HomeMy WebLinkAbout1198 DORSET LN - Building Permits PROJECT ADDRESS: - UNIT: - - •
OWNER'S NAME: 1198 DORSET LN CITY OF COSTA MESA — BUILDING PERMIT t ' PERM NO: B 048631
. ADDRESS: ANDRO
SAME • . PERMIT NO: B 048631 PLAN CHECK NO; N - ' GOVT: N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: STR ' - PURPOSE; OTH
L 540-6240
-?IRCHIENGINEER: REG.NO.: .
ADDRESS: UNIT: JOB DESCRIPTION : REROOF 3200SF RESID & GAR W/CLASS A COMP . SQFT: - 5, 000
PERMITTEE: CLAIM VALUE: 5, 000 . 00 CALC—VALUE: 5, 000 . 00 , ROUP OCC : R-3 /M-1
• ADDRESS: CAL PAC ROOFING ( 714 ) 583-0884 ,
9272 JERONIMO •
COMMENTS : X SMOKE DETECTOR
77qq�c]]77��77��•• CA 99'7•I p ***************************�r** +r*srsr*+r***+eerx-*ek�r**irateF�a*+EyF�Eea+E**+e iiiEEE -er+E -er'IE3F'DETECTOR
LICENSED Cision 3 the Business
and I hereby affirm that I am licensed under provisions d or camer 9(commencing with Section I .'��®
7090)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • ,Z ON ING ' R EQUIR E M E N T, S 7Vi
Cin LIG.:64-3)3
�4 31 4 STATE UC.: 12 8 0 6 Cattle. CuSS: 9 S E T B A C K S
•
Date: FS'�jb—cl(' signature: � �L-•� 11,
MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have acertificleof codsent 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). Ill` LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT : FT IN
• POLICY xD.: 01.WCP12072A EXP.DATE:
04/01 /91
' `1 Certified copUy 1pEeby7( nisshhed.NG TCertifed copy is filed with the city Building Divi' o. PARKING REQ• PROV; PARCEL ; 13923124 ZNE; REF NO:
.�.q // �` PLANNING NOTES> •
Oate: S-0)o I 0 Applicant: >
*******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thus section need not wmpl ed i1 the permit is for one hundred($100)or less). D •E V EL OP MEN T SERVICES R E Q U I R E M E N T3 S
I certify that in the performance of the work for which this permit is issued,I shall t employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. '
ZONING APPROVED BY DATE:
Date: • Signature: • - - - _ —
-
•
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: '
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. Q
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for �` I �j
which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUED BY ; DATE: � '!
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason 1
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/R
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or 50 /,,r GRADING
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 72 . 00
pursuant to the provisions of the Contractors'-State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ' SMIP/NON—R E S
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
i
I. as owner of the property or.my employees with wages as their sole compensation, wit 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 TOTAL S————> 7 2 . 5 0 . 0 . 0 0 0 . 0 0 7 2 . 5 0 7 2 . 5 0 . 0 0
, does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/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: 72 . 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 72 . 00 - . 5 0 JP's",
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon 0.
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 am exempt under Section: B.8 P.C. •
IND I V IDUAL F E E BR E AK D OWN
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
•
Date: Owner:_ _ SFR 5000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 •T5, 000'. 00 •
I do hereby certify that I am aware of and understand the requirements of California Hearth and Safety Code Sections 25505,25533,and /. ,
•
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from , i
these provisions. . .
Date: • Applicant: ' ,:3<.,' I 4'Z
I hereby certify that I have read this application and stale 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 t' city to enter upon the above-rnn�ntioned
property for inspection purposes. /'� ( •
1 /!'T-^Y7•p`A\� v DA01 00E1 08/20/90 bTIMEt6 TE10T .72.5p
Date: r��Y� signature: C/ +� � DATE: 08/20%90 TIME: 10'03
Driver's License or Social Security#: • '
164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - '
COMSFRUCYION AND PLANNING - POOL SPA -
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
y
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. '
•
10. Structural Floor System - - 61. APPROVAL TO DECK, i
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final "
12. Sewer Cap - I 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 Conditioningr .FIRE DEPT. REQUIREMENT
•
20. Rough Factory Fireplace _ APPROVALS . - Permit #
21. Ducts, in Structure I - • .-
m 70. Underground Hydro
22. Ducts, Ventilating • - -- 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough & Test .- .72. Underground Flush •-
24. Roof Framing t- -- -^ •_ 73.-Undergrnd.Storage.T.ank 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. Insulation78.;FIRE PREV. FINAL - •
30. Drywall Nailing • • . . • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - " 79. FINAL INSPECTION
32. Electrical Power Meter'-Final - 80. FOOD CERTIFICATE ISSUED • • .
33. Final Electric. - _ Notes: - -
34. Final Heafing& Air Conditioning , , .
35. Final Gas Pipe-Test •• `
36. Hood or Canopy _ - - - - -
37. Final Factory Fireplace . - ,
38. Final Plumbing . - - - .1
39. Water Service-Final i -
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 ‘00-251/ / _ del e _/ /_L("G"- 1i
48. FINAL PLANNING Y1
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co . ••
51. CERTIFICATE OF OCCUPANCY
No. Date
. . , . . _ Applicant to fill in all spaces except those within heavy_border,lines and sign all appropriate declarations.
CITY OF, COSTA MESA ryCO STRUCTI NPERMIT PERMIT NU. T ACT NO. LOT NO. UNITNO. .8071 4/04/88 ' 89.60 -TL
Project Address /1 ? O.ro,eseM/ 1m r- PD St_ 8& 0 I. 37
Applicai 'S.Mailing Address AS ),�1,n,it, , lY*f4O 42 TYPE OF CONSTRUCTION L� NEW H ADD H ALTERATION H REPAIR n
-5 Name 6�Kf1�C� r /7YI d7/ 'w' Phone no 'Gz Ya
CI CONVERSION ❑ DEMOLISH ❑ OTHER - S 1 p _ A.P-# /Lli -• ,l�l -a9' _ _ •
. Zone, L.I-
Ownec: DESCRIPTION OF WORK/USE OF BLDG. I1�� ! v
T ' '// O.e,r'r Lp9>e e Cr91osy , I�IAU (,m-tid .5 Main Building: Accessory Building: v
Adltess ,y� �l� = • Z
Arch/Eng. •
License No. TYPE OF PERMIT ❑ GRADING a FOUNDATION LQ STRUCTURAL .T Front �(,I ' ibtserm:n . - O
Address ❑ TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear' ZffO 1 . N
,y� sir- ❑ OTHER C Ri U / • N
Contractor's Name Uit-//rT ��/�'O"l�i Phone K 7y z G
�9 72 .047,`-r / /� PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing) y I*-.-I A'!1 //� Ci v CON ST RUCTION TYPE• • VALUATION$ 2g4Q — eft s.G7 O ' , •
R
City License No. d �'1��� ZONEv GRADING CO.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION • . r1 rt ,( Ping. Ref.# Parking Req./Provided
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:, ,(�� y f �, g'f U. .t.fc kJ-4A, _ Planning Notes: IL'.a 0 I � �`u jf't( M
CI
with section 7000) of Division 3 of the Business and Professions Code,and T
my license is in full force and effect. -vl 1 5 r a'c n / s J/y n i/-(h $
License las _ C _ ur Li j se No. r % PLUMBING FEES _Ci —� ill1�' ,,..— % (�J�l� r u�^
Date Signature -
WORKERS'COMPENSATIONDECLA-ATION Bar Sink - Showers • ELECTRICAL 'FEE• S affirm that have a certificate of consent to self-insure or a certificate
Norkers' Compensation Insurance, or a. certified copy thereof (Section Service Sink
�0 Lab. C) Automatic Washer Transformer 0 15-50 KW
Backflow Preventer
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. •0 50+ KW _
8 Certified copy is hereby furnished. •
Certified copy is filed with the city Building Division. BathtubsSewer Connection Cooking'Unit Meter ❑up to 100 amps
Date Applicant _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . Dishwasher - Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or '
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel' -
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any man so as�lp become subject to the Drinking Fountains . Solar Tank . Fan Motors❑0-1 HP ❑1 i-8
Workers:.C pep on Laws of California.iq K �� t>.� _ _ _ I _
Date — t- Signature �+- 'v Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
• NOTICE: If,after making this declaration, you should become subject to the •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY 'Gas Service • Outlets Water Closet Device Boxes
•
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for-'which this permit is issued (Section 3097 Civ. C.) ntercept0ls Water H¢at¢! Outlets
Lender's Name Flange
Lender's Address __• - . Kitchen Sink Water Service Switches : . '
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt:from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code; Any city or - -
county which requires a-permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 0.5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit ❑ Trash Compactor
-
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
.the Contractor's License Law(Chapter.9(commencing with Section 7000) of
.;A,civision 3 of the Business and Professions Code) or that he/she is exempt - - -
erefrom and the basis for the alleged exemption. Any violation of Section •
M`-331.5 by any applicant for a permit subjects the applicant to a civil '
'"°enalty of not more than five hundred dollars($500). I
Li I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 . Issue Fee $ 3 •
•
compensation, will do the work, and the structure is not intended or offered •
Reinspection Fee I $15 Issue Fee I$.3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 - - DEVELOPMENT SERVICES REQUIREMEli a ' Q
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
�-' Cr o
sale- If, however, the building or improvement is sold within one year of cam- — - - - - - Canopy Type II ❑ Zoning Approved By ate
•
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved Bycho Date hprove for the purpose of sale). - 1 " _ vv •
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued By _ Data `t S a
•
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct.Ventilating ❑0-100,000 BTU 0100,000'137U SUMMARY OF FEES-
builds or improves thereon, and who contracts for such projects with a con-
tractors license pursuant to the Contractor's License Law). I am aware that . - BUILDING PERMIT $ S4'.OLS SMIP - $
Exhaust System ❑ Multiple ❑ System.Repair/Alteration 3 �,.
