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460 LENWOOD CIR - Building Permits
ADplicant ta fill in al1 soaces witnin heavy bortler lines ana sign all approvriate Eeclarations. � CITY OF.COSTA MESA P T NO. - - TRACT NO: '-LOT NO. � BLOG: NO. - " ' rj]79 �/ I 21Q2 � I�i�OO� TL� ;CflNSTRUCTIONPERMIT ��5�' ' ''� : � . r '„��: �--, . . ..;,�,. -„ ._ . . 1 Pro'ect Address - � ' . • � ' % � ' ' ' � - � � TVPE OF CONSTRUCTION �. � ;' -.. � . , : - � �,:. � •� � � OWneI - " ' - ❑ NEW '� �'ADD ❑ ALTERATION� - - ' ' ' • � ' - � - r� . s�' .. , � . ' �- i Addrest - -� �-----_ . ._.. .... .�REFAiR ❑CONVERSION ❑DEMOLISH , � '- " 1ZONING'REGULATIONS. - '���OTHER ' ' '� '� � ' ; Arch/En9. _. _. _..: y _ . _ . .. _ � �. License No:- � - -. ,a.a'�. _ _ �. _ . . � DESCRIPTIONOF'VJORK � �' '^� �Addre55__ ' ' '""' _ '_ ""' ' '-.. _ "__ __" '" " �,i'"' ' ' .. .' ' "iZONE - " PLNG:REF.-�i`^i . . �._ ��Contractor-- ' " - Phone . � , .� ,-. . ' g .. Tp.. U.. � ��+�'�'. �Y-'- ' -' TYPE�OFPERMIL - -- `. .'.. • '�' - ' - ' e iLDirvG . . � AdtlfCss' - T<' �- - � -- ` _ ' ' SETBACK 5T. _ PROPERTV.tINE --�� .. _ ❑.GRADING ❑ FOUNDAT�ION �� �O STRUCTURAL - -LIDEVARD- - � _ � '- - -- LICENSED-CONLRACTOR.DECLARATION �-' ❑TENANT,�ELECTRICACk36LUMBING❑MECHANICA SEpFEyq ' I hereby aftirm th:.t I am Iicensetl untler provislons ot Charter 9(<om- �� � RIGHT � � mencing�-with^sectlon-]000)--of Division--3 o/«the Business-antl .� � OTHER� ' "� � ' � Protesslons Cotle, antl my li<ense is in tull for<e antl effect. - � � REAR VARD (TO P/L)� '��� - '�' --' ''��- �� " - -_ '- i_"..'._'- _''__._ _ _ . <_� _-. �.P.ROJEC7DESCRIPTION•. 1 �.. ,License Class License No. • , , , ��hO " " " ' ' ' - 'i PKG. SPACE REQ. ' - - , PROV IDtD � - '- Date _ _ . _"... - Si9nature - ' '_' ' t �. , t_ .. . SQ FT. . f _I _ ' _ _ ' - ' - _ � ' ) � �• STREETWIDTH" PARKF.EE$�;,`� �WORKERS'-COMPENSAT.ION.DEGLARATION '' OCCVPANCY -=CONSTRUCTION TVPE - ' j �I hereby atfirm that I have a cerLficate of consent to selt-insure or a � VAGUATION' ZONE ',rZONING"APPROVED BV -'4'� -"DATE- - i certificat¢-Ot� Worker5'-CompensatlOn-lnsurance,-or.a_cer[i(ietl copy __ ... � � � '� ' '� '��"' "' ' thereof (Sectlon 3800, Lab. C.). � GRADING CUeYDS �' ACRES � �SPECIAL CONDITIONS: � � - "- ' "' -" � PoIi<Y'NO. ` ..�..:. _' _._ ComPanY .. . -_ . _ _ _ ' _ " _ ' " -.. _ . ..._ ._ . . �� _ . . ` _ ❑ Certi(ietl copy.i5 hereby.furnishetl..� _ _. .." ._ _ �.. _.i� .REMARKS � _ �(-/-.' ,/� ,_ _ _ _ ' � � � �~ � � ❑ Certif�etl topy is hletl with the city Bwltling Division. � t "r ' EXEMPTION'FROM WORKERS' COMPENSATION'DECCARATION - ----� - - � - ��`� ����� �� ' ' t �(Thls.section neetl not be completeC if the_permit Is for one huntlretl - - � 4� �� ���1�;,-� y , . ,'� (5300) or less). "� . " . . . ; ' . ' '�I -: ..�. '_ _ _' ' _ ' __' __' ' " �'_ '_' .' _ ) I Cert(fythat in the pertormance of_the work fo� which this permit is i{Suetl,- I shall not'employ any person In any`manner so a5;to become PLUMBING^ 14� "� �,PL'AN CHECK -^ - - '�ELECTRICAL -" " -' ' PLANtHECK ,' ' subject to the Workers'_Compensation,Laws of Calijornia. �' � � -� `� ' ' ^ " ' ' - - - - � J � . . _ . '. BATHTUBS� ' " -SHOWERS ' '.l ' '� .. ""'^�" - - +'-I � Date Si9nature � � � � NOTICE: It after making this tleclaration, you shoultl become subject -• OILETS ��� �-� : �� .URINAL'S "' '-"" '� 'GENERATOR-- 07 KW_ 1 10 KW ' " � to the Workers' Compensation provisions of the Labor.Cotle, you must - ,TRANSFORMER - ,� ��. .g:, forthwith mmply wit� such provi5ion5 or this permit shall be tleemetl LAVATORIES DOUBIE LAVS �- �-- -'APPL'IANCE' --� -30-50 KW_50+KW-- -- - revaketl...�"_'_':��"'_ �'. ._�..._._�. .- � . . ' ' CONSTRUCTION LENDING AGENCV '' ' �`KIT. SINKS �;' """"'- DISNWASHERS'^'- "^� �- .MOTORS - ---�0-1-HP',_3-30 HP'' '- - - � - ' 1 hereby affirm that there is a consiruction lentling agency (or the per- � SERVICE SINKS ' � •SUMPS'-' -" � � - - � -- -��NC. SOLAR). _10-50 HP -_- 50 +.HP,.� '� ��� � . _ �� tormance of the work for which thls permit is�issuetl (Sectionc3097 ��5'�' ' CivrC:):-�---�--- - -�----^ ---- -- --- - -.- 'pLOOR51NK5 ' " '"FLOOR'DRAINS"-' '— ' :FI%TVRES"-"-OUTL-ETS SWITCHES-'^ •� �LentleYs.Name� " ' =` T� ` � � � � � -.. . . � . . .: .. . " "'^.' �'" "'_'-""-','_� ___"'_ "'_t'ti" _'' �'l__" "-" "'__ `DRINKING FOUNTAINS "_f4"_.' _. _. .' ." _-^...- - �GAS TUBE�SIGNS , Lentler's Adtlress � `� -" -"' "- ' -' - � - OWNER-BUICDER DECLARATION�•-�^-^-� - - "INTERCEPTORS �- - CLARIFIERS"'� - P�LEL'IGHTS' MT � 1 hereby affirm that I am exempt from [he Contractor'S License Law for� � � �' �� � ...� �' 1 the�followinq�reason-�Section-]03H5 Business�antl� Protesslons�Cotle: SWIMMWG POOL ' -' P�TRAP " -- � �- - --+ ^ - � � - - ' ` - - . _ . _I Any city or county wNch requires a permit to construct, alteq �POLES� METERED � �=SUB' � 'improve;�tlemolish orrepair any-structure, prior to9ts:issuance, also re-� yyqTER'SERVICE "" AL'TERATION'-"'-' - - O �P/aNELS -' '-- 'MAIN -- ' SUB - � quires the apFlicant for such permit to (ile a signetl statem¢nt that he �1 is-Iitensetl^pursuant^to�theprovisions•oPtheContractor's-L-icense-l.aw- GASSERVICE" -� -' OUTLETS'"'-'� `' - ' - iSERVICE ----- - ---�-- ---- AMP-.�-- �� (Chapter 9' (commencing with SeCtion ]000) ot pivision 3 of the __ • - 9usiness-antl-Professions�Cotle)�or that he�is exempt [he�efrom antl the y�ATER HEATERS"---BTU OUTPUT - - � - -- -� -- - - �- - -� - - - -- - - - - - � basis for [he allegetl exemption. Any violation ot Sectlon 7031.5 by - � any-applicant (or�a-permit-subjects [he-applicant-to-a�civil-penalty- -SEWER'CONNECTIONS' -�' - -'�- -- -- � -�-�^- '-- --�--^--- Y=- - ------ -- - - --- -- • o�not more than (ive huntlretl dollars ($500). ,-as own¢r�of'the-property,-or-rciyempioyees'with'wdge5 a5'th¢Ir' �'SOL"AR'TANK' -"--' -COLLECTORS '- ' -- ' �-�^• - - ---- -- -- --�- -- �- � -- - �- - ? _ ..�. .. . . � _ .. sole compensation, will tlo_the work, antl the structure Is not intentletl ! ." • '; ��-"'� •^ i or offeietl for sale "(Sehlion 7044, Business antl Professions Cotle: The' SOLAR PIPING SVS: ' �',i `'"'"-- j'-' - 7""ISSUE�FEE"-•- � -- -- - - - Conbdctor.5_License Law tloes not apply_to an owner of a property ' � ~-' who builtl5 or irtiproJeS thereon, antl who tlbei sucti work himself or 'ISSUE FEE - ' '��� -� � "" �APPLICATION�APPROVED�BV- - - ---�OATE ---- f _� throU9h his own ¢mploy¢es,,provitletl that such improvements are not ` ' � ' 'Intentletl o� oHeretl far sale. If,�however; the bUiltling or improvement� - ' '- � - " ' ' �- ' - � � -- �- -- MECHANICAL PLani ctiECK � �'� `� - � '-��- � � ' � .. is soltl within one year of mmpletion, the_owner will have the burtlen � . 1'"� � SUMMARV OF�, FEE$ .,���.�. � i �. ovng tie tlid-nol�tiwltlbr improve tor the-puipose of salc):- - ` -- - ^ ---- - 'BUILDING--- _ -.- -_. "= -- . _ ; -as.�owner of -ihe ro ert am-exclusivel HEATING SYSTEM O 100,000 BTU 'PERMIT , � P P Y� Y. contraG[in9.with. ..AND'OUCTING -' "" -" " '- - _ _ ' . �- -� . _ E ___ . . .-_ SMIPY,� ^: F'E - ¢n5etl conbaclors to consVuct the project (Section ]044, Business }300,000'+BTU � �'�' ' i dntl.ProfessionsCotle:-She-Contractor's.LicenSe.Law.tloes.notapply.to.. � � �PLANCHECK § PERM6T, . „ � -. �d- -ISSUANCE.