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Home My WebLink About2761 SAN CARLOS LN - Building Permits :Alike 9 CITY OF COSTA MESA 4 66 BUILDING DIVISION -- • _:' ►1.5' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t.J PERMIT Ratio P05-00019 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2761 SAN CARLOS LN Status: ISSUED Suite No Applied: 01/07/2005 Issued' /0 .'00' / Vicinity: / ..� ISSUED BY: _sat _ A Parcel Nunmber: 14155701 Applicant: COAST ROOTER PLUMBING HTG &NC Address: 17390 MT CLIFFWOOD Phone: (714)241-1414 FOUNTAIN VALLEY Zip: 92708 Owner: GRUENBECK, KLAUS H TR Address 2761 SAN CARLOS LN Phone: COSTA MESA,CA Zip: 92626 Contractor: COAST ROOTER PLUMBING HTG &NC Address: 17390 MT CLIFFWOOD Phone: (714)241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 SCOPE OF PERMIT • WATER HEATER CHANGE OUT. - -. FEE-SUMMARY . - AMT QTY AMT QTY AMTQTY ISSUE FEE $23.50 Laundry Tub/Washer . $0.00 0 Sump Pump , i $0.00 - 0 Backflow irrigation $0.00 0 Landscape Irrigation i - $0:00 - 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer . - $0.00 0 Bathtub $0.00 0 Pressure Regulator . $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft)" . $0.00 0 Vacuum Brki Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00,., 0 VacuumiBrkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 ' . 0 Wash Basin $0.00 0 Dishwasher $0.00 0 - Sewer Cap for Demo $0.00 "0 - ii, i -Wash-Basin Set $0.00 0 Drain, Floor $0.00 i 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 "Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 - Shower $0.00 0 - "- Water Heater/vent - $12.30 1 Drinking Fountain $0.00 0 _ Sink, bar $0.00 0 - - •Water Piping(Inst or Rep.) $0.00 0 Expansion Tank ' $0.00 0 Sink,commercial $0.00 0 - . . 'WaterRe-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor ' $0.00 0 - ' Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 - Sink,kitchen $0.00 i 0, , ' Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop i $0.00 - 0' ' OTHER $0.00 Gas Repipe $0.00 '0 Spa(private) $0.00 ;0 'VIOLATION $0.00 Gas Service $0.00 0 Spa(public) , " $0:00 0 . - PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 _ - - ' REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754.5626 244846 16/00) DECLARATIONS (-. Km WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the �( work for which this permit is issued. t)SI I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I_ My workers'compensation Insurance carrier and policy number are: 1 Carrier: Starr — F ai i•J 0 Policy Number: I /67c58 St -ZCoo4 (This section need not be completed if the permit is valued at one hundred dollars($100)or loss.) ItiI 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 Califor la, nd agree th I ould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. .. _ Applicant Signature: p...±:.... - Date: '7.-110 , WARNING:FAILURE TO SECURE WORKER6(COMMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDrrION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisio of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full orce and effect. x SZq(Z7 Classx C3!o Contractor's Signatuature: Date: Z.-71t, 'C 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), Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business end Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant 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.If,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 sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's 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 B,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: I 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 9 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 end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 9 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE 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 permit until final inspection. 