HomeMy WebLinkAbout838 SONORA RD - Building Permitsr
APD��cant lo fill in all zo eYceot thase witnin neavY bortler lines anE sian all aooroDriate Eeelarolionz.
CIXY OF COSTA MESA CONSTRUCTION PERMIT PER3 No$,O�_ TR N. LQI�fJO. UNIT NO. � A P# _ 2� . Zona
//P�ro�ecc A�ddress � �p c Q � . � S Main Buildin9: Accessory Building:
/ pplican?'SMailingAddf255 (��� tJeSr __✓O(�.[1 ,TVPEOFCONSTRUCTION NEW AD� �ALTE(3ATION REPAIR E Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER 7 F�ont p
,f��"'ner's Name � Phona��%%7�'^ DESCRIPTION OF WORK/USE OF BLDG. • • /� I B Rear � N
'Atldress �s.3�J S'^'✓r.Q/1 • .PA. �_�Y%145'�'i � �LL. C�'el�- (o � � ' � • �.1 -C� i �^c.�a...` s• � p' �
Arch/Eng. LicenSe No. ' / TVPE OF PERMIT LJ GRADING�UNOATION TRUCTURAL V I K Ri9ht N
G
Address � ❑ TENANT ❑ ELECTRICAL ❑ PIVMBING ❑ MECHANICAL . S' Left
R
Convacmr's Name Phone __=�'�+ ��oTHER I p�ng. Ref. # Parking Req./Provided � E
PROJECT DESCRIPTION SQ. FT. OCCUPANCV � n
Atltlress (mailingl �� � � Planning Notes: ` � ry�
, CONSTRUCTIONTVPE �-� VALUATION$ ST(af% ` T
CityLiCenseNo. � - ZONE GRADINGCU.VDS. ACRES � '� S.
LIC SED CONTRHCTOR DECLARATION� ^ �
I.hereby a 'censetl untler provisi er 9(commencing Remarks:',:'^ ' �
with section �000� ot oivision nd Protessions Code, antl . ELECTRICAL ' FEES
my license is in tull f e fect. �
Liten�� License No.
oate Si9nature PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
� WORKF.RS' COMPENSATION DECLARATION COtlStfuctiOn POI¢Sub. � 50+ KW
I hereby affirm lhat I have a certificate ot consent to selt-insure or a certificate Bar Sink $hOw¢f5
of Wo:kerz' Compensation Insurance, or a certitietl <Opy ther¢of (Settion Cooking Unit M2L¢f ❑up t0 10� drt1p5 �
3aoo, �ab. c.) _ Backflow Preventer Service Sink
Policy rvo. ' Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps
ecertifietl copy is hereby (urnishetl. '-_ Dryers ❑Gas ❑ElecVic Sub Panel - .
Certifietl copy is filetl with the city Builtling Division. 62thtu65 SQW¢I COnflECtiOn
Da�e appiicant �� - - . Fan Motors �Pi HP �TX-8
EXEMPTION FROM WORKERS' COMPENSATION DECI.ARATION Clarifiers Solaf ColleGtotS �
(This section neetl not be completetl if tne permit is for one huntlretl ($300) or Dishwasher F.A.U. ' Inc.Sol ❑9-15 HP-�76-75+
less). Solar Pipin9
I certify that in the performance of the.work for which this permit is issuetl, I Fixtu�es ' owave " •
shall not employ any pelson in any mdnner so a5 to become subject to the Dfinkl0g FOunt81f15 5012! T3pk
!.
Worke�s' Compensation Laws of CalifoiniA. DEVIC¢ BOx¢5 �
Date � � Siqnature Floor Orains Swimmi Pool w/Spa Pole Light
NOTICE: If, after makinq thi5 tleclaration, you shoultl become subject to the DUtI¢t5 �
Workers' Compensation provisions of the Labor Cotle, you must torthwith Floo� Sinks Ur� al Range 7 .
comply with such p�ovisions ot tnis De�mit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV GasService Outlets WatefCloset $witches Sign �
I nefeby affirm Ihat there is a construction lending agency for ihe performance -
of Ihe work for which this permit is issuetl (Section 309� Civ. C.) Garbage Diiposal Standing Sections �
Leneer's name �nterceptors Water Heater
�enders.Adaress Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor
'OWNER BUILDER DEGLARATION
1 he�eby affirm lhat I am ¢xempi f�om the Cont�acto�'S License Law for me � Lavatories AUtO-WdSh
foilowing reason (Section ]031.5 Business antl Professional Cotle: Any city or
county which �equires a pe�mit to construct, alter, improve, tlemolish or repai� P—Tldp � �ypndfy T�dyS
any strucSure, prior [o its issuance, also requires the applicant tor such permit
to file a signed statement that he/she is licensetl pursuant to the provisions ot Roof Drains
the Contractor'S License Law (Chapter 9(mmmencing with Section 7000) of
Division 3 of the Business and Professions Cotle) or that ne/she is ezempt Reinspection Fee $15 Issue Fee $ 3�
therefrom antl the ba5is for the alleqetl exemption. Any violation ot Section ' -
7031.5 by any applicant for a permit subjects the apP�icant to a civil '
�eny ry ot not more than five hundretl tlonars (5500�. • DEVELOPMENT�SERVICES REQUIREMENTS: p
YSI, as awner ot the properry or my emoloyees with wa9es as their sole Reinspection Fee $15 laue Fee $ 3 ZoninB APP�oved By Date ���o
compensation, will tlo Ihe wark, antl the s[ructur¢ i5 not intentletl or otfe�etl g
for sale (Section ]044, Business ana Professional Cotle: The contractor's MECHANICAL FEES 8uilding Approved By Data
License Law tloes nol apply to an owner Ot a property who builtls o� improve5
ihereon, antl wno tloes such work himself/herselt or through his or her own goiler Hood or Typ ❑. APPliwtion Issued By - Dat i
employees, provitletl thal SUCh impwvements are not intentletl o� offeretl fo�
sale. It, however, tne Duiltling or improvement Is soltl within one year of com- Canopy pe II ❑ SUMMARV O F
pletion, tne owner will have the buraen oi provin9 he/sne tlitl not build or im- Ducc - Under Ground y s p .
