HomeMy WebLinkAbout381 16TH ST - Building PermitsPfl61ECTRODflES3: 381 E 16TH ST �
mvnee•sxeMe: BEUTEL, BEUTEL & THOREEN
FDOHES3: 3z�Z ROCHESTER ST
COSTA MESA
i CA 92627
RRCN/ENGINEEH: ( 7 1 4) 6 5 0 — 0 8 5 �" qE0.N0.:
�ooaess:
UNIT:
uxrt:
PEHMRTFF: HEUTEL, BEUTEL 5 THOREEN ( 714 ) 650-0850
�DONE58: 3'Z�AZ RMORCHESTER ST
110ENSED CONTNICTOif OECIATIAiION: -ThSre�Ey alfirm that I am IicenseE unOe D� a� y�D � 9(�ommentinq with Sectlon
7000) ol Dirisim 3 al Ihe Business anE Pmtessions CaAe, mU my license is in lull torce an0 ettect.
cm uc.: sr�r� uc.: cusa:
Date: Sipnature:
WOpNEp3' COMPENSRTION OFCLAMTION: I IrereEy aKrm Itw� I have a certilkate ot canunt to utl�insure ar a ceNfiwte al Workers'
Compensa6on Inwnnce. ar a artitied mpy tAereoi (Sectian 3800, LaO. CI.
PoUCY XO.: F%P. 01TE:
� 'OMP�NY: ' .
. CertifeU wpy 5 Ae2Ey fumishe0. ❑ CeNfied copy ¢ fileE with Ihe ciry BuilOinq ONision.
Uate: Nppficam:
IXEMPfION FlIOM VIOHKEflS' COMPEN&TIOX DEpAMT10N: (ilus section nttd not 6e comqeteE ii IAe permit ¢ la me AuntlaC �5100) w less�.
I ceniry tAat in Ne pedormance oi lAe waA lor wAich 1�is permR is iuueE, I shall nat employ any Derson in a�ry manner w as to Decome
suDlecl to I�e Wo�klrs' fAmpertulian Laws oi CalifomW.
Date: SpnaNra:
NOTICE: It, aller makinp tAis Eeclaration, you s�ou10 Oecome suhjed ro tha WOMeri Compenutian Drovislons ol t�e laEor
CoOe, you must IortOwith comDN ��� such provisions or thts permit sAall Oe Oeemetl revaked.
fANSTHUtT10N IENDING ACENCY: I Aerehy aKrm tAat Ihere is a conslructlon IenEinp a0enq lor IM petlarmance ol Ue work lor
wNch Nis permit's iSsueG (Sectian 3097, Civ. C).
IFNDEH:
�ooecss:
OWNEN BWLOEB OFCUINITION: I hereby attum tAat I am exem0� ��m tM Contactors State License Law lor tM tollovnnp muon
(Section 7031.5 Business anE Professional Catle: My ciry of wunry w�icn repulres a Dermil to wnstruct, atter, imprwe, Eemolis�, or
reDair any StmcNre, D�or to its issuance, also raQuires t�e applicant lor such permit to file a sipned Slatement Ilut he/she is Iicense0
pursuant to Ne provisions at the Coniractors' SGte License Uw (Chapter 9(commencinp wRh Section 7000) al Oivision 3 of [Ae Business
and Pmfesvons COAe) or ttut he/s�e is exempt t�erelmm and the Eazis for the allepeE exemplion. My violatlon of Section 7031.5 Ey
any applicant tor a permit suhjects the aODlicant lo a civil penalry ol not mom tAan Ma hunEreO OOIWrs (5500�.
I, as owner of tAe Droperry ar my employees wi�� wapes as t�eir sole compensaiion, will Eo the xrork, anU the
❑ strucNre is not intenAeA or ottere0 tor sala (Section 7044, Business an0 Pmfessianal Cotle: T�e Conirattors' State Llunse Law
Uoes �rot appry to an owner of a O�oDerty who builds or improves Ihereon, anU who Oces suc� woIX �imself/herseli or throuph
his or her mvn employee5, D�ohaeOlhat sucA imD�ments are not IntenOeE or otteaO tar sale. II. Iwwever tAe OuIlEinp ar
- imD�a�ement a salE wii�in one year ai completion, the owner will luva the Curden ol provin0 helshe UiO noI OuilO or ImD��'e
tor tAe purpose of sale�.
n 1, as owner oi tAe proDerry, am exclusively contractinp with Ilcensetl contractors to constmct tAe prolect (Sectlon 70W, Busineu
yq anE Prohssions CaUe: The Contractors' State License Law Uces not apDN ro an owner o/ properry who �uilOs or improves t�erean
an0 who wntracts for such prolecis vnth a conVactoqs) littnsa Dursuant to IM Coniractors' State License Law�. I am aware
tAat D��� o� �heir Worker's Compensation insu2nce s�ou10 De pronUeO t� '
� I am exemDt untler Section: B. 8 P. C.
lor this reason:
oate: "' �'S �d O+mec
I do �ereGy certity that I am aware al antl unEerstanA t�e reQuirements oi Calilomia HealtA anE Safety CaUa Sectlons 2550.5, 25533, and
25534 antl that I or any fuNre buildinp occupant will/will not (circle one) neea to comDlV with saitl state coOes and �ha requimman�s for a
permit for constmction or moAificatian from Ihe Rf�uality ManaOement Oistnct. HeSiEential consimction apDlicatians are exem0� �mm
these provisions.
