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HomeMy WebLinkAbout1290 CONWAY AVE - Building Permits _ — $PRWECTAD0Rs: 1290—CONWAY AV UNIT: • CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 062352 OWNS E:DEA•N, HOLGATE 19UNCAN ADDRESS: 'Z/ ADDRESS: 1290 CONWAY DR PERMIT NO: B 062352 PLAN CHECK NO: 01385-93 L GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ADD ' ( 714 ) 556-7165 =• ARCH/ENGINEER:RUDY L. RODRIGUEZ REG.NO.:CE28210 JOB DESCRIPTION : ADD 1ST FLR FAMILY RM S 2ND FLR MAST `BED SQ FT: ( 1 , 161 ' ADDRESS: 14172 BOWEN ST U - GARDEN GROVE CA 92643 CLAIM VALUE: 60,000 . 00 CALC—VALUE: 85, 914 .00 GROUP OCC: R-3 /M-1 PERMITTEE:DOYLE C. FORTH & CO. (714 ) 556-7165 ADDRESS: 1075 REDDING AV COMMENTS: 1ST FAMILY ROOM / 2ND FLOOR BEDROOM BATH & CLOSET• COSTA MESA CA 92626 ***********�r:t�E�r�r******iE****�r*****�r�P**�E****�P*�P1H**�P�r�P*�P**;E*�E�E*4 ;r*RP************x* 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 i ell force a Rect. SETBACKS CITY LIC.'035511` q STATE LIC.4 5 4 3 0 6 s / Dale: g ZG-93 Signature'. _ = MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm lit ave a certificate of consent to self-insure or a certificate of Workers' FRNT; 52 FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,era certified copy thereof(Section 0, Lab,CL LEFT: 8 FT IN RGHT: 30 FT IN LEFT; FT IN RGHT: FT IN POLICY NO.:0783253-92 .DATE: 10/01 /93 COMPANY:STATE FUND PARKING REQ; PROV• PARCEL: 14104209 ZNE: R1 REF NO; ❑ CeNfied copy is hereby furnished. X1 Certified copy is filed with ci • - >, Divisi�. PLANNING NOTES> 1ST FLR FAMILY ROOM AND 2ND FLR MASTER BEDROOM SUITE ABOVE — z!o—�3 `/� -> •TO -REAR OFIEXISTING SFD, e� Date: -Applicant' � ******************.*************************************************.***,********* / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thi '•ction need not be completed if the permit is for one hundred($100)or cess). D E V E:L 0 P M. E. N -T -'- S E R V I C E S R E Q U I R E M E N ;T- S • I certify that in the performance of the work for which this per /issued.I shall not employ any person in any manner so as to become -. , ' J subject to the Workers'Compensation caws obCalifornia/ 'T/ ZONING APPROVED-'BY '. DATE: ,g Date'. Signature: • / NOTICE:If.after making this declaration,you'should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY' : ' /t DATE: ."T5 Code.you must forthwith comply witMsuchipyovisions.or hip permit shall be deemed revoked. .r/ - I. r ' 77 f Y .-/- CONSTRUCTION LENDING AGENCY: I hereby'affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BYI - '" Nt '.' DATE- 4Z4 which this permit is issued(Section 3097.Civ.C). ****BE********.1(.**************{{.****.If********** **************{(.**.N.*i{.* ***** .)[.* LENDER: ******************************************************************************* ADDRESS: L LEGALIZATIONN F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for ihelollowing 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 5 76 . 50 - j. 8 . 59 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed ,_J SMTP/ ON—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 374 . 73 1. . ' 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, 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----> 585. 09 0. 00 4",.; 374 . 73 959 . 82 959 . 82 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through �/i his ro herm owntisemployees. one idedyear that mph ion.the owner ms are not a the bd de oof pfor she/ Ie id not b ild oipve REVENUE DIVISION TOTALS--> COLLECTED• -58 5.09 OVER/SHORT• 00 i is or hof Smitl wiees.pre year ofIh ct such limp theentwill have the burden of provingdforhe/she did not build or gimprove for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as rofesr of ts C eh,amCo etractors'S ate Laense with licensednot contractors to ofproperty the project hb ills or rov. thereon 576. 50 7. '1 (.-. 8 . 59 ❑ and whoCode: The ownerimprovesfcontractsftheirh protects contractor(s) be to the Contractors State License Law),I am aware ***********************************{t*********1E********************************* that proof of their Worker's Compensation insurance should be provided to me. i INDIVIDUA L F E E B R E A K D O W N ❑ am exempt under Section: B.&P.C. 77 ;�) for this reason: TYPE QTY DESCRIPTIO N //� UNIT COST TOTAL COST Date: Owner 4-1 SFR 1161 DWE—TYPE V—WOOD FRAME '% ' ` GOOD 74 .00 .7 85, 914 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ' r 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 tram the Air Duality Management District.Residential construction applications are exempt from 1 these provisions. . , • Date: Applicant: . ' ,,. -, I hereby certify that I have read this application and state that the above inform.tion is coarct.I agree to comply with all city and county i ordinances and state laws relating to building construction and hereby auto ' 'presenia sof lhii$city to enter upon the above-mentioned ' property for inspection purposes. / / Date: a-24-9S Signature Y,•/t/-� Driver's License or Social Security Cl 00139335-00135136 TOT 585.0? DATE: 05/26/93 TIME: 12:06 1641-46 White—Building:Green—Code Enforcemeip Canary—Applicant Pink—Revenue;Goldenrod—Assessor :t.