The URL can be used to link to this page

Home My WebLink About2405 LA MESA CT - Building Permits PROJECT ADDRESS: 2405 LA MESA CT UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 062746 OWNEWS NAME:WOLFE ADDRess: 2405 LA MESA CT PERMIT NO: E 062746 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : INSTALL CENTRAL AIR CONDITIONING IN SFD SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / ADDRESS: SUNWEST AIR CONDITIONING ( 714 ) 650-5061 629 TERMINAL WAY 17 COMMENTS: INSTALL CENTRAL A/C. . , ,RE;M62745 COSTA MESA CA 92627 **********************************************-**3r****************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions o Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Prolessions Code,and my license is in full force and effect. SETH ACK S CITY LIG.:0356 9 STATE LIC.:4 31394 CLASS' - 0 / Date. 4,' L- 937 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirmt a 'a•acenificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:NWC 2 1 0 0-28-00 EXP. DATE: 1 /14 /93 coMPANr:GOLDEN EAGLE A PARKING REQ: PROV: PARCEL: 43933247 ZNE: REF NO: 1 Certified copy is hereby furnished. Certified copy i i,. w'r t city Building Division. PLANNING NOTES> 2 / > Date: -i- 7- l •9 ; Applicant: /L � ********************************3F1!**3E**************Ik***********3E**!F****1P**1F**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E.;R V I C E 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 1% DATE: Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �:Q� J�� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• t---4-, �lVi✓ e DATE• �- whichthispermitisissued(Section 3097,Civ.C). *'*E 1F 1F1t it it if 9E iF iF iE iE it it iEiE iE iE ifiFif if*DATiE�f iE if 3t*3f iE iF if *fE LENDER: ********************************************* ******************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code'. Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7, 50 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commting with Section 7000)of Division 3 of the Business '()% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the leged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more tan five hundred dollars($500). ISSUE FEE 1500 00 I. as owner of the property or my employees with wa es 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.Busi ess and Professional Code: The Contractors'State License Law TOTALS----> 7. 50 15 . 0 0 0. 00 22 . 50 ‘ 22 . 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 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: 22 . 50 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 22. 50 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to theContractors'Slate License Law). l am aware *.*.*.*,*,*,.*.*.**.,**,*.**.*.*.*.*,*.**.*,*.**,**.,*.**.*.*.**,**,.********.********.**************************, that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.s P.C. I N D I V I D U A L F E E B R E A K D O W N for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby cenify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 MOTOR/POWR APPARATUS 1 , 1 - 10 . 0 HP 7, 50 7 , 50 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 Duality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and state that the ahoy.9lformation is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and here ry a.gOdie representatives of this city to enter upon the above-mentioned property for inspection.--) v-es. �� Dater ��6- a/ Signature: t-i! Drivers License or Social Security e. _ _ . 01 00141666-00141666 TT 22.50 f 1641-46 mice-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor DATE: 06/25/93 TIME: QeO)•57 4 r CONSTRUCTION AND PLANNING 1 POO SPA , APPROVALS Permit#- • Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test , . - 9. Water Pipe-Undrgrnd. - Imo` -"I - 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10.'Structural Floor System J ` 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains _ - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace , -APPROVALS :' Permit# 21. Ducts,in Structure - - ,- . . -70. Underground Hydro 22. Ducts, Ventilating r - 31. Product Piping 0 Gas 0 bil 23. Gas Pipe-Rough & Test 72. Underground.Flush 24. Roof Framing - . - - . 73. Undergrnd.Storage Tank Cl Gas 0 Oil 25. Roof Sheathing ' 74. Overhead Hydro i. 26. T-Bar Ceiling (Structural) & Monocoat . r 75..Dry Chemical 27. Frame and Flashing _ .' - 76. Dry Standpipe 28. Lathing& Siding I 77. FIXED SYSTEM FINAL 29. Insulation I i 78.'FIRE PREY. FINAL - 30. Drywall Nailing I ! I _ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - • - • 1 i - .79. FINAL INSPECTION - I .32. Electricat Power Metei-Final 1 I i i 80.•'FOOD CERTIFICATE ISSUED 33. Final Electric 3/4 4. Ka Notes: - 34. Final Heating'& Air Conditioning - 1I, - _: - • - i- i 35.. Final Gas.Pipe:Test - I _ - - _ - - 36. Hood or Canopy " - • _ I • _ 37. Final Factory Fireplace I I I - 38. Final Plumbing - • I is 39. Water Service-Final 1 - 40. Gas Service-Final i 4 -I. - - 41. Solar Domestic-Final ' - . ' I I - - 1 11 42. Backf low Preventer - I I I � - . 43. Backflow Irrigation . 44. Landscape Irrigation System ; C _ - - - _ 45, Sound Attenuation . - . 46. Handicap Regulations -' .i I -' - - . • 47. FINAL STRUCTURE & BUILDING I • r I - - - 48. FINAL PLANNING j I - 49. Electric Release to Edison I 1 . • L ' 50. Gas Release to Southern California Gas Co e) 51. CERTIFICATE OF OCCUPANCY - No. Date 1 PROJECT ADDRESS: 2405 LA MESA CT UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 062745 OWNER'S NAME:WOLFE ADDRESS:2405 LA MESA CT PERMIT NO: M 062745 PLAN CHECK NO; N GOVT: N SUPP : N COSTA MESA CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: MEC PURPOSE: OTH • ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : INSTALL CENTRAL AIR CONDITIONING IN SFD SQ FT: ADDRESS: UNIT: EflMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 / PSUNWFST AIR CONDITIONING ( 714 ) 650-5061 , ADDRESS:wrEE 629 TERMINAL WAY 17 COMMENTS: MECHANICAL PERMIT -- NO BUILDING PERMIT INVOLVED COSTA MESA CA 92627 *******************************************(t*****-**-**************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licemed under provisions of Chapter 9(commencing with Section Z ONING R EQUIR EMEN TS 7000)of Division 3 of the Business and Professions Code,and my I' en This in full force and effect. CITY LIC.:0 3 5 6 3B-,�STATE LIC.;4 313 9 4 . ;�ass. - a SETH ACK S Date:LC;-0 -> - Signature: vF/ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800, Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICYNO.:NWC2100-25-00 EXP.DATE: 12/14/93 COMPANY:GOLDEN EAGLE PARKING RE • PROV: PARCEL: 43933247 ZNE: REF NO: 1 Certified copy is hereby furnished. Z1 Certified copy is til it city Building D(vision. PLANNING N TES> ,/ Date: A -0 -? / >***********************) Applicant: ************** *,********************************It******** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if Me permit is for one hundred($100)or less). DEVELOPMENT S E R 'V" I C ES REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become 44 subject to the Workers'Compensation Laws of California. ZONING APPROVED BY 'ei DATE; Date'. Signature: NOTICE:II,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : '. DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ( ,F� J:,, �� DATE- /�/��s/,/�3 which this permit is issued(Section 3097.Civ.C). **.