HomeMy WebLinkAbout324 SYDNEY LN - Building Permits�
//
� PBQIECTp00PE$5: 324 SYDNEY LN
owxeesxame: EVERGREEN ASSOCIATES
aoosess: C/O JIM LOCKER
326 SYDNEY LN
COSTA MESA CA 92626
(714)646-6�57
RNCH/ENGINEEP:
I + nooness:
flEG.NO.:
UNIT:
PEflMITTEE: CRANK HROTHERS ( 714 ) 548-5569
� aooxess: 126 COMMERCIAL WAX
COSTA MESA . CA 92627
UCENSEO CONTFACTOB OECLARATION: I �er¢�y allirm ttiai 1 am Ikensetl untler pmvisions o� ChaO�er 9(cammencinp wiN Section
7000� ol Oirsion 3 0l ine Business an0 Pmteuions Coae. ana my license is �n full torce anG elfen.
c�rruc.:005993 STATEUC.:4OE6�I% cusr ��
�ale: �_�.j ��.�� Signature: r'
WOHKEflS' COMPENSATION OECUIflFTION: I hereby atlirm �hal I �ave a ceriilica�e ai consent �o sel4insure or a cenilicale o� Workers'
Compensatmnk s r ce.{�A¢�} r}i,h'e �jP�{}�e ( ection 3800. Lab. �
POLICYNO.:G��—y3M„�+VV�� EXP.OATE: �S�OSI94
cornrnxr: STATE FUND
❑ Cenifiea coOY is nereUy fumishea. � Ceniliea copy is filetl w,�h Ne ciry Building Uivision.
Daie: L—.� ^ 9� Applicam: � O� —"��
E%EMPTION FHOM WOBNEflS'COM7ENSNTION OECLANpTION: (Thi55etiion neetl nOIbeCOmple�e0illhe permilis�orone hundr¢tl�$100�or1e55).
I certi�y Ihat in Ihe petlormance 0� the wark lor which �his permi� is i55ue0, ISM1aII no� employ any person in any manner so as �o become
9ubjecl Io Ihe Workers' ComOe�satian Laws ol Calilomia.
Date: Signalure:
NOTICE: I( alier making ihis Oeclaralion, you s�aulA become su0leti lo ��e Worker5' fAmpenSation pmvisions ol i�e LaEor
CaOe. you mus� IonMnin comply wi�h such provisions or ihis permit snall Ge deemea revoke0.
LONSTBUCTION LENUING pGENCY: I �ere�y allirm ihat there is a constmc�ion lentling aAency for Ihe pedormance ol ihe work for
w�ich Ihis permii is i5suetl (Sec�ion 3097. Civ. C�.
LEN�EH:
aooness:
OWNEB BUILOEB OECUPATION: 1 hereby affirm Inal I am evempl Imm IIIe Contractors' State License Law tor ine following reason
(Seclion i037.5 Business anG Pro�essional Coae: Any ciry o� county w�ic� rtpuires a permit Io conSlmci. aiter. imp�me. Gemolis�, or
repair any strucWre, prior lo ils iswance. aho �e0�n�e5 ihe applicant 7oi such pe�mit to tile a sipne0 slalement ihai �Ushe I5 6censetl
pursuam 10 i�e pmvisions ol Ine CoNraciors' Slale License Law (ChaD�er 9(commencing wiih Sec�ion 7000) oi Oivision 3 ol Ihe Business
anA Pmlessions Catle) or t�al he/she is exempl I�erelrom and Ihe basis far t�e alleged exemplion. Fny viola�ion ol Sec�ion 7031.5 by
any applicanl lor a Dermi� sublecis �he aDPlicanl Io a civil penalry o� not more Ihan tive huntlretl Oollars ($500�.
I, as owner ol �ne D�openy o� my employees with waqes as iheir sole comoens3�ion, will Oo ihe work, antl ihe
❑ strucwre is no� iniended or offerea for sale 15ettion 7014, Buvne55 an0 Profe55ional Co�e: T�E Contracio2' Slate License Law
Eoes not apply to an avmer of a pm0eny who builtls or improves t�ereon. anA wM aoes such work hims¢If/hersell or Ihmugh
his or �er own ¢mDloyees, pmvideG Ihat such improvemenis ar¢ no� inlentled or o�kre0 �ar sale_ I( howeve� ibe �uilding or
impwvemen� is SOIE within one year of com0leiion, Ihe owner vnll have �he �urtlen ol O�oving he/she tlia nol 6uilA or impmve
for Ihe pur0ose ot sale��
I, as owner oi Ihe pmperlY. am exclusivelp coniracting with Iicense0 contmctors lo canslmcl Ihe pmject (Seciion 7044, Business
❑ antl Pmfessions COUe: The Coniractors' Slale License Law tloes not apDly to an owner of propeny who builds or impmves thereon
antl who coniract5lor such pmlecls wi�h a conVaclor(s�license pursuant�o �he Conlraclors' Sta�e License Law�.l am aware
Ihai pmoi oi Iheii WOrker's Compensalion insurance s�aula �e pmdded to me.
