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HomeMy WebLinkAbout1914 KAUAI DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. Y CITY OFCOSTA MESA CON RUCT ON PERMIT P,F�RMIT NO. TRACT NO. LOT NO. UNIT NO. �c /C1/14 1 vA 1 ,° 4CC /� — 2-6 0' 4'603 8/ I /x/95 35.56 IL Project Address _/T/�,, Applicant's Mailing Addres 7 E.I 7 .54,-/z-44(4 TYPE OF CONSTRUCTION L I NEW H ADD LI ALTERATION 'REPAIR A I I ' /Gf,1 ',/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone Owner's Namee '�Ou/k 4• ',/✓(s7 JL-'lT Phone Stta 7/-S • Address /i.f'+ it--Aim vN I Ps- f DESC1441 WOR K(ll$ "O L 1 , / , f-'J litLJ /(/LL ' X/ S Main Building: Accessory Building: Arch/Eng. ___ - License No. TYPE OF PERMIT LJ GRADING L FOUNDATION E 0 ® STRUCTURAL Front Address 55� El TENANT CI ELECTRICAL ID PLUMBING ❑ MECHANICAL B Rear N d )//' M"i Acia—(Ntf SALSAc.45m ❑ OTHER A I Contractor'f m 7- Ph ng �t - 1)00 C Right N Address(mailing) ¶07 c t T 57 /Q ^/u4- PROJECT DESCRIPTION SQ. FT. OCCUPAN Y K G �3�/�n CONSTRUCTION TYPE VALUATION$ DO § Left R ( _ City License NO. / '9 ZONE GRADING CU.YDS. ACR E \Wp LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided I herebyaffirm that I am licensed under provisions of Charter 9 commencing D ( Remarks: Planning Notes: M dip with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force a d.effect- �a -� /�� T License Class ' y Li -ese C(.Tj $ / Date e' MOI Signature i '/ PLUMBING FEES \ WORKERS'COMPENSATION DECLA-A ION-1 Bar Sink Showers I hereby affirm that I have a certific3tCof c.nsent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink \ 3800, Lab. 5.60 _ 6- !'7`A /CM°. Automatic Washer Transformer 0 15-50 KW Policy No. ( �J7 Company 7(/V Baekf low Irrigation Sewer Cap Construction Pole Sub. 050+ KW \ ❑,Certified copy is hereby furnished. Date rtif est�gpY is�,f4led with the city Buj1UU}n9piv si n. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date /J !'>"�Jl Applicant / '/ EXEMPTION FROM WORKERS'COMPENSATION E ARATION Clarifiers Solar Collectors Dishwasher Meter (Dover 100 amps (This section need not be completed ill-th¢pb(mit 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 FanMotors❑o-i HP ❑1• -e Workers' Compensation Laws of California. ,Date Signature Floor Drains Swimming Pool w/Spa F.A.U. _ 09-15 HP ❑16-15+ 'NOTICE:If,after making this declaration, you should become subject to the 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 Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name - Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap : Laundry Trays Generator ❑0.5 KW❑5-15 KW any structure, prior to its 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 - • LJenalty 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 S 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 0 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 Date prove for the.purpose of sale). ,A� D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �/1 / f % / Date .</���5 tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU $ MMAR OTr FEES _ builds or improves thereon,and who contracts for such projects with a con- 1) tractor(s) license pursuant to the contractor's License Law). I am aware thatBUILDING PERMIT $ _ —S/ _ i Ct- proof of their Worker's Compensation insurance should be provided to me. _Exhaust System ❑ Multiple❑ System Repair/Alteration PLAN CHECK $ PERMIT 0 I am exempt under Section B.A P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ — • Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT - ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws reletipg-to•buil-ing const(cti.n, and hereby authorize repre- sentatives m� Spat r-upo K above-mentioned properly f r MECHANICAL $ 3S inspection ypose i /� /f�. TOTAL FEE $ Signature -/r SS ___,...---/- Date Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' Li se or SS# • 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 J • 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 6.4 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 4005/HS. �' , 48. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51: CERTIFICATE OF OCCUPANCY No. Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • PERMIT NO. TRACT NO. LOT NO. UNIT NO. 1968 I I /09/84 CITY OF COSTA MESA CONSTRUCTIO PERMIT 5.00 T Project Address / 9/L/ t1t/A / ` L, r I� I � � `' Applicant's Mailing Address /S3 N/- L/A/C0�/y' TYPE OF CONSTRUCTION ❑ NEW Li ADD U ALTERATION Li REPAIR 1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name ED 1/1577C,4 Phone.T'.v/-40; A.P.# f Zone n DESCRIPTION OF WORK/USE OF BLDG. tl l Address �/p/y /J�4lL/7/ �LpCF �''� 9a/.al S Main Building: Accessory Building: ' '/cn Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front ' 0 —I Address (-4,.1L �y ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reay r - N Contractor's Name a L—A.QL S /7s1 MC. Phone 77.T•'S/7/) ❑ 'OTHER C Right • N y Address(mailing)/'S4 3 �A/CO/N7 ANq//E/ivj C,eQ` PROJECT DESCRIPTION SQ. FT. OCCU PANCv C ON ST RUCTION TYPE VALUATION $ S Left G City License No. S /terZONE GRADING CU.YDS. ACRES . E LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks: Planning Notes: -- 0 with section 7000) of Division 3 of the Business and Professions Code,and M my license is in full force and effect. _ - T • License Class Lj - License No /7G5 - $. Date/0-/,1-8y Signature ' ) 7/0 . . /0.... PLUMBING ' FEES I • WORKERS'COMPENSATION DECLARATION • Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES • f Workers' Compensation Insurance, or a certified copy thereof (Section 800, Lab. C.) Backflow Preventer Service Sink o s/kyo PiPA//et /tel.$. Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation • Sewer Cap . 50+KW Certified copy is hereby furnished. Construction Pole Sub. • Certified copy is filed with the city Byyn�'lding Di�vii n. Bathtubs Sewer Connection Cooking Unit / Meter ❑up to 100 amps • Date /O-O-- C Applicant /L/N e- 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 OGas DElectric 'SubPanel ' • 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 ❑i%-,8 Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa NOTICE:If,after making this declaration,you should become subject to the F.A.U. Inc.Solar 09-15 HP 016-15+ 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 'Outlets Water 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 I Interceptors . - - Water Heater _ —20) Outlets Range Lender's Address Kitchen Sink • Water Service OWNER BUILDER ECLARATION . Switches , DSign I hereby affirm.that I am exempt from the Contractor's License Law for the Lavatories - • following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal • 'Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap any structure, prior to its issuance, also requires the applicant for such permit . Generator 00-5 KW 05-15 KW Trash Compactor to file a signed-statement that he/she is licensed pursuant to the provisions of Roof Drains t 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 - - '.erefrom and the basis for the alleged exemption. Any violation of Section - ]31.5 by' any applicant for a permit subjects the applicant to a civil • ...-' enalty of not more than five nundred dollars ($500). • ❑ 1, 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 I - for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL ' Reinspection Fee. , $15 Issue Fee $ 3 ' 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 0 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 '1 Building Approved By Date rove for the purpose of sale). _ I, as owner of the property, am exclusively contracting with licensed can- Duct-Structural Refrigeration System Application Issued By Datn tractors to construct the project (Section 7044,Business and Professions Code: 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- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT IDam exempt under Section B.