*******.***.***.****.****** ll 41f. ." if jt*.It*. * ** 1 .*** **M,11.***it.1E****iE iF iF iF it�(if lt5t*i(-* LENDER: *************************************iE******** a ****************************** ADDRESS,' LEGALIZATION:N F E E S U M M A ' Y STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 . 00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25$ SMIP/NON-RES 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 , 00 I. as owner of the property or my employees with wages as their sole compensation, wig 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 24 , 00 , 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.II, however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 24 ,00 OVER/SHORT; 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware ***.****.*..K.*.***.x.*.R.N.*********.1t.K.*.If.lt*.K..It****.Jt*.lt********.*fE***.**.1f.***.**.*.**.lt**.*.*.*.N.***.**** that proof of(heir Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. forthisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 , 00 I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505,25533,and 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 Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby cemfy that I have read this application and stale that the above'-lorrnation is correcti agree to comply with all city and county ordinances and stale laws relating to building construction and hereb out i/ 'representatives Qf this city to enter upon the above-mentioned property`/for in7sspeGGction p r s .— Date: -76- 3 Signature:// - / 01 00141665-00141665 TOT 24.00 DATE: 06/25/93 TIME: 09:56 Driver's License or Social Security 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POC. SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54.. Forms 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. I 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System - - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS `Permit# 21. Ducts,in Structure: •• . - 70. Underground Hydro ••' 22. Ducts, Ventilating - 4 - . .71. Product-Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test ' = a :72. Underground Flush- 24. Roof Framing : ,i _ ' '73: 4Undergrnd.Storage-Tank 0 Gas 0 Oil 25. Roof Sheathing . - •• 74t'Overhead Hydro - 26. T-Bar Ceiling (Stryctural) & Monocoat - - - 75. Dry Chemical ' 27. Frame and Flashing .... - • 76. Dry Standpipe • 28. Lathing& Siding _ ' ' I ' I `I • 77:- FIXED SYSTEM FINAL: . 29. Insulation + - II [ 78. FIRE PREV. FINAL - •• - + ` 30. Drywall Nailing HEALTH"DEPT. REQUIREMENT 31. Plaster Brown Coat - I I' .1 -79.-FINALINSPECTION 32. Electrical Power Metei-Final 1 L L - 80.-F000 CERTIFICATE ISSUED, 33. Final Electric -. _ ' ii� ill: , Notes: _ : _ . - 34. Final Heating& Air Conditioning - -• 35. Final Gas Pipe-Test' . I ' I • s ' .. _ 36. Hood or Canopy'. r .'_�-- -. `� 37. Final Factory Fireplace •- I • 1 . - 38. Final Plumbing - - 1 :.t ' 39. Water Service-Final . I 1 - ' _ • 40. Gas Service-Final r _1 .. - 41. Solar Domestic-Final ' 4. , II .• - _ 42. Backflow Preventer 1 - - 43. Backflow Irrigation .._ . ` 44. Landscape Irrigation System - _ - - - - 45. Sound Attenuation - 1 46. Handicap Regulations - I ' 47. FINAL STRUCTURE & BUILDING I , ' - - I I 48. FINAL PLANNING I 1 : • 49. Electric Release to Edison • I - i - - _ - _ 50. Gas Release to Southern California Gas Co i .�I' - ' • 51. CERTIFICATE OF OCCUPANCY ' i - ' No. Date 4j 61:----03 3 0 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA uE cCON TRUCTION PERMIT _ PERMIT N TRACT N LOT NO. • UNIT N0. _ A'P'# Zone Project Address H 1334 FL39 • /s,e& Pivn `-f3 -3t3 -os oto PO�e- - �•• .a. O J • R 5 �I S Main Building: 4, • Accessory Building: - •'tTYPE OF CONSTRUCTION 'al NEW H ADD H ALTERATION ❑'REPAIR Applicant s Mailin Address - • i2 ❑,DEMOLISH ❑ OT ER, • • T Front, �5 G I 0 Owner's Name p w •ex .._ L-� l� n •hon S' J ❑ CONVERSION. i Y DESCRIPTION OF WORK/USE OF BLDG. /N(OGt PAN'1/L7 B Rear ,Qy/ - _ N Address /825 wF4CCL/FF. DC *1 U'9 !�•4. •1 LL Hifi lir 0. 4 C. . 0 11 4Ge .. 1 C Right !XQ/ f ><TI:1:— N Arch/Eng. A/ E- Foe& S. License No. C So407 TYPE OF PERMIT : 'U GRADING E FOUNDATION r� STRUCTURAL I _ /•' C/�/ G Q // / Address I7S'. 7_I�IIRVIAgk /K,.�Vo ;,/I5 '/U�j?Y.v ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING .❑ MECHANICAL "i $ Left S - .. _ -- ' R ' Contractor's Name kNtOtr /44/L,6ec AGp4S Pon- a 5- � 5 :MOTHER A/ 7 - • ping. Ref.# P�•-. �- �9� _ Parking Req./Provided eV, 5//5 E •De p ( Q PROJECT DESCRIPTION SQ. FT. • .a kES OCCUPANCY �� HpLD FOR SPECIAL REQUiitt':�tuauJ Address(mailing/ /�'2� � CL it!. Ys'G I�/ /v-P' �•/ • _ Planning Notes: - QM C9 CONSTRUCTION TYPE •y-_ VALUATION$ Ir_ a- T • City License No. ZONE GRADING CU.YDS. ACRES . v'' : LICENSED CONTRACTOR DECLARATION TTT,I-�� rr 1 r- " /G„/ Qm l.W LrN /.5aJ e/ $ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �L AN ��/� /f"'a ., A• L'A.LiC (/ with section 7000) of Division 3 of the Business .nd Professions Code, and L ` - my license is in full fo e a d effect. n r, ELECTRICAL , FEES • License lass , I ense No 4/ ZM b __ �� tomatic Washer Transformer .❑ 15-50 KW - Date • * ' • signature OM. c:�s • PL BING • .FEES ' ' WORKERS'COMPENSATION DECLARATION / I , Constr ion Pole Sub.• 0 50+ KW • ^Sgereby-af firm that I have a certificate of consent to self-insure or a certificate • Bar Sink Showers - �/ `"<.Workers' Compensation Insurance, of a certified copy thereof (Section I Cooking Urn Meter Nup to 100 amps / - •to),'Lab. ce. q }I�nL yyt _ f �N4(!rrin ackflow Preventer Service Sink • - / - , . Policy Nod�""��r U UJ- 8L 5,00.1...