prove for the purpose ot zaie). ' . BUILDING PERMIT $ �- SMIP $ •�
❑ I, as owner o( the property, am exclusively contracting with licensetl mn- Duct -Structural Refri ation System P�AN CHECK $ � Y• 9. ]�� PERMIT
trattorsto con5tru<[ the project (Section 7044, Bu5ine55 antl Profe55ion5 Cotle:
The Contractor's License Law does not apply to an owner oi property who Duct- Ventilating -100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builtls or imoroves thereon. antl who contracts for such oroiects wrth a con-
tracror�s) lmense pursuanc to cne ConVactor's License Law). i am aware thai PLAN CHECK 25% $ ENERGV P.C. $
proof of tneir Worker's Compensation insurance shoultl be prov�tletl to me. Exhaust System � Multiple ❑ System Repair/AlteratiOn
ELECTRICAL $ GRADING $
❑ I am exempt untler Section B. & P. C. for this reason FirepVFact. Blt. ICBO dk Fire Dampers PLAN CHECK 50% $ MICROFI LM $
oate � �� owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ G�g!'I ✓
I hereby certity that I have reatl this appiicatlon antl state that me above ❑0-100,000 BTU �100,OOOBT PLAN CHECK 25% $
information is correct. 1 aqree to comply wi[h all city antl county ortlinances
dntl State laws relating to builtlim m�struction antl nereby autho�iie repre- �
sent tives of is c' t upon th v mentionetl O�operty tor
i ection ose ���` 7 fl ���Si77. � �Q�EE�
ignatur Dat���z� peinspection Fee $15 laue Fee $ 3 v� � 1� i' � J J_ ��Tl .
� Drivers' License or 55 �_ , _ .�Fij[: Q2S/�:/$9 TIf1E� 18� 1�
=0865-46, rev. 5/88 Wnite - Builtling; Canary - Appliwnt; Pink � Accounting; Goltlenrotl - Assessor
i �
CON�iRUCTION AND PLANNING POOL & SPA /
� Date Inspector . Date Inspector
APPROVALS Permit �p �=' �APPROVALS Permit #
1.
1. porary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement t i �.��
' 3.iElectrical Conduit Utility-Undrgmd. 54. Forms -, �-� .
.�
4. Electrical Condu�Undrgrncl. , 55. Electrical Bonding �
5: Steel'Reinforcement 56. Rough Plumbing & Pressure Test ��!J
6.. Elect�ical UFER Grnd. �' S�. APPROVAL TO COVER-GUNITE .:'j
. ,
7. Footi'ng's C,�(, � �� 58. Electrical Conduit-Undrgrnd. �i,
8'iFoundation i C 59. Gas Pipe, O Undrgrnd., Test �- �' ` S ' �
. � ; .�
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 '�E:
� . .,
13. •Roof,Dr� s" 64. Plumbing System - Final �� ��,
14. RougF,�Plumbing + 1 65. Electrical-Final � .�
75. RoSgh Electrical�Condur' � 66. Solar System-Final
116. Rough Electric Wiring � 67. Fencing & Access Approval
17. Rough N/iring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ce;. �g 69. POOL/SPA SYSTEMS FINAL
,1�9. Rough Fieating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough�F.actoryFireplace APPROVALS Permit#
i
21. Ducts, in, Structure 70. Underground Hydro
i
22. Ducts, Ventilati�g 71 . P�oduct Piping O Gas ❑ Oil ��
'23 Gas Pipe; Rough & Test 72 ��Underground Flush ��
-24: Roof Framing �S ,73. Undergrnd. Storage Tank O Gas ❑ Oil �'
25. Roof Sheathing ' � ' � ' 74. Overhead Hydro /
26. T-Bai;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. Drywell:�Nailing �� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coaji - 79. FINAL INSPECTION �
32. Electrical,Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ',� Notes:
34. Final Heating &-Air Conditioning
35. Final Gas Pipe-Test
"36. Hood or Canopy - -
37. Final Factory Fireplace
i
38. Final Plumbing '�`
39. Water Service-Final - ��
�
'„4Q. Gas Service-Final _, � � �y"'i
41. Solar�Domestic-Final � / �' '1
� � .n /' u
42. Backflow Preventer�• l 1, ; j/� .
i
43. Backflow Irrigation • _ � ' � ��
44. Landscape Ir�igation�System � ^ i�� �
i i .
45. Sound Attenuation �-', /�� �' �, ��
r 1�• Y/
46. Handicap�Flegulatiofs , � � �j .
47. FINAL STRUCTURE & 6UILDING Z� - � �
i
48. Special,Requirements Completed
49. Ele�ctricReleaseto%Edison �9:�-`ji i1
i
�-50. Gas Release to Southerri California Gas Co ' �j i; ;� r-
�
51. CERTIFiCATE OF OCC,UPANCY �+ ^' '� i� �
No. Date -b j/ � � {V
1
6
N3 L, E, �l�v,n �� :, i�
Y3 t, F. l�ti I� �_. i �
� �� ���� hl �')
t
�JCy
",' CITY OF COSTA MESA
PLANNING DEP7.
6UBIECT TO BLOG. DEPt. REp.
er� �a� �'� � �y
���ECfO� 01 KANNINO
Permit # /� 3 9 `d' �-
THIS NUMBER MUST ACCOMPANY
ALL I�JSPECTION REQUESTS
!
�
W
W
a
►.
�����C�'q`� N��
City of Cosic� MEsa 3uiiding Cep9.
