HomeMy WebLinkAbout745 SCHENLEY BAY - Building Permits '} PROJECT ADDRESS: 745 SCHENLEY BAY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 061117
OWNERS NAME:PENTRIDGE COVE I HOMEOWNE
ADDRESS:SAME PERMIT NO: B 061117 PLAN CHECK NO: 00603-93 S GOVT: N SUPP:• N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: REP
ARCH/ENGINEER:SAA CONSULTING ENG REG.NO.:C21997 JOB DESCRIPTION : DECKS COLUMN REPAIR DUE TO ROTTING SQ FT: 600
ADDRESS: 2900 BRISTOL ST UNIT:
C.M. CA 92626 CLAIM VALUE: 600 , 00 CALC—VALUE; 600, 00 GROUP OCC; R-1 /
PERMITTEE: P M CONSTRUCTION ( 714 ) 859-4909
ADDRESS: 23553 LOS ADORNOS COMMENTS; REPAIR 6 DECKS, INCLUDING UNITS 747-753-769-771 SCHENLEY BAY
. LAGUNA HILLS CA 92653 :¢*****>t�6�r*** * ** ¢*,E�¢*�r�H+r*iESr************rte( ¢********************* x***xa¢*******S¢
LICENSED CONTRACTOR DECLARATION: I hereby affirm that lam Ii nsed under provisions of Cha mencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and 'cense's in full force and effect SETH ACK S
CITY LIC.:0 57818 STATE LIC.; 36476BS:B
.� Date:_L 'Z;S 4:, Signature: _ _ _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to u-insured iticate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation mwence.or a certififed copy thereof(Section 3800.Lab.C) LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.:0 90941-93 EXP.DATE: 01 /01 /94
COMPANY:STATE PARKING REQ• PROV; PARCEL: 93768148 ZNE: R1 REF NO:
i❑ Certified copy H hereby furnished ]0 Certified cop is filed with I d :u/,"liyism . PLANNING NOTES>
i >
Date' Z —2,,..),-.575APDlicant; AC _ **************************************************************************JE****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (his section need not be completed if the per,is for unfired WOO)or less). DEVELOPMENT SERVICES REQUIREMENTS
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;
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 BY• S c/\'- DATE;
CONSTRUCTION AND PLANNING -
POC 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-Unrjrgrnd. • 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
,7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test .
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System- 61. APPROVAL TO DECK
11. Property Sewer Line & House'Connectidn • 62. Backwash & Receptor-Final
F
12. Sewer Cap - .,� 63. Heater & Vent-Final
4 413. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical-Conduit , 66. Solar System-Final l
16. Rough Electric Wiring . �, . 67. Fencing & Access Approval 4 I
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 4
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 ;�' 4.J
+. W
26. T•Bar Ceiling (Structural) & Monocoat 75., Dig Chemical - v
27. Frame and Flashing 76. Dry Standpipe -
h i.
28. Lathing & Siding - I 77. FIXED SYSTEM FINAL ' .---) I
29. Insulation 78. FIRE PREY. FINAL Cr I
30. Drywall Nailing II t 7 'HEALTH DEPT. REQUIREMENT L.. l 1
31. Plaster Brown Coat � i 14 79. FINAL INSPECTION
32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED
33. Final Electric � I I Notes:
r I
34. Final Heating Si Air Conditioning -- `
I I ; _
35. Final Gas Pipe-Test ! r - •
36. Hood or Canopy 1
1 37. Final Factory Fireplace • I 1
1 •
38. Final Plumbing j t
39. Water Service-Final I ( I -
I
40. Gas Service-Final 1 -
41. Solar Domestic-Final i I
42. Backflow Preventer 1 i
43. Backflow Irrigation -
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations • I
47. FINAL. STRUCTURE& BUILDING 1 I j 1
48. FINAL PLANNING t i
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co t l
51. CERTIFICATE OF OCCUPANCY -
No. Date
9
February 3, 1993
City of Costa Mesa
Building Division
RE: PENTRIDGE COVE I HOMEOWNERS ASSOCIATION
Dear Building Division,
Please find this letter to serve as authorization for Nancy
Blankenburg to sign on our behalf on the Owner-Builder
Verification and Limited Statement of Responsibility documents
for the purpose of obtaining building permits.
Should you have any questions, please contact Nancy Blankenburg
of Marquis Management Group at ( 800) 660-8099 x239 as she will act
liaison between the Board of Directors and the City of Costa Mesa
Building Division.
Sincerely,
THE BOARD OF DIRECTORS
V 'L2r�<, 41-7
J�r� Fields(yresident
Ed Petros, Vice P sident
Michael Cirillo, Treasurer
Le7ler—
Karen
Liberty, Secretary
enise Leat, Member-at-Large
' -
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I. Applicant to fill in all spaces those within heavy border ign all appro is a declarations.
AMESA, ; I , , 1 " 'i PERMITNO. ;I T 4rjTr{O. ', LOT NO. . G.NO. , ry .....
I _ j _1 _ • .__ i_
CITY OF COST7 MY)
{( -,
1 CONSTRUCTION PERMIT i : I 1 '. i 3, I c r •x, , r; 1;' r 1 I I 'a
!. ) I`T1I 07261 5��dl831 •Y 2Ta981 7L
Applicant's Mailing Address - -II s '' �1 =O II r ' .3 TYPE OF.CONSTRUCTION_' } NEW L-I ADD':LI ALTERATION REPAIR - �• , �� t 1 .7 ( • 1'� ' r • • C '• i I $ ' r••• i
Project Address_. !/ - - •f- a` _Il/�l Le , _ ❑•CONVERSION ❑ DE ISM 'A'aT�• _ I �. '$..441
: ' r { , • J ' � I r.
i r ��� DESCRIPTION OF WORK f'o' e' re I el 1 are:
Owner s Na i Mliib'Ul�l�.<41011M • e. •- // -
��r. p��/�,�/iy�(i�, �{rrr�, ! 1 - c L'.1,155:_.
I ( p 1 'ZONING'REGULATIONS I
Address Iri�il7�a.r�l�(LYO4L JJ 111��Y./Jr i LA)/wf� :j 1 ' n I - I '/, ;'`/ _ I '7��t> I I' i�.? I ' 2 t I ,z.•1 • c 1 i
{,. �� ' - ; s Arcs - TYPE OFPERMIT Li GRADING U FOUNDATION/y��(� STRUCTS A.P:•,1E ZONE I .:
Arch/Eng. aoa i�.r-4.a sIIDTJ _. ❑:TENANT ❑IELECTRICAL ❑ PLUMB NG ❑MECHANICAL r, fr Q BUILDING! =,
C? -S `Oa_ i •asrra. r AAA fi ifi r I - i - , r '.PLNG.RE F.',�k. 7.tJ il.-i 148, ' f' I h'
Address ° 1 ' ` ycFra er«•vii-eT
❑POTHER - TO BUILDING" I
.�'� I I .- - 40)4; - - I EAR YARD(TO P/U 1,
Contractor's Nam. O�INP?- - 'Phone i PROJECT DESCRIPTION' S �/�L��,) OCCUPAJ:ICCCyyy PROPERTY LINE irlipZ �1 .F-1�(A)/R� "cgn f1L w /y�
_ "a''V /t/ ""'_ f $/J :LEFT SIDE YARD WIGHT _ 1•;' [J'
I `v I CON ST,RUCTI N yYPF V ATION _/ I y GHT SIDE YARD' S I • ��
Address(mailing) - / I_
• ' , I ; - I ZONK c. ' GRADING CU.YDS. ACR / 1 - ' I;KG.SPACE.REO. i PROVIDED J
License No. I •• :- - !E- . /p + - f If
LICENSED CONTRACTOR DECLARATION i Remarks: S i ! -' :STREET WIDTH 50 i ' E PARK FEE$' I I�
I,herebyiaffirm that-I am licensed under provisions of Charter,9 (commencing I ! ' • , , , }IJ •
I with Section 7000) of Division 3 of the Business and Professions Code,and . 1 i i SPECIAL CONDITIONS: ; ' . c-f R 7
my.11cense is in full force andleffect. - ( I - ' I - _ I - � `�-' f ! I"
1 - i I ! • S,L fititluluie 1 t1J.10 dun Ulini - ; i'- •
Cleanse Cldss. I License No - I I {' 1 PLUMBING ' , i I 1 , I • t - , , 1•C 1 I C
' Date'• ! Signature ! I I I I Bar Sink SeJuer Cap- i j I - i • ' ELECTRICAL - ` i
I
:. WO •
RKERS•COMPENSATION DECLARATION• j 1 1 1 '' I 4 _ P . _ ( • _ - , - ) •
•11;_I.Iierebyaffirm that.l.have.a.certificate of.consentto.self-Iniure.ora.certlficate-_(. _.._ ' -1----1—•4 •-•. --Sewer ? __ -. Automatic,Washer_- _. "I _ _{Meter_❑over 100 amps_' __ . _ - ...>„, „_ f '
of Workers' Compensation Insurance,;or a-certifbQ copy thereof (Section BackflowPreventerir ,Connection"-'y--'^}-,µ "j- . -
3900, Lab. CJ . - j 1 I Construction Pole Sub Panel 1 '° • '
I j 1 , Backflow Irrigation y Solar�Collectors vl j> 1•" j v i $ ,
Sy No, Company 1 - .`. „ ,) CookingUnit I '' I
ld•Certified copy Is hereby furnished. 1 I 1 : • 1 ! I
, Bathtubs I ' Solar Piping c'a i !Sub Pole { "'�j j i
• IIJJ Certified copy is filed with the city',Building Division, , Dishwasher I !
