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HomeMy WebLinkAbout212 LILLIAN PL - Building Permits PROJECT ADDRESS: 212 LILLIAN PL UNIT' • ' • • ' CITY OF COSTA MESA.-- .BUILDING PERMIT ' PERM NO: P ' 044897 • • OWNER'S NAME:,KURT ALLEN, : . ADDREss:SAME • PERMIT NO: P • 044897 PLAN CHECK NO: - , ' N GOVT: :N SU , N CONSTRUCTION TYPE;: ; PERMIT TYPE: PLU ' PURPOSE: ALT ARCH/ENGINEER: ' - REG.NO.i S • 1 - , 'JOB 'DESCRIPTION : MOVE'.WATERHEATER ' •SQ FT: • - ADDRESS: UNIT: , 1 -. CLAIM VALUE:" 100 .00 CALC-VALUE: GROUP OCC : R-3 ; ,/' r • PERMITTEE: KURT ALLEN ' - ( 714 )548-43990 - ADDREss: 212 LILLIAN COMMENTS: r CM . _ CA 92627 • **Tr***>E+r+r+ex**�6�F+�,Tis**�A*TE*�F+��E�6+r***EETETEiE •x�E********Tis*****Tr**x**TF********** *ic*TF***TF* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section • , ` Z O N I• N G R E Q 'U I R E M E N T S' - 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. $ E T B A C• K S ' • ' ' CITY LIC.: , - STATE L1C.: : CLASS: r � -' Date:_✓ signature: MAIN BUILDING -' 'ACCESSORY BUILDING — WORKERS'COMPENSATION DECLARATION: I herebyaffirni that l have a certificate of consent to self-insure or acertificate of Workers' . FRNT: FT • IN REAR: ` FT IN FRNT: FT IN REAR: • - r FT `IN - Compensatiominsurance,ora•certified copy thereat(Section 3800,Lab.C). LEFTa • FT • IN RGHT: FT IN LEFTd FT • IN .RGHT: - FT IN ' • POLICY No.: • EAP.DATE:• . - COMPANY: • PARKING REQ: PROV: PARCEL : .43921203 ZNE: :REF NO: 7l Certified copy is hereby furnished.. 0 iCertifieE copy is filed with the city"Building Division. PLANNING NOTES> • e Applicant: ***********************************************:iE******************************'1E EAEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed 8 the permit is for one hundred($100)or less). D E V E L O P M E N T S E R V I C E S :..' R E Q U I R E M E N T 'S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become • k' - j.• .1 j subject to the/Work Compensation Laws of California. R ZONING APPROVED BY ` DATE• _ Date: -71- / - D - ! Signature:- • - - .< . . ... t-: -_ - • NOTICE:If,after making this declaration,you should become subject tot e Workers'Compensation provisions of the Labor BUILD ING APPROVED BY : . 'DATE: ' Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. - ~ ' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for . APPLICATION ISSUED B Y: '• r • - tet\ —�'1 ' :DATE:*11`*0 • which this permit is issued(Section 3097.Civ.C). , ' ********************** - a_s.=-+- ** • ' LENDER: . ******************************************* ******************************* ** ADDRESS: LEGALIZATION:N ' " FEE —.- SU ' MAR. Y STRUCTURAL SEGMENT:N �. , . OWNER BUILDER DECLARATION: I hereby affirm thatrl am exempt from the Contractors'State License Law foi the following reason i BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ,SMIP/RES ' GRADING (Section 7031.5 Business and Professional Code: •Any city of county which requires a permit to construct,atter,improve,demolish,or ; PERMIT - . - • 2 ,00 - I . ' e J F ' • repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - c•' t • pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 2 S$ .1 • :$MIP/NON-R E_, , and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by 'PLAN - 1 - •- any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred:dollars(2)500)1...1• ` ISSUE' FEE . A . 00 . , `•. ' • , I. as owner of the property ' • will do the work,.and the . BUILDING-DTIV-> . , PERMIT ISSUE ' PLAN-CHECK TOTAL PAID DUE 'Mt structure is not intended or offered for sale(Section 7044,Business and Professional Code:.The Contractors'State License Law TOTALS---=> 2 :00 3', 00 ' • ' 0 , 00 5 , 00 5 . 00 .. 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through - ' ;' I •✓_ I _ • his or her own employees,provided that such improvements are not intended or offered for sale.If,howeverthe building or -REVENUE DIVISION TOTAL&--> COLLECTED: ' t5 . 00 OVER/SHORT• 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve • for the purpose otsale)., BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT' GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business S , O O i I� and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon 1 . and who contracts for such projects with a contractor(s)license pursuant to the Contractors"State License Law).'l am aware ***********.*****'******************W******************************************** that proof of their Worker's Compensation.insurance should be provided to me._ • 'I N D I V jI D U A L F E E B R E A. K D O 14 N 0 I am exempt under Section: B.8 P.C. mrthis reason:Q Q YPE QTY D E $ H& FtEA• 'I P T I . O'- N UNIT COST TOTAL COST Date: ll ( -t / owner: PLU 1 WAT£R HEATER AND/OR VENT • I - 2 . 00 ' 2 .00 • I do hereby certify that I am aware of and understand the requirements of California Bea h and Safety Code Sections 25505,25533.and _ END OF `FEES . • 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a . - 4 - ' •permit for construction or,modification from the Air Ouality Managem t District.Residential construction applications are exempt from 'Z. th• ese provisions. ^ I ' - - • Date: Applicant: -� I . i, • t ., I hereby certify that I have read this application and state that the above infor anion is correct.I•agree to comply with all city and county ' -ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned. - - - properly for inspection purposes. ( • ,/ r�/j (44-%-----e. - • ' , Date„ �/ �!D / Signature: l/ • + O: G0047ta',S"; +]01747962 TOY• Driver's License or Social Security d: 1/ Y •2: i DATE:`: 11. 09/89 •TINE, 11: • 1641-46 White-Building:Green-Code Enforcement:Canerv-Applicant:Pink-Revenue:Goldenrod-Assessor - - - — I — - . • POOL A CONSTRUCTION AND PLANNING - - Date - Inspector Date Inspector APPROVALS Permit# - _ APPROVALS Permit# 1. Temporary Electrical Service or Pole / 52. Pool & Equipment Location 2.- Soil Pipe-Undrgrnd., 17-' 53.-Steel Reinforcement !•,: •4t3.7Electrical Conduit Utility-Undrgind. 54. Forms n 'l ''.4. Electrical Conduit-Undrgrnd. - 1. - 55. Electrical Bonding r'5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • =. '••6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings S 58. Electrical Conduit-Undrgrnd. • -...