HomeMy WebLinkAbout608 RHINE LN - Building Permits " 1: RII`NE IN CITY OF COSTA MESA - BUILDING PERMIT
ADDREssOFBUIWND: MYRNA MORRIS FLOC T: X 47 PERI1 NO. r 075135
OryNERS NAPE IF 10I0*71: SAME
• ADDRESS: ZCS e PERMIT NO: P 075435 PLAN CHECK NO: N GOL`T . N CUPP. U
V CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
ADPL.MAILING ADDRESS:
JOB DESCRIPTION : C/O DISHWASHER SQ FT:
ARCHITECT OR ENGNEER: UC,NO:
ARM OR MI.'S ADDRESS: UMT: CLAIM VALUE: CALC-VALUE : GROUP OCC: R-3 /
NOCK PLUMBING ( 714 ) 895-1246
coNmADTDRSNAaE: 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
' CONIRACTORSMMUNO STANTON CA 511971 *-**'+E****4+E*SFSESEx* **SE****sESEit-SSSS*****+E:tN-+E*x-SE***************+F*****+cx**x-x-***********
ADDRESS: 90680 uC NO. Z ONING REQUIREMENTS
WIT: SETBACKS
•
LICENSED CONTRACTORS DECLARATION:I hereby affirm under Penely d perjury that I am licensed under d C 9
(commencing Dna¢y6dDwnn3dU»B6�°sq.&vda.Professions it 2,,/ e� MAIN BUILDING ACCESSORY BUILDING
CRY UC.NO,: UC.CLASS: UC.NO.: M FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
/�i -9C �s o - LIP 6� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
011
Catradr: 1 "
R BUILDER DECLARATION:I hereby affirm under penaky of perjury that I arum exempt from the Contractors License Law for the PARKING REQ: PROV: PARCEL: 93405103 ZNE: REF NO:
.wing reason(Section 7031.5 Business and Professions Cods:Any Ply or county which requires a permit to consWd,alter,improve. PLANNING NOTES>
demolish,or raper any structure,poor to its issuance,also requires the applicant for such Permit to fib a signed statement that he Or she
is licensed pursuant to the provisions of the Contractors License Law(Cheer 9(commencing with Section 7000)of Division 3 of the >
Business and Prdesains Cods)or that he or she is exempt trashes and the basis for the alleged sxematism My violation d S6ctin **********************************************dE,********************************
7931,5 by any applicant Ira perms subjects the acptiant to a ova penally of not more than five hundred dollars Is5001). DEVELOPMENT S E R V I C E S - R E Q U I R E M E N T S
a I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intendedYu-
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not applyto an Owner or property
who bads or improves thereon,and who does such work himself or herself or through his or her own employees.Provided that such ZONING APPROVED BY ( DATE:
improvements are ml intended or reared for sale,It,however,the building or improvement is sold within one year of completion,the ,V
ownerbulkda th
will have e burden d r not r improve proving heshe did lwsd impfor purpose dsale). BUILDING APPROVED BY DATE:
aLas owner of the property,ant exclusively contracting with licensed contractee to construct the prided(Section 7044.Business and r
Professions Code:The Contractors License Law does nal apply to an owner of property who builds or improves thereon and who V 0 )
contracts for such projects with a contractors)licensed pursuant to the Contratrs License Law). APPLICATION ISSUED B Y: I DATE : 1_
a I am exempt under Section: B.A P.C..tor this reason: ******************************************* y > ************* iE 2:171
** ***
Dale: Owner:
LEGALIZATION:N F E E S U M M AzR Y STRUCTURAL SEGMENT:N
I ao hereby certify that I am aware of end understand the requinsments of Cagornia Health end Safely Code Sections 25505.25533,and BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
25534,and that I or any future building caamenl will/oil nor(circle one)need to comply with said rete codes and the requirements for
a permit forconsmtction Of modification from the Air()ugly Management District. carping
:lion cvnstnbn eppfmlions we exempt from these PERMIT 7,00 VI
provisions. 25% SMIP/NON-RES
Dye: Applicant: PLAN
ISSUE FEE 20 . 00 C----
WORKER'S COMPENSAG014 DECLARATION:I herebY alfirm tinder PenakY 01 perjury one of the following declarations: BUILDING-DIV-> PERMIT ISSUE PLANLCHECK TOTAL PAID DUE
aI have wa mil mainlaki acerlificale of cortseni to self-insure tor?axioms'componsalion.as provided for bY Section 37000:the Leber TOTALS----> 7 . 00 20 . 00 rT- 0 . 00 27 . 00 27 . 00 . 00
Code,for the performance of the work for which this permit u issued.
`I I have and will maintain workers'compensation weed by Sedan 3700 d the Labor Cade,b t V
work frwhich this prissued.Mywrkerssi ;insurahcecanterandpolicynumbrare: � � REVENUE DIVISION TOTALS--> COLLECTED : 27 . 00 OVER/SHORT: . 00
Caner: NWC32113100 09/30/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
Policy Number: 27 . 00
(This section need not be completed it the permit is ler one hundred dollars 1$1001 or less) 1f -
a I cenlythel in the performance of the work frwhch thispennl is issued,I shell�nrae,�moky arypenon in any mens so m to ******************1E***IE**************************************************dE*****
become subject to the workers'compensation Laws re Cala ' agree thf become subject to the workers' INDIVIDUAL /F E E BREAKDOWN
compensaprovisionstion ovisers d)q° 3703 d the Labor Code,$ rmcorn npl with th a provisions.