!Date ' ' ' ' Applicant 1 ' ' J i _ II _ 1 Clarifiers 1 { I Solar-fink i i I I I. Motors �0-1 HP 1'/.-B I i,
' EXEMPTION'FROM WORKERS'COMPENSATION DECLARATION4. I DishWaeher • ' SWimmin Pool-W./Spa ' �c' I Dryers❑Gas OElectric .*. ^ ;Inc Solar 09 15 HP 016-15+ •T • -(This section need not be completed If the permit is for.one hundred($300)or , . , f g
lees)'. I i I • t ' i , i Drinkingr•" ! Fan' i 1 1 1 Microwave' i 1- •• p; '_'I l'
' I I certify that In the performance of the work for which this permit is issued, I , - Fountains , I. . - U_rinelw `�;! 1, ; - , : •
shall not employ any person in any manner so as to become subject to te ' ; I _ , ;.„ F.A.U. I :Pole Light . I
workers',Compensation'Laws of Californial .; I 1 , 1 1 I t Floor Drains; Water Closet'_ ;f I I - I g I t
Date hicis declaration,
' - Fixtures _ I i
NOTICE:'I);'after ationig'rovi•sieclaration, Labor,
Decome'subject to the-+ - Floor Sinks ---I- — - Water-Heater --,'---. - - -� - - -- - -t- f_.. ..�_- ,flange_-._ _ _t"r_ . - .y._'_.._ - ._- f
Workers' Compensation provisions,of the Labor, you.muet-,forthwith 1 ; , - Device Boxes - I
. comply with; such provisionsr2or shallthis:permit - be:deemed, revoked,) . Ga 5 Seneice I Outlets ' - I of ;Water Service I I ? I 1 'Sigel I 1 j • I
• CONSTRUCTION!LENDING.AGENCY • I e! ,
hereby affirm that[here is this perm iomlentl ue (Sec ion tha'performanCe ± l - - l I Outlets c I 1 ;
of the ;work for whichr.,[his; permit'71r:issued (Section 3097 Civ p;); I Interceptors dry 1 -,.� • e ] 1 _ _ i rr - I Standing Sections , I f I
L:entler•s• Name ' ' 'G I KltchenlSinkl ',', t - ' id > ; '`! : - Switches , ! 1 I t Trash Compactor : I I 1
• Lender's' Address'. br I�Nn` e Y'I-t IN71 .., Lavatories :. './ ;-' 1r �, i '. I _ -i , Garbage Disposal I I I i I I 4 1
OWNERIBUILDER.DECLARATION' ; 1 i 1 e) ' y ( - .1 t+. C I - , '
I herebylafflrm that I am exempEfrom the4Contractor's,Llcense Law for the' I . r n _ ;-i ; Generator 00-5 KW 05-15 KW 1 i I I }
following reason:(Section-7031':5 Business and Professional Code: Any city or' if ' P Trap{ ) i , , ,.... r • - i i • , r I
'county which requires a permit4o-construct,alter improve;demolish or.repair F ' - Transformer 015-50 KW I I I . .
any structure, prior to its:issuance,lalso requires the'applicant'for such permit , 7- i Roof'Drains I r ', '- W _ i t I i I , , 1 I i
to file a signed statement that he/she is licensed pursuant to thefprovisions of I - '
'.,the Contractor's License Lawl(Chapter,9(commencing:with'Section 7000)of ' l _ I - 1 ' I " t `.. i i, • I - • - 05U+ KW i , I ',Reinspection Fee I $15'
;:;Division 3 of the Business'and!Professions Code),or,that:he//she.is exempt I ' . Showers : •�' r. 1. , p i Reinspection.Fee $15 - i
-'therefrom-and the:basis for the alleged exemption-Any violation-of:Section - ' -' Meter Oup to 100 amps I I Issue Fee; ' . .$ 3 I
10031:5 by.;any applicant for..a'permitsubjects:the,applicant to• a'civil ' - ' •-r , • _ _
•
;',penalty of not more than five hundred dollars($500). I • , ,r , 1 a:. , Service Sink .. Y { i Issue Fee" 1 $ 3 __ 1 - - s '
'LI J
- _ ._ l -t I Zoning Approved BY 'b Date I
I, es owner oil the'properk; ordmy employees,with wages,as their sole '
( compensation' w!Ilido the work;and thea fessiore Is not :'The ed or offered I L; . '- , MECHANICAL; j t I Application Approved By - 1 'Date 6
for sale!(Section 7044, Business and of essional Cwho he Contractor's - _ - -- . i — ------ - '
License Law does not apply to:an owner of a property who builds or improves 1 B011e- I .� ' ' 'Refrigeration System ' ' f t t I //. ;
' thereoneland who ed that s h work himself/herself or through his or her own ; 1 - - ! I i i f Application Issued By - -Date f I •
•employees, provided that such improvements is sol t intended or offered for ! 00-100,000 BTU ❑100,000 BTU ,
•sale- If, however,the building or improvement is sold within one year.of tom- • Duct-Under,Ground • I L 1 ; • - { j ! SUMMARY OF FEES f f I 1
I elation, the ownerlwlll have the burden of proving he/she did not build or im- I ; , - • I ( i
r e for,the purpose of,sale): I 1 -, , I I I Duct=Structural ': ; System Repair/Alteration 'BUILDING PERMIT $I a8,3 —' t SMTP , i , $ I �� / �
I,as owner of the property, am exclusively contracting•with:licensed con- 1 •
:ice
a ors to construct thelproject.(Section-7044,Business and.Protessions.Code: -. , Duct:Ventilating- _,J,_ _ ' _-_, _ _..__I_,-,._ -, ,_f,,,_,_-t - {PLAN CHECK, $ / SO PERMIT ' i
The Contractor's License Law does not apply to an owner of property who 1 u - ISSUANCE I I $ I
builds or Improves thereon,and'who contracts for such projects with a con- l Exhaust.System 0 Multiple ❑ i I 1 I :PLUMBING $, • ( I i
,tractor(s) license pursuant to the Contractor's License Law). : 1 ' 4 , _ c I - : I t I i ,
0 Cam exempt under Section I • I B.& P.C.for this reason I I. I Olt. , j I I. I I ,PLAN CHECK $i , G�ADING ; • $ I i I
1 t i I' I ` ' t i' i Heating System& Ducbn 'ELECTRICAL- $, 1 - y( t $ ;
Date Owner , 9 Y . g ' i I' : i I l I ! I- I MICROFILM. I $ • I' t
II- hereby-certify:th- ',•.'ve-read`this-application•and state'that-the-above -I — 00-100,000-BTU 0100,000 BTU^• •' ,' r- PLAN CHECK ) $,
1 information Is torr-ct ag -e to comply h all-city-and county ordinances ' 1 I T I 1 1 I TOTALiFEE $ t
and,state Iaws rel z into *up'ldi•• const- ' Ion, and hereby authorize reeve- I i ; i ,MECHANICAL $� 1, I ; . 1 I i • 1
'sentatives of't tit, . - up0 a a•-ve-mentioned property for 1 , Hood or Type I .Oi I I I I Reinspection Fee. $15 - i I ' 1 t LESS ' i I ; - '
Inspection our.. / / a ' Canopy, Type II Oi 1 I I I PLAN CHECK, $, :
Signature .a!/. .facer r ••I ( pa tom'/Q-• ✓ i 1 4 , j I i ADVANCE DiPC' ' $ f,
` Drivers• License or t 1 '• � - ! • I Registers i
) ( issue Fee • $ 3 I i 1 t p (, (, -
�� ) I I I FINAL FEE I , $ Q P j'• /O
CMF 0865-46 rev.12/82 White-Bui Wing;Canary-App' .nt;Pink-Accounting;Goldenrod-Assessor - - -
...m..... .
I/ . , .
2)C'ONSTFiUCTIONANDPL2ANNINGt " '.. °% g1,j:-1Syr'; ,`"e .;so=,''? m ' �OL.t4SPA . -t: �� T, It :_t - 1
1-• U. + • i .i m�i''�,5`� :)Date; r nspector ac` ' '' '" - '';72!!! Pate,!..': .Inspector
, "'APPROVALS Permit#- S - ci _ ;,APPROVALS Permit# _ -� 3.!;7;t -, -
,. nY l W u t. , ,. :, c• il, :,•;-,c ' • G,. _-, .__ l a-. _ :.x . i.. .7. - • _ -
• rr Liir&mporarytElectricalServicedr�Pole IN= `. i', o6 _'o 1: I5'2•7• &'Equipment'Location'-F '` _ ' ' i .r+oo
Ir t- - •n :c -
t- Soil Pipe=Und grrid : -`--, 1 c c°o' 1 ; f i 0 RQ `ter '53°t. Steel Reinforcement .. ,a •k-,_
3' Elecvical Conduit Utiliiv-Undrgriidl I S; i 1 t ?:� •5. 4c-F_ ,y ^} t " } ,,1. c',
'a 4: Electrical Col o`duiYUndrgrrd'• • f•-d-'-`• ' - it' `- '' x8 �,rj :',55= Electrical:Bording. - - - -- >
P
e i m r 2 r ' .-•y a + i ° Gq `=c 1156!Rou ht Plumbi'n & Pressure`Test-:` - :rHt.":. ,
6F Steel Reinforcement i 1 n i " + r• ;, N' 2 9 __ 9 _ �' I'
.n. a--,• _a_ , � _ - . - ..
6: 1EI el. 11 UFER'Grnd I a °p^ t 2'arc 3 a> r o' C i„57"'APPROVAL TO COVER=GUNITE t - . i
7. Footings, l n -'I ' �I i o `_'r I I .: a c n ° a_ 9. Cl 58Y Electrical'Conduit=Undrernrl -: :'F.. •, . , / j `
8. .F.oundatiort. 1 "E i i %r I o• I r. FF , '%59 Gas'0ipe10... .Undrg'rnd Test, ' _ ,•r,al ittf "n ?
9.•Water Pipe-Uridrgrnd. 1 i o • ` ; a 5 `t` t 1 - ^
- m ' > r" ' '.�60. Backwash-Lines;P-Trap,'O'Undrgrnd.'s .';a • '
10. Structural Floor-System .,g ; ' r'C r .61 APPROVAL"TOLDECK c ,,': _
11. Property Sewer Line`&1House Connectiom. j Ria . wh&'Recet. ptor-Final.S '' = ' "+o '^-
1 • 1 - 1 c I t "n l i t i 'n i .62Back- ,as . .. . . - 1 'c
12. Sewer•CaP: ( { i '` + 1 ! o- '''Tr, `63. Heater&;Vent-Filial -t. :rc` .J' • - r c- .�•
f 13. Roo Drains i.� .• I j 1 ;Tc- I 1 ,` l a z,; I lC,6..1.1. Plumbing:System-Final '=' ',,. t. I , 7.