& P.C.for this reason Firepl/Fact Blt. ICBG# PLUMBING • 5"•o0 ISSUANCE $ J•Y - f' v Date owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTU • $ GRADING $ Information is correct. agree to comply with all city and county ordinances ELECTRICAL and state laws relating to building construction, and hereby authorize repre- MICROFILM $ sentatives of this city to enter upon the above-mentioned 'property for PLAN CHECK 50% $ inspection pur..ses. , Signature - Date/O/?r'74/ MECHANICAL $ TOTAL FEE $ J ' o"D Drivers' License or SS# — Reinspection Fee $15 Issue Fee $ 3- PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod 'Assessor CONSTRUCTION AND PLANNING POOL ?A 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 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 I 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 ❑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. 1-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:3/ts7fs LES'-C4ea L,tCc'2 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace 3 . Final Plumbing G�aleinfr 4 s_az �D3rvice-Finalg 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventers 43. Backf low 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 51. CERTIFICATE OF OCCUPANCY • No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ---CITY OF COSTA MESA CONSTRUCTION PERMIT ' PERMIT NO. • TRACT NO. , LOT NO. UNiT NO. 1938 11 /08/84 6.00 ITL. < a bt 3`� Project Address ��\L\ Oa.1.Q� PL- 4 Applicant's Mailing Address .\\1/4.000 ` "OnQXC C 1 TYPE OF CONSTRUCTION- ❑ NEW ADD A.P. ADD U ALTERATION U REPAIR t� `vi ❑ CONVERSION ❑ DEMOLISH OTHER P # Zone Owner's Name tg ` ��-- Phone DESCRIPTION OF WORK/USE OF BLDG. Address \q �� \C- kPr- -. - S Main Building: Accessory Building: - Areh/Eng.' License NO. _ TYPE OF PERMIT�/� ❑ GRADING ill FOUNDATION ❑ STRUCTURAL T Front - Q U` Address _- C1��u (y �•� ❑ TENANT 1>~i.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N (�1 C ltb"1 D'S�L7 ❑OTHER ✓ A I '-^•' Contractor's Name .S ` �o" of C Right • N Address(mailing) ����� " oV'O.xn Cr., ' PROJECT DESCRIPTION SQ. FT. _ OCCUPANCY K Left G C ON ST RUCTION TYPE :VALUATION $ $ City License No. 3a.��a ZONE GRADING CU.YDS. ACRES R cc LICENSED CONTRACTOR DECLARATION Ping. •Ref.# . Parking Req./Provided E •� I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • - Planning Notes: - M V with section 7000) of Division 3 of the Business and Professions Code, and _ my license is in full force and effect. • T License Class - Ll se qc`O. \\,nQ` • $' Date \\-lO Signature O e l O-VC '. ••• PLUMBING FEES • A WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES ' hereby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink - - - 300, Lab. C.) /' Automatic Washer Transformer' ❑ 15-50 KW LTC'Ca.* I1'c rsoCzc J_Y1 - 0 50+KW I Policy No.�.�cP i..e�1 C{Q-1�Company Backflow Irrigation Sewer Cap Construction Pole Sub. Certified copy is hereby furnished. • ertif red copy is filed with the city B it DR'I!T V! Bathtubs Sewer Connection -- Cooking Unit !Meter Duo to 100 amps ate ApplicantR !COMPENSATION Clarifiers Solar Collectors ft. Dishwasher Meter Dover 100 amps l EXEMPTION FROM We c WORKERS! DECLARATION _ - _ (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel. I certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Fan'Tank • Workers' Compensation Laws of California. `"_ • - Motors❑0-1 HP ❑1X-8 Date Signature Floor Drains Swimming Pool vv/Spa' F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration, you should become subject to the - 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' , r CONSTRUCTION LENDING. AGENCY' - Gas Service Outlets Water Closet • i I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light Of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors . Water Heater Outlets Range Lender's Name - , Lender's Address • Kitchen Sink Water ServiceSwitches Sign OWNER BUILDER DECLARATION- • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories . , following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal 'Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap -- any structure, prior to its issuance, also requires the applicant for such permit - Generator 00-5 KW 0515 KW 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 l b'�'�� , �'✓� PCY�Q�'Ct' t �� �� Division 3 of the Business and Professions Code) or that he/she is exempt l_ herefrom 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 - tnalty of not more than five hundred dollars($500). . O 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 Boiler . Hood