HomeMy WebLinkAbout1628 SANDALWOOD ST - Building Permits {PROJECT ADDRESS: 1628 SANDALWOOD ST UNIT
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 057967
GOVT; N SUPP: N
OWNER'S NAME: MELENDEZ SANDRA A
ADDRESS: SANDALWOOD ST PERMIT NO: B 057967 PLAN CHECK NO: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT
•
ARCH/ENGINEER: 557-1270 REG.NO.: JOB DESCRIPTION : REROOF/T—O & INSTALL COMP,SHINGLE SQ FT: 3, 285
.y ADDRESS: UNIT:
CLAIM VALUE: 3, 285 . 00 CALC—VALUE: 3, 285 . 00 GROUP OCC; R-3 /M-1
PERMITTEE: ARROW ROOFING COMPANY ( 714 ) 840-8790
ADDRESS: 5941 EDINGER AVE 113 COMMENTS; REROOF 2100SF RESIDENCE & GARAGE
HUNTINGTON BEACH CA 92649 ***********************N******+r+lir*** **sP+t+FTrx*+;*** ** **************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that 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
CITY LIC.: 051451 STATE LIG.: 5976 6�. ^CLASS'
r
Date: CO- 2, signature:—?%e _
Z� / MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY ND.: 1200351-92 EXP.DATE: 07/01 /93
COMPANY: STATE FUNDr� PARKING REQ. PROV; PARCEL: 13921206 ZNE: REF NO:
0 Certified copy is hereby furnished. ER Certified copy is filed with the city Building Division. PLANNING NutES>
-,a_gz- A //,, /, 1 >
Date: Applicant: SI—Le� "k/ ************************************************************* ******1***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this section need not be completed it the permits for one hundred($100)or less). DEVELOPMENT SER VICES R E Q U Z R E M E N•.T S
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 10 become
S.-
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE; ('t
Date: Signature:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY • DATE: '
Code.you must forthwith comply with 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 B Y• \A-' DATE: <jI G t
which this permnts issued(Section 3097.Civ.Cr. ********{p************{(*********�******�**.*�**. 4********************** (L****
)P9P#***
LENDER:
ADDRESS: LEGALIZATION;N F E E SUMMARY 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 FIRESHIP/RES GRADING
(Section 7031,5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM IP/NON'-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
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 for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0. 00 63 , 50 63 . 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
ownhisor her isemployees,providedneaof cmphion.improvements are not intended deoof lir sale, Ihowever notand building REVENUE DIVISION TOTALS--> COLLECTED• 63. 50 OVER/SHORT. r' . 00
his or hereof sold within one year that
completion.limp ove entsr will have the burden offered
proving he/she did build or improver
forthepurposeotsalel. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING%PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63. 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).l am aware *********************************************************************B(.*********
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B. S P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
e•
Date: Owner: SFR 3285 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 . 3, 285 . 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.
i
Date 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 f
ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned •
property for inspection purposes.
G-?St q� )/j/ln/[ 0,1 ^0118152—C0i13J:3 '-iL ._
Date: Signature: _
Driver's License or Social Security#: C+.TCL Ce�O1"2 1(,c: 1H-r:,
164146 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
tt
COI�TST'RUQTlON AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
, 3..Electrical Conduit Utility-Undrgrnd. 54. Forms '