I : 14. •Rough Plumbing. ._I ' I mn I I 1 2 1 - -, ,--65. ElectricaFFinal` -7:4
V I
7 "'t5-'Rough-Electrical:ConduitTT-^r'";'-'-'
1 T- ( 66."SolarlS stem-Final- '- ��'• t - , •1'-'
`, 1a a w a_ r i r 1 11 11 1 } } 1 } y • 1 1 I t l
pp416:IRou h-Electric Wiring ` i-- �-� �'- V'- ' _ • ---+� r-=- - - -1- _ �:
R ',-. )4rn_g - Iir,_I-1 -. < n1sI i iIWit 'io , y'lc, 1c1-9`rrI: 67.; Fencing &-Access Approval - rl:- 1 ', . 1 ` -
c ?,17438ughhWiringSign v m 11 " 1 11 `, _t 1 '-'4-- I. I 1681 APPROVED FOR'-PLASTERING4 1. j` 6' - '1 ..
a 18'k n• h^, a 7-^ic`aI:TL e.Ceiling :j lj 1 i I j j"„ ;• ,69.' POOL/SPA SYSTEMS FINAL - ' : I 1-- : ' !. •
19.ryRRughuHeating &)Air-Conditioning Ii ! :I.�11 � I a � � 1 j FIRE DEPT.�REQUIREMENT ` I ' r . _'t
r ! 20:,rRough;Factory Fireplace 1 1 R 11 1 i I I 1 1 I I APPROVALS: i Permit)# 1 1
= 1 21.IDucts;.n Sfrueture� mI1 I II ii r ! ( 1 170.IUnder round H oro - : t }
l
! 1
• t;�22.-IDucts,-Ven`ilating r"jl r� , I 9I i I 1 � i 171. 1 Proddct Piping O Gas 1;10i1i . i i • i ; I
i < Ir .'tr 1 I-i 1_ j
` ;p23.;GtrasPlp2c-Fiough.. & Test C' I 1 I1li li I I 1 l ' 1 172.1 Underground Flush) Iii I I i
s• + -24:-f Rdof Frarning; 1;th--I ca 1 1 . 1ia 11ro I.1 I I N I'1�- ',u I I -la ,73.i Uodeigrrid.Storage Tank10 Gas-ObOill ' i : '
f 25.(Root Sheatl4ing_ i.} I y I I lin 1,12; I t)SQ I:FIF/��$,i ;74 1 Overhead Hydro 1 Il: i I ` I I I '
5 n2 6. IT-Bar Ceiling (StructuraglI& Monocoaf' l 11 !I rvl ' ;j I : 751 Dry Chemical I r- 1 i' i 1 ,
1 1 �. 3 j_ .. I 1 I l f 1I
,-27. Frame and Flashing. j--I-• 1 li it 1' ;� l I . f f 176., Dr`y Standpipe 3 ._ ' 1 •-_.,, ... f tv 1 ,- •f.: .I 1 ,� {'711��RS • 1 .. t ?•
• ' $ 28. ILathing &-Siding :� o 1 1 I k n I 1 ci j I ° I I ;77.1 FAXED SYSTEM;FINAL - • 1 `c
c'• 14 := 1ir0n ' 1 I' 1 , ' 1 t
�29. i Insulation D. 11 L " I 1 4 II 7i- I 1 I I 1 I I 178.; FIRE PREY. FINAL i; i ! L 1
' -`30. Drywall Nailing l t2Jt':! I i 11i{ I O S I lc/ ir&Notes:' I : , 1 i �'I i • I i
s
•
4r31.{Plaster-Brown Coat.-.. , 1 it Il . -l _1 I l_ . I I I , r -I-{--I -- , n t - -I -I : -i--` "' .-
7 r , II J_ 4 I 1 ` I 1 -
32.'Electrical`power Meter,Final 1 II t1 _1 1. 1_. 1 - -l_ 1 ;_ i 1 I 1 I 1 11i a " i I ' - I
it 3?,}Final al-Electric I 1 I j L.I.. ., I _S._i-_ ,._!1__i_ .1.i: - _1 _i1 _' .i '..- 1 ,_
Et 34. Final Heating& Air Conditioning I. i 1 1 I l
ll :1 -11: , 711 ic . "1r�1 n IL _i - 1__1 - I I i -- _,.
35. Final Gas Pie=Tea.! ' I ' � r Il1` l' lr � . , li `r ;cl , ` I ..i. L ' -
n 1 ^pi = i t' l'44 i T 1 E'. yk3 i : IV I ' F. ' L i :
e 1 i .I 'I Ola 1 _IG1 U 1- { I_ ISI . 1 , ` . I - 1_ 1 = .. t • .`I , _ , _.
36. Hood or:Canopy- -r �ft' g nl I' I'r l t } =I • c - I -
- _ i - r
37. FinalFactf . ir,77.n • 10 1 g i IL- , r :, 0
,Ir 1 -_ 1 Ig I . is ,� I 1 , 1 =� 1 I I 'fo ': l - � .. < I. . . ,
38. Fina) Plu.nbing` ""1 1 ' 1 . 1131 1 .I ' Iv1 1 . 1 .x , 1. 1 l 1 1 12 .1x ' . '" ' u > ' -
39. WaterrService-Finali `{ I I .V I I I 1 1 Fi t 1 I I i I 'v- I'. I I' -., - iI;
11 _,-.-i -I.. • .1 I !
40. Gas Service-Final_I 1 I 1 - l_ .V ! 11 1 I ' I 1 1 I i I I I 1 1-• '11 ,I ; . ; • ; ,
4 It -1 I '
41. Solar Domestic Final I I I L' 1- .1 1 _ i ;> 1? •i ' 4l ' i i Ii � .. -1- --: 1 . --. • ✓1 i : :
•
42. Backflow)P,reventer, c,1 I .I 1 a 4- 1-r-1_ -1 1';- 1--1 1 1 I - i--� _. b.`II •a ;,l - ,v, , , . '
if
qth'• "_1 I SI 1 I ' t : is. v u r
43. Backflow)Irrigation 1 I 1 1 1"1: 1=2 r l t. i i; I i 1. 1 '1. 1`_I „1 •.., I I I t u i
ua-. rim Im I 1:- i tti .•
44. Landscape lrrigation[System 1 1- 9 Ir_ ) ; I i_ 1 ',Hi; l y t I 1 yl - - , _: : ,; - • ,:; _ ,
- . . ej .. 1.101 .I I . i3 hi i :01ii . I I i ., Si I ir, _ ; _
45. Sound•iAttenuation t 1p 1 g 1 , r I 1 ; -
-i1 �c.'i ,. 14.1. I l tJ t ' 1 l 1 ?'1 I ! _' £ � -
46. Handicap Regultidni I 1 •;;-1 V 1 1= 1 1 c.
lr ' r i 1 I 1 1 ` : .1 I l 1 -, ',' ' < T
1 E I� II / i t • ` i �
47. FINALSTRUCTUREDING` 1: II �i 1 1, 1 I • I
i
n d� I . 1 � ,8/.911.1t11_, I i1 t" Dls(-r 1 _11,- �.v�lr.�R� . 1 1 � '.,.; .
48. Special Requirements Completed j 1 1- i t11 1 i I I I i ', " ^� 1+ (o r. .
49. ElectricRelea'seto_Edison 'rl•1)i N 1_J_4 -1--,--
I 1-- 1 _q {..t,,-1' - 1; I ;t'1
c n . i• i I ..I i 1 6 -r-i i` �-1 !""'I�`�'- '"T -1
Il i 1 ' lip t. n I i I l j t i , ' c.:-.---;!r,
".' 11 i I I i,
50. Gas Release to Southern California Gas Co 1 1 1 1 1 1 I - I 11 I L "' ,1 ' II l i 1 i""'
11 1 1 I I ✓1•. .1 V 1 1
51. CERTIFICATE'0Fi0CCUPANCY AI ;I__ J-1 1 �:I I I F ...__..1 --f 2._._1:_-__;-;j l I .'i 1 ,
No 11 i1 1 I Date ( l A I 1 .._, I 1 - I- 1 1 t 1 , 1 ! 'II • ..:
_ li.��..r.::uw1,ra:r dSr c�-rvu•#-ar -_r-1-- _I___. 1 F_- } __-.._. z.. - -..i_ :._.v.. a.. r_ _..
i .
_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations 7 al)
`^��l' CITY OF COSTA MESAL -', - _ -r- �- '_ _. 1_ .-- . . - . . -. - - , •
i_� _Q „�6 6(?:I L9;�. __ _ la• --ITL
/` 1 CONO R COSTA
N PE - ! PERMIT NO. 'TRACT NO .LOT,NO. BLDG.NO I
RMIT c!�
• vO ix Th-i-k-tr)mn �: ; J r
Applicant's Mailing Address +p _ TYPE OF CONSTRUCTION•- V.NEW IJ ADD7 U ALTERATION,-_U REPAIR • - 7 j 1
Project Address'• �� r1PniP� I ' 1. )�- // ❑ CONVERSION:❑ DEMOLISH ❑ OTHER ' '• .. -. _ . . -c . , I 1 ; 1 - 1 - _- ' I
Owner's Name • ' � - • • U Jr Phone' ' (O • DESCRIPTION OF WORK °� •
• _ ��;;TT _ _ { ! . - f - ' • I • '' ZONING REGULATION$-+ •'
Address -Rl . I P O.l)�V �� •TYPE OF PERMIT- ❑GRADING 'U•FOUNDATION U.STRUCTURAL > ' • 'A.P� I' I ! .• ' I t20NE , - . I tr. , ? 1 - i •
!� Afch/Eng - - 1( Litanse No. i - ' 1 u i ❑TENANT ❑ ELECTRICAL IP, GING ❑,MECHANICAL' PLNG.REF # -- j l C,1 -BUILDING, ,
Address; } i - I .' ` SFT0.hfK/`A CT n,
• 1/ ❑,OTHER ( { ' r ! " I i <TO BUILDING' -' 1 " -
Contractor a Name •'`//e•�i155�����} I 'L' Phone��y/�' -rpjk�^/ ,PROJECT DESCRIPTION' S0 FTJ I I-^ I •- OCCUPANCY I -• 'PROPERTY LINE t I _ • ;REAR YARD(TO P/L) ) I `• I -'
:`/.J IC, I Si-Y?��hln' ifP�' ' CONSTRUCTION TYPE - I • I VALUATION • :LEFTSIDE'YARD • I RIGHT'SIDE YARD !- i ^ 12
Address(mailing) 1 $ - _--
I
-• - I I •���./(i,j ' I ' ', ,T I ZONJ= i " I ` + ( GRADING CU,VDSC 'ACRFc ' ' r: PKG.SPACE REG. I • i PROVIDED Ili I •S_
Y
License No. _ ' - ' -- -
LICENSED CONTRACTOR DECLARATION f l I- ' ( Remarks: I L7 i I STREET WIDTH 1 '•
Thereby affirm that-am licensed under provisions of Cherterl9(commencing , - I (' �� `� I i + - PARK FEE$ i I ,
with section 7000) of Division 3 of the Business and Professions Code,and 1 ;
•
1 ° bm 7..-0.4.171,5m-m G 's '(`-` ^ `J PO' $PA _` a- I; 1
>`c CONSTRUCTION A ,i : '";/0 :-,N_5 +, Date c, (Inspector ' - `'r}n " S • : Date • .Inspector,li �.
PPROVALS Permit;#Ii _�. ^ / , 0-1 ...._5 I �^ y_ .• !:Iw APP.ROVALS -�Perrnt # `r _ .- . _ r I c'
rrii a Tempoiary Electrical Service or:Pole 11_ ter•i og a` l•:(522 Pool &!Equlpmerit Location c
1 - n= - S __ 'cam _ _ � - - - ° n . I z '�lo
ti A !Soil Pipe-undrgrnd.`- ea It.ro , 1 _ G, 0 .I r .53?-Steel Remforcement •-,-7.--...„- ; ..i.,. .-, - ; i ,,
.� 31Elect r:Ic a:I Conduit Utilitvl Undrgrrid. ! N, '�` r ;•.e2 _� , 'r54? Forms•R4 N_ _ : :7', .:
..i 1 . I I 1 C� - I . F ' n 'a- i �S etiZI , D- s - � ,.._ „to n cr- -
' 4: Electrical Conduit-UndrgrndY�� ` • - mx � ;,_::55_ Electrical�Bondirig �' _ _'ac_:•= ��.'_ 1 •: ?
