HomeMy WebLinkAbout1859 SWAN CIR - Building Permits�/ ! •
PROJECT AS&FESS: T1859 SWAN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05749:
OWNER'S NAME: WENSLEY, DAVID C
ADDRESS: WENSLEY LIVIA P PERMIT NO: B 057491 PLAN CHECK NO; 01917-92 S GOVT: N SUPP; N
1859 SWAN CIR
COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
` 751-9178
ARCH/ENGINEER: LANGSTON & ASSOC REG.NO.: C29373 JOB DESCRIPTION : REROOF W/CONCRETE TILE ROOFING SQ FT: 8, 500
ADDRESS: 1800 E 17TH ST UNIT: p�
S.A. CA 92667 CLAIM VALUE: 8, 500 . 00 CALC VALUE; 8, 500. 00 A OKE:DETEGTQ
ri
PERMITTEE: B & J ROOFING (714 ) 637-5609
ADDRESS: 2040 N SACRAMENTO COMMENTS: REROOF 3000SF RESID W/7. 5PSF LT WT TILE p(Q
ORANGE CA 92667 ********+ETF************ *�E*******************IE**+E*RF*#*T�*****tE**REQUASc4 ***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions• • pter' encing with Section Z O N I N GS ERTEBQAUC I KRSE M E N T
70001 of Division 3 of the Business and Professions Code.and my license is in full force a
CITY LIC.: 038 21 STATE LIC.:X36 E ' 6 SS' 3 `
Date: Cr 2 - 92 signature:\_�� \� +_ _ / MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have aces to of consent to sellure 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: . T IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ; PROV: PARCEL: 13952419 ZNE: REF NO:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>,
Date', Applicant' **'************#***************************************JF************************
EXEMPTION FROM WORKERS'COMPENSATION OECLARATI I,' .' section need not be completed. epe it. ro hundred WOO or less). D E V Fi L O F 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 w.' is permit is .ue. • II e toy ny pers n any anner so as to become '1
subject to he WorkpJempsujionLaws • Ca or = ZONING APPROVED BY DATE:
i
d�(Lpc '�Y T
Date: signature: BUILDING APPROVED BY : DATE:
NOTICE:de, If.afterstmaking this declaration,wihu should becomer Sperm) Workers'meempensa n provisions of the Labor / f
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• DATE:`V ..1.1,0c i
which this permit is issued(Section 3097,Civ.CI. **************48*X-************************ •* *******Tf•******TF*******7r x>**
LENDER: ********************************************************************3F**********
ADDRESS: LEGALIZATION:N F E E SUMMARY 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 GRAD I NG
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 0 8 . 0 0 8 5
,
repair any structure.prior to its issuance.also requires the applicant for 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 9l commencing with Section 7000)of Division 3 of the Business PLAN 70 , 20
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 penalty of not mare than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DQE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 108 . 85 0 . 00 70 . 20 179 , 05 179 . 05 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himsett/herself or through
his or her own employees,provided That such improvements are not intended or offered for sale.II,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 179 . 05 OVER/SHORT- U 0
for the purpose of sale). 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
108 . 00 7' . 85 ]0 20
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contractsfor such projectswith a contractor(5)license pursuant to the Contractors'State License Law).l am aware *****************************TF**************************TF**********************
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 BR EAKD OWN
❑ I am exempt under Section: B.8 P.C. ( •
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 8500 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 8, 500 . 00
I do hereby certify that I am aware of and understand the requirements of Calitornia 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 Quality Management District.Residential construction applications are exempt from
these provisions.
Date:— Applicant:
.l
I hereby certify that I have read this application and • • ••above information is correct. to c• ply h all city and coil '
ordinances and state laws relating to building cor>slr.dion and hereb pre his at to a er upo the above-me ed re
property for inspection purposes `I/S -
Dale: ignature. — .-
II Driver's License or Social Security C: T CI I 0 • r J I J
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
Date Inspector - Date Inspector
APPROVALS Permit # - APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil PipeUndrgmd. 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 OF ER 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 S 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 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 SJR LYz_ 6li-64 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat , { 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding t 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 I Notes: 5--21_YZ - Ga_g /e efie, .Q_0�
