HomeMy WebLinkAbout145 CECIL PL - Building Permits 4.„ -ak CITY OF COSTA MESA
ori
BUILDING DIVISION
F 1 �;,,. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
NM* PERMIT
.,h' NfiB03-01875
StoRmo
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caa..UILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 145 CECIL PL Status: ISSUED
Suite: Applied: 10/28/2003
Vicinity: ROOF Issued: 10/28/2003
Parcel Number: 42605210 Zoning:
Applicant: HOHL, HAROLD J TR ISSUED BY: _2Q/L-------"/
Address: 145 CECIL PL -
Phone: 949-646-6302
COSTA MESA,CA- Zip: 92627
Owner: HOHL, HAROLD J TR
Address 145 CECIL PL - - - - -
' _ Phone: -
COSTA MESA,CA Zip: 92627
Contractor: OWNER-BUILDER ,
Address: -
Phone:
Zip: License: 000000
Arch : - _ . Eng:
Address: Address: ' .
Phone: Phone:
Zip: License: License:
T - SCOPE OF PERMIT -
TEAR OFF EXISTING 2 LAYERS OF ROOF.INSTALL 10 YEAR ASPHALT SHINGLES, 15#FELT,AND REPLACE EXISTING PLYWOOD. 1,900
S.F.RESIDENCE ONLY.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,000.00
Permit: $139.25 Claim Valuation: $7,000.00
SMIP Res: $0.70
SMIP Com: $0.00 .
/
• Other: $0.00
Inspection: $0.00
Total: $139.95
PLANNING &ZONING '
SETBACKS .
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ,
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 '
PARKING Existing: 0 Required: 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 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required 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
• 2446-46(600)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: t t
I hereby affirm under penalty of perjury'one of the following declarations:
❑ I 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'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is scaled.
My workers'compensation Insurance carrier and policy number are:
Carder. 'f Policy Number:
(Thisissection need not be completed If the permit Is valued at one hundred dollars(8100)or less.)
(7 (.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,and agree that If I hould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pro s. /
Applicant Signature: 6��/Y Date: 7 C 7e.( 2 ' 3
WARNING:FAILURE TO SEC WORKERS'•• "`LLL ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($100,000),IN ADDITION T COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full
force and effect.Lic.0 Class 4
Contractor's Signature: Date:
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.(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 end the basis for the alleged exemption.My 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).):
EY-I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure U 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.). '
❑ I,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 contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exe oder e ���111 !/ Business and Professions Code for this reason:
Signature: Date: (D/1 Z 7/6 D
Owner ID ve tied by driveis e. ❑Yes 0 No Driver's License L Expires: ��6/0 L/
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I 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 Will 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? 0 Yes 0 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? Ei Yes 0 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 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application',permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes LI No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries-Ora school? 0 Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end 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 0 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 slate las and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-descri property or s ctionCis.Igree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
( , 2 7 &( ' 2_4192
`� si t Of Legal OWner(s) Date
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE MALE IH8L4 900Et INSPECTION TYPE DM Ifs
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 11-13-0 / t-- 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 Building/Occupancy
aAWNLR HOHL. HAROLD S. UAIt 5-�3-68
NJOB ADDRESS 1115 Cecil Place BUILDING PERMIT NO. 28577
GENERAL CONTRACTOR Omer-Builder DESCRIPTION of WORK Block Well
P'No. 11f3-042-18 LOT 16 TRACT 114 FIRE ZONE VALUE $350.00 _
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-2
SOIL SUBCONTRACTOR a
GAS Date Number Signature
WATER Plumbing
OUGH PLUMBING
PROP. SWR. LINE 0 HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent. •i: . •
TRENCHESFORMS D�STEEL REINF. j�C..- / .f
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL. FINAL Electric —
HEATING, VENT., REFRIG. AND A.C., FINAL
-
PLUMBING, FINAL AND GAS TEST in
ELECTRIC. FINAL
BUILDING, FINAL //•.ytC e$` O p
JOB ADDRESS 145V Cecil Place BUILDING PERMIT NO. 23864
GENERAL CONTRACTOR owner-builder DESCRIPTION OF WORK cony.gar to den/det gar pat.
