HomeMy WebLinkAbout3496 SAN MARINO CIR - Building PermitsVariances:
C. U. P.'s:
REPORT OF INVESTIGATION
Assigned to:
❑ B ilding Division
❑ lanning Division
Joint Investigation
Received by: �-� ����
� �Pr �.G;z� ,�-�v- �
Co aina
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Telephone Number
NatureofComplaint: '-�'g3 ��_���
Case No.: Xl�
Assigned to: ����
n„o� �-� -83
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Complaini Atldress
C�...�a.. � o«.a.. �
�/I Name of Tenant �(if a�pp/lica lel n
!'/A�i1.P�Lc+t_�1 � ///A.B�
Nameo�Owner —� Telephone
3`>9E �..�`�%a�.U..o. C.;� . C'�i�,.,,� %�c,�6
Ownet's Residential A ress
Pl. �,.;.R �(� r..�.,��.�..-�_ c���—����'�1 �, S.�__ �A-<��. �
�7' .1,.�.:,,.l.J-.
Investigation by: ��• �
Inspector
Building Permit Files Reviewed: 2'a- g� g�
Initial and Date
Assessor's Parcel No. L1�2 - OS/- b7
Violation of C.M.M.C. Section (s):
Findings:
ll►�$►�3
NOTICES: 2_�_83 \
1st Given: V"� � Q''""�`'`Q
2nd Notice:
Time of Day (if applicable)
Zoning Files Reviewed:
� Initial and Date
Map No.
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Date 1
Certified letter advising that if violations are not corrected, the complaint and all supporting data will be
to the City Attorney's office with request for prosecution.
Date Mailetl Date Received
Filesfor�varded to City Attorney's office with request:
CMF 0829-30
Ini[ial and
7-0ay
rded
CITY OF COSTA MBSA
BUILDWG DIVISION
P. O. Box 1200
Costa Mesa, Califomia 92(26
BUILDING CODE VIOLAT►ON NOTICE
Date: a-'�-fi3
Tu: I'Inr���Y�-e. t"1. 1"fti5c��r,
3�1�1% Sav. Mizr�'v,n �ir•
C� �t„ M.�« �A p��,�,.
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Re: CMB
S!!>fHt �/aC/� CN'iLG
3- l�l � S d.n f" I LZ P � A D `/ f.
CJ S Ir� �"I-P � ii �� q.�C� i 6
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A. ,�. � 4/� - os �- o-�
It has come to the attention of the Building Division that
❑ A possible violation exists of Section 301-A, 1979 Uniform Building Code as evidenced by a visi�ul inspection of
/Ihe site on .
0 A violation exists of Section 301-A, 1979 Oniform Building Code, as substantiated by an on-site inspection un
r-a-�-g3
A review of Quilding Division records indicates that permits have not been issued for the above-described construction.
You aee hereby notified that:
❑ A site inspection is required within ten (10) working days of the date of this notice. Please contac� the Deputy
Buildin¢ Official lis[ed below to arranee for Ihe inspec[ion.
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The above-referenced construction mus[ be either brought into conformance wi[h current Ciiy Codes and
Ordinances by obtaining the necessary peimits and inspections, or by obtaining u Demolition Pennit to remuve
the illegal construction. Please submit a letter within ten (10) working days of the date of ihis notice to indic.ite
what course of action will be [aken to correct the violation(s). A proposed schedule to accomplish the corrections
must be includetl. The schedule is subject to approval of the 13uilding Official.
� Conditions have been discove�ed which will cequice retention of the services of a Registered
Engineer or Licensed Architect to recommend remedial corrections. 'I'he Engineer or Architect
shal] provide a Letter of Certiftcation ro the Building Division stating �ha� the s�ructure(s) is
in a safe condition for occupancy prior �o final approvals by [he City.
Tlie pmposed schedule for correcting the above-descc�,bed violations ❑ has been approved ❑ has not been
approved.
The above-referenced consUuction is being referred to the Planning Division for investigation of possible Zunino
Code violations.
❑ The above-referenced construction has been �eferred to the City Attorney's office for.
❑ M inspection warrant
❑ Prosecution
❑ Other (expluin)
For further information, please contact the Deputy Building Official listed below either in pecson at the 6uilding Division,
77 Fair Drive, or call (714) 754- `�'�`� q' between the hours of g���"Q � t" �� �.�''•�-��-u��+, Monday thruugh
Friday. � y.•vu-S: ouPM
Sincerely,/' �"'�
� �/ �Z ( .� ` / CG��
VICTOR C. NEWTON
Assis[ant Develupment Servic;es Director/Building Safety
ay ^ �.�n�7 � • /"/,wn .a,,., ,
� 4
Depiriy Building Official
GMF 0955-46 wnite - Property Owner; Green - Builtling Division; Canary - City Attorney; Goltlenrotl - Planning Division
AOOlicant lo fill in all spaces except those within heavy boraer lines ana sign all approvriate eeclaretions. �—
CITY.OZCOSTA MF,Sy,,,CONSTRUCTION PERMIT P M�.T�NOC-y O� TRACT N0. LOT NO. UNIT NO. ��'(���
�.�/ n 3�� .�
ProjectAddress ��/_�__ - ,
AppliCant'S Mailing Addres5 (% Q � , TVPE OF CONSTRUCTION NEW P.DD TERAT1,1,0�� EGAIR '
c� / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, # Zone
Owner's Name v� Phone �✓6 ^
Address . ��T F / ' FBL . . S MainBuilding: #IiBIF'tAccessc�y'8vitding'-,�.�f'-��g'�"�•
I C7K.-
Arch/Eng. ��N� License No. TVPE OF PERMIT ❑ GaAOIrvG FOVNDATION STRUCTURAL T Front 0#_004!<434-000134s5 70T 1±7. 40
Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear VP1A1'• " "v� �+��+.�• . .r pJ
Contractor'sNam hone '� �'OTHER ._ C Right N
A'ddress (mailingl PROJECT DESCRIPTION 5 7. OCCUPANCv
:'1 ���� Q � CONSTRUCTIONTVP� VAWATION$�Z�iS g Left R
`�-'� City Lic2n5¢ NO. ' ZONE GRAOING CU.YDS. RES Plny. REf. # Parking Rey./P�ovided E
��� LICENSED CONTRACTOR DECLARATION -
� I hereby affi�m [hat I am licensetl untler provi5ion5 of GM1arter 9(commencing Rem �d Planning�Notes: � �
with zection 7000) of Division 3 of the Business antl Professlons Code, antl M
my Iicense is in full i ce a ect ,S �4�- T
License as �' 'c No.���� ' ••Y S.
