HomeMy WebLinkAbout2406 LA MESA CT - Building Permits`Gl Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M SA CO STR CTION PERMIT PERMIT N TRACT NO. LOT NO. A'P'# 1 p - Zone
24/OW L� 3�7 b: !3.¢5Co SIX- UNIT NO. 43� — 332— 05 l� I SQL '
Project Address 1826Q r Cater r , S Main Building' - I Accessory Building: -
J Z
Applicant's Maiip�n/�p�•Address SvcLi -/ /-•rte j TYPE OF CONSTRUCTION Vt NEW U,ADD U ALTERATION U REPAIR _
/VG�UI'd.QTfFAebca NQS ff /j •❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front �� GL �L _ O
Owner'sN me Phone �S DESCRIPTION OF WORK/USE OF BLDG. ���L'� fQ Vl/�y I.B Rear "1 - - ' - N
Addiless /66Z-ZS ('Jt9rCL/ft TU2• ft/09 1V• PP- pk> /N(r t,., A7iaCl- EO CoA<4O'E A � /
Arch/Engy..nV�AL#rC F02( S Liccenns¢e No. L•Q•�3O o7 TYPE OF PERMIT ❑ GRADING L_I FOUNDATION ® STRUCTURAL I C Right - - N
Address TTrs', n JLIR�IAIe&Vo 7,11(�5jqu/Lt.) ❑ TENANT ❑ ELECTRICAL :❑ PLUMBING ❑ MECHANICAL S • Left I G f a1 r I _ • . . G
Ft
Contractor's Nam &Palo A x ,10 5 Pt 1S ' T-f/3 LI OTHER L. !Ping. Ref.4 1 . I q (.Parking Req./Provided a,rJ /�S E
• Si-5 vVf-c CLe fit De..- _ PROJECT DESCRIPTION SQ. FT.�• Z 2 £ES•OCCUPANCV 12. 3 SPECIAL
�pp���p�` Q
Address(mailing/Jai-5
nse N gll �•s� CONSTRUCTION TYPE Y' N VALUATION$ / a, �• _ PlanninganNotes:' MOLD FOR�/ SsECIIALs REQUIR:MENT$C. - . . - M
City License No. V�Cv� ZONE • - GRADING CU.VDS. ACRES /Goo 1 -, aR l..AI.CS rcori •J:1 VSs IS4a7 L • 'S
LICENSED CONTRACTOR DECLARATION �-s
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: YL gn, �y�� n -f-•
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full fo a art effect. /Zg Q t'� f�_ •Imo. Cd L2� ELECTRICAL - FEES
DateLenCass�pC-Q-��IPy License No. 4 L Cl 4 PLUMBINJG •
t•Ll —T• FEES Automatic Washer Transformer 0 15-50 KW
CO-o 1 �' VV Signature -WORKERS'COMPENSATION DECLARATION 5tructiOn Pole Sub. '❑ 50+KW '
$ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink r Showers u .
Workers' Compensation Insurance, or a certified copy thereof (Section // Cooking it I I Meter'{�up to 100 amps
j800, Lab:t) •- . _ =-.kflow Preventer - - Service Sink - / _
H/PSBSBZSSOOS' �� I=12.E11joA.Fr //QS- • / Dishwasher Meter Dover 100 amps
Policy No ,Company ' Backflo , igation Sewer-Cap _ �% _
❑ Certified copy is hereby turn a cit I -.>..--"--
moi - ! Dryers KGas ❑Elect • Sub Panel --��-y
® Certif)'ed pp9Py' idled with the city.Bui161rLq,DiYr/ien� Bathtubs Sewel'ConnectiOn ) _
Date (?' I !' oApplicant. `!':9 �f/•+"LC_\Jl - Fan Motors❑0- P-❑1,% 8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collector ?'
(This section need not be completed if the permitis for one hundred ($100) or - 1 n0.S r ❑9.15 HP ❑16-15+ -
less):- ., Dishwasher Solar Pipi - F.A.U.
-
I certify-that in the performance of the work for which this permit is issued, I ank •, n • Fixt Fixtures / IC ave
shall,not employ any person in any manner so as to become subject to the Drinking Fountains OI. _
Workers' Compensation Laws of California_. - - - .. - �-
Date • Si nature' Device Boxes; '
9 Floor Drains wi • ing Pool w/Spa Pole Ligh ✓ '
NOTICE: If,after making this declaration,.you should become subject to the • •fOZ DULI¢I5 /
Workers' Compensation provisions of the Labor code, you must forthwith - Floor Sinks Urinal - - Range 4,
comply with such provisions or this permit shall be deemed revoked. - .‘30
CONSTRUCTION'LENDING AGENCY -. • - ( Gas Service . 5 rOutlets $ Water Closet S/5KW
Sign
I hereby affirm that there is a constructlon.lending agency for the performance •
of the :work for which this permit is issued (Section 3097 Civ. C.) �` GStanding Sections'
Interceptors - ( Water Heater . •
Lender's Name - - _ - .
Lender's Address • / - Kitchen Sink r . Water Service (:
•
•
I •
• I J II 1 t
CONSTRUCTION AND PLANNING ' ?O. ABPAr.
Date Inspector - Date Inspector '
APPROVALS Permit# • : r r APPROVALS, Permit# _ .
t:1. ,temporary-Electrical Service or Pole • f' 52. Pool &'Equipment Location -
2. Soil Pipe-Undrgrnd. ' �� ;�� 1� 53. Steel Reinforceme i
3.IEI2ctrical,Co uit Utility-Undrgrnd. . ' i _ ;54. =For'ms -
'4? Electrical Conduit�Undrgrrid. ' • - '.' i 55.._Electrical Bonding • 4'
