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Home My WebLink About3490 SAN RAFAEL CIR - Building Permits,p : . �l t CITY OF COSTA MESA ;� F _ � BUILDING D/VISION � _ DEVELOPMENT SERVICES DEPARTMENT �� PERMIT PERMIT NUMBER ' B99-00213 �� (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 3490 SAN RAFAEL CI Suite: Vicinity: Parcel Nunmber: 41205120 npplicant: MILLER, DALE Address: Owner: ROOT,-STEVEN J Address 3490 SAN'RAFAEL CIR //�./i�� '� �. � COSTA MESA,CA � I.'i : / \ : .. Contractoi: "� DALE'S.ROOFING Address 13787 NEWHOPE�ST � i , � � - GARDEN�GROVE CA . � ; Zip:. 92703'.� . a , i- BUILDING PERMIT Zoning: R1 Phone: ' Zip: Z Status: ISSUED R� Applied: 02/12/1999 Issued: 02/12/1999 , _ � � - � : ` �:� �' � ' � Phone: � . .. � _ : � . �� \ Zip: 92626 . , . ' - V` � -�� . ��; . . . ; ��. i�' � � , j ,� Phone:, 714-534-6398 License - 503508 . � .'.. �::: ��. , �`: � � � , Arch : � : ' ' � >. � ' Eng: �' � . � � � '1: Address: - . � ' _ Addres's:. � � `i . . , , % �-Phone: . _ � � . .. _ � Phone: -: , v • • : � �> , � Zip: ' " License: � License: � �' ' � ', SCOPE OF PERMIT , � , . , - � � � � ` , ; T/O EXISTING AND REROOF THE HOSUE AND GARAGE WITH COMR SHINGLE;.30 YR. ROOF CERT ATTACHED TO � , PERMIT. � _ � - � . - i ' . " ' i : Plan Check: Permit; SMIP Res: SMIP Com: �; Otfier: ' Inspection: Total: $0.00 $112.25 �$0.56 $0.00 $0.00 $0 00 $112.81 .� SETBACKS MAIN STRUCTURE Fronb 0- 0 ACCESSORY Front 0- 0 I'7_�:7:RdL�3 NOTES: Rear 0- 0 _'i i ,��. � FEE.SUMMARY,:�i , , , �,' r � � = Calc Valuation: ' gs,soo.00 � � � ,� � Claim Valuation: � ' 'gs,soo:oo - � � . , ` ; �1' - �' i — _ , %` J � , r'; � � , :; � _ �.%. ., � �. � . . . " " . -- �/' � PLANNING&ZONING ' Left 0- 0 Rear 0- 0 Left �� 0- 0 Existina: 0 Required: 0 � Proposed: 0 !�, �: . � �- , . . !� j R�gnt. , aa:"� � . Righb ��; 0-d � 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 Inapectiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: Q14) 7545826 . , WORKERS' COMPENSATION DECLARATION: I hareby effirtn under penalry of perjury one of the following declaretions: � ❑ I heve end will malntain a certificete of consent to seli-Insure for workers' compensa[ion, as provided for by section 3700 of the Labor Cotle, for the peAormence of ihe work for which Ihis pertnit is issuetl. ❑ I have antl wlll malniain workers' compensation insurence, as requiretl by seaion 3700 of the Lebor Cotle, for the peAortnance ot ihe work for which ihis permit is issued. My workers' compensetion Insurance cartier entl poliry number are: Cerner: ' Policy Number: (lhls secfion neetl not be comp/ete0 i/ the permil is va/uetl ef one hundred dollers ($100) or less.) ❑ I certify that in the perfortnance of the work for which ' permit is issuetl, I shall not employ eny person in eny manner so es to become subject to Ihe woAcers' compensellon laws oi C ia, a gree th it I s become subjecl lo lhe warkers' compensation provi5ions of Section 3700 ot Ihe Lebor Code, I shell forthwith comply with ihese pro sions. !` -1 q. 9� ApplicaN SlgnaNre: �.i v Date: � �— �d ' / / WAPNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUfl1ECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSPND DOLLl�RE (5100,000). IN ADDRIIXJ TO THE COSi OF COMPENSATION, DAALIGES AS PROVIDED FOR IN SECTIIXJ 3706 OF THE LABOR CODE, IMEFEST, AND ATTORNEI"S FEES. LICENSED CON7RACTORS DECLARATION: - I hereby eNirm that I am licensed under pr,,,QQQNslons oi Ch p r 9(commencing with Seqlon 7000) ot Division 3 of iha Business end Professions Cotle, end my license is in full force and aftect. Lic. #—T �—�___(� �� Class k ConiredofsSigneture: �� '2` Date: � �� %�' �% Q CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn Ihat ihere is a construction lending egency for ihe pedortnance ot lhe work for which this permit is issuetl. (Sec. 3097, Civil Coda). Lenders Name: Lender's Addreu: Signature: Date: OWNER-BUILDEH DECLARATIONS: I hereby aHirm Ihet under penalry ot per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reeson (Sec. 7031.5, Business entl Professions Code: Any ciry or wunry which reQuires a permit m cronstruct, elter, Improve, demolish, or repair eny structure, pnor to its issuance, elso requires Ihe epplicant for suc� permit to file e signed statement Ihat he or she is licensed pursuant ro the provisions of the Comractors License Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 of tha Business antl Protessions Code) or thet he or she is exempt therefrom and the basis for the allaged exemption. Any violation of Section 7031.5 by any apDlicant tor a pertnit subjecLa iha epplicant to e civil penalty ot not more than five hundred dollars �$500).): ❑ I, as owner oi the property, or my employees with wages as Iheir sola compensation, WILL DO THE WORK, and Ihe slructure is not intenaed or offered for sale (Sec. 7044, Business an0 Protessions Code: The Contrectors License Lew does not epply to en owner ot property who builtls or improves thereon, and who does such work himseH or herself or through his or her own employees, provitletl ihet such improvements are not intentletl or oftaretl for sele. If, however, tha building or improvement is sold within one year of wmpletion, the owner-builder will have the hurden of proving that he or she ditl not build or improve for purpase of sale.). ❑ I, as owner ot the properry, em EXCWSIVELY CONTRACTING WITF1 LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Busineu end Pmfessions Cotle: The contractors License Lew does not epply to an owner oi property who buibs or Improves ihereon, and who contracts for such project with a contractor(s) license pursuant to the Conirectors License Lews.). ❑ I am eaempt untler sec. Signalure: Owner ID verified by dnveYs license. ❑ Yes ❑ No Business and Protessions Code for this reason: Vedfiwtion oi Ownership by (ryDe of tlocument, I.