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HomeMy WebLinkAbout2284 LA PLAYA DR - Building Permits _TY OF COSTA ME_ _s 4rase. • CALIFORNIA 92828-1200 P.O. BOX 1200 t q,At q.�,.,, /t DEVELOPMENT SERVICES DEPARTMENT May 22, 1992 To: Building Safety Division . Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor _ State Board of Equalization Engineering Division (2) Street Division Fire Admin.-Training Officer U.S.-_Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added (in addition to 2280-2284 La Playa Drive South, there will be a 182 Albert Place address for the meter located on the property) : • 182 & 186 Albert P1. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert P1. "C" 2284 La Playa Dr. South 182 & 186 Albert P1. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerely, RICHARD WELMERS _ Planning Intern (ALBERTPLADD)11 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 77 FAIR DRIVE Building Division(714)754.5828 • Code Enforcement/Business license(714)754-5231 • Planning Division(714)7545245 FAX(714)55&7508 March 16, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin. -Training Officer U.S. Post Office - AIS Fire Prevention U. S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 182 & 186 Albert Pl. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerely RICHARD WELMERS Planning Intern (ALBERTPL.ADD) I1 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 23RD STREET 2297 2298 ccO 2295 2296 >- 2293a. 2294 Q J S 0 2284 N 2283 0 2282 >- -J a. 2281 2280 ALBERT PLACE 1 Li 4a- PROJECT ADDRESS: ;, a— UNIT: OWNER'S NAME: 182 ALBERT PL C CITY OF COSTA MESA - BUILDING PERMIT PERM Nn• rRA ncn4tc ADDRESS: JIM YOUNG 31 ARGONAUT • PERMIT NO: GRA 050416 PLAN CHECK NO: 06161-90 L GOVT: N SUPP: N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V-N PERMIT TYPE: GRA PURPOSE: NEW ARCH/ENGINEER: 837_.7008 REG.NO.: ADDRESS: TAYLOR ARCHITECTS C-8t4978 JOB DESCRIPTION : GRADING FOR 5 DWELLINGS SQ FT: 1670 SANTA ANA K PERMITTEE: cm CA 92626 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / ADDRESS: YOUNG RUSSELL DEV. INC. ( 714 ) 837-7008 31 ARGONAUT COMMENTS: 5 NEW SFD W/ COMMON DRIVEWAY LICENSED CONTRACTDILIEEb{$PTA OVItlu0ZQlfirm that I am licensed undtICLAisi912A5Ifier 9(commencing with section '***'x'N'i('Tt'if'K'%('#ibif'7F9E'3E'3t')F1F3E9('if'3FT('16jbiE'1M1*****T('%f'i('it'T('ltif'x'***yr'1f'af'T('af'1F3('Ifl('#%><'N'N'N'+!i!'i(1('3EiEiF#iE1E14ihi('TP'x'3E7('*** 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. Z ONING R EQUIREMENTS CITY LIC.: STATE LIC.: CLASS: SETH ACK S Date: signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent o selbinsure or a certificate of Workers' FRNT• FT IN REAR: FT IN FRNT• FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. • POLICY ND.: EXP.DATE: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN COMPANY: Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PARKING REQ• PROV: PARCEL: 42606416 Z NE: REF NO: PLANNING NOTES> Date: Applicant: > EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5100)Or less). ********************************************************************se********** I cenily that in the perloirnance of the work for which this permit is issued,I shall not employ any person in any manner so as to become DEVELOPMENT SERVICES R E Q U I R E M E N 'T S subject to the Workers'Compensation Laws of California. Date: Signature: ZONING APPROVED BY DATE: • NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code.you must fonhwlth comply with such provisions or this permit shall be deemed revoked. BUILDING APPROVED BY : t--) —v DATE: t/ L 5'90 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for / which this permit is issued(Section 3097,Civ.C). APPLICATION ISSUE) / aiiimmMMmUimirI DATE• LENDER: ***************** • -"' r ********IE****'iF*• *'iF'iFiF** ADDRESS: ************************k *X* ****************************************** LEGALIZATION:N F E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law far the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or BLDG PMT PLUMBING ' LECTR IC MECHANIC FIRE SMIP/RES GRADING repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 54 . 00 pursuant to the provisions of the Contractors'State 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 SMIP/NON-RES any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). PLAN 22 , 50 I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the ISSUE FEE 3 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL, PAID DUE does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through TOTALS----> 54 . 00 3 . 00 22 . 50 7 9 . 50 79 . 50 . 00 his or her own employees,provided that such improvements are not intended or offered for sale. If, however the building or 4 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve tor the purpose 0f sale). REVENUE DIVISION TOTALS--> COLLECTED: 57 . 00 OVER/SHORT• 00 Las owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon 57 , 00 X and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).I am aware that proof of their Worker's Compensation insurance should be provi'ed to me. ***.***.N.****************.**.*.*********.******************************************** ❑ lam exempt under Section: B.a P.C. I INDIVIDUAL F E E BREAKDOWN for this rea n'. b25533,and / TYPE QTY D E SCRIPTION UNITCOST TOTALCOST DaterOwner:IdoherebycenifythatIamawareofandunderstandtherequirementsof , orniaHealthandSafetyCoNO FEES WERE. SELECTED FOR THIS PERMIT 25534 and that I or any future building occupant will/will not(circle one) to comply with said state cments for a (��"AYA"�_. permit for construction or modification from the iITbQuality Manageme r trickResidential construction applications are exempt from these provisions. ' . . c Date: Applicant; Hereby certify that have read this application and state that th• above information is correct. agree to comply with all city and county I• ordinances and state laws r lasing to building construction and he••y authorize representatives of this /toenter upon theabove mentianed qq Q(� property for lnsr cum pi poses. �\ OEC L 7 199n Date'./Z7 a Signature:_le _ 111/-�/` r_� �__ Driver's License or Social Security N: • 1641.46 white—Building:Green—Cay . .ry—Applicant:Pink—Revenue:Goldenrod—Assessor CITY dr COSTA MESA CONSTRUCTION AND PLANNING ! PO. . SPA - ! APPROVALS Permit# - - _ Date Inspector APPROVALS Permit#" Date Inspector l 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location !i. y • 2. Soil Pipe-Undrgrnd. C./24/4t t4 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, O Undrgrnd.,Test •_ - 9. Water Pipe-Undrgrnd. gaQ` 609 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 l 12. Sewer Cap 63. Heater & Vent-Final . ' 13. Roof Drains 64. Plumbing System - Final I ! 