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Home My WebLink About350 LEAR AVE - Building PermitsCITY OF COSTA MESA BUILDIN6 D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT �/ PERMIT NUMBER P98-00634 (714) 754-5273 • Fax (714) 754-4856 P FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Viclnity: PLUMBING PERMIT ,3`j� �.;eA2 /�J Parcel Nunmber: 42716202 Applicant: Address: Owner: Address Contractor: Address: ArchlEng: Address: JENKINS, JEFF CARLYLE INCOME PLUS LTD %ATTN JMB REALTY CORP MORTGAGE SERVICES DEPT %COSTA'MESA IND PARK Fhone: 714-25&3333 Zip: Phone: Zip: 60611 - Phone: � . �, Zip: License: Phone: Zip: License: Status: ISSUED Applied: 08/1111998 Issued: 08/11 /1998 SCOPE OF PERMIT REF 698-00895,INST 2 TOILETS, 2 SEWER CAPS, 4 COMM SINKS, 1 WALL URINAL. " � ��%.C.{tnit-�-i eA,b�f. L�ahC�7�a^ ..' . , FEESUMMARY �-- AMT QTY AMT � QTY . . � ' AMT QTY ISSUE FEE � $22.00 Laundry Tub / Washer , $0.00 0 Sump Pump � $0.00 0 � BackFlow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trep Primer . $0.00 0 Bathtub $0.00 � 0 Pressure Regulator > $0.00 0 Urinel $875 1 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr BkFlow(1-0) 50.00 0 Connect (Ice,Soda,etc) 50.00 0 Receptors , .$0.00 0 Vacuum Brkr BkFlow(5+) $0.00 0 Dental Units $0.00 0 � Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo 517.50 2 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect ,_ $0.00 0 Waste and Vent System $0.00 0 Orain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet (foilet) $17.50 2 Drein, Roof $0.00 0 Shower 80.00 -0 Water Heater! vent $0.00 0 Drinking Fountain $0.00 0 Sink, bar $0.00 0 �Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink, commercial $35.00 4 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oiq $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCUTATED FEES: $100.75 . COMMENTS / SPECIAL CONDITIONS E%PIRATION: This p6rmit shall automatically expire and become voltl if work is not commenced within 18� days, or if work is suspended or ebandonetl for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required Inapectlona end final approval must be obtained. Failure to obtain inspedions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARATION: I hereby etfirtn unAer penelry of perjury one of the lollowing declaretions: � ❑ I heve e�tl wlll maintein a certificete oi consent to setl-Insure for workers' compensatlon, as provided for Dy section 3700 of the LeDor Code, for t�e pertormence oi the work tor whlch this pertnit is issued. �eve end wlil melMain workere' canpensetion insurence, as requiretl by sec[ion 3700 ot t�e Lebor Cotle, for ihe perfortnance of the work for which this permit is issuetl. My workars' compensetio sure�ce cartler entl policy number ere: � d�� 2 Cartier. .�^ �• Policy Number: h/VV� -✓ �� 3 ��d'� ' � (TAIs secNon Peed nof be comp/eted il the perml( Is velued ef one hundred dollers ($100) or /ess.) - - ❑ I certly that in the wmpensatlon laws THOUSFNDDOU.AFlE t�he ork for which Ihis pertnit is issued, I shell nol amploy any person in any manner so es to become subject to Ihe warkers' nd ree that If I should become sub�ed ro t�e warkers' compensetlon prwfsions of Sectlon 3700 oi the Lebor Catle, I shell fonhwith / Date: /� �/� �� COMPENSA7I�N COVEPAGE I$ UW.AW FUL AND SHALI SUBIECT AN EMPLOVER TO CRIMINAL PENf1TfES AND CIVIL FlNES UP TOONE HUNDAED I TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOH IN SECfIdJ 3%O60F THE LABOR CODE, INTEREST, AND ATTORNE`fS FEES. LICENSED CONTHACTORS DECLARATION: I hereby ettirm t�at 1 em licensed under provlslonfol C�apter 9(crommencing with Section 7000) ot Divlsion 3 of the Busineu entl Professions Code, antl my Ilcense is In full br end aXe �. Lic. a i �9�a a—.� Class N recto Sig eturec-/ � � / Date: — /% CONSTRUCTION LENDING AGENCV: ❑ I hereby altirtn that ihere is a con5truction lantling epency for the peAormance ot the work for w�ich ihis pertnit is issued. (Sec. 3097, Civll Code). LendeYs Namd: Signature: � Lendefs Address: Date: OWNER-BUILDER DECLARA710N5: I hereby eHirm that under penalry oi perjury t�at I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the follawing reeson (Sec. 7031.5, Business and Profeuions Cotle: Any city or county which requfres a pe�mit to construct, eller, improva, demolish, or repair any struqure, prior lo its issuence, also requires the appllcant tor such permlt to Nle e slgned slatement that he or she is Ilcensed pureuent to Ihe provisions ot the Cantrectors License Law (Chepter 9(commendng with Sectlon 7000) ot DiNsion 3 of Ihe Business and Professions Code) or that he or she is exempt thereirom and ihe 6asis for the allegetl exemption. My vloletion of Sectlon 7031.5 by any applicant lor a permit sub�ects the apPlicant to e civil penalry of not more Ihan tive huntlretl dollars ($500).): ❑ I, es owner ol ihe properry, or my employees with weges e5 iheir sole compensetion, WILL DO TME WORK. and ihe structura Is not Intendad or oHered far sale (Sec. 7044, Business antl Professions Code: The Contractors License Law tloes nol apply to an owner of property who builds or Improves Ihereon, and who tloes such work himself or herself or through his or her own employeas, provlded that such Improvemems ere not Intentletl or otleratl tor sale. N, hawever, the builtlinq or improvemant is sold withln one year of completion, the ownervbullder wlll have the burden oi proving Ihet he or she ditl not builtl or Improve for puryose of sale.). ❑ I, es owner oi Ihe property, em EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to wnstruct Ihe project (Sec. 7044, Business antl Professions Cotle: Ti�e conirectors License Lew tloes not epply to en owner of properry who bullds ar improves ihereon, entl who comrects for such project with a contractor(s) Iicense pursuant to ihe Coniractore License Lews.). ❑ I am exempt untler sec. Business antl Protessians Cotle for Ihis reason: Signeture; Dete: Owner ID venfied by drivefs license. ❑ Yes ❑ No Drivers License No. Vedficetlon of Ownership by (rype of documenL I.e. • properry �a�c bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: [] 1 hereby cartNy thai no excavallon five (5) or more teet In deplh iMo whfch e person is requiretl to tlescend, witl Ge metle In connacllon wlth work euthodzetl by Ihls permit, entl that no building structure, scaHolding, felsework, or tlemolition or dismantllnp thereof, will be more ihen t�irty-six (36) feet �igh. (Chap. 32, Grp 2, Art 2. Sec. 341, Title B, Califomla Adminisiretive Catle). r ❑ As ownehbulltler, I wlll not employ anyona to tlo work which woultl requlre a pertnit trom the Divislon ot Indusinal Sefery, es noied ebova, unless such person hes a permlt to do such wark from Ihe division. Signeture: Date: Division ot IndUsirial Safery Pertnit Number: CERTiFlCATE OF COMPLIANCE AND AUTHORPATON OF ENTqY: I certify under penalry of perjury that I have read ihis epplicetion and state thet ihe information gi�en is cortect. I egree to comply with all state lews and ciry ordinances relaiing to builtling consWction, end authonze representatives of the City of Costa Mesa to enter upon the ebova-dascribed property for inspection purposes. I egree not to oc<upy or allow occupanty ot eny building authonzed by NIs permit until linal inspedion. CppE �. 7,�,�Co[MONTYPE 1616 Flzetl 5ystem Finel Fire Preventlon 7288 Pool Spe Finel 200 Flnel Fe-Roof 201 Final BIocWReWining Wall 202 Finat Factory Fira Meca 203 FInaI5lgn 20d Finel �emolition 2H6 46 GAg Uf�lL4 ��l /-1 �a �—Date G9pEj INSPELTIONTYPE 206 Final Mechenical 208 Finel Plumbing 270 Final Electdcal 212 Final Fire Preve�tlon 220 Final Plenning Approval 222 � Final Site 250 Final Bullding/Occupanc •1/:11� �• � /(I] i �• CITY OF COSTA MESA ; _ � av��o►N� onr►s�oN ��// � DEVELOPMENT SERVICES DEPARTMENT Cs �J � PERMIT � PERMIT NUMBER �� 898-00895 � (714) 754-5273 • Fax (774) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626 Job Address: Suite: Vicinity: Parcel Nunmber: Appliwnt: Address: Owner: Address Contractor. Address: BUILDING PERMIT 35a �ea2 A1/ 42716202 CARLYLE INCOME PLUS LTD %ATTN JMB REALTY CORP MOR7GAGE SERVICES DEPT %COSTA MESA,IND PARK ' Status: ISSUED Applied: 05/22/1998 Issued: 08/11I1998 Zoning: Phone: Zip: � Phone: � � �. , ` Zip: . 60611 �' � - .. � ' Phone: � � . Zip: � � , License: , �' ; � , , nrch � Eng : ADLER, JEFFREY : - :• Address: , - � ' . � , � � � � . 'Phone: �_ 683-3558 PAGER# , � _ i . _ . Zip: . . � ' - License: �• , ' � SCOPE OF PERMIT ' � ;'TCC" OFFICE TENANT IMPROVMENTS FOR THE FIRST AND SECOND FLOORS ' " ~ %�C�n1�.t_ �� htw�of`S"� . � � ` FEE SUMMARY -. � Plan Check: -$227.34 �._ � Calc Valuation: Szs,000.00 � Permit: $349.i5 � � Claim Valuation: gzs,000.00 SMIP Res: $0.00 � SMiP Com: $5.25 -- � � Other: $0.00 - Inspection: $0.00 Total: $582.34 SETBACKS MAINSTRUCTURE Front 33-0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 80-0 Rear 0- 0 Required: 0 PLANNING & ZONING ' LeR 10-0 Right LeN 0- 0 Right Proposed: 0 35- 0 0- 0 fhe wGrk authorizeci by this permit shall COmP�Y with all app��cable handicap accA�g �gy�1fements under Cafrfornie statutes and related regulations. .n.�i Atn �p ,^R +' � EXPIRATION: This permit shall aUtomatically expire and become void if work Is not commencetl wlihin 180 days, or If work is suspended or ebandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicabla codes, and all required InapecUone and flnel approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of ihis permif. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby efArtn under penalry tl� perjury one oi t�e following declarations: ❑ I have end will malntain e certificate o1 consent Io seN�lnsure for workers' compensetlon, es provitled lor by sedian 3700 of ihe Lebor Cotle, for the peAortnence af t�e w or which ihis pertn�� Is iuue0. I heve entl will melntein workers' compensation insurance, as requiretl by sectlon 3700 oi Ne Lahor Code, for Ihe paAortnance oi the work for which this permit is issuetl. My workers' comp setlo urence carrier end policy number are: {.� , tt (�-�- Cartier. � • PolicyNumber. _/'""'��-�T�c7�/�, (This sec0on need nof be com0�etetl N(he permlt /s velued et one hundred dollers ($ f 00) or /ess.) ❑ I cenlTy thet in ihe pert0�enca ol Ihe work for which Ihis pertnit Is issueq I ahell not employ any person in eny manner so as to bacome sub�ect to tha workers' wmpeosation laws at CalUo�a A agree that Ii l stwuld hecome subJect to the workers' compensellon provtsions oi Sectlon 3700 ot the Labor Code, I shall forthw{th ' ihese pro '6ion . �_�/(� � � pplicant SI nature: Dete: FAILURETOS CUREWORKERS'CAMPENSATIIXJCAVEM�EISUNLAWFULANDSHALLSUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDRED TMOUSANDDq1ARE( OO,OW),INADOIT1qJTOTHEC0.STOFCOMPENSATIpJ,DAMAGESASPROVIDEDF-0RINSECTION9060FTHELABORWDE,INfEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS PECLARATION: I hereby eHirtn Ihat I em licensetl untler rovislons ol Chaptar 9(crommencing wllh Section 7000) of Divlslon 3 of the Busineu and Professions Code, end my Ilcense is in full force end ettect. Lic. # � Class % edo Igneture: a- � � Dete: — % CONSTRUCTION LENDING AGENCV: ❑ I hereby effirtn thet t�ere �s e consiruction lending egency for Ihe peAortnance of Ihe work for which ihis Dermit is iuued (Sec. 3097, Civil Code). Lentlefs Name: LentleYs Atldress: Slgneture: Date: OWNER-BUILDEIi DECLARP710NS: � I hereby affirm ihat untler penelry ot par�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7037.5, Business end Professions Code: My ciry or counry whiclr reQuires a pertnit lo cansiruct, elter, Imprwe, demolish, or repeir eny structure, prior to its luuance, also requires Ihe eppliwnt for such permit to file e slgned stetement Ihet he ar she is Ilcensetl pursuent to the proNsions oi the Contredors License Lew (Chapter 9(commencing with Section 7000) af Division 3 of Ihe Business and Professions Code) or that he or she is exempt tharefrom entl ihe basis tor the ellegetl exemption. Any violation of Sectlon 7031.5 by any applicant for e pertnit sub�ects Ne applicant to e civll penelry ot not more Nan five huntlred dollars ($500).): ❑ I, as owner of Iha propeAy. or my employees with weges es Ihelr sole compensation, WILL DO 7HE WORK, and the slmMure is noi Intended or oHered for sale (Sec. 704d, Business end Protessions Cotle: TTe Contrectors License Lew does not epply to en owner of property who builds or improves thereon, and who does such work himself or herseli ar t�rough his or her own employees, provitled Ihat such Improvements ere not intended or aHeretl for sale. It, however, tha builtling or improvement Is sold wlthln one year af completian, t�e owner-bulltler will heve Ihe Durden of proving Ihet he or she did not builtl or imprave tor purpose of sale.). ❑ I, es owner of the propeny, em EXCLUSIVEIY CONTRACTINC WIiH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business antl Professians Code: The conirectors U�ense Lew does not epply to en owner of property who builAs or Improves ihereon, and who contracts tor such proJect with a coniractor(s) license pursuant lo the Coniractors License Lews.). ❑ I am exempt untler sec. Business end Professions Code For ihis reason: Signeture: Date: Owner ID verified by drivers IiCense. ❑ Yes ❑ No Drivefs License No. Expires: Vedfiwiion of Ownershlp by (rype of tlocument, i.e. - properry la¢ 6ill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certiy thet no excavation flve (5) or more feet in Cepi� into which a person Is requiratl to tlescend, will ba made in connectlon with work aut�odzed by t�ls permiL end t�at no buildin9 sWcture, scafloltling, felsework, or demolition or tlismantling thereat, will be more than thirty-sie (36) feet higR (Chap. 32, Grp 2, Art 2, Sac. 341, Title e, Califomla Administretive Code). ❑ As owner-builder, I will n0� employ enyone to do work which would require e pertnit trom t�e Division of Industrial Safery, as notatl above, unless such person has a pertnit to do such wark hCm the divisian. SigneWre: Date: Divlsion of Industnal Safery Pefmit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will ihe applicant or presenl or future 6ulltling occuDent need to lile end certiM1/ e Buslness Plan tor emergency response ro release or ihreatened release ot a hazardous metetlel? ❑ Ves ❑ No (Section 25505 of the Celflornie Heelth end Safery Code reQuires, with some exceptlons, that a Business Plan be tiled with the Coste Mesa Fire Depariment 6y every business which hes at eny one time tlunng a reported yeer a quentity of hazertlous matenals equel �o or greater than a weight o1500 pountls, or e voluma ot 55 gallons, . or 200 cubic feet of compressatl gas et stantlarOlempereWre and pressure). . . ....................... . . ................................................................................................................................................................................................................. 2 Does or will ihe eDPlicant or present or tulure bullding occupent need to file e registration form for awtely hezertlous materials7 ❑ Yes ❑ No (Sectlan 25533 of Ihe Calllamie Heelth antl Safery Cotle, wlih some exceptlons, requlres regisiretion with the Coste Mese Fire Depenment by each Dusiness which at eny one time �es on hand e quentiry ot acutely hezerdous melenals equel to or greater t�an e weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of oes or will ihe epplican� 0� P�esent or future ] Ves ❑ No tection 25534 01 the CalUomia Health end : epertment oi en RMPP Dy businesses whicl ..................................................................... an RMPP is presently required, has Section ..................................................................... aa �o prepare an nmrr (HisK rvtenagement �hat the Coste Mesa Fire Depenment may i ler ecurely hazerdous matenals with the Fire �5 or wlll Ihe epPliceni o� present or tuture builtling occupent require tor the work which is Ihe subjeci of ihis �� im the South Coast Air Oualiry ManegemeM Distdct or irom eny other eir polWtion control district or egency7 LJ eclion 658502 oi Ihe Califomla Govemmenl Cotle requires that tha requestetl Infortnetlon be hmished on applica . . . . .................................................................................................................................................................... ill any part of ihe feciliy W Oe constructetl under this permit 6e withln 1000 feet from the outer boundanes ot a sch yes', t�e taciliry must maet tha requirement of SeMions 25534 end 42303 of the Califomia Healih and Safery Ca .................................................................................................................................................................................. e pertnit from Ihe Soutd Coest Alr Oualiry Manegament DlsMct ar other eir polWtion conirol disind or egency �olicatlon. have all of Ihe dlsclasures orexribed by Celltamla Heelth and SefeN Code Sectlon 42303 been matle? iha preparetlon, cenification entl filing with ihe Fire ment. ................................................................................. t ❑ Yes ❑ No ................................................................................. etian a pertnit for such canstrucNon or modificatlon 5 LJ No ns for non-residentlal builtlinq pert�its). No CERTIFICATE OF COMPLIANCE: I certity ihel under penelty of perjury the iniormation given above is correct. I agree to comply with all state lews end ciry ordinences regarding Hazerdous Mate�a�s end Emissions. � SlgnaNre: Date: CEHTIFlCATE OF COMPLIANCE AND AUTHORQATION OF ENTFiY: I certify under penalry ot pe�ury thei I have read Ihis application and state that the infortnation given is conect. I egrea to comply with ell state laws entl ciry ortlinances relating to building construction, end euthorize representatives of the Ciry oi Costa Mesa ro enter upon the above-descnbed properry for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by this permit until finel inspedion. Legel �(1Q[_�, INSVECTIONTYPE 1616 FIrsC System Fk�el Fire PrevenGon 1288 Pool Spe Final 200 Finel Re-Roof 201 Finel Block/Retaining Well 202 Finel Fectory Fire Place 203 Final Slgn 204 Finel Demolitlon 244848 �g ��$ �� INSFECTIONTYPE 206 Final Mechflniwl 20B Final Plumbing . 210 Final Electdcal 212 Final Fire Preventlon 220 Finel Planning App�ovel 222 Final Site 250 Final Bullding/Occupency c�Date_/_�U Da� UA¢ II�dLS CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT �� PERMIT NUMBER � ✓ M98-00343 (714) 754-5273 • Fax (714) 754-4856 P FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: �� Lea,� ��✓ Suite No Vicinity: Parcel Nunmber: 42716202 App�icant: SMITH, PATTY Address: , . owner. CARLYLE INCOME PLUS LTD Address: %ATTN JMB REALTY CORP � MORTGAGE SERVICES DEPT ' � %COSTA MESA IND PARK Contractor: Address: ArchlEng: Address: Phone: 714-432-1322 Zip: Phone: Zip: 60611 SELECT HEATING AND AIR CONDITIONING 520 GOETZ AV. < , . Phone:' 979-1546 SANTA ANA, CA. . Zip�- � 92707. .. . license:- 445205� � . _ , � Pho�e: Zip: License: ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair / Alt Cooling/Heat Inst I Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >700 k BTU _ _ Gas Piping Factory Fireplace Hood wlMech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfin Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater SWtus: ISSUED Applied: 08/03/1998 Issued: 08/11/1998 SCOPE OF PERMIT INST TWO NE HVACUNITS AND 3 REGISTEg S, 2 HAET PUMPS.REF 898-00895. •�EG/�n�'ca.l �[t_ lAn te�o�y�• . ' FEE SUMMARY $22.00 $26.50 $0.00 $0.00 $0.00 $26.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 so.00 Quantity ,; Repair I Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial Incinerator Domestic Incineretor Compressors / Absomtion Svstems '' Up to 3 hp I 100 k BTU 3To15hp/500k8TU " 15 To 30 hp / 1,000 k BTU 30 Ta 50 hp / 7,750 k BTU Over 50 hp / Over 1,750 BTU � 8oilers Up to 3 hp 3To15hp 1510 30 hp 3010 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fea TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 Eo.00 o. $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 so.ao 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 $37.50 $0.00 5112.50 EXPIRATION: This permit shall automatically expira and become void if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlona and final epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSAnON DECLARATION: � I hereby affirtn untler penalry of pe�ury one of the following decleretions: ❑ I have antl wlll meintein e certlficete oi consenl to setl-Insure lar workers' compensetlon, as provided for �y section 3700 0� ihe LeDor Code, far t�e peAortnence of the for which thi5 permit Is issued. I �ave entl will me�nteln workers' compensatlon Insurance, es required by section 3700 of Ne Lebor Code, for the pedormence af the work tor which this pe�mit is issued. My warkercs' com tlon Insurance cartier end policy number are: Carrier: ' J � - Policy Number �w� 3 4�39i�� (This sectbn need nof be completed I( the pertnit is velued ef one hundred dollars ($100j or less.) � ❑ I certify thet In iha pedormanr,e f the work tor whlch this parmit is IssueQ I shell not employ eny person in any menner so es to become subject to the workers' compensetlon lews af qollfoJnle, Fd epree t�at II I 5houltl become sublect �o ihe workere' compensatlon provisions of Section 3700 of the Labor Cade, I s�911 forihwllh p ith ihese pr Yfs�ia . � �'/� �� " plicent igneture. r Dete: " NG:FAIWRETO CUFEWORKERS'COMPENSATIqJCOVEMGEISUNLAWFULANDSHALLSU&IECTANEMPLOYERTOCRIMIW�LPENALTIESANDGVILFlNESIIPTOONEHUNDRED T1qUSAND DOI.URE 00.