HomeMy WebLinkAbout928 CORONADO DR - Building Permits, , !
IQ'CHECK x
❑ ei�uNc
❑ CASH
❑ RE•DO ,
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- clean:: plumbing��co�.; inc
Sewer and Diairi Cteanirig end Plumbiiig Repair 1 -
'(7141538-0901�� (7141539=1196
(714) 898-4883 — (2131924-3654
�t, � � s/ ,��o;�;� 141614
Servicemin ��� Total l � � ��
ri
IABOR
�� t �C- -�
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...__ .. I..... _ AMOUNT
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k : T.O.S.
�-_;�:_��:� � '. TOTAL d Z�`
r
� , � ; , t GUARANTEE:
��_ � drain: 30 daya �Me e� Lina:
± . ' . . - . 1 ' Yn: no c�erge
�' .'., . . . ' ... I 8'- Oeys: 1/3odginelEill
y . . 31 - 90 Oeys: 2/3 original Gill
p`Under',the. Mechania' Lien Lawf�Section 7018, Califomia.Business and ProfessionahCode)
' any�oontractor; wbconvactor, laborer, supplier"or. oEher{ienon who helps to improve your ,I
1�property�.but is;not_paid�_for-.his work ocsupplief; had a iight W enforce a claim egainst your
" property. This means ,that � aftara wurt,hearing your property could_ be sold tiy a court offi- '
ce .and the proceeds of the iale used to iatisfY the indabtedness. This can happen even if you .`
�, . .
; have paid your;condactor irnfull, if. the sub'eontracto�, �laborer, o� iupplier remains unpaid:
My��sigriature indicates that all �tfie above�work was completed to my satisfection, and that!I . f
fully understand; the guarantee. �I±,also.assurime ful� responsibility for'payment in, full-of alh �; �
parts and labor �{state that no damage'was�incurred by A Aaba Clean. St.'#321405 `
a.• I
�I UNDERSTAND,THAT THERE INILL'BE A 3ERVICE JCHARGE^'OF $8.00' ON. ANY.,' l
' RFSIIR61CIl.CYCCi[- —+— '
❑ Stop Work
Job Address
Permit Number
COSTA MESA BUILDING SAFETY DIVISION
Date: 7 6�
NOTICE
� Correct Work
2K CU2onw��o
��- /�3Zy
( ISCUF'�ShFFC/1S 12FtQU�2cL '(�}N ,�l(�. �sl�-f
� �-l57H�����
Inspector's Office Hours: 8:00�8:30 a.m.
❑ Correct & Proceed 4:00-5:00 p.m.
L �����. � Inspection Request: 754,6627�
Division Inspector 1 ��'��r��i1�� Sz���
CMF W63-46, rev. 30/83
�e I
ADUHESSaiBNLqNG: yL�S LUl(VNALU Ul{
wmeAsr+.weiviaw,u: ANDRINI, THEODORE E
d00PE59: 928 CORONADO DR
COSTA MESA,CA 92626
966-9150
�vn. wuura wo�ss:
�PCHRECT ON EN(iNFfA:
RCH. OP FNO.'4 A�UXE55:
coxm,�crarsruue: KEMNITZ A/C 6 HEATING
eaxrn�crons�u�mo 188 TECHNOLOGY
�noness: I R V I N E
92718
UMT:
Zzl
L1C. NO.:
UNT:
(714)453-8500
:A ��; 695874
urn: C
IJCENSED COMH�CTOfl9 OECUIFRTION: I Mroby Nrm uMw'p�iuf�E �ury IIW 1 un lipneed uMar pwiwnt d Cheqa� 9
(commercirq v.i�h Section )W0) tl Gviwion � d Ne Bwima enE Pmlquon . ud my IimnM b in lull lom �nC eMetl.
cmuc.No.: uc.cuss: C-20 �. o.: 6 879 EXP:
�
Dme: CaNreUw:
OWNEP BU LUEP UECL�H�TION: 1 Mnby effum uMer penely W parNry I un ammq Irpn �M Ga4rodon lbbue Lew Ip Ns
Idbw'vp raa�an (�� ]�1.5 Busm�� aM Proleaepns Code: AM ciY a caunlY �� AQuim e pemin io mmbuG. elur. imprrna.
Eemd'oh, a repi any e4utliue, priar b ea eauerce, ebo raQuiiu tM eppliraM Iw weh paemil to fb e�ip�wd �letemenl UW M a�he
: rcemae wmiw io �na awvbn• d Ns caurm«. lioema lew Icheqx e(aonunsndro wan swon l000) a Oi.eon a a ��r
virou erd Rdaaiom COEa� a iMt M a eM u eaemq iMreham uM �M bew la tM dbped ssomqion. My v'oW ion d Soqion
�1.5 Ey eny eppliunlla a Pormi� wbptls IM eppl'rau to e wil pendry W nol maa tMn Irvs hwMraE Edlen �5500�.