_ _
5: . eel lReinforci : : I ..,..,:l It•iln „` ' •" o^ 'I =r t . - '�56. Rough; Ph,-.. .- & Pressure Test 0_ I t 'etre!:a..."'•I ,I '
. 6t.lElecttical uFER Grnd_i 1 a E 21 i j 2,; Jn 2 - ' o r' ,' •571-.,QPP.ROVAL:TO:COVER GUNITE-. _ 1 , ' :ev " :',I
7. Footings I ! 1 ! 1 u `x i ! <i e E z i ` I , ,•• Electrical Conduit MIT!Th, r , ! t
• 9 r
8. Foundation 1 I 1 •; I ''. .ti 7 ; s: s 'i n tr.. 4,3 ';59. Gas1Pi Pe,=O'.Undrgrnd r Test' _ ., : I I `: --
9. ter) Pipe-Urxlrgrnd..1 1 °a' I s� 5�
Wa , 'c60. Backwashc Lines;:P-Trap, D!Undefgrnd. ! - - ',, T
10. Structural Floor System I %. c I ; o ! - I '!„Q1. APPROVAL TO•DECK • ",-1,4 : ' j .= 11 •
11. Property Sewer Line&1House�Connection; a a ip ma j 'C62. Backwash & Rece •ptor F'''I'. •i r ^' ;a rl :i
12. Sewer_C• I 1 ' , I j F;i 1 I ! ° 1 on o -63. Heater& Vent Firial ''•i,(' : c ' I o" I• 1N
13. Roof1Dreins 1 i , I. I I `• - I t = ! 2 ,� :64. Plumbing System:Final ';7 _ 5:l ; _ ,'1
e 14. •RoughPlumbing! 1 I , m2 I I '4/�*1 i "65. ElectricaliFinal2 • • ': 5` ' ' • ' ` 'I c
-r--- Are
.`_q r 15i`,Rough-ElectricaltConduit i" I II II T-�'�;''1_,77-7,"
_,77- I -'66.`salar?Sysiem:Final - 1 r--- -1-- .,--,- -t--- ---„-_
h,^. v• 1r { _ 1 I ,
: !;:t9:'rRough_;Electric,Wiring, v l 5 ! 11 Iw i- -1 e lig!Fi I c i t2I r tr X67.! Fencing&T-Access-SISEvval.z:'- c '- .r,i7;17.7.7 i ,77177,77 1
''C. {^7!Rough�Wiring}SignF ,��, rr.I = 1. II• 11N1 Ia1! I iIi1cis' 168! QPPROVEDF..OR?PLASTERINGI;, ' • , _`; ?1 ' ', ; ic ;.i- 2 ' :
,t1 16.liQugh°Elea[ticahT;Ba Ceiling! Il 1 I I' I. I I It I !•'' '69 (POOL/SPA SYSTEMS:FINAL ; I ` I - R ' c
1 19.,iRough"Heating &'Air Conditioning II ( 3 1, 1 I , I s j 1 1 1 !FIRE DEPT,iREQUIREMENT; 'i, I ! ' f•-:: i `- i' _ :11
r 20. : r-, ;• 1 ry Fireplace I . I APPROVALS I Permit#
ma' (' r. I ' 7 I I 1 L I ( 1 I ' ( I - • , ! r � ' 01d If
�.
ti 21'. .D'ucts;in Struq urea "I f I I Ij g ' 1 I i I I � 170.1 Underground Hydro • , , • I '- j ' c' j.
yi'ic22. Ducts, Veh`ilaiing 5,_I ^ I . t 11 ll I 1 1 I I I ; 171_! Product Piping DGas 17Oi1 j r ' i r
ry^ r 1 I -rTr ." _r ..`
--q;-23. 'G`as!Pipe-Rough'&Test D I �k IN 1 I I I I I P- 172.1 Underground Flush I -: - 7 I
t: b .b ^Ira . . I - 1 •"! . I I 1 ? I I
w-24. Roof Framing: 1 i n .a FIT, ti 1 r'I r ro D : 73.1 Undergrrid.Storage Tank laGas VDIOilI I I ! .
1 .. : n ! I ••, I:';� I;m I�;.I� 1 �1a1; I ! L I-.. I , I r l 1
25. Roof Sheathin 1 I 1 I il.II c I j` I - 1 74.! Overhead H dro -! �' ' ' 1 I
_ ! ,, . I > ! .i ! 1.. 19_ x-- 1'- - - r., . Y 1 .TI I
a1 a � - - I a r�4 I� cl,x a1 oI -. ! r I ^. , ,., i
- i-26. 1T-Bar Ceiling (Structurals&Monocoat 1 I `.• I I n ;:75.1 1 �Y-Chemical _ I , - ! 1
I 1 tt I .-I •1 . _ ,
1 I 1 .I ! : t !9 1 1 76. Dr Stand i e ' .1 I -1 - I
27. ft:eme end'Flashingl i 1` •1 II II I 'I I I FL!! I 176.1 Dry P P - • i • . ;
` 1 I 1 I 11 11 !_ I ! I.y .;77.1 FIIXED SYSTEM.F.INAL
a 28. ilL'athing&Siding n _ °'
I h 1 ! 1 "� 1 1 t
n : 29_1!n'sulatjori j I a / ° 1 I Il II 1 i • t ! 11 I I 1781 FIRE PRE• Y. FINAL ;I - , I I I I I e
430. (Drywall Naili g 1 " 1 I I ! INotes:l I - 10 -, I I
II ill I I'• . j ! 1 6 1 r I I I .r ! 1
o r..• - ' - - -- - - . -- -I-TM -•
X31. Plaster Brown Coat 1 I I 1 I ' 11 (I 1 l 1I 1 f^I' -I i 1 I ! I: i
-
n +32.IElectrica I Meter!Finsl I i1 1i__ I I I ' 21 1 1 I I i ! l r • •1 1 ' ' 1 -' I •1 • i I I i °'
1, -
II
'( 1 t I ,! ' . 1 1 . !
' It •
i 33. ,Final Electric I I , !h. ! I. 1 �i.,nI ! 1 I ' !•„ -t_. .I
34. Final Heating &(Air`, Gonditioni�g F 1 I i f -I 11 I ! I ! - !.
4 11 :1 ,!nx, .r.Irif-I I I f I I I t,
- .A r. f F .3 C> .7; JIT "' I n' 15 {:: I fJ i , • o' c_
35. FinalG•a.;Pipe-Test11✓Ivinj _I H lc;, .z, a •cI ? 1 ' ' � l " ' %I ' : Nr1 l :� _ 1 r' - -' -'' -' _
36. Hood lir ICanoPy4J r.!n ni t i• ` cr I ` _ J I . 1 _.I( ; - i _ • .I
t II I -11 . .m IL:1 (II ! ._ I 4_ , I ( �' -1 � I ^' 1 :I3r .. ., a , - • a- °. -rr
u i-t -Itt Isl c ; c I I Li El ' . r. i " ;� •. r, n ,
•37. Final FactoryFiieplacem I o I "! _ a
II :I 1 r _ 1 1 '! qI I + 'IC'/I~ 1 I ^•I 1 • I 1 fi G 1 r •Lj l;
38. Final elurnbing 1 I 1 1 1, I 1 1 ; � iet 1 a a? 1 ' i 1 I i I r: ' `- fI 2-; ' '
39. Water•Se1;vice-Final) I I 11 $ -i ( i I I ' I . 1 I I 11 11 - i ' '
I. u
40. Gas Seg v•ice-Final ' , I { I I 11 1 } I I ! f I t { ! ? - I • i '
41. Solar Dornestic-Final I I 1 ! I 1 1 ' :L I j I i 1? _ •
42. Backflow P,reveriter', re I I I I *TI I I I I I ' !•
p 44 n.. "I _ I I I is ,- i I r--1' -I I-•-+- 1 . j--�- t t --I----'- 1 ' . ' ' r I I • I ,
NQIi S. ' RI '=' ! i . I.' a: Ig • rr- c a 'i-r:37.1 ! '
43. Backflow;Irngation� E 1 r 1 I I I-_17.!'- 1° j,.:( .^I m I : I i ' I I i '1 . '
-A. I-,•q . r ,t 1 I ' !o )?> 1 x' ' °13 1 i 1 I 'r - I • i 1• • -i. ,.;
44. Landseape Irngation•System I I ({a I I " '. I ' Iii i .GI `_I I I 1 r4. .e- If.ii' } n
IR.-I 11°.iai I 'f' I I I I .., I 1 1 _, i•. _ i •:, - _ ..
45. SoundI.L.0 enuaLon m :Jr' I i I 1 I e I j. u - c !�' '
II.L.0 UV! , G r , _
11 r,' I 1 " I I .�r i r. ! T ;. r 1 L ( I 1 e • rr •vn -• C! _.
46. Handicap,Regulations I I m I I 1S ; I 1 _ 1 x( ! 11 •i 1 I ! `rs _ .;'� m - -., _ Ir
47.'FINAL STRUCTURE& BUILDINGi1 It ( I f1:1
I , i I 1 1 i " I r.
u I. I I I I I h I^ I=: I 1 I I I I '. I I .
48. Special RequireMerits Completed '� I ! I I~•I .�'.I i 1 i ? 1 I I 11 I - w (- .c r. o
0 I 1 1 1 1 1 1 I 1 ! i ! �. !'
49. Electric Releasejjto Edison) jI i 1 I 1 I I 1- f_i-1_-i-. $34 1 ' I I
r.50. Gas Release to Southern California G• as Co I I I I I I I I I I I 1
11II . . I 1 ! 1 '11 1 1 I 1 ; ) a91:>; ! • I.II ! t I , 1 I 1 _i
• 51. CERTIFICATE'OF:OCCUPANCY u ' ItH -I 1-----1---1-----1---4-4,-- j
i_ �L_j..:_;_' I ' • 1 ;! ! I ' j 1
No jl II 1 1 I Date I II •u _ ! } i. •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
-CITY-OF-COSTA MESA- - -- - - - - I:- �'-PERMIT'NO"- , ' -- :TRACT'NO. , LOT NO. - BLDG.BLDG.NO. - . - r - 3 • -
CONSTRUCTION PERMIT` : : ' . :— ?' 73 y �T, • ,
9%98 Iiiesi� 51_,,;20--,r
Project Address. _ "J _aa``. Sarr TYPE OF CONSTRUCTION' icy'NEW-.LJADD- ❑-ALTERAT.ION_ ❑ REPAIR , I
'Applicant's Mailing Address �yItMll e.✓�•IM�1 t . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ER - , A•p•"�h' • - I Zone•
Owner's:Name‘ ` - �' - Ph trio - ' DESCRIPTION OF-WORK - • - r l
• ,• S Main Building:: Accessory Building:-, ' Z
Address( - _ •• - "- - TYPE OF PERMIT ❑ GRADING.- ❑ FOUNDATION ❑ STRUCTURAL T Front:: I _ - - - T O
Arch/Eng: -. ` ' -License No. : ❑ TENANT ' ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . B Rear - r - I ' N
Address •' ,-- ' ' , l t -) v •• _ ••-• .