•. . CONSTRUCTION AND PLANNING POOL & aPA • APPROVALS Permit# Date Inspector APPROVALS Permit # 'Date Inspector 1. Temporary Electrical Serve?Sr Pole, 52. Pool & Equipment Location Jr • • r r 2,_,;Soil Pipe:ijndrgrnd:. • °-:,:; s 53. Steel Reinforcement •-• P.EfactricarBogiaiv Utility-Urtdrgrnd., ' 54. Forms r 4.t-Electrical_CO�rfuit-Urndrgrnd. ry'_ 55. Electrical Bonding rd-.Steel t einbccemenri -: 4 if ©JI 56. Rough Plumbing & Pressure Test q •2•.: •r.3. .-• ,•�, �(J 3 'iflyctf:FaiUF Ghd. '. ir 57. APPROVAL TO COVE R-GUNITE s ^�7.:Feroti ngs:to `•.i',2 _, 58. Electrical Conduit-Undrgrnd. ' `' r a: c - - --'-if. FoundafiZn cr 59. Gas Pipe, 0 Undrgrnd., Test . . •t.., • by,. Water Pipe-Uncf,grnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 70. Structural FloorSystem•f' ' , 4 '� `v D� 61. APPROVAL TO DECK 1 ., 11. Ptnperty Sewer Lirj&'HoIselConr6ection ; / 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 EYbctrical•Conduit 66. Solar System-Final 16. Rough Electric Viring 67. Fencing & Access Approval J • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Roa_gh Heating & Air Conditioning _ _ _ _FIf3E D�FPT. flEOUIR,MENT 20f 3iot h Fyacto y Pyr6lace r S.4: '4'3 S ma. ¢r ` riPPRUVA._S9-Pe grit# ' > C• S s: -1- - t 'L - _ ,c -t 21,-Oucts, iliStr&cture* •• •• 'S a F - n ' '-70. Uftderg'ro"e-•nA Hy ro v' 22 WD ucls, Entftzting„ j ti '. Hv 0 . •S C71. Produr5ing ees doil _ 23.•Gas-Pipe Rough & Test r S :: ,r Cr w m -92. Undergrountl Flu5l4- x . -+ 'r r- - I - •A'•. -,v T 4 7 'C 24.�Roo`f Framing t`' `'- l,':• .; Z _ , ',73 LUndergrn8:Storae� -Tjnk Gas 0 Oil • 25. Roof Sheathing a.i. S .v / Q x. 174,^gverlread Hydro-0• - '+ 26: T-Bar Ceiling (Strutturail &-. nocoat,tt';' „ = rn; "' 75}Diy c ierrmice) _ ,, ` ` 2J.Frame ary id shiva L. •,r etL f3 ` •. •• 76. Dry Siandy'rtpe tIr 1. .28. LatEing% S51in ::. ._¢_ Ss /26/v '-;_> * 77 FIXED S rE(>,�i INA4: _ •-t J / 9s , -29. Insulatir�t n:-. c 7 �� 78F.FIREPREV. FINICL - > z r • "30. Drywalk(Vaitt g ' ` - fir/ /Qs• F t'• " ' I�LT14` EP•t:. RECOIR MENT `31'.73 . Plaster Biown CC/ab S 1 •1 .r v 1/et; 'I+ : r79.•FINAL IPLSEECTIEN ._� -;32-Electrical Poover Meter-final' .: •* cd '^ * "804.1FOOD CERTIFICATE IS5 ry-ED s33.TFiria} Efaotric i;. .,r, I -4r.. :., . � 1 - :: - Ngtee: 7 ,"I C 1 +-34r"hFinilHeatins& Air ConditidnV 'C' ! T. Y ' ta: c S '^J 35:5;Fin11 Gni Pi{ie-T qt: ,e I x {{ 'y� Al Q F:96. Ho'arl or eanopV • I tr"- i --s * ^ , t1 . r > C.• - ••, ._ 2 cr •_ r .... -tp t9 • 1.2 F q l , ze • .37.`Fini Factory Figpacer ir it_....f.:....f.: -Otr :Vit tri :X w 38CFirial PlumbTg i,_4 r:.:I: : c'� 1: 3`2 / :+; c't: 39z'vVat�r Servicg�Fit��, S ais. 17 „c i, tr. tk 11 1 y s, ,,, ;1 P..:. '. r: tri „ .. C .r40.i Gas Service-Rana) Y. trt 4b•ir .5.. i. Ili r• *. ;'?c.: C 7 'f -r.. :7111 :1 I*" r . .r 7 n d '''':41'..-Solar Dp_me&tc-Final' '' ` T.r� I I' ` "`'' r .- t^ I Ir rr �_, e • Y,,. -J " 42. "Backflow PreverrDa" ,t r, . j ' it 11.7 t'- _ - ,, ,. -� .�.. .. rr. 1710°- • - ?.S 5.. '1 P . „ : r . C -'CL ? - -i 43. Backflow Irt+rgat;q -).• 72 * x ..••• , - ,, �t .r-44._Landscape Irrigation Systerfs?ta"J =it r, .4 . C nt '1:. .� _ -� ^, a of T of .L 'C x .J 'J '•45:�Sound ,Attcabatioq 'i?:t' tr• s F- r f- - T L '+:•L + rt t .v 7 •t46:•HandictipRegulations •-a - •� •' �:,< .:FII'IALSTF#t3CTURE & BUILDING j±&LL448jItrL PLANNINCc i .- O r;ztt. .r I, F,-, _ _ i it r• l -. ,•a s V: - zt;49:LTEIdtlric Relcse to tdison It ,r D.r 1• � r-•r ' ' t .r 1 .t 1-4 L a , .. i , - •_ " e•'8--v-=t---+-=i--.i 1 50.'Gas:Release to Southern California Gas Co • I i tier. :- • c%') t 51. CERTIFICATE OFOCCUPANCY • 110 r, No. Date Ai r acovro,/ LJ - L . -- PROJECT ADDRESS: 1'290 CONWAY AV 0NIT CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 062355 ' A_OWNER'S NAME:DEAN HOLGATE DUNCAN ADOREss: 1290�CONWAY DR PERMIT NO: P 062355 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: PLU PURPOSE: ADD (714 ) 556-7165 ARCXIENGINEER: RUDY L. RODRIGUEZ NEG'ND.:CE? 1210 JOB DESCRIPTION : ADD 1ST FLR FAMILY RM & 2ND FLR MAST BED SQ FT: ADDRESS: 14172 BOWEN ST - ' PENMITTEe GARDEN GROVE CA 92643 ---.. CLAIM CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 ADDRESS:DOYLE C. FORTH & CO. (714 ) 556-7165 1075 REDDING AV COMMENTS: 1ST FAMILY ROOM/2ND FLOOR BEDROOM BATH & CLOSET RE•#862352 • COSTA MESA CA 92626 ****************************+r**************Ir*************+t1E******+r*******x***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(co