34. Final Heating & Air Conditioning / c� !v!
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �•
48. FINAL PLANNING -
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 lines and sign all appropriate declarations. _26J4 7/P7/H3
,. CITY'OF COSTA MESA- - . - - -- - I .0 TL•
PERMIT NO. TRACT NO. LOT NO. BLDG.NO. •
CONSTRUCTION PERMIT 8337,t ,LurGt f Ru. 5 X/4 8 5-7 Sok . • • '
p
Applicant's Mailing Address -i-- " - - • TYPE OF CONSTRUCTION NEW ADD ALTERATION 'U•REPAIR' - _ _
iv1: W. ^ - ❑ CONVERSION ❑ DEMOLISH OTHER. - '
Project Address_ - •�r/ - - e- -
�e"1'US LEY Phone7fl 9Q'I fa . DESCRIPTION, WORK 13l0e L( -Vs o.0 • fs Iu110ra:- .5314 ,
Owner's Name ' _ •
`�1' (ZONING REGULATIONS ' •
Address. -� �S9 - .1‘44-1, G�/l, I• : TYPE OF PERMIT •U RADING�, FOUNDATION STRUCTURAL A.P.* 139—.) .9 ..--i9 ZONE •
-
AfCh/Eng. - License No. ' 0 TENANT 0 ELECTRICAL PLUMBING 0 MECHANICAL • PLNG.REF.$4 ,BUILDI G
Apt NA- i ❑,'OTHER ,co ccTaerk['it CT
Address • 7L/ n - - TO BUILDING /� U -REAR YARD (TO P/L) �l t /1
Contractor's Namrn 1,06IL ii- f3,-wt 4--AND Phonegiby'2 61 PROJECT DESCRIPTION SQ.FT. . ' OCCUPANCY PROPERTY LINE �4'• �I . /,x�F --E '
/� CONSTRUCTION TYPE - - - VALUATION$ Sen- �' • LEFT SIDE YARD RIGHT SIDE YARD ' /-/' `
Address(mailing/ • IR337 ret-LII .>I'- - �'� `- 1 �5
License No.r___ '-r ,f r+�-%tJtOU' ZONE GRADING CU.YDS. _ ACRES PKC.SPACE REQ. PROVIDED
LICENSED CONTRACTOR DECLARATION .
_ i Remarks: ' STREET WIDTH 600 ' ' PARK FEE$
I hereby.affirm that I am licensed under provisions of Charter-9(commencing .
with section 7000) of Division 3 of the Business and Professions Code,and . I SPECIAL CONDITIONS: ' I • ,
my license is in full force and effect. . i . - • ,
License Class • ' a—7 1. License Np.'_7 S- I PLUMBING -
•
Date '7'Z-7'�✓3 Signature �e"-' - F•}'��-�1•-c+ ' Bar Sink Sewer Cap - . • ELECTRICAL - . • . '
WORKERS'COMPENSATION DECLARATION . • I I - - -
1 hereby affirm that I have a Certificate of consent to self-Insure or a certificate Backflow Preventer - .Sewer Connection • - Automatic Washer i Meter Dover 100 amps
of Workers' Compensation Insurance,:or•a certified-copy thereof'(Section ' . . . .. . - • .. . '
I - - Construction Pole Sub Panel
3809, Lab. C") '• ' Backflow Irrigation Solar Collectors •
Policy No. • - Company• - - Cooking Unit ' I Sub Pole '
B.Certified copy Is hereby furnished. ' • • Bathtubs . Solar Piping • � ;• ' : -
Certified copy is filed with the city.Building Division. Dishwasher • Motors ❑0-1 HP ❑114$ '
Date Applicant • - • Clarifiers _ Solar Tank i 1
EXEMPTION'FROM WORKERSCOMPENSATION'DECLARATION-•-' - ' Dryers EGas, ❑Electric - Ina Solat ❑9-15'HP ❑16-15+" ^-
(This section need not be completed if the permit is for one hundred ($100)or Dish Washer i , Swimming Pool W/Spa -
less). I j FanMicrowave ;� ;
I certify-that In the performance of the work for,which this permit Is issued I ' Drinking Fountains , . Urinal J
, shall,not employ any person In.any manner so'as o be me subject.to the - F.A.U. 'Pole-Light i
Workers' Compo sail Laws off Calltnxnia. YI Il • Floor Drains Water Closet
Date fl - 1'£ Signature I g.+� JJccc...114••+::o.Pes�-+'-� - Fixtures Ran e
'.NOTICE:If,after mak ng this declaratloti you should become subject-to the Floor Sinks Water.Heater - ' - 9 i
