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HomeMy WebLinkAbout2298 LA PLAYA DR - Building Permits VI CITY OF COSTA MESA a/• � BUILDING DIVISION F d,„ ,1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER J � • PERMIT %Proomo" IVIOA 0474 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us • 77 FAIR DRIVE,COSTA MESA,CA 92626 • MECHANICAL PERMIT Job Address: 2298 LA PLAYA DR N Status: ISSUED • Suite Not Applied: 11/01/2004 Issued: 11/01/2004 Vicinity: •Parcel Number 42606513 ISSUED BY: >G/�G� Applicant: GORDON B PARSO��� r�C Address: 2282 ORCHA/RD,�D'R t� 6.,, . . "7:4,..,./o7 /l"/ f - Phonen:1949-456-0964 NEWPORT-BEACH,CA 13Zip ' L92660 `,\ Owner tMC-DANIEL, ANDREA--> ----------- /32,-/- ' �` / \ �..-1✓// �� Address: i/22`988 LA'PLAYA DR'NORTH-' ;dy \ \/,/sir Phone: �\ O / r. COSTAMESA;CA Zip: 92627-6721 '� " CtY ontractor:'` BC' EATING AND NC " 1 All Address:/ 2282//OOR'CHA�RDDDDR I• I � h ;—\\\C\\\\°c:\\% �'r ����f." C fl �'\.�•I1 X49-056-0064 �` 1 // ( /NEWPO/RT BEACH,CA‘4.\--o Zip:�"i 1 92660 1,\/ { {'----. ? `\\11Ili7/1r aaa ^O. L ^'Cidense:810481 .[,,,�"�'- ,�)A)` \[-IS \\ Lc1� \X 1r) ?fv `� /N.. SCOPE OF PERMIT --' )//jI1' (( / ,\:.3 //f!() CHANGE OUT FURNACE FOR S.F.Dr. _ r� } IV IIU`— FEE SUMMARY /, ��y )� �` I Q � twiny tlL.' � � .__.. „ - 11.1111! l,� \ i1 �Oua�tity\+ �I \ ,II r~ t ISSUE•FEEl1 $23.50 Repair/Alt Absorbtion Unit - $0.00] o j 1 Inst-FAO<100.k BTUQ 514.80 1 Repair;/,Alt Refrigeration Unit >('$0.00 (0 InstiFAU>100 k BTl7.t ) • $0.00 0 r Ventillatwn•SystenT:1 '- ( • . , i $0.00 0 • Repair/tAlt Cooling/Heat $0.00 '0_"_�_._:,,. -Evaporati e,Cooler'��) f $0.00 07 , Inst/.Rep..Recess Wall Htri� $0.00 0 Commer'cial Incinerator /so:000Miv$0!00 0 Refrig Sys<100 k BTU- V $0.00 0 • Domestic�tncinerator / $0:00---J) Refrig;Sys>100 k.BTU $0.00 0 Compressors/Absorption Systems / c... GaslPiping it �\ i"` $0.00 0 Up'ta,3'hp-/>100 k BTU ' -of Factory fiireplace "O ' • -$0.00 0 - 6 Y,,,a„.;,,,3 To 15 hp/500 k BTU f-$0:0,01 0 Hood w/Mec`h'Ezhaust $0.00 0 .. , 15.To 30 hp/1,000 k BTU / \$0.00 0 VAVBox n\ v $000 0 sNr ;P- i000° °30To50hp/1,750k BTU $0.000 Vent Fan]Single Duct? $0 00 0 y •-,,0 0° ° 000 -Over 50 hpYOver 1 750 BTU $0.00 0 Appliance.\\S $0.094,-4,0-.. .,4 .i eV o©� cr Q Boilers "fi I 70 Fire Dampers /� 5_090 4/,,)„,'- p. ,; ^p �r7 0, Up to 3 hp . $0,00Smoke Dampers //� $0000 do 0r ''!'�' pt3To15 hpooc. $000 0 Inst or Relocate Appl Vent//' V. .$0.000 °pO °d5 to60 • Air Handlers< 1o000fm50_hp4 0 Air Handlers> 10000cfm° " $0.00 0 Over, /$0.00 0 Floor FurnaceOther=MechaFloor or Suspend Heate $0.000 InvestigationF $0.00 r"Plan GheckFee $0.00 lReir13 e --F,e $0.00 1, J IJ c'-� © _TOTAL-.CALCULATED FEES $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) - - EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 . + 2446-46(6/00) . DECLARATIONS • • Lti WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations:•' : • 0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the for which this permit is issued. TIVIWI:ad:e and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this'permit is issued. My WorkfirsLoo5pensationsurance carrier and policy number are. - Carrier 71 Ce .Q - lLr 5 u1/• F�/AG� Policy Number: y e/ -o• C, (This section need not be comple d if the permit is valued at one hundred dollars($100)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 subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provislo • Applicant Signature: /! < L Date: 71-/^ at/ WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensgd upper provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force'and effect.Lic..# - I-^!'• t/[/!1 n 0 id Class if G' - ZG • -Contractor's Signature: �o✓f.etei fG��"- -Date: /l-l —act • CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: �-' ' Date: • OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: - - Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundartes of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If ryes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si nature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE it INSPECTION TYPE CdIE INTRIALS CODE}, INSPECTION TYPE 1616 Fixed System Final Fire Prevention 206 Final Mechanical , . 1266 Pool Spa Final - 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical • - • 201 - Final Block/Retaining Wall . . , „ , 212 Final Fire Prevention 202 •Final Factory Fire Place ' . 220 Final Planning Approval - - 203 Final Sign 222 Final Site 204 Final Demolition '- . -' - 250 Final Building/Occupancy ' - -. - ' - 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. Sincerel 11. RICHARD WELMERS Planning Intern (ALBERTPL.ADD) I1 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 23RD STREET4 2297 2298 cc0 Z 22952296 2293 a 2294 Q - J 0 L2284 coc 2283 0 2282 a . 2281 Q 2280 ALBERT PLACE PROJECT ADDRESS: ' o� � ; IW*' • CITY OF COSTA MESA — BUILDING PERMIT PERM •NO; E 056ZZ, pWNER'S NAME: V.N. E. DEVELOPMENT -ADDRESS: 19800 MACARTHUR BL #1450 PERMIT NO: ' E 056222 PLAN CHECK NO; N GOVT; N SUPP: N IRVINE • - �' CA 92715 CONSTRUCTION TYPE; 5' N PERMIT TYPE: ELE PURPOSE: 'NEW ( 714 )757-4111 ARCH/ENGINEER: TAYLOR ARCHITECTS . REG.ND.: 14978 JOB. DESCRIPTION ; NEW SFD WITH AN ATTACHED GARAGE • SQ FT; ' • . 1 ADDRESS: 1670 SANTA ANA AV • UNIT: K • • • COSTA MESA CA 92627 . CLAIM VALUE: 24 , 000 . 00 CALC—VALUE: GROUP OCC:' R-3 /M-1 PERMITTEE: AARTMAN ELECTRIC ( 714 ) 964-0444 • - - ADDRESS: POST OFFICE BOX- 5154 COMMENTS: REF- B55400 • - HUNTINGTON ,BEACH CA 92615 .. ****************It**-** ******•***'k6******-******************* *.********SEX-****N***-M* I LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ,ONING REQUIREMENTS • j 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. . SETBACKS CITY uc.: 023)681 STATE uc.:323805 � as: -20 n L _ MAIN BUILDING ACCESSORY BUILDING e: 7 — ��0('L Signature: FRNT: FT IIN REAR; FT IN FRNT: • . FT IN REAR: - FT IN WORHERS',COMPENSATIONDECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT • IN RGHT: FT IN Compensation Ins lance certified may thereof(Section 3800,Lab. POLICY'NO.: ODlgtb3-92 EXP.DATE: 1 /01 /93 , - . COMPANY: STATE FUND PARKING REQ: i PROV; , PARCEL ; 42606408 ZNE; ' REF NO; Certified copy is hereby furnished. E Certified copy is tr/lp'i with he city Building Division. PLANNING NOTES> l , • e: `-1 •+� Applicant: V Division. DEVELOPMENT S. E1`R V -I C E S REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1001 or less). A I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manneCso as to become ..4.--4 4— subject to the Workers'Compensation Laws of California. i„+ ZONING APPROVED BY n,. DATE L.