HomeMy WebLinkAbout2343 RICHMOND WAY - Building Permits AOOREss OPSmLWC: 2343 RICHMOND WY WIT: CITY OF COSTA MESA - BUILDING PERMIT -
OwNElrswwEIPKNOrm: GAMMON, DOUGLAS D ' PERM NO; B 07258:
ADDRESS: P O BOX 650
DIABLO,CA 94528 PERMIT NO: B 072582 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.SWIM ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE; OTH
ARCHITECT ORENCARERP LfC.NO.: JOB DESCRIPTION T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT; 2 , 924
ARCH.OR ERG'S ADDRESS: . WIT: I
CLAIM VALUE; 2, 924 , 00 CALC-VALUE: 2, 924 . 00 GROUP OCC; R-3 /
CON1BACTORS NANE: STOUT ROOFING INC ( 310 ) 923-6775
CCORRACTORSMNWtG P O BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
DOWNEY CA 402536 ****x.r****,e****co -xa**** ;T*i�v*14.64 *-14**+A 44*�r�rrsi*+su**w*++414=4444**x44044*44*44u++cal-T:*.e,;.i;.+;.-x%�"
°D°RESS:
90291 UC.coin WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty. ury that I sat licensed under provi',•S sof Chapter 9 SETBACKS
(commencing with Section 7000)of Dviske 3 d the Business and Profession and my license a in lull force y
CITY UC.NG: 059377 1.1C.CLASS: C 39 uc.NO )25. 3 E : 10//5 MAIN BUILDING ACCESSORY BUILDING
Date: L__5131/95-"-' comraao ;✓ RP7T: FT IN REAR:
LEFT: FT IN RGHT; FT IN FRPIT; FT IN REAR: FT P�
FT IN LEFT; FT IN RGHT; FT SN
OWNER BU DER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors licens. -w for the
following reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct. •Of.improve, PARKING REQ; PROV; PARCEL: 41916458 ZNE: REF NO;
demolish,or repair any structure.prior k is 6ar
4Ype.aao requires the applicant for such permit to fib a signed ststemenl dud hhe or she PLANNING NOTES>I
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the
Business and Professions Code)or that he or she is exempt Ihrm ehoand the basis for the alleged exemption.MY violation of Section >
7031.5 by any applicant for a permit esbjeds the applicant to a civil penalty of not more than five hundred dollars 155001). ******************************************************44***************..4*****44*'*
❑ I,as owner el the properly or my empiolet's with wages IS their sole compensation,will do the work,and the structure it not imended DEVELOPMENT SERVICES R E Q U I R E M E N ,r S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not applyloan owner of properly
who builds or knpraves thereon.end who does such work Nmeel or herself or through his or her own employees,provided Mai suchimprovemenlawenothaendedroferedfrsale.If,nowayer.tfebuildingr:npmremenissoldwithinoneyearaloomplrnn,me ZONING APPROVED- BY DATE;
owner-0uikler will have the burden of proving he or she did rot build or improve(or the purpose of sale).
•
❑ I.es owner of the proPertY.sm exclusively contractile with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY ; DATE;
Professions Cada:The Contractor.License Law does not apply to an owner of property who builds or improves thereon and wfip
contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law).
❑ l amexemyl under Section: B.A P.O..for Na reason: APPLICATION ISSUED BY : DATE: ✓�� /�✓//�,
***if****T'****aE*r************3h*1!Y#***• *******,Y*********aF***ff**********hhh�t***-f 4-r ^'**
Date: Owren:
1l LEGALIZATION;N F E E S U M M A P. Y STRUCTURAL SECMENT;Y
I, ' I do hereby certify that I am aware of and understand the requirements of Csltomia Health and Safety Code Sections 25505,25533.and
25534,and that)orcon future building occupant will/we not(circle one)needlo comply with said stale codes andlhe requirements kr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permitforcoralmdion or modificationfrom the ArouablyMwhagement District.Residential Construction appicatosareexempt from New PERMIT 54 . 00
A provisions. . 50
SMIP/NON-P,ES
Date: Applicant:
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following de deraions: ISSUE FEE .
