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HomeMy WebLinkAbout3048 KITTENDALE BAY - Building Permits IQ�p1., Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA _ PERMIT NO. ' r TPPPP T NO. ' LOT NO. - BLDG.NO. I 0716: 6/21/83 P6.e 6EI TI CONSTRUCTION • PERMIT , p .i P-1- - j'u -I . '� • t -• it f. Y . _ , Appliient's Mailing Ad•h{s y- e l.a a a -TYPE OF CONSTRUCTION', NEW LI ADD U ALTERATION U REPAIR Project Address • A Y) 1a Ia. �' • _ ❑ CONVERSION ❑ DEMO 1$• ❑ •eTHER - - ` s • L C'�icy p� DESCRIPTION OF WORK is & 9! ter It 'Ii��f7i��1[/jN Owner's Nr A A {�/Q,�• �4� r �P'h e ) '/ !6! (1 ^ ZONING REGULATIONS • Address C'` Alf • ` /�7rf•1 �� - ♦ /�pp TYPE OF PERMIT . ❑ GRADING El FOUNDATION. STRUCTURAL• A.P.qW 4)3� I3 )—[7 : ZONE ,0Q...+ Arch/En ." !•� !�� • 61� ark�a License Nr. )77l �, " • 9 ❑TENANT ❑ ELECTRICAL ❑PLUMBING ❑ MECHANICAL ,PLNG.REF. BUILDING �I $ 1 PTpnrr r/i cr Address Si• 'f' 1419 OF 1"0QuV�' I ❑OTHER ' TO BUILDING • _ ,���yy-'�� S . - • + • `•' [,�• ` - PROPE RTV LINE [+.L:.II 'REAR YARD (TO P/L) 0. f'.. - 1 Contractors Nam L 'hone 3 PROJECT DESCRIPTION SQ:FT AOCCUPA CY ♦ y'r.. LEFT SIDE YARD 2/ RIGHT•SIDE YARD, • ¢ rioJ i� tI a�J i Address(mailing/ ���' - CONSTRVq CT, ON TYPE -i VAALU nTION$" l✓�((�' � • 101.) \A• K-J'tt�i . - ZONE I—� GRADING CU.YDS.. ly ' +. ACRES"-, l't P•K$.SPACE:REQ. `7 5 PROVIDED• _5. e130+ � ; License No. __ !!! .- , 1•— �C LICENSED CONTRACTOR DECLARATION - I • Remarks: ! '' STREET WIDTH ' 0Q/ PARK FEE$ b'13- /g •• • I:oereby affirm that I am licensed under provisions Of Charter 9 (commencing ' ' - - -• with section 7000) of Division 3 of the Business and Professions Code,and • ! • . i ' 1 , . i SPECIAL CONDITIONS: i I _ C I ' I - + my license is in full force and effect. p • Ucense Class ' 1 License No. ' ' i i PLUMBINGI I - HELD roN S�)✓�.�- IA Date •• Signature I I - I I _ r ' WORKERS'COMPENSATION DECLARATION Ii• i Baf,Sink i •• Sewer Cap F 1 , ELECTRICAL • • 1 hereby affirm that thave a tertlficate.of consent to self-insure.ora certificate - 8eckflow Preventer----- - - Sewer Connection - ' - _ _ - Automatic Washer -_ 'Meter ❑over 100 amps _ I '.- -3.- ' of Workers' Compensation Insurance,.or a certified copy thereof (Section - - 3800, Lab. C:) • ' 1 -- Construction Pole Backflow Irrigation Soler Collect-: - ! • ! Sub Panelp"' ! Ilcy No. : ' Company - -:" i Cooking Unit , Sub Pole 1 Certified copy is hereby furnished. • 1 I Bathtubs , ; Solar Piping 1 ! R� Certified copy is filed with the city Building Division. I Dishwasher Motors 00-1 HP 01%43 Date Applicant ' ' Clarifiers Solar Tank ' , EXEMPTION'F ROM WORKERS'COMPENSATION DECLARATION - Dryers-❑Gas ❑Electric -- - -' 'Inc.Solai❑9-15 HP ❑16-15+• '_ • (Thissection need not be completed if the permit Is for one hundred($100)or j . Dishwasher • I Swimming Pool w/Spa less):. , I I •i DrinkingFountains Urinal I Fan; 4 Microwave • ; - +d . I certify that in the performance of the work for"which this permit is Issued I , _ • ' . snail not employ any person In any manner so,as to become subject to the . . I F.A.U. 1 ' Pole Light ' • ..' I • Workers'.Compensation Laws of California., I • I I , Floor Drains • Water Closet. I . I ' Date Signature : Fixtures • 1 • ' NOTICE:If,after making this declaration,you should:become subject to the - . Floor Sinks" -•. - - _. Water.Heater _ _ _- .__ _ Range ' . Workers' Compensation provisions of the Labor Code, you must.forthwith Device Boxes , ; Sin •1 { i comply with; such provisions.or this permit .Shan be!deemed revoked: Gas Service COutlets _ i ✓ Water Service _ ' ' - + ' 9 CONSTRUCTION,LENDING AGENCY . I hereby affirm that there is a construction lending agency for the,performance Interceptors "' - - ' V.:- ' t� , ! • • , •Outlets Standing Sections /,+• , of the work for which: this, permit is 'issued (Section3097 Civ: C.); - - - i Switches • Trash Com actor Lenders Name' ./ - v - r P ( , , Y,051' Ii') P17`�-4 r---Ti�/Vip/_f' I1I)as Kitchen Sink - _ Lender's' Adtlress 1 _ ' ' OWNER,BUILDER DECLARATION - - Lavatories " _ _ ^' _ Garbage Disposal I hereby affirm that I am exempt,from the Contractor's License Law for the , , •- - ., - Generator 00-5 KW ❑5-15KW , ",(,_ • following reasoniSection 7031.5 Business and Professional'Code: Any city or • i P-Trap, • . _ ' ! 1� •- j 1 + any structure' priiorwhich res a to Its is uance also requirestthe applicants orsuchh permit L ' I Roof'Drains• ` r•' 4 - ie ,j , i - Transformer ❑15-50 KW I I i • ' to file a signed statement that he/she Is licensed pursuant to the provisions of - _ : ❑50+KW' I , the Contractor's.License Law (Chapter 9(commencing with Section 7000)of - • - I - Reinspection Fee $15' ' Division.3-of the.Business'and Professions Code) or;that he/she, is exempt I - Showers ' I , ReinspectioniFee 1 $15 I 'therefrom and the'basis for the alleged exemption. Any_violation-of,Section ! - _ .. Meter ❑up to 100,amps Issue Fee 1 $ 3 .7031.5 by any applicant for a permit subjects the:applicant to a-civil ' S¢• ' . Sink Issue Fee - _r ' ''LIanally of not more than five hundred dollars($500), - ! 1 $ 3 Zoning Approved By • --5-' •Date •, _ I,'as'owner of the property 'or my employees with wages'as their sole • - MECHANICAL compensation will do the work;and the structure Is not intended or offered 1 - y ' Application Approved By -f , Oats ' . for sale (Section 7044, Business)and Professional-Code:.The Contractor's -- - _— - -- - - --- —" - -- 1 , / - i . • 6dy� License Law does not apply to an owner of a property who builds or improves - - Refrigeration System • 1 [hereon„antl who does such work'hlmself/herself or through his or her own Boder I ': , i • Application Issued By Date -• I •• employees, provided that such Improvements are not Intended or offered-for - - ❑o-100,000 BTU ❑100,000 BTU, - - • , sale. If, however, the building or Improvement is sold within one year of com- Duct--Under,Ground _ I I SUMMARY OF FEES I pletion,the owner'will have the burden of proving he/she did not build or im- ' •-1 /i['� ' 3 /8 r ve for the purpose of sale)'. 