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HomeMy WebLinkAbout2710 SAN LUCAS LN - Building Permits•/ - _ Applicant'to f 1 in all spaces e1Ccept those within heavy border lines and sign all ap{ropiiate decl9ratIon• s.;\ ` C r COSTA MESA CO,J�1 STRUCTION PERMIT PE ITN TRACT NO. LOT NO.. UNIT NO. hLO I;O4 7/24/B6 39.27 TL Project'Adihess 270 4%,' A../e4," .e.4(e.s '5 - 29:7o2 371-iq �\ i TYPE OF CONSTRUCTION NEW U ADD ALTERATION U REPAIR - \ Applicant's Mailin Address �p2a� _ .moi i./. N • ❑ CONVERSION ❑ DEMOLISH ❑ OTHE A p # 'N j -3 j Z — ZS" Zone K ` OwnerY Name r J/P�ho�ne ¢¢§§1(,/ O/✓ . ' 2y/ AV ham:" Xofii" DF R _,c. W45[-off' FBLD ' et L�l��/ Address-. `C�� Kx I-I� S Main Building: Accessory Building: Arch/Eng. /)s License No. TYPE OF PERMIT ❑ GRADING I FOUNDATION LKSTRUCTURAL T Front 'O "f"' O Address !ailirC��� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - N Contractor's Name Phone El OTHER _ _ PROJECT DESCRIPTION SQ. FT. OCCUPANC C Right N Address(mailing) // K Left G /�-.0CONSTRUCTION TYPE - _ VALUATION$ // S City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# //'P//arki• (ngg Req./Provided-\ E CI I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes:. to / 5LOCM- U' ALL. B 6 1 W ec(�•' M with section 70 Division 3 of the Business and Professions Code, and my license is in full rce and effect. 9.-7/0 7 yl I�s f Q N C_U C r, J T License C License No. G S Date �Si9nature PLUMBING .FEES it , 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• 'B, Lab. CJ Automatic Washer Transformer 0 15.50 KW cy No. Company ,Backflow Irrigation Sewer Cap - Construction Pole Sub. 0 50+;KW , - ),.I Certified copy is hereby turn fished. . h. U Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Cooking:Unit• . - Meter ❑up to 100 amps - Date Applicant _ - ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter.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 In the performance of the work for which this permit is issued, I - , shall not employ any person in any manner so as to bbject to the Drinking Fountains Solar Tank Fan • Workgr� Cp ens i n Laws of Califo la. n - Motors❑0-i HP ❑1%-8. Date -4•C Signature C� Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declar ki n, you should become subject to the Inc Solar ❑9-15 HP ❑16-15+ . 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 , 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 Heater Outlets Lender's Name/jam //�`/ / - Range , Lender's Addr,rS(�o/ 'C.� Kitchen Sink Water Service - Switches - Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 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 Laundry TraysGenerator• 0.5 5-15 KW❑ 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 ' the Contractor's License•Law(Chapter 9(commencing with Section 7000) of - Division 3 of the Business and Professions Coder or-that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section , -x31.5 by any applicant for a permit subjects the applicant to a civil • - _ - fatty of not more than five hundred dollars($500). • .I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered 1 Reinspection Fee $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 0 DS M sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By b !