HomeMy WebLinkAbout1910 SUVA CIR - Building PermitsIr
s: 1910 SUVA CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 055156
ESS: ODDO, ERNEST T
1910 SUVA CIR PERMIT NO: B 055156 PLAN CHECK NO: 04819-91 L GOVT; N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
( 714 ) 546-3398
ARCH/ENGINEER: LANGSTON b ASSO. REG.No.: C2� 73 JOB DESCRIPTION 'BEEF-UP' ROOF STRUC b APPLY "DURALITE" SQ FT: 11 , 000
S: 1800 E. 17TH ST 101
SANTA ANA CA 92701 CLAIM VALUE: 11 , 000, 00 CALC-VALUE: 11,000 . 00 GROUP OCC: R-3 /M-1
E: FERRARA ROOFING (714 ) 642-8233
ADDRESS: 3013 GARFIELD COMMENTS- SMOKE DETECTOR(S) REQUIRED IN HOME.
COSTA MESA CA 92626 ******;E*it********kr*+ter********* **AETE****kk******+t**+trRrkt******** **kr******+t*x***x
LICENSED CONTRACTOR DECLARATION: I hereby affirm That I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS
CITY uc.: 0} 6798 STATE LIC.:34274( Cr
S: C- 9
Date:_fi al g/ Signature:Ai MAIN BUILDING ACCESSORY BUILDING
WORKERS COMP NSATIONDECLARATION: I hereby affirm that I have a certificate of consent to selt-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY mm.: 12 6 3 6 7 8—91 EXP.DATE: 07/01 /92
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 13943125 ZNE: REF NO:
❑ Certified copy is hereby furnished. Di Certified copy is filed with the city Building Division. PLANNING NOTES>
>,
^ Date:_iIlaL/ Applicant: V4/.. n / — ***************
****************************************************************
EXEMPTIDOM
WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E' L O P M E N T S E R V I C E S R E Q U I R E M E N 'T S
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY ,
DATE: `!
Date: Signature: f/ / /q
NOTICE:it,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : Eel- DATE: s�V( l$[ LJ
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .—y
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pertormance of the work for APPLICATION ISSUED BY• A e�' DATE
which this permit is issued(Section 3O97.Civ.C). ***********W*********** *ste*. **** ¢g ***.***..*****..N.***.***.*• 4�*,***,
LENDER: "DURALITE" TILE PER *****************************************re�JrfJf.************************* **********
ADDRESS: ICBO# 2093 LEGALIZATION:N F E E SU MARY STRUCTURAL SEGMENT:Y
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 SMIP/RES• ' GRADING
(Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 126 . 00 ..,.' 1 , 10
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business .aa SMIP/NON-RE$
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 81 . 90 9 e
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
L as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV2> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is net intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 127. 10 0 , 00 . . 81 . 90 209 . 00 209 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through -e • i
mprovement is sold within provided ern othat
comp eimprovements
ion,the ow er are
ilill have tthedburden of�provingshe/she did no buhtl o�imjprrove
REVENUE DIVISION TOTALS--> COLr`I,ECTED: 209. 00 OVER/SHORT: 00
mrtbepurposeofsale). BLDG PMT
PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING,. PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1 . 10 _ 81 . 90
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon ,
and who contracts for such projects with a contractor(s)license pursuant to theContractors'Stale License Law).l 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 , r F'•E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY D E S C R I P T I. O N ' UNIT COST (TOTAL COST
• .r•
Date: owner: SFR 11000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 11 , 000 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and LEND OF FEES
25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a • _ , •
permit for construction or modification from the Air Ouality 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 r
properly to p¢clio purposes. 40 -L.--
Driver's n: -
qq o , ---�. )1
Date:_(.f -1f�L/ Signature: „cm' 2
L.ense or Social Security a:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor •
11 1i
11F---
,.�bN AND PLANNING - POOL & SPA
.JVALS Permit# -- Date Inspector APPROVALS Permit # Date Inspector
Temporary Electrical Service•�Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ! _ �' 53. Steel Reinforcement /,�
