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HomeMy WebLinkAbout2514 DAVIS PL - Building Permits�• ��} pE�� iS14 DAVIS; PL x s xnrne: JOHN MAHER-, . Aooness: SAME � tf . 714)54II-7,335�'; pNCHIENGINFEfl: . � . � ROOflE53:. � , , � � UNIT: ' �flEC.NO.: , " ' . UNIT: � , .. , . . . ... , . . . . ; . ' CiTY-OF' COS'fA� MESA!'=.,BUILDINC PL'RMI1' `PERM NO: G- •0¢59Z0 ~ { . `.. 1 r .✓ � . .. � � . . . . � PERMIT N6: G 045970 '' t PT AN :CHF.CK' NO: , 02�5�70-90 S� ��GOVT': �N SUPP: • N� '. . . .. . „ . , CCNSTRUCTION TYPE: `-,�?, � P�RMI7' TYPE:'ELF•.;MFC PLU�STR ��PURPOSE: P,DD . , - � - � .. PEflMITTEE: �TL''GTONIF, i GI10UP INC': � -'( 714 ) 24t1=9024 nooeiss: �4174 GOLDEN L;ANTERN{ , 20'4 � . DF�NA POINT • CA 92G29 LICENSEO CON7MC70B DECUMTION: I here0y affirm I�aI I.am IicenseE unAer provisions of CAaD�er 9(commencinA wtlh Section 7000) of �ivision 3 of the Business anA,Pmfessions Cotle, and my license isin fullforce antl eHecL ' cm uc.: p q 9 0 4 7. sr�re uc.: S O 1 fi 5 0� cyssc-B� �. Oate: ����0. � Signature: f�' . ��I WOPNENS' COMPENSRTION DECIAMTI�N: I Aeie6y aPorm that I v riNc e oi consent ro seli-insure or a certificate oi Worker ComOe��tion Insurance, or a certitied coOY thereoi (Section 3800, a6. . POLICY NO.: � � , EXP. ORTE: . ' � ��`.�. CertifieG copy is AereUy furnishetl. ,❑ Cetlifietl copy is filetl with ihe ciry BuilOing Uivision. , � . .. _ ' _ : n �� . . ... .. Date: ` "' Npplicant. ' - , " i- �r., . r ' F%EMVfION FBOM Y/ORI(EBS' COMPENSIITION OELUMTIONi ��(�hiuectlon neeA noi be complele0 if Ihe permit is ta one hunEretl �f100) or leu). • I certity that in tAe Deriurmance of the work for which this De[mit is issueQ I shall not employ any person in any manner so as ta bacome su6lec� to �he Warkers'-Compensatiun•Lavrs ot Calitoinia. t; ' .:'1 " � Oa�e: /1%"�'�l7 "SiOnaNre: ' � -� - . • NOTICE:If, attervmaldn0 �his OeclSration, you shoul0 Eecom � itt iha�Densatian D�ovisions,oithe Labor Coda, you must�tort�wi[h compy,witA suc� pmvisians orthis rmitlsAall he aeeme0 revakeU. �,. /,y LONSTBUCTION 1FN01NG �GENCY :; I hereby aflirm that t�ere'is a wnslmctian IenUing agency tor Ihe, pertormance oi.ihe wark for ' whicA tAis Oe�mit is issue0 (Sectian;3097, Civ. C). ,.. � � , � lFNOER: � � f:�" . . noox¢ss: � , • , . OWNEH�BUILDEB OECtAMTION: I he�eby a(firm ihat I am� exempt from t�e Contractars' State License Law for t�e followinq reason � (Section 7031.5 Businew 5nE Prolessional CoOe: My ciry ol counry which requi2s a permit to wnstruct, atter, impmve, Cemolish, or reDair any stmcNre, priar ta its issuance, alsa,reQuires ihe applicant for such permit to file a sipne0 statemenbthat he/she is Iicense0 pursuant to ihe provisions of the Contractors �Siate License Law (Chapter 9(cammencinq witA Section 7000) oi Division 3 ot t�e Business and Pmfessions Code) or ihaPhe/she is exemD� �Aerefrom antl Ihe Uasis for ihe altegetl exemptian. Any violalion of Section 7031.5 by any apDlicant lor a permit su61act5 the ap0,licant to a civil penalry of not more tAan five hundre0 tlollars (5500): ' � I, as owner oi the DmDeM ar'my employees,with wapes as their snle'compansation, wilb do the work, and ihe ❑� SIlpC�UfC I5110� IO�ClIOCA Of ORCRO i0f Sd18 ($ectlon 7094, Business anE PrOf¢ssional CoGe: TAe Coniractors' State License Law Ooes not aDON �o an awner of a pmperry who Ouiltls or impmves t�ereon, anG w�a tloes suc� work himsetl/Aersell or ihmuAh � his or Aer own employees, provitletl9hat such improvemenis are not intende0 ar offered for sale. If, however ihe 6uildinp or . improvement is soltl within one year oi completion, fAe Uwner vnlP�ave ihe Durden of Dmving �e/she ditl noi Eui10 or impmve lor the puryose al sate�., ,� � � r ' �, , ,� . . . . . ' '_ " - , . . ., , . , I, as owner al Ihe O�operty, am exclusively contractinq vnt� Iicense0 camractors Io constiuct Ihe pmject 15eciion 7094, Business ❑� anA Pmfessions CoOe: The Conlraclors State Licenu Law Oaes not aODly to an owner of proDerry who �wl0s or improves ihareon andiwho coniracts for such pmlecis with a contractaqs),license pursuanito the Cantractors' State License Law�.'I am aware Iha[ Oroof ot t�eir Worker's Compensation insurance sAou10 �e pmviAeO to me. � � ' � I am eMempt under Section: � �. B.