HomeMy WebLinkAbout1883 SWAN CIR - Building Permits PROJECTaIESS: 1883 SWAN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 060737
OWNER'S NAME:GARBER LEONARD TR
ADDRESS:1883 SWAN CIR PERMIT NO: B 060737 PLAN CHECK N9: 00197-93 S GOVT; N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE; ALT
ARCHIENGINEER:RICH ROTHMAN REG.NO.:C7157 JOB DESCRIPTION : CONSTRUCT A 320SF PATIO (ENCLOSURE SQ FT; 320
ADDREss: 6232 SHIELDS
I
HUNTINGTON BEACUNIT:CA 92647 CLAIM VALUE: 10, 000 .00 CALC—VALUE: 11,840 . 00 GROUP OCC: R-3 /
PERMITTEE:G.M. BAUER CONSTRUCTION ( 714 ) 858-0446
ADDRESS:15391 LAMBROSE CANYON RD COMMENTS. PROVIDE SMOKE DETECTORS PER 1991 UBC/STRICTLY NON—HABITABLE STRUC
TRABUCO CA 92679 • ********4******************RETr***+E**********RE***RE***********************iE*******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S
7000 o1 n 3 o1 h Business and Pro s o . nd my license is in Del lo e and ellect. S E T B A C K S
054149 3 � � c1
CITY LIC.: STATE LIC.? CLASS: MAIN BUILDING ACCESSORY BUILDING
Date: 7.— r 73 5lgnawre: ` _ _ __ — FRNT: 25 FT IN REAR: 27 FT IN FRNT: FT IN REAR; FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affir than have a certificate of consent to sell-insure or a certificate 01 Workers' LEFT: 32 FT IN RGHT: 19 FT 6 IN LEFT: FT IN RGHT: FT IN
Compensatiororrio nge9 jegjf#3opy thereof(Sec' n 3800.Labccf /01 /94
POLICY ND.: EXP. DATE:
STATE FUND PARKING REQ: PROV: PARCEL: 13952416 ZNE: RI REF NO:
}}_�COMPANY: PLANNING NOTES> 320 SQ FT. NON—HABITABLE PATIO COVER ADDITION TO THE REAR
'CJ Certified copy is hereby furnished. 0 Certified copy is filed' the city Build 0'
'eSion.Y ' > OF EXISTING
XISTING SINGLE—FAMILY RESIDENCE
Date: 12 5 . 93Applicant ******************************!*********************
********************
*******
DEVE' LO. PM .ENT . SER VICES REQUIREMENTS\\
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(Sabot less). '
I certily 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 ZONING APPROVED BY v - Cote , DATE: 112.C`/`('�
subject to the Workers'Compensation Laws o1 California.
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of Me Labor - ,
Code,you must lathy/libcomply with such provisions or this permit shah be deemed revoked. • APPLICATION ISSUED 'BY:. j 6(\ DATE• I Z4 /cit
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance-of the work for ********************. *-,x-* -*,*-,N,**.N,**,* *,*,*-*- *,**,*,*,****,*****, ,N,*,*,*,*,*,**** ,** *,***** ***
which this permit is issued(Section 3097.Civ.C
LENDER:NON—HABITABLE STRUCTURE - ********aE**********it********k**************************************************
ADDRESS:NON—HABITABLE STRUCTURE LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that lamexempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 135. 00 1 • 18
(Section 7031.5 Business and Professional Code: Any city 01 county which requires a permit to construct.alter.improve,demolish,or
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SHIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 87. 75
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation o1 Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN'=.CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 136 . 18 0 . 00 — = 87. 75 223 . 93 223 . 93 . 00
❑ structure is not intended or offered for sale(Section/044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a properly who builds or improves thereon.and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED: 136. 18 OVER/SHORT• 00
improvement is sold within one year 01 completion.the owner vrill have the burden of proving he/she did not build or improve BLDG PMT PLUMB ING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale).
