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HomeMy WebLinkAbout1773 TANAGER DR - Building Permits • PPOJEC� ,tEss: 1773 TANAGER DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; BEP 058803 OW' .NAME; OTTOLIA OSWALD DDREss: 1773 TANAGER DR PERMIT NO: BEP 058803 PLAN CHECK NO: 03304-92 S GOVT; N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PLU STR PURPOSE: OTH ( 714 ) 557-2099 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : REPLACE GUNITE SPA SQ FT: 2, 200 ADDRESS: UNIT: CLAIM VALUE: 2, 200 , 00 CALC—VALUE: 2, 200. 00 GROUP OCC; R-3 / PERMITTEE: BERGE POOLS INC. ( 714 ) 548-4848 ADDRESS: 129 CABRILLO ST COMMENTS: LEGALIZE SPA REPLACEMENT COSTA MESA CA 92627 ***************+ERt**R6**RER6*RE* FE*>E****+E** *SERE*******sERERERE**R6****RE-**jt*** ***** RF***RF LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS 70W)of Division 3 of the Business and Professions Code.and m 'cense is in full force and effect. SETBACKS mnuc.: 006582 STATEts:280953 cuss: 3 e--_e--_ Date:7,p+Y 0658 Z Signature: — — _ _ MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT; 25 FT IN REAR: 20 FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: 10 FT .IN RGHT; 20 FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: C COMPANY: PARKING REQ• PROV: PARCEL : 13962401 ZNE: R1 REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N,JTES> REPLACE EXISTING SPA. > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need tot be Completed if the permit is la one hundred 15100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work far which this permitJ' ed,I shall not employ any person in a manner so as to become ^/_ ,/� subject pto the Workers'Compensation Laws of California. //1 ZONING APPROVED BY DATE: �f" /1"!7Y Date: C9 r�.r7— 2 you e: become' • CGc% ! BUILDING APPROVED BY , ( r DATE: 9//D-7/0 — Code. /1 Q NOTICE:If.alter making this declaration,you should subject to the Worker Compensation provisions of the Labor 1 //�Z Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: � DATE; g 2 which this permit is issued(Section 3097.Civ.C). ************************ * * * *�e * ** ***' ******************* * LENDER: ****************************************** ************************************ ADDRESS; LEGALIZATION;Y F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 , 00 14 ,00 2200 00 ' repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25 501 SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 70. 20 . 50 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 20 , 00 ''15.,-0 0 I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> • 144 . 50 35 . 00 / 35. 10 214 , 60 214 . 60 . 00." does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell or through . . - his or her own employees,provided that such improvements are not intended or offered for sate.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 214 , 60 OVER/SHORT: 00 improvement is sold Within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am,exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 00 34 00 37, 0 , L'1r 50 35 . 10 ❑ and Professions Code:'The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •' r and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware. *****'M'*********************************.**************************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL , F' E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. mrmisreason: TYPE QTY D E S C R I P T I O/N;' UNIT COST TOTAL COST Date: owner: SFC 2200 SPA I 1 . 00 2, 200, 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 MI SC APPARATUS NOT LISTED REQ PERMIT 11 . 00 11 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a PLU 1 SWIMMING POOL 7, 00 7, 00 permit for construction or modlicalion,lrom the Air Duality Management District.Residential construction applications are exempt from END OF FEES (hese provisions. ,. �" ,. _r Date: • , Applicant: I hereby cerlily that I have read this application and stale that the ab ye information is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and here Ihorize representali s of this city to enl upon the above-mentioned property for inspection purposes. a a Date'. _i9.7- "1 2i Signature' c - 1 • �; k I ` Driver's License or Social Securitya: ,, r, _ 1641-46 White—Building:Green—Code Enforcement:Canarv—Aoolicantl Pink—Revenue:Goldenrod—Assessor • COIJSTRUCTION AND PLANNING POOL & SPA Date Inspector Date Inspector PPROVALS Permit# APPROVALS Permit # A, .Temporary Electrical Service or Pole 52. Pool & Equipment Location 9�y1L y-- - 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement [(/ _ 3. Electrical Conduit,Utility-Undrgrnd. 