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Home My WebLink About656 DARRELL ST - Building Permitsr. � (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 656 pARRELL ST Suite: � Vicinity: ROOF Primary Occ: R-3 DWellings/ Cong Res <10 Type o( Conslruction: V-N Parcel Number: 42215217 Zoning: App�icant: FITZPATRICK, GEORGE T Address: 656 DARRELL ST COSTA MESA, CA Owner. FITZPATRICK, GEORGE T Address 656 DARRELL ST COSTA MESA, CA Co ntrector: O W N E R-B U I L D E R Address ' ZIP Arch : Address: Phone: Zip: License: Phone: 949-650-7409 Zip: 92626 Phone: Zip: 92626 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 03/13/2006 Issued: 03/13/2006 .. --��/� Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 15# FELT, 30 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEETING AS NEEDED. 1638 S.F. WC�UDES ATSACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $111.25 $0.50 $0.00 $o.00 $0.00 $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fronl 0-0 PARKING � Ezistin : o Rear 0-0 Rear 0-0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Reauired: 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0-0 $5,000.00 ss,000.00 INOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California slatutes and related I regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. IINSPECTIONS: In order for che work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all ,requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and fi=al approval will result in the expiration of this permit. IPOR INSPECTIONS CALL: (714) 7545626 2446-06 (N00) WORKERS'COMPENSAnON DECLARArON: ' I hereby aHirm under penalry of perjury one of ihe �ollowing declarations: ` �. ❑ I heve and will maintain a certificate of conSent to selbinsure for workers' compensation, as provided for by section 3700 ot Ihe Labor Code, for the pedormence oi t�e work tor which this permit is issued. ❑ I have antl will mainWin workers' compensation insurance, as required by section 3700 oi tha Labor Code, for t�e peAormance of Ihe work For which Ihis pertnit is issuetl. My workers' compensation Insurance carn9� antl policy number are: Carner: Policy Number: (This section need nof be completed il (he permit is valued et one hundred dollars (5100J or /ess.) � I certity Ihat in the pertormance oi the rk ior which this perryit is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' ' ..compensation laws of Califomia ntl ree lhet ii I shoultl 4come subject to Ihe workers' compensation provisions of Secti$� 3700 oyyyttthe Labor Code, I shall Forthwilh comply with thesa prov' fa - �/'^ /�� WARNs�9LU O SECURE WORKER PEN�TION COVERAGE IS UNLAWFl1L AND SHALL SIIBJECT AN EMPLOVER TO IMIRC�NaI. P/� / AND CIVIL FWES UP TOONE HUNDRED THOUSANODOLLARE(5100.000),INADDIT TOTHE�STOFCOMPENSATION,DAMAGESASPPOVIDEDFORINSECTION310GOFTHELABORCADE,INTEREST,qNDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm �hat I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle, and my license is in full force and efled. Lic. M Class # Contractor's Signature: Oa�e: CONS7RUC710N LENDING AGENCV: ❑ I hereDy aHirtn Ihat there is a construdion I¢nding agency lor the pertormance of t�e work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: � Lenders Address: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby attirtn that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the foliowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a permit to constmct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires ihe applicant for such parmit to File a signed statement that he or she is licensed pursuant to ihe provisions oF the Conirectors license Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Proteuions Code) or that he or sne is ezempt iherefrom antl ihe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit su6je�ct ihe applicant to a civil penalty ot not more ihan tive hundred dollars (5500).): B' �I, aµowner of tha properry, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, antl Ihe sWcture is not intended or oHered tor sale (Sec. -�70A4, Business anC Protessions Code: Tha Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or hersetl or through his or her own employees, provided ihat such improvemenis are not intentletl or oHered for sale. If, however, the building or improvement is sWd within one year of complelion, �he owner-builtler will have the burda� of proving that he or she ditl not build or improve tor purpose oi sale J. ❑ I, as owner ol lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOPS to cons�ruct �ha project (Sec. 7044, Business and Profession5 Code: The comractors License Law does noi apply to an owner of property who builds or improves ihereon, and who contracts for such projec� with a contractor(s) licgpse.pursuant to the Contrectors License L.aws.). Business and Professions Code for this reason: 'Owner ID verifietl Dy tlriver's license. ❑ Ves ❑ No rDrivers Cicense,No: Veniication of Ownership by (rype of tlocument, i.a. - propeny tax bill or dee� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihai no excavation five (5) o� more leet in depth into which a person is required to descend, will be made in connection with work authorizetl by this permit, antl that no building siructure, swttolding, lalsework, or demolition or dismantling thereof, will be more ihan ihiny-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TiUe B, Califomia Atlministretive Code�� ❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Industrial Safety, as noted ebove, unless such person has a permit to ao such work irom ihe tlivision. SignaWre: Date: Division oi Industrial Safety Pertnit Num6er: CERTIFICATE OP COMPLIANCE AND AUTHORWnON OF ENTRV: I certify under penalry of perjury that I have reatl Ihis application and state Ihat the information given is correct I agree to�j� pl ith all state lews nd �iry ordinances rela�ing to building consimction, and authorize representa�ives ot ihe City of Costa Mesa to enter upon ihe ebove-tle Q Ptl' r p for inspection pu o es. I agree not to acupy or allow occupancy of any building authorized ¢y ihi er�t u�final inspection. S � ll( igneNre Of Legal Owner(s) "`•-;�� c Date "�`- la-��- ""'-,:' �y�r_ Antl/Or Authorized Applicant Date CODE 1. INSPECTIONTYPE 1676 Fixetl Sys�em Final Fire Prevention 1266 Pool Spe Final 200 Final Ra-Root 201 Final BIocWRetalning W all 202 Final Factory Fire Place 203 20a Final Sign Final Demolition . � r i _ �i. /��/ � � / CppE♦ �NSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QAg INTRIpLS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: BSB DARRELL ST Status: ISSUED Suite No Applied: 12/31/2003 Vicinity: - Issued: 12/31/2003 Parcel Nunmber. 42215217 Applicant: FITZPATRICK, GEORGE T Address: 656 DARRELL ST "�' � � COSTA MESA, CA Owner. FITZPATRICK, GEORGE T Address .'-656 DARRELL ST �' - ' , COSTA MESA, CA Contractor: . O W N ER-BU I LD ER Address: ' '� � ISSUE FEE Temp service test Res: a/c package New Res (1-2 units) . New Res (3+units) Pool / Spa Lighting Fixts � � Recep[ Outlets Switches � Non Res Appl ': . , Res Appl Service to 200a Service to 1000a Service over 1000a � Motors to thp Motors to 10hp Motors to 50hp Motors to 100hp Motars over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuils Phone: 949-650-7409 Zip: 92626 Phone: 949-650-7409 Zip: 92626 �Phone: Zip: License: 000000 ISSUED BY: � ; �, ��. �. � ' ,' `�� , .� � . , "j SCOPE OF PERMIT � � POOL DEMO. REF 803_02219 ,_ , ' . _ . " �,_ ' ,i , _ _ � ' $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 .. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 ,0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY - � " "-, ,' ' - Quantity " Temp Dist System / Lighting $0.00 0 Busway /700 ft $0.00 0 ; ' , Standing Section - � $0.00 0' �- Misc Electrical Equipment 30.00 0-�';� � . Transformers up to 1 kva/kw �0.00 ,; �0� / � -' ` � �: ��. .:.:......up l0 10 kva/kw �0.00 .-�--0 � '� _ �_'-�.:•' .. ,, ,•.. � ' ..........:. . p 50 kva/kw $0.00 '-" -', 0 r.. ,'" .................up to'�100 kva/kw �0.00;- ,' 0 � �. - � ..................over 100 kJa/kw^� � $0:00 � 0 � � - � Low Voltage Equipment ��, ��0.00 0 � " Low Volt Wiring System / Ckt ��$0.00 0 . Misa Conduit � $0.00 - 0 � Misc. Conductor � $0.00 �0 ,, ; � � Circus ( gen or ride) .