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HomeMy WebLinkAbout229 SANTA ISABEL AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and'sign-a'' ... CITY OF cos y CONS -RU TI • PERMIT M3 Q' `3 T,;.acT NO. L• 10NO., $ UNIT�NU. -- • 6y Project Addres- - \ •` A - !q S V. .1 LI I U --�� .• • S 1 ♦ . TYPE OF CONSTRUCTION NEW LJ ADD ALTERATION U REPAIR • Applic K"is.,Mfa�il'•• d �}• ..... L M OWner'AJ3 M 'Sir lA ilintill •' pry , ❑ CONVERSION LI DEMOLISH ❑ OTHER os� A.P.# ' 19 — .•^0_ - 28 Zone �9 �� StcY[k30a Ti ( DESC PT19NOF/YORK/USE OF BLDG. . I er ( If V Address z —Or (p r C. IKL( - 1d/LC1( • S Main Building: Accessory Building: • Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION STRUCTURAL T Front O Address �p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear Lid, - N DWne•fre\ AC\ ❑ OTHER 9 _ N Contractor's Name Phone C Ri h - att PROJECT DESCRIPTION. SQ. FT. OCCUPANCY G Address(mailing) .� �e� t�� K Left r ' CONSTRUCTION TYPE VALUATION$ d ?•.t�O $ n R City License No. ' ZONE GRADING CU.YOS. ACRES E Ping. Ref.# Parking Req./Provided 0 LICENSED CONTRACTOR DECLARATION /. /1- I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R. E, : / �• 4 9 / ' Planning Notes: bt - M tin 'lA 4 1 , jp I h.16(7,-- M with section 7000) of Division 3 of the Business and Professions Code, and �l r-. f T my license is in full force and effect'. ±[in /J , 1 $ License Class License No. - PLUMBING FEES E Date Signature - •WORKERS' COMPENSATION DECLARATION • Bar Sink Showers . ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure ore certificate . of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) - Automatic Washer - Transformer D 15-50 KW PolicyNo. Company Backflow Irrigation Sewer Cap ,• ❑ 50+KW 9 Construction-POIe Sub. Certified copy is hereby furnished. • - -. _ Certified copy is filed with the city Building Division. Bathtubs - Sewer Conriection • Cooking Unit Meter Duo to 100 amps Date Applicant / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or -less). Dishwasher • Solar Piping Dryers ❑Gas ❑Electric Sub Panel " I certify that in the performance of the work for which his permit is issued, I shall not employ any person in any manner so as ysecome subject to the Drinking Fountains Solar Tank . Fan Motors 00-1 HP 011-B Worker{'0 p tion Laws of Calif. Date 3)I�� � Signature G /•.-a Floor Drains 'Swimming Pool w/Spa 1i F.A.U. Inc.Solar 09-15 HP D16-15+ NOTICE: f,of r making this declarati. , you s • •ecome subject to the - - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal . Fixtures Microwave - comply with such provisions,or• this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service •Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work 'for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets •Range Lender's Name' •Lender's Address. • Kitchen Sink W• ater Service - Switches - - Sign " OWNER BUILDER DECLARATION • I hereby affirm,that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - - county which requires a permit to construct,alter,improve,'demolish or repair P-Trap Laundry Trays Generator ❑0-5 KIN 05-15 KW ;Trash Compactor any structure, prior,to its issuance, also requires the applicant for such permit • to file a signed statement that he/she is licensed pursuant to the provisions of 'Drains ' _ the Contractor's License Law (Chapter 9.(commencing with Section 7000) of •t , Division 3 of the Business and Professions Code) or that he/she is exempt - - therefrom and the basis for the alleged exemption. Any violation of Section . 7031.5 by any. applicant for a permit subjects the applicant to a civil ' \Penalty of not'more than five hundred dollars($500). ' - 3 �1 I, as owner,ectiI •of the property or my employees with wages as their sole Reinspon Fee $15ssue Fee $ compensation, will do'the work, and the structure is not intended or offered - Reinspection Fee I $16 Issue Fee • ' $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - FEES - — -sr 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 - DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ 5 f3 •_off sale. If, however,4he building or improvement is sold within one year of com- - -- ---- - - Canopy Type II ❑ Zoning Approved By - t¢ c� rya. pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By •� J Date 3' 3 prove for the purpose of sale). - ❑,I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date rJ 3_p,d GDD tractors to construct the project (Section 7044,Business and Professions Code: ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU -- SUMMARY OF-FEES builds or improves thereon,and who contracts for such projects with a con- �. '� r ) Exhaust s tractor(s) license pursuant to the Contractor's License Law). I am aware that System -System-Repair/Alteration 0 Multiple 0 SystemRepair/Ali • BUILDING PERMIT $ al. 00, SMIP $ �• J proof oftheir Worker's Compensation insurance should be provided to me. I Tg� PLAN CHECK $ - PERMIT `❑ fin ppm de coon B. & P.