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HomeMy WebLinkAbout2554 YALE PL - Building Permits • 1 • r t CITY OF COSTA MESA 'o�` tzL1 BUILDING DIVISION - 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us i . FOR INSPECTIONS CALL: (714)754-5626 QO4>u�ern eN" PERMIT NUMBER: BX09-00176 PERMIT TYPE B_MISC STATUS: ISSUED APN: 14139118 DATE ISSUED: 09/03/2009 Zoning: ISSUED BY: BJK JOB ADDRESS: 2554 YALE PL CM Suite/Unit: Vicinity: PATIO COVER AT REAR SFD - Primary 0cc: 32 - Const Type :?? SQ. FT: 120 Valuation: $1,934.40 . SCOPE OF WORK: CONSTRUCTION OF A 120 SF SOLID ALUMINUM PATIO COVER AT THE REAR OF AN EXISTING SFR. ELEC:2 LIGHT FIXTURES OWNER: UNGEHEIER,JAMES R Address:: 2554 YALE PL Unit City/State: COSTA MESA, CA Zip Code: 92626-6135 Phone: 714-668-9910 • APPLICANT: MAUREEN MCCANN Address: Unit: City/State: Zip Code: Phone: 949-933-5153 CONTRACTOR: PATIO WAREHOUSE INC License No. 875966 Address: 2081 BUSINESS CENTER DR Unit: UNIT 165 City/State: IRVINE,CA Zip Code: 92612 Phone 949-660-0660 Cell: ARCHITECT: License No. Phone ENGINEER: CARL PUTNAM, P E License No. C68139 Phone 434-384-2514 FEE SUMMARY Building Plan Check: $45.01 Building Permit: $69.25 Electrical Permit: $25.70 SMIP Residential $0.50 SMIP Commercial $0.00 Bldg Std Admin Fund • $1.00 TOTAL FEES $141.46 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE K. INSPECTION TYPE DATE INTITIALS CODEC INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 1 203 Final Sign 222 Final Site 204 Final DOmolition 250 Final Building/Occupancy �! WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. — I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: e n 3700 of the Labor Code,rs' for the nse of the work for which lacy permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that nce d,will on five nfeet in depth into whichiza number are: person is required to descend,will be made in connection with work authorized -f',t, -g 4-0.1‘1 n l i(� by this permit,and that no building structure,scaffolding.falsework,or demolition _Carrier:— .7k l� �l U,'`r or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gry (This section need no/tppbe completed d the penM is valueddirt a at one hundreddrrerdollars(5100)or less) 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). Policy'Number lC,If IP 03x3 - DUB-/ 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,I sh- •rthwith/�omply with these provision Applicant's Signature Date )(y7 ,� x 7 lb, / c Cy �,/� Division of Industrial Safety Permit Number: U(I Applicants ignawXre"._ / Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in rff ullll�'faoorrcee,and effect. � I a registration form for acutely hazardous materials? ❑Yes ❑ No -Lic:# -o7b-/ 69 *F Class# I> (Section 25533 of the California Health and Safety Code, with some a �J C:)/ -'10, exceptions, requires registration with the Costa Mesa Fire Department by ( (�( /,f each business which at any one time has on hand a quantity of acutely Contractors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? IDYes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for - CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Govemment Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Dale property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I - -- not to occupy or allow occupancy of any building \\� authorized by this per it unh,fnal inspec Signatureor Leda • er Pr • a 3' Signature Date `\\) 2jh1\ / � 9/_ g -0 305] 613/0]) And/or Authorized Applicant' 'Date. ' Mac CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER rl (4iryi.(p�.. t i✓; PERMIT ■► 404-00154 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2554 YALE PL Status: ISSUED Suite No Applied: 03/03/2004 Issued: 03/03/2004 Vicinity: Parcel Nunmber: 14139118 ISSUED BY: Applicant: WOEHLER, SCOTT Address: 378 ROCHESTER ST Phone: 714-612-0449 COSTA MESA,CA Zip: 92627 Owner: UNGEHEIER, JAMES R Address 2554 YALE PL Phone: COSTA MESA,CA Zip: 92626-6135 Contractor: SDW PLUMBING Address: 378 ROCHESTER ST Phone: 714-612-0449 COSTA MESA,CA Zip: 92627 License: 725974 Arch / Eng : Address: Phone: Zip: " License: SCOPE OF PERMIT RELOCATE EXISTING GAS LINE UNDERGROUND AND ADD TWO ADDITIONAL OUTLETS FOR OUTDOOR BBQ AND FUTURE FIREPLACE. - FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 R) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00- 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) . • DECLARATIONS WORKERS'COMPENSATION DECLARATION: ., I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' pensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My wor s/com ns n Insu ce carrier and policy number are: / / Carrier: �}7 r,(r Policy Number: /76 ? O V� (This sectio ed of be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation lawsailfornia,an gree that If I should become subject to the workers'compensation provisions of Se lion 3700 f the Labor Code,I shall forthwith comply with the o (.61,..••••44•10/C 5 O"1 Applicant Signature: 4::_. ^Date: /� WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licens:-under• • ' ions• Chaster 2 (commencing with Section 7000)of Division 3 of the Business a Pres 'ons Code,and my license is in full force and effect.Lic.# Or Sr Class tt Contractor's Signature. • ea Date: I if Jr /r CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.It,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' O I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ l am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: ___ Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a.permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes Up No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ;,(- /�p Si a re Of Legal Owner(s) T3/ /6* Date �l C/ And/Or Authorized Applicant Date CORE/ IHSPECTIONTYPE RATE IRTMAL$ ROOT• IISPECTIONTYPE MIL INTlAL$ • 1616 Fixed System Final Fire Prevention 206 Final Mechanical ���r-� �(� 1266 Pool Spa Final 208 Final Plumbing .. ,3_ 2fr_ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention _ 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OF BUILDING: 2554 YALE PL on CITY OF COSTA MESA - BUILDING PERMIT ��"0— y OWNERS NAME IF MOWN; MILES, DOUG PERM NO: E 080155 ADDRESS MILES, LINDA 5 HUTTON CENTER DR #1050 PERMIT NO; E 080155 PLAN CHECK NO: N GOVT: N SUPP: N :ANTA ANA, CA 92707432-9200 APPL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT ARCHITECT OR ENGINEER: UC.ND.: JOB DESCRIPTION . INSTALL INSULATION, CEILING, NEW GRGE DR SQ FT: ARCM OR ENG.'S ADDRESS: WE: • CLAIM VALUE: CALC-VALUE; GROUP OCC ; U-1 / =fa...minium:0RD CONSTRUCTION & MAINT. ( 818 ) 884-6333 CONTRACTOR'S MAIUNG 22704 VENTURA BL COMMENTS : INSTALL NEW WINDOW TO GARAGE, MISC ELECTRICAL, RE: #B80154 ADDRESS: WOODLAND HILLS CA ucxo.: 554825 ****at*�f*�E*****Bf�EAE�E***Bt�E**rt+fft*****atat*+EBEit*�EBEiEKBf***xit***at*�E**************stat****it** 91364 (tNT. 459 Z ONING R EQU IR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Devisee 3 of the Business and Professions Code,and my license is in lull effect. CITY LW.No.: uc.cLAss: B MAO.: 5 48 .. MAIN BRIARING ACCESSORY BUILDING �O/z /� FRNT: FTIN REAR: FT IN FRNT: FT IN REAR: FT IN Date: co Contractor: LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under primly of perjury t exempt fm ontrsdors License Law for the being reason(section 7031.5 Business and Professions Code:Any city«county which requires a permit to construct,alter,improve, PARKING REQ: PROV; PARCEL: 14139118 Z N E: REF NO: molsh,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> at licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 1000)of Division 3 d the Business and Professions Code]or that he or she is exempt therefrom and the base for the alleged exemption.My violation of Seder > 7031.5 try any applicant for a permit subjects the applicant to a civil penal of not more than five hundred dollars IS5001). ********************************* ********************************************* ❑ 1,as owner of the proPeM or my employees with wages as lhei sole compensation,will do the work.and the swcture is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an ownerof property who builds or improves thereon,and waw does such work himsef or herself or through his or her own employees,provided that such improvements are cos t intended or offered for sale.II,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or the did not build or improve for the purpose of sale). _ — ❑ Prof owner Code:;The Contractors L�wweeLiaa'w°does no'an to anensed wowne«adcconstnict the w vitsoo builds or i$egmproovvonthereon�w°�ho BUILDING APPROVED BY DATE: contracts for such projects belt,a oontradorfs)licensed pursuant to the Contractors License Law). x ❑ lam exempt under Section: B.AVC.,for this reason: APPLICATION ISSUED BY: DATE; k0--)- ---11C **********************************4t************** **************************** Dale: °" °` LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Section 25505,25533,and 75534.and that l«any future building occupant will/wWnot(drag one)need t000mpiywih said matecodee adtbe requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit forconatmntion or modification from the Airanagement District.Residential mrctrWion appicalira we exempt from these PERMIT 17 . 25 OA9Mne. Date: Applicant: 50% SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of pejury one of he following dedv°lione: ISSUE FEE 22 .00 ❑ I have end wil maintain a certificate of consent to 8.ff-insure for workers'compensation.asprovided for bySection 3700of the Labor BUILD ING-DIv-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the performance dnewwf«w nnth.pemm ,aeaed. TOTALS----> 17 , 25 22 . 00 0 , 00 39 . 25 39 . 25 . 00 ❑ I have end coil maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the for m this permit is issued.My worcompensation insurance carrier and policy namber are:Cartier REVENUE DIVISION TOTALS--> COLLECTED : 39 . 25 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I the panne s tor one hundred dollen($,go/or fess) 39 . 25 ❑ I certay that in the performance of the work for which this permit i issued,I shall not employ any person n- manner so es to become su •• to the rkere compensation laws of Cardomia,end agree hate I should the workers' ******************************************************************************* compensation ionaseaion 3700 of the Labor Code,I shall fonnwit:; .' j I N D I V I D U A L F E E B R E A K D O W N Date: /0 DI 9(d' Applicant �• Warning:Fatima to secure workers compensation coverage la unlawful,a,,c.. ugliest an I•oyer to cittenel penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines rpt to one hundred thousand dollars($1040001 M addition to ' cost of compensation,damages as provided ler In SecUon3706of the Labor Code,Interest,andstromeys fees. ELE 4 FIXTURES, LIGHTING 1 ST 20 EA. 1 . 00 4 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally d perjury that there is a construction lending agency for the ELE 8 R EC EPT/OUTLET 1 ST 20 EA. 1 . 00 8 , 00 pedormaroeofthework for which this penult isissued(Sedmn3097.Cir.CI. ELE 1 RECEPT/SWITCH 1 ST 20 EA. 1 . 00 1 . 00 LENDER'S NAME: ELE 1 MOTOR/POWR APPARATUS 0 . 0 - 1 . 0 HP 4 . 25 4 , 25 LENDERS ADDRESS: END OF FEES I Certify that I have read this application end nate that the move information is correct.I agree to comply with all my and county ordinances end state laws relating to buildup construction and hereby authorize representatives of this My to enter upon the above-mentioned property for inspection purposes.GEOFFR Y F NKEL ,uJ Print (0/1.49 P/_ h /_ 01 00217809-00217809 TOT 39.25 �l st oma: / �T.�LfTf (r/ DATE: 10/24/95 TIME: 11:07 s. downs trio« (5151.46.WP) White-Buildup&Safely:Green-File Canary-Appicanl:Pink-Revenue:Godenrod-Assessor CONSTRUCTION AND PLANNING Por Q SPA APPROVALS Permit# Date Inspector APPROVALS rermit # Date Inspector 1. Temporary Electrical Service or Pile 52. Pool & Equipment Locationr_ 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 Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd, 10. Structural Floor System 61. 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 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 Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test • • 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. 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 • - 6 ��r : iw" Notes: _ 34. Final Heating& Air Conditioning • - 35. Final Gas Pipe-Test - 36. Hood or Canopy _. 37. Final Factory Fireplace - 38. Final Plumbing -• • 39. Water Service-Final - • 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • - • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co • - 51. CERTIFICATE OF OCCUPANCY No Date BUILDING PERMIT LOG EMPLOYEE: ADDRESS: PERMIT NUMBER: TYPE OF PERMIT: VALUATION: SQUARE FOOTAGE: PERMIT FEES: DATE: TIME IN TIME OUT ACTIVITY /6-/3-R7 Conmv/ki;» adouf ,4h47.67f«y a yaicic ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES VI b — 000 < . ,• 2554 YALE PL CITY OF COSTA MESA - BUILDING PERMIT / AODREssaawLllWG: uxr: - .. comurstw wkwm: MILES, DOUG ( PERM NO: B 0801541 SES% MILES, LINDA i 5 HUTTON CENTER DR #1050 PERMIT NO: B 080154 PLAN CHECK NO: 04442-96 S GOVT; N SUPP : N I ANTA ANA, CA 92707432-9200 .APPL.SWUNG ADDRESS: - CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ALT i ARCNRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION INSTALL INSULATION, CEILING, NEW GRGEDR SQ FT: 6, 400 ARCM.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 6, 400 . 00 CALC-VALUE: 6, 400 . 00 GROUP OCC: U-1 / co.iw*cTORSNwE:DRD CONSTRUCTION & MAINT, ( 818 ) 884-6333 CONTRACTORSDRES& 22O04DL VENTURA BL ********iE*********L **********+S**+E****** -***********************�E*sE -+rss** -serr*****�r ADDREss WOODLAND HILLS CA uGNo.: 554825 91364 vim 459 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby eflim under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Sect'/n 7000)of Division 3 of the Business and Professions Code,and my license s mforce full . Cm LIC.NO.: LIC.CIASS: B IX.NO`/ 8�$ MAIN BUILDING ACCESSORY BUILDING / vit //�/L`/// FRNT: LEFT: FT IN REAR: IN RGHT: FT IN FRNT: LEFT: FT IN REAR: FT IN Date: / v 9L comreaa: FT FT IN FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under peva ly of perjury that I pt hoes the Contradcia license Lew for Me following reason(Sedion7031.5 Dueness and Professions Code:Any city or county which requires a permit to construct alter,improve. PARKING REQ: 2 PROV: 2 PARCEL : 14139118 ZNE: R1 REF NO: demdsh,or raga any wucture.prior m Ga eanerna,ales require°the eppica d lar such perm!to fib a signed sutemere Met he a she is licensed pursuant to the provisions of the Contractors License Law(Chador 9(oommervdng with Section 7000)of Denson 3 of the PLANNING NOTES> INTERIOR ALTERATIONS (DRYWALL, INSULATION, INSTALL WINDOW, Business and Professions Cods]orlhalhe or she is exempt therefrom and the betula Me alleged exempion.Ary violation of Section > GARAGE DOOR OPENER & LIGHTS & ELECTRICAL) IN EX 2-CAR GARAGE 1.5 by any applicant for a permit subjects the applicant to a civ)per"of not more than free hundred flats(85001). ***********34******************************************************************* I.as owner of the propend Ormy employeeswih wages as their age oompensmion,wM do the week.and the structure 6 not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business end Professions Code:The Comrades License Law done not apply to an owner of property who bolds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that mai improvements are net intended er°tiered lor°aM.f.however.the building or inprovement is sold wilhinone ywrof completion,the ZONING APPROVED BY merUDG3IL DATE: VP_2- 4( --C1C owr-builwill have the burden d proving he or she did not build or improve for the purpose of sale). ❑ I.as owner oflheproperly,amexclusively connecting with licensed contractors toconstruct the project(Section 7044.B ,leeessnd BUILDING APPROVED BY DATE: • Professions Code:The Contractors License Law does not appy to en owner of property who builds or improves thereon end who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). 1� ❑ I em exempt under Section: B.AP.C..fortisreason: APPLICATION ISSUED BY; DATE: ( 0- /4 —CU **************************************************** ************4**1:-********** DatOwner: LEGALIZATION:N F E E S U M M A.-R -Y STRUCTURAL SEGMENT:Y I do hereby certify that I ant aware of and understand the requirements of Caliomia Health and Safety Code Sessions 25505,25533,and 25534,and that I or any inure building occupant will/wnot(circle one)need to comply with said date codes end the requirements ler •r it a permit for construction or modifimlion front the AO Ouakty Management Dishier.Residential construction eppications are exempt from thew BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING rm provisions. PERMIT 124 . 75 . 64 Dale: Applicant: PLAN 81 . 09 r, SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under petty of perjury one of the following declarations: ISSUE FEE - ❑ Ihay,and wilmeinlainaeradicate dconsent toself-insure for workers'compensation,asprovided for by Section 3700oftheLa&r BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code. aneolheworkorwtihihiapennneaaued. TOTALS----> 125 . 39 0 . 00 I81 . 0.9- 206 . 48 206 . 48 . 00 ❑ I have and wit m maintain worker.'compensation insurance,as required by Section 3700 of the Labor Code,for the oede ans of the .,f work for which this permit is issued.My workers'compensation insurance carder and policy number are: I cagier: REVENUE DIVISION TOTALS--> COLLECTED: 206. 48 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK mita melon nage era be competed/Me PSIS utar one hundred dollars A10010,ham) 124 . 751 ... . 64 81 . 09 I car*that in the performance of the work for which this permit is issued,I shall rid em,,. any person in an - ner so as to , become subject to the 'compensation laws of California, and ag- 'v le , ., the melees' *************************************`****************************************** compensation Section 3700 of the Labor Code,I shall/aNwit• ?A •mo w k / f°" /> I N D I V I D U A L FIE E B R E A K D O W N ^� Dae: C�Z 9 Applicant: _ ' 7 Wining:Fallon M secure workers'comminution coverage la unlawful,and shallare/sct an eploysrso criminal penalties and TYPE QTY DESCRIPTION/ ,. UNIT COST TOTAL COST clad lint req to one hundred thousand dollars(3104000A In addition to the cwt of compensation,damages as provided for In Section 3706of the Labor Code/ntaest,and atumys fees. SFR 6400 T. I . MISC RESIDENT. BY. VALUE/$1 1 . 00 6, 400 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury the there is a construction landing agency for the END' OF FEES performance of the work for which this permit is issued(Section 3097,Cry.C). n r LENDER'S NAME: LENDER'S ADDRESS: 'I�r e . I certify that I have read this application and dale that the above information is coned.I agree to comply with ell city and camtyinences , and stale laws relating to building construction end hereby authorize representatives of this dyto enter upon the above-mentioned property rrv� .i: for inspection purposes. GEOFFREY FI )! ?. 01 00217810-00217812 TOT 206.48 DATE: 10/24/9:r TIME: 11:08 Date:_Zehia4:1 4 ! t4Irador J J (5151-46 WP) White-Building&Safely;Green-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor r j CONSTRUCTION AND PLANNING POOL & S9� APPROVALS Permit# ;e Inspector APPROVALS Perm'- " 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. Electrical Bonding - 1 I ! 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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Q Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor•F,inal 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 r -, 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 Structure • 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73, Undergrnd.Storage Tank 0 Gas 0 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 5 .4_t77 � -A/' e.ais g`,ec,. ��, /� 35. Final Gas Pipe-Test, `�(� ' _ _ e, -L�c aw rf M • 4e 1 36. Hood or Canopy Ott fC.Ke_lret' CL-46 fleyeer, Llw� C 37. Final Factory Fireplace [/� 4- 4/0 38- Final Plumbing /I to(e--?7_ cAc-a. 39. Water Service-Final 44.4 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System • :✓ 45. Sound Attenuation • 46. Handicap Regulations - - 47. FINALSTRUCTURE & BUILDING eve4 -era_ () 48. FINAL PLANNING r t], 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date •I 4t] tWWUwt CDD41 TALC. YL viii• Lits VC l..v.ncs rac.dme u.iau...i.iv r,.....-.i. oncrsNANEDIOCM* MILES, DOUG I PERM NO: B 0801541: i - .OnREsuMILES, LINDA t 5 HUTTON CENTER DR #1050 PERMIT NO: B 080154 PLAN CHECKNO; 04442-96 S GOVT: N SUPP : N ANTA AMA, CA 92707432-9200 ' .� � CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT ARCHITECT OR ENGINEER: IK PC JOB DESCRIPTION : INSTALL INSULATION, CEILING, NEW GRGEDR SQ FT: 6, 400 MDL OR DELI ADORES& IMT: CLAIM VALUE: 6, 400 . 00 CALC-VALUE: 6,400 .00 GROUP OCC: U-1 / CONmACTwsNut DRD CONSTRUCTION 6 MAINT, ( 818 ) 884-6333 caGRAaars muc 22704 ND VENTURAIBL *O*****S*********************DOW *0**GAR***Er*+e**+SC e************err+E**+E+E*+F*+E***********+r+E ADOREss: WOODLAND HILLS CA mm, 554825 91364 we: 459 ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm ands penalty of pantry the I an fused ride prw+ms of Chapter 9 SETBACKS (commencing silo 7003)of Oaten O 3 d t e Business s a Professions Code,and my Taresn he two. . cm uc.NO.: T I� Contractor CUSS: 8 uc.No.. 5$� suMAIN BRIRING ACCESSORY EAILDING 'a9L /6/4( FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dae: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER(YIELDER DECLARATION:I hereby affirm under penalty d prjsy the I rt Ilan the Cddrtlws Lions Law for dm fdbwig ninon(Section 7031.5 Boston and Professions Cods:Arty cby a cowry Mich saes a Arms b enema,ser,improve. PARKING REQ: 2 PROV: 2 PARCEL: 14139118 ZNE; RI REF NO: 1 ds,deh,wregimiryginidum.prior bbeasa• ebompuire.theepgicent faanprmdtofi4•Iced MennentheM ashe i betted punentto theprwmwe dde Cadtedas License Law j*w.r 9(eomnrn g wh Semon 7003)d Anion 3 dthe PLANNING NOTES> INTERIOR ALTERATIONS (DRYWALL, INSULATION, INSTALL WINDOW, 'rabies aid Prdendn Code(w that he or she u exempt therefrom ed the teals for the seeped earmpbi Amviolaton of Section > GARAGE DOOR OPENER & LIGHTS & ELECTRICAL) IN EX 2-CAR GARAGE I 1041.5 