AP No. 118-042-18 LOT TRACT FIRE ZONE VALUE $ 2,100.00 coy.
INSPECTIONS Signature Date GROUP I&J TYPE V ZONE $2 _
Soil I
Gas PERMITS ISSUED _
SUBCONTRACTOR Date I Number I Signai—a
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.CI
Soling System
Miscellaneous _
Rough Heating and Air Conditioning _
Temporary Service or Pole
Underground 0 Power C
Rough Wiring (.n2,0t .-rl v aci� .-a Heating and Vent.
Trenches a Forms i; Steel Rein!. ,Ir�al,�c
Floor System. S s b
Bond Beam 0 Steel Re' a i _
Sheathing ,�.r* ,w�' c 7/ 6.3S
Frame and Flashing 1•• �l J'•tots / a 7 S S
Lathing — In 0 Out [ — 7 g/cS
Plaster Brown Coat ._I , , 0.-,L...:-., ICA , , . C-
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final pcLdx2ii-/P-41i7/ ht-c-6\ -_?e,Ed:-2S.-•••
Plumbing, Final and Gas Test 0
Electric, Final n::?/9::j erpt iP_g 4.s>• /l -9 • /j 6zh �/ / •
Building, Final ("1/S.P✓�..a-M'r�.. - ; it 9. v• �� ci�tlA �e././1! - .a7-/ 70
iOWNER HOHL, HAHOLU
DATE t5-11—b5
JOB ADDRESS 145 Cecil Place BUILDING PERMIT NO. 24540
GENERAL CONTRACTOR Aluma—KOO1 DESCRIPTION OF WORK Aluminum Sunshade
AP No. 11A—() —t$ LOT TRACT FIRE ZONE VALUE $ 66o.00
INSPECTIONS Signature Date GROUP 3 TYPE IV ZONE R-2 _
) Soil PERMITS ISSUED '
I gGas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
i Rough Plumbing
4 Prop. Swr. Line 0 House Con.CI
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches O Forms CI Steel Reinf.
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, >Final /W / 4.
_ Applicant to fill In all spaces except those within_ heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA1` 1 • • " • PERMIT NO. TRACT NO. ' - LOT NO.. , BLDG'NO • / _ I f
• CONSTRUCTION PERMIT • 362E .• I/25/±ia I T
. Applicant's Mailing `A`ddress _ -• - - -' TYPE•OF CONSTRUCTION- ` U NEW U ADD U'ALTERATION. H REPAIR - -• _ - I - •
Project Address \� Cr:CiL QL1\fr- ' • ❑ CONVERSION ❑ DEMO./y5)H ❑OTHER -
! - s; � _ Z DESCRIPTION OF WORK d•/���T�C-• '�JL /9' rr -
Owner'sNam`e( '_-a-s•nod—: /fir hon - _ - ' - ZONING REGULATIONS -
Address' 1.�t S `E," t'`4f L •
_ TYPE OF PERMIT U GRADING FOUNDATION U STRUCTURAL A.P.9W t ZONE -
Arch/Eng.. I - License No. - • ❑ TENANT •
, ELECTRICAL )PLUMBING' ❑.MECHANICAL _ •PLNG. REF.* . '. • , BUILDING . '
Address! - - • ❑ 'OTHER - - ' cFTRnrr en gT • r
• TO BUILDING •REAR YARD (TO P/L)
�[� ���, - ' PROPERTY LINE . . . f
Contractor's Nam ' I.•le f e a o 5321�117r _PROJECT DESCRIPTION SO. FT.' OCCUPANCY
L, • ` , CONSTRUCTION TYPE VALUATION$ LEFT SIDE YARD - RIGHT SIDE YARD -
Address(mailing) ODS e v� 1 1.1 4+ •� f •`07_ •
3 I , ZONE - GRADING CU.YDS: ' !ACRES , P.Y-G.SPACE REQ. PROVIDED
License No. q O- - - c •
• LICENSED CONTRACtrOR DECLARATION ' Remarks: ,• ' ' STREET WIDTH L 'PARK FEE$ j '
I hereby affirm that-'am licensed under •rovisions of Charter 9(commencing - • _
. with section 7000) of Division 3 of th, :usiness and Professions Code, and . I ' SPECIAL CONDITIONS: I
my license:is in ulrfor e .nd'effect ' • . ' i -- - -
Ucen'• C .ss G • e N `�Fgc ' PLUMBING •• - I ' i !
