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Home My WebLink About359 LA PERLE LN - Building PermitsAttributes Property Address Address 1 359 LA PERLE LN Address 2 COSTA MESA CA 92627 Parcel Information Assessor Parcel Number 42531173 Legal P BK 220 PG 32 PAR 2 Range Township Sedion Quarter Section Area 6352.08497 Acres Owner Owner pddress 1 Owner Address 2 Year Built Building Square Feet Building Count Stories Number Parking Spaces Number of Units garage Square Feet Front Footage Depth Footgae Bedrooms Owner Information FARLEY ERIN 270 E 15TH ST COSTA MESA CA 92627 Property Specs 1987 2153 1 Page 1 of 1 http://mesagis2x/website/costamesa/parcel/popup. asp?opt=Attributes&HisroryID= {CF2B... 02/24/2003 � . � ' bj -V wo clrvoFcoSTA�MEsa CONSTRUCTON,PERMIT ' �3s7 `A-t��c �in✓� Project Address Applicant'sMa7il�in9Address/� � ' Owner'sNameY%�'�L T,G�K�C� � ' Phone � � ,. ; � Address ' - ' � Arch/Eng; ' �� License No. � Address ' ' Contractor'sName�«'�E %1EG7��- Phone��y,,�% Address(mailing� 6 Sp.' �✓/E4✓ S �'v City�License No. � �' �� / IICENSED CONTRACTOR OECLARATION � . � I hereby affirm that I am licensetl untler p�ovi5ion5 of Charte� 9(commencing with section ]OOO�,of Division 3 ot the Business antl Protessions Cotl¢, antl my license is in full t rce antl etlect. ' ' 4 � Ucense Class 0 License No. •�/-3-3 Oate � �'�� 5�g t �� WORKERS'LOMPENSATION DECLAR TION � � ,' M1ereby atfirm Ihat'I have a ce�tlficate of cons¢nt to Self-insu�e o� a ce�tlficate Workers' Compensation Insurante, or a:certitietl copy.thereof (SeCtion voi��v rvo'.�30l�'%�IlO� comoan'v%—CASUAtTS� Certifietl copy is:hereby fuinishetl. Cer{i�fietl ca is tiletl with the city j' Divisien. ate—L2�'��— Applicant '��—L EXEMPTION FROM WORKERS' COMPEXVSATION DECLARATION (This secfion neetl not oe'completetl if the permil is tor one huntlretl (5100) or 1255). � � . � I certify that in the, performance of th¢ work to� which this perm�t is isSUEtl, I sM1all not employ any per5on -in any manner So a5 to become subject to tM1e i Worker5' Compensation Laws'of California. , ' Date� � � Signature ' • N0710E:Jf,after,making.this�tleclaration, you.shoultl bewme subject to.the. Workers' COmp¢nsation provisions of the Labo� Cotle, you must (orthwith � compry witn such provisions o�-this permit Shall;be tleemetl revoketl. CONSTRVCTION LENDING AGENCV \1 hereby aifirm.that tnere is a construction lentlin9 a9ency for the pertormance of the wotk for which this p¢rmit, is issuetl ($ection 3097 Civ. CJ \Lentler's Name _�entler's Aatlress_. � � �OWNER BUILDER DECLARATION I . � , ' I hereby 5ffirm that I am exempt from the Contrdttor's License: Law for the \followin9 reason (Section 7031.5 Business antl Professlonal Cotle: Any city'or county which requires a permit to construct; alter improve; demolish or repair any struGture, prior to its issuance, also requires t�e applicant for such pe�mit to ille a si9netl statement that ne/she is licensed pursuant to the pwvisions of the Cont�aclo�:s License Law (Chap[e� 9(commencing wi[h Section �000) of •- Division 3 of the•Business antl-Protessiore�Coae)-or-that.he/she is exempt - therefrom antl. the basis for the allegetl exemption. Any viOlation Of Section '031.5'by any applicant for a!permit subjects the applicant to. a civil •'enalty of not more than five huntlretl tlollars ($500). . � �❑ I, as' Owne� of �the p�operty o� my em0loyees with wage5 as Iheir sOle • compensation,�will tlo.the work, antl the structure is not intentled orloffered � for,sale (SeCtion �044, Business antl -0rofessional Cotle: .The �ConC�acto�'S ; License Ww tloes not apply to an owner ot a property who bwltls or improves '��hereon, and who tloes such'wo�k himself/herself o� throuqh his o� he� own empioyees, provitletl tnat such improvements are not intentletl or oitered for sale. If, howev¢r,.the builtlin9 or improvement is soltl within one year of com- pletion, the.owner will have [he burtlen ot proving h¢/she tlitl noi bulltl o� im- � ptove tor tne pu�pose of sale). '' ' � ❑'I; as owner ot the property, am exclusiveiy contractin9 with licensetl;con- ' tractors [o construct the Oroject (Section ]044, Busine55 and Professions Cotle: . The'Contracto�'S License Law tloes.not apply to'an owneG ot prop¢rty,who � builtls or improves�tnereon, antl who contracts.for such projects with a con- tra2tor(s) bcen5e.0ursuant to the Contractor's LicenSe�Law�. I-am aware that� � prbot of iheir WorkeCs'Compensation in5urance'shoultl'be provitletl to me. ❑ 1 am ezempt under-Secfion 'B. & P)C. tor this rea5on , � Date ' Owner - � � ' ' I nereby certify:that.l have �reatl Ihis applicatlon antl state that the above informabon is con ct r t e. I a ee o com I with all rtlinances i 9 P Y city antl'county o , antl state laws relating to bwltlin9 construction ana hereby authonze repre- sentabves of tM1is aty� to' enter upon tM1e above�roentionetl.property tor, inspection purp ��-ty�.�� 1� �� I Signature .6O6�2ti /J%L!K/L- � Date ��•-� �. Dlivers' Li -�SS Yk ' � '� - CMF 0865-46,�rev. ]0/86'' plicant to /ill in all spatts excevt ihose within heavy portler lines antl.sign all apprapriate aeclarations. 2EflMIaIY/J.�� '�TRACT NO. LOT NO. , UNIT NO: ' C �o � TYPE OFCONSTRUCTION NEW �ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEM LISH ❑ OTHER p�.p # � � DESCRIPTION OF WORK/USE OF BLDG.' � � �� • � � ' � ' �('/ /�'(�LF ,��L, % LL, ��i� t S Main Building � Ts�- TVPE OF PE�GRADING ❑ FOUNDATION ❑ STRUCTURAL . T Front. �❑ TENANT ELECTRICAL' ❑ PLUM8ING � MECHANICAL � � B Rear , ❑ OTHER ' - � � 'A ' PROJECT DESCRIP710N Sq. FT. oCcuPArvCv C- Right - � ,K CONSTRUCTION TVPE � VALUATION $ S Left i ZONE - GRADING CU. VDS. � ACRES� Ping. Ref. # � Canary - qpp�i�anq Pink - Accounting; Sink cflow Preventer <flow Irrigation itubs - . ifiers ' � ' ' iwasher ; Drinking Fountains Floor�Dreins � ' � Flaor Sinks ' � Gas Servlce Outlets Interceprois� � ' Kitchen Sink_. _ _ . Lavatories . 1 P-TiaP . � ' . Roof Drains � Reinspection' Fee Boiler _ Duct- Under Ground Showers . ' Service Sink ` ' � Sewef Cap� _ . Sewer Connection ; ' Solar Collectors; Solar Piping - � • Solar Tank � � , Swimming Pool w/Spa � Urinal � Water Closet . ' Water Heater � � Water Service - . • Auto-Wash � ' LaundrY,Treys � $75 ,; Issu¢ F¢¢ . Duct � Ventilating � Exhaust System-0 �.Multiple 0 ' Firepl/Fact BIt.lC80�# � Heating Syitem & Ducting � ❑6100,OOOBTU�100,OOOBT _ . .� � � ' : Reinspectian�Fee ,'$75� �olGenrotl - Assessor Hood or Typel ❑ CanoPY TYPeII ❑ � Refrigeration System ❑0-700,OOOBTU ❑100,0001 System Repair/Alteration � � Fire Dampers , ' Registers , - - 9 :� � Issue Fee � . Planning Notes FEES � � � . s+uwmeuc vvusner.' � Construction PaleSubr Cooking Unit Dishwasher " , . Dryers f$�Gas ❑Electric .' . _ �' P.A.U. ' . . Fixtu�es � i . � Device Boxes . Outlets Switches - � - `�,, Garb9ge Disposal � �' Generator DO-5 KW ❑ $, 3 � FEES � !eois i�iaii�6 � � ; Accessory Buildin9i Parking Rey./Provided 50:10 TL � A Z O N I N G R E Q M T S :CTRICAL � i ,_ FEES ' Transfo�mer ❑ 15-50 KW '' ; ' ' _0 50+KW• � .' Meter up ro 100 amps � Meter �over 100amps ' � �i Sub Panel ' ' - � �J , Motors �0-1. HP 01'/: - 8 � Inc.Solar 09-15 HP.O16-15+ " �� Pole Liqht' . ' ' Sign ' ' - ` Standing Sections 5 KW � Trash Compactor i , � Reinspection Fee - ' $75 � Issue Fee � ' �DEVELOPMENT SERVICES REQUIREMENTS: . �Zoning Approved By ' � Building Approved By $ , � . :,. SUMMARV OFtFEES • . - �� . ' . BUILDING PERMIT� $ �SMIP � � . $ � - PLAN CHECK � ;- '�$-�. � PERMIT � � - PLUMBING �' $ �SSUANCE $� � PIAN CHECK 25% $ ENERGV P.C. $ -� ELECTRICAL . . $ �LiY.'