17/OM aeppficend toe•perms e waitsOr applicant toe dyi penaltydmore not then free herdles ed do ($533D. **********3f*kk*********************k***********************k**kkk************** I.as eerier&the Prooertyornw employee*with wages asrhea sole compensation.will do the work end die structure is nor intended DEVELOPMENT SERVICES R E Q/} U I R E M E N T S a dlered (Sectionr sale 7044.Business and Professions ntr aCode:The Coadas Licwdoes etaw not applylon Dowd properly kI who buds or inprovee thereon,end who does such work limse,or hese,or through he or her own emPloYm.Prodded Iha such CO � i improvements ere nintededcc offered for salbuilding wwre . ,however,the building inoment a soM within one yew completion,the ZONING APPROVED BY Sv3 :_ \ DATE: 0 -•14 -GM(, I••. owner-builder will will havethe burden d proving he or she did not d o buimprove for the emboss d We). ~ f, Nessons Code: M LoeraeeLLaw dooees raid�an owner a properlywho b construct the o$rQrovthereon eend inessi; BUILDING APPROVED BY DATE: contracts for wM projects welt a mrisda(e)licensed Pursues to the Contractors lion*law). O Iemexempt under Section: B.AP.C../cc this reason: APPLICATION ISSUED BY; DATE: (0- u( -CU *****************k********************************** **************k*********** Oat Owner: w" LEGALIZATION:N F E E S U M M A-R -Y STRUCTURAL_ SEGMENT:Y I do hereby certify en I em aware d and adrstand the requirements of CaMalia Health ed San Code Semon 25505.25533.cod 25534.end that I or sly Nus budding gdngeN will/will not(circle one)need to comply wilt said as ads and the rea:ernem for epermit« clionormoenmronbanueAiQuaky Nanepenwdwwa. esidraelwmpdonappirsiareearegtmmmw BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING Modes. PERMIT 124 . 75 . 64 Dale: Appliant: , ? •1 SMIP/NON-RES WORKERSPLAN COMPENSATION DECLARATION:I hereby affirm under d peg er pty w ow d foamingSrfoamingdersreor. ISSUE FEE 81 . 0 9 t CIIhem maintain dconsent WI-insure sbs'mnpr rwakerebte.sproddedbb/ m Section S700 afthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the°ed"" .ed thewa*?ore1 epnaaw.°' TOTALS----> 125 . 39 0 . 00 ( .' 81. 0.9- : 206 . 48 206 . 48 . 00 CII have and w0 maintain compensationworker 'compensatiorewiredm n insurance, reed by Seod mCode,bthe Section 3700 e Labor r performance d the . wwkawhmwsans .e.Mrwoken'compensation wmcarrierdplay we • rends REVENUE DIVISION TOTALS--> COLLECTED: ' Caner. REVENUE OVER/SHORT: , 00 Percy Number BLDG PMT PLUMBING ELECTRIC MECUANIC FIRE SMIP/TOT GRADING PLAN-CHECK This e.moon.eawaavaetMPami:rownnaa.edears :rool>..f 124 . 75 . 64 81 . 09 ❑ I oeniy eto in the pedomance d the week lk which the perms a awed.I shall rut. ... any person in s s to , became subject to the compensation laws d California and I •4 w the woM1rs' ***************************************************k*************************k* compensation J° /�Section 37005 he LaborCode.I.1.5 �°r j"'j%7 INDIVIDUAL / F;�E E WREAKDOWN Dm: Cls ..l el Appliuri: !/(, I Warning:Faun to non sorters' p non coverage b on:mul end shallntsst en rtployr to criminal panellise and TYPE QTY D E S C R I P T I O N/ t UNIT COST TOTAL COST CNA fins W to one hundred thousand dollars($I00,000),In addltlun to the cost of conpasetlw4 dersg•a n goaded for In Seeden37OSofthe Labor Code Interest oat erfom.y.lea SFR 6400 T. I . MISC RESIDENT. BY, VALUE/$1 1 .00 6, 400 . 00 CONSTRUCTION LENDING AGENCY:I hereby elfin,under penally of prjwy the then is e mwndion lendrg agency 3o Ow END7 OF FEES bode mence of the work for which the pans is issued(Semon 3097.CM.C). LENDER'S NAME /,. ~ • LENDER'S ADDRESS: ' i .' I tray the I hew and the eppFmm and wee that t e above ammaon is mnad.1mm,to cao*wdh d dry al easy ordnr,rs ad nee ewe tomo to b./Mg conendam d hereby authorize r .aenteeks d this city bele upm the ebmwenerebud property .'�' _ • f to inspection papoose of «0127810-0017812 TOT 206.48 GEOFFREY FID]KE �,�� , -^� "I f f -�i17��c�+ b / DR7Et 10/74/95 7IffE: 1108 - a Dm: q coda (5151.4e.W s) White-Build q&Warr Green-Rule:Canary-Appbcara Rik-Ware:Goldenrod-keen ONSTRUCTION AND PLANNING POOL & SPA • APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspecto • i 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • I 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. ,. 55. Electrical Bonding 1 ^' : • 5. Steel Reinforcement. • 56. Rough Plumbing & Pressure Test .- • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. / 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor. inal 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. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - l 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .• n 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof. Framing 73, Underyrncl.Storage Tank 0 Gas O Oil I 25. Roof,Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe 1 28. Lathing & Siding w 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREY. 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 7 / ,q7._ X/s.O aj>r �le`w r .t 35. Final-Gas Pipe-Test �_y'(� [ s'y -,at'4y f 74. he �'L 36. Hood or Canopy . Ca( ..n- 37. Final Factory Fireplace 6440 38. Final Plumbing 119 eta 7- 5 a_f re - 39. Water Service-Final • -. 40. Gas Service-Final ' 41. Solar Domestic-Final 42. Backflow Preventer . , 43. Backflow Irrigation . - 44. Landscape Irrigation System . ' .45. Sound Attenuation - ' - 46. Handicap Regulations - . • • , ,- • - 47. 'FINAL STRUCTURE & BUILDING „ 48. FINAL PLANNING - ,. . - Ir_. 49. Electric Release to Edison - r - re., 59. Gas Release to Southern California Gas Co _• " , 51. CERTIFICATE OF OCCUPANCY • - No. Date t - _ ••17 I. . . . • • • • . • • • • . • • ,. • • • • • • • • • • • , ;44: • ,•• • • • • , •• . • : . . • • • • • ,eicercto,,f‘v•vf,'<2 . . , • Prip.t_x,i4;.•14.>;--7 . . Ve. • • \ • \ N • . . • \ N • •, • 1117 — ; • ___•__ __ i • 0., / • GG'fi 6)cilifierrate • • . a /9PP UA4,-;ek..99 /154,fe- /4,5plie,6„: 2-St.;;PS if:ever _SsecrAy:•;e//yr;*..e-tir...4)7,-,,a=:2 • • ,400 WvS - 7-4,-7f- it-)vd/a tese sc..0 M,-.,j "1 /.429: e- , Cod /AV/4. "i4gfer-orkz/ -4-195-g ::1/&T-1W- c . - ;::12.21filef.ste;4) - t-- • legi9€634/Ace:C /VP U0,4192/0050 M& e PC:/&. . "2.4c0 /41.50"c'''Crje laY)5 ir..:17.1194efe• jeC.-411:15 /415)71e...9117V1) /900 etPedirnitieelf MPet%-- re VWaft. .1:091/41.11- neAd 66)(P1 /frY 1/4( tt, cat/it? 1L -tj )z-entLa '! 3.'2 • an) hysvi,m6du J (whire,s- • • ow Ne-0.1 blifryfif:2/ev „Aytizt-hxfirki:5,;, / nv), NemieeAtingecmt, 6,)ta wtv9t, te2A-e-e;,e5? nepiVAPO ,Orni-;20a.3fr;c4:5-ip 9' g LI,XM:12t7 gteeiY:;17c• *— Mt sa frOP 4"-Faviercryefiev r--ethkrincyri!a.A,s 7/7'4w B p c , _ Mg /1.172 4/S/1/ASC:57,211247--POY)e ej) Mesa • 0: These - 1719 X-////V- A, iffc.:11.4:•:.../7 "----= j-:,.:/ii;%1 45 ,:r 1‘C•C aCil,/fiee ./ 1 5, 2.:7997 in. ., , I ,-, /4/450-e.t .57,„dy...5 ./". ?.:ve, 56,54,4re/7.6,riv,e,ai -J r\liii jt4)(44/.), ' n‘20 ,... "Pe.)/4,-.,37..,1„, - 7-4M-c,,,- reWr/L1-,P• v 1:0.2.1/41.77- ,1r-04, Cf)4),Voi Ali.) 011.1 ciiirti(-.E t:-.;-t: tele /730, .... . - -- • n-b.) ,•2-// by5j4-7-76•1_) o. altd4/ ) :4 5;1117-iCS :.,... % ,...,, . , , .. - ' ñ00 keel Witia9v --"Wir.21 xiftlAce; opie ,t,ce.0sty - • - _. DIVISION OF BUILDING :4)::t'''• ' 411' 4441) eedspneeeme., &twit wii./9 I., fr itrez-.K;it, CITY OF COSTA MESA .1. APPRO'VEDiThc ..N, . • 1274/ lr/ti 70/ 71-/C2/1 ;°2t.tr(1) a .1>, I-4, Li- : r2,4-...r- . 