HomeMy WebLinkAbout1889 RHODES DR - Building Permits ADDRESS OF BUILMNO: MIT:
OWNERS NAME IF KNOWN: 1889 RHODES DR CITY OF COSTA MESA - BUILDING PERMIT
• ADDRESS: SMITH PAULA J ,......,PERM NO: B 075566
1889 RHODES DR
w ! COSTA MESA,CA 92626 PERMIT NO: B 075566 PLAN CHECK NO: 05103-95 S GOVT: N SUPP: N
APDL.MMUNG ADDRESS: 545-0827
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: REP
ARCHITECT OR ENGNEEA: MHO.: JOB DESCRIPTION : REPAIR AUTO DAMAGE TO EXTERIOR WALL SQ FT: 2, 000
ARCH OR ENG.'S ADDRESS: UNT:
cDNrxAGTDIrs xAME. CLAIM VALUE: 2, 000 . 00 CALC-VALUE: 2, 000. 00 GROUP OCC: R-3 /
CWIRACTORS WARMEMERCON CONSTRUCTION INC ( 714 ) 630-9615
1211 N ADDRESS: ANAHEIM BARSTEN WAY CA UO.NO.: 525903 9CLL-*fMF*****ii-+L-*****iIt-*iRh;,E******iE**Dir********G *******;t ***#*** ESE*;tS*iEiE+F#iE*;,E#at****#+h**#x-a[-*
92806 LINT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aim under penally of perjury that I am licensed under pro+aions of Chapter 9 SETBACKS
(Ipmmendng with Section 7000)of Didion 3 d the Business end Professions Code end my license is in fug force and effect.
CITY LIC.NO.: UC.CLASS: LIC.NO.:
061714 B Z S 5903��..EXP: 03/96 MAIN BUILDING ACCESSORY BUILDING
Dae: /2- 13-gs Contn/or �1lr Iq�7/�0 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
\ affirmpenalty of m
OWNER BUILDER DECLARATION:IherebyurderpeperjurythatIaexemptfromtheContractosLicenseLawforte LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
`Jdww:g reason(Section 70313 Buskins end Professions Cod:Any city a county which requires a peri to construct atter,improve,
demolish.or repel any structure.prior to es issuance.also requires te m
spptoala such pend to Me a spmdstaement that hes she PARKING REQ: '.PROV: PARCEL: 13938301 ZNE: R1 REF NO: '
s licensed pursuant to the provisions of the Connectors Llicense Law(Chapter9(commencing with Section 7000)of Division 3d the PLANNING NOTES> REPAIR AUTO DAMAGE TO AN EXISTING SINGLE FAMILY RESIDENCE.
Business and Professions Code]or the he a she u exempt therefrom and the beds for the alleged exemption.My violation of Section > •
a....17031.5 by any applicant la a permit subjects the applicant to a civil penalty d re not mothan five hundred dollar]SSDon.
❑ I,edownerdthe propenYor my emplayeee with wages es their sob compensation.willdthe work.and the elructurobnob intended *******************************************************************************
or offered for sale(Section 70a4,Business and Professions Cod:The Contractors License Lew does not applyto anowna of property DEVELOPMENT SERVICES REQUIREMENTS
who bold a improves thereon,and who does such work himself or herself a through his or her own employees.provided that such W
improvements ere not intended a offered for sale.f,however.Nov building or improvement is sold within one year d completion.the rr
owner-builder have the burden dproving heor she did nor budorimpmvefathe purpose deae). ZONING APPROVED BY : WC$ K DATE: /2-/l7+��j
-95
❑ L as owner of the properly.am exclusively contracting with licensed marathon to conatred the project(Section 7044.Business and ± �
Professions Code:The Contractors License Law does rot appy to an owner d property who builds or improves thereon and who BUILDING APPROVED BY : 143 , DATE: pe/4-
Date:
I/'�I3-93"
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congests for ands projects with a marector(e)licensed pursuant to the Contractors License Law). � zit ` iF
❑ Iern exempt under Sedim: B.AP.C..forNisreason: APPLICATION ISSUED BY DATE:
Date: Owner: ******************dh**************************** ************* *** * B� ***
I do hereby certify that I am aware of and understand the regams
reenof CaliforniaHealth and Safety Code Sections 25505.25533.and LEGALIZATION:N F E E SUMMARY STRUCTURAL S EGM ENT: Y
25534,end that I or any Mitre building occupant will/wig not(circle one)need to comply with said calf cedes and the requirements for
e permit I a modification Iran the AkQ tytyManaagement District.Residential applications exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 45 . 00 . 50