Date ' - Signature -I7/ \dl�- ' ) , s< - • -- - - -
•
Bar Sink 1 -I Sewer Cap ELECTRICAL 1
ORKERS'COMPENSATION DECLARATION i - - - ' - I _
�.'
,ereby affirm that I haves certificate of.consent to self-insure or a certificate- - Backflow Preventer - - -Sewer Connection'-- - - ati„irL•
r_i_- . "- Meter- over 100 amps-, _ _ .- -J I
f Workers' Compensation Insurance, or a certified!Copy thereof (Section • - . -
' 3800, Lab. C.) I •gA , Backflow Irrigation Solar Collectors • ! `� e ' Sub Panel' 't Policy No. IN,r ' �C' L ni1') ComP. A, , -. G ' • / - •
I - '! 8 Certified copy I's hereby furmsne•� I f _Bathtubs i _• 1 Solar Piping 1 j etD ' ,Sub Pole I I ,Cetifi c y�'1 dwiththecit I•.ng DiIlo ^/ I - I 'Motors 0-i HP ❑1%-s 1
Date ` - I• Applicant f ��~JI N�" Clarifiers_ _ _ -- _- / - Solar Tank _ - _ -- y•�
EXEMPTIO MFROM WORKERS E SATION DECLARATION 1 , Dryers ❑Gas• ❑Electric 'Inc.Solar'❑9-15 HP ❑16-15+ '
• (This section need not be completed If the per t Is for.one hundred (6100),or Dishwasher Swimming POOI w/Spa
: less)' i i ; t j - - 1 1 Fang ' Micros rave ( I . ! I
t certify'that in the performance of th�y r which this permit irlssuetl I Drinking Fountains i - Urinal i , t } t • !
' shall.not ampl y an person in any "'tlh .o'as td •e•:m subject to the I - -- - ' I 1 •
, Worke s' Com amply
n:Laws of Canto, : /y Floor Digins i F.A.U. • j Pole'L:ght I !
• Date I Y r Signature ' f f a'•7,(`J ' 1 - Water Closet ( - l ' i
II — .. _. __- Fixyures --I _ J. . -'
-'NOTICEr If,_after•sla Ing this-dada .t on,-you shoo • -:come subject to the r - F16or Sinks-, - Water Heater' - - - - .G__r- Range _. ^' _ _ 1
' Workers' Compensation provisions of the Labor Code,:you must-forthwith. i - ' i t
• comply 'with! such provlsionsr•or„this-serer-in 'shell be••deemed revoked: i ` • i " ' r Device Boxes ! : ' ,
I Gas Service -Outlets•, Water Service t I Sign ! , = I •
CONSTRUCTION:LENDING AGENCY ' ? ' : - - ' ' - ' ' - - f !