$' an owner of property who builtls or improves thereon, antl who con- REPRIGERATION 0-100,000 BTU � �PLUMBING $ - bacts-(�om such-projec[s..wi[h.a•contractor(s)-IiceSnetl.pursuant.t0_ SVSTEM--_ _. yt__ _. _ _ ._____ . _ `�_�� GRADING°'$`' ' the ContracioYS License Law). - 300,000,+ BTU � �� tFLAN CHECK E� � ` � � '�� � � • ,� _� ; ❑'I'am'exemPtuntlerSeGtiOn""""-"-" " -'-B'&'P'C.tortnis^ -- --'--- - -- ... --""-- - " - . " , n+$..� � . .. BOILERS BTU' - � � �� � ELECTRICAL E� �-- , ieasom --� - - � ' ' " � �� MICROFII.M E�• ' : ' __"" _.' "_ _' ' " " " _' '_' ' _ FPLANCHECK'$ "" _ Date Owner -SVSTEM REPAIR, ALTERATION � _ � ��C"'+: �'TOTAC FEE $` �' � = I hereby certify [hat I have reatl thi5 application antl State that the above EXHAUST SVSTEM MU�TIPLE � 'MECHANICAL� ` ��- • �� •� --4 -� .� o • J . LE55'AD��,. `''�f..� � � intormation i5 correcL I"agree'[o Comply with' all ci[y'dntl "county � �'PLAN�CHECK �$-� - ' VANCE'PC -$_ - ortlinances antl state laws relating to construction, antl hereby au[horize �1'. . representaHves- of is'city'yt �enter'^upon 'the'above m ntion tl' i � �9' � - � - - ��� � � ' •� ' ' proper[y for i lon �p %P o3S L - - �� O� Siqnature � i� �/_ ��Date ✓'� - - - �j . .,_ . , FINAL FEE .8,�5<, Drivers' License or�55 � -•��SSUE�FEE - ---� -. _..i. _ _ ....,_ _ _ . �_ _ ,_ _ .. __ . .. _ _ ,. CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor 'e � J � CONSTRUCTION AND PLANNING p POOL & SPA � •- � ' - APPROVqLS Permit # - �J o�-o Date Inspector qppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole � 43. Pool & Equipmeni Location' ' ' " ' -' ' � - ' "' . Soil, ipe-Un rgm. .- • � � J�i 44. Steel Reinforcement - - - '- ' �� � • � 3. Electrical Conduit Utility-Undrgrn _ 45. Porms --� - �- � 4. .Electrical.Conduit-Undrgrn . 46. Electrical Bonding � - � � � � �- - � � - tee ein orce� � � 47. Rou h Plum6in & Pressure Test - �• -� - � - - - - - 6.. Electrical UFER Grn � 48: APPROVALTO COVER�GUNITE - � 7. Footings �" 49. Electrical Conduit-Undr rn � ���°• '• 8. .Foundation .. - ' ' 50:.•,GasPipe, �Undr fn,Test � � � �• ' . 9. _.Water Pipe-Undrgrn- � 51.� Backwash Lines P-Tra ❑ ndr'rn " "' -' ' - 10. _ Structural•Floor SVstem.�. :. , . ...-._ "... -• 52: APPROVAL TO DECK " -�- - ' - ' ' "- - ' 11.. Property Sewec.Line &.Nouse.Connection _ � � . 53. Backwash�& Rece torFinaf ' ' • - ' t2. -Street Sewer Connection.. _. . � ' ' ,t � � - - 54.- Heater & Vent-Final � � � 13.. Rough.Plumbing._ _ -- L' � � - - ' � � � � �� 14. Rough ElectrioConduit � i `' " "' ' -'- '`56:' Electrical-Finah - � �" " '� � • ' ' ._ . .. . :. - .. . . . ,- ...� 15. Rough Electric-Wiring - - - � � ` ' - ��- -� - - 57.' -Solar System-Final �., � ' . , , ,,. „ , , , ,',; .,� ". � � 16: Rough Heating & Air Conditioning � - - - - - - . - - _ encing & Access Approval ,. . , • - 17:- -Ducts, in Structure � ' � ' �� � APPROVED FOR PLASTERING . ' � ' ' �' ' -16.- Ducts. Ventilating-.- ' � - - - ' • - - .. . _ . . : ' .�... ...--'. - -., • �, � - _ �,. 19. Gas pipe=Rough & Test ' ' - �� � ' '� � - - - � '.60. _POO.L/SPA' SY.STEMS FINAL `_;,; ; �', : - , , � � � � '� � 20. Roof Framing . . -. - ' -•. - - --'� -- � . ._ � . . ... . . , , . . 27. RoofiSfieaihin � . . .. . . . � . . � . . _ _ - ..(..{ . . . .i,, �o .�., . � �i'�L:� . 22f- Frame and Flashin - - - . .� .�-. ' . _ ' . . . NOTES ' �e �- _.' ..,� ;:_ � �+ .. '���'�2-. . . '.� r. ; 23. Insulation � - - � �-� - � � - � � - ' - � � o t-� - ¢r � � , � 24. Lathing & Siding � - - -- ' - .. . . .. � . .. . ._ . _ ... __ - , . . 25. • Drywall Nailing - . � ' . ' ' � � " '-"' � � ' . � -• .. � . . . � . . 26. Plaster Brown Coat ' � -- - ' ' . . - . - - � -. � . , 27. Electrical Power Meter-Final� � - - . � � �,�'i ' � � - �- • • � � 28: Final'Electric . . . .. .- . - � �- , . . '. • - . � . � , . 29. Final.Heating & Air Cqnditioning - - - ; ' ' - - ' � � - � - � � � �� � ' 30. Fina� Gas Pipe-Test - . . . - _ - � � � - � 31. - Final�Plumbing . - /p j � ' � " � � � ' ` '`� . 32.- Water Service-Final � -- -- --- - . . � . �.. . 'I . ._ �. -. . - -. . - . .- - - -- '. ,. . . � . . , . . � .. , ;� 33. Gas Service-Final. � -- � � � � � ' ' � 34. Solar pomesfio-Final ` -� �"� - ' � ' ' `" � • � � � � ' � ' ' ' 35. � L•andsca e S rinklin S stem � � ' ' ` � � � � ' � � ' - � � 36. Sound Attenuation - - �� � � -� � � � " - ` ' 37. Handicap.Regulations �• ° ' • � ' - � ' � � � � -' � � ' � ' � - "' ' • , 38. PINAL STRUCTURE & BUILDING � - 4 -- •~ - ' ' e 39. Special Requirements Completed � - ' ' � ' � � � - � �� i 40. Electric Release to Edison - � �' ' ' � � � ' 41. Gas Release to Southern California Gas Co.-� � •� "� ' ' ' 42. CERTIFICATEOFOCCUPANCY � No,� � Date ' � - _ ..� ' .. • . . . _ .. . . - . _z.. . ._ . , .. � _ . . � ADP���ant to fill in all spaees within .�P#�-0F C�'MESA� � a iT �j� �CONSTRUCTION PERMIT � L � Project Address ' �O , - �[/i • • Owner y Phon � 7 Address � � - � � .Arch/Enq. ' - - licenseNo.- - - Address " Contractor" Phone borGer lines antl.sign all appropriate tleclaration� TRACT NO. LOT NO. �BLDG.NO. ��� 3 r1 ��- TYPE OF CONSTRUCTION ❑ NEW �DD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION, O�DEMOLISH ❑ OTHER � DESCRIPTION OF WORK ��/�/�✓�✓ �..�J� ...__. ._....... � � . AddfC53 � .� GRADING ❑ FOVNDATION �STRUCTIJRAL LICENSED CONTRACTOR DECLARATION �� ❑ TENANT ❑ ELECTRICAL�OPLUMBING ❑MECHAI 1 hereby affirm that I am Iicensetl untler provisions ot Charter 9(com- � mencing wltn'section 7000) ot Divislon 3 of the Business-antl ❑�OTHER Professlons Goae, antl my Ilcense Is In fuli� torce antl et�ect_ � pROJECT ESCRJ� � Litense Class License No. ,3�� M'� ' Date Signature � � ' " SQ. FT.' . WORKERS'COMPENSATION DECLARATION . OCCUPANCV ONSTRUCTION TVPE � I hereby affirm that 1 have a certificate of consent to self-insure or a .VALUATION�.OLONE certificate ot Workers" Compensation Insurance, or-a certltieG copy . thereof (Section 3800, Lab. C.). .GRADING CU. YDS. ACRES Policy No. � � Company - " ❑ Certitietl copy is hereby furnishetl. . . � - - ' REMARKS: ' � .. ' , t , . ❑ Certifietl copy is filetl with the city Builtling Divislon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION "� "- -' " - (This section neetl not be completetl iflhe permit is for one huntlretl , _ _. (5300) or less�. 