1 ..._ ' at e Of Legal Owner(s) Date OL •te And/or AuthorizedZ-7-oma zetl Applicant Date CODE I IISPECTION TYPE PATE INTIRALS CODE# INSPECTION TYPE PAIS RITUALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical /�� 1266 Pool Spa Final 206 ff Final Plumbing /' 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 3f5 6/09/87 37052 TL A • pplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY qF COSTA-MESA . CONSTRUCTION PERMIT PERMIT NO. ?"11444G-T-1118?. LOT NO: UNIT NO. Zr761 SPn el f4Pas .,R a$7szr- I ProyQct Addygss Li f'l ' Applicant's Mailin Address • TYPE OF CONSTRUCTIONNEW .❑:ADD L I ALTERATION .ff.REPAIR ' yg1 N • 0 CONVERSION III,DEMOLISH 0 O'1HER • A,P,# Zone •_ Owner's Name pp � 1151-� I`IJ� h� -�one54�-�0 DESCRIPTION OF WORK/USE OF BLDG.r'eQwp-�C'PY-1TILr • Address -7.Ot-/1'YV.a� r , _�vC� SN, f0 • 317 �G(�5 , v(`^en 3(4°1 S Main Building: Accessory Building: Arch/Eng. License-No. ' TYPE OF PERMIT GRADING 0 F0,JNDATION �.STRUCTURAL E Front ,_ p - Address I ❑ TENANT ❑ ELECTRICAL, CI PLUMBING ❑ MECHANICAL B Rear N Contractor's Name A ...e. _ \'�eJ 1 - Pho ullIII 1'f LI OTHER A PROJECT DESCRIPTION SQ.'.FT. � - OCCUPANCY C Right N Address(mailing) ? 7n - elle. r i a�J •y• - 'K 0 23/_3 .3 . I . CONSTRUCTION TYPE VALUATION$ rIU-( 0Oa 'S Left • R City License NO. �C/"J ZONE - - GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks: ' - _ Planning Notes: - Q with section 7000) of Division 3 of the Business and Professions Code, and , - - T my license is in full twee awl$,ffect. -•' S License Class C •--..•7 License No.-7-1179`-'103 ' Date H-.4 Signature ,y �GiL • PLUMBING I - FEES - WORKERS'COMPENSATION DECLARATION t4/S Bar Sink • - • - Showers - • • •- =�.ereby affirm that I have a certificate of consent o s f-insure or a certificate - - - ELECTRICAL FEES = Workers' Compensation Insurance, or a I copy thereof (Section • - - - - .— - - " Backflow Preventer Service Sink , — - _ — a. p 00, Lab. C f J ..� Automatic Washer Transformer 'D 15-50 KW Policy No. �_SC' 137gR� Companye of F .j ihS nin 4-.• . Backflow Irrigation Sevaer,Ca . - 0 50+ KW ( _ P ' Construction Pole Sub. _ Certified copy is hereby furnished. (/ .. • - p Cert' ied copy 1 iled,with the city ui v'sion. , l Bathtubs - " r ' Sewer Connection I - •• Cooking Unit ' . Meter Dup to 100 amps 4 Date rj ^18 Applicant es - - _ - . 1' EXEMPTION FROM WORKERS'C E SATION DEC ATION Clarifiers .. ' Solar:Collectors c I . . . . - Dishwasher'; - Meter Dover 100 amp5`." 7 (This section need not be completed i the permit is for • dred ($100)or / - less). Dishuvasher - _ Solar'Pipin9 - - - Dryers ❑Gas ❑Electric Sub Panel certify that in the performance of the work for which permit is issued, I .. 1 shall not employ any person in any manner so as to become subject to te . Drinking Fountains Solar TankFan • - Motors•00-1 HP 0114-8 . Workers' Compensation Laws of California. - _ - _ Date' Signature Floor-Drains ' /Swimming Pool w/Spa - ^— F.A.U. • ....f‹.Solar 09.15 HP 016-15+ 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 - ' comply with such provisions or this permit shall be deemed revoked. - ' / s� ® ♦ - Fixtures . Microwave CONSTRUCTION LENDING AGENCY • Gas Service Outlets . Water Closet p s. �t� Device Boxes ' • I hereby affirm that-there is a construction lending agency for the performance fee �.O Pole Light of the work, for:which this permit is issued (Section 3097 Civ. C.) �.,Q �q6� :sr - Lender's Name - Interceptors Water Heater \� • Outlets Range Lender's Address . Kitchen Sink • 1 Water Service - - - - witches OWNER BUILDER DECLARATION ' �' "t�� '�� ///, Sigri-' - I hereby affirm that I am exempt'from the Contractor's License Law for the f Lavatories • Auto-Wash J�^t • Garbage Dis osaY following reason (Section 7031.5 Business and Professional Code: Any city or7 9 P Standing Sections _ county which requires a permit to construct;alter,Improve,demolish or repair . P-Trap Laundry Trays. 777 Genefator.0O-5 KW 05-15 KW Trash Compactor 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 1AY0 • • ''Sion'3 of the'Busiriess•and'Professions Code) or-that.he/she is exempt - - I - - - 'from and the basis for the alleged exemption. Any violation of Section ' 1: . 