I Workers' Compensation provisions of the Labor Code, you must forthwith - - - -- - I Device Boxes '
comply with, such,provisions. or'this; permit shall be,deemed' revoked. 1 : Gas Service, . -Outlets • Water Service - Sign-
CONSTRUCTION'LENDING•AGENCV. , -' . ' '-1 • • Outlets
1 hereby affirm that there Is a construction lending agency for the performance Interceptors: _ I - 'Standing Sections '
of the 'work for which this permit is issued (Section •3087. Civ. C.) '- _ . Switches '
Lender's Name ' • ' . ' Kitchen Sink •y " , - .• , . Trash Compactor '
Lender's Address • Lavatories- - Garbage Disposal I '
OWNER BUILDER DECLARATION ,' - " ' ." _ }
I heieby affirm that I am exempt from the,Contractor's License Law for the ' , L - . •• , - Generator 00-5 KW 05-15 KW ' • 1
following reason-(Section 7031.5 Business and Professional'Code: Any city or P-Trap ,- , -
,county which requires a permit-to construct,alter improve,demolish or repair i - , - .I . Transformer ❑15-50 KW , i i
'any structure; prior to its'issuance, also requires ilio-applicant for such permit l - Roof Drains ' ':� I ,; ' - i
.to file a'signed statement-that he/she is licensed pursuant to the provisions of - . - 0150+KW -
the Contractor's License Law,(Chapter 9(commencing with Section-7900) of i ' ' ' , -' I Reinspection Fee $15� I
'•Division 3 of the Business and-Professions Code)'or that he/she isi exempt : - Showers Remspection Fee" • $15 - -
therefrom and the basis for the alleged exemption. Any vlolation•of,Section - Meter Due to 100.amps 'laud Fee: I $ 3
70315 by 'any`applicant fora.permit' subjects theapplicantto a civil ' , I : I - . -. - _
LIanally of not more than five hundred dollars($500). - Service Sink• _ f ; i Issue Fee $ 3 Zoning Approved By J'�L/fi•a ' !• 'Date ��� k I
1,-as•owner of the:'property 'or'my employees with-wages:as their sole • ( 1 :
compensation' will,do the work,and the structure is not intended or offered : - MECHANICAL ! • I i -
' for sale'(Section 7044, Business and,Professional. Code:'The'Contractor's I -- Application Approved By 'late I
License Law does not apply to an owner of a property who builds or improves • Boller R Refrigeration System - l �v. ; 7_&"7r ? •
thereon, and who'does such work himself/herself or through his or her own • • - i Application Issued By Dete
employees, provided that such improvements is sol t intended or offered for Dutt=Under Ground ❑0-100,000 BTU ❑100,000 BTU ,
sale, If, however, the building or improvement is sold within one year-of com- - i, SUMMARY OF FEES ' • I
elation, the owner-will have the burden of proving he/she did not build or Im- • , I-
rovefor the purpose of,sale), : - ; Duct-Structural System Repair%Alteration i •BUILDING PERMIT $ /�T I SMTP i I $ 'S�
•
Ll I,as owner of the property,am exclusively contractingiwlthilicensed con- ,
tractors to construct the project (Section 7044,Business and Professions Code: • . Duct-Ventilating ) i PLAN CHECK' $ '6.''i 4� � PERMIT
The Contractor's License'Law oes not apply to an'owner of property who ISSUANCE . - $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑• i , :PLUMBING $ •
tractor(s) license pursuant to the Contractor's License Law). I • , PLAN CHECK $ GRADING I ' $
❑ I:am exempt under Section B• .& P.C.for this reason Firepl/Fact.Bit. ICBG# , $ I
,ELECTRICAL • $ - .
