HomeMy WebLinkAbout281 SHERWOOD ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
f. CITY OF COSTA MESA CONSTRUCTION pC]ONGSIT,RUrCTIO�N,,/PERM T PERMIT NO. TRACT NO. LOT NO.O. UNIT NO. 6784 3/15/83 25025 I l
Project Address of 8/ '.3 Ut-r woo �S�O �� mjr 1 1 •(/ •
•
Applicant's Mailing Address TYPE OF CONSTRUCTION 6d'NEW lJ ADD 'ALTERATION H REPAIR •
'CO" yp 'CI CONVERSION DI DEMOLISH 111 OTHER A.P.# 'I/C.)6 — ol/L{— p'7 Zone
Owner's Name (fT/fl TO,VCS PhoneOi/� DESCRIPTION •F WORK/USE OF SLOG.
(2--4/14.4- ,�� �/
Address rJ may` f dU�" • '' • anint S Main Building: Accessory Building: '
Arch/Eng.
C (/ 7 f TD License No. TYPE OF PERMIT ❑ RADING S FOUNDATION In STRUCTURAL T Front a(5 8/ O
Address •7. . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear /1 r • N
Z / ee ("0le Phone7.JF•_5"6 I ID OTHER . • J A V/
Contractor's Name C Right - N
4 0.e v D - A S PROJECT DESCRIPTION 5q. FT. _. OCCUPANCY - K G
• Address(mailing) v - S e CONSTRUCTION TYPE t-�--. VALUATION$ yd�� $ L t p .
City License No. r 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: "L I /C'We Planning Notes: Of , • c -wax).-
with
Cx� M
with section 7000),Of Division 3 of the Business and Professions Code, and 1 «/��` "�
my license is in ful fo feeynd effect % J . , .�a �.�- // ,�/ 1J S
License Cl.ss - 12i -n - 4 v,el (J `��
Date pr's Signature erir/ - -- PLUMBING ® ZOO CJn /I.(I ..4-21 ) ". .51 notte. ., iv
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
(1 I hereby affirm that l have a certificate of consent to self-insure or a certificate Ill ELECTRICAL FEES
_
t� of Workers' Com perisation Insurance, or a certified copy thereof (Section ' Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
.` 3800, Lab. C.))
`\t0 Policy No. '7� 1 S723"'$ 7 Company..---VVI-Se. Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
\ :ertified copy ii hereby furnished. -- I
Dateertl ed cy4y jfiled with the city 1123 Di //o ' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
I11- Applicant . ✓(�-� -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
U (This section need not be completed if the permit is for one hundred ($100) or
less). i - 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 manner so as to become subject to the Drinking Fountains Solar T Fan Motor 0-1 HP 01%-6
Workers' Compensation Laws of California.
Date Signature Floor Drains Swi Ting
Pool w/Spa — F.A.U.
NOTICE:If,after making this declaration, you should become subject to the _ I .Solar ❑9-15 HP ❑i6-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks incl Fixtures •
comply with such provisions or this permit shall be deemed revoked. Microwave -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C-) Interceptors Water Heater '
Lender's-Name _
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm thael am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal Standing Sections
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 -
i 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). '
Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ' I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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; y� �A�� gyp&
• employees, provided that such improvements are not intended or offered for Boiler Hood or Type I D ZoningApproved By
'CV 3- 1c.83
sale. If, however, the building or improvement is sold within one year of com- -- - - Canopy Type II ❑ pP Date 7
pletion, the owner will have the burden of proving he/she did not build or In- Duct-Under Ground Building Approved By Date -7
Drove for the purpose of sale). f q�
LJ I, as owner Of the property, am exclusively contracting with licensed con- Duct-Structural Refrigera n System Application Issued By .7 �� Data —i-r-78-
tractors
C�/tn
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 00- 0,000 BTU 0100,000 BTU SUMMARY OF EE
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 thatBUILDING PERMIT $ /'S'OO SMTP $ ' S�C7
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple ❑ ystem Repair/Alteration
PLAN CHECK $ q•76- PERMIT
'- ❑ I am exempt under Section B.& P.C.for this reason —Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
HeatingSystem g PLAN CHECK 25% $ ENERGY P.C. $
Date Owner - & Ducting 'Registers
hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100, OOBT ELECTRICAL $ GRADING $
)Ifni nation is orrect. I agree to comply with all city and county Ordinances
and state laelating to building co traction, and hereby authorize more-
if PLAN CHECK 50% $ MICROFILM $
sentatives is city to�gk} ug�pd .t heve.mentioned pr arty fo
inses. r, - / —�- f/� ye / - MECHANICAL $ TOTAL FEE $ as-.)-5-
Signature
CI BC/((� �.�-- Date
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
CONSTRUCTION AND PLANNING - POOL &SPA
APPROVALS Permit# 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-Uridrgrnd. 55. Electrical Bonding
5. Steel Reinforcement' / 3 J(-it$ c '1 , 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.• 57,. APPROVAL TO COVER-GUNITE