��o . GRADING $ = ' ' . PLAN.CHECK 50% $. S 7 �' '�MICFOFILM $ . � i t. ,�� + MECHANICAL i $ � TOTALFEE _ $ ��_LS1— PLAN CHECK �25% $ � ' ' \ CONSTRUCTION AND PLANNING POOL & SPA �� APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector 1. Temporary Electricel 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 5S. Electrical Conduit-Undrgrnd. � � 8. Foundation 59. Gas Pipe, � Undrgrnd., Test • 9. Water Pipe-Undrgrnd. . . 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection , . 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Dreins � 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 � - � �f 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOUSPA 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 O Gas ❑ Oil . . 23. Gas Pipe-Rough & Test . 72. Underground Flush ' 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing � 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding . 77. FIXED SYSTEM.FINAL ' � 29. Insulation 78. FIRE PREV. FINAL• 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaste� Brown Coat 79. FINAL INSPECTION � � 32. Electrical Power Meter-Final 80.-FOOD CERTIFICATE ISSUED 33. Final Electric ' 1 Notes: 34. Final Heating & Air Conditioning � ' ' 35. Final Gas Pipe-Test t 36. Hood or Canopy , 37: Final Factory Fireplace � - , � , 38. Final Plumbing � � . � 39.�Water Service-Final - � � ;40. Gas Service-Final � � . 41. Solar.Domestic-Final . • � 42. Backflow Preventer : � � - '43. Backflow Irrigation � ' . � ' : .44. .Landscape Irripation System � � , . ' 45:�Sound Attenuation " . � • � 46.. Handirap Regulations � � � . � �' 47.�FINAL STRUCTURE & BUILDING . � • 48..Special Requirements Completed , ' � r 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY ' _ � No. Date � � . ' ADP�icant to fill in all soaces enceD� those within heavr oorder lines ana sign ali apo�opriate tleclarations. PERMIT NO. TRACT NO. � LOT NO. UNIT NO'. CITYOF,COSTA�MESA CONSiRUCTION,PERMIS , M ,g Z6 , � ` � Project Address jU /^,,,,�, Applicant'S MailinaApddrr<c �ZL�7,,%,,,%i S� C�./�N/ �� Cd/.�:i')1 �,p ' � Owner's Name /r�L �(7��K.�CJ/�� Phonelp.�%i�Z3Lu � Address • ��j ��N _1.�� m� ' � ' ArchYEng. � License o. ,, � Address $� ^f�! Contractor's Nam sCµ . Phone" � ,r� Address (mailing) Z7%.]— L� ��- `�A City License No. � LICENSED CONTRACTOR DECLARATION � � 1 hereby affirm Ihat I am licensetl untler provi5ion5 of Charter 9(commencing witM1 section ]000) of Division 3 ot the Business antl Protessions Cotle, antl my license is in full rce a tl effect. - �7 Licen Q 5i�� •LicenSeNo.J�2.�%0 Date�—�-6/ c'g t '�i.��0 �'-• ��.�i 'VORKERS' COMPENSATION DECLARATION� � '�li;: . iereby affirm that'I have a c rtificate of consent to selt-insure or a certi�icate Workers' Cop}�9n��surance, or a certifietl coOY the�eof ($ectlon � dB00, Lab. C ��' � /� Policy No: �• CompanyS%%%(E CJO/17� ��A1S_ %�7/nYi Certifietl wpy is�hereby fu�nishetl. Certifietl copy is filetl,with'the city Builtling Division. � . , ate° � ' APplicant . EXEMPTION FROM W00.KER5' GOMPENSHTION DECLARHTION (TM1issection neetl not be completetl if the permit is for one huntlretl ($300) or ICSSJ. I certify lhat In ihe perfOrmance of th2 work for whi h this perm�t is i55uetl, I shall not employ any person in any man r so a o become subject to tne WorkerS' Cowpq�=�aflOn-Laws of Calit i. � � Date Y L�� 75 / $ignature . .NOTICE: If,.after makinq [his tleclaration, you shoultl ecome subject to the _. Workers' Compensation provision5 of the Labor Cotle, you must forthwith comply with such' provi5ion5 or this pe�mit shall . be tleemetl revoketl. CONSTRVCTION LENDING FGENCV ' � I herety aHi�m that tM1ere is a conziruction lentling agency for [he perPo�mance of the work for whiGh lhis permit i5 issuetl ($ection 309] Civ. C.) Lentler's Name ' Lentler's.HtlOress OWNER BUIL�ER OECIARATION ' - I hereby aftirm that I am exempt Trom the Cont�actoPs License Law for the foliowing'reas6n (Section ]031.5 Business antl Protessional Catle: Any city or counly whiGh requires a pe�mit to const�uct, alter, improve, tlemolish o� repair . any structure, prior to i[s issuance, also requires the applicant for such permit to file a signetl statement Ihat he/she is licensetl pursuant to the provisions o( tM1e Contractor'S License Law (Chapter 9(commencing with Section 7000) of Division 3 oftthe Business antl Professions Cotle) or that he/she is exempt , therefrom and the ba5i5 fOr the allegetl exemption. Any violation of Section ; ]031.5 by any applicant for a permit subjects [he applicant to a civil �enalty oi not more than five huntlretl tlolla�s ($500). I, as owner of[the' property ot my employees with wages as tM1eir sole mmpensation, will tlo the wo�k, antl the structure is not intentletl o� off¢retl for sale (Section ]044, Business antl.Protessional Cotle: The Contractor's , License Law tloes not apply to an owner of aproperty wM10 DuilOs or improves thereon, antl who tloes such work himself/he�self o� through his o� her own em0loyees, provitletl that such improvements are'not intentletl or offeretl tor � salel If, howaver, tM1e bulltling or improvement is soltl wi[hin one ycar of com- , pletion, the owner wi11 nave the burtlen of proving he/she tlid not buiitl or im- � p�ove for the purpose ot sale). . ' , ❑ I, as own¢r of the property, am exclusivery mntracting with licensetl con- tractors to construct the project (Section ]044, eusiness and Professions Cotle: ThelContractor'S License Law Ooes"no[ apply to an owner of property who . builtls or improves lnereon, antl wno contracts for such projects with a com tractor(sl.license pursuan[ t0 tlie ContractOr'S License Law�. I am aware thaC proot of their Worke�'s Compensation insuvance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date � Owner - " I hereby certify thab I have reatl this application antl itate that [he above Information is Correct. I agree to compty.wrth all city antl county ortlinance5 antl sta[e.laws relat�tlin9 con5t�uction and herebY authorize �ePre-. . sentatives of i city t nter upon the above-mentioned property for I insOectlon pu� Si9nature � � � Da�e TVP OFCONSTRUCTION NEW ADD ALTERATION REPAIR - O CONVERSION ❑ DEMOLISH ❑ OT}H'E'RL_ A P # DESCRIPTION OF. WORK/USE OF BLDG..�zytc�,Il'_ V3cb�` ��-• �'__ G F�_ ' ' S Main Build .TYPEOFPERMIT� . GRADWG FOUNDATION STRUCTURAL �. T Front� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING � MECHANICAL � B R¢2f ❑ OTHER r A PROJECT DESCRIPTION 5t3. FT. ocwaANCv_.� � K Right CONSTRUCTIONTVPE VALUATION$ 'S Left �'.f,ZONE - GRADINGCU.VDS. � ACRES� PIng.Ref.# Sink ' �- "' cflow Preventer ' <flow Irrigation ' 1t�bs .. Floor Drains Flaor Sinks s Gas Service Kitchen �� ' Showers .� � - . Service Sink � Sewer Cap , Sewer Connection i . � Solar�Collectors � .. Solar Tank Swimming Po w/Spa � Urinal OuUets � er Closet '�� Wat Heater �� .. � Water Ser ' e. _ � � Auto-Wash /� i �aunary i rays i "_ Fee $15 Issue f'ee Boiler . Duct - Under Ground � D uct - StruC W ral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blc ICBO # Heating System & Ducting ❑0-t00,0006TU �100,000BT Driveri' License or 55 � �' I .