HomeMy WebLinkAbout2824 SHANTAR DR - Building Permits .
Os4151 0 CITY OF COSTA MESA
4 BUILDING DIVISION
F , �) DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
'A. fl • PERMIT M06-00516
•
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
• MECHANICAL PERMIT
Job Address: 2824 SHANTAR DR Status: ISSUED
Suite No - Applied: 08/17/2006
`. • Issued: 08/17/2006
Vicinity: • •
•
Parcel Number: 13940303
ISSUE •
Applicant: LEMOND, RICHARD - _
• Address: 25920 IRIS AVE - - - • - - -
_.- Phone: 951-486-033i•
MORENO VALLEY CA -' Zip • 92551
• •
L�
Owner: WHITE,(KENTON S TR --" _ - --
Address: ,,2824 SHANTAR DR
/, - -
/ ,-,,,5
COSTA MESA/ Zip: 92626-3539 N\
//
/ ,/ ` '\ // j✓:j. ,.`\" (' ( '/ \l.\\\
Contractor: 'TELF,ORDJONES INC
- Address: 25920 IRIS AVE '-�,`� ,✓ ",`
�, Phone:-951-485-0337 \‘,2'. i v ,A ''\
MORENO VALLEY,CA Zip: : 92551 >\ "). -
,, License:856936 '- l">
i ,
_ SCOPE OF PERMIT
.- CHANGE OUT(E)A/C UNIT FOR SFD(SAME LOCATION). _ -
. . /-,.
WORK TO INCLUDE: 1 COMPRESSOR/ABSORPTION SYST - --"-�;
.
•
• FEE SUMMARY `N
/ 1,, ..Quantity __ - ,.-, •. - .. ..t. ,- Quantity- r
•
ISSUE FEE $23.50 •/ -`/ - Reoair//Alt Absotblion Unit I,:4 .10.00t---0 i ', j
Inst FAU<100 k BTU : $0.00 0 -_ _` - '-" -" - `Repair/Alt Refrigeration Unit ' ! / $0.00-..0: :\,
Inst FAU>100 k BTU $0.00 0 Ventillation System . :;' $0.00 -0 : •
Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler64$0.00 '0
Inst/Rep.Recess Wall Htr $0.00 0 - - Commercial Incinerators $0.00 0- i
Refrig Sys<100 k BTU- $0.00 . 0- ------- _----- Domes;icJncinerator, i ,�J.;$0.00,- 0 i ,) /
Refrig Sys>100 k BTU . S0.00 .- 0 , ' Compressors/Absorption Systems / , - "
Gas Piping S0.00 0 Up to 3 hp'/100 k BTU $14.70 1 ' . •
Factory Fireplace \•, 50.00 0 3 To 15 hp/500 k BTU
Hood w/Mech Exhaust. $0.00 0 15 To 30 hp/1,000 k BTU .z'/' ,$0.00 7 0/
VAV Boz . ' . T. $0.00 0 30 To 50 hO/1,750 k BTU ://)72 1 $0.00•/ o,//
Vent Fan/Single Duct $0.00 0 - Over 50 hp/Over 1,750 BTU / /f 50.001 .0t /
Appliance - S0.00 0 „r ' Boilers 'N - / . ' /
Fire Dampers - - - $0.00 0 - Up to 3 hp_ !N -$0.00;//,0/
Smoke Dampers ' - • $0 00 0 _ , 3 To 15 Ip.-- $0.00-' 0
Inst or Relocate Appl Vent - so:oo-,;.0,.- ' - " ' .° 15 to 30 hp, 7. )� $000“�/0
Air Handlers<'10000cfm 50.00 0 30 to 50 hp ' $0.00,` 0
Air Handlers> 10000cfm 50.00o ,0 > - "'\ - • Over 50 hp `% //, rte ;$0.0d 0
Floor Furnace ' - $0.00 '"0 A Other Mecitpnical Fee .. - • , 7
Floor or Suspend Heater $0.00 0 ' h vcshoation Fee , r .. $0.00
v ' / ' "'`-, - -Pkan.Ct ek'Pee . '. •-2,,,' /N'�$0.00
`� �c //,,, _A - - --- F`e nsp'Gion Fee ,�` �� 50.00
- . "- TOTAL CALCULATED FEES $38.20
COMMENTS/SPECIAL CONDITIONS.
at
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work"must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00) •
DECLARATIONS ( � fl
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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
J''Ork for which this permit is issued.