'n A r - n.. o->'f, - Jw - rn
5. Sieel Reinforcemenv7• j. 56: Rough Plumbing & Pressure Test `
•6."ElectricaI UFER`G'rnd.1 • 7n 4I 57. APPROVAL TO COVER-GUNITE ' IQ
7" Footingf uy h 1 6_1^ 44<,. fiJ! 58.-Electrical Conduit-Undrgrndc ' t
i' n.�,.T, v. /
8.7 Foundation -,rt% 'r ' 1 i'✓ -59. Gas Pipe, D Undrgrnd.;Test r;
9. Nater Pipe-Undrgrnd. " 11 r • , 60. Backwash Lines, PTrap, 0 Undrgrnd.
101Structural Floor System • • 7- l5 61. APPROVALTO DECK • 'L
1115 r per�Sewgr Line' House Connection '4 't 62. Backwash & Receptor-Final
12. Sewer Cap Q ,� /'t 63. Heater & Vent-Final . o
13. RoofDrairis�• - .i G7 N 64. Plumbing System - Final {
14. Rough Plumbing i 65. Electrical-Final - • JJ
2 if _
15. Rough Electrical-Conduit 66. Solar System-Final /
16i Rough E ectric Wiring 1 9 r 67. Fencing & Access Approval ,
• --•117:•Rough Wiring Sign - \ 68. APPROVED FOR PLASTER IN
-
• f1r8.•RoughElectrical-T bar Ceiling 1• 69., POOL/SPA SYSTEMS FINAL ; ••
..19! RoughHeating & Air•Condit�oning -t (T, FIRiE'DEPT. REQUIREMENT '
L ` r
20. Rough Factory Fireplace �� ` APPROVALS Permit# 't ' •
21. ducts, i ti,Structure
'i 't, 70.:'Underground Hydro .,, i.; '`•~ -
ii
' 22.. Ducts, Ventilating • : 71. Product Piping 0 Gas 0 Oil �, aY
23: Gas Pi `Rou h &Test I'i `t ` •72:;Underground Flush" - /
\
� ,
• 24. Roof Framing r t�� It ', :J..'- 73. Undergrnd.Storage Tank•D Gas 0 Oil, :
25.,RoofeBheathing,yc r- .Ic/ lir. 74. Overhead Hydro / ,
26. T-Bar'C ling (Structural) & Mbnocoat �"�' • 75. Dry Chemical /N., '
27. Frame and Flashing 76. Dry Standpipe
28.' Lathing;&•Siding ' u,1 .2-15-6-y eisek" •77.`, FIXED SYSTEM FINAL ,
29. Insulation C" 78. FIRE P •
REV. FINAL j
30. Drywall:Nailing ') HEALTH DEPT. REQUIREMENT `.,
31. Plaster-Brown Coat ilt%I Q) ' //9/ 79. FINAL INSPECTION
,'32. Electrical Power MeibTrFinal est, • '80. FOOD CERTIFICATE ISSUED
• 33. Final Electric _
1 ___ r Notes: ,
,342,Final Heating & Air Conditioning - �i �`v < `n"IIOW FOR SPECIAL REQUIREMENTS
a
35. Final Gas Pipe-Test \
•-N. O. 2 . t,', l I q ( (S
r/6. Hood or Canopy I.t • , �tm.,,�j�c N.'� rc_1\`2ck 18 X
.r37. Final-FactoryF ireplace1 •� / �l
381;Final Plhmbing! a'!r' \ (
r.
t39. Water�Secvice-Finally`- //
r - •'
•4g. Gas�Service-Final,h `\ r -
,41, Solar Domestic-Final ,
,`
/ '
•
42. Backflow Preventer-.2a N ` --- 1
`43. Backflow Irrigation-, ,/ r LA
44. Landscape Irrigation'System / .. " 7i ':t r- (
45. Sound Attenuation i - r �i o
•
46. Handicap.Regulatioris /• ,
47. FINAL STRUCTURE &IBUILDING
I
48. Special Requirements Completed SR r9 f-p• W `.
,
49. Electric Release to Edison I,'
.59. Gas Release to•Southern California Gas Co - ` - ,:i
Si-• CERTIFICATE OF OCCUPANCY - , -I ,y
No? - Date ' . ^? \ •
' r
•
�r� 1•. l::� �'> ata ! c S i, ` .
.i::• G•
; .,01;5 INSULATION CERTIFICATION _"._ - :in:',
�
Oct,c :.This is to certify that insulation has been installed in conformance with the
i '1; , current energy regulation, California Administrative Code, Title 25, State of 'J)
+v( ' California, in the building located at: y„ ``
SITE ADDRESS 2406 La Mesa Ct. Costa Mesa ,,..-
:51:1
CEILINGS o 1/4 19 %
t = Batts: Type Fiberglass Manufacturer Owens/Corning Thickness 9 1/2 R-Value 30
} � is ; f
A s
Blown: Type Manufacturer Thickness R Value •'
'4y i- ECTIERIOR ?JAILS
k:'t Type Fiberglass Manufacturer Owens/Corning Thic}ness 3 1/2 R-Value 11 . •<
"' _ FLOORS Type Manufacturer Thickness R-Value
fi
?0-1
. '= ?:General Contractor License b �L<,
3 ,
� '. By Title Date. . ft(
c-hmiidInsulation Contractors, Inc. License 1 221517 C-2 ,t;
F :• Title Vice President _ Date April •13, 1984• , +
t,l,yG�y,Q2�n ,� D• j�4r�t X95
\ >
INSULATION CERTIFICATION 143:I
it v,
This •is to certify that insulation has been installed in conformance'with the "4
N" current energy regulation, California Administrative Code, Title 25, State of
i:. California, in the building located at:
y . SITE qwg 2406 La Mesa Ct. , Costa Mesa ' `�
P�
CEILINGS ;I
i1,
1s� 6 1/4 19
�G.1 Batts: Type Fiberglass Manufacturer Owens/Corning Thickness9 1/2 R-Value 30
(,i -Bloc.: Type Manufacturer Thickness R-Value ,j,'-.' EXTERIOR WALIS y
iii Type Fiberglass Manufacturer Owens/Corning Thickness 3 1/2 fl-Value 11 0�'�:'
`. •
7r .
FLOORS Type Manufacturer Thickness R-Value /��J
lGeneral Contractor License Y " „
K
i 1i, By Title Date it
d ', ",Schmid Insulation Contractors, Inc. License N 221517 C-2 j�
1 1
1 By L/)Allk. b . Rgv�tTitle Vice President Date April 13 , 1989 "
i
33),
,
ROBIN B. HAMERS 234 n i771-1121%.Dalt ROB
a ASSOCIATES, INC. coax.mew.c.22027 •
CIVIL ENGINEERS • PLANNERS • SURVEYORS 17141649.11a2
April 28, 1989
Mr. Gary Conlon
City of Costa Mesa
Engineering Division
77 Fair Drive •
Costa Mesa, CA 92628
A x RE: TRACT NO. 13456
276-280 SANTA ISABEL
Dear Gary:
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. ,
S rely,
Rob n B. Hamers
RBH/J P
•
cc. John Peterka
Applicant to fill in all spaces except those within heavy border.lines and sign all appropriate declarations.
