HomeMy WebLinkAbout621 DANUBE DR - Building PermitsPHOJECTADOHE55: (jZS DANUBE DR
OWNEp'SNAME:BROOKVIEW CONDO HOA
. ' aooxess:630 PAULARINO
CM., CA., 92627
(714) 587-0399
ANCHIENGINEEfl:
POUPESS:
HEG.NO.:
uxiT:
UNIT:
PENMITTEE:MESA ROOFING CORPORATION ( 714 ) 59 d-3012
aoneess: gq3 W. 17TH ST
COSTA MESA CA 92627
LICENSEO CONTFACTOB OECIABFTION: I hereby affirm �hai I am licensea unUer provisions ol C�apter 9(commencing wi�h Section
7000� ol Oivision 3 ol the Business an0 Pmiessians Code, anU my li ' MN1e�e ��ec�.
cirruc.:035(( sra?Tcuc.5641 cu^c y7
�J� �a�e: '��' � �J Signat ���/�'r '�
� WOflNEflS' COMPENSRTION OECNBATION: I �ere y afLrm �ha ve a ceNhcate ol consent �o sell- sIR ure or a certdica�e af Workers
Compensation I Ar n r a e I /j oR y ihereoi (Seciion 3800. La� CL
POLILYNO.:p�`-��1���`�`� EXP.ORTE:O/IOSI9�i
comPaxv:GOLDEN EAGLE
❑ Cenilied cooY �s nerehy lumishetl. � Certilied � e with the city Builtl' i an. /J
�) Oate:' �! ' G � ' 7 � qppli /�j—
E%EMPTION FflOM WOPRENS' COMPENSATION UECIAXRTIO .(This sectian neea nol be romDle�etl if tAe permit is �or one hundre0 (8100) or less).
I cerlity Nal in Ihe periormance of �he work lor w�ich Ihis permi� is issue4l shall not employ any person in any manner so as �o become
su�le�� �o I�e Workers' ComOensation Laws oi Caldamia.
�ate'. Signa�ure:
NOTICE: II, alier making Ihis declaraiion, you should become sublec� to �he Worker5' Compensa�ion pmvisions of ihe Labor
Catle. you must latl�wilh comply with suc� pmvisions ar this permit s�all be deemetl revaked.
CONSTflUCTION LENOING AGENCY: I hereby aftirm �ha� Ihere is a cons�mction lending a0ency lor Ihe pedormance of the work �ar
which Ihis permil is issuetl (Sec�ion 3097. Civ. C�.
LENOEN:
aooxess:
OWNEN BUILOEfl DECLAPATION: I �ereby aHirm �hal I am e�empl �mm I�e ConUactors' $tate License Law for the tollowing reason
(Section 7031.5 Business and Pmfessional Cotle: Fny ciry of wunty which repuires a Dermi� to consfmc�, alter. improve, tlemolis�, or
repair any simclure. D�ior to ils issuanw, also repuires ��e app�icant lor suc� permi� to lile a 5ignetl stalemen� tha� �e/she is licensetl
purSuanl l01�e pmvi5ion5 oI 1he Conlrac�ors S�ate Gcenre Law (C1upler 9(commencing wilh Senion 7000) ot 0ivision 3 0� the Business
an0 PmIe55ion5 Catle) m I�a� he/She is ex¢mpt �hereimm ane �he �asis �or Ihe allege0 exempii0n. Fny violati0n 01 Set�ion 7Q31.5 by
any applicani lor a permi� su61e��5 Ihe applicant lo a civil penalry oi nol more Ihan live �untlretl dollars (5500�.
I, as owner ot Ihe O�oOany ar my employees with wages as Ueir sole comDensation, wiil Oo the work, antl ihe
❑ Slmc�ure is na� inten0e0 or o��eretl �ar sale (Section 70aa. Business anU Pmiessional Code: The ConUac�ors' S�ate License Law
tloes noi apPly lo an owner of a pmpetly who 6uiltl5 or impmves ihe�ea0. and who tloes such wark himselflhersel� or thwugh
his or her own emplayees, provitled �hat such improvemems are no� in�ende0 or o��eretl lor sale. tl, however Ihe huiltling or
impmvemenl is sold wilhin ane year ot completion, Ihe owner will have �he 6ur0en oi proving he/she tlitl no� build or impmve
�or Ihe Durpose ol sale).