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 i 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 OOil 23. Gas Pipe-Rough & Test • - • - 72. Underground Flush - 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Hoof Sheathing . rr (• . 74. Overhead H Ydro - - 26. T-Bar Ceiling (Structural) & Monocoat _ - 75. Dry Chemical f(s•`i 27. Frame and Flashing • _ 76. Dry Standpipe "? . o; i 28. Lathing&Siding - 77. FIXED SYSTEM FINAL ; ; - 29. Insulation I .,i l, 78. FIRE PREV. FINAL. _-; 30. Drywall Nailing - I ;'t: ; HEALTH DEPT. REQUIREMENT jy _ 31. Plaster Brown Coat - ,11 %li 79. FINAL INSPECTION - `r'> I CC 32. Electrical Power Meter-Final r . r. ,, .80. FOOD CERTIFICATE ISSUED 33. Final Electric 'al ,i14*I• ' Notes: 34. Final Heating & Air Conditioning. , '` (4--II' •(:: - . I r . 35. Final Gas Pipe-Test - ' Li ' • ' • 36. Hood or Canopy c t-• -. - 37. Final Factory Fireplace ', - • 38. Final Plumbing - - ^ 39. Water Service-Final - 40. Gas Service-Final I 41. Solar Domestic-Final I - 42. Backflow Preventer , I! - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation • ' - ' - - 46. Handicap Regulations - .r 47. FINAL STRUCTURE & BUILDING (r---j-ltt ‘U„ tF - - 48. FINAL PLANNING ..-. .,..-1 49. Electric Release to Edison . - 50. Gas Release to Southern California Gas Co - "Ns ' 51. CERTIFICATE OF OCCUPANCY , No. Date 2284 LA PLAYA DR S CITY OF COSTA MESA BUILDING PERMIT ��� ~ "` `!' ` ADDRESS a BUILDING: WIT: OWNER'S NAME IF KNOW BANKERS TR CO TR PERM NO: M 087718 los ss: %TEMPLE INLAND MTG CORP CALMCO TRUSTEE SERVICES PERMIT NO: M 087718 PLAN CHECK NO: N GOVT: N SUPP: N 301 CONGRESS AVE #200 AUSTIN,TX IS-R 78701 APPL.MAILING ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW ARCHITECT OR ENGINEER: DC.NO.: JOB DESCRIPTION : INSTALL NEW OUTDOOR A/C CONDENSING UNIT SQ FT : ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 / cCNmACTarsNAME UP IN THE AIR SERVICE ( 562) 947-0510 comnronsume11511 SANTA GERTRUDES AV COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ADORES&WHITTIER CA uclro_ 737478 ******+ *****+E+t****************+E*********HESE* ***************************+ ******* 90604 OMT: 27 ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby earn under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commenting with Section 7000)of Division 3 d the Business and Professions Code,and my Scene.is in hid bone and Sled. CRY uc.No.: uCLASS: C2p LIC.NO.: 737 78 EXP : MAIN BUILDING ACCESSORY BUILDING v (, p _I..% LEFT : FT IN REAR: FT IN FRNT: FT IN REAR: FT IN J Da.: 7 IS 1 convector: LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under Penal,d ,\that I am exempt from the Condom License Lew be the ldmw"g reason(Section 7031.5 Baines and Professions Code:Any c county which requires a pens to conatus,alter.improve. PARKING REQ: PROV: PARCEL: 42606416 ZNE: REF NO: Mdbrepo any or repany stnetue.prior to is issuance,also reclaims the applicant for such permitto file a signed statement cul he or she PLANNING NOTES> tcensed pursuant provisionsof (commencing to the the Contractors license Law[Chapter 9(conenci g with Section 7000)d Division 3 d the Arsine's and Professions Code]or That he or she it exempt Iherehom and the basis for the alleged exemption.My violation of Section > • 7031.5 by and applicant for a permit subjects the applicant to a chi penally of not more than five hundred dollars l$5DDll. ******************************************************************************* ❑ I,as Owner d1h.propenyormy.mployee.yeah wage,as Mei sole compensation,will do thework and the attucture is not imanded DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owns(of Property who bunds or improves thereon,and who does such work h'unsstl or herself or through hit or her own employees.provided that such imprmwnerts we mat intended or oflwed for sale.tl,however,the binding or improvement is add within me Tea of compltian.the ZONING APPROVED BYDATE: owner-budder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.as"nee d the pr°pwN.wnexdtehtc°nhad"g with licensed eon°emreto`mmmthe prp'ed(Sedmn 7O44.Btnssi"ss and BUILDING APPROVED BY DATE: Professions Code:The Contradon License Law does not apply to an owner d propend who bulls or improves thereon and who : contracts for such Projects with a contractor(*)[tensed pursuant to the Contractors License Law). c mI �` I ❑ IaexemptunderSection: B.AP.C.,forthereason: APPLICATION ISSUED BY: -' �}`CE�1 DATE: l Data: Owner: LEGALIZATION:N F E E SUMMARY . STRUCTURAL SEGMENT: N I do hereby lenity Mai I am aware of and understand the requirements or California Health and Safety Code Sections 25505,,sen.and . 25534.and Net loreny More Wilding wapern win/wit nor one)need to comply with said state codes and thetequinemenb for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification from the Ai u3Tl anagement District.Residential construction applications cations eexempt from these provisions. PERMIT 13 . 25 Date: Applicant: 25% SMIP/NON—RES PLAN • WORKER'S COMPENSATION DECLARATION:I hereby affirm under pen*of perjury ons of the following declarations: ISSUE FEE 22 . 00 ❑ Ihave and will maintain acertificate dconsent loself-insureforworkers'compensation,asprprovided ovidlorbySection3700oftheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.f«meperformance dh.wwkf«w:hmepembissued. TOTALS----> 13 . 25 22 . 00 0 . 00 35 . 25 35 . 25 . 00 ❑ I have and wit maiden workers'compensation insurance.as required by Sedan 3700 of the Labor Code,for the performance d the work for v,t.ith the permit'a issued,My worker.' ompensation Insmcarrier raeadpdymme«we.Carder. REVENUE DIVISION TOTALS--> COLLECTED : 35 . 