1 �1 Duct-Structural System Repair/Alteration ! -BUILDING PERMIT $� .410Jy�+- SMIP - $ , • / I,as owner of the property,am exclusively contracting!with1licenzed ton- Duct-Ventilatin 1 PLAN CHECK $ /IJ cd 1 PERMIT tractors to.construct the project (Section 7044,Business and,Erofessions Code:,.) - g. - ... _ _ The Contractor's License Law does not apply to an owner of property who I - ' ' ISSUANCE ' $ , builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑- PLUMBING $ tractor(s) license pursuant to the Contractor's License Law): . I ' I 'PLAN CHECK, I $ 'GRADING $ 0 I am exempt under Section B•a, P.C.for this reason Firepl/Fact.Bit.ICBG# ' Date • - OWnerl • ' Heating System&Ducting 1 ! - ELECTRICAL' $ • 1 j $ , I - MICROFILM • $ -I hereby certify a I •ave read-this application.and that the-above ... ❑0-100,000 BTU ❑100,000 BTU— -- - - • PLAN CHECK, $ I Information is ••rre• '•vee to comp' ith all city and county ordinances - - ' : TOTAL FEE , $ ' J 'MECHANICAL $ antl state law•.rela/ g t• builtling co• r coon •and hereby authorize repre- Hood or Inspection fives o p his/ ity"o e• er up. he a;•ve-mentioned property for Type I ❑. , Reinspection Fee, $15 �pLA•N CHECK $ , LESS I i ; inspection •.rpo •-. - Canopy Type II ❑ ADVANCED PC $ , din Signet are .: 4/L ' . w,, 0."4 r '� •.te -,o-f3: 1 I ; ! 1 ..•1t// Oi Drivers' License 7SS ' -j . _•, O Registers Issue• Fee $ 3 FINAL FEE• $ ,eL6 7-..4,0 . . _ .. - -. -_ '.! .- _ -- --- - - _ - . ..- .. _ _ _ CMF 0665-46 rev.12/: White-Building;Canary-'sirpiicant:Pink-Accounting;Goldenrod-Assessor - - - - -” - '-"" - -" 'CONSTFUCTION AND,PLANNING' `I > 1 ' n s _ - POOL&SPA - ', _ • t• • - • •VALS Permit# t- ` ` Date Inspector u 2•, -- Date - Inspector o APPROVALS •• Permit# d•, Temporary Electrical Service dr:Pole ; ,-. :n ': i.- ? -`2 52. Pool &'Equipment Location , - - y • - 2. Soil Pipe-Undrgrnd:' I i.:: E • 53r Steel Reinforcement _ - • - - , , 3: Electrical Conduit Utility Undrgrndi 1 it ; I ;� 54,' Forms - ,, ' ' =.„ NI 4: Electrical Conduit-Undrgrnd? -: > - - - - = 55: Electrical Bonding - - 53 SteeliReinforcement I ``^ , :,= ; _ .' - - 56." Rough Plumbing•& Pressure Test -' ! . - r 6: !Electrical UFER Grnd. i •C a- i• , „ - . 57. APPROVAL TO COVER-GUNITE • 7. Footings ! I •-r I , ' ") '58. Electrical Conduit_Undrernn: - " -, - _ 4 6. Foundation _' I I ° !, I.! s59 . Gas Pipe,.0 4Undrgrnd:,Test'" t' 9- Water Pipe Undrgrnd. ': ^ - 1 ?-* ! - . r60. Backwash Lines,.P-Trap, ID-Undrgrnd: • - 10. Structural Floor System :: s; !• • ? I ' I ' ' 61. APPROVALTO�DECK 11. Property Sewer Line 8/House Connection: g v _ 62. Backwash & Receptor-Final . . . I 12- Sewer Cap , ' ' ' I i^I _ '63. Heater &Vent-Final - 13. Raof'Drains ' ' ' 1 ' a I H >, i r .- : •264. PlumbingSystem :Final ' - " . ' 14. Rough Plumbing • , I : - -• • I - :65. Electrical=Final - 1. , - '. 15:±Rough !66 Elect?ical-Conduitr7-'1-7- ' .j 1� - - -- - ' - " -'• - , ; I . -Solar,System-Final' -- 16.7:Rough Electric Wiring, I r. i r ra-ir 1 rf'al-t - =-'. ',67. Fencin &Access A --. - - - - " j.17r,Rough,Wiring.Signt .'v • 1 '*. i Ili " I •, � ' I ` ' _ .68iAPPROVEDFORPLASTERING' , - • . 18..i•Rough.Electrical T Bar Ceiling II SIT 1. I:. I ". - . i. I 69'POOL/SPA SYSTEMS FINAL • •19:.Rough�Heating& Air Conditioning �� _ I ' FIRE DEPT..REQUIREMENT • ' i 20. Rough:Factory Fireplace I 1' I I i ' I ' APPROVALS ' Permit# , 21.:Ducts,-in Structure.; * ' I 'I II I I 1 I ii ,70) Underground Hydro I -,-22. Quota,,Ventilating_ I : , I I , I � ;71 Product Piping,O Gas El Oil , 23.•Gas-Pipe-Rough & Test _ ii-`, ', I ' ' I � " 172. Underground Flush! ,r • 24.-Roof Framing, i i ,1;:19, ,c ;ic,In+ ! r , !73. Undergrnd.StorageTank'0Gas-OOil 25. !Roth Sheathing ' , ! I i II''. - ' /.,%,/,m r � I • :74: Overhead Hydro ' ' - • 26.;'T-Bar Ceilin (Structural)'& Monocoaf I �/_ ! `'.e'- 1 ' r :9 1 „ 1• I . ; " _1 '75: Dry Chemical 27..Frame-and Flashing - + li II , ;ripsA4 '. b ', ;7 6. Dry Standpipe ', - • 1 28. Lathing & Sidmgi • ' ' e ' I ; I 1 ,77, FIXED SYSTEM-FINAL •r ,29.E Insulation, ; J {: I . r , I . /�I ' '78: FIRE PREV. FINAL . 130. Drywall Nailing i , I 1, I /JR{ Notes: ' • 31..'''Plaster•Brown Coat . , I , 1 I t, . - , ' .T32. Electrical Power Meter-Final , 11 ;1_1_1. _i I _ • I 33.•Final Electric I I I. I _ 34. Final Heating &Air Conditioning II I ' I e i ' I 1 I ' ' - 35. Final Gas Pipe:Test •. I •• ` 36. Hood por{Canopy. '.;' 1 _ , , _ - - _ _ _ - . i O. tl ' 1.- I_ I - 37, Final Factory Fireplace I `.• iil ° • ' : I 1 ' I I , • , : . - , ` ,' ,4 ; ' ! . I I I 38. Final Plumbing± ; , ,i I 39. WaterService-Final I , ". i 40. Gas Service-Finale I II le l ! ! I I " 1 41. Solar Dome • itic,FirialI i I I, 1 _ _ - t 1 1 I ' ' 1 ' 42. Backflow Preventer a I I I G I- -, -- • ., 43. Backflow Irrigation I o I I ' i- I I ` , - "''. • ' - 44- Landscape Irrigation,System I u<;, I ' 7 ' ' ';, •' l - I , I ' -i. i _ 45. Sound Attenuauon�im i i . 1 I' ' I L` ! ! 1 , I • 46. Handicap Regulations , I 1 I I 17 I ° I I ' ' � ' " • 47. FINAL STRUCTURE'& Biili .UIiLDINGi I^ I rf,r.1�' ' GTk-Dl 1 111 48. Special Requirements Completed � y "•4 s hic' I I • .. , ti T (J7770/ { - 49. Electric ReleasetolEdison 1 - 1• -, F I-I � - ' 1 1 T . 50. Gas Release to Southern California Gas Co ! I I I I - I ! I I • II I. i51. CERTIFICATE OF OCCUPAN 1 /,� i _L. '_ 1 i • ' No OQOq'I Date 1, .i. 4 ry�� Atva �' - , - , -. "1 r'- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. W. . A MESA; 1 PERMIT N TRACT NO. LOT NO., , I BLDG.NO. - _ ' -• ' - i - ION PERMI �$7 • Ad•ress_ -v' y e•' " TYPE OF CONSTRUCTION 'diEW El ADD U ALTERATION El REPAIR - _ t • ' Project Address IL ' - aa�• 9N et ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • _ - a .. - - �f� er DESCRIPTION OF WORK 117�N �J�I /'Y7 ' Ti Owner's Name .