HomeMy WebLinkAbout957 GOLDENROD DR - Building PermitsCITY OF COSTA MESA
BIIILDIN6 DIVISION
� .
i � 77 FAIR DRIVE, COS7A MESA, CA 92626 •(714) 754-5273 • Faz (714) 754�856 •�wiw.ci.costa•mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626 �
tO*cioro �
PERMIT NUMBER; BX08-00345
PERMITTYPE B MISC STATUS; ISSUED
APN: 41217802 DATE ISSUED; 12/09/2008
Zoning: R1, ISSUED BY: KJB
JOB ADDRESS: 957 GOLDENROD DR CM Suite/Unit:
Viciniry: � Primary Occ: � � . . Const Type :??
SQ. FT: 0 � - Valuation: 52,500.00 ��.
SCOPE OF WORK:
WINDOW CHANGE OUT. LIKE FOR LIKE EXCEPT ONE PATIOR DOOR SLIDER WILL BE CHANGED TO INCLUDE FRENCH
DOORS
W1TH SIDELIGNTS IN FAMILY�ROOM.
OWNER: PAISNER, CHARLENE ANN Address:: 957 GOLDENROD . Unit
Ciry/State: COSTA MESA,.CA Zip Code: 92626
Phone:
APPLICAN7: STEVEN JANOSIK, `.. .- Address: CDL D6923438
Ciry/State: Zip Code:
Phone: ��
CONTRAC70R: DIAL ONE WINDOW REPLACEMENT SPECIALISTS License No. 523043
Address: 17032 MURPHY AVE .
City/State: IRVINE, CA '
Zip Code: 92617 , Phone 714-259-5120 . Cell:
ARCHITECT:
Phone
ENGINEER: . � . �
Phone
Building Plan Check:
Building Permit ;
Electrical Permit:
SMIP Residential
SMIP Commercial
TOTALFEES
FEE SUMMARY
$0.00
$83.25
$0.00
$0.00
$0.00
583.25
License No.
� � License No.
� �'
Unit
Unit:
�.r� : i.,i I
� .,'.'.� �
Jnit.
I7r.
NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requiremenLs under Califomia statutes and relaled
regulations. (Ord. No. 92-28. § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspedions and flnal approval must be obtained. Failure to oblain inspections and final appmval will result in the expiration of this permit.
LODE I, ixsrecnoxtrvE o1,rc ixnnn�s yQo�� ixsrccnoxTrre o� ixnna�s
1818 Fixed System Final Fire Prevemion 206 Final Mechanical
1286 Pool Spa Final 208 Final Plumbing
200 Final qe-Roof 210 Final Elecincal
201 Final glock/Retaining Wall 212 Final Fire Prevention
202 Final Kaclory Fire Place 220 Final Planning App�val
Zb3 FinalSign 222 FinalSite � �
200 Final bemolilion 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
1 hereby affirtn unAer penalty o! perjury one of the following deGaraUons:
❑ 1 have and will maintajn a cetlificata of wnsent to self-Insure for vrorkers'
compensation, as proviCetl for by section 3700 of the Labor Code, for lhe
pertormance of Ihe wnrk for wtiith [hi5 permit is issued. "
have antl will mainlain workers' compensation insurance, as required by
ection 3700 of the Labor Cotle, fa the peAortnance of tt�e work for which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
�Carrier. - +�Ern���'���
(Tnis sed'nn neM rrof Ee mmpefetl �the pem�ryn is valuetl af one nundietl d�llais (Et00) a less.)
�Policy�Number: �_`G g (� p 0�
� I certi(y that in ihe peAormance of Ihe work for which this permit is
issuetl, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia. and agree that if I should
become subject lo [he workers' compensalion provisions of Section 9700 of
the La or o e. I hall (orthwith comply 'tt lhese provisions.
� � ia-q-�g
Appl �nl's ignaWre Dale
WARNING\FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby aKrm Ihal I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Cotle, and
my license is in full (orce and effect.
Lic. # � � 3L� � class #
� `
�-� �2� � a -9-0
Contraj�or's greWr�( e Dale
CONSTRUCTION L�iVOING AGENCY:
❑ I hereby aHtrm that there is a construclion lentling agency for the
perfortnance of the v.ork (or v,fiich lhis permil is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
Dale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm thal under penalty of perjury Ihat I am EJCEMPT FROM THE
CONTRAC70RS LICENSE IAW for the following, reason (Sec. 7031.5.