�C�for this reason Firepl/Fact.BIL ICBG# Fire Dampers PLUMBING . $ ISSUANCE $ V Date ___ Owner —�� ( LIt"•7�r / Heating System& Ducting Registers - - PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this applic tion and state that the above Do-i 00,000 BTU 0100,000 BTL— ELECTRICAL $ - GRADING - $ information is correct. I agree • C ply with all city and county ordinances ' and state laws relating to b ii . construction, and hereby authorize repre- - PLAN CHECK 50% $ • MICROFILM $ sentatives of his cit t• e u•on the above-mentioned prep= ty for • - inspection .09.•s.. 3 • MECHANICAL $ TOTAL FEE $ '�(g•.3S Signat - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ' POOL &SPA CONSTRUCTION AND'PLANNING. ' i - Date Inspector Date Ins APPROVALS. Permit# ' APPROVALS Permit # i • 1.J•T.emporary Electrical-Setcice or Pole 52. Pool & Equipment Location •" ' 2. Soil Pipe-Undrgrnd. I'd r' ( % 53. Steel Reinforcement ; 3. Electrical Conduit Utility-Undrgrnd. 54. Forms I I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test ' : 57. APPROVAL TO COVER-GUNITE 6. Electrical UFER . ,. � -• , r - _ 7. Footings n�G �%,i ,, sic., � 58. Electrical Conduit-Undrgrnd. I I l 8. Foundation `, ' rr 1✓ V 59. Gas Pipe, 0 Undrgrnd., Test;. II i 9. Water Pipe-Undrgrnd:^-ice;• 60.. Backwash Lines, P-Trap, 0 Undrgrnd. •10. Structural Floor Systefn4 • 61. APPROVAL TO DECK 1• , 11. Property Sewer Line & Ho"use Connection 62. Backwash & Receptor-Final I 12. Sewer Cap 63. Heater & Vent-Final � , 13. Roof Drains • 64. Plumbing System - Final; r , 14. Rough Plumbing • 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final ' • , 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1$.x- 19. Rough Heating & Air Conditioning 'FIRE DEPT. REQUIREMENT C c 1 20. Rough Factory Fireplace • - - APPROVALS Permit# i t 21. Ducts,in Structure' - 70. Underground Hydro -.i 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil i' / • I 23. Gas Pipe-Rough & Test 72. Underground Flush +t '" ' 1 24. Roof Framing '73. Undergrnd.Storage Tank 0 Gas 0 Oil .� 25. Roof Sheathing 74. Overhead Hydro v C'` A 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical In . 27. Frame and Flashing 76. Dry Standpipe -i L / 28. Lathing& Siding 77. FIXED SYSTEM FINAL (✓ I• i i 29. Insulation 78. FIRE PREV. FINAL 11 ?; 'I 30. Drywall Nailing • - HEALTH DEPT. REQUIREMENT A; I I 31. Plaster Brown Coat 79. FINAL INSPECTION S-' .R 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED l// •e ' • 33. Final Electric Notes: C-' Ir 34. Final Heating & Air Conditioning • .:7 r 35. Final Gas Pipe-Test (-"' 36. Hood or Canopy . '37%Final Factory Fireplace - •' c88/Final Plumbing • la 139. Water Service-Final 140. Gas Service-Final ../. , - - ;. i•r ' 41. Solar Domestic-Final • !; 1'•� , It 42. Backflow Preventer •• 'i•` ' L> I- -'.43. Backflow Irrigation • !� • *Ir.. ti„l - " ,'44 Landscape Irrigation System • ^� 1.45:'Sound Attenuation • '46. Handicap Regulations - S I'r•`_ I.' `47;•FINAL S•T&-YeTtfRE&-EUsLQ4NG• i�f� 481 Special•fe uirementsCompleted�> 7 AL 9 �J c.) •~' .-49i,Electric,Release to Edison • h .I i. • - - 50. Gas Release to Southern California Gas Co 0 - • 51. CERTIFICATE OF OCCUPANCY y No. Date C. t t ECT ADDRESS: 229 SANTA ISABEL AV 0N1T` CITY OF COSTA MESA — BUILD ING—PERM-n— OWNER'S NAME: MITCHELL, OTIS T JR I ADDRESS: MITCHELL KAREN M PERMIT NO: B 068825 PLAN CHECK NO: N GOVT: N SUPP : N _ 229 SANTA ISABEL AVE COSTA MESA,CA 92627 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; 0TH 631-5278 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP , SHINGLE SQ FT: 4 , 672 ADDRESS: UNIT: CLAIM VALUE: 4 , 672 , 00 CALL—VALUE; 4, 672 . 