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Home My WebLink About986 TRABUCO CIR - Building PermitsADO��anl to fill in all spaces except � C!TY 0.� COSTA MESA/' CONST UCTION`PERMnIT � .' Project Address �l�jp �� -1C ' �I , , ; bortler Iines antl zi9� all � UNIT N0. Eeclarationz. � -. i - —� S ' ' � TYPE�OFCONSTRUCTION LJ NEW° U�ADD LJ�ALTERATION L'J REPAIR ^ApplicaiR's Ma(il�ing Address ♦ O�1 -2 • . - — 'OWner's Name%�./.� �' � Ph -lj/'11 ❑'CONVERSION ❑ DEMOLISH, ❑ OTHER ' q,p,# " DESCRIPTIONOFWORK/US FBLDG: - Address - ��j (..� ' S Main Building: � �Arcfi(Eng. " � License No. � TYPE OF PERMIT GRAOIrvG ❑ FOUN Ti rv a� CTURa� . T Front, ' � Addre55 - - - ❑ OTNERT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � 1 A � Rear Contractor's Name � Phone - � - - "C Right - PROJECT DESCRIPTION st�. F7. - oCCUPANCV � � Address Imailin9l IL-� � � � � � K' , - � CONSTRUCTIONTVPE - VAWATION$ � c Left CityLicenseNo_� � � � . ZONE GRAOINGCU.VDS. � � ACRES LICENSED CONTRACTOR DECLARATION J hereby atfirm that I am licensetl untl¢r provision5 ot Charter 9(comm¢ndng � '- wi[h section ]000) of Division 3 of the Beun 5 tl Prof¢SSions Cotle, anG � _my license is in tull torce antl effect. , /y �) . License Class �• � �c�No. . te Signature � RKERS'COMPENSATION OECLARATION � .ereCy affirm that 1 nave a certificate of consent to sel�-insure or a certificate of Workers^ Compensation Insurance, or a certitletl copY thereof (Section , 3800, Lab. C.) � , � Policy No. � ' Company � � �Certifietl copy is hereby furnisnetl.� �Certifietl!copy is filetl with the city Builtling Division. oate Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLFRHTION � (This section neetl not be completetl if the permit is tor one huntlre0 ($300) oi � less). ' I certify lhat in the pe�fo�mance ot the o<for which t' p m�t is issued I shall not employ any erson in any er so s j t�e Wo�k ' C En Laws aYCalito Date � ' Signature 'NOTIc : If, aiten makin9 tnis tleclarati n, you shoultl eco subject to the Workers' Compensation provisions of the Labot Cotl you mu5t torthwith comply with such provisions or thi5 permit sM1all e tleemetl �evoke0. CONSTRUCTION LENDING AGENCV - ' 1 hereby affirm that there is a mnstruction lentling agency tor tne performance of ,the work tor which tnis permit is issuetl (Section 3097 Civ. C.) lentler's Name LenOer's Atl�ress OWNER BUILDER DECLARATIOIV- I her¢by affirm t�at I am eKempt from the Cont�ac[o�'S License Law tor the � following reason (Section ]031.5 Business antl Protessional Cotle: Any clty or county, which requires a pe�mit to cons[ruGt, alter, improve, tlemolish o� �epair any"structure, prior to itz issuance, also requires the applicant for such permit b fiie a signetl statement that he/she is.licensetl pursuant to the provisions ot �e ConVactor'S License Law (Chapter 9(commencing with Section 7000) ot )ivision 3 of the Business antl Profe55ion5 Cotle) or that he/she is exemOt [herefrom anG the Gasis-for the allegetl exemption. Any violation ot Section �J031.5 by any applicant tor a'permit subjects the� applicant to a civil ��¢ndlty of not mor¢ than tive huntlretl tlollars ($500). , I, a5 �owne� ot the property �or my employe¢5 with wag¢5 as-thBi� sole compensation, will tlo the work, antl the s[ructure is not intenGetl'or offeretl (or sale (Section �044, Business and Professional'Cotle: The Contractor's' LicenSe Law tloes not apply t0 an owne� of a p�operty who bulltls or imp�oves thereon, antl who does Such wo�k hlmself/her5elt or through his o� he� own. employees, provitled that such imo�ovements are noc intendetl or otteretl for� 5ale. If, however, [he builtling or imP�ovement Is soltl wllhin one yea� of com- pletioq ehe owner wlll nave the tiurden o( proving he/she tlitl not builtl or im- p�ove tor the purpose of sale). • � ❑ I�, as owner o( the oroperty, am exclusively:contractin9 with licensetl con-. tractors to wnstruct ihe project (Section ]044, Business aotl Protessions Cotle: The Conlractor's License Law tloes not apply to an owner of property who builtlz o� imp�oves"[hereon, antl who controcl5 fov such project5 with acon- [�actor(51 license pursuant to the Cont�acto�'S Licanse Lawl. I aT awar¢ that proat of their Wo�ker'S Comp¢n ❑.I am exempt untlerk5ection— ' Date Owner �I nereby cer[ify.[hat�l have rea� ]'state antl co proviCetl [a me. ..tor this reason' above � Remarks. Sink <flow Preventer cflow Irrigation Drinking Fountains � ' Floor Dreins Floor Sinks � - Gas Service� Outlets Interceptors ' � KitchenSink � ' � Lavamries , P-Trep RoOf Diains ' i . , � � . i Reinspectian' Fea , � PLUMBING � � Showers -- ServiceSink ' ' ' Sewer Cap� Sewer Connection Solar Collectors � Solar Pipin9 � • Solar Tank . Swimming Pool w/Spa Urinal ' Water Closet Water Heater - Water Service � ' � Auto-Wash " , $15 BOilet � Duit = Under Ground� Duct-Struciural ' Duct-,Ventilating � . _'_ Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # � Heating System & Ducting � � ❑6100,OOO�BTU �100,OOOBTI � ..__...,......r . � Si9nature . � Date ' � Drivers' Licenze or 55 � � ��._.� � :M 0865-46, rev.