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Home My WebLink About3460 SAN RAFAEL CIR - Building Permits13 15 � " �w (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3460 SAN RAFAEL CI Suite: Vicinity: RESIDENCE 8 ATTACHED GARAGE Parcel Number: 41205115 Applicant: VASQUEZ, ADRIAN Address: 2402 W BROOK ST -_�_.� = / SANTA ANA; CA - ' Status: ISSUED Applied: 0 2/1 2/2001 Issued: 01/22/2001 Zoning: R1 R1 r -- ISSUED BY: �Phone: (714) 571-0120 � ,- � . � Zip: 92704 , ' - - . �� Owner ROSNER; HERBERT, ' Address 3460SAN RAFAEL CIR " . � -� . � . -, ��:% / A ,, "- _ �/ � �_ - � Phone: �� COSTA MESA,.CA � � Zip: 92626 !i/ `� \ �/i Contraqor. FIRST QUALITY ROOFING . �, , Addressi; 2402 W BROOK ST �r !'i. ' � � ' � '� , ,-�\ � � .\ . � ��\\�. � �� . . �� ,�/; \\�\ �� , . ,• /t > s - Phone:'; p14)571-0120 .�:�� /�-. i� �-,SANTA�ANA, CA . � - �� - � j / i . `i ,�\ �/%- �1/ Zip � 92704/J ,�License: �776969 � � P�\ �� 1� /`� !;��. - ' . . . � � � �\ � �A � �ji/ .- ' � .. .. - • ' Eng:. . , ;s: � , , ; � � - Address: v � - ' - Phone: "- ��, .., , � r . �p- � , ,. � License: `� - - �, \ ;i 1 � , i . � ' r-- _ � � SCOPE OF PERMIT - REROOF �28 SQUARES TOTAL �v �! _� .. ._�.. � . . . _ _ , _, . . _ � 0, 1/2" CDX�SHTG, 1 LAYER 30# FELT, 20-YEAR COMP SHINGLES." "- �T-MOP B�U.R.' � . , � � ._-1 �'.1�,` `` .. � A�1�� . - _ --_ --FEESUMMARYi;�� ;"__'�, Check: � � ' $0.00 � � Calc Valuation: Ferrriit � �., $125.25 , Claim Valuation: IP Res��`\$0.60 � _ �-� � ' � / P�Corti 5 � �$0.00 � �Oth�er:,i $000 , � �'�� i� � i e'> � �ection: $0 00 � - � �/ ��\ `./J \\\ � �• S-r- '��' < . � -�� ,� 'r+ c�� ,� R_ :: �;�� Total: 5/125;85�� :�� . � ' � 1 , � � �� \�,\ <,// ,i. \�_�� .�,� �., '�� p.G f�� n /r�� '��\`/��`} ��`' 'PLANNING BZONING= ;%/ � ��,v SETBACKS \ � � �,�� -._ < � -�j ��, C � � �i � MAIN STRUCTURE Fronf 0 0��:, �/�,Rearn 0 0�� LeR 0 0 "� Right\Cr0-0 J ?_'^a� _ �J ' � � ' i r. �C �� \��. � � � ��,� ACCESSORY Fron�O 0� Re f�- 0-,0 ',�Lefi� ,�0 0, "�/ Right � 0-0 \c �f`� �._' . I \ A I ,__ r `i ! � ,-J' .�-� %�� ` ;- . - �� PARKING Existin : 0 '�- Required:� _.0 � � proposed;.. p� ; �.%-"., � � _ ,- __ -. -.: ' _ _ � �i/C�' � -- -..,� -_ ' _ -- "_ NOTES: --" —"�—� �� :� � � � i. ` i ,� . lione: J t ,-, .. cense: "'u .� y ��i r" '1 r� �'�,' I� ,� � '�'. � L_ _J ; �{� �-" , !�l/0t /' C�� I NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) 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 1 BO days. INSPECTIONS: In order for the work au[horized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration.of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaa� (s�oo) w WORKERS' COMPENSAY�ON DECLARATION: I hereby attirm under peneRy of perjury one of the following declarations:. ❑ I have and will maintbin e cenificate of consent ro self-Insure tor workers' compensation, as provided for by section 3700 0l the Lebor Code, lor Ihe pedormance oi the work for which Ihis p9�i� �s issuetl. ❑ I have and wlll maintaln workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Code, for Ne perfortnance of the work tor which this permit is issuetl. My workers' compensailon Insurence carner and policy number are: Carrier: Policy Number: (This secfion need nof be c�mp/efed i/ the permif is valuetl at one hundred dW/ea ($100) or less.) � I certity that in the peRo�nance of the work for which this pertriit is issued, I shall not employ eny person i� a�y manner so as to hecome su6ject to the workers' compensation laws of Celifomie, end egree Ihat if I should 6ecome subject to the workers' compensetion provisions ol Saction 3700 of Ihe Labor Coda, I shall forthwith comply with these pr0h/Sions. AppllcaniSignature: �tl�-"i�/l^— IiV. S-Pi LC�Y . Date: �� — � � _ �� WARNINO: FAILURE TO SECUPE WORKERS' COMPENSATIIXJ CO ERAGE IS IINLAWFUL AND SYIALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND G�IL FlNES UP TOONE HUNDRED THOUSANO DOLLARE (5100,OW1. IN ADDIiION T0 THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]OB OF THE LABOR CODE, INTEREST, AND AiTORNEY'S FEES. ' LICENSED CONTRACTOHS DECLARATION: I hereby aHirtn that I am IicBnsetl untler provisions ol Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Cotle, and my licanse is in full farce antl eHacL Lic. M Cless a Contractor's Signature: �y�y �6�.