I, as owneroi �he pmperty, am exclusively contracting with Iicen5e0 conVac�ors to cons�mci �he D�olec� (Section 7044, Business
❑ an0 Prolessions Cotle: The Coniracmrs' S�ate License Law tlaes no� ap01y �o an owner ol pmpeny w�o builOs or impmves thereon
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B 064014 PLAN CHECK NO: N
PERM NO: 8 064019
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STEi PURPOSE: OTH
JOB DESCRZPTION : T/OFF,� 6 REROOF W/COMp SHINGLES SQ FT: 8,645
CLAIM VALUE: 8,645.00 CALC—VALUE: 8,645.00 GROUP OCC; R-1 /
COMMENTS: REROOF W/COMP SHINGLES, INCLUDED 623-625-627-629-631 DANUBE DR
*�r****r****�e�r�e*****�r�r*r+��r�r+�***r�r*�r*+��r�r�r+r***+�*�rw**�r*x***r***�r�r*���rr*�***�r*r�r�r�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 REAA: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING RE • PROV; PARCEL: 93405078 ZNE: REF NO:
PLANNING N TES>
�
M/FNMMiFMit/ffEfEffitMMfFiElfiFikifikifififififMMltMltKitMif%iF%iFiFifiFif%4MifiFifMffififlklFfFMiFitiEMlfifitfkltiffk%fElFiffElk�F*�F�F
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 APPROVfiD BY DATE: `
HUILDING APPROVED BY : DATE: -.'
� ^: .
APPLICATION ISSUED BY;__ /J/%�C� DATEc � %�
4MMIfMMMMiFiflE1`iFifiF1FlFitiFMiFiFifkitifkihMkMffMlfMMkiFlFiFik4if%iFlffFfFMlfMifMifihitfhlE
LEGALIZATION;N F E E S U M M A R Y
SLDG PHT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT 108.00
it ik 1F 1t 1F iE 1! # if if M iF 1k 1t it if if 4
RUCTORAL SEGMENT;Y
SMIP/RES GRADING
86
PL� SMIp/NON—RES
ZSSUE FEE
BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 108.86 0.00 0,00 108.86 108.86 .00
REVENUE DIVISION TOTALS--> COLLECTED; 108.86 OVER/SKORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108.00 ,85
antlwhoconiractsforsuchprolectswi�hacon(ractor(s)Iicensepursuan��o�heConlrac�ars'S�ateLicenSeLaw).lamaware **{t**{t*!t*.It.µ***iFH.1f*!F{p{E*{�{E**{E��,**{f{F*�(,***M,�(,*{�,**{f{�*X.{E*{�****K,*,***{��,*{�{�**K,y*{��*��****
iha� prom a� their worker's compensa�ion insurance snoma be pmviUed �o me. I N D I V I D U A L F E E B R E A K D O W N
� I am exempl under Section: B. 8 P. C. �
m�ims�easo�. TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
oaie. o`""ef SER 8645 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 8,645.00
i Ao neieby ceniiy mat i am aware o� ana unaers�ana ine requiremen�s o� Caiibrnia Meaun and Saiery Coae Sections z550.5, zs533, and END OF FEES
2553C an0 Ihal I or any IuWre building occupant willlwill no� �circle one) need to comply wilh saia sta�e cotles and Ihe requirements �or a
permil for conslmction oi mo0ifica�ion �mm the Fir �uality Managemen� DiSiricl, qe5i0en�ial conStmclion appiications are exempt Irom
Ihese provisions.