Business and Pmfessions Code: Any ciry or counry wliich 7equires a permit to
construct, alter, improve, demolish, or repair any slrucNre, prior to its
issuance, also requires the applicant for such permit to Ne a siqned statement
[ha[ he or she is licensed pursuant to the provisions of the Conlrectors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the
BUsiness and Pm(e55ion5 Code) or lhat he or 5he i5 exempl Iherefrom antl
the basis for the alleged exemption. Any violation o1 Section 7031.5 by any
applicant for a permit su6jecis the applicant to a civil penalty of nol more than
five huntlreC dollars ($500).):
❑ I, as ovmer of lhe property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the slmcWre is not intendetl or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law dces not apply to an owner of property who builtls or improves
thereon, antl who does such vrork himself or herself or through his or her ovm
employees, provided ihat such improvements are not inlended or oRered for
sale. It, however, ihe building or improvement is sold within one year o(
completion, the owner-builder will have the burden ot proving Ihat he or she
tlid not build or improve for purpose of sale.�.
� I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct Ihe projecl (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law tices not apply lo an owner of
property who builds or improves thereon, antl who cont2cts for such prqect with
a canlractor(s) license pursuaN to the Conlractors License Laws.�.
❑ I am exemp[ under sec.
Business antl Prolessions Code lor Ihls reason:
SignaWre
305]<6 (3/0])
Owner ID verified by Ariv. .ense. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (rype of document, i.e. - property tax bill or Ceed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: - �-`
❑ I hereby certAy that no excavation frve (5) a more teet in tlepth into wfiich a
person is required to descend, will be made in connection wi�h work au[tronzed
by this pertnit, and Ihat no builtling stmcNre, scaffdtling, falsework, a demolition
or dismanlling thereo(, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Title 8, Calitomia Atlministrative Code).
❑ As ovmer-builder, I will nol employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a pertnit to do such work from the division.
Ap0licanl'S Slgnalure Date
Division o( IntlusMal Safery Permil Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or luWre builtling occupant need to fle and
certify a Business Plan tor emergency response to release or threatenetl
release of a hazartlous matenal? ❑ Yes ❑ No
(Section 25505 of the Califomia Heallh and Safery Code requires, with some
exceptions, that a Business Plan be filed with [he Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantiry of hazardous ma[erials equal ro or greater [han a weight of
500 pountls, or a volume o( 55 gallons, or 200 cubic feet ot compressed gas
al standard temperature and pressure).
2. Does or will [he applicant or present or future building occupant neetl to file
a registration /orm for acutely hazartlous materials? ❑ Yes ❑ No
(Seclion 25533 of the Califomia Health antl Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each 6usiness which at any one time has on hand a quantity of awtely
hazardous malenals equal to or greater than a weigM of 500 pounds, or a
volume of 55 gallons, or 200 cubic leet of compiessed gas at standard
temperature and pressure).
3. Does or will the applicaN or present or fuWre builtling ocwpant need ro
prepare an RMPP (Risk Management and Preven�ion Program (or aculely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Cali(omia Health antl Safery Code provides ihat the
Costa Mesa Fire Department may require the preparation, certifica[ion and
fling wilh the Fire Department of an RMPP by businesses which are required
to register acutely hazardous matenals with ihe Fire Department.
4. I! an RMPP is presenlly requireQ has Sec�ion 25534 0( the Calitomia
Health and Safety Code been tully complietl with? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or fulure building occupant require /or
the work which is the subjec� of this application a permit for such wnsWclion
or modification from the South Coasl Air �ualiry Management DisMct or (rom
any other air pollution control disMct or agency? ❑ Yes ❑ No
(Sectbn 658502 0( the Califomia Govemmenl Code requires that Ne requested
infwmation be lumishetl on applications for non-residential building permits).
6. Will any part o( the facility to be constructed under this pertnit be vnthin
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If yes", the facility musl meet the requirement of Sections 25534 and 42303
of the Califomia Health and Safety Cotle).