or Type0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Zoning Approved By Date sale. If, however, the building orimprovement is sold within one year of com- I Canopy Type II 0 -'" pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Dal;rove for the purpose of sale). C1[//I A ( /,(1 LII, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ui) Date Yl tractors to construct the project (Section 7044,Business and Professions Code: 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 thatExhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. (CBO# - PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and "state that the above ❑o-100,000 BTU ❑100,000 BT - ELECTRICAL $ 3.00 GRADING $ information is correct. I agree to-comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- sentatives of this city to ent upolthe above-mentioned property for inspectioG�u._ sek 2 MECHANICAL $ TOTAL FEE $ �0D Signature �..J�QJ�-t.-� 0 t`C[� Date \A__� Drivers' License or SS f . Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor 4 't CONSTRUCTION AND PLANNING POOL PA - APPROVALS Permit#. -j/3L� Date. Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole- 52. Pool & Equipment Location 2. Soil Pipe=Undrgrnd. 53. Steel Reinforcement 3ElecVical Conduit Utility-Undrgrnd. - 54. Forms ' r 4-. Electrical•Conduit-Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement - - 56. Rough Plumbing & Pressure Test 6. Electrical,UFER Grnd. ' 1 ' . 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 El Gas ❑Oil . 1 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas O 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 00/1:1( ed Notes: 34. Final Heating &-Air Conditioning • 35. Final Gas Pipe-Test 1 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 48. Special Requirements Completed 49. Electric Release to Edison' 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY _ ' No. - Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 6980 6/05/86 8.00 it: CITY OF COSTA MASA,/ COONSTR UCTI PERMIT P�F3p"a N.9a e". / TRACT NO. LOT NO. UNIT NO. - - - Project Address �T 11 ,129/•ii, _dear�p�/ '/ C _ Applicant's Mailing Address / e2'6& ,/:at, O-J 9.. 13. TYPE OF CONSTRUCTION ❑ NEW U ADD LI ALTERATION U REPAIR r / K ❑ CONVERSION ❑ DEMOLISH ❑ OTH A,P•# Zone Owner's Name f"' - , 'hose' ���� DESCRIPTION OF WORK/USE OF BLD1'.< 5 - Address •- L'- S Main Building: Accessory Building: • Arch/Eng. - 0r1 Li. icense No. TYPE OF PERMIT El GRADING U FOUNDATION U STRUCTURAL T Front ZO Address '.•� .••• •� �.Sal ., ❑ TENANT ❑ (�p ECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N F ;' ry �t7L 9 0 OTHER 4.•%1L/�7c _,.°-2.."......2 O f Contractor's Nam:-- - at Phe ' PROJECT DESCRIPTION •SQ. FT. OCCUPANCY C Right N Address(mailing/8-.1- �'�- AP A-��- � K G CONSTRUCTION TYPE VALUATIONS S Left City License No. G-/ -! ��i ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR.•ECLARATION n Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under prove • hatter 9 (commencing Remarks: ,:�/ /7 h lJ/// Planning Notes: Q with sec 00) of Division 3 of th- B p• Professions Code,and / p�•� �,ON�7la M my liven r . • of -tt. - / • / T Licer� =' e'en •se,f • :0r3 0,-. - S Date kg Signatu C. - PLUMBING FEES , WO- -•S'COMPENSATION DE•LARATIO Bar Sink Showers I he eb affirm that I have a certifi to of consent to self-insure or a certificate ELECTRICAL FEES • Workers' Compensation insure e, or a certifi-• copy there. (Section Backflow Preventer Service Sink 100, Lab. Q Automatic Washer Transformer ❑ 15-50 KW e/ .;-.. "alley No. - Compan' d'� - Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW • • °ertified copy', . eby furnished. a • li certifi¢• •p_,; fie. Divi % l�7 Bathtubs - Sewer Connection Cooking Unit Meter ❑up to 100 amps •a : i - A Amp.