HomeMy WebLinkAbout1108 DANIELLE DR - Building PermitsROOF
(714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
,lob Address: 1108 DANIELLE DR
Suite:
Vicinity: HOUSE & GARAGE
Parcel Number: 41207430 Zoning: R1 R1
Applicant:
RON SELL
Permit:
$167.25
Address:
17072 ROSEBUD
SMIP Com:
$0.00
Other:
$0.00
Phone:
(714)993-3328
YORBA LINDA, CA
Zip:
92686
Owner:
QUON, DON TR
Address
1108 DANIELLE DR
Phone:
COSTA MESA, CA
Zip:
92626
Contractor:
SELL ROOFING COMPANY
Address:
17072 ROSEBUD
Phone:
(714)993-3328
YORBA LINDA, CA
Zip:
92686
License:
323842
Arch :
Address:
Eng:
Address:
Status: ISSUED
Applied: 06/16/2000
Issued: 06/16/2000
ISSUED BY: St M
Phone: Phone:
Zip: License: License: .
SCOPE OF PERMIT
REROOF - T/O, INSTALL 1/2" OSB BOARD, 2 LAYERS OF 30# FELT AND ICBO #4660 EAGLELITE LIGHT WEIGHT
Plan Check:
$0.00
Permit:
$167.25
SMIP Res:
$0.89
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total: $168.14
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0
ACCESSORY Front 0-0 Rear 0-0
PARKING Existing: 0 Required: 0
NOTES:
FEE SUMMARY
Calc Valuation: $8,900.00
Claim Valuation: $8,900.00
PLANNING & ZONING
Left 0-0 Right 0-0
Left 0-0 Right 0-0
Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 180 days, or if work is suspended or abandoned
for a period of 160 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
Mk
DkICLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers' compe�tlon Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My works om nsation ance car r and policy number are: /0&
Carrier: Policy Number: _ 7
(This section need not be competed if the pe if is valued at one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, agree that if I uld be me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions. //
Applicant Signature: b Date: G —! (, 06
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9S� mmencing with Section 7000) of Division 3 of the Business antl P�,ofessi s 7de, and my license is In full
force and effect. Lic. tt n44 %.�8 Y'� Class It �` /
Contractors Signature: Date: r G Z /—O n
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sale compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended Or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title B, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIII the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release Of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building Occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a.LPernit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency/ Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ NO
(If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8 (If yes", attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty Of perjury the Information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to Occupy or allow occupancy of any building authorized by this permit until final inspection.
/Dale ._
Or Authorized Applicant ( ��Date
CODE.. INSPECTION TYPE Ogg INTITIAL CODE. INSPECTION TYPE DATE NTRIAL,j
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 7 ^ Z�� � 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Buili ing/Occupancy
2446-06
ADOREss op BMLGNO: 1108 DANIELLE DR
u"T:
CITY OF
COSTA MESA —
BUILDING PERMIT
ONNERSRAMEWPOICINN:QUON, DON
FLOOD: AHL38
REAR:
FT IN
FRNT:
AmmA 108 DANIELLE DR.
REAR: FT IN
LEFT: FT IN
RGHT:1
FT IN
COSTA MESA,CA •*
92626
PERMIT NO: M 077808
PLAN CHECK NO: N
857-8140
API MAIUNa ADDRESS:
PROV:`
CONSTRUCTION TYPE: V—N
PERMIT
TYPE: MEC
ARCHITECT OR ENGINEER:
UO NO,
JOB DESCRIPTION :'INSTALL
NEW 4TON A/C
UNIT
Af K OR ENO: S ADDRESS:
UNIT:
CLAIM VALUE:
CALC—VALUE:
1F ifs16*iE 1E 1h IE**1h 1E*IElE 1E iE**1E it iE iE*iE i6lE**dE iE
CONINACTOSSNAME:A.B.C. HEATING 6 A/C (714)540-0972
C@GRACToRrsm m 2951 GRACE LANE
ADORESS:COSTA MESA CA uc.No.: 133298
92626 UNIT:
LICENSED CONTRACTORS DECLARATION: I Mmby affirm under penalty of Perjury that I am licensed wide provisions of Groper 9
(mmmendrq wish SMbn )000) d Diveon 3 d Uro Busonea emrd Prdesaiom Code, end my lioerue is in IUD bone end e9ess.
CITY LIC. NO.006?0411 �c.cuss:C-20 uc. :(333 8 EXP:�b/96
.� a:latsi �J / G Contradw:
OWNER BUILDER DECLARATION: I heroby affirm taster penalty d perjury that I am emmq the Contrassma License Lew he the
fdowng . (Sess'wn 7031.5 &»ierse and fhdeeaions Code: Any cry or county which nquam a parmil to convenes, after. Improv*,
demolish. or repair any stmdu s. prim to he lssuanm, also requires the epdicant he such permit to RN a signed @adamant that he or are
is licensed pursuant to the provisions of the Contractors Limine Law [Chapter 9 (commencing with Section 71100) of D'veion 3 of IM
Business and professions Coded or that M m she is exempt therefrom and the beau for the alleged exemption. My violation of Section
7031.5 by any applicam for a mrmh subjects IM applimnt to a dant p malty of awl mine than five hundred dollen (5500().
❑ I, m owner of the pmneny or my employees wbh wagm m their ante mmnenaation, will do the wmk, and IM structure is asst intended
or offered for me(Smtion 7004. Business est Professions Code: The Cmtractom Uoenae Lew does ra appy to m owners property
who Wide or'xnprovd; thereon, and wto does, such cork Nmset or Mrs" or through he, or her own employees , provided Thad etch
immwernems
we awe mtarded or dlersd Ion are. 9. however, the Wioirq or hnpmmmaM is loll within one year of completion, the
owrwrbuilder will have IM When of moves, M or and did not buist or improve for IM purpme of oda).
❑ I, m owner d the pronerry. we exclusively opntractng with licensed contranlors to construct the project (Sed'on 7044, Bminme and
Professions Code: The Commo ms Lienee Lew doer not appy to an owner of property edea leads or immoa« thereon and area
convect M n,dh project; whin a commissariat foamed panniers to IM Cararassms Limrue Law).
❑ 1 Am exempt under Section: B. A P.C., bit the reason:
Done: owner.
1 do hereby candy that I am aware of and understand the mquiaemems'd Cdamnia Health and Sday Code sadim 25605, 25533, and
25531. And that I or arty Mum buildup comment will I will not (some ons) owed to comply with said some codas and the nqumi menti for
e pemw lorconstrudon or moddimtionhmntMAi M_y9y amgenwm Gimes.R®damid maarussion appicatom we emmq from tMaa
proriaiom.
Data: Appfra :
WORKER'SCOMPEN9ATION DECLARATION: IMrebydf u peruydporiLy mdtMblowbgded@atom:
❑ 1 have and ail mention a osmicate of maned to seffinwme M awekema' comnenserion, m Wailed for by Section 3700of the Labor
Code, for the pelouname d the seer, for wKch this nemha is maned.
_ rl 1 here and ail mdmaih wmkem• mmmmaaation insee e. m Mused! by Section 37M d the Lalwr Cade, for the ped. d the
XO wink Gar writs this permit u owed. My workari cmnperaation imurmcs owner est policynumber are:
Caner: UNITED OACIFIC EXPIRES
Policy Number: 01/01/97
(This section need nod be compleeed d the pend is for one hmnprep papers /Stool or lea.(
❑ I mnify that in the nedommnm of the work he which this nemhh is eaund. I shall not employ any poem in my manner so as to
become eubiw to tM wwka s' co npametion Ism of CdHmnu. Lad same that X I elwuld become subject t tin ammo'
mmpeyyptan nrovjyipna o(fyfioyRJ09 d the leWr Coda, a 1 h m Irma pmvuiona.
Dale: V(' _L•7J 7s,//Applicant: /
Wvil ff. F�Rum b honor wt tho. al Mr.. `$I coverage la u llyn. (end past sf cooed pat /oyer to es .1pitrel I.M.lowand
clvll m 3 W b one Labor
Co a Interest,
path@ (dl elys I M p411tlon b tln coat of rompansaUpR damages ea povlded bit In
beef/on 9706 0/ fha Labor Coda, /nleropl, anp artomey'p lees.