�10/84 White - Builtling; Ca�y - Applicant; Pink - Accounting; Goltlenrotl - Assessor � ' laue Fee 1ANICAL Hoodor Typel ❑ Canopy Type II ❑ �, Refrigeration;System � ❑4100,OOO�BTU, �100,000 B System.Repair/Alreration � � Pire Dsmpers � Registers . -, `�' Issue Fee ; j FEES Ping. Ref. # '. .Planning Notes: , ,, . . _ . , .. . - ( .� " �' _ � ' ' � 6628 7/ 15/'85 ' � �10.00 'TL ' . . •i� L ' • ' . ' ' - ' Zone � � Accessory Building: � s . � . 1 � � Parking Req./Provided ,- ' , Aucomatic Waslier -� Construction Pole Sub. Cooking Unit Dlshwasher ' Fan F.A.U. Fixturer - - - Device�Boxes Outlets Switches Garba9e Dispoul Generator DO-5 KW �5-15 KW IICAL � , -FEES Transfoime� � 15,50�KW�� -' ` �O 50+KW Meter ❑up Lo 100 amps Meter ❑over100amps Sub Panel � - � � Motors �0-1. HP �1 %- 8 Inc.Solar 09-15 HP �16-75+ Microwave � - - . " ', Pole Light ' Range Sign ; Standing Sections Trash Compactor E Q M T S $ 3 S Reinspection'Fee $15 luue Fee � � $ 3 FEES DEVELOPMENT SERVICES REUUIREMENTS: � - �2oning Approved'By Date Building Approved By Date �Aupliration laued By � nffi� $ 3, }•� - ' � SUMMARV OF FEES � � � i BUILDING PERMIT $, � 1• Si� SMIP � $ I •�J O " � �. PLAN CHECK , $' PERMIT ' , . . PLUMBING $' ISSUANCE . $ � `",PLAN CHECK ' 25% $ ENERGV P.C. $' -ELECTRICAL $. GRAOING $ PLAN CHECK 50% $ , � MICROFILM $ � MECHANICALy . $ � � TOTALFEE $,��,.� PLAN CHECK 25% $' � , ' t � � , CONSTRUCTION AND PLANNIN( , APPROVALS Permit # � F �1. Tanporary Electricgl Service or. Pole 2. Soil Pipe-Undrgrnd.' ,3. Electrical�Conduit UtilitY-Undrgmd. J 4.' Electri'cal.Conduit-Undrgrnd. ,� 5. Steel Reinforcement ' 6. Electrical UFER Grnd. 7. Footings� ; � �S.�.Founciation .�-- " i . �9.-Water,Pipe-Undrgrnd._ ^ . 10. Structural Floor System . ' � 11 : Property Sewer Line & House Connection 12 $ewe,�Cap � 13. Roof Drains 14. Rough, Plumbing . 15. Rough'Electrical-Conduit . . �16..Rough Electric Wiring �17�•Rough Wiring Sign � 18.,Rough Electrical-T Bar Ceiling 19.'Rough Heating & Air Conditioning 20. Rough Factory FireplaLe , � 21. Ducts, in Structure . , 22. Ducts, Ventilating � � 23. Gas�Pipe-Rough & Test . 24. Roof Framing , 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Fremeand�Flashing -28. Lathing & Siding ' 29. �Insulation • 30. Drywall Nailing "' 31. Plaster Brown Coat 32. Electrical Power Meter-Final . 33. Final Electric 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 42. Backflow Preventer � � � 43. Backflow Irrigation � � 44. �Landscape Iriigation System � 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. E�ec[rie Release to Edison . _. 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY � No �ate - � ..: . . . _ F . & SPA - . . . � � Date � � Inspec4or p�ppROVALS Permit # � - �Date � � 52. Pool & Equipment Location - - ' ,�� 53. Steel Reinforcement � . � -' �� 54. Forms . " �' � � 55. Electrical Bonding , - , 56. Rough Plumbing & Pressure Test � � 57. APPROVAL TO COVER-GUNITE n __...; ., InspeCtof �__ , -�-t� 58. Electncal Condwt-Undrgrnd. - _ � ' ��`� 59. Gas Pipe, O' Undrgrnd., Test ' - � =, ' = 60. Backwash Lines, P-Trap, O Undrgrnd. , - � • � � ' _ - :61. APPROVAL TO DECK �- •-. ' 62. Backwash & Receptor-Final � -. _ _+- _ . 63. Heater & Vent-Final - � ' � .; 64. Plumbing System - Final � 65. Electrical-Final � 66. Solar System-Final . 67. Fencing & Access A'pproval . � 68. APPROVED FOR P,LASTERING � � 69. POOL/SPASYSTEMSFINAL , - FIRE DEPT. REQUIREMENT . . , APPROVALS, Permit# � . 70. Underground Hydro � � . 71. Product Piping O Gas ❑ Oil 72. Underground Flush ' - � : - �' -73. Undergrnd. Storage TanK O Gas ❑ Oil -� 74. Overhead Hydro � . 75. Dry Chemical 76. Dry Standpipe � ' � ' 77. FIXED SYSTEM FINAL � � 78. FIRE PREV. FINAL HEALTH DEPT.REQUIREMENT � ;79. FI�NAC INSPECTION � ' - � 80. FOOD CERTIFICATE ISSUED • rvote5: 9 k - � �¢'�S ` %�c . ,�r - _ ,,. a � '.�. �._ ._ -. 0 0 � _J !� . �a�ti ,�C .y kJi t f r� . aoonessoceuaowa: 986 TRABUCO CI �NT` CITY OF COSTA MESA - BUILDIP7G PERP7IT owxEa-wuEiFa�,*+: LARSEP7, ROSEMARY A D c� _� � -� �a �� 986 TRABUCO CIR COSTA MESA,CA 92626 PERPIIT A70; P 071977 FLAN CHECK NO: N 645-8237 �rP�."'"'u"°"°°"Ess: CONSTRUCTION TYPE; PERMIT TYFE; PLU �o I� I� /JiLXRECT OR ENtlNEFA: xcx on �c.•s �ooxess: ue ao.: urar: coxm�crarsxwe: A70CK PLUMBING (71A)895-1246 ca+m�ctorrs�uimo 11612 KNOTT ST mo�ss GARDEPI GROVE CA ucr+o.: 511971 92641 uNr: 17 11LEN5ED CONfflACTONS DEC�AFATION: I Irereby eflirm uMer penetly d perjury thet I em licenaed uMer prwitims d C�eqer 9 (commaridnp wilh Senim ]�1 d piviaun 3 d tlre &uineo ud Prdeneions Code, erd my liceme ia in htl brce erb efletl. cmuc.No.:050386/ uc.cuss: C-36 uc.No.: 5 197](y�)� E)XP• 02//'�96 Deie: �Z.