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791 SCOTT PL - Building Permits
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ' S. . COSTA MESA. ..' Vt.. PEWIT NO. TRACT NO. • LOT NO. BLDG.NO. ' CONSTRUCTION PERMIT -/d4/?- • Project Address I a Al TYPE OF CONSTRUCTION LI NEW U ADD- U ALTERATION U REPAIR Applicant's Mailing Address /-C.93 44/ £/V e--00l ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 1,i /Zone/ - / ` Owner's Name eDMUnI D UP 1,4,A/P/ Phon�Ya 'ry Z�.3 DESCRIPTION OF WORK S. Main Building: Accessory Building: Z • Address S'A'M tE - • O - _ TYPE OF PERMIT ❑ GRADING ' FOUNDATION ❑ STRUCTURAL T- Front N Arch/Eng. ' •• License No. - ❑ TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL - • B A Rear N Address 171 OTHER - , 7?,? -3Y-7a' - PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - G . Contractors Nam1e G/A'l/'iS/��lna h/4IGCPghone K' - - R 3 U1 ,. ./uCto/�, „AOgAe/ M CONSTRUCTION TVPE VALUATION,$ S Left E Address(mailing)/-/-3 - a--qi� ZONE GRADING CU.YDS. 'ACRES Ping, Ref.# Park.Fees $' Q - City License No. Y/ - - LICENSED CONTRACTOR DECLARATION Remarks:• Parking Req./Provided '. . .. U I hereby affirm that I am licensed under provisions of'Charter'9 (commencing - - R with section 7000) Of Division 3 of the Business and Professions code,and • Use of Building: •E my license is in full fore- and eff-cf. �1/ . License Clap s Licen e N. /W PLUMBING FEES Planning Notes: M } E Date -/ CP Signature ali., / - Afas=mr-ce Bar•Sink - Showers ' N WORKERS'COMPENSATION DECLARATION - T I hereby affirm that I have a certificate of consent to self-Insure or a certificate . Backflow Preventer Service Sink I I , S .. of Workers' Compensation Insurance, or a certified copy thereof (Section •• - - - - -. - - - - 3800, Lab. G.) its.,' ,I ' Backflow Irrigation Sewer Cap ELECTRICAL FEES • Policy No. fi 7-0 7--i/ ' Compan 8190f2_t' //Ni •I _ • - Ify'I�,��ertified copy Is hereby furnished. Bathtubs - Sewer Connection Automatic Washer, `Transformer 0 15-50 KW I m Cerci ietl copy)'s filed with the citY/5 ilding Divtsion.� 0 50+ KW ' Date/�-/L0-r 3 Applicand fin.--rf�1'�/C-- i •gj/-{q�� • Clarifiers I Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Dishwasher - Solar Piping - Cooking Unit - Meter Duo to 100 amps' - (This section need not be completed If the permit is for one hundred ($100) or - - less): DrinkingFountains certify that In the performance of the work for which this permit is,i55ued I Solar Tank , Dishwasher y,- Meter Dover 100 amps shall not employ any person in any manner so as to become subject to the - Workers',Compensation Laws of California.• , Floor Drains.. i' Swimming Pool w)Spa. Dryers ❑Gas• ❑Electric - Sub Panel. I Date • Signature i - - NOTICE:if,after making this declaration,you should become subject to the I ' Floor Sinks Urinal Fan '' Motors 00-1 HP ❑1%-B Workers"Compensation provisions of the Labor Code, you must forthwith - - ' . . . ' " 'l • comply withsuch provisions or -this permit shall be deemed revoked. Gas Service 'Outlets - Water-Closet . F.A.U. - .Inc.Solar 09-15 HP ❑16-15+ I' CONSTRUCTION LENDING AGENCY - I hereby affirm that there Is a construction lending agency for the performance InterceptorsWater Heater _ '$ 00 Fixtures • of the work for which this permit is Issued (Section '3097 Civ. C.). - v `Microwave Lender's Name Kitchen Sink Water Service . ,_- Device Boxes Pole Light, • - Lender's Address• Lavatories OWNER BUILDER DECLARATION - -cc Outlets Range . I hereby affirm that I am exempt from the Contractor's License Law for the • p�Tra following reason (Section 7031.5 Business and Professional Code:-Any city.or . l, .