-•-•<"''Cn I eern0Pfr 111/4)C- p • - Dishwasher Meter Dover 100 amps NA/ p y I Sewer Ca Certified copy is hereby furnished," C Dryers '11Gas ❑Electrl Sub Panel iv' 9y id with the city:Buiethtubs Sewer�ltionnection Date ((r 1Applicant^ • / , Motors❑I HP ❑1.'h-8EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - larifiers Solar Collet • Fan (This section need not be completed if-the permit-is-for one hundred ($100) or.- 1' F.A.U. - Inc .•lar ❑9=15 HP ❑i6-15+ "• less). r - ' Dishwasher ` Solar,' •mg , certify that in the performance of,the work for which this permit is Issued, I / - ,, Fixtures / shall not employ any person in anyimanber so as to become subject to the Drinking Fountains . dr Tank Owav¢ Workers' Compensation Laws of California', Date Signature Floor Drains w.imming Pool w7Spa Device Boxes ® Pole Lig ' , •Y NOTICE: If,after making this declaration, you should become subject to the • • �2 Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - _ Urin. .. ..• _• - - _ _ comply with such provisions or this permit shall be' deemed revoked / Gas Service �, Out s v '5 •: Water Clo : • '/jQ Switches �� g �- CONSTRUCTION LENDING iso -AGENCY �' Sign I hereby affirm that there a construction lending agency for the performance Garbage Disposal _ Of the 'work for which this permit is issued (Section 3097 Civ. C.) sI' 9 P ;• Standing Sections , , Interceptors ' Water Heater • Lender's' Name Generator ❑t KW 05-15 K Lender's Address Kitchen Sink I . Water Service- W Trash Compactor . OWNER BUILDER DECLARATION ' - - I hereby affirm that I am exempt from the Contractor's License Law for the 5 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-Trat • - :1 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 • t ' - ♦he Contractor's License Law(Chapter 9(commencing with Section 7000) of - , - _ -,�y,!vision 3 of the Business'and Professions Code) or that he/she is exempt - _ RBInspectioq Fee. �''7• $15 Issue Fee $ 3 '•, srefrom and the basis for,the alleged exemption. Any violation'of Section . ;4't 31.5 by any applicant for a permit subjects the.applicant' to a civil ' - - _ ' - 1 .DEVELOPMENT SERVICES REQUIRE NT _-i natty of not more than five hundred dollars($500). - . " - • .3 nb I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee, $ 'Zomng.Approved'By' -� 7 I L-i g 4 , Date_ O '.2/_OU .compensation, will do the work, and the structure'is not Intended or-offered - ff - (//{' for sale. (Section 7044, Business and Professional Code: The Contractor's - .MECHANICAL FEES ' Building Approved By r' y Date • License Law does not apply to an owner of a property who builds or improves _ ____ - _ _ - • �LI [� thereon, and who does such work'himself/herself or through his or her own Application Issued By 1 ,c 7S H-' - Date/O 2<J-"' st employees, provided that such improvements are not intended or offered for Boiler ' - - - , Hood or Type L 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0' , gyp ', - $L)� ✓�VfiG FE ES pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground , - - 6S4 7I prove for the purpose of sale). BUILDING PERMIT' $ SMTP $, L // ❑ I, as'owner of the property, am exclusively contracting with licensed con- Du . -Structural Refrigeration System J t •. GC 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 ' ❑o-100,000 BTU ❑111,100 BTU _ • PLUMBING• • $r� • ISSUANCE $ builds or improves thereon.and who contracts for.such projects with a con- - ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple • System Repair/• enation PIAN CHECK 25% $ �• proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ •'/ -GRADING $ . • ❑ l am exempt under Section B.& P.C.for this reason 2 Firepl/Fact.Blt. ICB0# • - Fire a •.ers • — 23D� I PLAN CHECK 50% $ ✓ MICROFILM $ Lta Date Owner - Heating System&Ducting -egisters MECHANICAL $ ' TOTAL FEE ' $ ' /D 3 2 I hereby certify that I have read this application and state that the above •- - '- F. 0-100,000 BTU 0100;000 BT $ . information is correct. I ogre to comply with all city and county ordinances ' - PLAN CHECK 25% and state laws relat' g to b mg construction,and:hereby authorize repre- - . • Inspection sentatives of this y to er upon the above-mentioned propert or _ ,_• _ - Inspection Purpas �� Jy�/1�, • i Signature 1/ "- Date G-/1-`•" Reinspection Fee .$15 Issue Fee • $ 3 / . • Drivers' License or ss - `- - Pe I - - - • '% 01 00007521-00007580_,TOT. • 1032 24 0865-46,rev. 5/88 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor I CONSTRUCTION AND PLANNING .n-' Pot .SPA • • • APPROVALS Permit • Date Inspector APPROVALS Permit# - Date Inspector !t.-`iemporary-1 Electrical Service or Pole ' •' 52. Pool & Equipment Location" - 2. Soi`Pipe-Undrgrnd. pt c/9 " 53. Steel Reinforcement . `3.�EIet tical CondultzUtility-Undr�g end. ,t.; ) 54. Forms ,-..:(2. : Elecfrical CoAduit-Uidrgrnd. :j C. ''4 55. Electrical Bonding %• y .tJ (51 Sieel-Ri�inforcementrU U 56. Rough'Plumbing & Pressure Test "14 1, 6.I'ElectriahUFERa.Grndi . :;:.7 61 57. APPROVAL TO COVER-GUNITE ' iv fy / 7� rooting-3 �f (1 •: .�/ 58. Electrical Conduit-Undrgrnd. ,r X7/7 1' •87 Foundation 1 , Iif_r '',VOA' ti_ 59. Gas Pipe, 0 Undrgrnd., Test Y tit'tett is _' 9' Water Pipe-Uridrgrnd. .- 'Q) ` ' '1+-' - ' 60. Backwash•Lines, P-Trap, 0 Undrgrnd. V , 10.1Structural Floor System . U ( ) 61. APPROVAL TO DECK 1.1,, Pr ert•- Sewer Line& House connection r ,t rf9P�Y / Cl 62. Backwash & Receptor-Final 12?Sev%elrlCa i!ij S fL -i G ' 63. Heater & Vent-Final j el 13. Roof Drains ,j,..% r^ M 64. Plumbing System - Final ,�� 14. rough Plumbing; a 65. Electrical-Final 15. Rough Electrical-Conduit ' - • 66. Solar System-Final ! t - • 116. Rough`Electric Wiring 67. Fencing & Access Approval • . :1;7. Rough Wiring Sign \ 68. APPROVED FOR PLASTERING r `t$. Rough Electrical-T Bar Ceil ng `s 69. POOL/ SYSTEMS FINAL , • • • X19. Rough Heating & Air Condi'iioning ,'.... �I*E DEPT. REQUIREMENT \ . 20: Rough Factory Fireplace �\ APPROVALS Permit# 2L'1:Ducts, in,.Structure 6. 7A. Underground Hydro • ) t 22..Qucts, Ventilating pi el;I \ ' A':71r. ;ProdLct;Piping El Gas El Oil 1 U z3. as GPipe:Rough& Test J,_ w - -_ / 72-Underground Flush 1 •24. Roof FraL . Framing � --- . N. / . 73. Undergrnd.Storage Tank 0 Gas 0 Oil \ • •-25('Roof,Sheathings-/t <////jg 74. Overhead Hydro - ' 26.1T-Bari,Ceiling (Structural) & Mo ocoat 7�5. Dry Chemical ,1 27. Fram re and Flashing IN 1 76.\Dry Standpipe 28.' Lathing-&Siding .11 h244:1V . ""f" 77. FIXED SYSTEM FINAL , 29. Insulatibn (.