7. If a pertnit from the SoWh Coast Air Quality Management Dislrict or other
air polWtion control district or agency is required (or the work which is Ihe
subjecl of this application, have all of the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'Yes", attach certificate of wmpliance from the appropriate air polWtion
wntrol oKcer). -
CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the
information given above is cortecL I agree lo wmply with all sta[e laws and
city ordinances regarding Hazardous Materizls and Emissions. �_
CER7IFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have reatl this application and state thal
the information given is cortect. I agree ro comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the aDove-tlescribed property for
inspection purposes. I agree no[ to occupy or allow occupancy of any building
authonzed by Ihis pertnit until final inspection.
n re ol Le9a1 (s) Da�e
On l� -�f—��
Antllor t�onz Ap iiont �^ Date-
V
JOB SITE: 957
APPROVEn
CITY OF cUSTn h11:S��
PLANNING DIVISION
SUBJECTTOBLDG. f)I;P7'. R1:G.
NOTE: ADDITIONS, UBLIiI'I(>NS,
OR CORRECTIONS Sl1AL.L Ht:
APPROVED BY THE PLANNING DI V.
�
DA
GOLDENROD
�[� �'�`'`�,
APPROVED ANDERSEN INSFRT. WINDOW
ANDERSEN PA710 pOOR DETA�L
Window And Door
Replacement
All Windows Must Meet IBC Sect. 2406
For Sa/ery Glazing.
The Following Locations Require Safely
Glazing, Laminated or 7empered, To Be
Etched Marked:
A. Glass In Doors.
B. Glass In WindowsWithin 24" Of Door
Jamb And Less Than 60" Above Floor.
C. Glass Within 5' Of Pool Or Spa Waters
Edge.
D. Glass At Shower, Be�htub Or Stair
Landing Less Than 60" Above Floor.
All Consiruction Shall Comply With The
2007 CBC - California Builtling Code
All Windows Are Rated With 20 Ibs. Of
Wind Load.
All Windows Must Meet �BC Sect 1203
For Light ( 8 % ) & Venilation ( 4 % )
All Windows Meel 2005 Energy Code:
U - Factor =0.67 Or Less
S.H.G.C. = 0.40 Or Less
SMOKE ALARMS IN ALL BEDROOMS
Egress
All Bedrooms Must Have Al Leas� One
Window Or poor Opening Directly To The
Exterior Meeling This Cliteria:
Minimum Clear Width = 20"
Minimum Clear Height 7 24'
Mia Area = 5] Sq. FL ( SA Sq. FL For
Grade Floor Residential )
Maximum Sill Height = 44"
Outsvringing Doors To Exterior Must Open
Over A Laanding That IS Not More Than 1"
Lower Than The Interior Floor And Have A
Landing As Wide As Th0 Door(s) And
Extend Out A Minimum Of 3'.
1 - STORY SFD
VV4
---'-------"—'------ GOLDENROD
�l�rP _ = Renerval
Name CHARLENE PAISNER `��� �'MdC[5Cf1,�
Address 957 GOLDENROD �+�"� �
City,Zip COSTA MESA, 92626
Phone 714-751-5757 17032 Murphy Avenue, Irvine, CA 92614
Drawn By: Steve Janosik (949) 265-7600
ALL NEW WINDOWS HAVE DUAL GLAZE, LOW E4 HP GLASS UNLESS OTHERWISE NOTED
LEGEND:
XX SLIDER-SLIDER XO SLIDER-FIXED GW GARDEN WINDOW CST CASEMENT PIX PICTURE WINDOW
AWN AWNING WINDOW DH DOUBIE HUNG SH SINGLE 4iUNG PDS PATIO DOOR SLIDER
RBA Renewal By Andersen
,J0B:20222 mb
SCOPE of WORK:
RETROFIT 11 WINDOWS WITH ANDERSEN RENEWAL WINDOWS INTO EXISTING OPENINGS
REPLACE ONE PATIO DOOR SLIDER WITH ANDERSEN RENEWAL PATIO DOOR SLIDER INTO EXISTING OPENING
REPLACE PATIO DOOR SLIDER WITH FRENCH DOORS WITH SIDELITE WINDOWS INTO EXISTING OPENING
NO HEADER CHANGES
e
OJECTAUOflESS: CJS% GOLDENROD DR
awxeRsnamc: pAISNER, WILLIAM L
aooness: g57 GOLDENROD DR
COSTA MESA,CA 92626
751-5757
AflCM/ENGINEEB:
FOOHE55:
NEG.NO.:
UNIT:
UNIT:
PEflMITTEE: RICHARD HERMAN I200FING ( 714 ) 735-1724
aooRess: 417 ASSOCIATED ROAD A 179
BREA CA 92621
LICENSE� CONTHACTON OECLAPATION: 1 hereEy allirm thal I am IicenseC untler pmvisions ol Chapter 9(commencing wit� Sec�ion
7000� of Drvison 3 oi the Business anA Pmlessions Cotle, anU my license is in tutllorce anG efleci.
