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HomeMy WebLinkAbout744 WINGATE BAY - Building Permits� CITY OF,�OSTA MESA CONSTRUCTION PERMIT ' ADP��cant la �ill in all zpaees axcapt t�ose , _ ' ERM� NO._, � �� A TI anG sign all aOV�oDriste 0eelantions. 10. BL , .. ApplicBnYsMeilingAddle55 "!9S0 �A�Y HVE. U-`1.'I.OSLa M0 2{ypE OFCONSTRUCTION �� NEW U ADD U ALTERATION REPAIR - PfojeCtAddfeu 744 Win'gate B�V � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER OwnneNeme M"D Janes CO• If1C. oho�g 9J�i-�3%6 DESCRIPTIONOFWORK Teae be�feem en-i-t�r��tae#�e� • ara e Addr¢55 2950 �Ai 'rwa� Av D^9 COSYi3 M05a ' TypE OF PERMIT ',GRADING FOUNDATION� STRVCTURAL Arch/En8• Dan i eI 1 afl � A�SOC,_LiC2n58 NO. C-4�29 ❑ TENANT ❑ ELECTRICAL ❑ PLVMBINO ❑ MECHANICAL address �84g Campu< Dr. Ne�.nort B0�3GF7 `- ❑ qTHER � � Controcror'sNam -�Wn r. � ' ahone 979-4376 PROJECTDESCRIPTION sa.FT. �_�nn cf F.•4p0 �CUPANCV � � SamP - � ' � ' CONSTRUCTION TVPE V VALUATION S bj �6O Addresslmailing) ' 1 . � . r- �" � ' ' , . I ' 1 � ZONE- , j��` GRADING CU. VDS..� 'ACRES �, �f "� Licance No. • � LICENSED CONTRACTOR DECLARATION � � Ramark�: � ' � � � � ' � I heraEy afflrm that 1 am Iltensetl untler Orovisions af Chartei 9(commencing . . with sectlon 7000� 01 Olvlslon 3 0/ t�e Business anC Protezzlons Cotle, an0 � �- my Ilcanse is in iull to�ce antl eitect. ' � ' ucenu aaa � License No. � � � PLUMBING . � Date • Signaturo � WORKERS' COMPENSATION DECLARATION � ' Bet Sink • , � SewCl Cap vaDy afflrm that I.hava a cerHflcate a} Fopsent to sdl/aniur6.or.a cartificala - BeckllUw Pfeventer • Senpr ConnMion -- Workers' GompensaHon Insurance,, or a certHieO coDY thareol (Sectlon - _e0o, Lab. CJ . � ' � � � Beckflow Irrigation ' Sola� Collectors� � PoJICY No. : Company ' . ' : - " -' ' Cd CertHletl copy Is hereoy turnlsnea. ' j Bathtubs ; $plar Piping . ❑ Certifletl copy is iile0 with the clty,8ulltling Dlvislon. � Clarifieri � � So1ar Tank � Dnte APPlltant I � � . EXEMPTION FROM WORKERS' COMPENSATION DECI.ARATION ' Di5hNa5hEf . � � � Swimmin POOI W/Spe (T�Is socllon neatl not be completetl it [he Parmit Is for�one hunCrotl (5100) or __. 9 ' iass). � � ' � � � Drinkin Fountains ' Urinal ' � � I cartl/y.that In t�a performance ot the wP�k tor wnich [�is perm�t is Iisuetl I 9 � i�all not employ any person In any maMer so ai to become subjact. to LRe ' . � . --� , ' Workers' Compenvtlon Laws of CallforNa. . FIOOr Drains � ' Water Goset � � Oate �Ignature � � � ' . - � NOTICE:1/.-Lfter mdkinG�th{S tlatla�atlon. You ihOUltl �eCOTB suDje[t t0 tI1G-� � FIOOR$i�k5� - , - -- �Water-Heater -. , . - � - -__._.. . ___. _.______ _. _.._ . _ . , . ......'_"" CONSTRUCTION LENDING AGENCV- � - ' I hareby affirm that there ii a'conilrudlon IenCing aqency for the`performan<e, � . Int¢�cepto�s of the work for' which this permit i5 Iisuetl (Settion �,3087; Civ. C.) Lender's; Name � Kitch2n,Sin' ��aer: naa�es:; ever y i � � - ' OWNER BUILDER DECLARATION ' � , 1. " �' � Levetdfies . by aiflrm that 1 am'exampt from tbe�Contractor's'Licanse Law for the ; rinq reason I(Sectlon.7031.5 Bu51ne55 antl Pro/e551onal COUe: Any city or � P- y whlch requlres a OermiLto constru�t; alter ImOrova; tlemolish orrepalr ; �.ru<ture, pAor to its issuanca, also re4ulres t�e applicant Toi su<h parmit ' Ro i a slqnetl sta[ement tM1at he/she ii Iicensetl pur5uant to the'provlslons of � '"- >ntractor's IJcansa Law,(Chapter 9(tommencing!with Sectlon 7000) of � 1-' ! on 3� of tha �Business antl Protessions Coae) or that he/she is,exampt �, Sh� rom anE the, basis foI tha alle9etl eXemptlon. My,-violailod�oi Sectlon 5 by. any applicant for a permit zuD�e<ts'the � applicant to a' civil • y o! not more Ihan five hunCreC tlollars (E500). '-... � ,,- • ; � Ser as �owner oY• the property or my pmployeas �with wages.as thelr zole � _ ansatlon will'tlo the work, antl� the�5«uc[ure J5 not Inlentletl or otferetl -� tle'(Sac�lon 7044; Business antl Profettlonal Gotle:'T�e;Contrac[or'S , Outlets �WaterService - � � i� � _ .. . : �' � reins' " �. � , - . ; � � s � f : • � Reinspection'Fee Sink' � - � � �y�ue Fee ., ' - , , .', MECHANICAL , ' se Law Goes not apply to.an owner ot a property wl�o builtls or ImDroves , BOiler ' �n, antl who tloe5 such work hlrtiselt/hersel( or through hiz or her own �' lyae5, provltletl that suth ImDrOvBments atB.nOt In[Gntletl of offefetl toI , DuGt - Undel Ground If, �owever, the builtling or ImOrovement is so1C Wltnin ona yeanof com- ; �n, the owner�will have the burtlan of Proving ha/sha di0 not bu110 or Im- for tne purpose of zaie��. � .�' t ' Duct - Structural . as cwner of the Oroperty, am exclus��ely contracHng wlth!Itcensetl com , - � rtsto construc[ the,prolect (Section 7044, Buslness anC Profession5 Cotle: .� " Dutt -_ Ventilatingy _ _ ..ontractor's Llcense Law does not aPPly to an ownar of Omperty who � � �� : or improves thereon, antl who contract5 for such proJects wit� a con- : Exh2ust Syst2m ❑ Multiple ❑ rc(s) Ilcense pursuant to the CoMractO� s License law): ; • , • � • im exempt untler Sectlon , B, & P; G(or this readon Fi�epl/FaCt. BIt. IC80 dh 1 Date � ' Owner - - � 1 hereby �cartiry t� � i• reatl thls apo���tion antl ztate [hab[Y Informatlon b tor ct. 1 gr e to complY w��h II <Ity antl county or � antl stale �aws ra tin o IIEin conitruc anE �ereby aut�ori; sentalives of . :c � t ent u0on [ �ove- antioned P�aG Inspectlon ou sa ' Siqnature J Date� i Drivers' Licen or 55 3� '� CMF 0865-46 rav. 12/82 Whlte - Builtling� Canary ppliwn[; Pink - Heating System & Ducting � ❑ P7 00,000 BTU � 100,000 BTl Hood or Type 1 ❑ Cano T e I I ❑ 1 Regirters ' , n9; Goltlenrotl - Assessor ❑o-ioo,000sTu �i System Repair/Alteraf 'J"1 '_'.w . . ,;_. � Reimpection Fee , ' Iswe Fee ' R I $15 S3 $15 E3 'r , "' ' • . ,_ M1_ � ._ _, - V ' :0%4',�i� ft�R��i}� J:�Il.lil �6. , _ i ' . _ . ' ' " ' . . _ . PLNG. REF. 9W /Y. �' IN � LEFT SIDE VARD PKG.SPACEjREa. STREET W�DTM SPECIAL CONDIT ic Wazher tion Pole � � Unit , ishwasher ' ! ryers ❑Gas' �Electric "- en' ' .A.U. ix[ures ' evice Boxes ' BUILDING errCi� er ^� J �I �EAR VARD (T0 P/U I W � C� . bIl�� " ; IGHTSIDE VARD : �;�'. � � PROVIDEO ^�� G� /���Q .