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2402 LA MESA CT - Building Permits
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. C 47. 1 a PERMIT N . TRACT NO. LOT NU. —UNIT NO. /� of�'G 2/L_/�C v. / _ - ! ,.- \ - 'CITY�OF COSTA.MESA CONjS,TRUCTION PERMIT A.P. 4 / J,l V✓. C� zone •y�L.'(• Project Address -2402 L4 H .54 Cotner ,$ 3�-.� Z3(. ��4 SC ' '0 Two - � �� . QQ �� ) �7S Main Building:, - \e 1 , Accesiory Building: Iers WESTGLIFF N. TYPE OF CONSTRUCTION KNEW HADD HALTERATION HREPAIR E aj` Z Applicant's Maili g Address r/ T '`_:I., O//--,�17�^ ❑ CONVERSION ❑ DEMOLISH '❑ OTHER TFront //W -' ar n PhonM1�"TJ-49« _ S/N(&LE FAKE/l7 - i B Rear 101N Owner's;Name T L ., DESCRIPTION OF WORK/USE OF BLDG. I Address/ ID�''1 /' 2 ,/ 'I.we N L.� : Vic .! '"•ii I 1 C Right I - - .. N Arch/Eng: YALE 028f5(�a License No.`- - 70407 TYPE OF PERMIT GRADING FOUNDATION �� STRUCTURAL • `tet Address j'7332 /awe•* `34. 95#//S m97-7 J ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S . Left /Lt - 8 - - - G R Contractor's Nam /x'ELtd A__6 o SPh ria -❑ OTHER• (� (i�/2. - Ping. Ref.# . ��.c -Parking Reg./Provided Vic: E �1 1 1,.- 1-�c r- q y� PROJECT DESCRIPTION SO- FT. 'ZSO R,FJs. OCCUPANC _2-3 Q Address(mailing) �BZS STCL(F)< lac r'�� 1 'ALS. N y YPlanning Notes: UO . __ Jl my REQU]KLMEN'IS -t:• , Ni DStp4 • -CONSTRUCTION TYPE Tr VALUATION$ /10,02..5.5"*- - p T City License No. ZONE GRADING CU.YDS. • ACRES ' - i - - - - 4�y - S- - LICENSED CONTRACTOR DECLARATION �1 �[ r�/(� y��..��f �/� }{�� 4rtl ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 'V_4 Type OSE - I (.A�•1L�11� �K^ul—s v1`� � l��l lel/ with section 7000) of Division 3'of the Business and Professions Code, and if,L license is in full h,ce .ntl effect. 41 Aq p ' •- 'g5 f_ 3 OS'—e:64. ELECTRICAL \• !....,,iii FEES License Cla s I tiro7 •arise No. I C'I !J`1 / Automatic Washer• Transformer ❑ 15-50 KW - Date - fl Signature ��i1��7 PLUMBING - ' I FEES WORKERS' COMPENSATION DECLARATION �% Co [ruction Pole Sub. - 0 50+ KW •-i".areby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink / Showers .p} �'*°"Workers' Compensation Insurance, or a certified copy thereof (Section - i - / Cooking -•it- Meter Iqup to 100 amps -- ��"oo,'Lab. C. q - Fact-whir Backflow Preventer Service Sink _ • Policy NoW�$BS6Z33003 company I ac MOA JT L.A/S-' I 1 (Backflow Irrigation • I Sewer Cap t Dishwasher Meter Dover 100 amp - ❑ Certified copy is hereby furnished; , f'-' - I I 7 Dryels�Gas ❑EI¢ iC , .. k1i Cerj�fieq op�ygs filed with the city ,99,,��yy11''Idyr9 Bath .s Sewer Connection f Sub Panel Date (p- /�• O Applicant'-'tom•(- 7 n 1 Fan Motors •: 1 HP ❑1Xt 8 • EXEMPTION FROM WORKERS'COMPENSATION ECLARATION Clarifiers Solar Collector's - - (This section need not be completed if the permit is for one hundred ($100) or / F.A.U: I18-15+ olar ❑9-15 HP ❑ less). / / Dishwasher - Solar t Pipi .' I certify that in the performance ot'the work for which this permit is issued - - - 'JAI Fixtures1.-f '- shall not employ any person in any'manner so as to become subject to the Drinking Fountains Sol ank - _'kV r•ES, " - , ICIOWave ' - Workers' Compensation Laws of California: - ,� Date Si nature ,; Device Boxes ht 7I ' V 9 Floor Drains wimming Pool w/Spa - ' ' 9 NOTICE:If,after making this declaration, you should become subject to the OutletsI Workers' Compensation provisions of-the Labor Code, you must forthwith13 Floor Sinks - , - Range • „y --- comply with such provisions or this permit shall be deemed revoked. CONSTRUCTIONLENDING AGENCY / 5 3 �I $vuitch¢s I Sign Gas Service Outle Wate loser I hereby affirm that there is a construction lending agency for the performance of the• work for which this permit is issued (Section 3097 Civ. C.) =/ Garbage Disp• .1 Standing Sections • Lender's Name. Interceptors / Water Heat 1 Lender's Address - • � Kitchen Sink . - , .Water Service Genera-• ■0-5 KW 05-15 KW Trash Compactor OWNER.BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the 5 Lavatories ' Auto-Wash _ (x , following reason (Section 7031.5 Business and Professional Code: Any city or 1Vv county which requires a permit to construct,alter,improve,demolish or repair aP-Trap Laundry Trays' '+ "%� any structure, prior to its-issuance, also requires thepplicant for such:permit I to file a signed statement that he/she is licensed pursuant to the provisions of ..Drains - '-^ •�/ - re Contractor's License Law (Chapter 9 (commencing with Section 7000) of _, _ `'°.$inion 3 of the Business and Professions Code) or that he/she is exempt - - Reinspection Fee $i5 Issue Fee . $ 3 aefrom and the basis for the alleged exemption. Any-violation of Section .::.,k Z.31.5 1.`31.5 by any applicant for a permit subjects the-applicant to a civil - ' - - . 