� ! C/ � ConVeaw: 1 v� 1(�•��D��L,J OWNEF BUILDEH OECLAPAT�ON: I heieby alfirm uMar perely d parN�Y �� I em exemq hom �M COM�etlan Lioensa Lew la Ihe iWlowin9 �e%+� (�� )�1.5 &n'viesa enE PMeseions COCe: R�ry ciy m countY �� n9uiree e pe�mE lo canab�cl, eller. impraro. demolvT. or repei enY avuL��re. qiab ns'veuaKe. dso rapui�ee 1M eppliram fa ach pmnh to fib e a0nd nmemam Met M w ehe u IicenaeE W�nl lo t�e p�s�s d �he Comreqon Limme Law IChapx 9(�menarq wilh Sed'pn lOW) al D'r+eian 3 0l �Ir Bueinen erd Prdemvre Code� m ihm ha or ehe is examp O�aehom e�M Iha batle ta tM albped uempbn. My vbW ion W Sedion )031.5 by alry epvlira�t Iw e parmX wbjeGs Iha epplcanl �o a tivil penely ol irot mare Ihen Me huMred dollen �5500p. � I.avownardtMpropeMarmyempbymv.Yhwapaamiheiedammpenaelbn.willEotMwA.endtMatuN�eeiwlintended a oflareE iw eeb I��^ ]04s. Busneea e�M ProfesaimaCode: Tha Comreqon Limnse Lew doae iwt ep�Jy lo en ownerd poperly who W Ida a inproves tMrean. aM rha Eo» suM work FimsaN a heneN a Mrouph ha q her own empb/aee. qovidaE IMt euch improvemerva ere mt ��eMed «dlueE t« seb. n, lwwevar, tlu buidi�q «'vnpmeinam n wN wnhin me yav d completion, Ne owr�arWiker MII hev0 ihe bwden M G�'+i�p he w ehe Ek nd build a impmve la iM WR�a b�e). � I, n owrer d iM popeM. em e[d�eh ��ea�q xnh lioaneetl caMrenwa ro can�nM iM pojatl (Sedion 10a1. Buei�vs enE r�wamro�. coa.: rno cam�aa. ��m �. a� m�ar �o � o.�,�, a ww�+r � w�u, « �mww� m� �e wno conlrecYs M auM OrojeCs xilh e mCredor(s) IcanseA Wnuent to tM CwNrapon license lew�. - � I em ssemq uMm Sec�ion: e. 8 P.C., lor Ihia reasan: Dme: Owner: i eo n«eM cvnM mm i em ew�a a.m ��dasie„d me �a��m�ma d cei�om�e Hmnn �e sehiy coae seaione zsws. zuaa..ne 255�0, arM UW I a enY �U�e builEirq omupent will / wil rwl ldicb mal �aed lo canply wlh aeid a�eta mdsa eM IM requiromeMa Im epermAfwmn�irunbnamodi(r�ionhanthsAi �e�ty arepamentD'Mrirl.ReudemielmMruqionepp6mibmereexemqtmmiMaa o�ansure. De�e: M01'rani: WONKEN'S COMPENS�TI�N DKLIH�TION: I Mreby elfi�m urder penally d peijury one M the Idbwiip dx�eretiw: ❑ I hew e�d wil meintan e caniMrate d ooneent lo aeMinaure M xwkxi compenaaion, n provided Im by Seqion J100 d Ihe Labar Cotle, lor Ihe pe�lormJze d IM Mwk lar wlvch Nu peimn u imuatl. ❑ i new.�,d m� �m.u� �n�� w�+�� m�,�,�. o rea�uea M sea� a�ao d me tmar cuee./« me re��a d �n. work /w wliich Ihie pMm� is iaeued. My wake�e compenxibn imurerca fenier eM pdiry n�mber ara: c,ma.: STATE EY.PIRES Policf Number: 1 9 f� 7 _'� — 4 S 0 3/ 01 / 9 6 (This aection neee na be cwmpknd I the pnmt u M wre hurMred ddbrs (51ao1 w bav.1 ❑ I cenM � in �he perlamerica d Ihe wak b rAich thia perm0 is iseued. I ehdl rw� empky enY Veno^ in em� manrrar eo m to n,wmm eua� , in. .�Me�s' �oe�.mion lexs m celnon,ie. ene ,A.,, ual n �.nww e.�ome waa, �o �ne .�.• compertmlbn r 5iom � etlbn 3100 d IM lebor COAe, I e1W11� oomoN � q�sane. om<: L 1 n�i�c Wemirg: Fellurs ro sxurl ��'ronpen�atlon rnverps b unNwNl, entl Ntll wbf�ef an wrployer fo cNMnel paWtlu eM clHl Mnu up ro aro hi.nd� thauautl tldbn (S1pq00pl, In e4d/tlon ro M� roaf ol ro�vsivafbM1 Mm�u �� povltlM br In Ssetlon 3]O6 0l tlis LNOI Cods, Inhntl, entl �ttom�y'a I�u. • CONSTRUC710N LENDINQ AGENCY: I haraby elfirm urMx penalN oi peryry Ihel Ihere ie e mnstiutlion bMnq WeeKy Iur ihe peAameMe d iM xoh ler �� thi pertnl ia'ssued (Smion 309]. CM. Cl. LENOEA'S NRME: IEN�ER'S ADDPESS: �. I canM �� I heve reatl Ihn ePWkatbn enE ae�e �het �M ebwe intormptbn u ronep. I pree lo romply xtlh ell ory a�d cw�N ordinarima 'i eMetelelewslele�n9�oWiNvpmnGrudioneMhere eulhn¢enqesenlatrvasMlhntiryloentaupontheebo`/e-menlunaEpoparty lor inspeabn pWpe� s. PONema � �C.�_ -- oms: �'7 � sre,��.e w o�enro�vnao rm« (5151de.WP) Wnile-BuiMiq 6 Selery: GreerFle; Cenery-RppFcent; Pink-Pevenue: GoManro�Asaeasor i PERM NO: P 07197r GOVT: N yUPP: N PURPOSE: OTA JOb DESCAIPTION ; DISHWASHrR CHANGE-OUT S� FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 ; COMMENTS: NO OTHER WORF: AUTHORIZED BY THIS PERMIT **+t�f�t«�t**iF**�xi�***�f+r�*r�ic***itif�*+fac�%�tiE*�k�c**x��t****r�t*xac�c*�v-**�a�if�*u�ticr*�cac��**+Fu�iFac*x* Z O N I N G R E Q U I P. E M E D7 T S S E T B A C F; S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRA7T; FT IN REAR: FT IPI FP,P7T: FT IN REAP.; FT IN LEFT: FT IP7 RGHT: FT ID] LEFT; FT IP1 RGHT; FT IP7 PARKIP7G REQ: PROV; PARCEL: 422Q5206 ZPIE; REF NO; PLANNING NOTES> 7 � �lf iE 1!� iF 1f 1[' iF iE * if iR 1E iE i� 1f iL �f �Y iF Y iF iF if i� iL iF iF 1E 1f' iE 1E �(- * i%iE if if-±iE'lF i4 iF iF iF 14 iF iE 1�' if iF iF if iF �Y if �1F 1F'� aE 1R iF iF iF if iR # Y if 1F iF if dF iF �F Y iF iF � jE D E V E L O P M E N T S E R V I C E 5� R E Q U I R E M E N T S ZONING APPROVED BY � DATE: BUILDING APPROC�ED BY ; �� DATE; APPLICATION ISSUED BY; �� ' DATE: ��±��2� �E1fiEiEififfFiEifiEiFifiFifsifiEY-fifif�l(�i�� i��k��f�f�f�Fi�ifi��1f3F��i�F�Y�F�Y$�1Fafat�ififKifM�YifaF+f RaR E+ i aEiRiFaF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBIPdG ELECTRIC MECHANIC FIRE SMIP/RES GflADIP1G PERPIIT 7,00 25% SMIP;A70N-RES P LAP7 � ISSUE FEE 20.00 BUILDING-DIC'-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 7,00 20,00 0,00 27,00 27.00 .00 REVENUE DIVISIGN TOTALS--> COLLECTED; 27,00 UVEA;SHURT; .�0 BLUG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAUING PLAN-CHECK 2%.�0 if if iF V if iE if iE iF if i�' iE if M iF iF if i� i(� if iE if # if 1F if iF+F if if 1F Y' if 1E if ik iF if 1f �IF Y- iF iF iF K if df� N if rt if M M Y if k V a4 �lf �lf iF V K s'k'IF af M iF if �IF �lE iF it if af iF iF V� I N D I V I D U A L F E E B R E A K D O W N TYb�E QTY U E S C R I P T I O N UNIT COST TOTAL COST FLU 1 DISHWASHER 7.00 � 7.00 END OF FEES ui Lui8tRf1-J�i3U71: a tfi _" �' UqTE� OS/27J9a Tl!iE% 10:_6 � ---, ' CONSTRUCTION AND PLANNING � POOL & SPA '7APPROVALS Permit# - Date inspector qPPROVALS Permit# Date Inspector t. Temporery Electrical Service or Pole 52. Pooi & Equipment Location i . i " ! 