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HomeMy WebLinkAbout2802 SHANTAR DR - Building PermitsI\ • i • CITY OF COSTA MESA F` ►l� BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER • PERMIT sodt B99-00493 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT • Job Address: 2802 SHANTAR DR Status: ISSUED Suite: Applied: 04/13/1999 Vicinity: Issued: 04/13/1999 Parcel Nunmber: 13940312 Zoning: R1 R1 _ Applicant: GLASSELL, JOHN ISSUED BY: Address: ✓' Phone: 714-435-1724 Zip: Owner: GLASSELL, JOHN Address 2802 SHANTAR DR Phone: COSTA MESA, CA Zip: 92626 Contractor: Address: - Phone: Zip: License: Arch : Eng: Address: Address: • Phone: Phone: Zip License: Zip: License: • SCOPE OF PERMIT T/OFF SHAETH AND REROOF 2200SF RESIDENCE W/NATURE GUARD FIBER SHAKES(LT WT 5.8SF MAX WT)ICB0#5121. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,500.00 Permit: $99.75 Claim Valuation: $4,500.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $100.25 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 . lJ DECLARATIONS ( ) �) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate 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 is valued at one hundred dollars($1OO)o 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,ODO),IN ADDITION TO THE OOST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S 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.# Class# 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($500).): ❑ 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 himself 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 sold 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 met and sec. Business and Professions Code for this reason'- Signatu . ! ' Expire,?—"/6 1012 Verification of Ownership by(type of document,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,and 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? 0 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 Califomia 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes lJ 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? ❑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 AN r 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 co ply with = //1 to laws and ' - dinances relating to building construction,and authorize representatives of the City of Costa Masa to enter upon the abov:-•ascribed pr.erty for'4:/ on putpos: .ree not to occupy or allow occupancy of any building aut nzed by his p it til final Inspection. ignature Of LegalO Owner(s) �` Date And/Or Authorized Applicant Date RODE I INSPECTIONTYPEQA�T JNTRIAI$ CODEC INSPECTION TYPE RAIL IEBBALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final j 208 Final Plumbing 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 •n 2446-46 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA7.44 ONS CTION IT PERMIT NO. TRACT N' \SCI' LOT NO. UNIT NO. _ , Project AddressV r P✓ �r` U.ALTERATION LJ REPAIR , Ct'1 I� • TYPE OF CONSTRUCTION 'e NEW' ADD ' Applicant's Mailin• Address dr. n ❑ CONVERSION ❑ DEMOLISH ❑ OTHER a A.P.# I Zone R ' Owners Name - /< _Q aJA��7,4t flag Pho • G DESC'IPTI•N OF WO'K USE OF BLD 0 ' . - ' — �� - - I I 1 Address 422,42 .C ,e41- r'Jr-AC 4 ...I S Main Building:E / Accessory Building: Arch/Eng. License No. TYPE OF PERMIT r GRADING T ,9_9/y- /44-3/41-11 - O ❑ FOUNDATION• ��rTRUCTU RAL Front. ///// • Address / } ❑ TENANT ❑ ELECTRICAL -❑ PLUMBING ❑ MECHANICAL • B Rear hid N Contractor's Nam: 4' ' 2 -/"gre'G/ PhoneE2 / ❑ OTHER C Right -F /i _ N Address Imailingle-.T/, A e .-j 'oz PROJECT DESCRIPTION 'SQ. FT. • OCCUPANCY 3 K 3 - G / C CONSTRUCTION TYPE `_L- VALUATION'S 916 $ Left O� R City License No. �G9 7$, ZONE GRADING CU.YDS. ACRES Ping. Ref. # - ''s' ✓ �- •Parking.Req./Provided ' E LICENSED CONTRACTOR DECLARATION ^ / /��� Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �•y t7 • 104.—.... n / " L' .� /w / y/s e/ Planning Notes: la' -., C.-of(J-(-p Q'C/ /r✓' LV� with section 7000) of Division 3 of the Business and Professions Code, and - ' �s 1. A��[ YJ At sit a ��r t.( my license is in fulr'ce and effect. ar / e /)� • Oa, •3J p C n— ',y, /y • -etic 1,e, V eeadito- sT Liven • CL s �S No. t1/R( (1 ^• - (xJ A Dat: ^ ' a • SignatureWat ' . I- .