OTHER C Ri ht , I • ' G
Contractor's Name �1r.A,- ' ,` -40'`•Pno 02 PROJECT DESCRIPTION SO: FT. _ OCCUPANCY gK
.1. I, • •� ' CONSTRUCTION TYPE ' 'VALUATION $ • $• Left, " i - ". I :I ,;.,' E '
Address(mailing) - 1 \
t- p2.'.k� ZONE - - -• GRADING CU.YDS: ACRES' Ping. Ref.# Park
City License No. '
LICENSED CONTRACTOR DECLARATIONRemarks: - • - Parking Req./Provided _ ' I •
:: t I
I-hereby,affirm that t am licensed under provisions of'Charter 9 (commencing - • R
with section 7000) of Division 3 of the Business and Professions Code, and , ` ? .3"-,3 ) Use Of Building: • i E
my licenselis in full •rce anj -ct. - - ' -
License C ass — ` • -- License'Ni..- •..-as•ll PLUMBING FEES Planning Notes: ( M
Date _ /p Signature _ d. Se,„ • t'9 ��� l - I I I N
WORKERS'COMPENSATION DECLARATION: `■ Bar Sink Showers T
1 hereby affirm that I have a certificate of consent to self-insure or a y ifidate I .� • I . '
-ofWorkers' Compensation -Insurance, or a -cer copy the eo fl ecti n - Backflow Preventer Service Sink 1 I I S '
3800, Lab. rt.yf Compensation
/'yQ3. ) \`)� + ' Backflow Irrigation Sewer Cap �' • , ELECTRICAL j • FEES
Policy No. �"'! gSIJLX, Company - t - ;�- --,
Ce died copy is hereby furnis _ �' ' Bathtubs Sewer Connection I i _ / Automatic Washer 'Transformer 0 15;50 KW '
ertif} tl c iss��jj1 with the city Bull nq Dlvisipn -
Date /�"- (1� Applicant v----+r Jt`^r�rw %'�7* Clarifiers 1 Solar Collectors - Construction Pole Sub. 0 SO+ KW •
.
-EXEMPTION FROM WORKERS'COMPENSATION-DECLARATI” Dishwasher-; -$Olaf Pi in to 100 amps
(This section need not be completed if the permit is for one hundre•'I ii 100) or P 9' t 'Cooking Unit "I' 1- -/ "Meter- pp S
less)' 1 , ,
certifot in the performance of the work foowh lch this permit is ssued, I 1 Drinking Fountains Solar Tank ' . 1 s I 1. Dishwasher !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. - Swimming Pool w%Spa l. / Dryers ❑Gas LIElectric I (Sub Panel '. /Q
Date Signature - -
NOTICE:if,after making this declaration,you should become subject to the • - Floor Sinks I . Urinal i i r Fan Motors 00.1 HP 0114-8 I / f
-Workers' Compensation 'provisions of the Labor'Code, you must forthwith - -- - - . .. . - - _
comply with such -provisions or this permit•shall be deemed revoked., Gas Service. Outlets, . Water-Closet' I • I
CONSTRUCTION LENDINGAGENCY - I C / I Inc, $Olaf 09-15 HP 016-15+
F.A.U.;
I hereby affirm that theie is aconstruction lending agency for the performance : - Interceptors - , Water Heater = JO Fixtures • ./ 'Microwave
of the 'work for which this permit -is issued- (Section. 3097 Civ. C.), - - -
Lender's Name - Kitchen Sink - Water Service '
Lender's Address' - - -- Device Boxes .Polel Light I.
•
• OWNER BUILDER-DECLARATION - ' . - Lavatories ' - - - ry
1 , - ; Outlets f Range O Q '
I hereby areasonthat Ian 7031 pt from the Contraessio al.Co se Law for the ' - .
following reason (Section 7031:5 Business and Professional Code: Any r city • P-Trap ' - - -_ , , - i D Switches. ,Sign I .-
county which requires a permit to construct,alter,improve,demolish or repair - v
"any structure, prior to its issuance, also requires the applicant for such permit ' .Roof•Drains- �' ' ' • Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of /
III the Contractor's License Law(Chapter 9(commencing with Section 7000) of i Generator 065 KW 05-15 KW Trash Compactor Division 3 of [h¢ Business and Professions Code) or that he/she is exempt •
P
therefrom and the basis forithe alleged exemption.the_applicant
of Section .
7031.5 by any applicant for-a permit subjects the_applicant to a civil . " s ' - - ' l -
penalty of not more than five hundred dollars($500). •, r Reinspection•Fee :$25, Issue Fee $ 3 • - '
LJ 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 ' - r MECHANICAL ' . FEES - - - - - _ - - - •• '
for sale (Section 7044, Business and Professional'Code: The' Contractor's - - PUBLIC SERVICES REQUIREMENTS: - I I
•
License Law does not apply to an owner of a property who builds or improves ' Boiler 4 ' ■ -a
thereon, and who does such work himself/herself or through his or her own ; ■ I Zoning Approved By I I • Date
employees, provided that such improvements are not Intended or offered for Duct-Under Ground - Canopy Type II i
sale. If, however, the building or improvement is sold within one year of com- Application Approved By Date
pletion, the owner.will have the burden of proving he/she did not build or •
/n' ,
Mrove.for the purpose of sale). I - Duct-Structural Refrigeration Application Issued;By 1),--( ' Date l/nr/E3
U I, as owner of the property, am exclusively contracting,with licensed con- • 100-100,000 e 0100,000 s ,
tractors to construct the project (Section 7044,Business and Professions Code: ' ' Duct-VentilatingI SUMMARY OF FEES
,The Contractor's License_Law does not apply-to an-owner of property who - - t BUILDING PERMIT ' $ SMIP $
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0' ,
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# j PLUMBING $ ' ISSUANCE ; $
Date - owner; . Heating System& Ducting I PLAN CHECK $ ' I ENERGY P.C. ' $
I hereby certify that i have read this application and state that the above 00-100.000 BTU 0100.000 BT ' ELECTRICAL
Information Is correct. (-agree to-comply with all city and counthorizenence- _ -- $ GRADING $ 1
and state laws relating to building constructio . d -reby authorize rase- ' PLAN CHECK ' $ 7 MICROFILM $ 1 '
sentat - s city to enter: u-- a - tinned • o•: •r MECHANICAL $ _ I Ssz Kb
inspection pu -or• - -_•••-• / _/�� I TOTAL FEE ' $ t
Signature • ��t\► _ �..� •ae , - -
Drivers' License or SS# Reinspection Fee I $25 . Issue Fee $ 3 PLAN CHECK $ n
CMF 0865-45 rev. 7/83 ' -White-Building;-Caner'-Applicant;Pink-Accounting;Goldenrod-'Assessor- — _ - - -_. -- ___ . . - - - . . - - _ - - - . .
• `.,
;,. CONSTRUCTION •AND PLANNING - POOL & SPA
. • APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. •Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
. 3. Electrical Conduit Utility-Undrgrnd. - 54.-Forms - • •
4. Electrical Conduit-Undrgrnd. - - 55. Electrical Bonding .
5. Steel Reinforcement , . - . ' ' 56. Rough Plumbing & Pressure Test
6. Electrical'UFER Grnd. . 57. APPROVAL TO COVER-GUNITE
7. Footings • 58. Electrical Conduit-Undrgrnd.
8. Foundation - • 59. Gas Pipe, 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 Drains64. Plumbing System - Final
14. Rough Plumbing . • . 65. Electrical-Final
' 15. Rough Electrical-Conduit 66. Solar System-Final ' . •
16. Rough Electric Wiring i1`(t/$3 CC 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
•
19. Rough Heating & Air Conditioning FIRE DEPT.-REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
• 21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • '
23: Gas Pipe-Rough & Test, 72. Underground Flush
24. Roof Framing - ' • -73. Undergrnd.Storage Tank 0 Gas 0 Oil ,
25. Roof Sheathing ' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
- 27. Frame and Flashing 76. Dry Standpipe ,
28. Lathing & Siding' , 77. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREV. FINAL
30. Drywall Nailing . HEALTH DEPT.'REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION -
32. Electrical Power Meter-Final44
,g i �� 80. FOOD CERTIFICATE ISSUED
33. Final Electric 1/ r. Notes:
34. Final Heating & Air Conditioning - -
•
35. Final Gas Pipe-Test " -
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing - • •
39. Water Service-Final
40. Gas Service:Final '
41. Solar Domestic-Final - - _ .
42. Backflow Preventer -
43. Backflow Irrigation • - _ '
44. ,Landscape Irrigation System •
45. Sound Attenuation • , , '
- 46. Handicap Regulations • '
47. FINAL STRUCTURE &BUILDING -
48. Special RequirementsCompleted •
49. Electric Release to Edison - .
50. Gas Release to Southern California Gas Co , .
51. CERTIFICATE OF OCCUPANCY ' _ ! '
No. Date I 4 I . l 1 ! !+ 1 , - _ 1
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA' I ;
_ I PERMIT-NO., TRACT NO LOT,NO,; BL .NO.,
CONSTRUCTION PERMIT. /kg—. :TYPE
/ ; DL J` . 7t ^• c• 10/;13/63 I far; . TL
Applicants Mailing Addreesss 'soo ry• .6 iQ/o d 2 %fttCtj' :TYPE OF CONSTRUCTION"' EW U ADD_ U ALTERATION .REPAIR "+ - !�, f
Project Address. -7y✓ ..��.�.��cc /�. t 'El-CONVERSION. ❑ DEMO Hp Q R' - - r , .- 1 t.'• 1 ,: I
• Owner's Name ✓�'1•D- Lvruw - P/hone 9�7 DESCRIPTION OF WORK 6C•" • • - 1 • . • ZONING REGULATIONS"
Address; �95�' y.iti.tk•?honer—Sal
(�M•�: ^ .. - t .. - ,
'TYPE OF PERMIT -❑ GRADING •U FOUNDATIOONy DSTRUCTURAL' ' A.P.tis. - • ZONE i 1 1 - - .. '
Arch/Eng., License NO. ' - . D.TENANT 0 ELECTRICAL .❑ PLUMBING, yQ MECHANICAL • r.+ • PLNG.REF.#- - ' ' •.BUILDING e7
' Address, • ' - •1 - . I 'r - _ . - CFTRAr`K P/1 c'r
n� r O,'OTH ER SO BUILDING. - I T
, + - , PROPERTY LINE _ REAR YARD (TO P/L)
Contractor's Nem' 7 . ��- (�'Y/r '•'hone •PROJECT DESCRIPTION SG. FT.' OCCUPANO�'
( :� a'//w/�p y 7� 'LEFT SIDE YARD RIGHT SIDE YARD' I j = ,-••
' Address(Mailing) ( •` 4 a' Y7 t CONSTRUCTION TYPE VALUATION$ /O.! /�
u �/5� I I - ZONE " - + GRADING CU.YDS:. •ACRES ' >.I' PKG.SPACE:REO.' I. ' ' PROVIDED • " - D . -
Cicense No. . . - . . .. . - -I . , .. • i .. i ...
