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HomeMy WebLinkAbout2940 RANDOLPH AVE - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 3677 8/17/F7 G f CITY OF COSTA MESA CONSTRUCT ON PERMIT - P(€lReMITT NO. TRACT ns TRACT NO. LOT NO. UNIT NO. J - . Ti ' Project Address ✓9 Yc J`/WPC L"f� S— I �'^`y';da 3 9791 Applicant's Menlo?Address' /2 31. Ea Alyie y(,s/ i.4, TYPE OF CONSTRUCTION ❑ NEW ADD LJ ALTERATION LJ REPAIR I `6'J " FNTl'sy.�t )"'C- Phones onnr ❑ CONVERSION ❑ DEMOLISH OTHER Owner's Name f%�—` 7 A.P.# Zone n_ DESCRIPTION OF WORK/USE OF BLDG. 2.-9Address YR "nlL241 e/pH T/" �1 S Main Building: - Accessory Building: Arch/Eng. License No. TYPE OF PERMIT 0 GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front . D Address �j El TENANT El ELECTRICAL VA PLUMBING ❑ MECHANICAL B Rear • N Contractor's Name D l gy Phone ❑ OTHER A C Right N PROJECT DESCRIPTION SQ. FT. OCCUPANCY G Address(mailing) K CONSTRUCTION TYPE VALUATION$ S Left City License No. ZONE - GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) Of Division 3 of the Business and Professions Code, and ' my license is in full force and effect. - T License Class License No. S Date' _ Signature PLUMBING • . FEES • •WORKERS'COMPENSATION DECLARATION Bar Sink Showers • ELECTRICAL FEES 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 Backflow Preventer Service Sink • 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation I 0 50+KW 9 9 Sewer Cap • Construction Pole&lb. - Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit , Meter ❑up Co 100 amps Date Applicant J EXEMPTION FROM WORKERS'COMPENSATION DECLARATION 'r Clarifiers • Solar Collectors- - Da Dishwasher Meter ❑over 100 amps (This section need not be completed if the permit is for one hundred ($100)or . - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued,I . ' shall not employ any person in any m n er so as to become subject to the Drinking Fountains Solar-Tank Fan Wor - ompen typo Laws of calif e�J _Y • Motors❑0-1 HP 01Y2-6 Date/ ,%/-- / Signature ✓7 -tj�� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ NOTICE: If,after making this declaration, you'nould become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal comply with such provisions or this permit shall be deemed revoked. FiXtufei Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet . I hereby affirm that tnere is a construction lending agency for the performance • Device Boxes Pole Light of the work for which this permit is issued (Section 3097'Civ. C.) Interceptors Water Heater ' Lender's Name - Outlets Range Lender's Address _ Kitchen Sink • Water Service Switches - Sign OWNER BUILDER DECLARATION 9 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code:Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's 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 I 703},.5 by any applicant for a permit subjects the applicant to a civil - pL�e�fdlty of not more than five hundred dollars($500). • I, as owner of the property or ,nye-n, '-yaps with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3 for'sale (Section 7044, Business and Professional Code: The Contractor's MECHANICALFEES 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 • - — . DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). Building Approved By In Date N/1 �1 (6l ❑ I, as owner of the Property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By (� Date O 1 {(•0 tractors to construct the project (Section 7044,Business and professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating - • ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- — tractor(s) license pursuant to the Contractor's License Law). I am aware that —Exhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ SMIP , $ proof off their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B. &P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ �J,OQ ISSUANCE $ Date ,� LL Z-� Z Owner / of / ' „....