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HomeMy WebLinkAbout2978 CROFTDON ST - Building PermitsC Aop�icant to fill in all soaees except those witnln neavY Doraer Iinas ana sign all aporooriate tleclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. . TRACT NO. LOT NO.� UNIT NO. ProjectAddress 2978 CROFTDON. COSTA MESA Applicant'sMailingAddress 1441 S. ANAHEIM BL.. ANAHEIM Owner•srvame EUGENE CONNELL phone 545-0232 Address ��8--� nFR Tn(1N- fnSTA MFCA 9 6 fi Arch/Eng. LiCense No. AAdress Convactor'sName KINNEY AIR COND,__phone 772-1441 Addresslmailingll�t4.1�- PlJAHFiM RL.� ANN�iFIM Q2805 CiryLicenseNo. ���?1$ . LICENSED CONTRACTOR DECLARATION I hereby aflirm that I am Ilcensetl untler provisio�s oi Charter 9(commencing with sec[ion 7000) of �ivi5lon 3 ot the Busines antl Protes i nt Cotle, antl my Iicense is in tu�t�ce a�a ettec . 19]SH �License Class " L ce Date ��0—RS Siqnature v�n�n�� ��n � WORKERS' COMPENSATION DECCARN�FI N'1 �COND. I hereDy ailirm that I have a certiiitate of mnsent to 581LInsure or a certlflcate ot Workers' Compensation Insurance, or a cert�fietl copy tbereof (Sectlon 3800, Lab. j - Pon�r No. C24300353 comca�r INA Certifietl copy is hereby furnis�ed Da[eert�jierL�oPx�filetlwl�tPPhcanl` B� 1 sl n i 3 a E%EMPTiON FROM WORKE0.5' CO �T �Y {i�C (Tbis section neetl not be mmpletetl it the permit Is lor one huntlretl (5300) or less). I certity Ihat In �h¢ perfo�mance 01 thG work !a� �yhich this p¢rm�t Is Issuetl, I shall no[ employ any pe�son in any manne� so d5 [O become subj¢Cf to the Workers' Compensation Laws of Callfornia. Da[e Signature 'NOTICE: 11, alter making this tleclaratlon, you sqoultl become subjoct to tha Wo�k¢rs' Compansation Orovisions ot t�e Labor COCo, you must torthwith comply wilh zuch Orovisionz or IhiS permil zhall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I M1areby atti�m that [he�e is a conSlruction lending agenCy tor th¢ Oe�lo�manG¢ ol the work for wnich this permit is issuetl (Sectlon 3097 Civ. C.) lAntler'S Ndme Ltntler's Atltlrciz OWNER BUILDEH pECLARATIOfi I hereEy aillrm that I am exempt irom the Con(ractor's Ucense Law lor the following reason (Section ]031.5 Buslnes5 and Protas5ional Cotle: Any tlty or to [ho IT lhcralrom antl lne basil fOr Ina aIIC9etl ex¢mption. Any vlolallon ol Sec�lon 7031.5 by any appliwnt tor d Permit subjeCtS tho applicant to a Civil �enal[y ot not more than five huntlretl tlollars (ES00). U I, as ownor o1 the proparly or my employoe5 wph wagos as lhair sole compensatlon, will tlo tne work, antl tne ziruct4re is not intentletl or oileretl 10� SdIC ($¢CtIOO %044� pu5In055 anC PrOf¢SSiqpol COtlC: Th¢ CO(IfIdGlO!'S Llcense Law tlOes not apply to an ownCr ot a property wl�o builtls or Improves thcreon, antl who aoes such work hlmsetl/hers8tl or throu9h� hls or her own Cmployees, provi0etl lhat sucn Improvemenls arp nOt Intentletl Or oHoretl 1or wle. tl, howover, the builtling or Improvement ig soltl wlthin one year ot com- O�Olion, the owner will have tha burtlen Of proving �e/She tlitl not builtl or im- prOve�fo� lhe purpose o� sale). ❑ I, as ownar OI the O�operty, am ezclusively Cont�actlng with Ilcenzetl con- lraclors to construCt Ihe project (Sectlon ]044, Qusiness an0 Prote551ons Cotle: The Cont�acloYs License Law tlOes not apply to an owner