00 GROUP OCC ; R-3 / PERMITTEE: H & B TEAR—OFFS (714 ) 692-1029 ADDRESS: 25605 CROSS CREEK E COMMENTS : SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY UBC 1991 YORBA LINDA C • ' 2687 ***+ciL*eEi6** LTE***+Efex**eta6****x**+r*** THeL*** -+c-*x*x-y6*a6*xar**+t**********s6********sEic-***SE LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under p rvisio s of .pier 9(commencing with Section ZONING REQUIREMENTS 7000(of Division 3 of the Business and Professions Code, and ii license is in full orcet. SETBACKS CITY LIC.: 059799 STATELIC.: 6177, • cLAss: '•39 . : 0 /9,5 m9-- g — `35/ Signature: 'at-' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C). LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: 1234953-94 EXP.DATE: 05/01 /9 COMPANY: STATE .... PARKING REQ• PROV; PARCEL : 11909238 ZNE; REF NO; ❑ Certified copy is hereby furnished. DK Certified copy' de with - 'ty Building 0 ision. ` ^ PLANNING NOTES> -,---c— f_...— C > Date: Applicant: O� ******************************************************************************* — EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred glut)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 ; 44 DATE; . Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. Y CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY • — DATE; y(T `�+�"• which this permit is issued(Section 3097,Civ.C). .l!{h****.*i(-*.*.*-*•****..IE.k***.X .iF***** ***,1F* ***** , N,*******************if*W-WW88-*** * LENDER: ****************************************** - ***** .***************iE************* ADDRESS: LEGALIZATION: N F E E S U M M • t Y STRUCTURAL SEGMENT :Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES. GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 72 , 00 , 50 repair any structure.prior to Its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensedSM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - and Professions Code)01 that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN • any applicant for a permit sublects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE • I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DI V—> 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----> 72 , 50 0 , 00 0 , 00 72 . 50 72 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 72 . 50 OVER/SHORT_ . 00 for the purpose sold one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 , 00 • 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner o/property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***********if******************************************************************* 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. tor this TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: SFR 4672 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 4 , 672 . 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 will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant' I hereby certify that I have read this application and state that above information is co: at ee to comply with ail city and county ordinances and state laws relating to building construction and he authorize represen r to e u the above-mentioned property for inspection purposes. -^' 01 00157491-00167442 T BJI T 72.50 ��.,•.��.$ • '95/ Signature: ' •e �e,c-- DATE: 09/03/94 TIME: 14:30 Driver's License or Social Security 4- 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor 0 MkCONSTRUCTION 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 I 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd'. 4 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I 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. 1 10. Structural Floor System 1 61. APPROVAL TO DECK , 11. Property Sewer Line& House Connection %I 62. Backwash & Receptor-Final 12. Sewer Cap i 63. Heater & Vent-Final I 13. Roof Drains . 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit `I 66. Solar System-Final 16. Rough Electric Wiring • I 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 ❑Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush I 24. Roof Framing • . pppr// i / 73. -;Undergrnd.Storage Tank 0 Gas 0 Oil 1 25. Roof Sheathing , /tce jt 74. Overhead Hydro 1 26. T-Bar Ceiling (Structural) & Monocoat JJJ 75. Dry Chemical 27. Frame and Flashing • -' 76. Dry Standpipe , I 28. Lathing & Siding 77. FIXED SYSTEM'FINAL 29. Insulation 78.-FIRE PREY. FINAL ' . 