-, 4 e4 Date. youSshre: BUILDING APPROVED BY , DATE: NOTICE:If,after making this declaration, should s or this subject to the Workers'Compensation provisions of the Labor - Code.you must forthwith comply wittysuch provisions or this permit shall be deemed revoked. �.,rc A , +r- r f l' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pertormance of the work for APPLICATION ISSUED B Y• • - / . , I DATE• O"'7/2— I �� which this Permit is issued(Section 3097.Civ.C). g **'***'N'***'X'*'******'*****' r **** *, y*+e . ** IF**iF***3ETFir*******************-a********* LENDER: ****N****-***********************a**x**** "******iF**********************.ra(******** ADDRESS: E 1 'LEGALIZATIONiN F 2"1/.E{ SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: hereby affirm that l am exempt from the Contractors'State License Law for the following reason • kBLDG. PMT PLUMBING( E'1,ECTR IC MECHANIC , FIRE SM IP/RES GRADING (Section 7031.5 Business and Professional Code:'Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT : • 67,17 1 repair any structure,prior to its issuanie.also requires the applicant for such permit to file a signed statement that he/she is licensed . - 5 0 t ; SM I P'tNON—RES ! pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN- • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15. 00 ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID • DUE I. as.owner of the property'or my employees with wages as their sole compensation, will do the Work, and the I ' ❑ —structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS-- —> 6 7. 17 15;00 - 0 . 00 82 . 17. • 82 . 17 . .00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through - . -I1 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; 82. 17 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build orimprove - •BLDG PMT PLUMBING ELECTRIC ,MECHANIC FIRE • SMIP/TOT ' GRADING PLAN—CHECK for the purpose of sale). ' - - , 82 . 17 I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business - , ❑ and wo Professionsotsdfo The Coprojects with State contraseLaw does not urapply atoo the ner Cntrctorsrty' aicense aw).Iimproves thereon *****,****#********************************************************************* I and who contracts Lor such owith a insurance license pursuant to the Contractors'State License Law)' am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BREAKDOWN ❑ I am exempt under Section: B.8 P.C. • for this reason: . -TYPE QTY DESCRIPTIO N . , UNIT COST ' TOTAL COST Date: Owner: • ELE. 1919 NEW RES BLDG FOR '1 OR 2 UNITS/ �r • Q FT 03 , • 6.7, 17 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 , 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 - - . . i ' - , 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 abov inform lion is correct.I agree t omply ith all city and county ' ordinances and state laws relating to building construction and hereby a rize resentnntttaa/t�tiveeess of this cit nter on the abave4mentioned . • -. •' , property for inspection purposes Ill� am Z— 7j -9n-- Signature: 81 00108644-00108644 TOT • S2,17 Driver's license or Social Security a: DATE: 02f• 14/92 TIME: 16:07 1641-46 White—Building:Green—Code Enforcement;Canary—ApplicanC Pink—Revenue:Goldenrod—Assessor -. • -' 4 — ' . '\ ! , w CONSTRUCTION AND PLANNING- z �• " - POOI PA c , 7 ; Date" Inspector _ - Date Inspector^ -- APPROVALS Permit# . r, . ! - APPROVALS Permit# _ s L` ••1_Temporir Electrical Service`o'r`Pole; . OI F ' - - ,52.tPool & Equipment Location' I . i 4i, m . V - rtak .2.''Soil Pipe-Undrgrnd. s` L. ,- ' 53 Steel-Reinforcement k i , ft r -u i ••ft i •3. Electrical Conduit Utility Undrg nd rt • a m=� 54 Forms" : - _ _ r - , 4. Electrical Conduit Undrgrnd -', f-= 55 Electrical Bonding_ - t ; rk 5. Steel Reinforcement } ,a - - - - 56. Rough`-Plumbing.& Pressure Test = 4 • 6. Electrical UF ER Grnd. ' 1 c _ = 57 APPROVAL TO.COVER-GUNITE ; r- } _idi ; 7. Footings - =i ' I ,r` - 58 Electrical Conduit.Undrgrnd. 77 8. Foundation - - 59. Gas Pipe, O Undrgrnd.; Test _ /,' 9. Water Pipe-Undrgrnd. -I. 60.-Backwash Lines, P-Tra d. t 0 Undr rn . .( 10. Structural Floor System -, • . _ _ 61. APPROVAL TO DECK:- • 4 11. Property Sewer Line & Hou)Connection - - _ 62. Backwash & Receptor-Final- 1 ' 12. Sewer Cap - F 63. .Heater.& Vent:Final . . 1,;.' 13. Roof Drains -, - C-4 -' ,-, ie ' 64 -.Plumbing System- FinaL- .elf ' 14. Rough Plumbing �1 ,.• y '_ I 65. Electrical-Final - _ ,"^ ` 15. Rough Electrical-Conduit .7-1 -66. Solar System-Final - �' • .'16. Rough Electric Wiring ,- Z��qq"'�L , oenc Fing ss_& AcceApproval - 17. Rough Wiring Sign - ", _ :{. " 68._APPROVED FOR.PLASTERING - - 18. Rough Electrical-T Bar Ceiling 69.•POOL/SPA SYSTEMS-FINAL . • ' 19. Rough Heatirig &--Air Conditioning '- - •- - - FIRE DEPT7REQUIREMENT - 20.. Rough Factory Fireplace • APPROVALS Permit # c 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 (Structurall & Monocoat 75. Dry Chemical 27: Frame and Flashing 76. Dry Standpipe . 28. Lathing & Siding ', _ 77. FIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREY. FINAL - 30. Drywall Nailing - ;i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coatj , -, t, 79 FINAL INSPECTION • 32: Electrical Power Meter-Final 4-2+42 j f FOOD CERTIFICATE ISSUED 33. Final Electric I tes: - 34: Final Heating& Air Conditioning f�; I 35. Final Gas Pipe-Test, - I .I ';r •. 36. Hood or Canopy 37, Final Factory Fireplace I I " , 38. Final Plumbing 1 . • . 39. Water Service-Final 40. Gas Service-Final . • - 41. Solar Domestic-FFinal' • - 42. Backflow Preventer - ._43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . • - - 1 - 41. FINAL STRUCTURE & BUI LDING • ' - - 48. FINAL PLANNING ,' - 49. Electric Release to Edison r. -.- • - 50. Gas Release to Southern California Gas Co I „,1 - . 51J. CERTIFICATE OF OCCUPANCY ' No. Date \I • PROJECT ADDRESS: 'dam^ r CITY OF COSTA- — BUILDING PERMIT :PERM. NO B 055400 - OWNER'S NAME: V.N.E. DEVELOPMEN T ADDRESS: 19800 MACARTHUR BL #1450 PERMIT B 055400 PLAN CHECK NO: 02834-91 L - GOVT: N SUPP: N • • IRVINE' � ', CA 92715 CONSTRUCTION TYPE: 5 N ,. ' PERMIT 'TYPE: STA PURPOSE: NEW o ( 7-14 )'757 411.1 ' • _ ` ARCH/ENGINEER: TAYLOR ARCHITECTS REGNO' 149• '78 , - ' JOB DESCRIPTION , : NEW SFr).- WITH-AN ATTACHED GARAGE 'SQ FT: .' 2, 34'4' _' , . ADDRESS: 1670 SANTA ANA AV • UNIT: K. *. COSTA, MESA CA 9.2627 CLAIM VALUE: - •. • CALC—VALUE: 139, 763, 50 GROUP OCC;• R— --? '/M;1 -• . PERMITTEE: V.N.E. DEVELOPMENT ( 714 ) 250-7830 •. ADDRESS: 19800 MACATHUR BL #1450 - ' • COMMENTS: SMOKE DETECTOR(S ) REQUIRED IN HOME. 14= ��R p %flf ptn 'IRVINE •. . CA 92715 -******R *xF* ****** c****x*,FR *** XtFF ** *****-xFx-vF LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section , Z O N I 'N G R E Q U I R E .M E N T S - •A t , '70006of Division 3 of the Business and Professions Code,fand my license is in full force and effect. S •E T ' B A C K' S .h /' CITY LIC.: $TATE LIC.: CLASS: • •• 1i J f ,. Date: signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: Ihereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; 20 FT . IN REAR: 1.0 FT IN FRNT: FT • " IN REAR `IN Compensation Insurance.ora certified copy thereof(Section 3800.Lab.C). , - LEFT: 5 FT ' . IN RGHT; 75 FT IN . ; LEFT; FT . IN RGHT: , :;IN ' • POLICY NO.: EXP.DATE: . . ... • COMPANY: PARKING .REQ: 28 PROV: 28PARCEL • 42606408 INE: A2: REF NO: D .91-0'2- — J Certified copy is hereby furnished. ❑'Certified copy is filed wi a the city Building Division . ' PLANNING NOTES>' UNIT F 'OF A 6 UNIT CONDO -PROJECT, -REQUIRES P, F, •AND E; '1 - : > REVIEW, . _ *DateApplicant • ******************************************************i ** ' 144****** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is foe one hundred($1W)or less). D E 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 IE vNvf;T ' '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 ! s subject to the workers'Compensation Laws of California. ZONING APPROVED BY �� DATE• • }!