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766 WINGATE BAY - Building Permits
�AOD���nt to /III Infall spaees e:eept t�ooe wNOin heavy bo!der Iines anA s19� all aYP�ooriate tleclarations; CITYOFCOSTAMESA PERMITNO.. TRACTNO. LOT O. �BL O�3.i 6/21/��.i, �3�.5=. TL CONSTRUCTION PERMIT ' D I Z � ' , ' AppliCen['S Meilin Addf2\��� ^ ' TYPE OF CONSTRUCTION � NEW ADO ALTERATION REPAIR ' - � . ' ' . : ' " � „ . \ Proj¢CtAddreu "� � ❑-CONVERSION ❑ DEMOLISH T E — � , ' ' , ' � � � ' ' DESCRIPTION OF WORK � � �� � � � Owner's Nam � ��- ho�e _ � � � i � �? , ' ' I G RE UCATI /' „ Add1255 _ � � 7VPE OF PEflM1T �'GRADING FOUNDATION STRUCTURAL P.. P. sW I • I � zONE � � � � AfCh/EnB:� � � Lp� �� O.• � _ ❑.TENANT O��ELECTRICAL ❑ PLVMBING ❑ ECHANICAL, PLNG. REF.91E, �T —�, `� ;BUILOWG �� . Addresz _ "� - _ '� ❑ �OTHER � ' . ' � . 1 ' P�O PUILDVNGNE Q � REAR VARD (TO P/U - � . 7 PROJECT DESCRIPTION' Sa. , �- V CAn[feCtof,'sNem � �' hOnB �.. - OCCUVA CV LEFTSIDEVAqD 3��HIGHTSIDEVARD� . A • •�� CONSTRUCTIO TVP VALUATION$' Addfe55lmeiltny) .41L1L1'_ ' � I !�"(� PKG.SPACE REQ. PROVIDED ZON� ' - �,'3 GRADINGCU.VDS., ACRE � � Licenu No. � � ..,✓ LICENSED CONTRACTOR DECLARATION ' � • � Rama�kf: . I -� ' � ' � � I ' , � STREET WIDTH � , � ' PARK FEE,$ � � , I. heroby atflrm that 1 am Ilcensetl untle� pravislons Of C�arter 9(commancing ' ' ' � - , , � �� with sactlon 7000) oT Divislon 3 ot the Business antl ProfesSions CoCe, antl I ' � ' i:' � � '� • ' , � ' SPECIAL CONDITIONS: � , , ��� �- Ty IlcanSe IS In full forte an0.effett. ' • ' ` � Llcense CISu � � ucense No. � � � . . � � � . PLUMB�NG � • . : . ` . : ' , � C � A ,. , l �_ , . ' . . � Date ' Signaturo � • ' � � BerSiok � � ' ' SevuerCap' � � , - - � ELECTRICAL ' � � � � 5�ORKERS' COMPENSATION DECLARATION : ' ' - - -- . - roby atttrm t�a[ 1 have a cartiflcate oi con58ntto ��finsum or a certiflrate. �. - Automatic Washer � � �Mei2f �ov2t lOb am s� ' � Workers' Campensatlon Insurance, o� a <ertifiBa�copY thereof (Sectlon BackflOwPrevente� - -� � - --SewE�CqnnEction' - - - � - - - . - - .-- _ . _ �. p� �' Construction Pole Sub Panel �;..•-'"' i v - '`:9b`o0, Lab. CJ ' f t , i � Beckftawirrigation � � Solar�Collectors ' ' � . - `��,+ I<Y Na. ' � ' ComPanY � � . '... _ . . " .. . , qCertl/lea copy Is �ereDy turnisfietl. ! 1 � � Bathtubs � � � $olar Piping � ' � • Cooking Unit ; I Su6 Pole . , , , ;� , I � �. LJ CertHietl copy Is filetl wiM the Nty Builtlln9 Divls�on. , • � • Dishwdsher ' ' MotorS �04 HP ❑ 1'h-8 '�� , � Date AOPucxnt ' ' Clarifiers � � � SolarTank � � .ibr' � EXEMPTION�FROM WORKERS' COMPENSATION DECLARATION �� � � . � . � ' � Dryefs`OGas,'�EleCtfiC ' ' �Inc.Solar'0945�HP 016-75+- " "' � ' ' � (This sectlon neaC not be complatetl If the permlt I5 for one huntlreE (S100j or ' DiShwdsh2r � i � Swimming Po01 w/Spa � less) • . . ; . — . � y Fan: �MicroWave ' "' i I certify'tha[ in the parTormnnce oT Ihe work for wh�ch thii permR Is izsuetl I Drinking FOuntains { , U�inal_ , •� . � � �� v� shall not employ any person in any manner so;as �o become subject. to t�te ; , - , , F.A.U. j � ' ' ' :Pole Light . (.} 1,,.. •� Workeri' Companmtlon Lawz ot Califomla. . ' Floor Diains! � Water Gout' • Date ' ' Signature � ' ' - � � � � - " • . . , , � . s:.i. NOTICE: If,�after making thi5 tlatlaration, you 5hou�4 becoma suCjec[ to the - , FIOOI SinkS� �- '- ��. . .' ._. _. _Wate! HEat2�� - J. ;.. . _ . _ Fixture5 , � { ,_ ; .Range :' , , .,_ �� � � Workers'. Compensation Orovislons ot the Labor COGe,youu must forthwltn ' ' ' � �, Device Boxes ; � comply with� iuch ',pravlslons' or � this ,permit 'shall be � Eeemetl rewketl.. ' G85 ServiCE j ".OUtIOts '� � 'W2tef SeiyiC2 I � ;5�9� `� 1 ' ' ' ' � CONSTRUCTION!LENDING �AGENCV I � ' � . � OUtlets ' � ' � ' ' ,�,� � i 1� ' I hereby aHirm Ihat there I5 a conitructlon lentling agency�for the� performance � ' Interoepto�s �� � -�� '� � � . � �Standing Sections � I . oi the wofk fOf whith thiS pBlM1llt ��IS ISSu¢tl �«�00 -309 ' Gv, C.) � � $WitCh¢5 � I Tf35h COlI1p8CtOf I, Lentler'S� Nama -�' � Kitchen Sink - � � � � � , � � ' tantler's Atltlress. � ' ' ' i � � � � . � � ' � � � OWNER BUILDER D CIAR TION -� � LevetOneS; . � ' � , ' - - � „ Gaf6agC Dispoul i - ./(( � 1 hereby�affirm �that I am exempt from tlietContractor•s-Licanse l.aw Tor the � p_Tra '' Generator DO-5 KW �5-15 KW � � � tollowing reason (Section 7031.5 Builnass antl Protesslonal Cotle: Any city or P� ' - ' - I - � wunty wnich repulres a permit to construct, alter im0�ove, tlemollsh orrepair .� . , . Trensformer � 75-50 KW �� ' ' ' any strutture, prlor to its issuance, also requires t{�e appliwnt tor su<h parmiE ' RdOfA�ains �'� . �. , � . • . ' �t0 filG d Slgnatl StateTent tllat he/Sh0 IS IICen58tl pul5uant to MB pfOVlsi0�5 Of , ' ' ' ' ' . t�e Contractor't Licanse Law (Chapter 9 (commencip9'�+�t�,SetUon 7000) of � = � . � l - - � - - ' ' � . O5U+KW' , 'peinspection Fee � $15 �„Y�sion, 3'�ot Ihe Business antl Professions Coae) ar that het/she is exempt Showe�i , ,} _ . �' � Reinspection Pee • $15 : . �''�.'31S byaanyhappllc�ant�rforea��permit%s bjects theYaDPlicaint to5a�ciNl � ' '' - � ' � - - Meter ❑upt01000mpi �.�55ue�Fee. �$ 3 '� nalW of not more than five huntlretl tlollars ($500)'. ,%�'- �- Service Sink ���� � �= ! � laua Fee'. ' ' $ 3 7A���8 qPProved By ' DatB I,'as;owner oi the'property oi �my amployees��V+�th wages�as their eole ' , � � - � ; � � ' compensation wlll. tlo the work, antl� t�e structure is not In[entletl or offeretl ! , ''� � I� MECHANICAC � ' -F Appliption Approved By ' ' - � Dete � �?�$� � tor sale (Secfion 7044, Businezs antl� ProfeSSlonaL Cotle:� The' Contractor'S �. , � ( License tzw tloes not appty to an bwner of a propertY'�o'bulltl5 or tmoroves ' goiler , . � ' Fefrigeretion System q ��mtion laued B _�� � Date �� thereon„antl .who'tloes; such work himself/herself or through his or her own . � � � • . PP. . Y V ' , emoio) eas, proviAea thac such Improvements are not intentletl or ofteretl tor ❑0-100,OOOBTU ❑t00,0006TU ' � � - sale. IT, �owaver, the buliain9 or Improvement is solC witnin one year ot com- Duct - Under Ground - , , . ' . SUMMARV OF FEES • pletlon, tbe owner.will have tha burtlan of proving he/she tlitl not Duila or im- ' - . -�.4 r forthepurposeoisale). � . . Duct-Structurel ' SystemRepait/Alteration � �BUILDINGPERMIT $ 3 SMIP � $ � � as owner of the property, am exclusively conVacting with�licensetl con- � � - � ' raciorsto construEt the oroject (Sactlon 7044, Businezz antl,Professlons Cotla: � Duct, Ventilating _: Z ' ' • I •PLAN CHECK $ PERMIT t ; �� ( The Contractor's License taw does not zpply to ai� owner of proparty who . - � - ' - " ' � � � � � i ' � ' bullAs or improves thereon,pntl who contracts tor such projects wiih a con- � Exheust System ❑ MWtiple �, i s . � PLUMBING � $ � � ISSUANCE , "$; tractor(s) Ilcensa pursuant to the Contractor's License Law1: � � � � , � ' ' ' � ' � ' � � � 'PLAN CHECK $ � GRADING ' ; $ � � ❑�I'am exempt untlar Section ; 8. & �, C. for thls reason � Fi�Cpl/FaCt. BIt. ICBO �# � . . � � i , + i �$, � Date , ' ner' � ' ' � � � Heating System & Dutting � ' � . ' ' I : ELECTRICAL . $ i ' - OP700,000 BTU��100,OOOBT�' _.._ � j MICROFILM $.