�. y8. Foundation - . . 59. Gas Pipe, O Undrgrnd.,Test .,-1. 9. Water Pipe-Undrgrnd. y' 60. Backwash Lines, P-Trap, 0 Undrgrnd. it ) ,1' 10. Structural Floor System • ' '� 61. APPROVAL TO DECK �. ;i' 11. Property Sewer Lirie,& House Connection -/i 62. Backwash & Receptor-Final �'_,� 1 is j i 12. Sewer Cap s r 63. Heater & Vent-Final - • f'27". 'fes 13. Roof Drains _ •La 64. Plumbing Systeme- Final • 1 14. Rough Plumbing - 65. Electrical-Final I i / I l •r 15. Rough Electrical-Conduit - i 66. Solar System-Final I " 16. Rough Electric,Wiring' I - 67.- Fencing & Access Approval ' s 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERINGI , 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •19.�Rough Heating &Air Conditioning FIRE DEPT . REQUIREMENT' ' ' c u'r.' ca. .F 'J J o•b ., y i:J_, r 34\ 20:rRo`ugh Factory Fireplace , ar. �,.� v- ,-.+ el 4: ,: -APPROVALS:--,-Permit # • - • - 21 Ducts, i�Structure* y ' �•% > X70. Underground Hydro , r 22r_Ducfs, Ventilating., n`• ' C .4 [" `F a X71. Producf:P.iping OGas ❑Oil _ 23.-Gas-Pipe-Rough &Test cc' k - d, r - 172, Under round Flush 4- 24. Roof Framing p-, ....•r. .: '73:-1Undergrnd.StorageTank:OGas ❑Oil 25. Roof Sheathing .r. 'a ' ' x '7 .--• ;ua * 74.5Overhead Hydro2,., +: - 26 T-Bar Ceiling (Structural) &'Monocoat a ,“ 7 C%a 75i-..-.Dry Chemical ,_p '' G 27 Frame and Flashing_ r,. v i. . r7 4 ,r 76. Dry Standpipe �rr7 r IC ,� ' r 28. Lathin & Sidin ; _'`" NM _ * _ 9: 9 ;�,,-y :7 x: •I t c 77:-• FIXED SYSTEM,FINAL, e- r: 29. Insulation • r r _ 1 t.:; 'K 78 FIRE FR EV. FINAL -• A 30. Drywall,Nai'l ng ; ;.., / :it; r _ 4 p.0EALTH.DEPT•. REQUIREMENT 31. Plaster Blown Coat9 t t^`. M ' tY _r "79. FINAL INSPECTION * _ _y � 432 Electrical Power Meter-Final ��,' r� ' ,-„'. l 1801.FOOD CERTIFICATE ISSUED,., �' II ' �33�Final Electric r -.*I e•". , ii,i. 4Notes:12,-.(/5.,:b•if ,(- --: i : L.Cn .-34' Firia,I Heating& Air_'Conditioning• a' I I'"x° 1 to - El 4. . . C". f' t {t: is _ - i-+r x: -, 35i;Final Gas Pipe-Testi: v~ •• t -. i 'fa ) .' o c%.--+ t Vr � K 36`.Hood or Canopy ,r ` - 4x ` { I E II: i: i, `Z =37.•Final Factory Fireplace" c? ti t - '4...4: * 45 ;^38. Final Plumbing ; r•- c pirbi t K c x, o �1 x 39. Water Service-Finalg z I ) I' ``_ y - `.40. Gas Service-Final ^' m ‹ '" - ' 1 I* l' ••:-.,•-•..: . -' i rr i 4.- i. 41. Solar Domestic-Final' - {- _ , C. t; - p 42 Backflow Preventer - - it • ti: w Zfr. 1- Ca :i Cli N , Y. , .r - .K t: .'tit -i .F' 43. Backflow Irrigation. - >4 . C1 x * J ' 1: j) • .'44.�Landscape Irrigation System-- C' r r T C r f r.` IC; ;.' < "' • `45CSound Attenuation y - .- -i .-n n nt. t S-.0 r 46.•Handicap Regulations O t x` `^ S 'e x _47`•FINAL STRUCTURE & BUI'LDING .j, p_ i • ttc . _ t: r 487FINAL PLANNING -`' = ca i it ," t: 49 Ele tric Release to4Edison ti' =507Gas Release to Southern California •Gas Co . i" '• _ 172 • 0Gl -51. CERTIFICATE OFOCCUPANCY c . .. No. Date - /75 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CIT-Y.QF COSTA MESA . CONSTRUCTION P /KNIT / ` —I18 • A.P.�k . \ • I Zone ' Project Address 2/2 Gt L e(��L ,L+ . 5'V, I • • • - I� S Main Building: Accessory Building: . Z t • TYPE OF CONSTRUCTION :LJ NEW ❑ ADD L I ALTERATION IQREP I Applicant's Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER /��/ � • Front 0 �1y- �� ,Ca_ / �rq Owner's Name (��/C( Al -C�L �"`� Phone ((� DESCRIPTION OF WORK/USE OF BLDG. • r -- A Rear _ . . . N Address Arch/Eng., • License No. TYPE OF PERMIT • ❑ GRADING 0-FOUNDATION ❑ STRUCTURAL K Right' G Address' - •❑ TENANT .10 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL �� • S Left • • R ❑ OTHER - • (Pin Ref.# Contractor's Name - Phone q�-� 9 Parking Req./Provided E • PROJECT DESCRIPTION SO• . FT. (Gt.St7 OCCUPANCI Cl Address(mailing) " CONSTRUCTION TYPE V hl VALUATION Planning Notes: • . T City License No. ZONE GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION x I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _ fl v(1 /f -_p ,_ 1 - with section 7000) of Division 3 of the Business and Professions Code, and • C_QC [-` "l �• cM•�' my li cs:nse is in full force and effect. . ELECTRICAL .FEES license Class License No: - - Automatic Washer Transformer ❑ 15-50 KW - • " D-ate Signature PLUMBING, - FEES - WORKERS'COMPENSATIONDECLARATION - Construction Pole Sub.' • El 50 ' I hereby affirm that I have a certificate of con52nt,to self-insure or a certificate Bar Sink Showers . of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Pup to 100 amps '+oo;-Lab:-C.) ,• Backflow Preventer - - Service Sink - - • - - - �- - Dishwasher Meter Cover 100 amps )icy No. Company . Backflow Irrigation • Sewer Cap-" - o Certified copy is hereby thehed. Dryers ❑Gas DElectric `— Sub Panel I� Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Date Applicant • Z Fan Motors❑0-1 HP ❑1''A-8 ' •' EXEMPTION.FROM WORKERS'COMPENSATION DECLARATION Clarifiers . , Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or F,A."U. .. • . - Ina Solar ❑9.15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that i the performance of the work for which this permit is issued, I - Fixtures - snall not em• oy y person In any ma r so to,,6b¢¢come�ryct to the Drinking Fountains Solar Tank /% Microwave • I l Worker C�••e•n.. Laws of Califor :1 // • Date Signature Device Boxes' Pole Light e; 9 Floor Drains Swimiing Pool w/SPe 9 ' NOTI flf, ..ter m.king this declaration.you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith • Floor Sinks - , Urinal. - • Range • .