3. -Ftectrical'Cortduirlltility-Un�grnd� +-- .•,54. Forms
4v Electrical GbnduiLUndrgrnd. 1'55. Electrical Bonding
't;5::Stf:_el f{einfkrcemepi.• • `:,56. Rough Plumbing & Pressure Test
.. 6. Electricai:UFtR Grrjd. -J 57. APPROVAL TO COVER-GUNITE
7. Footings' 58. Electrical Conduit-Undrgrnd. ..
8. Foundation. r - ��! 59. Gas Pipe, 0 Undrgrnd., Test . . r `
9. Water Pipe-Undrgrnd. - '- ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System --`�+ : - . 61. APPROVAL TO DECK .. .•
11. Property Sewer Linp'& House•Oonnectiorf -.7 62. Backwash & Receptor-Final
12. Sewer Cap ,J t, - , - - 63. Heater & Vent-Final
13. Roof Drainst 64. Plumbing System - Final
14. Rough Plumbing R 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. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT
20.*Rough Factory F)replace • - r • 'APPROVALS Permit # -
I \ - - .", - - - .--"L
•
21. Ducts,in-Structure �' - ' - ``
:70. �IndeFground Hydro
22. Ducts, Ventilating . r I -• .71. Product''PJing D Gas ❑Oil
23.;Gas Pipe`Rough &'jest • - _ . -72. Undergr'ognd Flush „ t _
24.+toot Framing >:-r `• :S. 1 - j -73..Undergrne.Storage Tank O Gas boil
25. Roof.Sheathing - 2 "1"i( ' ` '74, Qverhead'Hydrd-
V'
26. T-Bar Ceiling (Structural) &dvlonocoat _ - - 75.'Dry Chemical
27. Frame and Flashing- - , : 76. Dry Standpipe - - '
28. Latljing & Siding. '' ' • > - 77.- FIXED SYSTEM FINAL• '
29. Insulation - , - • ' ; 1 '
'., � 78„ FIRE PREV. FINAL r•
;30. Drywall (Jailing •- ^lr HEALTH.DEPT.. REQUIREMENT
.} 1 1 • IS
'31. Plaster Brown Coat r t „r I- I i.. • z 79:7 FINAL INSzyCTION : -
1 •--•
'-32._Electricel,Power•Meter-Final. , •v I ,•I i' t• ,80., FOOD CERTIFICATE ISS• UED
r
• 33-Final Electric I:" * , -_,, ' ' Notes: L4/6-.4#Z .� ?J' 4¼ '
•
+y
X34.-Fin31 Heating& Ai Conditioning . , /l' „ [ le e itT 'ealc
35.•Final Gas Pipe-Test' ' - *-', ,-_ ; r &...J�- 4h-regirlK - 4 /2'Z.fif-a_
361-loosor Canopy 1 , - .-,k%,,- - _ r
4' - .