proof of their Worker's Compensation insurance should be provided to me. . - PLAN CHECK $, PERMIT
0 I am exempt-under Section B.& P.C.for this reason - Firepl/Fact.Bit. ICBG# Fire Dampers • PLUMBING $ ISSUANCE $
Date Owner- - Heating System& Ducting ' Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL GRADING $
•
information is correct. I agree to comply with-all city and county ordinances ' - ELECTRICAL $
and state laws r- g to building construction, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $
sentatives of thop ty t enter upon the above-mentioned property for per`
Inspection ipo �� --P t'"
MECHANICAL $ TOTAL FEE $ O 1' ‘f�
Signatur i lir 'Date 7 -Y
Drivers' License or SS#/ / - Reinspection Fee $15 Issue Fee - $ 3 PLAN CHECK 25% $ •
I
CMF 0865-46,rev. 10/84 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
CONSTRUCTION AND PLANNING _ POOL& SPA •
APPROVALS ,Permit# Date Inspector APPROVALS Permit# Date Inspector
1 •Temporry 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 UF ER Grnd. lit( 57. APPROVAL TO COVER-GUNITE "
y
7. Footings 71( I'�� - 58. Electrical Conduit-Undrgrnd. '
8. Foundation. lll( l/ 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Und`grnd. • • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK . f/.2
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - • . -
12. Sewer Cap 63. Heater & Vent-Final -
J
'-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-
'r
23. Gas Pipe-Rough & Test 72. Underground Flush I , .
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 r r
28. Lathing & Siding 77. FIXED SYSTEM FINAL -• .
29. Insulation 78. FIRE PREV. FINAL '-
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster'Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED - / - -
33. Final Electric • Notes: I9i&8 et< v6 6 Ar £ pot- -
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final , - .
40. Gas Service-Final
l e
41. Solar Domestic-Final . _ •
- 42. Backflow Preventer ' r
43. Backflow Irrigation . •.
44. Landscape Irrigation System
•
45. Sound Attenuation
46. Handicap Regulations
_
47. FINAL STRUCTURE & BUILDING 067.9tor,48. Special Requirements Completed
•w
49. Electric Release to Edison . ••
. , I
50. Gas,Release to Southern California Gas Co - 1
51. CERTIFICATE OF OCCUPANCY '. -
No. Date
T. TYPICAL 611 CONCRETE. BLOCK FENCE
Cement Coping Optional
Channel Block Withl-3/80 ` I ��- GENERAL- NOTES
Horizontal Top of all .
FencesMORTAR: One Part Plastic Cement and
'� I __ Three Parts Sand
For Fences 5'or Less 19 �' �'-! GROUT: One Part Cement Three and
Vert.Bars 3/8" at 4'-0"0.C. in �. ` One Half Parts Stand
x COPING. One Part Cement, Three
IN 1- Parts Sand
or F= /igher Than 5' (� ' N, �- CONCRETE: Well Mixed 1:2-1/2: 3-1/2
Vert. Bars 3/8"O at 32" O.C. w
x Max. of 7-1/2 Gallons of
• - • . ')� z l-' Water Per Sack of Cement
Where Steel Occurs _ -
Reinforcing Steel Shall w all
GROUT MAY BE POURED FROM THE TOP
to SAGA-15-39 IIIYYY iii o OF THE FENCE IN CELLS WHERE STEEL
ConformM. OCCURS.
F-
CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped M 11111111 ` --- •— '' - IFORCEMENT SHALL BE CLEAR,CLEAN&
P pe FREE OF ALL MORTAR DEBRIS,ETC.
24"or to Code I11 1' I
NATURAL Gli 1 ,,v •
RADE illIl
••
WO 3/e••0 BARSA
b
CONTINUOUS TOP _Aal n ' •
&BOTTOM I- Sdirg:7�� . IN . ._ _. . .
FWIDTH ‘- w7/—�—r
SEE CHART
HORTZSTEEL MUST BE TIED IN BELOW e DE PTH OF E4RTH700TH
PLACE AT TIME OF TRENCH •eI . _ -.IOW/3 THE
0770M OFF FOOTINGFENCE
INSPECTION. L
s 3 . v' .
O:1 IO" j 2" SCALE: I/2" = I'
FOOTING REQUIREMENTS CH RT
I WALL HEIGHT • 5' : 4' 3'
WIDTH 0 14" i -_12 12"
- THICKNESSask10" 8 . . . . 8 "
DEPTH OF EARTHTOOTH . . 20" 16" . . . 12"
SPACING OF EARTHTOOTH. • 12 14' x 16'. . . . . . . 16'
OWNERS NAME: _ 2A1 de-et-5_
Cityof Costa Mesa California JOB ADDRESS: _ Kist- . a �; __ _ —
PERMIT NUMBER:_ �(f
Building Department SIGNATURE: A�`_- k r i _ __ _ _
2evitao r tov.az
• APPROVED
City of Costa Mesa Building Dept. ` .
BY DATE `e. 19�� . .. -
' THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE T �,
. NO CHANGES WITHOUT P IOR APPROVAL OP DEPT, t
•
T4q!SSUANC' C% GRAN?!NG OF A PERMIF OR FFPRGv At OF /%� � � �
PIANS PND SPECIFICATIONS SHalt NOT FIE CONE1aVCD TO SE A TY D C
. { p>,,r.4lt ,OR. DI AN J'2 OV AL OF, ANT vI0I4;IOS 01 AHi OF 1�Af OSTA 41 ,010
TH`. F6'.)''TIS:ONS Of-T;.•,SICOF..ri)FIK,\i ? t5U.14iNG TejGIVF +, PWNNING. A ""' -
. S A.u18GRITv TO VIG_A,B OF -ANCE, 9€ PPO'Ht 64S O< ri ` �47EG7 E 'Y DEPt.
COTE.SHA.i BE V A'.;C. E?._FP1 IN SO FAR AS THE WORK,OR uSE O BERG, DEPS,DY R
r WHICH R AUhHORIZES IS LAWFUL EO'
~ C A7- -3e�'
• THE, ISSUANCE OF A PERMIT BASED UPC,N PIANS AND
matt? OP
SPECIFICATIONS SHALL NOT PREVENT 1LIE RyeLowe OFFICIAL � Fbd� �XJ
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN
SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING
. BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
THE CT . �b1,0
it�ptic fin,.t(k � �r ,-, :� T
�\
Pic .t
' kir 27...
"� ' ?1. n 'I
IONS
`a ; ,Fmkt
I .
1, .
I RtcrocRCE
RESIDENCE
WRESIDENCE RESIDENCE 'dl
CC
liq 7 n D , 1F.
