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PROJECT ADDRESS: 1617 AL I SO AV UNIT:
OWNER'S NAME: WASHINGTON, JAMES W JR
E ADDRESS: WASHINGTON, ANN F
1617 ALISO AVE
COSTA MESA,CA 92627
642-2627
ARCHIENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: ALUMINUM ROOF SPECIALISTS (714)558-0678
ADDRESS: 1529 MCFADDEN
SANTA ANA CA 92705
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Dwlsion 3 of the Business and Pmlessimis Code, and my license is in full force and effect.
CITY LID.: 0 6 0�Z 2�� 8 88r. STATE LIC.: 5 2 3 0 4 3 CLASS: 39
Date: _DL 4( Signature: -_—�r
WORKERS' COMPENSATION DECLARATION: I hereby affirm that l haveacertiflcateof consortia sell -insure or aceniticate of Workers'
Compensation Insurance. or a carlllied cop thereof (Section 3800, Lab. C)
PoucvNO.:046-94UNIT63117 EXP.DATE: 01/01/95
COMPANY: STATE FUND
❑ Codified copy is herebyfurnished0 Chinn ed copy is filed with the city Building Diviiisisirrron,.� /,/E -
Date '. �_ — ' 1 _ ( y Applicant: � � / — CaL.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less).
I comity 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 WorkersCompensation Laws of California.
Date: Signature.
NOTICE: It, after making this declaration, you should become sublect to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed 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. Q.
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/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 (5500).
❑ 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 Contractors' State License Law
does not apply to an owner of a properly 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 o1 completion. the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I, as owner of the pmpeny, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑
and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon
and who contracts lot such projects with a connectors) license pursuant to the Contractors' Stale License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
Date'
I do hereby cenlly that I a
25534 and that I or any for
permit for construction or
these provisions,
Owner:
in aware of and understand the requirements of California Health and Safety Code Sections 25505, 251 and
ore building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
modification from the Air Quality Management District. Residential construction applications are exempt from
Date Applicant:
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned
property for lnspeclion purposes. 1�
Date. �'� Signature: " (9 c
Driver's License or Social Security a:
1641,46 Whine—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM Ni B 066032
PERMIT NO: B 066032 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: SIR PURPOSE: OTH
JOB DESCRIPTION ; T/O SHAKES, SHEATH REROOF W/ALUM ROOFING SQ FT: 7,000
CLAIM VALUE: 7,000.00 CALC—VALUE: 7,000.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQRD, REROOF 2800SF RESID W/ALUMd��FRkO�OFG ICBO#3147
########################################################## JIVlO�UC��R
Z O N I N G R E Q U I R E M E N T S �7�V11J
S E T B A C K S �t
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILA1riUIRE +��jj'��
---
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 RE • PROV: PARCEL: 42514210 ZNE: REF NO;
PLANNING NOTES>
i
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: Z/(_ �( let(4
###############################################################################
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
90,00
,70
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—>
PERMIT
ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- >
90.70
0.00 0.00
90.70 90.70
,00
REVENUE DIVISION
TOTALS-->
COLLECTED:
90.70 OVER/SHORT:
.00
BLDG PMT
PLUMBING
ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
90,00
.70
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
SFR 7000
REROOF
BY VALUE RESIDENTIAL
NOZONE 1.00
7,000.00
END OF FEES
01 00155337-00155338 TOT 90.70
DATE: 02/14/94 TIME: 09:29
�--
CONSTRUCTION AND PLANNING I
APPROVALS Permit # Date
Inspector
POG SPA
APPROVALS Permit # Date
Inspector
1. Tempof ary Electrical Service or Pole
52. Pool & Egwpment Location
2. Soil Pipe-Undrgrnd.
i
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4, Electrical Conduit Undrgrnd.
