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HomeMy WebLinkAbout2718 SAN CARLOS LN - Building Permits • -- CITY OF COSTA MESA O r� \ BUILDING DIVISION F ( rrw ur DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER O !'" * ;tERMIT 1603-00384 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.C&4SLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2718 SAN CARLOS LN t3Ul Status: ISSUED Suite: Applied: 03/10/2003 Vicinity: Issued: 03/10/2003 Parcel Number: 14155615 Zoning: R1 R1 Applicant: HARKNESS, TODD ISSUED BY: Address: 1387 GALWAY LN Phone: (949)675-6705411 COSTA MESA,CA Zip: 92626 Owner JENCKS, JERRY S Address 2718 SAN CARLOS Phone: COSTA MESA,CA Zip: 92626 - Contractor: TODD ALLEN CONSTRUCTION Address: 1387 GALWAY LN Phone: (949)675-6705 COSTA MESA,CA Zip: 92626 License: 698984 Arch : Eng: Address: - Address: • Phone: - Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, INSTALL FELT AND COVER WITH 30 YEAR COMP SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 • Permit: $111.25 Claim Valuation: $5,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 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 fora 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 244646(6/00) DECLARATIONS • LJ 1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ■ I have end 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. A� ave and will maintain w rs'pompe tion i ran required by tion 37001 f the Lahr Code,for the performance of the work for which this permit is issued. . y workers'compensatl// i r nd pot cy n bar are: Carrier: l Policy Number: (This section need not be completed it'he permit is valued at one hundred dollars($100)or less.) ❑ 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 beco , ubject to the workers'compensation provisions of Secticprnll 3700 f the Labor Coda,I shall forthwith comply with these •rovistons. Applicant Signature: I I p � 3 �t��.>_ ��� 1 Date: � I WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),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 unn�d�er r�revisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profe 'ons Cod ntl my license is In full force and effect.Llc.# 6Q 6 7 / Class 8 a. G—r7 Contractors Signature-T+v- r=' — Date: 0 I t 0. 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 Cale). Lenders 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 the 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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.). ❑ I am exempt under sac. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 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 division. 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 material? 0 Yes 0 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 0N (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 Calitomia 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 application apPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Calitomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 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 (It 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 OF 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 agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permituntilfinal inspection. 3 ) /U) lJ ate And/Or -uthorized Applica e CODE I INSPECTION TYPE QAIE INTRIALE CODE If INSPECTION TYPE • DATE Mims 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /�} 208 Final Plumbing 200 Final Re-Roof 747,of }�— 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • - C!T_Y O� COSTA MESA • CONSTRUCTION PERMIT P IT NO. ' ;TRACT NO. LOT NO; i 'UNIT NO. / • • • 1 I i ` r reject Address 1 �(' ! / € '_57.1/.1 t .<'os • 2�'L39 '.�// I , Applicant's Mailing Address • S/fi/�'1C i TYPE OF CONSTRUCTION , U NEW U'ADD LWAALTERATION ❑ REPAIR , • I •7883 6%1.9/86 - 26.50 TL i ' /� 7 ' / ❑SCONVERSION ❑ DEMOLISH ❑ OTHER A.P. I• I • 1 • Zone • Owner's Name Mz922/` /1-/dek/ i z • Phone 7.5-v-n4.2,. -_ - _ . - _ .-- . ' •_ ._ __. , _ _ + I DESCRIPTION O /US �- BLDG. : Address 1 SAH . 