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Home My WebLink About917 TANANA PL - Building Permits� (714) 754-5273 • Fax (714) 754-4856 JobAddress: 917 TANANAPL Suite No Vicinity: AT REAR OF HOUSE Parcel Nunmber: 41805218 Applicant: HARRIS, MARK R Address: 917 TANANA PL COSTA MESA, CA Owner: HARRIS, MARK R Address 917 TANANA PL Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to thp Motors to 10hp Mators ro SOhp Mators to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole COSTA MESA, CA CITY OF COSTA MESA BlIILDING DIVISION 4 DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT Phone: (714)556-5507 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: SCOPE OF PERMIT ELECTRICAL FOR SELF CONTAINED ABOVE GROUND SPA. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.10 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 700 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Cirws ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee NUMBER 3 77 FAIR DRIVE, COSTA MESA, CA 92626 swtus: ISSUED Applied: 10/5/1999 Issued: 10/5/1999 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $1820 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $42.80 COMMENTS I SPECIAL CONDITIONS NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSA710N DECLARATION: � I hereby attirm under penalty of perjury one ot lhe following tleclarations: ❑ I have and wiil maintain a certifiwte of consent to self-Insure for workers' compensetion, as provided for by section 3700 of the Labor Code, for the pertormance ot the work fOr whith this permit is issued. ❑ I have antl will maintain workars' compensation insurance, as required by section 3700 of the Labor Code, For Ihe peAormance oi the work for which this pertnit is issued. My workers' crompensation Insurance wrtier antl policy number are: Carrier: Policy Number. (This section need not be com0�eted i/ the peimit is valued et one hundred tlollars ($100) or less.) ❑ I certify that in the performanca of the work for which ihis pertnit is issuetl, I shall not employ any person in any manner so as to become subject to the workers' compensetion laws of Califomia, end agree ihat it I should become subject to the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall fonhwith comply with ihese provisions. . Applican� SignaNre: Date: WARNMG FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO�LARE ($100,000�, IN AODITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CADE, IIJrEREST, AND ATTOPNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm �ha! I am licensed untler Drovisions oi Chapter 9(commencing with Section 7000) of Division 3 ot the Business and ProFessions Code, and my license is in full torce antl eHect. Lia # Class N Comractors Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm that there is a consiruction lending agency for ihe peAormance ot fhe work tor which this permi� is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: SignaWre: Da�e: OWNER-BUILDER DECLARATIONS: I hereby affirm ihat under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires a permit to consimct, alter, improve, demolish, or repair any simcWre, prior to its issuance, also requires Ihe applicaN tor such permii to tile a signetl statement that he or she is licensed pursuant to ihe provisions of the CoNracmrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt therefrom antl the 6asis for tha allegetl