7. Footings - Al'tl�i� G._IP . 58. Electrical Conduit-Undrgrnd.
8. Foundation - - I / ' 59. Gas Pipe, 0 Undrgrnd.,(Test '
9. Water Pipe-Undigrnd_J ,./' 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 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 , ' I
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil ..--
25.
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _ -•5
•
27. Frame and Flashing 76. Dry Standpipe r I V.
28. Lathing & Siding -• 77. FIXED SYSTEM FINAL 1., -
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 r
33. Final Electric Notes: iiis n ,,
34. Final Heating & Air Conditioning 3/23 r et rz age fr/
35. Final Gas Pipe-Test
36. Hood or Canopy -r
t
•37T Final Factory Fireplace
38.;Final Plumbing 4 ,
39. Water Service-Final , ,f j,. . )
i
40. Gas Service-Final
i41. Solar Domestic-Final .
x'42. Backflow Preventer - ,.'sr -
•%
43. Backflow Irrigation ,� ,'-- r-
1 44.-Landscape Irrigation System l ;
45. Sound Attenuation -tele - it r
.
46. Handicap Regulations 1
end ///,,
47. FINAL STRUCTURE & BUILDING yi1l,�0 a gr Jolt U1�/ ..AW fU�'f�
48. Special Requirements Completed 11dd�0 I , ti'
49: ElectricaRelease to Edison • ; '
50. Gas Release to Southern California Gas Co •
-
51. CERTIFICATE OF OCCUPANCY �- . .
No. It Date
•
PARTY WALL AGREEMENT
•
I)
THIS AGREEMENT, made and entered into this �-" day of
°'4fOpvr)--- ,. 1983, by arra betweents/a: 6E A.3 44 -fill/;” 4, ✓s',hea
hereinafter referred to as "LAND CANER", and ✓/,Qr-'vc9NGe 'YY1v[C'0,16),A /
hereinafter referred to as "ADJACENT PROPERTY CWNER". /
It is hereby agreed that a party wall will be constructed on the
property line between .81'/ _54Anadod ST. aZ.U�
(Address of Adjoining Properties)
-t73 fieza.loo et s�—
in the City of Costa Mesa, Countygof Orange, State of California, as per map
recorded in Book /d Z, Paged of Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
e citidd (1 &ad-- ficrvfy
IN WITNESS WHEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND GdNER ADJACENT PROPERLY OWNER
Sim Pk-/ . v(9/6°44/1/
,°4
Signature) (S. nature)
c--- Carr(-/
Name (Typed or Printed) Name (Typed or Printed)
-�� sl2.�cieed sr- ✓/`j5J`J Av/eaK ►G A ' ,
(Address) (Address)
(NOTE: Please see reverse side for notary's statement)
STATE CF CALIFORNIA ) .
ss.
COUNTY CF ORANGE )
On before me, the undersigned, •a Notary • .1.lic in
.andvfor. the County ofOrange, .State.:of California, personally appear-.
known to me to be the persons) whose name(s) is subscribed • the within
instrument and acknowledged to me that (he/she/they) exe« ed the same.
WITNESS my hand .and_official seal. . (SEAL)
- Signature •
Name (typed or printed)
STATE CF CALIFORNIA )
ss.
OCUNTY CF ORANGE )
On , before me, the undersigned, a Notary
Public in and for the •unty of Orange, State of California, personally appeared
known to me to be e person(s) whcse name(s) is subscribed to the within
instrument and .-cknaaledged to me that (he/she/they) executed the same.
WITNESS my rand and official. seal. . • ' '. (SEAL)
(Signature)
Name (typed or printed)
\\f~
PARTY WALL AGREEMENT
i
•
'IRIS AGREEMENT, made and enteredinto this ���-
day of
hi,4/1G4.. , 1988, by and between ,749a,.,4_ ` X .
hereinafter referred to as "LAND CWNER",, and Iyu kosimm AAiu� Ar r 1R ✓ J, Aria+
hereinafter referred to as-"ADJACENT PROPERTY CWNER". .
