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HomeMy WebLinkAbout1680 TORONTO WAY - Building Permits CITY OF COSTA MESA BUILDING DIVISION 4H _ ,• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F r .�wi 11111114 .? PERMIT " Ponars,� F04-00318 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 FIRE SUPRESSION PERMIT Job Address: 1680 TORONTO WY Status: ISSUED Suite: Applied: 12/13/2004 Vicinity: Issued: 12/13/2004 Parcel Number 13965205 Zoning: MP MP ISSUED BY: /9 Applicant: DENNIS HELLAR Address: 1170 E FRUIT ST Phone: (714)836-4800 SANTA ANA,CA Zip: 92701 Owner HSU, JOHN S TR Address 9111 CARSON RIVER CIR Phone: FOUNTAIN VALLEY,CA Zip: 92708-6437 Contractor: FIRE SAFETY FIRST Address: 1170 E FRUIT ST Phone: (714)836-4800 SANTA ANA,CA Zip: 92701 License: 599761 SCOPE OF PERMIT REPAIR 10FT OF UNDERGROUND FIRE SP RISER. FEE SUMMARY Plan Check: $108.71 Calc Valuation: $9,000.00 Permit: $167.25 Claimed Valuation: $9,000.00 Other: $0.00 Total: $275.96 NOTICE: The work authorized by this 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: (714)7545626 244646(WOO) DECLARATIONS . WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. "I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: - _ arri : F'.-PIaflew. rus Policy Number:- (.a.Sb/$3.�i 9/ section need not be completed it the permit Is valued at one hundred dollars($100)or less.) C ❑ 1 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 alifomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith • •y I ese rovi ions. i/_M .._ .•pli . "Si. : ma: J1-1,-._- Ii`^�xv-. DTC) .--? y/ • W'- • :FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ni EMPLOYER INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I h: :•y affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of D' on 3 of the Business and Professions Code,and my license Is in full / c.N c ti �n C_( n Contractors Signature: ..kt.l�� Dated /O^/7- y J --- CONSTRUCTION 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.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). . ❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon.and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document.i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which ere required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No ......applicant building 5 Does or will the tcAir or present or emen building o from at requirer for the work which is the subjectage c this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes u No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penally of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. •ign. ure Of Le (s) 77 Dale - '\ CODE 1 INSPECTION TYPE t all IMtfIAIE CODE` INSPECTION TYPE SEM Ifs 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 35 cS au- 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy s ADDRESS OFDMLGINO: 1680 TORONTO WY WIT: CITY OF COSTA MESA — BUILDING PERMIT Ogh.�MME IF Mgt.": HSU, JOHN S FLOOD : AH-37 /I PERM NO: B 074314 ADDRESS: 9111 CARSON RIVER CIR '.. a • FOUNTAIN VALLEY,CA 92708 PERMIT NO: B 074314 PLAN CHECK NO: N GOVT: N SUPP : N 1 APPL.MAIUND ADDRESS: CONSTRUCTION TYPE: 11—FR PERMIT TYPE: STR PURPOSE: 0TH ARCNRECT OR ENGINEER: UC,NO.: JOB DESCRIPTION : INSTALL B . U.R. OVER 1 EXIST. LAYER SQ FT: 16, 500 ARCH.OR ENG.'S ADDRESS: UHT: CLAIM VALUE: 16, 500 . 00 CALC—VALUE: 16, 500 .00 GROUP OCC : B-2 / ' coNmActowslwn VAN ' S ROOFING CO ( 818 ) 965-9904 Ca TRAC:ORSMMUoo 485 CRESTWOOD LN COMMENTS : 22K SQ FT BUILT UP ROOF OVER 1 LAYER Amu: WA NUT CA ucNO_ 419872 -** -****ire-***** -*******APSE********IE********************************+E************ 91789 MT: ZONING REQUIR EMENTS LICENSED CONTRACT• -DECLARATION:I hereby affirm under penalty of perjury the I em keyed wider provisions or Chapter 9 SETBACKS (mmmendrg with . '•.'7000)d Direun 3 d the Business and Prolessons Code,and my license is in lull lame and effect. CITY LIC.NO.: s .0 s: C-39 UC.ND.: 419872 EXP: MAIN BUILDING ACCESSORY BUILDING i / /� Z Z _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN °' ��i/" cornea«: %r !S LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ..• .t OWNER BUILDER D RATION:I hereby affirm under Denali of perjury that I am acme'from the Contractors License Law for the ' Idbwkgreason( ..r!7031.5Business and Pn etheCede:Anyaay«rA«wywNmreyui•a•Panteleoonawn,eeer.introe, PARKING REQ: PROV: PARCEL: 13965205 ZNE: REF NO: demd'nh.arepaiany•vuaue.Pri«wm inc"'aboregnaes theapploent fur suchpermito Ole o dgnednnae enthat hear she PLANNING NOTES> is licensed pursuant to the precisions the a Contractors License taw(Chapter 9(commencingish wSedan 7000)d Division 3 d the Business and Professions Code)or that he or she is exempt therefrom and the basis fa the eeeged exemption.Any violation of Section > 7031.5 by any eminent fore permit subjects the applicant to advd Penally of not mon than live hundred dollen hls°°D. ******************************************************************************* o 1,as owner al the property or my empire/ere with wages as thew ere compensation.will on Ne wont.and D.structure is noi intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors license Law does not appyto an Owner°,popeM who bold,or inpwes thereon,and who does.d,work himself or herself or trough he or her own employees.provided that such intwrnements an rct intended Dr gtbadint sete'It'enwever•tbe building"intRynamerd is"Id**thin tine Yr"at cncePletiun:lee ZONING APPROVED BY DATE: owaq rider rd have the burden d Proving he or she did rod build or improve for the p ree•e of sae). ❑ I.es owner a tee pmberty.an exa®vdy me'aaeg""h licensed°m°aa«e w aana"a tee pajea(seams 7°44'Business and BUILDING APPROVED BY : DATE: 7 Professions Code:The Cawrmor.License Law does no.spay to an owner d property who builds or improves Ihererepn and who contracts lar such projects with a wntrad«(e)Oceroed persued to the Contractors Lintas law). 7 1:1IamerernpwderSection: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: -Z�9S ********************** m, ********************** De Owner: LEGALIZATION:N F E E SUMMAR STRUCTURAL SEGMENT:Y I do hereby certify the I am aware of end wderna d the requirements of CaNane Hearer and Safety Code Sections 25505,25533,and 25534,and that I or any have beading occupant.we I urs ten(circle«a)need w comply with said SIMS codes and the requirements rot erm a pima for coaunctionor mock/ration horn the Ai anagemen Diads.Reederrid rwrwrudion appimidw are exempt from these PERMIT BLDGSU PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. Date: Applicant: 4 SMIP/NON—RES PLAN . .3 . 47 WORKERS COMPENSATION DECLARATION:t hereby affirm order penalty of perjury one of the following declarations; ISSUE FEE ❑ Them and mlmeotaeacendioemofyear to.eniaw«kers'wmpawnion,espro,idedforbySection370ofineLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code l«the performance awork with this permit i.issued. TOTALS----> 183 . 47 0 . 00 0 . 00 183 . 47 183 . 47 . 00 Qnone and MI manual waken'companion insurance.re required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued,My worker'compensation insane comer end"SOW number are: . . CALIF COMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 183 . 47 OVER/SHORT: . 00 alicy Number: s N QITZ 08 /07/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK A (This section need nor.4 completed a'the pet,,,4 is for ore hundred doffs,.(troD t lest 180 . 00 3 . 47 o I unify Mei i h performance of the work for which the permit is"... . .I.. not employ any prom in any manner w as to becomeeu... other cmpenwmn len d CaNmua - ag, Net O l shoo. .... wbjedtolhe"onker' ********************************************************l4C********************** aoranen - . . ore. d IM labor Code.I shelf 1. sit.oompry with I . �� I N D I V I D U A L F E E BREAKDOWN E A K D O W N I. Date: J , z2 coca: is , ' Warning:Failure to .dun workers'compenaadon coverage a unlawful,and shet .Jecan employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ores up to one hundred thousand dollars(5104O00A M addition m the doe of eompenserlen.dsmegea as p ovlded for in Seddon 3705 of the Labor Cods,lnterat,and atmrney'afea. SFC 16500 REROOF BY VALUE COMMERCIAL NOZONE '. 1 . 00 '' 16, 500 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a mnsuucim lending agency for the END OF FEES performance of the work for which the panne is issued(Section 3097,Civ.C). • LENDER'S NAME: LENDER'S ADDRESS: certify ttheaIheseing epiceonarsromathe the above infaft agreewmprywith hat city end county Odroperty and stole ewe reining to building tmdrWian and hereby authorize mpresettelYpsof this coy to enter upon the Gbe,emantoned property / for inspection purposes. TONY SILVA f ' / - �Ifi��l/1� Y Iii OG19il':,— :.1ti07=6 J : :,ti. Date: Zz"� C..=TE: OSr.!.yo5 ,,t�-.: +. �� signal/of• .iAgetlAppEamt/Caareda . (5151'46 WP) White-Buildig&Safely;Green-File:Canary-Appian:Pink-Revenue:Goldenrod-Assessor i C$YINSTRUCTION AND PLANNING pa SPA ji 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,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 r 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 ANAL 19. Rough Heating & Air Condit'oning 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 O Gas O 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 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer Q_-2f'_Q7 d4-- o nose-- 43. Backflow Irrigation l GG 44. Landscape Irrigation System jo 1R��LCLicaj _iffh, 45. Sound Attenuation ioljtf dAt� , /' r 46. Handicap Regulations // Q 47. FINAL STRUCTURE & BUI LDING -/7 48. 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No Date ;jag. LISEI1654 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. BLDG.NO. CONSTRUCTION PERMIT M—421% 0 1667 7/08/82 Project Address 1680 Toronto Way - TYPE OF CONSTRUCTION 97.D0 TL • 'Owner ARCHIVE CORP Phone 641-0270 O{NEw ❑ ADD 0 ALTERATION1.1 l-d/IQ_ ` Address 3540 Cadillac Ave, Costa Mesa 0 REPAIR 0 CONVERSION ❑DEMOLISH �"� ZONING REGULATIONS Arch/Eng. License No. 0 OTHER DESCRIPTION OF WORK TTi$tAl 1 A1'1 r111 of A.P.if •Address air conditioning ZONE PLNG. REF,q( N ' Contractor BLAKE A/C\ & Service Co Phone 630-6412 TYPE OF PERMIT BUILDING Tp g�1I ING • ( AddressSETBACK MST. PROPERTY LINE LEFT ^ 1175 N. OSprey Circle Anaheim ❑GRADING 0 FOUNDATION ❑ STRUCTURAL SETBAC YARD LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ®MECHANICAL sIDE YARD ' I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER (TO YARDP ' Professions Code, and my license is in full force and effect. REAR /L) PROJECT DESCRIPTION. License No396-109 License Class C70 PKG.SPACE REQ. PROVIDED Date 6/16/82 Signature _131.P.ELATILCICIMIC SQ. FT. _ WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEES I hereby affirm that I have a certificate of consent to self4nsure or a VALUATION - ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy SPECIAL CONDITIONS: ',ereof(Section 3800,Lab.C.). GRADING CU.YDS. ACRES licyNo. 