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HomeMy WebLinkAbout858 DARRELL ST - Building Permits� (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDIN6 DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 858 DARRELLST Suite: Vicinity: WHOLE HOUSE ParcelNunmber: 42236221 Applicant: MARION, RICHARD Address: 843 W 17TH COSTA MESA,�CA owner: DA SILVA, RUBEN Address 858 DARRELL , COSTA MESA, CA Contracror. MESA ROOFING '�,Address: 843 W 17SH 0 Arch : ' Address: . ,'�` . COSTA MESA, CA Zip: 92627 BUILDING PERMIT PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/09/1999 Issued: O6/09/1999 Zoning: . . , _ ISSUED BY: � Phone: 949-548-3012 Zip: 92627 Phone: Zip: 92627 Phone: 949-5483012 License: 564151 Eng: Address: Phone: Phone: + � Zip License: Zip: license: , � SCOPE OF PERMIT � TEAR OFF & RE-ROOF W/ 2-LAYERS OF 15# FELT & 25 YR. COMPOSITION SHINGLES (19 SQ). , Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: ` Total: $0.00 $8725 $0.50 $0.00 $0.00 $0.00 $87.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Lefl 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 $3,356.00 $3,356A0 NOTICE: The work authorized 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 bacome void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authonzed undar this permit to be considered legal, such work must comply wi�h all applicable codes, and all requlred inapectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 r WORKERS' COM�ENSATION UECLAHATION: I hereby aHirtn untler penalty ot perjury one oi tha following declaretions: ❑ I have and will maintain a certifiwie of consent Io selt-Insure fOr workers' compensation, as provided tor by SBctlon 3700 of ihe Labor Cotle, for the pertormance of Iha work for which this pertnit is issued. �.I have antl wlll maintain workers' compensa�ion insurance, as requiretl by section 3700 of tha Labor Code, tor the peAormance of the work for which Ihis pertnit is issued. _._— My workers'�ensation Insur cerrier and policy number era: Go n� Ge�r er: �i��r �i�� Polic"y.Numhee=Z^S.-S—/ / �w�J� � �(Tliis section need not be como/etetl il the oerm/f is velued et one huntlred Oollers lS/001 or /essJ ���.+- �" " ❑ I certify that in tha peAormance of the work for which this permit is iuued, I shall not employ any person in eny menner so as to become sublect to the workers' compensation laws ot Califomia, and agree Ihat ii I should become subject to ihe workers' compensation provisions of Section 3700 of the Lebor Cotle, I shell fohhwith comply with these provisions. Applicent Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEflAGE IS UNLAWFUL AND SHALL $UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND QVIL FINES UP TO ONE HUNDRE� THOUSAND DOILARE (5100,000). IN AODITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CADE, IN�EREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirtn Ihat I,flm licensed under provislons ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professlons Code, and my license is in full rorceendette uc:.p= __�"'�-='= =—' Classtx= G 39 CONSTRUCTION LENDING AGENCY: ❑ I herehy attirtn thet thera is a construction lending agency for the pertormance of ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Landefs Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirtn that under penalry ot perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for �he tollowing reason (Sec. 7031.5, 8usiness and Professions Cotle: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair eny sWcture, pnor to its issuance, also requires the applicant for such permit to tile a signed statement Ihet he or she is licensad pursuant to ihe provisions oi the Contractors License law (Ghapier 9(commencing wlth Section 7000) of Division 3 of Ihe Business and Protessions Code) or Ihat he or she is exempt iherefrom end Ihe basis tor the allegetl exemption. Any violation of Saqion 7031.5 by eny applicant for e permit sublects the applicant to e civll penalry ot not more than five hundred dollars ($500).): ❑ I, as owner of the