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HomeMy WebLinkAbout1980 LEMNOS DR - Building Permits b(?< Q Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations -I /%.x1 _90'26 3/ II /a5 ...- - _5q Q1__TL CITY OF COSTA MESA '/jCON$TR UCTION PE LT , - PER IT NOG TRACT NO.. LOT NO. UNITJily. _- •7�✓, - Project Address / / d l L e m /_7 4 S. /r'Y 1 NLS , , `. 1 O T, —{r - - p TYPE OF CONSTRUCTION L i NEW IJ ADD LI ALTERATION L] REPAIR S Applicant's Mailing Address J '9-v/'1 CS - Owner's Name _ 44 f i .. r9 I '.ne S(�D-/(/. ,❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone - ! -�v DESCRIPTION OF•wa R /USE OF BLD . Address 3 ril Q - • - LA�"vV - S Main Building: 'Accessory Building: ' EZ Arch/Eng: - License No. TYPE OF PERMIT ❑ GRADING ElFOUNDA N STRUCTURAL T Front 0 • ❑ TENANT '❑ ELECTRICAL Ill PLUMBING El MECHANICAL • B • N \✓1 Address A Rear CP,r..//�� ❑ -OTHER Contractor's Na ne 7�"�--.2S . N 1 - - / /PROJECT DESCRIPTION 54. FT. - OCCUPANCY C Right .. • - _ R Address(mailing) 6s-sr -74,./..10, .r3-G!/LQ'• CON STRUCTI ON TYPE VALUATIONS • $ • City'LicenseNo. - ©0(0� 5�'/�/- , ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided '- Q LICENSED CONTRACTOR DECLARATION I'hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and T my license is in full f9�e and e feet. S License Class /' _ , �.n sten f�7 9 Date R —}„ ,„ Signature T/J• • .-0..#2.,--e.:-.. PLUMBING FEES WORKE S'COMPENSATION DECLARATION • Bar Sink Showers , ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate ' of Workers' Compensation Insurance, or a certified copy thereof (Section Automatic Washer - - Transformer ❑ 15-50 KW 3800, Lab. C.) t - , Backflow Preventer ,Service Sink - Policy No. r�4/ 9/6 Company Se J� Backflow Irrigation 0 50+KW -Certified copy Is hereby furnished. - Certifi co9 y lied with the city B .Pq Div)zlon.�J Bathtubs Sewer Connection Cooking Unit • Meter Oup to 100 amps ate / c Applicant V-M /Z/.t-e ' A ' EXEMPTN PROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher Meter Clover 100 amps ' (This section need not be completed if the permit is for one hundred ($100) or - less). Dishwasher Solar Piping' Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance Of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan' Motors 00-1 HP 01%-B Workers' Compensation Laws of California. Date Signature Floor Drains Swimmin-Pool w/Spa F.A.U. Inc.Solar 09-,15 HP 016-15+ 'NOTICE: If,after making this declaration,you should become subject to the ' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal ':CR Fixtures Microwave comply with such provisions or this permit'snail be deemed revoked. ” CONSTRUCTION LENDING AGENCY Gas Service Outlets -Water Closet� �- Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance _ • of the work for which this permit is issued (Section 3097 Civ. C.) ^ Lenders Name - - Interceptors f Water Heater x x ro 2 b(� Outlets Range Lender's Address ' - - - - Kitchen Sink Water Service ' •/I. / Switches - Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash :uA Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays -cs(^ Generator 00-5 KW 05-15 KW Trash Compactor any structure, prior to-its issuance, also requires the applicant for such permit y, to file a signed statement that he/she is licensed pursuant to the provisions of ' I i Roof Drains the Contractors License Law(Chapter,9(commencing with Section 7000) of - "0 Division 3 of the Business and Professions Code) or that he/she is exempt - _ • ii, -therefrom arm the basis for the alleged exemption. Any violation of Section - - 7031.5 'by any. applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 3 • - ' LI 1;as owner of the woorty or my employees with wages as their sole Reinspection Fee I $15 Issue Fee - $ compensation, will do the work,and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee - $ 3 for sale (Section'7044, Business and Professional Code: The Contractor's ' MECHANICAL FEES - . License'Law goes'not apply an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS: thereon; and who does such Work himself/herself-othrough his or her own employees, provided that such improvements are not intended or offered for Boiler ■ Zoning Approved By Date sale. If„however, the building or improvement Is sold within one year of com- ■ , prove , the owner will have the burden of proving he/she did not build or Im- Duch- Under Ground Building Approved By Date • prove for the purpose of sale). 