4. Electrical Conduit-Undrgrndc / 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
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 1 - •
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 • T
22. Duct , Ventilating _ - 71. Product Piping 0 Gas 0 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
26. T-Bar Ceiling (Structural! & Monocoat • 75. Dry Chemical '
27. Frame and Flashing - - 76.' Dry Standpipe '
26. Lathing & Siding.- - 77. FIXED SYSTEM FINAL '
29. Insulation4. - 78.-FIRE PREV. FINAL ,
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I 79, FINAL INSPECTION • -
'32. Electrical Power Meter-Final . i 80. FOOD CERTIFICATE ISSUED
I
33. Final Electric ( - • Notes:
34. Final Heating& Air Conditioning _
35. Final Gas Pipe-Test _
36. Hood or Canopy . , - ,
37. Final Factory Fireplace - • ,
38. Final Plumbing . - '
-39. Water Service-Final r -
40. Gas Service-Final
'41. Solar Domestic-Final - • _ • •
42. Backflow Preventer .
•
43. Backflow Irrigation _
44. Landscape Irrigation System, _ -
45. Sound Attenuation • - -
46. Handicap Regulations - "
47. FINAL STRUCTURE & BUILDING 7_ 7_ z &.:4:4,1_, _$''.rsti O_ iK ,� �j _ c &
48. FINAL PLANNING' , - - ��I 'CO`
49. Electric Release to Edison i
50. Gas Release to Southern California Gas Co I I .
51•, CERTIFICATE OF OCCUPANCY
•
No. Date
Y
•
CITY OF COSTA MESA.
O 0 � CALIFORNIA 92626 P.O. BOX 1200
I . a
iratFROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/
4e BUILDING SAFETY DIVISION
CERTIFIED MAIL
COMPLIANCE OR OCCUPANCY INSPECTION REPORT
APPLICANT TO FILL OUT
Subject Address '1622 Sanrlaltaccd Date Rec'd.___6 25 84
Mail Report or Correction Notice to:
Applicant Loretta F. Mc Shine Telephone j 14) 545-2095
1628 Sandalvco3' r Costa Mesa CA 92626
Address Zip Code
Owner's Name (Print) Loretta F. Mc Shine
1628 Sandalwoodr 'Costa Mesa CA 92626
Owner's Address Zip Code
Owner's Signature Date
•
Recorded by
initial
Compliance Inspection No. 092552 CMB No. 773
Site Location 1628 Sandalwind
At your request, inspection was made at the above-referenced address on 1628 Sanrial••tand
and the Code violations shown on the reverse side were observed. '
You will be required to correct the violations listed within fifteen (15) days after receipt of this letter. Failure
to comply within the allotted time will result in a complaint investigation being initiated for compliance of the
Codes.
If you need assistance, please contact the appropriate Inspectors listed below:
Structural Bob Coc�tran (754- 5230
Electrical (754-
Plumbing/Mechanical
(754-
Very truly yours,
(Md Cane/ 174VVW
Name / //f Off,
Title l�
cc: Inspectors
Property Owner NOTE: SEE REVERSE.SIDE
CMF 1035-46,rev.9/83
White-Bldg.:Canary-Owner;Pink-Clerical 77 FAIR DRIVE (714) 754-5273
01 4
4c p . .,Oma' - MFS
9 CITY OF COSTA MESA
C - �' CALIFORNIA 92628-1200 P.O.BOX 1200
j0
-� ., DEVELOPMENT SERVICES DEPARTMENT
COMPLIANCE INSPECTION REPORT
STRUCTURAL
Framing must be restored to existing condition as a usable 2 rar garage.
MECHANICAL
1. Remove heating vent to garage and restore to existing condition. c1pN(-
2. Fireplace added in family room without permits.
3. House has been zepiped, for gas, without permits. rioMt
Fe"F
4. F. A. U. has been replaced without permits. P `r iia OUT - to �'T1
RTFCTRICAL
1. Interior of existing garage illegally modified to diving quarters. 6(-
2. Electrical wiring tapped off an existing system must be removed and restored to O - tic
existing condition.
3. Wiring does not conform to code and is hazardous. pp hEL
Code Enforcement/Business License (714) 754-5234
Building Division (714) 754-5626 Planning Division (714) 754-5245
77 FAIR DRIVE
4 - . .
