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Home My WebLink About345 UNIVERSITY DR - Building Permits�� cjrv o� cosrA n�esA °+y� �evBVPLD/pR p/V/S/p/y .._ `°�� aF+ SEqVICES DEPqRTME�r � PEqM17 (774) 754-5273 . PF �T NU� F� i714) 75q.q656 . www.cCcosta•masa.�.�CpING p B�5-0152 JobA�Suite. 3� 5 UNIV�}ZSITY p{� ERMIT Prim Vicinity,� �LDG J 77 FAIR DRIV Pefce1 ar1' oe ' 7PNp e11in onB Res <�p E, C6STA MESA, CA ; Numb gs/� 0506$ r Status: �SSU�p Ype of Construction; � N aPpiican7: �OB p APplietl: 09/07/2005 Add�ess: ATO, ABLO Zoning: �ss4ea: 09/07/ �z35 N SAN z005 DIMAS A VE SAN p�MAs �q �wner: W�O Phone: (626) 852-217p Address Z� 3 p� 9177 lSSU�D 3as uNivE S�j� p� HOAi7EOWNERS qSSOCIATI BY: ON . COSTq MESA. CA �. . ., Contra . -- . . ... ,Phone -'- . � aor. CpNQOMlNIU � 2' Atldres : . P �"926 8 .�z35�NSANplMASqv�NSTRUCTIQjy�SERVICE,.IIVC �7 `.: . . . . ' ,` SAN DlMAS �q � ' �� ' - Z�p;` 97773:i . Phone: � �. . �"" � Arch . P (626) 852-2710 ° - _ , Address � � ��c�nse: - � ' � 631243 ' <;��... - . ... . . , - ,� „..� Phone: E°9: , `�� z�p � .. Atldr ' ' � �e ess: ~"' � r . aLice — . - ' - �� :' nse .. , � � - aER00FCpNbOBIQG.#J .. . .. Phonei � . T/b EXISTING COMp " . '� � � ` ': , � . � ,. � . :,. 32 SQUARES . ROOF RFP LqC� Sk7G AS .:. , License: AIR/REP SCOPE - __..�..___ oF peRMir , . � _ ' NEED � � � PIBq �i1BCk = . - , ED' 7 LAYER 75#FEL7 APPLYqp,y�R ;.. . �"'�'-�-- p'et' �`�$OOO,�t-.. _ ;. �`""----�� ... COMASy1NG SMIp,Res .. .$i2525 _ E8-_, U�RY-��`"�__,, .. lEs: SM1P Com `�� 60 � . � Ins' Other '�0 00� , f=�' CalcValuation; ; Pection: $O,dO Clairn Va�uatiop $s,000:oo �•w s_ � - �,:., _ � ' - . $6,D00;00 � -Total , $1T5.85 . � r, ��'' _ , SETBqCK$ � �r � d�IAIN STRUC7�RE Front.:_ p � . �: ` PLA�NG &; 2 .. A CEsspRv � Rear � ' � ,. NING ,� Fronf .:p 0 ,��, � 0 ,�ri,�at,: F'ARKING ; � Rear�' q_0 y "'_ � Leff 0.0 ' , � _"-----_ Exi��. p �" _ ,� 6ek ��'sa�, � Right �p. p � , q °� �R ired, 4�p :r� �� `�- � � _�� Pro - ^� . ^ R�hf n�.:ra' 0 � � . - :y -- , .sed: � p ` . -. . �4�' .4�`� . ' '..��' � ) _ " _ . ��">Y.... .. . . � � , A �� Th � fions. �p�work autho�ized bY Ihfg aT10N: fiso.92•28, § 7, 12-27•92�rmit sha!! complY with all 'nOd of 780 tl Ys�it shaU automat7ra11Y ex ire antl apP�icable handicap access reQuire iTlO�t(ona antl f(nal e Work auiborized b�oma voiU if worlc Is nol c�mmenc e y ��tnfn ments untler C,�Iit a sfat^~ f~ 01'der orni app�Q� untler rhis mit to 78D da15. or;� PECTIpNS e� mus{ be obtainep, Fper be conside work is suspendetl pr p ma�� 5626 ailU�2 f0 06tei� i�gABCtiOnS dhtl fina aPPro auWiil esult�n tthe BJXpePVlrcable �� Sb��netl � retion o� this Pe��d 811I WORKERS'COMPENSAnON DECLARAnON: I hereby eHirtn under penalty of perjury one oi �he following tleGaratlons: ❑ I heve end will maintein a certificate ot consent ro selbinsura for warkers' crompensatian, es provided For by section 3700 ot Ihe Lebor Cotle, for t�e peAortnance oi Ihe work for which ihis pertnit is Issuetl. �� I have entl wlll malntain workers' compensatlon insurance, as requireA by sectlon 3700 ot I�e Lebor Code, tor the perfortnance of Ihe work for which thls pertnit is IssueA. My wo�d or�s' compensatlon I7� urance cartler entl ol cy number ere: 2 CeMer _\' R�vf �/N-P�}' 9//RC��<� �f/1S �Ci Poli` Gmtien ��D,.1322 J (Thls sectlan need not be completed i/ tAe ertnit is va/uetl t one huntlred dW/ars (5100) or less.) ❑ I certity that in the peAortnence of Ihe work lor which this pertnit Is issuetl, I s�ell not employ any person In any manner so es to become subject to ihe workers' campensetlon lews of alifomia, entl gr e that it I shoulA become subJact to t�e workers' wmpensatlan provislons of Section 3700 ot Ihe Lebor Code, I s�all torthwith comply with these p is q -7 � �plicenfSlgneNro: Dat� / — / � � 5 WARNIN(3: FAILURE TO $ IIRE WORKERS' COMPENSATION COVE OE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE HUNDRED T1i0USANDOdlARE�51� ,OW),INADDITIONTOTHECOSTOFWMPENSATION,DAIMGESASPiiOVIDEDF-0RINSECilIXJ3]O60FTHElABOqCODE,INTEFEST.ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARA710N: I hereby eHirm thet I em lice s un er pro � Ions of C�aD�er 9(commencing with Section 7000) ol Divislon 3 af.the Buslness nd Professions Cade, entl my Ilcense is in full torce end effect `Lic! � �I� y � i _ �Class� � CamrectoleSigneture:. - �� D`ete: � % 7—O� CONSTRUCTION LENDING AGENCV: � ❑ I hereby aMirm �hat there is a consWction lentling agency tor Ihe pedormance of the work br which Ihis permit is issuetl. (Sec. 3097, Civll Code). Lendefs Name: Lenders Address: Signeture: Data: OWNER-BUILDER DECLARATIONS: I hereby ettirtn Ihet under penelry ot perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business anA Protessions Code: Any ciry or counry which requires e pertnit to construd, alter, improve, tlemollsh, or repeir eny siructure, pnor to its issuance, also requires t�e applicant for such pertnit b flle e signed stetement that he or she is Ilcensed pursuant ta the provlslons of the Contrectors Ucense Law (Chapter 9(commencing with Sectlon 7000) ot Dlvislan 3 of the eusineu entl Professions Cotle) or that he or she is exempt theretrom end che besis for the elleged exemption. Any violation of Seclian 7031.5 by any epplicant for a pertnit subJects the epplicent to a clvll penelry of not more than five huntlretl dollero ($500)J: ❑ I, es owner of the property, or my amployees with weges es their sole compensatlon, WILL DO THE WORK, end the structure Is not Intended or oHeretl lor sale (Sec. 7044, Business end Professions Code: The Contractors License Law tloes noI apply to en owner of properry who builds or improves iheraon, end who tloes such work hlmsell or herselt or through his ar her own employees, D�odded that such impmvemants are not intended or oHered for sale. It, however, the bulltling or Improvement Is sold wl�hin one yeer ot completion, ihe owner-builde� will �ave ihe Durden of proving that he ar she tlitl not build or improve for purpose of sale.). � ❑ I, as owner af the properry, em E%CLUSNELY CONTRACTING WRH LICENSED CONTRACTORS m construct Iha proJect (Sec. 7044, Business and Pmfessions Code: The contrectors License Law does not apply to en owner ot propeny w�a bullas or Improves thereon, antl who contracts tor such project with e cantractor(s) license pureuant to the Coniractors License Lews.). � I em exempt under sec. Sipnature: Owner ID verifietl �y tlrivefs Ilcense. ❑ Ves ❑ No Bu51n859 end Pmlassions Code for Ihis rea5on: VerNicatlon ol Ownership by (type oi document, I.e. - property tex blll ar deed): Orivefs License No. Date: Expire9: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTiFICATON: ❑ I hereby certity that no excavatlon five (5) or more feat In depth into which e person is requiretl to descend, wlll be made in connection with work authodzed by this permit, entl that no bullding siructure, scallolding, lelsework, or demolition or dismaniling Ihereof, wiil 6e more �han �hirry-six (36) feei high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tlile 8, Cellfomia Atlministretive Catle). ❑ As owner-bulltler, I will not empioy anyone to do work which would requlre e permit from the Divislon of Industriel Sefery, es noted above, unless such person has e pertni� to do such work Irom the division. SignaNre: Date: DivLsion of Industrial Selery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAV: I certiy under penalry ol perjury that I have read this application and state thet the Information given is wrtecL I egree to comply with all state laws end ciry ordinances releting to bullCing consiructlon, entl authonze representatives of Ihe Ciry ot Costa Mesa to enter upon tha ebova-described properry for inspection purposes. I agree not to acupy or allow occupency ol eny building authorized by this pertnit until final inspactlon. COOE �. INSPECTONTYPE 1616 Fixetl System Final Fire Prevention 1286 200 201 202 203 Pool Spe Finel Finel Re-Root Finel BIocWReteining Well Final Fectory Fire Place Final Sign 204 Finel Demolition �g �� i�.. I /�_ �. COOE� INSYECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Finel Eleciricel 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Buildinq/Occupancy Date CITY OF COSTA MESA CONSTRUCTION PERMIT ADV��ant ta fill in all spaces except those witnin heavy CorGer lines antl sign all approD/�ale tleclarations. PERMIT NO. ;RACT-N�7. LOT NO. BLDG. � M E — 89/�� —� ProjeCt Addf¢5S � ��- �� -- TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Applicant'S Mai%l�� /'yljyddfe � • �_// � CONVERSION ❑ DEMOLISH ❑ OTH2R A.P. # Owne�'S Name �"�=/� ' �� '� ��f��'�"'� D SCRIPTION OF WOR14�� - �% ��-�4� Address ' ��'`"��e� � � Arch/Eng. License No. Address ' Contrecror's Nam PhoncF '•��1�•Z l� Address (mailingl. City License No. '3 LICENSED CONTRACTOR DECLARATION ' I hereby affirm that I am licensetl untler Orovisions oT Charter 9(commencing with section ]000) of Division 3 of tne BuSineSS antl Pro/e55ion5 Cotle, antl my Iicense is in f�i force �nd effect. License�lass �-+• �� - LI<e e o. Date��—� -�3YSignature/��/�-�� 5�� "'ORKERS' COMPENSATION DECLARAT�N :reby aiflrm [hat I have a cerliBcate oi consent to self-insure or a certificate Workers' Compensation Insurancefor a certi��etl copy thereof.(Section 0800, Lab CJ ' Poncv rvo%�/C��C'�3.�-6 � comaa�y ?ai • �Certifietl capy is hereby furnishetl. � , Cersy(ytl c�y i5 f etl with the city �pll� D+'�, � I/j Date J % -fZ� APPlicant ( . ��-� �� „-� EXEMPTION�FROM WORKERS' COMPENSATION DE� ARAT,ION (Tnis section neetl not be completetl it the permit is for Qne huntlretl (5100) or less). . I certity that in the performance of the work for which this perm�t is issuetl, I shall not empioy any person in any manner so as to become subject to the Workers' Compensation' Laws of California. . � Date � Si9nature NOTICE: If, afte� making this Cecla�ation, y0u Shoultl becOme subject"to [he Workers' Compensation pmvisions oi the Labor Cotle, you must forthwith comply witn such provisions or .this permlt shail be tleemetl revoketl. CONSTRVCTION LENDING AGENCV � I hereby affirm tnat tnere is a construction lentling agency tor the performance' of the work for which this permit; is Issuetl; (Section 309] Civ: 'CJ � Lentler's' Name - - , Lentler'S Atltlress - OWNER BUIIDER DECLARATION I hereby aftirm chat I am exemp[ from the Contlactor's �icense Law for the following reason (Section 7031-.S.Business antl Profesiional, Cotle: Any city or couniy which requires a permit to•construct, alter, improve, tlemolish or repair -any structure, prio� to Its i55uanC¢, also �eqW �es the applicant to� such peimit � to tile a�si9netl statement that fie/she is licensetl pursuant to the provisions of tke Contractor's License Law (Chapter 9(commenung. with Sectlon ]000) oT >�:ision 3� of the Businezs antl Professions Cotl6) or that he/she is exempt ��-.�"-W,�xfrom 5ntl the basis for the allegetl exemp[ian. Any violation of Sectlon �'t�,�;11.5 by any applicant for a permit subjects tne applicant to a� civil f�Enalty ot not more Ihan five huntlretl tlollars (y500). � , LJ I, as owner of the property or my employees with wagas as their sole compensation, will tlo the work, dntl the structu�e is not Intendetl o� offe�ed i0Y Sd�C (SCCSIOII JOQA� BIISIO255 dOd Crofessional Cotle: The COf1SYdC[DI'S License Law tlocs not appry to an owner of a property who bullds or improves � the�eon, antl who Coes such wOrk himself/her5elf o� through his or her own employees, provitletl tnat such improvements are �ot intentletl or offeretl for sale.,lf, however, the builtlinq or improvemint is 4oltl within one year ot com- PI¢[lon, the own¢r will have the bu�tlen of p�ovin9 h¢/She tlia not builtl Or im- �ove for the �purpose of sale). � LI I as owner of the property, am exclusively ctlntractin9 with licensetl con- trac{orsto constructthe Oroject (Sectlon 7044, Business antl Professions Cotle: The Contractor's License Law dOes not apply to an owner of O�operty who builtls or improves thereon, and who contrac[s fPr such projetts with a con- tractor(s) license pursuant to the Contractor's License L.aw). ❑'I am exempt untler Section B. & P. C. for this reason Date ' Owner' I hereby certify that I have rea0 this apPlicafion and state that the abOve intormation is correcL I a9�ee to comply-with all city antl county�ortlinances � antl state laws relating to builtlin9 construction, antl hereby authorize repre- sentatives of'this city to enter u on the abo�e-mentionetl'property for � inspectior�,p 4ses. � q S�gnature � vG�'- �C.pt671% Date�1 ( G'�,ci( - l� n-a J%fJa-i- �A4—�A.0 J —�j � � S Main Bu TYPE OF PERMIT�DwG LJ FOUNDqb(Orv STRUCruRAL � ' T Front ❑ TENANT � ELECTRICAL ❑ PLUMBING �MECHANICAL B Rear ❑ OTHER• A C Right PROJECT DESCRIPTION 5c�. FT. � OCCUVANCv K CONSTRUCTIONTVPE VALUATION$ g Left ZONE GRADINGCU.VDS. ACRES PIng.Ref.� Remarks: , Bar Sink Backflow Preventer Backflow Irrigation Bathtubs ' Clarifiers � ' �- Dishwdsher - +� - Drinking Fountains � Floor Drainsr ' � ' Floor Sinks Gas Service Outlets InterCeptofs Kitchen Sink . _ ' - Lavatories � P-Trep, - • - , Roof Drains' � . � Reinspection Fee 525 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting I�0-100,000 BTU 0100,000 �r' rs' L' s o 55 g I I Reinspection Fee ' I �$25 CMF 0865-46 rev. 7/83 White-�Builtling; Canary -�Appliwnh Pink -Accountlng; Goltledrotl -Assessor Show2f5 Service Sink Sewer Cap Sewer Connection. $Old( COIIECtOfS Solar Piping - - Solar Tank Swimming Pool w/Spa Urinal . Water Closet Water Heater Water Service Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System �70-100,OOOBTU ❑100,000 System Repair/Alteretinn � FEES � $ 3 Isue Fee $.3 Use of Building: Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher DrYers ❑Gas ❑Elec� Fan• F.A�U. Fiztures Device Boxes ' OuNets 6�ia ioi�3io:1 � � Zone Accessory Building: Park.Fees $ ELECTRICAL �Transformer ❑ 15-50 KW ; ❑ SO+KW • Meter ❑up to 100 amps � Meter ❑over100amps Sub Panel � �/ Motors OO-1 HP C�S7'/: - 8 � � � Inc.Solar �9-15 HP 016-15+ � Microwave � 'Pole Light Range Garbage Disposal , I I Standing Sections Generator �0.5 KW �5�15 KW Trash Compactor 17,0'1 Tl FEES Z O N I N G R E R E N E N T � I Reinspection Fee I$y5 I Issue Fee� I $ 3 I PUBLIC SERVICES�REQUIREMENTS: . Zoning Approved By, ' Date � Application Approved 8y � Date Applintion Issued.By r IL� i Dat O 3�i ;' . SUMMARV OF FEES � BUILDING PERMIT , $ SMIP $ � •�� PLAN CHECK -$ - PERMIT � PLUMBING $ ISSUANCE � $ � PI.AN CHECK � $ ENERGV P.C. $ ' �ELECTRICAL $ � GRADING $ ' � . � PLAN CHECK $ MICROFILM j $ ��j (�� MECHANICAL � $ �� TOTAL FEE $ � � �PLAN CHECK $ ' . �CONSTRUCTION AND'PLANNING �� POC SPA APPROVALS Permit# -�/��f Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole� � . , 52. Pool & Equipment Location �, i 2. Soil Pipe�Undrgrnd. . � r' 53. Steel Reinforcement 3i 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. S; 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. Properry Sewer Line & House Connection , - � 62. Backwash & ReceptorF(nal � i 12.'Sewer Cap , 63. Heater & Vent-Final � 13. Roof•Drains •� !• �. i 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^eating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro �22. Ducts', Ventilating 71. Product Piping O Gas ❑ Oil �� 23. Gas Pipe-Rough & Test , � 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. floof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame arid Flashing ' 76. Dry Standpipe 28. �athing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINqL 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 Hegting & Air Conditioning 35. Final Gas Pipe-Test u ct cr 36. Hood or Canopy � � 37. Final Factory Fireplace � 38. Final Plumbing . " 39. Water Service-Final 40. Gas Service-Final 41,. Solar pomestic-Final � � . i 42. Backflow preventer 'r � . 43. Backflow Irrigaiion , - • 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � 49. Electrie Release to Edison � • 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY � ' No. Date Applicant to /ill in all spaces except those within heavy Gortler lines antl sign all avvrovriate Oeclarations. qTY OF COSTA MESA CONSTR UCTION PERMIT PFR�N�T NO_ � TRACT N(]. 1 OT NO. i inur nin a' Pr�t.add�e:s 345 Liniversitv Dr. _ Applicant's Mailing Address' Owner's Name Phone Address Arch/Eng. —License No. Address Contracror's Name ' Phone Address (mailing) Ciry License No. n�ppP R�] �iar LICENSED CONTRACTOR DECLARATION I hereby atfirm that I am licensetl untler pYovisions ot Charter 9(commencing with section ]000) ot DiviSion 3 of the E�usine55 antl Professions Cotle, antl my license is in full force and eitect. License Class License No. Da[e Signature WORKE0.5' COMPENSATION DECLARATION I hereby affirm that I have a certificate oi c4nsent to self-insure or a certiticate ' Workers' Compensation Insurance, or a certitietl wpy thereof (Section )0, Lab. C.) olity No. Company ❑ Certifietl copy is hereby furnished. ❑ Certifietl copy is filetl with the city Builtling Division. Date Applicant_ EXEMPTION FpOM WORKERS' COMPENSATION DECLARATION (Thls settion neetl nat be wmpletetl if the permit is for one huntlretl ($100) or less). I cartify that in the per(ormance ot the work for which tnis permk is issuetl, I shall not emplay any person in any manqer 5 a5 to becom subject to the Work ¢/ �o�pensation �aws of Cali nia /�/ �ate �_�11,��%Si9nature ��/ -.!T<(� �iA^Y� NOTIC�: If!after fnaking this tletlaration, You shoultl become subject to the Workers' Compensation provisions of the Ldbor Cotle, you must to�thwith comply with such p�ovisions or tnis permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a mnstruction lenain9 agenty tor the pertormance of the work for whicM1 this permit i5 issuetl (Section 309] Civ. CJ Lentler's Name txaaer'sAtltlress — OWNERBUILDER DECIARATION I hereby atfirm that I am exempt trom the Contractor's License Law tor tne following reason (Section ]031.5 Business and Professional Cotle: Any city or wunty which requires a permit to const�uC<, alteq impwve, tlemoliSM1 o� �epair any structure, p�io� to its i55uance, also �eQuires the applicant for such pe�mit to file a signed statement that he/she is litensetl pursuant to tM1e provisions ot the ContractoYs License Law (Chapter 9(commencing witM1 Section ]000) of Division 3 of the Business antl Profe55�oP5 Cotle) o� that he/she is exempt -=retrom antl the basis for the allegetl exemption. Any violation ot Section 11.5 by any applicant for a permit subjects the ap0licant to a civil ialty of not more than five huntlretl tlollars ($500). L� I, as owner of the property or my employees with wages az their sole compensation, will do the work, antl the atructure is not intentletl o� offe�etl for sale (Section 7044, Busines5 an0 PrOfessional Cotle: The Contractor's License Law does not aDP�Y to an owner of a property wno builtls or improves lhereon, antl who tloes such work himself/hers¢If or through his or he� own employees, provitletl that such improvements are not intentletl or offeretl for sale. If, M1owever, the builtling or improvernent is soltl within one year ot com- pletion, the owner will have the burtlen ot provin9 he/she tlitl not buiitl or im- r ve to� tne purpo5e of sale). I a5 ownei of the property, am exclusively cont�acting with licensetl mn- r tors to construct the project (Section 7044, Busine5s antl Prafessions Cotle: The Contractor's License Law tloes not aPPly to an owner of property who builtls or improves therean, antl who contracts tor such o�oiects with a r.nn- tractor(s} license pursvant m me ConVactor's License Law). I am aware tnat proof oi their Worker's Compensation insurance shoultl be provitle0 to me. ❑ I am exempt untler 5ection B._ & P. C. for this reason Date Owner (�d�!� '� � ^ I hereby cevt fy that I have reatl this apPlication antl information is correct. I agree to compty W�th all city : antl state laws relating to builtling <anslNction, and hi sentatives of this city to enter up n tPe above-mei inSpeGtion p �po es $igndtu�e Drivers' License or 55 � ,� ^-� ^ � , � � 0865-46,rev.5/88 Wnite �Building; TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT GRAOING FOUNDATION ❑ STRUCTV RAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT3.r1OO oCCUPANCv CONSTRUCTION TVPE VALUATION $ 3� rJO.00 20NE GRA�INGCU.VDS. � ACRES Remaru:: Rarnnfinn Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service OuUets Intercepmrs Kitchen Sink Lavetories P-7rap Roof Drains ReinspeMion Fee � $15 eoiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepVFact. Blt. iC80 # Heating System & Ducting ❑0-100,000 BTU � 100,000 BT Reinspection Fee � $15 Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee ia.r. � S Main Building: E T Front B Rear A C Ri9ht K Left S Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit D ishwasher Dryers ❑Gas ❑Electric $ 3 FEES $ 3 2one Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Fan F.A.U. Fixtures Device Boxes QUt12t5 $WitCh¢5 Garbage Disposal Generator �0�5 KW �5-15 KW Meter LJup to 100 amps Meter ❑over700amps Sub Panel � Motors D O-1 HP O i%- 6 InaSolar �9-15 HP �16-15+ Microwave � Pole Light Range $IJfI Standing Sections Trash Compac<or � Reinspection Fee '$15 � I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zaning Approved By Building Appraved By QPDIICdLl011 �55118d BV __ _ _ FEES $ 3 N I N G R E d M T S. � SUMM�'R�V O,�F/_�FEES BUILDING PERMIT $__ l��. jLv SMIP $ • SD PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ 7LAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ 3 -�� PLAN CHECK 25% $ 01 Q493�'�29—�±10"s9�"s�7 "�"a�s �- 53,5? e��: a3io�i�� rir��: ns:�� t � �CONSTRUCTION AND PLANNING POOI �PA Date Inspector ' Date Inspector �PPROVALS permit # �,.� APPROVALS Permit # t. TemporarY Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. �' 53. Steel Reinforcement 3. Electrical Cbnduit Utility-Undrgrnd. 54. Forms _ � 4. Electrical Conduit-Undrgrnd.' 55. Electrical Bonding t, 5. Steel Reinfqrcement , 56. Rough Plumbing & Pressure Test ' � , ,.. 6. Electrical UFER Grnd. 57. APPROVALTOCOVER-GUNITE � _ . 7.-Footings � 58. Electrical Conduit-Undrgrnd. '` ' .• 8., Foundation � 59. Gas Pipe, � Undrgmd., Test �� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgmd. .� 1 � 10. Structural Floor System ', � 61. APPROVAL TO DECK -. � 11. PropertY Sewer Line & House Co�nnection . � 62. Backwash & ReceptorFinal , 72. 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 .� ��77. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,'1�,- Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,2Q. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Tesi 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � 74. Overhead HYdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factary Fireplace 3S. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer , � 43. Backflow Irrigation ` � 44. Landscape Irrigation SYstem '-/ 45. Sound Attenuation 46. Handicap Regulations �'� 47. FINAL STRUCTURE & BUILDING �a.� 48. Special Reryuirements Completed 49. Electric Release to Edison ��r , .-� 50. Gas Release to Souihern California Gas Co '� -% � � �'� :i 51. CERTIFICATE OF OCCUPANCY -�-v �" No. � Date r'''"• 'J �. 4 3 w P � 2 � I � N � � w z�� 2� �I �21�: '�. � :., _ p a to /il in a ezc se witNn h r Imes an sign a I appropriale tleclantions. ' A plie nt I II iDaces ept tho eavy �ortle E 1 ,�,OF�CUSTA MESA� � ' �� , : � ' � . PL�c.� ��G�! TRAiT NQ LOT NO., : BLD � _ ' ' J . _, _. .._ _.. ,.� .. ti -� _ "i - , � i�7-'-r,'�•iTRUCTION PERMIT ., • . _ a��' 2 _ _ . , .' , - , , � �..^_U✓i � •- . . Da97 6/�9/Bj�, Applicant's Mailing A d!re/ss ' , ' y . i� T,YpE OF CONSTRUCTION . NeW : qDD ALTERATIONl REPAIR - _ . ; � � OJ�i 32 • TL . �Prol�tAddreu . c�T••` �' u7v'n��1'Q'J. ,• V'L-: ' ❑'CONVERSION.❑DEMOj{$H �OTHERr � ' i � • ' ' - � .. - I ' �. . . , .' . `'. ' ' � OWner 5 Name ��'� �Phone , D�ES'pCRIPTION OF W�ORjK� �Q�-GC1f/E2T - O,V�� C'yA2d F" ' , � _ . � � '(�i.'I�.tif J :�. � . i ��J-�Nj�r-�-�'��M �'��L... � 2 .. '2 NING REGUTATIONS` . Addrea � i ' ` . .. . . - � . . TYPEOFPERMIT , uGRADING FOUNDATION STRUCTURAL' , AP:� ��„J�' ^D�. �ZONE' '-' - ' Afth/Eng.- y �� , LiCen52No. � � ❑ TENANT. � ELECTRICAL ❑,PLUMBING' ❑'MECHANICAL PLNG. REF.# " � . �'BUIL�ING ' � r � Addre55 � ' " - � � .O��OTHER � .' � � - , ' � .TO BUILDING. � . �� ' � �SI PRQIECT DESCRIPTION; 5�: FT. � - ' OCCUPA V� PROPERTY LINE � • ':REAft,VARD (T /L Contractor's Nam � hone � 'L�� S't � Jo� �= 1��,�1 CONSTRUCTIONTVPE � VALUATION$�=�� A�� LE�FTSIDEVARD . � RIGH YAR � � Address (mailing) _ l ' � �'+• ' / �� - LicenseNo. � - ?'-��.% �2 tP•Z.�'�_ ZON� -� ' ' GRADINGGU.VDS. � �ACRES PKG.SPACEREQ. • ' PROVIDED ' � LICENSED CONTRACTOR DECLAHATION � � Remarks: ' . � ' ' ' ' � . , -STREET WIDTH � ' RK FEE�$ ' I�herEby atf(rm that 1`am Iicensetl'untler provisions ot�Charter 9(commancing � , , with sectlon 7000) of Dlvlsion 3 of tha Business antl Professions COEe, antl � ' � � , r ' : SPECIAL CONDITIONS: ' ' my Iicense'is in ful rce antl efTecL � . � � '- - ucense Cias � -^��ri°ense,Jvo.' ? �L � . � . PLUMBING � � � � � � Date f`: ,��-5�9` c��r��.o , ��-/'7// i � . . . � • .rT• � BarSink SewerCap� , � ; ELECTRICAL � ' - '00.KER5' COMPENSATION OECLARATION i • ' ' iereby afflrmlhat I nave a eertl�tl�Wtey i:consent to Self-insure or a certificate_ ,.. gackflow Preventer' -��' Sewer Connection'' -'-' � -' '-�- �� -- Automatic Washer •. . Meter ❑over t0a amps '_ , ,,f Workers' Compensatfon Ins�(yne6 • or a certiiletl� copy t�eieof (Section ' � Conit�uction Pole ' 38oa, Lab, CJ • � � � � " ' ' ' . � 'Sub Panel � ' ' � • . � ,, Backflow Irrigation Solar Collectors - � Poucy rvo. � ' ' Company - � . , . - - - . Cooking Unit Sub Pole � � eCertifietl topy is herGby furni5hetl. • ; � � . Bathtubs + . � � SOlaf Plpin9 , , • ' � � .� � � Certlfietl copy Is filetl with the tlty Bulltling D�vislon. . , . .' Dishwash2� � �Moto�s �0-1 HP ❑ 1 K-8 � oate ' � ' ' ADC��ant _� � i . � Clarifiers , Sotar Tank � ; ' � � . . � �. ._. _. . ._._ . . _._. - .. � __ __.�_ .. . -_.. .o,_' _ __ � EXEMPTION'FROM WORlCERS' COMPENSATION DECLARATION � � - � � DryErs ❑Gas. DEleCtnC qnC.Solaf 09-15 HP 016-15+ �� ` ;(This section neetl mt be complete0 1f the permit is tor�one huntlretl (§300) or � �ishwasher ' Swimming Pool'w/Spa � . i � Ilecertify'that in the performance of the wof tor whi i5 permR is Issuetl I�' Dfinking Fountam�s � � � Ufinal i � Fan � ;MicrOWave "` � . � ; shall,not employ any person In any manner o' rome subje<t to tRe ! , - � . . '- F.A.U. • Pole Li9ht � ' ' � Workers'.Compensa o`�Laws of California.' � : ' t FloorArains �I � i Wat¢r Closet � : 1 . � ' . Date /w.._�Si9nature � ' ' - Fixtu�es �_ l_ Ran � ' �� NOTICE:�I(,�a er makirig�this-Aectar on,ry 5 oultl beco a su �ect to the-'- �-- � FIoOr Sinks � -{- -i � - '- Wat2� HeatCr - -- - — - - � - � - --F - - 9e � -.i. {. ___ _ _ _, Q ' Workers', Compensation provision of the bor� Cotle, you must_Torthwith, � � scomply iwltn,such pwvisions_Or'this' rmit shall be'tleemetl revoketl' � � ' � � " " � - DeviceBoxes � i � � . � � ! ' CONSTRUCTION�LENOING �A `� � '� � ' � , ' � � GasService 'Outlets, �Water,Sermce -1 � ,�, r ,� � i �Sign� , i i � I hereby atflrm that there is a mnstruction.lentlin9 agency�for the performance � ,� Interceptors � .- ; 1 � j �. , ',a� • � Outlets i � Standing Sections � 7 j ��. of the work fm£ which��this� permit -is lissueQ (Section 3097' Civ C ) � � ' ' � _ , , � , , ; ' � Lentler's� rvame.• - '•'• � � -� ; Kitchen�Sink� : �; � ... . , V � Switches ; i ,Trash Compactor �j � L.eneer's Atltlrexs' =' ` = ` ' -� ; _ Garba e Dis osal ' � � � ' . OWNERBUILDERDE.ELARATION �� T. 4 • . ,�, j LaVatOries_j, 'y�; - _ . „ .9 P . � ' ' I herebyaifirmShat I am�exempi from the.Contractor's License Law forthe �. -- � , . ��- - Gene�atoi �0-5KW 05-15KW ' , i 1 ' ' � following reason �(Se<tion 7031.5 Business antl Profe55ional�Cotlei Any city or 4' P-.T�aP + + - _ R, ,� � T _ . ( j <ounty which req Wres a permit to con5truct, alter, improve; tlemolish-or'Yepair �_ . , � . �any structure, Prior to Its�issuance, also requires the:applicanbfor such permit� . Roof D�ains � j`� � '_ � T�ansformer Q 75-50 KW � ' � to file a�signetl staiement that he(she is Iicensetl pursuant tb the provisions of ' - � ' '- � �5U+ KW, ' ' he Contractor's'•License Law'(Chapter 9 (commencing witn Section-]000) of ' - ' ' rr i . 1 � � � - , , � � Reinspection Fee � ' I "°ivision ,&ot the Business antl: ProTessions' Cotle) or that: he/she'�is exempt j- � Shower5 �.. _ �� ReinspectionjFee � i $15� ' � � � ' "sneretrom antl the basis tor the�allegetl exemption. Any violation of'Saction ' '; _ ' ' - -� MetEr ❑upt0700amps - 'Issua.Fea� ' � � : �$ 3 ' � 7031.5 by'any applicant for a permlY subjects the�applicant to a civil � � • . • � . � • : ' � ' _ _ __ , enally ot not more than five huntlretl tlallars ($500). '.' . ,'. ' Sernce Sink , , j Issue Fee �. �$ 3 Zoning Approved By � G � � Date ' ' � � 1, �as owner of'the property or'my employees,with wages�as t6eir sole � � � ' • ' - � � compensatlon wilPtlo the work, anE the structure is not intentletl ocofferetl �� I � ` � � MECHANICAL : . • • ' ' ' � � � � ' i � .tor sale (Secfion 7044, Business�antl Professional Cotle::The Contractor's . '' APPlicationApptoved8y , �Date -�� License Law tloes not apply tb an ownei oT a property who builtls or improves �-. �- ! � Refrig2�2tiOn Systertl ' � Bailer_.: � 1 the�COn,'dntl who tloes'such�work fiimSClf/her5¢It o� through his o� he� own - . . ' i ..i �Application Issued By ' • 'Date emD�oy ees, p�Ovitletl that Such improvements are'not intentl2tl o� offeretl tor - ❑0-100;OOOBTU� �100,OOOBTU � � sale. If, nowever, the bulitling or Improvamant Is soltl witnin one'year,ot com- t ' Duct-'Under,Ground ' . , ; . ' ' SUMMARY OF FEES � ' ' ' � � � � pletlon, che owner Iwlll have the burden of proving he/zhe tlitl not builtl or im- , . . ' � � , � ' �rova tor the purpose of,sale). � � ' i � � Duct - Structural � System Repair/Alteiation � 2�,5�. � � D. � j i . . . � 'BUILDING PERMIT $; � SMIP - , $ ' LJ I, as owner of the property, am exclusively contracting �with licensetl mn- � . . . � ' p ,'� - - i � � tractorsto construct t�e'project (SecUon 7044,.Business antl Professlons.Cotle: _t Duct - Ventilating , _' ' __ _ _. �,�J��y � � � - PLAN CHECK� � $� .�i � PERMIT � ' f � ' The Contracior's L`icense l.aw does not apply to an owner of property who - . � ' � ' � ' � i , builtls or improves;thereon, antl who contracts for such pro�ects wlth a con- . � ExhaustiSystem ❑ Mulnple ��' �f � �J �' ' tjp . ,PLUMBING � $• � � � ISSUANCE ,$ � tractor(5) li<ense pursuant to the Contractor'S License LawJ.i : . � � � $i ' ! GRADING � ' $ � � . � I'am exempt untler Sectlon ` , B. & G. C. tor this reason � Firepl/Faet. Blt. IC80 # � � � � ��PLAN CHECK; � � ' � '; , � f , :.Data ' � � � Owner ' � � � � ' - � Heatin9,Syst2m & Ducting ; 1 j �� ' ' �ELECTRICAL� i $ � � t � �� $ - ( � � � � ' . � - .� , � ' � � MICROEILM . $ �� . b�hereby-�certify that-P have�reatl this application anC^state-thatr the above- � 00.100,OOO.BTU 0100,000BT � - - � ^ - }� -. � �PLAN CHECK � $ �� , ' information Is correct. 1 agree to comply with all city:antl <ounty ortlinances . t � �- , f �; � �. TOTAL FEE; '$' � � antl state IawS.reWlin9 to builtling consGuction, antl �ereby authorize repre- � - � � . . . �MECHANICAC � $. � �0 . , ' � 5entaHves f;thls 'clt ta nter +u on the above-mentlonetl Hood Oi T e I ❑�� , . � P prop¢rty tor YP - . 1 . �insoectiomo,urposes: � j _ - �, . n ; Cano T ell ❑ ; , Re�nspec[ion'Fee; $ � LESS ' � , , Sigriature � ' Date '��-f��i�1' . ., , ` ;PLANCHECK'� ! �•�I i ; ADVANCED�PC $ ' � Drivers' License o .5� � " ' t ' Registers . ; � ± � Issue Fee .� $ 3 > � �� , � y } � { � FINAL FEE % , $ � �� 32 CMF 0865-46.rev: 12/82 �White - Builtling; CSnary - Applicant; Pink - Accounting; Goltlenrotl - Assessor�,�, - � . - ?T?`7"� . . - ". '� � � ' � _ . . _ . ._ . . . - -- -- - - - -. I �i��CONSTRUCTION AND�PLA ING , � � � ' � -. - �n - ^ . POO � SPA '- ,. � �� : � • ' � Date ,Inspector � ` •Date Inspector � . QPPROVALS � Permit#� � � '=APPROVALS� Permit# - � r � - F . r. ' ' , . . . "'-��1.. iTemporary Electrical Service or�Pole ; _ � , _' � , � 52: �Pool &�Equipment Location .' - � ' � - � _ - ' c i . . - . _ ' a. . . . , ' . � 2t Soil Pipe-Undrgrnd.; � - - : � • - - -�" � -53'�Steel Reinforcement , - �i '-c�. - � - - - �t J �3�. �Electncal Conduit Utilitv-Undrgrnd. I ;,• � r = ' 54.: Forms'. � . . - . � � � � � '. 4: Electrical Conduit-Undrgmd: �. � ; � �-' � � ;55: Elect�ical Bonding � - � - .�, : 5. �Steel �Reinforcement � ' i"� � - - ' , � � - - . '_. '� 56. Rough•Plumbing & Pressure Test � � �6: ,Electrical.UFER�Grnd.',�i'. � `- �,I `� �, �'.. : •' �57: APPROVALTO,COVER-GUNITE- . . , � , �. ; 7. �Footings . ' ' " � ry . � +; ' - „�. �.= _ 58. Electrical:Coriduit-Undror�r{_ : �'` • ' � _ . .� 8. Foundation ; ' � � -� � ' � - _ �.. , . ��59. Gas.Pipe, O:Undrgmd., Test� � `� � � . �. 9. Water Pipe-Undrgrnd: : � � = � �� - . ' 60. Backwash �Lines, P-Trap, O Undrgrnd..- . 10. Structu�al�FloorSystem��_: "' .. 61. APPROVALTODECK -,. � �11. Property'Sewer L.ine &�Hquse Connection � �62. -Backwash & Receptor-Final _ � _ 12. Sewe%CaP . ' ' � _ .. � - - " ; 63. Fieater &;Uent-Final _ 13. Roof Drains � -� � � '� .� 64. Plumbing.SVstem - Final . � - 14. �Rough Plumbing � . � - � � • � � ` - �'�. Electrical-Final- ' �- " - � - ��.'-15'�Rough-Electrical-Conduit��- ;;�"-�,'� , � '{ i '66.�Solar'System-Final� � �� -� .� ' � _ � � 16. Rough� Eleefric Wirin9; , .2 ,` � . - � y r p - . � -' _ - .- , , . � i , �� '67. -Fencin '& Access A proval � •-� � � - �� 17..Rough`-Wirin9:Sign;� �, �i ' i - - x i � , ' - . . . � - ;; �. . � �'� ; � �, '68.� APPROVED F,OR PLASTERING : �i8. �Rough Electrical;7�Bar Ceiling� ' � , ' � � � 69., POOL/SPA SYSTEMS FINAL � � , � . 19.. Rough Heating &�Air�Conditioning ` , FIRE DEPT.,REQUIREMENT . � � � ' ' 20;'Rough Facto `ry Pireplace : - . � � ' ' ' i APPROVALS • Permit # ' � � - ' 2�1. �Ducts,-in Sfructure• ' ' ' . y ' ' � ! � � � � : ,70.� Underground Hydro � 22. Ducts�,;Yentilating ' . � , ,i � , . ; ,7L� Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & T2s4 � ' � i � �72.f Underground Flush� � � ' � �24. ��Ro�of fFa'min . � � � I , , , ' � � � � � � � , � 9 � � i„ .� � , - I - i73r Undergrnd. Storage Tank 0 Gas ❑;Oil � �, , , � 25.'Roof�SheatFiing � r ' ,, ", ,� ' � - � j 74.� Overhead Hydro � ' ' G `. ' .� ' � �: � -26.;T-8ar Ceiling (Structural�i & Monocoat f � !, ' � - ! . ; 75.� Dry Chemical ' � - - � - .'�27. �Frame'and Flashing� � � ' ; li'� �� 76. Dry Standpipe ' - ' � �Y � " � �, ., � 28. `Lathing & Siding; �' �- , � , ,� � � , � 07.. FIXED SYSTEM=FINAL .. �� -'" � ' �� ' 29. InsulatioFl � ' a + '� � � ' � � 78.. FIRE PREV. FINAL ' _ � i '-30. DrywaTl Nailing i ".