0 I, as owner of,the property, am exclusively contracting with licensed con- Duct-Structural Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: ' - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating00-100,000 0100,000 SUMMARY OF FEES 1 builds or Improves thereon,and who contracts for such projects with a con- . tractor(s) license pursue rit to the'Contractor's License Law). I am aware that System Repair/Alteration . :.. Exhaust PERMIT $ SMIP $ [h proof of ail Worker's Compensation insurance should bo provided to me. Exha Uat System 0 Multiple 0 PLAN CHECK $ PERMIT ❑ I am'exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING 5' _dtp_ 'ISSUANCE $ Date • ' Owner PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000B7 . ELECTRICAL $ GRADING $ • information is correct. I agree to Comply with all city and county ordinances l end.state laws relating-to building construction, and hereby authorize repre- MICROFILM $ sentatives of this, cit to en on the above-mentioned prope y for PLAN CHECK 50% $ inspection pur O D Signature • �� -� e---SC, Date ../ , MECHANICAL • $ TOTAL FEE $ 5r • Drivers' License or SS# • CMF 0865-46,rev, 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ' '- - - - • t CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit 4# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms A. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd.;-Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines;P-Trap, O Undrgrnd. 10. Structural Floor System r 4 61. APPROVAL-kTO?PECICr'�cr 11. Property Sewer Line & House ConnectVi n!7w 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat •- 75. Dry Chemical 27. Frame and Flashing '76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing sfrear cai 39. Water Service-Final / 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 48. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except Those within heavy border lines and sign all appropriate declarations. COSTA MESA CONSTRUCTION PERMIT — PERMIT NO. TRACT NO. LOT NO. UNIT NO. 84411 8/ 12/05 6e0C .TL MjLl Project Address -I Le F7• !! a7,S Z1 0 - , :Applicant's Mailing Aggress 6 Len, ✓( � TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR - • Owner's Name WI A, /�,, !//tin". ❑ CONVERSION El DEMOLISH ❑ OTH — IfIN,�'�',�Lrtn^r4. Phone.5 �� vZ"1 I1.P.# - Zone ' • DESCRJION OF WORK/USE OF BLDG. �j*�� 7zCJG o-J7 Address 1 �� {/jS Main Building: • Accessory Building: Arch/Eng. _ _. License No. TYPE OF PERMIT G ❑ FOUNDATION ❑ STRUCTURAL E• Front 0 'Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear . N Contractor's Name ---- O Phone - - C Right • N Address(mailing) _ PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G 1 CON ST RUCTION TYPE VALUATION$ S Left R City License No. _. _. .J ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I.hereby affirm that I'am licensed under provisions of Charter 9 (commencing Remarks: O 9y Planning Notes: M ' with section 7000) of Division 3 of the Business and Professions Code,and, '� -1 co 9) - -my license is in full force and effect. II /�y 4/67 7�Q� S DaT License Class �' IS=� - l / �/ - Date • Signature I U PLUMBING I FEES WORKERS'.COMPENSATION DECLARATION Bar Sink Showers • ' I hereby affirm that I have a certificate of consent to self-Insure br a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backfiow Preventer • Service Sink - - - 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. - Company Backflow irrigation Sewer Cap0 50+ KW 8 Certified copy is hereby furnished. Construction Pole Sub. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection . Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or ' less). ,Dishwasher • Solar Piping Dryers OGas DElectric Sub Panel I certify that in the performance of the work for which this permit is Issued, I , shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00.1 HP 01%-B Workers' Compensation Laws of Califoy/ia. vt4 (^d ejl, A ,Date Signature//J �^�!