cirv uc.: sTnTe uc.: 6 9 4 619 „�C1AS5 G— 3 9
Dale: � �Z7 — � � Signaiure: ���i
WOBREBS' COMPENSRTION DECU�BRTION: I nereby affirm Ihal I have a cenificate of consent to sel4insure or a cenilicate ot Workers'
ComOensa�ion Insurance. or a cetlilie� copY �hereo� (Sec�ion 3BW. Lab. C�.
POLICY NO.: E%P. �ATE:
comrnxr:
I ❑ Cert��ied capy is hereby lumishetl. ❑ Certi�ied copy is �iletl wii� Ue ci�y BuilOinp Oivision.
�
Date: AOolicant:
EXEMPTION FflOM WONflEPS' COMPENSATION OECUflpTION: (i�is s��ion neeA iqt Ge mmpleted ii tAe permil is for one hunarea (5100) or less�.
I ceriily Iha� in ihe pedormance ol �he work lor which ��is permit is i55ueE, I Shail not emDloy any Derson in any manner so as lo become
suDle�� �o t�e Warkers' ComDenSaiion Laws o� Califomia. �• ,�
Oa�e: /J ' Z 7— $ 3 � r�J.(!�
SipnaWre: y, f'
NOTICE: II, al�er making Ihis Oeclaralion, you shoultl becvmE Suhleci Io Ihe Wo�kers' Compensalion pmvisions o� Ihe Labor
Co�e. you musi fonnwii� com0ly w�� suc� prOvisions or ihi5 Dermii shall be tleemetl revokeC.
CONSTPUC710N LENDING AGENCY: I hereby allirm ihat there i4 a wnstmction IenAinp aAe��Y �or t�e pedormance af tAe work lor
w�ich �his permii is isuetl (Seclian J097. Civ. C�.
�Noex:
nooeess:
OWNEB BWLDEfl OELUflFTION: I �ereUy afiirm �hat I am e�¢mG� ��om I�e Comrac�ors' State License Law for tAe following reason
�5¢c�ion 7Q31.5 9usines5 antl Pmfessional Cotle: Any city oi cou��Y whic� requires a p¢rmil io con5lmci, al�er, improve. Eemolish, or
reoair any simcture. D��or to its issuance. also repuires t�e appliU�� �or suc� permit to lile a sipnea statement that htls�e is Iicense0
Oursuant to the pmvisions of Ihe Camracmrs' State License Law (CHapter 9(commencin0 w+�h Section 7000) of Division 3 of i�e Busineu
'i ana Pmfessions Coee) or ihat helshe is erempt ineretmm an0 ine basis lor Ihe allepea exemption. any violation of Section 7031.5 �y
any aDPlicant lor a permi� suble��s ��e aODlicant Io a civil penally ol nol more �han live IlunOred Oalla6 (E500�.
I. as owner o1 Ne vmvany or my employees with wages as meir sole com0ensaiian, vnll Uo t�e wod, ana ihe
❑ simctureis notintenaetl oronereaforsaielsection 70G4. Business anE ProleSsionalCoOe: TAe Cantracrors' State License Law
tloes nol apply lo an owner of a pmpeny w�o huilds or imP�oves Ihereon, antl who tloes suc� work hims¢Ii/hersalf or IhmuAh
his or her own employees. pmvitle0 ��at such impmvements are not intentled or oiferetl lor sale. If, however the buildinq or
impmvemeni is saltl wiihin one year of complelion. ��e oWnEr will Aave I�e OurOen o� pmvinp he/s�e Ci0 no� builE or improve
tor ine purpose ol sale�.
I, as owner al Ihe pmperly. am exclusively coN�ac�inp wilh licensetl conirac�ors �o con5�mct Ihe pmlect (Section 7044, Business
❑ antl Prol¢SSionS COde: The Con�raC�ors' State License Law does not apply to an owner of propeny who bm105 or impmves �h¢feon
antl wtlo conlracis lor suc� pwle��s wit� a canirac�or�s) license Dursuanl �o Ne Cantraclors' State License Law6 I am aware
Ihal pmol oi Iheir Worker'S Compensalion insurance S�oUld �e pmvi0etl ta me.