30. Drywall NailingHEALTH DEPT, REQUIREMENT 31. Plaster Brown Coat • ®® 79. FINAL INSPECTION 32. Electrical Power Meter-Final I ; - I .80. FOOD CERTIFICATE ISSUED 133. Final Electric Notes: . 34. Final Heating& Air Conditioning - 135. Final Gas Pipe-Test ' X36. Hood or Canopy - - . 37. Final Factory Fireplace 18. Final Plumbing 19. Water Service-Final 0. Gas Service-Final , 1. Solar Domestic-Final >, Backflow Preventer - • I. Backflow Irrigation\. Landscape Landscape Irrigation System (. Sound Attenuation ' P Handicap Regulations . I FINAL STRUCTURE & BUILDING f /y /a, �� s- p , O/L (FINAL PLANNING Electric Release to Edison - Gas Release to Southern California Gas Co .�• . SERTIFICATE OF OCCUPANCY • Date i I .. ^ 77 30 ItldRr_ e y_ �, / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. , / 0479 5/13/89 ' . 306 k3 '7L CITY gFddress NASA CONSTRUCTION PER T PERMIT NO. TRACT NO. LOT Npoc O.. UNIT NO. a' Project Address f ��� ��� ' - •'• r yr PE OF CONSTRUCTION L NEW LSADD LIYALTERATION LI REPAIR - - ' • Applicant's Mailing Address 1 i. G�/yam � _ ., r ' /�� Owner's Name �`G ��/«Z4//r - A�/rr(i+at'hone &�}Y/ CONVERSION ❑ DEMOLISH ❑ OTHER�� q,p,# I 19 ^, 09 2— 3Q • - Zone �� • 7 •ESCRIPTION OF WORK/USE 0 :LDG. iE lC/O� 4A..-ex T•_�'t�j� l Address /61;77 /Or 6S 'I- _r7E1✓,4df�'E�'6 1 , . _ -7 A da S Main Building: Accessory Building: • Z Arch/Eng. License No. TYPE OF PERMIT U GRADING��FOUNDATION STRUCTURAL T Front �--• 0 ' Address ' / ' ❑ TENANT• 7 ELECTRICAL PLUMBING MECHANICAL • .A Rear - ,� N Contractor's Name CLAI , ❑ OTHER g A�F' i�LJ� Phone / C Ri ht /fes l N Address(mailing) PROJECT DESCRIPTION SQ.�F'jT'. - OCCUPANCIy R'3 K 2e 0 • e: CON ST RUCTION TYPE_ y �) VALUATION$ '/.SmOO S Left Q# p� R City License No. - ZONE ' GRADING CU.YDS. ACRES - E LICENSED CONTRACTOR DECLARATION ( i ' t' Ping. Ref.4 Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 commenciri 7 Q ( 9 Remarks: P G• �'��. /OS.70 7 w Planning Notes: _�J „/ „f �-r, ,,.. //w1Lt/YL.C7c-P• M with section 7000) of Division 3 of the Business and Professions Code,and A ��s�..�.. ^ e ''WK"`-`^"" T my license is in full force and effect. :' -e • / c• 2/l -88S A.VI/WI)(.l.t-� ,i < // ^yU/] • License Class - License No. - - �, P`? ` r - ��TS Date Signature - PLUMBING FEES - • , - WORKERS'COMPENSATION DECLARATION t! .Bar Sink • Showers ELECTRICAL FEES ' I hereby affirm that I have a certificate of consent to self-insure o_a'certificate /I . • - ' of Workers' Compensation Insurance, or a certified copy thereof'(Section. - 3800, Lab. C.) A % Backflow Preventer Service Sink .2. OO / Automatic Washer Transformer'❑ 15-50 KW ' Policy No. Company !r Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW GZ'• Certified copy is hereby furnished. - - Certified copy is filed with the city Building Division. / J r �' Bathtubs / $ewer Connection - - q OC • Cooking Unit - / Meter.L�up to 100 amps pr so Date Applicant �/ - 6 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION r Clarifiers Solar Collectors - Dishwasher:' - Meter Dover 100 amps - j (This section need not be completed if the permit is for one hundred($100) or ,��,// less). - •• Dishwasher Solar Piping - Dryers ❑Gas L7Electric Sub Panel c0 I certify that in the performance of the work for which this rmjhis Issued,I Y shall not employ any person in any manner so as to b e subject:to-the '- Drinking Fountains Solar Tank Fan Motors❑0-1 HP D1%:B Workers' 7 egspt�'o�n Laws of Calif ,��,//// ej _ ' • Date 5-/i;/YY Signature �/1 /�.r�l:�l� ;e: _ Floor Drains SwimmingPool w/Spa - P F.A.U. ,_ Inc.Solar 09-15 HP D16-15+. , .5' BD NOTICE: If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks Urinal Fixtures' Microwave comply with such provisions or this permit shall be deemed revoked. - - . CONSTRUCTION LENDING AGENCY Gas Service >Outlets 7 Water Closet / I hereby affirm that there is a construction lending agency for the performance -�� -v - �� �/ //.t� w Device 80xes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interce toffs • • " •!