135. 00 1 . 18
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: TheContractors'State License Law does not apply to an owner of property who builds or improves thereon **************,****.*******.**.*******************.**.******************************.*
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A 'L. F E E BREAKDOWN
o I am exempt under section: B.S P.C.
for this reason'. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 320 RES—PATIO COVER—ENCLOSED PATIO 37. 00 11 , 840. 00
Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END. OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from -
these provisions.
Date: Applicant: f '
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 slate laws relating to building construction and hereby oath•ize representatives of this city to enter upon the above-mentioned
property far inspection purposes. /t / \
gs A /
Date. ar� Signature: /' a
Driver's License or Social Security,
16n1.46 White—Building,Green—Code Enforcement'.Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING POOL & SPA •
APPROVALS Permit,#r- Date Inspector APPROVALS Permit;F Date Inspector
' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement
3 Electrical CeinduitLthty-Undrgrnd. • . 54. Forms
• 4. Electrical Conduit-Undrgrnd.' 55. Electrical Bonding
�5. Steel Reinforcement Z1(0 e g ,p er 56. Rough Plumbing & Pressure Test i
6. Electrical UFER Grnd. -`r 57. APPROVAL TO COVER-GUN1TE ! -
7. Footings 7.F�pI43 0 lig 58. Electrical Conduit•Undrgrnd.
8. Foundation ll ll • 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Urdrgrrd.
10. Structural Floor System �/O/t3 do 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection {'``� 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final r I
- -I
13. Roof Drains I 64. Plumbing System - Final
14. Rough Plumbing ` - 65. Electrical-Final l
I
15. Rough-Electrical-Conduit (�j'�////J 66. Solar System-Final
16. Rough Electric Wiring IZ,hYft9`j 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
I
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FI,ME DEPT. REQUIREMENT
2u. Haugh Factory.fireplace ' ; ' " _ APPROVALS . - Permit 4
21. Ducts;in Structure ' - - 70, Underground Hydro
22. Ducts, Ventilating. . - . . •• 71. Product.°iping ❑G,as 0 Ott 1
23: Gas Pipe-Rough &.Test ' 72. Underground Flub-
- iv-' r_ _
24. Roof Framing ' k
/// _ 73l Undergrnd.Storage Tank 0Gas 9Oil
25. Roof Sheathing- • • II'2fi /53 r - 74. Overhead Hydro - - -i
26. T-Bar Ceiling (Structural) &Monocoat '4 - 76. pry Chemical - -
4.
27. Frame and Flashing IIZ4s.1f5 76. Dry Standpipe t < , -
28 Laihinr 777-Y- -7 //�Kl// - t
�& Siding' • _ _ 0 347i if 3 77: FIXED'SYSTE(V1�FINAL
29, Insulation .,. / I � 78. FIRE PREV. FINAL -
30. Drywall Nailing 3i ( ‘' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - - s//((({��f� fj/ - 79. FINAL INSPECTION j
32, Electrical PdwerMeter-Final • .,t • - 80. FOOD CERTIFICATE ISSUED
33. Final Electric • j Notes: 2„..-76- C2 t')�;a ,S '_ 1 _ •'
34. Final Heating&-Air Conditioning �l `3 i
35. Final Gas Pipe-Telt , I
Y'^ V�
36. Hood or Canopy - r :- _
3T. Final Factory Fireplace - - -
38; Final Plumbing -- - , I
•
39. Water Service-Final •
1 I I -
40. Gas Service-Final 'I I- - _ - JI
41. Solar Domestic-Final I• I 1 - 1
42. Backflow Preventer - ' I tI `
I
. 43. Backflow Irrigation - - I
• 1
44. Landscape Irrigation System - . - - - ;
_
45. Sound Attenuation - -
-I
Handi
46. FINAL
pReUCTUR /O/` = •
-.