propeny, or my employees with wages as their sole compensation, WILL DO 7HE WORK, entl the structure is not intandetl or oftered tor sale (Sec. 7044, eusiness anG Pmtessions Code: The Coniractors License Lew dces not apply to an owner of properry who builds or improves thereon, and who does such work himself or herself or through his or her own employees, pmvitleC �hat such improvemenis ere not imendetl or oHered tor sale. If, however, ihe builtling or impmvement is soltl within one year of completion, Iha owner-builder will have the burden of proving ihat he or she did not build or improve tor puryose of sala.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, 8usines5 end Protessions Code: The contractors License Law does not epply ro an owner of property who bullds or improves theraon, end who contracts tor such project with a conirector(s) license pursuant to the Contractors License Laws.). ❑ I am eaempt under sec. Business and Protessions Cotle tor this reason: Signature: Date: Owner ID venfied by drivafs license. ❑ Ves ❑ No Driver's License No. Venfication ot Ownership by (type of documenL i.e. - property tan bill or deed): Ezpires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certih/ that no ezcavation five (5) or more teat in tlepth into which a person is required to descentl, will be made in connection with work authonzed by Ihis permit, antl that no builtling structure, scafloltling, falsework, or demolition or dismantling Ihereol, will he more than t�irry-six (36) feet hig�. (Chap. 3.2, Grp 2, An 2, Sec. 341, TiNe e, Califomia Administrative Coda). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom the Division of Industriel Safefy, as notetl above, unless such person has a permit to do such wark irom ihe division. Signature: Date: Division Of InduS�rial SafBiy Permi� Number: CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF EMAY: I certity under penalty ot perjury tha� I have reetl Ihis epplication and state ihat ihe informa�ion given is correct. I agrea to comply with all stete laws end city ortlinances relating m builtling constmction, entl authorize representatives of ihe City of Costa Mesa to enter upon ihe ebove-descnbed property for Inspection purposes. I egree not to occupy or allow occupancy of any builtling authonzed by this partnit until finel inspection. COUE t. INSYECTIONTVPE 1818 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWReteining Wall 202 Final Factory Fira Place 203 Final Sign 204 Final Demolition rz�v�a BAIE inrmn�s G !�-9q � LOOER INSPECTIONTYGE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Final Building/Occupancy '-0� Applicanl to fill in all zpaces within heavy bortler linei antl si9n all aOP�opriate tletla�atians. ' - � CITY OF COSTA MESA P MIT NO. -! "�' TRACT NO. ' LOT NO. BL'�G: NO: -' -- "' -- - ���'S477 _ 5��5I.BP _. ._ I S�4% _ TLi ;CONSTRUCTIONPERMIT �" ,3tf S�:'s " �-j3 —'cJ ' „ _.,. ��.. t.t" .•,. ,.,; ,. ' _ ._ � -.�t . .'ProjectAddress . .,-. .• '. . `/' . .�'.. � ' .v � ' S A' LL--- - TYPE OF CO STRUCTION �_ _ __ . . - , , . ,. , • f=•'i,i , ; Owner. � . Q' ')(_ "PFon � V37 ❑ NEW �AOD ❑'ALTERATION ` " - "`�'-' . _ . , .-' -. .. � . . - " -- � . ; Address—' - -'-; •�v — - - � ^- ---- � � �❑=REVAIR D�CONVERSION,-O.DEMOLISH � � _ . , � � � ' i,_„? ... - � � -ZONINGREGUCAT,IONS��`� ` 'Arch/Eng:'-'_! _.�. _.j• _ '_�icenseNo_ ' ._' ❑'oT.HER_" . �'A.P.9F 1"rJ� - . .'!+ .. _ .,. . DESCRIPTION OF'WORK � � ' ' � - ' ; Address"'._ ' ._�.': '. ' .'._}_. _ _. . . _-._" _ ' . _ .__.__ _' „ ' __ -, _�., ..� .... _' _ '.�_ __'. - ' _ ' 1 '._ _ .,� � 1 ' ' -r •. � VE�+' . .�ZONE . • .PLNG: REF. 9F': � :..�..• � . � Con[ratto!"' . _.".'- �' "-'-. ^Phone- ' "-' " � • 1 •/ •-'- `O ' ' ' B " "' UILDING.. ^ ' r ; . ,�TVPE�OF PERMIY - �i f�'e, � � y� �SETBACK C L ST. PERTY. LINE� G� f ABdiesi' -`� "'' '- """ �'-"- ""-'-' "' _ ' -` ^ "� OGRADING ,`O'FOUNDATION'-�STRUCTURAC'-' �LDE VAR� '_ -,'�-� �l � -,,� „ - 'GCENSED-CONTRACTOR-DECLARATION ' EF �� � � A � ❑ TENANT O•ELECTRICAL OPLUMBING �OMECHANICA 5 ] here�y aitirm that I am licen5etl untler provisions of Charter 9(com- , ',�; , �r , {�;� , ' R�IGHTA °�' 1 �mencing"with"sectlon �000)-of >�Division 3 of the �Business •antl• ❑ OTHER - - - - .. ' � �� ___._ .Protessions Cotle, �antl my, license is in full force antl effect. - ' - � ' REAR VARD (TO P/Lj � Q ,,„ _ _.,.r. .