1 have and will maintain workeis'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'cont nation Insurance canter and policy number are: a,.r�1
L -Carder C'enta /41,5 FA744-40 D.licyNumber-Int!^ /./t 4e9
,(.Ihis'sectlon need not be completed/f the permit is valued at one hundredredollars($100)or less.)
' .❑ I certify that in the perfor0an. for which this pemn' issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of C: tit I s'.uld ._perm/
subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these proaW Q 7 /
Applicant Signet � � t- DCJ �/ uEj
WARMNQ FAIEURE TO SE • J .. TION COVERAGE IS UNLAWFUL AND SHALL SUEUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100...v •.• • • E COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,MD ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed u d vlsi ns of Chapter mmencing with Section 7000)of Division 3 of the Businesssnd Professions Code,and my license Is in full
force and effect.Lic.# ffrl Class#-
C.ontractor's Slgnatbre: i MI6/ "—Date:,' � � _��
— � I
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: Lenders 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 end 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 buil0ing 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.). •
❑ 1,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 exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
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 B,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:
I 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 Safely 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 California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application ajaPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L1 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 ❑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 Safely Code Section 42303 been made? ❑Yes 0 No
8 (If yes%attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described pro•erty for inspection purposes.I a. roe not to occupy or allow occupancy of any building authorized by this permit until final inspection.
DBS/eC
1A +r.Authodze•Applicant D �<<^
, • ni•. if gAIE M N& CODEC INSPECTION TYPE ldm. r
1616 Fixed System Final Fire Prevention 206 Final Mechanical r�q ( ,Q al ,
1266 Pool Spa Final 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
0 " Pfl1�1ECTADDRESS: 2824 SHANTAR DR UNIT: • CITY OF COSTA MESA - BUILDING-PERMIT PERM NO: B 063529
OWNER'S NAME: .WHITE KENTON S
ADDRESS: ''2824 WHITE,
DR .. PERMIT NO:' B 063525" PLAN CHECK NO N ' GOVT; N SUPP: N-
COSTA MESA,CA 92626 �,
714 ) ''540-1893 - ' - --
CONSTRUCTION TYPE' V-N - ' " ' PERMIT /TYPEI' STR PURPOSE: ALT
ARCH/ENGINEER: REc.NO.: JOB .DESCRIPTION - I REROOF 0/TOP 'OF SHINGLE W/COMP -SQ 'FT; -'6 700
ADDRESS: - UNIT:
' CLAIM' VALUE': 6,-700:00 CALC-VALUE:— ' 6;700.00 GROUP OCC; R-3 /
PERMITTEE: WINEGARD ENTERPRISES (714)673-2535
ADDRESS: 2033 SEVILLE , COMMENTS: SMOKE DETECTOR—REQUIRED 'PRIOR TO FINAL- • - ' . .
BALBOA ': ' CA 92661' _ :E**:r;ESE+rEr*:E;E�E***:E*;E*:E;r:E;E**** ********;r;E********+r***:r*;Ear;e*;r:E**;E********;e*+r*:r*****
LICENSED CONTRACTOR DECLARATION:uaridesson affirmoCant am icens eis ntler provisions a Chapter B(commencing with Section • i,A!
' 12 O':N LNG '"R "E Q U I 'R' 'E M E N T S
7000)of Dwsioh 3 of the Business ahs Professions code,and my license is in full force and erect. `- S E "T B A C K S '" `
CITY LIC.: STATE LIC.: 669749 cuss: C39 .. .."