25 OVER/SHORT : . 00 Policy Number: - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK section need not be completed I the;semi is for one hundred dol/an($1001 or less) , 3 5 . 2 5 I eerily that in the perfomance d the work for which this permit u issued.I shell not employ any person in any manner so as to become sub]ed Io the waders'compsaetion laws d ogres that if I (Mould become subject Io the wwkas' :)$41:*{ 41:Y41:*****Z *YJ/*f*.*C K #K##* * * **�% * if*N-i ***$*****flit.******************* ********** co p d d Ma ions Section 3700 a Labor Coda,I eh fonhwit h those provisions. LY Date: 9 J J'a' Applicant/ < INDIVIDUA L F E E BREAKDOWN \ L Warning: unllMdsecureworken'cowwsstloncoveragela lawful and shall web/.ctanemployer roalminslpenalties and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST civil fins u to one hundred rhouserd dollen($104000A In add to the cost of compensation,damages as provide!Air In m Secd37OsoftheLaborCode,interest,andatromy'sfees MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 13 . 25 13 . 25 CONSTRUCTION LENDING AGENCY: I hereby affirm under Peewit),d penury that there is a cerwnnd"n lending!Meng'for the END OF FEES performance of the work for which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read the application and stale that the above information is coned.I agree to comply with all thy and county ordinances and state laws relating to building construction and hereby authorize representatives of this sty to enter upon the Sbo ernentioned propertyf _ ) orinsPedmpwpoas.EDUARDO DUJAN 04-15-1993/10:25 An/835s25 P ' 2 O Date: Virfre F �FFIT:€87/1& Ipiatu rAbicwnConnmpr (5151<6WP) \Vofe..Buid"0 8 Safety;Green-Ale:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING , POG SPA • APPROVALS Permit Date Inspector APPROVALS Permit)# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO'DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater&Vent-Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiling 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/y_j7_7J F/n/U 12C 34. Final Heating & Air Conditioning 4_j7,cpt 8A/ 35. Final Gas Pipe;Test T • 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. FINAL PLANNING -- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS OF BUILDING: 2284 LA PLAYA DR S OMT CITY OF COSTA MESA — BUILDING PERMIT . E9t5— 0 7c? OWNERS HANKIE KNOW: BANKERS TR CO TR I PERM NO: E 087719 emus: %TEMPLE INLAND MTG CORP CALMCO TRUSTEE SERVICES PERMIT NO: E' 087719 PLAN CHECK NO: N GOVT: N SUPP : N 301 CONGRESS AVE #200 AUSTIN, TX 78701 APDL.MAKING ADDRESS CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT ORENfdIEER: UC ND.: JOB DESCRIPTION : INSTALL NEW OUTDOOR A/C CONDENSING UNIT SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALL—VALUE: GROUP OCC : R-3 / OOImACTORSNAUE: UP IN THE AIR SERVICE ( 562 ) 947-0510 catmAcwwsuMUN011511 SANTA GERTRUDES AV COMMENTS : ELECT. WORK INCIDENTAL TO MECH . PERMIT #M87718 ADDRESS:WHITTIER CA uc.NO.: 737478 **+ESt***Sr***+ESE*+6**************************************SEMiE*SESE****IEfESESE*SE***SESESr.**** 90604 Lee: 27 ZONING REQU IR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under Penaly of Perjury that I am licensed under Proviccns of Chapter a SETBACK S (commencing with Section 7000)of Division 3 d the Business and Profession ,and my license is in lull brae and effect. CITY UC.NO.: LIC.CLASS: C20 Lia , 737478 EXP ; MAIN BUILDING ACCESSORY BUILDING L FT IN REAR: FT IN FRNT: FT IN REAR: FT IN IN 7 Dem: S ContractorLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT OWNER BUIL ER CLARATION:I hereby affirm under penalty of rj ry that I am exempt from the Contractors License Law for the FRNT: following reason( ion 7031.5 Business and Profession Code:Any or county whin requires a Nome to construct.alter,improve. PARKING REQ: PROV: PARCEL: 42606416 ZNE: REF NO: lioleh,or repair any structure.prior toes issuance.also requires the for such pante to Rb a signed statement that he or she licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES> .usiness and Professions Cade]«that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031.5 by any applicant for a perms eutieds the applicant to a civil penalty of not more than the hundred dollen(SSDO[). **********************************k******************************************** ElI,es owners the pop yormy«mdolees with wages as Nei sole compensation.willdo the mak,and the tincture is not intended DEVELOPMENT SERVICES R E U I R E M E N T S or offered for sale(Section 7044,Business and Professions Cod:The Contractors License Law does not appy to en owners properly Q who buids or improves thereon.end who does such work himself or herself or through his or her own employees,provided that such improvements ere not intended or offered for sale.if.however,the Sinaing or inprovernera is sold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the puTnee of sale). ❑ I,as owner of the properly.em udusnay ootradng with licensed contractor to construe the project(Section 7044.Business and Professions Code:The Contractors Licenseal Law does napply to an owner d property who molds or improves thereon and who BUILDING APPROVED BY DAT E contracts kr siwh projects with a contractor(s)licensed Pursuant to the Contractors License Law). ❑ I am exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY : DATE: __ .& **********************************************qF • **************** * ** Date: Owner: I do hereby cetiy that lam aware a and understand the requirements a California Health end Safely Code Sections 25505.25533.and {-'£t`_'•e�.tt� I�'T'It1T�!N F E E S U M M A R Y STRUCTURAL SEGMENT:N 25534,and that I or any Mum building occupant will/wit not(circle one)need to comply with said state codes end the requirements for apermufor construction omodchratanIran the A. Sy anyernatDistra.Resideulsto«venabneppialbssareexemptfromtese PERMIT BLDG PMT PLUMBING ELECTRIC ECHANIC FIRE SMIP/RES GRADING provisions. Date: Applicant: 50% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby elfin under penally d perjury one of the following dedarmizne: ISSUE FEE 22 . 