'penalty of not more than five hundred dollars($500). •DEVELOPMENT SERVICES REQUIREMENTS: i.y �� �n Q O I„as owner of the,prolierty or my employees with wages as their sole Reinspection Fee I - $15 - Issue Fee $, Zgning:Appro NT SE "V y/ -' nate”' —c2( -CJ8 compensation, •will do the work,and the structure is not intended or-offered - - for sale-(Secion 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - Building Approved By Date License Law does not apply to an owner of a property who builds or improves . _ - _ _ > ___ r[�f f / �q thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I, ❑ Application Issued By 4/J ]A Date(O Ld—L7f� employees, provided that such improvements are not intended or offered foryPr sale. If, however, the buildingor improvement is sold within one year of com- .. - , ' .. ' pletion, the owner will have he burden of proving he/she did not build or im- , . Duct- Under'Ground Canopy Type •II 0 - „ SLJplppp1 DF FEES 1'f, prove for the purpose of sale). •, BUILDING PERMIT $ �afYT.j• SMTP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System - PLAN CHECK 135 O tractors to construct the project (Section 7044,Business and Professions Code: — - : $ PERMIT • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating - ' - 0-100,000 BTU • 11,000 BTU PLUMBING $ ISSUANCE ' $ builds or improves thereon. and who contracts for such oroiects with a con- - - - - - tractor(s) license pursuant to the Contractors License Law). I am aware that Exhaust System 0 Multiple ❑i Syste :ep.- Alteration I PLAN CHECK 25% ,$ ENERGY,P.C.. $ _ proof, of their Worker's Compensation insurance should be provided to me. ELECTRICAL >,$ .GRADING $ , 0 ram exempt under Section B.& P.C.for this reason 2 Firepl/Fact.Bit. ICBG#22301; Fire a I. per PLAN CHECK 50% $ MICROFILM $ ,p p q ' Date Owner- - Heating System& Ducting 'egisters i$ TOTAL FEE $ l �1 L�� • MECHANICAL I hereby certify that -I'have read-this application and state that'tile above 1$0-100,000 BTU 0100,000 BT ' - -- - , - PLAN CHECK '25% Information is correct. I agree to comply with all city and county ordinances ' - $ . and state laws relating to uilding construction,and hereby authorize repre- 1 sentatives of this//city jI q'I�enter upon the above-mentioned propert r - . - Inspection purpasj/s / {g�(�{p - . Signature -1-?/Y•`^C7 DatAO• -VV -� , Drivers' License or 55 • Reinspection Fee $15 Issue Fees $ 3 ... rj 00007572-G30117574 TC+E1 999- 0865-46,rev. 5/88 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor . CONSTRUCTIONAND PLANNINGr ' ! ' ,'..," i ‘ '- ..-L-- `- PO. SPA 'APPROVALS 'Permit# DateInspectorInspector `APPROVALS Permit# Date Inspector F.•Temporary;Electrical Service or Pole ;y 52. Pool & Equipment Location -2. Soirpipe-Undrgrnd. '.9 - .•i0 v, 53. Steel Reinforcement 1 3.• Electrical,Conduit Utility-Undrgrnd. .a 54. Forms - N/ 4)Electrical Coriduit:Un'dtgrnd. " 'v ,55. Electrical Bonding ,-4 5,'Steel'Reinforcement U ,� 56. Rough•Plumbing & Pressure Test U 6.. 'Electrical UFER Grnd' /; gg 57. APPROVikLTO COVER-GUNITE ; 7h Footings :Z/ :! 1 ,: a� 58. Electrical'Conduit,Undrgrnd. S Foundatlon�' } n- ;:,1/ 1. ���/%%,,, ' 59. -Gas Pipe, 0 Undrgrnd., Test - 1 •'! 9�Water Pipe-Undrgrnd. 13 - '•,,. " 60.'Backwash-Lines, P-Trap, 0 Undrgrnd. - , 10.E Structural Floor System - 61. APPROVAL TO DECK Iv 11'. Property S6wer Lirie & House Connection `, 62. Backwash & Receptor-Final 12. Sewef Cap ! '2 63. Heater & Vent-Final - - 13. Roof Drains ..L. 64. Plumbing System - Final 7 14. Rough Plumbing ') 65. Electrical-Final :kJ 15. Rough Electrical-Conduit _j, . 66. Solar System-Final - - r *Rough Electric Wiring 67. Fencing & Access Approval; 1:77.. Rough Wiring Sign . t 68. APPROVED;FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/S/A SYSTEMS FINAL �9'. Rough Heating & Air Conditioning • \ FIRE DEPT. REQUIREMENT A (1) / \ . • 20. Rough Factory Fireplace ,, \ APPROVALS Permit# 21. Ducts, in,Structure �•\ 7g/Underground Hydro \ '/ ; 22. DA,cts, Ventilating 1' 1 dr �`, .71. Product Piping 0 Gas 0Oil t 7 / 23. Gas Pipe-Rough & Test 0 • . i 7�2.,Underground Flush i\ - 24. Roof Framing' ''1 ,-n';"•9 i 73. Undergrnd.Storage Tank 0 Gas 0 Oil � �� ” fff��. 25. Roof,Bheathing 01/441 �da 74. Overhead Hydro 26. T-Bar.Ceiling (Strudtural) & Monocoat IN 75(.Dry Chemical 27. Frame and Flash ng t,� /t4 j2rQ i ' 76: Diy.Standpipe i' 28. Lathing &'Siding I1_�,_w/y/AI"�� 77. FIXED SYSTEM FINAL - / 29. Insulatioh (ti') L��$$ /9 /a. 78. FIRE PREV. FINAL / • 30. Drywall Nailing �,Nt1J //�a/fir HEALTH DEPT. REQUIREMENT A - _ 31. Plaster. Brown Coat-14 , 79. FINAL INSPECTION - 32. Electrical Power Meiei-Final 80. FOOD CERTIFICATE ISSUED 33.'Final Electric 51, r Notes: - 34. Final Heating & Air Conditioning-- - i -- 't7 ' 'HOLD FOR SPECIAL REQUIREI E.M 35. Final Gas Pipe-Test 5•o• f>_/1`I Q� 68 � 36. Hood or Canopy 1 t, 1 C`C Pe.-. A, 4k.cc. *211.88 .37. Final Factory.I ireplace r. >> s/y' �j •38.`,Final'Plumbing e_• ,•„` `, ���irr'(( • ��" 39. Water Service-Final ' ./ . . _40. Gas Service-Final-P r.- f • 41. Solar Domestic-Final '" ` - ''0' _' - , .- , its .. r 42. Backflow Preventer • ,ik- t ;1..5'1) •43. Backflow Irrigation. *. 4' / r, -"s(., ,- • , . _ 44. Landscape Irrigation'System ,\ 1 -C 45.•Sound Attenuation3 ^ , i� - 46. Handicap Regulations . , I / . 47. FINAL STRUCTURE & BUILDING ' �y�9 Ci� . 48. Special Requirements Completed /°. J -` ' '49. Electric Releaselto Edison / - 1 • 50. Gas Release to'Southern California Gas/Co -- 51. CERTIFICATE OF OCCUPANCY _ - -j, ,'�/ , ._. No.' Date ` r.'d , • ROOF' 'COVERING CERTIFIC. _ , ION • Permit No. 3,3r230 ' • • Property address / A i • 1I —%/ Owner , _ Ca, Contractor &oLolw B&oS ape)1;�-, tv C.- State State Contractor License Number a 7941 Classification e 3 I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the 1979 Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: ❑ Owner of sole proprietorship company • ❑ Full partner of the company ❑ Limited partner of the company iZ Officer of the corporation ' • I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be.binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. • Rot cd f,. 