� I am eKempi un0er Seci�on: B. d P. C.
lor Ih�s rea5an:
Oaie', Ownec
I �o hereby cetldy I�al I am awa�e oi an0 untlerstanU Ihe requiremems ol Cali�omia Nealth antl Sale�y Code Sec�ions 25505, 25533, antl
255Ja an0 ��al I or any lulure bNlding acupanl will/will no� (circle one� neeA ta compy wilh SaiG s�ate cotles antl I�e re0uirement5 tor a
pe�mit �or consimction o� motldication Iwm Ihe Ai� Oualiiy Managemeni OiSirict. FesiEeniial conslmc�ion apPlications are ¢xempi �mm
I�es¢ pmvisions. �
Dai¢: ,t�.r—i�`�"'��L— AODlicanl: (it (/. !``"v'� �
I hereby cetlily Ihal I have r¢atl IhiS appliCaiion and S�a�e�ha�ihe a0ov¢ inlormalion i5 corr¢cl. lagr¢e b tomply with all Ciry antl county
orAinanws antl stam laws mla�ing to �uiltling conslmclion ana hereby aul�orize rCVresentalives ol Ihis ciiy lo en�er upon Ihe above�mentione0
pioperty �or ins eciian urpose5- � ^ /� ^
�/ / ( )
Oale: ��--- Signature: �/ L�Iz�C.l3��
Iod�ers ��cense or Saiai Sean�v =:
�6aLa6 White—Butlaing; G�een—CoCe Enlorcemenl; Canary—AOOlicanl: Pink—Revenue Goleenroa—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 06381
PERMIT NO: B 063814 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPO5E; ALT
JOB DESCRIPTION ; T/O COMPO 6 INSTALL NEW FBGLS COMPO SQ FT; 1,650
CLAIM VALUE: 1,650,00 CALC—VALUE: 1,650.00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE
�,�**���**�**������**��,����*� ��*�.�*.���*����*�*�������**���*����������TO�
Z O N I N GS ERTEB�AUCIKRSE M E N T S
REQUIRED
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAA; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REp • PROV: PARCEL: 93519003 ZNE: REF NO:
PLANNING Nf3T'ES>
i
if if it ik iE �E iE if if iE k if 1E IE iE if iE if if if 1E if i! 1F!!!f !f!f if 1f iE if if iE if 1E fE iE �t 1E 1E �k 1f !E tf k fE k if if ik fE 1E iF k if iF iE iE iE 1f if if ik if %iE iFif iF ik iF 1E fE iF if iE if �f
D E V B�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
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: DATE• /�
it�tk�fifiEiF1E1EM�t�fiF�kifkifiEiflEMM iFiElf�FikiFiF�fdEiF iEif
iEk3FiEif�FkifiliEifk�FiE�EiEiFlf�fM3fiEitiF�k�fikiFifiE�E�E�EkikifiFiflEif�E3fifiliflEifikiEiE iElfif�flElFlEiF*1l�ltilifiEdF�FiEik*!FlF�fifiklE�EiF
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 39.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 39.50 0,00 0.00 39.50 39.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 39,50 OVER/SHORT: 00
BLD39P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN—CHECR
1f 1f iFif if if if IE iF k if if if if iF if 1E i! 3k if iliE iE k 1E iE iE iE iEik iFif 1E if �E �t iF fk iE *iE iE iE iF if iFif �f iF iEiE ff iFlt if iElF1E 1k iE i! �f 3E ik iE 1E i! 1f iP 1klF ik fE if if 3F iE iE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1650 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,650,00
END OF FEES
01 ��146333-00146334 T r_�T 39,50
DATE: d9/03/93 TIPIE: 1l:04
� CONSTRIn:�iUiu'.�ND PLANNING
� APPROVALS Permit �,`-
I1, Temporary Electrical Service pc Pole
� 2..So��F'ps�Undrgrr.d. �
��
3. Etzc:r{a. Conduit i:t.!ay�U'uirgmy,
IR. Electncsl Cantluit�llndrgmd. '�
r--- -_ -
I 5 Stze' 9e.-+o�c��re^t �
'_G. F';:ci��cz .:Fi.�'Grr.d ��.
I >. Footings ���..
4.�=
� 8. Foundat�on �'
I ,9. �;ater P�pe�Urdrg�nd. I,
� 10. S!rucwra� F!aor 5Ystem ' �
71. Prope�t•/ Sewer Li�e & Houtic CpnneCtion
' 12 Sa'er Cao .
