HomeMy WebLinkAbout240 SANTA ISABEL AVE - Building Permits PROJECT ADDRESS: 240 SANTA ISABEL 'AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 068603
.OWNEW,SLLAME: MC LAREN, ELIZABETH
AuoRESS: 240 SANTA ISABEL AVE PERMIT NO: B 068603 PLAN CHECK NO; N GOVT: N SUPP : N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF WITH BUILT UP ROCK SQ FT; 4, 100
ADDRESS: UNIT:
CLAIM VALUE; 4 , 100 , 00 CALL—VALUE: 4, 100 , 00 GROUP OCC ; R-3 /
PERMITTEE: CRANK BROS ROOFING CO ( 714 ) 548-5569
ADDRESS: 126 COMMERCIAL WAY COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B .0
COSTA MESA CA 92627 ******star+e**x-dE*ar*96**aF*****a6a6*arar****aETr*:ETLsksk -ic-***at************a6*ilk*st9LaE******ar t*:EaLa69c
LICENSED CONTR' TOR DECLARATION: I hereby affirm that am licensed pro• • • • 9l commencing with Section ZONINGREQUI RE M E N T S
7000)of Division of the B mess and Professions Code an y license i- I faro- .nd elf•_. $ ETBACK $
CITYLIC.: 00 '•99 sol. m.: 408 7 Cu i39 E • : 06/95
ean�—� 3 signator
....... MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT : FT IN REAR; FT IN
WORKERS'CD 'ENSATIT DECLARATION:�q�f�nI hereby firm mu.Lab. • if irate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
Compensation I-.�ae)ce_•„ V Nt cppy2lheruol(Section 3 00,Lab. 0 /0 1 /.,
POLICY NO.: LL��ff P. DATE:
DMPANY: STATE FUND PARKING REQ: PROV: PARCEL ; 11910104 ZNE; REF NO:
,,yyPLANNING NOTES>
Certified co y i hereby form ed. L"f Certified L, s filed 'Ih the city Building Divisio , 7 •
*******************************************************************************
Dale'. Applies : - `4✓ — i`
EXEMPTION FROM ORKERS'C PENSATION DECLARATI:N: (.is section `ed not be ompleted if the per, is for one hundred(3100)or less). D E V E•' L OPMENT SERVICES REQUIREMEN�'T S
I certily that in the performance of the work for which this per it is issued I shall no •mploy any person in any manner so as to become
subject to the Workers' Compensation Laws of California. ZONING APPROVED BY DATE;
Date: Signature: BUILDING APPROVED BY
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor �- DATE:
Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - Z3
i CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; 'ViL. DATE;
which this permit is issued(Section 3097,Civ.C). ***********************• -' e * '� • * " '
*********** **** **
LENDER: *********************** *********** ********************************** **
ADDRESS: LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/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 licensed SM 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 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 ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 72 . 50 0 , 00 0 . 00 72 .07K,1- 72 . 50 •00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 72 , 5OVER/SHORT: 00
improvement is sold within 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
for the purpose of sale).
72 ,00 ,50
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon *,*M*,**,**,xx,******************************,***************************************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKUOWN
O I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date. Owner: SFR 4100 REROOF BY VALUE RESIDENTIAL NOZONE •' 1 , 00 4 , 100 . 0.0—
I do hereby certify that I am aware of and understand the requirements of California Health and Safely 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 Ouahty Management District.Residential construction applications are exempt from
•
these provisions.
/
Date' Applicant.
