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754 WINGATE BAY - Building Permits
. ADDliwnt to lill In all �paees except thosa wit�in �eavy borAar Iinaf anE slgn all approD��ata Eeclantlons. ` _ CITY OF COSTA MESA j . � pE MIT NO. TRA T NO. LOT NO. � � � ' � � CONSTRUCTION PERMIT � ; � � 7S ' �1�� S I , •7s � � � � AppliGent'fM3ilin AG�855�'� �' '. • �� � TVPEOFCONSTRUCTION- • NEw ADD ALTERATION- REPAIR ' � � � ' � I�JI'3 SI�IIGCI ' .il��u�I 'I�- %p��A��� �I - ❑ CONVERSION ❑ DEM L SH O R S ' � ' ' ' . ` i , . � � hOnC DESCRIPTION OF WORK AJ � �� � 'y � � � Owner's N� . ' - � , . .l ' . - ' 1 G E LATI NS . ' AddreSs � . /� TVPEOFPERMIT 'GRAOING� FOUNDATION STRUCTURAL ' A.P.s16 �-/ ..y ��,/ � % ZONE � ' Alch/Eng. ' '' e LiCen `� ' ❑'TENANT� O�ELECTRICAL ❑�PLUMBING ❑M CHANICAL' ' PLNG.REF.�W (��7 -t� BUILDING. -�� Addr253 � • �1 �} . � �� � J' ❑ O7HER - • - � . . . � /� � _TO BUILDING 1 COn[reCtol 6 Nem honB ' �F PROJECT DESCRIPTION, SQ. F1I, ' � OCCUPAN V P P V �NE I R VARO.ITO P/U -• � � LONSTR�ICTIONTV�F � V.- VqL ATIONS ��E�'�y� LEFTSIDE VARD GHTSIDE VARD . ' Atldrezs (mailinq) - - � � - � . c_ , " t ' � � � ' � � zoN€ �� �_ GRAOINGGU.YDS. �ACR PKG.SPACERE�, PROVIDED . / �L'4censa No. �. i � LICENSED CONTRACTOR DECUIRATION . � � Ramarks: � � � ' ' - , STREET WIDTH � � � PARK FEE § ��' . S� - 1 heraEy�affirm that I am Ilcansatl untler provislons of C�arter 9(commanGng � witn settlan 7000) o} Olvislon 3 of t�e Buslness an0 Prof855ions Cotle, and J � . _ � ' SPECIAL CONDITIONS: .� r. tItRF ^'� ��1� �' my Ilcense Is In fu11 foru ana efPoct. - -- .- ,. ucenu Class � � � � Licensa No. - � � � ' PLUMBING � ' � � " ' i` + L^' 1 " Data ' � 519�ature ' � - � � BerSink , SawerCap ' i � ELECTH�CAL � � WORKERS' COMPENSATION DECLARATION � : , I - '- - - � � � narnby aftirm that Lnam.a carttltwte m. consenC to self4niure or a.certittwte .` � Beckflow Praventer -- •- --SevuerConnection . -� . P�utomatic Washer_;. . ,Meter �over 1 W amps � a} Workers• Compansa��an Inzurance, o� a certlfletl� copy thereof (Sectlon ' -- � i � ��- , • � Construction Po�e Sub Panel ; � 3800, Lab. C.) ' � ; + • � � � � � � � Beckflow Irrigetion � � Solar Collectors . . � � ' ' ' �Icy No. ' ' company � � - Cqoking Unit � � . Sub Pole , � � � �' Certifiea capy Is hBrlby fumishoG. � � ' � , � • Bathtubs ' . Sola� Piping � ^ (,-��; � � CertlfleG CODY �S tile0 wittl [ha Nty Bulltllnq OIVISIon. , , . � , DiShwesh2t ' � MotofS 004 HP ❑1 h.8 • Da[e AOPliwnt Clerifi2r5 SolarTenk _ , EXEMPTION FROM WaRKERS' COMPENSATION DECLARATION � Dr eis ❑Gas ❑Electiit y ' � (This sectlon neatl not be completetl If the parmlt Is tor ona hwCretl (=300) or , ' Di5hw95h2t , Swirtlming Pool w/Spa � Y InaS0lar �945 HP �76d5+ � less) ' • ' ' � � Fan � . �Microwave � I tertiry,that in tha perPormanca oi the work for wnich this perm�t Is Issuea I Drinking Founteins Urinal � � . -i. s�all no[ employ any person In any manner so as to becoma subjett. to the ' - � , ' �� Workers' Compensatlon�Laws of Califomla.� � Fioor DreinS Water Goset' t . F.A.U. Pole Li9ht _ Date ' S19naturo ' i Fixtures ' � ' ' � � ' � � � NOTICE: Ii, after maK��9 ���s tlatlaration. You-shoU�tl �become subject [o t�e - -- FIOo�-Sinks - - -� W&[¢r Heat¢J �- - ' - - - - Range._ - _ _ ,. Workers' Compenuti0� Drov7Aon5 ot the Labor CoCe, you.must torMwith � -� � . i. ; . D2vice Boxes � , camply with, such Oroviilons'or'Nts, Dermlt ,shall be;UeemeO remketl. L. GaSServit2 Outlats WacerService ;,: ', �=� Si9n ' � fr CONSTRUCTION;LENDING AGENCV � � � - � OuUBtS � ' I hareby affirm that thOra Ii a construction lentling agen<y,tor tha pertormance Inte�cepto�s � • ' �^ �- . Standing Sections of the work for !LI ils. er I[ 5_ uetl (Secto 409]: Clv. CJ , - + � � • � � ' � � � Switches � Lenae�'s Name Kitchen Sink . � Trash Compactar • ' Lentler's Atltlrass t . _� ` %'� � � � - , - • • . . . Garha e Di osal ' ' � OWNER BUII.DER DEOI.ARA , � ,. � �: Lev2tOri25 . . 9 SP • I heraby atflrm [hat I am exempYfrom tha Contractor'i Ucense Law for tha � p_Tra � � ' ' • Generator �0-5 KW �5-15KW ' Tollowing reamn (SecUon'7031.5 Buslness antl ProfesSional Cotle: Any <Ry oi_ � P - • ' ,'county which requlres a parmlt to construct, alter improva; tlemolish or'repab � .. , � . Trensfo�mer � � 5�50 KW � ' � '. any structure, prlor to Its Issuance, also reqWres t�e�apPlicant:for such parmit � ROOf D�ains - " � ' � � -[o file a si9natl statement thal ha/sha is Ilcensed pursuant to the�provislons ot ' ' ; �the Contractor'S LlcenSe Law (Chapte� 9 (commancin9�with Se<tiom]000) of � - ' - � -. � ❑5U a KW . Reinspection Pee . f75� . Jivlsion�3 of tho BUS��ess'antl�Professlons Cotla)"or that he/sheJis�exemo� ' ShoVuerS � � . I ReinspectionFee ;$�6 t '�� heretrom antl Me' GaS�s for [ha allegetl exemptlon. Any_vlolatiod of Sectlon I . ' - Metfr ❑up to 100 amps ' ,Issue Fe6 ��� 3 „7031.5 by•any appli�ant for_a.permlt'subjects the applicant to a civll - �' , ' ' , ' ,. , _ •�nalty of not mora Ihan five' hunOretl tlonars (E500). •� �. i Se'rvice Sink , • � � laue Fee � I �$ 7 � I � i. +. � , Zoning APProved BY Date � LJ i, �az�owner oT th9.Property oi �my employees.with wa9es:as their sole � � � . . � � r - wmpensation wlll Co the work, an0 the structure� Is not Intentletl or offerea - _ , . MECHANICAL' � ' ppp�iption Approved By — � Date ' 'for ule�(Secfion 7044, Business'anC;Professlonal Cotle:•The'Contraccor'S � . � � � , � Litense Law tloe5 not apP�Y to an owner of a propertY `�+bo builtls or improves BOile�. , ' ' � flEfrige�etiOn Systein ' i ' ' t [hereon, an0 who tloBs'such work hlTself/�er581f Or throu9h nis or her Own � � ' � � ' ' ApplicatiOn 15SUed BY I 'DatB . employ aes, provitletl that sucn Improvements are not Intentlea or offorea for ' � ❑0.,100,OOOBSU ❑100,0008TU' - � - � sale. If, howaveq Me Uuiltling or Improvement Is soltl within one'year of com- ' Dutt - Untler Grountl � SUMMARV OF FEES � Dletion, the Ownlr will have lhe bu�tlen at p�oving nB/Sh¢ CIG not bulld Or Im- � ' ' � � L� rqve for the purpose 01 saie). � � , � - , _ , , , Duct-Structural ' ' System Repair/Alteration ' - BUILDING PERMIT $ 07� � SMIP $ . ` ' � � �I, as owner of the 0/operty, am excluslvely contracting�with Ilc¢nsetl con- . ra-torsto.construct tHe Oro)ect (SecUon 7064, Business antl arofessions Code:_ � Dutt- Ventileting, '_ . , � • ' _� __' . � 'PLAN CHECK $ � ' PERMIT � T�e Contractor's Lice�se La'M tloes not aDPry to an owner of property who - ' ISSUANCE ,$ � builtls or Improves thereon, antl who contracts for suc� projects wit� a con- Exhaust SVStCm ❑ Multiple �, � ' � 'PLUMBING � � $ � . tractor(s) Iicense pursuant to the Contractor's License Lzw)., � � � - .PLAN CHECK� $ - GRADING $ � ❑ Pam exemDl unCar Sactbn . B. S P. C. tor thb reason , FirepllFact Bh. ICBO � � ' , � �$ , .ELECTRICAL $ � ' � ' i � Date � ' Owner' � � � Heating System & Ducting � ' � � ' 1 � MICROFILM $ 1-hereby��cartlry� at� � +eatl 4hls ap0lication antl-stata mat tha abova- ❑6100,000 BTU �100,000 . � -- ,PLAN CHECK- $, � . informatlon is c rect. 9� e to tomply all dtY� antl county ortllnances � � . . i ' i � � - ; TOTAL FEE� ;$ antl state laws atln to Iltli const ct n, anA here0y authorize repre- � - � � MECHANICAC $. � � � sentatives of s �� a t upon abo e-mantioneC Droperty for � HOOd or Type I ❑ • ' Reinspection Fee � $15 � � LESS ;. ' Cano T' e II ❑� � �PLAN CHECK $' qDVANCED PC �$ InSDectlon p os . � j � ' ' . , � �• S / � Slgriature te ' � ' - , � � . DriJers• Licen or 55 #, ' ' � Registers • • I Izwe Fee , $ 3 ' � FINAL FEE � $ CMF 086546 rev. 12/82 Wb�ta - Bulltlln9: Canary - Ap nh Pink - Accounting: GOldonro0 - Assessor - _ - - - - _ . . � o�.a � -' � � ',POOL.ySPA � r ? �eONSTRUOTION�dND PLANNING � � � � � � _ , , ` - , „ � �c � <<Date - Ins ector '- - -� - � ' - �' ,�� Date -- In ector '. �r �APPROVALS ,; Permit;# ' P ',APPROVALS, Permit # _ � ., n. � , n r � - � e r� - � . r � � � � � i l: . c " ��t ; Tempor�ry�Electrical Service orpPole I F : H �' " � b : _, i `52� ;Pool & Equipment Location -'. � , ' � ^ � ! _' __ � _ � � � . � c,;, � � J' �i'" I � ', ' , . � '. .' . _ . . . . iv 2! Soil �Pipe-Undrgmdr ;� � . << � , . t , r� : I �53 Steel �Reinfo�cement �' � - , � - 3! Elect�ical-Conduit Utilitv-Undrgrnd. � s ; ` � ` '- � , �,54� Forms u:: . ' ' . • - - - . �:' � i iu . � a - . . . _ J' "' 4: Electrical Conduit-Undrgrnd;.:>:, I ` ~ ` Y; � `�= ' � 55�:. Electrical�Bondin _ - � � -`� -.-� <t: -i � i n< .n� ��..-r.e� 'i;o- 9 - _ . �7,:- . ��. ir � t 1 • � ! _ p'.:v . •, �. . '_. . . ' . . _ _5. Steel �Reinforcement . . . � � �- � , _ ` � i � i = .�'^ �'. : : 56.: Rough.Plumbing & Pressure,Test . ' ' , , _ i .t � i. i �� �6. �Electtical'�UFER �Grnd.� ' � � f" ' I � .j � 4 �, " ' �� � , -57: APPROVAL TO COVER-GUNITE - �� , , .� 7. Footings � �� ' � � � " �-�' • � ;- ' �' ' '� ` � 58� Elearicai �pnduit:Undrar��i. � , -1 � � . o_ m I.. a z . . 8. ,Foundation _� � j � � �' � � ' ; t' � ;; ' G � �_ ..� ��59. Gas'�Pipe,_0. Undigrnd.; Test • � , ' ^ �� y 9.� Water Pi�pe �Undrgrnd. � ", r z� �; � o�- ' �"60. Backwash Lines, P-Trap, 0 Undrgrnd.' _ � 10. StFuctural FloorSystem � � � i � �r � il ` ; I �� 61. APPROVAL'TODECK � � � �-. .- 11. Property Sewer�Line &�HouseConnectiom - s= � � 62. Backwash & ReceptorFinal - � 12. $ewei CaP,i "� , � I ! ' � '_ � � ;i• �'63. Heater & VenbFinal . ' ' � _ ' � � � 13. Roof Drains , !� � � : "` ; , � � • ` '64. Plumbing System.- Final � - - � 14. �Rough Rlumbi'ng" , ' � � • � � � � � � -` ••65. Electrical-Final� - � - -• • •, C - -. 15.�Rough Electrical=Conduit�; f-�-"'T`,"�+" i �''- � ,�"� !-'?- ,66.� Solai System-Final � ' � - ' -"� - - � - � ^�-16.�'Rough.,Electric Wiring� N � ;. � ' ' ,-. �' � ; ' .� �- -'j -a _ �r 67 i Fencin'g &�Access Approval - � � - � - � �'17i (RougFi Wiiirig`.$ig'n- ? ;; I ' j � I; _ ! � � °. ; ` � . ♦ � � � : �gg � APPROVED F.OR PLASTERING ' ' . _" � t8. �RoughJEleetrical-T`Ba%Ceilingj � � '- � � � � i � ' � � � 69: POOUSPA SYSTEMS FINAL ' � - � � '� 19. Rougli'Heating & Air.Conditioning � ' ' � •' � ; � �� , ' � FIRE DEPT.�REQUIREMENT ' - � � � � . � ° . i i• i ' o , - . � �20. Rough Factor'y Fireplace � . �; � � � � � ; ' � APPHOVALS , Peimit � - ., 1 I I _ j 21. ;D�ucts; in Structure� ' � ` ;j ;, � i I , i � �70. Underground Hydro . ' ' r 'c22. Ducts,�Ventilating U ;` i � '� � ; � ! � � • � 77.: Product Piping O Gas � Oil � . � ' 23. Gss�Pipe-Rough&�Test;' � ; �'r�' ��}� � � ' i� 72,. UndergrountlFlush� � � 21 i � r-� .� � i � L24. �Roof Fra'ming� l :� � ;� I j ''+ � -. � . � � , 1 , i , ' 9 ' ' 9 -. ��� : 73. Under rnd. Stora e Tank�O Gas ❑ Oil ? i 25. �Roof Sheathing : � ; ; � � ��� '• -� ; �� � � ' � '�' " I �74 f Overhead Hydro ' � _ � . ��'1�-.1•-i�: �- -i �: ,f"-26. T_Bar Ceiling (Structural�i & Monocoat � ; . , � -,", � � ;75 � Dry Chemicat � . . ` � 27. iFrame and'Flashing; _� 3 I i .�)� i'Q i 176.� Dry Standpipe o- .-, .• '� . ;; I 26. �Lathing &�Siding, ;; o " ! i �� ; I � � _ � � ,77y FIXED SYSTEM-F�INAL ' �, 29. Insulat�iori" _ ' o " � � ; 'i ' I � � � � � �7g, FIRE PREV,. FINAL � --� �� � r. 1.- � I � � I =,.'30.�Drywall Nailing ; y: I "� � � '� �! i � l� � (7 $i �Notes� ' �. , � :� � (�+/ c ' 3L �Plaster 8rown Coat ��' � ,� -�� - �-�-� - � ; i � f 0-/3 •�ir3 �c�ht.Rk G'yK w� Ll O/�. ` ' 32. �ElectricaliPower Meter=Final i, �' ' . � � - ' �� f ' : � - ' � � - -; 33. �Final Electric � � ' ' � �. �_,�._� _ �� � _ � ; J . - ' � � _ �, " � � 34. Final Heating &!Air Conditioning T'�Y ' I � � � ' i , � ` 1', 1 . L: - L 1 _ . � � . � - 1 � - .. - ( ' C n � ) ' 1 ! , . . . �' P . ; o,, � _ � � � I � - � �- ' - 35. Final Gas Pi e=Tesi 3 �� I�, ; - � � i �� �� ,�� a � i -' � i - � - � ' • - - 36. Hood or CanoPY-- * � I ; :,; � � ' a ' " � � i , , • - . . . B � : I . I : �., , 37. Final �actory Fi�eplace^ i ; oI � _ �:P �' T I , � � . • , � . . " " . - : . ', .� ' . ' � ' . 38. Final Flumbing:i i � �[�i �-�� � i � , - -_ 39. Water�Service-Final� � I �'��' � � � ' I ' � � � � ,- �I �i � . . 40. Gas Service-Final � ' � I � t. � , � � � ' � • .. - � i. • � �i i . . • i ' 41. Solar pomes'ticFinal I � � �j �i � � � ' ' , . i i i `�_ Y' �._�. �_. _ _ ' ' _ ". 42. Backfl`ow' Rreventer � � � � I � ' ' � , • : -I . �S � o�� I-- +-�- f- � -r--1�- - --` - r � ,' 7 43. Backflow�l�rigation ' i � ! � ;,_ i� - �� ; ` ' ., ' � �., ' ' . � o4.i .n i � ��� `� �'i i .. I�?.' I,•�r � , sIC. S' J� . � I 44. Landscape Irngation=SYatem � . �ii�j-, t �, �; .; I. i , _ , � ' � �. _ � � ; ' _ -�.. , 45. Soundl �Attenuation ' � ;, � � , ' � � � • ' I , . � , ' � � ' - - ' ' � . a... :c� �... Ia, I I � 46. Handicap Regulations� „ t . ;� I ' : -' �j i . I I ' , - '. - ' ' u � �� i � . i �.. I r� i _ .i 47.� FINAk STRUCTURE & BUILDING �� ": �' � 1. '� ; � i ( ' ' � �. �� � '. . � 48. Special RequiieinenfsCornpleted � � �' � � ` � I I � ' , �� _ � ��.y - , 49. Electnc Release� � � � � • . �� � , � . � . i � . � . � �to Edisqn�' ' � � � ' �' ' -, . �. r ', _ _._' ". '___. __ . ,. u i � � N�',i".,� J'.� ","r � j • '' n ' 50. Gas Release to Southern California Gas Co � � f ! ' � � I I � � ' ' � ` � , ' � ' . � < "' � i � i 51. CERTIFICATE�OFOCCUPANCV ,. �.