-r Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this applic. ion and state that the above100100000 BTU 0100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for inspectiongnaturep /ceiosnt 9 /®Y%-g/ rII3- MECHANICAL $ TOTAL FEE $ S. Ob Signature ( /r 55 Lam_�! Date fJ" Drivers' License or SS%f��- - --- Reinspection Fee $15 Issue Fee PLAN CHECK 25% $ CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND•PLANNING POOL & SPA APPROVALS Permitt Date Inspector APPROVALS Permit# Date Inspector 1:,Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement r 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings• 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,-0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. 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. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test •�' 36. Hood or Canopy 37. Final Factory Fireplace 381 Final Plumbing yi(,n Clot) 39. Water Service-Final I • 40. Gas Service-Final 41. Solar Domestic-Final , 42. Backflow Preventer • 43. Backflow Irrigation •44. Landscape Irrigation System - - 45. Sound Attenuation -r 46: Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48.'Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO, TRACT NO. LOT NO. -BLDG.NO. - " ' - • • CONSTRUCTION PERMIT S9 02[16 11/r1u/m „ I I 00 TL{ Project Address / 7 N( //Jy u`a - TYPE OF CONSTRUCTION • O� ,_ Owner �•n�n�Dl�7• /I posy/y�L/� (/- Phone s9�-� e; ❑ NEW ❑ ADD ❑,ALTERATION ` - " Address T/~7 yyy///((("'AAAA 0 REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS Arch/Eng. License No: ❑OTHER A.P. - Address _ DESCRIPTION-OF WORK - • ZONE -PLNG. REF.$" ' Contractor Cl crwi,d '_ id Phone•S/ p(/•. TYPE OF PERMIT BUILDING TO BUILDING �/ / SETBACK C ST. PROPERTY LINE • Address eq /(uii yy / - 0 GRADINGS . 0 FOUNDATION 0 STRUCTURAL - RE YARD - • . LICENSED CONTRA TOR DECLAR• ION ❑-TENANT'jSL ELECTRICAL ❑PLUMBING I]MECHANICA SIEEDE YARe - • - I hereby affirm that-Iam licensed under •rovisions of Charter 9 (com- ��/ 111 RIGHT mencing' with section 7000) of Div' oR 3 of the Business and 0 OTHER REAR YARD(TO P/L) - - . ' Professions Code, a•d my license license is II force .r.- PROJECT DESCRIPTIO •N _ • License C .ss _ D iL Llceps' N/�I^ -��1 lb ' - "' PKG.SPACE REQ. .PROVIDED-. Date _ -. 'Signature- A A' C P� - SQ.FT. - STREET WIDTH• -.PARK FEE$ - - WORKERS'COMPENSATION DE.tlC •' '/(t OCCUPANCY' CONSTRUCTION TYPE f hereby affirm that- - _I have a certificate of •n nt to self-insure ora VALUATION ZONE ZONING'APPROVED BY - _ I DATE Certificate of Workers' Compensation Insurance,- or a certified copy - - • - - . - . . _ _ _ thereof(Section 3800,Lab.C.). i GRADING CU.YDS. ACRES SPECIAL CONDITIONS: . - , Policy No. Company - - - - - - - ' - " , . . __ _ ❑ Certified copy is hereby furnished. _ • ... REMARKS: . . .. ... _ _ _ ❑ Certified copy Is filed with the city B 'Iding Division. ., .._ . . EXEMPTION FROM WORKERS' CO. P NS•TION DECLAR•TION -""' - - -- (This-section need not be completed If t e •er -it Is for o.