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: Dnvefs License No. Date: Expires: ❑ I here6y certiy Ihat no axcavetlon five (5) or more teet in depth into which e person is required to descend, will be matla in connectlon with work authotlzetl by ihis permit, and that no builtling siructure, scettolding, telsework, or demolition or dismantling Ihereot, will be more then thirry-six (3fi) teet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title e, Calitomie Adminisiretive Code). ❑ As ownerbuilder, I will not employ anyone to tlo work which would require a partnit from ��e Division ot Indusinal Safety, as noted ebove, unless such person has e permit to tlo such work iram Ihe division. Signature: Date: Division ot Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJfHORVATION OF ENTflV: I ceAify under Denalry of perjury ihet I have read this application end state ihat ihe informetion given is conect. I egrea to comply with all state laws and ciry ordlnances relating to building construction, antl euthonze representatives of the Ciry ot Costa Mesa to entar upon the ebove-descnbetl property tor inspection purposes. I agree not to occupy or ellow occupancy of any 6uiltling euNonzed by this pertnit until tinal inspection. i5� ure OI Legal Owner(s) Dete - ` � _ - ,�� - 9� � An r Authonzad Apphcant Date CODE �. INSPELTIONTVPE 1616 Flxed System Finel Fire Prevention 1286 Pool Spa Final 200 Flnel Re-Roof 201 Finel B1ocWRataininp Wel1 202 203 204 2448-06 Finel Fectory Fire Plece Final Sign Finel Demolition �. 1 �1111. ��/.I�%/ � �flp[� INSPEClIONTYPE 206 Finel Mechenical 208 Finel Plumbing 210 Finel Electricel 212 Final Fire Prevention 220 Flnel Plenning Approvel 222 Final Site 250 Finel Building/Occupancy �g �is �� M s CITY OF COSTA MESA ° BUILDING DIYIS/ON > _ � � DEVELOPMENT SERVICES DEPARTMENT J" . ; y..,•,.;•. •y�� PERMIT < (714) 754-5273 • Fax (714) 754-4856 Job A�jdress: 1858 PARKCREST DR Suite No Vicinity: Parcel Nunmber: 42431211 npplicant LEWIS,RICHARD Address: Owner: DE LA ROSA, ROBERTO Address 1858 PARKCREST DR COSTA MESA,CA - PLUMBING PERMIT Phone: Zip: Phone: Zip: 92627 contractor: ' GEORGE BRAZIL PLUMBING, HTG. Address: 3801 LENAWEE AV ArchlEng: Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect pce,Soda,etc) Dental Units . Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service . CUWER CITY, CA WATER HEATER CHANGE OUT. AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Phone: 310-253-5229 Zip: . 90232 License: 679898 � Phone: Zip: License: SCOPE OF PERMIT FEESUMMARY Qrv nnnr Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap � $0.00 0 Pressure Regulator $0.00 .0 Process Piping (per 10 ft) $0.00 0 Receptors . � $0.00 0 Septic Tank , $0.00 0 Sewer Cap for Demo �� $0.00 � 0 Sewer Connect � $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial �$0.00 0 Sink, Floor $0.00 0 Sink, kitchen $0.00 0 Sink, service/mop � .. $0.00 0 Spa (private) . $0.00 0 Spa (public) $0.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 , . ... PERMI�V " P98-00886 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/11/1998 Issued: 12/11/1998 SumpPump Swimming Pool � Trap Primer Urinal Vacuum Brkr Bkilow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set ' � Waste and Vent System Water Closet (Toilet) Water Heater / vent � Water Piping Qnst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 i 0 0 0 0 EXPIRATION: This permit shall automatically ezpire and become void if work is nol commenced within 180 days, or if work is suspended oi abandoned for a periotl of 780 days. � INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby attirm under penalry ot pg�jury one ot lhe tollowing declaretions: ❑ I have antl will meintein a certificate ot consent to salbinsure tor workers' compensetion, es pmvitletl for by section 3700 oi ihe Labor Code, tor the pertormance of lhe work �or whiCh this pertnit iy �s,qued. �` I heve antl will maintein workers' compensation insurance, as require0 by section 3700 of Ne Labor Code, for the peAortnence of ihe work for which this pertnit is issued. My workers' compensation Insurance cartier end policy number are: �%_��O/^ �� Cerrier. 5� I�GM1-� Policy Number. �� (lhls section need nof be cromp/eretl il fhe permit ts valuetl at one huntlred dolla(s ($ f 00J or /ess.) ❑ I certify that in the peAortnance of t1]e wod{-for which this pertnit is issued, I shall not amploy any person in any manner so as to Decome subject ro the workers' compensetion laws of Celifomia, rfBd lhat%� I s�oultl become subject to ihe workers' compensetlon provisions oi Section 37Q0 of Ihe Lebor Code, I shell forthwith compty with these provisians. / /� /�//j�� AppliceniSigneture: ��' Dete: C Y✓ __� WARNING: fAILURE TO SECURE WORKER SATION COVERAGE IS UNLAWFUL PND SHALL SU9IECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRE� THOUSANDDOLLARE(5100,000),INADOITIO TOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSEGTION3IWOFTHELABORCODE,INTEREST,ANDAITORNEV'SFEES. LICENSED GONTRACTORS DECLARA710N: I hereby aXirm thet I em