1 • ' I Certity that m the performance of thE-work for which.this permit is ISsuetl, 1 hall not employ any person in any manne� so as to become P,LUMBING � - PLAN CHECK subjet $h rs'�Compensation.l�jMe�qf Cali��� , Date�5i9nature ' /$�`zy'�i BATHTUBS SHOWERS NOTIC It ter making this tleclaration, you shoultl become subjec[ • TOILETS �' URINALS to the Worker5' Compen5a[ion provi5ion5 ot the LaCor Gotle, you must forthwith comply with such provisions or this permit shall be tleemetl LAVATORIES DOVB�E �AVS revokeA. � . . . _ . . CONSTRUCTION LENDING AGENCV �KIT.SINKS� DISHWASHERS� I hereby affirm that there is a constructiOn lentling agency tor the.pe�- $ERVICE SINKS SUMPS � � ' formance of the work for wM1ich this permit is issued (Section 309� Civ. C.). ��• � � FLOOR SINKS FLOOR DRAINS Lentl¢r'S,Ndm¢ � Lentler'S Atldress - � ORINKING FOUNTAINS �' �� OWNERBVILDERDECLARATION ' `' INTERCEPTORS ' CLARIFIERS ; I hereby affirm that'� am exempt fromlhe Contractor's License Law for the following reason (Section �031.5 Business antl Professions Cotle: SWIMMING POOL PTRAP - Any city or munty which requir¢i'a..permit to construct, alte�,� ' improve, tlemolish or repair any structure, prior.to its issuante,�also re- quires the applicant for SUCh permi[ to file a signetl Statement that he i5 licensed pursuant to [hE provisions of�[he Conttactor's License Law (CM1apter 9�(commencin9 with Section� 7000); of Division 3 of, the, Business antl Professions Cotle) or that he is ezempt therefrom and lhej basis for the alle9etl�ezemption. Any violation of Section']03L5 by any applit'ant for a�permit subjects [he appliCant to a Uvil penalty of not more than five huntlretl tlollars ($500). � I, as owner of tne, p,roperty, or�my employees,with.waqes as�their sole compensatibn; wilPtlo,tne woik; anC•the'strudture is not intenGetl, or offeretl for sale. (Section ]044, Businezs and R'ofessions Cotle: The Cont�actor'S License Law tloe5 not apply to an owOEr of a propErty who build5 or improves thereon, antl who does such work himself'ot through-his own employees, p�ovitletl tbat such improvement5 are not intentletl or ofteretl for sale. If, howeveq the builtling or improvement is soltl within one year.oi compleHon, the owne� will_have [he,burtl¢n of proving he tlitl not builtl o� improve Por the pu�pose of sale�. ❑ I, as owner-ot the property, am'exclusively contratting�wi[h licensetl contractors to wnstruct the project (Section ]044, Business antl Professions-Cotle: The Contractor's Llcense Caw tloes not apply to an owner of property who builtls or improves thereon, antl who con- tracts (rom such projects with a contratfar(5) IiceSned pursuant to 'the Contractor'S �icense Law). ❑ I am Exempt untler Section B. & P. C. to� this reason ' ' oate'�� �� o . . .. i hereby cer if that I have reaG this application antl state that the above information is correct. 1 agree to comply with all city antl county o�tlinances antl state laws relatin9 to construction, antl he�eby autho�iie rep�esentatives of thi5 city to enter upon the abOve mentionetl . p�operty for inspec' n purpo � Signature Date� WATERSERV GAS SERV ICE CONNECTIONS iTANK . ��. ' _ HLTERATION OUTLETS BTV OUTPUT COLLECTORS ISSUE FEE MECHANICAL VLAN CHECK HEATING SVSTEM 0-100,000 BTU_ AND DUCTI NG 100,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+gTV_ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE Drivers' License or 55 qf "'v� �« � CMF 0865-4fi White-Builtling; Canary-Applicanh Pink-Accounting; Goltlenrotl-Assessor _ 0 ; 3:::s e�i.a�ai ZONING REGULATION A.P. � oZ S �. `` rSo� — _ ?ONE � � - ' PLNG. REF. � ' REAR YARD (TO .PKG. SPACE REQ. rSTREET WIOTH� ZONING APPROVI SPECIAL CONDITI tlOLD FOR ELECTRICAL ' 485..!.• 7 T L P.ARK FEE $ — DATE � � i REOUIRE ' � , ... PLAN CHECK GENERATOR 0-1 KW_1,-10 KW _ TRANSFORMER APPLIANCE 30-SOKW_SO+KW_ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) 10-50 HP 50 + HP = FIXTURES" ' OUTLETS` SWITCHES GASTVBESIGNS -�-' ' POLE LIGHTS PANEL$ MAIN SERVICE APPLICATION P.PPROVED BV SUB • AMG SUMMARV OF FEES BUILDING �IJ - ' 3 �� . PERMIT $ ` Z'�� SMIP . $ PIANCHECK S� PERMIT � � -' ISSUANCE $ PLUMBING $ . . -� "��- � GRADING $ ;PLQN CHECK 5 ' ' . ELECTRICAL $ $ PLAN CHECK $ MICROFILNI $ MECHANICAL $ - TOTAL FEE $ _ LE55 AD- PLANCHECK $� - VANCEPC-$_ FINAL FEE E ApP��eant to fill In al� SDaeas within �eavy Dortler lines anE sign all a0V�o0��ate tleclarations. - CITY.flF COSTA' MESA . PE�2M1TfiA q - TRACT NO. LOT NO.' �BL�G. NO. , ' " ' " ' - - ' :CONSTRUCTION PERMIT � ' J I F�,/ ' ' " %•''', F _ �� �. • � Project Address pTt m� . � TYPE OP C,�O,N�STRUCTION ,� ' � � . ' ��. ' + ' � - , �Owner � � -� Phon - ;. •. L '�NEW' �(CAOD ��HLTERATION '�..�� 1Q QQ �, � Addrea ' .G -�- -- --- -OREPAIR ❑.CONVERSION�ODEMOUSH `� OCT �/'�""�''^ . . _•+ . - � , - ZONING REGULAT S � AICh�Eng. - ' - - ' ' - - - License No. ^ . ' .� OTHER , DESCRIPTION OF�WORK' A'P' � "�"-�' � 'Addr255 . . . _. . . _ � . . � ._. , - . . . . '�' . " ' ZONE." NG.REF.9F - . . - ;Contractor' � ��..�,-' �� Phone - - T,VPE�OF,PERMIT � - " � ' ' ' ' � " -� � ' - TpgU i LpING - . . ` SETBACK 5T. PROPERTV t_INE � �Add�e55' ' �' - " " "'" ' ' "' ' �� � -_'- .'. ' O GRADING� FOUNDATION �O STRUCTV RAC' IDF VARO . • - - -. � .. ..: ' e E GCENSED-.CONTRACTOR DECLARATION ..._ _,..-..: ...' ..O.TENANT ELECTRICAL ❑PLUMBING ❑MECHANICA 9IDE-V •^-•- - - � -- - - -- - I, hereby aTflrm that:l am Ilcensetl dntler provisions pi Charter 9(<om- -� . �; .. 5 RIGHT mencing �with section ]000) ot Dlvision•�3��of �tne Business antl ❑'OTMER.. .. . -.- P/Ote55iOn5 COtle, 8ntl Ty IlcenSe is In full foICG dOC' �ei(Gtt.� ' � REAR VARD (TO P/L) . c _. .., . . . �PROJECT DESCRIPTION,- , � � _ LlCenseClzSs ' - Litense�ryo.�� ' • ,' - � . PKG.SPACERE�.� � � 'PROVIDED " " Date . . �.Si9nature ' ' � "'' � - '. - SQ. FT.� . "" .. . . WORKENS'�COMPENSATION DECLARATION - 'OCCUPANCV_�CONSTRUCTION TVPE' "STREET VJIDTH - PARK FEE $`,. _ 1 hereby affirm that I have a cerLficate of consent to seli-insure or a �� � 20NING APPROVED BY ' DATE" certitira[e of Workers'�Compensation insurance, or a cer[ifietl-copy . VALUATION '-"` ZONE ' � • � thereof (Section 3800, Lab. CJ. , GRADING CU. VDS. �� ACRES SPECIAL CONDITIONS: f '� ' �'- � �� ' - � . ' ' '•,._ � . . PoIICY�No._ _ . .. . 'ComPanY ' " ' _' " .�"'. '.:.:-_ ' .. _- . ...,-. .. .. ._ _.. .._" '.�. .- . ❑ Certifietl coPY is herebY (umishetl. . ._ _. ,.. .. .: •� REMARKS: ..'• �: ' : � . .,� ..- ' - ... . „" ' ' ' ' " .. . � . . . ' ❑ Certifietl copy is filetl with the city Builtling Dlvision.' � , � � � . � , . ; ' • .i.. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ^ � ' / . ' ' (This section neetl notpe completetl if Iha_permit,is tor_one hunGretl �, � � :: , ., _ , . � � _ ' , ' ' ' ' ' ' SE100) or Iessl. ' ' ' ' - certify�[hat in the.periormancepf the.work tor which this permit is issuetl, I shall not employ any person in any ma�er so'as to become PLUMBING '� PLAN CHECK '' - - ELECTRICAL - " PLAN CHECK- '- subject o r Campehsdtion of Yni ' ', _ , _ . Date i9nature .�,�=�� . . BATHTUBS � 'SHOWERS� . .� L. . NOTIC : If ter makin9 [his tleclaration, you shoultl� become sub�ect TOILETS � � .,URINA�S " ' '- ' GENERATOR - � ^0=1 KW_1=10�KW '� '�t to Me orkers' Compensation provisions of the Labor Cotle, you must � TRANSFORMER torthwilh comply with such provisions or this permit shall be tleemetl '�VATORIES DOUBLE LAVS ' APPLIANCE 30-50 KW_SO+�KW --- revOk¢tl. ' ' • -...... « _...._.i . . . : KIT:SINKS ".• • `• DISHWASFIERS..• . • '.• MOTORS . •.. 0-1HP'_3'dOHP. . ..