HomeMy WebLinkAbout2750 SAN CARLOS LN - Building Permits PROJECT ADDRESS: 2750 SAN CARLOS LN UNIT:
OWNER'S CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05526C
NAME: BARRETT, MARTIN F
• ADDRESS: 2750 SAN CARLOS LN PERMIT NO: B 055260 ' PLAN CHECK NO: 04914-91 L GOVT: N SUPP: N
P. COSTA MESA,CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ADD
1 ARCHIENGINEER: REG.NO.:
I ADDRESS: MARTIN F. BARRETT NOS JOB DESCRIPTION : ADD 25#SQ FT ENCLOSED PORCH SQ FT: 25
• 2750 SAN CARLOS LN t •
PERMITTEE: COSTA MESA CA 92626 r CLAIM VALUE: t CALC—VALUE: 1 ,725 . 00 GROUP OCC: R-3 /
ADDRESS:TEEMARTIN F. BARRETT ( 714 ) 979-85 •
.2750 SAN CARLOS LN COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. •
COSTA MESA CA 92626 ****************************** **�EAE�E****�E*+E*�E*+E*iF ***+ESE** ********>Ex***********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING - REQUIREMENTS •
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SE T. B ACK S
• CITY LIC.: • STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cemficate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: 49 FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT: 10 FT 10 IN RGHT: FT •IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 14155622 ZNE: R1 REF NO:
17 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> ADDITION TO ALLOW INTERIOR ACCESS TO EXISTING ATTACHED
`T. — > GARAGE;. - '
y0 ,. Applicant:'.. jF**
_ ****************** **at.*"***** .*********************************BF****17:*St********
EXEMPTION FROM WORKERS'COMPENSATION OECLARATIONi (This section need not be completed if the permit is for one hundred($100)or less). D E V E L •O, P'�M%E;�N'.:T", SERVICES R E Q U I R E M E''NT S
I certify that in the performance of the work for which dos'permit is issued.I shall not employ any person in any manner so as to become . I
subject to the Workers'Compensation Laws of California: ZONING APPROVED BY - •. / • 'Y 'l, ^ (T E. • DATE: 1'(-1.419\
Date: Signature:_ - - ..
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor , BUILDING APPROVED BY' ., , . / - • DATE:/�?t . .•
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. j ,, ^^: T-� y� - F ✓ q •
CONSTRUCTION LENDING AGENCY: .1 hereby affirm"tbai(here is a construction lending agency for the performance of the work for APPLICATION I SSUED't`B Y:5 e .1,1 : Y \�I )6(1. • ' DATE': L('r:• i.17 iC
which this permit is issued(Section 3097.Qv.C). t. *,*,*-*,**,*,*,*******,***,***,(********** *** ******.)F**********,*36*******�F*,y-* *, *lF**
LENDER: LE******************************************************************W*********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
,
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city Of county which requires a permit to construct,alter,improve,demolish,or PERMIT 41 . 00 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed $MIP/NON—RES .
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ' 26 . 65 .
any applicant for a permit subjects the applicant to a civil'penalty of not more than five hundred dollars($500). ISSUE -FEE .
I..as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 41 . 50 . 0 . 00 26, 65 68 . 15 68 • 15 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or . •
improvement is sold wishbone year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--). COLLECTED: 68 , 15 OVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 41 . 00 , 50 26, 6 5
•
❑ ' and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon '
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.***********************************************Le*******************IF**7***aE****
that proof of their Worker's Compensation insurance should be provided to me. I -N D I V I U U A L F E E BREAKDOWN •
Ni I am exempt under Section:B P 7044 B. 8 P C.
for this reason: ALL WORK BY O ER - - /TYPE QTY DESCRIPTIO N UNIT 'COST TOTAL COST
Date: (�I-)s\ a( owner: A )L SFR 25 DWE-TYPE V—WOOD FRAME —GOOD 69 , 00 1 ,725 . 00
•
I'do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a -
. permit for construction or modification from the Air Quality Management District-Residential construction applications are exempt from
these provisions. - r
Date'. ( Applicant: •
I hereby certify that I have read this application and tale that the ab e information is correct.I agree to comply with all city and unty �'
ordinances and state laws relating to building const lion and hereby out nip representatives of this city to enter upon the abov- nlioned
properly I inspection purposes. y,,�,,tL��..,�����`
Date: I1��5k Q 1. S nature: lis, ' 't4 123.10,7:1.,-17-1;:,10;...2i.;:
DATE 11.1%:,, a , ri •
Driver's License or Social Security 4:
Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTW:CTION AND PLANNING f POOL 4'
APfa;OVALS Permit# Jate Inspector APPROVALS Permit # Date Inspector
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , •
. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3L Electrical C6nduit Utility-Undrgrnd. - 54. Forms - • •
-4'. Electrical Conduit,Undrgrnd. 55. Electrical Bonding
:5. Steel Reigfd?cementtr 56. Rough Plumbing & Pressure Test:. .
c.
6. Electrical UFER Grnd. / 57. APPROVAL TO COVER-GUNITE '
7. 'Footings,•`" - L .41 58. Electrical Conduit-Undrgrnd.