ir
CITY OF-COSTA MESA CONSTRUCTION
CONSTRUCTION PERMIT/ PERMIT NO. TRACT NO.• LOT NO. UNIT NO. -
, -Preject Address 2906 06 /n. 11/floe Co'4a71' F-3 Lt`.31 8 /'314`'r� - S/k •
•
ApplicanFs Mailing Address fro �S4X 967 S�stv'tdR/uu''��� TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION U REPAIR
Owner's Name - !� PhoneE T7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER AP.* - Zone -
1no—`�Es/ `r0re, X109 4415
B `r" DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building:
Address 't '
Arch/Eng, License No. TYPE OFPERMIT LI GRADING H FOUNDATION LJ STRUCTURAL• T Front o
Address ❑ TENANT ❑ ELECTRICAL IC`J PLUMBING ❑ MECHANICAL BA Rear N
Name/7414? ¢l_ys. / % '74 ❑ OTHER • - - - C Right N
Contractor's Name TM`T-�� +O 1� �/ Phone/Cr-16 g
Address(mailing) #0 8rrn(cr67 Sf. f� Yom PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Q , 1 CONSTRUCTION TYPE - VALUATION $ S Left
City License No. 4 7Yc ZONE' GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided
O
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /� .y �p a Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and - . Oat La PERM!/ (/312 Yv •
my license is in full force and effect. Id; T
S
Ucense lass�7 �� Li s ov�y�ri PLUMBING FEES
Date 2p Signature _ + , - -
WORKERS'COMPENSATION DECLARATION Bar Sink • / Showers 2. N ELECTRICAL FEES •
1 hereby 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
f00, Lab. C..1 ,,/ �+ - Automatic Washer Transformer ❑ 15-50 KW
h'1 Policy No.0%3'y 3 '9' Com pan/``/��� � E /7QG� Backflow Irrigation Sewer Cap • Construction Pole Sub. •❑'50+KW
VJ Certifiedd copy is hereby furnished. //A ,�///r./..h _
-
([� — Certified copy is filed with the city Bui r(/5n"Q't'iYviisio . $, Bathtubs Sewer Connection 6 sN Cooking Unit Meter Duo to 100 amps
Date C —4-I - Applicant (G���
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps -
(This section need not be completed if the permit is for one hundred ($100) or - -
`� less). / D_ishwasher Solar Piping . • 2.. yr Dryers ❑Gas DElectric 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 ❑O-1 HP 01,A-8
Workers' Compensation Laws of California. _
0 Date Signature Floor,Drains Swimming Pool w/Spa • F.A.U. Inc.Solar 09-15 HP 016-15+ •
NOTICE:If,after making this declaration,you should become subject to the - — -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures 1 Microwave
comply with such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY `: Gas Service Outlets Q Water Closet ((]] Device BbxeS s .f �'
I hereby affirm that there is a construction lending agency for the performance ./ c7 i Pole Light •
Irl
of the work for which this permit is issued (Section 3097 .Civ. C.) '2 y' '
Lender's Name /, Interceptors / Water Heater L N Outlets Range ;..,-
- Lender's Address j Kitchen Sink -/ Water Service 4 Switches Sign
OWNER BUILDER DECLARATION ., -I hereby affirm that I am exempt from the Contractor's License Law for the J'Lavatories ( Auto-Wash I 2- wGarbage/Disposal ,- Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair ' ' ' P_Trap Laundry Trays IIP Generator ❑0-5 KW ❑5-15 KW, ' - •
any structure, prior to its issuance, also requires the applicant for such permit !� Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of ! Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section,7000)of - • --- / 1
„ Division 3 of the Business and Professions Code) or that he/she is exempt
'r-,jerefrom and the basis for the alleged exemption. Any violation of Section
07/31,5 by any applicant for a permit subjects the applicant to a civil '
_'+'natty of not more than five hundred dollars($500). •
I ,
0 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 Reinspection Fee ! $15 Issue Fee $ 3 •-
for-sale (Section 7044, Business and Professional Code: The Contractor's i MECHANICAL FEES -
License Law does not,apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type ❑
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 II ❑
',lotion, 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). / Q-
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By if-,- �� 1�E Date tU'
tractors td 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 •
builds or improves thereon,and who contracts for such projects with a con- SUMMARY OF FEES
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
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# •Fire Dampers PLUMBING $ ISSUANCE $
Date 'Owner Heating System & Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-1 00,000 BTU ❑100,000 BTI ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of i city to•e upon the above-mentioned property for /
inspection pu s- `ry�4r MECHANICAL $ - ,
Signaturr�. �-. -Q�...S ateWT - TOTAL FEE $
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
;,],]y
• t.31 Ulbt3tt9dLU"iiUllUsiS]2] 1
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 .
•
CONSTRUCTION AND7LANNING POOL & SPA • -
, APPROVALS Permit# _ Date Inspector APPROVALS Permit# - Date Inspector
t- r''
17-Temporary Electrical'Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. I' 7-7-99 LED • 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
1 7. Footingi` pt. - 58. Electrical Conduit-Undrgrnd.
8. Foundation. 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipejtlndrgrnd.
/ i!q�V `'o6 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ,/rte �4 t 62. Backwash & Receptor-Final
12. Sewer Cap r �r/ 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing IO-LO31 ttO 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Signt C 68. APPROVED FOR,PLASTERING
r18. Rough Electrical-T Bar Ceiling �, 69. POOL/$f?A SYSTEMS FINAL
I. L'-- 1, e. J_
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 '
. i
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil �.
I
25. Roof Sheathing • 74- Overhead Hydro • 1 -
26. T-Bar Ceiling (Structural) &.Moneceat 75. Dry Chemical v I
27. Frame and Flashing , , 7h 76. Dry Standpipe 2 J �.
28. Lathing & Siding77. FIXED SYSTEM FINAL 51 . hl
29. Insulation 78. FIRE PREY. FINAL i'
30. Drywall Nailing HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat I11 79. FINAL INSPECTION 1,
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED "L ,
33. Final Electric - Notes:2`/4T g7 ei) caw 1,..eAHdyloT( ordavit-
34.
.34. Final Heating & Air Conditioning Or A2a-P rY Q-4,400 /!•
35. Final Gas Pipe-Test h4D/041 f r '- Pt%)
36. Hood or Canopy
rii - i.'
37. Final Factory Fireplace -(`_ ..V.
•i'
38; Final Plumbing - W4je4"ar �r r •�,• 7 '.