37. Final*Factory Fireplace-' 4' - I I • * - ' -
38. Final,Plumbing •• ' - - `u 4 - . .L t• r _ -'
I JI
-39. Water Service-Final. -• . • -
�40. :Gas Service-Final - �. - i;, • I - _•
:41:Solar Dornestic-Finale •• _ *. • •
1. - . r
-42. Backflow Preventer - '•
43. Backflow Irrigation• - •i- - < - - - • - _ -.
-,44. Landscape Irrigation System: .`;..,F. ,3. , , :: - ,, s. -•
-45. Sound Attenuation • - • • -
;46.,Handicap;Reyulations -. - :
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA ( PERMIT NO. • TRACT NO. LOT NO. BLDG.NO. - - ' - - . '
CONSTRUCTION PERMIT 126-76 - 7 — 1/4;4o 8 _ '
•
Project Address - - - C TYPE OF CONSTRUCTION U NEW ❑ ADD H ALTERATION ❑ REPAIR �
Applicant's Mailing Address -CS:,-CS:, est ‘A/...1- i - ❑ CONVERSION '❑ DEMOLISH ❑ OTF/{lER aPp� e A•P.# Zone '
Owner's Name Aide) Phone- /6 -339 DESCRIPTION OF WORK WO Ter <s ea rP fP12 4:GPA}p//r-
S Main Building: Accessory Building:' Z
Address - - 0
SQ 111Ci • TYPE OF PERMIT ❑ GRADING pLII FOUNDATION ❑ STRUCTURAL E Front N
\ Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B
J\\ A Rear • N
Address ❑ OTHER C Right • G
�' S3a2S5// PROJECT DESCRIPTION SO. FT. OCCUPANCY K R
r� Contractor's Name. rend Yq,/I T.Z,S T9/�/ Phonr -
v Address(mailing)�S'�� is-7"- /.////el ?1, 926/J CONSTRUCTION TYPE VALUATION$ S Left E
madys� ZONE GRADING CU.YDS. ACRES Ping. Ref.# • Park.Fees $ G
City License No. U
( LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9(commencing • R
with-section 7000) of Division 3 of the Business and Professions Code,and • Use of Building: •
my license is in full force and effect. _ �j E
License Clpyss « ense Ng/J/�•3/ PLUMBING I FEES Planning Notes: M
Date ly/-•rr Signature /If.FYvt� E
T
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer _ Service Sink . ' S
of Workers' Compensation Insurance, or a certified copy thereof (Section . •
3800, Lab. C.) Sc�j_ Backflow in igation Sewer Cap ELECTRICAL FEES
Policy No. �a/W0 4 Company
-
Certified copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer' Transformer 0 15.50 KW
Cera ilfietlP is filed with the city gpllding Division. •
ate 47V-if Applicant /5-Bfmrc/ QJ%�iClarifiers Solar Collectors Construction Pole Sub. ' 0 50+ KW
EXEMPTION FROM WORKERS'COMPIENSATION DECLARATION Dishwasher Solar Piping Cooking Unit Meter Opp to 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or
less). DrinkingFountains
I certify that in the performance of the work for which this permit is issued,I Solar Tank .Dishwasher Meter Dover 100 amps
shall not employ any person in any manner so as to become subject to te 1
Workers' Compensation Laws of California. Floor Drains - Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel
Date Signature •
-
NOTICE:If,after making this declaration, you should become subject to the Floor Sinks 1 Urinal •- ' Fan Motors.00-1 HP 0 K-8
Workers' Compensation provisions of the Labor Code, you must forthwith - - - - - - -
comply ,with such -provisions•or this permit shall be deemed revoked. Gas Service 'Outlets Water Closet - • F.A.U. 'Inc.Solar ❑g-15 HP 016-15+
CONSTRUCTION LENDING' AGENCY ' 1 - - - -
I hereby affirm that there is a construction lending agency for the performance , Interceptors' - / Water Heater Fixtures • -Microwave 1 - ,
of the work for which this permit is issued (Section -3097 Civ. C.)