�. C/r� �!'L�-� . Date: P� /— E'� _ i"i � CONSTRUCTION IENOING AGENCY: ❑ I hereby attirm ihat there is a consiruction lending agency for the peAortnance of the work tor which �his permit is issuetl. (Sec. 3097, Civil Cotle). LenCefs Name: Lender'S Address: Signature: OWNER-BUILDER DECLMAnONS: Date: I hereby ettirm Ihet under penalry of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or county wpich requires a pertnit to construct, alter, improve, demolish, or repair any sirucNra, prior to its issuance, also requires tha applicant for suc� permit to file a signetl stetement tnet he or she is Iicensed pursuant to the provisions ot the Contrectors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 oi ihe Business end Pmfessions Gode) or that he or she is axempt therefmm and the basis tor the alleqed exemption. Any violetion of Section 7031.5 by any applicant for a pertnit subjects the applicent to a G��il penalry of not more than five hundred dollars ($500).): ❑ I, es owner of the properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the sWCNre is not iniended or oHered for sele (Sec. 7044, 8u5in855 and p�ofessions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and w�o tloes such work himselt or hersetf or ih�Wgh his or her own empbyees, provitlea t�at such improvements are not iMentled or oHeretl tor sa1e. H, however, the builtling or improvemani is sold within one year o� completion, the owner-builtler will have ihe burden of proving that he or she tlid noi build or improve for purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to constmct fhe project (Sec. 7044, 8usiness entl Professions Code: Tha conirac�or5 �Icense Lew tloes not apply to an owner oi propehy who builds or improves therean, antl who contracis for such project with e coniractor(s) license pursuant to Ihe Contractors License Laws.). ❑ I am axempt under sea Business and Professions Code for Ihis reason: Signeture: Date: Owner ID veniietl by tlrivefs license. ❑ Yes ❑ No Dnvers License No. Veritication oi Ownership by (rype of tlocument, I.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: Expires: ❑ I hereby canity that no axcavation five (5) or more feei in tlepth into which a person is required to descend, will be made in connection with work authonzed by �his permit, antl Ihat no building strucNre, scaHolding, talsework. or demolition or dismantling thereof, will be more than thirry-six (36) feet high (ChaO� 32, Grp 2, Art 2, Sec. 347, Titla 8, Celitomia Atlminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit trom the Division of Indusirial Setery, as notetl above, unless such person has e permit to Co such work i�om Ihe tlivision. Signawre: Date: Division of Indusinal Safety Permit Number: t CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710NOF EMAV: I certity under penalry of perjury that I have read Ihis application antl state ihat ihe iniortnation given is correcL I agree to comply wilh ell state laws and city ortlinances relating to building consiruction, and auihonze representaiives of ihe Ciry of Costa Mesa to enter u0on ihe above-descnbed propeAy to� inspeciion puryoses. I egree not to cecupy or ellow occupancy of any building authorized by ihis permi� until final inspection. Ll�� Signature Of Legal Owner(s) Date ,- � •r-� :�,�-i-c.� y �/ - �'`�-- - �/ AnNOr Auth rizetl Applicant Date CODE I. INSPECTION TYPE lfit6 Fised System Fina� Fire Prevemion 1286 Pool Spa Final , 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition � � w� (• �i SODE 1 INSPECTION TVPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecincal 212 Final Fire Preveniion 220 - Final Planning Approval 222 Final Site 250' � Final Building/Occupency P9IE �^ INTIfIRLS i ,�,I.CIT � OF COSTA"MESA � CO TR ' � 5l'Gc7 �rR1 �" ,. Proiect Address _ CI AOVlicant to fill in all spaces exceo� those within neavy portler lines antl sign a1l approoriate Eeclarations. � PE MIT NO. " � � THA/CT�^ NO. � LOT NO. , � UNITf��[�� I�T � � -�� . _ �{P�C� ' i: l � ! i—C�� ' r � .,, G� � AoplicanYs Mailin � ddress , =' ' : : - � � TYPE OF CONSTRUCTION'. � EW ADo ALTERATION' ' REPAIR - � - Owner'S Name PhOne�/ ��;� ' t O�CONVERSION ❑ DEMOLISH ❑,OT R� � � ` �A.P #' � DESCRIPTION OF WORK/USE OF;BLDG. Address •�� G�V�` ' . . r _ • �S Main Buildi Arch/Eng. � License No. �� M , �TVPE OF PERMIT� � cRADwG- � FOUNDATioN� L57RucrV Rn�� .T Fmnt Arddress � � � • !✓ ' • �/ `,. •'� ❑ TENANT ��ECECTftICAI.' ❑.PCUMBING ❑�MECHANICAb � B' Rean � � ` �' ' 1fe��CJY� ❑;OTHER ' . ' - � '. � , ' q'. Contracto N lL.L 6 DCi � Pho � - - . . � ��N .,[_ __ _—�� PRQIECT DESCRIPTION i 5 'F -. � ' OCCUPANCV ' C Righ4 A'ddress (m I 1 ��3'�%�� Ry, � � C� � . . . K' -f CONSTRUCTION TVPE VALUATION $�QBi�� : S, l.Cft � City LiCense No_ � c - G�"a� � ZONE GRADING CU. VOSi ACRES ' LICENSEO CONTRACTOR DECL RATION r , � -_ � Piny: R¢f. # 1 hereby affirm that I am licensetl �untle� provisions of Charte��9 (Gommencin9 , Remarks: .' . � . ' � . Planning Notes: wilh section ]000) of DiJision 3 0/ tne Business antl Professions Cotle, antl my license is i full foice antl effect � r � • i � ' . , � � �CE052 C�dS � ' {�]adJC�� I �P'Z- �j— 5'9 t �_ ' " : PLUMBING � FEES' �"� I JRKERS' COMPENSATION DE LARATI N' '^ � gar Sink i . Showers '• � � hereby affi�m Nat, I have a certificate ot consent to selt-insu�e or a certiticate ' ot Woikers' Compenwtion Insurance or a certified .copy. thereof (Section . • - _ .. 