5 by any applicant for a permit subjects the applicant to a civil _ .alty of not more than five'hundred dollars($500). - . ' D i, a $ 3 s owner of the property or my employees with wages'as their sole Reinspection Fee' I $15 - Issue Fee ' compensation, will do the work,and the structure is not intended or,offered - - Reinspection Fee I $15 Issue-Fee $ 3 for sale (Section'7044, Business and-Professional Code: The Contractor's MECHANICALSI FEES, License Law does not apply to an owner Of a property who builds or improves thereon, and who does such work himself/herself or through his or her own goiter 1 - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are.not intended or offered for Approved By sale. If, however, the building or improvement is sold within one year of com- - Zoning pp oved Date_.�,_9 i'rn pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ' Building Approved By -Pate i7 '��U f prove for the purpose of sale). /�� /pc/�C�� 0'I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Application Issued By ' Cif/ Date 3-S7 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 I 1 '11 111 s 0100,000 1 „,SUMMARY OF FEES •5a. builds or improves thereon,and who contracts for such projects with a con- - 1 �WVt� tractor(s) license pursuant to the Contractor's License Law). I am aware that -' Exhaust System 0 .Multiple❑ BUILDING PERMIT y'�y0 'V SMTP $ +SZ proof of their Worker's Compensation insurance should be provided to me. �� PLAN CHECK • $ '�'{•v PERMIT - _ 0.1 am exempt under Section . B.& P. C.for this reason ' Firepl/Fact.Blt;•ICBG# ' e- PLUMBING $ • ISSUANCE $ - •Date - '' Owner - Heating System.& Ducting ENERGY P.C. $ - PLAN CHECK . 25% '$ • I hereby .certify that I have,read this application 'and state that the above • 00.100;000 BTU 0100,001 : • ELECTRICAL $ • - GRADING $ information Is correct. I agree to comply with all city and county ordinances - - - - _ _ and state laws relating to building construction, and hereby authorize repre; - PLAN CHECK 50% $ MICROFILM $- sentatives of this ity to enter upon the above-mentioned property for i - • inspection pur.o s L _�_S7 • MECHANICAL $ , TOTAL FEE Signature L�Lt� ./ -- - Reinspection Fee - $15 - PLAN CHECK- 25% $ CMF 0865-46,rev,10/84 WhitIding; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ~ Applicant to fill In all spaces within heavy border linesesand.sign all appropriate declarations. Ng r-CIT ONST COSTA MESA PER Dh1'4 Np�� r7 ` TRACT LOT NO, RLDG.NO.• I - CONSTRUCTION PERMIT �f� 0 (/j [11`�'(1/�s `Jtsi�/r/� n, Project Address z7 ar stet, c .-v/O, - TYPE OF CON RUCTION �'�� I7�OG TL Owner Knaves.LMLO Ci,K vEN 6 G-Z`/(Phone pines.f/�d NEW O 0 ALTERATION // , Address £7 (9q (,ems•/�pj C He-7-x-- DREPAIR-(] CONVERSION ID DEMOLISH , ZONING REGULATIONS t Arch/Eng.' Se litLicense No.--_ ' - "•0 OTHER .. '_ • - - - - r> J - - • . Address -- DESCRIPTION OF WORK r A.P.# �es h 7 ®/ ' - _ _ ZONE(�j/ ''PLNG.'REF.le ' _ , Contractor - 0/g - - Phone _ -TVPE OF PERMIT 'BUILD1r aRBUILDINGN • .. Address - SETBACK C/LST. OPERTY LINE 0 GRADING -❑ FOUNDATION STRUCTURAL SIO TYARD 222 it • LICENSED CONTRACTOR DECLARATION 0 TENANT El.ELECTRICAL ❑PLUM BINGOMECHAN`CA SIDE YARD JI`� I hereby affirm that I am licensed under provisions of Charter 9_(com-' �� - RIGHT /v mencing with section 7000) of Division 3 of the Business and ❑ OTHER - �- - D/ - - - Professions Code,_and my license is in full force and effect. [ // ,.0 ' REAR VAR . PROJECT DESCRIPTION StGKio(2 O Vey BKt?7✓V� 1 O /L) License Class _-• _ _License_ No. PKG.SPACE RE ----- License Date Signature - 'SO FT:- ' O-' - - - 0. �- PROVIDED _ . WORKERS'COMPENSATION DECLARATION' - - OCCUPANCY CONSTRUCTION TYPE �pEN I STREET WIDTH PARK FEE$ �— I hereby.off irm that I have a certificate of consent to self-Insure or a .VALUATION v -ZONE ZONING APPROVED Bill Arc DATE�/'�L/J cf(tificate of"Workers' Compensation Insurance, or a certified copy -- ��!