It is hereby agreed that a party wall will be constructed on the
property line between ef/ 5,4.2 Game'. S ',Alf
�� D (Address of Adjoining Properties)
h2 hnra-nC 627—
in
.in the City of Ccsta Mesa, County of Orange, State of California, as per map
recorded in Bock/OL , Page''of Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
<c94I4-/L y h es1ej ' _7
• IN WITNESS %HEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND OWNER ADJACENT PROPERTY OWNER
v
4-c.-., ../r#e.....:,91,4;;./.„
(Signature) / i / _ ' (Sig attire)
,j 4. 's 'c4J.e /A14,&.(d �/na e� /4051irr 4A•r.I,I,c/Amca.ioy/finaa
Name (Typed or intim Name (Typed or Printed)
c'17. S.e,rwtrze.. 677 4'17 SA-,cw s7—
(Address) (Address)
(NOTE: Please see reverse side for notary's statement)
' r•ti
STATE CF CALIFORNIA ) • •
) ss.
COUNTY CF ORANGE )
Cm before me, the undersigned,• a Not. Public in
and for the County_of:Orange,' State of California, personally - r•-ared
known to me to be the person(s) whose name(s) is subscr'.:: to the within
instrument and acknowledged to me that (he/she/they) e -cuted the same.
WITNESS my hard and official seal: (SEAL)
Signature
Name (typed or printed)
STATE CF CALIFORNIA )
ss.
COUNTY OF ORANGE ) •
On , before me, the undersigned, a Notary
public in and for th: County of Orange, State of California, personally appeared
..: • -
known. to me to the person(s) whose names) is subscribed to the within
instrument . : acknowledged to me that (he/she/they) executed ''the same.
WITNESS -hand.
and Official 'seal. (SEAti)
(Signature)
Name (typed or printed)
TYPICAL 6II CONCRETE BLOCK FENCE
Cement Coping Optional i7 GENERAL- NOTES
Channel Block With 1-3/80 '�i
Horizontal Top of all `• --- --- - - -- ---- _ -- -
Fences 11 I - I I I MORTAR: TThhrOne eeaPatsaSand Cement, and
For Fences 5'or Less ci •• 1 GROUT: One Port Cement Three and
Vert.Bars 3/8"0at 4' -0"O.C. in
o COPING: One Half Parts Stand
rc = One Part Cement, Three
For Fences Higher Than 5' ;�� 0 'I _M, 111 IIII • Parts Sand
Vert. Ban 3/8"0 at 32" O.C. > w CONCRETE: Wel I Mixed 1:2-1/2:3-1/2
cc = Max. of 7- 1/2 Gallons of
. Fill Cells Solid With Grout >
Where Steel Occurs �� „ I Water Per Sack of Cement
Reinforcing Steel Shall t f Lo GROUT MAY BE POURED FROM THE TOP
Conform to Steel S 5-39 -- w O -'�� • _ OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
A.S.T.M. O CELLS AND AREAS OF HORIZONTAL REIN-
FORCEMENTI SHALL BE CLEAR,CLEAN&
All Steel to be Lapped 10 w -I I FREE OF ALL MORTAR DEBRIS,ETC.
-
24"or to Code
NATURAL GRADE i9 .111
.1/4tt/Ai (�\' ea
0 -
TW03/B"BARS 'Mier D ' � e _ • � � e ♦.. � .
CONTINUOUS TOPI .. . .-
&BOTTOM "" t--e—WIDTH • TO 161 O.C. MAX.
SEE CHART � , • .
M0217-STEEL MUST BE TIED IN BELOW a DE PTH OF EARTHTCOTH
PLACE AT TIME OF TRENCH e. l. , L • 1/3 THEHEIGTH OF FENCE
INSPECTION. _ A•"E[OWBOTTOM OF FOOTING.
k°-_l ori-1 2..A L- SCALE: 1/2e : 1'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5' ; ! 4' i 3'
WIDTH 14" 14" 1 _121_,__, . ,. - • . . 12
THICKNESS 10" 10" 8 " g "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" . . . . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' 16' - 16'
OWNERS NAME:
A City of Costa Mesa, California FT
OERMADDNUMBER:_ _ _
Building Department • SIGNATURE:
evl5ea Nov'.No .az.
2v
a
APPROVED APPROVED `
City of
Costa�AMesa Building Dept. ic O"C STA MESAailt
BY .. 7��! DATE -4'' l9 P NNING DEPT.
SUSIECT TO LIDO. DEPT. REG.