7-- ., ,-- ik. • . c-- -• - c-e_ .e. -d- : -;:- -:::;., ... of 4;. ' ii: ' l';'•-al 11115 Set Of planS and specifications MUST be um „ I to make any changes a atearayat — .7z,, ,,-,. i e ',VP II-x'aicizirese..frt/7-4/.6•khr;F:-,tnit:-A--::s -/7241e-,',Tee 4itirfnismAl the Division of Bulldog gld SS*.i. 2--.,' / ifications ..,;:,1`.wily . A . The stamping of this plan and spec , .t; , 0 ernsta ' or to be an apmoyal of the violation of any AcoyZeaki, _, i,..,...,_. i . 429P 4//5141W0t1-44-665. nel,C 7 4 r 90:%e'.=. Mesa Ordinance anclla State law _, , ‘ c I: • •11 : These /2/771117- 45-14A14274/(7 efl."--113/171/t".5 --COI-1t?l- re.psi'IS GSM*477...1 ."''• istr's 27d PIS shall°Pt`— . i alc. st1 loci' %.---Ce "-- the buildthg or work is not corn.-Kfeselr.4.4,3 44 , 1 , ii.,,,,‘, .rit.. . ' C. 1 . -St-1 .•; . A't -ree ." ',•••••"i P.-- - 7 t:tt.;I' , a r.74;2.';•,„?,:,-,• •, - :._ . _ . . _ . . : :::.;C:r.c .., .t-"ft. m .P-.:t9; -711 :...: :c". C•' -:'- • —-- - .::triiif Opt*piefez.:24.. • . ' /1. r.. —� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 6508 CITY OF COSTA MESA - I�r�H�"� PERMIT NO. TRACT NO. LOT NO. BLDG.NO. ••"Lo cl) TL CONSTRUCTION PERMIT bP6 i73c2) Project Address L 5 54 Yale el .. . TYPE OF CONSTRUCTION, ❑ NEW LI ADD U ALTERATION U REPAIR S Applicant's Mailing Address 2301 1 Moulton Pkwy . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Owner's Name Richard Dah i 1.1 ' pho, 49-1432 DESCRIPTION OF WORK _ 5 amp 5 • s • 11 C - : _ ' u a : E Main Building: Accessory Building: Z Address O TYPE OF PERMIT II GRADING •'FOUNDATION • STRUCTURAL T Front N Arch/Eng. License No. I ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear Address {1 ❑ 'OTHER A N Contractor's Namn Sunco/Joseph Ryan PhorM48-7440 PROJECT DESCRIPTION SQ.FT. OCCUPANCY C Right G Q7 23011 Moulton Pkwy . Lag . Hill $ CONSTRUCTION TYPE \ VALUATION$ con S Left R Address(mailing} \ �t E 1 ZONE ' GRADING CU.YDS. ACRES Q In City License No. �' + ✓/ rT_/ / Ping. Ref. # Park.Fees $ U LICENSED CONTRACTOR DECLA- •TION Remarks: Dr u I __3' Parking Req./Provided • ( I I hereby affirm that I am licensed u d- provisions of Charter 9 (commencing ♦ v { R Mwith section 7000) of Division 3 o the usiness and Professions Code, and \ Use of Building: E my Ilcense is in full force and effect. PlanningNotes: M License Class _ Ai usiness No._/t./1.883 7.— PLUMBING I FEES Date 2'��/RS c�Signature r Jr.- I _'�J E WORKER/L'Ot(RAEt4ATION DECLARATION Bar Sink Showers • T `i?;hereby affirm that I have a certificate of consent to s. Insure or a certificate Backflow Preventer Service Sink S ':•,Jif Workers' Compensation Insurance, or certified:py thereof (Section 3800, Lab. C. Backflow Irrigation Sewer Cap • ELECTRICAL ' e'. FEES Policy No. '57WBRD3381 ' co pan .Ha rt fn rd �'• ❑ ertified copy is hereby furnished. I, Bathtubs Sewer Connection I Automatic Washer . " Transformer 0 15-50 KW ertifi d cppp ,(i d with the cit ^Idiom a v I•• • 0 50+.KW Date /L}/2f y gpplkant .-.m of Clarifiers Solar Collectors (a a.\ Construction Pole Sub.EXEMPTION FROM WORKERS'COMPENSATION D ' RATION Dishwasher (This section need not be completed if the permit is for •. : hundred ($100) or Solar Piping 9 2 CO Cooking Unit Meter ❑up to 100 amps • less). I certify that in the performance of the work for whit thi permit is issued, I Drinking Fountains / Solar Tank 3 a) Dishwasher Meter Dover 100 amps shall not employ any person In any manner so as to •- ome subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel -• Date Signature — NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal • Fan / Motors 100.1 HP 0 K-8 ( SO Workers' Compensation provisions of the Labor Code, you must forthwith - - comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet - F.A.U. • Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater Fixt of the work for which this permit Is Issued (Section 3097 Civ. C.) - ures Microwave Lender's Name _ Kitchen Sink Water Service Device Boxes Pole Light Lender's Address - OWNER BUILDER DECLARATION Lavatories ' Outlets Range 20 I hereby affirm that I am exempt from the Contractor's License Law for the P—Trap reason (Section 7031.5 Business and Professional Code: Any city or p - Switches Sign county which requires a permit to construct,alter,improve,demolish or repair - any structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of lithe Contractor's License Law (Chapter 9(Commencing with Section 7000)of ;;rivision 3 of the Business and Professions Code) or that he/she is exempt Generator 00-5 KW ❑5.15 KW Trash Compactor j ierefrom and the basis for the alleged exemption. Any violation of Section , ,,.'031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). Reinspection Fee I $25 : Issue Fee $ 3 LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered MECHANICAL FEES - for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 ' • thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such Improvements are not intended or offered for Canopy Type II 0 sale. If, however, the buildingor improvement is sold within oneyear of com- Duct- Under Ground d Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- p—p LJ I, for the rpurpose of oe). Duct-Structural Refrigeration System Application Issued By Data (—Z2gC LJ I, as owner of the property,am exclusively contracting with licensed con- 00-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _ SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT . $ S -00 SMTP $ tractor(s) license pursuant to the Contractor's License Law), PLAN CHECK $ - PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.aft. ICBG# c1l,, ISSUANCE $ PLUMBING $ I -1 -lid Date Owner • Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ ' I hereby certify . I ave read this application and state that the above ❑0-100,000 BTU 0100.000 BT Information Is co, ec:: agree to comply with all city and county ordinances ELECTRICAL $ _ 4• 7o GRADING $ and state laws r: ati•g�• • •i g construction,and hereby authorize repre- PLAN CHECK $ • MICROFILM $ ' sentatives of th s it A :liteupon the above-mentioned property for inspection pu •• es. 1n r IP 1 2 MECHANICAL $ lo Signature Date / 3/85 TOTAL FEE $ Drivers' License or SS# Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ a CMF 0865-46 rev. 7/83 White Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' I CONSTRUCTION AND PLANNING - � - ( :POO.. SPA •'APPROVALS Permit# Date Inspector APPROVALS Permit# Date �I nspector • 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. Electrical Bonding 5: Steel Reinforcement 11 - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.11: 57. APPROVAL TO COVER-GUNITE 7. Footings i 1 " 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System- 61. APPROVAL TO DECK 11. Property Sewer Line SilHouse 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 . 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 Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test • - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 S// - VIC Notes: //3//rr No riftsweerbefroGe.O. LS. • 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final S//vBs £29 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations Odds-47. FINAL STRUCTURE & BUILDING Odds- 1.14048. Special Requirements Completed (� 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date JOB NAME Rid `d 04A;// PHONE 5-41-1632 SOLAR SERVICE OPECIALIST ADDRESS ZSR 1 Yele.P/ CITY C. A ---• 23011 Moulton Pkwy., C-13 '3 V(frL LAGUNA HILLS, CALIFORNIA 92853 PANELS 1, RAFTER SPACING .