13 yoo' 7•;., •
I
74. Rouan Plum�ing
~�5 R��yi� �lactr�cal-GondwT _
�G. Ro�gh E�ectr.[!"!i�'�9
i17. Raugh iVinnq Sign
18 Rough ElectriCel�7 Bar Ceiling
iS Rouyh He�tmg $ A�r Cu��Jitioning
.. � qn�_yh a:,cot;� F�'aP;.cd ! . � '
� � .� . •
-_...- .:--- --•--�r--,�-
77�. ,i�S�S, �r. S:fuCi..T: ' ••
�� i
�%. �JCTS, �%.'ni�^Jhnc� � '
- � � . � . , -�--
..� ..:e; ���P--�Ro��gh g Tes: i �
24� !�oo! Frmm�n� �� � � � ..
.�
�-•--
25. Haof S�,�athing �� , �
�- - -
� 7b: - Car Ce�hn9 IStrucw�ai� 8: l.tonocoat
---- - POOL & SPA - - ---- - --- - -
Date Inspector AP� P Date Inspector
27.,F•ea,eard F!�shirg '
. _._ . .-„--- --�•'•_ : ,
•74. La�mt� & StUin2�. ' I • • ..
� • __�_ '� .-__
- --- - -
�- 7.9 'n.Wation . `t . _ .. .. ..
� -- -
3J D�yr.a �'.a�hn5 .
31 . Raste� �'ro; �� Cuct. �. , .
.r-__-_�...�'�}
37� E�ectn �. Power i�2te��F�al
� _ �
�� � � r
3' � F'��a' E�cct��c i t
� �Sc �F�nni He. t,nq �: A�r Coi�tlit��Oning �
35r Fina! Gas P15�e�TeyT � .�
36. No�d or Canopy•' ` �
�37., Finai Facto�y F�rCP�ac: �
38. Finai Plumbmg i� •
33. \Vater Service�FrL�I
(� �0. Gas Seru�ce�F�na! � ' .
41. Solar pomc:t��oFinai
42. Backflow Prevantec
43. Bacicflow Irr.9atio�
44. Lardsnpe fmqai'cn
i:
-c�.
' 45. Sound Atteduau�.�`."
�46..Hantllcap Regula(!o�
a7. FINAL STRUCT �±
�8 fINALPLANM�G,
45 � Electnc Releasc YQ E
50 Gas.Re4ease to SCut�
SVstert ^. ; �
s
�9UfL01NG
. '� -
�..:
ifwrl
errl •Ca!�T� :forn�
)�L:UPANCY
6ate
ROVALS ermn ,�
52. Pool & Equipment Location i
�_i
53. S+.ec� Re�nforcrmert I
54. Farms �
55. Electrical Bond�ng
56. Rocy.h Piumb�ng & PreSsure Tcst 1
-a
57. /1PPROVnI_ ?0 CO\�ER GL''2iTE I �
58. Eluctrical Condu��t�Undrgrnd.
59. Gas Pipe, � UnUrgrnd., 7¢5t
' 60. Badubash LineS, P�Trap, -: Undrgrnd. �
61. APPROVALTODECK
62. Batkwash & Reo�V*or-Pina�
63. Hrncr & Vent-G�n:,��
fi4. P:umSing Sy.'em � F rwl
65. EI�_ctricai-Final � �
66. So�ar System�Pl��ai _�
67. Fencing & Access Aporoval `
68. APPROVED FOR PLASTEPING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. RE�UIREMFNI" �
' APPA�VC,L�� ir PrrR��t ^�_�,� � I
._ . I
' �'70. Undergtbunil Nvd�o ' i
�
� 71. Product�Q:piny I7f�i� '�'0.'�
,
' � 72. U^d��rgrd�^t9 Flus': ---- � �
# .73_�Undergrrl�i.Sto��tjc7lnk�.'G�'__v�; '' _ �- 1
�- 74. Overhead�Hydrn _ �
75. Ur; Chemica� - I ''
76. Dry Star.dp.ae
77.�FiXEDSYS,TG,4f;WAt,�, .r1 ----- �
- 78. FIRE PREV. FI�AL � �
y- --- -- y
' - 'I;EALTIi DEPT. F;E'SUIREP.IE^:T
' -1
75. FINAL INSPEC?fG'; - T-� `-�--�1 --'-�' i
___�4-_�_ i._._-_._`_��-_ ___ - �
� BD. FOOD CERTIF�C.�TE ISSUC� � I
-� -, -
, I NOLL'S: -- - --
T,_ - -- -
r �
- --�,� --- ---.