�)� IN FDOITION TO THE COST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECfION 3]OB OF THE LABOR �DE, INTEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACYORS DECLARATION: I hareby aHirtn thet I am Ilcense n er pro sions ol Chepter 9(commencing with Sectlon 7000) of DlNslan 3 of the eusiness entl Profeuions Cotle, end my license is In full torce .' q � r Clau p tre s Signeture: � -. �� Dete: i � _ CONSTRUCTION LENDING AGENCV: ❑ I �ereby affirm tha� thare is a construction lending egency for iha pertormence at ihe work for which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lendars Name: Lendels Atltlreu: Signature: OWNER-BUILDER DECU�RATIONS: Daie: I hereby affrtn t�et unde� penalry oi perjury Ihet I em E%EMPT FROM THE CON7RACTORS LICENSE LAW for t�e following reason (Sec. 7037.5, Business entl Protesslons Code: Any ciry or counry wNch requires e permit to wnstruct, alter, Improve, demolis�, or repair any siructure, prior ro its issuenca, also requires the applicant tor such pertnit to Lle a signetl statemanllhat �e rn she is licensad pursueM to i�a provisions N ihe Comrectors Llcense Lew (Chepier 9(cammencing wit� Secdon 70DD) ot Didslon 3 of the Business end Professians Code) or that he or she is exempt �herefrom end the besis tor the elleged exemption. Any violation at Secllon 7031.5 6y any applicant for e pertnit subJecis the applicant to a civll penalry ot not more then flve hunarea tlollers ($500).): � ❑ I, as owner at the p�operry, or my employees with wages es Ihair sole compensatlon, WILL DO TME WORK, and the siructure is not intended or oHered for sale (Sec. 7044, Business end Proteuions CoOe: The Contrectors LJcense Law does not appty to en owner ot property w�o builds or improves thereon, and who does such work �Imself or herseli Or thraugh his or �er own employees, provltletl thet suc� impravements are not Intended or oMeretl tor sale. If, �owever, the Duilding or Improvement Is sold within one yeA� oi completion, the owner-builder will hava the burtlen ol proving that he or she did not bulld or improve for purpose of sala.). � I, es owner ot �he p�operry, em EXCLUSIVELY CONTRACTING WRH UCENSED CON7RACTOHS to conswct the project (Sec 7044, Business antl Professions Cotle: 7Te coNreG�ars License Lew tloes not appty to an owner ot pmperty who bullds or improves ihereon, and who coniracts for such pmject wiU a contractoqs) license pursuant to ��e Contrectors License Laws.). ❑ I em eaempt unde! sec. Business and Professions Code for this reason: Signature: ' Date: Owner ID veritied 6y drivels license. ❑ Yes ❑ No Dnvels License Na. Veriiicetlon of Ownership by (rype oi document, I.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Ezpires: ❑ I hereby cenlly Ihat no excavetlon Ilve (5) or mare feet in depth imo which a person Is requiretl to descend, will be made in connectlon wlih work euthodzad by t�is pertnit, anU thet no building strucNre, sceftoltling, felsework, or demolitlon or dismentling thereof, will be more than Ihirty-sia (36) feet high. (Chep. 32, Grp 2, Ar12, Sec. 341, 7111e 8, CelifoR�la Administretive Coae). i ❑ As owner-bullder, I will not employ enyone to tlo work which would requlre e permit Irom the Dlvislon of Industrlal Safety, as noted above, unless such person has a permit to tlo such Work from ihe tlivision. SignaWre: _- .. - _ _. Dete: Division of Industrial Safery Parmit Number: CERTIFlCATE OF COMpL1NdCE AND AUTNORVJITON OF ENTiiY: I certify under penelty ot peryury thet I heve read this application antl slate that the infortna�ion given Is corred. I egree to Comply wlih all stete laws flnd City ordinances relating to building consiruction, and authorize representatives of the Ciry of Costa Meu to enter upon t�e above-descnbed properry tor inspecfion purposes. I egree not to oaupy or allow occupancy ot any building authorized by ihis permit until final inspection. COpE �. INSPECTIONTYPE PArE 1616 Flxed System Finel Fire Prevention 1266 200 201 202 203 Paol Spa Flnel Final Re-Roof Finel BIocWRet3ining Wall Final Fectory Pife Place Finel Sign 204 Finel Demollllan 2468d6 �Illl�l�j �Y/�%i�%�i Data` LOOEt INSPECTONTYPE 206 Finel Mechanical 200 Finel Plumbing 210 Flnal Elecirical 212 Final Fire PrevenUon 220 Finel Planning Approvel 222 Final Site 250 FinalBuilding�Occupancy 3� a CITY OF COSTA MESA , � BI/ILDING D/VISION � � DEVELOPMENT SERVICES DEPARTMENT � °• PERMIT PER i� / .�' � E98-00932 � (714) 754-5273 • Fa�c (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626 _ ELECTRICAL PERMIT ,lob Address: 350 LEAR AV I• Suite No Vicinity: Parcel Nunmber: 42716202 Applicant: MORALES, SERGIO Address: status: ISSUED Applied: 08/31/1998 Issued: 08/31/1998 - � .. ^ Phone:-:.744-694-0002 . � .. ,� -n�� Zip: � � _ - � /� � j.�. �\ �/; : -� - . / " _ �l�-" � � � _ Owner. CARLYLE-INCOME PLUS LTD � - • %�� - -'` . � \� �� Addre65 �/o,ATTN JMB REALTN CORP � -_ _ �-�- ��- � y,, � �; '� � -, � , � � ,�,MORTGAGESERVICES'DEPT " � Phone: ��-ti � � ! \�,_`� ; � � %COSTA MESA IND.FARK�� Zip: 60611 ��'. � = / ` �� `, �� '>�% �"�� /: � � '�� _ �i . , `V��. � - � ��' _ �� i i , �. ,. � � i i/%� . n � ��`-. �. Contracror."�' SUNWE3T'ELECTRIC, INC. � �� -� �* �,, Address: ', 01241 LAKEVIEW iy , ' - � . , ,' Phone.Y 714-694-0002 . ,� ` , ANAHEIM CA : : "� ipi'" 92807. , �. . � � . . �%License: �, 511697 ' -- . , - . � . ,. . .._ � '. , � � SCOPE OF PERMIT 128 LIGHTS, 83 OUTLETS, 23 SWITCHES 3 TRANSFORMERS & 4 MOTORS.SERVICES REF 898-895. , ,- " . - .��, ,_ . . . ISSUE FEE Temp service test Res. a/c package New Res (1-2 units). New Res (3+units) Pool / Spa Lighting Fixts - ' Recept Outlets ' Switches Non Res Appl ' Res Appl Service to 200a Service to t000a - Service over 1000a �- Molors to 1 hp . Motors to tOhp Motors to 50hp Molors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole , - ��Quantity . . $22.00 - � , $0.00 � $o.00 - - � 50.00 0 $0.00 0 so.00 0 � �� 59020 128 �� 560.95 83 . .`.�521.95 23 $4.25 1 � ' �$0.00 . 0 " ,$0.00��„ .0- � $0.00 �' � . 0 � $0.00 �� 0. -$17.00 �_ -4 ,' � $0.00 � 0 . $0.00�-..' � 0� '$0.00� � 0� � $0.00�.. � ". 0 $0.00 . 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 _`�, �: ��1� _ --Temp.Dist System'/,Cighting, • _ � '� �_Busway/100ft-�r'�- --_ � - -= Standing'Sectionj �� Misc Electrica� Equipment Transformers up to 7 kva/kw ..........:�::,up�to;10 kva/kw .................up to 50 kva/kw � % ..... ............up to 100 kva/kw . . ' ..........:........over 100 kva/kw �,; .� - � � Low Voltage Equipment � � Lovi Volt Wiring System / Ckt � . � Misc.'Conduit � . � � � � � - � Misc.,Conductor � - � � � � Cirws.( gen or ridep ^ � . - � � Circus (inech ride or lights) ' � � _, "' Christmas Tree Stand � , Fireworks Stand Other Electrical Fee� � i Quantity ' � . $0.00 0 $o.00 o � $0.00 0:" $4875 3' so.00 0 , $0.00 '0 . . � $0.00 %f,� 0' ,_ $0.00.��' 0 � - $0.00� ��- 0 � $0.00' 0 , $0.00 � 0' ' , " $0.00 , , 0 � � � $0.00 - : 0 � $0.00 . " � 0 , $0.00 ' 0 � � � ' $0.00' ,,0 /� $0.00 0 $0.00 Investigation Fee $0.00 - '- �Plan Check Fee , ' - $0.00 , . , Reinspection�Fee � � $0.00 TOTAL CALCULATED FEES 5265.10 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby affirtn under penalry of Derjury one of the tollowing declaretions: ❑ I heve and will maintein a certificete of consent ro self-Insura for workers' compensation, es provided for by section 3700 of ihe Lebor Cotle, for Ihe pertormence ot the .�/ work for whlch Ihis permit is iuueC. �q I have flntl will meiMain workers' compensation insurance, es required by section 3700 of Ne Lebor Code, tor the pertortnance of the work for which this pertni� is issued. � My workers' compensatlon Insur�ce ca1rriier e�nd p.olicy1 numbar ere: I�� I Q C� Cartier: T�t G lD • m—f' Twl W�,S—F— Policy Number � o (ThJs section need n'at be comp/eted i/ the pe�mit is valuetl at one hundred dollers ($100J or less.) ❑ I ce i Ihat In the pertortnance of ihe work tor which this permi� is iuued, I shall not employ eny person in any menner so es to become subject to the workers' ompensa laws of Celifomie, and egree Ihat if I should become sub�ect to the workers' compensation roNsions ol Sectlon 3700 f tha Lebor Code, I shell forthwith witb� ese prov ions. �/%// /J� � �/�� /� plicantSi re: �3 Yvl�i�S.�'� \ Deta:� U FAILURE TO SECURE WO ERS' COMPENSATIIXJ COVERAC�E IS UNLAWFUL AND SHALL SU&IECT AN EM17PtBYERTO CRIMINAL PE�S ANO CIVIL FINES UP TO ONE HUNDRE� TFIOUSAND Dq1ARE (5100,000), IN pDOR10N TO THE WST OF G77MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE IABOR CODE, INfEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARA710N: �[hal' em licensed underR rovisions of Chapter 9(commencing with Section 7000) of eHect. Li . # S�—��—%7 % rsSi Wre: ��.� / Cotle, end my license is In tull CONSTRUCTION LENDING AGENCY: �� ❑ I hereby ettirm Ihet Ihere is a constmction lentling agency for the peAortnanca oi the work for whic� this permit is issued. (Sec. 3097, Civil Code). Lentler's Neme: _ _ . Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hareby eKrm that under penelty ot perjury that I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW to� tha follawing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit ta file e signed statement ihat he or she is Ilcensetl pursuant to ihe provisions of the Conirectors Licanse Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or iha� he or she is exempt therefrom and the basis for Ihe alleged exemption. Any violetion of Section 7031.5 by any applicent for a permit subjecis the applicant to a civll penalry of not more Ihen tive hundred tlollars ($500).): ❑ I, as owner of the properry, or my emD�aYees with wages as iheir sole compensation, WILL DO 7HE WORK, and ihe siructure is not imentled or oftered fa sale (Sec. 7044, Business and Professions Cotle: TTe Contrectors License Law does not apply to en owner of properry who builds or improves thereon, antl who does such work himsalf or herseli or through his or her own employees, provltletl Ihat such improvements are not Intendad or oXeretl tor sele. If, howaver, the bullding or Improvement is sold within one year of completion, ihe owner-builtler will heve the burden of proving t�at he or she did not bulltl or improve for puryose ot sele.). ❑ I, as ownar ot the pwperty, am E%CLUSIVELV CONTRAC7ING WITX LICENSED CONTRACTORS to construq ihe project (Sac. 7044, Businass antl Professians Code: The coniradors License Law does not apply to an owner of pmperry who bui105 or improves ihereon, antl who contrads lor such project with a coniractor(s) license pureuant to the Contraqors License Laws.). ❑ I em exempt under sec. Signeture: Owner ID venfietl Dy drivels license. ❑ Yes ❑ No Business antl Professions Code tor this reason: Ven(Ication at Ownership by (rype of document, i.e. - properry tex bili or deetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: Dnvers LicenSe No. Date: Expires: ❑ I hereby certity Ihat no excavation five (5) or more feet in Aepih Inm which a person is required to descend, will be metle in connection with work authodzed by this permit, end that no building sWcture, scaXolding, talsework, or tlemolition or dismentling thereoi, will be more lhan ihirry-six (36) taet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomla Adminisirativa Code). ❑ As owner-bullder, I will not employ anyone to do work which would require a pertnit irom ihe �Ivision of Indusirial Safery, es noted above, unless such person has e permit to do such work hom Ihe division. � Signature: Date: Divisian ot Industrial Safaty Pertnit Number. CERTIFICATE OF COMVLI/WCE AND AIJTHORIZATON OF ENTHY: I certity under penelry of perjury Ihet I heve reed this applicetion end state thet the informe�ion given is correct I egree to wmply with all state laws end city ordinances relaling to building constmction, end authorize rapreseniatives ot the City at Costa Mesa to enter upon the above-descnbed properry tor inspection puryoses. I agree not to occupy or allow occupency ot any building authonzed by ihis pertnit until final inspection. COpE �. INSPECTIONTYVE �� 161fi Fixed Systam Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Plece 203 Final Sign 264 Final Demolition 2a18-68 peg ��L$ �Qp[Y INSPECTIONTYPE 206 Finel Mechanical 208 Flnel Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Plenning Approvel � 222 FinalSite 250 Final Builtling/Occupancy QASE I�� r' � � CITY OF COSTA MESA ° BUILDING pIY1S10N ' -- : DEVELOPMENT SERVICES DEPARTMENT � -. _ ,�� PERM IT �%' PERMIT NUMBER / r E98-00847 (714) 754-5273 • fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: ,�',� (,,.�Q:� � �-U Suite No Viciniry: Parcel Nunmber: Applicant Address: 42716202 PERKINS, JEFF ELECTRICAL PERMIT owner: CARLYLE INCOME PLUS LTD Address %ATTN JMB REALTY CORP MORTGAGE SERVICES DEPT ' %COSTA MESA IND PARK Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fi#s Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 7000a Motors to 1hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Ciraits Temp Pwr Pole Intermed Pole Phone: 714-258-3333 Zip: Phone: Zip: 60611 Phone: . :. ZiP: . ' . . . . � License: - Statu's; ISSUED � APPlied: 0811 7 /1 9 98 Issued: OB/11/1998 SCOPE OF PERMIT REF 89&00895,INST 2 FIXTURES, 5 OUTLETS, 1 SUBPANEL. " � � y l�/l%G-M � C�/��/O%�Ir . , . ! FEE SUMMARY' � 522.00 $0.00 $0.00 $0.00 $0.00 $0.00 52.00 $5.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 80.00 $0.00 $2715 So.00 $0.00 $0.00 $0.00 Quantity 0 0 0 2 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 _.. Temp Dist Syslem I Lighting � Busway I100 ft � - - - Standing Sedion Misc Electncal Equipment Transforiners,upto 1 kva/kw .......... :....up to 10 kva/kw .................up to 50 kva/kw ...:.............up to 100 kva/kw � ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit - Misc..Conductor , Circus ( gen or ride) Circus (mech ride or lights) , Christmas Tree Stand Pireworks Stand Other Electncal Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 -o $0.00 : 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 so.00 0 80.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E56.25 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automaticaliy expire and become vold if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In orcler for lhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5628 WORKERS' COMPENSA710N DECLAHATION: I hereby affirm untler penelry of perjury one ot Ihe following Oedaretions: ❑ 1 heve entl will malntain e cartificate of consent to self-Insure for workers' compansatlon, es proNAed for by sedlon 3700 at the Lebor Code, far t�e OeAortnence of the w for which this pertnit is iuued. I heva end will malntain workers' campensation Insurance, es required by section 3700 of Na LeDor Code, lo� t�e peAortnance of ihe work for which this pertnit is issued. My workers' com aHon surance carrier entl policy number are: �h��y �1 `/ Cerder: � �-! PolicyNumber: �/�K...J.�Y,�–J/G�. (Thls secNon neetl no� be comp/e(etl il the permif /s velued et one bundred tlollers ($ f 00) or /ess.) ❑ I cenity that in Ihe peAormence of th work for which Ihis permlt Is issued, I shell not amploy eny peraon in any manner so as to become sublact to Ihe workers' wmpensetlan 10ws ot Celifomia, gree thet If I should become subJect to the warkere' compensatlon provlslons of Sedlon 3700 ot the Lebor Cotle, I shell torthwith ih tnese vr isians. �/ plicen neture: Dete: � ��D NINO:FAILURETO QIREWORKEFS'COMPENSATIONCUVEPAGEISUNLAWFIILANDSHALLSUBIECTANEMPLpVERTOCRIMINALPENALT7E5�ANDGVILFINESUPTOONEHUNDRED TIqUSAND OOLLARE �.�)� IN FADIiION TO THE C0.ST OF COMPENSATIIXJ, DAMhGES AS PROVIDED WR IN SECf10N 31O60F THE IPBOR CODE.INTEREST, AND ATTORNE`fS FEES. 110ENSED CONTRACTORS DECLARATION: I hereby eflirtn ihet I am licensed untler proNsions Che r 9(commencing with Seclion 7000) of Division 3 0l the Business and Prafassions Code, antl my Iicensa is In lull force entl eHect Lic. p � �D � Class q ntrecto S neturBs. � i Date: —� CONSTRUCTION LENDING AGENCY: ❑ I hareby ettirm Inat there is a conslruction lendinp egency for the perfortnance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lendafs Name: Lentler's Address: Slgneture: OWNER•BUILDER DECLARATIONS: Dete: 1 hereby ettirm ihel under penalry of pe�ury ihat 1 em E%EMPT FROM TNE CON7RACTORS LICENSE LAW ior the iollowing reeson (Sec. 7031.5, Buslness end Professions Cade: Any ciry or counry which requires a pertnit to construM, elter, Improve, demolish, or repair any strudure, prlor to its issuance, also requlres the eppllcaM for such parmit to fle a signetl stetament that he or she is Iicensetl pursuant to the pravisions of the Cantrectors License Lew (Chepter 9(commendng with Section 7000) of DlWslon 3 01 ihe Busineu antl Profeulons Cade) or that he or s�e Is exempt Iherefrom end the besis tor the elleged exemptlon. Any violetlon ot Sedion 7031.5 by any epplicant for a pertnit sub�ects Ue epplicant to e civil penalry af not more Ihen five hundred dollers ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intendad or oHeretl 1or sale (Sec. 7044, Business antl Protesslons Cotle: The Contrectors LJcense Lew does not appy to en owner of property w�o builds or improves thereon, end who does such work himsetl or �ersel� or ihrough his or her own employees, piovided thet such Improvements ere not Intentletl or ottered tor sale. Ii, however, Ihe buliding or Improvament Is sold withln one yeer oi completion, the awner��uilder wlll have the burtlen of proving that he or she did not bulld or improve for purpose af sale.). ❑ I, es awner oi the properry, am E%CLUSIVELY CON7RACTING WI7H LICENSED CONTRACTORS to consiruct ihe proled (Sec. 7044, Business and Professions Code: The contlectors License Law does not apply to en owner of properry who bulltls or improves thereon, antl who contrects for such prolect with a contractor(s) licensa pursuan� to ihe Coniradors License LawsJ. ❑ I em ezempt under sec. Business end Pmfessions Cotle ior thls reflson: Signature: Date: Owner ID veritled by d�iver's license. ❑ Ves � No Driver's Licensa No. Expires: Vedficatlon of Ownership by (rype of document, i.e. - properry tax bill or deetl): DIVISION OF INDUSYAIAL SAFETV PERMR CERTIFICATON: ❑ I hereby certiy that no eacavation Me (5) or more feet in depth imo which a person is reqWretl to descend, will be made in connectlon with work authodzed by INs pertnfl, antl Ihat no building sWcture, scattdding, felsework, or demolition or dismantling t�ereof, will be mare t�an ihirty-six (36) feat high. (Chep. 3.2, Grp 2, An 2, Sec. 341, 77Ue B, Celllomla Atlministretiva CoOe). ' ❑ As owner-builder, I will not employ enyone to tlo work which would require a pertnit from Ihe Dlvlsion of IndusMal Safery, as noted above, unlass such person has a pertnit to tlo sucn wark trom the division. Signeture: Dete: Division of Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AllT}iOR¢A710N OF ENTRV: I certily under penalty oi perjury ihet I heve read this epplicalion and stete thet Ihe infortnation given is correct. I egree to compty with ell state laws end ciry ordinences relating to tuilding construction, and authorize represeNatives of the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I egree not to occupy or allow occupancy ol eny building authoAzetl by tnis permit until tinal inspection. CQOE I. INSPELTONTVPE 1818 Flxed System Final Fire Prevention 1288 Pod SPa Fina� 200 Finel Re-Root 201 Finel BIocWRO�eining Wall 202 Finel Fectory Fire Plece 203 Final Sign 204 Flnel Demolition � 2aa&ee , �� It�9{$ LppEj INSPECTIONTYVE 208 Final Mechanicel 200 Finel Plum�ing 210 Fl�al Elecl�ical 212 Final Fire Prevention 220 Finel Planning Approvel 222 Finel Site 250 FlnalBuliding/Occupancy �=� l/if� Date GASE Iti�LS � � � CITY OF COSTA MESA . ; _ BUILDING DIYISION : DEVELOPMENT SERVICES DEPARTMENT J �� PERMIT PERMIT NUMBEfl F98-00183 (714) 754-5273 • Fez (714) 754-4858 77 FAIR DRIVE, COSTA MESA, CA 92626 FIRE SUPRESSION PERMIT Job Address: � 3� f"�l L�t+/�— /' V• Suile: Viciniry: Parcel Nunmber: 42716202 App�iwnt: GALLANT, SOPHIA Address: ,, y Ownar: Address Contrector. Address: CARLYLE INCOME.P4US LTD %ATTN JMB REALTY CORP r �� MORTGAGE SERVICES DEPT %COSTA MESA IND.PARK , .j�. GALLANT FIRE PROTECTION 73278ALSAM Zoning: Phone: 714-502-9782 Zip: Phone: Zip: � � Phone: 714•502-9782 ANAHEIM,CA .... Zip: 92805 � • License: 728432 , � SCOPE OF PERMIT REF B9&-00275 ADDING�23 NEW SPRINKLER HEADS FOR T.I. Plan Check: $64.84 Permit: $99.75 Other: $0.00 Total: $164.59 -- � � FEE SUMMARY t . �.,, . . Status: ISSUED Applied: OBIt411998 Issued: 08I18/1998 60671 Calc Valuation: ao.00 Claimed Valuation: Sa,ioo.00 IEXPIRATION: This permit ahall eutomatically expire and become vold if work is not commenced within 180 days, or if work is suspendod or abandoned for a period of iB0 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all roqulrod Inepectlone and Nnel epprovsl mu9l be obtalned. Fallure to obtain inspections end final epproval wlll result in ihe expiration of this permit. FOR INSPECTIONS CpLL; (714) 7545828 WORKERS'COMGENSATON DECLARA710N: I hereby efflrtn untler penelry ol per�ury one ol ihe fdlowinp declera�lons: ❑ I heve entl will meln�eln a certlflcete of conaent lo eell-Ineure lor workera' wmpensellon, ae provltled lor by aectlon 3700 ot Ihe Lebor CaEe, lar the pertortnance of t�e work for wTIC� Nle permll ia laeueO. I �eve erM wlll melnteln workaB' campensdtlan Insurence, es requlred by seclion 3700 of the Lebor Code, for the peAortnence of Ihe woAc fa which Ihis pertnit Is Issued. My wo �� nseti l eure`n�� cerAer end policy number ere: 1 p Carrler: � �/r".Iv �I/A.CI- � Pdicy Number. 14f�� (�,y — � t5 � (rnis secnon d nr�p�eted �r me pemN� la verued at ane nundrea eouers !s �ool a ress.) ❑ I certlly thet In Me pertortnence of Ihe wOAc to� whicli Ihis pertnit Is IeweA, I a�ell not employ any pereon In eny menner ao es to Decome eubject lo t�e workero' compenxtbn lews o� Cel mle, antl eQrea t H 1 nM1wld Eacoma auO�ecl to the workero' compenaetlon provlebns of Secllon 3700 of ihe lsbor CaAe. I ahell lo�hw� comply wlt� Nese Pro ns./ � � Applkanl SlpnaNre: nN;il : 0 �f� �j oe�a: R'.