4 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test f zi pa 6. Electrical UF ER Grnd. _ 57. APPROVAL TO COVER-GUNITE I 7.-Footings 58. Electrical Conduit-Undrgrnd. / 8. Foundation • _. . . 59. Gas Pipe, 0 Undrgrnd.,Test �'/19/j-40.4/ 9. Water Pipe-Undrgrnd. " 60. Backwash Lines, P-Trap, 0 Undrgrnd. / 10. Structural Floor System 61. APPROVAL TO DECK ?A/y� Dzj 11. Property Sewer Line & House-Connection 62. Backwash & Receptor-Final /�• 12. Sewer Cap 63. Heater & Vent-Final /� ;� q7/(Mi.` 13. Roof Drains - 64. Plumbing System - Final Vii14. Rough Plumbing I }- 65. 'Electrical-Final 15. Rough Electrical-Conduit 9 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 745- 00!18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 47 e 19. Rough Heating& Air Conditioning _ FIRE DEPT. REQUIREMENT / 20. Rough Factory Fireplace - • • 4. ` • APPROVALS••- Permit # -- 21. Ducts,in Structure. .. .. - - . - 70. Underground Hydro 22. Ducts. Ventilating _ ;71. ProductrPiping 0 Gas 0 Oil ' 23. Gas Pipe-Rough & Test • 72. Underground Flush . r - 24. Roof Framing - - - _ 73.'-Undergrnd'.Storage Tank 0 Gas 0©;1 25. Roof Sheathing - - 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat :. t _ i i 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe • 28. Lathing$ Siding- - - I I 77: FIXED SYSTEM FINAL 29. Insulation I. 78.- FIRE PREV. FINAL 1 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ( • 1 79.-FINAL INSPECTION 32. Electrical Power Meter-Final ' I �: - 80. FOOD CERTIFICATE ISSUED 33.-Final Electric - - Notes: S zs L= _ 34. Final Heating& Air Conditioning nom" 35.:Final Gas Pipe-Test • ..fr� ' .'A l Id- 36. Hood or Canopy I C/ 37. Final Factory Fireplace; - , 38. Final Plumbing - - - • - 39. Water Service-Final .40. Gas Service-Final - . 41. Solar Domestic Final _. - . 42. Backflow Preventer I I + r 43. Backflow Irrigation - . 44. Landscape Irrigation System_ . ' . - 45.-Sound Attenuation t. 46..Handicap Regulations 47. FINAL STRUCTURE & BUILDING - • - 48. FINAL PLANNING - ' . 49. Electric Release to Edison -. 50. Gas Release to Southern California Gas Co -i � 51. CERTIFICATE OF OCCUPANCY fi=-'o Date —a—' PROJECT ADDRESS: 1773 TANAGER DR UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BEP 058803 OWNER'S NAME: OTTOLIA, OSWALD ADDRESS: 1773 TANAGER DR PERMIT NO: BEP 058803 PLAN CHECK NO: 03304-92 S GOVT: N SUPP : N COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PLU STR PURPOSE: OTH ( 714 )557-2099 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; REPLACE GUNITE SPA SQ FT: 2, 200 ADDRESS: UNIT: CLAIM VALUE: 2, 200. 00 CALC-VALUE: 2, 200 . 00 GROUP OCC: R-3 / PERMITTEE: BERGE POOLS INC. ( 714 ) 548-4848 ADDRESS: 129 CABRILLO ST COMMENTS: LEGALIZE SPA REPLACEMENT COSTA MESA CA 92627 ****x*x 4x***xx*******x>6TE#xx >FSE**>Fx*>F>E7PDETE x ** xxxx*x->Ex***x-**xxxxx- >Ex> *r****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS clrruc.: 006582 STATELIC.: 280953 CLASS: C-53 Date: signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: 25 FT IN REAR: 20 FT IN Compensation Insurance.or a certi0ed copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: 10 FT IN RGHT: 20 FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ- PROV- PARCEL: 13962401 ZNE: R1 REF NO: o Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> REPLACE EXISTING SPA, > Dale'. Applicant: X-************************SHE*** "E****-x***********1F***iE*******7F*****************iE EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). DEVELOPMENT a R V I C E S R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject the Workers'Compensation Laws of California. • ZONING APPROVED BY - DATE; Date: Signature: NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY - DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: which this permit is issued(Section 3097.Civ.C). ****************************; 421/, *****xitx***!e****xtk*it*************m—********SE** LENDER: ***************************** ,..r ********************************************* ADDRESS: LEGALIZATION:Y r SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMB I NCTR IC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 . 00 14 00 22 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5% of 0% SM IP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 70 . 20 , 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 . 00 15 , 00 I, as owner of the property or my employees with wages as their sole compensation, wit d0 the work, and the BUILD ING-DI V'-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 144 , 50 35. 00 3 5 . 10 214 . 60 214 . 