HomeMy WebLinkAbout1861 RHODES DR - Building Permits 4
CITY OF COSTA MESA
BUILDING DIVISION
). „z. ,r..► DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4.
re* PERMIT
B03-00590
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa„t;R.yS DING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1861 RHODES DR CULL Status: ISSUED
Suite: Applied: 04/09/2003
Vicinity: REAR OF PROPERTY Issued: 04/10/2003
Parcel Number: 13938306 Zoning: R1 R1
Applicant: PAULY, SAMUEL NATHAN ISSUED BY:
Address: 34152 RUBY LANTERN
UNIT A Phone: 949-412-6046
DANTA POINT,CA Zip: 92629
Owner: SCHWARZMANN, MICHAEL D
Address 1861 RHODES DR MST)
f
Phone: X r( A
COSTA MESA,CA - Zip: 92626-4710 4 h•2'` /
ole
Contractor: OWNER-BUILDER Oat
Address:
Phone:
Zip: License: 000000
Arch : - Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
INSTALL TEN 6 FT HIGH PILASTERS EVERY 8 FEET ALONG 79 LF LOCATED REAR PROPERTY LINE PER CITY STANDARDS.
FEE SUMMARY
Plan Check: $63.21 Calc Valuation: $3,555.00
Permit: $97.25 • Claim Valuation: $3,555.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $160.96 •
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1,12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2448-46(6/00)
. '
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
'_o
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for th6 performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This
sss¢caon need nOt be completed it the permit is valued at one hundred dollars($100)or fess.)
yA 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'
V compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Secti n 3700 o the Labor Code,I shall forthwith
comply with these provisions. / /� '1
- -Applicant Signature: Date: LT I v 0 3
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIE AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($108000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lie.a Class a
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which/requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or-she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
o I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:.The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.It,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the dmsion.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: _
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
materiel? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication akPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? lj Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE •F COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I .. o Co.. th ally tate law :nd city ordinances rela. to building constru tion,and authorize representatives of the City of Costa Mesa to enter upon the
above .ed prop : or ins•• i• p .uses.I agree not to occ y or flow occupancy ny building authoriz¢d y is erm' u til final inspection.
/.J % �� c ��o�' ��
Sig ,ire Of Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE• INSPECTION TYPE PATE INrmALS CODE• INSPECTION TYPE MI INTf11AL4
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
1
•THIS SKETCH IS FOR INFORMATIONAL PURPOSES 'SOLID WALLS/FENCES BETWEEN 2'6.4a 6'IN HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEASE 10' FROM FRONT PROPERTY LINE.
AN AC PROPERTY
IN CASE SHAPE AND SIZE DO NOT CO 'SOLID WAILS/FENCES SHALL NOT EXCEED 2'6•N HEIGHT
WITH INFO WITHIN W OF THE FRONT PROPERTY INE(NOT CURB LINE).
CITY •VERIFY DISTANCE
TAPLAN.OMCUGTT PROPERTHE UNES
PLANNING DIVISION ENGINEERING DIVISION 6 REQUIRED. CALL(714)754-5343
SUBJECT TO BLDG. DEPT. REG. FOR INFORMATION.
"
NOTE: ADDITIONS. DELETIONS, (0 c i•!4eS v�Y C
OR CORRECTIONS SHALL BE
APPED BY THE PLANNING DIV. Itall
_I:a \ - - - -
BY: ® P� . _ r • � - 7a3
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RESIDENCE R[90CRQ
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tams ;,•p1b1111hllT %atndiltistAS%lL1to a a
nakeany.eir set.DLO esod:gpadl6�ti9�' L,`"fi ... ?tot fterlitai iSitteaina
fWkC alJyLl,�-�ar�Ilfii3I27I1F Y; .q� .•.: m;, ,.y RCSDENCC RC9DENCE I
nd Salelyitilyoft3osta'U.sSa. I 'g6
The Ittas�rc rt.sf- Ifi.^r.l' Iil'iR'11TC tiaiJ.: 1rcd�atCdfVappryal
If the violat Slimy/fpa'nsil asodh..nyit stMai`.Ccb93t'1. 1 'OW aU:ai.dIN:Slate:h..- K�"`Cho(� r,
These plan and4„,atHtvi.. •,r,l II I.... alla:luytvx !at ilvel ' ,tte'6UhI dt
moikisnot ] . 1 •. pf11 aay�M„' CS
e' IOW i00c nu. SET SACK
. ----91
c STREET _
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION •
.girl?'�1 114
I.