/.a-' _�f�' . • Date: - ' . ` 'Signature: _ •_ . . .. _ _ NOTICE:IL after making this declaration,you should become subleit to the workers'Compensation provisions of the Labor BUILDING APPROVED BY _ '' - ',-` I• . , DATE: /.27 , . — • ' 1 Code,you must forthwith comply with such.provisions or this permit shall be deemed revoked) - G %'I_// - , 1 1 •. CONSTRUCTION LENDING AGENCY: hereby affirm that•there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY' �` +' t'; .a, DATE• ..2,p. $ which this permit is issued(Section 3097.Civ.Cl. 44************.********* ' ' - //� •• • ' .44*******,4* 5v •• • - 4444 • LENDER: i - - ***********************4444******4444***44* .C'**************44•,************;ei?* '-:.*4444**** • - ADDRESS _ ' LEGALIZATION:N " - ' • - F- E "E ' S "U M M A R 'Y1' - i STRUCTURAL 1• GMENT:V • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason .1 BLDG PMT • PLUMB INC 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 - - 779 , 50' - - _ 1'3. 9 8 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 7000)of Division 3 of the Business - ))LAN •'S O 6„ 6 H - �-• • .. • SNIP/NON—RES' • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 70315 by . - ,h f any applicant lot a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5O0). . • ' ISSUE' FEE ' - •-• . i ' :- ' BUILDING—DIV-I> • PERMIT` ' .ISSUE PLAN—CHECK ' . TOTAL PAID •• '• -,y'��• DUE - I. as owner of the property or my employees with wages as:their sole.compensation, win do the work, and the• ---- , /y( S/ T ALS793 4800506:.-68 ':❑ structure is not intended or offeredprop sale(Section s0or i Business and onand,who Code: The Cork himsel State License Law : - 0 , 1300. 16 - 1300; 16 • ,,� 0 0 an ownerof property who builds or improves thereon,and who does such work himself/herself or through - - /% does not apply toP e aP P Y P9 ♦ ` ` , his or her awn employees, provided that such improvements are not intended or offered for sale.(.however the'building or r REVENUE D I V I S ION TOTAL S--> - COLLEC TED i '793 ; 48 ' OVER/SHORT; •' >i G '-0 0 ' - ; improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve - fonhepmposemsale). , _ . BLDG PMT PLUMBING ELECTRIC .MECHANIC FIRE ' SMIP/TOT GRADING PLAIN=CHECK • `,I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business• `7 7 9 50 - _ 1 3. 9 H _ ' . . '-id and Professions Code: ,The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ' '- : �_'. 271; ' 'and who contracts for such projects with a contractor(s)license pursuant to the Contractors,State License Law). l am aware . ***********,**************•**********************************************it`**')F**** ' - 'that proof of their Worker's Compensation insurance should be provided to•me. - I 'N . D I. V. I D "U 'A- L ' -F•-.E•• E B ',R E A K D O W N %% - q3 E - .I am exempt under Section: • B.S P.C. } t, is self: 7 . ' for this reason:. r TYPE QTY D.I E S. C R. 1 P T I 0 N UNIT COST TOTAL'r COST e • Dale: (7 —% ' owner' /y/jjj/1'�//,y�, - - SFR . 1919 DWE—TYPE V—WOOD -FRAME ' '—GOOD 01 t76i9?`00 ('J1USR71 132...4 11 , 00':.0' . I do hereby certify that I am aware of and understand the requirements of California Health a •Safety Code Sections 25505,25533,and• SFR 425 . RES—GARAGES TYPE; V DATE 17;,30/9 t .1-i fE: 1271;'3,5 2 , 5 0 25534 and that I of any future building occupant wit/will not(circle one)need to comply with said slate codes and the requirements for a - END •OF . FEES •• ' ' permit for construction or modification from the Air-Duality Manageme District idential conslruition applications are exempt from ' r - these provisions. T. - , 1 - ' -jam q I• . �� • Dale._(1 4' L/ Applicant: - <%. �.-. I hereby certify that I have mad this application and state that thea va a information is correct I agree to comply with all city and county r _ _ - . . • ,.k . properly s and state laws relating to building construction and hereby a horde representatives of this city to enter upon the above-mentioned 7. - .,4 - _ ? ' properly Int inspection purposes. Date:4��/—I( Signature' - - • - . . Driver's License or Social Security x: • - - 2" ' , • 1641-46 While—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - - • ' , . . i 1 . - . . . .. a.; -• .. . PG 'SPA. ., -. CONSTRUCTION AND PLANNING-- ' '• , ... -• APPROVALS . "., 4. - . • Date Inspector - Date ':-' Inspector APPROVALS Permit* - APPROVALS Permit # . - • •4 ..- - - ...- , _•-•-: 1. TemporariElectrital Service or POle ;152.:POol &,Equipment Location - . . . ..,-; 2. Soil Pipe-Undrgrnd. . ..- • ' 53.:Steel Reinforcement • 1 • (II_ -, .1.-- i - - t., g...•:!Floctricar:condyivlitility-Undrgrnd. . - ._ 54. Forms' ' ' • C'..., - ., .., ..... L„P •.-4.-.Electrical-Conduit-Undrgind. ; -- - . t; 55. Electrical Bonding - , .< he ; ;5.1Steel ReinfOtcemnt. - • - , 56. Rough Plurbbing;&Pressure Test .. 6. ;Electrical OF'E Grnd.„ . , . . _ 57. APPROVAL TOCOVER.GUNITE .. . , . „ • 3.; / : i.,. 7. Footings • ,,,- _...,L .. , .• 58. Electrical Conduii-Undrgrncl. ._ . '-I 8.•;Foundaciort ,..;. - . 59. Gas Pipe 0 Undtgrnd.;Test , •. . . . „ - . • 1.7 9. Water Pibe-Lfndrgrnd. 60 Backwash Lines,513.TraO,•0 Undrgrnd. .----;;;;-.5. •---;..27, ' ;•; . , :22 10. Structural Floor System , 61. APPROVAL,TD DECK- . • 711. Property Sever Line & House Connection 62. Backwash & Receptor Final ::- --7.-' r. c . • i..., . • .. : ..4 12. Sewer Cap , 63 Heater & Vent Final I -‘,.z-L. • • : , -, ., , / • • 13. Roof Drains, -... e., • ••••-.. - 64.. Plumbing Syst /em; Final . ••• • ' , - . • • • . : . . . • , 1. 14. Rough - tt Plumbing ..." '-' • .". 65. Electrical-Final ... 7 .' ' . •- -., .. • 1i 15. Rough Erectric. 1-Conduit• 66. Solar Syitem•Rinal •d, , , , , • ' 1 .-.16. Rough Elettric:Wiring. • ' ' - ' 67. Fencing & Access Approval . • . . . . .. :, ..- . LI' 17. Rough Wiring Sign . , • , 68."APPROVED FOR PLASTERING :; . 4 . . • • . . 4 18. Rough Elecblcal-T Bar Ceiling - - 69. POOL/SPA SYSTEMS'FINAL . ) ' -197.-Rough Heating-&-Air Conditioning. : I - ; -t" ' ''" '-- • • • FIRE DEPT. REQUIREMENT' - ' " • 20 "Rough Factory Fireplace 1 3. .3- 'et e a ;3 :7,; ; APPROVALS -.?„-_,Perniit # . . e i: r • ,- T..:NS.. tr •, VI , 21.-Ducis,in StrEctuli; •:-- .4...,.. .i 70. UndergrOund Hydro . . .- ... , . . .. • - 22. Ducts, Ventilating .1, • , . .-. .-4 • .:71. Product Piping aGas 0 Oil .., . - „ ..,_ _ i • 23 "Gas Pipe Rough&'Test t.-....cr' ; -72. Underground Flushj • I 24.1-Roof Framing ;.±.-•: . .-' •;.- ,.. :;" 0 er -A- s. ...73,7„Undergrnd..Storage-Tank;0 Gas 0 Oil.' .s,, 25. Roo! Sheathing .c. : • 7.2. 1,1, ar 74-Overhead Hydro:, - ,,,,. • 26:-.T . .-Bar Ceiling (Struatural) &.Monocoat : , -..` . :, .-91. -=21; 7," 75.- Dry Chemical .s.-- 7 - ' _. , .. . . 27:;.3.Frame and Flashipq, 1.-; ti ' 76r Lint Standpipe 1--.-.. ' --....0.:.g. 0,--.t--. > .tz: -,-. , 28. Latbingu& Siding. , . .,..1 ,...ti ; . ;...