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Home My WebLink About345 WESTBROOK PL - Building Permits� � �� _ � oplicant m fiu in all s0aces exeeDt those wit�in heavy eortler lines ana sign all approDriate Ceclarations. � � %� � E IT -� - TRACT NO. LO NO. UNIT NO. EITY lTi'r: COSTA MESA CONSTRUCTION PERMIT 27� `�,� q.v. # — ^- b zo�a ' 3s�s �v�sr.e,eooia .��.scE' �. m P%,.ct Address � � � - S Main Building: Accessory Building: S%.. TYPE OF CONST9UCTION NEW ADD L R I N EPAIR Appucant,s Mailing Address �+�� E � (� Z ��/L � O�I/i/� �L/C/� �-pag9 � CONVERSION ❑ DEMOLISH ❑ OTHER � T Front �Q 3 O Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. B Rear � N Address �' �� . A � I ArchdEng. � LiCense No. TYPE"OF PERMIT � GRADWG ❑ FOUNDATION ❑ STRUCTURAL K R�9ht � G Ada}Csi ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL ! g� LeFt f� R ❑ �OTHER Pln Ref. # rkin Contracmr's Name Phone 9� g Req./Provided E ' PROJECT DESCHIPTION 5[l. FT, oCCUVANCY n A_ddress (mailing) Planning Notes: M � �d CONSTRUCTION TVPE v� VALUATION $ �� Eity LiCense No. ZONE GRAOING GU.�VDS. ACRES 1 \n 1 M. T LICENSED CONTRACTOR DECLARATION q - S' I nereby affirm tnat I am licensetl untler provisions of Charter 9(commencing Remarks: C� Z I �� 4 with section 7000) of Division 3 of the Bu5ine55 antl Profession5 CotlC, antl � my Iicense is in fuu force antl efiect. — g ELECTRICAL FEES . iirense Class License No. P�UMBWG FEES P.utomatic Washer Transformer ❑ 15-50 KW �� Signature lKERS' COMPENSATION DECLARATION BafSink ShOwefS ConitrUCtion PoleSub. � 50+KW I -eby affirm that I have a certificate of consent to selt-insure or a certificate ' orkers' Compensation Insurance, or a certifietl copy thereot (Section Backfiow Preventer Service Sink Cooking Unit � Meter ❑up to 100 amps ,. Lzb. CJ . - Poiicy rvo. Company Backflow Irrigation Sewer Cap � ' Dishwasher Meter ❑over 100 amps 8 Certified copy is hereby furnishetl. • - Dryen �Gas ❑Electric Sub Panel � Certifietl copy is filetl wiih the tity Builtling Division.-'" � BdthtUbs Sewer Connection Date qppiicant " . - - Fan Motors DO-1 HP �i�% - B EXEMPTION FROM WORKERS' GOMPENSHTION DECLARATION Clarifiers 5012� COII¢ct0l5 ' �(Thissection neetl not be completetl if ine permit is for o'ne huntlretl ($100) or - F.A.U. InaSOldr �9-75 HP �76-15+ �ess). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issuetl, 1 Fixture5 snall not empioy any person in any manner so as to become subject to the Drinking Fountains Solar Tank � - Microwave Workers' Compensation Laws ot California. Devic2 Bozes Date Si9nature Floor Orains . Swimming Pool w/Spa Pole Light NOTICE: If, after making this tleclaration, you shOultl become subject to th¢ Out12t5 Workers' Compensation provisions of the Labor Cotle, you must forthwith PloorSinks . . Urinal Range comply with such provisions or this Oermit shall be tleemetl revoketl. CONSTRUCTION LENpING AGENCV SWItCh¢5 .,, ', Si � Gas Service Outlets Water Closet - � 9 I hereby affirm that there is a construction lentling agency for the performance � of the work for which this permit is issued (Section 3097 Civ. C.) - �ntefceptofs Wate� Heatef Garbage Di5po5al Standing SeCtiOns Lentler's Name � � Lenaer's Address Kitchen Sink Water Service Generator �0-5 KW OS-75 KW Trash Compactor �OWNER BUILDER OECLARATION �I he�eby atfirm Lhat I am eaempt from the ConVactol's License Law tortFle L2v2tOfIES AutO-W85h following reason (Section 7031.5 Business antl Protessional Cotle: Any city or ��unty which requires a permit to construct, alter, improve, tlemolish or repair P—Trep Laundry Tra"ys 5tructure, pnor to its is5uance, also �equires the applicant t0� such permit 'le a signetl statement