� I am exempt untler Seclion: B. 8 R C.
for I�is reason'.
Date: Owner.
I do �ereby cenify ihat I am aware ol an0 unders�antl t�e requiremenls ol Califomia Health ana Salery COUe Seclions 25505, 25533, antl
25534 and Ihat I or any Wlure Uuilding ottu0anl will/will nol (Cir[le one� n0ea l0 tomply w�ih SaiO S�a�e cotles antl ihe requir¢men�s �or a
permii �or consimnion Or moDilication imm ihe Air Oualiry Managemenl Disirict. flesitlenliai cons�mc�ion aDPlications are exempt fmm
mese pmvisions.
Date: ADOlicanl:
I here�y cenily thai I nave reae this aoV�ication ana state ihai ine a�ove information is correct. I apree to comvN ��h all ciry and county
ortlinances an0 slalelawsrelaiinglo buil0ing conslNdion anU �ere�y aNhorizerepresenta�ives o7�Ais cilyio enier upOn Ne apove-mentioneJ
property �a�inspectian pwposes.
a�z%- R /i��/i
Date: � 3 SignaWre: ��
Driver's License or Sociai Securiry x:
16ai�C6 Whpe-8vilaing; Green—CoOe Eniorcemant: Cenary—AppliconL Pink—Revenua; GdEenroO—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06465
PERMIT NO: B 064651 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: ��—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF AESHT REROOF W/ASPFiALT CLASS A SQ FT: 5,120
CLAIM VALUE: 5,120.00 CALC—VALUE: 5,120,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TO FINAL
�it-�tit*�*itic�***�t*�r****�titit�**i�*�t�t***iti�*jt+r+t*�t�***+tr**�r�-�t+F+�x-***�**�x-�+r�r�r+t**ir,r�*+r�c�*�+t�+c�it
Z O N I N GS ERTEB�A�CIKRSE M E N T S
------------ MAIN BUILDING ---------- .---=----- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT�2 £T IN REAR: FT IN
LEFT; FT IN RGHT; FT IN I;EFT: FT IN RGHT; FT IN
PARKING REQ; PROV: PARCEL: 9121-7802 ZNE: REF NO;
PLANNING NOTE3'> " ,
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONZNG APPROVED BY DATE:
BUILDZNG APPROVED BY : � DATE:
APPLICATION ISSUED BY: ��}'`��Ja C��\2�,�� DATE: � 2 �3
iEiti�+tiEik�firirif�tiri�il�it+r*ifititit+t9�F3F3FiF3FiF i€��FiFiF3iiF'�ritiF3F #3F 3��;FiFTF'��t*�c-�t*+riE*+ri! **
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81.00 .51
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 81.51 0.00 0.00 81.51 81.51 .00
REVENUE DIVISION TOTALS--> COLLECTED: �� 81.5 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC � x'T__._ cMIP/TOT GRADING PLAN—CHECK
81.00 ,51
jEiFlEiFiFifiliEifilillEiFlfkillEilitlkkiFikikllifitMiFififMifiElfiflfiEiFlfiliEiFiffRaf%3ElEffiEififMififiEkMlfiElFitkMiPitiEifiFlfiE%ififffififif
I N D I �� I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR. 5120 REROOF BY VAI�OE RESIDENTIAL NOZONE 1.00 5,120.00
� END OF FEES
EXPIRED
1 �plote Inspectwru
Oaic/�� � ' -1— �S _ � .
