HomeMy WebLinkAbout957 MAGELLAN ST - Building PermitsAov��cant to till in all svaces exceot thoze witnin neavY Oortler lines ane si9n all aDoropriate aeclarations.
CI7vOFCOST �eS+nf C STRU yTIO�N)PERMIT
ProjectAddress �7 / �%��C�/�i/�/
Applicant'sMailin Addressr �3 �./L�Cd -
Owner's N/a�m,�e. ���A/�}L L�a��4� PhonC,���`�`�Q
Addreu ►'s'L1.��71si/7 �Q ��__..Lid"�
k1
ArchlEng. LYEense NO.
Address
Convactor's Name � h ne%/� -3'y�
Addresslmailingl � ��A�/� ,
Ciry Licen N .y �
LICENSED CONTRACTOR OECLARA'r�ON
I nereby aili�m that I am licensetl untlir provisions of C�arte� 9(commen[in9
with section 7000) oi Division 3 ot the Business antl Professions Cotle, and
my 1lcense I5 in tull torte�=�eft. �/�dts�
LICCOS LId-S - �. ! ice e N ��
Date �iL " '9 t —��� —�Q— —�—_._
WORKERS'COMPENSATION DECLA0.ATION
I hereby afflrm that I have a certificate of consent to selt-insure or a certlficate
�/ Worker5' Compensation Insurance, or a certilietl copy t�eteof ($ection
800, Lab. C.) � � �ver� ?:�s � �
r'olicy No. � �o ' Comoany
rtifletl coDY I5 he�eby furnishe0.
e' ieq p' i fj�p with the city � iltlinq I SAip�j A�
oat � Applican ' / �
E%EMPTION FRO WO(1KER5' COMPENSATION DECLARATION
(ThiSs¢ction neetl not be mmpletetl�if tne permit Is for One huntlretl ($100) or
less)..
I Certity lhat in the p¢r(ormance o( thC�`�'ork for which thi5 perm�t is i55ueC, I
shall�not employ any person in any manner so as to become SubjeGt to the
Wo�ke�s' Compen5alion Laws o( California.
Date Si9nature '
�NOTICE: I(, aiter making this tleUaration, you shoWtl become subject to the
Workers' Compensalion provisions of Ihe Labor Cotl¢, y0u must PortM1with
comply wlth such p�ovisions o� thi5 Oe�mil shall be tleemed �evoketl.
CONSTRUCTION LENDING AGENC�' '
I hereby afllrm that lhere isa mnstiuction lentling agency fo� Ihe perlormance
of ihe work tor which this permi� is i55u¢tl (SeGtion 3097 Civ. C.) �
Lenaer's Name �
Lender's Atltlress
OWNER BUILOER OECLARATION
I hareby alflrm that I am exempt (rom tne ConVactor's License Law tor the
' followin9 reason (Section ]031.5 Business and Protesslonal Cotle: Any ci[y or
county whlGh reqWres a Oe�mil to con5truct, alte�, ImOrove, tlemolish or repair
any structure, prior to itz izsuance, also requires the applicanbfor sucb permit
l0 file a siqnetl statement that he/she is IiCenSetl pursuant to the ptovisions of
the Contrac(or'S License Law (Chapter 9,(commancing wilh 5ection ]000) of
Division 3 of roe Business antl Profe55ions Cotle) ontna[ be/she is exempt
there(rom antl the basis for the alleqed exemption. Any violation of Section
'031.5 by any applicant for a pert*�It subj¢cts the _appliCant to a civil
�nalty of not more than five huntlretl tlollars (g500).
I, as own¢r of the property o�"rt�Y employeos wi[h wages a5 their sale
<ompensation, will tlo the work, antl Che structure is not intentletl or of(eretl
lor sale (Seclion 7044, Business and Professional Cotle: The Contractor's
License law Ooes nol appty to an owner of a proper[y who builtls or imp�oves
thereon, antl who tloes such. work himselt/hersetl or throu9h his or her own
employees, provitleC cnat such improvements are not intentletl or oHeretl for
sale. If, howeveq the builtling or imprPvement is soltl wl[hin one year ot com-
pletlon, tM1e owner wlll have tne burtlen ot p�oving he/she tlI0 not bu�ltl or im-
p�ove for[he purpose otsale). ' �
❑ I, a5 Owner of the proPerty, am exclusively contractinq wi[h Iic¢nsetl con-
tracton to construct the project (Sectio� 7044, Business antl Professions Cotle:
The ContractoYs Licenze Law aoes not apPry to an owner ot property wno
builtls or improves lhereon, antl who conlracts for Such project5 with a mn-
lraclor(5 license pursuan[�[d[he ConRactor'i LiGense LawJ. I am aware that
proof o� lheir Worke�4 Compensation Insurance shoultl be provitletl [o me.