8. ,Foundation - l� 59. Gas Pipe, O Undrgrnd., Test -
9. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Floor System - 61. APPROVAL TO-DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' - ,
12. Sewer Cap 63. Heater & Vent-Final
•
• 13. Roof Drains . 64. Plumbing System - Final _ •
14. Rough Plumbing - 65. Electrical-Final •
15. Rough Electrical.Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20..Rough Factory Fireplace ! •r . r' • . y ,: ,APPROVALS -Permit# I} �•'
•r. c r er - m -
21.tDucts,in Structure, 70. Un` ''
rdergrr
ound,Hydro
22. Ducts, Ventilating • S •• --71. Product•Piping 0 Gas 0.011
23. Gas-Pipe-Rough & Test a •- '72, Underground Flush.,
ct
24. Roof,Framing - j •+ X73. Undergrnck Storage-Tank 0 Gas 0 Oil
25. Roo}Sheathing -74 Overhead Hydro �'
26. .T-Bar Ceiling (Structural) & Monocoat t•- t I •r, • = -: 75.-Ory Chemical
27.' Frame and Flashing• - pi_ ;/-x/ x 76. Dry Stand[iipe -. S `t
28.-Lathing &..0- -Ir .. S - i . ? fa_ •.er : 77, . FIXED SYSTEM:E.INAL• , >•
-29. Insulation y 76,,FIRE PREY FINAL
:30. Drywall Nailing 7� L 'Tom- HEALTH DEPT. REQUIREMENT
31. Plaster BrownCort , `t• '•Ll$ 9 •79.-FINAL INSPECTION P
32. Electrical Power Meter-Final , _ , . 80.:FOOD CERTIFICATE ISSUED r.
33. Final Electric - ' _ = 0` ` •Notes: - r A.
34. Final Heating:& Fir`Conditioning -, j-• - , . -V r
-35. Final Gas Pipe-Test• -
_ - r-
36. Hood or.Canopy ' . . - - " •ri _
37. -Final Factory Fireplace _ - , - r,
38.-Final Pldmbing r... . -- - �, •S
,39..Water Service-Final: •. �. r -
;40. •Gas Service-Final x - '
>41: Solar Domestic-Final
,
42. Backflow Preventer '' ' • - l,
43. Backflow Irrigation• L -
. - l
44. Landscape Irrigation System;.•c, _ - - lc - - ` -
.45. Sound Attenuation. ,' _ . . -
,46. Handicap Regulations _r ` '" -kms : _• ,,
'47., FINAL STRUCTURE & BUILDING • ;2 a '. - , -
48. FINAL PLANNING: ; , • , ! , • -
• 49..Elecfric Release to Edison • - • 1, 1 ,
50. Gas Release to Southern California Gas Co ' : . _ _ -t -. -
t51. CERTIFICATE OF,OCCUPANCY '
No. Date 2'
I.
_- -1• . L _ - -. . ... - - Applicant to fill in all spaces except-those-within heavy border lines and sign-all appropriate declarations.- - - - - - - - -- �- - - - - --- - -_—
•
CIPPOF-COSTA MESA( CONSTRUCTION� �� PERMIT - PER, =NO. � . •, - :TRACT NO. _ LOT NO. • UNIT N0: t ,
�1Prolect Address�?�d -'H-r.) U"1'K-QS - .. C �'tl I • I - 2706 4/tlA%fiG - -t PeE0 • °i L
' Applicants MailingA•ddre O (�� � ' 6 TYPE OF CONSTRUCTION • NEW- Ill'ADD 'WI ALTERATION• N REPAIRF - ' - - - I
`v'TtVRt��L �:•�• [ _ - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P:# T , -i - f " ' Zone,
Owner's Na/��mpeeM'4 R�1U �paRt r'r • Phonrby Z /f DESCRIPTION OF ORK/USE.0FBLDG CK44°4gf A1(i VIVA)61, ' •
Address AS . ABov - - . > ' TS 2; - S Main Building: - c _ Accessory Buildings -
Arch/Eng. License No. ' TYPE OF PERMIT GRADING N7 FOUNDATION .❑ STRUCTURAL - T Front - _ - : 0,
Address ' - ❑ TENANT IX ELECTRICAL yy PLUMBING ❑ MECHANICAL- B Rear ` - + •
_ N'
Contractor's Name Cil7.liJ�'('Z BUtLD+= Phone - -❑ OTHER - - pp' I c. C Right - •
- • NI
Address'Imail ing) ' - / PROJECT DESCRIPTION 54. FT. p0 - OCCUPANCY' NC .•.-- a7.'...1 K. ` -'
/ �; CONSTRUCTION TVPESTJ�CQ • VALUATION 4.`�QpO s Left ` I
City License No. ZONE• GRADING CU.YDS. ACRES Ping, Ref,# 1 ParkingRe /Provided - E
• LICENSED CONTRACTOR,DECLARATION �q" -- - - i q:
1 hereby affirm that I am licensed under provisions of Charter 9�,(com mooting Remarks: '/,l -"1/S8'� I Planning Notes: i I M
with section:7000) of'Division 3 of the Business and Professions Code, and YYYF��� OC - T:
my license is in full force and effect. i i ' _ ' I
License Class - - License No. - - - i t '
Date' Signature - I PLUMBING r ( ;FEES i I
WORKERS'COMPENSATION DECLARATION - i
Bar Sink I Showers i ELECTRICAL FEES
I hereby affirm that I have a.insurance,
consent to self-insure or a certificate i 1 CID sr •
•of Workers' Compensation .insurance, or-a certified copythereof(Section-- - ' '- " - i - - -
3800, Lab. C.) Backflow Preventer Service Sink Automatic Washer ' Transformer 0 15-50 KW
•
Policy No. • - Company ' �`' — Backflow Irrigation - ❑ 50+ KW
R Certified copy is hereby furnished. g Sewer Cap ; Construction Pol:$Ub. . • ,
•
Certified copy is filed with the city Building Division. •
Bathtubs ! Sewer Connection •
Date Applicant i Cooking Unit' /,' I Meter Dup to 100 amps
. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers -Solar Collectors - - -- ( -- - - , Dishwasher - 7.! -- -- — i—= Meter Dover 100 amps --- - • --- - -
(Thissection need not be completed If the permit is for one hundred ($100) or: i .
less). ' , e,7 r Dishwasher ; I Solar Piping Dryers OGas Electric Sub-Panel '
I certify that,in the performance'of the work for which this permit is issued;.) ' -
shall not employ any person in any an er sin as to e erne subject tolthe ' Drinking Fountains Solar Tank i j 1 ' I I Fan Motors 00-1 HP 01'h-8 /
Workers' Corppensyyyyyy111ggqn Laws of Calf ll . I , AI '
Date ''} f 8 yt SignaturFloor Drains Swimming Pool w/SPa• 1 ■ F.A.U. i • Inc.Solan 09,15 HP 016-15+
'NOTICE:If,after mall ing this declaration you should become subject to the 1 — _ _ _ •
Workers; Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' - ' Urinal ■ Fixtures ' Microwave i !