that he/she is licensetl pursuaut to the provisions of Roof Dlains " Contractor's License Law (Chapter 9(commencing with Section ]000) of �„__„ ,� �� '��ion 3 of the Business antl Professions Cotle) or that he/she is exempt Reinspection Fee $15 luue Fee � � $ 3 'rom antl the basis for the allegetl exemption. Any violation of Section ' 5 by any applicant for a permit subjects the applicant to a civil ..alty ot not more tnan tive huntlretl tlollars ($500). � � 3 DEVELOPMENT SERVICES REQUIREMENTS: `� I, as owner of ine property or my employees witn wages as their sole Reinspection Fee $15 Issue Fea $ ;Zoning Approved By � Date �� mmpensation will tlo the work, antl the structure is not intentletl or-offeretl "tor sale (Section �044, eusiness antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date ' License Law tloes not apply to an owner of a property who builds or improves ` the�eon, antl who tloes Such work himselt/hers¢If o� th�ough his or her own ,. Applic3tio� ISSUed By Ddt ' empioyees, p�ovidetl that such improvementr a�e not intentletl o� offeretl for B0112� HOOd O� Typ¢ I ❑ �„ � " saie. u, however, the buiiaing or improvement is soltl within one Year of com-' Canopy Type II ❑ • ' SUMMARV qFFEES � pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- Duct - Under Ground ' erov.e�rthepurposeofsale). BUILDINGPERMIT $ ��%S� SMIP $ '3� LJ I, as owner oi the property, am exclusively conVacting with licensetl con- DuM -Structural Refrigeratfon System `PLAN CHECK trattors,to mnstruct the project (Section 7044, BuSiness antl Profe55ion5 Cotle: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct - Ventilating ❑0.700,000 BTU ❑100,000 BTU � PLUMBING $ bulltls or improves the�eon. antl who cont�acts for Such oroiEcts with a ron- t ISSUANCE $, tractm(s1 license pursuan� to me Contractors License Law). i am aware that Exhaus[ System ❑ Multiple ❑ System Repair/Alteretion • „PLAN CHECK 25% $ ENERGV P.C. $ _ proof of their Worker'S Compensation insurance shoWtl be provitletl to me. V f. r ELECTRICAL $ GRADING $ ❑ I am exempt untler Section '% 3 e. & P. C. Por this reason Firepl/Fact. BIt iC60 # Fire Dampers ' ' . PLAN CHECK 50% $ MICROFILM $ Date Owner � ' � Heating System & Ducting Register5 _ MECHANICAL I hereby certity that I nave reatl tM1is application an state that the above � ❑U700,000 BTU �100,OOOBT $ TOTAL FEE $, � intormation is correct. I agree to wmpry with au city ntl county ortlinances� ' '' PLAN CHECK 25% $ antl state laws ating to builtl g const+uction, antl hereby authorize repre- Sentatives of ' city to e r upon the above-mentionetl 0 ope�Ty to� � inspectio� e . �9� i . � . , - Signatur " ' Date� � Reinspection Fee $15 Issue Fee $ 3� �'1 �'C,aT'�:f��- �a.�;j��'t �� - ,p Drivers' License or 55 � - � _ � � � � �. �.� 4 - : � y - E.ti ;,` i.!`�f'TfS�l T,ICi�.i :..'iU4� . 0865-46, rev. 5/B8 Whi e- Builtling; Canary - Applicant; Pink - Accounting; GOIGenrotl - Assessor � I "/�dVSTRUCTION AND PLANM� �� 9� SPp' �ROVAL3'� Permit # Date Inspector AppROVALS F. .iit # - Date Inspector �� • ' - �. Tempoiary Electrical Service or Pole 52. Pool & Equipment Location � � 2. Soil.Pipe-Undrgrnd. 53. Steel Reinforcement � ,� � 3.;Electrical Cbnduit Utility-Undrgmd. 54. Forms / 4.�EIecVical C�nduit-Undrgrnd. 55. Electrical Bonding � 5�., Steel �Reinforcement 56. Raugh Plumbing & Pressure Test -� 57. APPROVAL TO COVER-GUNITE � 6.� Electrical UFER„Grnd. �� 7^Footings `� �5�� (j �--- 58. ElectricalConduit-Undrgrnd. � � % 8�� Foundation 59. Gas Pipe, � Undrgrnd., Test 5 i �-J 9.,Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. A � IOF.Structural Floor System g fj �� 61. APPROVAL TO DECK _�J 1 �.