\_ / � • ,/I' 'hone y - .• i _ ,• • - - . - . _ . ZONING REGULATIONS • Address: _1St igi - 4/1..'_.• ' _ TYPE OF PERMIT U GRADING :U FOUNDATION U STRUCTURAL A.P:M"• - ZONE - , {�, ' PLNG.REF.#� BUILDING' Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL JGI rLVMBING ❑ MECHANICAL errancy rn cr' S Address ! -7 /� 0 OTHER i TO PROPE RT VNLINE REAR YARD (TO P/L) �` Contractor's Nam.' '4. /A' - "hone?1- g/T� PROJECT DESCRIPTION SQ. FT._ - OCCUPANCY /p LEFT SIDE YARD RIGHT SIDE YARD - • Address(mailing) •O' J27 • r • , . CONSTRUCTION TYPE VALUATION$ - ' A 2�.%/_ • ZONE GRADING CU.YDS. ACREc • PKG.SPACE'REQ. PROVIDED License No. _ !.*`7(/7ti- _ LICENSED CONTRACTOR DECLARATION IRemarks: : ✓1 X737 STREET WIDTH PARK FEE$ I hereby,affirm that I am licensed,under provisions of Charter9(commencing '�s7 /with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: - my license Is In full force e0 effe., • •- - - - • License a �- _ -40 - - 1 PLUMBING . , ' . Date Signature "i -- _ WORKE' 'C•MPENSATION DE LARATION / ' Bar Sink Sewer Cap ELECTRICAL I hereby affirm that I have a certificate.of consent to self-Insure or a.certificate . Beckflo Preventer- - - - Sewer Connection. - Automatic Washer Meter Dover 100 amps - of Workers' Compensation Insurance, or a certified copy thereof (Section - - _ Construction Pole.,. Sub Panel' 3800, Lab, yam, Backflow Irrigation Solar_Collectors. Policy No. [7�L�/e/39(e3�Company � � � I Cooking Unit , ' ' Sub Pole - Certified copy.Is hereby furnished. ' / Bathtubs Solar Piping Iflesj c y e with the cityB tn DIvISio I Solar Tank I Dishwasher Motors 00-1 HP ❑1X41 Date (/" Applicant ��B//��////d//[[�z��II Clarifiers • EXEMPTIO4 WORKERS'COMPENSATION DECLARA ON I ,. a .0- ^ — Dryers 'OGasI DElectric" " ' - •- Inc.Solaf 09.15-1-IP.016-15+ I '- ' (This section need:not be completed If the permit is for one hundred($100)or Dishwasher Swimming Pool w/Sp less) f - ; Fan, Microwave • 1 I certify that In.the performance of the work for which this permit is Issued, 11'' - Drinking Fountains Urinal shall not employ-any person In any manner so as to become subject.to tee' / - F.A.U. ' Pole Light ' Workers',Compeflsatlon.Laws of California. i , - i Floor Drains W• ater Closet ' Date Signature ' Fixtures NOTICE:If,after making-this-declaration,you should become subject-to the - -- Floor Sinks -- - - - - Water Heater - .. _ _ _ Range __ _ Workers' Compensation provisions.of the Labor Code, you must forthwith _ _ Device Boxes • comply ;with such provisions 'or this permit 'shall be 'deemed revoked.• ' Gas Service Outlets Water Service _ . Sign ' CONSTRUCTION 'LENDING AGENCY - Outlets • • I hereby affirm that there Is a construction-lending agency for the performance Interceptors - • Standing Sections . of the work for which this- permit is ,Issued (Section 3097 Civ. C:) Switches Trash Compactor Lender's Name • - - - - / Kitchen Sink ' - • , ,-R — - - Lender's Address I - Lavatories - e . Garbage Disposal • ' OWNER-BUILDER DECLARATION - . -. ' 1 - _ - • ' I hereby affirm that I am exempt from the Contractor's-License Law for the / . • - Generator 00-5 KW 05-15 KW • following reason (Section 7031.5 Business and Professional:Code: Any city or • _ P-Trap' I - . - - I - • - county which'requires a permit to construct,alter,improve,demolish or repair - - • Transformer X15-50 KW any structure;prior to Its Issuance, also requires the-applicant for such permit- - ' Roof.Drains' -- '_ ' , • to file a signed statement that he/she is licensed pursuant to the provisions of 05U+KW •Reinspection Fee • $15 the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Reins ctipn Fee $15 Division 3 of the Business and Professions Code) or that he/she is exempt Showers , M¢Lef OU to1DD amps therefrom and the basis for the alleged exemption:Any violation of Section - _ - PP Issue Fee _ $ 3 ' 7031:5 by any applicant for a'permit subjects the'_applicant to a-civil j $ 3 -- - ' malty of not more than five hundred dollars($500). - Service Sink Issue Fee , R Y - r- i 1Zoning Approved By • Date 0 I, as owner of,the property or my employees with wages as their sole 1 - MECHANICAL • ' I compensation will do the work,and the structure is not intended or offered " ' Application Approved By Date for sale (Section 7044, Business and Professional Code:-The,Contractor's i I I License Law does not apply to an owner of a propertylwho builds or Improves ' Boiler, } Refrigeration System • .Application Issued By • / '/� !Date 6-/7-.-cit? thereon,-and who does such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for ' 1 Duct=Under'Ground - ❑0-100,000 BTU ❑100,000 BTU ' i sale. If, however, the building or Improvement Is sold within one year of corn- SUMMARY OF FEES ' pletion, the owner,wlll have the burden of proving he/she did not build or im- • rove for the purpose of sale)'. ' - 1 ! ' Duct-Structural System Repair/Alteration BUILDING PERMIT $ 1 SMIP $ ' • o I,as owner of the property,am exeluslvely contracting'with licensed con- ' i ) '_tractors to construct the,project.(Sectlon 7044,.Business and.Professlons Code: _ Duct-Ventilating _- ' - -_ , - - .PLAN CHECK' $ • PERMIT The Contractors License Law ddoes not apply to an owner of property who ' - , I ISSUANCE $ ' builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 ,PLUMBING $ ./3- , tractor(s) license pursuant to the Contractor's License Law); ; - - t GRADING $ I ' - 'PLAN CHECK $ •'S ❑ Yam exempt under Section B.