HomeMy WebLinkAbout2217 SAYBROOK LN - Building Permits t ,scistl.!/.. ,, CITY OF COSTA MESA ..
A
BUILDING DIVISION
oy
F 1 Ilesit4,irks ` DEVELOPMENT SERVICES DEPARTMENT RMIT NUMBER
are PERMIT • M07-00003
•
(714)754-5273 • Fax(714)754.4856 •.www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
Status: ISSUED
Job Address: 2217 SAYBROOK LN Applied: 01/03/2007
Suite No Issued: 01/03/2007
Vicinity:
Parcel Number: 41901310
ISSUED BY:
Applicant:
Address: >
Phone:
Zip:
aak
Owner: KEN GARCIA •
+
Address: 2217 SAYBROOK LN i`t Y
Phone: 949 548-8441. �, a ‘,•�. #�;,5%',
COSTA MESA,CA Zip: 92627-1676 ct.0. 4Y '
Contractor: • '4 •
1` '7:' .(+�S i
Address: K,...041114'
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Address:
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- Phone: : ' k( + y 1 <r
Zip: '4 - a:. ;
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License: t .t }- ''r ,.tr .'
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FAU CHANGE OUT
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Ark, tlr�j `'t Y.•r Quantity
ISSUE FEE 550 r . t)§,,,,((( ,,�>., Rd$i�irr /'AI+Ab b n Unit .i $U r+ 0
Inst FAU<100 k leg. , - �cd i(4804/i� ,Ref'--ration Unit `<,i $O i+ 0
Inst FAU> • y iltg -,40.16.0.41. 0 °'• �;+ Ventil)atio r•=-stem I'1,++�,a }i+ 0
RepaiJr'IY 6g„(o A z$H. 0 `wJ ,ax a 'c'oEv or, wel Cooler ;;5 ' 50 00 - 0
Ins . R " P'sb'' 0 . '. yl .3+*� ies tial Incinerator / $0.00 0
. +a )'� -`$P�++: 0 r,.+...a,a� ,, +'oMes,c Incinerator $0.00 0
rrta +r § ii‘1,_r;++ 0 ,,. a ssors/Absor•tionS stems
10 _ '?''• iy 1 r,et 0 r,: lipitdr3 p/100 k BTU $0.00 0
ADS',4.4' `pia '' ?:ax ` ti �},e:.+ 0 31ionG hp/500 k BTU $0.00 0
"+ od' ech Ex +kt -07++ 0 �-.^ v^ I' /Cro .. hp/ ,000 k BTU $0.00 0
••VW:ox i.i,$ Q' 0 .. .', '"'3®p �•e hp/1,750 k BTU $0.00 0
�` -n( an/Single Duct 4+y,.Sa' $0.0+ 0 Over 5+ hp/Over 1,750 BTU4:1 $0.00 0
r'.. F ampers 1 •+ 0 ks -,,',?:11Ciiirlia. '0 3 hp $0.00 0d;lip ance
♦ke Dampers a+DO •.--94.• '`' j 3 To 15 hp $0.00 0
or Relocate Appi Vent - 3./$?� + iP;$119-•
15 to 30 hP $0.00 0
t k, _."` andlers< 10so.r.>re " 3a e+ e. IP;A1 30 to50h $0.00 0
r= r= andlers> 1eae1 + er i . 1 R Over 50 hp $0.00 0
F.24-r Furnace �. + ++y'"o2i, '� Other Mechanical Fee
I r or Suspen U $0.0., o Investigation Fee $0.00
x,01 Plan Check Fee $0.00
v,�,
Reinspection Fee $0.00
C -L ,1,� ys{ TOTAL CALCULATED FEES $36.30
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" ' ra,-, •:,. COMMENTS I SPECIAL CONDITIONS
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446.46(690)
DECLARATIONS ,..._ ;'
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of penury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I nave and wilt maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number
(This section neeu not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signalure: Dale:
WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 10 ONE HUNDRED
THOUSAND DOLLARE($100,090).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AirE ATTOHNEV'S FEES.
-fiu2Pt911
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pmlessione:CoCk�yend my license is in full
force and effect.Lie.A Class M \ .f`:fA`t%.:f
Contractor's Signature: Date: -4040:01310. ex-W
CONSTRUCTION LENDING AGENCY: tz 'v"-/ s'yi .