�._$0.00" 0. Circus (mech ride or lights) � -$0.00� !�0' � � ' � Christmas Tree Stand �� - � $0.00-", ;0" Fireworks Stand $0.00 0 Other Electrical Fee $11.00 � Investigatlon Fee , � , - $0.00 PIan.Check Fee 50.00 Reinspection Fee §0.00 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required I�spections and flnal approval must ba obtained. Failure to obtain inspections and final approval will result in tha expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2406-06 (N00� WORKERS' COMPENSATION DECLARATION: �' I hereby aHirtn under penalry of perjury one oi the following declerations: ❑ I have and wlll maintain a cenificete ot consent b self-Insure for workers' compensatlon, as provided tor by section 3700 oi ihe Labor Code, for ihe performance ol the work for which Ihis pertnit is issuetl. - ❑ I have anG will maintain workers' compensatlon insurance, es required by sectlon 3700 of the Lebor Code, for ihe pedortnance oi the work for which this pertnli is issued. My workers' compensatian Insurance carner and policy number are: Carner: Policy Number: (This secNon need no( be completetl i! (he permit is valued et one hundretl tlollars ($700) or less.) ❑ I certiy ihat in the pertortnance ot the work tor which this pertnit is issued, I shall nbt amploy any person in any manner so as to become subject to �he workers' compensatlon laws of Celitomia, and egree �hat If I should become sublect to the workers' compensation provlsions ot Section 3700 of the Lebor Code, I shall forihwith comply with these provisions. ApD�icent Siqnflture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO IXJE HUNDRED THOUSAND DOLLARE (5100,000�. IN AODITION TO THE COST OF COMPENSATION, OAMAGES AS PROVI�ED FOR IN SECTION 31O60F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of ihe Business and Pmlessions Code, and my license is in full force antl ettact. Lia N qess q Contractors SigneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn Ihat Ihere is a construction lending agency for the peAormance of ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lendels Neme: Lentler's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I here6y affirm thal unaer penalry ot perjury that I am EXEMPT FROM TME CONTRACTONS LICENSE LAW for the following reason (Sec. 7031.5, Business anC Professlons Cotle: Any ciry or counry which requires e pertnit to wnstruct, alter, improve, demolish, or repair eny swciure, prior to its issuence, elso requires the epplicant for such pertnit to tile a signetl statement that ha or she Is licensed pursuent to ihe provisions ot Ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of the Business end Protessions Code) or Ihat he or she is exempt therefrom end the basis for Ihe alleged a:emption. Any violetion of Sectlon 7031.5 by eny epplicant for e permit subjecis the applicant to a civil penalry of not more than five hundretl tloilars ($500).): ❑ I, as owner of the properry, or my employees with wages es iheir sole compensation, WILL DO THE WORK, end iha structure Is not intended or offered for sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or hersetl or ihrough hls or her own employees, pmvided that such improvements are not intendetl or oHeretl for sele. If, howeve�, ihe building or improvement is soltl within one year ot completioq Ihe owner-Duiltler will hava the hurden of proving that he or she di0 not build or improve lor purpose of sale.). ' ❑ I, as owner of the property, em EXCLUSIVELY CONTRAGTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business end Pmtessions Cotle: The comractors License Lew tloes not epply to en owner ol property who builtls or Improves thereon, and who contraas for such project with e contrector(s) Jicense pursuant to ihe Contyactors License Lew,s.). Business end Professions Cade tor Ihis reason: �r ID verifiad 6y driver'S ` nse. 6s ❑ No Venlication ot Ownership y rype of tlxument, i.e. - property tan 6111 or DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenify that no excevation tiva (5) or more feet in depih into which e person is required to descend, will be made in connection with work authonzed by Ihis permiL and tha� no building siructure, scattolding, falsework, or demolition or dismanUing �hereof, will be mora Ihan thirty-sin (36) feet hig�. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title e, Califarnia Atlminisiretive Code). ❑ As owner-builder, I will no� employ anyone �o do work which would require a pertnii from the Division of Industrial Salery, es noted ebove, unless such person hes a pertnit to do such work from the division. � Signature: Date: Division oi Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND UTHORIZATION OF ENTHY: I certity under penalry oF perjury that I have read ihis application and stete that the Infortnation given is correct I gree to w ply with all sta laws antl ciry ordinances relating to builtling constructioq and authonze represyyyent rves of the Ciry of Costa Mesa to enter upon the ebove- � pr � erty or inspe puryoses. I agree not to occupy or allow occupancy of any building auth�riz jb �S pertnit Uup'I tinal inspection. � % � \ � nature Of Lagel Ow r(s) ' Date i And/OrAuthonzed ADPlicant Date COUE t. INSPECTIONTYPE 1616 Fixed System Final fire Prevention 1266 Pool Spe Finel 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign � 204 Final Demolition INTRIALS $�QQ�( INSPECTIONttPE 206 Finel Mechanlcal 20B Finel Plumbing 210 Finel Elec�nCal 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupency � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 656 DARRELL ST Suite No Vicinity: Parcel Nunmber: 42215217 Applicant FITZPATRICK, GEORGE T Address: 656 DARRECC&T� COSTA MESA, CA _ . Ownec FITZPATRICK;"GEORGE T Address 656 DARRELL ST COSTA MESA, CA Contractor: OW NER-BU ILDER Address: � - . �Arch / Eng : Address: PLUMBING PERMIT Phone: 949-650-7409 , . Zip: 92626 Phone: 949-650-7409 Zip: 92626 Phone: Zip: License: 000000 Phone: - - � . _ � Zip: License: Status: ISSUED Appl i ed: 12/3 V 2003 Issued: 12/31I2003 ISSUED BY: • � � � SCOPE OF PERMIT '� POOL DEMO. REF 803-02219. GAS CAP AND SEWER CAP. " " ' AMT ISSUE FEE $23.50 Backflow irrigation $0.00 Backflow Preventer $0.00 Bathtub , $0.00 Clarifer System ' $0.00 Connect Qce,Soda,etc)� , $0.00 Dental Units � $0.00 Dishwasher �50.00 Drain, Floor $0.00 Drain, Rainwater $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 � ��FEE"SUMMARY �,_ , � ' � � .- . , AMT ��TY- ... - . / ' ' �AMT Laundry Tub / Washer �$0.00 0"' .� �-' � Sump Pump � 30.00 landscapelrrigation ��0.00 0 SwimmingPool - � �$0.00 P-Trap $0.00 0 � Trap Primer . , ,� i0.00 Pressure Regulator $0.00 0 Urinal � $0.00 Process�Piping (per 10 ft) $0.00 0 Vacuum�Brkr Bkflow(1-4) 30.00 Receptors � � $0.00 0�� ' . � Vacuum Brkr BkFlow(5+) $0.00 Septic Tank $0.00 0 -. Wash Basin /� $0.00 Sewer Cap for Demo , �$9.80 1 Wash 0asin�Set $0.00 Sewer Connect $0:00 0� � Waste and Vent System $0.00 Sewer Private Line . $0.00 0 water Closet (Toilet) $0.00 Shower � '$0.00 0 ,-� Water Heater / vent 50.00 Sink, bar - $0.00 �-� 0" ` Water Piping (Inst or Rep.) $0.00 Sink, commercial " $0.00 - 0 Water Re-pipe $0.00 Sink, Floor $0.00 0 Water Service /$0.00 /f/ r QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 100 days, or it wo�k is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 754562fi zaaws (doo� WORKERS'COMPENSAnON DECLARAnON: � I hereby attirm under penalty of perjury one of the tollowing tleclaretions: ❑ I have and wlll maintain e canificate of wnsent to salt-Insure for workers' compensation, es pmvided for by section 3700 of the Labor Code, for ihe peAormance oi ihe work for which t�is permit is issued. ❑ I have and will meintain workers' crompensation insurence, as requiretl by section 3700 ot the Lebor Cotle, for the pedortnance of the work for which this pertnit is issued. My workera' compensatlon Insurance carnar and policy number are: Cartier: Policy Number. (This sec(ion need