9615. -3/-19/85 - - -` r7;0'�i^�; . , -� � ' `J �. . I �.i � � . . 1 � — yl i � � Q� � (�j ' � Zone Acces ory Building: � _ ��. i � s '� • . � . � . O/ ! � Parking Req./Provided�; �A=A.im./IOATi.. f/il�1J_�_ . ' . ' 3eoo, Lab. 0.) � .�. _. . Backflow Preventer r Service Snk � Automatic Washer.. . . �.; _ . � ' ' -_ ' ' .. - - - - Policy No. � � �'%� Company Backflow Irrigation Sewer Ca �' � B Certifietl copy Is heveby fumishetl. , � ' � � � � � . i P . � Construction Pole Suh. Certifietl copy ii filetl with'the'city Bulltliriq Division. � Bathtubs , Sewer Connection Cookinp Unit N FROM WORKERS' COMPENSATION OECLARATION i neetl not be completetl if the_permit is ( one huntlretl ($300) or t in Ne perfoimance o e work tor w this perm�t iz issuetl, I iploy any pe�son in�a��anne me subject to tM1E moensation I.aws.wA�CaYs� nia__ . . � compry wim sucn provnwns or, ims per,mrt snan.�e aeemea revoHea. CONSTRUCTION'LENDING AGENCV_ . � . i I hereby affirm that there is a constructiOn'lentling agency tor the perto�mance, � of the wo�k to�'which this pe�mit is issuetl (Section 309] Civ. C.) Lentle;'s rName � - Lentler's Adtlress � OWNE0.�BUILDEN dECLARATION � ' ' ' I hereby afti�m that I�am ezemptlf�om the �Contiactor's License 6aw for the tollowing reasbn'(Section ]031:5 Business antl'ProfeSsional Cotle: Any city, or �:?;a"Cont�acto�'S,Llcense l.aw (Cbapte� 9(commencinq witb SecLon /UOU) oi -� ' ?�:Gizion 3� of the Business antl� Professions. Cotl¢J or;thaUhe/she.is exempt _ � therefrom anG the basis for fhe allegetl exemption. Any"violation of Section -; 7031.5 by any'applicant-fo�=;a permit'Subjecl5�the applicant to a Civil ��enalty of no[ more [han five bundretl tlollars ($500). .':. � ' I,'as oviner o� tM1e p�operty or-my employees-with,wage5�a5 their sole � ' compensation' will tlo the work, antl the structure is not intentletl or offeretl Pr f i nal otle: `The -Contrattor's � �¢�I II i 44� USI0055� dlld O C55 O C for sale 5 ct o 0 B f � LicenSe Law does not appty to an owne� of a property who builtls or improves ' thereon,'antl who tloes;such�wo�k himselt/he�self or throu9h�hi5 0� he� own . em0�oyees, provitletl that such'imOrovement5 are nat intentleG or otferetl tor sale. H, howeve�, the builtlin9 or improvement is soltl within one'year of com- O�etion, th¢ owner will have the bu�tlen ot proving he/She tlitl not builtl or im- � �ove for the purpose of sale): ,, � , , � I, as owner of the property, am extlusively cont�acting with IiCensetl con- � bactors to construct the project (Section 7044, Busine55 and Professions Cotle: � Floor Drains � � � Floor Sinks � GasService Outlets � � Interceptors ; i � � Kitchen Sink - � ' � Lavatories- P-TraP � ' . . - . " Roof Drains ' � � . �, , 1 ,,. . . Reinspec[ion Fee ';- $15 1'• , I ;rGiound� � ' :mral i The ContractOr'S License Law tloes not appry [o an owner ot p�operty who ' DUGt - V¢ntiletiOc] ' ' builtls or imWoves tM1ereon, antl who cont�acts to� suc� projects with a con- � � :tra<ror(s} license pursuant to fhe Contractor's License Law). I am aware thaf � ' Exhaust System ❑ Multiple ❑ proof o4i their Wo�ker's Compensation insurance sM1oultl be provitletl to me. � . � — ❑ I,am exempt unGer Section e. & P. C. for this reason � Firepl/Fact. Blt. ICBO # � ' oate ' owner � " Heating System & Ducting . �I hereby,certify that Ithaverreatl�this-application antl state that the above •❑0-100�OOOBTU �100,000BT info�mation Is�torract. 1 agree to'complywith all City anG county ortlinanGes , "'*"" ' .antl state'I s relating to builtling construction, antl hereby authorize re0re- , � � � i , sentatives of this ,[ nter 'upon the, above-mentionetl praperty for ' � ' i r Inspectlo oses ' � � V� <r � � + iSignature ' `- � Oate�_Q:��'U i , � Drivers' License or 55 � � i Reinspec[ion Fee $15 1F 0865-46, rev. 10/84�--White - Building; Cauary - Applicant: Pink - Accountin9; Goltlenrotl - Assessor '' ' Solar Collectors . -SolarPiping-` ' Solar Tank � Swimming Pool w/Spa Urinal � , Wacer Heater, � WatecService � � Auto�Wash , : . _ r . � ° Issue Fee � ' � �' - $, 3- yAIVIOHL -, ' ;Hood or � Type I ❑ f ._ Canopy �, Typell ❑ - ,Refrigeration Sys[em ; , �, ❑0-100,000 BTU ❑100,000 BT�1 Sys[em Repair/Alteration � , Fire Dampers � � •_ �� _" �� }ISSue F¢B Dishwasher � Dryers �Gas ❑Elect Fan ' F.A,U. Fixtures Device Boies ^ ' Switches ' Garhage Disposai Generetor.