Oate: ApDlitant:
I �e2hy certiry that I Aave reaA this aDP�ication antl state t�a� the ve inlarmatlon is correct. Oree to camply wl�h all dry anE counry
ortlinances anU state Wws relaUnq to Cuildinq conSWctlon anE he utAo' re ta Is ciry to emer upon tAe abovo-mmlione0
pmpeM /lor� insD�ion purposes.
Date: r'' ��( v . SiBnature: ��� � =+'i--z–�—�
�nver's Licenu or Sodal Secumy M:
1661-48 W�ite—BUIIEirp; Green—CaEe Enb¢amanq Canery—Applicant; Plnk—Ravenue; GolEenroE—An�esmr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047619
PERMIT NO: B 047619 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: S—N PERMIT TYPE: STR PURPOSE: DEM
JOB DESCRIPTION : DEMOLISH DETACHED GARAGE SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: M-1 /
COMMENTS;
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Z O N I N G R E Q U I R E M E N T S
sEraAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN AGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING AEO• PROV; PARCEL: 42531154 ZNE; REF NO; ,
PLANNING NZ3TE5>
> �
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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 HY DATE:
HUILDING APPROVED HY : DATE: -
APPLICATION ISSUED BY: DATE: �O
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LEGALIZATION:N F E E S U M A R Y STRUCTORAL SEGMENT;Y
BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25.00
SMIP/NON—RES
PLAN .SO
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25.50 0.00 0.00 25.50 25.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 25.50 OVER/SHORT: .00
HLDG PMT PLUMHING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.,00 .50
if iE iE if if ik ik k if ik it �t 3f if iE it it it iE it it if iE ik if it if iE if if if iF if ik if if ik 1E 1f iF ik if ik it it i! it dE if i! it if ik if if k ik±t it iE it 1k ik iE ik ik iF ik �lf it if jf �E iE iF If if iF iF
I N D I V I D U A L F E E ,B R E A K D 0 W N'
TYPE QTY D E S C R I P T I O N UNIT COST �TOTAL COST
0
NO FEES WERE SELECTED FOR THIS PERMIT
Qi 00062477-0006?<78 T�3 T 25.SG
DATE: U6/OSr90 TI11E: 16:25
CONSTRUC�'ION AND PLANNING ' PG S SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
!'
1. TemO�rary Elect�ical Service or Pole 52. Pool & Equipment location . � ,
2; Soil,pipe-Undrgrnd. 53. Steel Reinforcemen[ ' �
3: Electrical Conduit Utiliry-Undrgmd. 54. Forms y'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
'5. Steel Reinforcemerit 56. Rough Plumbing & Pressure Test
=6: Elecuical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Foo[ings -. 58. Electrical Condui[-Undrgrnd.
8, Foundation � , 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10� Strucrurel Floor System 61. APPROVAL TO DECK ' ' �
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent�Final
7 3. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final '
15. Rougb Electrical-Conduit 66. Solar SVstem�Final �
76. 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
20. Rough Factory Fireplace ., � _ - APPROVALS. _ Permit# �
21. Ducts,-in Structure • � " 70. Underground Hydro
22. Ducts, Ventilating-. y ._ 71. Product Piping O Gas ❑�Oil
23. Gas PiPe�Rough & Test " ' •� 72, Undergrourid Flush �
24. Roof Framing' . � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof.Sheathing �- �� - 74, Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat _ � 75. Dry Chemical _ ,-
27. Frame and Flashing. : �. • 76. Dry Standpipe '
28. Lathing & Siding ' ' . • �.� ' � " ' ;� 77, FIXED SY,STEM`FINAL� ,
29. Insulation � • • �f` 78: FIRE PREV. FINAi - � '
30. Dryw311 Nailing �' � HEALTH.DEPT: REQUIREMENT
+ .
31. Plaster Brown Coat�. . �-- • 79. FINAL INSPECTION •
32 Electrical Power Meter-Final � qr - 80. _F000 CERTIFICATE ISSUED .
33. Final Electric • . ��' Notes: - � - . "
-34. Final Heating & Air Conditioning- ' . . ' � � - '
�
35. Final Gas�Pipe}Test , .' , �' 1 - � � . � -
36. Hood or Canopy � � � • - •
. . . , ,% .- .
37. Final'FactoryFireplace : -� � � �'� '
l" -
38. Final'Plumbin9 ' %' ' '
� 39. Water Service�Final � � <}� :' � �� t' .
40. Gas Secvice-Fina1 ' ' . - . � . . : " '
� 41. Solar pomesticFinal , " � , F - ' " -
42. Backflow Preventer � - - , - � �
43. Backflow Irrigation., � +� ; . '
44. Landscape Irripation System - � � � � � - . - . �- .
'45. Sound Attenuation � . .. ` -, . , � � . . ,� � ,
"A6. Handicap Regulations � � `< _ • � • �
47. FINAL STRUCTURE & BUIL'DING ' .3 � ' � . �. ,. ' " • .
46.�FINALPLANNING � ' � � � � � �
'�,49.rElectric Release to Edison �. ' . , . .