exemption. Any violalion oi Seclion 7031.5 by any applicant tor a permit sub�ecis ihe applican� �o a civil penalry of noi more �han live hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl Ihe siructure is not intended or oHered for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law tloes not apply to an owner of property who builds or improves thereon, antl who tloes such work himself or herself or ihrough his or har own employees, provided ihat such improvements are not intended or oHered for sale. If, however, Ihe building or imprevement is sold within one year of completioq the owner-builtler will have the burtlen oi proving that he or she did not build or improva for purpose ot sale.). ❑ I, as owner of ihe propetly, am EXCLUSIVELY CONTRAC7ING WI7H UCENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner ot property who builtls or improves thereon, and who wniracts for such project with a contractor(s) license pursuant to ihe Contrecrors License Laws.j. ❑ I am eze/m°��u/r�der s Business end Professions Code for ihis reason: Signawre: ///__, il� �^ Dare: �` S ' Owner ID veritied by drivers Iicense. ❑ Ve5 ❑ No DnverS LiCen50 No. � ExpireS: Verification of Ownership by (type of document, i.e. - property tae bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IPICA710N: ❑ I hereby certity tha� no excavation five (5) or more feet in depth into which a person is requiretl to tlescentl, will 6e made in connection with work authorizetl by Ihis permit, and that no building slmcNre, scaffolCing, talsework, or tlemolition or tlismantling thereof, will be more Ihan ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owneo-builtler, I will not employ anyone to do work which would require a permit irom ihe Division of Intlustrial Safety, as notetl above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF ENTAV: I certity under penalty ot perjury ihat I have read Ihis application and state that the iMormation given is correct. I agree to comply with all state laws antl city ordinances relating to building cons�mction, antl authorize representatives of the Ciry of Costa Mesa to enter upon Ihe above-tl ed pr perry for ins ecf n purposes. I egree not m occupy or allow occupancy of any building amhonzed by this permit until final inspection. ;y�� ?� ��_.� /a - S- 9 9 ignature Of Legal Owner(s) Date And/Or Authorized Applicant COpE �, INSPECTIONTYPE p0¢, INTRIALS 1616 Fizea System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Roof 207 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2446-46 COOEX INSPECTIONTYPE 206 Final Machanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy OATE 0 24 N TR �i i aa�rvn��n ru Pfl6JECT�DOflESB: FREn�RICK BARTHE OWNEN'S N�ME: j j�E noosess: 434-6162 RflL1UEN01NEEN: R�ORESS: FRED�',RICI( BARTHE PEHMITTEE: ) 17 TANANA PL RDOHESS: C , M , UNR: flE0.N0.: UNIT: (714)434-6162 CA 92626 11CFN5E0 fANTMCTOB OECIAlUTION: 1 hereEy aflirm tAai I am IitenSM un0¢r prOVLtionS ot Chaphf 9(commencinp wit� S¢ttion 7000) of Division 3 oi Iha Busin¢55 and Pralessions COUe, and my ticensa is in fuil lorce aM effect. CITY LIC.: �� /��, Sf�TE llt.: ��' ^ UASS: / // / ^^�: Si=#N-9V SiAnaWm:_; � n 1<1 i,L1 IXEHS' LOMPENSFtION OECLAAATION: I AereCy aKrm ttut I have a urti/i e ol corisent ro setl-insure or a certifiwta af Workers ,npensation Insurance, or a ceNtieE copy thereal (Sectim 3800, Lab. C�. roucr xa.: exr. o�n: fAMPRNY: ❑ CeNfieO copy is hereby fumishe0. ❑ Cetlified coDY is fileE with the ciry Building Divisian. oate: Applicant: E%EMPiION FAOM WOPKEIIS' COMPENSITION OEfAAHATION: (1Fis sectim neeU not be rompleLLtl il Ihe pemil is la one huMrM (5700) w kss�. I certity that in t�e peAormance of the work for which ihis permit is issuetl. I shall not employ arry pe in any m nner sa az ro Decame sublect to �(hle Work�ers�' Compren wn Laws o Califomu. (� �/{�/ ��/�Q/�,,�� i Oate: �'�7� Sipnature: / / � ��l/L,L'(A/(/ – ./ NOTICE: It, aher maldnp tNs tleGaration, you shaWE bewme su6�� 'ttt to the�War�ers' Compensatlon pmvisions al Ihe Labor CaCe, you must lorthwit� camDly mth wc� D�a'�ons or tluc perrttit shall Oe tleeme0 revoke0. CONS7qUCTION 1EN01NG �GENCY: I �eaby amrm Oiat ihere is a cansVuction lendinp apency tor Ne De�ormance ai the work far w�icA t�is permit is issueA (Sectian 3097, Gv. C�. IENDEH: RODflE33: OWNEP BUILOFR UECUMTION: I hereby aKrm Ihat I am eKempl irom t�e ConUactors' State Licenu Law for ihe followinp reawn I(Section 70.31.5 Busineu an0 Pmlessional COGe: My ury of counry which reQuires a permit to mnsimct, alter, ImO�ove, Aemolish, or reDair any stmcture, pdor to iLs iuuance, also rzQuires t�e appliunt lor suc� De�it to tite a siOneA statement that he/s�e is licansetl pursuant to the pmvisions ol tAe Contractars' State License Law (Ctupter 9(cammencinq wit� Saction 7000) of DMsion 3 0l tAe Business ' Vmfessians CoAe) ar t�at �e/s�e Is axempt t�erefmm and tM Oasis lar t�e atleqeA enemD�ian. Any dolation of Section 7031 S Gy ODlicant lor a permlt sublects Ihe applicant to a cNil penalry oi �qt rtro2 ehan live huMaE Edlars (SSUO�. I, as owner ol Ihe pmperty ar my emybyees xit� wapes as ehelr sole compensatlon, wiil Da IAe woM, and t�e L] simcture is not intenUeA ar ottemU for sale (Sectlan 70dd, Business anC Protessional COEe: The Contracmrs' State Llcense Law I Aces not aDD�Y ro an owner ol a DropeM who huilM1s or improves t�ereon, an0 wtro Ooes such woM1 �imselimerself or Nmup� Ais or Aer own employees, D�oNEM Nat such imDrovements are not intentled or ottere0 lor ule. It, �owaver the huildin0 ar Improvement is solG witAln one year ol comD�etion, the owner will Aave Ihe Curden al OmNnp �e/s�e Oi0 wt OuiIE or impmve lor the oumose o� ulel. I, u owner ol t�e D�operty. am exUusiveN conVactlnp with IicenseG wntractors to conslmct tAe D�olect 1Section 7044, Business ❑ an0 Pmlessions Code: The COntractors' S�ate L1refLre law Uce5 not appty to an owner ol properry who �Wlas ar imD�oveS thereon and wha coniracts br such prolea�s c�tA a contracmqs� license pursuant �a tAe Contraqors' State License Law�. I am aware t�at D�� of Iheir Warkef's CompetrsiFion.insu2nce 51mu10 Ae proviOeO ta me. � I am eremD� un0er Section: B. 8 P. C. for Ihis reason: � oate: � oZ0- 90 owner: I do �ereby ceniy ehat I am awam of an0 unGerstanC t�e 2puirtments oi Califomia Healt� antl ery Cotle Sections 25505, 25533, anU 2553d anA t�at I or any futum OuilEinp occupant vnlWnll not (drele one) neeO to compry with SaiE state coEes anE the aquiamems lor a permit lor canstmction or motlifiwtian from t�e N'– r u�alM Manapement Oittnct. HeSiCentul consimction aDV��tions are exempt from ihese D�sions. Uaro: RpDlicani: I hefehy ceRily Ilwt I have rEaOlhis appliWtlf oNinances anA state laws rehtinp to EuilAin�a pmDerry forinspection pumoses. � Oate: ��aU �� nver's Liunu or Social