HomeMy WebLinkAbout2066 SEA COVE LN - Building Permits •
4 CITY OF COSTA MESA
:*, t, BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
M98-00228
PERMIT PERMIT NUMBER
4%,ancriso;94.
(714)754-5273 • Fax(714)754-4856 MECHANICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2066 SEA COVE LN Status: ISSUED v�
Suite No Applied: 06/08/1998
Issued: 06/08/1998
Vicinity:
Parcel Nunmber: 42201221
Applicant: BELL, RALPH
Address:
Phone: -
Zip:
Owner WEAVER; LENA B,TR • j
Address: 2066 SEA•COVE LN„ 't - - % - v
COSTA MESA,CA -Zip. 92627 -�� Nom';
�' \•,•:,,,,`•
Contractor: CRYSTAL'AIR''.-' .
Address: 11801 MAC STS y >y \`\''. ' - -' Phone,:534-2593 t �
' GARDEN GROVE Zip: 0)02641 v=rvv - t" •
License:655036 i T - - 'N
Address: i. �. -,� 1 ,
•
- - ,. Phone: - ,,
Zip: -
License:
SCOPE OF PERMIT
R/R EXISTING FURNANCE AND INSTALL A NEW A/C UNIT; IN THE
• SIDE YARD OF PROPERTY - - .,
FEE SUMMARY+1 , •1 ;
•
.Quantity-- • - - `S I ' - - Quantity
ISSUE FEE $22.00 - Repair/AltAbsorbtion Unit $0.00 0 .
Inst FAU<100 k BTU $13.25, Repair/Alt Refrigeration Unit • $0.00 0
•Inst FAU,>100 k BTU $0.00 Ventillation System ,,„ / $0.00, 0
Repair/Alt Cooling/Heat $0.00 0 Evaporative-Cooler - $0.00 0' ,'
Inst/Rep. Recess Wall Htr $0.00 0 - Commercial Incinerator
Refrig Sys<100 k BTU. . _ • $13.25 1 < --,41, Domestic Incinerator • • ( $0:00 -1 0'
Refrig Sys>100 k BTU $0.00 0 'Compressors/Absorption Systems, ; ,
Gas Piping • ' $0.00 0 • :'Up to 3-hp/100 k BTU • _ $0.00 0
Factory Fireplace $0.00 0 . 3 To-15-hp/.500 k BTU $0.00 0
Hood w/Mech Exhaust $0.00 0' - • „ 15 To-30 hp/1,000 k BTU / $0.00 0
VAV Box $0.00 ,.0 30 To50 hp/1,750 k.BTU - *$0.00 0
Vent Fan/Single Duct $0.00 M ., • . Over 50 hp/Over 1;750 BTU,- , -1 ,$0.00 0 -
Appliance - $0.00 0 : " -� - ' Boilers, - - ,
Fire Dampers . ' • $0.00 -0 _ ''
- ' ` - 'Up to 3 h . • / $0.00 0
Smoke Dampers $0.00 0 . - . 3 To 15 hp . $0.00 0
Inst or Relocate Appl Vent $0.00. . 0 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0
Air Handlers> 10000cfm $0.00 0 Over 50 hp - , $0.00 0
Floor Furnace $0.00 0 Other Mechanical Fee
Floor or Suspend Heater $0.00 0 • Investigation Fee $0.0 •
0
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $48.50
COMMENTS/SPECIAL CONDITIONS
•
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I 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 permit is issued.
My workers'compensation Insurance carder and policy number are:
Carrier: Policy Number.
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Ca' mla,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with,.trh--ase pr vi r-. -_. ��
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($l00.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.it �0 Class N
At
L4.._ I-' ."-{-'ll
Contractors,Signeture: cDate:—
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 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).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.).