1 i K" •O J - I i ; I 1 S Main Building: , j i ; Accessory Building: 7 , • Arch/Eng. License No. ' TYPE OF PERMIT U GRADING I OUNDATION C STRUCTURAL ? ' T Front ; ) 1 i , :', O , . Address , ; ❑I�I T• �ENANTj ❑ CTRICALI ❑ PLUMBING ❑ MECHANICAL ; I '6 Rear 1 ) 1 1 • I • N Contractor's Name ,��J1 e. • ilCCJTHER /[('c,c( i [ A - f - /9/�inS� yieO�f/F/JG Phone/452 i{� c RighT G 77. PROJECT DESCRIPTION I SQ. FT. ...l COL/0 OCCUPg/y CV Address(mailing) /00 ''�'�]]]] / / .F�fYT,fIU/./l c 2W1(oC ,4 C'J� 'K - _ 1 / '003C-A• + • CONSTRUCTION TYPE • VALUATIONS ?,700 S Left R ' LCIC License No. I ZONE - GRADING CU.YDS. ' ACRES - - I LICENSED CONTRACTOR DECLARATION I + 1 Ping.'Ref. # , - , Parking Req./Provid¢d 1 • E , I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ./� I I Planning Notes: j r 1 O with'section 7000),of Division 3 of the Business and:Professions Code, and ' T2XI/C - : CAO (!'Gli/" - /A/W/t:-/P 25,..e...,• I - ' M • my license is in full fo e . • • feet. ' /' I / /' /'� / ) - ' T License Cl.ss �, • ! Li nse iib ' e22 i 1 nC igYeZ"C // 'j,Q r f C- -/2% f/C7w� a-4)(R rA-.pO2,-4 ,• -� I f i 1 4 S ' Date z - . Signature Wi.; . P �. -- •• PLUMBING _'Lir FEES' -+. . ' . , - 1 - •I i , ' _ . -. WORKERS'COMPENSATION DECLARATI•N , Bar Sink Showers 1 + xreby affirm that I have a certificate of con'' nt to self-Insure or a certificate ' - - -, . ELECTRICAL' �` i - FEES '+ 40, Workers' Compensation Insurance, or a:certified copy thereof (Section Backflow Prev¢nter - ' . Service Sirlk ..d0o, Lab. 1, 1 Automatic Washer Transformer ❑ 15 50 KW ' a i • 2- `f d'7-85' ' S'T4 ft" o 1 Policy No. Company Backflow Irrigation $ewer Cap - Construction Pole Sub , ' ❑ 50+KW 1 ,- ' Ii��,y C�ertified copy is hereby furnished. 1 - " - ' I! '(Jrt-er Ifi§d cop is filetllwith the city B.' •"rg-.ivisio .' Bathtubs Sewer Connection - : -v I . . I ''- Cooking Unit ; , - Meter Pap to 100 amps I � ! % Date r o//����/ • Applicant _ •� `� , ; - .. + - EXEMPTION/FROM WORKERS'COMPENSATI<•N DECLARATION I . Clarifiers I y , Solar-Collectors r I Dishwasher f• , • Meter Dover 100'amps I I f i (Thissection need not be completed If the permit's for one hundred ($100)'or - - r - I . less)' I• Dishwasher Solar-Piping . Dryers ❑Gas '❑Electric - Sub PanelI ,?- 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 I ; Drinking Fountains . Solar Tank Fan ' Motors❑0-1 HP 01,A-8 ' Workers' Compensation Laws of California. • - - - - _ 1 Date Signature Floor Drains - Swimming Pool w/Spa - F.A.U. I Int.Solar ❑9-15HP ❑16-15+• • . _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. •- r Microwave I , , _ I CONSTRUCTION LENDING AGENCY f I : Gas Service Outlets ' Water Closet r' ' I hereby affirm that there is a construction lending agency for the performance - - ' , Device Boxes Pole Light _ , of the work for .w,•ch this per t is issued (Section 3097 Civ. C.) f �U L.On n Interceptors Water Heater ' Outlets Range I Lender's ,Name ' - •Lender's Address - - Kitchen Sink - __ _ _ -Water Service - ; - - Switches -• - - - Sign;" -I -- - OWNER BUILDER DECLARATION - ' I hereby am ''. ffirthat. am exempt from the Contractor's License Law for the ' Lavatories . Auto-Wash - Garbage Disposal ons Standing Sections following'reason (Sectiom7031.5 Business and Professional Code: Any city or - ' county which req uires'a Permit to.construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑O-5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit I to file a signed statement that he/she Is licensed pursuant to visions of • ROOF Drains ' I ' • the Contractor's License Law(Chapter 9(commencing with Section 7000)of I I ' I i '.-vision-3-of.the,Business-and Professions Codey or that-he/she is-exempt - - - - -- - '- - - - - - ' tefrom and applicant for the alleged exemption. Any violation of Section • I ° • • • , -31.5:by any applicant for a permit subjects the applicant to a civil . ''' - I iTenalty of notimore than five hundred dollars ($500). - 1 3 I •, 1 ! , I ❑ 1', as oI wner of the property or my employees with wages,as their sole Reinspection Fee $15 Issue Foe $ compensation; will:do the work,and the structure is not intended oroffered ' -. - Reinspection Fee " I $15 Issue Fee ' -. 1 - $ 3 fort sale (Section 7044, Businessland;Professional Code: The Contractor's MECHANICAL' FEES License Law does not apply to an owner of a property who builds or improves ___ - I _ thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICE'S REQUIREMENTS:, employees, provided that such improvements are not intended or offered for • Boiler Hood or Type I .1:1 sale:If, however,the•building or improvement is sold within one year of com- , - Canopy I Type II ❑ Zoning Approved By Date •pletion; the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ; -: 1 Building Approved By ' 'Date /' prove for the purpose of sale). - : 1 -. i , r 6 /�(7/�6 ❑-I, as owner of the property, am exclusively contracting Profeicensed con- , Duct-Structural Refrigeration System 'Application Issued By 'y / ' - Date // tractors to construct the project (Section 7044,Business and Professperty ode: The Contractor's License 'Law•does not to an owner of property.who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU - - ' • I SUMMARY OF FEES•. +' - builtls'or improves thereon,and.who contracts for such projects with aeon •- tractor(s)ibcense-pursuant tolthe Contractor's License Law). I,am aware that BUILDING PERMIT $. • 2(o.00 I SHIP t I - .