�'. '', � . �, ' � �._ �� Notes: , . �. . . ' '31. Plaste?.Brown Coat; � .� � � • I � 7 I, °J' �',3 � 'h � / ' - ,Vc32. �Electrical Power MeterFinal � �� ' � ' C,hN 'o v� �� 33.,Final Electric � �_I�l S'3'1, 1H� d' e,r G Y o� � 34. Final Heating &�Air Conditioning ♦ ' � � � p . ' , � � � / �. ,�. �F `/ J -4.1� � �i� ,� , � � . ,. .. 35. Final Gaf Pipe-Test.'- •'�' '' �: � !� ' � _ � ' , , � � " � 36. Hood or CanoPY= •. �:. �� . ' � - � � . � ' .. ' - - �� Ii:�� c. . . � 37. Final Faaory Fi�eplace- • - � -. � � . � � � � i ' . " - + - - � � � , 38. Final Plumbing � � ' - • , �� • � ' ' I � 39. Water Ser'vice-PinaP � • � � � � . t � � ,. 40. Gas Seivice-Final ' ; �� ` � � ' . , . � � ,.,,, _ . . . , _.; . . . �"��:..: ' 41. Solar poinesticFinel . . _ _' _ _ _ _ .. ;_ _ . . • . , 42. Backflow Preventer _ . - , •� . , � � . . � ; ! � ' ' . - � -, - t - ' , 43. Backflow Irrigattipn �- ' � � � � � ! , ' - i , , � 44. Landscape IrrigaYion;System�� ' ��`' � . i � � � `� �; { ' � � � - =� � 45. Sound �Attenuafion � . u � . � -. � �' _ � � ' ' ' ' " G �' '. ' ' ' � � . ' ' . ' � i 46. Handicap Regolations' - � - � � � . ' ' . � 47. FINALS,TRUCTURE&BUILDING' � � 1 � ' � � � • i 48. Special Requirements Completed. �' . . �O� � , , , � � � � � . . - - _ 49. Electric Release�to Edison�. . ' � . _ '_ .___} ! _ �... __�. _� _ . ' . i • i. � 50. Gas Release4o Southern CaliforniaGasCo � � , � � � .y�..i I i ,��, " ' � � , , ' 51. CERTIFICATE OFIOCCUPANCY ' ' ! ' � ' : � , ,I I I i - �- ; �- - -� ' • -�-,,;� -�- - -�'- . No. Date ' i � ' � ' ! ;' �i� 1 ( ' . � `�_ .�,.��1_�; � . � INSULATION CERTIFICATION � . _ :3�5 �.I,vu ifr�-s �� Co s�u � �� U71� NumDer ��0 Slreet Oty Covniy SuDG��l+iOn ' LOt NuTDtr � DESCRIPTION bF INSTALLATION ROOF /�� Materisl !'r Thickness (incAesl EXTERIOR WAa��.L,,— IM�erisl �lY I G �5 TAi[kntss (inches) � 2 � CEILING B��t or Blankct Thi[kneu finches) Loose Fill TyDe M�n�mum Thickness I�nchesl Area Covrred (h21 FLOOR,ELEVATED Material TAickness lincne:l FLOOR,SLAB R:)rcrial T�ickness linc'�esl W�dtn linchesl __ FOUNDATION WAII Ma�rr�al TA¢kness bncnesl Brand Name � " �� Tnermal Res�s�ance IR Vsluel Br�ndName �fl�h V' 1�,5 U�� I� Tnermal Resisrn�e IR Vaiue} ' �� Brsnd Name Tnermat Resisunce IR Valuel B�and Name Number ot bags Weig�t per Ea9 TAermal Reslstance (R Va�ut) Brantl t�ame Tnermal Resistance IR Valud 1 '9rantl Kamt Tnermai Reslsta�ce IR VaNe) B�and Nam� Tnermal Res�sta�cr (R Va!ue) DECLARATION m I nereEl' errtiiy t�a2 the a7w�� svlatlon was installetl m xhe b��idng at thr a5ove lora��o� im m�lormance wrt� thr qynent rrgWaLions utting E�ergy Conservalun Standa•tls �o� new resitleNal builtl��gs �loutetl in Tnle 24 of tne Ca�ifornia 40miriifral�ve CDde1. � ^ �OSc��` � - C�iv� Ov�GGS� � � s c� 08 / Gmer�: Conir�[t �B IEer Liceme N�mum _ S�u�- � W n� '7-1 �-- B 3 � 5,5ns�ure ana Tiue Da�e SuC CDn1�iClo� �In4uNt�On ADD6UtOr) Li[enfe NumDef R S�S��we en0 T�Ue F�gu�e <-1 E��mple O� a eompl,ance crrt�hu�e 4-9 u : A _ y .;. � - ,-- ==� . Firelnciden[# Ole-9202 � Police Incident # ✓ — RELEASE OF PROPERTY AFTER EMERGENCY INCIDENT CI �, � �A MESA FIRE DEPARTMENT P.(�:�OX 1200 COSTA MESA, CA 92628-1200 (714)754-5106 The Costa Mesa Fire Department, in the in[erest of the safety and welfare of the community at 53 4 (time) 1 Z'2 9'Ob(date), assumed control of the property located at 3q-S f INNER s i rY # F4 The necessiry for assuming control of the property was because of �� R E Pursuant to the conditions contained herein, as of IG�43 (time) 2- Z9 -O G, (date), the subject property is released to, and is to be under [he conhol and the responsibility of SR�'t T R/+R BER � PRn PER7v oc,��rER�� (name), who is the owner ( f), owner's representative ( ), tenaut ( ). YOU ARE HEREBY PLACED ON NOTICE OF THE FOLLOWING CONDITIONS (Check applicable conditions): ( ) A rekindle or an additional fire from a hot spo[ is possible. The Fire Department recommends that a fue wa[ch, wi[h a means to extinguish hot spots, should be posted for 24 hours. , ( ) The following utilities: electricity (� gas ( ), water ( ), serving [he property have been shut of7. It is advisable to con[act the appropria[e u[ility company before restoring the service. ( ) The structure may have been weakened by the incident. Until a struc[ural survey can be made, it is advisable to keep all unnecessary people ou[ of and away from the building. (��Buildings that cannot be locked or secured by normal means must be secured by alternative means. Barricades and/or fencing are required [o preven[ unauthorized entry. It may be necessary to provide a security guard. (� Rebuilding and/or repairing the damage will require pecmits (e.g., building, elechical, e[cJ from the City of Costa Mesa's Development Services Departmen[, Building Safety Division. They may be contac[ed Monday [hrough Friday be[ween the hours of 8:00 a.m. and 5:00 p.m. by calling (714) 754-5273. ( ) The Cos[a Mesa Fire Department and the Costa Mesa Police Departmen[ retain the right to re-enter the property at reasonable hours, should their investigation of this inciden[ require such re-entry. ( ) O[her pcecau[ions/condi[ions (specify): The conditions listed above are not all inclusive. They are intended as guidelines for the City's Fire Depariment in exercising their discretion in providing emergency assistance advice. Information concerning a copy of the report for this incident can be obtained by calling the Fire Departmen[ Business Office a[ (714) 754-5106, Monday through Friday, between the hours of 8:00 a.m. and 5:00 p.m. You may be entitled to a reassessment and subsequent reduction of your property tax as a result of this incident For fuRher information con[act the Orange County Assessor's Office at (714) 834-2727, Monday through Friday, between the hours of 8:00 a.m. and 4:45 p.m. . The OWNER, OWNER'S REPRESENTATIVE, and/or TENANT shall protect, defend, indemnify and hold harmless CITY and its elected and appoin[ed boards, officers, and employees from any an all claims, liabilities, expenses, or damages of any nahue, including atromey fees, for injury to or death of any person, and for injury to any property, including consequential damages of any nature resulting therefmm, arising out of or in any way connected with the negligent performance of this Release by act or omission, by or on behalf of OWNER, OWNER'S REPRESENTATIVE, and/or TENANT, or resulting from any violation by OWNER, OWNER'S REPRE ENTATIV and/or,TENANT of any statute, ]aw, regulation, or o[her legal requirement. Signed: � ,�//6� � Date: 12-Zq-Oh Time: �(045 Own�'c (�%j� Owner's Representative ( ) Tenant ( ) Costa Mesa Fire Departmen[ Signed: in Charge 2923-aa While-�Fiie'AdmmisVaLon.Vellow—Owner/pwner'sRepresenWtive/Tenanl,Pink—DevelopmeNSen¢eslBuiltlingSafety Assignment �n/(/E57/GA7YJ� (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lobAddress: 345 UNIVERSITYDR Suite: D Vicinity: ROOF UNIT D Primary Occ: R3 Parcel Number: TPN005068 npplicant: PABLO LOBATO SANCHEZ Address: 1235 N SAN DIMAS AVE Type of Conslmction: V-N Zoning: Phone: 626-852-2110 SAN DIMAS, CA Zip: 91773 Owner. WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNIVERSITY DR . � Phone: COSTA MESA, CA . ' - Zip: 92627 Contractor.' CONDOMINIUM CONSTRUCTION SERVICE, INC Address: 1235 N SAN DIMAS AVE Phone: 626-852-2110 SAN DIMAS, CA Zip: 91773 license: 691243 Arch : Address: Zip: Phone: License: Eng: Address: ISSUED BY: StaWs: ISSUED Applied: 10/062005 Issued: 10/062005 Phone: License: SCOPE OF PERMIT REROOF CONDO BLDG #D ' T/0 EXISTING COMP ROOF, REPAIRlF2EPLACE SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY 40-YEAR COMP SHINGLES. 65SQUARES � - � . _ Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $223.25 $1.25 $0.00 $0.00 $0.00 $224.50 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0-0 PARKING Existina: o Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY �� Left 0- 0 Lek 0- 0 Pr000sed: 0 Right 0- 0 Right 0- 0 512,500.00 $12,500.00 NOTICE: The work authorfzad 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 permlt shall eutomaticelly expire and become voltl if work Is not commenced within 180 days, or if vrork is suspended or abandoned tor a period ol 180 days. - INSPECTIONS: In order for the work authorized under this permit to be considered legal, suc� work must comply with all appiicable codes, end ell requlred Inspeotlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 754-5826 tN6a8160o) WORKERS'COMPENSAnON DECLARAnON: . . ' � I hereby aflirm under penalry at perJury one of ihe following tleclaretions: . � ❑ I heve entl will meintain e certificate of consent to selt-Insure tor workers' compensation, as provided lor by section 3700 oi the Lebor Code, for Ihe pertortnance of the . work lor which Ihis permit is issuetl. � �'�'.�a'.'��, I�I�i�av� end will maintain workers' compensation insurence, as requiretl by section 3700 of ihe Lebor Cotle, for Ne peAortnance of the work far wNch UIs pertnit Is iswetl. \�My wo/rkers� com�jensatlan I urence carder end p9I number are: �p 2 �G�ruer. ( ["� �h1✓�R� g�Pf IAI'� IN� CO PoiryaNumber. �OS Q�K.�J�2.ZJ (7�1i3:�n'nee no( bed comp/e(etl i! fhe�p 't is valuetl one hundred dollars ($100) or /ess.) , ❑ I certity thet in the pertortnence ol the work for which this permit is issued, I shall not employ any person in eny menner so es ta becoma sub�ect to the workers' compensation laws ol Califomia, and agre Ih ,� if I s uld become sub�act to the workers' compensetion provisions of Section 3700 of Ihe Lebor Code, I shell fotlhwith compty with these pro ' io . �p��.s�cWa: oac�a:� 10 'O�r b� WAqNJN(iLFNIURE-TO SE RE WORKERS' OJMPENSATION ODVERAGE IS UMAWFLL AND SHALL SUBJECi Ml EMPCDVER�TOCPoMINAL PENPLTIES AND CML FlNES UP TOONE HUN�RED TF�Or1SAN� DOLLFRE (Sl .000�, IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN $ECiiON 3]O60F THE UBOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATON: I hereby eHirtn lhat I em licen§ed �nda� provisions ol Chapter 9(commencing with Section 7000) of Division 3 0l the Business,and Professions Cade, end my Ilcense Is in full CONSTRUCTION LENDING AGENCY: ❑ I �ereby eflirm ihat there is a conslruction lentling aqency for the performance of Ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: . . _ Lentler's Adtlress: Signeture: OWNER-BUILDER DECLARATONS: Date: I hereby affirtn Ihel under penelry of perjury ihat I am EXEMPT FROM THE CONTHACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professlons Code: Any ciry or counry which requlres e permit to construct, alter, improve, demolish, or repair any strucWre, pdor to its issuence, elso requires the epplicant for such permit to file e signetl stetement thet ha or she is Ilcensetl pursuent to the pmvisions ot the Comractors License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvislon 3 0l the Business end Professlons Coda) or Ihat he or she Is exempt lheralrom entl the basis tor the elleged e:emption. Any violetlon ol Sectlon 7031.5 by any applicant for a permit subiecta ihe appliCent to e clvll penelry of not more ihan five hundred dollars ($500).): ❑ I, as owner oi lhe propeny, ar my amployees wIN weges es lheir sole compensetion, WILL DO THE WORK, antl Iha swcWre Is not Intentletl or ottered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or Improves thereon, and who does such work hlmseif or herself or ihrough his or her own employees, provided ihat such improvements ere not intendetl or oNeretl for sale. If, however, ihe building o� improvement is sold within one yeer oi completioq the owneo-builder will have ihe burden ot proving thal he or she tlid not buii0 or improve tor purpose of sele.). ' ❑ I, es owner oi the proparry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ta construct the praject (Sec. 7044, Busineu entl Professions Code: The tontrecmrs LlcenSe Lew does not eppty to en owner of property who builds or Improves thereon, end who contracls for such proleCt wlih e coniractar(s) license pursuant ta the Gamractors License Lews.). ❑ I em exempt under sec. Signature: Owner ID vanfied by drivers licansa. ❑ Yes ❑ No Business entl Professions Code tor this reason: Verificetion oi Ownership by (type oi tlocumen6 i.e. - propery taz bill or deed): DnveVs License No. oaia: Explre5: CERTIFlCATE OF COMPLIANCE AND AUfHORIZATION OF ENTRY: I ceniy under penalry of perjury ihat I have read Ihis application end state Ihet ihe Inlortnatlon given is correct. I egree to comply wlth ell state laws end clty ordlnences relating to building construction, end euthonze representatives oi the Ciry of Coste Mese to enter upon the ebova-described property lor inspection purposes. I egree not to occupy or ellow occupancy ot eny building auihorized by this pertnit until finel inspectlon. COUE t. INSPECTIONTYVE 1616 FixeA System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 207 Final BIocWRetaining Well 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition �. I 1111: �I= �/� r � • ,• CODE I INSFECTION TYPE 206 Final Mechanical 208 Final Plumbing , 210 Final Elet�rical 212 220 Finel Fire Preventlon Final Planning Approvel 222 Final Site 250 Finel BuiltlingiOccupency Date PAg Uf�1SL5 AOP�icant to fill in all soaces exceo� those within heavy �oraer Ilnes antl sign all appropriate tleclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. __ TRACT NO. LOT NO. 11NiT Nn Project Address � Cf5 i � - Applicant's Mailin,/5 pA�ddress ui e . Qa� Owner'sName /1(o0ft Phone Address ��'L Arch/Eng. License No. � Address � ,`(,�1 Contracror's Nam�+ Phon�$Sq-9oos �J A'ddress�mailing) p-�' �� , �, TfVi�,{�y � City License No. -� v � �� I LICENSED CONTRACTOR DECLARATION � I hereby,aftirm that I am licensetl untler provisions of CM1arter 9(<ommencinq with section 7000) ot Divislon 3 of the Business antl Professions Cotle, antl my license is in fpull force antl eitect. r� p� License C15ss `-�b Licen No. �'/S�i/ ' Oate��/-71� Si9nature [(�/r( �� - WORKERS' COMPENSATION DECLARATION � , � hereby atfirm tha[ I have a certificate oi consent to self-insure or a certificate ':.:+f. Workers' Compensztion Insurance, or a certifietl cop thereot (Settion �''9800, Lab. C.)n�C,.,,�'OI Policy No. �r J� Company � ^�Certifietl copy Is �ereby turnishetl. ]24�Cer i ietl co Yis filetl with the city Builtlin� Divi;'ron Date ��-�+' Applicant �,��j�� EXEMPTION FROM WORKERS' COMPENSATION �ECLARATION (This sec[ion neetl no[ be cOmpletetl i( the permit �is for One hund�etl ($100) or less). I rertify that in Ihe p¢rformdnce of the work fOr which this pe�mR is issuetl, I shall, not employ any pe�son in any manner so as to become Subj¢ct to the Worker �o p tion Laws of Califom' �, /J Date �Signature �l.t�� NOTI E: If, after making t�is tleclaration, you snoultl become subject to tne Workers' Compensation orovisions of tne Labor Cotle, you must forthwith comply with such provlsions or this permit shall be tleemetl revoketl. CONSTRUCTION�LENDING AGENCV ' � 1 he�eby afti�m [hat there is a consVuction lentling agency for the per}ormanc¢ ot t�e work for which ['s p mit is issuetl (Section 3097 Civ. CJ LPntl¢r'S Name Lentler's Atltlress — OWNEq BUILDER DECLARATION 1 �ereby affirm�ttiat I am exempt trom the ConVactor's License Law for the (ollowina reazon (Section 703L5 Business antl Professional Cotle: Any city or es a oermlt to construct, a�ter, ir to its issuance, also requires the ment that he/she is licensetl pw :nse Law (Chapter 9 (commencir ��enalty of,not more than five LI 1, as owner oi the prop� compenzation, will tlo the w< tor sale. (Section 7044, Bus License Law tloes not apply t thereon. antl who tloes such employees, provitletl that suc sale. If, nowever, the builtlin Oletion, the owner will have �rove for the purpose of sale) I, as owner of the pro0er t�acto�sto constructthe proj The Contractor's License La builtls or improves Ihereon, tractor�s) license pursuant [o proof ol tM1ei� Worker'S Co ❑ I am exempt untler Sectio v a perrolt 5u0�ec[s Ine appiicant to a huntlretl dollars (E500). � � :rtyb� my employee5 with wa9es as tnei' mk, antl the structure is not Intentletl or o1 �ne55 antl Protessional Cotle: The Con[ra o an owner of a orooertv who builtls or imc g or improvement is soio wrtnm one year m mm- the burtlen of praving he/she tlitl not bulltl or im- ty, am ezclusively cont�acting with lic¢nsetl con- ect ISection 7044, Business antl Professions Cotle: w does not apply to an owner ot property who antl who cont�acts for Such projects wi[h a con- roe Contractor'S License Law). I am aware that mpensation insurance shoultl �e provitlatl to me. n—.-l-l-d— B. & P. C, tor this reason A/ / // Date Owner . I �ereby certify t�at I have reatl information is correct. I a9ree [o c antl State laws �elating to building sentatives ot'this'city� to enter inspeCtlon purposes.�y�y � Signature �S Drivers' License or � iumor¢e re0re- f ,property for !/ �?/�y TYPE OF CONSTRUCTION LI NEW L1 ADD lJ ALTERATION LJ REPAIR, ❑ GONVERSION ❑ DEMOLISH ❑ OTHER DESCRIP.TION OF WORK/USE OF BLDG�. TVPE'OFPERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL . ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 54. F7. � oCCUaANGv CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YpS. ACRES Remarks: Sink Preventer Irrigation Dishwasher Drinking Fo� Floor Dreins Floor Sinks ' Gas Service Interceptors Kitclien Sink Lavatories P—Trap Roof Drains ReinspeMion Fee Outlets $15 Boiler Duct-UnderGround Duct - Structurel Duct-Ventilating .� . Exhaust Sys�em ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.700,000 BTU 0700,000 Reinspectian Fee � $15 CMF 0865-46, rev.4/84 Wnite - Builtling; Canary - Applicant; Pink -Accountin9; Goltlenrotl -Assessor PLUMBING Showers ' Service Sink ' Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service � Issue Fee' Hoodor TYPeI ❑ Canopy Type II ❑ '� Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Iuue Fee A.P. qW S Main Building: E T Front B Rear A C Right g Left Ping. Ref. # . Planning Notes: 2892 II/26/B4 Zone Accessory Building: Parking Req./Provided ELECTRICAL . Automatic Waslier " - — Transformer ❑ 75-50 KW " Construction Pole Sub. ❑ 50+ KW Cooking Unit - . Meter ❑up to 100 amps Dishwasher Meter ❑over'100amps Dryers ❑Gas ❑Electric Fan F.A.U. Fixfures - ' ' Device Boxes Outlets Switches Garhage Disposal . Generator DO-5 KW �5-15 KW Sub Panel Motors �0-1 HP O1 %- 8 Inc. Solar �9-15 HP �16-15+ Microwave - Pole Light Range Sign ' Standing Sections Trash Compactor $ 3 I —1- Reinspectian Fee $15 Issue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approvetl By � Buildin9 Approved ey _ .. .. . . _ � �,l A $ 3 �.OG iL FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ .SLb ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $� MICROPILM $ � MECHANICAL $ TOTALFEE $ �� PLAN CHECK 25% $ , Z O N i' N G R E Q M T , CONSTRUCTION ANDPLANNING POO. oPA , . APPROVALS Permit # Date Inspecfor p�ppROVALS Permit # Date Inspector � 1. Temporary Electric8l Service or Pole� 52. Pool & Equipment Location ,. 2. Soil Pipe-Undrgrnd. .� • " 53. Steel Reinforcement 3.'.Electrical Gonduit;Utility-Undrgrnd. 54. Forms ' - - / 4. Electrical Conduit-Undrgrnd. � - . 55. Electrical Bonding � 5. Steel Reinforcement '' S6. 'Rough Plumbing & Pressure Test � �� 6. Electrical UFER Grntl. �, 57.'APPROVALTO COVER-GUNITE � 7. Footings l; - • �� , 58. Electrical Conduit-Undrgmd. . 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Und�gmd. - ', 60. Backwash Lin'es, P-Trap, � Undrgmd._ 10. Structural Floor System � .� ^+ �._ 61. APPROVAL TO�.DECK 11."Property Sewer Line_$� House Connection 62. Backwash & Receptor-Final 12 JSewer 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 Wiriny 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# � - 27. Ducts, in Structure 70. Underground Hydro � , 22. Ducts,�Ventilating 71. ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing � 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � � ,74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 2S. Lathing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV, FINAL � 30. Orywall 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 Fac[ory Fireplace ' 38. Final Plumbing G�(�t �' (�� . � � • 39. Water Service-Final � � 40. Gas Service-Final . � � 41. Solar pomestic-Final � - 42. Backflow Preventer � - 43. Backflow Jrrigation . .._ . . , _ � � � 44. ,Landscape Irrigation.System , 45. Sound Attenuation . � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirementg Completed � ; 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY ' ' No. Date , / ! ,• AOPlicant to /ill in al1 svaees ezcev� those witnln �eavy eoraer Ilnes ana sign all aDV�aorlate Ceclaratlons. CITY OF COSTA MESA CONSTRUCTION PERMIT T N TRACT NO LOT NO N ProjectAddress 345 Universitv Dr. . �Applicant'9 Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contrector's Name Phone Address (mailing� c;,v u�e„se rvo. Owner Bui 1 der LICENSED CONTRACTOH DECLARATION I M1ereby affirm tM1a[ I am licensetl untle� provislons ol C�arter 9(commencing with section ]000) of Division 3 of tne Business antl Professlons Cotle, antl my license is in full (orce antl etiect. License Class License No. Date Signature WORKERS'COMPENSATION DECLARATION I he�eby affirm that I have a certiticate of con5ent to 5¢ILinSure or a cerU/iCat¢ ' Workers' Compen5ation Insurance, or a certitietl copy tnereof (Section 00, Lab. C.) . olicy No. Company 8 Certifietl cooY �s hereby fumishea. Cer[ifietl copy is tiletl with the tity Building DiviSion. Date Applicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This Settion neetl not be com0letetl if the permit 6 to� on0 huntlretl ($300) or iess�. I certity that in the performance oi the work for which thiz perm�t is issuetl I snall not employ any person in any manner so as to become subject lo t�e Worker' m ens lon Laws ot Califq�nia. Date Si9nature �' B�l��la .-n- NOTICE. If fier making this tleclara[ion, you shou tl become sub�ect to the Workers' Compensation Orovi5ion5 of the Labo� Cotle, you must for(hwitn comply wit� such provisionz or tltis permlt shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby afflrm that ther¢ i5 a cons(ruction IenGing agency for the pertOrmance ot Ih¢ work tar whith (hi5 p¢rmlt is issuetl (Section 3097 Civ. C.) �cnCer's Name Lentler'S Atlare55 OWNER BUILDER DECLARATION I hereby a(firm lhat I am ezampt from the Contracror's License Law tor the following reason (Section 7031.5 Busineis antl Professional Cotle: Any city or munty which �equires a petmit [o cOnst�ut[, al[eq ImprovB, tl¢molish or repal� any svucture, prior ro its issuance, also requires the applicant tor suth permit to file a signetl statement thdt he/she i5 Iicensetl pur5uant to the provisions of the Convactor's �icense Law (Chapter 9(commencing wltb Section 7000) of Divizion 3 ot the Business antl �rotessions Cotle) or [�at he/she is exempt "�ere(rom antl tne basis for [he alle9etl exemption. Any vlolation of Section 31.5 by any applicant tor a pe�mlt subjeCtS the applicant to a<ivil .ially of not more than tive huntlretl dollars (E500). L� I, az owner oi the oroperty or my employees with wages as their sole Comp¢nsation, will tlo the work, antl the ztruc[ure i5 not lnt¢ntletl Or otteretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's LicenS¢ Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work himself/M1e�self Or throuqh his or h2/ own employees, provitletl that suth Improvements are not Intendetl or offeretl for sale. If, however, tne builtling or improvement is soltl wilhin one Year of com- pletion, the owner will nave tne burtlen of proving ne/zh¢ tlitl n0[ builtl or im- OVE �or th¢ purpose ot Salej. I as own¢r O/ tbe Oroper[y, am exclu5ively cont�atting with lic¢nsetl con- tra tors to construct tne pro�ect (Section 7064, Business anC Professions Cotle: The Contracror's License Law tloes not apply to an owner ot Oroperty who builtls or improves tbereon. antl who conVat[5 fo� Suth oroiects with a con- lractor(51 Lcense pursuan[ to me Gontractor'S LicenSe Law). 1 am dwa�e that ptoa/ of thei� Worker'S Compensation insu�anG¢ SltoWtl be OrovitleC to me. ❑ I am exempt untler Section B. 8 P. C. for this reason Date Si9na[ure � Drivers' Licenze or SS 0865�46, rev. 5/88 I have reatl tbis a0��i<atlon and itale tnat the above I agree [o tompty with all city antl county ortlinances to builtling constructlon, antl hereby authorize repre- to en[er upon the above-mentionetl property tor Builtling; Canary - Applican[; PER�I �� ^ . . U ITNO. A.P.;IE O( S Main Buildi TYPE OFCONSTHUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOl15H ❑ OTHER T F�ont DESCRIPTION OF WORK/USE OF BLDG. I A Rear I C Right TVPE OF PERMIT GRADING FOUNDATION STRUCTV RAL K ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL , g Left ❑ OTHER Ping. Ref. # PROJECT DESCRIPTION SQ. FT. 95O oCCVPANCv planning Notes: CONSTRUCTION TYPE VALUATION $ HrJ�JO.00 ZONE GRADINGCV.VDS. ACRES pemarks: Re�^�Of�nQ Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptars Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Duct - Under Ground Duct - Structural Ducc � Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blt. iCBO � , Heating System & Ducting ❑4100,000 BTU O100,000BT Reinspection Fee � $75 Accounting: Goltlenrotl - Assezsor ShOWers Service Sink Sewer (;ap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Issue Fea Hoodor Typel ❑ CanoPY TYPe I I ❑ Refrigeration System ❑o-ioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 FEES $ 3 Automatic Washer Construction Pole Si Cooking Unit Oishwasher Dryers �Gas ❑E Fan F.A.U. Fixtures Device Boxes Outlets $WitChQS Garbage Dispoul Generator �0.5 KW lecvic Zana Accessory Parking Req./Provided ELECTRICAL Trans/ormer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors067 HP�1Y,-8 InaSolar �9-15 HP �16-15+ Microwave � Pole Light � Range ' Sign Standing Sections 5-15 KW Trash Compactor Fee �$15 � � luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Approved By Application Issued Bv FEES $ 3 N I N G R E � M T S. SUMMARV OF FEES BUILDINGPERMIT $ �L�-D� SMIP $ ,s9 PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ n�. mf7an�1_f�GRAD�NG -�ti$��• ; PLANCHECK 50% $ i1CT�: f',A/;I�j,^,MICROF�ILMJ�;$� MECHANICAL $ TOTAL FEE $ / f�S�Sq PLAN CHECK Z5% $ Os �C7�9Si7—CRa;9313 '; e.� ; . .. .. D°,TF: Q810B/P9 TIM'. P?:2c �' O6NSTRUCTION ANDPLANNING POOI PA �APPROVALS Permit# Date Inspector p�ppROVALS 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 Condui[-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, O Undrgrnd., Test "' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. • ' 10. Structural Floor System '� 61. APPROVAI TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - i 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 1f. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ;1,8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - ,a 20'. Rough Factory Fireplace APPROVALS Permit # 21.'Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Freming 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 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-Tesi 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer "' 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Actenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING /�� 48. Special Requirements Completed 49. Electric Release to Edison �, _ 50� Gas Release to Southern California Gas Co , ;• � i� 51. CERTIFICATE OF OCCUPANCY `, ' No- � - -- � Da[e- _., _ �. 4 3 � � � � N � w > Z � 2 I �� 12L I+ 12�1: 0 �, � r , �oon� oraw�mim dNNEHb fUYE IF qqW�l MOflE53: AVPL. AWONfi �DURESR �xcxrtect on uae�e: MCN.OP FNQS AOUNE55: A MESA_CA urrt: p TR 92626 ��- T uc xo, UNT: corim�craroru� NOCK PLUMHING (714)895-1246 carm�crorcsxuuxo 11610 SEABOARD CIR ,woness: STANTON CA uc.no: 707775 90680 ,u.T: LICENSED COMPRCTOHS DECLAflRTION: I Mreby e11im uMs prWy d pe�jury thet I em fceneed vnder qoArions d Cheqer 9 �mmmercire rriin senun �000l d avuun a a u,e 6�nen ene viae.eiun coda. e�d mr we�aa a in bo tuce ane snee. cmuc.No.:05 386 uc.cuss: C-36 uc.No.: 7 777T5 MEXP: 02/97 ats: L CONratlm \ �'•` � I � NEP BUILUE OECLAN�TION: 1 hmeby elfirtn uMx pmdy d perjury ihet I em ammq ham iM Cua�rfas liomea Lew la Ihe lalbv.vp reamn (�ion N3t.5 Buamesa eM Rd»sbm Cade: MY W a��Y �� Vuiree e permA lo mmbud. eller. imOrava. " kmd'sh a repei arry nructwe. p'v b ia eauence. ebo rtpimes �he app5ant In e A pum's lo fib a epwd qetmmeM ihet M a she '"� licemed pureuem ta tM pvmiona d ihe Gonlredon Licen�e lew ICheqer 9(�mmaiq wilh Sepion 1000) W Divebn 3 d Iha �up�a ene vrams'vu caeel «mm i. a d,e a um,a �n>dm,� ene ina mm irc ine eeeaee a.�qc�. an •oW � a sea� J031.5 by enY ePC�ican� lor e permo eubpns IM eppli anl to e dnl parelry d rol mae �hen �ve huMreE Edlen �5500p. ❑ I. m oxror d IM popeny n mY anWM� Mh M'apn m ils ede mmD�setion. vnL Eo �he Mork end Ne smc�un e na'vnariEeJ or dlered far eele (Ssciiai'lOM.Buwan aM PmfmavaCoJe: The Canrmwe Liurua lawdoea mt eDWYben owner d paMM wM10 buitle « inprwet Inpeon. arM Ma doea euM rdk Fanatl a harsN a Ilvaph h'o a het ovm empb�ees. qwideE Ihe� wch imqovemm4v ere nM inlerNed a dlaad lar aeb. tl. howwer. �M buiMinp a inpowneM b eoltl wilhH meY� d oompbtion. Uro ow�-waa« �;n n� ins w� a wo+��a n. a a» m �a n�aa «�,o�* �� me wwo.• a m.). ❑ i... �., a m. wawm..m �d�v �u�e:ro wn s�e �w.aa. m�,w m� c�dw �s<ao� rou. a�.n,.. w vid...o�� coea: ma emvmou �ieeox �.w aoee na eroh w en owree a aw�r .� wud. a imww» �hs�aa� .�a wro mnvew In au� popda wdn e mmrma�a) �re� wA�+to �he Caurae«a limue Lew). � I am eeamp unCar Senion: B. b P.C., br Ilin rmwn: Da�a: om�er: I do M'eby cMAy Um I am eware d uk �Mnetud tM mquiremarm d Celiomie 4bMh enE Selety Code Seuions 25505, u5]J, eM P55�. eM Nel I a erry lulwe dukirp ooaipent vri4 / wil ml (eicb ane) naed io mmpy wih uid atme mde� eM �M �pWremmb la e Wrmn lamnniuciion a modRmionhwniMAi�iuiyl�vepemna Oia�ie. Radtl�n�ol mMiutlian eOV�iaroers mamq homiMee p�ovebro. Dale: AppticeM: WORKEP'S COMVENS�TION DECLAF�TION: I Mraby elfum uMm pa�eEy d prjury aro d Ne Idbx'vp dodvpbu: ❑ �nawe�enumeimen.�enntm.aom.em�o..n;nwnro..on�a:canw��,oa��«Wseeionamoam.�en« Code. la �M pMmwKa d Ne wwk la wlJc� tlus penm u umued. �] imW.�ew��m,:��,on,��v��,�,.�.n�.a�.ders«io�aroodm.i.m�cod..ro�m.wao,�ain. woM lor v.TiN tive D� u muM. M' waken' can bn iimuenu mrtim end D�Y mmbar an: c�: G�LDEN EAGLE EXPIRES rar r N�mn«: 0 9/ O 1/ 9 7 (ihia wnion nead raf h canpe�W / iM P�t u b aro hurdnd OWen (11WI n bn.) ❑ i cenry iw m in. c«im�c. a me ..w ror .mrA mm a� ='vauetl, I NeA iM amVM ^^Y Pe�^ n ony menmr m n lo beeome wbjed to tM �yM1m' mmpenWian kxs d�eea NqTl�tld beeanr abjed to IM Mwken' LmOenaelian➢A`�sura * SMun �]00 d �M lebn Code. I 1 wmdr ,.m, p�.. � �na: Fy'�n ro.«�ri wom«: comy«u.non cw...p. b uni..�u� •na.n.n ue/.c�.n wno�oy.r ro cnmrn.�vrwar.n3 cnn nn.. w ro on. n�ndnd �rouuro earn (t�a4oroA b+buwn a �M co.i o� oonnw.�an �uw u provw.e ror in Sxtlon 9)06 0/ M� Lebar Gae, Infxu4 end etfomsy'� l�u. CONSTRUGTON LENDINO R6ENCY: I henby etfirm uMer penelry d per'Fvy thet IMre ie e conp�ud'pn bMiip peMy for iM peA«mvwa d iM xark br Miid� Ihe V�� u'vmrd (Sw'ai �09). Civ. C). LENDER'S NAME: LENDEN'S ADONESS: I eenM �hm I heve read tnc eGG�catvi vd mme �hm tln ebove'vJoemmian o eaned. l ePse to eandY �mh eG fYy eM oouM�/ ad'menoee vM �tab kw rMelmp lo Wildiq canxrutlion entl hereby eWwrrse rtpmenteiivea d �hia ary to erus upon ihe ebv+a�mentioned propeny ��°��'°��°�� RON NOCK Pnn eme Dme: L� c�..e�,�...�n.,�..r s,.,�,.n..d�� (5151dB.WP) Whue-BuiWiq 8 Sefery: Graer�Fle; Guwy-Appiran�; RnkJimmue; GOldenroaNeeeaor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 079593 PERMIT NO: P 079593 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : C/O WATER HEATER SQ FT: CLAIM VALUE: CALC—VALUE: GROOP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT �r**�r*+t�r�r**rt*�r��*�****+r****�r*it***�***�*�r*r�r+r+tx *�+r*****�***x r***�r*+t��r�r*��*��* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN AEAR: FT ZN LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IN PARRING REQ: PROV: PARCEL: 00000000 ZNE; REF NO: PLANNING NOTES> > fE ik iE ff 1F 1F 1F 1F iF fF iE 1f iE it If iE i! i! iE iE iE if k!k iE ik ik 1f k ff iE it if iE if �f i! iE iE iE 1E iE iE if 1E iE 1E if iF iE 1! iE ik 1EiF ik 1t iE ik iE I! If iE 1f 1E iE iE iF iE k 1E iE 1F 1E i! iE ik if ik D E V E L O P M E N T S E R V I C E S'� R E Q U I R E M E N T S ZONING APPROVED BY ___ "� DATE: HUILDING APPROVED BY : APPLICATION ISSUED BY iE 1f 1E if ik IEiE IE 1E iE ib 1E k 1E if iE k ik 1F iF iF LEGALIZATION:N BLDG PMT PLUMBING 4 / F E E S U M M A R Y � ," ELECTRIC:�'MECHANIC DATE: STRUCTURAL S�GMENT;N FIRE SMIP/AES GRADING PERMIT 11.00 �' 252 _ a: � '� SMIP/NON—RES PLAN ' � ISSUE FEE 22.00 Z _ BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 11.00 22.00 �• ' 0.00 33.00 33,00 ,00 �� f REVENUE DIVISION TOTALS--> COLLECTED:� 33.00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC,' FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 � �: �� 1t ff 1k 1! 1E 1E if 1E 1E 1E iE 1f !f 1E 1E fE 1E 1k 1E 1f M iE 1E if 1E 1E 1f 1E 41E IE 1E 1E 1k 1k it 1E fF iF 1FiE 1F 1E iF If 1k IF 1! 1f 1E if 1f k 1k iE Ik 1E IF 1t 1F if 1F iF iF 1F if 1E i! 1k 1t if iE 1E 1E 1k fF 1t 41k I N D I V I D U A"I; �� F_ E�E B R E A R D O W N �.� n ., �VDE QTY D E S C R I P T I-.O N" � UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OIt VENT 11.00 11.00 END� OF ,FEES �) ,` '7•/� L I � �'� J .' _. " !� u' " �� Q1'00215449-00215449 TO T 33.00 ` ,� UATE: D9/23/95 TIttE: 10:41 ' � �� .. / �.l � C` / - ' CONSTRUCTION AND PLANNING; POO SPA •� APPROVALS Permit #. Date Inspector AppROVALS Permit # J� Date Inspector i. Temporary Electrira� Service or Pole 52. Pool & Equipment Location F� 2. Soii Pipe-Undrgrnd. c; 53. Steel fieinforcement � �� J F^3?�lectrical CondirUfllity�Undr md. 54. Forms ��'� ' �r.t:' i uti�-.. 9 r `-�4` lecVicai Condvit_l�drgrnd `. - - 55. Electrical Bondiny � - �' 'G�:iE 5. Steet ReinforcefF�enr .{ 56. Rough Plumbing & Pressure Test � :�'�6. Electrical UFECr�tnd. 57. APPROVAL TO COVER�GUNITE ;��_ � � ��7. Footings � �_, ;'. 58. Electrical CondG2EUndrgmd. �. �8. `�oundation "C � 2, 59. Gas Pipe, O U�Crgrnd., Test �' ' '�9. Water Pipe�Undrgmd.^ 60. Backwash LineF�P�Trap, Q Undrgmd. ;' 10. Structural Floor S�stem �, 67. APPROVAI T�;OECK; �._ I � 17. property Sewer Line & Housa C.onnection 62. Backwash & Receptor�Final'� 12. Sewer Cap K � 63. Heater & Vent-Final �� 73. Roof Drains �� • 64. Plumbing System � Final ` 74. Rough Plumbirig� �. 65. Electrical�Finai � 75. Rough Electric.�l-C � duit ` ' � R� r. 66. Solar System�Finai ,'-,� 76. Rough ElectricYJfring 67. Fencing & Acce'�s� ApProJ�l � f' 77. Rough LViring Sign "�' � �. 