Date: Applicant: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN 29 . 25
❑ I have and will maintain a cenlicate of consent to self-insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE
Code.for the pedna
onnce d the work for which thispennh is issued. BUILDING-DIV--> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and MI maintae workers'compensation insurance,as required by Section 3703 dthe Labor Code.for the performance of the TOTALS----> 45 . 50 0 . 00 29 . 25 74 . 75 74 . 75 . 00
X work for which this peril is ssued.My workers compensation insurance crier and policy number are:
Caner: CALIF INDEM EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 74 . 75 OVER/SHORT: . 00
Poky Number. NG0201840rk 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the permit is for one hum liars f l or lass)
45 .00 S D 29 . 25
❑ 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.and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code.I.hell hMh Awith *******************************************************************************
�� �d INDIVIDUAL F E E BREAKDOWN
Dae: /2•-• /3-Q S Applicant:
Warning:Failure tosecure wertw'mnpwvedon coverage la unlawful.and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Has cc to one hundred thousand dollars(5104000),In eMlion to the cost of compensation damson as podded for In
Section 3706 of the Labor Code,Interest,and attorney.fees.
CONSTRUCTION LENDING AGENCY: I hereby affirm
under penalty of perjury that there is a construction lending agency for the SFR 2000 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 2, 000 . 00
performance of the work for which the permit is issued(Section 3097.Civ.C). END OF FEES
LENDERS NAME:
LENDER'S ADDRESS:
I certify that I have read this application and date that the above information is cared.I agree to comply with alt dry and county ordinances
and stale laws relating to Wilding ccnstnudon end hereby authorize representatives of the sly to enter upon the above'mentoned property
for inspection purposes.
1( ILLY MARTIN
\ \...qL '/�/� Dae: /2^ /3 'G/
ignaure of owner/Agent/Appicea/Contrada a i (a .: _ ,i- 51'3 ":71-.7
—
i'.' t.• 1 .. = TJ, ' ;
i
(515t-46 WP) White-Buiksg A Safely;Green-Ate:Canary-Applyant:Pink-Revenue;Goldenrod-Assessor
'-CONSTRUCTION AND PLANNING POC ..ti SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pale 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ? - 53. Steel Reinforcement
_,3i )e tical Condui UtifIty-UndrLgrnd. 54. Forms A-
$ Elec`rical Condui�Jnn grnd. 55. Electrical Bonding
.z 5..EeeJ.ReinforcemS; 56. Rough Plumbing& Pressure Test _ .
=c"--C
Oe."-Electrical UF ER Grad. 57. APPROVAL TO COVE R-GUNITE
-
K .N•
121crFaotings ;,,,;- 58. Electrical Conduii�,bndrgrnd.
8.-_,:c ndation 'S[ a.59. Gas Pipe, 0 Undtgcnd.,Test
9. Water Pipe-Undrgih& c60. Backwash Lines,8 rap, 0 Vpdrgrnd.
10. Structural Floor System 61. APPROVAL TO QECK -
11. Prbperty Sewer Line &House Connection 62. Backwash & Receptor-Fin4i '•
12. Sewer Cap -' -._ 63. Heater 84 Vent-Final
13. Roof Drains64. Plumbing System - Final
14. Rough Plumbing=, } 65. Electrical-Final
15. Rough Electrical-Conduit tri 66. Solar System-Final ,
•
16. Rough Electric Win .t67. Fencing& Access.Approval • ,
•
17. Rough Wiring Sign .- 68. APPROVED FOAPLASTERING '
co cu18. Rough Electrical-x Bar Ceiling t 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioninger, FIRE DEPT. R,,,COUIREMENT
20. F{pugIjYaelpry"Fire trace •
t: ,4 t c to iAPPRy.V/ SF7fferrgit# rc
21. ducts,in Structuret:.-.• �-.. - - ; - CI I. rgrat.G ,4
' 70. UtldergroU� Hydro '
22. Ducts-Verctila!T+g f' * S �'* '"71. Produc TPS in
rid Jc: * a K , . 4' a t8 g So; bpi it
23. Os Pipe•Roughj& Test ,$ ` :*t tr •C D un
r72. Undergrod Flbssh:
•
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA S(,{( � f d
APPROVED
eyhitof
This set of plans and s ecifications MUST be keot on this lob at all times
and it Is unlawful to mate any changes or alteration on same without written
permission from the(Mien of Building and Safety,City of Costa Mesa.