$- ! ©••S'b ` ' proof of their Worker's'Compensation insurance should'be provided to me. I Exhaust System❑ Multiple ❑ System Repair/Alteration • - . , • + PLAN CHECK •$- - PERMIT • - ' ❑':I am exempt unUer5ection - - (.B.& P.C.for this reason, Firepl/Fact.BIL ICBG# Fire Dampers - PLUMBING >', $' , + ISSUANCE _ •$.': Date . -'' - Owner - I Heating System& Ducting. - Registers : - - • PLAN CHECK 25% ,$ - 1. ' ENERGY P.C. $ ' I hereby certify:that:) have read this-application and state'that the above'' ❑0100;000 BTU ❑100,000BTL - ELECTRICAL .$ '.GRADING. $ _ - information.is correct..)agree to comply-with all,city and county ordinances' " r - • - and,state laws relating-to buildin c n ruction,and-hereby authorize retire-� • �. , • - PLAN CHECK .50% $ - MICROFILM $ ' ' sentatives os 'tyl to nte n the above-mentioned op ty- for, 'i: I i 1 ,.- _ - •; _ MECHANICAL '$ i2 inspection p es. //� - i - // Signature' • DateG I3' CO - _ _ TOTAL FEE �$ ,•_ 0r, s� --�\Drivers' License or S � - Reinspection Fee' ir ,$15: ' Isstie:Fee 1 . $ 3- PLAN-CHECK 25% $- ' ; I I \a65-46,rev. 10/84 White - Building; Canary -ApplIcant; Pink :Accouin ntg; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING POOL &SPA o APPROVALS Permit# Date Inspector APPROVALS Permit Date • Inspector at 13 Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2, Soil Pipe-Undrgrnd. I 53. Steel Reinforcement I 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ,v 4. Electrical Conduit-Undrgrnd. i 9 55. Electrical Bonding •co 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • i 6. Electrical UFER Grnd.' 57. APPROVAL TO COVER-GUNITE - 7; Footings , C- r 58. Electrical Conduit-Undrgrnd. to n 8. Foundation - -59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undigrnd. 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-I 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 0Oi0 • - 23. Gas Pipe-Rough & Test , - • 72. Underground Flush 24. Roof Franing _ • 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 ' i 4 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace - . •- 38. Final Plumbing 39. Water Service-Final - - _ • 40. GasiService-Final - - . • . •,41. Solarpomestic-Final - • 42. Backflow Preventer . • - .43. Backf low Irrigation • ,' • - t ' • 44. -Landscape Irrigation System - • ' -45. Sound Attenuation - ' - • 46. Handicap Regulations -. • 47. FINAL STRUCTURE & BUILDING 7/f/g • 48. Special Requirements Completed. `` . ` 49. Electric Release to Edison - 1 50. Gas-Release to Southern California Gas Co - I- - l. 51. CERTIFICATE OF OCCUPANCY • - I No. - Date r r __ ___. , ,, ,....r . / .7067 6/05/&6 4 26.90 iYU -__ __. _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ _ - P IT O TRACT NO. LOT NO: ,UNIT NO. 1 CIT+/OF COSTA MESA •CONSTR�U-CTION PERMIT `' c/y' . Project Address �,/pi SAN CA/CLOS F4N`e •ALJ / .077' -35 a • ! r i Applicant's Mailing,Address IS4 Itr %TVPE OF'CONSTRUCTION El NEW LI'ADD ALTERATION U REPAIR I - - - ' •❑ CONVERSION ❑ DEMOLISH ❑ OTHER 4-71/1,-.•556) ) • Ow • ner's Name. e_til Ph- PhOnrisy 4oZZI �' _ . A.P.# / — /,�. .I _ .. ... Zone � �, p I DESCRIPTION OF WORK/ $E .F BLDG. • i ►.. Address �� )p SAP-) C_A21 Os • �j f '�_ ( „ : S Main Building: ( , Accessory Building." Z Arch/ p�p �"'(�C Oat�' ,�'�Liiceennse No.2Zi q7 . (TYPE OF'PERMIT MI GRADING ❑ FOUNDATION b"• TRUCTURAL• T Front t Q Address ZSV We-Pogt'•CBe4t t we.-Pbtct Es./1r_ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear • • N Contractor's NameC Phone a,7`S'YV7f, ❑ OTH•ER_ - _ • - A_ _ ' I 'PROJEC_T•DESCRIPTION SQ. FT. OCCUPANCY C Right- ' -N Address(mailing) L .4r I S Attic- 1 , K ---�-- - G ay53 CON•ST RUCTION'TVPE • VALUATIONS 9��•�� s Left • City License No. ZONE • GRADING CU.YDS. ACRES of I R LICENSED CONTRACTOR DEC LA RAT ON - Ping. Ref.# I1 �,,{ Parking Req./Provided E (�4`�(, Q I hereby affirm that am licensed under provisions of Charter 9 (commencing ^ .