�I Reinspection Fee', � F OB65-46, rev. 10/84 White - Builtling; Canary� Applicanh Pink - ACcounting; Goltlenrotl - Ass¢SSo� Hood or TYPeI F Canopy � Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100, System Repair/Alteration Fire Dampers Registers � , ' ; � � ��.;� FEES ; Automatic Washer struction Pole Cooki Unit . Dishwashe ' � Dryers �Gas , F.A.U.' Fixtures , Device Boxes Outlets Switches . - Garbage Disposal Generator DO�, . / ' � • _Hf R u v: .�� Accessory�3uilc � .'_' � 1 � ! � s S�1'1 Itl� � . Parking'Req./Pr � � � ELECTRICAL ' ' . FEES ' � Transformer ❑ 15-50 KW ❑ 50+KW �.- � ' Meter ❑up to 100 amps , - � '- ; -" Merer �over 100 am - _ �ctric � Sub Panel - . . Motors❑ HP�1Yh-8 • Inc:S r �9-15 HP �16-15+ crowave Pole Light � � � ' nge . . ._. . c,.... . _. ... - ' ' Standing 15-15 KW Trash Co —�-- Reinspection Fee � $15 ' Issue Fee ES �DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By � Building Approved By /r� � B �i� �� .�o�� $ 3 0 Z O N I N G R E Q M T S , - . � SUMMARV OF FEES � �� BUILDING PERMIT $ SMIP $ � PLANCHECK $ �.PERMIT � — PLUMBING $ ` ISSUANCE $ _� � PLAN CHECK 25% $ � ENERGY P.C. $, � :� ELECTRICAL $ � GRADING $ ' PLAN CHECK 50% $ ' MICROFILM $ . ' MECHANICAL � $ • d� TOTAL�FEE $ 6 • 7S�' P�AN CHECK 25% $ d� �%S ' .�J �CONSTRUCTION AND�P,LANNING' APPROVALS Permif # i 1., Temporary Electrical Service or Pole � 2. Soil Pipe-Undrgrnd. � 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement � 6. Electrical UFER Grnd�' 7. Footings � ` 8.�Foundation � 9.- Water Pipe-Undrgrnd. . � � 10. Structural Floor System . ii. Property Sewer Line & House Connection 12. Sewer Cap � 13. Roof Drains � � 14. Rough Plumbing � ' � 75. Rough Electrical-Conduit 16. Rough Electric Wiring � 77. Rough Wiring Sign � - - " 18. 'Rough Electrical-T Bar Ceiling � , , 79. Rough Heating & Air Conditioning � 20. Rough Factory Fireplace , ' � 21. Ducts, in Strucwre 22. Ducts, Ventilating ` 23. °Gas Pipe-Rough & Test ' 24. Roof Framing . 25: Roof Sheathing -' � � 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing � 28. Lathirig & Siding ,� � . 29. Insulation . 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • ' 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � � - 43. Backflow Irrigation ' 44. Landscape Irrigation System - 45. Sound Attenuation� - 46: Handicap Regulations � 47. FINALSTRUCTURE&.BUILDING 48..Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co No. Date � ' POOL & SPA.� � �,. -. Date Inspector qppROVALS Permit# s i i 52. Pool & Equipment Location � ' 53. Steel Reinforcement - 54. Forms� -. • � 55. Electrical Bonding � � 56. Rough Plumbing & Pressure Test ° , 57. APPROVALTOCOVER-GUNITE i , 58. Electrical Conduit-Undrgrnd�. ' �. -' 59�. Gas Pipe, � Undrgrnd., Test � � 60. Backwash Lines;�P-Trap, � Undrgrnd. `�-61. APPROVALTODECK - 62. Backwash & Receptor-Final � 63. �Heater & Vent-Final 64. Plumbing System - Final ' 65. Electrical-Final 66. Solar System-Final � � . � 67. Fencing & Access Approval � 68. APPROVED FOR PLASTERING , 69. POOL/SPASYSTEMSFINAL F, FIRE.DEPT. REQUIREMENT :;� APPROVALS . Permit # � 70. Underground Hydro � 71. ProductPiping�Gas ❑Oil � 72. Underground Flush � . 73. Undergrnd. Storage Tank O Gas� � Oil , 74. Overhead Hydro , _ � , 75. Dry�Chemical � 76. Dry Standpipe . ' '`77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL '✓ .` HEALTH DEPT. REQUIREMENT 79.-FINALINSPECTION �{:• 80. FOOD CERTIFICATE ISSUED �.` -, Notes: • � r: ., : ,t. � �• ' - � .. ' ".r �: �, �� , . + � C" . S:. Date � Inspector a r A � r �•i .. .'� i_�: h� i 5� ,1 ; : _ 's r � - • �- � b ' 'rU' k (% r � ' ��r � ' . - �1. ',J r: �'�s n� � � %'<. - . .. ' C — APVlicant to fill in all sPatts excePt those within heavY�Gortler Ilnes antl si9n all aGVroDriate tleclarations. .' _ .. . '— ._ _ . _ i ' - PE NO. , •TRACT N0. ' LOT NO. � UNIT NO. `� CiTv o.F cOSTA MESA ,CONSTRUCTI'ON�PERMIT � �D � , , ; f � � ' � � Project Address ��o I� P�?t'I� LA1VY: ' ' ' � , AppliCdOt�S MBiling Addi2s5 ' 1441 ru`Tu r��J (?lii;; Sm, pl,1p��P.,q ' TVPE OF CONSTRU TION NEW ADD ALTERATION REPAIR �� ^� ^' `_ i., � � �n � ❑ CONVERSION ❑ DEM LISH ❑ OTHER �L� / ' - � q.p,# ' ' ^ Zone Tt Owner's Name� PZ1liT FP TC'.!i � Phone � -z—S�FB� - c-� � - -- - - - � � � �„ ��,• 1�C,I,� �c�� DESC O OF WORK U OF BLDG. �,.�. Address 244� �.1'T�"`T �1. S�'�'. A- �/a��LL//��J . � T— S N1ain Building: ' • Accessory Building: � Arcli/Eng: � � � License No. � TVPE OF PERMIT . Q GRADI G FOUNDATION � STRUCTURAL T Front� ' ' � � � � _ p Addfe55 - ' ' � � � ❑ TENANT �❑ ELECTRICAL ❑ PLUMBING�MECHANICAL ' 8 R¢d! , , . � � ' N Contractor's Nama �'�'DS,ES SANL�S. Ir'.G...Phone 630-191°' � OTHER _. . = = ` � i { ` � � A _ . _. , _ . . . , . � Address (mailin ns ST: •AI`=A["T''II' � $�(� PROJECT DESCRIPTION 5(]. FT: ' � � � { oCCUaANCv C Right - � � . � , ' N G �� ., G�. r: � . . ;i � � - K Left . CONSTRUCTIOIV TYPE VALUATION 5 $ • ; • � R City License N - ' i . .i� ZONE - GRADINGCU.VDS. ACRES . p�ng.Ref.# � `Parkin�Re /ProvideA � ' E LICENSED CON�ARAI'ION � ll - 9. Q' Q 1 tlereby affirm that I am licensetl untler provisions of Charte� (F mmencin Remarks: /� ' PlannintJ NOL¢5: ' �. ' ' � M with section 7000)'of Division 3 of ttie B' ess ptl P of¢ i n5 C tle, a " T � my license is m/y�l,.(orge,ppp etfecL 1 2,�9 - ' ' j ' ' S ' (�License Class • �V h 1H.3 /e o � f . � � r . Date� �I.�9.�f'7 Sl9nature - • PLUMBING � � i - FEES � � ' • �.l 'vORKERS' COMPENSATION DECL RA N � - - � • � � - � i `\ 1 ` � � BarSink, � . Showers � f � � . .ELECTRICAL� ' . "FEES � ereby alfirm that9 have a certificate ot c ent to self-insure or a certificate . . -• i_ � � �• �� Workers' Compensabon Insurance, or a:certifiea wpy, thereot (Section Backflow Preventer Service Sink - Automatic Waslier Transformet �� 15 50 KW 2 �' � I� 1 ^ ..800 Wb. C,.!,,., ' ` .. , . ' " , _ : . �r� policy rvo �"+`�'S%��10 �o y`',1PIIJ"L'R� t?ALT�' Backflowlii�gatjon SewerCa �❑ SO+KW P � Construction PoleSub p CerLfiCtl copy i5 hereby fumishetl. I�� y(1 C ti 5� y�is �iled with�the at �' n i sio . � � Bathtubs' � � Sewer Connection 1 . Co6king Unit _ Meter ❑up to 700 amps ' Bate��"�'� � APplican ' E%EMPTION FROM WORKERS' � MPE 5 TION CIARATION ' Clarifiers, � . Solar Collectori � - � , • Dishwasher ' Meter ❑over900amps . � - (Thissection neetl mt be completetl if tlt mit is for one huntlretl ($300) or , _ � ' . - - - less).