2. Soil Pipe-Undrgmd. . � 53. S[eel Reinforcement ' 3. E�ectrica� Conduit Utqify-Undrgrnd. 54. Forms 4. Electrica� Conduit�Undrgmd. - 55. Electricai Bonding . 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 6. Electric8l UFER Gmd. 57. APPROVALTO COVER-Gl1NfTE 7. Footing5 -� 58. Electrical Conduit:Undrgrnd. � i $. Foundation 59. Gas Pipe, � Undrgrnd., Test i 9. Water PiPe�Undrgrnd. •-. �60. Backwash Lines, P-Trap, Q Undrgrnd. 70. Structural Floor System � 67. APPROVAL 70 DECK a- � 11. Property Sewer Line & Ho�se.Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final . 13. Roof Drains � 64. Plumbing System � Final �, 14. Rough Piumbing , � 65. Electrical-Fina� 15. Rough �tettrical-Conduit 66. Sofar SYstam�FinaV ,� 1 . . 76. Rough E�ectric Wiring � 67. Fencing & Access ApProval . ' ( 77. Rough Wiring Sign - 68. APPROVED FOR PIP,STERING ' 78. Rough Elecerical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ' 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rou9h Factory Fireplace ; � APPROVALS Permit # 21. Ducts, in Structure . � - 70. Underground Hydro ' 22. Duas, Ventilati�g. 71. Product Pipin9 � Gas ❑ Oil 23. Gas Pipe•Rough &�Test .. . 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas �Oil 25. Roof Sheathing - 74, Overhead Nyd�o 26. T�Bar Ceiling (Structural} & Monocoat � � 75. Dry Chemical 27. Frame and Flashing -� � � � 76. Dry Standpipe � 28. Lathing & Siding ' � 77. FIXED SYS7EM FINA� 29. Insulation 78. FlRE PREV. FINAL 30. Drywail Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster 9rown Coat 79, F1NAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric , . Notes: 9 Z�-�9f-r/. p_�_ /_ P ��Fa� y� /L/ OQJY 34. Final Heating & Air Conditioning � � � � 35. Pinal Gas Pipe-Test ' - ' ' 36. Hood or Canopy � - _ � 37. Final FBctory Fireplace , 38. Final Plumbing �7 5 . � ---_ 39. Water Service-Final 40. Gas Service�Final . . � 41. Solar pomesticFinal . 42. Backflow Preventer . 43. BackfloW Irrigation ' 44. Landscape Irrigation System � � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Etectrie Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIF�CATE OF OCCUPANCY No. Date '_ r �-. ."^y'�'.` �T : . _ .. . __ r: , '.. . • � . - . _ .. .a . . . . . . . �'.� f�,�' . . . . ' . . , i.i.. .. . ��lM- � � O i= 2: � S �b�.�s _ _ . T��2c� ��V <lr� ouJ c�F, � � � P� �kSSC,I ��__ � , -� /�"'1 -�- �� / A-8 �Z �Y. Lo'( 2 G-5 IZ G`/ �? 3 � ' ; i ��i �_� �' �� • � _ � w-� 4 � , �, D- 3 �, i�'f � I ��._ __ _ j . �GO �i�_ � ;. . , .,.. r{otE,; LoT.DIM. �_,LAYoUT, 5�T�1+rGKS� M�o�.t5 i�ENTIcAt- Yo PtiAN . - SIioW:N 6Et4vt! , . cosGa mcsa City of Costa Mesa Planm. .epartment Post Office Box 1200 77 Fair Drive Costa Mesa, California 92626 (714) 5565245 � REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. 9592 Date Lot No. 4 c Address 986 Trabuco Circle, Costa Mesa, Ca. October 1, 19�7 The developer ot the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she, they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final traci map was approved. The Cityassumes no liabilityfor the enforcementof the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. �'��-.'ni .. .. . . ��j `,� ^. t��. �� ' . ( ('1 f��. i� y\ '��_ �OCi � '77 .�� -'. sy �y�.. � Purchaser ,2 � . ... 11..:�,��,; � !/ �;�: •� :2;. \�' ��; :. ' ,,r �� ' — F'-�,�9tifr-'� 1'it'�e,. ,'�Q;t�nl�p��,SSArc-...- , � r; _,,,•;,.y-. r.-'w.,.- '�:r .: � �� '.,� , : ! '.. . , r. - �� CMF 0569-26 . BY Developer"and/orAu��ed Representaiive BY � Lender _) ` , � ppp Nsacvvoc. Pfl0.1ELT1UDflESS: 9HG TRABUGU CI - UNIT: OWNER'SNRME:�LARSEN� RDSEMARY A D � nooeess: gg6 T3tABUG� CIk GOSTA MFSAaCA 92626 ' b45—II237 RflCH1ENGINEFR: � REG.NO.: ' , �OOBESS:� O � UNR: . PEflMIREE: ao�o� nooxess: NOGK PLUMSING 1714)895-1246 11610 SEABOAFtD CIk STQNTLJN CA 906&0 UCENSEO CONTMCTOB DECLAIIRTION: I hereEy affirm that I am IicenseA under provisions af Chapter 9(commencinA w�� Section 70W) af �ivision 3 o( the Business and Professions CoGe. antl my license is in full torce an0 ettect. �_��05038((�� srare uc.: 511971� ��"�' C-3 Oate:_�_,_L�_[� SipnaWre:— � WOBKEBS' COMPEN311TION UECUNITION: I hereby afiirm tAat I have a certificate of cono m ta setl-insure ar a cerliilca[e o� Warkers' Compensation Insurance, or a cenifieE copy thereol (Section 3800, Lab. C�. �ucvxo.: 116799290 E%P.D1TE: O�IOII�JZ arnrnNr: STATE . � L� Certitie0 copy is hereDy fumiSheA. � CertifieA wpy is fileA it� the ciry Bui in Oivisian. , yn. , _0� � — /� � L / ppplicam: E%EMPfION FlIOM WONKEq3' COMPEMSITIOX DECIAMTION: �Tliis stttian nee0 irot Ge ca IeteO if ihe permit is lor one huMrei �E700) or less). I certiry that in the pedormance of Ihe work for whic� ihis permit is issue0, I s�all not employ any person in any manner so as to become su6lect Io the WOMers' Compensalion Laws ot Calilornia. � Oaie: SiqnaWre: NOTICE: Ii, atlei makinq Ihis tleclaration, you s�ou10 Decome sublect ro t�e Workers' ComDensation Dravisions of t�e Lahor Cotle, you must forihwith comply with such pmvisions ar this permit s�all be deemeA