I hereby affirm that there is a,construction lending agency f or.the performance, Interceptors' -� ' ( - I • 1 Outlets t + Standing Sections • I ! I
of the work fon which:this permit -is!Issued .(Section .3097 Civ. C,,. _ - - ' " - - ' . - F , ,
tender's Nanie;F • - t ' ' t' - - - , 7 _ •, ' Switches ' • ! iT.ash Com actor I
1 - Kitchen Sink • ry - t P r
' Lender's Address: . _ - . - . - , . . r • , i
' OWNER•BUILDER DECLARATION , I -• ' . ' i ' ' Lavatories, •' •• '• i • . - • Garbage Disposal
following •
affirm reasont(Sehatction 7031 St Business tha tl Professional ICoae:Any citfOry oar, • ' I P-Trap' - ' i � ; y ! - r ! Generator 00-5 KW ❑5-15 KW , , i I I I , •
'county which requires a permlf;to construct,alter,Improve,demolish,or'repair I - . . - j , Transformer ❑15-50 KW j
any structure, prior to its,issuance,.also requires the applicant for such permit' Roof Drains - , j 'r 1 '
t,0 file a signed statement that he/she Is licensed pursuant to the'provisions of , • - • �5U+KW' - '
Contractor's'License Law,(Chapter 9 (commencing+with•Section 7000)of d I I r - " - i i j 'Reinspection Fee i $15•
=rsion.3 of the,Business'and-Professions Code)_or that,he/she is,exempt Showers r I ( - ' , Reinspection Fee, ! $15 - •
'refrom'end the basis for the alleged exemption. Any violation-of,Section - _ rt ' - Meter Due to 100'amps ! 'Issue Fee' i i i $ 3 VC
f 7'031.5 by"any applicant for.a)permit subjects'the•applicant to a, civil • - I • Y I 1 $ 3 ^ - `'
enalty of not more than five hundred dollars($500): ! f '£• • 1 Service Sink 1 I I I: I Issue Fee q I i Y •
Zoning Approved By Data ! i '
I,-as•owner of;the:property er•my employees With wages:as their sole ; , . i ' ! 1
• compensation', wilndo the work,and,the-structure is not intended or offered MECHANICAL I • - , ' t
! for sale.(Section 7044, Business and;Professional Code: Ther Contractor's - I �• t ---- - --- --- } — - t Application Approved BY ' ,• !Date
License Law does not apply to'an'owner of a property•who'builes or Improves - Boiler - • -• ' t Refrigeration System ! A lication Issued By ' I • 07 1
thereon,:and'who does such -impr lmself/herself or through his or her own ; J :. • i , , pp, ,�� Date ' /- c+ •
, employees, provided that sing or provements are not intended or offered,for ! ❑0-100,000 BTU 0100,000 BTU- I I I
sale, If, however, the building or improvement Is sold within oneyeagdf com- ( ! Duct'-Under,Ground I +..' y I • I I ( ! I i
' elation, the owner{will have the burden of proving he/she did not build or im- l SUMMARY OF FEES • : { I
rove tar the purpose of sale i t 1 Duct-Structural t , ! System Re air/Alteration 1 II I
P > 1 I 1 ( + y p BUILDING PERMIT $, ! • SS/IIP $ ,
• t I, as owner of the property, am exclusively contracting.wilh'dicensed con- ! 1
_tractorsno.construct.the projed(Sectlon.7044,.Buslness and.Professlons.Code:• ' Duct-Ventilating. ',•_' . _� _.., _ - _. I ,PLAN CHECK $ I PERMIT t
The Contractor's Ucense Law does not apply to an owner of property who I , - 1 j i 1 ' •
builds or improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑: I _ - ,PLUMBING ' $ et ISSUANCE ' t $ ,
tractor(s) license pursuant to the Contractor's License Law): - i ' - '
❑ Ilam exempt untler`�section ' B.& P.C.for this reason 1 Firepl/Fact.BIt. :CBO# I 1 ! I j j , I 'PLAN CHECK' I $ •' ! GRADING $ i
Date j3 owner! V e • ' i •Heating System&Ducting • I j ,ELECTRICAL j $ /�� + $
-I-herebycertify-th ) have read this a ncatlem and- te'that the above (PLAN CHECK• s �' MICROFILM I $ I t
pp -• ❑x100;000-BTU ❑700,0008 - -' •'- _ i i
Information is corre t I agree t• omply with all city and county ordinances . ; : I , . I : TOTAL FEE; I $ i
and:state la .a• • to bull ng ons recti above- hereby authorize repro- , , 'MECHANICAL $ I • , 1 r i
.I yl the above-mentioned -property ,for i i ReinspeMion Fee $15 PLAN CHECK $1 ADVANCED PC i $ I
sentatives o 'th 'to enter u• , Hood o. Type I ❑ 1 j 1 , t
' Inspection Pur•••se . • ,s/ ! Canopy Type 11 ❑' ' i i i ' 'I ',
Sl9nature -•� '• ..le �_�_X/j I f • I f 1 j I I I t I 1
Drivers'Lice se or55# �� - - . Registers I •! 1 Issue Fee j $ 3 + 1 I
.. I I I I FINAL FEES $ ' /o•f•L� U
-
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO SPA . ' - • • .