� Property Sewer Line & House Connection 62. Backwash & Receptor-Final � i� 12. Sewer Cap 63. Heater & Ve�t-Final � �. �f] •� , , `� 13;. Roof Drains � 64. Plumbing System - Final ,� ` 1�4. Rough Plumbing 65. Electrical-Final � '� 15. Rough Electrical-Conduit 66. Solar SYstem-Final :.i.�" -16: Rough Electric Wiring 67. Fencing & Access Approval 77�. Rough W�ring Sign 68. APPROVED FOR PLASTERiNG �18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL _t,. �9. 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 � Gas ❑ Oil 23. Gas Pipe-RUugh & T.est �� 72. Underground Flush 24r Roof Framing -- � 'i 73. Undergmd.StorageTank OGas ❑Oil 25. Roof Sheathing � '� �� 74. Overhead Hydro 26. T-Bar Ceiling (Siructural) &'Monocoat 75. Dry Chemical 127� Fre'me�and Flashing -_ � 7 }7� 76. DryStandpipe 28.' Lathing & Siding f,`� 77. FIXED SYSTEM FINAL 29. Insulation ' � 78. FIRE PREV. FINAL 30. Dr'ywall Nailing .' � Q,�-� HEALTH DEP7. REQUIREMENT � 31. Pla�ster Brown Coat,-� � 79. FINAL INSPECTION ' �2. Electrical Power�Mefer-FinaF• 80. FOOD CERTIFICATE ISSUED 33. Fi4al Electric V �! Notes: � I 34. Final Heating & Air Conditioning � p � 0.� 35. Final Gas Pipe-Test ,!, �� Q�. p'� � � �36. Hood or Canopy � � �.7„ Y,� /� �,rr� � J � = � 37. Fi�nal F�c[o�y,Fireplace= , �a: t �. .'38. Final"P1uFnbing ]__ ✓ � D �� l'q�d ��39. Water Service-Final � �.,1 '�40. Gas Service-Final-c--+�� ' 41. Solar pomestic-Final 42. Backflow Preventerj"��r ��,� -- , �r -'r- � 43. Backflow Irrigation : � �ti � ''' 44. �Landscape Ircigation SYstem � ,! .+. 45. Sound Attenuation�: r) , . - ', 46. Handicap�'Regulatiohs ) ' ;_ _ 47. FINAL�STRUCTURE.&BUILDING � q � ' � 48. Special Reyuirements�Completed . ..� 49. Electrie Release to Edison '.'a � !: , .. r r -59. Ges Release to Southern California Gas Co � � ,- ` �1 ' 57. CERTIFICATE OF OCCUPANCY `i"'� � ' ''I ` _,� No. Date . � �" � -�� f ' ��( I Plan Check # _ Permit # Address: Applicant: FACTS: X❑ Residential City of Costa Mesa MEASURE "G" EXEMPTION PZiL� �iil 345 westbrook Williarn Yelich Exemption # 89-421 Case # ❑ Commercial/Industrial ❑ Other 0 Existing Lot ❑ Not Part of Larger Project Unit: ; .cl y. 4 Project Description: $43 sq.ft. room addition to existing single family dwelling . i No. of Dwelling Units NA Gross Floor Area NA Square Feet F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day FlNDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross ❑ 0 floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. 2. Project is a residential project of four dwellings or less on an existing lot. 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. ❑ 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. ❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: 0 Planning Commission ❑ City Council Date �v 8. 1989 Date 1648�30 - � -� . � cosGa � sa ADp��ant to fill In all spaces except those wit�in heavy GorEer lines anC si9n all a00ro0��ate Geclarations. CI�V OF COSTA MESA CONSTR UCTI ON PERMIT �FGMIT Nfl Ii i+ _ TRGCT Nfl 1 f1T Nfl � �,.��r .�., ProjectAddress � ys ��srd�G�/G /�G _ Applicant's Mailing Address sA�% �� Owner"s Name �« � C� �L� Pho e �� p�% 1 Address ��' E ' Arch/Eng. License No. Adtlress Contractor's Nam Phone � Address (m� I"nal City License No. � IICENSED CONTRACTOR DECLARATION I hereby aftirm [hat I am licensetl untle� provislons of ChartCr 9(mmmencing with sec[ion 7000) of Divislon 3 ot the Business antl Protessions Code, antl my license iz in full force antl etfect. Urense Class licen5e No. � Signature <KERS' COMPENSATION DECIARATION I nereby affirm that I nave a certifica[e oi consent to self-Insure or a cartiiicate ot Workers' Compensation Insurance, or a certifletl topy thereoi (Sectlon 3800, Lab. C.) Policy No. Company BCertifietl copy is hereby (urnishetl. Certifiea copy is tiletl with the city Builtlin9 Division. Date Applicant � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Tnis section need not be wmpletetl if the permit is (or one huntlretl ($300) or less). I certity [hal in the pertormance Of tlte wo�k fo� whlch tM1is pe�m�t Is Issuetl, I snall not employ any person in any manner so as to beco e subject to the Workers' mp ns ti � ws of Galiforn" � _�f � Date ___,�P-o��_�`�Si9nature �L66..0 NOTICE. If, afte mak n9 this tleclaration, you shoultl bec e subject to lhe Workers' Compensation provisions of the Labor Cotle, y must forthwlth Wmply wi[h Suth provisions o� thi5 pe�mit Shall b tleem¢tl revOk¢tl. CONSTRUCTION LENDING AGENCV 1 hereby afflrm that there iz a mnstruction lentling a9ency for the performante of the work for which this permit is issuetl (Sec[ion 3097 Civ. C.) l.entler'z Name Lentler's Atltlress OWNE0. BUILDER DECLARATION I nereby affirm lhat I am exempt trom the Contracror's License Law tor the followin9 reason (Section ]031.5 Business antl Professional Cotle: Any clty or ^^unty wnic� requires a P¢rmi[ [o conSlruCt, alte�, Improve, tl¢molistt o� �epair structure, prior to its issuance, alzo requires the applicant tor such permit le a Signetl statement tital ne/she is Ilcensetl pur5udnt to the p�ovi5ion5 Of Con[ractor's License Law (Chapter 9(commencing wlth Section ]000) of ��rvision 3 Of the BuSinezS antl ProtessiOns Cotle) Or that he/she is exempt '�theretrom antl tbe basis for the alleqetl exemption. Any vlolation of Sectlon 7031.5 by any applicant for a permit subjects tho applican[ to a civil �enalty of not more than five huntlretl tlollars (5500). I, as owner ot the p�operty ot my emplOyees wlth wag¢5 as Ihel� sole wmpensation, will tlo the work, antl [he Struc[ure Is not int¢ntled o� otferetl tor sale (Section 7044, Business antl Protessional Cotle: The Contra<tor's License Law tloes not apply to an owner oi a properry wno bwltls or Improvez thereon, antl who tloes such work himselt/herself or through his or her own employees, provitletl tnat such improvements are not IntentleC or offeretl tor sale. If, however, tM1e builtlin9 or improvemon[ is soltl wlt�in one year ot Cor�- pletion, the owner will have the burtlen ot proving he/she tlitl not Dulltl or im- prove for the purpose o1 zale�. ❑ I, as owner of the property, am exclusively contracting with Iicensetl con- [raclors to mnstruct Ihe prqect (Section 7044. Business antl Profe551oni Cotle: I The conVactoYs license Law does not appty to an owner ot oroperty who i builtls or imDroves mereon. ana who contracts for Such oroieClS with a r.on- IVactor(s) Lcense pursuan[ ro[ne ConVactor's Litense Law). 1 am aware Ihat proof ot Iheir Worker's CompensaHon Insurance snoultl be provitletl [o me. ❑ I am exemo� untler Section B. & P. C. for this reason Date Owner 1 her by certiry t I nave rea bis application antl s e that [ e al in(ormation i5 corretL I a9ree to comply wilh dll Uty ap county ortlina antl state lawz relating to builtling consVuction, antl h I y au[hoNze n sentatives of this ciry to enter yyypon he above-me lonetl property InSpectian purpojR�_ /� • � � Signature ��1/�L<•G�•'�� Da[e�� Drivers' License or 55 � d TYPE OF CONSTRUCTION LJ rvEw UCl noo ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �ESCRIPTION OF WORK/USE OF BLDG. — .j/ '_.. .._. ALTERATION REPAIR TVPE OF PERMIT LJ GRA�ING LJ FOVNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MEGHANICAL ❑ OTHER PROJECT DESCRIPTION 54. FT. oCCUaANCV CONSTRUCTION TVPE VALUATION 5 ZONE GRADINGCU.VDS. ACRES— Remarks: � ��. �3� Sink Preventer I rrigat ion Drinking Fountains Floor OrainS Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal / Water Closet Water Heater Water Service Auto-Wash FEES Reinspection Fee I $15 I I Issue Fee I $ 3 I MECHANICAL FEES Duct-UnderGraund Duct � Sttuctural Duct - Ventilating Exhaust Sysrem ❑ MWtiple ❑ FirepVFact Blt. iC80 �k Heating System & Ducting ❑P700,000 BTU 0100,000BT Reinspection Fee � $15 0865-a6„rev..5/Be._ _whi�n.