❑ I hereby affirm mat there is a construction lending agency for the performance of the work for which Nit permit.is issue�dy(Sec'30975Gve Code).
Lender's Name: Lender's Address: i �"uz'-� v.•fg1t1�i1�+'t'y "^�'.l"'�'�'�
Signature: ,5P, ? Daie ?01S7f .
Oa.wwr--aaC
OWNER-BUILDER DECLARATIONS: ov z.' ' r
L+, ECYal c asaa Se is
I hereoy affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW Iw,tlr following reason ISeO.,uires ,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improveedemulrsh,or rctois license
tui_e2 ioF,lo its issuance;also requires the applicant for such permit
to file a signed statement Inez he or she is licensed pursuant to the proNsions'eLthe ConlraelarKLkense aw,t(C utter 9(commenting w1O3l.5tion 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt Iheretroitiiehd tne.basis for tliallleped exemodon,iAny violation of SeCtioli'.7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars(SSOO)): '#"1.i� " L i
Esz?1"U-zY eat s`»'ea. �;;
❑ I.as owner of the property,or my employees with wages es arty ode SO pensation,WILL'ptrIlEIWORKL One the structural.not intended or offered for sale(Sec.
7044,Business and Professions Code:The ContractorsiLicense Law does not apply to an ewner,d prapeI1y,wro
ho builds or impve s'tlro'reon,and who does such work
himself or herself or through his or her own employees!piovided Nchat suklgd 6le'nerovement Wended or offered fur sale.fetid." ever,the building or improvement is
sold within one year of completion,the owner-builder wig have Of'proving thin,;heaiiNe did notbuild or improve torpurpoee of sale.).
,y4>....r�, ms��•Y rn:�e.,..:r�r 1..4.rrt
❑ I,as owner of CONTRACTINGthe properly,am EXCLUSIVELY WITH LICENSED CONTRACTORS to construct the project(See:5701d.Business and Professions
Code:The contractors License Law does not apply toen owner of property who builds a hiprwesAdiereon,and who contracli for nidi'project with a contractor(s)
license pursuant to the Cont�r{aJc�te.ryt�.Litanse Laws)f a r t4iF.3„.1 'r r, kilts!
ty-
❑ I am exempt under sec. !i'}C'{i @.A ,+T+rw f,Business and Professions Code for this reason: n`v,
Signature: -4'.4Y .1rAt t':tA taz: ,d'`'l [•;^1.' x" t 4'Li�� Date: Ir
Owner ID verified by driver's) setx� t�.Yas Q1NS Diivef9 Licer'NoN Expires:
Verification of OwnershipGy(1 -'d� x(.'La r,y�a. l;pyo qR_ 3
-.Ih7e of document,Le.-p tax bill or deed):' - 1l
lv:rffeklll izalltsgN ,.ss; :;tR sari::.;:,.* *ere-..-at xu
DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION: , r' 1
l 1741 C 3 V✓t s �`'',w qr. xd,�
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❑ I hereby canny Ifo excavation five(5)or more feet in depth into which'a person is��qQu!�ired to descend,will be made in connection with work authorized by this
permit,and Thal is bonding structure,scaffoldingjtalsewoik,or demoUtion otdismantkingiatial,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,Art 2,Sec.
341,Title B,California Administrative Code). k >! <r-it J ir
�. r(4 Fi t, .; .C=:-"r=i
0 As owner-builderstoryel:not employ anyone to do work.�wdutd,reequire a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division. ,'�TT {sV'1` 6- a c
Signature: Beat;+ 4#! -.aK""i 3. ✓ .5) `/ w :VAS? Date:
Division of Industrial Safety Permit Numberw"l-S s3'l,,," .. ..
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.e.. ,.r Cu',r,., .,-n..",_.
HAZARDOUS MATERIALS'AND EMISSIONS'CERTIFICATION: '
1 Will the applicaritor present or<NWre budding occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Vee n'i'x❑NOf fit /
of ttte..Calttorn' 'I4e 1
businessswhich d ih l any ne ilealutingd reportedeCoder a requires,with some exceptions, that a oior Plan la igh the Costa Mesa or a Department every
r 2CL which tied tel epresile gel'at a aa quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
Or 200 cumc feet of contpredsed Basel standard temperature and pressure).
