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HomeMy WebLinkAbout2296 LA MER CT - Building Permits `0-5tp Fsq_ CITY OF COSTA MESA 0 • -;S. CALIFORNIA 92628-1200 P.O. BOX 1200 'F ' e: t: a DEVELOPMENT SERVICES DEPARTMENT s co June 18, 1990 To: • Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company Copley-Colony of Costa Mesa Sanitary District Engineer County Administration Office Southern California Edison Co. County Clerk/Bd. of Supervisors Southern California Gas Co. County Registrar of Voters State Board of Equalization County Tax Assessor Street Division Engineering Division (2) U.S. Post Office - AIS Fire Administration U.S. Post Office, Adams Avenue Fire Prevention • U.S. Post Office, Santa Ana Manager, MIS Zip 4 - Santa Ana Mesa Consolidated Water Dist. File (2) Newport-Mesa Un. School. Dist. (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 123 East 23rd Street "A" 2297 La Mer Court 426-054-07 123 East 23rd Street "B" 2293 La Mer Court 426-054-08 123 East 23rd Street "C" 2290 La Mer Court (Both parcels 123 East 23rd Street "D" 2292 La Mer Court combined 123 East 23rd Street "E" 2296 La Mer Court together) For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to • avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, • RICHARD WELMERS Planning Intern • • RW:j1 (ADDCHNGE.92) 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 23RD STREET I � O 2297 V 2296 cr w r 2293 2292 C 2290 CITY OF COSTA MESA 44, 1 .,esCALIFORNIA 8262&1200 P.O. BOX 1200 �t r> J t DEVELOPMENT SERVICES DEPARTMENT March 20, 1990 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company Copley-Colony of Costa Mesa Sanitary District Engineer County Administration Office Southern California Edison Co. County Clerk/Bd. of Supervisors Southern California Gas Co. County Registrar of Voters State Board of Equalization County Tax Assessor Street Division Engineering Division (2) U.S. Post Office - AIS Fire Administration U.S. Post Office, Adams Avenue Fire Prevention U.S. Post Office, Santa Ana Manager, MIS Zip 4 - Santa Ana Mesa Consolidated Water Dist. File (2) Newport-Mesa Un. School Dist. (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 121 East 23rd Street 123 East 23rd Street 426-054-07 123 East 23rd Street Unit "A" 426-054-08 Unit "B" Unit "C" Unit "D" Unit "E" For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, Sita STEVEN C. CLARKE Planning Intern SCC: j1 (ADDCHNGE.79) • 77 FAIR DRIVE Building D.visce(714)754552E • Code Entorc nenVBusiness License (714)754-5234 • Planning Dr.isior(714)754.5245. 123 EAST 23RD STREET 23RD STREET B 11111 z.2'6 1-A Men- LT PROJECT ADDRESS: i 23RD ST UNIT: E CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 047563 OWNER'S NAME: V.N. E. DEVELOPMENT, INC. ADDRESS: 4350 VON KARMAN PERMIT NO: P 047563 PLAN CHECK NO: N GOVT: N SUPP : N SUITE 100 NEWPORT BEACH,CA 92660 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH 714 /250-7830 CH/ENGINEER: REO.NO.: JOB DESCRIPTION ; PLUMBING FOR NEW SFD SQ FT: ADDRESS: UNIT: RMITTEE: CLAIM VALUE: CALL—VALUE : GROUP OCC : / 1MMRESS: V.N. E. DEV ( 714 ) 250-7830 43504 VON KARMAN COMMENTS : B-46728 N.B , CA 92660 *ae3aer+Exec*s(3r***staetaetaesExaEaEarstyese*aelteedaetae3tet*etre*iexetatae**et3rerx+a+r**ar**3r*3t*iter**ae+E****etaex***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS . 7009)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS CITY UC.: STATE MC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby af inn that)have acertifcate ofwnsent to self-insure or a certificate of Workers FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section MOO.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42605407 ZNE: REF NO: I Certified copy is hereby furnished. 0 Certified copy s Med with the city Building Division. PLANNING NOTES> > Dale: Applicant: . ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECUBATION: (Tris section need not be completed i e permit is for one hundred MOO)or less). DEVELOPMEN T SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issu .I not imp j•••' person in any manner s0 as to become subject to the Worke �Caompensation Laws California. ` • ZONING APPROVED BY DATE; Date:c!! u (Signature: NOTICE:If,alter making this declaration,you shout become subs. to Workers'Cori nation .revisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this per.'t sha be•deemed rev/-d. (�., CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a co roc •n lending age for the performance of the work for APPLICATION ISSUED BY . DATE- -�7l (U I,-- which this permit Is issued(Section 3097,Civ.C). ********************************************** ******************** *** **11*** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors State License Law for the following reason 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,alter,improve,demolish.or PERMIT5 , 0 0 repair any structure,prior to Is Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES pursuant to the provision of the Contractors'State lkense Law(Chapter 9(commencing with Section 7000)oI Division 3 Ol the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars MOO). ISSUE FEE 3 0 0 I as owner of the property or my a with wages as their sole compensation, cath oro the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not Intended or offered for sale(Section 7044,Business and PrOlesslonat Code: The Contractors'State License Law TOTALS————> 5 . 00 3 . 00 0 . 00 8 .00 8 . 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 his or her own employees.provided that such improvements are not intended or offered for sale.II,however the building or REVENUE DIVISION TOTALS——> COLLECTED: 8 .00 OVER/SHOAT: 0 0 forptheapurp�sold one yearn completion,the owner will have the burden of proving he/she did not build or Improve 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 8 . 00 TIT and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.6 P.C. i w tur this reason: / :�1 _ 1 TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: 1 90 Owner ASO All * 1 PLU 1 SEWER, CONNECTION TO BUILDING EACH 5 . 00 5 . 00 Ido hereby certify that I am aware of and urdersta the requirements of California Heal and -ely Code Section 5505, ,and END OF FEES 25534 and that I or any future building occupant wilUwid not(circle one)need to comply h said.tate codes and requirements for a permit for construction or modification from the Air Quality Management District.Residen • struction applicat are exempt from these provision. Date: Applicant: I hereby certify that I have read this application and state that the above info On s correct.I o comply with all city an county ordinances and state laws relating to building construction and hereby sentatives of to enter upon the above- ntloned property for inspectionpu – • Date: C t(7l° C Signature: .0 01 00062149-08062149 TOT 8.133 Diners License or Social Security x: DATE: 05/31/90 TIKE: 14:25 164146 White—Building;Green—Code Enforcement;Canary—Ap ' .Pink—Revenue;Go enrol—Assessor D PLANNING • POI SPA. APPROVA ,t 9p411111111 Date Inspector APPROVALS Permit #_ Date Inspector 1. Temporary Electrical Service or Poles 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.. c. 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms -- • •- 4. Electrical Conduit-Undrgrnd. -• 55. Electrical Bonding " • 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test :'6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE - ..'7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test " 9t Water Pipe-Undrgrnd. ; _ 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewe?'tirie &'HoUse.C6nhedtion v!/1s3...- 62. Backwash & Receptor-Final ' 12. Sewer Cap ,Q2 �nL 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 -r - 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. Undergrounds.Hydro 22. Ducts,Ventilating. - ` . - . , : ,.j 1. Product Piping cid-as ❑Oil 23. Gas Ripe-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 _ l 76. Dry Standpipe H • - - ' 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 I • 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 _ - -• - - .- _ t D: x 43. Backflow Irrigation. _,.. . . - 44. Landscape Irrigation System- r _ - ` ' • - - - r. . -- r,s - • '45. Sound Attenuation '.-_ - n., - .- r- 46. Handicap•Regulations - - • ' - r a . 47.-FINAL STRUCTURE & BUILDING ' ' 48. FINAL PLANNING '• I - -• 49. Electric Release to Edison , , , .. - - 50. Gas Release to Southern California Gas Co • - 51. CERTIFICATE OF OCCUPANCY ' No. Date aa 9e- Lis mem - PROJECT ADDRESS: .04-- : UNIT: E CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 047704 OWNER'S NAME: V E DE]F VEL} OP_EMBNT ADDRESS: 4350 VON KARMEN PERMIT NO: M 047704 PLAN CHECK NO: N GOVT: N SUPP: N IRVINE, CA. CONSTRUCTION TYPE; PERMIT TYPE: MEC PURPOSE: OTH 714/978-7970 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION • 2 METAL FIREPLACES FOR NEW APT. BLDGS. SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: / PERMITTEE: SIERRA FIREPLACES (714 ) 837-7008 ADDRESS: 31 ARGONAUT COMMENTS: B-46728/ICBO#1581 ALISO VIEJO CA 92656 **************dr*>E*ar******>Ear*** *******dr*******************aE***�E ****N********** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I NG REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full farce and effect. SETBACKS Cm 0 19 s TE uc.:4 9 0 2 