADDRESS: UNIT: • CLAIM VALUE: 5, 000 . 00 CALC—VALUE: 5, 000. 00 GROUP OCC: R-3 / PERMITTEE: DANIEL HEIDELBERGER ( 714 ) 545-6025 ADDRESS: 1184 DORSET LN COMMENTS : REMODEL KITCHEN C.M. CA 92626 *****x**4*****>E*> ** *****xx**x******aE>E******tE>Ex>E*** *****xu*'x*'x-*>F->E*******>4**>E>E* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date:. signature: MAIN -BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ. PROV: PARCEL: 14114107 ZNE: R1 REF NO: ' Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTESINT- ALT. TO KITCHEN OF EXISTING SINGLE FAMILY RES. Date: Applicant: *******************i6****** (?�*******************************i(***********-rt******** EXEMPTION FROM WORXERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($181)or less). D E V E L O (.P' H E N,G!T S E R V I C E S REQUIREMENTS 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 •) t p /Gl (-- subjectto the Workers'Compensation Laws of California. ZONING APPROVED BY ��— DATE: �O «0 1I Date: /% �9� _7 6 Signature: �'' �7 NOTICE:If,after making this declaration,you should becomes Jett to the Wo rs'Compensation provisions of the Labor BUILDING APPROVED B�} • .en DATE: Code.you must forthwith comply with such provisions or this permit shall b eemed revoked. n , !- CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constructio lending agency for the performance of the work for APPLICATION ISSUED h Y: DATE: .�:P I I r Ij L which this permit is issued(Section 3097.Civ.C). ******************{Epp•N*****1,G************** * -****fr*it*-x************3F**leis*it** **** LENDER: **********-******** ************************************************************ ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT; Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES - GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 2 . 0 0 . 50 repair any structure.prior to Its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES pursuant to the provisions of the Contractors'Stale 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 PLAN 46 . 80 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 72 . 50 0 . 00 46 . 80 119 . 30 119 . 30 . 00 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 completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED• 119 . 30 OVER/SHORT• ,00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 7 2 00 . 50 46 . 80 ❑ 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 contractor(s)license pursuant to the Contractors'State License Law).l am aware ************.**********.******.******.**.*.*x-***.*.**.*-***.**.*.**-*-*.*.*.*.*.*.JE******.**.***.**.***.x. that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAK D O W N p, I am exempt under Section: x B.8 P.C. for this reason: OWNER DOING OWN WORK TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST �j Date /��6/`J'Z- owner: / SFR 5000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 000 . 00 / I do hereby certify that I am aware of and understand the requirements of California,H lh and Safely Co Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilt/will not(circle one)need to comp y with said stat odes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. ' Dale: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property lot inspection purposes. Dale: '/As t92 Signature: a .- v 01 0O1?C-r;,IJ`r^1 rLO2 '_! s '_r,1: Driver's License or Social Security e:: .ri,TE: a•?,.t.,.-: 77.•:• 1,•e.- • 1641-46 Whue—Buildinq:Green—Code Enforcement:Canarv—Aoolicant:P- —Revenue:Goldenrod—Assessor 1/4 • CONSTRUCTION AND PLANNING a POO WA APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector ' 1. Temporary Electrical Service or Pole , • 52. Pool & Equipment Location J./ 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . = �. .. 3. Electrical Conduit Utility-Undrgrnd. '� - - 54. .Forms e.. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - -. -II ' 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd: 57. APPROVAL TO COVER-GUNITE 7. Footings 58.-Electrical Conduit-Undrgrnd. • 8. Foundation59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. �. • -- 60. Backwash Lines,P-Trap, 0 Undrgrnd. . 1/' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -''� , 7 12. Sewer Cap 'i'�- 63. Heater & Vent-Final I-/. -' . 13. Roof Drains 64. Plumbing System • Final ,,-..ii - -, � i 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final . V 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 ' 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure. ,. 70. Underground Hydro . 22. Ducts, Ventilating 71. Product'Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat , 75. Dry Chemical 27. Frame and Flashing &_77.4& 6,,,,* 76. Dry Standpipe 28. Lathing& Siding ��++!! I i 77. FIXED SYSTEM FINAL 29. Insulation I I I 78. FIRE PREV. FINAL 30. Drywall Nailing f'a f/ 4 64.41- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I I 79. FINAL INSPECTION 32. Electrical Power Meter-Final I I 80. FOOD CERTIFICATE ISSUED l 33. Final Electric I i Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy I • 37. Final Factory Fireplace 38. Final Plumbing I I • 39. Water Service-Final I 40. Gas Service-Final i 41. Solar Domestic-Final I 42. Backflow Preventer I I 43. Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation - l 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING /7 1i� 9�� .r 48. FINAL PLANNING / � /I I`-- 49. Electric Release to Edison l i 50. Gas Release to Southern California Gas Co - ; • • 51. CERTIFICATE OF OCCUPANCY • No. Date PROJECT ADDRESS:• 1184 DORSET LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 059557 14741e'SNAME: HEIDELBERGER DANIEL J AADRESS: 1184 DORSET LN PERMIT NO: P 059557 PLAN CHECK NO: N GOVT: N SUPP; N COSTA MESA, CA 92626 . CONSTRUCTION TYPE: PERMIT TYPE; PLU PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REMODEL KITCHEN, RE: #859554 SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / DANIEL HEIDELBERGER ( 714 ) 545-6025 ADDRESS: 1184 DORSET LN COMMENTS: REMODEL KITCHEN C.M. CA 92626 ******>E*4**** *+E**x*•x !***x-*>E*ELx**** ****•>ETE**x***** >Eap***44>E*>E* -zx********* **** E LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 14114107 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N(TTES> > date: Applicant: ******If*iF***lE********1e*ih*****it.*3E**it.***Ic**ih1E**iF-lE•if*****7h******LF***3i******9f***3E*)C< EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($10O)or less(. D E V E L O P M E N T S E R V'.I • C E S"i„” REQUIREMENT S 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 becomelc subject to the Workers'Compensation Laws of California. ZONING APPROVED BY 'l" 'i DATE j Date: /VA/9•2.