60 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If.however the building or REVENUE DIVISION TOTALS--> COLLECTED: 214 . 60 OVER/SHORT- , 00 improvement sold in one year of completion,the owner will have the burden of proving he/she did not build or improve forthepurpose ofsale). BLDGPMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1 0 8 . 00 34 - 00 37. 00 , 50 35 . 10 ❑ and Professions Code: The Contractors'State License Law does n0t apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *********)t********************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFC 2200 SPA 1 , 00 2, 200 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 M I SC APPARATUS NOT LISTED REQ PERMIT 11 . 00 • 11 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 SWIMMING POOL 7. 00 7 , O O permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt froth these provisions. END OF FEES Dale: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. ,• Date: Signature: . Driver's License or Social Security 1641.46 White—Bmldmo:Green—Code Enforcement;Canarv—Aoolicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL io7zii' Gt De-- 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 I I i 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat INAL INSPECTION 32. Electrical Power Meter-Final1 0 OOD CERTIFICATE ISSUED 33. Final Electric i "m" Notes: 34. Final Heating & Air Conditioning i A • 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final l 1 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUI LDING 48. FINAL PLANNING i 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co I I 51'. CERTIFICATE OF OCCUPANCY No. Date • ,T ... R •/'{ a 1773 TANAGER DR UNIT: • CITY OF COSTA MESA — BUILDING PERMIT Yt:xP`i NUT tt>;r u>aau; PROJECT AOORESS: OWNER'S NAMEA OTTOLIA OSWALD - ADDRESSa1773 TA{IAGER DR PERMIT NO: SEP 058803 PLAN CHECK NO; 03304-92 S uuva ; N . burr: N COSTA •MESA,CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PLU STR PURPOSE: UTO (714 )557-2099 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION_ : REPLACE GUNITE SPA SQ FT: 2, 200 ADDRESS: — UNIT: CLAIM VALUE: 2, 200 .00 CALL—VALUE: 2, 200.00 GROUP OCC; R-3 / PERMITTEE: BERGE POOLS INC. (714) 548-4848 ADDRESS: 129 CABRILLO ST COMMENTS; LEGALIZE SPA REPLACEMENT COSTA MESA CA 92627 +L+E+ErrRE***4*w4E+r:E**#*:Ex***********+E**+E+E:r**********ac:E* at****#*:E********x**#*#*Rcn*## LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and cense is in fun force and effect. SETBACKS CITY LIC:}006582 ST TEuc.:29095V3 Cuss: �53�� ,[ Dam: V` —a r'1 Signature: /vckp �R/�/f (� FRNT: FT• MAIN INBREAR:NG • FT IN FRNT: 25 FTACCESSORY REAR;BUILDING0 FT IN WOPvcRS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consentto self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; 10 FT IN RGHT: 20 FT IN T' alien Insurance.or a certified copy thereof(Section 3800.Lab.C). C D.: EXP.DATE: PARKING RESS>1 REPLACE EXISTING• PROV: PARCEL: 13962401 ZNE: R1 REF NO: COMPANY: PLANNING N SPA.TE ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > • Dale: Applicant: DEVELOPMENT S E R V I C E S REQUIREMENTS ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This s ion need not be completed it the permit is for one hundred($100)or less). .• reentry that ine the performance of the work loo which this permit ed.I shall not employ any person in any manner so as to become ZONING APPROVED BY t DATE; F`/'> /r subject t the Wp�ers'Comp at on Laws al tCalifornia. (/ i1oy f Z. Date: a�' �— signature: d ' CC ! BUILDING APPROVED BY L! . 71/ DATE DATE: �/, 7/9 • NOTICE:If.after making this declaration,you Should become subject to the Worker Compensation provisions ul the Labor Code.you must foNG compI herth s�h provisions this pea construction shru ti be ndingeagency o. APPLICATION ISSUED BY: / F -4 �Fi if DATE: g# iF at CONSTRUCTION LENDING AGENCY: Ci affirm that there is a construction lendin agency for the performance of the work or which this permit is issued(Section 3097.Civ.C). ***'**'*'*'**'****'X'***'K'**'* '* * # * ** **7flt*#***********#****#*#* * *:F# LENDER: ***************4E**BE********** :E3E*i1.'******** *****9E****************************** ADDRESS: LEGALIZATION:Y •F E E S U M M A R Y STRUCTURAL SEGMENT;Y • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 108 . 00 14 00 22 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed '5% S 0* SMIP/NON—RES pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 0l the Business PLAN 70 . 20 . 50 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE _ 20.00 15, 00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 144 . 50 35,00 35. 10 214 . 60 214 . 