55. Electrical Bonding
S. Stez! Re nforcemcn•
56. Rough Plumb rq & Pressure Test
6. Electf�cal UFER Grnd.
57. APPROVAL TO COVER-GUNITE
_
7. Footings
1
58. Electncz CrndurtL drgrnd.
8. Foundation
59. Gas Pipe, C Und-grnd., Test
9 \later Pipe-Undrgrrd-
60. Bac'crrash Lines, P Trap. - U�'rlrgrrd,
10. Structural Floor System
61. APPROVAL TO DECK
I 11. Property Sewer Line & House Connection
62. Backwash & Receptor - .nai
12 Sewer Cap
63. Heater & Vent -Final
13, Roof Drains
64. Plumbing System � Final
14. Rough Plumbing
65. Electrical Final
15. Rough Electncai-Condurt
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 SYSTE\1S FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydra
22. Ducts, Ventilating
71. Product Piping C Gas ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
25. Roof Sheathincif��
26. T Bar Ceiling (Structurall & Monocoat
%%%
73. Undergrnd. Storage Tank GGas []Oil
74, Overhead Hydro
75. Dry Chemical
27, Frame and Flashing
76. Dry Standpipe
28. Lathing &Sding
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:��d
34. Final Heating & Air Conditioning
7,//3/d
7
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
48. FINAL PLANNING . '
49, Electric Release to Edison'
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. ____.__ Date
w
PROJECT ADDRESS: 1617 AL I SO AV
QWNER's N�^.ME: WASHINGTON, JAMES W JR
.1A ADDRESS: WASHINGTON, ANN F
1617 ALISO AVE
COSTA MESA,CA 92627
642-2627
ARCH/ENGINEER: REG.NO.:
ADDRESS:
UNIT:
UNIT:
PERMITTEE: MICHAEL V. RICHARDSON (714)643-1311
ADDRESS: 24902 VIA KRISTINA
LAGUNA NIGUEL CA 92656
LICENSED CONTRACTOR 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 Cotle, and my license is in full force an ram
CITY LIC.: 043991 STATE 1473955n� /Cus
Date- f, ILA' — 9if Signature:_
WORKERS' COMPENSATION DECLARATION: I hereby affirm Ih I have a certificate of consent o self -insure or a certificate of Workers'
Compensation Insyra cg, g( certi ie copy thereof (Section 3800. Lab.
I.
POLICY N0.: 7 S / 7 ' y� EXP. DATE: 8/ 1 4/ 9 1
COMPANY: STATE FUND
3 Certified copy is hereby furnished. [9 Caddied co filed h the cY ui ing DtW,.,,4
Date', _(,/ — /9 _ o APPIIcanl:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: Jul section need not be completed it t le permit is for one hundred ($100) or less).
I carry 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 WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed 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: PARTIAL CONVERSION OF
ADDRESS: EXISTING GARAGE AREA,
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve. demolish, or
repair any structure. prior to its issuance, also requires the applicant tot such permit to file a signed statement that helshe is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/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 sole compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code : The Contractors' State License Law
does not apply to an owner of a properly 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 completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contracture' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
Date: 13wnec
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirementsfor a
permit for construction or modification from the Air OualitV Management District. Residential construction applications are exempt from
these provisions.
Date. Applicant:
I hereby certify that I have read this application and state that the above information is carred agree to comply with all city and
ordinances and state laws relating to building constructiond ereby`ut on eas tives f ie city enter upon above me
property for inspection purposes.
Date _/L� A ?0 Signature:
Driver's License or Social Security a:
164146 White—Butltling, Green—Code Enforcement'. Canary—Applicant: Pink—Revenue'. Goldenrod—Assessor
CITY OF
COSTA MESA - BUILDING PERMIT
PERM NO:
HEP 05000:
PERMIT NO: BEP 050002
PLAN CHECK NO:
06331-90 A
GOVT:
N SUPP; N
CONSTRUCTION TYPE: V -N
PERMIT TYPE:
ELE PLU STR
)hURPOSE:
ADD
JOB DESCRIPTION ; ADD DEN,
FAM.RM(NEW AREA 6
GARAGE Cl
SQ FT:
467
CLAIM VALUE: 30,000,00
CALC-VALUE;
32,223,00 GROUP
OCC;
R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME.
