HomeMy WebLinkAbout208 SANTA ISABEL AVE - Building Permits k•PROJEflDDRESS: 208 SANTA ISABEL AV UNIT: REAR CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 068178
A OWNERSNAME: JAKE EBERLE
ADDRESS: 1927A HARBOR BL 4303 PERMIT NO: P 068178 PLAN CHECK NO: N GOVT; N SUPP : N
COSTA MESA
CA 92627 CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU PURPOSE: OTH
( 714 ) 650-5163
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL NEW GAS SERVICE & GAS PIPING SQ FT:
ADDRESS: UNIT:
CLAIM VALUE; CALL—VALUE: GROUP OCC; R-3 /
PERMITTEE: JAKE EBERLE ( 714 ) 650-5163
ADDRESS: 1927 HARBOR HL ( BLDG.A) 303 COMMENTS: NEW GAS SERVICE ON THE REAR HOUSE & NEW GAS PIPING SYSTEM
COSTA MESA CA 92627 *36*TE*3E-*a6*36363***3636x3+*******y6*****-P3e************a6aH-Icacn-**+6*qE -*a6*xa6***y6*#**-r;*+;*#+=a:*ak
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SE TB ACK S
CITY LIC.: STATE LIC.: CUSS: EXP
Date Signature MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate 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
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 11910203 ZNE: REF NO;
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. , PLANNING NOTES>
> --'
Date'. Applicant: **************************************CFE***********************************Si***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). • D EV E' L OP MEN T S E R V 'I C E S REQUIR EMEN TS
I certify that in the performance of the work for which this per ed,I shall ydl employ ayK p on In any runner so as to become
su atom ker rtlfisatioaLawsofCaifornia. / /`ry/' //� ZONING APPROVED BY _ DATE; —
Oate: /�� Signature: Cl". ere' "nsl'N�vi BUILDING APPROVED BY _
NOTI II after akl g th declaration,you should be,subject to the Workers'Compensation provisions of the Labor DATE
Cod you mus orthwith comply with such provisions• his permit shall be deemed revoked. q /�j
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BYf . DATE : !/2'1 (/1
which this permit is issued(Section 3097,Civ.C). **********************1�Te„ E1le*�r*i,1.+**x ? *,S**4 i6*****!t•*****************x.744, -**i,.�. il
LENDER: ************************************** c*** ®.****f,-**************3c***********i'**K
ADDRESS: LEGALIZATION:N F E E AS U MMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I 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 1200 V
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed • -25% SMIP/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 •
and Processions 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). ISSUE FEE 20 . 00
I. as owner of the properly 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----> 12 . 00 20 . 00 0 . 00 3 2 , 00 32 . 00 • 0 0
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 REVENUE DIVISION TOTALS--> COLLECTED: 32 , 00 OVER/SHORT
improvement
purp0Se of sde)hin one year of completion.the owner will have the burden of proving he/she did not build onmprove 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 32 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon )
and who contracts for such projects with acontractor(s)license pursuant to me Contractors'State License Law). l am aware *************************************W*4t*****************************:FSE***Y*1 **
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F•s'E E BR EAKD OW N
OI am exempt under Section: B P 7 0 4 4 B.8 P.C.