/ 1 Date – ` ' V pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prpy e for the purpose of sale). p 9�I', as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By . Dat 7®O > I ctors 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 00100,000 BTU 0100,000 BTUSUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- O•Sa - tractor(s) Repair/Alteration pursuant to the Contractor's License Law), I am aware that- Exhaust System ❑ Multiple 0 System BUILDING PERMIT $ 2 3.SZ SMIP $ • proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ /51; Z 7 PERMIT 0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers - PLUMBING $ ISSUANCE $ - Date/'�/ Owner -�S1t'� �-+ t • Heating System&Ducting Registers ENERGY P.C.' $ • _ • }/�/ ❑0100,000 BTU El • PLAN CHECK 25% $ I here information istify rect I have read this application all and state that the above ELECTRICAL $ GRADING $ correct. I agree toicomply cost with all anddy and authorizeuth irepre- sentatives - _ and state laws relating to building construction, hereby PLAN CHECK 50% $ MICROFILM $ of this-city to enter upon the above-mentioned property for inspection p}yVttrposes. •n /� O/ MECHANICAL $ 3p �j Signature / mak Dat Ipso Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ TOTAL FEE $ /. G7 Drivers' Li se or S — CMF 0865-46.rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor -- 1 • 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. ,..,-�i 57. APPROVAL TO COVER-GUNITE 7. Footings c'(7r¢C 7rZ � ,.y-�r 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 1 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: t - // Qin% U-s� J�L S el.-as- Corr«i�n 34. Final Heating & Air Conditioning T ZS/ _• - 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations r:r 47. FINAL STRUCTURE & BUILDING 9//j6 /+'{T 48. Special Requirements Completed • 49. Electric'Release to Edison • 50. Gas Release to Southern California Gas Co - S` 51. CERTIFICATE OF OCCUPANCY No. • Date _ _ • moi , APPROVED CAUTION .CW of Co Mesa Building Dept. I STRUCTURAL APPROVAL ONLY ELECTRICAL LINE CLEARANCE REQUIREMENTS BY onr `Z`19. 6 SEPARATE PERMITS ARE REQUIRED IN ACCORDANCE WITH CONSTRUCTION REQUIRESH STATE SAFETYREGULATIONS, IF THESE PLANS MUST BE ON JOB AT ALL TIMSS I FOR ELECTRICAL, PLUMBING. . WORKERS, EQUIPMENT, CRANES 014 HOISTING DEVICES TO BE IN MAKE NO CHANGES WITHOUT PRIOR APPROVAL HEATING, VENTILATING AND ELECTRICAL LINESPROXIMITY OF OVERHEAD , OR UNDERGROUND ELECTRIC OF DEPT. REFRIGERATION WORN FACILITIES, CALL SOUTHERN CALIFORNIA EDISON COMPANY THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL Z ©Z- IMMEDIATELY ) OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED e `L ' 1 {714 895-0244 TO BE A PERMIT FOR, OR AN APPROVAL Of, ANY VIOLATION ' Permit # 7 . I OF ANY Of THE PROVISIONS OF THIS CODE. NO PERMIT PRE- II ' SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE THIS NUKES MUST ACCL'MPri { PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO i ALL INSPF.CTIUN REQUESTS i ,, N nal Inspection Will Be Made FAR AS THE WORK OR USE WHICH R AtlY10RIZES IS LAWFULCOMPLETE SUBCONTRACTORS LIST IS APPROVED THE ISSUANCE OF A FERMIT EASED UPON PLANS AND ! -----/A—"' , VS SINESS LICENSE D1V1SION. SPECIFICATIONS SHALL NOT FREVENT THE BUILDING OFFICIAL ETi t,; 7 FROM THEREAFTER REQUIRING THE CORRECTION OF L7ROal FOR RUILDIN65.WHERE E�Sr.' a ARE IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING V EMPLOYER L-E SUuaEST 1' .T .HE ST E a O" 1 J BUILDING OPERATIONS DEING CARW O ON THEREUNDER WHfdl' /, CALIFORNIA IRVISION OF ' OUS IRIAI.�bb..AF�S Y /7 1N VIOLATION OE IRIS WD OR DE ANY OIHFR (aDO1NANF31 • B E CONSULTED F H ALM'�jjYV�L DEIFIF);l7Yr J REQUIREMENTS. (J� • . • I In Q I>• _1 • \v. . . h~I N , e I Ilt$1DeNa pIDINCII ■t MIMICS R[MIDWCt la 1 ,Age �c cZ y -÷ ea I.c =0 < a79 e. • a 30 o € �7(8 �7io • . •�°od Ansi caamas p,,,6 d g ) JWY .Ge/ - ,yam' g+ I 3� G Ca 1 8 j� O - .e r7 t/ 9 _ _ • STREET A �, 7 r J A .. ammen -1 . TYPICAL 6" CONCRETE BLOCK FENCE I a CementarBbCopingWith m II I I I- . 