�1� ROOF TYPE I/I•61__ Phone 859-1591 TANK SZE A[ 0 •OUTSIDE ENCLOSURE DO 4/•c i4fd NEW WATER NEATER c 0 110 OUTLET ; + II 1 ! ! j I ! . I i I i 1 1 1 1 i F I 1 1 I 11 l . ^ I � . J t_�{� YXy YXd *2 � l >, ! • j'�t { l Lt, N. `i .I (_Z) Pat Q . • , •, I f '..! til 1\ irk) ,t.1 , PROVED •LS IBJ , N �' :COPT �F �; J MESA ' I , � I h j 1 1 M cFavcal DNisi ._."'_ . _ — I " 1 DuiJdm9 Drpartment of �� 1 s,l • �. ApAroVed ' Y ✓ri� J r �I v' • Date • - Q{-1 i I ; a iztg' <c i 1 ri i i i ---11y I < - �ll • V t • _.. 1 i. 1 I 1 ab�ntJ j . • • • • ; • • ; 1. ! • • i..._. i 1 • • )ALGI0104.1/.&z Disc cm:..A 00171. 'r • SPECIFICATIONS K: s i y , 1 +.,l: . ,� y} . `' SIZE: 35 518" x 97 518" x 3" - • 1••, -i FRAME: Extruded alumlnum,.062 in thickness.Dark brown archl•. typical solar ' ; - , •. IS rr` 1 t'I tectural grade paint electrostatically applied and baked to -- ,. „< " 450•. hot water system - GLAZING: AFG Solatex no-Iron,tempered glass 5132 thick 90%+ 1 - ' Q AIR VENT rf K'I transmissivity. Patterned surface for minimum reflectivity. w , . , _ e- INSULATION: Owens Corning SI 26 Fiberglass. Retains char- r . PRESSURE RELIEF VALVE "1 1,• ac-teristics and form to 1000'. R value=8 T `Y FREEZEAND W • Y TEMPERATURE BACKING: Aluminum sheet .025 thick. Applied with water proof - - jr silicone adhesive and aluminum pop rivets. - RIBS: Two -062 aluminum 1•' angles anchored to side frame for'`` - .• .7-4-- f ' lateral torque stability. r. 1 - ,,t s ,� 6-.* i „*,r}; ` ` WEIGHT: 98 pounds dry, 103 pounds wet 't+,; *'' T-- r ,C,, - Zr. MAXIMUM PRESSURE - 150 lbs. I '-� ' - ri - 5i, fi ABSORBER: Phelps Dodge all copper absorber fins and water-, -_ ways. Available in 6 and 9 waterways models with non•• - - - - I , selective black paint or selective black chrome finishes.Ex- • ' - a.- ' FREEZE SENSOR a - ', cellent efficiency characteristics in higher temperature. ' . '_ -' `-r -„-s„"_ := ---J 1.' ranges.Through headers for reduced external manifolding •� '. - _ 'I t7 • , and heat loss. . ; , s-r' —,. ' I i.1h: CROSS SECTION — SOLAR PANEL I ` J� CHECK VALVE 3 'FOP Tnicr 56e TOAFEECO soiAnct aura. •. -. PUMP .0716 AUNOI.AYA EIUTUTS +u>,"•'• r ' PIIEUCED AUNIMIM F10V.E 1 _ BALL VALVE { SUJCO UC 551Unr BEAD hLUM•CM - .j' THERMOMETER CONTROLLER �'_' '~ /IAL f.,.',. HBEE.S.A5S IN9U(ATTOn. ���y�plll@I _ ..3 -y '�/LSP HOSE BIOS A COTOEmasowefax ill 'p� p IAa I E SU/AMER BYPASS VALVE TTe Y 1 t•-•�01T r "r' . . ;H j„mil1 ..- . „_ P•T VALVE IL �� a „{ / / . . —` CHECK ���'µ.�g"j� �— T4p a /� ,1111 I r ei'HOT WATER VALVE i' kil SO • TO HOUSE - 11 '9'. `� L , -h _II H� • / .j� HOT OUT •!) U�" • t D ALECTRIC UNIONS 4 l�l �^'I�wW'-..y��II�I� tI r ,. 'i 1 /I��u� �11C v� �� / r,, 'y 1' tar stiW f Fi+ II • /l 11111111 yv vax��ei l 4t. I�I�I� IIIIuIIIu y K,S�.?f/•� "1.7.-..71:- rry 1157 WATER HEATEA— F_,,=� I STORAGE TANK • T, u� /} +Y o ' T - I 1 TANK f,11 14 7/�� rlJl 4/ � �' - ) ,I 1 SENSOR ea I1 COLD FEED S I r j Iii////q%� i , *• a U 1 Iw�'`t Il 1 I'II�II¶�^ ,r.. ' �% �� x , 0,t $ • �IP' - r:,�:• SOLAR PUMP FEED ��• ' p'. r Idj n i'.'-_'_+tea �' 1111111111W���� ,, T .44-7:10 I I /l nl �1/1,/4'n!r{”ill• ' n ice, f• ill • R£OY(0D PLATFORM HOSE 81e8 DRAIN -. ` 1 �lEirt4[a'p . r.l Iil `� d:; -' i- • . it ,...iir • b^ i. .r p,l a A ,i¢ A.ry,, Tia „ :n,/Pr) rlia [.� :,: - - ., -:`fn " .I rf1 ,:I�! I,i': yyuil{ . .'do,it !4a 1, •:a!/.c I"4� ��++P�.--�� ,r� x , I1 .• .l „ ".• if Illi/ ti'4* .QH",p,'''" -. t1l` / • • 1►'? P r0 ti s`a IS.: '6; li/,,. h 1 • di- - .nl -K'm,,I., .1,A ' • M!�9r^Y..:6-:•tix^-F 's •-l.-1E�•.p,v-a••a-..�al*,' ... .. 4_ ,.. "- 1:Jble C..1 TS A. roc$ COLLECTOR MOUNTING DATA <,_ & ' of o eAEr+r ANGLE CLIPS Gy c - - - - - 4,95 f to er _A_ --.7, c ir—--- ) \ SUPPORT ASSEMBLIES /11-I j j ill A 4 a \_ Models: M ` Series: ioa,aao A 200 250 300 350 400 4s° 5(P SSo Eirj Vertically h 4 4 , 4 6 6 6 8 8 J 8 . Installed b 10'-10" 9'- 8" 6'- 2' 10'- 7' 9'- 2' 6'- 2' 10'- 3- 9'- 0' - :1' Models: 14 — j Series: Goo b 10'- 7' 9'- 7' 7'- 7' 10'- 6" 9'- 5' 7'-11' 10'- 6' 9'- 5"+ 81- Models: s c E —+ Series: ioo,aoo,eoo Vertically Installed • Models: 1.4.8.6.E , Series: eoo,soo A 200 250 3d° 350 40-0 450 Horizontally h 2 2 2 2 2 4 2 \Installed b 4'- B' 4'- S' 4'- 1" l'- '8' 3'- 0' 2'- V • Applicant to fill In all spaces excepi those within heavy border lines and sign all appropriate declarations. •CITY OF COSTA MESA, PERMIT NO. TRACT _LOT N BLDG.NO. . CONSTRUCTION PERMIT B- /.Z �0 9 y 3lLJ� _ ��7r� 5514 4/12/B4 29.37 TL Project Address 7--2'pY YALE Pt • _ - TYPE OF CONSTRUCTION L.t NEW LI ADD IG[ALTERATI ON LI REPAIR - Applicant'sMailingAddress ' ..5-2_ 4-- j�/-jLs P� ❑ CONVERSION ❑ DEMOLISH LI OTHER Owner's Name RICFIn4i P. VA//ILG Phone y9J�/32 DESCRIPTION OF WORK.`-SiC7/L/t5.M7" - 'A.P.# • Ilding: 3q/� _ Zone ��J Zs-re L _ S Main Building: Accessory B mg: Z Address yALb P - 'TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION f� STRUCTURAL T Front • "' N Arch/Eng., License No. El TENANT Ill ELECTRICAL ❑,PLUMBING CI MECHANICAL A' Rear ,r�' N • Address - "❑ OTHER .. - -- ' k Contractor's Name C e0A.� • .W... Phone PROJECT DESCRIPTION SQ.FLS - OCCUPANCY ie"s C Right - G K R Address(mailing) . . CONSTRUCTION TYPE ✓ I VALUATION$ Crd $ Left • E, - City License No. , ZONE GRADING CU.YDS. ACRES Ping. Ref.# • 1------ Park.Fees $ --- Q U LICENSED CONTRACTOR DECLARATION i Remarks: . r Parking Req./Provided �- • I I hereby affirm that I am licensed under provisions of Charter 9 (commencing - - R with section 7000) of Division 3 of the Business and Professions Code,and '-- Use of Building: �- E my license is in full force and effect. - PlanningNotes: Z M License Class License No. - PLUMBING FEES -�� . �� 2 Date Signature / ^� E Bar Sink Showers // N WORKERS'COMPENSATION DECLARATION - _1�— 'd 7 I� L� T hereby affirm that I have a certificate of consent to self-Insure or a certificateBackflow Preventer • - Service Sink - '- - - S if Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow irrigation Sewer Cap ELECTRICAL • FEES Policy No. Company ' • Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15.50,KW Certified copy is filed with the city Building Division. Date Applicant Clarifiers Solar Collectors Construction Pole Sub. 050+KW EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher • ' Solar Piping (This section need not be completed if the permit is for one hundred ($100) or P 9 _ Cooking Unit Meter Duo to 100 amps less). I certify that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank . shall not employ anysubjectDishwasher • Meter ❑over 100 amps p y person in any manner so a� to ecome to the Date sycpmpe ation Laws of Calif ofn a. e / ! Floor Drains Swimming Pool w/Spa Dryers ❑Gas •❑Electric Sub Panel Date /r 4-i� Signature nu' [Yls...( NOTICE:If,,after making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors❑0.1 HP❑1%-B Workers' Compensation provisions of the Labor Code, you must forthwith - comply with such provisions'or this permit shall be deemed revoked. Gas Service Outlets - Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lenc1194 agency-for the performance Interceptors Water Heater Fixtures of the work tot/which/ t P Microwave d pey-CRn)s i (Section 3097 Civ. CJ Lender's Name %/ / 7 h�r`Lt'4 Kitchen Sink Water Service Device Boxes Pole Light Lender'sAddress Lavatories - OWNER BUILDER DECLARATIONOutlets Range I hereby affirm that I am exempt from the Contractor's License Law for the . P-Trap which e (Section to5 Businessnconstruct, and,alter,Proe5slonal Code: Any ry ear P Switches Sign • county r cture requires a Itspermitissuance, c ,al or improve, such or repair 'toy ler structure, prior tom nt he/, also requires theesuanto for rovi permit Roof Drains .. Garbage Disposal Standing Sections to file a statement that he/she is licensed pursuant to the provisions .,the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW ❑5-15 KW ::y;ivislon 3 of the Business and Professions Code) or that he/she is exempt Trash Compactor • ' ,erefrom and the basis for the alleged exemption. Any violation of Section .