mencing with Section Z ONING R . E Q U I R E M E N T S 7000)of Division 3 01 the Business and Professions Code.and my license is in full force and elf . SETBACKS CITY LIC.:035511 STATE LIC.:4 5 4 3 0 6 CLASS:B .9 Date: f Z6x-93, Signature: — \ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificat 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). EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:0783253-92 EXP.DATE: 1 0 01/93 COMPANY:STATE FUND P KING REQ:, PROV: PARCEL: 14104209 ZNE: REF NO: 0 Certified copy is hereby furnished FUND_ Certified copy is filed with the city Buil - Dimslo PL NTNG NOES> Dale: ZG�/7 APOlitanl: ***iF*******************************************.******************************** `/ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section nee I be completed if the permit is for one hundred(5108)or less). DEVELOPMENT S 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 all not employ any person in any manner so as to become "^ subject to the Workers'Compensation Laws of California. i ZONING APPROVED BY . E- DATE; /Z� �3 frDate: Signature: NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : -. - DATE: Code.you must,fodhwith comply with such provisions or this permit shall be deemed revoked. 6 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the'p€rformance of the work for APPLICATION ISSUED BY. ' k i DATE• 2(r C which this permit is Issued(Section 3097.Civ. C) i/ ***************************************** * ******************** .�** LENDER:/ e ******************************************************************************* 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 35 , 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 pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 2 5% SMI P/MON-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 r". any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20.00 `$ 4,'. I.1-4' • . 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 p PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 35 . 00 20 . 00 0. 00 55 , 00 5 5.00 . 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 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: 55. 00 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 exclusive) contracting with licensed contractors to construct the project(Section 7044,Business 55.00 ❑ 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).I am aware *.K.**.******,*.**.*.K.*******.*****-**.K.*.**,*,**,*,*,.K-**.*.***.**.***,*.**,***,***,*.*.*.*.**.**.****.*,***.*.**,* that proof of their Worker's Compensation insurance should be provided to me, INDIVIDUAL F E E BREAKDOWN 0 I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: — - Owner 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU 1 BATHTUB 7.00 7, 00 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 PLU 1 SHOWER • 7.00 • 7. 00 permit for construction or modification from the Ah Quality Management District.Residential construction applications are exempt from PLU 2 WASH BASIN 7. 00 14 . 00 mese provisions. PLU 1 WATER CLOSET (TOILET) • 7. 00 7. 00 END OF FEES Date: Applicant: - I hereby certify that I have read this application and state that the above infer,.ion is cot ct.I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authori., epresent of this city to enter upon the above-mentioned property for inspection purposes. ./// 111-7 Dale: z4-93 Signature: - -> ' 01 00139337-00139837 TIOT 55.00 Drivers License or Social Security anary—Applicant:Pink—Revenue:Goldenrod—Assessor s ' CONSTRUCTION AND PLANNING POOL & SPA ,--, APPROVALS Permit# Date inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole_ - . 52. Pool & Equipment Location • r.} 2.„Soil Pipe1Undrgcnd. .� 1 2/ .,feral/ 53, Steel Reinforcement • -a Electricareorid'uit'UtiIity-Undrgrnd.• 54. Forms ry >. .r ,moi ''4.-,EI&trical Conduit-Undrgrnd.. , . S 55. Electrical Bonding ✓• � 4 :Itr'S9trll Rainfbrcemeatn' .--• 56. Rough Plumbing & Pressure Test J. c. nr . r.•z.:• .-n• . ST:ticctricatLIFER Grnd. 57. APPROVAL TO COVER-GUNITE • v7, fbotings1. 58. Electrical Conduit-Undrgrnd. 'S, Foundatlen -� 59. Gas Pipe, 0 Undrgrnd.,Test A; ..r.1 9: Water Pipe-Undrgrnd, • 60. Backwash Lines,P-Trap, 0 Undrgrnd. C • 16i Sgpctural Floor System ! f t 61. APPROVAL TO DECK - ' 11. Pkperty SeWtr. Line.& House.Connection• -t 62. Backwash & Receptor-Final ,Y 12. Sewer Cap . ti - ' • : 63. Heater & Vent-Final ._ f1 13. Roof Drains_II_ - ', - 64. Plumbing System • Final 14. Rough Plumbing /�� q� 65. Electrical-Final 7//' /- - 15 Rough E ctricei-Conduit .,; 66. Solar System-Final 16. Rough ElectricWWJiring 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 Hgating &Air Conditioning 'r ] t K� JI1& DEPT. RrEOUIREMENT _ trct 20 tiRough Pacto$ FlJeplace sn s-y _ •:t -, t-liPPR5VP.'