�,; ��_' � . _ _ ;_ , i"�� � �! � I No. �, rJr'�./ � Dafe �� -- ��- - C � � - -� -' - -- - - - - ; w.. x...,,,y..--.rv�_ '.:-s.� � _ � . .. . _ _, .. ... _ . . . -_. . � ApD����< <� Till In all s0aees axee0� those CITY OF COSTA MESA � CONSTRUCTION PERM.IT antl si9n all aooroorlate Eeelarations. Applicent's Glailin Addre '��' ���X tA- I I 1 g 1 �nJ� � 'TYPE OPCONSTflUCTION EW ADD ALTERATION �- REPAIR PrOjact Address �� �N� nj �C- '��� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � - !� OwnMiN3m2 ` e� � // hOne � � DESCRIPSION,OFWORK _ �.V ����) IQ'�/I�i\� �'li � Add�ESs ---� '— .7�'PEOFPERMIT GRAOING FOVNDATION STRUCTURAL � AfChlEng. . LiCenSa ND.' ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MEGHANIGAL � '�� AddtB55:. • . �i ❑ �OTHER ••• � . _ Contracto�'<n�amo IY) I�,(��� � �-(�cno�a'��✓I'/X I�" r PRQIECT DESCRIPTION 5�. FT. � OCCUP AddleSslf^^��^9� ��' '^" I�� �rn�n i CONSTRUCTIONTVVF � VALUATION$ '1�"h.'� ���/� 20N� GRADING CU. VDS. A( License No. l IICENSED CONTRACTOR DECLARATION ' � Ramarks: �. O 1 hereby:affirm that 1 am Iicansetl under provislons of C�arter 9(commencin9 . . . , ' wit� sactlon 7000) 01 DiVislon 3 of the BuSiness anG ProtessiOnS Cotle, an0 � � � � ' my Iicenia is In full tor� a effect. ; � ucen Ci � � -�n�_Ucense N� � �-��.�%9�%- i � 1 � PLUMBING ' oate /�/.h�nature �� n . � � . WORKERS' COMPENSATION DECLARAL�ON Ber Sillk S2w¢f C9p- haraby aftirm that I have a carti(icate of-wnsent to selNnsure or a cert icate BebkflOw'Prev¢nte� Sew2� Conn2ctiOn ' Workars' Compensatlon Insurance, or a certi(letl copy thereof (Sactlon � - I.,800, Lab. c C. /� Backflow Irrigation Solar Collectors � PoIICY No. �y�.l�%r �� iln�YCo ua�v II�1�55fU11 . ... -- �Certifletl�<opy iz hefeby furnlsnea.�� ' Bathtubs � $pler Piping Certif etl co 5 Ilatl wit� the city gu Itling DIWiiOn. q , Date ip-1�� . ApPllcantlT.h YY/LL qiniMOlY/�Y EXEMPTION FROM WORKERS' COMPENSATION DE LARATION I '� (ThltSaction neeE mt �e complateC It t�e D�rmit is tor one huntlretl (E100) or - Iess). ; t ' � • 1 certlty,that In the Oer/OrmancOOf thB wOrk tOr whith thi5 D¢�T�t IS ISTUBtl I',!) shall not employ any person In any manner so as to become subject. to t�e ;'. Workers' Compen5ation Laws oi Calitornia.. � Date � �ignature � '� ' NOTICE: If, aftar making-this tleclaratlon, you s�oWG�become subject to the ' Workers' Compensallon Drovisions.of t�e Labor CoAe,.yau must.,forthwith. comO�Y •M'�t�' such provisions� or lhis 'permit shalt be tleemetl ravoketl. CON5T0.UCTION LENDING AGENCV' ' ' � I hereby aftirm tnat tbere Is a-constructlomlenOin9 a9ency for the�DerTormance o/ the .work ton which [Ns� perinit Is tssuetl -(Section 3097 Civ. CJ Lenaer's wme - � � LenGer's Aatlresz � � ° � ' OWNER'BUILDER �ECIARATION� . ' � I nereby�affirm that I am exempt from Ma Contra<tor's Licensa Law for the � following reason (SactlonJ031.5 Business antl Professlonal'Cotle: Any tlty or, ', county which requiras a permit to construtt, alter improve, Aemolish-or repair any structure, pdor to Its �ISSuance, also requires t�e aDP��cant for suth parmit to file a si9neE slatement'that he/she Is Iicensetl pursuant to the provislons of � the Contrattor'S.Llcense Law (ChaD�er 9(tommencing with Section 7000) of "vislon 3 of Ihe Business antl'Protessions Cotle)'or that he/she is eaempt . rafrom-antl Ihe DaSii for t�e a118980 exemptlon: Any violation'of Settion 31.5 by�any applicant for a�permit"subjects the;applicant to a civil enalty of not more than five, huntlretl tlollan (y500). �� i. ' � I, as owner of tha�proDerty or my ertiployees with wa9es�a5 their sole � � compensatiun wilLOo t�e work, antl the structure� Is not IntenAetl or o(teretl for sale:(Secflon 7044, Businass' antl Professional Cotle:. The' Contractor'S . License Law Coes not apply to•an owner of a pro0erty who builtls or improvas [hareon.:antl who tloes such work hlmzelf/he�self o� th�ouah hIs o� ha� own owne� ww nave ma ouraen or proving ne/sne aia noc owia or im- : purpose of sale). � = ' � ' ier of the property, am extlu5lvery contractlng�wifh I7censeU con- � rostruct lhe'project (SetUon 7044,.Buslneu antl.Prntessioni.COCe: _. :tor'S Llcense law does not apply to an owner of property who iprovas thereon, antl who contracts for such projects with a con- � ensa pursuant to the Contrac[or's License Law). � npt untler Section � B. 6 P. C. tor thls reason ' Date ` ' • Owner� � " � �I �hereby � cerpfy Ihab 1; nave reaE thiz application antl state� tha[ the abova �1 Informatlon is rorrect. I agree to comply with all Uty, antl munty ortllnances � >r Drains' . �r Sinks � - Service OutRts itchen Sink . • 3vatories � '*�� � � � -TFao� . � . . � Showers � � , Service Sink � :� ' BOIIEf , ' 1 � Duct- Under Ground ' � Duct - Struttural � . �_ Duct-yentilating_. __•._ t Exhauzt System ❑ Multiple ❑ � Firepl/Fact.8lt.ICBO# ; Heating System & Ducting � � ❑0.100,000 BTU 0100,OOOBT' antl sta[e laws ralating to Eulltling conptructlon,.antl hereby authorize reore- Hood or T B I ❑. ' sentativas of thi9 city to enter uyon the above-mentlonatl property tor � YP Inspectlon purpot05. �f//�, , � (o %,,� � � ��o T e 11 ❑ Slgnature • O Date Registers Drivers' License�or 55 � CMF0865-46rev.12/82 White-BUIItlIng;Canary-Applicant;Plnk-Accounting;GolOenrotl-Assessor Solar Tank , Swimming Pool wlSpa -� Urinal Water Closet; ' Water Heeter Water Service ' A. P. 1W �. . . . PLNG. REF, gW TO BUILDING ' PFOPERTV LINE ' LEFTSIDE VARD � PKG.SPACE REQ. STREET WIDTH Conrtruc2ion Pole Cookin9 Unit � %` i � . � Dishwasher i � � Dryers �Gas �❑Elxtric � Fan ' . Reinspection Fee � $15 I • laue Fea' a 3 � BTU 0100,OOOBTU t ' i ' � � i , Reinspection Fee• � Issue Fee ' $15 S3 A.U. ixtures �evice Boxes n�.� , ��;?i i �:,; 9 ' �REAR VARD (TO P, qIGHTSIDE VARD PROVIDED PARKI Sub Penel' ''Sub Pola � . �c.. . T: _)T '• � �. . EE $ �. emps . , , I Motdrs L10-1 HP LJ17,$ Inc.Solar �9-15HP �11 Microwave �Pole Light ' ' i 'Range_,_ . _ . .. . Switches �Trash Compactor Garbage Disposal Generaror DO-5 KW �5�15 KW � � Transformer �75�SOKW - � . • ❑5U+KW . Reinspection Fee Meter ❑up to 100 ampa Issue Fee � Zoning APProved BY � . . , Date — Application Approved 8y �1�,,�� Date — Application laued By 'r,'� � Date G � , SUMMARV OF FEES ; ' ' � BUILDING PERMIT $� � � SMIP ' ' $ PLAN CHECKI $' � ' f � PERMIT ' . ' � .PLUMBING , g d3�— . � ISSUANCE � ' $ � ;PLAN CHECK� , S � � GRADING , ; E � 'ELECTRICAL S � ' � $ ' - �PLAN CHECK' $ ' MICROFILM . $ � ' � TOTAL�FEE , $ � � iMECHANICAL � $� ' . I ; � ' � IESS ( � PLAN CHECK. S ; ADVANCED PC $• ' � � � , . � � •� FINAL FEE , $ 33 — CONSTRUCTION AND�PLANNING: =. � � � '_ � '- ` _ . ,-, ' _ ��OL �q - � _ . , : 075G�1. ?