TYPICAL 611 CONCRETE BLOCK:- FENCE
Cement Coping Optional Sd -_ I c :- •I ,7, i ■, .-- �jj .lillinalli
j'
Channel Block With 1.3/B GENERAL- NOTES
Horizontal Top of all _., _ S 1' INN
One Part Plastic Cement, and
-'.+ " ' I I II I �® MORTAR;
^fid ". :- -- Three Parts Sand
-• -� -> _ �:,„Tha GROUT: One Port Cement Three and
For Fencest5_or:Less, Stand
yen.Bars 3/8"q at'A: '0''O.C. .c J. o al=
� One PHalfort PortsA x COPING: One Port Cement, Three
For FencesHigheiThan-5' :- - ;• uII �. Well $and
Ven. Ban 3lBs'm at 32".o.C.;- ; •,- w - - - - — - - I CONCRETE: well Mixed 112-1/2:3-1/2
1 ., - ^ " Max of 7- 1/2 Gallons of
Fill Cells Solid‘With Grout a —> 1
i ill
,. 3 II III ' Water Per Sack of Cement
Where Steel Occurs r + > - - - -
Reinforcing'gSteel Shall .y ' .�' �I 72 `? �® OF THE GROUT MAY BE POURED FROM THE TOP
T .- `I _ OF THE FENCE IN CELLS WHERE STEEL
Conlorin toSey.A1539,' -�T w -- I OCCURS.
fi.S.T.M. ' `. `_ _ _ All " i I �I�
LI CELLS AND AREAS OF HORIZONTAL REIN
AllAll Steel to he Lapped' �' 1 4 j FREE OF NT SHALL BE CLEAR,CLEAN d
to to olse X -..+ FREE OF ALL MORTAR DEBRIS,ETC.
orI 4. !N I M I �,N_
1 NAT URARAOE ;W. MAI FS �' 1 �II ,�
11
r
TWO 3/8"O BARS O --
A CONTINUOUS TOP • >
&BOTTOM —1 111 1-6.--WIDTH 1 TO 16 0 C MAX
SEE CHART
NORM-STEEL MUST BE TIED IN BELOW DC PTII CV C ARTHTCOTH
PLACE AT TIME OF TRENCH • 1/3 UIE HEIGTH OF FENCE
INSPECTION.
jBELOW BOTTOM OF FOOTING
kali;,_ 10" T 2,. SCALE: 1/2" 2 II
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6, 5 413'
WIDTH 14" . 14" . . . 12" . . 12"
THICKNESS10" 10" 8 " 8 "
DEPTH OF EARTHTOOTH 24" 20" . . . 16" 12"
SPACING OF EARTHTOOTH 12' 14' . 16' 16'
1
(- r-)
BUILDING DIVISION
ll •
1-S l
DECLARATION OF AUTHORITY Bldg. Pem)it - OO /6
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS This Permit# _
04-
Street Address: C� ` """' /�+' I, AP Number: _
•
1. I (we), X ccrA t-u' O s tuorz. Z'" lc( ILLI/ , declare that I am the Owner of Title of the above
referenced real property, and that I (we)hereby authorize: •
�t
Name: cA.M K�t ty Telephone Number: Grq6}) G/2-6°—/C
Street Address: ay ZIY r (` "v 1L- /'i
PO IJV P ' 1�' / 1 I
r�
City: D,A), - f VT- / State: . (4 Zip: . c Lp �—t'J
to obtain permits in my behalf,as owner/builder,for C�-C CC' /_- (tiy 1tXJ„
at the above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's
Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa
Mesa, as required by State of California laws.
3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa.
5. I declare under the penalty of perjury that the foregoing is true and correct.
2 �/J�/may �/�//// (1
Executed this 9 day of 20 bJ , at(t tel. Y ✓ lX.� Cr-- , California.