- - comply • CONST- with such provisions or this permit shall be. deemed revoked. Switches CONSTRUCTION LENDING isac AGENCY Gas Service Outlets - Weser Closet Sign , I hereby affirm that there is a construction lending agency far the performance • - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors - Water Heater Garbage Disposal Standing Sections - Lender's Name i Lender's Address Kitchen Sink Water Service Generator ❑65 KW ❑5-15 KW Trash Compactor , OWNER BUILDER DECLARATION ' . • - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash. I t ' - following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit - - ..'to file a signed statement that he/she is licensed pursuant to the provisions of ' Roof Drains - - • the Contractor's License Law(Chapter 9(commencing with Section 7000) of _ . _ I • Division• 3 of the Business and Professions Code) or that he/she is exempt - - c. Reinspection Fee - $15 Issue Fee • $ 3 therefrom.and the basis for-the alleged exemption. Any violation of Section • ' '031:5 by any applicant for a permit subjects the. applicant to a civil •' '. et _ , pity of not more than five hundred dollars($500). . 3 '• :DEVELOPMENT SERVICES REQUIREMENTS: • • �'�as'owner of the property or myemployees with .wages as their sole Reinspection Fee-- $15 Issue Fee . • ' �1� P e $ Zoning Approved By Date om sale ion, will do the work, and the structure is not intended or-offered • - ror sale: (Section 7044, Business and Professional Code: The Contractor's I • MECHANICAL FEES Building Approved By q Date. • License LaW does not apply to an owner of a property who builds or Improves - 1f/t _- -5 J thereon, and who does such work himself/herself or through his or her own • .. Application Issued By ! • +r Dat: + employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. It, however, the building or improvement is sold within one year of com- Canopy Type II O. .. SUM ARV DF FEES • pletion,the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground 'iTU prove_tor the-purpose of sale). - • - BUILDING PERMIT $ S— SMIP $ ' b'— ❑ l,'as boner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System ' i PLAN CHECK PER MIT tractors to construct the project (Section 7044.Business and Professions Code: /- $ The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU if4 PLUMBING $ ISSUANCE $ __ builds or improves thereon. and who contracts for such oroiects with a con- - - tractor(s)Ilicense pursuant to the Contractor's License Law). I am aware that 1 Exhaust System 0 Multiple ❑ System Repair/Alteration "4: Co PLAN CHECK 25% $ ENERGY P.C. $ proof off their Worker's Compensation insurance should be provided to me.. GRADING $ . I ELECTRICAL $ - ❑ I am exem•t u•der Section = & P.C r this reason Firepl/Fact.Bit. ICBO dk Fire Dampers ' PLAN CHECK 50% $ MICROFILM $ • ;� Date '�%�� owner ( Heating System& Ducting Registers • $ 19 '� NOTAL FEE $ !J c� MECHANICAL I heresy ter ify that I have rea• this application and state that the above 00-100,000 BTU 0100,000 BTL j - ' ' PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances $ . ' and state laws relatin• to byeL'Wing co truction, and hereby authorize repre- inspe sentatives of c to�edter the abov - entioned Property for inspection tau,.-se '[[..//., �/ 1 • Signature `. AI - Accounting; Goldenrod - Assessor • I. CONSTRUCTION AND PLANNING POOL i \ • Date Inspector Date Inspector APPROVALS Permit# r APPROVALS Permit# •1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - r 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 Grrid. 57. APPROVAL TO COVER-GUNITE 7. Footings ?. 58. Electrical Conduit-Undrgrnd. l � ' , 8. Foundation s - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. / 60. Backwash Lines, P-Trap, O Undrgrnd.• 10. Structural Floor System fit • ' 61. APPROVAL TO DECK j11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • - 12. Sewer Cap i 63. Heater & Vent-Final 13. Roof'Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush- 24. Roof Framing 73. Undergrnd.Storage Tat 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat -75. Dry Chemical 27. Frarne 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.JPlaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Ficial Electric - . - Notes: 'Asr /T 34. Final Heating & Air Conditioning PO`gi 4-00 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40: Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - 43. Backflow Irrigation , .� 44. Landscape Irrigation System - c; 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. CERTIFICATE OF OCCUPANCY - No. • Date _ ` • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA�j CONSTRUCTION PE1iMIT • R� —) f'}1 A.P.# ' - . zone. Project Address �L LIG ��� ° "� S Main Building: , Accessory Building: Applicant's Mailing Address . TYPE OF CONSTRUCTION -H NEW Li ADD LL I TER`O�R. -EP s• Fi f •' - - • - O ,/. 111 CONVERSION ❑ DEMOLISH ❑ OTHER /rL Z Owner's Name >� C f' Phone cj �+ �g v - DESCRIPTION OF WORK/USE OF BLDG. era ��- _B Rear- N • Address A _ I Arch/Eng., License No. - TYPE OF PERMIT ' C GRADING El FOUNDATION ❑ STRUCTURAL K Right' G Address - . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S .4 Left • - ' R ❑ OTHER _ 2----1. •Ing.'Ref.# Parking Req./Provided - E Contractor's Name O Phone PROJECT DESCRIPTION SQ. FT. �� OCCUPANCY '� Q Address(mailing) �• -tanning Notes: - M CON STRVCTION TYPE V hI VALUATION$ 7 C — T City bicense No. ZONE GRADING CU.YDS. ACRES • S. LICENSED CONTRACTOR DECLARATION ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /1 n -d ' is (' s - . �_ with section 7000) of Division 3 of the Business and Professions Code, and ll-rO.f A s!\ '�,t,�� : my'cense is in full force and effect. . - - '1 i; ELECTRICAL FEES License Class License No. _ PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Date ' Signature - - - WORKERS'COMPENSATION DECLARATION .. Construction Pole Sub.' ❑ 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy thereof'(Section , Cooking.Unit Meter Dub{o 100 amps '00, Lab. C.) - Backflow Preventer Service Sink - -- - .. - ... _ . am s - - ,icy No. Company Backflow Irrigation Sewer Cap Dishwasher Meier Dover 100 P • of Certified copy is hereby furnished. Dryers OGas ❑Electric Sub Panel - ❑ Certified copy is filed with the city Building Division. Bathtubs S• ewer Connection . Date Applicant - Fan • Motors DO-1,HP ❑d.