❑ I, m ovmer d �M prapeM> ^N �VM� �A wpea n IMi wk wmpemelion, wYI Eo IM xoM. enE tM ewnum's na NiaMeC
or Meredla eeb (��� ��. Buei�wee eM PMmum� CaEs: The Canirmm tkmea law does M applyto en ovmr d popeiry
wM WiCf a inpwp thpa0n. end wh0 dosa euM waek h'unWl a AenM a Yvaph h's a hm own amplvnx. pwWM IM w�ch
impwemeMs ve nal imendsd n dlorad In eeb. X. Fawaver, tM buitli�q a inpwomam w wld xiihin pw yeer d wmpbtion, ths
owror-0uildar wYl heve �M WNen d pwi�p M w�M d'd nal DuiIC a impova la Ihe WNae a mM).
� I. m oxw d iM CWMY. am a�duivaly mMroCM wM 5wmad oono-ecbn m oumuu Ne O�Md (9eeion MM. &n"viw� erd
aieeviau code:.n. coni,.eu. licen» Law mn. ml woty �o en mhw a wurom who bWH. « �mw«« �nr.m ene who
wntrew br adi pqetla wiN e mareaoHe) IkamW punuw to tM Ga4reCa� liceroe Lew�.
� I un sumq undr Swbn: B. 8 P.C., la Nu rauon:
Dma: Ow�w:
I Eo Mnby canJy Nu I am ewms d enE uMenwd tM rpu�emand W Callwnu F1sel1� end Sde1y Cods Swian 25505. 2551'1. enE
255.L. ud thet I a M' Muro driMuq oaoryvn wiA / rA nal (acb w) nesC W comW wi� wtl mta mEa eM iM n0uimmanb tar
eprtnM1fammmwiianamoEJKalionhomiM�r u�y enepamaniDiprip.Rmida�MWoonavfuneppiratlproenazemqlromlMss
m�.�,..
De�e: AppcaM:
WORI(Efl'9 COYVENS�TION DECWIATION: I Iw�by �M4m unEer pMWIy d parjury w d iM laOOMinp Atlunuro:
� I he.a enE Mil meinlen a un['cm� d mnsent Io �atlinwn M wakre' epnpanWbn. u povldW ta b/ bedbn J]OD tl iM labor
CoG. b IM p�lamucs W IM xak lu wlich Nu pemiY n bwE.
� I Mro eM wil meimeT waksn' aompenwion imureme. u qrp�ulr.d by Sepion 9]00 d IM Lebor Cod�. br iM pabrmerim W iM
.��a..nw�w.w�uw�.e.My�.�S�ATY:�«ww�rwme«...: EXPIRES
c.�w:
Pd'cY Number: — � 2� � 1� 9 6
�r,.ee�„�..alwraem,�cMwrwro+�i�roro,.nune�.aedw.R� w..�
,. f I ceniy Nm in Ns pMomunu d IM wak la xNkh iho pormd 4 iuu�tl, I no1 �mplvy ury pxwn M�ny mennr w n to
beeoms abjetl lo tM wtra' eompnwion Iex� G Ce4lomle. tl I Jauk bsepew wWxf w tM xoM1r�'
mmDmemion Wrn'feone d Satlion J]00 d ihs labor Cods. 1�h on xit ewn ' Ihwa V�'iriom.
Deb: �/���� MG�cuu:
W�minp: Fllun ro��c�n woAnn'rorr�vxwtlon rovx�p� l� vnbwNl, �nd�Nll ud/�ct �n �rr�vloyx ro crlMiW puuNu �rW
GHI flnW ap ro m� h�rJrN tM�und tlolYn (tf00,000A M M1/tlon ro M� eail ol mmpNwebM1 Gm�pp �� proWdW bi In
S�ctlon JNB ol M� L�bor Cob, NMwq �nd �rtomry'� /w,.
CONSTNUCTION LENDINO AOENCY: I heroby affirtn uMer peneXy d perNry IMt tMn b e oonn�uqbn MMinp �pancy lor Ns
perlwmenm al tM Moh la wfiiM ihe parmi ie'ssusd (SaGun JOB�, GM. C).