for this 2- ALLWORK BY OHNE' ' �� TYPE QTY DESCRIPTIO N' UNIT COST TOTAL CIOST
K
Owner: PLU 1 GAS PIPING SYS OF .1 TO 4 OUTLETS 5 . 00 ], , 00
do hereby ertdy mat am away of and understand the requirements of lifornia Health and Safety Code Sections 25505,25533,and PLU 1 GAS SERVICE • r . 7 . 00 / , 0 0
25534 and that I or any future budding occupant will/will not(circle one)need to comply with said state codes and the requirements for a FEES
. permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END: QF'
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 county f
ordinances and state laws relating to building construction and hereby a prize representatives of this city to enter upon the above-mentioned
property for Inspe purpo -- r� t ) �/ � •� 01 DATE: 07/21/9416 TIME 10:54 32.00
7 M1 07/21/94 4503 TO
nate: �� % et/
Signature' 7
•
Driver's License or Social Security n::
t 641-46 White—Building:Green—Code Enlorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
— _. -_- —
".e CONSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit# Date ,} ,Inspector APPROVALS Permit 4 Date Inspector
rC 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '. •
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement i
l
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
• 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6, Electrical UF ER Grnd. , •\- s,
.� , - 57. APPROVAL TO COVER-GUNITE
7. Footings • 58. Electrical Conduit-Undrgrnd. I
8. Foundation • �•' , �` 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - :,i 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 - 7; 64. Plumbing System - Final 7
14. Rough Plumbing 65. Electrical-Final 1
15. Rough Electrical-Conduit 7' 1 66. Solar System-Final -
16. Rough Electrid-Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING fr.
18. Rough Electrical-T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning '',� FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - - 7 s;- ;APPROVALSIraa'edmit
21. Ducts, in Structure - - D -- -D0. Uoderground'Hydro
22. Ducts. Venti lating•• --, '' -;71, ProductrPiping •,-Gts 0 Oil
23.-Gas Pipe-Rough & Test .' ' : _72. Undergroun• di FlunL
24. Roof Framing .> " '. 73 Jndergrnd'.Stora9eTank0Gas 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 . . - ' 1 I- 78:FIRE PREY. FINAL
30. Drywall Nailing - - • I -�;c :� ,�HEALIN_DEPT. REQUIREMENT
31. Plaster Brown Coat - i 1 79. FINAL INSPECTION
32. Electrical Power Meter-Final f •. 80. FOOD CERTIFICATE ISSUED
33. Final Electric • -' Notes: \
34. Final Heating& Air Conditioning � CC 23-1 PNa r ; '
/�
35. Final Gas Pipe-Test /f..L�q ii -4-SL_`�-4__ F7 (/�
tr v � _
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final i.
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer I
_ I
43. Backflow Irrigation
44. Landscape Irrigation System
- r
45. Sound Attenuation
46. Handicap Regulations -
{
I
• 47. FINAL STRUCTURE & BUILDING ..
48. FINAL PLANNING t'
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
±` '1
OWNER'S NAME: JAKE PROJECT ADDRESS: 208 EBERLSANTA ISABEL AV UNIT: REAR CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 068176
1
ADDRESS: 1927A HARBOR BL #1303 PERMIT NO: E 068176 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA
, CA 92627 CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE PURPOSE; OTH
( 714 ) 650-5163 \I
7 ':`ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION , INSTALL NEW ELECTRICAL SERVICE SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE; GROUP OCC ; R-3 /
PERMITTEE: JAKE EBERLE (714 ) 650-5163 •
ADDRESS: 1927 HARBOR BL ( BLDG.A) 303 COMMENTS: NEW ELECTRICAL SERVICE ON THE REAR HOUSE
COSTA MESA CA 92627 +r#########*###*ir*#########aa####*##*#***##*##aP##*#yr* #***yP#*#*#*##;E-#yP#*yc###ac*3Pyc#
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS: EXP :
Dale signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cy LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL : 11910203 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************#***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be com.teted if the permit is for one hundred(5100)or less). DEVELOPMENT S`E' A V I C E S R E Q U I R E .%l E N T S
I certify that in the performance of the work for which this permit is' . shall not Tdoy any person y niter so as become
sub•ct to the '.kers' r pensatioa Laws of California. g ,� ZONING APPROVED BY DATE;
Signature:
1 NOTI :If,atte making thi.declaration.you should becomy.bit to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : _ __ _ DATE: .i—/—
Code.