••
}� z� r CITY OF COSTA MESA,
4CALIFORNIA 92626 P.O. BOX 1200
tl `
FROM THE OFFICE OF THE DEVELOPMENT SERVICES DEPARTMENT/ /
41%.000110 BUILDING SAFETY DIVISION C. �v/#6 207-3
•
CERTIFIED MAIL
COMPLIANCE OR OCCUPANCY INSPECTION REPORT
APPLICANT TO FILL OUT I p H 11
Subject Address .w.)--8[� .3 I`'f-/4� JEW //fid Date Rec'd.___
Mail Report or Correction
Notice to:
Applicant L(� C 4 -4-c. )- 1110, 51-1464 L Telephone d/411A45209S
n
Address /' 5itl.U�.� Woof) 1 Zip Code 924-- 4
Owner's Name (Print) 'e & T / YVe_ `-' �� /2c
Owner's Address l _2 r JN b fX'oo,p Zip Code -2f'-�
G / / 6
Owner's Signature' E� �, ��61 Date / Jr//�
Recorded by
_ initial
Compliance Inspection No.rfl25 CMB No. 7
Site Location
At your request, inspection was made at the above-referenced address on
and the Code violations shown on the reverse side were observed.
You will be required to correct the violations listed within fifteen (15) days after receipt of this letter. Failure
to comply within the allotted time will result in a complaint investigation being initiated for compliance of the
Codes.
If you need assistance, please contact the appropriate Inspectors listed below:
Structural (754-
Electrical (754-
Plumbing/Mechanical
(754-
Very truly yours,
Name
Title
cc: Inspectors
Property Owner NOTE: SEE REVERSE SIDE
CMF 1035.46,rev.9/83
white-Bldg.;Canary-Owner;Pink-Clerical 77 FAIR DRIVE (714) 754-5273
`0"4:t9 CITY OF COSTA MESA
- `gCAUPORNIA 02S243 P.O. BOX 1200
e •.
�1 "i• '°a DEVELOPMENT SERVICES DEPARTMENT
•
July 3, 1984
Compliance Inspection
CNB #723
1628 SarAa1scod
Updated report on compliance inspection at 1628 Sandalwood.
As of this date everything has been completed except:
Fireplace built in family room without permits.
Dave Schuyler, Structural Inspector
Dao--e.
sag at"
Shorty Derhammer, Plumbing Inspector
DS: SD/dm
72. $v (c`!il'ai7 Q -/ yo v8 (���'Fy 3iKy�/N�+^ (=a,E CoA cN,WNr) To r.
7- / 3 -'r( -(c- 7//}c-r R/2/d*lc Tc, eot.t, / e-a Cuoar ,
?- /3 -8Y n-fA-fau-( rX, Pont Port TA, G c7F&- ToIfcsLo'0 de Room
An/CL , es70r(-r �/r F''.° ('a61 r/k, IQ--sr Co sJ7Puc'f/oc
-a1-W ccI4 tC Nosra,
(/ Doo r( To /3�c%LooAl vly.ho�✓
p- -- 7- S--/rays 2-87-
Code Enforcement/Business License (714) 754-5234 tde OgeGc,
Building Division (714) 754-5626 Planning Division (714) 754-5245
77 FAIR DRIVE
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
CITY OF COSTA/MESA�i �C+ONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. t ��'-: I• 14
Project Address /v2R --Ce-Adm'/ �/7/0 0 CI • I �O�� -
Applicant's MailingliAddress �a' ^^ @ •�s-� TYPE OF CONSTRUCTION ❑ NEW 0 ADD U ALTERATION REPAIR 1 I 0. O
�1FA-�h�oy -C/ on, . PhoneStF___E `!0 ❑ CONVERSION ❑ DEMOLISH /.OTHER _.- A.P.# Zone .
Owner's Name J DESCRIPTION OF WORK/USE OF BLDG. Vegif-�' t-V STG PiK'E-
Address Se..- ^. 'e / - a. , V _ y = saes r S Main BuildinoiTy or nOSTA• .ccessory Building: Z
Arch/Eng. ,,��//��-^•,I�// License N�O/. 8'��-'L9s/3 L- TYPE OF PERMIT III GRADING • FOUNDATION od STRUCTURAL T Front IY/'�M o
Address /Sl/c? ♦7/•!Y��• /tel C. Oxs. /renal,/Z77...-k: 1:2/4,7,-
,
I LI TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL Bq Rear N
Contractor's Name /07 ! y,AZF92/t ❑ OTHER
Y�P.. 7-- Phone C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C-
KAddess Licens(mailing) ��� CONSTRUCTION TYPE VALUATION S SOO"O-G- K Left G
City License No. s R
ZONE GRADING CU.YDS. ACRES Ping. Ref.yY' Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION _
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: >A ,��L.t 1 t_-1- 413.7. ran Moos �rx! r •cc,r-C. Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is inri�r�Ii force and effect. ���/ 2 T.