comply with such provisions or this permit' shall be, deemed revoked. J '
CONSTRUCTION LENDING AGENCY i -i + 'L Device Boxes '
Gas Service .Outlets', Water Closet 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 '
Lenders Name ° - -7 - _ - - ® 4 Rahge
Lender's Address - ' ; ' - - Switches' ' ' r
i Kitchen Sink - •Wter Service ®■ { Sign • i TTs
OWNER BUILDER DECLARATION ' - - _ • �,V
I hereby affirm that I am—exempt from the Contractor's License Law for the Lavatories ' t .. : - ;Auto-Wash 1 i., •_ _ Garbage Disposal ' ' 1 „StandinglSections
following reason (Section 7031.5 Business and Professional Code: Any city or - i
count which requires a permit to construct,&ter,improve,demolish or repair •
? - , '� Trash Compactor I
y P p P-Trap j Laundry Trays . u Generator 00-5 KW 05-15 KW I
-any structure, prior to•its issuance, also requires the applicant for such permit ' - P
..to file a signed statement that he/she is-licensed pursuant to the provisions of ROOF.Drains -' - • '
the Contractor's License Law(Chapter 9(commencing with Section 7000) of .. i - •
-Division 3 of the Business and Professions Code) or that he/she is exempt ' ' ,
_therefrom and the basis for the alleged exemption. Any violicant of Section T _ _
7031,5 by any- applicant for a permit subjects the_applicant to 'a civil ' - ' - - ' •
,_'
c e arty of not more than five hundred dollars($500). - - - _ • - - $ 3
a - 'I, as owner of the propertyi e_ - - Reinspection Fee I~ $15 Issue Fee '
r will do the work,and-the structure is-not intended or offered - ' - Reinspection Fee $15 'Issue Fee ' 1 $ 3
1�Z for sale (Section,7044, Business and Professional Code: The Contractor's :- . ' MECHANICAL
•t�License.Law.doez not apply to an owner of a property who builds or improves ' _ - FEES - --
thereon, and who does such wor k,himself/Herself or through his or her own `Boller , • • • ■ DEVELOPMENT SERVICES REQUIREMENTS: ,
employees, provided that such improvements are not,intended or offered for
sale. If, however, the building-or improvement is sold;within one year of cam- y•- ■ Zoning Approve By ' ' - Date •
pletion,lthe owner will,have the burden of proving he/she did not build or Im- Duct-Under Ground I
rove for the purpose of sale). • Building Approved By Date •[� �/ O i •
LII,as owner of;the property, am exclusively contracting with licensed con- ' Duct-Structural Application Issued By �\////�//�����/�.J • iT/?buss°
tractors to construct the project (Section 7044,Business and Professions Code: \/ Date
The Contractor's License Law does not apply to an owner of property who ' - - •- Duct-Ventilating I - as sas ■ ss f ss : 'SUMMARY OF FEES i
builds or improves thereon, and who contracts for such projects with a con- • _ - • - •
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 , BUILDING PERMIT $ SMIP • $ '
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT I
0 I amiexempt under Section B.& P.C.for this reason Firepl/Fact'Blt. ICBO'# a ' e- I PLUMBING $ 0 • ISSUANCE $ '
Date cl`___= Owner t ' Ducting • PC) ENERGY P.C. $ i
PLAN CHECK 25% $
- I hereby certify that-Ihave read this application and state that the above ■s II 1aa 0100.000: GRADING $ '
information is correct. agree to comply with all city and county ordinances ELECTRICAL $
antl•'st ves laws relatiity t building construction, andhereby authorize repro- i - MICROFILM $ • '•
sentatives of' this city t• enter u•on the above-mentioned property for PLAN CHECK 150%: $ O ,
inspection purpose 1 ) i•. ' n ppI MECHANICAL p
Signature \mss Al�e: Date•-tr0�7J W i I $ TOTAL FEE 1 $ ,p� 0
- ' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%' $ y I
Drivers' License or SS# � _ i- - . . . . - - _ - _ ., --
CMF
CMF 0865-46,rev.10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor '
41
CONSTRUCTION AND PLANNING POOL &SPA. •
,APPROVALS Permit •
Date Inspector -; Date Inspector
APPROVALS Permit+
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
4'. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
t�-: 3.,Ejectricaf 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 - • ,'I , 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 & House Connection 62.-Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final - "
13. Roof brains 64. Plumbing System - Final
14. Rough Plumbing Cf-(t-go CEO. 65. Electrical-Final
15. Rough Electrical-Conduit - - 66. Solar System-Final
16,, Rough Electric Wiring
44/€9,0 0.-C__
67. Fencing & Access Approval •
17:1:Rough Wiring Sign •
68. APPROVED FOR PLASTERING
0 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 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 7/3]6'f.. « Notes:
34. Final Heating & Air Conditioning - •
35. Final Gas Pipe-Test .
36. Hood or Canopy .
37. Final Factory Fireplace . _
38. Final Plumbing '7/VV. c.tfr, -
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING '
-
48. Special Requirements Completed , •
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY . . _No. Date
' - - ' li
`i
a I 0 U s ' ' '�pp4 cant to fillin alllyspaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA�1 CgESA CONSTg�CT,I,ON PERMIT PERMIT NO. (/ TR CTNO:- LOT NO. UNIT NG.