00 ❑ HIM ed MImental acertificate dconsent tovatlrhmrefor workers'compwatbn,oWeeded for byma Section 3703 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code, of the week for wl:ah Ni.pen*is issued. TOTALS----> 4 . 25 22 . 00 0 . 00 26 . 25 26 . 25 . 00 ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this perms is issued.My waken'compensation insurance carrier and policy number are: Carder: REVENUE DIVISION TOTALS--> COLLECTED : 26 . 25 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK a section need not be completed I the permit is for one hundred dollars(Sirol«less.) 26 . 25 I cit ty that in the performance of the work for which this puna b' :I shall not employ any pence in any manner o as to became o' le!he 'ocnpoaallion laws of Cara. agreelMll beers subject to the worker** ******************************************************************************* NrW�g�at/�an a the Lab«cod.,I ons t dp)w�.hs. I N D I V I D U A L F E E B R E A K D O W N Done: / ✓ �/ Applicant: Warning:Fat none rwodren'compensation coverage nun I,and shell subject an employer to cnmw p«haltles and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines cq to one hundred thousand dollars($10.2000).In add/tin Me cost of compensation flan as podded for In Ssctlon 3706p/chs Labor Cod,interest and attomsy'sfwa ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 4 . 25 4 . 25 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 Nei is issued(Section 3097,Cat.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is corea.I agree to comply with e0 city and county ordinances and state laws rotating to building construction and hereby authorize representatives of the city to enter upon the above-mentioned property et inshootion purNsee. DUARDO DUJAN 04-15-1538/18:27 1411/$26.25 kLPT4:f,1i2c2i68 �i 7 a ® PERMIT :087i19 Date: -g K d• ,/AgnVAppinsN,C«tred« (5151-46WP) Whee-Stddia A Safey:Green-Rb:Canary-Appicaa:PinkJLvenue:Goldenrod-Awes« CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility.Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O 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 OGas OOil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Ruof 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 PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED C1/ 33. Final Electric 7M Notes: • 34. Final Heating & Air Conditioning 35. Final Gas Pipe:Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing r 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer -43. Backflow Irrigation r ; 44. Landscape Irrigation System - 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date .V \ 1 PROJECT ADDRESS: 1.-.);., �,Lt1.1 gi n*.AZIL{ *....f M C CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 052418 • OWNEFflNAME: JIM OUNG ADD1tES& 31 ARGONAUT PERMIT NO: G 052418 PLAN CHECK NO: 06160-90 L GOVT; N SUPP: N ALISO VIEJO CONSTRUCTION TYPE: V-N ,- PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW 837-7008 ARCHIExctxEER: TAYLOR ARCHITECTS REG.N0.: C-014978 JOB DESCRIPTION : NEW SFD SQ FT: 2, 285 ADDRESS: 1670 SANTA ANA UNIT: K CM CA 92626 CLAIM VALUE: 120, 000 . 00 CALC-VALUE: 134, 968 , 70 GROUP OCC: R 3 / PERMITTEE: YOUNG/RUSSELL DEV, INC. ( 714 ) 837-7008 Ht7LD FCJ� SPECIAL RE ADDRESS: 31 ARGONAUT COMMENTS: NEW SFD 1 OF `�, W/ COMMON DRIVEWAY QUIREMENTS ALISO VIEJO CA 92656 tE ******x-#### *##**** *****-> ****x-###x##x#x#x##TE******#*### **********##t<******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that l am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: FRNT: 10 FT IN REAR: 12 FT 4 IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: 26 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.ora certified copy thereof(Section 3300 Lab.C). POLICY NO.: UP.DATE: COMPANY: PARKING REG' 13 PROV: 13 PARCEL : 42606416 ZNE: R2 REF NO: OR9032 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> ONE, 2-STORY DETACHED CONDOMINIUM ,(OF A 5-UNIT PROJECT) W/ • -. .> 2-CAR-.-ATTACHED GARAGE'. .=PEE--- ' Date: • -;ADPticanl: • . t************* f*** **3k**********-*.**********9F%** Ot.**#*## af#**#######*ifot**ii***#* D E V E.'L O P M E.,N '-T S,.-:,E R,.'V I C E' S ' l'R' E Q U I R E('P! E N' ,T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(Si®)or less). - .- I certify that in the performance of the work for which this permit is issued,I shall not employ any person many manner so as to become :n :, C I subject to the Workers'Compensation Laws at California. - ' -. - ZONING APPROVED B Y --. ,.. In 1 Q`'t - DATE: o, 1 U(Q (ci Date: Signature: BUILDING APPROVED BY i. DATE: .....7,NOTICE:If,atter making this declaration;you should become subject to.theWorkers'Compensation provisions of the Labor -..' , Code,you must forthwith comply with•such provisions or this permit shall be deemed revoked. 7 ' .j ' CONSTRUCTION LENDING AGENCY: I hereby- affirm that there is a construction lending agency for the'performance OFthe work for .•APPLICATION ISSUED BY; r.-' ln) L_ DATE- which ATE; -6;i�i• which this permit is issued(Section 3097,Civ. -' i*****************#tF**7c-' * • ***#-##*#�'* ** UNDER: **#*****#***#?E*##*#*N##*#***#*** ****#********* **##*****************#*1i**x-##*• ADDRESS: LEGALIZATION:N F E 'E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 762 . 00 4 4 00 64 61 53 AA 50 13.„50 ' repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 3 5 t " .t0% L 5% SMIP/ ON;;RE S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 4 9 5 . 3 0 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by TI, .�'` any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 3 00 1 5 . 0 0 1 5 . 00 , BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE C.v I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 937. 61 33 . 00 495. 30 1465. 91 1465. 91 • LA0 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not appy to an owner of a property who builds or Improves 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 sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 970 . 61 OVER/SHORT: .00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK fy the purpose of sale). 762 . 00 . 47. 00 79 . 61 68 . 50 13 , 50 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • e ❑ and Professions Code: The Contractors'State License Law does not appy to an owner of property who builds or improves thereon .