❑ I am exempt untler Section B. & P. C. tor this reason
Oate owner
certity Ihat I�have�reatl�tnis apo�ication antl state tnat the above
m I5 corr¢cL I agree to com0ly with all clty antl County ortlinance5
laws relating to builtling mPstruction, dntl hereby authorlEe rep�e-
of,tpjs city to �enter_upqp Ihe above-mentioneC property for
Signature , J�y�.i
Drivers' License or 55 �
/ - ' �'� w"�J ' . '
TVPE OFCONSTRUCTION NEW ApD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER � AP # -
DESCRIPTION OF WORK/USE OF BLDG.
S. Main Building:
TVPEOFPERMIT GRADING FOUN�ATION STRUCTURAL. T Front
❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL 8 Rear �
❑ -0THER • A
C Right
PROJECT DESCRIPTION So.FT. oCCuanrvCv
CONSTRUCTION TVPE VAlUAT10N $ ' S L¢ft
ZONE GRADING CU. VDS. ACRES p�ng. Ret. #
Remarks: . Planning Notes:
Sink
Preventer
Irrigation
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
$15
Duct- UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,0008T'
peinspection Fee � $15
CMF 0865-46, rev. 30/84 White - BuiltliP9� Canary - AOPlitanh Pink - Accounting; Goltlenrotl� - Asse55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecfpr� t.1f-,
Solar Pipi��
Solar Tank � � �
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Isue Fee
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
�0.100,000 BTU ❑ 100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
$ 3
$ 3
Automatic Washer '
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
90G3 2/10/Bo 500
Zone
Accessory Building:
Z
' O
N
I
N
G
�. R
Parking Req./Provided E
t` � " M
T
S
IYLV v...
ELECTRICAL
Transformer � 15-50 KW
❑ 50+KW
Garbage Disposal
Generator DO-5 KW �5-15 KW
Metei LJupto100amps�
Meter ❑over 100 amps .
Sub Panel
Motors �0-1 HP �1'h � 8
Inc.Solar �9�15 HP �16-15+
Microwave
Pole Light
Range
Sign
; $tanding Settions
Tresh Compactor
'� Reinspection Fee �$15 � � Issue Fea
DEVELOPMENT SERVICES REQUIREMENTS:
2aning ApProved By
Building Approved By
Application luued By
�FEES
$ 3
' SUMMARV OF FEES .
' BUILDING PERMIT $ SMIP $
— ' PLAN CHECK $ � PEFMIT �
— P�UMBING 5 ISSUANCE $
PtAN CHECK 25% 5 ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% S MICROFILM $ r�(�
— MECHANICAL $ 70TALFEE $ �
PLAN CHECK 25% $ ' �
/ _)_'` '"� _ tJr ��a �i�n'/
� �CONSTRUCTION ANDPLANNING '
, APPROVALS Permit�# Dete� Inspector
1. Tempo ary Electrical Service or Pole � .
.
.�7 Snil.Pi'n`a-Ilnrlmrnfl { '
5<"Steel�Reinforcemen[ .. `�'
._...i• ,. � . -1
ti:•1Electii�l UFER.G�nd.
7; Footings , j
8.' Foundafion � � � �
10. St�uctuNal Floor Sy,stem �%�
11. �Proper.ty Sewer Line & House Co�nnect�
- i ..,`• �
12. Sew� Cap • • �
.,
13. Roof Diains -� � �
14. Roug� Plumbing' '
15. Rough Electrical-Conduit
16. Rough Electric Wirin9
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Structural) & Monocoat
27. Frameand Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
37. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
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 pomestic-Final
42. Backflow Preventer � '
43. Backflow Irrigation
44. �Landscape Irrigation System "'
45. Sound Attenuation
46. Handicap Regulations .
47. FINALSTRUCTURE&.BUILDING
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to Southern California Gas
51. CERTIFICATE'OF OCCUPANCY
o. Date
POOL__SPA .
APPROVALS Permit # Date Inspector
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test '
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final _
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:Lr_y��(� L�-T G0�2D ��:35 Lkv
%'ZSS'FlCo �`La C+�E. Howr� C.�iiO
-� C.GkvK.�id� �6 P4JL, .2A,3 VP.C.. t�IE.�D
r
�
C�
ADplicant to f111 in all soacas exeeot tbosa wit�in neavY �oraer Ilnes antl sign a11 avP�oo��ata tlaclarations.
aTY OF CqS7A SA CONSTRU ION PERMIT
Project Address �7
_Applicant's Mailing dre e � � �
Owner's Nam,�e��.j�,�,,, � Phone
Address '����✓� �
Arch/Eng. licenu No.