� �P-hereby ttrtify at- ave reae this application-antl-state tfiaD the above�l- - �� PLAN CHECK $ . . 1 . � i intormatlon Is c rect I agr to comply w all ci�Y antl county ortlinances � • ����1 ; , � � i TOTAL FEE �$' antl:state laws elati ,to iltling constr tti and heretiy authorize reDrr � HUod oi T e I ❑, � MECHANICAL $ , � � unSatives of� �is, ty� r� upon h abov mantlonetl �property �for � �P ' � � Reinspae[ion Fea• • $15 ' ' � . ' LESS ' j • inspectlon pos � ' � ; Cano T e II ❑ _ 'PLAN CHECK, � $ : ' ADVANCED PC . $ � Signature GG �e ' � ' . ' ' , i � � Registers � I Issua Fee ' $ 3 . . i . Drivers' LI nse or 55 � � ' FINAL FEE, $. S3O : _" .: .._'_ '__... _ �_ _ _ . _ � ...... . .� ..__. . � .__� . � CMF08fi5-46r¢v.12/ Whlte-Bulltling;Canary-APP�� nt; Ink-Accounting:GoltlenroC-Assessor ` � �� -� -� ` "-"' ' - ' -' ' '` - � ��-• �� -- -- �• - _ , > -' ��'CONSTRUC710N AND;PLANNING' o Q � �, K_a � �_ �`_ '� ." POOL A. - , . � • ;, - � �APPROVALS PermiL# " ° � ��Date � 9nspector -, _ APpROVALS Pe�mit #' ' ' ' Date � Inspector , ;� .u' ! A: :c "i ' ' . - . �� �1��! Temporary Electrical Service orFPole =� � '� � i " � � :, =� , '52. Fooi & Equipment Location ' - �- - . � ,1_ - = - i,. 'n i-.- s_ ' •. � . . . . . _ , ✓�_ � lU'•t_. .•• rt., .'> � '_:'_ � - .. . � .i, �--v. ;� 2? ,Soil Pipe=Undrgrndi- : ' ��_ . , ? : � I > :� -,: . - � -53' Steel Reinforcement � . . - .F ;, � y 3! Elect�ical Cqnduit Utilitv Undrgrnd', ��; f � q Q ->r' r� �' 54. Forms ` ' . -- - , '�r = i! � 4. Electrical Condurt-Undrgrnd':--t j ` ` � r�, ' •_� ��'55. Electrical Bonding - � . � �..�� ', s 5: Steel �Reinforcement� � � �; � �'Q I , � � � � ' y�• � �,56 RougFi Plumbing,& P�essure`-Test - . � � ,�� �6: �Electiical UpER,Grnd.j ' x'-` � � I �� t' �"�r' �- _ .�57.�� APPROVALTO COVER-GUNITE. � , _ ;� - 7. �Footings '-j � �i � '�,� � � � °' ; � a ; ° s L � s„ -�= ' :-:58'� Electrical Conduit-Undramil. : - � + - . � 8. �Founiiatiori ' � � � � �'c i � ?' ^^, " - _- � , ��59. Gas;Ripe,'O Undrgrnd�:, Test'- , � ' � F n � � i � .. . ' i . • . 9. Water Pipe=,Undrgrnd. � ' =� � ' " . ; �` �-60. Backwash'Lines,'P-Trap, O-Undrgmd... _ � • ", � r' � 10. Structural FloorSy,stem , "` o - �!-= ��61. APPROVALTO�DECK �� - - ' � ' . _ ,: 11. ,Property Sewer Line &�House�Connection - � �• � ' '62. 'Backwash & Receptor-Finab _ . " � " 1, i ' 1 i 1: ' 12. Sewer CaP � . : ' I i - ' r - � - . . . ' o" 3. Heater & Vent-Final 13. Roof Drains � , i , ' ' � � � � `64, piumbing System -. Final -_ ,� - :. ' ' .� 14. �Rough Rlumbing � - �. i �_ I � ; . i : _ . � - � . . . � . . ' , ' �•65. Electrical-Final ' � � _ `15�Rough'Electrica��-ConduitT`j""�'�� ' �-f--�"�"-" "�66.i S"olar Sysfem-Final�.�' ' - ' "-' - ' - - "�- t c �r � ' • i ' ? ��'16. Rough Ele�ric Wiring ^ � f I ,� �i r � �� i i .� �n n :� _ � T �� "'67.` Fenci,ng &�Access Approval� � -" - " '" ',' � ' -�'--�-: '- - - f, � `J7,�Rou9h.Wiiing Sign� s S, � ` � �� ; ° � � 1 �; � r � �,: ( -` o ,: ,68. APPROVED F.OR PLASTERING � � � �; `.� ` 16,'>Rough �ElectncaLT.Bai Ceiling �� �� � -: j `' ; � � 69.' POOUSPA SYSTEMS FINA� r'. ' p �. � . � - � 19. ,R.ough�Heating &'Air.Conditioning �� ( ; .� � � ; ' � � 'FIRE DEPT.�REQUIREMENT. _ ; , 20.;'Rough Factory Fireplace � i !) �� � � � � � � j APPROVALS� � Permit# _ � - i' � � c. � - r i - 2L�Duots;�in Struc[urea � � � � � :, � � � � ( � i70� Underground Hydro • � + � � � � 22^�Ducts, Ventilating Y� c � � �� ;� �' � � � � �71: Product Piping O Gas ❑ Oil . _ L . . _. c � } � -_ i ; -, - -r-�-- - - - -- . . . , .. �; 23. �Gas'Pipe-Rough & Test �_ � � �;:� i. � � � 1 I'72: Underground Flush, ' ` 24. � Roof��Framing � ;, I � 'j � I��y �'� ' � ' � p j x I ": ^' � � � ?^ I; ,Z3� Undergrnd. Stoiage �,Tank�O'Gas ❑ Oil ' � � 25. !Roof Sheathing r .� I � � � �i�, ", t` { ; ! ` � � ` - �74.' Overhead Hydro � � � " ' -r:�-- � - . . � ,. , ' '-26. T-Ba� Ceiling'(Str`ucturalh & Monocoat' i � � ,' � ; j � ,: � a I : �75I Dry Chemiwl , , � - � � ' . � 27.I;Frame and�Plashing� s �i-� � �� �� f ' �� �, ,� S 1 �76: Dry Standpipe , � - �� � ' ; 26.�iL:athing & Siding� C �_ ' � � �� ;� i � � , �S � � � �77: FIXED SYSTEM FINAL - . i, � �_29.,•Insulation i -� ' �� � � �i !i ' j � � � � �78: F�IRE PREV. FINAL - � � , � . . . � ;-�30.�IDr wal,l Nailin ' � I � a � � Y 19 , f ' � li � i � l � '� , ' � Notes� /p' / 3 - g3 .Slit Cv � o 'Cr� �31.nP.lasterBrownCoat�:� :�I � il �i I- i-l�� i- ��--�--� -�..� .. ' . .. � . __..- . - �- ��- - �32.• Electricalj Power Meter-Final I �� i� _ � � I . � � ' � � ' ' ' � � - "� � � , � 33.xPinal Electric ' � � � � _.i�._'��, : � ._a,._'__L ` �.,.i ' • , � � _..... ._ -- . � , � ' • �- „ 34. Final �Heating.&� Air Conditioning �� � �� � � � � � ' , � ..¢ : F � r �. I I � 35. Fina�GasPipe=Test ,�N i"I `-,'� �� I_�`: �" � � ''�' �- = i . � ; - � � 36. Hood�oriCanoPV�.�,E�> ;i n� �i �Fi�'_.�'� y� �. � -I-; � ` _ - � _i" 37. Pinal.Factor�y F�ir'eplace � � � vi ii � -. _ � � � � : � � . . �, . . . 38. Final Plu�mbing� . � i i i 4i �� � =� � ' � � �� -� � � i � ' � t ..., - � ' 39. Water,�Service-Final •'� ! • �; � i ' . I ,' � ' � ! � ' � ' � � � � + � c r�-' �'� .I:, � i 40. Gas Service�Final � '.I i � f � � � I � I � ' ' � � � . � , i i t I 41. Solar poine'sticFinal'I � � � ; , i I _� I ' 1_ �_ � _ �_ �.-- r- _. . . i . . . . ��- � t : i i�, 1' - .--I "'-'' 42. Backflow Preventei � i i �-,' , � � ' � - --I 1 � - � ' - Q I � " I- �- r--, -r -r--� - -I - � ' � t �U��.i '.,..� , i � ..,: .p�. ,-. _ - _ - T�-.�i�:; . , , . 43. Backf�low Irrigation I : i � �r� i : � ; � -� � � , - - _ '� � , •, � ,� � � 44. Landscape Irr,igation.System� � �<j��- � ; I : � r� � " � �,� � �� � .. - i +. .,-, ' � i 45. Sound i�Att �'. `� . " � �- I • � � p � ;, ' � ? � j ' . , � .� �. , � . . enuation4�m �` f y � � ( :•I � I 46. Handicap Regulations�' � � � j : b i� � � � � � - � ' ' - .. - ' � ' I � 47.-FINALSTRUCTU,RE,&BUCLDING7 `E I � � � � . � � � � � , ; , �,� , ����,�, � : � � 46. Special Requirements�Coriipletetl^ tii � 'S� ' � �, , 49. Electric�Releasefo�Edison:.