❑ I,as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date: •
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: •
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Masa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (if'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection p r••ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
An.0 '- •rized Applicant 1----Date"-
CODE L INSPECTmNTYPE DAME INTIDAIS Mal INSPECTION TYPF DATE
1616 Fixed System Final Fire Prevention 206 Final Mechanical ,-1518 AZ1.5
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Anal Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2440-48
'___ CITY OF COSTA MESA
4-- �,, BUILDING DIVISION
�' _. DEVELOPMENT SERVICES DEPARTMENT E98-00523
PERMIT PERMIT NUMBER
itbfritnerrin 41.
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 2066 SEA COVE LN • Status: ISSUED fizo
Suite No Applied: 06/08/1998
Vicinity: . Issued: 06/08/1998
Parcel Nunmber: 42201221
Applicant: BELL, RALPH
Address: .
Phone:
- • Zip - . - • .
.
Owner: WEAVER,LENA BTR
Address 2066 SEA COVE LW - • /• r/• "---„:'•-•1 - ,
,. • -Phone _ - � '`
Contractor: CRYSTAL'AIR> 7�
Address:' 11801 MAC ST \ v,,
� • " Phone:?534-2593
Y
- GARDEN GROVE Zip: Y.92641 I
.
License: 55036'
• SCOPE OF PERMIT V,-
R/R EXISTING FURNANCE AND INSTALL A NEW NC UNIT, IN THE SIDE YARD.OF PROPERTY. '
\
FEE SUMMARY . ; „ . - •
Quantity • - Quantity ' - .
ISSUE FEE $22.00 Temp Dist System/.Lighting $0.00 0
Temp service test $0.00 - _ _Busway/100 ft "� $0.00 0
Res.a/c package $0.00 _ _ -" , Standing'Section '�-" $0.00 0 - - '
New Res(1-2 units) ' '' $0.00 • . 0 - •- -`Mist Electrical EquipmenC __ $0.00 0 '
New Res(3+units)- $0.00 0 - - Transformers'up to 1 kva/kw $0.00 0' "
Pool/Spa . - $0.00 0 _ "_"up t910 kva/kw $0.00
•Lighting Fixts - $0.00 0 up to 50 kva/kw $0.00 -0 '
Recept Outlets • $0.00 0 --- up to 100 kva/kw $0.00 . '0 - '
Switches - $0.00 0 over 100 kva/kw $0.00 0 '
Non Res Appl - -$0.00 . 0 r, Low Voltage Equipment $0.00'x; 0 -
Res Appl ' $0.00 0 • -- Low Volt Wiring System/Ckt ,$0.00 - 0 - ,
Service to 200a $0.00 0 '"Mise.Conduit $0.00 0 ' . ,
Service to 1000a $0.00- . 0 - s.. ,Misc.Conductor .-"$0.00 0
Service over 1000a $0.00 ' - 0 - �- ; .'Circus(gen or ride); ; $0.00 0
Motors to 1 hp $0.00 ." , 0 - - :Circus'(mech ride or lights) -' $0.00/. . 0 „ ,
Motors to 10hp $11.00 _ -1=, , _ •`
Christmas Tree `. $0.00 ' 0 - /
Motors to 50hp $0.00 0 . Fireworks Stand - - $0.00 , 0
Motors to 100hp $0.00 0 ' ' -. •Other Electrical Fee $0.00" ' ,
Motors over 100hp $0.00 0 " - - ,
Communication drops $0.00 .0 - _ Investigation Fee $0.00
Sub panel to 200a $0.00 ' 0 Plan Check Fee . _ $0.00
Pole Light Pkg $0.00 0 Reinspection Fee - . " $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 - .TOTAL CALCULATED FEES $33.00
Intermed Pole $0.00 0
• COMMENTS/SPECIAL CONDITIONS .
•
1
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
❑ I 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 permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number.
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif ia,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply.withh se provi C/
Applicant•Signature: (Date: 6 —Cg_�D
WARNING:FAILURE TO SECURE RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND In I ARE($100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions CCoo��e,and my license is In full
force and effect.Lic.N ,in S Class rt { _y
Contracto ati` IVi`/-'I°.\J�+� r.�re.� 6
..�— !ems_
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,CMI Code).