2 Does or will the anplkartt;puresent'or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑ No
Yo.- o ria' v
sin25533andwithCostaFireDepabusinesswhich pima has on sttano:ra m of acutelyanhazardousressmaterials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will lite applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Depanment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 It an HMPP is presently required,nas Section 25534 of the California Health and Safety Cede been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65650.2 of me California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will arty part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school'? 0 Yes 0 No
(11'yes".the lacdny must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 II a permit horn the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
applications,nave all of Ire disclosures prescribed by California Health and Safety Code Section 42303 been made? LI Yes 0 No
6 (If yes",attach certificate of compliance from toe appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree nol to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
• And/Or Authorized Applicant Date ,
Coot r INSptcTtON rept OAT( INTITIA cons INSPECTION TYPE pia INT .'r
1616 F Syt:tam Fur(flre Prevention T' d :use-..� 20 ' FYta1 t,, i sic.t.., rxxott•
1266 Pad Bp 41 5-1 d� a' " 209j Final F1urtL6trLprt•, ' ,4 !a® •^
'Fnn.� A� h AS
Art t} ,rP s'� y¢ra— t.'�' i�S -L X
200Y Flr el•Re Rool "Ms T NI f > '• tea z S ,�-
z z+r, 21 Fatal Electrical X ,Ns
tlIr
1p 1 YL'Na 'u -i
201 I:� ,FI a1 LyBlock/Retaining Wall [ x�� +�i `=c` r 21 Fatal FhiPrevsntlOn 1' "t-� r''+l'
tbEil [{{ Y rte' G '' yGrafiN � Asr
202�F�nel FactoryFee PI 1' s-J,t :'., w.cS'1, t. 22 u FLrl Hannk+g'Approval itch" t>
SSkk'Vl1iVV rsX. s 11 t ,,,,r, + .t7
203 Finals �"'z�ru� -'^% `- .,.- ^"' 'y $".'p:'y zzi '�f3W'8ite "r' r
?fir YyFi"ez�. ' J Miry t�. sz Y Y *j"4Yd rs. '
204 Feil D mdl1fon t_ rY* s a.+ f' ^,i 1a§+it ;>�'e ' 254 �k1elwBuildingrOccupency res 't4 ,
_ _ • Applicant to fill in all spaces except those within heavy border lines and:sign all appropriate declarations.
CITY OF COSTA MESA ONSTR UCTION PERMIT �ES�Ir N�o.$Q Qs TRQ& ' LOT O. UNIT NO.
Project Address 2it1 , Q1{�,,&6Ak (.� plc._ d., 6 J/' / � L 01 _= E/c°/:7 '6p „ '�'
Applicants Mailirr�ygq Address U SW O�gI TYPE OF CONSTRUCTION U NEW a ADD U ALTERATION LI REPAIR • T���r../^ 0/5-10
/J(q�t�( �.❑ CONVERSION El DEMOLISH ❑ OTHER A.P.# q • 4/ — 8/�— 0/0 - • Zone fjj..
Owner's Name .1(1441-113k .�11A/S6V Phonelh?'fK(.. 3 7 'DESCRIPTION OF WORK USE OF B DG. • �-' •
Address Z-2 t•1 5 A Eaters eC. LO _ . : OW"- 1 . S Main Building: Accessory Building:
Arch/Eng. /G_ License No. TYPE OF ' RMIT fl GRADING FOUNDATIO C• -TRUCTURAL/?O M T Front p
Address _ 4.-y fl 0 TENANT C ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
• Contractor's Name .S C� 0/iC J Phone 5 OTHER_, D A -
PROJECT DESCRIPTION SQ. FT. -OCCUPANCY .5 C Righ ;r N
•
Address(mailing) • SA'/NG � 3 Vf� K Left G
CONSTRUCTION TYPE VALUATION •$ 00 s • R
City.License No. • ZONE GRADING CU.YDS. ACRES •
-LICENSED CONTRACTOR DECLARATION r Ping. Ref.# t Parking Req,/Provided E
I hereby affirm that am licensed under provisions of Charter 9 (commencing Remark •
s:• ' ,s ' f PlanningNotes �.. a '- 11,s ' ' / M
with sectionis 7000) of a 3 of the Business and Professions Code, and s"�-�Gl•` 11—CL�I H / ty,�.� A n yy� 0 x S
my license is in full force and effect. r - `1 t t/In.XO.CnArA•/_f in lV7 T
License Class License No. ' ,�./
Date Signature • A- .7 PLUMBING J FEES (µ,? W�,�f' ,d h.-A'n10Z4'tt_' (y//�//.21?
