HomeMy WebLinkAbout1086 SEA BLUFF DR - Building Permits CITY OF COSTA MESA
. BUILDING DIVISION
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f 1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
�. .�,,.. .. . FOR INSPECTIONS CALL: (714)754-5626
1
PERMIT NUMBER: B09-00032
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PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42203143 DATE ISSUED: 02125/2009
- ISSUED BY: BJK
JOB ADDRESS: 1086 SEA BLUFF DR-CM' Suite/Unit::
Vicinity: REROOF 2ND STORY RESIDENCE ONLY - .
Squares: 1200 - - - - Valuation: $3',000.00
SCOPE OF WORK: REROOF2ND STORY-RESIDENCE ONLY: T/O EXISTING WOOD SHAKE ROOF, 7/161IASB SHTG, 1 LAYER 301#
ASTM FELT,APPLY 30-YEAR COMP'SHINGLES. PITCH 4:12 1200 SQ FT
OWNER: ANDERSON, GARTH AND-KELLY DAWN Address: . 1086 SEA BLUFF DR' Unit:
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PHONE: - _ ' - City/State/Zip: COSTA MESA,CA . . _
APPLICANT: TILL BRANDON ,- Address: 3601 S TIMBER ST Unit: :
PHONE: 714-606-0669 City/State/Zip: SANTA ANA;CA `' ,
CONTRACTOR: TILL ROOFING, .., :_ . - - , , , License No. 833820
Address: 3601 S TIMBER STUnit:" . . . e, • - PHONE: .- 714-423-9228 ' - •-
City/State/Zip: SANTA ANA, CA ;92707 , ' - ' :CELL:' •714-606-0669
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ARCHITECT: License No. PHONE:
ENGINEER: License No. - ' PHONE:
FEE SUMMARY
Reroof Plan Check: - $0.00 - ' . •
Reroof Permit Fee:
Reinspection Fee: -: $0.00 - ' -
Bldg Std Admin Fund $1.00 .
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TOTAL FEES $84.25 -
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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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE S. INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE DATE IN1111AL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Anal Re-Roof 3 f QC? ICI 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition . - 250 Final Building/Occupancy
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by drives a license. 0 Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: 'Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
V7, I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier'and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
CO'rol.Lc /�GLne�
Lafrfer.'.(Thisseaion need not be completed ifthe permit is valued at one hundred dollars($100)or less.) or dismantling thereof,will be more than thirty-six(36) l high.(Chap.3.2,Grp
2,Art 2,Sec.341,Title 8,California Administrative Code).Code).
Policy Number: /81162!Z
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety.as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicants Signature Dale
t ode, Is a o ' comply with these provisions.
a •25-o9 Division of Industrial Safety Permit Number:
Aopt!canrs Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No
Lie:#> 33a 2-0 Class.# C39
(Section 25533 of the California Health and Safety Code, with some
a25 09 exceptions, requires registration with the Costa Mesa Fire Department by
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each business which at any one time has on hand a quantity of acutely
Contractor's Signature Dater hazardous materials 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon.and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
am exempt under sec. the information given is correct. I agree to comply with all state laws and city
Iordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of -• •,1 er(s) Date
Signature Date - a•25'07
3057-46(3/07)
Andloc Authorize•Applicant —Dale
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ELECTRICAL PERMIT APPLICATION • TRACT NO.—= RK.D J9 . 1.
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... - BUILDING USE • ' DATE ISSUED
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ON COSit9 /7/S09 TEL NO•4'il 4i3 7 , i"'.
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CITY LICENSE NO: . illigIrSG .0s6 SEA diet/et iaesc., : -
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NO. -". ITIM .1A01 PIES COSTA MESA, CALIFOINIA, .. •
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Dwelling, Sq. Ft. f __ rngst . v/cro.<?/.19
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CA71 71 THAT THE MOVE IS CORRECT NO kraltEt .:•
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•:•I:.: :.t Lit: t - -r„. drier 5 -,,.. CERTIFY THAT I POSSESS THE MOVE;VALID STATE OP.7 :7?
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THE SINGLE FAMILY RESIDENTIAL PROPERTY DUMBED
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s: . 2 Hiciiell-"i'l;:• i' .A , ..„ i? Signature of Waatitt=iatiga440,z:'we •." ,'.:. c•-t:'
PERMITTER ' •" '' •'
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Total Fees
". 6/ CAL.' UTILITY CO NOTIFIED -4.