0
��
�-- -------
i
AGO���ant to fill in all ipaces exce0t �hose within �eavy Gartler lines anE si9n all appro0riate Eeclarations.
CI•TY OFil,'OSTA MESA CQNSTnR�IC� ION P�RMIT PERMIT NO. • - TRACT NO. LOT NO. �UNIT=O. �
Prcxect Address %� ,4�E/� /�, . 6 t `� s � 9 0 -/ � , . ,
Applicant'S Mailino Addraaa �i2 �/( C%�p7Q 5l TVPE OF CONSTRUCTION NEW 'ADD ALTERATION REPAI R
�UE��u��A� GS �s y � •� CONVERSION ❑ DEMOLISH ❑ OTHER A.P # • ,� Q n � J-„ I b E1f Zone ' 2B TIt
Owner's Name u �/ � Phone� ' DESCRIP I N OF WORK S�.�EQQQ F BLDG. �•� � '
Addreu �a' I -sL� ^��i�� �' � � `�� (.� �N cL,_(ZS' l..( �% � E Main Building: . Accessory Buil'ding:. Z
Arch/Eng. License No. TVPE OF PERMIT d GRADING ❑ FOUNDATION TRVCTURAL T Front a0 '-6 �� O
Addres5 ' - i ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear �� � . N
ConvactoYsNameG��GU S�✓�2C�! phne�7/��30 �OTHER C Right 2� -O�' ' N
Address Imailingl /C-'i'� ' 7ROJECT DESCRIPTION Sq..Ez„',�— OCCUParvC tld K � // . G
CONSTRUCTIONTVPE �r� � VALUATION$ S Left gs -0
CityLir.pnSeNo. �..�T�1 � ZONE GRADINGCU.YDS. ACRES - R
LICENSED CONTRACTOR DECL RATION Ping. Ref. �i`- � Parking Req./P�ovided ' E
I hereby alfi�m that I am licensetl untle� p�ovi5iOn5 of Cnarte� 9(commencing Remarks: , Pldnning NOtCs: ' n
with section ]000) of Divislon 3 of the Business antl-Professions Cotle, antl M
my licente is in fu force antl ¢ttect. , � � �� T
LicenseClass �^ Licen �e,�fq �� S
oate �� S fr�. c�„a� .a d__�— ' - . �� PLUMBING � FEES
WORKERS'C_ OMPENSATION DECLARAT ' , / -
1 hereby atflrm that I have a certiticate oi mnsent ta selt-insure or a certificate ' Bar Sink Showers � ' ELEC7RICAL FEES�
oi Workers' Compensation Insurance, or a certifietl cooY tnereof (Sectlon gackflowPreventer ServiceSink
Automatic Washer Transformer ❑ 15-50 KW
3800, Lab. C.) /
Policy No. Company Backflow Irrigation � - Sewer Cap Cons[ruction PoleSub. ❑ 50+ KW
�Certitietl copy is hereby turnisM1etl.
Certltietl copy is fileE with the City Builtlinq Divizion. Bathtu65 Sewer Connection COOkinQ Unit - M2L¢t Qup LO 1002mp5 /
Date Applicant � -
EXEMPTION FROM WORKERS' COMPENSATION DECLA0.ATION CId�Ifi2�5 _ SOIa� CoI1CCL0�5 Dishwasher � Meter. ❑over 100 Bm98�
�Thissection neetl not be mmpletetl if the permit i5 tor one M1untl�etl ($100) ar '
less). Dishwasher ' Solar Piping Dryers ❑Gas ��Electric Sub Panel . .
I certify tha[ in the perfo�mance o( the wo�k for which.this perm�t is iSSuetl I . - _ ..
shall not employ any person'In any manner so as ta become subject to t�e Drinking�Fountains Solar Tank � Fan . � ' Motors �0-1 P �1 %- 8 . '
Wo�kers' om e^sa i n Laws of California ' .
Date � ^ Signature — Floor Drains " Swimming P I w/Spa' � F.A.U.