'50. Gat Release to Southem California Gas Co ���' ' � �
51. CERTIFICATEOFOCCUPANCY
No. Date
.\
PN0.IECTRDORE33: 3S1 E 16TH ST
OWNEH'SN�ME: BEIITEL BEUTEL 6 THOREEN
_�ooxess: 322 RO�HESTER ST
� COSTA MESA
CA 92627
►flCH1ENGINEEfl: � 7 1 4 � 6 S O— O B S O pE0.N0.:
, auoxeas:
uxit:
UNR:
PENMIREE: BEUTEL, BEUTEL 5 THOREEN ( 714 ) 650-0850
"o°"Ess' 322 AOCHESTEA ST
COSTA MESA CA 92627
IICENSEO CON7qlICTOB OECLAMTION: I �era0y attirm that 1 am IlcenseE unEer proNsions oi CAaD�er 9(commenunA �+�� ��uan
7000) of Uivision 3 oi ihe Business an0 Prolessions Coae, anA my Ilcense is in full larce anA ettect.
cm uc.: sure uc.: cuss:
Oate: Sipnamre:
WOBNEBS' C01APExSAiIOx oECUMiIox: I heaey aifirm ihat I Aava a artinwte ol consem w utt-insure or a ceninwm oi workers'
Compensation Insurance, or a cerUfied copy tAereol (Seciian 3800, LaE. C�.
roucr xo.: ocr. oar�:
COMP�NY:
❑ Certi/ie0 wDY � �ereEy fumiSAeA. ❑ CeNfieO wpY �s fileE vrii� t�e Ury BuilClnp DiviSion.
Date: Applicant
IXEMPfION FHOM WOXKEHS' COMPENSATION OECWWTION: (1Ns secUon neeC not Ee mmpleteO if Ne pemut is for one AUMrW (5100) a less�.
I ceniN ��� in tne performance oi tne work tar which tnis permit is issuetl. I slull not employ any person in any manner so as ta Eecoma
suhject Io Ihe WOAcers' Compenution Laws al Califamia.
� Date: Sp�aNre:
Nonee: n, zner maldny mis aeuarabon, rou vmNa oecome suo�en m �ne workers� comoe�auon o��slom u� Ne lanor
CoOe. You must fonhwitn comoN wiN sucn DroNsions or tlris 7�rimt snall De eeemeE revokM.
fANSTHUCfiON IFNDING �GFNCY: I �ereEy affirm IAat t�ea 6 a consiructkn IenOinq apen�y for me pertormance of tM xrork for
wAic� Ihis permitis issued (Settion 3097, Civ. C1.
lFNOEP:
RDORESS:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 047618
PERMIT NO: H 047618 PLAN CHECK NO: N GOVT: N SUPP:�N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: DEM
JOB DESCRIPTION : DEMOLISH SFD SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000,00 GROUP OCC: R-3 /
COMMENTS:
���*�*�*�*�r�r�***�*x*��x���*�r*�r*x **�*��r�r**�r�r�r�r*x*+���r+�*�r�r*�r�r�r*�r�r*��x��****�*�******
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: 42531154 2NE: AEF NO:
PLANNING Nf5'PES>
�
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D E V E L O P M E N T S E A V I C E S R E Q U Z R E M E N.T.S
ZONING APPROVED BY DATE:
BUILDING APPROVED HY : _ DATE:
APPLICATION ISSUED BY: � DATE; �9��
fllklkilMifiklfffiFikltitikikiEfklfifit�fit �iF �iFkklfikitititiFifiE fkit
itkikiEififkiFitififltitititit�lkifitkiEititititifitifkitiEifk!!%ifiElFikMitikif !iliFititiEiFiEiEifififitkiEifiE3titiliEffiEiEikifiFifififikiEiEitit
LEGALI2ATION:N F E E S U M A R Y STRUCTURAL SEGMENT:Y
OWNERBUILOEBOECUIMTION: IAeabyalfirmllwtlamexemptlmmt�eContractars'StateLimnseLawforlMtollowinpreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business ane Professional COAe: My ciry ai caunry whkA reQuires a permit ro construct alier, imOrove, Eemalish, ar p ERM I T 2 S. 0 0
rtpair any strucwm, o�or ro Ns issuance, atw reQuires ure apd�wnt Ior sucn permit to nie a sqnea sutemem tnat hr1sM is ticenua � SM I P/ NON —R E S
pursuant m �Ae provaionc ol tM Comraclors' Slah License Law (CAapter 9(mmmenpn0 vAN Section 7000) of Oivision 3 0l Ne Business ,
an� Pralessians CaCe) ar [hat treJslie is evemp� Nerelrom and ihe Datis tor tM alle0� ezemptlon. My �riolation of Section 7031.5 Ey P LAN .$ �
any applirant lor a Dermrc suhjects tM app�icant to a avil penalty of not mwe than INe huneae eWWrs (55W�. I SSUE FEE
�, u o.mer m tne oroperty or my empioyeu witn wayes ss teetr swe campensatlon, vNl Eo the woar, ma tne BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intenaeU or anereo ror sala (Section 70aa, Businas ane Protessronal coee: ine Contactors' Suta License Ww TOTAL S----> 2$, S � 0. 0 � �. 0 � 2 S, S � i S. S � . � 0
Eoes not aDPN �o an owner ot a pmOeM �o buAQs or imD�a�� ��reon, and wlro Ooes wcli work himsett/Oerself ar I�mup�
N5 or Aer own emDlayees. D�4� ��� such imprmemenis aa nat intenCed or oflere0 for ule. It. Iwv�ever ihe buil0inp or
for���epuen�ol�wfiAinoneyearolcom0letion,IheownervnllAavetheUurOenoiprovinpAUs�eEidno�huil0orimprwe REVENUBELDGVPMT�PLUMBING ELECTRIC�MECHAN�IC FIRES�SMIP�/TOT/SGRADING PLAN—CHECIC
I, as owner ot me D�apeM, am exclusiveN wmracting witn licensee controaars ro wnstmct iha prqect (SecGan 70ea. eusiness 2 5. 0 0 . 5 0
� ane Professians CaAe: The Contactors' State License Law Oces not appty to an wmer oi Oroputy wM DwIOs ar Imprrnxs t�ereon
antl wlio wn(racis lor suc� D�oIK�s ciU a contractor(s) Acenu Dursuant t Contactors Sute Liunse Law). I am awaa
that D�1 al Neir WOM1sr's Campens.tlon �nsurance sAONO ba Drovqetl lo
� I am uempt un0er Secfion: 8. 6 P. C.
tar tNs reawn: y^ , �
Date: �� � � ( d Oa+ier.