LICENSED CONTRACTOR DECLARATION ! I Remarks: I' I I• r i I ' STREET WIDTH ' ' • ' L PARK FEE.$ 1 - 'C
l'hereby:affirm that'l'am licensed under provisions of�Charter.9(commencing ' r- ' ' ' l' - ����'
with,section 7000) or Division 3':of the Business and Professions Code,end I .1 I - •' i r '1 I- 6 ' . C .r
my license!IS In full rte and effeM / ', I _ I ( '• I } I , SPECIAL CONDITIONS: , _ , j 1 -
License lass' Let,-ice NO.I;1697496I ; • r ! PLUMBING ' I ( i i ( i 1 I I Y '
Date • Signature '
WORKERS'
eW D kers' CompenNSAOTION DELLA n insurance,;RAr ansa rt I ( Bar Sulk ,I I Sewer Cap' I i I• f ELECTRICAL I ! ,
•
ch or Of Sect to-. .._' -- .. i.-..-`• _ -. _ -_ . . .. Automatic.Washer...,.. _ _ -- _. .I., (Meter_❑over lob amps -C !-,
to salt-Insure or a certlfl on I r-Backflow Preventar �' -Sewer Connection: - - -r - I.
3800, Lab C: ' Sub Panel
Construtvon,Pole - ' +
_ ,�Id//I( 'O7 G�/� i� c,. Backfloi'v Irrig•ation Solar Coliectofs . ' r (-
Policy No. VPG °l0 tl/ Company V I- - - - Cooking Unit'. Sub Pole
fy'II•Certl/laticopy Is hereby furnished. 1 ', - Bathtubs �(;, Solar Piping J '
1 .Cert)ppedq ppi,__Billed with the city,B_din9,olvi qq 1 , ' i
Date to 7' 7( O ' Applicant •T�A7fYq 5'-O � _ 1 Clarifiers _ i Solar Tank Dishwasher , t Motors ❑0-1 HP ❑1X$
EXEMPTION,FROM WORKERS'COMPENSATIONUECLARATION - Dryers ❑Gas. ❑Electric — Inq.Soiari❑9-15 HP ❑16-15+
(This section need not be completed if the permit Is for one hundred($100)or ) Dishwasher •-.I Swimming Pool w/Spa ' • 1 )
less)- _ 1 I 1 - • - - - I Fan' 6' Microwave j j
I certify!that In the performance of the work for which this permit is Issued I ' Drinking Fountains Urinal ; , - - i I
shall not employ any person In any manner so as to become subject.to theI I F.A.U. I Pole Li ht
' Workers';Compensation,Laws of California. , I I I f I Floor Drains l ' . ' Water Closet i 1 , g • I '
Date - Signature .• - -
- — Fixtures _ - ,Ran e _ !
• NOrkers' i,miler anon this-declaraf the you should become subject to the- - -r Floor-Sinks-1 - -; -• -+ -• Water Heater+ -- ) - - - - .-- -- 9 -� - . -.-- .---.... _.
( Workers', Compensation provisions.of the Labor,Code, youdeemst.forthwith 4 , ' - Device Boxes i
I comply with Such provisions-,or E this :permit shall be deemed revoked.- I Gas Service. t Outlets Water Service I -' I . I Sign - •
CONSTRUCTION(LENDING AGENCY , , Outlets ' '
1 I hereby affirm that there Jsla'constructit 15'Iding ..(Section
the performance- . y. I Interceptors . , 1 „ Standing Sections ' I
of the work for; whl permit •Is'Issued..(Section 3097 Civ. CJ: '
Lentlar's1 Name' " - j - - 1 •� ' Kitchens., , . - ' '- Switches ' :Trash Compactor - ' '
Lender's! Address r '. I r . ' : ' , Cl I _ I ? - I - ' .
I I - I Lavatories' `? i 6 i „. -' i ' . Garbage Disposal ( j ( '
I OWNERIBUILDER DECLARATION o n i . _ } ' ..
I I herebylaffirm that I am-exempt from the,Contractor's,License Law for the Generator ❑0-5 KW ❑5-15 KW ' I I
• following reason.(Sectlon-7031:5 Business and Professional Code: Any city or P—Trap; , I 1 ti { .. i I • ; •
county which'requires a permit'to construct',alter improve;demolish or repair - _ - ❑15-50 KW i , ' i I
• any structure, prior to its,issuance,lalso requires the-applicant-for such permit' . Roof'Drains• ( `.. ; . I 7' i r Transformer ,
-to file a signed statement that he/she is licensed pursuant to the;provisions of - ' - - I • ❑5U+ KW i ' ' ' I
• Pe Contractor'S'License Lawl(Chapter,9(commencinglwithlsection;7000)of 1 ". I i .-- I - s - I .'- : -• i , , • 1 Reinspection,Fee 1 $15' ,
vision 13 of the!Business'and-Professions•Code) or that he/she`ll exempt Showers ' i 1 ty .. — Reinspection•Fee I ' $15 _
';erefrom and the'basis for the alleged exemption-Any,violation-'of;Section I ( __ '- Meter Cup to 100 amps 1 • ' Issue Feed
'1031:5 by_any applicant fora,permit,subjects.the:applicant to' a,civil -` 3 t^ I - ' ' 1 - - _ $ 3 I
i malty of not more than five.hundred dollars($500); I • ,- ' 'n I' 1 Service Sink i 1 I _ i `- I 1 Issue Fee"', 1 ' $ 3 Zoning Approved By - ' l pate , ,
LJ I, is'owner of;the property Or`my employees.with wages'as their sole '•
I comensation willido the work,and,the'structure•is not intended or offered i I -• I 1.7., „ j I r MECHANICAL , 1 I t i I ,
• i for sale.(Section 7044, Business and Professional,Code: The•Contractor's _ Application Approved By _ 'Date j
i License Law does not apply to'an owner of a property!who builds or Improves I , Boiler f - ' I - Refrigeration System r I ! •' I '
, thereon, and .who does such work himself/herself or through his or her own , i ' i t Application Issued By ' Date - • I
• employees, provided that such improvements are;not intended or offered for , I - - ❑o-100,000 BTU ❑100,000 BTU • i `
I sale. If, however,the building or improvement is sold within one'year;of com- , , Duct_'Under,round I • I ' I ' 1 I SUMMARY OF FEES I I j
' pletlon, the ownerlwill have the burden of proving.he/she did not build or im- : i - i
I Kaye for the purpose of,sale): 1 ; . , i ' Duct-Structural• .• I System •Repair/Alteration - 'BUILDING PERMIT $. • I SMIP I I $ • +
1 U I,as owner of the property,am exclusively contracting,with;licensed con- - •
' I I i , I ' l •
_tracors to construct the'project.(Section.7044„Business and.Professions.Code:_I. .L. Duct Ventileting,_j _•_^) _ ,� ' : _ •,j 'PLAN CHECK- $ I PERMIT
• The Contractor's License Law does not apply to an owner of property who - - - • I I 1 ISSUANCE ; $ ' ( I
I builds or improves thereon,and who contracts for such projects with a con- ' I Exhaust System ❑ Multiple❑' 1 .1 PLUMBING : $, i j ..
tractor(s).license pursuant to the Contractor's License Law). 1 , 4 - - PLAN CHECK' $ GRADING , i $ ' •
i ❑ 1-am exempt under Section 6 B.& P.C.for this reason Firepl/Fact.Blt.ICBG# , I i : f I i
V. t I I , i ' ELECTRICAL: I $;. 1 ! iI $ 1
1 Date : Owner; : - I - ' i eating!System& Ducting . 1 I. I I i I . 1 . I I _ , . '
• IP LAN CHECK' ! $• 1 . MICROFILM I $ I I
r 1-•hereby. certify that.I•have read-this application ty,antdte•t county ordinances
1• .• loose IBTU-❑100,000m-'_ ---•r--- , . - - at , j _
1 Information is correct. I agree to comply with all city,and county ortllna eras I : + - ' - VL” MECHANICAL I TOTAL FEEI 1 $ i 1
and;state laws relating to building construction„antl herebyauthorize re re- $
P Hood or Type ❑ ' � , '. t f I I j 1-of;this(city e tart •n the above-mentioned property for , YP {{ 1 Reinspection Fee; $15 ! I LESS f • j
Inspection purposes. / i I • Canopy' Type II ❑1. • i I s -I PLAN CHECK $. ( i I
ppI ADVANCED PC • $ !
Signature i 'Wla f : 1- • .
I I I_ Registers I 1 9 Issue Fee I $ 3 I I I, + I FINAL FEE i• i $ ( _,
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
1 - rli T ter_4'r• m �..J ._..r. , 7,n nPOG FSPA ° -pn r c._oma' i�•H"CI:"' p
nQCONSTRUCTIONAND'PLANNIN r ' e 1 x_„ „o i�'v 3 >. - .7 , .- + • • T
> Q PPROVALS _: Permit#'#'�d�/z Dater rl nspector ;,'APPROVALS=-•Permit# rt =' p1.°' ? �r Date Inspector,
II .+ Mtsl' n 4 , 4 °' re vn ' . Im ' =7 •a -� ?n i i • . :.¢ - -- 5 'A::c - ; , 'tr_ ~ - '4Ia
rr L: 1 emp'oriry lElectricai Service or Pole 1 N_ �� lit, 5r; ;rF i ;�52 Pool &�Eijuipnlenf Location a;: :a 'i! (:� -
(` 2? (Soil Pipe-Undrgrndm q • s `_$t h °� EL i i>' ' E. `yth: I !i63';Steel Reinforcement R , o ' - '''I '
3? Electricsl;Conduit•Ut`Iliiv-UndrgrnE. -
ait.' . 1 `r2i. - 547 Forms ° ^'t 4„.3:::•:::':; _gin r - ;
"t ra Electrical Condui v..; .1grnd >'_. c _ , - :c - x� 1155,. Electrical.Bonding o ,�y r r
Q r,l I I I I 1" :I i .. y i a n ^ < x C r .._ _ '.}� J _ .
n r ,
6f Steel;Reinforceme_ritl, 1 =i" `" I. '- p ! '-t T • a i ;,56. Rough Plumbing.& Pressure`t'Te'st ; ' ; •--n" ' -
I. i 'I , .y ..} C c,^ - n. --_ nn , I IIF
' 1 c ' it : '. o^= �a -'S ` ),572APP.ROVALTO{COVER-GUNITEu . ' I ^ "
6: IElectI i• UFER I / "' • i z..._ I I r _ gr., v I
1 1: I I x' b , ..i c' I c, I,
7. Footings i I `"•I 1I i ~ '° 1 la. 7 a IT j 1 i8: •Electrical:c&iduitUridrarnd.: ' ' - I + II .•
,r, 07a1 . 1., 4 : Sr c i _ . v,' p2. r
8. Foundation I 1 .•I Ca
( - �'� ,j.zI S' o 'I I7 1-i o'' { •,159. G• as Pipe ❑ Undrgr`nd Test `' - '? I � f 1 n
9. Wet& Pi' a-Uridr 'rnd..l 1 ;s -• i a :I �.1 s. k ' k -777-:
;;,PV r . • • I 1
p 1 ,. g _ , , I -6::.� Eff- X60. Backwash Liues;. T ep,'��U_ndrgrnd.� ...j...-";
10. Structural Floor System I � ':, 1 �1 & -`'; . '� ' 61. APPROVAL TODECK 747:-.77,7-,--7_, ‘ _ s , " -n
11. Property Sewer Lino&1HouseeConnection' rJ ° ;,62. Backwash`& Receptor Final_ =4 �•
I .