CONSTRUCTION LENDING AGENCY: I hereby slum under poesy of penny her there is d
a aonsruobbit
n mdi,p Memy the
nedomeewe
of the emk for which the nems is aimed (Sidon 3097. Cls. C).
LENDER'S TIME:
LENDER'S ADDRESS:
1 canny Ihet I heva aped the apgcatiun well were til the above information is comma. l atm* to comply with all dry and pommy, mdinme
and sate Uwe muting to W iUing comvmxion and Mraby wahariie representatives of the dry to emir ulwn IM ebwe mentoned m ,eery
for inapedimwapmeeRUSSELL BANGERT
Symtura d Ower/AgenVAppicanUComr
(5151d60P) Whine-Buldiq A Seery. GmwnmRW; Com"ppimnt; Rnk-Rerenu@ GaMemad-A;wv
RM NO: M 077808
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
ENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------ MAIN
BUILDING ----------
---------
ACCESSORY
BUILDING ---------
FRNT./ FT IN
REAR:
FT IN
FRNT:
FT IN
REAR: FT IN
LEFT: FT IN
RGHT:1
FT IN
LEFT:
FT IN
RIGHT: FT IN
PARKING REQ:
PROV:`
PARCEL:
41207430
ZNE:
REF NO:
PLANNING NOTES
******1E iElF***iF*1fN-1f 1E
1F ifs16*iE 1E 1h IE**1h 1E*IElE 1E iE**1E it iE iE*iE i6lE**dE iE
ri 9E 1E 161E***iEfFlE**IE
iE 9f 1E*16 iE 96 fE1E iE iE iP din dE iE
D E V E L O
P M E N T
S E R VAI
C E S R
E Q U I R
E M E N T S
ZONING APPROVED BY
DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY: : E
DAT >
*if dF iF lE if if iE if if fE iE lE*i(-1E lE dF***i6 �i 71• iF i� iF iF 3F '{E{F iL iE 1E iF D 1EiE . iE iE
LEGALIZATION:N F E E S,U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
PLAN 4' 25% SMIP/NON—RES
(1�
ISSUE FEE i 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 9.00 15.00 r/, 0.00 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
__24f 00
1f iE 1E iE * 1h if !E * 1E lE * * * 1E dE 4E lE * iE iE lF`fE 1E iE rE *!E fE lE fF 1E * f6 * 1E iE 1E iE iE iF dE fE iE 1E 1E * 1E lE 1E 9E iE lE iE *!E iE * tF iE iE iE
I N D I V I D U A L- F�E E B R E A K D O N N
QTY D E S C R I P T I O;
1 REFRIGERATION SYSTE' ,<= 100 K BTU/H
END OF FEES
1
`L
UNIT COST TOTAL COST
9.00 9.00
CONSTRUCTION AND PLANK
APPROVALS Permit #
Date
Inspector
POOu & SPA
APPROVALS Permit #
Date
l
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53, Steel Reinforcement
3 Electrical Conduit Utility-Undrgrnd.
54, Forms
4. Electrical Conduit-Undrgrnd.
55, Electrical Bonding
- , 5. S1Ael Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd,
57. APPROVAL TO COVER-GUNITE
' 7. Foc;tings
56. Electrical Condui�-Undrgrnd.
8. Foundation ",
59. Gas Pipe, O Undrgrnd., Test
" 9. Vater Pipe-Undrgrnd. '-
60. Backwash Lines, P -'trap, O-Undrgrnd.
10. Su uctural Floor System
61, APPROVALTO'DECK
11, Property Sewer Line & HouskC 6nection
62. Backwash & Receptor -Final
12. §pvver Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System . Final 1
14. Rough Plumbing _
65. Electrical -Final
15. Rough Electrica4-Conduit
66. Solar System -Final
16. Rough Electric Wiring _
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Bough Heating & Air Conditioning -
FIRE DEPT.,REQUIREMENT
APPROVALS -�` Permit # '
20. Rough Factory Fireplace - -
- -
21. Dvci$, in Structure
70. Underground Hydro -
22. Ducts, Ventilating
r
•- '
71. ProducZPiping Deas QOil
23. Gas Pipe -Rough &Test
- - x
72. Underground Ffueh.
24. Roof Framing ,1
r
-
• 73.1 Undergrnd. Storage Tank O Gas ON
25. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Mondcoat
75` Dry Chemical r• �
27. Frame and Flashing -
, ;
76. Dry Standpipe _
28. Lathing & Siding
v
r
77. FIXED SYSTEM FINAL T
29. Insulation
7 t FIRE PREV. FINAL -
30. Drywall Nailing is
i-'
- HEALTH DEPT. REQUIREMENT
„ 31. Plaster Brown Coat,"
-.
,�
79. FINAL INSPECTION -.
32. Electrical Power Meter -Final
-33. FinaCElectric- _
34. Final Heating& Air Conditioning-
_
80'.' FOOD CERTIFICATE I$S'21EDIL T
Notes: C _L
_
35. Final Gas Pipe -Test:
36. Hood. or Canopy
37. Final Factory Fireplace
38. Final -Plumbing 4
_ •" _
39. Water Service -Final
r
40. Gas Service -Final•
_.
- 41. Solar Domestic -Final
42- Backflow Preventer
43. Backflow Irrigation
'44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
-
47. FINAL STRUCTURE & BUILDING
R
`
-
48. FINAL PLANNING
49. Electric Release to Edison
r
'
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
M
-.3
ADDRESS OF BDILDIND:
ADDRESS:
APDL. "UK ADDRESS:
8 DANIELLE DR
DON
DANIELLE DR
A MESA,CA
8140
UNIT. CITY OF COSTA MESA — BUILDING PERMIT
FLOOD: AHL38
92626 PERMIT NO: E 077809 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
ARCHITECT OR ENGINEER: I.C. NO.:
ARCH, OR ENG.'S ADDRESS: UNIT:
CONTRACTON's NAME:A.B.C. HEATING & A/C (714)540-0972
,,,f,ACToIrsMuuND 2951 GRACE LANE
ADDRESSCOSTA MESA CA uc.w.: 133298
92626 UNIT.-
LICENSED CONTRACTORS DECLARATION: I hereby affltm unde penalty d perjury that I am licensed under Provisions d Chapter 9
(commenting with Section )000) d Division 3 of the Buenas and Profeesioas Code, end my license is in full fand face aaffect.
CITY
LIC. NG.006041/ uc.cuss:C-20 uc o.:133 8 EXP: 6/96
OF
Deta:�3� gV Conirmo
OWNER BUILDER DECLARATION: I hereby affirm under penalty of Penury that I em exempt (O he Contractors License law for the
following reason (Section 7031.5 Buaneea and Profession, Code: Any city or county which requ e e pemtlt to cwni alter, improve,
'demolish, or repair any stricture, prior to its mms,o,, also requires the aedkanl fpr such pmrsh to fib a signed shmara nt that he a she
is licensed pursuant Io the eovieions of the Contractors License Lew (Chapter 9 (o mmendrig with Section )000) of Owoion 3 of the
Business and Professions Code] or that he or she is enampt thaehom and the basis for the alloyed asemption. My violation of Section
7031.5 by any aPoicant for a ps mlt wibjeds IM applicant to a cold Penalty of not more then five hundred dollar IS500]).
❑ 1, as owner of the Property or or, empoyeas with wages as their wile compensation, will do the work, and the structure is not intended
or offered for side (Section 1044, Business and Professions Cab: The Contractors License Lew does not sept, to an owner of propary
who Wird, or inpnoves thereon, and who does such wad Iimself or hal or through his or he own employees, provided that such
improvements are not intended or offered for sale. H, however, the Wilding or bnprovemeM is sold within arw year of completion, the
owner -builder will have the Widen d proving he or she did not Wild or improve for the purpose d seb).