1 71 W •
. Q
�Tcc N
75l .
l
_±__l____ _ ________ _ _______'DorSTsLi- b_ (c.u.l _ .,
REET (tub_a ''�
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered Into this ' / day of
arAt 198$ p
. 183, by and between 8/Met ani/ell
hereinafter referred to as "LAND GNER", and
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the
property line between ((411 Qoistt (Aft a,.iO o 1pZ Darc (nit)
(Address of Adjoining Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded 'in Book , Page__ of Miscellaneous'Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND OWNER ADJACENT PROPERTY OWNER
PxAMuJ- ,,J Cot.6-vIu. 'p
(Signature) (Signature)
r'
eunia� L . 14,.rd(G�l SdLa.,1-ort Chr&(o o%
Name (Typed or Printed) Name Typed or Printed)
aqit Rtchmmd Wei Cosl-G- /mesa. 1 t 9 i Gorse-F- Lan-t-
(Address) (Address)
•
(NOTE: 'tease see reverse side for notary's statement)
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
•
CiTY.O.F COSTA MESA CO��VSTR UCTIO�V,PERMIT' PE//•' IT NO TRACT NO. LOT NO. UNIT NO. . ,. -
f/98L7mGxe / y. � o2P2.e/ '/39r 37 5587 12/10/55 I %¢�10 TI
• 'Project Address �J �./_. _ . . . . -
ApplicaM'sMailingAddress23F qC //.rh6.ti ..11f4{t•P{N�/ TYPE QF CONSTRUCTION NEW ADD ��•
TER•TION - REPAIR - - ,
Owner's Name. erfhCe Andre U/ Phona V4 y?4'G • CONVERSION ❑ DEMOLISH ❑ OTHER .4... €4--••• I . >•.� �� qp # Zo - ,
DESCRIPTION OF WORK/USE OF BLDG.
Address .c...'✓*'•‘..-Fa ' • • ' - ' S Main Building: : Accessory Building: •
Arch/Eng. - License.No. - TYPE OF PERMIT U GRADINGIl��I❑I FOUNDATION ❑ STRUCTURAL •T Front - _ • ZO
❑ ,TENANT. '❑•ELECTRICAL•El. PLUMBING ❑ MECHANICA • •8N
1-Address ' /-� _ . Rear; - _
' Contractor's Name/ n/c QI •
❑ OTHER • ���a"s`-7�P � ��f�l �Y- 'C Right '• - - N
.t� Y�✓�.+as4JL..�ha,C• Phone 774'/ 2�9 1 .� 7 _
PROJECT DESCRIPTION SQ. FT- s OCC UPAN
'Address(mailing) Z3 ✓V //✓A�jl _ - K - G�0647 - ' CONSTRUCTION TYPE - =' VALUATION$ S Left - ..
• City License No.: . • , - . ZONE - ' GRADING CU.YDS. ' ACRES R
LICENSED CONTRACTOR DECLARATION . - , Ping. Ref.# Parking Req./Provided - E
hereby affirm that I,am licensed under provisions of Charter 9 (commencing Remarks: �� -21070 . Planning Note '
-with;section 7000) of Division 3 of the Business and Professions Code, and M
I my license is In full for and effect- .. - T
-License Class ens o.L/4/6,ir/r• - S
* 'Date/t -42-1, i Signature a �y PLUMBING ' ' , FEES
WORKERS' COMPENSATION DE ARATION • Bar Sink • ' Showers - - III ,FEES
rereby affirm that I have a certificate of consent to self-insure'or a certificate
Workers' Compensation„ Insurance, or a certified copy thereof,(Section I Backflow Preventer -- - • Service Sink -
300, Lab. C.) , ■ s
Policy No. Company •
- • Backflow Irrigation Sewer Cap. ■ s
_ certified cop]is hereby furnished. i
Certified copy is filed with the city Building Division. ■ s s s .
Date Applicantetedi •
ii . ' lar Electric . Sub Panel
��� e.. •■ ■
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION e eMeter ■. 11 S,
(This section need-not be completed if the permit is for one hundred ($100) or
less).
I certify that in the performance of the work f w ch 'is permit is issued, I -
Wor not employ any perso9of any mann s s t e� a subject to the a e• ' ®II
Motors ■1 ■
Workers'not Coemploy sa�n� pesos in Cnf ma
rains '
Date 1.2.- fe.., Signature ' �
16-15+
'NOTICE:If,after making this declaratio , you should become subjectetto the SolaT ■6-15 HP ■
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY - ' - - e
1 I hereby affirm that there is a construction lending agency for the performanceutlets ' Liii
of •the work for which this'permit.-is issued (Section 3097 Civ.' C.) • Water Heater Lender's Name '• Lender's Address I - ' Kitchen Sink' : • Water Service • Switches • -OWNER BUILDER DECLARATIONI hereby affirm that I am exempt from the Contractor's'License Law for the
following reason (Section 7031,5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repairP-Tra 1
any structure, prior to its issuance, also requires the applicant for such permit Generator 00-5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions ofRoof Drains '- •
the Contractor's License Law(chapter 9 (commencing with Section 7000)of ,
pivision 3 of the Business and Professions Code) or that he/she is exempt 1 - -
- erefrom and-the basis for the alleged exemption,-Any violation of Section : f I
•.•031.5 by'any •applicant,for a permit subjects the applicant to a,civil, - -
-' enalty of dot more than five.hundred dollars,($500). , 1
❑ I, as owner of the property or my employees with wages as,their sole' Reinspection Fee: $15
•
' .compensation, will do the work,and the structure is not intended or offered . Reinspection'Fee I $15 Issue Fee • - $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves .
thereon, and who does such work'himself/herself or through his or her own ■ DEVELOPMENT SERVICES REQUIREMENTS: ,
employees, provided that such improvements are not intended or offered for, CVO'
� /�
sale. It, however, the building'or improvement is sold within one year of com= ■ • Zoning Approved By t•�l/� /t _ Date/ /O
pletion, the owner will have the burden of proving he/she did not build or im- a L/1/F'G`~�� •
prove for the purpose of sale). • • Building Approved By Date
❑ I,as owner of the property, am exclusively contracting with licensed con- e •- Application Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code: _
The Contractor's License Law does not apply'to an owner of property who e 00-100,000 0100,000 : SUMMARY OF FEES ,
builds or'improves thereon, and'who contracts for such projects with a con, -
tractor(s) license'pursuant to the Contractor's License Law). I am aware that •■ ■ • BUILDING PERMIT $ /eroo SMTP _ $ d• s 0
i proof of their Worker's Compensation insurance should be provided to me. r
Repair/Alteration PLAN CHECK ' $ L''.S0 PERMIT
❑ 1 am exempt underiSection B.& P.C.for this reason, :e ® Fire Dampers 1 •
PLUMBING $ ISSUANCE $
• Date - owner N Heating System&Ducting Registers ' PLACHECK 25% $ ' ENERGY P.C. $ '
-I hereby certify that-I have read this application and state that the above 00-100,000 BTU 0100,0006T - - - -• - - - - GRADING • $' •
, information is correct: I agree to co ply with all city and county ordinances 1 r ELECTRICAL • $
and state laws relating o buildin ons uction, and hereby authorize repro- - - PLAN CHECK 50% $ MICROFILM. $'
sentatives of this c' to ent upo 'tYhe'a�b..�o�ve-mentionetl property for : /� co
inspection purpo -/ /Z,-/.0,137 MECHANICA LI $ •
• TOTAL FEE ' $; �"
' Signature — , Date '
Drivers' License or SS* / Reinspection Fee $15 Issue Fee • $ 3 PLAN CHECK i 25% $I
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POO SPA
• r Date Inspector Date . Inspector
„APPROVALS - Permit# APPROVALS Permit#
li.•Temporary Electrical Service or Pole 52. Pool & Equipment Location
2.•Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
,�t3. Electrical Conduit Utility-Undrgrnd. 54. Forms
,
• k4. Electrical Conduit-Undrgrnd.. 55. Electrical Bonding
' 5. Steel Reinforcement • 56. ,Rough Plumbing & Pressure Test . •
^-6. Ele• ctrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
• 7. Footings 58. Electrical Conduit-Undrgrnd.
I. 8. Foundation - 59. Gas Pipe; 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.-
10.
ndrgrnd:10. Structural Floor System _ 61. APPROVAL TO DECK _
11. Property Sewer Line & House Connection - ' 62. Backwash & Receptor-Final
112. 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 . - _.