8aas- - Company or Corporate Ner4e • Pa S & ivs S • Address 1/ ✓' 4 %fr 7/2.s�gs Received by Building Division nb�by: pQy}7ryy - Signature �g� Date Initia /� V / Date i Printed or Typed rvame • Space for Notarial Statement for authorized officer or agent • • CMF 0990-06 White-Building Div.;Canary-Contractor;Pink-Owner . e ti I" 71. . . :4..' *Nra ' - �•. ,. � .i`� INSULATION CERTIFICATION 1;' ,�/1�. r .. "�[ 'this is to certify that insulation has been installed in conformance with the ,Z }C" "asrent energy regulation, California Administrative Code, Title 25, State of .i`/ :-California, in the building located at: in..: OW SITE ADDRESS 2402 La mesa Ct . , Costa Mesa J` (NCEILINGS 6 1/4 19 r` • - Batu: Type Fiberglass Manufacturer Owens/Corning Thidmess a i /2 R-Value •0 ,')? k iii,. °1 'Blown: Type Manufacturer Thickness R-Value ,� c . :i�� )4d:_ EXTERIOR WALLS ). ' Type Fiberglass Manufacturer Owens/Corning Thickness 3 1/2 R-Value 11 • < jt• ' FLOORS Type Manufacturer Thickness R-Value 1. ` . - r ' cal Contractor License I 9 `'a`tai= Title Date. �•' By . 3i eg '` Schmid Insulation Contractors, Inc. License / 221S17 C-2 ? 17 ?rBG"��4 yQww... � D, ` Title Vice President Date April 13 , 1989 n .Y" ,n .h• ww� wM.- TA M .TIS M Mfg ./A. enrn M s" r ra,N.S — — INSULATION CERTIFICATION ok icp<, This is to certify that insulation has been installed in conformanca'with the 4( • ' ascent energy regulation, California Administrative Code, Title 25, State of r:. :.California, in the building located at: kh i2 . SITE ALDRESS 2402 La Mesa Ct . , Costa Mesa % C �. CEILLNGS 6 1/4 19 3 !` (40ge Batts: Type Fiberglass Manufacturer Owens/Corning Thickness 9 1/2 R-Value 30 ,-�' S % • : F:. •Blo:•m: Type Manufacturer Thickness R-Value Y3 EXTERIOR WALLS j�: • n.r. pr Type Fiberglass Manufacturer Owens/Corning Thiclaless 3 1/2 R-Value 11 ` ` 'FLOORS Type Manufacturer , Thi.ckness R-Value io` General Contractor License Y 1:0. •24 By Title Date31) 1 tt •, Schmid Insulation Contractors, Inc. License I 221517 C-2_ j��. �y `� By w , � . R Title Vice President Date April 13, 1989 N ` -w- vori / v,r w- mow, w, �w�`w,� t: w w, w ,w. `- .J, r I ROSIN B. HAVERSil) vaa c COO & ASSOCIATES, INC. COSTA �c. 0701:17 - CIVIL ENGINEEPS PLANNERS SL R VEYO6 ME 17+4164&4100 ) • April 28, 1989 Mr. Gary Conlon City of Costa Mesa Engineering Division 77 Fair Drive • Costa Mesa, CA 92628 Ss ii RE: TRACT NO. 13456 276-280 SANTA ISABEL 1y Dear Gary: 1. r Enclosed please find nine copies and a duplicate Mylar of the recorded tract map. The final monuments as called for on the map were set on April 26, 1989. The finished grading has been completed substantially in accordance _ with the approved Grading Plan as determined on April 28, 1989. If further information is required, please contact me at (714) 548-1192. • , 71:1Y' i . Rob n B. Hamers ` RBH/Jp • cc. John Peterka mp " . Jloplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - PERM NO. /� TRACT NO. LOT NO. UNIT NO. elP CITY OF COSTA ESA CONSTRUCTION PERMIT2¢o2 ��a �7 I A.P.# Zone • Project Address �O11//��l!!�,t ,�C '}�a�'���,..�,n pMECanSA- / `�.��— S Main Building: Accessory Building: ANplicant's Mailing Addreslef2$14 STe�,l FF Q�L-dcR.. 1 C.tO{Ql/ TYPE OF CONSTRUCTION NEW LI ADD U'ALTERATION U REPAIR I E Z lam] -r, ❑ CONVERSION ❑ DEMOLISH'❑ OTHERIC' ' t c • T Front • Q Owner's 1Nam� hone( g�1_33(J DESCRIPTION OF WORK/USE OF BLDG. 4.- 4 Eij 7 c ,c� B Rear N Address lE'I,r..S ,� F/����f�1Y�1�.L�y N.�. 97.(p Cob X1122 L.�' A I Arch/Eng. 1 parol-ra•r�iden5e No. TYPE OF PERMIT GRADING ❑ FOUNDATION U STRUCTURAL C Right G ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING AelECHANICAL I S ' Left • R Address �` - /i./@J0 ❑ BOTHER i Pin Ref.# - • ParkingRe /Provided E Contractor's Name — Phone+/ )-3B O 9- Req ./Provided DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ _ T City License No. d 2 Sr. v o 4-- ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION n I hereby affirm that I am licensed under provisions of Charter 9 (commencing �'1 s� �p !r ,(n 7&' Ir— ' Remarks:lp,, l ` 1-71 IVLY at I, ), �J �'7 L & 'M^- with section 7000) of Division 3 of the Business and Professions Code,a • },�I//CC/�V 1 my license is in full for `=effect. A ELECTRICAL FEES Cicero lass License No Si • oat- Automatic Washer Transformer 0 15-50 KW -'`4 Signature ,-a• - f /PLUMBING I FEES WO' ERS' COMPENSATION DECLARATI• Bar Sink - Showers Construction Pole Sub. ❑ 50+KW -eby affirm that I have a certificate of cons:'t to self-in rte or a certificate Porkers' Compensation Insurance, or a certified co•y thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps LC p Policy Noab.. al el-1 21 4.3 1 Company ��j�WLO't"�T Backflow IrrigationSewer Cap • 1..— Dishwashe'Cr Meter Dover 100 amps Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel if c Cer Atd with the c' - Ids, •ivision. - Bathtubs Sewer Connection Date 7 Applican P ./..— ' / Fan E%EM I N ROM WORKERS'CO' ' NSAT •N D CL•-•ATION • Clarifiers Solar Collectors MOtOlg ❑0-iHP ❑1'/a-R "'(This section need not be completed if the perm" is for o>/undred ($100) or F.A.U. Inc.Soler 09-15 HP 016-15+ less). Dishwasher Solar Piping ..ix I certify that in the performance of the work for whi /this permit is issued, I Fixtures`•v` shall not employ any person in any manner so as . become subject to the Drinking Fountains • Solar Tank • %wL Microwave • Workers' Compensation Laws of California. Device Roses Date Signature Floor Drains Swimming Pool w/Spa . Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range . comply with such provisions or this permit, shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets • Water Closet Sign I hereby affirmothat there is��a hc�onstruction lending agency for the performance of the 'work f r �Y<< /rrr)' is ed ( coon 3097 Civ. 'C.) - Garbage Disposal Standing Sections Lender's Name rDYr 11 Or Interceptors Water Heater Lender's'Addrest ' Qery_i1O1 211 j!ga�� f�l^al Kitchen Sink - Water Service Generator ❑0-5 KW ❑515 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of - - 'cion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee • $ 3 ?from and the basis for the alleged exemption: Any violation of Section - . - ii 1.5 by any applicant for a permit subjects the applicant to a civil.s I alty of not more than five hundred dollars($500). • DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my.employees with wages as their sole Reinspection Fee , $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or-offered - Zoning Approved By • Date • for sale (Section 7044, Business and Professional Code: The Contractor's. MECHANICAL FEES Building Approved By Date 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 Application Issued By Date Z • employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- - . Canopy Type II ❑ SUM ARY OF FEES pletion„the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). - - - - - - - - BUILDING PERMIT $ • SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and ProfessIons Code: _ $ • ' PERMIT The Contractor's License Law does not apply to an owner of.property who - Duct-Ventilating _ ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $” builds or improves thereon. and who contracts for such oroiects with a con- . ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I - PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. ID ,,D T ELECTRICAL $ GRADING $ I am exempt under Section B. & P.C.for this reason #Firepl/Fact.Blt. ICBG Fire Dampers 12 O PLAN CHECK 50% $ MICROFILM $ • Date owner Heating System& Ducting Registers Q� MECHANICAL $ • .2Y! TOTAL FEE $ I hereby-certify that I have read this application and state that the above ❑0-100,000 BTU'0100,000 BTL - Information is correct. I agree to comply with all city and county ordinancesPLAN CHECK 25% $ I and state Ia - a i • o building cons n, and hereby authorize repre • - sentatives o this ci y i• enter upo, .•ove-mentioned r perty for Signaturre on p poses..iJ4" " :a Date — 01 00031274-00031274 TOT 2£•.00 i 46,rev.5/88 White - Buildi••; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING A POC SPA Date Inspector Date Inspector APPROVALS Permit# - •-t 1 APPROVALS Permit# i 1.�TempoFdiy-Electrical Service or Pole 7 52. Pool & Equipment Location i'-2 2., Soil Fipe-Undrgrnd. c� ifj� 53. Steel Reinforcement 1 ` 3:•'Electrioal Conduit Utility-Undrgrnd. t �•1 54. Forms I' ',I- KI a I• 4,.Electrical Conduit-Undrgrnd. to E 55. heotrical Bonding -P . t1 5"- Reinforcement-Reinforcement IJ •:) 56. Rough Plumbing & Pressure Test (�-�{t. 3/ 6i1El.gcirical LIFER;Grno.1 i t' .1 57. APPROVAL TO COVER-GUNITE (' 1 . 'r 1 7.c Footings: s- .i• I ci t 58. Electrical Conduit-Undrgrnd. I•'f� y r I 1,1 8: (Foundation' -I.-e 1r• -J 59. Gas Pipe, 0 Undrgrnd., Test ' 1�'20 i/ 9$,Mater.'Pipe-Undrgrnd. (l i 60. Backwash Lines, P-Trap, 0 Undrgrnd. I I ti i 10T,Structural Floor System ,1 - f7 /� 61. APPROVAL TO DECK c 11...Propertc/Sewer Line & House Coorie'ction '; ' ,//( , 62. Backwash & Receptor-Final •li 12. Sewer;Cap 4 '1 I 11 ,• ( 63. Heater & Vent-Final • .i ..1.3. Roof7Drains i- •i1 )�'_ I 64.`Plumbing System - Final r;,. l 1 114:dRdu'N Plumbingo --4-. 65. EIe'ctrical-Final a• ,..d 15. Rough Electrical=Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval V' l `17-.Rough Wiring Sign ' 68. APPROVED FOR PLASTERING • ^8� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL iir 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace (, APPROVALS Permit# /: -- _ -21'"-Ducts,in Structure 70. Underground Hydro "t...1 22. Ducts, Ventilating ' ; 71. Product Piping 0 Gas D Oil 'r•r 23iGas Pipe-Rough &�est 72. Underground Flush 24. Roof Framing 11/ 7 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 Flashingr 76. Dry Standpipe 28. Lathing & Siding 'i r 77. FIXED SYSTEM FINAL 29. InsulTtion '0 78. FIRE PREV. FINAL 30. Drywall Nailing 1 HEALTH DEPT. REQUIREMENTfu 31. Plaster Brown Coat �^' - 79. FINAL INSPECTION -32. •Electrical Power Meter-Fina it 80. FOOD CERTIFICATE ISSUED -• r,... 33. Final Electric Notes: n 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace y/gi4/ " 38. Final Plumbing 39. Water Service-Final . 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow PreventerC L 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . 4T FINAL STRUCTURE & BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison y 50. Gas Release to Southern California Gas Co -f N 51. CERTIFICATE OF OCCUPANCY • - No. Date / •Y• Pr" - „ • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PEaNIIT N TRA CT NO. LOT NO. UNIT NO. Rroject Address 2g02 G1 A/et.