• -� - - _On,.,.."0- EXEM' 10 FROM WORKERS'CO .PENSATION •ECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if •..permit is f.r one hundred($100)or Iecs). _Dishwasher Solar Piping •_ Dryers ❑Gas ❑Electric Sub Panel OD 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 Workers' Compensation Laws of California. Motors❑0-1 HP ❑1'/x-8 Date Signature Floor Drains Swimming Pool w/Spa F.A.U.NOTICE:If,after making this declaration, you should become subject to theInc.Solar ❑ - 9.15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave' ' \N comply with such provisions or this permit shall be deemed revoked. — CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performancePole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interc¢'ptors Water Heater Outlets Lender's Name Range • Lender's Address Kitchen Sink Water Service - - OWNER BUILDER DECLARATION $witches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit y Generator 00-5 KW❑5-1$KW Trash Compactor i • to file a signed statement that he/she is licensed pursuant to the provisions of ROOF i . Drans 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 '031.5 by any applicant for a permit subjects the applicant to a civil — enalty of not more than five hundred dollars($500). ' C 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 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 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 Date prove for the purpose the oe). �— ' /L ¢� //�/ /. ❑ t as owner the property,roject t7 44, contracting with licensedioncon- Duct-Structural Refrigeration System Application Issued By 7sJ ` Date L� -f/�1 hetors t constructctor's then project (Section tBusiness and Professions Code: The s Contractor's License Law does notoraapply to an owner je is thta who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with aeon- tractor(s) license pursuant to the Contractor's License Law). I am aware that' Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $- proof of their worker's Compensation insurance should be provided to me. PLAN CHECK $- PERMIT C 1 am exempt under Section - ' B. & P.C.for this reason Firepl/Fact.Blt. ICBG# - Dampers ISSUANCE$ $ Date PLAN CHECK 25% $ ENERGY P.C. $ Owner Heating System& Ducting �y I heieby certify that I have ea s application and state that the above ❑0100,000 BTU 0100,000 BTL ELECTRICAL $ $ •C V GRADING $ information is correct. I agr to cam with all city and county ordina ces and state laws relating to ullding cons ruc ion, and ereby author e N're- . .e : Ives of this C y o enter ,on the above- -ntioned pr.pert: for PLAN CHECK 50% $ MICROFILM $ ihspec •n pur•oseo jc- C . ' S �- / f —. MECHANICAL $ Drivers' ....sr: 61 ArL_a AA i Dat: TOTAL FEE' $ Drivers' License */> ar Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 0/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 's 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms a 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. GasliPipe, 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 ,/ 6 L Notes: 34. Final Heating & Air Conditioning ////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 Domestic-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 i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. STA MESA CONSTRUCTION PERMIT PERal:NO. TRACT NO. LOT N2 O. UNIT NO. 7 / ' • dress _ /9/4e KAUA/ PLACE DS 1/40 X38-¢MVV 411 t, l tw M3�He RZ(/O:' 0 S� Scott tgTVPE OF CONSTRUCTION ❑ NEW ADD U ALTERATION LJ REPAIR • / 377CA E37ta.JARZ7 -//5/ 1.Q CONVERSION ❑ DEMOLISH OTHER A.P.# Zone Owner's Name 7 PhornS DESt,NIPT ION OF WORK/USE OF BLDG.St&t-4.7a - °A (a k-r) S Main Building: Accessory Building:Address /9/$4. XanA/ AtAeS f � f � E Z Arch/Eng.pp�,yy0/nt4 •''1/'g• License No. P . 9434 TYPE OF PERMIT IJ GRADING LI FOUNDATION ❑ STRUCTURAL T Front O Address nil 441aJA, .'A/ /XMAS ete nis n �/ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N Contractor's Name��/� �AS Phonl7���J LI OTHER Addre�'Imailing)/.. /CiegalFA., e avt• O G.G. PROJECT DESCRIPTION OCCUPANCY C Right N '' K D/� CONSTRUCTION TV• VALUATION$ /07 eon• 00 $ Left City License No. ZONE - G CU.YDS. ACRES , R .,4gENSED CONTRACTOR DECLARATION /} ,a }7 /7 Ping. Ref.# Parking Req./Provided Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: P/C I yg.