I hereby certify Ih have read t application anddsttateatabove inf rcmatlr is correct. agree to ••with all city and county `
ordinances and sta e laws relating o bud1,ding construction a he,-
r:, authori 'represe tatives of its city to e iter upon the above mentioned
propeny f ns : 'on p •.se . A 01 00166547-00186548 T CL T 72.50
Date:
'
11
164646 White—Burlding:Green—Code Enforcement:C. ary—Applicant;Pink—Revenue;Goldenrod—Assessor
\,
I i
CONSTRUCTION AND PLA+ING f PO : SPA I
Date Inspector Date InspectorlAPPROVALS Permit# t /
APPROVALS Permit #
.�. Temporary Electrical Service or Pole 52. Pool & Equipment Location 4
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement '
3,'Electrical Conduit Utility-Undrgrnd. 54. Forms ,
4, Electrical Conduit-Undrgrnd. -, - 55. Electrical Bonding
5, Steel Reinforce!tient - 56. Rough Plumbing & Pressure Test
6,' Electrical UFER Gina. 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. 71
•
10, Structural Floor System - 61. APPROVAL TO DECK
11, Property Sewer Line & House Connection 62. Backwash & Receptor-Final •
12, Sewer Cap - • 63. Heater & Vent-Final
13, Roof Drains 64. Plumbing System - Final •
14, Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit _ 66. Solar System-Final •
16, Rough Electric Wiring - 67. Fencing & Access Approval
17, Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20:•Rough Factory Fireplace ' • ", • _ - APPROVALS Permit
21.'Ducts,in Structure. , _ il , 70. Underground Hydro
22. Ducts, Ventilating - .71. Product Piping ❑Gas OOil
23. Gas.:Pipe1Rough & Test ...: _ .72. Underground Flush-.
24."Roof Framing - • •• 3/4 7 -73' Undergrnd.Storage Tank O Gas ❑011
25. Roo, Sheathing gI-2-5.4C( kW, 74: Overhead'Hydro
26. T-Bar Ceiling (Structural) &Monocoat ' . _ _ 751:Dry Chemical _ '
27,,Frame and Flashing 76.'Dry Standpipe ".
28. Lathing& Siding -1 •• \i•_ 77. FIXED SYSTEM FINAL
"29. Insulation • "' „ I. 14,.-1-<' 78.• FIRE PREY. FINAL
. 30. Drywall Nailing I C.,r-- HEALTHDEPT. REQUIREMENT
x
'31. Plaster Blown Coat i ��, .79:FINAL INSPECTION
32. Electrical Power Meter-Final. I Irlk, - 80. .FOOD CERTIFICATE ISSUED- ~
33. Final Electric - .I I 1 I`.1. . Notes: _ -,
-34. Final Heating18, Air.Conditioning • ' $. -
. . , i . \
35. Final Gas Pipe-Test - i - \� t •
- 36.•Hoed or.Canopy . . I I `
37, Final Factory Fireplace _ _ i 1 ,t i 1 - '
38. Final Plumbing 1t ,•
-39, Water Service-Final $ '
.40. Gas Service-Final ' - i 1 -
41. Solar Domestic-Final II / ••
R-2-11-(1q-
y 'j
42. Backflow Preventer x•-
i 1 ZG/--cj _ .5-111. Q. _ �, /eat
43. Backf low Irrigation - - . _ . -["T�t(�l�
..44. Landscape Irrigation System , , -• � . .. -
45 Sound Attenuation
-46. Handicap.Regulations , . J
47. FINAL STRUCTURE& BUVLDING g_3o-9q &w4
48, FINAL PLANNING I ''4 _ '
•
49,..Electric Release to Edison - • _
50. Gas Release to Southern California Gas Co i i._
51. CERTIFICATE OF OCCUPANCY - "' -
No. Date
. -
. - .
..
COUNTY OF ORANGE .
BUILDING DEPT.
- Permit No.32r2"0../1
636 No. Broadway Application for Building Permit
Santa Ana, California
Phone: 10 2-6211 AND FOR A
Certificate of Use and Occupancy
. •
aten
Dail
1. OWNER'S NAME 7 At. cra,..., , PHONE Y12- 4 -7 Y1 cr
MAILING ADDRESS J S f ...4-4—ta . 4-a-iet CITY &ilia- `)/Th-4-04_,_
Name
Name
Address
....---
(Architect or Engineer)
•-__
Address
State State
Lic. No... Phone Lic. No. 0 -4.....n.,-ce..i..—
,-----
...--__ (Contractor)
City City
Phone — .