* �e,e,/ 543 1 4. f 3� 756H 0 • /f C TYPE OF CONSTRUCTION LL NEW ADD U ALTERATION Applicant's Mailing Address P�/JDOX 9�7 5�9�1�ar>y U REPAIR Owner's Name ��w�'p�Q7 �' LU/tl sT PhonB�tca �9�� ❑ CONVERSION El ❑ OTHER q,p,# _ Zone • /C1.5- _ (_ -lc4 ce /07 t)� DESCRIPTION OF WORK/USE OF BLDG. - E Main Building; Accessory Building: ' AddressGCI Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADINGI�❑ FOUNDATION ❑ STRUCTURAL 1- Front O Address / ��ij ❑ TENANT ❑ ELECTRICAL 1-P PLUMBING ❑ MECHANICAL B Rear • N Contractor's Nametejty/!1/r 6Saais' ,Or., Ph ner2i 7yo 3 ❑ OTHER • - C Right•A • N Address(mailing) /-�s9 9loy O'i'4 C! a✓ PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G P s.4 (-0 CON ST RUCTI ON.TYPE VALUATION $ $ Left R • City License No. �{, ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref.# - Parking Req./Provided Q I hereby affirm tht I am licensedsion3 under provisions of Charter 9 (commencing Remarks: /��yLa��� ����/� � l�Z t2'/ Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and /a7 45 >S► T my license is in full force and effect- License Cies - x License p - - S Date a Si•gnature .i�� r 1/217.75-3-.., ` ��3 PLUMBING FEES - _ _ . 'ORKERS' COMPENSATION DE L•^ATION Bar Sink / Showers 2 cm ELECTRICAL ' FEES • :relay affirm that•I have a certificate of consent to self-insure or a Certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • - .,800, Lab. C.) Z/ ay Automatic •Washer Transformer 0 15-50 KW Policy No.C7/r4"23 Q', Compand, ' ft g"_ /_- ' Backflow Irrigation - Sewer Ca , - 0 50+KW 9 p - Construction Pole Sub. Certified copy is h bby furnished. Jr /8 Certifi co 1 f'ed with the city Buul g, visios �- +- 3' Bathtubs Sewer Connection tri ' Cooking Unit Meter Duo to 100 amps Date Applicant _ EXEMPTIO FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher .Meter, Dotter 100 amps • (This section need not be completed if the permit is for one hundred ($100) or - less). / Dishwasher' Solar Piping 2 (.J Dryers ❑Gas ❑Electric . Sub Panel . I certify that in the performance of the wor. r which this pe it is issued, I shall not employ any person in any ma n�• ai to beco /shbject to the Drinking Fountains Solar Tank Fan • Motors ❑0-1 HP ❑1'h:8 CO Workers„C�rnnefsation Laws of Califor it ' - - _ Date C (p5/ Signature - —Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ ' 03 NOTICE:If,after making this declaration,you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave, --comply with such provisions or this,permit shall be deemed revoked. �� y) �Q b ' } / CONSTRUCTION LENDING AGENCY If (/e Gas Service V Outlets 3/ Water Closet - U` �C Device Boxes i,R Pole Light '11 I hereby affirm that there is a construction lending agency for the performance r iv', Of the work for which this permit is issued (Section 3097X Lender's Name Civ. C.) / ., 7 •":"..' ,y Interceptors Water Heater Z to Outlets' Range .�y, •_ O Lender's Address - Kitchen Sink Water Service N Switches Sign • - / ' - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the .mss Lavatories / - Auto-Wash LZ W Garbage:Disposal Standing Sections jqx • following reason (Section 7031.5 Business and Professional Code: Any city or ' county which requires a permit to construct,alter,improve,demolish or repair y P-Trap LaundryTrays W " ' any structure, prior to its issuance, also requires the applicant for such permit y Generator ❑0.5 KW ❑5-15 KW Trash Compactor ,- to file a signed statement that he/she is licensed pursuant to the provisions of 4 Roof Drains Cr• 'he Contractor's License Law(Chapter 9 (commencing with Section'.7000) of - '- 'vision 3 of the Business and Professions Code) or that he/she is exempt • erefrom and the basis for the alleged exemption. Any violation of Section ' .031.5 by any applicant for a permit subjects the applicant to a civil - Lienalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 . Issue Fee - $ 3 - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - License Law does not apply to an owner of a property who builds Or improves , •_ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered foryp Zoning Approved By Date sale. If, however,_the building or improvement is sold within one year of com- Canopy Type H ❑ - pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By Date prove for the purpose of sale). C [ +� 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �j/ _ Date V -LB �AV11 tractors to construct the project (Section 7044,Business and Professions Code: _ The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ - proof-of their Worker's Compensation,insurance should be provided to me. _ • • PLAN CHECK $ PERMIT • ❑ I am exempt under Section B.& P. C..for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ 4 i - ISSUANCE $ , Date •. Owner - Heating System& Ducting Registers - PLAN CHECK 25% $ Q 63 ENERGY'P.C. $ ' I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL ELECTRICAL $' t GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relatin' to building con ruction, and hereby authorize repro- PLAN CHECK 50°,6 $ MICROFILM $ _ sentatives of this ci.E o enter up• /the above-mentioned proper[ for inspection purpose, / i ` MECHANICAL $ TOTAL FEE $ Sl 3 Signature . _ _. Date L . . Drivers' License or SS# _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ �� a CMF 0865.46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor '^"v `+t v+JUVQ I.hi q !_t'. I i 14 ITy OFt. Cm 'CONSTRUCTION AND,PLANNING POOL & SPA ` APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 11.'Temporary Electrical Service or Pole ''// 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. t'- • 7/ 7.0.