47. FINAL STRUCTURE& BUILDING 1
48. FINAL PLANNING '
' 49. Electric Release to Edison ' _ •
. a
50. Gas Release to Southern California Gas Co I
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 10-83 SWAN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 061092
OWNER'S NAME: GARBER LEONARD TR
ADDREss: 1883 STAN CIR PERMIT NO: M 061092 PLAN CHECK NO: N GOVT: N SUPP; N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH
ARCHIENGINEER: RICH ROTHMAN REG.ND.:C7.1 %7 JOB DESCRIPTION : EXTEND A BATHROOM FAN EXHAUST DUCT SQ FT;
ADDRESS: 6232 SHIELDS DR ITr
HUNTINGTON BEACH CA 92647 CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 /
PERMITTEE: G.M. BAUER CONSTRUCTION (714 ) 858-0446
ADDRESS: 19391 LAMBROSE CANYON RD COMMENTS; STRICTLY A NON—HABITABLE STRUCTURE! ! !RE; B60737
TRABUCO CA 92679 ******* Est+Ear*TE***+r********************+E*********** *********************+E*******
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 full force and effect. SETH ACKS •-
CITY LIC.:05 STATELIC.:395798 CLASS:C.10
••-- Dal � re: MAII BRIARING ACCESSORY EAILDING
WORKE C PENSATI ECLARATION: thereby affirm that lhave acertificate ofconsent oself-insure oracertificate olWorkers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Comp sahon Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PD Y NO.:0732691-93 EXP.DATE: 01 /01 /94
COMPANY:STATE FUND PARKING REQ1 PROV: PARCEL: 13952416 ZNE: REF NO:
)70 Certified copy is her y furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
'•— Date: /Li ,....„411"......„ •.. cant: .*******9F*********96*************************************************************
EKEMPTID. FROM WORKERS'COMPEN •TION DECLARATION: (This section need not be completed if the permit is for one hundred WOO)orless). • D E V E L O P M E N T SERVICES REQUIREMENTS
I certify al in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. `ZONING APPROVED BY DATE;
Date: Signature:
NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor .BUILDING APPROVED BY ; DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /J�j p Q
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• •//v ' — DATE.:. /� �9/ /3
which this permit is issued(Section 3097.Civ.C). ************************* *** *- *** * r6** 'i**********************IF*ka:** ***
sm"i NON—HABITABLE STRUCTURE ******************************************** - ********************************
ANON—HABITABLE STRUCTURE LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT; N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 4 . 50
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 251 SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 15 . 00
I. as owner of the properly or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS—---> 4 . 50 15. 00 0 . 00 19 . 50 19 . 50 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/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; 19 . 50 OVER/SHORT- ,00
tor 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 19 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contracfm(s)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN
O I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certdy that I have read this application and state that the above information is correct.I agree to comply with all city and county
o rdinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property tor insp• on purposes.
D ate: Signature: / A..L�
• �— —
Driver's Lice se or Soci, Security e: - •
1641.46 White—Budding:Green—Code Enforcement anary—ApplicanC Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit�,k Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Serviceor Pole ,, : ; 52. Pool & Equipment Location -
i
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
r 3. Electrical Conduit Utility-Undegrnd. 54. Forms
4, Electrical Conduit-Undrgrruk 55. Electrical Bonding
N5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. ,I 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
r''
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 '1
17. Rough WiringSign 9 9 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning of /4 t5v
C , FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ZZ'" APPROVALS Permit #
21. Ducts,in Structure / 70. Underground Hydro
22. Ducts, Ventilating 24 4 /3 ZJ/3 C O 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test • l / 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 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 I 77. FIXED SYSTEM FINAL
'
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing I • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32, Electrical Power Meter-Final � I 80. FOOD CERTIFICATE ISSUED