I Uo hereCy urtiry ihat I am awaa ol an0 unEerstanE Ihe repuirements ol California Healt� an0 Satery CaCe SecUorx 25505. 25533, anE
25534 and tlut I or any Mure huildinp acupant will/will no� (cirde one) nee0 to camDN ��h sai0 state co0es antl Ihe reyuiremenis for a
permit for mnstrucibn or mo0ifcation Irom t�e Nr Uualiry ManaAement DislncL HesiOentul wnstrucfion appliwtions are exemD<<rom
ihese pmvisions. '
�ate: Mdirant:
I nereEy ceniy uut � have rea0 tAis apv�iwuon ane sute ttat Ne aEme � rmatlon ¢ comct. i apree to campy wim atl dry and cowry
arCinances an0 state laws rehtlnp to Md1Ein0 ca�structian antl heretrf a � re0�eunta � al tt�is / mter Won tlre a0ove-mentione0
propeM farinspectun purposes.
�
Date: � � �� Sipnatu2: /
oiivers Lixnu or saial secumr x: .
1841<e W�i�e--BuilEiig; Groen—COEe Enlorcamanl: Canery—Appliwm: Pink—Rarenue; GOIEenroE—Iaasnor
1t i! if i! ik ik iF iF iE iE it if if if i! if ik ik iF if if if if iE i! i! i! ft if M if i! if it 1E dt i! i! it i! i! if if if M if fE iF it if it 1E M k it iF k iF it iF iF if iE iE iF �f i! if it iF it 3f ik iE dE if if ik if
2 N D I V I D U A L F E E H R E A SC D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT
i
O1 Q006?475-00062476 Tt] T 25.50
DATE: 06/OS/90 TltIE: 16:25
CONS7RUCTION AND PLANNING _ � POv� & SPA
APPROVALS� Permit# Date Inspector qppROVALS Permit# Date Inspector
1. TempOrery Electrical Service or Pole -' 52. Pooi & Equipment Location -
2; Soil Pipe�Undrgrnd. � , 53. Steel Reinforcement . �
3. Electrical Conduit UtilitY-Undrgrnd. .� 54. Forms
"4! �Electrical Conduit-Undrgrnd. � 55. Electrical Bonding - •
5. Steel Reinforcement- � - 56. Rough Plumbing & Pressure Test
" 6:'Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
. 7:-Footin9s , - 58. Electrical Co�duit-Undrgmd. �
8. Foundation - . . , - 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Li�es, P�TraP, 0 Undrgmd.
10: Structural Flooi System 61. APPROVAL TO DECK
11.: Property Sewer_Line,& House Connection � � 62. Backwash & Receptor�Final '
12: Sewer Cap � 63. Heater & Vent-Final .
73. Roof prains _ '� 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 PINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace �' Y - �. � APPRO.VALS '. � Permit #
21. Ducts, in Structure" ` - ' �70. Underground:HYdro
22. Dutts, Ventilating.'� �' �. � � �77, Product Pipin9 � Gas ❑ Oil
23. Gas Pipe-Rough & Test -' � � . .. -72, Underground Flush� ' -
24. �Roof Framing' '� ' " : � � � , '.73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof $heathing : - - � 7q, Overhead Hydro ; .,
26. T-Ba� Ceiling �Structuraq &�Monocoat ' • 75:.Dry Chemical � �
27. Frame and Flashing .c - .� 76. Dry StandPipe -
�28. Lathing�& Siding ' .. - . - ' "� " 77, FIXED SYSTEM FINA� .
29. Insulation � � - - �� � '�;%� 78.-FIREPREV.FINAL ' ��
'30. Drywall Nailing , . HEALTH DEPT. REQUIREMENT
�31. Plaster Brown Coat • � .- '•79. FINAL INSPECTION '
32.' Electrical Power MeierF.inal � � '` �� �, � 80. FOOD CERTIFICATE ISSUED .
.. i -
�33. Final Electric� � � `-` !',� � Notes: ' ' - . .
..
�34.� Final Heating-& Air�,Conditioning _ �` - �� t� ' '
35. Final Gas Pipe-Test, ,- �� � � � ����- • - . �
36. Hood or CanoPY �� � � � � � - .
t -
37. .Final Factory Fireplace � - + . L-� � �
38. Final Plumbing _ } � � ' ^ , . " .
39. Water Service-Final, ' , � . � ' � �,
40. Gas Service-Final " � ' - � � '
� 41. Solar pomesticFinal � � � j , � . - �,
42. Backflow Preventer - , ��
43. Backflow Irrigation � " ' � • v �� �
�44. Landscape Irrigation System ' � _ ' ' �'� L. : �
x -
.45. Sound Attenuation� . ".. � -' -;� , -- �� �- - • - _-
46. �Handitap�Regulations - � � • ' -
47. FINA4STRUCTURE&BUILDING ,� � ' ���: ' � " . ,
48..FINAL PLANNING '` � � t
r � �i' .