-per4-t# - - -" 21.-Ducts, in-Str3cturo - " •' - `-1'• * ` 70. if dergf8irnd•?Hyib'o ' Y L 22. Ducts, Ventilatin . - `C.' . 1 9 ij - L -- > sJi. Produced?jping Oi;as ❑-0il 23.was Pipe-Rough & Test r•-• :ns *r- r. -7 S' k .' - 72, Undergrou id Flush" •24.=Rooi Framing' '' c--;-• a ? > C. : :; 573- -lndergrnd Storages-:rank ]Gas ❑Oil -. J) .. Y i - 25. Roar Shathing • • - Y I i _ C n r rr 74.COverhead Hydro,-2-, i_ 26�• -62r Ceiling (Structural) &'Mtutpcoat . y ,_ 75.2Dry Chemical , ,..'<4 27.;l=rameatilt Flashing •.r..= r 7 .nom = 76. Dry Standi"1pe - R X r•. 28. Lat ng& Siding_ _ t 2 ? "' IT... •••A 77.7FiXED S 1]EMi....• LT - ;t ;yam<:; 29. Insulation •- ti 78..eRE PREV. FINA'1 ` = tc "r• -'30. Drywall Nailing , e :. ' it s�i �fEALTH:tEPT'R'EO REMEN-C'_ i _31. Plaster BrowmCoat4 • p';r p. r '19. FINAL (NSP.ECTION i - 2..Electricat.Pottier Meler-Final ' . :2 j I; r` 0 t FOOD CERTIFICATE IS$l�aD -, _ - - - ' it t r .b n I .. 3$3.tinai Electric; _ y x ii, A. Notes: ' . x : to r: 4. in3( Heating$ Air.G,onditiohi'ngs r > '.a ` * y -7 s, ,35,•-FinalGas,Pipe-Test.- y 4: .-. 1,1* , ' �.-, t* _36Hood or'Canoav ' r = x . >''4. s' •��. .z i. -_. : �.a .. r• to 37.7inai.Factory Fireplace • ! • v v •„,38. Final Plumbing '• air a: S '. .r - Water SeEvice-Final, g , :. •r40. Gas SerJace-Final - it 'S + LTi 1 ) w r } ,: ` ' X41. Solar Domestic-Final '. 1. ;` J � -• i I•' it 42. BackflotrPreventer- * i . rr. x -, • x -' r-' r l ♦ * tr- .13 7 1� ILK'', •• 43.Backflow" Irrigation rr. ,u - • • • • ..- . . - :: 15:p iC tv t:� .t:.^, a Cu c.;::0 C - . r. - ,r .- y . t- rr - 1..1...C.,----"W '45.17--Sound Atte rtiation .. to ,n :±., ., ' 7 - . - FC .�� - i .- .. :46.-Handicap-Regulations • _ * :- a: o; :-= i "+ • .- .: S C I '2r. 4 . :a .r ... . 47. Flf�%AL STRICTURE & BUILDING 1 I rJ = ' r 448. FINAL PLANNING' • t"'1 '_•I ; .- 1 Y tr1 iii 'C -P. ;-'49. lebttic Release to Edison .,v _ I 'e-'` r. �• it_ _ i , • • t i 'C. - 50-r3as~Release to Southern CaliforniaGasCo o y '51. CERTIFICATE OF OCCUPANCY trio - - `=0" No. Date r PROJECT ADDRESS: 1290' CONWAY AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 062354 OWNER'S NAME:DEAN HOLGATE DUNCAN • ADDRESS: 1290�CONWAY DR PERMIT NO: M 062354 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 . CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: ADD (714 ) 556-7165 ARCH/ENGINEER:RUDY L. RODRIGUEZ REG.NO.:CE9§?10 JOB DESCRIPTION : ADD 1ST FLR FAMILY RM & 2ND FLR MAST BED SQ FT: ADDRESS: 14172 BOWEN ST GARDEN GROVE CA 92643 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE:DOYLE C. FORTH & CO. (714 )556-7165 ADDRESS: 1075 REDDING AV COMMENTS. 1ST FAMILY ROOM/2ND FLOOR BEDROOM BATH & CLOSET RE: 8862352 COSTA MESA CA 92626 ******:r*4ac*Sr****:F*SF:rSrSPSP**********+E*********4*******+P******4***4***:FSE*+ear****;'kSP** 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 I force an. Nect. SETBACKS CITYLtC.:035511 STATE uc.4543goo 6 c Date:_,.% —93 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l 7•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 381- ab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:0783253-92 Er ATE: 10/01/93 COMPANY:STATE FUND PARKING wREQ: PROV: PARCEL: 14104209 ZNE: REF NO: El Certified copy is hereby furnished. Xi Certified copy is filed with the cit '+uilding D:"ion PLANNING N TES> p/ > ill, Date: >—Z� j Applicant' / �� i ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECORATION: (This sect.�eed not be completed if the permit is for one hundred(&100)or less). D E V E L O P M E N T S E R�&U I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is' led,I shall not employ any person in any manner so as to become • j^ subject to the Workers'Compensation Laws of California. ';,ZONING APPROVED BY '7)? DATE Date: Signature: r NOTICE:If.atter making this declaration.you should become subject to the Workers'Compensation provisions at the Labor BUILDING APPROVED BY : C DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. i CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for %APPLICATION ISSUED BY• .l' DATE2-!o C which this permit is issued(Section 3097,Civ.C). i LENDER: (*************************************r****************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law far the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM IP/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],50 repair any structure.prior to its issuance.also requires the applicant for such permit to tie a signed statement that he/she is licensed L 5 Z SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7003)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 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——--> 4 . 50 15. 00 0. 00 19 . 50 19 . 50 . 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. I1, 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• 19, 50 OVER/SHORT. 