33. Final Electric I I . Notes:
34. Final Heating& Air Conditioning s
35. Final Gas Pipe-Test I
36. Hood or Canopy '!
37. Final Factory Fireplace •
I _ _
38. Final Plumbing a'
I
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
I �
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
i
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1,883 SWAN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 061091
OWRPR'S NAME:GARBER LEONARD TR
ADDRESS: 1883 SWAN CIR PERMIT NO: E 061091 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH
ARCH/ENGINEER:RICH ROTHMAN REG.NO.:C7157 JOB DESCRIPTION : CONSTRUCT A 320SF PATIO ENCLOSURE SQ FT:
ADDRESS: 6232 SHIELDS DR UNIT:
HUNTINGTON BEACH CA 92647 CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE:G,M. BAUER CONSTRUCTION ( 714 ) 858-0446
ADDRESS: 19391 LAMBROSE CANYON RD COMMENTS: STRICTLY A NON—HABITABLE STRUCTURE! ! !RE: B60737
TRABUCO CA 92679 **********+P***** *** *******x**TP****;eTP****>E***x +cx-***************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
CITYuc.:O, • ATEm.395798 cuss:C10
Date:_ Si azure: MAIN BUILDING ACCESSORY BUILDING
WORKS 'COMPENS TION DECLARATION: Ihereby affirm that Ihave acertificate ofconsent tosell-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compe tion Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.:0732691-93 EXP.DATE: 01 /01 /94
COMPANY:STATE FUND PARKING REQ• PROV: PARCEL: 13952416 ZNE: REF NO:
!J Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES>
Dale'. �..P JApplicant **********************************#ft*******************************************
EKE ION PROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(ally)or less) DEVELOPMENT SERVICES REQUIREMENTS
I ce f that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE
Date: Signature:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions al the Labor BUILDING APPROVED BY : DATE:
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 BY- / DATE- 2 3
which this permit is issued(Section 3097.Civ.C). ************************** * * • * 1 • 71** y * **** ***
D' NON—HABITABLE STRUCTURE *********************************************** ******************************
A"EetNON—HABITABLE STRUCTURE LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
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 SM IP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 21 , 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed eJ 0 g
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 70011)of Division 3 of the Business $MIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—---> 21 . 50 15. 00 0 . 00 36. 50 36 . 50 . 00
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 employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 36 , 50 OVER/SHORT• . 00
torptheepurpose of salei)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 36. 50
❑ 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 contraclor(S)license pursuant to theContractors'State License Law),l am aware *******************************************.***.****.N.*********.*.*****..*..*.*..*.***.*.*.*..*.**
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ 1 am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: ELE 7 FIXTURES LIGHTING 1 ST 20 EA. • 75 5 , 25
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 4 R EC EP T/OUTLET 1 ST 20 EA. . 75 3 .00
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 ELE 3 REC EPT/SWITCH 1 ST 20 EA• . 75 2 , 25
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11 . 00
11 . 00
END OF FEES
Dare: 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 au orize representatives of this city to enter upon the above-mentioned
property for inspection pure es.
Date: .
2/ Signature:
Driver's License or Social Security C:
1641.46 white—Building:Green—Code Enlorcem t: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 a 152. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. % ( 53, Steel Reinforcement
3. Electrical Conduit Utility•UndFgrnd. - 54. Forms •�
4. Electrical Condurt•Undrgrntl,1 1l 55. Electrical Bonding
5. Steel Reinforcement
, I 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. _J 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, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fin&
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 Z_z3-93�Ra.. 67. Fencing &Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling
9 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 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 I 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final j , 30. FOOD CERTIFICATE ISSUED
33. Final Electric 517' 1 e"-:,�s:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test I '1�
36. Hood or Canopy I -
37. Final Factory Fireplace
38. Final Plumbing T •i
39. Water Service-Final i
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
1
48. F%NALPLANNING I
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co I
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1883 SWAN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT rt.RM NO: t. vovii8
OWNER'S NAME:GARBE'Et LEONARD TR
ADDREss: 1883 SWAN CIR PERMIT NO: E 060738 PLAN CHECK NO: N GOvT: N SJPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: ALT
ARCH/ENGINEER:RI CH ROTHMAN REG.ND.:C7157 JOB DESCRIPTION : CONSTRUCT A 320SF PATIO ENCLOSURE SQ FT:
ADDRESS: 6232 SHIELDS DR UNIT:
HUNTINGTON BEACH CA 92647 CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
PERmITTEE:G.M. BAUER CONSTRUCTION ( 714 )858-0446
ADDREss: 19391 LAMBROSE CANYON RD COMMENTS; RE—#B60737
TRABUCO CA 92679 **********sE*4*yE*****Tt*******FE*SE*sE********Trst*Tr****sE*******************IF*********
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 full force and effect. SETBACKS
CITY TIC 2054129�7$TATE uc.3 9 5 7 9 8 cross: 0
/ Date: MC/Q . Signature: (=-_� MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby a rq that I have a certificate of consent o self-insure or a ce 1'este of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensahorvlmrrjr2grglertifie1 Copy thereof(Section 3800.Labd1 /01 /94
POLICY ND.:V J C 1 77 OO - EXP. DATE:
}}�[C_,OMPANY:STATE FUND PARKING REQ• PROV: PARCEL: 13952416 ZNE: REF NO:
'IL Certified
copy is hereby furnished. 0 Certified copy is fired Wi h the city Building Division. PLANNING NOtES>
2� Applicant: ./ *******************************************************************************
`
Date: , Q�— �— 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
1 EXEMPTION FROM WORKE $'COMPENSATION DECLARATION' his section need not be completed if the permit is for one hundred($100)or less).