❑
I. as owner of the popery. Am exclusively atntrec3kN with licensed contractors to Iwnsmrct Iha project (Sadion )OM. Bwirroea end
Prdaesions Cade: The Contractors License License Lew does napply to owner of proend a
pwho Wilde imes whoprovthereon ew
convects for such projects, with a contractorje) licensed pursuant to the Contractors License Lew).
❑ I am exempt under Section: B. S PC.. lar this reason:
Ode: Ovate:
I do hereby certify that I are aware of ant understand the requirements of California Health and Safety Code Sections 25505, 25533, ant
25531, ant that I or any fduro buildup occupant will / will his (circle one) need to comply with said stele codes ant the requirements for
e petmk forcoestrction or moddicationhantMAiemery aoiag i Dial Reeidarl construction applications era exempt from those
provisions.
Data: Applicant
WORKER'S COMPENSATION DECLARATION: I hareby affirm under penalty of Poilury one of the bllowin discussions:
❑ here end wit meintakn a wMiute d consent m aaRinwiro la workare' wmpeasation, m prwitled la by Section 3)00 d Iha labor
Coda, for the pedamence of the work for "oh this petmk is issued.
)p
I have end wig meintan woM1eni oanpensetion insuranncceOAC IIC:u
e, as required by Section 37W of the Labor Coda, ler the Performancece d the
1S" wad to which thio parmb b inaed. My wake UN ME—E F number ve: EXPIRES
Cerner.
Policy Number: 01/01/97
(This section need not be completed y the pound is for one hundred dollars ($100/ or bat.)
❑ I Canty Ihet in the pedomurca of the work for which this petmH is iesusd, I shall IM employ any prremt In airy manner wi as to
beconn wibdas to the worms' oompeneation laws of California, still agree that it 1 should become wibielll to IM worriers'
Warning: Fegura to sacuro worker' compersetlon.0shin is N u demi 1, and shall aulQalan arploye to cdm/ru/ panaldaa and
civil fines W rens hundred thauurM dolNra (Sf9q 000), In addldon to she coat of eompenaat/on, MrrNpaa as provldad for In
Section 3103 at Me Lalor Coats, linnet, and allomeye fora
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty, d Whiny that there u e consttudion lending agency ler On,
'do.. d the work for which this Peork is maned (Section 3087. CH. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I ceniN that
pmpsry,
D - G
ate �3
(5151de0P) Whits-Build'eq S Salary; Oreen-Fle: Canary -Applicant: Pink -Revenue; Goldenrod-Ae.
PERM NO: E 077809
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : INSTALL NEW 4TON A/C UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: ELECT, WORK INCIDENTAL TO MECH PERMIT $M77808
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------
MAIN BUILDING
----------
---------
ACCESSORY
BUILDING---------
FRNT:
FT
IN REAR:
FT IN
FRNT:
FT IN
REAR: FT IN
LEFT:
FT
IN RIGHT:
FT IN
LEFT:
FT IN
RIGHT: FT IN
PARKING
REQ:
PROV:
PARCEL:
41207430
ZNE:
REF NO:
PLANNING
NOTES>
>
dE iE iE iE RE 1E iF ltE
* dF * * * iF * 1E 1E * *!f 9E 9E irk 9E 1E Rk ltE iF iE RE RE Ri RE RE.SE dE * * SE dE RE * iE 1E iE 1E 8k 1b SF iF
1E irk irk iE SE RE RE * 1E 1E
* * 9F RE RE iE RE RE fE * if iF RE RE iE RE iF RE
D
E V
E L O P M E N
T S E=R V I
C E S R
E Q U I R
E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
DATE: S"123[Kc.
1F 1f 1E iF 8F iF 9E irk Rf iE'IE
STRUCTURAL S GMENT:N
SMIP/RES RADING
SMIP/NON—RES
f:\77iiEAiNI0cal *-"Y*bjm "
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS ---- >
F E, E' /) S U M M A R Y
ELECTRIC MECHANIC FIRE
3.00
50%
15.00
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
3.00 15.00 0.00 18.00 18,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 18.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
18,00
iE BE irk df*iE 1E****M1E*RE RE RE RE*RE RE RE REfE1F*iE iElE1E**iElEiElE9F*9E if iE if*******9E iElFkiE*dE***RF iE 1E lid iE if if iefF**dE RE*fERf ltEif*9E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 MOTOR/POWR APPARATUS 0.0 — 1.0 HP 3.00 3.00
END OF FEES
CONSTRUCTION AND PLANNING-
APPROVALS Permit #
Date
Inspector
POC SPA
APPROVALS Permit #
Date
:
tnspectoi
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location'
2. Soil Pipe-Undrgrnd.
53, Steel Reinforcement
`3. 'Electrical Conduit Utility-Uncirgfnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
•'- 5): St el Reinforcement.
56. Rough Plumbing & Pressure Test
6.. Electrical UFER Grnd.
57, APPROVAL TO COVER-GUNITE
t; Footings -
58. Electrical Conduit: Undrgrnd.
"
8'„ Foundation
59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd.:„
60, Backwash Lines, P. -Trap, Cl Undrgrnd.
10. Structural Floor System -
61. APPROVAL TO DECK
11. Property Sewer Line -& House Cdnnection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final `
'13. Roof Drains
-
64. Plumbing System - Final
14. Rough Plumbing -_.
65. Electrical -Final
15, Rough Electrical -Conduit, :
66. Solar System -Final
.. ,
1,6. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR -PLASTERING
'
18. Rough Electrical -T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning; �, -
-
r -
- FIRE DEPT::REQUIREMENT
APPROVALS Permit # �,
20. Rough Factory Fireplace -
-
21. Ducts, in,:�trticture a -
' r
70.' Underground Hydro -
22.Ducts, VentilatinJ' -
'•
'-"
71. Product Piping OGas 'Oil
23. Gas Pipe -Rough & Test
c •
-• = r ;
�'
72. Underground Plush r
24. Roof Framing t' ^ '"
:- -
- '• *
7�: Undergrnd. Storage Tang D Gas E]Oil
25. Roof -Sheathing
74. Overhead Hydro - -
26. T -Bar Ceiling (Structurail & Mondcoat
*
75. Dry ChQmical
27. Frame and Fiashin9?_ r . r-
76. Dry Standpipe a •- - - ^
28. Lathing & Siding - - -
77: FIXED-SVSTEM FINAL
29. Insulation _
78. FIRE PREV. FINAL ?
30. Drywall Nailing r '-
- -HEALTH DEPT, REQUIREMENT
- 31. Plaster Brown Coaj
79. FINAL INSPECTION - --
32. Electrical -Power Meter -Final
33. FinallElectric' _
��{
_
30. FOOD CERTIFICATE Iy4SUED '
�' tes: - - - -
34. Final Heating & Air Conditioning
35. Final Gas Pipe Test-
- 36. Hood or Canopy 4
--
' 37. Final Factory Fireplace.'-
38. Finat-Plumbing
y.
'-
39. Water Service -Final
+. r
1 40, Gas Service -Final'- e to
M"
41. Solar Domestic -Filial
t,w
M•
'^ - `-
_
42. Backflow Pre,venter.C i-
-.
• �- _
43. Backflow Irrigation `.
F'
M. ,Landscape Irrigation System -4, .} _-
_
v
•_ " -_ '
v M
45. Sound Attenuation'
46. Handicap'Regulations-
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING"
-49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OF BUILDING:1108 DANIELLE DR DMT:
OMNEWS NAME IF IDIOyIN: UON, DON
ADDRESS: f108 DANIELLE DR
'COSTA MESA,CA 92626
957-8104
APPL. MMUNG ADDRESS:
ARCHITECT OR ENG'NEER: UC. NO.:
ARCH. OR ENG.'S ADDRESS: UNIT:
coNTNACTorrs NAIR: ABC HEATING & A/C (714)540-0972 lir
CONTRACTOR'S MMIMG 2951 GRACE LN
111E54: COSTA MESA CA uGNo, 133298 .