-
Date Inspector - Date :Inspector
APPROVALS • Permit# APPROVALS Permit# -
1: Temporary Electrical Service or Pole _ 52. Pool & Equipment Location -
. 2. Soil Pipe-Undrgrnd. - I _ 53. Steel Reinforcement
3. Electrical Conduit U!ility-Undrgrnd.' „ - 54. Forms .
.. 4. Electrical Conduit-Undrgrn'd. - • 55. Electrical Bonding , .
5. Steel Reinforcement:, ; 1 - 56. Rough Plumbing& Pressure Test - I
6. Electiical UFER Grrid.' i 57. APPROVAL TO COVER-GUNITE
7. Footings ... I I - • . . 58. Electrical Conduit-Undrarnd. - . . . ,
• 8. Foundation 1 59. Gas Pipe, 0 Undrgrnd.,Test 1 ,
9. Water'. Pipe-Undrgrnd. : 60. Backwash Lines,P-Trap,0 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 - • ' I
14. Rough Plumbing I I 65. Electrical-Final 3
15. Rough Electrical-Conduit 66. Solar System-Final . . •
16: Rough Electric Wiring 67. Fencing&Access Approval
• 17,. 'Rough Wiring Sign 68. APPROVED FOR PLASTERING .
181. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • • -
19.' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •
QO.,Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro ,
22. Ducts,.Ventilating 71. Product Piping 0 Gas 0 Oil ;
23. Gas Pipe-Rough & Test 72. Underground Flush •
' 24. Rdof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil •
25. Roof Sheathing 74. Overhead Hydro '
26. T-Bar'Ceiling (Structuralh& Monocoat 75. Dry Chemical •
- ,27. Frame and Flashing 76. Dry Standpipe
r
' 28. 'Lathing&Siding • 77. FIXED SYSTEM FINAL.
• 29.j Insulation • 78. FIRE PREY. FINAL - .
' '30. Drywall Nailing Notes:
'31. Plaster Brown Coat
32. Electrical Power Meter-Final �! .
33. Final Electric -
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 i
42. Backf low Preventer '
43. Backflow Irrigation
44. Landscape Irrigation System . ' - _ _
i
45. Sound Attenuation ' - - -.
46. Handicap Regulations -
47;FINAL STRUCTURE & BUILDING ,
48. Special Requirements Completed
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co •
r 51. CERTIFICATE OF OCCUPANCY
No - • Date i '•
4 23864 CITY OF C S T A MESArc I
COSTA MESA BUILDING-SAFETY DEPARTMENT 10 APR 9 1965
P.O.BOX 517 COSTA MESA,CALIFORNIA
\ For Applicant to Fill In Completely )►PPLIC L& FEFEPT
TYPE OR PRINT BUILDING _
_ C For Office Use Only
ADDRESS 19b EC.f L /2{'7 1-••••�'
RECEIPT NO. P O.
COSTA MESA. CALIFORNIA 2 .
�� ._ i4 14 t
RE= BY RECEIVED vD I�uED
OWNER J . J
MADRIL ) L/5 t c/Z- /2 y� // 9� �'
1---- I ADDRESS / y� �'r ( ( 'PC
FIRE
CITY to S F4- NI[5/4- NO. 6116 0zre- ZONE 3 TYPE GROUP rt
APPROVED
ARCHITECT c TELA BY DATE
OR ENGINEER TVD.