-39: Water Service-Final h :_ • ;i•
' i.
'740. Gas Service-Final' " i_ - ,% /• 1 1'
141. Solar Domestic-Finaliv-- ..
[;42. Backflow Preventer - ' i/ L ' A _Lj) ,
,i 1� ,I
'43. Backflow Irrigation '-'a - f. ' '� (� � ` y.
i. 'F •
1, 44. Landscape Irrigation System - �7. i'i � cf. ii: ,y , •
45. Sound Attenuation l (r -
A .1 y, -
46. Handicap Regulations ^• rf_ -C� �rl, ;/ ,. 1} -
477 FINAL STRUCTURE & BUILDING Ii tr., c - !
-, i a.:.- is .✓
48.:Special Requirements Completed 'tt 2• - t '
'4-97 Electric Release to Edison 'f '•-r. r'+ I •
,
50. Gas Release to Southern California Gas Co - l�
51. CERTIFICATE OF OCCUPANCY
- .
.
No. Date - . .-.-
1, Iris .
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA r, CONSTRUCTIONyy , PETIT - PER I NO. TRACT NO. LOT NO. UNIT NO. ' A P # Zone
Project Address BYO t ' 14 2L- tai �ta'a+.�/ 3 g 39�
S Main Building: • Accessory Building:
Applicant's Mailing•Address /4-.3 /4/079.001/4. X74 /416 nal TYPE OF CONSTRUCTION KNEW ❑ ADD U ALTERATION ❑ REPAIR E — Z
I' ��11 //rrrr ❑ CONVERSION El DEMOLISH ❑ OTHER T Front 0
Owner's Name IUPWPhf [r•S,� d7.Qtn Phone ��)I�bVs' V�13 DESCRIPTION OF WORK/USE OF BLDG. I B Rear N
Address A - ' ' I
Arch/Eng. License No. TYPE OF PERMIT CIGRAPING ❑ FOUNDATION 111 ST RUCTU RA L I'C Right i - N
Address ,I/ Eli/145 �,"",,,, pp..-- ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left R
Contractor's Name 1✓,e '�' � 't Phone �C'?G�Y - ❑ 'OTHER Ping. Ref.# Parking Req./Provided E
• Q
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing) �" - - - Planning Notes: M
•Z� CONSTRUCTION TYPE VALUATION $
City License No. '32••' ‘f, ZONE • GRADING CU.YDS. ACRES - •5
LICENSED CONTRACTOR DECLARATION '( ,
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 6 3Y Z.it0
with section 7000) of Division 3 of the Business and Professions Code, and `f VV •
.
my license is in full force . d effect. ,-r, - ELECTRICAL FEES
t\ License class' 2 O / Lice se ! T -
Date CV' Signature aid . _ PLUMBING FEES Automatic Washer Transformer'0 15-50 KW
WORKERS'COMPENSATION DECLARATION Bar Sink Showers .
Construction Pole Sub. 0 50+ KW
\ i hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps
\ 10, Lab. C.1, a/ �j'/ - 1 � Backflow Preventer Service Sink _ - . . .
licy No.WSy7}4 3727- 'Company pit- adt-or Backflow Irrigation Sewer CapDishwasher Meter Dover 100 amps
flCertif led copy is hereby furnished. • Dryers ❑Gas ❑Electric Sub Panel
Certified co y I fij d with the city Builth 'vision. /t Bathtubs Sewer Connection
Date fc/4-14Applicant s/ /11`7,` `.-
.t
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers •4. Solar Collectors Fan M010r$ 00-1 HP 011/2-8 •
(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 Solar Piping / •
I certify that in the performance of the work for which this permit is issued, I
.-v F.A.U.
Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fouptains Solar Tank ,,-/- Microwave
Workers' Compensation Laws of California. ir. Device Boxei
Date Signature Floor Drains Swimming Pool w/Spa ATPole 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 Range •
comply with such provisions or this permit shall be deemed revoked. Si n
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches g
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
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 ofRoof .Drains - - .
the Contractor's License Law (Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and'Professions Code) or that he/she is exempt - • Reinspection Fee $15 Issue Fee $ 3
"erefrom 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 .
•
.tatty of not more than five hundred dollars.($500). I 3 DEVELOPMENT SERVICES REQUIREMENTS:
.LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ Zoning Approved By Date
compensation, will do the work, and the structure is not intended or-offered
for salese (Section Business and f aProfessional Code: The Contractor's es - MECHANICAL FEES Building Approved By Dat
License Law does not apply to an owner if 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 com- Canopy Type II 0 SUMMARY OF FEES
planes, 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
tractors to construct the project (Section 7044,Business and Professions Cotle: 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 BTU PLUMBING
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 ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers p PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers / — MECHANICAL $ c9J'j TOTAL FEE $ ay—
• I hereby certify that I have read this application and state that the above I QO-100,000 BTU 0100,000 BTL
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 city t enter upon the abovvxFFe mentioned property for i
i
nspection purposes. /j� A ,C///, inn- .LY
Si nature ( 'V" �' ` Date '�Jr
Drivers' License or SS
� 01 00017495-00017495 T 0 T 24.00
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • ' DATE: 10/19/88 TIME: 15:23
'CONSTRUCTION AND PLANNING •
POOI PA
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. Erecfrical Conduit Utility-Undrgrpd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • A�
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
f 6. 'Electrical UFER'Grnd `-1 57. APPROVAL TO COVER-GUNITE
•
7' Footings t;,i 58. Electrical Conduit-Undrgrnd. ,
8. Foundation '�: t y l , 59. Gas Pipe, ❑ Undrgrnd., Test 79.
9:,Water Pipe-Undrgrnd. '! 4 .. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System j 61. APPROVAL TO DECK t'
11: Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12.,Sewer, Cap 1. 63. Heater & Vent-Final
13. Roof Drains '442 t-- - ' 64. Plumbing System - Final
r _
14. Rough Plumbing' i 65. Electrical-Final - 7
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
1.E1. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
0.9. Rough Heating & Air Conditipning /0-205111 LEO FIRE DEPT. REQUIREMENT
•20. Rough Factory Fireplace • APPROVALS Permit#
•
(`y. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil
23.:Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas El 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 ill
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 yA /ef
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
3•
43. Backflow Irrigation ,.-.
44. Landscape Irrigation System
•
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
11/
50. Gas Release to Southern California Gas Co i'; .
51:'CERTIFICATE OF OCCUPANCY '
No. Date -. .1
-7S `.d'- - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA�QM-�ESGA •CONSTRUCTION�PERMIT PER• MIT
\NO 'TRACT NO. LOT NO UNIT NO.