Date: s(n'(h3 Signature: (A"/ W ^ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm tR l have a tend lc a of consent to self-insure or a certificate of Workers' FRNT.; FT - IN REAR: . FT IN MINTY.
FT IN REAR: _ __ FT _IN
Compensation Insurance or a certified copy thereof(Section 3800.Lab.C. . . LEFT: FT - IN RGHT `;,.FT .. ', 'IN, .,�r..LEFT•, ,„ ' FT' IN RGHT: FT , IN
POLICY NO.: 1345674-964/01 /94 - "" '"""' ' - " •'
EXP.DATE:
COMPANY: STATE FUND '' PARKING REQQS: • ' . PROV: "`- - PARCEL`: 113940303"ZNE: ' L.
REF 'NO:
1 Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. n PLANNING- NOTES> • ,_ _ .•u _
Ie: ciliTh3 Applicant: cu W *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (rrke�ection need not b ompleted a the permit is for one hundred(Slog)or less):- .:.t•:E ...D ,E rV 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 T S .,
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. ZONING- APPROVED BY DATE: �`+
Date: Signature: _
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor ' BUILDING''APPROVED' HY : - ' f� r DATE: .�
Code.you must fuNG ith comply withe such firm t provisions this permit shall beendingdeemed revoked. - V J
..‘4,
� (_..;"--1;03_,
c�5'" 'f
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY:- '[�yE i(/ !�--{� - ` • " DATE; e4J r' $
which this permit is issued(Section 3097.Civ.C). ********************************* **** ******* *******************7E*****!f*****
LENDER: *****1P*************************************************************************
ADDRESS: ' ' "" "' '."'F 'E E -"`S_ U M -M 'A" R Y' , t "STRUCTURAL' SEGMENT:Y
LEGAI;IZATION .N'," ;; ;" '
r,
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason .. -' BLDG PMT' PLUMBING' ELECTRIC MECHANIC " 'FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT • 90,.00 a,,7 67
repair any structure.prior to its issuance.also requires the applicant far such permit to file a signed statement that he/she is licensed - - - - - - ' ' ' SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business --.. .. ". - . • .. _. ... . • . - . . , ,.
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE.,.FEE _ /
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK - TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS-7',L'=4›.: 90,67 0,00 0,00 90.67 >. 90 , 67 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through - " - f
his or her own employees.provided that such improvements are not intended or offered for sale.If, however the building or REVENUE :DIVISION TOTALS-=-'>, COLLECTED 90. 67 OVER/SHORT: 00 - -
for the purpose off saei)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/•TOT GRADING PLAN-CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 70.14,Business 90,00' " T • ,67 •
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. I N D . I V I 'D U •A L F E E B R E A K D O. W •N
•
❑ I am exempt under Section: , B.8 P.C. , - . . "
for this reason: TYPE QTY. " D E S 'C R I P VI 0 N " UNIT COST TOTAL COST
Date: Owner'. al .n,,.�.,:. .
SFR`` 6700` "REROOF 'HY VALUE RESIDENTIAL ' NOZONE 1 .00 6,'700:00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a . . • - -.. . . _ • - .. . . . . . ,
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from --, .
these provisions.
Date'. Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned•
property for inspection purposes.
—0 till 1q17 Signature:_q W DATE:Qvcc103/17/9314 TIME: 11 03 90.67
Driver's License or Social Security II:
1641-46 Whit -Builtlina:Green—Code EnI rcem nr.Can r —Aoolicant:Pink—Revenue;Goldenrod—Assessor '
V.
• CONSTRUCTION AND PLANNING POO, ,PA - i
111111 APPROVALS Permit'#- Date Inspector APPROVALS_ Permit Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - • .
Pipe-Undrgrnd. t.'
2. Soil Pih -
p g .:< 53. Steel Reinforcement
r�H G'ctrXal CondEl ility-Undrgrncben 54. Forms • -
•
Ut-•'4 c. T' 4.tr•
a,•4'1 tVcctrical Condgl drgrnd. i ,.....- 55. Electrical Bonding
-U < < _S
,•'�J 'eel ginforcep;171t '^.)
x 56. Rough Plumbing & Pressure Test
•
S± ctrino cal UP EA. rnd. ti 57. APPROVAL TO COVER-GUNITE W'
<cl\ Coti ags r•'7 t- 58. Electrical Conduit-Undrgrnd. a
a".c..