',AKERS'COMPENSATION DECLARATION Bar Sink ' Showers ELECTRICAL `v E•
S
reby affirm that I have a certificate,of consent to self-insure or a certificate - , - -
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink I -- 4800, Lab. C.) - Automatic Washer Transformer..❑ 15-50 KW
Policy No. • Company - ' • Backflow Irrigation - Sewer Cap0 50+KW '
8 Certified copy is hereby furnished. ' Construction Pole Sub. _
Certified copy is filed with the city Building Division. Bathtubs . Sewer Connection Cooking Unit • Meter [pup to 100 amps -
Date Applicant -
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - • -Solar Collectors ,. _ Dishwasher . - Meter Clover 100 amps -
(This section need not be completed if the permit Is for one hundred ($100) or
less). ' Dishwasher - Solar P_ipin• .. Dryers ❑Gas '❑Electric Sub Panel '
I certify that in the performance of the Jr ) c his permit is issued, I
shall note ploy any person in any r• become subject to the Drinking Fountains • Solar .nk Fan
Worke p on Laws of Calif, is %j ., Motors 00-1 HP ❑1%-8
•
•
Date Signature Floor Drains imming Pool w/Spa —• F.A.U. Inc.Solar ❑9-15 HP 016-15+,
NOTI :If, ter making this deCla atio yo hould become subject to the
-
Worke s' Compensation provisions of the .•or Code, you must forthwith Floor Sinks ' Urinal Fixtures '
comply with such provisions or this pe,, it shall 'be deemed revoked. • Microwave
CONSTRUCTION LENDING AGENCY Gas Service • Outlets ' Water Closet Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance 9 •
of the work for which this permit is issued (Section 3097 Civ. C.) •
• Interceptors Water HeaterOutlets
Lender's Name - 3 Range60
Lender's Address - - _ Kitchen Sink/ Water Service I •- Switches Sign ' '
OWNER BUILDER'DECLARATION - '— . , g Den
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ' Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires'a permit to construct,alter;improve,demolish or repair , P—Trap„ Laundry Trays Generator ❑O-5 KW El 5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor • •
•
to file a signed statement that he/she is licensed pursuant to the provisions of . Roof'Drains -
�'^e Contractor's License Law(Chapter 9 (commencing with Section 7000) of - .
,.
'. _rision 3 of the Business and-Professions Code) or'that he/she is exempt - - .- - - '
urt:t4refrom and the basis for the alleged exemption. Any violation of Section
'' 7031.5 by any applicant for a permit subjects the applicant to a civil -
pqe0alty of not more than five hundred dollars($500).
ri I, as owner of the property or my employees with wages as their sole ' Reinspection Fee $15 , Issue Fee $ 3 '
compensation, will do the work, and the structure is not intended or offered _ - Reinspection Fee $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES -
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICES REQUIREMENTS: n
' employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 (ln - ,7'
sale.-If, however,the building or improvement is sold within one year of com- Canopy Type I ❑ r Zoning Approved By tev/� V
plebe n, the owner will have the burden of proving he/she did not build or im- • Duct- Under Ground Building Approved By Date b¢= -=
prove for the purpose of sale). - G+
a ❑ I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration S Application Issued By • Dat
• tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-1 0 BTU ❑100,000 BTU SUMMARY O FE
builds or improves thereon, and who contracts for such projects with a'con- - DtL.