Print Name) v Viol_ v C
VYYk /1ta •
C� L
Signature: X )),\A'Aii U - J
Dater( `l l
Note: This authorization does not grant authorization to perform the work as owner,
it solely provides for limited power of attorney to secure this permit in any behalf.
0719-46(rev.11/00) •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESO jCOI TR UCTI ON ff RMIT ` Pfig,M1T'Nc Q/G TRACT NO. LOT NO. UNIT NO. A p # Zone '
Project Address / ��1 1 ih Q {)S C' - !I'�C J5 D S Main Building: Accessory Building:
- TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION U REPAIR
Applicant's Mailing Address �dr.�B1s �p�. �((]tl.inn TYPE - Z
�. q 4 G /g-77 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • T •Front 0
Owner's Name �U n '-•f Phone DESCRIPTION OF WORK/USE OF BLDG. 1�-e (UVF l••�/•�P 4rt -Ink,- I B N
p(/�� 1 U2` A Rear I
Address r �L � A `• ' - x _ C Right N
Arch/Eng. License No. / - TYPE OF PERMIT IN GRADING U FOUNDATION III STRUCTURAL - G
Address C TENANT ❑•ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S• Left R
CJ G ❑ OTHER (L-O S-t
Contractor's Name Mkt • 1 Phone/+Z,— 15 ad �' I Ping. Ref.# Parking Req./Provided E
11 PROJECT DESCRIPTION SQ. FT. r
Address(mailing) J j. ,ECOnw0 'Lv U.e-a_ 3r 00 VALUATION
gC�c7 o Planning Notes: M
2 C 0 N STRUCTION TYPE VALUATION$ f/yY
City License No. Di ZONE GRADING CU.YDS. ACRES I S.
LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •
with section 7000) of Division 3 of the Business and Professions Code,Dnd • ,
my license is in f I f• c- .nd effect. ( ELECTRICAL FEES
I. License s License No. w(--/�I WWW
Date 7/I Signature a !• - _ • .•1a PLUMBING FEES Automatic Washer Transformer 0 15-50 KW •
I 'ORKERS' COMPENSATION D CLARATION •
COn51r tion Pole Sub. •
0 50+KW
\ ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers .
1 .,f Workers' Compensation Insurance, or a certified copy thereof (Section , i•o ' g Unit Meter ❑up to 100 amps
3800. Lao. C) Backflow Preventer Service Sinks
(�� t•>C.i� I 3 U 7? tit'''�`°^`I p . /
- • washer Meter Dover 100 amps
Policy No. company Backflow Irrigation Sewer Ca
• Certified copy Is hereby furnished. 1, �� __ a yeas ❑Ges ❑Electric Sub Panel
—
'A Certi e• cop Is f led with the cit !ding Division. ,aJ! -rp�Cx Bathtubs _eCNOn
Gate ' • KE RSApplican QM�'1 ''S' Cr TION / - Motors 00-1 HP ❑1X 8 .
EXEMPTION FROM WORKERS'C ENSATION DECLARATION Clarifiers ' Solar COI .
(This section need not be completed if the permit is for one hundred($100) or I F.A.U. - Inc.Solar ❑B-15 HP'016-151-
I
less). Dishwasher Solar P'
I certify that in the performance of the work for which this permit is Issued I
��' Fixtures
shall not employ any person In any manner so as to become subject to the Drinking Fo tains .olar T. Microwave
Workers' Compensation Laws of California.
Date Signature Floor brai •w-ss u . .ol w/Spa Device Boxes Pole Light
NOTICE:It,after making this declaration, you should become subject to the Outlets R�n�e
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks inal o
comply -with such provisions or this permit shall be deemed revoked. .__
Switches
CONSTRUCTION LENDING AGENCY Gas Service Outle . W-ter Sign ,-1
I hereby affirm that there is a construction lending agency for the performance - W
of the work for which this permit is issued (Section 3097 Civ, C.) Interceptors W tern Garbage Disposal Standing •Sections
Lender's Name - Generator ❑0-5 KW❑5-15 KW Trash Com ctor
Lender's Address ' Kitchen Sink WE ter ice _ � {
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories 1undry
to-Wash }`>
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 Trays `_ .Ti _ •:1
any structure, prior to Its issuance, also requires the applicant for such permit ,
-n rile a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Y `
e Contractor's License Law(Chapter 9(commencing with Section 7000)of - "- s
vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee .1
.ierefrom and the basis for the alleged exemption. Any violation of Section - $ 0
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:$ 3 n "3U I, as oWner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee •T+ .-- di)
-compensation, will do the work, and the structure Is not Intended or offered Zoning Approved By r' Date
v .1..