92626 DMT:
LICENSED CONTRACTORS DECLARATION: I hereby aHcm under Penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section ]GOO) of Dirison 3 of the Business and Professions Cade, and m license is in full force snd effect.
CITYuc.NO.:006041 uc.CLASS: C 2 0 LIClNO.. 13 32(38 EXP. 06/96
Date: //-r3' 1-3 " Contra l%��
`W NER BUILDER DECLARATION: I hereby aXirre under penalty of perjury that I am exeniw. m the Contractors License Law la the
lowing reason (Section 7031.5 Business and Professions Code: Any city or county which mttuires a pormil to construct, eller, improve,
"emofsh, or repair any structure, prior to its issuance, also recuires the applicant for such Parent to file a signed statement Nal he or she
is licerrsed Wrauanl to IM provisions of the Contractors License Law (Chapter 9 (mmmendng with Secton 7000) of Divaion 3 of IM
Business arch PlWeaagn3 Code) or that he or she is exemtherefrom and therefroand the basis for the alleged exemplion. My vidation of Section
7031.5 by any applicant for a pormn subjects the applicant to a civil Penalty of nor more Than five hundred dollars ISSaop.
❑ 1, as owner of the property or my employees with wages M their 9010 mmpansation, sell do the work, and the structure 6 not intended
or offered for We (Section 704, Business and Professions Code: The Contractors License Lawdoes not appyto an one erof propody,
who bukhr or improves Ihemon. arw who does such work bmWf or named or through he or her own employees. Provides that such
improvements we not intended or offered for sale. d. however, the building or a q,rovemerd is sold within one year a completion, Me/
ownenbuilder .11 have the louden of proving M or she did not build or improve for the purpose of sob).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sectors 7W4, Business and
Professions Code: The Contractors _sere Law does nor appy to an owner of pmpeny who builds or imprwea thereon and who
contracts for such projects with a conlrectods) licensed Wnumut to the Contractors License Law).
❑ I am exempt under Section: B. & P.C., for this reason:
Data: Owner:
I do hereby crudity Nal t nm aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and
25536, and that I or any future building occupant will / will not (circa ane) need to comply with sale awe codes and the requirements for
a permit lorcenstruction ormodificationhoer the Air-M70-agemenl District. Residential construction abomimmam exempt from these
provisions.
Dab: Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby alli. under penal perjuryw ofdm followi, declensions:
sons:
❑ 1 have and will maintain a rendcate of oor9enl to sen-insum for workers' co m enealan, as provided for by Section 3700 ofthe Labor
Code. for he Performance of hem* for which this Perms w asued.
�J t have and will maintain woMen m poi at on insurance. as regsbad by Section 37M d the Labor cede. far the performance of the
word, for which this penin is issued. My workers �rgp¢nsplipq ina}gW,(r0br end policy number We: EXPIRES
co"a` !i1— 01/01/96
Polley Number L f 8
(This section need not be completed a the pemh4 is for one hundred dollars ($10pJ or less.)
❑ I sandy that in the performance o1 the work for which this pehmit is issued, I shall not employ any person in any, manner an as to
become subject to the worsens compensation laws of Calnomm and agree that it I ana,Id biome suod to the worfmrs'
cors%°nseibnDmvisioGna dSection 3)00 of lite Labor Codj titian I h pM1p)y with those poviawhs.
Done
/ �"
WarnlnT Felluro M eecuro motero' coepena l coverage 6 unlawful, and shell susit1 an employer to cdmlrral P.Muff. a and
c/rll Hnee up as one hundred Moumod dollars ($100,000), In addMon W Me coat of comperuaf/on, defeatists as provided for /n
Section 37W of Me Labor Code, Influent, and attorney's lees.
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d penur, that there a a ametmctlon andinfi egarry for the
performance a the wink for whim the terms is Issued (Section 3097. Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I have mad this application and slate That Ne above information is coract.1 strata to campy with all my and county ordinances
es mating to building construction and hereby suhori:ru ropmsemytives of Na ply to enter upon the above-menlioned property
for ypwion purposes
i iiJs s c
Cala: %/- 3 ' �6
(5151 46.WP) Whin,Buildkq & Safety; Green -Fla; Canary -Applicant; Pink-Rwenue; Goldenrcd-Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 0750081
PERMIT NO: M 075008 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH
JOB DESCRIPTION : REPLACE FAU OVER 100K BTU SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: REPLACEMENT OF EXISTING FAU
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT, IN
LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FTS IN
PARKING REQ: PROV: PARCEL: 13926205 ZNE: REF NO:
PLANNING NOTES>,
>
###############################################################################
D E V E -L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED.BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: - DATE:
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC. MECHANIC FIRE SMIP/RES GRADING
PERMIT 14.00
25% SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 14.00 15.00 0.00 29.00 29.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 29.00 OVER/SHOAT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
###############################################################################
I N D -I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN > 100 K BTU 11.00 11.00
MEC. 1 GAS PIPING SYS 1 — 4 OUTLETS 3.00 3.00
END OF FEES
I
01 00193653-00193653 TOT 29.00
DATE! 11/03/95 TIME: 09:00
ADDRESS OF BUILDING: 1108 DANIELLE DR
OWNERS NAME IF IWOWN: QUON , DON
ADDRESS: 1108 DANIELLE DR
COSTA MESA,CA 92626
957-8104
APDL. MAILING ADDRESS:
UNIT:
ARCNRECT OR ENGINEER: UC. NO.:
All OR ENG: S AOORESS: UNIT:
74 S
CONTMACTORSNAME: ABC HEATING & A/C (714)540-0972
CONMACTORS MMUNG 2951 GRACE LN
ADDRESS: COSTA MESA CA LIc.NG; 133298
92626 DMT:
LICENSED CONTRACTORS DECLARATION: I hereby alma under cantly d perjury thin I am Icereed under prmisiwu d Chapter 9
(commencing with Section 7000) of Division 3 0 the Business and Professions Code, and my license is in full force and effect.
CITY LIC. NO.: 0 0 6 0 4 1 uc.cuss: C 2 0 u ND.: 133298 EXP: 06/96
Dale:���9.3 Comr
OWNER BUILDER DECLARATION: I hereby affirm under perely of perjury that 1 am as oat the Consultants Licerrea Lew for the
following h. (Session 7WIS Business and Professional Cods Arty aY a county wfiiM rv= a perste to am comae, eller, impana,
demolish. or repeal any, structure, pint to est wean, also repuires, the applicasl fa such permit to fib a signed examine Nal he or she
is licensed stimulant to she prwisions of the Contractors License Law [Chapter 9 (commencing weh Section 7") of Diveion 3 d the
Business and Professions Cartel or trust he or she is esemPr therehan and the Essar la Ne alleged exemption, My violations of Section
7031.5 by any apdcant fa a came subjects the applicant to a evil penally of rot more than two hundred dollars ISSDDU.
❑ 1, m owner of the proWdy or my empicyxs with wages as their sole compensation, sell do the work, and the structure is not intended
or oXaed for sale (Section 70 , Business and Professions Cade: The Contractors License Lew does not apply to an owner of propend
who more or improves thereon, and who does such work Nmaelf or herself or through his a her own empoyea, provided that such
jormse errnxts are M intended or offered fa safe N, however, the building a snpovemonl ar sold within over year of companion. One
owner4ouilder will have she burden of Awing he or she did ns, build or improve fa the W mole of ab).
❑ I, as owner of the propend. am exclusives contracting with licensed consreclom to construct the pomat (Session 7044, Business and
PWassume Code: The Contractus License Law does not apps to an owner d eProperly who Wilds a ss re
impm+thereon and who
conlmcts IPr such projects weh a cantreaar(sl licensed pursuant to the Contractors License Lew).
❑ I em exempt under Sectioe. B. Is P.C., for this reason:
Data: Owner:
I do hereby conic that I em aware of and unicameral the more ements of California i afth and Set" Code Sections 25505, 25533, and
25534, and that I or any fulure building aanpera will I will not (ctrcb one) need to camps wish seal mate codec end the requirements for
a pemneipamsbudi0n or modificalionhamlhe Ar ueMy wemant Dicoria. Revdential conmruaas appirmi ns are encamp from these
provisions.