((i ` / -rof(Section 3800,Lab.C.). _ GRADING CU:YDS. '_47 ACRES 'C> SPECIAL CONDITIONS: -a7 No. Company - • - L,-Certified copy is hereby furnished. . REMARKS: -- -_ - - '- ' ❑ Certified copy is filed,with the city.Building Division. __ let-14(2 _ / r ___ _ _ _ _ _ . - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION O?f O' eaver 6• 1 0 _ - - (This section need not be completed-if the permit is for one hundred - - - ---• - - - - - - - - • - - - , - ($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 PLUMBING.. -PLAN CHECK_ -ELECTRICAL PLAN CHECK . subject to the Workers Compensation Laws of California:- - _ - "'- - - '• ' - - - UWtLLIN(a 1 MRMGh. Date .-- • Signature BATHTUBS SHOWERS 50 FT SO FT " NOTICE: If after making this declaration, you should become subject 'TOILETS - ' . . - ..URINALS I GENERATOR 0-1 KW_1-10 KW - ' to the Workers' Compensation provisions of the Labor Code,you must -TRANSFORMER _ - - -- - I forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS 'APPLIANCE 10-50 KW50+ KW • revoked. - - - , CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS .MOTORS 0-1 HP 1-1.0 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ' SUMPS .(INC.SOLAR) 10-50 HP 50+ HP formance of.the work for which this permit is issued (Section 3097 - 1 ' ....‘•I' , I l" Civ. C.). FLOOR SINKS FLOOR DRAINS I ,FIXTURES OUTLETS SWITCHES ' Lender's Name Lender's Address DRINKING FOUNTAINS , I -GAS TUBE SIGNS - ' OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS • I hereby affirm.that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: LUNO I HUL I ION - SWIMMINGPOOL :TRAP Any. city or county which requires_a permit to.construct, alter, - f POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION •PANELS MAIN SUB quires the applicant.for.such_permit to file a signed statement that-he - is licensed pursuant to the provisions of the Contractor's License Law GAS SERV ICE OUTLETS ;SERVICE AMP • (Chapter 9 (commencing with Section-.7000) of Division .3 of the _ - ' • w ,"h'l•' ess and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT ' C- ffor.the alleged.exemption. Any violation of Section 7031.5 by '- — "'applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS of rapt more than-five hundred dollars ($500). . _ 1, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS � sole compensation, will do the work;and-the structure is not intended ' - ,. - - - -- -- - - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. • ISSUE FEE Contractor's License Law does'not apply'to an-owner'of a property' y / who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY / DATE /[,/Q through his own employees, provided that such Improvements are-not -'- L /, intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - is sold within one'year of completion,-the owner will have the burden - -•• - • - - .. SUMMARY OF FEES: _ _ of proving he did not build or improve for the purpose of sale). BUILDING ^ ❑ I. as owner of [he property, am exclusively contracting with - HEATING SYSTEM 0-100,000 BTU - • PERMIT -$ !Q' �- - SMTP $ - Q•1 t'7 _100,000 + gTU PLAN CHECK 7044, Business Section project -$ 6 licensed contractors to construct the (Section AND DUCTING /'s. _ .- _ __ and Professions Code: The Contractor's License Law does not apply to PERMIT ISSUANCE. $ an owner of property who builds or improves thereon„and who con- REFRIGERATION 0-100,000 BTU ' PLUMBING $ • tracts from such projects with a contractor(s) licesned pursuant to SYSTEMI •. v - GRADING & - - ' the.Contracto Cs License_Law).- - _ _ _ _ __ 1.00,0001+ BTU I ''. PLAN CHECK $- _ . • ❑ I am exempt under Section — B.& P.C.for this $ _BOILERS„ _ _ BTU_, ELECTRICAL $ reason- - - _ _ _ _. - - -__ _.- - . - _- • .- - MICROFILM $ -. SYSTEM REPAIR,ALTERATION . ' --PLAN CHECK $ q , Date - Owner • • - - - - - - .. ' - '- ' TOTAL FEE$ • 1 /'� I hereby certify that I have-read this application and state that the above EXHAUST SYSTEM.