Address _
Contractor's Nam �n Pj�'/on�e � � �� �
Addres5lmailingl_-���� � ./L/'l.(NJ�✓�--�
Cily License No: �
LICENSED CONT0.ACTOR DECLARATION
I hereby aflirm tnat � am Ilcensetl untler provisions ot Charter 9(commencing
with section 7000) Olvislon 3 of t slne55 antl Pr01es5i ns Cotle, antl
my Iicense i�sI in tull ��1¢ etfect. /
Llcense�lasp f '� `� ��n�q No. � � �
Dale Si9nature r `��J/�
WORKER ' COMPENSATION DECLARATION
I hereby atiirm that I nave a certificate oi cons¢nt to It Insure or a
• Worke�s' Compensation Insurance, or a c¢rt{{' tl COpy therec
00, Lab. C.y/ � /� (� �C�7/ �'� �
IN� (7J J/(O
-olicy No. o pa y
ny`CertifieW copq is heraby Iurnish¢a.
.�Y'Ce�tiNed eoDbiS'�U�'�'�th [he cit tli vlClop.
EXEMPTIUN FROM WORKERS' COMPENSATION DECLKRJITION
(This section ne¢tl not be comple[etl If tha permit Is for One l�widretl (E100) or
Iess).
I Certify that in fhe perfo�mance o( the work fOr which thls permR is Issued, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensapon Lawz of Callfomla.
Date 5�9�a[ure
'NOTICE: If, atter makin9 this tleclaration, you shoultl be<ome zubject to tne
Workers' Comp¢nsation provisions Ot Ihe Labor Cotle, y0u must fortnwith
comply wilh sucn provi5ions or tnis pe�mlt inall be Ceemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby a//irm tnat there is a constructlon lentling agency for Ihe pertormance
of the work tor which [his permit i5 issuetl (SeGtion 3097 Civ. C.)
Lentler's Name
Lenaer'S Atltlrezs
OWNER BUILOER �ECLARATION
I M1ereby affirm that I am exempt trom Ihe Cont�actor'S LlcenSe Law for the
fallowing rea5on (Sectlon �031.5 Businass antl Professlonal Cotle: Any city or
county which req Wres a perml[ to construct, al[e� improve, tl¢m011Sh o� �apair
any structure, prior to Its issuan<e, also requlres l�e applicant for such permit
to file a signetl statement that he/she I5 Ilcensetl pu/suanl to lhe prOvisions of
the Contrac[ot'S LiGenS¢ Law (Chapter 9.(Commencing wilh SeGfion 7000) of
Division 3 of [M1e Business antl Professions CoOe) or that he/she is exempt
•herefrom anC the basis for tne allegetl exemptlon. Any viola[lon of 5ection
�31.5 by any applicant for a Permit subjects the applicant to a civil
nalty of not more tban five huntlretl tlollars (5500�.
J I, as owner of tne property or my employees with wages as thelr sole
comoensation, will tlo the work, antl Ihe structure is not intentletl or oiferetl
tor sale ($ection 7044, Business antl Pro/essional Cotle: The Con[ractor's
license Law tloes not apply to an owner ot a property wno bulltls or improves
chereon, antl who tloes such work nimself/herself or tnrough his or her own
employees, prOvitletl that sucM1 improvemants are not Intentlotl o� offe�etl tor
sale. If, hOweveq the bulltling or improvement i55oltl within one yea� of cOm-
pletioq tne owner wili nave the bur0en ot provin9 ne/she tlitl not bulltl or Im-
prove tor the pur0ose oi sale).
❑ I, as owne� of the property, am exclusively ContraCting with Ilc¢ns¢4 COn-
tractorsto construct the project 15ection ]044, Businoss anG ProfeSsions Cotle:
The Contractor's Licenze Law does nol apply to an owner of ptoperty wh0
� builtls or Improves tnereon, antl who conVacts Po� sucn projoct5 with a con-
tractor(st licenze pursuant [o tne Contractor's License Law). I am aware that
p�ooi o( IM1eir Worker'S Comp¢nSallon Insurance zhOultl be provltled to me.
❑ I am exempt unGer Sectlon B. & P. C. for this reason
TYPE OF CONSTRUCTION LI NEW U ADD LI ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCFiIPxlpNpF IKORK/USEOF BLDG.