�0-5 KW Reinspection Fee ',EES DEVELOPMENTSER Zoning Approved By� ' ildin roved 6 � Bu APP 9 Y �� j � j i ' _ _ "_l .. $ 3 .' _" ' '.' _ :x Z ' • I� -O �� i::N . � - tN G �'R � E' Q M + I n ELECTRICAL' ' . ' �PEE: Transtormer. � 15-50iKW -... --� -� ❑ 50+KW � � . I � Meter ❑up ro �100 amps � Meter ❑over 100 amps + � � SuhPanel''-' "-'-��' ' -- -'� -� Momrs OO-1 HP �1 %�';8 ' InaSolar �9-15 HP �16-75+ ! I � Microwave, _L � {._ t ._ ' � ' Pole Light � � � Range � , 5 KW ; Standing Section� Trash Compacmr Issue Fee ' • ' ' SUMMA F FEES �� ' BUILDINGPERMIT $ � SMIP, ' �$ °i.S I ' PLAN CHECK � $ -�" S �, PERMIT � � � � f PIUMBING �$ ISSUANCE $ ; ' � I � i � i PLAN CHECK 25% •$ �� ENERGY P.C. ,$ ELECTRICAL $ � GRADING �$ ' I I I PLANCHECK 50% �$ ' � MICROFILM '$ � �:7 I � MECHANICAL { ,$ � � TOTALFEE $ /f�� PU1N CHECK 25% $ � t I �� _ . . . _ � J_ -. ,,,_ � , ._.. , _... . - - - - - - - ----- -- -- `f� � J'CONSTRUCTION AND PLANNI'1�_ � � - - - - '� �L & SPA-�= � _ � ; "- _ � s� � - � ,Date : -Inspector,_ ` � ' ' � ` ' . Date ` Inspector � APPROVA�S Permit � _ - -• �, r - „APPROVALS° 'Permi{'# - � _ , ` L Temporary Electrical Sefvice or Pole - . - '52. �Pool & Equipment Location ` . _ . - _ �� • � ' `' 2. Soil, Pipe-Undrgrnd. ' ' : ' � ' `53.� Steel Reinforcement . � ' ' � , � G: 3: Electiical Conduit Utility-Undrgrnd.' � � '54. Forms.: - . � ' - : . � � � : ,� - • 4� Elecfrical Conduit,:Undrgrnd. . - " j � i55. Electrical Bonding ,� . . , � � •. �� ' � 5. Steel' Reinforcement �� ; . � _, J�� 56.' Rough Plumbing & Pressure Test � ,�'6: Elecirical UFER Grnd. ^ f� ' - . � � . ��57r APPROVAL TO COVER-GUNITE-•. _ • �." . � �' 7: Footings �.� �r"G ' - F �58. Electrical Conduit-Undrgrnd. � � _ ,_ 8:.Foundation '�"'} . ,y'.Y = �i. �'�� 59.� Gas Pipe, O�Undrgrnd., Test - _ " - c• '- 9,`. Water Pipe-Undrgmd. ' � � , � .t' ' '� �-: 60. Backwash Lines, P-Trap, � Undrgrnd. � � ' :-10.; Structural Floor System . `,�, 61. -APPROVAL TO� DECK .. , �11.�PropertySewer^ine&�HouseConnection - 62. Backwash�&Receptor-Final � � . . 12, Sewer Cap "� , �� , '� 63. Heater &'Vent-Final ' -. - - r : 13: Roof,Drains r � ' 64. Plumbing SYstem - Final -� , - •� r . 14. Rough Plumbing" � � ' � 65. Electrical-Final ' ' � " � � ' ' I, i'15'RoughElectrical-Conduif - - � ' 66. SolarSYstem-Final � _ - --�_ � - � 16: �Rough Electric Wiring � � 67: Fencing & Access Approval � - � - 17: Rough Wiring Sign • ' � � 68. AP,PROVED FOR PLASTERING� - ' - t ' 18: Rough Electrical-T Bar Ceiling 69.' POOL/SPA SYSTEMS FINAL . ' �. � 19. Rough Heating & Air Conditioning � � FIRE DEPT. REQUIREMENT � , . 20. Rough Factory Fireplacs� � . APPROVALS Permit # , ' ' � 21: Ducts, in Structure • ; . � 70. Underground Hydro . • � .� �'27:�Ducts; Ventilating ,�e � 71. ProductPiping OGas' ❑Oil ' � �� - 23. Gas Pipe-Rough & Test �� ' 72. Underground Flush � , ., 24t Roof Framing ' "' � � 73. UndergmdiStoregeTank'OGas ❑Oil ' � 25: Roof Sheathing . . . 74.' Overhead Hydro . ' � � 26. T-Bar�Ceiling (Structural) & Moriocoat ' 75. Dry�Chemical � � � i; 27,1 Frame and Flashing � ,, , 76: Dry Standpipe � �' ' -28: Lathing & Siding � . � i - 77. FIXED SYSTEM FINAL ' � � i 29. 'Insulation .n � � � 78. FIRE PREV. FINAL � � 30. Drywall Nailing !� ' • ' , HEALTH DEPT.'REQUIREMENT ' ' .� 31. P,laster Brown Coat�� . � 79. FINAL INSPECTION � ,� 32: Electrical Power�Meter-Final � 80. FOOD CERTIFICATE ISSUED � ' � 33. Final Electric - ' Notes:, ' � 34. Final Heating & Air Conditioning �, � � . �- 7�.�.. + ' 35. Final'Gas Pipe-Test - � • . _ -. - , . . 36. Hood�or Canopy ' ' . - � � - . . , o' . ' ' . .� � � 37. Final,Factory Fireplace •�+ � � � ' � � ' � i • -' � 38. Final`Plurribing � � ,.� r ' � � ,' _w ' � - 39. Water Service-F,inal � � � � � � , - f 40. Gas Service Final � {, , � , . � ,, " � 41. Solar pom�sticFinal �:. , � -� -- - � - � �- • � . ' , ; 42. BackflowPreventer � , � � ' � ' _ ._.._ � __ � � , 43. Backflow Irrigation,��, �' �� ;.., ' , . � - � � , .u;. , 44. ,Landscape Irrigation�System � - � � i � � �, , , 45. Sound• Attenuatio�n� .' � " _ ` - - _ i , � n, ,� _ • 46. Handicap Regulations�, ' � . - - � �� ' � �; � � ;, � � r 47. FINALSTRUCTURE�&BUILDING S , , � � ` � � � _„ � � � 48. Special Requirements ComPleted ' � i •, I , . � ! . � " � ' � � ' , � '49. ElectrieReleaseto�Edison � ' . �� " '` : �-`" ? � i: � . ' � � �' 50. Gas Release to Southe�n Calffornia Gas Co . � � � � ' ' � � , f� . •�� .r� I 51. CERTIFICATE OF OCCUPANCY�-' ' - --- - - -�-� +-r --'- -- �- � ; �•-� ' _ . • � _.. . , E� , �j No. - - - � Date-: ' - � _ -�-. '_�- - _ ---'`' - �'- � - r - - . . � . . . . ... .. � � A W � N 1• � STRUCTlSRi1l. �`PPRDVAL DNLY SEPAflATE PERMiTS AftE RE�UIRED , F�R Ei.ECTAICAL PtuMBlA!G, HEATI�dG. '•;EnitiLarihG A^�D RF.6HIi;Ei?q"(!O�i 'J:uf�K , ------ --, _ ��T,M�-,°�� I�bo59 , i �• s;: ; � �:.. _.� � f �'��@ '_... "' ' ?i . �i,��'r�i��-/ � :. . ,. , ,i: ;, . : . -, : ,..