licen;etl un�pWvisions oi Chgpter 9(commencing with Section 7000) of Division 3 ot the Business and Pm sslurs Cotle, and my license is in full force and eHect Lic. u �n `� t�7 y � / Class N �:2iJ�G3� Comractols Signawre: � Date: i 2�// 9� CONSTRUC710N LENDING AGENCY: ❑ I hereby aRirm that thare is e construction lending egency tor the peAormence oi t�e work for which Nis permit is is5uetl. (Sec. 3097, Civil Code). Lentlefs Name: SignaNre: _ OWNER-BUILDER DECLARA710NS: Lenders Address: Date: I hereby eHirtn thet untler penalry oi perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which raquires a permit b consWct, alter, Improve, demolish, or repalr any sirucNre, pnor to its Issuance, elso requires the applicant for such pertnit lo file a signed stetement thet ha or she Is licensed pursuent to lhe provisions of the Coniractore Llcense Law (Chapter 9(crommencing with Section 7000) W Division 3 ot the Business and Professions Code) or ihat �e or she is exempt theretrom and the basis for the elleged eaemption. My violation oi Seclion 7031.5 by any applicant for e pertnit sub�ects the epPlicant to e civ�l p9nalry of not more ihan five hundred dollars ($500).): ❑ 1, es ownar of tha property, or my employees with wages as Ihelr sole wmpensation, WILL DO TME WORK, antl ihe structure is nol intendetl or offered tor sale (Sec. 7044, Busineu entl Protessions Code: 7Te Contractors License Ww does not epply to an ownar ot properry who builds or improves thereon, end who does such work himself or hereetl or Ihrough his or har own emplayees, provided ihat such improvements are not intended or ofleretl for sale. It, however, the building or improvement Is solC wiihin one year ol completion, the owner-builder will have the burtlen of pmving that he or she dld not buIIC or impmve for purpose ot sale.). ❑ I, es owner of Ihe property, em EXCLUSIVELV CONTRACTNG WITH LICENSEO CONTRAC70RS to consirud ihe project (Sec. 7044, Business end Professions Cotle: The coniractors License Lew does not apDly to an owner of property who builds or Improves ihereon, antl who coniracts for such project with a contrec�or(s) Iicense pursuant b the CoNractors License Wws.�. ❑ I am ezempt untler sec. Signature: Owner ID veniietl by drivers license. ❑ Yes ❑ No eusiness and Professions Cotle tor this reason: Varlfication ot Ownership 6y (rypa of document, i.e. - properry �ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Dnvers License No. Oate: Expires: ❑ I hereby certly that no excavetlon ilve (5) or more feet in depth into which a person Is requireC to tlescend, will be mede in connection with work authodzed by Ihis pertnit, end lhet no builtling siructure, scaHoltling, tfllsework, or tlemolition or dismantling thereat, will be more than �hirty-six (3fi) feet high. (Chap. 32, Gry 2. Art 2, Sec. 341, Title B, Calitomla AdminlstretNe Cotla). ❑ As owner�Duiltler, I will not employ enyone to do work which would require a permit from the Division ot Industrial Safery, es noted ebove, unless such person has a pertnit to tl0 Such wark irorh Ihe tlivisian. Sipneture: Date: Division of Industdal Safety Perrqlt Number. CERTIFlCATE OF CAMPl1ANC� AND AllTHORIZATION OF ENTAV: I certify under penalry of perjury thet I heve read ihis application antl state that ihe intormation given is corract. I egree to wmply with all state lews and ciry ordinances relating to building construction, antl auihorize representatives of the Ciry of Costa Mesa to enter upon the ebove-Gescribed properry for inspection purposes. I agree not to occupy or allow acupancy of any building authonzed by ihis permit until final inspection. COOE I. INSPECTIONTYVE 1616 Fixetl System Flnel Fire prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Finel BIocWRetaining Wall 202 203 20a 2a4F46 Finel Fectory Fire Plece Final Sign Finel Demolition �� COOE� INSPECTIONTYPE 206 Finel Mechenical 208 Final Plumbing 210 Final Elacincal 212 Final Fire Prevention 220 �- Finel Planning Approval 222 Final Site 250 Final Building/Occupancy i z%/�� i Dat QSiE ��it �fi� �, ��•7'I' ApO��ant to /ill in all spaees except those within heavY Doraer Ilnes antl s19� all aDoroDriata Geclaratlons. CITY OF COST� A �.QNST�UCTION PE� IT �FRMIT N(1 TRA�T N/l I.(1T NO. � inuT un ,Project:Ridress SQK , �� yl � Applicant's Mailin (�ddress � � � S [ OOwner's Name ,, Phone � Address � " P�ch/Eng. _—�h`C' License No. Address Contractor's Name � P H Ph Address (mailin9 ��- City License No. LICENSED CONTRACTOR CLARATION I hereby affirm that I am licensetl untler provisions of Charter 9(commencing with section 7000) ot Division 3 of the Business antl Professlons Cotle, anC my license is in II f r antl effect. ��J'^�.I n/ License CI 5 — 'E RZ ES.