HomeMy WebLinkAbout201 LA COSTA CT - Building Permits r -
CityofCostaMesa TEMPORARY EcoSraaCebo ar $r MI
Development Services Department CERTIFICATE OF OCCUPANCY No. 001897
Building Safety Division
P.O.Box 1200
Costa Mesa,California
The Building located at ZD1 La Oxha (bort
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 2-3 Occupancy.
Use of Building wrriAarrn
Legal Description f%o- -(14('
(See reverse side for Metes and Bounds)
BaZign
Building Permit Nom//O ' Electrical Permit No.F'7Tt77.Rn9c1171 Plumbing Permit NoFinn 7.R 5R71
Mechanical Permit No. °l' fi'f'e Number of apartments and/or guest rooms
ISSUED TO: Building Official Pill FY.-r, ri
i4-J�C% I�:S7ci Fi1il --tsr Inc.
L)1 Pro'xlicat Pias by _ -
t Eat7l4iO4 97SC3
Date
Th:pertjficate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C.
CMF 1015-46 rev. 1/83 White-Owner:Canary-Numerical File;Pink-Bldg.Permit File
891 Production Place
Newport Beach, CA 92663
Newport Harbor Builders, Inc. •
Mr. Geo. Eudmonson
City of Costa Mesa
P.O. BOX 1200
Costa Mesa, CA. 92626
RE: LA COSTA COURT
We respectfully request a temporary occupancy on the above address. We are
unable to complete the requirement at this time for the glass fireplace doors.
They are being custom made to fit ou arched openings and are due approximately
six weeks from now. e5- 2e9• 67
Thank you for your consideration.
Sincerely,
Wi liam F. Willoughby •
Newport Harbor Builders •
Building Permit #B27066
Factory Fireplace //M29871
Bldg. Address 201 La Costa Court
Construction Management • General Contracting • Development • License#412984 • (714)645-4913
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TYPICAL 611 CONCRETE BLOCK FENCE
Crown
entCopingOptional = gip' I■ GENERAL—ChiBlock With One�BSi ' Ile MI . � I — NOTES
Horieontel Top ofNI• s MORTAR: One Part Plastic Cement, and
GROUT; Th►ue Ports Sand
For Fenno B'or Less P% s,1 P{_' I I: Ili ' ' , One Part Cement Thee and
X i L� One.:Pail Ports S�ond
Vert.Ban 3/r4 et4'4'•O.C. e 0 COPING: One Part Cement, twee
For Furors Higher Then S' ( ' I, 01=31111111111
Part, Sand
'° an '2 I " .'� CONCRETE: Well Mittel 1: 2% t 35
Ven.Ban 31814 et 32"0.C. le
W 4
ga c z • Max. of 7/2 Gallons of
Fill Culls Solid With Grout 1 i °> Z E 1:Mrii." ' Water Po Sack of Cement
Where Steel Ocwn >
Reinforcing Steel Shall 11 GROUT MAY BE
4
A M OA ' I oin
OFT E FENCE POURED FROM THE TOP
Conform to See.A•16.39 p u o
A.S.T.M. I i z m -21 TOR ""u i"g I 1 CELLSANDAREASOFHORRONTAL iN•
I W n 111 FREE OF NT SHALL BE CLEAR,CLEAN&
Ali Steel to be Lipped 9qi� ,�� FREE OF ALL MORTAR DEBRIS,ETC.
K or to Code EE i ILS�1;l:LI'l IOLATION1111111
I •
NATURAL GRADE y ill OLA[��iR CANCEL IE �„ 1 • BONDS SHALL BE PP°VIDEO BY LAYING
tE V , EXCEPT IN 0
MEI M 1s • era p BLOCKS IN STRETCHER COURSES SO THAT
rkr ,�� : BuH no"jn =MUM • • - T - VERTICAL JOINTS ALTERNATE IN EACH
• ." ,O N _ • • ' 27 -� 'PURSE. •
TWO 3'a" CARS a : 1-... •.•-•-• ,! �1 �• 2 .
CONTINUOUS TOP .'l .- .` I
&BOTTOM .� p O WIDTH ` :int-4p( 0 C. MAX. . oe
6 '` BEI BELOW ea i T PRFs:YP.`7; p•`„ 0
• 1 O Z t +r- lygay - DEPTH. OF EARTHTCOTH
PCL ;sr 07'r]LOivL`Ll:!:bt b• t 1/3 THE HEIGTH OF FENCE
k : o TELOW BOTTOM OF FOOTING.
r.
�p;,� 1.'4%1 •I 2.� SCALE: I/2" = I'
re—
;1 TING REQUIREMENTS r _
WALL HEIGHT / 6' 5' 4' 3'
WIDTH OF FOOTING14' 14" 12" 12"
THICKNESS OFFOOTIN 10" (0" 8" 8 "
DEPTH OF EARTHTOOTP 24" 20" 16" 12"
SPACING OF EARTHTOO H 12' 14' 16' 16'
EMS i
OWNERS NAME: NL` QT {nz AvK 1%y225
City of Costa Mesa, California JOB ADDRESS: ? °'Z°zo _DQ= AV� _CLQ_ T _
Building Department i
STREET A
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.` / "Z 1 A C eS7'� Cr Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
"•' RMIT NO. TRACT NO. LOT NO.
CIA:OF COSTA•MESA CONSTRUCTION PER MIT4.r '•4�� MIT G /a(S/ 5 / UNIT NO.
Project Addressalea-aa '-`"'>y �-1�N LI ADD U ALTERATION U REPAIR I I 1 /^'7/a-r TL
£1cl/ React/Ci901/ A NB TYPE OF CONSTRUCTION IP Ew ^^% ^'
Applicants Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name.�e✓J-Vw/ /rr! C .6c;MO phone f�V YP/3: S. , A.P.# 400 " g7QG -0(5,, v Zone
LL,, DESCRIPTION OF W RK/USE OFBLDG. NQW 1 /7.6_______(s.2_
Address a�/ eget) ULoCJV A. .UL'f...Gtri•atot/-• - ,�tvt . 't/ fc—#4 ; -a LA_C..Q_ l�� S Main Building: Accessory Building: Z
Arch/Eng. License No. C1' TYPE OF PERMIT ❑ GRADING LE FOUNDATION LP15TRUCTURAL T Front a , 6 i
❑ TENANTN
Address• /�,�,' J'. ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear 0, 5 / N
Contractor's NameN Yl ✓-f/As Phone C�'SUZ�
Dpi q+ PROJECT DESCRIPTION 5p�7. V �0CCUP CY 3 C Right 7Q' N
Address(mailing) o / / e �a0419,L /It NCS ��j3 T/ �NI �yy� K 5 / G
'` ...- CONSTRUCTION TVPF W . VALUATION $ 15Cw0 S Left
City License No. OS-3V "" ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION b- Ping. Ref.# T -/ q�'� Parking Req,/Provided 01U(/Z7 E
(,/ I I n /�Ifo ' Cl
I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks_ f�C. ' /U - 5'6 /A 4 5.' Planning Notes: H L FOR SPECIAL REQUIREMENICAn ^.+ M
with section 7000) of Division 3 of the Business and Professions Code, ands-. �T V
my license is in full force an ffect. y/�� py/ ._ ( �}/),(n�Qi {Plat T
DO License las5�,--.a �U ice a No. se _ IT - �}K
\jam Date . `L/ �� Signature ms`s • . PLUMBING FEES `,v &d,(/US /�yyCN��,,��.