.1,6. :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 I ,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 -
•44. 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, I77. FIXED SYSTEM FINAL
,- . 29. Insulation 78. FIRE PREV. FINAL
•
30. Drywall Nailing .4 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' - 79. FINAL INSPECTION
'32. Electrical Power Meter-Final 80.. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: - -
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test - - - '
36. Hood or Canopy. c
37. Final Factory, Fireplace - '
38. Final Plumbing ,
39. Water Service-Final
40. Gas Service-Final : w
41. Solar Domestic-Final '
42. Backflow Preventers • -
43. Backflow Irrigation
44. .Landscape Irrigation System ' - .
45. Sound Attenuation ,
46. Handicap,Regulations
47. FINAL STRUCTURE & BUILDING 7[ U� .
48. Special Requirements Completed v - r
49. Electric Release to Edison ! - •. - ' - 'I. ;
50. Gas Release to Southern California Gas Co .
51.- CERTIFICATE OF OCCUPANCY - '
No. Date i
- . _ -, _ _ . . _ _. . . Applicant to fill,in all spaces except those within heavy border lines and sign all appropriate declarations. . - 0445 - - 1 E.00 ' TL
•
35-�
CITY OF COSTA MESA : 'CONSTRUCTION PERMIT �KMI I NO. /'� •TRACT NO. - LOT NO. . UNIT NO. - . • - . , ' -
P;ojec2Address /•/ rSP f' J-/ EZID.%C� r' /� 1 - .. ,
Applicapt's Mailin Address z�1 •N •• LL•• LL�(' ,311,,.�w ' TYPE OF CONSTRUCTION ❑ NEW J DD LJ ALTERATION ❑ REPAIR - • +r
Vv.
^ „I Z— — ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - _
Owneail ieL.Q Phone t' A.P.AP #, „ •
Zone' -
Addre shame- `� �•y.� !Y . DESCRIPTION OF WORK/USE OF BJ�G/may
Address, L'� C �J'�1 _ _ ' �raGrYlq ,;�5 r le-err�l J S Main Building: Accessory Building: _ -; . Z
' Arch/Eng. - - License No., TYPE OF PERMIT ❑ GRADING ❑-FOUNDATION TV15 RUCTURAL T Front- . . . ' • 0
Address' • - -❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL It Rear - — - - - N
`Contractor's Name� TeC� e ' EPhone774C[Lc ❑ OTHER - - • C Right _ • - - N
Address(mailing)Z �1: S/L+L f PROJECT DESCRIPTION SQ. FT. OCCUPANCY 'K Left r_
/J J CONSTRUCTION TYPE ,VALUATIONS • S _ G
•
City License No. "7'i t t ie ZONE GRADING CU.YDS. .ACRES I t E
LICENSED CONTRACTOR DECLARATION •
- Ping. Ref. # Parking Req./Provided
I hereby affirm that-I am licensed under provisions of Charter 9'(commencing Remarks: ' • r Planning Notes: -
with section 7000) of Division 3 of the B ' as and Professions Code, and - - _ T'
my license is in full for .nd effect. , - I - • S
License Class -.Z / Li, se 'o. • •40 - - -
Date Signature :T — i - — _a �� PLUMBING . I • FEES .• . '
WORKERS' COMPENSATION DE ARATION • Bar Sink Showers ELECTRICAL FEES
tereby affirm that I have a certificate of consent to self-insure ora certificate •
Workers' Comae Insurance,io/, or-a certified-copythereof'(5ectiorr Backflow Preventer- - - - `Service Sink - - -
�800, L / ' Automatic Washer) I Transformer 0 15-50 KW
Policy LLvp y ' Company ✓ ' Backflow Irrigation Sewer Ca 0 50+KW •
9 p Construction Pole Sub.
® Certified copy is hereby furnished. ' r -
Cer7ieC ey pw,ys jiletl with ty Buil•.: -Div' io•/ Bathtubs Sewer Connection 'a Cooking Unit Meter Duo to 100 amps
pate ' Applicant i - '+�-�1 LES -EXEMPTION-FROM -
ionneed
WORKERS'COMP NSATION DECLARATION ' . . Clarifiers Solar Collectors _ ___ - - , Dishwasher_ _ _„ - ," _. Meter Dover amps , ._ _ _ -,
(This section neenot be completed if the permit is for one hundred ($ 10) or
less). , Dishwasher ' Solar Piping es Dryers ❑Gas DElectric Sub• Panel
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 ' Drinking Fountains Solar TankFan - •
Motors❑01 HP ❑1%-8
Workers: Compensation Laws of California- -
. Date Signature ' - ' Floor Drains - Swimming Pool vv/Spa - F.A.U. - Inc Solar 09-15 HP 016-15+
-NOTICE:If,after making this declaration,you should become subject to the - - _
Workers"Compensation provisions-of the Labor Code, you must-forthwith- - - - Floor-Sinks - -- . - - Urinal - ' -' - - 'Fixtures -- - -ve -
comply with such provisions or„this permit shall .be deemed revoked. '
CONSTRUCTION LENDING AGENCY, • _ Gas Service Outlets ' '- 'Water Closet - Device Boxes • ' • -
I hereby affirm that there is a construction lending agency for the performance - Pole Light
of the work for .which this permit is issued (Section 3097 Civ. C) ' Interce tors -Water Heater - ° _ '
Lender's Name - p . - • ' . - Outlets Range
Lender's Address • - - - • - Kitchen Sink - _Water Service Switches , ' -
OWNER BUILDER DECLARATION ' • .> _ - Sign
I hereby affirm that I am exempt from the Contractor's License Law for the , -Lavatories - Auto-Wash .
following reason (Section 7031.5 Business and Professional Code: Any'city or - Garbage Disposal ;Standing Sections ,
county which requires a permit to Construct,alter,improve,demolish or repair P-Trap - 1 • 'Laundry Trays _ - '
any structure, prior to.its issuance, also requires the applicant for such.permit ' - - y y Generatot ❑0-5 KW❑5-15 KW , ' Trash Compactor
t to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - •- - -
the Contractor's License Law(Chapter 9(commencing with Section 7000) of - ' • - _
"_)ivision 3 of the Business;and Professions Code) or that he/she is exempt - - - . ,_/
.aerefrom'antl the basis for,the alleged exemption. Arty violation of Section - - , I • ., JJ -/
,�.'031.5 ,by any applicant for a permit subjects the applicant:to ra civil - _ . - - J"kr��- 7
• enalty of-not more than five M1u9dred tlollars($500).1 t - - e '
co I, as owner of the property,or- my employees with wages as their sole Reinspection, Fee $15 - Issue Fee r ' $'3 ' - - ,
compensation, will do the work,and thetstructure isnot intended or offered • - I - - ( �R inspection Fee 'I $15 -�s5sle Fee $
for sale (Section.7044, Business,and Professional Code: The Contractor's ' y _ 'MECHANICAL FEES \\\
License Law does not such
to an owner of a property who builds or improves - -
thereon, and who does such work'himself/herself or through his or her own Hood or Type ❑ - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler
sale. If, however, the building or-improvement is sold within one year of corn- Canopy Type II ❑r ,} Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ' •
prove for the purpose of sale). l : I
Building Approved By Date ['-//p
❑ I, as owner of.the property, am exclusively contracting with licensed con- ' • Duct-Structural ' Refrigeration System - Application Issued By ' a - Date j/d c,
tractors to construct the project (Section 7044, Business and Professions Code: - - ..+
The Contractor's'License Law,does not apply to.an owner of,property who Duct-Ventilating - ❑0-100,000 BTU 0100,000 BTU _; �A flA7'r,„ SUMMARY OF FEES .
builds or improves thereon;antl(who contracts for such projects with a con- - • - lul/ s�w' /a
tractor(s) license pursuant to the'Contractor's License Law). I am aware that' Exhaust System 0 Multiple 0 System Repair/Alteration �- ! B ILDING,PERMIT $ SMIP $
proof of their Worker/s Compensation insurance should be provided to me.' _
I PLAN CHECK ' $ PERMIT , • ,
❑.I am'exempt under Section B.& P.C.for this reason • Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date owner, Heating System-& Ducting r ' Registers PLAN CHECK 25%. $ 'ENERGY P.C.. $ I '
I' hereby certify that1 hive read-tl, -application and state that the above - I ❑0100,000 BTU 0100;000 BTL i ELECTRICAL ( $ t GRADING $ - -
information is correct r-- o co -'t-h- t and county ordinances , I
and state laws rela to_•ildin• onstruction, and ere ' . , - MICROFILM ' $ •
""erty-for PLAN CHECK '50% $
sentatives of t ' , city. -ente upon the abo -mentioned for
inspection p se �� / - _ - MECHANICAL : $ TOTAL FEE $ -16
Signature ...-a � Date f••- ,• i
Dri vers',License or SS# , � _ I _ Reinspection Fee $15 Issue Fee .--$-3�— PLAN CHECK '25% $ y
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POO. SPA
Date Inspector - Date Inspector
, -APPROVALS Permit# APPROVALS Permit#
1..Teiporary 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- '
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
12. Sewer Cap 63. Heater & Vent-Final • '
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing , 65. Electrical-Final '
111/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 ° 5 APPROVALS Permit# ,
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Produci Piping 0 Gas . 0 Oil - ' j
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
-•311Plaster Brown Coat 79. FINAL INSPECTION - - -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning c.(-i_1((0 Cad)
35. Final Gas Pipe-Test • - •
36. Hood or Canopy .
37. Final Factory Fireplace _ - . • .
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final .. . -
42. Backflow Preventer
43. Backflow Irrigation
' 44. Landscape Irrigation System
45. Sound Attenuation
1 46. Handicap Regulations , - .