-� % ��' 'L ;_ _ 11 1_i ' _ � i � I � _ ' � � . ' , F � I I � f I k(... � -r" T',�. '"'j ' 50. Gas Release;to Southern California Gas Co � I � i j � ( i � I ; � "'�� , � ' . i � � i , 51. CERT.IF,ICATE F OCCUPAN �' i�},�( ;_ � 1� ' _ i ; � i � ' �� I �� � ' S � ��,a`I , No �Date � �� � ' a4c _.in.'=:.Y-" ��_L.___ � �1.� AYD���nt to flll In all spaces exeept lhose wit�in �mry DorGer Iintf anE si9n all aDVrooriate Eeebntlons. ! CITY P CQ�`TA MESA, ' ' . pERM1T NO. �� ' . TRACT NO. . L07 NO. BLD . � CON�UG�ION PERMIT , ; j [�.� ; ` • ` ' - ApplicenYs Mei�ing A d�ea '' TYPE OF CONSTHUCTION _� EW �' ADD . ALTERATION � � ProjeCtAddles! , � '^� ' ❑ CONVERSION -❑ DEMOLISH ❑ OTHER ^ � . - G � .DESCRIpTION OF WORK y��� Owner's Name - hone � 1 Addren � � 'jVVEOFPERMIT 'ORADING• ' POUNDATION� STRUCTVR � Arch/En . License No. � ) 9 � , ❑�TENANT ❑ ELECTRICAL�PLUMBING O MECHANICAL , � Addresa ❑ OTHER ' . ' - ' � Contractor's Nem � ^ , hone PRQIECT DESCRIPTION• 5q. FT. � � bCCUPANCY_ Addres�lm � ' �CON57RUGTIONTVVF na'..nl �D '/B7 S • � VAWATIONS_ � ' . /Lrf D7 � . 20N� � � � , GRADING W. VDS. ,ACRE� ' . , Licanw Ne a 1 � LICENSED CONTRACTOR DECL/1RATION Remarb: • ' D � 1'�ereby aTtirm that I am Ilcansetl untlpr provislons of Charter 9(commancing �with �ection 7000) of Dlvision 3 of Me Businass anG vroteuions Code, anE � - � ' � ' ,- , my IICe�se Is In tull forte an e/U t � � A ' LJcensa G u ' ' L�c se %�"�s�� � PLUMBING - Date 9gnaturo ' '� � ' �ORK RS' OMPENSATION DE IAqAT10N ` ; ' ' ! , � Bef Slak SeNB� Gp �peraGy'aHi�in Ihat I �ave a certiflcata of mnsanhto.setfan ure o� a certlflfSta: , y� Workers' Campensa[lon InSurance,: or d cerUfiatl�y/COpYn� tpa�eof Sectlon' PoO Y No. �C�! �/ /l2llComPanY I �/// /JJ/ ' '� �CertlfieA coDY•�s �ereby furnls�eG. rtifled c y II Q with tha clty 8ut g Dlvizb . � � ��� Data • � ApPIIWnt EXEMPTIO_-�RKERS' CO PENSATION DECLARA ON ,, (Thlizactlon neetl not be completeU H tbe permit Is tor one hun reU (E300) or '� 1e55) . � " ' • I certity t�at In.the performance ot the work tor,whicb Mis permi[ Is ISSueO 1,� ShaIC noC employ "any parson In any manner so as to become subject. lo ti�e •+ Workers'.ComDenSatlon.Lawso�Calitarnla.� � � ; � �^ Date � • ' SI9�ature � - ' ' ' � PIOTICEi If,afttr makin9 this�declaration,ryou shoultl�'becoma�suDject to [he'.' Workers'� Gompansation provlslons of t�e La�or CoOe,.You must /orthwith Gomply with� Such prOvi5loni; oi � th15 permlt thall b0 tlBBm¢tl' revOkatl.. , CONSTRUCTION LENOING AGENCV � �� ' � I �ereby aftirm tbat there I5 a co�struction Ientling a9an<Y for the performance• Of the work for, whic�„Ihis Permit Is'ISsueE (SeGtlon 3097' Civ. C.).' {PntlerY• Name:- . . ' Lentler's AGOress' . � . � _ � OWNER BUILDER DEGLARATION � - ' ( he�e�y atfl�m that I am'exampt trom the,Con[ractor's License Law for the sucn rom-antl the basis for the allegetl exemptlon. AnY.violallon oi Section i by: any applicant for'a permk suE}eris the applicaot to a civil y of not more than five hu�OreA Eollars (E500): • ai owner o/ the-proOertY or.my employeos with wages as Ihelr sole • inSaUo� WIII tlo tM1e wOrk, antl th0 st�uctU/e is not Intendetl o� O�feretl le ISec4lon 7044', 8usinezs. antl,Pioteubual Gode: The Contracto�'s � a Law tloes not aOPly to an owner of a property wM10 builOs or Improves �n,•an0 wbo tloes such work hlmself/herself or tnrough his or her own . yaes, provitletl ihat suth improvoments aro no[ intontlotl or offoratl Por 1, �owever, t�e bulltling or improvament IS soltl within one Year o/ com- � i, the owner will hava the �urtlen of provinq hejsha tlid not �uiltl or im- ' fo� the purPosa oi 5ale). � � � is own<f o/ the olo0eltv. am e%CIuSIvalY Contlacting,wltll.liCensetl Con- lJ I am exempt untler pate . Owner -_ have reaA agree to a o GWlGln9 to an owner ot proparty who for such projects with a con- cense Law). � 8, & P. 0.(or lhis reason kflow Preventer — t - --aewerconnecnon — �-- � Solar CqllettOrs ' ' Soler Piping • : � , � Solar Tank � ; i . • 8wimming Pool w/Spa � � 'ng Fountains ' � l Df2in5; � ' H Sinks-. - � - � V wice• :Outlats' � N Kitchen Sink' ' Cavatories,., �• - P—TraP• �.. �( . Roof Drains � � ' - Showers � r ' ,� Servi[¢Sink. - ' � . _ " � Boiler ! - . � Duct= Under Ground � Duct-S[ructurel - - i Duct-Ventilating . Exhaust System ❑ Multiple ❑ Firepl/Fact.81L ICBO � Heating System & Ducting 06100,000 BTU �t00,0008T sencatives oi thit cl�y.to an[er uP n tha a ove-menllonetl Dro erty for NOOd or TypB � ❑ � ' inspectlon ourpose ' ��./ j � + / � CanO T � g I I ❑ • 5�9�ature ✓� Date �� , O*ivers' Llcense or�55 $ � Registers . CMF 0865-i6 rev. 12/82 Whit¢ - Bulltlin9; Canavy - APP��wnt; Pink - Ac<ounting: Goldenrotl - Assessor Clout O REPAIR �� �_ �� �� _ , ; � . • � Reinspection Fee ' S75 _ � '. IsueFee.: � $ 3 ❑a�oopoosTu ❑�oo,000sru' , System Repair/Alteraiion ' 1 , Reinspection Fee $15 � lave Fee � E 3 ' � ` � . .. � ' , q•7/l� (�/:?I/7:�i 'r 31 . . � �' . . , `� N ' PLNG. REF.3W TO BUILDING PROPERTV LINE LEFTSIDE VARD PKG. SPACE RE�. STREET WIDTH 20NING REGULATIONS ' ' � ZONE � - � � . ' - .. . ' ' . ' BUTpDING ' ' . � � eCy ri� er' � � � REAR YARD (70 P/L) �. , ' . RIGHT�SIDE YARD ' - . , PqOVIDED ' _�� .PARK PEE S INS: ' � � � _ � • I i cWazher -. . .i... � � Gons[rucnon Pole"; �Sub Penet t � ' ' _ Cookin9 Unit , Sub Pola ,� �; ; • I Dishwasher ' . ' Motors �0.1 HP ❑1XE � ' � Dryers ❑Gas �Elec[ric 'IncSolar �9-75 HP 016-15+ Fsn' �. n l � .Mirrnwave . � � F.A.U. � ' � : I I , �Pole Li9hf . ' ' � I : � Fixtures.' _ ' •—� Aange . �. - — _ - Device Boxes , , � Sian . . � i �� � Outlets � , t ' StandingSections ; � � i Switches � � � " j Trash Compactor � � � GarbageOisposal � . � � � Generetor �0-5 KW d545 KW � Transformer 015-50 KW . � � � � � �5U+KW � � ReinspaMionFee ' S15' Meter ❑up to 100 amps j Issue Fea � � 5 3 2onin8 APProved BY ± ' Date , � Applintion Approved By � �ete Appliption laued By '� Date '� � 7�� . � , SUMMApV OF FEES , � , ' �BUILDING PERMIT $ � SMIP • � $ ,PLAN CHECK $• � PERMIT . . , 'PLUMBING $ � -� �SSUANCE $ � �PLANCHECK, - $ �(� .-= GRADING $ , �;ELECTRICAL � $ � �� �. $ 'PLAN CHECK ' §, MICROFILM E ' .MECHANICAL , $ TOTA�FEE $ � � PIAN CHECK � $; � LESS , � , � � , , ADVANCED PC , $ : � • FINAL fEE � $ '�— C3 CtCONSTRUCTION�AND`PL'ANNINGT�r p. i'' x-,;. z �� .^.� , _ -^.. POOL 'q, -_- - - = . - - ., `- �� r F � + � Date � (Inspector . ,oAPpROVALS. Peimit# -� • Date Inspe'stor i _ '.APPROVALS Permit�# Q'��'� ' ,.E�� �' s vs - ., _ o` , �4 : . " � Temporary Ele'ctrical SerJice or Pole'=; .= ' y ' ' " . � � ; `-�; � ��52. Pool &.Equipment Location. � - - .'3 `' - 1 i ' rl:7__� _ . �� � v � , . . ._ . . ' � Soil Pipe'lJndrgrrid.� � �.