BY—�'�!�DA7E�� �
THESE PLANS MUS7 GE O�! jQ5 iiT ,c;�?IPhES MAKe
NO CHANGES WITHGUi FR!OR AppROVAI OP DE?T.
THE�ISSUANCE OR GR.4NiING OF A PcRM1T pR AP`ROVAI pF
PLAN$ AND SPECIFlCATIONS SHAII NOi 6F CONSTRUED TO BE A
PERMIT FOR, GR AN q?pH0'�AL OF, ANY VIOIATION OF ANY OF
THE PROVISiONS Of THU CODE. NO FfRMiT PiESUMII�G i0 GI`JE
AUTHORIN TO VIOiFTf Ofi CAhICEL iH: P:^<pVi510NS OF THIS
CODF SHALL Bc YAtiG, cXCBPi IN 50 PAR AS THE WORK OR U5:
WHICH li A'JTHCP.IZES IS InWFUt.
TtiE ISSUf.NCE Gc h 2Ez?.11i FA.SEO UPCk PLAN> A.ND
JFEiIF!CATIONS 5;{��� �pi Pk[`.'fNi iHE BUILGING OFFlCIAI
tC7A THE4EAFTE? "aEC.`UiFiNG THE OJRREGION OF ERF.ORS IN
SAID PLANS F.NC SPECIRCATiON� OR FROM PREVE;.'iING
BUIL"viNG OPERA710N5 BE!NG CA2RIED ON THEBEUNDER WHEPi
IN VIOU7;ON OF THIS CODE OR Of ANY OTHEft ORD�NANCE OF
THE CITY.
O �6
Y
_�
'
v
•c�io[�tt atacMet
a
�
n
N' y3�i.F. � c
_ �13�1 Sohv_y sr�rcr s
TYPICAL
Cament Coping Optional �
CMn�lBbck With 13/8�
Mo�ieontd Top of all
Fences
For Fance� 5' or Lep
Vert. B�n 3/8" � at 4' -0" O.C.
For Fsncsa HigAer Then 5'
Vert. Ban 3/8"� at 32" O.C. �
Fill Celh Solid With Grout
Whers Steel Occun
Rainlorciip Steel Shill
Contorm a See.A•1539
AS.T.M.
All Stesl to b� L�ppod
2�" Or to Cods
NATURALGRADE
TWO 7/8"$ BARS �
CONTINWUSTOV �
d BOTTOM
ilpidiSTEEL MUST 8E TIED IN
" VLACE AT TIME OF TRENCN
INSPECTION.
s
e4 —1—I
° I L1
. � F-�1MIDTH
p SEE CHa
1 BELOW
oI•.
6" CONCRETE BLGCK FENCE
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR; pnY Parf Plostic Cement, and
ThreE Parfa Sand
GROUT: pne Purt Cement Tnree ond
One Ho11 Ports S�ond
COPING; One Porf Cemenl, Three
Parfs Sand
CONC(iETE: Well Mited 1:2-1/2:3-I/2
Moy. of 7-1/2 Goll�ns of
Wafar Per Sack of Cement
OROVf MAY BE POVRED FROM THE 70P
OF THE FENCE IN CELLS WHEHE STEEI
OCCURS.
CE LLS AND AREAS OF HOR120NTAL REIN-
FORCEMENT SHALL 9E CLEAR, CLEAN 6
FHEE OF ALl MORTAR DEBRIS, ETC.
N 0� E4NTHTCOTH
V3 THE HE�GTN OF iENCE
BECOW BOTTOM OF iOGT�NG.
SCA�E: I/2° = I'
' WIDTH . . . . . . . . . . . . . 14�� . . . . . . . . . . .14�� . . . . . . . . . . 1...12-.._:. : .. 12" :
rHICKNESs . . . . . . Io". . . . . . . . . . . .lo" . . . . . . . . . . . 8". . . . . . . . . . e"
OEPTH OF EARTHTOOTH . . . 24�� . . . . 20" . 16". . . . . . 12"
SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14' . . . . . . . . . . . 16�. . . . . .'. . 16�
OWNEN$ NpME: _. _ _ _ _ _ _ _ _ _ _ _ _ _
. City of Costa M�sa California ��B ADDRESS _ __ _ � _ _ _ _ = � � _ _ �
. � PERMIT NUMBER:._. _
Building '�Departrnent S,�N^T�RE: _ _ _ __ _ _ _ _ _ _ __ _ _. _
ADp�icant to fiil in all spaces exceDt those within heavy boraer lines antl sign all apPravriate tleclaralions.
� CITY OF COSTA�fMEpSA CONSTRUCTION PERMIT � _ rt"M� � NV. 1 FiHCI ���. �� � ���: u rvo.
� . PrcxjectAddress r230 ��✓Q���� O . '
c',
Applicant'S Mailing AddfeSs S��N� f{'S %��O�i� TYPE OF CONSTRUCTION NEW ADD ALTERATION � REPAI R
�, ti n/ I., �- �-t�/1,���� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's "Jame ��K L �l/-�, SG VIl��Qpnone�[� [J_L3 � - ' '
' Address ��� SD/�!0��±'Y � O- ' � DESCRIPTION OF WORK/USE OF BCDG. O,
Arch/Eng. _ � LicenSe�No. 'TVPEOFPERMIT GRADIfJ� FOUN�ATION ❑STRVGTURAL
Address' ' " ' � �Oy TENANT ❑ ELECTRICAL ❑ PLVM9ING ❑ MECHANICAL
COntfaCtor'SNam _Phone ✓�`�OTHER �'
Addresslmailingl-_�� PROJECTDESCRIPTION Q.FT. S' OCCUPANCV' �
CONSTRUCTIONTVPE ALUATION$ �y(^,('.fe._
City Licen52 No_ ZONE GRADING CU.YDS. � ACRES
��LICENSEDCONTRACTOR DECLA0.ATION � . �
1 hereby affitm that 1 am licensetl untler provisions of Charter 9(commencing Remarks:
:with section ]000) of Division 3 of tN us nes antl Professions Cotle� antl
-my license is in tull force antl ettect.