NOTICE: 1(, a[er making this tleclaration, yo ultl become subject to the Ine Sold� 9-15 HP �16-15+
Workers' Compensation plovisions ot the bor Cotle, you must Porthwith FIOOf SiOkS Urindl FiztUI25 � � � �
comply with such provisions or ihis permlt shall be tleeme0 revoketl. M'MOwave
CONSTRUCTION LEN�ING AGENCV GasService OUtlets ter ClOset Device Boxes
I hereby atfi�m that Ihere is a consVuction lentling agency tot the Oe�fo�mance POI¢ Li9ht
ot the work tor�which tbis Oermit is issuetl (Settian 309] Civ. CJ �
Lentler's Name �'"� - Interceptors � Water Heater Outlets Range �
Lentler's Atltlress ^� � Kitchen Sink Water Service . Switches � / Sign' - -
OWNER BUILDER,OECLARATION �
I hereby affltm thatjl'dfn'Exempt from the Contractol'S License Law tor tM1e LdvdtOfies AutO-Wash Ga�6a C Di5 0531 �
following reason (Sectlon 7031.5 Business antl Profe55ional Cotle: Any city or 9 P Standing Sections
munty which reqwres a permit to construct, alter; improve, tlemolish or repalr P-7rap � Laundry Trays Generator �0-5 ❑5-15 KW �
any Struc[ure, plio! to it5 i55Uance, also requires tFle applicant tor such pelmlt Tl25h COmpdCtOf
to file a si9netl statemen[ that he/she is licensetl pursuant to the provisionsof � Roof Drains � '
the Contractor's Licenie Law (Chapter 9(commencinq witn Section ]000) of •
� Division 3 ot-the Business antl Professions Cotle) or that he/she i5 exempt - �-
therefrom antl Ihe basis (or [he allegetl exemption. Any violation of Sectlon
]031.5 by any applicant fo� a pe�mit subjects the applicant to a civil ' -
�enalty ot mt more than tive huntlretl tlollars ($500�. ' 3 '
LJ I, as owner of ine prooerty or my employees with wages as their sole einspaction Fee $15 Issue Fee $
compensation, will tlo tne work, antl the structure is not intentletl or otferetl / Reinspection Fee $75 155ue Fee � $ 3
for sale (Section �O4a, Business antl Professional Cotle: The'Contractor's MECHANICAL; � � FEES
License Law tloes not apply to an owner of a property who builtls or improves ' � - . ,
thereon, antl who does such work himself/herselt or througb nis or her own , / DEVELOPMENT SERVICES REQUIREMENTS: ' , '
¢fOploy¢e5� p�ovitletl [Itat such improv¢ments a�e �Ot �ntentletl or off2r¢tl for BOIICf HWd OI Type I ❑ . J � (� �/�
sale. If, however, tne builtling or improvement is soltl within one year of com- � Canopy Type I I ❑'/ Zoning Approvad By � Date G,1- J-Q �.
pletion, the owner will have the burtlen ot proving he/she tlitl not builtl or Im- Duct - Under Ground � guilding Approvad By ,� ' Date
p�ova for the purpose of sale). - ,
❑ I, as owner oi"the oroperty, am exclusively mntracting with Iicensetl con- Duct -Svuctural Refrigeration Sys[er� � Appliptian Issued By • 'G�2j�y.q.Dats �/ -��L�
tractors to canst�uct the project (Settion ]046, BuSiness antl Protessions Cotle: /
The Contractor's-License Law does'mi apply to an owner of pmperty who Duct - Ventilating � ❑0-100,000 TU �100,000 BTU , SUMMARV OF FEES
, builtls or improves therean, antl who contracts for such projects witn a con- .�i
tractor(s1 iicense pursuant to the Contractor's License Law). I am aware that ' BUI LDING PERMIT $ a3 •6� . SMIP ' $' �� v
' Exhaust System ❑ MJltiple ❑ Sys Repair/Alteration
pvoof of theu Worker's Compensation insurance shoultl�be provitletl to me. _ - . PLAN CHECK $_ �'{ %"� PERMIT � �
❑ 1 am exempt untler Section � e. & P. C. for this reason _ Firepl/fact.6lt. ICBO # Fire Dampers _ � PLUMBING , i $ � � ISSUANCE $-.
Date - Owner ' ' � , Heating System & Ducting� Registers ' � � ENERGV P.C. $.'
' PLAN CHECK 25% $ _
I hereby certi�y that I nave reaa:thiz application antl state that the above ❑0-100,000BTU �100; OBT ELECTRICAL . GRADING $
information is correcL 1 agree Io compty wrth all city antl county o�tlinantez $
antl state laws relating to builtling construction, antl hereby autnorize reore- _ . $; ,MICROFI LM $
sentatives of this a���yyyt to en!er upon tne above-mentlonetl property or , - PLAN CHECK 50% , t�
,inspection purDye s� - -_�j / ) / � ' � - -
Si9nature �� -�-•�j �ate�b � MECHANICAL� $ TOTAL FEE $ J°
"orivers' �i � � R i pection Fee $15 Issue Fee $ 3 PLAN,CHECK 25% $
MF 0865-46, rev. 10/84 White - Builtlinq; Canary - Applicanq Pink - Accounting; Goltlenrod - AsseSsor �
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector appROVALS Permit # Date I'nspector
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, O 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 Freming 73. Undergrnd.StorageTank OGas ❑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 PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electriral 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
39. Water Service-Final
40. Gas Service-Final - -
41. Solar pomestic-Final i �
42. Backflow Preventer
43. Backflow Irrigation '
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING � Z
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date �
l.