� 8 P. C. _ � i ; " for Ihis reatan: � � - • f. ..� . . , . . oate: � � � . . ' 6wnec � � - I EO AefeCy Certily �hat I am aware o� and under5iand Ihe requirEmen�S ot Calitomia HeaIIA an0 Safety CoOe Settions 25505, 25533, an0 I 25534 antl [hat I or any iNure UuilGing accupant vnlUwill no[ (circle one) neetl ta comply with sai0 state codes antl t�e requiraments Por a. permit for constmction or ma0ification from the Nr Qualiry Management Oistrict ResiOential consimctian applications are exempt irom ihese�pmNsions. � � � �� � . , . . Oate:' � � Appliwnt I here6y certiTy ihat I Aave r¢a0 tAis aOPlication antl sizte Ihat the a�ove information is wrrect I aAree to comply with all city anA counry oNinances anG state Wxs relatinp ro OuilEinq mnstrucfion and hereby autMnze representatives ot tAis cdy ro enter upon [he above-mentionetl propeM �orinsDection purpo5es. , Date: �-G('y!J' Signature: �/�� � . DrNer's Licenu ar Sacial �Security x: � � _ < 1801-C6 White-BuilOing; Careen-Cotle Entorcamant: Canary-Applicant: Pink-Favenua; GOIEenroE-Assessor '' JOB OESCAIP,TION ; AI)D.' TU SI'U .6 COMPI,ETE RR�ROOF '. ' S(? FT: ' • TSJ, � � .. '� . . r ' � . . ' r. � . . ' � � � CLAIM VALUE:-, 50,000.00 �CAGC-VALOE.: �.. 10,557.00 '�GROUP OCC:�,R-3../ .' `COMMENTS:� ADD�'TO SFD'.6 RGROOF"�EN'TIRE HOUSE y} Q�Q�yj� `^� GA �Cu ****�r�***�x�r*�+�+txx**�**�r�x�+��t�t�**�*�t**x�*�r���F#�� �+�.��irx-��*��iC�F'*�t�� ' ' ,' Z O N I N=G R E Q U I R E M E N T S �_ ;' ,' -' • '•S� E T.B A C K S • � ----------- MAIN BUII�DING'-------- '--------.ACCESSORY BUILDING----`---=-:=. �FRNT; 38 E'T IN REAR4 ;70 FT IN FRNT: ;FTj IN REAR: PT IN:. LEFT: ' S FT TN. RGHT: .'•:-7 FT IN ' LEE'T: ' FT IN 12GHT: • FT ZN PARKING REQ: ' PROV: . � PARCEL: 43912116 ZNE: RJ. . REF NO:, ' PLANNIDlG NOTES> FOR A 15],S�Q; i?T. EXTLNSION OP AN EXISTING KITCAEN, .ONLY. _ � . • 1E;IE k ih iE iF iE IE iE iE �%��K- iE iE 9k iE iE iE if.iE iE_iF�k it 3t'if iE.lf iE if iF iF'if 3E.ik�3^ri( if i!"It9E iF ib iF iE i(� It 1FiE iE if iF iE 9f iE if iE iE it iE iF if it if 3E iE 3E it iF��iF ih iF 3E iE dE �%iE iE M� �D'E V fi L O,P M EcN�T �-.8•fi°R V%;I�;C E S%r R;E Q_U I R E M G N 1'''; . r. � , . ..� .,., , . . . . . ^ �i . � ZUNING APPROVED 'BY' � _�:p �y' +� � ___ � DATE: ('jZ���Q�_q_� t : ,. BUILDIDJG APPROVED BY; : =__ 'e;=_�______ DATE: ,�. APPLICATZON ISSUCD� BY:' �'` s � `'�' ' DATE: �UZ'q 7� at�-it+t%iE�+ta���i�it*it�*�Eic�9tii�,i��'iF� - . . � �k�k�iF�7F'if�FiF'TF��'iFiF*'�tic--7t*iEi�-it�E�lt��F�F-.�t-'itrt *�-*�r****�**�x-�rx-�****�t�r*it*�i�*i�� i�* .*x-+�*+t�t+t��x���t�ir�r�-�tit�t***+�*�r�t*x��t*x-*�***�t*�-***��-�-� LEGALI7.RTION:N '� " F' E� S U M MfA_R•'Y'. ''�, 'S'L'RUCTURAL' SCGMENT:;' .. . • .� . ; , � � � :? r , :BLllG PMT PI,UMI3ING ELECTRZC_ MECHANIC. ' EIRE SM�IP/l2ES GRAT?LD1G PF.RMIT 126:00 - 15. 00 • S5. 25 � " 4. 50 '� �' Y � �` � 7;4 ` ` ; 25R _ SOe ; 253 t!' � ';, SMZP/NON-RES: PI.AN . . II 1;. 90 c, ' � , � ��:;� �� ,;� l ISSUE FEE �.00 15.00 T5.00 �"- '" :•r DUILDING-DIV-> �.PERMIT ISSUE PliAN-CIIECK �. •'TOTAL � � PAID DUF TO'PALS--.==> 201.49'' ;33.00 . 01:90. !' ;:'. J16.39.i ]Y.6?39 �.00 q � . � . . F. � . ' . REVENUE bIVISION TOTALS: -> � COLI,ECTGD: �,�iB'. J9 ";OVLR/SHORT: .00 . • DLDG Pt4T PLOMRING� FLECTRIC MECHANIC `:� IRE�. F'SMIPYTOT 'GRAD7NG PI,AN-CHF•_CK ' � 125'.00 1FS..00� 70.25 19i50' •,';. r �:,.7A .�l, 8].90 .. . . . I `,p' �3E 3F 3E �F iE iE �E jF iE if iE iE it iE 3F !F if aF iE k iE jf iF iE at �k iF'iE if iE iF i(� 3t iE iF iE 36 it N-iF 3E iP iE # iE 1f it�3ElE iP iE iF i6 it iE,�k ik if �lElf k�E�"H' 96 if 3E i6 if 3E iF iE �� 9E iE 3E 3f if �k � L td D T V,I D U A I, F' E E '%B R dE A� K�' D O W.N ' ' 7 � � ' ' .. ' .I. ' r' � � 7'YPE t,�TY D E S C; �R Z Y T:f O'M" • = � , UNI1', COS'T; ' TOTAL COST . . , f' t i� �. SFR � 153 DWFi-TYPE V-WOOD FRAME � ' ';-GOOD 69.00;��' •' 10,557.00 GLF. 10 FI?!TURES, LIGHTIMG 1 ST ?_0 "- EA. .75;+`.� ( 7.50 CLF. '� 1.J RE:CEP'I"/GUTLET -:1 ST 20:>',� P,A. .75 �. • 9.75 ELE G RPC6PT/SWITCII . ' 1 ST 20r' EA. .75; ' 4.SO F•.LT. 5 RES APPLTANCE N07' UV.EP. � =:1.0'HP 9.00'"' � • ^ 7.5.00 , ELE �'1 SERVICES BELOW 600 'V &` BELOW �200 AMP 18. 