nof be canpleted il the permil is valued ef one hundred dallars ($100) or IessJ ❑ I cenify ihat in the pertortnance of the work for which this pertnit is issuetl, I s�ell not employ any person in any manner so as to become subject to t�e workers' compensation laws of Californie, end agree Ihat ii I should become sub�ect ro the workers' compensetion provisions of Section 3700 of Ihe Lebor Code, I shell forihwith comply with these provisions. Applican� Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATON G1�VERAGE IS UNUWFUL AN� SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAN� OOl1ARE (E100,000�, IN ADOITION TO THE W5T OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECTION 3]O60F THE IABOfi COOE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aHirm ihat I am Ilcensed under provisions of Chapter 9(commencing wlth Seciion 7000) of Division 3 ot Ihe Business and Professions Code, and my license is in full torce antl effect Lic. M Cless q Comractor s Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I herehy attirtn Ihat there is e conswction lending agency far the peAormance of the work tor which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lendels Neme: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm that untler penalry oi perjury �ha� I em EXEMP7 FROM TME CONTRACTOHS LICENSE LAW tor the following reason (Sec. 7031.5, 8uslness end Protessions Cotle: Any city or counry which requires a pertnit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires Ihe epplicant for such pertnit to file a signed sletement Ihet he or she Is licensed pursuant Io the provisions ot the Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of t�e Business antl Profeulons Cotle) or thet he or she is exempt therefmm end the basis for tha alleged e:emption. Any violation oi Section 7031.5 by any applicant tor e pertnit subjects the applicant to a civil penalty of not mora t�an fve huntlred dollars ($500).): ❑ I, es owner of ihe properry, or my employees with wa9es es iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not Intentletl or offeretl for sele (Sec. 7044, Business end Professions Code: The Contrectors License Ww does not apply to an owner ot property who builds or improves thereon, antl who does such work himself or herself or Ihraugh his or her own employees, provided Ihat such improvemenis ere not intended or oHered for sale. If, however, ihe building ar improvemant is sold within one year ot completion, the ownar-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of the propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS ta canstruct the D�o�ect (Sec. 7044, Business antl Profeuions e: T1ie wntractors License Lew does not epply lo an owner of propeny who builtls or improves ihereon, end who contrects for such prolect with e contrector(s) icense pursuant to the Contyectors License L�ws.). pWnariO varifetl 6y tlriv� Venfitetion o1 Ownership Business and Professions Code for this reason: ❑ No property tau bill or DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: No. ❑� I hereby certity ihat no excavation five (5) or more teet in depth into which a person is required to descenq will De mede In connection with work authodzed by Ihis pertnit, and that no building sirucNre, scaflolding, falsework, or tlemolition or tlismantling thereof, will be more than �hirry-slx (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomla Adminisirative Code). ❑ As owner-builder, I wiil not emplay anyone to do work which would require a permit from the Division of Industnal Safery, es notetl e6ove, unless such pereon has e pertnit to tlo such work trom the tlivision. SignaNre: Date: Division of Indusinal Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA7�N OF ENTRY: I cetlity under penalty of perjury ihat I �ave read this epplication and state ihat iha iniortnation given is correct I agree compJy�'�Ith�, II state i(vs antl Cy ortlinances ralating to tuilding consiniction, and euthorize rep esenty wes of Ihe Ciry of Costa Mesa to enter upon the eDove-descn pryp4 for FSspectio uryase�agree not to occupy or allow occupency ot any building�a nz� d� y t(s pertniiL il final inspection. 3 09 � Signat gaLOwner(s) Dat AnNOr Authorized Applicant � D COUE �• INSPECTIONTYGE i61fi Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q�¢ INTRIALS CODEt INSPECTIONTVPE 206 Finel Mechanical 208 Final Plumbing 210 Finel Electncal 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE II�ELS _ r (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�.�ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 656 DARRELL ST Suite: Vicinity: Parcel Number: 42215217 Applicant: FITZPATRICK, GEORGE T Address: 656 DARRELLST . - COSTA MESA, CA Owner: FIiZpATRICK, GEORGE T Address '656 DqRRELLST - � COSTA MESA, CA - Contracror. O W N E R=6U ILD ER Address: - � - Zip: Arch , : Zoning: Phone: 949-650-7409 Zip: 92626 � Phone: 949-650-7409 � - Zip: 92626 Phone: - License: 000000 4� ' Eng: StaWs: ISSUED Applied: 12/31/2003 Issued: 12/31/2003 ISSUED BY: Address: ' - � - � - Address: � . - ' � ' ' Phane: � - Phone: . � Zip: . � � License: ' � License: � �, . , SCOPE OF PERMIT , � - POOL DEMOLTION .�POOL TO BE FILLED. WITH DIRT.. . � . � . _ �. . . _ � � ' � � ' Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: � �' Total: $0.00 $9725 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS . MAIN STRUCTURE � Front .' 0- 0 ACCESSORY Front �0-0 PARKING Existinq: o NOTES: FEE SUMMARY _ � Calc Valuation: . ss,eoo.00 _ Claim Valuation: , 83,soo.00 Rear 0- 0 Rear 0-0 Required: 0 Left 0- 0 Left 0- 0_ Proposed: 0 %� . � � , , , 'ri� , � , i ,: Right 0. 0 � � �� Right.. "�. 0- 0 ' � / � NO710E: The work authorizetl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (71q) 7545626 ?aasre (aoo� l� WORKERS'COMPENSArON DECLARAnON: � ! � ,- I hereby affirm under penalry of perjury one of ihe following declaretions: , � ❑ I have entl will maintain a certlficate of consent to selt-Insure tor workers' compensetion, as providetl for by section 3700 of t�e Lebor Code, tor the pertormance of Ihe work for whiCh thi5 pertni� is issued. � I have antl will maintain workers' compensation Insurance, as requiretl by section 3700 of the Lebor Code, for Ne peAortnance of Ihe work tor w�ich this pertnit is Issuetl. My workers' compensation Insuranca wrrier end policy number are: Cerrier: Policy Number: (Thls section need not be comp/eted il the permit is valued at one hundred dWlars (5100) or less.) ❑ I certity that in the peAormanca oi ihe work for which this pertnit is issued, I shall not employ eny pereon in any manner so as to become subject to the workers' compensetion laws ot Califomia, and agree ihat If I should bewme subject to ihe workers' compensation provisions oi Section 3700 ot the Lebor Code, I shell tonhwith comply with Ihese provisions. Applicant Signeture: Date: WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CPJMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED T/i(NISAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DMIAGES AS PPOVIDED FOfl IN SECfION 31060F THE LABOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I am licensed under proNsions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full lorce entl eflect. Lic. N Class M Cantractofs Signature: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm that Ihere is a construction lending agency for the pertormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: Lenders Address: SlgnaWre: Date: OWNER-BUILDER DECLARATONS: I hereby attlrm Ihat under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business anC Professlons Code: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to file a siqned statement Ihet he or she Is licensed pursuant to the provisions of the Contractore License Lew (Chepter 9(commencing with Sectlon 7000) of DiNslon 3 of the Business ana Protessions Cotle) or ihat he or she is exempt therelrom and Ihe besis tor the alleged e:emption. Any violation of Section 7031.5 Dy eny applicant for e pertnit subjects Ihe epplicani to e civil penelry oi not more than five hundretl tlollers ($500).): ❑ I, as owner oi the property, or my employees with wages as thelr sole compensation, WILL DO TME WORK, antl the siructure Is not inientletl or offered 1or sele (Sec. 7044, Business and Professions CoCe: The Contraciors License Law does not apply to an owner oi property who builds or improves thereon, and who does such work himself or herselt or through his or her own employees, provided that such impmvements are not Intended or oflered for sele. tl, however, ihe building or Improvement Is sold within one year of completion, iha owner-builder will heve ihe burden ot proving that he or she did not build or improve for purpose of sele.). • ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Professions /Code: The contractors Llcense Lew does not aDP�Y �o an owner of property who builds or Improves ihereon, end who coniracts for such project with a contractor(s) license pursuent to the Contractore License Laws.). lam bwner ID veritied 6y venncetion ot Ownei Bu5ine5s and Professions Cotle for IhiS ree5on: iPs licensa. �es ❑ No 6y (type of dwument, i.e. - properry tax bill Date: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenify that no excavaiion tive (5) or more teet in tlepih Into which a person is required to descend, will be made in connection with work authonzed by this permit, and Ihat no building sirucWre, scaHoltling, falsework, or demolition or dismamling thereot, will De more ihan thirty-six (38)leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, California Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit trom ihe Division ot Industrial Safery, as notetl eDove, unless such person hes e permlt to do such work from the division. Signatura: Date: Division oi IndusMal Safery Permit Number. CERTIFlCATE OF CO PIJANCE AND AUTHORVJITON OF ENTAY: I certity under penelry of perjury that I have read this application entl state ihat the iniortnation given is cortect. I ag�r qto c ply wlt� all sta dlaws and ciry ortlinances relating to builGing consWction, antl authodze representatives ot the Ciry ol Casta Mesa to enter upon Ihe abo -d�e r6i 4d e for inspe a purposes. I a ree not to occupy or ellow occupancy of any building aut 6rize y this permit until fi el inspection. �a�3�� -. `� S u re Of L6w s � Dete GOOE I. INSPECTIONTYPE 1816 Flaed System Final Fire Prevention 1266 Pool Spa Final 200 207 202 203 Finel Re-Roof Final BIocWRetaining Well Final Factory Fire Place Final Sign 204 Final Demolition PGoL PAIE Q17II)ALS � z/-a/ C/�-f� COpEt INSVECTIONTYPE 206 Final Machanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupency PAg. II�L� xo: . pddress: OWNER: OROJECT: d FEYORT Of INSPECTIO�: ON cu�,� �-- Ma s or ry Concrete _. -.L,:�_.--�i%:r_—,�o�..� -- _ -- - . �_ __��.= - - -- //. � .,/ ., ,r - Address: � 2��rt-�j,.� S��. .N1. Perml t No. ��.0 7�� A�chitcct� Contrattors Addres! : Addross: Eng(neer: �, G. f��,¢�.S' Subcontrsttort ' (Gunite. Address� �/fr�`y�/% �i-�,1� Masonry o� Concrete) Address: MIx Used: t�,J✓-/ 51umq, Inches: • Admlxture: Desianed Strength,. i�ii:ozch�o lnsp tor : �.cmt.� �/o w�e.�% ��5�� /3) �b3-6��fS- ReDar: 8rick: Block: . �� a . i � � . i •.la • 1 ./ - . r. The follw+ing Inspettlon was performed In accordance w!±� th�+ approved drswiriga, DAjES �� T Cu.Yds. No. of Placed CYI• .1�a':SXs d'_X Remarks ✓ `rer-.r/l.' -sL '�.ZA,JS" ✓ /Yo,� a.C.i �;Ce.4.drfr� �n r_ �r�e ��A-Je� : �,�e.a,�Je� �(� /`��s� %�cC'iD L�L L 0�1 e r e� fi �e iP- ll� iT%1 �" Yd 'C:K . � 3i,o c �s� �iee� , �.Ce,F.�/� �T�ti u� ,7z ,'Q-ir� G�i>4-Ter� �%cch '=��2.�(��i..C/6- fS/�C. AL,J� Copies of Repo�t• to: (INpICATE VHICH BlD6. OEPi. t FURNISH ADDRESS OF ANY�pOT LISTED} 93�•1 � . � � ._ _ ApPlicint to fill in all spaces except those witM1in heavY �oraer lines ana sign all appropriate tleclaretions. _ ., __ _ _, _ _ CI7Y oF.CoS`fa ME�s� ,'CONSTRUCTION PERMIT PERMIT NO. ' TRACT NO. iLOT�N0.1 UNIT NO.' . � `. ; i , • ,.' �5�'D,�RRGcL 5T=. .� .!e' 3CJ g 22j'S� 20 ' -- •� _ - - _ , ^^ ' ;7638 10(21/B7 ! , '� �:, .2�6>53 ;TL Project'Address � ` " .�• "- �! 1 � ' . �. . �.' - 3 ,.,,,,_ �. � ' ' ' � ' TYPEOPCONSTRUCTION EW� ADD ALTERATION REPAIR� ' %'`- ^t ' ApQlicant's Mailing Address � - ' � i _ , ' ,❑ CONVERSION � O DEMOLISH O OTHER q,p, # -�- �ZS—� .�, � '��, - ..� 2one . ' %� f :?wner's Name ��= � t N.��'�AG' �� Phone �{ � 1 �" ' - - -- - - . " ' _ .- � ` i ,DESCRIPTIO�F WO�K/USE OF BLDG. Address bs�= ��Z��-L- ��• ' � On .d.� SD0. � • ' ' � . s Main Bwlding. a Pp�-e�. �� ' Accessory,Bwlding. �� r� � �Arch/Eng' �'��-' �OCLN...L LicenseNo. �bl�i� TVPEOFPERMI GRADIN ❑FOUNDATION STRVCTURA� �`T Front S��(O'' �'y�FC.I�b� !7'� ' '� � �_ '- O Address ��t Z�� , � � "� � TENANT ❑ ELECTRIGAL ,O PLUMBING ❑ MECHANICAL '�i' 8 Rear ' -/ _ �"�r� `"' N .� OTHER q � ' r�- � Contracmr's Name �-1l ��_C�� Phone�i_.�� - , � C Right / N PROJECT DESCRIPTION: SQ. FT. ' � � OCCUPANC Address (mailingl� A. ��"f- 44'3� V�UNf�' F�4�. �2.�5� , '� ^M • �,pp K , . . G / � 2.� CONSTRUCTIONTVPE VAL'UATION$_I.O�.UC� $ �=f� S� � ' � � n i City License No/ � /-/_/ Z ' �ZpNE GRADING CU.YDS. - ACRES� Ping. Ref. # > �Parking Req./Provided E LICENSED CONTRACTOR DECLARATION � � Q I he�eby affirm inal I am licensetl untler provl5lons of Charter 9(commencing Remarkz: C sO �� Planning Notes: � s � � j ' M with section �000) of Division 3 of the Business antl Protessions Cotle, antl � � � °�� my license is in full for<e antl effect: , �� ' i � ' ` � . � .+ . � T ucense �ass � - ' ' License Np`.}'��bs.G, i� - �1 � �Y�� D � P�ueG. LINlJ � �hE r!i iaS�o.:"8'- . . . S �ate � s Si9nature ��R`� � � �/ 0 ^ �y L� -(b' y � L U I G . FEES � ' ; WORKERS' COMPENSATION DECLARATION Bd/ Si�k ; � - � • ' �ShOwCfs � - ELECTRICAL� ' . � - , FEES � I.M1ereby afti�m that I have a certiticate of con5ent to 5¢It-in5ure or a C¢rtificate ` � �'+ � ' � .. of Workers' Compensation Insu�ance, o� a certifietl copy the�eo( (Section ' � - ' � . . - � - _ , 3800; �ab. CJ . � . ' . � Backflow Preventer'� � Service Sink• � ' Automatic Washer� Transformer ❑ 15-50 KW � _ � % � �� . , � . _ . . `olicy No: ' ' Company � Backflow Irrigation - Sewer Ca � � � ' = ��,50+'KW ' ' . P _ Construction PoleSub.- �Certifietl�copY is hereby fumishetl. . . .. , � ' ' _ Certifietl copy is filetl with tne city Builtling Division: Bathtubs 'Sewer Connection � Cooking Unit , , Meter' �up to 100 amps ' . ' Date APplicant r . . ' _ EXEMPTIONFROMWORKERS'COMPENSATIONDECLARATION � CI3�ifiE/5' ' � � ,SOIdiCollectors: - Dishwasher •MeteryDover1000mp5' . , ' (This section neetl not be completetl if the permit is for one huntlretl ($300) or ' ' , " " Iess). � � Dishwasher ' �Soiar Piping � � ' Dryers OGas ❑Electric �Sub Panel - i �' � . � I certify that in Ihe performance ot the wo�k fo� wM1ich this pe�mit is issuetl, I � , , " ' " - �' � shall not empioy any person in any manner so as to beco subje to t Drinking Fountains Solar Tank � � Fan . r . • i ' � � wo�kers{ Co pensation Laws of Calif rnia. � . � Motors �0-1 HP 01'/x- 8 • Oate ��`'� >"'� Signature ^'� � '>- '� - � Floor D�ains � �Swimminq Pool w/Spa � � pJ F.A.U. � NOTICE:'If,after making,this tleclaration, you shoultl be me subject to he � _ — - Inc.Sola� �9-15 HP 016-15+ _ Warkers' Compensation provisions of the Labor Cotle, you must forthwith FIOOfSi0k5 ' � ,U�in01 � � FI%tu�¢5 � � comply with Such'provision5 or thi5'pe�mit shall be tleemetl revoketl. � I Mic�ow2ve CONSTRUCTION CENDING AGENCV ' ' ' � ' G25S2NiC¢ Outl¢t5 �WdtE! CI052t ' � - � D¢viC¢ BOxeS ' � f � I hereby atfirm that there is a constru[tion lentling agenty tor�the pertormance P012 Light of [he work far which�this permit is Issuetl (Section� 3097 Civ. CJ ' . �- , . Lentler's Name . Interceptors 'Water Heater . � Outlets • ' Range- - ' �Lender's Atltlress - ' -��- � � � - - ' - � - - -� �� - - - Kitchen Sink- � � - - . Water Serviw' ' '- S ' �- ' � � "' - ' ' " "' ' - ' , witches ' � Sign �� OWNER BUILDER��ECLARATION � � � . ' I hereby affirm [hat I am exempt ftom the Contracto�'S LicenSe.Law �for the Lavatories • � ' Auto-Wash ' � � Garba e Dis OSdI � following reason ($ection 7031.5 Business antl Professional Cotle:�Any city or � ' 9 .P j I Standing