LI ,rr 4
- D,4,aoundation °J 59. Gas Pipe, 0 Undrgrnd.,Test - '`
-x
9. Water Pipe-Undrrrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
r.;
10. Structural Floc System a. 61. APPROVAL TO DECK -
' 11. Prperty Sewer Linn&,Hgase C6nr`(5ction -, 62. Backwash & Receptor-Final
- s
12. Stoker Cap a:
ro cia I 63. Heater & Vent-Final
Ct a .
13. Roof Drains go 64. Plumbing System':Final
14. Rough Plumbing '' 65. Electrical-Final •
15. Rough Electrict-Conduit - 66. Solar System-Final
c
16. Rough Electric-Wiring 67. Fencing & Access Approval
17. Rough Wiring Stgn 68. APPROVED FOR PLASTERING
r_
18. Rough Electric-a0-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - 'FIRE DEPT. REQUIREMENT -
LI 11 R __r�.. I I• tTtT •
e. • t •.(. * J v' v'- WI- tC_ * h :V
20.pr ..gh ctcrii Fdze7lace I `;iii Z 7 x O L7 a'* * `IAPPR BVAt610CPermtt# V' CC
rr t In d rY 1 <•tr • _ x: S H trx x D G d:trl-1c-I 7 * IJ n
y,, r* Fit- ;K 5 * I-I 7 .1* x: Ic ,g 'y y
21. uc , i�,StrT"t�ri+r •• •• I-1S * s I0 1-1* * I-3/O. Wrderrgra9-t�re,Hy�ro t=t .
.� �UI .S I -,i r n '•- Cts,- P , t .-..., -
22.'"b uels, 'enti}etine-.t I OS * S <* * i. ProducVRfj"ing W1Q s 01011
S C. •` d1Y I r.. x Y"1 t• • . r-.x -t• T, 1 +
23.3as ip o,,7yh ffi' st ;ris
,.. 8I, M I t--17 ' •'O
M9 � tT1S � C•Y a < 'r. X72. Underground FIyCt�a, * F, �
o r• jSC t 1:* I ITT: V•C.' * U. U; `.-f. .+. f.� ti - •' a "lo,
GT
24.a{toc+>: Frptnin9 Lim I - -' ••I- X> O I--o.. x Fs/3 yfUndergrri Storill•-• nk fJ Gas ❑C�«I
25. Rolf S thin t'* '-E N tT, td O J?--* S t7 r+�-.o
4 ({ p 9 ,,.* < „ v* 0 > ^J* * 742,gyerheadxiydro8": x
26.y-Bpj Ceiling (StLgaiural) &dy)orsocoat x W tUr Ell: t 75stDry Chemical 57 r. I-I tC
ri : -ES O > 0w L SO 7 '--'•-o T
27.^-Frame and Flash to * a1 * * 76 y Stan l{�t�e Oa s S m J
so tr. to (Sn�d'�FK 0=O'. x S > Oox * TQC+
I C1* -t*1C5 U' X >- z
,8�'Lat ingt Sj�ing..l- �r <x S * .. .. ..*- * 7717'FIXED S-YSTE(WEJNALv r✓r tt, O
a e- c-c 9 x + Y i HI, nt.. -t , , 1.1
>29. InsulatiS G tX*O '~ " " > ; !'11 .if * 0 I * tO
* S * * * 78gFIRE PREY. PIN;Al- * > x >
Ss *S y
* . v- • t
Z•30. Orywallelai CJ g :7* * x * r-1 NEALTH-UEPT4.114EQt:ldREMENT
n31. Plaster �ow Coa * t < * 799FINAL It g CTION '11. 0 ,y
F.,32-ElectricaGPayer Oz c nal1 ?: 03 t r b$O:r:OOD Cd IFJarE IStUEOF' K
G C. !. i < i [•^. * * h1 t; 't.4 .- m
y33..Sinal alttrid,; - N "s:
C'rt I < * �. Y * ° � '7:71 * '7 0 tUrrl
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I G7.'.Fin24 F33torY FikE Yz ateM. I Er H a x r r 'n, • X.