in_ WORKERS'COMPENSATION DECL ON Bar SinkI Showers ELECTRICA`L� FEES
hereby affirm that I have a nre of consent acert to certified
c self-insure or ofcertificate ion
of Workers' Compensation Insurance, or a certlf fed copy thereof (Section.- /{
3800, Labe,Com} _? �p Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW
,j Policy No.W1"��JbZ�30-c/ Company r ^'e�� j- • Backflow Irrigation Sewer Cap0 50+ KW
1` �� - Construction Pole Sub.
Certified copy is hereby furnished.
ieteertifie Lo rsepey with the city l'4111:4,10.0„,- - Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date x!4.7 M / Applicant
EXEMP ION OM WORKERS'CO -EN •N DECLARATION _ ' Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amp
(This section need not be completed if . -- mit is for one hundred ($100) or-.
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued. I ,_shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Ta. Fan
Workers' Compensation Laws of California- Motors❑0-1 •• 011/2-S
Date Signature Floor Drains Swi• ming Pool w/Spa '- F.A.U.
NOTICE: If,after making this declaration,you should become subject to the Inc.Sala 49-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rinal
comply with such provisions or this permit shall be deemed revoked. Fixtures Mic •wave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet -Device Boxes
I hereby affirm that there is a construction lending agency for the performance - 'ofLight
of the work for(vyhjyh.�thi�-perrp{ is Issued ection 3097 Civ. C.) Interceptors 1• Water Heater - Outlets pang¢•
Lender's Name _�/ CJ/ N — '
Lender's Address „4/1024247/ • .C/ i ✓ Kitchen Sink Water Service Switches Sign
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 • Garbage Disposal • Standing Sections
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 -• - - y y Generator ❑0-5 5-.15 KW Trash.COm_ pactor
to file a signed.statement that he/she is licensed pursuant to the provisions of Roof ain5 f '
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of Rs l'.,
Division 3 of the Business and Professions Code) or that he/she Is exempt'
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). 3 • •
o I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
- ES
-
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL
License Law does not apply to an owner of a property who builds or improves ____ _
thereon, and who does such work himself/herself Or through his or her own - - DEVELOPMENT SERVICES REQUIREMENT-C.
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Ia •
sale. If, however, the building or improvement is Sold within one year of cam- Canopy Type II ■ - Zoning Approved By - "`��/ Date U
pletion, the owner will have the burden Of proving he/she did not build or im- Duct- Under Ground Building ApproV¢d By / S,�' Date _ 1
prove for the purpose of sale). 7
o I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigerat ystem Application Issued By e___ 4it ��i Date_e_ -___ :t7
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 01 '0,000 BTU ❑100,000 BTU SU MARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- _ _
tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple 0 System Repair/Alteration - J BUILDING PERMIT $ 73 t00 SMIP $- Q t OS-
proof of their worker's Compensation insurance should be provided to me. PLAN CHECK $ n .SG PERMIT
I: I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIC ICBO# Fire Dampers ISSUANCERMIT $
PLUMBING $
Date Owner Heating System& I.cting RegistersPLAN CHECK 25% $ ENERGY P.C. $ •
I hereby certify that I have read this application and state that the above ❑0-100,00' e U al 00,000 BTL ELECTRICAL $ GRADING $- -
information is correct. I agree to comply with all city and county ordinances
and state .ting to buil.'.. •. truction, and hereby authorize repre-
sentatives of this s-r upon he above-mentioned pr pert for 6
•
inspectio • nteor - .
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
f
CONSTRUCTION AND PLANNING POOL &SPA I
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location y'
/
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
/
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement i / 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. C2-1S Iv Cal 57. APPROVAL TO COVER-GUNITE
7. Footings 2 J3J ay V'- 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, D Undrgrnd.,Test '
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System X(44'E'1 ` � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ! 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final '
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
i.
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
j( 73. Undergrnd.Storage Tank 0 Gas 0 Oft25. Roof Sheathing r-f/ r41 D - 74. Overhead Hydro (2
26. T-Bar Ceiling (Structural) & Monocoat 44 ( 75. Dry Chemical �,j
I
27. Frame and Flashing St/ffry & 76. Dry Standpipe f'i ,
•
28. Lathing & Siding Alb$/ 1 (Zr ' 77. FIXED SYSTEM FINAL ,..1
29. Insulation _./s &Ad 78. FIRE PREV. FINAL D "
30. Drywall Nailing s49 GV HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �/� G.y G^/ 79. FINAL INSPECTION
32. Electrical Power Meter-Final Q 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: Fottsices FTG a.i17/p-z &m
34. Final Heating & Air Conditioning R> L1IREMEN'TS
35. Final Gas Pipe-Test tab ra� gaol,
36. Hood or Canopy 1' P-1IrY1 Iran
92,,(1)U-Lai- /��(',l• i
37,•Final Factory Fireplace 1 e�� l ,
38. Final Plumbing
39. Water Service-Final I
40. Gas Service-Final . '1.
41. Solar Domestic-Final
i
42. Backflow Preventer r
43. Backflow Irrigation - 1'
44. Landscape Irrigation System - - - ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 122.42./
12.>�/7 IA" 'g c)
48. Special Requirements Completed 9 /fri M
lal '(' 1Vt1
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co I. _1
51: CERTIFICATE OF OCCUPANCY '
No. Date
a .
,.
CITY OF COSTA MESA
•
PARK FEES 1196 I/27/874636.86 _ .