/ Water Heater t; ,J • Lender's Name p "/ - 7' /...e7f1�Gj Outlets c'Ran9e' •7 -Lender's Address '- ' Kitchen Sink - Water Service - ✓�J Switches - - -Sign '�f,� OWNER BUILDER DECLARATION I hereby affirm that],am exempt from the Contractor's License Law for the 3 Lavatoriesv '1,f C , Auto-Wash - �j• i 04 v' GarbageiDisposal - Standing Sections - ' -following reason (Section 7031.5 Business and Professional Code: Any city.or _ •county wnich requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays • „ _ - Generator 00-5 KW ❑5-15 KW _Trash Compactor -any structure, prior to Its issuance, also requires the applicant for such permit - - to file a signed statement that he/she is licensed pursuant to the-provisions of - - r -- ,- ' the Contractor's License Law (Chapter 9 (commencing with Section 7000)of ' a Roof Drains a :J ♦_ Division 3 of the Business and Professions Code) or that he/she is exempt . ' therefrom and the basis for the alleged exemption. Any violation of Section - 7031.5 by any applicant for a permit subjects the applicant to a civil • ' p�eR)1ty of not more than five hundred dollars($500). lS 1, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 f compensation; will.do'the work,and the structure is not intended or offered - 'Reinspection Fee ' ( $15 Issue Fee $' 0(j • for' sale (Section 7044, Business and.Professional Code: The Contractor's MECHANICAL' FEES License Law does not apply to an owner of a property who builds or improves _ - -_- - - a .- thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENT employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale: If, however, the building or improvement is sold within one year of com- Canopy Type 11 ❑ Zoning Approved By Date - pletion, the owner.will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). Building Approved By - Date ,S-i/,3 0 I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By - - Date 7 3 tractors to construct the project (Section 7044,Business and Professions Code: ' The Contractor's License Law does not apply to an owner of property who .1' Duct-Ventilating ❑O-100,000 BTU 0100,000 BTU SUyI ARY OF FEE / ' builds or improves thereon,and who contracts for such projects with a con-• a - _ tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ '/cZ•co ' SMIP' $ 1 OS ofExhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK $ PERMIT proof o their Wor r'S Compensation insurance should be provided to me.• _ • ❑'in er coon B. & P.C.far this reason Firepl/Fact.Blt. ICBO 4 Fire Dampers- • pp • ISSUANCE $ • /h�/7 ,e,�i .PLUMBING' $ z$r Date al�2%rt owner - �fi�-• 1 Cd4m.ir'•."7/ Heating System& Ducting '. Registers • PLAN CHECK 25% $ &. -5 ENERGY P.C. $ _ I hereby certify that I have rea�tf<s ap6lication and state that the above / �0-100,000 BTU 0100,000 GT I' (g 0 .2.t GRADING . $' ' information is correct. I agree to comply with all city and county ordinances da ELECTRICAL $ and state laws-rating to building construction,and hereby authorize repre- - MICROFILM ,$ _wntatives oY city_tq/entefiCipon the above-mentioned prope y r - - . PLAN CHECK 50% $. • ✓-7--9.= 0 Sob• /—���--�_ Date MECHANICAL $ ?-5-- TOTAL FEE $ 10 Reinspection Fee $15 Issue Fee 00 X.'.�a PLAN CHECK 25% $ •p'7 I y l ( '� • - 'Y 3 L N ., ' rtPOOL&SPA - ICONSTRUCTION AND,PLANNING f ll i•! \„J Date ",Inspector ,4 APPROVALS Permit# Date • Inspector r APPROVALS °Permit# _ !.- Y7 - . 7 i _ 1.0 emporary Electricalisecvice,or Pole 52. Pool & Equipment Location - _' 1 2. Soil Pipe-Undrgrnd. F- rV ��/1Ce r. 53: Steel Reinforcement - : i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms `• I I . _, 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - / 5. Steel Reinforcemerttl ,z • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grn6 ' �' 57. APPROVAL TO COVER-GUNITE • na,/•7....F,00tm9vv /'� � 44* S 58. Electrical Conduit-Undrgrnd. �• • - 87iFoundatio5i ' 1''' +n^^' 59. Gas Pipe, 0 Undrgrnd.,Test 9f Water Pilfe?Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. •, PI 10. Structural Floor Sysm�' 61. APPROVAL, TODECK • '• n, • 11. Property Sewer Line& HIr 'r Connection 62. Backwash & Receptor-Final � ! ' 12. Sewer Cap63. Heater & Vent-Final _ ' 13. Roof Drains 64. Plumbing System - Final i- -' -+ Vit' 14. Rough Plumbing f/� -f 65. Electrical-Final 15. Rough Electrical-Conduit Ic 16. Rough Electric Wiring 9-1S_fl gD fL . 67. Fencing & Access Approval _ t7. Rough Wiring Sign 66. Solar System-Final • • C C T 68. APPROVED Ft. ,OR PLASTERING 18! Rough Electrical-T Bar Ceiling I • 69. POOL/SPA SYSTEMS FINAL C';") - . 19. Rough Heating & Air Conditioning Orst Afir FIRE DEPT. REQUIREMENT ,.,,9 . • 4 f1. f 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure ) 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil , •.5 23. Gas Pipe-Rough & Test 72. Underground:Flush ' •�:, J. 