/.2 '/ — / 5 Applicant: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ming:Failure to secure workers'compensation coverage Is unlawful,and shall sub/ect en employer to criminal penalties and .�
civil fines up to one hundred thousand dollars(5/M000A In addition to the cost compensation,damages as provided for In PLU 1 DISHWASHER •,n 7 . 00 7 . 00
section 3706 of the Labor Code,interest,and attorney's fees. END OF FEES
CONSTRUCTION LENDING AGENCY: I hereby slum under penalty of perjury that there isa coy-direction lending agency for the
performance of the work for which the paint is issued(Section 3097,Clv.C). / \
LENDER'S NAME:
LENDER'S ADDRESS: ftv.
I certify that I have read this application end date that the above information is coned.I agree to comply with SI city end county ordinances -. 1
and stale
relatiig WON:comet Rind hereby authorize representatives d this dry to enter upon the above-mentioned propend
for
pection
p
e LtVtV IvvPCot Nam — /
Date: / � � LS aC1 _ 155503 TOT 77 ;]
sicnaluredOwner APPiranUC. tractor D:+TC: i.Jr), v"-. -i Yom: 71; :_j
(5151a6.WP) Whte-Buildig A Safety.Green-Fle:Canary-Applicant Pink-Revenue: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-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, ❑ 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 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;
•
34. Final Heating & Air Conditioning
2-- l
`j=�/ 5 �G�crL ,yew
35. Final Gas Pipe-Test
36. Hood or Canopy '
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final -
42. Backflow Preventer • -
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
T
OROIFCT ADDRESS: UNIT:
NER'S NAME: 6O8 RHINE LN CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064037
ADDRESS: BROOKVIEW CONDO HOA
630 PAULARINO PERMIT NO: B 064037 PLAN CHECK NO; N GOVT: N SUPP: N
CM. , CA. , 92627
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: (714 ) 587-0399 REG.NO.: �7�
ADDRESS:
UNIT: JOB DESCRIPTI N : T/OFF, 6 REROOF W/COMP SHINGLES SQ FT: 8, 645
CLAIM VALUE: 8, 645 . 00 CALL—VALUE: 8, 645 .00 GROUP OCC: R-3 /M-1
PERMITTEE: MESA ROOFING CORPORATION ( 714 ) 548-3012
ADDRESS: 843 W. 17TH ST COMMENTS: REROOF W/COMP SHINGLES INCLUDED 0-612-614-616 S18 HI £ LN
COSTA MESA CA 92627 ********4***********************4************ ******** 4-W************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect.
SETBACKS
CITY tic.: )35681 STATE LIC.:5641. — CLASS: C—
�l
Wte: Z -.7) Signature: T MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby a a have a cerci male of consent to self-ins re 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,Cl. LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
POLIcvND.: PWC24167500 EXP.DATE: 07/01 /99
COMPANY: GOLDEN EAGJJE PARKING REQ: PROV: PARCEL: 93405101 ZNE: REF NO:
O Certified copy is hereby furnished. LX Cemfi'• .py is filed with the ci y : •• Divi PLANNING NOTES>
{ > •
-Date: 49.- 03-?J Applicant: �- _� *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the p'rmit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENT 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
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
• DATE:
Date: Signature:
NOTICE:H.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
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: � DATE:
which this permit is issued(Section 3097.Civ.C). ******************************* * ***.*.***.***,********************* *,
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 PERMIT1 0 8 . 00 . 86
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ,•' $MIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN L
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 safe(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 108 . 86 0 . 00 0. 00 108 . 86 108 . 86 .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: 108 . 86 OVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 . 00 ( e . 86
❑ 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 a contractor(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.8 P.C. INDIVIDUA.�L 'F E E B R E A K D O W N
for this reason: TYPE QTY DESCRIPTIO N.• UNIT COST TOTAL COST
Date:
Owner' SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 8, 645 . 00
1 I do hereby certify that I am aware of and understand the requirements of California Health and Safely 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 I yl
these provisions.
Dale: Applicant: /
1/4
I hereby certny that I have read this application and state that the above information is correct.I agree to comply with all city and county r— �-i t
ordinances and slate laws relating to building construction and hereby aut o r olives of this city to enter upon the above mentioned
SMOKE
An Q�y.. L p
properly for inspection purposes.q l��Y� 1.... LJ
Date: 9 23. / Signature: '�—�� ETEQTOR
REQUIRED
_— Driver's License or Social Security a: 01 00147532-00147533 TOT 108.86
DATE: 09/23/93 TIME: 12:00
\
1641-46 White-Building:Green-Godo Enforcement:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
_,SSTRUCTION AND PLANNING POOL & SPA
APPROVAI-S Permit Date Inspector APPROVALS Permit # Date Inspector
• 1. Temporary Electrical Servka or Polar r. - 52. Pool & Equipment Location
2. Sna Pipe•U^drernd. T 4 53. Steel Reinforcement
cl:-t, s-E chic: Coro•;^ ram; U ‘11-:c� 54. Forms I
;:o7t.ttlnctrital Conduit-l<tirgrnd. --'rt 55. Electrical Bonding I
-nail _ ".L7.. __,
•
It n feel ReinforccArP'?1m 56. Rough Plumbing & Pressure Test � -ra i
--YT.( .11 .