Da ense Class ` 4'•
y�7 License No.
.299/
signature 7 hof' - '-, PLUMBING I FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW .
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+KW
8 Certified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors DishwasherMeter .Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that to 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 Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'/x-8
Workers' Isar ation Laws of California. - • - - ,
Date // Signature,. mss e� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP 016-15+
NOTICE:If,atter making this declaration, yo should become subject to the
-
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes It ' Pole Light
I hereby affirm that there is a construction lending agency for the performance -
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets . . `' Rangq
Lender's Name _ _
Lender's Address Kitchen Sink Water Service Switches 'r4 •
i / Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal Standing Sections
—
�
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Generator ❑0.5 KW ❑5.15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit
to file a,signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - •
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ,/ -
-
Division 3 of the Business and Professions Code) or that he/she is exempt „ _
therefrom and the basis for the alleged exemption. Any violation of Section t _
7031.5 by any applicant for a permit subjects the applicant to a civil - •
, •
Cenalty of not more than five hundred dollars($500). Reinspection Fee $ 3 -/
I, as owner of the property or my employees with wages as their soleI $15 Issue Fee r, . -
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee"- I $15 Issue Fee - $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply t0 an owner of a property who builds or improves DEVELOPMENT•
thereon, and who does such work himself/herself or through his or her own /SERVICES REQUIREMENTS:..
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved:By Date -7
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground F/ .♦ % / �i
rove for the purpose of sale), Building Approved B• y` 4'� Date
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Applic tion Issued By -/Idte Date (' L
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 ❑0.100,000 BTU 0100,000 BTU - SUMMARY OF FEES
builds or improves thereon,and who contracts for Such projects with a con- - '
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration , 'BUIL DING PERMIT $ ID• SMTP $ '5
proof of their Worker's Compensation insurance should be provided to me. /LAN CHECK $ `♦., sG ' PERMIT
•
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# ,PLUMB AN C NG e / $ ' ISSUANCE $
Date Owner Heating System& Ducting ^ PLAN CHECK • 25% $ f' ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,0006 - ¢ELECTRICAL $ - GRADING $
Information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repro- PLAN CHECK 50% $ ♦' • f MICROFILM $
sentatives of this city to enter upon the above-mentioned property for
inspection purposes. t /'MECHANICAL $ - 1
-
Signature (_._:_e � Date $. ra TOTAL FEE $
Drivers' License or SS* .— Reinspection Fee $15 Issue Fee $ 3 •PLAN CHECK 25% $ //
CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor •
, CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# • Date Inspector APPROVALS Permit# _ Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Condyit'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
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 0 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
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:
34. Final Heating& Air Conditioning 7,13- �(.J Aj cw 2-emwrcte
35. Final Gas Pipe-Test og77ev o-it Zr2,7e 0/4-cy' art
36. Hood or Canopy --!h y7€c7-rol ete"__,_ '-
37.
37. Final Factory Fireplace . Sy Matll' slink_
38. Final Plumbing PAgehr/jy„e come r�e, 7�r7
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final 1k 04 li€2.0 CAth47e4J 7a
42. Backflow Preventer $EV &vccr Nt h'���f4) ,rillape CJ
43. Backflow Irrigation //�J ,�12C�4-ec JEST few
44. ,Landscape Irrigation System 1j /2 7Art/ U
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ?,�.ey '