5 5 initi Date: l� Signature: MAIN BUILDING ACCESSORY BUILDING 'KERS'COMPENSATION DECLARATION: Thereby affirm itmtlhavilicate of consent • -insure era certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ensation Insurance,or a certified copythereof(Section 3800,LLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN .CYNO.: 73WC003897003 EXP.DATE: 04 /01 /9 COMPANY: NATIONWIDE PARKING REQ.:_ PROV: PARCEL : 42605407 ZNE: REF NO: I Certified copy is hereby furnished. [X Certified copy is filed with the city Building Division. PLANNING NOES> Date: 1 ` —1n_-1(/��Q Applicant: in ***"******************************************ik********************************* EXEMPTION FROM PARKINS'COMPENSATION INCUBATION: Dlis section need be completed if de a for one hundred(S100)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�S n any manner so as to become subject tothe WorkeriCompensation Laws ofCardomu. ZONING APPROVED BY DATE: Date: Signature: NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit that be deemed revoked. i //-- C�j� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: C. / l/ which this permit Is issued(Section 3097,Civ.C). ***'**********************************'4��AF************************** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason 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,alter,improve,demolish,or PERMIT 13,00 repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMI P/NON-RES pursuant to the provisions of the Contractors'State 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 PLAN vpplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5P. ISSUE FEE 15 . 00 I, as owner of the propertyor my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 13 . 00 15 . 00 0 . 00 28 . 00 28 . 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 his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 28 .00 OVER/SHORT: ,00 Improvement purpose sold one year of completion,the owner will have the burden of proving he/she did not build or improve for 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 28 . 00❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 2 FACTORY FIREPLACE 6 . 50 13 . 00 I do hereby certify that I am aware of and understand the requirements of California Health 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 permit for construction or modification from the/ Miry Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information 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 property for msD51cti Duty(¢ • ,{1/'�1 Date: s.4[ f�-r-1 l J Signature: • Air Driver's License or Social Security#: I 01 00062937-00062937 TOT 20.00 1e41.46 white—Building:Green—Code Enforcement;Canary—Applicant;Pink—Rev .Penrod—Assessor DATE: 06/12/50 TIME: 0921 CONSTRUCTION AND PLANN SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALb Permit # 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 UF 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, 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 20. Rough Factory Fireplace 44,/,,,„„sr 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 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 76. 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 - qtp (b (XJ 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 .. s- - - , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison ',- 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date a?96 49 /724',C a PROtEn ADDRESS: __ Wn 3rntD—er UNIT: G CITY OF COSTA MESA BUILDING PERMIT PERM NO: P046764 OWNER'S NAME: V N. E. DEVELOPMENT, INC. • .; AGGRESS: 4350 VON KARMAN PERMIT NO: P 046764 PLAN CHECK NO: N GOVT: N SUPP: N SUITE 100 • - NEWPORT BEACH,CA 92660 CONSTRUCTION TYPE: PERMIT TYPE: PLO PURPOSE: OTH 714 /250-7830 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : PLUMBING FOR NEW SED SQ FT: r ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : / PERMITTEE: KENNETH W. FETHER . ( 714 ) 250-7830 ADDRESS: 3124 SUMATRA PL COMMENTS : B-46728 COSTA MESA CA 92626 *****Ir****>E****KI4*************-****************IEK***r.