tractor(s) license pursuant to'the Contractor's License Law). I am aware that. - BUILDING PERMIT $ 2-fl•OU SMIP $ •5�
f Exhaust System ❑ Multiple ❑ SystemR epair/Alteration J �{) '
proof o their Worker's Ca mpensatio. insur.ice hould be provided to me:. PLAN CHECK '$ rp ') PERMIT
0 am exempt under Section / B. & P.C.for this reason Firepl/Fact.BR. ICBG Fire Dampers
PLUMBING $ - ISSUANCE , $
Date• 4.I4 Owner /�/ Heating Sys ucting Registers' :. .. ENERGY P.C. $
' I hereb / certi y that I have read th cation and state that the above. ❑0-100,000 BTU❑100,00067 `�_ PLAN CHECK ,25% $
information Is co . I a:ren to ompth all city and county ordinances _ - A"y ELECTRICAL $ '7d(p0 - GRADING $
and state laws .,iid- g con ction, and'hereby authorize repre- - - MICROFILM' $
sentatives ofn r upon the above-mentioned pro. rt for - PLAN CHECK ' 50% •$ / , '� /' �[-''7���
inspection p ,•• jl� MECHANICAL $ TOTAL FEE $ -aG,..J✓
•
t �'" 111
CMF 0865-46,rev.10/8- white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor G` . �t ay /Kay*N / I •
•
CONSTRUCTION AND PLANNING _ POOL& SPA
APPROVALS Permit# Date •Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location '; 1 •
2. Soil Pipe-Undrgrnd. ' • 53. Steel Reinforcement • ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4 , •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement,' • 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. : I 57. APPROVAL TO COVER;GUNITE.
•
7. Footings - 58.. Electrical Conduit-Undrgrnd;
8. Foundation . . 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd.: • -, 60.•
Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line &House Connection 62. Backwash & Receptor-Final .
12. Sewer Cap . 63. Heater & Vent-Final
13: Roof Drains 64. Plumbing System - Final - '
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final . -
16. Rough Electric Wiring 67. Fencing & Access Approval
17'. Rough Wiring Sign - 68. APPROVED FOR PLASTERING . • •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning •
FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro .
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
' 23. Gas Pipe-Rough &Test • 72. Underground Flush .
24. Roof Framing' . 73. Undergrnd.Storage Tank 0 Gas 0 Oil
• 25. Roof Sheathing 74. Overhead Hydro '
I - 26. T-Bar Ceiling (Structural) & Monocoat75. Dry Chemical .
27. Frame and Flashing 76. Dry'Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL • .
29. Insulation 78. FIRE PREV. FINAL , 1 '
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT -
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .
33. Final Electric -7/E1 GA.) Notes: `y/r mac �7 `;& Ac A
34. Final Heating & Air Conditioning ! h// ft .Y4�1� ?7044 Gfle; Je • -4(U.S.C)G*7
35. Final Gas Pipe-Test '
36. Hood or Canopyi
37•:;.Final Factory Fireplace S
,38.! FinalPlumbing '
39.'Water Service-Final .
:'40. Gas Service-Final
..41. Solar Domestic-Final
to::4.;
42. Backflow Preventer
.
•
;43. Backflow Irrigation - /'.i • _ • • I.
:44: Landscape Irrigation System • J' • ✓
#45: Sound 'Attenuation f•: C t ' - 'i
C46:..:Handicap Regulations •' '
.'4k-FINAL STRUCTURE & BUILDING 4 J L / i VI : . .
48. Special Requirements Completed .. f
49-.Electric Release to Edison ••
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY, i
No. Date .