I �
�
SIVIOKE DETECTOR
� �� 00149�REQU,IRED�
.� n�T�• �n �-u• Ti c 31.00
iz .s ne: i�:z,
CONSTRUCTION AND PLANNING POOI ?A
APPROVAIS Permit # Date inspector qppROVALS Permit # Date Inspector
1. Temporary Electricai 5ervice or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-U�drgrnd. 54. Forms
4. Eiectrica4 Conduit-Und�9rrtd. 55. Electrical Sonding
5. Stee! Reinforcement 56. Rough Plumhing & Pressure Test
6. Electrical UFEfl Grnd- 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Cond�it-Undrgrnd.
8. Foundation 59. Gas Pipe. O Undrgmd., Test
9. Water PIpe�Undr9md. 60. Backwash Lines, P�Trap, O Undryrnd.
70. Structural fioor SYstem 67. APPROVAL TO DECK
11. Property Sewer �ine & House Connection 62. Backwash & Recepior�Final
12. Sewer Cap 63. Heater & VenrFinai
73. Roof Drains 64. Plumbing System - Finai
14. Rough Plumbing 65. Electrical-Finai
15. Rough Electrical�Conduit 66. Solar SVstem-Final
76. Rough Electric Wiring 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrica6T Bar Ceding 69. POOUSPA SYSTEPAS P�NAL
19. Rou^yh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilatin4 77. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Tesc 72. Underground Flush -' _.
24. Root Pramin9 � 73. Undergmd.Stora9eTank �Gas DOiI , .
25. Roof Sheath{ng Cp�,2��� �U/(4 74. Overhead Hydro `
iQ � -
26. T�Bar Ceiling iStructutal) & Monocoat 75. Dry Chemical .
27. Frame and F!ashing 76. Dry Standpipe '
28. Lathing & Siding 77. FIXED SYSTEM FINAL -
29. Insulation 78. FIRE PREV. FINAL
30. Drylvall Nailing HEALTH DEPT. REQUIREMENT .
37. Piasier Brown Coat ?9. FINAL INSPECTION
32. Electrical Power AleterF�na1 80. FOOD CERTIFICATE ISSUED
33. Fina� Elec.ric Notes:
34. Final Heating & Air �Onditioning
1;
35. Final Gas Pipe�Test
36. Hood or Canopy � ���t•
37. Final Factory Fireph �
:�♦
38. Final Plumbing -�
39. Water Service-Final <�
40. Gas Sarvice-Final �
47. Solar pomestic-Finai
42. Backflow Preventer
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43. BackElow irrigation ��
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44. Landscape Irrigation 5Ystem %'� '
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45. Sound Attenuation �
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46. Handicap Regulations .';"� -'f
47. FINAI STRUCTURE & BUILDING � ' �q-
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46. FINAL PLANNING ;�� ;`: J.
49. Eleciric Release to Edison ��
50. Gas Release to Southem Califomia Gas Co �-
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER T�pj�jjN Sn r i DATE 4-10-7�
JOB ADDRESS ��o r_.,i,�P„r.,� nr;ve BUILDING PERMIT N0. 46445
A� LOT i
IN:.. cCTI0N5
SOIL
GAS
W ATER
ROUGH PLUMBING
PROP. $WR. LINE OUSE CON.
SPFINKLING SVSTEM
MlSCELLANEOUS
ROUGH HEATING ANO AIR COND1710NING
TEMPORARY SERVICE OR POLE
UN�ERGftOUND � POWER q
ROIIGH WIRING
TRENCNES FORMS STEEL REINF.
FLOOR SVSTEM
BONO BEAM ❑ STEEL FEINCORCE �
SMEATMING
� FRAME ANO FLASMING
LATHING — IN �^ OUT
PLA'TER, BROWN COAT
ST JRAL, FINAL
HEAi �NG, VENT., REFRIG. ANO q,C., FINAL
PLIIMBING. FINAL AND GAS TEST
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
(:R P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
Gr, v'i°OQ ese ��• ��� i 5'i.34
1 1-7'c��
APPLICATION FOR BUILDING PERMIT
Ror Applicant to Fill in Completely
RECEIVE BV �ATERECEIVED DATEI QSlf�jy
BUILDING ��' ��Q� �R lU 1y1.�
ADDRESS 957 Goldenrod Drfve
-� PEFMlT,NO., �
OWNEF �n,,in Southern California �+�P� NO. .jFln�..`��
MAIL 16Z55 Ventura BLV(1. ADIORIE 5 ,�r �c�/E/v�� /�.