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed •
' 49. Electric Release to Edison • - - - - • •
c 50. Gas Release to Southern California Gas Co . '
51. CERTIFICATE OF OCCUPANCY - _
No. Date
i /37, �\ - .. _, _ _ v
s.� G' 1-JG' ISSN `Appl1cant too fill spaces except those within heavy-border lines and.sign all appropriate declarations, i s '�
1 IT�OEf;.OSTA id ESA CONSTRUCTION-PERMIT - 'PEHMI f NO. - rTRACT O. LOT NO. UNIT N6. -
• BMG— dla9Dl 43�lJ` I 3 •
�
Prosect Address =- I •
TL
'' �� TYPE OF CONSTRUCTION NEW L i ADD H ALTERATION LJ,.R Eiji! - i7 �4 �� 4�b" •-'.n
Applicant's,Mailing Address •L'y,Vy'1'e - .- � - - 4
1S.0 1�N I G r gyp// ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P # / 1� LILAZone p
Owner's No `e 2yt�Phone 'y7 y,7y lT� ' �� I\1 -+
DESCRIPTION OF WORK/USE OF BLDG.7t C de—le1S •
Address 4'1 ••••••->e - - S Main Building: ,�i'&0A Accessary Building:
Arch/Eng. License No. • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑STRUCTURAL T Front �-e��o,�A _ 0
-Address` -�_ • ❑ TENANT ❑ ELECTRICAL g'
/may/ 1 gyp/ ❑ PLUMBING CI N
y Contractor's Name 4J'Sfz✓Calf57�/Lphone yy79fl - ❑ 'OTHER �ry t.' s V� .�1- EC'�-'YI c ,I A Rear � C JL -
• Address(mailing) 3 ZLI l.aJ L=I w� ,PROJECT DESCRIPTION SQ. FT.-`1G9t�I. OCCUPANCY K Right L��j � N
• / ) /�/ CON STRUCTION TYPE VALUATION S Left / c{-s� _
City License No. 3n o VlO r f `� - R
LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES Plrlg. Ref.# Parking Req./Provided E
.1 hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: • - Planning Notes: p�,, (� �.l r ryl
with section 7000) of Division 3 of the Business and Professions Code,and <N sG'CN�61• •�tn v 11�I S41
my license is ull forte and eff _ , f rJ�p r V s T
.License lass ' �6.. I'`� .A L' -nse 'o. •_ _ "IT> ""'fiplrn'Q - S
`Date' 0 'H Signature .-�i1�Y �� PLUMBING FEES i
•
WORKERS'COMPENSATION DECLARATI•N Bar Sink Showers ELECTRICAL FEES
1(1 \ hereby affirm that have a certificate of consent to self-Insure or a certificate - , '-
y\\/ Workers' Compensation Insurance, or a certified copy thereof (Section „ Backflow Preventer Service Sink
00, Lab. C.) • Automatic Washer Transformer 0 15-50-KW
olicy No. Company •
-. Backflow Irrigation • -.- - ' 0 50+�KW '
® Certified copyg Sewer Cap �' Construction Pole Sub. i
is hereby furnished.
-
Certifietl'copy is filed with the city Building Division. '`' Bathtubs Sewer Connection--' .1 ' ; Cooking Unit • Meter •
Dup to 100 amps
Date Applicant ' - _ • •- --
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers . • Solar Collectols ' •-a Dishwasher • Meter Dover 100amps •
(This section need not be completed-if the permit is for one hundred ($100) or -i - - '
less). 7 Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel '
I certify that in the performance of the work f hich t 's permit is issued, I • '
shall not employ any person in any mann as to eco subject to the Drinking Fountains Solar Tank s .Fan - Motors❑0.1 HP ❑1'/:-8
Workers' omp tipn 5 of Calif Or _
Date /l-- —Signature Floor Drains SwimmingPool w/Spa • I
'NOTICE: If,after making this declaratio you should become subjec to the _ p F.A.U. Ina Solar 09-15 HP 016-05+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks -1• Urinal - - Fixtures - -
comply with such provisions or this permit shall be deemed revoked. - Microwave
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets - Water Closet -
I hereby affirm that there is a construction lending agency for the performance - - Device Boxes Pole Light .
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater t
utlets Range �jLender's Name
Lender's Address '- Kitchen Sink.. •
Water Service - .Z Switches Sign -'
OWNER BUILDER DECLARATION :
I hereby affirm that I am exempt from the Contractor's License Law for the , Lavatories [_1: L
Auto-Wash -following reason (Section 7031.5 Business and Professional Code: Any city orGarbage Disposal . Standing$actions •county which requires a permit to construct,alter,improve,demolish or repair - P-Trapaundry •Trays - Generator ❑0-5 KW ❑5-15KW
any structure, prior to its issuance, also requires the applicant for such permit - - Trash Compactor .
•
to file a signed statement that he/she is licensed pursuant to the provisions of - Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ,
, ' Division 3 of the Business and Professions Code) or that he/she is exempt - - -
therefrom and the basis for the alleged exemption. Any violation of Section . , r
7031.5 by any applicant for a. permit subjects the applicant to a civil ' -
penalty of not more than five hundred dollars($500). -- . -
0 1, as owner of the property or my employees with wages as/their sole Reinspection Fee, I I $15 Issue Fee $ 3
'compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 ',Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Code: :The Contractor's ' - - MECHANICAL I FEES '
License Law does not apply to an owner of a property who builds or improves _ _ _ -l__r__�
thereon, and who does such work himself/herself or through his or her.own , - . . DEVELOPMENT SERW UIREMENTS: `0� /rte
employees, provided that such improvements are-not intended or Offered for Boiler- Hood or Type I 0 / dJ
• sale. If, however, the building or improvement is sold within one year of cam-, — - - - - - Canopy Type II 0 Zoning Approved,By Date �r)5
' pletlon, the owner will have the burden of proving he/she did not build or im- ' Duct-.Under Ground • + 4.174S)5prove for the purpose of sale). - I Building Approved By Date ,/
0 I, as owner of the property,.am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By (6/ Date- C-R
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who / Duct-Ventilating - ❑0-100,000 BTU. ❑100,000'BTU " J /� - • SUM--FEES '
builds or Improves thereon,and who contracts for such projects with a-con- - - �0
tractor(s) license,pursuant to the Contractor's Lice rise Law). I am aware thatBUILDING PERMIT $ SMIP $
Exhaust System 0 Multiple 0 System Repair/Alteration
proof oftheir Worker's Compensation insurance should be provided to me, _ PLAN CHECK •
$ PERMIT'
0 I am exempt under Section B.&i P.C.for this reason- Firepl/Fact.BIt. ICBG dk • Fire Dampers I ' PLUMBING i $ SSUANCE $
Date Owner Heating System& Ducting 'Registers , I PLAN CHECK . 25% $ �// •
ENERGY,P.C. $
I hereby certify'than I h e read this-application and state that the above.-- - - 00-100,000 BTU 0100,000BTL , - - ELECTRICAL $ Y] yo ' GRADING $
infOrme*4on-isrr
_coect ee t4 comply with all city and county ordinances: ,
and state laws roe- .nstr uction, and hereby authorize repre- • I PLAN CHECK , 50% $l 70 MICROFILM; $
sentatives of thi to ter pon roperty for;
inspection pur e . '�_ e0
•
Signature r .'- �`ry Date YO--/ - MECHANICAL $ • �t TOTAL FEE $l
Drivers' License or SS 9 �� I I Reinspection Fee '--ST5 Issue Fee ! ' $ 3 PLAN CHECK 25% S. 'a ZS •
•
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
ilICONSTRUCTION AND PLANNING POOL .'A -
,' Date Inspector • Date Inspector
"I...APPROVALS - Permit# APPROVALS Permit#
1.•T•emporary Electrical Service or Pole 52. Pool & Equipment Location
.2.- Soil rrpe-Undrgrnd. 53. Steel Reinforcement '
,,,.. ;, 3.' Electrical Conduit Utility-Undrgrnd. 54. Forms -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
-
5. Steel-Reinforcement i 56. Rough Plumbing & Pressure Test. '
6. E ectrical OF ER Grnd. , • 57. ,APPROVAL TO COVER-GUNITE
• 7. Footings - /0�/� j_ 58. 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 . 61. APPROVAL TO DECK .