Date: Applicanl:
I Aereby cerlily I�ai I have reaA �his applica�ian antl slaiethal ihe a�ove � ' ' lagree�a comply wiih all ci�y and county
orainances and staielawsrelalinglo buiitling constmc�ion antl u or¢erepresenlalive i lerupont e abave�men�ioned
properiy lo� insoection pu�/0osle's
Dale'� V� / � Signalurpr �
.
oriver's �icense ar Socia� Securi� i
164La6 W�ile—Bulltling�, Green—Cotle Enlorcemem�, Canary—Applsam; Plnk—Revenue; Goltlenrotl—Assessor
SMOKE DE7���7'p�
REQ(jIRED
O1 00147514—D�147511 T�7 T 108.85
DRTE: �9%[3i93 tIME: 11:;�G
� �
� POOI & SPA - -T--�-I
GONSTRUCTION AND PLANNtNG
,�APPROVALS Permit��`r- Date Inspector APPROVALS Permit;$ Date Inspector
i. Temporary Electrical Serviceor Po�.�;. 52. Pool & Equ�pment Locat'.on
12.�,Sod piPe-Undrfrnc�-� 'x ;`-i , 53. Steel Reinforcement �
- �-^-@--r--a : �
"�:�.�EIaC[t4CaiConc."et4'F�tility�UndrgmBlS 54. Forms ;
� CY
; 4�l�ctncai Cond:dit�V idrgmd. � 2,;,� 55. Electrical Bondmg ,
' � >-J
�:8r$ieel �einforcE?r �� o�7x 56. Rough Plumbing & Presxure Test � i
S3'' , _ : =N -. '�' �
'.�u�GiccirY.cat U�E..'?3,L;'�:d 57. APPROVAL TO COVER�GUP;tTE �' �
QJ e-� � • _. pn-{
���;;Kpnt�s ` j 58. Electrical Conduit Undrgrnci. � 1
v--•- .-
Z��. FOundation �A � , 59. Gas P�pe, O Un�rgrnd , Test I
�U. Water Pipe�Un�grr,d. 60. Backwash Lines, P�Trap, O Undrg�nd. �
<�- sa
10. Str�eturai Fio� SYstem � 61. APPROVA� TO DECK � �
11. Property Sev�e�Lir�& Hcuse C.�ln�_action 62. Backe.esh & Recepmr�Fina! �
12. Sewer Cap J :� ._. 63. Heater & Vent�Fina� ' '
� ' - --�
13. Roof Drains .� s ' 64. Pl�mb�ng SVstem � F�nal
14. Ro�gh Plumbi�-g � . " 65. Electrical�F�,nal ,
_�
15. Ro�9hElectril!-Conduit 66. SolarSVsiem�Final �
i6. Ro�gh ElecviF-4Niring 67. Fencing & AccesS Apnruval 'I
77. Ro�gh4VinngZgn , 6$. APPROVEDFORPLAS7EfliNG T�
18. Ro�gh Electric�.3�T Bar Ce�hng 69. POO VSPq SYSTEMS FINAL z �
19. ,Ro�gh Heating &_Air Condit�on�ng , FIPE Q.�pT.(� EQUIR;R4EtiT c� I �
' -y) ' i L� �1 t . �l+r' .� � a :�l �$1 C� # �- Q� V -� .4T�1 l�[�, �
ZO��� -1 � � � � J'.�7 � ` k J :J � { � N�J! j T ♦ :. �
ROk9h �4t��y F.�'yPlace t S: .. .. S � -,x� +�b.PP�Vl�.���.Pe;;iit � t---_" x i
ii-� �y--i--.£-•-'�3 = � `7=7 #�-L-ziv. `7,'�_` ` - _-�
27:�D�t25, ir�StW`CttC,'e' � •. •. ''� t - U '" + ��70. Nidergi'0�� H�-,ro "
, H ::; n` S• I S:-� s •,^� �-: i 1 i' k' �. r' t-1.,� � -! '
_" '�c� G,* � FiJ'�F • �;. � -__
22�-Du'�s, �-�entt�tir�� � �ra � ;7 � , � r , ;t77. Prociuc�ri:9 .. .�s �60�1
�-p-ya-;--�,-•.�-, . ^ : c-..- , --,-•-�-F3-�-v�-�. -y
23.•-3a�-PiPe^Ro�h &�est i I*7S '-'-�7 c � �*�. 72. Undergro�t�-.iti FI� r�;% + !-� � I
�� r. i m,T �;xp � ^ _ ri. : riv r �l-t �.-�- --
�L' c. �.�---�a �:.'-. ..F .r "- i r++ fi S• HC: � i
24. RcY Fta,ming � x -� � 73rUndergm2j S!or�gT�nk }.. Gas :'' O�i '
Ca-��-- a: l�l-//, .-,.-F-�--�-,--v-..c.�-.. - --
25. Roif SlSathing G's �; /'��a/ , = � �* * 74�F�erbead Hyd%_ ' � �
- ;. •.�-t V.!- -.- • ��' � --- .