License Clasz � ce se No.
Date � Signature
WORKERS' COMVENSATION DECLARATION BafSink
I hereby affirm that I have a certificate of consent to self-insure or a certiticate
ot Worke�s' Compensation Insurance, or a certifietl <opy thereof (Section gackflow Preventer
3800, Lab: C.)� � �
Policy No. � Company � Backflow Irrigation
BCertifietl copy is hereby furnisnetl. ' �
Certifietl copy B tiletl with the city Builtling Division. Bathtu65
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clafifiefs .
(This section neetl not be completetl it the Oermit is for one huntlretl'($100) or �
I¢55). ' ' 1 �IShWd5h2�.
� I certify thal in tbe perfo�mance of the work fo� which this pe�m�t is issuetl, I,
shall not employ any person in any manner so as to become su ject to the Drinking Fountains
�/dOIkCIS' O�lISj(�Op LdWS Of CdllfO�ld. A �
. Date � (p'L Signature E N'/,� �,�/' Floor Drains
�NOTICE: If, after making this tleclaratiOn, y0u shoultl become subject to the
Workers' Compen5ation provisions oi [he Labor Gotle, you must to�tnwith FIOo� $i�k5
compry witn such piovisions or this permit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV ' - ' GaiService
1 hereby affitm tha[ there is a consttuction lentling agency Po� the per/ormdnce
of tM1e work for which this permit is issuetl (Section 309] Civ. C.) Interceprors
Lentler's Name
Lender'sAadress ' �Kitchen'Sink
OWNER BUII.DER �ECLARATION
I hereby�affirm that I am exempf from the ConVactor's License Law for the Lavatories
followin9 reason (Section �031.5 Business antl Protessional Cotle: Any city�or
county which requires a p¢rmit to construct, alt¢q improve, demolish,or repair P—T�dp ' ' .
any structure, prior to its issuance, also requires the applicant for such permit
to tile a signetl sta[ement that he/She is licensetl pur5udnt to the p�ovisions of ROOi D�ainS •
the Contractor's License'Law (Chapter 9(commencing with"Section ]000) of
• Division 3 of tM1e Business antl Professions Code) or that he/she is exempt � �
theretrom antl the ba5i5 for [he allegetl exemption. Any violation of Section '
. 7031.5 by any' applicant for a permit subjects the applicant to a civil
�enalty of not more than five huntlretl tloilars ($500).
ds owne� of the prope�ty or my emploYees with wages as thei� sole .REinSpBc[iOn FCB
co�bensation, will do the work, antl me sVucture is not intentled or oHeretl
for sale (SecLon ]044, Business antl Protessional Cotle:.The Contractor'S
License Law tloes not apply to an owner of a prop¢rty who bWltls o/ improves
G h k n' If ners If or tn h his or her own '
Showers
Service Sink
Sewer Cap
Sewen Connection
$013f COIIECSOfS'
Solar Pipin9
� Swimming Pool w/Spa
� Urinal
Outlets _ ' Water Closet �
Water' Heater
Wacer Service
AuSO-WdSh -
� -� Laundry Trays '
$15
the�eon. antl who oes suc wot imse / e roug
employees, provitled that such improvements are not intendetl or offeretl tor Boiler �
ule. If, however', the builtlin9 or improvement is soltl within one year of com� .
pletion, the owner will have the burtlen of provin9 he/sne tlitl not builtl or im- Duct- Under Ground
p�Ove for the purpose of saie).
❑ I, as owner oi the property, am exclusively cont�actinq wi[h licensetl con- DuCt - St�Uctu�al '
t�actoRto construct the project (Section ]044,�Bu5ine55 antl Professions Cotlei
The ConVactor's License Law tloes�not appry to an owner of property who Duct- Venfilating
builtls or improves thereon, antl who contracts for zucn projetts with a mn-
tractor�sj license pursuant to the ConVactor's Llcense Law). I am aware that Exhaust System ❑ Multiple �
proot of tbei� Worker'S Compensation insurance shoultl be D�ovitletl to me. _
❑ 1 am exempt untler Section B. & P. G. for this reason Firepl/Fact. BIt. ICBO #
�❑ � �v� ` O > Heating System & Ducting .
I hereby certify that I have read tbis'application antl state that the above ❑0-100,000 BTU �100,OOOBI
information is correct. I agree to comply with all city and county ordinances
antl State laws relaling to builtlinq constructioq antl hereby authoriie (epre-
sentatives of this city to enter upon the above-mentionetl property for
inspectlon purypses./ /� � �,y,�
\ Siqna[ure C �L'�/Z-�w_t2z.![i�/ Dateu�' ��/-g�
l� Drivers' Li s 55 � ����� �' � Reinspec[ion Fee $15
CMF 0885-46, rev. 30/84 White - Builtlinq; Canary . qpplicant; Pink - Accowting; Goldenrotl - Assessor
Issue Fee.
Hoodor TYPeI ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,0006TU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
$ 3
$ 3
A.P. # -
S Main Building:
E
T Front .
B Rear
A'
C Right '
g Left
Ping. Ref. #
Planning Notes:
�
�
�
Automatic Washer -
Construction Pole Sub.
Cooking Unit �
Dishwasher �
Dryers ❑Gas ❑Electric
Fan
F.A.U.'
Fixtures
Device Bozes
Outlets
Switches
Garbage Dispoul
Generator �0-5 KW �5-15 KW
34I8 5/22/85 :. 20.50 .TL
_ .. . .
2one 6�
' Accessory Building: - .