��/�/� Date Signah WORK RS'C MPENSATIOPYDECLARATION I herebyatfirm that I have a certificate of consent to self-insure or a certificate ot Workers' Compensation Insurance, or a certi(letl copy thereot (Settion 3800, Lab. C.) Iw', p � ' Policy No. r0�4WFb— � I �o pan � � ertifietl copy is nereby fumishea. Cer�tialietl ro y is filetl with Ihe city i Divisiq�/ Da[ey�..J Z�% 5� Applicant � L/LLG/tf �� E%EMPYION F�ROM WORKERS' CO PENSATION DECLARATION (This section neetl not be completetl it tne permi[ is far one huntlretl ($300) or less). I certity that in the per(o�mance of tM1e work fo� which thi5 p¢�mk is issu¢d, I shall not employ any person in any manner zo as to become subject to the Workers' Compensation Laws o( California. Date Signature NOTICE: If, after making this tleUaration. You snoultl become subject to the Workers' Compensation provisions o/ the labor Cotle, you must forthwith comply with such provi5ion5 or IhiS pe�mit shall be tleemetl �evoketl. CONSTRVCTION LENDING AGENCV � I hereby aftirm [nat there is a construction lentlin9 agency tor the performance ot the wark for which this permit is Issuetl (Section 3097 Civ. C.) Lentler'S Name Lentler'S Atltlress � OWNE0. BUILDER �ECLARATION I hereby affirm that I am'exempt from the Contractor's License �aw tor the following reason (Section 7031.5 Business antl Profe55ional Cotle: Any city or munry wbich requires a permit to construct, alter, improve, tlemolish or repair any structure, prior to its issuance, also requirez the applicant tor such permit to file a signetl itatement that he/sh¢ is licensetl pu�suant to the provisions of' the Contracror's Licenu Law (Chapter 9(commencin9 with Section 7000) oi . Division 3 of the Business antl Professions Cotle) or that he/she iz exempt therehom anC tne basis for the allegetl exemption. Any..violation of Sectlon 7031.5 -by any applicant (o� a pe�mit sub)eGts ttte applicant to d civil �enalty ot not more than five huntlretl dollars ($500)( "" I, as owner o( the property or my employees with wages as thelr sole mmpen5ation, will tlo the wo�k, antl the SVucture is not intentletl o��otte�etl for sale (Section 7044, Business antl Professional Cotle: Tne Contrattor'S License law tloes not apply to'an owner of a property who builtls or improves lhereon, and who tloes sucn work him5elf/herself or through his or her own employees, provitletl that such improv¢ments a�e not intentl¢tl o� offe�etl for sale. I1, however, [he builtling or improvement is soltl within one year of com- pletion, the owner will have the burtlen of provin9 he/she ditl not builtl or im- prove for the purpose of sale). ❑ I, as owner of the oroperty, am exUusively contracting wiih licensed con- tractors to construct Ihe project (Section ]044, Business antl Professions Cotle: The ConVactor's License Law does not apply to an owner ot property who builtls or improves ihereon. antl who contracts for such oroiects with a r.nn- Vactor(sl Lcenze pursuan[ m me Contractor�s License Law). I am aware tM1a[ proof o/ their Worke�'s Compensation in5u�anC¢ shoultl be provitletl to me. ❑�I am exemp[ untler Section B. & P. C. for this rea5on Date Owner � I hereby certity that I have reaa this application ana stzte that the above information is mrrecL I agree to compty with all city antl county ortlinances antl state laws relating o builtling�cons ctipn, antl here0y autnorize repre- Sentative5 of (�5/c' to entef/up eJabove-mentionetl orodertv.for Signature WN/'� Drivers' License ar 55 0865-46, rev. 5/88 TVPE OFCONSTRUCTION L�NEW U ADD LJ ALTERATION LIREPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTFjE9�' �t�—_ . �E��PyIONO�W �US��FBL . �> �[P . �� L TVPE OF PERMIT GRAOING FOUNOATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sc4. FT. oCCUPA��^NCv��''''ppp�� 3��, CONSTRUCTIONTVPE� VALUATIONS� ZONE GRADING CU. VDS. ACR 5 Remarks: Preven[er Irrigation Drinkin9 Fountains Floor Orains Floor Sinks Gas Service � Outlets Interceptors Kitchen Sink Lavatories P—Trep Roof Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Strucmrel Duct - Ventilating Ezhaust System ❑ Multiple Firepl/Fact. Blt. iC80 # Heating System & Ducting ❑ ai oo,000 eTu � i oo,000 Reinspection Fee Builtling; Canary - Applicant Pink - Accounting; Goltlenrotl - AS5e55or $75 2 �a Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping � Solar Tank Swimming Pool w/Spa Urinal �ter Closet Water Heater Water Service Auto-Wash � laue Fee Hood or Typel ❑ Canopy Type I I ❑ iefri ation System • -t00,0008TU ❑100,OOOBTU System Repair/Alteration Fire Dampers Registers ' � Issue Fee s�.r. �F !� � S Main Build E T Front A Rear C Right K Ping. Ref. # Planning No' — I ' ZD za�a Accessory Building: - I� O %� ," O� N o' G R � Parking Req./Provided � • E L ' n M T' S. FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Oryers ❑Gas ❑Electric Fan F.A,U. Fixtures Device Boxes . Outlets SWitCh¢5 Garbage Dispoul � Generator �65 KW 05-15 $ 3 FEES $ 3 ELECTRICAL ' Transtormer ❑ 15=50 KW ❑ 50+ KW Meter LJup to 700 amps Meter ❑over100amps Sub Panel Momrs �0.1 HP �1 X- 8 Inc.Solar �9-15 HP �76-15+ "Pole Light �� 1 Range Sign Standing Sections Trash Compacror .I Reinspeaion Fee !$75 � I Issue Fee DEVELOPMENT SERVICES HEQUIREMENTS: 2oning Approved By Building Approved By AuplicatiOn IaUBd BV S�U�MMy�ARV OF � BUILDING PERMIT $ I,7 F• DV � PLAN CHECK $ �S- � U � PLUMBING $ , PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ . . PLAN CHECK 25% $ FEES $ 3 -2$ � —'1 R_ SMIP $ • J � PERMIT ISSUANCE $ ENERG�'P.C. $� GRADING $ MICROFILM $ TOTALFEE $ gq• 60 Oi 00fl?9373—�p029375 T4l" '9.b'J' �RTE: C3/2E/84 Ti1M1E: 1-��5f . , l`,�' '\ 4''. � , . . _. .. . .. � 'CONSTRUC�ION AND PLANNING ' � POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector t; � 1 �Temporary Electrical Service or Pole �( 52. Pool & Equipment Location � �il 2. Soil Pipe-Undrgrnd., . - �� 53. Steel Reinforcement ,� �, '� ' 4. �3. Electrical Conduit Utility-Undrgrnd. y l 54. Forms �. �.. r^ 4'aElectrica� Conduit-Undrgmd. !J 55. Electrical Bonding ' 1 � 5. Steel Reinforcement}� �`,� l 56. Rough Plumbing & Pressure Test ' l. 6. Electrical UFER Grnd'.