"" 6-c'^ctrical UF G•Cd .-n 57. APPROVAL TO COVER-GUNITE
L �-
Viz• _ -- -- - -
-.'.,..` bti't♦�ts 1 58. Electrical ConduitUndrgrntl. I -�
IT I i_1_`
^"s F�a,ndaton 0P1 59. Gas Pipe, 0 Undrgrnd.,Test {
• ':Tatar P'pe-Undigrnd. ' 63. Backwash Llnus, P-Trap, 0 U.drgrrd 1 '
10. Structural Floc<System I 61. APPROVAL TO DECK
11. Property Sewn-Line-I& Hoilae Conrntction 62. Backwash & Receptor-Final
'.2. 5� er Gap .� -----t
J. q, I 63. Heater & Vent-Final
-- -- - - L1 t -r -- -- - -4
3 '-'._' D c:rs z+ i 64. Piumbing System - Final I
11. Rough PlumJui4 • 65. Electrical-Final
c
I`15 Rough Electrical-Condwt 66. Solar System•Final
S. Ro,.gh Electr, 'irirg 67. Fencing & Access Approval
17. R5ugh l:'innq Sign 68. APPROVED FOR PLASTERING
I 18 Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
P R�.c h Heating & A;r Con-.I:tion;n -__ -- REQUIREMENT - -�'
9 7 9 FIRE DEPT. F
rc7- (l rJ C: C ' --L-Fa--1-.31,' t -^-.ii- -^7 T ' - ^F-• C< 'r F :, '
%7 np.o;::1-r, Ccto1/ Fwr'place I Z n ', r _ - t 't * I,PPR{IWATS+}= c'erflitt ti" �' •...__:71_I
a.* I t!T` a'.--Z. t -: •-' -- f h r•5 C •:.')-1•_r a Crm.
71.,.. wits. n Structure eI .. .. _ C -,t # -.70. tdnderg,tadtithHyMo
17. D_:v.. Vyn!'.„hnr!' :,^ i 7 -r s 1. Product;P ^ir}g ;'';G&s ❑tlii
e3'C,.'.F,?ipi..FouJ.h &1..est I '7_- -,1 „• � -J 2. Underg%li:indFluyh-7.� • -^2
-u'-?7 r, - :4'-79-.y- ---.7.•-•----*- ` ! > , - , -
24111001 Frbin•ng• Er. 1 . 7' O '•• Na * -73.wJndergrnct�Stor�p.T kk if_1 Gas (W
25. Roo•f,SFIT-3.- -- r 5" m * tri� RI .. .11. '---t+•ti v -F c:; a
7 -1 : .1 r- > n: - « ~74,c(berhead Hydro ' *
21. "7-act Cell-pq (StruCturall &S orotoat I= `: V T' ' ._ 1 '" a k-' r='-.� - ----
- 2 .a-7e a-- r.Jsr�„£ a; 4 c I w � „ ::ib. Dory Star,j•'.7r . rZ. . S:*7 c,' - - /I ,
'*T--0- - -'---•. 'I.-tit-1?-17"o -t -'+'t-*- •� i--#--«_�74- C, I y -- I
H6. Lath:r. t: Sitting�- 'i -7d'• •. •-I •'i .sr 77.,`--"7FIXED Srs?Ei•.T�NALT -. `..1 ', I II .
X29. 'ntulatibo "-' '# J c .. ., a. T 14 :7 > i-21 -�L�Ii
7t t . 78sIRE PREV. FINl56. '1' :�
Ina. Drywal:"a.adTe ., ' - * x 4 HEALTH:WEPT. R€QU1RE1:.ENT T1
-,- n ea t r L. .. . ' •4_)_ -- - --' - - - �--
1! 01. ?.,seer iN0:1+) S7 . -• I v 179. SINAL I CTI I
ri-- r.--,....-----/- ----r-rte-- r- ---; ---nec�---•'.--�_t- -fr-rt +
:-67nE'ectrcLT PotTec Tr.refa',nal ; s -u I ' a O
IT80.t' OD CERTIFISA-FE IS3U D
�
33. F'^,al Electr,C. _L i 7;_y 4 T i� F InNo~ • y i
ill I G. r-T4 - T. r-, - - 7 - i-i-Y-'!t - -<ti-_ Int i-T_- Tte'__ ___-y
cu14..^Flnz Htgt,nga& rCCortd,tlon'�. ;.1 a I + c . . ri.T. a
35.trin�'G3Pip;l'Tr* -171/ -a a -- 1 fti `1 . . xY ms • rl• s .. - I
'i- [=- r1---'S',F-c: -3 - Y1 ,---- '-t - -- ---1
r96. Nooci or Canopy'J* J I ii-•'-1 '• if .m 1 * ^c t -S.:,
T .n . 5,r ! S Ti t t t T I I -_- 4 __--_ 71 _- - -_ -_
' 7. .na••Faztcry Fir g ace s i Ir r n: *
J. • ^^-1: .M -1 t- : v 4 '` 1
x..38. FiratPlgnbing I I ti .v 4 4 S 4-+ .. _ ---- J
89. Wat'�i Se vice•Pln t,r £ I 1 i Cs oro * •r --
140 Gat Serpee-r+T'nal 7. c an crcv .: a 'n l* 4
^t 4 _�t • 4' < %4 Y. , !'••
F4t Soar peiesit•Ff-11x'1 s 1 .. r -j ; 1 t• - _ t -1
r - m :
-Der• -iv a i r- t 0 • .7 :`-_' - ----"
C .2. ttckflov Preventes. I t 4 r, >F • t. r, .--• !