revokeA. CONSTPUCTION LENUING �GENCY: I hereby aflirm t�at t�ere is a wnsvuction IenCinq apency lor Ihe pedormanca ot t�e work for whicA this Dermit is issueA (Section 3097, Civ. C). LFNUEfl: • nooeess: . OWNER BIIILUEB �ECUWITION: I here0y amrm ihat 1 am exempt imm the Coniracrors' S[ate License Law tor �he tollovnnp reason �Section 7031.5 Business anC Professional Cotle: My ciry ot counry which requir¢s a permit to consimct, alter, improve, demalish, or repair any simcfure. pnor to its iuuance, also requires the ap0licant for such Dermit ro file a siqne0 statement that Ae/she is Iicense0 pursuant to the provisions of Ihe Contractors' Stata License Law (Chapter 9(commencinq wilA Sectian 7000) of �iNsion 3 of tAe Business anA Pmfessions Code) ar t�at he/she is exempt theretrom antl tha 6asis for the alleqeA eeem0[ion. Pny violation ot Section 7031.5 Dy any applicam �or a permit su0lects [he aDPlicant ro a ciWl penatty af not more Nan tive huntlred tlol�ars (55001. I, as owner ot the pmperry ar my employe¢5 with wa9es as their sole compensation, will tlo the work. an0 the ❑ stmcture is not intenaed or offereC for sale (Section 7044, Business antl Pmtessional COAe: The Cantracrors' State License Law tloes not appty Io an owner al a pmDeM who Cuilds or improves thereon, and who does such woA himseli/herself or I�raugA � his or her own employees, O�ovi4ed ihat sucA impmvements are not intendetl or oflared for ule. If, hawever t�a builtling or imOrovement is so10 wRhin one year oi camDletiun, the owner vrill have the hurtlen oi pmvinp he/she tlid not builA or im0�ove lor the Durpose oi sale�. I, as owner ot Ih¢ pmp¢rty, am exclusively conlracUnq with Iicensa0 comractors to construc� ��e pmjecl (Sectlon 70C4, Busineu ❑ anG Professions Code: The Coniractars' SG�e Liunu Law tices noi appry m an owner ot Dmperry who Ouiltls or improves tl�ereon an0 w�o contracis /or such pmjects ;ith a contracroqs) license pursuant to tAe Coniractors' State License Law�. I am aware Ihat pmot o/ their.Worker's Compens:tion insurance ShoulA be D�oNtleO �o me. � I am exempl un0er Section: B. 6 P. C. � for this reasan: ' Oa�e: Owner. I Eo hereby cetliry that I am aware of an0 understan0 tha reQuirements ol Califomia Healt� anG Satery Code Sections 255Q5, 25533, antl 2553C anOlhat I or any fuWre buil0inp occuDant wilUwill not (circle one) neetl to comD�Y with saitl state cotles anC I�e requiaments for a permit for constructwn ar mo0ificatian from the Air �ualRy Management Disincl. Hesidential constmction apDlications are exemD� ��am these Omvisians. � . . � Oate: � qpplicant: I hereGy certity t�at I Aave reaU this applicauon anA state that t�e above information is correct I apree to compty whh all city antl counry orNnancesanOSGtelawsrelatinptoCuilOinqconstmclbnanEhereEyauthotlze20resentativesaf isciryroemerupantheabove-me netl DmpeM �or i spectlon purD�es. Date:r�� Sipnature: ��/ � �L�� —� Onver's Licanse or Social Securiry N: � R GITY OF GOSTA MESA.,— BUILDING,PERMIi PERM N0: p'p52300 PEkMIT N0: P 05230G PLAN.GHECK NO: N;. GGVT: N SUPP= N iaNSTRUCTIUN:TYPE: Y-N � PERHIT 7YPE: PLU '- � PURPOSE= QTH �-. JOB UESGRIPTION :,GHANGE OUT WATER HEATER .� '".SQ FTa ', GLAIM VALUE: GALC—YALUE: GRCUP'OCG:'R-3. /,. �. GDMMEN7S: St90KE DETECT�R REQUIRED IN THE HOME � �t#s��aa#t�#��amt�satax��#��#�x�tta�aax��a#s##*�x#�t�a#�au�a t�a#a:x�z�#aa*�cssos��#t�aa��t�x� Z G N I N G R�E Q U I R E M E N T S ' S E 7 B A C K S — tAAIN BUILDING --- -- ----- AGCESSORY:.BUILDING; -----:-- FRNT �FT IN REAR: FT� Ih FRN7': F7 Itd REAR; _ FT IN IEFT: FT 1N RGH7: F7 IN LEFT-. FT IN RGHT.t ' F7 IN PARKING REQ: PR�V: PARCEI: 04220520 Z�E: REf N�: � PIANNING �iOTES� , _ #X�ii##�Y<# ### # #��Y<## $# ## t��#� # #�� # ## ## ###i� ###:R $# 3�C#� # 0###�ik##II �# A�#X��#.3 �RY��# 3X� ¢#?R#A� D E V E L 0 P M E N T S E R V I C E 5��; R E 9 U I-R E M E N.T S ZONING APPROVED SY � � DATE: SUILDING APPRDVEG BY : � DATE: APPLIGATION ISSUED BY: � �= OATE: —�,� az�##�#�x�#s#a##�tat��#z�,'� �� 3o�#at#st#��'3:��'�#,� 7�#�R###�k#��k#%�A###tYr�%�tt<#�Gt#t####3#�##3#### �######�C�#4#tF�#�k�k#�###�##�#3�O��Oct�R�gyg LE6ALIZATION�N F E E S.0 M M A R Y STRUGTURAL SECNEry7:N � PERMI7 BLDG PMT PLUMZI�c �LECTRIG MEGHANIG FIRE SMIP/RES GRApING 25� • ' :SM.IP/NGN—RES PL AN ISSUE FE£ , 3.OG ' BUILUlNG—DIV—> PERMIT iSSUE PLAN-GHEGK TOTAL PAID �' �UE TUTALS---> 2.00 3.00 O.OU 5.00 5.U0 .00 ,REYENUF DIVISI�N TU7ALS--� CGLLEGTED: 5.00 OYEit/SHG�RT: Dp BCDG PkT PW MBING ELE�TRIG.MEGHANIG FIRE SMIP/TOT GRACING PLAN—GHFGK 5.00 .ti�#�X��Y##�3#akt##'� #�## #�k#�F�i### #�t####3#�#�#�#3# t3# �SX�3###�##��##� L�# #�k�#�#�#�R#ri�tX� Y�y� I N Q I V I 0 U A L F E E B R E A K D � Iri �, TYPE Q7Y D E S C R I P 7 I 0 9V U�IT GUST TG7 AL GQgT PLU 1 4JATEk HEATER AND/UR YENT � 2.00 , 2.Op ' END OF FEES ' 18di46 WhitB—BuilOing; GraerCotle Eniorcamam; Cenary—Ppplicent; Plnk—Revenue; GOltlenroE—qasessor � e �1 �0089615-G�C�9h15 "H'6-7 D?.TE: U6/St: �; TT.f?C� i3;44 � � u V ' C �� CONSTRUCTION AND PLANNING �� -� PC+uL & SPA APPROVALS Permit #�- -Date Inspector AppROVALS� Permit # Daie Inspector � 1. Temporary Electrical Service,or Pole.,r� . � " 52. Pool & Equipment Location f~ z� Q; ,Sojl Pipe-Undrgrnc�..,_ "'' ,�,u,�,= � .