� PLUMBING FEES . _ VVV • s�i_ 3R KERS'COMPENSATION D ARATION Bar Sink Showers ELECTRICAL FEES \ relay affirm't hat I have a certifi ate of consent to self-insure.or'a certificate -. Workers' Compensation Insurance, or a c- c.•y :.f (Sec n 'Backflow Preventer Service Sink L. od00, Lab. C / Y-L- Automatic Washer Transformer 0 15-50 KW Folic No: Company �' 'w.-- L Backflow Irrigation • Sewer Capi .• - f ❑ 50+ KW 0� - Construction Pole Sub. _ , entified copy is hereby furnished. /J _ • • \ Certij',etl�'/p y l ii d with the cit dial;,,/n• aivision.' / y� Bathtubs Sewer Connection 'N Cooking Unit `yam. Meter ❑up to 100 amps Date s•-/ - 5171 Applicant -4 A// a . /. ✓- EXEMPTION FROM WORKERS'CO if SATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter Dover 100 amps (This section need not be completed if t e 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 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 otors❑0-1 HP 01'h 8 Workers' Compensation Laws of California. - Date Signature • Floor Drains S • ming Pool w/Spa f.A.U. • ' - Inc.Solar 09-15 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 Urinal Fixtures - Microwave ' comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light' I hereby affirm that thereis a construction lending agency for the performance - - - - • - 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 - Water 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,DO-5 KW ❑5-15 KW ' Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit - 4 to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains . • '14ne Contractor's License Law(Chapter 9(commencing with Section 7000) of • , vision 3 of the Business and Professions Code) or that he/she is exempt - - • 'd,,,erefrom and the basis for the alleged exemption. Any violation of Section ' 3;'031.5 by any applicant for a permit subjects the applicant to a civil - • enalty of not more than five hundred dollars($500). • I I Li $ 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 Reinspection Fee • $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 'DEVELOPMENT SERVICES REQUIR ENT& • , , �, employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ ' Zoning Approved By _ mate pletion,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground / Building Approved By / Vy �•��� Date Tie D• i, for the purpose he p sale). _ / ❑ t as owner the the project exclusively contracting ing with licensedionode- Duct-Structural Ref/ ration System Application Issued By /L ��- Date �-{/—D D tractorsto t constructctor' er Leet (Section 7044, toS Business and Professions t Cotle: ��— The Contractor's License taw doesh not apply to an owner of property who Duct-Ventilating 100,000 BTU 0100,000 BTU , SUMMARY 0 FE- builds or improves thereon, and who contracts for such projects with a con- — ST" tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ / System Repair/Alteration - BUILDING PERMIT $ 72_-0 Ca SMIP . . $ _ . proof of their Worker's Compensation insurance should be provided to me. ` PLAN CHECK $ q6 • 70 PERMIT ❑ I am exempt under Section B.& P. C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers I� PLUMBING $ ' ISSUANCE T $ Date _ Owner Heating System& Ducting Registers C PLAN CHECK 25% $ ENERGY P.C. S ' • I hereby certify that,I have read this application and state that the above 00.100,000 BTU 0100,000 BTL ELECTRICAL $ 'GRADING $ - ' Information is correct. I agree to comply with all city and county ordinances and state laws relating to b Iding construction,and h reby authorize repre- ` PLAN CHECK 50% $ MICROFILM $ sentatives of this city o neer up• t above- toned roperty for /g ^( 1 1 ii, inspection Pur {��,e �( j MECHANICAL $ TOTAL FEE $ fI L a`/O �- - -Signature lire eQ / ../iL0 Date �� C/V Reinspection Fee $15 • - Issue Fee $ 3 PLAN CHECK 25% $ . ]rivers' Lic SS - - - --- - - 10865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND.RLANNING POOL &SPA • Date Inspector - • Date Inspector APPROVALS Permii#-} APPROVALS Permit# .. 1..Temporary ElectricaE,Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. t " • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . . 54. Forms i 4. Electrical Conduit-Lindrg1nd. 55. Electrical Bonding 5. Steel Reinforcement./ - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grndlr, 57. APPROVAL TO COVER-GUNITE 7. Footings t•. ,; f�;! ,, "/^ / n �J 58.Electrical Conduit-Undrgrnd. 8. Foundation • r-''•1/ / 'e LG{j, ' 59. Gas Pipe, 0 Undrgrnd., Test . 9. Water Pipe-Undrgrnd 4(i' /�60. Backwash Lines,P-Trap, 0 Undrgrnd. / 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line &.House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. 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 ;r 18:: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . n. 19: Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT ' 20.' Rough Factory Fireplace APPROVALS Permit# 'f,/ I • 21: Ducts, in Structure 70. Underground Hydro 7,' 'I' 22. Ducts, Ventilating 71. Product Piping 0 Gas D at,• i' , - 23. Gas Pipe-Rough & Test 72. Underground Flush1 ' 24. Roof Framing 73. Undergrnd.Storage Tank OGas 0 Oil . •� 25. Roof Sheathing 74. Overhead Hydro ( r9-'i 26. T-Bar Ceiling (Structural) & Monocoat /75. Dry Chemical i 27: Frame and Flashing / 76. Dry Standpipe '" 28. Lathing & Siding • ,/ 77. FIXED SYSTEM FINAL •j i) I. 29. Insulation 78. FIRE PREV. FINAL > I I ,/ i 30. Drywall Nailing HEALTH DEPT. REQUIREMENT j' . , 31. Plaster Brown Coat 79. FINAL INSPECTION C. Z.- 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ✓ , . . 33. Final Electric Notes: „-' .` 34. Final Heating & Air Conditioning . ;_ -e i 35. Final Gas Pipe-Test -Y . 36. Hood or Canopy L , r e Otl , . 37.1 Final Factory Fireplace • f/, y_ • 313: Final Plumbing 12 -''' '�� 39. Water Service-Final 'J ' i /'^/ 4r '40. Gas Service-Final " - 1 .l r I -/ ' • 141. Solar Domestic-Final - ,'• i.'� fr.; . 1 _..-.4 } 42. Backflow Preventer n� it t '.7 4XBackflow Irrigation - !' i � tel �. / '� e' ' t 44. Landscape Irrigation System '" \ I / J. ",i (��� • ti 45. Sound Attenuation - /'I - ) .i ;..I . . ' 46.,,Handicap Regulations i11 ;2' 47.. FINAL STRUCTURE & BUILDING• `0/97 Or r;� • ' �� �;�t 46A Special Requirements Completed ," ,..•., :lie; " I • ; 1/49: Electric Release to Edison ,/, l I _ 50. Gas Release to Southern California Gas Co T% 51. CERTIFICATE OF OCCUPANCY i ' ' •- !'• t No. Date _ TYPICAL 61' CONCRETE BLOCK FENCE ®Cement Coping Optional :�g '. • ._ GENERAL- NOTES Channel Block With 1-3/80 IBHorizontal Top of all - `FencesMORTAR: OdePa►tPlastic Cement, and ThreePartsSondQ GROUT: One Part Cement Three and For Fences 5'or Less s c5 • One Half Parts Stand Vert.Bars 3/8"0 at 4'-0"O.C. fiE _ 1111157 - COPING: one Part Cement, Three Li_ 1- 1 [ For Fences Higher Than 5' Parts Sand Vert.Bars 3/8"¢ at 32" O.C. •->- i CONCRETE: Well Mixed I:2-1/2: 3-1/2 . Fill Cells Solid With Grout .II `> '." ,� ®' Max. of 7-1/2 Gallons z _ Water Per Sack of Cement Where Steel Occurs > - • -- - Reinforcing Steel ShallIl ; f w -_ GROUT MAV!BE POURED FROM THE TOP Conform to Sec.A-15-39 w 0 -- -_ 1 OF THE FENCE IN CELLS WHERE STEEL A.S.T.M. I OCCURS. z ~ CELLS AND AREAS OF HORIZONTAL REIN- All Steel to be Lapped 111. mI FORCEMENT SHALL BE CLEAR,CLEAN& FREE OF ALL MORTAR DEBRIS,ETC. ' 24"or to Code - NATURAL GRADE �w„ - ,.si„IIS V " 1 TWO 3/8"¢BARS. �pf� D ' , e .� a ♦ a CONTINUOUS TOP_, II II TO 16. O.C. MAX.• &BOTTOM5' . .:` "L{- F�W IDTH - - • p SEE CHART ��• c I10 Z.STEEL MUST RETIED IN • BELOW .e DEPTH OF EARTHTOOTH PLACE AT TIME OF-TRENCH• ,,, . y - 1/3 THE HEIGTH OF FENCE INSPECTION. - { ._ .--COW -BOTTOM OF FOOTING.. • • - o Z SCALE: I/2 I' FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5 ! 4' 3' 'I .,, • WIDTH - 14" 14" i 12 . 12" THICKNESS . 10" 10" - 8 ". 8 " • DEPTH OF EARTHTOOTH . . . -24" 20" 16" . . . . . . 12" SPACING OF EARTHTOOTH. . 12' 14' it,, a . 5-16' • C L 16' OWNERS NAME' tC L* P / C `. Q.ity :of Costa Mesa,-California pT OERMADO4 1 NUMBER Building Department SIGNATURE. S— d �-- — — -- — .. ._�_ gavlSP� Nov..2. • 6#4N74(2 - - 9 133x1S I 9-4x0 P. . I 1A # a', a 1 I . IA 1 ry co, -4 T J '1 A L ? 