�1�y -�a�ca
-. . . ,�
~ (/ i �
. . _� �n �'�->--
�
- � �
9,, .
� p�
� ',�.
�
� � �. ... . . � � �
W �. � �•
=� w\ �.� �.
� —
�
a
• i �'._
�
.
Y '_�
�
� _ �--. ^_ ..._. �
_ �
� � ���
A � 'O � �
O � Z O �
' ? n
O �
=y c�0
O m D �
0
'� � .'�.' m
1 W N
�; � a �
�
�
_--�-
amc�m�.
omn�o
c =�"�
yc�oom
o���
2�To>�
V ��z�,
m-.��T
n
�,oc; i
T; r.:
O U it� �
T�>>i"'
'.c `:
�:;`-`:-.:
C x: i
- >:
-., .,, �.
' �„' .
n ' -' �
a . .:: o
�M Q C J
-G T 1
= T
�r�
m '-� m
D � r
d� m
�ii [i
m < �
F m
L --�D
Z D r
��
� � c
�,..�
, � �
zz
� �
��
<t�)�,'�:'�2���i�1�. C��)*��ij.
�
CI� Of �.dStG N1E5a �� ���
E54
�,��/ ��
A/!' I'? i 70v/ DA AT ��
BY � BE ON .W8 �
�, , THESE PLANS MUSfWI�US ��
I MAKE NO CHAN6F5 .
OF DEPT•
THE �SANrD SPE�CIRCAT ONS SH �� OMIT� �
OF PtAqIS � ANY VII
TO BE A PERMIT f GR, OR PN FPPROYAL 0"NO PERN
OF ANY OF THE FROVI�iONS Cf THIS CODE
SUMING T0. GIV� kUTHCRITY TO VIOLATE � CaY�
+kiilCH I�AUIHOFw�.IS:
pR0V1540NS�OF�;THIS,CODE�SHALL BE Vl�L�a.. �
/pyt AS.THE WORK OiZ11SE . ; .. . , _ .
THE ISSUF�NCE OF n PERMIT $ASEb UPOft'P�
$PECIF{CAiIONS SHALL NOT PftETEE�CORRECTIODi �
M TNEREAFTER REQUIRING
N uj�Np opERA7 ONS BEING GARRIED 0 1 THOE.REUNI
y 1N YIOIAiION� �iHiS COUE OR UF ANY Oi4ER Q
--1
�
C
�
�
C
�
D
A
�
'�
�
0
c
r
�
0
z
�
�
k� Zs-o
�,"' '' �;^ ��i�� L�b�t�to���� f �' .�: ���r �
2 � o ou[ �z c o.r_in, i�.
�� 02 -
�_ �'1 ?.O. EOX .: . ?31� AI=FCxT `N.�Y . !ONG bEACH. ULIE Y.�d;l . �1U� �--?355 . IZI?) _i6238S . 1%i�i 92B-M3i
eun•c:- r.:c�c[s
TESTING �s�..oH�..�,r, �,,... H�- �:....,�
�irq
x-r�.�.�� Cai.{_me43]�] . 19:i�-.diAr�. G_C.v�]
F���� SlL]GS �� �� �� bti =+ecF. Cnl.4 s`k^C� �2:P EJ6�D2a
I �yb �
~�.
October 3, 1977 `
E%qMIYSSiCM: JJ��J�y�
JUi� 1♦i u
COMPRESS:ON T[STS ON`,.'��'� CYLINDERS
JaCk �Iuboard
3106 Os[rcci aver.ue
Long Beach, Califo�r.ia 90`�08
PROJECT SWiP�dING ?OOL - THERAPY S?A, DO:iALD s:3ITE
ADORE55 324 Spd.ey ;.ane, Costa Mesa, Californi2
SAMPI..E FROM
NRGNITCCT
EN6�ME6F
R. J. Kalodziej
MiX
pq7ECA5T
DATE7cSTED
CY4�NDER NO.
COM�RESSION
TO7r+L LO.1D, LF35.
POVH�� PER SQ. IN.
COMPLIA\C�
CY4IN�ERS
Bond b2�
�i.� t0 1
9/?�/77
10/3/77
�f1
� '.33V5
�J'1�����
2,370
CONTPiCTVP
Westera Spa Co.
$V�CC.lTR4CTOP
i9cBee Gunite Co.
SPEC�FIED
STRENGTN
SL'JMP
i da;� test cocplies caith speci_icatiens.
rnwcc ov
Mo:rzil
���-,�o�>��-,:
Jack Hubhard - 3
Costa ASes2 Bldg. Dspt.