ADDRESS
cirv Encino, California No�86-8890 TRACT7SSJ�B �or112 e�ocK
CANSTRUCTION W P
LENDER Larwin Southern California
BRANCH 16255 Ventura Blvd. /+�
OWNER �� SO CiC/��
ADDRE55 Encino California �1
� ES /.t/ NJ%' 6AR; us /�j
ARCHITECT TEL 5
OR ENGWEER Larwin S Calif. N 1k?"_:;.�",-:
FIRE �
ADDRESS9�OO W115I11TB BLVd.� BOV. H111S �ONE TVPE GROU
CONTRACTOR Larwin Southern California evPRove pAT ��. �
nooaess16255 Ventura Boulevard
cir� Encino California No�986-8890 Z�NR � P'�'"'S z' BUILDlNG EWrGA
STATE CITV B_1 yMAIN BUIIOING ACCESSORV BUILDING
uc. n,o. 191311 LIC. NO.
SIZE NO.OF BIDCaS. (FfiOM C/L REET)
OF LOT (7O x 104 n'OW ON LOT O ROM FT. FT.
USE OF
EXISTING Bl�. FT. FT.
SIZE OF NO. OF
NEWBLDG. 19HJ qOOMS STOFIES 1 L SIDE FT. FT.
EMERIOR WqLL ROOF .y �
COVERING SYllCCO COVEfiING WOOd shin 10 REARo^ FT. FT.
USE OF BUILDING AND WOfiK TO BE PERFOFMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BIDGS.
VAR.# DATE
C.U.P.# APPROVED
Construction Sin le Famil Reside�e �ROVED � v��77
i_�
HOLD FOR S GIA �¢� �
I hereby ack�owletlge that I have reatl this application and state �
that Me above information is correct and apree to comply with �
all faws reguia[ing building consvuc2ion, end I shall no[ amploy e T r ��
any person in violation of ihe workman's compensatlon laws of ��^[
the State of Californla. n"r,,,�,_.,
I hereby certity that I am properly licensetl as a conttector untler SQ. FT. (/
tha State of Celifornie Business antl Professions Cotle, Division 3, THE MOUNT SH N UNDER VALUATION IS FOR
Chap[er 9, a�d tha[ such licenses are in full torce and effact, or I THE PURPpSE OF ABLISHING A PERMIT FEE ONLV:
am exempt from the provisions of the Steto ot Calltornia Business
VALUATION ],01. SO
antl Professions Cotla, Division 3, Chaptar 9, PERMIT FEE $
Signature o D. Downs
Permitte ¢� � s 29, 800 P�qN CHECK $ 50. 75
Autharizetl qgent TOTAL FEE $ ISz. Z'S
'OWNER
(� JOB ADDRESS
�QJ C�7ERAL COP
_� �"'S..Jo. 1112-
\\ f�PECTIONS
�� Pool Location .
� Forms
Main Drain _
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final _
F' 'er and Vent Final
�...cr System Final
Backwash and Recep. Final
Fencing Final
112 TRACT
h�
DATE
BUIL[
SUBCONTRACTOR
Electric
Plumbing
. • .,
,.-, /4 :' �
� COSTA MESA BUILbING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�
For Applicant to Fi// in Completely
BUILDING �J
ADDRESS % S' OL EN RQD
OWNEF ✓E.+- o�PcEE S cESGEj�
MAIL �
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ARCHITECT TEL.
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� ADDRESS
J O CONTRACTOR C/eG� QLS
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TEL.
z� ��T� w,er E.9 No. 9-S
w � STATE CITY
y� LIC. NO. ��Q 3 LIC. NO.
_ � SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BIOG.
� SIZE OF No.OF
Z NEW BLOG. ROOMS STORIES
U EXTERIOR WALL ROOF
COVERING COVERING
J USE OF BUIj�DING AND WORK TO BE PERFOFjMED
PAIO
�CT 31-73�,;S,OC1263 ` =+
APPIICATION FOR BUILDING PERMIT
A.P. NO. Y����/
BUILOING Q n
ADDRESS /�f / �
TRACT �/
W AD A T
��
OWNER ]��4vE
S �L!///°i �6 �
FIFE
ZONE TV
APPROVED
BV
ZONE �J NO.OF
K au+"s
VARDSAPPROVED
MAIN BUILDING
IfROM C/L STREETI
DISTANCE BET
MAIN BLDf35.