• - - , ••••. ••• 77:. FIXED SYSTEM RINAL :;;; -i. • . , .... _ . ...„. "29.• Insulation ''• ' •-• ...;. - - 1:•.-; .. ..-2 /1„,-4Tri, : 78,.FIRE PREV. FINAL li; ,,,.. ti,. . • ••;;.-30. Drywall Nailing -4.. . . ••• 'r- e; . ';.g1- 4 .;:' ' • HEALTH, DEPT. REQUIREMENT • .- . . _ 31. Plaster Brown Cogt - '1.• • ...- 79FINAL INSPECTION ' - ---' ;..t• -... . , .. -......, ...Di,-*.•;, . / .:, ... ;'.. 32.- Electrical Power 1‘Aeter,-FinalC --: ,. -.. "J 1 1 t y.37",-,13 1. ;.80.:FOOD CERTIFICATE ISSCJED- -.•• : „. .. ,, 11 • SPECIARkQ 33.-Fingl Electric t • ... . - .. -i• ., -.. . 5L-1,; : 'Notes IREME x84, .Final Heating & Air,Conditioniiig: ......y. .., .1. 1 -:', ...1-;4•::: . .. • _. HOLD' FOR--, 35:1•Final Gat Pipe•TeStk _ 7, - (-"' ' /5141.Ir.. iz, c r c-, r ..„ . •• t• - , 41,../ - t• Ce.:JI-'1 • ...e:1 .• -. • n. r . a b/ai, #,,,,,, ... . 4_374:Final Factory Firecilace, ,I• .:'• . ,.;•;;., 1 ' z... -38. F i Rol Play-6(N , -.. . ft; .a . (--- . .,. '2391:Maier SeTvice--Firill; - . -: • - ;:e 4,- C - , 'C _ ., . . .1 . eat... . • ..i .v .. _. . • ; • i.. k -C . ' - • -:,40: Gas Service-Final 1' .„, 4,r•..: :-. rt .4. . i ie ...";a 4.t:: . . . ...,• - . ;2417-Solar Domestic Final '-' - •-. ,.. • . 42. Backflow Preven .ftts& 0 ',:'... • 1.3.... . ... • - _ 43. Backflow Irrigatign . .., . i -.. ... . . , J' : • -. •-• .1: , . . . ., . rr Landscape lu-Iigaon System,,'-P- r• -... .1 ,;.; ..., (,-; V '; V : ,0• t.... 1:,,-: .... - 1/4,-,. '.•' , - - ..., • - . . '45 Sound AtterivatliTn , c; io - -..>" Z-ri : L.,.- r - • . . - ... ., .4' . ae: Handicap Regulations . -: ., • •. _ 43. FINAL STRUCTVRE & BUILDING ----4;cise' ' ref ;'' ; -'--..: • , •"2#•'-'9e-r; 48. Fl N4 • , . /-• ...49,'"Elea "Edison Release to-Edison ; .. ',. 4:;i(V01;4- '1; ',. .±2. /-;:e - /21f- --1-e 'entitle" •a .. . I - .. ' 50.. .Gas Rel..ease to Southern California Ggs Co . i. , E. r ::::, _ • .. . ' 51. CERTIFICATE ORIOCCUPANCY ; : 'p., fr.'. • -. . - • "sr . -.. . - .••• . • , r . . No.' Date • . ' . ' • • . . . . . . . . , . - . . . • • we CERTIFICATE OF COMPLIANCE • PAYMENT OF SCHOOL FACILITY FEES Ogg/ • NEWPORT-MESA UNIFIED SCHOOL DISTRICT • Developer/Applicant : u1Jc J-1-A esTn',e/Lr;,, _Y± Address : 1 7 # 40 Al CA 1 ?c i i'1 hc_- 4.Thi2 Phi]) )L1 SO Telephone Number : 77/ c/ 7S-7 tie / [ / . Tract/Parcel and Lot Number(s) :• ,4 Location of Project :' � - C'1 !0,000 Number of Square Feet of Residential Space - 4350 x $1 . 50 ' Total St/1V° .-5.4 Number. of' Square Feet of • Commercial and .Industrial Space x $0. 25 Total • Commercial/Industrial Project is : (Check One) Mini-storage ' Motel Preschool Movie Theater Bank Auto Repair . Racquet/Health Neighborhood Shops Hospital Warehouses R & -D Large Office Heavy. Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant .• Light Industrial - • Offide - Park Fast Food The provisions . of Government Code Section 53080 are not applicable. This 'certifies that the above-named Developer/Applicant has paid school facility fees in compliance :with Government Code Sections 53080 and 65995 . . ' Checks are to 'be made payable to New Dr\ rt-Mesa` Unified School District . _ • . 'Busin'ess Manager - Newport-Mesa Unified School District • The above representation as to square footage - is true . Developer/ Applicant agrees that if itis later determined that such representa- tions are not true - then this certificate shall automatically 'terminate and the appropriate City/County ' shal,l ' be• notified . Date : 1Z— 5- 4 , �1.� Developer/Applicant ��.cjbe l --rLQ u ?f --'`--fl PROJECT ADDRESS: ioj 23",«z. • UHT: F , . CITY OF COSTA MESA — BUILDING PERMIT PERM NO;. M 05563E OWNER'S NAME. V.N, E, DEVELOPMENT ADDRESS: 19800 MACARTHUR BL #1450 PERMIT NO: M 055638 PLAN CHECK NO:. . N GOVT; N SUPP: N .IRVINE CA 92715 CONSTRUCTION ,TYPE: 5 N PERMIT TYPE:. MEC PURPOSE: NEW ARCH/ENGINEER: REG.NO.: - x8 i 142 JOB DESCRIPTION' ,WITH AN ATTACHED (714 )757-9111 ADDRESS: TAYLOR ARCHITECTS GARAGE .-- SQ FT:' - 1670 SANTA ANA AV • K PERMITTEE: COSTAMESA CA 92627 CLAIM VALUE: CALC—VALUE: I • GROUP OCG:' R-3' • /M-1 BEACH AIR CONDITIONING (714 )848-4977 ADDRESS: 6131 NORBROOK DR COMMENTS: REF: B55400 ,INSTALL NEW FAU HUNTINGTON BEACH CA 92648 • **************************** *****************L *>,k******************************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ; ZONING R'• E Q U • I R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect., $ E T B A C K $ CITY LIC.: 050062 STATE UC.: 603499 CLASS: C— • - bate: ) .Z-3Cr 4,1" � Signature: -a._, • L//, _ MAIN 'BUILDINGACCESSORY BUILDING WAXERS'COMPENSATION DECLARATION: I hereby affirm t all have a cert' cafe 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.CT LEFT: FT • IN RGHT: ' FT IN ' LEFT: FT IN -RGHT: FT IN VOMPANY: LICY NO.: WCG80016738 EXP.DATE: O 1 /01 /92 • • TRANSAMERICA PARKING REQ. PROV: PARCEL' 42606408 INE; REF NO; Certified copy is hereby furnished. [}i Certified copy is filed with the city Building Division. PLANNING NOtES> !1 > .r7 nafe�_ /2_ CDS %/ Applicant: .. ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section n ed not be completed if the permit is for one hundred($100)or less).• 7 DEVELOPMENT S E 'R,V.—I C - E S R E, Q U I R E M E N T S 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 . 2- -lbw • subject to the Workers'Compensation Laws of Calimrnia. (ZONING APPROVED BY r , DATE; . 1 'Date: - ., • . Signature: . . .. _ ,. • • — NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED 'B Y .,%� I' DATE: : r Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 4 r -O •r CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction leading agency for the performance of the work for' APPL I CATION ISSUED B Y; _ ! F" L r DATE: 1�".-ZE:P-1 ` which this permit is issued)Section 3097.Civ.C). **********************7F*************** ************************************ '.ENDER: *************************_**************** **********_ 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 . 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' 5= , $MIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing'with Section 7000)of Division 3 of the Business r , 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 Sollars($500). • 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'State License Law TOTALS---- > • 9', 00 15 , 00 0.00 24 . 00 2 4 ,0 0 . , 00 S does not apply to an Owner of a property who builds or improves thereon,and who does such work himself/hers¢))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 dontracts for such projects with a contractorlsl license pursuant to the Contractors'State License Law).l am aware *,***,********.**.*.***,******.********.******.**.******.*****.**.********.***DF3f***.*****„****,* that proof of their Worker's Compensation insurance should be provided to me, , ❑ I am exempt under Section: B.