. Z
_ . �
_ , � - N
1
� ' N
�� R
Parking Req./Provided � E
Q
. M
- T
� ' $
TRICAL ' � PEES �
Transformer Ll 15-50'KL
❑ 50+ KW
Me[er ❑up to 100 amps
Meter ❑over100amps
Sub Panel „ ,
Motors�0.1 HP�1K-8
Inc.Solar 09-15 HP �16-15+
Microwave - �
Pole Light
Range '
Sign
Standing Sections
Trash Compactor
I Reinspection Fee �$15 I � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
euilding Approved By
Appliation luued By ,
$ 3
SUM ARV OF FEES •
BUILDING PERMIT $ L � OO SMIP � $ , � �
PLAN CHECK � $ . PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK� 25k $ ENERGV P.C. $
ELECTRICAL $ • GRADING $
PLANCHECK 50% $ - MICROFILM $
MECHANICAL $ TOTALFEE $ �
PLAN CHECK 25% $ , ' .
CONSTRUCTION AND PLANNING � POOL & SPA �' � -
�C�06', Date Inspector pppROVALS Permii# - Date Inspector
/{,(tPROVALS Permit #�
1. Temporary Electrical Servic¢ or Pole � . f'� � 52. Pool & Equipment.Location � �'�
2. Soil Pipe-Undrgrnd. - � � :� . 53. Steel Reinforcement . . '� r„
3.'Electr�ical Conduit Utility-Ui�drgmd. �'� 54. Forms � . '� •
�
4.'Electrical Conduit-Undrgrnd. � '. � � 55. Electrical Bonding . �
5. �Steel �Reinforcement � - 56. Rough Plumbing & Pressure Test - � .
i. i
6�`Elect'ricalUFERGrnd. , _ , 57�: APPROVALTOCOVER-GUNITE • � ���
7. •Footings � ' S8.'Electrical Conduit-Undrgmd. ' '
� ,� i
8. ;Foundation . _ � ' _ . �t ' 59. Gas Pipe, O Undrgrnd., Test � ' � {
9. �Water� Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd. ,'�
10. Struciural Floor System � � 61. APPROVAL TO DECK �
71. Property Sewer Line & Hou4e Connection ;� 62. Backwash & Receptor-Final , •
12. Sewer. Cap f 63. Heater & Vent-Final �i �
13. Roof �Drains 64. Plumbing System - Final ' '
14. Rough Plumbing - � 65. Electrical-Final ���
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring ' 67. Fencing & Access Approval .
17., Rough Wiring Sign . � �68. APPROVED FOR PLASTERING
18., Rough Electrical-T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL � �
19� Rough Heating & Air Conditioning � � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace , APPROVALS ' Permit #� �
21. Ducts, in Structure . . 70. Underground Hydro
22. Ducts, Ventilating . '71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � . � 72. Underground FIu3h - ' �
� , .
24. Roof Freming �n ��• 73. Undergrnd.StorageTank�OGas ❑Oil
25. Roof Sheathing�� .y, . �� � 74. Overhead Hydro
26. T-Bar Ceiling (Strueturaq & Monocoat 75. Dry Chemical ,
27. Frame and Flashin� . ' 76. Dry Standpipe�
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL '
29. Insulation - . . � 78. FIRE PREV. FINAL �
30. Drywall Nailing i,' . • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat a � �� 79. FINAL INSPECTION
�
32. Electrical Power MeteF-Final 80. FOOD CERTIFICATE ISSUED
�
33. Final Electric � ' � ' Notes: - ' •
34. Final Heating�& Air Conditioning " . '
35. Final Gas Pipe-Test �, � . , . �- .
36. Hood or Canopy
l
37. Final Factory Fireplace � . ,
38. Final Plumbing
39. Water Service-Final �
i •
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 ��l � ,��- , ' , . � � - �
48. Special Requirements Completed - � � �
49. Electric Release�to Edison • � . �
,�50. Gas Release io Southem California Gas Co , � � � ' �
"51. CERTIFICATE OF OCCUPANCY , � , � ' � �
- No. ' r Date - ' - -t -, .
� ADVlicant to fill in all tDaees exce0t those within neavy bortler lines antl sign all aDo�opriate Geclarations.
PERMIT NO. TF/�q CTpN/�O,. LOT NOJ. UNIT NO. �_ 5t�._ tl Zone
CITYOFCosTn-MESa "CONSTRUCTION_PERMIT ME 3SI'�oS l�07 ' p� I A�P�#
Pro'ectAddress ,838 SOn�d.¢R ��i �
1 ` S� Main Building: , Accessory Building:
tr�n TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Front.
Apn�icanYs�lailingAddress �.3�' 50../a49 '�Cn. , � E ^�..� . 2
�� " ' - ❑ CONVERSION ❑ DEMOLISH ❑ OTH R T . �-i � O
Owner's Name C�.� �r _i��`ii.JA.A/DY-phone..s��'��7� - -
p�n� f��� DESCRIPTION OF,WORK/USE OF BLDG. �!�!1� "�o�✓- r11= �l '�YFr 8 Rear.� �a N
Address L�-.i G�--ci�vrs 12/� L� � F - ov '_' A' �. , , �
� -C Right.� 5� � - N
Arch/Ehg. License NO. 7YPE OF PERMIT GRA�ING FOUNDATION ❑ STftUCTURAL - K G
� � Left 1 �` - - -
Addr9F5 - ���... ,./�.� � .s� ❑ TENANT -� ELECTRICAI ❑ PLUMBING ❑ MECHANICAL �. S � ' . - : . - R
Contractor's Nama '�-' �'"�'CG�.___[^Phone�'�� �' ��OTHER � � Ping. Ref. # � Parking Req./Provided � E
38 �> ,�j PROJECT DESCRIPTION 5�. FT. y �s F OGCUPANGV ' 4
Address (mailing) '���. ��.Q.Q �ri C /i/I , � Planning Notes: ��$ [� � M
CON STRUCTION TVPE V ALUATION $__��� T
. City LicenSe No. � -3CfJ �j , ZONE ' GRADING CU. VDS. ACRES � • `� � - $,
LICENSED CONTRACTOR OECLARATION - -
I hereby affirm thai I am licensetl untle� provisions ot Charte� 9(commencing Remarks: � � .� ' -
witn sec[ion ]000) af'Division 3 of tne Business antl Professions Cotle, antl I
my license is in I force antl etfect. / � - ' ELECTRICAL FEES
License Class �- �` Lic s o. 7736Z . PLUMBING � � FEES Aummatic Washer Transformer ❑ 15-50 KW
Date - - Signatur ' '
WORKERS'COMGENSATIONOECLARATION COnSt�uctionPol25ub. .❑50+KW � :
i hereby�aifirm that 1 have a certificate of consent to self-insure or a certificate gar Sink Showefs
of Workers' Compensation Insurance, or a certifietl copy thereot (Section t` Cooking Uni[ Meter ❑up to 100 amps
3800, Lab. C.) � �,_ �•j � - Backflow Preventer . . . Service Sink __ _ .