�., _ _ _ _ . .. _._ _. s� P.ROJECT:DF SCRIP.TION. -"' `License Class � � � � � License No. . 7 • �� " '�v � " " iPKG.SPACE REQ. � � ,P,ROVIDED - �� "'� - �' " ' "'... , u.. � t� �('2'% � Date ' Signature-'� ` ""`-" —" - - - �" SQ FT . � ' r•„ �Y r� C- � � STREET WIDTH U _ . , PARK FEE $. ' WORKERS'�COMPENSATION�DECLARATION-. . _..- _:' �' OCCUPANCY, �CONSTRUCTIONTYPE"� � d hereby afLrm that I have a certifiwte of consent to self Insure�or.a Q 1 . 'ZONING APPROVED.BV 1 ., DATE ti(ifate of Workers'-Compen5dtwrin5urance, Or�a�certitietl-copy' VALVATION�ZONE _ � _ _ -� W � reof (Section 3800, Lab. C.). ! S�,GRADING'CU. VDS. �-� �� � ACRES ;SPECIAL CONDITIONS: - - � ._`�.___.. _��� _._ _.._ _ __. _ _ ` .4}-�_. icY No. • ComPanY .. . _ _ _ ' ' _ "'. _. _ . . _ .. . _ _ _ _ . .... r . �Certltietl�mpy-is�hereby furnishe'tl.. - _ .. . _ _- _ �. ' REMARKS J �� .. . . , . _. ._. _ ' iO � ' � .� Certifietl copy is�filetl with the city Builtling Division. �`� �VY � ^� 1�, ;N 4�� � �:EXEMPTION�FROM WORKERS' COMPENSATION�DECL'ARATION ' '--'-' -' " ' ^I�"'"' ---` --•� N L_ . _ _ _ _ _ _ �(This.s¢ction.neetl.not.be completetl.if the pe�mit i5 to�_one huntl�etl � � , � r� .. �.jl' ��� �� ' 1 �(E300) or less). ' 1 . �: ... _. . ' .�- _- �.t : _.,f ._ _ ... _"' ! _ "" __ '" - _ ' _ __ . " . _ _ 'I_certity_thaLin,the,perio�mance of e wo�k to� whiGh this rmit.6 •` ` _ . � 'IssueQ I shall not employ any per n �n any manner so ecome P.LUMBING^.; � �� PLAN'CNECK" ' -�' " -'- 'ELECTRICAC'" "'"-- '""PLAN'CIiECK _- _,'.(-' � subjec to h rkers'_Compensa s alifq4ni ' " ' '` " ' � .L . __ _ '_" _ . _ �....." ' "_ "' '" l .Date��5i9nature - / / BATHTUB$ ' � SHOWERS � �j � . , � v' � .NOTICE: If af[er making this tle I rat�ou sM10 1 become�subject ?TOILETS�.: , ��n� • URINACS--- �" '-�" '- -' �GENERATOR- ' 0-1 KW'_1-30 KW � � '-" ro the Workers' Compensation pro�isions of the Lab otle,-you'must � � � � �- _� 'TRANSFORMER ,_.. � � � , i o' �' �'t Iforthwith comply with suth provisions or this permi shall be tleemetl LAVATORIES DOUBLE'L'AVS '- � -- ''*APPLIANCE "'30-50 KW -_50 + KW - - � � �revaketl..__.._._...._l..__._____�" "'..,. � ' . . . . i ' N � �' �- 'KIT:SINKS " - - -'-DISHWASHERS ' '-' �MOTORS- - ' -- - � CONSTRUGTION LENDING AGENCV . r• •� �. w '0-1'HP_1-10 HP'""��--:' ' " 1`il:u. .n'.p � �I hereby atfirm that there is a construction lentlinq a9ency,for the per SERVICE SINItS•'•^ , �.6VMPS-'"'"' ' -" "i'�'�'� "- .�UN0. SOLAR�- --10-50�HP_-50 +�HP-- - - = - - - 'to�mance of�the work,fo�:whmh�this p¢rm`tiis �Ssuetl (Section,.3097 • �� � � � • ",`� � � - Y ' -�- �� - j 'Civ: C.) � � "' ' �� ' '- - � • f �FLOOR SINKS � ~ �FLOOR DRAINS-'�" � - - " '�'FIXTURES "" "OUTLETS �"''SWITCHES - LenCers Name '�`*�' -� �� - � ' _ � 1�. DRINKINGFOUNTAINSi" ' "' `i " ' '`GASTUBESIGNS-- - � ' --� - � L.entler's Atltlress - �Y ^ � �!� y � - ' . __.-. � _ _� ti.�... �. ___"" ` _'-' """ POLE LIGHTS "•� • OWNER"BUILDER-DECL"ARATION'"'-'- ' - -- � -h -,+ -__ .. � INTERCEPTORS CI.ARIFIERS�� I hereby affirm that I am exempt from.tne Contractor's License Law for ' t '�� n � t�e'Pollowing'reason'(Seciion-7031-:5-Business�antl-Professions Code:- �SWIMMING'POOL" -� - "P'TRAP.'^ -«'.' .� .'-.- "�.