&P.C. . I N D I V I .D U.;A L' F E E BR E A K D O W N for this reason: ' . TYPE QTY DESCRIPTIO N • ' UNIT COST : TOTAL- COST • Dale: ' - Owner: - I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 , 00 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 • _ • END .OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from - Ihese.provisicns. - Date: - Applicant • ' . I hereby certify that I have read this application and slate that the above information is correct I agree to comply with all city and county • ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ' - , property for inspection purposes. • - 01 0010 5.333-00105333 TOT : 24.• 4104 DATE: 12/30/41 TIME: 1D:26 ; nate _. Signature: - ' Driver's License or Social Security a: - 1641-46 White—Buildinq:Green—Code Enforcement:Canarv—Aoolicanl:Pink—Revenue:Goldenrod—Assessor - - ' I t I CONSTRUCTION AND'PL'ANN.NG.,, -I - - - 2:- Pa 'PA, - - , - _ ¢ - pate'^ Inspector - - - Date Insp. 1 It .'APPROVALS Permit# ' - " - 1 '. __. APPROVALS Permit# " - -1 -Temportr gEleitrical Service or Pole_ : - ' _ '^ ` q 'p^ ` - - _ - .� :Kir. • - - 52.;;Poo1 &E w nlent Location >, 2 Soil Pi • r L, ^ pe Undrgrnd.•Y; o : i:•K: I E_ 53 Steel'Reinforcement - . - , �4 •1.3 LEl„pt'ncalY rt loft UHIit•Y Undrgrrkf 1 ;.,1- .a 54 Forms- I_ _ - , V + 4::flectrical Conduit'-Undrgrnd 're' - 55 Electrical Bonding - ' i - t 5-jSteel-Rdi ce neer t,�.. f.F ,.,. 56.4-Rough:Plumbing& Pressure Test - � ,. . . '+. 40 .E 4 ., '+.� _ _ _ _ a.a Ii fi rElectricaCUFER Grnd'_ _ _ 57-APPROVAL: _TO:COVER:OUNITE 1O' t1.:72:Footings- : - 58. Electrical Conduit-Undr rnd. L- ,'�; &`Foundat;on;� ,_, ,-1' ,�Co ' - _ 59.-Gas Pipe, O:Undrgrnd:, Test r iia z„.„ t'Water Pipe4 ndrgrEd -4 • .s.c I AA 60.-Backwash Lines;P-Trap, ❑ Undrgrnd r 4i • x10.Structural Floor'Syste"m• - - " ': < 61. APPROVALTO DECK' . L;~ 11.-Property Sewer tine&'House Connection /! =, 62.'Backwash & Receptor-Final - ' • d er 1 •-r . 12'sewer Cap f, of �•�!y !" __ •/.i 63. Heater& Vent`-Final ' • . 13. Roof Drains ro et - et .0 a - - - -+, I `• - 64,. ,..:Plumbing System - Final , -' _ y. 14, Rough Plumbirig; • - 65,'Electrical-Final . - • 'y . 15. Rough Electrical•Conduit f,•� el; _,- I ' I. 66•-SolarSysterrCF,innal - - - 16. Rough Electric-iring, . -r, ! ' _ 67.- Fencing & 4etess',Approcal t .1 L'17. Rough Wiring Sign 68. APPROVED,FOR PLASTERING 18. Rough Electrica_IT Bar'Ceiling il 69. -800USPA SYSTEMS FINAL - - i ' 19• 'Rough-Hating 8t-Air Conditioning - . 3fjQ,1't ? - FIRE DEPT:REQUIREMENT - - - - t1; u. : E' £. 20.I Rough Factory Fireplace 1 L;tri '-Y1 ? C c,: ; a• !APPROVAL'S%•-^-CPerhIit# -F r T- i ,r <; tEl v: r) I iCSr rat :'l' L•, cra, x n cc �'ru1•-.t- :> x t; r- 21,4Ducif,in StructuTem.;T; . • -+S. � - (13, .-__,3:. : X70. Uadergr`otmd',Hydro T. 22. Ducts, Vehtitating-'- i .S .. r r S i;* t %71. Producf'Pj ing £ G-s ❑Oil 23.`Gas'Pi e:Rou h 8/test L k " C !" *' ._ '- 0`• y P g 1 tas ,;, ., u nr : ;J2. Underground Flush;t a _ 24.;RootFraming• Lr. . •..---:••• > > O .Z73.ttUndergrnd?Storag:Tank 0Gas0Otl 25. Roof'Sheathing •"'' '2. ,11 y '1 .T1 p7> '` ''• 7 I 4 .•, IT, J ✓ N* -,F 'I4 -0verhead Hydrop x 26.n,T-Bar,Ceiling (Structural) &rMonocoat .t' ti v rt :1, 75:Dry Chemical ,`1 K ra 7 1-4 I 27••'Frame and Flashing; tr.T, 4 le :r * 76.�Dr Standd"ipe •- F b 5 t1 .'1 1.28.TLattungl&Siding •! -i2 tc t X •• �x 'i 77^FIXED SYSTEM FINAL" V ^' ..I h r-.r, 1-i n y;r •ti .. .• > 'y CO t 't ; o . '29• Insulation S; ., * s 78.1.-"FIRE PR EV. FINAL a a , . 1,4 J30. Drywall Nailing :-.t. * ! Lk_' .-+ HEALTft EPT.r:REQUIREMENT 01. Plaster Brown.Co T:'; . i I4-,fx'' .79TFINA LINNSP_ECTION Y`. -' T tT T aL * I •.i•-' -ra , - I•. tT .,j -. p32..,Electrical Power (vleter Final I .: ,U tr; Al;: ,:80•t:F00D CERTIFICATE ISSUED rf 5 . I 33 *Einar EleetriC -'•r " s.,r' .[, xa t Notis- J * ' > tri ,,,+. * tt^, -. . 0 rte t-te or ;34. Final Heating.& A r:;Condrtioningt -- /-� etc. ., - [r _p �GJ/f :�trt., 35•:Final Gas:Pipe-Test` rn x l y-t' 1' > f` ri tris • .r a' SG n .. F(-x `• 4 r. fl a X 7 n7L3 .c 36.rHood.or ano :'' s r` tr? ` • "" .r t'I rL LN pY _ I K •ti ;:-1 II � ,; Z T a{^• * d-tr• - i 37.:Final1Factory Fireplace I H R' I l` -r it :5r n7.1; xt. oN c of ., C.' , .F tJ , R a 'c. '4.w V � - • 38. Final,Plwit ing :t; cc I s. ?: I f. x •S ;;,+ - I r y to :39. Water Service-Finals = .74 f.- i I k • no:a C ....",Ln....",Lnr ) �" X , - t40. Gas Service-Final :;; t1 'Ca a• S -i v1 I I 1::' f:u. C`, :41. Solar Domestic-Final S :4 `.1 ':,� I �e: ;to I-, 'a � . I r.' rt. '-10 • -r k 142=Backflow PreventerA F.;•33 ;, J II 1 r> .ai -te. >1 +: 1 _ 43, Backf low Irrigation- c."GISS r` - * CLF: * 3 - n, v , c1• r pn, ....• fl • 1. u ; s .-4• Landscape biligatioq SystemCx.1 ,r .. . t a ax r1; v ;1 10 .? 0.' .t- 7.4 .;,Sound A tenjationi_ Jai R ' r E - '-- t-* - F +"' Jam. . w,' 'I' 4, - .. .. 't :rr hi.* "y 'T. en •C - i- ._ :Y ' `_46. Handicap""Reg latiohs t' '' " '" -•* x ' ..44' ` •471.•.FINA L STRUCTURE & BUILDING x i - re•j• I t h•. v :U S :t 48.' lNALPLANNINGr. Lir';r n' t rt. gc :v u; J, t ., :•) E 4,- :R 11i I 1 I,'lfi 3, iri :.1 ,.f, r.. c-49._Electiric Release to Edison i ' '^ 1 Yh tri r• _•r_ ; (,50.;Gas Release to Sou{kern California Gas Co I Ior x 5 - `-'[ : O „ x•51. CERTIFICATE OF;OCCUPANCY ' ^ '' No. Date 1 -2Ic — "r-79.-is ,a . `- PROJECTADORESS: 185 23RD ST / UNIT: F CITY OF ,COSTA MESA — BUILDING PERMIT PERM NO: N - 05657E OWNER'S NAME: V N.E. DEVELOPMENT - - ADDREss: 13800 MACARTHUR #1450 PERMIT. NO: ' M 056575 PLAN CHECK NO: N GOVT: N SUPP: Y • CAVINE 92715 I CONSTRUCTION TYPE; 5—N •I PERMIT ,TYPE: MECPURPOSE: NEW • (714 )757-4111 • • ,ARCH/ENGINEER: TAYLOR ARCHITECTS REc.xO.: 19$' 8 JOB DESCRIPTION : NEW SFD WITH AN' ATTACHED GARAGE SQ. FT: ' • ADDRESS: 1670 SANTA ANA AV " r K ' PERMITTEE: COSTA MESA • CA 92627 • CLAIM VALUE: , • • - CALC—VALUE:. . - - GROUP OCC: R-3- /M-1 ADDRESS: V,N. E. DEVELOPMENT (714 ) 250-7830 19800 MACATHUR BL #1450 COMMENTS: REF: B55400 INSTALL NEW FIRE PLACE ) IRVINE CA 92715 , ******sr*+E****4*****SE******+E*SE*SE*sr*sr****sESEsr*SE*******+ESE**+E****scsEsr*+E***4*SEr+E****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G' R E Q U I. R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • - SETBACKS - CITY LIC.: STATE LIC.: CLASS: - - Date: ' Signature: MAIN 'BUILDING - ACCESSORY BUILDING • • •WORNERS'.COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or acertificate 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.: - EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 42606408 ZNE: REF NO: 7 Certified copy is hereby furnished. 0'Certified copy is filed with the city Building Division. . PLANNING NOTES> . • - • ,•1 - - ' Date. Applicant: *********************************************iF********************************* - EXEMPTIONFROMWORAERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred WOO)or less). �'~ D E V E L D P, M E N T S E R V I CSE^S ' REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become " _ �. subject to the Workers'Compensation Laws of California. ZONING APPROVED BY I : , DATE: ' Date: ... . -Signature:- - _ ' V` _ _ .. . . . . .. NOTICE:If,after making this declaration,you should becomei subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : • s DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. y� • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• / DATE• "its in n'� which.this permit is issued(Section 3097,Civ.C).