Z 0 N I N GS ERTE3QAUCINRSE M E N T S
------------ MAIN BU'ILDING------------------- ACCESSORY BUILDING---------
FRNT: 16 FT IN REAR: 5 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN
PARKING RE4• 2 PROV; 2 PARCEL: 42514210 ZNE: R1 REF NO: PA9056
PLANNING N TES> 615 S.F. TOTAL ADDITIONS TO EX, SF RESIDENCE
>
7f if -BE iE * RF iF * * * iF df x * M * * * iE iF dR Jt if 9C- iE 3FiE eE * aF if * io- sE iEiE 9E JE xiF # * * iP * * * if iF �E * 9f 1e fE 9E BE # iF if-,jF x * 9E i6 OE iE iP * 3FjE BE RE if-IE:FIE 1F iE if
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 : G - 'E. L_ 9 I DATE: zzzAl
BUILDING APPROVED BY S DATE: I67Ir
APPLICATION ISSUED BY: DATE: o
*x•iE±Ex aF iR lE it•iH RE iEiH**3f iP iF iE 1E MiEdH lr: if iE iE 3E iH i!•Rf 9f 9Eit
1E iF*4F 1E 9F 3F+E iH iE iE BRlF iF iE RF if 7E FPie9f iE *iE iF iE *if if *iE 9P *iH RE9Eif IE** kiE ff*1F iF 3f iEM 3F BP iF?EiP*iFk fE fP Bf aF )f iE *if x•BE )f %9E 9F iK al BE**
LEGALIZATION:N F E E S U M b A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 304.00 4.50 24.00 2.26
PLAN 49.40 258 508 SMIP/NON-RES
ISSUE FEE 3.00 15.00
BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK 'TOTAL PAID DUE
TOTALS ---- > 334,76 18.00 49,40 402.16 402,16 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 352.76 OVER/SHORT;00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
304.00 7.50 39.00 2.26
9E B6 iE * 9E i4 jE RF aF4P if %BEi! NE 3f 9f iE 4f if xif iERf 3P iF if BFBf 9E jE * # 9f 9EiE * 96 %iE 9E Bk 1Fi(�*i! 9E 9Kx Bf BF iF iE 9F Bf BE BE x 3E 9f NE iE IF)f-%%dE iE 3F Y.x IE � lE -Y.-if if if
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
SFR 467 DWE-TYPE V -WOOD FRAME -GOOD 69,00 32,223.00
ELE 10 FIXTURES, LIGHTING 1 ST 20 EA, 75 7,50
ELE 13 RECEPT/OUTLET 1 ST 20 EA. ,75 9.75
ELE 9 RECEPT/SWITCH 1 ST 20 EA. .75 6.75
PLU 1 BATHTUB 2,00 2.00
PLU 1 LAUNDRY TUB OR WASHER 2,00 2.00
PLU i GAS PIPING SYS 5+ OUTL-PER OUTLET ,50 ,50
END OF FEES
CONSTRUCTION AND PLANNING
AOROVALS Permit # Date
A
Inspector
PO. SPA
APPROVALS Permit #
Date
Inspector
'.. 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. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd,
8. Foundation
.59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, ❑ 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
�( [�Q
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 ❑Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing'
�Y �
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat
75'. Dry Chemical "
27. Frame and Flashing,
�; R,!
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL '
29. Insulation
�` 'lA
j9i�Y
78. FIRE PREV. FINAL
30. Drywall NailingL�
I•
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
q�,
.79. 'FINAL INSPECTION
32. Electrical Power Meter -Final
i
80. FOOD CERTIFICATE ISSUED
-
33. Final Electric
I
Notes:
34. Final Heating & Air Conditioning
i
35. Final Gas Pipe -Test
In,v/
36. Hood or Canopy
1 _
71q1
37. Final Factory Fireplace
j
�.
Ij
38, Final Plumbing
91,
O
39. Water Service -Final
40. Gas Service -Final
I
i �,
41. Solar Domestic -Final
I '
42. Backflow Preventers
43. Backflow Irrigation•
`
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
N,�,�1
�•
48. FINAL PLANNING
49. Electric Release to Edison
j
}-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1617 ALISO AV
owNE 40DflessRESS: WASHINGTON, JAMES W JR
40: WASHINGTON, ANN F
161.7 ALISO AVE
COSTA MESA,CA 926:.'7
ARCHIENGINEER: 642-2627 REG.NO.:
ADDRESS:
UNIT' CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 05008
PERMIT NO: d 0`.0080 Pli CHECK NO: N GOVT: N STIPP: Y
CONSTRUCTION t''iFt: V -N PERMIT TYPE: ELE PURPOSE: ADD
UNIT: JOB DESCRIPTION ADD DEN, FAM.RM(NEW AREA 6 GARAGE CONV) SQ FT:
PERMITTEE: ANN WASHINGTON (710642-22627
ADDRESS: 1617 ALISO AV
C.M. CA 9262.7
LICENSED CONTRACTOR 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 Cotle, and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C).