• Fee Payment Receipt /�� 001068.
Project Address a oa/ rrQ�()14 ,-2o& L tx rcL/ Court
A.P.Number 1-1(96° — n{D a*— n(9, 07
Building Permit Number , 70Cco A0-7066
Owner's Name etPt/..0/2/01,--0/
Mailing Address ;7 /0 -P-CUA)/2 ( .l tna . d-( Mar'
FEE: Single Family * Number of Units
2-Bedrooms or Less @ $ 861.76
3-Bedrooms r� @ 1,205.67 =
4-Bedrooms 3 @ 1,545.62 = e.036o•(9OO
5-Bedrooms+ @ 1,810.50 =
Multiple Family **
Bachelor or Studio @ 474.37 = _
1-Bedroom @ 573.18 =
2-Bedroom @ 881.51 =
3-Bedrooms+ - @ 1,229.38 = �/-
� �,"" Total Fee *** LI] � W•19l0
Planning Department Ap. .val Da / �. 7 •B 7 By (�a.q..7c171(d/i'/y(,n
Applicant's Sig . . - =�
• City Ordinance 72-44 •• City' •••City Resolution 78-116 � IlII�y1,IIr7r��
CMF 0174-30,rev.7/85 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant VI/�ViIIW��a
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE
WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATIVE CODE ,
TITLE 25 , STATE OF CALIFORNIA , IN THE BUILDING LOCATED AT :
•
TRACT/PHASE : LOT NUMBER : .
evoir
SITE ADDRESS : o Nyco CoS>OSItg (Q i F,Si/
Numbe�rD lJ Stet City
EXTERIOR WALLS :
Manufacturer M Thickness /Type : 314? R/Value : /2-1)
CEILINGS : Blown ( circle one ) e- 33f f � !
►e-da 7yy,i
Manufacturer : 's
J � Thickness : g-1 � R/Value : (o-3�y
GENERAL CONTRACTOR : hf(,ilnpr ) -nehp eESLICENSE # :
BY : J TITLE : DATE :
INSULATION CONTRACTOR : WESTERN INSULATION LICENSE # : 9r/977
BY : eALip fr1,114,trn,
TITLE : .51k s5y DATE : Z 41572
' O ...g°e/7 , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1
CITY OF COSTA MESA CONSTRUCTION PERMIT. - - ± /�P--EERMIT NO. TRACT Nom- LILOT NO. UNIT NO.
rialA
Project Address "� 2773 a3 1, ,')` S
Applicant's Mailing Address /O?I' P&'Qc.CZ V 124 • �•�,p TYPE OF CONSTRUCTION LNEW U ADD ❑ ALTERATION U REPAIR p FFR 1 1G`'�/ Y
Owner's Name /r4/�r''t-a/fLCLL/J Phone eructs ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
rre A.P.# s-Y•1 Fj `�p 2 /(.� ;2/one p'
/� //��yy DESCRIPTION OF WORK/USE OF BLDq}. •.s4 Y 1 •'4 a 5
Address Wen:0 c/C /7✓ /e-. .SGC a ( S Main Buildi Accessory Building:
COC6liL. AlJL1Q�Ol1 Y�/G(�,( / E ' ..' v.,.,i.. ..'_..,c Z
Arch/Eng. License No. TYPE OF PERMIT GRADING/ Li FOUNDATION S TRUCTURAL T Front 0
Address • �/� ❑ TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
/VErv/:YJF•� M9(l9ry /r'�Phone er5 - 111 OTHER A C Right (,JL�O N
Contractor's Name 91,�� ��
Address(mailing) O/ ao't• /!J� A. rLif PROJECT DESCRIPTION OCCUPANCY-N�� K G
^�t CONSTRUCTION TYPE \' VALUATIONS 4,n,v' , S Left R
r� City License No. lU/� ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION p / /' J /� �� 0,<,,, Ping. Ref.# Parking Req./Providedr E
0
biz I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:/C�e "'1 70 p O _ B�7C7rob (y¢ ass I Planning Notes: 61 to`o�G .v.,a1 1Q t loG�1L M'ps, ry1
with section 7000) of Division 3 of the Business and Professions Code,and ff� O� [ T
\ my license is in full forr,$gg and effect. '/ y� Dv\� [��`_ _y� \'
`••••.......
License i sS�/p.,.,�/9 License No. 7290 - \ t" " 1 `U••d S
Date....V2.T'_ Signature _ PLUMBIN� FEES
WORKERS' COMPENSATION DECBar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service SinkA
3800, Lab. C /_3 e.s no.�� Automatic Washer Transformer 0 15-50 KW
l u Gv/�8G GC filen ritr ❑ 50+K W
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub.
C fieri copy is hereby furnish..
ertifietl o y Is ,i r-yith'the c e _ Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps
Date/ ��s• / Applicant
���...fff Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
E%EMPTio FROM WORKERS'C• ON DECLARATIONP
(This section need not be completed it Is for one hundred ($100) or '
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit Is Issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors ❑B- P ❑1'/x-8
Workers' Compensation Laws of California. -
Date Signature Floor Drains Swim - g Pool w/Spa F.A.U.
Inc.So 9-15 HP 016.15+
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks U KII Fixturesrowave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
Light
I hereby affirm that there is a construction lending agency fo the performance Pole Li g
of the work for which this er l u do 3097 Civ. C.) Interceptors Water Heater
Lender's Name ��a�.' 'l -> i{•1°'t P Outlets Range
Lender's Address "14) O AOC# At Kitchen Sink Water Service SwitchesSign
OWNER BUILDER DECLARATION
1 hereby affirm that 1'am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair Laundry Trays - Generator 1110-0- W ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions ofRoof s •
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
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil - -
penalty of not more than five hundred dollars($500).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure Is not Intended or offered Reinspection Fee I $15 Issue Fee
for sale (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL FEES _
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERCS REFIUI REM 2 3� S
employees, provided that such Improvements are not Intended or offered tor Boiler Hood or Type I ❑ � 1
sale. If, however, the building or improvement is sold within one year of com- — Canopy Type II ❑ h
Zoning Approved By � Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved ByDate
prove for the purpose of sale). =��lll, /. 7
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration Syste Application Issued By ��Y�a�.�// - sate 3/1-7
tractors to construct the project (Section 7044,Business and Professions Code: ilif
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,0 U 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
❑ Multiple3/. GO
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 em Repair/Alteration BUILDING PERMIT $ SMTP $ r SO
proof off their worker's compensation insurance should be provided to me. PLAN CHECK $ 90• / PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MilL
PLUMBING $ ISSUANCE $
Date Owner Heating System& D ' g Registers PLAN CHECK 25% $ _ ENERGY P.C. $
1 hereby certify that I have read this application and state that the above ❑0100,000 : • ■100,000 BTLIr GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and stab���s'►�str�.s�_.Y�srating to building construction,and hereby authorize repre-
sentative _T9�allir enter upon the above-mentioned prop rty for r
�7llta .Jj 15 TOTAL FEE $ 7 .
inspection ' MECHANICAL $
DSirivers' � Date
Drivers' cense o S#
;: Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 white - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation �i{�py, 4,24000434,74.„.....51 Gas Pipe, O Undrgrnd.,Test' .-.