LENOEF'S NMIE:
IENDEN'9 ADDflE99:
I ceMy tfut I hevs Nis epplicetion ud qms tlw tM ebo:e Inlumelbn b canw. I ep1ee to comply wXh dl ary uM aouMy adinenu�
uMetetelev.sieW' tobuik'vpeoruvutlianendhorobyaNMr¢�iapiawnlNWmdlhhmyloanleruponiMebwa�maniioneEpmpeny
t«��.o�p�w •.�IMBEddLY MILLER �
(5151J6.WP)
a sem:
Cwry-I�ppYwil: Pink-Rsvenw:0obmrotl-Nwuar
• CITY OF COSTA MESA - HUILDING PERMIT
PERM NO: M 075164
PERMIT NO: M 075164 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; MEC PURPOSE: OTH
JOB DESCRIPTION : FAU CHANGE-OUT SQ FT;
CLAIM VALUE; CALC-VALOE: GROUP OCC: /
COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT
*x **x+�x���*��***�**�******�*�r**�***�***�*+�*�*x�*�*��*x��*x *�*��x�� *x � *�*+�***�r+���**+�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN
PARKING REQ: PROV: PARCEL: 14132319 ZNE: REF NO:
PLANNING NOTES> ,
i �
!E iE fE iE 1E iE 1E iF 1E IE fE 3E 1E fE fE 9E 3E fE �k iE IE 1E iE jE iE iE iF 3E 1E IE fE 1E iE iE iE iE if �E if iE 1E iE 1E 3f 1F iE �E 1F iE 1E IE iE iE 1ElE �E �E 1f 1f iF iF iE iE 1E fE iE If 1E �F 1E 3E �E �E 1f if iF 1F IE iE
D E V E L O P M E N T S E R V I C E S, R E Q U I R E M E N T S
ZONING APPROVED BY `
HUILDING APPROVED BY : ���
APPLICATION ISSUED HY
IE 3E 1E iE jE �E fE iE iE iE 3E fE 3E 1ElE IElE 1E 9E iE iE
LEGALIZATION:N
�7A �Z� il1`1����IY����\T�:
F E E S U M M A R Y
ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
25$ SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHEGK� TOTAL PAID DUE
TOTALS----> 9.00 15.00 ' 0.00� 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
24.00 -
f
1F iE i! 1! 1E 1E iE �k iE 1E ik 1E if ib if iE iE ff k if 1E �lE 1ElE iF iE 1ElE iF iE iE iF fE iE iE iE 1F 7f !E!E iE if 1E iE ik �E IE iE k 1E 3E iE 1E iE iE iE ik iE jE fE 1E iE ik 1! 1F �E iE iE fE iE iE fE 1E aF iE 1F 1E 1E fE
I N D I V Z D U A L F E E. H R E A K D O W N
TYPE QTY D E S C R Z P T I O N-^; ': UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/C�RAV FURN'„<= 100 K HTU 9.00 9.00
END OF, FEES
' / � I
�... '
, o �� D
,, ,. �
`, : ; � 1995
NOV 13
� � �1Ty: OF COSTA MESA
DATE:
DATE:
DATEe �I�I��9�r
STRUCTURAL SEGMENT:N
CONSTRUCTION ANDPLANNING
APPROVALS Permit #
t. Temporary Electrical Service or Pole
2. Soil Pipe�Undrgrnd.
3. Electrical Conduit Utility-Undrgrnd.
4. Electrital Conduit�Undrgmd.
- 5. Steel Re�nforcement
6. Electrical UFER Grnd.
7. Footinqs j �
8. Foundation
9. Water Pipe�Undrgrnd.' •
1�0. Strocturat P�oor System
1 7. Property Sewer Line & House Connection
12. Sewer Cap
13. Raof Drgins
74. Rough Plumbing
15. iiou9h E�ectriwi�Conduit
16: Rough E�ectric Wiring
17.'Aough Wiring Sign
18. Rough Eleciricai-T Bar Ceiling
19. Rough Heating & Air Conditioni�g
20. .Rough Factory Fireplace , .
21. DuCts,in Structure
22. Ducts, Ventilating .,,
23. Gas Pipe•Rough & Tesc •
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Struc2uraq & Monocoat
27. Frame and Flashing ..
28. Lathing & Siding
29. Insulation.
30. Drywall Nailing
31. Ptaster Brown Coat �
32 Electrical Power MeterFinal
33. Final E�ectric.
34. Finai HeSting & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy ,
37. Final Factory Fireplace �
38. Final Plumbing �
39. Wacer Service-Final .
40. Gas Service-Final � � •
41. Solar Oomesiic-Final
42. Backflow Preve�ter �
43. Backflow Irriga2ion - �
44. Landscape Irrigation System �
45. Sound At[enuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas 0
51. CERTIFICATE OF OCCUPANCY
Date
POOL. A
Date Inspector AppROVALS Permit#
52. Pool & Equipment Location '
53. Steel Reinforcement
54. Forms •
55. Electricai Bonding
56. Rough Plumbing & Pressure Tezt
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit•Undrgrnd.