POLICY NO.: EXP. DATE:
. , Detailed copy is hereby furnished. ❑ Climbed copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($1 DD) or less).
I 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 WorkersCompensation Laws of California.
Date: Signature:
NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code, you must forthwith comply with such provisions or this permit shall be deemed 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:
ADDRESS; PARTXAL CONVERSION OF
EXISTING GARAGE AREA,
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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 Contractors' State License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code) or that he/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 sole compensation, will do the work, and the
structure is not intended or offered for sale (Section 7044; Business and Professional Code. The Contractors' State 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 said within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code' The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a conlraclods) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section. B. 8 P. C.
for this reason
Q�
Date'. NO ✓ L/r'/L/illY 'Q /I Ro_� Owner'.
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Stollens 24A, 25533 ,
and
25534 and that l or any future building occupant will/will not (circle one) need to comply with Said state codes and the re uirements for a
permit for construction or modification from the Air Quality Management District Residential construction applications are exempt from
these provisions.
Date. Applicant.
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and
ordinances and state laws relating to building c struclum and hereby authorize representatives of this city to enter upon the above -me
property fort innssppexctiAzonn zpurposes
Date """'V Signature:
Driver's License or Social Security k:
1641 46 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor
CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 /M-1
COMMENTS: REFER TO #BEP50002
Z O N I N G S TBAcxs
R E Q U I R E M E N T S
ZONING APPROVED BY
BUILDING APP)tOVta) BY
DATE:
DATE:
APPLICATION ISSUED BY: DATE: II 2 d
#%:\###1F####3E.#######Y+(. IE###±E##X.#'1(#T! X.tE#r,. K.####Ne
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBINGIN.ECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 49.35
50& SMIP/NON-RES
PLAN
ISSUE FEE
MAIN
BUILDING ----------
O N
----------
ACCESSORY
BUILDING --- - --
FRNT:
FT IN
REAR:
FT IN
FRNT:
FT IN
REAR: FT IN
LEFT:
FT IN
RG'HT:
F"I IN
LEFT;
FT IN
RGHT: FT IN
PARKING
RE8,
PROV:
PARCEL:
42514210
ZNE:
REF NO:
PLANNING
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I N D I V
I D 11 A I. F E E
B R E A K D O W N
>
D
E V E it O
P M r: A. T
S E R V I
C E S R
E Q U I R
E M E N T S
ZONING APPROVED BY
BUILDING APP)tOVta) BY
DATE:
DATE:
APPLICATION ISSUED BY: DATE: II 2 d
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBINGIN.ECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 49.35
50& SMIP/NON-RES
PLAN
ISSUE FEE
QTY
4,50
O N
EA,
BUILDING -DTV->
P!?:rtIl
ISSUE PLAN --CHECK
TOTAL PAID
DUE
TOTALS---'->
49,35
4,50 0.00
'53.85 53.85
,00
REVENUE DIVISION TOTALS--->
COLLECTED:
53,85 OVER/SHORT:00
1 ST
BLDG PMT
PLUMBING ELEC'T'RIC
MECHANIC
FIRE SMIP/TOT GRADING
PLAN --CHECK
20
ELE
53,85
TIES APPLIANCE NOT
OVER
#ic %##.%.✓.%#+f Y.###34####?#%###########%#####-0(9E%###########%####lhK##%kiF
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I N D I V
I D 11 A I. F E E
B R E A K D O W N
',TYPE
QTY
1) li :; C R I P T I
O N
EA,
ELE
20
FIX'T'URES, LIGHTING
1 ST
20
ELE
18
FIXTURES, LIGHTING
ADDITIONAL
ELE
7
RECEPT/OUTLET
1 ST
20
ELE
20
RECLP'T'/:.;'W(TCH
1 ST
20
ELE
2
TIES APPLIANCE NOT
OVER
END OF
FEES
UNIT COST TOTAL COST
EA,
,75 15,00
EA,
,45 8,10
EA,
.75 5,25
EA,
75 15,00
1.0 HP
6,00
rIN OV28 1990
CITY OF COSTA IMESA
• 0
Ago AhL
CONSTRUCTION AND PLANNING W
1'I'PROVALS Permit # Date
Inspector
PO SPA
APPROVALS Permit #
Date
Inspector
l: 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. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, O Undrgrnd., Test
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
14. Rough Plumbing
65. Electrical -Final.
15. Rough Electrical -Conduit
66. Solar System -Final
16. Rough Electric Wiring
2 go
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 0Gas El Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas OOil
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 PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
.79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
-591
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'O�
-.
