HomeMy WebLinkAbout2858 SERANG PL - Building Permits tYI 03013 7411
ADDRESS Bu(mG: 2858 SERANG PL DET' CITY OF COSTA MESA - BUILDING PERMIT
a�TSNAEDaaw*NEMEC, ROBERT W TR PERM NO: B 087153
!' ADDREss: 407 N BAYFRONT --------
NEWPORT
NEWPORT BEACH,CA 92662 PERMIT NO: B 087153 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORENGINEER: SND JOB DESCRIPTION : T/O & REROOF CLASS C MED . WOOD SHAKE SQ FT: 9, 848
MCI.OR ENG.'S ADDRESS: DEE:
CLAIM VALUE: 9, 848 . 00 CALC-VALUE: 9,848 .00 GROUP OCC : R-3 /
CONTRACTORS NAME CORNERSTONE ROOFING ( 714 )695-7040
CCNmACTORSMNUNG 414 N. SHATTUCK PL COMMENTS: X
ADDRESS:ORANGE CA uCNO: 616586 **********+r*REatot*at*RLREraf+r+EEESE+rRE+ritBLit*EEit*RLsr**REratatsraEatsr+r****** Eat*sEatsr+r****RtsE**********+E
92666 u*T: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I heathy drkm under penalty d perjury Net I em licensed under provisions d Chapter 9 SE TBACK S
(commendng with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force end effect.
CITY LIG. uc.CIASS:C39 LIC. 61658 EXP: 11 /98 MAIN BUILDING ACCESSORY BUILDING
�oZ_c�� Camrm«�Q :<t/�( .4.-...._ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
\ R BUILDER DECLARATION:I hereby affirm under Penally d WNW Med I am exempt from the Connect"License Law I«the
' Professionsrequirespared reason Businessmpno"• PARKING REQ: PROV: PARCEL: 13932105 ZNE: REF NO:
baldish,or repel any structure.prior to its issuance.atso requires the applicant r« permit peto file a signed Gatemen(that he or she
.reamed pursuant to the provision d the Contra cors License Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES> •' '
Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.MY violation Of Season >
7031.5 by any°°°loan'fora permit subjects the applicant toactor penalty ofthen not mare nfive hundred doge"1550011. -
*********************************************************************at*********
❑ I,as owmr of the woperry or my employees wit h wages es their Bole compensation,WE do dm work.and to structure is nal intended D E V E 'L O P MEN N T SERV R V I C E S R E
or offered forsae(Section 7044,Business and ProfessionsCoda:The Contractors License Law does not apply to an owner of properly Q U I R E M E N T S
who buids or improves thereon.end who does such work himself cc herself or through he«her own employees.provided that such
improvements are not intended or offered l«sale.I.however,the building or improvement a sold within one year of completion.the ZONING APPROVED B Y
owner-builder will have the burden d proving he or she dal net build or improve 1«the purpose d sale). DATE:
o I.as owner of the property.tun e.duevely cowadig with licensed contractors to malleus the project(Section 7044.Business end
PmS
feare Code:The Comrade"License Lew does not appy to an owner of properly who wilds or improves thereon and who BUILDING APPROVED B Y : DATE: ,
contracts for such projects with a contractor(*)licensed pursuant to the Contractors License Law). a
❑ Iamexempt under Secton: B.A P.C..for this reason: APPLICATION ISSUED BY: * h] DATE: 1Mb g
Dale: °«we
***************************************** IR **
LEGALIZATION:N F E E S U M Y STRUCTURAL S GME T:Y
I do hereby eerily that I en aware of and understand the reotemmara d Cdtarnla Ileac.and Safely Code Sections the requirements 05.25533.end
25536,end Nei I ar any Mune btMvg 000hed wiu l wD na(dmm one)need to aompy wth said pale codes end tedempfor
spend«mmNcton«noddmmhunlh Ai Quality Management Rada.Residetidmwmaonappiratoroare exampfrom Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 162 . 25 . 98
Date: Appbent: SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN
ISSUE FEE
❑ Ihove and wpetot °nenetBcdedouwntI°sea'inwrebwaken'c«"Pension..3"Medf«bySeaian3700aIMLab« BUILDING-D I/ > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code
haveenthe y.d«maKe ate' nprk r«w:nNtspematets..d. TOTALS----> 163 . 23 0 . 00 0 . 00 163 . 23 163 . 23 .00
❑ I have and WI mispen weds'compesaton 'compeinsurance,as required by Seaion 3700 d the Labor Cade.for the pad«nunce a the
waklaMld enter:aed.Mow«ker.'malpradlon mmrand oawv at are:
REVENUE DIVISION TOTALS--> COLLECTED: 163 . 23 OVER/SHORT: . 00
Carrier:
Flory Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
a sedan need not be completed y the Prese is for one hundred dollen($IGDI or lass) 162 . 25 . 98
.1 t certify that in the ped omens*of the work 1«which this panne is issued.I shall not employ any prsun in any manner ao as to
.. become subject toted whale'co °radon laws of California. and agree Nat i came I should beeublea to the wrk«s' *******************************************************************************
compensation prwvions d Semon 3700 d the tabor Code.I shed with comply with the.. INDIVIDUAL F E E BREAKDOWN
Applicant: &Lie 2-17 `J
Mg:Failure to secure workers'Cortcemadon coverage Is unlawful,and shall&flat ala«'player to cdmInd Penddes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(SI00,900A M eddltbn fu die cost of eompers&bry ream we Provided for In
sepden 3703 of to Labor Cods.Interest.and attorneys lees SFR 9848 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 9, 848 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there e e construction lending agency for the END OF FEES
performance of the work for Mich this Fermi is issued(Seaton 3097.Cb.C).