of property who builtls or Improves tnereon, antl who contracts ior such projects wltn a con- tractor(sV Ocense pursuant�to Me Contraciols �Icense Law). I am aware that proot o( thelr Worker's Compansation InSuranCO s�oWU 08 prOvldetl to me. ❑ 1 am enemp{ untler Section B. b P. C. tor t�is reason Oate Owner I hereby certify that I have reaC Ihis applicailon and state that the above iMormatio is correct. � agree to comply itn aii city antl county ortllnances � antl state ws relating to builtlin9 cons(r ction, antl hereby authorize repre- senta[ive5 f this Cit [ nter �� nl�. e a � enti etl property for Inspection U G KI ��( A��e 7-30-85 , Signature I Drivers' Licensa or 55 � — — ` t �o � 8'� TYPE OFCONS7RUCTION NE ❑ CONVERSION ❑ DEMOLISH ADD ALTERATION REPAIR OTHER ;. TNcrni LAT.I(�L�F AIR TVPE OF PERMIT[-�, LJ GRADING U FOUNDATI�O{�N� �lJ STRUCTURAL ❑ TENANT y�,qELECTRICAL ❑ PLUMBING JF7.�ryviECHANICAL ❑ OTHER P,ROJECT DESCRIPTION 50. FT.�S�� oCCvvANCv CONSTRUGTION TVPE VALUATION S %� 3�R.00 ZONE GRADINGCU.YDS. ACRES Remarks: Bar $ink Backflow Preventer Backflow Irrigation Bathtutis Claritiers • Diihuvdsher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories � , P—Trap Foof Drains Reinspection Foe � $15 Duct-UnderGround Duct - Structural Duct � Ventilating � Exhaust Sysrem ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting , ❑aioo,000 eru Oioo,000er� Reinspection Fee � $15 AF 0865-46, rev. 10/84 WM1ite - Builtling: Canary - qOplicant; Pink - Accounting; Goltlanrotl - Asseisor Showers Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or , Type I ❑ Canopy Type il ❑ Refrig¢ration System C�0-too,000eru ❑too,0o0 System Repair/Alteration Fire Dampers Registers laue Fee FEES $ 3 4 $ 3 f�3p�# D�2ilt8 j� � A.P: iW S Main Buildi E T Front e Rear A C Right K Left S Ping. Ref. qW Planning Notes: Automatic Washer - Cansuuction PoleSub. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F,A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW C Fee 0499 911'9/6�a ELECTRICAL iKW $15 2one Req./Provided :Transformer LJ 15-50 KW ❑ 50+KW Merer ❑up to 100 amps M¢[¢r ❑over 100amps Sub Panel � � 1 Motors�61 HP{�X7'h-83HF Inc.Salar �9-15 HP �1G75+ � Microwave .- - Pole Light Range Standing Sections i Tresh Compactor luue Feo DEVELOPMENTSERVICES REQUIREMENTS: Zoning Approved By Buildine APProved By �Io�O TL Z O N I N G R' � E Q M T S FEES � $ 3 � SUMMARV OF FEES ' . BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE 5 ' PLAN CHECK 25% $- ENERGY P.C. $� ELECTRICAL $ ' 4•SO. GRADING �$ PLAN CHECK 50% . $ ' MICROFILM $ � MECHANICAL $ �-�O TOTAIFEE �$ 11.SO P1AN CHECK 25% $ ' , CONSTRUC710N AND PLANNING POOL & SPA APPROVALS - Permit# Date Inspector - AppROVALS Permit# Date Insp>cror 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 Reinfo�cement 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, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11. Proper[y 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 SYitem-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 OGas ❑Oil � 23. Gas Pipe-Rough & Test � � 72. Underground Flush � � 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing ' • 74. Overhead Hydro 26. T-Bar Ceiling (Structurap & 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 . (Q�'Z`/ .Uv'1 Notes: 34. Final Heating & Air Conditioning � / (,ryD � 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 pomestic-Final _ _ � 42. Backflow Preventer - 43. Backflow Irrigation � 44. Landscape Irrigation System � 45. Sound Attenuation . � . 