60 ,00 structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees,provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 214 ,60 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK for the purpose of sale). 108,00 34 , 00 37.00 . 50 35 , 10 I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The projectsContractors'wit state License Law does not apply to an owner of property who builds or improves thereon ******.##*#**************************************************#******#********#*# and who contracts for such with a eLice LicenseLawpursuant to the Contractors'state License Law),l am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE , BREAKDOWN ❑ I am exempt under Section: B.&P.C. I for this reason: TYPE QTY . DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner. SFC 2200 SPA , ' . 1 . 00 2, 200 , 00 I do hereby certify that lam aware of and understand the requirements of California,Health and Safety Code Sections 25505.25533,and ELE 1 M I SC APPARATUS NOT LISTED REQ PERMIT 11 .00 11 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a • PLU 1 SWIMMING POOL ./ 7. 00 permit for construction or modification from the Management District.Residential construction applications are exempt from END OF FEES 7. 00 Air Duality these provisions. Date: Applicant: • - I hereby certify that I have read this application and State that the a ye information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and her thorize represent ' of this city to en r upon the above-mentioned property lot inspection purposes. Date:eg - ;7- ei 2 Signature: Drivers License or Social Security • . 01 00122M-0011272.4 TOT 2fi4,6C DATE: TIP": 16:D 1 1641.46 White—Building:Green—Code Enforcement:Canarv—Aoolicant:Pink—Revenue:Goldenrod—Assessor 08/23!92 Twining Laboratories of saugetn eal:fog, inc. Ahi a 3310 Airport Way (310) 426-3355 t V=��' �I'' Long Mail: P 0. ox 47, 90801 8� FAX)(310) 426-6424 TESTING Compression Test on Gunite CUSTOMER: MCBEE DON EXAM NO: 92-1-093014 5292 BRYANT CIRCLE DATE: 09/01/92 WESTMINSTER, CA 92683 JOB NO: 91228002 PERMIT NO: JOB NAME: Don McBee (Various Site) OSH PD: SEE SAMPLED FROM FOR JOB NAME OSA AP #: ADDRESS: & ADDRESS FILE #: PAGE #: 1 ARCHITECT: CONTRACTOR: BERGE POOLS ENGINEER: SUBCONTRACTOR: B.C. ADAMS D.J. GUNITE CO. SAMPLE FROM: Floor, Ossie, 1773 Tanager, Costa Mesa, CA. MIX: 4-1/2 : 1 SPEC. STR. (PSI) : 2000 SLUMP: N/A CAST: 08/14/92 DATE TESTED 08/28/92 SPECIMEN NO 1 AGE (DAYS) 14 TOTAL LOAD (LBS) 157500 LBS PER SQ IN 5570 SPECIMEN SHAPE: Cylinder SIZE: 6 ' x 12 AREA/SQ IN: 28 .27 COMPLIANCE: 14 day test complies with specified strength. Lab #8763/Test Method ASTM-C-39/1 test at 14 days only. SPECIMENS BY: Fidel DELIVERED BY: D. McBee RECEIVED ON: 08/24/92 DISTRIBUTIONS: MCBEE DON, 3 John M. Verrocdhi, Sr. ALL REPORTS REMAIN THE PROPERTY OF TWINING LABORATORIES OF SOUTHERN CALIFORNIA,INC.AUTHORIZATION FOR PUBLICATION OF OUR REPORTS.CONCLUSIONS,OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS,THE PUBLIC AND OURSELVES. - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. t 88/6 'Oy 7/�3/66+C1:f'*' TJ"�'Be�C TL CITY OTICOSTA,1MESA -CONSTRUCTION>d ', TsPERMIT PER'Projec•t 77 / v 90 Z7 • .._ _.. aFiG J TYPE OF CONSTRUCTION ❑ NEW ❑ ADD U ALTERATION U REPAIR Applicant's Mailing Address S _ f _ Owner's Name V ZZIG Or TO LSA Phone 057-2099 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P-# Zone " 7 3 TRNA4 DESCRIPTION OF WORK/USE OF BLDG. Atld,=ss _ S Main Building: Accessory Building: Archltng, s—�1'1y License No. TYPE OF PERMIT ❑ GRADING LI FOUNDATION ❑ STRUCTURAL - T Front Y • p Address /,y1(/ 1/`" `�6iPhone ❑ OTHERli T• El ELECTRICAL ❑ PLUMBING 10 MECHANICAL B Rear ' N Contractor's Name u,'sr '�.yt'� C Right N Address(mailing) �t(tl� PROJECT DESCRIPTION SQ. FT. OCCUPANCYK CON ST RUCTION TYPE VALUATION$ s Left G City License No • . ZONE - GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping, Ref,# Parking Req./Provided E 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 - ' my license is in full force and effect. T License Class License No. $ Date Signature PLUMBING FEES • • a r. WORKERS'COMPENSATION DECLARATION Bar Sink Showers '� • '� I hereby affirm that have a certificate of consent to self-insure or a certificate ELECTRICAL „ FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow PreventerService Sink - 3800, Lab. C.) -- Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap050+KW • A certified co - . Construction Pole Sub. copy is hereby furnished. Certified copy Is filed with'the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup 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 ❑Gas ❑Electric Sub Panel • I certify that in the performance o.the work for which this permit is issued, I shall not employ any person in any mann- so as to be o e sub'-ct to the Drinking Fountains Solar Tank Fan Motors ❑0.1 HP 01%-B Workers' c n n ws of Calif Ord+. _ DateL��Signature . r s.. — Floor Drains R luB-P^^,.