`') ,, - 78. FIRE`PREV. FINAL // r . •r 30. DrywalliNailing _r- /! \HEALTH DEPT. REQUIREMENT /III 31. Plast Brown Coat ff,% 79. FINAL INSPECTION ,r 32. Electrical Power Meter-llmal' 80. FOOD CERTIFICATE ISSUED �n1, 33. Final Electric I•';t'. r, Notes: 34. Final Heating & Air Conditioning --- -1---^ /e ,='$OLD FOR SPECIAL REQUIREMENTS' _ 35. Final Gas Pipe-Test 't. t \ 'S:r5 -.C391 it Rig RAr, 36. Hood or Canopy \ -l` 37. Final Factory Fireplace \ n Cc;04462 '/ 1/176yS.Y �4 a -2 '38. FirialPlumbing \ .. // z% _ '39. Water Service-Final^ - \ - r -_ �-- Feil.�„a e,.,el�- v-1,•,`_ ,\2c1g8 40. Gas Service-Final: \ '41. Solar Domestic-Final //' 410( kit. Q _ 42. Backflow Preventer - - �: •-- ..,, .a. 7 43. Backflow Irrigation . ;ter .111'14 • 44. Landscape'Irrigation System • ,C "I 45. Sound Attenuation \n. • 46. Handicap Regulations ' . 47. FINAL STRUCTURE & BUILDING �? 48. Soeial Requirements Completed 5 ylay �`Ir4&-- - . ' 4•9. Electric Release to Edison / - 50. Gas Release to:Southern California Gas Co - , . . LA i • 51.•CERTIFICATE OF OCCUPANCY .%! LH No. - _ Date 1 t1` • . r. l' i • • INSULATION CERTIFICATICt4 . ;')•', _4-; ,.This is to certify that insulation has been installed in conformance with the t�"'�1; *current energy regulation, California Administrative Code, Title 25, State of j'✓r lr . California, in the building located at: At: ir SITE ADDRESS 2405 La Mesa Ct . , Costa Mesa +I)` , •:; .. CHILINGS, 6 1/4 19 _ Type Fiberglass Manufacturer Owens/Corninr, Thickness 9 1/2 R-Value 30 . � ` . -:',Batts: g 5�.: I< -1 1f5 1 Blown: Type Manufacturer Thickness R-Value •i �� EXTERIOR Y1AI IS ,.'r )'r � t Type Fiberglass Manufacturer Owens/Corning Thickness 3 1/2 R-Value 1_ ,�. ••1 FLOORS Type Manufacturer Thickness R-Value,147 %' z; ; General Contractor License I ? ,J,; '°'= Title Data. i j•' %• ' .�c1�id Insulation Contractors, Inc. License I• 221517 C-2 ? ; Yell By< �e .... �. , Title Vice President Data April 13 , 198'9 �'i{Ytr ....w:: .W` w: .w: .w Jnr. 4w w, v. w v .v.. vim. • v �� ` . trak '�, • ar- -- -- - .ti.`. _�..✓ria „� SAred N.- �� Alli INSULATION CERTIFICATION " 44. This is to certify that insulation has been installed in conformance•with the � �' X . ' j current energy regulation, California Administrative Code, Title 25, State of "( -California, in the building located at: 1:"..t( al SITE ADDRESS 2405 La Mesa Ct. , Costa Mesa 9rp CEILINGS 6 1/4 19 A — - Batts: Type Fiberglass Manufacturer Owens/Corning Thickness9 1/2 R-Value 30_Fr 7Type Manufacturer Thickness R-Value 1 •• - EXTERIOR WALLS -11.14i ` r:i Type Fiberglass Manufacturer Owens/Corning Thickness 3 1/2R-Value 11 .A.4 L •FLOORS Type Manufacturer Thickness R-Valui 41 e General Contractor _ License I Y, I .s By Title Date V 1 . Schmid Insulation Contractors, Inc. License M 221517 C-2 fi `� By _ Title Vice President Date April 13 , 1989 1�y (, ` .w w/' . vi �tr, w/ rjjetw --% w1 .w w; •`. t i /�3� ROBIN B. S IN Q 17TH ST.Eire 1005 (�4;y� & ASSOCIATES, INC. , MESA.a�7 GVIL BNCa'INEER6 • PLANNERS • SURVEYORS WS PIA SAM1012 1 IApril 28, 1989 I Mr. Gary Conlon City of Costa Mesa Engineering Division t 77 Fair Drive • • Costa Mesa, CA 92628 RE: TRACT NO. 13456 ti 276-280 SANTA ISABEL ti • Dear Gary: Yz tz 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. • , 5 rely, Rob n B. Hamers ` RBH/ap • cc. John Peterka ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. "_ - CITY OF COSTA MESA CONSTRUCTION PERMIT PEgAIT NO. TRACT NO. LOT NO. UNIT NO. ' Project Address ;q/mc Lam' itteSa'Gea47' Y 34 3 11 /35'PSPo _ 7-ewe • • Applicant's Mailing Address PO SoX76'7 Sf94/•/Oifd$46p TYPE OF CONSTRUCTION .❑ NEW El ADD U ALTERATION U REPAIR Owner's Name _ , �FL✓F�t AKIV/J.ya Phon�j*% ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# _ ' I Zone DESCRIPTION OF WORK/USE OF BLDG. Address •' — % /= • O' S Main Building: Accessory Building: , Arch/Eng. LI No. TYPE OF PERMIT GRADING ID FOUNDATION T Front Z U STRUCTURAL E D ❑ TENANT ❑ ELECTRICAL Z PLUMBING ❑ MECHANICAL B N Address A Rear ��//��//'��•s ❑ OTHER _ 9 - -Contractor's Namep pirhone �i PROJECT DESCRIPTION •Sq. FT. OCCUPANCY R Ri ht G Address(mailing) / m?r; (`-'J s , r/'� ' CONSTRUCTION TYPE VALUATION $ S Left _ R City License No. ,`-IC 'L ZONE GRADING CU.YDS. - ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided D I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: p /� Plannin Notes: with section 7000) of Division 3 of the Business and Professions Code, and .84!44 peeoftair ,8.75 7.7 - g _ _ M my license is in full force and effect. // • S License Cl.ss - — _ Lice. •,/.,5799-7...3 - Date — -S Signature .�.ar-- PLUMBING FEES • • WORK RS'COMPENSATION DECLARATION Bar Sink / Showers 2 W ELECTRICAL FEES ereby 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 ' ..d00, Lab. �C.L / Automatic Washer • ' Transformer 0 15.50 KW Policy No.07 jLY2.,3-7J Company S1'V14'7.O/or Backflow Irrigation Sewer Cap • .0'50+KW Certifiedcopyisherebyfurnished. Construction Pole Sub. - - CertifiedicoYls filed with the city Bui ' ision/J// t Bathtubs Sewer Connection (0 w%•• Cooking Unit. - Meter Cup to 100 amps Date /Z-Y Applicant .. . C ,��r+ • EXEMPTION FROM WORKERS'COMPE ATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). / Dishwasher Solar Piping 2. w Dryers ❑Gas ❑Electric Sub Panel - • I certify that in the performance of the work for which this permit is issued, I - • - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Fan Motors ❑0-1 HP ❑1'/a-8 (�(\ Workers' Compensation Laws of California. '5L Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ ^^ NOTICE:If,after making this declaration, you should become subject to the — M - II I' I 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. ems_ - -' it :- comply 1 CONSTRUCTION LENDING AGENCY i' Gas Service Outlets y Water Closet 5,�ra Device Boxes Pole Light ,,.f' l I hereby affirm that there is a construction lendinge agency for the performance of the work for which this permit is issued (Section 3097/Civ. C.) '' rE i,' Interceptors / Water Heater 2.w Outlets„ , / Range ,� 1 Lender's Name ' c ^ Lender's Address Kitchen Sink i'' Water Service -I ({ L✓ Switches - - Sign /, - " lJ OWNER BUILDER DECLARATION /,/ f r \ I hereby affirm that I am exempt from the Contractor's License Law for the T Lavatories / • Auto-Wash • 2. s GarbageIDisposal .. , Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap / Laundry Trays 2.