PROPOSED USE: 124.74,444,;,,eLt. • . t2f4. 9-4.4.44.7e 1 .2 A 2i
2. JOB LOCATION a 4 0 ...,{24.-aat,, 9 -4-1.„ CL
(House(House No.) (Name of Street) (Town or School District)
3. LEGAL DESCRIPTION: Lot " j/// is. 1 t" -0 Block 1""Ft— Tract . 3
(Metes and Bounds Description—Use reserse side of form)
• 4. CORNER LOT (CA) .ra INTERIOR LOT ( & ) THROUGH LOT ( ) SLOPE OF LOT
— /-2-x t.e) .Z a
5. SIZE OF BLDG - 3 7 It X 3LAREA- Jib? - SIZE OF LOT:..4n..V..1 42._a__AREA:
6. HEIGHT OF BLDG.: 1.2...#. CEILING HEIGHT• " ...d NO. OF STORIES 6 ILA--
7. NO. FAMILIES 0 iy.s.4, Size of Smallest Bedroom: Jo % 12. Size of Kitchen:
8. EXTERIOR WALL CONSTRUCTIONS -7/14,/“.. SD INTERIOR WALL COVERING
(Frame, Stucco, Etc.) (Plaster-Drywall, Etc.)
IC/)
9. SETBACKS: Front Yard from Center Line of Street
Nearest Side Yard ciC% Rear Yard )40(21. Distance in Feet Between Bldgs. on Same Lat------rtint—e---
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width 441;1/4...; Depth in Ground In.-1.4%. Width of Wall__ 46,4.•
Accessory
Bldgs. and (b) Size of Studs: _4—SLY SpaCing i ler Ln v "CC Material of Floor
Similar
Structures:
Structures:
(c) Size of Floor Joists- ......- Spacing ••••••' "CC
(d) Size of Rafters: ../.X.C't .
Spacing ,2,_41' "CC
12. VALUATION OF RROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and Sewage disposal $ 7117D,
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
. Signed• eFf g •Plans
-
Plans Filed• /30/C (Owner)
By.
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
C • CKING BY
in GROUP
FEES: ..._.S- ,./H
2 )
Bldg. Permit - $ „.1 APPLiCATION j.... EALTH
Plan Check - $ 3, cre TYPE z
ZONING.
Total - ....._,- 40.. $ 2.„1/ CD DIST.
e------K,` PLANS AND MARSHAL
Receipt No.?d-. . ta MAP
SPEC'S ,.."119 _....,,STATE
Paid to - .c..c.F401.1 SHEET NO -SC CORRE I0- -7' .. - ENGINEER
Date fri-inerZea VERIFI.1 CAL _
PERMIT ISS I BY:
DATE . /1/.30" '," '" V
-• 1,1,
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA O, T!CTION PEFjM PE IT NO. TRACT NO. LOT NO. UNIT NO.
�1 1/ H � i 51 . 14044' 7/ 12/84 5.00 TI:
Project Address 2k0 SraSA P. d s�d
Applicant's Mailing `d.ress - TYPEOF CONSTRUCTION IYLNEW LI ADD Li ALTERATION LI REPAIR
IF ww q P ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name s.* �� ��, tau Phone% "- 'Q P'# Zone
• DESCRIPTION OF WnR OF :: A a
- $ Main Building: Accessory Building: -
Address • - i •
E Z
Arch/Eng. License No. '. TYPE OF PERMIT ' .• ,GRADING yyss��� FOUNDATION 1111-STRUCTURAL . • T Front - • p
Address - ❑ TENANT ❑ ELECTRICAL WI PLUMBING ❑'-MECHANICAL BA Rear - - - . N
Contractors Nam- • ❑ OTHER !' -
pp�1� Phon� .. C Right - = N
�_ Address(mailingL�.� - 6 /� -C _6 PROJECT DESCRIPTION SQ. FT. - - OCCUPANCY K Left l G
CCS CONSTRUCTION• TYPE VALUATION $ _ - • -
"(" City License No. ' R
ZONE GRADING CU.YDS: ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DE LARATION ; ' ' • - Q ,
NI hereby-affirm that Lam licensed'under provisions of Charter 9 (commencing Remarks: Planning Note's: ' : . M
I with section 7000) of Division 3 of the Business and Professions Code, and T
V
my license is in fu�f. ypp effect. ,(Iq _ r • _ I• -
Date Signature 41.10 w -...424.".--.... PLUMBING f FEES
'ORKERS'COMPENSATION DECLARATION
Bar Sink .