OEL�VERE� BY
tiL'211J3L(i
r
2���Q
FlE��.ti�7 ON
9%2i177
YtE�EY�EIL
OCi �� l�( I
. we. A. �_. „ ., .,. ..o, .�. a. � . . . � _ . a . � , !`��!r'-�:+�
,wP_,= �Ao_ o., o.�,R�,._ ,.E.. „ pE.gw���'.e.,,.� �.a ...,.rE� ,P.Ao�.� ., , M�,,.� �A�,��.,o..� ;_,E,.,,.,_r :.e�,� .�o �,4=E��__.
OWNER BALALIS 6 PIGNERL DATE 3-1-77
JOB ADDRESS Sydney Lane BUILDING PERMIT
AP No. 115-220-03 LOT T
SUBCONTRACTOR
SPRIHKLING SVSTEM
MISCELLANEOUS
ROUGH ME�TING �NO AIR C0�
TEMPOR�RY SERVICE OR POl
UNDERGROUND � POWER
ROUGN WIRING
TRENCHES FOAMS
FLOOR SYSTEM
BON� BEAM �STE RE
SHERTHING p ,�
FR�ME �NO FLASNING
LRTXING — IN . OIIT fi
PLASTER, 6ROWN COnT
STRUCTURnL, FIH�L
NEnTING. VENT., REFRIG. AND �.C.
PLUMBING. FINnL ANO GAS TEST [
ELECTRIC, FINAL
9UILOING, FIN4L
� . .
�� 4�3��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
FS'
C
L[7
a
Q
h
�
S
F
G
u�
F
Q
O
..1
a
>
�
.a
a
�
a
O
�
4
z
W
x
3
OWNI
MAIL
ADDF
CITV
BFANCH
ARCH
STATE
IIC. NQ
SIZE
OF LOT
USE OF
,s
T
T
�-/ N oL b%.�-c
CITV y
LIC. NO. QS /
NO. OF BLDGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
USE OF 6UIlDING AND WORK TO BE PERFOR�
0
�v�zn-�7�;��OO�e2z:= **�u65.5�.
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBY �ATERECEIVEO D TE SSUEC
� l_ -,
BUILDING j
ADDFES$ V
TRACT
FIRE ✓
20NE T\ GROUP
APPROVED �� / ��
BV DATE
NO.OF USE OF N W
P�ANS BUILDW �
VARDS APPROV VARDS APPROVED
MAIN BUILD NG ACCESSORV BUIIDI
(FROM GL S7 )
RONT FT. FT.
I E FT.
L. SIDE �T./ FT.
FEAR ��.�L �FY. FT.
VAR.
APPROVEOI J .�� �
— r_
I hareby ecknowletlpe that I heve reetl this appliceiion and stata '^
�
thet tha ebove Informaiion is correct and a0rae to comply with
m
ell laws repulatinp buildinB consiructlon, entl I shell not employ �
eny perso� �� ��olaiion Of the wOrkmen's comp0nsation laws ot �
the Stete ot California. � -
I heroby Cenify ihat I em praperly Iicense0 as a contrecior vnder SQ. FT, w
the Smte ot California Business antl Professions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapier 9, and that such 17censes are in full force and effect, or 1 THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV: e
am e.empt from Me provisions ot the State of Celifornia Busin¢ss VALVATION Q
antl ProteSslonz Cotle, Oivision 3, Chepter 9. PERMIT FEE 5 �
m
^� PLAN CHECK S ^
Slgnaiureof��� GS.� e
TAX $ LL I
Permittee �'�'�`� S$/��. d� Z. ��/ U
O�J 7
Auihor(zetl ABent TOTAL PA1 D E � ,�
unv�n
JOB ADD
AP No. y19-021-04 L(
iNSPECT10NS
�Pool Location
.
Forms
Main Drain
teel Reinforce
I Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final
A�...�_....I i..> C:..:.{.
�
JC�G
vn��
1�
UtSIKIV'
SUBCQNT.RACTOR
Electric
Plumbin9
r,o.__ 4�645—
E
l
�
�
F
�
W
S
Q
ti
y
.'L
F
� ��
COSTA MESA BUILDING-SAFETY DEPARTMENT
PO_eOX 1200 COSTA MESA_CALIFORNIA 92626
vA��� � �
'f'��--1-il�c:;�l} Cii4 oi:i::elZi.�r
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completety — Use Ink Only
RECEIVE�BV DATERECEIVED DATEISSUED
BUILDING
ADDRE55
PERMIT NO.
OWNER
� A.P. NO.
MAI L BUILDING
ADDRESS ADDRESS
TEL. TRACT LOT BLOCK
C�TV NO.