1W in `,, 11 • V In 1!L!! ""II\ 13N3CISfl• ,p 33N301531 \ 33113011M1334301$35 �10 , S . • 1 APPROVED E : PD . "'City of Costa Mesa Building Dept. PLANNING DEDATE 7% 19 8'f' YiCi to 1Loc. oePrTHESE PLANS MUST BE ON JOB AT ALL TIMES MAKENOCHAN 5T OUT OR APPROVAL OF DEPT. W OP pLM1N1NrG THE'ISSUANCE OR GRANTING OFCF A PERMIT•`+/ CR APPROVAL OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION OF ANY OF • THE PROVISIONS OF THIS CODE.NO PERMIT PRESUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL. . THE ISSUANCE OF A PERMIT BASED UPON PLANS AND NOTE • SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL ADDITIONS, DELETIONS, OR CORRECTIONS SHALL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS AND SPECIFICATIONS Ok FROM PREVENTING • BE APPROVED BY THE PLANNING DEPARTMENT BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OpF ANY OTHER ORDINANCE OF THE CITY. i � 3\3°-11 VL 1 11 E . • PARTY WAIL AGREEMENT THIS AGREEMENT, made and entered into this / day of , l983, by and betweenr, /� 4. hereinafter referred to as "LAND CHER", and ;///ej i_,61) hereinafter referred to as "ADJACENT PROPERTY C)NER". It is hereby agreed that a party wall will be constructed on the property line between 5Y 2 9f „wo' ' (Address o Adjoining Properties) in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Bock , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first shove written. LAND OWNER ADJ�y ( tura) (Signature) ADJACENT PROPERLY CANER aeePrealet, eld"ifts-wea#4ttatA--- Si / l (� p/r2� I 1>��.9 SS�iI� eD L . J9/1/4t.e sw/ Name (Typed or Printed) Name (Typed or Printed)r I 4 dr779" /P--)/e. (Ad. ess) ( s). • S, ��Sf at 11 1988 (NOTE: Please see reverse side for notary's statement) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PER T P RMIT NO. T f NO. LOT NO. UNIT NO. •IAP # I / L"& . cLr SPE 38Co-19 ,ire I34-9° — It Project Address � h • E Main Building: Accessory Building: pee ( l�-r�Y Z Applicant's Mailing Atfjress OF LAS�\ Ls nen c?�1 - r TYPE OF CONSTRUCTION ❑ NEW L-I ADD U ALTERATION ❑ REPAIR r / I n Q) ( ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • T Front ZO /Q 4O 4Ijf. O Owner's Na�mce"5�/'L�hK�p(L-��Q1er'�_ ^, PhOne� ���002 DESCRIPTION OF WORK/USE OF BLDG. 1 A Rear / 01 .F-o I S� N Address c�CJ l�� )��.n t6. LIZ l Y� E QQ �N•( lx �ao cf1 N C .\O\C Th— TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right Arch/Eng. License No. K 6' G Address - CI TENANT III ELECTRICAL III PLUMBING ❑ MECHANICAL $ • Left `�"/ �/ R Contractor's Name tC LaSti t /'�,�Pho}neE A%-ASsA ID OTHER IPIntz-1g.'Ref.# Parking Req./Provided '•r E Address(mailing) a0.` 1�c��"cm 1 L'T.i a t 11�t4 )PROJECT DESCRIPTION SQ. FT. OCCU PAN V ay' Planning Notes: 1 g . pry'l `Z (O'.••� ' CONSTRUCTION TYPE - VALUATION �,� -' ,f4Q (( pro, 1 4 f/9 M City License No. C?_I-APRFer= K- n[�to ` L- v T ZONE GRADING CU.YDS. ACRES _ S. LICENSED CONTRACTOR DECLARATION 'll1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1 (� ,Or,. 3� M with section 7000) of Division 3 of the Business and Professions Code,and 111 •ar my license is in full tore and eff .r— canna .1iG>L' p/ 4 2 2.4 _el` ELECTRICAL -FEES License Class cosmos. 7 License No..� ✓ C\L"- 1 O /. PLUMBING - FEES Automatic Washer Transformer D 15-50 KW ' Dat: -�L Si9nat We' / ice/ia _ i%///%r WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. El50+ KW hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - Workers' Compensation Insurance, or a certified cop thereof (Sect' n Cooking Unit Meter ❑up to 100 amps .800, Lab- c.) �7--�(� S.�K X1,9 Backflow Preventer Service Sink Policy No./% �• U'✓ CompanyI�/% P1P� Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps ` _ Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel CeLtifLC•d '} cop} filed with the cit,1LBui ing Division. Bathtubs Sewer Connection Dat '�'."`�� Li7 .Applicant---- /l1_/.% ) Fan -� ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors❑0-1 HP ❑1%-8 (This section need not be completed if the permit is for one hundred ($100) or Dishwasher F.A.U. - Inc.Solar 09-15 HP 016-15+ - less). 