E. _
PROJECT ADDRESS: 2217 SAYBROOK LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 050831
OWNER'S NAME: GELS, ALVIN 3, - : - —
ADDRESS: 2217 SAYBROOK LN • PERMIT NO: B 050831 - ' PLAN CHECK NO: 00293-91 A GOVT: ,N SUPP: N
COSTA MESA,CA 92626 . I
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
••
•
ARCH/ENGINEER: •
REG.NO.: JOB DESCRIPTION : STAIR UNDERPINNING - • ' - SQ FT: 2/ 439 •
ADDRESS; UNIT: - •- f . •
CLAIM VALUE: 2, 439 . 00 CALC—VALUE: .2, 439 . 00 GROUP OCC: R-3 /M-1 •
PERMITTEE: SOIL ENGINEERING ( 619 ) 560-7645 - •
ADDRESS: 1317 SIMPSON WAY ' J COMMENTS: SITE ACCESS PERMIT #10564
ESCONDIDO CA 92027 +E**********>E********+Far************************ *+t-*x--x******x**************0****
LICENSED CONTRACTOR DECLARATION: I hereby affirm Thal I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITYLIC.: 050999 STATELIC.:268082 cuss: A
Dale: /s_y.[1_� signature:_,.. ... ____‘..1/_-..7.--------- MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have rtd¢ale of consent to self-insure ora certificate of Workers' •
Compensation) 5ancP�q( cP4t ed copy thereof•(Section 3800.Lab. ). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT -IN
POLICY NO.: MI AUtio 3 EXP.DATE: 1 0/01 /91
COMPANY: C, E. HEATH , PARKING ,REQ: PROV: PARCEL: 41901331 ZNE: R4 REF NO: • '
•
❑ Certified copy is hereby furnished. 1 Certified copy is filed with the city Building Division. PLANNING NVOTES> FOUNDAT ION STABILIZATION FOR PATIO AND STAIRS OF EX. CONDO.
/�� >
Date:J — 3d — 7/ Applicant: .5.--€7 a —'Z **************************************************************)E*****!F**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section rtecompleted if the permit is for one hundred(5100)or less). DEVELOPMENT S . E R V I C E S R, E Q U I R E M E N ;T S
I certify that in the performance of the work for which this permit is issued, t employ any person in any manner so as to become •/
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY C—t C----- �- DATE: 4 / 3 0 I
Date: Signature: BUILDING APPROVED BY : (J /t— . DATE:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith Complyplywith such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: •
which this permit is issued(Section 3097,Civ.C). ************************** - —_ ************.**********
LENDER: ************************************** ****************************************
ADDRESS: LEGALIZATION:N - F E- E : U M -M A R Y • ' STRUCTURAL SEGMENT:Y
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING '
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 . 50
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed ' SMIP/NON—R ES
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 8 . 7 8
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or-my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered tor sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 54 . 50 0 . 00 8 , 78 63 . 28 63 . 28 . 00
• does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED• ;63 . 28 OVER/SHORT• 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG. PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT - GRADING PLAN—CHECK
- I,as owner of the properly.am exclusive)py contracting with licensed contractors to construct the project(Section 7044.Business
54 . 00 . 50 8 . 78
O and Professions Code: The Contractors'Stale License Law does not apply 10 an owner of property who builds or improves theyeon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***�L'***************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C.
torthisreason: • TYPE QTY DESCRIPTIO N UNIT COST TOTAL
COST
Date: Owner: SFR 2439 ' ALTER BY VALUE RESIDENTIAL NOZONE • 1 . 00 2, 439 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and . END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ,
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant: ' •
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. 01 90079507-06079505 T131
•
Date'_!-3v-1,L__ signature: /� DATE: 01730/91 TIME: 13:08
63,2'.i.
Driver's License or Social Security O.
1641.46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING, POOL& SPA
Date Inspector Date Inspector
' APPROVALS Permit# -• - APPROVALS Permit #
1. Temporary Electrical Service or Pole. i - 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, 0 Undrgrnd., Test 1
9. Water Pipe-Undrgrnd. / 1 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System '' ./: /i 61. APPROVAL TO DECK •;/
11. Property Sewer Line & House`Connection ' 62. Backwash & Receptor-Final /Connection
12. Sewer Cap .'`" ,'J^ 63. Heater & Vent-Final
I 13. Roof Drainsa. ; 64. Plumbing System - Final I't•,
14. Rough Plumbing �' ;It 65. Electrical-Final I
15. Rough Electrical-Conduit i 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
. . ,r, _
20. Rough Factory Fireplace ; e, _ •? APPROVA_I S' Permit#
21. Ducts, in Structure, ,:1.: -• .` 1 ", -, T70. Underjroundi Hydro
22. Ducts, Ventilating : I _• , , _ _ :: - '31. Product,Piping 0 Gas 0t0i1
23. Gas j Pipe-Rou h & est t "'
9 , a •., s k i, .472. Underground Flush;, , .