-- MULTIPLE MECHANICAL�$ information is correct. I agree to complywith all cityand county 'PLAN CHECK $ • LESS AD- VANCE PC, $ representatives nd state laws relating to constructions and hereby_authorize - - - - - • ' . ' ' representatives of this city t• -nter-u•+ -'the above Mentioned property for in n. - a _�f - _ _ Signature LlL//� „. Date `-� `� 7 • - - - FINAL FEE $/-7: Drivers'Li - - •r - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - CONSTRUCTION AND PLANNING - - POOL&SPA air Date InspectorAPPROVALS Permit Date Inspector.. APPROVALS Permit 4 1. Temporary Electrical Service or Pole 43. Pool &tquipment Location - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit\Utility-Undrgrn , . . 45. Forms . 4. Electrical Conduit-Undrgrn \ _ 46. Electrical Bonding _ - 5. Steel Reinforce 47. Rough Plumbinq & Pressure Test .• 6. Electrical LIFER Grn . 48. APPROVAL TO COVER-GUNITE 7. FootingsF /g-5/ A 79 49. Electrical Conduit-Undrgrn . 8. Foundation - . " 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn _ 51.- Backwash Lines.P-Trap, ❑Undrgrn " 10. Structural Floor System . , 52. 'APPROVAL TO DECK 11; " Property Sewer Line&House Connection 53. '.Backwash & Receptor-Final 12.. Street Sewer Connection ' ' 54. Heater &Vent-Final 13. Rough Plumbing ' - 55. Plumbing Svstpm - Final - • . 14. ' Rough Electric-Conduit . . :56. Electrical-Final • -15.- Rough Electric-Wiring • ,'.- 57. Solar System-Final • 16. Rough Heating & Air Conditioning . _ . _ b8. Fencing &Access Approval' 17. Ducts, in Structure . . 59. APPROVED FOR PLASTERING • . • 18. Ducts, Ventilating ' 19. Gas Pipe-Rough &Test • . 60. POOL/SPA SYSTEMS FINAL 20. RoofFraming - - • 21. Roof Sheathing . 22. Frame and Flashing et-is.-51 8 911 NOTES: . • • 23. Insulation 24. Lathing & Siding 25. Drywall Nailing • 26. Plaster Brown Coat • - 27. Electrical Power Meter-Final - 28. Final-Electric - . - _ 29. Final Heating & Air Conditioning " - - 30. Final Gas Pipe-Test . 31. Final Plumbing -• 32. Water Service-Final . - 33: -. Gas Service-Final . • 34. Solar Domestic-Final - - ., . 35.. Landscape Sprinkling System • - - 36. Sound Attenuation , - 37. Handicap Regulations - - - - . . / 38. FINAL STRUCTURE & BUILDING ' --$1 B 99 _ , 39. Special Requirements Completed • _ - -_ : 40.-. Electric Release to Edison - , - • - 41. • Gas Release to Southern California Gas Co. - - - • - - 42. CERTIFICATE OF OCCUPANCY • No Date FEE RECEIVED ar Lot 50, Tract 4285, Plan 400 1 _ ' SEP 6 1961 COSTA MESA BUILDING-SAFETY DEPARTMENT "FINANCE DEPT. • P. O. BOX 917- COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 2767 San Carlos Lane COSTA MESA. CALIFORNIA For Office Use Only - RECEIPT No. PE �•N`giy� OWNER Mesa Del- ar Development Co. ,�, p lD-- MAIL '3800 E G in RECE�D BY DAB /�V� DATE ISSUED ADDRESS oast Highway /`✓ Y 1 UILDING r ITYLorona del Mar, Calif. No:OR 3'14'220 ADDRESS AR NEER Maccc Corporation MOR 3422C COSTA MESA. CALIFORNIA` D FIRE ADDRESS 3800 E. Coast Highway ZONE TYPE V GROUP\` Pr CONTRACTOR MaCCO Corporation APPROVED BY DATE ADDRESS 3800 E. Coast Highway _ ZONING Corona del Mar, Califarnia ZON NO. J BUI OF NE� CITY p 1 I PLANS USEC T w% 98808-SB-1 No. OR. 3-4220 �� DESCRIPTIONLEGAL • 6Lh k.�.Pr ,. SIZE NO. OF BLOCS. GF LDT7365 5 F plus NOW ON LOT none A.P.NO. USE OF YARDS EVES EXISTING BLDG. NoneF� APPROVED ALLOWED (CENTECENTER OPSETBACK I LINEFROM51 I ' REAR YARD 261 FRONT FT. LINE Sr.)_S FT. IN. SIDE YARD I LEFT 101 . I RIGHT 101 R.SIDE FT. ^^ IN. DESCRIPTION� OF WORK- L.SIDE /0FT. �_ IN. XX NL I ^'YII ALTERATION I V ADDITION I REAR a 'L FT. --p IN. REPAIR V MOVING I V DEMOLISH APPROVED CCieg�Ba DATE 0/I c/� BUILDING 6119"x53" ROOMS 7 STORIES 1 �l EXTERIOR WALL , ROOF COVERING succo I COVERING shake Living area 1685 s' F USE OF BUILDING AND WORK TO BE PERFORMED Single family residence Garage area- 1J10 S F w/attached garage Covered porch. etc. 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. PLY WITH ALL CITY ORDINANCES AND STATE LAWS'REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE O PERMIT FEE $ SIGMA TEF esa 1 Mar Development Co. p 'y a ".7 �� $ 1V,247.00 PLAN CHECK $ //'-- i AUTHORIZED-A -�" 57.00 00 p TOTAL FEE $