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 to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains I Swimming Pool w/Spa (0 Device Boxes. Pole Light r�(� NOTICE: If,after making this declaration,you should become subject to the Outlets Range 1h' Workers' Compensation-provisions of the Labor Code, you must forthwith Floor Sinks Urinal g comply with such provisions or this permit shall be deemed revoked. Switches ICONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet . Sign 1 hereby affijln that there is a construction lending agency for the performance 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 O OWNER BUILDER DECLARATION •I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Q Auto-Wash I I ` nre 4. Ce'1A -eat) n 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 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 I, ".the Contractor's License Law(Chapter 9 (commencing with Section 7000)of - - ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee a .a erefrom and the basis for the alleged exemption. Any violation of Section • - 31.5 by any applicant for a permit subjects the, applicant to a civil nenalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENT as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 REQUIREMENT %.7-- .... 30-a �� sensation, will do the work, and the structure is not intended or offered Zoning Approved By • Date for4sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES' Building Approved By Dat: 7tircir 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 1. Application Issued By Oat: fir • ' 1 q 'er.�tioyees, provided that such improvements are not-intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of cpm- Canopy Type II ❑ SUMMARYl71(..0rl OF.FEES o5., pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground / � I prove for the purpose of sale). BUILDING PERMIT $ ' -- SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: p The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ l ISSUANCE $ - builds or,improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractors License Law). I am aware that Exhaust System Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ 4 st GRADING $ _ ❑ I am exempt under-Section - B.& P.C.for this reason Firepl/Fact.BI . 'CBO# Fire Dampers PLAN CHECK 50% $ p ) MICROFILM $ Date Owner • Heating System& Ducting Registers MECHANICAL $ Or I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BTL TOTAL FEE $ 2.-I "l ' information is correct. I agree to comply with all city and county ordinances / PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- / r^.1 sentatives of this city-to enter .upon the abo••-mentioned property for / . V\ . inspection s. _yr, ',_ Signature /.ii/.�.1��/ �/ .L_ Date-rX rr�7�� Drivers' License or SS t# _ . Reinspection Fee I $15 Issue Fee $ 3 • � / 01 00034068-00034071n0eTOT 217,03 0865-46,rev.5/88 White- Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - DATE: 05/3D/S9 TInE; 1_:40 rtt -I -c 1 I :r CONSTRUCTION AND PLANNING - PO • r •,''APPROVALS ' Permit Date, ,Inspector ,APPROVALS Permit--`�"l}5a' Date Inspector r • 4 _ •1. Temporary Electrical Service or Pole •/ 1 52,;, Pool.& Equipment Location (P I rt. Pik 2. Soil'Pipe-Undrgrnd. ,t . + . - ' 53. Steel Reinforcement r - i 3.-Electrical Conduit Utility=UndrgIrid, (k• 54. Forms 4:P i. . 4: Electrical Conduit--Undrgrnd• . • '; • 55. Electrical Bonding .. - i� 5:1Steel Reinforcem t{t' ^' ,. • _ 56. Rough Plumbing & Pressure Test 7/^I 6. Electrical UFER�Grnd ry:1 ' / 57. APPROVAL TO COVER-GUNITE : '/ � �‘I ; Mr . .Footings � �.. 58. Electrical Conduit-Undrgrnd. (/$.Q k'I � iG/ 1 '8 Found anion ' ` , / ;^ i,, 59. Gas Pipe, 0 Undrgrnd.,Test l/ c 4 411 ` 9. Water.Pipe-Undrgrnd.0 t• • . fif 60. Backwash Lines, P- rlq�rgrnd. '10:Structural Floor System �� ';,f 61. APPROVAL TO D , t ' 4 � ,„ 11: Property Sewer Line,&tHouse Connection -' 62. Backwash•& Receptor-Final , • 12TSewer Cap; ` ��A- - 'N y? �'� 7" 63. Heater & Vent-Final ,�7 T 13. Roof Drains ,,, 1 ' l; : i' 64. Plumbing System - Final . - 1/ - 14. Rough Plumbing ,r 'y' :9 '- A 65. Electrical-Final „ - gicL, /] 15. Rough Electrical-Conduit - - I{ 66. Solar System-Final 16, Rough Electric Wiring 67. Fencing & Access Approval ti 017/. Rough Wiring Sign - 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .. . , //f/9:2.- Ai-- r I ` ' ,19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace -- • APPROVALS Permit# 2'17Ducts, in Structure 1 70. Underground Hydro 22: Ducts, VentilatingCr- 71. Product Piping 0 Gas 0 Oil ' . ' ' ,-23. Gas Pipe-Rough &'Test 4 72. Underground Flush tt 24: Roof Framing , r^ - 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing Maj Li . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 175. Dry Chemical 17. Frame and Flashing (-7..-Ali76. Dry Standpipe . ' • 28. Lathing& Siding rf R 77" FIXED SYSTEM FINAL 1 nt 29. Insulation ./ 78. FIRE PREV. FINAL • 30. Drywall Nailing i-t t 1. 1 ,moi HEALTH DEPT. REQUIREMENT • 3�1. Plaster Brown Coat0 iv- . 79. FINAL INSPECTION 32. Electrical Power,Meter-Final•,.. �• 80. FOOD CERTIFICATE ISSUED 33. Final Electric Si L C Notes:c.YA„ t /�, 34. Final Heating & Air Conditioning . �/ ` v� 35. Final Gas Pipe-Test • • X36. Hood or Canopy • £- 37. Final Fadtoriy-Fireplace �\ 38. Final•Pnumbing f-•- • • 39. Water`Service-Finaly _ - _ •r_ ,.. .' O. Gas SeVvice-Final - t 41.`Solar Domestic-Final'' ' , T 42. Backflow Preventer " - 43. Backflow Irrigation- _ �'1„ .i' ., •44. Landscape, Irrigation.System -r - r �' f. 45. Sound' Attenuation -- 46. Handicap Regulations r-- `' • 47. FINAL`STRUCTURE & BUILDING ` 48: Special Requirements Completed • • 43. Electric Release to Edison . • t i , _ N% 'J �50. Gas Release to Southern California Gas Coi .i ;l til -� V , 6,51. CERTIFICATE OF OCCUPANCY • i ' •No. - - Date . l � t: s r,! __nc: ce - ?ost- e.. ,ed _c nc:_: I . REPORT Cr INSPECTION ON Masonry ( ) FireorconIng /�r� Gunite ) Reinforcing Steel ( ) MS TO: S (flo Address : OWNER: &bell PROJECT: c41('Yy'Ylfh, (1v)( c) Report No. Address: S44 (i - Permit No. 3j(,)6, Architect: Odiall-Y( Contractor: [Ntyy ,i( Address : Address : Engineer: J2-V(„ S Subcontractor: Sarni_ (Gunite) Address: Masonry or M,� L '' __ Concrete) Inspector: ( k Address: Po.Q SLi 4;I(FaL Mix Used:L(. . ( Slump, inches :-e . Admixture: —e Designed Strength, PSI ) Oa) - Cu.Yds. No. of OATES Placed Cyls. / Remarks Li i . Lin 3 ' leeLJ 11n rt,,.c,�'foa-0J' Sire( Ue eco-ccrt. , J 4 . sit \ Rs ' iL0 'a (L,.n rti-,<<ti-cTEok.\3 1.0 Cooies -of Reports to: (Indicate which Bldg. Dept. & furnish address of any not listed) �e T � C924" dalI iwininq Laboratories of csoL tesn Ca�ifoznia, .n4. ,� 1/49� d0 Al0 AILS• 3310 Airport Way 1514-D North Susan Street TESTING Long Beech,CA 90806 Santa Ana,CA 92703 • Mail:P.O.Box 47,90801 (714)554-2645 (213)426-3355 FAX(714)554-4960 (714)828-6432 FAX(213)426-6424 Compression Test on Gunite CUSTOMER: Sitter, Max EXAM NO: 89-1-605693 P. O. Box 3454 DATE: 06/24/89 Fullerton, CA 92631 JOB NO: 90616200 PERMIT NO: JOB NAME: VARIOUS SPAS/SWIMMING POOLS OSH PD: OSA AP #: ADDRESS: See "Sampled From" for FILE #: Job Address PAGE #: 1 ARCHITECT: CONTRACTOR: Owner Owner ENGINEER: SUBCONTRACTOR: B.C. Adams S.M.L. SAMPLE FROM: Deep end - 2802 Shantar, Costa Mesa MIX: 4 . 2-1 SPEC. STR. (PSI) : 2 ,000 SLUMP: -- CAST: 06/13/89 DATE TESTED 06/22/89 SPECIMEN NO 1 AGE (DAYS) 9 TOTAL LOAD (LBS) 40000 LBS PER SQ IN 2040 SPECIMEN SHAPE: Cylinder SIZE': 5 x 10 AREA/SQ IN: 19 . 63 COMPLIANCE: 9-Day test result; exceeds. the- . specified strength. Cyl . #2 & 3 "HELD IN FIELD" SPECIMENS BY: Sam DELIVERED BY: Max RECEIVED ON: 06/20/89 DISTRIBUTIONS : Caster Mesa Dept . of Bldg. & Safety, 1 Sitter, Max, 3 ft CIA42NAIN) l He bert J. Stock i ger, CE Branch Manager ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC AND OURSELVES, OWNER PACESETTER WEST JOINT VENTURE DATE 3-22-63 JOB ADDRESS 2802 Shantar Drive BUILDI PERMIT NO.19083 GENERAL CONTRACTOR Andros Land.Company VALUE $ 22,592.00 AP No. LOT A TRACT 4348 FIRE ZONE DESCRIPTIOOF WORK res att gar I 3CTIONS . Signature DATE GROUP iliod TYPE t, ZONE R1 S, J% PER SITS ISSUED Gas J SUBCONTRACTOR DATE NUMBER r Water�X1 -IT,/?-/ ! / /� • . Rough Corn. Refrig. 0- Air Cond. 0 . ./ Rough Heating :fr..4.n/ -y/-43 E -- 4i_e- i� Rough Plumbing j .Q(. 7—a9G r ./ _ 4 ..i., ..;�j;'f :-a-g44.'-j-aA'7t.t'i Miscellaneous i ��7 ��� .— / Prop.Swr.Line El House Con. 0 St.Swr. P �- /j/ `7 3-�3 t f . y _,, ,4 . C/ ,- - , ,,,,..,5.21 Sprinkling System r • Constructionole 9224cn�_ xiZQi,,,,z _.__x/a-.; t3_ i 9 C< y _ .1 .j Underground 0 Power El - g _ t _ _ • 12$lie Rough Wiring . &tr4'\ __?-1Q4.4L1ty x11-46; r ,y.n} h ,� / ce/ 7-� -Gl3i ,2 37 3 -- Tenches [7-- Forms ©- Steel Hemf. Ot Mai/ 5-'0-L'. Floor System >;', 9 1--/7/---6-3 -� Bond Beam 0 Steel Reinforce 0 Sheathing ' I r h=) + (1.