� I � ' DishwastierJ - � Solar Piping ' � ' ' Dryers'OGas f�Electric - ; Sub Panel � . � - ' I certify lha[ In the perto�mance of the work for which this pe�mi[ is iSsuetl, I . . \ � . . � � snall not emoloy any person in any manner so as ta became subject to the Drinking Fountains Solar Tank Fan � � � �' ' workers' Compensation Laws of Califomia. , Motors DO�7NHP �1'h-8 i � Date � Si9nature ' ' ' � � Floor Dreins ' . �Swimming Pool w/Spa � ' F.A.U. ' " ' InaSolar �9-15 HP �16-15+ � _ NOTICE: If, diter makin9 Ihis tleclar5tion, you shoultl Cecome subject t0 lh¢. . Workers' Compensa[ion provisions of the Labor Cotle, you mus[ forthwltM1 PIOOfSi0k5 'U�inal , ' � Fi%tu�¢5 � compry with such provisions or� tttis permit Shall be tleemetl revoketl. � Mic�Owave CONSTRVCTION LENDWG. AGENCV ' � ' G35S¢rvice O�tl¢Ls Wdt¢fC105¢t � J � I hereby affirm that lhere'is a construction lentlin9 agency tor ihe pertormance - � i ' Device Boxes Pole Light � of [he work f �+cry� h'�.,-Ga�ccw � issuetl (Section 3097 Civ. C.) • Interce tors Water Heater � Lender's Name �"•` l�'� ��Y`�n��l P Outlets � ' . Range ' . P. C. Y.. & P_4�,CAtY:, WF.O �. �I, :'n � , Lentler_s Atltlress. , Kitchen Sink . . . Water Service� - _ - Switches - � - , � Sign ' ' �' ' � OWNERBUILDER'�ECLARATION � " � ' � I hereby af(Irm that I am exempt irom�the Contractor'S License Law ror tne "Cavatories � - � Auto�Wssh � . `,:, , Garbage Disposal� . � Standing Sections ' � fallowinq reason,(Section 7031.5 Business antl orofessional Cotle: Any tifypr . _ counry which requires a permit to construct,�alter, improve, demolish or repalr P—Trap . � ' � Laundry,Trays � :w Generator QO-5 KW �5-15 KW Trash Com actor any St�utture, priOc to I[s issuance, also requi�es Ne applican[ fOr sucM1 pe�mit P � lo file a sign¢tl slatement that he/she is licensetl pursuant to the p�ovision5 ot �� ' ' ' , ! i v+ � the Contractor's License Law (Chapter 9(commencing witn Section ]000) of Roof Dreins � ,'i ' . � . •Division 3-of �the-Busine5s antl Profe55ion5-Cotle) or that he/she is exempt - -- - � —� - � --- ^ - - - - - - - - therefrom anG, the ba5is,(Or the allegetl exemption. Any,violation of Sectlon � � , . � ]031.5"'by any applicant for a permit subjects the applicant to a civil ' ' . • � � ' ' � pe0dlty of not more tM1an five huntlretl tlollars ($500). . ' ' ' • . ' - � � , � ' ' � , I�❑ I, as owner of �the; property or my employees with wages as their Sole ReinSpeMiOr1 F¢e: $15 ' ' � , ISSUe FBe � $ 3 � , � ,. ' compensation,'will Co.the work, antl the structure is not intentletl or offered - Reinipeetion Fee $15 Issue Fee � $ 3 � � for .sale (Section �7044„ eusiness �antl Professionai Cotle: �The Contractor's � - . MECHANICAL � � ' -FEES . � License, Law tloes not apply to an owne� of aqroperty who builtls or improves � ' _ thereon, antl who tloes such'�work nimself/herself or tnrou9h his or her own � � � , DEVELOPMENT SERVICES REQUIREMENTS: .. employees, provitletl tnat such improvements are not intendetl or offeretl tor Boiler . ' Hood or Type I ❑ - . . sale.Nt?noweveq the builtling or improvement is soltl witM1in nne year ot com- �. C2nopy Typ¢ II ❑ � Zaning Approved By � � Data - pletiom, t�e owner will have the burtlen of p�ovinq he/she tlitl not builtl o� im- DuCt - Und¢� G�Ound ' � ' - Building Approved By � Det� ` erove tor the purpose ot sate). . . � ' • . . ' . . . LJ I, as owner of the property, am exUusively mntracting with licensetl con- � Duct -Strucmral � Refrigeration System 'Appliwtion Issued By - n � Dat tractorsto mnstruct the project (Section �044, Business antl Protessions Cotle: � ` , � The Contractor's License Law tloes'noi apply to an owner of oroperty who Duct - Ventilating �0-100,000 BTU '0100,000 BTU . SUMMARV OF FEES builtls o�'improves tM1e�eon, antl who'cont�acts.for such projeCts wlth a con- - � •- , ' - • _ , Iractor(sl iicense pufsuant'to�the Contractor's Licens4.Law�. I am aware that � '- BUICDING PERMIT_� $: ' SMIP : $. • proof ,of [heir Wo�keY.s Compensation insutance shoultl: be p�ovitl¢tl [o me. E%hdUSt $y5t¢m-❑ Multipl¢ ❑ � Sys[em Repair/Alteration PLAN CHECK � ' $ � � �PERMIT � .. � ❑Y zm exempt untler Section � � e. &'P. C..tor this reason Firepl/Fact. Bit:[ICBO # Pire Dampers ' • '� � ISSUANCE�.. �$ • � :. . ' .. ' � . - PLUMBING $ � Daie " � pwner' ' "' ' � ' - ' H ating System & Ducting � ," Registers � � - - - _ ENERG�' P.C. $' ' PLAN CHECK 25% $� 1 hereby ceitify-that 1 have.reatl Mis a plication antl state that the above ' 0.100,OOOBTU �100,OOOBT � �- � ELECTRICAL � GRADING � $- information is c L I ayree�p com rth all city antl county ortll nc¢5 " ' �' .. . antl state laws ela n9j��iA�ng.c tr ctibn, and hereby autho ize epre-� � _ � PLAN CHECK' 50°6 ,$ ' ' �_.MICFiOFILM $. ' . Sentatives o thi5 cit�'t o/en ye� u n �t pbove-mentioneG p� Jyr - - ' � - ,� �r, �y inSPection. rpo // / "� '. �'J� . . y . _ . , ' ." . Siqnature' l�C�� 1/ � � � � ; MECHANICAL , $ --J%�� TOTAL FEE _. $ . �) . / d� �' Reins ectioqPee ' $15 � - Issue Fee ' � � orivers'ticense 55 � , ' P ( ' $' 3 '. � PLAN CHECK 25% $ � CMF OB65�46, iev�10/B4 White - Builtling; Canary'- Applicant; Pink - Accountin9: Goltlenrotl - Assessor l ^ CONSTRUCTION ANDPLANNING 'POOL&SPA . � APPROVALS Permit # Date Inspector qppROVALS 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 & Pressur`e,Test - � 6• ElectricalUFERGrnd. 57.�APPROVALTOCOVER;GUNITE - � 7. Footings , . � 58. Electrical Conduit-Undrgrhd. � 8. Foundation 59. Gas Pipe, � Undrgrnd., Test � 9�'�Water Pipe-Undrgmd. . . 60. Backwash Lines, P-Trap,.O�Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK �` � 17. 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 � ' 75. Rough Electrical-Conduit � 66. Solar System-Final ' . 16. Rough Electric Wiring 67. Fencing & Access Approval �17. Rough Wiring Sign � � 68. APPROVED KOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ,� nJ € FIRE DEPT. REQUIREMEN.T. � 20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducts, in Structure . 70. Underground Hydro � � 22. Ducts, Ventilating ' 71. Product Piping �Gas ❑Oili�� 23. Gas Pipe-Rough & Test 72. Underground Flush , 24. Roof Framing . 73. Undergrnd.StorageTank OGas ❑Oil � 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat . � 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe + 28. Lathing & Siding � 77. FIXED SYSTEM FINAL • ' , 29' Insulation , 78. FIRE PREV. FINAL � 30. Drywall Nailing �_ HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION � -' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED� " - 33. Final Electric Notes: . � � , 34. Final. Heating & Air Conditioning � � .- � 35. Final Gas Pipe-Test � � � 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing ' 39. Water Service-Final 40. Gas Service-Final � .. . . ' " � 41. Solar pomestic-Final , , , � . ,42. Backflow Preventer . - �43. Backflow Irrigation ' � ' . ' � 44. .Landscape Irrigation System • 45. Sound Attenuation " 46. Handicap Regulations . , 47. FINALSTRUCTURE&BUILDING . � - 48. Special Requirements Completed . 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co � � . 51. CERTIFICATE OF OCCUPANCY - No, Date � � � � � i _ ' ... ., , � Ac Crrv oF coSTA MESA CO.NST/RUCTIO PERMIT Project Address � 35 � � L+� ��L.�� Applicant's Mailing A�d(d�ress � �� 'Q�' � ✓ 1C � c Owner's Name ., /�rT �22� LK' �IL Phone ��Z' �s Q1 Address � L�Y'� ��.��%Z ' �V, � ��' � Arch/Eng. � • License No. Address � � � Contrector'sNam �ASr, UiL�lNfjs(�CCii!c.'ACSphone5�'"5'�S Addresslmailing) ��o? eAM�Ne ; eAP�S'(RRIJa'iF7j�v Ciry License No. � � �3g7�%Z ' ' ' LICENSED CONTRACTOR DECLARATION � � ' I nereby afilrm that I am licensetl untler provisions of Charter 9(mmmencin9 with section 7000) oi Division 3 0� he Business antl Professions Cotle, antl my license is in full forte and e( e t. � /, O� License lass c-�f � Gz: 3S�Licen No. b Date � a S�gnature � � /� 'WORKERS'COMPENSATION DECLARATION � ' hereby a(firm tha4l have a certificate oi consent to selbinsure or�a certificate f Workere' Compenzation Insura ce, Br a certi etl copy the��(;ection ,800, Lab. C,}� q p p . .