********-***************3*4** UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect. S ETBACKS• - cmuc.n024533 sTATEuc.:357301 //�cuss: Date: —n 7-Z9 Signature: Y6'�€ MAIN BUILDING -- --- ACCESSORY BUILDING --------- WORKERS'COMPENSATION DECLARATION: I hereaffirm that I have a certificate dI consent to self-Insure or a certificate of workers' F RN T: FT I N REAR: E'T I N FR N T: FT I N R E•AR: F T I N Compensation) rant race 1 ) copy thereof(Section3800,Lab. . LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: /b 6§$1— V ow.DATE: 04 /01 /91 COMPANY: STATE FUND PARKING PARKIIGGREQTES> PROV : PARCEL: 42605407 ZNE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building D'ndsion. > Date: 3 '-2'c f Applicant: l '4:14.1. ********************ir**************ef*iE*,iE******ef***if******-*eE*if********9E****if**** EKEMPRON FROM WORKERS'COMPENSATION DECLARATION: (This section need rot be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S F. R V ICESR• E Q�?3-Z" R E M E N T . S I certify that in the performance of the work for which this permit is issued,I that not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED DY ` DATE: __ Date: Signature:ou - - BUILDING APPROVED BY : . DATE: __ NOTICE:y:uL after forthwith this dpy with her should become orthi subjectemis the a Workers'Compensation provisions of the Labor APPROVED _ Code,you mustNGvAG comply with such irmitat iNS permit shall beending deemed revoked.fd O0 / D CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the,Dertormance of the work for APPLICATION ISSUED B Y : ` DATE which this permit is'Sued(Section 3097,Civ.C). ********************** *-****e�*********** 3€ F 'i7-R'itfFiF*************4113-0-if *iF ** LENDER *************************************************eE****************************.* ADDRESS: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT : N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE. SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 32 . 00 repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 258 SMIP/NON—RES •— pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7003)of Division 3 of the Business PLAN AN and Professions Code)or that he/she is exempt therefrom and the basis for the ateged exemption.My 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(S500). ISSUE FEE 3 . 00 I, as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> . PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S————> 32 . 00 3 , 00 0 . 00 35 . 00 35 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himselt/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 35 . 00 ' OVER/SHORT: . 00 forthepuerpoeofsae)Nn one year of completion,the owner wit have the burden of proving he/site did not build or improve 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 35 . 0 0 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who bolds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ****e4*********N************************M**************************************if . that proof of their Workers Compensation insurance shored be provided to me. INDIVIDUAL• F EE BR EAKD O W N o I am exempt under Section: B.8 P.C. • for ills reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: _ PLU 2 BATHTUB 2 . 00 4 . 00 Ido hereby certify that I am aware of and t dersand the requirements of California Heald and Safety Code Sections 25505.25533,and PLU 1 DISHWASHER 2 . 00 2 . 00 25534 and that I or any luture building occupant winAvil not(circle one)need to comply with said state codes and the requirements for a PLU 1 LAUNDRY TUB OR WASHER • 2 . 00 2 . 00 permit for construction or modification from the Au Quality Management District.Residential construction applications are exempt fromtPLU l SHOWER 2 . 00 2 . 00 nese provisions. PLU l SINK, BAR 2 . 00 2 . 00 Date: Applicant: PLU 1 SINK, KITCHEN 2 . 00 2 . 00 I hereby certify that I have read this application and State that the above information is correct.I agree to comply with a0 city and county PLU 5 WASH BASIN 2 . 00 10 . 00 ordinances and state laws relating to buinp construction and hereby authorize representatives of this city to enter upon the above-mentioned.- PLU 3 WATER CLOSET (TOILET) 2 .00 6 . 00 property for inspection purposes. �I PLU 1 WATER HEATER AND/OR VENT 2 .00 2 . 00 -9 _ Date: �'ZTd *muff, /rte v END OF FEES 01 00057515-00057515 T O T 35.00 Drivers License or Social Security e: DATE: 03/30/90 TI1lE: 16:45 1641-48 White—Buildindl Green—Code Enforcement:Canary—ApplicenC Pink—Revenue:Goldenrod—Assessor , - -.� CONSTRUCTION AND PLANNING POC . SPA APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • 52. _Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ♦ id , 7a�' 53. Steel Reinforcement ' 1 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 tc • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. ?/2) #960. 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 z,/'40 rho 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 - Notes: '34. Final Heating & Air Conditioning l ' 35. Final Gas Pipe-Test • $'-(3-'V [,GI) 36.