- • .. - Switches rti • Sign county which requires a permit to construct,alter,improve,demolish or repair - _ - . . . - • any structure, prior to Its issuance, also requires the applicant for such permit - - Roof Drains - - • Garbage Disposal•f Standing Sections to file a signed statement that he/she is licensed pursuant totheprovisions of 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 Generator'❑0.5 KW❑5-15 KW Trash Compactor 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 Reins coon Fee $'3 - ' penalty of not more than five hundred dollars($500). - ; ?e , - $25. Issue Fee L I I';•as owner of the.property or my employees with wages as their sole ; Reinspection Fee.; $25 .Issue Fee $' 3 Compensation, will do the work, and-the structure is not intended or offered ' ' MECHANICAL FEES for sale,(Section 7044, Business antl Professional Code: The Contractor's _ - PUBLIC SERVICES'REQUIREMENTS: •- `. License Law does not apply to an owner of a property who.builds or improves - Boiler '- • ' Hood or Type I ❑ • C. , thereon, and.who does such work himself/herself-or through his or her own ' Zoning Approved By - Date - employees, provided that such Improvements are not intended or offered for Canopy Type II 0 - Duct--Under Ground • sale. If, however, the building or improvement is sold within one year of com- _ Application Approved By • Date p pletion, the owner will have the burden of proving he/she did not build or im- - L�1 r� • rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued_By' •' Dat: U I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU r tractors to construct the project(Section 7044,Business and Professions Code: Duct-VentilatingSUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who . - - ,r BUILDING PERMIT,- e, SMIP $ builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK -4$ PERMIT ❑•I am exempt under Section B.& P.C.for this reason . Firepl/Fact.Blt. ICBG# PLUMBING .$ 4- ' _ _ ISSUANCE $ Date - Owner I Heating System 8/ Ducting PLAN CHECK . $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTGRADING $ Information Is correct. I agree to comply with all city and county ordinances - ELECTRICAL ' $ antl'state laws relating to building construction, and hereby authorize repre- PLAN CHECK $ MICROFILM ' $ sentatives of this city to'enter upon the above-mentioned .property for / Inspection puip�53es. n n ///,,, $'�} /3_ 6_1'3 MECHANICAL • $ TOTAL FEE $ 2' 41-4 Signature /1 Me ,C//1-G 1, Date Drivers',License or SS# Reinspection Fee I $25 Issue Fee $ 3 �CHECK •: $ • / CMF 0865-46 rev. 7/83 White-'Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING1/ 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 - A. Electrical Conduit-Undrgrnd. 55. Electrical Bonding' 5. Steel Reinforcement - - • - -. 56.-Rough Plumbing 8i Pressure Test • , 6. Electrical UFER Grnd. _ - - - - . 57. APPROVAL TO COVER-GUNITE 7. Footings . - - 58. Electrical Conduit-Urldrgrnd. • -/ 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 • 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 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 4 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat . - 75. Dry Chemical 27. Frame and Flashing . 