66. APPROVED F,�1�t,PLASTERI�VG � 78. Rough Electrica4T Bar Ceiling 69. POOUSPA SY5FEMS FINAL 79. Rough Heating & Air Co�ditioning FIRE DEPT. REQUIREMENT . � . �� _ �. . . : ^r� � F � M r r 20. =Fiough Factory. F'treplace x-; c�,^ - p ^x : APP�O�fAi��; Permit #-� C c r n L. ^� r 2�. �UCL$� Ifl-JifULiU �� '.-IL yC V. ti � •�Y V^ -1`�l.� � ' _ ` t �, .. .. �. S � �� 70.FSlnd��reutfd t�dro ,: 22. Ducts,V,vJ�ti�ting`.r . (,_ a �J S��c- 71. ProdJr[3Sipin C9�ias �Oii 9:: 23. �a57iperFlo'�rh &"Pest � r,� # ,! Q, � � � . 72. Under�0und Fiush " �` 24. �Roof Framing G., r_i- :•i x � � e� `�x � 73� UndergmdySto+a�,eTank OG s L'�Oil -� . 25. Roof'Sh�thing r�:� � i.: * C•^ r _ n.". .: 7�3; Overheab N diu�"' z . N F' �: : ic '. - c.: �� Y + 26. T�Bar Ceiling (Strboauraq & Monocoat ' K� p G t�;r 75�, Dry Chemical u +- e 27.'Frame and Flashi,ngY ¢ V� # J, ,� W w �. Dry Stay�ipe� =�-' �` = � �; - F it... r r. ' 28.'LatFiing� SidingQY �_ �� g .. ..* 7r3�. FIXE0.�8�`fSTEM'FINFpL � � 29. Insulation �;:� "'"" � "`" I � �`� 7 IREPREV.FINAL " '� � I r� •..f t-, > ', � -r 30. Drywall;Nailing � �- " � � .;,� �,-�FJEqLTr�i DERT>-REQUIR;EMENT � 31. Piaster ��wr� Cogi j* � -- v` � � 79.`-f1NA'�L �SISPEC'�ON ��-� �' .1 �- a K •-, � c i .. rr� -. F x _ c., 32.-ElectricA7Power �eferFinal �: ,-, I ' ��: R 8R, FOOD CERTIFIQATE kSSUED 33._Final'EI€ct�ic ='� •� . �' ` ,''� I � �� IV�tes: p�'p '7�[� .. p' . (�. �' (� p.nw - r. ,, v- T . ' # , k �i �� 1" l �"4=.11�Or1�=,JS,r,�� 1'_�1\�1\� � T T/� ��• � 34. Final Heating& /�r;Cgrujjtio�iag � ' ^ ; ' ° ' �' �`'• �- _ " • � IS_A tYi=Ati:40RoP � �7oT Th+i� �! � 35.rF.ina1 Gas Pipe�Testr ��c� _ x� � r, � _.., ,:.. I � AQDRtS=S� OSF tii= II�r- " �.14_T�o_K .,> q .. � i . ,�c, �,�: . .. � A m 36.'Hoa`�orCanopYN�� ,?.�. _ ��. -;� � �-_-�-l�' �l_�ztc..__-- -- + 37.'FinSi'Factory Fir4�yAee � 5t' x m I t, � k ;;. . 38. finai�Piumbin9 �� p� ' c � � r = ;-, t � �-'Z-� _ - -- �. : 39. N.'ater Service-Fin31a: �� ., r i� wt=7 +: v z s ,: c' I i �� > ;� 40. Gas Service-Finai ` `,_° " � '-- ' � .� 4r C-�� :T � ( 1� '�_, cc� � ' 41. Solar pomesticFina! S - ' �' .�' I � � .�o _ , * � � - v H- �• "] O C x 7' � 42. Backfiow Preventer» -' ,-� " . , i :r: .� [�� -- ci r � '« �: � c � , -. 43. Backflow Irrl�ationx � =.^�S � y: � � ': � � + x C »: i� w i n t, ^ C. }: k , ('�1 - . ;+}4. Landscape Imqatio�n Systerr� �;, -. x � , �„ n, r� ... � �; ' , , � W5. �Sound AxtertLatiorn - „-� �• < g i-� F �x � � c^w �r� � + -i .-r � �' �. r r - .�. � : .... .. .. . • �6Q. � `- ^ i: -] .. ..Y' � - / '-•:: ..� v . Handicap Regulatio{�s ,y � ,. � �. � ,.,� � * ' � J 47.-FINAL STRkiCTURE & BUffDING r� � � �i 5 �� - - t- -�� F- 1 Y; k 48. �.FINYaL PLANNING,. ' �` �, ` ' I --� z m � .: �' - .�49. ElecGic Release to Edison � " . c � � _ I i. " _50..Gas Release to Sou(hem California,Gas Cn ` '• �� C c': ' _ - s; i: !- r. .'.� o (r . '51. CERTIFICATEOFOCCUPANC� ; - . - " - . Y _ � - ; � c=1 c y . N0. Date `G Caller's Narrre_ Address CITV OF COSTA�.MESA ' ; "" SERVICE REQUEST & PUBLIC ASS[STANCE FORM �_ � , �' �� j Date a '_ -' � � . ; , Time . , � ~\ Phone�.''U '7 5 � G �r12 . v�;� � g Z - � a°� Na[ure ol' Reyuest (loca[ion, [ype, severity) M �. � �-1� 3 �� lmW�y S+- (��►�� Referred ro � 4� .�a�O ..1�.��- a, .�G-io�k.. Lva.kSL F R-�m, �.�o k,�.�' � -t�, �„ P.��., �Q;,�.9... . c� ��'iL�, �i-o cr�-� Call back � , Service Only � Information Only � Person Receiving Call , ....,._ A..�--;:� �v.r �,.�_.. .: Job Address: 345 UNIVERSITY DR Suite: A Vicinity: BLDG A AT WOODSTREAM CONDO COMPLEX Primary Occ: R-3 Dwellingsl Cong Res <10 Type of Conslmction: V-N Parcel Number: Zoning: Applicant: LOBATO, PABLO Address: 1235 N SAN DIMAS AVE SAN DIMAS, CA Owner: Address Phone: (626) 852-2110 ISSUED BY: Zip: 91773 Phone: 2ip: Contractor. CONDOMINIUM CONSTRUCTION=SERVICE;:WC Address: 7235 N SAN DIMAS AVE , , . , . � Phone: (626) 852-2110 � SAN DIMAS, CA Zip: 91773 = License: 691243 Status: ISSUED Applied: 71292005 Issued: 11/29/2005 Arch :, , � Eng: , Atldress: . � Address: � - - , Phone: . , Phone: , � .Zip: , License: - . . License: SCOPE OF PERMIT REROOF WOODSTREAM CONDO��BLDG #A ' � � � � �. � T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY 40-YEAR COMP SHINGLES. ,� 34 SQUARES � � � • - - . � � ' �FEE SUMMARY . , Plan Check. $OAO Calc Valuation: ss,soo:oo Permit: , $139.25 Claim Valuation:,� Se,3oo.00 SMIP Res: $0.63 � � _ ° � �` � , _ .... . SMIP Com: $0.00 _-... Other: $0.00 � Inspection: , $0.00 Totat: $139.88 FLANNING& ZONING SETBACKS � MAINSTRUCTURE Front 0-0 . . Rear 0-0 , `-=Left,� 0-0 - Right 0-0 � ACCESSORY Front � 0- 0_' , `- Rear. . 0- 0 - _,Lefl- , 0- 0 ; �Righl 0--0 . PARKING Exlstino:, tl Reauired: 0 ,, Pr0004ed: 0 — _._.._ 'e`, ' , _ .. � �- R 0 1 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or If xrork is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlrad Inspectlons and flnal epproval must be obtained. Failure to obtain inspections and finai aOProvel will result In tha expiration of ihis permit. fOR INSPECTIONS CALL: (714) 7545646 zawae (a�ao� WORKERS'COMPENSAnON DECLARAnON: I hereby aRirm untlar penalry of perjury one of the following declaretions: ❑ I have end will melntaln e cenlfkate ol consent to self-Insure tor workers' compensatlon, es proWded for by secNon 3700 0l the Labor Code, br the pertormance of ihe work for which this permlt Is Issued. '�, I have antl will malntain workers' compensatlon Insurance, as requireC Cy sectlon 3700 0� Ne Lebor Code, lor Ihe perfortnance ot ihe work lor which Nis pertnit is Issued. -} Mv worke6' comoensatlon Inwrence carder entl oollcv number ere: one PolicyNumber: Q�S�6��2322-3 orlessJ �----'• ❑ I certify ihet in ihe paAormence ot the work lor which thl5 permit i5 i55ued, I bhall nol employ any pereon In any menner so as to become 5ubject to the workers' compensation lews ol Celifomia, end egr that if I should become sub)ect to the workers' wmpensetlon pmvisions of Sectlon 3700 of ihe LaDor Code, I shell fort�with comply with ihese pr visi99� ''__. _" �/ .f'�- � �' oe�e:,_%� � `l- 6 S Applicant Signature: a � WARNING: FAILURE TO CURE WORKEPS' COMPENSATION dJVERAGE IS UNIAWFUI. M1D SMALL SUBJECf AN EMPLOYEIi TO CRIMINAL PENFLTIES AND pVIL FlNES UP TOONE HUNDRED THOUSAND OOLURE (S ,000), IN ADDITION TO THE COST OF COA9PENSATION, DAMAGES AS PROVIDED FOR IN SECfION 3]O60F THE LA00R CODE, INfEREST, AND ATTORNEI"S FEES. LICENSED CON7RACTOFS DECLARATION: I hereby attirtn Ihat I em licen etl under ro sions at Chapter 9(commencing with Section 7000) ot DlNsion 3 of Ihe Busine s and Protessions Code, end my license Is In tull forceantleHect.Lic-d\ /�9'/2�/ n Cless�N�__ CONSTRUC710N LENDING AGENCV: ❑ I hereDy aHirtn that there is a consiruction lentling agency for the pedortnance of Ihe work for which this permit is issued. (Sec. 3097, CiNI Code). Lenders Name: Signatura: _ OWNEP-BUILDER DECLARATIONS: Lenders Address: Date: I hereby aftirtn t�at under penelry of perjury t�et I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reeson (Sec. 7031.5, Business antl Protesslons Code: Any ciry ar counry which requires e pertnit to construd, alter, impmve, Cemolish, or repair eny sWcture, pnor to its issuance, elso reqWres Iha epplicent tor such permit lo tile e signed slatemen� that he or she is Ilcensetl pursuant to the provisions ol the Contrectors License Lew (Chepter 9(commencing with Saction 7000) 01 Division 3 oi the Business and Professlons Cotle) or thet he or she is eaempt therefrom and the basls tor tha ellegetl exemptlon. Any Wolation of Sectlon 7031.5 6y any epplicant for a pertnit suhjects tha applicant to a ciWl penalry of not more than Me hunCretl Collare (5500).): ❑ I, as owner oi ihe praparty, or my employees with weges es thair sole compensatlon, WILL DO THE WORK, anOlhe struclure Is not Intended or oHerea for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to en owner ot property who builds or improves Ihereon, and who tloes such work himsalt ar hersetl or through his or her awn employees, providetl thet such improvements ere nat intentletl or oNereC for sele. If, however, the builtling ar improvement is sold within one year oi completion, the owner-builder will heva Ihe burtlen ol D�oving �het he or she did not 6uild or improve tor purpose ol sale.). ' ❑ I, as owner oi the property, am EXCLUSIVELY CONTRACTING WITH LICENSEU CONTRACTORS to construct t�e pro�ed (Sec. 7044, Business and Protessions Code: The coniraqors Ucense Lew tloes not eppty to an owner ol property who bulltls or improves thereon, entl who wntrects Por such pmiect wlth e contractor(s) license Dursuanl �o ihe CoNrectors License Laws.). ❑ I em e:empt untler sec. Siqnatura: Owner ID verified by dnvers Ilcense. ❑ Yes ❑ Na Business end Professions Code lor �his reason: VenFicetion af Ownership by (type oi tlacumeni, i.e. - property tex bill or tleetl): DIVISION OF INDUSTRIAL SAPE7Y PERMIT CER7IFICATION: Driver's License No. Dale: Expires: ❑ I hereby certity ihat no excavation Five (5) or more feet in depth into which e person Is requlred to descend, will 6e matle in wnnectlon with work authorized by this pertnii, and ihat no huilding swcture, scattolding, felsework, or demolliion or dismantling thereot, will be more then thirty-six (36) feet �ig�. (Chep. 32, Grp 2, An 2, Sec. 341, Title 8, Califomla Atlministrative Code). ❑ As owner-builder, I will not employ anyone Io do work which would require a permit from the Dlvision of Indusirial Salery, es noted ebove, unless such pereon hes a permit to do SUCh work from the division. Signature: Date: Division ot Industnal Safery Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORIZJITION OF ENTRV: I certity under penalry of perjury that I heve read this epplication end state thet Ihe informetion given is correct. I agree to comply with all state laws antl ciry ortlinances relating to bulltling conswction, and authodze re0resentatives of t�e Ciry of Coste Mesa to enter upon Ihe above-descnbed property tor inspection puryoses. I egree noI to occupy or ellow occupanty ot eny builtling au�horized 6y this pertnit until final inspection. COUEI, INSPEGTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fira Place 203 FinalSign 206 Final Demolition �_L J11_ �//'� /,i � � CQOE� INSPECTIONTYPE 206 Finel Mechanlcal 20B Final Plumbing 210 Finel Elecldcal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PI.tl�I:iinqr.i / / PHOJECT AOOflE55: 3 4 S UN I VERS I TY DR OWNEB'SNPME: SALCIDO, ftICHARll aooness: SALCIDO, SHEILA 345 pNIVEFiSITY DR COSTA MESA, CA 92626 APCHIENGINEEX: ROUflE55: xec.xo.: uNiT:C1 CITY OF COSTA MESA — BUILDING PERMZT PERM NO; H U6532�� PERMIT NO: B 065327 PLAN CFIECK NO: 04908-93 L GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT UNIT: JOB DESCRIPTION : REPLACE LOWER PART OF STAIRWAY SQ FT: 2,500 PEPMITTEE: RICIiARD SALCIDO ( 719 ) 646-0235 aooRess: 345 UNIVERSITY DR G-2 C.M. CA..926�6 LICENSEO CONTNRLTOfl OECIAHATION: I �ereby allirm t�al I am licensetl unAer pmvis�ons oi C apter 9 �commencing wit� Se[lion 7000) ol Urvision J ol �he Business and Pmlessi0ns Cotle. ana my license is in Iuil force and ellect. CITV LIC.: $TATE UC.: Cl/155: �ate: Signa�ure: WOflNEPS' COMPENSATION �ECfABATION: I nere0y aflirm ina11 nave a cenilitate al consenl to selbinsure or a cenificate al workers' Compen5alion insurante. or a terldie0 tODY Ihereot ($¢Ciion 3800. La�. C�. POLICY NO.: E%P. OFTE: COMPANY: ��Cetli�ietl copY is �ere�y lumishetl. ❑ CenilieA coDY is file0 wit� the ci�y Building Division. �a�e: ApDlicant: E%EMPTION FNOM WOBREPS' COMPENSATION �ECURATION: ec�ion ne� ComDl¢IeG il e p mil is tor hunOretl (5100� ar 1¢55�. . I terlity @al in Ine Oedormance 0� the work br wM1ith IhiS p mi issuetl. I s II no mploy an er n in any nner so as lo become � subjec;lo Ihq %o�k¢rs� �o�ation Laws o1 Califomia. . _ n 1 1 �, oa�e: � d,i n gignature: NOTICE: II. alter making ��is tleclaralion, you should becom¢ 5 le�� o �he Worke ' Compen5aii pmvi5ions of I�e Labor Cotle. yau must Iort�wiN comply wilh suc� O�ovisions or thrs permi� shall Oe Eeeme revaketl. CONSTBUCTION lENOING AGENCY: I nereey a��irm Inat tnere is a ton9Nction IenOinp aAency for ine petlo�mance af tne work for which I�is permil is issuea �Section 3097. Civ. CI. LENOEfl: p00flE5$: OWNEP BUILOEN OECIABATION: I here0y a��irm Iha� I am eKempl �mm Ihe ConVac�ors' S�a�e License Law lor Ihe I011owinA �eason (Seclion 7031.5 Business anE Pmte55ional COJe: Any cily ol counry whic� reQuires a permit �o canstruc�, alter, improve, demolish, or re0air any simaure, pnor la hs issuance. alw reVuires t�e appliwnt for suc� perrttit to lile a signea staremem tAat hrJshe is Iicense0 pursuanllol�¢ Orovisions ait�e ConlracloR'SIatO �itense Law�C�apter 9�commencinp wit� 5¢ciion 7000�ot0ivison 3 o�lhe Busine55 anU Pmlessions LoOe) or Iha� he/she is eMempt t�erelrom and Ihe basis for ihe alleged ehemDtion. Any violation af Section 7031.5 by any aD�litani Im a permii subjects �he applitani Ia a Civil penalty oi noi more �han five �UnOred Aollars (5500�. �I, as owner af the pmpeny or my employees witA wages as Iheir Sole compensalion, will do tlle woA, an0 �ne � simcmre is not inteneea or oflerea lor sal¢ ISection 70aa, Business anA Pmfessional Coae: ihe Contractors' Slate License Law tloes nol appty lo an owner o� a pmpetly who builtls or impmves I�erean, antl who does suc� work himsell/he�sell or ��mugh his or �er own employees, pmvitletl Iha� such improvemenls are not intentletl or olferetl �or sale. I�, however IAe huilding or imDmvemeni is sold wiihin one year ol compleiion. ��e owner will have �he bureen ol pmving he/she did no� bui10 or impmve . lor Ine ourpose of sale). I, as owner ol the pmperty. am exclusivelp conlrac�ing wilh licensed coniractors lo canslmci Ihe pmlec� (Sec�ion 704A, Business ❑ antl Pwlessions Cotle: The Conlraclors' S�a�e License Law tloes nol apply �o an awner o� pmperty who 6uilOs or impmves lhereon anA wtw coniracis lor such prolects wi�� a contraclor�s) license pursuani to I�e Contra '$tate Licens2 Law). I am aware I�al D�� of Iheir Worker'S Compensatio� insurance ihoWa be pr e �o me. � I am exemp� un0er Section: 8. 8 P. C. _ lor ��is �CasOn: ~ Dale:'�I' � 1� Ovmer: I ao �ereby ceriily Ihal I am aware ol antl untlerslan0l�e reQuiremenis o� Calilomia H al�h antl Saiety Cotle $ ons 25505, 25533, and 25534 ana Inal I or any fuNre builtling occu0am ill/� (circle one) neeA to comply wil� sai0 state codes ana ihe requiremems for a permil b� consimclion ar moaifica�ion Imm I�e ir Ouahly Managemen� Oi51ric1. ReSiJenlial constmclion applicalions are exemp� imm l�CSE P�Ovi5i0fli Oale: ppplicanl: _ I �erepy cerlily I�at I have rea4lhls apPlicalion ana slale Ihai or0inance5 antl slalela�vs relaling�o builtlingconsiroclion andl Orop¢itY� p�orinrpeclion purposes Oaie: IH 1_� Signamre: � � .,d. �rivei's License or Social Securiry n: ree �o comply wi1�t0 city an0 cily IoRnter up0��te above�me 164Pa6 WMe—BmlOing; Green—COGe Enlol�emenl: Canary—Appl¢am; Pink—Rovonoe: GolEenrotl—Asseswr CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GAOUP OCC: R-3 / COMMENTS: REPLACE 3 WINDOWS "1 POP—OUT, 1 SAMF, 1 INTO E'RENCH DOORS" ��*#******#*#+r##��r#*u*#*+t�t*#*�#+t*#**r*#�c�#*u�tr#*#�#�#x�+r**�*�*+�i�+�*�********�*�*** 2 O N I N G R E Q 0 I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- — ACCE550RY BUZLDING __"____ __'______ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; ET IN RGHT: FT IN PARKING REQ: PROV: pARCEL: 93388002 ZNE: R2 REF NO: PLANNING NOTES> REPLACE WINPOWS AND ADD SFIRAL STAIR IN5IDE CONDOMINIUM. > iE iF iE iF it if 1! iF if if ib if iE iE iF iF iE iE if it if iE 1E iF 1E 1f it i4 if if if it iE if if if it iE iE iE iF iF �1f iE 1E # �f if 1f 1F 1P if if �f �f it fE �lE if iE iE if ## iF # if iE �1E 9f if ###�lE �E # aF # D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY K—CA DATE: 12�1�_�� _1 BUILDING APPROVED HY ; (�� DATE; APPLICATION ISSUED HY: �—l4� DATE; l2 � l4 ��j' ******�r+r*�r***�r**�*�r**+f * ** +f ** *****�cic*�r*�€*"�F#-�#*3F*x� �1E �Y i! 1E it iE if ib jf iF i(� iE iE iE iE # iE ib iF ik iF iE if if i6 iF iE if ±E iE iE it if if if �lE 1f fE 1E tf iE iE 1E it iE 1f iE iF iM1 7f if �f ## if iF iE iE if iF iE iF it iF if if 7E if iE iE 4c i6 iE iF ### IE # LEGALIZATION;N F E E S U M M A R Y STRUCTU4tAL S£GM£NT:Y HLDG PMT PLUMBING ELECTRIC• MECHANIC,! FIRE SMIP/RES GRADING PERMIT 54.00 , , ,50 • SMIP/NON—RES PLAN 35.10 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CFIECK�. TOTALS----> 54,50 0.00 " 35.10�� REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 54.00 - . TOTAL PAZD DUE 89.60 89.60 .00 .89.60 OVER/SHORT: .00 �FIRE SMIP/TOT GRADING PLAN—CHECK ,� .50 35.10 iE �If')E iE fE iE iF iE iF i(� �)F * i4 i4 �4 ### IE 1E iE a! it iF i6 iE 3E iE itlf iE �f 1f if iF # ik iE �lf �Y i4 if if �7E iF iF #�E iF if iF iE 3E if if if iF if iE if 1E �lE iE iF if if jf jf if if ff IF if iE if �1E ##�7E I N D I V I D U A L ; F"E E B R E A K D 0 W N TYPE QTY D E S C R 2 P T I O N . '' UNZT COST TOTAL COST SFR 2500 ALTER BY VALUE RESIDENI'IAL NOBONE 1.00 2,500.00 END OF. FEES i E��I ED DATE �� g �b oi oois2�o9-ce�;z�i, �c�-r ��.:� D�;iE: 1?/L'v'9� IZME� 14:�b' f� . rsu_�: - -- - -- _ .. _ � CONSTRUC710N AND PLANNING POOL PA � � �I ' APPROVALS Permit TM Dat�Pector qp�ROVALS Permit ,�' Date � Irspector � f i. 7emporary Eiectncai Service or Pole -� 52. Pool & Equipment Locatlon _^ � _� 2. Sod Pipe�Undrgrnd. 3�.IeN.r�cs� Condwt Utility�Undrgrr.�. 4. Electrical Condwt-Undrgmd. 5. Stee'. Rr�nforcemenc 6. E.,:chic�l UFER Grnd. 7. Footin9s 8. f-ound�tion 9. Vdata� p�pe-Undrgmd. 70. S:�uct�rai Fioor System 71, Prape•;•� Sevier Line & HouSe Connectmn 12. Se.:zi C:.p 13 Roo4 Dra�ns 14. Ao�gh �lumbmg 15 P,ough Electrical•Condu.t 16. Rough Electric Wiring �- -- ' j 17. hough'A��: ing Slgn 18. Rough ElectricabT Bar Ceilmg 19. Rc��gh Heating & Air Coi�d�Uaning 20. 3�,.g�� ,�m�v F;replace 21. D,.�c!s, �� Structure 22. Dctt��, Vr.ntilaUng 23. Gas Pipe�rZough & Test 24. �Soof Fr;;ming 25. Roof Sheathing 26. T•Bar Ceilmg (Structura!1 & i:^onocoat 27, F�ameard Flashing 28. L.7thin3 E Siding 29. Insula:�o� 30. D�v�•.ail hai6ng 37. P��stc� Brown Coat 32. Eiecv�cai Power titeter-Final 33. Final Electric 34. Fin31 He�ting Rl Air Condi;ioning 35. Finai Gas Pipe�Test 36. Hood or Canop;� 37. Final Factory Fireplace 38. F�nal Plumbing 39. l'Jater Serwce�Finai 40. Gas Serv�ce-Final 41. Solar pomesticFinal 42. Backftow Preventer 43. Backflow �rrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southem Califomia Gas Da[e 53. Steel Rc�nforcemem ' "' I __ 54. Forms I 55. Eiectrical Bond�ng 5G. Rough Plumbing & Pressure Test 57. APPROVAI TO COVER-GUNITE 5�ctrical Condwt�Undrgrntl. 59. Gas P�pv, u Undrgrnd., TeSt � 60. Backevash Lines, P�Trap, O Undrqmd. 61. APPROVALTODECK 62. BackerBsh & Recep�or-F�nal 63. Heatcr & V.^nt-Final - 64. Plum6ing System P�nal � �-~ 65. Electrital•Final � 66. Soiar System�Finai 67. Fencing & Access Approval I 68. APPROVED FOR PLASTEHING � , , 69. POOUSPASYSTEP,',SFINAL � � ---�--�-1 FIRE DEPT. REQUIFiEMENT ( , ARPROVALS Permit •'� I � 70. Underground Hydro I Il. ProductP�pirgi�Gas ❑O�: 72. Underg�ound Flush 73. Undergmd. Srorage Tank O Gas _: Od ' � 74. Overhnad Hydro I . ! 75. Dry Chemical r... ; - --+. 76. Dry St�ndi:��ue 77. FIXED SVSTEM FINAL I • � 78. FIRE PREV. PINA: _�__ HEALTH DEPT. REQUIREMEI!T � 79. FINAL INSPECTIO�! I ,-� _y 80. FOOD CEHTIFICAI"E ISSUED - - - --i Notes: � z.-2g_ g3-- -��4...�..-r,.�-� �� -9_�-,�"�---%�� w.4El� ��[__, �J /� � {a «(JT'-,_ ; �'Z'_2�'_/ �� D "[/'i /w o iil /a � � L (1 ----� i --- -� ADDflE550FBUILqN4 345 UNIVERSITY DR ur.T: D-2 OWNERSNFNEIFq10WN: STANLEY, MARY FLOOD: AE-46 �ooxEss: ADAMS, KAY MCNEIL, KATHERINE 345 UNIVERSITY DR 631-7733 wv�. xuuxa �oonEss: urcxrtecr ox uxm�n: uc. wo.: urcx on u+o.�s,�ooxess: � uxr: ' wNm�c�arsr,u� NOCK PLUMBING ( 714 ) 895-1246 cwm�croxs�uuxc 11610 SEABOARD CIR �ooness: STANTON CA ��,�,; 511971 905$0 uNT: UCENSED COHfXACTOfl3 DECLARATION: I haroby ellim unde� peneMy d perjury Ihet I em licenaed uMm provieima d Cheqm 9 �commenci'p wilh Sec�ion ]000� d Diviebn s d tha Buainw eM Prdeeaione Code, eM my limnae u in full /ace end eHM. cmuc.No.:05038 uc.cuss: C-36 uc,.No.\: 511971,D EXP: 02/96 � N� r ��7 oete: ) com„e«: OWNEH BUILDEF DECIAflRTION: I heroby elfiim uMer penely af parjury thei l em axemq Iran �he Commqws Liomas Lew la the Idbwvq reeson (�ion )0]1.5 Bueireee eM Pmlamione Coda: AnY cry a oountY'�� Quirer e pertnit to aorobuct. ellm. imprwa. demd'nh, or ropei eny sVUMura, prior to Ge o+uence, eleo requirea �he applicenllw euch permil �o fib e egmd etebmenl �htl he m eM is licanaed W�uent lo iM povisiare d Ihs Conireeore Licerree lew �Cheyter 9(commendip wilh Sed'an ]000) d DHwion 3 d ihe Bueinem enE Proleeaiona Codaj a Ihm M or ehe ie a�emp �herehom enE the buie lor tha elleyad ssemqion. My vbW un M Seaun )031,5 by eny eppliranl for e permil eubjads ihe rpd�� to e civil panelly ol rwt mwa Ihen five �uMred ddlen �5500��. � I, ae ovmer W Iha O�aPe�Y or my empbyeee wilh weB� � �he'x eob mmpeneelion, will Eo Iha wak, eM IM evuclun e nM iMenEeE a ollered br eale (Seclion 10a4, Buanau end VMeasiona Code: The Con�repon Llm,me Lew dros no� epply lo en cxna ol qoparty whe builda or'vn0� �hereon, enE nfio doea auch work MmseM a henetl or ihraph ho a Mr own employeu, pmviEeA Ihet euch improvemente era rd in�erded a dlaied lor ede. M.Iwwewr, ihe WiNinO a�O�ement u aoN wilhin qro ymr W com0lMon, IM ownm�Wiker will heve Ihe Wrden d provinp he or eM Ek irot build n improw la �hs WNae W We). ❑ �. u oxi»r ot �na o�ro. em ududwN om�reaire �.;�n fxn�asd convedas ro cmevua Ne weiea (seaion lou. &»inss eiw Prolauione Code: The Conlratlon Licanea lew Aoea m� epply ta an ox+wr d properly who Wilde a imqwo tM�son aM who conVecle lor wrh prqada wilh e ooMreUor�e) Icamed W�euenl to IM Conlretlon Licenae Lewl. � I em exemq uMer Seclion: B. 8 P.C.. M t�o rweon: Deb: Owner I do hareby caniy thel I em ewere d eM unEenteM Ihe rpuiramend d CelAomie NeeMh enE Sefety Code Satliare 25505, ?55�, enJ ¢5534, enE ihel I m eny INure buildinp aaupenl will / will nM (crcb one) nead m comply wih veid eteta codse vM Ihe requlremand br apem�Xlormnelruclio rmotliffatianhwniheR'v�egemeMDietnd.PeeitlenlielcanelruclionepOticelioneenexemplfromiheae provieime. Dve: AOd� WOflKEfl'8 COMGENS�TION OECLARATON: I Mreby effum unCw panehy d prjury ap ot Me Idlowi�q dsdeeatiwu: � I hevs uM W meiMen e ce�Xktle d mn+ent io eaMiiuure M wM1an' wmpsmetbn, m prorided ia by Sopbn 310D d ihe lebor Cods, for ihe pmtormerce d Ns xaek la wNeh Ihn permil ie ueueE. � I hevs uM MI meinlen waM1an' wmpaveiun imuienoe. u roquiiad by Sep'vn 3100 W ihe LeEa Code. M IM psitwmenm d IM w«k la whidi ihie peimn u mueE. MY worken' G� D� i�ure�q�cy�Iq ��q numwr ue: E X P I R E S c�a�: c�L aoi�N�mn«: 09 /O1 /96 (Thia eMiwr need nIN be romWxed'd ths qimAie bi one hundreL ddlen /S1P0) or bee.) � I nnM ihd in ihe pe�lortnence W �he wak Iw whch ihie pefmu n ieeueE, I ehell mt emdm� eny pemn in eny menner w ea lo become auEl� � Ihe w un' compenwion lewe d Celiromla, ihm ii IVho� become wb�W lo ihe xorlwrt comqnaaibn Dr vbna SeUi�d3100 d �M lehor Code. l ehdi vM ON �h ihaaa oWione. r Deb: ADd�: W�minp: F�Ilun b s�euro woA�rs'rompwetlon mvorap� 1� undwN( �neWll ,ub/�ct �n xrployw ro cr/MiW pw�aMu �nC elvll fln� W b om hinCrM fMuurd rbll�n (SIOq000/, In eWltlon ro M� cv� eI rompwu�fbn, Wnupu �� proNWJ br /n 9�ctlon �)OJ ol M� la6or Cod, /nfwf, �ntl �ttumry'� /su. CON9TpUCTON LENDINO AOENCY: I henby �rm uMx penehy d pxN�Y �� ie e mmirudion bMinp ps�y br tlw perlortneno W Ihe work for which Ihi paimi ie oeued (Sad'nn �09], CN. C). 9 LENDEF'S NAME: LENUEH'S AUGHESS: I ce�ily Ihet I heve reed this epplicmian end elale the� ihe ebove iMormetion ie mrtecl. l epree to wmpy Kilh ell ery eM muMy oMinencae end etme lexe reletng lo buildvp wnaUudan end hereby eNhorae repreeente�ivas W Ihb pry to anter upon tM ebwe�mantbned popery mri�sp«a�c�.w+se. RON NOCK q Neme \ Dme: / � � / sieneNm RVPhrenVComrea« ,� (5151�48.WP) While-Buildinp 8 Selely; OreerrFlle; Cenery-Applirent; Pink-Rsvanue: �ddenio�Mesuor l CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P U74087 PERMIT NO: P 074087 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: REP JOB DESCRIPTION : CHANGE OUT DISHWASHER SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT *��*�*x*****�**��*�**��+��**�c*x�**iE*x*��**+�+t��*��*x*��*�*��c�*��it�****�**** Z O N I N G R E Q U I R E M E N T S S E T B A C K S --- -------- MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---- ---- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ZN LEFT: F'T IN RGHT: FT IN LEFT: FT IN RGiIT: FT IN PARKING REQ: PROV: PARCEL: 13945316 ZNE: REF NO: PLANNING NOTES> i 1f 1F aE iE 1f �E if iElE iE �E iE iE 1E ik iE iE 1E iFlE �F 1E 3E �E iE fElE �E iE fE iE iE 1E iE iF fE if 1E�lE iE iE iE 1E jF iF jE if iE 3f iE 1E iE iE 1f iE jE iF If iE 1E iE iE iF if iE iE iE iE if 3f iF iE 3f 1f iflE 3E 3E 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY . BUILDING APPROVED BY : APPLICATION ISSUED BY 1E iE iE if �E iF iE iE iE iE 3E 3E iE iF 9E �k 1f if iE iE 1F LEGALIZATION:N PERMIT BLDG PMT PLUMBING 7.�� 5 F E E S U M M A R Y ELECTRIC MECHANIC 2 � PLAN ISSUE FEE 20.00 � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 7.00 20.00 0.00 A' REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 27.00 a DATE: DATE: '- 9-�i-9,- �iF iE iE iED iE if 1F df 1E�d�if iE STRUCTURAL SEGMENT:N FIRE. SMIP/RES GRADING SMIF/NON—RES TOTAL PAID DUE 2%.�� 27,QQ .Q� 27.00 OVER/SAORT; .00 FIRE SMIP/TOT GRADING PLAN—CHECK !E iE �E �E iE iE If iE iF 1f jf 9f iE if * if 3f if iE iE �E iE dE 9E �E �E iE iF iE IE �E iE iE iE 3E �F 3E fE if 3E iE iE 1E if iF iE 9E �E 3f 1E iE if if dE if if 1E 1E iE iF iE iE iE 9F if 1E iF iE iE iE iElE 3E iF iF iE iE if if I N D I 6r I D U A L�M1 F E E B R E A K D O W N TYPE QTY D E S C R I P T I O`."N UNIT COST TOTAL COST PLU 1 DISHWASHER � 7.00 7.00 END OF FEES � ,� EXPIR I� , �- DATE l � I� � � �. �� i -4! ./ ri �Oi^�O�`—OO1_S`�1i5 �'!� � ?�.[�J DATE: 09l:'?f^:r iif'E: 1C:;E � _ CONSTRUCTION AND PLANNING POOL & SPA ' qPpRQVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment �ocation , 2. Spii Pipe-Undrgrnd. ., 53: Steel Reinforcement 3. Eiectriwl Conduit UvlitY-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgmd. . 55. Electrical Bonding � 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFEB Grnd. 57. RPPROVAL TO COVER-GUNtTE � � 7. Feotings 58. Electrical Conduit�Undrgrnd. 8. Foundation� 59. Gas P�pe, O Undrgrnd., Test . 9. Waier Pipe-Undrgrnd. - 60. 8ackwash Lines, P-Trap, Q U�Mdrgrnd. � 70. Structural floor System 67. APPROVAL TO DECK �" 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final� t2. Sewer Cap 1 S3. Heater & Vent-Finaf 13. Roof Drains 64. Plumbing System � FinaP .� � 14. Rough Plumbing . 65. Electrical-Final 15. Rough Electricat-Conduit � 66. Sotar Syscem-Fina1 76. ft0ugh Electric Wiring � 67. Fencing & Access Approval � ll. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. RoughElecisicat-TBarCeili�g 69. POOLfSPASYSTEMS�FiNAL 19. ROugh Heating & Air Conditioning F1RE DEPT. REQUIREMENT 20. Rough Facmry Fireplace �, _ • APPROVALS •- Permit # 21. DuCts, in Structure . , 70. Undergro�nd Hydro � 22. Oucis, Ventilating � 71, Product Piping OGas COiI 23. Gas Pipe�Rough & Test • ' 72. Underground Fiush #� � "� a 24, fioof Framing � � 73. Undergmd. Stora�e Tank �7 Ga; ❑ Oit 4�� r 25. Roof Sheathing ' _ 7'4. Overhead HYdro �" � ? }.. . 26. T•Bar.Ceiting {Structurap & Monocoat 75. Dry Chemical L.-.,, 27. Prame and Fiash(ng . �' 76. Dry StaodPiPe �' �� `• r 28. L2thing & Siding � . � � � � � 77, FIXED SYSTEM FINAL -� . 29. Insulation � � � ', ' 7$. FIRE PREV. FINAL 30. DrYwafl Nailing . � -� - NEALTH OEPT. REQUtREMENT 31. Plaster Brown Coat �� , '' 79. FINAL tNSPECTION 32. �Electricai Power MeterFinal - , 80. FOOD CERTIPICATE ISSUED 33. �ina4 E4eciric - Notes•.C+� ��-!-!!' '�1Q��Xf'G�f_% �.C�.pY_c� � 34. Final Heating & Air Conditioning . - 35. Final Gas Pipe-Test � �1 � �J, . � � 36. Hood or Canopy _ � . � - 37. Final Faaory Fireplace ' 38. Final Plumbing ' � 39. Water Secvice-Finat ,: :,'•, � ., 40. Gas Service-Finai � ' � !.1 ' , q�. $olar pomestio-Final ' - - 42. BackFtow P*eventer - 43. Backflow Irrigation � 44. Landscape irrigation System , ' . � � . , 45. Sound Attenuation• , � � 46. Handicap Regulations � . 47. FINALSTRUCTURE&BUILDWG �! � 48. F1NAL PLANNING 49. EI¢ctric Release to Ediso� �� t 50. Gas Release to Southem Califor�ia Gas Co . ' 51. CERTtF4CATE OF OCCUPANCY No, Date ADOqE550F8UILqNG: �QS UNIVERSITY DR +w"Ea6w�l�Fa+""": REMION, MICHAEL �oopEu: 345 UNIVERSITY DR lkN2 :OSTA MESA, CA 92626 650-9380 �rc�. Y,vuac �oo�ss: ANCNRECT OP ElNiNFEN: AfICX.OH FNG.'S AUOPE55: uNT: N 2 llt.lq.: UNf: coxm�crarsxua: DAVE HARAZSU CONSTRUCTION ( 714 ) 559-8082 caNm�croas wuuxo 5 0 71 PAR I S WAY �ooxess: IRVINE CA ucra.: 649835 92714 uxT: LICENSEO COIRNACTOflS DECLAHATION: I hereby ellvm under penelly d perjury I�et I em licensed undx proviaione W Chepler 9 (mmmeneinp wilh SeMion ]000) b DiNsbn 3 W Iha Buainea end Profeeelona Cade, eM my lieensa is in full laeea end eHed. cmuc.No.: . uc.cuss: g uc.N . 649835 EXP: oae: 2 r ��,,,aao,: � � OWNEfl BUI DEN DE LRHAY�ON: I hareby eifirm uMer penel parN�Y �� I uemq hom a Ca �reGon Licenae Lew la Ihe Bus'vresn ard Proleasione Cod .An c a wu wfiirh uire e n el�ar im Idbw'eq reawn (�im ]031 6 Y H �eq Pe Io romWcl. , pwe. Eemdeh, or repei eiry s��ueturn. pKK �a �% ewenea, abo reyuim ihe eppl' eueh paem� to ' rred ewemem ihel M a sM e IicenaeE W�� lo IM pro�eims d Me Conlretlaa lioems Lew �C er 9(oommandip Milh Setlion'l000) d Dnebn 3 d ihe aua�nan .na a.desiwn cmel « tnet ne «ena ia e.emw �nvehom ene tne ma �« me efleged ezemytb,. Mv v;dm'vn d seaia, ]W 1.5 by enY eGW�t f« e pmmn wbpas ihe eppl'rani io e dvil penelry d ewl mare Ihen Me huMred ddlen �5500�1. ❑ I.a�ownerd�MqapeMwmY�PM�s�hwepna�tlwi�demmpenaetbn.MllEothew�k.ard�henWcturee�intrded ar oflered /a sale (`�� ]014. Busm» eM Prd»sbna Cods: The Contrmon L'renaelawdoea �wt epplyto en owner d prapeity wM Wids a inoiaves ihn�e«i. end Ma does auch xwk Nmaell a Mne� a IMaqh hb ar Mr am emobveea. orovkeA �Am wcA owner-0uiNer will hava Iho burden d poving ha or ahe EM � WiW or im0� �a tM WrWea d ub). ❑ I. es owner d �ha prapeM. �' %�tlwrvary oonlrecl'up wn� lieeeaed conlreeton to eonsVua iM prol� 1`�� )�. Bwinms end Proleasian Cade: TM CJnlraclon Licenae taw tloes rwl epply lo en owner W qopeM �o buiWs a impovae tMreon eM who contrecu Iw euch prol%�s �h e mntretln�s) Ikanaed pu2uenl lo IM ConVepon Licenae lew). � I em eRemo� under SecliM: B. 8 P C., la Ihie reaeon: I do hareby unity thet I em ewae N arM uMarsteM tM reQuiremenla M Gellomie Heellh end Selety Cade Sapbna 25505, 2553�, end 25530, eeq tha I w eny future Wiki�p omupent will / w{I nd (arck ane) r�eeE lo eamply wih aeid ate�e mEes eM tha raquiremenle br apmnillamnaleuefanamdifi�a��heA'r uS%�yF�erepamenlDletria.ReeideMieleonsi'utl'nneppiutwmveeaemptromtheae o��aone. oeie: nodirsm: WONKEF'S COYiENSpTON DKL�N�TION: 1 MreEy effirm uMer penel�y d perjwy ma W ihe Idlowi�p AWe,midu: ❑ I hew eM W meimen e cenilcab d oonaenl lo asllinwre lur wMera' cwnpenaelbn, m paviEeE lor by Sqion �]OO W �hs leEa cae. �a ine vMormarice a u» wak �« w�:on mis wmm ie iouee. C7 � new ene wi� meime:i �r�kers' amo�� . n roa�i�ee M seam a�ao a me �em. cod.. a me wnormeMe d m. 7C wak la whidi the pemiu n oauad. MY wakais' cwnVe�� inaurerwa'errier eM pdiry number ere: c�.: STATE FUND EXPIRES awryw�mna 1aA1Fa —9_ 03/01/96 (m;, een/m rmee na ae canp�eree ] �ne P�x o ror are nuMmd dw�ers R�ool o, hae.l � I cenly Ihat in Iha pMwmen<e d iha work br whkh ihie paimit b i»ued, I ehell irol empby eny pemn in eny menner eo u b be<ome subjeG to Iha Wo*ers' comPenee�ion lexx d Celilomie, end pree Ih � I �uld becama subjed lo ihs wwken' compenee�ia pmviaune U� �im 3)00 0l Ihe Lebo� CoEe. I ahell /plh� co�v.' we pmWeions. Dete: 2 Z I Applkent�. Wem/n0� Fellun b sroun w0��+"rompans�0on mv�nps b unl I, entl ih 11 �ub en mp/oyx ro/minl pxulOq entl clvll Arw up ro on� huntlrW thuuuM doll�n (Stw,000J. In M0/tlon ro M� roar e� o swtlon, Mm • u prav/tl�tl br In SxHon 3106 0l th� LWorCotln. �nNns6 erM eMmsy i Iw�. CONSTtiUCT10N LENDING AGENCY: I Mreby eifiim urder panely W par'ryry I n is e mmtrvaan brdinp aper�cy la �M ' roea��, a ina.oM i« wnKn ino ��i �e a�ae (s<aon aos�, c�. C�. LENDEN'S NMIE: lENOER'S A�DAE55: I canM �� I Mve reaE Nu epp�re�ian aM gde tM1ei Ne above iMmnetion is cmae. I eyee to canply wilh ell cry erd ooun7 �irwKes BM 9iBIB 19we reletrp lo Wildm9 ��'�� erd Mfeby ONhp¢e rBpf98M1�ivB9 d �ho tlly�0 Bnlx upon �M eb.M-InMlipllE pOpBny Iwimped W�Wses. � _ �AVE BARAZSU (5151-CB.WP) o�,: 2 � Whtle-BuilEinp 8 Sefery: Greao-Fle; Cenery-Appfirant: Pink-Perenue: GOIEanraHRsaeasar CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; H 076499 PLAN CHECK NO: N �PERM NO: B 076499 GOVT: N SUFP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : INSTALLATION OF 2 SKYLIGHTS ICBO NER216 SQ FT: 2,500 CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GROUP OCC: R-1 / COMMENTS; SKYLIGHTS ICHO # NER 216 ie�-i�etatat�t*at**ieie�trt��t***�*******�t*at��t�t�t�t**�t�tit*�t�x-�t3t**�at*�t�t***it***�t�tiF**�at�t*�t***at*at*+e� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> > , . ` ^' !! fE fE iF 1E if �f 1E 1E If 1E 1E 1E 7E iE 1f 1f 1f lE.iE iE 1E 1E 1ElE iE 1E iE 1E 1E 1k I! 1E 1E 1E iE iE if IE if 1E 1E 1E 1E iE 1E if if iE If iE 1E IE 1E fE 1E 1E if If 1E IE iE iE 1i 1f 1E ff iE �E�1E iE �flf If iE iE 1F 1f iE D E V E L O P:M E N T S E R V I C E S R E Q U I R E M E N�T S ZONING APPROVED BY ;_�.d DATE: '� BUILDING APPROVED BY� : VU,�j� �_T DATE; r TION LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLt3MBING ELHCTRIC MECAANIC PERMIT 54,00 VG DATE: � % iF iF 1F fE 1E 1E 1E 1k 1f iE iE iE iE��lE if STRUCTURAL SEGMENT:Y FIRE SMIP/AES GRADING 50 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 5MIP/TOT GRADING PLAN—CHECK 54.00 .50 if if iE if 1Elf if li' if ih if'IE if ih 1f if ii if if i4 if iE 1! iE 1E iE if if iE if if iF if 1E �k k iE iE if' i%�E 1f 1E i%if i%iE if if �f i%i%ih iE ih 1E 1ElE if if ih i4 iI' 1E ii' if if if if if if ih ih'lE f! 1F iE ih iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2500 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 2,500.00 END OF FEES , i � LC lil�.';: '_[u:ly?y I ti v .. . aATC: �� _ - ':. - .. �_ _ r: ...�;1 �� CONSTRUCTION AND PIANNING POOI & SPA � APPROVALS Permit#_: Date Inspector AppROVALS Permit# Date InspeEinr �. � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �. 2. Soit Pipe�Undrgmd. 53. Steel Reinforcement � .�3.. Electrical Conduii Utility-Undrgmd. 54. Forms ' '� #. Electrical Conduit-Undrgrnd. 