50�;' •' I 6. 50' , MEC 1 VERITILATTON FAN CONDI TO SINGLE DUGT 4.SU. 4.50 PLO ' 1 DISHWASHER . , ...,; ?_.00':. � 2.00 Pt.�U 1 E1,OOR. DRAIhiS � , '� , 2.00;�'� , 2. 00 PI�O � . i LAUtdDF.Y. TUO. OR T4ASHElt "' • 2.OU' 2; 00 _� L'LU ;1 . �SINK, KITCHEN "' 2 , OL� , , .. ,. ,' O1 Q0�3�g/-00�`3472 T�7T a1d.39' . � . - . ' . ' . . ' - . . �-�:; UA7E= � 02/06/90 Tlt1E: l2:Os" . - . . . .. . . ., . . . . . ' . _ , ��'� � CONSTRUCTION AND PLANN�NG y' .� � PO� S SPA � - APPROVALS Permit #� ' ' Date ' Inspector AppROVALS Permit # Date Inspector - i . ' � -. . ' 1. Temporary Electrical Service or Pole �� ' 52. Pool & Equipment Location . • - _ ' 2. .;oil Pipe-Undrgrnd.-. � . /Ol�jlJ G� 53. Steel Reinforcement , !-3 _Electrical ConduirUtility-Undrgmd. � ' � • � 54. Forms �� . � ' '".4. Electrical Conduit-Undrgrnd. � � 8 55. Electrical Bonding � � ';5. Steel Reinforcement� � 56.�Rough Plumbing & Pressure Test ��''6. Elect�ical UFER.Gind. _ � . 57. APPROVAL TO COVER�GUNITE . •� � � - 7. Footings ^ � ' � 58. Electrical Conduit�Undrgmd. . 8. Foundation �'. 59. Gas Pipe, O Undrgrnd., Test - 9. Water Pipe�Undrgrnd. � �; ,`Gc� QO , ���D 60. - Backwash Lines, P-Trap, O Undrgrnd, � � 70. Structural Floor System , A - � j' 61. APPROVAL TO DECK' 1 11. Property Sewer Line & House�Connection ' 62. �Backwash & Receptor�Final � 12. Sewer Cap ' � � 63. .Heater & Vent-Final . � •' � � 13. Roof Drains � , ' � � � 64. Plumbing SYstem � Final . . y . - _ � . 14. Rough Plumbing � $'j RQ �/% 65. Electrical-Final . � 15. Rough Electrical-Conduit ' . � � 66. Solar System-Final � � � ' - y - - -16. Rough Elec[ric Wiring, 3 LJ 90 67.-Fencing & A'ccess Approval � . ' 17. Rough Wiring Sign � _ 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling . � 69.� POOL/SPA SYSTEMS FINAL � 19. Rough Heating &.Air Conditioning _ � �� � - a , �_ FIRE DEPT. REQUIREMENT h - �- - - 20.-.Rough Factory Fireplace _ x : - �APPROVALS;_�'�Permit # -� . -.. - - 21: �Ducts, iq Structu7e• ' ' • _ '_ � � _ 70. Onderground Hydro " 22. Ducts, Ventilating � � �.. � ;, ,,�71. Product•Piping OGas �Oil � 23. Gas Pipe•Rough & Test _ `7= � - K ;� t 72, Underground Flush�-_ ' . , 24. Roof Fiaming - _ � �� r " ,� . . :73= Undergrnd. Storage Tank-O Gas ❑ Oil � � 25. Roof Sheathing � a ' • _ `' +' 74.'OverfSead Hydro 26:,T-Bar Ceiling (Strucwraq & Monocoat;-. � . „ . �. :;. 75_ Dry Chemical __ - , �- _ , . . _ 27.-Frame and Flashing �+ • 3�R �e,i�- 76. Dry Stand'pipe ' � . _- '"28. Lathing�&Siding�„�- - _ . _- �� 77�FIXEDSYSTEM-FINAL . - - . - - 29. Insulation • "'' - ' �j,-�(j�p ��� 78'FIREPREV.FINAL ' �� " _ .�30. Drywall �Nailing ' ;� ��/�4�' - ' �iREALTH'DEPT. REQUIREIVIEN7' % - ' „ 31. Plaster�Brown Coai '_ - K��{ qp �(,�J_ - FINAL INSPECTION ' 32. Electrical Power�Meter-Pinal J ` r FOOD CERTIF.ICATE ISSUED � l r.33: Final Eleciric ':. �' - � ' Notes: � � �� '� �_; 0 40 , �3-/, - b;� -�i� ,� �34._Final Heating & Aii Conditionin9� _�'' ' . • ' � " ' �' - ' ... _ ' - Z - �- �,�p _ .. , 35r'Final Gas Pipe-Test � , s•?�L� � 3-�(�..Q . ��i.� �c�es� �� a• � 36. Hood o� Canopy' ' i• -• � ' ;; a _ �� - �'�� ' - ,37 ��Final Fectory Fireplace : - - - _ J[ O Y t _38: Final Plum6ing • . " ,-�1 �p (t� �'.. - ' - - -_ . U/ �e9�-e9 + � 39.��Water Service�Final. ; ', , � . � , ��� -v� � r ' � . '40. Gas Service-Final • ' " - � - � � � . � - - ' - � ". � ?_. r - �_ r " . , � � ;'41: Solar pomesticFin`al'� � �� � " , "' � � .c ;c 42. Backflow Preventer � .- ' ' �� " ' ' - -� , + +' � ' ' - � ^ < , -� • a .. - _ _ • . . 43., Backflow Irrigation ' + . ' . . . ,. � '44, Landscape 17riga(ion System� ^; � • � "' - -� ' ' -� i �` � _ _ � - 4 q .- 45. Sound ,Attenuatioii -�, � �, , , _ _ - _ � 46: •Handicap Regulations - - . = - - • � ,47: FINALSTRUCTURE&BUILDING .• S ? e �.- �.cL.- �� ' • �yW , 48. FINALPLANNING �'�' ' ' � ' ` .' � - � : 49.'Electric Release to.