59. Gas Pipe, O Undigrnd., Test
60. Backwash Lines, P�Trap, � Undrgrnd.
61. APPROVALTOpECK
62. Backwash & Receptor-Final �
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
� APPR"OVAL�S Permit #
70.,.Underground Hydro
71. ProduetPipingOGas OOiI
' 72. Underground Flush �
. �• 73. Undergrnd.5toraye Tank O Gas ❑ Oil
� 74. Overhead Hydro
75. Dry Chemical • �
76. Dry Staodpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL '
HEALTH DEPT. REQUIREMENT
' 79. FINAL INSPECTION
. . 80. FDOD CERTIFICATE ISSUED
• Notes: �
a
_ '. (
Date � I�spector
BUILDING PERMIT LOG
EE: �% �K(/� 5 _
iS: Z f��
NUM ER: �►�5�64. TYPE OF PERMIT: �� N�t-��"�Z
ION: SQUARE FOOTAGE:
FEES: ��•�
TE: 1 TIME
BE
��UGTI(jN�PEf�N1T
�� c /�
Do r✓l.�Z,
Address Y� X l�U V` (].0 F7� O F-+ "+
Arch/Eng. License No. —
Address
Contractor's Nam �� 0 ��
Address (m� i'�g� � � � � � ~ �
Ciry License No. �"�4'Z �
LICENSED CONTRACTOR DECLARATION �
I hereby aifirm that I am licenzetl untler provi5ion5 01 Charte� 9
wi[h sectlon 7000) of Divislon 3 of the Business antl Pro(essi�
my iicense is in fuu tpce ap� gjtect. �J !
AOPlieant to flll in all spaces exce0< <nose wilnin heavY borOer lines ana sign all aoGropriata tlaclarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO. � I
�_ �S 3yt1 g3
v G , TYPE OF CONSTRUCTION rvew
❑ CONVERSION ❑ DEMOLISH � C
DESCRIPTION OF WORK/USE OF BLOG.
ns Cotle,
20 �'
Date Signature
WORKE 5' C MPENSATION DE ATI 1
I hereby aHirm that I have a certificate ot mns rt to selfinsure or a certititate
of Workers' Comp n tion Iry{urancg�(fr d rtifi tl Opy [he�eof ($ectlon
`800, Lab. CJ(� y o y � J
'yc� No. �+ � � � ^ Com any �V aC
J Certiliea copy is nereby furnishetl.
❑ Cert' i i with [he city tli Isi
Date APplitant
E%EMP ON F OM WORKERS' COMPENSATI N ECLARATION
(Tbis seclion neetl not be Complet<tl it lhe p¢rmit i5 for one huntlretl (y300) or
less).
I tertify that in the perto�mance Oi th0 wo�k fo� which thi5 pe�m�t is issuetl I
shall. not employ any parson in any manner so as to become subject co t�e
Workers' Compen5atlon Laws ot Callfornia.
Date S�9�atwe
NOTICE: 11, afte� makin9 lhis Oecla�ation, you Shoultl becOme subject to the
Workers' Compensation provislons oi the Labor Cotle, you must fortnwith
'comply" �with Su[h prOvl5ion5 or thi5 p¢rmit znall Ge tleemetl revok¢tl.
CONSTRVCTION LENDING AGENCV
I nere�y afflrm lhat thero is a construction lentlin9 agency for the performance
of the ,work for which this permit is issuea (Section 309] Civ. C.)
l.entler's Name
�enaer'i AEtlresz '
OWNERBUILDER DECLARATION
I nereby aiflrm lhat I am exempt from t�e ConVa<tor.'s License Law for the
tollowing reason (Sectlon 7031.5 Buslness antl Professional Cotle: Any ciry or
county wnicb requires a Oe�mit to construct, alter, ImOrove, tlemolish or repair
any itructure, pri0� to it5 izzuance, dlso �equire5 the applicant tor Such pe�mi[
��, [O file a signetl statemenl [hat h¢/She Is Ilcense0 Oursuant to tha provisions Ot
� the Conlractor's Llcense Law (Chap[er 9(commencing with Se<tlon 7000) of
Division 3 of the Business antl Professions Cotle) or that ne/she is exempt
therefrom ane tne basis for lhe allegetl exemp[ion. Any violation ot Sec[ion
�031.5 �y any applicant tOr a permil subjeCtT Ihe appliCant to a civll
•nalty oi not more tnan live huntlretl tlollars (5500).