00 rorthe purpose ofsale). 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 19 . 50 ❑ and Processions 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). I am aware ********* {.*.)E*.*****{f{E**.7E***.*{P**.****************************{F*******.************* , that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST • Date: owner: MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50 / I do hereby certify that I am aware of and understand the requirements of California Health and 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 comply with said state codes and the requirements for a permit for constructor or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information' correct.I.i,'e to comply with all city and county oy: ordinances and slate laws relating to building construction and hereby authorize re. .. . .' -s city to enter upon the above-mentioned property los inspection purposes. / Date: 2t -93 Signature: // 01 00139883-00139383 TOT 19.50 DATE: 05/26/93 TIME: 12:05 Driver's License or Social Security / 164146 White—Building:Green—Code Enforcement. ;.nary—Applicant;Pink—Revenue:Goldenrod—Assessor t • • . IL - _ ` CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Settige or Potty-3 52. Pool & Equipment Location ' • 2., oiI PJ g Undr ffndr. ,_ .. 53. Steel Reinforcement • r ,--r...•y t,e-, -3.:F.ictrioateo :t Jiility-Unirgrnd. , 54. Forms �1 4'.Etictrical.Co cfSrt-L`ridrgrnd. s 55. Electrical Bonding ptdel RinEgrcerccz . . 56. Rough Plumbing & Pressure Test c , 'Jr,: ' s",igctrtcg' Q uid. a. 57. APPROVAL TO COVER-GUNITE >,_ „i ,rw t'S rIT,f aotipgs. rc ,.n o 58. Electrical Conduit-Undrgrnd. c 6 r -)g. Foundatibn ,cr 59. Gas Pipe, 0 Undrgrnd.,Test , - J i0 Water P pe-Undrgrnd. r, . " 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 10. Structural Floor'System O 61. APPROVAL TO DECK /�'1 11. Preperty Sesv r Lirm,.&;louse Conr€,ctian• ` 62. Backwash & Receptor-Final / 1 , 1 t • 12. SZwer CaPc a. % • ', . l • 63. Heater & Vent-Final '/.r ..,_J 13. Roof Drains �' r 1 _ 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Ebctricat-Conduit 66. Solar System-Final 16. Rough ElectriiuYViring 67. Fencing &Access Approval 17. Rough Wiring S4gn 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 114iler5 69. POOL/SPA SYSTEMS FINAL _. 19. RougConditioning _ �J���e�_ _FIRE DEPT, R OUIREMENT 20t. Rom h ct�y Frey lace tFr Z ' ` :APP R�IVALS ' Pera)it# > 2 @ �i i }. t;c: 1 T< k rv. 21.-Duets, iltStructUrtr •• •• -•S - ;S v r; r 170. Uhdergfdun,�'Hydro 1n :lc22.SOu&s, .:ntiI'�tirjg,r 'fir _ •Lt S .`tis 571. Producrilliailpg L`3C sOil 23.TGai-Pipe-$oyigh & West ':S C to T �- ^.�- -72. UndergroWid Flush r. 24?Roc5 Frajning Nt . .. > - (I: . Y ' 573.=Undergrni.Stora Tank10Gas 0Oil t . ,el a I- -- _ -t...• ,.,. 25. Roof Sheathing tr.; r• r > ('J x '74: Overhead Hydrd:• 4: •.• rt.r .1 - in "r \-t' • 26.'r- } Ceiling IStMiurai) &[•, coat ,° - "t*s* 75T.Dry Chemical _ x -4 > r. 27,"Frame Flashi6 u. R '_• 'U .r ; ' - _, 1S a. v1 a ') atc1 9: amu:-c > Wr.. 76. Dry Stanexi4e : _ _ st'3 .r n1 • . .28. LajTng& Sin x -" F`C 77' FIXED gnTEN'gklNAI H L 29. Insulatint 787FIRE PREV, FIND_, 30. Drywalt,Nailing 11 .4 .S k1EALTIj'. )EP r REODIRtMENT •-31. Plaster Brown Coatt .S I ,rtr t i . .. r79. FINAL INSRECTIeN .y, -;32.-Electrlcarl Popere to t-F nall . Cu I lish * "80. F000 CERTIFfC,VtE IS.S' ,T b. 3.:. '- !9 I I t.c .t 11 III t r33.�ina1E1eptr� s-.. to i v, T. 1 1.1:, El. Ncttes: -PA t-•- _ 't11 .?,:34t:firial Heating& 141r Corn1itionib [l t i SS.'t:C-. s �.". tris_ t,: •_c1 t/ �� ,, t : .c a, '�# It.' i I 1Ir . Er `.35.-final Gas Pipe-T t rs. .. .x r.. 1 I i.-; t _; .:10 _'t t IT a tr ' J -36. Hood orCanoPY:D* D.- , -41. : r1 1t (;. .:: s < ro -44' _'jt . _ r C) !r1 in •,37.:Final Factory Fireplace- 1 o .i. .t: 4. ;r. ...1=, _ _.}; ,, i . . 08. Final Plumbing '��'1 .,. I .1 I i i" ': 1-1 * ,- q •• •r ..r, I o •, •_ 1 :t :: •- '-- ix .. - r'39;WatGer S vice-Fill, S n r I t i -' ai `' 1 _ rn40. Gas Serine-Final-e. rn <t-ri ' S .t tri v w in CU Iv•,: t-` IT tr n.. , v.., . n I I tc - o:' t, 4 r-41. Solar De}l�nestic•Ein I ` :, •' * Qt ' . T `c'•' I-' --4 C' g .- Cr' f" ' I 1i: t C-• C.) LT 4 ;r _1 r , i _ •S `-42. ackflow Preventier ' .. t; ;tet-. : t ' ,. r'.•' - t ,-.1t .. I11 111 ' .+. - r' tx'c y :r. • o & j. 4. L, ti 43. Backflow irri atiory > t :t t ,; - .% ...1 u t. ,.. , 1 t 3 -. n14. Landscepe Irrigation Syster r n.; i: lr' C I ' r..--* P x Cr, 05 't Pi -": .� t..- ., _ ... -•...Cr ., -V T tt . D z S -Ir \ `45 Sound tAtte 1.--iiat f� •- t 5 ., Cr t: ^ F.-4 tr•n.. 'z I . andicap Regulations r -'t t. x r S 70 5 I. _ - .. --'t.: i r rn - v . . - 47:-FINAL STFIGCTURE& BUILDING I It 1.l� .