Policy No. 2�� -� '"� Company ��%tT� ' Backflowlrrigation � ' SewerCap il _ Dishwasher Meter ❑over100amps -
�Cerfifietl fopy is hereby furoishetl. n �� .� . �^. Dryers ❑Gas ❑ElecVic ' Sub Panel
Certifietl cop n filetl with�the city B tlin o // ' Bathtubs • . ' SCwer Connection ' •_
. Date9�6� Applicant�'��.ya��l1-� -� - ,y ��>. `+� Fan � Motors00-1HP�ih-8
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' ! Clafiflefs Solar Collecto�S• " a
(Thiz section neetl not be rompletetl it Ihe permit is for one huntlre0 (5300) or - -� F.A.U: - ''' , lnc.5olar 09-15 HP 016-15+ '-
iess). . Dishwasher � Solar Piping
I certify that in the performance of tne woik for wnich this perm�t is issuetl, I � �~ ' � 2 � �
shall not employ any person in any manner so as to become subject io the : Drinking Fount'ains -SolarTank '- ",� �� Fixtures � Microwave - 2'L
Workers' Compen5ation Laws of Califomid. � ' �
Date ' Si nature - , Device Boxes Pole Li ht . 2 2'
9 ' � Floor Drains � Swimming Pool w/Spa . � 9
NOTICE: If, aRer making this tleUaration; you shoultl become subject to.the � s Outlets y
' Workers' Compensation-provisions oLthe Labor Cotle, you must torthwith � � FIoO�SinkS ' Urinal .� _ Ran e. 7� .
comply •with such provisions or �tbls p¢�mit Shall be tleemetl revoked. ' -
CONSTRVCTION LENDING AGENCV � ' � � • � GaSSefVice -OUtl2ts WaterClDset " � '� , SwitCheS $ign � , 2
I hereby affirm that there is a mnstruG[lon lentling agency forthe performance I ,
of the 'wo�k fo� wnlch this pe�mit i5 i55uetl (Section 3097 Civ. C.) Interceptors � �- Water Heacer ,�, Garbage Disposal Standing Sections �
Lentler's Name - -
Lenaer's Aaaress - Kitchen Sink � Water Service � � u Generator �0-5 KW 05�15 KW Trash Compactor ' �
OWNER BUILDER DECLARATION ' ' �� . .
I hereby afiirm ihat I am ezempt from the Contractor'S License Law forthe' �-dvatOFiEs � Auto-Wash m-i
following reason (Section 7031.5 Business antl Protessional COGe: Any city or . � ,
county which requires a permit to construct, alter, Improve, tlemolish or repair P-T�ap . Laundry T�a"ys
.any structure, prior to.its issuance, also requires the applicant for such permit � � , ,
to tile a signetl statemenl that'he/she is licensetl pursuant to the provisions of Roof Drains �� ' . ' �� � `�/
tne Contractor's License Law (Chapter 9(commencing with Sectlon 7000) of � ,
Division 3 of thc Business antl Protessions Cotle) or that he/sne is exempt - _ Reinspection Fee ' $15 Issue Pea ' - •_$�3�
�theretrom antl the ba5i5 for the allegetl exemption. Any viOlation ot Section , , � ' _ . '
703L5 by any aOPlicant fo� a pe/mit subjects the applicant to d.civil . ,
enalty ot not more Ihan tive huntlretl tlollars (g500). . � � - DEVELOPMENT SERVICES REQUIRE�+�1 T�Sy' �� p / pp
� I, as owner of :the property or my em0loyees with wages as thelr'sole flein5pection-Fee' �$15 Issue Fee $ 3� /�-/ C.�bf'�-- /�Cp `p0,•
. 2oning Approved By Date
compensation, will tl0�[ne wo�k, antl the st�ucture i5 not intentletl o��otteretl , . .-:
ror saie (Secnon �044, Business ana Professional Cotle: Tne Contractor's _ � � � MECHANICAL ' FEES :Building APP/oved By ' Date �
License Law tlo¢s'not apply to an owner of a p�ope�ty wh0 builtl5 or improves - ' • - �� e
the�eon, antl wM10 tloes Such work himself/he�sel/ o� th�ough hi5 ar h¢� own - ' PypllCdtlOn ISSued By OBta � 1'- Gi7
employees, provitletl that such improvements are not intentletl br offeretl for Boiler ',�; Hood or Type I ❑. . --
sale. Ii, nowever, tne bulltling or improvement is soltl within one year oi com- Canopy Type 11 ❑ � ' SUMMARV�P FEES ' � . ��
pletion, the owner will have tne burtlen of proving he/she tlitl not builtl or im- Duct - Under Ground � , � "�r ry .