� I, as owner a( the oroperry or my�employees with wa9es as their sole
compensatlon, will Oo the work, antl tne structure is not intentletl or-ottereG
for sale (Section 7044, Business antl Professional Gotle: The Contractor'S
Licenie Ldw tloe5 nOl apply f0 an owne� o( a property wno builtl5 O/ imO�Oves
thereon, antl who'tloes sucM1 work hlm5elf/nersetl or through hi5 or her own
employees, provitletl tnat such improvements are not intentletl or oiferetl for
sale. N, howaveq the bulltling or improvement is soltl within one year of com-
pletion, tne owner will have the burtlen ot provin9 he/zhe tlitl not builtl or Im-
�rove foi lhe purpose ot sale).
I, as ownei of the pro0erty, am excluzively contracting with Iicenserl con-
[ractorsto construct [he project (Se<tlon �044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner of property who
builtls or imoroves tnerean. antl who contracts for such oroiects wrth a con-
tractar�sl Lcense pu�suam [O tne Con[racto�'s LiC¢nse L.aw). I aT awa�e tnd[
p�oof o1 Uteir Wo�ker's COTPensatlon Insurance shoultl be provitletl to me.
❑ I am exem0� untle� $ection B. & P. C. fo� thi5 reason
Date
I �ereby-certify that I
Information it ecL I
antl state law re ti 9
sentatives ot c y
inspectlon pu a
Signature
Drivers' U[en5e or 55 9f
Owner _
have reatl I
0 ou iamg
m e teu u
above
TVPE OF PERMIT GRaDIr�G
❑ TENANT ❑ ELECTRICAL
,� OTHER
PROJECT DESCRIPTION S�.FT._
ADD IJ ALTERATION LJ REPAIR
JFOUNDATION LJ STRUCTURAL
PLUMBING ❑ MECHANICAL
CONSTRUCTION TYPE VALVATION $
ZONE GRADING CU. VDS. HC
Remarki:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains �
Floor Sinks
Gas Service �UtIC[5
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspeclion�Fea
$15
eoiier
Duct - Under Ground �
Dutt - Structurel
Duct - Ventilating
Exhaust Sys[em ❑ Multiple ❑
Firepl/Fact. BIL iCBO #
Heating System & Ducting
❑ai oo,000 sTu � i oo,000 sn
Reinspection Fee I $15
0865-46,rev. 5/88 Whit¢ - Builtling; Canary - APPi�cant; Pink - Accoun[ing; Goltlenrotl - ASsessor
$hOWCfS
Service Sink
Sevoer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimrriing Pool w/Spa
Urinal
Water Clout
Water Heater
Water Service �
Auto-Wash
Leundry Tra'ys
Isue Fee
Hood or Type I ❑
Canopy Type II ❑
Refrigeration System
❑O�100,0008TU ❑100,000
System Repair/Alteration
Fire Dampers �
Registers �
laue Fee
T Front
B Rear
A
C Figh[ ,
S . Leh
Ping. Ref. #
Planning Notes:
�FEES AutomaticWasher
Canstruction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
�
F.A.U.
Fixtures
. Device Boxes
Outlets
Switches
� Garbage Disposal
Generator �0.5 KW [
$ 3
FEES
S 3
zone
Accessory Building:
Parking Req.
ELECTRICAL
Transformer ❑ 15�50KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel ' �'�
Mators �61 HP � 155 - 8
InaSolar �9-15 HP 016�15+
Microwave
Pole light �
Range
Standing Sections
5 KW Trash Compactor
FEES
N
I
N
G
R
E
Q
M
T
S.
a
I Reinspection Fee �$75 I ' Issue Fee � I $ 3 I
DEVELOPMENT SERVICES REQUIREMENTS: �
Zoning Approved By Date
Building Approved By Date
ApD���tion laued By � Data 6—u"�
SUMMARV OF FEES
BUILDING PERMIT $ 1Z.On SMIP �. $ •�
PLAN CHECK � $ PERMIT
PLUMBING $ �< ..,,�•.+��+ �SSUANC
_•,u•••••`�••�O(1ENEFiGYP��$ .SO
PLAN CHECK ' 25% $ V
ELECTRICAL �, $ 'GFiADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTAL FEE $ 12 •SC7
PLAN CHECK .25% $ �
Ui O�C�D7332-�0�07332 Tt�l'
7Y.DO
�
. ,-
'RUCTION AND PLANNING
VALS Permit #
i�,
�rary Electrical Service or Pole�
il Pipe-Undrgrnd. •
:3.' Electricel ConduiF Utility-UndPgrhd.