%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or - F.A.U. -- Inc.Solar 09-15 HP 016-15+ less). Dishwasher . Solar Piping I certify that i the performance of the work for which this permit is issued I - - Fixtures ' shall not em. •y a . person in any man e so to bme su t to the ' Drinking Fountains • Solar Tank Microwave • Workerrto• •, n O• •. s of Califor f - Date Signature Floor Drains Swimming Pool w/Spa 7 Device Boxes Pole Light NOTI • f,af••r mak' g this declar ion, yo should become subject to the Outlets ' Workers' Compensation provisions of the bor Code, you must forthwith Floor Sinks Urinal • - - -- Range_ • comply with. such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY . Gas Service Outlets - Water Closet Switches • Sign ,/ , I hereby affirm that there is a construction lending agency for the performance - - ` of the ;work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - Garbage Disposal • Standing Sections Lender's Name - - - r - Lender's Address - - Kitchen Sink - -Water Service - Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION i - - I hereby affirm that I am exempt from the Contractor's License Law for the Lav2tOries - Auto-Wash - ' following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap ' - Laundry. Trays . •l ' any structure, prior to its issuance, also requires the applicant for such permit - to file asigned statement that he/she is licensed pursuant to the provisions of ROOF Drains - - the Contractor's License Law (Chapter 9 (commencing with Section 7000)of - -Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee , . $ 3 therefrom and the basis for the alleged exemption. Any violation of Section - ::i 31.5 by any applicant for a permit subjects the applicant to a civil • C2.0alty of not more than five hundred dollars ($500). I - DEVELOPMENT SERVICES REQUIREMENTS: {. .,' i *as owner of the property or-my employees with wages as their sole . Reinspection Fee ! $15 _ Issue Fee, • $ 3 ' Zoning Approved By Date - it'ompeniation, will do the work, and the structure is-not intended or-offered - , for sale (Section 7044, Business and Professional Code: The Contractor's � MECHANICAL FEES Building Approved By - Date License taw does not apply to an owner of a property who builds or Improves �`/ thereon, and who does such work himself/herself or through his or her own - Application Issued By553sData Y^ �s employees, provided that such improvements are not intended or offered for Boiler • . Hood or Type I. 0 l sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 . O pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUM�{pRiLQF FEES tv' LI\Z prove (for the purpose of sale). BUILDING PERMIT $ Y',R $MIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural - Refrigeration System PLAN CHECK ' tractors to construct the project (Section 7044,Business and Professions Code: f $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating_ - ❑0-100,000 BTU 0100,000 BTU _ . - .. PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such orciects with a con- - - - ' ' - ENERGY P.C. $ tractor(s)-license pursuant to the Contractor's License Law). I am aware that ' Exhaust System 0 Multiple 0 - System Repair/Alteration • 4 er ` PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. ‘71 ELECTRICAL $ GRADING $ ❑ 1 am exempt nde Section P.C.f• is reason Firepl/Fact.Blt. ICBO dk Fire Dampers MICROFILM $ Lw / — • PLAN CHECK 50% $ Date -CMA P' owner �� �, Heating System&Ducting, Registers ' $ G` \t' J_/,lT0 MECHANICAL ' TOTAL FEE $ ([ I here''- rtif tha I have red this .•plication and state that the above . - 00-100,000 BTU 0100,000 BTL.-7-7 - - - ' - PLAN CHECK 25% Informatio is orrect. I agree to comply with all city and county ordinances - $ and state laws relating to • • ng construction, and hereby authorize repre- . 5entatives of this. ci y t' -Fit'r on the above-mentioned property for Inspection purpose g - Signature l Date / — �� 01 00027640000'27642 TOT tiz.Ob' Drivers':Llcen or.55 yF _ 00E: 03. 06. 8. TiriE: .1.•26 0865:46;rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL i \ APPROVALS Permit-# ' Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole '''1, 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. • .53. Steel Reinforcement .% se 3. (Electrical Conduit Utility-Undrgrnd. - • d-' 54. Forms 4 4..Electrical Conduit-Undrgrnd. - •i .. 55. Electrical Bonding ) 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test (.. 6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE , ' _ 7. Footings ' ' ; , 58. Electrical Conduit-Undrgrnd. J • , 8! Foundation 59. 'Gas Pipe, 0 Undrgrnd.,Test 4 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.. Structural Floor System 61. APPROVAL TO DECK .4' 11'.Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer;Cap i 63. Heater & Vent-Final • I 13. Roof Drains .64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring -67. Fencing & Access Approval • 17. Rough Wiring Sign •68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19'. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating - 71. Product Piping O Gas 0 Oil 23..Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro -• 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing I . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .• - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i 33. Final Electric : Notes: Hn 34. Final �aiig&.Atr.6er +dieivrtRig i/e.tr 7,-;_pbf"fir Nei- &a f?"‘ j,f 3_ a 35. Final Gas Pipe-Test / 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final - 42. Backflow Preventer •-, f. 43. Backflow Irrigation . r r• I - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING O)T'f , 7-a, smogs DET olV 48. Special Requirements Completed t` 49. Electric Release to Edison ., 50. Gas Release to Southern California Gas Co - I. 51. CERTIFICATE OF OCCUPANCY - • No. Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CO6/t-C/ON PERMIT f 3-_ A.P.