55. Eiectrical Bonding -5.. Steel Reinforcement 56. Rough Ptumbing & Pressure Test �� i 6. Efectrica4UFER,Grnd. 57. APPROVAITOCOVER�GUNtTE � � �7. Footings - 58. Electrical Co�d'uit�Undrgmd. �� -'8. Foundation � = �r 59. Gas Pipe, C Undrgrnd., Test 9:�Water Pipe-Und�gmd. " `; 60. Backwash Lines; P�Trap, O Und�grnd. 10. Structural Floor System � / 67. APPROVAL TO�DECK � ` 11�.-.Property Sev�er �Line & Hous¢�Cyonnection 62. Sackwash & Receptor-Final ' . � 12. Sewer Cap `- 63. Heater & Vent-Final �� _. 13. Roof Drains � � 64. Plumbing Syscem � Final 14. Rough Plumbing. . ._ 65. Electricai-Final 15. Rough E4ectrica4-Conduii � $6. So1ar SyStem�F}na1 �" .. 76. ftough Eiectric Wiring '' 67. Fencing & Access Approval � �17. RoughWiringSig� � 68. APPROVEDFQRPIASTERING 18. Rou9h Electrical.-T Bar Ceiling ' 69. POOLtSPA SYSTEMS FINAL I 79. Rough Heating & Air Conditioni�g . . PLRE �EPT.REQUIREMENT , 20. Rnugh Factory Fireplace � - . : . , APPROVALS=;`_� Permit # � l -. 27. DucuS in Struciure � ' - �' 70. Undergroyqd Flydro , - I 22. Ducts, Ventilating s- ', _� 71. ProducYPiping�ClGas GOii 23. Gas Pipe-Rough & Test . s� " '';' 72. Undergrod�d Fiush 24. Roof�Praming' � y T � ' ,,_ " 73r Underc�rnd.Storac�eTank �Gas ❑Oil 25. RooLSheaYhing - � _. 74. Overhead NYdrq_F � 26. T.-Bar�Ceiling {Structural) & Nlonocoat � - 75: �Dry Chemical � - , � � 27, Frame and Piashing ' 3+ 76. Dry Staridpipe �� . - . �y/S� ,,��; � _ -28. Lathing�-Siding . . _ _ . - . �'. ' 71r PIXEDSY�TEM-FINAE,- 29. Insulaiion� � � • .- � 78; FIRE PREV. FIN`}!l " 30. Dryavall Nailing _ ` . • � - _HEALTH OEP7. REQUIREMENT 37. Plaster Brown Coal _. - - �' 79. FINAL INSPECTIQN , "' 32. Electrical Powzr hAeter-Final .'. C' '� 8�: POOD CERTI�ICATE ISSWED- - 33. Pinal-Electric :. -- ' Notes: , '" - . -- ' .^ 34. Final=Heating & Air Conditioning �- _ y : - �' - ' 35. Final Gas Pipe•Test � •� � �. � � � - 36. Hood or Canopy = _ ° � _ __ -n 37. Final Factory Fireplace - -- �' � � , ' ' . 38. Final Plumbing . _ ' �� ,_, ` � r „ �---� 39. Water Service-Final - � �- .. t � �� : 40. Gas Service-Final : ' ' ' -'^� � : _ ,. -41. Solar pomestic-Final . . � �- _ .r :- - - c 42. Backflow-Preventer , { � = �" ' `� - - - v 43. Backflow Irrigation � ' '. ^ F r J : 44. Landscape irrigation System � ' ' " ' - � ' `: - " _ � ; _� _ 45. Sound Atteniiation .. - -- - ;, x ; � - : 46. Nandicap Regulations - , " - - �� - f `� 47. FINAC STRUCTURE & BUILDWG - ," - � _ : ��/�6 �.. � -, 48. F�INAL PLANNING - �' ` � " �� ~ ' � �. � j _ 49. Electrie Release to Edison ; • ,� „ 50. Gas Release to Southem Califomia Gas Co ' " - y �` 51. CERf1FiCATE QF OCCUPANCY •� • -� ' No, Qate � �INe oF ' �� u i nl t� �.uo ' I P„ -�SLU � (-�fuP) — I � N 5'iM�t� L2 ) Y�v x V5- o Sl��l�l-t�S � �� st, o F ca, � _ _.-- - ir OF B�I� Y OF COSTA M APPROVED $ YCN UT� �N) MI M �f DYat �CIl�ldEe311�9 MUST be kept an Ods 1� at � r �dlli ufaAiAtn mal0 ary � a afteraation on same wAAatn�d p�m141on Som Ar �%bn d BW�rg and Salery. Cdy W Cos�a Mat► �a. - '��vv�� a o oe � a�pora a tne vroiatron m airy provisions of arry Gry at CwY Iksa Q+dh�a�a end�ar Swe tar. 1�,� ' 7hpsB D'.:� end pemal sl�ll expire by Ilmitation and become null ar d u� 11 J I C� Cie W�OQkq�a work Is nat commenced antl maintainen ac�ive aer U8C §303 (tQ w�1Atri 180 tlays ot issuance. � �XI�TN� '�R�o� I �.iNStku, 'Pau6� Z� . 5� 5er.-f�cvV A � A � � . _ . _. _ � Gv'( N� 6P{,MIiN �, (?jbs/$' X 55� "�'� I�7 4 P. )_ - --- -- � C�%FF' I.�IST RqFfE,'Y�- � �N�lkw @ DoU6L� 2-X (..N � IN S�M`t"aSrv LUS F4-a*16 �— �?v c�. ) �4J� ��NC , ., . . � � {'R�P0.21:"C) f3Y ' 9l1Y E f3 A�AZbvl %�F+-�eN�•. �iY/s5�i_$oE32 2/q% �R'. jL�M10N 34ri va�v�rlS�Zy � uN�T NZ ' COLTA MtSA. U �92GJ2'� � � � I � �',�(�'1'l/ii 51�`� LI'�� ,�v�tiv��C"vs 3�� <3os/g"�55"� 1N1 rhkr� u F�9-c,2vn-�/C �� 1b1� �-�1�4-rrJ (� Kt `� \ .h%' n�o�, �1 U �:�i 5'f 21� �ZPLF �� 4 G60,�N E(L 21 � �5� Z� Z� �-�'�,/ 0P/u �`'zs MESA ��-X,� 5T� ni G � � � 7Ms sei o1 Pkns and sPecilkatiais MUST be keP1 ro1 tlds lo� el eltM� end k Is adavrtul W make any dianges ar atteratian a� same wqtatp� permisston hom Ihe Diuisiai � Bu��ng and Saiary. Ciry d CaSTe A�6a The stamp'mg of this pfan afW specificattau SHRLL NOT ba he� to pr6� pr ro be an appraval af fAe vioiadon ot any proviaions of acry Gdy W Oo61i IQesa Or^fiance anma Sfate law. Tt�sa p:"^,5 sKd permd shaA exRire 6y limit2!ion and become rtull and vp109 the buiiding or v:ork is not cwnmer.ced and maintainetl aciie•e yer UBC §303 (d) within l80 days ot issrence, f__�� 4 ��_� nA,l�� r��,�s-,�. z/4t� �f;.t"Pnn.�O 8Y.' �tiH /55k, go82 ' c'L�^PHaN�' . f.�R:34��v J�rvL51'�2�, VNIZ nJ2 �nsvl M�� Cii,q2(v7.� LJ�;�,'(ta N g'U �/ i C��l ft•f� 2vo�r� � 2� ��ywo.vt/ e��►Nt� � tsstA 1•L �� a x <gt��Cwl,'�'`� -c'LA-�-t1'�-'�i Ga a��-`rn�S � L vS � Z ��, w f g � r�P� "5 'povAL� �a-n�v�� (_?y C'.i Pfl0.1ELT ROOflES$: OWNEfl'SNAME: 34S UNIVERSZTY DR aooxess: S�ET MASTER AHCNIENGINEEN: � AUOflE55: flEG.NO.: axit: UNIT: PEFMITTEE: NOOR ELECTRIC ( 714 ) 631-8777 ADOflESS: -q71n5 WM, qn17TH STREET ('y / J-4 LICENSEO CONTBACTUKOEC[A�AYION:"�€€Cy a�lirm �Iwl I am license� un�e%l6� D�/ 9(cammencinp vn�h Sec�ion 7000� ol Oivisim 3 of i�e Business an0 Proleuions CoOe. ana my license is in full lort nG ect. / CITY LIL.: ST�TE LIt.: CLASS: 030877 �452774 — �� Oare: / �� Sipnature: � WOPREBS MP NSpTI N DECUflATION: I �ereUy ailirm I�al I ve a cepl ica of nsent pselbinsure or a certilicate of Workers' Compensalion Insurance, or a certilied copy ihereoi (Section 38 Lab.'G). roucvr+o.:0662629-92 ExP'°"�04/0 COMPANY: STA T F(' N ❑ Certilie0 coOY � ne�e�Y �umisFeO.� Cetlifietl coOY is deC wn� the cin,i Oi Di '' oate: �— /v ' 9 � �canC � � E%EMPTION FPOM WOPKEflS' COMPENSATION OECIAMT10N: 5 o M1eetl no� 0 completetl i� I�e permil is lor ane �unOreO (5100) w less�. I certity t�at in Ihe petlormance ol ihe woB br wAic� �his pe il' i5 d, I shalfnot employ any person in any manner So a51a �ecom¢ su0jep m t�e Workers Compensaiion Laws ol Califomia. �ale: $ignaWre: �, NOTICE: II, alier making I�is 4etlaraiion, you ShoUltl betome SUGIetl to t�e WorkeR' CAmp¢nsalion pmvisions o� t�¢ LaDor ' Cotle. you must lotlhwilh comply wilh such O�ovisions Or t�is permii shall Ce EeemeO revoked. I CONSTBUCTION LENOING AGENCY: I �er¢Uy ailirm I�a� Ihere is a tons�mtlion lentling a0ency for lh¢ pedormante of �he wOrk for w�ich ��is permil is issued (Sec�ion 3097, Civ, C). LENOEN: AODPE55: OWNEB BUILOEfl OECUflRT10N: 1 �ereby atlirm Ihai I am exempi �mm �Ae Contraciors Slaie Lianse Law for the �allavring reason (Section 7031.5 Business anA Professional CoOe: Any ciiy ol COunty w�ich requires a permit Io CanSlruci, alter, imprOve. Eertrotish, or repair any s�mcmre, prior to its issuance, also aquires t�e ap0licam lor suc� permit to lile a sipneA statement t�at he/she is licensea pursuanl b ihe pwvisions of �Ae ConVactors' S�ate License Law (Chapter 9lcammencing wilh Section 70110) of Oivision 3 ot Ihe Business anU Pmlessions Cotle� or ihai he/she is exempt iherelmm an0 Ne basis lor ihe allepeU exemption. Any violation oi Section 7031.5 6y any applican� �or a permil su61ec�5 Ihe ap0licantlo a civil penal�y ol no� more Ihan live huntlreU Oollars (5500�. I, as owner of Ihe Oropehy or my employees w�th waAes as their sole campensatian, WIII do the work, an0 the ❑ s�mcture is not intenOeU or offeretl lor sate (Seclion 70d7. Buvneu an0 Pmfeuional Code: The Contractors' State License Law tloes nol apDNto an owner of a propeny who huilAs orim0�oves iherean, antl wno d0es sucn work himSelf/herself or tnrougn his or her awn emDbyees, provi4eG ihat such imprOvements are nat intentle0 or aflere0 lar ule. II, �owever I�e buil�ing or im0�ovemenl is sola wiihin one year o� complelion, Ihe ovmer vnll have [he bur0en o� O�aving he/she OiA no� build or improve for Ihe ourDuse ol sale�. . 1. as awner ol l�e D�openy, am e�clusively coniractinA wiiA Iicense0 comracmrs to consimct ihe D�olect (Section 7094, Business ❑ anU Proleuions Cotle: T�e Comracmrs' State License Law aoes not apDN �o an awner ol Dmperry who bmltls or improves thereon an0 who conlracis for such pmjects wii� a Conlracior�s) license pursuan� to t�e Conlractor5' Sta�e License law�. I am aware Ihai pro01 0� I�eir WorkerS Campenutmn insurance SMuIE be provitletl to m¢. � I am exempt untler Seciion: 8. b P. C. tor ihis reason: Date: Owner: I ao �ereby cehily Ihal I am aware oi anA unaerstanE ��e reQuirements ol C 2553E antl tAat I or any INure Guiltling occupani wilVwili nol (circle one) ne[ p¢rmillorcon9mciion or mOGtlica�ian tmmi�e AirOualiiy Managemeni D ��ese pmvisions. Oale: Applitanl: 1 here�y cetlily Iha� I have reatl ��is applica�ion ana late �hat ��e above or0inancesandslalelawsrela�ingrobuiltlingcons c�ionandherebyaWh pmpetly �ar inspettion pur0o5e5. Dale:.�� Z./ Signamre: Dliv¢i'S lit¢n5¢ 01 $ocial S¢COriiy M: � � .� � i6aba6 Wnite—Buil�ing; Green—Code anA Safet�ode Sections 25505, 25533,and h Saitl 5 codes anG (he reQuiremen�s for a �al co yAiqA aDOliwtions are exem0� �rom I {ee lo cOmply vnlh all cily antl Cityto enteruponihe a0ove-me Pink—RevOnuo; GOIOenrOtl—N550550! CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 05772 PERMIT NO: E 057721 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; REPLACE CONDUIT 6 COMMUNITY LIGHTS S(j FT; CLAIM VALUE; CALC—VALUE; GROUP OCC; / COMMENTS: X if iF #f iF 3E iE �f iE if iE �F �f iP �E i! iE iF if if if iF if iE �f �E if lE 3F iF iF jE iF iE iE iE iE 1k 1F iF k if jF k 1E #E iF iE if fE iF iE ik iF M 1E i! if iEiE if iF iF aE 1F if iE iE if iE If iF 3F IE �1f iFiF iF iE IF Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT ZN I,EFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ- PROV; PARCEL; 00000000 2NE; REF NO; PLAI3NING NOl'ES> > ir�r�ieit*�ritx��t*�r*�tit�t�r�tit�t�r��r�ririr�itie*�E�*1t'ir�rit**�r*��rit*it*�tit�t*��t**�*jt+��it�t�tit�t*k�rie�t��t*��r+t�r D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY !� DATE; BUILDING APPROVED BY APPLICATION ISSUED B LEGALI2ATION;N F E E' S U M M A R Y � BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 14,75 SOY Pr AN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 14.75 15,00 0.00 29.75 29.75 .00 REVENO DIVISZON TOTALS--> COLLECTED: 29,75 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR 29_75 _ DATE; DATE; �o �t� � iF{FiFiEifkififkaEafiFif ifiF if iE iE iElF �k �! �f �F iF if iF if iF if IF iE iF 3E iE i! iE It IE ik STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADZNG SMIP/NON—RES if 1E iF iFlF iE iF iF iF 1F k if iF iF if iF If if k If M iE iE iF if k k it �F if iF kiE iE if iE iE if if 1f it �f if ik iE if if iE M 1! If k k k iF 1k IF M iF 1f 3f iE ik i! k if ik �f if 3F iE aE iF k k iFif k!E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 3 FIXTURES LIGHTING 1 ST 20 EA, ,75 2,25 ELE 2 RECEPT/O{1TLET 1 ST 20 EA, ,75 1,50 ELE 1 MISC CONDUIT NOT LISTED RE(� PERMIT 11,00 11.00 END OF FEES li . .. CONSTRUC� ION AND PLANNING POOL . �A APPROVALS Permit # Date Inspector qppROVALS Permit # Oate Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. � 53. Steel Reinforcement 3. �lectrical Conduiz,Utilitv�Undr'.gr.nd.'''. ' 54. Forms ' 4. Electricai Conduit�Undrgrnd. � 55. Electrical Bonding 5. Steei Reinforcement` .56. Rough Plumbing & Piessure Test � 6.' Electrical UFER Gr�d. 57. APPROVAL TO COVER-GUNITE � 7. �Footings , 58. Electrical Conduit�Undrgrnd. . 8. Foundation • 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgra'tl. 60. Backwash Lines, P�Trap, � Undrgrnd. i0. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing $Ystem � Finai 14. Rough Plumbing . 65. Electrical�Final 15. Rough Electrical:Conduit 66. Solar System-Fina� 76. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign. 68. APPROVED FOR PLASTERING 18. Rough Electrical T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. flough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT .- i � 20. RoughPactory.Fi�eplace _ _'a • AppROVALS -Permit# � * �� - � - 21. Ducts, in.$tructurfl. ' ," �- �0. UndergroundT�ydco; � - � 22. Ducts; Ventilaz+ng' �� •� 7,1. Product Pip}ng O Gas � Oil 23. Gas Pipe-fiough & Test � ' _ .` �. j� - � � �7y, Undergrouri� Flush ` . - . . � 24. h�oot=Framing . . . .. ' - � �3. Ondergrnd=Storag�T'ank �Gas ❑Oil-� - :� 25. Roof Sheathing " '. ' � > '�, " j4. Overhead Hydro � .. 26. T-Bar Ceiling (Structurall & Monocoat ' . �' � 75. Dry Chemical '� - • * 27. Frame and Flashing . - � ; ' 76. Dry Standpipe + � ° � 28. Lathinq � Siding � � � - � • • � 77, :FIXED SYSTEM FIi�IAL u 29. Insulatiod ''� ; ' 78. FIRE PREV. FINA� r- " 30. Drywall Nailing �. � i .F . HEALTH [JEPT. REQUIREMENT . 31. Plaster Brown Coat " ' j � 79. FINAL INSPECTI��1'`. °. � - , �= '32. Electrical Power Meter-Final I ,:,8 . FOOD CERTIFICATE ISSUED 33. Finai. Electric . _ �j_L'J� ' � ! Mo ` ' ' , U rr 34. Final Heating & Air Conditioning � i . i - - . - 35. Finai Gas.Pipe-Test • ; - ' ' �� ' � - t_ 3,6. Hood or Canopy . . ' _ � _ . � 37. Finaf•Factory Fireplace � ' ' � � " - � ''�- - ' , , 38. Final,-Plumbing � i � '� I �` � "' ,, - 39. WaterService�Final ' � ' � • " ' - �� : � � 40. Gas Service-Final , , . ,;. � ,y , y ,- ,: � -. 41. Solar pomesticPinal + . .� � * • +. � - ' 42. Backf�ow Preventer � � ;', , . , 43. Backflow Irrigation a - �- ' � = � 94. Landscape Irriqation SYstem . , � , . � . . � ' ', " � 45. Sound Attenuation � ' � s � - • �•t > ,. � , 46. Handicap Regulations - ' � � � , `� �� " - - , � . . 47. FINAL STRUCTURE & BUICDING . - � . � � � 48. FINAL PLANNING; ' e_ • _ .,i y ' 49. Elecvic Release to Edison ,�x , �50. Gas Release to Southem Cafifomia Gas Co , � � � ,' � - . 'S1. CER7IPICATE OF OCCUPANCY , - _ � , - No. Date ApPlicant to fill in all ipaees exceo� those within heavy boreer lines antl sign a11 avvropriate aeciarations. ITY OF COSTA ME CONSTRUCTION PERMIT ,EF�RMIT�N� �,n TRACT NO. LOT NO. UNIT NO. SA , Rr �enAddress 345 University Dr. � q'"` 10422 Trask pve. � Appli@anYs Mailing Address Owner's Name G1adsOII Phone 645Fi8Z6� nddress 345 tiniversity Dr. Arch/Eng. License No. Address Contractor'sName/LAmQ�:..Plumkfing-Heatin�hone 530-244�� Address (mailingllO4Z2 Trask Ave. � City License No. 6664 LICENSED CONTRNCTOR DEC�T�lON ' I he�eby afti�m that I am licens untler provisions o Charte� 9(com encing .- with zection 7000) of Divisi 3 of the Business an Pro a e, antl my license is in full force an e(fect. License Qass — icense N . oare 10-17-86 5�9nat WORKERS' COMPENSATION D CLARATI f I M1ereby a(fi�m that I have a cer[ificat¢ of m t to self-insu�e oi a ce�titicate �f Workers' Compen5ation Insurance, or cert' ' tl copy tnereot (Se<tlon 100, Lab. CJ o�icv t�o. 97RR32 y P��.� _7� ] Certifietl coOY is herebv fumishetll, i I cer[ify thal in the'performance ot ibe wo�k f�which this �pe�m�t is issuetl,.l shall not employ any person'in any manner so as to bewme subject to the Workers' Compensation Laws of Califomia. Date Si9nature NOT�CE: If, afte� making this tlecla�ation„you shoultl become subject tOhhe Workers' COmpensa[ion provi5ions of the Labor Cotle, you must forthwith comply wilh such p�ovisions or this permit shall be tleemetl revok¢d. CONSTRUCTION LENDING AGENCV 1 hereGy affirm that tnere is a construction lentling agency tor th¢ pertormance of [he work tor which thi5 permit is issuetl (Sectlon 3097 Civ. CJ Lentler'S Name Lentler's Atltlress OWNER BUILDER DECLARATION I nereby affirm that I am exempt trom the Contractor's License Law for the, following reason (Section �031.5 Business antl Professional Cotle: Any city or munty which requir¢5 a permit to const�uct, alter, improve, tlemOlish or �epal� any structure, prior to its issuance, also requires the applicant for such oermit to file a siqneC statement tnat he/she is licensetl pursuant to tne provisions ot the Contraclor's License Law (Cnapter 9(commencing with Section ]000) of - Division �3 of �the Bu5ine55 antl Professions Cotle) o� that he/she is exempt therefvom antl the basis fo/ the aliegetl exemption. Any violation ot Seclion �031.5 by any applicant tor a permit subjects ihe ap0�icaM to a Civil !nalty ot not more ihan five huntlretl tlollars ($500). J I, as owner ot the property or my employees with wa9es as their sote compensation, will tlo the work, antl the structure is not intende0 or otferetl for sale (Section 7044,' Business antl Gwfessional Cotle: The Contractor's LiGense Law tloes not apply to an owner of a property wno builtl5 or improves thereon, ana who tloes such work himself/herself or thwugh his�or her own ' employees, provitletl that such Improvements are no[ in[entletl or offeretl for wle. If, hawever, [he bulltling or improvement I5 soltl within one year of com- pletion, the owne� will nave tM1e burtlen of proving he/she tlitl not builtl or Im- p�ove for the purpose o( Sale). ❑ I, as own¢r of Ihe proper[y, am exclusivery cont�acting with licensetl con- tractors to construct the project /5ection 7044, Business antl Protessions Cotle: Th¢ ConVactor's License �aw does not appry to an owner o� p�o0erty who Duiltls o� improves tne�eoo, a�a wno contiact5 for such projecf5 with a con- tractor(s) iroense Dursuant to the contractor's License Law). I am aware that proot of their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for thi5 rea5on Date — _<._..��9wner - I herebY c¢tt fi v that I have rCCtl tbil'TUDII[ati0fl antl sta[e [M1at tM1e ahnve Drivers' ense or P 0865 �6, �ev. 30/ enter\ugEn yp¢'ayevelnen[ionetl-pro :TYPE OF CONSTRUCTION LI NEW LJ'ADD LJ ALTERATION Ll REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTNER DESCRIPTION OF WORK/USE OF B�DG. TVPE OF PERMIT U GRADING Ll FOUNDATION LJ STRUCTURA� ❑ TENANT ❑ EI.ECTRIGAL ❑ PLUMBING ❑ MECHANICAL O OTHER PROJECT DESCRIPTION 5�. Fr. oCCUaarvCv— CONSTRUCTION�TVPE VALUATION S ZONE GRADINGCU.VDS. ACRES— Remarks: Do..l oru ciotnr unof�nr . Bar Sink Backflow Preventer Backflow Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee Showers Service Sink Sewer Cap Sewer Connection Solar Collectors � Solar Pipin9 Solar Tank Swimming Pool w/Spa � Urinal �UtICtS W8t¢l C1052t � Water Heater Water $ervice ' Auto�Wash $75 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System � Multiple Firepl/Fact. BIt. ICBO # Heating System & Ducting 00-700,000 BTU 0100,000 Reinspection Fee White - Builtlinq; Canary - Applicant; Pink - Accountin9; GOltlenrotl - Asse55or $15. Issue Fee Hood or Typel ❑ Canopy Type I I �❑ � FEES A.P. # S Main Building: E T Front A Rear C Right K g Left Ping. Ref. # Planning Notes: Automatic Washer _ ConsVuctionPoleSub. Cooking Unii . . Dishwasher . Dryers ❑Gas ❑Electric Fan " F.A.U. Fix[ures � Device Boxes � OuNets $witthe5 Garbage Disposal Generator �0-5 KW �5-15 I" I `FEES i Refrigeration System ❑0-100,OOOBTU ❑100,OOOBTU System Repair/Alteration I Fire Dampers - " Registers , � � Issue Fee � $ 3 2one Accessory Building: i Parking Req./Provided ELECTRICAL � Transformer ❑ 75-50 KW � 50+KW Meter Llup to 100 amps Meter ❑overi00amps Sub Panel ' � Motors 00.7 HP �7 %- 8 InaSolar �9-15 HP �16- Microwave � Pole Light � Range Sign $tanding Sections Tresh Compactor 5 FEES a I Reinspection Fee �$15 I � Issue Fee I $ 3 � DEVELOPMENT SERVICES REnUIREMENTS: , Zoning Approved By � Date Bui�ding Approved 8y Date Appiiwtion Issued By C- � Date �� SUMMARY OF FEES - ' BUILDING PERMIT $ SMIP $ PLAN CHECK $: 'c� �PERMIT -� . PLUMBING $ U . �O"� ISSUANCE $ �_ _ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING. � $ ' PLAN CHECK 50% S � -MICROFILM $ MECHANICAL $ TOTALFEE $ - 5 OD PLAN CHECK 25% $ � 2 O N I N G R E Q M T S CONSTRUCT14N AND PLANNING APPROVALS Permit # 7. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Concluit Utility�Undrgrnd. 4. Electrical Conquit-Undrgrnd. 5. Steel Reinforcement 6. Electrical UF�R Grnd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural FIoOr System 17. Property Sewer Line & House Connection 12. Sewer Cap 73. Roof Drains 74. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough ElectriC Wiring 17. Rough Wiring Sign 18. Rough Electrical-T 8ar Ceiling 79. Rough Heaiing & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating � 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37l Final Fact irepl e 38t Fin lumbing 39. ater Service-Finaf 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer �43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY Date _ _ Date � Inspector n POO L & SPA APPROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement , 54. Forms . 55. Electrical Bonding � •<= 56. Rough Plumbing & Pressure.�rTest 57. APPROVAL TO COV��R�GONITE 58. Electrical Conduit-Undrgmd�. 59. Gas Pipe, O Undrgmtl�•,, T�t 60. Backwash Lines, P-TraP, QUndrgrnd. 61. APPROVAL TO DECK �" t l.� �,. 62. Backwash & Receptor-Final, .i . 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Finat 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical �-' 76. Dry Standpipe � 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL � � HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: ., /. /�.. y!_ _ Date � Inspector 0 3 ,. � � ' � �; -.. CITY OF COSTA MESA � B!/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.ci.cosfa-mesa.ca.us FOR INSPECTIONS CALL: (714) 734-5626 PERMIT NUMBER P08-00172 PERMlT TYPE PLUM APN: 93388014 JOB ADDRESS: 345 UNIVERSITY DR CM Vicinity: CONDO UNIT G001 ' - � - � STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 07/22/2008 RMD SCOPE QF WORK: REPLACE 25' OF PRIVATE SEWER LINE IN FRONT OF CONDO UNIT G001. . OWNER: DIORIO, ELAINE C TR �- � Address: 345 UNIVERSITY DR A-2 PHONE: , ' .City/State2ip: COSTA MESA, CA APPLICANT: POE, JOE � ' - - Address: 7161 N ANAHEIM BLVD : PHONE: 714-528-8908 � �- , � � City/State/z2ip: ANAHEIM,CA . CONTRACTOR: POE,S PLUMBING AND ELECTRICAL License No. 397346 Address: 1161 N ANP,HEIM BLVD . PHONE: 714-808-8541 City/State: ANAHEIM,CA ZipCode: 92801 � ' CELL: ARCHITECT: ENGINEER: License No. License No. � PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $48.15 $48.15 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia slatutes�and related regulatlons. (Ord. No. 92-28. § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order fo� the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspedions and 8nal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. 40pE�, INSpE�T10NTYPE DAT�F IMl1IlAl �OD�j 115PECPONIYVE 9� INTIiIRLS 1816 Fiked Syslem Final Fire Prevention 208 Final MechaniUl �I �y�C�� • 1266 Pool Spa Final 208 Final Plum�ing �/^ 1�3 � R '/�.y �: /� 200 Final Re-Roof 210 Final Eleclncal 201 Fi�al Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fira Place 220 Final Planning ADProval 203 Final Sign 222 Final Site 204 Final Demolition � 250 Final Building/Occupancy -- ... WORKERS' COMPENSATiON DECLARATION:. I hereby aKrm under penalty of pe�ury one of the following decla2tions: ❑ I have and will maintain a certifcate of consent to self-Insure tor workers' compensation, as provided for by, section 3700 of, the Labor Code, tor the peAormance of the work (or which t�is permit is issuetl. � ❑ I have and will maintain workers' compensation insurance, as 2quired hy sectbn 3700 01 the Labor Code, fw the peAormance of the wnrk fw which this permil is issued. My workers' compensalion Insurance carrier and policy number are: came�: FC1-w, ers Sh.s�ranc� (This seUion neetl r�prol Ee mmpleretl n tne permd is value..Nr �af are nuno�ed cbllars (St0p1 a kss.) PolicylJum6er. D�� ZS/.L%5�1 ❑ I certify [hat in the pertortnance of lhe vrork for which this permit is issuetl, I shall not employ any person in any manner so as to become subject to lhe vrorkers' ompensation laws of Califomia, and agree thal i! I shoultl become sub' cl the workers' compensation provisions o( Section 3700 of tha Labor e shall (onnwith comply with these provisions. �_ 7 -.21— O� Ap c I's5ignaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of lhe Business antl Professions Code, and my licens ' full force antl effect. �ic. # 7 C�ass u G3� G) a !'r % ' �-.2 —08 t2por's Siqrewre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn Ihat there is a constructbn lending agency for the perfortnance of the v.ork fa which this permit is issued. (Sec. 3097. Civil Code). Lentler's Name: Lender's Address: Da�e OWNER-BUILDER DECLARATIONS: I hereby affirm �hat under penally ol perjury that I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW !or the (ollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or tounty which requires a permit to consiruct, alter, improve, demolish, or repair any siructure, prior to its i55uance, a150 requires the apPlicaN for such permit to file a signetl statement that ha or she is licensed pursuaM [o the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Pro(essions Code) or thal he or she is exempt Iherefrom and the basis for l�e allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects ihe applicant ro a civil penalry of nol more than fve hundred dollars ($500).): ❑ I, as owner o( the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not inlenGed or oKered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law dces not apply [o an ovmer of proPerty who builds or improves theieon, and who does SUch vrork himself or her5el( or through his or her own employees, provided ihat such improvements are not intended or oflered for sale. If, however, the building or improvement is sold within one year o( wmpletion, the owner-builder will have the burden ot proving that he or she did not huild or improve for purpose of sale.�. ❑ I, as owner of the propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an owner of property wfio builds or improves lhereon, and who cont2cts for such project wi�h a cont2cta(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SignaWre 305]-46 p/0]� � ., Ovmer ID verified by drivL. ,anse. ❑ Ves ❑ No � Driver's License No. Eapires: Venfication of Ownership by (rype of document, i.e. - properry tax bill or deetl): �DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no ezcavation fve (5) or more feet in depth into whiCh a person is required to descenQ will be made in connectbn vrith work authorized by Ihis permiC and Ihat no building sWcture, scaHdding, falsework, a demolition or tlismantling Ihereo(, will be more than I�irtpsix (36) feet high. (Chap. 32, Grp 2, iVI 2, $CC. ��, �1��E 8, i�.2�I�ORIIa i�1iIIf115If3IIVQ COfiQ�. ❑ As owner-builder, I will not employ anyone to do work which vrould require a permit from the Division o( Intlustnal Safety, as no[etl above, unless such person has a permit to do such work from Ihe tlivision. Appli�nCs Signalure Division ot Industrial Salety Permil Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fWure building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Ves ❑ No (Section 25505 0( the Califomia Health and Safety Code requires, with some exceptions, Iha[ a Business Plan be filed with [he Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or greater than a weighl of 500 pountls, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standartl temperature an0 pressure). 2. Does or will lhe applicanl or present or (uture building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 o( the Cali(omia Health and Satety Code, with some exceptions, requires regisiration with the Costa Mesa Fire Department by each business which at any one time has on hand a quanliry of acutely hazartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or preseN or luWre building occupant need to prepare an RMPP (Risk Management and Prevention Program tor acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Salety Code provides ihat the Costa Mesa Fire Depariment may require the preparation, certification and fling wi�h Ihe Fire Department o( an RMPP by businesses which are required ro register awtely hazardous malerials with the Fire DepaAment. 4. II an RMPP is presently required, has Seclion 25534 of Ihe Califomia Health antl Salety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for �he work which is Ihe subject of Ihis appliwlion a pertnil For such cons[niclion or modificalion (rom the South Coast Air Ouality Management Distncl or !rom any other air pollution control disMct or agency? ❑ Ves ❑ No (Section 65850.2 of the CalAomia Govemment Code requires that the requested information be fumished on applications for non-residen[ial building permits). 6. Will any pan of the faciliry ro be wnstructed under this permit De within 7000 feet (rom the outer bountlaries of a school't ❑ Yes ❑ No Qf "yes", Ihe (acility musl meet the requirement of Sections 25534 antl 42303 of the Calitomia Health and Safety Cotle). 7. If a permit (rom the South Coasl Air �uality Management Dislnct or o�her air pollution control disMct or agency is required for the work which is [he subject of this application, have all of the disclosures prescribetl by California Health and Sa(ety Code Section 42303 been matle? ❑ Ves ❑ No 8. Qf yes", atlach certiflcale of compliance from the appropriate air pollulion control oKcer). � ' CERTIFICATE•OF COMPLIANCE: 1 certify lhat under penalty of perjury lhe information given above is correcL I agree to comply with all state laws and ciry ortlinances regartling Hazartlous Materials and Emissions. CERTIFICATE OF COMPIIANCE AND AUTHORIZATION OF ENTRY: I certily under penalty of perjury that I have read this application and state that the infortnation given is correcL I agree to comply with all slate laws and city ordinances relalinq to Duilding constmction, and authonze representatives of the Ciry of Costa Mesa to enter upon Ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy o( any building authorized by this it until fnal inspection. S naWr olLegalOwners) Date a-�—� 7– Q:2 – D8 4/0� i0nz¢dAppliCanl Da12 DIAZ, REGINA From: E.C.Diorio [elaine.diorio@siteritere.com] Sent: Tuesday, July 22, 2008 9:42 AM To: DIAZ, REGINA Subject: Attn: Regina Diaz - Woodstream Plumbing Approval Importance: High � , Page 1 of 1 4, • ' '.5 Dear Ms. Diaz: I am the President of Woodstream Home Owner's Association. The Board authorizes Poe's Quality Plumbing to replace approximately twenty-five feet of 4" clay sewer pipe, in front of Unit G-1, located at 345 University Drive, Costa Mesa, CA 92627. Sincerely, Elaine C. Diorio President, Woodstream HOA Phone — 949-683-1663 Elaine C. Diorio SiteRite Real Estate Solutions (Representing b'erizon Wireless) 949-683-1663 - Mobile � el�ine:diorio•�siteriterE com 07/22/2008 � � � � � � CITY OF COSTA MESA . B!/ILDING DIYISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754�856 • www.ci.c a-mesa.ca.us : �.�p� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BX07-00314 PERMIT TYPE B MISC STATUS: ISSUED APN: TPN005068 DATE ISSUED: 03/31/2008 Zoning: , ISSUED BY: RMD e JOB ADDRESS: 345 UNIVERSITY DR CM Suite/Unit: Vicinity: � primary Occ: _ , Const Type :?? SQ. FT: 0 .. Valuation: E8,500.00 , ;i SCOPE OF WORK: � • . REPAIR/REPLACE WOODEN BRIDGE LOCATED IN THE MIDDLE OF COMPLEX WITH A CONCRETE CULVERT TO IN FILL THE EXISTING TRENCH FOR "WOODSTREAM CONDOMINIUMS" WITH ELECTRICAC CONDUIT FOR (E) LIGHT FIXTS. � . .;, Ii OWNER: WOODSTREAM CONDOMINIUMS HOA Address:: 345 UNIVERSITY DR -'' Unit Ciry/State: COSTA MESA', CA' ` Zip Code: 92627 ' Phone: � �., . APPLICANT: COLLINS,.CHARLIE., . , Address: � . , , � . � Unit: City/State: Zip Code: Phone: 774-717-3789. ... . . . ` CONTRACTOR: CWC BUILbERS ' Address: PO BOX 7963 Ciry/State: HUNTWGTON BEACH, CA Zip Code: 92615 ARCHITECT: Phone ENGINEER: Phone CANFIELD CpNSULTING 714-647-984$ Building Plan Check: Building Permit �, Electrical Permit SMIP Residential SMIP Commercial TOTALFE�S License No. 840775 Phone 714-7173789 FEE SUMMARY $108.71 $167.25 $41.70 $0.85 $0.00 $318.51 License No. License No. 63595 Cell: Unit: NOTICE: The work authorized by fhis Dermit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to oblain inspections and final approval will result in the expiration of this pertnit. COpE�. INSVEC110NTVPE D�T INIIML UE/ INSPEC7IONTYVE D�T INTIMlS 1878 Fixed System Final Fire Prevention 206 Final Mechanical 1286 Pool Spa Final . 208 Final Plumbing �� 200 Final Re-Roof 210 Final ElecMwl 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site �Q1%� 204 Final Demolition 250 Final Building/Occupancy � `�� / !� WORKERB' COFIPENSATION DECLARATION: � I hereby aKrm unGer penalty of perjury one of the following tleclarations: ❑ I have and will main[ain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for Ihe p�e�R ance of [he work (or which Ihis permit is issuetl. (�S I have and will maintain v.orkers' compensation insu2nce, as required by section 3700 of the Labor Code, fw Ihe performance of Ihe work fw vfiich this permit is issued. My workers' compensation Insurance carner and policy number are: �` 1 � carrier: �i/�T'� t— �i(�C1. (This seclon neetlnof Ee m�ripleleE I Ne pemY ¢ rahie0 a1 dre IrundeEOnWrs (S10Vi a lessl ; Policy Numbar: �� ZZ—, '�� ❑ I certify that in the pertortnance of the vmrk for which this pertnit is issued, I ahall not employ any person in any manner so as to become subject to the workers' compensaC laws of Califomia, and agree that if I should bec e s t to th �kflrs ompensation provisions of Section 700 of t LaDori U, I s II fo hw�h omply vrith these provisions. � � �i a� Appliranfs ignaWre - Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000j, 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 hereby affirm that I am licensetl under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of the Business and Professions Code, and my license is in pfull orce and eRect. Lic..# J 'O� � Class# � Conlraclor's Slgna ure ' Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a constmcfan lending agency for the peAortnance of [he v.ork for wfiich this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: OWNER•BUILDER DECLARATIONS: I hereby aKrtn that under penal�y of perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, eusiness antl Professions Cotle: Any city or tounry whiGh requires a permit �o construcl, alter, improve, demolish, or repair any sWCWre, prior to its issuance, also requires lhe applicant for such permit to file a signed statement that ne or she is licensetl pursuant to the provisions of the Cont2ctore License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of Ihe Business antl Professions Code) or ihat he or she is exempt therefrom and the basis for the alleged exemplion. Any violation of Seclion 7031.5 by any appliwnt for a permit subjecis lhe applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as ovmer of the property, or my employees with vrages as lheir sole wmpensation, WILL DO 7HE WORK, and lhe sWcture is not intended or oftered for sale (Sec. 7044, Business and Pro(essions CoCe: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who dces such work himself or hersell or through his or her ovm employees, provided that such improvements are not intended or o(fered tor sale. If, however, the Guildinq or improvement is sold within one year of wmpletion, the owner-0uilder vrill have the burden of provinq that he or she ditl not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH UCENSED CONTRACTORS to consWct lhe project (Sec. 7044, Business antl Pro(essbns Code: The contraclors License Law dces not apply lo an ovmer of property who builds or improves thereon, and wfio cmtracts fw such project with a cmtrac[a�s) license pursuanl to the Conlractors License Lav.s.