�Date Inspecto� "'- , _ Date , Inspecfor � 'APPROVALS . Permrt;# � APPROVALS--<Permit#_ • .�G ' �N. _ . _ . '� Ar Temporary Electrical Service o"r�Pole ' � � c' � = � :52.; Pool &�Eguipmenf Location ; ' � .� - � - :,` h ' '� �r ct - • � '� ^ . . r' " . _ ' _ _ _ _ . . _ , ,+. 2: �Soil Pipe-Undrgrnd:- '� � � '� . 1 � ' `���,{' . :� � � '�53_ Steel Reinfoicement ' - ; _ � , � _ , - , . � - .. - - � o . - � 3. Electrical�Condui4 Utilitv;Undrgrnd.� � - - ' • ' : 54:' Forms ; ,^; .. - - -. • � � � C C - . ' � t �_ .. _- ' �. � 1 !�. � �. . . ♦..'1'_ ; . ` 4. Electr;ical Conduit-Undrg�nd� __ � ' C t ^� ;' � �'55-Electrical.Boniiing % - . - ' '. � � - � ' S: Steel Reinforcement -� � .'" �� `- �, � �: .. - ,�.- + ' 56q Rough Plumbing & Pressure, Test �� ' ` . 6. Electrical UFER Grnd:' u ?, ` ! •, ,�; � ` • ' � 57 ; APPROVAL`TO COVER-GUNITE - 7. Footings � ; , + { ; -� ; � , _ _ . 58� Electrical.�nduit-Undromd. . _ _. 6. Foundation . - � � ' . � '�' " i :� F , '+59. Gas Pipe, O. Uridrgmdt, Test - - � • ' � , , ', : . - . - � ' 9. Water Pipe-Undrgmd. - , t - :�� ' `��60. 8ackwash: Lfnes, P-Trap, O Undrgmd. • � 10. Stiuctural F.loor System � : ° � � � � �61. APRROVAL TO DECK _ _ - ' - 11. Property Sewer Line &�House-Connection � �- %.' � 62. Backwasfi�&" ReceptorFinal_� . ' _ � 12. Sewer Cap � � � �,, .� . - � � �63. Heater & VenbFinal ��'�' � , - � 13. RoofDrains � � - �. . � • 64. Plumbing.System-,Final �-5 - � ' ��� 14. �Rough Plumbing !, ' � -•n ' ' `65. Electrical=Final` � - �� � - _ • � ' .i ; � �,�i5. IRdugh-Electrical-Conduit��� -� `",-`� -- `,� �--T�- � , -- - .. - � _ - --_ - .,�. _ .. - . - , - --- r _ � , , ; r . � 66.� Solar,SysXem-Final , . ` � 18��Rough Elearic Wiring- . i .. 1 , ' "= i �'' � �','�� _ _ � � 67. Fencing &`Access Approval ; - -� - � " - ' - "',"17. �Rou'gh Wiring Sign,: � � � �• �� ; � , _ i ' , gg. qppROVED FOR PLASTERING ' _ �1 18.� Rough.Electrical-T,Ba� Ceiling� � I ' - - �'- � � �'69.� POOL/SPA SYSTEMS FINAL � � ' . ' �� ,y 19.1�Rough'Heating &�Air�Conditioning �, � � ' ' � ' FIRE DEPT. REQUIREMENT, - - � - - � ; 20.• Rough;Factory Fireplace� � � �� � , � APPROVALS Permit # - _` 21. �Ducts,�in St'ructure ; ' ; �� � I � I 70. Underground Hydro ' � -_ ;,�22. Ducfs, VentilaYing ;� c I ,� �� �! i ' � �71.� Product Piping O Gas ❑ Oil , ' � ,23. Gas�Pipe-Rough & Test -� � �� �, � � � , '!' �72,�' Underground Fiush - i •�24. �Roof Framing� � •: j',� � 1 � � �; u ti � � �. 93.1 Undergmd.StorageTank;OGas OOiI . � f c. ; , 25. Roof Sheathing � i ,' ! � � � ^ �! � � .- � - i �' - 74.: Overhead Hydro � `' . . i � ' � - ,26. T;Bar.Ceiling (Structurall,& �Monocoat- ' ' 75. Dry Chemical -- � _ , � �.27. Frame and Flashing� 1 . � • � � , � 76. Dry Standpipe , ,� - � . ,, my,28.'Lathing&Siding� };; ��'I y� I,� I- �. 77.� FIXEDSYSTEM.FINAL �, i i � � ���29..;Insulation `- � `, ' .� , � � � � :75. F�RE PREV. FINAL �. . � � � 30. �Drywall Nailing y � � . � ' , � I � � � i � �Notes:, ; �� ' � , . . , ' �-- - --- - - ---- -�-- - -- . _- -- - ._ � 31. ,Plaster �Brown Coat ; � �; . � � ' ' � ' � . � . � . � � . ..� �, . , , '. , . i . . . , , , . . . . , , �� 32..Electrical Power Meter,-Final , • � • � , , -. 33. �Final Electric � � � �� � � � ' ' � 1 ' ' � � -' -' � 34. final Heating &,Air Cond �tioning � , ', ' ' ' � ' ' ' ' - 35. Final Gas Pipe-Te'st � �, . �; " �. - I z ��- j ' �� � � � ' � . .-. � - • - - i- o. 36. Hood or rCanoPY.' �. I � ' ' ' • � - � . - . . . . . � _ - �� '�_ 37. Final Factory�Fireplace�' �'i' ''� ' i �� .. � i � ' � . . �� �" 1 _ � � ` - 38. FinalP.lumbingl , i I' �i �� 3I;1I�"�� �: i ,� ��` � �. 39. Water �Service-Fi.nal� � � I � � � � � � ' j � . ' ' . � � i � 40. Gas Service-Final � ' , � � ' � i � ' � � , 41. Solar pomes,tic-Final � � j ` i � ��, . __ , . -i '/ . 42. Backflow, Pceventer . � � , : � � ' . � . � � I �•r; A� � I � x � F I � -� - ' �"'y-- 'r- - r- - -- ' ' 43. Backflow Irriga4ion ;- ! � _ ; , : � o � ' - . ' . ' ' � .� 44. Landscape Irrigation System � � � - � ' ` ' � . ' - � - - - _ - I � 45. Sound Attenuatiori ` ' 1 � � - - ' � � �.� ` , . , , ' - - , , . �.,; i,. i I � - I i .. 46. Handicap Regulations i ' �� ( � � ��_ � -' � , � � ' � � ' � • .. �� „ , '. ' 47. FINA4 STRUCTURE & B,UILDING �; r � � � I - ` ' � ' � 48. Special RequirementsCompleted , � � � !� � , ' ' � - . >' . � � . :, , . 49. Electric Release,to Edison� � � _ _, _ � � � M .�_ :. i � i_ ; _ _ _ _ .. � ' � ; i � „ -� , -i- i � . . 50. Gas Release to Souihem California Gas Co � � � , � , , , ' � , � � � i' 51. CERTIFICATE'OFOGCUPANCY 1 � __ ' �. •, � � -}'- � �--� -- • i , . � � � , No. � � Date �� � _� -�- = CITY OF COSTA MESA CONSTRUCTION PERMIT Appiicant to (ill In ali sDaces except those wi(hin heavy Cortler Ilnes an0 sign all aDoroDriale tleclaralions. PERMIT NO. - - TRACT NO: LOT O. BLDG. - M 9� � � 1087�-�-. � �- 'Praject Address Appiicant's Mailing Addreu J'��� Owner's Name ' Phone .M %k Address � q_ 5�% � �A-%�� y G t I Arch/Eng. - Licenu No. Addres5 ' CoMrecror's Nam hone �� Address (mailin9l ..�� City Licert�a Nn -'%i%�� LICENSED CONTRAGTOR DECLARATION � 1 h¢reby atfirm that I am licensetl untler provi5ion5 oi Charter 9(commenUng with sec[ion 7000) of Division 3 of [he Buslness antl Profe551ons Cotle, antl ' my license is in fun Po e tl effect. ,ry ��' //J� Licenze Class icense o. d-[G'7 Y7 �ate �G- � Signature � WORKERS'COMPENSATION DECLARATI � hereby affirm that I have a certificate oi consent to self-insure or a tertifiwte t Workers'.Comp¢nsation InSurdnce, Or d<¢rtltl¢tl C py thareot eCtlon 1800, l.ab � /n•/ ��J Policy No v` 0��1"/ COmpany � ❑ @ertlfietl copy Is hereby lumishetl. ppp I}kCer[if' tl C y f tl wrth the city Bv tling ' io . ,�q Date_���� APPlicanf ( EXEMPTION FROM WORKERS' COMPENSATION �CLARATION (This section neetl no[ be completetl if the permit is for, one huntlrad (E100) or iess). I ce�tity that in th¢ Performance of tbe work tOr which thi5 p¢rT�t i5 ISSuetl, 1 snall n0t employ any person in any manner so as to Eecome subjeGt [o the Workers' Compensation LawS of CalifOmid.• ' Dafe Si9nature NOTICE: Ii, afcer making this tleclaratlon, you shoultl became subject to the Worker5' Comp¢nsatlOn provisions o( [he Labor� Cotle,� y0u mUSt (Orthwith comply .with sucn provisions or this.permit snall �e tleemea revokea. CONSTRVCTION IENDING AGENCV' I hereby afflrT that there is constructlDn Ientling agency fo� tne pe�to�mance ot. the work tar whic�11Y5 _ permit Is issued (Section ,3097 Civ�. C.)