24, Roof Framing 1 ; •I ' ••r • • t^ 's t ..:73; Undergrnd:Storage'Tank 0 Gas 0 Oil
25. Roof Sheathing " - ., ;' . b ` '74.?'Overhead Hydro . •• -
26. T-Bar Ceiling (Structural) & Monocoat • - _ - - 75::Dry Chemical - ' i _
27.'Frame and Flashing ; ,� 76! Dry Standpipe , _ -
' 28. 'Lathing &Siding E / •- ••1 --•I' 77V FIXED SYSTEMUFINAL:
'29. Insulation ' ' - .,, ( • i.- ; 78.. FIRE PREY. FINAL
1.
. 30. Drywall Nailing . 1 `' HEALTH DEPT'. REQUIREMENT
` 31. Plaster Brown,Coat,. F I I • I, ,.79.' 'FINAL INSPECTION - ' '
32: Electrical-Power Meter:Final, . . I I 1, c 80.:FOOD CERTIFICATE ISSUED
.33. Finial Electric ' r i ': ' ; " k -. . j' ' "'Notes:
'34. Final Heating& Air.Conditioning, I I • .. �
I4 I,
35. Final Gas Pipe-Test - 1 ! - I ' ` ,_~ :>'!
36. Hood or Canopy I I Ir ,4,• „r -
37. Final Factory Fireplace - - ` I I' ,
38. Final Plumbing r . , - I I I _ -
h
39. Water Service-Final- : I I I- ; • -
.40.,Gas Service-Final •_ I I Ii '• - "
•
41. Solar Domestic-Final .- I I I- ; '7-, •
- -
42. Backflow Preventel 1 H 1 I I I; : ,
43. Backflow Irrigation ; . ; 4 - ;
44. Landscape Irrigation System • , t - , •
-45.-Sound Attenuation ' - - F '
, t ` ,
46. Handicap,Regulations ' -.
47. FINAL STRUCTURE& BUILDING r--eqi a""ct; - -
48. FINAL PLANNING " • .I I I _
. 49: Electric Release to Edison ' ' :
50..Gas flel6se to Southern California Gas Co , I I I:` ; ;
51. CERTIFICATE OF OCCUPANCY ,,,=. . , ,
No. Date
81459 12/ 12/79 126.40/1FL
COSTA MESA BUILD; AFETY DEPARTMENT APPLICA'. . FOR STRUCTURAL PERMIT
P.O.BOX 1200- COSTM _SA,CALIFORNIA 92626
RECEIVED BV PERMIT
. ) For Applicant to Fill in Completely —Use Ink Only '' ///�
T GQ9
. BUILDING A.P. NO. q I9 —O''� ... 1o/ as
ADDRESS
BUILDING
OWNER OR ` ADDRESS 7.1-1 \x lsik . E
TENANT /I%V/U/(�'/t ��N�L �' / .L�(//.. tie,
MAILING � , . g ` / UNIT ORO.
ADDRESS o! r!/�//�l�J /alai/ rACENO. � /
CITY C�� g / , mWL/ TEL !/d// LOT L O BLK.
CONSTRUCTION [
NEW ADD
ADD ALTER REPAIR MOVING DEMOLISH
LENDER ' X p�BRANCHq //' ` /��,,
ADDRESS ��] // y�q� //�
OWNER
/J�/�/e)r�/f/Fl./ I-4-(4,"J�/SU�/LA pike}y
1. ARCHITECT /V/Q^^ l/r/ /LL!/!�(l NOL(Y7 2 VS`C/✓N'/(4 i!!l��t212___"" /'�`/.y EJE� � 'sG 7C.
OR ENGINES /�Nn/�/'�, �7n /����g ///�// R/'
ADDRESS J' & /U!//ti ///.titt / /// e - ZONE `4 TYPE GROUP -(
CONTRACTOR r P,. /Pa
liZ'G//k, /(e/2.(�r�zL.U'/)U{11t�1�� BYPROV ED DATE
ADDR/ESS 4 t/✓l��X.000/�!7't� Pi 'A/U.Uv�/�/V / �l j�
CITV/MUL f19L� , (1. NOL . )7/7 Condo on l `s
h�y+ STATE ry/�, CITY APPROVED SETBACKS NOR�-
S LIC. NO. /S / LIC.NO. V
SIZE NO.OF BLOTS. (FROM C/L STREET)
L OF LOT NOW ON LOT _ FRONT FT.