-,BuiltlinG: Canary_ qppllcanp Pink � Accountin9: Goltlenrotl - Assessor � Hood or Typel ❑ Canopy Typell ❑ Re(rigeration System ❑4100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee A.P. ilE S Main Building: E T Front B Rear A C Righ[ K - Left S Ping. Ref. # Planning Notes: Accessory Building: Perking Req./Provided ELECTRICAL Automatic Washer Trensformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Dishwasher Dryers ❑Gas DElectric Fan F.A.U. Fixtutes Device Boxes ' OuLIeLS S W ILChQS Garbage Disposal Generator �0-5 KW �5�15 KW Zone Meter Llup to 100 amps Meter ❑over100amps Sub Panel Motors -1HP�1'h-8 Inc.Solar �9�15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Compacror Fee �$15 � � luue Fee DEVELOPMENTSERVICESRE�UIREMENTS: ZoninB APProved By Building Approved By Application luued Bv FEES N I N G R E � M T S. SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT ' PLUMBING $ ISSUANCE S PLAN CHECK 25% $� ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFI�M $ MECHANICAL 5 �9i.r� TOTALFEE $ �Z.Z.� PLAN CHECK 25% $ � _ .. . �C"i.S i� _ .. ..:, -. _ . ... CONSTRUCTION AND PLANNIP � `L & SPA � ' � Date Inspector Date Inspector APPROVqLS " Permit # APPROVALS Permit # `� 1. Tempo�ary Electrical Service or Pole �� 52. Pool & Equipment Location 2. Soil Pip�-Undrgrnd. "� 53. Steel Reinforcement � 3.� Electrical Conduit Utility-Undrgrnd. �.' 54. Forms � 4.' Electricei Conduit-Undrgrnd. � 55. Electrical Bonding ., 5�. Steel�Reinforcement 56. Rough Plumbing & Pressure Test ��! 6.' Elec4rical UFER Gmd. 57. APPROVAL TO COVER-GUNITE � �-y � � 7� Footings �./� J� 58. Electrical Conduit-Undrgrnd. ' 8. Foundation "�� I 1; 59. Gas Pipe, O Undrgrnd., Test �' - 9:' Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. ' `�� . 10!Structural Floor System � 61. APPROVAL TO DECK �� _. 11:i Property $ewer Line & House Connection � ' " 62. Backwash & ReceptorFinal .� 12. Sewer Cap ' 63. Heater & Vent-Final ' l 13. Roof Drgins �� 64. Plumbing SYstem - Final ' 14. Rou`gh Piumb(ng g�G(r�� (i / 65. Electrical-Final '� , / 15. Rough Electrical-Conduit 66. Solar System-Final 9�6. Rough Electric Wiring ��y y 67. Fencing & Access Approval ir7,. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Elec[rical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ,. ��9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ,i) APPROVALS Permit# 21.. Ducts, in Structure ' 70. Underground Hydro L 22. Ducts, Ventilating '� ..�-� 7i. Product Piping �Gas ❑Oil Q3. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Frgming .73. Undergmd.StorageTank OGas ❑Oil .n � 25 �Fioof 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 37. Plaster Brown Coa[ 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �� 33. Final Electric �Z Z Notes: ,• ' � 34. Final Heating & Air Conditioning . � ,; 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing ((�?i�QO (�� 39. Water Service-Final 40. Gas Service-Final 41. Solar DOmestic-Final 42. Backflow Preventer - . � 43. Backflow Irrigation � 44. Landscape Irriqation System � 45. Sound Attenuation � ' 46. Handirap Regulations . 