� �a; ;�� g; ��� f..j. `� .53.' Steel Feinforcement � � - . . � , . : � . ., - �". . . _ .. � a 3: Electrical .Conduit Utilitv-Undrgrnd �''{ � ; w "r' - . �54., Forms �- , .. � .� � - - 1 �. .r. �. _w , _,y ,y .� U .. . - _ `; ,�,�. Electr`iral Conduif-Undf9��d? - � �r_,� : � �' � ;i ' `,� z, � 55:� Electrical�Bonding � � ' ` c 5. Steel �Reinforcement � � � � � `* � � � '� r `_ ? � . • ' 56.� Rough Plumbing`& P�essure-Test � ° '� i � �e � •r /=1 n .�:� - ..' . c.r...�:;. � . . . Qi�n::., f�� ,���.�iu.� � . 8. �Electncal UFER Grnd.�.:r, R ' ' ' � � . �.- ; - : �57:; APPROVAL TO:COVER-GUNITE : ' . } 7. Footings .,:� � � ;' p : s �'�; a'. ° ' ��. n a ':.' � .�58.� Electrical� Coriduit-Undrornd. . , - � .� � s'.. j �, - � � � S� . . _ : _ 8. F6undatior�i � � ��.,�' � ,� : _ :. s � � � � . � . ' 59. Gas Pipe,�p-Uritligrnd:: Test � , ��, 9. VJatec Pipe�Uridrgrnd. ' � `� � ` -! - - � t •`60. Backwasti�Lines,.P:Trap, O Undrgrnd. ^ . ` � r v.: o ' 10. StiuctGial,Flo`or Systefii � n'� c�;, • � "� - "61. APPROVAL:TO'DECK ' " ' �_ ' . - � 11. Pfoperty Sewer Line & House Connection� - !�; ' � = ' � 62. Backwash-&- ReceptorFinal - ' ;r.'. i , i i � - a . . . � . 12. Sewer�CaP � ` �� � � � ,.:� `� ' : ��� '.; o�' � -:63. Heatec& Vent-Final � - f � �� 1: • . i I�'' � - 13. Roof�,DFains � i;-;' � I �:; � � ' ;; 1 Io - ��64. P.IumbingSY'ste'm-.Final ' " - � • .-.�� . 14: Rougb Plumbing �.' ( � a � ! . � � -65. Electrical-Firial � � � � - ' - - •' f - i � = �?i5: �Rough'Electrical=Conduit �'-i--�'j"�*"� 'T��.'.�-(";-i 68. Solao-Sys4em-Final �� - � � � � J� .` . , ) ' 1 ♦ 4 • � �,.i16�R�ough,-Electric�Wiring � i F � i� ( °'� '�'i j ' � ., ip i �. j :'"I! 67. Fencing & Access�Appro4al�- � _ � - � - � r I - - r� o y 17.'Rough�Wiring'Signti v ��'� �� �i _-' �` d t`;= i� �68,� qppRO.VED FOR PLASTERING � �. t. � � -- _��1g,o�Rough`Electrical;T�Ba��Cei�ing, �� (� � �� �-_ � I °' j° � 1, ��69.� POOVSPA SYSTEMS FINAL .� -. � ;U ig. hR�ug �Heating &�Air Conditioning +; J ':!: � I � � � � � �FIRE DEPT.�REQUIREMENT � ' ; , ' � ��? ��� 20.',Rough�Factory Fireplace, i � il ', i � � � I I' APPROVALS � � Permit!# �. ' �- - R y � .. .,. n t. i�, > �� � 1 - `" Zt. �D�ucts,:in Stiucture � '^ � � � :' ,' � � ' � � , . � �� �i i i , � ( i I � � 70.� Uriderground Hydro z„`22. Ducts, Ventila[ing ��{_, � �� �I I � � I' � , � 7L� Product Piping O Gas ❑ Oil , • �:23. �Gfis�Pipe-Rough & Test ; � I ��� (j � t � � � � : 1; 72.� Unde�ground Flush ' ' � " - � � B_ .� d' 24. �Roof Framing� i i ��!� ��6, i.�,' � I n � r,, I.. I:� �,; � �;'73.' Undeigrnd. Storage Tank O Gas ❑ Oil .� � ", 26. ;Roof Sheathing �� � � ' .� ��:� � � � - � �� � �. � - ; � � 74. Overhead Hydro . ' - ' N 26. T�Bai Ceiling (Strucfuralp &-Monocoat' �= �;�'�• I� r. ; C �� 75.' D'ry Chemical � • - i i �� i� ` � �27. �Frame and Flashing � � � �� !� � 9 ! ' � � �', � ^ '76.. Dry Standpipe � � �. . . f . � , r ' - : ( i .V . . . , � I 1 - ' F � 28. ;Lathing & Siding �,,� �, I � (i ;, I � I �: � i i77., FIXE� SYSTEM.FINAL .� � � � 29.��insulation ? �'��� i I i� � I � � I� � �78.� FIRE PREV. FINAL � 'q �'_30. �Drywall Naili g I > j �� � i I� �� � � � ! � � � ' �Notes:{ . ' � ' � � . . � � 31. .Plaster Brown Coat ; ' I +� '�- - -- � � --- � ! � --�� ; ' - � - �. � � . � � � i • - ; ���32. �Electrieal'Power MeteriFinal � �� I � � "i j �', • � � , { ; . � . - �' 33. �Final Electric �, I � !; n � j � {� ' .� I ' � ' ,��, 34. Final Heating &�Air, Conditioning ��� � I y ( ` I 1 ' ' � � ' • �� IS 'l r' p'i )"' 1 Y� � I � +I�i ' ': I` ',�':] r -I�. � . , . . 35. Final Gas�Pipe=Test' �, � � � ^ � � � � � f � I ' - _ • _ � " . 36. Hood or �CanoPY �F' � � 1 { ') ;� i! � � ; � I ' .r 1 � ! . . . . � � - Y. q 1 - y '�� r. x �• + I I i , � f �. '.� 1�LJI",.I� �'-1 �` ���= � �•i I IL, I ' � :. � . 37. Final Factory Fireplacem �_ of � �T +-- � , � � I � � �+��-, , , 38. Final Plurobing ; � � � � ?f w ; ��l�Qy � � � � I i �� _ - ' • . � � � • ' , 39. Water 6e'rvice-Fi'nel � i A � �^ � � , i' i i � .) i' I I i � � � � � ( I i . 40. Gat Service-Final I � t� � � � �� ( . • . I � I � �� �� 1 �� I � � � •, � � 41. Solar pomestic-Final � � � I � � ' I ' i � ' ' .. . _ Y..iJ i 1 i I � ' �� _ __ ' �..�- y_� - r _ i �..� 42. Backflow�Preventeri 2, � � � �!��`�.._..i '� � --,- �.�- { _ �� � � _ � . , -. . 43. Backflow�iirigation�-1- � � ���� �al^ ��.i ��.�" � -�'- � � xa '- 44. LandscaPe iriigation SY3tem ; i "��I., 1 = i �-' � ' � -1 5 � � I � � - � ' � � � � � � ' i�.n �_. ,� � eT6' �=�'tr-. �I i .•_ v� -�' � -o; -i . �'_ _ , _ ' . . 45. Sound'� � nuaiion � `^ l o° � ( a � a � � � :. � i :_ � � � _ . � - - . . 46. HanBi �c�ap�Regulations� � j .. � � 'C � � �' ' �' � � ' , , � � ' j � �.i 'r . , :. ' � 47. FINAL STRUCTURE & BUILD�NG � � � �; � � �- ( � � � I � SpeciapRequirementsCompleted� � � ' � -' =1 I ' ' ' i ,!' I � �. :;� � i i I I m� i� i� f. � �. "'"^.Release�to Ediionl ` � iq � ',�-! •� I _ I- � - � � -! !_ ,-- , _ ' ' , � -Y i -'' i 1 i . : � _ .� . . � � _ e to Southem California Gas Co � ' I - � � � i ' i ' � � � . ����, � i �� � I I � i .i' , ', \ � ,, . /4TEOF�OCCUPANC, � �-•�--�--�'�--I--i- �- -� ; i � -�. _ " ; � . , . . i f � Date � i i � � _�7 � r G i-.1 =, , i ..n:..:-. ,. ,_.zr-. _ i.� ! � _ ' � -- - - - - - -- \ � Applicant to fi11 In all spaces ezceot t�ose within heavy Cortler lines anG sign all appropNate aeclaratlons. CITY OF COSTA� MESA - CONSTRUCTION PERMIT ProjCct Address /�/U UV��/'�t TYPE OF CONSTRUCTION . �NEW -U ADD. LI ALTERATION L� ftEPA1R ApplicanYsMailingAddress 'V p�� ¢i�7 ❑CONVERSION ❑OEMOLI H ❑OTHER � Ap,�. � OwnersName �g P One-JJL��! - DESCRIPTIONOFWORK � (� �.q//,(� S Main Building: Address ��/—'�-� -=�— TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL � T Front' �� ArCh/Eng. � LiCenSC No. � ❑ TENANT •O ELECTRICAL ❑ PLUMBING �MECHANICAL ' B Rear Address ❑' �OTHER %� Contractor's Nam C - hone PROJECT DESCRIPTION 5q. FT.' � � oCCUaArv - C,Right Addresslma'���;� �JbQ �' ��� � CONSTRVCTIONTYPE VAWATION$�� $ Left Q/�� � ' 20NE GRADINGCU.VoS. ACRES p�� City Licanse No 9. Ref. #� LICENSEO CONTRACTOR DECLARATION ' Remarks: � — � • � Parking FCq./Provii 1 her2by affi�m that I am lic¢n5etl untl¢r provision5 of Charte� 9(commendng , � with section 7000) of Division 3 of Ihe Business antl Professi.o,�n�s �C,o�tle�, /a�n�tl t ' , � � Use of Building: my license is in fuu t rc antl eifect. � FEES Planning Notes: I.icense Class icense fyqt�(�� PLUMBING /) oate �0`� � � ' ci.%� WORKERS' COMPENSATION DECLARATI N Baf Sink � Tereby affirm that I have a cerlificate ot consent to self-insure or a tertificate Backtlow Preventer �f Workers' Compensation Insurance, or�a certitietl copy thereof (Section - - 3800, Lab. C,y�, n , _/ � y BaCkfloW IrN atioh PnnnolicyNo.