�. .:._." CONSTRUCTION LENDING AGENCV . ' 1 hereby aftirm that there is a conStrUction lentling egenCy for the per- SE0.VICE SINKS ' $UMP$' '. _ �� � (INC. SOLAR)._ 10-50 HP=- 50 � HP. - - tormance of the work tor which this permit is Isspetl (Section 309] - Civ.C.). ^ '-•^'•""-- �-�^�--�� � - -�- ^ ' 'FLOORSINKS ' � FLOORDRAINS�_ � """ FIXTURES'. OVTL'ETS "SWITCHES ' ' LenGer's Name L.entler's Atltlress � � � ' DRINKING FOUNTAINS ' ;. "" ' ' �" ' ' "�`: ' ' .GAS TUBE SIGNS`, ' " "' � - � OWNER•BUILDER DECLARATION - -'-' - ��-� -�� � -�^- iNTERCEPTORS � CLARIFIERS'T � � .'POLE LIGHTS"' -- --" ' - � ' ' " I hereby affirm Nat I am exempt from.the ContractoY's Licente Law for �' � ' [he following reazon -(Section 7031.5 Business-antl Professbns Cotle: � SWIMMING POOL" """"' P TRAP` " - . .. ' POLES �METERED� SUB .� � � � Any city or County whlch �equi�es a pe�mit to conStruGt, alte�, - improve, tlemolish or repair any structure, prior to•its issuance, also re- � yyqTER SERVICE �'ALTERATION" ' - ' PANELS " ' MAIN, SUB " " " ''� quir¢s the aDPlicant for suGh p¢rrnii to tile a signetl slatement that he � is Iicensedpursuant[otheprovlsionsotthe�ContraCtor's-License Law, GASSERVICE� �- OUTLETS� ��" SERVICE�- ' ' �� "' -•- •�� AMP . � (Chapter 9 (commencing with. Sectlon ]000) ot Division 3 of fhe ' � '� � � " � - � ' Businesrantl-7rofessionr Cotlepor that �he�is exempt theretrom antl the � • yyqTER'HEATERS 'BTV OUTPUT ' ' ' ' "' `" - ' ' ' '} .- ' � basis tor Ihe alle9etl exemption. Any violation of $¢ction 7031.5 by � � � "'"�� ^' any� applicanf for a-permit -subjects Ihe applicant�to a civil penalry �SEWER CONNECTIONS' 'i' '" "- ' - ' ' ' `- ' "` -' � ' ' - oi not more than tive-huntlretl tlollars (g500). - ���� ❑ I, es owner'ot the property; or-my employees v,�ith wages Ss their �SOGAR TANK " "" ' '. COLCECTORS " " "" " " . � ' "' "" "' " . - - 501E.Compensalion, wlll tlo the wo�k, antl the SVuc[�re is not Intentletl ISSUE FEE , or ot(eretl for sale. (Section 7044, Business antl ProTessions'Cotle: The SOLAR PIPING SVS. - � ' - � � � � ` " " � � , Contractor's, License Law tloes_not_apply_to an ow�¢r of a proper[y •.. .. • � APPLICATION APPROV ED BV - ^ DATE who builtls or improves t�ereon, antl who Goes�such wdrk himselt or �' ISSUE FEE � � � ��- � Ib /Q7 throu9h nis own employees, provitletl that such improvements are not , intenEetl or offeretl for sa1e. It, however, the builtliqg or improvement � MECHANICAL PLAN CHECK � � f, " � SUMMARV OF FEES.,•. iz Soltl within one year of completion, [he owner wi�l have t�a burtlen ..� _ .�. of proving he tlitl�not,builtl or irnprova for [he'pu�pose ot'sale). BUILDING '' - -•- -' - - HEATING SVSTEM 0-100,000 BTU � PERMIT E • SMIP . E � I,-as owne� of -the pro0erty, �aT exclu5ivety mnt�acting with� qNDDVCTING - ' "'i ' "'"'- '� licensetl conVactors to constru<t the project (Section 7044, Business 100,000'+ gTU PLAN CHECK $ �:PERMIT .� '� antl Professions Cotle:-The'ConVactor'S Licanse•Law tloes not apply to � - � - - - --- - - ISSUANCE� $�� � � an owner of property who builtls or ImO�ov¢5 fhe�pon, antl w�o con- REFRIGERATION '0-300,000 BTU PLUMBING �� S . '� , ' tracts�from sucn�projects with a�contractor(s)-licesnetl Oursuant to .�SYSTEM- � --� - - ` - � � �GRADING� $ � .,{ the Contractor's License Law). � 300,000 +; BTU � � PLq�V HECK $` . � j .' .= ; -„�, , , p L. ��� o�. S � I am exempt untler Se<tion ' - �-- B. S P: C: for this' -- - � ELEC�RICAL � 6 j,J� _ ��� BOILERS � BTU' reason - - - - � - PLAN CHECK' 'E � " _ - MICROFILM; E � j Date � Owner SVSTEMREPAIR,ALTERATION - ::�TOTAL�FEEE � EXHAUSTSVSTEM MULTIPLE MECHANICAL"E . I,har¢by Certity tM1at I have reatl Ihis application antl state that the above . �. LE55 P.D- .� - Drivers' LicenSe CMF 0865-46 ?� - ISSUE FEE� pink-Accountinq; GOIGenrotl-Assessor 'PCAN CHECK 'E ` VANCE'PC'�$ � .- .� � . ; . . : ' . . . ' Am . _ , .�' FINAL FEE S ' .n . . n , . - �. . . . r . -��. „ CONSTRUCTION?ANDPLA�INING�r��- .` • ' - - - -- - � POOL&SPA '• � "� • °. � - �.,,} �• � ,• ^ E���'-." �Date, �In3pector-- " ' �"'-'�'- '. . . � , .. _ Date :. .Inspector, . APPROVALS Permit # +t APPROVALS ; : • •� T(� Permit # . ,� ` � •' 1. Temporary Electrical Service:or;Pole;... _ � . . . - .. � .. . �� ' ' -- - - - .._- -'. �"" =.. � ` - - • - �' 43. Pool & Equipment Lacatton `' ' _ -�{ � � _ -i ..ipe- n rgrn �, .. ...�„'�t .,� .. ;� : .;_ _ �' � Steel Reinforcement,-. . . _ . .._..,... _,_ ,. . . _:_s . _ _ -. - .. .. _ . __ � • - 4 - ..._ lectrical Conduit,Utility,Undrgm(-:� ;;.,_',�_ �� ' ' .._ .._ . _.__ . _ 45.^.�_ Forms:�� � � �- �c ; - - - ---� ----�- - - - -- - - -� - ,_4. _.Electrical.Conduit-Undrgrn---.�'-:':_� ' - " "• . _ ..,....� _46..__Electrical.Bondin .�� -� - --- - -- - --. .. -. -. -. - - -'-- _-•'��- .-• _.'._."� - 1 . tee e�n orce , � �., - .... � -.-� - _,-'-.._ . _ _ � . __ _ ..! '�;.;i?nE�T "�. 9 47. Rou' �h'P.lumbin .& Pressure Test� --_ -� -=-..- -- -"T •_ , �{ �6., Electrical,UFER.Grn _ " ;'� " - ""q8. APPROVALTO COVER-GUNITE-- ---: - - - - - - - ° __._ .�___..__ .. � •. . - -, -- �1 - - ,� �, 7. _ _ootings _ _ __ _ � t 49. ElectricalConduit-Undr rn' ' ��""' ���"�•°�'+' � '��' ��� �+ • �.r .- ....8..�Foundation.....,...._.._.,. ' � "- ' - 50.,. Gas Pi �,Undr rn �Test '� ••' � ' ' �" ^ '- � :_9.....Water P.ipe-Undrgrn __ µ � 51.• Backwa h ines�P-Tra ""�' n r i�"� ` ' --" -'�"'��" '�'� " ��.i ' � 10.�- Structuial F,IoocSYstem.. ..^ � _' "^ ` _ _ _ _ ,-52. c :APPROVAL TO DECK " "'" - " "'- - " ' ' - - ' " ' M � _11.__Roperty SewecLine & House Co'nnection _ -_'. . ____ _ ..i: _53._� Backwash & Rece tor-Finel-zr':"� „ , , � � � ,��-�.:,�,�t�,, � . �.,_ .-', _ .''. • ..54:-�HeateF'&"Vent•Final�: � �.r .-, �� ,;.:': . �{ L.12._Street Sewer_Connec[ion:_.__ ... . - - -- ._.. _. _ . . . _. . _13....Rough.P,lumbin -.--,.. .� -. �-_- . _ h ._ . _ _.. _.- . , . . .- - •- -- - . . _ g - - �- - - - - -- -� 14. Rough ElectrioConduit� - --- -- ---- ------ - -:56: --.Electripl-Final --- � ..- . „-�': . . ..' . � .,,,e " ' . ;� ,�� 15. Rough Electric-Wiiing��- �-- - � -- -- . ..- ' _ ' � .-.. '-r�57. SolarSyftem-Final- ... ^. `.""..' .. .. .• `. , �. ^. •. .•. - . ..-'. ;I . ..� •. •, . � Y-16.=Rough'Heating�&°AirConditioning=-'-= �'?-._= - - - -- - - _�.encing•&AccessADProval „, , ,,,� �':, +t �''' ' .' ..,` -' _'- -'- - '- - .-_, APPROVED'FORPLASTERING., ¢.;' ,:.:. ' '� .� ': ° '-.17..» Bucts in Structure -- _ � �-18.}''•�Ducts:Ventilating_"=3.t.= -_J: + � ;�_ �_ . _ � • _-._ ._ ., .•"� �c � _ . cj-.�.� , ;1 j 19.i GasPipe=Rough'&Te'st- " ' a.-=. -- r_.~ �i-. _ `'_60. POOL/SPEQSY.STEMS•FINAL °"`�';°^,� ` " • C[; r•20J Roof-Framing- - --- - � -- - - - �- - - �w' -- _- .r � , . _i . . .. _ 1 � � 21.� Roof SheatRin � , . .r � , - � - ,_ � ~: =-i �:� - - ---� - - - - y --�r-� � .c•. . ,. .� il -22.r�Frameand�Flashin ' - - - -- - - `%-"1--` -t_ - `'NOTES: � �e "�_.JI , .�"":'Lcsi� • ���� � �� ei" .,� � ,- .(' �- t-23.. •Insulatiom - -- . .._ ,. . ��__ - '- � ,� � ..-. . .:�....,�..r . ' � ' n. _s- .a ' � 24.�- Lathin &�Siding . . . . - ,--i'- --- -- - --�' . " .-- � . .. . . �: .i - 4 � � f 25.'r--Drywall Nailing � i � _I � u� .s Y p+ e.:na>.� Y . n t, + � . . �.. � � � � i 26.�- Plaster-Brown-CoaL : i ±' - � . . . _ . � � • . � r . _ - . ,-! d �-27.'-Electrical Power-Meter-FinaG - • - -- ' _{..~ -- -- r�. ::� • ..�. -,-,� _ . . � � � ��: .�: ..i ��. �-28.�. Final-Electric- - - --.�....._.�._ '" _ 4 _ _CJ -� ' _ :,_ . - ... . ' .�_r.. . �' . ,. ... . „ f� � ; 29.; Final Heating &�Air Conditioning-_._ __ . . . _ ' � � Y' �� � ... ,• , - r. . �, - 30.