� 53. Steel-Reinforcement �^ .3: Electrical Conduit4Jiility�Undrgmd � ;- 54. Forms �y; i - �4'Ele'ctrical Conduit-Undr9rnd. "' S5. Electrical Bonding . � :5. Steel Reinforcement � < . 56. Rough Plumblrig & Pressure Test "fif' EI`ctrical UFER;Gind. �` ' S7. APPROVAL TO COVER�GUNITE • � � � . € - �7=�Footings i ,: � 58. Electrical Conduit-Undrgmd. I �8: Foundation _ �. �'-. !.� � 59. Gas Pipe, � Undrgmd., Test � ' 9. Water Pipe�Undrgrnd. �!� ti 60. Backwash Lines, P-Trap, O Undrgrnd. ip' Structural Floor Syscem � i- 61. APPROVAL TO DECK '>? � �. Property Sewer Line & Houie;Connection .��,� ,_ 62. Backwash & Receptor�Pinal . � 12. Sewer Cap y f, j n '!+ 63. Heater & Vent-Final . !• / 13. Aooi Drains �,,, � � � 64. Plumbing System � Final � ' 14. Rough Plumbing; r 65. Electrical-Final 15. Rough ElectricaYConduit �� ,- "/' 66. Solar System-Final �' f�., 16. Rough ElectrioWiring ',� . . 67.. Fencing & Access Approval �,� 17. Rough Wiring Sign � � .- . � 68. APPROVED FOR PLASTERING ,s � 1g, Rough Electriwl1T Bar Ceiling � � 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditionln� FIRE DEPT. REQUIREMENT f _� -� .�.6 :'rr [S i ]7 .rn. & �7 J .r.-•oir- ,: 'l I tiT v'-i R -1 J S.YR ri ' 1^J�.�� fl # } �i 20..;Rough Factocy Fir�eplace � _ .`� ,, _ �..�,�, ,/jPPRONALS�..3errrut # _ = r 21.-Ducts, in Structure+: ti ^ ^ - � �* - ^+++: ' ..�. ^ . ' +� _ ,,, * -� ,�„ � 70. U,ndergro�ad�Hydro , 22.nDuctk. Ventilaiin ' . � � ' • • _ �'� r i �� , �. 9�'; i ,� n;� �.„» �/1. Product P,igiqg OGas O�OiI 23.•6as�Ripe•Rough&Test 1 r_ t�� r _tr��q2,Underground�Fluih� � Y 24.-Roof'Framin ` `'" � `'- ••'- 't'• .' 'r � µ ' ' � " 9 ��. � � s ..;+f 4,73.=UndergrndF Storagey]_'ank O Gas ❑ Oil 25. Roof•Sheathing �it -2 V J� _ "9 �,'t z 7q_.tOverhead Hydro �! `� .s - -� 'in 26. �T-Ba; Ceijing (Str�cr�Lral) & Mon�oat 4 � "}} �` Y � '� �' -' � �, ��p �� 75 �Dr Chemical � � . 1 _ ` _ p7,�Frameand Flashing� �; a.r �•r- 76. Dry Standpipe -� � K + �28. Lathing&Siding"?,�� E;� � ;'..` ••��it 77'rFIXEDSS'�TEM,FIN�ALii_. . _ 7 - t ••� ••I it <. -i � � , .. a 29. Insulation x� •• � � ;��t 783FIRE PR.EV. FIN�'.4 ,�� " '30. Drywall ailing „' +� Y I I �R� '�' •"� •N��LTHDEPT:rREQI.)1RENIENT � ..:r -. I �: =- I 1 Isr a : �, � .�, , r 31. Plaster B own:Coae� -: i^ � I Nr tt'99. FINAL�INSPECTION 'F � y < - <� . � �"32.�Electrical=Pow�r Me[ r%Final � +* �� I I� In o r80.�00D CERTIFICy4TE ISSIJED,,,, � z �, �) .� o ,v I a I 1 "It1 a i s33�T 1 I 4 1 C� �1 '!lR,• �.. ,� � � inal�Electric� �.s �1 I 4 0 1 I law Notes: -� -t� ii� '] ..J i - - ' �. 34.;Finai'Heating"&Air+Eoriditiohin9� ''� +� � � '��'+ x < r'�z a a - � n � i-#.n .� i:7 Y 1..la�3t � i -d ?! .'I•• y ~ j 1 1# : Yf I �. ti•f I �-� �35.-FinalGasPipa-Tes!„-,' . r�-• i i� I?cis � So o� tr � :-m 36. Hood or CanoPY ='� �_` i.r� � an I 1.�� irn �' i. '7� �r ^ �r � .7+r > i .: -+ � .i i I " Nt.a �r .`.� ,e:^� „ � � �r� ✓I R.l y ' -37.,Fina�FactorY FirepPace f I- .n i: I 1 I�t A T .� ni '98. FinafPlumbing ' N'� � v s�_) /I`n I?, a I � i; � c -� �r �n i .n ��iG� yw� IaY n G '� # '39.Vdate7Service�FinalS,s � � µ- � � jn,'�,y ' �,�''' z..` '40. GasService-Final �'7 a�rrr c om I I ia++ �]v p:" .� .5 �.... �, <w i I I'.t # -. J� n at n •• if-: drq a� u ;�1. Solar pomesticFina'� �' n �. � � �,� ;y - �O # }- � r4Z, BackflowPreventerh •�� I �� a.-� .r�� - . ��t 7 # h� 43. Backflow Irrigation� y �,' �;.; .'Fq. * .y t� x � ' ." / # 7 . � J44. landscape �rcigatiorrSYstem�� h�� y -� `�'; � �� v 'u T"� tt .v .� .. �..•- u <r .�r 1nn-) r n�: o.- • r Q �+ix� T i}S � r- �O tk n .-+ ri S�V .��4 x T45.�SOund Attent�,ation# .y �. .. �. m n�'++t a�- m r a. �-;�; tc . �+. 96.��Handicap�Regulatiorts -+ i +r _ #� �x H n t-;O ;K � '_ 7 tt •1%' iltl� U �.J # 47.`FINdLSTRI�CTURE & BUILDING T;_ I �.�,}� � �, � 48.T61NaL PLANNINGF I r-'�- z,J I:r�r n m �i � TM � w �(u n 1 N � +k 3 :�g.�lec[ric Release to �dison � ''E � � � z , � �`s � .: I a i I�- t` ir �t �i �50.•GarRelease to Sout#aem CaliioruiaGas Co w I f'Fn o F- v a� o•n a �� . �-�- �. la . -n.� � 'f v � 51. CER:�IFICATE Of�OCCUPPiNCY +r 3�� s� i o c +r �- �� No. Date � PflOJECT AOOqE55: C�� '� y�AH JLn �• j � OWNEN'SNAME: LA:tSL.N tZ(iJ�i�:�i�Y a. i) noosess: G$6 'f.2AEiJCO Clk '� � CO�TA MESA,CA 92b;6 ABCH/ENGMEEB: 6 G'� — 8` 3 7 flEG.NO.: nooxess: UNIT: uxiT: PEflMITTEE: �1QCK }.��LU�HINL � (%1�/t3�iS—.1.�[�t�'+I aooness: ii610 SEABURRU CIk SiAN?ON CA 90680 LICENSEO CONTHACTOB DECIABpiION: I hereby aliirm that I am bcensed under D�ovisions oi Chap�er 9(commencing wi�h Sec�ion ]000� ol �ia�sion 3 ai Ihe Business antl Pm�essions Cotle. antl my license is in lull force an0 efiec�. ciTr uc.p: O S 0� 8 6r$ srnte uc.: S 119 71 cuss: �_�� p-3 ��Datei� { ' � � ignaNre: �+v4�v\—�.�,'�"•�Q� I�WOflHEflS' COMPENSATION OECNflRTION: I herehy attirm �ha� I have a cenilica�e of consent [o selbinsure or a certifica�e o� Workers' ��, Compensalion Insurance, or a cenitietl copy �herea� �Section 3800. Lab. C�. POLICVN0.::1(j"]jU�79� EXP.OATE: O�J�OL�yL COMPpNY: �', j �j'� � ❑ Certi�ie0 copy is hereby lumished. � Cehilied copy is tiled iN the ci�y Builtling Drvision. —Date` �'�' � ` `� !