�rove tor tne purpose ot sale). � ' - ' ' ' n, BUI�DING PERMIT� $� SMIP � $�
I, as owner ot me property, am ezclusivety mntracting with Iicensetl con- Duct-Structural � Refrigeration System � �� pLAN CHECK � ' $ ���� — PERMIT
tractorsio construct the projec[ (Section ]044, Business and Professions Cotle: ' ' • r! ' .
The Contractor's License Law does not apply to an owner oi'property who Duct-Ventilating '� �0-100,OOOBTU��100,OOOBTU - ^ pLUMBING $ ISSUANCE $,
builtl5 or imb�oves thereon. antl who'contract5'to� Such oroi¢CI5 wlih a ron- � � � � - -- - - - " � , ,
tractor(s) Lcense oursuam to cne Contractors Licanse Law). I am aware'that Exhaust System ❑ MW[iple ❑ ( System Repair/Alteretion �- �� - PLAN CHECK 25% $� ENERGV P.C. $
prooi of tneir Worker's Compensation insurance shoultl be provitletl to me. ' - ' � ELECTRICAL . $ GRADING . $� �
❑ I am exempt untler Section , B. & P. C. tor this reason Firepl/Fact. Blt. ICBO �k � Fire Dampers MICROFILM' $
' � PLAN CHECK 50% $ ' .
Date owner ' ' HeatingSystem&Ducting� � Registers $�� TOTALFEE $�'_�2z
1 hereby�certify that I have�reaG this applicatiomantl state that the above ❑0.100,OOOBTU Ot00,000BT -- �
MECHANICAL
intormation is correct..l agree to.comply with all Uty antl county mGinances . PLAN CHECK 25% $. .
antl state laws reldting to builtling ConSlruction; anG hereby authorize repre- , �
sentatives of this city_ to ente upon the above-mentionetl property for - , I{-� ' �
inspection pi ses/�� . � / np � � 1 . ' , � ,
Signature L�� /
� ReinspectionFee $15 IuueFee S—Y ' t71 L'�OQ1 774—01�1Z77$ Tij� �,5„t.2'}
Orivars' License or 55 � _.___��- _ — 2 ;.�
. _ . . _ _ _ . . - - . .. . . . n-� m .
VOpO-wo�rev.o/ae wm[e-bUlldlpgpCdfldry-AppIICdlIt;VION-ACCOUf1L10q;GOIO¢OfOO-HSSBSSOf vn�L� ulfV!{p0 1SIIG• UG�V'i
a.� .) i ' a '
� CONSTRUCTIOV AND PLANNING � POOL & SPA
� ''i � Dafe Inspector. �Date Inspector
APP�tO�/ALS, , Permit # . APPROVALS Permit #
' 1�.,Tempdiary Electrical Service or Pole" �' � 52. Pool & Equipment Location
2. Soil Pip�-Undrgrnd. � �A� ii �� � 53.' Steel Reinforcement � ,
f . Elest�icaJ Condui��Utility-l�ndrgmd�. � ��� 54. Forms . ,
i a � :i' •i c�.
. Electyical Conduit,Undrgmd. � ��� 55:� Electrical Bonding �. �
5. Steel�Reinforcement�-L� i� ���� �.',/. 56i Rough Plumbiny & Pressure Test 'r' i_
Elect�ical UFHR�Gr�nd.. =t�,.� 57. APPROVALTO COVER-GUNITE �„�v
%Fdotings � � ' � ' '� 58. Electrical Conduit-Undrgmd. ��,
�� 81 Foun�lation �� `� ^ �:� �� 59. Gas Pipe, � Undrgrnd., Test �� ��
.9t�Waten Pipe-Undig'rnd. e i. � i, �.� 60. Backwash Lines, P-Trep, O Undrgrnd. pi
t(�/Structural Floor;System "_� ��; .'� 61. APPROVAL TO DECK - �•)
11. Property Sewer Line�& House Conngction �` iJ 62. Backwash & Feceptor-Final
12. Sewe� Cap '}'., � V' ' 'i 63. Heater & Vent-Final ��
o• �.1 •1 r _
13. Roof'Drains �� � � 64. Plumbing System �Final �
i.
74. Roug� Plumbing 65. Electrica6Final . - '��
15. Rough Electrical-Conduit 66. Solar SYstem-Final �
�..
16. Rough Electric Wiring � Z 67. Fencing �&'Access Approval �'� � �
17�. Rough Wiring Sign � 68. APPROVED FOR PLASTERING '
18. Rough EI'ectrical-T Bar Ceilin9 ' 69. POOL/SPA SYSTEMS FINAL �
.19. Rough Heating & Air Condi[ioning ,�, /Q fL•8� G� FIRE DEPT. REQUIREMENT ,
20. Rough-FactoryFireplace ��. APPROVALS Permit# - -�
� ��
21. Ducts, in,Structure ;• � 70. Underground Hydro .
22. Ducts,-Ventilating- �� 71. ProductPiping�Gas ❑Oil • . ,
. 23.�Gas Pipe-Rough & Test � ' 72. Underground Flush
24. Roof Framing i�'�� � t � 73. Undergmd. Storage Tank � Gas ❑ Oil '
25.�F�oo�Sheathing �) �.J 74. Overhead Hydro '
�
�26. T-BaiiFeiling (Structural) &�Monocoat � - 75. Dry Chemical
27, Frame and Flashing � G. 76. Dry Standpipe
28.� Lathi�g & Siding ' ,77. FIXED SYSTEM FINAL
29. Insulation ' 78. FIRE PREV. FINAL '�
30. Drywall Nailing E�, (� � �,/�' � HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat �=�^j�, '- 79. FINAL INSPECTION .
� , �.,
32. Electriical Power,Meter-Final 80. FOOD CERT�FICATE ISSUED �. '- �
,i -..
33. Final Electric �� �' p
y��7'� Notes:
34. Final Heating & Air Conditioning [� �er/� �� ��.,�
f'� Su87vti:� �hso1..4-(�Ori oFCuGT LrcJ
35..Final Gas.Pipe-Test " '
36. Hood or Canopy . � � � '
r . .. ,
� .