/ J !�•-�- _Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ \'NOTICE: If,after making this declaration,you should become subject to the orkers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) - Interceptors Water Heater Lender's Name ,0 Outlets 2 L•J Range C Lender's Address Kitchen Sink Water Service - Switches OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • Garbage Disposal ;Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays ' any structure, prior to its issuance, also requires the applicant for such permit y Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains' , the Contractor's License-Law(Chapter 9(commencing with Section 7000) of - ' Division 3 of the Business and Professions Code) or that he/she is exempt _ 'therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant•for a permit subjects the applicant to a civil - oenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection'Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered 1 - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler, Hood or Type I 0 ZoningA iBy sale. If, however, the building or improvement Is sold within one year of corn- Canopy Type II ❑ pp oved Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By Date prove for the purpose of sale). ❑ I, as owner of the property,am-exclusively contracting with licensed con- • Duct-Structural ' Refrigeration System Application Issued By IVA Date. tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES ' builds or Improves thereon,and who contracts for such projects with a con- tractors license pursuan't'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $• SMIP ' $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _ PERMIT' �❑ I am exempt ep Sectlorl`��-T.zc/ B.& P.C.for this reason Firepl/Fact.Blt. ICRO# Fire Dampers PLUMBING $ ISSUANCE $ - Date /( •f�L OsdnerU !v-G Heating System&Ducting Registers • PLAN CHECK 25% $' ENERGY P.C. $ I I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL— - ELECTRICAL $, -ri•(7�7 GRADING $ information is correct. I agree to comply with all city and county ordinances , and state laws relating to building construction, and hereby authorize repre- MICROFILM $ sentatives of this city to enter upon the above-mentioned roperty f�r PLAN CHECK 50%_ $ f'» , Inspection purpo -s. Signature -d i Date — MECHANICAL $ . TOTAL FEE $ GI• 00 Drivers' License or SS,# Reinspection Fee $15 Issue Fee . $ 3 PLAN CHECK 25% $ _ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor IPCONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. •Soil Pipe-Undrgrnd. 53. Steel Reinforcement -3. Electrical Conduit Utility-Undrgrnd. II 54. Forms • 4. Electrical Conduit-Undrgrnd. Q�LL/� 55. Electrical Bonding 5. Steel Reinforcement lI••LLLLLLIIIIII°Q°QQ°������ 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit // 1/��``�� 66. Solar System-Final 16. Rough Electric Wiring /®/ �j 67. Fencing & Access Approval 17. Rough Wiring Sign �// 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts, Ventilating71. Product Piping 0 Gas. 0 Oil 23. Gas Pipe-Rough&Test , 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25..Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. D-rywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric /0/3c i L) e_ Notes: 34. Final Heating &.Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation- 44. ,Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No, Date I / � Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. . jF COSTA MESA CONSTRUCTION PERMIT - PERWT NO. TRACT NO. LOT NO. UNIT NO. oject Address 1 Ian'-.+off• Le N Qs /3a�0 59 1983 10/1 1/85 ,4'� 26o50 7I- Applicant's Mailing Address - , .� TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR Owner's Name el Mar, 0'rAl L a2-4 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p ,is I Zone + MA M Mc!v,c_ Phone DESCRIPTION WORIL/USE OF BLDG. Xa�=i' CA ' Address 1980 L&. . s -G';�M/Sit-. 916 Y6 S,'1.JG /Slit S Main Building: Accessory Building: Arch/Eng. / License N TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION 0 STRUCTURAL E Front ZO Address G st., -rwh..ss . Las,. � CI TENANT LI ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Name Phone S'19-)g74' ❑OTHER A - j)y _ E, I1_ PROJECT DESCRIPTION SQ. FT. �lDQ OCCUPAIICV C Right N Address(mailing)nsN �^1 �f pp<< .Sa...