- Frame and Flashing'/( N'h' c --0"J ' .. (-J / Lathing - In [The Out ©-#/WS.r-i Z / P' 'r, brown coat Z At /44-,/4 4 / , 0 Air Cond. 0 Final I ht...ing, Final f� Fixtures, Final .17-..1- Plumbing \ • Final Gas Test jI}ff u, ��-k'/> Electric Fixtures, Final ,/ , -f- N Building, Final I .� /Z.//- �9 i� OCCUPANCY I ��- '.\FORM BU4T5M.__7.61 1 _ .,------^�'_"' 'r-- - _— -.-___ _ _ -- '^' r . FEEECEIVED • / 9083 • COSTA MESA BUILDING-SAFETY DEPARTMENT MAB2 2' 1963 P.O.BOX 317 COSTA MESA,CALIFORNIA - FINANCE��FFDEPT. For Applicant to,Fill In Completely • APPLICATION FOR�TPEatrCOSTA MESA ?e,93 LSV TYPE OR PRINT r./ BUILDING BUILDING (T Q' 0) �. ll�✓Y1 � S For Office Use Only ADDRESS U4 • RECEIPT.NO. € COSTA MESA, CALIFORNIA /F 3 nlIT /� � RECEIV BY D.3.313„ 3 NE RECEI�VEER. DATE ISSUED OWNER j' .. 4/ . -el, n ✓.� �'". fl/nn , BUILDING 63 MAIL ,. ADDRESS 4 ADDRESS /G //N-�I-P�sC. (Y-v - /^���y/ �{J � ¢ �/� TEL. 's�q ,ZONE TYPE FIRE V GROUPF�`"/ CITY (-,21-4/4.} (/ /Lir cia- NO. 'U39,j APPROVED ARCHITECTTEL 1/CT'W NO. 33 H/ BY DATE OR ENGINEER �/ }-/J�7 O. A (\�� ADDRESS 9 772 /(Qi(LC�,Yi OW /,�+uF>v ZONING, - �. . / . AO- ZUIj PI N USEOPNEWq/ /T%t* / �F PLwNB BUILDING////��LI��••//� 'CONTRACTOR . A - atty.,/ �/�/I / / LEGAL �• _o.. ', I t / ADDRESS} /G, 3 /...(.e'I.CAJ �y'4 DEeCRIR10N r �T ITY l2 -t-' ...YyI�1/1-am • A.P.NO. - {- coT J . - NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE6 NO. SV 9''D 3�J` 90"TO-SIDE Q REAR P.L. • SIC.IC.NNO. /A // EAVES SIZE - I NO:OF SLOGS, a ALLOWED (U.B.C.REQUIREMENT/ OF LOT JL/610 • NOW ON LOT YARDS APPROVED YARDS APPROVED • USE OF MAIN BUILDIN ACCESSORY BUILDING EXISTING BLDG. (FROM /LSTREE SETBACK LINE FROM ^'I-I. FRONT ,) FT. FT. CENTER OF STREET (� REAR YARD 349: / SIDE YARD I LEFT ' I RIGHT I ( . R.SIDE /( FT. FT. DESCRIPTION OF WORK L.SIDE FT. FT. NEW X ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET. MAIN e REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDG9. • • BUILDING qq NO OP VAR.#' DATE SIZEXif://)417, 0- I ROOFs 8- BYC. DATE P.* Cr y� APPROVED C ; EXTERIOR WALL ROOF APPROVfi /�VIj{C�\�J IW,I''WI 3 COVERING c��,A• COVERING DATE USE OF BUILDING AND W•RK TOB ERFORMED �"j `QOitti,! _3..? 8 U 10,/ad 90.Fr. d 50c o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE'AMOUNT SHOWN UNDER VALUATION IS FOR THE i AND STATE THAT THE A IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. E PLY WITH ALL CITY O INAN ES AND STATE B GULATING VALUATION - ce BUILDING CONSTRUCT N. -T //p /r .�/� • • PERMIT FEE $ 7C�c � N PERMSIGNITTEF TURE OF -(.rt. t -/ -.62,/./- ---- .C.C.S / m • S. .02(2�5a - A C.EC (O — O AUTHORIZED AGENT I - °' a a TOTAL FEE $/ �� -- • OWNER GREY, Richard E. DATE 6-14-77 \JOB ADDRESS 2802 Shantar Drive BUILDING PERMIT NO. 34833 GENERAL CONTRACTOR Sun-Boss Corp. DESCRIPTION of WORK Patio Cover '4. 139-403-12 LOT TRACT FIRE ZONE VALUE $ 975.00 ITYPEECTIONS Signature Date GROUP J 17 ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date WATER ,Number Signature Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER I] ROUGH WIRING Heating and Vent. TRENCHES n FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING _ FRAME AND FLASHING LATHING — IN n OUT n . P' •STER, BROWN COAT :TURAL, FINAL Electric h,-.1ING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n /// ELECTRIC, FINAL ., BUILDING, FINAL Aer�// /� 2" �v I . , -.• ?AlL . .. . _ 34833 iL cr; .aa,��u ****10.07 • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • . APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI DBY D•TE RE EIVED: BUILDING Slee ( . - / a aK/ {� -TL ADDRESS • UZ I' PERMIT We 33 a - ,MAILlf1,� I, In A.P. NO. / D�-�'� 040,1 1 Z ADDRESS ,.;?24� SIM I/I"171Y / 11/C ADDRESS .2E802 � I�. .�� r/' J til ll.11979.-via / • a U CITY ( aT'l'(.l' Y �/�0�/1 NO. LOT BLOCK • Z Q CONSTRUCTION N W A•D ALTER REPAIR MOVING DEMOLISH O N LENDER am • J D BRANCH y 4 w ADDRESS • ' mJ d V LUE I / i Ja OR ENGINEER ��1�.pi A�, ja{� NEL. r r $ U In -r/LL - FIRE r / / Z ZONE TYPE-GROUP W IL ADDRESS aLyW Z APPROVED ./ # T IDCONTRACTOR SIII� JQc r Yl c,CD4 ra11011 BY DATE / c0 J 2 ADDRESS /55 S an, r - - W w TEL./__ {� ZONE/✓/f NO,OF USE OF NEWPJO CQ ZF CITV71-1 JrSl4L.. NO. —g•ti,h _ /` I PLANS BUILDING a , i a .. �v) W 0 STATE 11 CITY .YARDS APPROVED YARDS APPROVED J cc) X LIC. NO. 33rD LIC. NO. MAIN BUILDING , ACCESSORY BUILDING r0 SIZE NO.OF BLDGS. (F ROM VIL_" cET)p OF LOT NOW ON LOT FRONT J ,p1 ,,,j ,-/ FT. USE OF C ' , r \� ) EXISTING BLDG. '�I I yQ l) ' R.SIDE LD FT_ FT, I— SIZE OF �} NO.OF 2 . NEW CLOG. 32. ROOMS STORIES • L.SIDE /SFT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR a FT. • FT. J .: USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a a / MAIN BLDGS. ACCESS. BLDGS. 