#*#*#*#*****####**#******#***#*##*#***#*#*#***##**#*********#*******# '#* ***### and who contracts for such projects lith a contractogs)license pursuant to the Contractors Slate License Law).I am aware I N D I V I D U A L F E E B R E A K D O W N that proof of their Worker's Com ens:flan insurance should be pro'ded to me. / • ❑ I am exempt under Section: B.S P.C. for this reason: TYPE QTY , DESCRIPTIO N UNIT COST TOTAL, COST Date: 4g/Il/ (owner • SFR 1846 DWE-TYPE V-WOOD FRAME -GOOD 69 . 00 127, 374 . 00 Ido hereby certify t t I am aware of and understand the requirements o I Ionia Health and Safety Sections 25505,25543.and SFR 439 RES-GARAGES TYPE V 17. 30 /,. 7, 594 . 70 25534 and that I or any future building occupant wilt/will not(circle one), •to comply with said state ,i es and the requirements for a ELE 1846 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 6 4 . 61 permit for construction or modification from the ar ualiry Managemen r trio.Residential construction applications are exempt from MEC 1 I NS T FORC-AIR/GRAY FURN <= 100 K BTU 9 . 00 - 9 . 00 these provisions. MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 9 , 00 Date: Applicant: MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00 I hereby certify that l have read this application and state that th,j.hove information is corn- I agree to comply with all city and county MEC 2 FACTORY FIREPLACE r6 5.0 j_x ._13 . 00 ordinances and state laws r•toting to building obstruction and her:,y authorize representatives 4 is city to enter upon the above-mentioned EC 1 INST FORC-AIR/GRAN FURN <= 100 K BTU C' C4 9:5.00 0.0'"-e'il 9 . 00 property for ,• bong PC 1 VENTILATION FAN CONN TO SINGLE DUCT .,MTE.` 4`=:5'0' - ',5. ^ 4 , 50 in PLU 2 BATHTUB 2 . 00 4 , 00 Date: i, Signature: ' -f ---� PLU 1 DISHWASHER 2 . 00 2 , 00 Driver's License or Social Security A: 1. 164146 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ' CONSTRUCTION AND PLANNING P00 SPA APPROVALS Permit Date Inspector APPROVALS Perm;t# Date Inspector v. 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 VL5-_e ( off 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. l 57. APPROVAL TO COVERGUNITE ,, 7. Footings 17 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test - - '9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. I -10. Structural Floor System 74 -41( vhe- 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 1-2,14_11( LEG 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final Y6..Rough Electric Wiring 0(40_4( R. ILck 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 t-2.4-'t( LCP FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace I- 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 i_&--4( pa 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing fe1e-4( 44c-4 76. Dry Standpipe 28. Lathing & Siding 44' Q ( 6(1-'/ 77. FIXED SYSTEM FINAL 29. Insulation 4 yj1 ( , 6 c% 78. FIRE PREY. FINAL 30. Drywall Nailing \'j\\ 2{X _ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I( ilv 61\ piji 79. FINAL INSPECTION 32. Electrical Power Meter-Final '2`i 180. FOOD CERTIFICATE ISSUED • 33. Final Electric '�- L -a � Notes: 34. Final Heating& Air Conditioning 25g2 dEP HOLD FOR SPECIAL RCQUIRENIENTS, 35. Final Gas Pipe-Test u-'--G(I, LF, 36. Hood or Canopy 37. Final Factory Fireplace 2512- L EQ 38. Final Plumbing -2-v12. LED 39. Water Service-Final h.17-92.- ( 40. Gas Service-Final _l 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING u_3_12_ 6 - 3 O./,� c•J sit_ _ Cc-c.-4/48. FINAL PLANNING ! `' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' PROJECT ADDRESS; UNIT: OWNER'S NAME ADDRESS: PERMIT NO: G 052418 PLAN CHECK NO: 06160-90 L PAGE: 2 A. TF46RNR**3(3f***#*3e*Si-4eu***#4naF3FN-*#343EnE3F*ae4xk*X.**3f-3e*0h)eaF3E*1E*#!i4* R*BE*NOf4i-4F***3:A3FOe*ai**#of** • ARCH/ENGINEER: REG,NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2. 00 PERMITTEE: PLU 2 SHOWER 2 . 00 4 . 00 ADDRESS: PLU 1 SINK, KITCHEN 2 . 002 . 00 PLU 1 WASH BASIN 2 . 00 -��' 2 . 00 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 2 WASH BASIN (SET) 2 00 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PT,U 3 WATER CLOSET (TOILET) ---Zi-0-0-----. 6. 00 CITY LIC.: STATE LIC.: CLASS: • PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 Date: Signature: PLU 1 WATER SERVICE 2 , 00 2 , 00 WORMERS'COMPENSATION DECLARATION: I hereby affirm that)have a certificate of consent toset-insure or a certificate of Workers' PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 , 00 2 , 00 Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). PLU 6 GAS PIPING SYS 5+ OUTL—PER OUTLET , 50 3 . 00 POUCY NO.: EXP.DATE: PLU 1 GAS SERVICE COMPANY: PLU 1 BACKFLOW PREVENTER 2. 00 2.00 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLU 1 SEWER, CONNECTION TO BUILDING EACH 5. 00 5. 00 „END OF FEES Date:_ Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECUBATION: (This section need not be completed if the permit is for one hundred(51001 or less). I certify that in the performance of the work for which this permit is issued.1 shall not employ any person in any manner so as to become • subject to the Workers'Compensation Laws of California. Date:_ Signature: NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor n Code,you must tonhwith comply with such provisions or this permit shall be deemed revoked. • + CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097,Civ.C). A LENDER: ADDRESS: . OWNER BUILDER DECLARATION: I hereby affirm that 1 am exempt from the Contractors'State License Law for the foeowing reason (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7(100)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the 0 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: hContractors'State License Law does not apply to an miner of property vitro bands or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.S P.C. for this reason: I do Owner. / 155 hereby certify that I am aware and understandvAlUthe f requirements( le of California Health and Safety CodeSectionsth25505,uirmeat2553s,and g//// 25534 and that I or any o building occupantmtheone)needtocomplysaidcodes constructionormodification Air ualiry Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state 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 representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature: Driver's License or Social Security M: 1 W 1-46 White—Bulkav ing;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Aeor 04 rF r 1` x• —`�� I . � CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location s 2. Soil Pipe-Undrgrnd. (izsel exec. 