��/i (i, /t,ay �U '" PAHK FEE�$ � I�;S,�� ' . � . �. ' � � . ECTRICA Meter � Sub Panel Sub Pole Renge rver 100 amps , ' ' •. i 0-1 HP ❑1X-8 ;y- ❑9-15 HP 016-75+ �' N awncnes� qrashCompxtor:%' � Garbage DispoSal � ' ' Generator �0=5 KW 05-15 KW ' , � • , ' Trans(ormer �15-SOKW � . - ' ' ' ' 05U � KW. . ReinsPection Fee $15 i Meter ❑up to 100 amps � Iaue Fee .' S 3 2oning APProved BY Date Applirrtion Approved By �1� /�- � � ate 7 Applintion Issued By /� U Date � ' � � SUMMARV OF FEES BUILDING PERMIT $ �� - ' SMIP . � $ !�, 31 PLAN CHECK $ - �,'SZi �� PERMIT � '. �PWMBING � $' � � ISSUANCE , $ ' :PLAN CHECK� ; $ � � � GRAOING $ ' . �ELECTRICAL ' $� , � 1 � $ � rPLAN CHECK $ ' ' • MICROFILM $ �MECHANICAI � $ TOTAL FEE; , $ � PLAN CHECK '$ � LESS � � 1 • , i ADVANCEDPC � $ ' , � FINALPEE' . $ ��� ' �CONSTRUCTION�AND;PGANNING' °• ;. <' 9 i i ,, � -v �> • �� -, e - .POOL ?A - _ _ • . - -�- �- - " ` � ' t � •Date � � -•Inspector - r - � -- � � . -. Date � lospeemr �APPROVALS . Permit# � 7 9� - �- -: , ,: `APPROVALS. ='Permit� - ,u ,�. � . �� �7'. Temporary�Electr,ical Service or�Fole :, � � j _^ �' � � "52 �-Pool & Equipment Location � ,- --- - .n`� Z; �Soil Pipe-Undrgmd:° � '� ��` ' �' ' � "� ���:' -_^°- ;53� Steel Reinforcement " - ' "��0� F-F t i ; ht B i �[-- c` -' _ • �. i � 3. Electrical Conduit Utilitv-Undrgrnd' � >; . ' � � ` � �� , 64.' forms ? : � F � � � - - � ' -,�.-r� � � � N 4�. Electrical Conduit-Undigrrid� �_` - � "'' - � ` • o ;�;,- �"55:� Electrical Boniiing� � � � � • � � � _ ' z m � - � _ 5: Steel'Reinforcement � ,; ;� `` � ; � _ ' `= > ;,, � '--` � `56.� Rough Plurimbing & Pressure�Test' � � � < < � - 6: �Elect,rical UFER Grnd.I � � '•'•� � � �; �. - � ' ��57.� APPROVALTO COVER-GUNITE- _ 6 + z 7. �Footiings � � i � o q I , F ; � [�i ' c ; .T58"� �Electrical Cqriduit-Undrorn�{. � - , � � � � - -' � 6. �Foundation � i � . � � � s �, '� •'=E , i --59. Gas Pi�pe, O, Undrgrnd Test` � , � 1 ' 9. Water Pipe-Undrgmd. � _ � � . : y � ' ' � - � � ',8p. Backwash Lines, P-Trap, � Und�grnd. ' , , + � � i� - 10. St�uctural Floor System �' _ �-� 2= � 61. APPROVAL TO DECK , � 71. �Property Sew {r Line' &�Ho,us o'ConneMion' •• , 1 : ` ; . 62. Backwash & Receptor-Final ` - : ' � 12. Sewer CaP �, , . i � , � ' %�� _ � �63. Heater, &�Vent-Final. ' - �-; ;- '�. , - i i . �. 13.�Roof;Drains � i i ' � "�; � ; i � �-; �''64. Plumbing.SYstem-Final'. . _' ' '. �`� F 14. �Rough Plumbing' � � ! --- � � ' " � °65. Electrical-Final ' � -- � � � � � 0 � ;�'15-Rough Elec�tiical-Conduit�--T"- _�' ;'1 - � � "-• -' --;` `-f � -�66.� Solar Sys'tem-Final - ' - � � �`- - � ' a �`_16. Rough-Ele mric Wir�ing_ ,, � E , !i ,� � ? �''�:-J' • � � %: �' �67. Fencirig & Access Approyal ,. . - � � , �' w'17. ��RougFi'Wiring'Signn - r � ; � '" � . ; �: � � _ . . � � . .. -: xs. . . . i , � t� , �! � _ � � � : j < - I �•' APPROVED FOR PLASTERING '-� ¢ 78.�RougN�Electri`cal_7�Ba%Ceiling' �. �i � � � r;;' _ � 69.I POOUSPASYSTEMSFINAL � , . � . ' r�� -� � t: I��1"I � ;: y 79.�Rough,Heating &�Air Conditioning �I � � `1.'_ � � � t � � I � �FIRE DEPT.,REQUIREMENT - ' --_ � � 20:'�Rough��Factory Fireplace I '. '� �f � � � ; � � APPROVALS� � Permit # ' . � , i z `21. �Ducfs �in St�ucture� '! i � ,. � � � ' � �70.� Underground Hydro � � ' i • � ���,22. �Ducts, Ventilaiing `: '.� '. ; � �� � � � i � i j 77.� product Piping � Gas ❑ Oil � � ' z;{23.;Gas Pipe-Rough & Test c I j �;' �! � � I� j' '7y,� Underground Flush � � � i�-24.' Roof F�aming- ' ; i } I � ��� �; � � � : { r � �� � �� �. w � � � :� I o iZ3 � Undergrrid. Storage Tank ,O Gas ❑ Oil ' ; �, 25. Roof Sheatfiing ' ! � I �:n � I '��a � ,�+ I ' �q � Overhead Hydro � �• = +-26 ,T-Bar Ceiling IStructuraq� & Monocoaf � � � - � �,' ' ` � � � 75: Dry Chemical ` . � . : f-27. �.Frame and �Flashing � . + � ,� � �,, a� c� �� 5 � �76.' Dry Standpipe j � . � a�28.;Cathing&Siding � �, '� � 1� � j � � � -. � i � f77: FIXEDSYSTEM�FINAL . � � � a _ �� 29, � Insulation _ ': ; ''� � � I ' �• � � � � j 178: FIRE PREV. FINAL ' °o ��30.;DrywallNailing :.�' , � i� i� � � g,d' � - � �Notes: /0-%3-g3 ��,pkK �K � !! O�<CU ' � 31. iPlaster Brown Coat � ' � � �i 'f � � -� -�-- � i � � '- � � � - ` � � � - - � . ' _ � . ;. , , � ;� �� �32.tElectricabPower Meter-Fin�al ' `� ; _ 1 ' , � i , � � � i ' , , ' � � � I , I , 33..Final Electric ���� �� � ;� �,�. 1 �--� - ���,�, _ � ' �y_ � ..� _ �_ � . ' ' ' . � q._. , .�.... -,, . ,.. - r..._� : � . �":..-. _ _ ._, _. 1 � � . .. - � 34. Final Heating &�Air Conditioning � I I I I�� ' i 1 ! � - •� ,�r�� : x . .. � � i ,I 35. Final Gas Pipe �Test� '� f, ' ^` � ''� � ( � � ' � � - �` , , . . . . .� � _ , . . , .�,6� iy'" I�. , u ' � 'c � n, ^' e, I: � I,_ ' • I � . 36. Hood or�CarioP'v.�. _ �I � I c I: ; o j - , - _ : ' , � . . _ . . 37. Final Factory Fireplace� � L � .� � �> ;v. - � �� � � � �_ � � _ ' � - � . 38. Final Plumbi.n9 � i _, � � `' ti � � ' � � , � ' � - � ' ' - � � i 39. WaterjSer;4iae-Final� .._ I . ;v.?� .`� � � � + I � ; 1 � � � . � j I � . � - - i. �. 40. Gas Seivice-Fin'al � � �- , ; ' :. i ,. u � i .� I ' � '� 1' � i ! � i � � - „ _ � ., � � 1 41. Solar pomestiqPinal I I'- f � i � �' - _ -J .' - ' _ __ � �. �y / 42. Backflbw P,reJenter � � � ? ;�� � ' ' i � , � ! I . � . ' ' ' '`. _ I � ,�_ �-- _',-' Y _, _�_ __' _ _ _ _ __ _ _ _ - 43. Backflow�lrrigation � �P i � � ' i,ti� ; I•.-.� -j'-IJ �: ; ��� -� � � � _ - � �. �u S � 44. Lands�aPe I�rigation=SYitem � � :;� �., ' � � I, =' d t'� � ; � � '� � ! � - . . . . .. 45. Sound �Attenuation � = � % � d j� � i , _ � ' ; ; � , , ' . - . <� ' � - , i 46. Handic`ap Regulatiods I ^ � � I � " ' ' -�� " . ' , 47. FINA� STRUCT,URE,& BUILDING � � y � _ � � ' r , � 48. Special Requirements_Completed . v � � , �� _ , ' ' ' r � � -- � 49. Electric Release�to �Edisori�. � � ,4, 1.., � _ I__ � _�_ _�. , �__ _� . ,� _�.. '_ _ � . '��� , ,,, � 50. Gas Release to Southem.Califorriia Gas Co � � � , ' ' ' � J '� � ' ' � � � � , �� � i � , i I ! i I ':k�. 51. CERT,IFICATE! F,OCCUPANC '_ '� ' i^+ _ � , "'_ j."..��' ,:' ' � ; - No �' 3 Date �9� � �• �.�1 _ � . -; , � -,-� � ��e - - - � GTY OFCOSTA MESA ' , ' CONS,T�RUCTION PERMIT P �'� �I' ADV�Iwnt to tlll In all spaces except ihose within heavy borEer Ilnes antl sign all appronriate Oaclantlons. PERMIT NO. TRACT NO. LOT NO. BLD . .; ApplicanYs Mailing ddress � ' ' %oject Address �� '� ��r� Owner's Name P hone_�� Address, } Arch/Eng. � Licenm No. Address � � � Contracror's Name-,Km � • � Pho y��� ,� ' Addresslmailing) ' � '���'/�,'�x �x� ��1— � License No. ��VL LICENSED CONTRACTOR DECLARATION • I hereby a!llrm that'1' am Iicensetl untler provislons of Charter 9(<ommencin9 with sectlon 7000) of Division 3 0! t�e Businass an0 Professlons Cotle, anO my Ilcenze Is in full lorca app eitact. ,J _G , . L1cen CI 5 r.