7VPE OF PERMIT LJ GRADING U FOUNDaTioN U SrRUCTURA�
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER �
PROJECT DESCRIPTION 5�. F7. OCCUPANCY—
CONSTRUCTION TVPE VALVATION $
20NE GRADINGCU.YDS.' ACRES_
Remarks:
Date Owner `
1 hereby certify that I a e reaa this application antl state �that the above- 1
informatlon is correct. agr e lo comply wlth all city antl county ortlinancos
antl ztate laws �elatin lo il ing mn5t�u Ion, antl he�eby authorli re re-
zentatives of this.ci ' upon _ a ve-mentlonetl prop rty for
in50ectlon purpo5¢ . y
Signature � O t Cl '
Drivers' License or 55 �t — Reinspection Fee $15
7F OB65-46, rev. 30/84 Whlte • Bulltling; Canary - APplicant; Pink - Accounting: Goltlenrotl - Astessor
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service OuUets
Intercepmrs
Kitchen Sink
Lavatories
P—Trap
Roof Drains .
PLUMBING
Servite Sink
Sewer Cap
Sewer Connection
$olar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
WatenHeater
Water Service
Auto-Wash
Laundry Trays
FEES
Reinspection Fee � � $15 I � Issue Fee I $ 3
Boiler
Duct-UnderGround
Duct - Structutal
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO # �
Heating System & Ducting
0�100,000 BTU 0100,000
FEES'
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
laue Fee I $ 3
A.P. iW
S Main Building:
E
T Front
ARear
C Right
g Left
Ping. Ref. #
Planning Notes:
62i.� 12/03/85
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer � 75-50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit
Dishwasher
Dryeis ❑Gas ❑Electric
Fan
F.A.U.
Fixcures
Device Boxes
Outlets '
Switches
Garbage Disposal
Generator �0.5 KW �5-15 KW
Meter �up m t00amps
Meter �over100amps
Sub Panel
Motors �67 HP 01 %- 8
Int. Solar �9-15 HP 016-15+
Microwave
Pole Light
Range
Sign
; Standing Sections
Trash Compacror
70�' TL
FEES
2
O
N
I
N
G
R
E
Q
M
T
S
Reinspection Fee �$15 luue Fee $ 3
� DEVELOPMENTSERVICESRE�UIREMENTS: �
. 2oning Approvad By Date
Building Approved By Date--��-
Application Issued By Dat�LL(.�6]_
SUMMARY OF FEES
BUILDING PERMIT $ SMIP $
— PLAN CHECK $ PERMIT
PLUMBING $� �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
� ELECTRICAI $ GRADING $ �
PLAN CHECK 50% $ ' MICROFILM $ n ^
MECHANICAL S � TOTALFEE $ _L�SL�
PLAN CHECK 25% $
��CONSTRUCTION ANDPLANNING POOL 'A -
AP,PROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
1.. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
[. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. � 54. Forms .
• 4. Electrical Conduit-Undrgrnd. 55. Electriral Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings , 58. Electrical Conduit-Undrgrnd.
'� 8. Foundation ' . 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O 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. Robf 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 6S. 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. Under9round Hydro
22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72, Underground Flush - -
�24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ 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 PREV. FINAL '
-30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION � - -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: /�/,Z']/�S L�E�i Gg{LQ ,L.C%% �-�
34. Final Heating & Air Conilitioning ��3'�6 L�
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 pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System�
45. Sound Attenuation
46. Handicap Regulations � . � � � .
47. FINAL S7RUCTURE & BUILDING •
48. Special Requirements Completed
�49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY �
No. Date
`I
AZ9ESSOFBUILqNG: 9S�I MAGELLAN ST
NMIEXSNYIEIFqpWN: AARTIG, FRANCINA M
monEss: 957 MAGELLAN ST
COSTA MESA,CA 92626
,wv�. Muuxc �noness:
uHr: CITY OF COSTA MESA - BUSLDING PERMIT
PERMIT NO: B 074155 PLAr1 CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
APCXRECT ON ENfiNFEH: 11C. NO.:
,1pCX.OFENG.'S�IDDME55: UNT:
caxrn�cTarsru�: CARSON ROOFING ( �19 ) 635-4912
caim�croxswuuac 120i N. CITRON LN
�ooness: ANA 92801 CA ��,�, 661526
UNT:
UCENSED COIRNRCTOFS DECL11P1TION: I Mreby eHkm under penely d pe�jury thm I em Icensed urMer proviaons M Chaptar 9
(aomma�ig xilh SecUon )OW) d Divnion � d IM Bwimea erM Prdessiona COEe. erd mY lironse h in lull I«ro erM aHea.