# Zone Project Address / rl- _ I S Main Building: Accessory Building: Applicant's Mailing Address - (y TYPE OF CONSTRUCTION H NEW H ADD H ALTERATION LI REPAIR Owner's Name ,C —i t' --�JPhone•• Vg-- 9('L��' CONVERSION ❑ DEMOLISH CI OTHER T Front • 0 'DESCRIPTION OF WORK/USE-OF BLDG. I A 'Rear N Address Arch/Eng. License No. TYPE OF PERMIT CI GRADING H FOUNDATION CI STRUCTURAL C Right N Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I S • Left R Contractor's Name Phone CI OTHER F Ping. Ref.4 Parking Req./Provided . ' , E DESCRIPTION 5q. FT. OCCUPANCYAddress(mailing) �('� n Planning Notes: T,�'// 117CONSTRUCTION TYPE VALUATION$ City License No. / ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DELL! PROJECT ATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •_ with section 7000) of Division 3 of the Business and Professions Code,and ` my license is in full force and effect. . ELECTRICAL FEES Seta License class License No. Date Signature PLUMBING FEES Automatic Washer Transformer ❑ 15.50 KW WORKERS' COMPENSATION DECLARATION - I� Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers n' Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps �, Lab. C.) Backflow Preventer Service Sink - :y No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps � — �— IJ Certified copy is hereby furnished. — Dryers OGas ❑Electric *j Sub Panel st LJ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection — - s, GGvrr�"' Date - ApplicantFan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - I ss)ssection need not be completed if the permit is for one hundred ($100)or Dishwasher F.A.U. Solar Piping Inc.Solar ❑9-15 HP ❑16-15+ I certify that in the performance of the work for,which this permit is issued, I - - • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa9 NOTICE: If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - Urinal I Outlets Range 0 ''') ' comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING' AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater - Garbage Disposal - Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service• Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License.Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays any structure, prior to,its issuance, also requires the applicant for such permit /I(' to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains t \ `•� the Contractor's License Law (Chapter.9 (commencing with Section 7000) of - - Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee . $15 Issue Fee 4-2— therefrom therefrom and the basis for the alleged exemption. Any violation of Section " •+9+-31.5 by any applicant for a permit subjects the applicant-to a civil (/—Telty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS: 'a; 2, as owner of the property or my employees with wages as their sole Reinspection.Fee I $15 Issue Fee $ 3 Zoning Approved By Date eeompensation, will do the work,and the structure is not intended or-offered - - - - - - for sale (Section 7044, Business and Professional Code: The Contractor's' MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of'a property who builds or improves _ /� �/ �s thereon, and who does such work himself/herself or through his or her own Application Issued By 75IaY' Date--)>--.4,1 "1 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- • - - -- - Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving.he/she did not build or im- Duct-Under Ground rove for the-purpose of sale). - ' BUILDING PERMIT $ SMIP - $ I as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT actors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating : ❑0-100,000 BTU ❑100,000 BTU PLUMBING - $ ISSUANCE $ - builds or improves thereon. and who contracts for such oroiects with a con- _ tractor(s),license pursuant to the Contractor's License Law). I am aware thatPLAN CHECK 25% $ ENERGY P.C. $ - (f Exhaust System 0 Multiple 0 System Repair/Alteration GRADING $ - proof o their Worker's Compensation insurance should be provitl d to me. ELECTRICAL ' ❑ i am e%e pSection ests P.C.f r tnj reason Firepl/Fact.Bit. ICBO# Fire Dampers � y^ B PLAN CHECK 50% $ MICROFILM $ _ Date /�/!/t tlerOwner Heating System& Ducting Registers - MECHANICAL $ TOTAL FEE $ •7 ?.--C- I herw.P!/cerlFif that I have read his ap lication and state thattheabove - 00.100,000 BTU El 100,000 BTU - informs ion is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ Lay and state laws rel-ting t• buil. •g construction,and hereby authorize repre- sentatives of city •• - er upealthe above-mentioned property fol, - • - inspection pur Ases. C -. --ld • • • Signature ` .- •'te 01 • /J_Q-7$.3 00027643 TOT 15.75 • — � , • .. DATE: 03/06/89 TIME: 1i:2a' 0865-46,rev. 5/88 white - Building; Canary :'Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND.PLANIVING • POOL t 4 APPROVALS Permit# Jate Inspector APPROVALS Permit# ` Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. (Electrical Conduit Utility-Undrgrnd. 54. Forms • Electrical Conduit-Undrgrnd. - 55. Electrical Bonding !; 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • I 6. Electrical UFER Grnd." . 57. APPROVAL TO COVER-GUNITE • ' A 7. Footings .^v 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9r Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. r , 10. Structural Floor System 61. APPROVAL TO DECK t, 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12:'Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final - I 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - ,$$ q adNotes: 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 Domestic-Final 42. Backflow Preventer - - •. , yl 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 .I I 51. CERTIFICATE OF OCCUPANCY • • I No. Date - - f i • - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • • CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 2�L Z-/",'4a.- P� 133V \ toS / /673 /7 A.P.#G�39 a ,� - c73 _ zona Project Address �• S Main Building: ,'�/i room I Accessory Building:, Applicant's Mailing Address / TYPE OF CONSTRUCTION ❑ NEW HADD ❑ ALTERATION U REPAIR E - � .�} �Z k, LL ❑ CONVERSION ❑ DEMOLISH C OTHER : T Front � (>d • O Owner's Name .�. Phone r DESCRIPTION OF WORK/USE OF BLDG. B Rear -2o�( 1 N Address p�g A - I Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION 13`STRUCTURALK Right ^1 t ' - G Address F.11 TENANT El ELECTRICAL PLUMBING ❑ MECHANICAL' $ Left 5 QM R ❑ OTHER 1- S.SG.-lLsrim Pln Ref.# Contractor's Name / �I Phone 9 Parking Req./Provided Q C ( \ PROJECT DESCRIPTION SQ. FT. ZS6 a OCCUPANCY Address(mailing) CON STRUCTTiON TYPE 1�f tpt LVALUATION$ ' I6q,z mi tanning Notes: ��,,7•, N herdnm M City License No. ZONE ^LI GRADING CU-YDS. ACRES G J 14• " rLi, 2{.