-M ., ' 'Any city or county which requires a permi[ to cons[ruct, alter, POLES� �METERED '.SUB �" f , »_�' . . �_, _ n ... Improve� tlemolish"or repalr'anystruc[ure�prior'to iis-Issuance; alzo re-� yyqTER SERVICE-'�--�"ALTERATION" '" " " -"'-'jPANECS' "',- 'MAIN'-' -`- �'SUB'- ' --- - �- - �� quires tM1e ap'�licant fo� zuch permit to file a si9netl statement that he �� � . r is'licensetl"pursuanPto the provislons of the'Contractor's-Llcense�Law� - •�- r- 1- • iSERVICE "�- ^-'�" � ' - - -AMP -�- - � apter 9(commencin9 with Section �000) of Division 3 of the GAS SERV ICE OU;1'LETS T� _,� iq,,,; ,_ _-' "�� iness'antl'ProfeSsionsCotle�'or•that'he�irexempYtherefrom'and the 'yyqTER HEATERS"""'BTU OUTPUT" "' - .i -- " "" 'r--- --- ' ^-- - - ---� - - - - - - � 5 for the alle9etl exemption. Any violation of Se<[ion ]031.5 by . : . ....... . .. .. . . . _ - - "applicant'fo� a�permit suble�ts�the'applicant to-a^tivil'penalty "SEWER CONNECTION$ � - V� � �'�--"� - � 'j "' '- '� " ' " ""` -' � '�" "' ' ,�- -- • � bf not more than five hundretl tlollars (5500). ......._.�__.��_ ..�._.._ .__.�...�. ' -'_" "'_". I, as owner of tne ro ert ,^�"-- '••�-^^ •^-=" ' '"-' "^'-' 'i "--"-'^.- .• -^ "- " " p p y�a+y Op�^'^��^�• ��"" •^ r'�SOLAR TANK" � COLLECTORS. '�' wilLtlo.the_work„anQthe structure is not intentlea � � � or ott¢retl for sal¢. (Section 7044, Bu5ine55 antl Profe55ion5 Cotle: The' SOLAR PIPING SVS. � �' - �� � T '-ISSUE FEE' -' -' ''"- ' ''- ' -' - t � . .. Con[ractoCs_License. Law tloes,not.apply_[o an_owner_of_a_property._ , ' � ` " -- � .��_..._. .. . _ who builtls or improves thereon, antl.who tloes such work himself or ISSUE FEE � ';� -�� '-i -- 'APPCICATION APPROVED BY- - _-- �-DATE� - .throu9h.his.own.Cmploy2¢5, provitletl that,5uth improvement5 are not Intentletl or offered for sale. If, M1oweveq tbe builtling or'Improvement � MECHANICAL • PLAN CHECK � ^ �� � � � issola.within_one year of completion, the owner will have tne burtlen � i ' SUMMARV OF�F,EES 5.�, �. �,� nr of proving he ditl not builtl o� improve for the purpose of Sale). .. BUILDING ^� - ��-- � � � �•I,-arowner �of-the-property;-am�-exclusively contracling-with HEATINGSVSTEM O100,000BTU f_, .�PERMIT $ %���% .`� $MIP.- , .E_S�/t_3lL s licensetl contractors to construct the roject Se<tion ]044, Business �AND'DUCTING`-"'- ' 1.f"' - . �, � .-� �g� -- --; P ( 300,000 + BTU� � . PLAN CHECK� E-J� G__ PERMITi 4 antl•R'ofessions-CotlerThe�Contractor'S License Law�does�notapply,t0- ' - - � •y' an owner of ro ert who builtls or im roves [hereon, antl who con- � •--d55UANCE-=S � P P Y P REFRIGERATION 0-300,000 BTU ' � PI.UMBING $ v~�L„ �.���� 1 -tracts-from-such-projects-wi[h a-contractor(s)-licesnetl pursuant-to -SVSTEM--�---�--^-7; ---------�- --q--�- =�-. _. -- . - .-.-.._ GRAOING�, 5 � ! " "' tM1e ConVactor's License L.aw). 300,000 ? BTU ' - � �� - � �` _ ,, PLAN CHECK S� t„ � ; 1� •� ���� ', . ' � 1'am exempt unGer Sectmn -'- ' " "`B-& P.'C:'for tFii ' � � - � " - - ' --- --�- - �- $� � } ' � BOILERS BTV i ��ELECTRICAL $ iea5or --- —•---- - - - - " t � � MICROFII.M�E �'• '° � ' '� - � PL'AN"CHECK'"'$"��' " - - - - - � � .�. _ . . . . . _ _ . � SVSTEM REPAIR,ALTERATION Date� Owner � -'���-' -TOTAL'.FEE$ -'i �C'i j I,hereb certif tnat,l have reatl this a lication antl state.that the above^ EXHAUST SVSTEM MULTIPLE -j `� MECHANICAL',-E'� - -• 1 Y Y__ PP t'a., .�.p� ,4 ` "'i.LE55AD tD _ r intormation is mrrecL I'eyree to c 1 wiiti all�'city 5ntl county � . .. ; 'PCANCHECK"E'- -"^ " VANCEPC "S--"`"' " orEinances a ate laws relating to nst tion, antl hereby authorize. �i i � '-, ����..-� �.� =� ,�- . , „- . , i �epr¢sentati s�of i-city S enter n."the aGoJe' entionetl . •' �� �• � ; property�/f r ' ly c ur p ses. / ' � �, � � . . � / • ' [L L 519naturci � � Date � , _ ' _ '_ I " _ - '" ' . . � ..� _� FINAL FEE $ 7 i � " - ISSUE FEE -- = � ---- - �rivers' Li s orv� � ' ' ' " .._�. � _ �.._' _"' ' �-- . . � .,_.. _ CMF 0865�46 WM1ite-8uiltlinq; � nary-Applicant; Pink-Accountin9; Goldenrotl-Aszessor . Applicant to fill in a�� sDaces witnln heavy border lines antl sign all aporopriate aeclarations. ;CI Y F COSTA�MESA � '" PERMITNO.- - '" " TRAC NO. LO O. -BLDG.NO. - --•- •��� ---- -- .-. ,-�JG%� 5/05/82_ _ . ._.78�L% . T�.i' �i C016STRUCTION PERMIT gE' .3�SS" "LP>�� � � ;� � _ _ �c,a�, � . ' - . , � " � r ' ' Project Address � ,`L, S_`. ' .�r- ' TYPE OF CONSTRUCTION I' � � ' � " `-�' � �� _ _!. �' , � .Li � �.� �� � :Owner � ' "���/ '" Phone . '� NEW '�ADD� ❑'ALTERATION �"' - -.._ � . .+•. :. - . _ - �'Address"'.. �E'- ' -. _ .. _ ..._ _ "'_ ❑ REPAIR ❑ CONVERSION� ODEMOLISN. ` � ' ^ � • . .' '.