- � • 57. APPROVAL TO COVER-GUNITE � r , r � '� 58. Electrical Conduit�Undr rnd. �; 7. Footings ' � g P-- V.; 8: �Foundation '�' ._ , . 59. Gas Pipe, D Undrgmd., Test - � 9. �Water P'�pe-Undrgrnd.' � � , 60. 8ackwash Lines, P-Trap, � Undrgrnd. �. � �� - 10. Structural Floor System . . � 61. APPROVAL TO DECK �, 11. Property Sewer Line & House Connection �� 62. Backwash & Receptor-Final �-' 72. Se�ver Cap �, � � 63. Heater & Vent-Final �i 13.'Roof Drains � . 64. �Plumbing SYstem - Final ��. 14. Roug '�umbing� "• . �� 65. Electrical-Final • 15. Rough Electrical-Conduit - 66. Solar System-Final �i6! Rough Electric Wiring ' 67. Fencing & Access Approval 1�7'. Rough Wiring Sign ^ 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceili`g�.�, 69. POOL/SPA SYSTEMS FINAL � �.9� Rough Heating & Air Condit oning FIRE DEPT. REQUIREMENT . 20. Rough�Factory Fireplace -- "� APPROVALS Permit # ..i_ � i 21. DuCts, in,Struc[ure ,_ n 70. Underground Hydro ' 22. Ducts, Ventilating �'� � •� 71. Product Piping OGas ❑Oil i 23. Gas Pipe=Rough & Test . � � 72. Underground Flush' �� 24: Roof Framing � n� - 73� Undergrnd.Storege Tank O Gas ❑ Oil� , 25. Roof ShRathing `�� _� 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Mo ocoat 75. Dry Chemical 27. Frame and Flashing �- � 76. Dry Staridpipe � 28. Lathing &�Siding •=� . 77. FIXED SYSTEM FINAL 29. Insulation � �� 78. FIRE PREV. FINqL 30. Drywall Nailing ��' �=.� � - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat;� , i% 79. FINAL INSPECTION - � ., � • 32. Electrical Power Meter-Final�" 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' ' Notes: ��t_ � � �� ;� - 34. Final Heating & Air Conditioning I`1 I� t F� � 2_ O!� O 35. Final Gas Pipe-Test 36. Hood or Canopy � � ' 37. Final Factory Fireplace , � 38. Final Plumbing ' 139. Water Service-Final ;�`� /l.�-1 40. Gas Service-Final ' , - . �L, , Z �41. Solar pomestic-Final; �.,, �l ` 42. Backflow Preventer �� l�;� � �r ;,'� 43. Backflow Irrigation ��r; � 44. .Landscape Irrigation System � � l% � � P,'•t 45. Sound Attenuation ' , j !� - 46. Handicap Regulations � ' ; 47. FINAL STRUCTURE & BUILDING 2 � 48. Special Requirements Completed � � 49. Electric Release to Edison � �"' ! . �. 50. Gas Release to Southern California Gas Co � �. .,�, � � ✓'� 51 � CERTIFICATE OF OCCUPANCY ' r: N0. Date � .f ; ' , � Apv�icant to fill in al1 soaees except those within heavy bortler Ilnes ana.sign all appropriate aeclaretions. T_Y UF COSrA MESa ' CO,NSTR UCTLON' PERMIT ' PER""i vV. . TRACT NO. LOT NO. � , UNIT NO. I � � v jectAddress.�'1%D .`��A�.11 f A�ca�� - � � - '' - ' � � � � I .' " � ' 1643 3/2G`/86' ' � � '5e�Q TL t='� ' �/ TVPE OFCONSTRUCTION NEW ADD' ALTERATION -� REPAIR � � 4pplicenisMail�g/./Address -�1 �-� �[L% �'��/�/� .� ' ' , . Owner'SName �J!'.-��ct'- h�/PO��_^� ' pho�¢e��`7-� �f/J � CONVERSION ❑ �EMOLISH ❑�OTHER' . . A.P.#• . . Zone i r • `�--�Y DESCRIPTION OF 4VORK/USE OF BLDG. Address �� %Cn� ' � ' . S �Main Building: ' � ' Accessory Building: � � . � Z j AlCMEng. ' LicenSe�No. TVPE OF PERMIT- GRA�ING ' � �FOUNDATION ❑ STRUCTURAL T Front • � � ' . � . � � O � Address ' /� � I ' ❑ TENANT ❑ El_ECTRICAL �PLUMBING ❑�MECHANICAL � B Rear " - ' ' ` � � - N 1 COntraCtof's Name �' � S / /MYl � _Phone ��.��'� `�' �p " ❑ 'OTHER . � . ' ' . , . C' Ri ht N y Addresslm�i'�n1 �i 3� ��L�. iAJ�/��A� A/�<+�iiO/i✓� PROJECTDESCRIPTION Sq.FT. _ - OCcuParvCV K. 9 G �� G r , � CONSTRUGTION TVPE ' VALUATION $ S Left i . � � � • �R V City License No. . / � ' � � , � _- ZONE GRADINGCU.VDS: ACRES E. LICENSED CONTRACTOR DECLARATION ' ' , � Pl�g. R¢F. # Pa�kin Req./P�Ovid¢d I hereby affirm that I am licensetl untler Orovisions of Cnarter 9(commencing Remarks: � .� ' ,. Pianning Notes: IHI �% i.`'iV �- - M ' with sec[ion ]000) of Division 3 ot the Bu5ine55 antl Protessions Cotle, antl � T Rly �IC205E IS 10 fUll (OfCC d�} d¢1fQ�L. �% ' _ , • ' � S License CIasS [ �- .�.�r.� License NO. �� / �� . . � � 'S-/ -i}'/ . /l//Y_/P-� /'J /en,� 'r.�vJ - PLUMBING FEES ' � Date Si9nature ' ' �WONKERS'COMPENSATION DECLARATION ' �: , • � ` , I hereby afiirm that I have a certi�icate ot consent to self-insure or a ceruficate . Bar Sink . Showers ELECTRICAL FEES �of Workers' compensation Insurance, or a• certifietl cooY thereot (Section gackflow Preventer ' Service Sink � . . - � 3800, Lab. CJ � / �/ � � �- �F�uromatic Washer Transformer ❑ 15-50 KW - � Policy No. ;f'U�Y�O � Compan��PA✓e'K' ��S Backflowlrrigation � SewerCap- . ' ConstructionPoleSub. � ❑ 50+KW eCertifietl copY is nereby furnlshetl. � i �Certijetl opy is filetl wirn the city/� uiltling Division'. ��.,t "" Bathtubs . Sewer Connec[ion Cooking Unit ' Meter ❑up to 100 amps' �ate� .�'� -�e � APPlicant! ��A-%� /�) . �� i,��y� EXEMPTION FROM WORKERS' COMPENSATION'DECLARATION ' Clarifiers � Solar ColleCtors � DiShwashe� ' Metef �over 100 amp5 •(This section neetl not be completetl if.[he permit is for one huntlretl ($100 or - - . - - - � less). � ' Dishwasher Solar Piping ' Dryers ❑Gas ❑Electtic Sub Panel � � , I certify that in the pe�fo�mance of the work for whicli tbls pe�mR is i55Uetl, I � , . ' Shall not �employ any pe�son in any mannei so as to become subject to the Drinking Fountains $old� Tdnk • Fd0 • Motors �0-1 HP �1 %- 8 Workers' CompenSation Laws,ot Calitomia. . ' . Date' Si9nature ' ' ' Floor Drains • Swimming Pool w/Spa � F.A,U. � Inc. Solar �9-15 HP �16-15+, 'NOTICE:If,after makinq thi5 tleclaration, you shoultl become subject to the ' �Wo�ke�s' Compenzation provisions ot the Labo��CotlC, you must forthwith � FIOo�SinkS � Urinal ' - ' comply �with •such pwvisions or thi5 pe�mit shall be tleemetl revoked.