PERM NO: B 07415�
GOVT: N SUPP: N
PURPOSE: OTH
JOB UESCRIPTION : T/OFF & REROOF W/COMP. W/BUR ON FLAT SIL� SQ FT; 4,500
CLAIM VALOE: 4,500.00 CALC-VALUE: 4,500,00 GROUP OCC: R-3 IM-1
COMMENTS: COMP. SAINGLES ON PITCHED SIDE & BUR ON FLAT SECTION
****�******��****��**********��*�*x*��***�*****��+�**�***��*+�*****�r**�*********�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
cmuc.No.: uc.c ss: 39 uc.No.: 6fi�15 6 • CP: ------
„/� FRNT:
� A� �� 7 co��,edw: LEFT:
OW NER BUILDEN �ECIANATION� I Mreby effirtn under penely d perlury the� I em ecemq Imm �he CoMredore Licenae Lew for iM
- MAIN BUII,DING -
FT IN REAR: FT IN
FT IN RGHT: FT IN
------ -- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; F1' TN
�dww����(s«ia��oaisan�e�a�dPro��ooscoee:n�yoryo�owmv�+n�rea���aca�nmoorewn,ena,�p�, PARKING REQ: PROV: PARCEL: 19133909 ZNE: REF NO:
Eemofsh, or mpei eny a�mcNra, prior m ds eeuarce, a6o reQuires �he epplicenl ta such permit to fib a signeE eletemenl Ihel M or aha pLANN I NG NO T E S>_ .
� licensed W��� lo ihe D��iuona W IM Conlreclws Licenae Lnw �Chep�e� 9(wmmendip wilh Sed'qn )000) d DNeion 3 d Iln `
isirie» eM Pro/eaeime Code� or Ihel M w she n exemq ihsal�am aM �M bmo tw �he elbpeE exempian. Any vidalion ol5edion 7
.091.5WenYeCPlicenlfore0ermnsu4�slheaDVlicanlloeraWlDanelNofnotmaatheniWahundraddollaslS50011. iF�FiE�lEiE3E�7EiE3f3E9FiE1EiEiE9Eif�iEififiEiE�lEiEiEifiEiflEifiEiEiEiEiEiE*3fifiEififiEifiElEiE�Y143Eif3f3ElEiEifiEiE3fiEiEfE1E�1EiEiElEifif'iE�lEiEiEiEiE�761f�iFiE
. Q I. es owxr d IM propenY m my empbyees weh wapes sv Iliei eob mmpeneetian. will do iM woM. end Na et�unure c ra� imaiWed
w ollereC lor aele (Section �Oaa, Busimsa end Profeasions CaEe: Tha Convmore Licenu Lew does mi ep01y io an ownerd pmperry
who WiEa or inqawa �heiean. eM Mw tloee audi xwk tvmseX a hene� a Ihraph he a her own emplqees. qwked �he� euch
imprwBTenle ara rol inIaMBE w dfe�eE fw eale. M, howwar, Ihe buikinB or improvBmen� is eaN wnhin Olq yeazW MmplBlion, �M
owrerbuiMer wiil �eva iM buNen of provinp he w ehe d'b no� builC or improve iw tM W�Wse d aela). .
� I, es ownar W �he propeM, � exduarvely mnireaing wnh licensad conirectwe io conmuC ihe 0�1� (Seeion IOCd, Buairims eiM
Pmtemione Code: Tlro Coniratlas Licenae lew doae nd epply w en awrer d propeny w}w buiMa « impwea tharean ud who
comrects fa wch projMa wnh e mnlredor(e) IcanaeC pursuent to Ihe ConireUon Licenae Lew).
❑ I em eaemq u�Mer Sec1ion: B. 8 P.C., br Nh reewn:
Dme: Ownec
i ao nereny �anM mei i� awara m ene u�aers��d ma ��w�m��a �r cemomie r�eenn ena smery cma senions zsws, zssaa. ena
25534, eM thet 1 a eny lulure buildi�q xwpani will / wtll nd (drcb ma) naed io cwnpy wih mid meie mdee vd iM rxi�iremania br
,�
e pe�mn faconsVuciiona madifcelionhanthe R'r�6ueity .�enegemam Oimnd. ReaiEeMiel mn�rud'pn epp4�atbm eraezamq Irom ihesa
ww�sa�.
oe�e: Aooiwem:
W ONKER'S COMPENSATION DECL�PATION: I hereby e/firm uMer peneM1y d perjury me d tha blbxirq dxive�iona:
� 1 heve eed xil meinten e eeNfrale d auuent m sellimun la xakan' eompenae�ion, u ywided t« by SMian 3]00 d �M lebor
Coda, lor tM perlormeiwe ol Iha xak Iw wlich �hie pertnn ia iavued.