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil , �n L' - 25. Roof Sheathing 74. Overhead Hydro ,� ; jY /• 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical : h i.(✓; ' p. - • 27. Frame and Flashing 76. Dry Standpipe-- -' i. f o%ig G'N _ v. 128. Lathing & Siding /eV, * G"/ 77. FIXED SYSTEM FINAL, 144➢ iISI 1 ,.1 29. Insulation + • 78. FIRE PREY. FINAL I � 1- - 1 _ 30. Drywall Nailing 7/.71Se Gtj . - HEALTH DEPT.REQUIREMENT •/r . 'f) 31. Plaster Brown Coat • 32/1 li Ger" 79. FINAL INSPECTION L. V `-- • _•2 • 32. Electrical Power Meter-Final ,7_4_88 Qf ./ 80. FOOD CERTIFICATE JSSUED I• Il r,) 33. Final Electric e • Notes: to tad2 6 1 34. Final/Heating &Air Conditioning j/fq/fit � DT� c:,,..11 t - revtc_ 1�<, utak 4-c!) i5. Final'Gas Pipe-Test �27/f(� \�� $/Rla �6. Hood or Canopy , . Final Factory Fireplace - 7filoVfi(�![. % wiGC7( S2-z'•[41 / . ?. Final Plumbing L� v I. Water Service-Final .!� • I. Gas Service-Final • r" .• - I Solar Domestic-Final t • 1 Backflow Preventer • '�+ I il Backflow Irrigation %7�•• L tp , ' -Landscape Irrigation System ,r - • 'Sound Attenuation . ' 1 'Handica pRegulations d - :INALSTRUCTURE & BUILDING //r/�9 r , , . . 'ipecialRequirements Completed /�' ' i electric Release to Edison /it I v las Release to Southern California Gas Co - ' ( ERTIFICATE OF OCCUPANCY/ 4 .1 4/ Date 7 Y V . - -- ' i ..- -:. ..,. -:. ..: -" . t. . .-... . • H. . .. . . , :y. .. _:, .. *. • . : ' . ! . , , • • August••29,:•1983 : Cbtz('IFIED MAIL ' • .... . • Mrs. Geraldine Schlutz . . 1534 -Antigua Way, " • t1ew rt:Beach, California . 92660 • • Re. : Illegal Conversion of 'a - . . .Sir.le-F_anil 'Res idenc,to:a alple- • ,1 - 4 - 29. anta`Isalr • . Dear'Mrs. Schlutz: I received a phone call'fran your legal representative on July 25, 1983. • It. vas brought to my, attentionthat you might .possibly try and. legalize. . ; •,the;,illegal conversion. 4 • - • : It has been a rronth since I havehadany activity concerning your inten- ` sions regarding;this natter. , In, order to keep'-this frau going' to the City's-legal staff, it is imper- atn ;that•you heep ate informed on 'your:progress to renedy this situa- • tion. If .1 •• can be of •• further as'sistance,:. please call tie at (714) 754-5230 betueen the hours of 8-9- 'a.m. or' 4-5 'p.m., Monday through Friday.: 'V Sincerely,. ;. ROGER L. :COCkIRP.N • Chief' Deputy Building;Official • • _' •Electrical.Systems • • • RLC:hsmi' (C-83-1l0) ' • Applicant to fill in all spaces except I NO. TRACT NO. LOT NO. UNIT-NOS - CITYOF.COSTA_MESA CONSTRUCTION PERMIT �� 3Vi 9' � A:P.- .-�� Project Address "� SA-SA - - IS ABe � 1 S Main Building: -,•_, ' _ Applicant's Mailing Address TYPE OF CONSTRUCTION U NEW H ADO LJ ALTERATION U REPAIR E • Owner's Name GREG0RY CAMP'E&L.phon•e• 4.50-39r7 El CONVERSION D DEMOLISH ❑ OTHER • T Front - p . S•fMa DESCRIPTION OF WORK/USE OF BLDG. I A Rear • N Address r� - Arch/Eng. - License No. TYPE OF PERMIT ID GRADING. ❑ FOUNDATIOON/ ❑ STRUCTURAL K Right• G Address ❑ TENANT ❑ ELECTRICAL C PLUMBING IM MECHANICAL s . Left • - R Contractor's Name C L H ft CC.C0N.b/VO&S9R phone 778-F'w122 ❑ OTHER Ping. Ref.# .Parking Req./Provided .. E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address lmaT .1 is 44a w•• Ly'UCOL Al ft/e7^/;A)A At )Iy1 Planning Notes: M S S 7 CONSTRUCTION TYPE VALUATION$ _I • T City License No. S ZONE GRADING CU.YDS. ACRES' . S. LICENSED CONTRACTOR DECLARATION ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' I 'J with section 7000) of Division 3 of the Business and Professions Code, and 1. 33T / ✓`. ,— my license is in full force and effecta3 ELECTRICAL - - FEES License.CJ�«ass C'J O Li nse No.5J'J`3 . • Date / " Signature yp^+ y PLUMBING FEES AutomaticWasherTransformer15-50 KW 0 WORKERS'COMPENSATION DE ARATION •❑ 50+KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers DOn$tfnptlOn POIe Sub. - of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Dub to 100 amps 3800, Lab. C.) - ' . Backflow Preventer _ Service Sink . -- - - .. . . - - Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps 8 Certified copy is hereby furnished. ' Dryers ❑Gas ❑Electric Sub Panel Certified copy is tiled with the city Building Division. Bathtubs Sewer Connection Date Applicant .