FINAL`
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V For items not listed refer to Fee Schedule BLDGER
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COSTA MESA BUILDING—SAFETY DEPARTMENT
P. O. BOX 1200 _
Cosh Moss, California
% !,F
:IN 'ERMIT APPLICATION TRACT no sect.BY
I PERMIT Nc —
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CONTRACTOR /fF---/' LOT NO own ISSUED
BUILDING USE
Address .-.. Iv F,ci C 1;/f.- ,� 4
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City r, r `7 r' /-2'2-7C,.,-;* Zip Code`: v!7 Building i/.,(-(- c..�; �': ;/C j
Address _ /.+r
State License No. Class. Owner w i !-I - .:'k'
WCity License No. Tel.No. MAddress .;f.,7" •.'' -
F-
• eg NUMBER TYPE OF FIXTURE OR ITEM FEE r e-c > ,c t S:,(^f l ) ' - f
0 Bathtub City - ' - `Tel.No./:Oi--/ 7'.'-
J Laundry Tub or Tray I hereby acknowledge'Hu l l love read this application and
Q Automatic Washing Machine stale that the above k cone and epee to comply with all
7 - Ob Ordinances
tn
s and Sih Ioeevdatkp plumbing.
Shower I certify th. 4dasbs the above valid Slate of California
ornia alkali.Sink,Bar Oration at I Ian
the legal miner of the residential property da
/�^� Sink.Pinches gat -
.O`C) W — Wash Basin(Lavatory) - ,• I certify Cher l have obtained apermit horn the State Division of
\v`
O. Industrial Safely for excavation;other than swimming pools,five
Water Closet(Taeet)
it a. / feet deep adaepv avdinm whiAapvronureyn'oM to descend.
(Y • Drinking Fountains
__ Signature of �+ • -. / c
a Floor Draw t /�L/f f,g Y •.y n r.:
h mltae
Z interceptors • ( ! I
uiReceptor :I . '
3 snk,Commercial p Industrial'
INSPECTION RECORD
Sinks,Floor , 1 • l i.
Sinks.Serving Il l.'' - :1 -
j r Swimming Pool' A.//
re Urinals,` Y,l,. d:14-7,. f..y:_'./ .:',i•-"'
a. di, Washer 1 _if
cc 'Garage Disposal - / /y-4! --;',14,147.A:• S 4',G �•i I
D Water Softener l
O Water Heater and Vent _ / ?.
• N RoofDrem..iOutleb... • APPROVALS •
-
Roof Drains
co Water Piping Alteration Isavra
acone
= Backflow Preventer U/G Soil
I— Lawn Sprinklers(Res or Non-Res) U/G Water
Property Sewer...Feet Services---Water 0 Gas ❑
House Sewer Connection Rough Plumbing
Cesspool.Septic Tank Sprinkler System
' Sewer Cap Gin
Miscellaneous Property Sewer '
Pool Receptor I _
Filter System
Sub-Total Pool Heater •
Reinspection Fee 'd Miscellaneous
Processing Fee :'
II Final Ga —
TOTAL gam' Y Plumbing Final _
' Utility Co. Notified
CMF 0450-46 BLDG. KRAUT Llfl ,�
INSPECTION CARD I „ 'DE$CRIPTI JN OF WOR
O ,..,,tsq PE I r t� E�E��
This job is not Seared.
until /final otpaceion is celled for and
h `' A; EDWARD J. SHAFER
- approved. It is the duty of the'owns. or permittee to call this
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DEPUTY BUILDING OFFICIAL ^� office upon completion of work coves by the permit
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a PLUMBING AND HEATING SYSTEMS i a�•
' CITY OF COSTA MESA,CALIFORNIA 92626 OWNER: a v
x12/11 n
.rr..__.. . -- 754-5290 a ADDRESS:/QrG •�Q /�(//
]]FAIR DRIVE • POST OFFICE BOX 1200 • 7141556-5290 •
M. m_..vlFu
BUILDING SAFETY DEPARTMENT
•
CITY OF COSTA MESA
556-5273 ' ......421,14‘esled. .4insit.
I TRENCHES — STEEL REINF. __// //nJt
I FINAL 1y9��[
, I CTOR DATE
FORM OU-22
SPA REQUIREMENTS '.r/ ° - ['1k
✓ 1 Cos a I
1 . Setbacks : Five ( 5) feet from property line
Five (5) feet from structure (typical)
2 . Equipment : Four (4) feet from property line fence
Four (4) feet from window �O \�(
3. Plans : Two (2) sets
Show location of spa and equipment
Show size , location , depth and type of pipe
Show electric and gas meter
Show rating of equipment
Show all structures , overhead Edison drops
Show any electrical outlets within sixteen
(16 ' -0") feet of spa .
4 . Inspections : Call a day ahead for inspection
Give electric and plumbing permit number
5. as .lines and electrical lines to be eighteen (18)
as
below grade
6 . Gas lines to be tested at 60 psi .
7 . Pressure test (water or air) required on entire system.
8 . Show size of main electric service (if less than 100 amp,
service is probably inadequate)
9. 3f permanent fill line is not installed, Anti-syphon valve
required on nearest hose bib.