LENDER'S NAME
LENDER'S ADDRESS:
I candy that I have read this applia5on end stele that the above hal«maion is correct.I agree to oompy with aD ay and county ordinances
and state laws relating to building mnWudion end hereby authorize representatives d this Pity to enter upon the above.mentoned property
for inspection par
paae..DARREL CHAMBERS
83-82-1998/11:36 AN/6163.23
P- hr(aarne RCM:01-8823292
ex Date: 3 "2 ^ rTR PERMIT:687153
Signaturea metlAgent/ res«
t+
(5151-48 W P) Whte-Etnild'ng A Safety;Omen-Rb;Caney-Applicant;Pink-Revenue;Goldenrod-Assessor
1 CONSTRUCTION AND PLANNING - POOL .,r SPA
- APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
t . .
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,
sa_$oil Pipe-Undrgjid.,n 53. Steel Reinforcement v
_1[tit.4-C, -' tf
_„'.-Electrical Condii4dUt lity-Undrgrnd. 54. Forms
S
n4:Silectrical Condi'U drgrnd. 55. Electrical Bonding n
`J re•,,-5: Steel Reinforce¢ient 56. Rough Plumbing & Pressure Test -
•
XJ- = i
4-67tfi lectrical UFER.:G�nd. 57. APPROVAL TO COVER-GUNITE
, ,-) s
•)r2.1.. otings •'.H Cu 58. Electrical Conduit-Undrgrnd. M.
•
':y8. Foundation 00 ✓ 59. Gas Pipe, 0 Undrgrnd., Test
i 4r,in J .
.S. Water Pipe•Und4&4d.(j 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System ro 61. APPROVAL TO DECK
; 11.'Ioperty Sewer Line'& Hous tonhection 62. Backwash & Receptor-Final
12..$gwer Cap C `. 63. Heater & Vent-Final .
13. Roof Drains 64. Plumbing System • Final
1�
14. Rough Plumbing; m - >e j 65. Electrical-Final
15. Rough ElectricatCortduit •• ' !
9 ^r ru 66. Solar System-Final
16. Rough Electric Vdirir -" 67. Fencing & Access Approval
17. Rough Wiring Stancp 68. APPROVED FOR PLASTERING •
18. Rough Electrical'T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.trough Heating& Ai*Conditiogin a:tr t rn t <v* r Cl F3'R£QEPT43EQUI REMEN•T ri
r m r.: ,•• r " ^" -n tr tri --in)n:i l.-i * >. r
20. ou0't F92tott¢ Fij lace ' St" tr.< H `EEk •• APP�?!DV f1. Permit # fi r`
21.touctr,inr tru`cturS.-= t l',) 4 nr 1 70.1-Undergrbifdd Isdro *
22. RucO, V til ingH* �," # `t 0 ti r• 71. Produce Pitting 51as Oil O,
23. GasNpe•vRou'g�t &-,/Tzst i tr-, 7,0 x 7 S* C 72. Underground Rlush.4 • <L
24. Roof Frarming * Er a.'a.' `-" 7 ,�ndergrr1d.Stc{ Tani'O Gas O Oil
I- Cr * S (U ;; n t*; O N x _
25. .goof_Sheathing ; }3-- -t " 4. :r74".-Overhead Hydrtcpa* M
'7 S T 17 1-•'.J * m
26. .7E-Bar-Ceiling (Struc ball & MoFiocoat A. ,•, �, 7-5:..-,cry Ch al �, s tt: =_,
27. 'tante an. Fleshing t Hr-in .; >, 76. Dry Staotiplpe-.-, v r7 ,, D
& Siding V. %r
28. Lathing xl- ^ 7p FIXED'SY-STC'f4'INAr r�
M . - ** n � .. .. > xm I s .,
F 29. Insulation * s 0 x S i • 781 FIRE PREY. FINAL
n30. Drywall sailing "' F" t 5 QJ4EALTt DEPk JREQ,UI MENT
Plaster Bi'owriyCaai
kr
I rr tIp 79. FINAL ECi{1�N r. t, m
32. ElecttricarPowir Meter-F111a1 1 A. -_ '• m 11.. 801 FOOD ChEERTIF�cATE ISSYDEb{
lc .r a `7 n 0
33. 'fina..... e._ i -4 ^ Cr, * T 1 {5 Wates: F 11n * -it.