Lender's NameKitchen Sink Water Service Device Boxes • Pole Light
•
Lender's Address Lavatories •' - I
•
OWNER BUILDER DECLARATION - - - •
Outlets 'Range 1
I hereby affirm that I am exempt from the Contractor's.License Law for the P—Trap reason (Section 7031.5 Business and Professional Code: Anycity or. p - rA v r^(� a,' r�ar- Switches '
county which reuires a permit to construct,alter,Improve,demolish r repair �A�1D 1 I li(I �IYsral LC;ION Sign
'any structure, prior to Its issuance, also requires the applicant for such permit • Roof Drains Garbage Disposal 'StandingSections
to file a signed statement that he/she is licensed pursuant to the provisions of - ,
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑05 KW ❑515 KW • ,Trash Compactor •
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 any applicant for a permit subjects the applicant to a civil 3 '
penalty of not more than five hundred dollars($500), Reinspection Fee ,$25 Issue Fee $
I, asowner of the property or my employees with wages as their sole - Reinspection Fee $25 Issue Fee $ 3
compensation will do the work,and the structure is not intended or offered - MECHANICAL • FEES
for sale (Section 7044, Business and Professional Code: The Contractor's --- - - '- - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0
thereon, and who does such work himself/herself or through his or her own Zoning Approved By ' Date
employees, provided that such improvements are not Intended or offered for Canopy Type 11 ❑ ,
sale. if, however, the building or improvement is sold within one year of com- Duct-Under Ground Application Approved By Date GG,��//-■■
plebe r h owner will have the burden of proving he/she did not build or im-
�rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By kf in nate I/l'><
LJ 1,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES • ,
The Contractor's Llcense•Law does not apply to an owner of property who •
BUILDING PERMIT $ SMIP
builds or improves thereon, and who contracts for such projects with acon- Exhaust System ❑ Multiple 0 System Repair/Alteration $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ ��a PERMIT
❑•1 am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Bit. ICBG# PLUMBING $ l r (!!) SSUAN CE $•
v�
PLAN CHECK $
Date Owner , ENERGY P.C. $Heating System&Ducting
I hereby certify that I have read this application and state that the above , Do-i00000 BTU 0100,000 BTL • ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances - , '
and state laws relating to building construction,and hereby authorize repre- PLAN CHECK $ MICROFILM • $
sentatives of this city toenter upon the above-mentioned property for . .
inspection purposes/ MECHANICAL $ TOTAL FEE $�� y�
Signature
Date/2-27-n !%�
Drivers' License or 55#
Reinspection Fee $25 Issue Fee • $ 3 PLAN CHECK $
CMF 0865-46 rev. 7/83 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor • - - •• - -
' CONSTRUCTION AND PLA NTNG POOL &SPA
APPROVALS Permit # � Date Inspector APPROVALS Permit# . 'Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
'2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical 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, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK' -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
• 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
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. Underground 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 0 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 PREY. 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: •
34. Final Heating & Air Conditioning
•
35. Final.Gas Pipe-Test '
36. Hood or Canopy
37. Final, Factory Fireplace
38. Final Plumbing //!itt(^`��r
39. Water Service-Final / /
40. Gas Service-Final -
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation
44. ,Landscape Irrigation System -
45. Sound. Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed ,
49. Electric Release to Edison -
50. Gas Release'to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
Applicant to fill in all spaces except those within heavy border fines and sign all appropriate declarations.
PEWIT NO. TR CT T NO. UNIT NO.
CITY OF COSTA MESA 10 4k RUCTI PERMIT 11 31. ) 149 r �.�[�Q', �Z A.P.# - 3q _ f 1 25 Zone �k
I Project Address 1q lb r/U�� `LTJ �LJIL
1tu LI $ Mein-gui7Ai0g: .,�.4,U Accessory Building:
Applicant's Mailing Address EFG y TYPE OF CONSTRUCTION NEW ADD Li ALTERATION REPAIR E Z
❑ CONVERSION ❑ DEMOLISH 0 OTHER T Front 0
Owner's Name COCO Phone DESCRIPTION OF WORK/USE OF BLDG. 8 Rear 26 a 1py5 6. I • N
Address IQ10 �? 4 (1Q ���---aaa��, C Right Ip• n..'T�le I N
Arch/Eng. License No. TYPE OF PERMIT LJ GRADING FOUNDATION STRUCTURAL K 1
1 G
Address 0 TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MEC ANICAL $ Left l0 e1" nakkr r R
it. Ilk- ❑ OTHER Ping. Ref.# Parking Req./Provided E
Contractor's Nam- ,a. __ :1-1�n-.••s Phone
Address(mailing) tC2 Z SAKI tea'• • Cal . ern
PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: (p d c y,y�" r. I X46 I M
� 73L9 CON STRUCTION TYPE VALUATIONS q'LO�• T
City License No. ZONE GRADING CU.YDS. ACRES $,
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 4 G L. P. STP. e .°c{L w444-
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in full I ce an effect. I, $ ucgO O.if -r•D Lf1-iv L).SU9•�/t/ ELECTRICAL FEES
Licens- C ass �" aLite No. -2a-5 S O 1 b r 0 •� �` ! -
Date - tit Signature -1�._ rr Peic Pp14 c44A 7' PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW
WORKERS' COMPENSATION DECO"ATION Bar Sink Showers Construction Pole Sub. ❑ 50+ KW
I hereby affirm that I have a certificate of Consent to self-Insure or a certificate '
of Workers' Compensation Insurance, or a certlfie copy thereof (SectionCooking Unit Meter pup to 100 amps
3800, Lab. CJ/ Backflow Preventer Service Sink •
Policy No/ Company Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps
BCertified o•y is/ reby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certs ' c•• / stn the cit c uiidi •avis . 1 Bathtubs Sewer Connection
Dat- - In Applicant r�i mor • Clarifiers Solar Collectors Fan Motors 00-1 HP 1:11%-8
' EX MPTI• F••M WORKERS'CO • NSATION CLARATION
(This section need not be completed if the permit Is for one hundred ($100)or Dishwasher Solar Piping F.A.U. • Inc.Solar I:19-15 HP 016-15+less).