8. FinM Plenbing <* N I w * - x x ,s L: x to
i=39. Water Service'Finak I t•. vs fl :u;'+'. * tC 0
I - x_ J. * Rtx Y O * 5
tr'40. Gas Service-snal T triter S x L * ? C.C. m
T1 * x rON
241. Solar Domestic-Fin*IS n •• :i0 v - ;:yo .: *
(--42.- ackflow Preventer N * x * ��t _-�`/_�
h N x 7 .. * 1-I v �� rid"" 3'1�//1�J/J, /./�' /.
43. Backflow IrrJ9atioruC tCSS x * x i:t-� 0 •--1
rs :< v at IX x xAV i x C•,
.,.44. Landsca0e Ir?igat4 Systern 0 .-1 0 O 0; t Q cu CO X41 ,a S n o
to c_ * S h (-' E•.? * t i 1-1 Iti o•o •.Z *
ti5.(�ound 'ttei^DlatioAt 1-+Q.y t'' x m :tt ,n, 7 ` et: • E
s6;F1"landicat fleRulatio s 0 'S * tr. •• .•* * ' �•o ..,--. lc
'47..sF1rL ST RCTURE & 8L1 .D1NG r -
T 't' 1 x �` k x t ;I s'
48' II�L PLAIt1NIN( Etr x Cd ,i M < * F rt
u.. •- * 1� - -+
d19QEle�thc elease to Idison j * lc * z c ' I n 1-7 t.
G r x _ •'a *.:n Lt. •Il x a
0. Gas iftel"se to Sou;tern Calm r I Gas Co * * * S G o > CI C
';�1. CENIIFICATE OF CCUP4Nt's *--e - t O
No- Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
C(lV OF COSTA MESA PE IT NO. TRACT NO. LOT NO, , :BLDG:NO: - ' 636I 6L 6/82 6.00 TLS '
CONSTRUCTION PERMIT r-'J7Oa - -
Project Addresse. 'Lqt. S ` TYPE OF CONSTRUCTION ` •Vit\ ' I '
'Owner�)h, •'7 - -PhOne�i/p/TIS 0 NEW' ❑.ADD -❑ ALTERATION
/U - ' , 'i ' '
. .
:Addres$,ae.,1 - rA-A7 jfj 729-2" . ' - 0 REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS
Arch/Eng.- - License No: - • 0 OTHER - _ ' .
DESCRIPTION OF WORK A.P.
Address . " - - - - -- - - • - - ZONE -. PLNG:REF.# .. • _ -,
Contracto549 i°,2aJS%a .„*Phonedra9z/rd TYPE OF PERMIT ' . - BUILDING - - Tp a I�pING
Address • SETBACK C/L ST. PROPERTY LINE
�.alet --9-,r-JON '-i (3, alire�- ..❑ GRADING 0 FOUNDATION '-❑STRUCTURAL SIDE YARD
. -
LICENSED CONTRACTOR DECLARA ON T��— ❑:TENANT •
❑ ELECTRICAL PLUMBING ❑MECHANICAL' SSIDE YARD -, -
I hereby affirm that I am licensed under provisions of Charter 9 (corn- ' •-
• RIGHT
mencing with section -7000) of .Division--3-of-the Business and -❑ OTHER - .
Professions Codea nd my license Is in full force and spec • .REAR YARD(TO P/L)
License Class_ .c7 Lice se N •-•�^ x/� ' PROJECT DESCRIPTION
-
Q / PKG.SPACE REQ. PROVIDED
Date Signature _ SQ. FT
STREET WIDTH PARK'FEE$ _
WORKERS'COMPENSATION DECLARATION... . . - - OCCUPANCY_CONSTRUCTION TYPE '
I hereby affirm that I have a certificate of co nt to self-Insure or a - ' I ZONING APPROVED BY . . DATE'
certificate of Workers' Compensation Insure e,-or a milted copy •VALUATION ZONE
thereof(Sect n 3 0 Lab. SPECIAL CONDITIONS: .