- u dred - . - _ - _ _ _ __ - • ($100) or less). • - " - ' I certify that in the'performance o the brk for is per it is _ _. Issued, I shall not employ any per on I• n ma v�A s to become PLUMBING •.PLAN CHECK " ` ELECTRICAL- ' ' PLAN CHECK'- " " ' • • - subject t �e or Compensati• �- - UW hLLING- .hR HAO E. . Ie BATHTUBS SHOWERS Date Ignature ��•••a e - NOTICE: If after making this declaration, you s$uld become subject TOILETS • ',URINALS ' ' -' ' - "'No, GENERATOR 0-1'KW_1-10 KW - ' " - to the Workers' Compensation provisions of th• bor Code,you must TRANSFORMER forthwith comply with such provisions or thi pe mit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE - 10-50 KW50+KW- _ . g- - revoked.- .- -- _ -- .- - _ _ . . ._ CONSTRUCTION LENDING AGENCY KIT.SINKS- - " DISHWASHERS MOTORS - 04 HP_I-10 HP -' - - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ' - SUMPS - ' ' - - (INC.SOLAR) -10-50.HP 50 +HP ' ' ... .. formance of the work for which this permit is issued (Section 3097 -' • ' Civ. C.). - -' FLOOR SINKS • - - FLOOR DRAINS • • FIXTURES OUTLETS -SWITCHES -- - • - Lender's Name _ • _ _ - DRINKING FOUNTAINS' "GAS TUBE'SIGNS - Lender's Address • OWNER BUILDER DECLARATION ._.. INTERCEPTORS CLARIFIERS - POLE LIGHTS' - - - I hereby affirm that I am exempt from the Contractor's License Law for the following'reason (Section 7031.5 Business and Professions Code: SWIMMING POOL' ' P TRAP - LOINS I BUL•I WN, _ _, _ - Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair'any structure, prior to its Issuance,also re- WATER SERVICE - ALTERATION" PANELS MAIN - quires the applicant for such permit to file a signed statement that he ` Is licensed pursuant to the provisions of the Contractor's-License Law "GAS SERVICE OUTLETS ... "'SERVICE - AMP• ' (Chapter 9 (commencing with Section 7000) of Division 3 of the - Business'and Professions Code)'or that he Is exempt therefrom and the WATER HEATERS - BTU OUTPUT - . . - - - basis for the alleged exemption. Any violation of Section 7031.5 by • any applicant for a permit"subjects'the applicant to a civil penalty SEWER CONNECTIONS - - ' - - . . -'- ' . - - of not more than five hundred dollars ($500). • , ❑ I, as owner of the property,or my employees with wages as their SOLAR TANK -' COLLECTORS - . "" - -' - - - '_-- .- - ' - . sole compensation, will do the work, and the structure is not intended - - _ _ or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - - - - - - 3 era' ' Contractor's License Law does not apply.to an owner of a property ''' _ APPLICATION APPROVED-BV C. -� • •-DATE 8, who builds or improves thereon, and who does such work himself or ISSUE FEE ti - through his own employees,.provided that such improvements are not _ _ Intended or offered for sale. If, however, the building or improvement MECHANICAL • PLAN CHECK -SUMMARY OF FEES is sold within one year of completion,the owner will have the burden _ of proving he did not build or improve for the-burpose of sale). • BUILDING - - HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP - $ 0 I, as owner of the property,- am exclusively contracting with AND DUCTING -- licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ % tracts hem'such projects with a contractor(s) licesned pursuant to SYSTEM GRADING _$ h the Contractor's License Law). 100,000+BTU PLAN CHECK $ _ • . . \ 0 I am exempt under Section B.& P.C.for this ELECTRICAL $ • D $ BOILERS BTU' reason - • PLAN CHECK $' . ., MICROFILM $ ' Date- A Owner A SYSTEM REPAIR,ALTERATION TOTAL FEE$ -- ' �\ MECHANICAL $'- • V I hereby cerci t Lha e re.