Date ' 0� Si9nature r � PLUMBING ' FEES -
W00.KER5' COMVENSATION DECLARATION • ' Bd�5i0k � $hOW¢�5 - '
I hereby ai(irm that I have a certiticate of consent to self-insure or a certificate ELECTRICAL FEES
ot Workers' Compensation Insurance, or a certifietl wpy thereof (Section BackflowPrevenrer ServiceSink
3800, tab. 0.1 , �] i tlutomatic Washer _ Transformer O 15-50 KW _
� Policy No. � �ys63A"7 Compan ✓�S�"r �G• Backflowlrri ation SewerCa . ❑ 50+KW
Y 9 P Construction Pole Sub.
� Certifietl copy is he�eby furnishetl. p
MCertifi tl co y' iletl with the city euilp'ng qiv,�siqpD Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date Applicant A� ��LY
� E%EMPTION FROM WORKERS' COMP SATI DECLARATION Clarifiers $ola� C0112Cto�5 Di5hw35hE� M22¢� �Ov2f 100 dmp5
(TM1issection neetl no[ be cample[Etl if [M1e petmi[ is for one huntlretl ($1�0) or _ _
less). Dishwasher � Solar Piping Dryers �Gas ❑Electric Sub Panel
1 certify that in the perfo�mance Of the wo�k (o� whlch this Oe�m�t is i55uetl, I . �
snall not employ any person in any manner so�as to become subject to the Drinking Fountains - Solar Tank Fan Motors �0-1 HP �1 %- S
Workers' Compensation Laws of California. �
Date Signature FlOor Drains Swimining Pool w/Spa � F.A.U. Inc Solar �9-15 HP �16-15+
NOTICE: Ii, after making this tleclaration, you shoultl become subject to the � �
Wotkers' Compen5a[ion provisions of the t2bor Cotle, you must forthwifh FI00� SiOkS U�indl Fixtu�¢5
comply with such provisions or tltis pe�mit shall be deemetl revoketl. MiC/Owav¢
CONSTRUCTION LENOING AGENCY ' Gas$efviCe Outlets WaterCloset DeviceBoxes
I hereby aftirm that there i5 a construction lentling a9ency ior the perfo�mance P012 Li9ht
of the Work tor which this permit is i55uetl (Section 3097 Civ. C.) InterceptOrS Wat¢r H¢dt¢r � Outl¢t5 Rdng¢
IRntle�'z Name
�entler's Atltlress . Kitchen Sink . Watet Service Switches Si9n
OWNER BUIIOER DECLARP.TION�� �
I he�eby affi�m that I am exemPt from the Cont�acto�'s Lic¢nse I.,aw for the Lav3tOfi¢5 - .
following reason (Section �03L5 Business antl Professional Cotle: Any city or Garbage Disposal ' Standing Sections
county which �equires a permit to con5truct, alter, improve, tlemolish or repai� P-Ttdp
any sGuclure, p�ior to its Issuance, also require5 the applicanl tor Such permlt Generator DO-5 KW �$-15 KW T�25h COmp2ctOf
to file a signetl statement that he/sne is licensetl pu�suant to the Orovisions ot R001 D�ainS
the ContraCtor'S Licens¢ Law (Chapter 9(commencing with Section ]000) of '
Oivision 3 of the Business antl Profe55mn5 Cotle) or tha[ ite/she is eKempt
therefrom antl the basis for the alleqetl exemptian. Any violation of Section
'7031.5 by any applicant for a pe�mit subjects tM1e applicant to a civil
�enalty of not more tnan five huntlretl tlollars ($500). ,
LJ I, as owner ot the property or my employees with wages as their sole ReipSpBction Fee $75 Issue Fee $ 3
com0e�sation, will tlo Ihe work, antl the structure is not intentletl or offeretl Reinspection Fee $15 ISSue Fee $ 3
for sale (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES
License Law tloes nol appty co an owner of a property who builtls or imOroves -
thereon, and wno tloes sucb work himself/herself or throu9h his ar her own DEVELOPMENT SERVICE$ REQUIREMENTS:
employees, PwviEetl that such improvements are not intentletl or offeretl tor Boiler Hood or Type I ❑
sale. It, however, the builtling cr improvement is soltl within one year of com- Canopy Type 11 ❑ Zoning Approvetl By Data
pletion, the owner will have tne burtlen of proving he/sne tlid not builtl or im- DuCt - Unde� G�Ound Building Apptoved By . Date
��ove fo� IM1e purpose of sale). P�i!
I, as owner of the proDerty, am exclusively contracting with licenzetl com Duct -Structural Refrigeration System Applit3tion Issued By � _ O1_- Dat � Y
t�actorsf0 const�uct the proJect (Seciion ]044, Busine55 antl Profe55ions Cotle: � ,
❑aioo,000sru ❑ioo,000sTu '
The ConVacror's License law tloes not apply m an owner ot property who Duct - Ventilating SUMMARV OF FE
Euiltls or improves thereon, antl who conVacts for such p�ojects witb a con- ��
tractor(sl license pursuant to the Contractor's License Law). I am aware that BUILDING PERMIT $ �� 7•OV SMIP $ �' s
proof of their Worker's Compensation insurance shoultl be provitletl to me. ExhauSt SySt¢m ❑ Multipl¢ ❑ y5t¢T R¢pair/AlteratiOn
PLAN CHECK $ PERMIT
❑ 1 am exempt untler Section B. & P. C. for this reason FirepUFact Blt. ICBO # PLUMBING $ ISSUANCE $
Date r Heating System & Ducting PLAN CHECK 25% $ ENERGV P.C. $
I hereby certity that ea thit appiication and state tnat tne above ❑0.700,OOOBTU 0700,0006T ELECTRICAL $ GRADING $
information is corr gi e to comp ty with all city antl county ordinan<es
antl state I atin o I� ildi g cqnstruction, and hereby authorae reore- PLAN CHECK 50% $ MICROFILM $
sentativ f t is cit to nt Qon the above-mentionetl propert for i�
inspecti s MECHANICAL $ �� � CY�
Si9nature Date � TOTALFEE $ �
�rivers' License ar 55 �
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 086S-4ti, rev. a/av Wpite - Bulltlln9; Cana�y - Hppli[ant Pinu -tacmun[mg; moiaenroa -Hseeaeo�
!j � L.w • . . .