Lender's Name: - Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors 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 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).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Cede:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
•
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomla Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certifthat under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
, j, r Of Legal Owner(s) Date
E eco • 6
And/Or uthorized Applicant Date• .
CODE L INSPECTIONTYPE LATE U®ALS pont INSPFCTION TYPE LATE II0:1NU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing • qI/�
200 Final Re-Roof • 210 Final Electrical 6-15-/CT
PM
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 Anal Demolition 250 Final Building/Occupancy
2446-46
•
CITY OF COSTA MESA
BUILDING SO'FETY DEPARTMENT
POST IN CONSPICUOUS PLACE
ON THE JOB
A.P. NO. ` • .
• • BLOCK
NEW ADD ALTER REPAIR MOVING DEMOLISH
•
'
FIREZONE TYPE GROUP
• s;_„u I & J
V-4'Or.t:, rOlgepii ''1'17.0tM r TT:tv'rs
urtS
Front Yd 81 Side Yd. R 0' L 01 Rear 4'
Side Yd. R L Rear
BUILDING INSPECTION RECORD
TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM-
MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT
LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED.
-STRUCTU•AL �jy //=�j.�y // DATE
Trenches [ Forms r�o/to a
Floor System--
'Vara. r�/' - 8
Steel Reinf � ����f
Sheathing rwea /C��J`a
Frame and Flashing irfaMMIPTIMEI
Insulation I�j� - DSR'
Lathing W.•� . /Z" • - 8
Dry Wall Nailing ��//�'yy-�
Plaster, Brown Coat ALLMAN
Sound Attenuation
Handicap Regulation
FINAL RV' 3-s- 79
PLUMBING 14/11:111
Soil 5 -�••s'7"
Underground Water (y-/9Rough Plumbing fr'-!S'-]fl
Prop.Sewer Line and House Co,,n -. .- .. . // -4'._71
Street Sewer Conn. i /r 7
Water Service y 3'-m-1?
Sprinkling System
(,�
Gas Test r�i 47'/G-1
FINAL "1,40
HEATING, AIR-COND.AND REFRIGERATION
Ref r. Lines,Pressure Testpo
Ducts, Underground / /Z ..IT
Ducts,in Structure //f'1 /L
Ducts,Ventilating
y 1 / _' i,?
Rough Heating and Air-Cond. a�.. L-10 -7/
FINAL /X /d 3-8-79
ELECTRICAL
Temporary Service or Pole .T�•---' '--"
Underground ‘11( ,i-te-7e
Power Meter `'—
Rough Wiring s_tel� //-fr 7,
FINAL -/-c .v
Do not occupy this project until final inspection has
been made and occupancy has been approved
Building Finale et/PI-re ,F!1 ,/)Y . %a-j
Special Requirements JO
Occupancy 1,441- s �11l7
NOTICE
24-hr. notification required when'the job is ready for inspection. You
must furnish PERMIT NUMBER.and the JOB ADDRESS FOR EACH
R ESPECTI V E'I NSPECT I ON.•CALL 556-5273.
APPROVED PLANS SHAI.I-RF ON .lfR AT Al I TIMFS
OWNER TEE GREGORY CO. DATE 33_78
JOB ADDRESS 2066 Sea Cove BUILDING PERMIT NO. 45333
GENERAL CONTRACTOR Same DESCRIPTION of WORKs.w/att. Garage
AP No. LOT 51 TRACT 10018 FIRE ZONE VALUE $ 45,900.