The stamping of this plan and specifications SHALL NOT be held to permit • • S
or to be an approval of he violation of any provisions of any City of Cosia BGO Pccn
Mesa Ordinance and/or itate law.
These plans end permit shoe expire by limitation and become null and void if S
the building or work is not commenced and maintained active per UBC§303
1 (d)within 1130 days of tsr trance.
Vccpç,r
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. ‘. ; O C ST MEp14pt 10 -�
( , - NANNING DEPT. Qy
. �JSUBBJECCTTyTO BLDG. DEPT % gam
bY—�es.�`�-' `UATE_1,1-4:9/,c,
_ '9 ( _,
Q¢$CTOa OP MANNINO NN
W 1,
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i589 QHe4°s &c'P
Revue ?d izep icP Ap,Qox 72 X y, .
sfireces
PP®Ar'K S7Q4'eo Q y/J2k, L L
4.
ADDITIONS, DELETIONS, OR �OR.REC110NS SHALL
BE APPROVED BY THE Pi ANNiir'G DEPARTMENT
6 .
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M SA O T I. CTIO P RMIT Pniii2NO p�/ / TRACT NO. LOT NO. UNIT NO. • '
S °Ref I7 G L / S� 3// # 8 1279 8/13/86 " ' 49. 18 .,11
• Project Address • S
Applicant's Mallin ddress p�E TYPE OF CONSTRUCTION NEW H ADD U ALTERATION U REPAIR Al� 0 El CONVERSION III DEMOLISH ❑ OTH9� A.P.# . /3 9 -30 -O/ ( Zone A
i Owner's Name % r Phone DF»SCRIP �Q/N�' OF W K/ S OF BLDG.
Address /!ire OL'f (i �J�l�l` ��� S Main Building: Accessory Building:
,: Arch/Eng. • License No. _� - TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front 1�' 0
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear . , N
1L OTHER �l/2"i-C,�(.� A
Contractor's Name Ste/- Phone / l C Right ' h,� J't N
Address(mailing) PROJECT DESCRIPTION,,S4. FT, 9'� OCCUPArv/F yJ go ~ /DS
CONSTRUCTION TYPEIQVALUATION / 0 $ Let
d G
• E
City License No. ' ZONE GRADING CU.VDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided A E
CI
I hereby affirm that I amlicensed under provisions of Charter 9 (commencing Remarks: Planning Notes: R L c c k wh G ?imp A/ ?i M
with section 7000) of Division 3 of the Business and Professions Code, and ?
my license is in full force and effect. T
L INA ftE/ FN Aim iSs3
License Class License No. S
Date SignaturePLUMBING FEES RI/noes R '
RKERS'COMPENSATION DECLARATION Bar Sink Showers
'� - ELECTRICAL FEES
ereby affirm that I have.a certificate of consent to self-insure eorr a certificate _
�3f Workers' Com pensatiori Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. - -- 'Company -. Backf ow Irrigation Sewer Cap • Construction Pole Sub. 0 50+KW -