-.Spa `3 F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ . NOTIC a t r making this declarati. . you shoul. .ecome subjec - the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave , CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Range Lender's Address Kitchen Sink Water Service - Switches OWNER BUILDER DECLARATION Sign I hereby affirm that I-am'exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0-5 KW❑5.15 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 .9,.• 'Division 3 'of the Business and Professions Code) or that he/she is exempt • - -' - 1.5om and the basiscfor the allegedprm t smAey violation ofa Section /1/P ,� i (� mT 7031.5-. It any applicant for a permit subjects the applicant to a civil w�/s/� r I[ ' Icy of not more than five hundred dollars($500). '" , 15_ I, as owner of the property et my- fli y its -a^ s . _ Reinspection Fee. I $15 Issue Fee $ 3 • - ' a„J`yl �_ •^^ will do the work,and the structure is not intended or offered - Reinspection Fee 11/IjY/1'ir�r` for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 Issue Fee $ 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 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved sale, If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ pP By Date gleno n, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date trove for the purposeofsale). // i, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat: ��II 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- - tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 -Multiple 0 - System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4 Fire Dampers T ISSUANCE $ // PLUMBING $ (0.00 Date 7��4/6 Owner ��7LQ GL - � Heating System&Ducting Registers _ ENERGY P.C. $ -',/ ," - PLAN CHECK 25% $ I hereb certify that I have read this application and state that the above .. 00-100,000 BTU 0100,000 BTL GRADING $ - information is correct. I agree to comply with all city and county ordinances • ELECTRICAL $ /�- O and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM 1$ inspection sentatives of this city to enter u on the above-mentioned pro rty for - p inspection our es. 7 MECHANICAL $ TOTAL FEE . $ IU• - Slgvers' 'G / Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •Drivers' License or SS [] CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL 8/SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date • Inspector = 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms S 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ,n 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final S('21770e LAD 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 47/if LCD 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 - 54. 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 • 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer ) 43. Backflow Irrigation - 44. Landscape Irrigation System S • 45. Sound Attenuation ,A ` 46. Handicap Regulations n Y1yr 47. FINAL STRUCTURE& BUILDING ill ,�li 111//! 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY t '- No. Date �O 1t1s,4 CITY OF COSTA MESA O�', , CAIJFORNIA 92626 F.O. BOX 1200 4 • • •' FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY • gra_ Ay* . o • Project Address /773 la,(2d, r Permit L?fpo 7 z Project Name O 2 /./2 016//q Type / Owners Name o z 44D O'A/G Owners Address X77 lal/c 56/' City Use oily Owners Telephone 5572 09? I as Owner, Contractor, Agent (strike out all except one) do hereby attest that employment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are employed under the provisions of this permit, I shall imrediately cause a valid Certificate of Workmen Compensation to be filed with the Costa Mesa Building Division. I agree to defend at my own cost, arra to indemnify and hold harmless, the City, its officers, agents and/or employees, from and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly frau, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will comply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. ('Av/V 29 0770// /). Print None, II 6/5-; eS/O Signature Date CMF 0777-46 . Or7 C-'-9 CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 6.1" --Sig;) DATE/2 in y f99 i LOT NO. 7� ADDRESS ,/773 r9 Gs?z tat The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The uhdersigned, by executing this agreement, acknowledges that (he-shed (was 0 ,40 advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. '// BY ,�llfl A Pa chaser BY , i:ccoc.q a Developer and/or thorized representative BY Z•A. fE02.Q/9G� - z Lender 18989 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLRG.NO., CONSTRUCTION PERMIT if- 4Q ID • . • Project Address 1773 Tanager D . TYPE OF CONSTRUCTION 2897 7/15/82 . 