Securiry M: rmatlon is correcL I apree to Comply with ail city and counry � aD�sentntives ot t�is ciry to enter upon tAe above-mantione0 ' � ,� /J . _ 18a1-Cfi W�ite—Bu1Wi�g; GreerCaEe Enlorcement; Canary—Applicant; Pink—Revenue; GOICenrotl—Avessor CITY OF COSTA MESA - BUILDING PERMZT PERMIT NO; B 048626 PLAN CHECIC NO; N CONSTRUCTZON TYPE; PERMIT TYPE: JOH DESCRIPTION : REROOF 1465SF RESID S ATT. CLAIM VALUE: 2,500,00 CALC-VALUE: STR GARA W/COMP S PERM NO: B 048626 GOVT: N SUPP: N PURPOSE: OTH SQ FT; 2,500 2,500.00 GROUP OCC: R-3 /M-1 COMMENTS: X *^, ,�c ^�T��^p *�r**�r**x+r**�r�r�x��r�r�r�***�rx�r�r��r**��*+��**�r�r+�+r�*�***�*�****��r �f�@ * L {V jt �iVfl Z O N I N G R E Q U I R E M E N T S SETBA�KS REQUIRED ' ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT ZN LEFT; FT IN RGHT; FT IN , PAAKING REQ • PROV; PARCEL; 41805218 ZNE; REF NO: PLANNING NbTES> > if !E dE iE it ff if iF M iE iE iE �E �t it 3f iE iF jE iE iF iE it it iF iF iE i! ik iE iE iE jE iE ik iE it if iF iF iF iE it %1E it iE iE it iE iE ik iE iF fk iE iE 1E iE iE iE iF if iE if i! iE if iE jF iE iE if if iF iE iF * iE D E V E�`L O P M E N T S E R V I C E S R E Q U I R E M E N T'S ZONING APPROVED,'BY DATE: HUILDING APPROV£D BY : DATE; �' APPLICATION ISSUED BY: c�- DATE: �� ****�r�rir�t�r�r�r�r*�r*iF�r�t****��t3FiF��r�tiFTE��r�rx��t�iF�r �r'�F�FIF'�iFiF��r�FiF�F3FiFitx�ar�**�tr** et * ** it k ik * iE if it it ik if �F k 4 if M ik ik i! iF iE iF iE it it it 1E ik iF jf �E fk i6 if iE 1E fE iE iE if ib ib it it it i!!! * jk it 1F aE iF ik iE i� iE it if iF it iF iE 1E iF jE it �k 1t iF if ik iF iF 3F ik 1f k ik ik LEGALIZATION:N � F E E S U M M A R Y STRUCTURAL SEGMENT:Y bLDG PMT PLUMBZNG ELECTRIC MECHANIC FIAE SMIP/RES GRADING PERMIT 54.00 .50 SMIP/NON-RES PLAN ISSUE FEE � HUZLDING-DIV-> PEAMIT ISSUE PI,AN-CHECK TOTALS----> 59.50 0.00 . 0.00 TOTAL PAID DUE 54.50 54,50 .00 REVENUE DIVZSION TOTALS--> COLLECTED: 54.50 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 54,00 ,50 k it 1E iF it �E i! jf if ik ik iF if ik ik iF ik j! iE it ik it i! iE 3t iE if if * ik iE if 3k iE iE 3t if ik k iE if iE af iF iE iE iE ik if jF if it �E iE iF iE iF 3k it iE 3k �E iF if 1E it iF if ik �f �k 3F iE aF * i6 �16 iE ik I N D I V I D U A L F E E b R E A K D 0 W N TYPE QTY D E S C R Z P T I 0 N UNIT COST TOTAL COST SFR 2500 REROOF BY VALUE RESIDENIAL NOZONE 1,00 2,500.00 END OF FEES � 'i OS 00067239-Q6Q6784�J T U'a ,Su DATE� �J$!20!9� 'tItiF_. 08: zs . �, • CONSTRUCTION AND PLANi_...� 'OOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector t. Temporary Elec[riwl Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Elec[rical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcemen[ 56. flough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. P�ope{ty 5ewer li�e & Housa Connectio� 62. Backwasfi & Receptor-Finat 12. Sewer Cap 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough EI¢ctrical�Conduii 66. So�ar System-Final 16. Rough E�Ectric Wiring � 67. Fencing & Access ApP�oval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough factory Fireplace APPROVALS Permi[ # 21. DuMs, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing ��_q� 6 W 74. Overhead Nydro 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. Orywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brpwn Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ��l�q�� µ��(''Q �� 0� _ / 34. Final Heating & Air