- Hood or Canopy - - --t - 37. Final Factory Fireplace •', 38. Final Plumbing blu1Qo 39. Water Service-Final 44/1'6 '4 ",/ : 40. Gas Service-Final • /fff_ 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. FINAL PLANNING - - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co / 51. CERTIFICATE OF OCCUPANCY No. Date x.796 4.9 'nee ' PROJECT ADDRESS: 123 23RD 81' UNIT: E CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 047415 OWNER'SNAME: V.N.E. DEVELOPMENT, INC. ADDRESS: 4350 VON KARMAN PERMIT NO: M 047415 PLAN CHECK NO: N GOVT: N SUPP : N SUITE 100 NEWPORT BEACH, CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: NEW ' (714 ) 250-7830 ARCUIENGINEER: V.N. E. DEVELOPMENT, INC. REG.NO.: NONE JOB DESCRIPTION : NEW 1840# SQ FT SFD W/ATT GARAGE SQ FT: ADDRESS: 4 350 VON KARMAN UNIT: 100 NEWPORT BEACH CA 92660 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 PERMmEE: VILLA A/C & HEATING (714 ) 998-8838 • ADDRESS: 2284 N GLASSELL G COMMENTS: REFER TO #46728 ORANGEMESA CA 92665 ,*********************+r*******EE******** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under pr visions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full for and effect. SETBACKS CITY LIC.: 02606a STATE UC.:�42319 CURB: C20 Dater ') / Signature: V ( MAIN BUILDING ACCESSORY BUILDING 'KERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self= ificate of Workers FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN enation Insurance or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Cy NO.: 7 4 3 3 2 7 EXP.DATE: 04 /01 /91 COMPANY: STATE FUND - PARKING REQ: PROV: PARCEL: 42605407 ZNE: REF NO: Certified copy is hereby furnished. 0 rtified copy is ' with the city Budding Divis.n. PLANNING NOTES> L/�' C --d- > Date: J dl/ Applicant: ` ' —.awe _ iF************************************ik***************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is . ine •.ed(5100)or less). Or D E V E L O P M E N T S E Ri'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. .nner so as to become subject to the Workers'Compensation Laws of California. : ZONING APPROVED BY DATE: Date: Signature: NOTICE:If,alter making this declaration,you should become subject to the Workers Compensation provisions of the Labor • BUILDING APPROVED BY : DATE: ' Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. i.. '. 1.34.--q CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for 2/APPLICATION ISSUED BY: `' DATE: '- I O which this permit is issued(Section 3097,Civ.C). r*************************************** * *****3F*****************i? **** ** It** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason PERMIT BLDG PMT PLUMBING ELECTRIC MECHANICIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section woo)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 PLAN 'applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15.00 i. • I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE J structure is not intended or offered for sale(Section 7044,Business and Processional Code: The Contractors'State License Law TOTALS----> 9 .00 15 .00 0.00 24 .00 24 . 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 his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 24 .00 OVER/SHORT• 00 orimprovementThe is sold te)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK for the purpose of sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.8 P.C. ' for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner. MEC 1 INST FORC—AIR/GRAV FURN <= 100 K, BTU 9 .00 9 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the �above eiinformation is rect.I agree to comply with all city and ounty ordinancesrtfand stateconlawsurpose to buildinonstmction and here!///'L�C�'rePresentati •sof this city to enter upon the above-me timed Dale for inspection purposes. Date: `J '� SYgnata� 01 00061323-00061323 7rJT 24.00 Driver's License or Social Security 8: DATE: 05/21/90 TIME: 1159 164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANN . . )L . SPA APPROVALS Permit # Date Inspector APPROVALS Permit #- Date Inspector 1. Temporary Electrical Serv'I e or Pole_,; 52. Pool & Equipment Location . .r 3.nSoi�Pipe;UndrgSndJ ti �: 53. Steel Reinforcement r ; a ElecuicaI.Coiidciit-:Utility-Undrgrnd-, 54. Forms t. `-'$?._eaC icatCo 6it'-Urtidrgrnd. s 55. Electrical Bonding _,'5•'.3Stael Rehlforcementl 56. Rough Plumbing,& Pressure Test 1, V Eleat'ataLUF R�rnd.• .4-4 57. APPROVAL TO COVER-GUNITE o v o2.tjogsj- 58. Electrical Conduit-Undrgrnd. Po • .:FoundatTe C 59. Gas Pipe, 0 Undrgrnd., Test O &. 9: Wetter? Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Fln. oor System i I 61. APPROVAL TO DECK 13'. Propertyewer Une,,'& House Connection 62. Backwash & Receptor-Final - - 12. Sewer Cap a a< w 63. Heater & Vent-Final 13. Roof Drains :3 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final x G 15. RoughThctricai-Conduit 66. Solar System-Final 16. Rough Electric]Niring � • . 