Project Address '47-5-0SO CJQe'f t-fo J `1S� T� Zbs S l _ - • 3959 11 /12/85 .>,:.00 IL
4. TYPE OF CDNSTR CTION U NEW LW ADD H ALTERATION U REPAIR .
Applies Nameail{inBAndd�reS yyw - ❑ CONVERSION ❑ DEMOLISH ❑ OTHE•• d/ 2 ,I,
Owner's Name,(cif f /-'I ere'
Phone 9 . 1 f • ,• A.P.# i j� -":5s(- Zone I`
`7q DESCRIP ION OF WORK/ SE OF BLDG. -s- •- r
Address m // (��s �Gi C-40.00 u e,.j}l-- S Main Building: _/ l�ji e,y1. Accessory Building: - .
•Arch/Eng. • AlYL/{.-. /� License NA.�•`FJ,ss�"/� TYPE OF PE RMIT GRADING FOUNDATION G STR VCTU RAL T Front, "'3�js/ - �y 0
Address (PCO e, mat :170 �u•�•I,�gg,++il Wi E TENANT- ❑ELECTRICAL ❑ PLUMBING 0I MECHANICAL B Rear ��`•• /.,�Z I --------e--- . _ N
Contractor's Name OW hek� PhomOs�-ZZ ❑.'OTHER • lF-�, A•
• PROJECT DESCRIPTION S . OCCUPANCY ✓l-'� _ C Right .•1 / -i-y N
Address(mailing) - �t� /
.
CON ST RUCTION TYPE VALUATION$ 21f�a -S Left •,n St_ / 'i1J toast.
G
R
• City License No. ZONE GRADING CU.YDS. ACRES -Ping. Ref.#' • Parking Req./Provided - E
LICENSED CONTRACTOR DECLARATION . . - 0
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �^ `� 'af, .- ;Planning Notes:. / / M
-with section 7000) of Division 3 of the Business and Professions Code,and ' - '- v C '� •�I y r"�^�l� Tom'
my license is in full force and effect. - it
T
License Class License No. tom- 2I t • 1 ' v � - • I ASC+ .. i/ . i. s
' Date Signature PLUMBING _ FEES -
WORKERS'COMPENSATION DECLARATION Bar Sink , 4- 6howere 1111 - ELECTRICAL -FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Sectionr Backflow Preventer Service Sink - - -•
3800, Lab. C.) = Automatic Washer Transformer 0 15-50 KVV"
• ) _ • • • • 0 50.+KW
Policy No. • Company Backflow Irrigation Sewer Cap. - Construction Pole Sub.
Certified copy is hereby furnished. + '
__Certified copy is filed with the city Building Division. Bathtubs Sewer Connection -' Cooking Unit Meter Duo 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 Dishwasher --
less). , Solar Piping . Dryers DGas DElectric Sub Panel '
I certify that in the performance of the work for which this permit is issued, I
Jig!! not employ any person�in any:manna to beconi subject to the Drinking Fountains . Solar Tank " ., / , ` Fan Motors 00-1 HP 01%.-8
rk rs' Cp[npep5ytion Lawy of California .6`nom -
ate 1 fA A6 Lp(gnatureWWW✓✓✓IIUYYLiNNzt/--- Floor Drains Swimming Pool w/Spa - • F.A.U. Inc.Solar 09-15 HP,❑_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. •MlorOwave
CONSTRUCTION LENDING AGENCY Gas Service -
Outlets Water Closet Device,BoxeS
I hereby affirm that there is a construction lending agency for the performance - - - Pole Light
of the work for ,which this•permit is issued. (Section 3097 Civ. C.) •
Interceptors - Water Heater Outlets: / Range
Lender's Name -
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION .. . . e'
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 00-5 KW 05-15 KW / Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit ..
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - 7 I /
the Contractor's License Law(Chapter 9(commdhcing with Section 7000)of .
Division 3 of the Business and Professions Code) or that he/she is exempt • _
therefrom and the basis for the alleged exemption. Any violation of Section - ' \ ,y, 1, ,a / • '
7031.5 by'any applicant for a-permit subjects the applicant to a• civil - - k -
Pppnalty of not more than five hundred dollars($500). - 01 • ie `_�' /
NI: E �
Et I, as owner of the property or my employees pf ' $e• Reinspection Fee I ' $15 - Issue Fee , - 3 —f ' '
'No III rpMpenfetl rrr will do the work,and the structure is not intended or offered : ,Reinspection Fee' ! $15 Issue Fee $ 3
k 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 _ --.- — -- --- --- -- - DEVELOPMENT SERVICES OUIR M NTS:
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 - I-
emptoyees, provided that such improvements are not intended or offered for - Zoning'Approyed'By 'n`� Date `i -GS
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 /
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ' >Building Approved By f•..a Date'
prove for the purpose of sale). Approved
•
LI I, as owner of the property,am exclusively contracting with licensed con-, Duct-Structural Refrigeration System Applicationllssued 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 • ❑0-100,000 BTU ❑100,000 BTU .j SUMMARY OF FEES
builds or improves thereon, and who contracts for such.projects with a con- - -_ ,y 5o CC���
tractor(s) license pursuant to the Contractor's License Law). I am aware thati BUILDING PERMIT. $' "�P a SMIP $ ..N
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alt¢fati0n '
.j PLAN CHECK $ PERMIT
�❑ II am exempt under Section B.8'P.C.for this reason Fir¢pl/Fact• .Blt. ICBG# Fire Dampers .✓- PLUMBING $ _ ISSUANCE $
(gate u,�I -R S c- caner , - •• Heating System& Ducting Registers :, , PLAN CHECK 25% $, , ENERGY P.C. $
I hereby certify'that I have read this application and state that the above ❑O-100,000 BTU 0100,000 BTL - - - - - ✓• ELECTRICAL' $! - ' GRADING $,
information is correct. I agree to comply with all city and county ordinances.
and state laws relat' g to building construction,and hereby authorize repre- I , I PLAN CHECK 50% $ . MICROFILM $,
sentatives of this c enter upon the above-menti ed property for, •"
- inspp ion purposes l��Q_/. /qn ....--"MECHANICAL $. TOTAL FEE $'
Sighj5�ure
Reinspection Fee- , $15 Issue Fee $ 3 - ' PLAN CHECK 25% $ _
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor -
CONSTRUCTION-AND PLANNING POOL-& SPA - -
Date Inspector -*_ - Date Inspector
APPROVALS Permit# APPROVALS', Permit# .