Conditioning G'(��/ 35. Final Gas Pipe-Test 36. Hood�orCanopy � 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Fina1 40. Gas Service-Ftnal 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Fiegulations 47, fINAL S7RUCTURE & BUILDING y_ ��- b,k, 48, FINAL P4ANNWG 49. Electric Release to Edison 50. Gas ReleaSe to Southern California Gas C4 51. CERTIFICATEOFOCCUPANCY No. Date v Aoo��ant to flll in all spacas ezeept lhose witnin neavy CorCer Iines antl slgn all aDo�ooriate tleclantions. CITY OF COSTA ME�� QJVSTRUCTIOI�f,� ER�I� Project Address g �r�p� _ � Applicant'sMailing dress .,,��. Owner's Name 'A Phone � „ Address �U Arch/Eng. Litense No. Address . � �//�q� Contracror's Nam �� Pho /_�'_UJL— Address (ma � nal City License No �ICENSED CONTRACTOR DECLARATION I hereby atfirm that I am licensetl untler provisions of Cnarter 9(commencing with sec[ion 7000) of Dlvision 3 0/ tha 8usiness antl Professlons Code, antl my license is in full fy��ntl effec[. �� Q-��_ Si9nahre �€RS' COMPENSATION DECLARFTION . ��fiirm tnat I nave a certificate ot consent to zelf-insure or a certificate �rs' Compensa[ion Inzurance, or a tertifietl co y tbereof (Sect on �b. �q �9a rj -�s No. Company lifietl capy iz hereby turnishetl. f" ie coP is filed w'i�tPPl caotY B�n�%�'��r � �/ A_ � i ms secnon neea no� oe compieiea n me permrz rs mr one nunarea (Sauu) or less). 1 certify that in the performance ot the work for whlch this perm�i is issuetl, I Shall no[ employ any person in any manner so as to become subject lo the Workers' Comp¢nsation Laws of Cali/Ornia. Date Signa[ure NoTICE: If, a/ter makin9 tnis aeclaratlon, you shoultl become subjett to tha Workers' Compensation provisions of the Labo� Code, you must lor[hwith comply with suU provisionz or this permit shall be tleemea revoketl. CONSTRUCTION IENDING AGENCV 1 hereby afflrm that there Is a constructlon lentlin9 a9ency br the pertormance of [tle wark Por which tbis Oe�mit is issuetl (Sectlon 309]. Civ. C.) Lentler'z Namc LentlCr's AGtlre55 OWNER BUIL�EH DECLARATION I hereby aiflrm that I am exempt irom the Con[ractor'z Llcenso Law for the following reason (Section ]031.5 Businezs antl Professional Cotlo: Any clty or counry whlcM1 require5 a p¢rmit f0 cOnsl�uct, alter, Improve, tl¢m01{Slt or �opai� any Stru<ture, prior to Its issuance, als0 rGquire5 thu applicant to� w�h permit �'.�a signetl slatemenl fhal hC/Sbe Is Iicensed pu�suanl to lhe p�OviSiOns Oi n;EVactor's License Ww (CnaD�er 9(commantlng wilh SecNon 7000) ot Divuion 3 ot the Business antl' Professions Coae) or Nat he/sha is exempt iherelrom antl tho Oasis for t�e allegetl exempUon. AnY vlolatlon ol Soctlon 7031.5 �y any appllcant for a po�mlt sub)ects tha appllcant to a Clvil �endlty ol not more Man five huntlretl tlollar5 (E500). I, a5 ownar ol the propa�ry or my omployoes with wago5 a5 thoir solo compensation, will Eo tho work, antl tha struttura is not Intenpca or olfaratl lor sale (Section ]044, Business antl Protesslonal Cotlo: The Contraclor'i I_icensn 1., w aoes not appry to an owner of a property wlt0 bullAs o� Improvas thereon. ana who tloos such work nlmselt/horsell or tnrough nls or her own employ¢o5, provitl¢tl Ihat such Imp�ovemenls ara nol intentlotl Or olle�etl fo� sale. If, boweveq tM1e bulltlin9 or improvemenl IS Soltl wilhin Ono yea� of com- pletlon, tbe owner will havc the buttlen OI Proving ha/she tlltl noI builtl or im- prove tor the