�C F�- Policy No. �o f'�� Company �Certifietl copy is hereby furnishetl. � � Certitle co 'letl with the city Building visi Date- Applicant ' EXEMP 10�_�RKERS' COMP ATION DECL ATION � (This section neetl not be completetl if [he permit is (or one n0�etl ($100) o� less). I certify that in the perfo�mance of [he work for which this pe�mi{ is Issuetl, I shali mt employ any person in any manner so as to become subject to the Worke�s' Compensation Laws of Calito�nia. • Date' $ignatu�e � � NOTICE: If,.atter making this tleclaration,.you shoultl become subject to the. Workers' Compensation provisions of the Labor Cotle, you must torthwi[h comply with such orovisions or this permit shall be Ceemetl revoketl. CONST0.UCTION LENDING AGENCV +^—' � i* I hereCy affirm tha[ fhere is a constiuction lentling agency tor the perfo�mance of the work�for which Ihis permit is issuetl (Sec[ion 309] Civ:IC.) Lentler's Name s" � . Lentler's AtltlreSs - OWNER BUILDER pECLARATION I heieby affirm that I am exempt from the Contractor'S License� Law�foi tne Ito flle a slgnetl statemenl tnat he/she Is Ilc¢n5etl pursuan[ [o Ihe provlslons ot the Contrac[orfs License Law (Chapter 9(commencin9 with Section 7000);of pivi5ion'3 of the Busin¢55 antl Professions Cotle) o� tM1at he/she is exempt therefrom antl�the ba5is fOr the allegetl'exemption. Any violation of Section .7031.5 by any applicant for a permit subjects the applicant to a civil ,� enalty of not more than five huntlretl tlollars ($500). 1, as owner ot t�e� prop¢rTy or my employees with wages as thei� Sole � mmpensation, wili tlo the work, ana the structure is not intendetl or offeretl for �sale (Section 7044, Business antl PrOf¢Ssional Cotle: The ConVactor's License. Law tloes m[ apply to an owner of a pwperty who builds or improves the�eon, antl who tloes sucn wo�k himself/herself or thrOugh his or hEr own employees, provitletl that such improvements are not intentletl or otferetl tor sale. It, however,-the builtlin9 ar improvement is saltl within one year of mm- pletion; the owner will have tM1e burtlen of proving M1e/sM1e tlitl noi UuilU or im- prove to� tM1e pu�0ose of sale). I - ❑�I, as owne� of the 0/oOerlY, am excluslvely mnt�acting with IicenSetl con- trattorz t0 Construct the prolect (Section 7044, Business antl Professions Cotle: 7hQ COfIIIdCIOf�S LIC2052 LdW �loes not appry to an owner of property who builtls or improves.ther¢on, antl who contracts for Such p�ojects with a con- tractor(s I¢ense Du�suant [o the Cantracto�4 License t.aw). I am aware that :; proof o�iM1eir Worker's Compensation insurance shoultl be provitletl to me.� ' L7 I am�exempi untler Section B. & P. C. for this reason _ `Date � � Owner 1 hereby certify that I have �eatl ihis application antl state that the above- . information is wrrect. I aqree to comply with all city antl county ortlinances� antl state laws �elating t b' m9.5� nst�uctio antl h by authorize repre- , sentatives o� this city enteyypon the ov ipnetl �Oroperty- for :inspection purposes. / ' ' Signature' l� Date -./ � nt to.fil4in a11�s0aee5 except Ihose within heavy bortler rn IZ 9�� 7 'TRACT NO. L (O iJ i � all app�opriate Ceclarations. UNIT NU. � � � i �: ' ! ; TYPE OF CONST,RUCTION LJ NEW' U.qDD LJ ALTERATIOfJ L.� REPAI R' � ' � O CONVERSION ❑�DEMOLISH ❑ OTHER : _ _ AP # � i DESCRIPTION OF WORK/USE OF BLDG. � ' ' - - . � S Main Building: TVPE OF PERMIS � GRADING ❑ FOUNDATION ' STRUCTURAL � T Front ❑ TENANT ❑ EI.ECTRICAL �0 PLUMBING ❑ MECHANIGAL i F B R¢a� � ❑ OTHER. � � . ' �, ' P. ' PROJEC7 DESCRIPTION .Sq. FT. oCCUVANCv � C Right; ��'� - K Left CONSTRUCTION TVPE ' VALUATION $ $ , ZONE GRADING CU. VDS. ACRES� Ping. Ref. # � Remarks� l{ICD(IV . /✓I'(� � � /33 Planning Notes: . � � PI IIMRINr cc�c ! Bar Sink � � � . BackFlow Preventer - ' Backflow Irrigati0n ,� Bathtubs _ � � ' Clarifiers . Dishwasher ' � Drinking Fountains Floor Orains � - Floor Sinks � , Gas Service Outlets Kitchen Sink - Lavatories � Roof Drains Reinspection Fee � $15 Ducc - Under Grountl Duct - Structural Duct - Ventilating ' Exhaust System ❑ MWtiple C � Firepl/Fact.Blt.�IC80 (o Heating System & Ducting ❑0-100,000 BTU �100,OOOBI � • � Reinspaction Fee $15 Drivers' License or 55 ,� : � CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicanh Pink - Accountlng; Goldenrotl - Assessor , .� . Sf10WEf5 � ' Sewer, Cap ' � " � Sewer Connection Solar Collectors � Solar Pipin9 � ' Solar Tank • ' Swimming Pool w/$ Urinal Water Closet Water Heater . �WaterService - � � Auto-Wash Laundry Trays - Issue Fee � t�;P6�� ii2aia� - i�.00- T � � 2one ' ' . �AccessoryBuilding� � � ' � i t � '� Parking Req: i . ' . � a, Z O N 1 -' � -N G R E � Q � M T � S. � ' • -. - ELECTRICAL� ' � . FEES Automatic Washer Transfo�mer ❑ 15-50 KW .- �: . ' � Construction,PoleSub. <', ��'50+KW' �� _ � ' Cookin9�Unit � �' Meter Dup to 100 amps . � - ' Dishwasher . ' .Meter ❑over.t00amps � ' Hoodor Typel ❑ � Canopy Type I I ❑ Refrigeration System ❑0-100,000 BTU.O100,000 System Repair/Alteration Fire Dampers �� -Fiegisters � � . . i Issue Fae � �• s,a Oryers ❑Gas ❑ElectFic , Su6Panel , � ' . - Fan . . Motors�0-iHP�1.'/:-8 . „ F.A.U.., � ' � Inc. Solar �9-15 HP 016-15+ � Fixtuies � � Microwave ' Device Boxes � ' Pole LigM j Outlets � � � Range � Switches • - � " Sign ' � " Garbage Disposal Standing Sections ' Generemr �0.5 KW �5-15 KW , Trash Compacmr ' �_ 1 ' ' e I Reinspection Fee Y!' $15 ' I luue Fee � ��$ 3' ��.DEVELOPMENTSERVICESREQUIREMENTS I . • - � " Zoning Appraved By - � Date 'Building Approved By ' �' Date Application Issued By ' � ' Dat � SUMMARV OF FEE� � . - � BUILDING PEFMIT $ t SMIP � � $ . � � ' � PLAN CHECK - $, PERMIT- � --, • PLUMBING - � $ . � -ISSUANCE $ - ' � PLAN CHECK �25% $ : ' � ENERGV P.C. $ �' � ELECTRICAL � $ ��GRADING � $ PLAN CHECK 50% $ ' " 'MICROFILM $ � �� ' , MECHANICAL �' $ TOTALFEE $ � PLAN CHECK 25% $ � � . �/ � CONSTRUCTION AND PLANNING POOI & SPA APPROVALS Permit # Date Inspector pppROVALS 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 Piumbing & Pressure Test �. 6� Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. . _ 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK � 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Fina� � 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 79. 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 O Gas ❑ Oil " 23. Gas Pipe-Rough & Test 72. Underground Flush 24. RoofFraming 73. Undergrnd.StorageTankOGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structurap & Monocoat � 75. Dry Chemical , -27.-FrameandFlashing ' 76. DryStandpipe • 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation . • 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT , 31. Plaster Brown Coat 79. FINAL INSPECTION ' � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' � � 33. Final Electric � Notes: • . ' � 34. Final Heating & Air Conditioning , . � , 35. Final Gas Pipe-Test � � 36. Hood or Canopy • 37. Final Factory Fireplace . �7 � �i 38. Final Plumbing 39. Water Service-Final � ' � 40. Gas Service-Final ' ' 41. Solarpomestio-Final " , . 42. Backflow Preventer . . � . 43. Backflow Irrigation . • ' 44. Landscape Irrigation System � � 45. Sound Attenuation � � � 46. Handicap Regulations � ' � 47. FINAL STRUCTURE & BUILDING � ' 48.,Special Requirements Completed - , � . � - 49. Electrie Release to Edison � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - ✓ .i _ AOP�icant to fill imau spaces,exceo� those within heavy eortler lines ana sign all aDVrooriate aeclarations. T n�n � riT nin i....r .... 