49. Electric Release to Edison '��1' r
�50. Gas Rslease to Southem Califomia Gas Co � ' � �
"51. CERTIFICATE OF OCCUPANCY '
No. Date
ApP���:�t [o till in all spaees eneept those wit�in heavy EorEer Ilnes antl sign all apD�ooriate Eeclantions.
'� CITY OF COSTA MESA� � � � . � _ PER T NO " � TRACT NO. : �_ � ,LOT NO. • ; , BL , _ � � . , ' . - � �
CONSTRUCTION P.ERMIT ' • , . , • ' � Q / , ' . ; - ; : ' � - � i , .❑ . • i
AppIICBnYs Meiling AddI855 � ' � � � ' ' � � T/PE OF�CONSTRUCTION: , ' New noo P.LTERATION'� , REPAIR ' � ' ' �7'SDJ �'»{I✓SO�B� _ • Fj�OU TL
r.oia�tnad��' 3_/ � �L � ' / � � ❑ CONVERSION .❑ DEMOLISH ❑ OTHER � � � � - � _ . .. - '
� � fy' � ' ����JGJO/r�%7/,9�Jp Q��� ,�A/ � ' ! DESGRIPTION�OF WORK . _
ry, Owner s Name `� ' � � hone _ 1 . . . , - � � ; , �� . ' � ` I G E U TI` N
l�` Addfeis ao����a�/Yr�n/�.�n u,i-t,�� 9�a�LL '�.pEOPPERMIT' , �GRADING�. � FOVNDATION .STRUCTURAL � A.P:51t " i .• ' ' ZONE ' ' �
�
\ Arth/Eng. � -- ' _ Licen50N0., ' �� TENANT ❑�EIECTRICAL . �' PLUMBING ❑ MECHANICAL � _ � � pLNG.REF.9W- ' � '. BUIIDING . ' ^' ; `
Addfeu ' - ❑ �OTHER � TO BUILDING.- '.
j - �y I • . . � PR PE V INE '� �'.REAR VARD (TO P/U.• �• 1
�'ContrecrorsName.Lf?�E�✓�i��!^��':,Ji "7,�%' oha�e�^-i 3S�7f> �;PRQIECTDESCRIPTION� Sq.F7.� " OCCVPANCV - . ., . .
O ' � i ' , ' ' ' ' LEFTSIDEVlaRD � � � RIGHTSIDEVARD -
\ � Addresslmailing��� 3.';-��1 �///A�f�� �w�Fd'{�e,//✓l CONST.RUCTIONTVPE : � VAIUATION$�' .
� ' � ' ZON� - � GRADINGCU.VDS. - � ;ACRES PKG.SPACEREQ. ' PROVIDED '
License No. � / ��'r� ' ' . ' - ' ' - ' �
LICENSED CONTRACTOR DEC�ARATION - ' ' � � Remarks: = � ' � . � , � � ' ' �STREET WIDTH � � . ( � k ;PARK FEE'$ �
I hereby afflrm that I a'm Iicensetl untlar provisions of Chartei 9(commencin9 ' - � - �_,.
Witti Sattlon 7000j ot DIVISion 3 of t�B BUSina55 antl Profe551on5 Cotla, antl , � � , � � � . � i_• � � SPECIAL CONDITIONS: ! � ' -
my,licenie�is In full orce antl effect. , ' � ' - ' � , , �, -
Cicensa CISis � L3- � ' • { Licanse d .� 5� �" � ` ! , ' � ' ' PLUMBING .. ' � � � � � . � � . � . i:. ; . � i- �,
. � Date-��'�-`3 . Signatura / A,,.: d_; � ' . � , ,
. "•ORKERS' COMPENSATION DECLARATION � ': ; 1 ' Be� Sink ' , . Sew¢f Cap' ' . ELECTRICAI : ,
Iraby.afflrm that I.hava.a certltiwta.of consent to.selt-iniure oi a-certiilwte �- � -- _ _ . _ _.. - Automatit Wath¢� �, � . _ . i_ _ �Mete� ❑ovfr 10b amp5,_ _.
Workers' Compensation Inzurance, or a certltietl� copy thereof (Sectlon � BaCkflow P�eventer ' ''SBw2�'COnnCctiOn' � ' ' �
Construction Pole. . � • � ' � i
� , a800, Lab. c,) � - - � . � A ! � � Backflovclrrigation . $olarCollectors � ` , , � i SubPanel; . , �
; POIICY No. � ��K�J � 1 ComPanY ���i/P / L,✓S � , - ... . _ - � , � t ., f , i � �
� B�Ceitiiletl�<opy Is hereby turnishetl. ; � ! ' , Bathtubs • , � Solar Piping � � � t i Cooking Unit •Sub Pole � � , j
CertiLetl opy Is tiletl witli the city Builtlin9 Divislon. , t � Dishwasher - � Motars �0-1 HP '01'h$ �
� Date '�-��53 � qpplicant✓� A^ �l� � ,�1n�J• � i Clarifiers ! SOlarTank � • .� � ^
' EXEMPTION FROM WORKERS GOMPENSATION DECLA0.ATION ` - - . DryerS ❑G85 OEleCttit � InaSOlar•09-15 HP �16-05+ �
(Tnisze<tion neatl not be comv�atetl if tne permit is tor, one nunaretl (Sloo) or ' . Dishwasher � Swimming Pool wlSpa � , , : . I ;
less): � ' I I ' � t I 1 ' � . . - Fan; ' . :Microwave � ' .