tereby affirm that I have a certificate of consent to self-insure or a certificate
.f Workers' Compensation Insurance, or a cert' 'etl copy _erect (Section
3800, Lab
xJ--AL-L-(- - , -':. 11 AutOmati'c
■ 1
Policy No. Company {{ ■
yII Certifie copy is hereby furnished.
6LCergi-tl{,qpy d with the city Bui g rvisi ■ . I I .
Date / ` - Applicant
EXEMPTION•FROM WORKERS'COMPENSATION DECLARATION • S . !11
■• I■(This sectionneed not be completed if the permit Is for one hundred ($100) or ■
less).
Gas _IElectric Sub Panel •
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 Drinking
■I 1 . i:viIiJ
Workers'.Compensation Laws of Califomia.l I
Date. Signaturei ■
NOTICE:If,after making this declaration, you should become subject to the
Boxes
Workers' Compensation .provisions of the Labor Code, you must forthwith i Floor Sinks . L.__ Urinal Fixtures . - . Microwave 4
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY .. Outletster ■"
I hereby affirm that there is a construction lending agency for the,performanc¢
of the ,work for which,t i permit is issued (Section 3097 Civ. C.) Outlets •
Interceptors Water Heater •
Lender's Name •
/��''''yy��� Q - - -
Lender's Address y.1_t) -
I • •, Kitchen Sink .4 . ' Water Service - Switches ' • Sign . '
OWNER BUILDER DECLARATION -
• I hereby affirm that I am exempt from the Contractor's License Law for the ,s - ' . - Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair ■
•any structure, prior to its issuance, also requires the applicant for such permit ®I
■I ■
5-15 KW Trash Compactor
"to file a signed statement that he/she is licensed pursuant to the provisions of DrainsRoof
•,;he Contractor's License Law (Chapter 9(commencing with Section 7000)of
:E<+piwsmn 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
Malty more alty of not more than five hundred dollars($500). - . l $ 3
I, as owner of the property or'my employees with wages as their sole Reinspection Fee $15 - Issue Fee
compensation, will do the work,and the structure is not intended or offered
for sale) (Section 7044, Business and Professional Code: The Contractor's ' - ' _ 'MECHANICAL • FEES
License Law does not apply to-an owner of a property who builds or improves ' - - ._ -__ _� _.
thereon, and.who does such work himself/herself or through his or her own DEVELOPMENT
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 0 Zoning Approved By Qat°
pletion,'the owner will'have the burden of proving he/she did not build or im- Duct.°Under Ground _ Date
prove for the purpose of sale). - �r
❑ I, as owner of the property, am exclusively contracting with licensed con- ' Duct-Structural , Refrigeration System ..
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 0100,000 BTU SUMMARY OF FEES •
builds or improves thereon,and who contracts for such projects with a con-- - - -
tractor(s) license pursuant'to the Contractor's License Law). I am aware that ' Exhaust System 0 Multiple 0 System Repair/Alteration ' BUILDING
proof of their Worker's Compensation insurance should be provided to me.. '
❑ I am exempt under Section B.&P.C.for this reason •
Firepl/Fact• .BIt. ICBG# ■.'