Done: ApploaM:
WORKER'S COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury, one d the following detlarmons:
❑ I have and will maintain a certificate d consent to cel insure for woromm compar atim. as povlded for by Section 3700 of the Labor
1M.�1 Cada, fa the performance of the work la which this perms ie issued.
e berforms. ol the
work ffNow« idn th aFarm iM so issued. MMyawstorkersMyyrB.agna)ppg umy[e�cp yg .erired! by Sactiort 3� of thecorury u �cwee. fa EXPIRES
Carver: l.f l.r1i l.11Cl i'
Policy Number: 01/01/96
(This waren mad not he completed of the permd is for am hundred ddbts 15100/ or bar.)
❑ I cantly she in the perfoonance of the work fa which this permit is issued. I shell not emp1W airy penton in any manner so as to
bxome subject to the workers conomm cion laws d Califs a, arnd agree that tl 1 11 became w ' to the waken'
panatgn3rovieom d 4aation 37W d the Labor C fo h - c with tlgae pmvisom.
...:Z
ma: //ems Aper .
Wemll Fontana W exon wwRsri com ossmitpn coverage b wuredfuA end aNll asst en amp/Wsr to cdMm/ pensIdea and
civil finds, ant m one huntlnad fMuaand ddbna (Sl W,OWA In eddltlan M aro coat of compensation, tlanMg" as provAcerl for In
Sxfion 3705 of Me Labor Coast, Interest, and artorney's toes.
CONSTRUCTION LENDING AGENCY: I hereby ,inn under Fw^ of perjury that there is a constmctim landing agency or the
performance of the work for which the pans is awed (Section 3097, civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I conic that I have read this application and mora Ihm the above information is corned. I agree to comps with all cry and county ordinances
and $1 Is laws relating to build con��bn� hereby eNhaae mpreant�rves d this cily to enter upon the above-menloned propend
for in ion purposes. P.
Dona:
White-Buildig & Salcey: Grown -File; Carory-Applicant; Pink -Rowers..; Goldenrod-Asaaar
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 075008
PERMIT NO: M 075008 PLAN CHECK NO: N GOVT: N SUPP: N
:ONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH
SOB DESCRIPTION : REPLACE FAU OVER 100K BTU SQ FT:
-LAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
ZOMMENTS: REPLACEMENT OF EXISTING FAU
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13926205 ZNE: REF NO:
PLANNING NOTES>
>
14*iN 1E*1E*BE iE*BF*1E 1E BE iE*BE 9E iE if***9E iE fE iElEiE**hE 9E iE iE iE iE IE iE iE hE***hE 1E**iE iE*1f*iF*1f iE*****9E hE iF*if 9R 1E hE IE *hE iE 9E iE iE 9i
D E V E L O P M E N T S E RSV I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : *n DATE:
APPLICATION ISSUED BY: / DATE:
IE M-iE+E1E*M-fE****�R*********'7F'iFTF�FIF3F�F3F3F'iFlF7F�E7F3FiFTfTFTFTF7FTF3FiF�F�TFiF1FBR�xBE �E�**�E* o- Eh *�F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 14.00
PLAN 25% SMIP/NON—RES
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN�:CHECK TOTAL PAID DUE
TOTALS ---- )v 14.00 15.00 x•0.00 29.00 29.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 29,00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2r9 . 00
iE iE * * *iE iE iF *S(-iE iE 1f !F* 1F Sf ***iF 1E jE 9E iE jE iE 1E * lE 9E 9E iE iE 4 * !E * * !f ** 4 hE 9E fE****iE iE iE iE *SE 1E *hE 9E iE BE iE 9E iE *iE 1E 1F hF if lE hEif iE hE * iE
I N D I V I D U A L �F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N, UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAY FURN > 100 K BTU 11.00 11.00
MEC 1 GAS PIPING SYS 1 — 4 OUTLETS 3.00 3.00
END OF FEES
6
01 00191: ;; OLi436`3 TIC'T
CITE: !' 17:a5 i;' -c: it :00
CONSTRUCTION AND PLANNING
APPROVALS Permit #�-...-
Date
Flnector
POCri_ & SPA
APPROVALS Permit #_,.--
Date -
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location-.
2. Soil Pipe-Undrgrnd. _
53. Steel Reinforcement
3. ,Electrical Conduit. Utility-Undrgrnd.
54. Forms
' 4: Electrical Condutt'Undrgrnd.
55. Electrical Bonding
`
5. Steel Reinforcement-
56. Rough Plumbing & Pressure Test
<
='6r`Electriczl UFER Grno.
57, APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd,
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test'
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P•Trap, D Undrgrnd.
10. Structural Floor System
61, APPROVAL TO DECK
r
11. Property Sewer Line-& House-Ccinnection
62. Backwash & Receptor -Final
12, Sewer Cap
63. Heater & Vent -Final ,
13. Roof Drains _
64. Plumbing System - Final
14. Rough Plumbing.
65. Electrical -Final
.
15. Rough Electrical -Conduit -
66. Solar System -Final
A. Rough Electric Wiring - .
67. Fencing & Access Approval
17. Rough Wiring Sign
-
68. APPROVED FQR"PLASTERING
18. Rough Electrical -T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS_ Permit # _-
20. Rough Fntory Fireplace
21. •Ducts, in..Structure' • -•
-
_
70. Undergrobnd Hydro
22. Ducts, Ventilating
-
Ii. Product,Piping ❑Gas 000
23. Gas Pipe -Rough & Test
ori
-
72. Underground Flush -
24. Roof Framing '_- -
•
78: Undergrnd. Storage Tank D Gas D Oil
25. Roof Sheathing .1
74, Overhead Hydro
26. T -Bar Ceiling (Stra&ural) & Monocoat
75. Dry Chemical .
27. Frame and Flashing - : -r
-
76. Dry Standpipe. -
28. Lathing & Siding -
77. FIXED SYSTEM FINA1 ,
29. Insulation +
�'
78. FIRE PREV. FINAL - o
30. Drywall Mailing
'r-
-HEALTH DEPT. REOUII3EMENT
31. Plaster Brown Coat
79. FINAL rNSPECT10N
32. Electrical Power Meter -Final
' -•
80. FOOD CERTIFICATE I'SSWED
- 33. Final Electric.
_r
Notes:
34. Final'Heating & Air'C?nditionin§-:
_ C -.
35. Final Gas!'ipe:Test ..
-
" 36. Hood or,CanopY Y -
r
37. Final Factory Fireplace 7.
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final -.1
-
41. Solar Domestic -Final ••
f
;. -•`-, -
42. Backflow Preventer •-
43. Backflow Irrigation ;.
44. Landscape Irrigation System'"
45. Sound Attenuation
u 4
46. Handicap Regulations -
_ •
f
- •-
47. FINAL STRUCTURE & BUILDING
48. fINAL PLANNING -
Y
49. Electric Release to Edison
50. Gas Release to Southern California Gas Oo
-_
51. CERTIFICATE OF OCCUPANCY
No._ Date
ZG 2
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
Cliff OF COSTA MESA CONSTRUCTION PERMIT PERMI2T NO. TRACT NO. LOTNO.UNIT NO.
Project Address
Applicant's.Mailing dress TYPE OF CONSTRUCTION NEW LJ ADD LJ ALTERATION LJ REPAIR
uww —�❑ CONVERSION 1:1 DEMOLISH ❑ OT E ^,
Owner'f Name Phone 95/'07 DESCRIPTION OF WORK/USE Off BLDG. ���J4 d dA
Address WQ.-bI
Arch/Eng. License No. TYPE OP PE MIT GRADING FOUNDATION STRUCTURAL
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
Contractor's Name Phone ❑OTHER
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is In full force and effect.
License Class License No.
Dale Signature
WORKERS' COMPENSATION DECLARATION
hereby affirm that 1 have a certificate of consent to self -Insure or a certificate
,f Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Policy No. Company
❑
Certified copy is hereby furnished.
❑
Certified copy is filed with the city Building Division.