-' - 1_ Fixtu�es. r . - Microwdve . . �-- CONSTRUCTION LENDING AGENCY,,. ' � � GaSService ,Outl2ts � ' WdtE�Cl05¢t � D¢vic280x¢5 , � � 1 hereby affirm thaL[here is a wnstruction lentling agency tor he performance Pole Light ot the work (or which thiz'permit is issuetl ($ection 3097 Civ. C.) - , i q , Interceptors Water Heater � O , ,Outleis Ran � Lentler's Name ,p' 9e � � �entler's Atltlress ' ` � Kitchen Sink � - - Water Service ' Switches � 'Sign ' • � OWNER BUILDER �ECLARATIOti - � � • ' I her¢by�affirm [hat 1 am exempt trom the Conlractor's License Law to� the �-dvdtO�i¢s ' - ' ! AutO-WdSh , ' following.reason, (Section 7031.5 Business antl Professional Cotle: Any city or i �� ' ' Garbage Disposal ', Standing Sections county which requires a permit m wnstruct, alter, iinprove, demolish or�repair P-Trap � � � Laundry Trays �, �. `� � Generator DO-5 KW �5-15 KW � any stru[ture, prior to its Issuance, also requi�es the applicant for sucn pe�mit �' , - T�dSh COmp2ct0� to fiie a siqnetl statement that he/she is licensetl pursuanTto tM1e provisions oT. ' , ' - !� ' -� the Contractor's License'Law (Chapter 9(commencing witn 5ection ]000) of Roof, Drains � - . ,{� , Division 3 ot the Business antl Professions Cotle) or that ne/she is exempt � � . [heretrom antl- the basis fo� the allegetl exemption. Anyyiolation of Section , � . � . , b�'1 i � � . � �]031.5 by any applicant for' a permit subjects the applicant to a civil - �enalty of nof more Ihan five�huntlretl tlollars (E500�. � ' ' ' ' : � ' I, as owner oi�the �property or. myemployees witn wages as their sole Reinspecfion Fee $15 , Issue Fee �, ; '$ 3� } ' � � - compensation, will ao the work; antl me structure is not intentletl or ofteretl �: ,Reinspectian Fee $15 . Iwue Fee $ 3' ; tor wle (Section 7044; eusiness antl'Protessional Cotle: The Contractor's' , , . . MECHANICAL . ' " FEES ' � license taw tloes not apply to an owner of a property who builtls or improves � . . ibereon, and who tloes such work himself/herself or through his or her own , , . DEVELOPMENTSERVICES REQUIREMENTS: , • , employees, provitletl that suGh.improvements are not intentletl o� otfe�etl (or ' BOil2� . - , HOOd Of '� Typ¢ 1,❑ � - � sale. It, however, the builtling or imorovement is soltl witnin one year of com- '. ( �Canopy Type I I�❑ � Zoning,Approved By Date D�etion, the owner will have the burtlen of proving he/she tlitl not builtl or im- . Duc[ - Under Ground� � � " Buildin9�ApproVBd By Dat� �p�ovatorthe pu�pose o(sale). � . � � I, as owner of the property, am exclusivety contracting�with licensetl con- Duct-Svuctural ' Refrigeration System Application Issued By Dat IractO�s to construct the project (Se<tlnn 7044, Busine55 antl P�ofe55ions Cotle: � ' 1 u ,, , - . :The Convactor's License Law aoes not appiy to an owner oi property who ' Duct- Ventilating . � ❑0-100,0006TU ❑100,000 BTU ' i y•° SUMMARV OFFEES � . � builtls or improves tltereon, antl who con[�acts (o� such Drojects with a con- � � �%! f. � r � tractor(s)' license pursuant to the Contractor's License Lawj. I am aware that , Exhaust System ❑ Multiple ❑ .System Repair/Alteration '% BUILDING PERMIT $ SMIP $ ' . proof oi_their Worker's Compensation insurance shoultl be provltled to me. � � p�AN CHECK $� PERMIT � '� ❑ I am exempt untler Section B:'& P. C. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers ' : S'� pLUMBING $ ISSUANCE i$ Date'- - ' Owner � ' � Heating System & Ducting Registers � � ° pl:p,N�CHECK 25% �$ ' ENERGV P.C. $ � I hereby:certity that I.have reatl ihis application antl state that the above ❑P100,OOOBTU �100,0006T _' . ..- - i ,� `ELECTRICAL $ GRADING $ ' intormatlon is correct. I,agree to comDly with all city antl'County"ortlinanGes � . antl State laws��relating to bwltling construction antl hereby authotize repre- • � � $ � � MICR�FILM $ � sentatives of tMiS city 'to enter upo the� above-mentioned properry tor P}AN CHECK 5U% ` •inspecuonpy'rdoses. �/ �J � �� ' � ' �'1-<�� MECHANICAL � $ ' TOTA'LFEE �$ �5i �1 �Signature A�V�y.,t �K /=� /��•�% ^. ' � Reinspection Fee $15 laue Fee $ 3 PLAN CHECK 25% $ J �Drivers' License or 55 � � � CMF 0865-46, rev. 10/84 Wnite - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor " "' - � '"' " - ' � � ' '� � - " ' T'�. • '�.S �a i � � ;''ONSTRUCTION AND PLANNING ' . POOL & SPA . , . ' r'. � � Date Inspector � . Date � Inspector i � APP.ROVALS Permit# , . APPROVALS ;Permit# � t - 1. �'emporary 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 � - � 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 Undrgmd., Test • '9: Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System - � � � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 72. Sewer Cap . 63. Heater & Vent-Final � � ' „ 13. Roof Drains - 64. Plumbing System - Final. �- - 14. Rough Plumbing � 65. Electricaf-Final ' � 15:' Rough ElectFical-Conduit. . 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � � '. 17. Rough Wiring Sign 68. �APPROVED-FOR PLASTERING 18. Rough Electrical-T�Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 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 OGas ❑Oil .- 23. 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 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:b.$"86 ,(,�T(,�ypa �,t,� Z:vZ 34. Final Heating & Air Conditioning ,�� 35. Final Gas Pipe-Test . . � - -R. 36. Hood or Canopy . . . . � . 