V AR. #`
O C.U.P. #
� APPR V
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VI hereby acknowledge that 1 have reatl this application and state
� that the above information is correct antl aBree to comply with
� all laws regulating builtlin� construc[ion, antl I shall not employ
r any pe�son in riolation of �he workman's compansation laws of
y the State of Californie.
zI hereby certity that I om properly Iicensetl as a conttactor untler S�
the Stete of Cali(ornie Bug{�ess antl Pro�essions Cotle, DIvlslcn 3, THE AMOU
Chaptar 9, and iha� such I{�enses are in full torca antl atfect, or I THE PURPQ'
am exampt irom the provlsions ot the $teta ot Calitomia Business
VALVATION
antl Professions Cnue, DiviSion 3, Chapter 9.
Sipnoiure of �j� �f)�/ g � � �^0�
Permittee ll.� �% U`�
Aa[horizeC ABen[ �
PERMIT
VALUE
USE OF NEW
BUIIOING
VARDS AI
�
JED
LOI
BET. MAIN & / �
J
�\ iV� J 61
�
FT. `J O
f SHOWN UNDER VALUATION IS FOR �
OF ESTABLISHING A PERMIT FEE ONLV: m
¢
PEPMIT FEE g 600 j
p� m
PLAN CHECK $ E
QpO LL
TOTAL FEE $ � (
OWNER �Iy�y p�s�' DATE 5/27/80
JOB ADDRESS 957 C',nlr7enrrr7 BUILDING PERMIT N0. 50106
SUBCONTRACTOR
W RTER
ROUGM PWMBING
PROP. SWR. LINE � NOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGM MEATING �ND �IR CONDITIONING
�EMPORARV SERVICE OR POLE
UNOERGROUN� � VOWER �
OUGM WIRING
T ENCHES FORMS STEEL REIMF.
FLOOR SVSTEM
SHERTHING
FRAME �NO FLIISNING
I.RTMING - IN n OUT
P��STER, BROWN CO�T
5' 'URFL, FINAL
Nh. .1G. VENT., REi'R10. i
PLUM6ING, FIN�L RND GAS
ELECTRIC. FIN4L
BUILOING. FIN1L
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COSTA MESA BUILDINGSAFETV DEPARTMENT APPLICATION FOR.STRUCTURAL PERMIT
P.O.BOX1200 COSTAMESA,CAUFORNIA92626 �'���+ ^�r�/��� �^50
REC DBV PERMIT �D/��
For Applicant to Fill in Comple[ely — Use Ink Only ^
ADIDRESS Goldenrod APND � a �Qo'�
BUILOING J
OWNER OR Wm . P a i s n e r ADDRE55
TENANT
UNIT OR
MAIIING SPACE NO.
ADDRE55 Same TR.NO. �OT BLK.
TEL.
cirv Costa Mesa No�751-575
CONSTFUCT70"'f ^^^" F.. e—�+.. C�. _ _� p NEW ADD ALTER REPAIR MOV ING DEMOLISH
LENDER
BflANCH �,p "
OWNER � (�/�r
ADDRESS �{/r� V LUE
ARCHITECT TEL. US ���!/`/V7TI�� $
OR ENG7NEER N
ADDRESS ZONE TVPE GROUP
�olar Energy Equip. Corp. B�PR°vEo DATE
CONTflACTO
ADDRESS �$ 68 Bandilier
ciTv Fountain Valley No�964-223
STATE CITV �' �`rf3 APPRO ED SETBACKS
���.No. 335-344 ���.�1
SIZE NO.OFBLOGS. (FROM /LSTREET)
OF LOT NOW ON LOT ` RONT
USE OF
EXISTINGBLDG. R251 C�CIICE FT.
Separate permits are required for L: SIDE F7.
electric, plumbing and heating work:
REAF FT.
USE OF BVILDING AND WORK TO BE PERFORMEO P�qNNING ACTION
1 Solar Pool Htr onre
APPROVED
� APPROVED '
I heraby acknowledBe ihat I have read this application end rtatt �
that tha aCove intormation is correct and aBree to comply wiih �
all laws reBulating buildin8 consttuction, and I shall not employ �
any person in violatlon of the workman's compensation laws of d
the State ot Calitomie.
m
i hereby certify that I am properly �icensetl es a conSractor under SQ. FT. �+
the State of Californie Business and Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that such licenses are in full force antl ettact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ h p
antl Protessions Cotle, fvislon 3, Chapter � v �
p PLAN CHECK $ ;� �^
Signature of � /� $ _ l �1 �
Permlttee � � ` n� V � �/
ot �� �) v TAX S i1
Authorized Agent Date TOTAL PAID S '� � 1
1'