Date • - - Owner ' - - Heating System&Ducting I _
I herebyacertify. that I-have read thismapplication all and state that the aboves ❑0-100,000 BTU ❑100.00087 ' ' - • �I GRADING
' ■
information ist correct, I agree to sl a with all city a state linty the
vs ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- PLAN I•, '■
sentatives of this ty o the above-mentioned 'property f.
inspection purpo ► TOTAL
Signature •
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - -
CONSTRUCTION AND PLANNING '. PG &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
0. Electrical Conduit;Utility-Undrgrnd. 54: Farms - ,_
4. Electrica6ConduitUndrgrnd. , • 55. Electrical Bonding : f
5. .Steel Reinforcement .. - 56.•Rough Plumbing & Pressure Test- •
6. •Electrical UFER Chid. 57'..APPROVAL TO COVER-GUNITE Az.
-7..Footings •• - 58. Electrical Conduit-Undrgrnd. . . /
8. Foundation. _ y _ - . ' 59. Gas Pipe, 0 Undrgrnd.,Test t,,
9. Water Pi pe-Undrgrnd: t - 60. Backwash Lines, P-Trap, 0 Undrgrnd. L.
10. Structural Floor System • . •. 61. APPROVAL TO DECK' -
11. Property Sewer Line & House Conriection I ' - 62. Backwash & Receptor-Final - - • •
12. Sewer,Cap • - • - 63. Heater & Vent-Final
13. Roof Drains -t ' , _ -.64. Plumbing System - Final - -
14. Rough Plumbing • ' 65. Electrical-Final -
15. Rough Electrical-Conduit •
66. Solar System=Final -
16: Rough Electric Wiring . ' - 67. Fencing & Access Approval • - ' _ . - - -
- 17. Rough Wiring Sign- - - - 68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling - '69. POOL/SPA SYSTEMS FINAL •• - •
19.'Rough Heating & Air Conditioning I . FIRE DEPT.REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # • i
21. Ducts,in Structure 70. Underground Hydro 1 -
22. Ducts, Ventilating I .71. Product Piping,❑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 RREV. FINAL •
30. Drywall Nailing , i HEALTH1DEPT. REQUIREMENT '
31. Plaster Brown Coat -79. FINAL INSPECTION
32. Electrical Power Meter-Final I 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• 71244"t cs • - ' I - - -
39. Water Service-Final
40. Gas Service-Final , . •
41. Solar'Domestic-Final -
42. Backflow Preventer ,
43. Backflow Irrigation • t - •
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed •
-.I
49. Electric Release to Edison ' - - I - •.
50. Gas Release to Southern California Gas Co •
'
51. CERTIFICATE OF OCCUPANCY '
No. - Date I -
PROJECT ADDRESS: 240 SANTA ISABEL AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 068346
OWNER'S NAME: MC LAREN ELIZABETH
ADDRESS: 240 SANTA ISABEL AVE PERMIT NO: P 068346 PLAN .CHECK NO; N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
510-339-1984
ARCH/ENGINEER: REG.NO.:
JOB DESCRIPTION : REPAIR DRYER GAS LINE SQFT:
ADDRESS: UNIT:
CLAIM VALUE; CALC-VALUE: GROUP OCC: R-3 /
PERMITTEE: COAST ROOTER 6 PLUMBING ( 714 )241-1414
ADDRESS: 2737 S CRODDY D COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
SANTA ANA CA 92704 ***ErEF*+rEE4********Ee****EE+ +rx***EE+r*** x** *****Er*** Er*EE+r+Ert*EEEr*EE*****+Ex*****+E*x****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T BA C K S
CITY LIC.: 045140 STATE LIC.: 52912 cuss: _ 06/95
Date: cE-3— `7y Signature:__Z_ ` ....-- MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance. or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV; PARCEL: 11910104 ZNE; REF NO:
Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section d not be completed if the permit is for o hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is i shall no m toy any person a anner so as to become
subject to thecWorkers'Compensation Laws of California. ZONING APPROVED BY •
•
Date:_/5 -3-5'N Signaturei.--2-** DATE:
`-� NOTICE:It,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. /(G tI
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE:e#�l l�-\