45. Sound Attenuation
xW i
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
CITY OF COSTA MESA
CALIFORNIA 92626 P.O. BOX 1200
FROM THE OFFICE OF THE PLANNING DEPARTMENT
11arch 24, 19G9
Mr. :?alter P. Linsky, Jr.,
2327 "argaret Drive
NewPbrt Beach, California
The City of Costa Mesa wishes to advise you that in revising street
addresses, the following addresses have been changed:
Old Address New Address
446 U. 16th Placa 1617 Alina Pxonue
For your convenience we are listing the agencies below that we have
notified of this change. In addition to those listed, you are advised to
notify your correspondents of the change in order to avoid any possible
interruption of mail service.
Your cooperation in this matter is appreciated.
Very truly yours,
W. L. Dunn
Director of Planning
cc: County Clerk (4)
Pacific Facility Test Center
Pacific Telephone
Southern California Edison Company
Southern Counties Gas Company
United States Post Office
Bond Department /
Building Safety Department
Communications
Costa Mesa County Water District
Engineering Department
Fire Department
License Department
Police Department
Public Works Department
Street Department
File
29251
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9282!
For Applicant to F111 In Completely
COSTA MESA. CALIFORNIA
[ARCHITECTBurtapAlarnberg"
WNER Newport Balboa Savings & Loan
IREss 3366 Yia Lido
TY Newport Beach TH 6733130
ENGI ENEN TE 5408833
Dneaa4ri01 Birch St-. Newoort Beach
ADDRESS 4501 Birch Street
CITY Newport Beach
ST TrEio. 146423 HEL• 540 8833
SIZE-- O Z 1 -- LAI I NO: OP KLDOK.
OF
TING BLDG.
LCK LINK FROM
® DESCRIPTION OF WORK ■
GCT 16-68FAIDSA00 922
CRi oi.5c
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
ZONENO. or ZONING D. NEW
— . Puns n 9UUO1.N w —..
SMALL BE LESS THAN
YARDS APPROVED YARDS APPROVED
MAIN BUILDING I ACCESSORY BUIILD NG I
Family dwelling w��/aa�ttached garage
Plan 5B/O.>ZOOiC6.ut.._Lae�kA7
1 HEREBY ACKNOWLEDOE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IE CORRECT AND RORKE TO COM.
PLY WITH ALL CITY ORDINAMC ND STAT& Laws REauuTlxa
AUTHORIZED AGENT
I L
X
TERATI N
ca
Jia �� t i�Sbr
ADDITION
THE BH N ANDER VALUATION IO FOR THE
REAR Fr.
RT.
A PERMIT P88 ONLY.
i13
VALUATION
a.(J
PERMIT FEE
DISTANCE aR.
BET. MAIN e
PLAN CHECK S
726?
TOTAL FEE !$le
MAIN BLD
ACCESS.BLDGB.
rREPAIR
IN
EM US
VAR* 11 V-40-68
DATE
563
NO.OF
6
1-1/Z
ROOMS
RI
C.U.P.
APPROVEDA/S ARLL
w L ,stucco
HOOF
,- ...�
shake
APPROVED
BY V , _.a_
DATE IU -14-1.,R
Family dwelling w��/aa�ttached garage
Plan 5B/O.>ZOOiC6.ut.._Lae�kA7
1 HEREBY ACKNOWLEDOE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IE CORRECT AND RORKE TO COM.
PLY WITH ALL CITY ORDINAMC ND STAT& Laws REauuTlxa
AUTHORIZED AGENT
w
S DeG.Fr.
ca
Jia �� t i�Sbr
THE BH N ANDER VALUATION IO FOR THE
O
j
PURPOSE 088 OF OP 4TABLISXINO
A PERMIT P88 ONLY.
i13
VALUATION
a.(J
PERMIT FEE
PLAN CHECK S
726?
TOTAL FEE !$le
UAIC
BUILDING PERMIT NI
117-311-13 LOT TRACT FIRE ZONE VALUES 500.00
SUBCONTRACTOR
,WATER Plumbin
'ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING Heatina and Vent.