9. Water Pipe-Undrgrnd.d. 'c/ 60. Backwash Lines, P-Trap, O Undrgrnd..
10. Structural Floor System • 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final •
•
14. Rough Plumbing 65. Electrical-Final •
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 4
20. Rough Factory Fireplace APPROVALS Permit# I -
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 t ,
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT •
•
31. Plaster Brown Coat 79. FINAL INSPECTION • •
32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning •
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation • .
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING /t1 /17 6-.4148. Special Requirements Completed /0 C
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
•
No. Date
( ��0 �/ LO . 67 Aplslicant to fill inLll sR(c�fkteb!-t(6se�0TERid fi ay border lines and sign all appropriate declarations.
CITY ESA CONSTRUCTION PE MIT O. TRACT NO. LOT NO. UNIT NO. P 5625 10/21/86 31 .00 TL
Project d ,ess r g � /
Applicant's Mailing Address til�.n Ccuf- J PL. ,7�sib TYPE OF CONSTRUCTIONI / U NEW U ADD Li ALTERATION ❑ REPAIR f '
N 61 -Ni i cce-S Phone �rC77� ❑ CONVERSION LK DEMOLISH ❑ OTHER A.P.# - Zone
Owner's Name l
p DESCRIPTION OF•WOR K/USE OF BLDG.
Address • �� f eODl1CbC11d et.. N� - 1 S Main Building: Accessory Building:
Arch/Eng. t. ' License No. flip TYPE OF PERMIT 111GRADING ID FOUNDATION ElSTRUCTURAL E Front
Z
Address NA- -❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ' I N
Contractor's Name tca.e'F Ort ALdIS Phone &rrcq& ❑ OTHER _ . • - A • - I
Address(mailing) co 1 et•Ducm . a P1_ NY3 PROJECT-DESCRIPTION SQ. FT. OCCUPANCY C Right G
g CONSTRUCTION TYPE VALUATION$ G� $ Left
City License No. �.Db�f f
R
LICENSED CONTRACTOR DECLARATION .ZONE GRADING CU.YDS. ACRES • Ping. Ref.# •
' Parking Req./Provided E
0
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: • - Planning Notes: • - i M
with section 1000) of Division 3 pt the Business and Professions Code, and ���N��\ - . T
my license is in full force an (fect. 2 V
License Class !cense No. 9�r S
Ill) Date ib•'1'�-a9b SignaturePLUMBING .FEES
WORKERS'COMPENSATION DECLAR Bar Sink
'relay affirm that I have a certificate of consent to self-insure or a certificate Showers • ELECTRICAL FEES
vorkerz' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink 0 15-50 KW
•
,0, Lab. Cl _ Automatic Washer Transformer
Policy No. r8 -S Z34p"0) Company DCw Oki/ Backflow Irrigation Sewer Cap 'da 050+KW �,
' titled copy is hereby furnished. - _ / Construction Pole Sub.
(� t9'Certified copy is fi)p with the city Bui n. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
'U Date f V"-rn-Vac Applicant
EXEMPTION FROM WORKERS'COMP fON DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)
) or
Dishwasher Solar Piping Dryers ❑Gas ❑Electric [1 Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Motors❑0-1 HP ❑1h-8
Workers' Compensation Laws of California. _
- Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016.15+
NOTICE: If,after making this declaration, you should become subject to the •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks -
comply with such provisions or this permit shall be deemed revoked. Urinel '
Fixtures Microwave
CONSTRUCTION LENDING" AGENCY Gas Service Outlets
1 hereby affirm that there is a construction lending agency for the performance Water Closet Device Boxes Pole Light
of the work for which this permit is issued (Section 309Z •Civ. C.)
Lender's Name P Interceptors Water Heater
Outlets Range
Lender's Address Kitchen Sink Water Service - Switches - Sign
OWNER BUILDER DECLARATION
-
I hereby affirm that'!"am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal . Standing Sections
following reason (Section 7031.5 Business and Professional Code:Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to Itsissuance, also requires the applicant for such permit P
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 •
'cion 3 of the Business and Professions Code) or that he/she is exempt -
'from and the basis for the alleged exemption. Any violation of section
. 5 by any applicant for a Permit subjects the applicant to a civil -
alty of not more than five hundred dollars($500). 1 $ 3
O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ' $15 Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 1
License Law does not apply to an owner of a property who builds or improves _ _
thereon, and who does such work himself/herself or through his or her own - - —
' -.." � DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
�- sale, If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the Owner will have the burden of proving he/she did not build or IM- Duct-Under Ground BuildingApproved y
prove for the purpose of sale). - pp oved BC\ �/�/ Date
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By v "'s+ - Date /4;17//PC
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU • $ MARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- - ,
tractor(s) °cense pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ I •SG SMIP $ 'l�a
proof of their Worker's Compensation Insurance should be provided to me.- - PLAN CHECK $ ' PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING. $ S ISSUANCE $
Date Owner Heating System& Ducting Registers r
PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0'100,000 BT "" C,o GRADING $
Information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- MICROFILM $
sentatives of this city to enter upon the above-mentioned property for PLAN-CHECK 50% $ -
Inspection sg).., _ p MECHANICAL $ .TOTAL FEE $
^ ��
Signature ge Oate /0..-./1-‘24G
Drivers' License or SS q/ Reinspection Fee �VS Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA •
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK-
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final '
12. Sewer Cap 77/y/to /�/l 63. Heater & Vent-Final
13. Roof Drains ( ��l" 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & ccess 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 0Gas ❑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 J-7„-e'7/„j/k2 80. FOOD CERTIFICATE ISSUED