�� CONSTRUCTIOMAND PLANNING� • ,POOL & SPA .
r APPROVALS i Permit# Date Inspector APpROVALS Permit# � Date Inspector
. Temporary Electrical Ser"vice or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
3..,Elec[rical Conduit Utility-Undrgrnd. 54. Forms � � - •
4���Electrical Conduit-Undrgrnd. 55. Electrical Bonding - �
5.�Steel Reinforcement � 56. Rough Plumbing & Pressure TesT '
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE �
7. Footings , � 58. Electrical Conduit-Undrgrnd. ,
8. Foundation 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heaier & Vent-Final
13. Roof Dreins 64. Plumbing SYstem - Final �
14. Rough Plumbing � 65. Electrical-Final
15. Rough Electrical-Conduit �� � 66. Solar System-Final
�1�6. Rough Electric Wiring 67. Fencing & Access Approval
77,'. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
�18. Rough EleCtrical-T Bar Ceiling �-� 69. POOUSPA SYSTEMS FINAL
•79. Rough�Heating & Air Conditioning . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ��� APPROVALS Permit# _
21. DuCts, in Structurer ,_ ' . 70. Underground Hydro
22. Ducts, Verltilating ` - 77. Product Piping O Gas ❑ Oit �
2�. Gas Pipe-Rough & Test - 72. Underground Flush �
24: Roof Framing , �� 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing '-� , 74. Overhead Hydro
26. T-Bar Ceiling (Structural) �&Monocoat 75. Dry Chemical
27;,Frame and Flashing � 76. Dry Siandpipe
28. Lathing &'Siding � 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drywall Nailing �� "1-'i ''. . ' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat.,. � � 79. FINAL INSPECTION
32. Electrical Po�ver Meter-Final � 80. FOOD CERTIFICATE ISSUED
' 33. Final Electric Notes: ';L � d�
34. Final Heating & Air. Conditioning
35. Final Gas Pipe-Test � • '
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing �
39. Water Serv{ce-Final '
.�
40. Gas Service-Final �
41. Solar pomestioFinal � ,,.
i: ' -
42, Backflow Preveoter � � -
43. Backflow Irrigation � . , j,,,
44. .Landscape Irrigation System �
45. Sound Atxenuation
46. Handicap Regulations . ,
47. FINALSTRUC7URE&BUILDING �
48. Special Requirements Completed �.
49. Electric Release to Edison � . � ' -
50. Gas Release to �Southern Califomia Gas Co � �' �
51. CERTIFICATE OF OCCUPANCY ' / �i
r . � r�
No. Date
�
�
Aop���ant to fi11 in all spaces except thoze witnin heavy Gortler lines ana sign all aporooriate tleclarations.
�^MCIT NO� � TRACT NO. LOT NO. UNIT NO. 3]]4 9/25/86 � � 5����
CITV OF COSTA MESA CONSTRUCTION PERMIT •
ProjectAddress �349G SAN MARINO ' ��� . .-' � - .
Applicant'sMailingAddress 3022.:..N�� HESPERIAN WAY SA TVPEOFCONSTRUCTION NEw ADo ALTERATION REVAIR '
Owner'SName ('�i�11LIF MTTSADA � Phone 9%9-5611 � CONVERSION ❑ DEMOLISH ❑ OTHER _ p�p # . _ _ Zane
DESCRIPTION OF WORK/USE OF BLDG. .
Address ?496 $AN MARTNfI � S MainBuilding: AccessoryBuilding:
Arch/Eng. ' License No. TYPE OF PERMIT ❑ GRADIrvGv� FOUNOA7loN STRUC7uRAL T Front • � �
Address ❑ TENANT ❑ ELECTRICAL 4J PLUMBING ❑ MECHANICAL , g , N
Contractor'sName ALL AMERICAN PLurss��� 541-9753 � OTHER ' A Rear . 1
PROJECT'DESCRIPTION 5a. FT. occUPANCV C Right N
Addresslmailing) ��22 N. HESPRIAN WAY S.A. K Left c
CONSTRUCTION TVPE VALUATION $ '
City License No. 9 9 919 S R
20NE- GRADING CU. VDS. ACftES Ping. ReL # �' / d E
LICENSED CONTRACTOR DECLARATION Q
I hereby affirm that I am Iicensetl untlet provisions of Charte 9(commencing aemarks: INSTALL Q � CaAL WATER HEATER. Planning Notes: . M
with.zection 7000) of Oivision 3 oi the Business a tl Pr ions Cotle, antl _
my license is in full torce antl e ' � ; - ' � � ' ' T
License class — n o S
�oate 9—�-R—SFi Siqna re . �PLUMBING FEES ' ' '
WORKERS' COMPENSATION q c�AaaT1oN , BarSink `� Showers - EIECTRICAL � . FEES
I hereby affirm thaLl have a ceRrticate of consent to self-insure or a certlficate " � � �
of Workers' Compensation Insurance, o� a certifietl copy thereof (Section BdCkfIOwP�2v¢ptE� 5¢rviceSink �
Automatic Washer Ttansformer ❑ 75-50 KW
3800, Lab. CJ
PolicyNo. pFFii12529 Comvany ENIT� Backtlowlrrigation SewerCa ' � -050bKW � �
BCerHfietl copY i5 hereby fumishe . P COnStrUGtiOn POleSub. , ,
Certifletl copy is tiletl with the ity B i 's Bathtubs Sewer Connection ' Cooking Unit Meter ❑up to 100 amps '
Date Q—1 Q—R6—APPIic
EXEMPTION Ff30M WORKERS' C PENSATION DE LARAT,ION Clarifiers - Solar Collecmrs Di5hwd5he� MEL¢� ❑Ov¢� 100 dmp5
(This section neetl not be com0�ete � the permit is for one huntl�etl ($300) or �
less). Dishwasher � Solar Pipin9 � Dryers ��Gas ❑Electric Sub Panel �
I certity that in the perto�mance of the wo�k fOr which this perm�t is is5uetl, I ' -
shall mt em0loy any person in any mannet so as to become subject to the Drinking Fountains � Solar Tank ' ' Fan � �
Workers' Compensation Laws of california. " '
Morors OO-7 HP O1 %- 8
Date Si9nature - Floor Drains � Swimming Pool w/Spa F.A.U. .