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 city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 5 ,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
•
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 2 5% SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption,Any violation of Section 7031,5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 .00
I. as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING-D 1V > 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----> 5. 00 20 .00 0 .00 25 ,00 25 . 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.I1,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 25 .00 OVER/SHORT; 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CI{ECK
I,as owner Df the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25 .00
❑ and Professions Code: The Contractors'State License Law does oat apply 10an owner of properly woo builtls or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).Iain aware **K.**.)(,**, (.*.***.**x.**.**,*,**.****.***.**,***,*,*, ,*,*,*,*,**,*,*****,*.**** ,.k,**,**,*,****.*,***.*,*,*,*.*****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C. -
forthisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: •
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 00 5,00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 01 00165297-00165297 T Q T
ordinances and state laws relating to building construction and hereby autho' , epresentatives of this city to en er upor e above-mentioned25.00
property for inspection purposes. DATE: 08/03/94 TIRE: 13:11
Date: 2• rp
3- / L/ Signature: —. /AI
Drivers License or Social Security or
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
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
61` le.•ctrii al Condq�^i tH'l ility-Ohdrgrnd. 54. Forms
0#-4,6tectrigal Conduct pdrgrnd. 55. Electrical Bonding
.p I
'5: .Sieel Reinforcekeentl: 56. Rough Plumbing & Pressure Test S
'6�EI€'ctriyal UFERR,grnd. •1 57. APPROVAL TO COVER-GUNITE s
7.1,0ootings 7G L., 58. Electrical Conduit-Undrgrnd. az
foundation :c>4 59. Gas Pipe, 0 Undrgrnd.,Test " -
t-.19; Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Unclrgrnd. .
- System t
•}ITt$tructural Floor, - 61. APPROVAL TO DECK
11. Prpperty Sewer ine-& House Connection • 62. Backwash & Receptor-Final
12. $evVer Cap ;� - 63. Heater & Vent-Final
CIJ t..t
13. Roof Drains Cl 64. Plumbing System - Final
•
14. Rough Plumbing: 4• ' 65. Electrical.Final
15. Rough Electrica±-Conduit - I 66. Solar System-Final
16. Rough ElectricWiring ! 67. Fencing & Access Approval
17. Rough Wiring Sign' 68. APPROVED FOR PLASTERING
L___- -
18. Rough Electricat-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
4.
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
... * E. ..
20.iRougfi Factory Fireplace I `rte; -1 i' It 0 :i ^" r: PPRQVAtS.�cBermit 4 t '- -1
c m K^ x • Sn Tie' X SC 1-1 r'x X-, S. (C11)-,_+ > Y. 7 "'1
21. '6uct. irtstrt in -* I• re it.
-yy r H r_. H< * S-:' a: [T
O. Woergraiiric -iyytl'l .K
22. Ducts, Ventilating-is CS. it S •C't a jl. ProducttPi Irig ❑43.3 0911
23.'tas'Pjpes2.tougi &1st th r,* . t , c?:, a -,h
F- H ,� Cr: r :� r d O x �'j2. UndergrCHdl Fiusytr., t F.,
i_ ti•! - I ., o ..x.: . ..' ; .. .. :� --1 , , T
24..RootFraming• pr , E-i� * > ,, C• K z _73.iindergrnd?Storan_ea'ank a' Gas ❑Oth
t Y •-. 'i I-.K_T. , T 'k
25. Roof-'Sher�thing 2* g . T. r Ci r:'' t: _ `a"
I+ .. ..^'F' `. ,7 '74. verhead hydro -
26..t-8ajCeiling (Stra>reura0 & Monocoat z to c: tri-:- K 75.COry Chemical `"- -K H C )
r•• Lr. x 'Cl i
27. 'Frameaa Flashing± ,Z - . y t` :IC i? 76 J�_r S r '�'
a .i '] * :• "X* 1,.: ry Standplp,� .-.�.�,
C-28. ",Lathing $r Siding - -e •--,I-;;! ''...f. n e T .7x �; 77. 'FIXED SYSTEM-FLiiaL _
If
29. Insulation ��• D _ .. - `n r I r � 76.1P IRE PagV. FINAta^ t „
30. Drywall Nailing _a _ j'. I I• t: I �:n H€ALTHl6EPT2R-.HEALTH
• 1. Plaster B wn..Co ni
.. Imcri x . 79.'FIN'AL INSP.ECTI4 x - j
!.j2.