1 I GENERAL- NOTES Channel Block With Dm �8 56 FencetHorizonalTopolall • 111 ' MORTAR: One Part Plastic Cement, and Three Ports Sand For Fencn5'or L. i , • GROUT: • One Port Cement Thee and fI r 3 2 I I I 2 I 1 One Halt Ports Stand Vert.Bars 3/B" at 4'-0"O.C. se 1 0 s = COPING: One Port Cement, Three For 'ir i III Ports Sand Fences Higher Than 5' " CONCRETE: Well Mixed 1: 2h : 3112 ert.Bars 318"0 at 32"O.C. > w I = . Fill Cells �� > z Solid With Grout II I ,' Max. of 7%2 Gallons of Water Per Sack of Cement Where Steel Occurs Igal; > — Reinforcing Steel.Shell IC71S 7 I 1 I t GROUT MAY BE POURED FROM THE TOP ee,iii 111 Ill OF THE FENCE Conform to Sec.A•15.39 S W o 1 A.S.T.M. ,�i( = t I 11i. I I CELLS AND AREAS OF HORIZONTAL REIN• 1 tan FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped $ , I FREE OF ALL MORTAR DEBRIS,ETC. le"or to Code 1tlsot I 1 1 I NATURAL GRADE v g I I BONDS SHALL BE PROVIDED BY LAYING 111=111= F # g mall ♦ 1 1 III_ BLOCKS IN STRETCHER COURSES SO THAT _ VERTICAL JOINTS ALTERNATE IN EACH RBI t • ♦ • COURSE. TWO 3/8" BARS • .♦ ♦ ♦ �.. • . CONTINUOUS TOP',1x�t .t .o ' &BOTTOM y..I . L• WIDTH o1 TO IG' 0 C. MAX. e • D SEE CHART p I �♦ O , BELOW Qo o . . a .. o DEPTH OF EARTHTCOTH •P - e I/3 THE HEIGTH OF FENCE � { :'. j '♦ 'Mow BOTTOM OF FOOTING. Io' T2.. SCALE: I/2" = 1' •_FOOTING REQUIREMENTS _ WALL HEIGHT 6 ' 5' 4' 31 • WIDTH OF FUOIING - 14" 14" 12" 12" THICKNESS OF FOOTING 10" 10" 8 " 8 " DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' 14' 16' 16' OWNERS NAME: City of Costa Mesa, California JOB ADDRESS: Building Department ') i IN A I c STATE OF CALIFORNIA ISS. m COUNTY OF Orange I E July 1 , 1986 o On ,before me,the undersigned.a Notary Public in and for 0 @ said State.personally appeared Nora C. TdtOfR - , 1F c . m 2 a, % a it $d(rk KybJ6d(d(rXt X*(or proved to me on the basis of saris- • - . OFFICIAL SEAL factoryevidence)tobethe person(s)whosename(s)is/are sub- its=U tij+ STACEY S. VANVALER I'LL 0,_, NOTARY PUOLIC CALIFORN IA 'D-� scribed to th- .ithin instrument and acknowledged to me that PRINCIPAL OFFICE IN i5 .... ..• ORANGE COUNTY c he/she/the executed the same. My Commission Expires May 11, 1988 N m WITNESS • and and s C) _��� `o r• _/ (This area for official notarial seal) STATE OF CALIFORNIA COUNTY OF O�9."7G SS. • 7�t //��/ before me, FOR NOTARY SEAL OR STAMP On the undersigned,a Notary Public in and for said County and State. , personally appeared , "Ze/!o �7cfLr�,oO _ ---- - ._ m ice,.. OFFICIAL SEAL LARRY E NEICHRAN • 3 ' ` NOTARY PUBLIC-CALIFORNIA i w}, PRINCIPAL OFFICE IN V personally ' ORANGE COUNTY C 1 NY CONNISSION EXP. NAY 15,1989 • — known to me (or proven to me on the basis of satisfactory evidence) ....... ....• . to be the person(s)whose names) subscribed this instrument and acknowledged that aid erson(s)executed the same. Signature .... - l r • - Public in and for said County and State 021 N F � �� Ifl70M T � J� L • PARTY %TALL AGREEMENT • THIS AGREEMENT, made and entered into this / day of l98$, by and between o24. C . ; ?one, • hereinafter referred to as "LAND OWNER", and LE ,qd y 1 5 LnNd hereinafter referred to as "ADJACENT PRCPERTY OWNER". It is hereby agreed that a party wall will be constructed on the property line between .a7/0 7¢- .27/ r (Address of Adjoining Properties) in the City of Costa Mesa; County of Orange, State of California, as per map Zo, 2 / ?.2 c‘ �3 recorded in Book/13j , PageS 4 6f Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach fl Ai P- o ' ! f-( P ' T/CS IN WITNESS WEREOF, the parties have entered into this Agreement 'the day and year first above written. LAND OWNER ADJACENT PROPERTY CWNER (Signature) (Signat e) /I/,rrf C. / T, r / tIo ,,mac/,/,yc/ m Name (Typed or Printed) Name (Typed or Printed) . !'ZG 2Ic ,z7/O �!!