NOTICE: If�, after making [his tleclaration, you 5houb become�subject to-the - InG Solar 09-15 HP 016-15+
Workers' Compensation proNsions of the Labor Cotle, y0u mu5t torthwith FIOOf $inkS Ufindl
comply with such provi5ion5 or this permit shall be tleemetl revoketl. Fi%tu�¢5 MiC�owav¢�
CONSTRUCTION LENDING AGENCV ' CidS,S¢NiC¢ �OuL1Et5 WytE�Cl05¢L DeviceBoxes
1 hereby atfi�m that there iz a const�uctlon lentling agency tor the pertormance POI¢ Liyht
ot tne work for which this permit i5 i55uetl (Section 309] Civ. G.) O
Interceptors Water Heater Outlets Ran e
Lentler's Name 9
Lender's Atltlress - Kitchen $ink �-- � Water Service �
OWNER BUILDEH UEGLARATION � SWitCheS' $ign
I hereby affifm that 1 am exempt trom tM1e Con[Iactor'S LlCense Law fof the LavdLOli¢s AutO-W35h G2fba E Di5 OSdI � .
tollowing reason (Section 7031.5 Business antl Professional Cotle: Any city or 9 P Standing Sections
county which requires a permit to construct, alter, improve, aemoiish or repair P—Trap Laundry Trays Generamr DO-5 KW �5-15 KW '
any Structure, plior to its lszuance, also requires the aDPlicant tor such pelmit T�dSh COrtlpdCtOf
to file a signed Statement tnat he/she is licensetl pur5uant to the provi5ion5bl ROOf D�dins ' � - - • • - + �
[he Contractor's License Law (Cnapter 9(commencing witn Section ]000) of �
Division 3 ot the Busine55 antl Professions Cotle) or that ne/she' is exempt '
therefrom antl Ne basis fOr Ihe allegetl ezemption. Any violation o( Section �
]031.5 by any applicant to� a permi[ subjects the applicant to a[ivil
eenalty of not more [han tive huntlretl tlollars ($500). . - -
LJ I, as owner of the property or my empioyees with wages "as their sole Reinspection Fee $75 ISSue Fee $ 3 '
compensation, will do the work, antl the structure is not intentled or otferetl
for sale (Section ]044, Business antl Pmfessional Cotle: The Contractor's MECHANICAL' FEES Reinspection Fee $15 luue Fee � $ 3
LicensE l2w tloes not apply [o an owne� ot a proper[y who builtls or improves - .
thereon, anG who tloes sucn work nimseli/herselt or tnwu9h his or her own DEVELOPMENT SERVICES FEQUIREMENTS:
employees, provitled tnat su<h improvements arc not incendatl or oiferea tor Boiler Hood or Type I ❑
sale. It, however, tne builtling or improvement is soltl wiihin one year of com- Canopy Type II ❑ � Zoning Approved By � Date �
pletloq the owner will bave the bu�tlen Of provin9 M1e/sM1e tlitl not builtl or im- DUct - Und¢� i�iroUnd ' Building App�oved B� � DatB
p�ove tor the putpose of sale). —�7'�-- 9 �/' �
❑ I, as owner ol the property, am exclusively contracting with Iicensetl com Duc[ � Struccural Refrigeration System Appliption Isued By— �� ��J Dat =Z
[ractors to con5truct the pwject (Section ]044, Business and Professions Cotle: -
The Contractor's License L.aw Coes not apply io an owner ot property who Duct - Ventilating ❑0-700,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtls or improves thereon, antl who contracts,for such projects with a con- ' -
tractor(sl ucense pursuant to the Convactor's License Law�. I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ �� ..ii �
proof of tbev Worker's Compensation insurance Shoultl be provltleC to me. PLAN CHECK +iE—.HYy.
❑ I am exempt untler 5ection B. & P. C. for this reason Firepl/Fact BIt. ICBO # Fire Dampers A�O$ PERMIT �
, PLUMBING �` - �S � _ �SSUANCE $ �-�
Date Owner Heating System & Ducting , Registers � pLAN CHECK 25% $ ENERG�' P.C. $
i hereby certity that I have �reatl this appiiwtion and state mat the above ❑0-100,0008TU �700,OOOBT ELECTRICAL - GRADING $
information is correcL 1 a9ree to comply h all city antl county ortlinances 2�
antl st a relatin9 ta buiitlin9 cons tion, antl hereby aumorize repre- PLAN CHECK .50% MICFOFILM $
sentat' es of t is ty to. enter p e dbove-mentioned�Q ropppp���rrr��� y t - , $ ��'
inspec 'on purp . (/� MECHANICAL $ TOTAL FEE $.S,J��.�
Signatu Date/
Drivers' Lfc or 55 � Reinspection Fee $75 laue Fee $ 3 PLAN'CHECK 25% $
CMF OBfiS-46, rev. 30/84 White - Builtling; Canaty - Applicanq Pink - Accounting; GoltlenrOtl - As5e55oi
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding CL "
5. Steel Reinforcement 56. Rough Plumbing & Pressure Teit: � �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. r�'
8. Foundation 59. Gas Pipe, O Undrgrnd., Test e:,1
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Uniirgrnd.
