HomeMy WebLinkAbout1425 SHAMROCK LN - Building Permits 0" CITY OF COSTA MESA
4 BUILDING DIVISION
} • _ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
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PERMIT
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA-t.7L'SF,2Mc 626
PLUMBING PERMIT
Job Address: 1425 SHAMROCK LN Status: ISSUED
Suite No Applied: 01/27/2005
Issued: 01/27/2005
Vicinity:
ISSUED BY
Parcel Nunmber: 41814120
Applicant:
Address: 3412 GERANIUM
Phone: 714 957-1577
COSTA MESA,CA Zip: 92626
Owner: MORELLI,ABDALLAH & SARAH A
Address 3412 GERANIUM
Phone: 714 957-1577
COSTA MESA,CA Zip: 92626
Contractor:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER REPLACEMENT.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain.Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $35.80
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626 •
2446.46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
A r
❑ I have and this ea is issuete of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed it the permit/s valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit Is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.4 Class 4
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars(5500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
hielf or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is
old within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am ex mpt under s . Business end Professions Code for this reason:
cSignature:
Expires:.. �('7—1
Verification of Ownership by(type of document,ne t,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,end that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? (J Yes PI No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
•
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- s ribed property Ijor Inspelctio purpose a ree not to occupy or allow occupancy of any building authorized by this permit until fina inspection.
'Signature f Lege caner s i„_Dat _„
And/Or Authorized Applicant Date
CODE t INSPECTION TYPE PATE Iff1IDALU 000EII INSPECTION TYPE BATE f$TRIAL@
1616 Fixed System Final Fire Prevention 206 Final Mechanical 1
1266 Pool Spa Final 208 Final Plumbing nn''1 5-05 (3 11/
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
v +`.0 /
1 C—+ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
.CIT, OSTA ftriiSA CO(P'I TR UCTTII OZ PER MIT PE MIITTTNN,O TRACT NO. LOT N. LVIT NO. 521 D I D/ 15 ' ' 41 .75 TL
Project Addrr,:s' " qL •Ji/ tan. i-.w A S_nig .,�y�{�• / ..
Faplicant's Mailing Ad ess O4'22 . woodAns-2,1. L. N • TYPE OF CONSTRUCTION NEW LI ADD U ALTERATION ❑ REPAIR
1_ afN CI CONVERSION III DEMOLISH El OTHER "/ A P # LI/
1 r •� 2-1 Zone
Owner's Name C N'L 'd/t4� ,tabf3 Phone `.% -/V'fs, / ( 6' (�.7 �` 1
/it _Minyae &N •!! et to hi toil ,
DESCRIPTION OF ORK/USE OF BLD g
Address '� • Lead. S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT III GRADING II FOUNDATION e STRUCTURAL T Front /
V. ZO
/t Address e �[ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear / N
^/_\ Contractor's Nam' G'v Phone sni3o'r ❑ OTHER A <//// /
`CI Address(mailing) 0 10 • L • G• PROJECT DESCRIPTION SQ. Fly OCCUPANCY_�-3,� C Right N
CONSTRUCTION TYPE UN VALUATION$6 u ' S Left O
c n City License No. 2 7 a - -
R
�) LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES , Ping. Ref.'ii, Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: (^, f CO /1 s (� Planning Notes: ( NI
with section 7000) of Division 3 of the Business and Professions Code,and ` eV'C. s �� Ci�.l ���1�1� (7 /sr4s'I unfit LA)s�aa� bn {�d�W�/
N. my license is in ful tar • a;' effect. T
/rs - i . /, 12G �• •• /'J! 1[,i 2 1 s. -_ - _�/L - $
- J Licen - Class ^�_ - ' License No • / CoW T C3/r""� I .3 W(s/CKlU�C1'Z
Date O'Y Signature PLUMBING I FEES ��1 (e- 17
WORKERS'COMPENSATION DEC LA RA ON Bar Sink Showers 11E ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-Insure or a certificate i
of Workers' Compensation lie rpnce, or a certified copy thereof (Section
3800, Lab.ryS.) /.1s• de f�rG ��s ion Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW Jr
Policy No.t�Q p��a+ Company��AU It CMN. Backflow Irrigation Sewer Cap - 0 50+KW
[],,e1
titled copy is hereby furnished. r
Construction Pole Sub. //
L7Certified copy's filed with the city (ding Divisi Bathtubs Sewer Connection Cooking Unit - Meter ❑up to 100 amps
Date /&n')''�fo Applicants