INSPECTIONS Signature Data TYPE \/ GROUP I & J ZONE PDR—MD
SOIL • PE$MITS IS514ED
GAS SUBCONTRACTOR Date Number umber I
Signature
WATER PI `
ROUGH PLUMBING ' it, 1_J� ' /'
PROP. SWR. LINE n HOUSE CON. ❑ /-
SPRINKLING SYSTEM 5�
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING N afi q d Ypnf� //�� •
/Q()
TRENCHES U FORMS STEEL REINF. LJ ti `(. 1�;� 9-;� � "_ 1
FLOOR SYSTEM • /V.X., i
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING — IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL. FINAL Fledrjc
•
HEATING. VENT., REFRIG, AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL I' /
BUILDING, FINAL • ,y0�gv"-
-6- ?�
'r SPFCIAnI
I REIIRM
FFNTS .a _e OS 05•”..4—/^
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERM NO. TRACT NO. LOT NO. UNIT NO.
'CITY OF COSTA MESA CONSTRU TION PERMIT r s 3 a 03 • 5253 2/17/8B 5.08 TL
b' Project Address / Ill / e 'if -I• /p4 •
Applicant's Mailing Addrqess��yy nivel- • , �I� ,[�,{[T� o (�(} TYPE OF CONSTRUCTION ' ❑ N•EW ❑ ADD LJ ALTERATION Ll�'REPAI R
•
Owner's Name CK VCA Phones er `S• 6 E CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - Zone .
DESCRIPTION OF WORK/USE OF BLDG.
Address — .$ Main Building: Accessory Building:
•
Z
• Arch/E 4 - License No. TYPE OF PERMIT ❑ GRADING aUp6UNDATION ❑ STRUCTURAL E Front • _ 0
ddre55 - �:--f'''� � ❑ TENANT ❑ ELECTRICAL Ly4LUMBING ❑ MECHANICAL B Rear N
Contractor's,Nam• ���• .��w��%%' % Phone 59 y� ❑ OTHER •- K G
• l' _ '"_" C_ PROJECT DESCRIPTION SQ. FT. OCCUPANCY_ C Right N
Address(mailing) 233•�2•�i/n��r/.�uco ' �4 CONSTRUCTION TYPE VALUATION$ S Left •
City License No. ,10 735- SGRADING CU.YDS. ACRE$ R
L Ping. Ref.# Parking Req./Provided E
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I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and •
T
_ L(� FEBmy license is in full'for e and effect. RFCFIVEO B 1 0 199b' S
License Cl s i Li,, se o. 0 . - • •
Date !� �_�� — PLUMBING I FEES '
.W/ Signature
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL -FEES
I hereby affirm that I have a certificate of consent to self-insure or a Certificate
1
of Workers' Compensation Insurance, or a certified copy thereof (Section
1 Backflow Prevent& Service Sink . ' Automatic Washer *- Transformer KW
3800, Lab. C.) /� pq ,c,.(� q ■ a
I
.\ Policy No. __a 0 / Company 6/�'{•k4 R411. ■
❑,Certified copy is hereby furnished./�}�s,
ge /i^ted dopy is filed w Applicant
Bathtubs - ■ . • al
amps
Date Tl//SJJ�--hppRp t,(' - ■■ - - ■ •
E%EMP ON F OM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100) or
less) Put Panel
certify that in the performance of the work for which this permit is Issued, I
o ' employompeanyiperson s in any manner so as to become subject to the ,Drinking • , ■� ■09-154• ■ ■
Workers' Compensation Laws of California. . 1111 Motors
Date signature Drains I
NOTICE:If,after making this declaration,you should become Subject to the
'Compensation Compensation provisions of the Labor Code, you must forthwith
Microwave
comply with such provisions or this permit shall be deemed. revoked.
•
CONSTRUCTION LENDING AGENCY • ' Gas Service OutletsWater osetP5 *
I hereby affirm that there is a construction lending agency for the peormance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater
Lender's Name
Lender's Address - Kitchen Sink Water Service Switches Sign . . .