�f4��` 42..7o CON ST RUCTION TYPE 7tJALUATION$ "5 00 g Left G City License No. sx / OJ� ZONE • GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION ////" n p/ Ping. Ref.# \ Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1.C /u) Jp 0 S' Planning Notes: - - — n with section 7000) of Division 3 of the B siness and Professions code, and vV" M my license is in full orce and effect. License Class ceJ;ycen�jt�o.-3�/y�8 S Date AI/If JC Signature ' /r"7" ' PLUMBING FEES WORKERS'COMPENSATION DE RATION Bar Sink Showers l I h- y affir • at I h. ate • consent t• elf-ins of •to ELECTRICAL certifi FEES • rker ' o n io • r.nce • a - ;�•n ,,Backflow Preventer Service Sink '❑ 15-50 KW 38 r .•. C.) � - r• 1 Automatic Washer - ' Transformer Po'c "o. _{L 1�1 ' a1 C• p. , 7 t Backflow Irrigation Sewer Cap0 50'÷KW' y _� I Construction Pole Sub. Cerfiec copy i ,eby f — Certs sec copy i f d with i•y Buil. • e Bathtubs Sewer Connection s,si Cooking Unit Meter pup to 100 amps Da I- . APP 'ant rr. " EXEMPTIONN FRO FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps ' ' (This section need not be completed if the permit is for one hundred($100)or • - , Iess). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work f1 r which this permit) Issued, I • shall not employ any person in any manner/so as come sy ect t e Drinking Fountains Solar Tank �_ Fan Motors❑Q1 HP ❑1'F.-8 Workers' C pen tApa,..Laws of California.// �• // _ pate /3�f r/ JJ Signature ((Uff r' 4 Floor Drains Swimming Pool w/Spa F.A.U. 'NOTICE:If,after making this declaration, you should become subject to the - Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fi%t Urea Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets • Range • Lender's Name - _ Lender's Address Kitchen Sink Water Service • OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories following reason (Section 7031.5 Business and Professional Code: Any city or Auto-Wash Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays 1 ,Generator❑0-5 KW❑5-15 KW f Trash Com r any structure, prior to its issuance, also requires the applicant for such permit Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - - the Contractor's License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt - 'therefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than five hundred dollars($500).I, as owner of the property or my employees'with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • compensation, will do the work,and the structure is not intended or offered - Reinspection Fee $15 Issue Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES $ 3 - License Law does not apply to an owner of a property who builds or improves -- _ - thereon, and who does such work himself/herself or through his or her own __ __ s DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under GroundBuilding Approved By Date • prove for the purpose of sale). - 0 I, as owner of the property, am exclusively contracting with licensed Con- Duct-Structural Refrigeration System i /Q—Application Issued By Date �/—n tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU $U MARR�OF FEES builds or improves thereon,and who contracts for such projects with a con- ' - - T tractor(s) license pursuant to the•Contractor's License Law). am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration I BUILDING PERMIT $ SMTP $ •S(J proof o their Worker's Compensation insurance should be provided to me. PLAN IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers $CK $ PERMIT PLAMBING N CHECK MITISSUANCE $ Date Owner Heating System 8. Ducting 1 Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BTL - - ELECTRICAL $ GRADING $, • information is correct, agree to comply with all city and county ordinances - . and state laws relating o building construction,and hereby authorize repre- MICROFILM $• sentatives of this city to ter upon t air-mentioned property for PLAN CHECK 50% $. '1/ 7� inspection purposes. jy�e ichf/�j / TOTAL FEE $' 026'50 Signature ^ C. /-7!