� i n�.�a �;e �m� wn�n oomve�� ��,�.., �c��red cv sea� aiao a ina �e« cee,. r« ina w�n,� d m.
woM la xhich Ihis pertn� ie isued. My wakers mmPo��ion insurence wner aM policy numbar ara:
c�:
Policy Numbec
ii rtecfion need irot hu tanpbfed / fM permt is M aro hunGreO ddlen j51001 a bs�.)
I cenAy �hel in Ihe pariwmenca d tM woM lor whkh thia pertnn ie in�ad. I shell irot emdM �Y D� in eny mennar eo av lo
bacane eu4ae to �M wakeee• mmwnsetbn bxs d Calilomie. eM e�ree thmlMahw4 baconb v�bletl Io �M xarkere'
ompenselion �p _ nqo( Seclbn 31 o�e lebor Cale, I ehell lonhwnh mmpy wilh Ihoe mvieioro.
�� AVd'ran1�
W�miny: F�lluis ro�wun workxi rompxuatlon rov�rep� l� unlawNl, mJ �Mll �ulr/�ct m x�p/oyn ro cNm'm/ pxvMs� aiW
e/vll flir� up ro ons hunCretl tMuuM tlo/br� (5100,000), In eJAltlon ro Ms ewf oI comperwtbn, derrrpv e� prov/JeGlor In
Swtlon 9lGK o/ tlu Lebor COW, Inhnal, ene ettomey's /s�.
CONSTRUCl10N LENDINa AOENCY: I henby eifirm uMer penelry oi perlNry �het ihere i� e mnstiudion IeMinp epenq Im Ilro
peRormenm d Ihe xark Iw which thb pamY c iaued (�nn 309]. Cn. CI.
IEN�EN'S NAME:
LENUEN'S AUDFE59:
I cenity �hm I heve reed Ihu epplicaiion eM 9me �het �M eEove iMormelion is wrtetl. I p�ee lo wmpy wilh ell ay eM counry oNineMea
enE stele lawe rele�ing �o builEMB ���ion eM hereby euthorae represanimivee M thie cny io emer upon ihe ebove�memuned propaity
�°`��0°"�°�W`°0905 MIKE C�.RSON
W�ilo-Buildin0 8 Sel�y; Oreen-Fle: Cenery-Applcanl: Pink-Revenua; Oddanro�Asxamr
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'� S
ZONING APPROVED BY DATE: -
BUILUING APPROC!ED BY : DATE: '
APPLICATION ISS,�TED BY: (���K�� DATE: ���� R 7'�
iEifffitlEiEif�lEiFiElE�7EaFiEiF 1ElE3fiEfEiE iF iF F�iFiE9E9EiE3fiE3EiFiEiF RiF7FiE3E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 .50
SMIP/NON-RES
PLAN
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-.CHECK
TOTALS----> 72.50 0.00 0�00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
%2_��
TOTAL PAID DUE
72.50 72.50 .00
72.50 OC1ER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
.S�
iE iF iE iE 1E 1E 1E iElf if if �E �ElE �)E IE iE �E fE 3E �E �E �)E 1E IE 3E IF iE iFlE IE �E 3E jf iE fF iElE �)E 3E k 3E 1E IE 1E iE 1E iE if 3E dE iE Ik fE iE iF fE If iE fE 3E If fE iE 1E fE if iE if jE iE 1E iE jf 3E 3E 9f fE ff
I N D I V I D U A L F,�E E B R E A K D O W N
�'-�--QTY D E S C R I P T I O N,!7 � ONIT COST TOTAL COST
//
SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE ��pp�E DETEG��FO�
END'O&A FEES
% REQUIRED �,�
\
a� or�i��9,o-r1Ui84941 �se��- ��.s�
OA'fE; 09/11/9` TihlEs i?:36
.
�,
;` CONSTRUCTION AND P4ANNING QOOI l�A .