26 �T�fi�u�,r Ce{ling tStw�turail &`-A-!a.tccoat '�' � C'' ` C� ,.,, 7 ; - ' a;
x �� +� .; » x 75s -�ry CherHic�' �. p
. . - ..:--+-r ..'P-TICr-F.i'�'-*''v' � ,
27,JFrame�ad E#ashi�g� '?:-" F ^' =� ': 76. OryStanc�j}i;?e F:; " ��, � -----�
- �s:r,_'1_. + �z =Z�.____tS�_4�. ----
"28.� La-hin�� Sl�'rc� °- o: ^iS � u; . r � � 77:; FIXED .cs,.�rT " �i �� t- '�
i�x :.c: � 'v , ..� ..I .} �: Y%:.TE�i,:, NAIa .,
' , � . .. v"'r, •�--r--t-- - -+
� 29. Insulat�on •;.:: � 5� .. > r i * x 78_FIRE PREV. r' �.t:L •> T y �
�= -� ----- -'
�"�30. D��nvalUNaii��9 �;; _. � ; � � i _ � c ��LTh{'�-�EPT� ii�Q�IRr�'V1ENT .
; i ��I . (-�'+-t •-•'---i�T -FV-C`-�
J31.Plaster?.tot�InCu7'x5 t:rz' + � i ��x �79. FINAL�i�:'�CTIR'N a �
- _, F., ._ � �_F.,(-, � �� -[qo---�,-�t` � c" n - ,
`32:�EIeCtriCot Pot�.ver�:;'�`[e�;�nali 7 �� � � ,R '80�FOOD CER?I°�>��E IS�I,��ED,.� I - ~;
- . � � r '_CY' , i i-:'i P_ _' „� � `:' .1� �� �{ '�
�,33:-Fiin-' Elec.rw .-, s r � �Z �a � � �� s Natts: _ �7M r.-� U +'�:n ' ;.'.
^-:^��"v-',=_c-" � i . � 1 �.�' T .r,- . _ T..:] + �- - -'_-�. . _,
434>. �,Fin� H�un�& A�?�Co�F'Jitidr�.� n� � ., � � �� x tv e-+ y �En-.c,; � ' m`l � -.^- �
.;_.`'�`�'.'-�'I p"^rT--['7 ��.T.S-_??."_7�--;_'-.-�a
� JS�Fida� G� PiF.-Tr'c:c �a •• i.. � � �� ^.o p�, t E-;r ' �� I
-r+-A�-n'rn--S - �i� M-' -"C-'� ' r' ---- '
�:36�Ho?s3 or CanoPY��.'� � � :n`-7 a� �. (1 i I-i* • r --
J . _. '!' i'i I�i�l ..�� i' I I r t i
�_I �J , lt, : f : a �y i_�;.n.-'9. -i�7� �r'* .
y37:.Fina� F84mry Fice,�ace:� � F.H = � �_-' x
" -�-;�„t�_i�«..•-a � �a y :
�38. Fin�l Pld{nb:ng ..,� `'� i 1� x � it i: r-i
."39. YVa:er 5^•vica� `''# ^� � v ; �� . �
�1l �.FI�?I.l 4" i Y 7: � N �
- ��1-A.�-; ' i
tMO. Gas Serr.ce�fVnaY=-• :� ¢•�� ^ 5 + oi � I � t
� . :,. nE-;-� � I b
1 �
_;41. Solar DSj»e::;c-Fj��i`� �j " y. - ', r
S�"•--3�r�--su � - - -Yr-
� 42. BacKfloaoPreven�r. :�+ � ^ � �+'� ��
t�.f. ti,'. � • f-1 �
'II £. CP r j ' � .
43. Backfiow Irr`9atiC�ti �; a '� + ,.
� � 1 =y.