4 76. Dry Standpipe ' 28. Lathing& Siding77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 r • Notes: (i3C{lA (`(.Q �?'t\{Su7IGR.. Leo 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test - • . 36. Hood or Canopy - • I - • , . 37. Final Factory Fireplace '//L1'r/- 3 aI PIPI `ng`, �._e---Q ;i. or /M/s-/ li a /.4tf.#'�•"� ,�l ratService-Final 40. Gas Service{Final • - ire 41. Solar Domestic-Final . 4 • - . - ��1`' • 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System , ' • 45. Sound Attenuation . 46. Handicap Regulations , • 47. FI NAL 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 i • • • ., • OWNER CLARKE, JAMES A. _ DATE 6-19-59 JOB ADDRESS 791 A & B Scott Pl. BUILDING PERMIT NO. 9674 GENERAL CONTRACTOR Armitage Bldr. VALUE $15,787.00 AP. No.J-16-1O2 2 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Duplex w/att .Car INSPECTIONS CP ,-,1? (j^�'If p(/ DATE I GROUP I & J TYPE V ZONE R 2 Underground Soil ifu G. water PERMITS ISSUED Underground Gas _ SUBCONTRACTORlet DATE NUMBER Overhead Water and Gas _ Rough Heating /1 i}� �� �g /l7 Rough Plumbing �V77J J •�-_ •-� _ = il/�� /r7�q �, Miscellaneous 1 'TA-n.2; p ,,, .i Le cai ' - Co. ,4w /.2-.:73-fq a S01Linc--- H Prop. Swr. Linc--- St. Swr. ( }> j (Ito f 9 2-031 Sprinkling System _ n Heating, Final • k f t/ _ : a ice. Plumbing ixtures �/� _ � C Final Gas Test )��/—'��-fy-Cd Construction Pole ,_/ Underground Power - '�7�--/� Rough Wiring rf� 'e- /9-19 7A f 9, 9 i Trenches6(tMrForms(044--Steel 7-t-3q_ Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing 1PC4 7./rj'ry( - - Frame and Flashing rt; Lathing, In Out �..s�a/ani - q j�-9 Plaster, brown coat el4). /'O `Jr Plumbing Fixtures, Final 1-4t -co Electric Fixtures, Final QA 14 _ Building, Final _ k/� 3 7CO - A OCCUPANCY if/ 1 Form 210-3M-4-59 - 904 9�r�« CLE RtLtiVLU COSTA MESA BUILDING-SAFETY DEPARTMENT up p/s1 V IA- . P.O.BOX 317 COSTA MESA, CALIFORNIA FINANCE DEPT. FOR APPLICANT TO FILL IN COMPLETELY APP�LICATION'lFOR,SPERMIT TYPE OR PRINT ///III BUILDING BUILDING r/ 9/ � e ADDRESS / r/� tr COSTA MESA. CALIFORNIAIIFOR OFFICE USE ONLY /-v- �- // _ . I RECEIPT NO. PERMIT NO. OWNERlel �/�/'^1+��e .MAIL ^ /J RECEIVED BY DATE RECEIVEDC I DATE ISSUED . ADDRESSf O T ^ l' p .�J _ �7�n." G +/y+ J {� /n7 T . BUILDING .; CITY C NO. ADDRESS ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. FIRE //1 ADDRESS ZONE I. //\� ¢ STATE APPROVED • /i CONTRACTOR \ K/ )L,,.y,�.�w i )( O^�s )LIC., NO. BY h !/!A.!/ DATE i /9/ 7 ADDRESS 70 1 • E ZONING )0---4115P. / LEGAL LOT i ( qi:::? ZONE..}�� NO.OF USE OF NEW y^I l DESCRIPTION I NO. ul BLOCK I^'T�'I `" /�( MAANS./� BUILDING /P4'-t) , �' A.P.NO. / ~/0 .�- �' © f� BYPROVJ / Y I ,S�' 1,,,.1\r-Sri .yDAyT/E `O c -s7 SIZE � `! gp I NO.OF BLOCS. YARDS EVES" i OF' LOT b+ V NOW ON LOT REQUIRED ALLOWED USE OF (CENTER LINE SL) � - q .° EXISTING BLDG. FRONT IN. II SETBACK LINE FROM tt CENTER OF STREET //// ] REAR YARD ii,)'-' R.SIDE CET. IN. I SIDE YARD LEFT P)_� I RIGHT t.5"---- L.SIDE 4, 3r1-. IN. DESCRIPTION OF' WORK REAR ,`T 3. IN. ... NEW I ` ALTERATION I II ADDITION I e REPAIR I II MOVING I II DEMOLISH I BUILDIN NO.OF SIZE Q< X '' ROOMS STORIES • EXTERIOR WALL IROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED le - • 0 _ -, Air . y/l.t_., w , 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 CON. PLY WITH ALL - ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CO'STRU.TION. ( VALUAAAA���TION PERMITTEE E OF - / M1� e41G`, `—_ PERMIT FEE $ �+ $ �'/ 5- PLAN CHECK $ i p �/U� /��� AUTHORIZED AGENT asp. Ece_r_.:-./ N /51,7S7, _TOTAL FEE $ 6-7 —