.� w ^(-, t \ S ^;a _
r 34. "Einat-leating[& Air Conditioning Ha 4- > re 1 f--.< x m
W - * t fr n't : SO C'n m . rr Sc
.t F-. i. ; -i -4: 1"
F
35. ,Final Gas,.Pipe-Test t` Q. •• .r.
D 36. j ood-,or denopy e n X- r. h I` m C. x.: n; '' .
ti ... _ . 'r c, * tri I I. n -rrt
-:37. FinarFactory Fireplace." wrti _r * -
S 38. Final-Plutribirig r, ri 1 C 4 1I frl
.�f c encu- * x O
39. Water Ser ice�Final .* r• * a: %"
_ * n .K I I t Class C Fire Retardant ! .
a'9
,.., x :•i �::r S + l•. i N,ER.Rtpvnses .215 •
X40. Gas Servide-Final .l'r-F• -. :* I 1 n U PIM at. EERYICIUSS.RLill4•• X"
r r, .. Y !? I * PRESSURErnfNEC , GC n,LEEctnx81- Si.",i
,t SNAKES AND SHINGLES Wit.'"l,. ti 2_
'41. Solar pom`estfe-Einar ""x0N"w'E ,`° "
* :u n r ® it i�l�l4V en.,r r .0
42. Backflow Preventer g n; O- r 4 t r R:X"""`,."'m" ^e"°°„,°
ryam * * t_ �;=,a '
43. Backflow Irrigation " >" " X * t' -5- 4 ,l
X •
:C T. * * F' N3: t O 0
n
44. t};andscape.Irrigation.System pc,X 41 x < S Nt :e ^ E 2 t CX * 2 E.
J__,-71.... r 1-.. H P-4 Y ' i-, , . .t. ,-q' r
9,5. &Mind Aftenuation- * rr, m m* 7 tr < • E''
q` r t'• * U S * m / i -.:,t -. --i ir
.i s.3 .1 .. .. T S ti-. S
46. Hant,icap.jlegulations S .. * s tt r �O r, •
47. FINAL STRUCTURE & BUILDING 3., of
48. INQL PLANNING+. ii
* t� r
t i Cr)J CuN J y..
49. Electric RBlease to Edison ' x. tt 1 < •n r 4.
Sib. teas Rele se to Southern Califorrtj@�-Gas Co z - - .� • j rsc Jr`. -� v o
s 1 ,- .. * C.,
51. CERTIFICATE OF OCCUPANCY -'
ko. Date •
r
PROJECT ADDRESS: 2858 SERANG PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 050249
OWNER'S NAME: NEMEC, BARBARA JEAN I
ADDRESS: 407 N BAYFRONT PERMIT NO: P 050249 PLAN CHECK NO: N GOVT: N SUPP: N
BALBOA ISLAND,CA 92662
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
714 557-7238
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC : R-3 /
PERMITTEE: EARLS PLUMBING ( 714 )772-3470
ADDRESS: 1533 W. LINCOLN COMMENTS. REPLACE WATER HEATER
ANANHEIM CA 92801 ******as**********4E***********M*******3********************M*************4F****3E**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in IM torte and effect. SETBACKS .