__
Code.you must forthwith comply with such provisions or " permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for APPLICATION ISSUED BY : 4 t*. l-it* * DATE; 7 l Z(, (g�
which this permit is issued(Section 3097,Civ.C) ************#*******##**ix .k�e iFxiF.-,v y't xt�.ch Fit X'i�'`JJ�-'*** **3+**>k#**###***#�r,.,F"xTx3-rFx **
LENDER: #*##*##**************************- *********** ` •*******************************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I 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 1850
,
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SMIP/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
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). ISSUE FEE 15 . 00
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----> 18 . 50 15 • 00 0 , 00 33 , 50 33 . 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 REVENUE DIVISION TOTALS--> COLLECTED: 33 . 50 OVER/SHORT
toroth purpose of sale)nm one year m completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I.as owner at the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 . 50
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law),l am aware ***************#*****#*#*#***##*******************************************9(.***.N.
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR E AK DOWN
Ei I am exempt under Section: B P 7 0 4 4 B.&P.C.
for this rea on: '1LL .WORK BY OWNER� lTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Owner: /a 6 ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
do hereby wily that I am aware of and understand the requirements of Calif Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need comply with said state codes and the requirements for a
permit far construction or modification from the Air Quality Management District.Residential construction applications are exempt from ..-
these provisions.
Dale: Applicant:
`. hereby certify that I laws
relating tin This uildingtion and tionend here above information nt ti es of agrey to enu with ell bov anddo county
1�\ I herey csany slate I havrdi bpplicgiconstruction that the
Nle informze re ation
is ogre ttlhisree to entermply on lha above-mentioned
iony
properly tor inspe tun pure les. 01 E; 007/21/94 TIME 10:59 33.50
,n DA0 64504-0 4504 10:59
7 Signature:
Driver's tense or Social Security r:'
16\-46 White—Building:Green—Code Enforcement Canary—Applicant,Pink—Revenue;Goldenrod—Assessor
/c( t, STFtUCT1ON AND PLANNING POOL & SPA l
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 l
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation _ 59. Gas Pipe, 0 Undrgrnd.. Test 1
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd,
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final ,
I
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 I
20. Rough Factory Fireplace fAPPROVALS Permit
21. Ducts,in Structure 1 70. Underground Hydro I
i
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 I
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical i
' 27. Frame and Flashing . 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation - 78. FIRE PREY. FINAL
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final
/) 80. FOOD CERTIFICATE ISSUED I
33. Final ElectricNotes:
34. Final Heating & Air Conditioning • -
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace i i
38. Final Plumbing r:,‘,.-
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
-
'T
PROJECT ADDRESS: 208 SANTA ISABEL AV UNIT: REAR CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068175
OWNER'S NAME: JAKE EBERLE
ADDRESs: 1927A HARBOR BL #303 PERMIT NO: B 068175 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA
CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
+ ( 714 ) 650-5163
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O & APPLY NEW COMPO ROOFING SQ FT: 1 , 000
bp
ADDRES: UNIT:
( 714 ) 650-5163
CLAIM VALUE; 1, 000 . 00 CALC VALUE: 1 , 000 , 00 GROUP OCC: R-3 /
PERMITTEE: JAKE EBERLE
- , ADDRESS: 1927 HARBOR BL ( BLDG.A) 303 COMMENTS : REROOF REAR HOUSE /SMOKE DETECTORS REQUIRED PER 1991 UBC /� p
COSTA MESA CA 92627 ***************aEyeae**�6x.*****#*** * ***�t+E*�E*#aI-*************';.?�*S'MOKET DET�VTOfI
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING `R" E Q U I R E M E N T S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CUSS: EXP: REQUIRED
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate 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
POLICY : EXP.DATE:
COMPANY: PARKING RE PROV; PARCEL : 11910203 ZNE: REF NO;
O
Certified copy is hereby furnished. ❑ Certified copy is Ned with the city Building Division. PLANNING NOTES>
>