Date • Owner '- i Heating System&Ducting MICROFILM $
. I.hereby certify that I'have read this application and state that the above ❑o-i 0 ,000 BTU ❑100,000 BTU _..1 • . ., . IPLAN CHECK' 4 $
information is.correct. I agree to comply with all city.and county ordinances $; TOTAL FEE $ ,
and•state laws relating to building construction,:and hereby authorize repro- Hood •MECHANICAL I t
' sentatives of;this.city to teriu n the above-mentioned property for ' ! Ceno of Typal ❑, , Reinspection Fee' $15 PLAN CHECK' $ • LESS , ,
Sig act re purposes. . 1 I ^-, .7 _S-•� _ pY• -Type II ❑ ,
ADVANCED PC I $
SI nature Date 'r �/
I Drivers'peens or 55 - , Registers _ _ taus Fee $ 3 I • FINAL FEE 1 $ , /
- ' -CMF 086$=46 rev,12/82 - White-Building;Denary:Applicant;Pink=Acco'unting:Goldenrod -Assessor ' - •- - - - - - - • - '
_ _ POOL&SPA .. _ _ __
2 CJ CONSTRUCTION AND PLA ING -CC �. • • r - ' ;p:� � - - _ _
a'APPROVALS ' 'Permit# '-' • e,/ oSi- .Date-^ .Inspector- ;:, 'APPROVALS "-permit#� Date Inspector'
_ a1.ITemporary Electrical Ser'vice.oF?die 1 R _ ; ' c',' - 252 'Pool•& Equipment Location - -
2.J Soil Pipe-Un,irgrndi -`•�.. ti U` :'
? ,•' '53. Steel Reinforcement - ' -
3.'Electrical Conduit Utility-Undrgrnd.. . T.....'E ' - - . .54: Forms - -
,,4.IElectrical Conduit-Undrgrnd.^ - ;: .. `_ - :'55. Electrical Bonding. ,
Fog. Rein ^
forcement ; , , L'•-•:.. i n=1. 2' `'-' G' .- 56. Rough Plumbing&Pressure Test -
ci,16.!,Elecirical•UFER,Grnd' ' T ''' ' a ` ... .2"-;.:' g .. 1571 APPROVAL TO COVER;GUNITE
7.IFootings _. I ' ' o ?� , `, ;',;$_f_`-.5:3 g °58. Electrical Conduit-Undrarnd. -
8. Foundation 1 1 , I aa - ' 1 3'- - i' -59. Gas Pipe, 0 Undrgrnd.,Test' _ ,
9.iWater Pipe;Undrgrnd, , 1 p _ ., r-60. Backwash;Lines;P-Trap, 0-Undrgrnd. '
1.10.,Structural Floor System ; .`.. I �� r ,61_:APPROVAL-TO-DECK - - -
11.IProperty Sewer Line & House Connection E -c. 62. Backwash & Receptor-Final - _
12. Sewer Cap, ,- . + ; - • 5 4, '63. Heater &Vent-Final
13.,Roof Drains i I •} ?` ? ,, <64. Plumbing System- Final • .
• 14.'Rough Plumbingi I, : , i^ '1 ! ` - ' 65. :Electrical-Final - ,
' ' 15:'Rough-ElectricalConduitt---- .. 7.- -- - r--• . 166. - -
I r I : f, • ! Solar System-Final' ,
• 16';Rough Electric Wiring i E . i- '''----t- r
ra . ,. ., - { . 67: .Fencing&Access Appioval
ir ' 17.; Rough�Winiitg"Signs ` • 1 " i 1' i I ` -
� ; � • I + ' i � '.... ;68'. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling I i _ i i a ;69: POOL/SPA'SYSTEMS FINAL
., 19.-' ou'gh Heating& Air_Conditionin'g I. 1 I !� I I I FIRE DEPT. REQUIREMENT '
!'20.; Rough Factory Fireplace l i , - 1 ' APPROVALS I APPROVALS Permit# '
•21.j,Ducts in,Structure., '1 I yi '' ; I ! 70. Underground Hydro
L .
• ;"22 - Ducts„Ventilating_ I l '
.,_ 'l I I , I I i71. Product Piping'OGas 0 Oil
r ;.23.1Gast Pipe_Rough &Tet' I 'j - ' r i 1` ; 172. Underground Flush •
24.r Roof Framing i i 14-,r; T. j; I• , . , - 1. i73. Undergrnd Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - I''1
I r ,I,• , , i ' .r. ,r I - - 1 '74i Overhead Hydro
• - 2 'T-Ba
6. r Ceiling (Structural)I1& Monocoat I - , .`. ,= 1' .... :75: Dry Chemical , • f
• -27.'Frame and`Flashing 4I i 1 -y ; 176. Dry Standpipe '
28. &-Siding c E I ; I - ` I i !