67. Fencing & Access Approval • 17. Rough WirSng Sign 68. APPROVED FOR PLASTERING 18. Rough Electricai-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19._Rough Heati� & Air Conditior� _w 4/7/0/S,_ 7 C.FIRE DEPT. REQUIREMENT G 1 ,: c'.m c,-7 r: -, D ' m. x jl m 20.: Rotjh Facto�j F- Qplace I G' 7,T 1: rnt c ;APPR6VAL•Si-0} -- , 21.r•Duots,irPStr&tur 4: i •• '• `'-S W. N 1-* * -}7O, 0ndergf-Htlauii?Hy,`dro 'F ti z :JS f ` c;.* * ;.•1 to�.o �'m *22.4Duots, Ve,ntiJating;x Ci t. 0 < 0 H.* * <71. Product,Pnaing O Gas 040i1 23. Gas-Pipe-hough &Test TS ^ ma. `� �1* * -74, Underground-FI shy * F' 24.2ftooP Frafning :;;; ..ra x > F.x K '..73-pndergrnd,StordyeETank bGas 0011 + - - is E9 25. Rodin Sh'e thing = . City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 003314 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2296 LA MER COURT UNIT E has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-3 Occupancy. Use of Building SINGLE FAMILY DWELLING Legal Description (See reverse side for Metes and Bounds) Building Permit NoJ146728 Electrical Permit No.E47471 Plumbing Permit No.P47563 Mechanical Permit No. 1447415 Number of apartments and/or guest rooms ISSUED TO: Building Official TONY C De BACA V. N. E. DEVELOPMENT,, INC. by 4350 VON KARMAN STE. 100 NEWPORT BEACH,, CA 92660 Date GFPTFMRFR 7n, 19911 This Certificate 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 • IROJECTADDRESS: -re 23RD ST 2.2-?‘ �' K� C4>UNIT: E CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 046728 OWNER'S NAME: V.N. E. DEVELOPMENT, INC. ADDRESS: 4350 VON KARMAN PERMIT NO: B 046728 'PLAN CHECK NO: 03307-90 A GOVT': N S[1PP: N SUITE 100 NEWPORT BEACH; CA 92660 CONSTRUCTION TYPE: 5 -N PERMIT TYPE: S"TR PURPQSE: NEW ( 714 ) 250--7830 • ARCH/ENGINEER: V.N. E. DEVELOPMENT, INC , RED.ND.:NOD JOB DESCRIPTION NEW 1840# SQ FT SFD W/ATT GARAGE SQ P'T: 24271 ADDRESS: 4350 VON KARMAN � ` 100 NEWPORT BEACH CA 92660 CLAIM VALUE: CALC--VALUE: , 134 ,416 . 30 GROUP OCC: R-3 : /M-1 PERMITTEE: KENNETH W. FETHER ( 714 ) 250-7830 • �( F� si' cuL r u!Rt1 i S ADDRESS: 3124 SUMATRA PL COMMENTS : COSTA MESA CA 92626 *****************************************************aE-tr**** -***dr*CSCE*eE**lilEx-***#et LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING-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 lic nse is in full force and effect. S ETBACK S • Dmuc.: 021 `3n sraTEuc.:T579011 ° B Date: '5 T" Signature:. Wf ------- -- MAIN BUILDING - ACCESSORY BUILDING ----- WORKERS COMPENSATION DECLARATION: I hereby affirm th theme a ce mate con nt to self-insure or a certificate of Workers' FRNT: 17 FT IN REART. 10 FT IN FRNT: FT IN REAR: FT' IN Compensation Insurance,or a certified copy thereof(Section ab.C). LEFT: 5 FT IN RGHT: 31 FT IN LEFT: FT IN RGHT : FT: IN POucyrlO.: 766901-90 EXP. : 04 /01 /91 COMPANy: STATE FUND r PARKING REQ: 13 PROV: 13 PARCEL : 42605407 ZNE: R2 REF NO: DR9003 (V Certified co is hereby furnished. ❑ Certified copy is DI.'th the ' Building Division. PLANNING NOT'ES> ONE, 2-STORY APT. UNIT OF A 5-UNIT APARTMENT PROJECT . �o >. (UNIT E) . SEE ALSO ZA-90-08 Date: �� Applicant:- 1 - *-3(4U****************'**.*iE***iE**********•**•***********• **************************** • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:'(Thi need not be ompleted if the permit is for one hundred(S100)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 i 'd,I shall n t employ any person in any manner so as to become . -. - / subject to the Workers'Compensation Laws of California. • , r C -ZONING APPROVED' B Y , _ .E. __- fig ---- DATE: s��y fG�'G __ Date: - - Signature: - --Ile-Pr/ - NOTICE:If.atter mpking this declaration,yoJshouM become subject to the Workers'Compensation„provisions of the Labor -BUILDING APPROVED B Y? .-5.X.7 .. __- _ _ DATE: 3_ _L- - f� Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ,•• ..• • IQ ,�,,Jjj�,, \I -j /�t-��...� :j / 7-� -' CONSTRUCTION LENDING AGENCY: hereby affirm that there is a:ionstruction lending agency for the performance of the work for APPLICATION ISSUED BY :.pd� I CSV • •- �'. 7�FiF aj DATE: _3' which this permit is issued(Section 3097,Civ.C). .**********************W iiZ-{Z. F***R-4. 7 ******iFR•�'i2,�F*******,IE*IF+t J ifii�*� 474* LENDER: - **********************************ie****** *****************************if'i/****** ADDRESS: LEGALIZATION:N F E E S U M. M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason 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 7 6 2 . 0 0 - .• - 9 . 4 1 repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SNIP/NON-RES 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 123 . 