� e h• I I t: t t. 48.FlNNL PLANNING • 1...,t4 n. CO it 4 n rn •Z 1- s i I --4 r 1 n co i• V j49:''Electric Rebase to•rEdison 1 a I i. w £ ,t . -.50: .Gas4Release to Southern California Gas Co . I It t - ti • o:r1 ... C' .- t51. r. r �r L'.o •� `4 4. 51. CERTIFICATE OF OCCUPANCY 4' c S t[° * . No. Date I . • . A PROJECT ADDRESS: 1290 CONWAY AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 062353 OWNER'S NAME:DEAN HOLGATE DUNCAN ADDRESS: 1290 DR PERMIT NO: E 062353 PLAN CHECK NO; N GOVT; N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PURPOSE; ADD ARCH/ENGINEER: ( 714 ) 556-7165 pEG.NO.: ADOREss:RUDY L. RODRIGUEZ CE71?10 JOB DESCRIPTION : ADD 1ST FLR FAMILY RM 6 2ND FLR MAST BED SQ FT: 14172 BOWEN ST PERMITTEE:GARDEN GROVE CA 92643 CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /M-1 ADDRESS: DOYLE C. FORTH 6 CO. (714 ) 556-7165 1075SA MESDING AV ****BEr*****************OO*B/**D;E*****+EB*D****It*B***�e********1r***�r*B*****se**kr�t***;r COSTA MESA CA 92626 LICENSED CONTRACTOR D iARs nhereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)ofDivision 3 ot the Business and Professions Code,and my license is in lull .rs ant ect. SETBACKS m"LIC.:035511 n""uc:454306 CLAS .. .9 Date' � Z-4•-•- !3 Signature: `- ` / MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm thatlh. •.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 380b.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:0783253-92 Exp"'TE: 10/01 /93 COMPANY:STATE FUND PARKING REQ: PROV; PARCEL: 14104209 ZNE: REF NO; • ❑ Certified copy is hereby furnished. XJ Certified copy is filed with the city `. ' .,rn. PLANNING NOTES> c > '` Date: -S--2-6--93 Applicant: �: ./.' ***********************************'******************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio• •d not be completed if the permit is for one hundred($100)or less) DEVELOPMENT .„-W E. R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is is-,1•:.I shall not 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:II.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. - -• r CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• % �" r c,\\/ -- DATE• 2'(t M. A which this permit is issued(Section 3097.Civ.C). ** ********** 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 far 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 31 75 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business . 0t SMIP/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 •i any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE E5.00 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----> 33 .75 15. 0 0 - 0 . 00 48.75 48 .75 . 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 sate.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: 48. 75 OVER/SHORT: , 00 for me 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 48 . 75 •''y' ❑ 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).I am aware **,***,N.,*,****.*.**.*.****** .****.**.**.*****.**.*,*.****.******.****. *****. .,N,*,*,**.*,k,**,N,*,**,**, , ,** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L . F E E BREAKDOWN ❑ I am exempt under Section: B. &P.C. -./- for this reason: TYPE QTY D E S C R I P T I O' N UNIT COST TOTAL COST Date: owner: ELE' 12 FIXTURES LIGHTING . 1 ST 20 EA. . 75 9 . 00 I do hereby Certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 20 RECEPT/O{ITLET - 1, ST 20 EA. .75 15. 00 25534 and that 1 or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ,r ., permit for construction or modification from the Air Ouafity Management District.Residential construction applications are exempt from ELE 9 RECEPT/SWITCH 1 ST 20 EA. . . 75 6.75 . . these provisions. ELE 1 - MOTOR/POWR APPARATUS 0.10 ' - 1 ;0 HP' 3 . 00 3.00 END OF FEES Date: Applicant: . ., - . - .. - .. I hereby certify That I have read this application and state that the above infer on is correct.I agree to comply with all city and county • - • ordinances and state laws relating to building construction and hereby author' > -present., es at th'�city to enter upon the above-mentioned _+ property for inspection purposes. ��� // l Date: �.T-G-93 Signature: ./ •/f/`� 01 0013988¢-0013938¢ TOT 48.75 Driver's License or Social Security angry-Applicant:Pink-Revenue;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POOL & SPA - APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole.•u 52. Pool & Equipment Location • 2„-id Pike4Undcgrnd,, r 53. Steel Reinforcement 3,-EIt-t:trlcacCoiidrtnsility-Und'rgrnd. 54. Forms , 4.ENtir Wel Lonfluit U+idrgrnd. 55. Electrical Bonding • 5: Stml Rtinfdr5enrentt" kc 56. Rough Plumbing & Pressure Test S S • •,,r I Iri r I-:r' - ',Elctrl.`c1Nk0}trltl. , • 57. APPROVAL TOCOVER-GUNITE 7itgptings.- I; -'•; 58. Electrical Conduit-Undrgrnd. - .