11.'Property Sewer Line & House Connection 62. Backwash & Receptor-Final - ,
12. Sewer Cap 63. Heater& Vent-Final - •
13. Roof Drains • 64. Plumbing System - Final •
14: Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66.. Solar System-Final i _.
16.. Rough Electric Wiring _ era q 67. Fencing & Access Approval
•17. Rough;Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .
I 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
I 20. Rough Factory Fireplace . APPROVALS Permit#
21.,Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating i /t//3J35" c62 • 71. Product Piping 0 Gas 0 Oil
•
23. Gas Pipe-Rough & test 72. Underground Flush - .
• 24. Roof Framing 73. Underrnd Storage Tank 0 Gas 0 Oil - . "--
25. Sheathing-yj�'' / kis� - �
7 74: Overhead Hydro -
26. T-Bar Ceiling (S uctt5` ural) & Monocoat . 75. Dry Chemical
27. Frame and Flashing !I.3,pr �. 76. Dry Standpipe •
28. Lathing & Siding 1�13.( 77. FIXED SYSTEM FINAL ..
29. Insulation u -!(�•�r� cite-- 78. FIRE PREV. FINAL
. .30. Drywall Nailing `//2(�/y' ✓L HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
7 •
/6, c/c - 79. FINAL INSPECTION -
32. Eltctrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED `
• �3. ,Final Electric j yA _. Notes: - ("
34. Final Heating& Air Conditioning. if/13/6Y c-a€9 -
35. Final Gas Pipe-Test r - '.
-
36. Hood or Canopy "
37. Final Factory Fireplace { . - - - - '
38. Final.Plumbing . •
39. WaterService-Final •
'• .� rj`
40. Gas Service-Final - '
41. Solar Domestic-Final 1 - , •'
42. Backflow Preventer ,5 i'i: I
i A A- ._
43. Backflow Irrigation - . Aint e -
44. Landscape Irrigation System j .. '
45. Sound Attenuation - •
46. Handicap Regulations '. .
47. FINAL STRUCTURE & BUILDING �' V ✓� •
-
48. Special Requirements Completed !((( o _ 1
49. Electric Release to Edison - .
50. Gas Release to Southern California Gas Co ' .r; �. -
51. CERTIFICATE OF OCCUPANCY - -
•
No. Date •
.
1 - -- , .. .
• - 13r iii 1 c - ;721401.v--0.4)- ._ _. .. :
... . . .. 1.1. -- . CS t .- _ - . ..- .,_ -• -- — - _.�
4w •
--lie-i. 2e✓I Ex. 1- .1-, ki- .11 C -
a' r
Gw�yJ.:-.-, r
z, xer7J • twcr
- - - mgt - -- - . - . .__ _ t
_. -_ I • `.4 , ' - Y.. {,Cei (f-c', —fl
/ C/
aS , ., I f
,
IC
'- 74: " e
% .-'411";"
For Inspections u
9I x�$�. Pi. <• Ex t s4--514 A)(Ea.,. ,... f
Call ` v
1. 01 �� 0
5trt
� �
7 5 ® 627 3 1-
fr
.
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING AND
REFRIGERATION WORK
Permit # . 960)z-g
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
FOR BUILDINGS WHERE PERSONS ARE TO BE
EMPLOYED.WE SUGGEST THAT THE STATE OF
CALIFORNIA DIVISION OF INDUSTRIAL SAFETY
BE CONSULTED FOR ADDITIONAL
REQUIREMENTS.
'A1TD 3H1 i0
e 1MUO90 N11410 INV 30 HO 3000 SIHo 30NOI1V101A NI
Mn31gR1 N8OIIHHV3 9NI3esNOI117lI3do Oma-oma
MINIM w08310 SW01111311103aS ONV.SNV1d OM NI
S90199 30 1401103HH00 3919NH11003H ninon WONT
Otl13I310 9NI011ns 314 IN3A3Hd ION 11VHS SNOILVOH133CS
WV SNV1d NOM a3SV9 Mai V 30 331*15S13H1
•V 3NN1 Si S321HOH1RV1I H31HM 3511 H0 ADM 31419V 8V3
OS NI1d33X3'cum 39 71VHS 3003 SIHl 30 SNOISIAODd
391 Nitins
gild jIWH3d ON 3003 IH131,41/3 HO 3.1.V10111/4 0130 SNOC dA3H13O AIIHOHISIV 310 01ANY 30
NOIIVIOW ANV '3O 1VAO8ddV NV HO`HDL IIWU3d V 30 01
TAAOR &HO IIINEad V ION s SN01 0 a 30 S ONvossi 33FNV W11 30
143010:
11VAOHddV NORM ifOHlIM S3911VHQ ON 31hA'1
r3WLL 1r�Yr�B Bon SNV74 3As 1
Uaa BulPIlne Dsayr Wso7 W /Ho i.
. OUddbi
03A
." - - - - - - .. `. - Csa ,. -a,44 --saw, -
•
OLohei`! -B,ertnte-e Anave.. . . 10 • - .
., ... ZI/ . 14 / 4--- \
. ,.-4
L a+ .
0
:roc `w Fitat ratA N
�q - Nc4--l-0 SC.c4 �
i �
��
. sem , ci� 01 01' cC)4„ .014 �4,-7(9; -
i ` , \oma Ext s-- � .Y . 2xg°J. /4//O.c, �pKC � pft
v
i A�. - _ '1� .`-lX/ovat
cti
7
i 1
uJ 4s 1G1ii ;1;44c6
ili'®rr 3 pas 2Y"o cc4
• / ?i erhi ► U—-
=��" . P
j 2.9
t MIA);
1 �,, Lai' re
% --t 1
OWNER MAHONEY, Francis ; J. DATE 11-26-62
JOB ADDRESS 1198 Dorset Ln. BUILDING PERMIT NO. 18211
GENERAL CONTRACTOR Edward & Pacana VALUE $ 349.00
AP No. 141-1141-09 LOT 37 TRACT 4395 FIRE ZONE DESCRIPTION OF WORK Com•blk.wall
I*"'DECTIONS Signature DATE GROUP j TYPE III ZONE R-1
SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water -
Rough Com. Refrig. 0 Air Cond. ❑ -- - -- ---
Rough Heating — -
— ---
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. ❑ St.Swr. ❑
Sprinkling System -- -- -- --
Constructi& Pole
Underground ❑ Power ❑ ---
Rough Wiring
Trenches L.••*" Forms ❑ Steel RemfY4 p-24.631
Floor System
Bond Beam fl Steel Reinforce ❑
Sheathing _
Frame and Flashing
Lathing — In ❑ Out ❑ _ _
Plaster, brown coat
.g. ❑ Air Cond. ❑ Final _
Ing, Final _
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final Kf44fl- ((-50 by
OCCUPANCY
FORM Bao-5M — 7.61 18277
- : FEE RECEIVED
18277
•COSTA MESA BUILDING-SAFETY DEPARTMENTf�N�l����EP �
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to FBI In Completely APPLICATION FOR PERMIT
- TYPE OR PRINT
BUILDING J (, ^� /�. BUILDING
ADDRESS // 7 n �//J4 c r
COSTA MESA. CALIFORNIA For Office Use Only
/� `! RECEIPT NO. PyRMIT N.O�y
OWNER rR9/VC t3 Mn//o�xV - I f {n 'i / 7
MAIL (' ^� •-�-- / RECEIV/pp2 BY DA/TEJRECEIIVED/ DAF ISSU D /
ADDRESS /, 7S 7/oif S�/ / [/L- // �/4. /7 0-6-6 Z
TEL. BUILDING
CITY o .srA MrSA NO./cI'y Ig7% ADDRESS
ARC---ECT TEL. COSTA MESA. CALIFORNIA
OR NEER •......____ NFIRE
O
///���
ADDRESS ` � ) ZONE TYPE GROUP 8 d---- .