�,i 7=gn WARNINO: FAILURE TO SEWRE VORI(EftS CDMPENSATION COVEMOE IS UMAWRIL AND $MALL SUBJECf Ml EMPLOYEfl TO CRIMINAL PENALTIES AND GVIL FINES UP TO IXJE MUNDRED T/qUSMlD OOl1ARE (f100,000), IN ADOITION TO THE C46T OF 00�.1PENS�TION, DMIA�ES AS PROVIDED FIXi IN SECTION 7108 OF 7HE LABOR CODE. INfEREST, AND ATTO{iNEI"5 FEES. � y LICENSED COHTRACTOHS DECLARATION: I �ereby eNirm Ihet I em force and eMecl. Uc. N_ ContredoYe SlpnaWre: of Chaptar 9(CommenclnB �'�t� Sectlan 7 ) oi Dlvlslon 3 of the Business end Protessions Code, entl my Ilcense is in fut � � qflss k �— ,�—l�� ?n � Dete: �•��/'7 _ CONBTRUCTION LENDINO AOENCY: ❑ I �ereby alfirtn Ihat there is e cons�nictlon IenClnp epency for t�e pertortnence al t�e vrork for which Mia pertnit la Issued. (Sec. 3097, Civll Code). LandeYe Name: LenEers Atldrass: Slpnature: Dete: OWNER-BUILDER DECLARATONS: I hereby eMlrtn that under penelry ol per�ury t�at I pm E%EMVT FROM iME CONTRACTORS LACEN9E LAW lor the fdlowlnp reeson (Sec. 7031.5, Buslness entl Professlons Cotle: Any Ny o� county wMch reqWres e pertnit to conetrup, aiter, improve, Cemolfsh, or repefr eny elrudure, ptlor to 115 issuence, elso reQulree I�e eppllcent tor auch permlt to flle e elpned aletement t�at he or ahe la Ilcenaetl purouant to Ihe pravlelons ol tne Conlreqora Ucenee Lew (Chepter 8(commencinp wlt� Sectlon 7000) ol Divlsion 3 0� t�e Buslness and Protesalona CoEa) or Nat tie or aM le evsmpt lheretrom antl the hfls4s lor the allepetl ecemptlu�. My v{datbn of Sectbn 703�.5 by any epplicent tor e permit eub�ecte Me epplicent to e cIv11 penalry o� no� more C�en Me huntlred aollen (5500).): ❑ I, ea owner of the property, w my empbyeea wlth wepea es thelr sole compensetlon, WILL DO TNE WORK, arn1 the structure Is not fMenEetl or otteretl for sale (Sec. 7046, Buelnesa and Profeselons Code: The Conirectore LJcense Lew does not epply to en owner oi Droperty who bulltls or ImOroves ihereon, end who Uoes suc� work hlmaell or �eroeM or ihrough his or her own employeea, provldetl thet euch improveme�ta ere not Intentled or oMeretl tor eala. 11, however, the bullGing or impwvement Is add within one year of completlon, l�e owner•bullCer wlll have Ihe Durtlen of pravinp t�et he or ehe Ald not Euiltl or Improve lor purpose of aele.). ❑ 1, as ow�er cl Ne property, am El(CLUSIYELY CONTRACTiNG WITFI UCENSEO COMHACTORS to construct Ihe pruject (Sec. 7044, Buslness and Pratessions Cotle: Tiie contrectors license Lew tl0es not eppy to an owner of properry w�o bullds or Improves ihereon, end who contrects for such projecl w0h e contractor(s) Ilcenae pursuant to the Contractors Ucense I�wa.). ❑ � em exempt untler sec. Business and Pmteulons Code tor thls reeson: Slpneture: Oate: Owner ID veMleO by AdveYs Ilcenee. ❑ Vee ❑ No Dnvefs lJcense No. Expires: Veriflcetlon of OwnerMlp by (lype of tlocument, I.e. - property tez Dill or Eeetl): DIVISION OF INOU8Tfl1AL BAFETY PERMR CERTIFICATION: ❑ 1 hareby catlly thal no excavetlon flve (5) or more leet In tlepth Into which e pereon Is requlretl lo tlescentl, wlll be matle In connectlon with work eut�odzed by this pertnit, en0lhat no bullding atructure, eCalfoldlnp, laleework, o� tlemolitlon or diamentllnp I�ereol, wlll be more Ihen thirty-elz (38) feet �Iph. (Chap. 3.2, Gry 2, Atl 2, Sec. 341, Title 8, Celllomle Atlminiatretiva Cotle). 0 As ow�o-bulider, l wlll not emDby aayone to tlu wwk whlch wouW reqWre a pe�mlt Irom t�a DWlsbn ot Industdaf Selery, as notetl e6ove, unless such person �es a permit to tlo wch woAc hom Me diNslon. Sipneture: Dete: DWlsion of IndusMel Sa}ery Pertni� Number. CERi1FICATE OF COMPLIANCE AND AllTMOROJITION OF EHTRY: I ceN1y untler penalry ot perjury thet I heve reatl Ihls epplicetion entl etete Ihet Ihe inlortnetion given is cortect. 1 epree to compy wiM ell slete lawe erW dy ordinancea reletlnp to bulltlfnq conatruclion, and eu�horize representetNea ot Ihe Cfry ot Coste Mese lo enter upon Ihe ebpve-EexADed property for Inspeclion purpoaee. I epree not to accupy or allow occupancy ol eny bulltlinp eu1l�oAzed by this permll until final inspeqion. �,y INSVlCTIDNTVV[ 1818 Flxed System Flnal Fire Prevenllon 1288 Pool Spe Flnel 200 Flnal Re-Foof 201 Finel B1acWRetaininp Weli 202 Flnel Fectory Flre Rece F�7 'TUM1 YMBJO Flnel Slpn Flnel DemdlHon � � �j ��CIIONTYPF 208 Finel Mechanlcal 200 Final Plumbinq 210 Final EleMdcel 272 Ffnal Flra Preventlon 220 Flnel PlennlnC ApProvel 222 Flnel Site 250 Flnel Bulldinp/Occupenty �g � � CITY OF COSTA MESA ; _ � 9YILpING DIV/SION : DEVELOPMENT SERVICES DEPARTMENT J - •,�- �, PERMIT PER NUMBER `+'aen� P98-00757 (714) 754-5273 • Fax (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626 Job Address: 350 LEAR AV Suite No Viciniry: Parcel Nunmber: 42716202 Applicant: NUNEZ, TONY Address: Owner: Address PLUMBING PERMIT Phone: Zip: v�'�� CARLYLE INCOME PLUS LTD %AlTN JMB REALTY CORP � � � � - MORTGAGE SERVICES DEPT Phone: %COSTA MESA IND PARK Zip: 60611 Contractor: TONY'S 8 SON PLUMBING Address: 00870 E SANTA CLARA : � Phonei: � 543-1736 ' S.A. CA � , " �Zip:. 92706 , � , � , � License: 484956 ��, . Arch / Eng : Address: Phone: , . Zip: - . . � License: SCOPE OP PERMIT INSTSTALL 1 1/2" BACKFLOW PREVENTER. - � FEESUMMARY, �, AMT QTY �AMT � ISSUE FEE $22.00 Laundry Tub / Washer $0.00 Backflow irrigation $0.00 1 Landscape Irngation $0.00 BackFlow Preventer $8.75 0 P-Trep , $0.00 Bathtub $O.OD . 0 Pressure Regulator - $0.00 Clarifier System SO.OD 0 Process Piping (per t0,ft) $0.00 Connect (Ice,Soda,etc) $0.00 0 Receptore $0.00 Dental Units $0.00 0, � Septic Tank �� $0.00 Dishwasher $0.00 0 Sewer Cap for Demo �� $0.00 Drain, Floor $0.00 0 Sewer Connect �, $0.00 Drain, Rainwater $0.00 , 0� � Sewer Private Line � ��$0.00 Drain, Roof $0.00 0 � Shower "_ , - _ $0.00 � Drinking Fountain $0.00 0 Sink, bar $0.00 Expansion Tank $0.00 0 Sink, commercial $0.00 Gas Earthquake Valve $0.00 � 0 Sink, Floor � $0.00 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 Gas Repipe $0.00 0 Spa (private) , . $0.00 Gas Service 50.00 0 Spa (public) $0.00 Interceptors (Grease, Oil) $0.00 0 Interceptors (Sand Auto ) $0.00 0 �n 0 0 0 0 0 0 0 0 0 0 . 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 10/01/1998 Issued: 10/Ot11998 ,� �� . � . � ' i�'. t SumpPump Swimming Pool Trap Primer . Urinal Vacuum Brkr Bkflow(i-4) Vacuum Brkr Bkflow(5+) Wash Basin � Wash Basin Set � � Waste and Vent System Water Closet (Toilet)� Water Heater I vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener � OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � I hereby affirtn under penalry of perjury one oi t�e following declarations: ❑ I have entl will melntain e ceniticate oi wnsent b selFlnsure for workers' compensatlon, as provided tor by section 3700 oi ihe Lebor Code, tor the pertortnanca oi the wOrk for whiCh thi5 permit i5 i55ued. � I have and will maintain vrorkers' compensetion insurance, as requiretl 6y section 3700 of ihe Lebor Cotle, lor Ne peAomunce of Ihe work for which Nis permit is iswed. My workers' compensation Insurance ceMer enC policy number are: Cerrier: Policy Number: (Ihls sectton need not be comp/efed i/ fhe permlt /s velued at one hundred dollars ($100) ar less.) ❑ I certlty that In Ihe perfortnence of Ihe work tor which ihis pertnit is issued, I shall not employ eny person in any manner so as to become suD�ect to the workers' compensetion lews oi Callfomi entl egr thet If I should 6ecome sub�ect b the workers' compensation provlslons of Section 3700 at the Lebor Cotle, I shell forthwith comply wlth these prov �7 ApD�iceniSlgneWre: �� Dete: /// -/• i9� WAFNING: FAILURE TO SECURE WORKERS' P NSATION G ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE NUNDRED T710USANDDOLLARE�5100,000),INADDITIONTOTN COSTOFCOMPENSFTION,DAMAGESASPROVIDEDFORINSECTION3]WOFTHELABORCADE,IMEREST,PNDATfOf1NEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I am licensed under provislons of Chapter 9(commencing with Section 7000) oi Division 3 0l the Busineu antl Professions Code, end my license is in tull rorce end ettect Lic. a Class a ( 3(. ContrectoYs Signeture: ro .e.slf �� Date: //' / P� CONSTRUCTION LENDING AGENCY: ❑ I here6y aHirm that �here is a construc�ion lending egency tor the peAortnance of ihe work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I �ereDy eNirm Ihet untler penalty of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for iha tollowing reason (Sec. 7031.5, Business entl Professlons Cade: Any ciry ar counry which raquires e pertnit to construct, elter, improve, demolish, or repair any strudure, pnor to its issuanca, alsa raquires the epplicant lor such pertnit to flle e signed stetement ihat he or she Is Iicansed pursuant to the provisions at Ihe Contrectors License Lew (Chepier 9(commencing with Saction 7000) of Dlvlsion 3 of tha Business end Protessions Code) or thet he or she is exempt Iherefrom end the besis tor the alleged exemption. Any violatlon of Section 7031.5 by any applicant for e permit sub�ects ihe apDllcaM ro a Uvil penalry of not more than five hundred dollere �3500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl the siructure is not in�entletl or oflered for sale (Sec. 7044, Business and Pmtessions Code: The Contrectors License Lew tloes not apply to en owner ot praperty who builds or improves thereon, end who does such work himself or herseli or Ihrouqh his or her own employees, provided thet such Improvements are not intended or oHered for sale. If, however, the bulltling or Improvement is sold wlthin one year of completion, tha owner-builtler wiil have the 6urden ot proving ihat he or she tlitl not Ouild or impmve tor purpose of sele.). � I, as owner oi the property, am EXCWSNELY CON7RAC71NG WITH LICENSED CONTRACTORS to construct t�e D�alect (Sec. 7044, Busineu and Protessions Cotle: The contractors License Lew tloes no� epply to en owner of property who builtls or improves Ihereon, entl who contrects for such project wlth e contracror(s) Iicensa pursuant to the Cantractars License Laws.). ❑ I am exempt under sec. Signelure: Owner ID venlietl by tlrivels license. ❑ Yes ❑ No Business antl Professions Code tor this reason: Vedflcetlon of Ownership by (rype of tlocument I.e. - property tex hill or deed): Driver's LicenSe No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify thet no excevatlon five (5) or more feet In tlepih Into which e person is requiretl to tlescend, will be metle in connectlon with work euthorized by this pertnit, and that no building swcture, scaHolding, falsework, or tlemolition or dismantling thereaf, will be more Ihen thirty-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, 71t1e B, Gallfomla AtlmlNslretive Goda). ❑ As owner-builtler, I will not employ enyone to do work which woultl require e permit from the Division ot Inaustrlal Satery, es notetl above, unless such pereon hes a pertnit to do such work tmm ihe division. Signeture: Dale: Division oF Industrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OP ENTRY: I certify under penalty of perjury thet I heve read this application and state �het ihe Intormetion given is cortect I egree to compy with ell state lews antl cly ordinances relating to building construction, and euthorize representatives of Ihe City of Costa Mesa to enter upon ihe ebove-descrlbed properry tor inspection purposes. I egree not to occupy or ellow occupancy ot any huilding auihorized by ihis pertnit until tinal Inspec1ion. Of Legel COOE �. INSPELTIONTYiE . 1818 Fizetl System Final Fire Prevention 1288 Pool Spe Final 200 Final RB-Roof 201 Final BIocWRetaining Well 202 Finel Feclory Fire Plece � 203 Final Sign 204 Finel Demolilion 24t&4fi �.f7ii�Ciiliq�i COOEt INSiECTIONTYDE 206 Finel Mechenical 208 Flnel Plumbing 210 Finel Electrlcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Flnal Site 250 Final Building/Occupency 17U��iiii�9 / �G � PBOJECT AODflE55: 3 5� L EAR �1�� UNIT: owNeasxaMe: CARLYLE INCOME P�,US LTD ZS I nooeess: 101Q0 SANTA MONiCA•B=� S�j-� LOS ANGELES CA 90019 (213)277-4350 AflCHIENGINEEfl: TODD SCHOOLER flEG.NO.: C—L%323 aooAess: 500 N. NEWPORT BL ur+it: 206 NEWPORTHEACH CA 92663 venmincc: LAMERTON CONSTRUCTION ( 714 ) 557-2063 aooaess: 1112 CARSON ST C.M. CA 92626 LILENSEU CONTflACTOB OECLAPATION: I �ereby a�lirm I�at I am Iicen5e0 unEer O�ov¢ions ai Ctuoier 9(cammencing vnl� S¢ction 7000� of �rvision 3 al ihe Business antl Pwiessions CoOe. and my license is In full lorce and ellect. ��,:050970 sraTeuc.:581711 cuss: B o �� '��'�Signature: WOBNEflS' COMPENSATIUN oECtAPATIUN: I nereDy atlirm ihat I nave a cenilitate of cansent to selbinsure or a cenilicate oI Workers' Compensation Insurance. or a cenilietl coDY thereol (Sec�ion 3800. LaL. C). POLILY NO.: EXP. ORTE: LOMPRNY: � Certifie0 copY is hereby lumis�ed. ❑ Cenilietl copy is IileA with ihe city Building �ivision. Oale: Appliwnt: E%EMPTION FPOM WOflKEflS' COMPENSRTION DECUBRTION: (IDis se[Iqn nee0 not be compk�e0 iI �he permit i5 for one huMr¢0 (5100) or ie55�. 1 cetlily Ihat in Ihe pedorman I ihe work lor w�ith this pe�mi� is i55ued, I shall no� employ any person in any manner so as lo become s/' cl) t�e Worker5' Co pe ation L s f lilomia. iDa � � Signalure: NOTICE: If, alter making Ihis Declaration, you 5hoW4 Uecome subject Io �he Work¢rY Compensalion provisions ol ��e LaOor Code. y0u musl �orlhwiih tamply wilh Suc� Dmvision5 ar �his permii 5hail Oe OeemeO revoke0. LONSTBUCTION LEN�ING RGENLY: I AereUy aliirm Uui �h¢R is a cans�mtti0n IenOinq agency far Ihe p¢tlormanCe 01 II1e woB lof wnicn Inis oermit is issuea (Section 3W7. Civ. CI. LENDEH: aooAess: OWNEB BWLOEB OECIABATION: I hereby allirm I�ai I am eeempl �mm Ihe Coniraclors' Staie License Law for Ihe Iallowin8 reason (Sec�ion 7031.5 Business an0 Pmlessional Cotle: Any cily ot mun�y which re0uire5 a permi� Io consimct, al�er, imD�ove. demolish, or repai� any simclure, onor to its issuance. also repuires ine appliWnt lor sucn Oermii to lile a sipnea statemenlliui ne/sne i5licensed pursuam �o ��e provisians oi I�e Conlraciors' Staie License Law (Chap�er 9 �commencinA ��h Section 7000) oi Oivision 3 of Ihe Buvness anA Piolessions Cotle) oi Ihat he/she is exempi Ihere�mm ana ��e �asis fo� Ihe allege0 exemp�ion. Pny viola�ion ol Seclion 703L5 by any apo6cani for a oermil suejects ine aDOlicanl to a civil penally of nol more �nan five nunareE Oollars (55001. I, as owner of ihe pmpeny or my employees with wages as their sote compen5ation, will tlo ihe work, ana Ine ❑ slmcNre is noi imendea or oflereA lor sate (Section 70aa, Business anA Pmleuional CoOe: Tne Comraclors' State License Law tlaes not aDPly to an owner ol a pmpetly who builtls or impmves I�erean. an0 who Ooes such work �imsell/Aersell or Ihrough nis or ner own em0loyees. D�ovieee ihal such impmvemenls are not inlentled or oifereA fo� sate. V, however IOe �uilding or improvemen� is sold within one year o� complelion. I�e owner vnil twve Ih¢ burGen ot Dmnng �e/she EiG noi builA or improve lo� ine o�rpase ol sa�e�. I, as owner ol ihe D�openy, am e�clusively contracling wilh licensed comrac�ors lo conslmcllne Dmle�� 4Sec�ion 704a, Business ❑ and Pmlessions Code' IDe Contraciors' Stale License law Ooes no� apDly lo an owner af pmperiy who UuA�s or imOroves ihereon and wlro contracis lor such D�ojetls wit� a conlracioqs) licens¢ OurSuani Io Ihe Caniractors' S�ale LitenSe Law). I am aware t�a� prool ol I�eir Worker'S Compensation insurance s�oultl be pmviGed ro m¢. � I am exempt untler Seclion: B. 8 P. C. �or Ihis reason: �a�e: Owne[ I Oo hereby cenily lhat l am aware o� antl unaers�antl ihe reQuirements ol Cali�ornia Heallh and Safery Cotle Section5 25505, 25533, ana 2553<an0 UNI I o� any �Wure DuilOing acu0ani wilVwill no� (circle one) nee0lo comply with SaiE slale co�es an0 ��e repuirements lor a permit lor conslmc�ion or moOAicaiion �mm Ihe Art Ouali�y Managemeni Oisiricl. Pe5i0eniial conSlmciion apDlicaiions are eremD� ��om Ihese provisions. Dale: Ap0licanC I �ere�y cenily �Aa� Ihave reatl ��is apPlicalion and 9ale��atlAe aboveinimmalion is correct. I agree to comDly with allcily antl couniy oidinances ana slaielawsrelalingta buildmg consimclion and hereby authorimrepresenlalivesoi�his cilylo enieruponihe above�mentioneJ pr r msp¢t�ion purposes. � /�� /� �� aie: � J "! Signalure: T erS �mense or Socia� Securi�y p: 16at-a6 Whne—Builtling: Green—Code Enlo¢emm1; Canary—ApPlicant: Pink—Rovenoe: Goldenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 067225 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU JOB DESCRIPTION : LEGALIZE INTERIOR ALTERATIONS CLAIM VALUE: CALC—C'ALUE : PERM NO: P 06722`_ GOC�T: N SUPP: N PURPOSE: ALT SQ FT: GROUP OCC; B-2 /H-2 COMMENTS: REF: B-65893 x*x�t*��**x�x�*��r*****��****�*****�r�*x*+�*�r*****+�?�x**�±��e**x**�**�r*+t**�***�******�t Z O N Z N G R E Q U Z R E M E N T S S E T B A C K S ------------ MAZN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REr1R: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 42716202 ZNE; REF NO; PLANNING NOTES> > 3f 9f 9f !E iE ff iF iE if iF �1F iF iE iP iP if af iE 1f 9f iE iF iF if it it it �lt iE iE if iE if if if it it iF aE 1f iE iE iE 1f * iF'�(�iE iP ic �E IF aE iP if �E if iF iE iE 3F iE iF if iE ii ik iE iF 9E if iE 9F iE k iF iE iF iE 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 ZONING APPROVED BY • �� DATE : BUILDING APPROVED BY : i� DATE: '"j/� I�Q APPLICATION ISSUED BY: ��'��I DATE: S 1 K I 1� )EifihiEiFiEiFiEiEiEiFiEiFafiFiflEihaFiElF1E • fl�fkifiEififjFiEiEiF �� tFiLif��4 -1EititrlEiEiEiFafiFifr'if+FifiFi4iFiEitifiEiFl6iFifiFitiFiEiEiEifiEif*ifiE#�jE�iEjF?f%if �iEiFiE?EjFiF�EiEiFiEff-iEiF{tiEif�EiFifiEjEiF�it+Eii�raFaE?Fif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 35.00 zsi PLAN ISSUE FEE 20.00 ' BUILDING—DIV—> PERMIT ISSOE PLAN=CHEC-K TOTALS----> 35.00 20.00 — -0:00 FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 55.00 55.00 ,00 RE�'ENUE DIVISION TOTALS--> COLLECTEL;�• SS.QO OVER%SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 55.00 ' � ' **�***��*�*��*��*��+�*��****��**�*�'*��**.��*****+r**�**�+�*��**+�+�r��*��********�* I N D I V I D U A L-� F E,E H R E A K D O W N \'. � TYPE QTY D E S C R I P T I O N� -� UNIT COST TOTAL COST PLO 2 WASH BASIN ''" 7,00 14.00 PLU 2 WATER CLOSET (TOILET)" f,� 7 00 14 00 PLU 1 URINALS. WALL EN� OF FEES .� ' �: .. .'� ., i � 1`. 1 , � h.f ' / �� o D � MAY 1 CITY .OF C TA MESA � CO?.'S i RUCTIOR' ARD PLAhNI�G I POt,_ s SPA �-j I ' ' d??ROVr',LS P¢rmit;- Date In:prr.tor - Dat�lnsp�rtor' � . APPROVALS Permi: --`- � 1, 'iemGo�+�'Y E�ectneal Sernce o� Pole 52. Pool & Eqwpmznt tucaYu� I 7. Sod Pive Undrgtnd. 53. Steel Re�nforr.ement -� I _-yl i-------- ---- --' �--- - - -�-- -__' � 3 E-r.tr r,' C.-�^.du�' Ut'b•�..U^Jrg�r.d. i' � 54. Fo;m; I �- -- - 1 - � � 4 6lectnc„I ConduiFUndrgmd. ^! _ � 55. Eleciricai Bonci�ng �- - __ �--__- _ _ l -_ --, ' 5. 5[z^� R,� �r�.e�me�t ^ 56 Ro�:�o Piun ��ng & PraSsure Test I_�_ -f---� � i 6=;cctr r._ UFLR Gmd ------_- '---�.- ---, � 51. P-PPRC�lAI. Tp CC�'ER GUN!TE � - -- J I � 7 Footlno< � �68. Electrical Condu�rUr+drymtl. j _� 8.r Fo�nd;.t�.en i 59. Gas P�pe, O l;ndrgrn.l., Test i i �-� - - ��_{ Water Pipe�Undrgrnd. -- - -� _, 60. Backwash i_mes, P-Trap, � Undrgmd. I � '0� Succt�..�s� Floor SYscem � Q OEG< � I -� � 61. APPROVAL T _i t t. F.oPe�;Y Suvar Line R� Ho�sa Conneccion -r 62. 82el:v�a,h �.� ReceP+�`F�nai � � -- , 72. 5,.:er Ct�� - --- --'-- G3. Heat=r & Vent-Finc��. i-. . -- -j � I__ � _� :3. �'. �* :r;..�; f�---- -� 64. Piumhing Svs:em � F�n21 I ' i r'� Fc�p�.F:� nU�,..n _-__ -_j_-_ ___ -i -__I__-_, �' _ I _ I 65. Elcctncal�Findl g- i�.._�, �c�e�tr.t...�-Contl�,.- - -- � - -I 66. Soiar SYS'�.-�.= .�� _- _.T__ _--� F--- - i 1 E. Pougl� ��_lectric 1^.'iring -- -- -- j --� i ' 67. Fenang Ri Pccess APp/Jv3I �-------'- ----------- '�-- - ---i-----' , � ;y_..;� � . •,�� S:an ' 68. APPROVED FOR P�A57ERI `.'G ! i . ' �fl "r. �` F'rc'.r:,-dl�i Bar Cx��:�nn ��_ � '�' _ ��' � 6°. POOI�SPASYSTE'.�SPtyqL � _ � �---- -- ------ - --- - --- �-- --- ��9 r �, "c,;:-3 g: Al Gu��'•�c.� n9 t FIRE OtPT. RL-(IUIREc�ENT ' f--,-.---.. ---- --'i ---' ' � �, 1... . .._., ��.r..�.-_ -�_ � .�i'PRCV<:'_5 Pcrmi.= - • f_-_____-.,, - --� - - -______.- _____' I"L!. U:c'+. '� S::�cI�': --_--- I j 70. Undergravni: Nvdro : _-.-__--_--__ ____.__ _ �__'_ _ _--�- . � _i ''2 �..cr, z�• �_,. -..i I 71. P� udm:t � r n�� ': Gr•. _. �.. ' __ * _ _. '_ _- _-�_ - '___ -_ I 23. G.. oi�,..iough Ct; Test '-_-__ __-_� _� 72. Urdcr,�.pu.,.i F'cs^ I _�,� • �--_ __-_--___-_ �--__ .-� ___ �_ _-__ ____._ �.-___ _-_ �?<. ��c.;t F:,,m�r9 ' 73. Ur.darqmd.5mra:._ Ta�k � Ga; .. I-- --- - -- ---- -� -- � ----�-- - - -�- ---- i 2=, kc�v c� s.rt ng ' � I 7k Ouerhtatl Hy��c �, -- �--- � _- --- - � - - --- - � -- rZn. ��.�r C' .'. ng ;SI:,,:t�re� F.. a,ucia; -- �-_ _� � i5. Dry C'�iur�l_ i �_._-__-__�_-_-__- _�- �____�- _ _-_ -_� __-_ .�___ _- � . 2i. � �-e,�: _��.'.. -p I '� . � �6. �ry Sz,.. �: _�N j '. � ------ ---------- � -----' --------- ---- '- - -� � Z8 I,.th�nq 6: 31:i.,.g ----I 77. FIXED SVSTEA' PI"iAL I � ' - ---- ---'----- � h--- --- ---�- �r-- -' --. �s�.c• o� � 78. FIRG PRtV. FIP:,,_ � i_ . ----- - � --------------- -- � ---� I, 30. f)�ya�a ,��'aihnq �� HEALTH DEP�. FlEQUIRGP.{� 'i '� �1 31. � asti,9ro,vnCoat - - I ----�9. FI�'ALINSPECTICV----- -- � �--� I- - � }-- r t _-J..��. . ..Ti._ ___ _______ y � ' 1 �� _ _ i � 32- Ei„ct�.::� For.a� \�eter F��,a" � � 80. FnDD CE,�i F1C/�' ��£SUED �- ----'- --- -- -- � - -- - - --- ---------- - - -- � - - --.. _ L _. . _ _ , i33. Fi^�:�-lraric ____ _� __ Notes: _ _______ __ _- _ � 3[, F...,il 'ar.i.^y & A'r Cantl bOn n[ I ��` C' G� LJ�/�t/C��-1 �� _..--_ -___-- __-__ ____ _ '_ -�-_�- -_-_�- ___ 35. finel G�is Pipe�Test `� � . ��n`� �--- - --- ---- - -- - ��76�-p=��{�- - �- - -- . �u. i,'�ey a CsnoPY - _�L=�_[i�h_. _'�'( �� E�_ . '.-____ -_-_- _-�___ �__ __._ __ _-.. ' j 3/. ��i,�l F„r[or1' Firt+Place �-_ _._____'-�_-'_ -'-_ ❑� � � irbl ri�.nU�ng !'� _(,`{-t/ 7dM,fl'J_ � � '_._- . -_-_ _- __ _-_ _ _� � �9. ...:er � ��nce�Finel 4C. Ga:Ser:�ec�Final �_- ____� _.__ __ , 41. 5�,:;r ;.u�,ncst.cP na� ---- -- --I- ---- � n�. BacKfic: Prevanter --�- - ----�--- i---- --- -----� -- ---- ;`:3. F.._.f'.�- ir� : �-�---- - I ---- ti'. I ��:�SC�.� I�'i�iJhnn $YSlem -- '- r�� 4� $U�f�a ��i[Pllu:LO�-_ _ __. _ '- � -- -_' �''ord�iCdp i�EfL �Sid!1,_-"-__ _" "__�'_____ F 47 Fih:AL STRUCTURE 8� GJI'.CiWG - I i �E� f-IRO,L:=�_Af��IRG - �.. . . --- � - � 4S. Elear�c Relcsse to Edison �- i -- - - - , SC Gas Reluse to Southem C31ifo�ma Gas Cv � _ �51 CERTI'ICATE OF OCCUP4\CY� � i -- - -- - -C�,, - - .- - � --- - - - '---.