•Remarks: • Planning Notes vv M With section 7000)•of Division 3 of the Business and Professions Code,and - - ' - T my license is in f orce and effect. G .,. - _ • Licee C s L';ense N38O / Sr - • - - S Date - L . Signature S►�_ - - • .. • PLUMBING I .FEES - • - ' ORKERS'COMPENSATION DECLARATION ^ - - - - - . . • ereby affirm that have a certificate of consent to self-insure or'a certificate' t ,Bar Sink , - Showers' .ELECTRICAL • FEES ' _r Workers' Compensation Insurance, or a certified copy,thereof (Section Backflow Preventer - • Service Sink - Automatic Washer' Transformer 3800, lab. C.) 0 15-50 KW ' Policy 51^r fol�r Company SQ'M�•CUM�. Backflow Irrigation Sewer Cap .0 50+KW I -, r .r. - COnstructi0n'PoleSub. Ce 'fieri copy is hereby furnished. ' Cejtifi copy is tiled with the city Bir/Ming • /v�sio7.L 'r ; ' Bathtubs Sewer Connection I • 'Cooking Unit • Meter ❑up to 100 amps ' Dates ` y- . •' Applicant /� �/9 ` CY - '- _ I �c EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers •- ' • 'Solar Collectors - I Dishwasher . Meter Dover-100 amps - -• : e )This section need not be completed if the permit is for one hundred($100) or Dishwasher= _ - Solar Piping - Dryers '❑Gas ❑Electric - _ Sub Panel , - , I certify that in the performance of the work for which this permit is Issued,1" 71 shall not employ any person •in any manner so as to become subject to thea : Drinking Fountains' Solar Tank -f• Fan • _ _ Motors❑0-1 HP ❑1'h-8 Workers' Compensation Laws of California. . , Date Signature Floor Drains Swimming Pool W/Spa ' '-. : '- F.A.U. •_'_ . • Inc.Solar 09-15 HP 0'16:15:I- . •NOTICE: If,after making this declaration, you should become subject to the- r _ -- - .. Workers' Compensation ,provisions of the Labor Code, you must forthwith I Floor Sinks Fixtures I Microwave comply with such provisions or this permit shall :be deemed revoked. Urinal , I i • CONSTRUCTION LENDING AGENCY • - Gas Service .Outlets 'Water Closet • I ' ' ' 1 hereby affirm that there is a construction lending agency for the performance - Device Boxes - , I Pole Light. • of the work for which this permit' is issued (Section 3097 Civ. C.) 1 ' • - Lentler's Name _ J ( �/'�� Interceptors , i Water Heater , Outlets I 1 Lender's Address- i AICA-LC- . - _ - - . - .. _ __ Rang¢. - .... . __ .. rKitchen Sink Water Service=- Switches- ,- ' OWNER BUILDE ROEC LARATION _• Sign - ' I hereby affirm that}Yam exempt from the Contractor's License)Law for the Lavatories Auto-Wash , Garbage Disposal I following;reason'(Section 7031.5 Business and Professional Code: Any cityTor 9 P Standing Sections ,,, county which requires-a permit to construct,alter;improve„demolish or repair P-Trap - . Laundry Trays Generator 00-5 KW ❑5-15 KW I any structure, prior to.its issuance; also requires the applicant for such permit Trash GOmpaCtOr to-file a signed statement that he/She is licensed pursuant to the provisions of Roof Drains ' • s+:_e Contractor's License Law (Chapter 9(commencing with Section 7000) of `--. Twisioo 3 of.the Business-and Professions Code) or that he/she-is exempt- - - ' ' - - - . . - - ' - - - `.,"erefrom and the basis for the alleged exemption. Any violation of Section • "i031_5 by any applicant for a permit subjects the applicant to a civil - • penalty of not more than five hundred dollars($500). II _ , 0 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 . ll - for•sale (Section�7044, Business and Professional Code: The -Contractor's MECHANICAL -FEES 1 Reinspection Fee $15 Issue Fee $ 3 ' 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 REQUIREMENT employees, provided that such improvements are not intended or offered for Boiler Hood Or Type I ❑ • Sale,af, however, the building or improvement is sold within one year of com- --- - Canopy Type II ❑ - Zoning Approved By n-r t P•�Idd"L`-'Date &.••,/'•C711 pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground -prove for the purpose of sale): 'B- 'Building Approved By Date 0 I,as•owner of,the property, am exclusively contracting with licensed' con- ' Duct-Structural , Refrigeration System, = • - Application Issued By Date-- 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 - ' _ - ' SU RY OF FEES ' builds or improves thereon, and who contracts-for such.projects with a.con- - - r _ tractor(s) license pursuant to the Contractor's License'Law). I am aware that'. ' Exhaust System 0 Multiple 0 ' System Repair/Alteration ' - - BUILDING PERMIT $ ______Am rid ' ••SNIP - $_ O.Sar. • proof of their Worker's Compensation insurance should be provided to me. - �Q (FO • - --, I - - - - - , PLAN CHECK $ -PERMIT; -- 0,1•am exempt under'Section B.& P.C.