8 Certified copy is hereby tiirnished.
Certified copy is filed with the city Building Division. Bathtub Sewer Connection Cooking Unit Meter ❑up to 100 amp
Date • .Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARAT ON Clarifier\ Solar Collectors Dishwasher Meter Dover 101 :nips
(This section need not be completed if the permit is for one hun ed ($100) or -
less). -° / Dishv✓as•e Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work fpr which thispermit is issued 1
shall not employ y person in any man Je/ as to-tl a subj ft to the Drinking '•untains Solar Tank - Fan Mot. ■0-1 HP ❑1'h-8
Worker •e -ati•n.taws of Califo
Date r' Signatures / /as
Floor Dr.'ns Swimming P•• w/Spa F.A.U. ,
✓ � c.Solxr 09-15 HP 016-15+
NOTds: t,4 er• ak ng.this decl ith, you should stoma subject to the --
Workers' Compensation pro VI5i0 of the Labor Code', you must forthwith Floor Si s Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY vac Outlets Water loset Device Boxes
I hereby affirm that there'is a construction lending agency for the performance Pole Light
•
of the work for which this permit is issued (Section 3097 Civ. C.) ,rs .'er Heater
Outlets Range
Lender's Name
Lender's Address - Ki en Water Service - Switches • Sign '
O • R BUILDER DECLARATION •
ereby affirm that I am exempt from the Contractor's License Law fo 0 'es Auto-Wash Garbage DIep05- Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any cit -
anynty which requires orrto a ssuconstruct,alter,Improve,applicant for uc or reps \\\ p-'[ Laundry Trays Generator •0-5 KW ❑5-15 KW •
any structure, prior es its issuance, also requires the rove, for such pe r mi f \\\'\\ Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provision - of ins '
he Contractor's License Law(Chapter 9 (commencing with Section 7000)of - i
avision 3 of the Business and Professions Code) or that he/she Is exempt - - -
nerefrom and-the basis for the alleged exemption. Any violation of Section
7031.5/6y any applicant for a permit subjects the applicant to a civil \. _
malty of not more than five hundred dollars($500). - '
WI, 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 7044, Business and Professional Code: The Contractor's MECHANICAL FEES •
License"Law does not apply to an owner of a property who builds or improves ..-_
thereon; and who does such work himself/herself or through his or her own Boiler Hood or Type 0 DEVELOPMENT SERV r UIREMENTS:
employees, provided that such improvements are not intended or offered for •-
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II • Zoning Approved B • , tJ . ,.C_ rate • r•+
' pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground BUiiding Approved By i!�✓ — Date f'^ ' -
for the purpose of sale). -. - -
_moveI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigera System Application Issued By Dat:
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 ❑O- 0,000 BTU ❑100,00_0 BTU . SUM •V OF FEES
builds or improves thereon, and who contracts for such prjects with a.con- $ �'.CO .SNIP $ • ��
•
tractor(s) license pursuant to the-Contractors License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ ��r� i PERMIT
•' O I am exempt under Section B/& P.C:for this reason Firepl/Fact.BIL. ICBG# / Fire Dampers ' ISSUANCE $
�-- i 1S//' --- -- . ' _ PLUMBING $
Date [ ,) is Owner /-'-� �5..--.<.- - ' -1 2' ) 'Heating System& Du ' g Registers - PLAN CHECK 25% $ ENERGY P.C. $
I hereby/ce/ii, a $ have re- ,thft"applfn a d•state that-the above 00.100,000 B 100,000 BTL , ELECTRICAL $. GRADING $
• information . co e'c . I agree to cbmply/With all`City and county ordinances
and state 1d s relating to building constructlon;and-hereby authorize repre- PLAN CHECK 50% $. MICROFILM $ •
sentatives/of this city tom rites uponv the above-mentioned property for _ - O
• inspection pus ose +4"g/-...--- I' .. / MECHANICAL _ $ ¢�
P .�.. 'Y��= .TOTAL FEE $ , a
Signature �/, /• Date / _ -
Pink -Accounting; Goldenrod - Assessor /
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# _Date Inspector APPROVALS Permit# Date Inspector
1: Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ' ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation - ' ' 59. Gas Pipe, 0 Undrgrnd.,Test.
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap,.❑ 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 PREV. FINAL
30: Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
., 32. Electrical Power Meter-Final I, 80. FOOD.CERTIFICATE ISSUED
33. Final Electric ti. Notes:
34. Final Heating & Air Conditioning - r
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• I
44. Landscape Irrigation System EXPIRED '
45. Sound Attenuation Incomplete Inspections
46. Handicap Regulations •
....rj-/S..‘Sig 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
S
_,L _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• /
0658 804/86 34.33 IL'
CITY OF COSTA M(E/SAp CONS �PWCTION PERMIT P MIT NO: TRACT NO. LOT
7/NO. UNIT NO. _
Project Address // O int/ b I) C S D/P • N./WIT
'" g� 63// " •— -
9�9ihE 425 -1 --DVS" TYPE OF CONSTRUCTION NEW H ADD L ALTERATION H REPAIR f •
Applicant's Mails r• Address /J{.�r7 -7 ❑ CONVERSION ❑ DEM LISH ❑ OTHER /r
Owner's Name D 1 r 1 - IA Ai )y..imer5_C�X.,l - _ __ _ A.P.# 119 3 2_7 Q/ Zone A ' .
p (/ -� _ _ DE Lq IPTIO O ORK/USE OF BLDG.