��S:O �%^ LI<ens �lfo. H� Date - �0� � Signature �X.i�l'.f�,�� - WpRKERS'COMPENSATION DECLARG�TION ' ' ereEy af/irm.Mat I.have a certiflrate a/ consenl to selbinsura or a certl/ifate Workers' Compensatlon Iniurance, or a certlfleA cOpY tnereof (SeCtlon � e800, Lab.�C,�^' 39la3�-IQ , Ir1 �55 ion Polity No. ld Company j❑"� CertiTietl�copy Is nereby furnl5hetl. �� . y� Cartltiatl t D ���e0 witli the city' uil"tl,in D is O. n Date lO���'�� AOPllwnt - _ " EXEMPTION FROM W00.KER5' COMPENSRTION DEClY1RATION (Thissectlon naetl not be com0�ete0 Ii the permit Is for one �untlretl (S30 ) or� less). • 1 certify that In,the performance oi the work for whlch this parm�t is Issuetl I snall noT amploy any permn In any manner so as to De<ome zubje<t to t�e . Workers°Compensatlon Laws of Califomla. , � � � � Oale Si9nature •'� 'NOTICE: If, after-making this tlaclaratlon, you sfioultl� become subje<t to the' Workers'; Compensation provision5 ot tha Labor Cotla, you muit (orthwltM1 comply with suc� provislons or � this' permit shall bo deame0, revoketl.. ' 'LONSTRUCTION�LENDING AGENCV 1 hereby affirm that there is a conitructlon lentling agency for the performance� of tne work for which this permit Is,IssueA.(Section 3087 Clv. 0.; LBntlar's. Name � , , LenaePs Atlareis� , OWNER BUILDER DECLARATION ' ' � ' I herebv affirm that I am exemPCfrom tne Contractor'S �Llcenze I..aw for tha �refrom anG the:ba9z /or the allegetl exemptlon.�My vlolation�of Section �31:5 by�_any applicant for a permlYsub7ects the appliwnt to a civll �enalty ot not more than (ive huntl�ea Collars (5500). I, as,owner of�the.property or my employeei,witn wages as their sole ' comoensatibn will Go the woik, an0 Ihe'st�uctu�e Iz nol IntenAeE o� offe�etl ' for sale�(SecEion 7044, Business antl Profeuional Cotle: The ConVactor'S IJcense Law tloes not aDPly to an owner o! a proparty who builtls or improvas thereon, ana who,Coes:such work nimself/henelf or through his or hor own � emploY�s, proviEeC Ihat such Improvamants are not Inlantlad or offarotl for sale, If, howaver, the Gulltling or improvement is soltl wlthin one year o/ com- pletlon, t0e owner�wlll have the burtlen of proving he/sbe tlitl not bulltl or Im- - ....,,,. �... roa ���.��<n nt :ain�_ ' . , U 1 am exempt i Date -I: hereby cartity information Is c< ana'state laws n 5¢ntativ¢s of'th Inspection our Slgnature � �rlvers' �LicenSe � CMF 0865-46 rev. an owner ot property wno r suc� pro�ecls wit� a con- ise Lzwl: - B. & V. C. for [his reason — Owner._ -Phava reaE , I agree to c 3 to builtling y to ente� ` p7K3 G/�'I /3:1 ' TVPE OFCONSTHUCTION ' rIEW ADD ALTERATION REPAIR , .' ' � � O CONVERSION ❑ DEMOLISN ❑ OTHER __ ' ' DESCRIPTION OF WORK , TYPEOFPERMIT GRADING � FOUNDATION STRUCTURAL A.P.qyS ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL �PLNG. REF. qIE ' ❑ �OTHER , � ' � TO BUILDING - PRQIECT DESCRIPTION' S�. FT. � OCCUPANCY PERTV INE CONSTRUCTIOfJ TYPF VALUATION $ LEFT SIDE VARD ZON� GRADINGCV.VDS. ACHES PKG.SPACEREQ. Ramarks: ' � � STREET WIDTH ' • SPECIAI CONDITIONS: Sink cflow Preventer cflow Irtigation . Drinking FounWins Floor Drains' ' Floor-Sinks - - - � Gas Service Outlets Interceptors Kitchen Sink. �: ' ' Levatories', � � . � P-Trap - Roof DrainS � - � �_. Showers f � ' � - - Service Sink _ . � Boiler � � _ . . Duct - Under Ground ' � Exhaun System LJ Multiple Firepl/Fact.Blt.IC60•# j ; Heating System & Ducting t -i �06100,OOOBTU��100,000 � Hqod oi Type I ❑' - I • I Registers ! White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Sewer Cap Sewer Connection . Soler Collectors� Solar Piping Solar Tank ' � Swimming Pool w/Spa • Water Closet ' Water Heater � � . 'WaterService � . ' . . Reinspeetion Fee � $15 � . ' laue Fee � $ 3 iANICAL Fefrigeration System , � ❑0.100p008TU ❑100,OOOBTU System Repair/Alteration . 1 • Reinspeaion Fee i Issue Fee j � �$3 ZONE . � BUILDING �Tnnr rii flEAR YARD (TO P/ RIGHTSIDE VARD PARK FEE $ ic Washer Meter LJover 1008mps tion Pole„ � Sub Penel ' � � Unit � Sub Pole ier ' : Motors �0-1 HP ❑1iS$ 9Gas � �Electric '' , Inc.Solai �9=15 HP 01f A.U. � . Boxes � Pale Light � Sactions � � � � Switches . � Trash Compacror � . � Garbage Dispoul ' � � Generator.00-5KW �545KW � � • Transformer �75�50KW ' � ❑SU+KW ' � peinspection Fae $15 Meter ❑upto100amps ' �IaueFee � -$ 3 2onin9 APProved BY � Date Applitation Approved By Dete / � APPliotion laued BY � Date b'� ���3 , SUMMARV OF PEES " . � BUILDING PERMIT $ SMIP ' . $ � � ' ,PLAN CHECK� $ : PERMIT � � PLUMBING � $ � � �SSUANCE , ; $ . PLAN CHECK. , $ � . GRADING $ � ELECTRICAL' $ ' ' � $ ,PLAN CHECK � $ ' � MICROFILM � $ MECHANICAL � $ ' TOTALFEE� ' $, �PLAN CHECK� $ ' AD ANCED PC $ , � � . FINAL FEE, $ ' `�� "- �',yCONSTRUC710NAND.PL-ANNING, � • ; �-' c � ` '.��� PA ', � °i r � SS% ' - Date � "Inspector ' � �Date Inspector � cAPPROVALS . Permit#` � - . APPROVALS , Permit# - n�, i . . . � . . . . - � _ � �7. � emporary Electrical Service or Pole � � - � , . _ - � '52: Pool & Equipment Location " - ^ . = 2: �Soil Pipe-Undrgrrid.' . ' � � - G�fQ f�, � .� � ' �53� � Steel Reinfoicement � - : � � . �. 3_ Electrical Conduit Utilitv-Undrgrrid. ' � - '� 54. Forms = _ . � � � '. s `s 4'. Electrical Conduit-Undrgrnd. � - - 55. Electrical Bonding . , � � - �5: Steel Reinforcement . � �� � � • . ' 56. Rough Plumbing & Pressure Test � - -. - 6: �Electrical UFER Gmd. u_ ;,�. , '� _ � 57. APPROVALTO COVER--GUNITE� - 7. Footings , � � ��58: ElectricalCpnduit_U�dror�ri. . � 8. Foundation ' � - _' ` ; ' �59. Gas Pipe, � Undrgmd., Test ' �` ' � �9. Water Pipe-Undrgrnd. � ,; .� 60. Backwash Lines, P-Trap, O fJndrgrnd. ' ' -� 70: Structural Floor System � `_ - E� �� ' 61. APP�ROVAL TO DECK 7�1; Property Sewer Line & House'Connection- : • � _ � 62. Backwash & ReceptorFinal , , . . - � 12. Sewer Cap i ., ! - i-� - � 63. Heater & Vent-Final , ; I' 13. Roof Drains � � ' , � - � . 64. Plumbing System - Final � � � - � ' a 14. �Rough Plumbing � �.- , � � �G � 65. Electrical-Final ' � � � � � ", �;, ,. 