EXEMPTION FROM WORKERS'COMP ATION DECLARATION Clarifiers - Solar Collectors Dishwasher Meter ❑over 100 amps
(This section need not be completed if the permit is for One hundred ($100) or
-
less). Dishwasher Solar Piping Dryers 0Gas ❑Electric Sub Panel
I certify that tri 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 Fountains Solar Tank Fan
Workers' Compensation Laws of California. Motors 00- P 01%-8
Date Signature Floor Drains Swim ' g Pool w/Spa F.A.U. Inc.S r ❑9.15 HP❑16-15+
NOTICE: If,after making this declaration,you should become subject to the -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Ur' al •
comply with such provisions or this permit shall be deemed revoked. Fixtures crowave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Boxes oxes
I hereby affirm that there is a construction lending agency for the performance Device / Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater O fiefs
Lender's Name Range
Lender's Address _ - Kitchen Sink - Water Service - Switches -
OWNER BUILDER DECLARATION Sign
I hereby affirm that I 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 - Garbposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 5 W-I,L5-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit —_ Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drain
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 r •-
therefrom and the basis (or the alleged exemption. Any violation of Section
031.5 by any applicant for a permit subjects the applicant to a civil
malty of not more than five hundred dollars($500).
Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
Compensation will do the work,and the structure Is not Intended or offered - Reinspection Fee I-$15 Issue Fee $ 3
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 DEVELOPMENTSERVIgS/$EQUIIRE/MEN`S: s(, - fC
employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 r� _ J
.sale: If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground -B
Approvedy L :S
-
Drove for the purpose of sale). Building _ V" Date SC)^/S gb
"
•
I, as'owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By .� if ..;...-....1 .......aate Ic.•'-/r$G
tractors to construct the protect(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 _
100,000 BTU 00,000 BTU SUMMARY OF FEES
builds or Improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that00Exhaust System 0 Multiple 0 System air/Alteration BUILDING PERMIT $ 2...5%2...5% � $MIP $ a St.
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ /e4:1 r �� PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# ire Dampers PLUMBING S ISSUANCE $
III_
Date - Owner Heating System&Ducting Registers ENERGY P.C. $
PLAN CHECK 25% S
I hereby certify that I have read this application and state that the above 00.100,000 BTU ❑ 00 BTU-- GRADING $
Information is correct. I agree to comply with all city and county ordinances ELECTRICAL S
and state laws relating to building construction,and hereby authorize repre- • MICROFILM $
inspection
of t city to epler upon th9, above-mentioned property for • PLAN CHECK 50% $ e
inspection pure es. //. . . . y,lo MECHANICAL $ Lib 75
Signature G(
CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
•
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing & Pressure.Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 4.- 4 gbCPA58. Electrical Conduit-Undrgrnd.
8. Foundation ( 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
•
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# -
21. Ducts, in Structure 70. Underground Hydro '
22. Ducts, Ventilating 71. Product Piping O 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT "�1
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: toil rib C�,e6-tsa- Prekr
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace - • .
38: Final Plumbing •
39. Water Service-Final
40. Gas Service-Final • - •
41. Solar Domestic-Final -
42. Backflow Preventer
43. Backflow Irrigation '
Landscape Irrigation System
. 45. Sound Attenuation •' •
46. Handicap Regulations •
a •
47. FINAL STRUCTURE & BUILDING /0/ J 6 00 .1 -a
(/ • j
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
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No. Date
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to f "-' (0. 0 PR0Posea. %c./c waLL �erJGe_ v" g" tf'
CITY OF COSTA MESA � 0 X X
PLANNING DEPT. 1J.11 � a �� S )_:,-1 / 4- 0 �� hien; — ,c� a i
. ,. tct to Koo. DEPT,la • I t�" —� L..