-, (tt C.L/5Frs_, S LICENSED CONTRACTOR DECLARATION - "arr.��� ,/1 /� /-� U 1` I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - �� K•'' i SL� �_ `•ytiy.[� with section 7000) of Division 3 of the Business and Professions Code, and tF `r6 vVV my license is in full force and effect. - ELECTRICAL FEES License Class License No. Date Signature PLUMBING I FEESW • Automatic Washer Transformer 0 15-50 K- WORKERS'COMPENSATION DECLARATION Construction Pole Sub. ❑ 50+ KW , I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, oy.a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps' 1, Lab. C.) L. Backflow Preventer `.Service Sink cy No. '•cipany Backflow Irrigation Sewer Cap J - - Dishwasher Meter Dover 100 arimps' HCertified copy is hereby furnished2 7:. . [] Certified copy is filed with the city:Building Division.) Bathtubs :Sewer Connection, 7•: Dryers •❑Gas ❑Electric Sub Panel ":-i Date Applicant% -- • �ry� • - Fan _Motors ❑0-1HP ❑1M-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - (This section need not be completed if the permit is for one.hundred ($100)or - t. F.A.U. Inc.Solar ❑9-15 HP 016-15+ less). DishwasherSolar,Piping :%• ../7" • I certify that in the performance of the work for which this permit Is issued, I ,f, _ .r - Fixtures shall not em toy a y person In any manner o a to be a subject to the Drinking Fountains • :Solar-Tank /! i' Microwave Worker o ws of California -- ` Date isnature- k '" .Floor Drains Swimming PoolPw •/Spa / Device Boxes Pole Light - NOTICE: f, f makin this declaratio , yo should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal - Outlets - Range •• .comply with such provisions or this permit,shall be deemed revoked. • CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance ' of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor • OWNER BUILDER DECLARATION •— ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section'7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair' P-Trap Laundry Treys• - any structure, prior to its issuance, also requires the applicant for such permit -to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • - - the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/she is exempt • Reinspection Fee - 'r $15 Issue Fee $ 3 thhrefrom and the basis for the alleged exemption. Any violation of Section - i•/'9,;i: 1.5 by any applicant for a permit subjects the applicant to a civil - `. ' • `?;y,dty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: -� ,/�r� Q� :-'I, as owner of the property ()Oily employees with wages as their sole Reinspection Fee $15 Issue Fee• $ Zoning Approved By LtiI�-9L-' Date J� yS O� compensation, will do the work,and the structure is not intended or-offered - - .. for sale (Secion 7044, Business and Professional Code: The Contractor's - MECHANICAL I FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves --tilt thereon, and who does such work'himself/herself or-through his or her own Application Issued By SC\ Date t2 - U employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the buildingor improvement is sold within one year of com- - • ' Canopy Type I I ❑ SU�N}�LRY F FEES �(� prove , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground �jj /� pr ve for the purpose of sale). BUILDING PERMIT $ SMTP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System - • I 'Iv ractors to construct the project Section 7044,Business and Professions Code: _ PLAN-CHECK $ 1 � PERMIT The Contractor's License Law does not apply to anowner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU - PLUMBING $ ISSUANCE $ - builds or improves thereon. and who contracts for such oroiects with a con- .• - - tractor(s license pure ant to the contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN-CHECK 25% $ ENERGY P.C. $ proof of their Worl 's Compensation insurance should be provided to me.• - :ELECTRICAL $ GRADING $ 0 I am exempt un.•r section ' B •.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ AR • PLAN CHECK 50% $ rCr Date a' t` Owner - �rt�l— Heating System& Ducting Registers • MECHANICAL $ +•-� ` 1 V / TOTAL FEE $ /e� I hereby ce V • I have read this app anon and state that the above ❑0-100,000 BTU ❑100,000BTL - information,' •ct. I agree to county with all city and county ordinances - ' e PLAN.CHECK 25% $ and state la'-' relating to building construction, and hereby authorize repre- sentatives of-this city • • • po a above- entioned property for Inspection purpos /Z'S$� $ • 3 171 OOQ21225-0! 021227 TOT 74v.!`� Signature ` - Date Reinspection Fee $15 Issue Fee Drivers' License or SS . * p DATE; i2/05/88 TIME: 16.22 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor r.. CONSTRUCTION AND PLANNING POOL f 4 _-I- Jate Inspector Date Inspector ,t APPROVALS Permit# �. APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. - - '�.` 53. Steel Reinforcement ('; i , ' 3! Electrical Conduit Utility-Undrgrnd. . 'I 54. Forms is _ • i-II• 4. Electrical Conduit-Undrgrnd. ..• 55. Electrical Bonding r A' i 5. Steel,Reinforcement / 56. Rough Plumbing & Pressure Test -, t 6: Electrical UFER Grnd. . 3/I44 57. APPROVAL TO COVER-GUNITE L '• ' 7. Footings Nj =1��4/ 58. Electrical Conduit-Undrgrnd. ); '...4 .I 8 ./Fouridation _ 4- 59. Gas Pipe, 0 Undrgrnd.,Test �J• ' ; 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. / i 1 ' 10.Struciural Floor System 3 Zc7447 • 61. APPROVAL TO DECK r,- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer.Cap •-' 63. .Heater & Vent-Final -1 13. Roo&Drains - I 64. Plumbing System - Final I ., 14. Roygh'Plumbing %,. 65. Electrical-Final 15. Rough_Electrical-Conduit - 66. Solar System-Final 16. Rough/Electric Wiring 67. Fencing & Access Approval 17:/Rough Wiring Sign 68. APPROVED FOR PLASTERING 18/Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.-,Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT r? , 20:'-Rough Factory Fireplace' e_ APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating • •r' - 71. Product Piping O Gas 0 Oil 23.