�J^�% � Company M:��`- (e�/Am 9 � �Certitietl copy is hereby furN hetl. � ' � � Bathtubs � � Certifietl copy is fiietl wiro the city E N�inp vislan. � Date ��`4"N� � Applicant � Clarifiefs -EXEMPTION FROM-WORKERS' COMPENSATIO ECLARA� DiShwashef - (ThiS zection neeA not be completetl if the permit i5 for one huntlretl (5100) or lezs). , I certi(y thal in the performance oT the work tor'which this perm�t is issuetl, 1 Drinking Fountains shall not employ any person in any manner so as to become subject to the � Workers' Compensation Laws of Calitomia. ' ' Floo� Dreins� ' . �ate � Si9nature ' NOTICE: It, a(ter making this tleclaration, you SM1oultl become subject to the FIOOf $inks Workers' Compensation provisions of-.the� Labor Cotle, you� must forthwith comply wlth such provisions or this permit zhall be tleemetl revoketl. GaSService. Outl2t5 CONSTRUCTION LENDING AGENCV " I nereby zifirm that there /"s a mnstruttion lentling agenty !or the pertormance' : Intercepto�s of the work �ior wn�yp,�ttqs permit is issue0 (SecHon_ 309] Civ. CJ �� Lentler's Name lVINK� ' - KitchenSink ' ' - Lentl¢r'S Atltlress OWNER BUILDER DECLARATION ; � - CavatOries � � I M1ereby, atfirm that I am�exempt trom the Confractdr'f License l.aw tor the tollowing reason (Section ]031.5 Business antl Pro(eSSlonaPCotle: Any city or P,—Tr2p ' county which r¢quives a permk to const�uct, alter improve, tlemolisb.or repair . , any structure, prior to its issuance, also requires t{�e applicant for such permit Roof D�ains - ' to file a�signetl statement'thdt he/she is licensetl pursuant to the provi5ions oi -�he Contractor's-License Law (Cnapter 9 (commencinq�wiM Section 7000) of " � _ - � ivision 3 of Me Bustness antl Professions Cotle) or that he/she is exempt ' ierefrom antl the basis for the alle9etl ezemption. Any violation ot Saction /031.5 by any appliwnt �or a permit subjects the applicant to a civil �enalty ot not more tM1an five huntlretl tlollars,($500). I, as'Owner of tM1e prop¢rty o� my�employees with wages as thei� sole � mmpensation, will tlo the work, antl che siructure is not intentletl or offeretl for sale (S¢ction 7044, Business antl Professional Cotle: The Contractor's License l.aw tloes not apply to an owner of a property who builtls or improves . thereon, and who tloes such work himself/herself or through his or her own employees, p�ovitletl tM1at such imp�ovements are not intentletl or otteretl for sale. I�, however, the builtling dr improvement is soltl within one year of com- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- �ove for the purpose ot sale). , � LJ I, as owner ot the property, am exclusively contracting with Iicensetl con- tractorsto ton5tructthe Oroject (Section ]044, Business antl Professions Cotle: .The Contractor's License law does not apply to an owner of pro0erry who builtls or improves thereon, antl who contracts for such projects with a con- tractor(s) license punuaht to the Contractor's License Law�. ❑ I am exempt untler Section B. & P. C. for tnis reason Date Owner' - have rea :ation antl state tnat tlie above ra11 city antl county ortlinantes on, antl hereby authorize repre- abOve-mentiOnetl proOe�tY fOr Reinspection�Fee $25 Untler Grountl Strucmrel Ventilating Exhaust System LJ Multiple Firepl/Fact. Blt. IC80 # Heating System & Ducting � �o-i oa,000 sru O � oo,000 5�9�ature � ' Da[ �v J . Drivers' License or 55 � Reinspaction Fee � $25 CMF 0865-46 rev. ]/83- White - Builtlin9; Canary - Applicant; Pink - Accounting; GOltlenrotl - Assessor- - .- Showers ' ServiceSink' � Sewer Cap Sewer Connection Solar Collecrors � Solar Piping ' Solar Tank Swimming Pool w/Spa Urinal Water Cbset , � Water Heater Water Service - � Issue Fee - ' - I. . $ 3 FEE Hoodor Typel ❑ ' Canopy Type I I ❑ Refrigeration System ❑0-t00,0008TU ❑100,0006" System Repair/Alteration - Issue Fee , � $ 3 0 A - �� Automatic WaSher � � Canstruction PaleSub. Cooking Unit - � Dishwasher • . Dryers ❑Gas ❑Electric Fan� . � F.A.U. i � Fixtures Device Boxes OUtletS Switches Garbage Disposal Generator OO-5 KW OS-15 �2ro :iaii3ie� Zone Accessory Building: Park.Fees $ , ELECTRICAL , Transformer � 15�50 KW � 50+KW � Meter ❑up to 700 amps Meter �over100amps SoD P_ , � Sub Panel Mators �0.1 HP O1 %� 6 InaSolar��9-15 HP �76-15+ . Microwave � Pole Light Fange Standing Sectioro Trash Compacmr Z O N I N G R E Q U I R E M E N T � Reinspection Fee �$25 � Issue Fee� � I $ 3 � PUBLIC SERVICES REDUIREMENTS: � 2oning Approved By Date ' Application Approved By Date APPlication Issued BY Date—ldz� SUMMARV OF FEES � � . BUIIDING PERMIT . $ SMIP $ PLAN CHECK , $ ' PERMIT , PLUMBING • $ � ISSUANCE , $ �, PLAN CHECK . $ • ENERGV P.C. $ � ELECTRICAL $ ' GRADING $ ' PLANCHECK $ �_ MICROFILM $ � MECHANICAL . S � TOTAL FEE � $ • � • PLAN CHECK . $ � � � , i t I ` �CONSTRUCTION AND PLANNING � PO(, . SPA APPROVALS Permit# mQ�-`3� Date Inspector qppROVALS Permit# Date Inspector " 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soll Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4:,Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement . , 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. �, - 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. 8.' Foundation 59. Gas Pipe, � Undrgrnd., Tesi 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10.•Structural Floor System 61. APPROVAL TO DECK � 1}. P�operty 5ewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing SYstem - Final . 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. �Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , APPROVALS Permit # . 21. Ducts, in Siructure 70. Undergraund Hydro 22. Ducts, Ventilating 77. Product Piping � 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 Hedting & Air Conditioning s��� �^�'f 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. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed � 49. Electric Release to Edison - � 50. Gas Release to Southern California Gas Co � ,� 57. CERTIFICATE OF OCCUPANCY � N0. Date � Appliwnt to fill In all spaees except thom withln heary borGer Iines anG si n all a \� 9 pproD��ata tleelaratlons. • CITV OF,COSTA MESA � � � , � PERMIT NO. : � ' TRACT NO. LOT NO. BL . � � � � . , _ � CONS7RUCTION PERMIT , - �— 9 SS : . . . , , _ • ' . • • �`- Applltent'6MeilingAddI851 TVPEOFCONSTRUCTION• NEW ADO 'ALTERATION PEPAIR'� _ . . , � � _ . FjS�F �� � ���_ , ��� ,, PfOj9ttAddfMS ?�� Wl T1�T:91'P - ' � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . ' _ ' -� -. � ' ' ' �DESCRIPTIONOFWORK j�JP},$1 f,lj.',.,� lase � OwneriName M.D. Ja.nes'Co. _cnooe � � . � i G� GUL i N � Addrev � . i �' . ' � . , .. _ . . . . . �. � _ . . : : TVPE OF PERMIT � GRADING ' FOUNDATIO�N�r STRUCTURAL ' A. P.9Y� ZONE Arch/Eng.