•,th ation and state that the above EXHAUST SYSTEM MULTIPLE _- ._ -LESS AD- information rect. a•ree ply with all city and county -- PLAN CHECK E' VANCE PC $ i, Ordinances an• laws - •tin• ,• truction,and hereby authorize representatives ••liiy a l upon the above menl'oned propertySignature for. i ,Ilk • r �l t • . • =: //s Signature r6�0 �_ �r�• ate 4- FINAL FINAL FEE $ Drivers' License oW S If f / • ISSUE FEE- - - - - - CMF 086546 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOLS(SPA - - APPROVALS Permit# f" CSySg Date • Inspector APPROVALS Permit# Date... Inspector 1. Temporary Electrical Service or Pole - 43. Pool& Equipment Lbcation•• ' -- . - - - .- - . -- - 2. - Soil Pipe-Undrgrn - 44. Steel Reinforcement - - -- - • • - - -- • -- - - ---- 3. Electrical Conduit Utility-Undrgrn - 45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding _ --- - - _ -- . 5. Steel Reinforce • 47. Rough Plumbing& Pressure-Test -- - - __ _ _ , _ . -. - • 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE _ 7. Footings - 49. Electrical Conduit-Undrgrn - _ 8. Foundation - _. 50. Gas Pipe, ❑UndrgrnyTest - •. - _ 9. Water Pipe-Undrgrn 51; Backwash Lines,P-Trap,-❑-Undrern - • - - 10. Structural Floor System 52. APPROVAL TO DECK - -- - ' - •- • • - 11. Property Sewer Line& House Connection 53. Backwash &.Receptor-Final l• 12. Street Sewer Connection - 54. Heater& Vent-Final 13. Rough Plumbing 55. Plumbina System -Final - , 14. Rough Electric-Conduit - .56. Electrical-Final 15. Rough Electric-Wring 57. Solar System-Final - ' 16-- -Rough Heating&Air Conditioning - - • b - Fencing&Access Approval ,• •• • 17. Ducts,in Structure 59. APPROVED FOR PLASTERING ^.>, ' , • 18. Ducts, Ventilating - - . . - _ ... . . _ • 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - - 21. Roof Sheathing - ' 22. Frame and Flashing NOTES: 23. Insulation - -- - - 24. Lathing& Siding 25. Drywall Nailing _ 26. Plaster Brown Coat 27. Electrical Power Meter-Final _ ''S�i - 28. Final Electric - /AS /ftO 29. - Final Heating&Air Conditioning - - - - „ 30. Final Gas Pipe-Test 31. Final Plumbing _ -32. -Water Service-Final . - - . • , 33. Gas Service-Final • - 34. Solar Domestic-Final • 35. Landscape Sprinkling System . _ - - ' _ 36. Sound Attenuation - ' 37. Handicap Regulations _ 38. FI NAL STRUCTURE&BUILD,ING 39. Special Requirements- Completed' - - 40. Electric Release to Edison . ‘ - 41. Gas Release to Southern California Gas Co. - , i 42. CERTIFICATE OF OCCUPANCY No- - ' • Date -_ .. •le • Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. G/7\ •?h. Til "CITY OF COSTA MESA ' PERMIT10.4 TRACT NO. LOT NO. BLDG.NO. .--t'y%r'.. - '"- CONSTRUCTION PERMIT l.•;:7-.:5"// b 1 Project Addres29y6 i2�. TYPE OF CONSTRUCTION JUN i1982 . Owner %ate '/j®°1 Phon4 7,4/2.0 NEW El ADD 0 ALTERATION _ Address .,___4 kb e _ -/Yoh f/9 ea/ 0 REPAIR 0 CONVERSION 0 DEMOLISH ,,5 cosi 0 OTHER 1-115 PION ZONING REGULATIONS Arch/Eng. License No. - A P . DESCRIPTION OF WORK •� Address . .