X;12.-
G9s P/PE REQui EhE,UTs. "r1-f� QDy
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//y a IPS Sc - 80 PVc # //2o
TESTED % Go Psi g4 73 ° fic
TOTAL 6EA)&'TH p YARD L // 5 /3/ Far
'69s pa b/ r # WO 2S • s 3o- 7S
t(tCT/f/C4L /eEg h// # 4c/ W 7-6 - 78"
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STEPS
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G9s 1/N5 /4 't origin T -# 7 YOZS • S-3o-78
/A1sPECTED 7-3- 78 e..3S
`,\ Ettcre/c//t PER/ /T ;, c/4,/4i/ 7- -7S'
/NSPECTF.D 8-/ 78 CON/VFiZS
--------- 14/177-ER L//JE
I 3-.29 -79
CITY OF COs-ox MESA
- 'LDING SAFETY DEPARTMENT
POST IN CONSPICUOUS PLACE _
ON THE JOB
cit I Q
A.P. NO. PERMIT NO.
115-360-12 45311
BUILDING ADDRESS
Q(�j.7d�7. Sea Bluff Drive
RQQIC T "" LOT BLOCK
10018 6
NEW ADD ALTER REPAIR MOVING DEMOLISH
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OWNER _ ` i
't ..The Gregory Company a` , t
USE `•r
' :12es.v/att. Garage . _ ,
-FIRE ZONE TYPE GROUP
i, PDR-MP V . I & J 4
SETBACKS
• Front Yd • 8 Side Yd. R 0 L 0 Rear ,
•
- Side Yd.R L Rear
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a. I .
• BUILDING INSPECTION RECORD I
I.
. TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM-
. MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT i
i.
;< LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. i
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• tr' STRUCT 'AL �sllCITP1 DATE
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Trenches Co Forms Z.'.
����/�/i,/�/V,����;T�7
u.r Floor System 1I//�����inE:oi Erna '..- ..
Steel Reinf S �'>✓�t�J
• Sheathing. _ i����1I�Ie��.�.Q.-+Riilis ±:,
Y Frame and Flashing A ii*rej , ra -'j a
.- Insulation �i%14i'�//�I�, n • '
tl- Lathing -.. reag%1�.MI : --'.. ,
E- • Dry Wall Nailing . i , 4.1a 40.. '' . , 1
st
Plaer,Brown Coat rare _.O.SSIi�a ,,;i
•
Sound Attenuation '!:
. Handicap Regulation `�f
`r ' J��. . FINAL i 34-79
PLUMBING
: Soil r-ii" // % ./N4ZtflYfla
Underground Water
Rough Plumbing 1�4itc.!ea !: ,,•
e•* •' Prop.Sewer Line and House Conn Ir `i, t -
,Street Sewer Conn- - W51'2. M t i '`
Water S9fYie9 rna 4-
. '. Sprinkling System mom -�_ �J. ,l .. ,
.t:,-, Gas Test - ' A We 7A i ,2 -•a
rs': ;? ^FINAL ii;% lT� El :;->l
's_' HEATING,AIR-COND.AND REFRIGE--ATION ,3i •
,.; ;,>4-7 , •
r ,
ilk,- Reif. Lines,Pressure Test r
6 .tl
• , Ducts/Underground O- _/0 /2-&-7P . .
� Ducts in Structure �r IG!/r /217 I �J '
. )c Ducts:Ventilating • iI. '/ f/�ij :i-
SP Rough Hating and Air-Gond j, rI . 9--ID-77 4 -
`, FINAL %lei! 3-/St 19 "fl
-: _,` - ELECTRICAli - - .
h : Temporary Service or Pole 7 .
1d., Underground (JIM // 'd- s -
tv,. Rough Water - _i
Rough Wiring I. a,.. 1- a -T??Q - •' •,I
‘: - - FINAL �G li 577# I
fy A..
Do not occupy this project until final in ction has
• `'{'<' - been made and occupancy has b pproved
'1.
q,. Building Final ( ' C7 P 277 ��i ::
Z Special Requirements �.+' " `4t
•
.-. Occupancy e 7.-7
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NOTICE
1.: -.24-hr. notification required when the job is ready for inspection. You
y,. must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH
. RESPECTIVE INSPECTION. CALL}556-5273. ,
APPROVED PLANS SHALL BE ON JOB AT ALL TIMES .