�- f H i= 1 t,t.. w '�- H
-. 2. -SIectrica Powtr Meter,final I CuN 1 f >� :60. CHOOD CERTIFICATE ISSUED I
.33. ',"inaTtle_ciric 0i3` 1 L t r ' rNoti : "- .. `"
G .[ I r. 17 i?1 -K -7 ..1 .7
l o. I. -, cc - x .� I .: r,
34, Fina)?Heaiing& Ai,Conditionv�gS ,� t
A. Rinal-Ga3-FipeTest W-�W�KrF x Cl T tris t^ 0 w'
'1 r.. -. r :IT - crt , --if , :1: ` 0 ....0 C'-t A f- r”
36. HoosLor Canopy nj t r I Crl x n t t � 5 In
1 x •' J t•^
_ ,_ v rn 4 R+
37. F1naPFdCinfy Firegla"ce'_ I.T GJ til ; I' '• t 5 2. !-: r. T
I I.
38. Final,Alumbin9 Fr � ' • •-• • - �: �V i �=, t .1 T v = :�
i- -
x
39. WateaService-Finan r ' 1 <_ y: Ft s i, _im r tr., 71
Cr.
40. Gas Service-Final x ,;, ¢. tr �= , to I r* i Gti, oC, y ci
41. Solar Domestic-Final- S :• •• t: <�. { I -, it^- *
42. Backflow Preventer r •F' ti •� j^ �, O -
- ,, r ti
43. backflow Irrigj'ation t SS x i .- r t J %
al i ,: n
•
4. Landscape Irngation SYstem r t: tr r-' C''f 1 ,; a--Et x re a
45. Sound Attenuation " ';s`' ,.i ` r <E-: `" Et �, -, t-, •:-.., &' t.. r
4-61;(andiced;11eQations Y- 0 K {¢*- r tr, r., y vim. S r
47. FINAL STRUCTURE & BUIL:DING i J i - F - ^C:. t
I k L. I a tr .. i-
48. FINAL PLANING 1• F, t ti I �µ Tin' r: t
- t
49. Electric Release to Edison a t I It ' o: I * -
I I I'S '• . 'l ... :: t , 0.J
50. Gas Release to Southern California.Qas Co ,. I I, t E-. H i • _ rt;_ z 0 •
- w
51. CERTIFICATE OF OCCUPANCY' is i x a E, c:••
No. Date
\Unrvcrt WTT.T.TAMS, Robert UMIL 6-25-76
JOB ADDRESS 240 Santa Isabel Avenue BUILDING PERMIT NO. 42206
GENERAL CONTRACTOR Moun;ar-wnrnerke DESCRIPTION of WORK Add Play Room & Bath
A X119-101-04 LOT TRACT FIRE ZONE VALUE E 17 .000.00
1 w CTIONS Signature Date TYPE V GROUP I ZONE R-1
cns V ,o t�/L SUBCONTRACTOR PERMITS ISSUED Date Number I Signature
WATER (2.•� .sb� Plumbing
ROUGH PLUMBING (t � SP*.So,7*,,d041., nab' 7-telt 617Ea3 4,--
PROP.