Sections - county whicM1 requires a pe�mit to conztruct, alter; improve, tlemolish or repair P-T�dp 1 � LaUndry TrdyS ' ' ' - ' - � Generator �0-5 KW �5-15 KW Trash Com actor any structure, prior'ta its issuance, also requires the applicant tor such permit P ' to file a signetl statement that he/she is,licensetl pursuant to'the provisions o( ROOf D�dins • � � 1 � C . the Contractor's License_Law (Chapter 9�(commencing with Sectlon 7000) of 1 ' pivi5ion 3 ot the 6usines5 antl Profes5ion5 Coile) or that he/she is exempt� - � � - - - - �,� o - U�. therefrom antl [he basis tor the alle9etl exemption. Any violation of SectiOn ' , , ' , , ' _ , ' , ' ' ' 7031.5 by any applican[ for a permit subjects the: applican[ to �a civil �enalty�of not more than five huntlretl tlollars ($500). ' ' � ' ' ' �� I, a5 owner of the'property o� my employees with wa9e5 as thei� sole RCinSpectiOn,Fee' §75 . • ISSue Fee . $ 3 � . ' , �mpensation, will tlo me work, antl me structure is not intentletl or offeretl ` Reinspection Fee $75 luue Fee ' . f$ 3 or sale (Section 7044, �Business antl Professional Cotle: The Contractor's - MECHANICAL � � FEES ' , ~ � License•Law tloe5 not applY �o an ownerb! a property who builtls,or improves - - - _ ; thereon, antl who,tloes such work himself/herselt-or through his or her own - � , . DEVELOPMENTSERVICESREQUIREMENTS: • , f employees, provitled tM1at su[h impfovements are not in[entletl or Ofteretl tof BOil2f '_ HOOd O! TypE I ❑ � Y- wn • sale. If, however, Ihe builtling or improvement is soltl within one year oi com- � Canopy Typ2 I I ❑ � Zoning Approved By - 1"` - � � Date �� t' pletion, the owner will M1ave Ihe burtlen of proving he/zhe tlitl not builtl or im- DuCt - Und¢� CifOund ' ' $(,j �prova tor the.purpose of sale). .� � : � � , � 8uilding Approved By � Date � ❑ i�, az owner of the property, am exclusively contractinq with Ilcensetl.con- Duct -Structural Refriger'ation System - � Appliwtion luued By �� Date ' - ' . tractovsto'construct the project (Section 7044, Businessantl Prof¢ssion5 Cotle: ' , _ � The Coniractor's.License Law tloes not apply topn owner oi property who Duct- Ventilating , . ❑0-700,000 BTU ❑100,000 BTU � ' .: i ;, .. SU�1MARV OP FEES � � � � - builtls or improves thereon, antl who coni�acts for Such projects with a con- - ' � � - - � � � tractor(sI ucense•pursuant to tne Contractor's License Law). 1-am aware tnaf- '� BUILDING PERMIT �$ 1Z-$` SD ..`SMIP. , � $- I•�Z�� roof of thei� Worker'S Com ensation inSUrance shoultl be Exh2u5t SyStErt� �. MWtipl¢ ❑ ' System Repair/Alteration+ � - - ' p p _ provitletl to me. _ , _ PLAN CHECK � $ �� PERMIT- ' � • - '(� I am ezerimpt untler 5ection B. 8 P. C. for this reason - FirepVFact: Blt. ICBO # r Pire Dampers � � pLUMBING $ ' L•. ��' �SSUANCE� � $ : Date � -� � ' � Owner � � � " ' � ' - � Heating System & Ducting �Registers ' � �. . ' $ � ENERGV P.C. $ � � PLAN CHECK 25% , . , I hereby certify that I have reatl this appliwtion antl state mat fhe above I ❑0-100,000 BTU O100,0006T ;'; o� � GRADING • $ InPormation Is correct. I a9ree to comD�Y �^/��h all clty antl county ortlinances ' � - ELECTRICAL . �$.' � � , , :antl state laws relatin9 to builtling construction, antl hereby authorize repre-' . , = � _ ' � PLAN CHECK -50°h . $� q'.sv MICROFILM $ � � �• � � Sentatives ot.,thi ity to � e upon th¢ 'above-mentionetl yro erty fo� _ . . ' _ . .. .. . • Inspection p rpo e . / • MECHANICAL „� S ! .TOTALFEE $ 23�.5'3 Si9nature ' DatiE v Z � Reinspection Fee �� $15 � Issue Fee � $ '3 ' ' PLAN CHECK "25% $ ' i - Orivers' LicenSe or 5 � � � CMF 0865-46, rev. 30/84 . White - Builtling; Canary - Applicanq Pink - Accountlng; Goltlenrotl - Assessor � CONSTRUCTION AND�PCANNING ' � POOL & SPA -� - APPROVALS Permit,# Date " Inspector qppROVALS Permit# � Date Inspector 1, Temporary Electrical Service or Pole . . 52. Pool & Equipment Location � �� /� g� fl� 2. Soil Pipe-Undrgrnd. � �' '� � 53. Steel Reinforcement )� l� .Q'� Dia� 3. Electrical Conduit Utility-Undrgrnd. ' � 54. Forms - ' . • 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding . ' 5. Steel Reinforcement� 56. Rough Plumbing & Pressure Test �� '�/� j Q� 6. Elecirical UFER Grnd. . ' � 57. APPROVAL TO COVER-GUNITE �� 87 �(� 7. Footings , i �' � . 58. Elecfrical CqnduirUndrgmd. . �� - e�rN 8. Foundation �� . . ., � 59. Gas Pipe, O Undrgrnd., Test -� � �� 6 a-r 0� 9. Water Pipe-Undrgrnd. • � _ _ � 60. 'Backwash Lines, P-Trap, � Undrgrnd. (� �6 0 J¢- 10. Structural Floor System ' � 61. APPROVAL TO DECK � ��p Q�(}�- 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final r. �(� 8'/ � , 12. Sewer Cap , ' 63. Heater & Vent-Final -�� D 13.• Roof Drains � ,. ' , . ' 64. Plumbing System - Final ' � . 74. Rough Plurribing - - ' 65. Electrical-Final . � I 15. Rough Electrical-Conduit � 66. Solar System-Final ' 76. Rough Electric Wiring , . � • 67. Fencing�& Access Approval . , � 17.�Rough Wiring�Sign - ', � 68. APPROVED�FOR PLASTERING • 18. Rough Electriral=T Bar Ceiling � ' '. 69. POOL/SPA SYSTEMS FINAL fy� (%�-' 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT � � , 20. Rough Factory Fireplace �' ' �� APPROVAIS 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. Roof Fra'ming � ' . ' � 73. Undergrnd. Storage Tiank' O Gas ❑ Oil � 25. Roof Sheathing - � � � ' � � 74. Overhead Hydro " ' �- : s" n 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 � � . i � ��. � , � � � , . � 35. Final Gas Pipe-Test . � , • � � � � 36. Hood or Canopy 37. Final Factory Fireplace . � ' � ' � 38. Final Plumbing - � � � , � � , � _ , �, T � . � � 39. Water Service-Finsl . - � � ' � . � 40. Gas Service-Final � - . � � " - ' 41. Solar pomesticFinal . . - �•� . ' • � . 42. Backflow Preventer ' � � 43.,Backflow I�rigation. � . � • � � . 44. �Landscape Irrigation Sysfem � • _ . �. , � , •' 45. Sound Attenuation . ' . ' � 46. Handicap Regulations - . . • � . . � . ' . � 47. FINALSTRUCTURE&BUILDING . ; � � . .?�,� . 48. Special Requirements Completed - , ' � ' , ' .. j� 49. Electric Release�to Edison • .' � ' - � . - - � 50. Gas Release to Southern Califomia Gas Co � . _ � ... 51. CERTI.FICATE OF OCCUPANCY � � �� . - , ' � � , � • No. � . . _ Date - . . : _ . . . _ . � La,�' - �. ' . •' ~h� � f:�T 1 L \-S'Y . _ �SEr��a-rC�-o'i —� \. '�`o'�--� t? S°.�'t�( C��. P � Cov.� v� -C�.� mU(=e�f�AO �u�£2 Li�JE rb /�1tc�ci' �'�G�, lo8a� � F N.E�C . ,.6 Govc,� �"C� b��,l ti 6 � N AT�� 1�r'<�--- '�.5. ��51\ ��i7lT\ GJN/�l� Gp J GG�T � 1Jo 5^�.�.� �J S� 1 � �• SC'-t� f��o:., �+ �• ! �_s ,-. �c�zs w / ��'`P �oa� • � — � , 6S� � � � � \ b �F �O . >i6 _� i , �� /�p �i%E�E . �t.oG� ��t.t� L`,-�� ss�,�o��'3 - S. ��n.� . `� �C-�L i� �+�� ..�' �'�'� r� ow�� -�� Y �� o.+T lcc�vwl �� o�� l APPROVED �0 CITY OF COSTA MESA �i C3'Electrical Section M'4 (�Mechanical Section �� lumbing Section � gu�' ing Division � APProved......... G1'�' .... .. .... Date_G.��....�..�� ..... ... . ... THE ISSUANCE OF A PERMII BASED UPON PLPNS AND SPECIFICAlIt'NS SHA�� NOT PREVENT THk BUILDING OFFICIAL � F!�OM THERcAF1ER REQUIRINGTHE CORRECTION OF ERROR IN SA1D VIANS AND SPECIFICATIONS OR FROM PREVENTING IBry'y�IptA710NROFITN S CODE ORROFEANY OlHERu ORD NANCE OF THE CITY. FOR INFOftMATION CFLL 7`.�4'S2�3 por I a �I�p p L � S t�L� �c�...� P�c�T S �i� - `� •,c 4- : — 5 -�� UT �L�Cy E..s6.�t..T G� .� `�' i" � 1 s=o' � �� %�TtvJ t�o�� SQ7� \ �r��i ��t.n�c� � av.�,T�aw�p.� Goa �2� .—c �o �'� l � �_v.� _, 7 _ _ � �o'v�.. � St'A\ 1 �e.ES1 D �'�� } NoC To hN�I st-r�e l_vT 20 �C� 22��j Col� ; APPROVED �. �'' o `' os� �, PIANNING D�T. aruecr ro e�ow oar. w� ... ,v,,,n _.� in _�4- G'�8� ��C�v I ii/F..�""P�a�tL �-Mf�2�-.� S� M M S G s` �+�r�E � s-r j�osT� MICsp GA �S. IH �s- �$� � Bus PIl r�►Pv.�a, z�l c.-� '�►�IE I,A�UNABf�a�Y COM�P��4vtJ�Y� U4,�,� .,��14� �ji�/�I:M�I`�F? �G10��vriJ�f� � �.wJ 1 QUC'f1CY� P. a ec�c �f436 LI6lY�1� 6��Lk, CA 91�dy �11+),4�¢-G�3i �__L�` ' i� Laboratorie: �f s�� l330 P.IrDwl W�Y / tiYllln9 Atlbm P.O. BOR {7 / Lonp BYch� LA 9p101 /(113) �26JD55 /(21�� 676•23l6 /(71�) lZld{33' BRANCM OFFICEi 161�-0 Nert� SuYn SlrMt/ SanL Ma� CA 927 W/(714) 5342615 Decer�ber 9, 1987 COMPAESSION TESTS ON GlltJITE CYLINDsx- . Elmer G. Volden 14509 Dalwood Avenue Norwalk, California 90650 PROJECT ADDRESS ARCXRECT ENGINEER B.C. Adams SAMPIE FROM MIX DATE CAST DATETESTED SPECIMEN N0. COMPRESSION TOTAI LOAD LBS. POUNDS PEA S�. IN. AREA. S�. IN. IXAMINATION N0. 