--1,17X- 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 r 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 7//f/�' 011, 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System +t lJ�� 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 ro-zovv LLD 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 1 S C 68. APPROVED FOR-PLASTERING 18. Rough Electrical-T Bar Ceiling IA -i r,, 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 8/.Test 72. Underground Flush !.? „ 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 6. , 25. Roof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing --- - • • M 76. Dry Standpipe - y e. 28. Lathing & Siding • 77. FIXED SYSTEM FINAL �' t i 29. Insulation 78. FIRE PREV. FINAL j/ 30: Drywall Nailing HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat N 79. FINAL INSPECTION j '-f,' . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ;y 33. Final Electric Notes: ,-- 34. 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ' y/sa/sy-a' t;"- - 36. Hood or Canopy .. 37. Final Factory Fireplace ' ., (if 38.,Final Plumbing s9/,2o/i' C ( ) . •`. ' 39: Water Service-Final v r' , . y 40. Gas Service-Final ry'' "1 - A •.r 41. Solar Domestic-Final r �, ! �, 1 -.I •i '42. Backflow Preventer g -y - ; .. • A i 1 ' r, . 43. Backflow Irrigation t le �; L• - 744. Landscape Irrigation System t :" 1 / , • -, ! -� 45: Sound Attenuation y !' I J46. Handicap Regulations , ft.' V ,� ),- 4 ,...!i •-, r. 47. FINAL STRUCTURE & BUILDING - 1 ., - 48`Special Requirements Completed r• ;:' ' • ;: i ,. • n 49. Electric Release to Edison ;n , . . 50. Gas Release to Southern California Gas Co - t .- 51. CERTIFICATE OF OCCUPANCY _ No. Date - • ' l I' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - PER I NO. TRACT NO: LOT NO. UNIT NO. CITY OF COSTA MESA - CONSTRUCTION�IPERMIT • tel A.P.# Zone Project Address 'Yo$. la Mese,. COU-.1r 3-S-.2./ `�' y, /�LS Main Building: Accessory Building: Applicant's Mailing Address -Vhit IR^N�6 R'r-003 TYPE OF CONSTRUCTION 3a NEW. U ADD U ALTERATION HREPAIR E Z Owner's Name 1. ' - f" .- . .• :(• Phone fitgs--U413 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - ' B Front N DESCRIPTION OF WORK/USE OF BLDG. B Rear • I Address - - • Arch/Eng. License No. ,,((a7''© �/q`I 7 , TYPE OF PERMIT D GRADING ❑ FOUNDATION ❑ STRUCTURAL � K Right • • G Address r ❑ TENANT ❑ ELECTRICAL El PLUMBING 111 MECHANICAL $ • Left ;' R Contractor's Name Mesa G J4 Sit sift I. Phone&s o-7egY ❑ 'OTHER Ping. Ref.# ParkingtReq./Provided E Q PROJECT DESCRIPTION SQ. FT, OCCUPANCY Address(mailing) - /i Planning Notes: M City License No. '3 2 31G1 CONSTRUCTION TYPE VALUATION$' T ZONE GRADI NG CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: i 3 Y 37,/., - - with section 7000) of Division 3 of the Business and Professions Code, and !c my license-is in full force and effecgt.Z,, 0 9 / ELECTRICAL • FEES , t_ License Class I ''Z C,� Lice rrr�Nq- ,yTO Date )1 Signature �h' �f''�L !r PLUMBING PEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION ' • Construction Pole Sub. • 0 50+ KW 'hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers • Workers' Compensation Insurance, or a certified copy thereof {Section • Cooking Unit Meter Oust to 100 amps \ 00, Lab. C.) ,r� (� '�7� .44- Backflow Preventer Service Sink • a - . r' #olicy No.V1S8 1 5SZ1/Q�Company f t"'MCS Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Certified copy is hereby furnished. - e'` Dryers ❑Gas ❑Electric —J Sub Panel ertifi d copy is f-yled with the city Burton wlsio_n. /�� Bathtubs 0 Sewer Connection %� Date /0014 $'SS Applicant C:N4'4'✓4�Jj(/'� f Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ?-• Solar Collectors /� Motors❑0-1 HP D1'-8 (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar 09.15 HP 016-15+ less). Dishwasher .--1 Solar Piping - I certify that in the performance of the work for which this permit is issued, I '/ Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank // Microwave Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains ' Swimming Pool w/Spa Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 1 Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Si n Gas Service Outlets Water Closet 9 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.) -Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name' Generator C10-5 KW❑5-15 KW Trash Compactor . Lender's Address ' - Kitchen Sink Water Service OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Traits any structure, prior to its issuance, also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commenting with Section 7000) of . Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee 'erefrom and the basis for the alleged exemption. Any violation of Section $ 3 131.5 by any applicant for a permit subject5 the applicant to a civil analty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employeds with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's' MECHANICAL FEES Building Approved By - Date 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 Application Issued By Dat /0 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale, If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pletlon, the owner win have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). - BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: - _ PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ I: I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ HeatingSystem g g PLAN CHECK 50% $ (� .,fl ''1 ,1T Date Owner 1 y em& Ducting Registers