RIR BOWER W A TUrU/E ,Joc r/O.v
OF SPA
PUMP MOTOR I HP
SPA LIGHT 2S0 W
3 SETS OF WIRE'S #t/2 8N$
WITH NE U TREL S AN0 S,QPLNOS
I I PVC PIPE - /Se DEEP
SCH- 90
TOT,I L RUN
CO FEET
PROPERTY LINE 1
IFR,9KER 0OX
GAR,96E
I r 3 sEPEIQRTE S/P/-rE,gs
Gnu
• r--
7-S:4-78
PROJECT ADDRESS: 1086 SEA BLUFF DR UNIT, CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 054076
OWNER'S NAME: HIRMER ALBERT F
ADDRESS: 1086 SEA BLUFF PERMIT NO: B 054076 PLAN CHECK NO: 03744-91 S GOVT; N SUPP: N
' COSTA MESA,CA 92627
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ADD
• (714 ) 646-8237
ARCH/ENGINEER: REG.NO.: JOH' DESCRIPTION : ENCLOSE 93SQ FT BREEZEWAY AT ENTRY SQ FT; 93
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: 6, 417. 00 GROUP, OCC: R-3 /M-1
PERMITTEE: ALBERT HIRMER ( 714 ) 646—'8237 •
ADDRESS: 1086 SEA BLUFF DR COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME.
COSTA MESA CA 92627 ***************+t�E******xyE�E�E�E�E �E****Tt***�E***�E**x**********yr****:t*** ** **** ***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full farce and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS: '
Date: Signature' MAIN BUILDING ACCESSORY BUILDING '---
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 25 FT IN REAR: 15 FT IN FRNT: FT IN REAR: FT IN'
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.CL LEFT: 5 FT IN RGHT: 5 FT . IN LEFT: FT IN RGHT; FT IN
POLICY NO.: EXP.DATE: '
COMPANY: PARKING REQ: PROV• PARCEL: 42203143 ZNE• R2 REF NO:
'l
Certified copy is hereby furnished, ❑ Certified copy is tiled with ICe city Building Division, PLANNING NOTES> 90 SQ FT. ADDITION TO AN EXISTING RES. TO LEGALIZE •
> ENCLO URE OF BREEZEWAY.
ate: Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is far one hundred(814)or less). DEVELOPMENT SERVICES 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,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY S e..C.— — �
DATE:
Date: Signature- x 0/// - _7,9,/,a_919.-
Code.
� /_
Code.y:If.after making this ywideclaration.you should become subjectmis the Workers'mrevoked.
Compensation provisions of the Labor BUILDING APPROVED BY �� %%Y DATE': /l/G/7�
Code.you must forthwith comply with such provisions or this permit shall be fending
revoked. � ��
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction fending agency for the performance of the work for APPLICATION ISSUED B Y: ��� 4/ ` .`� DATE• S
. which this permit is issued(Section 3097,Civ.C). ******- '**3e************. ***.**..*** ,*,�F�€ %� �£�**
LENDER: *************************************** • •********************************'****
ADDRESS: LEGALIZATION:Y F E E ' SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'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 1 8 0 . 0 0 . 64
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—RES
pursuant to the provisions of the Contractors'State 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 PLAN 117 . 00 .
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 180 . 64 0 . 00 58 . 50 239 . 14 239 . 14 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If, however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 239 . 14 OVER/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 180 . 00 . 64 58 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.***.*****.************.****.*****.)(.****.***.**.**.*..***********.****************)p***$****.
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
E I am exempt under Section: B P 704 4 e.&P.C.
for this ALL WORK BY OWNER f` ry `� TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: q—� y— Q/ owne S((/LY SFR 93 DWE—TYPE V—WOOD FRAME —GOOD 69 . 00 6, 417. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future budding occupant wiluwill not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from .
these provisions.
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
ordinances and state laws relating to budding construction and hereby authorize representatives of Is cit to enterntuponuthe above-mentioned _'
Date: for inspection purposes. Paten/ 14#1 4� 61 07?21—CCO?7923 '4: •
Date:_/"2 / �ii Signature: DATE; 09:25/91 TIME: ih:15 `3?•1�
Driver's License or Social Security a:
Canary—Applicant:Pink—Revenue;Goldenrod—Assessor -
•
CONSTRUCTION AND PLANNING • POOL •A
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit# .
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location • r
2. &oi`Pipe-Undrgrnd._ 53. Steel Reinforcement - -
-.:3.''Electrical Conduit,Utility-Undrgrnd. - 54. Forms ; ,-
4. Electrical Conduit'-Undrgrnd. 55. Electrical Bonding -
5. 'Sigel Reinforcement 56. Rough Plumbing & Pressure Test=
6. Electrical OF ERGiiid. 57. APPROVAL TO COVER-GUNItE ;t
-7. Footings , c 58. Electrical Conduit-Undrgrnd. * •
. 8.I•Foundation „ . 59. Gas Pipe, 0 Undrgrnd.,Test -
' 9. Water Pipe-Undrgrnd. - 60 . Backwash Lines, P-Trap, 0 Undrgrnd. }�-
. 2
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 `;� • n.• .