Address / p O y II n J7 • S 4 R R-�ily� CG �o� \ E Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATIO ❑ STRUCTURAL T Front 0
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N
Address A Rear
Q ❑ OTHER
Contractor's Name ��+-� a••f Phone _ C Right - N
•
Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPA7Y � - K G
C ON ST RUCTION TYPE VALUATION$ t/ S Left
City License No. ZONE GRADING CU.YDS. ACRES ' R
A •
LICENSED CONTRACTOR DECLARATION Ping. Ref. Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /[/)/ ^'pa e,.. - PlanningNotes:
with section 7000) of Division'3 of the Business and Professions Code, and I ` (^�''—"`-' — \ - �0' ALG 04/ 3Ob1NWPST PA bPEAry M
my license is in full force and effect- - • Po s f/I e' Aft sig t/EA.e L✓Es r s
T
License Class •- / /I/License No. l`
Date Signature -' PLUMBING FEES . 4Q5 OF LSG cillo ,STONE BA-rde Ade k'oop '
WORKERS' COMPENSATION DECLARATION Bar Sink •
Showers ELECTRICAL - FEES
iereby affirm that I have a certificate of consent to self-insure or a certificate
r Workers' Compensation Insurance;,•or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) • - Automatic Washer Transformer 0 15-50 KW
Policy No. - Company Backflow Irrigation Sewer Cap - Construction Pole Sub. ' 050+KW
8 Certified copy is hereby'furnishetl.
Certified copy Is filed with•the city Building Division. • Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date 'Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or -
less). .:ice Dishwasher Solar Piping Dryers ❑Gas ❑Electric' Sub.Panel
I certify that in the performpnce 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❑D-1 HP 01%,8
Workers' Compensation Laws of California. - _
a=
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
Inc.Solar ❑9-15 HP ❑16-15+
NOTICE:Compensation, per mooing r v ions off h,you r Cod , yosubject to tte i -
- c o plys' ithsuh provisions of the Labtr ayou et forthwith h Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Name Range
_
Lender's Address Kitchen Sink • Water Service Switches Sign - -
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
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 Generator ❑0-5 KW❑5-15 KW '
any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement,that he/she is licensed pursuant to the provisions of Roof Drains -
the Contractor's License aw (Chapter 9(commencing with Section 7000) of
livision 3 of the Business and Professions Code) or that he/she is exempt
-
aerefrom and the basis for the alleged exemption. Any violation of Section '
. /031.5 by any applicant for a permit subjects the• applicant to a civil — _ •
of not more than five hundred dollars($500). '
rias 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 ! $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License saw 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 SERVICE REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ A. - e,
.sale. If, however, the building or improvement is sold within one year of com- - - - - --- Canopy Type II 0 Zoning Approved By p1 M Date p -51-gbe>
1 Notion,the owner will have the burden of proving.he/she did not-build or im- Duct-Under Ground . Building Approved By //9 Date `�� f '-D"'
rove for the purpose of sale).
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 72;7 irs...i ' Date 4/.._8'7
,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 SUMMARY OF FEES
builds or improves thereon,and who contracts for such pro'ects with a con- - r--��
tractor(s) license pursuant to the Contractor's License I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration - BUILDING PERMIT $ P.O. co SMIP _ _ $ •� L!