clrYuc.: 00 938 STATE LIC.:21765 cuss: C-36
Date �7__ _ ZO _9_0 Signature:_ MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
WORKERS' DMPENS ION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a cenificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance or a certified copy thereof(Section 3800.Lab. I
POLICY NO.: 04840 EXP.DATE: 0 3/01 /91
COMPANY: BEAVERPARKING REQ: PROV: PARCEL: 13932105 ZNE: REF NO:
nn
7 Certified copy is hereby furnished. l Certified copy is Bled with the city Building Division. PLANNING N TES>
>
//71,1„/3/4012/4407 Applicant: ****1PIF*************************************************1F***********************
EXEMPTION FROM WORS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred WOO)or less). DEVELOPMENT SERV I C E S ' REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I that 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:U.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. 1
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED BY. - DATE: 'la—a`4--
4)0
which this permit is issued(Section 3097.Civ.C). *************************** ****** ****************************************
LENDER: ************************************** ***************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any oty of county which requires a permit to construct,alter,improve.demolish,or PERMIT 2 . 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
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 doWrs($500). ISSUE FEE 3. 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 3. 00 0. 00 5. 00 5. 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 5.00 OVER/SHORT; 00
improvement one year of completion,the owner will have the burden of proving he/she did not build or improve
lortheurpose ofs le). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 5. 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Stale License Law), l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant wilgvnll not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Reality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby comfy that I have read this application and slate that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
rty for inspection pu�roses� U i 0443: r •4-i LG767C4 T CE 1 ;�,rjQ
Date:
���0/�� Signature —L_a_ DATE. 12724/YD TIME: 1 :1i
Driver's License or Saco-.Security n:
f 641-46 White—Balding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
,
CONSTRUCTION AND PLANNING POO ,PA
APPROVALS Permit# - - Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical ServiucB•dr Pole 52. Pool & Equipment Location • •
2. Soil Pipe-Undrgrnd. . , 53. Steel Reinforcement
3.;Electrical CondWt Ulity•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, 0 Undrgrnd., Test r
'
9. Water Pipe-Undrgrnd. • r, 60. Backwash Lines, P-Trap, ❑ Undrgrnd. "
10. Structural Floor System s 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final
12. Salver Cap r., 2. 63. Heater & Vent-Final
13. Roof Drains -c • 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough ElectricWiring ', 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
. - - _. -'p .
20. Rough Factory Replace • Si'l D •?'' • APPROVAI•S3 '•Permit # •
)•
..
• t_ I. .
21."Ducts, in-Structure . - . c!JO. Underround=Hydro
22. Ducts, Ventilating, `:; y . % -;' i1. Product�Piping O't5s ❑Dil
23.'Gas-Pipe Rough & test ,j� •-L CY , :72. Underground Fld%S
24.:Roof Framing r•.: ` '731'Undergrnd'Storaggank OGas OOil
25. Roof Slicathin ' r ' `' .
9 �>: v _ _ •.-, 74.:-,Overhead Hydro-
26..-T-Bar Ceiling (Structural) & Monocoat . _ V '_ rr " r 75;:Dry Chemical . - - :
27.'.Frame and Flashi g' " 1 y : ' `• •-s^ '
;c:•.. • r1 y �.. . 76 •Dry StandPi.pe n . ,.
28. Lathing& Siding . •• _• • i. ^i • -1 • 77,-- FIXED SYSTEM- NAL'
'29. Insulation •;„ r ' I I 1;, ,. 78.;FIRE PREV. FINAL . '- u. ''
30. Drywall Nailing • I •r - -HEALTH DEPTr REQUIREMENT
31. Plaster BFown Coa ' ' •, r_ I r, : ;79.'FINAL INSRECTIE,N C r
32.:Electrical Power Meter-Final .> ?; I , '� • .80. .FOOD CERTIFICATE ISSUED ;
33 'Final Electric . • jt ., 'Notes: „ _
,34.;Final Heating& Air_Conditionigg� a ? ,,o .‘ .1 ti _ -c: --
.35. Final GM-Pipe-Test- { 1 _
-
;36. Hood or Canopy • - •-• >: :.-C, - •*'
37..Final Factory Fireplace ,,, - ' ''• I" T^
;38. Final Plumbing - &z/qj L Oy
"39. Water Service-Final• -, K
r Xy
`
40. Gas Service-Final , ,- ._.t-- _-r i :, • -•....1 ; _
;41. Solar Domestic-Final - t - • `c'
�
ti
• 42. Backflow Preventer._ •� ; r. j ! h ; , -
43. Backflow Irrigation' +.C. + 1t ' '
• Y W. . ti J
,ation System: - ' -
44. Landsca -
a Irri
45.__Sound Attenuation• •� •r -
46. Handicap Regulations - ' •• _ :,
47.,FINAL STRUCTURE & BUILDING C, • • . 4
48.'FINAL PLANNING; r • ,-, r
49. Electric Release to Edison - `-'• : �. .i: -
50.,Gas Release to Southern California Gas Cn : I i's"-;(' ' ' - `is •
• 51. CERTIFICATE OF.00CUPANCY - r - _
No. Date
r Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 5 4i-Sin
PERMIT NO. TR CT N LOT NO. UNIT NO. I
CITY OF COSTA;AW CONSTRUCTION PERMIT ��p /_� �_ A.P.# 15'9-32) —Or I Zone
Pr ject Address �X� 8 c p -r/��/ � � Ll](/ S Main Building: I Accessory Building:
plicant's Mailing Address �7 3 Recc ail TYPE OF CONSTRUCTIOPpp r ❑ NEW IM D ALTERATION U REPAIR
�y/��� ❑ CONVERSION L7 DEMOLISH ❑ OTHER j�.� . T Front IO
Owner's Name (�'-'�1V��L o - Phone DESCRIPTION OF WORK/USE OF BLDG. to Ot=� •CC: 1 A Rear Q l N
Address ]T.J /j./Tt�/wT ei/d7/u'G � ,r fj � /�/ C Right C( N
Arch/Eng. ',WA tv-t��•^T License No.C/ g TYPE OF PERMIT U GRADING ❑ FOUNDATION ❑ STRUCTURAL 1 K / O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S . Left
_51- R
Contractor's Name — Phone
ED OTHER Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT. S•F' OCCUPANCY R' 3 /� - Q
Address(mailing) ' Planning Notes: IT �� city --IP', t�Yr��iw M
CONST RUCTION TYPE �� VALUATION $ ,I0 , T
City License No. ZONE GRADING CU.YDS. ACRES'O-G • A ( [lt u,e 1 S.