�ApPiicant� �� EXEMPTIONFBOMWOPRERS'COMPENSF710NOEQAflPTION: Qhissecliann¢ednothecompleteai�thepermili5loronehunAreA�S700�or1e55�. I cenify Ihat in the petlormance ol Ihe woB tor which this permit is issuetl, I shall not employ any person in any manner so as lo hecome 5u01e�� o ihe Workers' Compensation Laws of Cali�omia. Date: Signature� NOTICE: If, afier making Ihis tleclara�ion, you shauld become�su�lecl to ihe Workers' Compensa�ion pmvisions oi lhe Labor CoOe. you mu9 fotlhwith campty with such pmvisions or ��is permi� shall be Deemetl revoked.� CONSTflUtTION LENDINC RGENCY: I hereby aliirm Ihat Ihere is a cons�mction lentling agency lor the pedarmance o� �he wark �or whith Ihis Dermii is i=.Suetl (SeG�iOn 3W7. Civ. C)_ LENUEfl: RDDPESS: OWNEB BUILOEB �ECLRflATION: I here0y afiirm ��al I am exemp� Irom the Contractors' S�ate License Law tor t�e tollowing reason (Seclion 703L5 Business antl Pmfessonal Code: AnY ciry al caun�y which requires a Dermit �o constmct, al�er, impmve, demolish, or repair any Slmciure. prior �o its issuance. also repuires the applicant �or suc� permit Io tile a 5igne0 slatement Ihat �elshe is licensed pur5uanl io I�e pmmsons ot ��e Coniramors' State Liwnse law (Chapter 9(commencing with Seclian 7000) oi Division 3 of Ihe Business antl Prolessions Code� or �hat �elshe is exemp� Ihere�mm antl ine hasis tor I�e allegetl exemp�ion. Any viola�ion ol Sec�ion 7031.5 by any ap0�icam lor a Oermi� su�le��s Ihe applicani to a civil penaliy of.not more [han �ive hundred dallars ($500). I, as owner-of ihe pmpeny or my employees with wages as iheir sole tompensation, will tlo ihe work, antl ihe ❑ simcmre is no� imentled ar o��ered lor sale (Sec�ion 70a4, Business anA Pm�essional Cotle: The Contractors' Sta�e L¢ense Law tloes nol appty lo an owner of a pwperly who builds or impmves thereon, anA who Ooes such work himseli/herseli o� thwugh his or her own employees, pwvidetl Iha� such impmvements are not inlended or of�ereU �or sale. It, however Ihe builtling o! impmvemenl is 5010 wiihin one yea� oi comple�ion, t�e owner will have the buraen at pmving he/she did no� build or impmve lor tne purpose ol saie�. I, as owner ol ��e pmpetly, am e�clusively contrac�ing with licensetl coniractors �o cons�mct fhe proled {Section 7094, Bu5ine55 ❑ and Pmlessions Code'. ihe Con�ractors' S�a�e License Law Ooes no� apply m an owner ol proDenY who bw105 or improves thereon antl who conlrac�s lor suc� O�ole��s wit� a coniracmr(s�license pursuan��o �he Coniroclors' State L¢ense Law),I am aware Ihat pmot of Iheir Worker's Compensalion insurance shoWd be pmvitletl �a me. � I am exempl untler Sec�ian: � 9. 8 P. C. � for ihis reason: �ate: Ownec I �o her¢by tertiiy Ihat I am aware ot and untler5tantl Ihe requirement5 oi Calibmia Healt� antl Safely COOe SeC�ions 2550.5, 25533, antl 2553C an0lhai I or any �ulure builtling occupan� will/will no� (ciale one) neetl �o comply wi�h 5ai0 sta�e cotles and �he requiremen�s �or a permit lor cans�mction or modification Imm Ihe Pir Ouali�y Management OisVict. Resiaential cons�mction apPlications are exempl Irom inese provisions. Oale: qppGwnl'. I here�y cerlity Ihat I have reatl I�is apPlica�ion and sia�e Ihai Ihe above inlorma�ion is correcl. I agree �o comply with all ciry an0 ortlinancesantlstatelarvsrelalinglobuilUmgcons�mctionanaherebyaf�9horizerepresenlalivesaf�hisciiy�oent9�upontneabove-me pmperty loi inspeclion purposes. , 1' 1,� � //� m�o..j '� ' ��9 ` �� ( V 1/1 / 1 .1� � rc��,,,r,�.o�—, VI �A.�Vi.4 V VI! L/ 1fi4t�G6 White—Builtling�, Green—Cotle EnlorcemenP, Canary—Appllcan�; Pmk—Revenue; Goltlenmtl—Auessor A PERNTT NO; I' �F �. ± t ' r C'r'TY OF C:Os'TA �uESA - 3UiLDItiG P�it?,ST P�"r'tM UO: P 0517O� � b51709 Pi.AN CHci.K NG: � N GOVi': N�SUPP: N CONST�U(:TTON TYPE: V-N , PEr��1 i TYPE; P'LJ ' PiiRPQS :: Oiri J03 DESCRZFTION : CHANGc OUT WATcR i{cAiE:R y�i g1; �, CI�ASM VALilE: CALC-VALIJE: GROUF CiCC: R-3 / . , COMM6NTS: SNi()KE DETEC'tOR RE�,I7IRED ' - �i4 �if �k iF �f df �Y k� K# iE M'k lE k� r ik iF iE �l(• lE If #' �1(• K�lE iE. :ri..)c.lE 3i. L M�7t �Y—YF�k �1F if if� 3f -M iF ��k�n:� # 1E 3E 3f�� N�Y iE �If iE !E# if �+; �k K-�lk if lE �ic 3' �)E �K �k X� iF iF ir.-�Y��: iE �K� Z�O N i N G R E Q U I R E M E N T:.' , st:iBAcxs ------------- NAIN BUSLDING ---------- . -------- ACCESSORY �UI�DING •-------_.:._ iRTiT: FT IN R�AR; F'P IN r�NT: FT T.N rZEAR: 'r'T IN i.�ErT: FT IN RGHT: FT IN LEFT: cT iN �RGi-tm. rT :r3 PA�AING REQ: ARUV: PARC�L; 422U5�'Oo 7,NE: rZEF [v0: PLA�INING N()TcS�' y - ; � iE ie iE )t'.(� ii� 5i� i'r �)h lh ib if i(� k� i(• iE iF 3i� i iF �lf }:. i: lE 3E ie +k if ii� }'. 3E if fi� K� ii� k Ic � 3c # i'� u 1i� iP 3f �k i( �li 3!� 3f # Y'� iE 1F i't �k �Ic # li� # 3(� 3f �k 3E ?r ii- 3F?E 3(� iE iE lf �li� ai� 3t;. �N� } D E Lr E i O P N E N T S E R V T C c S� R, c Q,U I R. E M r. N'P ^ �IUNI�G APPROVrD BY _ DA'Zc; BUILDING APFROVED BY • � vArn; APPLICAiION ZSai1ED �Y:�� - - -- DAT�: ��3�c� lE'k�u?ffE�F"lI'ifY.lE#�iFifRif3%iF!EIf1f3fK-' F.}F3F'iiR�?.3Fi�..{'F:.ri�t�n�ri�'�?'FiFiFir'�3F��IF3i�}:"k'i'rlriwieiflf'. r � �lf3EiEfFY..�(..K.}:ka:.��..�iFifiF1E}�.3E�h'�i!�ii�u3/-�if3f3FK#fY�3��3t#'�if+��lf,��1'r-7FaeiEiF#.- }#�k ii�k�--kik}.iba'rit�-K��e#iF�f3i-l�ki'r#FiF#ii�.34?i-�3PiFkiiN�1� Lr.GALIZA'lION:N . F E,E, . 