Date: Applicant: **1c********************#*********************#*************-**********.!c*********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5781)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 per issued. all not empl an arson in an anoer so as to become '
tubedl to theta kers' mpensa ion Laws of California. ZONING APPROVED BY DATE :
Date -7 2,/
signature: •
BUILDING APPROVED BY DATE:
NOTIC II.after ma ing t is declaration,you sho come subject to the freers'Compensation provisions of the Labor _.(2.60r3
Code.you must forthwith comply with such prov s 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 APPLICATION ISSUED BY; ,/ ) DATE; 7/2/ 7
which this permit is issued(Section 3097.Civ.C). ***************i, ****** •c** * ttr..., t : :**tit******tft***********Int.t-Pg#*;:****
LENDER: ******************************* 5*** *****r*******************************
ADDRESS: LEGALIZATION: N FEE M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I 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 25 . 00 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/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
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). ISSUE FEE
I. as owner of the propertor myemployees 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 ale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 25 , 50 0 , UU 0 , 00 25 , 50 25 . 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 REVENUE DIVISION TOTALS--> COLLECTED• 25 . 50 OVER/SHORT: , 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
tor purpose of sale). C H EC K
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 2 5 ' D Q 50
❑ and Professions Code: Tne 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 contractor(s)license pursuant to the Contractors'State License Law).l am aware **************************************************************************{o****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
Ni I am exempt under Section:B P 7 0 4 4 B.8 P.C
for his re on ALL ,WORK BY OWNER' r� TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date Owner ((jJ� SFR 1000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 1 , 000 , 00
I do hereby ify t IIa mare of and understand the requirements MAW an Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and at I or any future budding occupant will/will not(circle one) .-d to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and he�horize repre$' talwes of thi cit to enter ups above-mentioned
property for insp tion purposes. .
.—y 01 00164505-00164506 TOT 25.50
Date' / �� % Signature: /� / / DATE: 07/21/94 TIME: 11:00
Driver's License or Social Security a:
1641-46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
• AI
C43NSTRUCTION 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-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, 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 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 O Gas ❑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 PREY, FINAL
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat -H. 79- FINAL INSPECTION
32. Electrical Power Meter-Final `;- i 80. FOOD CERTIFICATE ISSUED jI
33. Final Electric •j_ 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 Irrigatioi ystem
d_r
45. Sound Attenuation 7
46. Handicap Regulation , }
r�
47. FINAL STRUCTURL&;3tilLDING _02/kik/
48. FINAL PLANNINGL D
49. Electric Release to EdisoiJ-:,
•
50. Gas Release to South'e n rtalifornia Gas Co
51. CERTIFICATE OF1OCCUPANCY
No. ' Date
4:
•
CITY OF COSTA MESA
SERVICE REQUEST & PUBLIC ASSISTANCE FORM
Date
9—
Time
Caller's Name ?D.....,np al/-¢—,(,t e -e4 e
Address\--- Phone
Nature
of Request: (location, type, severity)
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Referred to "'Yrt&Pi . T�. .� Cl �.+.
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aService Only i/
G Information Only n
Person Receiving Call Ki CSC. 6 At.a_Jt6.
CMF 0378-18
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OWNER HOWEY, BRUCE B. DATE 1-20-60
JOB ADDRESS 208 Santa Isabel Ave, A - BUILDING PERMIT NO. 112)41
GENERAL CONTRACTOR ROmar Bldrs. VALUE $ 10,838.00
Ala. No. 119-100-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res.
INSPECTIONS 2..43-_{,6 DATE I GROUP I TYPE V ZONE R-4
Underground Soil//4-ItsU.G. Water _ PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas iii-/-5 ?-2.e o
Rough Heating ,� /.�,� -Cl/ti;�, f��C'/r-�_ /-..a7-6.7 3 9 kti
Rough Plumbing i A: 7 �0 mfr;, i f /='C,GE�� /- c, 61, , 3 ? r-_/ 1
•Miscellaneous /� 7 —� . (t D
Prop. Swr. i4ae--Hous6le&n. St. Swr. 1/1 / l.a s e-2rt.4...c.ti-s r 17 /c a Z- er . --WH r i
Sprinkling System v. , ,
Heating, Final 460 9.4-6.6 i
'Final Gasng Te tures A,,ia-'4'I ea)
Final Gas Test ,(, A. A,./i� / �d
Construction Pole _ -._ .-�
Underground Power i p,/,J�, `jC' J S-9-G o /79,-d.