601869 Company$tatP Comp -Inc - Certified copy is hereby furnished. _ - REMARKS: ' Certified copy is filed with the city Building Division. �f/q�- , 75-5 , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �z- (This section need not be completed if the permit Is for one hundred - - (E100) or less). '- - - 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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Subject to the Workers'Compensation Laws of California. UW LLLINO taH KH4t Date Signature _ BATHTUBS SHOWERS SO FT SO 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 that there 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'Contraclor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL - P TRAP - Lurvs I HuL_l luN 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 ap,.licant 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 less and Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT for the alleged exemption. Any violation of Section 7031.5 by • applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - L. dot more than live hundred dollars (5500). --' ❑ 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 r, Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or ISSUE FEE - - 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 ono 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 PERMIT ❑ 1,-as. owner of the property, am exclusively contracting with AND DUCTING - . . $ SMTP E licensed contractors to construct the project (Section 7044, Business 100,000 + BTU ,PLAN CHECK $ PERMIT W- and Professions Code: The Contractor's License Law does not apply to __ ISSUANCE 5 '�V V an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a .contractor(s) licesned pursuant to SYSTEM - GRADING E the Contractor's License Law). 100,000,+BTU PLAN CHECK 5 - - ❑ I am exempt under Section B.6 P.C.for this BOILERS BTU ELECTRICAL E - $ reason • MICROFILM $ , SYSTEM REPAIR,ALTERATION PLAN CHECK E M�./-�-I�G na� O�r Date Owner MECHANICAL $ �4 -'oe ��•�T®TAL FEE E ]/ .00 I hereby certify that have read this application and state that the above EXHAUST SYSTEM MULTIPLE (2) 4 00 LESS AD- ' information is correct. I agree to comply with all city and county PLAN CHECK S - VANCE PC E_ ordinances and state laws relating to construction,and hereby authorize 10) 5 H P C,OIDpregcorq 75 0o oreflves,otAlspectto city to enter upon -the above e Honed 2) 4 H.P. Compressors • 15 00 property for , pec on puff //q y € Signature ( SS.* ' ' - — CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor es CONSTRUCTION AND PLANNING POOL& SPA. APPROVALS Permit# Pt ti!(QO Date Inspector APPROVALS . Permit# Date Inspector • 1. Temporary Electrical Service or yole 43. Pool & Equipment Location • - ; .2. Soil Pipe-Undrgrn - . - 44. Steel Reinforcement - - , . -- 3. Electrical Conduit Utility-Undrgrn 45. Forms 'r 4. Electrical Conduit-Undrgrn - .46. Electrical Bonding - - 5. Steel Reinforce 47. Rough Plumbing & Pressure-Test • - . ' 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - . . 7.. Footings 49. Electrical Conduit•Undrgrn 8. Foundation 50. '•Gas Pipe, 0 Undrgrn,Test 9. Water Pipe-Undrgrn. . - - 51. Backwash Lines. P-Trap. 0 Undrgrn - 10. Structural Floor System • . - 52. 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.Svstem-Final • 14. Rough Electric-Conduit ' - - ' 56. Electrical-Final 15. Rough Electric-Wiring57. Solar System-Final 7(�fL 16. Rough Heating & Air Conditioning , /4 G i 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: ":4,118egS ,Pj& t�Fsj . 23. Insulation -- • (32i✓/1FiVS'AiIt .4.1%V.4-c. /Y<j t9,-•, C#7, 7Z L Cit 24. Lathing & Siding - - - - j/EAV`T ON 7:e. itaeewr F -s¢-fZ 25. Drywall Nailing ' - - POE. " ' 26. Plaster Brown Coat - - . - . - • ' 27. Electrical Power Meter-Final - . . . 28. Final Electric 0/21 29. Final Heating & Air Conditioning g z4-PL 30. Final Gas Pipe-Test -r . . • 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 - - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. QTY ON COSTA MESA PERMIT f&OO TRACT NO. ' LOT NO. BLDG.NO. CONSTRUCTION PERMIT GG- .3� 7899 6/16/82 8.00 TL • Project Address�f� �ifl Cs0..1.-. �v. TYPE OF CONSTRUCTION Owner 1�s1Z••ckt v ei • Phone (,YI_p'fcJ NEW ❑ ADD ❑ ALTERATION (,yt ALTERATION , Address \j,. C.,(10reek, 0 REPAIR 0 CONVERSION ❑DEMOLISH i/J ZONING REGULATIONS Arch/Eng. x y.0 - License No. -- 0 OTHER - Address IlDESCRIPTION OF WORK A.P.it Sir' - ZONE PLNG. REF.of Contractor W 4s • Phone 1-5( TYPE OF PERMIT - BUILDING TTpo ggtt�JILLppING Address -24-5' sSETBACK C/L$T. PROPERTV LINE .�7 0 GRADING 0 FOUNDATION 0 STRUCTURAL IDE YARD LICENSED CONTRACTOR DECLARATIO1 0 TENANT CXELECTRICAL OPLUMBING ['MECHANICSIEpEE YARD - I hereby affirm that I am licensed under prov sions of Charter 9(corn- RIGHT mencIng with section 7000) of Division 3 of the Business and 0 OTHER Professions Code and my license Is in full force and effect. REAR YARD(TO P/L) License Class ` O .:ns- No..,^� PROJECT DESCRIPTION c) '7$" PKG.SPACE REQ. PROVIDE Date .. r'-- Sigrialur-� SQ. FT. WORKERS'COMPENSATION DECLARATION ` OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self4nsure or a VALUATION - ZONE ZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a c rtlfied c y , thereof(Section 3c22, D. CJ. I` 1 GRADING CU.YDS. - ACRES SPECIAL CONDITIONS: , stalky No ...Lc "��� �mPanY "'~ C+�1�'\ J Certified copy Is hereby furnished. REMARKS: J Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This 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 is Issued, I shall not employ any person in ananner 5o as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK ' subject to the Workers'Compen • 5 I Ilfpfpll. UWtLLINC, um HALL l` Il s BATHTUBS SHOWERS Dal �� � LSignature S-' S0 FT 5f1 FT NOTICE: if after making this declaraff'on, you should becom subject TOILETS URINALS GENERATOR 0-1 KW 1-10 KW to the Workers' Compensation provisions of the Labor Code, u 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 that there Is a construction lending agency for the per- SERVICE SINKS- - SUMPS ' (INC.SOLAR) 10-50 HP 50+ HP formance of the work 15 which this permit Is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address__ - C 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 PTRAP LUNS I HUL I IUM 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 v PANELS MAIN SUB quires the ap.11cant for such permit to file a signed statement that he . Is licensed pursuant to the provisions of the Contractor's License Law GASSERVICE OUTLETS SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division-3 of the cam Business and Professions Code) Or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT 'cis for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a Civil penalty SEWER CONNECTIONS - lot more than live hundred dollars ($500). I, as owner of the property,or my employees with wags 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 r,Contractor's License Law does not apply to an owner of I property - who builds or Improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY DATE through his own employees, provided that such Improvemerts are not - Intended or offered for sale. If, however, the building or Imsrovement MECHANICAL PLAN CHECK is sold within one year of completion,the owner will have he burden SUMMARY OF FEES of proving he did not build or improve for the purpose of sale). BUILDING ❑ 1, as owner of the property, am exclusively Contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ - SMIP $ AND DUCTING licensed contractors to construct the project (Section 7041 Business 100,000+ BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does nd apply toISSUANCE $ an owner of property who builds or improves thereon, and'who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pusuant to SYSTEM - GRADING $ the Contractor's License Law). 100,000 +BTU PLAN CHECK $ � / 0 I am exempt under Section ' B.& P.% 5/.for this BOILERS BTU ELECTRICAL $ Cl $ Ih reason - _ PLAN CHECK $ MICROFILM $ SYSTEM REPAIR,ALTERATION ,t' Date Owner MECHANICAL $ TOTAL FEE$ I hereby Certify that I have read this application and state thatt,he above EXHAUST SYSTEM MULTIPLE • LESS AD- information is correct. I agree to comply with all city aro county PLAN CHECK $ " VANCE PC $_ ordinances and state laws relating to construction,and herebyiuthorize repre • tatives of this city • e t upon the dbb0ve nentioned O pro•-r - ••ction • •ois. .....10 cNl� Signature __ i _ ' - ISSUE FEE - - - - . CMF 0865-46 White-Bullding;Canary-Applicant; Pink-Acetum\;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA - - APPROVALS Permit# g--3 769 Date Inspector APPROVALS Permit#• - - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipme'nt Location - • - • 2. Soil Pipe-Undrgrn 44. Steel Reinforcement-- - °L-• • • -- - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - - - - -- - • 5. Steel Reinforce 47. Rough Plumbing& Pressure Test- . - --- - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings . 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, 0 Undrgrn,Test ' 9. . Water.Pipe-Undrgrn 51. Backwash Lines. P-Trap: 0 Undrgrn - 10. Structural Floor System 52. 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. Plumbing System-Final - - 14. Rough Electric-Conduit '56. Electrical-Final - 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning 58. 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: 23. Insulation - 24. Lathing& Siding - _ _ . . 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final '7-9 • $z L,lc 28. Final Electric - 29. Final Heating & Air Conditioning- - 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final ' 33. Gas Service-Final ' 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 7/f/X9-CC 41. Gas Release to Southern California Gas Co. -`fit-"" t l 42. CERTIFICATE OF OCCUPANCY i J No Date -a - _ _ , - 1 i Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. - - CONST,RUCTION PERMIT SL� -,L 3 '4470: 17/29/82 72.50 Th' • Project Address G� s—� 0 •—ce•��j..,` ,- - TYPE F CONSTRUCTION • - - - - - - .. •I ' Owner %Z.eL'w,.'� '. Phone(��_�'�D -0 ADD Oi7CLTERATIDN i t..22S - - ` -0 REPAIR 0 CONVERSION ❑DEMOLISH- s Address � _�- - - ZONING REGULATIONS ' - - Arch/Eng. .