Lathing 77: FIXED SYSTEM FINAL
29.E Insulation; "' • ! I II : i ; I i 78. FIRE PREY. FINAL .
• ''30.,Drywall Nailing ' I Ii 11 1 i I ' I i Notes: , - • ,
a31 Plaster Brown Coag ! • II ii I I i I I , . 1 _•
'32.. Electrical •Power Meter-Final ' ' I ! I f ' 1 ( - -
33.' Final Electric .',. 1 .
33.' I 1.... . I' - _
1
34. Final'Heating-6 Air Conditioning I , j . I ,
•
35. Final Gas Pipe-Te '
Pipe-tet Ir,; jj • i`j 'I' j? j` ! . 1 - 71-. f , '�! - '
•-
36. Hood'or,Canopy.,'I ' •1 1 c ; P. I F , 1 c i • I ' I 4 : ! T f , .t. . - ,.
37. FinalFactory'Fireplace; ' ; o ,; = _ , I . - -
38. FinalPlumbingI i I ; o - I. ; '
39. Water.Service-Final' I I I "I ' , .I I i •
'
40. Gas Service-Final i ,� I ' ! I f I I , -, ' , , . -
I I
41. Solar Domestic-Final : d i •
42. BackflowPreventer ' 1 I
43. Backflow Irrigation- I :ip,•r ' -1 i> ' 1 ¢ i >
it c.-1. �
44. Landsg•ape Irr,igationSysteml I I!:-! , I _- I T_ ' ' - f '1 -
45. Sound,Attenuationz.l° I t ii ; • ' I 1_ ' '' I I I _I r.I ' _ _ • - - -
46. Handicap Regulations) I ,r, I w j= I ,r _ I . ,
47. FINAL STRUCT.URE & BUlLDINGII ' ' ' I '
r
48. Special Requirements. ,;Completedi - • I • ' .
49. ElectriciRelease'tolEdisoo 'I I j 1 __ _i----1 -1- _ _t._,-_i _ r -- _ ' '
•
•
50. Gas Relgaseto Southern California Gas Co I .I 1 1 I :
51. CERTIFICATE OF OCCUPANCY y : . ' _1„.. •.. _ ._.1_ _ _ 4 • ,
No !1 I ' I Date ' I y I • L' 1 • _I ; I • .
- 4 1r - .
7� .y. •-•
-
42953 _1-,,= 00 p:,y ,•.: .. .2;..5;:
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT'
For Applicant to Fill in Completely —Use Ink Only
RECEIVED BY DATE RECEIVED Di9 '
T ISS}JEP
BUILDING �/ I
ADDRESS. /Sp Ze .✓ tr/edLC
A.P.OWNER ./,Q'/ o CNeahL M�
MAIL
BUILDINGf ^ � IADDRESSALS �i3C uC ADDRESS!G / S-ktlQ U !
��yyJJ /`
TEL. TRACTS 616 LOTj6, ' BLOCK
CITY NO. TRACTS-161f
NEW ADD ALTER REPAIR MOVING DEMOI ISH
LENDER \X/�Q,L`, y� 7�'//
BRANCH DIA-C)IID / t�/W�/!/ j
OWNER /V/r'1 Y
ADDRESS VALUE
ARCHITECT TEL. USE 4- $
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR A, a ay(/J//C,gs' BY DATE
ADDRESS ....2/....7, e- 219 /JJ -��
�� �c Zt�y�{� NO.OF USE OF NEylf�,/)
TEL. //�� 7J / PLApS� BUILDING
G-Y�t/�
F CITY ✓�ifE%.�7 NO. r<8�� / r/T\
STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. 3/ 2.062 LIC. NO. / ��
0 / MAIN BUILDING ACCESSORY BUILDING
W I
SIZE S NO.OF BLDGS. (FROM C/L STREET)
L OF LOT 42} i hiNOW ON LOT / FRONT FT. F
Q USE OF /�
U'l EXISTING BLDG. r*ai�C..G�OS R SDE FT. OT.
rA
I.•
Separate permits are required for L.SIDE FT. �CFT.
electric,plumbing and heating work.
Iia
O REAR FT. FT.
Il USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
GMAIN BLDGS. ACCESS. BLDGS.