❑ !have and will maintain acertificate ofconsent tose6inwre for workers*compensation.sprovidedfrbySection 37Doathe Lm« BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
ode, thetor TOTALS----> 54 , 50 0 . 00 0 , 00 54 . 50 54 . 50 , 00
I have and will maintain workers'compensation insurance.s required by Section 3703 of the Labor Code.for the performance of the
work for which this permit a issued.MY workers'compensation insurance carrier end policy number ere: C REVENUEDIVISIONP 54 , 50OVER/SHORT ;/C n
3H1.".. tUNll EXPIRES RELENOE TOTALS--> COLL_CTED; OLER, SHORT ; 00
Carrier: _, _„L,„ ,�G•,„ 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Policy Number: " " J
(This section need not be completed I the perm*is for one handfed dollars 1$1001 or less) 59 . 00 . 50
❑ I candy that in the performance of the work for which this permit a'. I shall not employ any person in../ loner so as 10
become subject to the workers'compensation laws of California. ree that• should become . to the ,. ' ****1[te*acid*****YF**9F********44***44****4*x***rt'ff**44***************#�4 tl of*********tf***
compenwhoppp prods' /a section 3733 0l the Labor code I sea • ply, r Now pro.,ahos. / I PJ D I V I D U A L F E E B R E A K D O T I P7
Data:/ / 9� Applicant S ./ '- — —LL��.'�!! r
Warning:Fa re to ser wadreri compensation coverage Is unlawful,and shall subject an employer to criminal Ides and TYPE QTY TJ E S C R I P T '1 O N UNIT COST TOTAL COST
civil fines up to One hundred thousand dollars(5/04000 In addition to the cost of compensation damages es r.video'for In
Section 3706 of the Labor Coda,Interest,and attorney's fees. . SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2 , 924 , 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a corwmdion lending agency for Me END OF FEES
performance of the work for which this permit is issued(Section 3097.CN.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state the the above information is correct.I agree to comply with all city and county ordinances
and state laws Sangho building condructlon and hereby authorize representatives of this city to enter upon the above-mentioned propend
forin'p°dion"nrposes ARLENE BURFO� /
Perm Name i QQ cal E; 05131 x(1183114 TOT37 54.50
j�� Dae I DATE: 05/81/95 TIKE: 11:37
Signature aawnanAgent/' . t r tractor "�
(5151-46.WP) White-Building A Safety:Gyle;Canary-Appicanl:Pink-Revenue:Goldenrod-Assessor
' CONSTRUCTION AND PLANNING F?OOL & SPA �,
APPROVALS Permit # -Date In"spector Date Inspector
APPROVALS Permit #
1. Temporary Electrical Service or'pole .52. Pool & Equipment Location . 1
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement I
3. Electrical Conduit Utility-Undrgrnd. 54. Forms . - .
4. Electrical Conduit-Undrgrnd. % , 55. Electrical Bonding
f
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 •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑.Lfndrgrnd. ,
10. Structural Floor System - • • 61. APPROVAL TO DECK
11. Property Sewer Line & HoQse Connection 62. Backwash & Receptor-Final : ,
12. Sewer Cap --.63. Heater & Vent-Final _ •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final /
15. Rough Electrical-Conduit 66. Solar System-Final ti ' ,.,
16. Rough Electric Wiring - ' - 67. Fencing& Access Approval ....7 �-
17. Rough Wiring Sign68. APPROVED FOR PLASTERING
18. Rough Electrical-I Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditronihg '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 G.,2-95 (awl( 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. Insulation78. 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
1
I 37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
1 40. Gas Service-Final
1 41. Solar Domestic-Final
42. Backflow Preventer
I43. Backflow Irrigation
l44. Landscape Irrigation System
1
\ 45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING i1./('_95" Ss
48. FINAL PLANNING -
149. Electric Release to Edison
I, 50. Gas Release to Southern California Gas Co ' _
51. CERTIFICATE OF OCCUPANCY
io. Date f
i
I
IPROJECTADDRESS: 2343 RICHMOND WY uNIT: CITY OF COSTA MESA — BUILDING`_ RMri--_
OWNER'S NAME: GAMMON DOUGLAS D r-----
nuns: P 0 BOX 650 PERMIT NO: P . 058185 PLAN CHECK NO; N GOVT: N—buz-._,
DIABLO, CA 94528 -------______,
CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: OTH
310— 820-3995
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CHANGE OUT OF WATER HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: LA PHOENIX—GEORGE BRAZIL ( 714 ) 535-7905
ADDRESS: 3022 N. HESPERIAN WY 101 COMMENTS; SMOKE DETECTOR REQUIRED IN THE HOME
SANTA ANA CA 92706 * ETH*****�E�E*�H+�*****�tx****+ESP* ***************** ***ALTA**** *x****** ********>F***
LICENSED CONTRACTOR DECLARATION: I hereby aflir I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions C e.an y license is in full force and effect. SETBACKS