I certify that in the performance of the work for which th, rermit is issued, shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of Calif. ia. ZONING APPROVED BY DATE;
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shah be deemed revoked. APPLICATION ISSUED DATE• 112 f7 9,
BY-
CONSTRUCTIONthis
LENDINGeAGENCY: 97.Civ.
affirm that there is a construction lending agency for the performance of the work for ****************************************** ************************************
which this permit is issued Y 3097,Civ.C)
LENDER:NON—HABITABLE STRUCTURE *******************************************************************************
ADDREss:NON—HABITABLE STRUCTURE LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that f anaexempt 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 • 12 75
repair any structure,prior to its issuance.also requires the applicant for such permit to fife a signed statement that he/she is licensed 1:)t SMIP/NON—RES
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 70W)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 12 .75 15. 00 0. 00 27. 75 27. 75 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 27. 75 OVER/SHORT: ,00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale).
27. 75
I.as owner of the property.amCo exclusively ate License
with licensed contractors to construct the project(Section 7044,Business
❑ 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 the Contractors'State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale: Owner: ELE 9 FIXTURES LIGHTING 1 ST 20 EA. . 75 6 . 75
I do hereby certify that lam aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and ELE 4 RECEPT/O{ TLET 1 ST 20 EA. . 75 3. 00
25534 and mat I or any lulore building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 4 RECEPT/SWITCH 1 ST 20 EA. . 75 3. 00
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES
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 j
ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned .v/////
property for inspection purposes. p
Date: /1� 2 T/94_ Signature: QfJ/'/\/ za.... 7
Driver's License or Social Security a: ��
1641-46 While—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
( 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement
,3. Electrical Conduit Utility-Undrgrnd. •
- 54. Forms
1.4. Electrical'Conduit•Undrgrnd. - • : 55. Electrical Bonding
Si Steel Reiniorcament 56. Rough Plumbing & Pressure Test
' 6. Electrical UP ER Grnd. '` ' 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
' 8. Foundatiprt - - 59. Gas Pipe, 0 Undrgrnd.,Test .
_9. Water Pipe-Undrmnd. i 60. Backwash Lines,P-Trap, 0 Undrgrrd.
10. Structural Floor-System 61. APPROVAL TO DECK
11. Property Sewer Litre & House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap - •I 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 I 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 c?replace - . APPROVALS Permit #
21. Ducts,in Structure • _ , :, • 70, Underground Hydro •
22. Dutts,;Vent�{Jatin91 71. Product PipingCGas 0 Oil
23. Gas Pipe-Rough & Test �- ' 72. Underground Flush
24. Roof Framing ' " .. 71 Undergrrrd.Storage Tank 0 Gas ❑Oil
is
25. Roof Sheathing - - • , : 74: Overhead Hydro
26: T•Bar Ceiling (Siructurall & Monocoat - , 75. Dry Chemical • _
27. Frame and Flashing a- r , 76. Dry Standpipe - - - -
28. Lathing& Siding I I_ 77. FIXED SVSTS111-FINAL
29. Insulation ' •
j I - - 78'. FIRE PREY. FINAL ` '
M1 30. Drywall Nailing J { HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ,..._/ ! 79. FINAL INSPECTtON