proof of their Worker's Compensation insurance shou • provided to me. -
PLAN.CHECK $ 3 '33 PERMIT
❑ I am exempt under Section Ar-
` his reason Firepl/Fact• .Bit. ICBO# Fire Dampers PLUMBING $ ISSUANCE - $ '
Date ( Owner /r Heating System& Ducting Registers ENERGY P.C. $ - -
OG� ,j(� PLAN CHECK 25% $
I heretly cctify that I have read this• ica '• li.nd state that • a.ove ❑0-100,000 BTU ❑100,000 BT - GRADING $ '
.information is correct. I agree to comp th all c y and county ordinances ELECTRICAL $ '
•
and state laws relating to building co tion, and hereby authorize rep -- PLAN CHECK 50%, $ MICROFILM $
sentatives of this y enter up• 1g ve-mentioned erty or
33
inspection purpo /�/_ e--
��Ty9 �/ MECHANICAL $ TOTAL FEE $ n
Signature ., �/ y I►_i � (
Date"/ C
•
Drivers' Lica, - • �'f -GS / Reinspection Fee $15 . Issue Fee $ 3 PLAN CHECK 25% $ _ ,
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pin - Accounting; Goldenrod - Assessor
I _
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
a
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd'.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
•
11. Property Sewer Line &1Flouse 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 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
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation •
44. Landscape Irrigation System EXPIRED
45. Sound Attenuation I - IR5 1
46. Handicap Regulations Oat. )y%- „ LVYI�N�-
47. FINAL STRUCTURE & BUILDING ,tli '
48. Special Requirements Completed
-49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
s For Inspections
APPROVED STRUCTURAL APPROVAL ONLY
C of Costa Mesa Building De I. SEPARATE PERMITS ARE REQUIRED Call
City P FOR ELECTRICAL, PLUMBING,
'Lrrc I _DATE16.I --17 gr7 HEATING, RATIOVENTILN WO ANO 754 5627
THESE PLANS MUST BE OTI JOB ALL TIMES REFRIGERATION WORK
M
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
Jul ISSUANCE CI CAT!CNS K A PERMIT BOR APPROVAL APPROVED OF PLAyS AND SPECIFICATIONS SKILL NOT 6: CONSTRUED THIS NUMBER MUST ACCOMPANY j-L["
,TO BE A PERMIT FOR, CR AN PFP=VAL CFF, A'IY VIOLATIOR ALL INSPECTION REQUESTS •
OF ANY OF THE PROVISIONS r: ;HIS C,7'_. ;:O FERMIF PRE• CITY OF COSTA MESA
SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PLANNING DEPT.
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SC t SUBJECT TO BLDG, DEPT. RHO.
'Y AS THE WORK OR USE WHICH 1FAUTHORIZts IS LAWFUL FOR BUILDINGS WHERE PERSONS ARE TO GE i
THE ISSUANCE OF A PERMIT BASED UPON PLANS AN, EMPLOYED WE SUGGEST THAT THE STATE OF BYD DA '%-�
MPECIFMATIOGGS SHALL NOT PREVENT THE BLILDING OFFICIAL - CALIFORNIA DIVISION OF INDUSTRIAL Ct,FETY DIRKTOR 0? PIANNINO
JROMTHEBEAFTLR REQUIRING THE CORRECTION 09 ERRO.,3 BE CONSULTED •FDR ADDITIONAL IN MWD PiAIS AND SPECIFICATIONS OR FROM PREVENTC REQUIREMENTS.
WIWi O DIEBATIONS BEING CARRIED ON THEREUNDER Wi!_.I
IMY101AADgjif THIS CODE D. OF ANY OTHER OR:DIV:Dr
�7HEJIL'
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,..,ter. /, .
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MellOtat lin HANCE IISIDI10t ttt101Ont
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STREET
•
•
TYPICAL 611 CONCRETE BLOCK FENCE
aCement Coping Optional 71 .� .-1 , . 1 I � GENERAL— NOTES
, .
Channel Block With Ona 4/gu� l I1 .
FenlnulTop olall I MORTAR: One Part Plastic Cement, and
Three Parts Sand
GROUT: One Part Cement Three and
For Fences 5'or Less ,��, A �- I 2 I I2an
One Half Parts d
Vert.Bars 3/8'� at e'.0"O.C. = a o COPING: One Part Cement, Three
,' ' I Parts Sand
For Fences Higher Than 5' ' 3 u I t 1
Ven.Bars 3/8'# at 32"O.C. ` > w CONCRETE: Wall Mirep I: 2fj : 3/2
( Max. of 7/2 .Gallons of
Fill Cells Solid With Grout In —
c> =z l I 1I I Water Per Sack of Cement
Where Stet Occurs ).-
Reinforcing
Reinforcing Stasl.Shall A wI I III GROUT MAY BE POURED FROM THE TOP
Conform to&mei-15.38 0 W O OF THE FENCE
A.S.T.M. ��a Z I-
n
I 2 ' I CELLS AND AREAS OF HORIZONTAL REIN•
e a W n FORCEMENT SHALL BE CLEAR.CLEAN&
All Steel Cod:Lapped : S I. • FREE OF ALL MORTAR DEBRIS.ETC.