4. Eiecttical Condui[-Undrgrnd. ;�
• 5.'Steel Reinforc�ment� �, • •
i
6. Elecuical UFER IGr�nd: •"'C
7. Footin 's �
9 i� i
�8.1Founda;ion S "
i�
,J9. Water Pipe-Undrgrnd. '
10. Structural Floor System �`
11� Property Sewer Line, & House Connectio
. , i_
72.�Sewer CaP �; . 1� �.
73. Roof Drains � -'
r
14. Rough Plumb��g
15. Rough Elecvical-Conduit
1'6. Rough Electric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough FactorY Fireplace � �
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rou�h $ Test
24. Roof Framing �
25. Roof Sheathing
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing . �
28. Lathing & Siding � �
29. Insulation -
30.�Drywall Nailing ';�
31 . Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
Final Heating & Air Conditioning
'Final Gas Pipe-Test
: Hood or CanoPY
37. Final Factory Fireplace
38. Final Plum6ing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final '
42. Backflow Preventer
43: Backflow Irrigation
�
44.�� Landscape Irrigation System
45. Sound AttenUation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
?8. Soecial Requirements Completed
49. Electric Release to Edison �
50. Gas 9elease to Southern California Gas Cc
51. CERTIFICATE OF OCCUPANCY
No. Date
� Date
�.�
� ' 1
_ -
n ,_'
'��
POOL� A
Inspector AppROVALS Permit#
. 52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57., APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
, 59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
-� 67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
0
70. Underground Hydro
71 . Product Plping O Gas ❑ Oil
72: Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75�. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION I
80. FOOD CERTIFICATE ISSUED
Notes:
0
0
n
Date � Inspector
ADp�icant t0 fill In all ipaces except tnosa within heavy bortler Iinas antl sign all apOropriate Oeciantions.
PE MIT NO. TRACT NO. LOT NO. UNIT NO.
CI7YOFCOS7AMEpSn!� ACn7� NSTRUC ION,/�PERMIT � 3Z 2�55 II/26/84 5.pp TL
Project Address _I rf.73 l 0 f O�Q �/ f. A '
AppliCan['S Mailino AAdrPca C Na. �� � 1'ryl�G t[k- a%%- /r TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R
OWner'S Name �n � � \ (� � ❑ CONV ERSION ❑ DEMOLISH ❑ OTHER q;p. �6 Zone
Phone DESCFIPTION OF WORK/USE OF BLDG.
Address � ��L S Main Building: - Accessory Building:
Arch/Eng. License No. TVPE OF PERMIT GaADiNG FOUNDATION STRUCTURAL T Pront ' 0
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
Address (��-��p�� ❑ �oTHER ' A Rear N
Contrector'sNam Phone�:LL�:� C Right � N
• µ q PROJECT DESCRIPTION 5�. FT. OCCUPaNCv K. G
Addresslmailing) �D73� • CONSTRUCTIONTVPE VALUATION$ S Lef[' R
City License No. , zOrvE GRADING CV. VDS. ACRES p�ng. Ref. •A`- Parking Req./ProvidM � E
LICENSED CONTRACTOR DECLARATION Q
1 hereby aftirm Iha[ I am Iicenzetl untle� provi5ion5Ot Chdrte� 9(comm¢ncing Remarkf: PldMing NOIES: M
with Tecllon 7000) ot Divliion 3 OI the Bu5Ine55 antl PrOt¢SSIonS Cotle, antl
my IICenSe is in full ( ce nf effecL �� S
Llcense azs 1�-��— LjIr� nse No.
Date ��� `4y 5'g t �!L-f� yCC� � • PLUMBING FEES
WORKERS' COMPENSATION DECLARATION Be� Sink ShoWers
I hereby affirm thai 1 have a certiticate ot consent to self-insure or a certificate ' ELECTRICAL FEES
ot Workars' Compensation Insurance, or a certlfl coOY th reot (Section BackflowPreventer ServiteSink '
3800, Lab. Gy' ^ ��� `D I
Automatic Washer Transformer ❑ 15�50 KW
PWlcy No. er� Company Backflow Irr;gation Sewer Cap Constructior PoleSub. � 50+ KW
��Certi/ietl copy is hereby furnishe�.
y�� Cerfl/letl c�op y� filetl with the city e�jW ing DI�I n. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Oate ��[y'�'�( noo���ant �/l���k ��� �* Clarifiers Solar Collectors Dishwasher � � Meter ❑over 100 amps
EXEMPTION FROM WORKERS' COMPENSATION DECLApA ON
(Tnis sectlon neeC not be tompletetl If the permit 15 for ona huntlretl (E100) or Dishwdsh¢r
less) ' �p� Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I cerllfy tM1at in tha pertormance of the work for�which this perm�t is 15suetl, I
shall not employ any person in any manner so as to betome subject to Ihe Drinking F.ountains Solar Tank Fan � Motors �0.1 HP �7 h- 8
Workers' Co e9�ation Laws of Callf la.