-'v • Generator 00-5 KW ❑5-15 KW;:, Trash Compactor , .i 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 ' 'he Contractor's License Law(Chapter 9(commencing with Sectionr7000)of J: •- s -i t 'vision 3 of the Business and Professions Code) or that he/she-is exempt arefrOm and the basis for the alleged exemption. Any violation of Section ' J31.5 by any applicant for a permit subjects the applicant to a civil - , • penalty of not more than five hundred dollars($500). I - I ' 0 I, as owner of ttie 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 f • Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL -FEES License Law does not apply to an owner of a property who builds or improves ._ .. thereon, and who does such work himself/herself or through his or her own • Hood or Type ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler • '- sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By • Date . Picone, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By - �•_ — Date LIrove for the purpose of sale). �y\ —9 G ...p(s I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date_ ��U �J 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 ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES • builds or improves.thereon,and who contracts for such projects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple El System Repair/Alteration • BUILDING PERMIT $ SMIP $ proof oftheir 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.Blt. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ — DateOwner Heating System& Ducting Registers PLAN CHECK 25% $ 3 ENERGY P.C: $ I hereby certify'that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT • ELECTRICAL $ GRADING' $ information is correct. I agree to comply with all city and county ordinances and state laws relati building co ruction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ j3 sentatives of this I o enter up the above-mentioned property for inspection purpose e• MECHANICAL $ TOTAL FEE $ t---113 Signature Date/.r� Drivers' Lic se r SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ vi vvvuv LL QSJUUO117 I s,3 1 J1.lO I,, CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod -Assessor • CONSTRUCTION ANDPLANNING POOL &SPA APPROVALS Permit # Date Inspector • APPROVALS Permit# Date Inspector 1;Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. T/741"e 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 e . 7. Footings ^ - - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe:Undrgrnd. 3 7 l"j 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System "'-07 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 16-2afyi &.F.4 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Signs ` G 68. APPROVED FOR rPLASTERING 18. Rough Electrical-T Bar Ceiling v, „ 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 Li Gas OOil 23. Gas Pipe-Rough& Test - 72. Underground Flush A I.: 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOil ;. 25. Roof Sheathing 74. Overhead Hydro ,I; 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical irl' 27. Frame and Flashing ', / , hi 76. Dry Standpipe - 5 • r,', 28. Lathing& Siding 77. FIXED SYSTEM FINAL 5i 29. Insulation 78. FIRE PREV. FINAL ,/ 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat </ 79. FINAL INSPECTION ',' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ��1 33. Final Electric Notes: S“ 34. Final Heating &Air Conditioning ,1 35. Final Gas Pipe-Test 144o41fir -' .I 36. Hood or Canopy /�� r , , 37. Final Factory Fireplace if ..: I ' ' 38.'Final Plumbing r F9./rf i'• A r. 39. Water Service-Final • 1 1 '140. Gas Service-Final ... " ,, .. 'I 41. Solar Domestic-Final v* -I v f •, ! 1 1'42. Backflow Preventer I 'L L• `: ,C4,./.Backflow Irrigation a .? ✓ .. . y . I t 44., Landscape Irrigation System �" - ,,'1, (r/ +/ j i7 s. 1 45.•Sound Attenuation A - i� - - >, 46! Handicap Regulations � %��: r l � if , 4.7. FINAL STRUCTURE & BUILDING iA i it i- . 48~Special Requirements Completed C' I'• ' .46. Electric Release to Edison ) 50. Gas Release to Southern California Gas Co v 51. CERTIFICATE OF OCCUPANCY - No. Date I' - -/Yi LO_ 71 _ L. r.5— - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ CITY OF COSTMESACONSTRUCTION•PERMIT24o5' PER IT NO. • TRACT NO. ' ' LOT NO. 'UNIT NO. r1 3 8x 4`7 , Broiect Address l 1—L t"� FZOGT - I '• C y� TYPE OF CONSTRUCTION EW' H ADD H ALTERATION LJ REPAIR Applicant's Mailing Address �7 i-lett1.7.e- 6x.1 I�f�.LI$.97/dam - + Owner's Names �L py Imo' I El CONVERSION El DEM LISH ❑ OTHER - •A.P.- # - - _ _ • + 1 Zone • - �p� t � I-fb1, Z r'(L.—Phon�t��0330 , DESCR I PT ION OF,WORK/USE OF BLDG. ' G ' 61 } ) 4-17.$ --P./S(5 • Address /754 --s-r-GL.I Fr CTZ IOeN•Q.`77.4a6e0 1 t Iel.i,L;b.Gyr;9, ' S Main Building: aiQ(l�: 1A'ccessory18uilding:-j'�'.'f-S' , r 7.5• Z( ' Arch/Engi License No. ! TYPE OF PERMIT GRADING ❑ FOUNDATIOry., ❑ STRUCTURAL E Front, • DATE ' i $/24!'39� TIME: 15:27 0 Address ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING /17`I' MECHANICAL B Rear N Contractor's Name tASW^ Phon '0%2�, ❑ OTHER q ��s� �� 'A - ,J ��t/" • OCCUPANCY /h f t - C Right G PROJECT DESCRIPTION SQ. FT. - Address(mailing) : - 'K Left Q q a�'t'! 4 CONST RU CTION TYPE •- VALUATION$ •' - $ R City:License No. [��1P ZONE GRADING CU.YDS. ACRES •LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided" E ^ I hereby affirm that I am licensed Under provisions of Charter 9 (commencing Remarks: ��s s. �� ,s ' • � y� 2 �/ 9 P ahriing Notes: • 1 M 1V with section 7000) of Division 3 of the Business and Prof-ssions Code and l/k I11�1�.(/: 1 � 1 // •rJ T•>' f�� - •• `s., my license is in full f•. and effect. A sr I - _ T _I` Licen : ria s license N. a •_ • S (� Date a, A'{ji Signature _ �I � 'ftili _ PLUMBING I FEES, • - woR RS' OMPENSATION DECLARATION Bar Sink Showers • ELECTRICAL - FEES ( ' 'Iereby affirm that I have a certificate of consen o self' sure or a certificate - - . 1 . , �� Workers' Compensation Insurance, or a,certified copy thereof (Section _ - .- - , _coo, Lab. c.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW - I r .. Policy No. Ce LS 7.14p,1_ Company a� �_. s I Backflow Irrigation Sewer Cap-- ISub.' • 1:1 50+KW- Construct Certified copy is hereby furnished. r`q,fi nd co � yI ,filed with the cit �rivision. ` Bathtubs .+ - - Sewer Connection - - Cooking-Unit - Meter ❑up to 100 amps ' Date `,{'//f'6 �//.7J//((-��n/ Applicant p_ _ EXEMP ON PROM WORKERS'COMPS NS 10 /• CLt R' ION , Clarifiers. • : . : Solar Collectors - - - Dishwasher - Meter Dover 100 amps (This section need not be completed if the permit is/or one hu.