Sp GRADING CV:'V DS. ACRES
Policy No. r�-n ���/Company �i`�—�� - _ • - -. - - -'--
❑ Geed copy Is hereby furnished.. � - REMARKS: _ _"
Certified copy Is filed with the city Building Division. -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - -- - ' "" , - '-- - -
(This section need not be completed if the.permit is for one hundred . •
($100) or less). . -
I certify that in the,performance of the work for which this permit Is _
Issued, I shall not employ any person in any manner so as to become PLUMBING - PLAN CHECK ' - _ ELECTRICAL - " PLAN CHECK
subject to the Workers'Compensation Laws of California. uwtLurvU GA RAGE
Date Signature - - BATHTUBS -• SHOWERS SQ FT SO FT ,
NOTICE: If after making this declaration, you should become subject. TOILETS ,. URINALS " " GENERATOR - 0-1 KW 1-10 KW .
to the Workers' Compensation provisions of the Labor Code,you must .TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUG - APPLIANCE 10-50 KW_50+KW - ,. -
revoked. _ _ . _
CONSTRUCTION LENDING AGENCY KIT.SINKS ' DISHWASHERS 'c%- MOTORS 0-1 HP 1-10 HP -'
I hereby.at firm that there is a construction lending agency for the per- SERVICE SINKS ' SUMPS ' - • - (INC.SOLAR) 10-50•HP 50+HP
formance ovine work'for which this permit is Issued,(Section 13097 .. - •
Civ. C.). - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS -SWITCHES
Lender's Name _ .
Lender's Address DRINKING FOUNTAINS - ' •• GAS TUBE SIGNS ""'
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS - 'POLE LIGHTS '- - - __ '-- - •
I hereby affirm that 1 am exempt from.the Contractor's License Law for . - - - '
the following reason (Section 7031.5 Business and Professions Code: - SWIMMING POOL ' P TRAP ' - - LUNS I HUL I IUN .
Any City or county which requires a permit to construct, alter, POLES METERED SUB - ,
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS . MAIN - SUB •
quires the applicant for such permit to file a signed statement that he _ ' -
is licensed pursuant to the provisions of the Contractor's License Law - GAS SERVICE OUTLETS • "'SERVICE ' - ."" AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the - - -
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT' - • . . '
basis for the alleged exemption. Any violation of Section 7031.5 by _ -
any applicant for a 'permit subjects the applicant to a civil penalty SEWER CONNECTIONS • -
of not more than five hundred dollars ($500). • - •
0 I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORSti> , ' - '
sole compensation, will do the work,and the structure is not Intended - - _ - - • -
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE " - •
Contractor's License Law-does not apply to an owner of a property _
who builds or improves thereon, and who does such work himself or ISSUE FEE •
- - 4=2- APPLICATION APPROVED BY DATE
through his own employees, provided-that such improvements are not _ _
intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within oneyear of completion, the.owner will have the burden •
of proving he did not build or improve for the purpose of sale). BUILDING - • •
❑ I, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP " , , $
licensed contractors to construct the project (Section.7044, Business A•ND DUCTING PLAN CHECK $
100,000 +gTU PERMIT •
and-Professions Code: The Contractor's License Law does not apply to ISSUANCE $ '
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU ,PLUMBING
NG $$ (
tracts from such projects with-a-contractor(s) licesned pursuant to - SYSTEM' - GRADING $— '
the Contractor's License Law). 100,000'+BTU PLAN CHECK $
❑ 1 am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $-
reason - - - ' - -
• MICROFILM $
SYSTEM REPAIR,ALTERATION PLAN CHECK -$ •
Date - - :_Owner• - - - MECHANICAL $ •
TOTAL FEE$ •
I hereby Certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- •
information is correct. I agree to comply with all city and county PLAN CHECK $ VANCE PC $_ -
ordinances and state laws relati g to construction,and hereby authorize .