1 certify that in t performance of the -or f•r ich 1 is permit is issued, I Fixtures
shall note erson in any • anne o :s toy• come subject to the Drinking Fountains Solar Tank Microwave
Worker s I Laws of Calif•rnia ..-
Date
Date Signature • Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declare • , you should become subject to the utlets Range'
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Switches -t Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name ❑0.5 KW ❑5.15 KW Trash Compactor
Lender's Address Kitchen Sink ' Water Service -
OWNER BUILDER DECLARATION 4
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - _
following reason (Section 7031.5 Business and Professional Code: Any city or _
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap ' Laundry Trays " -
any structure, prior to its issuance, also requires the applicant for such permit .a •
to file a signed statement that he/she is licensed pursuant to the provisions of x Roof Drains • -
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she Is exempt - Reinipeetion Fee $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: Or) / /s /.A[�
U I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By (// J Datel7 l 7�6'D
compensation, will do the work,and the structure Is not intended or offered -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves __.
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued BI
y PA Date " 1 T- P
employees, provided that such improvements are not intended or offered for
sate. It, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Sv
BUILDING PERMIT Zsoo
prove for the purpose of sale). $ SMIP $
❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System .3-r.PLAN CHECK $ !b• PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating '00100,000 BTU ❑100,000 BTU 1.1' • PLUMBING -"'•; $ ISSUANCE $
builds or improves thereon. and who contracts for such or)lects with a con- - 1
tractor(s) license pursuant to the Contractor's License Law)- I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK 25% $ • ENERGY P.C. $ '
proof
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers
Ji
'complete nlayeLte.:11n PLAN CHECK 50% $ MICROFILM $
Date Owner• Heating System& Ducting Register MECHANICAL
1-hereby certify that I have r..tl this application and state that the above 00-100,000 BTU 0100,000 BTL $ TOTAL FEE $ 41.7
information Is I agree • comply with all city and.county ordinances Date _ _ C•lp PLAN CHECK 25% $
and state law relati lob • 9 Construction,and hereby authorize r re- VV
sentatives of this t0 upon the above-mentioned yr$/Perty9Pfor
inspection p rpose U s SI ---
Signature �+ Date 1
Drivers' License or SS / Reinspection Fee .515 Issue Fee $ 3
s 4 J 01 00006875-00006477 TOT 41.75
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
- APPROVALS Permit # Date , Inspector APPROVALS Permit Date Inspector
-t
1. Temporary Electrical Service or Pole . tom 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. I. 53. Steel Reinforcement I