•red ($100)or - - -_ ' less). Dishwasher - - - ' Solar Piping - - - Dryers ❑Gas ❑Electric Sub Panel • • • I certify that in the performance of the work for which this permit is Issued, I - • - _ shall not employ any person in any manner so as to become subject to the Drinking Fountains , Solar Tank + • Fan Motors❑0-1 HP ❑1'/::-8 I Workers' Compensation Laws of California. _ , - - _ Date Signature Floor Drains ' ' Swimming Pool w/Spa -' t F,A.U.r• -- NOTICE: If,after making this declaration, you should become subject.to-the _ Inc.Solar Li 9-15 HP;016-15+, • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks + Urinal • Fixtures Microwave comply with such, provisions or this permit shall be deemed revoked. , • - ' : , CONSTRUCTION LENDING AGENCY -1a • Gas Service Outlets . Water Closet Device Boxes ' I hereby affirm that there is a construction lending agency for the performance , 1 Pole Light of the work ng whidc1�� his 11ttff��mmji rr��SsssuRp' (S c ' 3097 Civ'.1-C.) Lender's Nam•" . 1��t�GHftN s-N�YL. ✓7 Interceptors • Water Heater Outlets Range -Lender's Address -- V-1-41 42 --rj+�.AI4Y')"'1 Kitchen Sink _ . - Water Service - _ Switches - i - - Sign -• - - OWNER BUILDER DECLARATION • I hereby affirm that I am exempt,from the Contractor's License Law for the Lavatories Auto-Wash I Garbage Disposal 1 1 following'reason,(Section 7031.5 Business and Professional Code: Any:city or ' 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or•repair P-Trap Laundry Trays Generator ❑0-5 KW.❑5-15 KW • any structure, prior to its issuance, also requires the applicant for suchipermii - Trash DOmpa Compactor to file a signed statement that he/she is licensed pursuant to the provisions of • Roof Drains ' ' the Contractor's License Law(Chapter 9 (commencing with Section 7000)of - livision '3"of the Business and Professions Code) or-that.he/she-is-.ekempt - - - - -- - - --r- -'� - lerefrom 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 l - • - oenalty of not more than five hundred dollars ($500). I, as owner ',tithe 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 - -- 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 DEVELOPMENT SERVICES REQUIREMENTS: • 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 oneyear of com- ! - • Zoning Approved By Date - I p Canopy • Type II ❑ , prove , the-owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date s (� ' rove for the purpose of sale). • • 'Mar I, as owner of the property, am exclusively contracting with licensed con- • Duct-Structural Refrigeration System Application Issued By - • Dat: LL4S L7 • 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 ❑ Multiple 0 ' System.Repair/Alteration - BUILDING PERMIT $ ' SMIP ' $- proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ' _ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO#2 Fire Dampers - - IO PLUMBING ' $ ISSUANCE $ Date Owner - Heating System& Ducting p Registers ENERGY P.C. $ - �- • PL'AN CHECK 25% '$ _ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL • ELECTRICAL �$ - - GRADING - $ information is correct. I agree to comply with all,city and county ordinances - • ' ' and state laws relating to buildin• •. truction,and hereby authorize repret - ' PLAN CHECK,-50% $ MICROFILM $ sentatives city to enter u•on - above-mentioned dr.pert. or Q• l inspection purpo I �/ g/ ' MECHANICAL $ a�/°C) TOTAL FEE $ �5 -"`i Signature• ,`_�ki/.A '- - 'Dat 1 e i ( Drivers' License or�S* -- - -./ Reinspection Fee $15 . Issue Fee 1,‹ $ •f • - PLAN CHECK 25% $ CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod . Assessor • zi CONSTRUCTION AND.PLANNING POOL&SPA APPROVALS Permit# • Date Inspector APPROVALS Permit#- Date Inspector 1.'.IT. remporary ElectricalSEivice or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd: -54. Forms . . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE' 7.fonrgrn ootings • ' 58. Electrical Conduit-Undrgrnd,. ' 8.-Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - - 60. Backwash Lines,-P-Trap, 0 Undrgrnd. 10. Structural Floor Systems 61. APPROVAL TO DECK 11. Property Sewer Line&House Connection 62. Backwash & Receptor,-Final 12. Sewer Cap 63. Heater & Vent-Final , 13. Roof Drains • 64. Plumbing System - Final • • ' 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring • 67. Fencing & Access Approval •• 17. Rough Wiring Sign - • !• ' 68. APPROVED FOR PLASTERING 1,8. Rough Electrical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL. r 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT. 20. Rough Factory Fireplace • APPROVALS Permit# - „ .21. Ducts, in Structure 70. Underground Hydro _ ' 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush !'9 t 24. Roof Framing. 73. Undergrnd.Storage Tank 0 Gas 0 Oil . 25. Roof Sheathing - 74. Overhead Hydro • �' . • - iI. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical f-, a . 27. Frame and Flashing • 76. Dry Standpipe "' • 28. Lathing&;Siding ' . 77. FIXED SYSTEM FINAL (' • 29. Insulation:,'. 78. FIRE PREV. FINAL - . • • 30., Drywall Nailing HEALTH DEPT. REQUIREMENT ,� 31. Plaster Brown Coat 79. FINAL INSPECTION -: �' . 32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED t_3- 33. Final Electric . Notes: .' 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test 36. Hood or Canopy - - . 37. Final Factory Fireplace y/.14/t1 -gam- • - 1.38.•Final Plumbing . '' :�, !' 1 39. Water Service-Final ' - 40. Gas Service-Final C . • • �j 1 41. Solar Domestic-Final .. %;, 1 i• •42. Backflow Preventer ' - I. • 'i 43, Backflow Irrigation - - .. - •j - 44. •Landscape Irrigation System - r' 1 45. Sound Attenuation ' . -- - 'I • I. 46. Handicap Regulations - . - _ 47. FINAL STRUCTURE & BUILDING . - - - '-1 • !' I i I{. 48. Special Requirements Completed = - y;? 49. Electric Release to Edison' -, •-- - 50. Gas Release to Southern California Gas Co - _ • 51. CERTIFICATE OF OCCUPANCY . ' No. Date _ '1 ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA CONS RUC ION,PER IT PERMIT NO. O TRACT NO. LOT NO. UNIT NO. - wI n ',�s� y� M O �___ A.P.#' • Zone Project Address vl ty ESA OP'- �7 - , S l f 3% j ut 'v(' it...II-A/6 9p4c3 TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION S Main Building: Accessory Building: U REPAIRE Applicant's Mailing Add102 ress' ( � CI CONVERSION" 111 DEMOLISH El OTHER i T Front ZO Owner's Name �Ew�,> ti�+�ld+ / Phone E y-.-qq J� DESCRIPTION OF WORK/USE OF BLDG. - i A Rear N Address I C Right N Arch/Eng. - License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL K G Address ' - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left . . AI- ,dp_.y t ❑ OTHER E Contractor's Name SL. F � Phone G�'7441q.' �Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY - M Address(mailing) d�✓I"'Q' Planning Notes: CONSTRUCTION TYPE VALUATION$ City License No. - ?J 2 t&Z- ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: TZ._ ` Y 3jr ' with section 7000) of Division 3 of the Business and Professions Code, and 2J J /a✓ + 1 .. . Q� my license is in full force .nrd of L //Oa tel / ELECTRICAL ' FEES clj License Class L ce j• No. �( T Date_ i- - 4, 'Signature Vy. / - / PLUMBING FEES Automatic Washer Transformer 0 15-50 KW _ l - ❑ 50+ KW v. WORKERS'COMPENSATION DECLARATIOteofconsent Bar Sink Showers Construction Pole Sub. '•ereby affirm that I have a certificate of coto self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps 1/4... 