& P.C.for this reason ' I Firepl/Fact.Bit. ICBO dh . - ' I $ , Date Owner - Heating'System& Ducting ELECTRICAL $, - 'PLAN CHECK $ MICROFILM • $ i-hereby certify-that I have-read-this-application and slate that•the above ' - 04100,000 BTU 0100;000 BTI, -, - - - TOTAL FEE $ ! Information is correct. I agree to comply with all city and county ordinances 'MECHANICAL $ and state laws relating to building construction, and hereby authorize re re- ' . sentatives of•this'tIty to enter u n the bove- enlloned r pert for Hood or Type I ❑' , I ! Reinspection Fee $15 PLAN CHECK. $ . AD ANCED PC I $ Inspection ourpp{S• /p_ p Canopy- Type II 0• 1 Signature �7>+.u�`•� - �1 �=/I'��-C� Date JO� 03 //► /' Registers • Issue Fee $ 3 Drivers' License o/SS -- g I I FINAL FEE $ �Cl CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - ' — ' " -- - N . ONSTRUCTION-AND'PLANNIN_G, , ! 7._ - :_- POOL&SPA" -_ - _ - `•- PROVALS - Permit'#: ' 7 Z'' Date - • ;Inspectorr - , - - Date • Inspector `J APPROVALS . Permit.# emporary,Electrical Service orPole `ia. p ' ^ :.52_ Pool &'EquipmentLocation . - t0 2' Soil Pipe-Undrgrnd- .i- i ;o - f /,� 53- Steel Reinforcement _ _ 3'. Electrical Conduit Utili Y-Undrgrnd.• - `-.-' • _ 54r Forms - ..: 4: Electrical Conduit-Undrgrnd, ' , - ' •-' =- 55° Electrical.Bonding _ - . • 5i Steel Reinforcement - 5 - r '- ' •;56.. Rough Plumbing & Pressure Test: - _ - ' 6: [Electrical OF ER Grid.' „ ' ' ' O . il' , ; _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ' Y�i 1 I(: I ' T' PERMIT NO. TRACT NO. LOT N BLDG.NO. CONSTRUCTION PERMIT - M 9Q 43 �S7/-;- Applicant's Meiling Address p 06 �' �'�/v �-y • �p TYPE OF CONSTRUCTION NEW U ADD ALTERATION REPAIR ' Project Address 2,014 ` I Q P/ 7 0 CONVERSION -❑ DEMOLIS p❑ ER Owner's Name 01' I 'r "� Phone 179"997 DESCRIPTION OF WORK f C aace ��yy ] �� 1�� a .f- f ZONING REGULATIONS Address �-/�) kir 1-1-1 �/ ke 5,4"et b-q �-H. �J J TYPE OF PERMIT Li GRADING ❑ FOUNDATION U STRUCTURAL A.P.sb ZONE Arch/Eng. License No. 0 TENANT 0 ELECTRICAL 0 PLUMBING 1.111 MECHANICAL PLNG.REF.gb BUILDING - CFTgACr(Mr CT Address, e_ ❑.•OTHER ' TO BUILDING REAR YARD(TO P/L) I Jt PROPERTY LINE • Contractor's Nam- "� 'L — O One y�1/'/-/(O1�� PROJECT DESCRIPTION SQ.FT. OCCUPAN Y Address(mailing) 5.a6: W- le, / ir .Y tet-' 7�/Lam CONSTRUCTION TYPE VALUATION$ / LEFT SIDE YARD RIGHT SIDE YARD License No. /)/S--3627 ZONE GRADING CU.YDS. ACRFS PKG.SPACE REQ. PROVIDED • . LICENSED CONTRACTOR DECLARATION Remarks: - /5-75/ STREET WIDTH PARK FEE S • I hereby affirm that I am licensed under provisions of Charter 9(commencing with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: • my license Is in fu fQrce,..and effect. .�/�/y�//• - - Ucense Class License No. /T74 PLUMBING ' Date - /OSignature _Bar Sink — Sewer Cap ELECTRICAL WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure ora certificateAutomatic Washer Meter Clover 100 amps of Workers' Compensation Insurance, or a certifie coDY that f (Section Backflow Preventer Sewer Connection - 3800, Lab. . Construction Pole Sub Panel r hh 4�' � r Backflow Irrigation Solar_Collectors_ _ _ Policy No, V Company ; Cooking Unit Sub Pole • EXCertified opy is hereby furnished. Bathtubs • Solar Piping Cortin d co y ed with the city `d� inyg�lDivis n. ,Qy1 a Dishwasher Motors 00.1 HP ❑135-8 Data Applicant ."twCX/a- /•I /li . Clarifiers Solar Tank • EMPTIO-N----��ROM WORKERS'COMPENSATIO DECLARATION ,) Dryers ❑Gas• ❑Electric Ina Soler 09-15 HP ❑16-15+ need not be completed if thepermit is for one hundredDishwasher Swimming POO(w/Spa (Thissectionp ($100)oris less). I certify that in the performance of the work for which this permit Is issued I ' Drinking Fountains Urinal 'Fan Microwave shall not employ any person in any manner so as to become subject to the - F.A.U. Pole Light Workers' Compensation'Laws of California., • Floor Drains %y' Water Closet • Date Signature Fixtures Ran e NOTICE:If,after-making this declaration,you should become subject to the - Floor Sinks - _ - Water Heater - - g . - - - • Workers'. Compensation provisions of the Labor Code, you must forthwith - Device Boxes ' comply with' such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Service Sign CONSTRUCTION LENDING AGENCY ' Outl • ets I hereby affirm that there is a ponstruction lending agency for the performance Interceptors , Standing Sections ' of the work for which ermit-is issued .(Section 3087 Civ. C.) - . Lender's Name - Kitchen Sink Switches Trash Compactor Landers. Address' - • - - - Lavatories - Garbage Disposal OWNER BUILDER DECLARATION - ' - I herebyaffirm that I am exempt from the'Contractor's License Law for the P-TripGenerator 00-5 KW 05-15 KW following reason (Section 7031.5 Business and Professional Code: Any city or . _ county which requires a permit-to construct,alter,improve;demolish or repair - Transformer 015-50 KW any structure,prior to its Issuance„also requires the applicant-for such permit• ; ' Roof Drains - to file a signed statement-that he/she is licensed pursuant to the provisions of- 050+KW' Reinspection Foe • the Contractor's Ucense Law(Chapter 9(commencing'with'Section 7000)of -- -. $15 - Division,3 of the Business and Professions Code)”or that he/she is.exempt • Showers - Reinspection Fee $15 . therefrom and the'basis for the alleged exemption,-Any violation"of Section - Meter ❑up to 100 amps ' Issue Fee' $ 3 , 7031.5 by'any applicant for.a.permit subjects the applicant to a.civil • penalty of not more than five hundred dollars($500). " , • Service Sink • • - ' Issue Fee - $ 3Zoning Approved By- Date ' U I,-as owner of the(property Pr my employees with wages as their sole ' compensation willldo the work,and the-structure is not Intended or offered - . . MECHANICAL - - Application Approved By nate for sale (Sec/ion 7044, Business'and l Professional,Code: The:Contractor's • • t//,{s��]� Ucense Law does not apply to-an owner of a property who builds or improves Boiler I Refrigeration System Application hued ' 5r ' Date lo -�2—P5 - thereon,'and who does such work.himself/herself or through his or her own - PP By employees, provided that such Improvements are not intended or offered for Dutt-Under'Grou nd ❑0-100,000 BTU ❑100,000 BTU sale. If, however, the building or improvement is sold within one year.of com- ' i SUMMARY OF FEES pletion,the owner will have the burden of proving he/she did not build or im- : CoDrove for the purpose of sale). 