• Fan Motors 00-1 HP ❑1%'-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ;�"/ _ (This section need not be completed if the permit Is for one hundred ($100)or - d F.A.U. ,1 9t_ Inc:Solar ❑9-15 HP ❑16-15+ less). • Dishwasher Solar Piping I certify that in the performance of the work for which this permit is Issued I - Fixtures shall not employ any person in any manner so as o become subject to the . Drinking Fountains Solar Tank Microwave , Worker}},,'Fo atlon Laws of Calif p(�ism ¢5,, Date 3 a-� Signature kP�' %+�a7�•� „ , Device Boxes Pole Light 9 tf(6 Floor Drains Swimming Pool w/Spa 9 • NOTICE:If,after making this declare n,you should become subject to the Workers' Compensation provisions o the Labor Code, you must forthwith Floor Sinks . Urinal Outlets - Range -. _ _ . . _ comply 'with' such provisions 'or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY • Gas Service Outlets Switches $i n • I hereby affirm that there is a construction lending agency for the performance Water Closet 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - ' Lender's Address - ` - - Kitchen Sink - - - Water Service - Generator 00-5 KW 05-15 KW Trash Compactor , • OWNER BUILDER DECLARATION - - I hereby affirmthatI am exempt from the Contractor's License Law for the Lavatories - ' Auto-Wash- - following reason (Section 7031.5 Business and Professional Code: Any city or - - county which requires a permit to construct,alter,improve,demolish or repair P-Trap , Laundry Trays ' -- I any structure, prior to its issuance, also requires the applicant for such permit - to file a,signed statement-that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of - • Division 3 of the Business and Professions Code) or that he/she is exempt - - Reinspection Fee $15 Issue Fee $ 3 therefrom,and the basis for the alleged exemption. Any violation of Section ' • • 7031.5 by any applicant for a permit subjects the applicant.to a civil - ' penalty of not more than five hundred dollars($500). - $ 9 DEVELOPMENT SERVICES REQUIREMENTS: LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 - Issue Fee. - compensation, will do the work, and the structure isnot intended or-offered -. Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's _ - MECHANICAL FEES Building Approved By, Date License Law does not apply to an owner of a property who builds or improves - � int thereon, and who does such work himself/herself or through his or her own - Application Issued By /I■ ' .Dat: ' employees, provided that such Improvements are not Intended or offered for Boiler . Hood or Type I 0 - sale. If, however,the building or improvement is sold within one year of corn- - Canopy Type II D. i SUMMARY OF FEES . pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground - rove for the purpose of sale). . BUILDING PERMIT $ SMIP $ C I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System 0/4 d' PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: . — . The Contractor's License Law does not apply to an owner of property who 100,000 BTU ❑100,000 BTU ISSUANCE builds or improves thereon.and who contracts for such oroiects with a con- Duct,- q Q PLUMBING $ $ tractor(s) license pursuant to me Contractor's License Law). I am aware that: Exhaust System 0 Multiple ElI System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ 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 Firepl/Fact.Blt. ICBO# Fire Dampers• MICROFILM $ PLAN CHECK 50% $ /� Date • Owner _ Heating System 81 ting ' Registers MECHANICAL $ / -0 TOTAL FEE $ ,�( �. I hereby certify that I have read this application and state that the above ' 00-100,000 BT 00,000 BTL— - - - Information is correct. I agree to comply with all city and county ordinancesrepre- 819* `` PLAN CHECK 25% $ � • and state laws this'city building construction, and hereby authorize rt i • sentatives of this city to enter upon the above-mentioned property for - tInspection pyWoses, ✓I - - Signature sr/\l/}_I!. )1L[0v✓ Date graiFy // • Drivers' Lic se or.55 ..,-- Reinspection Fee $15 Issue Fee y/ 1` $/}r i • • • Tf F� O1 00011039-00011040 . TOT 26.25 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 08/02/88 TIME: 15:41 • 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. - . - ''l' 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement . i 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings - ',`•, 58. Electrical Conduit-Undrgrnd. • I 8. Foundation . , �_ 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 'P _11 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural FloolSystem • - , 11 61. APPROVAL TO DECK ' 11'. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final a u 13. Roof Drains 64. Plumbing System - Final • •14. Rough Plumbing: - 65. Electrical-Final 15. Rough ElectricarConduit 66. Solar System-Final• - 16. Rough Electric Wiring 67. Fencing & Access Approval �- t ,d7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conlitibning FIRE DEPT. REQUIREMENT 20'. Rough Factory Fireplace �� APPROVALS Permit# f: a • 21-.` Ducts, in Structure •��f70. Underground Hydro ,1 22. Ducts, Ventilatin " 9 ;y 71. Product Piping 0 Gas 0 Oil . I23. Gas Pipe-Rough & Test '- - . .72. Underground Flush' 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oib_' . 25. Roof Sheathing 74. Overhead Hydro \ 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 1 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 t . 31. Plaster Brown Coat 79. FINAL INSPECTION , • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �.� P. Final Electric Notes: `0 ' 14. Final Heating & Air Conditioning a4-940 er 6 _ 3. Final Gas Pipe-Test - - ' i. Hood or Canopy . , . Final Factory Fireplace I ' Final Plumbing I )Water Service-Final \Gas Service-Final ' ' . J \Solar Domestic-Final . • 1 Backflow Preventer . -.:1-- ' ' • • 3ackflow Irrigation - - -;1 • • Al .i landscape Irrigation System ound Attenuation . . endicap Regulations . 'NAL STRUCTURE &BUILDING. • ' • !ecial Requirements Completed ' , 'ctric Release to Edison • - Release to Southern California Gas Co %"r , ITIFICATE OF OCCUPANCY • ' • • Date Ir- . ! G ! _ April 13, 1983 ' CE TIFIED-MAIL 4 . ♦< • v. • - ' - Mrs: Geraldine Schlutz ' 1534 Antigua Way liewp)rt .Beach, California- 92660 - - Pe: X225 Santa Isabel... A.R. No. 119-092x38 CM3 450? . • - ' Dear Mrs.• Schlutz:: . • A caupliance inspection was conducted by-the. Costa Mesa-:Building- Division.. _ • at the above-referenced address,on April 1, 1983: • •' . This inspectionwas initiated. by-the Building Departnent because one -of ' our: Staff.representatives was conducting .an inspection"of a new two-meter - electrical service: ins`tallationart] it was apparent to him that the struc-''• _ • • tura was. only. designed,'as a single-family residence andsthat a further--. -' - ' investigation would -be, n_ecessary' when'•.access to the • intericr eould:he " arranged. �' . . • . This inspection resulted in 'the -following 'itans as having 'been altere~i. or - • . added without--submittal of-'plans;. engineering calculations, diagrams -and • '• - - •: other suplxirtive data for ' approval by the City Building: and ,Plannirxj ' • Deferments: • • " 1. Separation wall added between 'kitchens'.arr] bedncuei '• - •-- • • off' at front unit hallway. _.r2: Kitchen plunbing acid electrical installation on' _ ' - • north-'unit. • 3:'-•Restroa n structure.'rear unit -including 'interior - _ - alrenitie ` (_shower, lavatory and water closet): 4: Living roan structure to include:brick fireplace. i:- ` ' - • -: 5. Interiorrpartitions. of.converted 'beds, u froth- , garage storageroan.: '" . •.,. 6. All associated wiring in interior walls of addi-. • tions. • 7. slater'heater installation coaplete:a without per- •• • • • mit<-and: inspection with the vent.and TPR valve, - ' beirx3 in violation of•'the Code. ',• • ..' 8; .`t,as piping to waking range 'not.-sized adequately, in.back-unit: ' �r - Ars.' Geraldine-.Sdzlutz - -- April 13, 1933 ; ` • 4 .. .fF� ' The structure as is'stands now will 'be required to be res t3red,•back to-' its;original• design, nu:l .that single--fay residence -bang :with-the , • structural additions; partitions 'and.all passociated.plumbing, heating .air]„electrical--additions - ' The-`above restorations will• require a demolition penait aricT inspections •by. thel-Building Division` tia, ensure-•caapliance. Within.five -'(5)"days after receipt-•6f this•tetter you are"'to contact - ,the Building and Planning nepartmerits-.toc,inform us ..of your,intentions and processing of necessary'permits to-bring the. structure back into confonnsnce •of a simle-family residence:.'.; *' ' < '-Sincerely,. • I Jf3ERRI' L. 0JQ11ThN-1.-- , •' .Chief;Electrical Inspector • RLC:hwm (C-B-17) . • • • • • •�s" d ti's' r + - t r y Yt - • pf 2 t. -