- Signature: BUILDING APPROVED BY .) NOTICE:If.after making this declaration,you should become su • et to the Work s'Compensation provisions of the Labor DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. [e• ,- CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: U .. DATE• CO r Rotel_3� 1 * which this permit is issued(Section 3097.Civ.C). ******************* *********************** * k••e TL.****************.*k**it*** itF* LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 21 , 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - 25% SM I P/NON—RES 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 PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 21 . 00 20 . 00 . 0 . 00 41 , 00 41 . 00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his ro herm owntisemployees.provided of that mpl ion,the owner me are not a the bd de offeredoffor shIid not b ild oipREVENUE DIVISION TOTALS--> COLLECTED ; 41 , 00 OVER/SHORT: • 00 (his or hof esmlp wiees.pre year oft such limp theentwill have the burden proving forhe/shetedeo not build or improvegor . for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 41 , 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the ContractorsState License Law).l am aware ************•****{(************************************************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ® I am exempt under Section: x B.8 P.C. for this reason: OWNER DOING OWN WORK TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: IVie/9'.Z Owner: •/ PLU 1 • DISHWASHER 7. 00 7 . 00 • I do hereby certify that I am aware of and understand the requirements of California_ allh and Safety de Sections 25505,25533,and PLU 1 SINK KITCHEN 7 . 00 7 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said sta a codes and the requirements fora PLU i GAS SINK, —PIPE 7 . 00 7, 0 0 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. END OF FEES Date' Applicant: • I hereby certify that I have read this application and 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 representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: /0 h---) 6/71 Signature: C'1 ^1'':_:+3':'L.T7.. 2:-'J PDT Driver's License or Social Security It: C2048045fi1TEz 10 '1.u. y2 7117E: 1':`.-5 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING _ - . POOL A - Date Inspector Date Inspector . . APPROVALS Permit# - APPROVALS Permit # l'..-Temporary Electrical Service or Pole t 52. Pool & Equipment Location _ . i - 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement - , ' 3. Electrical Conduit Utility-Undrgrnd. - 54. •Forms 4. Electrical Conduit-Undrgrnd, - 55. Electrical Bonding rr -' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings58. Electrical Conduit-Undrgrnd. ' • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. . - , 60. Backwash Lines, P:Trap, 0 Undrgrnd. , 10. Structural Floor System ,j -. 61. APPROVAL TO DECK j r' 11. Property Sewer Line & House Connection --lr 62. Backwash & Receptor-Final I r -A- 12. Sewer Cap63. Heater & Vent-Final lam, 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 Ceiling69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS .Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24.- Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 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 I i 77. FIXED SYSTEM FINAL 29. Insulation I I I 78. FIRE PREY. FINAL 30. Drywall Nailing I I I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I I 79. FINAL INSPECTION 32. Electrical Power Meter-Final I I. 80. FOOD CERTIFICATE ISSUED 33. Final Electric I I Notes: 34. Final Heating & Air Conditioning I I I 35. Final Gas Pipe-Test / frZ744 .CA:PO 36. Hood or Canopy I 37. Final Factory Fireplace I ; ., :y,` 38. Final Plumbing /04 6(2242,11 1 39. Water Service-Final i I 9 _ 40. Gas Service-Final I i I 41. Solar Domestic-Final I 1 1 42. Backf low Preventer I I i 43. Backflow Irrigation 44. Landscape Irrigation System - 45'. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I I - 48'. FINAL PLANNING I1. -- - 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co I I 51. CERTIFICATE OF OCCUPANCY • No. Date • PRD.IECJ ADDRESS:. 1184 DORSET LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 059556 OWNER'S NAME: HEIDELBERGER, DANIEL J ADDRESS: 1184 DORSET LN PERMIT NO: M 059556 PLAN CHECK NO: N GOVT: N SUPP; N COSTA MESA, CA 92626 . CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ALT • ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : REMODEL KITCHEN, RE;#859554 SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 / PERMITTEE: DANIEL HEIDELBERGER ( 714 ) 545-6025 ADDRESS: 1184 DORSET LN COMMENTS: REMODEL KITCHEN C.M. CA 92626 **>E ****;x-****>E*******TE******* **** >faE>t*>f*** xx**rH*,** * >E*******>F*>E**>Ex**** E>t>E LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQU IR EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETH ACK S CITY LIC.: STATE LIC.: CLASS: Date signature'. MAIN BUILDING . ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT:. FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 14114107 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ***-*********************************1***-0E**df-***!E***************1E****ff-*******iE*lE* ` EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1W)or less). DEVEL OPMEN T S E R-•V' , 'C- E S REQUIREMENTS 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 • n. , ' subject to the Workers'Compensation Laws of California. ZONING APPROVED BY -, - - / DATE; Date: 1 b%6 /5� Signature: /J— / ' NOTICE:If.after making this declaration,you should becom subject to the rkers'Compensation provisions of the Labor BUILDING • APPROVED B Y DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. - p VD _ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; '7? • 41'5\ \/\ DATE•, `r-L /W i 1 t7 which this permit is issued(Section 3097.Civ.C). ********************************************* *********************** * ****** LENDER: ************************************i(****************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 1031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 , 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed e pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 2 J SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15, 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 50 15 . 00 0 . 00 24 . 50 24 . 50 . 00 does not apply to an owner of a properly 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 completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 24 . 