I<erUfy that In the periormSnca oi the work for which t�is perm�t is IssueE I ' Drinkiny Fount0in5 , 1 U�inal j � � ! � � i
zhall, not employ any person In any manner so as to become subject. to tRe , . , � . -� - , F.A.U. � , .Pol2 Light � •
WorkerY�ComoensatlomLawsofcallTornia., 7 � � FloorD�ains � � � � yVeterCloset� � � • �' ' � � � � �
i Date' � � � � Signature � ' ' � � ' ; ' ^ Fixtures � � � ' � ' � ! �
NOTICE: It; atter making�tbi5 tle[Iaratlon; you-shoultl �become iuDject to the'�-'- � Floor Sinks ' - � - � � -�� -: �'�'ater Heateq � • � � � D d �� - . iRange . _
, , _ .
Workers'; Compensation provisions of the Labor Cotle, you,must.forthwith. ' ' ' - ' - � ' � , - ,
comply ,with� suth prOvl5ion5'�or.thi5r0ermit Shall be�tleemetl revoketli: � � GasS2lVit2� : 'Ou[Iet51 -,� WffifCServiCC .� .� 1'.� � � -' Devic¢BoxeS � ' �Sign_ ' �
CONSTRUCTION �LENDING AGENCV ' ' - J ' , - . - ' ' ' ' �µ OUtlets ' � � � {
1 heretiy affirm that t�ere is a�constructlon IenAing ageucy for t�e periormance; ' � Int¢rc¢pto�s �. ''-� � C' 1 . S[anding Sections �
. ot the work for. wN<h this, permit 'is luuetl (SacUon 309Z Civ. C:;( ! ' - � � �
I LanGer z, Name � ' - � - - � ' 1 . Krtchen,5ink' " ' - -� ' . 1 .. � „ Switches , � I , �Trash Compattor , , �
' LenOer s. AtlGress' � � ' -�' '� � � ' � ` � � ' rl ' ✓. �i , - ,.� f �\ � Ga�bage Disposal � . : � � (-
� OWNERIBUILDER DECL'ARATION � � � , . . ': . � . • . , � b �-8vato1105 � ( � _ � �_ i � ,� . . ' ! t i t I
� I �ereby�atfl�m th5t I dm exempt�from t1ie�Contractor's,LicenSe Law for [he f� .. . , _ � � �- Generetor. OO-5 KW �545 KW . - ' i � �
/ollowing reason'(Sectlan=7031:5 Businassantl ProfesslonallCotle: Any tlty or :' P-T�ap 1 r� I',- . . �
'�'county which'redulras a permlt4o con5trucT, alter, ImD�ove; tlemolish or'repa�r ; . . - Transforrtier �15-50 KW �� � i 1
.'any structure; prio� to Its,issuance,�also reqWresthe�appllcanb.foriuch permli. ' ROOf D�ains - , - �� : � � f � � i
to file a signetl statament Mat ha/she is Iitenutl pursuant to the!provislons of i ' � ' '' ' • '
tlw��ontiactor'SlJcense Law (Chapter 9 (commencin9';wlth�5ettion 7000) of - -, j � , ' ' • ' - � ❑5U+KW, ! ! � Reinspection FeB §7.5 '
*ion �3bt the'Buslness ana� Protesslons Cotle) or that' he/she is�axempt • , Showe�s �r �' t c � � Reinipec[ion�Fee ,$15 ' t
i��!rom-antl the basis tor the allegatl exeinption�. Any vlolatton of SecHon , � ' ,� - , - Metet ❑up to 100 ampp + � �IssuB FBB� � , f�� 3. j
5 by.'any aDPlitant for a'permit-subjacts'the!applicant to a:avil y' �`. � i � ' � ' 3 �'-- � —
penalty of not more tnan iive-nuntlretl Collars (E500 : �. -; , �; Service Sink �' ' r � Issue Fee �� ; ,�$ , I ; ' � ; t j i
) � ,� { ��, Zonin9 APProved BY � Date
LJ I;'as�owner of;the'property ormy empioyees.with wages as their iole , . . , f i I � .
! compensaLon; wlll.tlo the work; anC the structura It not intentletl or. oTferetl � - '-. �. -� MECHANICAL � ' ! ' � qppliption Approved By � ' � �ate ' � ' , �
for sale (Se<tion 7064, Businemantl Professlonal Catle: The:Contractor•s , -, � � . � � r � �
� License Law tloes not apply to'an owner of a property who builtls or Improves '. Boiler' � �� �' RefNgefation Syst2m � � ' ��j ! � � ��^ � �
thereon„antl ,who'tloes, such'work hirtiseH/hersetf or through his or her own � ' • .. ' ` ' i ' , . � ! ; Application laued By ' ' ' �ata
employees, proviOee tnat such improvements are,not intentletl or offeretl tor � � ❑0.,100,000BTU ❑100,OOOBTU��, ' �
sale. If, however, the builtlin or im rovement is soltl within one' ear,of com- Dutt° Unde��G�ound , . ' ' � � � � � j l � .
e c r � t i � , . .. : 1 ✓. .:i ; . : SUMMAHV OF FEES � i. E
pletlon, t�e owneCwill have the burtlen of proving he/zhe tlitl not builtl or Im- . . ' . 1 j . � -) ;
rove tor the ur ose ot sale '. � � 7 � ' Duct -Structural i S stem Re eir%AlteraLon �' � ` ! h �
P u ) , , � ' , 1 i � Y P , ;s � � •BUILDING PEfiMIT $ • 1 SMIP � f $ ' � � �
'� � I, as owner ot tha property, am exclusively mntracting!with!Iicensetl con- i - - � � � , . � ' � ' � � - - �
. tractors.to.<onstructthe.project (Secuon 7044, euslness antl. erofessions,Coee:. L .�.. Duct =Ventilatmg. _ _. �T �, I _ _ ' _ _ I 'PLAN CHECKI � $ � { PERMIT � �. . �
Tbe Contractor's Llcense Law does not apply to an owner of property who i . : � ' i � . � � � ' �, . , �;,,.J ' � ISSUANCE • �- $ �
builtls or Improves thereon, antl who contracts for such projects with a con- ' Exhaust System ❑ Multiple �� � � PLUMBING 1 $ , .