`Edison � _. , V 50::Gas'Release to Southern California Gas Cn ' '� . _ - 51. CERTIFICATE OF OCCUPANCY ' - - � � No. Date . J � PBOJECT�ODRESS: � , � ' UNIT: L� � OGIAE 5 NRME: ' � � � " - 'i eoosess: � ' .. . ,i �HLHIENGINEER: ' � flEG.NO.: ' , � .' RUOBESS: - ' ' ' ' � UNIT: ' ,� • PEflMITfEE: � � . , . - • ' � � � IIUOBES3: , - . ��. . . � . . 11tENSEO CONTMLTOB DECUM710N: I AereGy aifirm that I am Iicense0 un�er proNsions of CAaD�e� 9 Rommencinp vnih Section 7000) of Oivision 3 of ihe Business an0 Pmfessions COAe, and my license is in fulliorce anJ ettect. . . CITY 11C.: . ST�TE IIC.: � CIASS: ' � , � Oate: SignzNre: - ' WOBNEBS'COMPENSRTIONDECUMTION: Iherebyaflirmlhall�aveacertificateolconunUosetl-insureoracertificateoiWorkers' Compensation Insurance, or a cetlified copy Ihereof (Section 3800; LaO. C�. �� � � PoLICY NO.: . � EXP. OATE: COMPRNY: � ' Cetlified copy is hereby furniSAeA. ❑�Certified coDY �s tileE with the ciry BuilAinp Division. i ' Date: Appliwnt: ' ..- . . . _ � . . IXEMPfION FHOM WOIIKEPS' COMPENS�TION UECWUTION: (ihis sec6on neetl not 6e wmpleied il ihe ce�� is for one �untlre0 (5100) or less). . I ce�ity �ha� in �Ae Dertatmance o� �he wofk �or which this permit is i55ueQ 1 shall not employ any person in any manner so as �o become ' su6lect to Ihe Warkers' Compen$ation Laws of Calibmia. � Daie: ' - � ' 'SipnaWre: ' . . . . . .. . ... � . � NOTICE: It, atter makinq t�is declaration, you s�aultl Oecome suUjecl ro Ihe Workers' Compensation prbvisions oithe LaDor . . CoEe, yrou must tortAwit� comply vn(h sucA provisions or t�is permit shall be tleemed revokeG.. . CONSTBUCTION 1EN01NG RGENCY: I �erehy attirm that ihere is a conslmction IenAing aAency for t�e pertmmance af ihe wark for w�ich I�is permit is issue0 (Seclion 3097, Civ. C�. ' �, . , ' LENOEB: ' � , � ' � � ' aOUPESS: � . . _ . . . OWNER BUIWEB DECU141TION: I�herehy aflirm t�at I am exemD� �ram tAe Coniroclors' Siate License Law tar t�e followin0 reason (Section 7Q31.5 Business an0 Professional Cotle: � My ciry of counry whic� requires a Oermit to wnsimct, alter, improve, tlemolis�, ar � repair any slmcNre, D�or to its issuance, also requires the aDP��cant for such Dermit to file a si0ne� statement Nat he/she is IlcenseC : pursuant to tAe pmvisians of I�e Coniradors' SWte Licenu Law (ChaO�er 9(commencing wii� Section 7000) of Divisian 3 of the Business � , an0 Pmfessions Cotle) or Nat he/she is,exempt t�erefrom anA the basis for the alleAed exemption. Any violation of Section 7031'.5 by ' any aDPlicant for a Dermit sublects [he aDPlicant to a civil penalry of not more tAan tiva Aundrad Eallars (550U). • - 1, as owner of tha properry or my employees with waAes as thelr'sole compensation, will Oo the work, an0 t�e � - ❑ stmcture is noi inlenUetl or ofleretl fat sale (Sectian 7044, Business an0 Profeuional CoOe: �The Contractors' State License Law tloes not aDDN �o an owner of a pmpeM w�o huilAs or impmves tAereon, anA wAo Ooes 5uch wark himseltlAerselt or ihmup� ' his ar her own employees, proviAeE tAat such impmvements are not intenJed or oflered for sale. fl, however4ha huildinp or improvement is saltl wrthin one year of completion, ihe awner will have Ihe 6urden.oi praving he/she di0 not builtl or improve 'for the Purpose oi ule). p . , . ' . � I, as owner oi tAe pmperry, am exclusively�contraqinA with IicenseG coniractors to conslmct the prole�t (Section 70M14, Business �❑ anA Professions Code: The Comractars' Seata License Law does not apply Io an ovmer oi property wlw bmlGs or improves Ihereon • anE wha wnirat[5 tor Such prole�s with a COn�fSt�Or�S) litense OUfSuani to ��e COntraCtOrS' $Ia�e LiCens¢ LaW�. 1 am aware i Ihat proof of Iheir Workei s Compensation'insumnce shoultl be OroviOetl.to me: , , � I am exempt untler Sec6on. B. 8 P. C. - ' -� for tnis reason: , . � oate: �� P�mec � ' � I 00 h¢reby C¢rtify �hai I am awate ol antl un0erstantl the reQuiremenis ot Calitomia Healih and Sa�ery COUe Section5 25505, 25533, an0 � 25534 anO lhat I or any fumm huiltlin0 occupant will/will not (circle one) need ta comply wi[� saiG slale coEes an0 i�a requiremenls for a� permit for constmction or motlification fmm ihe Air Qualiry ManaAement Oistrict. Resitlential conslmctian applications are exem0��irom ' Ih¢Se pmvi5ion5. ' ' � Uate: Applicant 1 �ereby ceniy Ihal I have rea0 this aDDliwtion anE state ihat [he a�ove iniormatian is carrect. I aqree to compry wit� all ciry antl counry , or0inancesanOslatelawsrelatinA�oDuildingconstmctionantlherebyauthorizerepresantative5ofthiscirytoenterupontAea�ove-mentianeA � property iorinscection Durposes. , � - � . • � ' Oate: ' Signaiure: � Oriver's License or Social Secunry k: . . . a160=J Whi�e-BuilEinp; Grean—COEe Enlorcemenl Cenarv—ApDlicanp Pink—Ravenue: Goltlanrotl—Asseswr - . . _. _. �.. .. ,.. .