APPROVALS Permit#• Date Inspector qPPROVALS Permit# � Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location.
r
2. Soil Pipe�Undrgrnd. '� 53. Stee! Reinforcement . �
3. Electricai Conduit Utility-Undrgr�d. 54. Forms
4. Electrica� Conduit�Undrgrnd. 55. Electrical Bonding � _.�
5. Steel Reinfarcement 56. Rough Piumbing & Pressune-Test �-
6. Electric8l UFER Gmd. 57. APPflOVAL TO COVER�GUNITE
r
7. Footing§ 58. Electrical Conduit�Undrgrnd. .
8. Foundat�on 59. Gas Pipe, O Undrgrnd., Test '/
9. Water Pipe�Undrgrnd. 60. Backwash �ines, P�Trap, G Undrgrnd. �
70. Structural Fioor SYscem a � 61. APPROVAL TO DECK
�
11. Property Sewer line & House Connection 62. Backwash & Receptor-Final�! �
72. Sewer CaP � � '
63. Heater & Vent-Fina!
:�
13. Roof Orains `,� 6A. Plumbing System � Final •' � '
14. Rough Plumbing � 65. Electrical-Final �
15. Rough Electrical-Conduit � 66. Solar SYstem-Final . '
76. Rough Electric Wiring � 67. Fencine� & Access Approval �� ��
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
78. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTER�S FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permi� # .
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ve�tilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & 7est � 72. Underground Fiush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing -�-�(� �pCv� 74, Overhead Hydro
26. T�Bar Ce�ling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXEO SYSTEM FiNAL
29. Insulation 7$. FIRE PREV. FINAL �
30. Drywal� Nailing HEALTH DEPT. REQUIREMENT
31. Plas.er Brown Coat 79. FINAL INSPECTION � �
32. Electric2l Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electr�c Notes:
34. Final Heating & Air Co�ditioning �q-�2 �Qrj '-� L� Oi� L�G�- `�
35. Finai Gas PIpe�Test /_ � T_�yF
7-ri �
36. Hood or Canopy '
37. Finai factory Firepiace � ' !�
38. Finai Plumbing
39. Water Service-Final
40. Gas Serv�ce-Final
41. Solar Demestic-Final .
42. BackfloYv Preventer
43. Backflow Irrigation
44. Landscape Irrigation System � _ '
45. Sound Attenuation � � ' �
46. Handicap Regulations '�
47. FINAL STRUCTURE & BUILDING GJ z� 1 Gv-;(` . ~�
4 ro U . <.
4$. FINALPLANNING - •
49. Electric Re�ease to Edison "� ••
50. Gas Release to Southem Calitornia Gas Co ''
51. CERTIFICATE OF OCCUPANCY
No Date
ow�.TEx MESA DEL M4R DEVELUPMENT COMPANY nnTE 3-12-62
JOB ADDRESS 957 �,�ellan Street � BUILDING PERMiT— NO.�1� 50
G�N�RAL CONTRACTOR Mpcco Corp. VALUE g 18� 60.00
AP No. LOT 5Q TRACT �1.2(O FIRE ZONE D�SCRIPTION OF NORKTOS W&tt
1 EC'PIONS I Signatur� DA1'E GROUP �� TYPE V ZONE Rl
So�� PF.Ijn41TS ISSUEI
�;Aa ��.'1_ � SUBCONTRACTOR nnm��rrr�Toc
�
� .i�-� - i6650 �E RECEIUED
COSTA MESA BUILDING-SAFETY DEPARTMEN MAR 7 1962 Lot S2 -'!'x'act 1t260
P. o. aox s» C08TA MEBA. CALtFORN1A FINANCE DEPT. P�n 450-D
ITY OF COSTA MESA
For Appllcanf fo Fill In Compleiely APPLICATION FOR PERMIT
TYPE OR PRINT gU1LDING
aooaess Ma e11an�Street
COSTA MESA. CALIFORNIA For Offlee Use Only
aeceivr xo. I v rs ��
OWNER Mesa Del Nar Develo ment Co.
uen RE�IVEO BY � QATH HECHIVED � DAi6
�l
1 oF LOT 6696 S.F, I„ow°a
� LEFT 6� I RIGHT
DESCRIPTION OF WORK
6O�XSO�lO��ROOMS
COSTA MESA. CALIFORNIA
FIRE
V ZONE
• APPROVEO
ZONING
zoHf� NO. OF uee or xaw s+y 3a�I^� ��+a.
/S —� I PLAN9 z I BUILDWG W/ R y 94 ✓
��°�e.e,,,,,, L o y- S Z TR `/ L G a
(C6NiCR LIN6 BTJ �
=�� FRONT �
� R. SIDE �
L. SIDE �
IREAR Z /
I APPROVED ���
_ BY
,1
- IN.
IN.
IN.
z IN.
src 2-�L/�Gi.
in le fami v dwellin Livi area 1'(3Y S.r'.
w/attached garage a a�e �' 60 S.F,
Covered Forch 108 S.F,
I H2REBY ACKNOWLED06 TNAT 1 HAV2 READ TMI6 APPLJGTION THE �NOUNT BHOWN 11NDEN VALUATION 1! FOP TH8
ANO BTATE TNAT THE ABOVH 19 GORPECT A!ID AGREB TO CON- pUpp08E OF EBTABLI9HIN0 A PERMIT FE¢ ONLY.