-for this reason Firepl/Fact.Blt. ICBG# , Fire Dampers - PLUMBING $ - •. _ISSUANCE $ - ' Date. - • - ' ” Owner Heating System&Ducting 'Registers - _ PLAN CHECK 25% $ " ' ' ' ENERGY P.C. $ '_ • 1 hereby certify that I have read:this application and state that the above - 00-100,000 BTU 0100,000 BTU ' • - ' ,GRADING - $ • information is correct. I agree'to comply with all my and county ordinances - - ELECTRICAL $ - and state laws reiati - •uilding onstruction,and hereby authorize repre- PLAN CHECK ,;50% • MICROFILM-'. $ _ - sentatives of this city-to nter /pon' the above-mentioned- property for , •_ - $- -, .. • _ �j • inspectiagpur'. - �, q��C - MECHANICAL $ ,TOTAL FEE .. •$ _26.6P0- , �• T 0' Signature. . - A i - _ ' Date / - - - -. - .a . , Drivers' Licens• or ' • - Reinspection Fee 7$15 Issue Fee - • • $ 31 - - ' PLAN CHECK 25% $ ' CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting:Goldenrod - Assessor -`,7.41 CONSTRUCTION AND PLANNING • POOL &SPA - r APPROVALS Permit# Date Inspector. APPROVALS Permit Date Inspector riot C. 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 v • 4:Ecectrical Conduit-Undrgrnd. 55. Electrical Bonding rt 5. Steel Reinforcement, ' ' 56. Rough Plumbing & Pressure Test - n 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# - - - i 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: c' �1g� � �/Q� ///�v�� 34: Final Heating & Air Conditioning S'7 #(44- .4 ,// -14!/4, rd 04.771e/c//c' • 35. Final Gas Pipe-Test 4 y4 - eee77Ll ??,%, �.(�C7/v/ 36. Hood or Canopy - et.Tt_p,c! •37,:. Final.Factory Fireplace - MI��/! - • , ,. 38. Final Plumbing - . 39. Water Service-Final _ - - 40. Gas Service-Final - b• '41. Solar Domestic-Final , • 42. Backflow Preventer . . .. z - 143. Backflow Irrigation - is {44. Landscape Irrigation System - - 45. Sound Attenuation 46. Handicap Regulations - - 47. FINAL STRUCTURE &BUILDING 6/.OG 814...-sr-£ ac 7-S ` • . . 48. :Special Requirements Completed '7`� • • 49.'Electric Release to Edison ' ) . -\50. Gas Release to Southern California Gas Co • _ _ '5,1. CERTIFICATE OF OCCUPANCY• • . - t No.'\ - . Date / / ` . MARC DALE ASSOCIATES PRCJEC . HURWITZ 250 NEWPORT LATER DRIVE SUITE 206 DATE MAY 86 NEWPORT BE,AL-. CALIFORNIA 92660 BY M PHONE 17141 720-3987 PAGE 1 STRUCTURAL CALCULATIONS FOR SKYLIGHT INSTALLATION AT RESIDENCE OF HURWITZ 2713 SAN CARLOS COSTA MESA • ROOF LOADING APPROVED ROOFING = 6. 00 PSF 1 city of Coate esa Building Def. • PLYWD = 1 . 50 PSF 1 I 9Y DATE 6 FRMG = 2. 50 PSF 67? 15..E12 MISC = 1 . 50 PSF ! THESE PLANS MUST BE ON J08 AT ALL TIMES I MAKE NO CHANGES WITHOUT PRIOR APPROVAL CLG = 3. 00 PSF OF.DEPT. TOTAL r. 14. 50 PSF i - • THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL ' { OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED f TO BEA PERMIT FOR; OR AN APPROVAL OF, ANY VIOLATION LIVE LOAD= 20. 00 PSF _ OF ANY OF THE PROVIxiONS OF THIS COOS. NO PERMIT PRE. SUMOVf TO CNE AUTHC:RITY TO VIOLATE: OR CANGFJ, T RAFTERS CUT 3 2X6 L5+ PROVISIONS OF.Tho 11V'[TE SHALL BE VALID, FXCE W DL = 14 . 50 " 1 . 00 EAR AS THEARIM LF3E_WHICH IT AUTHORIZES IS LAWF}JL' W LL = 20. 00 '` 1 . 00 = THoaUiI isI1 T{FE.MIT BASED UPON PLANS AND W TL SPECIFICATIZNBS.-�,,c1LCIF PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS • .. IN SAID FLANS LDING 1AND SPECIFICATIONS OR FROM PREVENTING N THEREUNDER WKS STRUCI L APPROVAL ONt.t oo x 2. 6 OF1TyEC 0 r 'INS CODE ORTleg BEING ROF ARIED NY OTHER q(D Ari B , pry-- SEPARATE PERMITS ARE REQUIRED FOR cLEMTRIC7IL.5PLURIBING. HEAflK VENTILAT 'G AND14. 50 X 3. 38 = 68. 94 P R R4,ERATION 'xr8r 20. 0D * 3. 38 = 67. 60 P r No Find 'Inspection Will Be Made r 3- Z `f© 77 t UNT.L COMPLETE SUBCONTRACTORS LIST IS APPROVED THIS WL'h?BE . MUST ACCOMPANY Bi 3I BUSINESS LICENSE DIVISION. ALL INSPECTION REQUESTS ____ I QFiOFESS/ FOR BUILDINGS WHERE PERSONS ARE TO CE EMPLOYED, WI SUGGEST THAT TILE STATE OF ' y MARC DALE F2- CALIFORNIA DIVISION OF INDUSTRIAL SAFETY ND 2213 z BE CONSULTED FOR ADDITIONAL REQUIREMENTS. STRUCTURAL • * EXPIRES 12/31/89 * t CAUTION OF CAU ' .5LAPPROVED ELECTRICAL LINE CLEARANCE REQUIREMENTS PeCOSTA MESA IN ACCORDANCE WITH STATE SAFETY REGULATIONS, IF PLANNING DEPT. CONSTRUCTION REQUIRES WORKERS, EQUIPMENT, CRANES SUBJECT TO KM DEM REO. GR HOISTING DEVICES TO BE IN PROXIMITY OF OVERHEAD lY � TE�O �j'�Co ELECTRICAL LINES, OR UNDERGROUND ELECTRIC DIRECTOR or PLANNING FACILITIES,CALL SOUTHERN CALIFORNIA EDISON COMPANY IMMEDIATELY (714) 895-0244 . C m' SKYLIGHT THROUGH L-1 / AcG incOYi ( CATHEDRAL CEILIN G V a hM 54'9 :xlj/b Bristolite Skylight Metal Flashing a a l.") I.C .B. O. 2469 & Waterproofing Ho I I I m �. w = Z 1 IV`" , ; CM ¢ Z7kP 419,2_ 2"xf Curb Ila v gig w ,/ x ( se W r Roof Rafters- ) .."0. C. - Z immi ¢ 14-67 f • r Z ; ! L 1zoGK �UOF = ¢ ' II t I I • AeYt4J•4L c. GEi ./ow I I } Ca I � ; 1 I I I I 0.ece rat ' ,c r :es-. /A O. c. ® /2-. SPA SKYLIGHT ADDITION FOR : V Snj6LE Ailie40 fl.EA/1' iti9/L ,., _ z poi sr 44iti&C S /lib? %P6qui/eea .77 Ili' SRA./ 1'_..