�. ❑ I am exempt under sec. Business and Professions Code tor this reason: �3057-d6 (3I0�) \ s� . Owner ID venfietl by drivs er. J Yes ❑ No - ' Driver's License No. Expires: � Verification of Ownership by (type of document, i.e. - property tax bill or tleed): �IVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation frve (5) a more feet in depth into wfiich a person is required [o destend, will be made in connection with work authorized by Ihis permit, and that no building structure, scaHdding, falsewvrk, a demolition or dismantling thereof, will be more than thirty-s& (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Tille 8, Cali(omia Administra�ive Code). ❑ As ovmer-builder, I will not employ anyone to do vrork vfiich would require a permit from the Division of Industrial Safety, as noted above. unless such person has a permit [o do such work (rom lhe division. AppliwnCs SignaWre Date Division of Industnal Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the appliwnt or present or (uture 6uilding occupanl need to file antl certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 ot t�e Califomia Heal[h and Safety Code requires. with some exceptions, that a Business Plan be fletl wilh the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet of compressed gas at standard temperature and pressure). 2. Dces or will the applicant or present or fuNre building occupant neetl to fle a registration form (or acutety hazardous matenals? ❑ Yes ❑ No (Section 25533 of lhe Califomia Health antl Safety Code, with some exceptions, requires regis[ration with the Costa Mesa Fire DepaAment by each business which at any one time has on hand a quantity o( acutely hazartlous matenals equal to or greater than a weight o( 500 pounds, or a volume ol 55 gallons, or 200 cubic feet of compresseC gas at standard tempera[ure and pressure). 3. Does or wi0 lhe applicant or present or future building occupant need lo prepare an RMPP (Risk Management and Prevention Program for acutely hazardous malerials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safely Code provitles that the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department ot an RMPP by businesses which are required to register aculely hazartlous ma[erials wilh lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 of Ihe Califomia Health and Safery Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or will �he applican[ or pre5ent or �uture building occupan� require for Ihe woAc which is lhe subject of Ihis appliCd�iOn a peRllil (Of SUCh fAfISlNtti0fl or modification from ihe South Coast Air �ualiry Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Coae requires lhat Ihe requested informatbn be fumished on appliwtions ta non-residential building permils). 6. Will any patl of the faciliry to be wnstructed under this permit be within 1000 feet frOm Ihe ou�er boundanes of a school7 ❑ Ves ❑ No Qf 'yes", the taciliry must meet the requirement of Sections 25534 and 423W o( the Califomia Health and Safety Code). 7. If a permit from lhe South Coast Air Qualily Management District or other air polWtion control disMc[ or agency is required for the v.ork which is the subject of this application, have all of the disclosures prescri6etl by Califomia Health antl Safery Code Section 42303 been made? ❑ Yes ❑ No 8. pf 'yes". anach ceAificate of wmpliance from the appropnate air pollution control officeq. � , � CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is covect I agree to comply with all state laws and ciry ordinances regartling Hazardous Materials and Emissions. Signalure Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o� perjury thal I have read this application and state that the infortnalion given is cortecL I agree to comply vnth all state laws antl ciry ortlinances relating to building wnstruclion, and authorize representatives of the City of Costa Mesa to � upon the above-descriDed property lor inspection purposes. I a re ot to occupy or allow occupancy of any builtling autho 'ze by I4 pe u il final ir spection. i Wr olLegal mer(5 ale O � : MNa 1 vlicanl ate I -�. � r. -. 345 University Drive, Condo A-2 Costa Mesa, CA 92627 September 14, 2007 City of Costa Mesa Planning Department Fair Drive Costa Mesa, CA Subject: Replaccment of Wooden Vehicular Bridge with Concrete @ Woodstream Coodominiums, 345 University Drive, Costa Mesa, CA 92627 To Planning Department: I am the President of the WoodsVeam Home Owner's Association. We hired Canfield Consulting, Inc., to prepare and submit drawings to the City of Costa Mesa for a concrete vehicular bridge to replace an existing wooden bridge. Should fucther Sincerely, Elaine C. Diorio President, Wood be required, I can be reached at 949-683-1663. ,�UI.0 � U1.�-J i Doard ircctors May 21 08 ?3:0� p.1 9 � Commerfvrd Inspectioa Inc. 2269 Papaya Dc_-La Habra Heighls, CA 9�631 Phone: {562)694-2583 - D�sp"atch: {562)690-3198 Fax: {S62)690-4887 TU: F.�X FACSIt'IILE TRAIVSMITTAL SF{EET � ..�.�y l.— aJ_�IC/ � � F20M: _ �.l �.L-2% �I f �� -i � l � ��/' . �nTE: �/ � , , 11 �J TOTAL N0. OF PAGBS INCLUDING COVER: _URGENT ( NOTES � COMMEMfS: � 0.l 1,� � _PL6ASE COMME7JT _PLEASE REP1.Y _PLEASE RECYCLE- � ' �� -"� � ��S ��o� �ja��QL�� C �-�S`�- �� 1 � f � � � � �fl'� May 2? 08 �^3:09p !/ C'0;�1MERFORD INSPECTION INC. 2269 P.4P.4YA DRiVE LA FIABRA HEIGHTS, CA 90631 (562)690-319& or {562)690-2883 FAX (562) 69013887 Building Permi[ Iob Identification / Address Gzrternl Contracror / Addre; �i"�--� SPECIAL INSPF_CTION Sub-Contractor/.4ddress �'� Svucmral Engineer / Address �C� WE[.UE2 �.—� REINFORCED CO�CRETE _ YRESTRESSED CONCRETE RECEIPT NUMBER _J REPORT p.2 DEPT. OF B G. & SAFETY C1TY OF — COUATI'OF MASONRY _ W ELDIIVG WELDER UESCRIPTION OF WORK In'SPECTEU: Hovas SAMPLBS �i16�,' HI-TENSILb BOLTING _ GYPSUM CONCRETE _ RECEIPT NUMBER Aq inspections based on a minimum of 4 hours & ovzr 4 hours - R hnur minimum. In addition, over S hnurs and Saturday wil] be billed :u time and a half. ATTC�RNEY'S F'EFS -]f any action at lew or in zquity is brouah� co enforce or interpret the terms of [his Contrace, the pre�•ailing party shatl be entitted to n;asonable a[rorney's fees, costs and neee<sary disbursements in addieio�t to any o[her relief to which such party may be entided. SPECIAL INSPECTION RE R � / , [n�pect �� c I Inspector's Signaturc i� �"� [.D, No has been t'ded and i[ states Ehut the above work to the 6est his/her knowled�e complies with the prpvisions uf lhe Unifo Buildin ode n ets oved Vians and Sptcification. Respectfully Submiazd Approved by: �� := 6y � Projec uperintendrn[ CommerforJ In+p:ction.lnc. May ?1 08 03:10p COMMERFORD INSPECTION INC 2269 Y.4PAYA DR1VE LA HABRA HEIGHTS, CA 9Q631 (562) 690-3198 or (562) �90-2883 F,�.X (562) 690-4837 � \ .�=� SPECIAL INSPECTION REPORT I3uilding Pertnit No. ��Q �' � Q' 3`-1 Job Nu. Job Identification / Address U'eneral Concractor/Address p.3 DEPT. OF BLDG. & SAFETY CITY'OF �oS�'�N'�eSc.� coL��rr or C�' � Da[e � � /'� ! �a Sub-Contnc[or ! Address ` ` ` {� $;ructuralrngineer/Addrecs C�S� �Q�� /-C�"� ��L.�� l]G�.��ty-3��-�B?� TYPE OI' WOItK: � REINFORCL-D CONCRETE � ID]ASONRY, H[-TENSILE BOLTING _ WELDHR UATF,OFIKSCECiiON PRESTRESSED CONCRECE _ � RECEIPT NUA7BGR �VELDING WELDER UF:tiCR1PTlON OF WORK INSPECCED: HUURS SAMPLFS GYPSUM COI�CRE"I'E REC61F'T N�"MBER /1 All inspections based un a minimum of 4 hours & over 4 hours - R hour minimum. In addition, over S hours and tiawrday will be bille�i at time and a hulC. ATTORNEY'S PEES - If any aclion at law or in equity is brought �o enforce or interpret the terms of this Cemract, the pre�•ailing pany tihall he cn�iUed to reasonu6le attorney's fees, cos�c and necessary Jisburseme�iu in addition to any other relief to w�hidi such pv4y may be entitled. SPECIAL INSPECTION REPORT�) /+ [nspe�tor's Namc: �� /^��f1_��_ iy_Inspector's Signature: / ""'7/ l-�� I.D. No. �� has been tiled and i[ states [ha[ the ahove work to t}�e best of ./her knowledge complies with [he provisions of [he Uniform 8uilding Cyele�nc(,tr.�e�s.4pprovcd Plans and Spcx:ifica[ion. Respectfullq Submittzd Approved by: (�/ �'f � %�� B�� Pm�cct Superinlcndtat Commertad Inspe:tion, Inc. May 21 Q8 03:10p P 4 M(�Y=21-�008 2]�46 From: ' 15629468026 T-"915626989807 P.1�1 SOUTHWEST INSFECTION :4ND TEgTZNG INC. 441 COMNIERCIAL wAY z.a HABRA, � 9o�_+i-6.lr,g 562-941-2970 71n-�26-8441 FaX-562-946•002G ------------=--------=en=====__=_- ----�---------- �______________"=--=___--- ----- ------- - ----�----- — ---�_ -�___ FIELD DATA ON TEST SPECIM�NS --- ASTM C31, C133, C:143, C172, C1'73, C231, C1064 --- CUNCfiETE: X C;RnIIT: MORTAR: SHOTCRETE: CORES: GUNITE: ADDRESS: 3d5 UN2VERSITY, COSTA MESA JGB #{: DATE: 5/22/200f3 J08 NAME: BRIDC:E REPI.�AC'F,Mi3NT PERMIT #: BY0700314 SSvUED BY: CDSTA MESA AE2CHITECT: EI9GINGLR: CCSE/N�WPpRT BEIiCH CONTRAC`f'OR: c_wl.' PD7L�D SUB CONTRACTOR: CWC B(.�L:C�A ------------------------ ------------- ------------------------------------ LUCATLON ZN gTRUCTURE: NEW CULVERT / CUT 6UT -------------'----- " -'- " -'-'-------------'----'-'----------------------------- COFICRETE SUYPLIER: RU8ERT90iV9 L�LAN't'- 77. MIX #: 8D083 '1'YPE: OF' C£P+IENT : V ADMIXTURE: TFCKET #: 5797112 SLUMP : 4" HA'1`EF iaDDRp: 5 GAL. A�R TEMP: 70 F CONCRETE 'i'EMP: 53 F MIXING TIME: 60 MIN. TSMG CAST: 9:30 ------------ . _-----------------------------" '----------------------------- n7�TE CAST: 9/17/2008 RECEIVED AT LAB: 4/7,8/2p08 ---- ---------------------------- — - — ------------------------- — '------------- SPECIMENS MADE EY: GREa A./COMMERFORD SF�E('IFiED PSI: 45�0 ------------------------------------------------------- •--------------------- FZELD SDENTIFICATION� A, � D � C � D � E ----------------------------------------------------------------------- — --'-'- T.�AB IPGNTIFICATION : OTB2537 : O'1'tizG37 : OT82637 . . -----------------------------------------------" - " ---- — -----------...--------- AGE DnYS : 7 � 20 : 28 . . �RTE TEST : 4/7,.4/�OOE1 , i/15/2008 . 5/l�/2pD8 . . SIZE -IN. : 4 X 8 : 4 X e : 4 X 8 . . ARCF,-SQ.IN. : 12.;7 : 17.57 : 12.57 . , CRUSH LOAD-LBS : 68580 : 8%'i60 : RR3ap , , COMP-STR.-PSI. . 5490 . 5980 . 7030 . . I Fl/0 . . . . CORR FACTOR N�fICE: Tt'ee� �°ai "e°ulm �'° �'°m ecmpm cea ey �npmoiv CURR . S'1'R ,- PS I . . . sirc��ae�iNw�ad�a om ia�oo'a� «�Pr� w�� , TZME TESTED . . . e�.er.we..wv,wqr+aree�aeuu�rronh:ropallon B}�E:SK TYP� . 1 . 3 . 1 msEa.onOwlaEsnw�aukeddiewtet�.�nY�or C.T.M. USED . FURNEY : i�U%NL�Y : FVRNE:Y °��M��tuu��~� dp nbl LLke Nlponsm0.tY ior eny Inbrtnetbn an ttib mpat aha M+n Vu iUt�plll es tmu4 nnd reporle0. ___'____'__'________________________'__'_ " " '_'_________________'____________ xsr.�zxs: ------------------------------------------------------------------------------ ASTM C39. C1'/4, C19'l, C470, rG17, C42 CON,PLIES: X DOES NOT COMPLY_ ------------------------------------------------------------------------------ THI$ REPORT SiinLL NOT BE REPRODUCED, EXCEPT IN FULL WITFIOUT TF{E APRUVAL OF S7TI ------------------------------------------------------------------------------- RP, ;PFCTFIILLY SUBMITTED SO WE INSPECTION ANII TESTING SAMALSS CAST EY OT.HE.RS: R£DTAN i,AEs . MANAGER AtiTM C39 OREAI(S A_ c�uee k3.. cono and �plit C= cone D-shPa:r E�columnar . � •. • � CITY OF COSTA MESA BlIILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �.�� FOR INSPECTIONS CALL: (714) 754-5626 �� PERMIT NUMBER! 608-00126 PERMIT TYPE B_ROOF2 APN: 14146209 JOB ADDRESS: 252 WAKE FOREST RD CM Vicinity: RESIDENCE AND ATTACHED GAR4GE � STATUS: ISSUED DATE ISSUED: 0412112008 ISSUED BY: BJK Suite/Unit: Squares: 3000 � - Valuation: $8`363.00 SCOPE OF WORK: REROOF, RESIDENCE AND ATTACHED GARAGE: T/O EXISTING ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYER 15# FELT, APP�Y "30-YEAR GAF COMP ROOF." PITCH 3-3.5:12 30 SQUARES �• � � OWNER: ALLEN, RUSSELL R�JR � Address: 252 WAKE FOREST RD � Unit: PHONE: i �,�' . . � � � � - � �City/State/Zip: COSTA MESA, CA � � � � APPLICAN7: ISFELD, dOEL� , ' ' � � Address: 8941 MINT AVENUE � Unit• : PHONE: 714-847-7663 . - ,_ City/State/Zip: WESTMINSTER, CA � CONTRAC70R: CALIFpRNIA ROOF LIFE CO INC - License No. 509623 Address: 8941 MINT AVENUEUnit: PHONE: 714-847-7663 City/Stale/Zip: WESTMWSTER, CA 92683 CELL: - ARCHITECT: � ENGINEER: � � FEE SUMMARY Reroof Plan Check: $0.00 Reroo( Permit Fee: �167.25 Reinspection Fee: $0.00 TOTALFEES $167.25 License No. License No. PHONE: PHONE: NOTICE: The work authorized by this permit shall comply vrith all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspactions and final approval must be obtained. Failure to otitain inspections and final approval will result in the expiration of this permit. CODE/, INSPECiIONTYPE 0� INi171RL5 40oE� INSPECTIONTVPE D� INTIiIRLS 1818 Fined System Final Fir¢ prevention 208 Final Mechanical 1286 Pool Spa Final . �� 208 Final Plumbing 200 Final Re-Roof `Z �rob Y"�V 210 Final Electrical 201 Final BIocWRetaining Wall 2/2 Final Fire Prevention 202 Final Factory Fire Plar,e 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building�Occupancy 1 f WORKERS' COMPENSATION DECLARATION. I hereby aKirm under penalty of perjury one of the lollovnng declarations: ❑ I have and will main[ain a cehificate of consent to self-Insure for workers' compensation, as provitletl for Dy section 3700 of the Labor Code. for the p�erto�rmance o( the work !or which ihis permit is issued. L7-�i nave and will maintain wnrkers' compensation insurance, as required by section 3700 o( the Labor Code, for the pertortnance o( Ihe nork for which this permit is issuetl. My workers' compensation Insurance carrier and policy number are: carner: �% %A % E ��•i N� (ihis seCim neetl rotGe cwnpeteC dthe perma is valuedat one huntlred �llars (E100) w leu ) Policy Number. � 7i0 3'r/ '�l �% ' z B'�"'C ❑ I certify that in the pedormance of the work for which lhis permit is issued, I shall not employ any person in any manner so as to become subjecl to the vrorkers' compensation laws of Califomia, and a9ree that if I should become suD'ect to the workers' compensalion provisions ol Section 3700 0( the Labo ode, hsA II foAhwith wmply with Ihese provisions. • �� p iwn' ig re Date WARN E TO SECURE WORKERS' COMPENSATION COVERAGE IS UffLAW L AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENA TIE AND CIVIL FINES UP TO ONE HUNDRED iHOUSAND DOLLARS ($100, , 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 hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full (orce and e((ect. Q Lic. # S�(o z 3 Class # C 3/ ra r's namre ate COfl9FfJ CTION LENDING AGENCY: �� I,fiereDy aNirtn that there is a consWction lending agency lor the pe�ta(nance of the vqrk fa which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Address: SignaWre Da�e OW NER-BUILDER DECLARATIONS: I hereby aKrm ihat under penalty of perjury �hat I am EICEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, eusiness and Professions Code: Any city or counly which requires a permit lo consWct, alter, improve, demolish, or repair any stmcNre, prior to iIs issuance, also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing wilh Section 7000) of Division 3 ot the Business and Pmfessions Code) or that he or she is exempt therefrom and the basis for [he alleged exemption. Any violalion of Section 7037.5 by any applicant for a pertnit subjects �he applicaM to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as ovmer of [he property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the sWCNre is not inlended or oflered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an ovmer of pmpeny who builds or improves thereon, antl who does such vrork himsel( or herself or throuqh his or her own employees, provided Ihat such improvements are not intendetl or offeretl tor sale. If, however, the building or improvement is sold within one year of completion, Ihe ovmer-builder will have the burden o( proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe propeny, am EXCLUS�VELY CON7RACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Pm(essions Code: The coNractors License Law dces not apply to an owner of property who builtls or improves Ihereon, and who cont2cts for such projecl with a coniractor(s) license pursuant ro the Contractas License Laws.�. ❑ I am exempt under sec. Business and Professions Cotle for this reason: 305]-46 (3IW) Signature �ate i Owner ID verifed by drie, iice. ,] Yes ❑ No � Driver's License No. Expires: Venfication of Ownership by (type of document, i.e. - property tax bill�or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no ezcavalion frve (5) or more feet in depth into which a person is required to descend, vrill be made in connecl'an vrith work authorized by Ihis permi�, and that no building stmcNre, scaffdding, falsev.ork, a demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2. Gry 2, M 2, Sec. 341, Ttle 8, Califomia Adminisirative Cotle). ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit from the Division o( Industrial Safery, as noted above, unless such person has a permit to do such work from the division. Ap0licaN's SignaWre Dale Division of Industrial Safety Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe appliwnt or present or future building occupant need to file antl certify a Business Plan for emergency response to release or Ihreatened release of a hazardous matenal? ❑ Ves ❑ No (Section 25505 0( the Cali(ornia Heallh antl Safety Code requires, with some exceptions, Ihat a Business Plan be filed with the Cosla Mesa Fire Department by every business which has at any one time tlunng a reported year a quantiry of hazardous materials equal lo or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at s�antlartl temperalure and pressure). 2. Does or vnll the applicant or presenl or fWure builaing occupant neetl Io file a regislration (ortn for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some exceplions, requires registralion with lhe Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperaWre antl pressure). 3. Does or will Ihe applicanl or present or fuWre building occupanl need to prepare an RMPP (Risk Management ana Prevention Program for acutely hazardous malerials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Cotle pmvides that the Costa Mesa Fire Depanment may require the preparation, certification and fling with Ihe Fire Department ot an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Seclion 25534 of Ihe Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicanl or present or luture building occupant require for Ihe wVrk whiGh is the SUbjeGl o( this appliGalion a pefmil (O! SUGh COOSINCII00 or modification from the South Coast Air �ualiry Management District or from any other air pollution coNrol tlisMct or agency? ❑ Yes ❑ No (Sectbn 658502 0( Ihe Calilomia Govemment Code requires that the requested in(ormation De fumishe0 on applications (a rron-resitlential building pertni[s�. 6. Will any Oart of the faciliry to be constructed under this permil be within 1000 feel from the outer bountlaries of a school? ❑ Yes ❑ No pf'yes", the faciliry must meel the requirement of Seclions 25534 and 42303 of lhe Califomia Health antl Safety Cotle). 7. If a permit from the SoNh Coast Air Qualiy Managemenl District or other air pollution control district or agency is required for the vrork which is the subject of this application, have all of the tlisclosures prescrihed 6y California Health and Salety Code Seclion 42303 been made? ❑ Yes ❑ No 8. Q!'yes", attach certificate of compliance from the appropriate air,pollution coNrol officer). . CERTIFICATE OF COMPLIANCE: I certify lhat under penalty of perjury the information given above is wrrect. I agree �to comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions. - SignaWre , Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application antl slate lhat the information given is correcL I agree to comply with all state laws antl ciry ortlinances rela�ing to building conslruction, and authorize represen[atives of the City ot Costa Mesa ro enter upon the above-0escribed property for inspection purposes. I agree not to occupy or allow occupancy o( any building authorizetl by this permit until final inspection. Si ure Ormeqs) �i 411 Ana/or u e0 AO � Oale � �' 1 � � R \. CITY OF COSTA MESA � J o svu��N� ��v►s�oN i`� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �. ` FOR INSPECTIONS CALL: (714) 754-5626 �� PERMIT NUMBER BC08-00126 PERMIT TYPE: B COMBO Sub Type: RES_ALT �os n��Ress: 345 H001 UNIVERSITY DR CM APN: 93388030 Zoning: , , Vicinity: KITCHEN Const Type: V-B SQ. FT: 0 STATUS: `- � ISSUED ' . � ' DATE ISSUED: 03/28/2008 ISSUED BY: RMD Suite/Unit: H001 . , �� Primary Occ: R3 Valuation: $4,200.00 SCOPE OF WORK: KITCHEN REMODEL FOR UNIT H001. WORK TO INCLUDE REPLACEMENT/ADD OF 6 LIGHT FIXTS, 9 OUTLETS, 3 SWITHCES, 1 DEDICATED CIRCUIT, 1 HOOD W/MECH EXHAUST, 1 P-TRAP, 1 KITCHEN SINK AND 1 WATER LINE FOR FRIDGE AND DRYWALL WORK FOR A SFD. OWNER: SWEATT,ALEJANDRINAFTR Phone: APPLICANT: MARCY, SHAY Phone: 714-444-2648 Address: 345 UNIVERSITV DR #H-t City/State/Zip: COSTA MESA, CA Address: 17165 NEWHOPE ST City/State/zZip: FOUNTAIN VALLEY, CA CONTRACTOR: ROVICS CONSTRUCTION INC . License No. 800996 Phone: 714-444-2648 Address: 17165 NEWHOPE STUnit: Cell: - City/State: FOUNTAIN VALLEY, CA ARCHITECT: ENGINEER: License No. License No. COMBINTATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: - $11125 Electrical Fees: . $53.10 Mechanical Fees: $34.15 Plumbing Fees: $52.90 SMIP Residential: � ' $0.50 SMIP Commercial: $0.00 TOTAL FEES: $251.90 "R¢fer to fee receipts for all fees paiA for project UniL' Unit: :UNIT J UNIT J ZipCode 92708 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all ap0�icable hantlicap access requirements under Califomia statutes and relaletl regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under lhis permit to be considered legal, such work must compty with all applicable codes, and all required inspections and final approval musl be obtained. Failure to oblain inspections and final approval will result in the expiration of this permit. COUE/. INSPEC110NTYPE DRTE INTITIALS COOEp INSPECTIONME ORTE IN1171qLS 1676 Pixed System Final Fire Prevention 206 Final Mechanical 1286 Pool Spa Final . 208 Final Plum6ing 200 Final Re-Roof 210 Final Electriwl 201 Final Block/Re�aining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site ��C�L1, . 250 Final Builtlin Occu anc , \ 204 Final Demolition 9� P Y �/A _ �J K V �Y . 4 / WORKERS' COMPENSATIpN DECLARATION� I hereby affirm under penalry o( perjury one of the following tleclarations: ❑ I have antl will maintain a ceM1ificate of consent to selt-Insure for workers' compensation, as provitletl for by section 3700 of the Labor Code, for Ihe pedormance of the work tor Which this permit is issuetl. ❑ I have and will maintain workers' compensation insu2nce. as required by section 3700 of the Labor Code, for Ihe peAormance of the vrork for which Ihis pertnit is issue0. My vrorkers' compensation Insurance carrier and policy /number are: �Garrier: 5��U1%I'� (TnissMnn eed ��mepeimrtuvauqado��one�h�ndmeobdars(St00Jwku) Pblicy Numbec �% y�7 � ��/ ❑ I certily thal in the p0dormance of lhe work for which this permit is issued, I shall not employ arly person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' wmpensation provisions of Section 3700 0( Ihe or Cqde, I shall forthwi[h comply with Ihese provisions. �A _�� 1�'�G � �d Appliu fs5ignaWre �� Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES UP TO ONE HUNORED THOUSAND DOLLARS ($700,OOOj, IN ADOITION 70 THE COST OF COMPEN5A710N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOR$ DECLARATION: I hereby affrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my licenfs�ei is in full force antl effec�. � �Lic. # s Q�J � 9 y� Class # ./, �r��, '3/t�Sr�pP' onv !e' SgnaWre Dale CONSTRUCTION LENDING AGENCY: ❑ I �ere6y aKrm [hat Uere is a consWctbn lentling agency (or the peAortnance of lhe v.ork fa w}iich this permit is issued. (Sec. 3097, Gvil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARqTIONS: I hereby a(firm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 703L5, Business antl Prolessions Gode: Any city or counry which reduires a permit to construct. alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires Ihe applicant for such permit lo file a signed statement Iha� he or she is licensetl pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 of Ihe Business and Protessions Code� or that he or she is eaempt therefrom and the basis for the alleged ezemption. Any violation o( Section 7031.5 by any applicant for a permit subjeCts the applicant to a civil penalty of not more than five hundred tlollars ($500).): ❑ I, as ovmer o( the property, or my employees wilh wages as their sole compensation, WILL DO THE WORK, and the stmcWre is not intended or offered for sale (Sec. 7044, gusiness and Professions Code: 7he Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such vrork himself or herself or throuqh his or her own employees, provided that sUch improvements are nol intended or oRered for sale. If, hovrever, the builtling 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 tor puryose of sale.). � I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construcl lhe projecl (Sec. 7044, Business antl Professbns Cotle: The contractors License Law tices not apply to an owner of property vfio builds or impmves thereon, and wfio conlracts for such prqect with a cmtracta(s) license pursuant ro the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code (or this reason: JOS�<6 (3/O)) � � A ♦ Owner ID verifetl by tlrive. _ nce. .. ❑ Yes ❑ No Driver's License No. Expires: Verilcation of Ovmership Dy (type of tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert'rfy that no excavation frve (5) or more leet in tlepth iNo which a person is required ro descentl, will be made in connectbn with work authonzed by ihis permit, and that no builtling strucWre, scaffdding, falsework, or demolition or dismantling thereof, will be more than thirty-s& (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 347, TUe 8, Califomia Atlministralive Code). ❑ As owner-builtler. I will not employ anyone to do work which would require a permit from Ihe Division of IndusVial Sa�ety, as notetl above, unless such person has a permit to do such work from the division. Ap0lipncs SignaWre Date Division of IndusVial Sa(ety Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupanl neetl lo file and certify a Business Plan for emergency response to release or Ihreatenetl release o( a hazardous material? ❑ Yes ❑ No (Seclion 25505 of Ihe Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has at any one time during a reported year a quantily of haiartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature and pressure). 2. Does or will the appliwnt or present or future building occupanl neeC to file a regisUation (orm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health antl Safety Code, with some exceptions, requires regislretion with the Costa Mesa Fire Department by each business which al any one lime has on hand a quantiry of acutely hazardous matenals equal to or grealer Ihan a weight of S00 pountls, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at stantlard temperaWre and pressure). 3. Dces or rirll the applicant or present a tulure builtling occupartt need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials�? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safety Code provides ihat the Costa Mesa Fire Department may require the preparation, cehification antl filing with the Fire Departmen[ of an RMPP by 6usinesses which are requiretl to register aculely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0l the Califomia Healt� antl Safety Coae been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for Ihe wo�k which is the Subject of Ihis application a permil for such construclion or modification trom lhe SoWh Coasl Air �uality ManagemeN Dislrict or (mm any other air pollution control tlistrict or agency? ❑ Yes ❑ No (Section 658502 of Ihe Califomia Govemment Code requires that tha requestetl infortnation De fumishetl on applications fa rao-resWenfal building permits). 6. Will any part o( the facility lo be constructed under Ihis pertnit be wilhin t0001eet (mm the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the faciliry must meel lhe requiremenl of Sections 25534 and 42303 of the Cali(omia Health antl Safery Cotle). 7. II a permit (rom the South Coasl Air Qualiry Management Disirict or olher air polNtion control tlislricl or agency is required for the work which is Ihe subjecl of this application, have all of the disclosures prescribed by California Health and Sa(ety Cotle Section 42303 been made? ❑ Yes ❑ No 8. (If yes", anach certificate of wmpliance from the appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certiry Iha[ under penalty of perjury Ihe infortnation given above is cortect. I agree to comply with all state laws and city ordinances regartling Hazardous Matenals and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have reatl Ihis application antl state that the information given is wrrecL I agree to comply with all state laws and city ordinances relaling to building construclion, and authorize representatives of Ihe City of Costa Mesa to enter upon ihe above-tlescribed property for inspeclion purposes. I agree not to occupy or allow occupancy of any building authorized by lhis permil until final inspection. SignaWre LegalOvm=r�s) pyte ME/wAutnonzeE piranl ��/� ; :_ . . RESIDENTIAL KITCFiEN LIGtITI Prdcct Title �.I �45 JIv�VEK-SiZ'f �R\V� ET �VS-SR Datc .��Zs�B At Ieasl50%o(the total rated wauagc o(pertnanently ins�allcd luminaires in the kitchen must be in luminaires lha[ are high efficacy luminaires as defned in Tablz I50-C. Luminaires that arc not high efficacy must be switched separatcly. Kitchen Lighting Schedule. Providc lhc folloH�ing information for all luminaircs to be installed in kiichens. Luminairr Tvoe Hich Gfficacv? �Vatts s O��antilv = Flieh Efficacy Watts or F � �r�2 ea-Fsc� � i Yes p No ❑ F L C-1 La uT FIXTu a g Yes Ya ,vo ❑ Ye.s o No ❑ Yes o No ❑ Yes o A'o a s �iY = "7Z or x Z = 5 '2- o� x = or x = or x = or A: Rules for Determining Residential Kitchen Luminaire Wattage COSIP/./ES/FA>_R Yes� �\b❑ Screw Base Sockets §770(c) 1 (Not containing pertnanently installed ballasts) The maximum relamping rated wattage ol the luminaire, as listed on a permanent lactory-installed label (luminaire wattage is not based on lype or wattage ol lamp lhal is used). Permanently or Remotely Installed Ballasts §130(c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacNrer's catalogs based on independent testing lab reports. Line Voltage Track Lighting (90 through 480 volts) §1J0(c) 3 1. Volt-ampere (VA) roting of the branch circuit(s) feeding the lracks; or 2. For tracks equipped with an integral current limiter, Ne higher of; • The wattaqe (or VA) raGng of an approved integral wrrent limiter controlling lhe lrack system or 75 watts per linear fool of the track; or 3. For Iracks without an integrel current limiter, Ihe higher of; . 45 W per linear foot of the track or . The lotal wattage of all of the luminaires included in the system. low Voltage Track Lighting (less than 90 volls) §130(c) 4 Rated wattage of the transformer feeding Ihe system, as shown on a permanent factory-installed label Other Lighting §130(c) 5 (Lightinq sysrems that are not addressed in §730 (c) 1�) The maximum rated wattage, or operaling input listed on a oermanent lactorv installed label. or oublished in manufacturer's cataloas. based on indeoendi EXA�I�LE RESIDENTIAL KITCHEN LIGHTING �VORKSHEET Project Title Date o� the system. �VS-SR Kitchen Lighting Schedule. Provide the Collowing in(ortnation (or all luminaires to be installed in ki(chens. High Ellcacy � Luminairc Type (y/n) Watts x Quantity = High 6fiicacy Watts or Other Watis CFLJ Yes 16 x S — /JO or MR-l6 No SS x 1 — ' or !/0 ' x — or x = or x � = or ' Total: A: !30 B: I10 Residential Cornplinncc Forn�s December 1005 �n��2u,2 k,�sc�� 2aW�a��L nro acx„R S I�ro ww�1�w5 N v ST4� vc,Tl/ R.�C, i ! �-{- O : � A��j( CW�'� :�� 3ks ��,�v�24 ry �)a��r tt, �� Ccx�4i r/�ss�., c,� qz.L27 —_ �'�� zz 6� z.�" � i EL �c,-re r4-� c. L e��CWD r , � J �� •� _E ?� L E 54V /TC S � I L![']:. _ �'OL E :�bl� /T'0j ' �N/� I/lY'� i� C Q '� Gi 2(iJ:�!�'.�J C�IU �T I��O.�E I , O'JT�� r�'7U'�LCX �� O, r L! l 2 S\<.! :TC H �)..�.�.� � GA3it�c". � Ll(a l�T(N� �,.v "CIS; � WA � _ � �L�� AsT F � IS`r'�5� _ �� Ha�� =��1(a; �Cr:T02 uC L .. �,,,;4 -. �. �.—�--: _._ ' — _ ^ '�:' -��.:�.:... n_ . i� � i �(�' � ,�, �b^t�(�t,� � if ; ,., ,;: _. _ _ �, _ .. _ .._.... _.�� ; � E,� . _ . . -_�_ �;; F� -Y _ ---;`24.DISHW ��; g�N�� ..uA ---• 1=,:�� _- _..:€,,:� •.:_:: �_ ,. .> Y_. - �.V.. . __....,.--�:-.��.- .-,- , u , FJc�;•. --r . .. .. �,;;:�r•;•• .. \ ` i i t �. � � r 0 � _ . ' -.�, n�� fAll dim¢nzinn: .5i'<e Jc>iL:nmions giJa�n :u•c ; - �•I'his is :ut nripinnl dCsign �nd nwcl n�V hc I U�sisncd: 1 I/3b/_00? SuBjccl lo veril ic�liqi� ��n lob >i�r :md \ .�� I i'�sle:�scd qr cnpied unle::: n�.pliCuhi�r Ic�� fl:iti 1 Prin[ed: f i/;0.^_G07 aAluStincnt �.� Iit,inh CondiliUn:. bccn yniJ or.l�ih orcicr pl:�ccJ. '. "' . I . .�� .i.i!.�.. I' , . . .... ... ... . '"__.._..... �._ _._ ... __. ,. __ ,._......_._. ." _.' _ '" "_"_..__ .. .. ...... . ... .... ..�....._... Ia17iIJJ]�:.I.ii . ��p ,� ... I )Yey inp :i� I ��:�Ic : �1 17�•• � �• L Job Address: Suite No Vicinity: Parcel Nunmber: Applican�: Address: 345 UNIVERSITY DR M001 PATIO 93388012 MOORE, HARVEY B 27831 HORSESHOE BEND SAN JUAN CAPISTRANO, CA Owner: MOORE, HARVEY B TR Address 27831,HORSESHOE BEND � Contractor. Address: ISSUE FEE Temp service tesl Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fi�As Recept Outlets Switches Non Res Appl Res Appl Service l0 200a Service to 1000a Service over 1000a Molors to 1hp � Motors to tOhp � Motors to 50hp Motors to t00hp � Motors over 100hp Communiw�ion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intertned Pole -SAN�JUAN CAPISTRANO; CA OWNER-BUILDER Phone: 949-240.2032 Zip 92675-1523 , Phone: 949-240-2032� Zip: 92675-1523 - - Phone: Zip: License: 000000 status: I SSU E D Applied: 03/O6I2007 Issued: 03/062007 ISSUED BY: SCOPE OF PERMIT ELECTRICAL TO INSTALL A NEW AC UNIT TO BE LOCATED IN PATIO AREA FOR UNIT M001. REF#: M07-00126 WORK TO INCLUDE: 1 RES A/C PACKAGE. 