� _ �. -- ---- -�'-�=---r� -^I --------•�-._.� �--J �!o Datc � I I I - _ ______'_J Applicant to fill in all spaces except t�ase wit�in neavy OorOer Iines antl sign a11 approvriate eeclantions. I . PERMI NO. TRACT NO. LOT NO. UNIT NO. TA E A C NSTRUCTION PERMIT oaOg A'P'# zo�e TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR $ Main Bullding: ACCe55ory Building: � Appli nt's Mailin Ad ress ❑ O ER � T Front p ❑ CONVERSION ❑ DEMOLISH Owner's Na e �" ha .� '/ �s� CRIPTI OF WORI�/USE OF B�` G. � � xt A Rear N Address S. Y' A \ [(��_��i�h �{C—D�—�4i1 lUt1'� nQU� gu ' Pr'1 � Arch/Eng. No. TVPE OF PERMIT -LY dRADiNG FOurvDATiON S7RUCTURAL ' C Right N Addre55 � C �-��p �� yT��N ANT L�EC�T_q�1•C�AL ❑ PLUMBING ❑ MECHANICAL S� Left q Convac[or's Nam Pho�L�►j1q4V•9 K�7 `�""' HER VfYR1� • Ping. Ref. # Parking Req./Provided E PRQIECT DESCRIPTION 5�. FT. �� oCCUPaNCv � � Planning Notes: M ^ AddreS5lmailing) CONSTRUCTION TVPE VALUATION $ �a� � (v �W � �'1-`i T City LiC¢n5C NO. ZONE GRADING CU. VDS. ACRES S. LICENSED CONTRACTOR OECLARATION I hereby aftirm that I am licensetl untl¢r provi5ion5 of Charter 9(commencing Remarks: � with section 7000) of Division 3 ot the Business antl Professions Cotle, antl ELECTRICAL FEES � my license Is In II� tl eitect � C License lass Lic V � _ PLUMBING FEES P.utomatic Washer Transformer ❑ 15�50 KW 1 Date Signatur � ""�RKERS' COMPENSATION DECLA TION ConStructi0n PaleSub. ❑ 50+KW reDy aHirm that I have a certiticate of mnsent to self-insure or a certificate Bar Sink $hOW2f5 Norkers' Compensation Insurance, or a certi(ie� copy thereot (Setlion COOking Unit M¢ter ❑up f0 100 amps 3800, �ao.,�� r y� Backflow Preventer Service Sink Poiicy rvo. ��Mvu�LW company`�f`�� Backflowlrrigation SewerCap Dishwasher Merer ❑over100amps rtitiea copy is nereoy turnisnea. Dryers ❑Gas ❑Electric Sub Panel Certit� op tilEtl with the�' t(�4 I i 9 O' B2thtub5 Sewer Connection Date�/�.PPlica�l[j� � Fan Motors�0.1 HP�1Y.-8 EXEMPTION FROM WORKERS' COTPE ATION DECLARATION Clarifiers Solaf COII¢ctofs (Tnissection neetl mt oe comoletetl it the rmil is tor one huntlretl (5300) or Dishwasher Solar Piping F�A•U� Inc.Solar �9-15 HP �16�15+ iess). I certily that in Ihe performance ot lhe work for whlch this perm�t is Issuetl, I Fixtures Microwave zM1all not employ any person in any manner so as to become subject to the Dlinking FOuntains Solar Tank Workers' Compensation Laws of Califomia. Device Boxes Oate Si9nature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If, after making this tleclaration, you shoultl become subject to the OuHets Range• �-- Workers' Compensa[ion provisions of [he Labor Cotle, you must torthwith FIoo�Sinks Urinal Comply with such provisions or this pe�mit Shall bE tleemetl remketl. CONSTRUCTION LENDING AGENCV GeSServiC¢ Outlets WaterClos¢L SWitCheS gj9� I hereby attirm tha� there is a construG[ion lentling agenty for th2 pe�fo�manC¢ - -� ot tne work tor wnich this permit is iszuetl (Section 3097 Clv. CJ Interceptors Water Heater Garbage Disposal Standing Sectiom .;t LPntler's Name Lentler's Atltlress Kitchen Sink Water Servite Generator �0.5 KW �5-15 KW Trash Compactor OWNER BUIL�ER DECLARATION ' I hereby affirm lhat 1 am exempt from the Contractor's License Law for the Lavato�ies Auto-WaSh Pollowing reason (Section ]031.5 Business antl Professional Cotle: Any city or - county which requires a permit to construct, alter, Improve, tlemolish or reoair P—Trap Laundry Trays � any structure, p�io� to its issuanc¢, also �equires the applitant for Such permit .. [o tile a signetl statement tha( he/zhe is licensee pursuant to the provlsions ot ROOf D�ains �he Contractor's Li<ense Law (ChaD�er 9(commencinq witn Section 7000) ot - ision 3 of Ihe Bu5ine55 antl Profe55ion5 Cotle) or that M1e/shE is exempt RBinSpecti00 FBB $15 luue Fee _ � $ 3 efrom antl tne ba5is for the allegetl exemption. Any violation of Sectlon A.5 by any applicant tor a permit subject5 the applicant to a civil :• ' enalty oi not more than tive hunared dollars (y50o�. DEVELOPMENT SERVICES REUUIREMENTS: . :ip �1, as owner of the property or my employees with wages as their sole ReinspBttion Fee $75 ISSue Fee $ 3 '�' compensation, will tlo the work, antl the sVucture is not intentletl or otferetl 2oning Approved By �Dale tor sale (Seclion 7044, Businesz antl Protessional Code: The Contrattor's MECHANICAL FEES Building Approved By Dat� License Law tloes not appty [o an owner of a properry who builds or improves ° Iheieon, antl who tloes sucM1 work himself/herselt or through his or h¢� own Boile� HOOd O� Typa I ❑ AppllCdtiO� ISSued By Dat employees, provitletl lM1at such imProvements are no[ in[entletl or offeretl tor sale. If, howeveq the builtling o� imOrovement is Soltl within one y¢ar of com- CdnOpy TypC II ❑ $U�V Q��EES � � pletion, the owner will have the burtlen o( proving hE/she tlitl not builtl o� iT- DUCt - UOd¢� G�Outtd � prove for the purpose ot sale). BUILDING PEFMIT $ � SMIP $ ❑ I, as owner of tne property, am exclusively contracting with licensetl mn- Duct-Structural Refrigeration Sys[em � PLAN CHECK $ ��„PERMIT Vactorsto const�ucf Ihe p�oject (Section �064, Business antl Profes5ion5 Cotle: . The Contractor's �icense Law ��oes not apply to an owner of oroperty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU P�UMBING $ �SSUANCE $' builtls or imDroves tM1ereon. antl who contract5 �or sucn o�oiec[s with a r.on- tractor(s Lcense pursuan� m me ConVacmrs License Law). I am aware that Exhaust System ❑ MW[iple ❑ System Repair/Alteration P�N CHECK 25% $ ENERGV P.C. $ proof o� tneir Worker's Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $ ❑ I am exempt untler Section e. & P. C. for tnis reason Firepl/Fact. Blt. iC80 dk Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date owner Heating System & Ducting Registers MECHANICAL $ �� I hereby certit Ihat I have rea n' application antl state mat the above ❑0-100,000BTU �100,OOOBT TOTAL FEE $___!_,� information is rect. I ree t ply with all tlty antl county ortli an s PLAN CHECK 25% $ antl state laws a i bui ns ruction, and hereby ay{ h ize - sentatives of ent� n the above-mentionecyqp � inspection ur . �� Ui uLJ:�` � ��.) "; -- `— ' 519nature �ate . • • ° _ . . � � - . . . Drivers' License or 55 � Reins ec[ion Fee $15 Issue Fee $ 3 P ;n�E: �5�1.(' -! I:1'�:: e+.(�_ OBfiS-46, rev. 5/Be Wnite - 6wltling; Canary - Hppucanp Vlnu - iaccouncin9; ooiaenroa - sassessor (;,�.\:,. J \ J NSTRUCTION AND PLANNING j POC SPA Date Inspector Date Inspector ROVALS Permit # APPROVALS Permit # r� empora_ry_ElQctrical Service or Pol� .� �_ 52. Pool & Equipment Location ' ., Soil Pipe-Undrgrnd. "' '� -s'^ 53. Steel Reinforcement '---- �+ e - n 3�Electjical Conduii Utility-Undrgrnd" ; � 54. Forms �_ J 4.:Electrica� Conduij5-l'fndrgrnd. --� 7 55. Electrical Bonding � i•- �- L_. ; .', 5. Steet';R ninfor�ement � � 56. Rough Plumbing & Pressure Test 6'tElect�iCal'UF�R'G�nd. - _� _`; 57. APPROVALTOCOVER-GUNITE � .�'�-'� 7.-Footing� _1 � ..1 � y-'1 _� ., 58. Electrical Conduit-Undrgrnd. "' - 8. Fpundai on; �] ., � � �, ` 59. Gas Pipe, O Undrgrnd., Test A' � �;. 9. Water Pipe-Undrgmd. ,- `, 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structur,al Flopr System .:� � 61. APPROVAL TO DECK i i. Prqperiy�SevOer Line & House Connection �/' 62. Backwash & Recepior-Final i. 12. SewerCap -� ✓ f ` � 63. Heater & Vent-Final 4 ,� y - • 13. Roof Drains :�� A:) 64. Plumbing System - Final -.-:r: 14. Rough Plumbin9- 65. Electrical-Final ""' 15. i7ough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring � ' ' 67. Fencing & Access Approval ' � 1�7iRough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough EI'ectriCal-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough�Fleating & Air Conditioning FIRE DEPT. REQUIREMENT 20. RoughFactor'y�F,veplace APPROVALS Permit# 21�. Ducts, in'Stru�ture 70. Underground HYdro 22. Ducts, Ventilatih9 71. Product Piping OGas ❑Oil .� 23. Gas Pipe:Rough�&�Test 72. Underground Flush .v 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil :; 25. Roof_Sheathing �� ' 74. Overhead Hydro 26. T-Ba ,Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameanilFlashing 76. DryStandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � - 29. Insulaii'on 78. FIRE PREV. FINAL 30. Dryw'all Nailing "� HEALTH DEPT. REQUIREMENT 31. Plastei�Brown Coatt - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final:Electric . Notes: 34. Final Heating & Air Conditioning , D D S 35. Final Gas Pipe•Test 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbinc� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow PrevOnter � � .-i '= 43. Backflow Irrigation • 44. Landscape Irrigation System � 45. Sound Attenuation 46. Handicap Regulations n�pRl lete Inspections 47. FINAL STRUCTURE & BUILDING �- 48. Special Requirements Completed - 49. lectric Release to Edison �i. .1 50. Gas Release to Southern California Gas Co �;�. ' "•� 51. CERTIFICATE OF OCCUPANCY , /•, j No. Date %�' '`� � � � PPOJECT PODHESS: 3 S O L EAR AV �NIT: aWNEfl'SNAME: CARLYLE INCOME PLUS LTD aoonEss: 10100 SANTA MONICA BL LOS ANGELES CA 90019 (213)277-9350 AflCHIENGINEEfl: TODD SCHOOLER HEG.NO.: C—�Z323 noosess: 500 N. NEWPORT BL "T' 206 NEWPORTBEACH CA 92663 PEHMITTEE: LAMERTON CONSTRUCTION ( 714 ) 557-2063 aooncss: 1112 CARSON ST C.M. CA 92626 LICENSEO CONTNACTOP UECLABATION: I hereDy affirm Iha� I am licensed un0er pm ions ol C�apler 9(commencing wi[� Seciion ]000� of �ivi5ion 3 ofi�e Busness antl Pmiessions Code, and my license ' in fullto e a d effect. ciTvuc.:050970 S_ TqTE�� 581 S�8 Da�e: �=I � ��I��— Signa�ure: _ . WOFREFlS' COMPENSATION OECNflRTION: I �ereby alfirm Iha I hav a certitiCaie 0 c en� to 5ell�in5ufe or a tertiiitate of Worker5' ComDensatian Insurance. or a cenitietl coDY �hereo� (Section 3000, La�. C�. POLICY NO.: EXP. OPTE: COMPPNY: � Certifiea capY is �ereby tumishe0. ❑ Cenified copy is �iletl with �he ciiy Builtling Oivision. Da�e. Applicant EXEMPTION FpOM WOPREHS' COMPENSATION OEQAPRTION: Qhi55et neetl no� bF I cetlity that in the OeAormance ol ihe work br which �his permi� is is u I shall m sublecl to iha Workers' Compensa'an Laws oi Califomi Oate. ' � SignaWre: NOTICE: I�. af�er making Ihis declara�ian. you should �ecome 5 �ect o the ' Cotle. yau must forihwit� compry with such O�ovisions ar this Dermil shall b� CONSTFUCTION LENDING FGENCY: I hereby aifirm thai �here is a con5tmction which this permil is issuetl �Sec�ion 3097. Civ. C). LENOEX: AODflESS: ii the permil is �or one hunAreU (5100) or �ess). my person in any manner so as to �ecome ComOensalion provisions oi ihe LaUor tl revoketl. agency for the peAormance ol the wark tor OWNEN BUILDEB �ECLAPATION: I hereby aifirm Iha� I am exemp� �mm Ue ConUaclors' Sta�e License Law for Ihe lollowing rea5on (Section 7031.5 Business antl Pmlessional Code: Any ciry oi counly w�ich requires a permit �o conS�mcC alter, impmve, demolis�, or repair any simc�ure. prior to i�s issuance, also requires �he apPlicant �or suc� permil lo lile a signetl Slaiemen� �hat �e/s�e is license� pursuant�o��e pmvisions olthe Contractors' S�a�e License Law�C�apter9�commencing wilh Seclion 7000)otDivision 3 ofihe 9usine55 and Pmlessions Cotle) or ��at he/s�e is exempi lherefmm ana the basis for Ihe allege0 exempiioa Any violatian ol Section 7031.5 by any applicaN br a permit su�lec�s the apDlican� to a civil penalry oi nol more ihan �ive hun4re0 Oollars (SSOfI). I. as owner of ihe pmperty or my employees witn wages as Iheir sole compensatian, will tlo tne work, an0 ihe ❑ stmcture is nol inlentlea or oiteretl for sale (Section 7044, Business and Prolessional CoAe: The Contractors' State License Law tlaes not apDly to an owner of a pmpeny who huilOs or impmves t�ereon, and who tlaes such wark himself/hersell or t�wugh his or her o�vn employees, provi0etl t�at suc� impmvemen�s are no� imendeA or atlered lor sale. I�, however �he builtlinp or impmvemen� is sold wiihin one year of completion. Ihe owner will have the burAen oi Dmving he/she tlid noi Uuild o� impmve br Ihe purpose ol sale�. I, as owne� o� lhe pmpetly, am exclusively contracting wi�h Iicense0 contractors m constmci Ihe Dmjec� (Seclion 7044, Business ❑ and Pm�e55ion5 Cade: The Contracbrs' S�ate License Law Ooes no� apDly to an owner of pmperty who Uuil0.s or improve5 ihereon antl who conUacls br suc� pmlecls wi�� a conVactor(s) license pursuant �o ��e Coniratlors' Sroie License Law�. I am aware Ihai pmot ol iheir Worker's Compensalion insurance shoul0 he DmviAeO �o me. � I am exemp� un0er Section: 9. 8 P. C. �af IhiS r¢a50n: Date: Ownec 1 tlo �ereby certity tha� I am aware ot and untlerstand �he reQuiremenis of Calilomia Healih an0 $alery Code Sectians 25505, 25533, antl 25534 and Iha� I or any fuWre buildmg occupan� wilVwill nol (circle one) nee0 io comply wilh SaiA Sla�e codes ana Ihe requiremenls lor a permil for con9mciian or moeilication �mm �he Air �ualiry Management Oistrict. flesiden�ial cons�mction apPlicaiions are exemp� irom �hese pmvisions. , oa�e: NpplicanC I �ere�y cer�ity�hal I have reatl Ihis applica�ion antl sta�e ordinances and sia�elaws relatingto �uilding constmc�ion pmperry loi inspeciion purpases. ` �ale- _(r � � � ��_ Signalure: �river's License or Social Securi�y x_ I agree to comply with all ciry ana county this ciry to enter upon the above-mentione0 �6abo6 White—Builtling; Green—Cotle Enlorcement; Canary—AOPlicant; Pink—Revenue: Goldenrotl—Fssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06589; PERMIT NO: B 065893 PLAN CHECK NO: 03901-92 L GOVT; N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : LEGALIZE INTERIOR ALTERATIONS S4 FT; 4.000 CLAIM VALUE: 4,000,00 CALC—VALUE; 36,432.00 GROUP OCC: B-2 /H-2 COMMENTS: TiIE "LUMENYTE INTERNATIONAL CORP" �rx�***�t****�ri�x�x**�r+r*+r�x+r**i�i�*xir**�+��rx�**+r+�+t��r*�-**�**+�*�r*�t***�r*x�****x-+�+�***x�*ir*x�*+�* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGFIT: FT IN PARKING REQ; PROV: PARCEL: 42716202 ZNE: MP REF NO; PLANNING NOTES> PROPOSED LEGALIZATION OF INTERIOR PARTITIONS WITHIN > INDUSTRIAL BOSINESS. ****�*rt***x��r**+r+�+r*�r�r*�r*�r*�rx�*+r�r**�+�******+t+��t*x-�r+t**�**+t�****�r+r�r**��-***�**�t**�** 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 ZONING APPROVED BY (1)��L DATE: 24�I�1�I BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: 1�— �� DATE; Z l�r'1 ifiEiEifititihifitiEiFiflFiFitiEiEiFiEit�lEiE x . iEiEififiEiE91-jEifk jEiE iE iE if if if iE 1E if 1E iE 1E �E if iE it iE iF 1! iE 1E iE k 4 i! 1E ik If �t if iE iE iE i! if jt �f iE 1E 1E k ff iE ff if iE �f if jf if iE k if K iE iE iR iF if if 1E iF iE ff iE if if 1E iE if aF * iP �f if �E iE iE iE 1E LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MEC¢ANIC £IRE SMIP/RES GRADING PERMIT 660.00 SMIP/NON—AES PLAN 429.00 7.65 ISSUE FEE HUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 667.65 0.00 214.50 882,15 882,15 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 841.20 OVER/SHORT: ,00 BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 660.00 7.65 173,55 iE �f i! iE iE ik if iE iE if iE iF i! it iE iF iE if if iE if if it iE 1E iE it iE it iE 1t i! it it iE!! iE 1f iE 1f iE 1E �)E iE iE iE iE if if if iE jf iE iE iE if if iE it it i! iE if iE iF iE !! iE 1E ik if iE if if if iE 1E ik iE I N D I V I D U A L F E E B R E A K D O W N TYPE SFC QTY D E S C R I P T I O N 36432 ALTER BY VALUE COMMERCIAL NOZONE END OF FEES EXPI EI� DATE i� i9 q6 UNIT COST TOTAL COST 1.00 36,432.00 I_ (� ( 01 Q01.`:4651-00154633 TG 7 �°42:?0 DATE: OZ!01!94 TIME: 11:12 • A CONSTRUCTION ANDP�ANNING P0� .SPA� QPpROVALS Permit# Daie inspecior qPPROVALS Permit# Date Inspector 1. Temporary Eiectrical Service.or Pole 52. Pool & Equipment Location .� 2. $pi� Pipe-Undrgrnd. -• 53. Steel Reinforcement E , 3. Elzctrical Conduit Utifity-Undrgrnd. 54. Forms 4. ElBctrical Conduit�Undrgrnd:i.., -- 55. Electricai Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Tzs+. S. F�ectricai UFER Gmd. 57. APPROVALTO COVER-GUN4TE 7. Footings 58. Electricai ConduiFUndrgrnd. . S. Foundation �� 59. Gas Pipe, � Unqryrna., Test !* � 9. VJ�ter Pipe-Undrqrnd. � ;=.� � 6D. Backwash Lines, P�Trap, C lSndrgrnd. ' 10. Structural Floor SYs�em' -` '" 61. APPROVAL TO DECK 71. PrOperty Sewer �ine & HousB �nnection _- : - 62. Back�vash & Receptor�Ftnai - � �= i2 Sewer Cap - '� -� . 1 63. Neater & Vent-Final � 13. Raof Drains I 64. Plumbing System - Finai � 74. Rough Plumbing � 65. Electrical�Final i5. Rough Electrica{�Condu;t � � 66. Solar SVstem�Final 76. Rough Electric Wiring � 67. Fendng & Access AnProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-i Sar Celting fi9. POOUSPA SYSTEPAS F�NAL y 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7 20. Rough Factory Firepiace � APPROVALS Permit � � 27. Duccs, in Structure 70. Undergrou�d Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oii 23. Gas Pipe�Rough & Test 72, Underground Flush y� . 24. Roof Framing 73. Underymd.StorageTank OGas �Oii y��" . ' 25. floof Sheathing 74. Overhead Hydro `�' "� 26. T�9ar Ceiling fStructurall & Monocoat 75. Dry Chernical ',,{,`�� 27. Frame and Flashing 76. Dry StandPipe r��•�� 0. _ '" �- , ! 28. Lathing & Siding 77. FIXED SYSTEM FINA� �.' .� 29. insufation 78. FIRE PREV. FINAL 30. Drv�vali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION i 32. ElRctrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED � 33. Fina1 Electric Notes: 34. Final Heating & Air Condition�ng (�/-� GZ Ct (l � /�}�6 /' �'L /� �l % -"--{ C--_�-�a ! " 35. F(nai Gas Pipe-Test CQJu �! � 1-- 36. Hood or CanoPY . ' � ["_ � 7-cr (j rro ,� S"!,� �3�yC1-G� - �� i--1/ 37. Final Factory Fireplace _ � ��//�/q�, �n,;,�,,w,,,�l �; �� .; 38. Final Plumbing {( .,`•�•.-- - - 39. Water Service�Final ' 40. Gas Service-Final 47. Solar pomesticFinal . 42. BaLkfiow Preventer "' 43. Backflow Irrigation � 44. Landscape Irrigation System - 45. Sound Aitenuation .. 46. Handicap Regulations , 47. PINAL STRUCTURE & BUILDING . - - - � 48. FINAL P�ANNING - - . 49. Electric Retease to Edison __ � 50. Gas Release to Southern California Gas Cn � 51. CERTIFICATE OF OCCUPANCY No. Dace (; � � ^. \' � � � PflUJECT AOUHESS: 3 S O L EAR i,V UNIT: owx¢xsxame: CARLYLE INCOME PLUS LTD aooRess: 10100 SANTA MONICA BL LOS ANGELES CA 90019 (213)277-4350 FflCHIENCINEEfl: TODD SCHOOLER flEG.NO.: C-17323 aooness: 500 N, NEWPORT BL uxiT: 206 NEWPORTBEACH CA 92663 PEPMITTEE: HOULIFIAN, STUART ELECTRIC ( 818 ) 340-2819 ADOFE55: ZOH3H MARTHA ST 3�SpZ�'L WOODLAND HILLS CA 91364 g�j LICENSEO CONTflACTOB OFLLFNATION: I here�y allirm Ihal I am litensetl under pwvisi0n5 0l C�apier 9(tOmm'erg wiln Section ]OOD) ol �ivSlon 3 0l Ihe 8usine55 aM Pmlessians Catle, and my license is in lull force anE ellect. cirruc.:p5=�3g STRTELIC.:S��C10� ��_ oate: � �! �_� Sig �%..l�r- WOBKFPS LOM ENSRTION OECIAflRTION: I tlereby a��um 1� I nave a cenilicate ol consent Io seli-insure or a cenilicate al Workers' � fqmpensation Insurance, or a teriilietl copy Ihereol (Sectian 3800, LaG. C1. voucr r+o.: 1 3 6 818 9- 9 3 E%P, �RTF: O 9/ O 1/ 9 4 comraxr: STATE FUND .� Cetli�� is I�er� fumis�etl. � pe��rti`etl wpy is lil with I� BuilAin ivision. %�� oa�e: % T` '1 C// E%EMPTIONFAOMWORNENS'COMPENSATIONOECUflATION: (i�i55ectionnee0irotbecompleteGillhepermiti5fo�one�uMrell�Sllp�orkss�. I cenily Ihal in Ihe Dedormance ol ��e work for w�ic� Ihis permi� is issue0, 1 shatl not employ any Oerson in any manner so as lo become sub�ecl to tAe Wotker5' Compensalion LawS o� Cahlamia. oate: Sipnamre: NOTICE: II, altei making ihis declaration, you shoula Gecame su�iett to �ne worker5' Compensation D�avisions ot ine Laeor Cotle. you mu5t forl�wiih comply wit� such provisions or Ihis p¢rmi� shall Ee deem¢a revoke0. CONS7PULTION LENOING �GENCY: I �ere0y allitm t�at t�ere is a fAnsimction IenOing aAenCy for t�e pEdarmance ol Ihe work lar w�ich Inis permit is issueU �Seciion 3097. Civ. C�. LENOEN: aoneess: OWNEP BWIDEfl OECuflpTION: 1 here�y allirm ihat 1 am eeempl lrom ihe fAniractor5' State Littnse Law lor ihe fallowinp reaSOn �Seclion 7031.5 Business an0 Pml¢ssional Coae: Any cily of munty w�ich rBpuires a Oe�mii lo conSlruCi, all¢r, impmve. Aemoli54 or repair any simcture. orior to its issuance. also requires ine apDlicanl for such permit lo file a signed slatement Ihat he/sne is licensea pursuant m the pmdsions af t�e Camracmrs' Siate License Law (C�apler 9 �commencing wi�h Section 7000) ol Divisian 3 aI lAe Business an0 Prolessions Coae) or Inal nelshe 6 e*empt theretmm ana ine basi5 foi ihe alleBea eKemption. any viaWtion of Section 7031.5 Ey any applitant for a p¢rmi� SUCletls I�2 appliwni Io a tivil DQ�Iiy oI no� more Itun �ive hun4re0 Oollars (550�. I. as awner ol ine pmpeny or my employees with waAes as their sale com0ensa�ion, vnil Oo ihe work, anE IhE ❑ s�mcWreis noiintenaed oroileretl�orsale�5ecuon 70aa, Business an0 PmlessionalCOAe: T�e Coniractars' SIaIe License Law Ooes not apply to an owner ol a pmpeny wno builCs or improves tAereon, and wno does such wOrk Aimself/hersell or throu0n his or �er own emDloyees, pmvi0ea ihai such impwvements are not intentle0 ar otlereE tor sale. II, �owever ihe builCinp or impmvemenl is sola within one year ol com0letion, t�e owner will have t�e hurCen ol pmving hPJs�e EiU nol huild ot improve �or the purpoSe o� sale�. I. as owner ol lhe D�operty, am exclusively coniractinp wilh licensetl coniractors to conslNct ihe Orolecl1Section 71ba, Business ❑ and Prolessuns Code: T�e Contracmrs' State License Law Ooes not appry to an owner ol Dmperry wlw bm105 or impmves lheaon , antl who tonimtls lar Suth prolec(s mlh a Conirat�o��s) lit¢ns¢ pUrsuan� to t�e Conlratiof5' Slale Litense law�. I am awdrt I�al Omoi ol I�eir Worker'S CAmpensation insurance 5�ou10 De proviU¢0 IO me. � I am exempt un0er Seciion: B. 8 P. C. loi Inis reason: Oate: Ownec I Do here�y certify Ihal I am aware ol and unaersland Ihe requiremems oi Calilornia Hea11� antl $afety CoGe Setlions 25505, 25533, anA 2553A ana �hat I or any Iuiure builtlmg occupanl willlwill no� (circle one� need ta comply wilh saiU slate coAes an0 the requiremenls for a permil for consimclion ar modification irom ine Fir Ouality ManaAemenl oistrict. Fesiaential con9mction aDPlications are exempt tmm t�ese provisions. oaie: I nere6y cetlily tAat I have reatl this aDP�icati artlinances an� Slalelaw5 relalingio Duiltlingi pmpenV �or inso Iqn urposes. �ale: � � _ oriver's License m Social Sewrity x: � Npphcanl: n anA Slaie Ihal Ihe a�ove informalion is Wrrect. I agree b comply wilh all cily anC mslrutlion antl �¢rejy.aM�errz¢ repres¢nta�ives ol Nis ciiy t0 ¢nler upyj IAe aUov� 16<t�a6 Whi�e-BuilOmg', Green-Coae Enlorcement; Canary-Applicanl; Pink-Revanue; GolOenroE-Assessor \ CSTY OF COSTA MESA - BUILDZNG PERMIT PERMIT NO: E 065894 PLAN CHECK NO: N CONSTRUCTZON TYPE: PERMIT TYPE; ELE JOB DESCRIPTION : LEGALIZE INTERIOR ALTERATIONS CLAIM VALUE: CALC-VALUE: PERM NO: B 06589 GOVT: N SUPP; N PURPOSE: ALT SQ FT: GROUP OCC: B-2 /H-2 COMMENTS: THE "LUMENYTE INTERNATIONAL CORP", RE;kB65893 �r*�r�**x�+r**+�x*it*�r***«�-*�r**r�*�r+t+t*x-*�t**i�**********�+e****�**�-**�****x�*****+t*x�*�t**** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 92716202 ZNE; REF NO: PLANNING NCSTES> > if It if k if if if it iF 1f iF it it i! iE iE ik k ff it 1f if iE 1f iE 1f iE ik 1E k iE �E k 4 if if ff if iE iE iE iE iF iE 1f iE 3E k jE it iE iF iE if iE it iE iE if if ik K jE fE 1F ik if 1E iE it M iE iE if i! if if if if 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 ZONING APPROVED BY DATE: BUZLDING APPAOVED HY ; DATE: APPLICATION ISSUED BY: DATE: �� l x�+�**�t*x�*x��t�t***�tf�*�rx�***�r��r��-**iF*x-*+�+�rt***�x�r��+�+�*�r***�t�t**+�***** +� ��r.