15'. RougF"Electrical=CoriduiY "� " -�- � - - - � �- - � i66. Solar System-Final ; �� "' ' � :��16.,rRough-ElectricWiring� . - . " ".,''� - . � " - �t67. Fencing & Access Approval - - " � - - ,a �� �:��77�'Ro`ugFi WiringSign. � ^ � �• � , . � � � � �g$, AppROVED FOR PLqSTERING � , � . - ��j8-. �Rough Electrical,T'Bai Ceiling , � ' . �`_ '69. POOUSPA SYSTEMS FINAL ' � . • - '�`19r Rough._Heating & Air Copditioning I - i 'FIRE DEPT. REQUIREMENT ' ,; _;�20' Rough Factory Fireplace , ' ' � � ' APPROVALS Permit � . � ;,29.'.Ducts, in Structure� ., � 70. Undeiground Hydro - � ��22. Ducts, Ventilating . � � � , �71. Product Piping �Gas ❑Oil 23.'Gas'Pipe-Rough & Test :, � i - =�1 72. Underground Flush � 24. Roof Framing � . � `; i . ' . � � � ' _ - '73. Undergrnd. Storage Tank � Gas ❑ Oil ' . . 25_._ Roof Sheathing •• . � � - 74. Overhead Hydro . ' 26. T-Bar Ceiling (Structural�, &'Monocoat � � � � , 75: Dry Chemical � . 27. Freme and Flashing � ' 76r Dry Standpipe � �' 28. Lathing & $iding�, , ; , ' , ,77. FIXED SYSTEM FINAL '- u � 29.!`.Insulation: • ' � � 78. FIRE PREV. FINAL � � � '-30. Orywall Nailing I , � ' � • � � � Notes: � � , - "�.31. Plaster Brown Coat i ' � � � �32.:Electrical'Power MeterFinal � � � � � � �: ' � � 33.'Final Electric ' � � , 34. Final Heating & Air Conditioning ' � � . 35. Final Gas Pipe=7est - � . � � � ' , ' � � � 36. Hood �or,CanoP4 - - ' , � �: � - . - , ` . � . 37. Final Factor,y Fireplace�, , � .� � � � 38. Final Plumbing� � - 3��j�� � 39. WaterService-Final � '. ' � � ' �. ' , : 40. Gas Service-Fingl � . , � t . 41. Solar pomestioFinal � � : � ' ' � - 42. Backflow Preventei m i ' ' ' ' ' ' ' ' ' . � 43. Backflow Irrigation - � , � _ . - _ - , i �-� , i � 44. Landscape Irriyation:System� ; � ' �. - -�' ' . � - -� ' � � i . � . . � 45. Sound�Attenuation„ ' ' � , � � . . . ' _ -n , ; . , , . . . ' 46. Handicap Regulafions. � � . � : , , � . � „ � ' _ 47. FINAL STRUCTURE & BUILDING ' � � ' ' ' , . � 48. Special Requirements �Completed � � � ' ' � � � , � � � i � , 49. Electric Release to�Edison � . � � � �� ' � ' , ' _ � • ' I � � . , -- - - - -� � 50. Gas Release to Southem California Gas Co ! , � • _ - r i � 51. CERT.IFICATE F OCCUPA3 , r_ '� o� ' _ . . � . . ' � , . ' , No Date 0 e � � ApO���nt ta /ill in all spaces eacept [hose wllnin neary Dortler Iinas anE sign a1l aov�ooriate Geclantlans. ' CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BL . ' � ^ ' ' CONSTRUCTION PERMIT � /i� — �S� � ' � � ' �- , AppliCBnt's Melling AdId1fe55 ' ! e T�(PE OF CONSTRUCTION NEW AD� ALTERATION �REPAIR . . . - , ' �jy�iJ �,I � � `;� ';�_ � ' '���� � �; PrOject Addreu 7�`� W1Ylg$f.e � - ' ' � ❑ CONVERSION �❑ DEMOLISH ❑ OTHER ' �� ., �' � � ' , � ' . � , m.D. �Janes'Go• -ohOn2 DESCRIPTIONOFWORK �]ef.%1� f��T�P.r3CP � . Owner's Name _ - , . , , r � - � � ING S " � Add�2ss. 7VPE�OFPERMIT- GRADING• FOUNDATiON STRUCTURAL � A.P.3W ZONE ' �' � W ' AtChlEng. " ' ' �' � Lit8��N0. . � ❑�TENANT ❑;ELECTRICAL, ❑�PLUMBING �MECHANICAL t PLNG.REF.SW . . � BUILDING ' , ' - . . Addfess � - � ' � - - ' ❑ �OTHER � � � � � � TO BUILDING -�� ' ' � CAntieCtOf=S Nem�na`� 'Fl rPB�'_.ohone 63q_1820 PRQIECT DESCRIPTION SQ. FT.' OCCVPANCV �" ' PR PE V I E REAR VARD (TO P/U � � CONSTRUGTIONTVPE VA�UATION$ .�EFTSIDE VARD '' RIGHTS�DE VARD - - Addreulmailingll(1R(1�/ N Rata��ia��9N.(lranoa Q'3/iii'l . . ' License No. 16;�OB . 20N� GRADINGCU.VOS. ACREs PKG.SPACEREQ. PROVIDED �. . 1 LICENSED CONTRACTOR OECLARATION Remarks: _ —� • STREET WIDTM , � PARK FEE $ '' ' I'nereDy affirm that I am Iicensetl untler provlslons o! Charter 9(commencin9 � _ _ . � . wlth sectlon 7000) of DIvISIon 3; of the Buslness antl Profesilons Cotle, antl ) . . . , , , , j � , SPECIAL CONDITIONS: ' � � � � my Ilcense+ls In tull /or e antl;ettect. i ' 1 � ' ' � � � � , � � � , � . tJcenseClass — Llce�eNo.������% � � j � � ' PWMBING � � ' � , � i 1 ' ' � � "' �' _ Dato } � � Signature ' BarSink ! � � � SewerCap ' � � ' ' ELECTRICAL ' WORIC�SATION OE R TION � ' � - ' - � �areDy a(flrm tnat I nave.a.certlflWta o/ tonsent to selNniure.or.a cartlttWte. . Automatic Washer ' Meter over tOb amps '. i Workerz' Com psatlop I ura c,g qr a tertifletl copy theieot (Sectlon " Batkflow Preventer - • � Sew2/ Conn¢ctian � - � - -- - - _ _ _ _ _ . _ . _ _ _ � _ - aeoo, L.ab. C.) �1%3V��3�(;�'H . Backflowlrtigation ' $olarCollectors . Constroction,Pole SubPanel , ! 1 Policy No. y[��t��rn -- - Company Aetna ' - -' - - - 1 � - , � � , Bethtubs � ' � Solar Pi � in � Cooking Unitr � � Sub Pole � ertlfle copy Is hetl' " raby furnizheA. ' P 9 - � � '� � � Ce title c y iiletl witn the cit B tll 9 I� � Dishwasher �� - � - -Motors �0-7 HP ❑ 1 h$ ��Z.��Apv�i�ant ' � Clarifiers � � . SotarTank ' � . � � EXEMPTION FROM WORKERS' COMP NS ION DECL ATION � - � Dryers ❑Gas � OElectriC "; ,InaSolaf 0945 HP 016-15+� �� � � (Thls seclion neatl not be completetl It the per It Is �or.ona untlretl (5300) or Dishwesher � Swimming Po01 w�Spa Iess) . • ' ' • • � . . . Fan , � Microwave ' I carHty that in the performance of Me work tor wn�ch this permR Is Issuetl I� Drinking Fountains � Urinal � � � shalb not employ any person in any manner so �as �o oecome zueject to tf�e , , • � � Workers'�C omponsatlon Laws of Callfornla.l � � Floor DiainS � � . , F.A.U. ,Pole Light , , , , , , ! ' ; Water Closat � � Date �U— � � Signature � � � ' ' ' � � • � Fixtures -NOTICE:dt,-after making this�tleclaraHon, you shoUltl becoma-subjecDto-the � � Floor Sinks �. .. � . Wat2r Heate[� -- -. - � - - � _ _ � _ _ Range__ ' k Workers5 Compansatlon provisions of the Labor Code, you,must forthwith ' � ' ' ' � ' � � � � . . , � - ' tomply .with� such provlsions- or [�Is permit � spall be 'tleemetl revokeG: ' Gas SErvice' � .Outle[5 � . _Wat¢r S¢rvice ., . � � Device 8oxes � t Sign _ � CON5T0.UCTIONiLENDING'AGENCV ' � OUtlets I hereDy afflrm t�at tnere Is a conitrucllon lentling a9ency for the performance Int¢ro2pto�5 � � — �• — - � Standing Settions � ot the work for whiU- tNs; Oermlt is � Issuetl (Sect�on 3097 Civ. C.�. ' ' - Switche5 � ` l.eneer's Name _ . Kitchen Sink ' ' ' ' � Trash Compacror ' tantler'z AtlCrau - ' - i • , , Garba eDis o5al ' � ' ' OWNER BUILDER DECLARATION , ' ,� � � - ' CeVatOries. � . , 9 P ' I hereby,aHirm that I am-exemptYrom the;Contradar'S' License Law for the • - , Gene�eto� �0-5 KW �5-15 KW followlnq reason (Settian.7W1:5 BuslneSs antl Protesslonal Cotle: Any tily or P—Trap - �.