OWNER BUILDER DECLARATION N.,
I hereby affirm that I am exempt from the Contractor's Llcense,Law for the - Disposal
following reason (Section 7031.5 Business and Professional Code:.Any city or
county which requires a permit to construct,alter,improve,demolish or repair Trays
any structure, prior to its issuance, also requires the applicant for-such permit DO-5 ■ Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof ■
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).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Reinspection Fee $15 Issue Fee $ 3 H
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 • •'
employees, provided that such improvements are not intended or offered for Boiler . Hood or Type I
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ■ . Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- liii
Building Approved By ate
prove for,the purpose of sale).❑ I, as owner of the property, am exclusively contracting with licensed con- • • �� ■. :tractorsto construct the-project (Section 7044, Business and Professions Code:
The Contractor's Licene Law does not apply to an owner of property who 00-100,000 : 0100,000 .
builds or improves thereon, and who contracts for such projects with a con-
•
• tractor(s) license'pursuant to the Contractor's License Law)- I am aware that III Exhaust System ■ ■ BUILDINGon
• proof. of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section- BPLAN CHECK $ PERMIT .
. & P. C.for this reasonIII :• . .■ O
Date " Owner Heating System& Ducting
Registers PLAN CHECK 25% $ • ENERGY P.C. $ .
I hereby certify that'I have read this application and state that the above DO-100,000 ■ Ia000 BT
GRADING
information is correct. agree ut toicomply cost with all dy and county ordinances ELECTRICAL $
and state laws relating to building construction,b, andhereby authorize repre- a. MICROFILM $
sentatives of this city to enter upo the above-mentioned property for `�
inspection n�se / ap l� MECHANICAL $
Signature pe / `if. 4
CMF 0865-46, rev.10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION ANDPLANNING _ POOL& SPA -
'Date '; Inspector' Date Inspector
APPROVALS Permit# APPROVALS Permit#
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 UF ER Grnd. 57. APPROVAL TO COVER'GUNITE
t:r
7. Footings r , _ 58. Electrical Conduit-Undrg nd.
_
8. Foundation c'i _
Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,! Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK II •
11. Property Sewer Line & House Connection62. Backwash & Receptor-Final ,
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final . '
•14. Rough Plumbing - 65. Electrical-Final '
15. Rough Electrical-Conduit - -- . 66. Solar System-Final •
16. Rough Electric Wiring - 67. Fencing & Access Approval .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test • 72. Underground Flush '
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _ -- 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe .
-
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29.. Insulation • 78. FIRE PREV. FINAL t'„
30. Drywall Nailing _ HEALTH DEPT. REQUIREMENT . %?
31. Plaster Brown Coat 79. FINAL INSPECTION ' cis
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
of;
33. Final Electric Notes:
34. Final Heating& Air Conditioning _'
35. Final Gas Pipe-Test '
36. Hood or Canopy • _
37.' Final Factory Fireplace - • • e
38' Final Plumbing Z-ZZ-&' L6 4
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 - -
j
46. Handicap Regulations - -
.
47. FINAL STRUCTURE & BUILDING - -
48. Special Requirements Completed ' -
49: .Electric Release to Edison _ .
50:Gas Release to Southern California Gas Co - - ,
51. CERTIFICATE OF OCCUPANCY -
No Date -
fl , .`� ,
. .
4 5 3 3 3 3894 1 /05/78 116.96 T
COSTA MESA BUILDING-SAFETY DEPARTMENT - _ . -
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING Baa �
ADDRESS AA__ l/y
mi.,,,_ yy�/�) e.�{
OWNER The gregory company A.P.NO.
/�'riiii ?' PER
I�N 3'!