MECHANICAL $• a T `�'7 TOTAL FEE $ 42W-Db I hereby certify that I have read this application and state that the above ` tea-100,000 BTU 0100,000 BTU' information is correct. I agree to comply with all city and county ordinances q D PLAN CHECK 25% $ ----•• and state laws relating to building construction, and hereby authorize repre- , sentatives of this city to enter tat above-mentioned property for ' Inspection purposes. // 9 2 Signature Z-v- Date/0-19-4C ail �� $� Drivers' License or 55 t( / 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00017491-00017491 TOT - - '24.00 DATE: 10/19/88 TIME: 15:21 , \ l h.,\ '\cz3 _ CONSTRUCTION AND-PLANNING -'J POO WA APPROVALS Permit# Date - Inspector APPROVALS- Permit# Date Inspector 1.Temporary Electrical Service or Pole 52. Pool & Equipment Location _. ;2. Soil Pipe-Undrgrnd. n- - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. ,; 54. Forms . --, 4'. Electrical Conduit,Undrgrnd, -1 55. Electrical Bonding 5.`Steel Reinforcement r 56. Rough Plumbing & Pressure Test 6;; Electrical UF E Ft Grind.; t^ 57. APPROVAL TO COVER-GUNITE •�,'• 7:•Footiogs � _ • • 't 58. Electrical Conduit-Undrgrnd. -8:, Foundation r, - _ 59. Gas Pipe, 0 Undrgrnd.,Test ..., . - 9.,Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd. 1/... . 10. Structural Floor System 61. APPROVAL TO DECK- ,/ I T: Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap ;> - - r 63. Heater & Vent-Final 13. Roof-Drains - M .- 64. Plumbing System - Final •�' 14. Rnug�t Plumhing` r• 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval c17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ti,(19. Rough Heating & Air Conditioning jpi., 140 FIRE DEPT. REQUIREMENT ' '20. Rough Factory Fireplace APPROVALS Permit# • 211' Ducts, in Structure '' 70. Underground Hydro 22. Ducts, Ventilating' %n 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test ,^ 72. Underground Flush 24. Roof Framing -- 73. Undergrnd.Storage Tank ID Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL .y 30. Drywall Nailing HEALTH DEPT. REQUIREMENT Al_ 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED L$ • r_ , 33. Final Electric Notes: 7 34. Final Heating & Air Conditioning �// 35. Final Gas Pipe-Test -/ r 36. Hood or Canopy . r 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 1-, C; i 43. Backflow Irrigation rid 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 48. Snecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co j; a, 51. CERTIFICATE OF OCCUPANCY r Vii! tit No. Date tjp Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.T� Z rs� nPER Nq., '/ TRACT NO. LOT NO. UNIT NO. clrY OF COSTA' A CQNSTRUCTION/�PERMIT oS�o 77 • A.P.# zdne Project AKdress E��'{' L/ - T' S Main Building:,-- Accessor• y Building: _ �, - - TYPE OF CONSTRUCTION ' U.ADD ❑ ALTERATION U REPAIR . E _ Z Applicants Mailing/Address �")� /�'/ 2 � - Ow er's Name /1'QvVCAil y� ✓/tone ($/sq/Si3 ID CONVERSION: ❑.DEMOLISH ❑ OTHER _T Front • - • O . - DESCRIPTION OF WORK/USE OF BLDG: •• • B Rear - - - N ��' Address - - A _ _ Arch/Frig. - License No. TYPE OF PERMITI-I �• �`f/G RADING ❑'FOUNDATION ❑ STRUCTURAL C Right - G ❑ TENANT ISJ�E LECTRICAL ❑ PLUMBING ❑ MECHANICAL' • , s • Left • • - - R Address - S - - - - - - - - Contractor's Name ? neem-•{ti if— Phon , St' 13 - III OTHER D �,SCPing. Ref.# � Parking Req./Provided . ' . - E c�����-----������ttttst��••�� PROJECT DESCRIPTION SQ. FT. �at� CCUPANCY O Address(Mai ling) i77 - Planning Notes: _ M City'License No. -/ CONSTRUCTION TYPE _ VALUATION$ T ZONE GRADI NG CU.YDS. ACRES '$- • LICENSED CONTRACTOR DECLARATION " _ I'hereby,affirm that,I am licensed under provisions of Charter 9 (commencing Remarks: -• • - with Section 7000) of Division 3 of the Business and Professions Code, and - • my license is in full force .•d effec __ - /J%) - �'r2) �/( ELECTRICAL 'FEES License Cl.ss' // Lice•.¢ 's `n Y •/'j'3� - . Date _-- �'' i•,:,--.1 e �� i PLUMBING FEES El Automatic Washer Transformer ❑ 1530KW WORKERS' COMPENSATION DEC ARATION, Bar Sirik • Showers Construction.Pole Sub. 0 50+KW • 1 ^reby,affirm that I have a certificate of consent to self-insure Ora certificate Norkers' Compensation Insurance, or a certified copy ther f (Section Cooking Unit_ _ Meter ❑up to 100 amps. ...Service Sink .0, Lab. C.�i�' �/ G!' s Policy No. c"—"'�/0�77� Company Dishwasher Meter Dover 100 amps C ti(ietl copy is hereby furnished. Dryers ❑Gas DElectric : Sub Panel ' •' ISO ert f��QQLco yy..js filed with the city ng I s' Bathtubs • Sewer Connection • .---C,' Date '�G Applicant_Ey Fan Motors ❑0-1,HP ❑1%-8 EXEMP ION FROM WORKERS'COMPENSATION ECLARATION (This section need not be completed if the permit is for one hundred ($100) or ' F.A.U. •- -- -Ina Solar Dg-15 HP ❑1615+ less). I certify that in the performance of the work for.which this permit is issued I ' Fixtures shall not employ any person in any manner so' as to become subject to the • Microwave Workers' Compensation Laws of California. Device Boxes Date Signature • • Pole Light NOTICE:It,after making this declaration, you should become subject to the • Workers: Compensationprovisions of,the •Labor Code, 3, Outlets p you must forthwith Ran e,. comply 'with such' provisions or this permit' shall- be deemed •revoked. ' CONSTRUCTION LENDING AGENCY ' - ' • etS Water icket : Switches ' Sign l 0 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.) Garbage'Disposal • • Standing Sections Lener•i Name ' tors Generator ❑0.5 KW ❑5-15 KW Trash Compactor' Lender's Addiesi - - - • OWNER BUILDER DECLARATION • I / I hereby following'affirm that I a n 7031.5 from the Contractor's License Law for fheor _�,//�/'JJ(/7✓7/_s ✓ ' /J^ ry • unty e (Section Business and, Professional Code: Any cityar �, —�C./ ' dI/ county which requires a permit to construct,alter,improve,demolish or repair. t .