� Lender'z Ndme ������� _ Lentler'S AtlBress. � OWNER BUILDER DECLARATION. . ' " ' � 's License Law tor.the a Aoned sWtement tnat ne/sne Is Iicensetl oursuant to tne the Contractor'S Licens¢ Law (Chapter 9(Comm¢nting� with 5ec[lon 7000) of .+iivision 3 of tne Business antl Profeszions Cotle) or that he/she is ezempt f``��refrom antl tne basis tor tne allegetl exemption. Any violation of Section ����31.5 by any applicani for a permit subjects the apP���an[ to a tivil nalty of not more than tive huntlretl tlo11dr5 (§500).' I, a5 owner of th¢ prOpertylo'r my ¢mpl0yee5'with wa9e5 as their sole 'COmpensation, will tlo tne work, antl the structure is not intentletl or offeretl ' for sale (Section 7044, Business and Pro(ezsional Cotle:� The. Contractor's License IWw does not apply to an ownar of a property who��uiltls or Imp�oves [hereon, antl wM10 tloes such work himself/h¢r5elf or through M1I5 0� he� own employee5, provitletl that such Improvament5 are not intentlatl or ofleretl for Sale, tl, how¢ver, th¢ builtling or iTprOv¢Tent Is soltl wlthin ona yedl O( cOm- pletion, tne owner will.have.the burtlen of proving he/she tlitl no[ builtl or Im- �rove for the purpose o( sale). I, as owner o/ the property, am excluzively contracting wi[h Iicensetl con- traccors to construc[ the project (Sectlon 7044, Buslness antl Professions Cotle: � The ConVactor'S License Lzw does not apply to an owner of property who builtlz or Improvos thereon, antl who�contracts for such projects wlt� a con- tractor(s)license pursuantto�the Contractor's License Law). ❑ I am exempt untler Section B. & P. C. fOr thi5 teason Dale ' Owner I hereby certHy that I have reatl this apv�ication antl state that the above intormation is correct. I.a9ree to comply with ali city� antl county ortlinances antl stale laws rolating to builtlin9 construction, antl hereby au[horize repre- sentatives of, this, cily to enter_upon the above-men[lonetl property for Signature '��" q Drivers' License or55 E TVPE OF CONSTRUCTION LJ NEW LJ AD� LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMO ❑/D,THER p�p # DESC0.1P710N OF WORK /�Q�'7( � S Main Bu TVPE OF PERMIT GRAOING ❑ FOUNDATION ' STRUCTV RAL T Ffont ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ �OTHEft � ' A PROJECT DESCRIPTION Sa. FT. oCCVanrv v C Right K Left� CONSTRUCTION TVPE VALUATION $ $ ZONE ' GRADING CU.YDS. '�ACRES Ping. R2f.'(k Remarks: �, _ 77 �j n l/ Parking Req. Preventer Floor Drains . Ploor Sinks ' 3as Service �Outlets Interceptors ' Kitchen Sink� - Lavatories ' P—Trap • Roof Drains � _Reinspection Fee $25 Boiler Duct- Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact.8lt. ICBO # Heating System & Ducting �`�10.100,000 BTU � 100,000 BT I I Reinspection Fee � $25� Showers . Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 � - Solar Tank � ' Swimming Pool w/Spa Urinal Water Closet � Water Heater � Water Service . A Fee Hoodor Typel ❑ Canopy Type II ❑ Refrigeration System Oo-ioo,000eTu Oioo,000 System Repair/Alteration � ' Issue Fee FEES e Use of Building: Planning Noces: All[Of118iIC Wd5h2f Construc[ion PoleSub. Cooking Unit Dishwasher • Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes � Outlets Switches Garbage Disposal Generator OP5 KW 05�7 7203 f �/ t _'/�'. 2on8 Park.Fees $ ELECTRICAL , Transformer ❑ 15-50 KW ❑ 50+KW - � Meter ❑up to 100 amps - . Meter ❑over100amps - Sub Panel Motors�0.1 HP �1'F,-8 Inc.Solar �9-15 HP 016-15+ Microwave Pole Light � Fange ' Standing Sections KW . Trash Compactor a'a Reinspection Fee � $ FEES . PUBLIC SERVICES REQUIREMENTS: Zonin9 APProved By APPlirafion APOroved By T Aoolication laued Bv —✓ / $ 3 luue Fee "o $ 3 � ' ,SUMMARY OF FEES - � BUILDINGPERMIT $ ' SMIP $ PLAN CHECK $ PERMI7 ' � PLUMBING $ ISSUANCE $ , PLANCHECK , $ ENERGV�P.C. $ � ELECTRICAL $ GRADING $ � PLANCHECK $ MICROFILM 5 � MECHANICAL $ � � TOTALFEE $ �_ PLAN CHECK $ � CMF O8G5-96 rev. 7/83 � White -.Building: Canary -APO���nt Plnk - Accounting; GOIGenrotl - Assessor . ." , . . fl CONSTRUCTION AND PLANNING POO >PA APPROVALS Permit#�.2L Date Inspector ApPROVALS Permit# Date Inspector 1. Temporary Electric8l Service or pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. _ 54. Forms 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Ptumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation • .59. Gas Pipe, � Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. � , 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Cqnnection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final � � 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Raugh Wiring Sign ' 68. APPROVED FOR PLASTERING 18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test . 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: 34. Final Heating & Air Conditionirlg � � 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 Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILpING 48. Special Requirements Completed � � - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY . - No. Date ADoliwnt to flll In all soaees axceo� ��ose wltnln naarY eoraer Ilnm antl sign a11 aDYrooriate Eaelantiom. CITY OF COSTA MESA' � , I pERM1T NO. � TRACT NO. ' LOT NO. 8 . . ' � � �h� �;_ ! � � , �- �� CONSTRUCTION PERMIT . . r � . , M - i%S L�! (o - ' ; • . � , '' . "- � Appl(tBntb Meiling Addless - . TVPE OF CONSTRUCTION NEW ADD ALTERATION � REPAI R � �' ' ' � ' ' PfOj86tAddf835 ��� W1ngd�Y'e ' ❑ CONVERSION ❑ DEMOUSN ❑ OTHER. � � . " � � OrvnBriNeme M.II.,Jariac i'.li. ohone ' DESCRIPTIONOFWORK II1P.'�:3�� -f17'P.D�A[�PF� I U I AddreSf � TVPE,OFPERMIT. ORAOING ' FOUNDATION ' STRUCTURAL . A.7rsW '20NE � . � AfChlEng. � , LICBna! No. �❑ TENANT� .❑ ELECTRICAL ❑ PLVMBING � MEGHANICAL ' ' BUIIDING: - � � - - PLNG.REF.�W, , � Addresa ' � � � � ' ❑,q7HER , TO BUILDING • i � REAR VARD (70 P/U ' COdSt -FlY'�ZACe p 39_1820 PRQIECT OESCRIPTION' Sq: F7.� OCCuanNcv � PE v i E '� ' ' Contractor.'s Nema hone - , . , - Addresf (rtlailing) � nft1,n/ N_ Ratavi a��N �(lran� . 9��6 CONSTRUCTIONTVPF VALUATION S LEFT SIDE VARD RIGHTSIDE YARD ' Licenm No. ��'6WOO • ' ZONp GRA�INGCV.VDS. ACRGc PKG.SPACERE�. ' PROVIDED . ' ' . CICENSEO CONTRACTOR DECUIHATION � Remarks: � � ; Q � $TREET WIDTM ' � ' �PARK FEE S Fhereby atfirm that 1 am IicenzeE un0er D�oWr}ons o1 Charter 9(commandng - ' with Sectlon 7000) of Dlvlslon 3 of t�e Buzlness antl RofeSSions COCe, anG � , ' ' , � , � SPECIAL CONDITIONS: i � Ty IIClOS! IT IO fUll f ru ana ettea. � - . , Ucense blass � � � enefa No����8% � • � ' � • PLUMBING ' • ' . ' , ' Date �3519natur�-+�''��I�/1 �G . . . r . . WORKERS' COMPENSATION DEOIP�T�ON I � BeI Sink $e�hel Cap : ELECTRICAL � I neroeyafflrm that 1 nave a certlflrate oi consent to s ITaniure or a<ertifit2te ' _� gg�kflow-Prevent9r � $eNEI Conn¢Ction _ . 