— - - License No. — 0 OTHER A.P. ' Addfe{5 - - - - DESCRIPTION OF WORK ' _ _ q' ZONE PLNG. REF. , , Contractor WO,ecil.-.4aC- \c_ Plioneq2-51,24 TVPE'OF.PERMIT - SETBACK BUILDING - - - a� BUILDING _ __ SETBACK CIL ST. OPE RTV•LINE Address - ❑'GRADING .'' .0-FOUNDATION 0STRUCTURAL- '" SIDTYARD - - LICENSED 'CONTRACTOR DECLARATION • 0'TENANT'fI ELECTRICAL OPLUMBI NG OMECHANICAL -,LSI DE YA RD - - - - 'l hereby affirm thct I am licensed under provisions of Charter 9 (corn- I ^ ' _ _ RIGHT . . mencing with section'7000) of,Division 3- of the -Business and -0 OTHER-' .-' - - - REAR YARD(TO P Professions Code,`land my license is -In full force and effect. /L) •\ -- - -- _� - -- PROJECT-DESCRIPTION - . _ - ,_ _ " 'License Class L se,fJ`o�y��. 7� - I , ' , I PKG.SPACE REQ. PROVIDED \ Date, . - Signature' V eP•�`��. SQ, FT. . . _ -y� .•_ • - WORKERS'COMPENSATION DECLARATION - OCCUPANCY_CONSTRUCTION TYPE IN tLiA STREET WIDTH PARR-FEE$y I hereby affirm that I have a certificate of consent to self-insure or a VALUATION 20NE ZONING APPROVED BY I DATE t certificate of Workers' Compensation Insurance,(((, r-a certified'copy - - - - - • thereof(Section 3800, Lab.CJ. ! \' n GRADING CU.YDS. ACRES ,SPECIAL CONDITIONS: . , 11 a 4 coney No. _- - __Company �•�•� - \�Xlt, .__. • _ _ • ... . . • t:�-Certif ted copy is hereby furnished. - - - - - REMARKS -/J �AA- . /��. _ _ -a Certified copy Is filed with the city Building Division. - - �J /"' �T_ , t , .EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ - .. . .. - . - - - -• (This-section-need hot be completed-if-the permit-is for one hundred _ . - . _ - . _- • . - _- -_ - _-_ - - _ - _• - - ' •'i _ ($100) or less). t - - - -- I certify that In the performance of the work.for which this permiLis _ --, _ _ _ issued, I shall not employ any pe • in any htanne o as to become 1 PLUMBING ... ,PLAN CHECK - ELECTRICAL PL.. AN.CHECK - - - subject to the Workers'-Compens. 10 is. s iCal' o - Q / - - , -UW tLLIN(a - 0HR T E - - • - - �Da[e 1-" u'e Signature - !._ BATHTUBS SHOWERS , SCJ FT. Gq FT NOTICE: If after making this declaration, you should becomes ect -ITOI LETS,. . •�„ , ,)0RINA LS I - /laRANSFO 0-1 KW__1-10 KW So the Workers' Compensation provisions of the Labor Code,you ust __ _ TRANSFORM `' s _,..• , }t forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS ' - CE - 10-50 KW' 50+ KW--1--` _SC/_ - J. - --- - - - ' ' - -KIT.SINKS • -DISHWASHERS - MOTORS' '- CONSTRUCTION LENDING AGENCY 0-1 HP HP ' ,7. .I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS' ,- .SUMPS - - -(INC:SOLAR) - q0-50 HP_50 + HP - formance of.the work_for which this permit is issued (Sectio_n 3097 _ _ • ' ••' •r�r — :Civ. errs FLOOR SINKS ' FLOOR DRAINS - - - FIXTURES'i •OUTLETS2 SWITCHES-57 Lender's"Name - ' •• - _ DRINKING FOUNTAINS ' • - ' • • •"- -GAS TUBE SIGNS- - " " --- '-' -- ':Lentler's Address OWNER BUILDE0. 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 - -- - - LOINS I.HUL I ION Any city or county which requires a permit to construct, alter, .POLES METERED-- SUB - -- ._I - improve,demolish or repair any structure; prior to its Issuance,also re- - WATER SERVICE ALTERATION - PANELS it- MAIN , SUBS-. /- '__:_. quires the ap,.licant for_ such permit to file a signed statement that he is licensed pursuant to the-provisions of the Contractor's-License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the - - - - I Business and Professions Code)'or that he is exempt therefrom and the WATER HEATERS —BTU OUTPUT"- - - - - '" ` "" _ -_- -- ' • 'a for the alleged exemption. Any violation of Section 7031.5 by ^•• - applicant for a permit subjects the applicant to-a-civil'penalty SEWER CONNECTIONS - '-' -. - "-' -- '- - - • -- - " - - at-more than five hundred dollars ($500)- _ Y `La I, as owner of the property,or my employees with wages as their SOLAR TANK - i 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" -• ,3 ;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 -- 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 I SUMMARY OF FEES • s -is sold within-one year of"completion„the owner,will the burden. •(` , 'of proving he did not •build or improve for the purpose of sale). • BUILDING - -' - - --- - - - - --10 I}-as-owner 'of -the-property-am-exclusively-contracting with -- HEATING SYSTEM 0-100,000 BTU PERMIT $ - SNIP• $ •' licensed contractors to construct the project (Section 7044, Business AND-DUCTING _ - 100,000+BTU PLAN CHECK $ PERMIT r I I antlowneessions'CodeThe build Contractor's-License Law does not apply to- ' - - - -- -ISSUANCE $ - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,0 • 00 BTU ' PLUMBING $ - - .t tracts from sus jects' with-a contractor(s) licesned pursuant -to • SYSTEM - - - ---- - - - GRADING $ the Contractor's License Law), 100,000'+BTU PLAN CHECK $ • - ' 0 I am exempt under Section 'B.& P,C.?or this BOILERS BTU ��"'� $ \ . _ - - _ _ - _ - - _.- - — ,_ ELECTRICAL $ - - v ,• . • reasonPLAN 'MICROFILM $ SYSTEM REPAIR,ALTERATION MECHANECK $ Ddte”' - - - Owner -- - - • - MECHANICAL"$ -' TOTAL-FEE$ ' I hereby certify that I have read.this.application and state that.the above- _EXHA_UST SYSTEM MULTIPLE LESS AD - fMI) information is correct. I agree to comply with all city and-county 'PLAN CHECK '$ - - VANCE PC $_ ordinances and state laws,relating to construction,and hereby authorize - represent pves_Of this city������ltt!tteeeeee,,,,,, ente upon the above vee mentioned ). - " --•-, S� Signature prope for insp`ettlon puri�Da[e 1 '- � - - . . FINAL FEE $_/''I .- ��� ISSUE FEE - _ - CMF 0865-46 White-Building;Canary-Applicant; Pink.Accounting;Goldenrod-Assessor _---- CONSTRUCTION AND PLANNING APPROVALS Permit # - POOL& SPA-- - - ii _ �al cj)✓ Date :. Inspector ' APPROVALS ,1 . Permit# - Date Inspector ` � 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 Und rgrn _ 46. Electrical Bonding ... -- - - -- __- __ • 5. Steel Reinforce - - 47. Rough Plumbing & Pressure Test • _ 6, _Electrical UFER Grn _ _ • 48. APPROVAL TO COVER-GUNITE - - - - - - - - 7. Footings 49. Electrical Conduit-Undrgrn • ' ' _-. 8. Foundation_ -- ,_ _ _ 50. Gas Pipe, ❑ Undrgrn,Test • . . • • - - -. . 9. Water Pipe-Undrgrn_ 51. Backwash Lines.P-Trap, ❑ Undrgrn' - - - - _10. _ Structural Floor System P. . . 52. APPROVAL TO DECK - .. - - - - 11.._ Property Sewer Line &-House`Connection _ 53. Backwash & Receptor-Final • - . • . 12. Street Sewer Connection -2 - _ . . __ i, • .54. Heater_&Vent-Final ..• - . . • 13. Rough Plumbing - -- - - - - - . - •55. Plumbina Svsterti - Final _ ' - •+ ' ' _ ' • 14. Rough Electric-Conduit - - '.56.- Electrical-Final •- , 15. Rough Electric-Wiring - - - - - - "' 9..../.-22.- era, -- - - • 57. Solar System-Final '- - ., -16. •Rough Heating &-AirConditioning _ - _ bd. 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: Frameand'Flashing NOTES: • 23. Insulation . _ - _ ' - - _ -C S-t'17A ire. . 24. Lathing & Siding - . . _ . _ - _- / -_ _- _ _ .... i 25. Drywall Nailing _ . -. - - 26.. - Plaster Brown Coat - - . - _ - • • -27. . Electrical Power Meter-Final - _ ' _ - .. • _ . . . - - ;I 28. Final Electric - - _ . -- 9/--$7i--,/ 0 ' . _ • 29. Final.Heating & Air Conditioning. . ... . _ . _ . . ° . - ' ' 30'. FinaltGas Pipe-Test . . - ' " - _ 31. Final'Plumbing _. . . ' 32. Water Service-Final - _. •_ _ - . - - - - 33. Gas Service-Final -.._. - _ - --. _ - ' ' - _' .... . - . . 34. Solar Domestic-Final a •'• ' - . . ' . 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 CaliforniaGasCo. ' 42. CERTIFICATE OF OCCUPANCY . . .. No - • Date - . Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ,1ftr 0 COSTA MESA PERMIT yo. TRACT NO. LOT NO. BLDG.NO. 153 7/07/82 733.29 TL . CONSTRUCTION PERMIT gem 45 moi/ /O/- 'e'° •9 - Project Address 1680 Toronto Way TYPE OF CONSTRUCTION ,�J, Owner Archive Corporation Phone 6410279 0 NEW 0 AOD E ALTERATION (y(_ • Address 3540 Cadillac Avenue, CM 92626 0 REPAIR 0 CONVERSION ❑DEMOLISH V ( _ ZONING REGULATIONS Arch/Eng. License No. 0 OTHER Address DESCRIPTION OF WORK convert warehouse A.P.` /c 7-CD5 .2---Oe i• area to light manufacturing. ZONE /C/Q PLNG. REF. ea convector Arthur F. Webber Phone 7353587 TYPE OF PERMIT BUTL.DING AddressSETBACK C!L ST. R V LINE 19990 Rockwell Rd. I ornna,CA ❑ GRADING 0 FOUNDATION E STRUCTURAL SIDE YARD Act) � A �� I LETT .'LICENSED-CONTRACTOR DECLARATION ❑ TENANT 0 ELECTRICAL ❑PLUMBING EMECHANICAL 5I E VARD /-YJMC/'•,�/ ' I' 'I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT lYl mencing with section 7000) of Division 3 of the Business and DOTHER 1 -Professions Code, and my license is In full force and effect. - REAR YARD(TO P/L) _ _ PROJECT DESCRIPTION / �1 Licensee ss icense > 2(1s519 PKC:SPACE REQ. - /LOIROVIDED - - Date ijr— .>Signature- .l' 1 / .121.30. FT. - WORKERS' OMPENSATION DECLARATION - OCCUPANCY - CONSTRUCTION TYPE1.-I -N , STREET WIDTH '+,. ,�P'ARK FEES ////�` certificataffirmofWorkers'-Compensation certificate Insurance,nor ascertifiedecoby VALUATION ZONE Sprinkel ed ZONING APPROVED BV/Au` / I DATE 7/ /BZ thereof(Section 3800. Lab.C.). GRADING CU..YDS. ACRES SPECIAL CONDITIONS: Policy No. 14ew Company State Comp Ins Fd .. . • ty Certified copy is hereby furnished. REMARKS: Internal alterations and - - . -. - - s Certified copy is filed with the city Building Division. - • - • ,EXEMPTION FROM WORKERS' COMPENSATION DECLARATION bath room. 24' - 011 X 24' - 311 _ _ . (This section need not be completed it the permit is for one hundred t _ ($100) or less). _ - 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 PLUMBING -PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers'Compensation Laws of California. - UWELLINU GARAGE BATHTUBS SHOWERS ,Date Signature SO FT 50 FT - NOTICE: If after making this declaration, you should become subject LTOILETS1 -6 , URINALS - -2. . 