•^ * 1' SC:• - .1 s '-' -y
'3. Backflow Irrigatio0! • � = --• t .,_ fu IT ,
:el. Landscape i;rlgatixn SVstem p7 tri ) 'r (11 _' Ot 4 0; CU '•+ Pri r, it co cu
•In5.Sound Attengtatltl..,r --'.,=""' • . E' - '_+ Cr - ,c r• CV..-.7, 4' -""
' _ t o-1 .. • -rt' .' • rt-^.J--r•:.
.y3 (Nandicap•Requlatiegs " t t/�`n-r r, el-0e
177.5-INCAL. STRUCTU7RE & BU:'DING ; - I t-
8 3lIV>1LPLAPIVINIt • E a T Cr! r_
1---- r-cis-c- "--+ 4 I q •„ r i - .
c'.,,..!leetlic Release to Edison I ` * I Cr X '1 r0
v. 7 tI J .S ' t .1
c';0.._ ;as•Fleiee se to Sout1ern CalitprniaGas Co •. ', -- f- r- n . .7..-,:r1 .i j •
-.,11. CEP-TIE:CATE OF-OCCUPAP CY a • I. r cu 0
No. Date
PROJECT ADDRESS: 614 RHINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063677
OWNER'S NAME: PASCO MANAGEMENT CO
ADDRESS: P.O.BOX 2968 PERMIT NO: B 063677 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92628
641-0593 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
ARCM/ENGINEER; REG.NO.:
JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 614 & 616 SQ FT: 1 , 200
ADDRESS: UNIT:
PERMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727 CLAIM VALUE: 1 , 200 . 00 CALL—VALUE: 1 , 200 . 00 GROUP OCC: R-1 /
ADDRESS; 28 OAKCLIFF DR COMMENTS• X
LAGUNA NIGUEL CA 92677 *************************************+F*****+F***********************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 0l the Business and Professions Code,and my license is in full force and effect. SETBACKS
DCITYale .: 00 100 STATE LIC.: 4 8 5 4 5 9 ,, •SS: B
Date: - /4 Signature: At .swam MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSA OON DECLARATION: I hereby allirm I Ar a certificate of cons: to self-int a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section r,Lab.C). / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POUCY NO.: 046-93UNIT03554 EXP,DATE: 01/01 /94
COMPANY: STATE FUND PARKING REQp• PROV: PARCEL: 93405012 ZNE: REF NO:
0 Certified copy is hereby furnished. EX Certified copy is fib. ith the city Buildi.rrision. PLANNING NOTES>
y >
Date; /u l77 Applicant. `� *********************************************************************'**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (I lion need not be c. pleted if the per/for one hundred(S100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N 'T S
I certily that in the performance of the work for which this permit is issued,I shall not employ any pers. in any manner so as to become
subject to the Workers'Compensation Laws of California, ZONING APPROVED BY DATE:
Date: Signature:
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: I-
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: 5 1h ` DATE• •��ZS-/SC(
which this permit is issued(Section 3097.Civ.C). *******************************04****.******* *****.*.******9F*******0(.**1t..* **** ***
LENDER: r ***************************************************************** *************
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 29 . 00 5 0
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'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant(or a permit Subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILD INGD 1V > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 29 . 50 0 .00 0 . 00 29 . 50 29. 50 . 00
does not apply to an owner cI 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.II,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: 29 . 50 OVER/SHORT: . 00
for purpose of 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 29 . 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I 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.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 1200 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 1 , 200 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safely 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 Ouality 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 and here authorize representatives of this city to enter upon the above mentioned
property for inspect',n put•oses.
01 00145790-00145791 TGT 29.50
.—_3 Date: 4 - Signawre: DATE: 08/26/93 TIME: 13:45
Driver's I.•nse o Social Security a:
Aoolicant:Pink—Revenue:Goldenrod—Assnssor
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. r - 53. Steel Reinforcement
3,,Electrical Conduit Utility-Undrgrnd: 54. Forms
• R. Electrical Conduit (Jndrgrnd. 55. Electrical Bonding
' 5. Steel Reinforcement " 56. Rough Plumbing & Pressure Test
. :c
- 4-Electrical UFER Gcnd. 57. APPROVAL TO COVER-GUNITE
_ i
7: -Footings 58. Electrical Conduit•Undrgrnd. "
n . •ti •
`8. Foundation • r 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
I • .1 v .. • • -, 1 .1 t_r 4-4-r-4 :;44 .. t- f •
20.,'Rough Factdry Fireplace i tc .j d'7 r Ct t I M. • :APPROVkuSJrCPermit # • > "'
1 i.. .:1 • . 1 ' r 1 4 . S i-I r.'x . i c. 's T '.1' T_
21. UCHI) $tr 1tufCr (-.1. S x
ti - ,] ').' YJ rJ upp: K N'- T A nt
�. 1 .. .. ., .i . ' J70. luadergio lt-O;Hy,'cjro -
22. Ducts, Ventilating i ti.tiII e. ti co; ^ 71. Product,Plping DG9s OOil
23.tGastPipe•Rough &'/est 1 '^ i U' i 4. *�•-�2. Under I }L 11J '
I i i 1 -riS I III tri 4 4:44, 44 r7 9 N..n4 V$7jc I-. • .
rr . . 1 • 1i. I LP-, .' .' •Y -, 15 r. I j 'i' i "
24..-Roof.Framing- I r •t ' ••H - : n *4 A 573.uUndergrnd`StoraQdTank0Gas"0011
Iii i 4 1 i. 1 `13 .'.