-- • PLNG. REF. Contractor d/ Phone TYPE OF PERMIT - ' BUILDING - TO BUILDING SETBACK C/LST. PROPERTY LINE . . Address ❑ GRADIN 0 FOUNDATION 0 STRUCTURAL SIDE VARO - LICENSED CONTRACTOR DECLARATION 0 TENANT ELECTRICAL ❑PLUMBING ❑MECHANICAL LSIEDET YARD - - 1 hereby affirm that I am licensed under provisions of Charter 9(corn-. RIGHT mencing with section 7000) of Division 3 of the Business and ❑ OTHER • . Professions Code, and my license is in full force and effect. P-ROJECT DESCRIPTION REAR YARD (TO 15/L) License Class License No. PKG.SPACE REQ. PROVIDED Date Signature - SQ. FT. WORKERS'COMPENSATION DECLARATION - OCCUPANCY_CONSTRUCTION,TYPE STREET WIDTH - _ PARK FEE$ " I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY • I DATE certificate of Workers' Compensation Insurance, or-a certified copy thereof(Section 3800, Lab. C.). - GRADING CU.YDS. ACRES SPECIAL CONDITIONS: •• Policy No. Company . ' - ' - ' • ❑ Certified copy Is hereby furnished. REMARKS: - . . _ ❑ Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - (This section need not be completed if the permit Is for one hundred - _ ($100) 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 PLUMBING PLAN CHECK - - ELECTRICAL ' PLAN CHECK subject o th Woorrrk�erts_'.Compensatl w of CalifO �y..y'� UW FEEING SO FT GAHAOE Date ���4p ! Signature alt ran subject -TOILETS URINALS - GENERATOR 0-1 KW N FTl-10 KW / 7. 5U NOTICE: If after making this declaration, you should becC TRANSFORMER to the Workers' Compensation provisions of the Labor Code,you must LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW50+KW forthwith comply with such provisions or this permit shall be deemed revoked. .. � c CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS - 0-1 HPy 1-30 HP // co I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50-HP_50+HP formance of the work for which this permit is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address DRINKING FOUNTAINS ' GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for • the following reason (Section 7031.5 Business and Professions Code: ' SWIMMING POOL P TRAP - wNOI HUt.I[UN Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE IALTERATONI - PANELS - MAIN SUB quires the ap1licant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE . . - OUTLETS SERVICE 3,0 j AMP 5 00 (Chapter 9 (commencing with Section 7000) of Division 3 of the /— Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS - BTU OUTPUT basis for the alleged exemption. Any violation of Section 7031.5 by - any applicant for a permit subjects the'applicant to a civil penalty SEWER CONNECTIONS ' ��ofy not more than five hundred dollars ($500). . - ' i, as owner of the property, - rr _—y.lc_.�:�� SOLAR TANK COLLECTORS e atYyl, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. I - ISSUE FEE S o Contractor's License Law does not apply to an owner of a property - - APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or ISSUE FEE • through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARYOF FEES is sold within one-year of completion,the owner will have the burden i of proving he did not build or improve for the purpose of sale). BUILDING HEATING SYSTEM 0-100,000 BTU PERMIT ❑ I, as owner of the property, am exclusively contracting with AND DUCTING - - $ SMIP $ licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pursuant to SYSTEM - - GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK $ ❑ 1 am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ t8,7--n---f reason - PLAN CHECK '$ MICROFILM $ Date Owner - SYSTEM REPAIR,ALTERATION ' MECHANICAL $ TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- . information is correct. I agree to comply with all city and county - PLAN CHECK $ VANCE PC $_ ordinances and state laws relating to construction,and hereby authorize . representatives of this city to enter upon the above mentioned ' property_for spec 'o pure . • ' 2 Signature Date FINAL FEE $ •©a' Drivers' License or SS --• ISSUE FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor f• CONSTRUCTION AND PLANNING POOL&SPA Date Inspector - Date Inspector APPROVALS Permit# APPROVALS Permit# _ • , 1. Temporary Electrical Service or Pole 43. Pool & Equipment Lbcatidn` . 