LICENSED CONTRACTOR DECLARATION /J
I herebyaffirm that I am licensed underprovisionsof Charter 9 (commencingpot_2_12 _ R1c PC-4tse.'# gl,yo
Remarks: Ci r7 a TS ��
with sectionis 7000) of aDivision 3 of the Business and Professions Code, and
my license is in full force and effect. --/ L!� ELECTRICAL FEES
License Class License No. - 15124
Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW
' areby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWers -
Yorkers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps
Al, Lab. C.) Backflow Preventer Service Sink
Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
A
Certified copy is hereby furnished. Dryers OGas DElectric Sub Panel
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant .
Fan I Motors 00-1 HP ❑1'/a-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit Is for one hundred ($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+
less). ip
I certify that in the performance of the work for which this permit is issued, I FiztUr¢5
shall not employ any person in any manner so as to become subject to the Drinking Fountain Solar Tank Microwave
Workers' Compensation Laws of California,
ate Signature Floor D Swimming Pool w/Spa Device Boxes Pole Light
: If,after making this declaration, you should become subject to the Outlets Range
' Compensation provisions of the Labor Code, you must forthwithcs$ice
Urinalwith such provisions or this permit shall be deemed revoked.RUCTION LENDING AGENCY Outl¢t5 Weter Closet SwitchesSign
affirm that there is a construction lending agent - the perform.,ae
`of work for which this permit is issued ( ,• •n 3097 'v. .)lilerceptors Water Heater Garbage Disposal Standing Sections
Lender's Name - ---Lender's Address - chen Sink r Service _ Generator ❑0-5 KW ❑5-15 KW Trash Compactor
OWNER BUILDER DECLARATION rr
I hereby affirm that I am exempt from the Contract• icense .e- •r the Lavatories ash
following reason (Section 7031.5 Business and Profess Co.- ' y city or
county which requires a permit to construct,alter,Imp e, •-r^•lish or repair p a Trays —
oy era gre, prior tom its hat he/, also requiresicesthesua osuch permit
to file a signed statement that he/she is licensed puma the provisions fofoof Dr 5�
the Contractor's License Law (Chapter 9 (commencing wi Section 7000) of
islon 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3
efrom and the basis for the alleged exemption. Any violation of Section U.S by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
J I, as owner of the property or my employees with wages as their sole R eetion Fee $15 + - evi$
or-offered FEES Building Approved By Date
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 _ RY• •' Type I 0 Application Issued By Date
employees, provided that such improvements are not intended or offered for Boiler s'
sale. It, however, the building or improvement is sold within one year of com- .,.•py Type II 0 SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground a.
prove for the purpose of sale), BUILDING PERMIT $ /.74 •to SMTP $ . 70
❑ I, as owner tr the property, Se tion 7044, contracting with Professions
con- D .'n � Refrigeration System PLAN CHECK $ PERMIT $
tractors to construct the project (Section 7044,Business and Professions Cooe:
The Contractor's License Law does not apply to an owner of propertywho • y 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE
builds or improves thereon-and who contracts for such oroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to me contractor's License Law). I am aware that Ex a • '• tiple 0 System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ _ • GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firep :It. !CBO# Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating ystem& Ducting Registers MECHANICAL $ TOTAL FEE $
l I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT
1 information is correct. I agree to comply with all city and county ordinances • PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for
inspection purposes.