�� � LiCCn5eN0. , ❑TENANT ❑ELECTRICAL ❑�CLUMBING riJW1ECHANICAL � � PLNG.REF.�, � . "BUILDING Addfess' r � � � ' : � I � � . . . � . � ' � ❑.�OTHER : �. . . . ' ' ' . } TO BUILDING.. . ' REAR VARD (TO P/U �• g�Od.S'f Fl T'p�`(](�p � �� Vhane �;i,9—1 A9 PROJECT DESCRIPTION 5�.� FT.' ' • OCCUPANCV R PE TV INE ' Contractor's Nam (( 0 . � - - - Addresslmailing) �nRn �DI.. R%a�"0'�"].::y�'qN�Or�tinge, q26 7 �CONSTRUCTIONTVPE � ; ' ' VALUATIONE ' rLEFTSIDEVARD - RIGHTSIDEVARD ' ' ' ZON� GRADINGCU.VDS: .ACRES ' PKG.SPACEREQ. � � , PROVIDED , Licenm No. � . : . . . . ' . . LICENSED CONTHACTOR DECI.ARATION ' ' � Remarks: - � . - D � � � ' �STREET WIOTM . . - PARK FEE'S ' � I hBrMy affirm th6t I am II<ense0 unCet Drdvizlans oT Charter 9(CommenNng �. � , _ _ with sectlon 7000) of Divislon 3` OT the Buslness 0�tl Professioni Cotle, anG � , '' � ' , :� , � � SPECIAL CONDITIONS: � � ' my Ilcensa'Is In full i rce antl alfect. . ' � , � • � , LJcenm qa - ce se Na!��6��' ' , ' PLUMBING , - � • � � � � � . � . � � � � Date� �3 9q tue �; ; BarSiok � . �� SewerCap • � � � ELECTRICAL • j ' - ��RKERS' COMPENSATION OEC R ION - - � -�-eraDy attirm tnat 1 nave a cerHtica e ot conunf to seu-lnsure or a cartlncata • ' Automatic Washer � � Meter ove* 100 amps' - x : . � Backflow-Preventer . . Sewer Connection _ � � < r Workers' �Comp nsatlo nsurauce, or a' �artifietl� copy theraot (Saclion - - - � - ' ' . , 1° �G,� �L•CA Construction Pole ' Sub Panei' ' seoo, �b. �., 5 73 3 �S9JC ' eackfiow trri9ecion ' soiar c6necmrs ' ' -• • Policy No. • Company Aetna' . - -' - - - � . . � . ' � �rtlfletl copy Is �eraby Turnisliatl. ! ' � Bathtubs i ' $olar Piping . � �oking Uriiti Sub Pole � I le Y letl with the Nt Itl , , � � ' I ' : , � Date t �_ Aooi�cant � , . Clsritiers ' '•. Solar Tank . , Dishwasher', M ; Motors �0-i HP �1:5$ , ! "E%EMVTION,FROMWORKERSCO N TIONOEC RATION ' - - J- - � -�Dryers ❑GBS�OElectric - � - ,InC:Sola��O9-15HPO16+15+ .(7nis zectlon neeE not �e como�etetl It e permit iz for. one untlretl (Sloo) or , ' Dishwdsher i ; Swimming Pool wlSpa �. � : � � less)' , . . - . . . - • � Urinal • I 1 Fan' � � � � � I ;Microwave . � . � I ceitity;tnat In tne performence of tne work for.wn�ch tnls perm�t Is Issuetl I Drinking Fountains;, � ; . sball not employ any person in any manner so;as to become sub7ect. to the � , , ' � , F.A.U. ��� E • ' �POIe.Light ' ' Workers' Comvensatlon Lnws of CallrorNa.% 1 ' ' f ' . Floar Drains Water�Goset 1 i � ' ' Date ' S19nature � ' � ' � � ,.' � • '. i N0710E: If, after making this Ceclaratlon, you stioUltl became su�ject to the _, Floor_Sinks : ` _ WatBr Heetef. ' FixtUf25 : i �Range ' � � . ' � Workers'� Compensatlon provislons ot the Labo[ Cotle, you must forthwlth ' � . , � , ' comply 'witn su<h �prodzlons'.or this+permit'snall be •aeemeE rovokea: ' : GasSErvice � �Outlets � - -WaterService - , Device Boxes � . .Sign. � ' • �CONSTRUCTION CENDING�AGENCY '-�� ' ' " ' -' ' - , I hereDy aftl�m t�at Mere Is a conibuctlon Ientling a9ency fo� the performance Interceptors � "' � _ , Outlets + Standing Sections � � oi tne work for whlch�tNc parmit'is'issuatl-(�ction-30B7 civ. c.y, � � Switches� ' ' � Lnnaer'i Name , „ , Kitchen,SinK - ' . ' , - , � � �Trash Compacror . LenEePs AAtlresi � ' � ., ' ' � . � . . . . � , . , OWNER BUILDER OECLARATION � ' ' ' � ' " I:aoatOries ' . - ,_ ' . Gefbege Disposal � I nareoy.atfirm tnat i am exempt from tha Contiactor's Llcense Lnw tor tha � , P_.�re - , � � , Generatar �0-5 KW �5-15 KW . ' � follawing reason (Section, 7031.5 Businass antl Prufdssional Cotle: Any Aty or P:; � ' ' '• � . - county which raquims a Dermlt to constru<t, alter, improve, Gemollsh.or repalr -- .. . � , T�anSformer 015-50 KW � � � 'any ztructure; prbr to Its issuance, alm reqWres t�s.aOPliwnt for such Oermit ; Roof D�ains � - � ' � � i , ' to tile a signatl statamanLthat he/she Is Ilcensetl pursuant lo t�e provisions of � " - O5U+ KW ' ,(i;p Contrac[or•5 License Law�(Cnapter 9 (tommenci�9.w�th $ection 7000) of • - ' � ' ' ' ' � . � � ;Reinspection Fee . $75 �:,arizlon 3`0} the Business antl Protesslons Cotle)'or [hat ha/she�is�axampt Showe�s ReinSpeetiaroFea � $15 �.�f2retrom antl the basis for the allo9etl exeinptlon.' AnY-��otation of� Sactlon Meter ❑up to 100 emOs Isue Fee ' � S 3 ;�3031.5 by any apPllcdnt tbN_a�parmitSUbjBcts �ha•applicant'to a.civil � � " ' - � ' _ . __ !. enalty of not more Ihan flve huntlietl tlollars (E500). ' ' � Service Sink � •� � � . Issue Fee . ? 3 2onine APP�a"ed By � � Date �� 1, as owner of, the'property or�my emploYees �+�th wag¢s�as thelr sole � . � � , . . , � ; ' , • ! f • ', comve�satlon' wlll'tlo the work-, antl tha slrucWre is not Intantletl or o(teretl I i �' �� � � MECHANICAh • ' pppj�mtion Approved By Date ' � for saie�(Sec{lon 7064, Business anO�Professlonal'Cotle:�The�Contractor'S ' . , � �� LlcenSe Law tloes nol aOPly to an owner ot a properb wno bullCs or Improves goile� � ' Refrigeration System I � q �i�tiOn Issued B ! ���%� �/ 9 � thataoq�antl who Ooos�suth' wo�k himself/he�selt J/ tbrough his o� M10� Own .. .•� ''. 1 ` PP y / ' , � D2t0 employ aes, provltled that such Improvements are',nJt ���entlatl or offeretl ior . . ❑0-t00,0008TU ❑100,OOOBTU . � • � � � � sale. IT, howevar, the bulltlin or improvament is soltl wlthin one ear of com- Duct? Under;Ground . , � ; ; � . 9 Y , � , SUMMARV OF FEES � pletlon, [he owner;will have lhe burtlen of provin9 pe/she tlla not builtl or Im- -. , � � ' ' � �rovetorthepurposeofsale). � • 1 • � ! . Duct-Structural , � SystemRepair%Alteration .BUILDINGPERMIT $ ` � � SMIP � � $ � I, as owner ot the property, am exclusively con4ractlng�with Ilcensetl con- � � . , . • I � ' � � ' tractors to constru<t the'pro)act (Sectlon 7044, eusineis antl Professions CoOa: ' � Duct - Ventilating � . �PLAN CHECK. $ PERMIT � � ' ' The Contractor'r LJcense�Law-does noYappry to a� owner ot�property who�� - . . , R • ' � I ISSUANCE �$� � � I ' builtlz or Improves t�ereon, antl w�o contracts for such pro�acts witn a<on- � Exhaust System ❑ Multipie �' � - �PLUMBING ' $ � . � i tractor(s) Iicensa pursuant to l�e Contractor'z LlcenSe Law). ' � � � ❑ 1�am exempt untler Se<tlon B. 6 P; C. tor this reaion � � ' � ' PLAN CHECK, $ � GRADING S� 1 FirePUFan. eic. iceo �k 319 � I �$' i ' �ELECTRICAL ' $ � Date � • • Owner' ' ' � '� Heeting System & Dutting ' � � • � ' . � ' � MICROFILM � $ I here�y certily that f have reaC this applicalion antl state that the above � ❑a100,000 BTU �100.0006T � 'FLAN CHECK: . $ � . . �informatlon Is correct. I agree to comply with all dty antl county ortllnances ' • ."' � 'l � Q� TOTAL�FEE ,$ antl state laws relaHng to Eulltli 9�a�strucHon, and hereby authorize repre- HDod oi T e I ❑ , 'MECHANICAL $ sentztivas of t B� .