-Gas Pipe-Rough &Tps't r'1_ ' 72. Underground Flush 24. Root Framing illi ' .' 04.b?-) 73. Undergrnd.Storage Tank 0 Gas O Oil 25. Roof Sheathing«-. lf..} 03Z4AA 74. Overhead Hydro . . 26. T-Bar Ceiling (SMtictural) &Monocoat 75. Dry Chemical 27.,Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding'' O Gw 77. FIXED SYSTEM FINAL 29. Insulation `' 78. FIRE PREV. FINAL 30. Drywall Nailing �% HEALTH DEPT. REQUIREMENT _ 31. Plaster Brown Coat- .1 14-i ! f� EC 79. FINAL INSPECTION 32. Electrical Power Meier-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 11- Notes:fun- )h 4 5- The- ---_. 34. Final Heating & Air'Conditioning 35. Final Gas Pipe-Test r7ti:d 7 -6/ Ac.60 ci,q 1N/4" 36. Hood or Canopy /10?9i/ 37. Final Factory Fireplace // 38..Final Plumbing F 39.• Water Service-Final - I l ( � (tQrV 67c 40: Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 'l , 43. Backflow Irrigation , 44. .Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations ///Q/ 47. FINAL STRUCTURE & BUI LDING 7' DC 49 48. Special Requirements Completed 49. Electric Release to Edison i 50. Gas Release to Southern California Gas Co i 1 51. CERTIFICATE OF OCCUPANCY No. Date ' ' ?P ca '9 Ica o 1 I' ace except those within heavy bottler lines antl sign all appropriate declarations. a CI F COSTA MESA CONSTRUCTION PER T PE IT O. TRACT NO. LOT NO. UNIT NO. A P # Zone Proj ['Address _Z/L L/GL 4,4"j �� : � S Main Building: Accessory Building: Applicant's Mailing Ad•ress TYPE OF CONSTRUCTION ElNEW Li ADD U ALTERATION LJ REPAIR E - 2 �\ Front S �e- TC% CONVERSION ❑ DEMOLISH ❑ OTHEERR7 - T O Owner's Name i Lt Phone ,v /DESCRIPTION OF WORK/USE OF BLDG. L 1 A Rear _ N / Address • J C Right — N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL K G Address ❑ TENANT,ELECTR IICCALL ❑ PLUMBING ❑ M CHANICAjL /f s • Left R Contractor's Name Phone ❑ .OTHER F LY"- ce c O/'/ / t� Parking Req./Provided E e0.4/176/0r- `�_q 7 L P /Ref.# r� PROJECT DESCRIPTION SQ. FT...../ •'f' p, pq ,,5a6 FF"/L''vra" in Notes: O Address(mailidg) r` 9 � • M IJ CONSTRUCTION TYPE VALUATION$ City License No. T GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION q - \ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: s&' CS _ with section 7000) of Division 3 of the Business and Professions Code,and l v 2 my license is in full force and effect. - . ELECTRICAL - FEES License Class License No. Date Signature PLUMBING FEES W Automatic Washer Transformer 0 15-50 KI WORKERS'COMPENSATION DECLARATION • - Construction Pole Sub. 050+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers r• Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to amps ), Lab. C.) Backflow Preventer Service Sink ke .y No. - Company Backflow Irrigation Sewer Cap • - Dishwasher �-- Meter Dover 100 amps ( ' L� Certified copy is hereby furnished. I ,_ /1c4J Li Certified copy-is filed with the city Building Division. ., Bathtubs Sewer Connection• Dryers ❑Gas ❑Electric %6' Sub Panel /r Date Applicant '-• 'p,. Fan f;.. Motors❑0.1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Clarifiers Solar Collectors . (This section need not be completed if the permit is for one hundred($100) or - — — -- .I Inc.Solar 09-15 HP ❑16-15+ 3 less). • -- '� - Dishwasher Solar Piping I .A.U.�iy /'. b-c I certify that in the performance of the work for which this permit is issued;I'- �. .-.. rF fixtures shall not em toyy any person in any mann so as��..qq becom subject to the, Drinking Fountains Solar Tank -1 Microwave s,SC t Fjas Ion La of Californ iso `/• `= .� . Date- 22SS_ gnat ure /',a C Floor Drains Swimming Pool w/Spa .? Device Boxes st Pole Light `,� (� NOTICE:If,after making this declaration, y u should become subject to the i t Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • .J Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY _ 2 1.� $. Switches Sign I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet — of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater �1 Garbage Disposal Standing Sections •Lender's Name ,/� ,,- Lender's Address Kitchen Sink 7� WatenService 2 Generator 00.5 KW❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION •Y_ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - following reason (Section 7031.5 Business and Professional Code: Any city or - - county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays .t _ any structure, prior to its issuance, also requires the applicant for such permit ' to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains wi 1� H the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt -/ != Reinspection Fee $15 Issue Fee .4-5 - 11 therefrom.and the basis for the alleged exemption. Any violation of Section - - ' ! 5 by any applicant for a permit subjects the applicant-to a civil -` liy of not more than five hundred dollars($500). • ,DEVELOPMENT SERVICES REQUIREMENTS: as owner of the property or my employees with wages as their sole Reinspection FeeI $15 Issue Fee $ S 'Zoning Approved By SIL rtonlpensation, will do the work, and the structure is not intended or-offered Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES S Building Approved By e' _T Date .License Law does not apply to an owner of a property who builds or improves SI-A, { /q�]] thereon, and who does such work himself/herself or through his or her own ' Ajaplication Issued By Dat --h '—t7 employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ . • sale. If, however, the building or improvement is sold within one year of corn- - - - - Canopy Type 11 0 -- SUMMARY OF FEES . •pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground - e for the.purpose of sale). r _el. BUILDING PERMIT $ SMIP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - c PLAN CHECK • $ PERMIT tact rs to construct the project (Section 7044,Business and Professions Code: s The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU . ,n PLUMBING $ -7 5... ISSUANCE $ builds or improves thereon. and who contracts for such oroiectsawith aeon- i ENERGY P.C. $ _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration `' r PLAN CHECK 25% $ proof of their Worker's compensation insurance should be provided to me. - / ELECTRICAL $ GRADING $ _ ❑ I am exem under Section B. & P .for this reason Firepl/Fact.BIt. ICBO dk Fire Dampers '! • l7 / PLAN CHECK 50% $ MICROFILM : $ _ _ Date L weer Heating System& Ducting r Registers 9 Z�' i C �/ I '.