Signature Date
Drivers' License or 55$ Reinspection Fee I $15 Issue Fee $ 3
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
v
POC SPA
p3NSTRUCTION AND PLANNING
--APPROVALS Permit# Date Inspec:. , %PROVALS Permit# Date Inspector
1. Temporary,Electrical Service or Pole 52. Pool & Equipment Location ;
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3.IEledtrical Conduit Utility-Undrgrnd. 54. Forms
4.1 Electrical•Conduit-Undrgrnd. 55. Electrical Bonding
S.1Steel'Reinforcement 56. Rough Plumbing & Pressure Test
6.1'Electrica l VJF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7•.�Footings;T 58. Electrical Conduit-Undrgrnd.
8o-•Foundation 59. Gas Pipe, E Undrgrnd., Test
9:r'Water;Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10;•Stfuctural Floor System 61.q APPROVAL TO DECK
11.. Property Sewer Line & House Connection 62. Backwash r0eReceptor-Final
12:jSewer Cap 63. Heater,&Vent-Final
13'.4 Roof Drains 64.JY R.v-P Plumbing System - Final
•
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit ,M6,,Solar System-Final
16. Rough Electric Wiring
67: Fencing & Access Approval
17. Rough,Wiring Sign e4 ,�68. APPROVED FORLASTERING --f.�e?'
414
18. Rough Electrical-T Bar Ceiling • ;, 69. POOL/SPA SYSTEMS FINAL CI
19. Rou h:Heatin & Air Conditioning -
9 9 '° J, FIRE DEPT.,REQUIREMENT - �
20. Rough Factory Fireplace U a _ APPROVALS Permit# 2"�
21. Ducts, in Structure
fw 70. Undergroun;d Hydro �y•
22. Ducts, Ventilating 7 ; , e 71. Product Pipit gYO Gas 0 Oil j f '
23. Gas Pipe-Rough &.Teest _ ' 72. Undergrounds lush
24. Roof Framing i 73. UndergndrStorageTank.OGhsOOil
•
25/Roof Sheathing p•• 74. Overhead Hydro
26. T-Bar'Ceiling (Swictural)&/Monocoat 75. Dry Chemical •
27; Frame and Flashing 4 t 76. Dry Standpipe s'
28. Lathing& Siding '-:�' 77. FIXED SYSTEM'FINALs
29. Insulation y... 78. FIRE PR EV. FINAL
30. Drywall Nailing f(%_ HEALT;H.DEPT. REQUIREMENT
31. Plaster Brown Coattl,172 'l 79. FINAL INSPECTION
32. Electrical Power Meter.'Finalls 80. FOOD CERTIFICATE ISSUED
33. Final Electric ; . Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
-,37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final .'
•40. Gas Service-Final
• ,1. Solar Domestic-Final ,'
see
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation'
•
00 46. Handicap Regulations
f'• 47. FINAL STRUCTURE & BUILDING
s. 48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas O
51. CERTIFICATE OF OCCUPANCY
No. Date
t OWNER REINHART, J. H. DATE 2-16-71
\INL1/4.1.0B ADDRESS 2b58 Serang Place BUILDING PERMIT NO. 32714
,. GENERAL CONTRACTOR thmer—Bldr. DESCRIPTION of WORK Patio Cover
AP No. 139-321-05 LOT TRACT FIRE ZONE . VALUE $ 550.00
'ECTIONSSignature Date GROUP J TYPE V ZONE R-1
SVS SUBCONTRACTOR PERMITS ISSUED
GAS Date Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. EA
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER ❑
ROUGH WIRING Heating and Vent.
77E747142 FORMS ❑ STEEL REINF. 0 ,c.LL/_ .>A-R/
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFORCE U
SHEATHING
FRAME AND FLASHING q i,.Ap•>i
LATHING — IN Q _ OUT ❑
PLASTER, BROWN COAT
5' --TURAL, FINAL Electric
h JG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST fl
ELECTRIC, FINAL
BUILDING, FINAL 11r 3.9.-7/
32714 PASO
SFA 16-71CNSgOO 486 0*****6.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
jeers /� RREECEIV BY DATE RECEIVED DATE ISSUED/
BUILDING jeers %�'nzy // /17 2 ' 7/ 2-/b-7/
ADDRESS • //yM/ y .�( ` /(//
OWNER tic /17( Eednn//s/rt A.P.NO.I�/ ✓�/'�O`-• PERJv]I'GHQ//
MAILDBUILDING ���t+j ���//
�,S ADDRESS Q
Z ADDRESS et C /✓/'� IJ,•� � /
0 0 CITY CO /s /yen NOTEL 5.57-12 / TRACT�p6O LOT{ BLOCK
Z COS/4s
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
0-m LENDER
J 0 BRANCH N Cy,�� I _.