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison j•, 50. Gas Release to Southern California Gas Co . ,�, 51. CERTIFICATE OF OCCUPANCY , ' , No. Date � - � � � •' " ; � ♦I '.1 J , � Insulation Certificate �345 lUe�s.tbnaok P2ace Coa.ta b1u,a Numba and Sueet City Unange Tnaat 2726 PcviceC # 141-385-OS 39 County Subdivision Lot Numbtt Description of Installation RO��ri� F�.beh �2a.s� (Vao2 BrandNeme hlanwi.P..2e 'Ihickness (inches) 6 2 'Ihertnal Resistance (R-Value) E}C7'ERIOR WALL �u� F�.be�c G2a.sa Uloo2 g�dNsme Manv.�22e 'tl�iclrness (inches) 3'z 'fhermal Resistance (R-Value) — C'�ILING � N/A Vau.Y.ted Batt or Blanket T Brand Name 'Ihickness (inclxs) 'Ihermal Resistance (R-Value) ^ Loou Fill Type Brand Name Convactor's minimum installed weighUft Ib Minimum thickness inches Manu(act�er's instatled weight per square fooc w acheive Thertnal Resistarxe (R-Value) RAISED FLOOR Material Thickness(inches) N/A Brand Name 'Ihermal Resistance (R•Velue) SLAB FI,OOR Material N�A Brand Name 7T�ickness (inches) 'Ihertnal Resistance (R•Va1ue) Widih (inches) rOUNDATION WALL Ma�erial N�A Brand Name 'Ihickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the abo�e insulation was installed in the building at the above locadon in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the Califomia Adminisvauve Code. ' ��,�ZQ,i.am YeX.i.eh, Uivneh.lBwi.2deh none — ` Genersl Concactor B��*) l.icense Number —�a� p—�:.—_.._ �:�.�0 , Sign ad Title Due � SubConvecmr (Insuluion !ns Wler) Licence Number Signatute and Title Date California Energy Commission a AVO�icant to fill In all soaces exeeD� those within neavy bortler lines ane si9n all apvroprlate aeclarations. CITY OF COSTA�M{ E�$/p CONSTRUCTION PERM T P R IT NO. �7 TRACT NO. LOT NO. UNIT NO. Project Address Q 7� �Cr%�/�l%��li �l✓ _ � � � � V� ApplicanYs Ma�i�lin� Address �%%� TVPE OF CONSTRUCTION NEw aDD ALTERATION REaAIR Ownef'S NameU/i��4di — DAJ//A �LC.L�L�% Ch o-oa�9 � CONVERSION ❑ DEMOLISH ❑ OTHER a�mE � / DESCRIPTIONOFWORK/USEOFBLDG.� %¢ /{�ID,�I AAdress Arch/Eng. License No. Address Contracror's Name Phone Address (mailing) Ciry License No. LICENSED CONTRACTOR DECIARATION I hereDy aifirm t�at I am licensetl untle� provlsiOnS Of Chdrter 9(comm¢ncing with section ]000) of Divislon 3 of the Bus�ness arrti Professlons Cotle, antl my license iz in tull (orte antl ettect. License Class license No. Date Si9nature �PKERS'COMPENSATION DECIARATION ;reby aftirm tnat I have a certiticate ot consent to self-Inzure or a certificate � Workers' Compensalion Insurance, or a certitietl copy thereot (Section 3800, Lab. C.) Policy No. Company BCertitietl copY �5 he�lby furnish¢tl. Certitietl copy is ille0 with the cily Builtlin9 Dlvision. Dat¢ Applicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This sec[ion neetl not be com0�etetl it the pennit Is to� One huntlretl ($300) o� less). I certity that in lhe lo�mance ot tne w k to� wltich is p¢im�t is is5uetl, I shall not mplo a pe�son In any ma e� so as t come subje to the Worker o p�a Laws ot Calito ' Date Signatur NOTIC : If, afte� aking inls tlec � n, you shOul ecOme subject [o th0 Worke ' Compensation provisio o( the l�bo� C ¢, y0u must forthwith comply with sucb p�Ovi5ion5 or thi5 pe�rt�it� I b¢ deemetl �evoketl. CONSTRUCTION LENDING AGENCV I nereby affirm that lhere i5 a mnstruction lentl�n agency for the performance oi tne work fOr whiGh [hi5 permit is i55uetl (Section 3097 Civ. C.) LPntler•s Name Lentler'S AtltlrCss �� OWNER BUILDER DECLl.RATION 1 hereby a(firm lhat I am exempt from the GontraGtOr'S Lic¢nse law tor th¢ following reason (Section 7031.5 Business antl Professional Cotle: Any city or couniy which �eqW�es a pe�mit to con5truct, alter, ITp�oae, tlemoliih or repalr any SVuc[ure, prior to its is5uance, also requires the applicant for such permit � file a signetl