__. � . . . _ . ; _ . . . . . , PERMIT NO: G U45970 ` ' PI.AN CHfiCK �NO: 02570-90 S'� '` ;PAGEe" 2 • �i *��*x�c*******�**x���*�**��x*x+��*�*+�*��x�-**�r+�*x�����r�****+�***�*�r**�x�**�*i��r*��***:* � , . 'lYPE QTY ' , D E S C R I P.T I O�N '. , � ,"UNI1' COST TOTAL COST � PLU ; 1 WATFR 'HEATER ANll/UR VENT ' .. :2..00 ' . • � 2, 00 ' PLU 1 �OD]NECTION TO BtIILllING SEWER, EA , , 5.00 :��� 5,.00 � END OF EEES ' ' • �� � , ' � ' � , _ , ' ' . " _ i . , . ' � � . . s ; � . , _ ' . . . . � � ' . ' . ' � , . i , , . . . - � ' • i , � . i . . � � , — . . - . . . . . _ , . . . _ _ . .... � � . . . . . � . . i � ' . . . . . .� . � . �. � . . ... . .. •. � . � . , . . . ; . . . ' . . . _ . . ... . . � . , . � ' . . , � . ' � . � . � � ' ' . . � . ' ' . .. . . _ . ; , . .. . . ._ . . . . . � . ' � i, . . . : . . . � . . , : ' ' ' � • . .• . , '. ' , . ' , ' � ' . . � , � ' � . . : . ' � ` " . , , . _ . . . . . . � . . . . . . ' . � � ' . . . . ' . . . , . . . . . . ' ' 1 . . . ' . 1 , ' ' ' . ' .. . . . ' � . � . � � , � � ' . ' � '. � . . � , . . . � . r . . , � . . . , . . � . . . , '. , ' t . " . _ , . , . •� . ' , ,. � ' � . � � . i . . ; . . � , , . .. . . ' . . . . . ' . . . . ' . . . ' " . . . _ �— CONSTRUCTION AND PLANNING � � POC SPA - t. � - Date . Inspector - Date Inspector . � qPPROVALS Permit #- , APPROVALS . Permit # , 1. �Temporary Electrical Service or Pole � � � 52 8001 & Equipment Location ' 2. Soil Pipe-Undrgrnd. . 53. Steel�Reinforcement . � 3. Electrical Conduit Utility-Undrgrnd. � ' 54. Forms ' 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement ' ., 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. . - 57. APPROVAL TO GOVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � � 59. Gas Pipe, O Undrgrnd., 7est 9. Water Pipe-Undrgrnd. : 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor Svstem � ' 61. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' ., 12. Sewer Cap . , 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing System � Final�' 14. Rough Plumbing . � � 65. Electrical-Fina� � � 15. Rough Electrical-Conduit �- 66. Solar System-Final � 16. Rough Elearic Wiring 67. Fencing & Access Approval �� 17. Rough Wiring Sign � ' 68. -APBROVED FOR PLASTERING . � 18. Rough Electrical-T Bar Ceiling ': 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating�& Air Conditioning � - FIRE DEPT. REQUIREMENT � 20.-RoughFactory:Fireplace APPROVALS Permit# 21 Ducts,iri Structure . 70. Underground Hydro 22�.-Ducts, Ventilating 71. Product Piping OGas OOiI 23: •Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing -' � 73., Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26-T-Bar Ceilinq (Structural) & Monocoat 75. Dry Chemical . 27� Frame and Flashing. 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation r� � 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��T Notes: 34. Firial Heatirig & Air Conditioning � � 35:-•Final Gas Pipe-Test 36: Hood or Canopy - • 37:�Final Factory Fireplace 38. Fi�al Plumhing . • 39:,Waier Service-Final 40.. Gas Service-Final 41�:,Solar pomestic-Final . . 42: � Backflow Preventer 43. Backflow iriigation � - , 44. Landscape Irriqation System 45. Sound Attenuation / 46. Handicap Regulations � � 47i FINAL STRUCTURE & BUILDING � 48<FINAL-PLANNING 49. Electric�Release to Ediso❑ - 50. Gas Release to Southern California Gas Cv 51. CERTIFICATE OF OCCUPANCY f No. Date ' � �Afl0.1ECT RDDRESB: z S 1 A DAV I S � ' • : UNIT: ' owxes�s xnrne: JUHN MAHER ^' �' � nouness: SAM� : l.�r , . .� _ . • 548-7335 . - , . .RNCN/ENGINEEB: � ' �. PEG.NO.: . -' • ..