• _Final.Gas-RPe•Test.._ s. �j. - 1 � - - - - - - - •�� - . • h l 31. .Final P.lumbing_ - - - - .' ..j_ i . . .• " .'- ;,, .� . ` , . ` ' � ° • 'r32:'=-Water'Service-FinalA'.--- - -.i_.__..�- - - -- - - - -,.,. „ ,., , - . . - '� -•�:33. GasService-Final- -- -- 1- - ; -- - 'u`_ ` ` �° .. .>, �; �t � 34. ' Solar pomestic-FinaN'��• %���2 i I . . . , , T.M: ' ;, �i:� ' � _' ;��;. � � � ;+ I 35.- Landsca S rinklin S stem. ..a � -�ti.•�;.� 3 i �, ,�r.n -:���� •:.ir�.t� k � ... �. .. ` ..•.��� . • , , '.,u � . 1. 36. Sound Attenuation . �+'. , �". .:+ ... „.• ,'. �� , ..�=, _ � . . . , . � . ��, � 37. Handicap.Regulations. .. . ., .�x• .. j t �._ _ ,;c.�.� .� . .i• . ... �� �. �,� . � �. ,�� ��} . i 38. FINALSTRUCTURE&BU6I,DING , ;"�:',. i }_ �.���i� � • T, ��r,. • •. i :� �: ,: �,.r�„ ' 39. Special.Requirements ComPleteC` ` . •"... i � ; r,. ., : „ -- , - - -____._ . .. ,. , ,,. ' �' . � - - -- - - --- -. , 40. Electnc.Release to Edison� � ' ' ' i - - � . ,. ,�, .. „ .. ,_. , . ... . i � . . •, i : .. .. ., : . t 41. Gas Release to�Southern Califom�a Gas Co: ' � �.� �� � 42. CERTIFICATE OF OCCUPANCY ' � � ��� • ^� � '- _ 'No_'. �n Date i - •- � -- ' - - - . , . .. - - " �,.. - � `T � S� . l„" � �,: , -. � �. r., 7 * . r. `--- ^. . ,._ . _ , - -- ..,� ,��� -_ - . .�� ,, . , - -- -- ---.-. - " ' --'' . .' - - - - -- / ... . -".- --- ��-.. _._ . .._ __ _. ,:. ---' :•_ ..� ..- � t - . � , �. �. �.�. ,`��. . .� , . -.�y . � ��!�1,�`�-_u�-�' �,�t �� • �6�'.--� �GC.P�,�-�. ��� ��� ��� o . �� ��—��--� � �� �j�y�� �� �--�� �����.�. /�-��a�� ��-«� �����.����,�1-����� ��-� ���� �i�a�-����-��jf��-�.���u.-�-�� ..����-P ��y � � ������"��.�.-s �.� ���'-� ��������'`£�--�,, ..��-`-' �� � �l� `,� ��'�7 ��� . /L --�� �`��z���✓ .�Sr� ,!�����-��� �-��.�����-�-�`�� `�_ `_`' � �/J!��e'�C � -� ��' �_a ��j -C�C f,.� -✓�'�-�J _/� ,`j�/ �/,Q� / . ///�! � s%;��` " _� t �''�-��, � � �� � : '.CITY. C)k f�'r;in �+ Sq� ���, D��. � ` ��b,R 1 ? 1982 ,� c.R�-�� ��� � � •r� - j'' . ' - . . ,. . . : ' _ . . . . . . . ... . ��i . T . , . , . . . ^ . .,i . . , . .. ' � � � y ,. ,.. , .. .. � .:i . ' ... . . . . ' . . ' - . . J �, . ,�0� . , ' � � . � . ,�� ° �:� - . - �� � � .. � �.- , � . � _. . . .. . - �: � � �. . • . S .. . - . .� . - . I . � , . - . . ' . . .i . . ..l �• � . �. _ T_ '. ' � . � '. .. ... . � .. ' ' � . . _ "k.,, . ` ... , , . t�.arch .15,, :'1982 . .�' { •, - . . . " �. -. ., . . , .. . .. • � ' ,. ' - , � <Mr. & Mra. R.: 4t. _Rol�erts, . : : '� , , `� � - . . . �; ' . . � 460 Lenr�ood Circle : ;,: , Costa Piesa; :Califoriiia 91626 � � � , , '. . .. Rez` Euilding Fermit #B'429'.`' _ . - � L�ear F1r 6 :6Srs lbberts • :,' , . � , , : �I have'received your;request for..'extension.of time=on the%atiove li�ted permit ; � � , .and note. that,no insxectibnE hac�•k�en requested,:.tic�tvever, ?..a[a given to'under- stand that a serious illness• aaused Ehe delay�, of 'fYie' starC of. the -�rojecE.- .. �he`Un'ifozm Building_Code allavra,,,ttie`Building Ofificial,f.o;extenc3 a�Ferm:it one - • . time, for cause, for a:Feriocl oE 18Q,da'ys. `_; ` , , . �• : : � Inasmlich as �.your pettnl;t wou].d have.. expired ;on the d,ate of • your rec}uest, I�hereby .. . • extend the'Buildfrig"�rr�it to,Auqust 7,:-I9B2. � , . '.�� ' f :.. .'_ t. M14 ... � �.'"YC.. , • . ... . '. .. . _ If coiistri2ction does °rtot staxt on or Gefore that date. p the Ferm�;t will 6eco�re ' null arid-i,oici; and'<iie�r fees�will.have to.�e.paid•accor'ding to the.provi�ions.af�► �. :,the [7n�.fozzn..B�if2d.fhg Code. � � _ • . ,� - . .. ,:: ' ' -. ,- ' ?f Yd� ha�?e. furthei qiiestions, plea�e fe�l Eree to',contact Mr.. Lougi, .Plan• Review ' , �gineer,:.at .7,54 5614;.'during.norinal busine3s hoyrs.: •; - . Sincere).y. ".:_ �. " ' �:' `,�.: , . 4; t , , ~ _ " ; . s,, _ ,.. . .. � . .Y'. , - .. - , '�_ . . . . . . � V. C.. Ik19tQ7i' . . . � .. ,Asst: I�velopii�nk Sexvlces.�Director : • . . ' 9uilding SaEety • ' � -�' • . � , '� . . . ,.- aj��: , , ,,. ,, , - _ ; • < _ ' ' s � ' ' , . ' .. �- . � . .4 .. r^�•4 •�' • ' �,.. . 3 J' . . .. � ' _ � . � , � � �" . . _ ••� .. , ... , . . , '" t ' . � ' . . . , �� ~�i. � ' � � ... � . � � ' s '.i:, . fy . . t , - .. . f i a : �.{• . , . � — ' . r� , y, 3 �, • r. �. . ; _�- . _ : t` - . . �, •'.'' . , d • ' . _ , . , �.; _ . , � r `�. . , . � , , ,: � . ' � . � ' . �, - - .i . . - : . . ., : . _ ' � ; ., , . ' : .,'� ' . - , ; .. . . . ' . . . , h . • . . • . � , . � . ' _z�,rcn is,'i9ea�� � ^. ✓ .. . . � ., . , ; . _. � aMr. a ri�s: x. F7. r+ot�rta . , 96� Len�od Circle : . . . - � . ; ti : ' , Casta ttesa. Ca2ifornia 92626 . . . ` .. � � "' - Re ,,`�tuxldinq t�rrait.#8-429 `',p . ,, � , r,riear. Mr. ,'& tirs. Roberte: - � ,�� . , .. , _ :,, : . : r. have re�ived your reqimst for extension of tir,� an. thc above listeci pez7s3it ' and note that, no� iiispections. have.'k�een rec�uesteri.� tiosvever, Z am given';to under- ; :stattd, that a'seriou�.. illness caur3ec3:.the �_clelay..of the start of� the� Fzoject. . . . r: r, � The t3nifoir+'13ui1ding�Code�allok� tbe Butlding Otficial io exfend a peztnit one tis,e. for cause, for a�.�riod of�2E0:days. Tna$r�uch a� your f:efi;,it'wovld have!expirc,'d on tho i3ate of your�rec3uest..I.hereby , extenr3 trie, BuilBing.Pe�ii t�.August 7, 39D2. .. , , ,,.. If coristruction 8ces not start on or Eiefore that date, Che �erm.{t ,will: Eecou�e ,•, null and void,. aJu�, new feett will :have. � L,� �al�,acoarding to the.�provisions bf the . [hiifom� Huilding Code. - If' you t�ave further questioris; piease • feel £ree 'tb oentact Mr. .T.ougi, �lan Revies: Engincer; at 759-5614; auriny,normel busines3 haurs.' . ., . . Sincerel.y, . • , V. C.. IJetaton : ' . ' , � - .' .. ' . .: . ..: : ' . ' . � A�st. �vP2oZm7ent Services Birector.. " � �• Euil�inq Safety .; , " . ' . ajw ' . � . INSULATION CERTIFICATION This is to certify thai, in co�ormance wilfi tfie curreM energy regulations (Cal'rfomid Adminis- trative (ode, Ttle 15, State of Califomia') and approved plans, inwlation has been irMalled in the building laated at: COSTA P•1ESA ORANGE c�M c«.0 46o LE1vt'JOOD so-..e ne. pe A..n.el�l se.t lac Ilu.e. ' rM Ile. DESCRIPTION OF INSTALLATION ROOiS Type nf Material fiberFlass Manufacturer J.l�i. Thickne 61 z�k Value•'� EXiERIOR WALLS Type of Material flber�laSS Manufacturer J•�ri• Thickness_.�Lat�Value"11 - (Or TnQ� IMmy CEILINGS ' BATTS: Type of Material Manufacturer ThicYnrss R Value"_ (Or TM� Naw� � Sq. Ft Covered , � � BLOWN: , ' � � � � . Type of Material ' Manufacturer Thickness No. Bag� (Or TnO� Itrq ' . . -- � IML/Bag Sq. Ft Covaed R Value"— -. '+ � FLOORS . 