46. Handicap Rec�ulatio�s � , . 47. FINALSTRUCTURE & BUILDING � 46. Special Requirements Completed ; 49. Electric Release to Edison . - � � � ' � 50. Gas R'elease to Southern Califomia Gas Co ' ; 51. CERTIFICA7E�OF OCCUPANCY • � No. � " Date ' . - AOP��eant to fill in all spaces except thase within M1eavy bo�0er lines anC sign all appropriate tleclarations. CITl3 OF COSTA MESA pC�ONS RU/C�TI N PERMIT PERM1 O._ . _ _ TRACT NO. LOT NO. UNIT N6. Project Address �� �p ��Or�/�.�^ �h ApplicanYsMailing dress a //W �%'�1�� Owner's Name Phones `r �a�' Address v��h � Arch/Eng. License No. Address ��^///�����n Contractor's Name_����� ,�P.,7h.or�p � Adtlress (m�'�'�N � /� �G7— �L�� City License No. L2v��� LICENSED CONTRACTOR OECIHRATION 1 hereby atfirm Ihat 1 am licensetl untler provislon5of Char[er 9(commencing with section 7000) oi Division 3 of the Business antl Professions Cotle, antl ny license is in tull r ntl effect. p _icensp��,� e e ly�'/��nu'� � Date � 5'9 t � ` WORKE 5' OMPENSATION DECLARATION I hereby atfirm lhat I have a certificate oi consent to selbinsure or a certificate 1 of Worke�s' CompenSatiOn Insurance, o� a certifiE Wpy [here✓of (Sec� Pol��ioy No: �AIQ3/L-�� Company � / , l� -. X rtifietl copy is hereby furnishetl. �� �� � Ce� i' s f'letl wifh the ciry I / Date APPlicant� EXEMPT N OM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if [he pe�mit is for one huntlretl ($300) or less). I certity that in the performance ot the work for which this perm�t is issuetl, I sM1all not employ any person in any manner So a5 to become subject to Ihe Workers' Compensa[ion Laws o( Calitomia. Date Si9nature NOTICE: If, after making this tleclaration, you shoultl become subject [o tM1e Workers' Compensation provisions of lhe Labor Cotle, y0u must forthwilh romply witM1 such provisions o� this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 nereby affirm that there is a construction lentling agency for the performance ot the work for which [hi5 permit is issued (Seciian 3097 Civ. C.) Lentler's Name Lentler•s Aatlress OWNER BUILDEH DECLARFTION • I hereby aftirm that I am ezempt from fhe Contractor's License Law for the following reason (Section ]031.5 Business antl Professional Cotle: Any city or county wM1ich requires a pe�mit to construct, dltEq Improve, tlemolish or repai� any st�ucture, prb� to it5 is5uance, also requi�es the applicant for Subh permit to tile a signetl statement that he/she is licensetl pursuant to the Provision5 of _ the Contraclor's License Law (Chapter 9(commencing with Section 7000) of � Division 3 of the Business antl Profesvons Cotle) or that he/she is exempt therefrom antl the basis for Ihe allegetl exemption. Any violation of Section ]031.5 by any applicant tor a permit subjects tM1e applicant to a civil pendlty of not more than five huntlretl tlollars ($500). ❑ I, as owne� of the propErty or my employee5 with wages as their sole compensation, will tlo the work, antl the structure Is not intentletl or oifer¢tl for sale (Section �044, Business antl Professional Cotle: The Con[ractor'S License