cm Lic.: 055316 STATE UC.:443 64 cw C-36
5-9A Signature:_ MAIN BUILDING ACCESSORY BUILDING
WOflKEflS-4•14:46-9A
L MPENSATIONDECIARAT10N: Iherebyaftirmthat lhaveacertificate ofconsemtoselbinsureoracertificate o(Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
WORKERS'
'raps, E eAjION�:L Qheof reyaffiion mhaOIhave LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: J0 Jv+ EXP.DATE: Vi/V1 /93
COMPANY: LIANCE I,i�tNS.CO PARKING REQ: PROV: PARCEL: 41916458 ZNE:. REF NO:
I: Certified copy is hereby furnished. VJ Certified filed with the cit aiming Division. PLANNING NOTES>
_ >
E4nlP — _�� Applicant I' ‘4 *********************** ********************** :*****IF******i(*******************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E Ir O P M E N T SER VIC E .8%! REQUIREMENTS
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 f'
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY �' DATE
Date: Signature. BUILDING APPROVED BY ; - . DATE;
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor _
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. }
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• ,, / • • - .-.1. - - - --,'.tf;, DATE: 7—ter---f2---
which
this permit is issued(Section 3097.Civ.C). *********************4 . ' • - - - • .***************** ***
LENDER: *************************************** - •- * ,***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
r
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 2 qq 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed L 5% 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 live hundred dollars($500). ISSUE FEE 3 . 00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 2 , 00 3 ,00 0. 00 5 , 00 5 , 00 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 5. 00 OVER/SHORT: 00
fortheepurpose sold sate). 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 SMI P/TOT GRADING PLAN—CHECK
for the purpose of sale).
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5, 00
❑ and Prhoecntra sdfo The Coprojects
ers'wth ate contraselaw doesnpursuant
to
nhCortfproperly aicense .ol as m
***************************************_*_***************************************
and who contractso for such Contract with a e Licenser Law license not apply tta the rContractors'Stateh builds or
am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.5 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date. Owner: PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 , 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
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
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: '
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction an r authorize represe lathes of this city to enter upon the above-mentioned
property for inspection purposes. •
Signature: 0i 00219'27--30119521 MI' i.O4•
Driver's License or Social Security M:
Applicant;Pink—Revenue;Goldenrod—Assessor f
it i i
' CONSTRUCTION AND_PLANNING' _ - POOL & SPA
i
APPROVALS Permit.# 't , Date Inspector - Date Inspector
•� . APPRO ALS Permit # (•.1
-1. Temporary Electrical Service o�,Pole ( 52. Pool & Equipment Location _ -7.1i
-
2. Soil Pipe-Undrgrnd. ', �'r - ' 53. Steel Reinforcement i ,
3. Electrical Conduit Utility-Urfdrgrnd. .1-fl 54. Forms -
4. Electrical Conduit-Undrgrnd. • - - - 55. Electrical Bonding `
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grndt - 57. APPROVAL TO COVER-GUNITE
7. Footings -• \ 58. Electrical Conduit-Undrgrnd.
8. Foundation - - - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System I - 61. APPROVAL TO DECK ''
•
11. Property Sewer Line & HouseConnection r 62. Backwash & Receptor-Final
12. Sewer Cap ..-! • 63. Heater & Vent-Final -'1
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing •t. 65. Electrical-Final
15. Rough Electrical-Conduit J -• 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 OOil
23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage.Tank 0Gas 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 `7 78. FIRE PREY. FINAL ..
30. Drywall Nailing - - HEALTH DEPT. REQUIREMENT •
\ 31. Plaster Brown Coat79. FINAL INSPECTION
32. Electrical Power Meter-Final '•-C 80. FOOD CERTIFICATE ISSUED
33. Final Electric T Notes: ,
34. Final Heating & Air Conditioning - . ti. - .
35. Final Gas Pipe-Test
36. Hood or Canopy
. ' :
I
37. Final Factory Fireplace '
138. Final Plumbing 74714 G42:17.
`39. Water Service-Final
140. Gas Service-Final _ .
11. Solar Domestic-Final _
2. Backflow Preventer .
11. Backflow Irrigation -
Landscape Irrigation System .
'Sound Attenuation -
\Handicap Regulations -
FINAL STRUCTURE & BUILDING
i
SINAL PLANNING •"
'lectric Release to Edison
`s Release to Southern California Gas Co
•I TIFICATE OF OCCUPANCY
Date
l
I - -__
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. .