� . . county whicn reqWres a permit �to cons[ruct, alter, imorove, tlemalish or mpalr � . � . , . • • any structure, prlor to Its issuance, also reqWres th0 appllcanLfor such permit ROof D�ains .. - � '� . TransfO�me� �75-50 KW � � � to file a signetl statemaut that he/sha Is Iicensetl pursuant to the provislons of ❑5U i KW' ' �tne Coneractor's Licenu Law (CnaO�er 9 (commenting with Sectlon�7000) of I � � � ' , ' � ; ,Reinspection Fee §75 �vislon,3 of tM1e BuSiness antl Pro/essions Cotle)-or that ne/sha-is enempt Show2�5 ' - . �� Reinspeciion Fee $75 ' erefrom�antl the basis for the alleged exemptlon, Any violation-of Sectlon , . . J31.5 b:.any apP��cant tor. a �— .� � . � - Meter ❑up to t00.amps Isue Fea. .'$ 3 � permit sub�ects . the applicant to a: civil � . � � - " � ' �enalty o%not more tnan nve nuntlretl tlouare (E5oo). ; • � , - . Service Sink � � ' =.:� Isue Fae � $ 3 - ' � ; � � • • � — 1. i ! , q, f Zoning Approved By Date � - � lJ I,•as�owner of tne.property or my ertiployees�wlth wa9es as thelr sole � . , . . . , , . 1 tomoensatlon wlll tlo the work, antl the structure� Is not intenaetl or offeretl - � � MECHANICAL' . � R ' ' ' � � � ' for sale (Seclion 7044, Business; an0 Professlonal Cotle:. The' Contractor's � � ' � Application Approved By � Date � Utense Law EoeS not aDV�Y to�an owner of a propeYtY �o Cuiltls or improves BOilef _ ' R2frigeration $ystem ' � ' limtion Isfued B , ��� � �' � S� � Ihereon, antl wh0 tl0¢5 such wo�k hlm5elf/he�self P/ th�ough h15 or ha� own - • APP Y : _ Ddte � emploYees, provmed that such�improvements are not Intentletl or offeretl for . ❑0.100,OOOBTU ❑100,OOOBTU sale. It, however, the bulltling or ImOrovement I5 soltl wlthin one year of com- ; Duct - Under Ground � � � ; I � SUMMARV OF FEES D�etlon, the ownerlwill �ave [ha GurAen o( proving he/she tlitl not builtl or Im- ' , i � �rove for the purpose of salej: � � i i Ducc -Stmcmrel � 5 st2m Re ai�/Alte�ation I, as owner of the proDerty, ain excluslvely con�racUng�wit�,li<ensetl con- Y P � �BUILDING PERMIT $ � SMIP � '� �$ `� � � tractorz to conseruct the proiect (Section 7044, eusi�ess ana Pro(esslons Cotla: ; Duct � Ventilating � 4_. _ � 'PLAN CHECK �� $ PERMIT � i � The Contractor's tJcense Law does not apply to an owner ot property who � ' ISSUANCE ,$ � � ' GUIIOs or Improves thereon, antl who contracts for such projects with a con- - Exhaust System ❑ Mu�tiple �� ' � PLUMBING $ � � tractor(s) Iicensa Dursuant to the Contractor's LitenSe Lawl. - ' � GRADING � �$' � ❑ I am ezempt uneer Section . _ B. & 7. C. �or this reason 1 Firepl/FaCt. BIL IC80 9� ]_ �, ' � i Q P�,N CHECK $ . - Date � - � o,wner � ' ' Heating System & Ducting . . • ' ELECTRICAI $ � ' • � $ , . I nereoy certi/y-that I nave�read�this applicaticn antl� state-tnat the above � - �p�100,000 BTU �700,0008T ;PLAN CHECK; . $ i ' MICROFILM � $� informatlon is correcL I agree to comply with all d�Y. antl county ortllnances � � • ' ' . 1 � . � antl=state laws ralatlng to builtlln construction, antl �areGy authorize repre- ' Hood or . , .MECHANICA� $, 7• oo TOTAL�,FEE, i$� sen[atives o� iz c ; o ent¢r upon the abova-mentionetl property tor TYPe � �� I. � pains eetion Fee' '� ' � � LESS ' � � , inspaction pu ose�. � r. � Cano - T e II �: I P � $15 �PLAN CHECK' $�_ �� qpVANCED PC �$! � 519natura i ' � Daie � n��3 . t ' � � ' � � � . ' Drivers' Lice se or � � i � Registers . � . Issue Fee $ 3 ' � ' ' i . PINAL FEE �$. 9. 00 _ ' " __�" _ _ '_' ' . _ . _'_— CMP 0865-46 rev. 12/82 White - Bulltling; Canary � APPlicant; Pink - Accountlng; Goltlenrotl - Asseswr � � � � � � � ' - ' - - - - - - ' ' CONSTRUCTI4N AND,PL'ANNING '� �� xi'` " ' ' : : �OL ,PA r , � �Date . Inspector � � Date Inspecmr :�APPROVALS� Permit# - - _ . � APPROVALS Permit# � 1: Temporary Electrical Service or Pole _ * ��� 52.- Pool & Equipment Location �� n - � 2. Soil Pipe-Undrgrnd. � � � . . 53."Steel Reinforcement - � � 3. Electrical Contluit Utititv-Undrgrnd: • � - _ 'S4. Forms ' ' _ � • 4. Electrical Contluit-Undrgrnd. - . , � ` t y _ _ _ , 55: Electrical Bonding � � 5: Steel Reinforcement ' • � " ' ' � - `-� � 56. Rough Plumbing & Preswre Test ' � , 6. Electrical UF�R Grnd. � r,-` "`a ' - 57., APPROVALTO COVER-GUNITE ". � 7. Footings • � �, , `- ' ;�- , ��� ' . � . 58. Electrical Cpnduit-Undrar�rl.� 8. Foundation _ � . . - _.- S ' ' " ' � - �-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. Propert'y Sewer Line &lHouse Connection' , ; -� �., �-; , �;62. Backwash & Recepfor-Final . � 12. �Sewer Cap. � , , ' . � ' ' � 63. Heater &-Vent-Final ' . � � � 13. Roof; Drains � . � � � ' � � 64. P�umbing System - Final .. 14. �Rough Plumbing' � �� � ' � � -- � 65. Electrical-Final� � • � 15. Rough ElectriCal=Conduit'i - - -' "� �� -�- ' - 66i Solar Sysfem-Final , � � � � i 6. Rough_ElectrirWiring �, ; � ' -. . � `� 67. Fencing & Access Approval . - � 17. Rough Wiring;Sign,_ � ' .' ' . 68. APPROVED FOR�PLASTERING � 18. Rough Electrical-T Bar Ceiling - -� 69. POO VSPA SYSTEMS FINAL � � 19. Rough Heating &'Air.Conditioning �� • � � � FIRE DEPT. REQUIREMENT - 2s1: flough.Factory Fireplace APPROVALS� Permit # ' 21. Ducts; in Stru�[ure� � , �; •� � � � 70. Underground Hydro . 22. Ducts, Ventilating �� ; ' ' �71. Product Piping � Gas ❑ Oil 23. Gas�Pipe-Rough & Test _� � ' �•_! , ', � � 72. Underground Flush � 24. Roof Framing ' . � , � . � 73. Undergmd. Storage Tank O Gas ❑ Oil .. 25, floof Sheathing � � ' '.-I ��i � � j � �� ' " � � `74, Overhead Hydro ' 26. T-Bar Ceiling (StructuralL &.MonocoaY ; �,'1 75. D,ry Chemical � ' 27. Frame_and-Fla'shing' �. , '`�'� �� � i � � . 76. Dry Standpipe . 28. Lathing & Siding� ' ' i! � 77. FIXED SYSTEM FINAL �, � 29. Insulation'� ''_ i ' ' . • 78. FIRE PREV. FINAL ' 30. Drywall Nailing � ' � � ' � � Notes: � 31. Plaster Brown Coat � � � � � � , � 32. ElectricafPowerMeter-Final � � , � - u �33. Final Electric � ! � � 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test ' ' ' . ' � � � - � � _ 36. Hood or�Cariopy% - . � - � � � - - � 37. Final Factory Fireplace ; i.� u L� _ , 38. Pinal Plumbing� ;' , j, ' � 39. Water Se�vice-Final , . ' � � , , � � . � � 40. Gas Service-Final � ' � ' � � � • � - � � � 41. Solar pomesticFinal � . , � _ _ . _ � � 42. Backflow P.reventer .-' , i �t . . . , . . . 43. Backflow Irriyation =" � � � - . ' ' 44. Landscape Irrigation�System� � � 45. Sound Attenuation'," � � , � �' ' ' � . � ' , 46. HandicapRegulations� � 1 � ; � ' ' - ' - . 