Law tloes not apply to an owner of a property wno builtls or Improves thereon, antl wno does sucn work himself/nerself or through nis or her own employees, p�ovitletl that such improvemen[s are not in[entletl or offeretl for 'sale. If, howeveq the builtling or imp�ovement is soltl within one year of com- -pletion, the owner will have the burtlen ot proving he/she tlitl not builtl or im- p�ove for the purpose of sale). ❑ I, as owner of the property, am exclusively conhacting with licensetl con- [racto�sto consVuct the project (Section 7044, Busine55 antl Professions Cotle: The Contractor's License Law does not apply to an owner ot property who builtls or improves tM1ereon, antl who contracts for Such projects with a con- tractor(s) htense pu�suant to the Contracto�'S License Law). I am aware that proof of their Worker's Compensation insurance shoultl be provitletl to me. ' L7 1 am ezempt untler Section B. & P. C. tor this reason Date I hereby certify that information is [orrect and state laws relatirn sentatives of this ij inspection oG�o�O Signature ru:�sv� Drivers' License or 55 owner have reatl tnis application antl state that tne above agree fo comp!y wi[h all. ciry antl county ortlinances o builtling construction, antl hereby authorize repre- to enternuDon the above-mentionPtl Property for TYPE OF CONSTRUCTION U NEW LJ ADD LJ ALTERATION L7 REGAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT ❑ GRADING �.f FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL lJ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.Fr. ocCUCArvGv CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES Remarks: Sink Preventer Irrigation Dishwasher Drinkin9 Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground Duct - Struccural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000 Reinspection Fee � $75 CMF 0865-46, �ev. 30/04 WM1ite - Builtling; Canary - Applicanh Pink - Accounfing; Goltlenrotl - Assesso� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service A uto-W ash Laundry Trays Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion Sys[em ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee A.P. �f`- S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. �1`- Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit D ishwasher Dryers ❑Gas ❑Electric 2051 12/23/87 ` Zone Accessory Building: Parking Req./Provided ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+KW Fan F.A.U. Fixtures Device Boxes Outle[s Switches Garbage Disposal Generator DO-5 KW �5-15 KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors � 0-i HP 01 Yz - 8 InaSolar 09-15 HP �76-15+ Microwave Pole Li9ht Range Standing Sections Tresh Compactor 5,fl0 TL FEES $ 3 ' �— Reinspection Fee $15 Issue Fee $ 3 FEES TDEVELOPMENT SERVICES REQUIREMENTS: ' I 2oning Approved By Date +I Building Approved By Date I Appliwtion Issued By � Dat� $ 3 SUMMARV OF FEES - BUILDING PERMIT $ SMIP PLAN CHECK $ �.�� PERMIT PLUMBING $ �,Z--"�+ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK 25% $ $ Z O N 1 N G R E Q M T S CONSTRUCTION AN,D•PLANNING , POOL & SPA ' APPROVALS PcrmiY # . Date Inspector � p�ppROVALS Permit # '' Date luspector 1. Temporary Electrical;&erviceor Pole � 52. Pool & Equipment Locationcn • � i 2. Soil Pipe-Undrgrnd.��� 53. Steel Reinforcement .� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � i.z�% . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding !;� 5. Steel Reinforcement 56. Rough Plumbing & Pressure,Test 6. Electrical UFER GYnd.� � 57. APPROVAL TO COVER-GUNITE i t� 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. Strucwral Floor SYstem 61. APPROVAI TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final � � � . 73. 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-7 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 OGas ❑Oil 23. Gas Plpe-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 MeterFinal S0. FOOD CERTIFICATE ISSUED ''-'y-�, .. 33. Final Electric Notes: � i . 34. Final Heating & Air Conditioning � •._-'' 35. Final Gas Pipe-Test • � 36. Hood or Canopy . 37. Final Factory FirePlace . 38. Final Plumbing {-ZH�B �D ' 39. Water Service-Final � � " - . � 40. Gas Service-Final . • ' 41. Solar pomestic-Final ' - , � ; , 42. Backflow Preventer � ' ' 43. Backflow Irrigation � . � � - 44. Landscape Irrigatian SYstem � . �' - 45. Sound Attenuation - � � � . 46. Handicap Regulatians � -� � , � � 47. FINAL STRUCTURE & BUILDING � � 48..Special Requirements Completed � ' � � 49. Electric Release to Edison - . � c . 50. Gas Release to Southem California Gas Co . : '. -' 51. CERTIFICATE 0� OCCUPANCY , . � No. Date � ' ' " � . . , \ � �,� -t.^r ACP�icant lo fill in all Spaces except �hose within heavy boraer Ilnas ana si9n all apGrooriate Oeclarotions. CITo �'F COSTA MESA CONSTRUCTION PERMIT .,i Pi ect Address '�-�����'�'�w 5� � Appiicant's Mailing Address S/� K+-e - Owner'sName 2v��.^-o �UKw'�-�� PhoneiSH���61.1'2 Address 2q`%p� C ^o-'T1"^�. 54 Arch/Eng. License No. Address Contractor's Name Phone . Address (mailing) City Licen N LICENSED CONTRACTOR DECLARATION 1 hereby aftirm that I am licensetl untlet provisions ot Charter 9(mmmencing witn sectlon ]000) oi Division 3 of the Business antl Professions Cotle, antl �ny license is in full force antl efiect. _icense Class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION 1 hereby affirm tnat I have a certificate of consenc to self-insure or a certlficate of Workers' Compensation Insurance, or a certi(ietl copy thereot (Section 3800, Lab. C.) ' Policy No. Company - 8 Certifietl copy is he�eby furnishetl. Certifietl copy is tiletl with the city Building Division. Oate APplitant EXEMPTION FROM WORKERS' COMPENSATION DEGLARATION (Thissection neetl not be mmpleted it the permit is fo� one huntl�etl ($300) or lesz). I certify that in the performance ot tne work for whicM1 this pe�m�t is i55uetl, I shall not employ any person in any manner so as to become subiect to the Workers' Compensatlon LawS of Califomia. , Date Si9nature 'NOTICE: If, atter making this tleclaration, you shOultl become subject to the Workers' Compenzation p�ovision5 of the l2bor Cotle, you must forthwrth comply with SucM1 p�ovision5 or tM1is pe�mit shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV ' I hereGy affi�m that SM1ere is a const�uction lentling agency fo� tM1e pe�tormanC¢ of the work for which this permit is issuetl (Section 309] Civ. CJ Lentler's Name Lentler'S Aatlress OWNER BUILDEN DECLARATIOfJ I hereby aftirm that I am exempt tram tne Contractor's License Law tor the � following reason (Section ]03L5 Business antl Professional Cotle: Any city or �..