83 .p_- any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE .• • ' L as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING--DIV-> PERMIT ISSUE PLAN-CHECK -' TOTAL PAID DUE ❑ structure is not intended or offered for sale(section 7044.Business and Professional Code: The Contractors'State License Law TOTALS-----> 771 .A 1 0 . 0 0 . ,- ;.--1.23 . 83 • 895 . 24 8 9 5 . 2 4 . 0 0 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 employees,provided that such improvements are not intended or offered for sate.If,however the budding or ' improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 895 . 24 OVER/SHORT: . 00 for me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC 7 • 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 762 . 00 _ .-. _• -•. •_ 9 . 41 123 . 83 • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon , > . • . • and who contracts for such projectswith acontractor(s)license pursuant to the Contractors State License Law).l am aware ******iEi4*****************************-*.-****ip**.i(-*.1t**.*.***.********iE********.****.***.* that proof of their Worker's Compensation insurance should be provided to me. IND I . V IDUAL FEE D aR E A K D O W N ❑ I am exempt under Section: B.&P.C. .. for this reason: • TYPE QTY D E S C R I P T I :O -N'. UNIT COST TOTAL COST • r Date: Owner: .� -� I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1840 D N E-TYPE V-MOOD FRAME GOOD 69 . 00 12 6, 9 6 0 . 0 0 25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a .S'FR - 4 3 7. RES-GARAGES TYPE L - ,,\`I . 3 0 7 , 4 5 6 . 3 0 ' permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END-,OF FEES. these provisions. r - Date: Applicant: I hereby certify that I have read this application and state that the above inform.ion is correct.I agree to comply with all city and county • 1 ordinances and state laws relating to building construction and he•• authoriz.'resentatives of this city to enter upon the above-mentioned ,t . property for inspe ion pu sess.. 4.AA • Date: � �' vo Signa e: AL •Le.•A/I — • Driver's License or Social security N: 52793020 D03/29/900573TIME: 0 TOT01 6 E95.24 • ' 1841<B White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor •. NW i • CONSTRUCTION AND PLANNING • PO( SPA APPROVAa Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 1(-2,4112 ARC. 53. Steel Reinforcement • . 3. ElectricalConduit Utility-Undrgrnd. 54. Forms - ft; i 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5.-Steel Reinforcement 56. Rough Plumbing & Pressure Test • a • 6. Electrical UFER Grnd. it'y"'Qa ry/�i/ 57. APPROVAL TO COVER-GUNITE 7. Footings • - .,84-- -gto GO 58. Electrical Conduit-Undrgrnd. 7 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 1 9. Water Pipe-Undrgrnd. ' ' -f. a.1C.O. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ''10. Structural Floor System _ -- ' - 61. APPROVAL TO DECK • 11. Property Sewer,Line & House Connection t 62. Backwash & Receptor-Final • 12. Sewer Cap - 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing naps, 4 A E 65. Electrical-Final - . ':15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring C'}tte &Amia 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 4't g FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace -. - ”Rlfy1 leC 'APPROVALS Permit# - •- 21. Ducts, in Structure " 70. Underground Hydro 22. Ducts, Ventilating _ 71. Product Piping 0 Gas 0Oil 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 t!P�� D 76. Dry Standpipe 28. Lathing& Siding - - fr$//10-, w� 77, FIXED SYSTEM FINAL ,• 29. Insulation £ iI110 3'B`T 78. FIRE PREV. FINAL 30. Drywall•Nailing rP 2' Qp ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat /Wry., OW , 79. FINAL INSPECTION 32. Electrical Power Meter-Final - ! pR 80. FOOD CERTIFICATE ISSUED . at33. Final Electric _ F�t.1% 0.44 N/otes: d7 �G n, 34. Final Heating & Air'Conditioning lafYe 0 ( 91�i �02'►n,a_ 35. Final Gas Pipe-Test Led - /, leo 36. • Hood or Canopy F" �f-J2-q 02,t- l'm psi_ /t„n _ fa...!/" 37. Final Factory Fireplace ; -21-ID La ' r1 2-i-g0 - Ore 710 w let^ ‘44738. Final Plumbing -7c Ca �/7/tO Cie SEM Pit 39. Water Service:FinalSetkill! ` •,,, eKry` 40. Gas Service-Final .t //��) "J ' 41. Solar Domesti ginal (/ G[/ 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System. T . 45. Sound Attenuation . 46. Handicap Regulations . • 47. FINAL STRUCTURE & BUILDING '_*G-fp 61,4i 48. Spec. 17.-6 4.. O%7.o°!a . 