2. Soil Pipe-Undrgrn44. Steel Reinforcement -- - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn _ _ - 46. Electrical Bonding -- - . ---- 5. _ Steel Reinforce 47. . Rough Plumbing& Pressure Test _ 6. Electrical UFER Grn _ - 48. APPROVAL TO COVER-GUNITE - - - .7. Footings_ _ _ .. . 49. Electrical Conduit-Undrgrn - 8. -Foundation . -. _ ' _ 50. Gas Pipe, E Undrgrn,Test - . . 9. Water_Pipe,Undrgrn.. . 51. Backwash Lines. P-Trap. ❑Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK - - 11. • Property Sewer Line & House Connection 53. Backwash & Receptor-Final - 12. Street Sewer Connection . . - - 54. Heater &Vent-Final • 13. - Rough Plumbing • 55: Plumbing System -Final 14. Rough Electric-Conduit - -56. Electrical-Final 15. Rough Electric-Wiring • 57. Solar System-Final 16. Rough Heating & Air Conditioning - - - ba.. Fencing &Access Approval - 17. Ducts, in Structure • . 59. APPROVED FOR PLASTERING . ' .18. Ducts, Ventilating . . . - _ _ - .- 19. Gas Pipe-Rough &Test _ 60.. POOL/SPA SYSTEMS FINAL, 20. Roof Framing - . . ' . . .'Roof NOTES: 22. Frame-and Flashing - .-- - - - 23. Insulation - - . . . 24. Lathing & Siding - 25. Drywall Nailing - 26. Plaster Brown Coat • - 27._- Electrical Power Meter-Final . .. (o-M-81( A_ d• . - _ 28. 'Final Electric - - - - e€- ir-•- -- L . - 29. Final Heating & Air Conditioning 30. Final Gas-Pipe-Test _ ' 31._ Final Plumbing - • - - . - 32: -'Water Service-Final - - 33. Gas.Service-Final - - 34. Solar Domestic-Final ' - .' 35. Landscape Sprinkling System • - - 36. Sound Attenuation • ' 37. Handicap Regulations • - - 38. FI NAL STRUCTURE& BUILDING - •39. Special Requirements Completed . 40. Electric Release to Edison - ',07-Wit ilrI . 41. Gas Release to Southern California Gas Co. • 42. CERTIFICATE OF OCCUPANCY .. . . No. - • Date - - 1 City of Costa Mesa Building Safety Department CERTIFICATE OF OCCUPANCY N? 1987 C P. 0. Box 317 Costa Mesa, California The Building located at 09h0 ppnAolph Street has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group F9 Occupancy. Use of Building et+rwnic tile contractor Legal Description 141-962-10 (See reverse side for Metes and Bounds) G,, Building Permit No. 21538 Electrical Permit Na. 22297 Plumbing Permit Na. 42691 Floor Load Signs have been installed as Room Capacity Signs have been instated as required under Sec. 2308 U. B. C. • required under Sec. 3301 (1) U. B. C. . 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments_ and/or guest rooms ISSUED TO: Building Official/� �y G_y/� j Jerry Tri pp by eer-A X/ul r !�! :4:1C� Date 115, 1964 ,. This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Forrn BU34-1M-11-63_5-B p ;_ : , 19062 F E RECEIVED - .COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 1 5 1963 P.O.BOX SIT COSTA MESA.CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATION TNP€IEMOOSTA MESA TYPE OR PRINT BUILDING a o Ram o p a,phi S� For Office Use Only BUILDING ADDRESS RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 79/)/ �] • . vD Sed OWNER �I1✓ �� �1e.• ✓ -- I BUI MAIL 1 ADDRESS a 9�a ADDRESS 0� 7 O17 - - // 1 CITY N a Nobe 7 ZONE FIRE ' pSinkYPE �// ROU NOp(l �p�74 D/ APPROVE 2 ARCHITECT -t TEL. BY ,lATE 0 OR ENGINEER/0��� �a/Flt TEL. 7r'u ZONIN ADDRESS ,�'l�Y� e I pUNe� I BUILDINGNO.OF USE OF 1') pl� CONTRACTOR J (r,/I,'^ L8G L' 7 3a 1� Ry�...e„ ,a� DESCRIPTION k{�� -� n 3 6 3 / ADDRESS ^-( CITY .