3. Electrical Conduit Utility-Undrgrnd. 54. Forms `� .
4-, Electrical Condbit-Undrgrnd. t 55. Electrical Bonding •
5.-Steel Reinforcement) :,. t'• _ 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. _ 57. APPROVAL TO COVER-GUNITE
-
7.. Footings _. :-. :J 58. Electrical Conduit-Undrgrnd. - ,
8. Foundation - !;t .-, 59. Gas Pipe, 0 Undrgrnd., Test ••
9. Water Pipe-Undrgrnd. �'1 ',•- ; 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10.-Structural Floor System l -•' 61. APPROVAL TO DECK
11. Property Sewer Line& House Correction 62. Backwash & Receptor-Final
12. Sewer Cap l '' 63. Heater & Vent-Final - r
a13. Roof Drains - 64. Plumbing System - Final _-
14. Rough Plumbing' ' t 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
-1,6. Rough Electric Wiring ic.•' 67. Fencing & Access Approval
1l
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18: Rough Electrical-T Bar Ceiling r;, : 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning- FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace = t T • APPROVALS Permit#
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating - -, 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush
.24., Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing I 1 - 74. Overhead Hydro
26. T-Bar Ceiling IStructurall &•Monocoat 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing &.,Siding - 77. FIXED SYSTEM FINAL •
• 29. Insulation ', 78. FIRE PREV. FINAL V
30. Drywall Nailing , , •� HEALTH DEPT. REQUIREMENT cu
31. Plaster Brown Coat ',' 79. FINAL-INSPECTION ,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35.tFinal Gas Pipe-Test 11 I(
II
36-,Hood or Canopy EXPIRED
37.iFinal Factory Fireplace Ineompintc Inspections
•
38. Final Plumbing - Date F,ZZ Z_ SI
39. Water Service-Final. I
40. Gas Service-Final t, r
41. Solar Domestic-Final
42. Backflow Preventer
I
43. Backf low Irrigation,
44. Landscape Irrigation.System
•
45. Sound Attenuation -
I
46. Handicap Regulations ' i•
47. FINAL STRUCTURE & BUILDING
48. Snecial Requirements Completed
49. Electric Release to Edison
a
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY , I' t '
No. Date
OWNS` ODDO, Ernest T• DATE 2-6-63
JOB ADt ESS 1910 Suva Circle BUILDING PERMIT NO. 18591
GENERA CONTRACTOR Owner-Bldr. VALUE $ 272746.00
AP No. LOT 62 TRACT 4341 FIRE ZONE DESCRIPTION OF WORK Res.W/att.gar.
INSPECTIONS Signature DATE GROUP Da TYPE V ZONE R-1
Soil /A/-r 2-26fi) PERMITS ISSUED
Gas 'Pre M-is' 3-.2/-0 SUBCONTRACTOR DATE NUMBER
Water U9 Nf-r•< 1.-.2.a-63
Rough Corn. Ref rig. 0 Air Cond. ❑ /
Rough Heating A4?-5 Y'`7:SSLa^ e ' 4 i.; /_ 3-02,2 -4:.',' /V /-
Rough Plumbing /W4C Y arr-G.P /._ i 4 _�rai%. . a-/s .
Miscellaneous
Prop.Swr.Line 0 House Con.jI(( St.Swr. 0 ----E7,7- .. L/?�; i' ' ceel_.2_A 6.3_ ,45.2.-Ag 74
Sprinkling System
Construction Pole fill
'W
0 .�Qx'pe� p❑‘96,4e (et/ /l�r� 4/4 �`—J 1 '
U
Rough Wiring ' y// i - 3•/4%023 dRLJ'�• C.-
ti feee O• 07/7-G3 / it, 1•••"--.Trenches ([7 Forms 2 Steel Reinl� 'r 7.-70-b?>
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing R t-VI(. 1-011-C>
Frame and FlashingJ/ l A -}'16 -63 •
Lathing — In "Out p' � a ([i 4,.., -'e
K
Plaster, brown coat -R43
Refrig. 0 Air Cond. 0 Final
Heating, Final /95/-19-C72
Plumbing Fixtures, Final q c•- }
Final Gas Test 5-- F �/y t% • '
Electric Fixtures, Final AV Cyyii
Building, Final - /L (.'fp'::', \ /\
OCCUPANCY
FORM 504.5M — 7.61 I8h(-11
1 hE RECEIVED
L1859 I �/1 SAN zs +��a
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
(J /� pp��77TT BUILDING
ADDRESS / / /Q SUVA C I FcLC
COSTA MESA. CALIFORNIA For Office Use Only
� ES� T C'b�� 1 RECEIPT NO. 1 { Ip �/
OWNER I /Q(/t&
MAIL 76,I ^P-o4
A �^. RECEIVED'$Y DATA RE IVE OATH IBSU
ADDRESS Ill'I'2 `I h!)ll/QN /YV C'pp �/ I/'✓ /,//I/ /' ?��j,3 �// �/���y//jp'�.