33. Final Electric �/ ' Notes:
$��T/r� Grp -a)-�) 9m�,.p. 6ha: idP_ a,e
34. Final Heating & Air Conditioning J /
pc/11 fl.,it JG f( 5 /, c3 CGM ,Dr,7�erf�
35. Final Gas Pipe-Test
36. Hood or Canopy
. -
37. Final Factory Fireplace
38. Final Plumbing g�7/Q7
39. Water Service-Final
40. Gas Service-Final 1 .
,41. Solar Domestic-Final /
42. Backflow Preventer : • -
(43. Backflow Irrigation - I,
•
44. Landscape Irrigation System •- .
'45. Sound Attenuation '
46. Handicap Regulations . r•_;
47. FINAL STRUCTURE & BUILDING D Qr 1/t^ 43.4""/43.4""/ . .
`d
48.FSpecial Requirements Completed
49. Electric Release to Edison
. .. 1:
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
1 ( - _
J
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY bc.cosTA MESA CON TR CTI N PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Project Address • / L4 C. Co v rt' 1°Z 7'OQ L � 1352 49.88`TL
'Applicant's Mailing Address ,� M�}i ,/t/ �( f TYPE OF CONSTRUCTION I❑"ANEW LI ADD L] ALTERATION H REPAIR
Owner's Name _X r - g. . ,•Phone 6 r'�T •�j ❑ CONVERSION ❑ DEMOLISH ❑ OTHE � one
S A.P.AP #
Address DESCRIPTION OF WORK/USE OF BLDG. •
S Main Building: }\a5�4ory�LldJpg37 i,9.F HZ IL
E
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING UNDATION H STRUCTURAL T Front 0
Address . (� //�� f' / ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name A /1• isv ,C/ i V' fplhro,hone£ T- ran ID OTHER A
C Right N
Address(mailing) /c7 / sen-a�l--� /• • PROJECT DESCRIPTION SQ. FT. OCCUPANCY ,K G
2-4/9_72—
LICENSED
cl 7Z CONSTRUCTION TYPE VALUATION$ •
S Left R
City License No. L ZONE GRADING CU.YDS. ACRES'
CRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
11 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks �7 / / �t/,.-.. ppp��• ��' q/z,/ q�-s Planning Notes: • 0
IV with section 7000) of Division 3 of the Business and Professions Code, and B _ f-�� (� b` 71/� I'r'y Zv tote- �'L/� g M
my license is in fu}(forrLnd effect. A�-- �1' ,fw(uC-/� o
License Sloss (� License No 1/660 6 1 /I</N,sj- S
(5'. Date 74�-4�-- Signature /�7�,e_, _ _ u PLUMBING FEES
WOR RS' OMPENSATION DE LR/A TION •
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL •
- FEES
of Workers' Compensation Insurance, or a certified copy thereof ( ection Backflow Preventer Service Sink
1 3800, Lab. y L 7` /// Automatic Washer Transformer 0 1550 KW
‘,.. 1% Policy No. Pe get?41_ Company iter //iC Zt ed... /`y • Backflow Irrigation Sewer Cap0 50+KW
\..J / / Construction Pole Sub.
err ilietl copy is hereby furnished.
Cerci I c p led with the city r:ing j�. ',I- 3 Bathtubs ' Sewer Connection /! 00 Cooking Unit Meter ❑up to 100 amps
Date '/�/{/s Applicant St
EXEM�ION ROM WORKERS'COMPENSATION DECLA•ATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed If the permit Is for one hundred($100) ortJ
less). ( Dishwasher Solar Piping ' Zu Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011/2-8
Workers' Compensation Laws of California. -
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE:If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY • 1. Gas Service ,Outlets 3 Water Closet - C 4:1" Device Boxes Pole Light
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.) 0LJ /
Lender's Name Interceptors / Water Heater Z- Outlets' Range
Lender's Address I Kitchen Sink I Water Service - ti0 $witches
OWNER BUILDER DECLARATION �j Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Y Lavatories / Auto-Wash
/4-'' OI) Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve;demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor
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 - - ,
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
LJenalty of not more than five hundred dollars($500).
3 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $•
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL "FEES
License Law does not apply to an owner of a property who builds or improves _ •
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved ByDate •
sale. If, however, the building or improvement Is sold within one year of com- — Canopy Type II El pp
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By �'— Date (�
prove tot the Purpose of sale). d 7
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat:
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 1:10-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $.
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ i am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers 3 ENERGY P.C. $
PLAN CHECK 25% $ ,
I hereby Gerrit at I , e ead this applicati. na state that the above 00.100,000 BTU 0100,000 BTL GRADING $
information i c. t, r- to comply .i r Icy and county ordinances ELECTRICAL $
and state la s -lat¢�n. Ing cons .0,sr.nd hereby authorize repre- MICROFILM $
sentatives o is [i t/ er upo •�'� rove-mentioned pr erty or PLAN CHECK 50% $
inspectionL. - /��e Date �r f1� MECHANICAL $ TOTAL FEE $ y9• re
Signature Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
gia
CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
I
CONSTRUCTION AND PLANNING PLANNING POOL &SPA '
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd... - f-30--V LEI) 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 1--50-11 1140 60. Backwash Lines, P-Trap, 0 Undrgrnd.
-
•
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 1/ju/yrl /z/✓. e 62.'Backwash & Receptor-Final
12. Sewer Cap / 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing c'4'/y7 *lc65. 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 D 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 • 4
r'
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL i
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' r' 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:7/ F, „fast„ _ I/� J.h''E
34. Final Heating & Air Conditioning y
35. Final Gas Pipe-Test
2407 ' •(01;�. ,
...
/i
36. Hood or Canopy
y .
37:-Final Factory Fireplace / • t' . t,
38.'•Final Plumbing Tic* -S rr r "7
39. Water Service-Final 7
40. Gas Service-Final •
!., •. ;•
41. Solar Domestic-Final .- -
;142t,Backflow Preventer a'
.
43 Backflow Irrigation +
x'44: Landscape Irrigation System ✓ 1
t45. Sound Attenuation _ ., ..
•46 Handicap Regulations
47. FINAL STRUCTURE & BUILDING '" '
.0-1 .J t tr.
48. Special Requirements Completed - - 7 L• •
49:4-Electric Release to Edison ...:J _ •
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.