25. Root Sheathing i'm. £ co x tr1 ir. 1,) N f CI -i--0
s v 1 x :J> 's74 f-Qverhead tiydro�ij
26. T-Bar Ceiling (Structural) 8:434.onocoat • J 1'1 75. Dry Chemical s 71-I x i -?
27. Frame and Flashing- m T x 76: O�y Stand�tpe s- '
28. Lathing& Siding ,t.± .•t,. - .. .. . 77.:•FIXED 9'hSTEMIFINAL~
l -. 7, r , . • i I 1.1 - 1 4 r. . .
29. Insulation ' • , '- : •`' v . 78. FIRE PREV. FINAI
r
:30. Drywall Nailing /1 • .-1. HEALTHIDEPT. REQUIRF,MENT
t •
'.31. Plaster 8rpwn,Coaty . r • ,, , - I,179.,-FINAL IN$2_ECTION 4, I ' C .1
i'32..,Electrical Polder Meier,Final I 'F' K to . 4 .80.;FOOD CERTIFICATE ISSUED
33. final Electric t x Is' i s *VT/N "• IT , I
oti s:
44.,-Final Heating fit Air:Conditiojtir34•I ; ,( I . .• .': ;t--1 •=y
-•:.
35. Final Gas•Pipe-Test- •D' -i - C 1. ir' 11 ••
I-•
-1._L' •• '• ' •• * I : I - • ` 1 _'O ) i ♦ -
36. Hood or Canopy . ••�' ,
tT i �. K .i. i ,
37. Final Factory Fireplace I S r -1 1. . r•
38. Final-Plumbing . "'(I! o if f- .. ,u •5
-39. Water Service-Final i I. I- • . - i
-
I Ii L )
40. Gas Service-Final - 1 . . �„
? -
v-41. Solar Domestic-Final r ^• a •' .. ` v '
, T
42. BackflowPreventer- .- •' " t-' I " ' :` '
•'
•
43. Backflow Irrigation - - I x n -1 -?:0 • C.
t.
44. Landscape I{cigatiop System,. i l �'
System,. • ti - , :J 'C-4 ...
'.45. Sound Attenuation + c, : r, :-7 . . v. S •
- . .. . -1, i• .r ii ,3 .•j ,
I -. Y
-46. Handicap Regulations •
1.
47. FINAL STRUCTURE & BUILDING I I -
� pi, ci •
48. FINAL PLANNING •' `• "J
49. Electric Release to Edison - , -, 5 i
• ,r .
50. Gas Release to Southern California Gas Co r: ' x s r,
51. CERTIFICATE OF,OCCUPANCY y ,; , :• ,; .41> ,
No. Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF $A i •
PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRU PERMIT P-76, 0;—
Applicant's Mailing Address - TYPE OF CONSTRUCTION U NEW 0 ADD U ALTERATION U REPAIR 9 I;LIZ I I / • t./:-1 ,-
Project Address ‘,,-P -- A,_-,0-4,g_ -2 /�� ❑ CONVERSION 0 DEMOLISH 0 OTHER o.. T -
Owner's Name. • Phone tM/ DESCRIPTION OF WORK ZONING REGULATIONS
Address ` r',/,' A, TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL A.P.* ZONE
Arch/Eng. License No. 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG. REF.* BUILDING
Address I 0 OTHER TO BUILDING emTRnry C/s ST
Address
Name lq� ^"-" Phone' Jz "`� PROJECT DESCRIPTION SQ.FT. OCCUPANCY PROPERTY LINE REAR YARD (TO F L)
Address(mailing) �0•� ''// �/�7 A/lJ ,,4 CONSTRUCTION TYPE VALUATIONS LEFT SIDE YARD RIGHT SIDE YARD
License No. __ S"9,C9 ZONE GRADING CU.YDS. ACRFe PKG.SPACE REG. PROVIDED
LICENSED CONTRACTOR DECLARATION . Remarks: STREET WIDTH PARK FEE S
I hereby affirm that I am licensed under provisions of Charter 9(commencing
with section 7000) of Division 3 o he Business and Professions Code,and SPECIAL CONDITIONS:
my license is In full rce nd efIec f�
License Class ' �--c1,.l�mnse �o�����a PLUMBING
Date - �%-2 Signature ' '2-- 7L.aW Bar Sink I Sewer CapI ELECTRICAL
WORKERS'COMPENSATION DECLARATION -- '
I hereby affirm that I have a certificate of conseb to self-Insure or a certificate Backflow Preventer - Sewer Connection Automatic Washer Meter Clover 100 amps
of Workers' Compensation Insurance, or a-cert) d copy then of (Section - _ ,
3800, Lab. C.) /��( f/ Backflow Irrigation Solar_Collectors Construction Pole Sub Panel •
Policy No. " ( 0�/ /U-// Company 'e-+ Cooking Unit Sub Pole
Iil_Ge Hied copy Is hereby furnished. / •�j9 ' Bathtubs Solar Piping
Rifled cop Is/filed with the city Bulldin vi52gRf� 97 ,, -
Date /% X Applicant / (� !� /�f�Q Clarifiers Solar Tank Dishwasher Motors-❑0-1 HP ❑iX$ •
EXEM Pilo FROM WORKERS'COMPENSATION DECLARATION / r Dryers ❑Gas ❑Electric •
(Thissection need not be completed if the permit Is for one hundred ($100)old Dish washef� 01, (.C% Swimming Pool w/Spa Inc.Solef 09-15 HP ❑16-15+
less). Fan Microwave
I certify that In the performance of the work for which this permit is issued I Drinking Fountains • Urinal
shall not employ any person in any manner so as to become subject.to the - F.A.U. r- Pole Light
Workers'.Compensation Laws of California- Floor Drains Water Closet
Date Signature Fixtures Range
NOTICE:If,after making this declaration,you should become subject to the Floor Sinks - Water Heater 9
Workers'. Compensation provisions of the Labor Code, you must forthwith - Device Boxes
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Service Sign •
CONSTRUCTION LENDING AGENCY • Outlets
I hereby affirm that there Is a construction lending agency for the performance Interceptors Standing Sections
of the work for which this permit is issued (Section 3097 Civ. C.) Switches
Lender's' Name - Kitchen Sink ' Trash Compactor
Lender's Address Garbage Disposal
OWNER BUILDER DECLARATION r Lavatories 9 ,
I hereby affirm that I am exempt from the Contractor's License Law for the p-Trap Generator 00.5 KW 05-15 KW
• following reason (Section 7031.5 Business and Professional Code: Any city or, p, .