37. Final,Factory�Fireplace � � �
�38. Final"Plumbing � . � r �
"39. Water Service-Final • ' �
� 40. Gas Service-Final � � �
.41. Solar pomestic-Final�
42. Backflow Preventer � � � � "� --�
43. Backflow Irrigation � ' • ' . "', , ^. , ; �I
44. Landscape�lrrigation System � � ��
45. Sound:Fattenuation_� . �
�
46. Handlcap Regulations
47. FINALSTRUCTURE&BUILDING � � �
48i Soer.ial Requirement� Completed
� i
49. ;Electric Release to Edison � �`"
. � :/�
f l.. '7i rit
50. Gas Release to Southern California Gas Co ; � '
.�
51. CERTIFICATE OF OCCUPANCY , C / ��j � �V" � f � ` "
t r
No. � Date � �-�-i f/� L. V? { ,.� �
f,,.� , . �
: ' 'Y F C ISTA MESA
CNIIFORNIA 92628-7200 P.O. BOX 1200
Insulation CertiFcate .
��P_, Son�o,z� 7�� CoS"�/� M�S4 �R. 9ZC���•
Number and Street � /� Ciry
C7 ��/✓�C MES.4- Z7�1�/r.��l ���`%) '� ��
Counry Subdivision LotNumber
Description of Installation
ROOF
Ma�erial � 80 #�'ir3.�t.� �/dss Btand Name lr /� F' �.✓r8�'2 L in/,�
77tickness (inches) % "C��C DLvu�.,� ✓> 'ILermal Resistance (R-Value) �
EXTERIOR WALL
Fif3�E' 6i�� i.v o/.a,,�.'G,�
Materiai j2'y�0 J'f/r,a2 Lr�.4ll�%-///S.:�i BtandName d4JTntS �'o�zn/i.�/
'Ihiclrness (inches) 3% S<fi�.�s�'8 � i, i�ri � 77iertnal Resistance (R-Value) ��r - I Z
CEII.ING
Batt or Blanlcet Type �Lg,�/�P� Brand Name Ow F�S Cn.2 �� in/C
'Ihickness (inches) ��L �/' 'It�ertnat Resistance (R-Value) ,� � L L 4 Y� 2 /2 —/Z
Loose Fill Type — Brand Name — —�
Contrxtpr•s minimum installed weighUh — Ib Minimum thickness — inches
ManufacGuer's installed weight per square (oot to xheive Thertnal Resistance (R-Value)
RAISED FLOOR
Material
'll�iclrness (inches)
SLAB FLOOR
Ma[erial /n�rJl2r�G
'Ihickness (inches) � "
Width (inches)
Brand Name
'll�ertnal Resistance (R-Value)
Brand Name
'Ihermal Resistance (R-Value)
FOUNDAI'ION WALL �!
Matetial ���7ci1�e� � BrandName
'Ihickness (inches) /Z " X 3�� � 'I1�ern�a1 Resistance (R-Value)
Declaration
I heceby certify that the above insularion was installed in the building at the above location in confocmance with
the current Building Energy Efficiency Standards for new residential buildings contained in Tifle 24 of the
Califomia Administrative Code.
�'ou.� C.��SF-irdi�6 no ��.z��i f�—G�,r� � `f773�oc�'_
�al Contr tor Builder) License Number
���.�,�'U, i�„ �/� O�d.r/E/� .Q/�� i/_ / � /1 cP,�
Signature and Title Date '
����
Sub-Contractor (Insulation Ins[aller) Licetsse Number
Signanue md Tide Da�e
184 �'
������
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. o. 60X 917 COBTA MEBA, GALIFORNU
For Appiicanf +o Fill. ln Complefely
TYPE OR PRINT
■ BUILDING
COSTA MESA. CALIFORNIA
;a del'Mar Developmeni
■ ARCHITECT
del Ma
TEL.
SIZE
OF LOT �75�
USE OF
EXISTING BLDG.
TEL.
NO. OF
irxeer 42S'S"' REAR YARI
I LEFT S� ' . I RIGHT S�
DESCRIPTION OF WORK
� X �� „r�oer,,,N � �� .,,...r,,,
EXTERIOR WALL ROOF
COVERING Stone/Stu CO�/ERR
USE OF BUILDING AND WORK TO BE
FEE RECEIVED
�,/ JUL 12 iSot
¢ FINANGE DEPT.
C61T�Y OF COSTA MESA
APPLICATI POR PERMIT
BUILDING .
For Office Use Only
ii6CGIPTNO. =,_APE�tM1i{d10.
Yc� I �a
necervec er I uwta xece�vec I 1116�te 9esIR61
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING
ZONE NO.OF U8H OF NCW.
� / PUN9 � BUILDINO w �
�aa�e�m��ui f� � 6 7 �
(CENTtR LIN6 BT.)
1� FRONT
plus _ _.__
Sin le famil residence Livng Area - 1361 SF
w/attached garage Garage Area -.410 SF
ov orche 99 SF
i HEREBY ACKNOWLEDGB THAT I HAVE Rl�D iN18 APPYWTION
AN� eTATE TXAT THE ABOVE �8 CORRELT AND I16NC6 TO GOM• THE AMOUM BXOWN UNOER VALUATION 10 POR TH8
PURP08B OP EBTABLI8HIN6 A PERMIT P¢¢ 'ONLY.
PLY WITH ALL CIN OROINANCEB AND BTATE LAWB R861ILATINO
Bu1lDING' coNernuGTON. . VALUATION
/�O
SIGNATURE OF � DEL DEVELOPMENT CO PERMIT FEE $�
PERMITTE /7
By S L�i , 339 � OO PLAN CHECK. $�/ �
AUTHORIZED . . ��/ �d
N
N
Z
O
LL
0