�r�r+r� iE iE iE M 7E iF i! ik iE 1t k 1E iF 1E iE 1E iE if iF 1f i! iE fE 1! k!E iflf iE if 1F if iE iE iE 1f 4 if 1F 1E 1E iP if iE iF fE 1E if iE if if iE iE M if iE iE 1F iF if 1E fF iE if iE if fE iE 1f M iE iE fE iE iP iE iE if !f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBZNG ELECTRIC MECF2ANIC FIRE SMIP/RES GRADING PERMIT 370.65 508 PLAN ISSUE FEE 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 370.65 15,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBZNG ELECTRIC MECHANIC 385.65 SMIP/NON-RES TOTAL PAID DUE 385.65 385,65 .00 385.65 OVER/SHORT; ,00 FIRE SMIP/TOT GRADING PLAN-CHECK iE iE 1f ff 1t if 1E fF ff 1E if iE 1E 1E 1E if iE iE iF k k k if iE M iE if 1E k ik iE 9E iE itlf 1t iE 3f if if if i! if iE if iE if iE if 1E iF if iE if iE iE ih iE iE if ik iE iE if iE 1E K iE i!!E 1E iE if fE if 9f if if iE I N D I �� I D U A L , F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N' UNIT COST TOTAL COST ELE 20 FIXTURES, LIGHTING , 1 ST 20 EA, ELE 29 FIXTURES, LIGHTING ADDITIONAL EA. ELE 20 RECEPT/OUTLET 1 ST 20 EA. ELE 48 RECEPT/OUTLET ADDITIONAL EA. ELE 8 RECEPT/SWITCH 1 ST 20 EA. ELE 3 SERVICES BELOW 600'V 6 201- 1000 AMP ELE 9 SUB-PANEL ELE 2 MOTOR/POWR APPARATUS 0.0 - 1.0 HP ELE 11 MOTOR/POWR APPARATUS 1.1 - 10.0 HP EXgP,I ED � END OF FEES DATE✓ I � � � �Y `� .45 13.05 ,75 15.00 .45 21,60 .75 6,00 37.50 112.50 11.00 99,00 3.0S0n 6.00 D1 001?4$8Q-OOIN46S0 TC�'T 82 � �S`,6` DA7E� oaioii9s. tINEn i u ii i� �� ' CONSTRUCTION AND PLAWJ�ILNG P��` $ SPA � E� z Date Inspector Date �nspector j APPROVALS Permit # , . APPROVALS Permit�# � t. TemPorary Elecvical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Sceel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elect��cal Conduit-Undrgmd. 55. Electrical Bonding I 5. Steel Reinforcement 56. Rough Plumhing & Pressure Test i 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE � 7. Foot�ngs ' 58. Etectricai Conduit-Undrprnd. i 8. Foundation 59. Gas Pipe, O Undrgmd., Test I 9. Water Pipe-Undrgrnd. 60. Backwash �ines. P�Trap, O Undryrnd. 1 10. Struciural Floor Svstem 67. APPROVAL TO DECK ; 11, Property Sewer �ine & House Connection 62. Backwash & Receptor•Final I 12. Sewsr Cap 63. Heater & Vent�Final � 73. Roof Orains 64. Plumbing System � Final � t4. Rough PWmbing 65. E4ecvical�Final � i 15. flough Electrical-Conduit � 66. Solar SYStem�Final 76. Rough Electric Wiring . 67. Fencing & Access Approvai � 17. Rough Wirin9 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. Rouyh Factory Fireplace APPROVALS Permit # I 21. Ducts, in Structure 70. Under9round Hydro � 22. Ducts, Ventilating 77. Product Piping C� Gas lJ Oii 23. Gas PiPe�Rough & Tesi 72. Underground Flush i�' � 24. Roof Praming � 73. Underymd.StorayeTank OGas ❑Oil �•'r; � 25. Roof Sheathing 74. Overhead Hydro , � 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , , � 27. Frame and Flashing 76. Dry Standpipe ;. �;� . I s 28. Lath�ng & Siding 77. FIXED SYSTEM FINAL 29. Insu�ation � 78..FIRE PREV. FINA� 30. Drytvall Nailing . HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat 79. PINAL INSPECTION � 32. Ela.ctrical Power Meter�Final 80. POOD CERTIFICATE ISSUED � 33. FinalElectric , Notes:� -95�� - -� 34. Pinal Heatin & Air Conditionin / � ---~ 9 9 � �l ��- - � - - - - ! 35. Pinal Gas Pipe-Test 36. Hood or CanopV � 37. Final Factory Fireplace - _i 38. Final PYumbing � 39. Water Service�Final 40. Gas 5ervice�Final 41. Solarpomesiic-Final ��• i 42. Backflow Preventer , � 43. Backflow Irrigation ---� 44. Landscape Irrigation System 45. Sound Aitenuation 4fi. Hand�cap Regulations I 47. FINAL STqUCTURE & BUILDING . - � 48. F4NAtPLANNING � A9. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 57. CERTIFICATE OP OCCUPANCY No. Date � I'9 � --�` PP0.1EtT p00NESS: 3 S O LEAR AV owr+EnsxnmE: CENTRE PROPERTIES INC ADOflE$$: 3�jSO WILSHIRE BLN1010 LA CA 90010 PNLM/ENGINEEH: AOOflE55: NEG.NO.: UNIT: UNIT: PEflMITTEF: GRAFIAM BROS INC. ( 714 ) 546-1 653 nooness: 2957. CENTUAY PL COSTA MESA CA 92626 LICENSEO CONTflRC70P DECLANaTION: I hereby allirm ihal 1 am licensee un0er Orovisions of Chapter 9lcommencing with Section 7000) ol Division 3 of the Business antl Pmlessions Cod icnse is in full loae a Ifecl. ciTr uc.: 0 5 9 6 3 qSTFTE IIC.: � 4 8 0 4 cwss: Q1—� Date: � � �� ' 12 Sipnatu __ ` W08NEN5' COMPENSpTION UEClA8FTI0N: I here�y aifirm iha� I �ave a cenilicate oi consem to selbinsure or a ceriificaie oI Workers' Compensa�ion �r�sy(a�� p� y c��eQ r,ppy, Ibe{¢o1 ��ection 3soo. �ao. �S / U 1/ 9 2 POLICY NO.: W �• � b 1 lJ L L b U 1 E%P. OATE: comvnxr: LIBERTY MUTUAL ❑ C¢eili¢ copY is her¢�y lumi5hed. � Certilie0 is Iiled v �A¢ Ciry Buildin Oivi ion. Date: � � Applica ' EXEMVrIONFBOMWOBHEPS'COM7ENSATIONDECIABATION: (Thissectionnee0notbecamDleleOiiihepermitis�oronehun4re0�ElW�orless�, I cenify that in Ihe Dedormance of �he work lor whicA Ihis permit is issued. I shall no� employ any person in any manner so as Io �ecome suble�� o �he Workers' Compen5aiion Laws o� Calilomia. Date: Signamre: NOTICE: II. atter making t�is Oeclamtion, you SAould Decome sublec� �o the Workers' ComDensalion pmvisions ol i�e La�or COOe. yoU mus� tort�with Comply with SUCh pmvisi0n5 or IhiS permii S�all Ce deemed remkeU. CONSTflUCTION LENOING pGENCY: I hereby affirm that �here is a cons�Nclion lending agency lor lhe Oe�ormance of Ihe work lor which this Oermil is i=suetl �Seciion 3097. Civ. C). LENDEN: noosess: OWNEP 6UILOEfl DELNNATION: I hereby ailirm ihat I am exempt Imm the Conlractors' State license Law for ihe followinp reason (Semion 7031.5 eusiness ana Pmlessional COEe: Any cily oi caun�y which repuires a permii lo constmcL aller, impmve, demolish, or repair any slmclure. prior to iis issuance. also requires ��e appliWni lor such Oermil lo lile a signeE slaiemem t�ai he/she is Iicense0 pursuam fo I�e provisions ol ��e Comractors' S�ate Litense Law (ChaD�e� 9(wmmencing wi1� Seciian 7000) ol Oivivon 3 0� �he Business antl PmtesSions Cotle) or ��ai �e/Slie is eKemO� I�ere�mm anG ihe �a5is for Ihe allepeU e�emptian. Any vioWiion o� Sec�ion 7031.5 by any apD�itanl lor a permit su�le��s ihe aDPlicant to a civil penalty of nol more t�an live �undred Gollars (55110�. I, as owner of Ihe propeny or rtty emyloyees with wapes as Iheir sole compensation, will do ihe work, antl ihe ❑ slmcWre is no� in�entletl or ofleretl far 5ale (Section 7074, Business and Pmlesvonal Cotle: The Coniractors' State License Law tloes noi a00N �a an owner ot a propeny wM Evilas or impmves I�ereon, and w�a dces such woM �imsell/hersell or throuqA NS Or �er mm employees. O�oviAeO IM� Suth impmvemenls are noi in�enAeO ot Ofl¢reG lOr sale. II, Iwwever Ihe GuilGinq or impmvemen� is solG wit�in one year ol campletion, �h¢ Owner will have I�e OurOen ol provinp he/she diU no� buiW or improve lor �ne purpose of salel. I. as owner ot t�e pmpetly. am exclusively coniractinp wilh licensetl coniractars lo constNtt ihe pwjeci (Section 704d, Busine55 ❑ antl Pmiesvons COGe: T�e Contractors' State License Law tices nol applY to an owner of O�oDerty who bml0s ar improves iherew anC who contracis br 5uth proleds wil� a tonlfatiar�5) liten5e DursUan� lo I�e Cqnira[IorS' State License Lawl. I am aware that prool ol their Worker'S CompenuGon inmrance 5hou10 Oe prwitle0 lo m0. � I am esempt untler Senion: B. 6 P. C. �or Ihis reason: oate: Ownec I ao nereUy tendy Ihat I am aware oi ana uneerstand ine reQuiremen�s al Californu Healtn ana Safery Ca�e Sectiortt 25505, 25533, antl 2553C anC ttNl I or any luture huilAing ocaDanl wilVwill not (cirde one) nee0 ta tomDN ��h 5aitl siate COG¢5 ana tlle reQuiamenis far a permil lor cons�mtlion ar moUificaiion imm Ihe Air Ovahry Manag¢menl DiSiricl. flesiUeniial conslruclion appliwlion5 are exempt �mm I�eSe provisions. Uate: ApDlicanl: I �ere0y [eriitylhatihave rea0t�i5 applica�ion anG 51ate1twli�e a6oveinformationi5 cOrreci. I apree�a comply vn�h allci�y anE county ortlmance anOsta�elawsrelatingtoUuilAingconslmclio�M� m�or@ereprepenta�ivesofthiscityioemerupontAea�ove�mentione0 pmpetly � r inspection purposes. � 1�� Oate: Signa ""� /— Dri�er's ucense or Sac�ai Sttudiy x: 164b4fi W�ile—Builtling: Green—COde Enlorcemenl: Canary—Applitant; Pink—Fevenue; GOl�enr00—Assessor CITY OF COSTA MESA — BUILDING FERMIT PERM NO: EM OS 9j PERMIT NO; EM 056930 PLAN CHECR NO: N GUVT; N SUPY; CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE MEC PURPOSE: OTH JOB DESCRIPTSON : EXHAUST FAN FOR WAREHOUSE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: FAN FOR WAREHOUSE �*�**��**�****�*x*x�t***�r*�*�**x* �*x**�***�t� �t*+t��r*�t�***+��t�x+��r�t**�+�***+�*��e**��t��* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REP.R; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 09271622 2NE; REF NO; PLANNING Nt7'1'ES> 7 iF iE iF i!� iE �IE iE if iE 1E if ik i(� iE iE # iF if iF �If iE it iF if iF i! �1l� i! if iF�IE # if it �F �.�' it�F if *�l!!F iE iF iF iE i! If iE k!!� �f It k 1Fi! 1f iE it if ik i! k k!E if i!� iE if 3E �lE if iF iF IE if iE 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 ZONING APPROVED BY "� ••' DATE: BUILDING.APPROVED BY ; DATE: APPLICATION ISSUED HY: — � DATE; O O 9� �*+��***�*��*�***x**** �**��e*x***�€�*x iF1FitlFitfFiFlE1EiE!l�lE�lklFiElEiFi4if�lEiEiEiElEiEiEfEiFiF3Eif�il�iE�F3P3PaEifiEitlE� ifififiklFiEiElflEiflE1l�k�ElFif�lEY�iFiFkiflklEififlE�7EiEiEiC�iF7EifkIflE LEGALIZATION:N F E E� S M M A R Y STRUCTURAL SEGMENT:N BLDG PMT FLUMBING �ELECTR. MECHANIC FIRE SMIP/RES GRADIiVG PERMIT 3 Ot 4'15Y SMIP/NON—RES PLAN ZSSUE FEE 15,00 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHEC3C TOTAL PAID DUE TOTALS----> 7.50 30.00 0.00 37.50 37.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 37,50 OVEA/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 18,00 19.50 if 1E if iF iF iE jE iE1E 3ElE IE 7E if IE 1E 1ElE iF iE iF iE iE M IE if if aE iE iE iE k �F iE iE iE 1f iE it if if if ik IE If iE 1f if if 1f �E k fE aE iF if If iF iF k iF iF if �f fi� �%?E�IF iE ih if iE � ir 1k �F iF if if I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 0,0 — 1,0 HP 3,00 MEC 1 VENTZLATION FAN CONN TO SINGLE DUCT 4,50 END OF FEES -.e r , " � ' � " ' ' . ( . ' 3,00 9.50 0 CONSTRUCTION AND PLANNING POOL & SPA `APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector t. Temporary Electrical Service 6r Pole - . 52. Pooi & Equipmenc Location 2. Soil Pipe�Und�9rnd. � 53. �Steel Reinforcemeni 3. Electrical Conduit Utility-Undrgrnd. ' 54. forms 4. Electrical Conduit-Undrgrnd. • � 55. Electricat Bonding � 5. Steel Reinfo�cement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgmd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9- Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ' �Z. SeWe' CaP � � 63. Heater & Vent�Final � 13. Roof DrainS � 64. Plumbing System - Final 14. Rough Plumbing I 65. Electrical-Final 75. Rough Electrical-Conduit i 66. Solar System-Fina� , 76. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINA� 19. Rough Heating & Air Conditioning FIRE �EPT. REQUIREMENT 20. Rough Facmry Fireplace APPROVALS Permit # 21. Ducts, in Struaure 7�, Uadergrou�d Hydro 22. Ducts, Vent��ating 77. Product Piping �Gas QOiI 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas � Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceifing (Structura�l & Monocoat 75. Dry Chemical 27. Freme and Flashing 76. Dry Standpipe 28. Lathing & S�ding 77. FI�XED SYSTEM FINAL 29. Insulation 78.. fIRE PREV. FINAL 30. Drywall Nailing I, i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat : �� 79. PINAL INSPECTION 32. Electrical Power Meter-Final j:': P;. JOD CERTIFICATE ISSUED 33. Final Eleciric �� ' _ +j .aotes: 34. Final Heating & Air Conditioning /�� / 35. Final Gas PiPe-Test ' � 36. Hood or Canopy ' � . k 37. Finai Facto�Y F��eplace e - 38. Final Plumbing 39. Water Service-Final � ' 40. Gas Service�Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation � 44. �andscape IrriQation System � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING �, 49. Electric Release to Edison • 50. Gas Release to Southern Catitornia Gas Co ;� � 51. CERTIFICATE OF OCCUPANCY No. Date City of Costg Mesa Building Sefery Oepertment a.o. eox i2oo Cosca Mese, Cglifomis CERTIFICATE OF OCCUPANCY The Building located at has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Occupancy. Use of Building - Legai Description Building Permit No ISSUED T0: (Sae reverse side for Metes and Bounda) lectrical Permit No. Plumbing Permit No Number of apartments and/or guest rooms Building Official by Date This Certificete of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed ezcept by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. �� PXOJECT RODflESS: 3� O I.�AR AV av�NEfl'SNAME: SMB PROPERTZES aoosesr..10100 SANTA N,ONICA BL ST1`/50 L.A. CA y0061 ANCH/ENGINEEN: �13-577-4350 PDONESS: CI)RTIC SUNu';ERS 7R00 LtaT3REL AV PEflMInEE: C1NC.INNATI OH aooxEss: RICTGLTANO CONSTRIiCTION 1088 IRVINE BL UNIT: sec.xo.: C 2 6 9 ��. 45243 (714)285-1150 LICENSEO CONTBACTOfl d�C�ianm�i�+: i nereb air�m cna� i am i C_ A 9 2 E� 8 0 y icensetl under provisions of hapter 9(commencing wi�� Section ]000� ol Division 3 of ihe Business and Professions Cotle. anE my li�e� e is in full force and eifect. ciTvuc.: Q44 ,�- srnTeuc.:489833 �� • Oate: Signaiure'. � WOBREBS' C PE ATION OECLABATION: I hereby um t I hyve a c i i r5ea -insure or a ceriificate of Workers' Compensation Insurance, or a cehifietl copY �hereol (Se ia 00. LaG. C�. POLICY NO.: %P. OATE: 1 COMPANY: �i� Certified copY is herehy furnishetl. ❑ Ceriified copy is IileU Wilh Ihe ciiy Building Oivision. �a�e: NpplicanC EXEMPTION FROM WORKEBS'COMPENSATION OECLANATION: Qhi55¢tllan nettl na�beCompletey0gilt��permi�i5 brane hundre0�5100�or1e55�. I cetlify Ihai in ihe perlorm�nce oi �he work Ior which �Ris permit is i55uld, I snal 1 emplo ny person in any manner so as b become su�le�� 0 1 W �ers' pensalion Laws ol Calibrnia. // / a � �� Y Daie: / SignaWre' � '� � NOTip : Ii �er making ihis aeclaraiion, you s�o ec e sy�ers' Compensaiion pmvisions of ihe Labor Cotle. you mus� lor�hwi�h compty with such provision Ihis p¢rmit shall be tleemed revoked. CONSTflUtTION 1EN01NG AGENCY: I hereby allirm IAa ere is a con5tmciion lending agency for �he pedormance oi Ihe work �or whic� ��is pe�mit is issuetl (Seclion 3097, Civ. C�. LENOEP: aooRess: OWNEP BUILOEH oECLANRTION: I hereDy aifum t�a� I am enempt Irom the Cantracmrs' Slale License law tar ihe following reason (Sec�ion 7031.5 Business antl Pmfessional CoOe: Any ciry o� county which requires a permi� to con5�mci, allei, impmve, Oemoiish, or repair anY slmciure, prior �o i�s issuance, also repuire5 i�e applicant �or such permi� �o tile a signetl statemen� tha[ he/she is licensed pursuanimthe pmvisions of�he Contractors' State License Law�Chap�er9(commencing wi�h Seaion 7000)ol�ivision 3 a�lhe Business antl Pmfe55i0n5 CODe) or ��al he/S�e is exemp( Nerelmm antl the ba5i5 for Ihe alleg¢0 exemplion. Any violaiion of Settian 7031.5 hy any applican� for a permit sublecis IM1e applicani to a civil penalry ol no� more ihan tive hunare0 tlolla�s (5500�. I, as owner of Ihe pmperly or my employees with wdges as their sole comDenSaiion, will tlo �he work, and the ❑ simcture is nat inlenaed ar oHeretl for sale (Section 704a, Bu:iness antl Pwfessianal Cotle: The Con�ractors' S�a�e License Law aoe5 n0� apDly Io an Owner 01 a pmperty who builtl5 or imprOves �hereon. an0 who tloes SUGh work himself/herself or �hmugh his or her own employees. Dwvidetl Nat such improvemeniS are not inten0ed or offeretl for sale. If, however the builtling or 1 impmvement is sold vnthin one year o� completion. �he own@� �p �ave iM1e 6ur0en ol pmving he/she ditl no� Euild or imD�ove for ihe purpose o� sale). I, as owner oi I�e properiy, am exclusivety conUac�ing with licensed coniraclors to cons�mc� the pmlect (Sec�ion 7044, Business ❑ and Pm�essi0n5 Coee: The COntraciars' Slale Litense Law tloes no� apply IO an Owner ol properry wh0 Ouilds Or impfOves �hereon and who conlracis for such pmjec�s wit� a conlracbr(5) license pursuant Io Ihe Con�facbrs' State License Law). I am awafe I�al pmof of Iheir Worker'S Compensation insurance ShoulC be pmviCea Io me. � I am exempt untler Section: B. 8 P. C. lor Ihis reason', Oa�e: Ownec I tlo here�y cemty Ihai I am aware ol and untlers�antl Ihe requiremen�s o� Califomia flealth and Safely Coae Sections 25505, 25533, and 25534 anA Ihat I or any fuWre bwltlmg occupan� willlwill nat lcircle one) need to comply with saitl s�a�e cotles and �he requiremen�s for a permil for consimdion or modifica�ion Imm Ihe Nir Ouali�y Managemen� DistricL Residenlial cons�mction applicaiions are exemp� �mm �hese O�avisions. Date: ADPlicanl: I hereby wtli�y Ihal I have reatl ihis apDlica�ion antl 5ta�e �hal the above mformation is correcL I agree lo comply wiih all ciiy antl counry ortlmance5and5taielawsrel�ingloDwltlingconstmc�ionandherebyap��t a�WSo��i5ciryroenleru0ontheabove�mentioned pmpetly lor inspe ion pu dases. � �, — Date: - Signai �nver's Licens or Social Securily �'r „� � , ., 164L<6 Wbne—Builomg: Green—Code EnlorcerRenC Canary—.qpplicanl: Pink—Revenue: GoltlenmE—Assessor CITY OF COSTA MESA – HUsLDZNG PERM.Ii PERM NO: � U5321` PERMiT NO: b 053215 PI,AN CHECK NO; 01442-91 L GOVT: N �UPP: N CONSTRUCTiON TYPE: Pf:RMIT 1'YPE: STR PURPO5E: ADD JOB DESCtZIPTION : 2145F SEi�F CONTAIAED CHEMICAL a^TORAGE BL) SQ FT: 35,000 CLA:IM CrALUE: 35,000.00 CALC–VALUE: 35,000.00 GROUP OCC; ri-2 ; CONM^N'TS: X iF 3F i4 iE ik iE IE iF iF iF # K-7f� iF 9C )F �1f� 3f�lE iF ie �e-If if� ic IE iE'.f k ie'�F 3F iE �1t if ii� af )f ii� lE # 1E if 1F 1E 1F if �E iE aE �F k 3i� iE if if 1E ie iEi:� 16 if- iF'R iF� :F If 1E iP 3P ie iF ii K if �f iE if �lh Z O N I N G5 ERTEH�AUCIK�SE M E N T S ------------ MAII�i HUILDZNG ----------- --------- ACCESSORY BLJII�DING --------- FRNT; 'r'T IN REAR: FT IN FRNT: FT IN REAR; FT IiV LEFT; FT ZN RGHT; FT IN LEFT; FT Ii�1 RGHT; FT IN PARKING REfj • PkOV: PARCEL; 42776202 ZNE; i�iP REc NO: PLANNING N{3TES> FOR AN APFROX. 207 Sp.FT. CHEMICAL STUkAGF. FACII.ITY INSIDE > AN EXISTING INDUSTRIxIL BUTLDING, 5USJECT TO FIRE;AQ�MD; BLDG iFiE-%�EiFiEiiiFlEieiFif�7Eii�iF3FiF3E�X�3%iEiE�]E3FiE�lEif#'r�Eif�ielki�iF3e3iifiE�Ei:�lciE#iFiE%�f3f}3f3FifiFac3eif�lf3f�E3FN�1frtjE-kiiif !f-kf'riEk3ii!�3i�k•iE# D E V E L O P M E N T S E R V I C E S— R �E�,i U i R E M E• N.' `f" S ZOtvING APPt�OVED 3Y �/� ` �—��- DATc: ' f' BUILDII�G APPROVED BY : DATE: �.' r ( I r _n_ /\ 1 ?.PPLICATION SSSUED BY: ii� �i 3i iF if k �E i't iF IE iE'r't IF � i4 3!� if �f ?E iE 3F jE iF iE iE %� iF iE N� iF �1F iE�+6 jF }.y,. iF iE 3E iE 1f x IF 3(� LE:GALIZATION;N BLDG FMT PLUMBZNG PERMIT 317.U0 F E E .; fFiFa'r?E iF3F3FaFiE)F�aE3EiE�163FiE3e3F�EiE1FiElf3i�iEi'#F)E3F. S M M.�A R Y STRUCTISRAj, iC MnC$ANIC FIRE SNIP/RE§ � f'FiFfF 3f !E i'r 1c 3E }:•-1E iF 3! iE SF.G;��NT; Y GRAllING / ." � . SP�iTP/NUN–RES PLAN i06.05 / � •? 7.35 ISSUE FEE / � .rt �- r – o . – –> BUsI�DING DIV FERMIT SI SUE I.AN�CFi�CK .' • TOTAL PAID DiJE Q 7'OiALS----> 324.35 O.OU . �2Q-6,05'•' S30.40 530.,4U--�_ .00 � REV�NUE DZVISZON 'I'OTALS--> COLLECTED: '' 324.35 OVER/SHORT• UO HLDG P�T PLliMBING ELECTRIC MECHANIC 'cIRE SMIP/TOT GRADING PL�AN—CHECR si %.00 ,•� �.3s �!i' 3elE I@ 1F iF ii�?i.Y. �lE 1F i!� � iF?f iE �1i iF ) iE 34 if iE'!E if i(� } 3E iE iE If if ii�'i.� iEl� af 3E ie iElF 3f if 3t'3E iF�iF iF } IF �lE 1E i't iE % 3c i%iF iE if %iF 1f iE iF if iE � je 3f if s. �T:� iE iF iE iE 3E � I N D .I V.T. D U A I� F`�� E � R E A K D O W N � . � TYPE Q7'Y D E S C R I P T I O i3• UNIT COST TOTAI� C051' SrC 35U00 AL�TER BY VALUE COMN�RCYAL "�NO�ONE 1.00 35,OOO.UU 'ENI9:.0� FEBS: . J • �, r . r� .. 4� ,n � '� �: �;lj.:',Cr�' Z� q _' - � ,w �r.. .r.l��Y� l�'. ', f"n.. , �t� I�C S��.rSi�l°i�+ - . ._ F ,. ✓"_ ,.t, : i..-; , /. . � '.{ CONSTRUCTION,�IND PLANNING � POOL ,PA � '�i�,PPROVALS Permit # Date Inspector AppROVALS Permir # Date Inspector 1. Temporary Electrical Service Or Pole 52. Pool & Equipmen[ Location 2. Soil Pipe-Undrgrnd. .•- � 53. Steel Reinforcement 3. Electrical Conduit.Utility�Undrgrnd. � 54.��Forms � 4..Electrical Conduit-Undrgrnd. 55. Electricai Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE 7. Footings ' 58. Electrical Conduit-Undrgrnd. . 8. Foundation � - 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgmd. - . 60. Backwash �ines, P-Trap, � Undrgmd. 10. Structural Floor System � ' 61. APPROVAL TO DECK 11. Property Sewer Line & Ho�se Connection � 62. Backwash & Receptor�Final 72. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains � ' 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Efect;icabConduit 66. Solar System-Final 16. Rough Electric•Wiring 67. Fencing & Access ApProval 77. Reugh Wiring Sign 68. APPROVED FOR PLASTEFING 18. Rough Electrical-T Bar Ceilinq 69.� POOL/SPA SYSTEMS FINAL •19. Rough Heating & Air Conditi0ning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPRdVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23.'Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorayeTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro � 26. T�Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical 27. Frame and Flashing 76. Dry StandpiGe 28. Lathing & Siding � � 77, FIXED SYSTEM FINAL � 29. Insulation . � � 78..FIRE PREV. FINAL 30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �� ! � 79. FfNAL INSPECTION 32. Electrical Power Meter-Final . � � � 80. FOOD CERTIFICATE ISS�UED � 33. Final Electric � Notes� ,/ �,c.� ��f_� �� c�' _� '34. Final Heating & Air Conditioning � � � ! ff.c _ � F'.+yc.-�C ��y% �- 35. Final Gas Pipe•Test � � , ` �5'...��3.Go_G^ '�=z�=� -L - - 36. Hood or Canopy • � ` 37. Final Factor Fire lace " ' � � � � / '^ Y P P't-ri1� l!_�.Ko�t�n_ SV_B L/_S.l� --� - 38. Final Plumbing � � v Y-/�_4_2i!�v�%! 39. Water Service-Final � 40. Gas Service�Final � ' � ..�' 41. Solar pomestic-Final 42. 8ackflow Preventer �� 43. Backflow Irrigation 44. Landscape Irriqation System • - 45. Sound Attenuation 46. Handicap Regulations . 47. FINALSTRUCTURE&BUILDING " � _Y�2- 48. FINAL PI_ANNING ,49. Electric Release to Edison 50. Gas Release to Southero Califomia Gas Co ,-, � 51. CERTIFICATE OF OCCUPANCY No. Date .00xess: 350 LEAR AV i'S NAME: CARLYLE INCOME PLUS LTD aoo�s: 1010� SANTA MQNI�A BL 'LA CA UNIT: 2132774350 AflCH/ENGINEEH: ALBERT MARTIiJ 6%iSJ�'�C NEG.NO.: SZOZ6 aooAcss: gll W 7TH ST uxir: L.A. CA 90017 PENMITTEE: OLTMANS CONSTRUCTION (213)948-4292 aoneess: 10005 MISSION HILL RD WHITTIER CA 92608 LICENSEO CONTBFCTOB DECIABATION: 1 hereDy allirm I�a� I am Iicen5e0 untl ov¢ions ol C�apter 9(comm ncing wi�� Section 7000� ol Oivisiw 3 oi ��e 9usiness an� Pmlrssion otle. an0 my license' - torce an0 eltect.� cirv uc.: 017 212 sTpTE uc.: 3 9 3 H �aie�. �� l Signature:. WOBKEflS' COMPENSATION OECLAflRTION: I �ere0y a��irm Inal I �ave a ceni ¢a�e a� consenl binsure or a cenibcaie ol Workers' Compensalion Insuran[e. or a cetliliea co y Ihereof (Section 3800. LaE. CI. roucrNo.: IV9100596� E%P.DFTE: O�IIOL 92 ,comraxv: CARMACK INS / Cenified copy is hereby lumished. � C�ffili¢0 tapy i' w' he ti� ildin ision. /� i / Oale: �,, / �i " �I,'L- Nppbcant: E%EMPiION FBOM WOHNEHS' COMPENSATION OECLAPRTION: (TAi55e ion nee0 no� be comple�eE i� the permit is �orone hundretl (5100) or less�. I cetli�y Ihat in the petlarmance ol Ihe work �or w�ich Ihis permii is issued I shall noI employ any Derson in any manner so as Io �ecome sublecl to the Workers CAmpensalion laws ol Calilomia. Oate: SignaWre: NOTICE: II. aller making �his declaraiion, you S�ouIC become Su0lect Io I�e Workers' Compensation pwvisions of I�e LaEor Cade. you must Iorihwil� comD�Y wii� suc� provisions or IhiS Dermii 5hall he OeemeO revokee. CONSTBOCTION LENOING AGENLV: I �erehy afiirm I�al Nere is a tons�mcti0n lending agenty lar Ihe petlarmance Oi l�¢ wOrk lor wNc� I�is Oermii i5 i55ue4 (SKiion 3W7. Civ. C�. LENOEH: AODFE55: OWNEfl BWLOEfl DELIAHATION: I �er¢Dy aHirm Iful I am e�em0� ��am I�e Wniracmrs' State License �aw lar t�e fallowing reawn (S¢tlion 703L5 Busine55 anU Pmtessional CoGe: My Ciry al COuniy whit� requlre5 a permil �o cons(mtl, alter, imOmv¢. OemoliSA, or repair any 9mclure. o�ior to its issuance. aiso reQuires ihe aD�licant for such permit to tile a signeU statement Ihat he/she is litensetl pursuam �o �he pmvisions ol t�e Contractors' State License Law �ChaO�er 9(commencing with Section 7000) ol Division 3 0l tAe Business antl Pro�¢ssions Code� or ��ai he/S�e i5 exempl lhereimm and Ih¢ basi5 lOr Ihe alleged exemption. Any violaiion o� $etii0n 7031.5 Gy any applicant for a permit subiecis Ihe ao�licant to a civil oenaliy ol not more Inan five 1lundre0 tlollars (3d`00). I. as owner ol �he Ompeny or my employees with wages as tneir sole comDensation, will Uo �he waB. an0 the ❑ stmc�ureis no�imentletl oro��eretlior5ale�5eciion 7044, Busmess antl Pro�essionalCode: The Conlrac�ors' Slate License Law tloes not apply �o an owner ol a pmpeny who huilds or improves �hereon, and who does such work Aimselfl�ersell or t�wug� , his or her own employees, O�ovitle0 ihat such impmvemenis are nol intentletl or offeretl for sale. II, however tAe Uuiltling or impmvemenl is sota wilhin one year ol comvlelion. ihe owner vnll nave ihe burtlen ol pmving ne/sne aitl not UuilA or impmve lor Ihe purpose ol sale�. I, as owner ol Ihe properly, am exclusively conVacting wilh licensed contraclor5 io const�ucl �he pmlec� (Sec�ion 7044, Business ❑ ana Professions Code: T�e ConVac�ors' S�a�e License Law tloes no� apply to an owner oi pmDerty who Uwltls or improves lhereon and wh0 tonttatls lot SUc� O�olea�s wiN a tOnlrattor(S� litense OUrsUanl b �he ConVatiors' S�a�e LiCense Law�.l am awar¢ Iha� proof ol Iheir Worker's CAmpensation insurance s�ou10 be DmviOetl to me. � 1 am exemp� untler Secuon: 8. 8 P. C. lOr I�is reason�, Date: Uvner. I do here�y ceNty I�al I am aware of and un0ers1an0lhe repuir¢menis ol Cabbmia Healt� and Safeiy COAe Seclions 25505, 25533, an0 25534 anU Ina1 I or any Iuiure buildinA occuDant will/wiil not (circle one� neetl Io comDly wi�� saiE state cotles antl Ihe reQuiremenls lor a permit lor conslmctian or motlilicalion Irom ihe Air Oualiry Managemenl Disirict. flesiaeniial constmction apDlica�ions are eeemD� ��om ihese OmHsfons. Da�e: ApplipanL I here�y ceriity I�al I �avereatlihi5 aOPlitaiio ntl Stale Ihai��e ab or a anis corr¢cl.lagree to t )�v� IM1 all Ci� and tounty or0inancesantlstalelawsrelalinglo0uA0ing nsiructionantln amh resemativesolikscit� rRer �6niheabve�mentionetl prOperl �N in-s7pe�[lian Our0ose5. Da�e�`L'� �� Sign� � o�i�er's License or Sodai Seariiy x; 164La6 Wmle—Bmltling', Green—Cotle Enbrcemem; Canary—App6canl; Pink—Revenue; Goldanwtl—Assessor CITY OF COSTA M$SA — BUILDING PERMIT PERMIT NO: H 054142 PLAN CHECK NO: 00921—y1 S CONSTRUCTION TYPE: PERMZT TYPE; STR PERM NO; B U54142 GOVT: N SUPP: N PURPOSE: ALT JOB DESCRIPTION : SEISMIC UPGRADE SQ FT; 11,586 CLAIM VALUE; 11,586.00 CALC—VALUE: 11,586,00 GROUP OCC: H-2 / COMMENTS: SEISMIC UPGRADE iEic**x*�ii****iEic*iFiF*�*n'*it+�*ie�x�irirx'�*iax��iiie*iFiaieia**itx'ii�'iEieie�t�if**iEiEiEifieie�ie�c'z'x'**afir**ux'ie Z O N I N G R E Q U I R E M E N T S S E T B A C K S � ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT ZN RGHT; FT ZN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: •PARCEL: 427],6303 2NE; P REF NO: 'PLANNIhIG Ni71'ES> > if iE if iE if iE if ih iF iE 3h ik iE 3F �E iF if iE iF if 3F iE iE iE iF IF IF iF iE if k 1E iF if if if� iFiF iE iF aE if iE iE 1E Ih iF 1E iE iE 1E iE iE k 3F �f iE 3F iF if iF if iE �lE if if if 3%1E"%`'if if 3E if if iF !f iF iE 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 1,�.. ZONING APPROVED BY DAiE: " �':; BUILDING APPROVED BY ; DATE:, i APPLICATION ISSUED BY: I/'� DATE;��1i�.'Z iFjEiEik3fiE�lfififiFlFiEiflf�FiEiEi4ifiFif3E ��iFaEiEiE3F�4ifif*iE�ii ifie )FiF3tiElfiEiEiFiFiFifiEiEiElElEiEjEiE1F)FiFiEiFiF#fE1EiEiFiEiEiEiE3fiEiF*af*iFiE�E1EN•iEjF3E3EiFiF�EiF3fiklfifik3flEikifiFlFiF'if.ifif�iFiFafiF�F IfifiFiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAF. SEGMENT;Y BLDG PMT PLUMBING ELECTRIC" MECHANIC FIRE SMIP/RES GrZADING PERMIT 135.00 1,16 PLAN g7,75 � SMIP/NON—RES ISSUE FEE • BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 136.16 0,00 87.•Z,5 2'13,91 223.91 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 136.16 OVER/SHORT: 00 BL135P00 PLUMBING ELECTRIC MECHANIC• rIRE SMIPiT06 GRADING PiAN—CHECK iE iE �E if iF 3F if 1E iF 3E iF iF i(� fE iF iF iF IF if IE iF iF if iF iE IF IE iF k iE 3F iE iF iF ik iE iE iE iF iF 1f 1E iE jf iF i(� iF if iE if K iE if� iE iE �E 1E iF jF iF if iF �f iF iF ik 1i IF � iE 1E if 3E 3E iE iE * iF 3[� I N D I V I D U A L F E•.E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAi. COST SFR 11586 STRUCTURAL BY VALUE PEFt�',51,00 1,00 11,586.00 END OF F'EES Y C;TC',�L�? ;;'r,',�.. �'�ti.c. i •.;.� -�I ^nNSTRUCTION AND PLANNING P�'"�'PA �ROVALS Permit # � Date Inspector p�ppROVALS Permit # Date Inspector /� � 1. �T�:mporary Electrical Service o� Pole �� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement 3. Electrica4 Conduit Utitity-Undrgmd. . 54. Forms � 4..=lectrical Conduit-Undrgrnd. 55. Electricai Bonding 5'.�'Steel Reinforcemenf 56. Rough Plumbing & Pressure Test �- 6. Electrical UFER Gmd. . 57. APPROVAL TO COVER-GUNITE -, 7-. Footings . - �' 58. Eiectrical Conduit-Undrgrnd. 8. Foundation � . 59. Gas Pipe, O Undrgrnd., Test 9.� Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Flooi_SYstem _� �, 61. APPROVAL TO DECK � 11; Property Sewer L'ine &, House Connection ' 62. Backwash & Receptor�Finai 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 F INAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.�Rough Facmr,y Fireplace � � � � - APPROVALS ' Permit# - . y 21. Dutts, in Structure � . . , - ' � �70. Undergrnund Hydro 22. DucCs,Ventilating � - �71. Product•P'tpingOQas ❑Oil 23: Gar Pipe-Rough & Test � . -, 7Z. Underground Flush� _ . 24. Roof Framing �• '� - _ � 73.�Undergrnd. StorageTank O Gas ❑ 0'il >. 25. Roof Sheathing - � ' � - . � 74,�Oyerhead Hydro - � - 26. T�Bar Ceiling �Structural) & Monocoat •• 75.,"Dry Chemical - � 27. Frame and Fiashing , .. ' 76. Dry Standpipe ' . 28. Lathing & Siding . �. �t • • � 77. FIXED SYSTEM-FINAL '29. Insulation _ , � ,- � - 78..'FIRE PPEV. FINqL � � , •30. Drywall Nailing � ^ HEALTH�DEPT. RE�UIREIVIENT 31. Plaster Brown Coai' . , .79. FINA� INSPECTION �32. Electrica�Power MeterFinal � �SO.�FOOD CERTIFICATE ISSUED 33. Final Electric . ' � ; ' Notes: - �34. Final Heating & AicConditioniqg � ' � , . ' � 35.'Final Gas Pipe�Test - ,36. Hood or CanopY � � 37. Final Factory Fireplace � ' ' �38._Final Plumbing . � , � 39.�Water Service-Final � � � • 40. Gas Service-Final - , � � - �47. Solar pomesticFinal • -� 42. Backflow Preventer. � , .� 43. Backflow Irngation• � ' • ' . ,44. Landscape Irripation System,� � • � - � " , � 45. �Sound Attenuation � � � ' - , • �46. Handicap Regulations ' - , � "� � ." , . � . 47.��FINAL STRUCTURE & BUILDING ! Z � � � 48.'FINAL PLANNING � � • 49._Electric Release to �Edison � � - - 50.,Gas_ Release to Southem California Gas Co - . , , 51. CERTIFICATEOFOCCUPANCY • , -, ' � No. Date •1 ' ' Q�SMITH-EMERY C(�riPANY The Full Service 6ideyendcnf Testi� �� Lnbarafury, Estn6lished 1904 781 Frst Washingron Boulevard • Los Angeles, Califomia 90021 •(213) 749-3411 • Fax: (213) 74(r7228 P.0.8oz880550,Hunter'sPointShipyardBldg.114 • SanFrancisco,California94188 • (475)330-30IX1 • Fax:(415�8223864 5427 fasl La Palma Avenue • Anahcim, California 92807 •(714) 6Y3-1026 • Faz: Q74� fi93-1034 � 0 JOB N0: 24203 CITY OF COSTA MESA DISTRIBUTED T0: JOB NAME: COSTA MESA PLA2A 77 FAIRWAY DRIVE OHMANS CONSTRUCTION JOB ADDRESS: 2945-2975 AIRHAY/350 LEAR AVE COSTA MESA CA 92626 A.C. MART[N COS7A MESA, cn 9 DEPT OF BL�G & SAFETY LITY OF COSTA MESA SEISMIC UPGRADE JMB PROPERTIES ENGINEER: � JAMES E. PARTRIDGE RCE 25270, GEORGE BATTEY III RCE 34323, JERRY BRADSHAW RCE 17960 SMITH-EMERY COMPANY SMITH-EMERY COMPANY TECHNICAL CONTACT: REPORT N0: SMITH-EMERY COMPANY 3 SEISMIC INSPECTION REPORT Permit #B54142 Location: Costa Mesa Plaza 12/05/91: Bldg. #5 - 350 Lear Ave. DATE: 01/27/92 V Inspected the installation of the Simpson HD-12.at perlin connections; stra s at the GLB splices;,sprinkler pipe bracing; anchor o� electrical panels; suspended heater bracing with flex gas lines installed and installed on soof top heaters: --All installations are er approved - plans. This is complete and final inspec�ion per approved plans. INSPECTED BY EMP. #g4, Melvin Wiebe Workorder #84866 PAGE: 1 ALL REPORTS ARE SUBMITTED AS TME CONFIDENTIAL PROPERTY Of CLIENTS. AUTMORIZATION FOR PUBLICATION Of OUR REPORT, CONCLUSIONS. OR EX- TRACTS FROM OR REGAROING TMEM IS RESERVED PENDING OUR WRITTEN APPROVAL l�5 P. MUTUA� PqOTECiION TO CLIENTS, TNE PUBLIC I1ND OURSELVES. PBOJECT AOOflE55: 3.S O 1. $I� p.V UNIT: ' OWNEfl'SNFME: �TMB PROFERTIES _ aoopess:.10100 SANTA MONICA BL ST1750 L.A, CA 90067 213—�177-9350 RflLHIENGINEEfl: CURTIS SUMMERS eec.xo.: C28869 nooness:' 7800 LAUREL AV uxiT: CINCINNATI OH 45293 �PEXMITTEE: GRAHAM HROTHERS ( 714 ) 596-1653 aooeess: 2952 CENTURY COSTA MESA CA 92626 UCENSEO CONTBpCTON OECIAflAT10N: I hereby aftirm Ihat I am licensed unAer pmvisions oi Chap�er 9(commencing wi�� Section 7000� ol Division 3 olt�e Business and Pmiessions Cotle, antl licensa is in full brce tl eHect. ciTvuc.: 005963 s,nTeuc.:2486 cus�s: C-2 j j� � � ' � � • �2 Si9nature _ X �� WOBIIENS' COMPENSPTION OECIAPRTION: I here0y affirm thal I �ave a certificale of consent to sel4insure or a cenificaie oi Workers' Compensalion Uis�� qc yc¢ilifie0.rqDd4��eo� (Sec�ion 3800. Lab. ��S / O S/ 9 L eoucrr+o.: LIBERTYiMUTUAL EXP.OFTE: COMPANY: }/ � � Ce i�i¢d Copy is �ere6y �uml5�etl. L`1 Certilie OY i5 IiteA vnl the ciry Building Divi on. f � _ ' R AVDIic � �� E%EMPTION FNOM WOHKEflS' fAMPEN5ATI0N OECLNflATION: (This seciion netN no� �e comple�e0 if the permi� is lor ane hun4re0 (3100) or less�. I ceriily Ihat in �he pedormance of the wark inr whic� �his Oermit is issuetl, I shall not employ any person in any manner so as to �ecome subject lo �he Workers' Compensation Laws o1 Cali�omia. Date: Signa�ure: m n a�ion mvisions of �he Labor NOTILE: II, af�er making this declaration, you s�ould 6ecome sublect to the Workers' Co pe s p Code. you must �orlhwi�h comply wi�h such pmvisions or Ihis permit shall be deemeU revoketl. CONSTflUCTION LENOING RGENCV: I hereby affirm that ��ere is a cons�mclion lending agency for�he pedormance ol lhe work �or w�ich Ihis Oermil is issuetl (Section 3097. Civ. C). LENOEfl: RODHESS: OWNEH BUILDEN DECLABR710N: I �ereby aifirm ihat I am exemp� imm t�e Coniractors' State License Law lor tAe lollavnnp reason �Seclion 7031.5 Bu5ine55 ana Pro�essional Coae: Any ciry o� counry which repuires a permii ro constmc�, al�er, impmv¢, aemolish. or repair any slmctu�e. O�ior lo its issuance. also require5 i�e ap0licant lar such permit to Iile a signetl slatemeni �ha� �e/she is licensed pursuam m �he pmvisions ol ihe Cantramors' S�ate License Law (ChaD�er 9(cammencing wiN Sec�ion 7000) of �ivision 3 0� ihe Business anA Pmlessions Code) or Ihai he/she is eKemp� �herefmm an0 Ihe Easis �or �he allege� exemption. Any viola�ion of Section 7031.5 6y any applican� �or a Dermii suble��s lhe applican� �o a civil penalty o� not more ��an �ive huntlred dollars (5500�. I. as owner oi Ihe pwperty or my employees wilh wages as �heir sole compensa�ion, will do ��e work, and �he ❑ slmcWre is nol inlen0e0 or o�fered �or sale (Seclion 7044, Business and Pmfessional Code: The Conlractors' State License Law tloes not apply to an owner of a praperty wha builas or impmves thereon, an0 who Ooes such work �imsel�/he�seli or �hwugh his or her own employees, providetl tha� such impmvemenis are no� iniendetl or oifere0 br sale. I�, however ��e Ouilding or impmvemem is sald wi�hin one year o� compleiion, �he owner will have Ne burAen ol proving he/she did no� build or impmve �or Ine Durpose of sale). I.as owneroi�Ae Dmperty,am exclusivety conlrac�ing with Iicense0 conlractors m cons�mc��he prole��Section 7044, Business ❑ and Pmlessions COJe: The Cantracmrs' Stale License Law tloes not apply to an owner oi DmpeM1y who �uilds or impmves IAereon antl w�o contrac�s lar such prole��s with a conlracloqs) license pursuanl �o �he Contractors' State License Law�. I am aware �, Ihat proal ol their Worker'S Compensation insurance shoultl be pmvide0 �o me. I� I am exem0� under Sec�ion: 0. 8 P. C. �or I�is reason: �a�e: Ownec I Oo �ere0y ce�ity tha� I am aware ol and un0erslan4 t�e requiremenis ai Calilomia Heal�h an0 Sa�ery CoOe Sec�ions 25505, 25533, antl 2553a antl t�ai I or any luture �uilding occupan� will/will no� (circle ane� neeE lo compty wilh saitl state codes and IM1e requiremenis for a permit lor consimclion ar mo0ilicalion imm �he Air Oualily Management OiSlrici. Resideniial constmc�ion applicaiions are exempt Imm ihese D�ovisions. �a�e: ApPlicant: I hereUy cerlifyiha� I haveread Ihis application antl s�aie allhCpOove in�armation is correc�. ree �o comply with all ci�y antl county ordinances antl siatelawsrelalinglo builtling conslmc- antl �ereby3b �orizereD�esen�a�ives o this iry n�er uponihe above�men�ioned pmperry for inspec�ian puQrpases � Daie:�a' 1�� `�-+ Signa� orivefs License or Social Seariry x: 1641-46 W�ile—Builtl'm¢ Green—Code EnbrcemenC Canarv—Aoolicanl: Pink—Revenue: Goltlenrotl—Assessar CITY OF COSTA.MESA�— BUILDING FERMIT PERM NO;.M ] _ PERMIT NO: M 056965 PLAN CHECK NO; N GOVT: N SU P: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ADD JOH DESCRZPTION : INSTALL FAN — ELEC PERMIT REQUIRED SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC; H-2 / COMMENTS: REF; B53215 ***�r*aE*�E�tit*�ie*�-��riF**�rx�t**********xitieie**�******at*�tit***��rif�itx*�F�r*��tar*��*it*�*�ir*�* Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 427162Q2 ZNE: REF NO; PLANNING N(STES> i iE 1E iE iF IE ib iE 3E fE 1E �E iF 1E iF iE jf-iF aFlF IE lE if iE iE iE !F!E iE if �E iF iE if iE 1E iF �E.iE iF iF iE iF iE 1E 3e if �E iFiP iF1f 1F iF iE iF jE if if �f # IF 3FiE IE #F iE iF iF iE iE i't !E if �f 1E iF ik iF #E 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 .� ZONZNG APPROVED BY 'r. DATE; HUILAING APPROVED BY ; : DATE: APPLICATION ISSUED BY;��=^�� DATE: *�****�r*x�r�*�t�r�*�**x*�t��7� - T��F��,�3 ��7��iF�i�'i�3F*�r**#�r�t�r�r�r . ** �)EiF3fiEic�lFiF3fiEil�3Fil�iFiFiEltlk�Itif-1hi47F1Eit3fik*itiFlEiEiEifiFltftiFiEiEic � iF �E3EiFif�lEiFifiE�IEiEiEiF7F�EiE3EiffEiF#iFiF3F3E�1Fif#iEaFYii�ieiFjejFif LEGALIZATION;N F E E S U M N: A R Y STRUCTURAL SEGMENT:N BLDG PMT FLUK,BING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 425t SMIP/NON—RES PLAN ISSUE FEE 15,00 BUSLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9.50 15.00 0.00 19.50 19.�0 .00 REVENUE DIVISION TOTALS--> COLLECTED; 19,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 19,J� if iE 1E IE ik iF it iE 3E iF �k 3F if ik )E iE k if iP�IE #F iF iF iE af ib if 3f if if ik �E iFlE If !f iF iElt iE-lk 3E 3ElE iF iF iF 1f i! k 1E iE *if iE iF if 1E iE aE 1E �E �E �1F iE if k iE it iE IE iE 3E 1E �k k 3E � 1E I N D I V I D U A L F E E B R E A K D O W 1J TYPE QTY D E S C R Z F T I O N UNIT COST TOTAL COST MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 9,�0 END OF FEES �1 GC1T:'�i9—C�71�7=0 -- - c.iu ��f�t: �{:� �:I�?. TTI�� . �. CONSTRUCTION AND PLANMING - POOI A ' � APPRO.VAIS Permit# �Vate Inspector pPPRQVALS Permit# Pate Inspector . � 7. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location .. , 2. $oil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4, Electrical Conduit�Undrgmd„ - 55. Electrital Bonding �' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. E�ectrical UPER Gmd. 57. APPROVAL TO COVER�GUNITE 7. Footings �„ 58. Electrical Conduit-Undrgrnd. � $, ppundation ' �, .1 • 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgrnd. �.� �� 60. Backwash Lines, P-Trap, O Undrgmd. � 10. Structural Floor System • 61. APPROVAL TO DECK 1 t. Property Sewer Line & House Connection i 62. Backwash & Receptor-Final i � 12. Sswer Cap , , 63. Heater & VenrFinal - 13. Roof Drains -" 'l " ` 64. Plumbing Sysiem � Final , 14. Rou9h Plumbing � �. 65. Electrical�Final ' 15. Rough Electricai-Conduit , 66. Solar SYstem-Finai 96. Rough Electric Wiring � 67. fencing & Access ApProval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS ' Permit # 21. DuCts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Ruof Framing 73. Undergrnd. Storage Tank � Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (5tructurap & Monocoat � 75. Ory Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding _ 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Naiiing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat , 79. FINAL INSPECTION 32. Electrical Power MeterFinal ' 80. FOOD CERTIFICATE ISSUED �33. Final Electric ' Notes: 34. Final Heating & Air Conditioning c.� ��Q�(�� ' 35. Final Gas Pipe-Test 36. Hood or Canopy ' . 37. Final Factory Fireplace � � 38. Final Plumbing - 39. Water Service-Final - 40. Gas Service-Finai 41. Solar pomestic-Final � 42. 88ckflow Preventer ; � 43. 