Project Address- 7 I ® ,i.40 CO LIA'MSSa. CT. 58��� rr(rr(pppppplllIII
TYPE OF CONSTRUCTION EW, I__I ADD U ALTERATION U REPAIR r
Applicant's Mailing Address �7.�1b1r7.5zL,Itf n¢ Io0t1�1•8.92lde%
1NG / ❑ CONVERSION ❑ DE OLISH ❑ OTH R q,p-# Zone
Owner's Name ( -t Y- CSL-D25. PhonQ s^�� ' 11,-• �'� - - - - _
1 DESCRIPTION OF WORKR OF BLDG. (y 0
Add ress��ca5.14%.1=,=-wL,P�eF�citz.ClO3 Has .92Cob0 Pi(7 F S Main Building: • Rt RflP-le9q.0 ory-Ruilding:-r err g5 •n(
Arch/Eng.�I)� r.-V s-+— Cpl License No. TYPE OF PERMIT GRADING ❑ FOUNDATIIIION ❑+ STRUCTURAL E Front DATE: ( 4/24189 TitlE: ' 15:27 1Q •
Address i ❑ TENANT ❑ ELECTRICAL ❑ PLV MBINGIMECH ANICAL B Rear N
Contractor's Name • Phon • ❑ OTHER ' ' A • I
8 C Right l -N
PROJECT DESCRIPTION SQ. FT.�lA.Z OCCUPANCY 1
Address(mailing) nu>� 4 . CONSTRUCTION TYPE • ' VALUATION $ ' .$ Left . . , R
City License No.. ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided r • E
• LICENSED CONTRACTOR DECLARATION '
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Re marks:(t���`777� l/ q �/J 1` ��,s,r ,=---7.6..............;,,s Planning Notes: Q
with'section 7000) of Division 3 of the Business and Professions Code,and (N,��'I�`-•� 1 1`1ri'r• J. v54 Z /✓ ' - 1 M
my license is i f force and effect. / n� .. . S
'�y Li tens Cas I♦'' License •
•
' i Date y _ .'< Signature '` �� • PLUMBING - FEES' i 1
wORK'RS'C•'�I SATION OEC LA RA to Bar Sink - ' •
' Showers r • ,ELECTRICAL 'FEES
I hereby affirm that•I have a certificate of conse t to self-insure or a certificate _ •
' Workers' Compensation Insurance, or a certified copy thereof (Section - - 1 - -
Backflow Preventer Service Sink I
y1�'` 100, Lab. C.) ` a Automatic Washer' - Transformer 0 15-50 KW
V Policy Noel g 214-$ Company'\rZ4M '/T- Backflow Irrigation Sewer Cap Construction Pole Sub. , ❑ 50+KW '
V Certified copy is hereby furnishe • •
CerF�r tl c ay fil d wit h,t he ity Bu' 4 Di ision. Bathtubs - Sewer Connection I
s �� y � Cooking Unit . Meter Duo to'100 amps
ate / Applicant `jmyAb�C`/
EXEMP I N RKERS'COCa N DECRON • Clarifiers Solar Collectors •
' - • Dishwasher - Meter Dover 100 amps ,
(This section need not be completed if the per is for on hundred ($100)or '
less). Dishwasher i - - SolanPipin9 - 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 te Drinking Fountains . Solar Tank I Fan Motors ❑0-1 HP ❑i%-8
Workers' Compensation Laws of California. _ .
Date Signature Floor Drains Swimming Pool w/Spa • F.A.U. -
NOTICE: If,after making-this declaration,you should become subject to the _ Inc.Solar ❑9-15 HP 016-15-F
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal - FixturesMicrowave'
comply with such provisions or this permit shall be deemed revoked. - - -
CONSTRUCTION LENDING AGENCY - rt<i Gas Service Outlets I Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance - Pole Lights ,
of the work fo hich h"s permit is i -• (Sen 7 Civv C.) - - •
Lender's Name r_ / f ,\ ✓'a' Interceptors Water Heater I Outlets Range -
- Lenderts Adtlressc--lr'A - lam' (L >--( Kitchen Sink _ •_ Water Service _ _ �..
OWNER BUILDER DECLARATION .S? - _ - -- Switches - -Sign
I hereby affirm that I am exempt from the Contractor's License Law for-the • Lavatories t Auto-Wash 1 I
following'reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections ,
county which requires a permit to construct,alter,improve,demolish o-repair P-Trap •
-
Laundry Trays Generator KW ❑5-15 KW Trash Compactor
, any structure, prior to Its issuance, also requires the applicant for sucMpermit P ' ,
to file a signed statement that he/she is licensed pursuant to the provisions ofROOF Drains ' •
the Contractor's License Law(Chapter 9(commencing with Section 7009) of . '
Division 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 - -
)31.5. by any applicant for a permit subjects the applicant to a civil •
anally of not more than five hundred dollars($500). • -
0 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 - • - 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 one year of tom- Canopy Type II 0 ,Zoning Approved By Date
pletion;the owner wilt have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
LI rove for the purpose of sale). /`
-I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System ' 7 Application Issued By - / • Dat: h�ay •
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 ❑100,000 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. L q� PLAN CHECK '$ PERMIT
ISSUANCE I am exempt under Section B.& P.C.for this reason' Firepl/Fact.Bit. ICBO#�_r'-� Fire Dampers : - • - 13.' V� PLUMBING $ - ISSUANCE $ -
• Date' - I 'Owner - ' Heating System& Ducting - Registers - PLAN CHECK25% $ ENERGY P.C. $
I hereby certify-'that 1 have-read this application and state that the above 001 00,000 BTU 0100,000BT ELECTRICAL $ GRADING $ -
information Is correct. I agree to comply with all city and county ordinances . _
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK . 50% $ MICROFILM $ , . '
sentati , of t is city to on the above-mentioned property for • meq,
inspr:cti 9 p• .s .. -MECHANICAL $ -60 Q .
Signet rd se • I `• Daty ) , - _ - TOTAL FEE $
Drivers' License or # _ �� • �� — �� • Reinspection Fee - $15: Issue.Fee c' : 511 PLAN CHECK 25% $ -
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor t }' T '
•
CONSTRUCTION ANDPLANNING .. POOL& SPA i'
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 Reinforcement56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8.`Foundation • - 59. Gas Pipe;0 Undrgrnd., Test t
9.'.Water Pipe-Undrgrnd:C . - 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 r •
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit • 66. Solar System-Final •
.