523.50 50.00 g54.50 b0.00 50.00 50.00 $0.00 $0.00 so.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 - $0.00 $0.00 $0.00 $0.00 _ $0.00 $0.00 $0.00 $0.00 Quantlty 0 0 0 0 0 0 0 0 0 0 0 0 0 �0 0 0 0 0 0 0 0 0 FEESUMMARY ' Temp Dist System I Lighting Busway/100ft �� . Standing Sedion Misc Electrical Equipment Transformers up to 1 kva/kw ...........:....up to 10 kva/kw .................up to 50 kva/kw .................up l0 100 kva/kw ......:...........over 100 kva/kw Low Voltage Equipment Low Volt Wi�ing Syslem I Ckt Misa Conduit - Misa Conductor � � Circus ( gen or ride) . Circus (mech ride or lights) -� Christmas Tree Stand � � FireworksStand� � � � Other Eledncal Fee Investigation Fee Plan Check Fee Reinspedion Fee quantity $0.00 0 30.00 0 so.ao 0 50.00 0 ; 50.00 0 30.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ,'$0.00 �"; 0 . � � $0.00 ',' 0 - ,$0.00 0 - � 50.00 $0.00 $0.00 ' $D.00 TOTAL CALCULATED FEES E78.00 NOTICE: The work aulhorized by ihis permit shall compty with all applicable handicap access requiremenis under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automaticalty expire and become void if work is not commenced within 180 days, or if work is suspentled or abandoned for a period of 180 days. , - / INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with al!-flpp ical ble codes, and all requlred Inspecttona end Iinel epproval must �e obtalnetl. Failure to obtain 4nspecttons and final approval witl result In ihe exptiation of lhis permit. FOR INSPECTIONS CALL: (714) 754-5626 2aa&ae (8/00) WORKERS'COMPENSAnON DECLARATON: � I hereby aRirtn untler penalry oi perjury one of Ihe tollowing daGarations: ❑ I �eve end will maintaln a certiticate ot consent ro setl-Insure lor workers' compensetion, as provided for by section 3700 oi tha LaDor Code, tor the pertormance of the work for w�ich this permit is issuetl. ❑ I have antl will maimain workers' compensation insurence, es requiretl by section 3700 of Iha Labor Code, for Ihe pedormance of ihe work for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: Cartie� Policy Number: ane orless.J � I cetlify that in the perfarmance of t�e work for which Ihis permit is issued, I shall not employ eny person in eny menner so as to become subject to Iha workers' �compensation lews of Calilomia, and agree that N I should become suhject to the workers' compensetion provlsions of Section 3700 ot t�e Labor Cade, I shell forthwith comply.with t6ese p ions. �'— AppllcenYSianetu�� tT/!O l_Date:_�.--��i � �� /� % WAfiNINCa: FAILUPE TO S£C1 E WORKERS' P SAiION COVE S UMAWFl1L AND SHALL SUBIECT AN EMPLOVER TO CRIMINACPENAL 5 AND GVII FlNES UP TOONE HUNDRED THOUSAND DIXLARE (5100.000�, IN ADDITION TO THE COST OF CAMPENSATION, OAMAGES PS PPOVIDED FOR IN SECTION 3]O60F THE LABOR CADE, IMEREST, AND NTTOHNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I �ereby ettirm that I am licensetl under provislons of Chapter 9(commenr.inq wilh Section 7000) of Dlvlsion 3 ot the Business and Professions Coda, and my license is in tull brce and eHed. Llc. p Class a Comrectors Signatura: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm that ihere is e construction lending agency tor Ihe peAormance of the work for which this permil is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lentlers AOdress: Signature: Date: OWNER-BUILOER OECLARATIONS: I hereby eHlrm ihat under penelry ot perjury that I em E%EMPT FROM TFfE CONTfiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Busineu and Professions Code: Any ciry or counry which requires e permit to construM, elter, improve, demolish, or repair eny structure, pnor to its issuance, elso requires the epplicflnt for such pertnit to 111e a signetl statement thet he or she is licensetl pursuenl to 1he provisions of Ihe Gontractors License Lew (Chapter 9(commenang with Section 7000) oi Division 3 ot the Business and Professions Cotle) or t�at he or she is axempt therelrom entl the �asis for the elleged exemptlon. Any viola�ion of Section 7031.5 by any epplicant for e pertnit sub�ects Ihe epplicant to e civil penalry of not more than five hundred dollars (5500).): ❑ I, as owner ot lhe property, or my employees wilh wages es their sole compensation, WILL DO TME WORK, and lhe 5trucNre I5 not inlended o� oflered tor sale (Sec. 7044, Business and Professions Code: The Contractore License Law dces not apply to an owner of property who builds or improves ihereon, end who does such work himself or herself or through his or her own employees, provitled that suc� improvemems are not intentled or oNeretl for sale. It, however, t�e building or improvement is sold within one year of completion, ihe owner-builder will have Ihe burden of proving that he or she did not build or improve for Durpose ot saleJ. ' �I, as�owner of the property, am EXCLUSIVELV CONTRACTNG WITN LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions !'Code: The coniractors License Law does not apply to en owner of pro0eny who builds or improves thereon, end who comracts for such prolect with e comracror(s) licanse pursuant to the GOntrattors License Laws.). ❑ I am e:empt under sec. � ❑ Yes ❑ No BuSiness antl Verification of Ownership by (type of document, i.e. - property tex bill or deed): Code for this reeson: �. �--=oa�a:. ' D 7 �nse�No:' �pires� -Y/-2.4-09 DIVISION OF INDUS7RIAL SAFETY PERMI7 CERTFICATION: ❑ I hereby certity that no excavatlon tive (5) or more feet in depth into which e person is requiretl to descentl, wiil be made in connection with work authodzed by this pertnil, and �hai no building SWclure, ScaHolding, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) teet high. (Chep. 32, Grp 2, Atl 2, Sec.. 341, Tnle B, California Adminisiretive Code). ❑ As ownerv6uiltler, I will not employ enyane�to tlo work w�ich would raquire e pertnit from the Division of Intlusirial Sefery, es noted ebava, unless such pereon hes e pertnit ta do such work from the division. Signature: Division of Industrial Safery Permit Number: Date: CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF ENfTiY: I certify undar penalty of perjury that I heve read Ihis application antl state thet the information given is correcL I agree �o comply with all stete laws antl ciry ortlinances relating to builtling construction, and au�horize represenietives ot ihe Ciry oi Costa Mesa to enter upon the ebove-desc' d pr . ins action u es. I agree not to occupy or allow occupancy of any building authorized by this pertnit uNil finel inspec�ion. - , ddYi � /� �� 7 �Si9'neNre�Ol�legal�Owner(s)--��-�-------�_y lDate,—�'- T— COOE 1. INSGELl10NTYPE 1616 Fixed System Final Fire Preventbn 1268 Pool Spa Final 200 Finel Ra-Roof 201 FIneI BIocWReteining Well 202 Finel Feclory Fira Plece 203 Final Slgn 204 Final Demalition QSjE �$ COOE( INSPECTIONTYPE 206 Finel Mechanical 20B Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Date PAIE It�L4 iA �'%��.�'!i / 0 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: H4S UNIVERSITYDR suite No M001 Vicinity: GAR4GE AND PATIO AREA Parcel Number: 933880�2 Applicant: MOORE, HARVEY,B - Address: 27831 HORSESHOE BEND - SAN JUAN CAPISTRANO, CA owner: /MOORE, HARVEY B TR Address: 27831 HORSESHOE BEND � � ! %� - � %� � �" SAN JUAN CAPISTRANO, CA c ontra c to r: O W N E R-B U I L D E R Address:� � - ' MECHANICAL PERMIT Phone: 949-240-2032� Zip: 92675-1523 Phone: 949-240-2032 " . Zip: 92675-1523 Status: ISSUED Applied: 03/06I2007 Issued: 03/06/2007 ISSUED BY: Phone: Zip: . � ; License:000000 � SCOPE OF PERMIT MECHANCIAL PERMIT TO INSTALL A NEW AC UNIT TO BE LOCATED ON THE PATIO AREA AND CHANGE OUT OF AN (E) FAU LOCATED IN THE GARAGE FOR UNIT M001, A SFD,; � REF#:E07-00785 WORK TO INCLUDE: 1< 100 K BTU AND tCOMPRESSOR UP TO 3 HP/.100 K BTU. � , � , ,• � FEESUMMARY ISSUE FEE Insl fAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Insl / Rep. Recess Wall Hlr Refrig.Sys <100 k BTU � Refrig Sys >.100 k BTU Gas Piping Faclory Fireplace - Hood w/Mech Exhaust VAV Box Vent Fan / Single Dud Appliance Fire Dampers � Smoke Dampers � � - Inst or Relocate Appl Vent Air Handlers < t0000cfm�� AirHandlers> t0000cfm'� Floor Fumace � Floor or Suspend Heater 4uantlry $23.50 „ , Repair/AltAbsorblionUnii $14.80. 1 _ . __ �__ -_ .. �'�- Repair/AltRetrigerationUnit $0.00 0 , � Ventillation System $0.00 0 Evapo�ative Cooler $0.00 0 Commerciallncineretor � $0.00 0 Domestic Incineretor $0.00 0 Comoressors/AbsorotionSvstems �" $0.00 0 �-. _Up to 3 hp / 100 k BTU �, $0.00 0 . '' �3To15hp/500kBTU $0.00 0 � 15 To 30 hp_I 1,000 k BTU , �,� $0.00 0 . 30 To 50 hp / 1,750 k BTU - � $0.00. -0 �� , Over50�hp/Over1,750BTU �� $0.00 0 Boilers � , $0.00 0 ' � �Up to 3 hp ' � -- $0:00� �0•. � " � �-3To15hp � - � '�� - - .$0.00 -0 �-,,�-.� � .,151o30hp - .; ��", . , ; ' $0.00 � . 0 - - � � - - � . ; 3010 SO�hp � " � ' . � $0.00 0 - - Over 50.hp . , , ' , . - $0.00 � 0 Other Mechanical Fee . . �� .$0.00' 0 ' ' � - , Investigation Fee � � , , � Plan Check Fee ' � � , Reinspection Fee . . � � � - TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 - 0 ' , $1470 1 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 $0.00 E53.00 NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended oi 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 al �applicable codes, and all requlred Inspeetlona and Iinal approval must be obtained. Failure to ob�ain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2d48-OB(&00) WORKERS' COMPENSATION DECLARATION: ' � I hereby aHirm under penalry oi perjury one oi ihe following declarations: ❑ I have and will maintein a certificate of Consent to self-Insure for workers' compensation, as provided for by sectlon 3700 of ihe Lebor Cotle, Por ihe pertormence of Ihe work for which this permit is issued. . ❑ I have antl wlll maintain workers' compensation insurance, as requiretl by section 3700 of the Labor CoGe, tor the pertormance of the work for which Ihis permit is issued. My workers' compansation Insurance cgrrier antl policy number ere: Carner. Policy Number: (This section need not be completed i( (he permit is velued et ane Aundred dallers ($100) or /ess.J j� I certify ihat in Ihe peAortnance of ihe work for whith IhiS peimit i5 issued, 1 shall not employ any person in eny manner so as to become 5ubjeCt to the workers' compensation lews of Calitomi , and egree ihat i should hecome sub�ect to the workers' compensetion provisions ot Section 3700 of the Labor Coda, I shall forihwith �comply with.these provisio f ��J `� > / App�i� i8�ture � i(/!/1� �Date:--91 / !O / � _% WARNING:FAIWRETOSECUR WORKERS'COMPENSATIONCAVERAGEISUNLAWFULANDSHALLSUflIECTANEMROYERTOCFIMNALPENALTI SANDCIVILFINESUPTOONEHUNDRE� THWSAND OOLLARE ($100,000), IN AODITION TO THE COST OF CAMPENSATION, �AMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE LABOR fADE, IMEREST, AND ATTOqNEY'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby attirm that I am licensetl untler provi�ions of C�apter 9(commenr.ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull forca and eHecL Lic. q Cless N Contradors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 here6y affirtn thet there is e constmctivn lendinq agency for Ihe pedormance oi the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: � Signature: Date: OWNER-BUILDER DECLARAT10N5: I hereby affirm ihet untler penalry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Protessions Cotle: Any ciry or county which requires e permit to construct, alter, improve, tlemolish, or repair any strucWre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is Ilcensetl pursuent to ihe provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) ot Divislon 3 of the Business and Protessions Code) or that he or she is exempt therefrom entl the besis for the alleged ezemption. Any violation ot Section 7031.5 by eny applicant tor a pertnit subjeds the epplicant ro a civil penalty ot not more than five hundred dollars ($500).): ❑ 1, as owner of the propetly, or my employses wi�h wages as iheir so7e canpensation, WILL DO THE WORK, and ihe shudure Is not Intentletl or oHeretl tor sale (Sec. 7044, eusiness and Proteuions Code: The Contrac�ors Licanse Law does noI epply to an ownar of property who builds or improves ihareon, antl who does such work himseN or herself or through his or her bwn employees, provided that suc� improvements are not intended or ottered for sale. It, however, Ihe building or improvemen� is /�/�soltl within one year oi completion, the owner-builtler will have ihe burden ol proving that he or she did not build or improve for purpose ot sale.). ' ji] 'I, as owner of the property, am E%CLU6IVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct ihe prqect (Sec. 7044, Business antl Professions \ Code: 7Te contractors Licensa Law dogs not appty m an owner oi pmpeny who builtls or improves ihereon, and who contracis tor such project with a contraqor(s) license pursuant to ihe Contractors Lic�nse Laws.). 0 � ❑ No Business antl Professions Code tor Ihis reason: Verification oi Ownership by (type of document, i.e. - property taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity that no excavation tive (5) or more teet in depih into which a parson is required to descend, will be made in connection wiM work authorizad by t�is pertniL and ihat no builtling structure, scaHolding, falsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sac. 341, Title 8, Celifomia Adminisirative C�a). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit from the Division of Industnal Safery, as noted ebove, unless such pereon hes a permit to do such work trom the tlivision. Signature: Date: Division ot Industnal Safery Permit Number: CERTIFICA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certity untler penalry of perjury ihat I have reatl this appiication and state ihat ihe infortnation given is correct I agree to comply wi�h all state laws entl city ordinances rela�ing to building construc�ion, and authonze representatives oF Ihe qty of Costa Mesa to enter upon the above-described pr ��r�Eyd_o� spec�tion p ryoses. I agree not to occupy or ellow acupancy of eny building auihorized by this permi� until finel inspection. �. �i�� r-�YI%�ibzP � / G / � 7 �% a e Ot �egal Owner(s)y r-: l_: s,.... �— ate � �—= ` AnNOr Authon¢¢d qpplicant Date CQpEt. INSPECTIOXTYPE Qajg INTRIALS 1616 Fixed System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Re-Root 201 Final Blxk/Retaining Well 202 Finel Factory Fire Place 203 Finel Sign 204 Final Demolition CODER INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevenlion 220 Finel Planning Approval 222 Finel Site 250 FinelBuilding/Occupency 1'b� ��• � � € � balnnNL00L? Jn C� «' sei6olouyaa1 rtdom3 [0020 �F r //'' �� .r� Q�✓ccozo '� . s'Jsn * .. � 3 � �-fv�.--M � V ; .'�.` �'. a '� 'N . �'. . A ' •. � � � � / � � �� . .� �` � `� �� _ t' -� '\�, • � ' � � ._ , , � �. �� ^� ♦ ° � ,t / A Y �S �` 1 � '�,c. ./ �'� � \ ,� " r 4 � }. / v i � i i � �' �� ~� � , t, , �' � �, . , � 1.,� �;,:; ' a . ` � - '! ' � t � � � � � � * �0 . �- �T, i . , s�e < � . ♦ ♦ � � ,r. '�.�5 *'� `'\a•.\�� \�e • ! � �..Q �+/ �t ,a i� .� �, � � � �„ . � » t ,� � . 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I I � ; I li i �� r ` ' ` f � ; , � ' , i j ' ' ! ` ' � i f ' ' i ' ; � , , i i � ; ' � �� j � ��- , ��. --_ ' - :- I - ---, -- , jSTc��pAG� I�RFA � - � ; � ; ; ' f i � ,--; ; � � i - � �- � � � � ; , {-- , ��i-'iii �� {�,.�o � I —� �wa-� �r � — r � - -_ - - r, i ii- ��I�� I �!`;; � � i' � f 1�;; 1 1 i � ' � I - � � -+-- -i � . i ' � ' � � 4 i� i �, � ; , i ; i # ' : I ' I . t ; ' . � { , ,_ ; 1 'I � j ' - . i i . I' � _I �, '`I - - ;�; � , f � . - ��3• � - ; :- -_ _,��.;' �, �� I ! _; �_. ! _; _ � _ . _;�, .�. , �. , --�� ,;�;;:�. +� ,;;, i � , � � ' � l , � ! � : � -� - _ _ i I i �. -� G j- � I i � ; _ i . � ' .. —� , , � , ' i � � _. �� i � � � � 1 .� . � � i . . . . '� . . . _ I , � I _ � �� ' �, ; � � { �� I �} ,, ,;:� � �. ! � � 4 . i I ! � I- � .- � 03/OS/1007 15:41 P'AS 714'G'GUy3Y7 6ULU�n WIiS'f YKVYrKCY mnG �gluvi � i � I Golden West Property Management Inc. RESIDENTIAL AND HOMEOWNER ASSOCIATfON SPECIALIST I wc. 0 Mazch 5, 2007 H. B. Moore 27831 Horseshoe Bend San Juan Capistrano, CA 92675 Re: 345 University Dr. M-1 Deaz Mr: Moore; The request for your Air Conditioned Heating unit installation has been approved. You may install the compressor unit in the approved location on your patio. Sincerely, �� Jan Standish JS/eg 6101 BALL ROAD, SUITE 301, CYPRESS, CA 90630 • TELEPHONE (714) 220.5920 • FAX (714) 220.9327 E-mail: gwpminc�aol.com • � www.gwpm.com �. � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT JobAddress: 345 UNIVERSITY DR Suite No K3 Viciniry: F6 Parcel Nunmber: TPN005068 npp�icant: LITTLEFIE�D,SCOTT Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA Phone: 661-259-7131 Zip: 91321 Owner: WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNIVERSITY DR COSTA MESA, CA Phone: Zip: 92627 Consractor. AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA 1 WATER HEATER UNIT K3 ISSUE FEE Backflow irrigation Backflow Preventer BafhWb Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Inlerceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 on Phone: 661-259-7131 Zip: 91321 License: 627368 SCOPE OF PERMIT FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 03/15/2006 Issued: 03/15/2006 ISSUED BY: • . � �`�� s' SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bktlow(t-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service Waler SoRener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 535.80 Qn 0 0 0 0 0 0 0 0 0 0 1' 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final epproval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 GV46V0 �IYW) � WORKERS' COMPENSATION DECLARA710N: I hereDy aflirtn under penalty ot perjury one oi ihe Following tleclaretions: ❑ I have and will maintain a certificate of conseN to self�lnsure tor workers' compensation, es pmvided lor by seclion 3700 ot ihe Labor Coda, for Ihe pertormanca oi the work for which ihis permii is issuetl. ve and will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Cotle. for ihe Derformance of ihe work for which this permit is issued. � My orkers' compe�n1sa�tio�n Insurance carrier and pollcy number ere: l f� f; Car � T%� l��1 � i� �cyiJuQber LO V�( �t 6%!i � (This section eed not be completed il the permif is valuetl at one hundred tlollars ($100J or less.) �� ❑ I certify that in the pedormance of the work for which ihis permit is issued, I shall not employ eny person in an manner so as to become suhject to the workers' compen laws of CalitPmia, end egree ihai if I shoultl become suDJect to the w ' ' rovisions of Section 3700 ot �he Labor Cotle, I shall fotlhwit� co th ihe provisiq�li. Appli �Signat r' qb�%� �`�'S � Q� WARNING: FAILURE TO SEW WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED THOUSAND OOLLARE (5100, �, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED WR IN SECiION 3]O6 OF THE LABOF CAOE, IIJrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby a' t I am licensed under provisions of Chapter 9(commencing with Section 7000) of Divi n 3 of the Bus ess and Professions Code, and my license is in full torce e a# ss #�' 3(0 Co s mre: ate: 3-I S'IJN CONSTRUCTION LENDING AGENCV: ❑ 1 hereby affirtn that there is a consiruction lentling agency for ihe performance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender'S Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty oi perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protessions Code: Any city or counry which requires a permit to consiruct, aVer, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the appliwnt for such permit to file a signetl statement that ha or she is licensed pursuant to the provisions of Ihe Contracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code) or that he or she is exempt cherefrom and tha 6asis for Ihe elleged ecemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry oi not more,than five hundred dollars (5500).): ❑ I, as owner of Ihe pmperry, or my employees with wages as iheir sola compensation, WILL DO TME WORK, entl the sWdure Is noI intendetl or oHered tor sale (Sec. 7044, eusiness and Professions Code: The Contractors License Law does no1 apply to an owner of properry who builds or improves �hereon, and who tloes such work himself or herself or Ihmugh his or her own employees, provided Ihat such improvemenis are noi intended or oflered tor sale. If, however, ihe 6uildinq or improvement is sold within one year oi completion, ihe owner-builder wiil heve ihe burden ot proving Ihat he or she did not build or improve for purpose ot sale.). ❑ I, as owner of the properlY. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions Code: The coniractors License Law does not apply to an owner of property who builtls or Impmves thereon, end who contrects tor such prolect with a contractor(s) license pursuam to the Comractors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID verified hy driver's license. ❑ Yes ❑ No Business and Professions Code for this reason: Ventication ot Ownership by (type of documem, i.e. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICA710N: Driver's License No. Date: Ezpires: ❑ I hereby certify Ihat no excavation five (5) or more feet in depth imo which a person is required to descend, will be matle in connection with work authorized by this permit, and that no building stmcWre, scaHolding, falsework, or demolition or dismantling thereof, will be more then thiny-siz (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, California Adminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from the Division of Industrial Sefety, as notetl above, unless such person has e permit to do SUCh woric irom the divi5i0n. SignaWre: Date: Division of Indusirial Satety Permit Number: CERTFICATE OF COMPLJANCE PND AUTHORIZA710N OF ENTRY: I certity under penalry of perjury that I have reatl Ihis application and state that the infortna�ion given is correct. I agree to comply with all s�ate laws antl city ortlinances relaiing to builtling cons�mclion, antl aNhonze representa�ives oi ihe Ciry o� Costa Mesa to enter upon ihe above-descnbetl property tor inspection purposes. I agree not to occupy or allow occupancy ol any building aulhorized by this permit umil final inspection. Signature Ot Legal Ow r s) � ��Date -IS-Ob AnNOr tho' ' ni Date COpE t. INSPECTION7YPE 1616 Fi:ed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � INTRIALS COOE� INSPECPONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy �iE INRMLS JobAddress: 345 UNIVERSITYDR Suite No M002 Vicinity: Parcel Nunmber: 93388011 Applicant: GOLFOS, JAMES L Address�. 345 UNIVERSITY DR UNIT M002 COSTA MESA, CA Owner: Address Contractor: Address: GOLFOS, JAMES L 345 UNIVERSITY DR UNIT M002 COSTA MESA, CA OWNER-BUILDER PLUMBING PERMIT �� t � � x � . w t; h`, A. Phone: Zip: 92627 Phone: Zip: ticense: 000000 SCOPE OF PERMIT REPLACE WATER HEATER LOCATED IN THE GARAGE FOR UNIT M002. ISSUE FEE Backflow irrigation Backflow Prevenier Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof � Drinking Fountain Expansion Tank � Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) AMT $23.50 30.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 $0.00 $0.00 50.00 S0.00 so.00 $0.00 50.00 QTY FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation 50.00 P-Trap 50.00 Pressure�Regulator - $0.00 Process Pipin9 (per 10 ft) $0.00 Receptors $0.00 Septic Tank 50.00 Sewer Cap for Demo 50.00 Sewer Connect 50.00 Sewer Private Line . 50.00 Shower $0.00 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor 50.00 Sink, kilchen 50.00 Sink, service/mop $0.00 Spa (private) 50.00 Spa (public) $0.00 an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 09/05/2006 Issued: 09/05/2006 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Healer / venf Water Piping (Insl or Rep.) Water Re-pipe Water Service Water SoRener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 30.00 $0.00 $12.30 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 E35.Ba QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 7241-92) 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 Inapectlone and final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244Bd818/00) WORKERS'COMPENSAnON DECLARAnON: • , I hereby aKrtn untler penalry oi per�ury one of the following tleclarations: ' � ' , ❑ I have and will maintain a cenificate ol consent to self-Insure for workers' compensatlon, es pmvided tor by section 3700 of the Labor Code, for.ihe pertormance of the work for w�ich ihis permit Is Issued. ❑ I have and will maintain workers' compensetion Insuranca, es required by section 3700 of the Labor Cotle, for t�e pertortnance of the wark lor wfiich thls pertnit is issued. My workers' compensation Insurente cerrier and pplicy number are: Carrier: � Policy Number: (fhis sectlon need wt be camp/eted /l fhe permif is va/ued a( one hundred dallars (5700) or IessJ ❑ I certify lhat in lhe pertormance 01 the work for which ihis permit Is issued, I shell not employ eny person in eny manner so as Io beCome subleci to Ihe workere' compensation laws ot Califomie, end agrae Ihat tl I ahould become sub�ect to Ihe workers' compensation provisions ot Section 3700 0l Ihe Labor Cotle, I s�ell forthwith comply with Ihese provision5. . Applicant SignaNre: Dale: WARNING: FAILURE TO SEWRE WOiiNERS' LOMPENSAiION COVERAGE IS UMAWRIL AND SHALL SUfl1ECT PN EMPLOVER TO CRIMIWLL PENALiIES �ND CML FlNES UP TOONE HUN�RED T11d15AND DOLl4RE (St00,000�.IN ADDITION TO iHE COST OF �pMPEN5AT10N, DNMGES AS PROVIDED FOR IN SECiION 31060F THE IABOR GOOE, IMEREST, AND ATTOIiNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions ot Chapter 8(commencing with Section 7000) oi Division 3 of ihe Businass and Professions Code, entl my license is in tull force and eHect. Lic. M Class k Contractofs SignaNre: Date: CONSTRUCTION LENDING AGENCY: � 1 hereby aHirm ihat there is a conscmction lending egency for ihe pedormence of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lender's Address: Signature: Oete: OWNER-BUILDER DECLARATIONS: I hereby affirm that untler penelty ot per�ury ihat I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW for �he following reason (Sec. 7031.5, eusiness antl Professions Cotle: Any ciry or county which requires e permit to construct, alter, improve, demolish, or repair any slmcWre, prior to Its issuance, also requires the applicant tor suc� permit to file a signed sta�ement ihat he or s�e is Ilcensed pursuant to Ihe proNslons ol ihe Comractors License Law (Chapter 9(commencing wlth Sedion 7000) ot Divislon 3 ot [he Business and ProfesSions Coda) or �het �e ar she is ezempi t�erefrom end Ihe basis for lhe elleged exemption. Any violation of Section 7031.5 by eny epplicent for e pertnit subjects the applicant ro a civil penalry ol not more Ihan five huntlretl tlollars ($500).): � ❑ 1, as owner oi ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and tha strucWre is not Intentletl or oHeretl tor sale (Sec. 7044, Business and Professions Cotle: The Contractors Ucense law does no� epply to an owner of property who builtls or improves Ihereon, and who does such work himsetl or hersell or ihrough his or her own e , rovidetl thet such improvements ere nat intended or otteretl for sale. It, �owever, Ihe building or Improvement is sold within one year of completion, ihe o r-builder will have the burden of pmving that he or she did not build or improve for purpose of sale.). �,=1>as o of the pmperty, SIVELV CONTR CTING WITH LICENSED CONTRACTORS to construa Ihe pmject (SecJ044, Business enC Protessions Code:�The ontractors nse tloes noi epply to n owner ol property who builds or Improves Ihereon, end who contracis for such D�Wect wl�h e coniractor(s) licsrise pu uanl lo t Contrec License Lews . Venfication Business antl Prolessions Code lor this reason: �rs license� ❑ Yes ❑ No O'vu er!s1]cense`No. . by (rype ot tlocument, i.e. � propeny tex bill or deetl): �� DIVISION OF INDUSTRIAL SAFETY VERMRCER7IFICA710N: ❑ I hereby cenity that no exwvation live (5) or more feet In depth into whlch e parson is required to descend, will be mede in connaction with work au�horizetl by ihis permil, and lhat no builtling 5trucWre, scaHolding, talsework, or demolition or tlismantling thereof, will he more t�en Ihirty-siz (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, TWe B, Calitomia Atlminisirative Code). ❑ As ownerbuiltler, I will not employ enyone to tlo work which would requlre e permit iram the Division of Industriel Satety, es notetl abova, unless suc� person hes e pertnit to do such work irom the division. Signeture: Date: Division of Intlustnal Salery Permit Number: CODE I, INSPECTONTYPE 1618 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Domolition . . CODE 1 INSPECTON TYPE 206 Final Mechanical 20B Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 - Final Planning Approval 222 FinalSite 250 Final Building/Occupancy PAIF I�Lfi � � (714) !�-�[io - � w �, �� . _ . .__. Job Address: Suite: Vicinity: Primary Occ: Parcel Number: Applicant. Address: Owner: Address 345 UNIVERSITY DR CLUBHOUSE AT WOODSTREAM R3 Dwellingsl Gong Res <10 93388013 LOBATO,PABLO 1235 N SAN DIMAS AVE SAN DIMAS, CA Type of Cons[ruction: V-N Zoning: Phone: (626) 852-2110 ISSUED BY: Zip�. 91773 tf��' � . �- �' 6r�oads-f-��:=�� °� f � � 345 UNNERSITY DR� , p � .-' �r' i� COS7A MESA,.CA � `� e� r.' � - Conlractor vU�u� Address 1?35�N e= �'� SAPI �DI Zip; 91773 �— A�ch . .;: .. idress: -- .. �i�•: �?; Zlp' .-:. � . T/O EXIS7WG COMB 10SQUARES. � � �lan Gheck: Rermit: SMIP;Ftes: SMIP Com: , Other ";. Irispecfion: CA �' Phone: Status: Applied: Issued: ISSUED osron2oos 09/0712005 +Phone: • :�� Zip: ' 9262�7� �- , i $ERVICE, INC .« � �a � ..' s� ,� Phone: (626)852•2110 «?� License: 69'1243 _ �' Eng: Address: �,. � CONDO COMPLEX 4CE SHTG AS NEEDED, 1 LAYER 15# FELT, AAPL _.:.z-� y,... ��nc��. ; FEE SUMMARY � < , ,$.. � - _ ., 1 - �� .. ° �. �� Total: S69 75 d�= � ;PLANNt' �3` ii`. ql.�' SETBACKS " � �, �> Rear�O 6,�'d : MAIN STRUCTURE Front 0 0'� �" f�.� � " � ACCESSORY �Front Or0 > wRear 0=0 �.'' h :< (� E istin � - � Re�°i�ed �'°�.. � Phone "� #'>'? �IGEf1S0: ' — � a �� i. �w 'SHINGLES.' ` �;;� �'_ .� '� i . •��' ^x '�v $2,000.00 Sn ion: , <� ' $2,000.oa � ; ,se . s �� x ,,: �:. ,;':: �,. �P, !K ..� 'sRight��,�'0-0 .,: Right 0 0 ' , +^ ' ,.. m�'�� - - �� _ .. ..ri.� �, , PARKW X y . �.� �. �,� ��,.. �; , � P� 3zi �w R1 P NOTICE: The work authorized by this permit shall comply with all applicabie handlcap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, �2'Z�'92i EXPIRATION: This permit shall automatically expire and become void it work is noY commenced within 18� days, or if work is suspended or abandoned foi a period of 180 days. reyulEetl in�apactions and final approvaltmust be obta ned SFa I me to obtain Ir�spec ons9and fi�nal app al will esullt in theeexppatlonbof this permitd a FOR INSPECTIONS CALL: (714) 7545626 2A4&48I�) WOHKERS'COMPENSATION DECLARAnON: I hereby ettirm under penalry of perjury ona of iha following tleclarations: ❑ I heve antl will maintain e certificate of consent to 5elf-Insure for workers' compensation, as provided for hy section 3700 of the Labor Code, for the pertormance of ihe work for which �his permi� is issuetl. � I have antl will maintain workers' compensation insurance, as required by section 3700 of the Lsbor Code, tor the pedortnance of the woAc tor which this pertnit is issued. Mywo ers'comIpensatio Insurencecerrierand1.p licynumberare: 1 Carrier.��OYY�VJiNeC� 4�/�PC'l(YI�'i ��S (�(h PolicyNumber: O�S—��do2�iZZJ (This section need not be completetl i/ t permit is valubC t ane hund�red dollars ($100) or less.) - ❑ I certify that in the peAormence of the work for which ihis pertnit is issuetl, I shall not employ any person in any manner so as to become subjact to the workers' compensation lews of Calqarn , entl agr t at Ii I should become subject b the workere' compensation provisions of Section 3700 of the Lebor Code, I shall forthwith comptywithihese is� ns n Applicant'Slg_n�re: Datr e� i` 7'— �� WARNING-FAILURE TO S URE WORKERS' CAMPENSATION COVEFiAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T/qUSANDDOLLARE($1 ,000),INADDITIONTOTHECOSTOFCAMPENSATION,DAMhGESASPRWIDEDFORINSECTION3'lO60FTHELABORCADE,Ir.TEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am lice�ca�d u der provlslons ot Chapter 9(commencing with Sedion 7000) of Divlsion 3 ot the Business and Professions Code, and my license is in full force and eRect Lic. p /' /��.y � ,� , rGlass # �_. . CONSTRUCTION LENDING AGENCY: � ❑ I hereby aHirm that there is e constmction lentling agency for the performance ot the work for which ihis permit is issued. (Sec. 3097, Civil Gode). Lentler's Name: Lenders Address: . Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby affirm Ihet under penelry of perlury Ihat I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit ro consiruct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also raquires t�e applicant for such permit to file e signed statement that he or she is licensed pursuent to ihe provisions of the Contradore License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business end Professions Code) or Ihat he or she is exampt therefrom antl the 6asis for ihe elleged exemptlon. Any violation of Sectlon 7031.5 by any applicant for a permit subjects Ihe epplicent to a civil penalry of not more ihen five hundred dollars ($500).): . ❑ I, as owner of ihe properry, or my employees with wages es iheir sola compensation, WILL DO THE WORK, and the structure is not intentled or ofleretl for sale (Sec. 7044, Business antl Professions Code: The Contrectors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvements are not intended or oHeratl for sale. If, however, the building or improvement is sold wi�hin one year of completion, Ihe owner-builder will have ihe burden of proving that he or she did not build or improve tor purposa of sale.). ' ❑ I, as owner of the propery, am EXCLUSIVELV CON7HAC71NG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness antl Professions Cotle: The conirectors License Law does not apply to an owner of property who buiids or improves thereon, and who contrads br such project with a contractor(s) license pur5uanl to ihe Coniractors LiCenSe LBws.). ❑ I am eaempt under sec. Business antl Professions Code for ihis reason: Signature: Da1e: Owner ID verified by drivers license. ❑ Ves ❑ No Dnver's License No. Ven�ication of Ownership by (type of dwument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify ihat no excavation five (5) or more fee� in tlepth into which e person is required to dascend, will be made in connection wi�h work euthorized by ihis pertnit, end ihat no building structure, scaHolding, falsework, or demolition or dismantling ihereof, will be more ihan ihirty-six (36) teel high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomla Administretive Code). � ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from ihe Division ot Industrial Safety, as noted ebove, unless such parson hes a permit to do such work from ihe division. Signature: Date: Division of Industrial Safey Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORIZATION OF EMAV: I ceniy under penalry of perjury Ihat I have read this application and state that the information given is correct I agree b comply with all state laws and ciry ordinences relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon ihe above-described propetly for inspection purposes. I agree not to occupy or ailow occupancy of any 6uilding authorized by Ihis permit until final inspection. COpE �. INSPECTION TYPE 1616 Fixetl Sys�em Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final B1ocWFeteining Wall 202 203 Final Factory Fire Place Final Sign 204 Final Demolition ppTE INTRIRL / 2 � � OEt INSPECTIONTYPE 206 Final MeChaniCal 208 Final Plumbing 210 Finai Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinryOccupancy QdT� IN7ITI1L8 Aop�icant to fill in al1 spaees exceo< those wilhin heavy Eortler Iines ana sign all aDoroo/�ate tleclarations. CITY�OF COSTA MESA CONSTRUCTION PERMIT PER T NO. �� TRACT NO. rd5 N Bin Z UNST NO. A P# Zona � Pro'ectAddress '�45 Universit Dr. �� . I y - E Main Building: Accessory Building: Z � TYPE OF CONSTRUCTION NEW ADD 'ALTERATION REPAI R Front ' Applitant'SMailingAddre55 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER, T O Owner's Name; Phone DESCRIPTION OF WORK/USE OF BLDG. I A Rear N Addresz Arch/Eng. License No. TVPE OF PERMIT GRADirvG FOUNDATiorv I K Right G ❑ STRUCTURAL Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL , g Left R Contractor's Name Phone ��oTHER Ping. Ref. # Parking Req./Provided E PROJECT DESCRIPTION 5c,. FT.4$ � ocCUPANCv Plannin Notes: n Address (mailing) . 9 M CONSTRUCTION TYCE VALUATION $�I�J.00 �. c�rvu�e��ervo.Ow.ner Builder ZONE G0.ADINGCU.VDS. ACRES S LICENSED CONTRACTOH DECLARATION 1 hereby affirm tnat 1 am licensetl untler provisions of Cnarter 9(commencin9 qemarks: R2POOf wi[h section ]000) ot Division 3 ot the Business antl Professions Cotle, antl my iicense is in fuii torce antl eitect. ELECTRICAL FEES License Class �icense No. Date Signature PLUMBING FEES Automatic Washer Transtormer ❑ 15-50 KW WORKERS' COMPENSATION DECLARATION Constluction PoleSub. ❑ SO+KW � hereby atfirm tha[ I have a certifica[e of mnsent to self-insure or a Certificate Bd� Sink ShOWEfS 'workers' Compensation Insurance, or a certitietl coov tnereor (Section Backflow Preventer ServiceSink Cooking Unit Mete� ❑up to 100 amps ,0, La�. C.) Policy rvo. Company — Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 700 amps 8 Certifietl copy is hereby fu�nishetl. Dly2�5 ❑(�id5 ❑ElectYic Sub Panel ' Certifietl copy is fitetl with the city Builtling Divi4ion. Bathtubs Sewe� Connection Date Applicant Fdfl E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Clafifi¢!5 SOlaf COIIeCLOrS MOt0�5 OQl HP O1'h-S (This section neetl not be completed if the permit is for one huntlretl ($100) or F.A,U. iess). Dishv.asher Solar Piping Inc. Soiar �9-15 HP �16-15+ I certi(y that in the performance ot the work tor wnich this permft is issuetl, I Fixtures snall not employ any person in any manner so as �o � come subject to tne Drinking Fountains Solar Tank Microwave . Worke om ns tion Laws of Calif m �/ /. � Date ��Si9nature �,�(,�� ,GZ_�i E(!�"�— Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTIC : If, fter making tnis tleclaratlon, you hoi�ld become sub�ect to the Urinal Outlets y Workers' Compensation provisions of the Labor Cotle, you must forthwith FloorSinks Ran e comply wi�h such provision5 or thi5 permit SBall be tleemetl r¢voketl. CONSTRUCTION LENpING AGENCV SwitchCS SI n Gas Service Outlets Water Closet 9 I hereby affirm that there is a conztruction lentling agency for tne pertormance Garba e Dis osal of the work tor which mis permit is issuetl (��Lon 309� Civ. C.) Interceptors Water Heater 9 P Standing Sections l.entler'S Name Lentlers r�tltlress Kitchen Sink � Water Service Generetor �a5 KW �5-15 KW Trash Compactor OWNER BUILDER DECLARATION I nereby affirm l�at I am exempt from the Contrattor's License Law for tne Lavato�ies Auto-Wash following reason (Section ]031.5 Business antl Professional Cotle: Any city or county wnich requires a permit to construct, alter, improve, tlemolish or repair P—Trap Leundry Tre'ys any structure, prior to its issuance, also requires Ihi applicant for such permit lo lile a signetl slatement that he/she is licensetl p�tsuant to the prOvisions of ROOf D�dinS tne Contractor's License Law (CnaO�er 9(cammencing with Section 7000) of ��vision 3 of the Business antl Professions Cotle) or that ne/she is ezempt ReinSpectian Fee $15 luue Fee $ 3 �efrom an0 the basis tor the allegetl exemption. Any violation of $ection LS by any applicant fo� a permit subjects the applicant to a civil ,�alty of not more than five huntlretl tloi�ars (g500). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owne� of the property or my employee5 with wa9e5 as [heir sole RBinSpeMiOn FBe $15 ISSUB Fee $ 3 compensation, will tlo the wo�k, antl [he structure IS nOt intentletl Or offe�etl Zoning Approved By Dete for sale (Section 7044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Buildin9 Approved By Dat� License Law tloes nol apply to an owner o( a propeftY �+ho builtl5 or imProves thereon, an0 who tloes SucM1 work himself/herself or through hi5 or h2r own Appl�cation Iit ed By Dat employees, ptovitletl that sutn imOrovements are no[ intentletl or of/eretl tor Boil¢� HOOd o� Type I ❑ sdle. 1/, howev¢r, the builtling or improvemeni is so�tl within one yea� of com- C2nOpy Typ¢ II ❑ pletion, tne owner win nave the burtlen ot proving he/she tlitl not bwld or im- Duct - Under Ground SUMMARV O FEES �r,0ve for the purpose of saie). BUI LDING PERMIT $ � S�-�� SMIP $ ��D lu' I, as owner oi the property, am exUusivety contractin9 witn licensetl con- Duct -Structural RefrigeratiOn Sy5[em PLAN CHECK 4ratmrsto conshuct tne project (Section 7044, Business antl Professions Cotle: $ PERMIT The Contractor's License Law tloes not apply to 5n owner oi property who Duct- Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builtls or irtlpYOv¢5 tb¢IeOn. dOtl WM10 cont�acts Tor such o�oiects with a con- tractor(s) Lcense pursuanc ro�ne Convactor's License Law). I am aware ihao Exhaust System ❑ Multiple ❑ System Repair/Alteration P�N CHECK 25% $ ENERGV P.C. $ o�oof of ineir Worker's Compensation insurance shoultl be provieetl to me. ELECTRICAL $ GRADING $ ❑ 1 am eaempt untler Section B. & P. C. tor this reason FirepUFact. BIL ICBO � Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ � S�D I hereby certi y that I have reatl this applica<ion and state that tne above ❑0-100,000 BTU �100,OOOBT PLAN CHECK 25% information is correcL I agree to compty with all dty antl county ortlinances $ antl state laws relating to builtling con5truction, aqtl hereby authorize r¢pre- sentatives of this ciry to enter pon [ e above-mentioned pro erty tor inspection p pos . Signature Date �Orivers' License or 55 � ReinsOection Fee $75 luue Fee $ 3 C1 OQQJ9$��s-aaoapa�b T6 �04 '�,�_ 0965-46, rev. 5/BB White - Builtling; Canary - - Accounting; Goltlenrotl - Assessor np�E� 0�/�4'j9 1 T�� G?�?" •• J CONSTRUCTION ANDPLANNING POC SPA . _ APPROVALS Permit# Date Inspector AppROVALS Permit# � Date Inspector I �,. 1. Temporary Electrical Service or Pole ' i 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � 3. Electrical Conduit.Utility�Undrgmd. 54. Forms �;, ! 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement. ' 56. Rough Plumbing & Pressure Test -�� 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE :', � � 7. Footings ,r 58. Electrical Conduit-Undrgrnd. �-� ,"� 8. Foundation 59. Gas Pipe, O Undrgrnd., Test . �, �, 9. Water Pipe-Undrgrnd. y 60. Backwash Lines, P-Trap, O Undrgrnd. ; . 10. Structural Floor System ��, 61. APPROVAL TO DECK " I• 11. Property Sewer Line & House Connection �:� 62. Backwash & Receptor-Final -� 12. Sewer Cap �. 63. Heater & Vent-Final � ' i� 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 r. . �79r Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ;20. Rough Factory Fireplace APPROVALS Permit # �i �21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26.� T-Bar Ceiling (Structurall & 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 pomestic-Final 42. BackflowPreventer i`J` �J 43. Backflow Irrigation �` 44. Landscape Irrigation System `� 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /� � 48. Special Requirements Completed 49. Electric Release to Edison , ' 50. Gas Release to Southern California Gas Co �r- , � 51. CERTIFICATE OF OCCUPANCY �� ;_ No. ' Date ' 1 � � 2 I r - � �12L li 121.r 0 • Ap CirY 0'� coSTa MESA CONSTRUCTION PERMIT . ,Project Address 345 Universitv Dr. Appliwnt'sMailingArydress 10422 Trask Ave. G.G. 92642 owner•srvame Rene Gard:ner cno�e548-7247 Address 345 niversity Dr. CM 92627 Arch/Eng. �icense No. Address Contractor'sNam a-emes Plumbin$-Heatipgp„e 530-2449 ,` Address (mailingl 30422 Trask Ave_ C_G _ 92642 lJQ I Ciry License No. 6664 \ LICENSED CONT.RAtTOR DECIARATION , I hereby affirm that I am licensetl untle provis' oi Charter 9(commencing with sectlon ]000) of Division 3 he Business tl Pr sion oae, anA � my license is in tull tor�¢ ae}��eft L ��_ � r• x a u�7 WORKERS' COMPERSp=ypp4dCCLARATIO � / ' hereby aftirm [hat 1 have a cer[ificate of n t to 5e11-insure or a certlficate �f Wotkets' Comp¢nsytion Insurance, o cer[Ifi¢tl copY Ihereot ($ection 3eoo, �o. c.>9788 2 e'ubl e iC Policy No. ompany 8 Certifietl copy i5 h@reby fu� ishetl Cerli/ie[Li�pyisfil¢dw{th e i B' i ��I n. �h Date 1 LL 00 APPIi EXEMPTION F0.0M WORKERS' C PENS N ECLARATION (Thissaction neetl not be wmpletetl f the t is tor one huntlretl (5100) or less). I certify lhal in [he pp�formance o( tlte wo�k (o� wnlch Ihis permk is issuetl, I shall not employ any person in any manner so as to become subject ta the Workers' Compensallon Laws ot California. . Date Si9na[ure ' 'NOTICE: It, after making this tleclaralion, you shoultl become Subject to [he Workers' Compensatipn Orovisions of the Labor Code, you must forthwilh comply witn such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LQNDING AGENCV 1 hereby affirm that th¢re is a consiruction lentlin9 a9ency for the pertormance of tho work for whicn tM1is permit is issuetl (Section 309� Civ. CJ L¢ntler'S Ndme LenAer's Atldress OWNER BUILDEH pECLARATION I hereby aHirm Ihal I am exempt from ihe ContractOr'S License Law tor [he followinq reason (Section 7031.5 Business antl ProfesSional Coae: Any city or munly which requires a permit to construc[, alte�, imDrove, tlemolish o� �epair any structure, prior to its issuance, also requires tne aDP�icant for such permit to tile a signetl staterryent thai he/she Is licensetl purSUan[ [o [M1e p�ovi5ions of the ContraCtor'S License Law (Cnap[er 9(commenCin9 witb Section 7000) of �Division 3 0/ [he Bqsiness antl Professions Code) or that ne/she is exempt ;'"'herefrom anC the br5i5 for the alle9etl exemptiOn. Any violation of Section "�-�7031.5 by any appl�cant tor a Permit subjec[s l0e applicant to a, civil ��enalty of not more than five hundretl tlollars ($500). LJ I, as owner of the properly or my employ¢C5 with wages as their Sol¢ compensatiOn, will tl0 the work, antl Ihe Struchre is not intentletl or ofleretl for sale (Section 70qq� Business� antl ProtessionaP Cotle: The Con[ractor'S License Law tloes nof apPly to an owner of a property who bulltls or improves thereon, ana who tloes such work nimselt/herselt or throv9n his or her own employ ces, p.oviaca mat sucn improvements are not intendetl or offeretl for sale. II, howeve�, the builtling or improvement is sold within one year of cmn- pletioq [he owner w{II have the Durden Ot Proving hE/She tlitl not builtl o� im- prove lo� tne pu�pose of sale). ❑ I, as owner ot lhe property, am exclusively conl�actin9 wi[h licensetl con- tractors td construct the O�oject (Section ]044, Business antl Professions Cotle: The Coneractor's Lic¢nse Law tloes not apply to an owner of properiy who builtls o� improves thereon, antl wh0 COnt�acts tor Suth proleCts wltb a con- tractor�sl license pursuant'to tne Contractor's License Law). I am aware that proof of lbeir Workar's CompGnsalion insurance shpultl be provitletl to me. ❑ I am exempt untleY Section B. & P. C. for thi5 reazon Date Owner enter m antl s[ate tnat the above i tlty antl county ortlinances antl herebv authorize �e0re- bartler lines anE sign all appropriate Oeclarations. TYPE OF CONSTRUCTION LI NEW LI liDO LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, # DESCRIPTION OF WORK/USE OF BLDG. S Main Building: E TVPE OF PERMIT GRADING FOVNDATION STRVCTURAL T Front ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL A R2af ❑ �OTHER C fiight PROJECT DESCRIPTION S�.FT. oCCUVANcv K CONSTRUCTIONTVPE VALVATION$ S Left ZONE GRA�ING CU. VDS. ACRES 'Ping. Ref. # qemarks: � RePLeCO WBCCI Heater Planning Notes: P Sink cflow Preventer cflow Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavamries P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - SVucmral Duct - Ventilating Exhaust System ❑ Multiple FirepVFacL Blt. ICBO # Heating System & Ducting ❑ o-i ao,000 sru O i oo,000 ers' License or SS Reinspeetion Fee CMF 5-46, rev. 10/84 White - Builtling; Canary - ApPliwni; Pink - Accoun[ing; Goldenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Canneclion Solar Coll� Solar Pipi� � SolarTank �p. Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Type II ❑ Re(rigeration System ❑0.100,000 BTU ❑100,000 BT System Repair/Alteretion Fire D'ampers Registers laue Fee FEES Automatic Washer Construction Pale Sub. Cookin9 Unit Dishwasher Dryers ❑Gas ❑Electric Fan F,A.U. Fixtures Device Boxes lU � % 2�L/1��16 � Zone Accessory Building: r Parking Req./Provided LECTRICAL � Trans(ormer � 15-50 KW ❑ 50+KW Meter LJup to 100 amps Meter ❑over 100amps Sub Panel Motors �0.1 HP 07:4 - 8 Inc.Solar �9-15 HP �16�75+ Microwave Pole Light Range arbage Dispoul ;Standing Sections Generator �0-5 KW �5-15 KW Trash Compactor � ./. � . . � � � � � $ 3 ` �i FEES - $ 3 Reinspection Fee � � S15 � � Issue Fee ;;.,� , . FEES $ 3 Z O N I N G R E � M T S DEVELOPMENTSERVICESREDUIREMENTS: � ' , �Zoni�q Approveil By , �ate �Buildin8 APProved By � —Date Appliwtion luued By i _,��y Dat .�"a � • ' /� .. ��a SUMMARV OF FEES , �BUILDIf1GPERMIT $ SMIP $ , �PLA'N.CHECK $ \PERMIT .'�,PLUMBING $ �SiQV �SSUANCE $ � . <'PLAN CHECK 25% 3 ENERGV P.C. $ � ELECTRICA� § GRADING $ .t.� ,PLANCHECK 50% $ MICROFILM $ �� "MECHANICAL 5 TOTALFEE $ $5•OO PLAN CHECK 25% $ r CANSTRUCTION AND PLANNING APPROVALS Permit# ' 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. ' 3. Electrical Conduit Utility�Undrgrnd. 4. �Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement 6. Electr.ical UFER Grnd. � 7. Footings . 8. Foundation 9. Water Pipe-Undrgrnd: . 10. Structural Floor System ii. Property�Sewer Line�& HouseConnection 12. SewerCap � 13. Roof'Drains � " � 14. Rough Plumbing 15. Rough Electrical�Conduit 16. Rough Electric Wiring 1�7.'Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling i19. Rough Heating & Air Conditioning '20.. Rough Factory Fireplace ; 21. Ducts, in Structure 22. Ducts, Ventilating j 23. Gas Pipe-Rough & Test 24. Roof Framing � 25. Roof Sheathing � 26. T�Bar Ceiling (Structural) & Monocoat I 27. Freme and Flashing 28. Lathing & Siding � 29. Insulation I30. Drywall Nailing . I31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning. � 35. Final Gas Pipe-Test 36. Hood or CanopY 37. Final Factory Fireplace - :i4 38. Final Plumbing ��l 39. Water Service-Final ��3 40. Gas Service-Final ; �' I ,...' 41. Solar pomestic-Final „�„ �!,� 42. Backflow Preventer �x,; � ��y 43. Backflow Irrigation 44. �Landscape Irriqation System ._ ,... 45. Sound Attenuation i;j y' 46. Handicap Regulations ��'� 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ;..' 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Date 6 PO( SPA Inspector AppROVALS Permit # 52. Pool & Equipment Location 53. S[eel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trep, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing SYstem - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED Sl'STEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT Date �Inspector 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: � � 6�L'3��iG /Yo AnT N��»t.�2. L �E v Applicant to fill in al1 spaces exceo� tnose within heavy Eoraer Iines ana sign all approvriate tleclarations. ICITY OP COSTA MESA CONSTRUCTION PERMIT PERNj}j NQ _ .� TRACT NO. LOT NO. UNIT NO. a,oie��aed�ess _ 345 Universitv I ApplicanYsMailingAddress 345 University Owner's Name Perample Phone 64 -3745 ndd�ess 345 University Arch/Eng. License No. Address Contractor's Name A"�eS PLumblIIg—He8tin8hone 530-2440 Address (mailing) 10422 Trask pve City License No. 6664 LICENSED CONTRACTOR DECLARATION � 1 h¢reby attirm that I am licensetl untl 5 of Charte� 9(commencinq witM1 section ']000) ot Division the Busine55 a Gro ssTo o , antl my license is inC �I�tprce antl e ect. 7 ucenze �i-s,�6— � icense o. Date � Si9nat W00.KER5'COMPENSATION E RATI I hereby affirm that I have a certi icate oi c s to seli-insure or a certificate of Workers' Compensation Insurance, or certifietl copy thereof (Section 3eoo, �o.9c,�8832 Re�u � de�$t Policy No. _T. ompany �Certifietl copy is hereby fumis etl. Cer$if,i�qp8y�i5 filed with th city u n ' i io Da[e Applic EXEMPTION FROM WORKERS' CO PENS N DECLARATION' (Tnis section neetl not be com0�eteC i the pe ' is for one huntlretl ($300) or less). 1 certity tM1a[ in the pe�fo�mance of the work for which thi5 pe�m�t is issuetl, I sha11 not employ any person in any manner so as to become zubject to the Workers' Compensation Laws oi California. . Dat¢ $ignalure � NOTICE: If, atter makin9 this tleUaration, you shoultl becoma subject to the Wo�ke�s' Compensation provisions o/ the Labor Cotle, you must fortM1with comply with such p�ovisions or Ihis pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that there i5 a Construction lentling agency for the performance of the work tor whicM1 this permit is issuetl (Section 309] Civ. G.) Lentler's Name Lentler'S ACtlre55 OWNER BUILDER pECLARATION I hereby affirm that I am exempt from the Cantractor's License Law tor tne following reason (Section ]031.5 Business antl Professlonal Cotle: Any city or <ounty whi[h requires a pe�mit [o const�uct, alte�, improve, tlemolish or repair any 5[�uchre, p�iot to its issuance, also requires the appliGan[ for such pe�mit to file a signed slatement tha[ he/she is litensetl pursuant to tne p�ovisions of the Contractor'S License Law (Chapte� 9(commencing with Section ]000) of DiviSion 3 of Ihe Businezs and Professions Cotle) or [hal he/she is exemp[ [herefrom antl the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil �enalty of not more than fiv¢ huntlretl tloliars ($500). U I, as owner of the property or my employees with wa9es as their sole Compensa[ion, will tlo the wo�k, antl the structure i5 not intentletl o� offeretl for sale (Section 7044, Business antl Professional Cotle: TM1e ConVactor's License Law tloes mt apply to an owner of a property wM10 builtls or improve5 [hereon, antl who tloes sucb work himsclt/herselt or tM1rough his or her own employees, provitled tM1at such improvements are not Intentletl or offeretl tor wle. It, howeveq the builtling or improvement is sold within one year ot com- pletion, Ihe owner will have ttte bu�den of proving hE/She tlitl no[ builtl or im- prOv< fo� the purpose of sale). ❑ I, as owne� of the Droperty, am exUusivery contracting with licensetl con- tractors to wnstruct the project (Section 7044, Business antl Professions Cotle: The ConVactor's License Law tloes mt aoPly to an owner of property who builtls or improves the�eon, antl who conVacts for such projects with a con- bactor(sl iicense Dursuant to the ConVactor's license Law). I am aware that proof of tbeir Worker'S Compensation insurance shoultl be provitletl to me. ❑ I�am exempt under Section B. & P. 0. for this reason Date Owner L urrvers' ense or s-� CMF 0865-4 , rev. 30/84 White - Bui [ion antl state that the aCove all city antl county ortlinances i, antl hereby autho�ize repre- bove-meniioned property for TYPE OFCONSTRUCTION LI NEW IJ ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p # DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi TVPE OF PERMIT GRADING FOUNOHTION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A PROJECT DESCRIPTION $Q. FT. ' OCCUPANCV C Right K CONSTAUCTIONTVPE VAWATION$ g left ZONE GRADINGCU.YDS. ACRES PIng.Ref.# Remarks: Planning Notes: Sink Preventer Irriaation Drinkin9 Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Pee � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,OOOBT Reinspection Fee ; Canary - Applicanh Pink - Accountinq; Goltlenrotl - Assessor $15 Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 ' Solar Tank Swimming Pool w/Spa Urinal Wacer Closet Water Heater Water Service Auto-Wash LaundryTraYs , Issue Fee Hoodor Typel ❑ Canopy 7ype I I ❑ Refrigeration System ❑0-100,0006TU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 $ 3 Automatic Washer Consvuction PoleSu6. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW � 2one Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Suh Panel Motors �0-1 HP � 1 X- 8 Inc.Solar 09-15 HP �16-15+ Microwave Pole Light Range I I Standin9 Sections 5 KW I Trash Compacror FEES z O N I N G R E Q M T S I Reinspection Fee !$15 I I Issue Fee I $ 3'' DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By Date Building Approved By Date Application luued By �, Dat�� SUMMARV OF FEES - � BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING g S.00 ISSUANCE $ PLAN CHECK 25% 5 ENERGV P.C. $ EIECTRICAL $ GRADING $ PLANCHECK 50°,6 $ MICROFILM S MECHANICAL 5 TOTALFEE $ S.00 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA� ' APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 7'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 Concluit-Undrgmd. 55. Electrical Bonding - 5. Steel Reinforcement 56: Rough Plumbing & Pressure'Test 6. Electrica� UF�R Grnd. . 57. APPROVAL TO COVER-�UNITE 7. Footings � 58. Electrical Conduit-Undrgr�id; , 8. Foundation • 59. Gas Pipe, O Undrgrnd., Tesi� 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O:Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign c� 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling �� 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # - 21. DuCts, in Structure 70. Underground HYdro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Shea[hing 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 HEA�TH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: G�y �� C�� j� p(/� 'Z,p„i( U(�G, 34. Final Heating & Air Conditioning wa_ A,P�rwl�wl.T l`Wh,ysfly,- [,�/� � . W 35. Final Gas Pipe-Test . 36. Hood or Canopy � ti:- r 37. Final Factory Fireplace , � i� 38y. Final Plumbing �'. � , ` c 39. Water Service�Final i� `v 40. GasService-Final � t. � ,� �- n 41. Solar pomestic-Final � r � �� c �, o u .��42. Backflow Preventer � _ . - � 43. Backflow Irrigation , [ ��.'.� `�, c;i.. ' 44. Landscape Irriqation System � . a� ��: t..1 r 45. Sound Attenuation � �� :� 46. Handicap Regulations v� i` ` `' 5 47. FINALSTRUCTURE&BU(LDING � �''` L '� ' c C. � r � r v1 f 48. Special Requirements Completed �� `�" :�' ;� � � 49. � Electric Release to Edison � " � _ c v� 50. Gas Release t0 Southern California Gas Co � `' 57. CERTIFICATE OF OCCUPANCY . No. Date � � Applicant to flll In all spaces except those wit�in heavy bortler Iines an0 zign all ap0�opriata tleclaralions. CITY OF COSTA MESA CONSTRUCTION PERMtT �` 345 Universitv Dr. Project Address _ ' Applitant's Mailing AddreSs Owner's Name Phone Atldress Arch/En3. Licenu No. Address Contrecror's Name Phone Addres5 (mailing) cn� uce�se No. �Wner Riii 1 rier LICENSED CONTRIICTOR OECLARATION I bereby allirm ihat I am licenzetl untler provislons of CM1ar[er 9(commencing with sectlon 7000) of Division 3 of the Business antl Professlons Cotle, antl my Ilcense Is in tull torce antl effect. License Class l.icense No. Datc Sl9nature WORKERS' COMPENSATION DEGLAf2AT10N i nereby altirm thal I have a certificate of consent to 5¢ILinsure or a certlflcate Workers' Compeniation Insurance, or a certifietl copy tltereot (Section 10, Lab. C.) volicy No. Company 8 Certifietl copy is �ereby (urnisnetl. Cer[ifietl copy is liletl wi[h the city Builtlin9 Division. Date Applicant E%EMPTION FROM WORKERS' COMPENSATION OECLA0.ATION (Tnizseciion neetl not be completetl it the permit 6 for one huntlretl (E300) or less�. 1 certily lhat in lhe pe�fo�mance O� the work for whi[h thi5 p¢rm�l i5 ISSuetl, I shall not employ dny p¢rson in any ma�e� so as to D cOm suGjett [o [he Worke ' o pe 5 iOn Laws of Calitgtni .// � Date Signature �' � 6��+i� NOTIC : 14, att¢r makin9 this tlecla�ation, you houltl become subject [o tne Workers' Compensation provisions of tne Labor Cotle, you must for[�with comply witn such provisions or this Oermit shall be Ceemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby al/irm lhat there iz a construction lentlin9 agency for tne performance of lhG wOrk IOr which this pe�mit is issu¢tl (SeCtion 3091 Civ. CJ LPntler•s Name Lentler's Atltlress OWNER BUILDER DECLARATION 1 hereCy allirm ihat I am exempt from the Contractor's License Law tor the followin9 reason (Section �03L5 Businesz antl Grofessional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prlor to its issuance, also requires the applican[ for 5uth permlt to fil¢ a si9ne� statement that he/she is licensetl pursuant to the provislons of [he Contractor'S License Law (Cnaoter 9(commencin9 with Section 7000) of nivision 3 of the Business antl Protessions Cotle) or that he/she is exempt vef�om antl th¢ basis tor Ihe allegetl exemptiOn. Any violafiOn of $ectlon 11.5 by any applicant for a permit zubjects the applicant to a civil .ialry of mt more than tive nuntlretl tlollars (E500). ❑ 1, as owner of tM1e property or my employees wi[h waqes as thelr sole compensation, wlll do the work, antl the structure is not Intentletl or o(teretl for sale ($eclion ]044, Busine55 and Profe55ional Cotle: The Contracior's �icense Law tloes not aoob �o an owner ot a property wno bulltls or improves thereon, antl who Coes SUCh work him5elt/he�self or [hrough bl5 or ber own employees, provitletl thal such improvements are not IntentlaG or ofteretl for salc. It, �owever, the builtlin9 or improvemen[ Is soltl wilhin one year of com- O�etion, the owner will have the burtlen of provin9 he/she tlitl not builtl or im- r ve for tbe purpose of sale�. I, as owne� ol Ihe property, am exclusivery contra<Ung with licensetl con- ra lOrs to con5truct lhe projett (Section 7044, BuSin¢55 antl Pwf¢Sslons Cotle: TM1e ConVactor's License Law tloes not appry ro an owner of proparty who builtls or improv¢s thereon. antl who contrac[5 for such oroiGGts wilh a ron- tractor(s1 license pursuan[ ro me Coniractor's License Law). i am aware that proo/ o( Iheir WOrkeYS Compensation insuranG¢ shoWtl be provltletl t0 me. '� ❑ I am ex¢mpt untler Seclion B. 6 P. C. tor this reason Oate � Owner � I h¢r<b ce ify lhat I have reatl inlormation is correct. I agree to a antl state laws relating to builtlin5 5entatives of [1ys ci(y to en[er, Signature ��A DrHers' License or 55 � 0865-46, rev. 5/BB 1 anary above IdlICES �ep�e- u for TYPE OF CONSTRUCTION LI NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT LJ GRADING LJ FOUNDATION U STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCFIPTION 5�. FT$QQ oCCUaANGv CON STRUCTIDN TVPE VALUATION $J�n. nn ZONE GRADINGCU.VDS. ACRES Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Serviee Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt, iC80 dk Heating System & Ducting �a100,000 BTU 0100,000 Reinspection Fee k - Accounling: Goltlenrotl - Assessot $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash laue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee A.P. # S Main Buildi E T Front B Rear A C Right K Lef[ S Ping. Ref. # Planning Notes: Park ELECTRICAL Automatic Washer Trensformer ❑ 15-50 KW ConstructionPoleSub. � 50+KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers �Gas ❑Electric Sub Panel . Fan Motors �47 HP �1 Y, - 8 F.A.U. Inc.Solar 09-75 HP �16-15+ Fixtures Microwave Device Boxes Pole Light . Outlets Range Switches Sign Garbage Disposal Standing Sections Generator �0.5 KW �5-15 KW Trash Compactor Zone FEES O N I N G R E � M T S. Reinspaction Fee $15 luue Fee $ 3 $ 3 DEVELOPMENTSERVICESRE�UIREMENTS: Zoning Approved By Date FEES Building Approvad By /� Date ��.�//�y/��.� APPliwtion luued BY N4/ Data��[_�y— SUMM9 RV O FEES BUILDING PERMIT $ a I� O� SMIP $ �S� PLAN CHECK 3 PERMIT PLUMBING 5 ISSUANCE $ PLAN CHECK 25% S ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICFiOFILM $ MECHANICAL $ TOTALFEE 5 al.so PLAN CHECK 25% $ $ 3 �l�i��9:/��fl398�i% �',-��... ,.1.__. ^p7E: n , �i � M�._ LS: 9. i�. ,9 S .. ._ GONSTRUCTION AND PLANNING POO' >PA , �APPROVALS Permit# Date Inspeitor AppROVAIS Permit# Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. � 53. Sieel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms " _� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricalUFERGrnd. 57. APPROVALTOCOVER-GUNITE �_�, 7. Footings �� 58. EleciricalConduit-Undrgrnd. '�-� �� 8. Foundation �_ 59. Gas Pipe, O Undrgrnd., Test � ,�� 9� Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. .•� � 70. Structural Floor System , 61. APPROVAL TO DECK , � i t. Property Sewer Line & House Connection '� 62. Backwash & Receptor-Final " 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 d9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �2Q. Rough Factory Fireplace APPROVALS Permit #' .� 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.SiorageTank OGas ❑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 pomestic-Final ' 42. Backflow Preventer ��• 43. Backflow Irrigation ,.� 44. Landscape Irripation System " 45. Sound Attenuation 46. Handicap Regulations 'I 47. FINALSTRUCTURE&BUILDING �, ,8 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southem California Gas Co �,� - � v 51. CERTIFICATE OF OCCUPANCY � � ' ' � No. t Date ' �. 4 3 w P � 2 � I N p! o w ZII � l G �1.2t �i i2�f `-� J 0 f .� - 'V� �ODS'TR�AiIQ � - HOMEOWNERS ASSOCIATION 345 University Drive Costa Mesa, California J2627 4 Oct. ]989 City of Costa f•lesa Costa ��esa, CA Att. David G. Hartke Attached is the results of the survey corducted by our t,lanaaement Co. (Le Grand Diversified Manager:ent, P.O. Box 1669-42 !Jevrport Beac", CA ;'2u47) pertaining to sr;oke detectors in each unit. .4s irdicated cn the attac�rnent, a11 units have smoke detectors irstalled. �'��,�i-�,-� Clell ld. Gladson President . �� Q f �" `` Tv�riniaq �� o �,z � � i � � � eo� <� . . TESTING Laboratories ��f =��«�L�,= !�=<<f�=,=«�, �>>_�. •��:CG� wFt . �ONG B5ACh+ CA�I- 9050i . �2i1� <7E-3755 . 2 3� b36Z3B6 .']�<� 8^80<72 e>��.r�• nr-c=.s �._�_.. �,i,'�,2.' _ e �,,�.�... .'�a..ar .<�53�a.a� '�o . ...an _a c'S:.1)1 6S<]��> : ��r �<; August 27, 1974 - Change in Report August 23� 1974 Exam;,,a,;,,,: sC74-4453 COMPRESSION TESTS ON �UIIITECYLINDERS ?1r. L. C. Sprague 5��+� Doanuke Avenue Irvine, Californfa 927�5 PROJECT S�n�immi ng Fooi for G, t.'O�DS Pe�mi t �`3Z721 ADDRESS 345 University, Costa Mesa SAMPIE FROM Bond Deam 1-2-3-, Shallow End, Deep End 4-5-6 �PCNIffCt ENGINFFo MIX DATE C.45T DATE TESTED CYIINDER NO. COMFRESSION TOTAL IOAD, LBS. POUNDS NER SQ. IN SIZE: COMPIIANCE CYLINDER: CONIPGCIOF S1:0C0419nQ0A SPECIFIED � STRENGTH 2,000 p5i $-13-74 CYLINDER SIZE 8-20-74 8-20-74 &-20-74 8-27-74 � Z 3 4 5 "HOLD" 6 "HOID" 7 Days 7 Days 7 Days 14 Days 51,500 48,000 55,000 63,500 1,820 I.564 1,3�+5 2,246 (" x 12-1i2" 6-1/2" x 12-5/3" L•" x 12-1/2" 6" x 12-3/8': 14 Day test comp)tes wfth specifications. MADE flY ,DEINEGED 9Y RECFIVEO ON L.E. Sprague Dave fl-15-74 oisicieunpw L.C. �prague - 2 hlad r i:i Poo 1 s Coas t Gu�� i te Costa l4esa Bldg, Dept. �UILDING SAF€�' B�FT, 5�� .� �197.,4 • �� . . .. , ... � _ _ . . .. .. . . .. . ,. . . � . . . _ ,. , ., .,. .. .. � . � N � . �• . � .. .. ... .. .. ..ru � ..... �i . .. - n. ' . ��.. . .� � r •. �� . . F �'S ..�C o.�. i I.L u5(.�!} / a�' zs �- A �,,_`�`` �' `"�o Twininq Laboratories ��% �=«t�= - c' �'{" �r .�.,� �� z,:«<. ,��. �2 �I �II y �p ?Q'! < . i+�� 41P?0�.1 `NPY . LON6 EEnC-� CP.�1= oC2. . :13� .�a3?55 . i2�ii =i673�c .']�a) eZ66<32 I I .'.�.�C- q:c.GES TESTING ,.c. _.. ..s.... .,,,,•„..,� ,�,o.,•..�.,.'.,•�,q - �ea>•>: 'e .io.d.�ecn...v09o..v ii I'.n.-� ': �1u151� ]US' V2 ' '-"g Qencn Cel,� Vpfi01 �}U� olG�]]fi6 i',..'• �. {, � August 23, 1974 Examination: $C]4-44$3 COMPRESSION 7E5T5 ON GUtiITE CYLINDERS 11r. L. E. Sprague 504t Doanoke Avenue Irvine, California 92705 PROlECT Sv�imminy Pool for G. WOODS aooRess 345 Universidty, Costa Messa SAMPLE FROM Bond Beam 1-2-3, Shallow End, Deep End 4,5,6 IaCMHK� FNGIhkF� MIX DATE CAST 8-13-74 DATE TESTED $—ZO_�4 CYIINDER NO. i COMPRESSION ] Days TOTAL LOAD, IBS. 5) �SOO POUNDS PER SO. IN. ��820 SIZ:E COMPIIANCE CYLINDER: 6" x t2-1/2" MAD4 DY L.E. Sprague oisnieuriow Sprague - 2 Piad i rd Poo 1 s Coast Gunite Costa Mesa Bldg. Dept. �- , '�. `t _' '_� .', ":. '.. ..,. . _ :,�:,� : ,., , CONIvnGOa SUECON14nUOR • ' SPECIFIED 2 STRENGTH ' CYLINDER SIZE 8-20-74 2 7 Days 48,000 1 ,5(,y b-1/2" x 12-5/8" DELIVEMED BV Dave Permit 938721 2,000 psi 8-20-74 3 7 Days 55,000- 1'.945 6" x 12-1/2" 0.ECFrvFD ON 8-15-74 BUILDING SAFETY DEPT. AUG 2 71974 ., . : � . .,� ... . , . ..... . ..... ... . , . � . . . ... � �,,.,o„ �a, . , .. �� .. ..„ � . ..... ... � . � . .. ,,.. .' F'. � .^ i..s .� ��e� . ..o o S�se�.