TRENCHES E3 FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
.R, BROWN COAT
:URAL, FINAL
HEAPING. VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST
ELECTRIC, FINAL
nuu n�ur. riu e� 1".iZ`—i
C.
f 14�L
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O.BOX1200 COSTA MESA, CALIFORNIA 92626
lll^PAIu
a-;Sclls,01 936•
PCTION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
RE 1 BV
T CE D DATE ISSUED
BUILDING L
ADDRESS
ADDRESS a L
-OP—
OWNER
IT Q.^
—f
MAIL
ADDRESS
BUILDING r
ADDRESS SO
ee TEL. po/
CITY ,FA NO. �. db
TRACTZ7 OT BLOCK
N W ADD AL P MOVING
CONSTRUCTION
7
LENDER
OWNER GJ
BRANCH
ADDRESS
VALUE
USE $ AVOID
ARCHITECT TEL.
OR ENGINEER N .
FIRE
ADDRESS
ZONE TYPE GROUP
APPROV
CONTRACTORBV
DATE
tt
ADDRESS
TEL.
CITY NO.
Zgt
NO. OF
PLANS
USE OF NEW
BUILDING
STATE CITV
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO. OF SLOGS.
/
(FROM C/L STREET)
OF LOT
NOW ON LOT
RONT FT.
FT.
USE OF
EXISTING BLDG.
B. SIDE FT.
^
1 FT
Separate permits are required for
L. SIDE
FT.
REAR FT.
FT.
electric, plumbing and heating work.
USE OF B ILDING AND WORK TBE ERFO MED
DISTANCE BET.
BET. MAIN &
MAIN SLOGS.
ACCESS. BLDGS.
VAR.#
DATE
_C.U.P.#
APPROVED
APPROVE 1 \
ay V
�I4.
1 hereby acknowledge that 1 have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any parson in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am 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, Division 3, Chapter 9.
VALUATION
PERMIT FEE $
PLAN CHECK $
Signature of
Permittee
$
TAX $
TOTAL PAID $
Authorized Ajnt
OWNER WEBS Robert DATE $_18_75
JOB ADDRESS 1617 Allso Avenue BUILDING PERMIT N0. 40432
GEMFRAL CONTRACTOR Owner1BlAr. DESCRIPTION of WORK Install door
A .117_?
INSv ECTIONS
SOIL
ty GAS
LOT
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
111,34
kyl_\ifflz
SUBCONTRACTOR
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ED FORMS E STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING _
FRAME AND FLASHING
PL
Sl
GAS TEST
:1..9.5
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — �Use Ink Only
BUILDING
ADDRESS
OWNER
ADDRESS
CITY �Y'
CONSTRUCTION IiJ
LENDER T�
BRANCH
ADDRESS
ARCHITECT
OR ENGINEER
ADDRESS
CONTRACTOR
ADDRESS
CITY
STATE
LIC. NO.
SIZE
OF LOT
USE OF
TEL.
TEL.
NO.
CITV
LIC. NO.
Separate permits are required for
electric, plumbing and heating work.
USE OF-13UILDING AND WORK TO BE PERFORMED
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 shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or 1
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of� .f/
Permittee E%
Authorized Aglsnt
Pw..
AJPLIICAIION FOR STRUCTURAL PERMIT
RE E D
I DATE RECEIVED
ATE ISSUED
eb/
A.P. NO. 11 — 1�
PERMIT NO.
BUILDING
ADDRESS 1G SO
+7QQ
TRACT�/C5_ l
LOT30
BLOCK
NEW ADD
ALTER
R P
OWNER t7
s"s t 6 /; ViF VALUEE Cq/t
USE l_�O
FIRE
ZONE 17—TPE GRO P
APPROVED
B I DATE f� b
Z9M
NO. OF
PLANS ?,
USE OF NE
BUILDING
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
(FROM C/L S EET)
RONfi FT.
FT.
R.S,CEFT.
FT.
L. SIDE FT
FT.
REAR Z�FT.
FT.
DISTANCE BET.
MAIN BLDGS.
BET. MAIN &
ACCESS. BLDGS.
VAR. #
C.U.P.#
DATE
APPROVED
APPROVED
n
SQ. FT.
THE AMOUNTSHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
I 494,
$ �V CJ
PERMIT FEE $
PLAN CHECK $
TAX $
TOTAL PAID $