JN OWNER r /.�.�(/1 f�
Q W ADDRESS / �
mJ � �//",, '/f-, e� " VALUE ry�[.� ile
J m ARCHITECT TEL. USE /t.flo �.,.[r//T/s/ S ✓ .1([�
< OR ENGINEER NO. _
O Q FIRE /
Z ZONE TYPE GROUP J
LU m ADDRESS
0-Uri APPROVED "/%�//// /-y/
J O CONTRACTOR Qw�.7G,/- BY
/o/ DATE .�-IG /
m Z
J cc ADDRESS P
W W TEL. ZO NO.OF USE OF NEW /
ZCITY NO. PLANS USE /t. cestjk
- O STATE CITY YARDS APPROVED YARDS APPROVED
LU
N m LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
J O SIZE —ANO OF BLDGS. (FROM/C/(L�/�/({�E
OF LOT 6o,ai )e jog- -�-I NOW ON LOT / FRONR•t/"�"" FT.
USE OF
EXISTING BLDG. yperne R.SIDE ,2FT. FT.
I- SIZE OF
2 NEW BLDG. "41X /G ROOMS NO.OF � STORIES / L.SIDE /7 FT. FT.
EXTERIOR WALL ROOF
V_ COVERING COVERING /�/2 REAR /tn
/FT. FT.
—i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a
a MAIN BLOC'S. ACCESS. BLDGS.
< Z. ' VAR.+ DATE
O /Q (72 o19 i^ C.U.P.# // /rte/ APPROVED
I- APPROVED/�' ' moi -DAA � -Is•-7/
0 APPROVED,
/M1M1/L/// ".
VI hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of h
Co the State of California. / O m
to
Zi I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
or
am exempt from the provisions of the State of California Business
and Professions Code,Division 3,Chapter 9. VALUATION � m
/ f 00 PERMIT FEE $ t0• 0-0 N
t D
Signature of D
Permittee ,� �• A _..a....—:.• .4 - $ 5 4 0 PLAN CHECK $ E
0
/ �/, LL
Autho ze Bent TOTAL FEE $ g/e
OWNER PlcGALLIARD, Harris DATE 6-18-62
JOB ADDRESS 2858 Serang Pl. BUILDING PERMIT NO. 17361
GENERAL CONTRACTOR S. L. Hart VALUE $ 1,170.00
AP No. 139-321-05 LOT TRACT FIRE ZONE DESCRIPTION OF WORKAlt.Rm.for Den
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R-1
1 PERMITS ISSUED
C SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. ❑
Sprinkling System
Construction Pole
Underground 0 Power ❑ _
Rough Wiring .__ ,(2 p ew(/'.oif_e(t/. `1-9-GR /7t'C
trenches 0 Forms 0 Steel Beim. LP — �--K 2--
Floor
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing 0/Y4 '1 -6-410.-
Frame
-6-4 -Frame and Flashing 'j -µl
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. ❑ Air Cond. 0 Final
ing, Final
I__.nbing Fixtures, Final
Final Gas Test _
y
Electric Fixtures, Final _
Building, Final
OCCUPANCY
FORM 6U4•5M - 7.61 1(jbl
' 17361
r.
FEE RECEIVED
JUN 1 81962 .
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. '
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
`. ,
' For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDINGS p pr BUILDING
ADDRES /0 p L6RAM 4 9-e
COSTA MESA. CALIFORNIAI' For Office Use Only
OWNER
CARR IS pis cA L LI A R M 1 RECEIPT HO. I I P t.
MAIL RECHEDQHY
Ip TE RECEIVED/ DATEI(B�Sl1ED
ADDRESS SAinE !n 4-i -�Aa 6-1 --•���
TEL. BUILDING pL p '�//�A
CITY ¢pST19 MESA NO. ADDRESS _col Q S 8 / �t
ARCHITECT _- TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. _��// o
FIRE
ADDRESS "�� MART
ZONE ����-/.�,�STYPE JL GROUP LJ` / )
CONTRACTOR S. L . �-/AR T APPROVED /J l r DATE��a- �O(/
ADDRESS net tri/���#p er CEArJ -�/L�C ZONING USE OP NEW.�i`'y�..
CITY 499K8o/• ZONPJJ -/ PLANS I BU LDINO�.1 ��
STATE TEL. rL LecwL 44,1L 7-R yo pg
LIC.NO. nil l 43 J I NO. Ok 5(�,2s.z_ DESCRIPTION
SIZE I NO. OF OLDIES. / / 3 /G L 3 " / _ O 1
OF LOT 70% 120 NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. gf SED_E_N$_• APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST/./. /f/
CENTER OF STREET REAR YARD Z 1 FRONT Al 4 Coe FT. * EX 1-11-1111.
BIDE YARD I LEFT Set-t I RIGHT a----a --C-70, (-1 R.SIDE --C-70, FT. IN.