% >E Foundatr n y< 59. Gas Pipe, 0 Undrgrnd.,Test 9i Water Pipe-Und_rgrnd. I 60. Backwash Lines, P-Trap, 0 Undrgrnd. . L 10: Sapctural Floor System %/1"', 61. APPROVAL TO DECK ' 11. Property Sevqr Linc& House Conn'eyti9/S 62. Backwash & Receptor-Final - 12. Sewer Cap ,1i f.'. W 63. Heater& Vent-Final I i- "` f 13. Roof Drains ; - - '„ 64. Plumbing System - Final 14. Rough Plumbing 65, Electrical-Final 15. Rough El3ctricc-Conduit , / �Lq,•�/ 66. Solar System-Final 16. Rough EtectriaaUiring a. ilgz Y` eee' - 67. Fencing & Access Approval 17. Rough Wiring Sign iil 68. APPROVED FOR PLASTERING 18. Rough Electricarf•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Roush Hgatin9 & Air. Conditioning ".FIRE CtEPT. R.EOUIR€MENT (' k T t S =L .41 Lt rm 20 rjRotr, h F ctc r�+ Fit_enlace x,ry ; U c ; .>r1PPRu}VAkti '',.4erait# •- t- •::.; T •r F , '5 . - -- in 21.:!-Ducts,in-Strictur6 t x S `.- 4 0. UMdergr6 sgHyaro R 22. Duds, V4ntilating, '- c C ._ _o r <1. ProductAipin'g L5G-gs ❑:Oil 23. Gai Pipe-Rough & Test t•o, nK = . ,�2Under round Fhfih= ' t' . t- • z , .t 24,'Roaf Framing' m w > _ 53.E_Undergrnci Storag Tank oGas ❑OYV - .0 :R '.7 c 25. Roofeat Shhing 't'~ r V .,t -_ --i > is- l' 74.•�verhead HydroC ti 26. ). ;' -841 IStrftc?'ural) &�thonocoat p C y `.R5 75.>_-Dry .i...,;_.i...,;_•%)ry Chemica .i...,;_•%) 4 .- 2 27 4% rame anti Flashings _ :: .,. ¶ ,r s ,T, 76. Dry Standpi -C" ' „LI r'ir:*t•_ 128. LatKing& Siding's ' : 11 ` ; >' •• ar L, tx.-C 77,=.FIXED SYSTEA7ANAL, 29. Insulatioh �:> - ,• _ ,a I ' 7&'-FIRE PREV. Flr a :.> a - '30. Drywallrpailing �; _ • ,- ,, 1 ' S (TA y • r Ii n • L c • 1. Plaster Brown'Coats. •r-' i 1:1 ; ir99. FINAL INSF€CTICu.N • t _ 'c " -32.'Electrlcel Pourer p.5e:er*FThal; = }Lt. -$0.`" OOD CERTIFI6i,7't IS�lj�4D._ ,y v� 11{7 n.r33. inat Electrip X. .--r 'r(vlol'asv YJR, •'1- 4-,FinIHetting Arc,>r'*Conditioning ,I .'-,> I { r I „$, /0 Jay 135,-final G.j. i?�s resL•: ,z .. # .-, I 1 .Y n.:.-z., .21.. e CU NN OLT 5 -fes- - Tr'•736. Hoot,} or'Canopy - ` ' --1 I {- i. 5• S_ CIO .,. .pr t .a ) .> , pl -. I! ,. A' :a7.:Einf.L Factory Firepiace.c + - K --,It: t. 'i: x ,: ./ r . i 7, 11 .r .}- a 38. Fin[fR Plumbing C.) ): I t; .; .3: - •k. a it • 39. Waree} SV-vice-Fin-al: ''r x 'C I { 1 K >. ,_ j Cr,!,l,r- 140. Gas Service-Final r, '*••r't S • ,r1 1 r'•_ •-eJ +' • • •s I ;IA *n �:, r• r. M •• 4• 1. Solar DOestic-Final .,Y i I , tr ,ti _ • r, 'D 42. Backf lovPreventers I k f: 1r >a ' - - , , ,1 _L , - ,,J r , ,y t ,r. rl in - •J.• ir 43. Backflow Irri atior4 .a it - - • : 144. ^ ' 'p .* '? - - - p r ,V ^' 'r: 1. CV vac. -45.zSound 4rtenuatiRn,_ tr .-q. 7, - . r-. s: .c - r - �16.•-Handicap.Regulations T. r S I _ - r 11.cr, r; S. -' r • ,47.'FI1\iAL STROCTIIRE & BUILDING t .- - x • r0 '` Yr _ -- 48.-f IN-AL PLANNING I N I P ` r_•' tr1 t' I .. r: :. 5. '7 S t 4 '349,2Elect'ric Release to Edison i• {;' ; ' • ,,.: ; 1.50.-Gas Release to Southern California Gas Co I " Ir t 1. • -4 II • O, s rr •. :5 .0 x C - 51. CERTIFICATE OF'OCCUPANCY -: * n -,'i> 'Y No. Date •. •PROJECT ADDRESS: 1290 CONWAY AV uNIT. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 062913 OWNER'S NAME: HOLGATE DUNCAN ADDREss: 1290 CONWAY DR PERMIT NO: B 062913 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH ARCM/ENGINEER: ( 714 ) 556-7165 REG,NO.: ADONEss:RUDY L . RODRIGUEZ CE21210 JOB DESCRIPTION : REROOF SFD/T/O COMPO &APPLY NEW COMPO SQ FT: 1 , 000 BOWEN OWEN ST •41, • PERMITTEE:n�yDENLECGROORTH & A 926(714 ) •556-7165 CLAIM VALUE: 1 , 000 . 00 CALL—VALUE: 1 , 000. 00 GROUP OCC: R-3 /M-1 • ADDRESS: CO., �yr. 1075 REDDING AV COMMENTS• RE; B62352 PRIMARY BUILDING PERMIT, tV1^+� •��V O COSTA MESA CA 92626 ***�r�L***4x�r�E�E**�r�E***�r�E****�r**�r�t*�P***�L�E�E�E *�L *x ****�E*�E*�E**t tV1�3i"� * gil/ \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 s in lull rce and effect. S E T B A C KS CITY LIC.: 35511 STATELIC.:454306 • J RE •QUIREG3' Date: 7— 93 Signature:— MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm t I have a certificate of consent to self-insure ora certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Secti 3800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.:0783253-92 XP.DATE: 10/01 /93 GOMPANY:STATE FUNDn PARKING REQ: PROV: PARCEL: 14104209 ZNE; REF NO: 0 Certified copy is hereby furnished. KJ Certified copy is filed wit cit ' i Divi PLANNING NOTES> +� > Date: �/ Applicant: ********************************************************************_*.