, d �� / u r 1 7
48. Special Requirements Completed {��' �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE-OF OCCUPANCY.
No. Date
OWNER ROSSLANE LAND CO. DATE 7-9-59
JOB ADDRESS 1628 Sandalwood St. BUILDING PERMIT NO. 9862 _
GENERAL CONTRACTOR Dike & Colegrove, Inc.. • VALUE $ 13,715.00 _
AP. No. LOT 216 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res. Watt. gar•
INSPECTIONS 7.-yo DATE GROUP I & J TYPE V ZONE Jfl
Underground Soil IS-is U.G. Water M+'S 7-31 CP_ SUBCONTRACTOR PERMITS ISSUED
Underground Gas ' DATE NUMBER
Overhead Water and Gas ✓
Rough Heating 441, 1-2y g/ }�/ _
Rough Plumbing /kA/5" 9-/-419 % 1 �, O ..7-02-4/5-, _.l_l/_S /7 '�
Miscellaneous
—AAAy J�JR'��� //11
Prop. SwrLBine FT `e-Con. St. Swr. / Iq .I r0 - P71101 NV / W.,4 0 ✓ gift-
Sprinkling System lllYyY D
Heating, Final (A��11� _ '�b
Plumbing Fixtures �c/{7�� _ , i S
Final Gas Test /�,(i4r /,Q 4'-47 - ,
Construction Pole
Underground Power
Rough Wiring /l//� 9r LO1G /Lb/Z1 V Tina h ' Q-/4l-C9 /4/4 0 V
Trenches o,f 1f-Forms4'>,4/Steel 4,4G*' ''-9/- Sy
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing bie 94. 9-3o -59
Frame and Flashing ('/3 J- ( --6 -5`9
Lathing,In /t' Out n'97/ Co-5�-Tr/ _
Plaster, brown coat 4?t, d(±r `'
Plumbing Fixtures, Final //2
Electric Fixtures, Final / 40
Building, Final
OCCUPANCY I
Form 210-3M-4.59 9662
9862 JUL 1 , ,nrq
COSTA MESA BUILDING-SAFETY DEPARTMENT �� �'
P.O.BOX 317 COSTA MESA. CALIFORNIA '
\ fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1628 Sandalwood St. �/�p
COSTA MESA. CALIFORNIA W OffICE (/SE ONLY
I RECEIPT NO. I PERMIT
OWNER Rosslane Land Co. 9
ADDRESS 419 E. 17th St. A p R EIVED BY I D,TE RECEIVED I ,ATEISSUED
CITY Costa Mesa TNO X8115] A DRESS
/ /Gf�.'�/C • '
ARCHITECT Carlson & ii LIC. COSTA MESA. CALIFORNIA
NO.
OR ENGINEER• I•L ddleurook
FIRE
ADDRESS Garden Grove, :' ZONE
CDN Dik o& Colegrove, The. SL CT NO.TE 167293 • APPROVED DATE
ADDRESS 419 E. 17th St., CostaMesa ZONING
LEGAL LOT 2822 , ZONE NO.OUSE OF NEW
DESCRIPTION IND. 2l6 I BLOCK TRACT S/ I PLANEP I BUILDING
A.P.NO. {S1_ . BYPROVE6�� 9%Q ryv DATE 7/_l3-Jf
g
/ d
. SIZE 70 x 102 NO.OF BLURS. -. YARDS EVES
OF LOTNOW ON LOT none REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT j 2 FT. IN.
s SETBACK LINE FROM
CENTER OF STREET 551$ REAR YARD291 R.SIDE S FT. IN.
SIDE YARD I LEFT 141 I RIGHT 61 • I'
L.SIDE /0 FT. IN.
DESCRIPTION OF WORK
• REAR a-0 FT. IN.
NEW I XII ALTERATION I II ADDITION I
REPAIR I II MOVING I II(DEMOLISH I
SZIE DING 1365 ROOMS 6 STORIES 1
EXTERIOR WALL , ROOF
COVERING Succo ICOVERING Rock
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with
attached garage. •
Plait 110CR
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- '
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING • PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTIO re"
VALUATION
SIGNATURE OF PERMIT FEE 5 32.00
PERMITTEE
$ 3-3,715 PLAN CHECK $ 16.00
AUTHORIZED AGENT Dike & Colegrove, -Inc. ; TOTAL FEE $ 48.00
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. nr
CITYOF COSTA MES O RUCTI P 1 P . IIT NO '/ TRACT NO. LOT NO. UNIT NO.