' cracior(5) license pursuant to the Contractor's License law): t . � � � � � � • " � � � ' � � ! GRADING � i $ � t 1
' � I xm exempt untler Saction i � e. & R C. tor th`s reason � �- Fiiepl/FaCt.81t. ICBO if`- � j � 1 . . � " �PL.�1N CHECKf � $ : f � ; ; : � �
Data - '� ' ` owner` � �� � ' ' ' � ' HeatingSystem&Ducting � 1 � � ; �ELECTRICAV � $ � , . � . , $ I
1 ' . , i i � - � � I � MICROFILM i $ � '
�'9-hereEy-certly t�at Irhave-reatl mli application antl-state that^tne-above� � --�- ❑a100'OOOBTU��100000B ��' .. _ _ � _ _ �PLAN CHECK�' $, �
' intormatlon is correct. I agree to tomply with all city: antl county ortlinances i i' i �� ' :�� -I ry� �� � '. � $ ' . , TOTAL�FEEI �$� -
ana;state laws relatlng to bulltlin9 construction,'antl hereby aut�oriza repre- Hood oi T ' � r � : . MECHANICAL � - � � � . �
zantabves ot,thi5 �Utylto enter upon the above-mentlonetl property fm ` . YPB� �� i � i � peinspeCtionFeeo -� $15 � � � 1 : LESS
, InsDectlon ourp86 s �� �/ < < � ' : Cano , .T � e II ❑. � : . � � i ;PLAN CHECK� , $; 1 ! t ; -
Slgnature �N. 4�Q��/.!'.ri7'4f f%� I Date�i-� �3' , i ( � � , I � � , � � . . NDVAf�CED1PC $ , ('
i Orivers' Littnse - �-zo'� i � Reginers � i � � laue Fee � i ���5 3 , 1 . � ' �� FINAL FEE � : $ � d"'� �
. , . � . . �. , � .
. . . _ . - . ._ '_.. : . _.. _ ' _ _ . ' _ ' . . ., . . '
� CMF 0865-46 rev. 12/82 White - Bulltling; Canary - ApPliwnh Pink - Accounting; Goltlenrotl - Assessor - -
_ . _ _ . _ _. ' . . . _ n
:� n , ti :s^n id- POOL� CPA ,�-� ' S.{=
�? ��CONSTRUCTION,AND PLAN NG; :.: - _`� T- i a ; , �`;,, ,. -o : _ ^, , . ,t • - - ,- : � " .
_ :7 � r � , � L • m � ; , ;,Date ^ • ;Inspector = =� � o ' M1 • Date �.Inspector, �
> _C�PPROVALS m Permitt#� a - � •,� _ � ,�=;.APPROVQLS�� - Pei���it# ,
i. YV � '� 'J � � r � t � 1: � .. I' - i _ � •
' - i
m �iw TemporArylElectr�ical SerJice or�Pole � � N^ � ��: "O � �.�52C�i Pool &�Equipment Loca4ion' �r ` ' � -'':� � ;'-
n� 2': ,Soil �Pipe-Undrgrnd % ' =' � %; _ V ' i ; � ' $ � �� 2: `O � � �� �53� Steel Reinfoicement � � _ • =- �
•F, i i - �t-. . _ �- _ _ ,. "�.
6 3` Electcical Conduit Utilitv-Undrgrnd. ' � ' =- `O Q�� : 54:i Forms?- ��- `-- `" � ' " -' -' ' �,� `
�h .1 �O F "k:'•r 'C� >Ir. �i
� .' t . t � , . ` � �V o � n
^� 4' EI'ectrical Conduif-Undrgrnd . � � � > � ?� ,55..'ElectricafBonding : ^ -��.p � I -
�m 1 � i� � � r an a n' I•.«...5- .�tl n�a i '.' c IC
1 I I ' "u .. �.� t.. � � .. . ...._., .. . ".. .-.`: _. .
5: Steel �Reinforcement ' � �i, �� - � ;, � � " � _ � - �_ �=- � i-i56,t Rough Plumbing"& Pressure`.Test • � . � I �'�
ai i -
. � i ' .J
6: 'Elect�iczl UFER Grnd.� � i n= � � � � ° � � � � . , �57"� APP,ROVHL TO COVER.GUNITE- � �,
7. Footings � I�� . p oy � '% m; ��� °` i 58Y ElectricaicCpndwt-Undromd- �� ' � �.
, �'t
8. Foundation I ( � , � � �-'� � ! t� " a t $; , ' �59. Gas Pipe; O Undrgcnd Test . ` _ � � �
i � n •�. d J
, �:.
