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1214 LAS ARENAS WAY - Building Permits
I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITX OF COSTA MESA/ CONSTR CTION PERMIT • PERflT NO. TRACT NO. LOT NO. UNIT NO. Project Address 4all� L S 44 Aga s s F 35/3( 3 ry/ Applicant's Mailing Address ' 3 !i ��i L I TYPE OF CONSTRUCTION H NEW ❑ ADD U ALTERATION L� REPAIR ��d /3�_ i�6 ❑ CONVERSION ❑ DEMOLISH_ ❑ OTHER . . A.P.# Zone Owner's Name . /�� Phone G DESCRIPTION OF WORK/USE OF BLOC. Address �t'1A/"L�l'.� /'S/-1�Ot'19 S Main Building: Accessory Building: TYPE OF PERMIT ❑ GRADING I�I FOUNDATION ElSTRUCTURAL E Front Z Arch/Eng. License No. T O ❑ Address TENANT ❑ P ❑ ELECTRICAL LUMBING MECHANICAL A Rear N II O- 940 '/ ❑ OTHER Contractor's Nam 4 /� Ai �' Phone -/ C Right N QQQ ///��/ /- yy( PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) se Jl _y, / fro ite, ' / / CONSTRUCTION TYPE VALUATION$ S Left K G City License No. S. Ty, ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E iteQ I hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Mwith section 7000) of Division 3 of the Business and Professions Code, and R �(]CQ my license is in full fo e •• effect — - • a_ S RECEIVtU JUN O 70U T Licen Se Cl. S er - No __� • Date ' I- 4 Signature 4�ni G . PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers �• I hereby affirm that have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW \ 3800, Lab.St)... //�� o �,/� ❑ 50+KW Policy No. copy Q3`/ �p Company C7 / r-✓L� Backflow Irrigation Sewer Cap Construction Pole Sub. ,Certified copy is hereby furnished. Da C..//j2.1d//4RP is filed with tic city =„(';•i u' si, . , Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps • Date. cant EXEMPTION FROM WORKERS'CO PENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps (This section need not be completed if the permit is for one hundred ($100)or - - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel ' I certify that in the performance of the work for which this permit is issued, I . shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank _ Fan Motors ❑0-1 HP ❑1%-8 Workers' Compensation Laws of California. - _— Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 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 Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY ",' Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the peformance Device Boxes Pole Light of the work for which this permit is issued (Section 30975 Civ. C.) Interceptors / Water Heater ,9s .' Outlets Range Lender's Name g 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 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 Laundry Trays Generator 00-5 KW 05.15 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 LIenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date orove the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved 8y Date prove for the purpose he property, f ope). ❑ t as owner construct t the por am t 7 44,Business rines contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - caL Dat hefors tactor uL the project Lw (Section 7044, tos inessend Professionsfproperty Code: The s Contractor's License Law does noteraapply to an owner je is hta who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- . _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ • proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& 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 DO-100,000 : 0100,000 GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ � sentatives of this city to enter upo the above-mentioned property for • inspection purp� p. �/J �/j / MECHANICAL $ TOTAL FEE $ Signature ! 7 (�' � 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor 01 UUUU6.114-011UU3a J.4 1 aL 8 'a.UU CONSTRUCTION AND'PLANNING . . POOL &SPA •APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector II. 1.'TemporarytElectrical.,Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .a 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVERLGUNITE 7. Footings (L- 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Plpte-Undrgrnd. 60. Backwash Lines, P-Trap, ©.'Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK L,! 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 OiGas 0 Oil 25. Roof Sheathing 74. Overhead Hydro j 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I 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 _t • 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • - 38. Final Plumbing 7/5-Ak La 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 ADDRESS OEBUILOINO: 1214 LAS ARENAS WY UMT' CITY OF COSTA MESA — BUILDING PERMIT DNNEWSNAME IF MOM: KIPP, LISA PERM NO: B 072011 ADORES& SAME PERMIT NO: B 072011 PLAN CHECK NO: N GOVT: N SUPP : N • APDL.MMUNG ADDRESS: CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: REP ARCHITECT OR ENVIES: BC.NO: JOB DESCRIPTION : REPAIR DRYROTT SQ FT; 2, 000 ARMOR END.'S ADDRESS: UNIT: CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC : R-3 / cONmACTWSRAME: MACK CONSTRUCTION ( 714 ) 568-7744 caancmwsmaPD 1357 FREMONT ST COMMENTS : REPAIR WATER DAMAGED JOISTS IN 1ST & 2ND FL DECKS ADDRESS: ANAHEIM CA uc.NO.: 659507 *+E+E**********44ac,Ex,F*****af-N***+ ****x**+r.SE********.N*** ********.>F*.,(.xx;r•s...,.44.x..1,*:.EN.SF+r-*N..K. 92804 WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly•.perjury that I am licensed under provisions d Chapter 9 SETBACKS (commencing with Section 7000)d Diosion 3 of the Business end Profess; s •• Ang.mv.DEense is in full force end effect. CTYLIC.NO: 05830 LI .CLAS B UC. 0 '659 07 EX' : 00 /00 MAIN BUILDING ACCESSORY BUILDING Si^2 L "�� 47 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Data' Contra'°`` �" � /i. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN lr OWNER BUILDER DECLARATION:I hereby affirm under penely d perjury that I am.'- pt from the COM/8MM license Law for the following reason(Sedmn7031.5Busims,and Professions Code:Anycy o county Mich requires a permit tocaatrud,aha.improve, PARKING REQ: PROV: PARCEL : 93633016 ZNE: REF NO: demolish.or repel any structure.pa to I s issuance,also requires the applicant for such permit to file a signed statement that M or she Q is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> .. - Business and Professions Code)or that he or she S exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031.5 by any applicant for a panni subjects the applicant to a civil penalty of not more than Ewe hundred dIan(55008. ******************************************************************x************ ❑ I.as owner of the property ormyempbyeeswith wages astheisole mmpensation,wNdothe wak.and tMstructure cmtimended DEVELOPMENT V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S or offered for sale(Section 7044,Business and Professions Cabor:The Contractors License Law does napply to en ower ci popery Q who bolds or improves thereon.end who does such work himself or herself or through his or her own endorses.Provided that such improvements are not intended oronsed for sale.If.however,the building or improvement a sold within one yeerd completion,the ZONING APPROVED BY owner-budder willburden d have the proving he or she did rid build or improve for the purpose of sale). DATE: • ❑ I.as owner d the property,am esdashely contracting with licensed contractors to condrud the project(Section 7044.Business and Professions Code:The Contractors License Law does it appy to en owlet of property who builds or improves thereon and who BUILDING APPROVED BY , DATE: contracts for such projects with a contractor(s)tensed pursuant to the Contractors License Law). ❑ lamexempt underSection: B.AP.C.,fothis reason: APPLICATION ISSUED BY : DATE:412A ( qir ****************************************** *******4-************* **********x Dau: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby candy that I err'aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and 25534.end that I or any Muni building occupant will/wal 919(circle one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for constructiono modifcationfomthe Ar ueSty anglement[Uric*.Residents onstnudion applcatio care exempt horn these _,_ prounion. PERMIT 45 , 00 _ . 50 Date: Applicant: PLAN SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under Penal of perjury one of the ktlowing deSeraions: ISSUE FEE ❑ Ihave and wilmaintain acertificate d consent toselinsure for workers'compenwion•asproidedfor by Section 3]OOdthe Labor BUILDING PERMIT ISSUE PLAN—CHECK TOTAL _ PAID DUE Code,to performance the pemance of the wok for wtich the permits issued. maintainQ. Ihave and will rk corkers' Code. TOTALS----> 45 . 50 0 . 00 0 . 00 45 . 50 45 , 50 , 00 work for whirr this permit S issued.My woken'compensation insurance carder and policy number are: care: REVENUE DIVISION TOTALS— > COLLECTED : 45 . 50 OVER/SHORT; . 00 Parry Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not bemrnpated I is pemA S for one hundred awes 007 or law) 45 . 00 . 50 ❑ I certify Mat in the performance d the work for with this permit ,I phe nol em•'•• any person in any manner so as lo becane subject to the workers'compensation laws o C • agrfs I ' ' ' -- -if subject * * * * *** *** i s to the workers' ** * *** *** ************************ ***************** ****** *********** in co'4-14—4 {m mats provisions dw �Snp/00 d the Labor code.I wam ntowith 2,/• -. subject• ,. INDIVIDUAL F E E B R E A K D O 4J N 5 Applicant 7 Dale::Waming:FORure to secure workers'compensation coverage is ualew/w.and shall t an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST __ TOTAL COST civil fines up to one hundred thousand dollars($/00000),In addition to thecost of compensation damages as provided for In Section 3106 of the Labor COW,Interest,and etmmsy'Slana. SFR 2000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 , 2, 000 , 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES • performance of the work for which this peri is issued(Section 3097.CH.C). . LENDER'S NAME: LENDER'S ADDRESS: I candy that I have read this application end stale that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize represenMivee of this city to enter upon the above-mentioned property for inspection purposes, r in 46 - PnmN 01 0018042$-00180426 TOT 45.50 � e t Date: —2/�l-i<" DATE: 04/24/95 TIME: 11:02 --J.)13 Sp ure Owner/AgenUAppkani/t Cedar �-'I (5151'6.WP) White-Buildig A Safety:Green-Rb:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Jnspector 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 • '• i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ 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 ft 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. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. 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. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 44'Z?-` (v4( 76. Dry Standpipe • 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing ( a.2-qc 4'k 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 -l. cee664 48. FINAL PLANNING [ v 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date