13. Roof Drains 64. Plumbing System - Final % y�
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final -., Al -
16. Rough Electric Wiring 67. Fencing & Access Approval % - 14,
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ''7 •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
_ , 1 r
20:=Rough Factory Fireplace -!. ', _. . _ - !APPROVALS'•:CPermit# -
21 Ducts, in-Stryctute, . .. .70.• Underground::Hydro -
r
22. Ducts, Ventilating _ .K ' 4: '' .,71. Product•Piping O'Gas OOil
.11
23. Gas Pipet-Rough & Test •‘, c 7. ` ` 72. Undergrodnd Flush=- -
24.rRoq-1 Framing - - -r • X73 LUndergrnd:StorageTank O Gas O Oil
25. Rost Sheathing ,' -r, i ' :r . . '74.-0yerhead Hydro--i ,
26. T-Bar Ceiling (Str-uctural) &-Monocoat- 7 . <. 75.?Dry Chemical - -
.. .. .. c .� •. s• -
- 27. Frame and Flashing' ; , , - ; 76. Dry Standpipe `�
28.4 Lathing.& Siding _ r : i`. > .. ..Y .i 77.' FIXED SYSTEM•FINAL•
"29. Insulation • " " : _ '4 78., FIRE PREV. FINAL ' - `
30. DrywallNailing - r.' ,''•'�• �''- '•' HEALTH DEPT:.REQUIREMENT
•_31. Plaster Brown Coati �. ` "!" ,it '; ,79rFINAL INSPECTION - _
.,32.;Electrical Power Meter-Final r/:/4•• -80. FOOD CERTIFICATE ISSUED L
33.,`Final Electric, .,4- „ - • . '� i. Notes:
.34:•Final Heating.& Ai r:.Conditioning- , /• . . i.
35..Firial Gas Pipe-Testi - `727/1-
- ` -/ _ v
.36.Hood or4Canopy.. t a. > '
'37.-Final Factory Fireplace•r ' e ' �.,' F , 1, " 5 ' -.
-38.:Final Plumbing • i.t, * :-l. . ;
39 Water Service=Finan ; - ' ' - ' - '
40. 'Gas Service-Final ., ,. .Z , , .- i. i `y Y
... r -
41. Solar Domestic-Finale - ° ' •Z"
-
42. Backflow Preventer, ' ,; -
43. Backf low Irrigation` ..- - ..
,44. Landscape Irrigation SYstem,4 =. - _ - .a _
'45.-Sound Attenuation ' = ..." '
'":46. Handicap Regulations - G �; r _7 - '
- 47.-FINIAL STRUCTURE & BUILDING ,,
48:-'FINAL PLANNING , r ! -<j, ti 1c , '' .�
.
49.. Electric Release to Edison cif
r',» ., ;I
'50.. Gas Release to Southern California Gas Co . "y/' IP. is ; - _ «i;'
.51. CERTIFICATE OF OCCUPANCY r :
No. Date
PROJECT ADDRESS: 1086 SEA BLUFF DR ' UNIT: CITY OF COSTA 'MESA — BUILDING PERMIT PERM NO: E 054077
OWNER'S NAME: HIRMER ALBERT F '
ADDRESS: 1086 SEA BLUFF PERMIT 'NO: E 054077 PLAN CHECK NO:. N GOVT: N SUPP; N
•
COSTA MESA• ,CA 92627' •
- ' CONSTRUCTION TYPE: -5—N PERMIT TYPE: ELE PURPOSE: OTH
( 714 ) 646-8237
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ENCLOSE 93SQ FT BREEZEWAY AT ENTRY SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE: ALBERT HIRMER ( 714 ) 646-8237
ADDRESS: 1086 SEA BLUFF DR ' COMMENTS: RE: B54076 PRIMARY BLDG, PERMIT,
COSTA MESA CA 92627 ***+��P�tx+��6�rx*4**RHS*�P***+E�t�E***iF+r�HRE***�E�P****�P*�EaEal*** **RP*****x***+H****x** ***** **
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G• REQUIR EMEN TS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. S E- T B A C K S
CITY LIC.: ,STATE LIC.:. CLASS:
Date Signature: MAIN BUILDING ACCESSORY BUILDING '
WORKERS'COMPENSATION DECLARATION: I hereby affirm hat(have a ceilifirale of conseat 10 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 NO.: EXP.DATE:
COMPANY: . PARKING REQ PROV: PARCEL: 42203143 ZNE: REF NO:
Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> •
.ate: Applicant'
*******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V 'E L O P M E N 'T S E. R V I C E S REQUIREMENTS
I cenily 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 Lawsof.Califomia. ZONING APPROVED BY DATE: _
•
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. //,J
CONSTRUCTION ON LENDINGeAGENCY: hereby. iv Cl.irm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: L ` 7�� DATE: 7F IF FF**'
which this permit is issued(Section 3097.Civ C **********{F*je*.********** *.**.*. -%* * �f *** ********S0********* **
LENDER: **********************************,******** ***********************************
• ADDRESS: • LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:N
. 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 2250
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 50 t , SMI P/NON—RES
pursuant to the provisions of the Contractors'State 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 PIAN
'
any applicant for a permit subjects the applicant to a civil,penalty of not more than five hundred dollars($500). ISSUE FEE '11500
00
•
I. as owner of the progeny 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----> 22 . 50 15 . 00 0 . 00 3 7. 50 37. 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
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• 37. 50 OVER/SHORT: 00
forpthe purpose oil sale). one year of completion.the owner will have the burden of proving he/she did not build or improve 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•
37. 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me, INDIVIDUAL F E E BREAKDOWN
2 I an,exempt under Section: BP7044 "RC-
for
. a P.C.