1 • ' Duct-Structural System Repair/Alteietion • BUILDING PERMIT $ • - . SMIP $ I, as owner of the property,am exclusively contracting with licensed con- tractors to construct.the,project(Section 7044,Business and Professions Code:..' . Duct:Ventilating - - - PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who - - • 1 ISSUANCE $ • builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑' PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). GRADING $ i 0 lam exempt under Section B.&P.C.for this reason , Firepl/Fact,Blt. ICBG# • - PLAN CHECK $ I 1 $ i i ! • HeatingSystem& Ducting - • ELECTRICAL $ ' Date Owner It1 Y ) , , , ' MICROFILM $ I I hereby certify that lIhave-reacomplapplication and-state-that-the above I610.100,000BTU❑100,000 BTL• -- - - 'PLAN CHECK $ • ' information is correct. I agree to comply with all city and county ordinances •Ai 00 ' TOTAL FEE' $ , , and state laws relating to building construction,and hereby authorize repro- Hood or Type I 0 MECHANICAL $ ie taction of city-to enter-upon the above-mentioned property for Type H 0 Reinspection Fee• $15 pLAN CHECK $ ,'d LESS 1 • ', ¢� CanopyADVANCED PC . $ • Signature tr /_ / I Registers I i Issue Fee $ 3 i FINAL FEE• , $ 1 CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor 0 q CONSTRUCTION-ANDiPLANNING a p `" r 1 ti Ltt " -t+ ;,�; 1 : POOL'&SPA - -- -- - _ J ' - -`Date 7 ' Inspector : - • - '` - r `APPROVALS C Permit:# y1l�D'I 3 - - APPROVALS Permit-4 '' - Date • Inspector r jZ Temporary•Electrical Service orzPole r ,52:: Pool & Equipment Location - - . - ' N 2i Sbil Pipe-UndrgrndS _t'_ I c-; ry 1 :. l -, 53: Steel Reinforcement - ' _ p 3; Electrical Conduit Utility Undrgrnd: ; - - :It. Forms L. - , : I s ' , R 4: Electrical Conduit-Undrgrnd(_ ; ' n' II" i &t. ` ,, .:55.� Electrical Bonding - ' - - ' - 5: Steel Reinforcement ' 1 :; '1 I I - - - c' 56 Rough Plumbing& Pressure Test _ - `' 6: IElectrical LIFER Grnd.. i i ;-' n' ' r- 57d' APPROVAL TO COVER-GUNITE - , 7. Footings 1 i 1 1 I I ; : „ I t - G ' r 58., Electrical Conduit-Undrgrnd.-' t 8. Foundation 1 ' ,• I• 1 °. .-5 ''59. Gas Pipe,r0 Undrgrnd,Test _ ' • 9. Water PipeUndrgrnd. 1 ' c, ' I • 60. Backwash Lines,P-Trap, 0 Undrgrnd. - • 10. Structural Floor System -ff `:: , rr r;; ,.61. APPROVAL.TO DECK - _ - -I 11. Property Sewer Line"'& House°Connection p c'r • 62. Backwash& Receptor-Final - 12. Sewer Cap ' 1 I ?' ; 1 • o= "- i 63. Heater&-Vent-Final ' . • 13. Roof Drains 1 1 I 1 - `. - , 64. Plumbing System - Final . - - ' 0. 14. Rough Plumbing 1 ! _ •1 ' 55. Electrical=Finan - • • o o 151' tRdugh Ele trical=Conduit-�T"-,1"'11 -T---1---7 r •. '"86. SolarlSystem-Final 1 •r16. Rough.Elec'tric1Wiring. , i. c 1 II i - 1; - TT: - -- - - - - • . - F ,•I, , _ .., I 67.' Fencing & Access Approval.. - _ ts x„1,7. -Rough_Wirl'ng.Sign`, I " 1 !! ;i 1 :FM q 11 _ 168.; APPROVED FOR PLASTERING ' • I . 18. Rough Electrical T1Bar,Ceiling, v 11 I ' I-- I % 1 '- 1 • 69. POOL/SPA SYSTEMS FINAL - 1 '- 19. IRough Heating&;Air Con•ditioning • 1 I fi I oe I , RAE DEPT,'REQUIREMENT, - 20. ;Rough Factory Fireplace i 1i i1 I ( _ I APPROVALS! Permit# ! - a- I , 2'Ducts;,in Structure, ;1 I I I 11 1, 1 i 1 ; I I 1 1 ,70.1 Underground Hydro ,, • ' �a22. Ducts, Venyilating _ , .- 1 �l 11 � 1 1 1 1 1 71: Product Piping 0 Gas 0 Oil i . k;23. ;Gas.Pi'pe-Rough &Test c i , �{c' ii ,' I I 1 1 1 I 1 72.1 Underground Flush 1 •• 1-24. ,Roof Framing; I I • L _, 1,P;1;c .1 7 '•' i 1 •' '14 i-1 • '72., Undergrdd.Storage:lank;0 Gas.0 Oil, • , : 25. ;Roof Sheatt:164 1 1 i , ,1;� - I I., l c ! .. i `- I 1 ,I 74.1 Overhead Hydro ,. ' , , ry 26. 0--Bar Ceiling (Structural),& Monocoat' I I = 1 -"t. 1 I .•1 175.1 Dry Chemical . . ,, - • - m j..27. 1' rame and Flashings 5 ' I� /,1 I ;i ' I , ' , + ' ! 176. Dry Standpipe 1 - , 1 1 1 1 1 it, : 11 28. 1fLathing &Siding 1 : ;� 1 �, 1 i1 1 1 • i 177.E FIXED SYSTEM FINAL 29_IInsulaton z ( ° `" I 1 r I I ! 1 ;781 FIRE PREV. FINAL a la rr30. t iyWall Nailing 1 1 :1.1'11 1f ,i 1 ' 1 I 1 1 Notes: 1_ 1 - ' �'31. Plaster Brown Coat •• : ! I 'I II , I I ; .I , I ' I ' n ,r32. Electrical Power MeterkF;nal 1 1 II, -I ' I I i _I _ y 33.�Final Electric L..1_`- -I i 1 , j I 1 1 ' - - 34. Final Heating &:Air Conditioning /�2/ i •• ; .wI I: 1. 21c lr. , - , 35. Final GasiPipe=resp ` I ' 1 : d 1,. • - i - - • ,i I ,F ^.._ Ili . H: 1;5. . 1 36. Hood or Canopy? 1r -$ - 37. Final factory Fireplace� 1 r ell II 1 :4 ' 1 i I 1• t 38. Final Plumbing I I 31 ,' i ,. 39. Water Service-Filnall 1 .. ! -'l 1 1 1 i 1 . 1 1 I , ' 40. Gas Service-Final 1 1 ' 1 ' 11 1 1 1- • , 41. Solar Domestic-Final I t I 1, ,_�__ _.____ - ._L ;. I- _ ��, - - . 6811 I 1 . 42. Backflow,Preventgr r ; i ! ! hr ! 1 _ _ ' 43. Backflow:lr • rigationl -1.-- ( '''-_ ' 1 _y 1 01 '_ 9.' . ; ;111.:,1 ,' 1 , Br,I ' rjI • 1 2{ c , _ I ,1 44. Lands”pe Irrigation.System I L_ '.: i - • - 45. Sound,Attenuation " I 1 rCI. I I i 1 't I I I- , _ i r _ 46. Handica`plReguletions 1 I •: 1 11 1::: 1 1 't., 1 - - 47. FINAL STRUCTURE & BUILDING . ' I I.I. I I �' . r. 1 I 1 1 / d I e - 1 I - , - - l 1 , , • 48. Special Requireme is Completedh i 1 �! 1 1 . . • ' ' • ' . it49. Electric Release to E 'Edison` 1 I . ;_ yam___; Ji_-,. .1HI___I _ J -. . 