`� � � i .- � ,� �• ' � � ' ZONING REGUCATIONS - - i �.Arch/Eng.' .- -� . . ' " 'Licensc No.= - " ❑ OTHER . . _ ' ' ' , D CRIPTION OF WORK �� ' A'P' � � ' � ��' � � ' Address .' .� .�. ..' " _ . _ ._ . . .,�.' ' "' _ _ /�� _ _ . . . ' �{�L/ DINIIJ 'ZONE' "�'I "" "PLNG-REF. qf -'. . " " ^. - ' ' -i � Cd"ntractor'^- � � - •��- - - �Phone -' TYPE.OFPERMIT" � •; -""�""- � '- " - � = �JiLp ING _. - .i ' ., 1... � . � z.� ��C"� ISETBACKC T. ERTVLINE- n.�� 'A�ddre55"- -i"-""' � "'- '-'^-"'-. " ❑.GRADING ��^FOUNDATION �STRUCTURAL }~ SIDEVARD�--- y ��- -� - GCENSED-CONTRAGTOR DECLARATION_, = -- ❑TENANT��ELECTRICAI ❑PLUMBING ❑MECHANICA 1L5EDEV R �' � � �I hereby atfirm th;.t I am licensetl untler prov�sions of Charter 9 (com- ) -t , � � . � S'•, _ - ' RIGHT � � � � - ` 1 mencing' wich"seccion �1000) -of FDivision-3- ot--the-Business-and. � OTHER - - ��" `�� ° � � � � "�' �- Grofessions Cotle, antl my Iicense is In full force antl effect.. � - . � ��. � -�'REAR'VARD (TO P/L)` � - - - - � -.__.. � _".- _"_.7' _._;_ _ '. . PROJECLDESCRIPTION• � ._'_���_._.. 'License Class License No. R3 � � i � ' ' `PKG:'SPACE REq. -- "" -"� PROVIDED�- - �_ _ ' ' . ' ' ' . ti � . SQ:'FT: r,c �Date � �Si9nature_}" ' _ .. - '. i ' " . , ir_ ' ' ' . � . . �. �. __ . ____' _' _ � u r n-' ti��.✓ti.p-, ,'STREETWIDTH�,_ , -PARKF,EEE"'-' -- , �WORKERS'COMPENSATION-DECLARATION 'OCCUPANCV�3CONSTRUCTIONTVPE - ' , � Q � � ' "' " �ZONING•APPROVEDBV" I11 DATE tl hereby affirm that 1 have a certificate ot consent to self insvre or a ,VALUA'T�IONs2¢.�Q_ZONE � � •- �• - -_`_G W - S � �<¢rtificat¢ of Workers' Compensatiorinsurance;-0� a certitieG mpy' . _, _ ....�� _.____ .� _� , ' ' , i 'SPECIAL CONDITIONS: hereot (Section 3800, Lab. CJ. ,GRADING CU ,i DS. ' ACRES � � 1 � � . _ _ . `__ e __ _____ _.? -.._.._._ ._� ` _ �.l".� ...._I�. . . �... ._ _A , _ _ _ , IicY No." � bomPanY _ _— _ _._ ' _ ,. - �Cerb(ietl copy I5 hereby furnishetl.__ _ - . JS'� ' REMARKS ' � ' '� � ` � °� I� Certlfietl copy,isifiletl with the crty Bwltling Drva�on. . � � J +' �l ,b i ( �� � �EXEMPTION FROM�WORKERS'�COMPENSATION��DEGL"ARATION ' -- � � -- � �(This seCtion.neetl not be.completetl if the,permit.�s,for,one hundretl _ �• n �. � (E100) or lessl. . . � .. -� .�• . _ _ '. � _'_ _ � _ . . _. :._. .. ' II_certify that.in.the.performance.. h work r Whi h„tbr5 p?` it_Is . _ : Issuetl, I shall not employ any p on n -n¢ so as t come _PLUMBING -s,� n'' �PL'AN CHECK'^ ''}'�' -- -- i'ELECTRICAL�- � - �� PLAN CHECK - subject.lo he orkers' Compens if �a... � i � � - �/ BATHTVBS - SHOWERS' "' '�'-' " ? - — ' - - X �Oate Signature _ � �� .NOTIC : It after making this tlecl� ratio ou shoUl ome,subject �TOILETS_, �.�-�� ' .URINACS " ' -� --GENERATOR- -O 1 KW_ 1 30 KW - - �to the Workers' Compensation pro i i of tne l.abo " otle, you mu5t � , �TRANSFORMER �.. ' p n�, j..,,-� E, forthwith comply with sucn provis� s or this permit shall be tleemetl LAVATORIES� DOVBLE�LAVS -- - � APPLIANCE---� 30-50 KW_50.+ KW ._... _ revaketl. ._. _. _ _ � _, _ - ` . . . . � iCONSTRUCTION LENDING AGENCV^ 'KIT:SWKS""" -""""'DISHWASHER$ `� �-�- _--'MOTORS--- -- 0-1-HP-_1-lO�FIP - - - -- { - 'I hereby affirm that there is.a.wnstruction lentling agency for the per- SERVICE SINKS.^-•- SUMPS'- "�_.-� y'�_ . (INC.,SOLAR)_ , 10-SO.HP_50+ NP_1�' fo�inance�o�.thE�work foqWhicb(_thi54P¢rmit�i5�lss�etlt(SeCtion 309� • �•'� � �' � -•' '� - - �. f ... . . " '- _ -' � ICiv.vC:I._ _" �'{...'_'"'._' '._._._ _- .v.. � �..:.-,..,-:` .t ' " _" . : l '" - � .LienGe�'sName -"�� �`v �FLOOR'SWKS�`"-"""FLOOR'DRAINS��s FIXTURES -- -OUT�ETS^='SYVITCHES ---� ; ... __ . .. . � -.���- .. . ._... ...`_. _ ..� ..� _ "� 'r�. .ri ' . _ " ' 1Lentler's AtlUress � � � DRINKING'FOUNTAINS"" jj ^- "-� �, `� � -� - - ��-= 'rGHS�TUBE-SIGNS- _ _ — —-- — . __ ..1 �OWNER'BUILDER�ECLARATION-r�----' -- '•-- --- ----- INTERCEPTORS'-�"CLARIFIERS"'- � ��POLEUGH�TS-- ---- ------- � '1 hereby affirm that I am exempt fromShe Conbactor's License Law for .�.�`�.