�., � F?��. • : ., .��liJl` :_�__._._._..�.____._' -" "__'____ i � t'�47 ; _.:�iu� . ... . _• . ' ija :.[ i � r:n5.'_ i.' . ... ,. , l� - ':�.r ct*.ft:iF � +�nIt1-Qi.., oi.. . ...'.iAl.liYC7:' €K� �;�::.�;,r�� r::r� t;�;�;n�vat LN�nu�n�n�tr�rs � A1t10[/fl ��t10[MC[ `: . � , , 5 n_� g. ,,. �� APPRO�D Cm/ OP COSTA MESA PLANNING DEPT• fUUECT i0 BIDG. D�. R� � n��PIANNIN�___ fuls�rc[ 1 1 � Rqio[ru � �'. r` K � �_ �3,d .I 3��b ti � _ STREEf A � c� PN �.Li �C,,�L �L^ CamentCoW�YOPt� d cn.��si siod� w�cn on� �e. � HoritonW Top o/ NI � Fenca� for Fenas 6' a Lw Vart. Ban 3/8' ��t 1' -0" O.C. For Fena� Highar TNn 6' — Vart. Ban 3I8'�% at 32" O.C. Fill Celb Solid With Grout — Whero Stsel Oecun Ranforcing Staa1.SM11 Conform to S�e.A-1639 A.S.T.M. All Steel to bs L�pped 16 " or to CoM NATURALGRADE TWO 7/!" BARS � CONTIN W US TOP 6 BOiTOM T Y PI CAL 6" CONCRETE BLOCK FENCE •o e "p N O � WIOi SEE CI 1_ ' BELOW FOOTING REQUIREMENTS GENERAL- NOTES MORTAii: Om Pe►1 Plostfe Gm�nf, and Thne Parf� Sand GROUT: , pne Paf Cemenf Tlru and Orw Half Parta S�ond COPIN(i: One Porf Ctment, Th�N Porh Sand CONCRETE: Wa11 Mize4 1: 2� s 3� Mar. ol 7/2 Gollons ot Watt� Per Sack oi Cemeni fiROUT MAV BE POURED FROM TME TGr OFTNEFENCE , CEllS AND AREA80F NON120NTA� NEIN• FORCEMENT SIMLL BE CLEAR, CLEAM • FREE Oi A�l MONTAR DEBRIS, ETC. eoNos swue e¢ rpovroco er u►riwo BLOCIfSIN STRETCMER COUNSES SO THAT V ENTIGL JDINTS AITENNATE IN EACN COUNSE. �M OF EARTMTCOTN 1/] TNE�HEIGTM OF FENCE �ECOW 801TOM OF FOOTIN6. SCALE: 1/2" • I' WAII HEIGHT 6� 5� 4� • 3� WIOTH OF FOOT�N� 14 14� 12� �' � 12� THICKNESS OF FOOTING 10� 10' 6� 9� DEPTH OF EARTHTOOTM 24� 20� 16� 12� SPACIN� OF EARTHTOOTH 12� 14' 16� 16� OWNERS NAME: _ _ _ _ _ _ _ _ — � _ _ _ � City of Costa Mesa, California �� AOORESS: _ — _ _ _ _ _ _ _ _ _ _ _ _ Building Department � � .ri ADO��ant to till in all spaces exceo� tnose within neavy bortler lines antl sign all apvroo/iate aeclarations. ci7%roF�oSTAME/S/a;-'C� STRUCTIONPERMIT, ' . Project Address _ 3 7 6� A'ti Ra F� � L L i.l� � � Applicant's Mailing Address. � �2� � � ' Owner's Name �� ' DINL�YL hone 5�' ��7 Address 4��'/E'' �A-I .flrOvN" - Zru- o2-z"� Arch/Eng. License No. ' Address Contracror's Name � � _Phone Address Imailing) �� • City License No. ' LICENSEDCONTRACTOR E RATION � � I,hereby affirm tM1at I am°lic nsetl untler provisions of Charter 9(commencing . with section �000) ot Oivisi n 3 of the9 usi' ess and Profeszions Cotle, antl my license is in full force antl eftect. �/'-\) , '��cense Class � v' L ic nse No. e � Si9nature � .RKERS'COMPENSATION DECLARATION , nereby affirm that I have a certificate ot consent to selLinsure or a certificate of Workers' Compenwtion Insurance, or a certifietl copy thereot (Sectlon 3800. LaC.. C.) . . . _ _ . r . . -' "' ' ' Policy No. � � ' Company � � eCertifietl cooY is hereby fumishetl. '' � i Certifietl mpy is filetl with the'city Builtling �ivlsion. Date " ' Applicant ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completetl it the permit is toLane huntlretl (5100) or less). j � , I certity that in the per(ormance�of the woik for which this Oe�m�t i5 issuetl, I shall not employ any persOn in•any manner so as to become SubjeCt ta Ihe Workers' Compensation, Laws of Califomial � , � . Date ' ' Si9nahre � �NOTICE: If, afte� inaking this tlecla�ation, you shoultl b¢come Subject to the ' Workers' Compensation orovisions of the Laboc Cotle, you must forthwith' comply. with such provisions or ihis oermit sha11 be aeemetl revoketl. CONSTRVCTION LENDING AGENCV � I hereby atfirm that there is a construction lentlin9 agency for the. pertormance of fhe work tor which this permit is issued (Section 3097 Civ. CJ Lentler'S� Ndme � Lentler's AtltlreSs ' � - - � � OWNER BUILpEH �ECLFRATION � � I.hereby affirm-thzt I am exempt from.the ContractoYs License law for the following reason (Section"7031.5 Husinessantl Protessional Cotle; Any city or -�unty whicn requires a permit to construct, alter, Improve, Cemolish or repair ' slructure, prior to itz i55uance, also �equires the applicant tor such pe�mit ile a si9netl statementrthat he/she is licensed pursuant to the piovision5 oi • Contractor's�License Law (Chapter 9(commencinq witb Sectlon 7000) o( ' ♦ision 3.ot the Business antl Protes5ion5 Cotle) or [hat he/she is ¢xempt therefrom antl the basis for the alleqetl exemption. Any violation of"Sectlon ]031?5 by any, applicant for_a permit subjects the applicant to a civil �e-j�alty of no[ more than tive huntlretl tlollars ($500). QS.I, ar owner o( the: property or my'employee5 with wages as their Sole Yompensation, will tlo [he work, antl the structure is not intentletl or offeretl for sale.