VAR.# DATE
j.,:'J C.U.P.# apAWROVED
Q
APPROVED /// `Cr / ///
RY A�� DATE /! -/^/ �O
00
W .
0 I hereby acknowledge that I have read this application and state N
N
C that the above Information is correct and agree to comply with m
0. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
m
FQ the State of California. • ,�
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business �s.�
VALUATION PERMIT FEE $ c
and Professions Cod) Ivislon 3,Chapter 9. oc
/�r U✓ .,n
PLAN CHECK $ /or 00
cC o
Signature of / �,/� n
Permitte0 4 -r/P � � � $ //t/(•�•O'O oo TAX $ sSri U.2
Authorized Agent V
TOTAL PAID �]
UNPICK WLNSLFX, David 1-"Alc 11-1-76
JOB ADDRESS 1859 Swan Circle BUILDING PERMIT NO. 42953
GENERAL CONTRACTOR B 6 0 Bldrs. DESCRIPTION of WORK Pvt. Spa
PAP No. 139-524-19 LOT TRACT FIRE ZONE VALUE $1,600.00
INSPECTIONS Signature Dote GROUP TYPE ZONE R-1
�t Form Location AC--- f/-YJ& SUBCONTRACTOR PERMITS ISSUED
(•,_ _
S
T1 Number jSign gture
Forms
Main Drain _
'Steel Reinforce _
Elec. Bond Electric Dote
Approval to Cover RC- , i t-1-1t. 611- 0 Q-Pi¢to- 11-1-)G 44,367
Underground Electric _
Gas Piping Test
I
��11Plumbing��pp����Filtering System Lines Y� >yCH� ' 11-� 7Backwash Lines and Recep. L J�(-96
Electrical Final - ADC )2W,7
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final
. -. . . .Gi IV _1,7-z
,r _n 7.kf..D3 L.37 . .... .,. .r.5"
42985
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APL A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
ace? /� �J /ri RE DATE RECEIVED D///y/�rE SUED
kADIDRESS SWT/ N e /POLE s� , ' / G
�t 4 1 VERMIT Nb
OWNER h e__ G it-
ADDRESS /.• , A A 6 A.P.NO
MAIL S/y M L BUILDING /r? &or., Cc
[� ADDRESS /�-�
CITY e o J TA M E TEL TRACT) 7 v LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
LENDER '
BRANCH /'1 /
OWNER D WEVS CC-iii
ADDRESS
VALUE
/'vO' ELK— E
6
ARCHITECT TEL. USE OD .
OR ENGINEER NO. FIRE bi
•/�/ TT
ADDRESS ZONE / VPN GROUP
CONTRACTOR Ae we-A[SLe BYPROV
�// o DATE /I' 7C.
ADDRESS //
TEL. ZON FFF///)JJ NO.�pLAOFZ. USEBUILDING .L OF NEW ��p k
n
CITY NO. /`
F STATE CITY YARtIS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY SUP DING
GLI SIZE NO.OF BLDGS. (FROM C/L STREET) v,(Ch
LL, OF LOT NOW ON LOT FRONT FT. frtiro_cidT.
USE OF
EXISTING BLDG. R.SIDE FT. / 0-14-
5-Q F
Ca
F //✓Separate permits are required for L.SIDE FT. /'/O4FT.
electric, plumbing and heating work. REAR FT. FT.
csa
1.., 1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0 sr MAIN BLDGS. ACCESS. BLDGS.
'\ I C/ VAR.# DATE
cite; C.U.P.# APPROVED
APPROVE / 7L
ra a-B-Y TCI �t� DATE ll--�/ V
IX
0 I hereby acknowledge that I have read this application and state 6921,,y.� /�' / n
(3.' that the above Information Is correct and agree to comply with 4'l�' '[Q-4� j� m
a• all laws regulating building construction, and I shall not employ `
1/- --7
Z any paten In violation of the workmen's compensation laws of ,Q�",
Sthe State of California.