�2' Date MECHANICAL $ Drivers' License or SS# I ,Reinspection Fee $15 I Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 11 NSTRUCTION AND PLANNING POOL & SPA i 4 i- APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector I. Temporary Electrical Service or Pole - 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement 3. Electrical Conduit Utility:Undrgrnd. •t 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation4. • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ' iso 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System c p' 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection ,•'f 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas El Oil i 23. Gas Pipe-/Rough & Test •`) 72. Underground Flush - - • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro i 26. T-Bar Ceiling (Structural) &-Monocoat 75. Dry Chemical 27. Frame'and Flashing ;_ 76. Dry Standpipe e. 28. Lathing & Siding77. FIXED SYSTEM FINAL 29. Insulation , 78. FIRE PREV. FINAL 30..Drywall NailingHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79.•FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33.-Final Electric Notes: ey..e 6 Fe., i�0„,.-me_ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final \ , 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation r 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING vD8 /c(�� • • 48. Special Requirements Completed ' I �Q 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date i N. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5348 6/21 /95 153047 ll OPCO�TA MESA CONSTRUCTION RE{R. MI PE MIT N TRACT NO. /LOTTNO. UNIT NO. . t 7 Proj¢�Address Iq�i/C1 (•.tNd 110i Or, CbS G Merci CA, � ��56� �( � / q ..„ q S— lige Le1'c-; Of Dr, TYPE OF CONSTRUCTION LI NEW L7 ADD H ALTERATION Li REPAIR , pplict's MailingfAddress ) //,l//,� /// Z ( wner's Name Jn{1h T. Oh U YI-I,cs, Mearphone 510 /Y•G'f ❑ CONVERSION ❑ DEMOLISH ❑ OTHER \ \ A.P.# ,,•jq -1/l !t� a 7-. • Zone �,/ l 9 Sr() L • 1 ` YDESCRIPTION OF WORK/USE OF BLDG. N. S Main Building: AccessaryBuilding: Z Arch/Eng. License No. TYPE OF PERMIT u GRADING FOUNDATIOry L�_TST Rucru RAL T Front Gj� • O Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear I[91 a N Contractor's NamP /� Phone El OTHER \ A l //�� `Y PROJECT DESCRIPTION SQ. FT. 7-3 T OCCUPANCY p1•'3 t K Righfa, N Address(mailing) !-Jl � .� '� Of ll�� CONSTRUCTION TVPE -�"'� VALUATION$ • l $ Left �/ City License No. ZONE GRADING CU.YDS. - ACRES 12 E LICENSED CONTRACTOR DECLARATION 11 /� _ CYC Ping. Ref.# Parking Req./Provided E 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: I'C Y+ 44/ 7_ r...� 1 _ Manning 'x"�•/� M ci with section 7000) of Division 3 of the Business and Professions Code, and T (� l� J T my license is in full force and effect. License Class License No. S Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a Certificate of consent to self-insure or a certificateELECTRICAL • FEES of Workers' Compensation Insurance, or a certified Copy thereof (Section Backflow Preventer Service Sink • 3800, Lab. C.) -- W Automatic Washer Transformer 0 15-50 K Policy No. _ • Company Backflow IrrigationSewer Cip - „ Construction Pole Sub. • 0 50+KW Certified copy Is hereby furnished. - Certified copy Is filed with the.city Building Division. Bathtubs Sewer Connection--•t: . Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors , . 4- ". Dishwasher Meter Dover 100 amps (This section need not be completed If the permit Is for one hundred ($100)or ^ less). a Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel • I certify that in the performance of the work for which this permit is Issued,I - ✓" shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'h'-8 Workers' Cy pen a oyLaws Of Ca lifofola...,e.[ — . Date (p�d o� 'S Signature o lla.