1 - • 50. Gas Release to South-leen California Gas Co I 1 I 1 iI I 1 I 1 I , : 51. CERTIFICATE1 1 1 D OF'OCCUPANCY r. J_ _Li; - _.i.._.-L.. ..- _ -« . •- .. ' • 1. ' l l 1 i { 1 No 11 ate -1 -- - -I ----�- - - - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. I.CITY OF COSTA MESA - Ir PERMIT NO. , t TRACT NO. ' LOT NO. BLDG.NO. Al - •_ - 990 ' I I/ I _/':_ 'I e. , •T. CONSTRUCTION PERMIT �L A-I = gs-3'r,� • ` 1 Applicant's Mailin! Addr-- w ' a • 4 - 'A- f/'' ' ' "TYPE OF CONSTRUCTION' ' NEW U ADD U ALTERATION U REPAIR ' . , ' •- -s Project Address IS a�� .' 1 • - 0 CONVERSION ❑ DEMOLIS 2 o•p g•R- _ - - Owner's Name .ADS-2—/W.&'` L•�• - Phone DESCRIPTION OF WORK -y�� U// , • I ZONING REGULATIONS' - • - Address ' - - `TYPE OF PERMIT •• U GRADING UFIOUNDAT N USTRUCTURAL - A.Pt# • ZONE • - I ' Arch/Eng, - License Ne, ❑ TENANT ❑ ELECTRICAL• U,PLUMBING MECHANICAL PLNG.REF.a 1. •BUILDING Address I // I ' J UOTHER TO BUILDING . ccrgerr rn cr Contractor's Name L..G 1at P r4 ' eta-- Phon439/ti 4 ' PROJECT DESCRIPTION SQ. FT.' OCCUPANCY PROPERTY LINE .REAR YARD (TO P/U. • - - _ • - - LEFT SIDE YARD :- RIGHT•SIDE YARD - I Address /.•1/ . • J f tea-__ . CONSTRUCTION TYPF VALUATION$ •� '6/. , I ZONE I GRADING CV.YDS.' • ACRES PKG.SPACE REQ. PROVIOEO .. . License No. to - - - LICENSED CONTRACTOR DECLARATION Remarks: I ' - STREET WIDTH PARK FEE'S - , I hereby affirm that 1 am licensed under provisions of Charter•9 (commenting `� -' with section 7000) of Division 3 of the Business and Professions Code,and ' •�r7$_ • SPECIAL CONDITIONS: - my license,is In f I f.rce and effect. ' . •Th / ' ' License CI.ss _ F_a A e - No.' �s.(�?v ! PLUMBING •' Date ••--' Lit Signature Ii -. '• - ' WORK RS COMPENSATION DE • R• ION / Bar Sink Sewer Cep , ELECTRICAL I • I hereby affirm that I have a dertlficate of consent to self-Insure or a certificate • _ •. BeckfloW Preventer - Sewer Connection' _ . ' - Automatic Washer • ' ,Meter Clover 100 amps• • : • , of Workers' Compensation Insurance, or a certified copy thereof (Section - - ' - - ' - - . - - Construction Pole Sub Panel' 3800, Lab. C. s� . Backflow Irrigation Solar Collectors I cy No.V�7 K/ rn Company Cooking Unit Sub Pole , I ertiflad<opY is hereby furnished. I Bathtubs Solar Piping - Certified copy s Rled with the Gt1(Bye I Iv 1 I Dishwasher " Motors ❑0-1 HP ❑1 X-B at i,e ,��C• ' Applicant `7 Clarifiers • Solar Tank 1 • -EXEMPTION'FROM WORKERS'COM NSA ION DECLA ATION - -- - -' - - Dryers ❑Gas •❑Electric ' - - - • Inc.Solar. HP ❑16-15+ •- ' (This section need not be completed If t permit is for one h ndred($100)or Dishwasher- I Siwmming Pool wlSpa "' i less). , : ' Fan 'Microwave .` I cetify that In the performance of the work for which this permit is Issued I Drinking Fountains 7 Urinal , , ' shall not employ any person in any manner so as to become subject.to the ' - - - , F.A,U. , ,Pole Light i • ' ' Workers',Compensation,Laws of California., , - , Floor Drains ,1 I . Water Closet' I , Data Signature t - , NOTICE:If,after making this declaration,you should become subject to the .. _. -„ Floor Sinks ... _„. Water Heater, Fixtures Range Workers" Compensation provisions of'the Labor Code, you must forthwith - - •"` - -- • Device Boxes Sign •.comply 'with such 'provisions dor .this- permitshall be ,deemed revoked.- • - Gas Service( Outlets -WaterService - I- • g : ' CONSTRUCTION LENDING 'AGENCY': - ' " - Outlets ' • I hereby affirm that there is a.construction lending agency for the;performance ' ' Interceptors : __ _ J Standing Sections • • of the work 'for which:this permit 'is.Issued",(Section 23097. Civ. C.)' - - Switches i " . •- I .Trash Compactor , Lender's Name'• , , - ' - ' Kitchen.Sink! - - Lender's Address• ' ' _ Lavatories - • I Garbage Disposal 1 ' • l OWNER BUILDER DECLARATION • i • ` • I hereby:affirm that I am.exempt,from the,Contractor's License Law for the' - Generator 00-5 KW 05-15 KW • 1 i following reason-(Section•7031.5 Business and Professional-Code: Any city or • P-Trap: ;,- ., j I - county which requires a permit to construct,alter improve,demolish or•repair - r - r , - • Transformer ❑15-50 KW ' • ' any structure, prior to itsdssuance„also requires the:applicant for such permit' ; Roof Draini , - r . to file a signed statement-that he/she is licensed pursuant to the'provisions of ' - - I _ - - 05U+KW I Reinspection Fee $15' ' the Contractor's•Ucense Law(Chapter 9(commencing.with Section 7000)of • - • ' - Rein coon.Fee • $15 ' : Division 3.of the,Business and,Professions Code) or;that he/she ls'exempt • - Showers . ' - spa Meter ❑u t01008m s therefrom and the basis for the alleged exemption. Any;violation of'Section ' , ' . - , ' ` P p Issue Fee' . ••$ 3 • • 7031:5 by any applicant for a'permit-subjects.the applicant to a,civil - -- - - — - �anaIty of not more than five hundred dollars($590). . , 1 Service Sink; ' , Issue Fee • $ 3 Zoning Approved By - 1 - Date ' LU I, as'owner of the property or-my employees with wages as their sole , - ; compensation will'do the work,and the structure Is not intended or offered , -- MECHANICAL - Application Approved By I 'Date for sale l(Secfion 7044', Business.and,Professional Code: The:Contractor's ' • License Law does not apply to:an owner of a property who builds or improves goiter' ' 1 - I Refrigeration System Application Issued By I Or�/ ' Date /1•�9/A employees, thereon,•and who'does such work himself/herself or through his or her own ❑4100,000 BTU ❑100,000 BTU' empl0 ees, provided that such Improvements is sol t Intended or offered for . I ' y Duct-,Under Ground , i sale. If, however,the building or improvement is sold within one year,of com- ' , SUMMARY OF FEES ' elation, the owner will have the burden of proving he/she did not build or im • - rovefor the purpose of,sale). 