7ype ot Mffierial Manufacturer Thiclm�cc R Value"_ _. ca rne. as.t SLAB ON GRADE Type of Materia� Manufacturer Thiclmess R Value'•_ �%"='� � (Or TnM Ih�ey , , Width of Insulatim Inches - FOUNDATION WALLS (if required) - Type of Material Manufacturer Thiclmass R Value'•_ '�;'_ p: ,.;, � ta rne. n...l ' . .. , . . _ .. .. �3 REMARKS (H desired)—_. General Contractor (Builder) License Sub-Contractor Qnsulatioa Applicatw�'EATH�R*TTr;NT INRTiT.oTTr1N - � . �� � pmul�Hm, M��tl. Ek.l (ShO� "SA1{E" if aMM u G�n�nl Gnincix) � gy MICHALL URVADTEJO Title owner Date 11-4-82 1•Coulw��o Adminhvoun Ced�, En�.vr In�ulallon Snnderd�, d�tlanu E%CERrt kom Sec 19875 ef th� Xwi1b aiM Sahry Ced� af tM 31ab ••Canolian<�. Uom mmobtion ol M� in�bllallen ef inmlmian, a rnrd e( CWifomia: ��h��a Maf ��� imalerion ha� bwn inamlNA In cenbrman<� riih tM rpuin�mnb ef IM�� rpulatien� �M1oll b� mmoA1M anE u�cu1N b� "No cMifimN of ecvupanry x�iiniiar aMlflmtl�n fba� a nw11 {ep. IM inmlaHan eoo��m�er mG by �h� build�. i�i� i-.:ula�ian ce�nv�lono �trvnW M1ebl, mqH, apartm�nt hwu, hoM n MLN �wId�WIe1 mrd �Aall W oWb a� a an�oi<veu� bmtian rlMin Ih� dw�llinp."� d.dlinp i� habimbl� ��cll M IurW by �u�F e bullAinp d�pm}Mef � enbu �b Urv<rvn a� Iwrt �atl�fln. tM nininuw �nwpY IewlaNr �••� Valu� i� �M m • of t�� •��i��cn<� of a moMbl er Euildinp �bndoNi ��Iobli�hW ovnran� b MI� <haOM." mom�n� ro��� Da��owrol M1wl �h� . si�ian<� .al�� (R) el man.hw imrlo�iom �hall ne� in�luE� anY .ale��fw nfl�c}ir� k<inp.l + CITY OF COSTA MESA PLANNIPTG DEPARTMENT tlpV 26-69CM5�O0711'5 m****25.OA A. P. No, �'�- �j�,�i-U �� Bldg . Pe�-mit No . PARK AND RECREATIONAL F�ES - Apartment Developments Fee Payment Reaeipt �11 Oo� 30�U� Pro ject Address � b U ����/(,(/ d 0 n C° ( R L L E Owner's Name g, �,�/� � ���/Z � S Bachelor or 1- Bedroom Units , @$25.00 = 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units 5 - or more Units @ $40.00 = @ $55•00 = @ $70.00 = @ $75 .00=��� �) Tote1 Fee Tota1 nwnber of Dwelling Units Planning Department Approval Date. Park Area No.� By�V `� Applicant's Signature ._ AOOliwnt lo flll In all s0aees ezeept thoa wit�in �eary DorCer Ilnes antl si9n all aDV�ooNata Eeclantions. CITYOPCOSTAMESA, � . . ' -- --- ... . � . . --.... . � - . � 5-- -' � . .. .. PERMIT NO. TRACT NO. �, LOT NO.. BL . . 69] ', G/ � �� /B3 . B.OD TL CONSTRUCTION PERMIT ' , , ' (p7 � (p - � � " . � ' ' ' ' '. • " , , w , Appficent'S Meiling Address � ' ' " T(PE OF CONSTRUCTION � • NEW^ ADD AITERATION • REPAI R . . - . � � ' ' .� .� � ' � -;� , PfojeCtAddfe55� t ' � � ' ` ❑ CONVERSION "❑ DEMOLISH LJ�OTHE� � _ � : ,. . '• , '" ' ' . ' /L Yq� J� DESCRIPTION OF WORK (/✓e (/� cP ' 1 Owner's Name : - ��' - hon6�_R.�-.a�� .. .. � . � � - � � ' ' Z ING EGULATIO S � Address U�', i . �.�....r . � . ,• . . . � �� ��� • ��NPEOFPERMIT ' �GRADING�� FOUNDATION STRUCTURAL . A.P.'k . ZONE Aroh/Eng. � Lic9n58N0. ��❑TENANT OELECTRICAL OPLUMBING ,MECHANICAL ' � PLNG.REF.�W� . � ' • � -BUILDING �' . - Addfess ' � � ' ' ' ' , ❑,�OTHER �� � � - � � TOBUILDING' ' ' " ' � ' ' ' Contrector.'s Nama -� �f�+'t-� ohp�e � • PROJECT DESCRIPTION 5�. FT. - OCCUPANCY ' P PE TY LINE�. ' REAR VARD (TO P/U , i . - �LEFTSIDE VARD � ^ - RIGHTSIDE VARD ' � ' :-1` � Addfe55lmeillOgl . GaNSTRUCTIONTVPE s VAWATION$� � . '- ' ' ' 20N� ' GRADINGGU.VDS. ACRES PKG.SPACEftEQ: ' PROVIOED � '�i, License No. � � - - LICENSEO CONTRACT00. DECLARATION � � . Remarks: � " � , � , , , � , • STREET WIDTH ' � ' � ' �PARK FEE$ � . - I•hereDy,affirm t�at'I am Iicensetl untlar provislons ot Chartar.9 (commentlng � � � . � � � � , , with section 7000) of Oivislon 3 oi the Business an0 Profassions Cotle, antl . � ", , , . • ' SPECIAL CONDITIONS: � � ^ � � • � my Iicense�ls In full force antl effact. , ; � . � . • . , . • - . Llccrise CiSss' � ' Licansa No.' � • ' PLUMBING � ' � � ' � • � � � � . . Date'� ' � Signature �, � - ' ELECTRICAL ' - WORKERS' COMPENSATION DECLARATION � �(. Bef Sil1k Sewef Cap ' � ! �� I hereby atflrm4haLl have a�cerHilcata�otconSenPto 5eli-Iniuie or a.certlflcete �' '� Backflow'PrCVenter ,' ' - SeW2r ConneCtion - � Automatic Washer. .�Meter pover 10aamps . of Workers' Compensatlon Insurance,!or a certitietl copy thereof (Sectlon � � -_ � � . . � 3800, laD. CJ 7' � , � � ' ' ' Backf�ow Irrigation � Solar Collectors � � Construction Pole 'Sub Panel; � PoIICY No. , .. ComPanY ' - ! � , : . - - . .. - �' ' - Cookin9 Unit. � ; ,Sub Pole ;. , ' f � � eCerti/Ietl�coDv Is heroby furnlstiea. : � , ' j Bathtubs � $olar Piping � � � ; . � ' � Certifietl <opy Is filetl with the clty.Builtlin9 DtviSion. � � � Clarifiers � ' � � Solar Tank • �• Distiwasher� �` � Momrs O04 HP �iK$ �� Date � � ApPliwnt ' ' � �. ' . . •. • . , . EXEMPTIONFROMWORKERS'�COMPENSATIONOECIARqTION I -• . Dryers ❑Gas' �EleitriC � �In0.SOlan�9,15HP �1645+ � � (Thisuction neetl not be complatetl ii che permit Is tor.one huntlretl (E300) or i Dishwasher � , Swimming Pool w/Spa • � less) . � . ; � . . ; � : . � � , . -- . � Fan; ' � � r �Microwave . . � . I certify.tnat in the performante oT the work for which this perm�t is 755uetl I� • Dlinking FoUnt3in5' •, U�inel' � . , . � � � shall not employ any person in any manner so�as to become subject to t�e , , , . ` � . - F.A.U. , � � . �Pole Light � � . � Workers'�CompanSatlon LawS of California.�. , ' Flao� DrainS� . Wate�Closet` • ' Date . ' � : � cl9nature : � � ' . � � ' . ; ' � . ... _ . � �. Fixtures i ' � �. i � NOTICE�: It; dtt¢rTdking'thl5'tlaClaratlOn,-you ShoUltl�'0¢CUTe-S�IIEjecS [o'th8 ""� FIOOf SinkS � '---1- � � � -� -, �.^Wdt2f H¢dtC� � , � � - - � - �•� �- - - - - � 'R8fIJ0 � _ Workers'� Compensation Orovislons ot the labor Code, you,must�forthwith�,' ' ' , , - , ; _ ' - Device 6oxe5 � � ' ! ' eomply withi such .O�ovlsions ;or thls;�permit shall be �tlaemetl� revoketl., G05 SEfvicB � ' Out1245 �, � Watef SeiVic2 , � 'Sign. , � � � i CONSTRUCTION.LENDING AGENCV '� '�' 1 ' .� ' ' ' � : '- . I hereby zttirm tnal there Is akonstruction�lentling agency.for thetperformancet ' ' Inte�cepto�s { : ' _ � „ ` Outlets ' ' � ' � ' �Standing Sections � � � oi the �work tor . which� this permlt -.75 Issuetl '��(SacHon .308�� Civ' C� • - ' p . i � Lantler's Name✓ � �� ' - � � r - . -� • � . � Switches . . .Trash Compactor - ' Krtchen Sinki ; ' 'I�ntler's AAtlre55 L • .. . .•. f � :+ w � v � : � . . � � � � OWNER'BUILDER OECLARATION � ;% b e� � ' { , r �-avatOri25. � • , � � . ` , Gafbag2 Di5pO5al ; j , � � t I hereby affirm that I am"exempt from tha-Contrzctor's�Licenze Lavi for the � - - �. - Genereto� �0-5 KW ��545 KW � � ` , � following reason'(Sectlon'7031.5 Butiness antl Professlonal Cotle: Any Upy or' � P-Ti2p� ' � . . ' � ' �• •� � � ' � � . �county which requires a permit to construct, alter, Improve, tlemolish or.repatr t �: -, . ; -i ; , Transformer p 75-50 KW ' � ' � I 5, ,� � any structure, prlor to Its Issuance,�also requires the applicanbtor such permit' . ROof Drains � • • � � , � � ' ' � � � to tile a signetl Statement that he/she is Iicensetl pursuant to the provislons Of � ' � � � _ ' ❑5U+ KW � � �pBinSpec[IOn FBB � the Contractor's License Law'(Chapter 9 (commencin9 wlth.5ectiom]000) of �� . =� - � � " . . . � I � . , � $�5�' ,DiviSion.3'of ihe Bu5ine55 antl Profe55ions� Cotle) or that� he/she..is exempt ' � Showe�s �� � Rainspection Fee $15 . . therefrom'antl the; ba51s tor the allegetl exemptlon. Any;violation of�5eciion " ` ' Met2r ❑up to 100ampi ,� ; '15sue FeB�� :�$ 3 J031.5 by' any apPlicant for , a • permlb subjects the appilcant to a: civll , � � • � � � � ' � ' '-' - . - - - -- -�en y oi not more than iive huntlretl tlollars (ESOOp. , �• � • c Service Sink; �. � . �ysue Fee ' $ 3 Zoning Approved By ' Date I: azlowner of. Ihe brooertv �o� mv emolovees with waaes.as [heir sole . � plotlon, tne own¢r. wlll have tna burden oi proving ne/5 �rove�forthe purpose of 5ale). ' I, as owner ot the proper[y, am exclusively <ontrac tractorsSo�construct.tha project (Section 7044, Busines� The Contractor's Llcense Law does not apply to an o Duiltls or improves. thareon, antl who contracts for w� tractor(s) Itcense pursuant to the Contractor's License L ❑ I am enemp[ untler Sectlon , ' � B. �Date � Owner, � '� 'I`hereby-certlfy t�at I�haae reatl�ihii application-an� ' Intormation I5 correct, I agree to comply wi[h all ciSy antl state laws relating,to bull0ing constru<tion,•anE Y � sen[atives of!this cl to enhr pon t�e above-me In59pection purpose���� _.