�*i{ �r!l�-�G� Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,afte making this declaration,you should become subject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave , . CONSTRUCTION LENDING AGENCY Gas Service Outlets • Water Closet - BOxee I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name - Outlets Range Lender's Address Kitchen Sink Water Service - 1 ' Switches , Sign OWNER BUILDER DECLARATION ` I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash \ Garbe a Disposal following reason (Section 7031.5 Business and Professional Code: Any city or , 9 sp :Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap • - Laundry Trays - ,e Generator X0.5 KW ❑5-15 KW ' any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor ' to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'I - the Contractor's License Law(Chapter 9(commencing with Section 7000) of ' f , Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil i anally of not more than five hundred dollars($500). r U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 • Issue Fee / $ 3 f b -, = compensation, will do the work, and the structure is not Intended or offered - - far sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - Reinspec'tiun Fee I $15 Issue Fee it ;$ 3 License Law does not apply to an owner of a property who builds or improves a - FEES thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: ' 1 /,,/ale] o �p�— employees, provided that such improvements are not Intended or offered for Boiler • Hood or Type ❑ • I ,-tonin Approved ByY1T S'' ' a W/C��/CJD sale- If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 ) r • g pP Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for,the purpose of.sale)'. l� Building Approved By I�w�.-� Date 67-21—8r5 0 I,as owner of the property. am exclusively contracting with licensed con- Duct-Structural Refrigeration System ' Application•Issued By 2 Date n • tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTUI - .•' , ^-, SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- , I tractors license pursuant•to the Contractor's License Law). am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration •- - (BUILDING PERMIT $ 42. 50 SMTP. $ . proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ Co 0 . 13 PERMIT 0 lam exempt under Section B.& P.C.for this reason • Firepl/Fact.Blt. ICBG# Fire Dampers ISSUANCE $ .p PLUMBING $ Date Owner // '_io • ~� Heating System& Ducting Registers i ENERGY P.C. $ •• PLAN'CHECK 25% $ .l hereby certify that I have read this application and state that the above r 00.100,000 BTU ❑100,000 BTU - r. r 'ELECTRICAL GRADING $ information is correct. I agree to comply with all city and county ordinances to $ and state laws relating to building construction,and hereby authorize repre- sentatives MICROFILM $ inspection ives of this city to enter upon the above-mentioned property for PLAN CHECK 50% $ -'7 inspection our o es. /' /f7 i MECHANICAL $ TOTAL FEE $ i 53.4 I L Signature License or if7L C��/"' Date • , IMF 0865.46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONORUCTION AND PLANNING POOL &SPA PPPRdVALS Permit#r. Date Inspector APPROVALS Permit# Date Inspector - 1. l�zmporary Electrical Service or Pole •,. 52. Pool & Equipment Location j ' '2. Soil Pipe:Undrgrnd. 53. Steel Reinforcement IL , j 3.':Electrica1 Conduit Utility-Undrgrnd. - 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r 5:Steel Reiinforcement, • , r tz fr (/r/ 56. Rough Plumbing & Pressure Test , 6.;Electrical OF ER Grnd. i` 57. APPROVAL TO COVER-GUNITE , 7.:Footings; I I 11/018/3" ✓ - 58. Electrical Conduit-Undrgrnd. • i 8. Foundation ; - 59. Gas Pipe, 0 Undrgrnd.,Test 9.-Water•Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' 11: Property Sewer Line & House Connection 62. Backwash &Receptor-Final • 12. Sewer'Cap I 63. Heater & Vent-Final ' ' 13: Roof Drains • 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16.I Rough Electric Wiring 67. Fencing&Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.:Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure I 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.'Gas Pipe-Rough& Test i 72. Underground Flush 24.)Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25.•Roof Sheathing 9 %IG! ;lye- 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' /U/ //� 75. Dry Chemical 27.