Q USE OF /�
� EXISTING BLDG. 1 R $IDE FL 2
CA
t•-• Separate permits are required for L.SIDE FT. e.
L -
electric,plumbing and heating work: REAR FT. 1$41
-
H- - USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q / n '^ y/� DATE
O X�f h/n- > (Net ����Gric.t'r.-c_/2 ZE —lei -- 5' • APPROVED -1-19
.
ar..l (1�I//-"'"- �Bi,V� `�i]�\ DATECI. w/C _l ) '1
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Ia /
w
o. I hereby acknowledge that I have read this application and state N
aN
that the above Information is correct and agree to comply with
IY all laws regulating building construction, and I shall not employHULD FOR SPECIAL RE(�UU(EMc.N I
.7. any person in violation of the workman's compensation laws of o
the State of California. /4 77j---4,4 41 t 6 as, N ^
I hereby certify that I am properly licensed as a contractor under
SQ. FT. m /V
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m CZI
Chapter 9, and that su h licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the p ovisions of the State of California Business VALUATION I PERMIT FEE S `t
and Professions Code, ivision 3,Chap er 9. A
PLAN CHECK $ /��J 0
Signature of /�.r,� 1i 9S
' _., Permittee e'er
- ��$ O /(OR) TAX § h S's Li
-
or .J�� sf� J J�7
Authorized Agent D �� 7 / TOTAL PAID §/
COSTA MESA BUILD( .FETY DEPARTMENT APPLICA'1 FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA. .dA,CALIFORNIA 92626 I// •-^- - _.
RECEIVE V PEkM7TI ,'," I "" "" i u !OQ Tu.
For Applicant to Fill in Completely - Use Ink Only i./ 497Q7
BUILDING 2217 Saybrook Lane AP.NO. 419-012-19,22
ADDRESS y
UILDING
OWNER OR ADDRESS 2217 Saybrook Lane
TENANT McKinnon—Bibb Properties, Inc. y
UNIT OR.
ADDRESS 2737 E. Coast Highway SPACE NO. Plan B—R
TR.NO. LOT `BLK.
TEL. 10856 10
CITY Corona del Mar No. 675-2311
CONSTRUCTIONNEW ADD ALTER I REPAIR I MOVING(DEMOLISH
LENDER Home Federal Savings & Loan % I(
BRANCH 1702 N. Main Street
OWNER McKinnon—Bibb Properties, In .
ADDRESS Santa Ana, Ca. USE Townhouse w/att. garage
ARCHITECT TEL.
OR ENGINEER GPO. R. Wi Seman NO. 647-5.544
•
ADDRESS 833 Dover Drive. N.B. ZONE R4 TYPE V GROUP H&J
APPROVED ! / 3— �f_
CONTRACTOR Bell Construction BY DATE/A Ix7
ADDRESS 105 E. 18th street
TEL. Condo Unit
CITY Costa Mesa, No.642-4372 _
Fiwi STATE CITY APPROVED SETBACKS
LIC.NO. 367816 LIC.NO. 7420 as per approved plans
SIZE NO.OF BLDGS. (FROM CIL STREET)
a. OF LOT NOW ON LOT 0 FRONT FT.
a USE OF
to EXISTING BLDG. 0 B.SIDE FT.
to
(-6
Separate permits are required for L.SIDE FT.
Cc electric,plumbing and heating work. _REAR FT. _
p.. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C
0 DATE
dTownhouses with attached garages ZE-79-58 ( APPROVED 4-9-79
7 APPROVED I
>" _RV
OATS
W
W
0 I hereby acknowledge that I have read this application and state o'
LX that the above information is correct and agree to comply with
G. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
the State of California.
3 I hereby certify that I am properly licensed as a contractor under
1377 SQ. FT. J 664 + 60.5 N
D
the State of California Bus' an Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR w
Chapter 9, and that suc menses e in full force a of ct,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n
am exempt from the ovision f the State of C ' OrnBusiness I y
VALUATION PERMIT FEE
and Professions Cod Divis 3,Chsptej.9. I $ 189—^00 m PLAN CHECK $ rn
Signature of o
Permittee ��y�r, $ TAX $ �— a
or C u
Authorized Agent Date TOTAL PAID $ 189.00