�'�' ✓ ! 51 nature _ � �lti� C����i� ONvers' Uceuse or'S5 ��� �� ICMFO865-66rav.12/82 White-BWltling;Canary-Ap nwia or im- � Duct - Structural . S�stem Re air/Alteration � � � � � i Y , P BUILDING PERMIT $ � SMIP , $ � Icensetl com , . � � ' � � : ' � . ssions�Cotle:.,.l _� Duct-Ventilating 1_ - __ � , PLANCHECK $ ' � PERMIT � � �operty who� � ' � � i ISSUANCE , � $ , � ' with a con- ' } Ezhaust System ❑ Multiple ❑ ' � . PLUMBING $ � � rthlsreaion . Firepl/Fact.Blt.IC80,# � � � � 5 D PLANCHECK .. $ �� GRADING 4 $ � HeatingSystem&Ducting , ' • . 'ELECTRICAL, ' $ � ' , $! - it-ttie�above•'��- ❑6100,OOOBTUO100,OOOBT, - , � , PLANCHECK� : $ � MICROFI�M $ � vortlinances ' � � -'i � 'MECHANICAL � $ .f�0 ! TOTAL�F,EE � $' iorize repre- � � � . - � � � • ropert for , ���o or TYPe II ❑ ' ' t Reirepection Fee $15 LESS %/, C3 ., . . _ i . ;PLAN CHECK $ '� � ' t : ADVANCED PC 1$ y � Regirters � � � Issue Fea � $ �3 , ' � � S. OD. . FINAL FEE. i $ � ik-ACCountlng;Goltlenrotl-A55essor ' - , - - � - - , .._ .. .. _ . . . . r.a ' . . � . ... '. ' ' .. * .g :Y .. .. '�'6 � �oonessaemiaxo: q60 LENWOOD CI OfMERBNAYEIFqpWN: SPURLOCK, THOMAS J 11°0X� 460 LENWOOD CIR COSTA MESA,CA 92627 �vr�. wuuNa �ooness: UNT: �xcxrtecTow��n: uc.xo.: pCll OP FNO.'S IDOpESS: UNT: caxm�crarsw�Me: SANTA ANA ROOFING ( 714 ) 558-3707 aaNm�croxawuuxo 6 5 5 PO BOX �op� SANTA ANA CA �F� 463596 92702 uNT: LIGENSED GONfPACTOPB DECLARATON: I haroby tlltrm under pnMy ry �hel em lica uMar ' e ol Chepter B (aommendnp xilh Sectbn )000) d �iriaon 3 ot iha Businea eM Pmfaeio e, eM y Ike ' n lull b en0 Mop. cmuc.No.:0�73 8 ��c.cusa: C-39 L0�" 4F P• 01/96 Dms: � Q CaNreda: OWNEP BU DEP CLANRTION: I Mieby elfirm under penely thet I em exemq fmm IM Cont ps n law fa ihe fdbw'ep rwon ( ion ]091.5 &niwes enE Proiwqne Gode: An cIy a counry whidi ispuime e peimil lo oon er, imprwe, damd'ah, or ropsi eny avucWre, pnor m iro ceuence, ebo repuirae ihe epplirant br such peimil to file e ei0�� h�amem �hal M or ehe ie liceneed punuent lo Ihe provieiona W Iha ConlreHom Limnm Lew jChepte� e(mmmencinB �h Sedion ]000) M DWwion � d ihe Buainep end PrNepqne Codaj or Ihel ha or �he ia examq �hxNrom end ihe buie la �hs dleped eeempibn. My voletbn W&sqbn ]031.5 by eny eppliunt fa e permA wbptle Ihe applicent to e tivil peneliy ot rw1 maro Ilan ive hundrsd dol4n �5500j). � I. ea ow�r d the propMY or my ampbyeee wYh wegea n �hsi sols mmpanaetion, xill do Ne �wrlc. uW IM siructure b� inleMeE w Mered br xb (Section 10aa. Busrom vM Pmlaeaons CoCe: The Cont�we License Lew tlma nd eDDN10 en owner d proparry .no wu. « mww« mereo�,, e�,e wno eoe� eud� wax nm.en w neneM «m,aron ne «ner o..� �vM�+, w�+a.d md wcn impovamems ere not in�enEeE or oilaraE Iw eele. lf, lrowever, tM buiNinO a inO�meM is soN wnhin ona yaer ot compleiion, tM ownerbuiNer xill heva iha WNen d provinp he or she did nw build or improvs lor ihe Wm�a d ede�, � I, ee ovmer a/ iM D�PeM. � erdueivey mnireeirg wnh IimnxE conlrecion Io crosnud ihe projecl (Section 101d. Bueinma eM Proleaiana Code: The Lontracion Licena Lew does rwl epply b en oxmier d properly xfio Wiks ar imqoves ihereon aM who conlrecN for wN Drqeas wnh e mntredor(e) Ikansed W��t ta the Contreaon Liwree law). ❑ I am uamq oMer Secibn: B. b P.Q. fa IAe reason: Deie: O�mx: I Eo hareby ceniy IM1aI I em ewere d eM untleniend iha requiremenb M Celdomie HeeXh entl Safaty Code Seaiona 25505, 2553�, eM 255�C, enE ihet I m any M1nuro buildinp oau0� �II / will nd (circb one) rweE to comply wih aeid awe wdee uM �M reQuiremente tor a perm� lacamwuion w madifration hwnihaA'v��eiugemenl Dislna. Reaiden�iel conbrudan eppl�ioroere eaemq Imm ilwe pravisions. ' Dete: Pppliram: WOHKEF'S COMPENSATION DEttAPATION: I Mraby eifirm uMer penMy W pa�jury aro d Ne bllovnnp Eetleretions: � I M1eve vN will meiniein e cerlticele d conaeni io sell-inwre la woMere wmpenaelion, es Orovided lor by Sedion 310p W ihe Lebor �iOdO. �Of �M �IBI�dTBI1CB O� Ih8 Mqk �IX WhICh I�119 [IBflllll 1919911ld. ❑ 1 M1ew aM vril mdmen woAers oompenaaiion iruurenm. m reQuireE by Seq' n 9)pp d tM laba Code. br tha peA«mance W the wak for v.fiiM I�ia parm� is aeued. My waknee mmpenamion inwrenee raenar enJ pdiq number va: c�x: STATF Fr7Nn EXPIRES awmv��mn�= 9RG—OriiT1.7TT(1(1d�.1 01/01/96 (TAia aectian neeE nM be comdefed l fhe permrt is lw one hundied ddlers (y' or b J ❑ i cenN mm m ma pano�e�ce d me won� ror wnicn ini. ��n �. i uetl. I eh n01q vry parean in eny menner eo av �o e«oma s�ni< �o �na .wn�.� �w��a� �.� ar c��tomb �e ee, � I ahoulE become euM� m ma ..onan• compensetio rovis' a ol Seeion 310p d IM1e labm CaEe. I she tanhv' oi ' tMse prwivona. Dme: ' Appl' . WaminO� llun f szun walren' compsiwtlon cwsn0s l� un , entl 1 /ecl en smp/oyer fo cr/mlml penelHs� enC elvll Nme 1p ro one hundred tMuaaM Ooller� (Jloqa00N In addltlo ro Ms �� ol rompsnseflon, tlemeps� u pov/tletl br /n SxHon 9)O6 0/ Me LMor Cols, Inferoa( end ettomey'a /ess. � CONSTFUCTION LENDINO AGENCY: I Mreby ��m uMer paneMy ry thei iMre o e consl�upion bMiip epe�xy for tM CBf�IXT811CB O� 1�10 NCI�I �O! W�1M�I �h6 P0f111� 19 6811BE ($BGYOII' 9�, CrN. Ci�. LENOEN'S NMIE: LEN�Eq'S AODflE55: I cetlily t�el 1 heve m epplkeiion enE steie ihei the ebove iniorme�ion is mrree. I epree io compN �h ell ciry enE munry ardinences end ete�e levrs rela' peo _ilEinp conArudion eM hereb/ eNMrrta represame�ivea oi thie dry io enter upon �M ebove-menlnned properry lorinspedion 0 L7 ' _ Oe1e: 8 Selety: GreerFle; Canery-qppY:e��, pink-Ravenue; GolEenra�Asxssor CZTY OF COSTA MESA — BUILDING PERMIT PERMIT NO: H 0'74557 PLAN CHECK NO: N CONSTRUCTION TYPE: S—N PERMIT TYPE: STR PERM NO: B 074557 GOVT: N SUPP: N PORPOSE: OTH JOB DESCRIPTIODI : T/OFF SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 5,100 CLAIM VALUE: 5,100.00 CALC—VALUE: 5,100,U0 GROUP OCC: R-7 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 91UBC, REROOF � SF RESID **�**��**���*���*��**��*���*�*��**������**�������*����*�*��.