24 - 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 2 DOUBLE'LAYS - -- - ' 6 - - - APPLIANCE 10-50 KW - 50+ KW - - revokeCONStl. - -KIT.SINKS DISHWASHERS - 3 -MOTORS CONSTRUCTION LENDING AGENCY 1 - - 0-1 HP '1-10 HP - 1 I hereby affirm that there is a construction lending agency for the per- SERVICE SINK51: •SUMPSi' -- -- 3 _. , - (INC:SOLAR) 10-50 HP +HP • formance of the work for which this permit is issued (Section 3097 ,, , Civ. C.). - - _ r• •\ \ FLOORSINKS. FLOOR DRAINS 'FIXTURES OUTLET'S SWITCHES - Lenders Name - - I. . Lender's Address • . DRINKING FOUNTAINS - GAS TUBE SIGNS - - - - OWNER BUILDER DECLARATION ' - INTERCEPTORS CLARIFIERS • - 'POLE LIGHTS I hereby affirm that 1 am exempt from the Contractor's License Law for - the'following reason (Section 7031.5 Business and•Professions Code: SWIMMING POOL P TRAP - LOINS I HUL I SUN Any city or county which requires a permit to construct, alter, POLES METERED SUB - improve, demolish or repair any structure, prior to itsissuance;also re- WATER SERVICE - ALTERATION PANELS -- MAIN SUB - - Quires the api.licant 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 1 ' BTU OUT TPU ' '\ 2 _' - • - - hasis for the alleged exemption. Any violation of Section 7031.5 by - .. appllca fit for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS -- - - - tot more than five hundred dollars ($500). - • I. as owner of the property, or my employees With wages as their SOLAR TANK ' COLLECTORS " -- c - .. -- - - sole-compensation, wilLdo 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 '- ��7 who builds or improves thereon, and who does such work himself or ISSUE FEE - 3 APPLICATION-APPROVED BY ] t_� DATE g24 through his own employees, provided that such improvements are not LL/ Intended or offered for sale. If, however, the building or improvement MECHANICAL PLANCHECK issold within one year of completion,the owner will have the burden SUMMARY OF FEES - -- - of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT BUILDING $ 409• - SMIP • $ -.6:44 01, as owner of the property, am exclusively contracting with AND DUCTING ' licensed contractors to construct the protect (section 7044, Business 100,000+BTU X ' 4 - PLAN CHECK $ •41• PERMIT- and Professions-Code: The Contractor's License Law does not apply to ISSUANCE $ • an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING tracts from such projects with a-contractor(s) -licesned pursuant to SYSTEM - - - $ o[ 'GRADING E' the Contractor's License Law). 100,000+BTU -, PLAN:CHECK '$ 265.05 . . - ❑ 1 am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $ - • reason - - - - MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ 'TOTAL FEE E 733.29 I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E 11•- LESS AD- information is correct. I agree to comply with all city and'county PLAN CHECK $ VANCE PC $_ ordinances and state laws relating to con ruction,and hereby authorize Two bath vents 4 r • representative of this city l• enter u•o• the above mentioned I • • property f• s•' -• • ' /sly. 733.29 Signature ��-+p f St Date 17sr'V�Y ^' ISSUE FEE 3 FINAL FEE E Drivers'License or SS st • - _/ CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor _ ,,,• - . CONSTRUCTION AND PLANNING • '.POOL&SPA Date Inspector a -. • Date Inspector APPROVALS Permit# 6 P M y� APPROVALS Permit# 1. Temporary Electrical Service or Pole • 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn $77/rrV2 + /9„/Fr 44. Steel Reinforcement _ . 3. Electrical Conduit Utility-Undrgrn" - �I 45. Forms - 4. .Electrical'Conduit-Undrgrn - 46. Electrical Bonding - 5. Steel Reinforce- . ; - 47. Rough Plumbing & Pressure Test - . _6. Electrical UEE,R Grn ,• 48. APPROVAL TO COVER-GUNITE . 7. Footings._ - __ 49. Electrical Conduit-Undrqrn <' 8. Foundation . . _ . - 50. Gas Pipe, ❑Undrqrn,Test . 9. Water Pipe-Undrgrn - - • - 51. Backwash Lines.P-Trap,'❑Undrgrn _ - . . ' 10. Structural Floor System - , 52. APPROVAL TO DECK - "- '- - _ ' 11. Property Sewer Line & House Connection . _ 53. Backwash & Receptor-Final ' • 12. Street.Sewer_Connection - - - _ -" - - 54. Heater & Vent-Final • .13. Rough Plumbing . - W/14/81-- : C 55 Plumbina System- Final 14. Rough Electric-Conduit - 56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar-System-Final . - • ' 16. Rough Heating & Air Conditioning - _ .,5B. 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- •q,pjj " S•/e^11-c- .9 $ • NOTES: . 23. Insulation - _ .. . 2' r :firs s �A A �� . 8-_31-,2--- 24. Lathing & Siding - _ - �" 7 4 25. Drywall Nailing . -- T, D-) - •• 26. Plaster Brown-Coat - - - .- . , 27. Electrical Power Meter-Final - - - - - 28. Final Electric • - _ -. 29. Final Heating & Air Conditioning #jj-fL ,C .,,Fre . - . 30. Final Gas Pipe-Test - - _ • 31. Final Plumbing -f/4'7 • ' _,:32.': Water Service-Final ` 33. ' Gas Service-Final- • - 34. Solar Domestic-Final . • - ' 35. ' Landscape Sprinkling System • - ' • , 36. Sound Attenuation • - 37. Handicap Regulations ' - I . 38. FINAL STRUCTURE& BUILDING - Yi-a'82. flS' - ' 39. Special Requirements Completed • - 40.• Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. r 42. CERTIFICATE OF OCCUPANCY .. - No. Date - ... • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 001304 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 1gun r1tim++1-r, Wa+, has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group sa_o Occupancy. Use of Building WaroMncca anti flffina Legal Description 11I—FS7—f171 (See reverse side for Metes and Bounds) Building Permit Nom:7/017F1 1:771751Electrical Permit No. W2421761 Plumbing Permit No. Mechanical Permit No. 117M717C+1 M22721 Number of apartments and/or guest rooms Fire Permit No. F22194 I/ ISSUED TO: Building Official df ;.hada Tnctrtlnwnts __.., /�f rT / 1675 Toronto Way • by y off/ i 1 Costa Meca, CA /ry_ '/ /7 / Date s -Lift /7,96 • This Certificate of Occupancy SHALL BE posted in a conspicuous place on thepremises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. :MF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File wYlG II/ II ' MJ l - cv •. . ., Applicant to fin in awes except'tnose-wmm�-neavy-ooraernnesano'sign all appropriate declarations. - • CITY OF,COSTA714 NSTR TION P MIT PERMIT NO. TRACT NO. OT NO. UNIT NO. 1 592 �.'Dpic. TL irr�uVlcJ y C3 EM 2('l (0 l A^+ �ol- 3`P 9 • Project nt'sAdS d LI REPAIR e, Applicant's Mailing Address / St TYPE OF CONSTRUCTION U NEW Li ADD ALTERATION A P # -(Q`,�� - �J- I Zone Owner's Name / S / Phone ❑ CONVERSION III DEMOLISH ❑ OTH R MP DESCRIPTION OF RK/USE OF,BLDG. ✓ f NCiOJ/ Address A57 s''paa'*- ' •wcc'7 !a-tdl/w c—yJp / �e , L S Main Building: Accessory Building: Arch/Eng. Lice0se No. TYPE OF PERMIT y GRADING FeUNDATION k- RUCTURAL E Front 0 Address �,�nJ�A�-�I4,745/ / /� p� p El TENANT ELECTRICAL ❑ PLUMBING MECHANICAL A Rear N Contractor's Name gia4- 5/- P one 77` Vele ❑ 'OTHER \ I /•� �1� PROJECT DESCRIPTION SQ. FT. OCCUPA CY IS- 2 C Right ifir) N Address(mailing) 3i l7 At Orzv4 x-+�li - 7c ]� G CON STRUCTION TYPE Y -A VALUATION$ I /��� VJ g Left .✓� R City License No. ZONE - GRADING CU.YDS. ACRES _ - E LICENSED CONTRACTOR DECLARATION - Ping. Ref.# /�"�j///111VVVNNN___ Parking Req./Provided Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing ' Remarks: Planning Notes: J/( /p _ M ' with section 7000) of Division 3 of the Business and Professions Code, and - �`�// l//� my lidense is in ful or and effect. / T Licens Class cen P S Date signature SIT s PLUMBING FEES WOR ERS'COMPENSATION DEC RATION Bar Sink ShowersMir 1 hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section - Backflow Preventer Service Sink 3800, Lab. C.) • . Automatic Washer Transformer 0 15-50 KW olicy No. - Company - Backflow rrigation Sewer Cip Construction Pole Sub. 0 50+KW acertified copy is hereby furnished. 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 ❑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 ps to become subject to the • Drinking Fountains Solar Tank . - Fan Motors❑0.1 HP ❑1'h-8' Workers COJ}ipen atlDn Laws of Califorsi; L Date / if Signature /�L�'/-u- •f Floor Drains Swimming POoi w/Spa F.A.U. - 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 UrinalFixtures 4 D0 comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets . Water Closet I hereby affirm that there is a construction lending agency for the performance - Device Boxes Pole Light . of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater 2p Outlets 4 Lender's Name Range co Lender's Address Kifchen Sink Water Service , Switches OWNER BUILDER DECLARATION — Sign ,80 J 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 r county which requires a permit to construct,alter,Improve,demolish or repair P-Trap LaundryT any structure, prior to its issuance, also requires the applicant for such permit ra Trays Generator 00-5 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 a 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 ' ^ nalty of not more than five hundred dollars($500). I • e- _, ,� I, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3 '!ompensation, 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 Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: [� � ) 1/-1, �( employees,If, ho provided that such improvements eves are not tor ear of offered - Boiler Zoning Approved By �/ •C' "� a Date J1 a I d" sale. If, however, the building or Improvement is g within one year of corn-iCanopy Type II 0 -71.,S. J� / prove for,the owner will have the burden of proving he/she did not build or im- Duct- Under Ground • Building Approved By 71/ • . Date -21-� prove the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 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 4 Duct-Ventilating 001 00,000 BTU ❑100,000 BTU 5 D ' , builds or improves thereon,and who contracts for such projects with a con= / SUMMARY /FSFEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System •❑ Multiple❑ System Repair/Alteration •• BUILDING PERMIT $ 8O'S SMTP $, • I O proof of their Worker's Compensation insurance should be provided to me. 1 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLAN CHECK $ .5.2'33 PERMIT PLUMBING $ PERMIT ISSUANCE $ Date Owner Heating System& Ducting Registers •• ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,00067i- • ,ELECTRICAL $ GRADING $• information'is correct. I agree to comply with all city and county ordinances andd state laws relating to building construction, and hereby authorize repre- •PLAN CHECK 50% $ E O MICROFILM $ Inspection sentatives of this city to ent- u•% the above-mentioned pro rty for • ' / C/Q lignat re r•: / ,/ // _ - - MECHANICAL $ TOTAL FEE ' $ ` g�� l('J Signature /. .. �/ Date Drivers' License�55 9f lits. Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ is 2�✓ - CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -'Assessor ' ' : CONSTRUCTION AND PLANNING POOL & • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electric& Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3,Electrical Conduit-Utility-Undrgrnd. i 54. Forms • ', .: Elect/ical Conduit-Undrgrnd. 55. Electrical Bonding ..,v Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ` 7. Footings - , ; I," onrgrn 58: Electrical Conduit-Undrgrnd. 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 1.2..