THESE. PLANS MUST BE ON JOB AT ALL TIMES MAY,- 9
NO CHANGES WCiHOUT PR;OR APPROVAL O'. G'_: . `t BY._ L DATE. ./5 '88
4 3 Wi-r7 C9,f 7/ 3 • DIRECTOR OF PLANNING
THEItSSUANCti O G AN,INOr A.(.: ER:.:T C' p%^'^„n. OE 1
1 PLANS AND S^ CfFIC AT;Pt'S S:i.',I I.NOT V Cri•Ci''nl'F J TO OEA •
9I THS.FROVISiONS CS u.,;'� •:rt c3I rat.:(W,N'G-
AUTHORIT'Y TC: V1C{F.L OF L' ‘''SF: 'H• 3 . MIS
4 CODE SHALL_'c VALID. E.kCEi•'1 I : i,.S AL (F.'E uVU:.a; USE
N,'HICH 'I'I' Ai2HOPIZ'ES ,S LAdV;P.A.11
�^
THE. iS>G.,NSE O' .A FEr,Mi; BASED UPON FL' - :ND rr'n,?�,
SPECIFICAT:CNS SHALL NOT PREVENT T:-1 : DING : : ,C•A,l ry _
•
FROM THERE:,FTER REQUIRING IHC COF,:PECT1C}:N 0: rkt;SiS IN .
SAID PLANS AND SPECIFICATIONS OR P::Grv; P%E`:eN'iluG pp��-- �'rN❑c!p"rS,• �[�.�r�QtiJ, 0�� C,Q^i i:Cj���s SHALE
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IULt(17Q4 Chi Q r
IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE Of BY r Ul!l;,Irv��
DEPARTMENT,THE CITY.
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i\ 41
-6 RESIDENCE RESIDENCE
RESIDENCE RESIDENCE/ ��
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PflOJECi RODRESS: STUNIT:
281 SHERWOOD CITY OF COSTA MESA BUILDING PERMIT PERM NO; B 054580 •
.L OWNER'S NAME: JONES, JAMES F A '
T ADDRESS: 281 SHERWOOD ST PERMIT NO: B 054580 PLAN CHECK NO: N GOVT: N SUPP: N
• COSTA MESA,CA 92627
CONSTRUCTION TYPE: 5-NPERMIT TYPE: STA PURPOSE: ALT
( 714 ) 548-3900
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : TIO EXIST. /RE-ROOF W/25 YR COMP SHINGLES SQ FT: 3, 400
ADDRESS: UNIT:
• CLAIM VALUE: 3, 400 . 00 CALC-VALUE: 3, 400. 00 GROUP OCC; R-3 /M-1
PERMITTEE: C.R . ROOFING ( 714 ) 722-1504 '
ADDRESS: 218 COLTON ST COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME.
NEWPORT BEACH CA 92663 ##**************************** ************************* a ' # #
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS ��
70001 of Division 3 of the Business and Professions Code, and my license is in full force and effect. SETBACKS REQU I RED
CITY uc.: 48_5Q7 STATE/LIC.: 258E C • / / • `""••
Date: Pa /(�`9/ Signature:�-_4 %., /r''/_�/��%/ MAIN BUILDING • ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cerliftcate of consent to self-insure or enificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C. LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
• POLICYNO.: 1182757-9 1 EXP. DATE: 04/01 /92
COMPANY: STATE PARKING REQ: PROV: PARCEL: 42621407 ZNE; REF NO:
o Certified copy is hereby furnished. EXCertified copy is fi with the y Building
gDDivision. PLANNING NOTES);
Date:�!/ (��/ / Applicant. � j�'��i(/7 #***#########*#**#*iE##*3E#*###BE*####*#############*####*#*######*##**')E�3(-#if##*###a(
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hun B/Q((55100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N T S
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 •'r
subject to Inc Workers'Compensation Laws of California. ZONING APPROVED BY •. DATE:; -
Date Signature:
NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: 4- .
Code.
-
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r 1
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• c, A- DATE: Lc I`51 i(�
which this permit is issued(Section 3097.Civ.C). ****************************************** * ************************* ick *1 **
**
. LENDER: ****#******#**#*##*#*#**************#***#**#***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y
-,•
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES. GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 0050
.
repair any structure.prior to its issuance.also requires the applicant for such permit to tile a signed statement that he/she is licensed SM IP/NON-RES ,
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN o
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by _e
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0 . 00 6 3 . 50 63 . 50 ,-'• . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or •
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT• L'• 0 0
torthe purposeof sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING' PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 . 00 5 0 ;,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon y
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).l am aware *****************************************************************************,.**
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A 'K D O W N ,
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST :'TOTAL COST
Date: Owner: SFR 3400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3..(1,
400 :00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES f .