5 U M,M A' Y S1kt7CP?3RA'i. SEGMENTcN 9LDG AMT PZUMBING EiECT'RiC• MLCri�NIC c�SRE SMSP/Rc5 , GRA.�I;�� PrRMII' 2.00. � . 25& . .-• ' SMIP/NON-RES }1I,AN . .I�.�]U� '�.+`^.. 3.�Q � ' � 3J'iLDING-DZ�!-> Pn�NeIT Ts'SiJE PliAN=CHECK TOTAL PAT_D �l{7�; iOTAi�5-=--> - .'..00 J.DO :, '� 0.00 5.00 5.00 ,pU REVENUE D'IVTSi()N TOTALS--> ('O�,LEC';I'ED: 5.00 OVER/SHORT: .QO HLDG PNT PLtiMBING �Lr,CTRIC MaCFIANIC F:iRE SNiiF'/TOT GRAD7.NG Pi.A?v-C;IECF{ i. �� „ '� }:� if� R ic 1: �� #c. # tF iE ii� K- #� X� 7€ k 3E if- Y� �lf �e 3i� iE iE ,Y )E iF aF iF 1E fE ie ai� #f �� li� �f.1'r-I(� 1t� lE 1f ie iF 3F i(� �F-}; lf iF 3i� iE !t iE iEY,, k) X� 1:.3F 3e ii� if iE iF )i� :Y� K- x?}-R N� }�k ## M 3f I N U S J i D U A L F E? 5 R E A K D O W N ' T'YPE ��TY D� 5 C R I P T I U N IJNI'i cosr TOiAL CUfi'p PI�U 1 WAT:R HnAT�:R ANil/OR V'r".NT. '1.0U �'.Op END.� OF T� �::S � , �? �G0�52'si•-CuQ�E1i7 �i" '�' 4=1'E: Qit._'r'9i T;1^.'c` _.. �:; a 0 CONSTRUCTION AND PLANNING ' ApPROVALS Permit # =- Date 1. 7emporary Electrical Service or Pole � 2. 5oil Pipe-Undrgrnd. '` ; y: 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steei �flelnforcement 6. Electrical UFER Grnd. ' � 7. Footings � _ $. Foundation , 9:4Water Pipe�Undrgrnd. ' � 10..Structural Floor SVstem : ` 11 �property Sewer Line & House Connection ' 12. 5ewer Cap '• -� r 13. qoof Drains � 14. Rough Plumbing �' � � , -� 15. Rough Electrical�Conduit 16. Rough E{ectric Wiring 17, RoUgh Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning , 20. Fough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test � - 24. Roof Framing � 25. Roof Sheathing 26. 7�Bar Ceiling (Structural) & Monocoat 27, Frame and Flashing 28. Lathing & Siding 29. Insulation 30. D�Ywall Nailing 31. plaster Brown Coat 32. Electriwl Power Meter�Final 33. Final Electric ' 34. Final Heating & Air Conditioning . 35. FinaV Gas Pipe-Test 36. Hood or Canopy � • 37. Final FactorY Fireplace 3$, Final Plumbing � 3y. Water Service�Final ' 40. Gas Service-Final . - 41. 5olar pomesticFinal 42. Backflow Preveni^r 43. Backfbw Irrigatien , 44. Landscape Irripation SYstem � q5, Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , POOL & SPA 1n:pector APpROVALS Permit # 52. Pool & Equipment Location � 53. Steel Reinforcement 54. Forms - 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Und�9rnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVALTO DECK 62. Backwash & Receptor-Final . 63. Heater & Vent-Final 64. Plumbing SYstem - Final 65. Electrical-Final 66. Solar Svstem-Final - 67. Fencing & Access Approval 68. APPROVEO FOR PLASTERING � 69. POOL/SPASYSTEMSFINAL � � � FIRE DEPT. REQUIREMENT APPROVALS Permit # 6 : Date Inspeitor c-';- �t 70. Underground Hydro � 71. Product Piping � Gas ❑ Oil 72. Underground Flush 73. U�dergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro , 75. Dry Chemical 76. Dry Standpipe ' . � 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: / q/ �pA`/Eiloh'!f.- �.F,F7'C< � : 4362� � �+�p - � ��'° Ot? si2;= A;�'G5�.(}D �f,"IK� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � APPLICAT[ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only B RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING �/�L � ADDRESS (O' �� , C�j � S�O� D PERMITNO. OWNEfl J'.]'�. Gre Oi' P"P'N�' � BUILDING aooRess la "G" AiT'W3 AVB. 4DDRESS `�', TEL. TFAC LOT BLOCK CITV CQ'p`t$ blesa NO. ,1— 8 CANSTRUCi�QN EW ADD ALT R P LENDER vreat W stern Sv s& Loan XX BRANCH 8484 P7ilshire B1vd OWNER J.H. Gregory aooaEss v ' � R2s W/Gar VALUEI�.L g00 ARCHITECT TEL.�Cn�021 SE $4 � OR ENGINEER n N. J� p irc. Dr.E Su.230 FIFE ADDRESS N2WDO t B h C . ZONE TVPE V GROUP I&J � - APPROVED . CONTRACTOR J, p� BY DATE ADDRESS ],8 ��G�� Airwa AV2. TEL. E NO.OF USE OF NEW cirv CoSt8Mes3 No. 1_ 84 P�� BUILDING p,J F STATE CITV VAROSAPPROVED VARDSAPPRO E s� ��. No. 285-981 ��. No. 0081?9 MAIN ILDING ACCESSORV BUIL NG (z� SIZE [ NO.OF BLDGS. (FROM C/ T) �+ OF LOT 3J�QSq. ft. avera �OW ON LOT � FRONT T. FT. a USE OF � EXISTING BLDG. SI FT. ` C FSeparate permits are required for L. SIDE JFr. Fr. p electric, plumbing and heating work. REAR T. FT. [.W.� USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & QMAIN BLDGS. ACCESS. BLDGS. VAR. TE .i � C.U.P o PPROV �' a ^ P > Single Family Res. MFROVE r - w L RE UIREMEN S p I hereby acknowlatlga ffiet I have reatl ffiis applicetion antl state � -- -- � N � that the above Information is correci entl aBree m comply wlth � d ell laws re0ulatin8 builtling co^struction, antl I shall not employ z eny person in violation af the workman's compenseilon laws of � � the State of Celifornie. .: 3 I �ereby certify ihat I em properly Iicensetl as �contractor under l�l� SQ� FT. J=�57 S • ft • N the State of California Business antl Protessto ode, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapte tl that such licenses ar in f II o e antl effect, or I THE PURP�E OF ESTABLISHING A PERMIT F E O V: e_` em e mpi fr m tha provisions ofj ha o California Business y�� VALUATION PERMIT FEE antl P ofession Cotla, Div(sion 3/ a e $ f m� v Sipnatu f PLANCHECK 8 �^ �� r o �) Permittee $ �.`Z � g00 � QQ TAX . $ � Authoize TOTALPAID $ � U��