TA4 La�dscS{Se Ik4iqart,iSysterr;���� '� r m O _� Os e x ,-J ti
x .��'_,'S.`:'� - =:_� a s.7 T S
.� �� �-... � Z.... �n t 5.. �_, c. i R'��, r
=45`.-,;Sound ActesLat;o::. _... ' F p� �; _��- s�--� ,:�
--��-?a--;i-�� �' ^ �,.:_ '.. '..� � y ..:
G�6r•?�andicai'Rey�lay`ans - U * . r �'' `� '=
c a I �' *._�_47 �A � 1
.�47.-`�Ify�AL S7RUC Ci��iE & BU'I'IDING ,��i%� ' a , ^ N�O ;
�_.�;� r
481fIPS;qLPLANN14Ta3' � F"�" "t � t�> :i :, �ti
,�49°Ele�ric�iele�seto�dison � ; � l� � �� E.`
i , f j '.��
�50='Ga:CSielease to Souihern Califc�»"� Gas Co * � � �' '- � �+
`-b1. CEt?TIFICATE OF"OCCUPP.NCY • _ ' r '
No. Date
7 S �t� T I
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AOP��cant to fill in all sDaces exceot those within neavr boraer lines antl sign all aovropriate aeclarations.
CITY OF COSTA,M�^ .CONST UCTI N PERMIT PER T NO. TRACT NO. LOT NO. UNIT NU.
Project Address _ !_� n� 33 a��
Applicam's Mailins ddress TYPE OF C�NSTRUCTION nIEW ADD
❑ CONVERSION ❑ DEMOLISN ❑ OTHER
Owner's Name _ Phone DESCRIPTION OF WORK/USE OF B�DG. �
Address 1¢� amu
Arch/Eng. � License No.
Address ��nn ����
Convactor's NameJ.z��;L{A� Phone �
Address (mailing) LL �7 �
City Lir.ense No. ���_ Y�
LICENSED CONTRACTOR DECLARATION
I hereby affirm lhat I am liconsetl untler provisions of Charte� 9(mmmencing
with section �000) of Divislon 3 of the Business antl Professions Cotle, antl
my Ilcense�is in full (orce�ntl ellect. / ,.,� � _ ., � � , �
\V��yKE�tS' COMPENSRTeI�DECLARATION
'�hereby affirm Ihat I have a certiticate of con5¢nt to
\ i WOlkCYS�-COOI ^�I^S�f=f1^C� O( d CCII1 �
�B00, Lab.
�erti ' tl c�letl with the city ulltling.Dividf6
Dale ������ APP�icant �� G f S � l� h� /'J
EXEMPTION FROM WORKERS' COMGENSATION DECLARATION
(This section neeA not be compleletl if Ih¢ permit Is to� one huntl�etl ($100) or
less).
I certl/y thal in the perfo�mance of Ihe work for which this perm�t is i55uetl, I
sM1all nol employ any per5on in any manne� so as to become subjetl to the
Warkers' Compensallon Laws o( Calitornia.
Date Si9nature
NOTI[E: If, a(ter making this declaration, you snoultl become subject to the
Wo�kers' COmpenSa[ion Orovi5ion5 of [he Labot Cotle, you must forthwith
comply wilh such provisions or lhis permit shall be tleemeG revoketl.
CONSTRUCTION LENDING AGENCV ��
I hereby al(irm ihat there Is a conslruction IenUinq agency for the performance
of the wOrk lo� whith [hi5 Permit is issuetl (Set[ion 3097,�Civ. CJ
Lentler's Name
Lentler'S Atl�re55
OWNER Bl/1LUEN DECIARATION
I her¢by atfirm lhat 1 am exempt 1�om the Contractor's LiCense Law for [he
following reason (Section 7031.5 Business antl Professianal Code: Ahy ci[y or
counly which repuirez a Oe�mil to Construct, alter, improve, tlemolish o� repair
any 5[ructure, prlor lo it5 iSSuance, also r¢quires tne applicant fo� sUth permrt
to file a signetl slatement lhal be/she is licensetl pursuant to the provisions of
tM1e Contraclor's Litense Law (Chapter 9(commencing wilh Settion 7000) of
"]ivision 3 ot Ihe Business antl Professions Cotle) o� that he/she is exempt
¢relrom antl the ba5i5 tor the allegetl ezemp[ion. Any viOlation of Section
)31.5 by any ap0�icanl 1or a permil subjecti the applicant [o a civil
�nally of mt more than tive huntlretl tlollars (5500).