12. Sewer''• Cap 1 i 1i'•.: .•1 I eQ , I • . k o� :a '-'63. Heater&Vent-Final_ ' o, ; '- ;
13. RooflDrains • '• -A 1 I 74 I , 3 i 7 14o - �X64. Plumbing System'Final ` o`_ £; > • I;r r ti,
4 14. 'Rough,Pm
lubing i ;.1.! a .' I I , I '- -'s 2 I ' I "65. Electrical=Final'• 9 ,.t- '.r.t - `( b',' - ' L 1
1, t
5 1'S=edugh-Elec6ical:Conduit I ..1 II''"r- - t"-t i--T----`?68a Sol agSYstem-Final i .. . '- i t 1
r I s iT , I I i _ I +.__I_
a16: 'Rough-Electric Wiring; . nI 1 'raj 1, Effiii , i r- .- r ii.; 1T 1 =; I • -. ;
o b rcr_, �, i�t_�Lt „ � : I � 1 ,�- I�: 67.;Fenciri&�Access:A royal, r 1 .!: ,-.,-.--7,,: r_
r Ih7. rRbug aWirRg�Si9nF ( I l II E I ;1 1 i I -! 1,-, I 68 1 APPROVED FOR-PLASTERING 1 i 1 t' •
18..'Rough`•Electricall.T(Bar,Ceiling& Ii I • 1-1 1 I ', '' ' ' 'vI I I 71 rAI. •
p m _ , � � ,n n , i rl I ;I =- I I ' ,_ I � 69 I POOL/SPA SYSTENIS:FINAL
p 19.-rough�Heating &IA`ir_Conditioning ii 1 ;Wine . Arc , , 'FIRE DEPT.IRED.UIREMENT. 1' - ' • 1 I '
!�„ 1 I , I , I - i; ,
� ,r 20CrRo,ughrFacorm Firetplace� I I 1; it I - 1 ; � I i 1 APPROVALS ,Permit;# _ `_ , �,
I 11 . 1 • ' 41 .2 I I t i ? •
I i r -
7. L21.-rD'ucts,an Strueture.1 'i I _ I II II I I I I I I ' 1 ,70.1 Underground Hydro i ' ' ; ;41 ._
1'22.• iDucts VensilA ing c I e I., I 1I 1I I I I I I 1 1 i 171.1 Product Piping p Gas OO,iI i , , ; '
IC lr -1----r
r'- "--r-(--r'-, _ i _. __ • -7-_T- -- _ __. T ..-. 1 -7---.---
r---_ + -
1 •
a '1 yr/I . .4 w 1,_-. • t - I. • I d'^b l_ t L I I
Il
"c24. IRoof;Framingi r ' I pro 6119^Ina .I: 73.iUnde�grnd.StorageTank;DGasD,OfI: I ' ' I 1
rl1 , . a1 : In4, I 1 In ! 'I !'rurt � l ;I_� i � ., .r. 1�: . _ I : t . , 1 I
$II 25. Roof-Sheathing 1 ! ;',1 . 1 iln I1 'I ' I :7 i r- E - ', ,4.I Overhead Hydro .r :; I I
In' tl •r I I , 19 1 -I ! r• 1!t. r 1. a 1 1
4.7
7.i-26. prpeIt r Ceiling (Structuragr& Monocot' j ;I r; I "I -'I � D ' i;75.I Dr Chemical - it ;2 = I -i ' ! 1
n Ir-i I t . w , I I .1 il ! • ^12 : -3 'Q 1 . 12• Iy r , t r� { v
'enc _
.1.27. � inje and Flashing 1 H i II ii I ;1 1' i i 4 I ; J6.' Dry Standpipe : r 1 , " ' = : , I r ' c m
a r 'J I 1 c I I t I . _
n 'l• I 1 3 r { I' I I,n , r a : - . . r i r I l -, .: '
28. Cathing sir-Siding• o I 77.: FIXED SYSTEMc. .
✓i 11 u . ._ I n g 1 ( 1 II �I I � ? I I I I � _- r • t r i ,
o 291.Insulation � S I H, r i I it I I I I 1 1 I 178! FIRE PREY. FINAL i, 1 - I i I 1 Y
ao �'r30. !Drywal�I.Nailing 11;73- FII Ii t' 1 I 1 I I . i i INotes:, 1 1. • 7 1 - . I t ; i 1 � I
31:rlPlaster Brown Coat 'r I 11 1 1---r-- r ' I --r --f---r - i II ; . j - •• -
r_11i1 ,, 1i ( IiI ' II ! III t i1 I
• r. p rr I I .�.I r I 1 }. (( I 1 1 I t 1 _ - I ` ,
n �32. I,ElectricallPower MetertFinal i It
i_ iI'-t_ i II I I I r I I , 1 r' ' . , I I I I I,y{ ¢ .a
It33.1Final Electric i i I 1 1. 1.. ii _Li... I I'Li.1 ..J. j___.__j..j_r,....,t. J- L_ 1 1if:7 _'.
e 34. Final Heating&1Airl Conditioning 11 I I'Yiy 1',.tI rdsio i 1 i I I 1 , I,
•
35. Final Gas:Pipe-Test; I- 1• - i m•I 1 0 _• C. I 1. � '.J I - i'e• - - -,
p .1 N. , n, °' al lr { 01'' i i ;I % , - - .r _ _ i
36. Hood ,Sr lCario"r�, o :r. -:I g t r 7- y • ' I : I _ r ' a I t �. . :i• _ _ _ _ -
il II j tc- i ais .. e a Hip I_. ic .4- 1 I I -1 I - ' ! - -
r a ' I .h S
37. Final Factory:Fireplace ; 1;1 of i yliY�'iI n(�ri.0 I ,i- c _ _ z r
n - r nr Itt 1 I � - �^,
38. Final Pflumbin . I t ai yy� ' : 1 H 1 i II 1 I r I.
: - 1?-4 .
,_
gI I I I ' , ..1 d l ' I I hi •I 11 i i 'C5" 1?-4. r
39. Water'Service-Final 1 -1 1 1 is i I 11 1 - != c,
r ll I I I 1 I I I I I I I Is1 ( I I it tth it .. , . " ,. ..
40. Gas Service-Final I I I I I i I- I I I I I I I Iill-'21-
I` 1 t ; '
y 1 i 1 I _' I d ,
41. Solar Domestic-Final I 1 I I N I_ I--rI4 _4_ j-,- } ^ I ;. I !-_____4-_M 1 • 1+1 ,- l i I ' 1 ':t-�
42. Backflow,P,revente• r 1 �, IT r I I i r
B.W: n1 I TI a:1 I ( I P." T" 1 ��. -'_ �.. -'- _"�'1' I '• ' I ' 1 I
43. Backflow Irrigation ' I 1 I I HIc i> i' I i `1l; I i c i 1 1 i I I' '
•- Fawn I,.v 1 t1a I {:_ CI . 9 21 _ i`j t Irl-
.
11-'4 1-::i ' ILL I r'1 - I',t o o I :1 •I ' r 1 , r r II - I t II
44. Landscape Irrigation;System• 1 r• - 1 j -I. r ( • v • -
45. Sound 4AttenII 1:u•ation ''..4;:7 I a`I 4 t'2 i I I- ! 1I i I '1 c ! i s I
46. Handiiap,Regulations 1 i r I Ic I I I•" I �1 I I I ' ' 1 I 1 lap::2 ., 2,1 - ' a, '' F-'.
r r t 17 i.__ ;_tI I ;n _,
47. FINAASTRUCTURE & BUILDING I^ I i: ; :! I I • { 1 .l I L� : i ii zr, . 1
48. Special Re liirements Com feted I 1 I 1 - o: -- •.• :e
p II Jr 4 1 I I I I p I I I• I 1 I !'v I tD 1 ! I I 1 I I r r r '' •;)
49. Electric Release to Edison t I .y_i. ' I I I I ; 1 I '-- �a 1 ;II I I I ' I I . I '
p a 1 I I I ( ( I It r - L i , I- 1-"I T"1'-'I i I�� I, i 1 1 ; 1 �F
11 11 , 1. a I i i " I I i I i i • I
50. Gas R%lese to Soul:herin California Gis co 1 I I I I I i I i I I 1 1 I '..II I I t
p 11 1 I I
51. CERTIFICATE'OF OCCUPA`CI 1 Ir. .f I I i _' i__ .- 1-_Y I I mi•:" ; ' I ; 1 I ' i'
II 11 1 ( 1 1 ' 1I
No Date 11 I I I 1_1_ l _ _ _
' __ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
1 CITY OF COSTA MESA I I - I t PERMIT NO. r TRACT NO. i LOT NO. t BLDG. NO T T' Y Y ,i t , ! ~
I CONSTRUCTION PE•neI • i •��1 A - 57,7f'9 . . 1 • � I . t , ; .I l o '- of i ° ' '' / ? I ;• l i- { <r ' `q t ^▪ t 1
U 0 at-ivia I�! �,�
' Applicants Mailing Address ' :GLS& •G7• : ,• I •. :ry. :141":I,OranE'C :. TYPE OF CONSTRUCTION LJ.NEW U'ADD LI'ALTERATION LJ'REPAIR - 1 - l I hr ,c • I lD 1 rt. - r▪ i 1
Project Address- 745 SehPn1Qy Bay 1 I _.t - O'CONVERSION 1❑ DIEM' ❑ OTHER A ' i • I : t, - I - lit ! 7 c_• 1. l ! , : I:
I Owners Name rN•D. ` ,ran PR O'f1. I 'Phone ' ' i - DESCRIPTION OF WORK jmP"t"b11 .--irepl•nce ' - I _ ^, -
• _ I I 1 ,__ i , r _ - ZONING REGULATIONS ' I t I
Address _ - -TYPE OF PERMIT: ❑ GRADING•❑ FOUNDATION U STRUCTURAL A.P'-'9", .. . • 'ZONE fj
• Afch/Eng' - { C ' ' - • License No. t • ❑`TENANT ❑ ELECTRICAL DIPL'UMBING ®'MECHANICAL ' PLNG. REF.91k ' • ' i'BUILDING I ° t . ' .