50 OVER/SHORT• ,00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 50 ❑ 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 contractor(s)license pursuant to the Contractors'State License Law). l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN 3 I am exempt under Section: x B.8 P.C. for this reason, OWNER DOING OWN WORK TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: G /0l/6/9 Owner: alS7� Code NEC 1 GAS PIPING SYS 1 - 4 OUTLETS 3 , 00 3 00 I do hereby certify that I am aware of and understand the requirements of California Health and Sat Sections 25505,25533,and MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 6, 50 6 . 50 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 for construction or modification from the Air Duality Management District.Residential construction applications are exempt from - END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. ///���------�// ' Date' /o�/6 (9'a- Signature: .�..n / / ` Driver's License or Social Security a: / DATE:• 11.1....3.<,-C.(17.07/5?TIli� 'l5e' ' _ TIi- u 1641,46 While-Building:Green-Code Enforcement:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL 'A ' APPROVALS Permit# - Date Inspector APPROVALS 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 56. Rough Plumbing & Pressure Test {. , 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation .-, 59. Gas Pipe, 0 Undrgrnd., Test (:i 9. Water Pipe-Undrgrnd. - _ 60. Backwash Lines,P-Trap, 0 Undrgrnd. �! 10. Structural Floor System 61. APPROVAL TO DECK 1 ' • 11. Property Sewer Line & House Connection 1 . 62. Backwash & Receptor-Final1-' - I ,/ 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 ' 20. Rough Factory Fireplace APPROVALS ' Permit # 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23:Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 I I 77. FIXED SYSTEM FINAL 29. Insulation I I I 78. FIRE PREY. FINAL 30. Drywall Nailing I I I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I I 79. FINAL INSPECTION 32. Electrical Power Meter-Final I I I 80. FOOD CERTIFICATE ISSUED 33. Final Electric ! i I Notes: 34. Final Heating& Air Conditioning r gg I . 35. Final Gas Pipe-Test (4'14/''rd. O 36. Hood or Canopy /2114 r ti crte, 37. Final Factory Fireplace I 1 I I I _ 38. Final Plumbing I I ' iI 39. Water Service-Final ' I - I 1 1 40. Gas Service-Final ! I 1 41. Solar Domestic-Final 1 I I ' 42. Backflow Preventer I , • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap_Regulations 47. FINAL STRUCTURE & BUILDING I I - 48. FINAL PLANNING I� I I 49. Electric Release to Edison - I I _ 50. Gas Release to Southern California Gas Co I I LI 51'. CERTIFICATE OF OCCUPANCY No. Date • PROJECJ ADDRESS, 1184 DORSET LN UNIT: N1T CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 059555 OWNER'S NAME: HEIDELBERGER DANIEL J ADDRESS: 1184 DORSET f,N PERMIT NO: E 059555 PLAN CHECK NO: N GOVT; N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE; ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REMODEL KITCHEN, RE: 4859554 SQ FT; ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 / ADDRESS: DANIEL HEIDELBERGER ( 714 ) 545-6025 1184 DORSET LN - COMMENTS: REMODEL KITCHEN C.M. CA 92626 ***********-******>E****XEFc**** E*>f*FF*>Fx**>E*x-** *iF******* * *****iEr.*gEXE***x********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I ant licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRN'C: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: • COMPANY: PARKING REO: PROV: . PARCEL: 14114107 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NUTES> > .4.-- Date. Date: Applicant: ******************************it***k*1F*1E***1E************************************ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5100)or Less). DEVELOPMENT S 1 ,R V I C E S REQUIREMENTS 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. /� ZONING APPROVED BY Kfd DATE: 71 Dale: /41%`/92 Signature: ' NOTICE:It.after making this declaration,you should become iect to the W ers'Compensation provisions of the Labor BUILDING APPROVED BY : " DATE; Code.you must forthwith comply with such provisions or this permit shall deemed revoked, CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: a' DATE; `cp c f q which this permit is issued(Section 3097.Civ.Cl *********************1E******************** *****1t A-16******************** it***** LENDER: ***********************-%***********************************************3(******* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 1125 , repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SMIP/NON-RES 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 PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDI-NG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 11 . 25 15 . 00 0 . 00 26 . 25 26 . 25 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his roher mnt is employees,within provided tofatmphion,the nte are note the bddeoof pr for she/sIeid not r d or iimprvr REVENUE DIVISION TOTALS--> COLLECTED; 26 . 25 OVER/SHORT: , 00 forimptheepurpose ofld sate)nin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 26 . 25 ❑ 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 acontractor(s)license pursuant to the ContractorsState License Law). l am aware ***********************************K.**********************.x.*************ff**.3F*** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ® I am exempt under Section: x B. 8 P. C. for this reason. OWNER DOING OWN WORK /L4_7TYPE QTY DESCRIPTIO N • UNIT COST TOTAL COST Dam: /��6 /92 owner: ELE 4 FIXTURES LIGHTING 1 ST 20 EA, , 75 3 , 00 I do hereby certify that I am aware of and understand the requirements of California He and Safety C Sections 25505,25533,and ELE 7 REC EPT/Of1TL ET 1 ST 20 EA, . 75 5 , 25 25534 and that for any future building occupant win/will not(circle one)need to comp with said st codes and the requirements for a ELE 4 RECEPT/SWITCH 1 ST 20 EA, , 75 3 , 00 permit for construction or modification from the Air Quality Management District.Residential co ucticn applications are exempt from these provisions. END OF FEES Date: Applicant: I hereby certify that I have read this application and 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 representatives of this city to enter upon the above-mentioned ' property for inspection purposes. Date: � /�6,92-- Signature: a fl cD t2.