NATURAL GRADE v
pLp BONDS SHALL BE PROVIDED BV LAYING
Ina-iii:--: IES III i I III- BLOCKS IN STRETCHER COURSES SO THAT
ll
gra ." ♦ ., VERTICAL JOINTS ALTERNATE IN EACH
" O .� • ♦ COURSE.
TWO3/8" BARS 'Fylil •
r • .♦ ♦ • �.. ♦ .
CONTINUOUS TOP .0 ,o.
&BOTTOM -(D..I . O WIDTH TO 16' 0 C. MAX.
O ' SEE CHART p, '• Q
• la BELOW oo �^ DEPTH OF EARTHTCOTH
I ° • • 1/3 THE HEIGTH OF FENCE
OL 'I.'. 1 ,.. Mow BOTTOM OF FOOTING.
1
O
Ho:! to"" z,.e SCALE: 1/2" a 1'
FO ING REQUIREMENTS _
WALL HEIGHT _(61 5r 4•
3
WIDTH OF Focrime k 14" 14" 12" 12"
THICKNESS OF FOOTING 10" 10" 6" 8 "
DEPTH OF EARTHTOOTh 24" 2 20" 16" 12"
SPACING OF EARTHTOOT 12' 14' 16' 16'
OWNERS NAME:
City of Costa Mesa, California JOB ADDRESS:
Building Department .
FEE RECEIVED
• 16052 �/✓JAN 3 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA [;ITV Of COSTA MESA
For Applicant to,Fill In Completely APPLICATION FOR PERMIT
TYLuh 48, T�`as.L OR BUILDING
BUILDADDRESS NG I A89 r)11O-PSS -7X7/Y�
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. PERMIT NO.
OWNER Adams Street Company ,9 Igo 59
MAIL 1653 Minorca Drive RecEI J}BY A c V O/' • -DATE •
iSS'UED
ADDRESS V fjr it WI JAN 3 1962
CITY Costa Mesa No.Ki9-0395 BUILDING
ADDRESS
ARCHITECT TEL COSTA MESA. CALIFORNIA
OR ENGINEER
F. Kaltenbach NO.Ke5-0533
ADDRESS 9772 Katella Ave. ,Anaheim FIRE �/ A �j�'�
ZONE TYPE r GROUP v-'1
CONTRACTOR Samar Construct ion Co. ,Inc. APPROVED /
1.53 Minorca Drive BY DATE
ADDRESS ZONING
CITY Costa Mesa ZONE NO.OF USE OF NEW Sof 7J-..4j,
g--/ I PLANS z I BUILDING (,y/ 9.RYa
STATE
197838 TEL. Ki 9-0395 LEGAL Lam y8 "TR `-/3 //
DESCRIPTION
SIZE - NO. OF BLDOS. 0
OF LOT BO X 100 NOW ON LOT A.P.NO.
USE OF - - YARDS EVES
ISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM 4 30 (CENTER LINE ST.) /S
CENTER OP STREET 5 REAR YARD FRONT FT. -
IN.
SIDE YARD I LEFT 7 I RIGHT 10 R.SIDE �� FT. -- IN.
DESCRIPTION OF WORK ___
L.SIDE 7 FT. IN.
NEW I )CII ALTERATION I H ADDITION I REAR 3 o FT. IN.
/
REPAIR I MOVING I DEMOLISH I APPROVED
BY 4/49 DATE IL/L7/‘,
SB Z LDING 1800 ROOMS 7 STORIES 1
EXTERIOR WALsSWood ROOF
COVERING JtUCCO COVERING Shake
USE OF BUILDING AND WORK TO BE P4RFORMED
Single family rest ence and 05
17 attached garage ca 1i of
'E AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
fltfl1!1
PERMIT FEE $ X4,7
S4 7/;Y' PLAN CHECK $ . /LSO
• TOTAL FEE . .(`.3-G) 0