Date ��-��-jLY Si9nature �y,�ti-+•� � Floor Drains • Swimmin9 Pool w/Spa p q U -. -
NOTICE: If, after making this tleclaration, you s�oultl oecome subject to the Inc.SolOr 09-15 HP �16�15+
Workers' Compensation provisions of �the Labor CoAe, you must tortbwith. Floo� Sinks Urinal Pixtures -
comply with suc� provi51on5 or thi5 p¢rmit shall be tleem¢tl revok¢tl. . MiCrOwdve - .
CONSTRVCTION LENDING AGENCV GasSefviCe ODUetS WeL2fCloiet DeviCeBox25
I nereby at(irm Ihat ther¢ is a ConstruttlOn Ientling d9Gncy fOr the performance POIe Light
of the work for which tM Oer it is Issuetl (Section 3097 Civ. CJ IntefCeptors WatCr Heater OUtlets Ran e
L.entler'z Name _ � 9
Lenaer's Adtlress _ Kitchen Sink Water Service - Switches �� Sign
OWNER BUILDER DECIARN 10 �
I here�y afflrm that I am exempt from the Contractor'S LI<enze Law tor the Lavatories .
followln9 reasan (Section ]031'.5 Buslness antl Profezsional Cotle: Any city or Garb2ge Disposal . Standing Sections
county whith requires a permit'to tons(ru<l, alter, Improve, tlemolish or repair P-Tra Generetor 00.5'KW �5-15 KW
any structure, prior to its Issuance, also requlres the applicant tor such permit P ' Trash Compactor ,
t0 fil¢ a Si9ne4 statement thdt he/she I51lcensetl pu�suant to th¢ P�ovisions ot ROOf D�2in5
[he Contractor'S Li<ense Law (Chapter 9(tommencing wlth Section �000) ot ' '
Divlsion 3 of t�e Business antl Protesslons Cotla) or [ha[ he/she is exempt -
therefrom antl the ba5is for tha allegetl exemption. Any vlolation ot Section ,
7031.5 by any applicant for a permlt sub)ec[s tha apP�icant to a civil '
. enalty of not more than five hundred tlollars (§500).• 3
� 1, as owner ot the properW or my employous witn wages as their sole • Reinspeetian Fea ,$15 Issue Fee $
Compensatlofl, wlll tlo Ihe wolk, antl the 5[Iucture I5 not Intentletl Or Ofteretl RBinSp¢Cti00 Fea $15 I55uB FBe $$
for sale (Se<tion 7044, Businezs antl Pro�essional Cotle: Tne Contractor's MECHANICAL FEES'
License ldw tloes not dpplY to an Own¢r Of a property who builtls Or Impwves
thareon, antl who tloes such work nimsel(/herself or tnrough his or ner own ype � � � DEVELOPMENT SERVICES REQUIREMENTS: �
employees, provitletl that such improvements are not Intenaetl or otterea for � Boiler Hood or T Zpnin A roved 8 `' �
ule. It, however, the builtling cr improvement is soltl within one year of com- CanOpy, Type II ❑ ' 9 PP Y" Data
plGtlOn, lhe Owner will have the bUrtlen of proving h¢/She tlltl nOt bulld o� im- DuGt � UOd¢! i�iroUOd BUildin9 Approved By DetB
�rov! im the Ourpose of Sale).
