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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 $