�����p,ET'ECTOR Z O N I N GS ERTEB�AUCIKRSE M E N T S ----------- MAIN BUILDING ---------- ------ ACCESSORY BUILllr�����-- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN' •—� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING F.EQ: �-- PROV; PARCEL: 42515223 ZNE: REF NO: r-• PLANNING NOT'ES�� '' >_ "`, 1E 1E iE 3E if iE 9f if i4 3f if �E iElE k� ih iE iE if if df 3E jf iFlF aE iE jE iE 3E iE iE iE iF jE?E iE if �E iE iE iE iE 1t 3f iF iE iE iE if dE iE ff iE iE iE 9E iE iE fE 3f iE 9E 9E aE !E �F iE �-iE 3f if �E dE if �1E 3E 3�-)E D E V E,'L O P M E N T S E R V I C E 5 R E Q U I R E M E N T S ZONING APPROYED� BY DATE: �l BUILC�ZD]G APPRGt!E6 BY : DATE: "' APPLICATI6N ISS.UEU BY; � DATE: �O(�t��� *************��********���F�Ff*��r�3F*-rt*��"iF�**��'���+�-�_*�*i�*�-**-�*+�*��-*�+E�-** LEGALIZATION:N F E E S 0 M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81.00 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 81.51 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHADIIC 81.00 TOTAL 81.51 51 SMIP/NON—RES PAID DUE 31.51 ,00 81.51 OUER/SHORT; .00 FIRE SMIP/TGT GRAUING PLAN—CHECK .51 IF 3E iE IE dE 3E 3E iE dE:f 1f �E 3k 3f iE �E 9F 1E iE jE jE iF iE iE 1E iE 9E �E if iE iE iE 1E iE 3E if iE iE'7F 1E 3E �E iE 3E iE iE iE 3E 3E 3E iE �E af iE 1E iE 1E 3E if if 3E iE iE iE iE iE iE iE ik if iE iElE if �* iE?E iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5100 REROOF BY VALUE RESIUENTIAL �IOZONE 1.00 5,100,00 END OF FEES �iI ��39���J�—Ci�JI42QD4 �'s]l' 8i..`,i �r.r�: iora�r��, r.tr�: r�n:sc � .` �i i �' CON57RUCTION AND PLANNING POOL & SPA . APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector . i. Temporary E�ectricaLService oi Pote - 52. Poo1 & Equipment Location �, ' � � � 2. Soil Pipe-Undrgrnd. - � i� - _ 53. Steel Reinforcement ' ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms !�• � � -4. Elearical Conduii-Undrgrnd. 55. Electrical Bonding 5. Steel Feinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Gmd. 57. APPROVAI TO COVER-GUNITE ' 7. Footings 58. Electricai Condui[-Undrgmd. � � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Und�grnd.` 70. Scructural Floor System , i 61. APPROVAL TO DECK � ' 11. Property Sewer Line & House Connection 62. Backwash & Recepfor-Final ' 12. Sewer Cap - .. 63. Heater & Vent-Fiaal - , 73. Roof D�ains '� 64. Plumbing System � Final � 74. Rou9h Plumbin9 � 65. E�ectrica�-Final � � 15. fiough Electrical-Conduit ;-' 66. Solar System:Final 76. Rough Electric Wiring - '� 67. Fencing & Access Approval , 77. Rough Wiring Si9n � � 68. APPROVED FOR PLASTERING _ . 18. Rouqh Electrical�T Bar Ceiling 69.� POOUSPA SYSTEMS FINAL � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEM7 20. Rouqh Factory Fireplace APPROVALS Permit # 27. Ducts, �n Structure • 70. Underground Hydro 22. Duccs, Ventilating 71. Product Piping OGas ❑Oil 23. Gas PiPe-Rough & Test 7Z, Underground Fiush 24. Roof �raming 73. Undergmd.StorageTank L1Gas ❑Oi4 - 25. Roof Sheathing lES�l�s �q, pverhead HYdro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEAA FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Dryeva�i Nailing ' HEAITH DEPl'. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Eiectr�cal Power MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Final Electric � � Notes: 34. Final Neating & Air Conditioning � 35. Final Gas Pipe•Test � 36. Hood or Canopy - " 37. Final Factory Firepiace �• • �: - 38. Final Piumbing -� � � 39. Water Service�Final '•r_ 40. Gas Service-Final � 41. Soiar Oomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. LandscaPe Irripation;$ystem . 45. Sound Attenuation �,, - 46. Handicap Regulations.-�� ; __ 47. FINA4 STRUCTURE�& B�OING /�.�Gl-��C(�' ' � 48. FINAL PLANNING r~. -'-' ' r•r 49. Electric Release to Edison -J i ;� e - 50. Gas Release to Southem California Gas Co i 51. CERTf F4CATE OF OCCUPANCY No Date OWNER K _ W _ Kf1T,L ('(1NST _ Cp _.� 7N(' _ ' DATE (-E-57 _ JOB ADDRESS )i5p Lenwood Cirrle BLIILDING PERMIT NO. � S2S8 GENERALCONTRACTOR Same VALiIE$ 1��02L.0� AP. No. LOT ],'Z TRACT 'j137 FIRE ZONE DESCRIPTION OF WORK R25. W�8f,t P3T'. GROUP I pv l TYPE � V ZONE R i PLAN NO. �,2K� INSPECTIONS I DATE I SUBCONTRACTOR I DATE (, •VNUMBER Final Gas Test '�`4 Costa Mesa Bnilding De�artment APPLICATION F�R PERMIT J ��...,. P.O.Boz3!7 r . � BUiLDING �� , COSTA MESA, CALIf-0RNIA J2S�� � '� FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Perpt�j{y Building 7�C� Address (� Lenc�rood Ciicle CiOSt& MES$� California Received by Date Rec'd. Date Issu Nearest � � Cross St. :�-1 SO 6uiiding Address owoe� �• td, Yoll Cons�ruc�ion Co.;_ In�, Mail Costa Mesa, California nddress 287_6 I?et,roort Blvd., Nea�esc Tel. Cross St. City iQe+�r�oY"L Be3r.6_ Calif_No. HAS;XII 2.ond+.l /, I No.of I Type ,: Grouq, neer va1 � ee ess 202y Legal I Lot �� Description No.': ]. (Attach Metes and Boi Size of Lot �.��� Centerof Street DESC] New I :i Repair I Building Size 152% Exterior Wall Covering F1'2^1 Use of New Buildina _ �lll� ��t kverne City Lic. No. Tract Now on Lot lYOR� No.of No.of F,amilles Rooms Demolish Roof CORRECTIONS APPROVALS „ ... ___. ..�, Forms, Material: � �,(j Gy� � Under-Pinning // Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct d agree to comply Lath. int. with all Clty Ordinanc and ,St � Laws gulating — -- building construc ' Lath. Ext. Signatureof Permittee � Flaster, Int. i Authorized Agt. � Plaster, Ext. Valwatlon Permit Fee $ .3.?i� Masonry Reinforce $ � 2 Q��/ � Plan Check $ / le � Bond Beam ,/ � Total J Fee $ Q � I FINAL RM R04 10�55 D. P. 6 S. � ' �� ri.trr r�N Show Iocation and distances from J.., properiy Ilne and between buiidinga v, 4 4 GJ C• � .�.i: _ 4 H 4 c= � � � �\ • , �; .`\ ` i �� Z . a U Z Z� O �n am J � J N 0] J J m Q U � Z a W � aW J � m Z J � W w � Z H W � N � �O � 3114G c , COSTA MESA BUILDING-SAFETV DEPARTMENY P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 P;[1V 76-69PAj�001114* *t**48.00 CMSk APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completety RECE VEDBV DATERECEIVED D =�S=ED BUILDING 6_ ADDRE55 1 l P MI NO. OWNER A.P. NO. ",J ��' O l— MAIL � BUIL�ING / � ADORESS � bQ ( ADDRESS �p TEL.(��^^ TRACT �� LOT 1a( BLOCK CITV ' NO. B � CAN5fRUCiION W ADD A ER LENDER S • � BRANCH � � OWNEfi ADDRE55 � � VALUE _� ARCHITECT � TEL I' S OR ENGINEEFi E� N . '�O FIRE � ADDRESS � O. � ZONE TVPE GROUP APPROVED �9�. DATE L`/]�� CONTRACTOR �� BV ADDRESS TEL. Z E NO.OF USE OF NEW PLAN$ "�-- BUILDING CITV NO. — STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE , NO.OF BLDGS. (FROM C/L STREET) OF l0T NOW ON �OT FRONT FT. USE OF ' � ,/ �� EXISTING BLDG. Q 51 FT. Y FT. SI2E OF NO. OF NEWBLDG. ROOMS STORIES L.SIDE FT. FT. EXTEfiIOR WALL ROOF � (/ COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PEFFORMED DISTANCE BET. eET. MAIN & MAIN BLDf3S. ACCF�. BLDGS. a C URP # �E � � - APPROVED � APPROVED I hereby acknowledge that I have reatl this application antl state ffiat ffie above intormation is correct antl agree m comply with all laws regulating builtling consttuction, antl I shall not employ ' any person in violation ot the workman's compensation laws ot Me State of Calitornia. �1 I hereby cartity ffiat I am properly licensetl as a contractor untler SQ. FT. the State of Calitornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in tull force antl effect, or I TME PVRPpSE OF ESTABLISNING A PERMIT FEE ONLV: am eaempt from the provisions ot the State ot Calitornia Business VALUATION and Professions Cotle, Division 3, Chapter 9. �../� PERMIT FEE $ Signatura of � � n�o �/ (� / Permlttee � $ ` PLAN CHECK $ Authorizatl Agent TOTA� FEE $ ' �