1. Terlsporary Electrical Service or Pole ' 52. Pool & Equipment Location .
•
2. Soil Pipe=Undigrnd. - . .1 53. Steel Reinforcement I - ti
3: Electrjcal Conduit Utility-Undrgrnd. " 54. Forms - . -)
n4,_Electric9l,Cbndut-Undrgrnd. _ 55- Electrical Bonding . . ' ,...n-A,..
5.;Steel_Reinforc'ement - 56- Rough Plumbing & Pressure Test, ;+
6- .ElecyicalOFERGrnd. 57. APPROVAL TO COVER-GUNITE 'C.
• 7_ Footings .; `" ' / i� ,3 58. Electrical Conduit-Undrgrnd, li- -
,- . aJ S�p � - ,. 59. .Gas Pipe, 0 Undrgrnd:,Test
8.:=Foundation
z9fAWater'Pipe-Undrgrnd. 'Is' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 1
t
10 K Structural Floor System - :f 61. APPROVAL TO DECK •
-11. Property Sewer,Line & House Connection - s 62. Backwash & Receptor-Final
-
12. Sewer Cap'
-',`�n 63. Heater & Vent-Final
13. Roof Drairis .: - 64. Plumbing System - Final `S
14. Rough Plumbing:, 65. Electrical-Final f - .
15. ,Rough ElectricaCConduit 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
20'1 Rough Factory Fireplace - APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro -. '
22. Ducts, Ventilating ';•'-'i r - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & T-est - • 72. Underground Flush • . •
24. Roof Framing k ,Cy - • - - 73. Undergrnd.Storage Tank.❑Gas 0 Oil - •
25. Roof Sheathing - 74. Overhead Hydro -
- - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ,
27. Frameind Flashing 'Is - 76. Dry Standpipe
28. Lathing & Siding '7 IM V C.:- 77. FIXED SYSTEM FINAL .
29. Insulationtr6/ - 75. FIRE PREY. FINAL
30. Drywall Nailing - ' ' , VL HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 17r, P/ • 4. 79. FINAL INSPECTION - - - .
‘ 32. ElectricalPower Meter-Final - 80.. FOOD CERTIFICATE ISSUED ••
33. Final Electric • Notes: 370./ - .,# t'-t- /I
34. Final Heating& Air Conditioning •
��
35. Phial Gas Pipe--Test , .. - _ l
36. Hood or Canopy, ' • / A -
- _91
•
37. Final Factory Fireplace • • Qi' -25 _ _t _
38. Final Plumbing ' • - - ! ....
~
39. Water Service-Final -
40. Gas Service-Final ; ' ' "
-r
41. Solar Domestic-Final - - ,
42. Backflow Preventers -
43. Backflow Irrigation ' ' - i •
44. Landscape Irrigation System , . . ' • , l '
45. Sound Attenuation
46. Handicap Regulations . -
47. FINAL STRUCTURE & BUILDING 1 / %ea •
48. Special Requirements Completed 7 JJ''�-
49. Electric Release to Edison •
• 50. Gas Release to Southern California Gas Q
- 51. CERTIFICATE OF OCCUPANCY ' ' ,
,/•. No. - - . Date - -.
.
'P O':CT ADDRESS: - UNIT:
%NEP'$NAME: 2750 SAN CARLOS LN CITY OF COSTA MESA -- BUILDING PERMIT . PERM NO: E 055261 .
ADDRESS: BARRETT, MARTIN F .
• 2750 SAN CARLOS LN PERMIT NO: E 055261 PLAN -CHECK NO: • NGOVT: N SUP?: N .
COSTA MESA,CA 926'26 .
CONSTRUCTION TYPE: 5 N - PERMIT TYPE: ELE PURPOSE: ADD
•ARCHIENGINEER: REG.NO.:
onus: MARTIN F. BARRETT • NOb . JOB DESCRIPTION : ADD 25#SQ FT ENCLOSED PORCH SQ FT:
2750 SAN CARLOS LN
PEPMITTEE: COSTA MESA • CA 92626 CLAIM VALUE: CALC—VALUE: _ GROUP. OCC: R-3 /
ADDRESS: MARTIN F. BARRETT - (714 ) 979-8584 • •
2750 SAN CARLOS LN COMMENTS: RE: 4B55260
(`((}}S$ jj�A
.MESA **,*** **********************a�*�E:F******�E *'�Ex-*�E*********�H***'********�E�6******�P -**�6
LICENSED CONTRACTOR�ERAPATION:- i herebyebaffirm that I am licensed under CA or Cnaa t r 9(commencing with Section Z ONING R E Q U I R E M E N T S `
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. • SETBACKS
CITY LIC.: STATE LIC.: . CLASS:
Date: ' Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure ora certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C). LEFT: FT IN RGHT• FT IN LEFT: FT IN RGHT: . FT IN
•
POLICY NO.: EXP.DATE: • . - .
COMPANY: - PARKING REQ• PROV: PARCEL: 14155622 ZNE: REF NO:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
> •
. .
•
Applicant: ` - ************ ******************************************************************
• EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S Er R V I C E S R' E Q U I R E M E N T S
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become '
subject to the Workers'Compensation laws of California. ZONING APPROVED BY DATE:
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: "
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. / l
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• . ' <� DATE: 1. 2- C 1E
which this permit is issued(Section 3097, Civ.C). .•, , **************,********.************,**** ** E* ,](„ ************if,********* ****3i, ***
LENDER: **************************************************************************.*****
ADDRESS:• • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,orPERMIT •
2 2 5
repair any structure.prior to its issuance.also requires the applicant for such permit to lile a signed statement that he/she is licensed _
•
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 131. SM I P/NON—R ES ,
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN .
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). • ISSUE FEE 15 . 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law- TOTALS——--> 2 . 25 15 . 00. - 0 . 00 '17 . 2 5 17. 25 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 17 . 25 OVER/SHORT
I for the purpose of sale). - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE - $MIP/TOT GRADING PLANLCHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 17. 25 ,
❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon .
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware . *,*„**,****,***,******************************,*,******,****3(.*******************.**Bf
that proof of their Worker's Compensation insurance should be provided • me. - ****
am exempt under Section: B.s P.C. 1•
INDIVIDUAL F E E BREAKDOWN
•
mnilsreas°n: ALLBWORK 4BY OWNER/ 1 S TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date. 0P.51c l Q owner: ri '
I do hereby certify that I am aware of and understand the requirements of California Health an,Safety Code Sections 25505,25533,and EL 1 FIXTURES LIGHTING 1 ST 20 EA. . 75 75
25534 and that I or any future building occupant will/win not(circle one)need to comply with said state codes and the requirements for a ELE 1 . REC EPT/OGTL ET 1 ST 20 EA. . 75 . . 75
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 1 R ECEP T/SWITCH 1 ST 20 EA. . 75 . 75
these provisions. END OF FEES •
Date: - Applicant:
I hereby certify that I have read this application and state that the above info ation is correct.I agree to comply with all city and county ,
ordinances and state laws relating to building construction and hereby author'ue :rte •ntes W this city to enter upon the above-mentioned . . '
property for inspectionppurposes. 1 `,' '/
Date:1t�� Q l • iCS gnature'. •
Driver's License or Social Security •
tri, _Tr,ir;`,y_ _ .,x
1641-46 white—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor 0th';:: 1:r - . ' . I-
PI
'
: CONSTRIfCTION AND PLANNING POOL t A
APPROVALS Permit mate Inspector APPROVALS Permit Date Inspector'
1. Temporary Electrical Service or Pole 52. Pool,& Equipment Location
2. Soil Pipe-Undrgrnd. '' - 53.:Steel Reinforcement '
33 Electrical conduit'Utility-Undrgrnd. - - 54. -Forms
�.4: Electrical Caid'uit-Undrgrnd. 4 55. Electrical Bonding _ -
5. Steel Reirifortement'' 56. Rough Plumbing.& Pressure Test;C
•
6; Electrical UFER Grnd. 57.'APPROVALTO COVER-GUNISE , -
•7. Footings 58. Electrical Conduit-Undrgrnd.
J ..- ,
'B. Foundations , 59. Gas Pipe,0 Undrgrnd.,Test _ • '
9. Water Pipe,Undrgrnd. 60. Backwash Lines, P-Trap, O.Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Lina& House Connection 62. Backwash & Receptor-Final •- •
t .r .
12. Sewer Cap 63. Heater & Vent-Final , . - -
13. Roof Drains ' - 64. Plumbing System - Final •
14. Rough Plumbing, " 65. Electrical-Final -
15. Rough Electrical-Conduit ' - • n{n / 66. .Solar System-Final - •
• 16. Rough EletJctric'Wiring 3 q1 w 67. Fencing & Access Approval • •
17. Rough Wiring Sign tl 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling •
69.•.POOL/SPA SYSTEMS FINAL
19.-Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT '
. t' -"r -.
20. Rough Factor? FiZeplace - _� s .APPROVALS': ' Permit# •
21. Ducts,in Structure . . _ - . .f 70. UridergrouridlHydro
22. Ducts, VentilatingX ^ ! . _ , 71. Product Piping O:Gas GDi1
23.'Gas Pipe:Rough 8/test . l .1, _ - 72. Underground Flush- ,
24. Roof'Framing , l. .73 'Undergrnd:Storage?Tank O Gas Q Oil
25. Roof Sheathing . 1 1.
,a t i ;u, . 74.=0verhead Hydro
26. Y-Bar Ceiling (Structural) & Monocoatr r.' it-. = 75.-Dry Chemical ,- 4.
27. frame and Flashing' ..I.1 .1--, 76.`Dry Standpipe _, # ,
28. Lathing& Siding - : - ,- - - - •• l•: r 77.7FIXED SYSTEM:FINAL- y
'29. Insulation in i r: ; 78,.FIRE PREY. FINAL 5 - ,
•
30. Drywall Nailing HEALTH DEPT.-REQUIREMENT
-31. Plaster Btown-.Coat ; 79. FINAL INSPECTION
'
32.-Electrical Power Meter;Final r .v :80. ;FOOD CERTIFICATE ISSUED
s33. Fina)iEI¢ctric 9;7 Z.. Qoov ((( Note's: ,
`
.34. final'Heating_& Air-Conditioning ; -
35. final Gas Pipe-Test ' • - = _ - • -
-� - • - - . .
--_,
;36. Hood or Canopy • - - -
37.Final Factory Fireplace ' t ' ' oc; - 'l'
-38. Final,Plumbing j r _ -,
-39. Water Service-Final -
-i .
;40. Gas Service-Final T" r '
'41. Solar Domestic-Final - 7 - .,
, • , _ .. ., , ,c
42. Backflow Preventer • ',. b
43. Backflow Irrigation - ' " -.a t -;
r'. _ s a �.�- -
I ;44. Landscape Irrigation Systentu t ? _ - r -� _ ;j -•�
%45.".Sound Attenuation. >% t` •;
:46. Handicap Regulatior.
ns _ ;; ;,
47. FINAL STRUCTURE & BUILDING •
.�
48. FINAL PLANNING' • - . -r'
("49.;Electric Release to Edison - -
r
50..Gas,Release to Southern California Gas Co 1 .
51. CERTIFICATE OR OCCUPANCY . ' -. ;> - - 1
No. Date .