CITY OF COSTA MESA CONSTRUCTION/� PERMIT PERM!! NO M 1141;111=. LOT y,�/ LOT NO. UNIT NO. {���SIP y1 /-�
Project Address 7.27/1 L4 OFA eLJe-1. z� "-*^"" " - _ �j�`� 'y,- ✓`v Liu' q+in vv1�V�f7
Applicant's Mailing Address ISM A-reili4 th$• cake TYPE OF CONSTRUCTION NEW LJ ADD U ALTERATION U REPAIR Sys'
. 1, `,�- '{ ❑ CONVERSION ❑ DEMOLISH El OTHER A,P,# _ Zone
Owner's Name /LLl-s_lnrt ¶ C4fZ'- s�C/nF11•r-i Phone �1 13 DESCRIPTION-OF WORK/USE OF BLDG.
Address • rSt) C oYJQlu(`ilaree. �.13. q'Z.E{o'sj S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT LI GRADING ❑ FOUNDATION CI STRUCTURAL E Front ZO
Address Ac
- n, El TENANT El ELECTRICAL El PLUMBING •••K MECHANICAL B Rear N
Contractor's Nam- 8-.12 - - .'.• 7%1
' S Phone '767 CI OTHER A 1
(� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing/ l�� 7< /^O✓QCs � � /
�Z3e _ CON ST RUCTION TYPE VALUATION$ ,Left R
City License No. 7 4/ ZONE GRADI NG CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION � PSIng. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (Commencing Remarks: R�'7t7 ,. Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and l,�
my license is in full force and eff t._ �s - • T
dS License Class �L�/ Lice se No. `' - $
Date l{� 9•7 Signature �+ 4•1L i PLUMBING FEES
',PIKERS'COMPENSATION DECLARATION Bar Sink Sho •wers I wers:reby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
Workers' Compensation Insurance, or a certifie copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) O �-1gJ/� Automatic Washer • Transformer 0 15-50 KW
Policy No /� /OX Company /X-f/�/L(C�y'� Backflow Irrigation _ Sewer Cap • Construction Pole Sub. 0 50+ KW
iiCertified copy is hereby furnished.
-Certif ed go is f/t¢y' with'the city�Il !ng D' slgq��!! i Bathtubs • Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date "'FR" J"O Applicant ( i D Clarifiers
EXEMPTION FROM WORKERS'CO SATIONDECLARATION Solar Collectors - Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred($100)or '
less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel
I certify that In the performance of the work for which this permit is Issued,
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,.after making this declaration, you should become subject to the - _ _ _ Ina Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light.
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater / . Outlets
Lender's NameRange
Lender's Address - Kitchen Sink Water Service
OWNER BUILDER DECLARATION • Switches Sign
•
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 _ Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTra s
any structure, prior to its issuance, also requires the applicant for such permit - y Generator 00-5 KW 05.15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains •
he Contractor's License Law (Chapter 9(commencing with Section 7000)of - - •x
vision 3 of the Business and Professions Code) or that he/she' is exempt
erefrom and the basis for the alleged exemption. Any violation of Section
r031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500).
LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee $ 3
License Law does not apply to an owner of a property who builds or Improves FEES
thereon, and who docs such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II D Zoning Approved By Date
proven, the owner se have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date_
prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the protect (Section 7044,Business and Professions Code:
The Contractor's License Lawdoes not apply to an owner of property who 31 Duct-Ventilating `1(z ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon,, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING - $ ISSUANCE $
�1�{
Date Owner Heating System& Ducting )2 Registers Vi la VV - PLAN CHECK 25% $ ENERGY P.C. $
, I hereby certify that I have read this application and state that the above t X0.100,000 BTU 0100,000 BT GRADING $
information is correct. agree to comply with all city and county ordinances IIII•••• - y. DV ELECTRICAL $
and state laws relating to building constr ction, and hereby authorize repre- • MICROFILM $
sentatives of this t to a er up above-mentioned pro erty for .
PLAN CHECK 50% $
inspection purpose / /'7P .Jyy -7. MECHANICAL $ TOTAL FEE $ C
Signature �� Date U/ �`/ij-9 / �rV�
Drivers' License or SS 9P ° - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 5. 5(7
CMF 0865-46,rev.10/84 White . Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor •
•
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash& Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17:Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning /'1///f7 yr 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
t«t
27. Framefand Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL I .
Y
29. Insulation 78. FIRE PREY. FINAL •
30. Drywall Nailing HEALTH DEPT. REQUIREMENT.
31. Plaster Brown Coat 79. FINAL INSPECTION ' .kf •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 1
33. Final Electric Notes:
34. Final Heating & Air Conditioning �/2 _- 3°r'
35. Final-Gas Pipe-Ta
I /I
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 •
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING • I
•
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.
3922 e/Ifir/ 1•1:,''
-
•
CITY drCOSTA CONST UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. .
'Project Address GOO pLA �9 �aC_r' / n M a° 31 I - . '
/
Applicant's Maili g Address 8� �' • 5 Oe-) it /Up TYPE OF CONSTRUCTION U NEW U ADD H ALTERATION U REPAIR '
Owner's Name w/V -./i i. < - Phone •(.r ❑ CONVERSION ❑ DEMOLISH ❑ OTHER .A.P.# I Zone
p ®4ABor' / -p� DESCRIPTION OF WORK/USE OF BLDG.
Address C7/ 7 / llfit U -/ /0,6!.. S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING 111 FOUNDATION ❑ STRUCTURAL - T Front 0
Address ��//����� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Namt>/1PlfJ l.�Ai 45.4445 Phon ..5:043 LI OTHER C Ri ht' N
�/) PROJECT DESCRIPTION SQ. FT. OCCUPANCY g
Address Imailingle z'( �0 e-970e/ K Left G
�`J•�o •
CONSTRUCTION TYPE VALUATION S R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: cit Q
tC !
with section 7000) of Division 3 of the Business and Professions Code,a d •R g7 o& re • Planning Notes: M
my license is in full f ce and effect. T
License lass /ce No. t $ - S
•v
Date -/9 �] Signature —� PLUMBING FEES ' •
WORKERS'COMPEI(SATION DE �� Bar Sink Showers
c I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section —
Backflow Preventer • Service Sink '
3800, Lab. Ce.„, Automatic Washer Transformer 0 15-50 KW
Policy No. Com' 237) Company ��F���T Backflow IrrigationCap - Construction Pole Sub.
( 9 Sewer 0 50+KW
`� tified copy is hereby furnished.