49. Electric Release-to Edison t-, 4. " 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF-OCCUPANCY No. Date f• , CERTIFICATE OF COMPLIANCE . . ..YMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT . Developer/Applicant : 111-LE Tsn/4T/oiDiv1PL rr :r2..) `. Address : LI 3�U V` ,J lore?nl nJ• 7/C C7 `72 #4 Telephone Number : `7/y,2_C-0 -7 ?30 Tract/Parcel and Lot Number(s) : Location of Project : 12.3 73 /7n _S%/2C C "nil vers ied —4 ,.d4-t= . Number of quare Feet of C Residential Space Cf/DO x $1 . 50 Total"-‹ 4ere £ - a-‘--? &44. !- .3200 a25-D.•o b Number of Square Feet of -p— Commercial and r� Industrial Space -�7 x $0. 25 Total Commercial/Industrial Project is : (Check One) • Mini-storage Motel Preschool Movie Theater Bank Auto Repair Racquet/Health Neighborhood Shops Hospital Warehouses R & D . Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . Cay; %. , I Business Man ger Newport-Mesa Unified School District The above representation as to square footage is true . Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . (� Date : 3 'a3 `1 (� / �1• c..J /cam l3w. Developer/Applicant .. 1 :.nossestro DLianh .vWri Ca a DPl1 FORM II is mussy IF,IZNMMNMSSBSdgISMMMMMk BIA FORM 1486 r rit Is') INSULATION CERTIFICATION• This is to certify that, in conformance with the current energy regulations (California Administrative Code, S: Title 25, State of California*) and approved plans, insulation has been installed in the building located at: yI—o i w----C 4. A e V--cr•- ) City C'Lslrsty ‘.z-. cp. 111 -.3 _a --- ,:1/4. . iStreet No. (If Available) Street Lot Number Tract No. DESCRIPTION OF INSTALLATION ROOFS f• Type of Material Manufacturer Thickness R Value" 4 1 EXTERIOR WALLS t. ' , I Type of Material C--e.'q�t s 1 Manufacturer \••••••••—‘..xj��� Thickness ,At R Value** t t V (Or Trade Name) y! CEILINGS • BATTS: 7ii- Type of Material Vie.-. \os� Manufacturer w.-0-2) 1\\-L, Thickness 1\ R Value•• � t?_ (Or Trade Name) Sq. Ft. Covered \`1/4•1/4„:"s, 1 BLOWN: ;t Type of Material_ Manufacturer Thickness . No. Bags '1 (Or Trade Name) . k Wt./Bag _ Sq. Ft.Covered R Value" FLOORS Type of Material Q e..•%kms l ..,,Manufacturer vv.—t .\\. t _ Thickness L\A. R Value" 3 a (Or Trade Name) t SLAB ON GRADE Typs of Material Manufacturer _ Thickness R Value" (Or Trade Name) Width of Insulation Inches gni mlL'q-_.CN WALLS (if required) • Type of Material Manufacturer _ Thickness R Value" 1 _ (Or Trade Name) REMARKS (if desired) "o�L t\\ .e l:CC—�t_ � \ • General Contractor (Builder) License Number By Title Date Sub-Contractor (Insulation Applicator) _ORGY CONTROL INSULATION INC. License Number 904822 t (Insulation, Masonry, Etc.) (State"SAME"if same as General Contractor) 8y Michael E. Sullivan Title President Date 4 _\ ci •••1\ V I'Cellfornie Administrative Coda, Energy Insulation Standards, declares: EXCERPT from Sec. 19875 of the Health and Safety Code of the State "Compliance. Upon completion of the installation of insulation. a card of California: certifying that the insulation has been installed in conformance with the requirements of these regulations shall be completed and executed by "No certificate of occupancy or similar certification that o,newly con- the insulation applicator and by the builder. This insulation compliance structed hotel, motel, apartment house, home or other residential card shall be posted at a conspicuous location within the dwelling'9 dwelling is habitable shall be issued by such a building department • unless the structure at least satisfies the minimum energy insulation 1"R Value is the measure of the resistance of a material or building standards established pursuant to this chapter." component to the passage of heat. The resistance value CR) of mass-type insulations shalhlbt include any value for reflective facing.) . FORM I16 —PUBLISHED BY 0 Olerk*g/YOAn;dc. 3055 OVERLAND AVENUE,LOS ANGELES,CALIFORNIA 90034—(213)870-:871 C1962 r Form 14116-- © BUILDING INDUSTRY ASSOCIATION OF SOUTHERN CALIFORNIA,INC., 1571 Beverly Blvd., Los Angeles,Calif.90026—(213) 625.5771 • TO 5567580 P.02 BREMNER • GRAVES CORPORATION September 13, 1990 City of Costa Mesa Engineering Department • 77 Fair Drive, 2nd Floor Costa Mesa, CA 9262&1200 Attention: William Morris Reference: Precise Grading Plan No. DR-90-03 121 - 123 23rd Street Dear Mr. Morris: • Enclosed please find a duplicate mylar of the above referenced Precise • Grading Plan. This plan has been labeled "AS-BUILT' and with the r..at ""' exceptions of the revisions made. thereon, this project has been se.r.ey t.c • constructed within substantial conformance of the approved precise grading plan. • • Sincerely, Bremner Graves Corporation, • • David W. Graves, P.E. • Enclosure cc: Mike Talbott, V.N.E. Development Inc. • • • • • • •339 Von Karn Ar: Seim 100 tJewUor:Saw+.,CA 97660 /14 •756 •lei; FA% •714 •K51 •S910