I, a5 owner of the property, am axclusively contracting with licen5etl con- Duct � St�uctural RefrigEratiOn Sys[em Application lauad'By Data
tractOrS to ConStruct Ihe project (SeGtlOn 7044, Busine55 antl Professions Cotle:
Tne Contractor's License Law does not apply to an owner ot property who Duct - Ventila[ing ❑0-100,000 BTU ❑100,000 BTU . SUMMARV OF FEES
builtl5 Or improves thereon, antl wM10 cont�acts to� Such projects with a con-
tractor(sl license pursuant�to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair�Alteration BUILDING PERMIT S SMIP $
proof o( their Worker's Compensatlon insuranco snoultl be provltletl to me. p�qN CHECK� $ PERMIT
❑ I am exempt untler Sectlon B. 6 P. C. (or thls reason FirepVFatL Blt. ICBO # - PLUMBING $ SC� . ISSUANCE $
Date Owner Heating System & Ducting PLqN CHECK, 25% $ ENERGV P.C. $
I hereby certify that I have reatl this ap0��catlon antl state that the above ❑0�100,000 BTU �100,OOOBT GRADING $
intormation is correct. I a9ree to comply with all clty antl county ortlinantes ELECTRICAL ' $
antl state laws relatin9 to ouiltlin9 conztruction, antl hereby authorize repre- PLAN CHECK- 5096 $ MICROFILM $
sentatives of this <Ity to en[er ug[�n e above-mentlonetl roperty for �
Inspectlon purposes. %�� /�j
Signature _//u�_ .//
� �%Q � Reinspee[ion Fee $15 laue Fee $ 3 PLAN CHECK'�� 25% $
CMF 0865-46, rev. 4/84 White - Bulltling; Canary - APPlicant; Pink - Accountlng; Goltlanrotl - Assessor ' '' - ---
CONSTRUCTION AND PLA NING :'• ' ,POOL & SPA
APPROVALS Permit# �.�� Date Inspector p�ppROVALS Permit# � Date Inspector
1. Temporary Electrical Service or Pole ' � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnil. " �' � 53. Steel Reinforcement
3. Elecirical Condui[�Utility�Undrgrrid. 54. Forms
4. Electrical Conduit-Und"rgrnd. 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, O Undrgrnd., Test �
. � -
9. Water Pipe-Undrgrnd. ' ., - _ 60. Backwash Lines, P-Trap, O Undrgrnd.
��10. Structural Floor System '� � - � 61. APPROVA� TO DECK
11. Property Sewer Line & HOuse Connection . . 62. Backwash & Receptor-Final
12. Sewer Cap �'� ' , 63. Heater & Vent-Final
13. Roof Drains y 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. Duc[s, in Structure . 70. Underground Hydro
22. Ducts, Ventilating � l 77. Product Piping �Gas ❑Oil �
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73.� Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: s" �'+-,yG7h 2 (y0
34. Final Heating & Air Conditioning � / ✓
_ I G.�a. /1 [ �,C_
35. Final Gas Pipe-Test
36. Hood or Canopy _
37. Final Factory Fireplace
38. inal Plum '
i
39. r Service-Final �
40. Gas Service-Final , �
41 . Solar pomestic-Final , ,
42. Backflow Preventer
43. BackflowJrrigation . , , _
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPAN( �
No. Date
� �i�•���
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MHBA. �w�P���A
For Applieani io Fill In Compleiely
TYPE OR PRINT -
BUILDING 9p8 Coronado Drive
ADDRESS
COSTA MESA. CALIFORNIA
�
OWNER Mesa D 1�ar Development Co.
AD RE66 3U�� E. Coast Eii�hr+ay
E. Coast
� SIZE
31t220
OR 3-�t220
INO. OP BlD6E
Lot 88� Tract Lt�B LP�� ���I U E D
SEP 6 1961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
REC81Pi NO. _ PBRMIT NO.
FIRE
ZONE
APPROVED
LEOAL
COSTA MESA. CALIFORNIA
ZONING
y� I NO. OP ��use ov n
vuNe eui�o�no
8R0ACN LINB PROM 1� (��R uNs sr.� �
c¢rmR oP eirtceT 49 � REAR YARD 21 � FRONT
SIOE YARD LEFT �� 3�� I RIGHT 6� R SIDE `�
I DESCRIPTION OF WORK - s
siie ...�61�gn
EXTERIOR WALL _
COVERING
UBE OP BUILDING
TO
s
REAR Z !
B PROVED�r //!s
q fl
Living area
Garage area
Covered �or
EVE6
�
1685 S F
!il�0 S F
etc. 68 S F
1 HeResY ACKNOWI2D68 TXAT 1 XAVE RBA� TH�B APPLIGTION THE AMOUNT 9HOWN UNOEP VALUAiION IB POR TXE
♦ND BTATC TMA� THH ABOVE IB CORRER AMD AOqEH TO COM- pUHP08¢ OF HBTA9LJBNINO A PBRMIT FEB ONLY.
PLY WITM ALL CIiY ORDINANCBB AND BTI�Ye uWs REOULATNG
eU1LDIN0 CON9TR�ICTION. L' VALUATION �} Q'
BIGNATURH OF 1 esa D 1 DLar Development Co PERMIT FEE $. d4 �
PERMITTE
.A. � $ 18'21.��� PLAN CHECK $ ���
+'J 4
AUTHORIZED A 5',��
TOTAL FEH
K
6