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 i - /it? 67. Fencing &Access Approval 7' 17.E Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Eiectrical-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-Bough &Test 72. Underground Flush - 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing f.' 74. Overhead Hydro 26. T-Bar,Ceiling (Structural) & Monocoat 75. Dry Chemical 27: Frame and Flashing f;4 /tr t•'l 7/I_� 76. Dry Standpipe 28. Lathing& Siding „ 77. FIXED SYSTEM FINAL • 29. Insulation' �,f/ 78. FIRE PREV. ANAL • 30. Drywall Nailing ,I 4475 K.5 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat II 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED t 33. Final Electric Iv= Notes: i Q.G oL34. Final.Heating & Air Conditioning 4( (-15D tD8164.-14t44, r- 35. Final Gas Pipe-Test .,O c- 36. Hood or Canopy //tt ��_, o'��� '� Cct._Gt�coz n1 Cm //A��S ti 37. Final Factory Fireplace `/ P-(_. / 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 /J7 3/5-& ,V� t,i 7 47. FINAL STRUCTURE & BUILDING ,,/j3/s6 _ 48. Special Requirements Completed �U ' 49. Electric Release to Edison I - . 50. Gas Release to Southern California Gas Co • - . 51. CERTIFICATE OF OC / No. /.(0g Dateate //'7 ' • _ \I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CIT`(OF COSTA MESA CONSTRUCTION PERMIT - PF5MIT NO. TRACT NO.N _ LOT NO. q urvit NO. y099 12/19/t�5 !;oc� TL I ,T �.l,s /✓u Z Z /2 d' p. ti r r�(�'//�yJ./ Project Address lbS �Z-UN / 0 4,' ' ( LU ADD L_`7 ALTERATION U REPAIR I S'AMC TYPE OF CONSTRUCTION NEW Applicant's Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHERn Owner's Name WDA Noeta7-tet Phone ace-4/30 A.P.AP # / 39 — �g2 —OS Zone 'f lr �!-C/1"C �Z£ DESCRIPTIO OF WORII:�j{1�SS�QQ��BLDG f Address 3LW�,.S, Cry p ce.l lJG�J�G. 7�-� EX • to a LL- E Main Building: Accessory Building: ..yy11 �/ Z Arch/Eng./iOWQQD PARSG�+-License No. /7 TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front �J-� o Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear `(V�J' N pl✓AIf.G ❑ OTHER A '`fJl"f I Contractor's Name Phone C Right 1 N Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left `f(_f}l/IJ G CONSTRUCTION TYPE • VALUATION$ !//tf $ t J'IR City License No. ZONE GRAD!NG CU.YDS. ACRES d..l~ E LICENSED CONTRACTOR DECLARATION • Ping. Ref.# !!!""",,,king- /Provide 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. P.` • elle" <PS S• S License Class License No. Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES 1 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 • Backflow Preventer Service Sink 3800, Lab. C.) -Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. • 050+ KW ' 8 Certified copy is hereby furnished. 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($100) or , less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'/x-8 Workers' Compensation Laws of California" / 1.-- p�7tL$ Date 17-79' T Signature ktrier T/Y W-Cr TOC-Si/{.e`!^ttx✓15 Floor Drains Swimming 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 Fixtures comply with such provisions or this permit shall be deemed revoked. 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 Switches ' Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-WashGarbage Disposal Standing Sections I 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 structure, prior to its issuance, also requires the applicant for such permit p Laundry Trays Generator 00-5 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 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 ifS.Q31.5 by any applicant for a permit Subjects the applicant to a civil ' • `-"nalty of not more than five hundred dollars ($500). -.5"� I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 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 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 REQUIREMtEE(��1FT/$ /��y" �] employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 Zoning Approved By 'IJr ^-� INLJc.i �Of 'fi -55 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 ..f. nate prove the owner se of have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date_ prove for the purpw llsale). ®'I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 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- r7 Ot�O ©• tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ < SiSMIP $ ,o proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ _.J L PERMIT ' ❑ I am exempt under Section ' 'B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers • PLUMBING $ ISSUANCE $ , Date /2-14-5r Owner 71.12/11( 4(/4wcr Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000BTLELECTRICAL $ 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- - PLAN CHECK 50% $ MICROFILM $ sentatives of this a to enter on the above-mentioned property for LL inspection purpo es //// Cy'D MECHANICAL $ 3 T• 3Z Signature �'1gtCP. [J[& Date L..2�q 1f TOTAL FEE $ Drivers' License or SS Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ • CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - _ I. .--C.--al CONSTRUCTION AND PLANNING POOL A .-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-G UNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 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 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 t . 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 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 1/7/Z 371/7 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. 6905 1/07/66 IC o j.. TL CITY OF COSTA gbc5OI, RUCTI PERMIT PERtx11 jrV a � TRACT NO. LOT NO. UNIT NO. - Project Address /(p v rC�' ✓/ C�a' '"' c?.? — ' • _ _ TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR Applicant's Mailing '•.r¢ss — �� - G`�' IE CONVERSION CI DEMOLISH El OTHER A.P.# • - Zone Owner's Name � 6C� Phone DESCRIPTION OF WORK/USE OF BLDG. Address /6 .� pren.,I li....7 S Main Building: , Accessory Building: Arch/Eng.�/ • - License/h�N9. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front Z Address / -Rio al, aeMST➢V e..TIOM ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Cl MECHANICAL B Rear N Contractor's Name fifor,/� C. �y Phone 9 F e t /�� ❑ OTHER C Right N 3,3 �� G PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) �'� e Ge_ Ci..,,_, K Ca i�aia CONSTRUCTION TYPE _ VALUATION$ S LeftR City License No. ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION //�� ///��s _ Ping. Ref.# Parking Req./Provided I herby affirm that I am licensetl under provisions of Charter 9(commencing Remarks: /--S �/J /7,6-( Planning Notes: • M with section 7000) of Division 3 of the Business and Professions Code, and /// C , - r - T my license is in f force and effect. n yy� • Lice a Clas's / L' ens P • - S e. i fff6 azure t PLUMBING FEES • WOR ERS'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 Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy • No. CompanyBackflow Irrigation Sewer Ca 0 50+KW 9 P Construction Pole Sub. Certified copy is hereby furnished. — Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Cooking Unit Meter Dub 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 r Dryers DGas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is ssued, I shall not employ any person in any manner so as to eco ub' ct to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'h-8 WorkerV gp/Qpp rion Laws of Calif°.w¢�, . date /—Y el sSignaturede /�� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑1615+ 'NOTICE:If,after making this declaration, u should bec me subject to the - - Workers' 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 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.) s t Interce orHeater Lender's Name p WaterOutlets Range Lender's Address . Kitchen Sink'' Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Trap structure, prior to its issuance, also requires the applicant for such permit p Laundry Trays 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 - Division 3 of the Business and Professions Code) or that he/she is exempt — - - `herefrom and the basis for the alleged exemption. Any violation of Section '031.5 by any applicant for a permit subjects the applicant to a civil . LIenalty 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 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 ❑ _ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rave for the purpose of sale). / LI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By _ Datw f 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 0110,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- - tractor(sl license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $, SMIP $ proof off their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner • Heating System& Ducting Registers 6' ENERGY P.C. $ ❑0-100,000 BTU ❑100,00067 �' PLAN CHECK 25% $ i herebyacertify that I have read this application and state that the above GRADING $ information is correct. agree buildingto comply cost with all dy ande y county irepre- sentatives ores ELECTRICAL $ s state lows hit tt enteconstructs ab, and entioy authorizeper yfor MICROFILM $ ctiof this city to cote upon e above-mentioned property for PLAN CHECK 50% $ • Inspection /psp� / �b-94 7+j4• qy ) Signature P�/ _�r‘/f Date 6 L7 MECHANICAL $ RiEF TOTAL FEE $ iU.51 Drivers' Licens or 55 Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL ;PA 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 UFER 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, 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 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 i/to/i6 4'4Q 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 - p 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ . . /A giO 7adea, �� hif' /Jr Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ES • CITY OF COSTA MA CONSTRUCTION PERMIT 1 P oil . i� TRACT NO. LOT NO. UNIT NO. Project Address J T©Rant, WAY /��O` Applicant's Mailing Address TYPE OF CONSTRUCTION- ❑ NEW ADD ❑ ALTERATION ❑ REPAIR C1C7 I9/Di:/RG Rh. IS T tso�'�s h�5wivW�,�1LfAI"1+3sc1;2T !J�!-li�t3'i•?/•1- �'L Owner's Name ` EAOE 1N i 2L5�l'Phone ❑ CONVERSION ❑ DEMOLISH OTHER q,p-# Zone -7�- �1,� ESCRIPTION OF WORK/USE OF BLDG. Address 16 r-7 TDI s4.Ji`I� ) y CP?.. '_ ,41. ,Jr - E s: (-,E S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT I♦ GRADING • FOUNDATION ❑ STRUCTURAL T Front - - 0 Address p,�,� Film (�/��. .