purpose a/ Sale). ❑ 1, a5 owner ot ttle property, am ezcluSiv¢ly Contractlnq with IlcenSCtl COn- tractorsto construct the Oroject ISectlon �04a, Businoss antl Pwfessions Cotle: The Contractor'S License Law doez not apply to an owner ot property who builtls or improves ttiereon, antl who conlracts fo� such projecl5 wltM1 a con- tractor(sl imense pursuant to the Convactor's License Law). I am aware that proof o( their Worker'S Compensatlon insurance shoultl be provitletl lo ma. ❑ I am exempt untler $¢c(ion B. & P. C. for lhis reason Date Owner I hereby certity that I have reatl thiz application antl sWte tnat the above information Is correc[. I agree to comply with all tity antl county ortlinancos antl state laws relatinq [o builUin9 �onstruction, and hereby autnorize repre- sentatives of tnis cily to enter up tho above�mentionetl property for inspection pu 5 Signature Datz�� 8� Drivers' LicenSe or ApPlicant: Pink - Accountinq; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinel Warer Closet Water Heater Water Service Auto�Wash Laundry Treys Issue Fee Hoodor Typel ❑ Cunopy Typell ❑ Refrigeration System ❑0-100,0008TU ❑100,000 System Repair/Alteration Fire �ampers Registers Issue Fee FEES 5 3 FEES § 3 Auromatic Washer Construction Pole Sub. Cooking Unit D ishwasher Dryers �Gas ❑Electric Fan F.A,U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5 KW 05�15 8385 4/08/8� Zone Accessory Building: Parking I -1si� ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter �up Io 100 amps Meter �over 100amps Sub Panel Motors �0.1 HP �1 h� 8 Inc. Solar �9-15 HP �16-15+ Microwave Pole Light Range $tanding Sections Trosh Compactor Fae �$15 � � Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Approved By � Aoolication Issued 9v 5o0t1 TL FEES $ 3 Z O N I N G R E � M T S SUMMARV OF FEES BUILDING PERMIT $ SMIP 5 PLAN CHECK $ s � PERMIT PLUMBING $ ISSUANCE S PLAN CHECK 25% $ ENERGV P.G S ELECTRICAL 5 GRADWG $ PLANCHECK 50% $ MICROFILM S � MECHANICAL $ TOTALFEE $ PLAN CHECK 25% $ CONSTRUCTION AND.PLANNING POOL & SPA APPROVALS Permit# Date Inspector p�ppROVALS Permit # Date Inspector 1. .Temporery Electrical Service or Pole _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Condui[ Utility�Undrgrnd. 54. Forms � 4. Electrical Conduit-Uncirgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Foo[ings � 58. Elec[rical Conduit-Undrgrnd.['• 8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test�� 9. Water Plpe-Undrgrnd: - 60. Backwash Lines, P-Trap, O Untirgrnd. 10. Structurel Floor System 61. APPROVAL TO DECK '� ' ,� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 1:.; 12. Sewer Cap 63. Heater & Vent-Fina� 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 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventila[ing 71. Product Piping OGas ❑Oil 23. Gas.Pipe-flough & Test 72. Underground Flush 24. RoofFraming 73. Undergrnd.StorageTank�Gas ❑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 37. 