PROP. SWR. LINE 0 HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0 Ais.e.._
ROUGHWIRING 7Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. • dpi .-AZ/2. -'74FLOOR SYSTEMO 7-13.'-C
BOND BEAM n STEEL REINFORCE n
SHEATHING �r 4J �'/`�G -
FRAME AND FLASHIN 7(.-7t.
LATHING — IN OUT ,-I. 7 6
PLASTER. BROWN COAT
S URAL, FINAL Eleotia
1. 3, VENT., REFRIG. AND A.C., FINAL / ,(,. 7,4
3,
PLUMBING, FINAL AND GAS TEST �� 5 // /Zt
ELECTRIC, FINAL G IZ-so'76
BUILDING, FINAL /Q C iLviro x
SPECIAL REOUIREMENTS .
Ipl 76�"�00-i9ot - +:•:*x:90.77
422L_
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 'COSTA MESA,CALIFORNIA 92626
• 'P C TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely - Use Ink Only to
�/�r / �{/-- ::•.//4 :V D TE 'EC1 /.ATE�ISSUED
IJ�
BUILDING /V _SANTA / S/11✓r-. L . 1. - �. - ' ' ' '. .t �Q -r/1f^/4
ADDRESS p, )
OWNER Ro sa i \--tr.'L Le,i- m. A.P. NO. / ms) I r,/ E/ ,- .,•` '
MAIL pp�� � BUILDING - tjO d �/
ADDRESS ..y..G/�AA ADDRESS /
(/�-�
TEL.. TRAC � LOT 4 BLOCK
CITY -'G �- � NO.
CONSTRUCTION ` NEW ADD ALTER REPAIR MOVING DEMOI ISH
LENDER ?'r A ` '
BRANCH ._ ✓7�` /�T 1�t/j 1
• TH.
i OWNER 1'71 i r.IA MS. .
ADDRESS �
ne
ARCHITECT TEL. USE
AOD ILAY rtt VALUE/
OR ENGINEER NO. Z
FIRE
ADDRESS ZONE TYPE OUP
_
APPROVES / n�
CONTRACTOR O Q t= — '[ A L-C4. BY I . J DATFJA J? J
(�.� 111%%%
ADDRESS 6 31 CAD f or. r TEZON NO.OF USE OF NE
CITY a J ot re,Es/9 NOI. �/ PLANS Z BUILDING'
`
F STATE (,r CITY YARDS APPROVED YARDS APPROVED
LIC. NO. j..) / Z9s- A I LIC.NO02, MAIN BUILDING ACCESSORY BUILDING
Ly SIZE NO.OF BLDGS. (FROM C/ STR ET)
On OF LOT �1 /NOW
�OiN LOTH� I FRONT FT./ FT.
Q EXE OF. - I fro A ` Dw ELL/iV 4 R.SIDE FT.l2/t FT.
;i., EXISTING BLDG. !-
Ca
E. ' Separate permits are required for L.SIDE Ze5T. FT.
F.
W6 electric,plumbing and heating work. REAR 44'9 FT. FT.
[.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0 MAIN BLOC'S. ACCESS. BLOCS.
mi VA
AD ( L.lit ROn l'i 't /ph'�X CURPP�..J7j#£,[�l�J ' DATE
APPROVED f 7
>. 71 A: e dr .I R7� 1� DATE // �///
w ,
CO
O. I hereby acknowledge that I have read this application and state • n
Lthat the above information is correct and agree to comply with --
all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of u
W the State of California. - -
I
3 I hereby certify that I am properly licensed as a contractor under 77SO:FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR aa
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT EE OIYL�• .
em exempt from the provisions of the State California Business to
VALUATION PERMIT FEE $ (J
/S (�� 9
• and Professions Code, Division ,Chapter 9 n
m
•
PLAN CHECK' $ 'Da'' o
Signature of �� LL
Permittee $// TAX $
Authorized Agent {9 U
.. . .. - TOTAL PAID $/ �s7 1