I hereby certify that I em properly licensed as a contractor under SQ. FT. a
the State of California Business and Professions Code, Division 3, 3
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE Y:
to
am exempt from the provisions of the Ste - of California Business tr
VALUATION PERMIT FEE $ �—
and Professions Code, D vision 3, Ch.'ter 9. In
/• PLAN CHECK $ cnen
Signature o / / //•��tt��sca
Permittee Q- S�/7J/ TAX $ o f
fes/((// so U
Authdrized Agent ' TOTAL PAID $ 3 52)
r
OWNER WENSLEY, D.C. ' DATE 11-8-76
JOB ADDRESS 1859 Swan Circle BUILDING PERMIT NO. 42985
GENERAL CONTRACTOR Owner/Bldg. DESCRIPTION of WORK Wood Deck
AP No.139-52449 LOT TRACT FIRE ZONE VALUE $500.00
INSPECTIONS Signe Date TYPE V GROUP J ZONE R-1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number I Signature
WATER Plumbing ,
A ROUGH PLUMBING
APROP: SWR. LINE n HOUSE CON. I]
SPRINKLING SYSTEM
MISCELLANEOUS •
ROUGH HEATING ANO AIR CONDITIONING' •
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER U
ROUGH WIRINGy Heating and Vent.
TRENCHES ii FORMS U STEEL REINF. n jQ //.1' %y
FLOOR SYSTEM RL \\•Accrue
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL. FINAL Electric
HEATING. VENT.. REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC. FINAL /� •
BUILDING. FINAL L-- ra ZJ1lt
Lot 65
Tr. 578 24086 I SAY
CZST.4-MESA BUILDING-SAFETY DEPARTMENT
OF C‘ATII MESA
P.O.BOX 917 COSTA MESA.CALIFORNIA 1 1965
MAY 1
For Applicant to Fill In Completely APPLICATION�FOR
�PERM
TYPE OR PRINT ip �Ip�•�r,( )_
BUILDING a / �� • n
ADDRESS /n 5 9 (/,(„,f ,rh I
RECEIPT NO.
COSTA MESA, CALIFORNIA :-)41t$636'
RECEIV�Y D METED/I"'VED/ DATE ISSUED
OWNER Pemba Subdividers, Inc. to CS /66x6)4 MAY 1 3 1955
MAIL - p BUILDING /s•-/ g' ��� /T j� -
ADDRESS X1850 Mesa Verde Drive ADDRESS $ "t ` K
FIRE ��
CITY Costa Mesa TNo`5490395 ZONE 3 TYPE. •T—GROUPX-
ARCHITECT TEL ABtr
YPROVQD DATE
OR ENGINEER E.G.Kaltenbach NO. 547804E
ADDRESS 1823 E. 17th St. Santa Ana ZONING IP
ZO E 1 I NO.OF f') I USE OF NE / 1
Pemba Subdividers, Inc. PLANE OJ` BUILDIN• t .� •a i
CONTRALTO- / _ / ('�.]�
LEGAL
ADDRESS 2850 Mesa Verde Drive DESCRIPTION k bb 7- r 5 g i
IITY Costa Mesa A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LICC.TNO. 187318 T . 5490395 SO"TOSIDE eREAR P.L
EAVES
SIZE
OF LOT 75x95 NNO.OF OW ON LOTS 0 ALLOWED (U.B.C.REQUIREMENT/
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
I FROM C/L STREET
SETBACK LINE FROM
CENTER OF ST EET20 T REAR YARD `52 T FRONTO FTT FT.
SIDE YARD I LEFT 9? - I RIGHT 11 T R.SIDE 1/ PT. FT.
DESCRIPTION OF WORK L.SIDE 9 PT. FT.
NEW X ALTERATION _ ADDITION REAR V FT. FT.
DISTANCE BET. BET.MAIN a
MAIN SLOGS. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH
� VAR.# DATE
BUISIZE INq` 0x49 ROOMS 1?' STORIES 2 C.U.P.#`. APPROVED // .....--------
EXTERIOR
�
EXTERIOR WALL., ROOF APPRO \ Qr
COVERING LItuCCOI COVERING WOOdShing 1E BY /jjjj������ ��y�`, DATE ��dl VV�)
USE OF BUILDING AND WORK TO BE PERFORMED W
Single family residence with
attached garage.
•
R1179-,.4S7 23 9_d SO.FT. 510 �To
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION //yy)
BUILDING COIISTRUCTION. ��'J'� N
PERMIT FEE 5
SIGNATUREOF •� � `/1I ami
PERMITTEE G/•�'/µct $ L ) 456 PLAN CHECK $ 1 7 ' /E
/ .26
AUTHORIZED A T TOTAL FEE $ /A