PLY WITH ALL CITY OMINANCE9 AND BTATE LAW9 R60ULAT�NO
eultDlNo CONBIAurnoN. VAWATION I � l.
� S/�� . ��l/�,. _, ��OD. �$ 18,960.00
DATE
JOB ADDRFSS 957 Maqellan St. BUILDING PERMIT NO.
GENERAL CONTRACTOR � Air V�nt Alimminun Atminq VALUE § 1 3�•00
P- �Io.i4i-��4-04 LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I. ECTIONS � Signature DATE I GROUP J TYPE II�
Soil PERMI
�.,,,, SUBCONTRACTOR nnmo i
i nvLln
,� '�
j ► �8o FE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT -1 6 1J6S
P.O. BOX 311 COBTA M63A. CALIFORNIA yU N,
FINANCE DEPT.
For Applican► to Fill In Comple►ely APPLIC �r�Fa�B��iESA
� TYPE OR PRINT BUILDING
BUILDIN6 Cjs' �� � i . For Office Use Only
ADDRESS
R6CZIry'NO. PEPMITNO.
COSTA MESA, CALIFORNIA
qAT � G A D� I q.�
OWNER W- �. DtF/� l'PLI � � �r� �
/,,� �.1 ADDRfi38 !� Q
MAIL 9�7 /Yl W-� Q �-. �� 1�! i �
AOORES$
J-- TEL. �' �� FIRE � � r
CITY � S T� /Yl F No. ryc ZONE GROUP ti
APPROV
ARCHITEGT �' ' /q `C NEOL. _ BY DATE /+ �_;
OR ENGINEER �'�
aooRess 3/T ��L N (�errw�J�.'f^ �. � ZONING '�
ZONB � I NO. OP � USE OF N!W �
/�/ �j /� �I' PLANS BUILDINO
CONTRACTOR l��i ✓ •'2 �" � �`�'Lk��'�'�V
LE AL I O S^ �
A�DRE59 �� CUS' .�F-N'' Plr� DE6CRIP�ION %- i
CITY
f{'/✓ KL�\ ("P rN . ' A.P.NO. — `, � 'O
p NOTE: NO EAVE OYERNAN6 SHALL BE LE33 THAN
LIC.TNO. /� �' � ��- ryEL• ��%Z�13�O 30"T031D8@REARP.L
EAVES
SIZE I No. OP e�.u6e. ALLOWED (U. B. C. REQUIREMENT>
OF LOT NOW ON LOT f
YARDSAPPROVED YAR�3APPROVED
USE OF � w,� "� MAIN BUILDIN6 6
EXISTING BLDG.
(FROMC/LSTREET) ,
6ETBACK LINE FROM FRONT FT. FT.
CENiER OF 6TREET REAR YARD �
s�o��ol LEFT Y—.•��S T"' I RIGNT c. "eS� n.s�os Fr. Fr.�
DESCRIPTION OF WORK L. BIDB Fr. /�Fr. r
NEW _ ALTERATION _ AOOITION S � REAR FT. I�J Ff. -_
DISTANCE BET. BET. MAIN 8
REPAIR MOVIN6 DEMOLISH MAIN BLDG3. . ACCESS.BLD68.
BUILDIN6 �NO.OF VAR.# DATB
SIZE ' � � ROOM9 .Z. 8TORIE9 � C.U.P.JC APPROVED
EXTERIOR WALL ROOF APPROY6
COVERING �C �V'P I COVERIN6 i� L�'l-K'ti BY �ATE �
lI6E UILD NG AND WORK E PE F9Rh��D
-.' 7 / /
5` k vt.c+� � � e v +
N
$Q. �. m
I HEREBY ACKNOWLED�E THAT I HPVE REAO THIB APPLICATION THE AMOUNT BHOWN IINDER VALUATION IB FOq THE F
AND STATE THAT THE FBOVE I8 CORFECT AND AGREE TO COM. PUFP09E OF E6TNBLI6HING A PERMIT FEE ONLY. Q
PLY WITH ALL CITY ORDINANCEB AND BTATE L.�W9 R60ULATINO yALUATION ��Qi 0
BOILOING CONeT ;O /� � pERMIT FEE $ ~ �
��N./` /� �/J+ l. � m
SIGNATUR OF
PERMITTE ,^/q
�� S/� J�// ✓I PLAN CHECK $ � o
le%wa- w"" /3 / LL
AUTHORIZEDAGENT TOTALFEE $