- RODflESS: ' . � ' . , ' . . UN17: ' � PEpMinEE: TF.CTONICS GROLIP INC ( 7]:4 )-248-9024 nooness: 341.Z9 GOLDF.N LANTERN - 204 DANA POIN1' : CA 92'629 LICENSEO CONTMC70B OECIAHRTION: I here�y aKrm ihat I am licensetl un0er protisions of ChaD�er 9(commencinA ��h Section 7000) ot Oivision 3 0l tAe Business an0 Pmiessions CoOe, antl my license is in full torce an0 eifect. � � cirr uc.: U 4 9 A 4 3; srerE iic.: 5 81 8 5 f3 , cuss: ': �Date: ��-- � �� a Signature: � ' ' WOBKEBS' COMPENSpT10N OECIANIITION: I hereby aifirm that I A ifi te ot consent to selFinsure or a cetli(icate oi Workers' Compensation Insurance, or a cenified copY �hereof (Section 3800, LaE. , � . PoLICY NO.: ' . � • E%P. D�TE: . ' I� �OMP�NY: � . , . . ;_.,��-,Cetlifi¢O copY is Aereby tumi5he0.: ❑ Ceriified capy is liled vn�h �Ae ciry BuilOinp Uivision. ,4y`_ . .. � .. � _ . _ . Uate: ^ ` � APOlicanT.�. . '• F' E%FlAPTION FBOM WORNERS' COMPEN54TION DECIAMTION: � Rhis uNon nec-0 not be camplete0 ii Me permit is lor one AunOred (5140) or less�. I certity that in the peAormance of ihe work for w�ich t�is permit is ifsueA, I shall not employ any person in any manner so as ro becoma suElect to the WaMers' Campepnsa.t�ion Lavrs oi Califomia. //1 /� .tr. �,�-� . ' ' Wte: 3 � � � [�L Siqnamre: ' L%/L4 = Ld+—��' � NOTICE: Ii, atter making this Aeclaratian, yau�should become su e rkars' Compensation'provisions oPthe Labor Cotle, you must torlAwit� com0ly with such provisions or t�is perm - II he tleameE revoked �; , �� CUNSTRUCTION LENDINO RGENCY: I�here�y aifirm ihat Nere is �a construction lentling aAency for the petlormance oi Ne work lar which this permit is issueE (Section 3W7 ,Civ. C�•' . � . i,; 1��? 4 . LENDEfl: � ' FOOBESS: - • - , — . _ . . . ' . OWNEB BUIWEH DELUMTION: I here0y attirm thai I am exempt fmm the Contracmrs' State License Law for ihe I011owinA �eamn (Section 7031.5 Businass anA Professional CoOe: Fny city oi county w�ich requires'a permit to construci; alier; imOrove, Oemolis�, oi repair any stmcNre, prior to its issuance, also.requires tha applicant for suchpermit to file a sipned statement ihat he/she is IicenseB pursuani to �ha provisions of ihe Coniroctors' State License Law (ChaD�e� 9lcammencinp with Section 7000) ot Division 3 of Ihe 9usiness � anA Pro(essions CaUe) or ihat he/she is exempt (herefrom and Ihe Dasis tor the allegeE ¢xemption.�Ariy violation of Sectiou 7031.5 6y any applicant tor a permR suDlec[s tAe a001iCant to a ciNl penalry of not more ihan five �unGreO dollars (5500): � ,�, , 'I, as owner of ihe Dropeity or �my em loyees wit� waAes az�their sale comDensafion, will Oa IAe work„antl the � ❑ simcture is not intenUetl or olleretl for sale (�ction 76A4, Busineu an0 Prolessianal CoUe: The Coniractors' State License Law Ooes nat aDPly to an awner oi a propeM who huilOs or imD�oves the2an, anU who Oces such woM �imseli/herself or thmug� ' his ar her own emptoyees, provideE tAat such impmvemenis are not intendeU or attere0 for sale. II, however.ihe 6uiltlinA or `imDrovement is�soltl wrthin one year of completion, the'owner wili'have the burAen of proving he/she tliA nat 6ui14 or imDrove �for t�e�purpose of sale�.. , t , � . . , ., � ' . , " I, as owner of the DmpeM, am excluSiveN contractinp wit� IicenseA cont2ctors to construct the D�oleit (Section 7044, Business � 'an0 Profeuions CoAe: The Conlraciors' SWte License Law does no[ appy to an owner oi property who 6mIA5 or imOmves iherean an0 w�o contracts for suc� Dmjecis with a coniractaqs)license pursuani ro t�e Coniractors S�ate Ucense Law). I am aware that pmof al their WOMer's ComDenutian insurance shoul0 be OmviOetl to me. � , . � I am exempt un0er Section: i B.