6.00 IL ' Owner Ottolia Phone 0 NEW 0 ADD ❑ ALTERATION "(is,/1 (� ❑Address same 557 2099 0 REPAIR 0 CONVERSION 0 DEMOLISH ZONING REGULATIONS / Arch/Eng. License No. OTHER * CO Address - 753- DESCRIPTION OF WORK WA1-nr haR1-nr • A'P' replacement ZONE PLNG. REF.le Contractor General Installatiorhone 2541 TYPE OF PERMIT .. - - 'BUILDING TTOo BUILDING SETBACK C/L ST. PROPERTY LINE Address 6558 West Blvd. .1.A.90043 ❑ GRADING . 0 FOUNDATION ❑ STRUCTURAL SLOE YARD LICENSED CONTRACTOR DECLARATION - LEFT ❑ TENANT 0 ELECTRICAL}U PLUMBING ❑MECH ANICAV SIDE YARD I hereby affirm that I am licensed Division provisions of Charter 9(corn- RIGHT Pofeisi s with section 7000)myof eivIsio I 3 ll the Businessad and 0 OTHER Professions Code, and my license Is In full force and effect. PROJECT DESCRIPTION REAR YARD(TO P/L) License Class Luse No.191839 PKG.SPACE REQ. PROVIDED Date 4/5/55 Signatures 'Q'/- **S•. - SQ. FT. STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-insure or a VALUATION - • ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy •- 'thereof(Secti4 I QOLb. C.).Company SCIF GRADING CU.YDS. ACRES SPECIAL CONDITIONS: Policy No. L111 vi b Certified copy is hereby furnished. REMARKS: - Certified copy is'filed with the city Building Division- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (Thls section need not be completed if the permit Is for one hundred - _ ($100) or less). ••' I Certify that in the performance of the work for which this permit i issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers'Compensation Laws of California. UW tLLINt. - - GH kMt, Date Signature BATHTUBS SHOWERS SD.FT Sn FT NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must _ TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50 + KW revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS — _ MOTORS 0-1 HP 1-10 HP I hereby-affirm thatthere'is a construction,lending agency for the per- 'SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+ HP - - ' formance'of the work for which this+permit'is issued (Section 3097 Civ. C.). \ -.-�_, FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name '• - - - Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNS - OWNER BUILDER DECLARATION - INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNO I HUL I ION - -. Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE - AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT ' - 3 .00 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS sole compensation, will do the work, and the structure is.not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE S )0C) APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not Intended or offered for sale- If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING ❑ I, as owner of the property, am exclusively contracting with - PERMIT $ SMIP $ licensed contractors to construct theproject (Section 7044, Business AND DUCTING _ yid 100,000 +gTV PLAN CHECK $ PERMIT VV and Profeof t: Thebuild orContractor's LicenseroveLaw does a not apply to ISSUANCE $ an owner of propertyprwho builds improves thereon, and whoa con- REFRIGERATION 0-100,000 BTU -PLUMBING $ QQ the •from such projects with a contractor(s) c¢Sn¢tl pursuant to SYSTEM - GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK 4 ❑ I am exempt under Section B.& P.C.for thisBOILERS BTU ELECTRICAL $ $ reason - - PLAN CHECK $ MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE 'MECHANICAL $ LESS information is cateect, agree to comply with all city and county PLAN CHECK $ VANCE PC $_ eand state relating to enterrepresentativesthis upon the above mentioned propertyfo ins tion purposes. Signature l /i•%�/Lrzr4n' Date 7/8/82 ISSUE FEE _- FINAL FEE $ 6_00 Drivers' License or SS $ CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING - POOL&SPA • Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - • - - - 45. Forms 4. Electrical Conduit-Undrgrn •• 46:_ -Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test - - - 6. Electrical UKER Grn • 48. APPROVAL TO COVER-GUNITE. - • " • 7. Footings 49. Electrical Conduit-Undrqrn - • 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines-P-Trap, ❑ Undrgrn 10. Structural Floor System52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final • 12. Street Sewer Connection _ 54. Heater & Vent-Final -. 