CONTRACTOR /Via td 71 YoC A N it APPROVED ��� (/
BY DATE
ADDRESS,)8o 32 ia-�,(( €Qi' S'/ ZONING
WF,S `��/YS E(� ZON USE OF NEW qp bGI<
CITY IX' / J e } 2R—I 1":1":":: 2 1 '1'
/ .et/
LIC.TNO. /y / 7 i4 NO. W`.3'3 LEGAL ♦ 3 *-77, W.. {!�'
DESCRIPTION•h/O ( 7 i /
SIZE4 �/ ^7J w�.' NO. OF BLDG&. // f I ( / _ ( I /1
OF LOT �j': /� ' K7 NOW ON LOT / A.P.NO. 'L111 ll( ' fill'
USE OF '/t��y� YARDS EVES
EXISTING BLDG. I �FT.S APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE 8T.)A. �l
CENTER OF STREET REAR YARD ' FRONT • ,/ V FT. IN.
SIDE YARD I LEFT RIGHT R.SIDE FT. b IN.
DESCRIPTION OF WORK L.SIDE FT. C IN.
NE I> ALTERATION I II ADDITION I REAR I ` FT. . 0 IIN./
REPAIR MOVING ( DEMOLISHI APPROVED � 1 it ,�') DtTE Ii) a..tl {�)'I
BUILDING NO. OF •✓ `/V/ / /,// ) 1/
SIZE ROOMS STORIES �Y /
EXTERIOR WALL ROOF -
COVERING '
F BU DING AND WORK TO BE PERFORMS
&c �* L, i / II .
g2 '3xq " x G
( I ; xy " i % /1 , .
I HEREBY A NOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE HAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STA E,LA & REGULATING PURPOSE OF ESTABLISHING -A PERMIT FEE ONLY.
BUILDING CONSTRUCTION. VALUATION
VALUATION ^�
SIGNATURE 0 //v '�"'� PERMIT FEE $ I _3
PERMITTEE R �-� N
$ /y.� PLAN CHECK $
AUTHORIZED A NT Y49, O 0 TOTAL FEE $ 3 ,_— O
4
OWNER HAGER, R. W. DATE 9-5-78
JOB ADDRESS 1198 Dorset Lane BUILDING PERMIT NO. 46669
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Patio Cover
AP No. 141-141-09 LOT 37 TRACT 4225 FIRE ZONE VALUES 500.00
CTIONS Signature Dote TYPE GROUP ZONE R-1
SUBCONTRACTOR PERMITS ISSUED
GAS
Dote Number I Signature
WATER
Plumbing
ROUGH PLOMOING
PROP. SWR. LINE ❑ HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE '
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE 17
SHEATHING
FRAME AND FLASHING _
LATHING - IN n OUT n
PLASTER, BROWN COAT
S""ICTURAL, FINAL Electric
IG. VENT.. REFRIG. AND A.C., FINAL
dING. FINAL AND GAS TEST C
' ELECTRIC, FINAL
BUILDING. FINAL LY'� Q A,Ap
r tvils9 42&j 9/05/76 b5 55 T. �
COSTA MESA BUILDING-SAFETY DEPARTMENT 4261 9/05/79 . 5.BOCK4
-• P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 4261 00004666 69 ' I A - '—
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely—Use Ink Only
RECEI 3 DATE RECEIVED a . ���Ys1/�
BUILDING I / —/ � .
ADDRESS ^'� • 6Z e �2 .. I
// r r/ ��G` / �Z A.P. NO. /�I I ��— O / ERMIT NO.
OWNER 12_44 /
MAIL
ADDRESS //9 ,Q Do,a- e I LA. BUILDING / 9E Do /2Sc '7" 21."TE /r/n ADDRESS E 7
CITY C ill NO. 757-1./ , TRACT 43 Ys 1 LOT 3 BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER / /\jBRANCH OWNER 2
/•/ /6
G/t_____
ADDRESS Se-C.,
!���� VALUE
ARCHITECT TEL. USE L--�7 $ •
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
CONTRACTOR 0C �¢2 BVPROV ED //,,..(i1)---
DATE
•
ADDRESS
TEL. ZONE ,,, IP ANS BSE NEW
A97)R
CITY NO. /C/ BUILDING ✓CO E
STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE / NO.OF BLOCS. (FROM C/L STRE T)
4 OF LOT 6 4, 77x lo. /7 I NOW ON LOT FRONT .a_C q FT.
a USE OF
4, EXISTING BLDG. R SIDE CS:n/0t %J" FT.
rA
F Separate permits are required for L.SIDE .2 1 FT. 6 FT.
G electric,plumbing and heating work. REAR tIbUtCelksiati FT.
RA USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS.BLOCS.
a at/0 erl -IV VAR.#
C.U.P.# DATE
APPROVED VED
!O y/p APPROVED
›, � nagiat -DATE ?A `{7j
.a
CO
w
ea-
0.
I hereby acknowledge that I have read this application and state n
CO that the above information is correct and agree to comply with m
0.. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of m
, " .4the State of California.
03
I hereby certify that I am properly licensed as a contractor under SQ. FT. IN
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CD
am exempt from the provisions of the State of California Business
p p VALUATION PERMIT FEE $ 6.QD <
and Professions Code, Di ' 'on 3,Chapter 9. en
/�/off_/^`� en
�(� PLAN CHECK $ .�- m
Signature of .l j ,�� U ` ,— - o
u.
Permittee !w $ �� TAX $ •s0 2
Authorized Agent TOTAL PAID $ .5,SD
OWNER ROY & MARILYN EI,AaR DATE 5/1/81
JOB ADDRESS 1198 Dorset Lane BUILDING PERMIT NO. 51776
GENERAL CONTRACTOR Owner-builder DESCRIPTION of WORK neck & Stairs
AP No. 141-141-09 LOT 37 TRACT 4395 FIRE ZONE VALUE $ 800.00
I iCTIONS - Siignature Date TYPE V GROUP
(N-1 ZONE R1
GAS SUBCONTRACTOR PERMITS ISSUED
WATER Date Number Signature
Plumbing
ROUGH PLUMBINGr
PROP. SWR. LINE I l HOUSE CON. LI
SPRINKLING SYSTEM
..MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING _
-1-.1 TEMPORARY SERVICE OR POLE
n) UNDERGROUND fl POWER El
'6 ROUGH WIRING oda., r Heating and Vent. F+
hTRENCHES IJ FORMS ❑ STEEL REINF. ❑ c x, P 1 R F l-
FLOOR SYSTEM L t10nS
BOND BEAMJ1 STEEL REINFORCE LI InCOfnP eta ine.F*K
SHEATHING tt c;ance?p
N FRAME AND FLASHING 1ri / :°.sig
LATHING — IN _i OUT n Date •
a PLASTER. BROWN COAT
STRUCTURAL. FINAL - ,/,[ Electric
'NG. VENT.. REFRIG. AND A.C., FINAL o/ .0 C-(-8( 49 tot
I __.ABING. FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING. FINAL
Pett2-r;P • - 12-a a.c.
-_______
• COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT B_..-..
ch 'r P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEI V PERMIT /
'-- For Applicant to Fill in Completely -Use Ink Only / 7 7
r ADDRESS 1 Mr 1/p �j� A.P. NO. if/ /y! — d y
BUILDING /�1Q p �L - _� L
OWNER OR ((77 - ADDRESS i �tf-nC 4
TENANT p NA�'r�
MAILING UNIT OR
ADDRESS ! ' 1 �t(� taS el" SPACE NO.
.BLK.
CITY CO�S�c • '6NOL4r17OS T4/NEW ADD.NO. LLOTER RET PAIR
MOVING DEMOLISH
CONSTRUCTION .
LENDER
BRANCHnVA
OWNER � ,
ADDRESS rVALUE I 60
ARCHITECT TEL. USEC--Y//LpQ4�Q $ Q
OR ENGINEER NO. - Tv
ADDRESS ZONE le TYPE V GROUP •^ 3 s,
APPROVED , 8,
CONTRACTORNca.-� BY �� DATE
ADDRESS f IQ 'bon[j' I
•
TEL C
STATECITY
C/L�O. � 5 CIT VO 1, 65 APPROVED SETBACKS
ivivg LIC.NO. • LIC. NO.