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 OF 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. 7l(!Q( CIEO 60. Backwash Lines,P-Trap,O Undrgrnd, 1.0. 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 i 26. T-gar 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 AL/r 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. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date T--------------------ia . .-------- ' I J I I" fdri 0 VT--D city of costp mesa btu fidinn, Dept. , NOTE , --\_, BY . D 4.71r ID—c).1 : ILI ADDITIONS, DELETIONS, OR CORRECTIONS SHALL . P9 4,‘,:q i', Naz I r.,:: C.' '' '- • 17 ''- — BE APPROVED BY THE PLANNING DEPARTMENT r.0 ert` ':jES ::Ti-L'uT FT(cir‘i ,ripicrc--,;I.I4': rk issuAt ,FS; (.?chi i_ • • • L CL: Lint . i "'..../.7.0:, ...di,.2, ••• 4 7.-.RI!"..11 OR APPROVAL( ; .. . • ••-:Air•ic; - • , •:.,•.'. *: °--•• -•:0%.S-Poi.D TOLL . . fit Y040° P- 'ric.itY 'IC) Y.% .".."--• -•:-/ '-- ' LP : PrTSLPAULG T°CI: . . .:-'...1:•:;• r'r S.C;IS 8'"I ' ...'.CHIEACTI. 0L.'_e fs CA7..,ti:- F;-'ItE ''''s'us' APPR9e1Tpseil . , rt.i.:,.ISSUANCE . OFMESA i,. ,.,:.,.p-r..)Fci.mirc•;:c.. Ay.,„‘ ?1:01:,1-.4co'F':3EpoRrcirtics141,4• •_/\,.;_:, isriv*Lc;FATrh/O:avScicroltNC0C_A;P.F.FIER() I 1:.....a.Et17014Elfc.';:i4(i.; i 3beeITYL.FCOSTA. I PLANNING DEPT. sumer To moo. Der. lel i -) •22- *?19 „,r\ 11 4.4Y OTHER 0:CNANnE oF 1 gy ":. DAV'/2 . ---.1 .. eatate Of MANNINO • • • It . gib NEMO= 1. .. , 4.4 fn age IDENCE 11111111DINCC ittSiDINti WI . I- tu • I .' SWes. Ct a- II ei t., 1.1.1 hi . Cc / '''' z Alaigratt• ft. L.- • in 1 • • Aoafinar- -pt.-- S TREE T 6. — . . TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional . 'GENERAL- NOTES Channel Block With1-3/895 i i -_ -- _� -. - � Horizontal Top of all __-- - - -- 1 MORTAR: 1 One Part Plastic Cement, and Fences H• iiThree Parts.Sand • For Fences 5'or Less %0 GROUT: •� One Part Ceti-lent; Three and , One Half Parts„ Sand Vert.Bars 3/8"¢at 4' -0"O.C. Id! a° _ _ COPING:-- One Pelf Cement, Three i WI u !EL-..- . _ sFill Cells Solid With Grout i > p : - .Water,. Per Sack of Cement Where Steel Occurs z- r e Reinforcingto GROUT MAY BE POURED,FROM THE TOP Steel Shall J I fI OF THE FENCE IN CELLS WHERE STEEL Conform to Sec.A-15-39 w 0 - OCCURS. L- A.S.T.M. ;��' Z ~ --IMF � CELLS AND AREASOF HORIZONTAL REIN- II w n _ FORCEMENT,SHALL BE CLEAR,CLEAN& All Steel to be Lapped !�i n - FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code v. r,NATURAL GRADE ,I� a 1 ,_ . ,....,_______xc ^.:�3 : .s: ;-� - ; /�. k - O e a • - - ' ,• , CN O BATS CONTINUOUS TOP I I n &BOTTOM -i...I Fes--WIDTH TO 16 0 C. MAX. SEE CHART t HOR1i BELOW STEEL MUST BE TIED IN OC PTH OF E 4RTHTCOTH PLACE AT TIME OF TRENCH s. 1 . t. a I/3 THE HEIGTH OF FENCE INSPECTION. L BELOW BOTTOM OF FOOTING keig ;_i lob 2..�L SCALE: 1/2" : I' • FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5 4' 3' l WIDTH 14" . . . . . . . . . . 14" . . . .12" .. . . . . . 12" THICKNESS . . . . . . .10" 10" 8 " . 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . .20" . . . . . . . . 16" . . . . . 12" SPACING OF EARTHTOOTH. . 12' . . 14' . . . . 16' 16' City of Costa Mesa, California Building Department • • h_t'_vNsw Nov.82 . . PARTY WALL AGREEMENTOTtA NOTARIZATION TdO 1' REQUIRED THIS nAQ EEMEKT, made and entered into this ISI : day of • Decevil)er^ '9a by and between 3kfl hereinafter referred to as 'LAND OWNER', and \V L 1 N V eLL((j hereinafter referred to as •ADJACENT PROPERTY OWNER'. It is hereby agreed that aparty wallwill be constructed,on the Property line between 18 OihovIy ?tact Cos-a_ M(ccu (Address of Adjoining Properties) in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted es Seenetch nn tho ompev I int- IjeJ-weeak- 178' Marl- Place 182 a 1 b€4 lace ) Cosfa. IUCCZ.. IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ADJACENT PROPERTY cea ---- 41109e I(JACC ead-- • (Signature) Signature) ��• v� �i�5s —C _i Nea \ \ Name (Typed or Printed) Name (Typed or Priv ) 3) .9/rGZ)irj-9 'y— 118 1\Cat `dace • (Address),674/3-2, �'- (Address) Gu ( CA • •PROJECT ADDBESS: UNIT: •OWNER'S NAME: .4$v ALD ERT� �T CITY OF COSTA MESA — BUILDING PERMIT TaFR!J rip: B 0504I "' ADDRESS: JIM YOUNG zw9L Ze4 • 31 ARGONAUT !/ PERMIT NO: B 050417 PLAN CHECK NO: 07278-90 S GOVT: N SUPP: N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: 837-713,38 REG.NO.: ,El ADDRESS: FAVREAU ENG C25%709 JOB DESCRIPTION : 260 LF-6FT HIGH CITY STANDARD B ,W. SQ FT: 260 3434 VIA LIDO PERMITTEE: NEWPORT BEACH CA 92663 CLAIM VALUE: 5, 000 . 00 CALC—VALUE: 5, 200 . 00 GROUP OCC: R-3 / ADDRESS: YOUNG RUSSELL DEV. INC . ( 714 ) 837-7008 31 ARGONAUT e COMMENTS: REFERENCE GRADING PERMIT #GRA50416 . LICENSED CONTRACTOIL�E�IS IOVI�fOIOtfirm that I am licensed and/NFhvisiS10E611Eu 9(commencing with Section X 7000)of Division 3 of the Business and Professions Code.and my license is in fun force and effect. Z ONING REQUIREMENTS CITY LIC.: STATE LIC.: CLASS: SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT• FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. POLICY NO.:9 IerebEXP.DATE: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN COMPANY: Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. PARKING REQ• PROV; PARCEL: 4 2 60 6 4 1 6 Z NE: R 2 REF NO PLANNING NOTES> 260LF OF 6FT HIGH BLOCK WALL ALONG SIDE PROPERTY LINES. Date. Applicant: l > WALL SETBACK 10 FT FROM PROPERTY LINE EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred WOO)or less). *************************************************** **************************** 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 DEVELOPMENT SERVICES R E Q U I R E M E N T S subject to the Workers'Compensation Laws of California. Date' Signature: ZONING APPROVED BY SQL DATE: I 212-1 q (D' NOTICE:If.alter making this declaration,you should became subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. BUILDING APPROVED BY : DATE: . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097.Civ.C). APPLICATION ISSUED BY: a DATE: 12f2-1 LENDER: **********-*************3e****************** ac•* ***************alae**** ** * lc** ADDRESS: *****al******al*********al*************************ii-*********************Fe***X**** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractors'State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT T 8 1 . 0 0 ,50 pursuant to the provisions of the Contractors'Slate 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 01 Section 7031.5 bySMIP/NON—RES any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). PLAN 52 . 65 I. as owner of the properly or my empployees with wages as their sale compensation, will do the work. and the ISSUE FEE • • . . ❑ structure is not intended of offered for sale(Section 7044.Business and Professional Code: The Contractors'State •License Law BUILD INC' DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE does not apply to an owner of a properly who builds or improves thereon,and who does such work himselflherself or through TOTALS————> 81 . 50 0 . 00 5 2 . 6 5 13 4 . 15 13 4 . 15 . 0 0 1p his or her own employees.provided that such improvements ate not intended or offered for sale.If.however the building or Tor the propose olld�e1hin one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: • 134 . 15 -OVER/SHORT• 00 Las owner of the propeny,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/TOT. .GRADING PLAN—CHECK ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 81 .00 ' ,50 52 . 65 X and who contracts far such projects with a contractor(s)license pursuant o the Contractors'State License Law).I am aware A' that proof of their Workers Compensation insurance should be provided ame. *******************************.********************7faFafif.*aE*af**a(.*******3****a4f{.aEafaf ❑ I am exempt under Section: B.&P,C. INDIVIDUAL F E E BREAKDOWN this r Son: 1 C Owner: 4A----- f—� �._.�� TYPE QTY ll E S C R I P T I O N UNIT COST TOTAL COST Date: - , ' _ I do hereby certify that l am aware of and understand the requirements of Cal orniaHealth and Safety Code Soetims 25505.25533,and SFR 260 RES—CONCRETE,,,BLOCK WALL -`i / FT. 2000 5, 200. 00 25534 and that I or any future building occupant will/will not(circle one(raced to comply with said state codes/al1 the requirements for a r' D OF FEES ' permit for construction or modification from the Air Ouaftty Manageme District.Residential construction all•jcations are exempt from la, (m t these •provisions. I / ' ma i � , • _ ' �r��: •• + f� Date', ApPlicanl'. . • , •• p � ""���•��.�+-- Li:ist.��/�� F:afOu' -'J pI hereby certify(hal I have read this application and slate that 1 i above information is correct.I a:iee to comply with all city antl county • O �1F�1.. 7{YM M1'� ,t \11 ordinances and stale laws relating to building hslruction and 11-/•by authorize repr' ••.lives of l.s c y to enter upon the above-mentioned C (�( ��7EiVof j, y'l1R"rr- � 6 property form action pr oses. CITY M i41/47!,•••••-•-•;y ,I.,.......,-. 7....,=.„...:7-— -. MIT/274i �U �Signalure: v 4� - j CI11 Of COSTA MESA .� �V - Driver's License or Social Security e: %% anary—Applicant:Pink—Revenue:Goldenrod—Assessor — • . w - CO,'+.STRUCTION AND PLANNING PL SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • , . 2. Soil Pipe-Undrgrnd. ("idiviti € 6 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 LIFER Grnd: 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test , 9: Water Pipe-Undrgrnd. 7(f0( °ED 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 P;Ping 0 Gas 0 Oil 23. Gas Pipe•Rough'& Test . , X72. Underground Flush . 24. Roof Framing - r i '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' - - - - - y ' : 76. Dry Standpipe 28. Lathing &Siding 1. - > ••i• 77. FIXED SYSTEM FINALy , 29. Insulation "' • • . - � � 78. FIRE PREV. FINAL 5 . rµ ! c-s 30. Drywall Nailing " - ) 8 I- HEALTH DEPT. REQUIREME`ITv`!� tii 31. Plaster Brown Coat` I k, :79. FINAL INSPECTION ; - .�i ?Si' 32. Electrical Power.Meter-Final • - I • •80. FOOD CERTIFICATE ISSUED r1 >? I c 33. Final Electric - - I ; Notes: -- s�sh - 34. Final Heating & Air Conditioning. . - Jr' - �'�._ s . ::tt.i:•fir 35. Final Gas Pipe-Test '. ' ": - r 36. Hood or Canopy . - - . ' n - , . / l I • / 37. Final Factory Fireplace �ir//5,1n1 / .0. - /7FF• _ 'fit 38. Final Plumbing - - 39. Water Service-Final , i^ -,• 40. Gas Service-Final ) .. , ' . ' _ = - s-. 41. Solar Domestic-Final - I r/_?--12 A•h w7 04 _7/8, -e_C/oQl 42. Backflow Preventer I I 6/__ /c- c..0-4:2,e6. *L4- t..., e 43. Backflow Irrigation - 69t_-- [! -• _ `- J 44. Landscape Irrigation System , r - - ti• °_ ,c 45. Sound Attenuation - - .j', 46. Handicap Regulations - :n. 47. FINAL STRUCTURE & BUILDING 11- 2 �p,(,..4 : _ 48. FINAL PLANNING • - - '- 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co i ' • . 51. CERTIFICATE OF OCCUPANCY ' - - ' No Date , 'PROJECT ADDRESS: UNIT: '1 OWNER'S NAME! 1$ B / 'C--'\ CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 056590 JIM YO� tt,�� %�!S�/!��� . ADDRESS: 31 ARGONAUT 'ZZ'�1 �`��� % PERMIT NO: M 056590 PLAN CHECK NO: N GOVT: N SUPP: N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH 837-7008 ARCH/ENGINEER: FAVREAU ENG REG,NO.: C2W9 JOB DESCRIPTION : INSTALL NEW FURNACE SQ FT: ADDRESS: 3434 VIA LIDO PERMInEE: NEWPORT BEACH CA 92663 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / ADDRESS: SANTIAGO A/C INC. (714 ) 998-1600 231 W. BLUERIDGE AVE. COMMENTS: REF: B50417 ORANGE CA 92665 *;r;r*;t**;P;P;P***+rpt*****x;Ear;t;E*******;r****;L;E;P;Pik;P;r****************sE*;t*;P*;P***;P*;P+E;E***;P LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am f ensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my li ense is in full force and effect. SETBACKS CITY LIC.: 007985 STATE LIC.:269496 CLASS: _20 ` Signature: MAIN BUILDING ACCESSORY BUILDING WORKER OMPENSATION DECLARATION: I hereby affirm that have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN --'- POLICY NO.: W-9732051 EXP.DATE: 07/01 /92 COMPANY: PAC STATES CAS PARKING RE • PROV; PARCEL: 42606416 ZNE; REF NO: 1 Certified copy is hereby furnished. Q Certified copy is filed nh the city Building Division. PLANNING N TES> ?