���tv ..,nirn .enuvec r oermit to ronstruct. alter. imOrove, tlemolish o� �epair to fiie a si9netl statement [Yldi I1E the Gontrac[oYs License Law (Ch Oivisian 3 of the Business antl therefrom antl the ba5is (o� the ]031.5 by'any applicant tor a ee0dlty of not mor¢ Inan tive hun IJ 1, as owner of tbe property wmpensation, will tlo [he wo�k, for sale (Sec[ion ]044, Busines License Law tloes nof apply to an thereon, antl who tloes such wo employees, p�ovitletl that suCh i sale. It, howevev, the builtling or plelion, the owner will have the pro far tne purpose of sale). �I,eas owner of the property, a Vacto�5 to construct the Oroject ( Th¢ ConVactor'S License Law tl bui105 0� improves thereon, antl tractor(sl license pursuant to the proof ol their Wo�ker'S Compe ❑ 1 am exempt untler Section Date �� -�- o- 4 r Owner 1 her¢by certify that I have reai infnrmatim is mrrecL I aarea [o I�rivers' License or�! CMF OBfiS-46, rev. 30/84 � /she is licensetl pursuant to tne provislons or apter 9 (commencin9'N�<n Section ]000) of Profe55ions Cotle) or Ihat M1e/she is exempt allegetl exemption. Any violation of Section pe�mit Subjects the applicant to a clvil tlretl tloliars (g500). or my employees�with wages as thei� zole antl the structure is not in[entletl or offerea s antl Professional Code: The Cont�actor'S - owner of a proper[y who builtls or improves rk himselt/herself or throuqh his or her own mpwvements are mt intentletl or offe�etl fOr improvement is soltl within one year of com- burtlen of proving he/she tlitl not builtl or Im- m exclusivety contractinq wi[h licensed con- Section �044, Business antl Professions Cotle: oes not apply to an owner of property who who cont�acts tor sucn project5 with a con- Con[ractor's Lirense Law). I am aware that nsation insurance shoultl be provitletl to me. B. & P. C. tor this reason this ap lication antl state �at the above >mpty ith all tlty antl c ntY ortlinances constr ctlon, antl here authorize repre- �pon tne above-mant' netl property fo� Date /'�'4c-Q3~ ��— TYPE OF CONSTRUCTION LI NEW U ADD LJ ALTERATION ILJ REPAIR — ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p.# DESCRIPTION OF�WORK/USE OF BLDG. - . S ' Main Building: E TYPEOFPERMIT GRADING FOUNDATION STRVCTURAL T front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - A Reaf ' ❑ ,pTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV C Right K CONSTRUCTIONTVPE VALUATION$ S Left ZONE GRAOING CU. VOS. ACRES p�ng. Ref. # Remarks: ' Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Dreins Floor Sinks Gas Service' Intercep[ors Kitchen Sink Lavatories � P-Trap ' Roof Drains Rainspection'Fee � $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting� ❑ a i oo,000 sru � i oo,000 eT Reinspaction Fee ' � $15 White - Builtling; Canary - Applicant; Pink - Acmunting; Goltlenrotl - Assesso� Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater ' Water Service Auto-Wash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ � Fefrigeration System ❑0.100,000 BTU ❑100,000 E System Repair/Alteration P ire Da mpers Registers Issue Fee FEES $ 3 $ 3 Automatic Washer Construction PoleSub. Cooking Unit " . Dishwasher Dryers ❑Gas ❑Eleci Fan F.A.U. Fixtures Device Boxes Outlets Swi[ches Garbage Dispoul Generetor DO-5 KW C 4537 II/2q/85 Zone Parking Req./Provided ELECTRICAL . Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to t00amps Meter ❑over 100 amps Sub Panel Motars �0.7 HP � 1'/: - 8 Inc.Solar �9-15 HP 076-75+ Microwave Pole Light Range ! Standing Sections 5�75 KW Trash Compacror ' Reinspection Fee I $15 DEVELOPMENTSERVICESREQI 2oning Approved By Building Approved By Issue Fee 3oQt Tl. FEES $ 3 Z O N I N G R E Q M T S SUMMARVOFFEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUM8ING $ � ISSUANCE • $, FLAN CHECK 25% $ ENERGV P.C: $ ELECTRICAL $ GRADING $ PLAN CHECK', 50% $ MICROFILM $ � � MECHANICAL $ TOTALFEE $ ,C_ PLAN CHECK 25% $ CCNSTRUCTION AND PLANN...S �'OOL & SPA Date Ins ector � PPROVALS Permit # P APPROVALS Permit # Date Inspeitoi � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement 3. Electrical Conduit Uiility�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, O Undrgmd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House 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. Rougfi Electrical-Conduit . 66. Solar System-Final _ i6. 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 �Gas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. RoofFraming 73. Undergrnd.StorageTank�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: - 34. Final Heating & Air�Conditioning � � " 35. Final Gas Pipe-Test - � 36. Hood or Canopy � 37. Final Factory Fireplace � ' . 38. Final Plumbing �( Z7,�}- �.� - 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. FINALSTRUCTURE&'BUILDING � , 48. Special Requirements Completed , 49. Electric Release to Edison 50. Gat Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY No. Date OWNER� �COME HOMES JOBADDRESS Street DATE BUILDINGPERMITNO. GENERALCONTRACTOR j��Mma Hnmrag VALUE m 8�%C)O.00 �oT 50 e�ocK TRACT 2896 Single ��es. w/att gar GROUP I& J TVP� V ZONE RL FIRE DISTRICT 7(lOA INSPECTIONS Foating Treneh Foundation Forms and Grade Rough Framing � � � � Plumbing, Rough to Siab Plumbing, Rough Complet Temporary Pole Wiring, ROugh Heating, Rough Heating, Final �-- Sewer, House �&ewe Septic Tank or C�q pool Lathing, In � Out Plumbing, Fin.al GasTest / �jr J'I)G Wiring, Final ,��✓� Occupancy ��,� FOHM 210 3M 10�93 DATE I SUBCONTRACTOR I PERMITSI9SUED DATE I NUMBI � S .-.�.dosta Mesa Bnilding Department APPI,ICATION FOR PERMIT ;,�' P.O.Box3�� ���� BUiLDING ' "'� COSTA MESA, CALIFORNIA FOR OI�'FICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. Buflding �Q c�� nddreu Croftdon Strset J Costa, Mesa, California Receiv d Date Rec'd. /Date Issued Nearest �� '��u �`� `� " /�' �� CrossSt. Bek9t Building - Address owner Yfelcor,ie Hoirs s, I:ro. Mail Costa Mesa, California Address E%28 1^lestminster Ave., Nearest Tel., Cross St. City �BStR[121SteT Np,Mfem. 5%11 Zone No.of Type Group�y� Arch(tect or Lic. �� I Plans I 1 � Engineer No. Approved b Date Address CORRECTIONS ,u City Lic. Contrectorel0o� HOmes, Inc. rya, 1�2%8 �, � ,' � address 6b28 Ylestminstor Ave., f. ' Legal Lot � �. a� � ' —� __ . Description I No. 50 I Block � I Traet2Sa6 ' .