CITY O,F COSTA ESA , COI ST' UCTION P RMIT PER .�� TRACT NO. I LOT NO. UNIT NO. A P # Zone .=rawe '
OC
• Project Address /4 i S it A t
/'1 TYPE OF CONSTRUCTION LI NEW U ADD Li ALTERATION U REPAIR S Main Building: Accessory Building:
Applicant's Mails Ad•ress // ria/ / c� 'Yi E ' Z
Owner's N e �• M� A/-� Sr �i •.. e.5 >�^�(•/� E CONVERSION ❑ DEMOLISH D OTHER B Front N
ea�tn3 '�6 � DESCRIPTION OF WORK/USE OF BLDG. 1B Rear - I
Address (/1 /r JV -
�'''''1II I C Right • N
Arch/Eng. _ License No. TYPE OF PERMIT ❑ GRADING* FOUNDATION ❑ STRUCTURAL K- G
Address r• 541/-9 1 ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL s' Left R
`r!_i ' • : tilt, ❑ OTHER - I Ping. Ref. # Parkin eq./Prgit E
Contractor's Name '/j' 7
/ ,.1.0 / 1 PROJECT DESCRIPTION SQ. FT. OCCUPANCY ,qgp Q
Address(mailingl3 s ��� ` l� !( � 4 J/ Planning Notes: �� r��1�� �1t't J M
,/ • 7 'CONSTRUCTION TYPE VALUATION$ CG • T
• City License No. / ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charters9(commencing Remarks: .
with section 7000) of Division 3 of the Business and Professions Code,and - —
my license is in f. I fo ` :nd effect. ELECTRICAL • FEES
•
Licen CJz _
e e 'o. /
Date/ —i trier Signature llirA sysorgy_ • PLUMBING FEES Automatic Washer Transformer 0 15-50 KW ' •
(J WORKERS'COMPENSATION DEC '• RATION/ - Construction Pole Sub. •
0 50+ KW
I hereby affirm that I have a certificate of cense t• self-insure or a certificate Bar Sink Showers
of Workers'_Coe/nsation nsurance, or a certified copy thereof (Section Cooking Unit Meter Cup to 100 amps
\ 380 Lab. �(�//n�3� /^ Backflow Preventer Service Sink
i I No. A•..JD `�' Company / Cap p
Backflow Irrigation Sewer Dishwasher Meter Clover 100 amps
'dined opy s ereby furnished. Dryers ❑Gas DElectric ' — Sub Panel
att"e fie led with the city f n!% ; i•n Bathtubs Sewer Connection •
Applicant d. .i. - 11��/ �/ Fan Motors 00.1 HP ❑1%-6
EXEMPTION FROM WORKERS'COMP NSATIO LARATION Clarifiers Solar Collectors •
(This section need not be completed if t e permit i •r •ne hundred($100)or - - _ F.A.U. Ina Solar 09-15 HP 016-15+
less). Dishwasher Solar Piping _
I certify that in the performance of the work for which this permit is Issued,
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures . Microwave
, Workers' Compensation Laws of California. Device Boxes
Date Signature Floor Drains Swimming Pool w/Spa Pole Light
NOTICE:If,after making this declaration,you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rinal Range .
comply with such provisions or this permit shall be deemed revoked. pp
' CONSTRUCTION LENDING AGENCY • I Gas Service Outlets Ater Closet ^'oD_ Switches Sign
I hereby affirm that there is a construction lending agency for the performance reVater eC V
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
•
Lender's Name _ Generator 00-5 KW ❑5-15 KW Trash Compactor I
Lender's Address - Kitchen Sink Water Service _
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash ' t-' '
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 '
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of 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 -, Reinspection Fee $15 Issue Fee $ 3
7031.5 'by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). - '-.DEVELOPMENT SERVICES REQUIREMENTS:
Li I
•
I, as owner of the property or my employees 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 • t Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
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 ,Application Issued By Dat
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ ,
sale. If, however,the building or improvement is sold within one year of cam. Canopy Type II 0 '1 r -• SUMMARY OF F S •
pletion, the owner will have the burden Of proving he/she did not build or Un- Duct-Undere Contr -
prove for the purpose of sale). , .. BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System , PLAN CHECK $ PERMIT
-
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 00-100,000 BTU ❑100,000 BTU PLUMBING $ /.5� ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with-a'con- - _ -
tractor(s) license pursuant to the Contractors License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration i PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. 4;, ELECTRICAL $ GRADING $
z
❑ l am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# . Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date • owner, Heating System& Ducting - Registers MECHANICAL' $ •
I hereby certify that I have read this application'and state that the above ' - ' DO-100,000 BTU 0100,000 BTL - - TOTAL FEE $
information Is correct. I agree to c•mply with all city and county ordinances - y PLAN CHECK 25% $
and state laws relating to buildin• construction,and hereby authorize repre- — -
s¢ntdtive5 of t 5 ci ./t0 en ¢I' pon th' .rave-mentioned ro a iy „ .