CONSTRUCTION NEW A�D ALT P P
LENDER
♦
BRANCH
OWNER
ADDRESS VALUE ��
ARCHITECT TEL. S $
OR ENGINEER N
FIRE
ADDRESS ZONE TVPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZaNE NO.OF USE OF NEW
CITY NO.
PLANS BUILDING
STATE CITV �'ARDSAPPROVED VAROSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/lSTREET)
OF LOT NOW ON LOT FFONT FT. FT.
USE OF
EXISTING BLOG. 5 E F. FT.
Separa[e permits are required for L SIOE FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUIL�ING AND WORK TO BE PERFORMED OISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLIX'+S.
VAR. # DATE
C.U.P.aW APPROVEO
APPROVED
I hereby acknowledga that I have reatl this application and state '^
n
that the above Informetion is correct antl agree to comply with m
all laws ragulatine buildinB consttucNon, entl I shall not employ �
any person In vlolation of the workman's compensation laws of d
the Staie of California.
1 hareby certify that I am pro0erly licensatl as a contractor untler SQ. FT. N
Ne State ot California eusinesa end Profassions Code, Division 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR m
Chepter 9, antl t�et such Iicenses are In full forca antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from ihe provisions of the State of California Business VALUATION PERMIT FEE $ d
antl Professlons Cotle, DWislon 3, Chapter 9. i in
m
Signamra of PLAN CHECK $ �'+
0
Permittee $ r( � LL
���, TAX $ � �
U
AuthorizedAgeni � TOTALPAID $
l� 44645 SEP 14-77PA��OO 620� *��*36.50
CNSA
F
�
W
a
a
.�.
�
2
F
\
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APP I T ON FOR STRUCTURAI, PERMIT
For Applicant to Fill in Completely — Use Ink Only
F7EC I D V DATE RECEIVED TE ISSUED
ADIDRESS �LC S� ��3L. �- n� , -
OWNEP A.P. NO. �9� O� i PERMIT NO.
�6 ti Q�-O U/ �1 � �%.
MAII BUILDING 3 1�6� 'l��if �
ADDRE55 324' S IiNE L-�U ADDRESS //�17 7
/� TEL. G4Z_(�) TRACT/ LOT I BLOCK
CITV l�.j'j� ��S (j NO.
CONSTRUC710N W ADD AL R P
LENDER N � A
BRANCM -� w_
OWNER NL
ADDRESS —
VALUE ��_"
ARCHITECT � �/ TEL. SE 3 ol��uV
OR ENGINEER 1`• �- `l7 �-OI�L1 �� •
FIRE
ADORESS C�3l.,TUS C� \C. ZONE TVPE GROUP
APPROVED
CONTRACTOR ��ES'jEa,V . Q � BV DATE
ADORESS ((�}�jZ V� Y�-G�T\1JJ
TEL. Z�NE NO.OF USE OF NEW
�C PLANS Z BUILDING
CITV I2V \IJ� C NO. p3j-3 'S
STATE CITY �/ YP.FlDSAPPROVED VARDSA PROVEO
�IG. NO. '�`3 ('311 �_j 3 LIC. NO. � 3�uy MAIN BUILDING ACCESSORY BUILDING
SI2E NO.OF BLOGS. (FROM C/L STREET) � /�
OF LOT NOW ON LOT / RONT FT. FT
USE OF
EXISTING BLDG. �Ls� �Eu CL • I FT FT L
Separate permits are required for � sio FT. FT. O
electriq plumbing and heating work. Q
REAR FT. FT. %
USE OF BUILDING AND WOfiK TO BE PERFORMED DI5fANCE BET. BET. MAIN &
MAIN BLIX'rS. ACCESS. BLDGS.
VAR.#s DATE
�.l STti.UG� S QA. C.U.P. ,� APPROVED
APPROVE�%/.. � / `7
v K/ /
I hereby acknowladpa ihat I have read this application and rtate
that the abova intormation is correct antl eprea to comply wlth
ell laws reBulatlnB buila(np construction, antl 1 shall not amploy
ony pnrson in violation of the workman's companaation laws of
ihe Stete of California. �
I he�oby ceRlfy ihat I am properly li�ansetl ea e cantrector under SQ. FT.
tha Stete of California eusineu end Professions Cotle, Dlvlsion 3, THE AMOUNT $HOWN UNDER VALUATION IS FOF
Chaptar 9, antl t�at suc� Iicenses are 7n fuil fo ca antl aftact, or I THE PURPOSE OF ESTABIISHING A PERMIT FEE ONIY:
em exempt irom the provisions of,tk tete o� ellfornia Buslness VALUATION PERMIT FEE E
entl Professlons Code, Dlvislon 3�Ch ce 9.
� � PLAN CHECK E
Slpnetura of /�J}��
Parmlttea $ �� V (/ TAX $
�Authorizatl Apent TOTA� VAID §