I
•
WI-
28224 Fat 48D' '386* **ar.31.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
For Applicant to FiU In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING Z7S O CN For Office Use Only
ADDRESS ,C/¢J/ CK^ZoS
RECEIPT NO. �qIT N$L
COSTA MESA. CALIFORNIA .
pp ----
EttaIYED EY 0T[RESi}IV[q.. . /-P
OWNER F E. C/LR�/��LC- IlA/1��"w�/ j/Y Oy CI(1
MAIL 11 ADDRESS BUILDING �73(/
ADDRESS �'t/ y iiit-. FIRET
CITY NO. S 7/ ZONE #3 TYP ((� GROUP 2-
Wil 2-2 .-
=gar TEL 2-
APPROVED DATE `/-1.�CJ
0.----.....„....--__
ZONING
*Donee° /, I,I'•1 C / ,./� ^' ZONE NO.OF USE OF NEW 2�T,,
CONTRACTOR WS1/N& /hunt-72J) , =Iv C, e/ I PLANS A I BUILDING n J/t_^
/ 1.� A_ ,____:/?lc '�J`/\/ �1 1�
CITY ///''' ,rr9+(/f�* A•I.) Al— A.P.NO. /I/— c:1 J(✓^ •—A A
(' NOTE: NO EAVE OVERHANG SHALL SE LESS THAN
LIC.N TEL. �r BO•TO SIDE a REAR P.L
LIC.NO.' •IJ, r 220 NO Jt a' 6T 18
SIZEv /O O NOW ON LOT ��vO �/�� EAVES
OF LOT go I ALLOW HD <V..B.C.REQUIREMENT) . ..
K .
SE OF ` � / YARDS APPROVED YARDS APPROVED
U
USE OBLDG. C` f MAIN BUILDING ACCESSORY :UILDING
(PROM C/)/STREET) ^ . /
SETBACK FTSE FROM 1 FRONT �/-. FT.STREET:
/ --+/I.
CENTER OF STREET REAR YARD LO V//
p 1I 1 R.SIDE 7 !T. FT.
SIDE YARD LEFT J mow /_
DESCRIPTION OF WORK `�// L.SIDE FT. • FT.
NEW _ ALTERATION _ ADDITION I REAR -, O PT. FT.
/ DISTANCE SR. BET.MAIN&
MAIN BLOOM. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
NO.OF (��_�� YAR.# DATE
SUILDIN6/j, K zS ROOMS " – 1 STORIES C.U.P.# APPROVED
EXTERIOR SIZEq q p
COVERINGWALLs, �L COVERING . C E.O,}.YL.. a�,PROV[D/// � / DATE o{ " I/~4G3
USE OF BUILDING AND/WORK TO BEPERFORMED ( I//7/,/(J
—ryiff!/�./ ,ec,cH.4+ O !' i / - '/ �Z ' P 01
34141 sr ,
51O SSG.FT.
I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE S CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. i3
PLY WITH ALL CITY ORDINA AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION09
SIGNATURE OF ��/�•��,����� ''''''''""""'''''' �/ ., f••••"/ ,�/� PERMIT FEE < �/^
PERMITTEE --/.-.�. `�.A^/ +EKG ^/ •
/T•'A U L� - , . , .g' • L"�5 wG
AUTHORIZED AGENT 'a�/1 (/(/_U`//l TOTAL FEE ...%/f \SO
tiOWNER CRANDALL, F. E. DATE 2-21-68
JOB ADDRESS 2750 San Carlos Lane BUILDING PERMIT NO. 28224 _
"�
GENERAL CONTRACTOR Wayne Howard, Inc.InaDESCRIPTION OF WORK add PAT Rm. & Bath to es.
AP No. 141-956-P2 LOT 35 TRACT 4285FIRE ZONE VALUE % �(j00.00
INSPECTIONS Signature Date GROUP I TYPE
SUBCONTRACTOR V ZONE q-1
Soil
Gas I I PERMITS ISSUED
Date Number Signature
r
Water /]/Jj- {�%�f� Plumbing
•Rough Plumbing 4/64* -y.+ y0 +j/14-Y I A��`�'' ti j';. . r - - . .6"----
Rough
Prop. Swr. Line ❑ House Con.0 V s//J / �/`%r� , . -
Sprinkling System
.
Sprinkling � /3- '�•, 9/'. -4 6 - ,/
Miscellaneous a' `+`'/--y/ s--(08 ,s4s7.�/
Rough Heating and Air Conditioning 7z
Temporary Service or Pole
Underground 0 Power 0 —
Rough Wiring .4,40A' 3_, q. l,$- Heating d Vent. ��j
Trenches hjl Forms"...p� W Steel Reinf. p N"yg a—5,_6•e ��1.7t-Gi/ ft /
Floor System ppr� — i - 3-,.:e /9.`T,'mr der�fr^ 3—v — &V /
Bond Beam 0 YY Steel Reinforce 0 J
Sheathing fitiiK. ,.XS=rsf
Frame and Flashin V
,g �_ g
Lathing— In Out ,m e. �� (�y(
Plaster, Brown Coat _ a,•
Structural, Final Electric `
Heating, Vent., Refrig. and A.C., Final 6L" -C �CI�l�77y) ' O/ 8-•fd14if J, ;,
Plumbing, Final and Gas Test 0 #f`1r
Electric, Final H- . '
Building, Final _9Y & 7 /6' C•.Sr
PAH)
39569 `EB -la-7s,,i—;,00 110* ****t5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
to CATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
7 `` ym1 / _ RE E / BY DATE RECEIVED DATE
,(/ISS VEE D��
ADBUILDINGDRESS 2 d L/ R•!'v' /`� y� n- i /�7
�N 2 r
!/ 61,4_41.-V2-X(-:-
1 � / /- ^^ PERMIT NO.