slatement that he/She is licensetl punuant to Ihe prOvi5ion5 01 Contractor's License Law (Chap[er 9(corr�mencing with Section 7000) of ision 3 oi the Business antl Professions Cotle) or tM1at ne/she is ezempt ereirom ana the basis for the allegetl exert�P�lon. Any violation of Section ]031.5 by any apP��<ant tor a pe�mil sublects the applicant to a civll e alty of not more Ihan fiv¢ huntlretl tlollars (E500). as owner of thC prope��y o� my em0�oyee5 with wag¢s as tnei� sole om0ensation, will tlo the wo�k, antl the stNtture i5 n0[ intenUetl o� of(eretl for sale (Section 7044, Busine55 antl Protessional Cotle: The Contractor's License Law tloe5 not apply to an owner of a oroperty who builUs or improves thereon, antl who tloes such work himself/herself or throu9h his or her own empinye=s, orovitletl that such improvements are not intentletl or offeretl tor Shce. Ii, �iowever, t�e bulltling or improvemeNt Is zoltl within one year of com- pletion,: tne owner will have the burtlen of provin9 ne/zhe altl not builtl or im- prove tCr the purpose of sale). ❑ 1, a.�owner of the property, am exUuSive�Y mntracting with licensetl con- lractorSC�ronS[ruc[ the prOject (Section J044. Business antl Profe55ions CotlO: The Con�actor'S License Law does not app�Y to dn owner of property wno builtls or imDroveS thereon. antl wno con[ra<ts for such oroi¢Cts witn a mn- tractor(s) Lcense pursuam m me Contractor�s License Law). I am aware that proof oi their Worker's Compensation insurance shoultl be provitletl to me. ❑ 1 am exGmpt untler 5¢ction B. & P. C. for tb6 reason Date – � ` Owner ��,,,[ I here y certity t at I have reatl this appli6ati� intormation is correct. 1 aqree to comply wit� al antl state laws relalin lo builtlin9 co truttlon, Sentatives ot this � t0 enter up the abi in5pection pu�pose . Signature Drivers' License or 55 �'f ��/ OB65-46, rev. 5/BB White - Bupp ng; Canary TVPE OF PERMIT LJ GRADING LJ FOUNDATION U STRUCTURAL ❑ TENANT ❑ ELEGTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 5(�. F7. oCCUaANCv� CONSTRUCTION TVPE VALUATION $ ZONE GRADINGGU.VDS. ACRES_ Remarks: � i� �" � / Preventer Irrigation rinking Fountains loor Drains loor Sinks Sink Roof Drains Showers Service Sink Sewer [:ap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Outlets Water Closet Water Heater Water Service Auto-Wash A.P. # S Main Buildi E T Front B Fear A C Right K Left S Ping. Ref. # Plannino Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher ' Reinspaction Fee I $15 I I Isue Fee I $ 3 I ' MECHANICAL FEES Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepUFact BIL iC80 dk Heating SyStem & Dutting ❑ a i ao,000 eru O i oo,oao er Reinspection Fee � $15 : Pink - Accounting; GOltlen�otl - Assesso� Hood or Typel ❑ Canopy Type II ❑ Fefrigeration System ❑0-700,OOOBTU ❑100,OOOBTU System Repair/Alteration Fire Dampers Registers luua Fee 2one Accessory Building: Perking Peq./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Fan F.A,U. Fixtures Device Boxes �UL�CfS Switches Garbage Dispoul ., Generator �0.5 KW �5-15 KW Merer Uup ro 100 amps Meter �over100amps Sub Panel Motars O41 HP O1'F. - 8 Inc.Solar �9�15 HP �16-15+ Microwave Pole Ligh[ Range Sign Standing Sections Trash Compacror +.I Reinspection Fee !$15 I � Iwue Fea DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Approved By Appliption Isued By f $ 3 SUMMARV OF FEES BUILDING �ERMIT $ SMIP PLAN CHECK $ PERMIT PLUMBING $ � ISSUANCE PIAN CHECK 25°h $ ENE�R,�.( ELECTRICR�L-v, $ GRADING PLANCHECK 50%�$ � — � MICROFILM MECHANICAL S � �Ct� PLAN CHECK 25% $ � t $ $ �Cl�f ��Clll� .�(i'��'�.