-Keo S`4 Poke-5'i'rEr Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and i ///��� My license is In f 11 force and effect. T License ass 3 Lic•• • N _•- See- S. Date Signaturer. -_,--i A -Ammar . PLUMBING - FEES r WORKERS'COMPENSATION DECLARAT • Bar Sink Showers 1. I hereby affirm that I have a certificate of co sent to self-insure or a certificate ELECTRICAL FEES if Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C. �j Automatic Washer Transformer 0 15-50 KW policy No. �7�oR� Com pany'ti'S�ECL �'�5' Backflow Irrigation $ewer Ca 0 50+ KW ]3800p Construction Pole Sub. :az copy is hereby furnished. Ceti (�i;flied with the city i g pivlsioe�J o,/// Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps \ Date p/T/ Ca ApplicantRS ( /r'1ON _ EXEM 10 FROM WORKERS'COM ENSAT DELLA AClarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed if the perm IS for one hundred($100)or s.\. less). Dishwasher Solar Piping Dryers OGas ❑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 00-1 HP ❑154-8 Workers' Compensation Laws of California. Date Signature Floor Drains �k Swimming Pool pa'-�,Z• 3 00 F.A.U. Ina Solar 09-15 HP 016-15+ _ NOTICE: If,after making this declaration,You should become subject to the �" VT 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 Outlets Water Closet Device Boxes I hereby affirm that there Is a constructl n lending agency for the performance - Pole Light of the work for wblcY this ';, issued (Section 3097 Civ. C.) Interceptors Water Heater / OutletsI. Range Lender's Name _ Yh .e/ Lender's Address - Kitchen Sink Water Service .� Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories f Garbage Disposal 'Standing Sections • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Generator 00-5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit - _ 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 e.S 1 OQ Division 3 of the Business and Professions Code) or that he/she Is exempt _rte 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 enalty of not more than five hundred dollars($500). $ 3 U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee - 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 DEVELOPMENT SERVICES REQUIREMENTS: thereon, and who does such work himself/herself or through his or her own goiter Hood or Type 0 employees, provided that such Improvements are not Intended or offered foryp Zoning Approved By Date I sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 N ���i prove , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date ?:/71Arove for the purbose of sale). ��/ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date—c�F-b/�(6 tractors to construct the project (Section 7044,Business and Professions Code: 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- r A tractor(s) license pursuant to the Contractor's License Law). I am aware that - BUILDING PERMIT $ 0,56 SMTP $ Z 7C/ if Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK $ ��'�`3 proof o their Worker's Compensation insurance should be providedfor to me. / PERMIT ❑ I am exempt under Section B.&P'C.for this reason Firepl/Fact.Bit. ICBG# (� PLUMBING $ - Gr at ISSUANCE $ Date Owner - Heating System& Ducting /''. �J� PLAN CHECK 25% $ !l ENERGY P.C. $ I hereby certify that I have read this application and State that the above V ❑0-100,000 BTU"100,000 BTU-- ELECTRICAL $ 7. 0 ✓ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating building construction, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ inspection of [hib ci to enter upgp th ..Ove-mentionetl r properly for cI �� inspection pure le: o /�/� • MECHANICAL $ 1 • 0� TOTAL FEE $ Signature ag._.? Date Drivers' License or- S Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ r - CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting:Goldenrod -Assessor _V /Nr[7_ e...4�. �V//s/y )c_1(..., �., C 'TRUCTION AND PLANNING . . . • POOL .x SPA ROVALS Petit # Date Inspector APPROVALS Permit# Date Inspector remPorYEtrtl Service or Pole 52. Pool & Equipment Locationoil Pipe-Undrgrnd.. I' • ` 53. Steel Reinforcement /'/" ' 3.;Electrical Conduit Utility-Undrgrhd. 54. Forms 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5.•Steel Reinforcement 2 56. Rough Plumbing & Pressure Test ae_ 6` Electrical UF,ER'Grnd. 57. APPROVAL TO COVER-GUNITE Ve y74 w • 7-.Footings . . 58. Electrical Conduit-Undrgrnd. 8.