16. Rough Electric Wiring _ 67. Fencing& Access Approval .
17. Rough Wir,ing Sign " - -' • 68. APPROVED FOR PLASTERING
,,18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL" '
19. Rough Heating & Air Conditioning •
FIRE DEPT. REQUIREMENT i•.1
L
20. Rough Factory Fireplace APPROVALS ' Permit# - 'I -
-yr
,21. Ducts, in Structure 70. Underground Hydro 1- ` 1I
Ni
22. Ducts, Ventilating • 71. Product Piping 0 Gas ❑Oi �us y - .
23. Gas Pipe-Rough & Test 72. Underground Flush i .
24. Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro ',
• I
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical' 1; ( -
27. Frame and Flashing - - - 76. Dry Standpipe - -.• '1..-
28. Lathing &:Siding 77. FIXED SYSTEM FINAL 1:,
29. Insulation's' 78. FIRE PREV. FINAL t' g
30. Drywall Nailing HEALTH DEPT.REQUIREMENT ; r - `•.
31. Plaster Brown Coat 79. FINAL INSPECTION ,-_ Z- ' '
32: Electrical.Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,i r,4
33. Final ElectricNotes: "
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test
- 36. Hood or Canopy -
37(' Final Factory Fireplace 9/j/r9 e--- '
.30; Final Plumbing i j'
I
x;4: Water Service-Final - '' % _. . i.
40. Gas Service-Final • �' .
41. Solar Domestic-Final - 1.:. - ` 0,
Ii .
i.,,42. Backflow Preventer - . - -(• �'�
. . s• •,
-2.43. Backflow Irrigation • '
1.44, Landscape Irrigation System - . t , `/.�
45. Sound Attenuation - .. . I if
46. Handicap Regulations I• I •)-
47. FINAL STRUCTURE & BUILDING - _ - , ,j,
I
• 48.:. Special Requirements Completed ' .f '1•
49.'Electric Release to Edison �;. _ , I n
50. Gas Release to Southern California Gas Co . . '
•
51. CERTIFICATE OF OCCUPANCY • ,
No. Date -
,
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
PE ITN TRACT NO. LOT NO. UNIT NO.
...MY.•8F dress ,pJ gs.661 , CONSTRUCTION P 1;17IT eo .78. I , • A.P.# ( zona
• Project Address `r -O //Y 7/&5t CC%%��Y'�- - '
I t S Main Building: - . Accessory Building:
TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR
Applicant's Mailingddr¢ss - �'— ❑ CONVERSION' ❑ DEMOLISH ❑ OTHER . T Front' • " - • - ZO
Owner's.
Name Al/y ..4 -'�'f �t Phone �� S 4'r't 13 - DESCRIPTION OF WORK/USE OF BLDG. - • • I B Rear- , ,. - - - -
N
Address __ • - , - - - -
•
Arch/Eng. ' - ' License No. TYPE OF PERMIT GRADING ❑FOUNDATION ❑ STRUCTURAL - C Right. - ' - _ G
Address - ❑ TENANT ELECTRICAL ❑ PLU BING '❑ MECHANICAL S Left _ _ '
a� R
sem�y, -s ��. //���� ❑ .OTHER E
Contractor's Nam; COSI t=�COIL' !C - Phone SD "137 S PD�f (r, r/r�3"t� I Ping Ref # - Parking Req./Provided
/f /�y�,.,,� ,fsp/q PROJECT DESCRIPTION SQ. FT. d"-(.0 J OCCUPANCY '- ' - - - O
Address(mailingl - lel //'L-'/� '�- 7 ,r•� Planning Notes: - - M
3Wi ` C ON STRUCTI ON•TYPE VALUATION$ • T
City License No. Wiz—(i r ZONE GRADING CU.VDS-' ACRES - S•
LICENSED CONTRACTOR DECLARATION • - - _ -
I hereby affirm that.I am licensed under provisions of Charter 9 (commencing Remarks: _ /
with sectionis 7000) of Division of the Business and Professions code,'antl - ' /T�*'�^ /1 c---
a
— • _
my license is in full for - and t •ct. ' / / /`/) ELECTRICAL FEES •
License ass - i� .. Licen • N• .1/' • ✓✓
•1 �'i>� - Automatic Washer Transformer:❑ 15.50 KW ' ' -
Oate ��_`i •- .a.y ,...atter PLUMBING _ . FEES ; •
WORKERS'COMPENSATION DELLA- . .
. • Pole Sub. 1❑ 50+KW
1 hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
•
f Workers' Compensation vInsurance, or a certified copy t reof (Section Backflow Preventer - - Service Sink _ _ _ Cooking,Unit _ _ _ _ I Meter Pup to 100 amps _ ;�t, _
800, Lab. i�((j� /�Ol •
Policy No. D� d Company /1 L:�1 Backflow Irrigation Sewer Cap - : Dishwasher Meter Dover 100 amps •
ertified copy is Hereby furnished. �) Dryers ❑Gas ❑Electric Sub Panel •
f r[if iep Eop�ifi Ad_with the city ' g D' isioi Bathtubs Sewer Connection if i
M Dale DC7 •••• Applicant •
Fan Motors❑0 HP ❑1%-B
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ` Clarifiers Solar •Collectors , . •
•
-(This section need not be completed if the-permit is for one hundred ($100)or - ' '-' " ' 1"- -
less). „ Dishwasher Solar Piping d- F.A.U: Ina Solar❑9-15 •HP-❑16-15+
I certify.that in,the performance of the work for which this permit is issued, I • - • - :j` 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. DeiB
Date Signature - Floor Drains Swimming Pool w/Spa ,;:, vce oxes 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 -- - '-- - : 3 Outlets Range _ __. _
comply with such provisions or this permit' shall be deemed revoked.