13. Rough Plumbing _ - 55. Plumbina System -Final • 14. Rough Electric-Conduit .56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning b8- Fencing &Access Approval 17. Ducts, in Structure • _ 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating -. 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing • 21. Roof Sheathing 22. Frame and Flashing NOTES: J r'//8y anreell.A641-Losizit 23. Insulation _eV)r Y /41/. 0.4. ry �cf 41 24. Lathing & Siding. ��/- -✓ 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating &Air Conditioning - 30. Final Gas Pipe-Test 31. Final Plumbing 32, Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System , 36: Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING • 39. Special Requirements Completed 40. Electric Release to Edison . • 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date PROJECT ADDRESS: 1773 TANAGER DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064410 OWNER'S NAME: OTTOLIA, OSWALD • ADDRESS: 1773 TANAGER DR PERMIT NO: B 064410 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA, CA 92626 1 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : T/OFF RESHT,REROOF W/LITEWEIGHT TILE SQFT: 9, 800 PERMITTEE: CLAIM VALUE: 9, 800 , 00 CALC—VALUE: 9, 800 . 00 GROUP OCC: R-3 /M-1 ADDRESS: EVERGREEN ROOFING ( 714 ) 529-7427 1175 ORANGEWOOD DR COMMENTS: REROOF W/4 , 5PSF LITEWEIGHT TILE I .C ,B4O, # 3682 , CA..926,21 �E+E**�E**TE** ESE**�E+E******�r�E*TE�E�E�E******* ****�E*TE+ETE+E�Er*****+ExTEx*�E�E�E***+E*�E�6*�E*****eE** LICENSED CONTRALTO ATION: I hereby affirm that I am licensed under provisions o aper 9(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. ZONING R EQUIR EMENTS CITY LIC.: STATE LIC.: SS: SETBACKS LIC.: 6155 3 C37 • �$' Dale'. /7 ' Z ��! 7 signature:— MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l avec certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICYND.: PWC210200 EXP. DATE: 11 /25/93 COMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 13962401 ZNE: REF NO: _ ❑ Certified copy is hereby furnished. LX Certified copy is file. i. he city Building Divisio PLANNING NOTES> Date: /0 ft -71 Applicant: ***************,**************************************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: his section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E NrrT S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BYDATE: • Dale: Signature: NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. DATE' CONSTRUCTION LENDING AGENCY: 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). APPLICATION ISSUED BY: // 77 ******************************** ************************** 7 * **** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY .STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES:: (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 117, 0 GRADING repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement That he/she is licensed 9 8' pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business i' SMIP/NON E—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN '•:r any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 117 . 9 8 0 , 00 0 0 . 00 117 . 98 117 . 98 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 117 . 98 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING- PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 117 , 00 "C . 98 A" ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon r" • and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *********,********************************************************************** that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. B P.C. INDIVIDUAL F E E BREAKDOWN for nis reason: DESCRIPTION TYPE QTY TOTAL COST Date: Owner: I do hereby cemfy that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533•and SFR 980REROOF BY VALUE RESIDENT IAL NOZ ONE 1 . 00 9, $0 0 , 0 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a ;END OF FEES :' permit for construction or modification from the Air Oualily Management District.Residential construction applications are exempt from '✓� i these provisions. t/v' r;. Date: Applicant: . I hereby certify that I have read this application and stale That the above information is correct I a ee to comply with all city and county ordinances and stale laws relating to building construction and hereby ize representaliv of city to enter upon the above-mentioned SMOKE DETECTOR,' property lofor( s inspection purpose Dale'. / --/2—7 _ Signature: REQUIRE') �� Driver's License or Social Security (lL`s(v .. 