1 32. Electrical Power Me.er-Final / i 80. FOO(DD CERTIFICATE ISSUED
• 33. Final Electric g-h. fr.3 % No cit-----: •,
- 34. Final Heating & Air Conditioning / , ! ;. - - •
35. Final Gas Pipe-Test I I -.
36. Hood or Canopy - • ' - _
37- Final Factory Fireplace ,r t1 •• r -•
38. Final Plumbing ,
39. Water Service-Find i I _
40. Gas Service-Final `
41. Solar Domestic-Fidel , ' ` I} I -• _
42. Backflow Preventer I
43. Backflow Irrigation •
. -
44. Landscape Irrigation System - - -
45. Sound Attenuation .
• 46. Handicap Regulations -
47, FINAL STRUCTURE & BUILDING •
48. FINAL PLANNING •-
49. El€ctric Release to Edison I I i,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - -
No. Date
PROJECT ADDRESS: 1883 SWAN CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; 8 Ub1241
OWNERS NAME:GARBER, LEONARD TR
ADDRESS: 1883 SWAN CIR PERMIT NO: B 061241 PLAN CHECK NO: N GOVT: N SUMP: N
COSTA MESA, CA 92626
111 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
o-
'^- ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O SHAKES, APPLY 1 /2"CDX & 30YR COMP SQ FT: 6, 000
ADDRESS: UNIT:
CLAIM VALUE: 6, 000 . 00 CALL—VALUE: 6, 000 . 00 GROUP OCC; R-3 /M-1
PERMITTEE:SUMMIT ROOFING (714 ) 858-0383
ADDRESS: 20494 SYCAMORE COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC,
TRABUCO CANYON CA 92678 ********* x*�l�6�r�E>E*****�l**** ****�L�E**�L*+t�E#�E*�r�E�E�E******�L�L�r�L# ***+E*#* ***********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I and licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in lull force and effect SETBACKS
CITY
ats' :042860 STATE uc.A95194 cAsr
— Date _3 -3 — 73 Signature;_ _d•±+� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereb um that I nave a certificate a consent to self-insure or a certificate of Workers' FENT: FT IN REAR: FT IN FENT: FT IN REAR: FT IN
Compensation4nppr'ce.,pr.y,cellpieptgpy,LheJepf gectian 3800,LabnCi /01 /94 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: 8 7.3111V 1 V l/9 4 EXP.DATE:
coMPANY:STATE FUND77��, PARKING REQ: PROV: PARCEL: 13952416 ZNE: REF NO;
iJ Certified copy is filed with the cit Building D' isian. PLANNING NOTES>
0 Cenilie0 copy is hereby furnished. Y A >
Date:3-3 — 93 Applicant:' / /Aiwa _ . **************iE********************************************************-********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATI (This section need not be completed if the permit is or one hundred($lip)or less). D E V E• L O P M E N T SERVICES R E Q U I R E M E N' T $
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
Dale: Signature: `L'
NOTICE:IL atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED B Y DATE:
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; . �J.(J T DATE• . 3
which this permit is issued Section 3097.Civ.C). *************************** ****; * k***** *** ae***irk*********** it it X*
LENDER: ***M****************************************. ***********************iF*********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL`, -SEGMENT: Y
1,
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 81 . 00 , 60
repair any structure,prior to ifs 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 9(commencing with Section 7000)of Division 3 of the Business p LAN
and Professions Code)or that he/she is exempt therefrom and the oasis 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). ISSUE FEE
I, as owner of the property or my employees with wages as their sate compensation. wiA do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 81 . 60 0 . 00 0 , 00 81 . 60 81 . 60 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided That such improvements are not intended or offered for sale.It,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 81 . 60 OVER/SHORT: 00
orimprovement is sold le). one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
lop the purpose of sale).