' county which requires a permit to construct,alter improve,demolish or repair - - - - - Transformer ❑15.50 KW
any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains' '
to file a signed •
statement that he/she is licensed pursuant to the provisions of ' ❑5U+KW
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Reinspection Fee $15
Division 3 of the Business and Professions Code) or that he/she-is exempt Showers Reinspection Fee $15 . - -
therefrom and the basis for the alleged exemption. Any violation of Section • Meter ❑up to 100 amps Issue Fee $ 3
:7031.5 by any applicant for a permit subjects the•applicant to a civil _ •
penalty of not more than five hundred dollars($500). Service Sink • Issue Fee $ 3 Zoning Approved By Date •
Ll I, as owner of the property or my employees with wages as their sole MECHANICAL
compensation wlllido the work,and the structure Is not intended or offered Application Approved By • Date
for sale (Sec/ton 7044, Business and Professional Code: The Contractor's -- - ---- - - - -- - ,- - - -
• License Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System Application Issued By
Ar Ham, ' //4-51/4-1
thereon, and who does such work himself/herself or through his or her own - PP Date
employees, provided that such improvements are not Intended or offered for ❑0-100,000 BTU ❑100,000 BTU '
sale. If, however, the building or improvement is sold within ono year of com- Duct-Under Ground , SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build or Im-
prove for the purpose of sale). - Duct-Structural System Repair/Alteration BUILDING PERMIT $ • SMTP $ '
Ll I,as owner of the property,am exclusively contracting with licensed con-
tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating '. PLAN CHECK- $ PERMIT
1 The Contractor's License Law does not apply to an owner of property who
• builds or. improves thereon, and who contracts for such projects with a con- - Exhaust System ❑ Multiple ❑ ' PLUMBING . • $ �CO ISSUANCE $
tractor(s) license pursuant to the Contractor's License Law). iPLAN CHECK $ GRADING $ .
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG*' 1 $
Date Owner . Heating System& Ducting • • ELECTRICAL $
I hereby certify that s a read this application and state that the above- ❑O-100,000-BTU ❑100,000 PLAN CHECK $ MICROFILM $
Information is correct(l agr e t comply with all city and county ordinances ' TOTAL FEE $
and state laws relating to II ng construction,and hereby authorize repro- MECHANICAL $ -
sentatives of this,'tilt' ...ttt en ybon the �b ve-man oned property ��-f999r Hood or Type I ❑ Reinspection Fee $15 LESS •
Inspection purposes, /1 n -�-g- Canopy Type II 0 • PLAN CHECK $ •
Signature I.
, Registers Issue Fee $ 3 •
FINAL FEE- $ .,S•0O
CMF 0865-46 rev.12/82 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
jCONSTRUdT1ON AND_PLANNING - - :it: - POOL&SPA - - _
Date 2 • Inspector Date Inspector
> _APPROVALS Permit# : APPROVALS Permit# - ,
11. Temporary Electrical Service or-Pole , . - i,.: . . ' 52-'Pool &.Equipment Location - ' - -
" 'Soil Pipe-Undrgrndp ` ••‘;'. ..;, ,. i. , . 53{ Steel Reinforcement . - . ; •
Electrical Conduit Utilitv-Undrgrnd) , • - '54: Forms t. . '. • - '
4„-lectrical Conduit-Undrgrnd.._ . 2 - .55 ElectricalBonding .
5 Steel Reinforcement - ° ' 56-• Rough Plumbing& Pressure Test _ _
•
6: IEl'ectirical UFER Grnd.1 ; e -- •r -Y. .-. . - .- 57.. APPROVAL TO COVER-GUNITE