- Foundation 59. Gas Pipe, 0 Undrgrnd.,Test Lp OK y/`f/b LA____, 9.•Water Pipe-Undrgrrid. 60. Backwash Lines;P-Trap, 0 Undrgrnd. 10:,Structural Flobr System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 446 U(, y • 12. Sewer Cap . .. - 63. Heater & Vent-Final 9 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. Rouji Wiring Sign 68. APPROVED FOR PLASTERING 7 //g icy 18. Rough Electrical-T.Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1e 1/IO/fid (/' 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: ter" 34. Final Heating & Air Conditioning (";Z:7-959) �Ji4 /-y�i 144 35. Final Gas Pipe-Test ��G 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. Backf low 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 51. CERTIFICATE OF OCCUPANCY No. Date 1. r. L. Gunite (� ) Post-T -ioned Concrete ( ) REPORT OF INSPECTION ,_ . Masonry ( ) Firepr._,, ing ( ) Concrete ( ) Reinforcing Steel ( ) l • > TO: mP ; • Address : OWNER: \A:ec'icra PROJECT: St* Report No. Address: Irj )'-( EAu PL Permit No. (._7op�7A Architect: (-4;1-,-jwn;,.i, p,,,jc Contractor: CIpf -n,,;,n js Address: Address : Engineer: LLA1 )6, Q. F00,') Subcontractor: tri „, (Gunite) Address: Masonry or � Concrete) Inspector: �q x <4L Address: P•o,ASCSN St) FLA..a10 Mix Used:y � 1 Slump, inches:--�- Admixture: Designed Strength, PSI : ),,,rPt. The following inspection was performed in accordance with the approved drawings: Cu.Yds. No. of DATES Placed Cyls. Remarks g 4e;eLL 3vId ; ) 61.92S,r..Ce w,-T,L,I,..,4 .., CM/J. Gpa cit>” Rn�uATw:..41... \D•., Copies of Reports to: (Indicate which Bldg. Dept. E furnish address of any not listed) • OWNER VTRPTCI. F. A DATE 6-25-68 JOB ADDRESS 1914 Kauai Place BUILDING PERMIT NO. 28756 ,;;,,C r5, RAL CONTRACTOR Capitol Masonry DESCRIPTION of WORK Community Block Wall lecfix o. LOT 2 TRACT 6384 FIRE ZONE VALUE $ 292.00 INSPECTIONS Signature Dote GROUP J TYPE IIT ZONE R-1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR WATER Date I Number Signature i. Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ • ROUGH WIRING Heating and Vent. TRENCHES ® FORMS LJ STEEL REINF. © OA- 6.47—OrY FLOOR SYSTEM BOND BEAM f1 STEEL REINFORCE fl SHEATHING FRAME AND FLASHING LATHING - IN fl OUT fl P' tR, BROWN COAT Sl.__TURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING. FINAL 2" • C. 78 f56JUN 25-68A002091 4*****3.00 -COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92029 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPEOR PRINT BUILDING jj�� For ONlee Use Only BUILDING a��//77hoy- i/�y p/ ADDRESS /I /T- RECEIPT NO. pMIT NO COSTA MESA. CALIFORNIA 7 A - RICE! • BAA/jJ[R[C ICVED /gI.T,,[.,I,e�/s�uJ}O�.Q OWNER A. ViST1 C,9. "' � r , (!/ '^'� .(�/ `/I17 /y BUILDING 10 MAIL ADDRESS l ,694/Ai ADDR , .. i /� FIRE7.3 / /1t� CITY L_C. M TEL. ,/S, ZONEpvI5 J /TYPE (/ GRO/UP �/ / ARCHITECT TEL B PRaw 22d t h t DATE 6-."O'^��6YI ENGINEER NO. (� ZONING �d wODRESi ZONE I NO.or f, u[[or Naw C L MSS/fl/ 9, ruw el/I sU1LDiNo CONTRAOTOR A ,/ M ADDREG$ /n/�1 47 l�/�/[r/\ g). - nEsrnIRION �„�eT r ie 6 3 3 CITY C . ^4. A.P.NO. L G NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.TNO. 2 L O 5-� NO. 3 'ir ama 30*TO SIDE SREAR F.L. EAVES SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT _ YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. - (FROM C/LSTREET) SETBACK LINE PROM FRONT FT. 4 ✓ Fr. CA./ CENTER OF STREET REAR YARD SIDE YARD! LEFT RIOT R.SIDE FT. DESCRIPTION OF WORK LBIDE Fr, 0 PT. V ALTERATION ADDITION REAR PT. ��� DISTANCE BET. BET.MAIN ft REPAIR _MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF COVERING APPROVED (1...a.,/ DATE /?/�--2 COVERING 777 USE OF BUILDING AND WORK TO BE PERFORMED P, Ci#2ir ,Sir fi_-:vcr_' / SQ.PT. I HERESY ACKNOWLEDGE THAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE C AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO co". PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES 0 STATE LAWS REGULATING VALUATION-- eu1LOINGCONeTRU N. �/�7' PERMIT FEE 5 . —' Q PERMITTERURE ;�,//y�G/�J-✓k✓J� � P. o PERMITTER !