� MECHANICAL $ TOTAL FEE $ _ I -herebycertifythat I have reaCCthis ppncation and state that the above / ;KO-100,000 BTU 0100,000 BTL 7 PLAN CHECK 25% information is correct. I agree to comply with all city and county ordinances i ,, - .4'..•••• $ - Scac and state laws relating to building construction, and hereby authorize repre- . sentatives of this city o r yp�n the above-mentioned property r r- Inspection purpos C 1l • Signature Date Few i Drivers' License or SS -S �' Reinspection Fee $15 Issue Fee - 01 00027634-00027636 TOT- - 85,,2 . . 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 03/06/S51 TIME: 11:23 14 CONSTRUCTION AND PLANNING .. • � POOL ' 'A . r}.PPROVALS Permit# Jate Inspector APPROVALS Permit# ,,`• 'Date Inspector 1-. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1 2.• Soil Pipe-Undrgrnd. 3.72411(11-0,0053. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 't,', 4!Electrical Conduit-Undrgrnd. 3/q/� /IC,Q4 55. Electrical Bonding �„ ' - 7 Vt' is 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 1 ,'I 6. Electrical UFER Grrid 57- APPROVAL TO COVER-GUNITE - .6 . l • 7. Footings • r -) , r' 58. Electrical Conduit-Undrgrnd. 8: Foundation59. Gas Pipe, 0 Undrgrnd., Test' /� 91 Water Pipe-Undrgrnd. 3/20 60. Backwash Lines, P-Trap, 0 Undrgrnd. lt', j q-1",..4? 10. Structural Floor System 61. APPROVAL TO DECK / ' 1r1!Property Sewer Line & House Connection OM LEQ 62. Backwash & Receptor-Final • , 12. Sewer Cap , 63.'Heater & Vent-Final r,,-- 13. Robf Drains - 64. Plumbing System - Final ( - 14. Rough Plumbing ,c/,r��L/ `fj'� 65. Electrical-Final 1 15. Rough Electrical-Conduit / % _( 6/�L�•- 66..Solar System-Final �i 161 Rough Electric Wiring 67. Fencing & Access Approval - ,1i.'Rough Wiring Sign. 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '1b. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace „j APPROVALS Permit# 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test ,,, - 72. UnA-ground Flush 24. Roof Framing! ` 73. Undergrnd.Storage Tank ❑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(i 77. FIXED SYSTEM FINAL 29. Insulation ./,{ 78. FIRE PREV. FINAL • 30. Drywall Nailing li HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79. FINAL INSPECTION 32. Electrical Power• Meter-Final 3J6i l ,� 80. FOOD CERTIFICATE ISSUED 33. Final Electric /S'p, test LNotes:.3rgfg4' GG G43..5f't0 cola ote. ° 34. Final Heating & Air Conditioning �E!` {it-fir '71-7 t9 /a�d / 2,41777441/.41 274971 35. Final Gas Pipe-Tes - 047` L (4!) 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 11/7/t p, ('4W 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final • 42. Backflow Preventer i' ' . 1 43. Backflow Irrigation • -3 44. .Landscape Irrigation System - C'' 45. Sound Attenuation 46. Handicap Regulations : . 47. FINAL STRUCTURE& BUILDING i• 'r r- 48. Special Requirements Completed - - 49. Electric-Release to Edison \ 50. Gas Release to Southern-California Gas Co 'A- • I • 51. CERTIFICATE OF OCCUPANCY ( - - ' ) ' • ', r . • ...141 fr '• No. Date t ' 4OWNER TATUM, PETER DATE 5-24-68 JOB ADDRESS 212 Lillian Place BUILDING PERMIT NO. 28625 i- GENERAL CONTRACTOR Owner-Builder DESCRIPTION aFWORK Detached Garage A" 119-122-03 LOT 17 TRACT 1163 FIRE ZONE VALUE $ 1,773.00 ;ii," t ,;TIONS Signature Date GROUP J TYPE V ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dote Number � Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER n l' cc ROUGH WIRING r-1 .r-i5--1,& _' Heating and Vent. TRENCHES E FORMS ❑ STEEL REINF. 0 !` CAM /_ 2 T! FLOOR SYSTEM a Y .J' b V BOND BEAM n STEEL REINFORCE n ../ SHEATHING - J-z /2f /'f,� ) FRAME AND FLASHING `A4' O- V �/•�6 LATHING — IN n OUT b.,./1 a. ]- 411, PLASTER, BROWN COAT �t �' - 5- 'URAL, FINAL Electric H G, VENT., REFRIG. AND A.C., FINAL C9-1.-4-9-14-e_--L--# 7-42-&k ,..g 5W-37 PLUMBING, FINAL AND GAS TEST n /J p ELECTRIC, FINAL /1 /` 5'-f-GF- BUILDING, FINAL 4fl- /i-; "68 2862b HAY 27-68 CNSAmIB001264* ****13.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92826 - For Applicant to FM In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING /� For Oltlee Use Only BUILDING 1t g X ///1 S ADDRESS �( TMY L/,' RECEIPT NO. P[ ))TS Oi COSTA MESA. CALIFORNIA � (p ATE OWNER/1;;161,0 /�f+' ,../ / ��,I�y pyJ// RICE BY ' D-RECEIVED�_3� / B,BL.0 6� NG ADDRESS A(/AC h, >4M / [i / ADDRESS ///�— Lp - O( FIRE CITY en 1 /1//( 110 TENOL ,�f- � ZONE TYPE Li GROUP '/ ARCHITECT TEL APPROVED 72( ATE J�/r -Lt OR ENGINEER NO. // ZONING i-yJ. ADDRESS - !� ZON[n ' I No.or I USE OF NEW AV/�` PLANS !Y BUILDING CONTRACTOR IPTION .,/,..(k* l ,/� (/�� gItiLtije- DESCR // .�/_ / 7f r V •I /"" 3 ADDRESS a CITY A.P.NO. 119 ^ ( .)--.>- - -3_ (7 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL 30"TO SIDE 0 REAR p.L. LIC.NO. NO. EAVES SIZEOF LOT 7( k Lops I NOW ON LOT f NO.or noes. AL YARDS APPROVED LOWED (U YARDS APPROVED VE YARDS USE OFt'ff© � MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. IIS, (FROM C/L STREET) //5) SETBACK LINE FROM FRONT e FT. /7 PT<4i-C.G-.., CENTER OF STREET REAR YARD SIDE TARP LEFT RIGHT R.AIDE FT. L7PT. DESCRIPTION OF WORK A. L.SIDE FT. t3 rr. NEW - ALTERATION_ ADDITION REAR PT. FT. DISTANCE BET. BET.MAIN& n/• REPAIR /� //I MOVING// DEMOLISH MAIN SLOGS. ACCESS.BLDGB. 7 V e ZE DINGaC� X 9C(O ROOMS / STORIEESSS/( CAU.p.# APPROVED EXTERIOR e(WALLJ�/w J1 CROOF OVERING�� TPROVt� ,�J /,/p COVERING / A O `yS IJII1 Imo / DATE 4 —�3 SCJ\\ USED iBU LD1 WORK TO SE PERFORM - 61-n i Pi SO.FT. I HEREBY ACKNOWLEDGE THAT.I NAVE READ THIS APPLICATION 'THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O AND STATE THAT THE ABOVE JR CORRECT AND AGREE to COM. PURPOSE Or ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY O MANCE/ANO STATE LAWS REGULATING VALUATION BUILDING CONSTRU re /77 r' PERMIT FEE 5 PI PERMI �� SIGNATURE �'V- a (J / /3 I/ PLAN CHECK $ /(�� W �AUTHORRtD AGENT _ !! /` TOTAL FEE $ � ��