_
7. Footings o _� - _ . Conduit-Undromrl. ,
8. Foundation - '. ' 59. Gas Pipe, 0 Undrgrnd.,Test- ,
9. Water Pipe-Undrgrnd. _ - . '60. Backwash'Lines, P-Trap, 0 Undrgrnd.
' -
10. Sti-uctural Floor System _ • 61. APPROVAL TODECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final- •
_
•
12. Sewer Cap I _:n63.- Heater & Vent-Final .
13. Roof Drains 1 nn •
:64. PlumbingSystem - Final
c 14. Rough Plumbing 1 ' 1 ' - - 65. Electrical-Final -
c
'15. Rough Electrical:Conduit"7r'li ;'T -'-- -
- 66. SolarlSystern-Final
' 16. rRough-Electric Wiring. , .41 ., _ , -_ -- r 67. Fencing9 &rAccess A roval : - -
to -t, = { - PP _
'17. (Rough WiruiglSign;- , ' ' `_ - . 1 rI ; 68.• APPROVED FOR PLASTERING ; `
I' 18"RougF Eleetrical,T.Bar Ceiling '1 I - 69.' POOL/SPA SYSTEMS FINAL -
y 19. rRough Heating & Air Conditioning !. l ' I II 1 � , FIRE DEPT-�REOUIREMENT - - ,
ir a 20. 1Rough.Factory Fireplace i , l I i I 1 . i ' APPROVALSI I Permit#
' 21. !Ducts,•in StfuCture ' l I I 70. Undeiground Hydro
' .l`22. Ducts, Ventilating ' t. I ' I 71. Product Piping 0 Gas 0Oil 1
Jt23. Gas'.P ."ipe-Rough& Test , l I 1 ' !72-' Underground Flush
- ,<24- Jtoof Framing', : I r,` i. _ 73.' Undeigrnd.StorageTank k 0Gas 0 Oil '
25. ;Roof Sheathing , n' - . ' : , 74.! Overhead Hydro '
11-26. T-Bar Ceiling (Structural) & Monocoat I - ! 75. Dry Chemical I .
.27. 'Frarne and Flashing - , •I ' ' - '76., Dry Standpipe '
u 28. ,Lathing&Siding: 7 7 1 ,• i , l 77.' FIXED SYSTEM FINAL
1- II 29.• ';Irisulatiori ; • ! r' •II I 78. FIRE PREY. FINAL -
e
°- :'"30. Drywall Nailing I . I t (Notes: t
- .p 31. (Plaster Brown Coat i '' I _ _ t - I-- _ • - -- -
32. Electrical Power MeterrvFinal ; 1 f , , ,
;; 33. Final Electric j 1 _', . .I l I
c 34. Final Heating&Air Conditioning I i : '
35. Final Gas:PipeTestit . , ' °l l ' I - •
36. Hood orCanopy,_1 `= i : - • - -
37. Final Factory Fireplace-r i , i ,-, ,, I I ; ' 1 ' - -
38. Final Plumbing /'J•/ �i
'
•
39. Water Service-Final' . ' - .
40. Gas Service-Final ! ' i l ,
41. Solar Domestic-Final i , ' •
,
42. Backflow Preventer I I 11 ' I . '
43- Backflow Iriigation ! t .•
44. Landscape Irrigation System ' , 1 l ' - •
•,,,.•-t I... I I , ' . - -
45. Sound'�Attenuatton ' ,
. • �• 1 I , t• ' _
46. HandicapRegulations 1 I ' . ,. I_ i t. l ,
47. FINAL' STRUCTURE& BUILDING ' '
I i
48. Special Requirements Completed 1 i '
49. Electric Releese,to Edison' .1 ' . '- ;-. -t . -. - _ 1 .-
50. Gas Release to Southern California Gas Co 1, , • j i I I
51. CERTIFICATE'OF.00CUPANCY .. -_' :_. .i _,_ ._
No - . Date , ,
_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 74,81 2/13/88 5.00 - '1'
- PERMiJ N y/ TRACT NO. LOT NO. UNIT NO. • '
CITY OF COSTA//M�E,SA CO STRUUCTIIONN,sPlERMIT Jp (/ /
Project Address C//�Yfen/WE L.f�/✓ r •
Applicant's Mailing Address StE TYPE OF CONSTRUCTION H NEW LJ ADD H ALTERATION H REPAIR
Ro d ❑ CONVERSION 111 DEMOLISH ❑ OTHER A,P,# I Zone •
Owner's Name A Phone DESCRIPTION OF WORK/USE OF BLDG.
Address 5� .-/1r'''� r'� S Main Building: Accessory Building:
Arch/Eng. �/4 License No. TYPE OF PERMIT H GRADING�❑�UNDATION 0 STRUCTURAL E Front O
Address ' ❑ TENANT ❑ ELECTRICAL =PLUMBING PLUMBING ❑ MECHANICAL BA Rear • N
GAYf er LI -OTHER -
Contractor'sNam �� '/ a Phone 0��7"7fl J C Right _ N
Address Imailin• L� L/ .i. .w i 1 g/ LL f. 2 PROJECT DESCRIPTION SQ. FT. OCCUPANCY' K G
y CON STRUCTION TYPE VALUATION S Left R
'in City License No. 30 / -S—LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. :ACRES Ping. Ref.# Parking Req./Provided E
/. �s �' /n/ • 0
yy hereby affirm that I am licensed under provisions of Charter,9 (commencing Remarks: j $,sJ ///' 1i 1(tLSC C,� Planning Notes: M
']J with section 7000) of Division 3 of the Business and Professions Code, and 'I .E/ •vr+ V'^'
u` my license is in full fore- .n• effect. - T
•
License Class Lice - No S� S.
Date Signature PIIS lits 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 Ba2k1104v Preventer - 'Service Sink- - - . -
3800, Lab. �.J,�` (, /J� / Automatic Washer Transformer 0 15-50 KW
Polic No.(J�i7-ZiJi company Biu /7� Backflow Irrigation Sewer Cap0 50+KW
Construction Pole Sub.