��s�.q�] ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear - N Contractor's NameALJYA Fiilm I /��1 Phone S2`k3l ❑ 'OTHER Address(mailing) iciSi W. LAMOETZT RD, Li4 HnBRA �+,t PROJECT DESCRIPTION SQ. FT. OCCUPANCY K C Right - .. N 4 y�63; CONSTRUCTION TYPE VALUATION$ 'ZpoP�De) s Left G City License No. C7I� 63ZONE GRADING CU.YDS. ACRES E LICLNSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I herebyaffirm that I am licensed underprovisions of Charter 9 (commencingQ Remarks: Planning Notes: M with sectionis 7000) of eDivisionn3,of the Business and Professions Code, and T my license is in full for .n• effect. n O2ea S. License Class - AS icens, L + Date i -:1► Signature treat - i • _ r•, PLUMBING FEES ' • WORKERS' COMPENSATION DECL• RATION , Bar Sink Showers ELECTRICAL FEES 1 hereby affirm that I have a certificate of consent to self-insre or a certificate - • of Workers' Compensation Insurance,-or a certified copy thereof (Section Backflow Preventer -- Service Sink 3800, Lab. C. 1pAutomatic Washer Transformer 0 15-50 KW - Policy No.Via-i6'L-02 -70F1UCE121`'Y i"LliU1'}L Backflow Irrigation Sewer Cap0 50+ KW • ' Construction Pole Sub. kCertified copy is hereby the it Certified cppy,�.((tBled with the city ll�djinsg�'Diyislo$ (�/�,.� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date tt—i C)^46•• Applicant vivre HRE Melt: 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 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 ' Workers' Compensation Laws of California. - Motors❑0.1 HP ❑1`h-6 Date Signature Floor Drains Swimming 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 - - Fixtures comply with such provisi ns or this permit shall be deemed revoked. Microwave _. CONSTRUCTION LEND G AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there a construction lending agency for the'performance Pole Light of the work for which. this permit is issued (Section 309] Civ. C.) Interceptors Water Heater Outlets Range Lender's Name - - 9 • Lender's Address Kitchen Sink -• Water Service Switches Sign OWNER BUILDER DECLARATION ' I hereby affirm'that I am exempt from the Contractor's License Law for the Lavatories Disposal- Garbage following reason (Section 7031.5 Business and Professional Code: Any city or 'Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap - - Generator ❑0.5 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 L. 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 • ' genalty of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Feer $ 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ' $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL IFEES 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 ' sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 Zoning Approved By Date pletlon, the owner will have the burden of proving he/She did not build or im- Duct-Under Ground Building Approved By Date grove for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 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 ❑0-100.000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- CO tractor(s) license pursuant'to the Contractor's License Law). am aware that ,- BUILDING PERMIT $ 32.50 SMTP $ e.50 ofExhaust System 0 Multiple❑ System Repair/Alteration proof o their Worker's Compensation insurance should be providedr his me. - PLAN CHECK $ �I. 3 PERMIT ❑ I am exempt under Section B.8, P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $ Date - o • wner - - Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above - ❑0-100,000 BTU 0100,000BT - ELECTRICAL 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- PLAN CHECK 50% $ MICROFILM $ sentatives of city to er upo the above-mentioned ,property for inspection pur os � [[�� - Signature 4 526 Date i2-l0-SS - - MECHANICAL $ TOTAL FEE $• 7 i3 Drivers' Licens or 55 Reinspection Fee I '$15 Issue Fee - $ 3 • PLAN CHECK 25% $ S. rev.4/84 White- CMF 0865-46, Builtling;Canary-ApplicanhPink-Accounting;Goldenrod -Assessor • CONSTRUCTION AND PLANNING • • PO n.&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 ConduitUtility-Undrgrnd. , 54. Forms • 4..Electribal 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. • '1 8' Foundation . - 59. Gas Pipe, ❑ 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 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 Structure70. 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 - 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 i /1J� ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �^ 31. Plaster Brown Coat 79. FINAL INSPECTION . I 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' 45. Sound Attenuation 46. Handicap RegulationsI . 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. 7430 1/1E/86173041 TL CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. �,s/ _ Ti? TD_ s LOT NO. UNIT NO. . Project Address 1&8o 101 OYk]7(� LL)A 1 —223",CQ YID ,/- C - Applicant's Mailing Address II0E0 1-012_0(1/4-170 L./i --‘-/ TYPE OF CONSTRUCTION U NEW x ADD ALTERATION LJ REPAIR / /�L Owner's Name WDJ4 Piat2 e' er- er/ s -C26-`+130 CI CONVERSION CI DEMOLISH CI OTHER : A.P.# .V3G] -- cs 2 - OS I Zone AAp Phone DESCRIPTION OF WORK/USE OF BLDG. Address 3;-.°C CAD"'LAC- "U£ / S Main Building: Accessory Building: SiRu/>yt'� iRSSbG 1�/ E Z Arch/Eng. / License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION STRUCTURAL T Front 0 Address .i6*b _5'iti,rli,.t tite � A r�-na ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING LI MECHANICAL - B Rear N Contractor's Name <' Phone sE� ❑ 'OTHER A ..........:..... PROJECT DESCRIPTION SO. FT -, OCCUPAry1CV ��,r^yw CK Right G --2--- Address Lieneilin. ?Wilke,- (' CON ST RUCTION TYPE —14 -� /L`UATI ON$ ..'(W0 $ Left • R City License No. ZONE ' GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARA N ' w Ping. Ref.# Parking Req• ./Provided E CI I heieby affirm that I am licensed under provisions of charter 9 (commencing Remarks: `7Y' - a�_ Q Planning Notes: `(�'r our r - M with section 7000) of Division 3 of the Business and Professions Code,and 7-C� 7 r_,v6 my license is in full force and effectT License Class License No - rift -" ��b Mae-. �'Z S Date Signature PLUMBING : FEES V WORKERS' COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation 0 50+ KW 9 Sewer Cap Construction Pole Sub. BCertified copy is herebyw thr e 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 Dishwasher less). 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 s s to becoro -subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01;A-8 Workers' qo nsa�tti9 n Laws of Cali rote. A C _ Date( / � Y4 Signature t1 5'`},�J�C�/ Floor Drains Swimming 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 comply with such provisions or this permit shall be deemed revoked. - _ Fixtures 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 Lender's Name Range 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 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 Generator ❑O-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 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 - herefrom and the basis for the alleged exemption. Any violation of Section . .'031.5 by any applicant for a permit subjects the applicant to a civil - ' penalty of not more.Shan five hundred dollars($500). - 3 I, ac * ^ pr-'r o•S er my employees with wages as their sole Reinspection Fee $15 Issue Fee $ om pensation, will do the work,and the structure is not intended or offered Reinspection Fee $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 QU7E NTS: employees, provided that such improvements are not intended or offered for Boiler . Hood or Type I 0 ZoningApproved B r �Q{�/N� sale. If, however, the building or improvement Is sold within one year of com- --- - 'Canopy Type II 0 - - PP y Date ` ��5'-Ut0 pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By Date I '-154;;6")rove for the purpose of sale). LJI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural - Refrigeration System Application Issued By J Date I- I'S•,a-‘ 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- - /�� C pp, tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ 104n5O SMIP $ n IU Exhaust System 0 Multiple 0 System Repair/Alteration Iproof of their Woder Compensation insurance should.& P.C.for thisded to me. _ PLAN CHECK $ lD 1 e�� PERMIT 0 I am exempt under Section B.& . .for this reason Firepl/Fact.Bit. ICBO# Fire Dampers • ISSUANCE $ — PLUMBING $ Date S owner - .a�� Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I her by certify have read this application and state that the above 00-1 00,000 BTU ❑I00,000BT --- ELECTRICAL $ 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- PLAN CHECK 50% $ MICROFILM $' • sentatives of this c' to enter upon the above-mentioned property for • inspection purpo / Signature 4�71� `/ S]�UDate l'/3C6 MECHANICAL $ ' TOTAL FEE $ I1p'-I -.nri`ers' License or SS � Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ AS _ r� -^v,10\ White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permitr# .Date Inspector , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement v 3,,2Electrical Conduit Utility-Undrgrnd. 54. Forms •'4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i . 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, O 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 r - 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 ❑Gas C Oil _ -23.-Gas Pipe-Rough & Test 72. Underground Flush - - • 24_�Roof Framing 73. Undergrnd.Storage Tank 0 Gas 1:10i1 ' ' 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 39. Water Service-Final ' -- 40. Gas Service-Final • - , , 41. Solar Domestic-Final , . 42. Backflow Preventer 43. Backflow Irrigation, - - 44. Landscape Irrigation System . - ' 45. Soundo Attenuation I 1 , 46. Handicap Regulations ' „ 47. FINAL STRUCTURE & BUILDING -2/66 /fb ê -7 _ 48. Special Requirements Completed 49. Electric Release to Edison • ' • 50. GasRelease to Southern California Gas Co . - 51. CERTIFICATE OF OCCUPANCY +' No. Date - • PROJECT ADDRESS: 1680 TORONTO WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 062129 OWNER'S NAME:WDA PROPERTIES ADORESS: p 0 BOX 8143 PERMIT NO: F 062129 PLAN CHECK NO: 01559-93 S GOVT: N SUPP: N NEWPORT BEACH,CA 92658 CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : BACKFLOW RETROFIT SQ FT: ADDRESS: UNIT: PEflMI1TEE CLAIM VALUE: 5, 700 .00 CALC—VALUE: GROUP OCC: / FIRE SAFETY FIRST ( 714 ) 836-4800 ADDRESS: 1015 N LOGAN COMMENTS: FOR THE "BLAIR ARMSTRONG" SANTA ANA CA 92701 *************8( *** #**M****X-*** F*******************-K****4:*>fzx44 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. S E TB A C K S CITY LIC.:0 AA 1318 STATE LtC.:5 9 9 7 61 CLASS;C 409 Dale:VC it IY3 Signature:gLT,A_,y !