'Automatic W85her i MetCf �over tOd amps � d Workars' Compensatlon Iniurante.•ar a certifletl coDY ��emof (Settion �;� � � ' - - - - ' ' - -- ' Construction Pole . Sub Panel: d80o, l.an. CJ ]_ .04,8 OC�.q , ' ' ! Beckflowlrngation • SolarCollectors � � ' .� � Po�t�YNo� 73 3 ��omPanY .A?tY19 _ _ _ . . � �Certl/l a coDv Ii neraby turnishea. , ' � ; Bathtubs i � � � Solar Piping � '. Cooking Uni[. � ; � , •Sub Pole . , i Cert I tl I IeE with tha cit I n I Date_ Y t�i°�T ADOIiWnI Clefifi¢�s ' � � Solar Tank ' � . � Dishwasher ;; .t � i 'Moton �0-1 HP ❑ 1'6-8 EXEMPTION FROM WONKERS' CO PE TION DEC ATION' - - DiShW35h2f ( ' Swimming Pool w/Spa . t ' Dryers-�Gas; OElectric •� ��- ��nc.SolariO9-15'HP 016-15+ ^-' �- �(T�IssecUon neetl mt Ce comD�eteA If tne permil is for on huntlreG (5300) or ' � � ' lass); � . � ' ' � ' Drinkin Fountains • � Fan i � � � • ;Microwave ' . 1 � 1 certirylthat In the performance ot tne work tor�which lhif permk Iz IssueG I t . 9 ' U�inal - { � � .�': i � S�all(not amplOy dOy pa�Son In an manner s0'ai l0 betOmO Subj9tt to the I . , � F.A.U. � � ' �POIC �i ht 1 ' worters5 ComDensatlon' Laws oi Ca�llornia. , � Floor Drains . � Water Closet � 9 Date � � ' �lynature � • ' � ' - ' , � � � Fiz[ures ' NOTICE:.11, after makinq Nis EeUarat�on, you s�oWU bacoma sub7act.to tne.. Floor Sinks _ _ Water.Heater__.' _ � �_ ' ' ' �Range ' � t ! Workerz' CompansaUon provlsions ot the Labor Cotlo, you muit fOrthwilh � ' � Device Box¢5 ' � � ' ' <omply 'wlth' such OroNslOns=or ttt�i' Darmil �Shall be Ue6meC tnvoked: � ' � GasService, � :Ou}Iqu. � �WacerService - � � ' � $i9n; � � � CONSTRUCTION � LENDING 'AGEN�`Y� ' ' ' , - • � ' " �' • . �� I hereby atflrm lhal lnere Is a.construc1�on.lenCing aqency 1or lhe Ver/ormance ' � � • Outlets , ; , 01 tha work 'for. whl<n thls perm�� is issuatl �Sectlon 3097- Civ. G.). ��' �nterceptors � '� ; �. ' � .. � Standing Sections � Leneer's, raame " � � � Kitchen Siuk � : � � � ' . � - ' . , Switches � ' ,Trash Compactor ' • � LenCer's Atlaress ' " ' � - .. . , , . - OWNER BUILOER DEC�ARATION ' . ' . '- � ' LevetOriCS, � �. � • ' . Ge�beg0 Dispoml ' . I �areby'attirm that I am�exempbfrom ina�Contractor's License Lnw tor tne� � ; P_T a. - - , .- - Generator �03 KW �5-15 KW ' lollowin9 reason�(Saction 7031.5 BuilnessanG Gro(esslonal COGe: Any city rn P a' ,; � „ - - - - " , - ' ' • counry wMch repulras a permlt_td cohstruct, altar ImDrove; tlomolish or rapalr � - � � _ , TransfOrm¢� �15�50 KW ' ' ' ' any sVucture; prlor to Its Issuance, al5c repulres l�a appllcant br sucb Oermlt ' Raof;Diains' �. • - � ,.' . ' � ' to llle a slgned statement that ne/sno Is Iicenw0 pursuant to the�provislons of' - - � '' � �5U+ KW ' ' , the Contractor's lJcansa Law.(ChaptaY 9 (commanNnq'wlth�SettlonJ000) ot ' ' ; • ' • _� ' • � � 'Reinspection Fee � � $76 Olvislon 3'ot t�e Businasz antl Professlons COGo)'or'tnat he/shn�is;ezempt Showers '� ; '- r • Reinspection'Fee $7$ ' • - aro/rom antl the Dasls for ihe alleqatl axemptlon..My �vlolatlon or SocNon • � �;. �;, , �' Meter ❑up to f00empi ' 'laue Fea' �$ 3 �31.5 by� any appllcant Por,.a pormlD subjects Tho 'appllcant to a civll •• '' enalty o} not more than /lva huntlretl tlollars (SSoo�. • . . -- � Service Sink ' , � � � Isue Fea . ' • S 3 �� � - ; • - - . 'b I, ai owner of the'DrOperty or.r�Y 8m01aYeoi wlth wagos�a5 th8if 5ole � � ZoningApproved By �Date componsation wilPCo the work, ana the'structuro is not Intentla0 or offeretl • '. � � , � ' � � �MECHANICAC , � - � , ' � ' � . i ' � � ' tor salo (Se<tlon 7044', Buslness, anA vrofesslonal CoCe: Tne Contractor's � ,-„ . , - APp�ication Approved By , Deto LICOn50 Law tloes not appty to.an owne� o/ a p�ope�ty.wh0 bulltls or Improws � BOII¢Y • - ' 1.' � � RBf�iy¢�Bti00 $y5t2T � • ' ' • ' ' �� /Y� � • � . � g: � '[he�eon, anC who'tlOes suCh wo�k tfIT58H/ha�self Or t�rOUgh hls or her own � - . � APP��m��on I�UBd By _ • Deta ' omploy oes, provitletl Ihat 5uch Impravamants ara nat Intentletl or of/e�ntl lor • • ' ❑0-,100,OOOBTU ❑100,OOOBTU � � sale. If, however, the bullaing or Improvement Is soltl wlthin one year a! com- ' � DutY= Under Ground � � � • � � • , � j SUMMARV OF FEES � . Olelion, Ihe owner wlll have tha burd0� e/ proving he/she tlid not builtl or Im- '. , -� . , i • , i � i • ' �rova for tne purposa of uta . • ' • ; Duct - Structural Sy,stem Re eir/Alteretion I, as ownor o/ the O�operty, am e%C�uslvery contrattln9 wlt�'licensatl con- ' - P �BUILDING PERMIT $ i SMIP '` i$ , I trattortto construct tne project (Saction 7044, Businou ana Protessions Cotla: ' Dutt - Ventilating '• � ' ' 'PLAN CHECK, $ PERMIT � ' 'The Contractor•s LJcense L2w'does Pot aOPly'[o an ownef of p�oPerty who ' ' - . Dulltlt or Improves tnereon, antl who tontracts for sucn pro7ects wilh a con- ExheustSys(em ❑ MWtiple �� • � . 'PLUMBING $ ISSUANCE $' tractor(s) Ilcense pursuant to tne Contlactor's License Law). � - ' ' �PLAN CHECK � $ GRADING � S' ❑ I�am examOt under Sactlon , 8. L P. C. fbr this reaion �� ir2pl/Fa[L Blt. ICBO � 1 ; a; � � � - - � •ELECTRICAL i $ � ' • Date � • � � Owner, � ' � ' � ' Heating SyStem & Ducting � , ' ' - . . . I hareby .certlfy that.l have.reaE.this a olicatlon.anastate tliat the.aoove._ __, . PLAN CHECK� $ MICROFILM S: p . �0�100.00O,BTU �100.000 ' .. � Informatian Is correct. I agrea ta omPly with ali dty antl caunty ortlinances �� ' � . r : " '� ' ' rl I1I1 TOTAL FEE $ anUcstate laws relating.t buittli cpnstruction, anE �ereby authorl¢a repre- . , , MECHANICAL � $__.�_�y[— ; � � sentatives of � t i t o ente � upon the above-manllonaE property ,tor HOod or Type 1 � i � • , Rei eetion Fee � 515 - LESS � � Insoectlon pur e. ' � � � CAno . T e II �' � i PLAN CHECK � $, �- nn � Signatura ' Datel''� ZH : � � • � , � � , - � • , �, ADVANCEDPC � § � � Registen ( i • � � lave Fee � � S 3 Drivarz' LJcen ar � - - � ' i ' . FINAL FEE S' �CMFOB65-46�rev.12/82 White-BuilGing;Canary-AGG��wnt;Pink=Accbunting(Goltlenrotl-Asseisor- '" " "" '- " - '- --- ""-' � - - � - ^ •- ---�- - -- � • -. � - - -- . _ _., � �� � ' CONSTRUC710N AND PLANNING " o-' � ��' -. ='':. . ; � _ � - : , POOL, �A �. _ ;, , � ' , - '•� ' ` ' _ � - � cDate Inspector _ > - - � .. Date ' 1 nspecwr i , °. RCPROVAL'S - Permit �h -� - ' APPROVdLS� " - P.eimit # A. .J - ..� � - - - -- ":i_ Tempor-ary. Electrical Service onPole � �+:' ° c . "' ' �'S2.