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a 1., r h'•
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
q ,
these provisions. i ,
•
Date: Applicant: //6,d(J i •�3n •',
I hereby certify that I have read this application and stale that the above information is correct.I agree t0 comply with all city and county /
ordinances and state laws relating to building con ction and hereby authorize representatives of this city to•n ler upon thea„'--mentionetl _ _ •`}
properly for inspection purposes / ' Ji:: -
/ 6 3/ D9 Q0lcn1;4
Date: 6 g /r 7/ Signatu a�/, ��✓� - /� .>• Q4TE 10174 �1 31: :i s rt.
dr
Driver's License or Social Security
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
a
CO b RUCTION AND PLANNING POOL & SPA
ROVALS Permit# 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 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, 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 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 i.Permit#
21:Ducts, in Structute` •.. - - _70. Underground Hydro
22. Ducts, Ventilating .. - -71. Product Piping 0 Gas ❑Oil
23.-Gas Pipe-Rough & Test - - - • 72. Underground Flush ;
24.-Roof Framing '
73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing _ 74. Overhead Hydro
26. T-Bar Ceiling (Structurall &.Monocoat - 75. Dry Chemical - .
27. Frame and Flashing 76: Dry Standpipe
28: Lathing& Siding - , - • . .- 77.• FIXED SYSTEM FINAL
-'29. Insulation ...1._ - . ; - 78, FIRE PREY. FINAL
r30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
_31. Plaster Brown Cob[ , 79. FINAL INSPECTION -
.1'32: Electrical Power Meter-Final • -• . 80. FOOD CEFTIFICATE ISSUED •r •
33)-Final Electra ' Notes: -
34.-Final Heating & Air Conditioning, 1.1 . ` - 1 ` , _ -
35:'Final Gas Pipe-Test - '
•. 36. Hood or Canopy- - -
37.-Final Factory Fireplace . S . : - '
38. Final Plumbing ` - - - -
-39. Water Service-Final - . ,
40. Gas Service-Final
• 41. Solar Domestic-Final- - • - • -
-
42.-BackflowPreventer - . '
43. Backflow Irrigation - - '
44. Landscape Irrigation System- „ - . - ' - -
•
-45..Sound Atteeuatioh r" •J - - , . -
`46. Handicap Regulations . , ' ;
.47. FINAL STRUCTURE•&BUILDING 1 c-qt 6 '6':--; 27.- 4_
S• 6/-.e e/ D4 6� 6C
48.'FINALPLANNI{V.Gi :,=i ' ` :' cc
-49, Electric Release to'Edison ' 1 - , :10-22.011--
/„20�1_ V 4,„,,,i �# A /
•50. Southern Gas,Release to Sern California Gas Co : I • - . C4
•-- .�4 ,� f
-51. CERTIFICATE OF,OCCUPANCY
No. Date
N
• el- YtIu �$ n..:
•
1183 .�. e2/- 5-
COSTA MESA BUILDING DEPARTMENT
FINPJItE DEPT. `�
.,
P.O. BOX 317
•
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING ' 281 Sherwood Street BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PET1 41Vj
OWNER Sherwood Forest Developers ¥3
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED Ei
ADDRESS 3700 Newoort Blvd. _711. 7'3-./-51 atm 4 195
TEL. BUILDING
CITY WAoinnrt Rao oh NO. OR 2_19L4,0 ADDRESS
AROR C ITCT ENEER Raymond Levannes LIC.
NNO. C747 COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
CITY LIC. PLA NB
ZONE PLANS TV^� GROUP
/�
CONTRACTOR Lido Construction NO. 7520 /1'
TEL- • APPROVED
ADDRESS Q7Ofl Thz>1.7rt Plied NO. (1R Q_l 9fy(1 BY DATE
LEGAL LOT 19 '��89 CORRECTIONS
DESCRIPTION NO. BLOCK TRACT3289
NO.
SIZEy o NO.OF BLDGS.
X
OF LOT 751 801 NOW ON LOT none
USE OF J�
EXISTING BLDG
CENTER
. q[ L•L
SETBACKOF LINE6TREET FROM 491 REAR YARD 26 1
SIDE YARD . RIGHT 51 LEFT 61
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING .✓` NO.OF
SIZE _ f. ci ROOMS STORIES
EXTERIOR WALL WOOd ROOF
_COVERING etrypen COVERING rn rile
USE OF
BUILDING Dwelling
Att. garage 400 so. ft.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION
SIGNATURE OF PERMIT FEE S 39
04-
PERMITTEE
( I rSa - PLAN CHECK S / 7. 'D/
$ 7/J TOTAL FEE S 5// f. 4Mr
AUTHORIZED AGENT I