(Section 7044, Business antl Professional Cotle: The. Contractor'S' License Law tloes not apply to an owner ot a property wno builtls or improves theteon, antl who tlaes such wo�k M1imself/hersel! o� through his o� her own , . employees, provitletl that such irtiprov¢ments are not intentletl or offeretl (o� ' sale. I(, M1owever, the builtling or imp�ovement is soltl within one yeat ot com- pletion, the owner wilLhave.tne bu�tlen of proving he/she tlitl not builtl or im- • �rove.fo� the purpose ot sale). I, as owner of the property, am ezclusively contracting with licensetl con- tractors to mnstruct t�e project (Section ]044, Business antl Protessions Cotle: The Contractor's License Law tloes not applY to an owner of property who builtls o improves [M1ereon,.antl who contracts for such prolects with a con-. � tractor(51 Ilcense puisuant [o the ConVacto�'S License Law). I am aware that . proaf o( [heir Worker's CompenSation insurance Shoultl be provi0etl to-me. ❑ I am exempt untler Section B. & P. 0.(or this reason Date � pwner � I hereby. certify Ihat I have reatl thiz application antl State tM1a[ the above . information-is mrrect. I gree to �comply-with all city antl'county ortlinances , antl state laws re�pfing o bui tling con5truction antl he�eby authorize repre- zentatives of � 7"S ci to te � n the above-mentionetl pro erty Por 3 - �7 y,�.� �to3 l5 � � TYPE OFCONSTRUCTION NEW- 'ADD ALTERATION.' REPAIR , ❑ CONVERSION O DEMOLISH ❑ OTHER . pp,# 1�T DESCRIPTION OF WORK/USE OF BLDG. — � . ' S Main Building: TVPE OF PERMIT ❑ GRADING FOUNDATION STRUCTVRAL ' T Front -'-p } '❑ TENANT ❑ EIECTRICAL �❑ PLUMBING ❑ MEGHANICAL B Rear , a .0 �OTHER , - � A PROJECT DESCRIPTION, SQ. FT. �1-'� �oCCUPAnIGv C Right ^$ CONSTRUCTIONTYPEi1LUC�kA4l �VALUATION$ 31�'�� g Left �7 ZONE '� GRAOING CU. VDS. ACRES ' p�ng. Ref. # Remarks:� ,. . - ' . Planning�Notes: � ' , � � <' � i , ' . � ' Bar Sink Bathtubs Clarifiers • Dishwasher -i " Drinking Fountains Floor Orains - Floor Sinks Gas Service Interceptors� ' Kitchen'Sink- ., Lavatories � ' .. � . - � n _ Roof' ReinspeMion Fae 1 Outlets' ' Sis� Duct- Under Ground Duct - S[ructural Duct - Ventflating • Exhaust System ❑ Multiple FirepVFact. Blt. ICBO # Heating System & Ducting � ai oo,000 sTu O i oo,000 Iinspection pur ses � �, � L/ � Signature Oate ?/ � orivers' Li ense or 55 � k ?+ /'� Remspec[ion Fee CMF 0865-46, rev. 30/84 WM1ite - Builtling;�Canary - Applicant; Pink -'Accounting; Goltlenrotl - AsSessor $75 Showers - Service Sink . Sewer Cap� � Sewer Connection Solar Collectors Solar Piping' Solar Tank � ' Swimming Pool w/$pa Urinal Water Closet Water Heater. ' Water Service Auto-Wash ' . .Laundry Trays � Isue Fee Hood or � Type I ❑� Canopy Type I I ❑ Refrigeration System . ❑0-t00,000BTU ❑100; System Repair/Alteration Fire Dampers Registers ' — . .. . _. ..,. Issue Fee �FEES l I Auromatic Washer� � Construction Pole Sub. Cooking Unit � . D ishwasher Dryers �Gas ❑Elec' Fan F.A.U. Flxtures � . Device Boxes ' Outlets, • i � � 8104 2/25/B5 ' . Zone � .Accessory.Buildin9: j _ " . . Parking Req.%Provided - � .ELECTRICAL Trens _ .�.. .�Meter Garbage Disposal ' Generator �0.5 KW 05-15 KW .t �� $ 3 . Reinspection.F� FEES '. 0 $ 3 � 15-50�KW�-� ❑50�KW" � i 100 amps= 100 amps Ii.�O T� ' " - ,. 2 O - N � ' N � G R- . • E Q M T ' S ' FEES ! 'Sub Panel � ' ! iMotors�0-1HP�1%-�8 i �, 'Inc.Solar 09-15 HP 016-15+ ' i .Microwave - - �. �._ . ,,.. _ Pole Light Range Si9� ; Standing Sections � �Trash Compactor . , $15 � . �;Issue Fee :� �DEVELOPMENTSERVICESREQ IREMENTS: � � 2oning Approved By Date Building Approved 6y - Date Z Application Isued By � Dat S� . e,' :, • . SUMMAR OF FEES � � •� BUILDING PERMIT $�_ SMIP '$ i. S� ' PLAN',CHECK $ ��5� PERMIT ' ' ' ��PLUMBING� - $ ' ISSUANCE ' $ , . ' P,LAN'CHECK 25%'� $ ENEFGV P.C. � $ ' . ..-' ELECTRICAI $ GRADING $ � PLAN CHECK 50% $ MICROFILM, $ � � MECHANICAL � $ ' ' � O , TOTAL FEE $ 17 � ; rPLAN CHECK 25% $ C� CONSTRUCTION AND PLANNI. - : ,� � � �L &�SPA 1 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.` Electric8l Conduit-Undrgrnd. ' � 55. Electrical Bonding � - , � 5. Steel� Reinforcement � � ,�56. Rough Plumbing &�Pressure Test ' 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER GUNITE . '{' - 7. F.00tings � , s 58. Electrical Conduif-Undrgrnd. . 8' Foundation _ ,' � 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. Se'wer 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 �lectrical-T Bar Ceiling 69. POOC/SPA SYSTEMS FINAL � ' . 79. 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 � Gas ❑ Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Freming 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � . 74. Overhead Hydro � 26. T-Bar Csiling (Structural) & Monocoat 75. Dry Chemical ' 27�. Frame and Flashing , 76. Dry'Standpipe � 28. Lathing & Siding 77. F.IXED SYSTEM FINAL 29. Insulati0n� . � . 78. FIRE PREV-. FINAL 30. Drywall Nailing � � _ HEALTH DEPT. REQUIREMENT . 31. Plaster 8rown Coat �.�. 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' � Notes: � 34. Final Heating & Air Conditioning . �+- iGg 35. Final�GasPipe:Test 36. Hood oF Canopy_, . _ . �_ "� Lal�• 37. FinalSFactory Fireplace r ., 38. Final�Plumbing _ � ' 39. Water Service-Final i � - y �: 40. Gas Service-Final . 41. Solarpomestic-Final "n � t . . '� �V 42. Backflow Preventer � � l -� 43. BackfloW Irrigation � . _ V 44. .LandscaPe Irrigation System � . - .- 45. Sound Attenuation � � � . ' ' i . 46. Handicap Regulations 1: r � . ' 47. FINAL 5TRUCTURE & BUILDING ..rj i5 �� 48. Special Ftequirements Completed ` � , � i 49. Electric Release,to Edison ', � . - � - � -- ' . '. � 50. Gas Release to Southem California Gas Co �. � � ' `-� ' � 51. CERTIF�CATEAF OCCUPANCY. . _ . _ _ .._ �. , . . No. ' Date � ` � . � y ; • � �R�oG �ll CITY COSTA MESA , PLANNING DEPT. 6UElKT TO BIDG. DEPi. RE0. . �i-�W.�. DAT �- SS a�ucro� o� r�wNir+o _ _, •caocra �p10[MC� �[�IOtMU � �ptlt11C[ sraecr a �(n'1 ��-k�ej c�+, cow� ow� � c�.��i e� w�in w� �s. � �.�:�w Top o�.0 � Pancas For Fanea 6' u L�a Vart. Ban 3/B'� �t 1' -0" O.C. For Fanees HigMr Tlrn 5' — Vart.,Ban 3I8'�j at 32" O.C. f ill Celh Solid With Grout — Whare Steel O«un Nainforeing Steal.SMl1 Conlorm W Sae.A•1fr39 A.S.T.M. All Steal to ba Wppsd 16"ar to Cod� NATURALGRAOE TWO Y!" BARS ' CONTINUOUSTOP 6 80TTOM u TYPICAL 6" CONCRETE BLOCK FENCE � O O x u I-'-9-i WALL HEIGHT WIDTH �F F007�N� THICKNESS OF F007�NG DEPTH OF EARTHTOOTH SVACING OF EARTHTOOTH REQUIREMENTS 0 10�� 10'� �6� 12�� 14'� �16 City of Costa Mesa, California guilding � Department OWNERS NAME: J08 ADORESS: GENERAL- WOTES MORTAR; On� PaN Ploslfc Gmad, and Three Parf� Sand GROUT: . Ona Paf Cement Thu anA Orw Half Parta $and COPING: On� Port Cement, TArN Parh Sand CONCRETE: Wail MiYe� I: f� s 3� Mar, of 7/2 Gollons ot Wofar Per Sock of Cement a110U� MAV BE VOYNED�FNOM TNE TOr OF TNE�FENCE CELLE AND AREASOi IIDNIZONTAL pE1N- FORCEMENT SNALL BE CLEAN, CLEAN 8 iREE OF ALL MDNTAN OEBNIS, ETC. eo►+us s�uu ee rnowoeo er u�nwa BLOCKS IN STRETCHEN�ODUNSE8 60 THAT VENTICAL JDINTS�A�TENNATE IN EACM OOURSE. �H OF.E4NTHiCOTH 1/3 THE HEIGTM Of FENCE 'BECOW BOTTOM OF FOOTiNG. SCALE: I/2"• I' 9� 12' 16� ,-=�ia��- .�;,t — — — _ ,' . ' ; -�; . . . . . , . : .;,� ' . . • . ; ' . �. � - .. .. . ;.. . . ' , . . . _ . ' _ ,. , . . : . c ' Ju1y 26, 1971� . � , ' ,._- � . . . , . .._ . - �` , ' ' . _- - ' , , , . ;. ' _ - �', . . ' „ � , . .. . , .. � � ,, ,- .. . ' , . - � . . . . � , . . - � ., . . . • � ' . Mr. �Robert A: ;Reide'r� ' � � • ' ' _ , � � ' . . - - 3460 San„Rafael'Circle,. ; �� Costa Mesa, `Ca1lPornia.:' = , , -.� � . , - . , . ' , - �. : � . . : , . ,n. �:.� . . , Dear Sir: __ -':• . : : . .= : � • A building permit,has,been isaued to Dolph Pools to construct �. ;� a.private. swimming pool�on your property.-,. . . . . . ,, '- In order that youur pool, wilI be a safe . one and for, the .purpose •.� . of' advising you of your �respor►sibilit regariling the re quirements _of :•. , .s the bosta �Mesa• Municipsl: Code; we �refe ou`to :Section 8107,. a, copy - • ; of which is attacheci. . � , � � This letter is directed to you'in:order,that.you will be aware . of our•;ordinance and can`mak a complete safety.check of your pool- � . �.. area. . ' ': " . . ' : i .. ; . _ � Sincerely yours, � . ,, _ . .. . . . •� � ` . J- . . ' �;' . - . •� RICHARD HANHART , . , . . � , _ - � _ - •Building Safety Director - . . RH:dYi � . . _ . � : .. - . - , : : " ' . . - -, , ; ' ` " . . '+- . „ . .� . i . (. . � . — - . , ' . . � � . . � .a . . ,3? � . \ • ' . � . . .� .• . . . ' ' ' . . —. � . . � , � e . . . r . 5 1. . ' ' . _ . . . . 1.^ . . � ' . ' � . . 1 . - . . . � - ' . . . . ` . . . . • ! 4i' . ' ' . . ' � . . ' . ' . 1 � . e . . � , .. , -'. . ' _L . . . � . . ' k., � _. `- � _ . � �� . � . .. ; . n . . . ' - �• . �-� ZsA 2�;=�`` ``�02 Twininq Laboratories ��f =��«tittZ,= c�.�c�f��.,Z«t, �,Z�. �� P.O. BOX <] . 3310 AIRoO?� WAY . LONG BcACH, CALIR 90801 . I�� a�6�3355 . �2i3� 636-2786 . �]la� 8P8-h<Si acnn'cN G.FlCEs� TESTING isi..o:io.�; w,P., 5�,« vo, ca�� ,,.