�. r 7'`c.�. �./�''• A.5—‘ / 7 AAve G/ AF. (Address) (Address) A wc/-?/;- Ci ' 5i, ,,,Z6od (NOTE: Please see reverse side for notary's statement) • STATE OF CALIFORNIA ) ss. COUNTY Cr ORANGE ) On before me, 'the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared ]mown to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS my hand and official seal. (SEAL) • Signature Name (typed or printed) STATE Cr CALIFORNIA ) ss. CC(JNTI OF ORANGE ) On , before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS my hand and official seal. (SEAL) 1 (Signature) Name (typed or printed) • k Bldg. Permit # • NOTARIZED STATEMENT OF RESPONSIBILITY TO WHOM IT MAY CONCERN: This Permit # '4 X734 SAN LUCAS L N Street Address /'' AP Number Cj US L P �\ aA C..c 1,flS H , as Owner in Title of the above referenced property, do hereby authorize: 3o 1 MARQu t S C7 /4) 993 --.290o Name Telephone No. IS/S A) , JCFFERSDK ST. Street Address A- n) A H r^/nn C A • 2.2 8-0 7 City / State Zip to obtain permits in my behalf, as owner/builder, for the construction, alteration, moving, demolition or repair of the above referenced property. . Should any person become an employee engaged in the improvement of the property, I shall immediately provide • Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties. JOSEPH P BALOCJAH 'J oc 2/ 198-6 Printe}dd Name Date • Signature State of California ) County of Orange ) SS City of Costa Mesa ) On this 7 \ day of NS---)1\. \°54,0 personally appeared _ _. _ _ _ ._ . ,'� v ICIAL SEAL before me �� � T , WENDY L. ROSTERS R .-�;4 i NOTARY PUBLIC CALffONNIA known to me (or proved to me on the basis of satisfa ory evidence) to be the ?'j PRINCIPAL OFFICE IN ! '! 4ORANGE COUNT/ person whose name is subscribed to this instrument,and acknowledged that a,c.::,n MyCammhsion low 25 1988 he/she executed it. In Witness Whereof, I hereunto set my hand and official seal. kVAcWs_ CMF 0779-46,rev.3/133 9648 7117/86 .g,,, 31 .85 T -Applicant to-nil in all spaces except those within heavy border lines and sign all appropriate declarations. _ '- -. CONSTRUCTION PERMIT TRACT NO. LOT NO. UNIT NO. _.-' MESA 2Y/a9 Jiifr � P 1/HE S YSy,� 37ng Address L /�O J90 As' se TYPE OF CONSTRUCTION EW L-u ADDLJ ALTERATION U REPAIRedOaf i' vws phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHERA•P•#6 KI 7 -, '7 ) ] -�S Zone j I ' DESCRIPTION OF WORK/USE OF BLDG. 610x-'/„ �) ( / / 7/ -P�9i(/ ,Ldt9P . -44".E 'S Main Building: Accessory B�uuilding: License oTYPE OF PERMIT U GRADING ❑ FOUNDATION IJ STRUCTURAL T Front / 521. Q / / uJbtt- ❑ TENANT ❑ ELECTRICAL- ❑ PLUMBING MECHANICAL •B Rear 0 1' , (� d.�.1 /.-,(� •(/-•� N O El OTHER A • uX'U �Cv/ .CCJ I Contract Name_— Ph e C Right ON .a{ate /jI / N ' PROJECT DESCRIPTION SQ. FT. OCCUPANCY P" -Address(mailing) / K CON ST RUCTION TYPE VALUATION$ �/QOO.00 S Left R C License No. - ZONE GRADING CU.YDS. ACRES Ping. Ref.# _ Parking Req./Provided E LICENSED CONTRAC R DECLARATION e/ 0 • , I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: , Planning Notes: Alert tC?A -L-( /s(�/..tT ' ca.)/ X70 a. .•4A) M with section 7000) of Division 3 of the Business and Professions Code, and T my license Is In lull force and effect. �S / w . 