C died copy Is hereby furnished.
e ti c led with the city isi Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps •
Date '/j;lp{^r1/yp Applican '
EXE PTIh� ON FROM WORKERS'COMPENSATI N DECLARATION - Clarifiers • Solar CollectorsDishwasher — Meter Cover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or .. ' - - - -
less). Dishwasher pQ Solar Piping Dryers ❑Gas ❑Electric Sub Panel I
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 Tank - Fan Motors ❑0-1 HP ❑1'f.-8
Workers' Compensation Laws of California. - '
• —
Date Signature Floor Drains Swimming Pool w/Spa • F.A.U. Inc.Solar 09-15 HP 0i6-15+
' NOTICE:If,after making this declaration,you should become subject to the -- - - •
Workers' Compensation provisions of the Labor-Code, you must forthwith Floor Sinks -- - Urinal -' - 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 his is issued (Section 3097 Civ. C.) Interceptors „ . Water Heater ' • Outlets
Lender's Name Range
Lender's Address - - ' Kitchen Sink - -Water Service
OWNER BUILDER DECLARATION . - - Switches Sign •
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P 'Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap • . ,
any structure, prior to its issuance, also requires the applicant for such permit - Generator ❑0.5 KW ❑5.15 KW 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 - .
7031.5 by any applicant for a permit Subjects the applicant to a civil - _
- enalty of,not more than five hundred dollars($500).
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 - Reinspection Fee I $15 Issue Fee • $ 3
for sale (Section 1044, 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:
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 0 Zoning Approved By Date
• pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date _
rove for the purpose of sale).
I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date al://,-51rS
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 BTUSUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con •-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple ❑ System Repair/Alteration ' BUILDING PERMIT $ _ SMIP $
proof of their Worker's Co mpen sa ion i sur nee should be provided to me. PLAN CHECK $ PERMIT
agaa
0 I am exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING • $ QLD ISSUANCE $
•
Date 0 er. Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $
'I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BT GRADING $
information is correct.] agree to comply wi all city and county ordinances ELECTRICAL $
and state laws relating to buildln nstr on, and hereby authorize repre-
sentatives of this ci to enc n above-mentioned op
inspection p o $ /0-0
Signature '?G �
Reinspection Fee 1 $15 Issue Fee $ 3 PLAN CHECK 25% $ •
•
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod -Assessor -
CONSTRUCTION AND PLANNING r POOL&SPA
APPROVALS Permit# Date ,Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location
2. Soil Pipe=Undrgrnd. ;i 53. Steel Reinforcement • t
3:Electrical:Conduit Utility-Undrgrnd. 54. Forms -
4.-Electiical Conduit-Undrgrnd. - - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough-Plumbing & Pressure Test
6. -Electrical UFER Grrid. 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, O Undrgrnd.
10. Structural Floor System .t • 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 I 71. Product Piping D 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
38. Final Plumbing 2/Ste CEO
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final •
42. Backflow Preventer
43. Backflow.Irrigation, - „--
44. -Landscape
.-44. -Landscape Irrigation System
45. Sound Attenuation
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
&U/z.#/ivc 3 25L
' 38104PAIS
WII 18-714,3T.--.00 5391. ***156,T
p
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
or 4splice t to Fill in om. et-/y• , , A 9 t
DATE ISSUED
AD DR IN -.jiMr.„L._
` -,1
OWNER HELTZER ENTERPRISES—BROOKVIEW A.P. NO�(4`ID 1 '7 P ,/npyT�o
MAIL
BUILDING GI�GDp t_`
ADDRESS 740 N. La Brea Avenue ADORES _.
z . gam- p `1
0. U CITY Los Angeles, CA 90038 NO. 97-2171 L.
TRACT(�Z-Tl LOT BLOCK
I- Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI LSH
O l-a_ m LENDER United California Bank
J 3 BRANCH Main Branch -
Jfn OWNER .- T ‘64,1,4' (Q�
4,1W ADDaess 600 S. Spring St. , L.A. 90054 / / /�� tOUP
�
• ARCHITECTTEL.' OR ENGINEER Fields & Silverman NO, 653-0160H
ADDRESS 113 N, San Vicente, Beverly Hiles zoNEE TYPE
o.al
APPROVED
JZ CONTRACTOR George J. Meltzer BY DATE
CD
mz
J cc ADDRESS 740 N. La Brea Avenue
LL W TEL
Z N NO.OF USE OF NEW co poo
z 1- CITY Los Angeles, CA 90038 No.937-2171 -C Ps"5 - BUILDING - G A'R-
ui O STATE CITY YARDS APPROVED YARDS APPROVED
to¢ LIC. NO. 3144 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
3 O (FROM C/L STREET)
SIZENO.OF BLDGS. ''rr
�!'
OF LOT I NOW ON LOT None FRONT (._ FT. FT.
USE OF ,��L
EXISTING BLDG. R.SIDE G8 FT7 ,' FT. -
I-2 SIZENEW ONO.OF 2,I — 1 €L
I- NEW BLDG. ROOMS STORIES 2 L.SIDE FT FT.
Q EXTERIOR WALL ROOF
V_ COVERING Plaster COVERING Wood REAR FTJO4. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL Resid tial MAIN BLDGS. ACCESS.BLDGS.
a
L.
QO //_� VAR.sW ,'G i/ DATE p
/!l U�ii CIS 1� C.U.P.gJ e. - /3'�7 APPROVED O -�--73
% F V� ��J APPROVED
N DATE
fo STATE
.a U
NI hereby acknowledge that I have read this application and state •
3
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of TAX
fA the State of California. ///J '7 �^I q to
fa
? I hereby certify that I am properly licensed as a contractor under SO. FT. 2/90 �"t'"` 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the ovisions of the State of California Business VALUATION 29V42;
/ �/l\`�
and Professions Cod Ivision 3,Chapter 9. �4� G ^
PERMIT FEE 5 / h7 V
Signature of 0
////// •• ct
Permittee - Pi , $ !4 00 PLAN CHECK 5 /Y-� 2� E
U.
Authorized Agent u.
TOTAL FEE $