DESCRIPTION OF WORK .�4
X
L.SIDE FT. IN.
NEW I II ALTERATION I V ADDITION I X REAR Z/ FT. IN.
REPAIR I II MOVING I D DEMOLISH I BYPROVEO ._//1XAd DATE CAP/4 L
BUILDING p NO. OF / �'1(Y
SIZE Y A 13 ROOMS STORIES
COVERING EXTERIOR
WALL 6TLYTG.0 I COVERING SIIFig&
USE OF BUILDING AND WORK TO BE PERFORMED
/NAKe exist. 8t4 r{oopt 1 Atter/117 ai
A DEP( APPIN(0 9x Ij•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO CON- PURPOSE OR ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION QA
SIGNATURE OF a PERMIT FEE $ 9 N
PERMITTEE I /70 .1
$ • PLAN CHECK $ L/L ~
AUTHORIZED AGENTT`fJJfj�yyt_/I/L. / / 3 1
TOTAL FEE $ LL
(yl i el/ .',.cC • Coat -to xtW 'C -'
COSTA
�i y (y EE `y`/
/OSTA MESA BUILDING-SAFETY DEPARTMENT RECEIVED
P.0. BOX 317 COSTA MESA. CALIFORNIA - wLR 20T,sv3i
FoApplicant to Fill In-Completely APPLICATIOOFa811Ne(�i��kr�@T��Aeult
„-�6��PE OR PRINT _ ��� cost; n/
_b • - BUI
Esi
BUILDING __` -_
ADDRESS .• 4.-
. 4
COSTA MESA. CALIFORNIAI ' _ For Office Use Only
TOWNER�.� L e-TV�� {'Jn At I RECEIPT NO. I/ PERMIT etov
MAIL /� I n •�-��i RECEIVED BY DATE RECEIVED TE ISSUED I,
ADDRESS IIll( = M I Mer4� Dr ' i90-fo/( ,v-.27-e-1
A TEL{� BUILDING .-
CITY ��`�� /VL Iak NO.l�I G G IAC ADDRESS ��
ARCHITECT 4'AME TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE '// 1....-
ADDRESS
��qq` ,�`I-, ZONE �(�/UU��TYP.�E.-/�I GROOU/Pj5A
CONTRACTOR/Vly44 UW2nc F7j,ll LIN�IFS t/UL APPROVED (7,9) DAT••r_/'Z 7/I
ADDRESS Ibc`s AA(Amp-(A DR . /( 'ZONING Ar
jt CI—A.
I— hi
e4� ZONEKI/ (NO.OF (BUI! O NBW
CITY ` f* //�� �/ /� L rK,J PLANE �/ BUILD NG•.q
LIE
C.TN O. 1C/1 ZU NO. {� 1 '`a 3F1 J' DESCRIPTION /L.,1%74-- FjZ V •Y/ VO a
OnSIZE {� Le-� NO. OF BLDGB. lYr.. /J
o,- LPO f I 0 J NOW ON LOT O A.P.NO. 01,4 -yX
USE OF SING BLDG YARDS / EVES
APPROVED ALLOWED
SETDACK LINE FROM /' I .Z j (CENTER LINE ST.)
CENTER OF STREET " U REAR YARD L4 FRONT , J FT. IN.
ff!
SIDE YARD I LEFT fj i I RIGHT Cj R.SIDE FT, IN.
DESCRIPTION OF WORK L.SIDE S FT. IN.
✓V.A
N I LTERATION I (I ADDITION I REAR FT. r IN•
REPAIRI MOVING
DEMOLISH I APPROVEDVIl •`Vi n DATE -Ip -.4/
BUILDING / NO, OF /- /
81ZE I 2e�f ROOMS Le STORIES I
EXTERIOR WALL/7 I f74 E/1 ROOF 4H IAfoLG
COVERING G,Iai.•iil I COVERING 4_1447,k-�"y
OP BUILDING AND WORK TO BE PERP MED
e7yv rh L e Ff4 Li ILL( t ry , /��ez �m on
AND laA-Oa to E • <I" 02 7
I HEREBY ACKROW(�OH T T I HAVE READ THIS FPL( TION •
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
STATE THAT TH AB IS CORRECT AND AG EE T COM-
PLY WITH ALL CITY RD/PI CES AND QT ATE WS REG TING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUMF INO CONST/RU jI .��` � ( VALUATION O
9 r or( I / PERMIT FEE $ B�1 ' CO
PENMITI CP QM N
$ g5-
7,2. PLAN CHECK $ / n 0 .1.
AUTHORIZED ( IT °-5-7"�,r U
TOTAL FEE 5 o