1e iS License Class License No. • fS� e ,A Date Signature PLUMBING FEES 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 - 3800, Lab. C.) Backflow Preventer Service Sink - • Automatic Washer Transformer ❑ 15-50 KW ' I -. Policy No. Company Backflow Irrigation ' Sewer Cap - ❑ 50+KW . - -3 Certified copy is hereby furnished. - - Construction Pole Sub. Certified copy is filed•with the city Building Division. Bathtubs Sewer Connection _ Cooking Unit Meter Cup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - Solar Collectors Dishwasher ,- , Meter paver 100 amps (This section need not be.completed if the permit is for one hundred ($100)or ' less). Dishwasher - - Saler Piping Dryers,❑Gas ❑Electric Sub Panel ' a 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 beta a bject to the Drinking Fountains Solar Tank . Fan Motors 00-1 HP ❑1'/a-8 Workers' Cry1q�nzat'ly 4.a ws of Califgr�� '�'7 - Date /� _. }7(G signature �J ��gltd- (/. moi ' Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016.15+ NOTI If,-after making this declar .igis, you shoul6-become subject to the _ - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal comply with such provisions or this permit shall be deemed revoked. • Fixtures Microwave. CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet • i I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) ' Interceptors Water Heater Outlets Range Lender's Name 9 •• Lender's Address_.� - 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 • Auto-Wash Garbage Disposal Standing Sections ' following reason (Section 7031.5 Business and Professional Code: Any city or • , countywhich requires a permit to construct,alter,im rove,demolish or repair any sructure, prior to its issuance, also requires the applicant for such permit P-Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor 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 - - ' penalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 •mpensation, will do the work, and the structure Is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3 r sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES lcense 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 SER I ES RE UIREMENTS: `-a n/' employees. provided that such improvements are not intended or offered for Boiler Hood or Type I 0 _ J�C](j Date /( O(� sale. If, however,.the building or improvement Is sold within one year of corn- Canopy Type II ❑ Zoning Approved By Motion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). - - �t�/l IJ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dati 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 ❑100,000 BTU SU ARV OF FEES 50 builds or improves thereon,and who contracts for such projects with a con- a tractor(s) license pursuant to the Contractor's License Law). I em aware that ❑ MultipleBUILDING PERMIT $ / Q SMTP $ proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 System Repair/Alteration - r r PERMIT PLAN CHECK $ 0 I am exempt under Section B.8, P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE ' .$ Date — — e Owner � 73 r/OCL.. Heating System& Ducting Registers ENERGY P,C: $ PLAN CHECK 25% $ I hereby certify that I have read this application and statend that 00-100,000 BTU 0100,000BTU GRADING $ Information Is correct. I agree to comply with all city and county ordinances - ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ �� sentatives of this ty to enter upon the a ove-mentioned property for inspection pur YiJl / MECHANICAL $ TOTAL FEE $ Signature IlL. ^ Date/ '�1 f/ Reinspection Issue Fee $ 3 iF $15 PLAN CHECK 25% $ Drivers' Lic n e or SS — CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor r 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 �Gc " 7. Footings gC �6 Al 58. Electrical Conduit-Undrgrnd. 