10. Structural Floor System 61. APPROVAL TO DECK y�
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 Electriral-Conduit 66. Solar SYstem-Final
i6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #�
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing'i 73. Undergrnd.StorageTank OGas OOiI �
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Freme 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 Not :3-l���(� Cqnc� ,Qs p� Za8 u a. GED
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbing �'-'
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irrigation System _
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �
48. Special Requirements Completed
49. Electric Releaseito Edison �
50. Gas Release to Southern California Gas Co ' .
51. CERTIFICATEOFOCCUPANCY -
No. Date �
i� Aoo�ieant to Iill in all soaees excao< <�osa wilnin heavY boraer Iines antl sign all appropriate Ceclarations. �
e�
V
CITY OFCOSTA MESA - � ^. ,t PERMIT NO. TRACT�,.; LOT NO. BLD . . • � . - � - -
• CONSTRUCTION PERMIT - SoL ' �p @j "' � , t�"24 I I /Ji /3': , � 1 7ei� , T.I
Project Address � �� I � o TYPE OF CONSTRUCTION � NEW ' ADD ALTERATION REPAIR '
A IicenYS Mailin Adtlf2555�G W, 02 � S'� S� � ❑ CONVERSION ❑ DEMOLIna u'7�/ 14THER 7 '
pP 9 � ����� DESCRIPTION OF WORK ArYIX I ilOk. � 2 C�R A P# /2—O� ^ O " Zane '
Owner's Name Phone � S Main Building: Accessory'Building: . Z
E �
Address TVPE OF PERMIT GRADING FOUrvDATION STRUC7URAL T Front ��-- ' `' N
Arch/Eng. � r License NO. �'E'%��-� ❑'�ENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL . B Rea � �%' LL/�" �
- A N
Address �' � ❑ �OTHER . C �Right . ' � G
�'1�) T/� i� ii /i G�!a! /�!� phone ���'� PROJECT DESCRIPTION $�, FT. ' oCCUvnNCV . R
Contractor's Name' C� �. K
AddreSi (mailing) -Z � � �'^ r '�' S"^�' � • Y.�'y CONSTRUCTION TVPE VALUATION $ 'S���� $ Left ��� ' ' E�
n
�' 9// � g ZONE GRADING CU.VDS. .ACRES ping. Ref.� - P2�k.F¢CS $ n
' City License No. �r T • U
LICENSED CONTRNLTOR DECLARATION ' Remarks: � �* � � � Parking (ieq./Provided . �
I hereby affirm [hat I am Ilcensetl untler provisions of Charter 9(<ommencing U5e of Buildin � R
with section 7000) of DlviSiOn 3 Of the BuSineiS antl Vrofe551on5 Cotle, dntl ' � 9� � E
my Iicense is In ful force antl,eftect. � E
ucense Class � �� ° -- Llcensa.No, ^ � b � � PLUMBING ' � FEES Planning Notes: � M
Date- %L^ a � 519nature //� �-��-��--� ' � TT�' , � �
WORKERS' COMPENSATION DECLARATION � BafSink � ShOwers T
I here�y afflrm lhat I have a certlOcate of consenl to salf-insure or a certlfi<a Backflow Preventer Service Sink ' ' S
of WOrk¢rz'-Compensation InSurance, Or a cerlitietl copy Ihereof (SeCllon
3800, Lab. C�a7��5_ �� S.,�GJ PUN�f Backflowlrrigation SewerCap � ' ' ELECTRICAL ' FEES
Policy No. Company �t 7 "'
Q Certifietl copy is hereby turnishetl. � � ' ' Bathtuhs Sewer Connection � Automatic Washer 'Transformer ❑ 15�50 KW .
'�4 Certifietl copy is illetl with the tlty ByUtl�Divl . e 0 50+ KW
Date��- % � � < APPlicant « -�-.^� • .i e_-N"��, xp Clarifiers � Solar C011ecrors Construction Pole Sub. � �
E%EMPTION FROM WORKERS' GOMPENSATION DECLARATION • V DiShrYdsher � -- Solar Piping ' Cooking Wnit "'�- � - Mete� ❑Up to 100ampi ' '
(This section neetl mt be completetl If tbe perml[ is for one huntlretl (E100).a/ .
Icss). �� Drinkin Fountairis � � �
I Certity tha[ in thC parto�mance Of th0 work 10� wnlch this pe�m�t i5 ISSuetl I 9 SOldf Tdflk ' Di5hW25h¢� . ' � M¢tE� ❑ovE� 100 amps
shall not employ any person in'any manner so as to be<ome subjoct to t{�e � ,
Workers'. Compensatlon Laws of Callfornia. ' ' Floor Drains' � Swimming Pool w/Spa Dryers ❑Gas ❑Elec[ric �Su6 Panel
Da[B Si9naturc , , .
NOTICE: If, after makin9 [his tleclaration, you shoultl become sub�ect to the Floor Sinks � U�inal Fan . 'Motors DO-1 HP �i h� B '
Worker5' COmpepWtlOn provl51o05 Of [he Ldbof Cotla, you must folthWlth
comply wlth sucn provision5 or this permH shall be tleemetl revoketl. � � GaSService Outle[5 WaterCbSet� • F.A.U. InaSolar09-15HP�76-15+
CONSTRUCTION LENOING AGENCV
1 boreby affllm tllat ihere i52 Wnsttuction lentling a9en<y fOr [he perlolmance IOt2lC¢ptOfS • Wdt2I H¢dt¢I Fixtuf2S MiCfOwave
al [ne work tor which tnls Oermit ,is issuetl •(SncHon 309] Civ. C.) '
Lenaer's Name Kitchen Sink � Water Service Device Boxes Pole Light ' �
Lentler'S Atltlress Lavator'ies
OWNER BUIILDER OECLARATION ' � ' ' OuHetS Range '
I hereby affirm [hat I am exempt from the C6ntractor's License Law for the p_T�a '
following reason (Section 7031.5 Business antl Professional Cotle: Any dty or P � ' ' ' Switches . . $�y�
county whl<h r¢qWreS d Permit to conStruCt, alter, improv¢, tlemOlish or repalr
.any structure, prior to its issuance, also requires the applicant tor such permlt Roof Drains • � ` Gar6age Disposal Standing Sections ' �
to file a signetl statement that he/she Is Ilcensetl pursuant to the provisiont ot � . „ �
�the ConeractoYs License Law (Chapter 9(commencing with Sectlon 7000) of . ' - Generator 00.5 KW �5-15 KW Trash Com actor
DlviSion 3 of lhn Businoss antl Professions Cotle) or that he/She is axempf � - P
therefrom antl [he basis for the allogetl exemption. Any violation o( Sectlon . , .
7031.5 by any applicant for a permit sub�ects the ap011cant �lo a civll qeins eetian Fee -
enalty of not more than five buntlretl dollars ($500). , P $25 , luue Fae• � $?