- • **************************************** **************************** ** ****** LENDER: k ******************************************************************************* 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 j ' BLDG' PMT PLUMB ING - ELECTRIC MECHANIC • FIRE . SMIP/AES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 13,00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - • 51 r SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business { - f 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($500). ' ISSUE FEE 4 . 50 •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'Slate License Law TOTALS----> 13. 00 A . 50 0, 00 17. 50 17. 50 . 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 one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION OMECHANI ? OVER/SHORT: , 00 for the purpose of sae) BLDG PMT PLUMBING ELECTRIC C FIRE SMIP/TOT GRADING PLAN-CHECK ' I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business - ' ' 17. 50c.,- IX and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State-License Law). I am aware *.**.*.*.**.**.*.*.*..*.*.*****.*****.**.**.*****.**.1f*********.*****************.***.LE****.*.*******.* • that proof of their Worker's Compensation insurance should 'provided to me, . o am exempt under Section: B.8 P. I N D I V I D UAL F E E B R E A K D O W N F for this reason: / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: 3i u(Z� owner MEC 2 FACTORY FIREPLACE 6, 5013, 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505.255 ,and ' END OF FEES 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 Quality Management District.Residential construction applications are exempt from these provisions. Date: • Appli ant:/ / • I hereby certify that I have read this application nd slate that the above information is correct.I agree to comply with all tarty and county 1 !t �) ordinances and state laws relating to building c slruction and hereby Pe °rorepine atives of this city to enter upon the above mentioned • . 01 00110626-00110626 t property for inspection purposes. DATE: 03(16/92 TINE: 15:57 '17.50 Date: 1-12, Signature: • Driver's License or Social Security a: - ' 164146 Wnite—Building:Green—Code Enforcement:Canary—Applicant Pink—Revenue:Goldenrod—Assessor - POO. oPA i - - CONSTRUCTION AND PLANNING= ' • t=- - - c .. _ _ - - A n '- Rate' •Inspector " - Date - Inspector. , _ APPROVALS Permit# _ • _ _ c c APPROVALS Permit # r •- /)4 rt Temporary,Electncal Service or4Pole - :' 52 :Pool.& Equipment Location . _ " >� 2 I .alq _ - P ` 2� Soil Pipe-Undrgrnd. I _ • • 53-iSteel Reinforcement - V"' - 1 %4 - or 'a.-.r..r c.- tl T•-.s-1' - A - l } _,•3:9.J.IcctYij`,Coitd_Alri.tility-Undrgrnd. - - * . I , _ 54.,Forms. ' "-- �� - - A ..;A4 ERsttieacQorR4ait%UThdrgrnd- _ 55. _Electrical Bonding ( _ '• r4: -ti Mr 4 - - t - �� `5; tee-,1.:Rii2f'dtt 56., Rough Plumbing & Pressure Test EcUJ.1,, , - , - - - a.i t. '• lectrialF� �rnd.. '>' - 57. APPROVAL TO COVERJGUNITE . - o: " -nrr --._,( Rt-• . - - Footin•gi^758. Electrical Cond u_it-Und grnd. 6.; oundatror g 59.,•Gas Pipe, 0 Undrgrnd.,-Test er -' - _S.?Nater PilSe ind 9md. _ 60.-Backwash Lines,P-Trap, 0 Undrgrnd. i - 4 ^n 10.-Structural Floor 6'stem • _ 61. APPROVAL-TO DECK -, !' • 11. Property Sewer Line.& House Connection • - = 62.'Backwash &ReceptorFinal j; t 11 •' 12. -Sewer Cap . :., v. _ 6 .,3Heae & VentFinal - ; �' 13. Roof Drains ! - - - 64: Plumbing System'- Final -• • 14. Rough Plumbiogg r • - 65._Electrical-Final • " i . 15. Rough Electrical-Conduit 66: Solar System-Final - 16. Rough Electric Wiring - - 67._ Fencing & Abcess Approval tr17. Rough Wiring Sign - • ' 68. APPROVED'F,OR PLASTERING _ r 18. Rough Electrit-T Bar Ceiling • .. 69._POOUSPA SYSTEMS FINAL •- t 19.--Rough Heating & Air'Conditioning -• -'•---- - • - -- ' - FIRE DEPT. REQUIREMENT - >. 20.ttRod h Factory Fireplace 1 ant 'S'^ Z CAra * tPPR'OVALS;=cPer it# *" >' tri U' S "c r, 1•s 1 Str tC< • & % r•'7/x -Y :r C. Q:11-:t-' > t : 1 S f'a Si: r :-r SCS m 1--. -�.t x y - .>... 7Q y: , 'J 21 _.Dues in-Strnctur9x 1 .. .. �S * 5 .7 :_,.c '* -70. Underground Hydro a: 22. Duct,), Ventilatingp.,. 1 .�S * • ^ Cl: x ^-71. ProducerrSing LOtGes DYOil tr 1-, tg x ,.t. .-i4.it -. .n t t VC r r-}S 23.Gasj'ipeJ�ough & lest I tas_ :i tn. C- K O? * -,72. Underground Flush x X. - _..•-.•. y . 24 sRoaf Framing- rti I € E" = . O C x + S73?Undergrnii:Stor eSTank,p Gas D Oil 25. ROQt,Slia- thing ::- r,; .r ,.♦ 0 .� cu *. 74 yOverhead iiydro0 26 -B'rCeiling (Stnuotural) &,tonc to ocoat G :_TVI:" 'it-- 75="DryChemical ' * •-f a tr - ... .. --lc 'es t m. r r IV r- -_ t •C 27.. Frame and Flash' O:u . S is ri . ;., S .. :�u;ra; X .- �.. tC+ 1 76. Dry Standpipe E.m /�.. (. ;.28. Lati_ting..& Siding .-=i• "'r2- rc :kX * 777 FIXEDSYSTE1VEThINAL* t^ _�r ri!r t-. •- Jr ..i ..1 he* f-a p.m • w ,-i e-1 27.4 . 29. Insulation St.O `" ••• ••- �' ` th r. :r CO s .r, Et x 78rFIRE PREV. FINAL ♦: 7 W. tt' tr30. Drywall‘-Nailing S>" s I +'-k �; HEALTH-DEPT4REQUIREMENT rn 31. Plaster Bi'ow,a�Co`atr I :lc, tt,tr * I fff{����ffff••• * r79. FINAL IfHPECTIN a .�, 1: ,cc .r�* ii-r I .^- .,. •+: i--32.;;Electrical Powers.1oter,;Finalt *. pJ r r n8O;rFOOD CERTIFI.GATE ISSUED n >L33...;9' inal Electri - c" * '`t ! I '' ''` "Na"es: ,`.. -I>.* r ,r 1•; rr:t is 1 y * rt '-J.7 +: "7 C :,j34:-Finetl Heating;& Air4ndition1tg,- n I4. « S n s S- • 35.tFin-at Gal{'Pipe-Tct rim •, ra I I It n ;z:o pr`S_,v• ~ .r •m ,.t. F .r may. -. x r ^LL .. - tri -, 1J = - tt36. Hood ortcanopy,al a I tt"i a It r: f;� A: r. S_ no z .r IC •n -.•n t rn rn 1.'37 CFinal Factor Firetilace^ I S'T to ,tne. t ". x z n a to Ht r38. Final Pl urnbing x io i -- - r S 'f rr %39. Water Service-Final?t a • * ft ' :,oax 0 .-.Ls; * rs: rrt x 5' I :K it If: y: >. t .r.40. Gas Service-Final I:. tr ejtr•tr. S w tr, ' ` r .* r 4 :v a.1 i t ' _ - •-,Tr -' :in. Solar Domestic-Finals in. • •- .f: t..) I I * i2 PJ FA r F-'42rBackflow Preventer,;`" t!COi * �- k Q - '••a i- 43. Backflow Irri"ation •V &'SS *.,.r.- . x .i: a O rc r9 t .f: tr. .r 13 i^ R n - 44. Landscape IKtigatiop Systertl�ttt rr, C p l7* * X to ?J ,-0 *. ,v a . . ...-l..t -. - c ' - o S r _ r_. F45f_Sound Attenuation: 1--; (-- n• ••' X 'r c' E'rt: *c 'i 1-. CL- ti:1/4( :r. : -. .r s ", tri tt1 tr,.f. -t e• C • FC X46};Nandicap.Regglat- ' S -r to '• •• '-t- r J - r- v --,-1 r i-f c :t' -r t: xz a 5 Go s - t t :,)Fll`FAL STRUCTURE & BUtLDING •� (�-v - m 5 =fn E 482FINF'ALPLA`NNING; 1 'ct„LT' :1•: f 1 ,- :r la C r ., .. I r ;.49 Eleo[ric Release to.:Edison i ;v I 1 '• -t S it C :Y ,S _ ILf -n a: �+ u hern California Gas CoY `; S '' G'- .6 �$O..GasSReleasetoSo y I I fu; _ . ottn * p 01. CERTIFICATE OF OCCUPANCY 1: * r = lata 0. p- o No. Date • PROJECT ADDRESS: ZA ; p U •/J - .�- CITY OF` COSTA MESA BUILDING PERMIT PERM NO: , P 055423 owNEli's,xamE: V.N.E. DEVELOPMENT - • ,;, ADDRESs: 19800 MACARTHUR :EL #1450 PERMIT, NOc P . 