0A QD 210/12/93 l71� 13:40TnT ii/.Q$ DATE: 10/12/93 TIME: 13:40 1641-16 White—Building;Green—Code Entorcemenl;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor i i w -6. �, 111 CONSTRUCTION AND PLANNING POOL & SPA Date Inspector Date Inspector I APPROVALS Permit# r APPROVALS Permit # oi 1. Temporary Electrical Service o'r Pole 'e.1 ... Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �' fel 53. Steel Reinforcement '" 3. Electrical Conduit Utility-Undrgrnd. 54. Forms -1",e, 4. Electrical Conduit-Undrgrnd. 'kyr 55. Electrical Bonding A- t 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58, Electrical Conduit-Undrgrnd. 8. Foundation �j 59. Gas Pipe, 0 Undrgrnd.,Test �rJ 9. Water Pipe-Undrgrnd. r I #. 59. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 4' 10. Structural Floor System li i} 61. APPROVAL TO DECK ". 11. Property Sewer Line & HouseiConnection r 62. Backwash & Receptor-Final 12. Sewer Ca i r 7 P / m 63. Heater & Vent-Final L 1 r • 13. Roof Drains /1/1 64. Plumbing System - Final 7ev 14. Rough Plumbing 1..-4 // I- 65. Electrical-Final ff1 15. Rough Electrical-Conduit - ", r r, 66. Solar System-Final I I ( 16, Rough Electric Wiring { 67. Fencing & Access Approval I 17. Rough Wiring Sign , 1 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Cieiling I 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning t 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 ❑Oil , 25. Roof Sheathing fe-ff_-C13 &c.--6' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • r 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing& Siding . 77. FIXED SYSTEM FINAL y . _ (7 29. Insulation 78. FIRE PREY. FINAL p tr., 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT ? tF,i 31. Plaster Brown Coat 79. FINAL INSPECTION I -32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED t 9i 33. Final Electric �� ate_ a1e. G f Notes: 34. Final Heating & Air Conditioning - r i .• 35. Final Gas Pipe-Test 3. i 36. Hood or Canopy 1 I 37. Final Factory Fireplace , • 1 38. Final Plumbing . 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /Z-21_C1) QW �� SLw'/61, /1 d/M� o-b � _Q 48. FINAL PLANNING 011 � 49. Electric Release to Edison •'�,.- _ 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY u' • No. Date 7 6 33715 /0C COSTA MESA BUILDING-SAFETY DEPARTMENT G„7 - _ IS i 1 i P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECesD(� DAATE REC IVE& _DATE ISSUED ED BUILDING � A� �/ fC ''Q /BUDRESS / 77 D I 6-14_.s Oi./ 'wI-ems P :iT /.5 OWNER --",,rMa • A.P. NO. tadeorif. (21-1,0r MAIL BUILDING /7//--7 � ADDRESS V ^ . /%Ct[ � /r� ADDRESS i Q I LIy / z W W TEL. (a t 3) • 0 CITY • •.•• NO. ,2� TRACT 7,51 LOT / r' BLOC BLOCK HZ CONSTRUCTION / 4 NEW • ADD ALTER $EPAIR MOVING DFMOLISH 0< LENDER _ s _� p _ O. 03 / J r BRANCH /' .t /t , QJ CA W OWNER //L✓r1 L/ i /_SO2//!" 'i ADDRESS CO J ,n ��//�j��/�J��yVALUE / � •tl] ARCHITECT /I / ' TE L.p USE ' ' V' ""f ' en• S. g/,�-r, J OR ENGINES ('/ .16 a�-- -�-�N NO. 07o -SfS2/ U UQ FIRE / � / [1 LIZ • w ADDRESSa5-45 f Pts ...,... 4.(/_QGJs,�pr 20NE TYPE V GRO T l-.� -- !- APPROVED J O CONTRACTOR ( LL,24 sal J, N_ 1 A1 BY DATE mZ J cc ADDRESS (IC � ' ` - � W t 1�"�" TEL. �`l; ZO/�/g NO.OF USE OF NEW 4, -d Z1- CITY B_,� 1;44 ,eA NO. .51-0-Mn /'� PLANS - BUILDING il. /�. W O STATE CITY 'I^r' YARDS APPROVED YARDS APPROVED j O LIC.NO. I 6 23 LIC.NO.c2.n MAIN BUILDING ACCESSORY BUILDING SIZE r f • NO.OF BLOCS. (FROM C/L ST7RII�E.)y:�T),PA- 0 L OF LOT(p a i 0 c) r.0...k7) 1 NOW ON LOT 0i _FRONT AO FT. / FT. USE OF L EXISTING BLDG. '/, ` R SIDE 't'5 T. FT. 2 NSIZE EW BLDG.,..•., J �/ ROOMS /0 STORIES L.SIDE 9. �T. FT. U EXTERIOR WALI �' ROOF (��Q � � ^ COVERING ()�I.(I,LC.Q [ROOF � �''�Q'�� REAR Os / FT. FT. ..J USE OF B I rGG AND WORK TO BE PERFORMED u d ' �r t _ ,� ^ DISTANCE BET. BET.MAIN& (j��p.ax. _ MAIN BLDGS. ACCESS.BLOCS. Q VAR.* DATE O RAP; (/C.U.P.# APPROVED/J '/ 7/ APPROVED?/1 � DATE i6' Y c./., z O Nnt,D FOR SPECIAL REOIITRFMFturc UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of co N the State of California. . ,^r �7� 0 Z I hereby certify that I am properly licensed as a contractor under !/l7/X// SQ. FT. ,,// o the State of California Business an• ofessions Code, Division 3, THE AMOUNT SHOWN UIIDER VALUATION IS FOR o Chapter 9, and hat such licenses . n lull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2 am exempt fr• the pro ' ns••State of C:Ir ornia Business VALUATION and Professi• ••ode,D •n 3, pter 9. / // p 0..� N PERMIT FEE $ ! , O Signature of r a,[' s? $�Q clIE Permittee ,-,i/�i //� $34:�JI,J O I PLAN CHECK $ /7? -5" Au[hariz.• gent a TOTAL FEE $