,in Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection need not be completed if the permit is for one hundred ($100) or
less).
certify that In the performance of a work for whh is permit is issued, I
shall no(( ploy any person in an arm er so asd be orae subject to the
Workers/ on Laws of Ca ��•
Data // Signatu e i
NOTICE: f, aft6r making this tlec tl n, you should b o se subl ct to the
Workers' Compensation provisions of the Labor Code, o mus forthwith
comply with such provisions or this permit shall b earned revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that 'I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
division 3 of the Business and ProfessionsCode) or that he/she is exempt
herefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a Civil
penalty of not more than five hundred dollars ($500).
❑ I,as owner of the property or my' employees with wages as their sole
compensation, will do the work, and the structure, is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement Is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build orim-
Va tar the purpose of sale).
, as owner of the property, am exclusively Contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt der Section �; ur_ B. & P. C. for this reason
A
Date
I have rC'd this application and sAate t(f�I the above
I agree to comply with all city n couln ordinances
to bppi Idimconstruction, and hereby authorize repre-
to,e4 r Upon the above-mentioned progeny /for
or SS IF
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
'10o--
CONSTRUCTION TYPE _V- VALUATION $ Z'100-
ZONE—
ZONE GRAnOI,N.G-CU.YwD.SS. ACRES
Remarks: O 4f�s-rh
. 3IV, /Js�K. �•1✓✓
Automatic Washer
Construction Pole Sub.
PLUMBING
FEES
Bar Sink Showers
Dishwasher
Backflow Preventer Service Sink
Dryers ❑Gas ❑Electric
Backflow Irrigation Sewer Cap
Fan
Bathtubs Sewer Connection
F.A.U.
Clarifiers Solar Collectors -
Fixtures
Dishwasher - Solar Piping
Device Boxes
Drinking Fountains Solar Tank
Outlets
Floor Drains- ,pvvimming Pool w/Spa
Switches
Floor Sinks Urinal
Garbage Disposal
Gas Service Outlets Water Closet
Generator 00-5 KW 05-15 KW
Interceptors 11ZWater Heater
Kitchen Sink Water Service -
Firepl/Fact. Sit. ICBG#
Lavatories Auto -Wash
P -Trap Laundry Trays
Heating System & Ducting
❑0-100,000 BTU ❑100,000
Roof Drains
A.P. # 412 -
S Main Building:
TFront 33
A Rear
C Right rJ
8 Left -4, Z�
Ping. Ref. #
Planning Notes: /
2267 '12/29/07
Q Zone
'Accessory Building:
Ur — - i C> -fn b,
Parking Req./Provided
34.92
Z
O
N
I
N
G
R
E
Q
M
T
S
ELECTRICAL FEES
I $15 I
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+KIN
Cooking Unit
Meter.❑up to 100 amps
Dishwasher
Meter Dover 100 amps
Dryers ❑Gas ❑Electric
Sub Panel -
Fan
Mot s 00-1 HP 01% - 8
F.A.U.
_ c. Solar 09-15 HP El 16-15+
Fixtures
Microwave
Device Boxes
Pole -Light
Outlets
Range
Switches
Sign
Garbage Disposal
Standing Sections
Generator 00-5 KW 05-15 KW
Tresh Compactor
Reinspection Fee
I $15 I
I Issue Fee .
I $ 3
I
'
Reinspection Fee
$15 Issue Fee $ 3
MECHANICAL
FEES
Boiler
Hood or Type ❑
Canopy Type 11 ❑
DEVELOPMENT SERVICES REQUIREMENTS: ,
Zoning Approved By Date / Z'2'�/- C -9 -
Building Approved By Data ZZ -.2L9-97
Application Issued By Date /x'29 X7
Duct -Under Ground
Duct -Structural
Refrigeration System
❑0-1 ,000 BTU 0100,000BTU
Duct - Ventilating
SUM&RY OFF S
BUILDING PERMIT $ �/' 'S� SMIP $ ' S
PLAN CHECK $ 13.?�7_ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $
PLAN CHECK 25% $
Exhaust System ❑ Multiple ElStem
Repair/Alteration
Firepl/Fact. Sit. ICBG#
Fire Dampers
Heating System & Ducting
❑0-100,000 BTU ❑100,000
Registers
Reinspection Fee
$15
Issue Fee
$ 3
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL & SPA
APPROVALS Permit # -
Date
Inspector
1. Temporary Electrical Service or Pole
52. ,Pool & Equipment Location.
r
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
h,
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 Grad. -•
57. APPROVAL TO COVER-GUNITE
7. Footings
(
58. Electrical Conduit-Undrgrnd.
8. Foundation --
59. Gas Pipe, 0 Undrgrnd., Test :
}
9. Water Pipe-Undrgrnd.,,
60. Backwash Lines, P -Trap, O Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final •.
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping O Gas 0 Oil
'
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 Ceiling (Structural) & Monocoat
75. Dry Chemical
'
27. Frame and Flashing
76. Dry Standpipe
28. Lathing"& Siding
77. FIXED SYSTEM FINAL
-
29. Insulation
78. FIRE PREY. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION -
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service -Final
40. Gas Service -Final
-
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
.
47. FINAL STRUCTURE & BUILDING
U
48. Special Requirements Completed
,
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co
- -
51. CERTIFICATE OF OCCUPANCY
No. Date
-�
LIMITED STATEMENT OF RESPONSIBILITY
TO WHOM IT MAY CONCERN:
Street Address
Bldg. Permit #
This Permit #
AP Number
as Owner in Title of the above referenced
property, do hereby authorize:
Name Telephone No.
Street Address
to obtain permits in my behalf, as owner/builder, for _
at the above referenced property.
.R
Should any DeLeon become an Employee engaged in the improvement of the property, I shall
immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
I '
As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
Printed Name
i
Signature
0779>6, rev. 6187
/--7/!2/z
/ Vale
I
el
City of.Costo Mesa Building Dept.
By- -DATEL�.�'_ i 9-
THESE KAMS `✓.UST BE ON !OS AT ALL TINES MAKC:
NO CHANGE; WITHOUT PR;OR APPROVAL OFD
Tnil'�,'i: .4dJ�l?If3 r;. -'o•a r.� -�^ .�c'�nit h,
yw . _.
'!H '35 ANC@ OF A F''. i;MT C �.;:D l 'C N '.l. ,- ND
SPECT=1CATi:NS :itidl NOT PRE,'C,T T"i- (,- (OAL
FROnSTHE;LC.�F (fiti ;,EOUiRINU 'IRS CCiRt. e dry Ci E4xOR$ IN
SAID PLAN AND SPECIFKATiON£ OR FRC AW I'RFVtNTING
BUILDING OPERATIONS EEING CARRIED ON THEREUNDER WHEN
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF
THE CITY,
Iltmiam I I I 1014lOtNes
1
APPROVED
P" OF COSTA MESA
PLANNING DEPT.
IMECT iO BLDG. DEPT. REO.
FLANNINO
ADDITIONS
BE APPROVED B Tj,jt 0 .' 'r? '�1`fO: S SHAD
fD BY T�;� t _
s
4111 WpLCt
111p8•
Cement Coping Optional
Channel Block With 1.3/816
Horizontal Top of all
Fences
For Fences W or Lou
Vert. Ban 3/8-0 at 4' -0" D.C.
For Fences Higher Than 5'
Vert. Ban 3/8"¢ at 32" O.C.
Fill Cells Solid With Grout
Where Steel OCCUR
Reinforcing Steel Shall
Conform to Sec.A-15.39
AS.T.M.
All Steel to be Lapped
24" or to Code
NATURAL GRADE
TWO AIB" 0 BARS
CONTINUOUS TOP
L BOTTOM
,HCMz.STEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL 6" CONCRETE BLOCK FENCE
- WIDTF
SEE CHi
BELOW
REQUIREMENTS CHART
GENERAL -NOTES
MORTAR: One Part Plastic Cement, and
Three Parte Sand
GROUT: One Port Cement Twee and
One Half Ports Stand
COPING: One Part Cement, Three
Parts Sand
CONCRETE: Well Mixed 1:2-1/2:3-1/2
Max. of 7-1/2 Gallons of
Water Per Sock of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTAL REIN.