representatives of this cit o enter upon the above men tined ie'
property for iMi�cti L os s. _ / cal61. CC
Signature �� • ,�/l�l�/ Date���"-�"• J • FINAL FEE $_ •
Drivers' License or SS ,.. "" - ISSUE FEE - - -- .,
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
. VY
• CONSTRUCTION:AND'PLANNI/a)G POOL&SPA -• ' - - •
r
APPROVALS Permit# -3^�07. Date Inspector •
APPROVALS Permit#` Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. ..Forms - -
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
-
5. Steel Reinforce 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn48. APPROVAL TO COVER-GUNITE •• • - '
7. Footings , 49. Electrical Conduit-Undrgrn• •
8. Foundation , 50. • Gas Pipe, ❑Undrgrn,Test
.9. Water Pipe-Undrgrn • - _ 51. Backwash Lines, P-Trap,-❑Urid_tarn
10. Structural Floor System 52. APPROVAL TO DECK - '
11. Property Sewer Line & House'Connection - • . 53. .Backwash & Receptor-Final _
12. Street Sewer Connection - . . 54. Heater &Vent-Final ••
13. Rough Plumbing 55. Plumbing System -Final
14. Rough Electric-Conduit .56. Electrical-Final
15. Rough Electric-Wiring - - - • - 57. Solar System-Final -
16. Rough Heating & Air Conditioning -• b8• - Fencing &Access Approval
17. Ducts, in Structure - 59. APPROVED FOR PLASTERING •
18. Ducts, Ventilating . - •
' 19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL
•
20. Roof Framing ,, . . '
21. Roof Sheathing - J) "rend /��
22. Frame and Flashing - NOTES: �D an 7.4..)g..). "lrCreG'7�c, C -/#f'-,F7 .�"'r7_
23. Insulation - -.
24. Lathing & Siding . . _
• 25. Drywall Nailing - ,
26. Plaster Brown Coat • " - •
27. Electrical Power Meter-Final .
28. Final Electric _
29. Final Heating & Air Conditioning _ _
30. Final Gas Pipe-Test
. 31. Final Plumbing ‘-/7-y2 9v7's '
32. Water Service-Final , -
33. Gas Service-Final -
34. Solar Domestic-Final •
35. Landscape Sprinkling System -
36. Sound Attenuation - ,,, . .
37. Handicap Regulations `-,
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison - -
41. Gas Release to Southern California Gas Co. •
42. CERTIFICATE OF OCCUPANCY
Nd Date
OWNER PACESETTER WEST J 'T VENZURE r OCT'r 2 3 1962
JOB ADDRESS 2824 Shantar L. . b ..DING PERMIT NO. 17902
GENERAL CONTRACTOR Andros Land Co. VALUE $ 15,681.00
AP No. 139-403-03 LOT 3 TRACT 4349 FIRE ZONE DESCRIPTION OF WORK Res.Watt•gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE 11-1
Soil /PAIS //-i-'-te-z- SUBCONTRACTOR PERMITS ISSUED
Gas . - -. 7 DATE NUMBER
Water - . n_-__is
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating _ '�� ,�
t( / - /Jf, y. . /3-�2G /o. C —
Rough Plumbing %-g + ,�-a /. J - - ..- - -//-/- a2 36_9_2V
Miscellaneous
Prop.Swr.Line ❑-Rouse Con. B-St.Swr. 0 QL/C i/tdrev (, f7=Y.i.3--- /7/`Id-4'L 7 qq¢6 d
Sprinkling System
Construction Pole Z/( /„fatta,st.e_, tLZe/. et'ail-4Y /gq,0y
Underground ❑ Power ❑ � �ry
Rough Wiring *f /J-,k-1-� .f.. Ina r"/'O� /.2-/7-L1 /f9,-i
Trenches 0 Forms 0 Steel Reinf. 0 7- -t. 113'4.