37. Final Factory Fireplace . � ' . � , 38. Final Plumbing � 39. Water Service-Final � � 40. Gas Service-Final - � � � . � 41. SolarpomesticFinal - - � � � . .,� 42. Backflow Preventer , _ _ � _ , ' 43. Backflow Irrigation � ' ' � - � � • i 44. .Landscape Irrigation System 45. Sound Attenuation ' . - -. . 46. Handicap Regulations � ' - � - - 47. FINAL STRUCTURE & BUILDING , � . . _ - 48. Special Requirements Completed � • , ' . ' , � � � ' � .. 49. Electrie Release to Edison' , • ,- � - . . '"' ' " - � 'r , . 50. Gas Release �to Southem California Gas Cv � �, ' � � � � } ; � � � 57. CERTIFICATE'OF OCCUPANCY , �- -; - t-. � . • . `�` , � No. Date , . .. � . . . _ . . J__ . . -. ..z . -_. � 1- V J �� u _.....---. . F � T..o,>aT• �s• 3' so� q .. 3 eo� Z/ 1s' . . . . y`.� �.f RAC7?M g '' S3-26 � . . �;�� so eo•. p ��45 -;; 47 ' O O O ' O.` ; ,` j o y` � ,'O- e� J'a 60' dd +9" i%a , p . Q W � �'" `� � SAN � MAR/NO C/RCLE � � a �— � 8 !� � 9,,, Q� . h,,� .�a� , � 'Y,. P O T-. 1 � e � S P I `� . Y G , � � ` 10 � 11 12 J i3 � 14 ea O� .. �J3.92� 9 0 -�s� /� � i2 /3 /4 ss. — ..... 20 /9 � B 17 /6 /5 � Q< . . 20 �^ 19 : IS 17 16 ° IS ° _ b y Y r y , A ,l \ r. � C! 2� ,{e.' �� i9 60 =A9� ' � i i 2� �`'�� SAN h RAFAEL CIRCLE „ Y 22 3 ` 22 � 3.�{�' {o" .. aJ' q9' y rs. i �d' �� . . ' o°�o�ao 0 0°0 � o' l"�o � I a � � 2.5 26 2% � 28 n 20 �,� 23 a 24 m 48 'n�a � W � ^ O h 2 � 3 `o 40� I 00' I �z 34 35 �as✓� 36 is:.ai �24 v�� 25 26 2T 28 ar� Q � � :,��• 33 '•� 32 3; 3C 29 - = c 4O � 45"'= 4a 4.I7 O^ O ` O O ' O� � /a T6 C '4 ; U 32 a 31 30 0 29 • � 2 �' N { � " 3 � .�s� ? „ � oc� e , . ; QS , 3j a;' � 50' e�' aE' p � . 1 I S' 60' s o' h SANTA CLARA � " C/RCLE : .,. � ��E�' 3o.X' So' .. .. . so' So' G ^ Q y y �. a^ r�.R�' � . I�� il v '� W a � N 37 � O\ 39 0 40 0 41 � 42 0 43 0 44� o� � a = � NO. 6637 � Q 3G �s' 37 r.•�s� dd 39 40 4/ 4 a�.. i ;r :�. ;i �- i1` � :1;� City of Costa Mesa Bufldinc Dent. BY �--- 'vhiE .3�$ 19� THESE PLANS MUS i BE Oiv Jl"i8 AT Ali TIMES MAM.F NO CHANGES 4VITHOUT PRiOR APPROVqL OF DE?S. THE�ISSUANCE OR GRANTING OF A flERMii OR APPROVAI OF PLAN$ ANp SVECIPI�ATIONS SHAII NOT BE CONSiRUEG i0 EE A FERMIi FOk, OR AN APPFOVAL OF. ANY VIOlA710N OF ANY OF THE PROVISfONS OF i HI5 CODE. NO PER1d1T P°ESUhvNG TO GNE Al'THORIN 10 �'ICLAYc OR CANCEL iH£ PROViSIONS O'r iN15 COQE SHA{L gE �'All7, EXC[Pi IN 50 FAR AS TY,: WOF,K OR USE WHICH li AUTHORIZES IS LAWFUL. 7HE ISSUANCE GF A FEith11T CASED UPON FIANS AKD SPECiFICATIONS SHALL I:Gi PR`.VcNr 7hE BUItDING OFFIqAL FROM TMERe.:F?ER &E!)UiR!NG ih{e CC'iRnECiION CF [RFOES IN SAID FLP.NS AND SPECir:c,^.iiOriS O° fHCP.i PREV[Ni1NG BUI!DING GF[Rq710N5 LE:vG <_l,HR:ED L�N iNEHEUNPER WR[N IN VIOIATiON OF THIS COUc :JR Oi ANY O7ViER GEDINAhCf OF TF4E CM1TY. fOR INSPECTIOfJS CALL 754-5626 or 754•5627 Permit #1�3—� = g-�—' THiA L�NSPEC ONTREQUESTSNY � �' �'''1 ';'�' City of Costa Mesa Build+ng Dept. BY -_1��._ DATE 3/�'tS19� TMESE PLAhS hAUST BE ON JOS AT ALL TUJ�fS MAY.F. NO CHANGES WITHpU7 PRI�R APPROVAL OF DEPT. THE�{SSUANCE OR G6ANANG OF A FERMIT OR AFPROVAI Of PLANS AND SPEGIFICAT10i�S SHAIt NOl if CONSiRUED TO BE A PERMIT FOR, OR AN�APfROVFI Of, ANY VIOLATION Of ANY OF TNE PROVISIONS OF THIS CODE. NO PERM{T PRESUM�NG TO GIVE AUTHORIIY �O VIOIATc 02 CANCEI TH: PROVISlONS OF THIS CODE SHAII BE VAUD, BXCEPT IN SO FAR AS THE WpRK OR USE WHICH IT AU7HORIZES IS IAwFUI. THE ISSUANCE OF i. PERMIT RASED UPON PlANS AND SCfCifiCA7{GNS $HhLL NOT PREVENT iHE BUIIDING OFFI<�A� fROM THERFAf�EF'. RE^vU!R1NG fH[ CORRKApN OF ERAORS IN SAtD 71p1J$ hND SPEUf!CA.TiUNS OR fXOM PREVENTING 6U4DWG OyERATlOtvS BtiING CnRR.IED ON THEREUNDER WHEN IN 4tOlAT10N GF TNlS CO'SC OR OF ANY OSHER ORDINANCE Of THE CITY. Permit # (� 3 ��54 THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQUESTS �L�[� I 1 I 11[SIDLMC[ � I 1 �[�IYLMCR I 1 I �ita[Ntl l I � STREE� - _ -�---^r^ � _ �, . TYPICAL 6�� CONCR�TE BLQCK FENCE _� � � Cement Coping Optional �' Channel Block With 1•3/8� Hari:ontal Top of all Fences For Fentts 5' or Less Vert. Ban 3/8"� at 4' -0" O.C. For Fenees Higher Than 5' Ven. Ban 3/8"� at 32" O.C. Fill Celh Solid With Grout Where Steel Occurs Rein(orcing Stcel Shall Contorm to See.A-15-39 A.S.T.M. All Steel to be Lappad 24" pr t0 Cade � NATURALGRADE �v��/�,�� > �a . .a TWO 3/8"m BARS . De . CONTINUOUS TOP I . . I — 6 BOTTOM ' y�� f�� D J1OW=.STEEL MUST BE TIED IN � PLACE AT TIME OF THENCH INSPECTION. o' ' . SEE CM� BE�OW ING REQUIREMENTS CHARI' GENERAL- NOTES MORTAR: One Pa►t Plostic Cement, and TAree Pa�ts Sand GROUT: One Porf Cement TNee and One Halt Parts S�and COPING: One Part Cement, Three Parts Sand CONCRETE: Weil Mixed 1:2-I/2:3-I/2 Max. of 7- I/2 Gollons of Wafer Per Sack of Ceme�t 6ROUT MAV BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLSAND AREASOF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR OEBRIS, ETC. 'H OF E4RTHTCOTH I/3 THE HEIGTH OF fENCE -BECOW BOTTOM OF iOGT�NG. SCALE: I/2��= I' ' WIDTH . . . . . . . . . . . . . . . !4'' . . . . . . . . . . . 14" . . . l...�2".•_: .. _. ,. 12.. THICKNESS . . . . . . 10��. . 10" . . . . . . . . . . . 8°. . . . . . . . . . . 8�� DEPTH Of EARTHTOOTH . . . 24" . . . . 20" . . . , 16°. . . . . . 12� SPACING OF EARTHTOOTH . 12' . . . . . . . . . . .14� . . . . . . . . . . . 16�. . . . . , 16� City of Costa Mesa,�'alifornia Building Department _ OWNERS N4ME: �LC'�G{Z 1� 001_ JOB ADDRESS: 3�i�� .