87-17196 SWIl�PfING POOL 656 Darrell St., Costa Mesa, CA CONTRACTOR LaGuna Bay SUBCONTRACTOR D-J Gunite 2nd Break, liI A E. shallow end floor, walls and beam. 4.5-1 i1-20-87 12-8-87 DAR 18 days 84,000 2,970 28.27 SPECIFIED STRENGTH SLUMP --- SPECIMEN SIZE 2,000 6" x 12" COMPLIANCE 18 day test complies with specified strength. MADE Bv: DELIVERED BV: � RECEIVED ON: SPECIMEMS D.J. e E. Volden 12-7-87 DISTRIBUTION ✓ �� J 2�-87 Elmer G. Volden - 3 Building Dept. - Costa Mesa ljs 4 �LL R[pOMTS ONE $UBMITTED 15 TME CONFIDEHTI�L DqOVEAT' �� CUENT$ GUINOA�ZOT�ON �OA PUBLI�G�ICH pf OUA RfDOMT$ COMCWSIONS OA E[�RPCTS fPOM OA NEG<NDiNG TNEM 6 AESEAVED VENOwG OUA M'PITTEN >VGROV�t �S 0 MUTUA� GROTECT�OH TO CLIEHIS TqE VUBL�C �ND OURSELVES � ' ; i �.��/'� ��-$ ?wini� Labor�tcrie$ �f s�� e�f��, �� V" y Y130 Airpwt W�y / MYlllnp AG6m 7.0, Bot 17 / Luip BYc�� CA 90601 /(71D) 4263755 /(217) 6J64Jl6 /(711) l306�32; TESTING BRANCM OFFICE� 131hD Nottll SUYn StrMt(S�nL M�, CA 9R70] /(71{) SS42615 December 3, 1987 IXAMINATION N0. $7-16937 COMPRESSION TESTS ON cUNz'rE CYLINDER Elmer G. Volden 14509 Dalwood Avenue Norwalk, Cali£ornia PAOJECi ADDRESS ARCNITECT ENGINEER B.C. Adams SAMPLE FROM MIX DATECAST DATETESTED SPECIMEN NO. COMPRESSION TOTAL LOAO LBS. POUNDS PER S�. IN. AFE4. SQ. �W. 90650 SWIMMING POOL 656 Darrell St., Costa Mesa, CA CONTRACTOR LaGuna Bay Co. SUBCONTRACTOR J D Gunite llI E. shallow end floor walls and beam. 4.5 - 1 11-20-87 SLUMP 12-2-87 I 12 days 32,500 1,150 28.27 SPECIFIED STRENGTH SPECIMEN SIZE 2,000 6" x 12" COMPLIANCE 12 day test does not comply with specified strength. MADE BY: DELtVERED BY: ' RECEIVED ON: SPECIMENS D.J. Contractor 11-30-87 �.,j„?I'�.,,�,;,� DISTRIBUTION �2,( f �', Elmer G. Volden - 3 Building Dep[. - Costa Mesa •lt NEi0AT5 OME SUBMiTTED �5 TNE CONFIDENTIaL DROGEAT' Oi CLIEHTS GUTMOp�Z<T�ON GOA �UBLICOT�CH OF pUi1 REPORTS CON�LUS�OMS OM EYTRCCTS FPOM OA NEG�ppING TtlEM IS AESEA�ED VENGIN(. OUp WPiREH A>oROV�L �S n MUTWL VNO1ECTiOM TO CLiENTS TNE PUBLI� �ND OURSELVES . Zsq �� a�� '- ?wini baboratorie$ �f s�� eQG/o�, ��. � . �� y � ]]30 Alrport WaY /�Illnp /itlbm P.O. Box �7 / Lonp BYt�� CN 90601 / 17131 426d755 / l21]I 6�6-3]!6 /(71l1 !2lEs32: TESTING BRANCM OFFICE� 1514-D NWt� SUYn StrMt/S�nL Ma� CA 4270.1 /(714� 534Y6�3 December 3, 1987 DUMintnTioN NO. 87-16937 COMPRESStON TE5TS ON GUNITE CYLINDER Elmer G. Volden 14509 Dalwood Avenue Norwalk, California 90650 PROJECT ADDRESS ARCHRECT ENGINEER B.C. Adams SAMPLE FROM MIX DATE CAST DATE TESTED SPECIMEN N0. COMPRESSION TOTAL LOAD L85. POUNDS PER SQ. IN. :.P,EA. SQ. IN. SWIMMING POOL 656 Darrell St., Costa Mesa, CA CONTRACTOR LaGuna Bay Co. SUBCONTRACTOR J D Gunite iiI E. shallow end floor walls and beam. 4.5 - 1 11-20-87 12-2-87 I 12 day5 32,500 1,150 23.27 � SPECIFIED STRENGTM SLUMP ___ SPECIMEN 512E 2,000 6" x 12" COMPLIANLE 12 day test does not compZy with specified strength. MADE BY: DEUVERED BV: ' RECEIVEOON: SPECIMENS D.J. Contractor 11-3�-$] �,�h,�l'�„�.�,;� D�STRIBUTION �2 _��7 Elmer G. Volden - 3 Building Dept. - Costa Mesa �Ll REPOATS �AE SUBMiITED �5 TME CONFIDEHTu, OFOOEAr 6F �uEMTS AUTMOAIZLTIOH ipP Vt1BLIC>T�CN O� OUA AEVOPTS CONCLUSIONS OA EKTF�RS iROM pR REG�ROING iMEM IS NESEFVEO VENDiHG OUA M'Pi1'TEH AVVROV�L �S � MUTU>L �pOTECTiON TO CUENT$ iME OpBLIC �ND OUi15ELVE5 .. _.T. . _ .. � . ti .. _ , n 0 SUNCHIEF' SOLAR SYSTEh1S ��;�r',��//% �Si.�I/�'/S flllllHESS vrS�O LU U��/�T' C1TY&1'HOIdE �OS7Gf.. ��fQ� (fi yi)'��// 5i�e oi' FZafters�"x l.// " � Centcrs� " inches Hoof type__ �(�(,' lv �7Y1� UC I lve�ht Lode � (� Younds per square £oot Urientation: In llegrees from true South_ �} Unit elevation tilt in ° O" lleg.�es �S - i�umbers in units ��- PLOT PIrlld Solar Collectors (3) Sunflow F1ode1 6UGH Iapmo j/ 5-2193 Ptounted on Three 6' 2x4" Hedwood Sleepers and Lagged with 6" x 1/lt Lag bolts into rafi,ers I � X�51�-�I Y� �J�te� Nea�e �, ll�1TE �/� /(J / Installed By / 0 G� `r-e�/ �,� f. 0 iJote any existing roof problems before starting the job and have the customer sign to aclmowled;;e that they have been nade aware of them. i � �—� .. _...... .y_ - � �. — — -- --._ __ � " ' :' �'� '� SuN ��ow� So�:4R �n�AifR NFAT'ER . -.� � ' s ' - ,- , , , -'' ' . ' � /F � . '. ' "` .._ �. ' STCN n0 Y'.1MZ HATEPIGL A[ip $IZ6. . . . . . ' ._ . � !./.-. . ,... ' . , . ,- . ..: . , -. .. , � :O/ n.,00.. ' . � , , . . r . , . .:. � � . . . . . - . . . �. - . -. � . ... . .. - .. _ . ' . " - . . 1. . 1 EOLI�Ii COLLF.QOP CYI.IqUEI: RN� IIi.F05 11ADt. FR011 � '. —�---- - J?"---_ _��J .. .'. TiJ�G ASSE.�RtLY. 1B GCE lUi StnIN�.G.ti STEEL.. ��., " • _ � . . . .. . ]OL£T (�G� OUTLET NiPI'LC xPL ��-`•_•.�.•., ` -ti.iv . . , _ . , . .. . 1' NPS GTi.iNLE55 iTGf:L. TAYM I � . . .•.. . ' . I . . . GIVI.OUE1530 F'LAT'�(-0WgiN �""--- -- ' ---�� . �' . � . . 2. 1 IANE^ GW55 � CYI.I!i[1Ck .060' SNF.:.1 LF.YA:1 _ � G . ' .. � xcuse �uo-vo. . � � � ��. '. /'` - � .. � i �� 1 \`J �-� i /---j[-� 3. �' 1.-OGYF.R CWSS C(LtP�ER .OriC' SLEE+ LP.:AN / � �iD�se a9C3o.. ' � -� -- -'_- - � ' . - _-' S _�_v --_- �___ �-___ : p/ ' � 1. a EaD CLIP FO��tD PROn I8 GAGS 30� 2-e I;C.'S` `n�- a - - -- iTT:NLi55 STLiL. � ' �i//�_ �_ ^— `L -�:�x. �_ ' . S" . _ , _ ' . . , .. ��/1 � �� " 'S. L O FiRG SPF��R J'i.D % 3/0 Crt055 SECTICY �� I )0 56GPS Cll1:A. �+, • ' �_ — --�--' �'� fi'. 3 L!:O :HSULVSO:: �ISX !'A0� f3:GM 1/: % 31- ]/x _ — -�-__ _ _ _ �� . � \\ O.D. N06h2L6. ��`iL..�-�_ �- _a'_ s_ s�..� ' � \ -_-< L---- ^-[L'j,Q ]. 1. PARP.dJLIC �O.NI�:O PP:1. tJ f.A6-'. )Oe-4•.- - `' 1_ .. �_ ~ -� ' . . :.F.PL^CTOR tlRIGi1T IiL^.nLEU SLt.:AI.ESS I ��_ — '— _� — . ✓✓ATL R STLE:I... - �'� � ry�er " � 1 NPS �. 1 ou'r!.^ c5u nouirxi:e 6apcesT nx� xvGL¢s '. . SUPCUIC :W[C' P01US� F"duM 300 iT.91N:.L55 I S.LLL 1< G:.fC.. �__._..__.-._ . _'_._.-_.____.___-_-__'____. __� . ' . , l. 1 I1�I.CT E:�� CII.ti:I:F.L �Cto�:U F'RaIY ]0� SU?iOP: F:UV:L 5?dII:LE55 S'ICEL 10 L14E. �-7'i0i VdnTFft our��r �"rvFs ;..;, _ .. . _--------- � 7a� i i i — �_ � f I i � I✓:In.inecF� .�+ i �;:: n7 i � i �� '� -- -- -------------------------�. � I 1-' ` � SURFASE- - - __. � _ � � ��" "Jp (v10ltIJ7iNG"___ ' . _ C�„ _ _ . - 1 � . i_'_' �J�"� _ - . 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V '�� ' � ' ' � I': �' �f: � � ��' � • . : ��'� � r i . , _ , , , N '' pr �.. f�l .r , , . . . ' ' . . . * 1 i. � rif%. '�\ � ,,:,; ��Y' .i Y �:: . � � �` it � .:.- � _ti�a` :.l '!� '�. L� i i � t( b+ . ea ea . _.�.i r�y , � �i i3 bR �.,. a ; ,. ' li ; a' �- � -, .; ; • ;, _ ; � � : ' ::; � ' �:. :;;;::� '`;-,. - i ,-it �� ',. �` `',7 ;-' ': { ;i. 3 '' � '!:�. ...!. � ; AOV�Icant to 1111 in all sp� ' CITY OF COSTA"MESA ' veamrr'No. CONSTRUCTION PERMIT Project Address �. .-Owner - -' Phon Addrea' - - i Arch/Eng. - - ' � � License No. 'Address' " � - -� ' - ' - ' ) Contrector � n O� i an ,_ vrJ-F'M�G Phor I hereby af mencing v Rofesslons im Iicensetl untler'proNslons of � 7000) of Dlvlsion 3 of- the � r�y. Ilcense Is in fuli tort :i�y . . e ' o. 519nature ATION DECLARATION have a CBYtItiGate of consent to s witnin heavy OorEar Iines anC.sign all approD��ate 7eclarationz. TRACT NO: LOT NO. '� BLDG. NO. L� � � ' TVPE OF CON UCTION O NEW'�' �` ❑'ALTERATION •--- - ❑-REPAIR ❑CONVERSION ❑DEMOLISH - - ❑'OTHER� � DESCRIPTION OF WORK 7/'0 •TYPE:OFPERMIT: ' SET�VC V i�� ❑GRADING � 0 FOUNDATION' OSTRVGTURAL I VARI ❑ TENANT ❑ ELECTRICAL OPL'UMBING-❑MECHANICA 9�p :er 9 (com- . , i ' � .. . RIGHT siness �antl ❑�OTHER - = ltl eft9�t., � � REAR VAi L'/[� PROJECT DESCRIPTIOM __. . _ - �a6�1{� �; ' �PKG.SPAC S —54.'FT. ' ' � '� '- . . . ' OCCUPANC,$y C NSTRUCTION TV,PE � STREET W InSure or a VALUATION� ZONE ZONING A '.Ifietl cOPY ' ' " - " SPECIAL C �S GRADING CU. YDS. ACRES . 4'� ;° _'/_ 1 /.[.l 23,C Tl ' -. - � . , � . � .i .. , . -. ZONING REGULATIONS_ .PLNG. REF. � - - . , „ 1 LI Certltietl copy I5 hereby furnlshetl. � - � - -- -. � -REMARKS:�� •- ' '• - . ... .. . ❑ Certifletl topy is fIIBtl wlth the clty Builtling Dlvislon. ' �.,� ,- _ _ .