1--
Floor System Fj-� /� .C.ta-_,
Bond Beam 0 Steel Reinforce 0
Sheathing _4i_
Frame and Flashing _-
Lathing - In [�-/Out RRL k1.j t* /S:ki
Plaster, brown coat ri --7-6-4
Refrig. 0 Air Cond. 0 Final
Heating, Final --/!,
Plumbing Fixtures, Final
Final Gas Test /1,6 a
Electric Fixtures, Final .7 C.
Building, Final _ ? �7
OCCUPANCY `---•
FORM BU4-5M — 7-61 ,envy"
EE RECEIVED
17go2
OCT 1 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT k FINANCE DEPT.
-P. O. BOX SIT COSTA MESA. CALIFORNIA
', CITY OF COSTA MESA
For Applicant to Fill, In Completely APPLICATION FOR PERMIT •
TYPE OR PRINT BUILDING
TALRTSN •CCOSTA MESA. CALIFORNIA /yL/(/ For Office Use Only
/' /045 / / �� I RECEIPT NO. IPG3{A]LO�
OWNER IV/ Lin
MAIL ���� ��� RECEIY BY TE RECEIVED D E ISSUED
ADDRESS
����4. ,.,�.t& ,wtl G '�/I�' //1a y r+ 1562
CITY C.(J�7'.Q ���� NIT//63ei ADDRESSG CJI d020- 'A-4/Ail��
ARCHITECT 4 fre,4 ^ „ ,j TEL.
OR ENGICEER //� �/rI_/f-fL/T- NO. COSTA MESA. CALIFORNIA5467
���(}��,
ADDRESS /'���F/44 - FIRE V GROUP 1�` I //
LA-AID / ZONE TYPE 1/
CONTRACTOR 4/.441 GQ 1 APPROVED DATE
ADDRESS /6 63 4i 1,-Al Y.4- . ZONING
.07.x/ NO.OF USE OF NEWS.1./Y''R,I,I,�
CITY !� I}' -/ I PLANS L� BUILDING w/Q& 4 -
STATE I4 7 / / 6 TEL. LEGAL �,/ l [/S
LIC.NO. ` C (p 7 NO. DESCRIPTION eliit3 / T3
SIZE 1, / NO. OF BLDGB.
OF LOT 7/ .( / NOW ON LOT A.P.NO. / 3 5' - ya3 — 03
USE OFA7�IOrYARDS EVES
EXISTING BLDG h c,SL`GG APPROVED ALLOWED
SETBACK LINE FROM /1 /J (CENTER LINE ST.) /�
CENTER OF STREET �/y/'' REAR YARD 4(0 FRONT 1// FT. IN.
SIDE YARD I LEFT .0 - I RIGHT 47 R.SIDE 6/ FT. __..-
IN.
DESCRIPTION OF WORK ,sem —
(/ L.SIDE FT. IN.
NEW I/� I ALTERATION I V ADDITION 1 REAR L-- /`" FT. .--___ Y pIN./
REPAIR VMOVING I DEMOLISH APPROVED K"(Er DATE 7447. 2
BUILDING /C00 NO. OF /EXTERIOR (-rj�SY
SIZE PP..�71IL/yy�)����/. ROOMS . ^ST/O�RIES
COVERING
W/iJ/1/LLCI COVERING'� /i7T�.E�
OF BUIL I G A D WO:K T• BEP -FORMED
wr, rT Cc 3a /41341-el
pi
a'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT OWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH NG ALL CITY TIORDINANCES AND STATE 8 REGU TING
BUILDING ALL CITY
. / /] VALUATION • �r
SIGNATURE / 1 "la
PERMIT FEE $ J
PERMITTEE �-+1{- - ('�/ p,
�i+ - //' 1 $ /Jf (p�j eu
PLAN CHECK $ a�• S I£
AUTHORIZED AGE $ 76.CO u
.. . _ - ..;,. TOTAL FEE
4