�e s o - k ( . MARC DALE ASSOCIATES PROJECT HURWITZ 250 NEWPORT CENTER DRIVE SUITE 206 DATE MAY 86 NEWPORT BEACH. CALIFORNIA 92660 BY M n PHONE (714 ) 720-3937 PAG ., '// STRUCTURAL CALCULATIONS FOR SKYLIGHT INSTALLATION AT RESIDENCE OF HURWITZ 2718 SAN CARLOS .. . COSTA MESA . ROOF LOADING . . . . .. . ROOFING = 6. 00 PSF PLYWD = 1 . 50 FSF FRMG 2. 50 PSF MISC . . _ . . .1 . 50 PSF.. - . . .. .. .. -• CLG 3. 00 PSF TOTAL - 14. 50 PSF LIVE LOAD= 20. 00 PSF RAFTERS CUT 2 2X6 0 1 . 00 FT L=13. OFT W DL - 14. 50 * 1 . 00 = 14. 50 PLF W LL 20. 00_ , 1 . 00 = 20. 00 PLF W TL = 34. 50 PLF P AT 3. 5 FT . PDL = 14. 50 * 1 . 75 = 25. 38 P PLL - 20. 00 * 1 . 75 = 35. 00 P • P AT 9. 5 FT PDL 14. 50 * 1 . 75 = 25. 38 P PLL = 20. 00 yr 1. 75 =• 35. 00 P SKYLIGHT THROUGH D>AV/J6 err bet CATHEDRAL CEILING 6. I. L -I �, it 3dp xQBristolite N I Skylight Metal Flashing °f Q I' ' I.C.B. O. 2469 & Waterproofing CA U i rtl wI I .." CO ¢ 2"4" COv h .c1 ,..._.2 g /-tE4bEfrS _ W x 4 Roof Rafters- /2"O. C. la J v mi. cc I • z :; 2 1POGR ea,it • Denth4 Lt. CC/Li 04- O or LI= } _ N ma Q 2 I LJ- I , y. Ji @-": • et-i r TI,CJo 064F7--EtS . /e? Ito, C , • /3isPAni SKYLIGHT ADDITION FOR : .. S/s% hiniuSeses 4.427-- /PrE4u/ ttif, �7/8 SQA) L+4ieLrzs [�57"A 1L1Fc09 75V- 02.24 MARC DALE ASSOL .. .,TES. . .JJECT HURWITZ 250 NEWPORT CENTER DRIVE SUITE 2 DATE : MAY 86 NEWPORT BEACH. CA 92660 DESIGN: M PHONE (7141 920-3987 CHECKE.E SHEET : ���� TIMBER BEAM DESIGN Beam Mark > > > RAFT12 RAFT13 > BEAM SPAN ft 12. 00 13. 00 > W-DL #/ft 15 15 > W-LL #/ft 20 20 > Wp-DL #/ft I 0 0 > Wp-LL #/ft 0 0 > X-Left ft 0. 00 0. 00 > X-Right ft 0. 00 0. 00 > P-1 DL lbs 38 25 > P-1 LL lbs 53 35 > X-1 ft 3. 5 3. 5 > P-2 DL lbs 49 25 > P-2 LL lbs I 68 35 > X-2 ft I 7. 5 9. 5 Max Moment in-k : 12. 7 11 . 4 R : Left lbs 318 288 R : Right lbs 310 288 > Fb psi 1 , 450 1 . 450 > Fv psi 95 95 > E ksi 1 . 7E+03 1 . 7E+03 > L. D. F. 1 . 25 1 . 25 > BEAM WIDTH in 1 . 5 1 . 5 > BEAM DEPTH in 5. 5 5. 5 Cf- Depth 1 . 000 1 . 000 Fb : Allow psi I 1 . 812 1 . 812 . Fb: Actual Dsi ; 1 , 677 ... 1 .'S06 . ... .. .. .. Fv: Allow psi 118. 8 118. 8 Fv: Actual psi 55. 0 49. 4 > X-Dist . ft 6. 0 6. 5 DL. Deft in I 0. 33 0. 35 L / ? 438 440 LL Defl in I 0. 45 0. 48 L / ? 323 327 L/?: Tot Defl I 186 187 V2. 0 (C) 1985 ENERCALC Page 1 of 1 04-Jun-86 I / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - V Ori.7s 4 Owner - - P MIT NO: TRACT-NO:' ' ' LOT BLDG.NO. ^--�-_. _ CONSTRUCTION PERMIT �� bid/ M 'ee le ,, std 'i—/D� �/. Lf285 ' - ; . 2642 I/ is/ '• . ,—d7.1,---.- • Project Address 7 7/�}_ an-C, yLp / o)C,/ll' v TYPE'OF CONSTRUCTION LI NEW U ADD -U ALTERATION ❑ REPAIR • Applicant's Mailing Address, - ❑ CONVERSION .0 DEMOLISH ❑ OTHER A .# !L�/_,55 '— /'� _ • Zone ' •Is•- J L�� flan, :DESCRIPTION-OF WORK . AS- �U I s-T' PATI? 0-A./Me- d l Owner's Name MARK puma 2 _Phone�7�46e� - - - S Main Building: - ' -Accessory Building: , "". -. Z fsy/ EO. Address • . , TVPE.OF PERMIT ❑ GRADING ❑•FOUNDATION yaISTRUCTU RAL; - T Front .' ,^.A�� - ' I N Arch/Eng. • License No. • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - B Rear "-6 -• - . - , _ N yyA�ddress. " / � .0 OTHER - • A Right / // • - ^ G if(`.•••r••rto.'�wyye 1kC [.To leJCA 0 phone 86305(0 PROJECT DESCRIPTION 5q. FT. - OCCUPANCY.�/J,� 'K' 9 �! • .- R 20 • / f' r • CONSTRUCTION TYPE VALUATION$ /,05f,)0^------ / Ve/L/^� S Left �i E Address Imailingl - / S . ZONE • GRADING CU.YDS. .ACRES • Ping. Ref.# �- Perk.Fees $ Q ' City License No. • - - �' • p U LICENSED CONTRACTOR DECLARATION I Remarks: •e.•G .S6— 34-s Parking Req./Provided .