/ 4 CS�sfia Moto sulicU>tg Ere +�{ tp��r I STRUCTURAL APPROVAL ONLY
�// I �/? f7,o.--n'yd� pA , l0 �_ .9a_ I . /^� V � (jO 9fE 'a1E�La % «N NS G X 8
tt3E PLAINS MUST BE ON JOB AT ,,GL TIMES ' FOR f1ErTHICAL, PLiil=MNG,
MANE KO CHANGES 'WITHOUT PRIOa aPPNONA@ 8foGdLno ikw,.'.,-. W4 ?; , ".3 c- z_ .
DE IE WM. FR GE t' r./w
iTNE ISSUANCE OR GRANTING OF A PERMIT 01 APPROVAL'
OF PLANS AND SPECIFICATIONS SHALL NOT BE ,ONSTRUEO • �.„
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION I P e rni;J r ft... S_7_17._
• Cr ANY OF THE PRov;cIONS CF THIS CODE. NO Pt 2M1T.PREn
LUNG TO GIVE AUTHORITY To VIOLATE OR Of VCEL THE THIS NJMSE MUST ACCOMPANY
F•.DVISIONS OF THIS CODE SHALL BE VALID, EXC;PT IN SO ;11 iiVSPP i D d FENESiS
COMJ4tx WORK OR USE WHICH IT AUTHORIZES is Loam ,
THE ISSUANCE 01 A PERMIT BASED URN PL!ARANO.
C MIRCATious SHALL NOT PREVENT THE EWLa;NG,'FfICIAl. ! I
Eal THEREAFTELt REQUIRING THE CO.uo 'I-: RRBRS II Fria SuiLCity , t i EfE i'ERSONC ACE TO BE
LPi DAM PLANS Alio S'PLCIIICATi0F5 OR FROM P11EV1 'NG I Ea4PlOYFD WE SUGGEST A, THE STATE OF
moan OPERATIONS bLiNG CARRiEDON THEREUNDER CALIFORNIA iA „'4Diia Or �.,. . .?L - -FE1Y
TO V!OLATTUT1 OE THIS POW 0R Of TITil OTHER ORO j OE 1.O N S U t . c i, FOR . D E I T I O N A L •
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TYPICAL 611 CONCRETE BLOCK FENCE
ais
ChnBokW " 8Chanellt»� # i. ■I immom Ii I I I GENERAL- NOTES
Fontesrizontal Top at elf ' MORTAR: One Part Plastic Cement, and
o
Three Parts Sand
I IHilt MR11 GROUT: • One Port Cement Tires and
For Finals 11110116'or Lass l I i It r I le One Half Ports Stand
Von.Ban 3/8.4 et e'41"O.0 ■ o COPING: One Port Cement, Three
For Fences Higher Than 6' i` u
;IICONCRETE: Well Mixed I: 2h 13/2
Ven,Ban 318'+ at 32"O.C. a = .
Fill GIN Solid With Grout �� > Z .'——" (• Max. of 7'/2 Gallons of Water Per Sack of Cement
Where Sial Occurs
Reinforcing Stat Shall Il 4
I w I HO SII GROUT MAY BE POURED FROM THE TOP
Conform to Sao.A-16.38 W o
OF THE FENCE
AS,T.M. II Ern !' -'I I I CELLS AND AR EAS OF HORIZONTAL RE IN.
I W FORCEMENT SHALL BE.CLEAR,CLEAN&
All Steal to be Lapped LL • FREE OF ALL MORTAR DEBRIS.ETC.
K"or to Code S ' —Si I
in;
NATURAL GRADE v ill II II Jbà BONOSSHALLBEPROVIOEOBYLAYING
WEI = I s ,. SI_S1
an 1., "rt. 1 , i U= BLOCKS IN STRETCHER COURSES SO THAT
ErVERTICAL JOINTS ALTERNATE IN EACH
. ." -O • ♦ COURSE.