�`�C_-, 12e21A7 :'. DT : 10/10'2 TII E .':t• } Driver's License or Social Security#: S 1641.46 White—Building;Green—Code Enforcement;Canary—Apple ant;Pmk—Revenue;Goldenrod—Assessor • ' N lc. CONSTRUCTION AND PLANNING _ POOL 'A Date Inspector - Date Inspector APPROVALS Permit# . _ APPROVALS Permit# 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 -i I 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ,) 59. Gas Pipe, 0 Undrgrnd-, Test ll��: 9. Water Pipe-Undrgrnd. - i �- 9 / 60. Backwash Lines,.P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK /- / 11. Property Sewer Line & House Connection62. Backwash & Receptor-Final 1, 7 . ' 12. Sewer CaO y - 63. Heater & Vent:Final i 13. Roof Drains 64. Plumbing System - Final - j 14. Rough Plumbing • 65. Electrical-Final . .. / 15. Rough Electrical-Conduit • 66. Solar System-Final i�f 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 ' 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure . .• 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping D Gas 0 Oil 23. Gas Pipe-Rough & Test72. Underground Flush 24. Roof Framing • - 73- Undergrnd,Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bir Ceiling (Structural) & Monocoat 75. Dry Chemical , 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation r I I 78. FIRE PREY. FINAL . 30. Drywall Nailing I I I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I I I 79. FINAL INSPECTION I •1 32. Electrical Power Meter-Final I I 80. FOOD CERTIFICATE ISSUED {ll 33. Final Electric �6/9 ' I Notes: 34. Final Heating& Air Conditioning k I I 35. Final Gas Pipe-Test I I 36. Hood or Canopy I _ 1 37. Final Factory Fireplace [ , r/ 38. Final Plumbing I ' ' ' , 39. Water Service-Final l 40. Gas Service-Final 41. Solar Domestic-Final • - 42. Backflow Preventer j I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I I 48, FINAL PLANNING I 49- Electric Release to Edison I I 50. Gas Release to Southern California Gas Co I 1 i 51. CERTIFICATE OF OCCUPANCY No. Date P.. (s8:-.. 1184 DORSET LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 058197 OV9f4ER iiAME: HE IDELBERG ERDAN IEL J ADDRESS: 1184 DORSET LN PERMIT NO: B 058197 PLAN CHECK NO: 02668-92 S GOVT: N SUPP; N •CJSTA MESA,CA 92626 CONSTRUCTION TYPE; V-N PERMIT TYPE; STR PURPOSE; ALT 5456025 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CONVERT BATHROOM IN TO LAUNDRY RM SQ FT: 200 ADDRESS: UNIT: CLAIM VALUE; 200 . 00 CALC VALUE; 200 , 00 GROUP OCC; R-3 / PERMITTEE: DANIEL J HEIDELBERGER ( 714 ) 545-6025 ADDRESS: 1184 DORSETLANE COMMENTS: CONVERTION ONLY NO ADDED AREA C.M. CA 92626 *********r6>E** E >Eac**k> ***********x..** >E>F ********>Ei<>F>E>F**********>E******%>f*atxat ** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING -- ACCESSORY BUILDING Date: S'COMPENSATIONDECLARATION: I hereby affirm chaff have acenificateofconsent toself-insure oracertnicateofworkers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN ", Compensation Insurance, or a certified copy thereof(Section 3800, Lab.CI POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 14114107 ZNE: Ri REF NO: -1 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division, PLANNING NOTES> CONVERT EXISTING BATHROOM INTO LAUNDRY ROOM. Date: Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E L O'P• M E Nra T S E R V 1 C E $ R E Q U I R E M E N T $ I certify that in the performance of the work for which this permit is issued,I shall n t employ any person in any manner so as to become �'" . �j subject to the orkers'Compensation Laws of California, e ZONING APPROVED BY .i ,• 'r�. DATE: �-- `' 7 X Date: �C /92 Signature: BUILDING APPROVED BAY : n DATE: 4:" \ NOTIC :If,aft making This declaration,you should becom object heWrs' ompensation provisions of the Labor /Code,you must forthwith comply with such provisions or this permit shall eemed revoked.CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constru n lending agency for the performance of the work for APPL ICAT ION ISSUED. BY: DATE: iwhich this permit is issued(Section 3097.Civ.Cl. ' Tr* eft**** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: thereby affirm that I am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 . 00 , k - repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed �' SMIP/N ' ON- RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)oI Division 3 of the Business PLAN9 . 75 y . 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). ISSUE FEE � t BUILDING-DIV-> PERMIT ISSUE PLAN- ,CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the — e ❑ structure is not intended or offered for sale(Section 7044,Business and Processional Code: The Contractors'State License Law TOTALS-- --> 15 , 50 0 . 00 -n 9 . 75 2 5. 2 5 25 . 25 . 00 • 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 REVENUE DIVISION TOTALS--> COLLECTED• 25 . 25 OVER/SHORT; 00 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). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 15 . 00 . 50 9 , 75 I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ✓ ,I ❑ 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 contractor(s)license pursuant to the Contractors'State License Law). l am aware **********************************#**************TA***************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN I am exempt under Section: BP 7044 B.AP.C. ;, for this rea on: ALL WORK BY OWNERTYPE QTY _ DESCRIPTIO N UNIT COST TOTAL COST .I� Date: /6/`� � Owner: SFR 200 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 200 . 00 ``\I do hereby certify tha(I am aware of and understand the requirements of California itnd Safety Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to co ly with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from /w,.. these provisions. Date: Applicant: 21 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county !7 v il ordinances and slate laws relating to building construction and hereby authorize represents'yes of this city to enter upon the above-mentioned property for inspection purposes. _- _ i! G0119577-17:1!9"7 .�93 0 '' e )ATE: 07 16792 I" • -,;,n Dale: 746/9 a— Signature'. t Iii= Driver's License or Social Security a: 1641-46 White—Bulldinq:Green—Code Enforcement:Canary—Applicant;Pio —Revenue:Goldenrod—Assessor L - POO1 PA 1/4.. - CONSTRUCTION AND.PLANNING - • • IIIIH APPROVALS Permit # - Date Inspector APPROVALS Permit # • Date -Inspector 1. Temporary Electrical Service or Pole �! •52. Pool 8: Equipment Location ;� 2. Sail Pipe-Undrgrnd. - i53. Steel Reinforcement / - 3. Electrical Conduit Utility-Undrgrnd. `1 54. Forms' �--- '` 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding t 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd„ Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. I f et 10. Structural Floor System j 61. APPROVAL TO DECK L ., 11. Property Sewer Line & House Connection f ., . 