ZONING
ADDRESS (�/(� 44
;],gQtN+[ NO.OR UEE OF NIHN_ �/ ,c
p • M1 (f L I PLANE ' -H BUILDING 1
CONTRACTOR a L\/N 0� V U i-t- D I: ^I I)l ♦ I M,
ww "I'' n q LEGAL /2 / J ci
ADDRESS 4A-MF T Fl gabs fl' DESCRIPTION "�LO� �/-, fi� r
CITY
A.P.NO. i l I/ ' 0 tia -/ 21
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TF_I_� SO'TO SIDE&REAR P.L.
LIC.NO. //�� i" NO. —� Ap1
F
OLOT 66.4/ y hied' I oN
No. LOT V ALLOWED (U.B.C.REOLLfRC E T)
YARDS APPROVED YARDS APPROVED
USE OFf�ouSi: 7'D L... ��
MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. SJ MCl'1
(FROM C/L-STR ) � J
SETBACK LINE FROM i �D I / FRONT �[�. �/ .Q LJ FT.Id-
CENTER OF STREET • �. a REAR YARD 0 1
IIR.SIDE I0 rr.
SIDE YARD LEFT 3 •• - RIGHT 2) 1 / ✓ zi
DESCRIPTION OF WORK L.SID y FT. P/I . 3 i 7FT• P/I.,r-
lj � REAR ✓
e"*" "-FT. . •.,1 0 FT.
NEW ALTERATION ADDITION
DISTANCE BET. BET. MAIN& J
REPAIR MOVING 'DEMOLISH MAIN SLOGS. ACCESS.BLDGB.
VAR.# DATE
BUSIZE DING V yZ;� ROOMS / STORIES / C.U.P.# APPROVED
/ ,..'"-
EXTERIOR WALL C4J ROOF
OOERING kite) 5pita.i.et APPROVED `/ •
D TE �'r p-('j1
COVERING (Ary
USE OF BUILDING AND WORK TO BE PERFORMED I
OR•T..�cI-l6_D A d
c
NCa 2'
eat, gVMpUS /Zoo N\;
CGt-axeo i P4-rt 3E47
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES ND STATE AWS RR[JOULLATIIJNO VALUATION ^"� a
BUILDING E OF CONSTRUCTION. .TEG j/A
SIGNATUROF Y PERMIT FEE $ 12- j
PERMI
S 00 PLAN CHECK $ c
AUTHORIZED AGENT t -- •'
TOTAL FEE 5 1 46
r� L 24540 CITY OF COSTA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT AUG 11 1965
P.O.BOX 317 COSTA MESA.CALIFORNIA
\ For Applicant to Fill In Completely A$11 A3I.F4j ERM
TYPE OR PRINT •--BUILDING
For Office Use Only
BUILDING 1/24/,/ � (red,/ADDRESSV C-
RtCEIPT NO. �P gVim{,M�r4O
COSTA MESA. CALIFORNIA a
�� RECEIVED �D_/AT REGI/{IVCD pD TE ISSUED
OWNER4�O/d' (/- 4 St*'I. O ��i(�l� D�i l�n�
�� BUILDING J 4 C c i I �
MAIL ADDRESS /5,/sem �P�// �/ FIRE
ADORE88 ( 'I
CITY CO iit9 „420(3 q TEL.
NO. ZONE TY ^GROUP
""ma�yy p APPROVED
ARCHITECT THL.O� 2/7S( BY DATE e
it 62, ,
OR ENGINEER NO
' / Z NTNG -.J
"'
ADDRESS <* �y //-P/ cot ll
ZOwM•-[y NO.OF BUNEW Sava-,4,
E.I i a PLANS � BUILDING
CONTRACTOR ///.h y �1�01 1 , O 4--/6-
_ // Tx/
(� LEGAL / GNC-- •� I
ADDRESS f3- P 10 . .7-75X DESCRI
�j A.P.NO. its - 0fl"r- - i8
CITY �/�Y- 2
�j NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LI0.NO./37rZt,/ NO.9 4V/ ?.Ey��C/'o L
90-TO SIDE a REAR P. -
OFSIZE LOT deii i x /yet c r I NO.OF COLD".COLD".. �[ ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT _/�
�(]qL.'f YARDS APPROVED YARDS APPROVED
USE OFEXISTING BLDG._.... .."4.40/...5. Y-�t uv.1¢a MAIN BUILDING ACCESSORY BUILDING
SETBACK LINE FROM 71���� - (FROM C/L�rSTRUT) %, Ex I M
FRONT/11 F�: ! f FT.