\ eerPyy((ie i copy is with the city Build' jvfSlpn. Bathtubs Sewer Connection • ' Cooking Unit Meter ❑Up to 100 amps
/ Date r5- �' 7 Applicant S� Clarifiers
N EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Solar Collectors • Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping • • Dryers ❑Gas ❑Electric Sub Panel
I certify that in the•performance of the work for which this permit is issued, I - ' - -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Motors❑0.1 HP ❑1 h-8
Workers' Compensation Laws of California. —
Date Signature Floor Drains Swimming Pool w/Spa •'NOTICE:If,after making this declaration, you should become subject to the . - • .. Inc.�Solar ❑9-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. ` Microwave
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for 'which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater ' Outlets
Lender's Name Range
Lender's Address - - Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
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 - Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays Generator ❑0-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of
Division 3 of'the Business and Professions Code) or that he/she is exempt - I
therefrom and the basis'for the alleged exemption. Any violation of Section • - '
7031.5 by any applicant for a permit subjects the applicant to a civil _
penalty of not more than five hundred dollars($500).
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 '
compensation, will do the work,and the structure is not intended or offered _
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL -- Reinspection Fee $15 Issue Fee $ 3
FEES
License Law does not apply to owner of a propertywho builds or improves •
thereon, and who does such work himselif/herselfforor through his or her ownDEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ •
sale. If, r,'the building or improvement is sold within one year of com- Canopy Type Il ❑ Zoning Approved By Date
the owner the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date )
prove for the purpose of sale). iziC[ I I -
• 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date i+ i t 1
. tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU - -
_ SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with aeon- •
$ SMIP $
tractor(s) license pursuant to the Contractor's License Law). I am aware that F,l, b•CSOY:fs
BUILDING PERMIToust System ❑ Multiple ❑ System Repair/Alteration •
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT❑ 1 am exempt under Section B. & P.C.for this reason -Firepl/Fact.Blt. ICBG#Pgj Fire Dampers PLUMBING $ ISSUANCE ' $
Heating Owner System& Ducting Registers
PLAN CHECK 25% $- ENERGY P.C. $ _
I hereby certify that road is .•plication and state that the above ❑0-100,000 BTU ❑100,000BTL GRADING $
information is correc . It agree •m• with all city and county ordinances ELECTRICAL $•
and state laws rel.ting to b�•:i•• c• struction :nd hereby authorize repre-
sentatives of'-sbi city /�- r n the ve- ��entiotted pro erty for
inspection Pure•-es ,/, ����_ � � g7 r
Signature �C.it 1 DateMECHANICAL $1 I.a--• - TOTAL FEE $
Drivers' Lic-nse or 5S# pPI./
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. i 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
'8.7 Foundation59. Gas Pipe, ❑ Undrgrnd.,Test
A,
9: ,Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10.:Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
•
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
i
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 8/Siding 77. FIXED SYSTEM FINAL •
29. Insulation , 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION . • .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes: -
34. Final Heating,& Air Conditioning ,
35. Final Gas Pipe-Test
362 Hood or Canopy isj
37- Final Factory Fireplace '
38. Final Plumbing .•'•
39. Water Service-Final r !•
40. Gas Service-Final :' •
41. Solar Domestic-Final - I ; /•; . , -'
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation • - •,! -
- ri,'
46. Handicap Regulations • • -
47. FINAL STRUCTURE & BUILDING IC,
48. Special Requirements Completed .1, (4,•• (" ' r r
49. Electric Release to Edison - '' -
50. Gas Release to Southern California Gas Co rtJ
51. CERTIFICATE OF OCCUPANCY
No. Date .
, //�sC C _d Applicant to fill in all spaces ez�pt those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA 'C STRUCTION PERMIT - PE IT NO. �^/ �'7 LOT NO. U[J�I�T'1N)O. �� _ /_ �,�� � 2449 2/16/07
• Project Address a W_•�...L(iTl /� /3 r' O'er( ClJ�rrF+ 558, - It
TYPE OF CONSTRUCTION ❑ NEW D ADD LI ALTERATION U REPAIR
AppliNameailing Address ❑ CONVERSION CI DEMOLISH ❑ OTHER q,p,# Zone _
Owner's qQ 4 ice•-� L/-+. •hon DESCRIPTION OF WORK/USE OF BLDG.
Address (J //�'•' �J /r Jt Ei S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT El GRADING El FOUNDATION CI STRUCTURAL T Front 0
Address n // ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor's Name ( ' �[ �— Phone (�� ❑ OTHER
�.(� 4�� �TL C Right • N
Address(mailing) 7-7,70////5 K/� E C J 7P sr,
PROJECT CI OTHER
DESCRIPTION SQ. FT. $OCCUPANCY K
J' ./� ( CONSTRUCTION TYPE VALUATION$ S Left G
City License No. 0/167119 ZONE GRADING CU.YDS. - ACRES E
LICENSED CONTRACTOR DECLARATION Lis Ping. Ref.# Parking Req./Provided
I hereby affirm that I am licensed under provisi• sof Charter 9 (commencing Remark R-s/� �11�L Planning Notes: M
CI
with section 7000) of Division 3 of the Busi . and Professions Code,an• ��/��'��` 119��/JI's (/ v
my license is in full force an• eft-• 6
License C ass — is n : -`;
Date -Kiss Signature ' 49,y Al PLUMBING FEES
WORKERS'COMPENSATION DECLA- ION a'�� Bar Sink Showers
I hereby affirm that I have a certificate of consent t• df-in • :or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certi led copy th -of (Section Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW ) 7�
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 1 VC
8 Certified copy Is hereby furnished. /�1 CO Certified copy is filed with the city Building Division. Bathtubs . Sewer Connection / Cooking Unit / Meter to 100 amps r (�t W
Date Applicant
EXEMPTION FROM WORKERS'COMPENSAT • O- ARA •N Clarifiers Solar Collectors 2 Dishwasher Meter Dover 100 amps /s.X
(This section need not be completed if the per fo - hu • •• ($100) or
less). Dishwasher Solar Piping • - /
Dryers ❑Gas 04ctric / Sub Panel //l w
I certify that in the performance of the work • �e•1y� r • rmit is Issued,I ( �(�
shall not employ an person in any mange • a iii• • : •ject to the Drinking Fountains Solar Tank Fan
Worke C�ypy n�jty Laws of California` / 'Ap Motors 00.1 HP 01%-8
Date/1T Q Signature {:/ Floor Drains Swimming Pool w/Spa / F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ I• 00
NOTICE: If,after making this declaration, ou sh• Id .• .me subject to the
Workers' Compensation provisions of the Labo- Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permi shall be deemed revoked. / Microwave 1• W
CONSTRUCTION LENDING AGENCY -/ Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance •
oi. Ob
'// / Pole Light r- PS
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Y` Outlets Range
Lender's Name •
Lender's Address Kitchen Sink Water Service _. _ Switches -
OWNER BUILDER DECLARATION Sign 5' OD
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash I s No
following reason (Section 7031.5 Business and Professional Code: Any city or _-"Garbage Disposal Standing Sections k l/t+
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW 05-15 KW l '
any structure, prior to its issuance, also requires the applicant for such permit Trash Compact Or !1/7W
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
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
alty of not more than five hundred dollars($500). II
LI
-
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered - - Reinspection Fee ! $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered forZoning Approved By Date
sale. If, however, the building or improvement Is sold within one year of corn. Canopy Type II 0
prove the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose the pf ope).