` " ' ^. �.. _ � :. ExEMPT10NFROMWORKERS'COMPENSATIONDECLARATION . � """"' ' -" "' ""` -' "" This 5ection-neetl .not be completetl If the permit Is for one huntlretl. - �_ ____ __ •• {SI00� Of Iessl. � 1 . .: - - - '. ' ... . ' " . . ' � . � cert fy that ln the.performante of the work tor which thiz Oermit Is . issuetl I shall not emPloy any parson In any manner so as.to become PLUMBING•�� -PLAN CHECK' � ,ELECTRICAC PLAN CH subjec��to tha Workers Compensatlon Laws-ot Californla. . Date � Slgnature ' BATHTUBS NOTICE: I( after makinq thls tleclaratlon, you shoultl become sub)ect - T,OILETS „• to tbe Wo�ke�s' Compen5ation provlsions of the Labor Cotla, you must -�� - forthwith comply wlth such provislons or [tlis permlt shall be tleemetl � LAVATORIES revoketl. • - -�- -- - _ . . bONSTRUCTION LENDTNG AGENCV KIT. SINKS I hareby affirm that there�is a construc[lon lentling agency tor tne per- SERV ICE SINKS formance of the work_for whlch this,permit I5 Issuetl (Sectlon 3097 'Civ. C.I. � ' - �Lentler's Name '��'� - ✓� �' �' " `-� �•� -� t � FLOOR SINKS Lentler'S Atltlress DRINKING FOUI OWNER BUILDER DECLARATION ' � � INTERCEPTORS I hereby afflrm that_I am exempt from.the Contractor'S License Law for tha following reason (Section 7031.5 Buslness antl Protesslons Cotle: ' SWIMMING POOI Anv citv Or wuntv whlch reqWres a permit to tonstruct..alter, URINACS- -- DOUBIElAVS'-" � ` �DISHWASHERS ' SUMPS ' . ._ _ � ., , � FLOOR DRA1M�, . „ .�.,��..�.. v....,....�.. ... .�.� v..,...�..�., .,. ..� .. ................ . ...�..,..... .r... GAS SERVICE OUTlETS �hapter 9(commencing with Settion �000) of �Ivlsion 3 of the _ 5ina55 antl Profa55ion5 Cotle) or that he Is exempt tnerefrom and tne' yyqTER HEATERS � BTV OUTPUT Is for the alle9etl exemption. Any rlolatlon of Sectlon 7031.5 by ny appliwnt for a permit sub�etts'the applicant to a"civll penalty SEWER CONNECTIONS ot not more Ihan flve huntlretl tlollars ($500). � � ❑ I, as owner ot the property, or my employees with wa9e5 as thelr SOLAR TANK � � COLLECTORS sole tompensation, wlll tlo the work, antl the structure is not Intentletl _ O� OffGr¢tl fo� sale. (SectlOn 7044, Bu5Ine55 antl Rof¢SSIonS Cotle: The SOLAR PIPING SYS. ' Contractor's License Law�tloez not apply to an owner of a property. , ... �who builtls or Improves thereon, antl who tloes such work hlmself or ISSUE FEE throu9h hls own employaes, provltletl tbac sucn Improvements are not lntentletl or offeretl for sale. If, however, the builtling or improvemant MECHANICAL PLAN CHECK is soltl witnln one year oi completlon, the ownar will have the burtlen . of proving he tlitl not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU_ �0�1, as'owner ot the property, am exclusively contracting with qNDOUCTING IICBnSetl contrdctoYS to <onStruGt [he project (SeGtlOn ]044, BusIn055 100,000+gTU_ autl Profe551ons Cotle:'The Contractor'S'Litense'L:aw tloes not apply to - - - an owner of property who builtls or improves thereon, antl� who con-' REFRIGERATION 0-300,000 BTU_ tracfs'from such'projects with a conbactor(5) litesnetl pursuant to 'SVSTEM ' '� the Contractor's Llcense law). 300,000 + gTU _ ❑ I am ezempt untler Settion 8. & P. C. for thls BOILERS BTU rezson ' - - � " Date ' Owner SVSTEM REPAIR,ALTERATION I hereby certlfy.that I have.reatl this.appllcatloaantl,state that the above. EXHAUST SVSTEM MULTIPLE information I5 correct. I aaree to comolv wlth all citv antl countv . :_ �'/1 Drivers' Litense or 55 � .� �— ��-� � � � ' � ISSUE FEE CMF 0865-46 Whlte-Bulltling; Canary-Applicant; Plnk-Accountin9; Goltlenrotl-Assessor �� ' I -f )VIDEDj , � �� EK FEE S OA iE,.� _ j , _ __ ' CK GENERATOR 0-1 KW_1-lO.KW TRANSFORMER � APPLIANCE ' 30-50'KW_SO+KW - " ' "MOTORS' - 01 HP=1Q0 HP ' - (INC. SOLARp- � 30-SO HP 50 + HP - - FIXTURES�� OUTLETS -SWITCHES �� GAS TUBE SIGNS ' ' - -' POLE LIGHTS ' " ' " ' ' -' ' TPOLES METERED SUB PANELS � MAIN� ' SVB � . �SERVICE' '- "� - ` " AMP ' ` ' • ' _ P.PPLICATION'APPROVED BV - ' ' - DHTE - ^ SUMMARYOFFEES . ' BUILDING '-' - ' � � _ . _ PERMIT $ _ , SMIP 'S+ PLAN CHECK § PERMIT � pp- ISSUANCE- b �� ," ' 'PLUMBING $� • GRADINGE S t PLANCHECK §,'� ' � , . ,ELECTRICAL �$ - �� . -s PIANCHECK"S '- - -M�CROFIIIN�b ' TMECHANICAL $ '- - ' TOTAL FEE 5 PL'ANCHECK $ ^ VANCEPC-S- • - � �%, .,. � • ,. . ` - 3� , , - _ FINALFEE E� � CONSTRUCTION AND PLANNING �' ' � POOL & SPA � � � APPROVALS Permit # Date Inspector p�PpROVALS Permit # Date Inspector �� 1. Temparary Electrical Service or Pole 43. Pool & Equipment Location � , $oil ipe-Undrgrn � � . �� . 44. Steel Reinforcement , � � - - � � 3. Electrical Conduit.UtilityUndrgrn ' 45. Forms - 4. Electrical Conduit-Undrgrn �� 46. Electrical Bonding �� . tee em orce . � , 47. Rough Plumbin & Pressure Test � � - 6. Electri�al UFER Grn , 4g. APPROVAL TO COVER-GUNITE ' 7. Footings � -•' � � 49. Electrical Conduit-Undr rn 8., Foundation ' ' � -� - 50. . �Gas Pipe, ❑ Undr rn, Test • � 9.. _ Water pipe-Undrgrn_ �� ' � 51 .� Backwash Lines P-Tra � ndr rn "' ` ' 10. Structural Floor System 52. APPROVALTO DECK • � 71. ProperYy,Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12. Street $ewer Connection ' 54. Heater & Vent-Final 13. Rough piumbing � ' � � - ' - 14. Rough Electric-Conduit � - :56. Electrical-Final � � 15. � Rough Electric-Wiring � � - - + - �- - - - - � 57. Solar System-Final � � � � • - - 16. Rough Heating & AirConditioning_ � encing & Access Approval 17. Ducts,in Structure ' � APPROVED FOR PLASTERING � 18. Ducts,.Ventilating . - � � 19. GasPipe-Rough&Test ' , 60. POOUSPASYSTEMSFINAL - � . 20. Roof Framing ' � � � � � 21 � Roof'Sheathin � ` - � � 22. Frameand Flashin • NOTES: 23. Insulation �� ' � O ,.f% � -/�" �'/ ' 24. Lathing & Siding - 25. Drywall Nailing ' 26. Plaster grown Coat ' ' � � - ' ' 27. Electrical Power Meter-Final ' � ' ' 28. Final Electric � � � ' ' 29. Final..Heating & Air Conditioning � ' � 30. .Final Gas Pipe-Test � � � � � � 31. Final plumbing � 32. Water Service-Final � � ' • ' - 33.� Gas Service-Final � �� " 34. Solar pomestic-Final ' � 35. Landsca e S rinklin S stem � ' 36. Sound Attenuation � � 37. Handieap Regulations ' � � - 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed � � ' � 40. Electric Release to Edison � 41 . Gas Release to Southern California Gas Co. ' � � - 42. CERTIFICATEOFOCCUPANCY - No Date • - � . � MpgV� DATE 10-2-73 'AP No. 115� INSPECTIONS SOIL G AS W ATER ROUGH PLUMBIN� PROP. SWR. LINI SPRINKLING SYS MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING UNDERGROUND U POWER ROUGH WIRING STEEL REI FLOOR SYSTEM BOND BEAM � STEEL REINFORCE SNEATHING FRAME ANO FLASHING LATHING - IN ❑ 1 PLASTER.BROWN GOPT HEATING, VENT., REFRIG. AND A.C. PLUMBING, FINAL AN� GAS TEST [ ELECTRIC, FINAL FIIILOINf,. FINAL SUBCONTRACTOR � 2/f,ll7'/. . �;: , ' 360 1i~� ��poTeoxE,2oo�cOS�7�wMSAFCALIORN�lA9626T APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Completety qECEI .g�e RECE�eo LAn,/y� (l.� DAT IS/lSU ADDRESS �SV -.�ll/(/Cl.�.�- d�l (/ G `-� (� PE, �% OWNER �' ! O 1>LGYL� � A.P. NO. I �� i-'� �3 b-. . ADDRESS b7P W��7�aJ�e� sT BUILOING 656 Gu- D�2/a-�-� !J� ADDRESS Z . TEL TRACT LZ-� S LOT Z� BLOCK av CITV S�� e.5� Na.LyG376 zz Q CONSTRUCTION W ADD A R P O N LEN�ER e -o BRANCH �{ J�(J OWNEP (J :��"t m J ADDRESS ��p VALUE � m ARCHITECT TEL. SE ��d"� �' $ J a OR ENGINEER N. V Q FIRE W� ADDRESS ZONE TYPE . GROUP aw W Z APPROVED �i,� J O CONTFACTOR ��- BV DATE . G� m Z J � ADOFE55 W w ZONE NO.Of USE OF NEW � � �= CITV NOL P�� BUILDING Z � /SLD b� 0 5'+ � W � STATE ' CITV YARDS APPflOVED / VARDS APPFOVED y� LIC. NO. LIG. NO. MAIN BUILDING ACCESSORV BUILDING . 7 O /� (FROM GL STREET) OF LOT 6, %�j r NOW ON LO S � RONT FT. .�- FT. " USE OF EXI5TING BIDG. SID T. FT. Z NIEW eLDG,O X�z � ROOMS I STORIES l. SIDE FT. �fS FT. a �EXTERIOR WALL ROOF p COVERING �� ee� COVERING y� e e� REAR FL FT. USE OF BUIIDI G�AND WORK TO BE PERFORMED DISTA E BET. BET. MAIN & � U a �� MAI LIX:,:. ACCESS. BIOGS. I.1- L a O �_ e � I/'L�- C.P.a� APPROVED ~ .�{L(/t-4 SEEL ��. APPROVED � � � V/i/.