CENTER OP STREET REAR YARD
SIDS YARD I LEFT I RIGHT R.SIDE PFT. r-
FT.
DESCRIPTION OF WORK L.SIDE At 4114.C.4 t`" %jr/j FT
0
NEW ALTERATION ADDITION `j REAR 'FT. _ FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING �/ NO.OF VAR.# DATE
SIZE ' Z '� p ROOMS Q STORI:8 / C.U.P.# //�� APPROVED
EXTERIOR WALL I ROOF APPROVEQA,/// --1/41.----C.5
COVERING As COVERING - .Y / DATES'
USE OF BUILD] �- AND WORK TO BE PERFORMED
?4U.0 -xO„ SG *Pr
�t4 (.4) v< ( 6 SQ.FT. N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCT' O
e0 �� H
SIGNATURE O yy// PERMIT FEE $ 'S O
PERMITTE �,r� t_P _
9 S 6 6 Q PLAN CHECK $ t
GC
AUTH ED AGENT u
a \ TQTAL FEE $ 6
28577 flY t3-68 O. 649 d*****3.00
,COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 02620
I
For Applicant to FM In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
GmLDING For OHI. U» Only
ADDRESS i7 c GrG/L.� v[�
RECEIPT NO. rf[lplr77
C(/O(�SATAw ,MES�IA. CALIFORNIA/ qy, !ll5 1 l/ p
OWNER 1, (�K-(/L ft /��/ 41/16----
BUILDING/�
REM; [�r�J� T01) ii�! �l 3'es6
AMAIL DDRESS
/y7 <-JLG Pt / - ADDRESS :/TSL /�-�✓J(Y�41 )�L�(N
A,i �+ TEL / Q ZONFIREE TYPE /J� GROUP CT
CITY `6�i T/1 /YI I�J� NO 66'01 12. // n \
• ARCHITECT TEL BY(�� ppp��_��_� 0/1511. DATE -61 J
OR ENGINEER NO. OA e _.,
ZONING �/ �F
ADDRESS j� no.or ^ a/eiG(G di ...
A/ /`•' ZON{.... I PLAITS J I DYILD XNq/.y-S!`�/�1P0,--
CONTRACTOR iV snip
��)) A �Ny/IL.Y_
ADDRESS DESCRIPTION (,/i,(, wL k 4 T.1A .1/9
A.P.NO. !VR- 4//A- E
CITY
TEL. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE
SIC.NNEO'TO SIDES REARp.L
EAVES
SIZE. I No.OP BLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OR MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDO.
- (FROM C/LSTREIY) /�
SETBACK LINE FROM FRONT PT. LSD PT. C�/L-
CENTEROFSTREET REAR YARD
SIO¢YARQf LEFT _ RIGHT
R.SIDS PT. FT /�
DESCRIPTION OF WORK L SIDS Fr.
NEW ALTERATION_ ADDITION kw REAR
PT. = R. _ 1
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLDOB. ACCESS.BLDGB.
BUILDING HO.OF vat* DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL. . ROOF APPROVED _ JJ DATE ,T-
COVERING I COVERING PT �N ,4 6/4-914g
USE OF BUILDING AND WORK TO BE PERFORMED
a.
CQstr Steck I✓Ah.L FENG E m
4LaN6- siDe_ YALI) ........:-------lid; 1
SQ.FT.
Ti
1 HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE C
AND STATE THAT THE /MOVE JO CORRECT ND AGREE TO COB. PURPOSE OP ETTASUSHINO A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDI AND ETA LA YMTINO
BUILDING eONSTRUmON. VALUATION 01
PIGUR OF44e
NITPERMIT FEE $ ��•(/{}(/-�
S 35-0. / PLAN CHECK $ e
AUTHORIZED AGENT
TOTAL.FEE ;�. Cis
. .