�Pool &"Equipment l.ocation. • -� .,,, . � - ��2.�Soil'Pipe-Undrgrnd_ ` �-S- � i� .`- >' ���� �'53-Steel�Rei,nforcement • ,.. . - ?' I � �3. �Electiical CAnduit Utilitv;Undrgrndl . ' _ - � , ' .'c54: �Forms,q� -. , � �. � _ .�'• I � 1� :i r4. �Electrical Cpnduit-Undigrnd.: ��, ' � - � � �' � �55. ;Electrical Bonding'" - � • -- - rT r - ri : � ` � ' 1 L .. i . � �, a . � � �' c �5. �Steel: Reinforcement ;� ; - ! �� { ; � ' = = ' �56, pRough Plumbing & Pressure Test�� . � i 6. ElectricalUFER,Gmdt �x;,_ ," �'� � �:� � - 57.:;APPROVQLTOCOVER-GUNITE. .� ' � .J _ ;F _. ,_ _ , - `' � . .. 7. Pooting's � . , �� .� ;.t, � . ���_ - :.58. ElectricalConduit-Undrom'ri.' ' ' � _,.; S.jFouridation � � {'�-.� ,� ��'�� -� � �59.��GasPipe;'O�Undigmd.,Test . - . � -� 9.4Watei Pipe�Undrgrnd. ` � o,- ` - . �� -;60. Backwash'Lines; P-Trap, O Undrgrnd: � ' �I i tO.�Structural Floor1Sy,steFn ' �� S � ' y, _ `61.;APPROVALTO�DECK �° • � - _ � 11. �Property Sewer Line &' House�Connec[ion e � � � �62, �8ackwash�& ReceptorFinal J- , - � � 12.�Sewer Cap� � . � � ` � � � � �. _ i � '63. Heater &�Vent•Final ' " 1 � 13.'Roof Drairis „ ' , - � � �� -. "64, ��plumbing System - Final � , � - ' ' � 14. �Rough Plumbing' � � ' . s- � � � _ � 65. Electrical-FinaF � � � � ' • � =T5:�Rough�Electricat=Conduit i "'�-�",- �"�-- �'��-' "-' ': -- �66( SolaySystem-Finaf� - � � " - " � " - �;�16. Rough�ElectricWiiing , i - � �� ��',- �s i-� ' � j= i: " 67� �Fencing�&AccessADPioval :-�" -• � - ' - r �� � ,s17.?Rough Wiring,Siyn: ,� :; I � � , :; j � "_ E ` � �� ;gg• 'qpppOVED FOR PLASTERING ' - - �i6. RougFiElecfrical-7�BarCeiling � � �'. , ' '�" ' - �� �69� �POOUSPASYBTEMSFINA� � " _ �. 19.�RougFi;Heating & Air�Conditioning , � , � `, � ' � � , i � FIRE,DEPT. REQUIREMENT . " _ _' �O.�Rou9h Fac[ory Fireplace � � � � ' ' APPROVALS : Permit# • � ' ,. I � � � 21.''Duqts,�in,Structure� ` � � 1 • ( ! � � � � �70; Undergrourid Hydro � ' � �22.'Ducts„Ventilating� , , � ' � � � � � �71i Product�Piping�Gas ❑Oi� F 23.�Gas Pipe-�Rough & Test� �' - � , ; , � � ' 72: Underground Flush � ` � �24:�Roof Framing , � � � � �.. � ., I���-•� - � �73. Undergrnd.Storage.Tank,�Gas;OOii - � •� 25.�Roof Sheathin9 �� � �', ,'`i':;� �. ':- � �� ` �d -`�-'� �� �74�. Overhead Hydro � - ` -�26.�T-Bsr Ceiling'(Structural)i'&, Monocoat� j ; � ;. � � i � � - �� 75. Dry Chemical i - - - ,27.��Frame�and-Flashing � � � � �' ' ; I `-' � ' � � , 76: Diy StandDiPe - - ' ' `28. � Lathing & $iding �� . i � j i�. � i � � �' I i i � 77; FIXED�SYSTEM FINAL �� ' . � 29.� fnsulation,' �� ;"^ I ' �i i I i � i � , i 78. F�IRE PREV. FINAL ' � ' r . �30.rDrywall Nailing ' � " f � I � � � � � � � Notes i • � � ' � � �'31 � Plaster Brown Coat � � , � ' � i� �-- � � i -- - � � � - � -� -�--�_ . -� --I , - - - , - • � ' - , � ! � � '32.� Electrical Power MeterFinal ' � 1 � � � � ' � � ' � � '. . � , � �. . � � 33.; Final Electric ; � . ' � ' � � � � � � � � . � �- - �----�._.-�-- -�• ---d_•, .�_�._�-'_^_�--"-� '^..�--�, �..'. �._�. ..(. 34. Final;Heating�&��Air Conditioning � ; � � � � ' � � � � ' � - � L i i � I 35. Final �Ga.s Pi e-Te`st � � � `' ^i � �' � _ t � � �r � • ` � � -° � , . - � - � � P �{ - �' I I� �I.. �' 36. Hood�orj�CanoPY � I � i � J ' f - � : �� : I � � J � � � ' ' � _ � . � " � � . . � �_ � . �- ' � , � , > � • � �, _ . . • , . 37. Final�Factory'Fiieplace� � . . � l���j�y' :(�� � � � . ' � c �. � _ I ' ' - 38. Final!Piumb�ng� � i �' �� I � . � ! i � ' ' � , . 39. Water'Se�vice-Final � . ', � � { � 1 , I f � �` �`� � � � ,. � 40. Gas Seniice-Final � ', ' � �' ' � � � , _ ' � � ' ' 41. Solar pomestic-Final i ' I ' !, .-- -�- � 1 -'_ .1 ---� = - - . � � , 42. Backflow P�eventei � � i � + � � �--'- � _ I ' . . 43. Backflow Ir'rigation' ' � i ' ' �: � � ` = l ` '. � ;' I ; � . 44. Landscape Irrigation��System� � �!- �';; � � � ' � � ;,� . . - � 45. Sound�Attenuation ;' i � � j � � ` � I , �' - � ' . �� . �, , : , � � �. 48. Hand�icap Regulations� � ,. � � , �' �. ��' � , � � � , i � I � - -� � � ' 47.�FINALSTRUCTURE�& BUILDING� � ' ��- • ' , � ; � � ° � � � 48. Special Requirements�Completed ;� � � � � _ , i , � � � , ; � . . 49. Electric�Release to� Edisori � � - . ^a �. .i � _ � _ . _ _ _ _ _ __ . � . � ' � 50. Gas Releasa�to Southem Califomia Gas Co � � � � 1 � ' � I i _ � � , 51. CERTIFICqTE OF OCCUPANCY ;_ '_._ y _ � _: _! _ __ _r _! . 1 ` i � ' No r� � �Date � ' � , t ' � , ' � � -�.,. . � ! r CIYV OF COSTA MESA � CONSTRUCTION PERMIT �roject Address � Appliwnt's Mailing Addres Owner'sName ����=�P-�RS Phone Address Arch/Eng. � License No. Addreu Contractor's Nam h � � Addreu (ma lin9) y� � City LicP�se No, c > � �-� LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensetl untler provisions of Chdr[er 9(comm¢r with section ]000) of Division 3 of the Business antl Protezslons Cotle, my license is in tull (Q� an—tl ef . �/�� License,Clas; �tc�v � Liceme oR�� Signature AVP���ant to flll in all svaces exceD� those within neavy Oortler Iinas ana sign all aoD�opriate eeelarations. WORKERS'COMR€NSATION DECIARATION � I hereby atflrm tnat I nave a certiflcate of con5ent to self-insure or ertifi<a e of Workers' Cor/pp./ensati Ins r ce, or a certityetl.copy there f(Se tion 3800, 12b. .I�1 q r� �.�- 1 � I Policy No. �+`� Company ��� J �+' C �etl copY is hereby (umishetl. Date��erti i c p is with the city ' tli D'vi i n. =(�� .4PP�icant E%EMPTION FROM WORKERS' COMP NSATION DECLARATIO (This z¢ction neetl not be completeU it the p¢rmit i5 tor one huntlretl 0) or IC55). I certify that in the performance of tne work for which this permit is issuetl I shall not employ any pe�son in any manner So a5 to becOme subject to t�a Workers' Compensation LawS of CdlifOrnia. Date $i9natu�e NOTI[E: If, atter making this tleclaration, you shoultl become subject to the Workers' ComOensation provisions of lhe Lebor Cotle, you mu5t (orthwith�- comply with Such.p�ovision5 or this pe�mi[ shall b¢ tl¢emetl �evoketl. CONSTRUCTION LENDING AGENCV � - I hereby afflrm Ihat there iz a constructlon IenOing agency tOr the pertormance of the work for which this Oermil is issueG (SecHon 309] Civ. C.) Lentler'S Name Lentler's Atlaress OWNER BUILDER DECIARATION I hereDy affirm that I am'exempt irom the Contractor'z License Law tor the following reason (Section ]031.5 Business antl Pro(eszional Cotle: Any city or wunty which requires a permit to construct, alter, ImOrove, tlemolish or repair any structure, prlor to its issuance, also requ7re5 th¢ applicant tor Suth permit to file a signetl statement that he/she is licensetl pursuant to the