//// PLAN CHECK S w AUTHORIZED AGE �j/� ) ® l ), TOTAL PEE I -NOWNER VISTICCA, ED DATETh-JOR ADDRESS 1914 Kauai Place BUILDING PERMIT NO. 28283 GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Block Wall Alo. LOT 2 TRACT 6384 FIRE ZONE VALUE $175.00 L,..,PECTIONS Signature Date GROUP J TYPE III ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR Date Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Healing and Vent. Trenches] Forms O Steel Reinf. 1-49—c6 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out O P' 'er, Brown Coat .tura], Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final R / lY AI � / nvT I,7i7i� 7ilrlinPin a1 �.. IA/ -7-12-..A.(7 L' � <!D hc .s.c�t. • •° .. 28283 W-6-a 14144 n*****3.00 'COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92620 For Applicant to FiU In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING /5)/4 /7 / , For Office Use Only ADDRESS � �� / `�� RECEIPT No. 28283 COSTA MESA. CALIFORNIA L�L�L<J RECfD H1 -DA C / I D5E ISSSUED/ y OWNER €Z/ /�7 K ( v/6/-/c�/I BUILDING MAREESS I^( 1 4-pun i ADDRESST_/ FIRE CI �� J NO. ZONE TYPE yGROUP APPROVED ARCHITECT TEL BY DATE I ENGINEER NO. 1 ZONIN (AiG ADDRESS etc) _ NQ etc)(� =O/ 1r/ I :at?: /2/'I BUILDING - CONTRACTOR (ll � IIGtQ 1 I -�,/ //�� '�[/ Did ILUPDON / (/f a �- /e c 3 ADDRESS ICA ` /CITY AA.P.NO. STATE TEL NOTE: NO LAVE OVERHANG SHALL BE LESS THAN BO'TO SIDE a REAR P.L LIC.NO. NO. SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT / YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) c,�f1 SETBACK LINE FROM FRONT FT. J LIFT• CENTER OF STREET REAR YARD If SIDE YARDI LIFT RIGHT R.SIDE PT. FT. I DESCRIPTION OP WORK L.SIDE FT. — ALTERATION ADDITION REAR PT. ,,----PC------. DISTANCE BET. BAT.MAIN S REPAIR MOVING DEMOLISH MAIN BLOWS, ACCESS.BLDGS. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF APPROVED / /�/� /�' COVERING COVERING DY (C'L{✓ CD�TC 6 G, /) USE OF BUILDING AND WORK TO BE PERFORMED U� / 0. 4 -S/,-.....;;„.• -4-in• u'w( I m to k# - J0P1 Side nf /ic , � ' d ToLy-stf. - (9,4A- /pG ,r/ is Sil/7144 SQ.PT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITT_OAOINAHCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIONS ` VALUATION ,,� IA SIGNATURE OI�� � • -' PERMIT FEE § )/ G PERMITTEF -�/�L-- �. S/ / PLAN CHECK S AUTHORIZED AGENT $ ^� _ TOTAL FEE yt 2 'Tract 6364 •land ly BRr L 27078 • COSTA MESA BUILDING-SAFETY DEPARTMENT NAY 25-67m AOO1394* ***1211.50 P.O.BOX 317 COSTA MESA,CALIFORNIA \ For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 1914 Kauai Place RECEIPT NO. 2"°1'x'",3 COSTA MESA, CALIFORNIA q U .' p[C D Y DATE RECEIVEDE SUED owNERC1ub House Road Joint Ventux c/5"--9?—& 7 � 7--42 BUILDING MAIL ADDRESS ADDRESS 2850 Mesa Verde DriveFIRE ,/ TC ZONE TYPE 1 GROUPtJ� CITY Costa Mesa NEo`549-039 � APPROVED ARCHITECT 7E4 BY DATE OP ARCHITECT ,, G.Kaltenbach TEL.- -804F A. ..ESS1823 E. 17th St , Santa Ana ZONING SQI1� NO.OF UBE OF NEW I1/- I PLANSYY BUILDING td eli CONTRACTOR Repuhl i n Homes Corp --� ' LEGAL DESCRIPTION LO t )_ FR (0 3 Y ADDRESS 2850 Mesa Verde Drive CITY Costa Mesa, California A•P'NO. �'�' — NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIATE TEL C...NO. 197838 NO. 549-0395 90'70SIDE eREAR P.L EAVES SIZENO.OF BLDG& ALLOWED (U.B.C.REQUIREMENT) OF LOT 60 X 100 ' I NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROMON FT. PT. CENTER OF STREET 43 I REAR YARD 24 I FR Tc1.3 SIDE YARD I LEFT 5? I RIGHT 5 ' R.SIQE rFT. FT. DESCRIPTION OF WORK L.SIDE 2. FT. FT. N X ALTERATION ADDITION REAR /( FT. FT. DISTANCE BET. BET.MAIN B REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS. BUILDING NO.OF VAR.# DATE SIZE 2008SQ . ftROOMH 7 STORIES 1 C.I.I.P.# - APPROVED EXTERIOR WALL„WOOd& ROOF APPROVED / n COVERING LIt UCCO COVERING Wood BY U /�� DATE ._.. 5'�1�1/ USE OF BUILDING AND WORK TO BE PERFORMED / ..onU t c'. .1-.-..-."1' %Ye-71771"2 t 3 "J/ [/7 � N SO.FT. / q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO N UNDER VALUATION IS FOR THE F' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY O INANCES AND STATE WS REGULATING VALUATION q BUILDING CONSTRU N. — D N / / PERMIT FEE 5 SIGNATURE O 4 / I 4 i �� PERMITTED / qx f / / Y 076/ 5 7•� PLAN CHECK S 27 4 , o , // �E AUTHORIZED AGENT.` A TOTAL FEE $ 7/ 6