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 81 . 00 . 60
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Stale License Law). l am aware ****************************************************************************)(**
That proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDO 14 N
❑ I am exempt under Section: B.&P.C.
tor this TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 6000 REROOF By VALUE RESIDENTIAL NOZONE 1 , 00 6, 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 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 Oualily 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 srposgto building construction and hereby authorize represenWlNes oft n the above-mentioned
property for inspection purposes. ��/ �) -
— Dale:3=3 — / 3 Signature:L_!/aC
Driver's License or Social Security w: r •
1641.46 White—Building:Green—Code Enforcement;Canary--Applicant,Pink—Revenue;Goldenrod—Assessor
b..
t
CONSTRUCTION AND PLANNING 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation I / 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 •t' 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 SheathingT 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidingl 77, FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing I 1 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat j ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning I I
35. Final Gas Pipe-Test
i I
j
36. Hood Or Canopy -
37. Final Factory Fireplace I _
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final 4
42. Backflow Preventer I 1
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 3/!'/�►t�
48. FINAL PLANNING
j - ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Lot 69;. •)4099'0
Tr5781 CITY OF CL>STA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA MAY 11 1965
For Applicant to Fill In Completely APPLICATION,�r�� FOR PERMIT
TYPE OR PRINT ;.1HP 4.`1 ID h�
BUILDING /g'4 `� _ \ / JP--;
J�
For'• a {, i
ADDRESS C An aJ d7 G^�j9, c .CX RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 9 11,pr
RHC[I DSA �f^ECEI ED . DATE'ISSUEb
OWNER Pemba Subdividers, Inc. '>/ /Web _ Y/1 319&5
MAIL BUILDING I g 3 e 1 ��'Iktu. ("In-
t
ADDRESS 2850Mesa Verde Drive ADDRESS 1JVD LJ �TJ
Costa TEL. 549039, ZONE 'J TYPE=1( GROU�Tr
CITY Mesa NOAP.
ARCHITECT TEL. BYPROVED DATE
OR ENGINES RE• G.Kaltenbach Nq, 547804E
ADDRESS 1823 E. 17th St.Santa Ana ZONING ,
ZOpp//i�//�� I NO.OR (1 I UBE OF N6
Pemba Subdividers Inc. ��y1��1 PLANE (/[ EW LDING •
CONTRACTOR ) / (ice �/—,'{� ,Q(,y'.)/n�"
ADDRESS 2850 Mesa Verde Drive s.
DESCRIrt10N �/f-'/�D��I�' b 7 rig �lJ/
CITY Costa Mesa A.P.NO. /t/
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
TEL.STATE O 5490395 5O TO SIDEfl REAR P.L.
LIC.NO. 187318
EAVES
SIZE 71X120 I NO.OF SLOGNOW ONLOT n /S. ALLOWED (U.B.C.REQUIREMENT)
OF
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
,
(FROM C/L STREET ,./�
SETBACK LINE FROM 951 0101 FRONT ,S,CFT. 61V\ FT.
CENTER OF STREET REAR YARD /
SIDE YARD I LEFT 151 RIGHT 6* R.SIDE X10FT• FT-
DESCRIPTION OP WORK L.SIDE i /FT. FT.
NEW X ALTERATION ADDITION REAR If FT. FT.
DISTANCE BET. BET.MAIN S
MAIN BLDGS. ACCESS.BLOCS.
REPAIR VINO • DEMOLISH
'UX 10 VAR.# DATE
BUILDING Mrs SIZE 2*xt2R ROOMS 10 STORIES 2 C.U.P.# APPROVED //
EXTERIOR O LZACCO I ROOF' WoodShinglf BYPRD GQ'� DATE —V .-------------
EXTERIOR
COVERING COVERING 1J1ij'YV
USE OF BUILDING AND WORK TO BE PERFORMED
► Single family residence with
attached garage.
.J/� qp �1 '�
JP'V.YrnA. c S/ aGi/'fit SQ.FT. 4 4 o Q-i c
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
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 BC � m
BUILDING CONSTRUCTION. `!(J`�� N
SIGNATURE OF PERMIT FEE S
PERMITTEE /iYn/✓ JSP/( 527/953q PLAN CHECK S 4z 7 a...:
AUTHORIZED AG / I �J Q' 2✓
TOTAL FEE 5 Q( D