LJ I, as owner ot the oroperty or my employees with wages as their sole
compensation, will tlo the work, antl the sVucture is nat intentletl or oHeretl
fo� sale ($eclion �044, Busine55 antl PrOfessional Cotle: The Contracto�'s
Lirense Law tloes not apply to an owner ot a property who builtls or improvez
thereon, antl wno tloes such work himself/he�self or fhrou9h his or her own
employces, provitlotl IM1at such imOrnvemenls are not intentletl or offeletl for
sale. If, howeveq [he builtlin9 or imp�ovement is soltl within one yea� of com-
pletlon, lhe owner will have the burtlen Of Pwving he/she tlitl not builtl o� im-
p�ova lo� the purpose of Sale).
❑ I, as owner of lhe properly, am exclusively conlracting with licensetl con-
LYdCI015 i0 LOfISI(UCI IhE P(Oie<I ($¢C[IOfI i�44. BU510255 dfld PlOfC551005 COtl¢:
The ConVactor's License Ww tloes not apply to an owner of pmperty who
' builtls or impvoves [he�eon, antl who contracts for such projects witn a ron-
Vaclor(s1 I�cense pursuanl to the Contracto�'s License Law). I am aware ttlat
prooi of their Worker's Compensatlon insurance shoultl be provitletl to me.
❑ I am exemp[ untler Section , B. & P. C. for this reason
Date
1 hereby certity that
Infarmatlon is correct
antl state laws rclatin
sentativos of this cit
inspe<tlon urposes.
Signa[urC
Drivers' License or 55
— Owner
I haw reatl thls applicatlon antl state that the above
I agree to comply with all city antl county ortlinantes
to builtlinq construction, antl hereby authorize repre-
� to enter upon,[he above-mentionetl _property fo�
�_a_ �\ Dal��'-% -
..��
TVPE OF PERMIT lJ GRA�ING L r
❑ TENANT ❑ ELECTRICAL l
❑ OTHER �-�
PROJECT DESCRIPTION Sq. F7.
CONSTRUCTION TYPE
ZONE GRADING
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Orinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
<itchen Sink
Lavatories
?—Trap
Roof Drains
Reinspection Fae $15
Boiler
Ducl - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
FirepVFact BIL ICBO ik
Heating System & Ducting
❑0�100,000 BTU 0100,000BT
Reinspection Fee � $15
CMF 0865�46, rev. ]0/84 White - 8uiltling; Canary - ApPlicant; Pink - Accounting: Goltlenrotl - Assessor
.TERATION L1 REPAIR
ON LJ STRUCTV RAL
❑ MECHANICAL
_ OCCUPANCV
VALUATION $ _
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water $ervice
AutO-WeSh
Issue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0�100,000 BTU ❑100,000 BT
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
$ 3
$ 3
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers �Gas ❑Electric
Fan
F.A.U.
Fixiures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0-5 KW �5-'
9528 4/P3/^ 5�0 TL
Zone
Accessory Building:
Z
O
N
I
N
G
R
Parking Req./Provided E
Q
��n M
T
5
ELECTRICAL
Transtormer ❑ 15�50 KW
❑ SO+KW
Meter ❑up to 100 amps -
Meter ❑over100amps
Suh Panel
Motors OO-1 HP O1'/: - 8
Inc.Solar 09�15 HP �16�15+
Microwave
Pole Light
Range
Standing Sections
5 KW Trash Compacror
I Reinspection Fee '$15 I I luue Fee
DEVELOPMENT SERVICES RE�UIREMENTS:
Zaning Approved By
Building Approved By
Aooliwtion Issued 6v �
SUMMARV OF FEES
BUILDING PERMIT $ SMIP
PLAN CHECK $ PERMIT
PLUMBING $ �.� ISSUANCE
PLAN CHECK 25% $ ENERGV P.0
ELECTRICAL $ GRADING
PLANCHECK 50% $ MICROFILM
MECHANICAL $ TOTALFEE
PLAN CHECK 25% $
FEES
S 3
CONSTRUCTION AND'PLANNING POOL & SPA
APPROVALS Permit.# Date Inspector AppROVALS Permit # Date Inspector
i'Temporarj<�Electrical�Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement :y ;�'
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 i 57. APPROVAL TO COVE�R-GUNITE