� I, as owner of ine oroperty or my employoes with wa9es as thalr sole - ,.MECHANICAL - . Reinspection Fae $y5 luue Fee' •$ 3
comoensation, wlll tlo the work, antl the structuro is not intendetl or ofieretl � ' ' FEES
tor sale (Section �044, Business antl Professional Cotle: The Contractor's . PUBLICSERVICESRE UI E E S:
License Law does not apply to an owner of a propar[y who builds or Improves goiler Hood or Type I. ❑ � `
[hereOn, antl who Ooes such wOrk hlmselt/ne�seli o� tn�ough hls o� he� own ' - ' Zoning Approvad By D0t0
amo�oy ees, provitletl that suth improvements arc nof intentletl or oftoretl for Dutt - Under Ground �nopy Type I I ❑ -
sale. If, however, Ihe building or Improvement is soltl wlthin one year of com- ' � Applieation Approved By _ � Date
pletion, [he ownor will have the burtlen of proving he/she tlid not builtl or im- � , . �
rova tor the purpose ot sale). � i Duct - StrucNral . Refrigeration System Application Issuad By y Dat $
� I, as owner of the property, am oxclusively contractlnq with Ilcensod con- ❑0.100,000 BTU ❑100,000 BTU "'
tractorsto construct the oroject /Section 7044, Buslness anC Professions Cotle: Duct - Ventilating SUMMARV OF FEES
The Contracror's Licens¢. Law doos not apply to an owner of oroporty who - - � � BUILDING PERMIT )��00 �
buI105 0� Improves Ihe�eon, antl who conlydct5 (or such project5 with a Con- ExheuSt SyStCm ❑ MWtipIE ❑ System Repair/Alteration � $ $MIP } $
tractor(s) licenso pursuant to the Contractor's Licanse Law). PLAN CHECK $ �'s� PERMIT ' � �
❑ I'am exempt untlar Section B. & P. G. for this reason ' FirepVFact. Blt. ICBO # ,_ PLUMBING •$ �ISSUANCE $
Date owner. Heating System & Ducting PLAN CHECK $ � ENERGV P.C. '$
I hereby certity that i have read this appiication antl state that mo above ' ❑0-100,OOOBTU 0100,OOOBT ELECTRICAL ' ' GRADING �$
Informatlon is correcL I agree to compty'with all tlty antl munty ortllnances ' $
antl state laws ralating�to builtling construction, antl hereby authorize repre- - , $ MICROFILM $ '
5entaUves of this I[y_to enter on [he above-mentionetl property f r PLAN CHECK
InSpettion pu � /
MECHANICAL �
Signature /� � � ' ' � � Oate ��-L%' P $Z5 Issue Fee � $ 3 PLAN CHECK $ , TOTAL FEE $ y �•
Orivers' License or 55 � Reins ection Fee
'CMF 0865-46 rav. 7/83 � White - Building: Canary -Applicanh, Pink -Accounting; Goltlenrotl -Assessor - - • . . � � . . . . _ .
� CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit #�� � Date� � Inspector AppROVALS Permit # Date Inspector
� 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
'2. Soil Pipe�Undrgrnd. � � � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. . .' � 55. Electrical Bonding :
5. Steel Reinforcement �b 83' � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � ' � - 57. APPROVAL TO COVER-GUNITE
7. Footings �0 3 58. Electrical Conduit�Undrgrnd.
8. Foundation �• • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. '60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System _ . - 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection ', � 62. Backwash & Receptor-Final
� 72. Sewer Cap �. 63. Heater & Vent-Final
i
13. Roof Drains . 64. Plumbing System - Final _
14. Rough Plumbing - 65. Electrical-Final
75. 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 ' , 89. 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 OGas ❑Oil
23. Gas Pipe-Rough & Test . , 72. Underground Flush
` 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ 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: �_ �_ S,
.34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test ' �
36. Hood or Canopy � . , .
� 37. Final Factory,Fireplace � .
38. Final Plumbin@ � , �
39. Water Service-Final� � " � ,
'�
40. Gas Service-Final � •
41. Solar pomestic-Final � . �
r
42. Backflow Preventer -
43. Backflow Irrigation � - ���' �
44. .Landscape Irrigation System ,
45. Sound Attenuation � .
46. Handicap Regulations -
47. FINALSTRUCTURE&BUILDING �� � � '
48. Special Requirements Completed �
49. Electric Release to Edison , • �' '
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY . � '
No. Date
�
c�-�� �G�37 �� ,_ ti�z ds,-a�
I ���.����
C�T1' OF COSiA MESA
PLANNING DEPi.
sU� TO BIDG. DEPf. qE(y.
Br �%�� DATE ���
01fu'{TOQ Of P�,qNNINO
� � •
��19'C'p S� C��
7U 9�n 4i..,� L�1/I�Jt.l�Jan Wt C.e_P
RESIDENCE RESIDENCE
ti
W
W
�
ti
�
I
� �'7� 4����lat�
--- _ �� SC�1�I F_iDUJ'P.� STREET
-- .- _ .
_ �
5
Cement Coping Ootional
Channel Block With 13/S
0 Horizontal Top of all
Fences
For Fences 5' or Less �--�
Vert. Bars 3/8" 0 at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/B" 0at 32" O.C.
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steei.Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
IS " or to Code
NATURALGRADE
7W0 3/8" OBARS
CONTINUOUS TOP
& BOTTOM
TYPICAL
I
¢ x
��
u
> w
� _
a
>Z
Q:—
i�
w o
u �-
,
6�� CONCRETE BLOCK FENCE
D 'I.O O�
+�i �
' F--�WIDTH .` . .
Iu, �9 BELOW 4RT � .
�L: �L
n
� . .• ' .
e � ♦
0
• .
�
o �
L
z �.
GENERAL- NOTES
MORTAR: pne Part Plostic Cement, ond
Three Parts Sand
GROUT: • One Part Cement Three and
, One Half Poris S�and
COPING: One Part Cement, Three
Parts Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Mar. of 7-1/2 Gollens cf
YVafer Per Sack of Cement
GROUT MAV BE POURED FFOM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREASOF HORIZON7AL REIN�
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MOR7AR DEBRIS, ETC.