Rough Wiring L J=' 5"—t-4-0 ,hv. 4)- if''a„- i i—'Yti —4a litri'2-1 (1 /�
Trenches 4-----Forms1------steel-y:3 _ =i4 2 - / S-FO �/y�0'
Floor System ,u n
Steel Reinforce Chimney Re-Rod • - _ 'l'/"' /
`(
Bond Beam
Sheathing ✓ C--J. -- 7.--.Lk — (.;-O _
Frame and Flashing /3e_ 3 _4L -- pj •
Lathing, In✓ Out ci at yyl a q
Plaster, brown coat /1. yn o- -G ( $2 _ _
Plumbing Fixtures, Final .I el
Electric Fixtures, Final l / -40
Building, Final itf,11-//-4,0 _ 1
OCCUPANCY
Form 210-5M-1)595-BP - . 4: i ,. " FPI ?F" ' fl 1 -112b1
11,
.. 11241
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
P.O.BOX 317 COSTA MESA. CALIFORNIA
FOR APPL/CANT TO FILL IN COMPLETELY APPLICATIONr��FJynF QEE iR�•
TYPE OR PRINT BUieie,AlaCOSTA MESA
BUILDING
ADDRESS 208 SANTA I SABEL C"POSI (toe • -
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. I PERMIT NO.
OWNER BRUCE B. Howcv s[
MAIL RECEIVED BY DATE RECEIVED I I UED '
ADDRESS 208 SANTA. I SABEL I /- /3 C0 /7 6 �i'
-COSTA MESA
TELE-' I MLR'
UILDING
CITY NO.g_7)198 ADDRESS
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA, CALIFORNIA
,
ADDRESS FIRE '/
ZONE • TYPEn (/' GROUP •
/`
CONTRACTORROMAR BL DRS. - LCST NTO.1 LJB% APPROVED cot__DATE /��, [�O
ADDRESS 2430 NEWPORT By . COSTA MESA l/�J//'Z�ONNIING •
•
LEGAL LOT ZONE �^'� NO.OF I USE OF NEW
DESCRIPTION JI NO, 111 { BLOCK� (TRACT 300 (` r PLANS �/1 BUILDING?`/),✓ ll&y
A.P.NO. ( / / / CO V -----0 /* BYPROVED LU, (,Y ! DATE (. `^�L��—%lt<U
SEZEOF LOT 60x1 95 I N00;4,0 F BLDGS. 1 YARDS EVES+� .
NoN Loi REQUIRED ALLOWED
USE OF (CENTER LINE ST.) _
EXISTING BLDG. SINGLE FAMILY RES !RESIDENCE FRONT 5—.69- FT.UFT. IN.
SETBACK LINE FROM
CENTER OF STREET - REAR YARDr
R.SIDE I 1�/FT. IN.
SIDE YARD I LEFT / p( L I RIGHT / 4-
L.SIDE, /.{i FT. IN.
•
DESCRIPTION OF WORK 3 I
REAR `� FT. �i• IN.
NEW I X II ALTERATION I ADDITION I • HOLD FOR ,SPECIAL REQUjRFMEN-TS +
REPAIR V MOVING I DEMOLISH / I CSC/L� --r7 .--i1l��
f� � �a�7/moi
BUILDIN 1 i V S F T :NO. 6 1 / /
SIZE 11 11 Q • ROOMS STORIES .�. / I/ai — 6--r ��(r ;r�
EXTERIOR WALL ROOF / • n
e.-2--31-t-COVERING STUCCO COVERING" ROCK e.-2--31-t- X."- - c ./ / -1e- ‘ o
USE OF BUILDING AND WORK TO BE PERFORMED
S1 NGL c FALLI L Y DWFLL_LNG H
//0
2,
7 '° �J 6O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE
AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY OgDINANCES11AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING E OtlSTRDCT1pN.^/� J VALUATION
SIGNATURE OF LL��/�LL//l/��_....-/I1L `r' PERMIT FEE $ . 2,6
41/49
PERMITTEE ��O - -
- $ /0, 13
2PLAN CHECK $ 3
YORIZED AGENT TOTAL FEE $ 37- DLO
/ 1 •
OWNER kms. B'UCE B DATE 1-20-60
JOB ADDRESS 2.8 Sant- Isabel Ave. BUILDING PERMIT NO. 112 2
GENERAL CONTRACTOR Romar Bldrs. VALUE $ 900.00
AP. No.119-100-03 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Det. Gar.