• - I I hereby affirm that I am licensed under provisions of Charter 9 (commencing � R with section 7000) of, Division 3 of the Business and Professions Code,and • , " _ Use of Building: ,�Y 'T/P/-- .f{I .0 - E my license is in full force and effect. . _ •' (�/q • 1tJJ// License Class• License No. . - PLUMBING FEES Planning Notes: el/ - M SUN 6 A P. E ,te Signature • - s ORKERS'COMPENSATION DECLARATION • Bar Sink Showers , , T I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer - Service Sink 1 - S -of Workers' Compensation Insurance,•or a certified copy thereof (Section - ---- ' - - -- - - . - - - - - 3800, Lab. C.). - • Backflow Irrigation Sewer Cap - • ELECTRICAL . ' — FEES • • Policy No. ' • Company r ' B Certified copy is hereby furnished. - Bathtubs Sewer Connection I ! Automatic Washer Transformer 0 15-50 KW Certified copy is filed with the city Building Division. • ❑ • 50+KW \ • Date Applicant ' - Clarifiers Solar Collectors , Construction Pole-Sub. ' . • - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION- • 1, Dishwasher ' Solar Piping- I`- •' '-- - Cooking Unit ' - Meter Dup'to 100 amps "'— _ (This section need not be completed if the permit's for.one hundred ($100)or . , less): I - , - - - I certify that in the performance of the work for which this perrnit is issued, Drinking Fountains - Solar Tank • Dishwasher . Meter Dover 100 amps' I - shall not employ any person in any manner soles to become subject to the - - Workers', Compensation Laws of California. . - - • , Floor Drains Swimming Pool w%Spa Dryers ❑Gas ❑Electric Sub Panel ' Date Signature - NOTICE:If,'after making this declaration,you should become subject to the . Floor Sinks . Urinal Fan Motors 00-1 HP ❑1'%-B Workers' Compensation provisions'of the Labor Code; you must forthwith - - -' - - - ; comply with. such.provisions or..this, permit:shall be-deemed revoked. Gas Service , ' Outlets• Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY -' , r • r - - - - - I hereby'affirm that there-is a construction'lending agency for the performance Interceptors' ' - Water Heater , •- ' Fixtures I Microwave . of the -work for -which this permit .is issued..(Section'3097 Civ. C.) - •• Lender's Name- • • I - -- - - .• Kitchen Sink - Water,SerGice — - - r Device Boxes . '• •Pole Light Lender's 'Address - Lavatories ' • OWNER BUILDER DECLARATION :. _ :„ - _ - Outlets , • Range , _ I hereby affirm that I am exempt from the Contractor's License law for the - • p-Tra ' following reason (Section 7031.5•Business and"Professional Code: Any city or p,. - - Switches • Sign - county which requires a permit to construct,alter,improve,demolish or.repair - , • I t .county -y structure, prior to its Issuance, also requires the aDPlicant.for such permit Roof Drains Garbage Disposal , Standing Sections file a'signed statement that he/she is licensed,pursuant to the provisions of :5/'re Contractor's License Law(Chapter 9'(commencing with Section 7000) of _ - . • -'�ivislon;3 of the Business and Professions-Code) or.that he/she:is exempt - • ' , ' . - _ Generator ❑0-5 KW ❑5-15 KW Trash Compactor 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 • Reinspection Fee $25 I Issue Fee : $ 3 'arty of not more than five hundred dollars($500). - - I,•as,owner of the property or-my employees with wages as their sole • Reinspection Fee $25 j Issue Fee • $ 3 mpensation will do the work,and the structure is not Intended or offered _ MECHANICAL ' FEES for sale (Section 7044, Business and Professional'Code:• The Contractor's PUBLIC SERVICES REQ RFME T ' - License Law does not apply to an'owner of a property who builds or improvesI:'_. i"- - , - thereon, and-who,does such work himself/herself or through his or,her own Zoning Approved By xG' Date. '11employees, provided that such improvements are-not intended or offered for sale. If, however, the building or improvement is sold within one year.of com- Application Approved ByDate ! �S! 4- pletion, the owner will-have the burden of proving he/she did not build orum- ' .rovefor the-purpose of sale). ssApplication Issued By ' Date ' Li1,as owner of the property, am exclusively contracting with licensed con-Itractors to construct the project (Section 7044Business and Professions Code: a - •SUMMARY[ O�FEESThe Contractor's.License law does not apply to.an owner-of-property whoBUILDINGPERMIT $ 17/ J (JSMIP . $ •builds or Improves thereon:and who contracts for such projects with a con- 0 • �r J c PERMITtractor(s) license pursuant tothe Contractor's License Law). 1 PLAN CHECK $ •❑ Iam'exempt under SectionB & P-C o' his reasonPLUMBING $ • ,ISSUANCE ' $ 'Owner • PLAN CHECK $ • ENERGY P.C. $ -I hereby certify that I have'read applicatistate that the above ' 00-100,000 ■ ss,•Is : - - � ' GRADING • $ ' information-Ix correct:'1 agree to-comply with all city'and:county ordinances- ELECTRICAL $ j , and,state laws relating,to building construction,and hereby authorize repre- PLAN CHECK $ • MICROFILM $ sentatives of'this city..t 'enter •on ' e boys-mentioned ,pr•per/[yp,f r G 7 `7 Inspection pure / • r - I $ ; ' MECHANICAL $ ' ' ' • TOTAL FEE $ • O- iJ / Signature - - ' Date I / O� Drivers',License or SS �' ��� _ a Reinspection Fee • •$ZS . Issue Fee $ 3 1 PLAN CHECK $ 1 I - CMF 0865-46-'rev. 7/83 Accounting;Goldenrod—'Assessor--- - - - .