� 8 P. C. ' , ' ; toi IMs reuon: � � � ' ' � Uate: � ' Owner ' I Eo hereby iertity tAat I am aware ot anA understanG the reQuirements of Califomia Health an0 Safery Cotle Sections 25505, 25533, an0 25534 ana t�at I or any fu[ure 6uil0in0 ocaDant vnNwill not (circle one) neetl ro comply with saiA state co0es an0 the requirements for a permit for construcfwn or modilication Irom Ihe Rir Uualrty ManaOemmt Disinct. HesiOemial consWction apDlications are exempt irom theseDmvisions. . . - � ., , � � � . � Date:� • Applicant � I hereby cehity �Aai I have reatl Ihis aDPllcalian an0 S�al¢ [hat the ahove iniorma�ion i5 CofreCi. I agree t0 Camply wiih all ciry antl c0unry orAinances anG state laws xlatinp �0 6uilEiny construction an0 �e2by aN�onze represeniatives o� I�is ciry to enter uDon ��e above-menlioneE pmperry fo! inSDeC�ian purposes. /� ' Daie: 3'�� � � �0 '. SiAna�ure: /�� � / + oriver's License ar Saial Secunry x: • 1641-46 White—Builtling; Green—COEe Enforcamenp Cenery—Applicant; Pink—Revenue; GolOenrotl—Assessor - � . ` 'CI'TY OF COSTA MESA' - ,BUIliDING PEI2MIT PCRM NU:� BE '04656]� _" � PERMIT� NO: ,BE . 046561 ',. � PLAN CIiECK NO: 03114-y0 S GOVT: ;N S[JPF:'N •' 1 CONSTRUCTION TYPF.: V-DI PERMIT TYPE:,ELE STR � P.URFOSE:: ADD� JOA�LESCRIPTION . 2J4 SP•FAMILY ROOM ADDITION �, SQ FTe'� 234 ':. ,, CLAIM VAI,iJE: 12,.000.00 CALC-VALUE: � 16,].46,00 GROUP OCC:, R�-3'./ ��` '� . ,. ' . , ' , r . . , . . � . � • . r .. COMMEN'PS i ' ' ' - � �c x�*����**�*�***�*�e**x��i�*x�r****��r**�*�+���**x����**�*+�+��*��x��**��*�*+e**� �r�xi��r��* .-, Z O N I N G R E.Q'U I R E M E N T S •. , � S E T B A C F< 'S ' :, , ' . ' � - MAIN B`rJILUIDit; ----'-----. --=--'--,-- ACCCSSORY BUILDING'---,--- �PRh]T; ' T F,T IN R�AR; 65�FT , IN FRNT: FT IN REAR: ; E'T . IN- LEF'7': 30 FT IN RGHT: 31 FT IDl LEFT: � PT IN RGHT: FT iN, PARKING REQ.• FROV: PARCEL: '43912116 ZrIE.: R?. REF NO:; PLANNING NOTES>�234 SQ.FT, FAMILY ROOM ADDITION TO ADl EX. SINGLE FAMILY RES: -' - >,'NO•U,r.R�. REQ BECAUSE7-0F ADDIT'S,SMALL SIZE &'RES: PS �S:F.D. - , *�c��c���*u�rt**��t-*�t�t�'��+�**i�,�*�ft�t-.itit��t**.*;*'�c�**;�t��t�t*�-��r�r��*�r�x�*,�r�-atx��t�-*�t-�-****�r**a�*x��t**�r�**�-****+t�- . . D.E,V F.'�L O P;MyE✓'N 1=>'S E',�R V I C G S:_',�R E Q U I,R E M E N�T'5 •, . ,1..,� . � . tG' � . . 'LONING APPROVEDaBY rc � dis'�!'�=`t r� ---.� DATEe �flf0 . � BUILDING APFROVED BY.?c�-L��Z� _ _ �� DATE: S3�L�_- ' APPLICATION ISSUGD'HY:' �� "� DATE: �ll��b 3E�E1EiEiEiEikiEfFiFiEiE9E�E.1f-.iEifiEiEiE�ifiE 32- - 3(�3F��tiEiEiFiE3EikiEiE3EiE ,jEif 3F�'fik3E iEi(iEiEiEiE.iElElEiF1(-iEifiEiEiE�lkififlFiEdF�3fiFif�'ififaEiE'�EiE#iElE,iEiEiEifif ifiEitifiFVEiP1E9ElEjEiFiEiE3E1EiEiEifffiEjE�EjFiEiE3Fi63E1EiEiFiFiffEiEiEif � LEGAliIZATION:N' � F E fi S-U`M M A R Y ,STRUCTURAL SEGM�NT:Y` BI,DG PMT PLUMBING�" ELECTRI'C ,rtMECHANIC FIRE .SMIPLRF.i GRADING PERMIT . 180 . 00 `. " • 9, 00`•- � 1. 1 3 50:8,+"•� �SMIP/NODI-RES • PLAN 11%.00 .. ". %• � . rssoF r-�e. � � •i's.00 :: � DUILDING-DI�V'> PERMIT ISSUF. PLF�N=CHECK` TOTAL PAIll •DUE ,TOTALS- --> 190.13 15.00 '. 1'17.00. 322.13. 322.13 .00 . . . y. REVENU� DIVIS:CON TOTALS---?.' � COI,I,EC'PED�E 205.�13 OVER/SHOR'P: .00 � L�I,DC PMT PLUMf3ING EL�ECTR:[C° MECFiANIC FIRE SMSP/TOT GRI�DING PI�AN-CIIF.CK �'180.00 24:U0. �`} 1.13 : . . . , �� ..l7'a ' ' � . 3EifiEiEiEiEiF'ifiEaEiEiFif��lEaEiEifif3Ejf3E-3E3EjEjF�EiEjf3E#iFiE�7EiEiEiFiFiflEiFiEi6iE1EiE3fiEifiE3FiEiEiE3E�E�E1EiPiEiE9EiEjE-�iFiEiE*ifiE�lEifiEdEiEiF�if3f ' .�. , I DI D I V�I , D U A I�; �F-' E E B R E A K D O W N � �. �. �' � `TYPE� � QTY n E 5 C R,I P�'P I O N',�� ;t �, � UNI'P COST� ;fOT�l� COST - � .� .. SF'R 23A L)Wfi-TYPE V-WOOD FRAME•` �-GOOD 69.00 � tG.146.00 EI�E 2 PTXTURES, LIGHTING "] ST 20 EA. .7.5 ' I.50 '. ELE': -• 7 RECEP.T/OUTL�T' 1,ST' 20 , • EA. ' . 7.5 5.25 ELE � � 3' RECEP'P%SW.T,TCH e" !'�ST 20 , EA. .75 � 2. 25, . c�ao OF"'yFT'ES ' , . , . . • �. � � ; ' . t.�j' � , �• , , . . . i. , . ... . � .. _ . . -, a i��' . ' . � . . , ,� f , ` 0 � u , �1 �0056341—DOQ�6343 T�T i '2Q5.13 DATE� Q3/!4/90 TI11E: 10:29 �• .. .:.. ...... . _ _ _ _ CONSTRUCTION AND PLANNING - `• - . ' P00 SPA - . � ' APPROVALS Permit# Date .Inspector Date Inspector� � � APPROVALS Permit # � i� i. Temporary Electrical Service or Pole � _ .. 52.� Pool & Equipment L'ocation - _� 2.,,Soil Pipe�Undrgrnd.- _. ' . 53. Steel Reinforcement . t� - _ �.�Electrical ConduirUtility-Undrgrnd. � ' � ,54. Forms . ; " � 4. Electrical Conduit=Undrgrnd.-� . ( � . 55. Electriwl Bonding - ' - 1�5�. Steel Reinforceinent ' 3--�-�-`� �� 56. Rough Plumbing.& Pressure Test : �� Electrical UFER'Grnd. �^ � �],F.QO �.GV-� 57.