INSPECTIONS DATE GROUP J TYPE V ZONE R-ll
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas ---- SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing _
Miscellaneous
Prop. Swr. Line House Con, St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches Forms — Steel /3 .-yn _ — / S- /' o
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing /3. yyf c-- — +f—
Frame and Flashing /3 ern ci R — SG
Lathing, In t/ Out t/�• C- �, — /aD
Plaster, brown coat / ' y _J ?L-—— 9 —4.03
— 6-0
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final �ayrvt2,t�� OJ. /_ `______ Li — Cid')
OCCUPANCY
Form 210-5M-11-59 s-a P j - - • .• p . _ • - TS
112112
11242 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT
. CITY Ap ME(e
FOR APPLICANT TO fill IN COMPLETELY APPLICATION oOR PERMIT
TYPE OR PRINT BUILDING
BUILDING ADDRESS 208 SANTA I SABEL ( C.
COSTA MESA, CALIFORNIA' FOR OFF/CE USE ONLY
RECEIPT NO. I PERMIT NO.
OWNER BRUCE B. HO WET
MAIL RECEIVED BY DATE RECEIVED )D7D7k��TE I UED
ADDRESS 208 SANTA I SABEL ( ----7-1--V-1I / —i3 — L0I //'_' e
TEL Q
BUILDING
CITY COSTS MESA TNO. 7 98 ADDRESS
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS 60/ ZONE TYPE (I GROUP
STATE O / e I
CONTRACTOR ROMAR RI DRS. LIC.NO. hB1 APPROVED DATE /
ADDRESS 2/13f? NVVAPORT Rv . COSTA MEs f NTNG
LEGAL - 1 LOT �I �I '$ ZONE NO.OF USE OF NEW
DESCRIPTION NO./ 1 1 1 I BLOCK TRACT 00 >1 �I PLANS ;(./.,( BUILDING t .C. $e t-
A.P.NO. . //% — / U lJ `O APPROVED F,•�h/.• / .. L! I. DATE /A`�-ia-l•",T,0
OEOT 60X1 55 I NOW ON LOTS 1 YARDS
REQUIRED 4VE
ALLOWED
WED
USE OF -..o riN/`A / ` Hs Oe.c/ (CENTER LINE ST.) //FI. /Bar BLDG. FRONT
SETBACK LINE FROM l�
CENTER of STREET x REAR YARD t 3 R.SIDE / /�Jf- FT. IN.
SIDE YARD I LEFT 2 I RIGHT I / 5 L.SIDE f/'" FT. IN.
DESCRIPTION OF WORK
REAR
NEW X (ALTERATION I ADDITION HOLD 1-OR SP CIAL REQUjy E;,tr11N.
REPAIR I II MOVING I II DEMOLISH I / (/- /•_/� aura"��.
BUILDING o NO.OF 7 �L / /'
SIZE B A OO ROOMS -STORIES I 6 a — 7LL<C. Lk-C.--
EXTERIOR WALL ROOF /�
COVERING JTU C CO COVERING RO CK 64- X.°461 —t'Ztr%s. y -- 2 60
USE OF BUILDING AND WORK TO BE PERFORMED J
1 EIX20 DETACHED GARAGE /
360 �'� 67 z. 6-°
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND $TATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION„, VALUATION
SIGNATURE OF //< l
' 4-K•-1 _ PERMIT FEE $ `j . 0-0O
PERMITTEE
$ 7 Ap ei • PLAN CHECK $
AUTHORIZED AGENT (/ TOTAL FEE S 6