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 brains `the Contractor's License Law (Chapter 9 (commencing with Section 7000) of 'vision 3 of the Business-and Professions Code) or that he/she is exempt • Reinspection Fee ! $15Issue Fee [�—� refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects- the applicant to,a civil natty of not more than five hundred dollars:($500). DEVELOPMENT SERVICES REQUIREMENTS: t •'b I, as owner of the property or my employees with wages as their Sole- • Zoning Approved By Date_ -compensation, will do the work, and the,structure'is not intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's• Building Approved By - ^ - Date• /�1 License Law does not apply to an owner of,a property who builds or improves t/ (/`111/1 /Q thereon, and who does such work himself/herself or through his or her own • ■ Application Issued By ' Date• /6 o(/ employees, provided that such Improvements are not intended or offered for Boiler sale. If, however, the building-or improvement is sold within one year of com- Hood or type I YPe ■ • SUMMARY OF FEES . ' • pletion,•the owner will,have the burden of proving he/she did not build or im- ■ • prove for the•purpose of sale). BUILDING PERMIT $ SMIP - $ ❑ 1,-as owner of the property, am exclusively contracting with licensed'con- IDuct-Structural ' , : Refrigeration - ' tractors to construct the project (Section 7044, Business and Professions Code: PLAN CHECK $ . PERMIT, The Contractor's,License Law does not apply to an owner of;property who • DO-100,000 0100,000 : PLUMBING ' $ - : ISSUANCE $' builds or improves thereon:and.who contracts for such'oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware thatExhaust System ■ Multiple ■ epair/Alteration :i PLAN CHECK 25% $ ENERGY P.C. $ ' proof of their Worker's Compensation insurance should be provided to me. • � GRADING $ ❑'l am exempt under Section B.& P.C.for this reason -• - ■. ELECTRICAL c e9 MICROFILM $' Date Owner. - Apa ■ _■• PLAN CHECK 50%MECHANICAL. ' $ • ,TOTAL FEE ' $ -I hereby certify-that I have read this application and state that the above • OM 00,000 B 0100,000 information is correct. I agree to'comply with all city and county ordinances ® El PLAN CHECK ' 25% $ ' - - S--- and and'state laws relatin• to buildm• con uctlon, and hereby authorize repre- : sentatives of, this tosente u•• he ab -mentioned property for Inspection pure• -rG � `/ Date (J-77:D% �� Signature - 01 QQQ]6&23-QQQlo823 TOT" ?i.`0 Drivers' License or 55 yt '� - '$15' II Issue Fee '$ 3,' . 1 7 . . � . DATE: 10/12/EE TIME: 09:33 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • . C.DNFrRUCTION AND PLANNING -1 POC SPA / Date Inspector - Date Inspector. APPROVALS Permit# APPROVALS Permit# • 1!iremporary Electrical Service or Pole !;e7 52. Pool & Equipment Location '/2.-Soil Pipe-Undrgrnd. f j' ii 53. Steel Reinforcement • >3. Electrical Conduit Utility-Undrgrnd. ^' 54. Forms .,.•, a 4. Electrical Conduit-Undrgrnd. r,> 1 55. Electrical Bonding '5. Steel,Reinforcement7. • rir _ 56. Rough Plumbing & Pressure Test `' 6: Electrical UF Grnde. `�"�..- 57. APPROVAL TO COVER-GUNITE -, i/ . 7: Footings if Jr% ,c y; 58. Electrical Conduit-Undrgrnd. 8. Foundation ei - /.'� ,2 59. Gas Pipe, 0 Undrgrnd.,Test r;. . 9. Water Pipe-Undrgrnd. er• 60. Backwash Lines, P-Trap, 0 Undrgrnd.. 10. Structural Floor System /` I `(• 71 4/4) 61. APPROVAL TO DECK ' • 11•. Property Sewer Line & House Connection C`V�•' 62. Backwash & Receptor-Final i;.1 12. Sewer Cap /r' •-k. ' 63. Heater & Vent-Final „' ' 13. Roof'Drains r 64. Plumbing System - Final 14. Rough Plumbing, -, 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final ' 16. Rough Electric Wiring "22 67. Fencing & Access Approval • 117. Rough Wiring Sign . - 68. APPROVED FOR PLASTERING (18. Rough Electrical-T Bar Ceiling j-I• 69. POOL/SPA SYSTEMS FINAL • !19.,Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �4' Rough Factory Fireplace G APPROVALS Permit# 21. Ducts, in Structure •70. Underground Hydro ri 22. Ducts, Ventilating Lel 71. Product Piping 0 Gas 0 Oil • 23./Gas Pipe-RougTest i --7fi& 72. Underground Flush 24. Roof Framing ,N' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 75. Roof Sheathingcq 74. Overhead Hydro 26. T-Bar Ceiling (Sfrdetural) & 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 /9 79. FINAL INSPECTION 32. Electrical Power Meter-Final 3/0 e L 80. FOOD CERTIFICATE ISSUED 33. Final Electric / ((�IJfY/L• J Notes: 34. Final Heating & Air Conditioning ' (t 'CS,' 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ''y ' . 39. Water Service-Final D i 40. Gas Service-Final . .. 1 1 . 41. Solar Domestic-Final '�1 1.1 42. Backflow Preventer r- • ' 43. Backflow Irrigation I-, 0) J :• - 44. Landscape Irrigation System . J ;• ;-.v 45. Sound Attenuation . . r r. 46. Handicap Regulations -'1 • 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed '7 • 49. Electric Release to Edison ' i 50. Gas Release to Southern California Gas Co . is l;;;, 51. CERTIFICATE OF OCCUPANCY ': 1 7 J !:- �+- No. - - - Date - '> - 7 ^�' '•:7 ti