62. Backwash & Receptor-Final I �' /.• ' ' i. i12. Sewer CaP63. Heater & Vent-Final . '1 e ..--rr / 13. Roof Drains / 64. Plumbing System - Final j �. r r 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 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • . . 74: Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical - 27. Frame and Flashing ftQ�3 Z P 4 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing VO2-49 ir HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ..4'i 79. FINAL INSPECTION 32. Electrical Power Meter-Final / 80. FOOD CERTIFICATE ISSUED f� 33. Final Electric Notes: ��(` '�'L � � co-c, \ / �C _ Y 34. Final Heating& Air Conditioning .. n2 _ 35. Final Gas Pipe-Test �fi� 111(((JJJ 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 4, 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co _ I j VI - • 511. CERTIFICATE OF OCCUPANCY No. Date 1 CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement. A9Yes 0 No 2. I (have/have not) pit v signed an application for a building permit for the proposed work. 3. I have contracted with the following person(firm)to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted(hired)the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, in compliance with this State law. Signed: " I-/C7 Date: 00 Name: 17AN/EY r N'F7 PE7. Cie 6-ER (Printed or Typed) D.L. # or S.S. # 754-5273 1043-46 i PROJECT ADORNS: 1184 DORSET LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 058198 (LONER'S NAME: HEIDELBERGER DANIEL J ADDRESS: 1184 DORSET LN PERMIT NO: E 058198 PLAN CHECK NO; N GOVT; N SUPP; N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH 5456025 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; CONVERT BATHROOM IN TO LAUNDRY RM SQ PT : ADDRESS: UNIT: - CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE; DANIEL J' HEIDELBERGER ( 714 ) 545-6025 ADDRESS: 1184 DORSETLANE COMMENTS; RE 858197 C.M. CA 92626 **'**�E**x*%>t>F> * ****x**ars ****a4***>ESE**>E+E**>F;E*>ESE>E>E>E*aE#************;ExkEx***>E****>F*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS __ 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS -. • — . CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING- - - - - - - ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers'— FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified_copy_thereof(Section 3800.Lab.C). - LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN _ POLICY NO.:- -- • EXP. DATE: COMPANY: PARKING RE PROV; PARCEL : 14114107 ZNE: REF NO; ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. • PLANNING N TES> > • Date: Applicant: *****************************iE***1(;iE1a***************iE*******************1E*IE***X* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred IS100)or less). DEVELOPMENT S.,E, R V I C E S R E Q U I R E M E. N T S I certify that in the performance of the work for which this permit is issued.I shall rot employ any person in any manner so as to become subject to�they�orkers Compensation Laws of California. / / ZONING APPROVED BY DATE; Date: %/6�f2 Signature: ` BUILDING APPROVED BY , -e DATE: NOT E:If.a er making this declaration,you should become .ileo to the Wo •rs'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall bi teemed revoked, -.4 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construe in lending agency for the performance of the work for APPLICATION ISSUED BY; ..., ; which this permit is issued(Section 3097, Civ.C). **********************x x *****. **************************DA*TE***. /6 • 1EiE LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: thereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP./RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 , 25 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed _Jr 50% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 700(1)of Division 3 of the Business PLAN !/et, • 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). ISSUE FEE ;1 5100 BUILDING—DIV—> PERMIT ISSUE -PLAN—CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the 1 5, 00 0 . 00 17. 25 17 . 25 , 00 ❑ TOTALS--——> 2. 25 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law i 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 REVENUE DIVISION TOTALS--> COLLECTED• 17, 25 OVER/SHORT: 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve ithe purpose sale).t. BLDG PMT PLUMBING ELECTRIC MFrCHANI C FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 17. 25 - • • ❑ and Professions Code: The projectsContractors'wit state License Law does not apply to an owner of property who builds or improves thereon *********************************{ELC.fE********1(***********************iF********3F* ,• and who contracts for such with a e cter(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. INDIVIDUAL F E E BREAKDOWN IA I am exempt under Section: B P 7 0 4 4 B.S P.C. • `/ for this reason: ALL WORK BY OWNER TYPE QTY D E S C R I P T L9b N . UNIT COST TOTAL COST 1, 7//e/y2— Date: Owner: FIXTURES205 ELE 1 LIGHTINGv. 1 ST EA. , 75 7., I do hereby certify thal I am aware of and understand the requirements of California He an Safety Cod ections 25508 25533,and ELE 1 RECFPT/OUTLET F 1 ST 20 EA. . 75 . 75 25534 and that l or any future building occupant will/will not(circle one)need to copy with said stat des and the requirements for a ELE 1 RECEP T/SWITCH 1 ST 20 EA. . 75 • 75 permit for construction or modification from the Air Quality Management District.Residential cons ction applications are exempt from these provisions. END OF FEES Date: Applicant: ,79 /1/ I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county „ , I ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. ,, . • Date. ?//6/q/2-• Signature: !7,� Driver's License or Social Security 4: • (.1110011959 S-0:.1:x7594 {tE.S — 1641-46 While—Building:Green—Code EnforcemenCanary—Applicant;Pink evenue;Goldenrod—Assessor - DAIC: l�'i.Lf!2 T'I�[: 11Ct; r - I' CONSTRUCTION AND PLANNING 1 POOL PA ' APPROVALS Permit# - • Date Inspector APPROVALS Permit # Date Inspector ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location L'%• Kr'. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ... /• •r 3. Electrical Conduit Utility-Undrgrnd. • - , ' 54. Forms '^�• - 4. Electrical Conduit-Undrgrnd. . . • 55. Electrical Bonding . 