+ ' i �' '- t�e following reason�(Section�]031.5-Businesrantl^Professions�Cotle: -SWIMMING'POOL ' ' P�TRAP ^' "- ! ^ ' ' ��"' ' 'Any city or county which requires, a permi[ .t0 construct, alter, � ' -' `�POLES- - -'-"'METERED"- ""SVB` '�' - r -- -_ Improve,-tlemollsh'orrepair any strucWre, prior ro i<s�issuance; also�re-- -y.�,GTER SERVICE '- '--AL'TERATION'-' - PANELS--- - MAW - - ---��SUB=-` '� - - � ! quires the.ap�.licant fo� such Oermit to tile a signetl statement that he •• � F - ' I5"IiGens¢tl'pursuant't0'tbeprovisions'of�the'Gon[�aC[or'S�Lic¢nse�6aw- ' '�-�.-_ _�'__ + - , Chapter 9 (commencing with $ection ]000) of Division 3 of th¢ GASSERVICE OUTL'ETS -"�"- ' '� dSERVICE-- - ----- -�- — -AMP' _ _ _ � siness-and'Pro(essions-Cotle) orthabhe�is�exempttherefromantl¢he- -yyqTER'HEATERS --'-�'BTV'OVTPUT- ` - ��-='-L`--- � - -� -�-- � ---- - ���. � is for the allegetl exemption. Any viola[ion of Seciion ]031.5 by � " ' applicant for a permit�subjects�[he-applicant to a uvil-penalty-, SEWERCONNECTIONS�- y� - ^�- ------�- - � {- -- •--- --- -.-______ _. _ _ , � not more than five huntlretl tlollars (E500). - ' I, as bwner bf �the property. ' �� - ` � - ' ' ' 'SOLAR'TANK" -- � -COLL-ECTORS� -- -S- - - - — ----.- - - . _ . _ _ `: _ � , �Nm_will,tlo Ihe�work, antl�the sVucture is not mtentletl � • , or offeretl for sale. (Section ]0'64 Business antl Ao�essious Cotle: The -SOL'AR PIPING�SVS- '"�Y-" "'•-'- " -� -- - • ISSUE FEE - - ^ - -- ' . �� ' �Contractor's LicEns¢_Law_tloes not, apply.to_an. oWqe� of a property. �,� _+� _ � _ ,wh0 builtls or improves thereon, antl who tloes SuGh work him5elf or' ' �ISSUE FEE'" "'-�"- �� APPIICATION-APPROVED BV_-J_ . �'_.DASESSB ,throu9h his own employees,_providetl tbat such improvements are not tln[entletl or ofiered tor sale. It�, nowever, the buildi��9 or Improvement MECHANICAL �� PLAN CHECK'�� � ��t'� '"'��"" ""- "' "' "'-� �. jis soltl_within.one year of completion, the owner wlll have tne burden . $UMMARV OF1 FEES �.��� _ , '`' of proving he tlitl no[ builtl or -improve tor the Purpose of sale)T' - ' - -----'-- - - -- - -- - ----•-- '�, lgUILDING - ���/ � '"...:.:' HEATINGSVSTEM 0-100,000BTU jPERMIT $_T_S��J,.,•SMIP:� $���rSO�`� r�-1;�•a5-owner-�o4-tM1e-properry, am-exclusively-cont�acting'.wiN.. _. . ..„ .`.�y ,_ . . 'n'^..�„-., � '-AND DUCTING�-'- � -- -� -.--� _--___. _ _ � .Ilcensetl contractars to wnstruct the prolect (Section ]044, Business 100,000'+gTU � P�ANCHECK 5�!�� �PERM6T�� -'.- lantl Professions Cotle:-The Contractor's•License.Law�tloes.notapply.to- .� ISSUANCE`..$���'�� 'an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU " h ' i PLUMBING S � Vacts-from-such-projects-with-a �cont�actor 5 I¢25n¢tl� ursuant_to _ _ , II . i , � � � . g n '� � il- P -SVSTEM - _ _ . _ GRADING � � ,the Contractor's License Law). � � V 100,000�+BTU - : �'" 1 PLAN-CHECK" �S � ' ' :.� ' „�- � � ' �t; "' � Ifl 1 am�exempt`untler Section"--""— "- 'BC& `PCC: forthi5' -BOILERS BTVr� '�y � "' - . _ __, �S � ' � ELECTRICAL "5'�� � , ': reason ,_"_,r.._ � __' " _ '_ - ... _"'" _ - . . . _..._. � .. ..-' � � P . . J .� MICROFILM 5 �� - �- + LAN CHECK-$- ���� SVSTEM REPAIR,ALTERATION � • � �1' ' � Date�- ' ' Owner ` ��.c� , . TOTAL FEE E' ' '�^` � �I hereby certifythat I hav¢ reatl this applica[ion antl s�ate that the above. EXHAUST SVSTEM MULTIPLE f � MECHANICHL+y� --- --- -- �-- �- -- --- r � t . � �bf "L'E55 AD �'� "� � �i ��� information is rrect I agree-[o"com 'with-al�'citY'antl"county „ - �'PLANCHECK-y VANCEPC ��5 - --- o�Cinances a 5 ate laws elatinq to c r ion, antl hereby autho�iie � N �epieSenta4 es f� i y t ' en er ' n the'"above -men[i n¢tl' , - - - -� � - � � t' • 1y ' - �l ) J� �� � , � �property_i s t' r s ^/]� �� 1579nature � J Dd[e `� _ � ���� "- - -. . . - �1 { � ' .. _ . . . _ Y FINAL FEE E �� � �._ �. ..