- - -- - • - - • , --. CONSTRUCTION°AND PLANNING I -&SPA • APPROVALS Permit# b JO*,2.1 ' ': Date Inspector _ .Dated `Inspector APPROVALS Permit # 1: Temporary Electrical Service or Pole. • 52. Pool & Equipment Location - - - • 2. Soil Pipe-Undrgrnd, - . 53. Steel Reinforcement • • - " c 3: Electrical Conduit Utility-Undrgrnd. , - 54. Forms - - . . - ,.:i... ,. 4:Electrical Condu' =Undrgrnd: 55, Electrical Bonding • - - - • 5%Steel.Reinforcement' - 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. - - 57: APPROVAL.TO COVE R-GUNITE ' a.• _ 7: Footings - 58. Electrical-Conduit-Undrgrnd. ;8::Foundation - . ^ • , - • 59. Gas Pipe/0 Undrgrnd-,-Test .: • - 9NWater Pipe-Undrgrnd;, '60. Backwash Lines, P-Trap, 0 Unargrnd. • • 10. 'Structural Floor`System - 61. APPROVAL.TO DECK - - ' - , 11.-Froperty Sewer Line'& House Connection -- , 62: Backwash & Receptor-Final ' -, • 12.'Sewer'Cap 63. Heater & Vent-Final 13:'Roof,Drains 64: Plumbing System - Final : - : 14! Rough.PlumbingA _ • : -65. Electrical-Final - - • • 15. Rough Electrical-Coli uit - 66.-Solar System-Final- - - - 16. Rough Electric.Wiring . . - - • ,6T, Fencing & Access'Approval • , - • 17. Rough Wiring Sign i - 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL • ' 19. Rough Heating &,Air ConditioningFIRE DEPT. REQUIREMENT • ' '20. Rough Factory Fireplace • ' - APPROVALS Permit# • 21. Ducts, in Structure70. Underground Hydro 22. Ducts, Ventilating . , - 71. Product Piping 0 Gas 0 Oil . 23. Gas Pipe-Rough & Test 72. Undergrouhd Flush • 124'. Roof Framing •' • 73. Undergrnd.Storage Tank ❑Gas ❑Oil : , 25. Roof-Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat'. - 75. Dry Chemical' ' '27. Frame and Flashing 76. Dry Standpipe - _ - - b 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'ElectricNotes: 34. Final Heating & Air Conditioning. 35. Final Gas Pipe-Test - ' ' ' 36. Hood or Canopy ' ' _ - • • , • - - - t. - 37. Final Factory-Fireplace -• 38. Final Plumbing ` I i,. h" . - .. 39, Water Service-Final +/- 140. Gas Service-Final , a • - 41. Solar.Domestic-Final i - - _ - 42. Backflow Preventer i '' +: I ._ - -- - _ ,. , k43. Backflow Irrigation - ' , 1144. ,Landscape Irrigation System , - . • . I45. Sound Attenuation ! • 46. Handicap Regulations : : t • '_• ' . 17. FINAL STRUCTURE & BUILDING /RA - - • 18. Special Requirements Completed • • B. Electric Release'to Edison - ' - - - r Gas Release to Southern California Gas Co ' i I. CERTIFICATEOFOCCUPANCY . , _ ^ ' . ' • Date- A Lot 42 Tract 4285 FEE 5cRECEIVED . :526 SEP 69 COSTA MESA BUILDING-SAFETY DEPARTMENT i FINANCE DEPT. . P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 2718 SAT) (:Arl OS LATIP COSTA MESA. CALIFORNIA , For Office Use Only RECEIPT NO. PrRMIT NO OWNER Mesa Del Mar Development Co. I I 1a2flC4 kW-RE" 3800 E. Coast Highway RECEIVED BY Ow RECEIVED DATE ISSUED TEL.Or10la BUILDING CITY Corona del Mar NO. 3-4220 ADDRESS ARCHITECT TEL.Oriole COSTA MESA. CALIFORNIA OR ENGINEER Macco Corp. No. 3-4220 ADDRESS 3800 E. Coast Highway FI FIR E E TYPE GROUP�fI/, /(/ . R CONTRACTOR Macco Corp. APPROVED AP DATE ADDRESS 3800 E. Coast Highway ZONING .'/- ZONE NO.OF USE OF NE‘.-/LF_C e CITY Corona del Mar /fJ�� I PLANS J �6UI LOIN° w` ,XX1I [/A[ STATE TEL. LEGAL LIC.NO. 98808-SB-1 NO.Oriole 3-4720 DESCRIPTION 7 4 Z 89 (1-'v SIZE OF LOT 6510 S F INO. OF N SLDGB. NOW OLOT none A.P.NO. USE OF none YARDS EVES EXISTING BLDG, APPROVED ALLOWED 8¢TBACK LIN��F,��++ppM (CENTER LINE ST.) CENTER DP BTNyeY 491REAR YARD 24 I FRONT ---CO-5-O FT. IN. SIDE YARD I LEFT 5 1311 I RIGHT 5 ' R.SIDE 5--- FT. IN. DESCRIPTION OF WORK L.SIDE S FT. IN. NEW I x I ALTERATION I II ADDITION I REAR Z 3 FT. • — IN. y REPAIR MOVINGI II DEMOLISH I APPROVED / it BY Lit �ABe DATE rid BUILDINGS 9 19"x501 NO. OF 6 1 SIZE ROOMS STORIES EXTERIOR WALL wood IROOF Comp. and COVERING TT starer) COVERING Gravel USE OF BUILDING AND WORK TO BE PERFORMED Single family residence w/attached Living Area 1652 S F garage Garage Area 433 S F Covered Porches etc. . -Area 21 S F I HEREBY ACKNOWLEDDE 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 OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - VALUATION 3 7 SIGNATURE O lesa Del ar Development CO. PERMIT FEE a — N PERMITTEE (� B By: �a� $ 17,769.00 PLAN CHECK $ /A3-O 4 AUTHORIZE \ - TOTAL FEE $ 55.50 0