� j . y Z O � F� U I hereby acknowletlge ffiat I have reatl this application antl stateJ / � that the above intormation is correct and agree to comply withy � all laws re9ulating building construction, and I shall not employ� 1 � any person in violation of the workman's compensation laws of� m y ffie State of Califomia. � . T� � z' � I hereby certity that I am properly licenutl as a contracfor under� SQ. FT. o ' tha State of Calitomia eusiness antl Protessions Cotle, Divisicn 3,^ THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl thac such licenses are in full torce antl effect, or I� THE PURPOSE OF ESTABLISHING A PERMIT F m am ezempt from tl:e provisions of th tate ot Ca' ornia Business Q and Professions Coue, Div' ion 3, pter 9. VALUATION � � PERMIT FEE $ � / 7 Signature of / � �� m Permittee � . $ �A�`fO PLAN CHECK $ E �� Authoriz Agent / LL TOTAL FEE $ „ OWNFit �V1iUit1V� MHtie11V . DATE 7-1��b7 2�+1 I� JOB ADDRESS BUILDING PERMIT NO. �-- �GENERAL CONTRACTOR '' ns ' DESCftIPTION ON' WORK n O e5. AP No, 115- 12-13 I,pT TRACT FIRE ZONE VALUE § �SOO.00 INSPECTIONS � Sianature � Date � GROUP I TYPE V ZONE R]r.%'� / SUBCONTRACTOR or •. .�' �� 3 , CITY 0�' C�STA MESA � xOSTA MESA BUILDING-SAFETY DEPARTMENT MAY 11 �965 P. O. BOX 9f] C08TA M69A� CALIFORNIA ' ' � ` QW ' For Applicant to Fill In Completely �WC I PERM � TYPE OR PRINT � � � �J � �, For Office Use Only BUILDIN6 ADDRE53 � G f p¢ce�rT no. pen rt no. COSTA MESA, CALIFORNIA - , ,f � 3 R8C81V8DBY OAT NECB VED OATE �eBUE p J�I �a S' ..� OWNER • IC � G U - ' MAIL �/ BUILDING ��•— � ADDRE38 S (.i � � � 'ADORE58 � C TEL. ZONE � 7'�PE GROUP d. NO, APPROVED //�� ITECT . ' TEI„ ,� BY � DA"F6V /• .NGINEER '�� NO, ' . • ZONING ADORES9 � ZON6 �% NO. OF ///�� UBE OF NEW : R PUNS �J I BWLO�NO .�(v I OV GONTRACTOR 1 �� ` - ADDRE85 I oescRiriloN J/ �V �� 'IS - CITY � t ( � . � . . . A. P. NO. Sl (o Z � I ' ' - � NOTE: NO EAVE OVERHAN6 SHALL BE LE9S THAN � 6TATE TEL. �" - ' 30" TO 6IDE S REAR P. L. ' . LIQ NO. - NO. . � . EAVES SIZE � � j�I No.OPaL�oe. � ALLOWED (U. B. C. RE4UIREMENT) OF LOT (7 NOW ON LOT ' ' . . YARDSAPPROVED YARDSAPPROVED USE OF � MAIN BUILDIN6 ACCESSORY BUIL�ING EXISTIN� BLD6.' � S . ( FROM W L STREET ) BETBACK LINE PROM � �r FRONT -y � FT. ' FT. CENTER OP BTPfi6f '�� REAR YARD / � SIDE YARD I� LEFT - ' I' R16HT ' R. SIDE/ 3, Ff. Ff. i . DESCRIPTION OF WORK �. aioe �. • Fr. � (,i.Gt-�,..y%u �/ NEW ALTERATION ADDITION REAR ' FT. / FT• ' D18TANCE BET. BET. MAIN Q REPAIR � MOVINQ�� DEM01.16H MAIN BLD6S. AGCESS.BLDGe. SRED'N >-fl / OOMS � 8TORIEB GAU.P.# APPROVED EXTERIOR WALL I ROOF . APPROVE ' -� � � �� /2 �� COVERING COVERIN6 BY �DATE USE OF BUILDINO AND WORK TO Bfi P6RFORMED ' � A 't7 � N 3 6 0 80. �. a �.�� 1 HEREBY ACHNOWLE��E TH�T I HAVE REAO TXIB ApPL�CAT�ON THE AMOUNT eHOWN UNDEP VA�U�TION IB FOq TNE _ ' ANO 6TFTE TX�T TXE ABOVE 18 CORRECT AND �aREB TO COM- PURPOBE OP ESTABLI8HIN0 A PERMIT FEE ONLY. p PLY WITH ALL CITY ORDINANC88 I1ND 8TAT8 LAWB pEOULAT�Na ypLUATION � m BUILGINa CONB �ON. y �L..p N . . � PERMIT FEE $ Ip • j SIGNATU PERMITT ' . • O-O m s�5 0-0 .°�° � � E� 9• o AUTHORIZEDA6ENT . . - � � a4 u TOTALFEE $ �� OWNE$ COHIIR.N��MARViN G. DATE 8�1�{�59 JOB ADDRESS 656 DarrPll StrPet BUILDING PERMIT NO. �p�79 GENERAL CONTRACTOR Owner builder VALUE $ 1E0.00 AP. No. LOT 20 TRACT 221 FIRE ZONE DESCRIPT[ON OF WORK B10Ck Wall Ret, INSPECTIONS I DATE I QROIIP J TYPF. III 7.nNF. Rl SUBCONTRACTOR In 10179 - .. ' �i�� `�9 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA FOR APPUCANT TO F/LL /N COMPLfTEIY TYPE OR PRINT BUILDING '� ADDRE55 s/ �' COSTA MESA, CALIFORNIA MAIL ADORESS t LEGAL ILOT �ii1 I I�P �ESCRIPTION NO. 'J�� BLOCK TRAC' A.P. NO. SIZE /j / NO.OF BLDGS. OF LOT � X � U e X b I NOW ON LOT v F6E OF cTivr. wi na � PC i �O✓! f_!� SETBACK LINE FFOM Q �� CENiER oF STREEi D REAR YARO , I � I N � DESCRIPTION OF WORK BUILDING NO.OF SIZE ROOMS EXTERIOR WALL IROOF COVERING COVERING 5�� F BUILDING AND WORK TO BE F �:3 f v .- / Y L / � %L'.... 1 P.��/—a4r.e,eB,� a� 1 HEflEBT qCKNOWLEOGE THAT 1 HAVE N THIS PPLICATION AND STATE THRT THE ABOVE �5 COFRECT AND AGREE TO COM� PLY WITH ALL CITY OqpiNqNCES ANO STATE LA S EGULATING BUILDING CON9TFUCTION. � ��J 1 SIGNATURE OF�{�/(/J�//) � �//�_ _ � AUTHORI2ED AGENT � �=EE RECEiVED AUG 1 4 1959 ffNANEE DEPT. n�r., nr nt. APPLICATION�FOR �PERMIT BUILDING fo,e officF vsE�ONIY I RECEIPT NO. I��E�FtI IPIp� JL .`�' NECEIV� I //?��'S � ��J��TS�� , BUILDING COSTA MESA, CALIFORNIA FIRE ZONE TYP GROUP APPROVED 9Y DATE 1 ZONING ZONE y� NO.OF / u5E OF NEW % /�/ / I PLRNS -` I BUILDING �i.�. YARDS EVES REOUIRED ALLO (CENTER LINE STJ . THE AMOUNT SHOWN UNOEN VALUATION 19 FOR THE PUNPOSE OF ESTABLISHING A PEFMIT FEE ONLV. VALUATION � � PERMIT FEE $ :�� S % /_ Q� PLAN CHECK $ — � ,�� TOTAL FEE 5 � , � OWNER �OBURN� MARVIN G. � DATE 7-29-59 JOB ADDRESS 656 Darrell St. BUILDING PERMIT N0. 99SS GENERAL CONTRACTOR owner-builder VALUE S 53.00 AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK block W3YI. INSPECTIONS � DATE I GROUP TYPE ZONE SUBCONTRACTOR � ��. . .: 99� i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA fOR APPL/CANT TO f/Cl /N COMPLETELY TYPE OR PRINT BUILDING ADDRESS �� COSTA MESA, CALIFORNIA �� \ i � � MAIL A�DRE55 oescaiwi'ioH I NO. -�� I BLOCK I RAOT � A.P. NO. SIZE �/ NO.OF BLDGS. OF LOT �' /� 9 Si SG I NOW ON LOT USE OF � EXISTING BLDG. P � SETBACK LINE FROM � Q CENTER OF STNEET �D REAR YARD SIOE YARD ILEFT IRIGHT O, DESCRIPTION OF WORK REPAIR I �IIMOVING I� IIDEMOLISH BUIL�ING � NO.OF SIZE ROOMS STORIE: E%TERIOR WALL � ROOF PERFORMED I HEREBY ACKNOWLEOGE TMAT 1 HAVE READ THIS hPPLICATION AND STATE THAT THE ABOVE IS CORNECT AND AGREE TO COM� PLY WITH ALL QTY ORDINANCES AND STATE LA R ULATING BUILDING CONSTRUQION. ' '''�_�/ \ / SIGNATURE OF//�/�diS/Y/ f/�/Ji � / AUTHORIZED AGENT FIRE �� .C�I�I�D •7-��s�,��.� FINANCE DEPT. CI1Y OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOR OfF/CE USf ONLY I RECEIPT NO. I PE� I� � �IV O BY UATE HECEIVED DAT� E ISSUE[ ? -� � � _ � g ,.-s � 7a �_ �- COSTA MESA. CALIFORNIA TYPE GROUP ZONING ZONE � �% I P AN9 '� y I BUELO NGEWw ww �/ //'� BYPROVEpI/i ryt ! / , DA� I f�' �% YARDS b�T REOUIRED ALLOWED (CENTEH LINE ST.) �_ t THE AMOUNT BHOWN IINOER VqLUATION IB FOR THE PURPOSE OF E9TABL19NING A PERMIT FEE ONLY. VALUATION PERMITFEE $ �� (� �J �' `�' PLAN CHECK $ � TOTAL FEE $ �, j} �( ♦ owtaER Santa Ana Ranchos DATE 9-30-58 JOB ADDRESS 656 w. Darrell Street � BIIILAING PERMIT NO. 7673 GENERAL CONTRACTOR Dike & C012HPOV2 vatuE g - 13,919.00 AP. No. LOT ZO TRACT ZZISFIRE ZONE DESCRIPTION OF WORK Single Res, Atb. G22'. GROUP I& J TypE j� ZONE PLAN NO. INSPECTIONS I DATE � SUBCONTRACTOR I PERMITSI$SUED DATE � NUMBER Final Gas -�'", :��; � ��.� C��(;RECEiV� COST,4 MESA BUILDING DEPARTMENT �1 3 D'S P.O. BOX 31] �i�pN� OEp1. COSTA MESA, GALIFORNIA �,.,, nr MMl1 tiLSa µAi� W wo+... �.�-- FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADORE55 6$6 YP. Darrell St• BUILDING '� COSTA MESA. CAI.IFORNIA FOR OFFICE USE ONLY i RECEIPT NO. PERMIT NO. OWNER S3iIV3AD8 R$T1CIlOS NECEIVED BY C�ATE BECErvE� pqTE ISSIIEO a�oRess E. 1 th St. —3a � S�P TEL. BUILDING CIT � � NO. ApDRE55 oR �...,iNEeR11�LQCLL2b2'OOlt • No. COSTA MESA, CALIFORNIA FIRE ADDRE55 20NE }y�� CITV LIG �oHe l/� � p4pN5 TYPE / GROIIP CONTRACTOR „�n NO. ( I/ P � AD�RE55 W-9 E• 1/�tl �t• NOLi. 8-17.59 gyPROVE DATE "`"` n�f 5 CORRECTIONS oEsceivnoN NO. 2� BLOCK TRACT/�1 � A.P. NO. SIZE L� X �•„[ NO.OF BLOGS. OF LOT o ao ��ow o� �or none USE OF EXISTING BLDG. SETOFCrc LIrvE FFo L [ cErv1[rx or srR[[rM 2� REAR VARD 2V��p� SIDE YARD RIGHTO� LEFT Jt DESCRIPTION OF WORK � NEW � ALTERAT�ON ADOITION REPAIR MOVING DEMOLISH SIZ'EDING 1365 3 IU ROOMS V STORIES � E%TERIOR WALL ROOF COVERING COVERING USE OF NEW BUILDING with attached �arage. Plan 110AR , 1 HEREBY /CKNOWLE�GE THAT I HAVE FEAO THIS APPLICATION 4NO STATE TMAT TNE A90VE IS CORRECT ANO AGflEE TO COMPLY WITH ALL . CITV OROINANCES TNO ST/T Ln�NS REGULATING BUILUING CONSTFUC- � iiorv. VALUATION SIGNATURE OF PERMIT FEE $ 3��00 PERMITTEE ` / �13,919��/�/ PLAN CHECK $ ��►00 nurHORizEo ncENT �-ke & Colegrove II1C• TOTAL FEE $y�+�OO �