fort/his reason: ALL WORK BY OWNER e TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: W-2-y77/ owner: /� 7... .' SW /.AI/ ELE 6FIXTURES LIGHTING 1 ST 20 •
EA. . 75 •
4 . 50
I do hereby cemfy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 3 RECEP T/OUTLET 1 ST 20 EA. . 75 2 . 25 •
25534 and that I or any future budding occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 6 RECEPT/SWITCH 1 ST 20 EA. . 75 4 . 50
permit for construction an modification from the Air Duality Management District,Residential construction applications are exempt from
these provisions. END OF FEES
•
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
ordinances and state laws relating to building construction and hereby authorize representatives of this city to Stec upon the above-mentioned -
properly for i)nspection purposes,
Date:-I-f- 9179/ Signature. en 01 00097984-00097984 TOT :7. C
1641-46 While—Building:Green—Code Enforcement:Canary—Applicant.Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING - POOL A
APPPOVALS Permit# Date Inspector Date Inspector
'
APPROVALS Permit#
1. Teinporary Electrical Service or Pole 52. Pool & Equipment Location iz, - /t
2. soil Pipe-Undrgrnd. - - 53. Steel Reinforcement % .
' c• 3.;Ecectrical Conduit Utility-Undrgrnd. 54. Forms
t. 4. Electrical Conduit_Undrgrnd. 55. Electrical Bonding
5.''St'eel Reinforcement- 56. Rough Plumbing & Pressure Test
�.jEVectrical UFEP G'rnd. . - _ 57. APPROVAL TO COVER-GUNIZE Q'
.7. Footings - 58. Electrical Conduit-Undrgrnd.
• r 8.•Foundation 59. Gas Pipe, 0 Undrgrnd., Test `�•
. • O
•,. 9. Water Pipe-Undrgthd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ��
10. Structural Floor System 61. APPROVAL TO DECK
f.
•
11. Property Sewer Lina&House Connection . ' 62. Backwash & Receptor-Final L/
12. Sewer Cap 63. Heater & Vent-Final `-e
13. Roof Drains 64. Plumbing System - Final / �e
14. Rough Plumbing • 65. Electrical-Final - J ;:>j
15. Rough Electrical-Conduit 66. Solar System-Final L
i
- 16. Rough Electric-Wiring • 67._Fencing & Access Approval .3 "; !-
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
n
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning • - 'FIRE DEPT. REQUIREMENT •
-
20:t Rough Factory FJeplace c - • - - •• -'* .t. +APPROVALS.::';Permit #
21 KDucts,in Strycttife; -1•7 1Li. 70. Underground Hydro .. I I
'
22- Dulls, Ventilating .t - =71. Product+Piping O'Gas O•Oil
23:7.-Gas Pipet Rough & Test , `io .. 72. Undergrotind Flush. ,•
24. Roo Framing .,; r '•v- ., > .
J -73,Undergrnd•.Storacge-Tank a Gas 0 Oil_ - •
25. Roof Sheathing 2,", 'r _ - s• ,e ' 74.--",OverheadHydro
26:7-B4 Ceiling (Structural) &.Monocoat r. _ : .t. 75.-Dry Chemical
27r-Frame and Flashing - 1 76, Dry Standpipe 1� t"
r? >. • 1
281:-Lathing'& Siding-e -. '- > 77.: FIXED SYSTEM FINAL. a.
'29. Insulation ,;.`. •: •` 78>;FIRE PREY. FINAL .t ., •y ' i
t7-30. Drywall'Nailing t . l'&1•1-1; , u HEALt Flt DEPT; REQUIREMENT
--31, Plaster Brown Coat - ') x,79, FINAL INSS-PECTION _ - .
•32.,Electrical Po er Meter,-Finals > r•: 1' i' •80., FOOD CERTIFICATE ISSUED
•33.rFinal Electric - io/Zb/ eta .,e = 2 _ '
// A
434:-Flail Heating & F, ng -ir Conditioni - i _
a
. 35. Final Gas Pipe- Tes.
t' - r' ._ i% - .--••::_••tt c,-.‘. t_� • - -
%
,36.7Hogd orrCanopYA. _ - //f- - :_,c
37.`Firial Factory Fireplace •- `••' i/>. - 6-'•-; '
.. - ,. /.ar ..