05542.3 • PLAN CHECK NO:r , N GOVT; N 'SUPP: N • •IRVINE' '. , ' CA' 92'11'5 CONSTRUCTION TYPE; ' 5—N PERMIT ,TYPE: PLU PURPOSE: OTH ' ( 714 ) 757-4111• ARCH/ENGINEER: TAYLOR ARCHITECTS • • ' RED,No.: 14878 ' - JOB DESCRIPTION NEW'SFD WITH'- AN ATTACHED 'GARAGE ' • SQ' FT: ADDRESS: 1670 SANTA ANA 'AV wilt . • • - COSTA MESA CA 92627 CLAIM VALUE; • CALC VALUE: GROUP OCC: R-3 /M 1;. • PERMITTEE. V.W. E. DEVELOPMENT ( 71'4 ) 250-7830 . ' ;, ADDREss: .19800 'MACATH(JR BL #1950 COMMENTS: RE; B55400. PRIMARY BLDG, PERMIT. • IRVINE CA . 92715 , '. '**************************** ** ***************IEEE*********+6x*** +E***N**i * r+ * * LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section _ , .2 0 N I N G- R E Q- U - I, R Eli E• N 'T S. .. • 7000)of Division-3 of.the Business and Professions Code.'and my license is in full force and effect. - CITY LIC.: ' STATE LIC.: CLASS: , - ' S E T °H A C K S • Dale: Signature: MAIN .BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' ' FRNT; •FT . IN REAR: . FT ''IN FRNT: r' FT IN REAR; FT • I N• .Compensation Insurance'or a certified copy thereof(Section 3800, Lab.Cf. . , LEFT: FT IN RGHT; FT IN- . LEFT: FT' IN RGHT: • . FT .. IN POLICY NO.:' ' EXP.DATE: - • ' • COMPANY: :PARKING .REQ• PROVPARCEL: 4260'6408 INE: REF NO; • El Certified copy is hereby furnished.•0 Certified copy is filed with the city Building Division.' • PLANNING NOTES> . • ' Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION; (This section need not be completed it the permit is for one hundred(4100)or less). D E V E L O P M 'E N T SERVICES REQUIREMENTS - I certify that in the performance of the work 1or.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 Dam'. ' . . Signature: . ,. . . '. _.. ' , ._ ,iM., ,.... _... 4. .t - . _ .. .. . NOTICE If after making this declaration.you.should become subject to'the Workers'I Compensation provisions of the Labor BUILDING APPROVED•:BY' DATE;- Code.,you must forthwith comply with such provisions or this permit shall be deemed revoked. ' • f a � �� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction-lending agency for the performance of the work for APPLICATION ISSUED BY• -' � ' .DATE• I�Y/ 7/ which lois permil�is issued(Section 3097.Civ.C). - *********************3E*** S- . * * • * 3e * *. **************** Fie7i•;FSi•Tt•jIF 3c**** e LENDER: • . _ ******************************************** *********.****************.*).* ADDRESS LEGALIZATION:N - . F E E S U M M AR Y ' ' STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION:, I hereby affirm thatl 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 °• • .3 3 00 t repair any structure.prior to its issuance,also requires the applicant ton such permit to file a signed statement that he/she is licensed . _i • 2 5�' r • SMIP/NON—RES 1 ' 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 PLAN • 1 _ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3, 00 , • •I. as owner of the property or my employees with wages as their sole compensation,-win do-the work; and the BUILDING—DIV—> PERMIT ISSUE .PLAN—CHECK ' . TOTAL- - PAID . ' ' DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—.--->- . 33 . 00 3:00 ' 0 . 0 0 • 36. 00 . 36_ 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 oaeretl4or sale.IL however the building or : REVENUE D IVIS ION TOTALS-r> COLLECTED: 36 , OUHOVER/SHORT- 'U O • . improvement is sold within one year of,completion,the owner will have the burden of proving he/she did not build or improve • for purpose of sale). . - . - - BLDG. PMT PLUMBING ELECTRIC ;MECHANIC '-;FIRE .SMIP/T'OT GRADING PLAN—CHECK • • • _ I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . 36 . 00 t • - , •, ®' and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon. . and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware' ****.*******************************************************************9f*******, that proof of their Worker's Compensation insurance shoutdbe provided to me. - I N D I- V I ' D. U A L F E E . 'B R E A K D : O W N - ' • • o I am exempt under Section. j. B.8 P.•C' I I. ' for this reason.• TYPE QTY - • D E ,S C R: I P T I O N ' UNIT COST •' • TOTAL COST .nate /� 9— l / , owner. RA; �•' • ` PLU. 2: BATHTUB • - • ' i - I do hereby Willy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU • ' 1 ' DISHWASHER._ 2 , 00• + 4 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a . PLU . 1. .SINK,- BAR 2 . 00 ;2 . 00 permit for construction or modification from the Air Duality Man gement District.Residential construction applications are exempt from PLU 1 SINK, KITCHEN + 2 . O O - '2 . 00 �' . O O (hese provisi is. . . ' - - '2 , 00 - � PLU 2 WASHBASIN (SET) 2 .00 4 , 00' • Date`. / V- / 'Applicant: I . PLU• 3 : ' ' WATER CLOSET (TOILET) . . . . ' ' • 2 . 00 • ' ' - 6 . 00 . I hereby certify that I have read this application and slate that the above information is correct.I agree to comply.with all city and county PLO '. . .1 , WATER HEATER AND/OR• VENT v 2 , 00 • . '2 , 00 ,- ' ordinances and state laws relating to building construction and hereby authorize representalivesothis city toenter upon the above-mentioned PLU, . - ,1 ' • WATER',SERVICE • .2 , 00, ° - -' '2 , 00 proPerIy for In ection urpos,y/ • _ PLU 1 • GAS PIPING SYS OF— 1 TO 4 OUTLETS 2 , 00 2 , 00 ' •. Dale: '' / - Gb/ Signature: illG PLU 1 GAS SERVICE . 2 . 00-p 2', 00 PLU 1 SEWER,• CONNECTION TO BUILDING . EACH '.p1 0015 -OO 00103979 T � 5 • 00 - ; Driver's License or Social Security s: - DATE 11109/01 T sstE= 13"37 - 16j1-46 White—Building;Green—Code EnlorcemenC Canary—Applicant;Pink—Revenue:Goldenrod—Assessor - . - COI'wTRUGI ION AND PLANNING', - Wit• '" Date Inspector - Date •Inspector : A R,PPROVALS Permit# - APPROVALS Permit# ' :1"Temporary Electrical Service'or Pole' - '52. Pool &Equipment Location. �'- t .• •< , 2.`Soil Pipe-Undrgrnd. 53-lSteel Reinforcement J yrr.: t - - I�'"i 3:�Electrical�Conduit Utility-Undrgrnd. • - - 54..Forms.- • - I - ! r' t 1 i.iv' 14;.Electrical Conduil:Undrgrnd. - - -� 55. ,Electrical Bonding .; - .! 11, /.. 5. Steel Reinforcement - • - 56. 'Rough Plumbing & Pressure`Test - ;. .-r if, • r, 4.6. Electrical.UFER Grnd. . - ' _ 57. APPROVAL TO COVER-GUNITE � ; -:%7.. Footings- . • - - 58. Electrical.Conduit-Undrgrnd; - .. • '9.-Water Pipe-Undrgrnd, - 60. Backwash Lines, P-Trap, O.Undrgrnd, -7 h y •?e. ,,10. Structural Floor System , - 612 APPROVAL TO DECK •' 1 ^ 'ri• 11. Property' Sewer Line& House Connection _ �.✓ (,-' 62. Backwash & Receptor-Final .--'2 ". 12.•Sewer Cap_ ; -, - 63.•Heiter& Vent-Final - - 113. Roof Drains c • - 64. Plumbing System- Final - I ' =!' i 14.. Rough Plumbing - 65.-Electrical-Final - - - i - - , ' 15. Rough Electrical --Conduit - 66. Solar System-Final '• /y; 16. Rough ElectricWiring' - � J ! 1 _ -_• 67. Fencing& •• - , .s Approval 41 :17. Rough Wiring Sign :68.-APPROVED FOR PLASTERING S• 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS:F-INAL •, -- 19:Rough Heating & Air Conditioning • x'- • - ' -^ a - • • •FIRE"DEPT: REQUIREMENT ' -- - • -f' 20:Rough Factory Fireplace q -: _ .2 APPROVALS: . :Permit# - 1 it i '..•Ili it-I - '- ,[, . ,. - .. 21.'Duct • s, in♦Strticture' . • , '70. Underground;Hydro i . 122. Ducts, Ventilating > •i ,71. ProducvPiping 0 Gas ❑Oil 23.1Gas Pipe=Rough & Test -L,,_ - ,� . 