00, Lab. C.)' twat, Backflow Preventer Service Sink Policy No.VILS 1`I'(3Sz�-�'Company FP'? w" Backflow Irrigation Sewer CapDishwasher Meter Dover 100 amps Certified copy is hereby furnished. — ertified copy is fyylIed ith the city Bui Division. /A , Bathtubs r... Sewer Connection ;i , Dryers ❑Gas DElectric Sub Panel Date 4.-14--Sf Applicant /_�^�-. st 'V Fan • EXEMPTIdN FROM WORKERS'COMPENSATION D LARATION Clarifiers r± Solar Collectors Motors Do-i HP ❑1'/a-8 (This section need not be completed-if the permit is for one hundred ($100) or - v F,A-U. -Inc.Solar 09-15 HP ❑16-15+ - ' less). Dishwasher Solar Piping _ I certify that in the performance of the work for which this permit is issued, I - ^� Fixtur¢s 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. /r Date Signature Floor Drains Swimming Pool w/Spa , 7,• Device Boxes Pole Light NOTICE:If,after making this declaration,you should becomesubjectto the e 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 AGENCY - Switches Sign Gas Service Outlets Water Closet 9 I hereby affirmk that therewhiis a construction lending (Section for the performance iv. C.) of the work for which this permit is Issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors .- Water Heater Lender's Address - Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the 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 - ' 'flivision 3 of the Business and Professions Code) or that he/she is exempt • Reinspection erefrom and the basis for the alleged exemption. Any violation of Section - • Fee $15 Issue Fee $ 3 )31.5 by any applicant for a permit subjects the applicant to a civil ee,nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of theemployees roperty or with wages as their sole Reinspection Fee $15 Issue Fee $ 3 P my _ Zoning Approved By Date compensation, will do the work,and the structure is not intended or-offeredracto for salese does Business and f aProfessional Code: The Contractor's MECHANICAL I FEES Building Approved By Data for Law does not apply to es owner of a property who builds or improves • thereon, and who does such work himself/herself or through his or her own f Application Issued By Dat l 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 corn- Canopy Type II 0 SUMMARY OF FEES p , 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 $ 0 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 oftheir Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ _ ❑-1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ _ I — PLAN CHECK 50% $ /� Date owner Heating System& Ducting Registers MECHANICAL $ a'4`..00 TOTAL FEE $ A`��a I hereby certify that I have read this application and state that the above I g'0-100,000 BTU ❑100,000BTL' information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and.state laws relating to building construction, and hereby authorize repre- sentatives of this ci o enter upon the above-mentioned property for inspection purposes. , Signature ' ....s.....s../�`' Date fir Mee Drivers' License or SS# 3 D1 0_0 17494-00017494 TGT 24.00 0865-46,rev. 5/88 White - Building; Canary - Applicant: Pink - Accounting; Goldenrod -Assessor DATE: 10/19/88 TIt4E: 15:22 . _ -- t IN CONSTRUCTION AND PLANNING a _ POC SPA APPROVALS Permit Date Inspector APPROVALS Permit# - Date Inspector 11-Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. "� 53. Steel Reinforcement • 3. Electrical Conduit:Utility-Undrgrnd'- ,-4 .54. Forms i 4._ Electrical Conduit-Undsgrnd. �� 55. Electrical Bonding - 5. Steel;Reinforcement '.� 56. Rough Plumbing & Pressure Test .• , 6. Electrical UFER-Grnd? -� L1 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. ' II; 8. •Foundation r ' 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, 0 Undrgrnd. •10. Structural Floor System . . 61. APPROVAL TO DECK II.•Property Sewer Line & House Connection • I 62. Backwash & Receptor-Final ' 12. Sewer Cap I 63. Heater & Vent-Final • r r 13: Rgof-Drains - 64. Plumbing System - Final 14. Rough Plumbing.• 65. Electrical-Final / 15. Rough Electrical-Conduit 66. Solar System-Final - , • 16. Rough Electric Wiring 67. Fencing & Access Approval .1,7� Rough Wiring Sign - 68. APPROVED FOR PLASTERING ' 1i8. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 119'. Rough Heating & Air Conditioning 10-zo-4V Lip FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace :r ' APPROVALS Permit# X21'. Ducts, inRough Elec • 70. Underground Hydro r 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT I•\, 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ,//�,/ S. 35. Final Gas Pipe-Test / 7 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service-Final 40. Gas Service-Final . 41. Solar Domestic-Final . 42. Backflow Preventer 'i1 �f � r 43. Backflow Irrigation 1 ; I c.• 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 51. CERTIFICATE OF OCCUPANCY A? ..../ No. Date ...r -1 Applicant to fill in all spaces except those within b avy border lines and sign all appropriate declarations. PERST N ' TRACT NT `LOT NO. UNIT NO. CITY OF COSTA ME,S�+ CON TRUCTION PERMIT A.P.#' . J zone • ' PrQjec�ddressOS- - { S Main Building: • Accessory Building: Applicant's Mailin Address TYPE OF CONSTRUCTION (�YFJEW- U ADD U ALTERATION U REPAIR ' �/g rj� /_l15--� ��, III CONVERSION .DEMOLISH 0 OTHER - _T Front - O Owner's Name /x � 'r'/^�/ Phone 1Y7 DESCRIPTION OF WORK/USE OF BLDG. B Rear - - N Address- •- ��-.I , .. _ Arch/Eng, -- -_ License No. TYPE OF PERMITGRADING LJ FOUNDATION ❑ STRUCTURAL C Right - - G Address ' . ' q • ❑ TENANT- LECTRICAL .❑ PLUMBING U MECHANICAL . . S' Lett _ R ' Contractor's Name -�0!/ EL S Phi:, G5�933 J- - ❑ OTHER `Si F '1p'&-rn-P �. Ping. Ref.# -Parking Reii./Provided E • c �,..," •/ PROJECT DESCRIPTION 'SQ. FT. O cuPANCV O �J /�Le•�th,OY`�C.t_ �Y 'Planning Notes: Address(mailing) ' /'� / - M +),�V i-i CON STRUCTION TYPE -VALUATION$ T City License No. 7 T ZONE - GRADING CU.YDS. ACRES• - ' ' LICENSED CONTRACTOR DECLARATION - ' - - S. 