�1 ��I�Qer , - - PERMIT NUMBER:_ _ �}- _ _ _. SIGNATURE: �/.�N__' 1=C�1f -�.CG�f/' - - - -� - �. � _ ... . \iiu, ., - ii�-. �!i1 � '� rr . C. ' ,,, ::�M �• :H:71Da1P�1 x j; �`�' 71-]IS A(3tEF.t�tJT, -made and entered into this � z day of �� ,�, by arY3 betseeen S fp�!/�/✓ f�C�o L -. hereinafter referred to as "LAND ad�1ER", and ��.a,�,� .Q �c rr,��srn/ �� + hereinafter referred to as "AA7ACiNT PRC7PFri.iC CWNIIt". it is hereby agreed that a party r.*all will be constructed on the �.� :"'��- tl�` PropertY line be�aeen .3�`�O S./�n/ ��}�fIEL C/P�� ;,.� ��'�'Y*"�'` � (Address o Adjoining Properties) � -3�/43 .5�,� �J ;h�,✓� �'os,-.4 i%�ESl/, Gy�' vsG�� -; r. in the City of Costa Mesa, Co�ty of Orange, State of California, as per map , recrorded in Bodc '� , Page_ of Hiscellaneous Maps, in the office of the Coimty Rernrder of said Co�ty. 4he party wall shall be permitted to encr�aci� .� c�,��Ti� o� /3 o i'�E T IN WIZNFSS Y�FiEf2EOF, the parties have entered intA this Agceement the day and year fitst aba+e written. IAND �� ( ignatis �s�� %,�l T ,�z Name (Zyped or Printed) ��90 s�n/ �9�9�G c?i,P�'LE" (Adc�ess) G' GS Tf� /�%ES,�, �%. yZ6 Z� AA7A�CINP PRCPERT�' �Q�7NER i C/i �� / � �.1..'oc .c/ (Signatise � � . (/! /.=1 Nr �! . �ETE.t"'SE � / tJ�rie ('Iyped or Printed) 3V 9 3 S.-,.v ///a�r��.�i;, (Address) C'csr,a /J/�SaiC�� `/ec•z� � OWNER KpCZINSKI, M. J. DATE 9-12-73 JOB ADDRESS 3490 San Rafael Circle BUILDING PERMIT N0. 37267 GENERAL CON7RACTOR An[hony Pools DESCRIPTION of WORK Pvt. Swim Pool AP No.412-051-20 LOT 20 TRACT 6637 FIRE ZONE VALUE$ 3,600.00 INSPECTIONS Si nor�re Date GROUP TYPE ZONE Rl Pool Location � '' SUBCONTRACTOR PERMITS ISSUED I Date N�mber Sivnature Fnrms Main Drain _ Steel Reinforce Elec. Bond _ Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Heater and Vent Final Filter System Final Backwash and Recep. Final c_""_ r�__' �31�7'� 77 Electric _ I /a-a-�z I 36 J � 3726� COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely .' BY,�..ocac�' Q[�0/� C�N 9�L`�L`T r�n�rc Z . aU Z ZQ O� am J 7 J � Q W QI J • p] J Q U � 2a W � aW W Z J Q mZ J � W y� � Z F W � N K �O � Z Q U J a a a 0 i" H Z O F U � � N Z OWNER MAIL AODRESS CITV ODNSTRUCTION IENDER BRANCH - ADORESS ARCHITECT M J KACZINSKI SAME TEL. NO. l. CONTRACTOR AIILIIOIIy YOO.�:S. ADORE55 58�]. Fir�stotto Blvd CITV S�Li�h tI{Sti� NOLSai3G STATE CITV LIC. NO. �IC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT VSE OF EXI5iING BLDG. pp� SIZEOF A�/J/ NEW BLDG. �J � (� EXTER�OR WALL COVERING USE OF BUILDING ANC �rivate s of single � NO.OF TO BE PERFORMED PAID SFP 12-73��„�OQ 335�% �'+� * *39.50 APPLICATION FOR BUILDING PERMIT RECEIVEDB,Y D/�TERECEIVED nn� BUILDING ADORESS 9O SAN RAE'AEI+ CR TRACTC�i� 3 / LOT�V BLOCK 7OC � � I I I OWNER M J KASZINSKI „�� urivute swim noo`i"< � FIRE ZONE APPROVED DATE �NE NO.OF / USE OF NEWJ G�,—.� / PWNS�L BUILDING f�_� VARDSAPPROVEU VAROSAPPROVED MAIN BVILDING ACCESSORV BUILDING DISTANCE BET. BET. MAIN MAIN BLDCS. ACCESS. Bl VAR. # DATE C.U.P.aW APPROVED I hereby acknowletlpe ihat I have read this appliwtion antl stete y.(P- � that the above intormation is correct antl apree to comply with all laws regulating building construction, antl I shall not employ any person in violetian of the workmen's compensation laws ot the State at California. ' 'C m I hereby certity that I am p�operly licensetl as a contractor under 6 SQ. FT. o the State ot Calit usiness and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j Chapter 9, an at such 'censes are In full forc ntl effect, or 1 THE PURPOSE OF ESTABL6HING A PERMIT FEE ONLV: m am ezemp om the prov ions of the State of Cali rnia Business V ALUATION ^ ¢ antl Prof ions Cotla, Di� sion 3, Chapter . �� PERMIT FEE $ d � � Sipnatur of , � m Permittee $�/DO � PLAN CHECK $ E' (O � Authorizatl Age LL � TOTAL FEE $ 29545 COSTA MESA BUILDING-SAFE'fY DEPARTMENT P.O. BOX t200 � COSTA MESA� CALIFORNIA 92C26 � For Appl(canf fo Fill In Complefaly TYPE OR PRINT m�o�No � DDRE65 COSTA MESA, CALIFORNIA , ---_._ 1AN -7-69`�h'L00 175� *** 128.L`: CMSA APPLICATION FOR PERMIT BUILDINC; For Off7ce Usa Only RLC[IRXO, rEPMITNO. �qr,d�i r � cnrrt rtecnvm, _ w�n iaeueo _/ 1336 E. Chapman Avenue ' ZONING / ADDRE68 SONL No. oR uo[ o� N 25. W ' ILANO ellILDINO CONTRACT rt e �sowt �oonass 144 South La Brea Avenue ��c��mon L t ��TM Los Angeles, California 90036 A.P.NO. NOTl: NOBAVlOVCRHAN08FIALLBHLEBSTHAN ' LIC.NO. 2.��.QgB rTi°L' 936-1104 90•TOHID6lRBARP.L " EAVEB 61ZE NO.oIOLCoe. ALLOW6D fU.B.G.RE0UIREMENT) OF LOT Now ON O YARDBAPPROVED YAROSAPPROVfiD USEOP MAINBUILDINO ACCEYHORYBUILDIN6 EXISfIN6 BLOG. .(FROM WL R6CT) � � iCTlACK LIX[ fROp � FRONT R�. �. CeNT6R o! aTp[R R6AR YA D � 8ID8 YARD LQFT �.O � RI6HT 17 � R. 81DQ FT. FT. DESCRIPTIOAI OF WORK L. 81D � PT. F�• racw I X Iu�rrw�rmul I�nn�r�nu RGR IR. FT. BUILDIN6 NO.OP ��" �� SIZE ' ROOMH 8T RI z C. U. P. MPROV@D CO ERINOWALL StUCCO COVHRINGw00l1 shingle B,pROV6D� � DAT! / U98'OR �UILDIW6 ANO WORK TO G6 PQNFORMlD a and Attached Gara e D7 Plan 404ER - Lot 20 � a��✓ a.�. � � � 0 ! H6R8BY ACKNOWL6D06 TNI1T 1 NAV[ RRAD TX18 APPLIGTION T16 I�MOUNT /HOW UNDBR VAL�IAT�ON 19 FOR THB j I1ND 8TAT6 TXAT TN6 AGOV6 // CORR6GT AND AOqCe TO COM• �URPOBH OP 66TABLI6HING l� PCPMIT PE8 ONLY. 1� PLY' WITX �LL CITY ORCINANCQO AND {TAT[ LAWD RtOYLATINO �IALUATIOq ��!'O � BUILDINO CONBTRUCTION. � 61GNATURE OP PERMIT FEE PERMITT@ ///�� ry 7 � $� 7%J Q� N CMECK S M� AUTNORIZ6DAOi �� L /� " TOTAL FEE ��