7. Footings 58. Electrical Conduit-UndPgrntl!
8. Foundation 59. Gas Pipe, O Undrgrncl'.� TesD
9. Water Pipe=Undrgrnd. 60. Backwash Lines, P-Tr�p, _ Undrgrnd.
10. Structura��EJoor System 61. APPROVAL TO DECK "'
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning " FIRE DEPT. REQUIREMEPJT
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. Storage Tank O Gas ❑ Oil '
25. Roof Sheathing 7q. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Ory 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 t`r
32. Electriral 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 6�lZ/gf( LE(7 ' ' '
39'-Water Service-Final • � . „ ` �- �
40. Gas Service-Final - � � �. '
"r .
41. Solar pomesticFinal , ; , , � � .
'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. Gas Release to Southem California�Gas Co �� .
51. CERTIFICATE OF OCCUPANCY , •
No. pate i•
�, •�., � r r,.
��t��n� �'z.�
_ ' �_�8.�.�:
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.�. 80X 1200 COSTA MESA, CALIFORNIA 92626
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BUILDING'
ADDflE55'
OWNER
MAIL
ADORESS
cirr La
BRANCH
ADDRESS
.ngeles, CA 90
United Calif
Main Branch
113 N. San Vicente
CONTRACTOP GeorQe J. He
ADDRESS 740 N. La Brea
CITY Los Angeles, CA 90C
STATE
�ic. No. 3144
SIZE
OF LOT
USE OF
ExISTING BLOG.
SIZE OF NO. OF
NEW BLDG, ROOMS
E%TERIOR WAL�laster COVER
COVEFING
USE OF BUILDING AND WORK TO BI
PAIO
"t„ 16-7�i�.,—S.00 ss�- �•*tt56.73
APPLICATION FOR BUILDING PERMIT
300KVZEW ,. � A.P.NO.�T �
BUILDIN
ADORESS
No�937-2171 TRACT
W A
Bank �/
1�
OWNER
�. Q
r�io�653-0160 S
FIRE
�verly Hills zoNe
APPROVED
Avenue
TEL.
38 No.937-2171
CITV
LIC. NO.
INO.OF LBT�
NOW ON LOT NnnP
PERFORMED
2
�lE NO.OF
3-C� P��
VARDS APPRpVE
MAIN BUILOI�N7C
�NT C� OR�TY
�,�F 3S1r1�
DISTANCE BET.
MAIN BLIX'aS.
VAR. 3W
C.U.P.qW �C '
APPROVED
USE OF NEW� C�
BUILDING ,�, �7A�L
YARDS APPROVED
ACCESSORV BUILDING
FT.
BET. MAIN &
ACCE55. BLOGS.
DATE p
APPROVED d ��
1 he�eby acknowletlge that I have read [his application antl state
thet the above information is correct and apree to <omply wiih
all �aws regulating builtling consnuction, antl I shall not amploy
any person in violation Of the workman'S compensation laws of
the State at California. �
7 'Q SQ. FT. �3O
I hereby cBrtify that I am Oroperly licensetl as a conttactor under
the State af Celifornia Business antl Profeszions Code, Divisicn 3, THE AMOUNT SHOWN UNDER
Chapter 9, antl ihat such licenses ar¢ {n f�ll force antl atfect, or I TNE PURPO6E OF ESTABLISHING
am ezamp( from the provi "ons of the State of California Business VALUATION
antl Profasxions Code, Divi 3, Chapter 9. PERMR FE
Signatura af //p �'+/-
Permittea � � $ �`r ) O�� pLAN CHEC
Authorizaq Agant TOTAL FEE
3
W
A 2 �
0
LUATION IS FOR m
ERMIT FEE ONLV: _
r� E
LL