CITY
L.s. TNO.OI II /� ADDRESS G /// D n/lJ"
ARCHITECT TFL.____ COSTA MESA. CALIFORNIA
OR ENGINEER - NO.
ADDRESS C ` FIRE
Q j ZONE TYPE GGROUP /�
CONTRACTOR J,941NE0 ott_DE1— BYPROVEO �,I DATE '�L/
ADDRESS - L..4 DATE
A
ZONE NO.OF USE OF NEWS�Ry 7444/VY
CITY ._ 1,__t I PLANS../ C. I BUILDINGW/9„ QAr
SC.NO. NO.ATE TEL. LEGAL Let L' 6 Z 74' 93 t//
DESCRIPTION
SIZE I I NO. OP BIDGS.-.--
OF LOT 7 5X on NOW ON LOT A.P.NO.
USE OF
EXISTING BLDG. �_ _ APPROVED ALLOWED
SETBACK LINE PROM S / REAR YARD INER TLINE ST.) C
CENTER OF STREETc FRONT ✓0 FT. � IN.
SIDE YARD I LEFT 5 I I RIGHT 5 I { —
R.SIDE J FT. IN.
DESCRIPTION OF WORK L.SIDE 6 FT. IN.
NEW I X II ALTERATION I II ADDITION I REAR 9/ FT. IN.
REPAIR I II MOVING I II DEMOLISH I BYPROVED , /���n DATE
BUILDING �I NO. OF G �T Lam'! 'D
SIZE < �� ROOMS 1 STORIESI2
COVERIING WALLSTU�I !COVERING JHAKt
USE OF BUILDING AND WORK TO BE PERFORMED
F'ai G ►a, - - t v A A . ,j- L - .575-4
' /t`r'Qac7 D,
CCAM?LFTE cot,JSTOUCTI cm.., ." '/¼" Q,4.,, 5p/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UN /j VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISH! G A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS MCC TING
BUILDING CONSTRUCTION. VALUATION LL_
SIGNATURE O� PERMIT FEE $ �J ,co
7,
PERMITTEE 7/// o_
$ 7(j PLAN CHECK S y��7,j 'N
/J F
AUTHORIZED AGENT \ TOTAL FEE $/02 °-aC u
OWNER 0D130 Ernest T. DATE 7-2-75 •
JOB ADDRESS 1.10 Suva Circle BUILDING PERMIT NO. 40202 _
GENERAL CONTRACTOR Owner •ldr DESCRIPTION of WORK 'Fr Be•r 31: s- r;T: .