8. Foundation T 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 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 ❑Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe ., 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation - t 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING f ( G ` ,.- , 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co _ • 51. CERTIFICATE OF OCCUPANCY . '' I No. Date _ p Bldg. Permit# • NOTARIZED STATEMENT JF RESPONSIBILITYt, TO WHOM IT MAY CONCERN: This Permit# 2(d So. —, 1 0Cs L & e Street AddressAP Number / �`)'"t4 S /u/. r,L nm.n , as Owner in Title of the above referenced property, do hereby authorize: Jai,--, 10.� � vzs 7/`/ c-, � 9oe Name Telephone No. 6 / /aid /7 t 2/6/ �/ / Street Address JD4A C lr•-t de / City State Zip to obtain permits in my behalf, as owner/builder, for the construction, alteration, moving, demolition or repair of the above referenced property. . Should any person become an employee engaged in the improvement of the property, I shall immediately provide • Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties. 7Aot>nn as N. et 7L- 7 - / C-- 8 Printed Name Date a • Signat re State of California fT County of Orange ) SS City of Costa Mesa ) On this /S day of G.�t A� personally appeared before me ,11 ma.o�� ' 4Caorin known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to this instrument,and acknowledged that he/she executed it. 1640�..y OFFICIAL SEAL Q t1' LISA OUELLETTE In Witness Whereof, I hereunto set my hand and official seal. ar NOTARY PUBLIC CALIFORNIA � O1.: 014-2-11-1-/?4 1 'TGE ORANCOUNTY .My Comm.NOExpiresCOU.40,1989 CMF 0779-06,rev.3/83 • -Imminiss II TYPICAL 6 CONCRETE BLOCK FENCE Comm Coping Optional WO Pi; .i •f I I •I ) ( GENERAL— NOTES Channel5!ock With Ona W i . Horizontal Top ofail, ; �, ;pp�9� II MORTAR: One Part Plastic Cement, and FencesiR7£ I I I Three Ports Sand For Fanew6'orLea fg GROUT: One Part Cement Thee and iI' I 2 ' kilt + One Half Ports Srand Vert.Bars 3/B'6 at e'-0"O.C. sa : x) = 1 I COPING: One Part Cement, Three 5' Ini 0 I I I I Parts Sand For . Higher Than 0.C. `i CONCRETE: Well Mind I: 256 t 31h 'mt.Bars 3I8' at 32" i Mar. of 7/2 Gallons of Fill Cells Solid With Grout =�� > z I I I I Water Per Sack of Cement Where Steel Occurs �ep a Reinforcing Steel Shall MA 3 I I I I GROUP MAY BE POURED FROM THE TOP Conform to See.A•15-38 �e ii et W o • OF THE FENCE A.S.T.M. ;�� Ur I I I CELLS AND AREASOF HORIZONTAL REIN• e W-A FORCEMENT SHALL BE CLEAR,CLEAN d All Steel aLapped . I I I FREE OF ALL MORTAR DEBRIS,ETC. Jk,. = NATURAL GRADE1 I I BONDS SHALL BE PROVIDED BV LAVING 111511MIII. BLOCKS IN STRETCHER COURSES SO THAT VERTICALJOINTSALTERNATE IN EACH t. . . ' • COURSE. TWO 3/8" BARS .i .• O r • .. . . 1 . •.. CONTINUOUS TOP o, E.BOTTOM -e4 Q WIDTH -„ TO 16' 0 C. MAX. e SEE CHART p O • 0. 0 BELOW • la a d° - DEPTH OF EARTHTCOTH a + b p. 1/3 THE HEIGTH FENCE OL ; L 1 s BECow BOTTOM orFOOTING. �► . k!2-� 1D' Z,. SCALE: I/2" = I' •FOOTING REQUIREMENTS _ • WALL HEIGHT 6 ' 51 • 4' 3' • • WIDTH OF FOOTING 14" 14" 12" 12" THICKNESS OF FOOTING 10" 10" I8 " • 8 " DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH , 12', • 14' • 16' 16' OWNERS NAME: City of Costa Mesa, California JOB ADDRESS: Building Department Al 4. APPROVED CITY oF COSTA MESA n �� • PLANNING DEPT• . , SUBJECT TO BLDG. DEPT. BEG. BY• DIRECTOR C MC DATE O m PLANNING 7-��7-812 1 Q it C9 Q eo =p " ii/Cy a 01-K. 6?re A- i8 = s/A-; Egli' a7/D a7C2 - e 4 r1Bwtra NUIIDIr6I rtllDErell rdIClrcl h. I- tu ha r 1'� F 6y4Zo e IS VS I' ,yam. . 