9. Water� Pipe�Undrgrnd. j j , ? j � ' �_ ` _ [`60. Backwash Lines,,P;Trap,,O-Undrgmdr: �' - � ' �; �
� ^
10. St�uctural Floor System i ;'o � ' • o ^ � _ � , 61. APPROVAL TO DECK � � = � ; � I
11. PropertySewer Line:&�House�Connection, � ,c �y � � 62. BackwasFi'&�ReceptorFinaF z_ �� ' -;r�. ` I'G
n� n � - I
12. Sewer Ca I � , � . � :. t - . , . _ _ I ° . "'� . . _ � <� � ,. a _- i
� P.� � ;�, . , � 9 � �� � ;63. Heater�&l/ent-Final ���':.'�� , �
13. Roof Drains � I ' - ° � � - F : - •_ '. - . �� - . � � •�
� � . ; _ ;'64. Plumbing:SYsfem = F,inal ; i
14. RoughPlumbing� � �c � � c � : _R • - , �y•-- � -='-'s:-. - . =r � �
tl � � �- � � � "65. Electrical-Final � ��� � " � �
= �15--Rough�Electrical-�Conduh r-! �"j�-(-" � ��'�.66. Sola��,System-Final�l ; � • � � '
� r �� �r-�a r-r-, r . -�---- ; -,
" r-.16.'�Rou h-ElectricWirin . `c � ' !;', , ."'_'''_ -�-"� '�"""_'- - .' ' .'i .- �- -:-- -_ -
g„ g, -� I � i u� m n I p, p i 67 (Fencing &�qccess.qpprovalr : i�
.�. i... � m - .s . � I �' . s � � 1: .( � I. � �': i � ' � Y tl Ct
_ �_77. �Rough-Wiring�Sign : �` i i ") �; �''T } � � � r � ; � ,j �'_ �„`., 68.i APPROV,ED FOR�PLASTERING :' � � `� � `
� iB.:�Rou Ii�Electrical.T;Ba� Ceilin ' ' � ' " � ; � . � �- � � �, � � � ; � . t . . . ' I ° . ° � i _ � I
S . 9 - .: � � 9I iI �� I - I � � j I �� I , �69.� POOUSPA SVSTEMS FINAL . �. � � , -. � .. .f
�'. 19� Rough�Heating & Air`Conditioning � � �; � � � ' i i r � � � �FIRE DEPT. REQUIR�EMENT, . � � �,� ' � _` '
n 20. �Rough Factory Fireplace� I i !� � I I � � I��� I f APPRO�/ALS� � Permit # l ' � � __
-, � -�' � 1 i' � t i � - 1 i i i �� f
, �, y , ; . . , ., � ' _
� �,j 27 �Ducfs,�in S;ructure� � � �I �� � � � � � � � 90.� Undeigrouod Hydro ' � ' � � � � � � ''� , , �
'� i�. � 1 � � I � C d i �
�!22.'�Ducts, Ventila4ing'' � 2 � i !I �` i � i I � I � � �7�.i Product Piping �Gas �Oil � i . � �`� �
� "� 23. Gas:Pipe-Rough & Test � � i jj,• i'- i -,�--� -- .� �� ' �--�. � �72� Undeigro tl Flush f� ;,T , �. . �i --- - t--. -. --� �- -�
� . �. � ,; 1 I I �
�, '' -= � . . i.., � , . � i : � ; : � �:_ � i
a��.24. Roof Framing'� �; � � j ��w �� .� i�� 0 1:� i N��� : I z,: ,; �73.� Undergrnd. Storage Tank�O Gas ❑ Oil '
�_ , -
�
�'� 25. IRoof SheatFiing t � � T � j I�.� I �' f � � ry � ;; + � � � � � ' ! i74,i OverFiead Hydro ���% - � { . � � � �
� , 26. T Bai Ceiling (Structuralj', & Monocoat' � . � �F � > �'� ���; � � f ; 75.� Dr.y Chernical 1 � , _ � , , i i i G ;
� � i r .�
�'-27, .Frame and Flashing � �, I' I ti �� 2 �� I I I° � ' � :76.� Dr,y Standpipe �� '' �^' �- '
� .. : i I� _ � i �, i i` a i � .
`� � _ i 9 � � 9, � o � I I� ij � I I ' ��, � ' I 177.; FIXED SYSTEM F_INAL � �- �=� ' . � . � , _ ��
28.,L'athin &'Sidin � i ( � �
a-- i. ' v t�. � i ' ' I 1 ; i i � t r' . ' i i . r
'! 23: Insulation _, � R,:? � j �I jI � i � I � ' y 178.i FIRE PREV.. FINAL �' �
� � ,
� � �. � � - �; : � ' 1 . _ ' � � � , � i . , �
"30: �Drywall Nailing ; i i � I �� � � � 1 �, � �Notes.j i f� , Dc�S %3, '
! � -i - r - -,--� -- -- - , o
* 31�,Plaster Brown Coat I� � � �� �� '
� fl- � I � I � � ..I � I � I i--�----I- i¢ �-�-'�• i IG✓ yxi% .T >i.'t/ �d r-'-�G
` i ' � I ' � �' i� � i � � � � � � i 1 1 t ' ._ � . . � . � �
< � 32. jElectrical�Power Meter;Final � i i � . � , i ��� �� ; -
II f f �_i I f � i I i � i
� : . .� I
�� 33. Final Elec[ric ' � i �M -�-'�'._ J_ �.,. � . I _� f � . L � �, .1_ � � I �. ' ' '
- 34. Final Heating &iAi i Conditioni�g � � � � � � � � i � � � j � ;y � . � ', �;
35.FinalGaePipeTest�N��'�mj^ ��' �``���-`:IJi"�� i;Ic�Ni �I�^ �°r �5� � Y� 'r
1 Q 4
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