CONSTRUCTION LENDING -AGENCY • Gas Service' •'Outlets Water Closet • ' Switches Sign , 1! 5-6
I hereby'affirm that there is a construction lending agency for the performance - i-
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 ❑0-5 KW❑5-15 KW Trash Compactor
OWNER BUILDER DECLARATION I -- _
I hereby affirm that I am exempt from the Contractor i License Law for the Lavatories 'Auto-Wash /
following reason (Section'7031.5 Business and Professional Code: Any city or _ i ` /-. � (7//Y''� �i i/
county Which requires a permit to construct,alter,improve,demolish or repair P—Trap _ Laundry Trays - jell.•
-272 ! C•-�s� _ Q ��
.any structure, prior faits issuance, also requ •
ires 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 - - , �M
Division 3 of the Business and Professions Code) or that he/she is exempt. - - _ . - • Reinspection Fee $15 Issue Fee ' LS'�
•f,+Qherefrom-and the basis for the alleged exemption. Any violation of Section _ _ . _, - -
' 7031.5 by any applicant for a permit subjects the applicant to ,a civil - .
malty of not more than five hundred dollars($500). _ , _ DEVELOPMENT'SER VICESREQcaIREMENTS: •
LJ I,'as owner of the property or my employees with wages as their sole Reinspection Fee' $15 Issue Fee $ 3 Zoning-ApprovadBy •
: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 I .
License Law does not apply to•en owner Of.a property who builds or•improves • - - - L
thereon, and who does such work himself/herself or through his or her own _ •, Application Issued By Dat
en
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 cam- Canopy Type II 0 ' SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or int.' 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 $ •
PERMIT'
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 ❑100,000-BTU PLUMBING $ ISSUANCE $ •
-builds or improves thereon'.and'who contracts for such protects with a con- - ' "' ' .. ' - -
tractor(s) license pursuant to we Contractors License Law). I am aware that 0 Multi - PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be Exhaust Systempie 0 System Repair/Alteration /D 73 GRADING $
p provided me.. • ELECTRICAL ' $ '
❑ I am exempt under Section- B. & P.C,for this reason Firepl/Fact;Blt, ICBG# Fire Dampers • MICROFILM $
- PLAN CHECK 50% $ `
Date Owner. Heating System& Ducting: Registers • MECHANICAL, $ • /0313
TOTAL FEE $'_
I hereby certify that I have read this application and state that the above - ❑0-100,DDOBTU"❑100,000BTL - PLAN CHECK 25%
information is toad agree to comply with all city and county ordinances ' , _ ' • - $
and state laws re .,to buildin• co, .tion, and reby authorize repre- -
inspe fives of • . y, to est. u•• above-r-ntionetl p operty,for ' '
inspection p •... 1 - / •` ' - ' ' •
Signature arra -4 Date :/b-Je- I r '
Drivers' License or 55 Reinspection Fee $15 Issue Fee .$ 3 01 00016821-00016827 'T O�j" . 103.73
DATE: 10/12/88 Mir: r 'r
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - 1 _
A
ki - CONSTRUCTION AND PLANNING 7' POOL _SPA -
Date Inspector APPROVALS Permit# Date Inspector
4 :APPROVALS Permit #
;.
Temporary Electrical Service or Pole ., - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. F•- - 53. Steel-Reinforcement £ .
`3. Electrical CondUtility-Undrgr
54. Forms •'f'
Conduit nd'. - •!t)
47 Electrical Condit-Undrgrnd. `1 ri_ r� 55. Electrical Bonding � ^
5. Steel.Reinforcent.5. ii'
mg -"-1l 56. Rough Plumbing & Pressure Test /'�
''6., Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7, Footings - 1 " 58. Electrical Conduit-Undrgrnd. tl
82 Foundation i", ?, d,/j ." 59. Gas Pipe, 0 Undrgrnd.,Test
9!Water Pipe-Undrgrnd. ./- ' `L- ' ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
t
- 10. Structural „Floor System j !.', 61. APPROVAL TO DECK '• /
11..Property Sewer Line & House Corinection Q. s / 62. Backwash & Receptor-Final
12. Sewer Cap ..•'? �,' 63. Heater & Vent-Final - •i' '.
bi
13. Roof Drains r,�, 64: Plumbing System - Final f
14. Rough Plumbing. ' •
1 65. Electrical-Final •v
15. Rough Electrical-Conduiti 66. Solar System-Final
1f6. Rough Electric Wiring 12-2-68 J 67. Fencing & Access Approval
•
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
(}S; Rough Electrical-T Bar Ceiling....--
•
69. POOL/SPA SYSTEMS FINAL
•19,. Rough Heating & Air Condiiihning FIRE DEPT. REQUIREMENT
te -r .�
.
2Q. Rough Factory Fireplace i({p+ APPROVALS • Permit#
4b'. Ducts, in Structure 'cal 70. Underground Hydro '
Ti Ducts, Ventilating 1.r , 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test ..•••I 72. Underground Flush ,
24. Roof Framing F/
` 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 Flasffing 1. 76. Dry Standpipe •
28. Lathing & Siding 77. FIXED SYSTEM FINAL
r ,
29., Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31, Plaster Brown Coat _ 79. FINAL INSPECTION
32. Electrical Power Meter-Final 4 lie_ 80. FOOD CERTIFICATE ISSUED
•
33. Final Electric Notes:
34. Final Heating & Air Conditioningt lc-.
35. Final Gas Pipe-Test I
•
36. Hood or Canopy - - -
37. Final Factory Fireplace ' j, .
•
38. Final Plumbing .../4y,
39. Water Service-Final ,
40. Gas Service-FinalIe ''j
• ~
41. Solar Domestic-Final • A.--;r
42. Backflow Preventer _ . 1
_ i I
43. Backflow Irrigation
44, Landscape Irrigation System . 'I ;.. 1
45. Sound Attenuation ,j' ,
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
•48, Special Requirements Completed ,
' 49. Electric'Release to Edison '1 _
r
'50. Gas Release to Southern California Gas CI
C.9 : i
51. CERTIFICATE OF OCCUPANCY t:l - • '-i' -- L•
No. - Date • ' ...}
1
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
./,-1 PERMIT NO. • TRACT NO. LOT NO. UNIT NO.
()CITY OF COSTA MESA ONS��tUC ION PER A.P.# I zone
�cDt. ct "' M3B64-7
Project Address II�� '' S Main Building: Accessory Building: '
" TYPE OF CONSTRUCTION i,d5EW ❑ ADD ❑ ALTERATION U REPAIR E Z
Applicants Maili•• • •.ress - rJ�<•— c) "
i / . i 5I ❑ CONVERSION ❑ DEM LI SH ❑ OTHER T Front O
:Owner's Name ,. ' i1— ��-�-� Phon i�t�� JV DESCRIPTIO ORK/USE OF BLDG. _ A Rear N
Address
Arch/Eng. License No. t TYPE OF PERMIT ❑ GRADING ❑ FOUNDATIO���N,��s❑ STRUCTURAL i C Right G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING L7�m ECHANICAL S Left R
41, -/_� ❑ OTHER / I Ping. Ref.# Parking Req./Provided E
Contractor's Name��•Iarl1..•$ ` P ne /J
'I - _ `/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY "3 0
49--,2)/Address(mailing/ � VALUATION$ M
City License No. 15 CON ST RUCTION TYPE ���
ZONE GRADING CU.YDS.