BONDS SHALL BE PROVIDEO BV LAVING
BLOCKS IN STRETCHER COURSES SO THAT
VERTICAL JOINTS Al7ERNATE IN EACH
COURSE.
DEPTH OF EARTHTC07H
I/3 iHE HEIGTH OF FENCE
��OW BOTTOM OF FOGTING.
SCALE: I/2��= I'
�� �OOTING REQUIRFMENTS CHART
WALL HEIGHT . . . . . . . . . . .6 . . . . . . . . . . . . 5�. . . . . . . . . . . . 4� . . . . . . . . . . 3�
WIO7H . . . . . . . . , 14'� . . . . . , 14': 12". . . . . . . . . . . 12��
THICKNESS . . . . . . . , 10". . . . . . . . . . . .10" . . . . . . . . . . . 8". . . . . . . . . . . 8„
DEPTH OF EARTHTOOTH . . . 24'� . . . . . . . . . . .20�� . . . . . . . . . . . 16��. . . . . . . . . . . 12��
SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14' . . . . . . . . . . . 16'. . . . . 16'
OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _
City of Costa Mesa California ��B ADDRESS: _ — — — — — _ _ _ _ _ _ _ _
� PERMIT NUM�ER'_ _
Building Department SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ �
�
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3535 WEST 6[h STREET 1020 NORTH BROFOWRY
LOS ANCELES, CALIFORNIF SANTA ANA, CALIFORNIp
385�5141 787-2280 442�6032 C��� AREA CODE 714
639�S101 BaB�18t3 IE 1�1431 567.3041 Sa7�7114
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OWNER F�LTZER Enterp�
JOB ADDRESS 3 San
GENERAL CONTRACTOR Gec
AP No. LOT
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE OUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING RND AIR CONOITION
TEMPORARY SERVICE OR POLE
ONOERGROUND � POWEF �
ROUGH WIRING �
TRENLHES FORMS STEEL
FLOOR SVSTEM
BOND 6EAM ❑ STEEL REINFORC
SHEATHING
FRAME AND FLASHING
LA7HING - IN OUT
PLASTER,BROWN COAT
STRUCTURAL, FINAL
MEATING, VENT., REFRIG. AND A.C.,
PLUMBING, FINAL AND GAS TEST fz
ELECTRIC, FINAL
BWL�ING. FINAL
Costa Mesa
DATE 2_g_72
BUILDING PERMIT
DESCRIPTION of WORK Res.x a'
FIRE ZONE VALUE $ 2 000,
GROUP I& J TYPE V
�i SUBCONTRACTOR _
�
., _ 341 I 2 �f -�-,��y�°oo sou# *��tat.00
' COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
FOr Applican[ to Fill in Compl ty
RE EIVED DATE RECEIVED DATE I SUEO
BUILOING � �� -.� �- �' �
ADDRESS 3496 San Marino, Costa Mesa �
� MERMIT NO.
OWNER Heltzer Enterprises Costa Mesa /�.P.NO.
MAIL BUILDING 1/��`/
Z .
ADDRESS Q I. Brea Avenue �+DDRESS I �o-yr
dU CITV j�OS An eles NOL3 _'L TRACT � LOT � BLOCK
Z Q CONSTRVCTION '4
p N �eNoeR 'ted California Bank
am
� � eanNCH •n Office
J N OWNER •
m J ADDRESS ' VALUE
m ARCHITECT TEL S i g��O�O
� a ORENGINEER David Freedman 653-3852
U N
FIRE �
w Q ADDRESS 1 3 N.San Vicente Beverle H111 Z�NE TVPE GROUP
aW
w Z AGPROVED
J O CONTRACTOR J. Helt2er BV DAT
mZ y ��
�� ADDRESS 40 N. La Brea Avenue
W W 20NE NO.OF USE OF NE
Z F ciTv Los Angeles No�937-2171 � P'�`� y Bui�owc Q'��
w� 57ATE CITY YARDSAPPROVED YARDSAPP VED
N 2 �ic. No. 3144 LIC. NO. IJOO MAIN BUILDING ACCESSORV BUILDING
� O (FFOM GLSTREET)
SIZE NO.OF BLOGS. �
OF lOT NOW ON LOT ONT D FT.
USE OF
EXISTING BLDG,�� S F FT
/
F SIZE OF NO.OF '
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOF WALL ROOF
V COVERING Plaster COVERING REAR B! FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
a MAIN BLDGS. ACC65. BLDGS.
a
Q VAR. aY+ DATE
p s'dence C.V.P.qW APPROVED
y Plan 4k410 �' jE � � � _ �
O ���
vi h¢raby acknowletlBe ma� i n,�a reatl [hi5 eOPlicetiOn e�e ::a�o HOLD FOR SPECIA REQUii.EVIEh7'S
� ffiat Na above information is correct antl uprea to comply wkh •
� nll lews �ae�iaci�a buildin9 �onrtruc�ion, ond I shell not employ
r uny parson in violotion oi Me workman'f compansation lawe of
N
Ne State of Celitornie. � �""�' m
e
ZI �ereby certlfy [hat 1 em proparly Iicensetl es e convector untler S�. FT. O
' the Stata of Cel(fornia Businasa antl Profassions Codo, Division 3, THE AMOVNT SHOWN UNDER VAL TION IS FOfl a
Cnoptar 9, en� that suc� licensas are In full for<o entl offoct, or I THE PURP06E OF ESTABLISHING A PERMR FEE ONLV:
em exempt frOm t�e ovisiona of tho Sioto of Celifornia Buslneu ¢
entl Protassions Codo, Ision 3, Chaptpr 9. VALVATION �. � m
PERMIT FEE 5 �
I ]
, , SlBnature of � /,� / a'(7 m
Permlttoe $ � �\ PWN CHECK $ "/ � E
Au[horizad ABent �� � I �� LL
TOTAL FEE $ I
OWNER MpG�mp� MARYrF.
JOBADDRESS �q6 San Marino Circ
GENERAL CON RACTOR n�pr_n�,;��a
AP No. LOT T
INSPECTIONS '
OIL
AS
ATER
OUGM PLl1MBING
ROP. SWR, LINE NOUSE CON.