`,-031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee I 3 Uenalty of not more than five hundred dollars($500). Pe $25 Issue Fee $ • I, as owner of the property or my employees with wages as their sole • Reinspection Fee $25 Issue Fee • $ 3 compensation will do the work, and the structure i5 not intended or offered MECHANICAL FEES for sale (Section 7044, Business and Professional Code: The Contractor's -- - -- ---_-- -6'61 PUBLIC SERVICES REQUIREMENTS,' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 . _ (n1�, // , 1/j, thereon, and who does such work himself/herself or through his or her own Zoning Approved By W ( �✓LJ DatO �/ employees, provided that such improvements are not Intended or offered for Canopy Type II 0 sale. If, the however,wthe will nt dopro issold within one yearofcom- Duct-Under Ground Building Approved By S Date �/5�8 prove , owner will have the burden of proving he/she did not build or Im- - ,,''V_R ."�F Y rove for the purpose of sale). • Duct-Structural Refrigeration System Application Issued By Date (a• IC • I,as owner of the property,am exclusively contracting with licensed con- rectorsto construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ❑4100,000 BTU 0100,000 BTU' • SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who /� builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ! /.S"0 SMIP $ are tractors) license pursuant to the ntra is License Law). PLAN CHECK $ II. 37 PERMIT 0 I am exempt under Section O B. P.C.for this reason Firepl/Fact.Bit. ICBG# ISSUANCEPLUMBING $ $ O(A/A'�t U r/ PLAN CHECK 25% $ o'Y Owner Date 41 s/ Heating System&Ducting ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑6100,000 BTU ❑100,000 BTL GRADING $ information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for Inspection purposes y/s-/�y , MECHANICAL $ TOTAL FEE $ 79' 7 Signature L.d' Date Drivers' License orr ISS SS*..�# Reinspection Fee $25 - . Issue Fee $ 3 PLAN CHECK 25% $ .. . . • _ a CMF 0865-46 rev. 12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor " • ' CONSTRUCTION AND PLANNING - • POOL ;PA _ - r"/ Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or yole -• 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 Plumbing & Pressure Test _ 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System . 61. 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 - " , 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 Structure • 70. Underground Hydro 22_,Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil 23"Gas Pipe-Rough & Test 72. Underground Flush ' 241 Roof Framing SKr LIGHT' - . 'i-16_fl .f 73. Undergrnd.StorageTank 0Gs OOil , 25. Roof Sheathing • 74. Overhead Hydro -26. -Barteiling (Structural) & Monocoat 75. Dry Chemical • - 27. Frame and Flashing. 76. Dry Standpipe • 28. Lathing &Siding, 77. FIXED SYSTEM FINAL 29. Insulation , - • 78. FIRE PREY. FINAL 30. Drywall Nailing tt HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat. 79. FINAL INSPECTION 32. Electrical Power Mater-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'Factory. Fireplace 38. Final,Plumbing 39. Water Service-Final - - • 40. Gas Service-Final l, I - - - 41. Sola`Domestic-Final - 42. Backflow Preventer' - r • I , • 43. Backflow Irrigation i • 44. .Landscape Irrigation System A • 45. Sound Attenuetion, ' .,% , • 46. Handicap'Regulations - i• 47. FINAL STRUCTURE & BUILDING /7//5- ,4� 48. Special Requirements Completed 49. Electric Release to Edison • • - - sp. Gas Release to Southern California Gas Co • i 51. CERTIFICATE OF OCCUPANCY - - ` No. - -- - Date it . • SKYLIGHT THROUGH bL0 . CATHEDRAL CEILING C3 x Bristolite 5 I I I Skylight Metal Flashing °f I.C.B. O. 2469 & Waterproofing VD ° I I I I p.m idS W Q 2"x4" Curb, mill o , , = : STRUCTURAL APPROVAL'ONLY w _,"- 5 2SEPAR/TE PEP�.YTS T?E REQUIRED 0113 U) v Fr 'ITC ;I '' • I'UaT i;,qi"q I I C' Nn i�-\FThR x Roof Rafters-. "0. C. Q 4c. : : 4 'D — Dt 1 2,,', I I _ 5 I• in ;:t- ' 1 ; -3- /Z ‘9S4 I 11__IIpp •Rra \'7 I ,„>- ALL I:., S,S I Ity f Costa Mesa guild;r3 Dept. lin OM 1 �� — I [f�� 8� NY , COSTA MESA A BY_ .�(�._..__..DATE..- ---..11".__ C>_pp�VING DEPT. FO 2 - ..) 3 ARE TO 1 I THESE pLANS MUST DE GV JOB AT ALL Ti MES 0 ._ �- TME I C!➢7J'_CT TO 6LDG. DEPT. R'-0. , BE i;;'�. i MAKE NO CHANGES WITHOL f PRIOR APPROVAL ,qo ': I STA?E. .: n:4 OF I tI OF DEPT, g/V I IND,k; , ' , ;,;EYED FOR pY Y� DATA; T` n r. � I ADDITIONAL R�ut1,,,Ei„c(•eIS, I THE IS°i:7 TC C2 :7. .C.: L: E IL V• r L? :Pi:2CVAL vctzcni OA PLANNING C' �� (1 -- CF PLANS !"D I. • ;,. '> .. ...; : L= C� ,LTRITED �.��/ .--_-_ —, TO BE A TER' IT F.2, C? ". E l:L'ATION CF ANY CI I'•;.7,; L. ' r ;". ;:C 1r�VIT FRE- SIAM TJ CIA r U L' ': ,.J _1TE C;.`JEL THE I �0? �nenoa nine FRCVICIO\S C- Tr ; LEE CC:PT Iv so SKYLIGHT ADDITION FORt I PLR AS Tr,E 6J+,:( C.2 LSE 1-13r1 I1AUln02_.o IS LAAFUL. I Call T. E IGS. .\ .E `I. ; b;EEJ L L I f L N3 AID D/\ 1•I) 'V SPECIF;CLT:L S E C.L r.,.r f.,.. .r Ti: C ; Cr^CI/L �� 4 IN S Df;f.,: .S; ' IC, .;CIfG n,: c ;;L 12.I c L.VONG I ASSY Y/kLF Pt. I �_ I r rPl! IN SAID FC,•,a' r,tJ S cC:FICATiL..i .^2 F,;:'.1 PRC/E.VfING I-t...=, �,'„,fi\� 1 EUILDINC CPERTITL.S bCING CARRIED C I THEREUNDER WHEN Ir k a � /r-1 0 I IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE cos 1 h�s�+ S'','9 - Y3�- OF THE CITY.. :y r. SKYLIGHT THROUGH K\TC AJi CATHEDRAL CEILING ■ 1 I v I2 - 30 x94 Bristolite NLw 2xb N Skylight Metal Flashing a Q I.C.B. O. 2469 & Waterproofing y ° 11' H 11 = C, ¢ —_ 2"x4" Curb r o I , ; A + K IZb9 NJ K� w C STRUCTURAL APPRa'!4.:4_ r it 2 xL Roof Rafters- /`O. C. Q gj la m SEPARATE PERI;!T , ^' 7 [p Z -6 FOP, TT _ _ I c\A-T. AIN, s l 1-1A' O ..,:Fl. ( 1- a RA F111102 IT3 tc11 �` } it pI I S)Cyt_IG2\T E.AC1i N'�S E. ?TIP: OVED � �Z / i b S P$ N , I IA STA MESA all cr)Q CID m . '-��!. - - ?h.IIY i j I PLANNING DEPT. ALL i�... • I SUBJECT TO BLDG. DEPT. RE0 i L-- i_e� I . / I BY4DATE.. rJ \ _- __ - F0,1 R.;!11. --- _- 3LIE T0 DIRECTOR OF PLANNING BE Et" s :.E . STATE ...c...4 OF INDUST" _ ' .1.1.!:...b., FOR !1 ADDU : , ..= ... ;i,:Ett, j SKYLIGHT ADDITION FOR % bA 1A11-1 5.5'1 YAL - DL. C0 .-TA hES/4 599 -1M3. - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations- CITY OF COSTA N1ESgSC,QNSTR,UCJION PE-q�IT - PERMIT NO. 624 TRACT NO. LOT NO.' UNIT NO. 1470 10/14/07 ^C]o BO TI Projec ddress • �(( jj''UCT I Y r YZ-�Z 315 Applicant's Mailing ddress AN.� /bar. OST--S�Yi TYPE OF CONSTRUCTION LI NEW LJ ADD U ALTERATION Jry REPAIR �Y� ❑ CONVERSION ❑ DEMOLISHA.P.