_,-1 6��_ Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SEEVICES R E Q U I R E M E N T_S I cedify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: / Date: Signature: NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction fending agency for the performance of the work for APPLICATION ISSUED BY: * ****i iPl F**********************DATE• 3-16 -2` which this permit is issued(Section 3097, Civ.C). *********************** ***** ************ ***** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9,00 repair 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 the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15.00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Stale License Law TOTALS----> 9. 00 15. 00- 0. 00 24 . 00 2 4 . 00 •00 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 employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 24 .00 OVER/SHORT: ,00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware S(.**.TL.*.JE**.**.**.************.*j(.**************..)f{L.*.{(.***S(.*{f.x.{P)(.******{k*.*********.{p*SE.{(.**.*.{t.* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 I do hereby certify That I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 9 • 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant'. I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 171 :31 a'4;1-in 1 L l)JiU -rin 7 ... . ordinances and slate laws relating to building construction and b uthor¢e representatives of this city to enter upon the above-mentioned 04 E: T11G,'.,n T';'T `^:0 ; propertyforte inspection purposespo Date:,-- ---7V 9/L Signature: Driver's License or Social Security a: 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor P L CONSTRUCTION AND PLANNING POO. .. SPA • • APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole- . 52. Pool & Equipment Location '2. Soil Pipe-Undrgrnd.- ?- - . 53. Steel Reinforcement r .3: ElectricaltCoPrcitSt Utility-Undrgrnd., _ 54. Forms i i 4•. ElectricarebniIuit-Uddrgrnd. 55. Electrical Bonding C.ce tr.., 1. I-:5:'Steel Rein'(prceAP;ot L' 56. Rough Plumbing & Pressure Test :, 6. _ErlactricaI:UFEFr6rnd, tis -< 57. APPROVAL TO COVER-GUNITE ,. • 7. Footings _ ' r.� �; 58. Electrical Conduit-Undrgrnd. %8. Foundation 1- 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undr d. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Stwctural Floor Srtstem 61, APPROVAL TO DECK 11. Property Sewer Unet& HaaseConngction 62. Backwash & Receptor-Final 12. Sewer Cap a, .;. v 63. Heater & Vent-Final 13. Roofg Drains•u ti 64. PlumbElec?i a Tal' - Final .� 14. Rough Plumbing 65. Eleclrica Trial' 15. Rough Electrical-Conduit 66. SoJaiS stem-Final 16. Rough Electric Tiring - 67. Fencing & Access Approval ' 17. Rough lVi•ring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - _ . .7 - F 20. 'Rough Factor% Fccieltlace 7.:;;; ', J _•°' X1.PPROVAL•S'_ -Permit # ' :?• Cwt t' 'S r .0 a. 21. Duets, in-Structure` I -• •- a S -�•r y 70. UndergroimtHydro f 22. Ducts, Ventilating - S 7- •_ .S S K `M' -e1. Producting Gips [Oil 23.',Gas• '-Pipe-Rouc]h &' est r :r . : 72. Undergrotlpd Flush, c = r-- ' ; = ; _ 7/3.=Undergrnd:Stora`ge�Tank © 0 Oil Gas` 24.'Root Framing • 25. Roo Shaathin tri - .L . , 9 .� .v ;x .. `. `74..Overhead Tiydro; , 26..T• -Bar Ceiling (Structural) & Monooat x ¢ • 75.%Dry Chemical _i+ t. - 7:.- .. C, - x r 5 S 27. Frame and Flashi6' ��� _ ,Xlg .x 76: Dry StandRtge -21 y, '- r ,£ 28. Lathing.& Siding % c: _•4- n r -•� -• ••� x 77.-FIXED SYSTE1'4:PIIr.NAL4 ^ _ r 29. Insulatiol� % ,i ^ .. I i� i> > 78. -FIRE PREV. FIN4rL 30. Drywall Nailing * HEALTH,DEPT=REQUIREMENT 31. Plaster B�own,Coat' S , ,t. I . 11: : ,n79. 'FINAL INSPECTION ,` X.' !-32. tar MetenFinal - CO . .-61 �.:80. tFOOD CERTIFICATE ISSUED 'r 7.>. r.. Elc . '.. -> n -r. r 7 + v rNot s: • ..r -- _ ' 1. a34.{Finai H@eting& Air Conditioning t-efaiQ2 � K •- S c- r ��= - 1 G r 35._Final Gas Pipe-Test y - I ,•7',17 ` :gSl; r a• s' .T.36 Flood or Canopy I t- "a n4. S I II. _Zs I r 1-.37.-;;Final Factory Fireplace y ISM I Ir " X 'r' - C.: 38. Final_Plumbing t , • •• •- - + - S . r -- - - r .. ,, ... . .r t r 739. Water Service-Final D r .= I I i* '' r - v 'a - +< r '^ r r P -40. Gas Service-Final . 1 t.. ' r i' - l [• . Lr. I '1. Y ted C� v 41, Solar Domestic-Final 7 • s - I'' > rc - 42. 3ackflow Preventer to - Ir R` I I. . r p: -1 1 43. Backflow Irrigation• •' • -• ' t �- Y r Y • iG - .-.44. Landscape IrFigation System'..-,ij kg • ,• :_1 ' . .r i :o .0_r j ' >215..,.Sound Attenuation` "-' - r ` .r - - 7. - ri. -46. Handicap Regulatiops - • . , �; u.,• , _-• ' S -r 47.-FINALSTRUCTURE & BUILDING - t . .. .- 48ciF`INALPLANNING. � " . - ' " C z;;� n .r i - - .49..iElectric Release to Edison i - ?n F tr. _ .• . i. [50.Gas-Release to Southern California Gas Co I I . Ir , ': ` . n 51. CERTIFICATE OF'OCCUPANCY' s No. Date SAFECO • w • TITLE INSURANCE a. S STATE OF CALIFORNIA in kasaCOUNTY OF_OeA ��-- /LOn this the CPOday of �g - 1 <�befo me the undersigned, a A Notary Public in and for said County and State,personally appeared -c.e_ 4, - I 0 m v - FOR NOTARY SEAL OR STAMP 22 u ,personally known • to me or proved to me on the basis of satisfactory evidence to be the _ m person whosenamgJS subscribed to the within instrument . u . OFFICIAL SEAL m and acknowledged thatSK -executed ame. ' - • SHARON L CARTER t 0 ",___(I I I I• rs®� NOTARY UCORANGE S 0(IMI1 t m •in m i Y.✓c3.'1^' MY Man EOM IIq 6.1991 t C yv Signature of Notary Q 0 ®SAFECO a. LE INSURANCE o STATE OF CALIFORNIA n• SS COUNTY OF .`e //�� On this the �, day of �l G� �• _ �_- _19_7_Q before me the undersigned,a To Notary Public in and for said County and State,personally appeared C . {_i 5e_L z a > . a FOR NOTARY SEAL OR STAMP ,personally known 0 C to me or proved to me on the basis of satisfactory evidence to be the ' ENT• person whose na e !S subscribed to the within instrument 1 ' °r OFFICIAL SEAL 1 L0 and acknowledged that execu -•the same. t SHARON L CARTER ti _ ,^ t Faj�•• o) 11 NOT o f CWNfYORNIA CC • d� O`Y� L,y'�J. ,c n L �, _�� V 6y Comm.Expires May 6,1994 1 n.J y Signature of Notary C • U