-APPROVALTO�COVER-GUNITE � '�' ?,�Footings � . -u�o (pCVOi 58. ElectricalConduit-Undrgind. ; � . Foundation -� 59. Gas Pipe, O Undrqrnd.,.Test �- � 9. Water Pipe-Undrgrnd. � .� 60. Backwaih Lines, P-Trap�, O� Undrgmd. : • 10. Structural Floor System � " - � - 61. �APPROVAL TO DECK " ' ' _ 11. Property Sewer Line & Hoiise'Connection ;', � 62. �Backwash & Receptor�Final i 12. Sewer�Cap _ ' - 63.� Heater & Vent-Final �. � 13. Roof Dwins _ � '� . 64. Plumbing System - FinaL . 14. Rough Plumbing i� 3'�.L�j L�' 65. �Electricil-Final � 15. Rough Electrical-Conduit + . �. 66. Solar SYstem-Final � 16. Rough ElectrirWiring �. Y�?s-tQ .� G� 67.� Fencing & Access ApProval 17. Rough Wiring Sign . - 68. APPROVED'FOFt PLASTERING � � �18. Rough Electrical-T Bar Ceiling 69.�POOL/SPA�SYSTEMS FINAL � 19.-Rough Heating & Air Conditioning . _ ' � � 5 _ � :,PIRE DEPT. REQUIREMENT . 20. �Rough Factory Fireplace _-- � _ "• � �� a .APPROVALS�=,�=Permit # - - - ., 21. Ducts, in_Structurel ' ' - �` � `.' ; ;70. Ondergiound Hydro ' �:. � � . 22. Ducts, Ventilating; ; � ,. ' � _a . _ - �_� � y _77. Product-P.iping O Gas O:OiI 23. Gas-Pipe�Rough & Test ^"" � T� .F _ ,- :72. Underground Flush � ' - � 24;:Roof Framin _ = ' � � ' 9 � � �rr,. 73.�Undergrnd.StorageTankOGas ❑Oil 25.. Roof Sheathing ' � 53�,g,p _ , i 74'� Overfiead Hydro _ 26.=T-Bar Ceilin �Structuraq &`Monocoat _ ' � = ` � - - - 9 i..: � 75._Dry Chemical . _ 27. Frame and Flashing� GJuZ'" ,-,.:b.-�p �� 76. Dry Stand"pipe -- _ __" ,�, _ �28. Lathing"& Siding ; ' ;- �;., .. . � �� �,(�f,- , 77�i • FIXED Sl!STEM FINAL� - - ' 29. Insulation ' ' - '^ , ���-�W% ` 78 :FIRE PREV. FIN9L � - . 30. Drywall.Nailing : ._ �` - - �-�-�,�jy'- �,(�(/,�r HEALTH�DEPT�` REQUIREMENT 31. Plaster Brown Coat'� :- ' ' _ ,..� .. � %�G✓� '79. FINAL INSPECTION- " - ,: 32. Electrical Power MeterFinal � a' �'"i�. 7'/�.}; ', 80�FOOD CERTIFICATE ISSUED ^33.=Final Electric � . - � �Q �f Notes: 3:'�'o.�j � �f„gp� ' �� �� � • 34..Final Heating & AiriConditioning _ - , „ . f �`�;: �'� � , - � �/�.� _ _ 35. �Final Gas Pipe-Test » ' �^ '� � -'S - � � O.. =�36_Hootl or_CanoPY F - � . . ''. r �,. � '��. � _ _ - . _ ' �37.�Final Factory Fireplace- - � - � '`- � . •-38'Final Plumbing ; � ' ," � f�„��-qp 4R�� � � �c s � ."39 WaterService�Final. ;, . ' < r . ..' - . . �''40�GasService-Final ��' '° � � ' �` ' � N. V 1 �.�. .� • � _'41.`Solar pomes(ic-Final- !�j �,?� � .� � �� �._. , - - 42. Backflow Preventer " ' ' 1 � '' - ' ' - -• :7 , _ . � 43. Backflow Irrigatiort. � `� - . � � ' � �"•!� . �- :,�;f - � -� �� ;. . - ' . - �i. �"'44. Landscape IVrigadon System �_ _ �, , _ " "�� __ ' "' ""45;�Sound Attenuation • • � � �' �� . � � • r- _' � , � 46.•Handicap Regulations ` � , ' �. - - . 47.-FIN;4L STRUCTURE & BUILDING .' �' "� ,! � � ' ,�O COwO� 48:'FIN.AL PLANNING " - ' �� ` /_. ' . ' " � ), 1 `49.:Electric Release to Edison . il r % � ;:: . � ` . � ' 50.-Gas�Release to Southem California Gas Co � y � ? ' _ ' - - . , �� _ T - . i 51. CERTIFICATEOF'OCCUPANCY - - � - No. Date CbSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 9i7 COBTA MEBA. CALIRORNIA For Applicanf to Fill In Complefely ADD EISS �s/y ���i COSTA MESA. CA IFORNIA OWNER MAIL 2 /��/ A��RESS � J � � I' / �. ■ STATE � 6ETBACK LINE FROM G��'.�71 G. �� Y TEL. - /� ysf NO. (� �-/ •� � � X I NO. OP BLDOB. I �/ I � / LEFT RIGHT DESCRIPTION OF WORK � � � ,�`� OC �1 ` 1962 �� .�i��v ���������D i�a/� fiNAf�CE DEPi. APPLICATION FORCFERMIT COSTA �YIESA BUILDING For Offiee Use Only RECEIPT NO. BY I O.�'Ij'y RECEIVlD I DATE 193UED COSTA MESA. CALIFORNIA ZONING ZONE NO.OF IIBB OP NEW . �-�%� PLANB � BUILDING µ LEGAL �� �J 7� L� G� C1 DEBCRIPTION � � (C6NRH LIN6 BT.] � � EXTERIOR WALL ROOF J',�' COVERING COVERING y' � USE OF BUILDING AND WORK TO BE PERF APPROVED _ / p� � O ' I HEPEBY ACKNOWLBDGE THAT 1 HAVE R THIB APPLIWTION THe AMOUNT BXOWN UND VALUATION I6 POR TH¢ ANO 9TATE THAT TH6 ABOYE 18 GOqRECT ANO AGRCE TO CON- pUPPOBE OF EBTABL�9HING � PERMIT PEE ONLY. PLY WITH qLL C�TY ORDINANCEB AND AT6 LAWB REOULATINO eu��olxa coNsrnUCTI . VALUATION SIGNATURE OF PERMIT FEE $ L��� PERMI77E $ J�y �/D p� n �/ / J C% � PLAN CHECK S�/�j'� � AUTHORIZED AGENT O%r �