provisions of �t�e Contractor'S License Law (Cnapter 9(commencing with Sec[lon 7000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt � 'her¢tmm antl the basis (or the allegetl exemption. Any violatiodof Section !03L5 by any ap0���ant fo� a, permit subjectz Ihe applitan['f0 a tivil penalty oi not more than five huntlretl tlollars ($500). ❑ I, as owner of the property or my em0loyees with wages as their sole compensatlon, will tlo the work, antl the strutture is no[ intentletl or offeretl tor sale. (Section 7044, Business and Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who bulltls or Improves tnereon„ ana who tloes such work himself/herselt or throu9h his or ner own em0loyee5, provitletl that such improvemen[s are not in[entled or offeretl tor sale. It, howeveq Ihe b0iltlin9 or Improvement is soltl within one year oi com- pletion, tM1e owner will have the burtlen of Oroving he/she Eitl not builtl or im- �ove tor the purpose O( Sale). I, a5 owner of the property, am exclu5ively contracting with licensetl con- tractors to construct the project (Section 7044, Business antl Professions Cotle: The Contractor's License Law does not apply to an.owner ot pwperty who builtls o� improves theteon, antl who cont�acts fo� such oro�ects wim a con- tractor(5) license purzuant to t�e Contractor's License Ldw). ❑ I am exempt untler Section B. & P. C, for this reason Date � Owner._ I hereby certity that 1 hav¢ reatl thi5 Information is correct. I agree [o comp antl state laws relatinq to builtlim m� sentatives of�this city to enter up inspettion p d=r��¢f._ _ ���� Signature �n Drivers' Licerise or 55 � �. ' CMF 0865-46 rev. 7/83 White - Builtl that [ne above - -�''i /� $ � TVPE OFCONSTRUCTION� i� NEW U ADD LI ALTERATION LJ REVAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPT�ON OF WORK , TVPE OF PERMIT�/ LJ GRADING LJ FOUN�ATION LJ STRUCTURAL ❑ TENANT/I�J ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ •OTHER PRQIECT DESCRIPTION Sq. Fr. ocCUCArvCv_ CONSTRUGTION TYPE VALUATION $ ZONE GRADING CU. VOS. ACRES— Remarks: Bar Sink Backflow Preventer Backflow Irrigation Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets. . :itchen Sink � .avatories -Trep t0of Drains " i Reinspection Fee $25 Duct- UnderGround Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact BIL IC80 # Heating System & Ducting ❑ai oo,000 aTu � i oo,000 er ( _r--- Applicant; Pink - ACcounting; Goltlenrotl - AsSesso� Showers Service Sink Sewer Cap Sewer Connection Solar Colletrors Solar Pipin9 Solai Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Wa[er Service Isue Fee Hoodor Typel ❑ Canopy Typell ❑ Re(rigeration System ❑aioo,000eTu ❑ioo,000er System Repair/Alteration laue Fee Y 5 3 $ 3 A.P. # S Main Building: E T Front A Reer C Right " S Left Ping. Ret. # Parking Req./Provided Use of Building: Plenning NoteS: Acceuory Park. Fees $ ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction PoleSub. ' ❑ SO+KW Cooking Unit- Meter up to 100 amps Dishwasher Meter ❑over 100 amps - Dryers ❑Gas lectric � Sub Panel Fan � Motars�0.1 HP�1Y,-8 F.A.U. Inc. Solar ��9-15 HP � 16-75+ Fixtures Mittowave Device Boxes Pole Light Outlets Switches Garba9e Disposal Generator �0�5 KW �5�15 KW Sign Standing Sections Trash Compacmr � o . 2 O N I N G • R E � U R E E T I Rainspactian Fee I$25I Issue Fee � I $ 3 I PUBLIC SERVICES FEQUIREMENTS: Zoning Approved By nata Application Approved By Date Appliratian laued By ��./ Date ��� , • SUMMARV OF FEES , BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK $ � ENEFGY P.C. $ ELECTRICAL $ _��-L� GRADING $ � PLANCHECK � $ i Zi MICROFILM $ —�-�q�/�� MECHANICAL $ TOTALFEE $ s�� PLAN CHECK $ , �LTONSTRUCTION AND PLANNING � POO.L,,. SPA . hPPROVALS Permit # ��4F,� Date Inspectoi AppROVALS Permit# Date Inspector ' 1. Temporary Electrical Service or Pole " 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement .3. Electrical Conduit Utility-Undrgrnd. _ � 54. Forms � 4: Electrical Conduit-Undrgrnd: - 55. Electriral Bonding � 5� Steel Reinforcement _ � 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. - .'' 57. APPROVAL TO COVER-GUNITE 7. Footings � 56. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test 9: Waier Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor�System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12._�Sewer Cap ' 63. Heater & Vent-Final 13-'Roof Drains � 64. Plumbing.SYstem - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit ' . 66. Solar System-Final 76. Rough Electric Wiring � �� ( y�� C� � 67. Fencing & Access Approval 17. Rough Wiring Sign •, . 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • 69. POOUSPA SYSTEMS FINAL 19. Rough Heating &'Air Conditioning � � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure ' � 70. Underground Hydro ' 22, Duc[s, Ventilating 77. Product Piping O Gas O Oil 23�. Gas Pipe-Rough & Test � • 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26�. T-Bar Ceiling (Structural) & Monocoat �� 75. Dry Chemical 27. Frame and Flashing , 76. Dry Standpipe 28. Lathing & Siding� � 77. FIXED SYSTEM�FINAL 29..Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing � � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: , 34. Final Heating & Air Conditioning ' � � " ' 35. Final Gas Pipe-Test � , ' - � 36. Hood or Canopy 37. Final Factbry Fireplace ' 38. Final Plum6ing I ' • 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 qegulations � � 47. FINALSTRUCTURE&BUILDING � � 48. Special �Requirements Completed , - ' � ' 49. Electric Release to Edison � ; � , - - � � � 50. Gas �Release to Southern Califomia Gas Co � ' � - , 57. CERTIFICATE OF OCCUPANCY ' .- , � � ' � . N0. " Date � . • . : �i , ' City Jf Costa Mesa Developmen� Services Department Building Safety Division P. O- Box 1200 Costa Mesa, Cafitornia CERTIFICATE OF OCCUPANCY No. OGU��L1 The Building located at '].:n r.mv�amc arv has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-1 Occupancy. Use of Building Ct7;�DOPICiQIIJi`1 Legal Description �418-131-17 (See reversa side tor Metes and Bounds) Building Permit No. 8-7504 Electrical Permit No. F 9dR1 Plumbing Permit No. D-7tiF� Mechanical Permit No. �'�a���. �QSQ� Number of apartments and/or guest rooms iSSUED r0: BuildingOfficial �! /'� i I� M.D. JAt�]I5 QO.. IIVC'_. bY � C_. �/G/�ifrv�- 2950 AIR��Y #D-9. opsTA L�'Sa,. t'a. a`2co ( ^ �9�Y Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the � emises� d SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1o15-a6 rev, 1/83 White - Owner; Canary - Numerical File; Pink � Bldg. Permit File