*'********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (T action need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E -N rT'%S I certify that in the performance of the work for which this per is issued,I shall not employ any person in any manner so as to become ^.,•: subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: _ NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: > Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I herebyaffirm that there is a construction lendingagency for the performance of the work for � • 7 �> which this permit is issued(Section 3097.CiCL g y APPLICATION ISSUED B Y; *$ C�`4�3E 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 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 25, 00 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 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/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(5500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D IV—> 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----> 25 . 50 0 , 0 0 0 . 00 2 5 . 50 25 . 50 • 0 0 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: 25. 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 25. 00 • 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 **.*,**,***.,*.*,**.****,.*,x.,*,*.*.*.*.**,**,.**,***..*.K.*,*..****,.*.**********************,**** *,********* e* that proof al their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.s P.C. I N D I V I D U A L F E E B R E A K D O W N for nis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1 000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 1 , 000 , 00 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 Duality Management District.Residential construction applications are exempt from these provisions. . Date: Applicant: I hereby certify that I have read this application and state that the above info mation is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby oath r represe latives of this city to enter upon the above-mentioned property for inspection purposes. — 01 00142371-00142372 TOT 25,50 Date: 7J Signature: DATE: 07/07/93 TIME: 10:17 Driver's License or Social Security of: 164146 White—Building:Green—Code Enforcement):Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ...• ^1' . - POOLS A CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector i 1. Temporary Electrical Service or Pole r, 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. ,;.• _' t 10. Structural Floor System ; •r• 61. APPROVAL TO DECK , 11. Property Sewer Line & Hobs§'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 I17. 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 OGas OOil 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 77. FIXED SYSTEM FINAL . 29. Insulation I I . I 78. FIRE PREY. FINAL 30. Drywall Nailing • I I HEALTH DEPT:REQUIREMENT i 31. Plaster Brown Coat - • I - 79. FINAL INSPECTION 32. Electrical Power Meter-Final / • ' ` 80. FOOD CERTIFICATE ISSUED 33. Final Electric I i Notes: .. - 34. Final Heating& Air Conditioning r 35. Final Gas Pipe-Test I I ,.• . - - 36. Hood or Canopy • I -±=- - . 37. Final Factory Fireplace r I -,1 . 38. Final Plumbing + I . 39. Water Service-Final I 1 40. Gas Service-Final I - 41. Solar Domestic-Final i I 42. Backflow Preventer 1 I • ' - . 43. Backflow Irrigation . 44. Landscape Irrigation System _ 45. Sound Attenuation:: ` 46. Handicap Regulations _ I 1 / . 47. FINAL STRUCTURE &BUILDING 27- of,�,%o • 48. FINAL PLANNING_. T/ 1 %f. - ,•�„ 49. Electric Release to Edison 50. Gas Release to Soijtf"iern-California Gas Co I I I - 51. CERTIFICATE OF-OCCUPANCY - • No. Date ' ,r . . • •-• 1 . . 7495 �-- 6EL.. v..Y . ..J . •COSTA MESA BUILDING DEPARTMENT CI I JL5 8 P.O. BOX 317 11.iu'Iri1,-?;. COSTA MESA. CALIFORNIA I' FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BILDING 1290 Conwayvenue BUILDING ADDRESS Y COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER COLLEGE MESA COMPANY RECEIPT NO. .74135 . RECEIVED BY DATE RECEIVED DATE ISSUED AMDDAILRESS P.O. Box 2277, Brookhurst Station .r��s, / ...r-re SEP S 195 CITY Anaheim Ti.,L KE 3-3161 ADDRESS /�. ARCHITECT Bulot Quigley and DC. •,TA MESA. CALIFORNIA OR ENGINEER Clark NO. RE 719 FIRE ADDRESS 1102 W. 1-7th St. , Santa Ana ZONE ZpryE NO.OE TYPE GROUP CONTRACTOR The Hale Company TY No.73S0 I PLANS / ,-- ti J , ADDRESS1777 W. Lincoln Anaheirk KE 3-3161 BPPROVED DATE / LEGAL Lor 2671 CORRECTIONS DESCRIPTIO. • c OCK TRACT TR.+ A. ' an No. 3-a . .4./: --.0.-....4"i . -/ < SIZE OF LOT YI9X...nq 44 7}7,,n) None ��A� —` tom¢ a USE OF EXISTING BLDG. /4219:3f--, . ... //i SETBACK LINE FROM CENTER OF STREET 50' REAR YARD 31' / ... r SIDE YARD RIGHT 51 LEFT 141 1-.- I DESCRIPTION OF WORK - / NEW X ALTERATION ADDITION Pig 'T 14 ,2____4/0 - / REPAIR MOVING I DEMOLISH ?I BUILDING 4 0' -Gar. NO.OF SIZE 1222' -Liv. ROOMS 5 STORIES 1 EXTERIOR WALL ,.„_ ROOF COVERING UCCO COVERING COMBO USE OF NEW BUILDING Single dwelling w/att. garage I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W!TR ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. COLLEGE MESA COMPANY VALUATION-- SIGNATURE OF B . . HE HALE COMPANY• , G-. eral PERMIT FEE $ 30.00 PERMITTEE - • P:LL L PLAN CHECK $ 15.00 � 'a ` / $ 12,599 AUTHORIZ f; /S�Y1` , TOTAL FEE $ 45.00 va'"s