'I ! I I Duct-Structural j System Repair/Alteration • BUILDING PERMIT $ ' SMTP $ ' • LJ I,as owner of the property,am exclusively contractln9:with'llcenied cors- ' • . tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ( ' _PLAN CHECK $ PERMIT The•Contractor's License-Law does-not apply to an-owner of property who , - ' 'PLUMBING $ j ISSUANCE $ ' builds or Improves thereon, and who contracts for such projects with a con- ' Exhaust System 0 Multiple 0 - ' tractor(s) license pursuant to the Contractor's License Law)! i . • GRADING $ ' • 0• I'am exempt under Section B.& P.C.for this reason •. / Firepl/Fact.Bit. ICBG 2!(O`: I L/�� PLAN CHECK $ - rj ;ELECTRICAL' $ I $ Date • Owner' - ' Heating System&Ducting ' l ' PLAN CHECK' $ MICROFILM , $ I hereby, certify that I have read this application and state,that the above ❑0-..100,000 BTU 0100,000 BTL __ �/ information Is correct. I agree to comply with all city and county ordinances ' ' I - - r/ OD ' TOTAL'FEE I $ . and state laws relating lob Udine construction,and hereby authorize repro- Hood or T e I ❑. - - :MECHANICAL • $ / • sentatives of th cl tq ?enter.u•on the above-mentioned pro arty for Ty-pe • Reinspection Fee' $15 •PLAN CHECK $ DD t LESS • inspection pure -s. V I Canopy Type II D. - , �' ADVANCED PC $ • Signature 'mfr . �_ �►.✓ Dale/G / i • Drivers' Ucen . or SS - I Registers I - issue Fee • $ 3 FINAL FEE '• $ gneot 'CMF 0865-46 rev.12/82' White:Building;Canary-Applicant;Pink-'Accounting;Goldenrod-Assessor - ' ' ' - ' ' • ' ' - ' -- -- - ' - -- - - - - -- - - -- - -- - - - - -. - - 3 2 CONSTRUCTION AND PLANNING r• b ^ ; 'C' - - ,'POOL_&SPA - - - - ' ..Date- :Inspector.- - - Date Inspector• aAPPROVALS;, .Per'mit# - _ APPROVALS- Permit# ' 't..;Temporary Electrical Ser`vice,or Pole.' ..4":° ' ` ` : • "52: Pool &.Equipment Location • . • ---- . v 42.I Soil Pipe-Undrgrnd. _a I -: '- 53 Steel-Reinforcement- - - - - c (3.;Electrical Conduit Utility-Undrgrnd, = "54.'Forms - - - t4.lElectrical Conduit-Undrgrnd.: - • ` r- ` -. - 55 Electrical Bonding - ., •.. , t5. Steel Reinforcenent ' '1 ^ r= ' ' 56- -Rough'Plumbing& Pressure Test •, • f6..,Electrical LIFER Grndi o ;r „ ..57::APPROVAL:TO COVER-GUNITE; - 7.;Footings 1 • ,;. I :c - h n, - 58. .Electrical Conduit-Undrarnd.- , ' 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 DEC , - 11. Property Sewer Line & House Connection • 62 Backwash-& Receptor-Final - 12. Sewer Cap, I - 63. Heater &.Vent-Final 13.1 Roof Drains • ;.• • _g ' ' - . 64.`Plumbing System -.Final ' - , i. 14.E Rough Plumbing 7 i - - ' 65.-Electrical-Final -15`'Roogh Electrical=Conduit` -1 -,--- '' 4 r _r T. . 66. Solar System-Final ' ' ---- -_. - - -'16."Rough Electric Wiring • ; - I Il Ii Si ' -I',, ,- ' '- 1-67 Fencing,&Access Approval r , - ' -- - 17,,'Rough Wiring.SignP ' - 1 ' r ' ! . I - ! - I, 68. APPROVED FOR PLASTERING ' • 18.E , „Rough Electrical-T-Bar Ceiling 1 ' - 69. •POOUSPA SYSTEMS FINAL v 19. Rough Heating& Air Conditioning i F •• ! FIRE DEPT. REQUIREMENT • - 20. Rough Factory Fireplace , I '' APPROVALS Permit# 21: Ducts, in Structure ; I • ' , 1 ,70. Underground Hydro 22.`Ducts• ; Ventilating. r ' l I I ; , 71. ProductPiping El Gas 0Oil - -23."Gas.Pipe-Rough&Test I liv" ,1 i 1 t '72. Underground Flush 24. Roof Framing1;>- '' I0 , ( • .•, , , r - •m•: '� ?, ; 73. Undergrnd:Storage Tank�O Gas ❑Oil 25.'Roof Sheathing 1 I lilt; ,• ' ' ; ; I 1 ' • , 74, Overhead Hydro _ - ,26, T-Bar,Ceiling (Structurally& Monocoat I , : I - , 75. Dry Chemical - ' .27. Frame,and Flashing - } j II I. i 76. Dry Standpipe' , 28' & , Lathing Siding ? -. 1 i l i , '1 ' 77, FIXED'SYSTEM FINAL - _ 29:; Insulation, , c '. : i '� I I ' ' 78. FIRE PREY. FINAL . , ';30l Drywall Nailing • ' . i It I i , 4 Notes: ' I' . 31.•Plaster Brown Coat : 1 t : ' i- ' i 1 i , -� - ' -- - - - •• 32. Electrical Power Meter-Final i li i 1 _33:.Final Electric - ' , i ,L 4 ' '. , , • 34. Final..Heating:& Air Conditioning II 1, I , ' - ' :' s, 35. Final.Gas Pipe-,TestI : 5: , ti _ - - • 36- Hood or. Canopy_ t; H I �i _ - • - - 37. FinaltFactory Fireplace 1 : li , Wiz(`'' LEO - - - 38. Final,Plumbing :' 1 1 31 I • 39. Water Service- inal 1 ' 40. Gas Service:Final ' i , i •I , 41. Solarpomestic-Final i• - - - 42. Backflow Preventer . i • I I led- - I _-f -i 1 -1 • - . - 43. Backflow Irrigation i 1 , ' 44, Landscape Irrigation System ;z) - ' 45. SoundcAttentiation. !. ' I: - • , •46. Handicap Regu�lationsl ^ ' '- I • • 47, FINAL STRUCTURE& BUILDING: j ;- I ' i , 48. Special Requirements1Completed 49. Electric'Releaseto Edison It 1._ . _ _ _ _ _. -- 50. Gas Release to Southern California Gas Co ' : ! 1 ' 51. CERTIFICATE OF OCCUPANCY J j. _ " ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA: • •- -• - - PERMIT'NO. TRACT NO. LOT NO. BLDG. NO. - .. . ._. .. . . - - CONSTRUCTION PERMIT • : • • /� z�/ , I ,. • -• 7. �j`' '. . . . 97_9 Il:/C�/ ,.. Project Address •�0'( �I - II ,vim TYPE OF CONSTRUCTION .ACf NEw U ADD U ALTERATION U REPAIR I ,' a I• ' Applicant's Mailing (�4`(d�dres(s� ^ -- _ �l• Ia.�.. ❑ CONVERSION -❑ DEMOLISH ❑ OTHER A,p # .Zone Owner's'Name -' - `�� N1 Phone' DESCRIPTION OF WORK S Main Building:' - • Accessory Building:- - Z E .. 0 Address, - • TYPE OF PERMITS y❑ GRADING U FOUNDATION ❑ STRUCTURAL T Froriti . - N • Arch/Eng. License No.. ❑ TENANT .CJ ELECTRICAL ❑ PLUMBING' ❑ MECHANICAL - B Rear' c. - I Address - /��t�/-1 ' ❑ OTHER " . - A N Contractor's Nam"- ami...-.. A1- .. ' .- A•conA , -'(!'I2-, PROJECT DESCRIPTION SQ. FT. - .00CUPANCY C Right - - - G Address(mailing) \ ,*'.'