I
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 •
�' f /,�
thereon, and who does such work himself/herself or through his or her own - Application Issued By � Date I
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 SUMMARY OF FEES
oietion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground , / 2
prove for the purpose of sale). BUILDING PERMIT $ /0 .00 SMTP f $ • (0 3
❑ I,•as owner of the property, am exclusively contracting with licensed con- Duct-Structural , Refrigeration System PLAN CHECK $ PERMIT
tractorsto 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 0100,000 BTU PLUMBING $ - -: ISSUANCE ..$a
builds or improves thereon. and who contracts for such oroiects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $
❑ lam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $
PLAN CHECK 50% $ /-
Date Owner Heating System& Ducting Registers • MECHANICAL, $ �VD�.p•�G+3
I hereby certify that I have read-this application and state that the above - 00-100,000 BTU 0100,000 BTL .. - TOTAL FEE $
information is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of t • city to enter upopt the dbpye-mentioned plop rty for •
inspection Our e
DATE: 09/12/88 TIME: 09:52
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
.
oil
•
CONSTRUCTION AND PLANNING , F &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
.
,.Electrical Conduit Utility-Undrgrnd. 54. Forms
4:Electrical Conduit-Undigrnd. ' ' 55. Electrical Bonding
5. Steel.Reinforcement , 56. Rough Plumbing & Pressure Test .
i 6. Electrical UF ER Grind. 1. 57. APPROVAL TO COVER-GUNITE 1
7. Footings . - . 58. Electrical Conduit-Undrgrnd.
•8.' Foundation I 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
r16. Rough Electric Wiring 67. Fencing & Access Approval
1�. 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
I .
24. Roof Framing i : ,,- _ 1 73. Undergrnd.Storage Tank 0 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 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 - f
35. Final Gas Pipe-Test .
36. Hood or Canopy
l
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 EXPIRED
45. Sound Attenuation I in pie Inspection)s
46. Handicap Regulations /J61S
47. FINAL STRUCTURE & BUILDING 17ate -
Sig i --
48. Special Requirements Completed i
49. Electric Release to Edison 7A •
50. Gas Release to Southern California Gas Co •
I
51. EVRTIFICATE OF OCCUPANCY ' /
No. Date - I
•
L
29295 PAID
OCT 28-680—M01299* ****13.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 02132S -
IPPA.. 111 realaricar
For Applicant to Fill in Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Of1k. Use Only
BUILDING
ADDRESS 1861 Rhodes dr.
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA
ECESY ryw
DATE REC[ , E SSUH
OWNER Thomas M. Beckwith (J /0_0711,6 j1t 1—¢ 67
MAIL •11 o BUILDING
MAL 861 Rhodes Dr. ADDRESS/
ACITY Costa Mesa He 5466524 ZPIR[ONE TYPE GROUP ///
ARCHITECT TEL APPROVED C9
Itivr //J ` ,./`t
OR ENGINEER NO. C/ /�/ r
Z Nei T�-_C�
CONTRACTOR _ ZOH,�j NO.OF UEEOFNEW`
Costa Mesa Lumber Co . =HR.(
PLANS BGILDIHG
CONTRACTOR -
ADDRESS 1700 Superior Ave. ZSCRIPION L[3/ %R. q3 / I
CITYCosta Mesa, Calif. A.P.NO. i3 9- J 8-•- -- O 6
NOSTATE 220165B 1 TENOL T!: SIDE V ROVE P NO RAVE OVERHANG
G SHALL BE LESS THAN
LIG.NO. . 548 1061 NOL.
yy EAVES
• SIZEOF LOT .704J`I 1 I NO.OF 131.00131.001111GALLOWED (U.B.C.REQUIREMENT)
�� NOW ON LOT
S^c
OF YARDS APPROVED YARDS APPROVED
U
USE OF BLDG Dwelling MAIN BUILDING ACCESSORY BUILDING
?' I• (1 FROM C/L�ST�RE�ET))
• SETBACK LINE FROM 28 FRONT 4.721-T.-n---,0 • PT.
t: CENTER OP STREET REAR YARD
t-
SIDX YARD' LEPT JI RIGHT 5' R.$IDR /1 PT. 11 1 / PT.