_,//._ . MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certitica e of consent to self-insure or a certificate of Workers' =RNT: 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 RGH 1 FT IN LEFT: FT IN RGH 1 FT IN POLICYND.:PC945701 EXP.DATE: OS/16/93 COMPANY:R.EPJBLIC PARKING REQ: PROV: PARCEL: 13965205 ZNE: REF NO: • 0 Certified cop is hereby furnished. Q Certified copy is filed with the city Bui: a vision. PLANNING NO T ES> /i > ,] Dale'. s% A3 Applicant:l-!7L/red ' Or_A......------ *****************************************MM**MM*******************#M**##g.****** / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS 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 BY _ DATE Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �I CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: L �t DATE: 'C( ( k ( 91 which this permit is issued(Section 3O97.C1v.C). ********************** *****************- **et itit**********f#*******SEE.xR::*4S-1t9t*** LENDER: ***************************?E**************************************::#K-##***#**** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N 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 81 . 00 repair anystructure.prior to its issuance.also requires the applicant for suchpermit to file a signed statement that he/she is licensed p ° pp g 65% SMIP/NON—RES pursuant cionCod )provisions tofhat the sher isstexe'State erefrom and thbasissr 9(commencing with exemption. Any violationi of ni of 3 ti the Business and applicant foro Cade)permitor tsut he/shet applicantpmat therefrom and the fnot for the alleged fiv exdrof Section 7031.5 by PLAN 52 . 65 any applicant a subjects the to a civil penalty of more than five hundred dollars(5500). 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 UE ❑ D structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> . 81 . 0 0 0 . 0 0 5 2 . 6 5 1 3 3 . 6 5 1 3 3 . 6 5 . 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: 81 . 0 0 OVER/SHORT: .0 0 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 81 .00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law). l am aware ********************************************************4******************?(*M* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.8 P.C. torthisreason: TYPE QTY DESCRIPTIO N UNIT. COST TOTAL COST Date: Owner FIR 81 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 81 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from . I'. these provisions Date: Applicant: • I hereby really 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 representative is city to enter upon the above-mentioned . property tarins es,purposes. Date: S f if3 Signature: T2„..,1••�/` '•T 01 00138TT Driver's License or Social Security N: DATE: 05/12/931,8947 TIME: 5a9 81.00 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POGO & SPA APPROVALS Permit . Date Inspector Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UU4ty•Undrgrnd. I 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. SM.:. Rz iiorcement 53. Rough Plumbing & Pressure Test 6 E..rt:., LaFEIR G`nd. 57. APPROVAL TO COVER-GUNITE 7 Fuotngs 58. Electrical Conduit-Unclrgrnd. 8. Found.Lon 59. Gas Pipe, 0 Undrgrnd.,Test • 9. 4'later Roe-Undrgrnd. 60. Backwash Lines, P-Tran, 0 Undrgrnd. 10. Structure! Floor System • I 61. APPROVAL TO DECK • 1 -a 11. °roper Sewer Line & House Connection - 62. Backwash & Receptor-Final 12.- S,:ver Cap 63. Heater & Vent-Final ' 173. Roof Di ains 64. Plumbing System - Final 14. Pricer " ambm9 65. Electrical-Final r-15. R.,.,gr. Etectr•cal-Condu't 66. Solar System-F mai 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 Roush ueanr-g& Air Conditioning FIRE DEPT. REQUIREMENT K. aaanry Fireplace APPROVALS Permit • - 21 .- Structure I 70. Underground Hydro ti-22. Ducts, Vent ':ting 4 71. Product Piping 71 G_. 0 0.1r 23. Gas ?Ica-Rough & Test 72. Underground Flush S 7-n fi24 Roof Framing 73. Undergrnd.Storage Tank n Gas 2b. Pun' S`atth,ng 1_74 Overhead Hydro 26. Bar co ng (St rur,uraiI 3, . nnocoat 75. Dry C!.emlea: 27. Frr cmc : Flashi,,g I 76. Diy Standpipe 28. Lathing. & Siding 111 77. FIXED SYSTEM FINAL • 29. !'rsu1a1,on 78. FIRE PREV. FINAL IGAb. W�3?- 30. D•vv,il� Nailing --� HEALTH DEPT. REQUIREMENT 31. P aster E.oan Cott 79. FINAL 'N.1S'ECTIUN-- - -- r -- -- - - - - 32. Ell ct',C. Pos-,er deter Final - -----' 80. FOOD CERTIFICATE ISSUED ---- .� ----- 33, Fri Ftctric „ Notes: 34. Final Heating & Air Condition,'ig - 35. F.ria. Gas Poe-Test I - 36. Hoed CrCanopy - -- --� --- _- ----- - 37. Fara. Factory Fireplace 38 Fm0; Plumbing - --- - ---- - {I 39. Water Earvice-Final - - ----'---- - ----- -.u. -- I 40 Gas Ser-.ice-Final 41. Sala. D;. nestic-Final 42. Backfice. Preventar r'. 43. B:ickf,o:- Irrigation I i'•_ • 44. Lendsc;pe irrigation System 45. Sound Attenuation 46. Hand1cep Regulations 4T FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - -1 49. Electr,c Release to Edison • 50. Gas Re!case to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY INo. Date PROJECT ADDRESS: 1680 TORONTO WY UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: F 061832 OWNER'SDDRESS: ANDA PROPERTIES DDREss: p O BOX 8143 PERMIT NO: F 061832 PLAN CHECK NO: 01283-93 L GOVT: N SUPP: N NEWPORT BEACH, CA 92658 CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE; OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : BACKFLOW RETROFIT SQ FT; ADDRESS: UNIT: CLAIM VALUE: 3, 400 . 00 CALL-VALUE: GROUP OCC: B-2 / PERMITTEE:THE BAKER COMPANY ( 714 ) 835-8572 ADDRESS: 1202 HUNTER COMMENTS: THE "MEADE INSTRUMENT CO. " SANTA ANA CA 92705 ***TB**************************x****x********* ******>F*-x***** *******Rt#******x7EBE LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chap r 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and nse is in lull to .e and elfect S E T B A C K S CITY uc.:(14743g STATELIC.3549F: —CLSS:r. 16 Dale:_y/a/l signatue: C6 MAIN BUILDING ACCESSORY BUILDING WORKERR COM ENSATIONDECLARATION: I hereby at thatihaveacertiticate of consent o self-insure or a certificate of W. ers' FRN T; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof( ction 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICYND.:WC 7115194324 EXP.DATE: 07/01 /9 COMPANY:CNA INS CO "RISING REQ. PROV: PARCEL: 13965205 ZNE; REF NO: 0 Centered copy is hereby furnished. © Certified Ath the city Buil ng D "sign. PLAN)I NG N TES> E /''^ > Date' CO l lel Applicant �// i " r ****rE*****?E****************************************ie*************************** EXEMPTION FROM W /KERS'COMPENSATION DECLARATI i . (This section need not be completed II the permit is for one hundred(SU' or less). DEVEL OPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which t is permit is issued,1 shall not employ any person in any manner so as r become subject to the Workers'Compensation Laws of California. ZO ,ING APP-.OVED BY DATE: Date: Signature: es ith f fi ode.NOTICE:It,after making this dpy with s,youhshould become i subjectmithe Workers'mrempensation provisions of the Lal U I LD I Nr APPROVtil BY 7:)L-1-( DATE: 7 / 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 APPL I t A T ION T,e' ED BY .L,.r l ( +-\ - / /: / DATE• L//.2. $ 3 which this permit is issued(Section 3097.Civ.C). ***ity****** *y,e.******1 *** **` *** *.. *****i ***** ****sour************ r *� i ***** LENDER: *******.'****' ********.•************************* -4*#**************************** ADDRESS: LEGALIZAIT A:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason i TvDG 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 63,00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 70001 of Division 3 0l the Business 65% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 40 . 95 any applicant far a permit subjects the applicant to a civil penalty of not more than live hundred dollars(5500). ISSUE FEE f I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV—> PERMIT ISSUE :PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 00 0 . 00 40 . 95 103. 95 103 . 95 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • -- _ ownhisroemisemployees,provided thatsuchimprovementsoe a re not tithe offeredbdde01prfor sale. II, inotthe buildingmrve REVENUE DIVISION TOTALS--> COLLECTED• 63. 00 OVER/SHORT. . 00 improvement or her of sold within one year of t such ithe sr will have the burden proving he/she ilio not however e or improve o r 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 63 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ) and who contracts lor such projectswith acontractor(s)license pursuant to the Contractors'State License Law).I am aware ***************.******************jp*****************-Ip*.*************.*.******.****.** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN o I am exempt under Section: B.8 P.C. tor this reason: TYPE QTY DESCRIPTIO N UNIT COST • TOTAL COST Dale: Owner: FIR 63 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 63 . 00 I do hereby certify that I am aware of and understand the requirements 01 California.Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wil0will not(circle one)need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby cerlily 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 •an horize representatives this city to enter upon the above-mentioned property floor/inspection pu�rrppossees, �]s�. Date:_ ///Z/// J Signature: _a/tit --! Driver's License or Social Security a: I641.46 While-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor 01 00137629-00137629 TOT 63.00 DATE: 04/21/93 TIM: 10:39 CONSTRUCTION AND PLANNING POOL & SPA i Date Inspectorr Date Inspector APPROVALS Permit=ri`-�.-._ __ APPROVALS Permi: ;? ice. 1. Temporary Electrical Servi ,r P: • 52. Pool & Eoe:nreot Lucat n-. I ' - -- = 2. So!i Pipe-Undrgrnd. _ _ 53. Steel Reinforcerr_nt - __ ' __ 3 E'cctrica' Cond.. t ,:c lity-Und-grnd. . 54. Fcrnas 4. E'ccrIcal Conduit-Undrgr,rri. I 55. Elect ical Bcrd,nu 5. Steel Reinforcement - 56. Rough Plumh:ng & Pr;ire Test 6 EI^_ctr.ol LIFER Grnd 57. APPROVAL TO COVER r1i.:.'ITF 7. Footings 7' / 58. Electrical Conduit•Undi qi no. 8. Foundation ,• 59. Cas Pipe, Ell Urdrnrnt., Trst 9. Water Pipe.Unurgrnti. 60. Beckt':asih L.i • . P•Tr:p. :' L'ourgrrri 1 %. 10. Structural Floor System 61. APPROVAL TO DECK I 11 ' I 11, Proprit SCv.er Lir. & Ho.:ti uric, •cn --- --- V "-- i 1 62. Bz[.<r.- & 9 -urtr FI 12. Stncr Ca �� -- _ -- - ------ I - P - I I 63. Hater & lent•P int.' r _I 13. Roof [hams 1- 61. ?,um&r.g SYss•m - F;,,al I-..I -, 16 Pct Plurnb,ng --- � 65. ale nr ^ icalir a1 --- - - ---- I - -- c 15 Rough Eiectrical-Conduit I 66. Solar Svstam F!n,a 16. Rough Electric Wiring 67. Fencing & Aedes APP.t.