! Address` 1 r 1 y - - _ _ crraACjrr,LSZ i
' '❑OTHER - I ' TO BUILDING C: - F ; I�'
' - ' PROPERTY LINE I "REAR YARD CTO P/L) -, C • t
I contractor's Name Coast Pi 1^Ppl A re , ' 'PhonelS39-1820 PROJECT DESCRIPTION; SQ. FT. •- ' • - ' OCCUPANCY -• - -
__ I _
' ' •` ! ' CONSTRUCTIO N TYPE VALUATION$ " LEFT SIDE YARD RIGHT SIDE YARD i c: '
Address'mailing) �i0-1 1 '� CS _ � �: .• - �_ _ _ a I
LicenseNO; __ 1o' 0o :, ' • ZONE - GRADING CIL YDS: ACRES : PKG.SPACE;RE• ' PROVIDED a
LICENSED CONTRACTOR DECLARATION I Remarks: • 'rh .:17,5 3 . ; I 1 ' - . STREET WIDTH ' I PARK FEE'S 1 '
!thereby affirm that I am lIcensedi under•provisions of Charter,9 (commencing " - ' (y✓ - I -
with'section 7000) of Division 3 of the Business an• Professions Code, and ' i I !. I SPECIAL CONDITIONS:
1 my Ilcense,is in full:for a and;effeQ. , . I , , ` •- ,LII Cense' Cl. s! -• _ :,s. No.' • i i PLUMBING - I I i .l a• ` !
Date MS Signature �Lin[I . .. ' LSE , - � ELECTRIC •AL'- Bar SinkSewer Cap , - 1 EL I '
,,.;,ORKERS'COMPENSATION DE*, • R'TION I / ' '
'3'ereby affirm that I have a certificate of consentto sol copy re or a certificate . - _ _ _-,., - _ Automatic Washer • •- :Meter Dover 10D amps i ` • 1
'`Sf Workers Cam .jn�satlon I urance, or certified copy thereof (Section .. Backflow Prevente• - Sewer Connect ion• - - - ,
3800, Lab. C!) 1 t O4'` OCCA i ' • - Construction Pole II 1 •
73 3, ori Backflow Irngahon - Solar Collectors • ' Sub Panel. 1 i
I Policy No. 1 Company Q t:Y1A , -- - • - Cooking Unit j ) Sub Pole I ' 1
❑ Certified copy Is hereby furnished. • j l { Bathtubs i Solar Piping t f I I
�j
Certified copy s filed wltli the city B v I I Dishwasher ; ;Motors 00-1 HP 01%-8 '
Date_' 1/1 f-1 b3 ' ,ADPlIcant •
- Clarifiers Solar Tank )
' EXEMPTION FROM WORKERS'COMPE ION DE ARATION l ' Dishwasher f Swimming Pool w/Spat i j Dryers DGas DElectric • Inc.S0lar•D9-15 HP D16-15+" j '
• (This section need not be completed It the permit Is Cortone hundred($100)or • •
less)- . • I I ' i 1 Fan I I i I ' Microwave 1 1
I certify'that in the performance of the work for which this permit is Issued I I i Drinking Fountains t.'1' U_rinal ' 1 I
• shall•not employ any person In any manner so-as to become subject to the„I i - - • F.A.U. ' Pole- Light i I•.
Workers' Compensatlonilaws of California.; ' l I i . Floor Drains, j { t Water Closet' , i ! ' ' '
Date hi nature - l _
-- - i 1 r _ Fixtures 1
NOrkers”Compensation'aftermaking'this-ieclaration, you should'become subject to-the- --r Floor$inks- + r - Water-Heater; - - - -- - — I ' �Ranga 1 � � -�. -
. I Workers' ' provisions of the tabor Code, you must forthwith I , : , i i : , i
P r �Pt� Gas Service. ':Outlets "t , , Device Bozos !
Comply with, such rovisions-or_this' ermit ;shall be 'deemed revoked1f 1 'Water Service "o , • I Sign, ' • i 1
CONSTRUCTION LENDING AGENCY • 1 ; i - - Outlets 1 I 1
' I herebyaffirm that there' ,a construction.lendinga enc for the . Civ. nce I • •
- I • i } Standing Sections1
9 Y' ♦; Interceptors , ! 73 •
I of the 'work for, which'this permit is ;issued (Section '3097. Civ C:, _ I - - '
Lender's' Name I ' ` ' ' ' i _ _ 7 Switches : -Trash Compactor I
Krtchen Sink' ! •- _ ; ' i
• Lender's, Address IT. ' '., i ', ! • :r ' c. s - t • . • i Garbage Disposal . i , 1 I i ! •
i
' OWNER BUILDER DECLARATION II 1 >1 I -' - l ^f ! t i, : I Lavatories0 i y' 1 i { s 1 I '
I hereby'affirm that I am exemptifrom thelContraetor•s,License Law for the I , .tI Generator D0-5 KW D5-15 KW - I
following reason (Section.7031.5 Business and ProfesslonaliCode: Any city or t , 1 F Trap- - p j �•3 `- r I I I _: 1
1,county which-requires a permit to:construct,alter Improve,demolish or:repair • I :. - Transformer D 15.50 KW ' i j
any structure; prior to Its;issuance,l also requires the'applicanf"for such permit ; r I Roof.Drains • o•' I :1 I
:.t7,0 file a signed statement.that he/she is licensed pursuant to the provisions of - -- - D50+KW: { 1 'Reins ect)on Fee i jig'
. I I a i • 1 T — - , I i i i P t
Contract of theicensi Lawl(Chaptfe 9 o comm) or wit t!Section:7000)of - • r. f- t
'-"refro;3- Business and'Professions Cotler on, y viole//she of exempt I. - i Showers •- rl Re inspect'on Fee ' $15 j
• :21;
-and the!basis the alleged exemption.the a iolatiom of Section : - - 'a -' Motet Dup t0 1001ampi I ,Issue Fee? • , '$ 3 1
au"031:5 by,:any applicant for I perm dollar,
the:applicant to a_civil . ' I ! I ',c - --. - -
egnalty of not more than five hundred dollars($So0)..' . p- ; 3 a I ; Service Sink 1 ) I Issue Fee,j_ , 1 $ 3 Zoning Approved By i • 1 ! 1 ' "Date 1 -
' vas:owner of,the`property or'my employees with wages'as their sole I 1 i ' I I '
compensation will•do the work,and•the.structure.is not Intended or offered { - l s;i I ' I r- 'MECHANICAL I ! l ! _ j I Application Approved By 1 - 'Date ' ' !
for sale)(Section 7044', Business;and)Professional,Cotlea The;Contractor's - _ (^1 i I � I•
1 License Law does not apply toian owner of a property-who builds or improves S I Boiler- - ! i Refrigeration System < , : AJ' 1 • ' t Date J/- rJ TT
thereon,'and,who'does;such work himself/horsey or through his or her own 1 . . i °-. •
r • . ) , i i I - Application Issued By / I . V I
• employees, provided that such'Improvements are;not intended or offered for . - -f , i D0-100,000 BTU 0100,000BTU, ! ' , i -
sale. If, however,the building or Improvement is sold within one'yearlof com- I Duct-Under{Ground 1 j • ; : i ! i • I 1 ! I SUMMARY OF FEES ! I I ' i 1
pletlon, the owner)wlll have the burden of proving he/she did not build or im- 1 - ) I!
(rove for the purpose of sale). ; ! ! -r I I j j Duct-Structural 5- i i 1 System Repair%Alteration i I - •BUILDING PERMIT $ i • i ! j SMIP ; $ t •
LJ I, as owner of the property,am exclusively contracting,witn;llcensed con- l Ventilatin i ! a „-t i ` 'PLAN CHECKI $'' 1 I 1. PERMIT 1 1 i l
.tractors to constrict the;project (Section 7044,Business and Professions Code: _ " Duct..: g._.i _...___ . ,-._._._,_. ..
The Contractor's License Law does not apply to an owner of property who , I I I ISSUANCE $ I I
builds or Improves thereon,and who contracts for such projects with a con- i Exhaust System ❑ Multiple DI i !PLUMBING I 1 $, ! , i 1 'i
tractor(s) license pursuant to the Contractor's License'Law): I j l 1 1 1 ' f .i t ;! GRADING $ 1 ,i
0 lam exempt under Section ' ' B.& P.C.for this reason i 1' Firepl/Fact,BIt, ICBG# 319r3 . I I 1 I L. 00 (PLAN CHECK! i $I i I $ i
' + ' Heatin S stem&Ducting •ELECTRICAL S. ) iii , t
' Date ° Owner{ i 1 I I g' Y _ g 1 i I ' ` i I' 1 $ I I MICROFILM 1 $ !_ - 1
'-I-hereby-certify'that-Il have-read this-application and-state th'at-the-above r •- 'Do-loo,000iBTU•D100;000BTL-- PLAN CHECK I -
information is correct. I agree to comply with all city and county ordinances • t 1 • • _ • .1 ! ' MECHANICAL j $ COO. t ; TOTALIFEE' I $ : 1 .
and,state laws relating,to Poi •ing construction,'and hereby authorize repre- I Hood or Type I Ds JI ' i t 7 LESS I ' )
sentatives of sth cit o - tett upo the above-mentioned property for i ( i Reinspection Fee. $15 :PLAN CHECK $ IOD' ' 1
' Inspection purp..: s. ®` 1 r f i Canopy. TYPe II ❑� i I 1 1 ! • ( ADVANCED PC 1 $ i '
! Signature .
i Registers 1• Issue Fee $ 3 j f I 1 1 FINAL FEET I $ '9r
• _. - _. _ _ ._ - -_ - .. ._ - _.__--.__ . _ __ - .--.
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - -- - - "'-'
(rY.� r`�'Y v Jnr • n t- _� - Tr-. ✓ r - r _. .
• - CONSTRUCTION AND PLANNING POC WA
•
y APPROVALS Permit# -779 Date Inspector APPROVALS Peimit# 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 LIFER Grnd- - 57. APPROVAL TO.COVER-GUNITE -
7. Footings • - • • 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe,.0 Undrgrnd.,Test _
9. Water Pipe-Undrgrnd. 60. Backwash Lines,.P-Trap, 0 Undrgrnd.
10. Structural Floor System • 61. APPROVAL TO DECK _ , •
11. Property Sewer Line & House Connection .• . 62. Backwash & Receptor-Final
12. Sewer Cap ., • 63. Heater &;Vent-Final . •
13. Roof Drains -64. Plumbing System - Final . .
14. Rough Plumbing • 65. Eletrical-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 , A,/,f1l/7el1�t> 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 .❑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 Notes: ' '
.31.•Plaster.Brown Coat -
•
32. Electrical Power Meter-Final .. ,
33. Final Electric
34. Final Heating& Air Conditioning . -
-
35. Final Gas Pipe-Test - '
36. Hood or Canopy •
37. Final Factory Fireplace' • .. We/ C /� - _ .. - .
38. Final Plumbing .
39. Water Service-Final
40. Gas Service-Final - •
41. Solar Domestic-Final _ - . y
42. Backflow Preventer -
43. Backflow Irrigation - -
•
44. Landscape Irrigation System '
45. Sound Attenuation - _ ' ' '
46. Handicap Regulations - '
47;FINAL STRUCTURE& BUILDING
48. Special Requirements Completed .
49. Electric Release to:Edison _ .
50. Gas Release to Southern California Gas Co - , '
51. CERTIFICATE OF OCCUPANCY .
No Date .