� ... _ . ____....._ ISSUEFEE- �. ., . '2..... . � Drivers' Li ns or � - ' ' �' " ' ' ' ' -'" - ' - " '- - . _. . _ . - � CMF 0865�36 White-Builtling�'Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor ' CONSTRUCTION AND PLANNING POOL & SPA. -� i - � � � r�,_ ; APPROVALS Permit # �E . �� Date Inspector' AppROVALS . ��� Permit # � � Dafe _ Inspector 1._ Temporary Electrical Service or Pole ` � , ' "� = ` . .. . .. _ _ . , _ _ 43. Pool & Equipment Location'� � - Soil ipe-Undrgrn. ' � • 44. Steel Reinforcement - - - � - -� ' - � � - � 3.- Electrical.Conduit Utility-Undrgm . 45. � Porms • - � - • - �- �� � - - �- - � -- 4�Electrical�Conduit:Undrgrn . _. - � � '•_.46.- Electricel:Bonding.' -- - • � - � - - " - . ' -- --� '-1�-�- �- �-�- . _ tee . , ein orce + �- �. ,s /�.-?�, 47. Rougfi Plumbin & Pressure Test-- - � - 6..-_Electricai_UFER Grn ._ ' qg, _ APPROVALTO COVER-GUNITE • - - - - - ^ � _ 7.__.Footings � � ,r/ _g,t �7 49. Electrical Conduit-Undr m "� ' ' � -���� � � � �'�� %- 6: �Foundation ------�- - � 50..�GasPi e, DUndr m;Test '� ' � c�� � � � � ' -9:�-Water Pipe-Und'rgrn__ ..__ - 51. Backwash Lines P-Tra - ❑--n r � � "- '-� - -- � " t 10. Structural. Floor System. . _ --� 3- S� 52. ' APPROVAL TO DECK" - -' ' "" ' -' � .. .. . . , _ , .. � -11:- Rroperty Seweu.Line &.House.Connection .53:.. .$ackwash & Rece tor-Final � • ' � � � • • � ' - 12. - Street Sewer-Connection.. - � "' '' -----� _ , . - 54: � Heater�& Vent-Final � �- ,-13. . Rough Plumbing . - -- --- _ -+. `. _ . _ , ' . �' y .- �- - _. � ' - - ._. -r _ . . .- . - _. - - -- . __ _... . � 14. Rough Electric-Conduit � ' "'- ' � ' --" - :56.-- Electrical-Final�----; ��t , 15. Rough Electric-Wiring ' 57. Solar System-Final "� - ' "' ' '" � � �� " ' � 16.' Rough� Heating-&�Air �Conditioning� �' � � • ' � ! - - -;- � � � encing &�Access Approval .... . � .r:17.� -Ducts-in Structure-..,;,- ., . - - - ' - ' ^ -�, _ APPRO,VED FOR PLASTERING � ' -' �' ' • � � f -- ��-. �.. - - - - _ _. . .• . . . •'-18�..Ducts,'Ventilating _ .� . '. . • -E-- -. . : . _ , _ .. _ . _......' '�: _� ... ._ __.. ,...._-----..M- -.. ..�,,.�..� _ .__ � 19. Gas Pipe-Rough & Test - �60. POO L/SPA SYST.EMS F INA'C.; ' � � ' ' - - � 20: 'Roof Framing - -- �- - - - .• � - - - " _ - ,� :r � . , . .. , '. . � � . . . 21'. Roof Sheathin - . . "� - ' ' -' - -- . . '"r: :. .,r�• . � n„ , • � 22: -Frameand Flashin -- ^ - -- � - - (o-a_-gs�. -i- _ NOT.E$_��c ''' ' ','.�--�`.-�, ""' '-23. �-Insulation, �- -- - - G-]'-.$� -� !Jv�-. . - � � 6,2-$� -'_ - _ . _ _. . _ . . . 24. Lathing & Siding- - - � ' ��- " � � � .. . - - - - ---__�T_ . _ _ . _ .. :i,-. r �26. �Drywall Nailing_ _ . '-- � --- - �c-°%$� . . 'i. - - , . . . . . .. . . . , . � �' :,:� : � � •.. : _- ._ . _ ._... , 26: � - Plaster Brown Co'at . ..--� . . � . . � , -. . -_ ' . . . •. - .. �� .- . � . - '.,. - ' _._. ._ ._ . _..._. .. . _. � . _ , _ ... , - . � , - .... . .. . . , � 27�. Electrical Power MeterFinab - • - ---- -- - - - � - - �� � � � � r -� - :� �28��'. Final Electric � - - - - - � - - - -- / � - -- - ' ' ' � ' � � � , , ' 29: �Final,Heating & Air Conditioning- �- - �- - - - -- --' - � � ---r _ "' � � � R� - .. � 30: •Final' Gas Pipe-Test - - - - - -- - - � � - - . " " . � ,. . . . . , � _ -� - - - ; _. . . , . .».._ ._w ,.. . ...,......>-... . -- _. _. . 8 ' . . .... ,� . .. .._.,. � � ,. , . ,; . _ 31':- Final Plumbin9• -- --- -. . _ - �- -- Y..._ .. _. _ .� , . . .. . ....._....: Y�. 32. Water Service-Final - - - � - - � " ' ""' ' ' '- ' ' ` � � ' ' - - •� � � �33:" Gas Service-Final= -� - - - - - � - ' ' ` .'- ' ' � ' ' - ' � ' �� � � '� u 34. Solar pomestioFinal- ' � � � "� �' � ' • � '.� H.� � '�' �� ' ' ' 3 . Candsca e S rinklin S stem . - d � - - "' . c .. . . - . . ' . .. - �„` � ` � ����..' . • " � -d : 36. SoundAttenuation .� ,�. _-._ . �r ..`..��� :_.....�_: . _ t.-. . �.:. c� �. �•� -- ' � ,�. . .. . _ . .,.. . .. - ,. Y i37. HandicaP Regulations . . -��,.�� . -.._ ��• . . w,;� _�• , •�� � .�r , , . - . . ..�., . . '.�... . � 38. FINA�STRUCTURE&,BUILDING "' ' " ' �-Z _ga._� '' � ' R' • - . � ,,,, , �.�� � - _ ` ". -. . _.1 . - - - � a- � i. . �. . . _ - 39._ Special Requirements Completed � � ' � �_�_ . - � �� � - � ' � ' � _. . . _ . . - �-�- - ` - - --._ _., ; 44. Electric Release to Edison ' � " - � � � � � � - - - - " �- ---� � - - ' 41. Gas Release to Southem Califomia Gas Co. .'