IC SIZE INO.OFBLDGS. (FROM C/L STREET) , /f
W OF LOT NOW ON LOT I FRONT FT. [��—' `2-
a USE OF - i� /J
,�,i EXISTING BLDG. _R,SD �
E FT. t��• "B/
in
FSeparate permits are required for L.SIDE 6 FT. •
electric,plumbing and heating work:
W , REAR 3l FT.'
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
n DATE
KI
�� S:44'
/',�'/wJ p �, / APPROVED (J
IJCir- a.+C� V ( �-.r� i6V ROVEDG1�h�<JLC� DATE r�///a /
a .
w
0 I hereby acknowledge that I have read this application and state ei
- p( that the above information is correct and agree to comply with
IY all laws regulating building construction, and I shall not employ _
Z any person in violation of the workman's compensation laws of - v
•
lL the State of California. - -;
r m
I hereby certify-t am properly licensed as a co r under
SQ. FT. N
the State of California Bu ta
and Pfeea' C
s ode, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such li ull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from-4 °visions of the State o lifornia Business
VALUATION PERMIT FEE $ (�Q 'y
and Professions Code,Division 3, Chapter 9. m
M
PLAN CHECK $ ea
o
Signature of 727„4„," �x7/ - 1�/ o
Permittee (67` \'/����,�/o'`�y'��'Y $ X OO TAX $ Opp SQ u
Authorized Agent Date J T/ CJ / . TOTAL PAID $ ,ty �O U
Refer to Permit 1116312
OWNER MAHONEY, Francis J. DATE 11-3-62
JOB ADDRESS1198 Dorset Ln. BUILDING PERMIT NO.168611
GENERAL CONTRACTOR K. W. iColl VALUE $ 560.00/Stor.Rm.on Res.
AP No. none LOT 37 TRACT 14395 FIRE ZONE DESCRIPTION OF WORK Fin.Gar.for/
I*'$PECTIONS Signature DATE GROUP J TYPE V ZONE R-1
SUBCONTRACTORPERMITS ISSUED
DATE ! NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. ❑ —"—
Rough Heating -
Rough Plumbing
- Miscellaneous 1 _
Prop.Swr.Line 0 House Con. 0 St.Swr. ❑
Sprinkling System
Construction Pole
Underground ❑ Power ❑ _ _
Rough Wiring i
Trenches 0 Forms ❑ Steel taint. Li
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing f� _
Frame and Flashing .i+7 z ,6)—/D- 1
Lathing — In EY"Out Q 'F N 7--G—�,j _
Plaster, brown coat
'g. ❑ Air Cond. ❑ Final _
mg, Final _
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final 41A 7 1/ /7i
OCCUPANCY
16364
FORM BIM•5M - 7-61
•
16864 FEE RECEIVED�
COSTA_MESA BUILDING-SAFETY DEPARTMENT :liAPR 3 1362
P. O. BOX 317 COSTA MESA.'CALIFORNIA - FINANCE DEPT;
For Applicant to Fill In Completely CITY Of R 7I MESA
PP � P Y APPLICATION FOR PER
TYPE OR PRINT
BUILDING 1198 Dorset Lane BUILDING
• ADDRESS
ArTA MESA. CALIF RNIA For Office Use Only
/I/.`�S ,d} I RECEIPT NO, PERALTT,3{oe/I
OWNER 'l pi �U�V7L�.114
C MAIL RECEIVED BY DAT RECEIyEDT IB D
• ADDRESS 1555 Placentia Ave. , 'be 4-.3-62
'3-
cm( Newport Beach No Mi•6-322 BUILDING
ADDRESS
,' ARC"-TECT TEL. -
OR WEER NO. COSTA MESA. CALIFORNIA
1 •
ADDRESS FIRE
ZONE TYPE V GROUP//�iJJ
CONTRACTOR
K. W. IL011 APPROVED p DATE /^/
ADDRESS BY
1555 Placentia Ave'..0 (.ZONING
1 CITY Newport Beach, Calif.1. ZONE NI1 OF O USE OF NE�tle ��s (
R PLANa BUILDING It ' CI"
STATE 61195 TEL. . LEGAL
LIC.NO. NO. Lot 37 Tr.439 ( )
DESCRIPTION
SIZE 66.76' x 125'irreg I NO. OF BLOGB. 1
OF LOT Now ON LOT A,P, NO. L�
.. USE OFYARDS EVES
EXISTING BLDG. Res. APPROVED ALLOWED •
- SETBACK
(CENTE
-' CENTER OF ILNE FROSTREETTM TT REAR YARD 15 - FRONT ...0---7,
LINE 64'FT. --- IN.
", SIDE YARD I LEFT- 6'9" I RIGHT 10' R.SIDE /I 10'FT. IN.
• DESCRIPTION OF WORK •
L.SIDE i r 6'FT. 9N IN.
NI I ALTERATION I$ 1 ADDITIONREAR l/ 1eee5'FT.
IN.
REPAIR ( MOVING (DEMOLISH I APPROVED /'I U. DATE f` /
3 0)-
BUILDING1277s•f'. NO. OF '7 1 c/✓ ,---7-4
SIZE ROOMS STORIES�z
' EXTERIOR WALLROOF
^. COVERING .StuCO I COVERING- Shingle
USE OF B_WLDJNAQID WORK TO,.B OPERFORMED
Res. '
Finis Gant()r ofT•iSQI
•
7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THS:•UNT SHOWN UNDER VALUATION IS FOR THE •
`S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PU'"•SE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
'. BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF •
560.00 PERMIT'FEE $ 4.00 N
PERMITTE w
A $ PLAN CHECK $ -- K
AUTHORIZED ADEN / I 4.00 E
�� 'a '/ ��. TOTAL FEE O
;Iu.
1-
0 37 TRACT 4395 E E RECEIVED
w,
16312•
COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 31 1.4.
P.O. BOX 917 COSTA MESA. CALIFORNIA Li FINANCE DPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
gTYPE OR PRINT / BUILDING
ADDRESS BUILDING// TO DO/teL L`4IJ p
• COSTA MESA. CALIFORNIA For Office Use Only
•
F RECEIPT NO. I PERMIT^ NO.
OWNER • i • • -� . • !I'.
MAIL _ RECEIVED BY DATE RECEIVEq�JA J �
ADDRESS - 1555 PLACENTIA AVENUE !iC // ;;j y
TEI74
CITY NEWPORT BEACH No I 6 227 ADD ADDRESS
ARC
CTER NONE TENOL. MESA. CALIFORNIA
ADDRESS FIRE ZONE
ZONE TYPE v GROUP
• CONTRACTOR K. W. KOLL APPROVED
BY DATE
ADDRESS 1555 PiACFNTIA AVFNIIF ZONING
CITY NEWPORT BEACH ZONE-I I NO.OF Z I USE OF NEW/a' 7
1 PLANE BUILDING " g
STATTr 6� �95 NO. M I . 6-3227 DESCRIPTION L-o7E LEGAL `. 37 7-e7-e Y 3 ?-
LIC.
617.E /4- 7{ r ✓ /'V-/�' NOW ON LOTS
OF LOT v (C �T ��iJ 0 A.P.NO. •
USE OF ., YARDS EVES
EXISTING BLDG. NONE )) APPROVED ALLOWED
SETBACK ENTERR OFINE STREETM 7 /1 REAft YARD /S, (CENTER LINE BT.) 6 `__
CFRONT / FT. • IN.
SIDE YARD I LEFT 67 I RIGHT /0 R.SIDE /to FT. IN.
DESCRIPTION OF WORK L.SIDE C FT. 7 IN.
NE I X II ALTERATION I II ADDITION I REAR I.- FT. l- IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVED ws..46 Ah DATE 1/30/6 z
MaliBUIL[[��1 7:,7,4$ NO. OF R
s�/t ROOMS STORIES 1
EXTERIOR WALL ROOF dmPo p'
COVERING STUCCO I COVERING S74,7,'C 9 5V'
USE OF BUILDING AND WORK TO BE PERFORMED / Cr-
I I.u I ) t/
ATTACHED GARAGE. E Al
r'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I r-THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- %i
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATIONnp/ PERMIT FEE $ l3,%
SIGNATURE OF 5-in �Lik $ /" *Y/ PLAN CHECK $ /7
PERMIT-IMF
a
AUTHORIZED AGENT J/ 7— re
TOTAL FEE .. y