_�// R,VI !"= /3 9074 3201 6/29/84 7.00 TL
,nrroject Address ,6 p`'N��� 7
l ,C�el�r�' u/ TYPE OF CONSTRUCTION U NEW U ADO Li ALTERATION LI REPAIR
�ApPlicant's Mailing A r 5s 4 � r1�GI-�
Owner's Name P ne`��" • ? / ❑ CONVERSION ❑ DEMOLISH 1 E)THER — A.P. # Zone
vrLJ_ai DESCRIPTION e . •'K US IF :LOG. =aaa
Address f✓'�'� -" - aril S Main Building: Accessory Building:
E Z
I
Arch/Eng. License No. TYPE OF PERMIT U GRADING El FOUNDATION MI STRUCTURAL T Front O
Address ❑ TENANT ❑ ELECTRICAL III PLUMBING ❑ MECHANICAL • BB Rear N
Contractor's Name ❑ OTHER
�/� Phone C Right - N
Address(mailing) PROJECT DESCRIPTION SOY.
. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION $ Left K G
R
City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION O
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: . Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is in full force and effect. S
License Class License No. PLUMBING I FEES
Date Signature r
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Polity No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
8 Certified copy is hereby furnished. — �-
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection LI Cooking Unit I Meter ❑up to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑Over 100 amps
(This section need not be completed if the permit is for one hundred ($100)or ••
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work f which this permit is issued, I
-
shall not employ an person in any manner as to beco e bje t O the Drinking Fountains Solar Tank Fan •
Motors❑0-1 HP ❑1'h-B
WorkersjCo/Yt- 7 plLJ(a Signaturews of Califprnia -
C/Date ((OO////oo�r // Jr lf[ 1�"'ve� Floor Drains SwimmingPool w/Spa '
l y F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
NOTICE , per mak ng oonr Don,you r becomesubject h ite
c Workers' suchCompensationrprovisionsionof the Labor Code, you et forthwith h FIpOf Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. _ Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets
Lender's Name �-F�'` Range
Lender's Address ' / 0 Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION' Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories 10-<1-
/7 _ g�a� -
following reason (Section 7031.5 Business and Professional Code: Any city or a"-"- ���/ "`/(("' C1 Garbage Disposal Standing' Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Generator ❑0-5 KW❑5-15 KW Trash Compactor
any structure, prior to Its issuance, also requires the applicant for such permit _ P
' to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ,
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
Division 3 of the Business 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 _
Malty of not more than five hundred dollars($500).
LJ 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 I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL 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:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale, If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
move for the purpose of sale).
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
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 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $ _
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration
r s PLAN CHECK $ PERMIT
0 I am exe •t under ction P. for this reason .sem Fire I/Fact.Bit. ICBG#
dr. / / 4+�i� 0 f. r "f` p •D8L•PLUMB!NG $ 7 00 ISSUANCE $
Date 6 Owner '1 � ' - - ,�,�r Heating System&DuctingPLAN CHECK 25% $ ENERGY P.C. $ _
I hereb certify that I have rea•Shis application and state that the above ❑0.100,000 BTU ❑100,000BTL—
information is correct. I agree to comply ith all city and county ordinances -
and state laws relating o building co , ction,and hereby authorize repre-
sentatives of this it /ryt u the abov -mentioned prope fo
inspection purpos s. y MECHANICAL $ TOTAL FEE $ sa
Signature
Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA •
APPROVALS Permit#' Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-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
•9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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
it. Rough Electric Wiring 67 t•Fencing & Access Approval . - •
17. Rough Wiring Sign - - ' - 68. APPROVED FOR PLASTERING .
18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL < -,
1.9. 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 0 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
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:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test 7/3/1'( Led)
36. Hood or Canopy •
37. Final Factory Fireplace
38. Final Plumbing 7/04-/ LEO '!•
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
•
43. Backflow Irrigation _ -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date - t. �'