-II 17. Rough Wring Sign 68. APPROVED FOR PLASTERING 19. Rough Elcctrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 12. RL..ah 1 rattnnq is Air Co/dit.c ng --� I'--- FIRE OFF T RFOUIRrh,EN' - - ' -- - - 20. Pocgh F.;ctory Fl.-ea'ace `-I APPROVAI.S i'er..I,; .r__ 21. D.... Ir Str•_icturJ 70. Linc,rg'o,. ,1 Ily. .o 22. OLcts, V:rr',etir; 71. Pr-o:,ct P :rvi G.s O 23. Gas Pip .Dough E.- Test I 72. Undergro..n I 'lust` 24. Roof Framing r 73. JcJ.rnrn... - G,.; • ti.i ---- -- - -- - - t- - -- -I ---- --- --- - �- --` - 75. Reor Sheathing 74. Overhead 11%,0,.. 26. T•Bar Ceiling (Structural) & Mo:'ocoet 75. Dry!Chem.ce' `- 27. Frans. and Fleshy,- ----- 76. Dry Stacc: t'r---- - --- --- - - 28 Latnitig& 5 d'rg � - -- - • _-4 77. FIXED S`CI INAL 1.9. 'n;ul.,-ar. _ t (_I 78. FIR!: PRE* III :d.--- - ------ aip r r .'.;' o .:a,'.',r. - I r1EALTF: ^EPT REOUIRET.IEN'T 3'. ?aster 61-0,,-,,ro- On...! I '__ 79 F sl/ ` I T. IN _ i V I` 92. E r_:'•c 'o e te:.- I ! 30 EC E .... t �� i 33. F,ncl C :ctr c i Notal: 34. Fin.:? Heating & Ai, auditor- • g -- -- - + 35. Final Gas Pipe-Te; -_- 33. Hood or Canopy- -- - {-_ ,. _. - -I-- -- - - --- - - -- - ------- -al F.' ----- 1F37. Fcctow Fact ace - f I- -� - - I - = - - - -- - - 39. FInaI PlumpingI _- ___ __ _- __-_ _ ___- I39. `.Vatrr Service-Final ' 41. SoIat Domesr,cFr:.i ----------- - ----- -- - ------ 42. Backtiot•: Preventer ---- - --_ --- - 43. 3a c'tf'ot:' Irrigation _ - I• F44. Landscape Irrigation System, --_ ------ -1 I 1 45. Sound Attenuation ------- ---- _. -- - ---- , ' 46. Handicap Regulations .,4 47. FINAL STRUCTURE & BUILDING 1 48. FINAL PLANNING - - - - -- - -- 49. Electric Release to Edison - 50. Gas Release to Southern Ca.,fc•nia Gas C.o 51. CERTIFICATE OF OCCUPANCY - - -' No. Date Jos L Di-•:on 269 Pinehurst Cir. Mira Lor:a,Calif, 91752 Re : : : Creative Marketing Inc. 1680 Toronto Way Costa r-esa, Ca. Continous Inspection was furnished on the checking and toraueing of all Hi- ion Bolts for Precast panel chord ^plices at roof level. Torcued Bolts meet code and specifications. Jos. L.Dixon Insp .Date 0.C . "2 5 2 ieb.11, 1978 uncETvuo MAN U Iii • • 'tou';'D 0*:. , „ CITY OF COSTA MESA 7 BUILDING SAFETY DEPARTMENT SUPPLEMENTARY FIRE SPRINKLER SYSTEM / OWNER: ' OLP /. �/�ISSUANCE DATE: Q /777 ADDRESS: /4go ! // � ., PERMIT NO; 3/4s/ ✓�"' a' ape r r CONTRACTOR:��Ce�', gei VALUATION: l'`✓/�'J�tJ _ PERMIT FEE: IIV ((�/j�� J a/'7/7(' P ®Oo s4d in/yde.o �x,5 3/7770 tem...a...4 276 975/» • 4 CMF O36R-46 �• `. ',City of Costa Mesal � i ry ;._ - i. .., a `' ;` tr .- BuildingSefetyDepartment C,E'RTIF. ICATE OF OCCUPANC-Y • . 'i* 2. 2925 • ' 'ir Costa Mesa California _ {' f I� n 1 ti f . _ . f r„ ;' The-Building located t . ` 1630 �ttrontoa-la/a:y .- . ' ' >;- has been inspected and found to,coniply with the'provisions'of:all,City.of-Costa Mesa Ordinances applicable thereto for Group F7 :- Occu anc ` ' - a fp y I 1 lc Use of Building 1 �.!Jarsruncn Ru%ilrii no • . - II Legal Description J:39-0•L1-70 t ) - -- -^- w - -,'":"7"7"---',""1-1See reverse side for Metes and Bounds)" -r_—<` r - 7: k•_ L Building Permit No 'Alan 1 •'-- •. . 1! Electrical Permit No, tellrt Plumbing Permit No. 71AC c• - CI' - • _ - - ` l • - - - Number.of apartments- and/oiguest rooms - - - - - ISSUED,TO ' s, I Building Official Y ' id D.::• P*OPER'CTES f. , " t 4 •', ci k . . ., : . 't��i,' • `J� ' i�, Date ' `Mhv 72.''')97ii. '.,. • - _. ;i• • This Certificate of Occupancy.SHALL BE posted m a conspicuous place on the premises and SHALL`NOT.BE removed except by the: 1' Building Official of theCity of Costa-Mesa under Sec. 306 (e) U,B.C.•" f, Form BU 34 Rev. 11/70' - 4 n PAIR a.ip .- 44�3 3 `" Of.T 13 77cnsA00 642w 1 *503.92 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APL ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE V DATE RECEIVED /�ICi/� '' Jo .J 7-7 DATE ISSUED ADIDR ESS / �I% �YY,LC-y{rC wet, J n OWNER W DR P/ t, —tat-G-.a.� L. 7�; PERMIT NO. +7 J s A.P. NO. ✓ �OJ�I- c IJ AMAILDDRESS /f) 9 /A6LJ 7 0... BUILDINGDR _'a�/, ' re) //�� /,. ADDRESS (J /o (.�� JL(}i1.- /3//ti NO. TRACT LOT BLOCK CITY �(y(/� , CONSTRUCTION / ' NEW ADD ALTER REPAIR MOVING OFMOI ISH LENDER 77 �'G/W't /L��2_,.. •l.(.t A...0-/1/ /./-/� ///� //)awn �j BRANCH / /f s„.1,77,7„. /21...„4,,,..,4 • . OR //Y •/� I /W��7��fI G.t� ADDRESS ,/.t-ss�s� (/t/n'` ARCHITECT A .t/ . p TEL.7 r7 USE ✓✓rQFE VALUE OR ENGINEER /✓-/!/JK,-4� fLIP . NO. /� j3-io3: FIRE H'� � $ /% /-700 -W L4"Ce-B.Yi l�,t/-� /Kz -7. ZONE TYPE .% GROUP / �Z ADDRESS S{_ F APPROVED CONTRACTORy.. L�4 BY DATE ADDRESS/70 , /Lii -, .4... f� ` ZONE n NO.OF USE OF NEWJ' 4^ /TEL. PLANS L. BUILDING a/`` OC99-yL /y / qf • STATE CITYYARDS APPROVED YARDS APPROVED gLIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING i SIZE NO.OF BLOCS. (FROM C/L STREET/ a OF LOT I NOW ON LOT FRONT !`!(FT. C. FT. d USE OF /7 ice., EXISTING BLDG. R.SIDE V r FT. FT, to /1 HSeparate permits are required for L.SIDE 10 FT. FT. electric,plumbing and heating work. � WREAR // FT. FT, I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& Q ','It MAIN BLDGS. '7 7 ACCESS. BLDGS. "'I ✓VL.zJ Q. '1- ell .' I-' URP. R� /7 ec APPROVED 11-13-77 'ISo�/ 737 `'Ca ?�2- f�o��APPROVE`€ saaT �r��n�tNT C4 Ca 0 1 hereby acknowledge that I have read this application and state n a that the above Information is correct and agree to comply with m all laws regulating building construction, and I shall not employ Z any parson In violation of the workman's compensation laws of u P the State of California. .4:V' I hereby certify that I am properly licensed as a contractor under SQ. FT. ry t�♦ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Y Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n II�JM am exempt from the provisions of the State of California Business VALUATION PERMIT FEE E e and Professions Code, Division 3,Chapter 9,/� n I� re -r- OYC PLAN CHECK {Z,.� 7�z e -\� Si namra f �Jn �' /3 Permittee /<• /' /� a�✓�"i-^(4 S �5 7�on TAX $ 7 7A� Authorized Age N !!/ TOTAL PAID ; 9! Z U ( ' PAM - �/�8/ 3 ' V 21-77cesA001195 d***73?.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only l6/a 7/ZDAIra /1/47, RECEIV�Li�Iy� DATE RECEIVED D E...,ED7 BUILDING //`r�U++ 2`/ 7 ADDRESS lis/ ) 4 P20PE2r/ES PERMITNO. OWNER A.P. NO. MAIL BUILDING ADDRESS ADDRESS TEL. CITY NO. TRACT ' LOT BLOCK CONSTRUCTION NEW ADD I ALTER I REPAIR I MOVING DFMQI LSH LENDER BRANCH OWNER ADDRESS VALUE ARCHITECT TEL SAS $ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE INO.OF USE OF NEW CITY NO. PLANS BUILDING E STATE CITY - YARDS APPROVED YARDS APPROVED LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING LU SIZE NO.OF BLDGS. (FROM C/L STREET) L OF LOT NOW ON LOT FRONT FT. FT. d USE OF cc) EXISTING BLDG. R SIDE FT. FT. rn (—I Separate permits are required for L.SIDE FT. FT. G1 electric,plumbing and heating work. REAR FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN& h Q �/� MAIN BLDGS. ACCESS.BLOCS. a �//4ZEodSE i antesC.UR 0 DATE APPROVED 7 APPROVED )1r ,$Y DATE .d W 0 I hereby acknowledge that I have read this application and state n Lthat the above information is correct and agree to comply with m all laws regulating building construction, and I shall not employ xi Z any person In violation of the workman's compensation laws of v L▪ the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, end that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e— am exempt from the provisions of the State of California Business VALUATION 732 5o v PERMIT FEE $ and Professions Code,Division 3,Chapter 9. 'Cl Signature of PLAN CHECK $ o Permittee $ TAX $ F U Authorized Agent TOTAL PAID $ 7... .1_5--C.,) OWNER CREATIVE MARKETING DATE 11-29-77 JOB ADDRESS 1680 Toronto Way BUILDING PERMIT N0.45125 GENERAL CONTRACTOR Viking Fire Protection DESCRIPTION of WORK Fire Sprinklers '0.149-021-70 LOT - TRACT FIRE ZONE VALUES 13,000.00 I. ECTIONS Signature Date TYPE GROUP Y ZONE F-2 SOIL SUBCONTRACTOR I PEJiMITS ISSLED GAS_ -V, l -w L^ `` Dara I Number Signature WATER DYv"�"tL) 3-V-1' Plumbing ROUGH PLUMBING • PROP. SWR. LINE ri HOUSE CON. ❑ $ SPRINKLING SYSTEM/04n, 1" C X76 4/27.7, - MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND E •0R R ❑ ROUGH WIRING / i Heating and Vent. TRENCHES 1 j FO' •S 1 • STEEL REINF. 0 FLOOR SYSTEM BOND BEAM p STEEL REINFORCE n SHEATHING FRAME AND FLASHING ^ LATHING - IN El OUT I I PLASTER, BROWN COAT 'TURAL. FINAL Electric H. IHG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL -y� • BUILDING, FINAL -�AP/1 2.-/6-7.7—Ir Tf ' !OV 29-77PptoOO i 452* ***1 1 3.11 5125 sR COSTA MESA BUILD! -SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR STRUCTURAL PERMIT For Applicant Qtto Fill in Completely — Use InkOnlyOnly yE�/$(J Yom[ 9/y��fJR/�E'y/y /q/E ��j BUILDING • ADDRESS I(On TV PaQ /{! ivA /! ^/37- /BV QP/ �O / D D/ ! Jam/�� OWNER %" "I i' S A.P. NO. / 39-a,7l— D P. I. O� MAIL ADDRE BUILDINS 744,el,.. c eovrD 42• ADDRESS TEL. TRACT LOT BLOCK CITY NO. CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMI-DISH LENDER Sk BRANCH OWNER 49 9' /9. P,'opa'r/ec ADDRESS VAL E �/� ARCHITECT TEL. S C /. __ a S 6 ODD ' OR ENGINEER NO FIRE -- ADDRESS k r »� CONTRACTOR V) I/.!/Fj TIC.0 P o;rAPPROVED �. ADDRESS r d / at11' . /Cal - OF USE OF NEW ij n l /'- TEL / _ CITY n.Ci}AJ6 NO�•• i . t • ate_ F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. C-10 19,27z9-5 LIC.NO.0323 MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. (FROM C/L STREET) 0. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF N EXISTING BLDG. R.SIDE FT. FT, VIpo 5 Separate permits are required for L.SIDE FT. FT. tai electric,plumbing and heating work. W REAR FT. FT. • [.. • USE OF BUILDING AND WORK TO BE PERFORMED _ DISTANCE BET. BET.MAIN& A MAIN BLOCS. ACCESS. SLOGS. VA .+ DATE a EIEC diem `�/ / V gi/STL ' CURP-# APPROVED APPROVED )4• ' RY DATE a W Cl. I hereby acknowledge that I have read this applicatIon and state N 1:0 that the above information is correct and agree to comply with Az m 04 all laws regulating building conrtruction, and I shall not employ Z o` any person In violation of the workman's compensation laws of ' the State of California. 1 m • I hereby certify that I am properly licensed as a contractor under 50. FT. a ' the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — to am exempt from the p ovisions of the State of California Business VALUATION PERMIT FEE E �"Q a and Professions Code 'vision ;;° ; _.C.L_d. t(i�3,L3�)Signature of ^^ PLANCHECK E /I4.Perm ltteoS 1(3 L•CICf2 TAX E r /1 1 u Authorized Agent TOTAL PAID E 113s I i — I