# Zone Owner's Name /C- 2 I Phony ��-]��2 ❑ 0 R ata. a ) ``/ D§Sr,�IPTION OF WO ,/USE..DD�IFp,1BLDG. �` Address �SSSY j 0./P �. ,4kk(s,JCO 4- ( R"�. a Iye(/ . a�v�'((OO caj C6 GkSJ S Main Building: Accessory Building: Arch/Eng. License No. _ TYPE OF PE MIT LJ GRADING LJ FOUNDATION U STRUCTURAL 1 4Iv T Front • O Address ^ J �} G ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear _ N Contractor's Namer ft(.'1. Q- �'/' �K Phone t ' 1z � ❑ OTHER r�,.es�1 3 C Right- N ��•{9'J0.M,/4 ,fµ A / C PROJECT DESCRIPTION SQ. FT. /vv OCCUPANCY Address(mailing)r20/AZ `•^/fad I�� ._544; /�./�? �/y K G 35937 CONSTRUCTION TYPE '/ VALUATIONS �lsa �� $ Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLAR ION Ping. Re(. Parking Req./Provided E Q CLV I hereby affirm that am licensed un a pBu 5 ( Charter 9(co e,and Remarks: Planning Notes: M with section 7000) of Division 3 of Bu ss ntl Pr fesslon ode,antl T [� my license is In full f <e ap ffect. /i S License Clap 1 nse N '7 / Date r1-�`/ Signature PLUMBING . FEES j WORKERS'COMPENSATION DECLARATION Bar Sink Showers - I hereby affirm that I have a certificate of co .ent to self I sure or a certificate ELECTRICAL' FEES of workers' Compensation Insurance, or certified .y thereof (Sec •n Backflow Preventer Service Sink 3800, Lab. C}, .7 , Automatic Washer Transformer 0 15-50 KW Policy No. 'f3-� Corn•-••y Backf low Irrigation ❑ 50+KW aCertified copy is hereby furnished. 9 Sewer Cap Construction Pole Sub. CertKietivrppy td with the city B I.ing Div on�� Bathtubs Sewer Connection �f- f7 ita Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher - Solar Piping Dryers ❑Gas ❑Electric Sub Panel • I certify that In the performance of the work for which this permit is issued I - - shall not employ any person In any manner so as to become subject to the Drinking Fountains - Solar Tank. Fan Motors❑0.1 HP ❑1%-8 Workers' Compensation Laws of California. - _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject to the _ InC.Solar ❑9-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance ,/ .Pole Light of the work for which this permit Is Issued (Section 3097 Civ. C.) Lender's Name �' Interceptors Water Heater Outlets Range Lender's Address Kitchen Sink �' Water Service Switches - OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap / _ Laundry Trays Generator ❑0.5 ❑5-15 KW any structure, prior totits issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section ' 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). • ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not Intended or offered - Reinspection Fee I $15, Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ' FEES License Law does not apply to an owner of a property who builds or improves _ _ _ __ _ thereon, and who does such work himself/herself or through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ ' sale- If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date 'pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Data prove for the purpose of sale). - !"�' r - 9--21/ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: i ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100;000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with,a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration, BUILDING PERMIT $ a7• vO SMIP $ .5-0 tractor(s) of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT •t0 1 am exempt under Section B.& P:C.for this reason Firepl/Fact.Blt. ICBO# / Fire Dampers PLUMBING $ ISSUANCE $ Date a A Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby c that av read this appli ation and,state that the above 00-100,000 BTU 0100,0 BT GRADING $ ' informatio rrect. agr a to •• ply wi all city and county ordinances ELECTRICAL $ and state la ••elatin• o ildin• •• struc on,and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ ' sentatives o is cit to ter 0.in tin above- entioned property for '/ inspection p��ses. Date `' )?--P1-1:5-1)?--P1-1:5-1 • MECHANICAL $ TOTAL FEE $ a /•'b Signature _ Drivers' License or 55 / Reinspection Fee $15 Issue Fee $ 3 . PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector., 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. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System • 61. 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 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 Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer • .43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation '46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /2/2,7ert 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - - i 51. CERTIFICATE OF OCCUPANCY No. Date i . 4695 F{E RECEIVED• C� COSTA MESA BUILDING DEPARTMENT `,4Y1 G•n —\' iCk0 '-' :� 11 F.O.BOX317 FINANCE DEPT. COSTA MESA,. CALIFORNIA rrttTTyy FF rr ��TTpp MM FOR APPLICANT TO FILL IN APPLICATPONDFOREPERMIT BUILDING BUILDING ADDRESS 2554 YALE PLACE COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERIVTOL OWNER COLLEGE PARK No. 3 'TOL MAIL cRECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS .21 16 So . MA IN S . �uy,..../ L3 8 s7 MAR 1 2 1957 TEL. ,-., BUILDING CITY SANTA ANA , CALIF . NO. KI 5557ADDRESS ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE ZONENO OF CONTRACTOR '/�S! - 71:17,2._°_,No. J4623 ZONE PLANS TYPE // GR�Vn_I TEL. APPROVED !/,lye ADDRESS NO. BY DATE LEGAL LOT CORRECTIONS � DESCRIPTION NO, J„65 BLOCK TRACT 3166 A.P.NO. SIZE NO.OF BLOCS. OF LOT 6O x 1 OS NOW ON LOT CO USE OF ( 1 EXISTING BLDG. 'ILJ{II SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 29 SIDE YARD RIGHT 5 LEFT 5 DESCRIPTION OF WORK NEW X ALTERATION I ADDITION REPAIR MOVING DEMOLISH BUILDING NO.OF SIZE 1524 ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF NEW BUILDING RESI nFNCV & ATTACHED GARAGE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. VALUATION PERMIT FEE S 30 PERMITTEEE OF COLLEGE PARK No . 3 _ PLAN CHECK 5 /‘.1 �J /J 5 12,400. • AUTHORIZED AGENT TOTAL FEES JcsPt' 7 i42/ H. 177/ i , ii k---I I N -1 , i „ . ( , ; , „ i ' _ 1 i l i � 11- i - . - . �TyiNe: I i i i1v ill , , r i f I , I i ( I �� ! ! l l i l Ii i ii I1i ' I LI - III 1i .L .-_1 1' t i 5L { ;10, H 1 V i i E�(/TGp I i ' v i Y_ k ► ; 77LL -1- _ 1-r�Ni�M ( (tT i ' ,,„‘Cc. I l. ;P, I k6 . __L_______90:_ _041 ' _ 1 ! cr Or 44. I i - ;:sesee . . ;%, _ __ . : ,k... , 1 1 i Avc, co, • tot„, _,,,A , I Cr „t� , �s > oA •s 4,, or 7 i I0d� Q I,„” ct- °t?i � - iti ` � � °y / 1 -,10 • 1. " ' ,,� A bN04 it G� P Or i i w._.- ,,� I i;, I = I l3 AD ay cir ; , I ! I% I Ill L II 1 I ! 1 - - 4a`f Yui tL.! ! I ; i i -- APPROVED/4:F:, i ( rte�_ b ih i CITY OF COSTA M 7 i -1 I 1 1 I , I ! •• PLANNING DIVISI p { _ r _ SUBJECT TO BLDGii ; . DEPP.I�B T IA ' r; 1-• i ! 1 i I - NOTE: ADDITIONS, D ,LP%" 11 1/`1!/IQ' 1 t!1 -- GJ 24O;,./ &. I. i OR CORRECTIONS S A ' i - } '�--- i� I ! APPROVED BY it PLA ' INA / �/(S i I • BY.�`/Iu a�j PATE .;. i i I I ! , i I� 1 I I I ' i I - • , , 1 , 1 1 I i 1 i I i i 1 ! OWNER COLLEGE PARK - DATE 3_12_57 JOB ADDRESS 2554-Yale Place BUILDING PERMIT NO. #4616 GENERAL CONTRACTOR Harbor Construction VALUE $ 12,400.00 r ' 45 BLOCK TRACT 3166 Res. w/att. gar. GROUP I & J TYPE V ZONE FIRE DISTRICT 4695 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR ���� DATE NUMBER Footing Trench C��-aaHbTT 4/Y-S, Foundation Forms and Grade to Garage Rough Framing ,S O f Plumbing, Rough to Slab rr 1ri.R .l fi•f e .. i. t'a _,. .5/-, 7 ea 7 6 ,..- Plumbing, Plumbing, Rough Complete Yn.BS 6.-245,7 Temporary Pole Wiring, Rough JUN 4 1957 VCB /L -t eC,-t 6.2°-3.1S3”, 42,4'0// tfis✓ Heating,Rough i,z•�aSf • .s '9-39-s7 9/ (c9 Heating, Final cc.J 0-I1/•S"7 AI/� „I�•— /� vSe -Huse 4/L Sewer,St. J7, °e.3 -IA-J-7b trei- :;,,=„61„.w-s-<A. as al' 3 8 7 Septic Tank or Cesspool �y r / 1.---Ing, In Out Cl �;t' :Vt,-.5A:77 F_ Bring '1144/17 Plumbing,Final,Fixtures Complete f 5 //).//4-7 1 , Plumbing,Final Gas Test /Seri A. GS (J./(r, �,: -/ t .�-' r. )2L4Y Wiring,Final �ld-1`41 /--�-� V / _ Occupancy Z-1 f /e -lC 17 - FORM 210 3M 10-55