5. Steel Reinforcement - 56. Rough Plumbing & Pressure-Test - 6. Electrical LIFER Grnd. - • V 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation t 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • / 60. Backwash Lines,P-Trap, 0 Undrgrnd. / f 10. Structural Floor System /• ' 61. APPROVAL TO DECK j - 11. Property Sewer Line & House Connection • % 62. Backwash & Receptor-Final l ; ��t' 12. Sewer Cap // 63. Heater & Vent•Final i •L. i / 13. Roof Drains • 7 64. Plumbing System - Final i� 14. Rough Plumbing 65. Electrical-Final • r ` !z,/ 15. Rough Electrical-Conduit 66. •Solar System-Final Ij 16. Rough Electric Wiring - 67. Fencing & Access Approval ,i/ 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 20. Rough Factory Fireplace APPROVALS Permit# 21.'Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 i2 79. FINAL INSPECTION 32. Electrical Power Meter-Final .,'j A 80. FOOD CERTIFICATE)) nISSUED 33. Final Electric / It '��'� Notes: deep,,/` .A40 ,4 34. Final Heating& Air Conditioning - i "v J 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 I I 43. Backflow Irrigation 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ' 491 Electric Release to Edison i 50. Gas Release to Southern California Gas Co 1 • j' 5V. CERTIFICATE OF OCCUPANCY if 1 1 . No. Date i I , Pos-.7t-472 v"-CITY PLANNING DEPT. SUBJECT TO BLDG. DEPT. RIO. BySte .„DATE-sa_:77•'•f7. ./�/ DIRECT, OF PLANNING om L. ed. 41/4 in Ifn I Li' •gegiviatf . COVE', " 8 Beino a Ta - 3.'9 Igo #« $edit O4. .7 Ai 'i 1 1 t 1815not� ao iVIOH wwo3 h �.. i - Ir u ✓ 1 ® V Spy/;p�� /11''/ .0 0 S e tpi niC • APPROVED _ . APPROVAL• OF THESE 1t' City of Cos PAes, Building-Dept', ' ... _ ,- NOT PL/�NS DOES BY C>.:..1 DAT3-(f-al� NOT CO�'�'ST!TUTf APPR THESE PLANS {BUST BE ON JOB AT ALL TIMES - - " - • OF pui ,.S'PJ,r, OVAL MAKE NO CHANGES WITHOUT PRIOR- APPROVAL; ELECTRICAL OR OF DEPT. . CONTINGENT 1N51ALLATION$, THE ISSUANCE OR GR'NTING OF A PERMIT OR APPROVAL OF PLANS AND SPECIRCLTIO;!S SHNL "i. T BE CONSTRUED -�{- - TO BEA PERMIT FOR, OP, :.N APP CO:'rL OF, AN. VIOLATION Pennft i ...... C; LJ76 OF ANY OF THE PEOV:SIO.:S OF THIS CCU:. NO :'EAMIT PRE: .......G........1......................„................- SUMING TO GIVE AUTHORIIi T0; VIOLATE! OR CANCEL THE THIS NUMBER rMUSTFlCCQ gpgNY PROVISIONS OF THIS CODE SHALL BE VAItID. EXCEPT IN SO ALL 1NSPECT: p FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL - _-_ ON REQUESTS THE ISSUANCE OF A PEIMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NOT PROVENT THE BU.LUING OFFICIAL FOR BU'LD:N;S IN - E PERSONS ARE TO FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS BE EMPLOYED • v; HO IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING , • SATE 0,: CALK- SUGGEST THAT THE BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN INDUSTRIAL DIVISION OF IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE FOR OF THE CITY. AD.;II"CONAL REQUIREMENTS. 1 • -.� • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations_. ' lit:ITVtFl,COST4 MESA P MIT NO. TRACT NO. LOT NO. BLDG ND. , 41 78 2/ 10/84 • 1 30.32 71 CG�6�'fRUCION PERMIT C9 —: 110$0 �t 3@ 39 •a. • Project Address 11B4- DOt"tt Ln. C040 (ne5ct d1 -61fe ' ' TYPE OF CONSTRUCTION• ' Li'NEW ADD tal ALTERATION 'H REPAIR , " Applicant's Mailing Address { PF/OE/)AL-C Xr) • I ❑ CON VERSION ❑ DEMOLISH ❑ OTHER A.P,#.141 /III—0 7 I Zone Q/ • • • Owner's Name Dan 4ei6e 1tat rAP.y' - 'phone 5qS-/OD�i7, - DESCRIPTION OF WORK R210cwte 17U14'Itr oom .4. bar d wait: ' r, , S (.10Se f'. S' Main Building. Accessory,8 uilding Z Address' Wig Dorset- ! v1. . CasFa',Y1 est. • 9�aV . TYPE OF PERMIT:/❑ GRADING,yLI FOUNDATIO�Ny LJ STRUCTURAL T: FrO nt ,f f - N Arch/Eng c Py ros -RAr 1YICY51'slP - ^ License No., I • ❑ TENANT' L'7 ELECTRICAL' LJ'PLUM GING- I�"I MECHANICAL B' Reef - • 7� � ? N - Address Ib�'7 A'"Oaker St% Cocfa Mesa . ' ❑ ,OTHER - 'A 1 Contractors Name•1�'itt r 4tQ1'SReOPWeI Phone [031-1415 a-, •PROJECT DESCRIPTION SG. FT. " OCCUPANCY ' C. Right _ . . *' '' •/ -t - G $o. eigf a1 'K. _ Addre5s.((Mailing) 358 PQfiQ P1 COSfA Y✓12 .CONSTRUCTION TYPE - VALUATION$ 1,000 g Left_ • • E City License No. •30 '7Z( .. ZONE GRADING C11.YDS. ACRES Ping:Ref.,# • - -Park Fees $ , ,Q ala • LICENSED CONTRACTOR DECLARATION _ ' a U Remarks: 'Parking Req./Provided I. I"hereby affirm that I am licensed under provisions of)Charter 9 (commencing - • R 1 with section 7000) of eanSion 3,of the Business and Professions Code,and PC r • 9� • j 'Use of Building: I '7 E I`�,h my licensees in full force and effect. • fL License Class' PI'1 ' ' y'''''� p License No. LiS OOO I ' . PLUM FEES Planning Notes: • , M V E Date 4'344 Signature AtilA"ss 1"110.091 &•"Opti, N `R KERS'COMPENSATION DEC LA RATI6N / Bar Sink - , Showers Z cc - reby affirm that I have a-certificate of consent to self-Insure or a certificate- - -. - L •-• .. - -_ .. -• .. T Workers' Compensation Insurance, or a certified copy thereof (Section;; Backflow Pr¢ventef Service Sink - S ( 3800, Lab. C.) �1 /� - 229 -O'�7 II� V7.4TE FUl�1/�l , Backflow Irrigation Sewer Cap_ _.+ i ,' -!, _ - Policy No. ompai;y '200 r ELECTRICAL FEES (] Certified copy is hereby furnished, I • '.i /'• Bathtubs Sewer Connection . ,,r)`. ZOQ _ Automatic Washer • , Transformer 0 15-50'KW �I Certified copy is filed with the city ulltli g (vision. '• . , I .1• 0 50+KW i gg qq pp n� Ila . , Date 1'3-X4 Applicant rT[>Mn{,1 V (cal 90' f -Qt y • Clarifiers _ Solar Collectors Construction Pole Sub. - . + I ' . i_ _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • l0. Dishwasher Solar Pipin • •g(This section need•not be completed If the permit Is for one hundred ($100)or., _ p g ...� _ Cooking Unit , Meter ❑up'to.100 amps' - --..c. (This less). Drinkin Fountains f - ' 1 certify'that.in the performance of the work for which bthis permit is Issued I' ' -9 Solar Tank • ^�' L V a - Dishwasher Met¢r ❑over 100 amps' - shall not employ any person In any manner so as to become subject to the " . Workers' Compensation Laws of California.) • Floor Drains, • • I Swimming Pool w/Spa Dryers ❑Gas DElectric ' •• Sub Panel i Date i Signature I�"' ' NOTICE: if,iafter making this declaration,you should become subject to the Floor Sinks - • - • - Urinal • -'- - - -- - Fan - 1- - ' Motors 00-1 HP'❑1%-B •' - ' Workers' Compensation provisions of the Labor Code, you must forthwith, . . . . ' comply with" such provisions-or this permit shall be.deemed, revoked:, Ga's Service. ' Outlets • "Water.Closet• ' 2 00 F.A.U. , .2 „� • Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - - •' I hereby affirm that there is a construction—lending agency for the performance Interceptors • Water Heater - , ; / . Fixtures;/' ' ,- Microwave • {' 0 �O ' of the work for which. this permit -is issued .