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 / 7 r my license is in full Wipe a d ffect. �— (y 7j ,�7 . • ELECTRICAL 'FEES License C ss L:-� License 6 _! . Date O"��ttlegre �=1 • PLUMBING-• I FEES Automatic Washer Transformer 15-50 KW �I- WORKERS'COMPENSATION DECLARATION _ Construction:Pole Sub. ❑ 50+ KW . _ `IY hereby affirm that I have a certificate&of consent to self-insure or a certificate • Bar• Sink • $howefs Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit ! Meter ❑up to 100 amps r ��or _ Backflow Preventer Service.Sink - 1 -1 ry <00, Lab. f}y(l GI�/`[�/ - - Dishwasher Meter Dover 100 amps ; • 'oil-• •o. VII 0/ 70 Company ' Backflow Irrigation Sewer Cap l ertiffed copy Is hereby furnished. - _ Dryers ❑Gas ❑Electric — ti tD• ertifi n�6�-opyd�fiJ$cnuith the in ' Bathtubs Sewer Connection y Sub Panel Oa e �V % C-yx Applicant � " � ��_ EXEMPTION FROM WORKERS'-CO ENSATION D CLARATION : Clarifiers Solar Collectors l Fan Motors❑0-1.HP ❑1'/x;-8 i (This section need not-be completed if the permit is for one hundred ($100) orF.A.U. Inc.Soler 09-15 HP 016-16+ less). Dishwasher Solar Piping - . r- I certify-that-in the performance of the work for which this permit Is issued, I • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave • Workers: Compensation Laws of California. Device Boxes • " Date - • Signature Floor Drains - S• wimming Pool w/SpaPole Light • NOTICE: If,after making this declaration, you should become subject to:the - - Workers' Compensation provisions of the -Labor Code, you must forthwith Floor.Sin ks - .. . ' .Urinal- . . .. ,. 7: Outlets Range - _ ., . , , �1T" comply With such provisions or this permit:.shall be deemed revoked. : ^ • rare • CONSTRUCTION LENDING :AGENCY - r Gas Service Outlets 'Water Closet - O+ Switches Sign 1 721 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' Lender' Name - - - Interceptors , , : Water Heater - Lender's Address Kitchen Sink . Water Service - • ' Generator ❑O-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION , ' • ' •- - _ • I hereby affirro,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 _ - per/ ` • _ county which requires a permit to construct,alter,improve,demolish or repair P-Trap - - - - - Laundry Trays - �/ •• re--• asyc- 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 / ' • nivision 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 .. , ' - - 131.5 :by any applicant for a permit subjects the applicant to_a -civil - - - .denalty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS: 1;❑ I, as owner of the property or my employees with wages as their sole -Reinspection.Fee I $15 Issue Fee- _ $ 3 Zoning Approved By • •• "compensation, will do the work,'and the structure is not intended or-offered' - - - -. 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 Dat: • ' 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 con.-, - Canopy Type II ❑ • - SUMMARY OF FEES pletion, the owner will have the burden of proving,he/she did not build or im- Duct-Under Ground - Drove for the purpose of sale). - BUILDING PERMIT $ t _ SMIP $ • U I„as'owner of the property, am exclusively contracting with licensed con-, • Duct-Structural - Refrigeration,System - • tractors to construct the protect (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 • . ❑0-100,000 BTU 0100,000 BTU PLUMBING • $ • _ ISSUANCE ; $: • ' builds or improves thereon: and:who contracts for such oroiects with a con-• - - ` ' - - ENERGY P.C. $ tractor(s) license pursuant to tne 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. - - ELECTRICAL GRADIN • G $ ❑ I am'exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers D PLAN CHECK 50% $ ttif •r 4AICROFILM - $. Date ' Owner - • Heating System& Ducting• Registers , MECHANICAL I-hereby certify that I have read-this application.and state that the above- • - - 00-100,000 BTU 0100,000 BT • - _ $ TOTAL FEE $ Information is torr I agree to.compl ' h all city and county ordinances PLAN CHECK 25% $ • `O 7 3 ' and.state laws t' to bwldin c• tion,an. hereby authorize repre- • • • sentatives is ny ent a abo ' entionetl property for , Inspection ur o ” O�/� GCS/ - Signature • Date / !3/f - - 01 00016326-010016826 T0T; ' 103.73 Drivers' License or 55 Reinspection Fee - $15, Issue Fee '$ 3 #. :�� DATE: 10/12/88 TIME:• 64_ :3` .. 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor t,. 0 a . . €OPISTRI.ICTION AND PLANNING ',7`�r..- POC SPA Date• Inspector Date Inspector• APPROVALS Permit# 1 APPROVALS Permit# -� ' 1.`Temporary Electrical Service or Pole + /7 52. Pool & Equipment Location 2: Soilyipe-Undrgrnd. Pr i 53. Steel Reinforcement i I 3?Elecvical Conduit Utility-Undrgrnd. !-•• -•••• .../ r 54. Forms j.,/ f . 4riElectrical Conduit-U :ndrgrnd. � '� '' 55. Electrical Bonding 5:'Steel'Reinforcement y P ' In: - 56. Rough Plumbing & Pressure Test ,7 6.. Electrical UFER.Gind. 57. APPROVAL TO COVER-GUNITE •_ +I r . 7.-Footings1 - ;/. 58. Electrical Conduit-Undrgrnd. . • / 8. Foundation ,.. "'.' 'i 59. Gas Pipe, 0 Undrgrnd., Test • r: . f 9'Water Pipe-Undrgrnd. ✓ 60. Backwash Lines, P-Trap, 0 Undrgrnd. j•1 10! Structural Floor System /' 1�,I' 61. APPROVAL TO DECK 11,.1Property Sewer Line & House Connection • <, 62. Backwash.& Receptor-Final 12. Sewer Cap +;I/ n,~t 63. Heater & Vent-Final •r' "'I 13. Roof Drains `.. �I• 64. Plumbing System - Final ,• L• 14. Rough Plumbing/ .1 I65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 12-2-88 aue„, 67. Fencing & Access Approval •17. Rough Wiring Sign 68. APPROVED FOR PLASTERING t78. Rough Electrical-T Bar Ceiling,/ 69. POOL/SPA SYSTEMS FINAL A I X19, Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. Rough Factdry Fireplace 14.- APPROVALS Permit# - 21. Ducts, in Structure y 70. Underground Hydro 22. Ducts, Ventilating '�i 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test '4) 72. Underground Flush 24. Roof Framinge"- r V 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 1, 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation ^ 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 5-/-8? KIe'" Notes: 34. Final Heating & Air Conditioning ulCP 35. Final Gas Pipe-Test - 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final I44 i 40. Gas Service-Final i. '} I 41. Solar Domestic-Final .` 42. Backflow Preventer _. -1',r '%� , i 1 43. Backflow Irrigation - , y •1 44. Landscape Irrigation System • 45. Sound 'Attenuation �. 1 `• . 46. Handicap Regulations in 47. FINAL STRUCTURE &'BUILDING 48. Special Requirements Completed r; , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . - - J 51. CERTIFICATE OF OCCUPANCY L ; f . ° ) ,f _ Er No. • Dater 1 4.1 L; ,'I; . ,A)