.. . . ' I � � ' .,n - - , ,� , . , - ..: „ .. ,. ... . . . A2; ..CERTIFICATE OF OCCUPANCY � ' -,� - - - ' � � -'� � , - - --- , . ..��. • . �_ � • No - � Date - �, " , - ' - ' . . _' F " ' .. ' ""._�.."' ' "'_" """"" • � .. _ . . . . _ . . . . _ _ .. . . . " . . _ � _' _' '. =� . . .. . � � INSULATlON CE`HTlFICATIO _� 58 �o.xr�l I � C;os ta �Sq �ram�/�/)y-�—�. ' Numbv mC Sdeet CIIY CountY f/ I- � V - � 0 1 3 1 Naa,e S t5 Suoo.vbion • lot humne. ROOf Materia� DESCRIPTION OF INSTALLATION Brand Name Tl+�ckneas (inches) Thermal R-sisiance Ifl Vaiue) EX7ERt0 WA;.t . p Materis� �,.`_�_ ' ` � Brsnd Name ��� ��"/ /� ��"� �� Y i, � Thickness linc�esl ��� Tnermal pesistence IR Valut) � CEIIiNG y�} Y�,'������ ���'�7"v��yT'"/''�NlJL�.�7�� Bin w Blanker Type �y� I �v�I1`%� 1' Byr�anO Name �r Z�� R-P.//'rYC.x/�L�/ Tl+ickness linc�es) C� � y� �/ a��47 Y Thcrm�l Resisnnce �R Valuel i Loou Pfu Tyoe _ Brand Name Minimum Thi[k�ess Iinche3l Area Covered Ih�l FLOOR,ELEVA7E0 Material T�ickne�s (inchesl FLOOR,SLAB IUattrial T�ickness G�cYes� W�d[h �inchesl _ _ FOUNDATION WAIL Maroriai Thickness Unthtil t�umb�r of ba5 Therma� Reslsiance (R Vai�e) Brand kamt 7hermal Res�siance (R Va�uei Weight per bag 10 I� • `Brand Name a �+ t� 1 ' Tnerma� Aesista�ce fR VaWel ��.���� . � � , :� Pa � , ,ryt 8rand hame Thermal Rrvsta�cr (R VaWel DECLARATlON I �erebY certilY fhat �hr above �nsula�7o� was lostailetl in the Cu��d�n9 �e the above lorailo� im m��ormance with th[ cwrent regu�ations xtt��9 E.+er,qy ConseMtim S�a�da�ds 10� new re>�dent�a� build��gs IlotateE in 7rtle 74 oi the G�ilmnia 4dmirisvat ve Code1. , � � \ CJ�,f//',�,Pit� �i ns �mue�' r -- / � Dste Su� CoM�icb� �1ntu4tiOn ADDIiUtor) Li�ens! NUTDer n Lf/�� /� . --�� � f`f`TdT'� Sfqnawre �na TLL�e Oate — F�gu�e 6-1 . E•am01e of a comPll�nce [eRili[Y.[ 4-9 OWNER *$RISTOL ESTdT�'�$ DATE p_K_KFj > JOBADDRESS a58 Da_PT'P..l_1 Street BUILD�NGPERMITNO. I�3��lI GENERALCONTRACTOR S, V, HllpSH]feP VALUE 5 ���5�•�O LOT %5 BLOCK TRACT 2�73 Single Res. w�8tt. ��cT. GROUP I b' J TVPE V ZONE R� FIRE DISTRICT 3653 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMHER Footing Trench Foundation Forms and Grade to Rough Framing Plumbing� Rough to.Slab - �-a, Plumbing, Rough Complete Temporary Pole Wiring, Rough P r � House 4 sewer, st e5 /o /6 S6 � � .i�. .:�'�.�1 /G- -G- 5�/a '�D /�� Tanko esspool /D /6 S" �(�a �`/���o /O-9 SG, 701('� � a. i� oucll ,� lo-2S"- Z // Plumbing, Final, Fixtures Complete YnG Plumbing,Fin.alGasTest �,$� j�y�eS Wiring, Final ,A-�/, Occupancy ��)i FOFM 210 3M 10�95 -✓ �� (3asta Mesa Snilding Department APPLICATIOI�T FOR PERMIT ��' P.O.Box3�� ;���'� BUILDING ' " � COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. sui�aine c- p . � 3 / Address �rT � il .�c .G.(_ T Co / Costa. Mesa, California Receiv�ep('p y //Da,t,e/Rec,�'d.y Date Issued Nearest /'-' ��dX I 5/i�{-i.] (�. C% i�! � Cross St. / " Owner ��p� Mail p Address /d City �' Arohitect or _ Engineer �' Address V ContracMr � Addreu � Legal I Lot Descriptlon No, (Attach Metes and Size of Lot fc l�se of Existing Bidg. Setback Lfne from Center of Street � � � •–..r 7e1. // -� i / No.r7/. LiC. No. .. �„��n ,���ni�Y Licf J No. of Bidga Now on Lot � No.of I No.of Demolish eu Nearest Cross St. Costa Mesa, California CORRECTIONS Bulltling � No. of ,✓ / Size C//'J � Rooms .1 Stories Exterior Wall I Roof Covering ��� �'11] Covering APPRQV�S Use oi New . � • Building � – �.� _ �,, Foundation Location Inspector � Forms, Materials, �Y ' c/ = G' � �. �- Under-Pinning �� �c, Frame: Fire Stops, Bracing, Bolts I hemby acknowledge that I have mad this Application and state that the abme is correM and agree to comply Lath. Int. � with all City Drdinances and State Iaws regulating building rnnstruction. Lath. Ext Signatureof ����C������1–� _ Permittee T��«'' Plaster, Int Valuation Permit Fce $ 9'cC -- Maso $ ��/ �`; Plan Check $ /� `' ga�d O f � Total — � Fee �"J FIN/ FM 20I IO�M1�} D. P. 8 5. _ O T �