47. FINAL STRUCTURE�& BUI�LDfNG• •- , 48. Special Require'ments Completed � ��� , � 49. Electric�Releaseto�Edison i F_ _ __ _ _ _ ._� . - . � . � . 50. Gas Release tq Southem California Gas Co � , ' � ' � � � , 51. CERTIFICATE OF OCCUPANCY . '. - . ' ' i � No • � Dat�e � � ' , i_, Applicant to fill in all spaees except those wit�in �eavy borEer lines antl si9n all aOP�opriate tleclarations. CITY OF COSTA MESA — CONSTRUCTION PERIVIIT ,. Project Address ��'6!"% YV � � � Applicant's Mailing Address � Owner's Name Ph ne q � Address Arch/Eng. License No. Address Contractor's Nam� •Phpne Addresslma'I'ng) A • ��� City License No, Fl� g-i.L LICENSED CONT0.ACTOR DECLARATION ' � I hereby affirm that I am licensetl untlar provisions o( Charler 9(commencing wlth section 7000) of Division 3 of t�e Busfness antl Protessions Code, antl my license is in full Af rce antl eftect. LJC¢I15¢ CI { �� �ICy¢lIS�`������ Date � �� 59 t q/J WORKERS' COMPENSATION DECLARATIO hereDy a(firm that I have a certificate of consent to selt-insure or a certificate ' Workers' Compensation Insuranca, or a certifie copy ther ot (Section d800, Lab. 1�� n Policy No. ����%��/�859 ' Company �Certitie0 copy is nere0y turnlshetl. , Certi ,i tl c y' f tl with the city Builq��/� ��i sion. /j Date --� A�Plicant b36✓1.I.Ail� 1..� EXEMPTION ROM WORKERS' COMPENSATION D CLARATION (This section neeG not be completetl it Ihe p¢rmit is tor one huntlretl ($100) or less) I certity thac in Ihe per�ormance oi the work tor which thi5 perm�t is�issuetl, I shall not employ any person in any manner so�as to betome subject to the Workers' Compensatlon Laws oi California. � Date Si9nature NOTICE: If,'after making this tleclaratlon, you sboultl become subject to the � Workers' Compensation provisions of the Labor Cotle, you must torthwith comply wit� sucn provisions,or this permit shall be tleemetl revoketl. CONSTBUCTION LENDWG AGENCV ' I hereby a(tirm that there isaI mnstructlon lentling agency tor [he performance of the work tor whicp/��ermit is issuetl (SecHon 3097 Civ. C.) Lentler's Name /�(�� L.entler's Atltlress � OWNER BUI�DER DECLARATION ' I hereby aftirm that I am exempt trom tM1e Contractor's License Law tor the following rea5on (Sectlon 7031.5 Business antl Prote55ional Cotle: Any city or county whfcM1 requires a permit to construct, alter, Improve, tlemolish or re0air any structure, prior to itz issuance, also requires the appllcant for such permit to file a signetl Statement tnat he/she I5 IicenSetl pur5udnt to the p�ovisions ot .the Contractor's LicenSe Law (Chapter 9(commencing with Section �000) of =;T.ivision 3 of the Business antl Professlons Cotle) or that ha/she is exempt z�1�:-eretrom antl the basis tor the allegetl exemption. Any vlolation ot Section r`is331.5 by any apP��cant for a' permit subjects the apP���ant to a civil '�$enalty ot not more than five huntlretl tlollars (E500). ❑ I;:as owner of Ihe property or my employees with wages as [heir sole compensation, will tlo the work, antl the structure is no[ Intentletl or offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner o( a property who bulltls or Improves thereon, antl who tloes such work hlmself/herself or througn hls or her own employees, provitletl that such improvements are not intentlatl or offeretl tor sale. It, however, the builtling or ImprOvement i5 soltl within on¢ year of com- pletion, the owne� will have the bu�den of p�oving he/Sh¢ tlltl nol builtl o� Im- �rove forthe purpose o(sale). I, as owner of the pro0erty, am exclusively contractin9 with licensetl con- tractorsto construclthe project (Settion 7044, Business antl Professions Cotle: The Contracto�'s License Law tloes not apply to an owner of prope�ty who builtls o� improves thereon, antl who Controtts fo� such projeGts with a con- tractor(s) license pursuant to the Contractor's License I�wJ. ❑ I am exempt untler Section B. & P. C. tor this reason Date � Owner� - I hereby certiry that I have reatl thls application antl state that the atiove intormation is correct. �I agree to comply with all city antl county ortlinances antl state lawz relating to builtlin9 construction, ana hereby authorize reDre- sentatives of thls cit -enter up the above-mentlonetl property for inspection purposes. Si9nature � Date� TVPE OF CONSTRUCTION ❑ CONVERSION ❑ DI DESCRIPTION OF WORK T,VPE OF PERMIT LJ GRADirvG ❑ TENANT ❑ ELECTRIGAL ❑ OTHER PROJECT DESCRIPTION SQ. FT.— , . .� ' ADD ALTERATION REPAIR ER _ FOUNDATIO STRUCTVRAL PWMBING �MECHANICAL CONSTRUCTIONTVPE 'VALUATION$ ZONE GRADINGCU.VDS. A( Remarkz: /� 6 Bar Sink Backflow Preventer Backflow Irrigation Bathtubs - ri�.:��e.. . Floor Sinks - Gas Service Outlets Interceptors - Ki[chen Sink ' Lavatories � P—Trap ' Roof Drains - Reinspec[ion Fee $25 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Ezhaust System ❑ Multiple ❑ Firepl/Fact. Bit ICBO # Heating System & Ducting CiS6100,000 BTU O 100,000 BT D' ' L' S o 55 � I I Reinspec[ion Fee I $25 CMF0865-46rev.7/83 White-BUIItlIng;Canary-Applitant;Pink-Accounting;�Goltlenrotl-Assessor � Showers . Service Sink' Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank� � Swimming Pool w/Spa Urinal ' Water Closet� Water Heater Water Service Issue Fee Hood or Typel ❑ Canopy Type I I ❑ ' Refrigeration System 00�100,OOOBTU ❑100,000 System Repair/Alteration Issue Fee FEES $ 3 FEE $ 3 A.P. # S Main Buildi E T Front 6 flear A C Right K Left S Ping. Ref. # Parking Req./Pr� Use of Building: Planning Notes: t. Automatic Washer Construction_Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F.A.U. Fixtures Device Baxes � Outlets � Disposal rc �0.5 KW �5-15 7198 I L'/ I "�/�" Zone Accessory Bui Park.Fees ELECTRICAL Transformer ❑ 15�50 KW � ❑50+KW ' Meter ❑up to 100amps Meter ❑over 100 amps � Sub Panel ' Motors �47 HP � i%- 8 Inc.Solar �9-15 HP �16-15+ � Microwave Pole Light Range Sign Standing Sections �.W Trash Compactor S,C_ T:. FE Z O N I N G R E � U I R E E N T �I Reinspection Fee I$ZS � �uue Fee� I $ 3 I PUBLIC SERVICES REQUIHEMENTS: . 2oning Approved By Date Application Approved By Date /1PPlidtion Issued BY �ata . O /Z � ^3 SUMMARV OF FEES . . BUILDING PERMIT $ SMIP $ � PLAN CHECK $ PERMIT � � PLUMBING $ ISSUANCE $ � PLAN CHECK $ ENERGV P.C. $ �� ELECTfiICAL . $ GRADING $ � PLAN CHECK � $ �_ MICROFILM $ � ! MECHANICAL $ �� TOTALFEE $ �_ „ PLAN CHECK $ �- � ` CONSTRUCTION AND PLANNING' � . � . POO .iPA � n1qc�� Date Inspector� AppROVALS Permit#' Date Inspector � AFPROVALS •Permit # � ' 7. Temporary Electrical Service or Pole � - 52.