68ckflow Irrigation 44. Landscape irripation System 45. Sound Attenuation 46. Hdndicap Regulations �47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i, , j 51. CERTIFICATE OF OCCUPANCY , No. Date �I � PflOJECT pD�NESS: 3.r� O LE�i Av UNIT: � OWNEfl'SNAME: JMB P.,ROPERTIES � aoueess: 30100 SANTA MONICA HL ST1750 L.A. CA 90067 213—�27'7-4350 AflCHIENGINEEH: CURT I S SUMMERS NEG.NO.: C z 6 4 aooaEss: �g00 LAUREL AV ��T` CINCINNATI OH 45243 PEHMITTEE: STUART HOULIHAN �LECT ( 818 ) 390-2819 aooxess: p0 56224 SHERMAN OAKS CA 91913 IICFNSED CONTXPCTOfl OECLABATION: I hereby a��irm �ha� I am licensed under pmvisions o� Chapier 9(commencing wit� Secfion ]OOIq of Oivision 7 0l ��e Business an0 Pmlesslons Cotle. anG my license is in full torce antl eifect. cirruc.:0 313 sraTeuc.:54 20 cuss: C-10 � �ale: -3 a� Sig re: . ' WORNEBS'COMPENS IONOECLAflRTION: I�ere�yatlirmthaihaveaceM1ilica�eo�consen�iosel6i oracerti�icaleafWorkers' ComDensalion Insurance. or a cenifiea copY Ihereol (Sec�ion 3800. Lab- C�. POIICY NO.: E%P. DA7E: Ce�ilietl copy is here�y lumished. ❑ Certitied coOY is file0 with Ihe ciry BuilOing Oivision. Dale: NpplicanL E%EMPTION FflOM WOBKEBS' COMPENSRTION OECIAB�TION: Qhis seqian neetl nol be completetl i� the permii Is lor one hunOreA (5700� or less�. I cetlify I�al in �he petlormance of ihe work �or which this permit is'�u�¢d. I shall not employ aqy person i tiy manne as to hecame subjec� to Ihe rkers' Co �pensa�ion Laws ot Califor ' � �� Oa�e: � O �� Signatura' �y NOTIC . I( aller iaking �Ais declara�ion, you shoultl become subjec� to �he Workers' Compen5aiion D�o�� ions oi Ihe Labor Cotle. you mus� lo�hwith comply wi�� such pwvisions or Nis permi� shall be Oeemetl revoked. CONSTBIICTION LENOING pGENCY: I herehy affirm ihal there is d consimction IenOing agency tor the peAormance af the woM for w�ic� I�is permil is issued (Sec�ion 3097. Civ. C). lENOEfl: aooxess: OWNEfl BUILOEH DECIABpTION: I hereby affirm iha� I am exemp� irom �he Coniracmrs' State License Law for ��e following reason (Seclmn 7031.5 Business anA Professional Coae: Any city of cowry which repui�es a Dermit to conslmci, alter, impmve, tlemolis�, or repair any slmclure. pnor �o ils issuance, alsa requires the aDPlican� �or such permi� �o �ile a signetl s�a�emen� �ha� he/she is licensetl pursuam m �ne pmvisions o� 1he Contracmrs' Sta�e license Law (Chapter 9(commencing wit� Sectian 7000) of Division 3 0� �he Business and Pmfessions Catle) or Iha� helshe is exemp� Ihereimm and �he hasrs �ar ihe alleged exemption. Any violation o� Seciion 7031.5 by . any applicant tor a Dermi� SuDle��S Ihe applican� to a civil penalty o� not more [han live huntlred tlollars ($500�. I. as owner of �he pmpeny or my employees wi�� wages as iheir sole comDensa�ion, will do �he work, an0 �he ❑ stmciure is not intendetl or offeretl �or sale (Sec[ion 7044, Business antl Pm�essional Code: The Contrac�ors' S�a�e License Law tloes nat apply �a an owne� oi a property who builds or imp�oves Iherean, ana wha does such wo�k himseli/hersel� ar �hmugh his or her own employees, D�oviOetl that such impmvemen�s are no� intentletl or o��ereJ for sale. If, however Ihe builtling or improuemen� is soltl within one year ot compleiion, �he owqer will haue �he burtlen o1 pmving he/she ditl nol build or impmve for��e purpose o� sale). I. as owner ol Ihe D�operty, am exclusively contracting wi�h licensed conVac�ors [o constmct the Dmlecl (Section 7044, eusiness ❑ antl Prafessions Code' The Coniracmrs' Stale License Law tloes na� apDty �o an owner o� pmpetly who 6udUs or improves �hereon antl who cantracts for such projec�s wi[h a conUac�o�(5) lic¢nse pursuan� to Ihe Contracfors' Sia�e License Law�.l am awa�e �hai pma� of I�eir Worker'S Compensation insurance should be pmviaed to me. � I am esempl unJe� Seclion: B. 8 P. C. lor ihis reason: Daie: Owner: I do �ereby certily Iha� I am aware o� anA unders�ana [he requiremeNs of California Heatlh anU Sa�ery Cotle Sections 25505, 25533, antl 2553d anA �hai I or any future buileing accupant will/will not (circle ape) need ta comply with saiG Slaie coUes antl the re0uiremenis lor a permil lor cons�mc�ion or mo0ifica�ion �mm the Air Oualiry Managemen� Oistrict. flesidential cons�mc�ion aDDlica�ions are exempl trom Ihese O�avisions. Dale: ApPlicanC _ I hereby cetlify�hall havereatl�his apPlicalion antl sta�e�hat�he ordinancesand5l elawsrela�inglobuiltlingcons�mciionaneherel pmperty �ns c0on rposes. ( �ate: Signat Driver's � ense or oc�ai Security a: Io comp�ly wi�� all �o em�/u�a,ihe a tbat-a6 Wbite—Builtlmg: Green—Code En�arcemenl: Canarv—AoolicanC Pink—Revenue: Goltlenrod—Assnssnr CITY OF COSTA•MESA-— HUILDING PERMIT PERM NO;.fi 05676�i PERMIT NO: E 056767 PLAN CHECK NO; N GUVT: N SUFP: N CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE: ADD JOB DESCRIPTION ; 214SF SELF CpNTAINED CHEMICAL STORAGE BU SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: H-2 / COMMENTS; RE: B53215 PRIMARY BLDG. PERMIT. +�*��*x�*�*+�*�r*�r**�� *�**�********�r*�r***��**�r**�***�r******�****��***�*�******��r** Z O N Z N G R E Q U I R E M E N T 5 s E T H A c x s ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 92716202 ZNE; REF NO: PLANNING NZSTES> � aE if !E 3f lE±f �k iE iE IF If �k if if �f iE if iE if if iE iE if if iF ik if 3E iF If jE iE 3F �)f iE iF iE iF IE iE # iE 3E jE iE �Eit aE IF iE iE 3F iE iE i! �E �f j! �! 1E 1E 1f it iE if !F if #f iE ik iElE if 1F iE ik iE �lE iF 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 ZONSNG APPROVED BY � DATE: BUILDING APFROVED BY ; l�_,� �,Q DATE: APPLICATION ISSUED BY; !`J !/ DATE• �S� �E�fiflkiEififl4ififiElEkiElEiE1EiF3E�E3fiE iEjfifiF�Eifif3FiEif �FiE if1EklEififiFifiFiflEiEiFkifiEifiFiEiEiFikiflFiF3fiFiE�EiF�flEifif�tiFiEifiEiF iFiF ifMikif3fikiElEiFifiEiP�fiEiEiljf-3FiF�kifiFiEifiFi4if�EfF�EiEifiFlf LEGALIZATION:N F E,E� S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 3,75 508 SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 3.75 15,00 0,00 18,75 18,75 .00 REVENUBLDGVPMT�PLUMBING ELECTRZC�MECHANI� FIREB�SMIP�TOT/SGRADING FLAN—CHECIC ii,%s iF k M iE iF If 1F iE ik 1E iE if if iF iE iE iE iF if iF 1f If iF if iE IF if iF iF iF iF 1E iF iE iE if if ik iE 1F if if if iE if if if 1E ik iE f! if 1E if 1E iE iP if iE iF iF iF iE if iE iF i! iF iE iF if if if 1F aF iF iE iE if I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 RECEPT/SWITCH 1 ST 20 EA. 75 75 ELE 1 MOTOR/POWR APPARATUS 0.0 — 1.0 HP 3,00 3.00 END OF FEES Ga CJliii3o-uU:'li . - - � G'+iE' 03.3L :._ ._ - :- CON5TRUCTION AND PLANNING� � POC SPA � APPROVALS Permit# Date_ Inspector qppROVALS Pennit# Date inspector 7. Temporory Electricai Service drPole - - 52. Pooi & Equipment Location .- i 2. Soil Pipe�Undrgmd. ", 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . = 4i �Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5.' Steel Reinfqreemenf � � 56. Rough Piumbing & Pressure Test - , 6. EleeTricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE - 1�7.,Footings � 58. ElectricalConduit-Undrgrnd. 8. Foundatiorn . 59. Gas Pipe, O Undrgrnd., Test �� 9. Water Pipe-Undrgmd. 66. Backwash Lines, P-Trap, 0 Undrgrnd. ,, 70. Structural Floo� System 61. APPROVAL TO DECK � 77, Proparty Se�nier Line�& HouseConnection 62. Backwash & Receptor-Finai 12. Sewer Cap . . 63. Heater & Vent-Final - 73. Roof Drains- 64. Plumbing System � Final � 74. Rough Plumbing 65. Electricai-Final , 15. Rough Electrical-Conduit ' 66. � Solar System-Pinal 76. Rough Electric Wiring `� " 67. Fencing & Access Approval . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 78. Rough Electrica6T Bar Ceiling � 69. POOLfSPA SYSTEMS FINAL 19. Rough Heating & Air Cond'rtioning � FIRE DEPT. REQUIREMENT 20.'Rough Factory Fireplace - �� " - . - •APPROVAIS �Permit # " I l, i - 21.�DuCts,in.Structure •�� - - � 70. Underground Hydro � 22. Ducts, Vgniilating. . � . 71. Product Piping � Gas u OII 23.'�Gas PiPe�Rough & Test _ � , ; � 72. Underground Flush . - 24. Roof Framing � � � 73. -Undergrnd. Storaye Tank � Gas ❑ Oil 25. Roof Sheathing . - ', � _, '74, Overhead Hydro_� . 26. T-Bat Ceiling {Structurap &'Monocoat * - 75.� Dsy Chemica4 � 27. Frame and Flashing " � 76. Dry Standpipe ' � � 28. Lathing & Siding _. � � � i � 77, FIXED SYSTEM FINAL . 29. Insulation � � .. , '� � ` 78. FIRE PREV. FINAL � � ? �� . �_ 1 ��30. Drywall Nailing ' i � ! HEALTH DEPT! REQUIREMENT 31. Plaster Brown Coat„ � � , �, i. 79.'FINAL INSPECTION ,- ' 32._Elect��cal Power Meter�Finai ' � I'. � R FOOD CERTIFICATE ISSUED � .�33.`final Electric � s . . �:/�-Ff"' �j`��es: ' - -' � 4 34.-Finai Heating_& Air�Conditioning. - . ' � , � i � 35. •Final Gas Pipe-Test - ,� - ' ^ ;36. Hood or Canopy � ' . . � � � ._. 37. Flnal Faciory Flrep'lace � ' ._ ' .. ; ' 38. Finai Pium6ing � � � � - �39. Water Service-Final � � ' ,4p. Gas Service-Final .� ; , . . � " �41. Solar pomestic-Finai : � • r . 42. Backflow Preventer � � ., � �i ' 43. Backflow Irrigation� - � . 44. Landscape Irrigation System, ' ,. � _ � � . � ' '�45.�Sound Attenuation � - � . �46. Hand�cap Regulations � � � , . " - � , 47. FINALSTRUCTURE&BUILDING - . � � � 48. FINALPLANNING � � � � � � � .. .49.. Electrie Release to Edison � . � °50. Gat Release to Southem California Gas Co . � �. `�' � 51. CERTIFICATE OFACCUPANCY . No. Date / PflOJECT RDOXESS: 3 5 �' LEAF� AV OWNEfl'SNAMf: ff.�H PROPEftTIES aooeess: 16100 SANTA MONICA HL ST1750 L,A. CA 90067 213-`L77-9350 uxrt: RNCNIENGINEEN: CURTIS SUMMERS flFG.NO.: C2S8G4 noowess: �800 LAUREL AV uxiT: CINCINNATj OH 95243 PEflMITTEE: GRAHAM BRqTHERS ( 719 ) 546-1653 aooness: 2952 CENTURY COSTA MESA CA 92626 LICENSED CONTBACTOfl OECLANATION: I herehy allirm thal I am licensed un0er provisions of C�ap�er 9(commencing wiih Seclion 7000� ol Division 3 al I�a Business antl Vmtessiore Cotle. antl my license is in lull force a ellecl. c�Truc.: 05963 qSi�RTEUC.:Z48 cuss: C-2 �„��3 ' L�� s�g w �, — - - � - � - — WOBREBS' COMPENSPTION OECIANATION: I �u,�eby nave a cenificate of consem m seli-insure or a cenilicate ol Workers' compensaiion �r s�wv�y ��c�t�e� c�av� �ereoi �section s&oo. �ao. �.8 � O I/ J 2 roucrno.: LIBERTY MUTUAL E%P.OATE: COMPANY: ❑ Certii a coDY �s nere�y fumisnetl. C� Cepitie opy is IileU v tAe city Builtlinp Uivif n. .¢.'� � `� ' L� ADOIi t' EEEMPTIONFPOMWOPRfB$'COMPENSATIONOECWqpTION: Qhi55ec�ionneeOnolUecompleteAi� i�isor w9wG�611p)orless�. I cehify Ihal in t�e Oe��ormance ol lhe work �or wqich I�is permit is isSueA, I s�all nat ¢mploy any Derson in any manne� so as to become subl¢c� to I�e Workers' ComOensation Laws ol Galifornia. � Da1e: � SignaWre: NOTICE: II. alter makinA t�is Eeclaraiion, you s�ovlG become subjeci to i�e WOAers' Compensation D�onsions ol i�e La�or Code. you mus� �orlllwilh comply vni� such p�ovisions or �Ais De�mil S�all �e OeemeC revOk¢d. CONSTflUtTION LENOING RGENCY: I �ere�y a��irm Iha� Ih¢re is a tonSVut�ion 1¢nEing aBenCy for Ihe pedormance oi Ihe work fOr wAicn Ihis permil is issuetl (Seclion 3097. Civ. C�. LENOEH: nooncss: OWNEN BUIL�Efl OECUPATION: I �ereDy a��irm Iha� I am eaem0� �rom I�e Conirac�ors' Staie License Law tor t�e lollovnng reamn (SectiOn 7031.5 Busine55 anC Pm1e55ional CoOe: pny cily o� counly whic� requir¢5 a Oe�mii lo consimp, al[er, improve, Oemoli5�, or re0air any s�mcmre. Drior to its issuance. also rpquires ihe ap0�icam lor SucA De�mit to file a signed statement that Ae/she ¢ Iicense0 pursuanl Io ��e provisions ol Ihe Coniracmrs' Staie License Law �ChaO�e� 91�ommencinA �� Seclion 7000) o� Oivision 3 oi the Business and Pmlessions COAe) or ��al he/she is exempl IheB�mm an0 Ihe basis lor ihe allegetl eKemplion. Any violation o� Section 7031.5 by any applicant for a p¢rmii sueiects ihe aoPliWnt to a civil penalry ol nol mare ihan live nundre0 Aollars (5500�. �� I. as owner ol i�e O�openy or rtry employees wit� xages az iheir 5ole compen5atian. vNl do ihe wOrk, antl t�e ❑ stmcmm is rrot intenaea ar ofiere0 for ul¢ (g¢�tion 70�, Businezs ana Pmtessional COGe: The Contracrors' Siate License Law GoeS not aDD�Y to an Owner of a D�oOeny wtq builGs or imD�%'es IhereOn, anA w110 tlow su[h work himsell/�ersell or I�mug� his or �er own emDloyees. pmvideA itu� suc� imOmvemenis are nol intend¢G or offeretl for sale. If, however the builtling or improvement is 5010 wilhin one year o� �pmple�ioq the owner vnll �ave I�e GurGen ol O��nq �e/she di0 noi buil0 or impmve for Ihe OurpoSe ol sale�. I. as owner al ��e O�operty, am exclusively �ontracting with IicenseG coniractors to constmct the pmlect (Section 7044, Business ❑ antl Prote55ion5 COtle: T�e ConiratlOrs' $�a�e License Law tloes noi apPN �o an owner o� pmpeM who builAS or imD�o�es lhe�eon anC who coniracls lor such pmlecls wilh a conVactor(5) license Oursuani to the Coniractor5' S�a�e License Law). I am aware Iha� O�oof ol t�eir Wo�ker'S Compensatipn insurance S�oNU be pwvideG to me. � 1 am eaempt un0ei Sec�ion: 8. d P. C. �or Ihis reasore Dale'. Owner I Uo nereby cenily tha� I am aware ol antl untlers�antl 1he requiremems al Califomia Heal�� antl Sa�ery CoOe Sections 25505, 25533, and 2553< an0lhat I or any fulure builtling occupant ilVwill not (CirCle one� n¢¢E to tomply wi�h 5aitl Stale codes a0d lhe reQUiremen�s tOr a permii lor conslmclion or moetlication Imm I�e Air Ouahty Managemeni �istricl. fleSiJeniial consimc�ion applications are esempi imm I�ese p�ov6ions. Daie: AVplicam: I �ereby cetlily t�al I Aave rea0 ihi5 applicalion antl stale lhat Ihe a0ove iniormalion is mrreci ee �o comvN �� an ci�y antl county or0inanCe antl Slalelawsr¢Iaiingl0 Ouiltlmg cansl�u[lio�+ ¢reby or¢e repre5enlalive5 I�iS ylo en�er upon�he above�menii0ne4 O�OpC(IY � mspec�ion ourposes. // n...: ��./� $I(��.I - ` � Oriver's License a� Social Secunly a: 16<La6 While—Builtling: Green—Coee EnlOrcemenL Canary—ApPhcanl: Pink—Revenue; GoltlenraC—Assessor CITY OF COSTA MESA - HUILDING PERMIT PERMIT NO: E 056969 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYFE: ELE JOB DESCRIPTION : INSTALL FAN - ELEC PERMIT REQUIRED PERM NO: E 05696 GOVT; PP; PURPOSE; ADD SQ FT; CLAIM VALUE: CALC-VALUE: GROUP OCC: H-2 / COMMENTS: REF: B53215 r *�**�r***�**�r�**�*x+r��*��r�*�******+�*�*��+�*�r�**�+��r«***+�***+�*��e**x�*�*x ��r*****�x�* Z O N I N G. _R E Q U I R E M E N T S S'. £' T B A C K S ------------ MAIN BUILDING ---= �----- --------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT �'-IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT; FT „�;IN LEFT; FT IN RGHT; FT IN PARKING REQ • PROV; __PPrRCEL: 92716202 ZNE; REF NO; PLANNZNG NfSTES> ` � � • iE �f k iE ik if iE iE iE if iF iF fE �E iF )E iE iF itik iF iF iF iE iE iE iE iF iF if 3E aE 1E if iE iF iF �F iF iE IE iE if k 1E iEiF iE iE if iE 3F iE if if fE iF if aFlf iE iE iE iE if �f IE �E 1E 1f iE if K� ?E iEif if IE iF D E V E L O P M E N T S"E�R V Z C E S R E Q.0 I R E M E N T S •� ZONING APPROVED BY DATE: BUILDING APPROVED BY ; � r1 DATE: APPLICATION ISSUED iF if if if 1F iE �E 3E �f iE ik IE if iE jE if iE if if jE iF IF 1E iE iF iF 1E if iE 3F iE * iE iE 1tlf iF !k LEGAL22ATION;N HLDG PMT PERMIT I iE !E iF 3f iP ik K iF jF iE aF �f �16 iP iE iF iF 3F If �M if if iE iF �F'Yr if IE iF iP � 1E ik * iE iF iE iF iF It iFiP iF if if iF �F 1!!F iF iF iE iE if jE 3E iE� if F E E S U M M A R Y STRUCTURAL SEGMENT:N PLUMBING ELECTRIC MECHANIC FiRE SMIP/RES GRADING 3.�'i0Y SMIP /NON-RES PLAN ISSUE FEE 15,00 BUILDING-DIV-> PERt;IT ISSUE PLAN-CHECH TOTALS----> 3.00 15,00 0,00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 1e,�� TOTAL PAID DliE 18,00 18,00 .00 18,00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN-CHECK if fF it iF 1E iE 3! iF it if 1E iF 1f 1E 1E iF IE 1t iE iE iE ik if iE ik iE 1E-If iE if aE iF iE iE iE iE iE if 1E iEiF ik i! 1E iP iE iF iE �F iE Ik if ik k iE iE if #E 1E iF it 1f iE if iE 1Elf iF if iF iF If 3f fE 3eif iE if if I N D Z V I D U A L F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 0,0 - 1.0 HP 3,00 3.00 END OF FEES i'" Q^119r�'—�i_., i�_, " ',r(i��: n',i�l.: i ��.. 7�� '' � - CONSTRUCTION ANDPLANNING P��' � APpROVALS Permit # - Date Inspector qppROVALS Permit # Date Inspector i. Tefnporary Electrical Service `or Pole ,� ' 52. �Pool & Equipment Location • 2. Soil Pipe�Undrgrnd. . '� 53. Steel Reinforcement t�� 3.=Electrical Conduit Utitity-Undrgrnd. • 54. forms • 4. Electrical Condurt-Undrgrnd: ' .' 55. Efectrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing Fi Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footingr ' '� 58. Electrical Conduit•Undrgrnd. � 8. Foundation - ' � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � } 60. 8ackwash Lines, P�Trap, O Undrgrnd. � 70. Structural Floor SYstem " � � 61. APPROVAL TO DECK � it. ProPerty Sewer Line & House �onnection � 62. Backwash & Receptor�Final 72. Sewer Cap � � � 63. Heater & Vent•Final '.�, 13. RoPf Drains � 64. Plumbing System � Finai �'`, 14. Rough Plumbing � 65. Electrica6Final � 15. Rough Elec[rical•Conduh • � 66. Solar System-Final 16. Rough Electric Wi�ing � 67. fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ` 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUlREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure . .70. U�derground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Ga5 PiPe�Rough & Test - 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑OiI 25. Roof Sheathing - 74. Overhead Hydro 26. T•Bar Ceiling (Structura�) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Ory Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Dryevall Nailing • HEALTH DEPT. REQUIREMENT 31. Plasier Brown Coat , 79. FINAL INSPECTION 32. Electrical Power Meter-Pin� i � `� 80.. F000 CERTIFICATE ISSUED 33. Final Electric ,fQ(, � � �4��/��2 ' /�=/// Notes: U U �!/ . 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test � 36. Hood or Canopy . 37. Final Factory Fireplace . . ' 38. Final Plumbing , • 39. Water Service�Final � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer , 43. BaGkflow Irrigation � 44. �andicape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAIPLANNING � 49. Elearic Release to Edison 50. Gas Release to Southern California Gas Co ' � 51. CERTIFICATE OF OCCUPANCY No. Date ' iao�€cTaooRess: 3•50 LEAR AV ' I pWNEB'SNPME: JMB PROPERTIES r% aooeess: ST1750SANTA MONICA BL 213-`177A935067 pHCNIENGINEEH: CURTIS SUMMERS nooaess: 7B00 LAUREL AV UNIT: XEG.NO.: CZ8j� 69 UNTT: CINCINNATI OH 45243 PENMITTEE: ABC FIRE PROTECTION (719)581-3300 aooness: q19 E 17TH ST 203 C.M. CA�27 LICENSEU CONTXRCTOfl OECIAflATION: I here�y a��irm Ih I am censetl un0er pr ions o C�aoler 9lcommencino with Seclion ]000) ol Dmision 3 oi �he Business antl Pmtessio Code. nd my cense is in lull or ciTvuc.:053071 STRTELIc.:�3140 S �1� oate � $ignamre: _ � lL WOXNENS'COMPENSATIONOECLAXpTION: Iherebyaffirm ail�aveacerti cons Compensa�ion Insurance. ar a cenilie0 copy �hereol �Seclion 3800. Lab. POLICV NO.: E%P. ORTE: ".OMPANY: lo self-insure or a cenilicate ol ] Cenified copy is hereby lumishetl. ❑ Cenified caDY is filetl wit� ihe ciry BuildinA Division. Da�e: �0"— / � � ppplicant E%EMPTIONFflOMWOflNEBS'COMPENSATIONOECLAP ' ihiss Gonnee0noi�ec I cetlify Ihai in Ihe pedormance ol t�e wark for w I�is Oermi ' ssue shall n mplo suble�� o ihe W�o/rke�rs' Corypensa�ion Laws alitomia �G� Daie: � � —/ � � � / Signature: NOTICE: If, after making I�is declaration. you s�oWA �ecome suble�� o ��e Work¢rs' Cotle. y0u mu51 Iohhwiih tomply with 5uch D�avisions Or IhiS permii 5hall be deemeA CONSTflULTION IENOMG AGENCY: I hereby allirm Ihai t�ere is a cons�mction len ' whith IhiS pErmii i5 i55u¢d ($¢CIiOn 9097. Civ. C). LENDEfl: AUOPE55: oi the labor lorlhe pedormance of Ihe work for OWNEX BUIL�EB OECLAPATION: I �ereby a�lirm Ihal I am exempi Imm lhe COnIraClorS' $late License law lor t�e �ollowing reason (Sec�ion 7031.5 Business and Prolessional Coae: Any cily of couniy w�ich requires a permii to con5tmci, alter, impmve, demoiish, or repair any stNcture. o�ior to its issuance. also requires ine applicant for sucn oermil to file a signea statement ihat he/she is licensetl pur5uani m �he pmvisions oi Ihe ConVacmrs' Slaie License Law (Chapter 9(commencing wilA Section 7000) ol Division 3 0l ��e Busine55 and Pm�essions Cade) or tha� he/she is exempl there�mm ana Ihe basis lor ��e allegetl exempli0n. Any violation o� Sec�ion 7Q31.5 by any applicani for a permii suble��s �he applicanl to a civil penaliy ol no� more Ihan live hunOreO Aollars (5500�. I. as owner ol Ine OmoeriY or my employees with wages as �heir sole compensation, will Ao ihe wofk, antl �he ❑ stmcture is nol imendetl or ollered lor sale �Senion 70a4, Busineu an0 Pwfessional Cotle: T�e Contracmrs' State License Law does not apDly m an owner ol a Dmperty who builtls or impmves ihereon, an0 w�o Ooes suc� waB himsell/herseli onhmugh his or her own employees. pmviJeOlhai such improvemen�s are not in�en4e0 or oflereA for sale. II, however �he building or impmvemeni is soltl wi�hin one year ol comple�ion, Ihe owner will �ave Ihe bur0en oi Dmving he/she tlid no1 build or impmve �or ��e purpose o� sale�. I, as owner of �he pmpeny, am eeclusiveiy con�racting wi�h IicenseA conlractors �o con5lmct Ihe pmlec� (Section 7044, Business ❑ and Pmfessions Coae'. T�e Conlradors' S�a(e License Law does nol apDly IO an Own¢r 0� pmperiy who UuilAs Or improve5 ��ereon antl wno coniracis for such pmjecis with a coniraclorls) license pursuantlo ihe Con�ractors' State License Law�. I am aware Ihat prool of Iheir WorkeYs Compensa�ion insurance should be pmvi4e0 Io me. � I am exempt unEei Sec�ion: B. 8 P. C. lor ihis reason: oaie: Owne[ I Oo nereby certify Ihal I am aware of antl untlerstantl the requiremen�s ol Cali�amia Health and Sale�y Cotle Sections 25505, 25533, and 25534 antl �hai I or any �Wure building occupant will/will not (circle one) neeA Io comply wilh said s�a�e codes and ihe requiremenis �or a permi� �ar conslmclion or motlihcatian �mm Ihe Air Oualiiy Managemenl Oisirict. FesiOen�ial cons�mction applica�ions are eeempt �mm Ihese prOvisians. � �ale: Ap icani: I hereby cetlity Iha� I have read Ihls appGcaO antl sla�e �h �he a ove iniorma�ian is rrec� I oNiwnces antl slalelawsrelatlnpio buAtlln onstmc�ion a d hereb aulh � fepres �I 5 0��1 pmperly for inspection purpases. / �i__ �D- S - �/ „�� ale Signalure: Driver'sLicenseorSocial5ecuriiya: ?� lo tomply with all ciiy antl 164ba6 Whpe—Butltling; Green—Cotle Enlorcemen�', Canary— ', Pink— evanue', Goltlenmtl—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NQ: F 05435 PERMIT NO; F 054350 PLAN CHECK NO: 01493-91 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT,TYPE: FIR PURPOSE; ADD JOB DESCRIPTION : 219SF SELF CONTAINED CHEMICAL STORAGE BU SQ FT; CLAIM VALUE; 700.00 CALC—VALUE: GROUP OCC: H-2 / COMMENTS: FIRE SYSTEM FOR STORAGE BUILDING Re�': D 53a►.� ****��r*****�r****�r*��r*�*��r�r�r�r*��r�r��*+r**�r*�***+�*x�*��***�***�r��r�r+�*�****+��r****+�*** Z O N I N G R E Q U I R E M E N T S , S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 92716202 ZNE; REF NO: PLANNING Nt71'ES>"' ' i iE 1E if iF * if iE 3f 1F iF iE iF iF �f * if if 1E iE iF if 1f if �E * iF iF 3f �f iE if iE iE iE �E if iF iE iF 3E IE iE fE iE iE if if if iE iF if iF ik iE �E iE aElF iE 3f if iF if If 3k iF if iF iF i4 if iF iF �E IF if iF �E iE 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 � ONING APPROVED BY DATE: BUILDING APPROVED BY : 7� DATE: APPLICATION ISSUED HY: f� N��— DATE� �� iEiFjE�FifiEiElfifiFlEififiEifiEiElEjEiElfiE7FiFiF3FiF'iEifiFiF3F3E3E7f3F3F3FiF�{FiF �EiF'iFiFiEiFifiEiEifkikiFiF3FiF ikiF ififiEiEkiFifiEiEjEiEiEiEifiElElEiEiEiF3FiF1FiFiEiFiE3EiEiEiF3FifiE9EiEiFiFififiEiE1F iEiEiEiflEfEiF3EiF1flEififififiEiEiEiE3FiFi6�FifIF�EiFiflFiFifiEifiEiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 14.00 65� SMIP/NON—RES ISS[7E FEE 12.35 BUILDING—DIV—>� PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 19,00 0.00 12.35 31.35 31.35 .00 REVENUE DIVISION TOTALS--> COLLECTED: 19,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK . 19.00 1F iEiE iE�lE ik �E iE iE iE �E 9E�EiE iEjEiE iE iE iElF iE �f if iE iE iE iE 1EiEiEiE�ff df iE iEif iE iE iFiE iEiElf iE if dE iE it 3E if iE �E if dE 3E1E iE if iE 3f if iE �F iF if 1f jE �F jf iE iE iE �f iFdF �kdE iE - Z N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R Z P T Z O N UNIT COST TOTAL COST FIR 19 FIRE EQUIP FEE�(FROM HLAG VAL TABLE) 1.00 19,00 END OF FEES ��' iCi,9�:::,-'' ::i'� °'�' .. �..':' 1C.'Ot . ' `:... ;''' : �' � - -GONSTRUCTION AND PLANNING P�� - & SPA APPROVALS Permit.# Date Inspector AppROVALS Permit # Date Inspector 1.-Temporery Electrical Serviceor Pole � 52. Pool & Equipment Location . 2_ Soil Pipe_Undrgrnd. ^ 53. Steel Reinforcement � ,_ 3:'�Iectvica,�Conduit.Utility-Undrgmd. 54. Forms � '4:�Electrical�ConduiYUndrgrnd. 55. Electrical Bonding , � ,:S.�Steel,.Reinfor�ment � 56. Rough Plumbing & Pressure Test :.6. Electrical�UFER�Grnd. c 57. APPROVALTOCOVER�GUNITE .i `7,�F.00tini�i': ~ �� ` 58. Electrical Conduit-Undrgmd. �- :.. r. .. i S.�Foundafion �:'� ` ' 59. Gas Pipe, O Undrgrnd., Test 9.`Water Pipe-Undrgrnd. ' 60. Backwash Lines.P�Trap, � Undrgrnd. 10. SVuctural Flooi System 61. APPROVAL TO DECK � 11. Property Sew'er Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap _ � � 63. Heater & Vent-Final 13. Fioof Drains�•+ 64..Plumbing System - Final , 14. Rough Plumliing •' 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiring� 67. Fencing & Access ApProval ll. Rough Wiring S�n; 68. APPROVED FOR PIASTERING �18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19.� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ l ' I 1 a 20.'�iough FactoY� Fireplace � ��.�=: •`• � • "� �� ' � -,APPROVALS' � _Permit # �� t >: � '�' � �'' y - 21.�Ducts, in-StrLcture� ; ', . ��; - - � . � 70. Undergro�l.ndjHyc�ro • ' 22.�Ducts,Ventilating. � "�S f_ Sxs -77. product'P�in9QGas OOiI 23�-GasPipe�o`gh &'Test , ;. � � y ( 72. Undergrou'nd Flu,`sh- . _ 24.vRooEFraming � :-f- 'r> "�`73:��UndergrncPStora9eTank�Gas0011 �r Y S. •v ' L`I _ .�J,Y = .� J 25. RoofSReathing � :r, r� . -. - .'74rOverhead�- �0 h 2-1-9z 26�T-Bar Ceiling (St[dctural) &;Nlonocoat ' !r' �� +�� ': 75.= Dry Chemical ' - _ � 27.-Frame and Flashin �i G �' '�' ' ` � = 5� ' - ' , 9; ,: � . �� . ;; 76:- Dry StandpiPe _ ,x, :�, � ;_28� Lathing�& Siding� .. _ ;:tili; '�� > �� •� 77.':' FIXED SYSTEM F�INAL� :ti Z-1-9� O .' '29. Insulation �� - - ' �� ,. ' � �. y 78� FIRE PREV. FINFIL �� -r " q��-Q �. ;�30. Drywall Naiting '. � � �� i • HEALTH��DEPTj REQUIREMENT L31. Plaster Brow� Coet' -. �.� ,. i � �,.79` FINAL IN�SPECTION ,- ;;. �i.r �.-, . -r ^ ~- - o � - � 32_-Electrical Power fvleter,•Final� :x i: �80;.f00D CERTIFICATE ISSUED � - 533.';'.Final Electric • i• � - • ,� � .. - rNofes: -� :s' - r J. „ -' a ' .. . , . - . � , _ . _ �r34. Final Heating & AicConditioniQg;, � c � k, • ., • - . � - 35: �Final Gas Pipe-Teit�. ,�- � � `"� � '_'S ' " _ - � � I :v �r� . . . .:> q � ff, .. .:� • :r �;36:�Hood orJCanoPYi - - ,�� .. . . � < � �: ' .n � f �37.-Final. FaCtory FireplaceT � �',�� _ -" ; - k :� � � ��:�; � ; .. ..x .�, ' _ •.-38._Final Plumbing•-`- � � i � 4'.'« ` ' '39.'Wat�r Service�Final. - ' (' " f , _•'-` - �� - �l iJ: ' � T l:,' ' . :40. Gas Service-Finat_ ' ` Z;, � , � V � ,],�; r ._� - _ i47.-Solar pomesticFinal �: " .• � = . j- � . G _ r - :, �. � . - 42.'Backflow Preventec. `' ��. � � • � '�. '� : �.`� . `. ' r ' :v P F '>� . b - 43. Backflow Irr�gatior'r V � �� ' ` �''�'� ' r v c .� -. -L ' . � �,44. Landscape Irripation System1,_,;A �, ,� � _ _ � _ . ._ ;i ., - ' j �45.�Sound Attenuation -.+�`.� �r : 5 : -�:k , "' . � - _, �._;� r1 1�� R� • 'T �- " \f• � j ��46.�,Handicap, Regulations .' j j. � �� }� , ;_�,;. �� 47:-FINAL STRUCTUfiE & BUI:LDING + " �- ` � " � I " 1� ^ � : ,: �' - 4$.:�FIN'AL PLANNING ; ..- 7 "' I ( `� .t. ��f i �r � � :49. �Electric Release to Edison . + ' '� ! : •j: � � . . , s , � 50. Gas Release to Southem Califo[nia Gas Co �, j I �: �' ' `.,?';.t . -�. -51. CERTIFICATE OF:OCCUPANCY . .; �,j _ , . � ._ No. Date JOB NUMBER: JOB NAME: �/t'I, P�_ Pra,o 2p �i es f.3/c�o. �-S PLACE OF INSPECTION: TYPE OFINSPECTION:, Day Date Key /2/ S �so � ea r� ., jve , G�oS �a /L/.aSQ PERMIT NO: ,BS� /�z. RPT. DATE: � � • =�/ONS • :S��S PN P/ G� .�!''oC lrr� ' r,! G�� x GctS �/n P S Comp/c��'� �'eN � � �° 7�/ 4.C.� 13c� Form ]01 INSPECTOR'S NAME: DAY & JOB EMPLOYEE TASK HOURS* DATE NUMBER NUMBER NUMBER WORKED DESCRIPTION OF WORK (UT. CONC. ETC.) **A DIFFERENT LINE SHOULD BE USED FOR EACH TASK NUMBER OR TO SEPERATE REGULAR TIME FROM OVERTIME HOURS r�-- — _. , ra�c - - • �7�! 31-73c+!sr002913# *�*�18.50 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626 A C TION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE D V D E� LE DATE ISSUE� �j / ADIDRESS �7�0 �eA VL / � �� ERMIT N . OWNER ,,,.0 (�k,�PeR � »S�P�r�STK ^.P.No. ai- IbdL-b MAIL 1Rvi'^i�' tiuOtlSTQ/A1 Go•'H�1C�( BUILOING !��O I� �� z . ',,�/ '7 A�DRESS ,O, I.�tj tl[> C G ADDRESS 6� �„ a U CITY �OS/ q �„GSA NOL ��j �.{�'� TRACT / LOT BIOCK z2 Q CONSTRUCTION W �+DD A P ON LENDER d m J � BRANCH J N OWNEfl (JAJ �� m J A�ORESS /�__ � VALUE J Q ARCHITECT TEL ��K! N OR ENGINEER N . �-%Q FIRE � i W� ADDRE55 ZONE TVPE GROUP L� W Z 6 APPROVE ,��" � J O CONTRACTOR W W C fi, (�� { I`(J G 1� 9V DATE m Z J � AODRESS �= CITV NOL ZONE n� PO�Ip�F � gU1LDING EW W�� z � (i � w� STATE CITV YARDSAPPROVED YAROSAPP�q`� a� N� U0. NO. LIQ NO. MAIN BUILDING ACCESSORV �t�iiblNB �� SIZE NO.OFBLDGS. (FROMC/LSTREET) /�y��1� L�� OF LOT NOW ON LOT FROM FT. FT. USE OF EXISTING BLDG. E T. � SIZE OF NO. OF Z NEWBLOG. ROOMS STORIES I.SIDE U EMERIOR WALL ROOF COVERING COVERING REAq FT FT. J USE OF BUI�DING AND WO TO BE PERFORMED DI5TANCE BET. 8 . MAIN & a AJS / MJ �+- �G WATC MAIN BLDGS. ACCE�. BLOGS. a Q [� VAR..iE DATE O � (y TC �,(J G U 1V (J�00 i— �� C.U.P. #'- APPROVED r APPROVED .� v� cli,oG. �F PlA-�� L` ,('.w,q�eie.. 7 3!/73 z O VI hereby acknowledBe that I have reatl this application antl state STA � that the above intormation is correct antl agree to comply with � all laws regulating builtling consttuction, antl I shall not employ � I�F any person in violation ot ffie workman'S compensation laws ot , I y the State ot California. m � � z I hereby certify Mat I am properly licensetl as a conttactor under SQ. FT. o �` [he State ot Calitornie Business and Professions Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0 1 Chap2er 9, antl 2hai such licanses are in �ull force and etfect, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV: ¢ am exempt from tlre provisions ot the S[ate of Califomia Business VALUATION antl Professions Cncie, Division 3, Chapter 9. „ � m /� / 6{.(/ PEFMIT FEE $ j y Signature of i%� (/ //� . � �j-� QU m 1 Permittee �� I �( v�.. $�a�� PLAN CHECK $ lY o Authorizetl Agent e� LL TOTAL FEE $ �` 4.1_895 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 far Applicant to Fill in Campletely OWNER MAIL ADORE: CITV BRANCH ADDRESS ARCHITECT OR ENGINEEF ADDRESS ADORESS CITV �C STATE LIC. NO � S12E OF LOT USE OF E%ISfING E SI2E OF � EMERIOR WALL P COVERING C USE OF BUIIDtNG AtJD WORK OF TEL. NO._ NOL`�T`' qTY LIC. NO. NO. OF BLDGS. NOW ON LOT ��;,v-3-�F��=O� o9s� �-��1C.5C APPLICATION FOR BUILDING PERMIT :EIVED BY OATE REGEIVEO DA/�T.E ISSUI "l_ '�— BUIIDING A�DRESS FIRE ZONE APPROVED DISTANCE MAIN BLIX VAP. 9W C.U.P.qW nPPROVED p NO OF PlANS APP R� V E F• � Z USE OF NEW BUILDING YAROSAPPROVEO I haraby acknowletlBa Met I heva reatl this eppliw9on and stete � that the ebovo information is correct ontl aprae to comply with all lews regvlatin8 bulltlin0 co^svucHon, end I shall not employ any parson in v(olation of tha workman'� compensallon lews of the Stete of Celifornia. I haraby cariify rhet I am properly Iieonsetl ea e eontrector untlor SQ. FT. [he S[ate oi Cellfamia Buainass antl Profeasions Code, Dlvialcn 3, THE AMOUNT SHOWN UNDER V Chnpter 9, entl that such Ilcanses ara In iull torce antl efioct, or 1 THE VURPOSE OF ESfA8�I5MING A am axampt from the prOvislons of tha Stnt f Cali(ornla Business VALUATION ontl Profoasiona Cotl Ivision 3, ChaPte . �v PERMIT FEE SIB�oturo ot G Pormlttea $ /�� p Au[horizatl Agent TOTAL FEE - � ,\^U � � V �� O SION IS FOR IT FEE ONLV: Q p. mo "� ] � m `o O g� LL ti�� _ . � �� J " COSTA MESA BUILDING-SAFETY OEPARTMENT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 z . ww aV Z Z Q ON am J � J N Q W o] J m J �( U N z4 W � a W WZ -� O mZ J � W W ot z� W � �O r Z Q U .-� a 0. Q � r � z 0 r= U � � r N Z BUI pc: u r� t r-+- r F=i�_ , r�.� �..; •i�� , OWNER ntnli_ -7�C'j _.' 1=P/D-1C7-E-,- — AOORESS cirv �r�iJ��+- �il%iG nrio�..��•�-�. 6RANCM AODRESS nr�cHirecr �7/1 /__"-/iEG-/�f/j/Gre�.: :-'.T - OR ENGINEER NO. 2�"T-77J nooaess`LG`F�7 �! �l��rl.'C"�.G_ S. �, CONTRACTOR ��'N 1�.� / /%-��%'rl�_T (�� '�f� nooREss�Ot3', �, �n( `L`('��(7 CITV ")/Q-� ( /'� �Ivn'�T NOL _7>S'C.�T' s�� No.�.��i� �-�r9 LICyNO. SIZE �,)�� _� ON OF PLOGS. �� OF LOT NOW ON LOT _�— SIZEOF '�'�7�J ��/ NO.OF NEWBLDG.- ROOMS STORIESL E-XTERIOR W.4L� ROOF COVERING COVERING _ USE OF BUIIUING AN� WORK TO BE PEFPORMED i> rz� n- y ��1��°s� rz�,� ,.. � r__nc:, ��^j 2 5 � c� Y c`.'f 1-�� c., I hereby acknowledgn that 1 have refld ffiis Fpplica[ion and sto[e [hat the abOve intotmatlon is correc[ and agree io compty wi[h all laws regulating buil�ing consVuction, antl I shall not employ any person in violation oi the workmon's rompensation laws oi the State of Calibmia. I hereby certifV that 1 am properly li<ensetl asa contrector untler the 5[ate ot Californle Pusiness anA Professions Cotln, Divlsion 3, Chnp[rr 9, and tha[ such Ilcenses nre In Itdl force nntl oflect, or 1 nm eaempt from the provisions ot the Sta[¢ of California Business and Protessions Cotle-�ivlsion 3, Chan�r 9. 1 ' /// `- Signature ot /� �� . A �1� /�r; /�/� ZGY Permkre¢ � C� �,�"�� y' / Au[horized Agent 1'l.� .. . _ : -] n � ' . ' .. . ..... _. :.�.j��l APPLICATI04J FOR SUILDIIVG PERMIT RECEIV BVj D� RE� IVED DATE ISSUEO � Jt J .� -,�3�-7a' YERMIT NO. A.P. NO. � � BUILDING js� LF_/�R �� aooaEss �YYs /ti�Cai{ Awa:, TRACT 7yF� LOT �� BIOCK NEW ADD A R P OWNER Dz�'"'`� ��oP��C7'rs�l / VAL E lJSE �N/�J,57]2//7c L[�ISLH/: S a'n 6-�"p FIRE � � ZONE TYPE GROUP � BVPROVED �/' DATE� % �/ �// s /IUC:%� Pis+ VARDS APPRC MAIN BUILDI (FROM C/�STREI FRONT !C � F' a. s�oE %G? F� �.5� L SIOE F" REAR /�` F' DISTANCE BET. MAIN BLDGS. VAR.# GU.P. �1` APPROVED ��iV OF USE OF NEWSL/i� NS Z BUILDING ��,.� VED VARDSAPPROVED NG ACCESSORv BUILDING T� / __ �.� L. '�i FT. � ��C'4.tiY �r FT & DATE APPROVED _ -- ,�-- z �- 7 z THE AMOVNT SHOWN UNDER V THE PURPOSE OF ESTABLISNING A VAIVATION PERMIT FEE s �� c�00 P�o.�N oHEOK FEE �7/�iF� _ � b 0 �TIO 'ISFOP a li FEE ONLV: Q �—^ m rv 3� c�o m ��~ E `a ��'� LL Z . d U Z ZQ ON o. m J � J � Q W p� J •m J Q U N ZQ w� aW W Z J Q m Z J � w 0= Z F- W � N � � � f" z Q U J a a a � F N Z O F U � a r N Z � : � 34 . ,;. I COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 for Applicanhto"Fill in.Completely 9UILDING �(� --- �( ,( ` ADDRESS�.lrliC-'�� l�'j�j /'1� /�I%�/�^�-�h� /�� OWNER �l.�N"' ��C��L�R-TIG} [,.!-fZ.I� AODRE55 7''t' {I �' �tif i� �^�� ' CITV .��'��it /i'� �17' NO` :3�F�—O'C BRANCH ADDRESI ADDRE55 La?moTilElL i?`/3�-O(�'L CON7FACTORbvA�% f��'k=i�rrF� L:�-��% AOORESS ��e: � { �"� �nl "' `� r�� 5 fI'I� I � �N�' TEL. ,j,'J .. GTV . NO. � %�T_��l STATE q � Cj /� CITv � UC.NO.�/ �,� �� I LIC.NO. SIZE �� 11?� NO.OFBLDCS. OF LOT �� »� NOW ON 1.0T � USE Of- E%ISTING BLUG. �—�� NEWBLOG��I �I v POOMS � STORIES I EXTERIORW/�LL �L1N� ROOF ��1�-'1 "�� COVERI�dG COVERING LL�'/_JL USE OF BUII_DING AND WORK TO BE PERFOFMED 1',('I�L•. jl.iDtlSf iL!/1�, ;>c..�Dr�.. 1 hereby acknowletlge thei I heve reatl tM1is apP��callon aod state thnl tho abovo informodon Is conact a�d agrae [o comply wI[h oll laws ragalallnB builtl��B cons[ruction, antl I shell not employ any person In violnUon of the workmnds compensnHo� laws ol [he State of Cnlifomia. I horehy certlly thn[ I am properly 1(r.¢nsxtl ns n conbnctor onder N�e Stnm of Cnli�omle Buslnesa antl Pro/osslom Coda, Dlvislan 3, Chnptnr 9, nnA U�ot sur.h Ilcensos ora In �u�l (orco nnA ellact, or I am exmnpt Irom the provlsions o� tho St�re oi Colifornie Business nntl Prolessions Codo„Dl�islon 3, Chepter 9. .. �/ / �J%� /� SIB�atura of �J�//�1�� (/•',�/.� Permittea /C�rG l ( � � Avt orizatl Agent ,-:. � r}; � ; � t t . .... ':1 `�`� `�0 - ,�.. ,... APPLICATION FOR BUILDING PERMIT flECEI�CED BV DATE RECENED n�r� .�o�� BUILOING �-a� � S � — ADDRESSfJ�x�L. � il'V�lVG_7N�5i�E=I% FIRE �� ZONE TYPE GROUP APPROVED gV DATE ZONE NO.OF USE OF NEW �A!!)USj r/ � 1 CrJ PLANS � BUILDING VA DS APPAOVED V DS PP O D I I AC U (FRO i /-� FRON FT. hiFT. R. SID��1 FT. �� GSFT L.51 E FT. �Y .� ��+ C REAR�� FT.�� C) FT. D�STANCE BET. MAIN BLDGS. VPR.�W C.V.P.� �APPROVED � ��'V �`G '/ `r5�4. FT. HE7 AMOUNTSHi iHE PU�iPaSE OF E VALUAT�ON s �l�Ooo i L UNDER VALUATiON IS I USHING A PERMIT FEE ON ✓ � 0 OA V; � ¢ m rv r .� ] J E `o u � ;� . " , , . . --� a , : , � r..,.._�-. __ . .. �..e,�. , �'. , .n. �.�. +..�..�..... ' :.o'. :_ .. r . �.��. � . .. e . � r� •�.,1 � 1- , • _ .. ' ., t.. } . ' - SUPPLEM�I: ., ,. ; ,.Rr: SPRIDKLLRS INSPGCPION REPO `�r � , . . � � ��, ��• '� . . , ' !�;; , � �'.. , ' a • • � �, �:: / i J : y�/; � OWNER; y��y� � 7 � ��" `" "'" ' '�� ISSUANCE DATE; �a� C�' /�/-� . AllURESV_;��D�[p��/,;n'f �IQ��J�� /f�P�RMIT NO.: `��l�-�/�O vr�- cr�l�CJ C(�/ �L / / CONTRACTOR; Gx?�LC/�!�( . � yL VALUATION: S�� 9�l � PERMIT FEE: $ .�j�J" � � � `� /�� o - ��- — � a7-�� ` ��ao /YI f T��-�- � � �V1 S /! -� �rr-7��- ��Cr , --�--. 3J��1.i�J hL.%�J'%l�AcAOOIOSO4 a>•:�;,g11.S£ , , �—_• � COSTA MESA BUILDING•SAFETY DEPApTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPUCATION FOR BUILDING PERMIT For p lia to 7/inC le I REC ve ev on ERE iveo on sue BUIlO1NG r - ' � `, �,�- y ,� /J /J ADDflE55 I ~—�"' � a J� c/� P R IT OWNER i � � . �� ` ! A.P. NO. ��r �O .T �� v (�(l �%('�/`Cj��.(��\`'� BUILDING q ' C��{'I � 7_ . /�f)oIiESS C.J.�-1\l 1 "�� \Ld��p ADORESS � �CL� LG. � ' d U CITY ��n NOLp� �� ` TRACT LOT 9LOCK zQ CON51'RUCTION NEW' A D A P O N �ENDER 4 fD J � BRANCH —� � OWNER Q W ADORESS I• 4l J V E J� ARCHITECT TEL 5 S a OR ENGINEER N . U N FIRE Wa ZONE TYPE —""GROUP"'� IL ADDRE55 a w APPROV..D J O CONTRACTOR Q, A� �,,,, -.� i 'b B�' DATE m z FD�PESS I�Q IZG t�� C�GL�`/ '�I W� ZONE NO.OF USE OF NEW O= � �, TE nQ(y � lANS BVILDING ZF, CITV CF;.�i=�� No. ?iD G�J LJ w� STATE Cll'V �� YARDSAPPR VED VARDSAi�FROVED �� LIC. NO. \ ' � LIC. NO. VI MAIN BUILDI G ACCESSORY BUILDING �O (FROMC�T EET � SIZE NO.OF BLbCS. OF LOT NOW ON l0T FRONT -FT. FT. USE OF E%ISTING eLDG. I FT FT. � SIZE OF NO.OF Z NEWOLUG. ROOMS STOFIES L.SIDE FT. FT. U E%TERIOR WP.IL ROOF � COVERING COVEFING REAR FL FT. J USE OF BVILD�NG AND WORK TO 9E PERFORMEO DISTANCE BE . BET. M/11N n' MAIN BLIX'•S 4CCFS5. BL a Q �\�1 ��1 � _� VAR.# bATE O C.U.P.qy= qPPqOVED F' APPROVED N z —Q VI hareby acknowleAge thnt 1 have reed this application and stace S1ATF_ � thot [he nbove in(ormation is <orrec� antl agree to comply wi[h � all lows �oB�lating huiltlinp consuuction, nntl I shail not employ � ',,,, any pxrson in violation o� the workman'S comp¢nsallon laws of � y cnv 5�a�e o/ Calitomta. T� � � Z1 herbby r,ertt/y thxt 1 am propnrly Ifcensed as a conhactor untler SQ. FT. � [ho Stntr, of Calibmia Business end Professions Code, Divisir.n 3, THE AMpUNT SHOWN UNDER VAI,UATION IS FOR "� Chap�nr 9, antl t n such lic ST. a�e -4ei`iorce and eflect, or I THE PUFlPO$E OF E5Tl�BUSHING A PEiiM1T FEE ONLV: �Q amexomprbnrt+ hn �ovlSi So t$[ate� CalilornlaBusiness VALUATION / anA Prolessions de D'visio nJ, C prer 9. PERMIT FEB $ u�^ e�, � J Signeture ot � v (j� M y�.({ � PMm�t[e m � • � ,��100`^' PLAN CHECK $ •J•, �t"G� o ) + A LL Authoriz d P.B � TOTAL FEE $ P�� " � - 370i COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Rpplicant to Fid in Completely R pnit, :s,-,3�,;�.:onz�,s;} ,r,r�h�,.5o FOR BUILDING PERMIT BUILDING�r�� / i��' �_ � ADDRESS J �f.A vG OWNER wN I/e0i�2`%� � lC-5�..1P�1�5�'\ A.P.No. a?- 6�-b ERMITN , MAII 1��'"�' L.vOc�S'TR�+�� -n�'nI��C�( BUIlO1N(`i ^j� �� ( z . ADDRE55 f�,0. /��x .�fUV 1R✓�w6 L F+DDflESS ).�C+ �, F /j TEL.7 / �- U C1TY C• OS / Ii ��G S�q NO. -,y £d �� TRACT � LOT BLOCK HZ Z Q CONSTFUCTION W� ADO A P O � LENOEF a p� J � BRANCH '� � OWNER UAI �C' S m J ADDRE55 /� � VALUE J QARCHITECT TEL. ��0.�J 6��W N OR ENGINEER N . U �( FIRE � i W� ADDRESS ZONE TVPE GROUP �� p, W WZ CONTRACTOR Ou,;,�e APPROVE .( ,��\ � � a R�� i I� c. 2 ev 11 DATE my J � ADOHESS W w TE�. IONE /� NO.OF USE OF NEW WE /� ZFCITV NO. � G/' P�� BUILDING �� rn O STATE CITV VARDS APPROVED VARDS APPgQk(�q� �, y� IIC. NO. LIC. NO. MAIN BUILDING ACCESSOFV AQ1LbIfJ$ �� SIZE NO.OF BLDGS. (FROM GL STFEET) /�� C� .//i � OF LOT NOW ON LOT FRONT FT. FT. VSE OF EXISTING BLOG. � T F" SIZE OF NO. OF Z NEWBLOG. ROOMS STORIES L.SI�E F. U E%TERIOR WALL ROOF COVEFING COVEFING REAR FT FT. J USE OF 6UILDING AND WO TO�E PERFIO-F1MEO OISTFNCE BET. B MAIN & n' .JS` /I '�7� G W/41C MAINBLDGS. ACCFSS.BLDGS. a Q [� VAR.ak DATE O CGO JC TG GUL b YU If('DU F^ �b � C,U.P.# APPROVEO ~ APPROVED .C� y o�iwG. vr= Plaw,� L �('.wr+�eP 7 3(/73 Z O VI hereAy acknOwletlge [ha[ I have read Ihis appllce[ion antl s[ate ST�� that the above information is correct and agrea to comply wiYh _ � all laws reguladng builtling conSVvcHon, antl I shall not employ � �, any perzan in vlolaUon ot Ne workman'S compensation laws ot 1i' y the Stare o( Celi�ornie. � z I hereb cerH( that I em SQ. PT. �� O Y y properly licensed as a contractor und¢r Yhe State of Cafitornia 8vsiness end Professions Code, Divisicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR j ' Chapter 9, antl that such licenses ere in tull torce antl eHect, or I THE PURPp$E OF ESTABIISHING A PERMIT FEE ONLV: m am enempt from d e provisions o� the S[ate of Callfornia Business Q VALUATION � a�d Professioos Cnu«, pivision 3, Chapfer 9. � � N �j PERMIT FEE $ ] Signa[ure of / .�/ • � //�� m � Permlttee � ' `�L.P �C��__—_ $ /�� PLAN CHECK $ l(/ �—� E �'�_� �� `o Authorizetl Agent i �' TOTAL FEE $ 7 . W W d U F Z Z a O �n am J� J � Q W m J m J Q U N Za W � aW JO m Z J � W w O= ZH -O W f� ¢ �O F z Q U J a a. Q � � � z O F U � � N � z COSTA MESA BUILDING-SAFETY DEPARTMENT i.� ..1: ' _I ." . _'.�I I.��/`. r.v.aVn�cw bvJlHrv�w/1,l.saL�rvnIVlHtl[o[o �AP L CATION FOR BUILDING PERMIT GFor Applicant�m�Fill-in-Completely E BV D TE RECEIVED DATE ISSUED BUILDING l S L L Ejif'` ✓L� %/%�T � � ^7 ADDFESS �4��'l�i2�u�ia -- — • K� / ' - I//.��.�.�ar-v�-� PE MIT O. OWNEP -.�(.��N ( 'u.q-�-iG� IL�� A.P. NO. ! • . MAIL BVILOING..{1T /Z V� L� S ADUFlESS ADDRESS ��(0 TEL TFACT ��(�G LOT �.i 6LOCK CITV NO. CONSTRUCTION W ADD A R P LENDER BRANCH n n OWNER UNN �41'e1�7Z�� A�� ADDFESS j� AFlCHITECT TEL US /'vOU ��Q(,/JL�T� VAIUE � UO OR ENGINEEF NO. FIRE ADDRESS 20NE TVPE / GROUP APPRO E % �] �� CONTRACTOR BV DATE � � ADDRE55 TEL. �ONE NO.OF USE OF NEW CI l' V NO. PLANS BUILDING STATE CITV VARDS APPROVED VARDS APPROVE� LIC.NO. LIC.NO. MAIN BVII�ING ACCESSORV BUIIDING S12E NO.OF BI�GS. IFROM C/L STREET) Of LOT NOW ON LOT FRONT FT. �r FT. USE OF EXISTING BLDG. SI E FT. FT. SIZE OF NO.OF NEWFLDG. FOOMS STOIilES L.SIDE FT. FT. EXTERIOfi WALI_ ROOF COVERING COVEPING FEAR FT. FT. USF OF BVILDING AND WURK TO BE PFRFOFMED DISTANCE BET. BET. M/UN & MAIN BLUCS. ACCE55. BLDGS. / VAR.�N� DATE I L-. � G QU.P.�`- APPROVED APPROVED 11E2dGN'1'S 1 hereby ar.knowleAge tM1at I have reatl this application and state ll��Qii Sl��'��' � tha( the ebove intormation is correct and agree to comply wjth -��5� all laws regulaHng boil�ling consvuction, nnd I shall not err�ploy _�Q any person in vlola[ion of the workman's compensa[ion laws oi �/ the State of Calitomie. ry •� 1 hareby certify Iha[ I am properly licensed as a con[ractor vnAer ��/ SQ. FT. the Sta�e of Califomla Business and Prolessions Code., Divisien 3, THE AMOVNTSHOWN VN�ER VALVATION IS FOR Chnpter 9, and ihat sur,h licenses are in /ull lorce and et/ecq or I THE PURP06E OF ESTABLISHING A PERMIT FEE ON�V: arn evempt from the provisions of the S1 e o/ Cxlifomia Business . VAIVATION and Protessions Co , D'vision �»pt 2 _ PERM�T FEE $� i- Signatura ot � Permlttee - $a�5 a�� PLAN CHECK $ �-� Av[horized Agent TOTAI FEE � � Z . W W o- U {- Z Z Q ON a- m J � J � Q W Q1 J J m _a U N Z a W � d W W Z J � m Z J � W W 0 = Z F w� (n 2 �O H z a U J a a a � � N 2 O F' U � � � N z OWNER 3 S:� Fill in Complerely TEL CITV _'�(}./I.��, ANR NO. CONSTRUCTION BFANCH ARCHITEGT TEL. ORENGWEER NO. ADDFE55 CONTFACTOR ADORESS TEL. CITY NO. STATE CITV UC. NO. UC. NO. 512E NO.OF BL�GS. OF LOT NOW ON LOT USE OF E%ISTING BLDG. 512E OF NO. OF NEW BLDG. ROOMS STOftIE: E%TERIOR WALL ROOF COVEFING COVERING USE OF BUI�DINC ANp WpqK TO BE PERFORMED nr�us�rz�Ac � ),.�., a�/a �sn ev A.P. NO. 9UIlDING ADDRESS OWNER FIRE ZONE APPROV .. , ' ' .. , ,. .i. .'' .'i; FOR BUILDING PERMIT �TE RyECE'IV7EO DATE�JISSUI I'�/'�/� 7•�i/•� % ZONE NO.OF PLAN$ VARDS APPROVED VAF. 3{` C.U.P. # APPROVED USE OF NEW BUILDING VARDS APPROVED ACCESSOAY BUILDI BET. MAIN Sr ACCE55. BLP DATE APPROVED � ,:�-Ull'"`� ,;�. ., 1 hereby acknow(etlge Ma[ 1 have reatl [his epplicetion and stace a � 1� f:l,lai �'t'�'"� �� [hat the above informa[ion is correct antl agree to comply wiffi all laws regvlatinB builtling consvuction, antl I shell not employ w.� any person in violetion ot th¢ workman'S compensation laws of �`� the Sta[e of California. � I hernby certity that I em properly licens¢tl as a conttactor untler SQ. FT, o [he State ot CallfOrnla Business antl Professions Code, Olvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR a Chep�er 9, antl that such licenses ere in tull force and effect, ar I THE PUPPOSE OF ESTABLISHING A FERMIT FEE ONIV: Q am ea¢mpt from the provizions o( th¢ Stnt¢ of California Bvsinass VALUATION �q end Profezs'ions Code, rvision 3, Chapt � 9. ��✓ m �j PERMIT FEE $ ./'` j Signature ot ' � _ m Permin¢e � � $�O �a O PWN CHECK $ E � � � v-�f LL AuMorized Agent TOTAL FEE $