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 y j�r(� [�p 39. Water Service-Final ' 40. Gas Service-Final ` � � 41. Solar pomestic-Final 42. Backflow Preventer � 43. Backflow Irrigation �44. Landscape Irriqation 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 1 ` 51. CERTIFICATE OF OCCUPANCY '� N0. Date � � , , . VAIC NSPECTI LOT Lh T SUBCONTRACTOR NOUSE CON. '�ROUGX MEATING ANO AIR CONDI TEMPORARY SEFVIGE OR POLE UN�ERGNOUND � POWER [ ROUGM WIFING STEEL REINFORCE SHERTMING FRAME NND FLASHING LATHING — IN n PLRSTER, BFOWN COA PLUMBING, FINAL ANO G ' ELECTRIC, FINNL BUILOING, FINAL cocnei acniueF��FNTR �' 2��;�L � COSTA MESA BUILDINGSAFETY DEPARTMENi P.O. BOX 7200 COSTA MESA. CALIFORNIA 9Z826 For Appliccnf Po ftll In Complafely TYPE OR PRINT ADDREIbs 91 Tanana P]ace COSTA MESA. CALIFORNIA �ARCHITECT OR ENGINEHR A. 294�--A Randolph Ave. Costa Tdesa, Calif. OFLOT o� X 10� ryp� USE OF EXISTIN(i BLDp. 86TBACK LIX[ PROM C6NT8R OF YTR[R � R[AR' SIp6YARDl LHPT 6• � RtQHT DESCRIPTION OF WORX S.St�ROOM8 6 ��- ROOR `Sh 7(�� , FIRB ZON! F[S 17-67PAInOD 713� t::;'�'��9ti.50 cwsa APPLICATION FOR PERMIi BUILDIN6 For Offlee Use Only R[C[IiNO. � @I �Y ZONINCi ��ZOqL— / NO. o�� YY[ OF N� ILAN1 GUILDINO �� /. �I� h,/ NOTR: NO ��co�. O ALLOWED a YARGBAPPROVHO MAIN BUILDIN6 r �(PftOM WLSTR6[Tl tD 2��7 PRONT �FT. 6� R.9ID[ /� FI'. L. 91D )N RCAR � PT. DIYTANC! !R. BH MAIN BLD f VAR. � RI[B 1 QLLP.Y 1 HCRBBY ACKHOW�tOOC TNAT 1 XAV6 RHAD TH�O APPLICATION ANp BTAT6 TH�T THB ABOV6 IY GORRBGT AND AORE6 M COM. PLY WITX ALL CITY OqO1NAXCtO ,VID /TAT6 LAW/ R[OYLATINO BIIILOINO CONBTRUCf10N. 81GNATURE OP �� PERMITTfie ^ _t='"='=< �-/ /1 O^—=.-- =��/a' AUTHORRiD A6RNT TH8 AMOUM BX< ■UpPoee OP [e VALUATION � /-/,��3 y SHALL G8 LE88 THAN YARDSAPPROVED AGCESSORY BUILDINO Q DATE " a w � �0 � 0 VALYATON �B FON TXH � A PERMIT PE8 ONLY. 5 IT FEH $ � � � ....�.... c _ 'f �..�6 k Z . aU Z Q ON am J � J N Q W m J J m Q U N 2 a W ¢ d W W Z J Q m Z J Q W W O= ZN w� N Q �O J �J Y J, COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92fi26 PA10 ncT 30-73�,��.ODt2o6� ui,�*¢5.5G ForApplican[toFillinCompletely APPLICATIONFORBUILDINGPERMIT RECEIVIED /BV DATE RECEIVED DATE ISSUED BUILDING �./ Q/✓ �� O�O— 2 ADD(iESS / `J /�/ PEFML� N OWNER � A.P. NO. � W�� 14� i Mq�� BVIL�ING AODRESS P.ODRESS /}/ G—. CITV(�� l.(L/ NO�. D TFACT L LOT BLOCK CONSTRUCTION W P IENDER BRANCH �y / OWNER � �c'� E ADDRESS VAWE �C—�% ARCHITECT TEL. L� S � � OR ENGINEER N . FIRE ADORESS ZONE TVP GROUP APPqOVED D` �j,�7 CONTRACTOR � BY DATE ✓ J ADDRESS TEI. ZON � NO.OF USE OF NEW �C CITV NO. PLAN$ BUILDING STATE CITV VAROSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SI2E NO.OF BLDGS, (FROM C/l S EET) OF LOT � NOW ON LOT I ROM FT. FT. USE OF EXISTING BLOG. 7 FT SIZE OF NO. OF NEW BLOG. AOOMS STORIES L. SIDE FT. FT. EXTERIOR WALL � ROOF COVERING COVERING REAR �FT. FT. USE OF UILOING AND WORK TO BE PERFORMED DISTANCE BET. BEi. MAIN & MAIN BLDGS. ACCES'i. BLDGS. VAR. �W DATE , C.U.P.qW APPROVED �J APPROVED � 7� � rj ,>v � I horeby acknowladBa Net I �ava reatl [his applicetion anG state ' � Met the above information is correct entl aprea to comply with ell laws reB�letinB bui�tlinp consvuction, entl I s�all not employ any perwn in violation ot tha workman's compansallon laws of � Me State ot Celitomia, ' � � 1 hereby certity Mat I am proparly licensetl as e contractor untler SQ. FL � M¢ S[ate of Californie Businazs nntl Professions Cotle, Dlvlsicn 3, THE AMOUNT SHOWN UNOER VALUATION IS FOF Chapter 9, antl thet s�� licenses ara In f�ll force antl eftact, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: � am exempt irom tlie provisionsof the Stam of Callfornia Business VALVATION OO antl Profassions Cocie, O��sion 3, Chaptar 9. 5 _ � PERMIT FEE $ ! Sipnatura of ��/ � / O — � Permittee $ �� /� PLP.N CHECK $ , Authorizatl Apeni � � � TOTAL FEE $ /