- `; 1 n - . fAttach Metesand 6eundsl – " �� - . Size of Lot 5axlaz � Now on Lot N vseot I No.oi I No. Existing Bldg. NOI1e Familles Roc Setback Lfne from __ Rear Yard ,e New � X � Alteration I I Addition � Repair I I Moving I I Demolish I Building _-'�n No.of Size �5�W Rooms �J Stories 1 ExteNor Wall Roof Covering Stuaco Covering Y�ood Use of New Buildfng Sin�le familv residence snd tv+o oar gara�e attaahed. I hemby acknowledge that I have read this App7icatic and state that the above is correM and agree to comp] with all Ci a s and e Ia� re latir building const �-/�j Signatureof '/�``'J�' � Permittee n.. !/ ni�J // l _ : � ��_ . , . - . APPROVALS Foundation Location Inspector Forms, Materlals� Under-Pinning Frame: Fire Stops, Braeing, Bolts Lath.int. Lath. Ext Plaster, Int Valuall n� Permit Fee $ %� a � Ma � •-�� � Plan Check $ � � � Bo $ � Total — Fee $ �� � I FII aM zoa io.ee o. e. n s. . Date a � 2 D r PLOT PLAN Show locatlon and dlslances Trom property Iine and between buildings . !".. ,.- `.w a, ;, �_c . oba ,.� • � � _ , cosr. ¢ � ,'P,Y i c;-55P�t9E5A '63.,. • i,: ?3.�;) .:Y'._ a .. .. .. : J::-. �. LV_. _ o c �. �- . t:l' . .. �:cJzc. _ : i�- . .o- � ' r �cl ' . -� '�: UL:_ . � � � . �� .�. � ! � G, ;:;� bc • •� � u'.. o __ 1.' t �i . .U:� o:�;,;, �., .. � �o e �•\�,�v \a'.'�J -� :`�� .�:�)�.,' ` ^ `\ � . .'�\i_�'l�arJ �.� �,j 1 . • �..�,-.. � � -� -. . 1-+.- •. i� : � ` 'i', ER CONNELL, E. DATE 10-5-70 ADDRESS z978 Croftdon strPPt BUILDING PERMIT N0. FIRE ZONE SUBCONTRACTOR PROP. SWR. LINE U HOUSE CON. SPRINKIING SVSTEM MISCELLANEOUS ROUGH MEATING ANO AIR CONOITIONING TEMPORARY SEPVICE Oft POLE UNOERGROUN� � POWER � ROUGH WIRING BON� BEAM LI SHEATHING FRAME AND FLASHI LATHING - IN rI �. . , � 32315 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626 For Rpplicant to Fi!! in Completely (iCT -6-7�1000 163� ****16-$0 CMS0. APPLICATION FOR BUILDING PERMIT '.EIVED Bv DATE RECEIVED DATE ISSUE BUILDING �Q—S��(� /O�G'_ ADDRESS " Ej� f.�j ��./1 � A.P. NO. J�� P'S cJT'C I OWNER MAIL BUIIDING Z . ADORE5S �+DDRESS ` W W TEL. o- U CITV NO. TRACTp� ~ Z W A Z Q CAN5TRU�ION O N LENDER x dfd ( � J � BRANCH J y OWNER m J ADDRESS m ARCHITECT TEL. S J a OR ENGINEER ZQ � . FIRE w K ADORESS ZONE aw APPROVED w Z CONTRPCTOR — BV J � m z J � ADORESS G�� VALUE w W TEL. ZON NO.OF I USE O ZF CITV .r NO. � P�'� w � STATE GTV �'ARDS APPROb N� LIC. NO.�� LIC. NO. MAIN BUILDI� � O (FROM UL Tp�� SIZE NO.OF BLDGS. / OF LOT NOW ON LOT ROM F`f USE OF EXI5TING BLDG. � � , O FT. M— SIZE OF NO. OF — Z NEWBLDG. ROOMS STORIES L.SIOE D FT. U EXTERIOR WALL ROOF COVERING COVERING 'k REAR FT. J USE OF 6UIlDING AN� WOFK TO BE PERFORMED DISTANCE BET. a MAIN BLDGS. a a � � � , �AR. � O C. V.P. �b N� \ APPROVED z 0 VI horaby aeknowledBe that I hava reetl this applieation and state � that tho ilbove informetion is correct antl oprae to comply with � nll lows rap�lating builainp consVuction, antl 1 sfiali not employ F any person in violatiOn o� tha workman'c compensation laws af y the Stete ot Caliiornia. ZI haroby Gerti(y that I am properly licensatl as a contrac2or untler �L SQ. FT the State of Californle Business antl Profassions Cotla, Dlvisicn 3, THE MOUNT S Chapter 9, entl Mat suc� licenses ara in full (orca antl effect, or I THE PURPO6E OF om ezampt from the provisions 0� the Sm[e ot Californla Bvstnesa �qLUATION ontl Profassions Cotla, Division 3, C apter 9. Sip^otu.o of � Parmi[roe $ �fV b � Authorizetl ABa BET. MAIN & ACCESS.BLD DATE APPROVED � -S- y0 b O VATION IS FOR ' iMiT FEE ONL�': Q %- C� d ; m .�- V�C) E 0 i ^� LL