<ia�r.A Se��e n�.e, Ce'd+o�-le a})p) }:55 � mo�co n,e., G.O. Bo. �] �nq sli aas ' �o-q e.t��, ceh� apaoi I>�31 e�e-nee August 12, 1971 Examination: COMPRESSION TESTS ON GUNITE CYLINDERS l. E. Sprague 2133 Mira Mar Balboa, Californta92651 PROJECT ADDRESS SAMPLE FROM AIIGNttECT ENOIMFEM MIX DATE CAST DATE TESTED CYIINDER NO. COMPRESSION TOTAL LOAD, LBS. POUNDS PER 50. IN. SIZE: COMPLIANCE CYIINDERS Swim Pool for MR. 8 MRS. REIDER 34G0 San Rafael Circle, Costa Mesa Swi m Pool �Uh�Lt' $-5-71 8'12'71 1 7-Day 92�000 2,948 6-1/4" x t2-t/2" SC71-4448 Perm(t N3335o COMTRAC70R . , � - Dolphin Pools sueconrx�troa So. Countles Gunite Co. SPECIFIED STRENCaTH Z�000 p51 SLUMP 5-12-71 3 7-Day 75,500 2,460 6-i/4" x 12-;/4" 7-day iest complles atth speciftcatlons. �uoE er L.E.Sprague oisrRuunoN: (%/� ��ff �/Z �/ '/ Dolphin Pools 11199 Newport Ave., SA 2705 Costa Mesa Bldg. Dept. So Counites Gunite Co DEtIVEYED !Y -Same- 5" 8-12-71 2 "HOLD" 5 4 "HOLD" 6 "NOLD" 7-Day 70,Q00 2 ,280 6-1/4" x 13" lECEIVED ON 8-6-71 B�1f�DI�.G S��=ETY DE�'T. �;L � _ 3 1971 . . „ L.E. Sprague - 2 �/•' � r, ,, �'y�-{+" ' ;�/�'C..a..._ .a.a. •LL NEPORTS �NE SVlMITiED �5 THE CONiiD[HT��L PFOVERTV Of CLIEXTS./.VTMOFII�TION fOM VVlLIC�TIOM Of OUP REP�T�CONCLlI510N5, ON E%� TNFCiS fROM 04 REG�IFDING TMEM i5 YFSEpVEO Y[NOiMG OIIP WPITTCH �YPROV�L �5 � MUTV�L VROTCCTIOM TO CLIEMTl.TM[ pVGLIC �NO OVRBELVES. 330-12 � ,_� ., `` 29��0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 � COSTA MESA� CALIFORNIA 82626 for Appl7conf fo Flll In Complefoly TYPE OR PRINT ADDRE'S8 3460 an afa �%�'i COSTA MESA. CALIFORNIA S STATE b-11V4 .�.�:..�.�..�.�...oe. O USE OF EXISTIN6 BLO6. eRs11CN LIHi IIIOtl � cBNTeR o� aTn[aT RRAR YA D y YARD I L[FT � S� I RIOXT ].O � DESCRIPTION OF WORK 1 EXTERIOR WALL ROOP COVERIN6 StllC COVERING WOOfl shin UDB OF CUILDIHY AtID WORK TO D6 PBRRORM6D and Gara e Attached Plan 403CX Lot 15 1 HERBBY ACILHOWLdDOI TNAT I NAVL RBAD TNIB APPLICATON ANO BiATB TNAT TNC ABOVB IY CORRHR AND AOqEB TO COM. PLY WITH ALL CITY OROJNANCYY AND RAT[ I,AWD qLOYU1TIN0 lUILOINO CONBiRIlCf10N. ' SIGNATURB OP � PERMITT6 ^ • AVTHORIZfiD AO[ �IIH —7'GIPAcOOO � 7�# AhA � �t�l.�(: CFI, M1 APPLICATION FOR PERMR BUILDINt3 Po� Office Use Only r ZONING zox[ xo. or uca or n¢w 05. ti . R� �uns � em�o�no�ttarh_f. oeoc`nimox �0 i— � i Tiact �I66? w.r+.No. Nnne NOTl: NO6AVlOVHRHAN68NALLB8LE88THAN YARDS APPROVHD � MAIN BUILDIN6 �( PROM C/L LTR6R) PRONT _� '�� R. R. BIDi U !'T. L. YIDL �„�PT. R� ,�r�• 6�. oier�nca err. MAIN BLD6f. VAR. �F Ti6 11MOUNT BNOPI �YqP098 OP BBTA VALUATION E�a, 5�y °° YARDBAPPROVED ACCEY80RY BUILDIN6 DATE � � � " W a � � n�� VALUIITION IB FOR.THB j A PfiPMIT FE6 ON�Y. 1� �� IT FEE $ p �d — ° W _FE8 $ ( V�' � .. .. 33350 �� / )UL 22-71�nI�00?_058'� *�:**39.00 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 WSTA MESA, CAUFORNIA 82628 . For Applicant ro fill in Complete/y �LICATION FOR BUIIDING PERMIT A G pECEIVED 8 on�� O D�%AT� ZUEQ � . �ADOFESS � � S}YN � � / � / . OWNER 1�. ;=i ►'� �2 � �r A.V. NO. - 's � P �O _ . MAIL /� � D'DRESS U S�/nA% � Z ADDRESS ' ' S7-� �� d U CITV C�STi S!� NOLS�%-p TNACT LOTIS BLOCK � COt�LSTRUCf10N — . . LENDER � � n J ] BRANCH J � OWNE m J ADDRESS � � VALUE L�[//�j� �`� ' J a AR ENI IN ER �`�i � TELLA��g $/�' ✓ ,. W� ADDRESS �(/�2. W_ ��Ly-� ZONE TVPE /�R UP / d W t APVROVED CONTFACTOR 1 � � � `,_,S BV OATE J? ADDRESS' C{C ��T ' W W - ZO NO.OF USE OF NEW Z= CITV �' NO.$�� PlANS � BUILDING r O STATE /y CITV VAROSAPPROVED VARDSAPPROVED y y LIC. NO. �� -C O LIC. NO. MAIN BUILDING ACCESSOfiV BVILDING 7 O (FROM GL STREET) 512E r l NO.OF BLOGS. ( / OFLOT �`O NOWONLOT � FT FT. EXISTING BLDG. 1 C�.l l' � l.� � .[J/ �S12E OF NO.OF ' NEWBLDG. Fl�OMS STORIES S FT � FT. E%TEHIOR WALL ROOF COVEFING COVERING REAR FT. FT. J USE OF BU, I� NG AND WO K TO BE PEflFORMED DISTANCE BET. BET. MAIN & a W 1Ui MAIN BLDGS. ACCESS. BLDGS. a Q . � VAR.M� DATE O C.U.P.� APPROVED yAPPROVED / z 0 VI haraby aeknowledBe that 1 �ave raetl this ap0lfcation anA stece � me. ma above InfarmaHon Is eorract end apree to comply wIM � all laws repuletinp b�il0inp consiruction, antl I ahell not employ � eny perwn in violntion of Me workmen'� compensetlan law� of y Me Stace of Californie. m - ? 1 �ereby certify ihei 1 em Droperly Iicenutl aa a<ontrector untler SQ. FT. O Me Srere of Calltornfe Businesa entl Profnsions Code, Dlvbion 3, THE AMOUNT SHOWN UNDER vALUATION IS FOR � ChepMr 9, end <he< sueh licentes ere in full foree and effect, or I THE PUflPO6E OF ESTABL6HING A PERMR FEE ONLV: Q . em ezempt from Me provi�ions the State of Celifornia Busineu VALUATION ' �y end Professi s Coda, Dlvision 3, C epnr 9. PERMR FEE $�C 1 �_ �' ] Sipnature Of ' ,?, ).✓ m . Patmlttee S %'v PLAN CHECK $ ✓• �_ E ��\ N o LL Authorizetl Ap TOTqL FEE $ �� - OWNER �nR AC 'R �o. \� INSPEC � ��„ GAS WATER PROP. SWR. LINE � J H01 SPRINKLING SVSTEM MISCELLANEOUS � ROUGH HEATING AN� AIR TEMPORARV SE ❑NOERGROUND PO ROUGH WIRING FLOOR SVSTEM BOND BEAM � SHEATHING FRAME ANO FLASHING I Nf. _ IN n Robert A. S1nUCTURAL, FINAL HEATING, VENT., REFftIG. ANO A. PWMBING, FINAL FNO 6�5T,� ELECTRIC, FINAL IONING FI DATE 7_p2 SUBCONTRACTOR