�a enter upon the abova-meneonatl property tor Cano � TYPe 11 ❑� �. Reinspection Fee 1 $75 -pLAN CHECK ' $ Z' �� qD Af�CED PC !$ � Inspectlon ur se . ' I � ' � � ' � Signature • V Dat¢ O�f2$�$� ; . . ' . , • � , in . p� Drivers• Lice or'S 9p Regirters . � � . . laue Fee S 3 , - ' � FINAL FEE $ 7� CMF0865-46rev.12/BY-Wnite-Builtlin9:Canary=AGP���nt:Plnk-Accountln9;GolGenrotl'-Assessor' '- - ' " � ' - -- '- - - � � --' � - - . -- �-..-� ..._.. . . s _ . _.. 1 J CONSTRUCTION AND PLANNING � � `��+ � - � . ' � -� � �C SPA - . �. _ � _ ._ a :Date. � �Inspector � � Date- -Inspeetor� : APPROVALS ;, �PermAt � ;: y - ` - � ' qPPROVALS �� Permit #' - . - ti •:'�L�TempoE ry Electrical Servi;e;or Pole � : ( � _ ;; . ,; �- '� �"' 52'. Pool & Equipment Location'� ' ;� � �'2.�Soil�Pipe-Undrg�nd' �- =+.,,; � ' � :" ' 53.�Steel Reinfoicement • � - � _ � (3.�Electrical Conduit Utilitv-Undrgmd. ' w.; � � -" - � -'54' Forms' . � � -� . � ! ;4.�Electrical Conduit-Undrgrnd.' � � � ' Q ' ' : 55. Electrical�Bonding� ' - � . � _ � � `5.�Steel Reinforcement � i', � � ' ^ �• ' _ ; ^ -' 56; Rough Plumbing & Pressure�Test . . •6.� Electrical UFER Grnd. x =-" � �i ; _ � ' 57: APPROVAL TO COVER-GUNITE - � 7.iFootings ' � "� - „ _ ''.� _. - ' S$. Electrical�nduit-Undrar�rl.-� � 8., Foundation � ; � ' ' - ' " � � `E � 59. `Gas Pipe, O Undrgrnd., Test . _ 9.�WaterPi e-Undrrntl." � � �- ' P 9 - . � . 80. Backwash �Lines, P-Trap, O Undrgmd. ' 10.+Sfructuial FloorSystem T� , .; '61. APPROVAL TO DECK 11.jProperty Sewer Lirie & HouseConnec[ion - ' • 62. Backwash�&.Receptor-Fin:al � � .� 12. Sewer Cap� � � ' , � 63. Heater & Vent-Final. . ' i 13. Fioof Drains � � � , ' " � _ . � C4. �Plumbing System - Final ' � � ' . 14.�RoughPlumbing ' � . � I - �'65.'Electrical-Final � �15. Rough'Electrical=Conduit'�,-`- - -�- �- i -'i'- � - -, � " ��, $olarSystem-Final - � � -:�76.�� Rough Electric Wiiing ! " ' ; = ; ; � . - . - ' • 67. Fencing & Access Approval � ' � '17:;Rough Wiring Sign =` * � " � � �. . � � j - � ' ' gg. APPROVED FOR PLASTERING . 18. Rough Electricai-T'Bar Ceiling °' I- �-� � �` �� .' 69. POOUSPA SYSTEMS FINAL ' 19.N Rough Heating & Air�Conditioning �� ��- i � ' ; FIRE DEPT. REQUIREMENT - 20„ Rough Factory Fireplace � •� ' ;' ��' APPROVALS � Permit # , , , � i! 21.�Ducts; in Structure� � ' �� ; � i � 70. Underground Hydro � � � �,22'Duas,Veniilating� ' c, �- '! ` ; � j � ; 71. ProductPiping'OGas ❑Oil � � �'23.�Gas'Pipe-Rough & Test'� I "` �� +r, I I ' ' � � ! 72• Underground Flush � � �-24.l� Roof Framing � ���;�� �;a �� v�,-� �� j ti��„ . - i � 73. Undergrnd. Siorage Tank � Gas ❑ Oil ' 25.� Roof Sheathing �, � � , ��;' ' �` � � � ' � � 74. Overhead Hydro � � -�26.iT-Bar Ceiling�(Stiucturel)r& Monocoat ;` I F �:� ' 75. Dry Chemical � ;27.�,Frame�andflashing r • � � � i� '.� i ' � i ' ' 76. Dry Standpipe' ' .' ' � - 28:� Cathing &,Siding - � j ��� ; � I � � 77. FIXED SYSTEM FINAL , � 29:- Insulation� ' ' ° � ' �� ' � � . . . - � � il f� ! � � ; � � 1 78. FIRE PREV. FINAL �; 30.r.Drywall Nailing i i �' � �' � I f � � � � . Notes: � . l37!' Rlaster Biown Coat ' � � '� �I.. -I- �--� � � � � � - - � � � -� �. - - � . _ � . . �' 32 � Electrical Power Meter-Final I " ' ! ' � ' � � ' ' ' . - � � I � � i _3,3� Final Electric i ' ' � j� i; � ; i ' � � � � . , 34. Final Heatirig,&.Air Conditioning • . �}A� . ' � � -��nz r r, ' I � � - 35. Final�Gas Pipe-ifest'- � C' • ' � � ` � � ` ' . � � 36. Hood�o��CanoPY,`� ��n 1'.� •�� ;I �~ - �: � � � �' ' ;' , - . - f �i 37. Final,Factory Fiiaplace'�, � i I _' � � " �(�0 ' � � ' � � , �' y r� �Y I 38. Final;Plumbing' � � I ^ ' + � :� �, � � i . � , � i 39. Water Service-Final � � � � � � � � � � � � " � � � � i ,. 40. Gas Ser4ice'Firial � ' � � � � � � ' � ' ' , _ i • , 41. Solar pomesticFinal � • � �' , 1 i � ; ' _ , ' � i � � . .i. . a.. ..� l _. 42. Backflow P,reventer • � i ' � ' ' ' �. � � i -_� i "�1-- - -- - - -- - � r� : � , . . � . . . 43. Backflow tr�igation�� � ; I�:� - �' . � � . �: 44. Land;cape Irrigation SysEem � �,�`,- ' � � � � , , - 45. Sound�Attenuation,' � i � ' � � � r � �' � , ' � � � � 46. Handicap Regulations � ,, � i .i ' t ' � � ' . � 47.�FINALSTRUCTURE&BUILDING ;:� ; � � �, • � � � , 48. Special Requirements�Completed :' ' j �µ i' . � � � 49. ElectricReleasetoEdison � I �I _� ' _ �_i._�,_ _, _ _ , ,._ _ i, ; ' . �" -� 4 1. r ���. 1 � . 50. Gas Release�to Southern California Gas Co �. ' � � • � � �. � 51. CERTIFICATE OF OCCUPqNCY � � ' ' ��i ;_ ' � � No � + � - �Date ' � . � - i -�-- i -, - - " , . _�.�„�: � AoO��cant to fill in all soaces eacept those within neavY Doraer lines antl sl9n ali appropriate tleciarations. -CITY�OF COSTA MESA � - - - C�ONSTRUCTION PERMIT Project Address � VV i � � Applicant's Mailing Addreu � � Owner's Name � �� . ? ���_ ' •Tc'v� _ _ Addreu Arch/Eng. � License No. Addresr y Contractor's Nam PF�o � � Q.A Address (mA����;� � � ^ Cliy LICPOSP NO I LICENSED CONTRACTOR DECLARATION I hereby a(firm that I am Iicensetl untler provisions ot Charter 9(commencing with section ]000) of Division 3 of the BuSiness antl Protessions Cotle, antl my license is In f rce ai tect. License ss �Icense,No Date ��� = 5'9 t � W00.KER5' C MGENSATION DECLARATION hereby atfirm Ihat I have a certiticale o( consent to selt-insure or a ce iGate i Worker5' o pensa on Insurance, or a certi etl cOpy thereof (Sec ion d800, Lab. Policy No. � 0 � Company � �letl copy is hereby furnishe� ' Certi�ji c i5 rth the city�� IviSion? Date / ��� ��Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATIO (Thizsection neetl not be completetl it the permit is tor one hundretl ( 1 O) or Iess). I certify that in the pertormance of tne work for wnich this perm�t is issuetl, I shall not ¢mplOy dny per5on in any manne� so as to become subject to the Workers' Compensation Laws ot California. . Date Signature NOTICE: If,'af[er makin9 this tletlaration, you shoul0 become subject to the Workers' Compensation p�ovisions of the Labo� Cotle,-you must forthwith comply wi[h such provisions or.this permit shall be tleemetl revoketl. CONSTRVCTION LENDING AGENCV I hereby affirm tbat there is a construction Ientling aq¢ncy Tor Ihe performance of the wark �for which this permit is issuetl (SecHon 309� Civ. C.) l.entle�'s Name � LenGer's Atltlress OWNER BUILOER DECLARATION � I herebv affirm that I am�exemot irom the Contractor's License Law tor the TVPE OFCONSTRUCTION �%CI NEW I.J ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIONOFWORK � TVPEOfPERMIT�� y GRADING FOUNDATION STRVCTURAL ❑ TENANT .I�J ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ �OTHER � PROJECT DESCRIPTION 5�. FT. oCCUPANCv CONSTRUCTIONTVPE VALUATION$ � ZONE ' GRADING CU. VDS. ACRES Remarks: 'e=ererrom ana the bazYs for the allegetl exemption. Any violation of Section '--�--J31.5 by any applicant for a permit subjects the applicant to a civil �-�enalty of not more than tive nuntlretl tlollars (5500). LJ 1, as owner ot t�e property or my employees with wages as their sole com0ensation, wi11 tlo Ihe work, antl the structure is not intentletl or otferetl for sal¢. (Section 7044, Bu5ine55 antl Professional Cotle: The Contractor's license Law tloes not appty to an owner of a property who builtls or improves thereon, antl who tloes such work himselt/herzeli or through his or her own employees, provitletl that such imorovements are mf intendetl or otteretl tor sale. 1(, however, the builtling or improvement is soltl within one year ot com- pietion, the owner will have the burtlen of proving he/she tlitl not builtl or im- �rove tor the purpose of sale). . LJ I, az owner ot the property, am exclusively contracting' with licensetl con- . tractorsto constructthe p�oject (Section ]044, Business antl Professions Cotle: Tne Contractor's License Law does not apply to an owner of property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(s) lirense pursuant to the Contractor's License law). . ❑ I am exempt untler Section B. & P. C. for this reason oate Owner ' 1 hereby certify that I have reatl this appliwtion antl state thai the above information is-correct. 1 agree�to comply wlth all Uty antl county ortlinances antl state laws relafing to builtlin9 constru<Hon, antl hereby autho/iie repre- sentatives of' this' city to'enter�07J�(he wDove-mentlonetl .o/ooertv:}or Signature �"'�—K Drivers' License or 55 � CMF 0865-46 rev. ]/83 � White - Builtlinq; Irrigation Drinking Fountains Floot Drains. Floor Sinks • Gas Service ' Outlets I ntercepmrs Kitchen Sink Lavatories � � � Roof Drains Reinspection Fee $25 Boiler Ducf- Under Ground ' Duct - Struc4ural Duct - Ventilating Exhaust System ❑ Multi Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ ai oo,000 sru o i oo,c painspection Fee Pink - Accounting; Goltlenrotl - Assessor $25' Showers Service Sink Sewer Cap Sewer Connection. Solar Collecmrs Solar Pipin9 � � Solar Tank Swimming Pool w/Spa Urinal Water Closet � Water Heater Water Service � Issue Fee Hood or Type I ❑ Canopy Typell ❑ Refrigeration System ❑0-100,0006TU ❑100,000 System Repair/Alteration Issue Fae $ 3 $ 3 0 A.P. # S Main Building: � E T Front A Rear C Right K Left s Ping. Ref. # ' Parking Req./P.rovided Use of Building: Planning No[es: ' Automatic Washer Construction PoleSub. Cookinq Unit Dryers ❑Ga�. Fan F.A.U. Fixtures Device Boxes �UtIEtS SwitChes Garbage Disp� Generator 0� � "�' �Zone � '"' '— Acceuory Building: � Park.Fees $ � ELECTRICA� � Transformer ❑ 15-50 KW ❑ 50+KW '� � Me[er C!lup to 100 amps . , Meter �over 100amps � � Sub Panel � Motors O0.1 HP O1'h - B Inc.Solar 09-75 HP 016-15+ � Microwave � Pole Light ' Range . Standing Sections KW �5-15 KW Trash Compactor R 0 FEES � O N 1 N G R E U U I R E E I Reinspection Fee I$25I �wue Fea ' I $ 3 I PUBLIC SERVICES REQUIREMENTS: , 2oning Approved By �ate Application Approved By Date Application luued By ��f � Dat �� g ' SUMMARV OF FEES . BUILDING PERMI7 , $ SMIP $ � PLAN CHECK $ PERMIT � � PLUMBING � $ ISSUANCE $ PLAN CHECK $ ENEFGV P.C. $ ELECTRICAL $ � GfiADING $ ' PLAN CHECK $ I %, � MICROFILM $ MECHANICAL � $ � TOTALFEE $ sSs:�.� PLAN CHECK • $ � � ."CONSTRUCTION AND PLANNING . � - " POG SPA - , �APPROVALS, Permit# ��U ��,Date Inspector'� ��AppROVALS -Permit# Date Inspector ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' . 2. Soil Pipe-Undrgrnd. ; - 53., Steel Reinforcement � � 3i Electrical Conduit Utility-Undrgrnd. �� � - � - 54. Formi , � � � 4! Electrical Conduit-Undrgrnd. . . . � 55. Electrical Bonding - =5. Steel Reinforcement '- � - 56. Rough Plumbing & 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, � Undrgrnd. � 10: Structural Floor System - � 61. APPROVAL TO DECK . 11. Property Sewer Li'ne & 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 Elertrical-Conduit � ' -66. Solar'System-Final ' 16. Rough Electric Wiring - - ;67. Fencing & Access Approval - 17. Rough Wiring Sign , �� /V 83 ���� 68. APPROVED FOR PLASTERING � 18. ;Rough Electrical-T Bar Ceiling � � , 69. POOC/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 0 Gas ❑ Oil � 23. Gas Pipe-Rough & Test ' ' • 72. Underground Flush i 24. Roof Framing � ' , � � � 73. Undergrnd.StbrageTank OGas ❑Oil ' 25. Roof Sheathing ' , _ 74. Overhead Hydro � 26. T-Bar Ceiling (Structurap &�Monocoat� ' , � 75. Dry Chemical 27. Frame and Flashing� ' � 76. Dry Standpipe 28. Lathing & Siding . - 7J. 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 � � Note's: � � 34. Final Heating &�Air Conditioning' � ' • � - - 35. Final Gas pipe-Test . - ' ' _i 36. Hood or Canopy � 37. Final Factory Fireplace � ' • . , � 38. Final Plumbing � ��� � , { - 39. Water Service-Final i ' - � � 40. Gas Service-Final ' � , - 41. Solar pomestic-Final � . 42. Backflow Preventer . ' � � 43. Backflow Irrigation . � � . � � 44. ,CandscapC Irrigation System � � ' 45. Sound Attenuation � , � ' � 46. Handicap Regulations . � ' . - � 47. FINALSTRUCTURE&BUILDING � ' ' 48. Special Requirements Completed � . ' � 49. Electric Release to Edison �- � � � � � - � 50. Gas Release to�Southern California Gas Co � � � � ' 51. CERTIF.ICATEOF.00CUPANCY� , � . �, _ � ' ..` , N0, � - � Date' �- ' ' � �. City ot Costa Meu Development Ser�ices Department 8uilding $afe�y Division P. O. BOx 1200 Costa Meu. California CERTIFICATE OF OCCUPANCY No. QCi.�e83 The Building located at �G� �.jTrar_�mc unv has been inspected and found to comply with the provisions of ail City of Costa Mesa Ordinances applicable thereto for a Group R 1 Occupancy. Use of Building ��IDCI��l Legal Description 41F3-131-17 (See reveru side for Metes and Bounds) Building Permit No Ii-7510 Electrical Permit No. E-9490 Plumbing Permit No. P—��68 Mechanical Permit No. «9��9.M—OSS� Number of apartments � and/or guest rooms _ /i --�'.' _ i9 �. ( D n l/ i ISSUED T0: A1.D. � CO.. II�C. by 2950 AiR`^IIi1' AVE.. D-9. C05TA MFSA. C11. This Certificate of Oewpancy SHALL BE posted in a conspicuous place on the' Building Offici0l of the City of Costa Mesa under Sec. 307 (e) U.B.C. � CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File ial a� SHALL NOT BE removed except by the