�J - A.P.NO.E: NO EAV(/ /Vj///.P 6 2 -* / ° STATE ' O! 3 t^// ' NO /�/�6 -6,i Z a 90T TO SIDE 8 REAR PERH LNG SHALL"BE LESS THAN LIC.NO. ((ee .. 4( V7 EAVES SIZE �/ .N NO.OP SLDGS. A ALLOWED (U.B.C.REQUIREMENT) OF LOT / OW ON LOT 'P YARDS APPROVED YARDS APPROVED USE OF .-- i MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROMCpC/L STRE T) / SETBACK LINE FROMr -19- FRONT{][[.SFT . FT. CENTER OP STREET I./'� REAR YARD 3 1 I/ SIDE YARD I LEFT I RIGHT -8" R.SIDE FT. 3• FT. DESCRIPTION OF WORK L.SIDE FT. 3/ / Fr. arNEW v ALTERATION _ ADDITION REAR . FT. FT. DISTANCE BET. BET.MAIN B REPAIR MOVING�IDEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUI SIZE If X.7 V ROOMS S- STORIES S OOORIES I CAU.P.# /� APPROVED / Q EXTERIOR WALL S/VC/b I COVROOF ERING i.a BYAPPROV ED// / �//DATE 3'-/� {�/ COVERING Wl/I' USE OF BUILDING AND WORK TO BE PERFORMED Pate h lVT/ s /77," ...FT. NG I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION q BUILDING CONSTRUCTIO . �// �)//// PERMIT FEE $ • • — N SIGNATURE OF '...A tet/ //-��K� /� 7 -, , - �J _ m • PERMITTEE (J((V\T CCG�� 'L ...i ^ , ,,, ,,(7._// 6�fF' / //'./5 , / 0 LL AUTHORIZED AGENT TQTAL FEE $ ,S0 `' 2153 FEE RECEIVED • 'COSTA,. BUILDING-SAFETY DEPARTMENT FEB 4 1964 P.O.BOX 317 COSTA MESA•CALIFORNIA FINANCE DEPT. rl7y nF neT� �pFe For Applicant to Fill In Completely APPLIC�i41c9 F'OR AINISA �71Yn TYPE OR INT BUILDING / � For Office Use Only BUILDINGS• ,f// ADDRESS RECEIPT NO. PERMIT NO. • COSTA MESA, CALIFOR IA 1S le 9pATE EIV D bITI ISSUED 3 if OWNER F _ c 7 ex /�//�-'` BUILDING p[/ -MAIL ,(/ �X ADDRESS/ /0 " FIRE • ADDRESSbZk1 GGGfff 1/ II it,�Tq, TEL. // ,/ ZONE TYPE Y GROUP . CITY /�I NO�T�� 'T ' 'y/ J '' '1I rL/-l ' S5 APPROVED /�� OR ENGINEERI ( o[!1!/ W aQW14 NO.0/I 7'7Q� By V ATE /� NING (pto..77cc-ci ADDRESS / ZONE NO.OP UBH OF NHW PLANB V' I BUILDING CONTRACTOR + ! ✓ y_..,n ,c,,.wpCt.Q/ 73-) ''') , 1 LEGAL em-/d 1-(/ ADDRESS 737 ,�)1)11471.-17 //(, DESCRIPTION -NLS n- CITY /y�J� ea / 7 G A.P.NO. I ��— P� a--1 /� NOTE: NO SAVE OVERHANG SHALL BE LESS THAN STATE 2Z /C 3 NEOL.(O�(— lea 30"TO SIDES REAR P.L. LIC.NO.'7 Y JqJ C� C C EAVES . OF LOT / e1 X.[)-- 2---$i WIC I NOW ON LOTS ALLOWED • (U.B.Q REQUIREMENT) EXISTINGUSE OF BLDG. Ea vYy K6�C1. YARDSINBUILDING YARDS RAPPROVED BUILDING MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM I�` l r FRONT ter!/FT. FT. CENTER OF STREET pl/ REAR YARD /� p SIDE YARD I LEFT - -a I RIGHT 0 R.SIDE / FT. / // FT. DESCRIPTION OF WORK L.SIDE /�el-r. . aFT. NEW IVALTERATION _ ADDITION REAR /J / FT. .oJ/ FT. DISTANCE BET. BET.MAIN S REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING-/ / NO.OF / VAR.# DATE SIZE ^j�QC('9 d ROOMS Al STORIES C.U..�PI..# l/�/ APPROVEDEXTERIOR '/ COVERINGWALLS�JGC� COWERING 2�1'D �/ ,� BYPf-//V Elf d` DATE 9� $- USE OF BUILDING AND WORK TO E PERFOR�+ED �,�.r -Q<A V <1 r �, �3pt`nR SPc� AL [?EQUIRRa,4�:11' a 9,-- ,c--e—d)—c--Yr I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE / i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES QND STA LAWS REGULATING VALUATION BUILDING BUILDING CONSTRUj•N. SG/vy__ � PERMIT FEE $ [I SIGNATURE OF O�,�/ ca PERMITTEE $2 7O VO J L CK VA 7 5' AUTHORIZED AGENT !