MAIL
BUILDINDR �44 SES- /�
ADDRESS 3187-g airway ave.. ADDRESS
CITY Costa mesa NO.(51-3850 TRACT 10 1 F- LOT 5-I BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING nFMOI ISH
LENDER X
BRANCH
OWN R the gregory enm >y
par
ADDRESS VALUE
ARCHITECT harrison/lorenZiniEL751-385' DS w/att earae•e $
OR ENGINEER NO
FIRE
ADDRESS 18 a' .a ave ZONE TYPE GROUP
APPROVED
CONTRACTOR gregory construction co BY DATE
ADDRESS 3187-g airway ave
TEL. E /f O.O USE OF /�
CITYcosta mesa NO. 751-38 ,P—dn BUILDINGS,/�j�j AL,
F STATE (� CITY YARDS APPROVED YARDS APPR ED
gLIC.NO. 285781 LIC.NO. 008179 MAIN BUILDING ACCESSORY BUILDING
{>, SIZE NO.OF BLDGS. (FROM C/L SSjiEET)
a. OF LOT 427'x992' NOW ON LOT RANT FT.FT. FT.
W USE OF //��
" EXISTING BLDG. R SIDE <7 FT, FT.
.fir
(-1
Separate permits are required for L.SIDE 0 FT. FT.
electric,plumbing and heating work.
WREAR FT. FT.
(..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE B BET.MAIN&
Qt MAIN BLDGS. ACCESS.ACCESS.BLDGS.
VAR. DATE / ]'7
a C.U.P., DATE a 6 -,1
ta d garage ROVED/ice,7f"OfDATF s/ �6—2 ['S
WHOLD FOR SPECTA , REOUIREMENTl
Q I hereby acknowledge that I have read this application and state
N
• G4 that the above Information is correct and agree to comply with -.
m
4 all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
the State of California.
512 garage FT. co
I hereby certify that I am properly licensed a- . contractor under 1690 SQ. 7
the State of California Business and 2 •''
Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR aN
Chapter 9, en• •4 such Been . r�eorce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exemp- rom he provisio •f 7 - of California Business VALUATION PERMIT FEE $ v
and Prof sslons Cede,Divi sl• R. in
_ m
. Signaturi • 1 J PLAN CHECK $ /`3s 7,/
0
Permittee i ��Author! •ilaranava $ ✓/7'A� a- TAX $ u
TOTAL PAID $ i (O
426a� 7254 3/ 13/78 175.00 TL
' COSTA MESA BUILDING-SAFETY DEPARTMENT 7254 3/13/78 175.000KT0
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 7254 00004453 33 IA
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED
^ DAT ISSUED
BUILDING ,20 /_ heti ..•ADDRESS (� LLL/ PERMIT NO.
OWNER Pi _.— .` _ ./ • A.P.NO. /�
BUILDING 020X) •
ADDRESS ADDRESS ,
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION NEW IADD IALTER REPAIR IMOVINR nFMfI ISH
LENDER /
BRANCH �1"
OWNER /`/
ADDRESS
V
ARCHITECT TEL. USE ii-d.1.171thfenili
OR ENGINEER NO
FIRE
ADDRESS ZONE TYPE GROUP
�s APPROVED
CONTRACTOR /� CX� BY DATE
ADDRESS ZONE INO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO.
.F. STATE CITY YARDS APPROVED YARDS APPROVED
gLIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLD (FROM C/L STREET)
W
4 OF LOT j GS
NOW ON LOT FRONT FT. FT.
a USE OF
.y. EXISTING BLDG. -it,SIDE _Ft FT.
tit
F Separate permits are required for L.SIDE FT.• FT.
welectric,plumbing and heating work. REAR FT. FT.
I.—, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Qn MAIN BLOCS. ACCESS.SLOGS.
riff.
VAR.sa DATE
Q . 'Ole C.UA.4' APPROVED
' APPROVED
>" DATE
Ed
W
0 I hereby acknowledge that I have read this application and state in
ai that the above information Is correct and agree to comply with m
0+ all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of E
the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. T
the State of California Business and Professions Coda, 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 Siete of California Business VALUATION PERMIT FEE $ �•����N....////
and Professions Code,Division 3,Chapter 9. .aPsei n
• PLAN CHECK $ co
Signature of o
Permittee $ TAX $ a
U
Authorized Agent TOTAL PAID $ /