a jrE
APNo. 13•— 31-25 LOT �TR�AI5 FIRE ZONE VALUE $ 75,Of.•00
INSPECTIONS ture Date TYPE V GROUP gat ZOrffirR-
SOIL I _` _ OPERMITS ISSUED
GAS I SUBCONTRACTOR MA= Number SI•aature
WATER ' a �' `lumbi
•
ROUGH PL MED I_ r 1:079171iPMINNIFM [Sr7
PROP. SWRIEr.Q HO nrON. C lam•. - • Z9• Signr� nliallag
SPRI NKLI .SYSTEM r __j allIM
MISCELLAN •US �(��la�.�rC.e �Y�if MINI
� I '
ROUGH HEATING AND AIR CONDITIONING 5�aii�LL' •r la
TEMPORARY SERVICE OR POLE rat
UNDERGROUND ❑ POWER ❑ _' a. .`•, G e1
ROUGH WIRING I rV., �-/Z-5 �.. NNati n• r,;JAr ,,1�1�`I_;_
TRENCHES FOR ' p1 ppl2,' r/J•!'i_��7(i?•+rai'.ttauziL�i�•m1
FLOOR SYSTEM _ p''__^_-_' nal
BOND BEAM • STE L REINF011a —�
SHEATHING MIPe �T�,
FRAME ANO FLASHING' /a"a . I a -22-p _ (—
LATHING - IN r OUT • Gj, MOM
PLASTER, BROWN COAT ,G '�� ► —i�
STRUCTURAL, FINAL
HEATING. VENT., REFRIG. AND A.C., FINAL / La. ...- reintair
PLUMBING, FINAL AND GAS TEST Plia: +�a.t� N ==
ELECTRIC, FINAL tilnt+A
BUILDING, FINAL _
40202
PAIL:
NI –7_-7545700 396* ***115.05
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely P LI ATION FOR BUILDING PERMIT
RE BV DATE RECEIVED 9/QTE ISSUED
ADDRESS I7I,f 6)(xi /e ���1•( 4X1 /'�-.N- VED1 / ?PERMIT ;r-
OWNER Ernes, T l .J`[ 1U A.P. NO./V-14)--0231 BUILDING
..
MAIL �p L' . • ,,s ' r, 1,, ADDRESS A Q
ADDRESS Ft to TA J.- l.l.l L.)3r p , I l Iva ety-.
C.U CITY t a� vV eea NO.I5 33e s TRACT / LOT /_ BLOCK
CONSTRUCTION Lail GI NE, �qDD ALTER REPAIR MOVING DFMnI ISH
O C LENDERCONSTRUCTION
Lail � %....
���I X.1..(l(J�TZjS X
J D BRANCH L '4fj�1 (I1Q�_
JW ADDRESS 'll. r �Vl,(.,�s OWNEE,RJJgR}sfJ sr T O lwd -J
-co ARCHITECT , ` TEL. USE(A!(A, it J VALUE /GED/� af--
OR ENGINEER NO. I !•J 7Q
U Q FIRE �.7J�y_ /
LL Q ADDRESS ZONE AlA
VPEl� GROUPJDCONTRACTOR rt(nr/buLAchr BYPROVED DATE
Jcc ADDRESS
W a, TEL. ZO 1NO.OF USE OF NEW
I- CITY NO. ' PLANS BUILDING jy) mid
z 1--O STATE CITY YARDS APPROVED YARDS APPROVED
11.1
fr:CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
DO (FROM C/LST EET)
SIZE NO.OF BLDGS
OF LOT NOW ON LOT FRONT q .c `,p
/ FT.
USE OF
EXISTING BLDG. R.SIDE `57T. FT.
Z NIEW ZE BLDG. C3j7 . a ROOMS STORIES 1 L.SIDE 4/v�T.7FT.
Q EXTERIOR WALL ROOF --`` ,_, ►�.�r^� /
V COVERING 5 )CLi COVERING '7ka.,hli _, REAR /(AFT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a MAIN BLDGS. ACCESS BLDGS.
CAR. DATE
O oci ldn _71, 1- LP_M.I VUP.yp APPROVED
~ l-'.loVVn^ APPROVED �t P --�
s ��++ ABY (� DATE S
O_ BTATE j��
~0 I herelzy acknowledge that I have read this application and state / i ` 1
that the above information Is correct and agree to comply with •/) sL, JJ
cr all laws regulating building construction, and I shall not employ V `j�TF
any person in violation of the workman's compensation laws of
N the State of California. /TO I�� TAX m
ZI hereby certify that I am properly licensed as a contractor under C '� SO. FT. o )
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s �/
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2
am exempt from the provisions of the State of California Business VALUATION
and Professions Cod Division 3, hapter 9. 7/ (.. CO
f PERMIT FEE $ 4
Signature of {/J„ / �( m
Permittee 1�.IV V V ` �1 Si-cO .v PLAN CHECK $ 3 O _ E
Authorized Agent 7 p
/ TOTAL FEE $ /1 L� u