0 I, as owner construct
the project exclusively7044, contracting ing with stl con- Duct-Structural Refrigeration SystemApplication- Issued By Dat
hetors the project (SectionBusiness antlofproperty Professions
Code:
The sContractor'smproLicense Law does noteraapply to an owner le is thta who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such protects with aeon-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ •
SMIP $
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
0 1 am exempt under Section B.a P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date i Owne Heating System& Ducting r- Registers f___j $ ENERGY P.C. $ -
PLAN CHECK 25% ENERGY
1 hereby certi I 'ave r::• this applic- '•n and state that the above ❑0.100,000 BTU 0100,000BT _ _ ELECTRICAL $ GRADING $
information Is I reem� • comply w all city and county rite repre-
sentatives gees
antl state laws : to-boil i g con .coon,antl hereby authorize PLAN CHECK 50% $ MICROFILM $
inspe of th c �1 , the above-mentioned propert to 5 Q
inspection purpo .;,�u ', AI MECHANICAL $ S.
Signature _ Dat• ��I %1 TOTAL FEE $
Drivers' License or SS Ina' • Reinspection Fee $15 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 Whit- - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor .
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
•
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
•
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
•
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 1 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 ❑Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O 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 (166.471404_ Notes:
34. Final Heating & Air Conditioning
•
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final •• •
40. Gas Service-Final
41. Solar Domestic-Final .
42. Backflow Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System •
•
45. Sound Attenuation •
-
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING -
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
•
51. CERTIFICATE OF OCCUPANCY
No. Date •
OWNtR OGDEN, Albert W. DAit 10-29-76
JOB ADDRESS 2066 Orange Avenue BUILDING PERMIT NO. 42941
`��`GENERAL CONTRACTOR R. C. Contractors DESCRIPTION of WORK Det. Garage
( ,No. 118-103-53 LOT TRACT FIRE ZONE VALUE $ 5,990.00 ••
: /f CTIONS Signature Date TYPE V GROUP J ZONE R-1
sit. PERMITS ISSUED
SUBCONTRACTOR
GAS
Date l Number I Signature
WATER Plumbing • .
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS •
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND E POWER 0 b�
ROUGH WIRING /)34A*Z Heating and Vent. .
TRENCHES LI FORMS O STEEL REINF. t //I�I�
FLOOR SYSTEM tel•
•
BONO BEAM n STEEL REINFORCE n
SHEATHING APt Cr / .Js,..4
FRAME AND FLASHING ��n/ 33LL// Yy ��it
LATHING - IN n OUT [1„f�J�yy'�p
PLASTER. BROWN COAT t''/rtr, r-J-7.71
f CT URAL. FINAL p`�Electric ^e /1
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PLUMBING. FINAL AND GAS TEST n
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only DATEFes/ ED tt//� �
D RED BY /D�/`/� 1 DATEIS
BUILDING n /' 11�....���11�����111 iii
ADDRESS ,- a. 6- /-0 .V7 �} I P •
OWNER „I r A.P. NO. e �' .'-s. _
BUILDINGAIL ����``` ADDRESS /f Ave,C/
ADDRESSg---2/�• {�j7 JL
CT/%-/R/n -1 TEL. _ I
CITY n_C-' e)r a NO,3 /71W /� l "- LOTa BLOCK
CONSTRUCTION //" [[ NEW ADO ALTER., REPAIR MOVING: DEMOLISH
LENDER X I ///J
BRANCH OWNER / led- /�/ V9 /
l/ / �ir4/
ADDRESS ,(�/J�Jj' VALUE if�
ARCHITECT TEL. ' USE Aa ti -P $ - S
OR ENGINEER NO 1
FIRE
ADDRESS ZONE TYPE/ GROUP I
(/..., /^ APPROVED
CONTRACTOR �- .. l n77 rg r .r—S BY DATE
ADDRESS /7i s' RA '.F17 /v / c_ J/ ,
TEL. }j— ZON`p NO.OF USE OF NEW v/ •
CITY C. 41 r NO. rim. BUILDING a v
F' STATE LIC. ��NO. 77 YARDS MAIIN BUILDINGD YARDS APPROVE v•
ACCESSORY BUILDING
i LIC.SIZE NO.NO. NO.OF BLDGS. (FROM C/L STREET) /' r
Cs. OF LOT NOW ON LOT FRONT FT. (/7 FT.v'/jr r.p
Q USE OF
EXISTING BLDG. R.SIDE FT. /R FT.
co am/
HSeparate permits are required for L.SIDE FT. L'5 FT.
electric,plumbing and heating work.
WREAR FT. ��FT.
sw USE OF BUILDING ANO WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& //
QQ MAIN BLDGS. ACCESS. BLDGS. a
/ //��'� VAR.# DATE
Q 2-P • 6_1"-ex-7-I C.U.P.# APPROVED
llj�" / APPROVED �1p�'7
—BY DATE AP l/ /g
a V
W
L I hereby acknowledge that I have read this application and state s
�'�I D FOR SPEC' 5EQ1IIRFMFIy[c t.
N• that the above informationthat is correct and agree to comply with ) n
Ar•
• all laws regulating building construction, and I shall not employ (Go 'i AreirJf oyj to
' Z any person in violation of the workman's compensation laws of // e
Sthe State of California. 7
I hereby certify that I am properly licensed as a contractor under 7�0. FT.
•
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9• and that s • ' nsas a • full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fr•. e pro Isi• s . . State of California Business VALUATION PERMIT FEE $ 34
and Profe •ns Code, D' ter 9.
PLAN CHECK $
Perrmittee of �'/i ��� $ 99a TAX $ / s`-
/rs
Authorized Agent TOTAL PAID $ 3