FORCEMENT SHALL BE CLEAR. CLEAN i
FREE OF ALL MORTAR DEBRIS. ETC.
H OF EARTHTCOTH
I/3 THE HEIGTH OF FENCE
$FLOW BOTTOM OF FOOTING
SCALE: 1/2` a 1'
WIDTH . . . . . . ... ...
14"
14�
i..1?��....
12"
THICKNESS
10. . . . ..
. ... .t0" . . . . .
. ... 8`
8"
DEPTH OF EA
4 . ..
24.).
.. . . .20" .. . . .
, . .. . 16"... .
12"
SPACING OF EARTHTOOT
12. .. . ..
. ... .14' .. .
..... 16'. . . .. ..
.. 16'
City of Costa Mesa, California
Buildina Department
OWNERS NAME:
JOB ADDRESS:
PERMIT NUMBER'
�-
SIGNATURE.
i
AF P ED ----
City of Costa Meso Buildir.a Dept.
13Y DA;�!
_.... -'
A1,:._:.
CODE
WHICH :T k.Ll::aY
T" C
SFcCI !11 1 I I �1 E
i Wc, P'
SAID PLANS ANS VF..°ICATI.D� C,; i;l nN:3 q
BUILDING OPERATIONS ?ENG CARRIED C,u !- -J ^:DEn WHIN 1'
IN VIOLATION OF 1HIS CODE OR OF ANY OlHEi: ORDINANCE OF
THE CITY.
oo/
��--51 oe til cF-
m
a
1,4TROVED
C OF COSTA MESS
PLANNING DEPT.
SUBJECT TO BLDG. DEPT. BEM
9Y e G -f_ DA'TF �a/_ a_ /
DMKIM Or KANNDIO.
FOR INSPECTIONS
CALL
754-5626
or
754-5627
Permti #'jg--� r
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
�_iY OF COSTA MESA REQUEST FOR 0 PANCY'/
CTIx�/�f7�
nm NA ��0710✓
ESS I I U a U �
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The LuOndersigned, by executing this agreement, acknowledges that (he -she -they)
Jam._. (was or were) W C-� advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
representative
BY
Len er
�� Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
' CITY OF COSTA MESA �^ _TRRACT NO. LOI NO. SLOG. NO.
CONSTRUCTION PERMIT L ,Il}-+Jl/3•'(O a
Address HIM
Arch/Eng.
Address
Contractor M_
I hereby affirm th:.t I a
mencing with section -
professions Code. and
Phone
9 )�
License No.
Phone
i DECLARATION
)0) of Divisnderion
provisions th Ch
-I
)0) of Division 3 11 the -I
y� licen a Is in full f res
Licen xr-1-2
atur
ON DEG ARATI ON -.--
a a certificate of consent t s
mpensatlon -msuranCQ, or
TYPE OF CONSTRUCTION
❑ NEW IXADO ❑ ALTERATION
❑ REPAIR ❑ CONVERSION El DEMOLISH
❑.OTHER
DEXRIPTION OF WORK
TYPE OF PERMIT"" --
❑ GRADING ❑ FOUNDATION XSTRUCTURAL-'-
❑ TENANT ❑ ELECTRICAL- ❑PLUMBING ❑MECHANIC,
nd
nd - El OTHER
PROJECT D�jESCRIPT.ION
SQ. FT
•- OCCUPANCYNSTRUCTION TYPE. _
ra VALUATION ' ZONE
I.�{ I py - _ -
I •�eI,C9 o. - a ltcompany4ji,4 `/YI- �U lona •GRADING CU. YDS. ACRES
Icy No.
.Certified copy is hereby -furnished. - - - _ REMARKS: -
L7 Certified copy is filed with the city Building Division.
EXEMPTION FROM WORKERS COMPENSATION DECLARATION
- -
(This Section need not be completed if the permit is for one hundred
_
(E3001 or less).
for this is
-
PLUMBING ,. .PLAN CHECK
I Cert(fy_that In the performance of the work which permit
issued, I shall not employ any person in any mariner so as to,become
subject to the.Workers'-Compensatlon Laws of California.'
BATHTUBS SHOWERS
Date Signature
BUILDING
NOTICE: If after making this declaration, you should become subject
TOILETS URINALS' -
to the Workers' Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit Shall be deemed
LAVATORIES DOUBLE LAVS
revoked. : — - ---
CONSTRUCTION LENDING AGENCY
'-KIT.SINKS - -' DISHWASHERS
SERVICE SINKS SUMPS -
I hereby affirm that there is a construction lending agency for the per-
formance of the work for which this permit is Issued (Section 3097
FLOOR SINKS - FLOOR Df1AINS-
Civ. CJ-' -'- ' - - ---- -- - - --
Name
Lender's _
fLentler's Address -- - -- - - -' ---
-DRINKING FOUNTAINS-
INTERCEPTORS V CLARIFIERS
OWNER BUI LDER'DECLA RATION — '- - -
hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code:
Any city or county which requires a permit to construct, alter,
Improve, demolish or repair any structure, prior to its issuance, also re-
quires the ap.licant for such permit to file a signed statement that he
Is licensed pursuant to the provisions of -the Contractor's License law
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the
asis for the alleged exemption. Any violation of Section 7031.5 by
ny-applicant fora permit subjects the -applicant to a civil penalty
SWIMMING POOL "P TRAP
WATER SERVICE - ALTERATION
GAS -SERVICE - OUTLETS
-WATER HEATERS BTU OUTPUT ,-
SEWER CONNECTIONS -
0f not more than live hundred dollars ($500).
❑ I; as owner of lFe-property, of my employees with wages as their'
SOLAR TANK - _ COELECTORS
Sole compensalion,_will do the work, and the structure is not intended
or offered for sale. (Section 7044, Business and Professions Code: The
SOLAR PIPING SYS.
Contractor's License Law does not apply to an owner of a properly
who quids or improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not
intended or offered for Sale. If, however, the building or Improvement
Is sold, within one year of completion, the owner will have the burden
of proving he did not—build or improve for the purpose of sale).
❑ I, as owner of -the properly, am exclusively contracting with
licensed contractors to construct the project (Section 7044, Business
and Professions Code: The Contractor's License Law does not apply to.
ISSUE FEE
MECHANICAL PLAN CHECK
HEATING SYSTEM 0400,000 BTU _
AND DUCTING
100,000,. BTU
0-100,000 BTU_
an owner of property who builds or Improves thereon, and who Con.REFRIGERATION
tracts- from -such projects -with a contra Ctor(s) licesned._pursuant. to
the Contractor's License Law).
SYSTEM -
100,000 + BTU_
❑ 1 am"exempt under Section - B. & P: C -for this BOILERS BTU
a
Date
Owner
- - SYSTEM REPAIR, ALTERATION
D
I hereby Certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE'
Information is correct. I agree to comply with all city and county
brd ina nces tl slat¢ laws rel tin construction, antl hereb a thoriae
represent 's bf this cit to iter upon the above m ntlonetl
property ion ores
Slgnalur '�'"tiDate
Drivers'Licen or
]p ISSUE FEE
CMF 0865-36 White -Building;
nt; Pink -Accounting; Goldenrod -Assessor
5463 5/05/82 34.32 TL.
A.P.