TWO 7/S" BARS ryeCONTINUO - f� . • .. •.. • .
BOTTOM TOP -.4 ' O WIDTH Q TO 16' 0 C. MAX. '
F SEE CHART a.
L BELOW �' Q� " .DEPTH OF EARTHTCOTH
p • b �• I/3 THE HEIGTH OF FENCE
e L . 9ECGW BOTTOM OF FOOTING.
•
�q� lo' 4" • 2,, SCALE: I/2" • I'
_FOOTING REQUIREMENTS _
WALL HEIGHT _ fi 5' 4' 3'
WIDTH OF FOOLING -' 14' 14" 12" 12"
THICKNESS OF FOOTING 10' 10" 8 " 8 "
DEPTH OF EARTHTOOTI' 24" 20" 16" 12"
SPACING OF EARTHTOOTH 12' ; _ 14' 16' 16'
w OWNERS NAME: — L92 L�� y l t 7-1"'
City of Costa Mesa, California JOB ADDRESS: T= �LdC
Building Department
1
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this Oc j /3 day of
C9,e-a 198$, by and between Sjual,41 mOr -lli
hereinafter referred to as "LAND OWNER", and ,5z m'F,Cv A-26-/ercy_soil
hereinafter referred to as "ADJACENT PROPERTY OWNER".
It is hereby agreed that a party wall will be constructed on the
property line between /1,2 5— 5h1/9/71,cocK /,d,ns # /77,C'sfCid_ t- iofC',
/ 1 (Address of Adjoining Properties) /
A/1720ae ,C0). I�OJ-Ff+ MP.rtt / g-,¢ - 912g. 6
in the City of Costa Mesa, County of Orange, State of California, as per map
recorded in Book , Page of Miscellaneous Maps, in the office of the
County Recorder of said County. The party wall shall be permitted to encroach
PCoptx7y ,C,ive s et)
IN WITNESS W-IEREOF, the parties have entered into this Agreement the
day and year first above written.
LAND ER / ADJACENT PROPERTY GWNER
(Signature) ( gnature)
NO4/ta ‘1171()
S9en)4 n - yel/i� orPrin Printed)
4-7-04e a") C
bitio eti
got— 65(4,-/n tD /✓, 4 i Skin/0J 6), G a77T
(Address) (Address)
e 0a-G/4 //ler,+/ 64 . 9'c) eiL 9,02426
•
(NOTE: Please see reverse side for notary's statement) a
• STATE CF CALIFORNIA ) •
) ss.
COUNTY OF ORANGE ) •
t. 13 , OCTOBER , 1986 before me, the undersigned, a Notary Public in
'a and for the County of Orange, State of California, personallx appeared
EDWARD A. KERBYSON AND KATHLEEN S . KERBYSON
F
1
}mown to me to be the person(s) whose name(s) is subscribed to the within
instrument and acknowledged to me that (he/she/they) executed the same.
r
S my hand a • offici.1 seal. (SEAL)
0
Signature iC
J MILLER-PIEPER OFFICIAL SEAL
J. MILLER-PIEPER
¢t ''� NOTARY PUBLIC-CALIFORNIA
Name (typed or printed) �I . -fB PRINCIPAL OFFICE IN
/ ORANGE COUNTY
` My Commission Exp. Nov. 4, 1988
se�ws�wxwe
•
STATE CF CALIFORNIA )_ •
ss.
COUNTY CF ORANGE )
On G( /' /y ( -' , before me, the undersigned, a Notary
Public in and for the County of Orange, State of California, personally appeared
•known to me to be the person(s) whose name(s) is subscribed to the within
• instrument and ackncwledged to me that (he/she/they) executed the same.