(Section 3097 CIv. C.) - T . Lender's Name tip, _ I - Kitchen Sink, - Water Service Device Boxes <�, Pole Light . ' Lender's Address NIA ' ,- . - - " ' OWNER BUILDER UEC LA RATION / Lavatories - ' . - 2 OD 7, Outlets -1t, ' Range ' i D ` 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 P-Trap . • • �l Switches Sign t/ 60 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 - ' Garbage.Disposal ' Standing Sections file a signed statement that he/she is licensed pursuant to theprovisions of Contractor's License Law(Chapter 9 (commencing with Section 7000) of Generator ❑0.5 KW El 5-15 KW Trash Compactor cion 3 of the•Business and Professions Code) or that he/she is exempt , . • - ' , efrom and the basis for the alleged exemption:Any violation of Section - - .f1.5 by' any applicant for a permit-subjects-the applicant to a civil Reinspection Fee rI . $ 3 _ _ ., ' • LIenalty of not more than five hundred dollars($500). Pe $25 Issue Fee ' I, as owner of the property or my ertiployees with wages as their sole . - Reinspection Feed $25 Issue Fee : .$ 3 compensation will do the work,and the structure is not intended or offered ' •' MECHANICAL , i FEES for sale (Section 7044, Business and. Professional Code: The Contractor's . PUBLIC SERVICES REQUIfiEMEI•{TS- License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 '• Decree—K,/�� ��/©����jjj�����I , thereon, and who-does such work himself/herself or through his or her own Zoning Approved By ✓'/ Dateo-•<-'70 employees, provided that such improvements are not intended or offered for - Canopy Type II' ❑ ' / i sale. If, however, the building or improvement is sold within oneyear of com- Duct-Under Ground BuildingA roved,B �- ��}}..,, / ./ P PP Y Date_99 ,, e p lobe the owner sewill have the burden of proving he/she did not build or im- I. G Q rove for the purpose of sale). Duct-Structural • Refrigeration System • Applicatign,lssued.By� Date U I, as owner of the property,am exclusively contracting with licensed con- • - tractors td construct the project (Section 7044,Business and Professions Code: ,ir Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU ., -,r' dan 2'. SU'�`pMJC/�MAR'�.`�YOO�F FEES The Contractor'smproLicense Law rah notera apply to for such owner je property who • BUILDING PERMIT $ ==`N. SMTP :$ O. - builds or Improves thereon,and who contracts projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). ' PLAN'CHECK-l- $ a PERMIT. ❑ Lam exempt under Section - B.& P.C.for this reason " Firepl/Fact.Blt. ICBG# PLUMBING'.a, $ Co ISSUANCE • $ 'Date Owner, - • Heating System& Ducting PLAN CHECK,'25% $ ENERGY P.C. $ I hereby certify that I have read-this application-and state that the above- ❑0100,000 BTU-❑100,000BTL/ - , • s ELECTRICAL r' +']f GRADING .5 Information Is correct. I agree to comply with all city and county Ordinances i •$ and state laws relatingicy. building construction, and- hereby ion duthoper y for PLAN CHE CK'..'S0% $ MICROFILM �$ • sentatives of,this.city to enter upon the above-mentioned property for • I �-• • Inspection our sg?e& ' p r MECHANICAL t1/2- COO Signature (1YM•tA.<{ re i Date X-1-s4 �. $ TOTAL FEE $ Drivers' License oriSS# ' - -- - ` Reinspection Fee - -$25 • '-Issue Fee - $ 3 PLAN•CHECKf'25% $ D. . C " . . i3n•3a CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor " a,�4CONSTRUCTION:AND PLANNING- - ' .' - POO iPA =: . ' ''APPROVALS Permit# .. Date - Inspector ; APPROVALS- Permit# Date': Inspector , ' - .. _ - ;..1.. Temporary.Electrical Service'or•Pole ; ,52: Pool &Equipment Location . - i 2: Soil Pipe-Undrgrnd.' _ ' ,- - - . , ,...1.42/ 441 . 53 Steel Reinforcement L, ,f -; 3: Electrical Conduit Utility;Undrgrnd. - 54:: Fo• rms , _ ... - - ';: c. 4,,-;Electrical Conduit-Undrgrnd. : - • : • 55: Electrical Bonding - • • - - , -_-. = - . 5_ Steel Reinforcement ,.:; • - ' 56, Rough Plumbing.& Pressure Test - • • i. :4- . 9 I ; • 6: Electrical UFER Grnd. - l ? - : 57'r APPROVAL TO COVER-GUNITE 1 - • : 7. Footings' • f .1, . i I -'58: Electrical Conduit-Undrgrnd.,-- ' -' 0 1 ' j r: i ':' 8. Foundation 1 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. _ ? ', _ 60. Backwash Lines,:_P-Trap, 0 Undrgrnd.r 10. Structural Floor System ; '"� . . �. � ' 61. APPROVAL TO DECK _ "s I - '=' 11. Property Sewer Line & House Connection : 62. Backwash & Receptor-Final - . r _d e; '• ' 12. Sewer Cap" "' I - 63. Heater & Vent-Final . .3 13. Roof Drains c I' , ' -64. Plumbing System=Final - . - , - 14. Rough Plumbing . i/7f?'t n( '65. Electrical-Final - - '.7:::, - ; ^ I t' ` 15.''Roii-h Electrical-Conduit . - - "--` - - 9 66. Sola7System=Final ".- ----' i r - _ r '..16. Rough Electric Wiring_ I J 67. Fencing &Access-Approval -I - . LT- - : --' 4 ' 3K� . °CL' _ . '17. Rough Wiring Sign` - . t • 68. APPROVED FOR PLASTERING ' j • ' " ; - i y 18.;Rough-Electrical-T,Bar Ceiling' - - 69.; POOL/SPA SYSTEMS,FINAL : : 4 i '' • • 19.;Rough Heating& Air Conditioning t ' ' FIRE DEPT. REQUIREMENT` - : . ' ' ' a: 20.,.Rough'Factory Fireplace ' ' ' - ' • C. APPROVALS Permit# 1 ' ' • 21.• Ducts, in Structure °' -1 70. Underground Hydro ! ` 22:.Ducts Ventilating . i;,:, 71. Product Piping ❑Gas. D Oil 1 ''' • 23/Gas Pipe-Rough &Test ' i 72:' Underground Flush• ; i 24. 'Roof Framing , . - - 73. Undergrnd.Storage Tank O Gas 0 Oil ' '-, ' 25. Roof Sheathing r • ,, - - 74. Overhead + Hydro -' c c 2p.,T-Bar Ceiling (Structural) & Monocoat . _ `, 75. Dry Chemical , • 27. Frame and Flashing 76.. Dry Standpipe - _ i r• • ' 4 28. '.Lathing &'Siding, ' _ . 77., FIXED SYSTEM FINAL H - _ , 't _ 29. clrisulation .: j c i -, '78: FIRE PREV. FINAL ` • -30. Drywall Nailing �' dr,a.f3c� HEALTH DEPT. REQUIREMENT l i i j 31. Plaster Brown Coat,, 79.' FINAL INSPECTION . , 32. Electrical,Power Meter'-Final ' • I ' 80.. FOOD CERTIFICATE ISSUED , 33. 'Final Electric ..,.. `dt�✓,1 .t ' _Notes .'I i - I w 34. Final-Heating'&`Air Conditioning 84/,/i.9L 'ttA z , so 35. Final GasiPipe-Test • - - ; 36. Hoodor Canopy - I • . Ve ' . - - ' . _. , . �/ Nh QcSS• LE#�YErcoa�'CAao c./k, 37.-Final Factory Fiteplace .- i • - ' i 9 Mien /( -. 11 -_(12,a iv!d?/•' e, 38. Fina It Plumbing.: ; • ; ' W2V/a r LIE-4) , ' (S'= 4....e `/N0ittli r/p�ir.Q'',�0r 39. Water Seryice-Fioal ' . ; i I - ; " '� *et,- . 40. Gas Service-Final ¶ , .: ) I - 41. Solar Domesti .:F.inal t • _ . - - - - - - - - •1 \ ' 1 t, t. 42. Backf low,Pre'venter t i . _- _ _ . 4',1 'i/t� ' I 43. Backflow!Irrigation, i ! • _ •- _ 44. Landscape Irrigation System 1 • - 'I. - F. _ 45. Sound, Attenuation , - - 46. Handicap Regulations . ' = - - 47. FINAL STRUCTURE & BUILDINGS 977.,, I i 48. Special Requirements Completed j - "' I '� f` , 49. Electric Release to Edi Fon r i , . -;--- ` ;- '-- ' - - •, - ' ., r _ !