� Pool & Equipment Location 2: Soil Pipe-Undrgrnd. �� � .. � , 53. Steel ReinforcemenY� _ . � .' 3. Electrical Conduit Utility-Undrgrnd: = � � 54. Forms, � � ' � ' 4. Electrical Conduit-Undrgrrid. , " 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-Undrgmd. " . 8. Foundatiorl � •' . . � ' . � � �59. �Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. " . _� . 60.-Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System . - 61. �APPROVAL T.0 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 ElectricaPConduit� - ' -66. Solar System-Final 16. Rough Electric Wiring � ' - �� � 67: Fencing & Access Approval � 17. Rough Wiring Sign • . j, , '68. APPROVED FOR'PLASTERING 18. �Rough Electrical-T,Bar Ceiling � ' 69. POOUSPA SYSTEMS FINAL � ' � 19: �Rough Heating & Air,Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Faccory Fireplace' . � APPROVALS Permit # � 21. Ducts, in Structure � � � 70. Underground Hydra � 22. Ducts, Ventilating � � 71. Product Piping � Gas ❑ Oil , 23. Gas Pipe-Rough & Test � �� � � 72. Underground Flush � 24. Roof Framing � , .� �: �., 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' �� ' � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat __ " ,, 75. Dry Chemical � � 27. Frame and Flashing � ' � �; I � � 76. Dry Standpipe - � � 28. Lathing�& Siding - � . � ' �' 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. FINAL 30. Drywall Nailing �• , ' i � ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' � 79. FINAL INSPECTION � � � 32. Electrical Power Meter-Final, , , � I i 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: ', 34. Final Heating &�Air Conditioning . �?/��� �� � //- b� 35. Final Gas Pipe-Test - ' ' � ' -_ ': ' 36. Hood br Canopy . � • � � . � ' , 37. Final Factory Fireplace , , . � � . . . - - 38. Final Plum6ing �� ' � ' � � - - - . 39. Water Service-Final � � 40. Gas Service-Final ' � � 41. Solar pomestio-Final � , _ _ . _ _ . 42. Backflow Preventer ' • � � � . ' � � 43. Backflow Irrigation , r � � i , - � � 44. .Landscape Irrigation System , . . " � ' � 45. Sound Attenuation � � • � � 46. Handicap Regulations ' . � - , ' � � . 47. FINAL�STRUCTURE & BUILDIN�G � ` � r � , ' � - 48. Special Requirements Completed ' ' � � 49. Electrie Release to Edison � , - . - - . , - - � 50. Gas Release to�Southem Califomia�GasCo , � � � , " 51. CERTIFICATE OF OCCUPANCY __ � ., _ . ' _ . _ . , . No. ' � Date ' � ' , CITY OF COSTA MESA CONSTfiUCTION PERM AOP�leant to fill in all sDaees axeeDt tnoze witnin �earY PERMIT NO. TRACT NO. �— g$� � Applicant's Mailing ddr ss � ^ „ Pioject Address �^�_ G�`/^� �A�� �� // IV 1`\ � �J{��QC w n n \ Owner i Name .._..- !+O qddress \ ArcAlEng. License No. � Address � Cantrecror's Neme_ F� �PF��a �� �' � Address (m^ r^g1 � .� e( � M' � Licanse N� �'U�-U LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am Ilcensetl untler provlsions of C�arter 9(commancinq with Settlon 7000) of Dlvlsion 3 of t�e Businau an0 ROTesslons Cotla, antl my u<ense is in tuu � fe ana xect. � Ucense Class Llcense N. � N 7 Oate � Signatura WORK RS COMGENSATION DECLARATION f, ���reEy aHirm tnat I nava a cartillwte of consant to selMnsura or a certifiwte �'��oOr�Ds C o� t`��CComDanyertlfletl c�llereof (Sec lon �' t.�.. _ C _ Pollty NO. L��� � V Certj�lflIeO�coDY �s �ereby }urnlsheC. � � DataGl e��r Is Ie��vintGP IcarnitY B I��J'/� � ( I n650cuon ne9a noi oe comp�aim �r ma parm�i u �orona I�upar9a (savu7 or less�. . I certity t�at In t�e parformanca of the w Por which thii p�mR ly/sxuetl I snall not�g mploy an�y Derson In any m n so as [o becRF�ehubj$cYto ti�a Workerq�yO9fyensapoqrLaws ot Calito la� � /// ///�T NOTICE: It, after mdkinqihis tleclaration, you shoultl be2om ect to tne Workars' ComDenSaUon provlslons of tha Labor CoOe, Ye st torthwith <omO�Y with such provlsions or thii'parmlt �shall be eemetl revoke0. CONSTRUCTION.LENDING AGENCV � I nereby aftirm that there Is a constru<tion Ientling agency�for the performance� of tha work 1or whic� this permit is Izsuetl (SacUon �309T Civ. C.J Lontler's Name- - Lentler's AGOreis - OWNER BUILDER DECLARATION - ' � " I nereey aftirm tnat I am ezertipt from tha Contractor•i License Law 7or tne tt is�on a or me �euanass ana rroressions coae� or. [na[ ne sne is exemp[ '."etrom anE the basls for [M1e alle9etl exempUon: Anyylola ion'ot Sectlon :��i.�h�'1.5 Ey-any applicant for a permit subjects,the appllcant [o a civll �5"-�i�alty oi not mom than five ��untlretl tlollars ($500). �. � LI I, d5 own8r of Iha pfopBrty Of fOy BTpI0y085 with wdge5 d5 th¢Ir Sole <ompensation wili Co lhe work, antl the structure is not intentletl ar ofiereU tor sa�e (Sec�lon 7044, Bu5Ine55 antl Professlonal Cotle: The Contractor'S License taw Coes nol apPly to an owner oi a property who builds or ImOroves thereon, antl who tloai Such wOrk him581f/he�self o� t�rOUgh hI5 Or h¢r own employ eas, provitletl that such ImDrovements ara not Intentlatl or offcrutl /or sale. If, however, t�e builtling or Improvemant is soltl within one year of com- pletlon, the owner will hava tha burtlen ot proving he/she ditl not buile or Im- �raw tor [he purpo58 of sale). I, as owner o/ the property, am excluslvely contrattin9 M'��h Iicensetl con- tractorsto construct t�a projact (Se<tion 7044, Buziness antl Professlon5 Cotle: The Contractor's Licanse Law does no[ apply to an owner of proper[y who bullCs or Improvas thareon, antl who contractt for sucn oro�ects witn a con- Vactor(s) Iicense pursuant to the Contractor's License Law). ❑(am exempt untlar Section B. & P. C. for this reason Data - � Ownar ' I hereby certify that 1 have reatl this apo�itation antl state tha[ the abova infarmation is carrect. I agree to como�v with all cltY antl countv ortlinances anC if9n �II aDDroDriate tlecla�ations. TMPE OF CONSTHUCTION l�l NEW LJ ADD IJ ALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT LJ GRADING LJ FOUNDATION IJ STRVCTURAL ❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ �MEGHANICAL ❑ �OTHER � � PRQIECT DESCRIPTION 5�. FT. OCCUPANCV_ CO N ST RUCTION TV VF V A WATION $� 20N� GRADING GU. VDS. ACRES_ Ramarks: % � Preventer Irrigstian Drinking Fountains Floor Drains Gas Service � Outlets Interceptors ' ' Kitchen Sink Lavatories �' P-Trap Roof Drains Sink Boiier Duct - Untler Ground Duct - Structural Duct_ Ventila[ing � Exhaust System 0 Multiple ❑ Firepl/Fact. Blt. ICBO �k Heating System & Ducting ❑ b100,000 BTU � 100,000 BT' sentatives ot tnls � y to enter upo cne ove- nemrie0 oper y r Hood or Type I ❑ insoection ouroos . . �� Cano T e 11 � Siqnature Data Drivers' LI<enu or 55 qf Register5 , , CMF 0865-46 rav. 12/82 Whlte - Builtling; Canary - APplirant; Pink - Accounting; Goltlenrotl - Asse55or Soler Collec Solar Piping So1ar Tank Urinal Water Goset Water Heater Water Service Reinspection Fee $15 laue Fee .