•Frame and Flashing ed,re_ - AVeit4< �(/ 76. Dry Standpipe 1^ 28. Lathing & Siding �1 �� 77. FIXED SYSTEM FINAL 29. Insulation 1C Vv._ 78. FIRE PREY. FINAL 30. Drywall Nailing • • lb C[/(jC) HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, 'i /6I/it//rI/Lv 79. FINAL INSPECTION 32. Electrical Power Meter-Final `{ 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /44c-- of 5.c7dZ J '/ 34. Final Heating & Air Conditioning �/6 /// - �6 S? o i( K{CS'/ v C35. Final Gas Pipe-Test /(j //,r j2n4/t+ ��q�0,G 36. Hood pr Canopy -i ° 4-vo,�HU goop/� /S/c../� / f? !/� 37. Final Factory Fireplace 14/20 34-6---- 38. Final Plumbing 39. WaterService-Final 40. Gas Service-Final • - 41. Solar Domestic-Final ' • 42. Backflow Preventer E 43. Backflow Irrigation ' - 44. Landscape Irrigation System i. . • 45. Sound Attenuation 46. Handicap Regulations // 47. FINAL STRUCTURE & BUILDING /0/;4 s 7n4 �hv, Q (-at 4//-1a7o /- 48. Special Rpquirements Completed .. 49. Electric Release to Edison - . / . • 50. Gas Release to Southern California Gas Co ; ' 1 51. CERTIFICATE OF OCCUPANCY No. Date OWNER PACESETTER WEST JOINT VENTURE DATE 3-22-63 JOB ADDRESS 1980 Lemnos Drive BUILDING PERMIT NO. 19093 GENERAL CONTRACTOR Andros Land. Company VALUE $ 221592.00 AP No. LOT 9 TRACT 14348 FIRE ZONE DESCRIPTION OF WORK its att gar INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R1 Soil --P-77--57:97-- PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water g/S-y-//_-G 7 ,E/Z Rough Com. Refrig. 0 Air Cond. D Rough Heating )-_ _t_ 0,1,2 'c _ r ---/,_.,41--‘ /d 3'7 (— Rough Plumbing C /ii3 ;11..4a627/- di- G3_ az0,S— Miscellaneous / P '/ rop.Swr.Line House Con. 0 St.Swr. ❑ 9-1_74-4 �f 1, _! r/ �_ia� f0 Sprinkling System 0 Construction Pole Underground ❑ Power ❑ Rough Wiring /(/4"/O - /C9•14-2 yaF2esV.!/:.44trit..cS 6'0-43 _in91' Trenches 11i Forms 0- Steel Rein ..'L+i iti Mk II-//,-(; 'l Floor System eye v-ry-‘ Bond Beam 0 Steel Reinforce 0 Sheathing jr ?-3/-69 Frame and Flashipg /7, /// /I -' ✓ /pp-/ .-Gj Lathing — In ut (JMMLY ' •-- M b-1t er; Plaster, brown coat f —rill 9-2.3 -4_3 Ref rig. 0 Air Cond. 0 Final Heating, Final 42.6f /l-/.Y Plumbing Fixtures, Final "f'. GI 7--J/-.63 Final Gas Test / i- f R_ , 9-i/-i) Electric Fixtures, Final '#7f g./I�.,,-5 Building, Final - d/ 9-/2-1.? OCCUPANCY ' FARM RIM.5M - 1.RI 19093 • REC IVSD COSTA MESA BUILDING-SAFETY DEPARTMENT • • MAR 2 2 1963 P.O.BOX 317 COSTA MESA.CALIFORNIA ((!! 77FINANCE DEPT. For Applicant to Fill In Completely APPLICATION'IFOROFF ERNfITTA MESA /'_ (/`�j♦/yTYPE OR PRINT>Gq BUILDING L{/�J ,n'/ For Office Use Only BUILDING /970X�M-vfic wji AC24— ADDRESS RECEIFr NO. PERMIT NO. COSTA MESA. CALIFORNIA / q c 93 .�¢- �J,� RECEIVEEP BY DATE RECEIVEDD DATE ISSUED OWNER Q.Qf./-(GCJI �/ '�/ /7— OWNER /3-'^3 MAR 2 2 iQRT MAIL / "�� ��J BUILDING ADDRESS JO 4.--; //. .!/ wt ., / L/ q ADDRESS TEL ��'/ ZONE TYPE I . GROUP ��/�/ RE CITY NO. ���3-jL�'h ARCHITECT �j �j/ TEL. / ' APPROVED DATE OR ENGINEER /��,*`i(�f'-�1t[ NO. 33 / l�'77 �f a �cv / ..* ZONING • ,,•� ADDRESS e�cGos, ZONE NO.OF U8E OF N- ��j / �/ _ `"/ PLANH BUILDIN• J ALA CONTRACTOR gj-7 !/I�„,,.. got..., -. I• a r LEGAL ADDRESS JO'411 .l�IAY(�,uE. DESCRIPTION /''� C.�!' �a._ /y2_ - jam— A.P.NO. ( / CITY L //u� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE LIC.NO. /42.7,4‘. NO. Z�9z 9A.j Do"TO SIDE @ REAR P.L. EAVES SIZE NO.OF SLOGS. o ALLOWED (U.B.C.REQUIREMENT) OF LOT .75 >e 70 NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. •--- I (FROM C/ REET) SETBACK LINE FROM /^ 9 FRONT FT. FT. CENTER OP STREET Vi � REAR YARD./ I SIDE YARD I LEFT J I 'RIGHT 'g R.SIDE FT. FT. DESCRIPTION OF WORK L.SIDE/1� FT. FT. NEW X. ALTERATION _ ADDITION REAR (./. / FT. FT. DISTANCE BET. BET.MAIN a MAIN BLOCS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH yyy VAR.# DATE BUILDING a SIZE ,. p, 0 NOOOS STORIES C.U.P.# `l� APPROVED EXTERIOR WALL • ROOF � / APPROVE. iI.G-t -7V COVERING i.✓'P'�LL COVERING �f BY I I DATE USE OF BUILDING AN WORK TO E PERFORMED /` 7-,(-, ' -' IFO Illir 4 � // .,3R J /227SQ.FT. // 5 U � v°' i I HEREBY ACKNOWLEDGE THAT I HAVE REAb THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABO IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY OR NA EB AND STATEWS REGULATING VALUATION BUILDING CONSTRUCT N. q PERMIT FEE $ i H SIGNATURE OF CYT 14 / p PERMITTER / L R �( ! E $07; -5-9o2— --- C.- — o �/ AUTHORIZED AGENT l TOTAL FEE $ t[//7 l