-.38. Final Plumbing -- �•• i , ' .4 -
y
239. Water Service-Final; • • '••• > “--m r '1.:
X40. Gas Service-Final ti,'♦ li i t' • ; ;
-,:41. Solar Domestic-Final- - r - -i - i
42.-Backf low Preventer' - - ' .
__ 43. Backflow Irrigation, T - • t r ,J.i• -
C
-.44, Landscape I5rigation Systema:; ' t :,; -t s
z45.,Sound Attenuation '- '' •= r
- r
]46.,Handicap Regulations - _ �;-
47:-FI NAL STRUCTURE & BUI LDI NG , i%'
I 48}FINAL PLANNING - - v;% :ol
11' Kr
-49.'ElectricRelease to:Edison . '/ I. ' •�, '" -
50. -
Gas,Release,to Southern California Gas Co ' '4 ` :L • , ",
• 51. CERTIFICATE OFOCCUPANCY
No. Date
PROJECT ADDRESS: 1086 SEA BLUFF DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IB 053386
OWNERS NAME: HIRMER, ALBERT F
ADDRESS:
1086 SA BLUFF • PERMIT NO: IB 053386 PLAN CHECK NO: N GOVT: N SUPP: Y
COSTA MESA, CA 92627 .
CONSTRUCTION TYPE: PERMIT TYPE; OTH STR PURPOSE: ATH
ARCH/ENGINEER: 646-8237 REG.NO.:
ADDRESS: UNIT: JOB .DESCRIPTION : COMPLIANCE INSPECTION FOR AN ILLEGAL ADD SQ FT: •
PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
ADDRESS: ALBERT HIRMER ( 714 ) 646--8237
1086 SEA BLUFF DR COMMENTS; X
C.M. CA 92627 +F*aE �F*****TF****** ***�E**Irx-*** +F** **+ *�r*x* ***- ******�d+�**+F ** �F*******>r*x*y
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 'O N I N G REQUIREMENTS
7000)of Division 3 0l the Business and Professions Cade,and my license is in lull force and effect. - SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: -- + MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure ora certificate of Workers' ERNT: 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 NO.: EXP.DATE: .
COMPANY: PARKING REQ: PROV; PARCEL: 42203143 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
vete: Applicant: *******************************iE*********-0h**li*********Ff* *******3F*3i ** *if **
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less).. DEVELOPMENT SERVICES 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,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY 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: S it DATE- U l t 1
which this permit is issued(Section 3097,Civ.CI. *.**..**.*****.****-**NC-*****n**.**.********.****xtr xxtr r:r***it.***************** . -*
LENDER: ************if-iE********K•-1F****************ii*pi ff***•****i(.*****iE#***?:-;a a•********#•*****
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 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 30 , 00
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/NUN—RES
pursuant to the provisions of the Contractors State 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 PLAN
any applicant for a permit subjects the applicant to a civic 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 TOTAL S----> 30 . 00 0 . 00 0 . 00 30. 0 0 30 .'0 0 . 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
improvement is sold within one year of-completion.the owner will have the burden of proving he/she did not build or improve REVENUE. DIVISION TOTALS--> COLLECTED: 30 . 00 OVER/SHORT; 00
mr the purpose of sale). 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 30 . 00
0 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors:State License Law). l am aware p-.**.**.*.*s***.*.*******s********.:*.***************{(.+},*.**********************};*****)!.**.*
that proof of their worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREKKDOWN
•
O I am exempt under Section: B.&P.C 6
for this reason:
I /TYPE QTY DESCRIPTIO N UNITCOST T TOTAL COST
Dale relCr y Owne. 2 / V '�•
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and INS 1 BUILDING RE—INSPECTION FEE 30 . 00 30 . 0 0
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 END OF FEES
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt fromp
these provisions. ;t
pp
Date: Applicant- . "``till
AU I hereby certify that I have read this application an ate that the above information is correct.I agree to comply with all city and county 1
G F
ordinances and state laws relating to building con action and hereby authorize represe�atives of this city to enter upon the above-mention 1 4 19Q3
property for inspection purposes. 7\11141,2•4
/J///o7�_ ,,
Date: 7 / H G. / 41 Signature'. / �/ v [�v2•4 L2 Cla OF COSTA [;DESA
Driver's License or Social Security w:
Applicant:Pink—Revenue:Goldenrod—Assessor - • .
CONSTRUCTION AND PLANNING • POOL `A
APPROVALS Permit# Date Inspector APPROVALS Pe, .,,c # _ 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 Coriduit-Undrgrnd.