� a 3 iANICAL Refrigeration System ❑o-ioopooeru ❑ioo,000aru System Repair/Alteretion Reintpec[ion Fee $15 laue Fea 5 3 PLNG. REF. sW LEFT SIDE VARD PKG. SPACE RE�. ' STREET WIDTH SPECIAL CONDITIONS: � Automatit Washer Construction Pole Cooking Unit Dishwasher Dryers ❑Gas Electric Fan � F.A.U. Fixtures Device Boxes Garbage Dispoul GeneratorOO-5KW �5-75KW Transfarmer 0�5-50KW ❑5U+ KW Meter ❑upto100amps -� Zoning Approved By Ap0litation ApPraved By . Applimtion Issuad BV � u234 ::/�'/_/'?_ BUILDING ecronrr ri cr REAR VARD (TO P/U RIGHTSIDE VARD PROVIDED PARK FEE $ +:�, ,- , T� Meter LJover 100amps Sub Panel' � Sub Pole Morors OO-1 HP O1Y,$ � ' Inc.Solar �9-15HP �16-15+ Microwave Pole Light � Fiange Trash Sections � SUMMARV OF FEES BUILDING PERMIT $ SMIP � PLAN CHECK $ PERMIT PIUMBING $ • �SSUANCE� PLAN CHECK $ GRADING . ELECTRICAL $ y�.s PLANCHECK $ 1J� MICROFILM �MECHANICAL $ , TOTAL�FEE PLAN CHECK $ ' LESS . , , � ADVANCEDPC • . � FINAL FEE Fee $ ? 'CONSTRUCTION ANDtPL'pNNI G� ��', � � ;� .. : - - - -POOL. A - � -_ _ � � `•APPROVALS„ Permiti# �-�� �Dater Inspector =� ��' -- � ��Date 'inspector � : , . _ � APPROVALS � -Permit�# , i. �';9�. Semporary Electrical Serviceor,Pole , ' � ~, 'i� ' ' '52 Pool & Eguipment Location � :� ` - - - ' �' 2: Soil Pipe-Undrgrnd:; : °; �' ,,�'';: �� - . � - � - � . - . . ' 53': Steel Reintoccement - 3! Elearical Conduit Utilitv-Undrgrnd , � ' � ; _ ?' 54.� Forms � - � � - - ' � � 4' Electr.ical Conduit-Undrgrrid�:.J: �o c: o � i �- � - _ ' - -. � . �,' •,r ;: � ' - -;. [� ;N � 55:- Electrical Bonding� ` 5t Steel �Reinforcement � � ; ;�;;: . I ; '�: ;� �� ' : G' �::P. `- ! `56., Rough Plumbing & Pressure Test -�� , - � i i i i 6: Electrical UFER Grnd.j , " n ' � ' ,�' �-' . � F: `� :.57°. APPROVAC TO COVER-GUNITE � = � �L 7. Footing4 � � _ ^ ' 1 i' = • - '_` .58: Electrical:�priduit-Undramr{. � � i o_ 8. Foundation _ � � � - : _ � _ � � � . 59. Gas Pipe, �O Uridrgrnd., Test � - 9. Water PiPe ,Undrgrnd. i � ; �. _ ' _ - �� �'gp, gackwash Lines, P-Trap, O Undrgrnd. � - � 10. St�uctucal FloorSystem i ='� '; I y � I �.�� -, ''.61. APPROVP,LTO;DECK --- . � - 11. Property Sewer Line &�House�Connection�� - ' , at " � '62. �Backwash-.& Receptor-Final � - ' 12. Sewer Cap � ��,� ; � � � ' 'P� , 63. Heater,& VenbFinal . � ' 13. Roof Drains ' � � , a �' : ' � � - � ;'84. Plumbing_System - Final � ' � i • 14. Rough Plumbing • • ' - -- 65. Electricaf-Final' -- ' - ' ' " � '=15�.'Rough�Electrical=ContluiY,--'�"•; , '-��- i � � � ? 66.�Solar�System=Final'��� � � -- C " "��16. ;R'ough-Elect�ric Wiring� � � t �� .a �' _•. � �_ � ; e �-r t: �67. �F cing &�Access Approval � - - ""_ � - "'17. R'ough Winng"Sign� � . � � � � ° I � � � I 68 � APPROVED FOR PLASTERING . � '= j; 16. iRough`_Elect'rical�T,Ba� Ceiling� '� , ���: I ! '�". �' j 69.; P,OOUSPA SYSTEMS FINAL " 19. Ruu h`'Heatin & Air Con itionin� ' � ��' " ! �- I � � � 'FIRE DEPT.'REQUIREMENT � . � 9 J i 9 � C . � � �� i �'= j � � � _ � ! ' i � � � ' ^ " 20. Rough Faaory Fireplace, ( � '. I � ' i I + i APPROVALS � Permit # � . . 21. ,Ducts,'in $tructure•� � � � � � � I ' � �70. Underground Hydro � � ;�22 aDucis, Ventila�ing �� ^ � i ' � � � � � � � � y7, Product Piping OGas �Oil =�.�r23. iGas Pipe-Rough & Test c I- �,�;,' � � � � �� j , T4 J2.' Unde�grounil Flush • � � "�24. ;Roof Framing� ! � �^ ` '� � r 1� Y� � � r� �: � •, � ti �.; � -, ,73.� Undergrrid. Sto�age Tank O Gas ❑ Oil � 25. °Roof Sheathing - � ! ' �' ` , ' ! � � ; � � ' � � :' � : � �' 7q,i Overtiead Hydro � � 26. T-6ai Ceiling (Structural)�& MonocogY � � � �ti � 2 � ' 'z j � '� �75.� Dry Chemical - ' , -� i � � � �.27. Frame and �Flashing' � ' �� � , � � � �- 1 i �76. Dry Standpipe ' � � � - � i ,. 28. �Lathing & Siding� ;� ` � � �� � � ; � � � � i77. F�IXED SYSTEM'FINAL . � � 29._,Insulatiori `� - ' � �� � � � j � � � �78: FIRE PREV. FINAL � 30. �Drywall Nailing , ; r � �; � � � i � � �Notes:' � � , , ` �31. Plaster Brown Coet � � � � � :� I, I � . - -- - , - - r � - - --� - -- - . , . _ . . - . ... - - � r i � i � � � i � I � i i f � `' i.' i � d�32. Electrical Power MetervFinal � �� �� I � � � �, - i t ' _J f ; , : � p 33. iFinal Electric n� � i i 1 ' ' � V I. ,, ' . � 34. Final Heating &iAir To �ditioning ' - - � . - � �� ' , ., i 35. Final Gas Pipe-Test� '- �� � � ;:; ' �:� �r ; -' ' . -- �: ! r, � - � . �,! R7 - �c _ �. 36. Hood or �CanopY_ � � ! ;. i ::�( �� I t i i �-.I .� � � � � , � - i - . ' . . �� 37. Final Factor.y Fi eplace, � � ' y� i � � � � � ' _ � I ' � � � � -, I- � � i 38. Final F;lumbing � �� � � �. � �.. ' t � 1 � I � I I � � � �� � � - 39. Water Ser,vice-FinaP ' � � '' ! i I I ! ' � � ' i � � � � : ' � i � , - � 40. Gas Service-Final � � � ' � � � � , � � � ' ' � ' � � �n � � �o 41. Solar pomestic�Final � ' � � F . � _ �. 1__� _ _ ., _ � �-._.. I 42. Backflow Preventer ;� ; � i ' � , - -- �'_ � � � ' , � I 43. Backflow Irrigation � i ` „v '' _ - � c � - � �_ ` ,:I � ' ' - 44. LandsicaPe Ir�igation�Sy�tem � ' ' ��' j � ' : ' i - i � � ; ; . . ' ; ; � � ' - : _ . . 45. Soundi rAttenuation .' � : � : i � � _ ! i ' � '; � � ' � ' ' ` � .. �� �. . r� � i i � � ' 46. Handicap Regulatioris I r ,, � I '� i r � � � -. j ; � � "I " � .' ^ � �" . ' . - . , � ' r � .i -.1 � 47. FINAL STRUCTURE & BUILDING" ' f� � � � � � � ' � � � ' ' - . t � i � � i 48. SPecial Requirements Corr`iPleted i ' i � �.. I ., i � � . i i - � � ' � . . . 49. Electrfc Release to jEdison� � �� __� =�� , - _ ' _f, � i .� r 50. Gas Releese to Southe�n Califorriia Gas Co '. � . ' � � � i � i � � , 1 •;/� , �m� 51. CERTIFI'CATE OF OCCUPANCY � ' ' ' � ' NO '� � � ' DatE � I � I 1 � 1� �L_1_ � r��l � i- -� - i ', ' , ; � •v: . �,..�...,. -'.i _ �