COUNTY OF ORANGE •
ermit
BUILDING DEPT. P
•
No JAF3fre/
636 No. Broadway '. Application for Building Permit '
Santa Ana, California
Phone: KI 2-6211 AND FOR A
Certificate of • Use and Occupancy V — 3 Lf.
Date 30 OcTorER 195a
1. OWNER'S NAME Id AROLb 3 ON t\i Hot-IL PHONE: us 623 2--u-)
MAILING ADDRESS______LYS Cec 1 L PLACE CITY C° STA 4IS4 •
Name Ow PLE-7t. Name 0 (Al N-- -& i
(Architect or Engineer) (Contractor)
Address _______________.5_.4../wc.: As Address 54 AA s_
City 4 So vE City A 3 0 v_6
State
Lic. No. NONE Phone SCA 6 Z 3 2-4, StateLic. No N 0 NE- Phone 13&i .6 232-k"
PROPOSED USE: ADD irioNAL 1--I V IN 6- 62041? TER S.
2. JOB LOCATION ILI 5 c-Ec/L. P 4.4CE c_a_S rA M ES A_
(House No.) (Nam of Street) sa.lc 1 I Are tini4School District) st
3. LEGAL DESCRIPTION: Lot s.eLy -ii.... a Block Aki 5C. /Yaps...ORASIGEtcset /
(Metes and Bounds Description—Use reserse side of form) •
4. CORNER LOT ( )( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG • 35.15 A 22.S 'AREA:___55 C. • S SIZE OF LOT: (OS/ X itio•OgAREA: 8 9 76,2 y
,,
6. HEIGHT OF BLDG - 13 a' CEILING HEIGHT- 8 ' NO. OF STORIES 5 ini6
i
7. NO. FAMILIES 0 N6 Size of Smallest Bedroom: ? X I I•5 Size of Kitchen: 7 el /
8. EXTERIOR WALL CONSTRUCTION:W06 D FRAME )S TUCWITERIOR WALL COVERING 5 MEET ft ock
(Frame, Stucco, Etc.) g (Plaster-Drywall, Etc.)
9. SETBACKS: Front Yard from Center Line of Street SC, f
/1.
Nearest Side Yard S /
Rear Yard 9fr Distance in Feet Between Bldgs. on Same Lot ATTAc I-I Lb
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. •
11. For (a) Footing: Width /y a "
Depth in Ground gWidth of Wall 6.0
Accessory it
Bldgs. and (b) Size -of Studs: li X-..44 " Spacing I 6- "CC Material of Floor.CONCR.6-T.6
Similar
Structures: CBI La N(... 11
if
(c) Size of*tar Joists: 21..dit ‘ Spacing . ____I 6 "CC
•
(d) Size of Rafters: 2 N 4 " Spacing 2. gi H "CC . •
12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
.
ing and sewage disposal $ 31 0.0 0
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
.
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed- ,a9-,:4,.... /ea--
Plans Filed• 70,472 (Owner)
By•
• (Authorized Agent) •
FOR DEPARTMENTAL USE ONLY
• . FEES: ..-- ..01S-NG BY
4010ir•
Bldg. Permit 0-0$ 6, GROUP --1---,./..-:-.-.. _ APPLICATIOS. k - 14ALTH
Plan Check - $ I', 0-10 TYPE ".., ------ _...
/4/ ZONING__ear--
RE
MARSHAL
Total - .7.-,.;4, $ Vf reit . .DIASET. die
PLANS AND ‘..ce,...1 .
Receipt No.-re= ____O . L. MAP P SPEC'S ------- - STATE
Paid to - - SHEET NO
CORRECT Cis ''"--H'r- 'ENGINEER
Date . VERIFIES; CAL
/ / •
PERMIT IS- D I
DATE '
ICOUINNsTY
awl LRDING
5M-7.50 DEPU
...
C W.)
METES ANI BOUNDS DE5CFIP_ iN: TRACT NO i / y SEL\/ i 'Loy l6 •
I : 4 i a . a, E . .. _ oRAHiF
County
110 2,0 3,0 9,0 50 60
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