�I`/ a� J CON ST RUCTION TYPE VALUATION$ $ Left - E E City License No. • ZONE • GRADING CU.YDS. ACRES - Ring. Ref. # Park.Fees $ U LICENSED CONTRACTOR DECLARATION Remarks: • Parking Req./Provided . I 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing ��j , / R • with section 7000) of Division 3 of the Business and Professions Code, and US J�/4/ Use of Building: E my license is in full f• - and off- OOOCCC�JJJ/ / /// License as - ' — l License N•- r49l/Y PLUMBING FEES Planning Notes: I M Date ' r/.0 signature �� '�'Yr�!"s E Bar Sink Showers N WORKERS'COMPENSATION DECLARATION T I hereby affirm that I have a certificate of consent to self-insure or -rtificate Backflow Preventer Service Sink S ' of Workers' Compen . ion Insurance, or a cer 'ed opy t ereof (Se tion - - • —• 3800, Lab. •. •• (7^(� Backflow Irrigation Sewer Cap - ELECTRICAL FEES , Policy N•. 7 • •o �+ Compan ea:._ _ Cer ' led copy is hereby furnished. w-k ' Bathtubs • Sewer Connection f. Automatic Washer Transformer ❑ 15-50 KW / e rti1 ipd cqp with thea -- Id-ng Div-is_ion.t� - ?rig ' © 50+KW Date / 1 f-I' ")Applicant a-=-L'Jvr�.j`� r• Clarifiers Solar Collectors7c . 'i-_ Construction Pole Sub. ,• � EXEMPTION FROM WORKERS'COMPENSATION DECLARAT 0t Dishwasher ' ' Solar Piping - "Liu to 100 ampi •` -- (This section need not be completed if the permit is for one hundres `-100) or P 9 Cooking Unit -/ -Meter p p S less) I certify'that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank • E. • / Dishwasher Meter Dover 100 amps / • shall not employ any person In any manner so as to become subject to the ; Workers'.Compensation Laws of California. Floor Drains' Swimming Pool w/Spa ' 1 / Dryers ❑Gasctric / Sub Panel /Q - Date Signature ' — — NOTICE:If,'after making this declaration,you should become subject to the • Floor Sinks ' Urinal Fan . Motors 00-1 HP O1'/z-8 / Workers' Compensation provisions of the -Labor Code, you must forthwith - - - comply with such provisions or,this permit shall be deemed revoked. Gas Service Otltlets Water Closet CONSTRUCTION LENDING AGENCY - - - F.A.U. • Inc.Solar 09-15 HP 016-15+ I hereby affirm that there is a construction lending agency for the performance ' Interceptors . Water Heater n Fixtures / •Microwave 3 - of the work .for which this permit is issued (Section, 3097 Civ. 'C.). Lender's Name - Kitchen Sink Water Service -- - Device Boxes Pole Light • Lender's Address Lavatories OWNER BUILDER DECLARATION ' i - Outlets / Range 9 3 I hereby affirm that I am exempt from the Contractor's License Law for the _ following reason (Section 7031.5 Business and Professional Code:.Any city or P-Trap . - - /b 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'Dtains , / Garbage Disposal Standing Sections , -to file a signed statement that he/she is licensed pursuant totheprovisions of the Contractor's License Law (Chapter 9(commencing with.Section 7000) of • • - Generator ❑Q5 KW❑5-15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she-is exempt P therefrom and the basis for the alleged exemption. Any violationofSection • - 7031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee $25 - Issue Fee $ 3 penalty of not more than five hundred dollars($500). - LJ I, as owner of the property or my employees with. wages as their sole MECHANICAL • Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered 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 ■ , thereon, and who does such work himself/herself or through his or her own nIIII II- II ■ Zoning Approved By Date employees, provided that such improvements are not Intended or offered for • Canopy sale. If, however, the building or improvement is sold within one year of com- Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- it / prove for the purpose of sale). • Application Issued By AU �/r DeteLJ I, as owner of the property, am exclusively contracting with licensed con- ■s ,r s•ss s III ■ s s r stractors to construct the project (Section 7044,Business antl Professions Cotle: SUMMARY OF FEES The Contractor's License Law does_not apply to an owner of property who. BUILDING PERMITbuilds or improves thereon, and who contracts for such projects with a con- $ SMTP $ tractor(s) license pursuant to the Contractor's License Law)! I I 0 1am exempt under Section B. & P.C.for this reason PLAN CHECK $ PERMITPLUMBING $ • ISSUANCE $ Date • Owner •PLAN CHECK $ ENERGY P.C. , $ I hereby certify that I have read this application and state that the aboveIj .Itr 00-100,000 E:1100,000 s information is-correct. I agree to comply with all city and county ordinances - : 3 ELECTRICAL $ 7.4 o GRADING $ and state laws relating to building construction, and hereby authorize repre-s• • PLAN CHECK $ 1 7, MICROFILM $ - sentatives •f this city to enter u•on the a� v: mentioned p open •r q � inspection p .• -_ , ._, ( wow '•S MECHANICAL ' • $ TOTAL FEE $ .s-Sr O-t/ Signature -. � Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $• N, CMF 0865-46 rev. 7/83 -White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' . - - . _ ' ' ,CONSTRUCTION AND PLANNING - POOL & SPA • _:'APPROVALS Permit#'E 1444 Date Inspector APPROVALS Permit# Date Inspector 9, Temporary Electrical-Service or Pole - 52.. Pool & Equipment Location iL '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. APPROVALTO COVER-GUNITE . 71° Footings - 58. Electrical Conduit-Undrgrnd. - 8: Foundation 59.'Gas Pipe, O.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 1,8. 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 1 . ' 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-FinalQ�f 80. FOOD CERTIFICATE ISSUED 33. Final Electric 3(-(/�,�" � �- Notes: ' 34. Final Heating &(Air Conditioning. ' 35. Final Gas Pipe-Test ' 36. Hood or Canopy . - 37. Final Factory Fireplace • � , l 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 - 1 49. Electric Release to Edison ( - - - - - - - , 50. Gas Release to'Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - . . . _. - _ -. No. - Date' - j