1 CiTYOFcoSTA�MESA CONSTRU.CpTI'ON;PERMIT "`"""'T�� T�� { �oject Address �3�- � �� /� / �Y �� ,p Applicant'sMailingAddress �(_ �y0�7 �/YlN-i^r:�� / i. . Owner'sName ��+'/'%Gp ��'`�+� � Phone � � � Address ' � ' Arch/Eng. , � � License No: � ' Address . • � ' Conirector's Nam ' w hone� 1�� Addresslmailingl—�/��r,ri/�� - �� CityLicenseNo. ��iZ ' � � LICENSED CONTRACTOR DECLARATION (� I nereby attinn that 1 am licensetl untler provisioni ot Charter 9(mmmencing "� with section �000) of Division 3 of the Business antl�Protessions Code, antl 1 my license is in full Jo�cy`ar}d�Offect. � License Cla 5 �� S�� ivo. '�Np Date ��-y 59 t� � ' V WORKE S' C MPENSATION DE LA�RATION � �� hereDy affirm tnat'I have a certificate of mnsent to selbinsure or a certificate �f Workers' Compensation InSurance, or a,certifietl copy.the�eoi (Section po0oy No. C�� / Compa `� � C �fietl copy is her by furnishetl. � ' ertif' yi li -th the ci[y B ing Di ! Date Applicant - EXEMPT N FRO W00.KER5' COMPENSATION DECLARATION (Thissection neaE not ba completeC if the permit i5 tor one Itund�etl ($100) o� less). - 1 certify lhat in the perfo�mance of Ih¢ wo�k�for which this Oe�mi� is issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Caws of Califomia. � Date Signature . NOT,ICE: If,after making this�tleclaration, you sboultl become.subject to the . � Workers' Compensation provisions ot the Labor Cotle, you musi forthwl[h comply wilh su�h provisions or�thi5 pe�init shall,be deemetlyr¢voketl. CONSTRUCTION LENDING AGENGV � I Itereby affltm that there is a construction lentling d9enty for the performance of the wark �for'which this permit;.is issuetl (Section .3097"Civ. CJ Lentler's Name j Lentler;s.Atldress _ � OWNER BUILDER OECLARATION � , I he�eby dtfirm that 1 am exempt from [he Contiacto�'s LicenSe Law fo� tM1e �� tollowing�reason (Section ]03L5 Business antl Prote55ional Cotler'Any city or counry which requires a petml[ lo construct, alteq im0�ove, tlemOlish or repair any structure, prior, to its issuance, also requlres the applicant:for`such pe�mit to tile a signetl statement that ne/she is licensea pursuant to the provisions ot the Contracror's License Law (Chapter 9(commencing with SectiOn ]000) of • Division 3 of tbe Business antl-Professions-Gotle)��or that he/she is exempt therefrom antl the basis for the allegetl exemption. Any violation ot Sectlon 7031.5'by any applicant for a permit subjects the applicant to a civil ,� enalty of not more than, tive huntlretl tlollars ($500). 1, as owner of the O�operty Or my employees witM1 wages as their SOIe � compensa[ion, will Oo tne work, and the structura is not intentletl or o(feretl for'j5ale (Section ]044,' Business ;and 'Pro/¢ssional Cotle: The Contractor'S License' Law tloes not apply to an owner ot a property who builds or Impwves thereon, antl who does Such wo�k himsel(/herselt ar [hrouqh his o� her own ' ¢mployees, provitletl that such improvements are not intended or otteretl for sale. It;.howeve�, the builtling or imp�ovement is Soltl within one yea� of com- oletion, me owner will have the burtlen,of proving he/she tlltl no[ builtl or im- 7 p�ove for the purpose of sale). ' . -� I, as owner of ihe prOperty, am exclusively contracfing with licensetl'mn- i tractorsto construct the project (Section ]044, Business antl Professions Cotle: The�Contractor's'License Law does not apply-to an owner ot�Oroperty who builtls or improves tnereon, antl who contracts for such projects with a�con- � tractor(s) license pursuant to,the Cont�actor;s License Law). I�am aware that p�oof of th¢ir,Worker's Compensation insurance�zhoultl�be provitletl to me. � L7 I am exempt untler5ection _ B. & P. C. tor this reSsonJ � Date � Owne'r � - ` I hereby certify th t have'reatl.this a0oli<ation antl e that the above ; information is m cL I a9ree to comply with all munty ortlinancer �. antl'Sta[e laws tin to i g constructio �eby autho�ize�repre- : sentaiives ot- s cit e er on the' nti tl ro ert -' r ; �. ' .,_ _ ": " ' _'.. i _, '____'.' TYPE OF CONSTRUCTION � L`_rrvEw U ADD LI ALTERATION LJ REPAI R � � ❑ CONVERSION ❑ DEMOLISH ❑ OTHE�R" � q.p_�E , DESCRIPTIONOF,WORK/USEOF�BLDG. /ss-�J., " �� LL � ' � S Main Buildin� TVPE OF PERMIT ; -GRADING��-❑�/ 5p UNDATION STRUCTURAL T F.rOnt� � . 0 SENANT� O ELEGT.RICAL�, L`� PLUMBING ❑ MECHANICAL e Rear ' � O �OTHER � `. ' ' � . A PROJECT DESCRIPTION `5a. �FT. ' � � oCCUaANCV i C Right' -' K Left CONSTRVCTIONTVPE ' VALUATION$ $ , ZONE � - GRA�ING CU. VDS. ' ACRES �. Ping. Ref. # Remarks: ' � � � � ' Planriing Notes: 8 - z6 i3 ' .� . , ' . , � . - . ' . ,PLUMBING . , . FEE51 � ' "�-" ' � , � � Showers � " � • 1 �= Preventer . ' ' : . Automatic Washer Irrigation' �' _ . t, .. ]rinking Fountains ' FloorDreins � Floor Sinks � � Gas Service �Outlets In[ercep[ors . ' Kitchen Sink '. ' ' Lavatories � ' � P-Trap � Roof Drains � ' � � Reinspection Fea� ! $75 Boiler ; Duct-UnderGround Duct - Structural � _ ExhaustSystem-❑ :Mul F.irepl/Fact, Blt. ICBO# Heating System & Ductin oa;oo,000 aTu o,00 � i inipectlon pu oses. ' � one 0 Y .� � � Si9nature � Date' �� -Drivers' License or 55 �; " Reinspeetion Fee � CMF'0865-46, rev.�10/B4� White -�Builtling; Canary - Applicant; Pink - Accounting; Goltlenrod - Assessor Service5ink � Sewer,Cap�� .- � ! � Sewer Connectian � � Solar Collectors. , . Solar Tank � Swimming Pool w/S� Urinal ! Water poset � Water Heater ' Water Seivice, _. . Au;o-Wash Laundry.Trays , i Issue Fee � 9 Hood or ` Type I ❑ � Canopy � Type I I ❑ � I Refrigeration System . � ❑ai oo,000 eru-� i oo,000 eTu System:Repair/Alteration ' 'FireDamper's . � �_ Registers � - • -� � . ; ,' � Issua Fee C � . � $ 3 , FEES � i 0 s,3 �� Cooking Unit� . t Dishwashe� _ . � Fan F.A.U. Fixturi ' Accessory Building: Parking Req./Provided . f•• , : � � ELECTRICAL % � � , " . � � Trensformer �� 15-50 KW ? . . ' �� 50+KW� � Meter ❑up �0 100 amps : . � . ! ' Meter �over900amps . ` Uevice.Boxes j �-. Outlets Switches - • � Garbage Disposal �,� Generator �0-5 KW:05-7 - �� Sub Panel � � Momrs �0-1 Inc.Solar O<. Microwave ' Pole Light� Range � ' j Sign , Standing Sec KW � ; Trash Compa .. 2 O � N I - ..N. , G R � � E � ° M T S FEES � � `, I Reinspection Fee -' �$15 I � I Issue Fee : I'� $ 3 I= DEVELOPMENTSERVICESREQUIREMENTS: � ' . . ' . � , � Zoning Approved By ' Data � Builiiing Approved By � f Date� Appliotion Issued By ' Dat ( Z , , . , SUMMARV OF.FEES ., , � . , ' BUILDING PERMIT $� � ' ' SMIP - $ - � ' � PLAN CHECK i � $, ��PERMIT . - . PLUMBING � � $ � ISSUANCE $ � ` . PLAN CHECK :25% $- ENERGV P.C: �$ � � ELECTRICAL'� ', �$_ � � ;GRADING ; ,$ PLAN CHECK 50% $ ' i .MICROFILM $ � � MECHANICAL �� $ TOTAL FEE $ - PLAN CHECK - 25% $ - " . � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �� L � 53. Steel Reinforcement � . 3. Electrical Conduit UtilitY-Undrgrnd. � 54. �Forms; � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. Footings � 58. Electrical Conduit-Undrgrnd. � 8. Foundation 59. Gas PiPe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. • , j��Yy` �� 60. Backwash Lines, P-Trap, O Undrgmd.' 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection Z// f/�` 62._ Backwash & Receptor-Final � ` 12. Sewer Cap • 63. Heater & Vent-Final . 13. Roof Drains 64. Piumbing System - Final 14. Rough Plumbing L 71 � 65. Electrical-Final � 15. Rough Electrical-Conduit ' 66. Solar System-Final . 16. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign - - , 68. APFROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling , . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' �, APPROVALS Permit# _ 21. Ducts;in Structure . 70. Underground Hydro . - � - 22. Ducts, Ventilating ' , 71. Product Pipin9 O Gas ❑Oil � 23. Gas Pipe-Rough & Test � � 72. Underground Flush � - 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil ' 25. Roof Sheathing � . 74. Overhead Hydro . ' 26. T-Bar Ceiling (Structural) & Monocoat � � 75. Dry Chemical �� . 27. Frame and Flashing -� , 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29.. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION " 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning . � 35. Final Gas Pipe-Test � � 36. Hood or Canopy , �37. Final Factory Fireplace � - 38. Final Plumbing g1 ' . 39. Water Service-Final � f, 40. Gas Service-Final ' ;47. Solar pomesticFinal � � � 42. Backflow Preventer 43. Backflow Irrigation - � 44. .Landscape Irriqation System . � � � � , _ � 45. Sound Attenuation � 46. Handicap Regulations � � . . ' 47. FINALSTRUCTURE & BUILDING , 48. Special Requirements Completed ' 49:�Electric Releaseto Edison � � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY • � �a -. . � - No. � � ' Date _ . •� � � � � �� . � ' .-C �, . . \ / p � � � AOV��ant to.d�-in•au�sNaee�...._�..;, ___tAin heavy borUer IinesanE sign ' - ---"--. . -. . . , ' - -'._ .. .. _ _ . .. . '-" ,r(atetleclarations. -_ - ' . i' _ . _ ` , .". _ . ' ..._ " '.-.r - i " ' . '— � ` CiTY l�F.coS7A MESA ON T,RUCTION PERMIT PE IT NO• • TRACT NO. �LOTNO.� `�NIT NU.• '6461 I 0/31 /86 ; - 49 f.34 .TL > �:c�q�� 2 ri �S :23 ; ; � ; , Project Atldress __��_� ' - � ' ' . ' ,� � � � ApplicanYsMalling'Address 1oZU�{�o e�,�, A.,Q -,4-� c.,�,� TYPEOF,CONSTRUCTION � NEW� ADD'� ALTERAETION REPAIR' � ' � ` � � �� ' ❑ CONVERSION � � DEMOLISH � A P # ' ' ' Owner's Name � �4J � ��C,i Phone i7�1.?.C"Nul . .. _ . .❑ OTHER , .. . . _ . � �{Z S =3 I.�� .1 9, - - .. �,- _ ; Zone.. • _ .�_ . " � D� CRIPTION OF WO NSE OF BLDG. ` ' . , � . Address %�e -1— G.tA S7N�'LE � ��tiI/L� �2CS/0�1= � s MainBuilding: � i � iFlccessory�Building:� � �' Arch/Eng. ^ � � `��Q License No. �'� . TVPE OF PERMIT � GRaDwG �FouNDA7ioN 5r'� : • E � i . • � ' • Z /�� - ftUCTURAL _ T FroM �p'�5 � I � ' Address $1W CT LyWTQ �:�+i2 � TENANT ,❑ ELECTRIGAL '❑ PLUMBING ' MECHAYVICAL � . B Rea� � �( � � N '" ;� ' �� !�/aszlkS/ �O OTHER . . /ii1'I'y ''f6S � , a � . ' ' � pp Condactor'sNam PF one � - � , y � � . � � C Right,� �"'� , - -' - � � - ` N� �. I, PRQIECTDESCRIP710N' �5 �S3 pCcubarvGv Dp Address (ma'I'nn122�- �l La �� l W .i:V�Q 4l�.1. ' - Q`�=' . . K � i ' � , � . G ' 'CONSTRUCTION TVPE � VALUATION $ _I� I 6 ' S Left . � 5 � � , ' � ' CityLicenseNo.'A' �� ZONE- � � GRADINGCV.YDS. ACRES � R M� LICENSED CONTRACTOR DECLARATION � ' P�^9� Ref� `b' /-� � S� :� /S(jj Parking Req./Provided p� E �� 1 hereby affirm�that I am'licensetl untler provisionsof Charter 9(tommencing Re�ma�ks: ^• ,�� EE; 3/3 pr n Plannin NOtES: _ � �� n � with section ]000) oi DiviSion 3 of the Business antl Protessions Code, antl /�`7 p'/-/J � -�/• �� 9 �� . gS� 4 ' M ,n ' my li<ense;is in.�uu force antl eftecL � , , '� , C• 7' / S`- Q(o � �'� ' ' � � � � � � S � - . License aass ' License rvo. C. 1K1:151i:1' l�� ' ' Date � Signature � It= ` ' :� � PLUMBING � . ' .FEES � i 4•' "� .. �� : � WORKERS'COMPENSATIONDECLARATION � � , 63LSink - ShOw¢�5 , I hereby aftirm tnat I have a certi(icate of consent ro self-insure or z certificate 1' ' ' � 1; � - � i'-, . . ELECTRICAL �'�� „ j„ � ,°FEES^ � f WOrkerS' Compen5ation Insu�ance, or a certi(ietl coOY thereof (Settion � - � � � � , , Backflow Preventer � Service Sink� 300, Lab, c.), . : � . � , r - ,- Au{omatic Washer • i: Transformer ❑'15-50 KW t ✓olicy No: � � ' . Company Backflow Irrigation �� . Sewer Ca - � � � � . . `�!50+.KW � � � ' e Certified copy is Itereby fu�nishetl. � � ' P �� - , CarlStfuctiOn Pal2 Sub. • . - ' � J _ 7 CertiLetl copy is Tiletl with th¢ tity Builtling Divisian: Bathtu65 '- S¢We� COnn2CLOil . • � '-'COOking Unrt- ' . „ � ' M2t¢I ❑up [O 100 BmpS �� + �ate' • , APPlitant • • � � . ' , .• ' ` ' , ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' • Cl2�iFiefS, !- - $olar Collectors.- � . . � - Dishwasher _ i - ; : �Meter Oover-100amps � - �� , (Thissection neetl not be completetl if the permit is tor one huntl�etl ($100) or � ' ' � ' ' ' ' ' ' less). . � � Dishwasher• �� ' � ,SolarPipin9 � � � • � Dryers ❑Gas ❑Electric� 'Suh'Panel , - � i �i � 'I certify tM1at in [he pe�formance o� the work for which tltis pe�m�t is issuetl, I - � � � ' ' ' �'�� snail not employ any person in any m so as to become sub�'pk Yto the Drinking Fountains � Solar Tank ' ' �' Fan 1_ �', }'_ � � Motors 00�1' HP �1 /-� 8� ._ . 1 Worke�iq� �rppPp�rt;atj on Laws o( Califor� �,� .,}� i � ' . . ' Date �k.��j . Signature � . - � �� Inc Solar �9-15 HP �16;,15+ P"'�1 Floor Drain's t ,Swimming Pool w%Spa . F.A.U� i � r+NOTIG If, t¢r making this tlecla�ation, you shoultl-bewme su�ject.to [he -___ _ - - ...... _ _ ' Wo�kers' Compensation provi5ion5-o/ the Labor Cotle; you must tortM1with � ; � ' - FloorSinks Urinal • Fixtures � � � comply with such piovisions or'this� pe�mit shall be tleemetl revoketl. � Mic�Owdv¢ CONSTRUCTION-LENOING�AGENCV ' � ' GasService Outlets."' % �WaterClos¢t � � - � I hereby aftirm that there is a const�uction lentling agency fo� tne pe�fo�mance � . � DCVIC2 BOx¢5 � ' � I 'POIe�Light � • • I ot the work ;for/J�'hlch(� IhiS erti� �t�is i55uetl' {5p��ian 309] Civ. CJ �� l- ��2"/ � � � � OUtletS , �entler•s Name S71 ' `�- � �1J.4..r�r.iA• InterceptOrs . . � F �� y' � WaterHeater ' ' ' i • � • . - • S � �' Range� : i Lender•s�Aaaress � `�'i�dA. � L ' � . � � � _ Kitchen Sink ��. , .. "� - � :.- Water Service ' � � ' ' ' � - "_ ' Y'. .. . .. L. Switch¢5 .- ., . ._. _ •_ - . .. _� . _r .} i " OWNER BUILDER �ECIARATION - ' � � . Sign � � � � � 1 herEby affirm that.l.am,exempl trom the COM�ac[or'S LicenSe Law for the Lavatories , �' Auro-Wash � � Garba E Di5 OSdI � ' following reason (Sec[ion ]031.5 Business antl Professional Cotle:.Any�ciry or '�' 9 P . Standing $ections � . county which requires�a permit to construct, alter, impiove, tlemolish or repair P-Trap � � ,�y: , , Laundry Troys ' i Generamr OUS KW OS-75 KW � ' � any strvcture, prior,to its"issuance, also requires the apPlicant forsuch permit � - j�'•Trash Compaclor 1 to file a signetlistaterit¢nt that he/she is licensetl pursuant to tbe provisions of Roof Drains ' � ' the Contractor'S License Law (Chapter 9(commenGing with SeCtion ]000) of ' � ' ! - " , Division' 3 oYthe'Bu5ine55`antl Profe55ion5 Code)-or that he/she i5"exempt - � � - - - - - � - - - = - -[here(rom'and ;the basis for the allegetl exemption. Any violation of Section i ' . e� �+ . I I 7031.S��by any applicant (or a pe�mit subjects the� applitant to a Civil ' � �endlty oi not more than tive huntlred tlollars,($500): ' ' ' � , � ' � � , r ' ! . � Reins � � LJ I,� as owner ot the, property or my employees with wages as their sole peCtion F¢@ $15 , Issue Fee' $ 3 1 I compensation, will tlo tne work, antl the structure is not intentletl or offeretl � ' '�� Rainspection Fee �$15, luue Fee ' $ 3 � ' for. sale (Section.