2 7-0 z.1 y • cow iisx,"c- snarl' s \P44/ / 9.1' 04441e ry > • OWNER MESA DEL MAR DEV. CO. AUG n 100` � DATE 8-9-60 JOB ADDRESS 2710 San Lucas Lane BUILDING PERMIT NO.12660 GENERAL CONTRACTOR Macco Corp. VALUE S 150.00 AP.No. LOT 7 TRACT 371.9 FIRE ZONE DESCRIPTION OF WORK Garden Fountain INSPECTIONS DATE I GROUP TYPE ZON1a _ Underground Soil U.G. Water PERMITS ISSUED Underground Gas --- SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring -Jh ?,�/.". ,w0[.c . ,P-9-Go /3i,f0 V Trenches Forms Steel Floor System • Steel Reinforce Chimney Re-Rod Bond Beam Sheathing A 01-Frame and Flashing N dl Lathing, In Out f'\f5 n A \ Plaster, brown coat 1)/(/ j Ii' i PJ' ,le 1 Plumbing Fixtures, Final (\ r IN K Electric Fixtures,Final „�0' kY L�' Building, Final / I' 0/I OCCUPANCY I 1 Form 210-5M-11-59 5-B P 12660 ~ 12660 COSTA MESA BUILDING-SAFETY DEPARTMENT r P. O. BOX 917 COSTA MESA. CALIFORNIAal 7.11 o I'e UV, •G�' IN) For Applicant to Fill In Completely 4PLICATION.FOR PERMIT TYPE ,J OR PRINT ,/ cli% '.Il'1BUILDING ADDREISS 77/0 ,S,It//SJ�1Ci1r�?�F CI. . lir . .I. I• . h A.�CCO/ST/AA MES/A..�ACALIFORNIA / � ForOfficeOffice Use Only I?y�� Y'/4J17 .22! c / %K�/ si ULA. I RECEIPT NO. 112660 OWNER ��jj /�/_ A / ��'� �p!!`� 14070 p ll ¢I} MAIL affaar Go.�ST �(Xdle Ra �/�' X� I ST� e8�(/ CITY 6ze(xiN 7),---t- "'I s 2- TNOGG', 1 BDLDES ^ Lain— oi_A--•, " ARCHITECT TEL. COSTA M A. CALIFORNI OR ENGINEER .e... .--. NO. FIRE ADDRESS r— – ZONE I�/ ,§V i TYPE GROUP l' CONTRACTOR / I*L C.0 CO/L12• BY V/ 1 I1DATE it �60 APP ADDRESS 900 S. C64JT �(1�A�-/�6a . - Z - ING / /��( �Q�J�y[/�J.`t `NO.OP use or NB�---�-s-/ CITY(�'en-C A/i QDteL / 4A/G-- - ,T I,V ¶�,I/PLANS I BUILDING ^ Jam-./sem/•' /i7/ LIC.TNO. 9 et�a V NO. V/� .J ZV LDESCR "r� 17 i-2 37�L,Ili DESCRIPTION / / /T / SIZE ''• �I ! NO. OP BIDGS. / `— OF LOT / K 1/7 NOW ON LOT A.P.NO. USE OF DS EVES EXISTING BLDG. /FM/ A4tr It,./Cr/e-1 APPROVED ALLOWED ' SETBACK LINE FROM (CENTER LINE ST.1 ) Y CENTER OP STREET REAR YARD FRONT / 0 l -r FT. _ IN. SIDE YARD I LEFT ( RIGHT R.SIDEt 7 FT. t IN. DESCRIPTION OF WORK / II ' L.SIDE SFT. IN. NEW I\�II ALTERATION I II ADDITION I REAR / //////0 10 FT. 11-'(�/�. IN. REPAIR I II MOVING I I DEMOLISH I APPROVED/D/ I //„/�(( ATE -//0 BUILDING//2"y O 'Y'NO. OF `,.I ` l/ v” // �J SIZE {Y ROOMS STORIES�I� 0 r EXTERIOR WALL C- I ROOF "CI COVERING COVERING d USE OF BUILDING AND WORK TO BE PERFORMED I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE OVE IS CORRECT AND AGREE JO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 0 IRANAND STA W5 ULATINGBUILDING �j SIGNATURE OF ...A it a CONSTRUCT! / \ 4--.11. VALUATION PERMIT FEE $,Z• ...rPERMITTEE X-• a $/ PLAN CHECK $ sit AUTHORIZED AGENT I I� 0 TOTAL FEE S C • f 7e -! , } I i/ '-3 " eHfP -L� re,utrr c I P(:rim A 7 2 \i i SJ° lin . ` - ' i i/4 , i '�' r ' I 1 J 12162 fE 'RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ej 6. 4— 60 P. O. BOX 917 COSTA MESA. CALIFORNIA Applicant to Fill In Completely fly* ��, For P Y APPLICAI� *MAW TYPE OR PRINT BUILDING ,,,__,_ _a_____? 