Inspection •uf•• -f. J ' . —
DSirivers' La_. _ �,. -�/4�
0865-46,rev. 5/88 ite - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - OMB: Q�/t3/89 Slrlt 14$ZV - --
.• _ r`]} ..,,,., 1
CONSTRUCTION AND PLANNING - POOL &SPA
APPROVALS Permit# Date.. Inspector 'APPROVALS Permit# - Date Inspector
. 1. Temporary Electrical Service or Pole 7 52. Pool & Equipment Location -
2. Soil Pipe,-Undrgrnd. •' 53. Steel Reinforcement - .4 1 •
3. •Electrical Conduit Utility-Undrgrnd. , - 54. Forms .
4. Electrical Conduit.Undrgrnd. •' 1 55. Electrical Bonding
. 5. Steel Reinforcement, • 56. Rough Plumbing & Pressure Test -
• 6. .Electrical UFER Grdd.• 57. APPROVAL TO COVER-GUNITE ' ' '
7. 'Footings • • - 58. Electrical Conduit-Undrgrnd. ,
..8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. WaterPipe-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 4 ; 4 t : ' ' 1 " - 63. Heater & Vent-Final ` •
13. Roof,Drains -? 1 64. Plumbing System - Final '
i
•
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
1 " 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 711 Product Piping 0 Gas 0 Oil .
23. Gas.Pipe-Rough.& Test 72-•Underground Flush
24. Roof Framing- 473. 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION •
32. Electrical Power Meter-Final 80? FOOD CERTIFICATE ISSUED
33. Final Electric Notes:. -7- 8I' Unto ..Aa/7 2.CXZ1
34. Final Heating& Air Conditioning Gq_,q-.'q - Pgzn-,Ir r1L01€60 /trj•Sr
35. Final Gas Pipe-Test /WE. 7-0-6 uPG. - t- -17
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final . .
40. Gas Service-Final
41. Solar Domestic-Fina e - 1 - 1,
42. Backflow Preventers - V-,
43. Backflow Irrigation`s _ u
- _
44. .Landscape Irrigatioq System C'
45. Sound Attenuation i
46. Handicap Regulations '
47. FINAL STRUCTt RE & BUILDING
48. Special Requirernts Completed
49. Electric Release to Edison - 1•
•
50. Gas Release to Southern California Gas Co ��' •�
51. CERTIFICATE OF OCCUPANCY ./�
-
No. Date - J-'•
OWNER CAN Th. RT1tt.1)TNf< COMPANY DATE 6-1-64
JOB ADDRESS 2343 Ri rhmnnd Way BUILDING PERMIT NO. 222311
GENERAL CONTRACTOR SAME. VALUE $ 3.40-835-00
AP No. LOT 1311. TRACT -i(,0 FIRE ZONE DESCRIPTION OF WORK 4._ _ :a.
INSPECTIONS Signa re D T GROUP 7 .j TYPE y ZONE g3
Soil Lam. _�/ _ PERMITS ISSUED
i SUBCONTRACTOR
Gas _ /-// L�1 DATE NUMBER
Water -Oj
Rough C m. R•frig. a Air Cond. 0
Rough Healing $ 5 ; . e.t� //VA 537 3
Rough Plumbing " , . J 72 -/_�. rL 3 �L 3�
Miscellaneous _ \
Prop. Swr. Line 0 House Con. 'St. Swr. ❑ ! d. iz (e."----1-Ke.- l
- - DEC 9 1963 '4U ei ,11✓
Sprinkling System / ..rnsu'^"
Construction Pole / /',/f,4
Underground ❑ Power 0 / 1
Rough Wiring < iC5 7J''1C4- J , — I 7A 9/G v -2 ;30 ,139
Trenches 0 Forms 0 Steel Reinf. 0 t 5 ti/c (.� / X016 41-
Floor
t
Floor System —G 19 nn e. G 2 z G t
Bond Beam 0 Steel Reinforce 0
Sheathing / c $- (7 /
Frame and Fla .0 /c 1 F'y SL
Lathing—In.Lr Out r i c ��� �
/ /G rytuPlaster, brown coat e, 9 /7 7/65" K
Refrig. ❑ Air Con. .9 FinalHeating, Final OI1"r k
Plumbing Fixtures, Final '.1 �)/�� ��
Final Gas Test a_j '�/y y? /(/
Electric Fixtures, Final— di lo_1?-6i l
Building, Final la l/_L .;.