�044„Business antl Protessional Cotle: The Contractor's ' ! MECHANICAL • • � FEES ' l � ' � ' License Law tloes not apply to an own¢dof a p�operty who builtls'or improves � • thereon; antl who does such work nimself/nerselt�or mrough his or her own - , � � �. � i• i'- DEVELOPMENTSERVICES E UIR MENTS: � � . , i { - emDloyees, P�ovitletl that such improvements'are not intentled or offered ior Boiler , � . . Hood or 'TYPQ I ❑ - � � • q� •� Sale: If; however, the builtling o� imp�ovement is soltl withimone yCa� of com- � Capopy Type II ❑ ' � � Zoning Approved By , Date ,pl¢tion, the owne� will have the burtlen of proving he/she tlitl not builtl or im- Duct - UndC� Ground � -� � � ' - `/ � Qr�ve for tne purpose oi sale). � � ' . . . , . .: ; � �Building Approved By Date��i �.t� oa I, as owner oi, tfie property, am ezclusively contractinq with licensetl con- Duct -Structural Refiigeration System � , Application Issued By pat 4ractorsto,wnstrucfthe project (Section 7044, Businessantl Pro�ezsions Cbtle: ' - �- - � The Contra<tor's License Law tloes not appry ta an owneriof property�who Duct - Ventilating • � ' ❑0-100,000 BTU ❑100,000 BTU � � _ - � ' •� S M ARV OF FEES � � ' builds o� imProves thereon; antl"wlto contracts to� such projeCts wlth-a con- � - �i �� tractor(s) ucen3e pursuant to tne Contractdr's �icense �aw). i am aware.tnat. Exhaust System �❑ MWtiple ❑ System RepaidAlteration, � BUILDING PERMIT ,$; 00 SMIP '� $- v`� � prooi of tneir WorkeYs Compensation insurance ahoultl be provitletl ta me: �. � , � - • �PLAN�CHECK $ " -PERMIT ' . ❑ I'zm�exempt untler Section' ' g. & P. G. (or lhis�reason .' FirepUFact. Blt. ICBO # Fire Dampers .' PLUMBING � '$ ISSUANCE �. $ . � � Date'• ' � � � � Owner� � � � �� - r . Heating System & Ducting ' � �Registers � _ - _ � ' 1 p�p,N CNECK y25%' S - � ENERGV P.C. 5 .I hereby certify'that �i have r ad mis appiication state that the� above ❑0.700,000 BTU 0100,OOOBT ELECTRICAL GRADING '$` �' information is correct.'I aqre' t comply with all ci antl county orCinances , ' '$' . antl state la to b I ng construction, an ' ereby authorize repre- - - MICROFILM $ sentatives this city �t r upon the above entionetl pr perty tor ' . � � - PLAN CHECK 50% $_ � ' , in5pectian u�po5e j � � � � • " - � ' "" " o �.Signature� '� Date� - ' � MECHANICAL $ TOTALFEE $ _ y1•3 .Drivers' Licedse or 55 � , � � Reinspectian Fee � $15 i � . . ��ue Fee � $ 3 P�AN CHECK 25% $ � � ' CMF 0865-46, rev. 10/84 Wnite - Builtling; Canary - Applitant; Pink - Acwunting; Goltlenrotl - qssessor CONSTRUCTION AND PLANNING ' � POOL & SPA , � APPROVALS • Permit #�� Date Inspector � pppROVALS Permit # � Date Inspector c, � � 1' .Temporary Electrical Service or Pole 52. Pool & Equipment Location 'v�� I 2r Soil Pipe-Undrgrnd: � . 53. Steel ReinforcemenL y� � 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. �, fL� 57. APPROVAL TO COVEfi-GUNITE � 7. Footings �� •� j 58. Electrical Conduit-Undrgrnd. ' � 8. Foundation �$�� c� gG � 59. Gas Pipe, O Undrgrnd., Test � - � � � 9. Water Pipe-Undrgrnd. � . _ . 60. Backwash Lines, P-Trap, O Undrgrnd.' 10. Structural Floor System� "' 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final ' 12. Sewer Cap .� � , 63. Heater & Vent-Final- 13. Roof Drains � 64. Plumbing System - Final, . - 14. Rough Plumbing 65. Electrical-Final + 75. 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 j FIRE DEPT. REQUIREMENT � - 20. Rough Factory Fireplace w APPROVALS Permit # _ _ 21. Ducts, in Structure , 70. Underground Hydro - 22. Ducts, Ventilating ., 71. Procluct Piping OGas ❑Oil ' � � 23. Gas Pipe-Rough & Test . � 72. Underground Flush �.•-' 24. Roof Framing '' '73. Undergmd. Storage Tank,O Gas ❑ Oil ' ` 25. Roof Sheathing - /�j/� � 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat .. 75. Dry Chemical , . 1 I 27. Frame and Flasliing ' .' '- 76. Dry Standpipe � � � -28. Lathing & Siding i 77. FIXED SYSTEM FINAL �' � �� 29. Insulation Z( � 78. FIRE PREV. FINAL • � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat �� 3 S 79. FINAL INSPECTION , 32. Electrical�Power Meter-Final , 80. FOOD CERTIFICATE ISSUED ' � 33. Final Electric � Notes: � �� 34. Final Heating & Air Conditionin9 - � �-' . 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 pomesticFinal � ' - - ' � ' � � �42. BackflowPreventer � ' '. .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 . 50. Gas Release to Southern California Gas Co . - ' � . 51. CERT.IFICATE OF OCCUPANCY . � � � - No. Date _ - �, ` - - � . � 1. Project Address � A.P. Number %.S Building Permit Number CITY OF COSTA MESA PARK FEES Fee Payment Receipt -� [i2(¢1� 001051 i 6458 I0/:31/86 1545.62 TC Owner'S Name 'PAU �-- l'� C i2. !� 1 C(� Mailing Address 2 y`�� E'�iv AJ6 P_ � , r o s-rrt n�esa ��/� . FEE: Single Family ' Number of Units . 2-Bedrooms or Less @ $ 861.76 = � 3-Bedrooms @ 1,205.67 = � 4-Bedrooms �_ @ 1,545.62 = � �"� S • (O�-. 5-Bedrooms+ @ 1,810.50 = Multiple'Family "' � Bachelor or Studio @ 474.37 = 1-Bndroom @ 573.18 = 2-Bedroom @ 881.51 = 3-Bedrooms+ @ 1,229.3g = Total Fee "*` � 5H5•�0�. Planning Department prova' a�e,,/� / g B IL�LSTEhI CRSf�i2S �M�Y� r ApplicanYs Signa ri � City Ortlinanca ]2-44 CMF 017430, rev.7/� 78-116 Goltlenrotl—ApO�lcant � � iNSULATION CERTiFICATION ihis is to cerlify that, in conformance with the current energy regulations (California Adminis- trafive Code, Title 25, State of California`) and approved pians, insulofion has been insfalled in the building laated at: COSTA MESA Ciry 359 LA PERLE $heet No. (II bdl�bls) Shwt NumM ORANGE c��M DESCRIPTION OF INSTALLATION Xe. rtoors CERTAINTEED iype of MateriaL FIBERfI AS.S Manufacturer ihickness 64 R Velue" 19 Exrenion wnuSFIBERGLASS CERTAINTEED Type oi Material _ Manufacturer Thickoess' 3� A Yalue" . 11 (0� Ind� X�m�) GEIUNGS PATTS: iype of Material Manulacturer_ ro, i,.e. n.m.i Sp. Ft. Covered._.__�_ BLO W N: Typr, 01 Material . Manufacturer �a n.d. n.T.� Wt./Bag Sq. Ft. Covered R Value"_ FLOORS Type o1 Manufaclurer_ fOr Tnd� N�m�) Thickness R Value".� ihlckness No. Bags_ Thickness R Value"'. SLAB ON GRADE Type of Material Manulactwei ihickness R Value"_ IOr TuA� N�m�l Widtb ot Insulation Incbes FOUNDATION WALLS (H reqolred) lype of Material Mamdacturer Thlckness R Value•'_ (Or L�M N��ne) REMARKS (If deelred) General Contractor (Bui Sub�Conlraclor (Insulation llneublion. Mawnry. Etc.%] By lA'.!'CII l.f! ;IILA'PI�)Pl llcense _ Date License Number J8264E� �-? Title owneY� Date MAY 11 r 1 qR7 (•Calilmn4o Adminlmmivn Cede, EnnOv ��letlen Slonda�d�, d•Onun "Cemollnn�e. Upen <emo��on ol iAe lm�allailen el Inn�loNen, n mrd <ertl/yinu �ho� tAe ImWn�ien ho� bem Iminli.d Im m�lermmcr riiM1 IAn rpulrem�m� ol �hnn reyulatien� �hnq be mmole�xd und e u�nd by �he Imnl��ie anplimier and by �he bulldw� IF�. ^.:ulo�ion e mo�lm.e <a�d �hell be noJ�d rt! e n�okvovt femnen wilAln �Ae tlwe�ItnO."I 1'R Velu� i Ihe m` e1 �hn re+l�lona� el o me��rlal er bvlldlnp emoen•ni �e IFe oavnee el M1ml. lne rnu+ionq .alv� �RI ol m n�Mce �mulaliom �6a11 nel Indede anY raloe Iw .elle�lire ledny.� � [l1CftI1 Irem S�c IOE)! d IF� X�allh on! SaI�M �d� a11h� Slal� el Calllernlm "��o a�tlllmb el eavpenv� er Jmllar ��rlillmllen Ihel a n�wly ven� ��.��bd Aebl, mebl, aoa��menl hav�e, hem• er elho nddm11a1 A��ulna li Aebl/oEb �hall b� pm�d hv md e boildln0 d�perfmml onlen IM �irvalen at Iw�t �ell��u �b minlm�m �n�ryY In��letlon .rmde.d� niebll�hsd o�noanl la Ihp ahap��r.•• L