--1, 111 50. Gas Release to Southern California Gas Co ' ; ' 1 il i tit U . 51. CERTIFICATE-OF OCCUPANCY - • • - - - - - - - - tiI ' :jai ,k No. L •:1 '. c _.'Date - , _ ,.. P I _ . . 1 tnviwt CO1tHIN, DAVI.IJ LA1G 0-eV-CO JOB ADDRESS 1184 Dorset Lane BUILDING PERMIT NO. 25860 GENERAL CONTRACTOR pix–Vent Awning DESCRIPTION OF WORK Sunshade Cover 0. 141-141-07 LOT TRACT FIRE ZONE VALUE $ 500.00 .ECTIONS I Signature Date GROUP J TYPE IV ZONE R-1 SoilGas SUBCONTRACTOR I DatePER i NMITS umNum ISSUED ber 1 Signature 4 Water Plumbing Rough Plumbing 34,Prop. Swr. Line 0 House Con.0 • Sprinkling System _ Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms O Steel Reinf. 0 _ Floor System _ Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out 0 "".ster, Brown Coat ictural, Final Electric heating, Vent., Refrig. and A.C., Final _ Plumbing, Final and Gas Test 0 Electric, Final - Building, Final dela (�7r, C.C- PAID -J MM 19-69cnsAOO 41+7 0*****5.00 K . 29860 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MIzSA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely // 7p_ REG EJfC/ %1 DATE 'OWNER CORBIN, JOAN DATE 3-19-69 JOB ADDRESS 11$4 Dorset Lane BUILDING PERMIT N0. 29860 rT "FRAC CONTRACTOR Owner-Builder DESCRIPTION of.WORK Legalize Patio9Enclosure 141-141-07 LOT 39 TRACT 4395 FIRE ZONE NG VALUE $300.00 �Ihat'ECTIONS Signature Date GROUP J TYPE V ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE _ _ UNDERGROUND n POWER n ROUGH WIRING _ Heating and Vent. TRENCHES ❑ FORMS n STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE In SHEATHING FRAME AND FLASHING LATHING - IN n OUT n STER, BROWN COAT UCTURAL, FINAL ¢ t ii/C ��/�/�/� tryry HEATING, VENT., REFRIG. AND A.C., FINAL -A� �/i eta j /7-�7 274O�� PLUMBING, FINAL AND GAS TEST n � 11 ` ELECTRIC, FINAL CSP' 3-/ BUILDING, FINAL fr� ° -3-19-6.W • 7 t 25860 CITY OF COSTA MESA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 .COSTA MESA, CALIFORNIA 92025 JUN 29 1966 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT IL N 'BUILDING QQ^ For •a4/ ADDRESS J i 44 .O Y-S cT 1._.N • +Y' RECEIPT NO. ..RiRM1Hy0 COSTA MESA• CALIFORNIA pA (may / "J/ll�T1SSET) • ((\� ` R[C[IV[p_[Y pAT OWNER CORBIN, David DATE 11-26-62 JOB ADDRESS 1184 Dorset Ln. BUILDING PERMIT NO.18279 GENERAL CONTRACTOR Edward & Pacana VALUE $ 230.00 AP No. 1141-11+1-07 LOT 39 TRACT 4395 FIRE ZONE DESCRIPTION OF WORKCom.Blk.Wall INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-1 SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line 0 House Con. ❑ St.Swr. ❑ —_ - Sprinkling System Construction Pole _ Underground ❑ Power Ej Rough Wiring Trenches P--"" Forms ❑ Steel Reinf. /( - Floor System Bond Beam ❑ Steel Reinforce 0 _ Sheathing Frame and Flashing Lathing — In 0 Out ❑ Plaster, brown coat r` frig ❑ Air Cond. ❑ Final ing, Final _ _ __tithing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final f OCCUPANCY FORM BU4•5M - 7-61 1 P970 /&/I-4(L"-iii''ac/QE/ ACA 77 1.8279 FE RECEIVED COSTA MESA BUILDINGSAFETY-DEPARTMENTY 6 1962 P. O. BOX$17 COSTA MESA. CALIFORNIA Fid�IC DEPT. CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT j.�J ATYPEE�OR PRINT-//- - / // p BUILDIN�7, ADDRESS I/(] 4 Oar LU �'+ ,T d`. (/ COSTA MESA. CALIFORNIA For Office Use Only fl � OWNER '1 d ll1.111 Cy r b I�AJ I RECEIPT NO. P¢ T�N7O.i MAIL . 118 ( ()0 r s-Q L G �1.n/ RECEIVE/VBY D RCE VED (`TE FIYB/BUED ADDRESS• // M�TQ, qq 1 T �-7 /� I J�= -b=1 I>a -G CITY coy"- /11 PS H. NOL. BUILDING ADDRESS ARCHITECT TElm COSTA MESA. CALIFORNIA OR ENGINEER NO. •ADDRESS - Z JJ�� �I J �/ q ZONE /TYPE ROUP • CONTRACTOR &(jai r U P 4C d w/7APPROVED {J /,/' a'7 . " BY DATE . ADDRESS (%Q 3 2 ) d � •t/ ZONING ���`lam/�/Y�"�//![J�/��t��Q'/'/v// �/ 2O� NO.OF U8E OF NEW/�'- ,4 CITY (-(JP S irl/!Y S �P 1 PLANS '��I BUILDING LIATE G.NO. TNO. T(•U - 3.✓ 2. LDESCRIPTION I /1 9 �q�-Y 3 //J SIZE NO. OF BLOBS. 1I-j IIL- / /� �7 OF LOT 0 O I NOW ON LOT A.P NO. I 1 / — 1 - b l USE OF �I -- / YARDS 1 11 VES EXISTING BLDG. ��/(((//!///"'��� APPROVED ALLOWED SETBACK LINE FROM ,_______,-------- (CENTER LINE ST.) J) CENTER OF STREETREAR YARD FRONT 7 " FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE SFT-- IN. DESCRIPTION�( OF WORK L.SIDE FT. n IN. NEW I' /X V ALTERATION I II ADDITION I REAR FT. 0 IN. • REPAIR V MOVING I I DEMOLISH I APPROVEDY %�/�0 V • /DATE //- ^! / BUILDING - NO. OF l ( ! r1b PJ SIZE ROOMS STORIES ' EXTERIOR WALL 1 ROOF COVERING- COVERING , UF BUIL ING AND WORK TO B F�RFORMED • SOP.0 w>4II b ' 5A 9 ''Y ‘',Y -S' I HEREBYACKNOWLEDGETHAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _q� VALUATION _— ' SIGNATURE OF` �G� �. ..t Y'%/ PERMIT FEE $ .. N PERMITTEE B . $ h PLAN CHECK $ �- AUTHORIZED AGENT 3o v Q -� 0 TOTAL FEE - it. LRT 39 TRACT 4 EEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT (1py1I/ JAN 3 11962 P. O. BOX 517 COSTA MESA. CALIFORNIA / ' FINANCE DEPT. For Applicant to Fill In Completely APPLICATION F&Tl‘E41 IEOSTA MESA TYPE OR PRINT BUILDING ADDRESS [J BUILDING R/W /70/(See. Aanc COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I f /PFJy 14°' OWNER K & K DEVELOPMENT Co._, INC, iV`VV�{( 44 MAIL RECEIVED BY DATE REC VE9 DATE ISSUED ADDRESS .1555 PLACENTIA AVENUE • _ tri / 02/�--I✓1-I JAN 31 1962 CITY NEWPORT BEACH NpIM I 63227 BUILDING ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NONE NO. ADDRESS FIRE Lee (1 ZONE TYPE GROUP �/`� /� CONTRACTOR K. W. Kou_L APPROVED BY DATE ADDRESS 1555 PLACENTIA AVENUE ZONING CITY NEWPORT BEACH ZONE�J1 IpuNSF a I BUILDING use or EW/. a/, q 9 LICTND. . 61195 TEL Mi . 6-3227 LEGAL DESCRIPTION Lat 37 i'\ v39-r SIZE //r�`� NO. OF SLOGS. OF LOT l��JX,/QU/ NOW ON LOT O A-P-NO. USE OF YARDS EVES EXISTING BLDG. NONE APPROVED ALLOWED SETBACK LINE FROM / (CENTER LINE ST.) CENTER OF STREET l AREAR YARD � FRONT .0/ - FT. ' // IN. SIDE YARD I LEFT 4.51 I RIGHT R.d. R.SIDE / 0 FT. — IN. DESCRIPTION OF WORK s L.SIDE FT. IN. NEW I X II ALTERATION I II ADDITION I REAR 2.S FT. — IN. REPAIR I I MOVING I I DEMOLISH I APPROVED BY C.</.0 e Ae- DATE 1/3 Geo BUI NG 1;3,77S NO. OF SIZE �j, -",..n, .A ROOMS 7 STORIES 1 EXTERIOR WALL ROOF ,/ COVERING SLF TUCCO COVERING r��/�A/.22.7Ec2 S/ t,, �0 i USE OF BUILDING AND WORK TO BE PERFORMED k/ SINGLE FAMILY RESIDENCE WITH / /l6j' ATTACHED/�GARRA/�GE. - � 7� ALAN # lel L7�J 47,1 /`�-02'/S' i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION �J SIGNATURE OF , �,( PERMIT FEE $ 3e rt , ���`/�`��� y/ N FERMI-IMFto $ le / V/ PLAN CHECK $ J9..--- `to AUTHORIZED AGENT c TOTAL FEE $ .5-7— ,0