8. Foundation 59. .Gas'Pipe,'O Undrgrnd., Test
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
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 O
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 I' Notes:
34. Final Heating & Air Conditioning .' ` •`; rr
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace t-
38. Final Plumbing - -
39. Water Service-Final t�
40. Gas-Service-Final -
41. Solar Domestic-Final
42. Backflow.Preventer
43. Backflow Irrigation •
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations '�f�--��
47. FINAL STRUCTURE &BUILDING �6JQ'
48. FINAL PLANNING ���/ �� •
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
OWNER HIRMER ALBERT DATE9-18'78
JOB ADDRESS 1086 Sea Bluff Drive BUILDING PERMIT NO. 46737
GENERAL CONTRACTOR Owner—Bldr. DESCRIPTION of WORK Block Retaining7wall
AP No. LOT TRACT . FIRE ZONE VALUES 500.00,
INSPECTIONS Signature Data i TYPE V GROUP T • ZONE R-1
OIL SUBCONTRACTOR PERMITS ISSL ED
/ GAS • Date I Number Signature
WATER Plumbing
ROUGH PLUMBING
�'l�J
PROP. SWP. LINE HOUSE CON. ❑
SPRINKLING SYSTEM
-
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0 '
ROUGH WIRING ' Heating and Vent. i
TRENCHES [Z,...-FORMS ( 1.---STEEL REINF. lia' -6- is.'
FLOOR SYSTEM
BONO BEAM (, STEEL REINFORCE fl
SHEATHING
FRAME AND FLASHING
LATHING - IN fl OUT F.
PLASTER, BROWN COAT
STRUCTURAL, FINAL Elertric
HEATING, VENT., REFRIG. AND A.C., FINAL .^
PLUMBING. FINAL AND GAS TEST l l
ELECTRIC, FINAL /�
BUILDING. FINAL 'Jtt./ b•AG•re ,
• 46737 .
COSTA MESA BUILDING-SAFETY DEPARTMENT q5,)6 9116176 X5.50 L
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 IIU�-6 9/113�s78. 5JI AJ0CA'rD,
AP C I FOIL RU" 1I-N.IiRlsk'MIT 'I A '---
For Applicant to Fill in Completely— Use Ink Only ' -1
pp//'' c/� RET' IV / DATE RECEIVED DATE ISSUED �,�j
ADDRESS BUILDING /OX SE/7 8t IM OR. ` �itrM
AG RT // PERMIT NO.
BEARhER
OWNER A.P. NO.
MAIL
/� (,/ BUILDING
/aloe Sn Q. .Die ADDRESS /t/a t� (SsER 6LUFic O�/Rrp ADDRESS C,0 F��[,(j C
CITY COSTA / /ESA NOTEL 6940237 TRACT I LOT BLOCK
CONSTRUCTION NEW ADD ALTER (REPAIR IMOVIN, DEMO ISH
LENDER
BRANCH � /
OWNER • C's/e, ,,,,
ADDRESS U�� /L� QId `/,�J VALUE
ARCHITECT TEL. E !/s/di�'i.L—
OR ENGINEER NO.
FIRE " OUP
ADDRESS ZONE (//HYPE IT—
CONTRACTOR OWNER BU/LOE2 APPROVE
'/ DAT /(Z
/ V
ADDRESS l
TEL. ZONE INO.OF USE OF NEW
CITY NO. PLANS BUILDING •
.F.•
STATE CITY YARDS APPROVED YARDS APPROVED
XLIC.NO. OWNER LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Om SIZE 3. 'x //O i I NNO.OF OW ON LOTS 7 FRONT C/L STREET)
� FT.
IR OF LOT d
a USE OF
CA EXISTING BLDG. - _R.SInF ET. FT.
ca—
FSeparate permits are required for L.SIDE FT. FT.
W electric,plumbing and heating work.
- FT. FT.
E.., - USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
'• I I r�r n, ' MAIN BLOCS. ACCESS.BLDGS.
INS/ ryLCATIVJs/ _OF VAR.# AATE
PPR
Q VAR.* APPROVED —
} RETIj urn'G k 9t_e_a _ /[f,I,�APYPROVED _DATE
GC
(y
0 I hereby acknowledge that I have read this application and state N
t`
(t, that the above Information Is correct and agree to comply with
e
00 all laws regulating puild(ng construction, and I shall not employ s
Z any person in violation of the workman's compensation laws of 2
W the State of California. L��j //j/
T. / 1/i(/ta¢ FT. w
3 I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business ‘3••--Se-+
VALUATION PERMIT FEE $ <
and Professions Code,Division 3,Chapter 9. - ^ m
co, ea
PLAN CHECK $ m
Signature of Q� / ,, o
Permittee ✓t(/t -y$ j/) TAX $ �a
U
Authorized Agent • TOTAL PAID $
5,