OWNE /4jCCi/f�I/�'.r LIA1� A.P.NOAH"'�(0 �COC�s
MAIL T /
BUILDING
•t ear a id
Z
ADDRESS
Cep. ADDRESS
ill Ill
TEL.
a U CITY /G(� t77) .2%,. NO. `/ TRACT a S LOT BLOCK
Z i l , n�i�la' �I'
ZQ CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI LRH
O cn LENDER X
J r BRANCH /J�
J In OWNER RAN c3c4&DAA�///�//77^.
SS
mJ ill ARHE7 is / //VALU; LQ )off- ,�_
J CO ARCHITECTEENGINEER
TEL. USE // �Kiinn!!'/
Q OR ENGINEER NO
U Q FIRE
W K ADDRESS ZONE YPE in =.UP
aW APPROVED 7 r, /�
W Z CONTRACTOR (f--4-)-1 a BY DATE 2- �•$
CO
2
J cc ADDRESS
W W TEL. ZONEA] NO.OF USE OF E,�••xx))'' /
ZCITY NO. /��/ IPLAN� BUILDIN�/C
_ /
-0 STATE CITY YARDS APPROVED YARDS APPROVED
coLB
CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING _
DONO.OF (FROM C/L STREET)
SIZE
OF LOT J NOW ON LOTS FRONT FT. D F
USE OF
EXISTING BLDG. _ y/-��R.SIDE FT. ( 2- T. •
I- SIZE OF NO.OF /J
Z NEW BLDG. ROOMS STORIES L.SIDE FT. `� FT.
VEXTERIOR WALL ROOF '
COVERING COVERING REAR FT. OFT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
O. �. //�7{,A. /,�� / l MAIN BLDGS. ACCESS. BLOCS.
O I//J•L�L Vlr �il�P[ G / LO71 [ VAR.# DATE
C U.P# ; APPROVED
N
APPROVEN. �I/ ISI E 2^// /fS
Z �aY ✓�/�� '7- I
OI hereby acknowledge that I have read this application and state I tl
Mthat the above information is correct and agree to comply with {/�
all laws regulating building construction, and I shall not employ 'J/'f
F•, any person in violation of the workman's compensation laws of � ,
V) the State of California. \� � '9
? I hereby certify that I am properly licensed as a contractor under SQ. FT. p
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: le
am exempt from the provisions of the State of California Business cc
VALUATION
and Professions Code, Division 3,Chapter 9.
// PERMIT FEE $
Signature o� / //- ,/P �� m
ParnNttee d / /1/ $ L`{.O D /PIAN CHECK $ E
„e//1 �
Authorized Agent' u
TOTAL FEE $
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UWINCR LIWILKLLt lfk&IUh WAIL C-4-f)
JOB ADDRESS 2750 San Carlos Lane BUILDING PERMIT NO. 39569
'\GENERAL CONTRACTOR Owner Bldr. DESCRIPTION of WORK Block Wal l
AP No141-556-22 LOT TRACT FIRE ZONE VALUE $480.00
INSPECTIONS Signature Date TYPE ITT GROUP ,T ZONE R1
SOIL SUBCONTRACTOR PERMITS ISS ED
\V\ GAS
Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER Li
ROUGH WIRING Heating and Vent.
TRENCHES cgi. FORMS ICY STEEL REINF. g _40 _-5-?,
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL tia.5-5 7, 70 nett/isHEATING. VENT., REFRIG. AND A.C., FINAL a
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL 176 2/7-Ar
GIDE('141 RFOIIIRFMFNTS
1526 Lot 35 Tract 4285 P1�[T Li�O CRLVEI Y ®
fSEP 6 1961.
COSTA MESA BUILDING-SAFETY DEPARTMENT 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 2750 San Carlos Land
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Mesa Del Mar Development Co. I RECEIPT NO. I 17IN
MAIL RECEI BY DA RECEIVED DATE ISSUED
5
ADDRESS 3800 E. Coast Highway _ 7 . '- 7V,G
TEL.OTI.Ole BUILDING
CITY Corona del Mar NO. 3-4220 ADDRESS
ARCECT ENGINEER Macco Corp. NO. 3-4220 TEL.Or4Ole
ORCOSTA MESA.CALIFORNIA
ADDRESS 3800 F. Coast Highway Z "
rf y ZONE TYPE j,// GROUP'S^
CONTRACTOR Macco Corp. APPROVED
BY DATE
ADDRESS 3800 E. Coast Highway ZONING /
ZON NO.OF 7 UBE OF NEWS1` A
CITY Corona del Mar W I PLANS 4 BUILDING 3 IA-Vi
•
STATE NO. 98808-SB-1 TEL. 3-4220 LEGAL f� W/7/` F/`-_
DESCRIPTION 71`— l_p .e 6 / -�.5
SIZE NO. OF SLUGS.
OF LOT 65000 S F plus NOW ON LOT none A.P.NO.
USE OF none YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM , (CENTER LINE ST.) '/
CENTER OF STREET 6 ' REAR YARD 261 FRONT `" FT. --
IN.
SIDE YARD I LEFT 101 I RIGHT 7 ' R.SIDE ` FT. ,----
IN.
DESCRIPTION OF WORK L.SIDE IO FT. IN.
NEW I X D ALTERATION I D ADDITION I REAR T FT. --
IN.
REPAIR I V MOVING I V DEMOLISH I APPROVED C-t; (00
J i5L DATE e/,•r/b
BUILDINGSIZE 6119"x53 I NO. OF ROOMS 7 STORIES 1 M1, V'
EXTERIOR WALL stllC COI ROOF wood-s hi ng les
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence w/attached Livia! Area 1685 S p
garage Garage Area 440 S F
Covered porches
etc. - area 68 S F
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
PERMIT FEE $ - C/
'
SIGNATURE OF 30 �
PERMITTEE SE. De �i.r Development Co. - N
C m
RR7 - /� S 18,247.00 PLAN CHECK $ / - 4
AUTHORIZE6 af.S. 1 _.,40,1:„„?.....,.,,, ,.„� f
.. ... _., .• _ _ TOTAL FEE $ o
57.00