�I1� FEES $ 3 N I N G R E Q M T S. CONSTRUCTION AND PLANNING � P� $` �%'' APPROVALS Permit# Date �Inspector AppROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole ', 52. Pool & Equipment Location ti'� 1 °� 2. Soil Pipe-Undrgrnd. 7 � 53. Steel Reinforcement �� 3:�Electri al Conduit Utility-Undrgrnd. � 54. Forms . 4. Elect�ical Conduit-Undrgrnd. 55. Electrical Bonding 5..Steel� Reinforcement 56. Rough Plumbing & Pressure Test , ' 6. Electcical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � i � 7: Footings . 58. Elecirical Conduit-Undrgrnd. � 8`. Fountiation � 59. Gas Pipe, 0 Undrgrnd., Test �� i 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. - �' 10. Structural Floor System � 61. APPROVAL TO DECK 17.!Property Sewer Line & House Connection � 62. Backwash & Receptor-Final , 12. Sewer Cap /' 63. Heater & Vent�Final ' 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final •" 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Ela�ric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1$. Rough Electrical-T Bar Ceilin� 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 F�ush 24. Roof Framing . 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurai) & 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. Electrical Power,N�eter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: � ��9 " 34. Final Heating & Air Conditioning r l ri 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � � (�ryQ 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer "'� 43. Backflow Irrigation - . . . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co .�' � 51. CERTIFICATE OF OCCUPANCY . i No. Date OWNER p TFf:F PARK � -•- oaTE 12�27—r6 � , JOBADDRESS 3ly5 47estbrook Place BUILDINGPERMITNO. �%(y].2$ GENERALCONTRACTOR Fjy�hor Cpnqt Cn�, VAWE 5 ��Q�.00 L. 39 BLOCK TRACT Q%QO Res.�Btt. &az'. GROUP I& J TVPE V ZpNE R4 FIRE DISTRICT µ�.7Z PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR , DATE � NUMBER Footing Trench Foundation Forms and Grei Rough Framing Plumbing, Rough to Slab � Plumbing, Rough Complete Temoorarv Pole E Heating, Final 5ewer, House , Se^'ic Tank or L ag,ln Plumbing, Final, Fixtures Complete �J�(�5 ' /J S'�j7 Plumbing,FinalGasTest/5— /j.Jp}j �^�$—Si Wiring,Final " , _ occupancy �� 7.2T_�•� FORM 310 3M 10-v3 � -i�-s� i .-� ar_ v ,� •Costa Mesa Building Department I. , P. O. Box 3!7 d.9 r�rz - . COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN Building Addresa 3L�.'rj WESTBROOK PLACE Costa, Mesa, California CrossSt. HAR Owner �'.n L L E G Mail Address 2 � � (7 CItySANTA AN Arohitect or Engineer dress Contractor �iA R 8 Address $ Legal I Lot Description No. (Attach Metes and Size of Lot (�Q 4se oi Exfsting Bldg. Setback Line irom Center oi Streei New � x �QI S7.CONa� 7ir%%� Block Now on Lot No.ot I Famillea Rear Vard Demolish APPLICATION FOR PERMIT BUILDING � FOR OFFICE USE ONLY Receipt No. Permit No. ;�/a � ceived by Date Redd. Date Issued � la-a7-s6 �� a�-s ing Nearest Costa Mesa, California Plans �Iding No.of e � SZ�L Rooms Stories txterior Wall Roof covering Covering tjpPRQVAi S Use of New oundation Location Inspecio Building fiESIDENCE 8c ATTACHED GARA �Forms,Materials, Under-Plnning Frame: Ffre Stops, Bracing, Bolts I hereby acknowledge that I have read this Applicallon and state that the above is correM and agree to comply Lath. InL with all City Ordinances and State Laws regulating building construCtion. Lath. Ext Signaturo ot Perm�ttee HARROR CONSTRUCTION CO P�aster,�ni Authorized Agt Plaster, Ext ValuaUon Pe�mit Fee $.30 �� Masonry Reiniorced Plan Check $ /S Bond Beam g 12��.00. Total Fee S � I FINAL qrn 2oe �o�ss o. r. e s. Date f�; PLOT PLAN Show locatlon and distances from property Ilne and between huildinpa ; r- ---- �, :. 0 � .. _ -,.� •