OCCUPANCY i i/ ..
Form BU4-5M-3-s3--S-B P T-inin FOR SPECIAL REQUIREMEN iS
•
COSTA MESA BUILDING SAFETY DEPARTMENT FEE RECEIVED B
' P.O.BOX 217 COSTA MESA,CALIFORNIA St 19 1.0
M��TT��ppTT
For Applicant to Fill In Completely APPLICKIRNA -Pal'
TYPE OR PRINT G rILbWN6OSTA MESA . .
For Office Use Only
ADDRE S&3 y3 `^, lk-y • <;
ADDRESS O� r1^LY�O( RECEIPT NO. rvo.
77
COSTA MESA, CALIFORNIA !�,��
�\a \ /�
RE=�Y p T�.,R[CH ED DATE ISSUED
OWNER SQ," IIMq � ��• I , I V.,. - - i 1 _ .
BUILD G
MAIL /76h,
\ c at ` c ADDRESS
FCITY ll iNOJJJ49J / ZONE TYPE JL GROUP- -_ .�
/ APPROVED
ARCHITECT TEL / BY DATE
OR ENGINEE .(`/Ty✓[�Q NO. 7o{D
VVVV Z 4 ZONING, 11""byl
ADDRESS /y� /H
• U�� ` EJ I NO.OF I USEOFMI
CONTRACTOR San M k.24.2-0...- ti.• ".,.1 PLANS BUILDIN y a '4.
�/�r c /r LEGAL v/JAI^ - / J/_ • • //
ADDRESS-1/((x{4 c` SS --SI—
/ DESCRIPTION yI(�Z�`y^/ Y' O• • / �'
CITY O�fq/J�7•Q. I I .. j� / 'J lJ f. A.P.NO. I LI" I 'l / a�� .
/917 NO./'7Q J //Q 9 NOTE: NO EAVE OVERHANG SHALL E LESS THAN
STATE TEL. TOSIDEaREARP.L
LIC.NO.
EAVES
SIZE NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT a X 70 I NOW ON LOT D
YARDS APPROVED • YARDS APPROVED
USE OF J�� Q�9_ MAIN BUILDING • ACCESSORY BUILDING N
EXISTING BLDG. Y L/ _ - 1
-[�
/
REAR YARD (FROM C/re(TFT. FT a/
SETBACK LINE PROM • FRONT ffCC..��,-
CENTER OF STREET
0
`=":(SIDE YARD LEFT O - I' RIGHT' O R.SIDE FT. FT.
3
DESCRIPTION OF WORK ' •
L.SIDE r/Q�, FT. Fr.
NEW _ /� ALTERATION — ADDITION REAR FT. FT.
DISTANCE BET'. 'BET.MAIN-etEl
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. I'-
BUILDINGq NO.OF V.•W-R`J VAR.S DATE W
SIZE c 0 X3.Z ROOMS D STORIES( RIjJ_ C.U.�P,.#O�j 4 APPROVED
EXTERIOR W�tl..}� COVROOF
ERING �-J-204 .4.1 BYPRI`�l I, 1^��VL DATE ,/ ��'� el ._1K
COVERING sA•�-'���c.� J I� `L T'
USE OF BUILDING AND WORK TO BE PERFORMEDCo
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t .I
a , • �. 1J 1� 0'
J� .0
�/ . % 1 3 6 q so.FT, t/2U a 4 m •C
'I HEREBY ACKNOW -DOE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ' Ip
AND AT R CGRE TPURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O a
PLY WITHSTATE ALLTHCITY 9 ROABOVINANCESIS ANDCORRESTATETAND LAWAS REEGUO COM- VALUATION - d7c m 11)
BUILDING CONST U ION.
SIGNATURE OF PERMIT FEE 5 1/ (> ; CC
PERMITTEE itt.%'� •
d O G
$ /L 835 PLAN CHECK $ 2I �O p IL
AUTHORIZED AG NT - / / V TOTAL FEE 5 7^ LL p