/ E TOTAL FEE $1.28.,2 6. • 22847 • FEE RECEIVE • COSTA MESA BUILDING-SAFETY DEPARTMENT AUG L 9 964 P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT. CRY OF COSTA MESA For Applicant to Fill In Completely APPLICA N FOR PERMIT TYPE OR/�RINT BUILDING BUILDING 9 ./ _/7 /p� // For Office Use Only ADDRESS D lc- 04- - l RECEIPT NO. PERMIT NP COSTA MESA. CALIFORNIA 2 OWNER / ADiS 2_ 5/O Zak / car! � �/�- / BUI NO . MAIL .TV �/ L ADDRESS oI'YI. Q_ L.t� FIRE CITY � TENO.d�(Ir-7yLZONE TYP- GRAT APPROVED �4 ' ARCHITECT TEL BY 4 DATE OR ENGINEER (l/ A NO MF. . 37- , x,36 .t/ n en-ol� •NTNG ADDRESS I�Pit"�r-n / 9- _l ZONE / NO.OF ^ BUNEW) 11.P PLANS /-J/ BUILDING /tea{//J CONTRACTOR n / ,-- t �.. _ ADDRESS /1 II- !-rt.„--A• Ai- CITY L1 / n Ia �y1 Q l7// DESCRIPTION%'1÷ A S_ V / CITY /I rJ A.P.NO. a� `T/ — v . �! O ,�// ''//// NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIATE C. NO.,-L/ c 33 NO.IOy-Ip-6 f7/a SO'TO SIDE&REAR P.L. EAVES SIZE / I NO.OFBLOOB. ALLOWED (U.B.C.REQUIREMENT) OFLOT 70 A 7--1' V NOWONLOT •+- USEOF /'n D YARDS APPROVED YARDS APPROVED EXISTING BLDG. A0, c f d TA-4 4 .,., MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM - FRONT FT.Y//P�0 CENTER OF STREET REAR YARD FT. SIDE YARD) LEFT I RIGHT R.SIDE FT. l/ FT. DESCRIPTION OF WORK L.SIDE FT. /.' FT. NEW X ALTERATION A ADDITION REAR FT. ✓ FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. - BUILDING NO OF it / VAR.# DATE SIZE :TC r Q 7 P ROOMS STORIES / C.U.pP..# �/'/� APPROVED /// / (((��' EXTERIORWALL II1�Cc)I COVROVF ERING .. BYPI E/ (Y /A' �S DATE {7=/p y COVERING J (yn / / USEOF aIBI1IL(D� -ou,I D_A ORC�O BE PERFORMED tee /Nn IJL-%1h A.1u (Al a)1 UN SO.FT. O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE g AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O WITH G ALL CITY OgDI ARCED AND TA LAWS REGULATING VAL TION ®O q PLYBUILDING CONSTRUCT) 01 PERMIT FEE $ SIGNATURE OF f O PER M ITTEV G ��-Im $A/'1O� A C EC 0 AUTHORIZED AGENT 4/ I '� p 4 TOTAL FEE $ 22876 FEE RECEIVED AUG 2 5 1964 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA,CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR T BUILDING • BUILDING �j i/� �j�"- For Office Use Only ADDRESS / j /1 Wi1ll RECEIPT NO. PERMIT NO./ COSTA MESA, CALIFORNIA 2-2cr 7 6 !/�� L /I RECEI BY � a E�76f at A �/ED OWNER ry11 '7/L(� / '�'')I pp IC --6-5 G MAIL 94 (f ,.///� ADDRESS ,a-( iC /ZPI1�ek ADDRESS C. / VD . 4-ri c �y CITY ` NO pfd-7z y, ZONE FIRE aTYPE Pia GROUP l` ARCHITECT Tod' q,T� / yDSN R. O2 3 L��APPROVED �' /•. •ATE air OR ENGINEER o (� W ` / �� Y - . ZING ADDRESS Y ZONE HO,OF USE OF NEW �n� PLANS 7.,,/ BUILDING �fj CONTRACTOR ,(��//J1 LE{ GAL A J ADDRESS y713n da......."-a- / a? _DEeCRIPTIDN7CITY ' 1 /� A.P.NO. �y/-- a 6 , - // `� / / o NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.J .-Z1 b 3 3 170176 VC,- r O 90'TO SIDE @ REAR P.L. EAVES SIZE I NO.OF BL ALLOWED (U.B.C.REQUIREMENT) OF LOT 7( NOW ON LOT L L /� YARDS APPROVED YARDS APPROVED USE OF [�//� �D L MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. C/OC G �jW t/1 (FROM C/L STREET) SETBACK LINE FROM - FRONT CENTER OF STREET REAR YARD SIDE YARD I LEFT I RIGHT R.SIDE DESCRIPTION OF WORK L.SIDE FT. Fr. NEW ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN& -/ MAIN BLOCS. ACCESS.BLDGS. ��y/ . REPAIR MOVING DEMOLISH / VAR.# DATE BUILDING NO.OF SIZE ROOMS STORIES lj #. _ i✓ • APPROVED EXTERIOR WALL I ROOF APPROVE e "" COVERING p COVERING DATE U % DIN roin- TO BE D D N • SQ.FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY OR EB AND ST LAWB R80ULATINO VALUATION �/� BUILDING CONSTRUCTIO •`�V 3 C70 N PERMIT FEE $ D SIGNATURE OF n^ B PERMITTEE -0 S 3 O LAN CHECK R AUTHORIZED AGENT NO n TOTAL FEE 5 3