- ACRES Planning Notes: S.
LICENSED CONTRACTOR DECLARATION ��j/p' J. .L // `}/�
I hereby affirm tht I am licensed under provisions of Charter 9 (commenting Remarks: Lai
/�•�/ L(�! ! dc1
la
with section 7000) of •ivlsion 3 of the Busi s and Professions Code antl �. a5z Ci
my license is in full f• c- a • ebct. / /1, /� ELECTRICAL FEES
Licen s - CJ _ me N..c� ltl7 Y
Date - -eSi9 nature ilia PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
as..
WORKE-5'CO PEN ATION DECLARATION Construction Pole Sub. 0 50+KW
ereby affirm that have a certificate of consent to self-i re or a certificate Bar Sink Showers
(Yorkers' Compensation Insurance, or a cerci copy t ereof ( ectlon Cooking Unit Meter ❑up to 100 amps
0, kers'C)� Backflow Preventer Service Sink
\ rolicy rvo.l�t•Q �S�3rJL1� dem ��'� � Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
�` ertif' • copy ereb furnished. " Dryers ❑Gas DElectric Sub Panel
e 4 i'y4 . y it 41 th the cit vlsi . Bathtubs Sewer Connection
Date 4� Applicant • Fan
E%EMP'ION FR•M WORKERS'COMPENSATION DE ARATION Clarifiers Solar Collectors Motors❑0-1 HP 01%-6
(This section need not be completed if the permit is for hundred ($100) or Dishwasher F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
less): Solar Piping
I certify that in the performance of the work for which this permit Is issued, IFixtures
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.
Date Signature Floor Drains Swimming Pool w/Spa - Device Boxes Pole Light
NOTICE: If,after making this declaration, you should become subject to the Outlets Range
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal _ _
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Switches Sign •
I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet
Garbage Disposal StandingSections
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9 p
Lender's Name
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 Tracts
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
- -•ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3
efrom and the basis for the alleged exemption. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
..alty of not more than five hundred dollars ($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
0 I, as owner of the propertyor myemployees with wages as their sole Reinspection Fee $15 - Issue Fee
Y e Zoning Approved By Date
compensation,Saliect will 0 the work, and the ois not Intended Contractor's
for sale (Section Business and faProfessional Code: The Conma roves MECHANICAL FEES Building Approved By A �i Date
License Law does not apply to an owner of a property who builds or improves r�- v/
thereon, and-who does such work himself/herself or through his or her own Hood or Type 0 Application Issued By Oat: e•
employees, provided that such improvements are not intended or offered for Boiler -_A� � r
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 - SUMMARY OF FEE '
pieties, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground •
prove for the purpose of sale). - - BUI LDING PERMIT $ _ - SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Re geration System PLAN CHECK $ PERMIT
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 I 0-100,000 BTU 0100,000 BTU 7 m 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. ELECTRICAL $ GADING $
-
0 I am exempt under Section B.& P.C.for this reason . Firepl/Fact.Blt. ICBO# Fire Dampers MICROFILM R $
PLAN CHECK 50% $
Date ' owner Heating System& Ducting ' Registers �•'(/ TOTAL FEE $
MECHANICAL $ / • Zy• 0o
I hereby certify th. tree
read this application and state that the above 00-100,000 BTU 0100,000 BTU PLAN CHECK 25% $
information is corre \, ree to comply with all city and county ordinances -
I and state law rela • b iid'•• construction, and hereby outize repre-
netios of nt. po the above-mentione(J/[x►
y�fp
inspection of his V.
, pe 01 00033852-00033852 TOT f
I' Y.�I}
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Gn'1e1 05125189 I/ME: 14C6
CONSTRUCTION AND PLANNING /1 POOSPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
/ 1
1. Temporary Electrical Service or Pole ,.--L-7'r 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 'I r.r 53. Steel Reinforcement 1
3./Elec{tical Conduit'Utility-Undrgrnd'. °‘a _.i 54. Forms ,
I
--- r
4: Electrical Conduit-Undrgrnd. r 7• 1 55. Electrical Bonding ,
•5:•Steel Reinforcement. 56. Rough Plumbing & Pressure Test `..
6. Electrical UF EFGrnd' '' 57. APPROVAL TO COVER-GUNITE �a
-•7. Footings • .{, . 58. Electrical Conduit-Undrgrnd. )
8r Foundation , 2-.1 ' ",' •• -i 59. Gas Pipe, 0 Undrgrnd.,Test L.---
g
9. Water Pipe-Undrgrndl ?. ( 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System ,./ 1Is. • % 61. APPROVAL TO DECK .1
11. Property Sewer Line &,House Connection " ' 62. Backwash & Receptor-Final
, i
- 412. Sew& Cap •• r 63. Heater & Vent-Final :_-.4-1-1/
13.'Roof Drains ` 1 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 Wi;ing Sign 68. APPROVED FOR PLASTERING
V
78? Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
r191. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20: Rouglt•Factory Fireplace / APPROVALS Permit#
v .
21. Ducts, in Structure , 70. Underground Hydro •
22. Ducts, Ventilating b) .I 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& T@st "�011 72. Underground Flush _
24. Roof Framing ...../ j, 73. Undergrnd.Storage Tank 0 Gas 0 OP
25. Roof Sheathing f- 74. Overhead Hydro /
26. T-Bar Ceiling tStructural) &'Monocoat 75. Dry Chemical
27. Frame and Flashing "' 76. Dry Standpipe
1
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`Nfieter-Final 80. FOOD CERTIFICATE ISSUED p - u t
33. Final Electric xV Notes:
34. Final Heating & Air Conditioning 47,4/g7 04P _
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
jig
41. Solar Domestic-Final
42. Backflow Preventer / TN
43. Backflow Irrigation -
✓.1 ex
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations `4"
47. FINAL STRUCTURE & BUILDING ..
r
48. Special Requirements Completed
49. Electric Release to Edison )J
50. Gas Release to Southern California Gas Co / -
51. CERTIFICATE OF OCCUPANCY 4 a ...
No. Date V k0h