0 I 2 (7DATE ✓' X a5/ , I, Q.(/( �/ C URP.�(E APPROVED I- /'/// / APP-• D I� � N W`����u P.�'Y71(` Co )icc� DATE O �/7 J / 0 UI hereby acknowledge that I have read this application and state STATE 3 that the above information is correct and agree to comply with , all laws regulating building construction, and I shall not employ / C �'] F„ any person in violation of the workman's compensation laws of . y / the State of California. m Zo I hereby certify that I am properly licensed as a contractor under ' SQ. FT, TAX o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALI • ON IS FOR i Chapter 9, and that such licenses are in full force and effect,or I ,' THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • am exempt from the provisions of the State of California Business VALUATION and Professions? 'vision 3,Chapter 9. //t to PERMIT FEE $ /V V QJ1 N D Signature of /////q�/nn�(�I,�_ r m Permittee 4 . ,/1✓ l -/070. 6 e,,/�/�/ll $ 975. 0L/ PLAN CHECK $ •J`I E r Authorized Agent LL TOTAL FEE $ la 00 OWNERGREY, Richard E. DATE 5-22-72 " <JOB ADDRESS 2802 Shantar Drive BUILDING PERMIT NO. 34748 J GENERAL CONTRACTOR Sun Boss Construction DESCRIPTION of WORK Screened Patio Cover 'o. 139-403-12 LOT TRACT FIRE ZONE VALUE $ 975.00 ECTIONS Signature Date GROUP T TYPE Ty ZONE R-1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER LI ROUGH WIRING Heating and Vent. TRENCHES 71 FORMS ❑ STEEL REINF. fl FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE El SHEATHING FRAME AND FLASHING LATHING - IN 7 OUT n PI ^ITER, BROWN COAT TURAL, FINAL - tric .NG, VENT., REFRIG. AND A.C., FINAL L /�i j j, /„ PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL fJ BUILDING, FINAL ter . c2 . �..q? 34748 ?2 72PAIL;..vO 009- s.-*. 10.07 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI 0 B D WAVED DATE ISSUED BUILDING pp '�77 -we sJ �7 Z7,� �f�l ADDRESS p�OOK! S��Q�U�Q I� .L/I(Lr-Q, /! Kp(LG�//O�- J 7/�� PERMITTI A OWNER�ICt&VIA/ /E�E. arf A.P. NO. I.741 -YD3-c �t� ITTI �µ( MAIL �J�O� Shan-Far Ot I�, ADDRESS BUILDING �O O S�TNI�� ✓/� ill LaZ ADDRESS OI {��/1 Q q q7 /( I LOT BLOCK 0 Z CITY &irk Mesa-- . NO. /7/ -pm "^^'l I- C CONSTRUCTION ame NEW ADD ALTER REPAIR MOVING DEMOI ISH O- N LENDER ,UV tL m J D BRANCH Jtn OWNER k(cif kap E GP-At Q IL ADDRESS • m• CO ARCIFI TELT TEL. USE AICiL.�✓/t417 VALU$ 975-w - Q OR ENGINEER LThnson- fitiikPki NO. UQ FIRE •T Z ZONE TYPE"ROUP �r W 2 ADDRESS 7— c1/4 Ls? cJ � 1 1^ APPROVED / / /� —22 ?1_ JO CONTRACTOR SI•(,IA tSASS�A1�'�QVQ�QY1 BY ��/Hi DATE S rJ CC ADDRESS //55 3-161 Road- TEL. A WW ( ZONE NO.NO.OF USE OF NEW ]'�uMl ZF CITY I,149YSidL NO. ej sity4 K ( PLANS Z BUILDING .j e pimp W In STATE /133/5 CITY YARDS APPROVED YARDS APPROVED CC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE r NO.OF BLDG$. (FROM C/LS� OF LOT NOW ON LOT FRONT FT. USE OF • L // J EXISTING BLD . y/11C .Q, (�4,,rl�(.��i1 R SIDE )� FT. FT. QZ NEW EXTERIORBLDG. D33AS ROOFS STORIES L.SIDE { 0 FT. FT. Ci COVERING COVERING REAR ( sr FT. FT. _ J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLDGS. �— ACCESS.BLDGS. < /3'n 2S' vee1i C( pa-lid dove_, C.U.P.YA DATE APPROVED 0 N —g'PROVED ( 1 W 9�'I 11� DATE 3/)-4 Z O F C:N I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply withall laws regulating building construction, and I shall not employF„ any person in violation of the workman's compensation laws of the State of California. m co I hereby certify that I am properly licensed as a contractor under SO. FT. _ o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business R VALUATION ,1 //V�l and Professions Code, Division 3,Chapter 9. re PERMIT FEE $ P. W N D Signature of n [f/ rye m Permittee �//M /vJ/L �� YJ sH/Ya/ $ 975.X PLAN CHECK' $ E / o Authorized Agent /101 OD LL TOTAL FEE $ •