7 t tar, BUILDING ADDRESS COSTA MESA. CALIFORNIA For Office Use Only OWNER Mesa Del Mar Development Co. RECEI PT NO. I/PB ITO. N MAIL Fact!Y DATE RE HIY D E/JB ADD ADDRESS Suite 1, 3800 E. Coast Highway l _3-e° I ,g lI////1) CITY Corona del Mar TNoOr 34220 BUILDING ADDRESS 7 /Q /7L ,_ f.a[c� ARCHITECT" „ TEL OR ENGINEERCOr$e Wiseman No Or 51301 COSTA MESA. CALIFORNIA ADDRESS • FIRE ,,// //ff ZONE TYPE .I GROUP- 5 CONTRACTOR Me CCO Corporation APPROVED / 'A %t✓..ATE /�/ J” ADDRESS 3800 E: Coast Highway Z IfIN�GQ�t/Y • N F ..7/ A CITY Corona del Mar 2O'� i/ I PLANS NO.OF vi BUILDING NEWfly IIy- STA No. 98808 TEL Or 34220 DESCRIPTION Lot 7 Tract 3749 SIZE OF LOT 70 x 112 I NO. OF Te.LO NOW ON LOT A.P.NO. •�iy�^y� � USE OF . YARDS EVES EXISTING BLDG. APPROVED ALLOWED . • SETBACK UNE FROM (CENTER LINE ST.) `// !� //� CENTER OP STREET REAR YARD FRONT 1 [. -///l��/ FT. db. IN. SIDE VARG..I LEFT I RIGHT R.SIDE 1 1` .Y FT. • IN. 'DESCRIPTION OF WORK L.SIDE FT. / // //IN. NEW I X; III ALTERATION I II ADDITION I REAR () FT. ( � die,'3Nd REPAIR I [I,I MOVING I II DEMOLISH I APPROVED (� 1/14 �y�DATEE6 --./b a SEZEDING E 24 R 62 ROOMS NO. OF 2 STORIES' / 4 C/ `/ COVERING EXTERIOR WALL stucco!ROOOERING Clay tile O USE OF BUILDING AND WORK TO BE PERFORMED C-1".=I/ war, Temporary sales office a / _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LIGATION AND STATE THAT THS ABOVE IS CORRECT AND AO E TO COM• THE AMOUNT SHOWN UNDER VALUATIONMIIS R THE PLY WITH ALL CITY INANCES AND STATE LA REGULATING PURPOSE OP ESTABLISHING A PERMIT FE ONLY. BUILDING CONSTRUCT( • VALUATION SIGNATURE OPyu per_ PERMIT FEE S a n e PERMITTED 1 S PLAN CHECK S /0— 4 Project Manager E AUTHORIZED AGENT TOTAL FEE $ 3 0 — 2 r 1364 I WJAN 17196t 'COSTA MESA BUILDING-SAFETY DEPARTMENT . ;I.',;.LL illdi', e, P. O. BOX 917 COSTA MESA. CALIFORNIA 07 . / Cori?72."µA/ �J �I W (7 /"'. J 131`._.. For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT n C> // ^ //� BUILDING ADDRESS -- 7/0 Jim;Lk/ens.h.ITNa . Mg-i4 Pia For Office Use Only _§1{Q1^T.A/�J�I�'(yJ 1`IIGrA T-GL /-/a -261- 74 I RECEIPT NO, APV IY'FO/ OWNERICJ MAIL 3dOe E RE IVSD BY DATE RECEIVED DATE ISSUED ADDRESS(J C-O!/11 �L I / - /7-6/ I JAN A O 1911 T yY� ��// TEL.el, BUILDING CITY�i�2n t�.9 DEL / A-. , Noy- 21-0. ADDRESS ARCHITECT q /' TEL.p� COSTA MESA. CALIFORNIA OR ENGINEER Mgt C/O...7;fie O, "NCO.?-4y2d ADDRESS 17�00 6 `ry/�.f� 44�y///.�, FIRE , / n 74 r �/ ZONE TYPE V GROUP b1 (Jn CONTRACTOR M/4GGc! CO.GJ�A.G,4- /P/II , APPROVED �• /' //' BY DATE ADDRESS S6 OO E. G9E7/14! 441,1.4�y ZONING A '/� /1^ /j .P� CITY /50/47AI ,Pex.-�A-%�/oe CxA--iF. ZONE(^ I IPLANe (BUILDING EQ�-!a `•_ ATE LIC.NO. .T o/ s / NO. oc--70 Z Z O LEGAL I I/'� # —ii-L... J�� DESCRIPTION f„AGT ! Tc..- J 7¢ 9, SIZE OP LOT 7 6 x'-'t1 7 - I NO, OF BLOTS. • A P NO. NOW ON LOT USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK UNE FROM ((ff J //11 r/ (CENTER LINE ST.1 .e�� n ` /J ]� CENTER OF STREET 40 REAR YARD4 J FRONT /j' /} FT. (Na •3 l 7N. SIDE YARD I LEFT �0 I RIGHT 7 R.SIDE / FT. IN. DESCRIPTION OF WORK /0 FT. IN. ,/ L.SIDE NEW I v II ALTERATION I (III ADDITION I REAR ICC.(. IN. REPAIR y I II MOVING I II DEMOLISH I APPROVED //j y ( CO . DATE / -j -41 BUILDING G =NZ// NO. OF / W•/l n M7 SIZE 7 i6 ROOMS /p STORIES / 17 EXTERIOR WALL,.,r/GG I ROOF CX�� COVERINGL COVERING J USE OF BUILDING ANDcWORK TO BE PERFORMED Cin A3S-7-,120 C-T .c1 A/6/-c�'�4M/s- Y /ZGJi 42.e---41_6.• al i Tr4 c(i-E;er C 4474 69 • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COW THE AMOUNTE ESTABLISH/NG UNDERINVALUATION IS FOR THE PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITU TON.ORDINANCES AND STATE LA REGULATING CONSTRUCTION. VALUATION 3 d _ SIGNATURE OF PERMIT FEE $ "T PERMITTEE r Q s 4-- N $ /.t, j_ p O - PLAN CHECK $ ) 7 X AUTHORIZED AGENT \ I'F' O o TOTAL FEE $ 'y 4 /