72. Underground Flush, ', - • 24. Roof Framing . 73.••Undergrnd:Storage.Tank 0 Gas 0ail --<-'' . - -r." 25. Roof Sheathing '' ' -' : • " '74.-Overhead Hydro 26..T-Bar Ceiling (Structural) &,Monocoat _ •_ - 75: Dry Chemical - 27. Frame and Flashing • -`, y • L. - r 76. Dry Stand0ige >r' 4i. "' I `;..;• ,,. .r ' , . _28.. Lathing`&Siding, F. 3.(..'• +: . . .. -, 77;.-FIXED SYSTEM.,F.INAL+. - r -.. ='29. Insulation - : ' .r ' , 781;FIRE PREV. FINAL .•i ? ti , , .30. Drywall Nailing ••--, ,rv�4r : • • .. TH DEPT. REQUIREMENL °- r...3:1. Plaster Brown Coat : # i, 1' - ;79:-.FINAL-INSPECTION r - `32. Electrical,PowerMeter-Final, , n1. i .. r80.1FOODCERTIFICATE ISSUED 33:_Final Electric. - 3. /,%.'\ 'Notes: _ r,.} 34.-Final Heating'& Air,Conditioning, .4: .'" �•�; y. .S ..'r .. . ti -. 35.:Final Gas Pipe-Test • _ /�', • _ P. . 36. •Hood or,CanoPY'. � y { - ' 37::Final Factory'Fireplace - "' C. - �= /` • ' P. . 38. Final Plumbing ' _ ! - ..i_ y - - ':39. Water Service_Final• • i ' t 'L { 7Y • .." 40. Gas Service-Final , - _, >41. Solar Domestic-Final - - - _ ,• : `- •- . 42:Backflow Preventer - 1J. . - < ` 43. Backflow Irrigation- _ i, • .0.44., Landscape Irrigation Systems.s >45..Sound Attenuation ..46. Handicap Regulations • i- 47.sFINAL STRUCTURE & BUILDING t, 48t-FINAL PLANNING � ' • ,`,'. - :49.`Electric Release to Edison • >; 50. Gas Release to Southern California Gas Co 1i I. V51. CERTIFICATE OF. 00CUPANCY , r,-r - • > ;y.7.j= _ `-, rj,a' No. Date - PROJECT ADDRESS: .- 'UNIT: ' - i. .• - - . . - ' - OWNER'S NAME: . . , .. •- . ._. , r. 1 + ADDRESS • _ - 'PERMIT NO: P 055423 : PLAN CHEC• K NO: :05074-91 N ; ., PAGE: 2 *�ci **x+ET ir �E*.* Eye *iF** *�r�EiE�E#� *� *x*** ir*: �E * �E*�c �F �E* E * �t>Er + *i *x�tx t�r*E • ARCH/ENGINEER: " - • 'REGNO:: • ,�. • ADDRESS: -U - TYPE . QTY' D E S C R I 'P T I: O N UNIT COST •;TOTAL COST : ' 'END OF FEES • PERMITTEE: •, • ADDRESS: .- . . . ... ,_ ' LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section - . 7000)of Division 3 of the Business and Professions Code, and my license is in full force and effect. - • . . '' - . - CITY LIC.: ' STATE LIC.: _ CLASS: i . Date: . . • 'Signature'. _ . i .. - WORKERS'COMPENSATION DECLARATION: ,I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' ' . , Compensation Insurance.or a certified copy thereof(Section 3800, Lab.-C). . : POLICY NO.: - EXP.DATE: • _ COMPANY: - + ❑ Cenilied copy is hereby furnished. ❑,Certified copy is filed with the city Building Division. : • Date ' Applicant .+S _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: .(This section need not be ompleted if the permit if for one hundred($100)or less).' • ' 1.4` - • I certify that in the performance of the work for which this permit is issued.I shallnof,employ any persoryrn`any manner so as to become -. - _ subject to the Workers'Compensation Laws of California. '- .r .- 099.- ' Date. _. Signature: ` . . . . • NOTICE:If.after.making this declaration.you should become subject to the W,orkers 'Compensation provisions of the Labor . ' : Code.you-must forthwith comply with such provisions-or this permit shall be/deemed revoked Ir• • • 127; - ' 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). , -LENDER: . " . ` ADORE$$: 1.` _ . .. .. OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from.lhe Contractors'State License Law for the following reason ' r _ _ - " ' (Section 7031.5 Business and Professional Code:'Any 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 7000)of Division 3 of the Business • • . and Processions 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 applicatt•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' ' - - ❑ 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 properly who builds or improves thereon,and who does such work himself/herself or through • , , . j his or her own employees, provided that such improvements•are not intended.or offered for sale. If,•however the building or I • - +' t -.improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve - - a • for the purpose of sale). , I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • •"' •' •t ' ❑.` and Professions Code: The Contractors'State License Law does not apply to an owner of properlywho builds or improves thereon.' ' ' . . - ' • and who contracts for such projects with a Contractors)license pursuant to the Contractors'State License Law).I am aware • _ • .. that proof of their Worker's Compensation insurance should be provided to me.' b ❑ -I am exempt,under Section: B.&P.C. - ' ' - • ' . • for this reason: • - ,'1-_ - • 'tate:, • - ' Owner: • . 1:4.-.4.1: • • ' I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and - • - 25534•antlthat I or any future buildingoccupant 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 • (AItDAL)F+. ''CAT E: Flx•t- is.ii mese provisions. • Ur 1L�i j727��(1QI0$9%9 [) 3 ' Dale: Applicant: •. . ' , ., /09 1 TatiE: 13:3p ir'.t (i - - I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county . - • ' ' : -ordinances and stale 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 x: ' ' . . . • . 164146 White-Building:Green—Code Enlorcement:Canary_Applicant:Pink—Revenue,Goldenrod—Assessor. - - . POOL &SPA - ' • CONSTRUC'iION'AND'PLANNING'- -; :' .i Date ` 'Inspector Date Inspector 'APPROVALS Permit# -_ ,� _ APPROVALS. Permit# _ • - 6 1 k 1. :Temporary Electrical Service or pole ,-., , 52: Pool & Equipment Location : , '` • 2. 'Soil Pipe-Undrgrnd. ' • - _ , - 53.-:Steel'Reinforcement .- ' r, 3..Elecfrical Conduit Utility_Undrgrrid. ' - =t . 54 -Forms - ' , - .4, Electrical Conduit-Undrgrnd. - r - • 55. Electrical Bonding - I:. „ . 5. Steel Reinforcement -_ • 7. ,- • , 3,` E - 56. "Rough Plumbing & Pressure Test _ " 6. Electrical UF ER Grnd. - 57..APPROVAL TO COVE RtGUNITE - -• - 7. Footings ' 58.-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 11/3jQt. (,O 62: Backwash & Receptor-Final ' , `- 12. Sewer Cap - - !; ; 63. Heater &,Vennal _ . t 13. Roof Drains 64, Plumbing System - Final - 14. Rough Plumbirig 3(1Gh Z (.04 65.'Electrical-Final- - " 15. Rough Electrical-Conduit - . 66.-Solar'System-Final - t a "). b,16. Rough Electric Wiring, - • - 67.:Fencing &Access Approval • t7. Rough Wiring Sign68. APPROVED FOR PLASTERING _ - 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL t ""19. Rd"ugh Heating-8/ Air Conditioning" "' : - ' .. 4'FIREtEPT.'REQUIREMENT ' ' "' • ' 20: Rough Factory Fireplace APPROVALS Permit# / Ill.Ducts,in Structure -4' 70. Underground Hydro `22. Ducts; Ventilating - 71. Product Piping 0 Gas O Oil 23. Gas;Pipe-Rough &;Test 72. Underground Flush 24.••Roof Framing ' •BVI* • 73. Undergrnd.Storage Tank OGas ❑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 ,):t 78. FIREPREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat , - 79.. FINAL INSPECTION _ 32.'Electrical Power Meter-Final . 4. 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 !(i&/Yzp . - 40."Ga s Sergi ce-Fina 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 - - - 48. FINAL PLANNING • 49. Electric Release to Edison ' 50. Gas"Release to Southern California Gas Co •• ' 51. CERTIFICATE OF OCCUPANCY • • • No. - Date ' -