SGRINKLING SYSTEM
ISCELLANEOUS '
OUGM ME�TIHG ANp AIR CONDITIONING
EMPOP�RY SERVIGE ON POLE ' �
NDEHGFOUN� � POWER
NOU6H WIRING
�TRENCHES FOpMS STEEL PEINF.
FLOOR SVSTEM
BONO BEAM STEEL flEINFORCE
SHEAiMING
FRAME �N� FLASNIN6 -
LATHING - IN OUT
PL�STER,BROWN CORT
STRUCTUR�L. FINA�
MEATING, VENT., REFNIG. AND �.C., FIMAL
PLIIMBING, FINAL �ND G�5 TEST
' ELECTRIC, FINAL
BUIl01NG, FINAL
DATE
SUBCONTRACTOR
.
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• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING� C � // (
ADDRESS .kt� GM.r
OWNEF ,(/
MAIL
ADDRESS
TEL.
CITV NO.
BRANCH
ARCHITECT
ADOflESS
CONTRACTOR ���C��V /L(/V •�
ADDRE55
TEI.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE Ya • X iov. v� I NO.OF BLDGS.
OFLOT x��f��� ' NOWONLOT
USE OF
EXISTING BLOG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WOFK TO BE PEFFORMED
I hereby acknowlatlga that I have reatl this application antl stete
thet the above informetion is corract antl agree to comply with
eli lews regulating builtlin8 �onsttuction, antl 1 shall not amploy
any person in violetion of the workman's compensation laws ot
the Stata ot Californie.
1 he�eby certify thet I am properly Iicensetl as a conttactor under
She State of California Business and Professions Cotle, Division 3,
Chapter 9, and that svch licensas era in tull force antl eftect, of 1
am ezempt from the provisions of the State of California Business
entl Professlons Cotle, Divislon 3, Chapiar 9.
Signatureof ���� ��y _� J
Permittae ��-��
AuShOri2Btl AgBni
BUILDING
ADDRESS
OWNEP
FIflE
ZONE
APPROVED
C.
�'�I�� ef 7/27/78 d.50 TL�
FORSTRUCTURALPERMIT
DATE RECEIVED nnTc icci icn
VALUE
DA
0
� NO.OF USE OF NEW�\�.
1` PLAN$ BUILDING yJ�L,(�
VARDSAPPROVEO VAROSAPPROVED
MAIN BUILDING ACCESSORV BVILDING
ROMC/LSTREET) __
�
DI5TANCE BET. BE('. MAIN &
MAIN BlD('�S. ACCESS. BLD
VAR. # DATE
C.V.P.#'- APPFOVED
APPROVED %�.�0 �.—L � �
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m
a'
SQ. FT. rv
THE AMOUNTSHOWN UNDER VA�UATION IS FOR m
TNE PURPOSE OF ESTABlISHING A PERMIT FEE ONLY: '
e
VALUATION PERMIT FEE $ �
/ N
m
PLAN CHECK S ^�
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$�^� �. TAX E � �
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TOTALPAID $
OWNER HF.iT7ER FntPrprice� DATE
106 ADDRESS z[.o� c�n Mnrinn rsr�lo BUIL[
-052'p7 LOT TRACT
GAS
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
ROUGH HEATING AND qIR CON
TEMPORARY SERVICE OR POL
UNDER�ROUND � POWER
ROUGH WIRING
EL
FLOOR SYSTEM
BOND BEAM �
SHEATHING
FRAME FNP FLASNINC
LATHING - IN � 1
PLASTER. BROWN COqT
IG. ANO A.C., FINAL
GAS TEST I-I
BUILDING, FINFL
SUBCONTRACTOR
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COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fill in Completely
IILDING 3y q� S/� i�1.1���V ��
)DRESS
OWNER
MAI l
CITV
9RANCH
ADDRESS
ARCHITECT
TEL:
NO.
TEL.
CONTRACTOil �ayyri�/ G/�'U/_S7faYi
ADDRESS �JL�• RQ �,/ ��G PD
/ TEL.
ci,Y G'c�YCJGti G'Yo„C, No.s39
IIC. No. 2G g' 2 d Z C' i � LICVNO.
$ I Z E I NO. OF BLDGS.
OF LOT NOW ON lOT
USE OF
EXISTING B�DG.
SIZE OF NO. OF
NEW BLDG. FOOMS STORIE'�
EXTERIOP WALL ROOF
COVERING COVERING
USE OF BUILDING AND WpqK TO BE PERFORMEO
I heraby acknowl¢dBe that I have reatl this application end stata
that ffie abova information is rorrect antl agree to comply wiN
all laws regulatinB builtling construction, antl I shall not employ
any person in violation oi the workman's compensation laws of
tha State of CaliforNe.
I heraby certity �hat 1 am pro0erly licenutl as a contractor untler
the S[ate of Calitornia Busineza antl Professions Code, Dlvisicn 3,
Chapter 9, antl thet such licenses are in f�ll forca and effect, or I
am exempt from tha provisions ot ihe State of Californta Business
antl Professions Cotle, Division 3, Chapter
SiBnature of � /�D
Permlttee i����L
Auihorized Agent
PAI� �'
••' ���-7��.��.001798` +�`A�6.04
APPLICATION FOR BUILDING PERMIT
RECEI O D TE E IVED D{yTE ISSU�
i /_ /U
1L/ � /
PERMIT�NO.i
A.P.NO. .Z'OSs�—�7 �Lil
ADDRIE S ��Q ,.7/Z� e C(
TRAC�6j7 LOT � BLOCK
FIRE
ZONE
4PPROVED
NE NO.OF USE OF NEW 'rK�GT
PLANS ' BVILDING ��� � �
VARDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSOflV BUILDING
OISTANCE BET. BET. MAIN & '
MAIN BLDGS. ACCESS. BLDGS.
VAR.#E DATE
C.V.P.� qPPROVED
APPROVED /�'/ /1 � � rc C/�`�I7�
av ( L/�
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SQ, FT. O
THE AMOVNT SHOWN UNDER VALUATION IS FOR ^
THE PURPO$E OF ESTABLISHING A PERMR FEE ONLY: Q
VALVATION / � m
CX� PERMR FEE $ �� j
m
S PLAN CHECK $ E
`o
LL
TOTAL FEE $