ZONE —I n PILING. REF. =A-'-"
REAR YARD (TO P/L) LAIor, -
PKG.SPACEREO. PROVIDED
STREETWIDTH -PARK FEES
SPECIAL CONDITIONS:
'-
- -
ISSUE FEE'
'
;APPLICATION APPROVED By
ELECTRICAL-" -' PLAN CHECK
UW �WER.TRU
FSSD- F
BUILDING
GENERATOR 04 KW=110-'KW
,TRANSFORMER
,APPLIANCE 10-50KW_50+KW
- -
,MOTORS ^0-1 FIP_1=30
'(IN C.SOLAR)_-- 10.50 HR --
50 +-HP'S 1" _-
FIXTURES OUTLETS-
'SWITCHES' - -
GAS TUBE SIGNS --
1
POLE LIGHTS -- - -
- - '• - -
POLES METERED
.SUB -.- -
'PANELS— MAIN
SUB
SERVICE-
AMP -
-
i
S -
$
ISSUE FEE'
'
;APPLICATION APPROVED By
SUMMARY OF.FEES - (-
BUILDING
PERMIT
SMIP� + $ s
'PLAN CHECK
$
PERMIT
'PLUMBING
$
ISSUANCE $
_
GRADING 'tE"
.PLANCHECK
E"
-
ELECTRICAL
S -
$
-
MICROFILM IS
'PLAN CHECK
$ -
E - -
-
TOTAL FEE $ - -
,MECHANICAL
LESS •AD-
PLANCHECK-
E- _
-VANCEPC $-_
FINAL FEE E
CONSTRUCTION AND PLANNING
APPROVALS Permit #-JYJ� Date
Inspector
POOL & SPA ..
•APPROVALS Permit #. -Date Inspector
1.
Temporary Electrical Service or Pole •_
-
43.
Pool &Equipment Location -- - - -
2.
SoilPipe-Undrgrn -
44.
Steel Reinforcement - -•- -
3.
Electrical Conduit Utility-.Undrgrn _
- 45.
• Forms -
4..
Electrical. Conduit-Undrgrn
46.
Electrical Bonding - --
5.
Steel ein orce
47.
Rough Plurribing & Pressure Test - -
-6.
Electrical LIFER Grn _
48.
APPROVAL TO COVER-GUNITE - -- - - --
7.
Footings - _
49.
Electrical Conduit-Undr rn
S.
Foundation.
50..
-Gas Pipe, ❑ Undr rn, Test c
9.
Water .Pipe-Undrgrn
51.
Backwash Lines P -Trap- ❑ Undrqrn - - -- - '
10..
Structural Floor System
52.
AP ROVAL TO DECK
11.
Property Sewer Line & House Connection
53.
-Backwash & Receptor -Final
- 12.
Street Sewer. Connection
54.
Heater & Vent -Final
13.
Rough Plumbing _ _
14.
Rough Electric -Conduit
-56.
Electrical -Final
15.
Rough Electric -Wiring -
-
57.
Solar System -Final
16.
Rough Heating & Air ConditioningFencing
& Access Approval
17.
Ducts in Structure
APPROVED FOR PLASTERING
18.
19.
;- 20.
Ducts, Ventilating
Gas Pipe=Rough & Test
Roof Framing- - - -- - - - -
. -
60.
POOL/SPA SYSTEMS FINAL '
'
21.
22.
Roof Sheathing- -
Frame and Flashing S- -
p.j.-,
- - -
NOTES:
23.
Insulation - - - --
24.
Lathing & Siding -
- - -- - -
25.
Drywall Nailing -
-
26.
Plaster Brown 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 Domestic -Final
35.
' Landscape Sprinkling System
36.
Sound Attenuation
'
37.
Handicap Regulations
'
38.
FINAL STRUCTURE &BUILDING
39.
Special Requirements Completed
-
40.
Electric Release to Edison
41.
Gas Release to Southern California Gas Co.
42.
CERTIFICATE OF OCCUPANCY
' No Date
'45908
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 721X1 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING I / ) /�-QQ
ADDRESS (�L�
Properties West, Development
MAIL
ADDRESS508 29th Street
CITYNewport Beach, Ca.
':OV io-vvt„PAIR5,00 540u *-*103.36
APPLICATION FOR STRUCTURAL PERMIT
ECEIVED BV I DATE RECEIVED DATE I'[SSUUr DN
BUILDING
ADDRESS
nTE 75-4910 TRACT
fff
LOT 52 BLOCK
QFMOI ISH
Development
r
VALUE 555,,100
GRO U fl/��/
DATE I ��
STATE CITY YARDS APPROVED I YARDS
BRANCH
MAIN BUILDII
PG
LUSIZE
NO. OF BLOGS.
roper
Ties
OF LOT NOW ON LOTFRONT
OWNER
Q
ADDRESS
USE OF
EXISTING BLDG.
TOTAL PAID E D3•
(A
FSeparate
Res •
Atd
ARCHITECTOR ENGINEER Frank Spangler NE o -0 ;2
ADDRESS
2240 Newport
Blvd.,
electric, plumbing and heating work.
FIRE
ZONE
REAR FT
CONTRACTOR Owner
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
APPROVED
BY
MAIN BLDGS.
e
Construct single family 3 bed-
VAR
>
ADDRESS
"PPR
z
CITY
TEL.
NO.
N
OF
PVNS
hereby acknowledge that 1 have read s application ad state
F
�.
that the above information is correct and agree to comply with
HOLD FOR
A.
all laws regulating building construction, and I shall not employ
.Z
LOT 52 BLOCK
QFMOI ISH
Development
r
VALUE 555,,100
GRO U fl/��/
DATE I ��
STATE CITY YARDS APPROVED I YARDS
BET. MAIN &
ACCESS. BLD
DATE s
ri
LIC. NO. LIC. NO.
MAIN BUILDII
PG
LUSIZE
NO. OF BLOGS.
(FROM C S E
0.
OF LOT NOW ON LOTFRONT
T
Q
.N.,
USE OF
EXISTING BLDG.
TOTAL PAID E D3•
(A
FSeparate
permits are required for
L SIDE FT
electric, plumbing and heating work.
REAR FT
I.W.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
0
MAIN BLDGS.
e
Construct single family 3 bed-
VAR
>
room kouse, P1 n 2
"PPR
z
m
pI
hereby acknowledge that 1 have read s application ad state
�.
that the above information is correct and agree to comply with
HOLD FOR
A.
all laws regulating building construction, and I shall not employ
.Z
any person In violation of the workman's compensation laws of
the State of California.
3
I hereby certify that I am properly licensed as a contractor under
SQ. F1
THE AMOUNT!
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OI
em exempt from the provisions of the State of California Business
end Professions Code, Division, 3, Chapter 9.
VALUATION
Signature of
Permittee
$55,100
Authorized Agent
BET. MAIN &
ACCESS. BLD
DATE s
ri
N
JN UNDER VALUATION IS FOR
D
'ABLISHING A PERMIT FEE ONLY:
—
PERMIT FEE E
e
o
N
PLAN CHECK E
n
G
TAX S 3.86
u
TOTAL PAID E D3•
a
i�
C:.
aR—9-77cnsa00 487 199.00
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O.BOX1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Co pletely — Use Ink Only
RECEIVED BV
DATE RECEIVED
DATE ISSUED
BUILDING �
ADDRESS
PERMIT NO.
OWNER
A.P. NO.
BUILDING
MAIL
ADDRESS
ADDRESS
TEL.
CITY NO.
TRACT LOT BLOCK
CONSTRUCTION
W
p' DDIA
LENDER
BRANCH
OWNER
ADDRESS
UE
)FN♦ $
ARCHITECT TEL.
OR ENGINEER
FIRE
ADDRESS
ZONE TYPE GROUP
APPROVED
CONTRACTOR
BY DATE
ADDRESS
TEL.
ZONE
NO.OF
USE OF NEW
CITY NO.
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO. OF SLOGS,
IF ROM C/L STR EET)
OF LOT
NOW ON LOT
FRONT FT.
FT.
USE OF
EXISTING BLDG.
R. SIDE FT
FT
Separate permits are required for
L. SIDE FT.
FT.
electric, plumbing and heating work.
REAR FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN SLOGS.
ACCESS SLOGS.
VAR.+
DATE
C.U.P.ys
APPROVED
(Z aAPPROVED
DATE
1 hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shell not employ
any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I em properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
and Professions code, Ivision 3, Chapter 9.
VALUATION
PERMIT FEE S r
PLAN CHECK $
/
Signature of /f/J
/
TAX $
Permittee '//
$
./.,.
TOTAL PAID $ ! •�
thorized
AuAgent G/2'