DESCRIPTION OF WORK L.BIDE Pr. PT.
- NEW ALTERATION ADDITION X REAR Kti/.P6C-s_YO, FT.
I DISTANCE BET. BET.MAIN R
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BUDGE!.
BUILDING [� 6 O.OP •1 VAR.* DATE
'• SIZE 9- 7-'ROOMS 1 STORIES 1 C.U.P.# APPROVED G / p
EXTERIORWA�{t}.I11�1I ROOFill/77
PF pV DATE /D-7-n -10 U
COVERING `�"�C'C'o I COVERING Compo. ® /•
USE OF BUILDING AND WORK TO [ RED zi, 04
Study c= 0". /Or 0 rt5 61—yi� 9
. 7lo �'w.FT.
I HEREBY ACKNOWLEDGE THAT.' HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. I W
SIGNATURE OF Costa Mesa Lumber Co . PERMIT FEE $ E
PERMITTEE ! /,92�
!/ PLAN CHECK B /S� w'
AUTHORIZED AGENT _QT, C a
�I ROBE® TOTAL FEE S /3,3
I E RECEIVED
716041dAN3 _196¢
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
GI17 OF UA
MtSP
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING Lot 43, Tract 4311 BUILDING
ADDRESS i& R Ho P Pr 9.4/vE
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Adams Street Company T RECEIPT NO. 111 �i'
MAIL 1653 Minorca Drive REG D BY I R Ve DATE114• ISSUEDIS
ADDRESS GC�- I ��v�IJAN n 1957
CITY Costa Mesa No :Ki9-0395 BUILDING
ADDRESS
ARCHITECT Earl Kaltenbach TEL•Ke5-0543 COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS 9772 Katella Ave., Anaheim FIRE JPC'-s}.
ZONE TYPE GROUP f/
CONTRACTOR Safnnr Construction,Co. ,Inc. APPROVED
1653 Minorca Drive BY DATE
ADDRESS ZONING
ZONE/ II NPO.OEF I BUSOIFNGNyJ �j� j(y,
CITY Costa Mesa -
cTo. 197838 TEL. Ki 9-0395 LEGAL L 93 74' 4/3//
DESCRIPTION O
SIZE
- I NO. OF BLOCS. 0
OF LOT 70 x 100 _
NOW ON LOT A.P.NO.
USE OF - YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM 42
28 (CENTER LINE ST.) Lii
CENTER OF STREET REAR YARD FRONT C- FT. IN.
SIDE YARD I LEFT 5 IRIGHT 5 R.SIDE .S FT. IN.
DESCRIPTION OF WORK ,5- —
L.SIDE p FT. IN.
V
NEW I X II ALTERATION I II ADDITION I REAR a FT. IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVED te.1X"//JJA AM DATE I 2.7 0/
BUISIZE 1650
NO. OF 1650 ROOMS 7 STORIES 1' "` .
EXTERIOR WALLyPOOd- ROOF LAi
I
COVERING SLS000 I COVERING Shake
USE OF BUILDING AND WORK TO BE PERFORMED l L 6 J
Single family residence and /�
attached agarage / S�
P/ae /7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALLCITYORDINANCES AND STATE LAWS REGULATING
PERMITTERI
ONSTIRU '" STREET C./*1MANY
VALUATION L .`� N
SIGNATURE OF 7� 762- ...._
PERMIT FEE $ y//
4 / $/7 � PLAN CHECK $ /, �•.j- .Z
AUTHORIZED AG i
`SSSC E
TOTAL FEE $ -I' LL