WITNESS my hare] and official seal. , (SEAL)
(Signature)
F 1 OFFICIAL SEAL
�iYS�;A��`NOTAar'uauacALlFoaeuA
Le pr5T/1oi✓e `'-7 ORANCf COUNTY
7�E c/NE
Name (typed or printed) NY COMM. EXP. MAY 7, 1990
OWNER College Mesa-Company DATE /1-l8-56 . ,
JOB ADDRESS 1)25 Shamrock Lane BUILDING PERMIT NO. 2767
GENERAL CONTRACTOR The Hale Co VALUE $ 10,2148.00
LOT 8 BLOCK TRACT 2/132 Single Res. w/att gar ,
GROUP T pit J TYPE V ZONE Rh FIRE DISTRICT 2796
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench r� - „! - -
Foundation Forms and Grt'•r:ra,espy -1 i -fid
Rough Framing 2Z_ �J -I _
Plumbing,Rough E ASfabt n, V 07--17-$1...
Plumbing, Rough Complete VV �/ 6,�y.� G,��,rtr 4-LC• rG ii G .n5 --
Temporary Pole �/ _ o
Wiring,Rough 2465 1• /C L Be.�-ten )r-Lc 6 - o � - .s4e a S R. ? —
Heating,Rough L
Heating,Final , S' / n ,a A/ ' 40-„2,tZ rt" 3 R ,z6
Sewer, House,69.e.€ Sewer,St. ')..) -Z • i y.yy-,3 L /91 3 S
thi xecic�d{I1/�01, 9->- - -
Lathing, InX OutX ��rrEda'; y. 4-'3F
Plastering ,�y�-4' g -ly' ": G
Plumbing,Final,Fixtures Complete .90X /Q-/ rie /� /_
,�
Plumbing,Final Gas Test /4,/4,7;.°) Sl_ ArJ hi.ihr• - , 1,/ �
�// //7- -A �
Wiring,Final /94f./ 0-/6 Pir Aar
Occupancy :OM /0-/b -S
FORM 210 3M 1053
Cc'sta Mesa Building Department . APPLICATION FOR PERMIT
- .. COSTA MESA,
111 EAST BCALIFORNIA 2.7•�Q 6 BUILDING
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. 1 Permit No.
Building
Aress a 7e 7
Add1425 Shamrock Lane
Costa Mesa, California Receiveedky Date Recd. Date Issued
Nearest /�'� � /r✓J b
Cross St. Watson Avenue Building
Address
Owner College Mesa Company
Mail Costa Mesa, California
Address 8002 Central Avenue Nearest
Tel. Cross St.
City Garden Grove No. LE 9-2158 Zone /J No.of Type '/ Group
Architect or Lic. 4" I Plans I y V �y
Engineer Davis & Quigley No. C-1790 Approved
/
by Date
Address 43 Malaga Cove Plaza,Palos Verde( CORRECTIONS
contractorThe Hale ComCity tic.
pa ny No. 3422
Address 8002 Central Ave. , Garden Grove
Legal Lot Description I No. 8 I Block I Tract 2432 .—
rl a . 7 1r<1
(Attach Metes and Bounds) t }"'i.,,x � ' . .� ,4
No.of Bldgs.
size of Lot 73 x 100 I Nowon Lot None L!
Use of I No.of I No.of llDq 1 Sj inGy x
Existing Bldg. Families Rooms , . C 2
Setback Line from Rear Yard 40' Z
Center of Street 50 Side Yard 7! >
DESCRIPTION OF WORK CITY 01• COS I A rdl-SA r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No.of
Size 1181 Rooms 5 Stories 1 ( j
Exterior Wall Roof
Covering Sturcp I Covering Shake APPROVALS
Use of New
Building Single family dwelling with Foundation Location Inspector Date
Forms,Materials,
attached4arage. Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
II hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating
building construction. Lath.Ext
Signature
atteeof THE HATE CO 'ANY
Plaster,Int
Authorized Agt.
SILVIA LARDNER
_ _. _' ." Plaster,Ext.
Valuation (� Permit Fee $ y�''Plan Masonry Reinforced
$ O 0 , Total
$ / 3OO, Bond Beam
Fee $ 3/ ' FINAL
FORM 204 S-AP 2M 6-55
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Street
PLOT PLAN
Show location and distances from •
property line and between buildings.
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