�� ADp�icant to till in ali spaces excepl inose within �eavY eoraer Ilnes antl sign all aoVroorlate aeclarations. CIT. OF COSTA ME A ONSTp UCTION PERMIT PE IT NO TRACT NO. LOT NO. U IT NO, A P�y P.o�tAddress 34� Un�ersity Dr. � rash Bin 3 �I Applicant's Mailing Address Owner's Name Phone Address Areh/Eng. License No. Address _ , Contractor's Nam Phone Address (mailing) Ciry License No. nWnPP B111 � dPP UCENSED CONTRACTOR DECLARATION I hereby af�irm t�dt I am IicenSetl untle� provi5ion5 of Charte� 9(commencing wi[n seclion 7000) oi DiviSion 3 of Ihe Busine55 antl Profe55ions Gotle, antl my Ilcense is in full force antl etiect. License Class License No. Date Signature WORKERS' COMVENSATION DECLARATION 1 hereby alfirm tnat I nave a cer[ificate ot consen[ to self-insure or a tertifi<ate Workers' Compensation Insurance, or a<erUfietl copy thereot (Section J0, lab. CJ rolicy No. Company BCertifietl copy is hereby /umishea. Cerlilietl copy i5 filed wilh [he city Builtling Division. Date Applicant EXEMPTION FROM WORKERS• COMPENSATION DECLARATION (Thi55ection neetl not be campl<t¢tl if tha permit IS for one huntl�e0 ($100) o� Icss). I cerlily Ihat in Ibe Oe�fo�mance of tbe wo�k fo� wnlch tnis pe�m�t is issuetl, I shall not employ any Oerson in any manne.5 so,as to be�[ubject to the worke�j ¢o_mq� nsption Laws oi Caliiq�nia�// ,/ / Date ��_/_�_{��L_Si9nature �,'{� �-( ,(jA� �A.y�_ NOTICE41t, bf er making this tleclaration, you shoultl become subject to the Workers' ComOensation provisions of the Labor Cotle, you must Porthwith comply wi[h Suth p�ovi5iOn5 Or (his p¢rmit Shall be tleemetl r¢voketl. CONSTRUCTION LENDING AGENCV 1 hereby aftirm thal there is a<ons(ru<tion lentling agency for the performance O/ Ine wOrk for which this perTit Is i55u¢tl (Settion 309] Civ. C.) LenAer's Name Lenaer's Atltlress OWNER BUILDER DECLARATION I hereby alfirm that I am exempt from tne ConVactor's Licenze Law tor the lollowing reason (Section 7031.5 Buslness antl Professional Cotle: Any city or <ounty wbich requires a permit [o ConsVuct, alter, Improve, tlemolish or r¢pair any structure, prior to its issuance, also requires Ihe applicant for su<h permit to file a signetl Slatement [hat he/she Is IicenS¢tl pU/suant to the p�ovisions ot [he Contractor'S License Law (ChaO�er 9(commencing with Section ]000) of �]ivision 3 of tne Business antl Professions Cotle) or tha[ ne/she iz exempt ^refrom antl che basiz for the allegetl exemption. Any violation of Section 31.5 by any applicant tor a permit subjects the ap0�icant to a civil nalty of not more [nan tive huntlretl tlollars ($500). ❑ I, as owner oi the property or my employees with wa9es as their sole compen5ation, will tlo [he work, antl the StruCtu/B i5 not intentletl or offeretl /0! $dIC ($2C[I00 iOQA� BU51lfE55 dfld PIO(255100d1 Cotle: The COOIfdCIOI�S License Law tloes nol apply to an owner of a property who bulltls or improves lhereon, antl who tloes sucb work himsel(/her5¢If or Ihrough his o� her own employees, provi0etl tM1a[ such improvements are nol IntenGetl or offeretl for sale. If, however, tne Culltling or improvement is soltl within one year of com- pletion, [M1e owner will have Ihe burtlen of proving he/she tlitl not builtl or im- ve �or tne ourpose ot sale). I as owner o/ the O�operty, am ex<lusively contracting witn licensetl con- ra ton to construcl the project (Section 7044, Business antl Professions Cotle: The Conirattor'S �icense Law tloes not apply to an owner o� property who builtls or improves tnereon. antl who contracts tor such oroiects with a ron- tractor(s1 Lcense pur5uam [o [ne Contractor•s Llcense Law). I am aware that proof o( ltteir Wo�ket's Compensation Insurance zhoultl be provitletl to me. ❑ I am exempt uneer Section B. & P. C. for this reason Date �tJZ�_. Owner �_ �'��A�a—��'` I hereby certi y thal I have reaE Ihis application antl state that the above information is correct. I a9�ee to comply with all <ity antl county ortlinances antl sta[¢ IawS relating [o builtling cOnst�uction, antl hereby authoriie repre- Sentatives ot this cily [o ent � up n IM1e above-mentionetl pr perty tor Inspection pyrpo�es, i� r\ ,� �� Signature (� �6� 1�t_ OateY Drivers' License or 55 � ��— � �� /�.�-- TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCR IPTION OF WOR K/USE OF B LOG. TYPEOFPERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5�. FT. 4H oCCUPANCv CONSTRUCTION TVPE VALUATION $ 4rJ.00 ZONE GRAOINGCU.YDS. ACRES Remarki: jje�'��T Bar Sink Backflow Preventer Backflow Irrigation ikin9 Fountains x Drains x Sinks Servic¢ Oullets Kitchen Sink Lavatories P-Trop Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground D�ct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. �CBO dk Heating System & Ducting ❑0.700,000 BTU 0100,000 Heinspection Fee � $15 � 0865�46, rev. 5/88 White - Builtling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wa[er Hea2er Water Service Auto-Wash Laundry Tra'ys laue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration F ire Dampers Register5 Issue Fea $ 3 $ 3 S Main Building: E T Front B Rear A C Right gLeft Ping. Ret. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwa5her Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets $WilCh¢5 Garbage Dispoul Generator O0.5 KW C � Reinspection Fee I DEVELOPMENTSERVICES 2oning Approved By Buildine �1PVroved By — zone Building: ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700amps Meter ❑over 100 amps Sub Panel - Motors �41 HP �1 h� 6 Inc.Soiar 09�75 HP �16-15+ Microwave - Pole Light � FEES N I N G R E � M T $. Sign Standing Sections 75 KW Trash Compacror $15i. T�*Y� Flssue'Fee:Pi �'(= trr.F'�-.' $.3 REQUIREMENTS: ��"��'"�y:` ^e " • '. '_ L'T�L• L�/ll�/�� T111Fi t1:'i � SUMMARV O FEES `� BUILDING PERMIT $ SMIP $ PLAN CHECK 5 PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ J� MECHANICAL $ TOTAL FEE $ � `�`�v PLAN CHECK 25% $ �:, 7IRt- 'rt;;: ' CONSTRUCTION AND PLANNING 4• APPROVALS Permit # 1. Temporary Electrical Service or Pole , 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. �5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rou9h Electrical-Conduit �1�6. Rough Electric Wiring .17. Rough Wiring Sign �18t Rough ElecVical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. •Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Elecvical Power MeterFinal 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Souihern�California Gas Cc 5T. CERTIFICATE OF OCCUPANCY o. Date Date POO ;PA . Inspector ` APPROVALS Permit # L' � 52. Pool & Equipment Location t � 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE _, 58. Electrical Conduit-Undrgrnd. •'� 59. Gas Pipe, � Undrgrnd., Test � 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final � 63. Heater & Vent-Final i 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIREDEPT.REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: �n Date Inspector {_) l i �� v � -T' � i � �. 4 3 u� P � 2 � � � N c� �—� w z�� 12L li 121�: �-� J � � , . ;.1.[.��L� ��3 p��'�J7f .. . Ii A I S P] 12 G 1' I' S U �I C O JI P A\ 1. 1 \ C. KAISEq CENTEH - 300 LAKEvIpE DHNE K�,S�� O/�KLAND. CLLIFOFVIA JEY'J(J� �Y(JVV GYPSUM /.PE1 �IS 3]I-21�1 : . February 14, 1974 Mariner $avings and Loan 1515 West Cliff Drive Newport Beach, California 92663 Attention Mr. George Maschmeyer Gentlemen: Reference: 53-Unit Condominium Project Newport Beach It is our understanding that the condominium project in Newport Beach is in the general vicinity of the Orange County Airport and that the exterior walls which are in the direction of the sound sources from aircraft using the airport are to be "acoustically" treated. The construction of the exterior assembly wnuld consist of 2" x 4" wood studs spaced 16" o.c. on which the exterior surface consists of line wire, 15 Ib, felt, stucco netti�g, and 7/8" cement stucco. In the cavity would be a full thick R-11 insulating batt. The interior surFace wouid consist of resilient channel spaced 24" o.c. with 5�8" tnick gypsum wallboard applied horizontally and screwed at 12" o.c. The Sound Transmission Class for this assembly would be approximately 52. It is our opinion that an STC of 52 would be quite satisfactory for the intended use in red�cing the effect of the aircraff noise. Very truly yours, KAISER GYPSUM COMPANY, INC. � , ��,:. �t�. D�li J. Marshall or of Technical Services WJM:jc cc: Turner Interiors 621 North Fairview $anta A�o, CA 92703 Attention Mr. Jim Heinrich U�NCK ', SOIL .� WS �( WnTEP �j ROUGH PLUMBING ' PROP. $WR. LINE � HOUSE CON. SPRINKLING SYSTEM I:Ih UNOERGROUNO U POWEF ROUGN WIPING SVSTEM FqqME ANO FLASHIN6 LATHING - IN n OUT PLASTER.BROWN CORT 5' 'URqL, FINAL FINAL �Alt 7- BUILDING PERM SUBCONTRACTOR (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�WiLDING PERMIT 77 FAIR ORIVE, COSTA MESA, CA 92626 JobAddress: 345 UNIVERSITY DR Suite: B Vicinity: BLDG B AT WOODSTREAM CONDO COMPLEX Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construclion: V-N Parcel Number: Zoning: npp�icant: LOBATO, PABLO Address: 1235 N SAN DIMAS AVE Phone: (626) 852-2110 ISSUED BY: SAN DIMAS, CA Zip: 91773 . , - .��•�:�� Owner: , , - _ , � _ Slalus: ISSUED Applied: 11/292005 Issued: 11/29/2005 Address � � .� � :' ' � PFione: . " . ' .. . . �. ' ' . , . .,;�Z'p . . . _ . �+� � . _ - � � .. .• � _. , . . - � . : ,- ° >a;,.. _ Contrecror COND �TRUCT�ION SERVICE INC"''"'. ._ � ' = ' �' .,�� ' OMIN_IUM CONS,,_. � -� •. °. Address: .<1235 N-SAN DIMAS AVE � . � ' � , - � � , � , . �, �`� Phone: (626) 852-2110 ��.. . � � � - . � ` SANDIMAS CA� = � � � � � s,, Zip 91773 � License: 691243 � � �� Arch.. , _. En9: '. � .. Address �s"� � - Address: ' . � ' _ �:� ' ' - •, _ , �,r, Phone: , _ �� z � Phone: - � >�Sgo- _ �".„+ , o, �^" .; •�. ,. .a.: - , - -0 m. „ m - Zip , � �` �. License: �- I �� - �� Lwens'e:. t g r ��`� x� Fa �,ri .�.,n ..&�v"d�'� _ . ... " `-'" �,,� � ' � SCOPE OF PERMIT � � � REROOF WOODSTREAM CONDO BLDG #B � �sa� '� T/O EXISTING COMP ROOF .REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15# FELT APPLY'40-YEAR�COMP SHINGLE5:,� �� 50 S�UARES "`� -�' -, � • . ",� � �- ,� � .. --- - �.< „ .._ . . . , , .. �� . ... -� _.. _ m-•,r x-a•:; ..s. ,, F Y . � "�� :'? �� , � �� FEESUMMARY � u � ��' Plan Check �`� $0 00 �� '� ' '"" Calc Valuahon � � S�i 000:oo Permd ; $195.25 ° ' Claim Valuation: >�`ri $ai,000.`oo � SMIP•Res , '�;$1.,10 � .':` 'Y SMIP Com ��$0.00 � , , . . _ � ' . �'" " � __ Other: $0.00 m' ' " ' Inspection: $0.00 Total: . :5196.35 '. " ��E � �' � � _� `a � �;'PLANNING & ZONING SETBACKS� � � ��' �. � " � „;� � � � MAIN STRUCTURE Front 0 0 �� -Rear 0- 0�� =�Lefi � 0 0 � Right= - 0 0 - ti,, r . .'� ' ;- ;... �_ �_ ACCESSORY �Front ' 0--0 `° Rear 0-0, � - .Lefi�" 0 0 � �-� � �Right �0-0 . -' d_ . x q - . , ':. ' .l Y y"' , PARKING Eiiistina, �0:�;, ��Reauired 0��.� ��.Pr000sed'`�o , ,' � �g" �� ty�." - =t ,. ¢ .n� �iy: - ��,., .9 , _qa� , ,., <:zj,:la. - _.._._� ';a'}=„� ". �.,, � , � � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period o� 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions end flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratio� of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 wao-ao �aw� WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penelty of perjury one of Ihe tollowinq declarations: � ' ❑ I have and will maintain e certificete of consent to self-Insure for workers' compensetion, as providad for by section 3700 ot ihe Labor Code, for iha perfortnance of ihe work tor which [his pertnit is issuetl. I� I have antl witl maintain workers' compensation insurance, as required by section 3700 of the Lahor Cotle, for ihe peAortnance of the work for which ihis pertnit is issued. � My workers' comp nsatlon Iry� urance carriar and po �yv num6er a�e: came��('Om�rnRd 9o-Pcia �y/ �S C� Polic`y'Numoar: DD�-60n�31`Z3 ,(This'section need not be com0�eted il the ermit is velued t one hundred dollan ($f 00) or /ess.) � ❑ I certity Ihat in the perfortnance of the work for which ihis pertnil is issued, I shall not employ any person in any manner so as to become sublect to the workers' compensation laws of Celifomia, and agrae t t f I should become subject to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forihwith comply with these prov ion q AppllcenCSignetura: ��ate _ l� � /— � � WARNING: FAILURE iOSE RE WORKERS' C/JMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSANDDOLLARE($1 ,OOO�,INADDITIONTOTHECOSTOFCOMPENSATIpJ,DAMAGESASPROVIDEDFORINSECTION3lO60FTHELABORCODE,IfJrEREST,ANDATTORNE`fSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and rofessions Code, and my license is in tull force and eHect Ll�c'.'#i y CIas3 # .�J' �� r/ �+ Contractors�5iqnemre:t ��`� � � � a �D � � CDate:� /� ? % O � CONSTRUCTION LENDING AGENCY: ❑ I hereby a%irm ihat Ihere is a constmction lentling agency for the pertormance oi Iha work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn that under penalry ot perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing 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 tor such permit to file a signetl statement thet he or she is licensed pursuant to the provisions of the Contracrors Licanse Lew (Chapter 9(commencing with Section 7000) of Division 3 oi [he Business and Professions Code) or that he or she is exempt iheretrom and ihe basis for the allegetl exemption. Any violation ot Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner ot iha propeny, or my employees with wages as Iheir sole compensetion, WILL DO THE WORK, antl the structure is not intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such wolk himself or herselt or ihrough his or her own employees, providetl ihat such improvements are not intended or oHared tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not 6uild or improve tor purpose of sale.). ' ❑ I, as owner ot tha property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: The contractors License Law does not apply to an owner of property who builtls or improves thereon, and who coniracts for such project with a contracror(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Protessions Code for ihis reason: Signature: Date: Owner ID venfied by driver's license. ❑ Ves ❑ No Dnver's License No. Expires: Verification ot Ownarship by (type ot daument, i.e. - property tae bill or tlaed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlity that no excavation five (5) or more feet in depih into which a person is required to descend, will be made in connection with work authonzed by Ihis pertnit, and ihat no building structure, scaHolding, talsework, or damolition or dismantling thereoi, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifomla Atlministrative Coda). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit irom the Division of Industrial Safety, es noted ebove, unless such person has e permit to do such work from the tlivision. Signature: Date: Division of Indusirial Safery Permit Number: Will the applicant or present or fuWre builtling occupant neetl lo file and cetlity a Business Plan for emergency response to release or threatened release ot a hazartlous meterlal? ❑ Yes ❑ No (Seclion 25505 of ihe Califomia Heaith and Satety Cotle requires, with some exceptions, tha� a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has at any one tima during a reportetl year a quantity of hazardous materials equal to or greater than a weigM of 500 pounds, or a volume o155 gallons, or 200 cubic feet ot compressed gas at standard tempereture antl pressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will ihe applicant or present or tuture building occupant need to file a registration form for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 oi the Calitomia Health and Satety Code, with some exceptions, requires registration with the Costa Mesa Fire Deperiment by each business which at any one time has on hand a quantiry ot acutely hazardous metenals equal to or greatar than e weight of 500 pounds, or e volume of 55 gellons, or 200 cubic feet of comoressetl pas at stantlard tempereture and pressure). 3 Does or wiil the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materiats)9 ❑ Yes ❑ No (Section 25534 of the Califomia Healih and SaFety Code provitles that the Cosla Mesa Fire Department may require ihe preparation, cenitication and tiling with ihe Fire Deperiment oi an RMPP by businesses which are required to register acutely hazardous materials with ihe Fire Depariment. ..................................................................................................................................................................................................................................................................................... ....................... ................................................................... 4 If en RMPP is presently required, hes Section 25534 ot ihe Celitornia Heelth antl Safery Code bean fully compiietl with? ❑ Ves ❑ No 5 Does or will the epplicant or present or future builtling occupant requtre ror tne work wnlcn Is ine sub�ect oi this a�F fmm �he South Coast Air �ualiry Manegement District or irom any other air polWtion conirol tlistrict or egency? IJ (Section 658502 of Ihe Califomia Governmen� Cotle requires that tha requested information be tumished on applica .................................................................................................................................................................................................................................................................... 8 Will any part of ihe facility to be constmcled under Ihis permi� be wi�hin 1000 feet from Ihe outer boundaries of a schi (N'yes", the faciliry must.meet the reQuirement ot Sections 25534 and 42303 of the Calitomia Health and Safery Coc ..............................................:......:.....:»:.::.................................................................................................................................................................................................. 7 If a parmit froni�th6,South Coas4,sAir Queliry Management Dis(rict or other air pollution control disirict or agency aoolication. have ell�oidhe disclosikes orescribed bv Calitomia Health and Safery Code Section 42303 been made7 B (H'yes", attach certiFi CERTIFICATE OF C regartling Hazardous Signeture: 'rL ❑ No tor non-residential No the information given above is correct. I agree to comply with all state laws and ciTy ordinances Date: CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certify under penalty ot perjury ihat I have read ihis appiication and state Ihat the infortnation given is correct I agree to comply with ell state laws and city ordinances relating to building consimction, antl authorize representatives ot ihe City of Costa Mesa to enter upon ihe ebove-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by ihis permit until final inspection. COpE N, INSPECTIONTYPE 1676 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Factory Fire Place � 203 Finai Sign 204 Final Demolition Q(�j[ � iR �� CppE II INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elaclrical 212 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 .FinalBuilding/Occupancy pRTE IMRIpLg 4G� MFS9 oq� � > _ h J ' ' a�'o.c�� ia� �sa-sz�a • Fax (714) 754-4856 Job Address: Suite No Vicinity: CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 345 UNIVERSITY DR 61 Parcel Nunmber: 93388015 Applicant: BRASON, ALESHA Address: 03022 N HESPERIAN CSText1 SANTq ANA CA - Owner: GLApSON, CLELL W TR Address 345 UNIVERSITY DR B-1 15 � COSTq MESA,CA Contractor: MIKE DIAMOND PLUMBING Address: 03022 N HESPERIAN Arch/Eng: Address: SANTq ANA CA WATER HEATER C/O. ISSUE FEE Backflow irrigation Backflow Preventer BathWb Clarifier System Connect (Ice,Soda,ety Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Inierceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0,00 $0.00 $0,00 $0,00 50,00 $0,00 $0.00 $0.00 $0,00 $0.00 $0,00 $0,00 $0.00 50.00 Qrv PLUMBING PERMIT Phone: 714 541-9753 Zip: 92706 Phone: Zip: 92627 Phone: 774 541-9753 Zip: 92706 License: 399770 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap � $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors - $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor , $0.00 Sink, kitchen $0.00 Sink, service/mop ' ` � $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS PERMI---C T NUMBER P99-00112 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/22/1999 Issued: 02/22/1999 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water qoset (Toilet) Water Heater / vent Water piping Qnst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $33.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 U] EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FORINSPECTIONSCALL: (71q)7545626 WORKERS' COMPENSATIQN DECLARATION: I hereby attirm untler penalry of perjury one of the lollowing declarations: ❑ I heve and will meiNain a certlficete ot consent to sell-Insure for workers' compenselion, es Orovidetl tor by section 3700 of the Lebor Catle, tor the pertortnance oi the work tor which ihis pertnit is issued. ❑ I �ave end will maintain workers' compensetion insurance, es require0 by section 3700 of �he Lebor Cptle, for the pedormence of the work tor which this pertnit is issued. My workers' compensatlon Insurence cerrier end pollcy num6er are: Cerrier: Policy Number: (This section need not 6e comp/eled 1! the permit is velued af one huntlred tlallers ($100) or Iess.J ❑ I certity that in the pertormance of Ihe work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workars' compensation laws of Celifomla, entl egree ihet if I shoultl became subject b the workers' compensation pmvfsfons of Seci(an 3700 0( ihe Lebor Code, I shall forthwith comply with Ihese provls' s. /'� s� Appllcant Signelura: ir Date: � WARNING: FAILURE TO SECUR� WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SNALL SU&IECT AN EMPLOVER TO CRIMINAL P TIEN��L FlNE�TOIXJE HUNDRED TIKKISAND DOILARE (5100,000), IN ADOITION TO THE WST OF COMPENSATION, DAMAGES AS PPOVI�ED FOR IN SECTION 3IW OF THE LABOR CODE, IMEFEST, AND ATTORNEY'S FEES. LICENSED CONTRACTOH$ DECLAHATION: I hereby ettirm ihat I em licensetl under provisions of Chepfer 9(commencing with Section 7000) of Division 3 of the Business end Pro s;ion3s Cotle, antl my license is in lull brce end eflect. Lia k Class x � �� o Contracrors Signature: � Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is e construcGon lending egenq br the pedortnance oi the work Por w�ich this pertnit is issuetl. (Sec. 3097, CiNI Cotle). Lendefs Name: Lenders Atlaress: Signalure: Data: OWNER-BUILDER DECLARATIONS: I here6y afFirtn that under penely ot periury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Busineu end Professions COAe: Any ciry or counry which requlres e pertnit to consiruct, elter, Impmve, demUish, or repair eny structure, pnor to its Issuance, elso requires the applicanl for such pertnit to file e signetl siatement ihat he or she is licensed Oursuent to the provislons of t�e Conirectors License Law (Chepier 9(wmmencing with Seclion 7000) of Division 3 oi ihe Busineu end Professions Code) ar Ihat he or she is exempt Iherefrwn entl ihe basis lor the allegetl esemption. Any violatlon ot Section 7037.5 Dy any eppliwnt for a pertnit subjects the appliwnt to a ciV,l penalry oi noi more ihan fve huntlwtl dollare (3500).): ❑ I, es owner of the property, or my employees wilh weges es their sole compensatlan, WILL DO 7TIE WORK, end the structure is not intended or oftered for sale (Sec. 7044, Business and Professlons Code: The Contrectors License Law does noi epply to en owner of properry who bulltls or Impmves thereon, end who does such work �ImseN or hersetl ar thraugh his or her own employees, provided thei such improvements are not intendetl ar aHered for sale. If, however, the bullding or Improvement is soltl within one year of completioq the owner-builtler will have Ihe 6urtlen of proving Ihet he or she tlftl not builtl or improve for purpose o( sele.). ❑ I, es awner of the property, am E%CLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business end Protessions Code: The conirectors License Lew Coes not apply to an owner of property who builds or improves theraon, and who conirects for such pro�ect wlih a coniractor(s) Ilcense pursuant �o the Contractors License Laws.). ❑ I em exempt under seq. SignaWre: Owner ID venfietl by dnvefs license. ❑ Ves ❑ No Business entl Protessions Code tar Ihis reason: VadFlcetion of Owners�ip by (rype of document, i.e. - properry ta: 6ill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: DnvetS LitenSe No. Date: Expires: ❑ I hereby cenify Ihat np ezcavetlon flve (5) or more feet In tlepth into which e person Is requlretl to tlescend, wlll be made in connec�ion with work euthorized by ihis permit, entl Ihat no builtling struciure, scaffolding, falsework, or tlemolition or tlismentling t�ereof, will be more than ihirty-sla (38) feet high. (Chep. 32. Grp 2. AR 2, Sec. 341, Title H, Galifomla qpminis7rative Code). ❑ As owner-builEer, 1 will not employ enyone to do work whic� woultl require a pertnl� irom ��e Oivision of Intlustnal Safery, as noted ebove, unless such person has a pertnit ta do such work from tha division. Signeture: Date: Division oi Industnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAV: I certify under penalry ol perjury that I have read Ihis epplication end sta�e ihat Iha inlortnetion given is correcL I egree to comply With all stete laws and ciry ortlinances releting to builtling construction, and authorize representalives ot the Ciry of Costa Mesa �o enter upon the ebove-described property for inspection puryoses. I agree not to occupy or allow occupancy of eny 6uilding euthonzetl by t�is permit until tinal inspection. n SigneWre Ot Legel Owner(s) _ �� ...� qe1e� ^ LL � /"-�1.� / "/ �7 AntllOr Authonzed Applican � � � COOE �. INSPECTIONTYPE 1616 Fixed Sys�em Finel Fire Prevention 1266 Pool Spa Final 200 Flnal Re-Root 201 Final BIaWRelaininq Wall 202 Final Factory Fire Piece 203 Final Sign 20C Final Demolition 2a66J6 PAiE U1SIDAl5 COOE 1 INSPELTION TVVE 206 Final Mechanical 20B Final Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Flnel Planning Approvel 222 Final Site 250 Final Building/Occupency �.i �im_. � � ' ,/�� ApPlicant to fill in all spaces except [�ose within heavY Oortler lines antl sign all approp�iate tleclarations. C�T`.KOF COSTA MESA CONSTRUCTION PERMIT °`n""'T ""' ranrT Nn i nr Nn � ��T .�., ProjectAddress _345 �t11V2PSly �F". Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contractor's Name Phone Address lmailing) c;tv u�e�se No. Owner Bui 1 der LICENSED CONTRACTOR DECLARATION 1 hereby affirm Ihat I am licensetl untler provislons of Charter 9(comm¢ncing with section ]000) of Division 3 oi the Business antl Pro(eSSions Cotle, antl my license is in tull torce an� effect. License Class License No. � Date Signature WORKERS' COMPENSATION �ECLA0.HTION ' hereby afiirm that I have a certilicate ot consent to selt-insure or a certiticate � Workers' Compensation Insurance, or a certifietl copy thereof (Sectlon 00, Lab. C.) Policy No. Company BCertifietl copy is hereby fumi5hetl. Certifietl copy is flletl with the city Builtling Division. Date Applicant EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION (This seclion nectl not be completetl if the permil is for one huntlretl ($100) or less). I certify Ihat in the Performance of the wo�k tor which this Oe�m�t is i55uetl, I sM1all not employ any perso 9 in any ma��/ as� {��wrye su�o the Worke (�e s on Laws of Califqini / � oate Si nature t Fra NOTICE: it, a(ter makin9 this tleclaration, you shoultl become subject to the Workers' Compensation provisions of the Labor Cotle, you must torthwith comply with such p�ovision5 or thi5 p¢rmit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I nereby atfirm that ihere is a construction lentlin9 agency for the performance of roe work for which lhis permit is issuetl (Section 3097 Civ. CJ Lentler's Name Lentle�'s Atld�ess OWNER BUILDER DECLA0.ATION I hereby atiirm that I am exempt trom the Contractor's license �aw �o� the tollowing reason (Section �031.5 Business antl Professional Cotle: Any city or county which requires a pe�mit to const�uct, alter, improve, tlemoli5h or �epai� any structure, orior to its issuance, also requires the applicant tor such parmit to file a signetl statement tha[ he/she is litenzetl punuant to Ihe provi5ion5 ot the Contractor's License Law (Chapter 9,(commencing with Section �000) ot '�ivision 3 ot Ihe Bu5ine55 antl Professions Cotle) o� that he/she is exempt •refrom antl tne basis for the allegetl ezemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant ta a civil .malty of no[ more ihan five nuntlretl tlollars (y500). ❑ I, as owrier of the property or my employees with wages as their sole compensation, will tlo the wo�k, antl the strutture i5 not intentled ono(t¢retl for sale (Section ]044, Business anC Professional Cotle: The Contracior's License Law aoes not apply to an owner of a property who builtls or improves � the�eon, antl who tloes Such work himselt/h¢r5¢If or tM1rough his or M1e� own employees, provitletl that such imptovements are nOt intentletl o� otferetl fo� sdl¢. If, howev¢r, the builtling o� improvement I5 soltl within one year of com- plelion, the owner wlll have the burtlen of proving M1e/5M1e tlitl not builtl o� im- ve for the purpose of sale). I, as owner Of the pwper[y, am exclusively cont�atting with licensetl Con- ractors to wnztruct the project (Section 7044, Business and Professions Cocle: �'.. The Contractor's License Law tloes nol apply to an owner of property who ' builds or improves thereon. antl who contracts for such oroiects with a r.on- tractor(s license pursuan[ to tne ConVaceor's License Law). I am aware that proof o� [beir Worker'S COmpensation insurance Shoultl be provltletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner I hereb c tify tnat I have reatl this apolication antl state that the above in(ormation is correct. I agree to complv wiih a11 city ana county ortlinances antl state laws relating to builtlin9 �onstruGtion, antl hereby au[h0/ize rep�e- sentatives of this city to enter up n the above-m¢ntionetl p�opert tor inspectian ur os � G Signature P ��(�� Date 1 Drivers' License or SS � /�,-,�,^.—�-/,�—( � �.-,--;--- �5 �`Jlo� U I�x�sa�xx��x �la�or, R h_�_� �, a TYPE OF CDNSTRUCTION NEW U ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISFi ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRADING L� FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MEGHANICAL ❑ OTHER PROJECT DESCRIPTION 5c�. FT. oCCUPApNpCvp/_� � CON STRUCTION TVPE VALUATION $ �.51y_it ZONE GRADINGCU.VDS. ACRES_ Remarks: Rer�Of Sink Preventer Irrigation Drinking Fountains Floor Dreins Floor Sinks CidS $EIVICC Ol1iICl5 Interceptors Kitchen Sink Lavatories P—Trap Roof Drains PLUMBING Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash ia.r. � S Main Building: E T Front B Rear A C Ri9ht g Left Ping. Ref. # Planning Notes: FEES Automatic Washer Construction PoleSub. Cooking Unit D ishwasher Dryere �Gas ❑Electric Reinspection Fee � $15 I I Issue Fee I $ 3 I MECHANICAL FEES Boiler Duct- Under Ground Duct � Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blt. iCBO # Heating System & Ducting ❑0-100,000 BTU 0100,OOOBT Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000eru ❑ioo,000 System Repair/Alteration Fire Oampers Registers Reinspection Fee � $15 � � Issue Fee � $ 3 . 0865-46, rev. 5/88 White - Builtling; Canary . qpplicant; Pink - Attounting: Goltlenrotl - Asse55or zone Accessory Building: Parking Req./Provided ELECTHICAL Transformer ❑ 15-50 KW ❑ 50+KW Fan F.A, U. Fixtures Device Boxes Outlets SwiLcheS Garbage Disposal Generator �0-5 KW �5-15 KW Meter tJup to 100 amps Meter ❑over 100 amps $ub Panel Motors �0.1 HP �1 %- 6 Inc.Soiar 09-15 HP �16-15+ Microwave Pole Light Fange Standing Sections Trash Compactor � Reinspection Fee '$15 � � Issue Fee DEVELOPMEN7 SERVICES RE�UIREMENTS: Zoning Approved By Building Approved By APolication Iwued Bv n _ . BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ N 1 N G R E Q M T S. FEES $ 3 ES ,` SMIP $ t�v PERMIT ISSUANCE $ ENEliGY P.C. $ GRADING $ MICROFILM $ ,/ TOTALFEE $ sY._�v Q1 QOG39&1'a-GOQ39�14 T3�"f ' �':+ PAT.� as�ow/�9 T?ME: :1g;:tt . ir , CONSTRUCTION ANDpLANNING POC SPA . ��i� APPROVALS Permit yp Date Inspector pppROVALS 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 . i 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, 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 ' � 73. Roof Drains � 64. Plumbing SYstem - Final 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final .:f6. Rough Electric Wiring 67. Fencing & Access Approval 417. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurai) & Monocoa[ 75. Dry Chemical 27. FrameandFlashing 76. DryStandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH OEPT. REQUIREMENT 31: Plaster Brown Coat • 79. FINAL INSPECTION 32. Electriral Power Meter-Final S0. 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 pomestic-Final 42. Backflow Preventer ,'; 43. Backflow Irrigation -` '� �•-� - 44. Landscape Irrigation System � ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING O S �1' � 48.;Special Requirements Completed i 49. Electrie Release�to Edison V l, 50. Gas Release to Southern Califomia Gas Co �., �. 51. CERTIFICATE OF OCCUPANCY �--• ._ ,�) No. Date ' � � 5 3 �� 2 I �12L I+ IaU314 J J I I I I 2 1314(F)51� ► z'� I � 2 E 4 s � T� .� ;�, . � �=�«t . • COSTA MESA BUILDING-SAFETV DEPARTMEIVT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant fo Fi(/ in Completely BUILOING ADDRESS �� U�I/li -I�iJ�%J/I�� OWNERL�-� � MAIL �//� �/ ADDRESS r,7fj CITV (r.(/�/r �� CANSTRUCTION LENDEP BRANCH ADDFESS ARCHIYECT OR ENGINEER ADOFESS CONTRACTOR �Fi/G�C ADDRESS 3(PC� 4 + CITY� ��C�/%�/%i STATE �/ LIC.NO.� ([f �/�� 51ZE -T OF LOT TEL NO. SEP-3-74vA�oOO o�a� =*'161.96 cris • APPLICATION FOR BUILDING PERMIT RECEI D D ERECEIVED D EISSVI %� �—�3-- 7 �% �-- BUILDING ADOFESS TRACT L. S FIRE ZONE /- APPROVEO E .f-/{/G.l BY TEL. NO. CITV //�/ IIC. NO. (0 NO.OF BIDC.S. NOW ON LOT EXI5TING BLDG. f" 512E OF NO.OF Z NEW BLOG� FOOMS STOf V EXTERIOR WALL ROOF COVERING COVERING VSE OF BUILDING AND WORK TO BE PERFORMED V � F y Z O F U � � i" y Z 20NE VARDS APPROVED MAIN BUILOING FROM GL STREET) DISTANGE BET MAIN BLDGS. VAR. # C.V.P.�W APPROVED F NEW NG 9DSAPPqOVED 6ET. MAIN & � I horeby acknowledBa that I have reatl this application antl state � thet the above intormeHon is correct antl ogrea to comply with �„ all lews regulatlnB builtlin0 construction, antl I shell not employ i any pars0� �� violation of the workman's companze[lon laws of tha State of Califom(a. � I hereby certity Nat I am properly licensetl as a conttattor untler SQ. FT. O tha S[ate of Californie Business and Professions COCe, Dlvlsicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl that such licenses are in full force antl etfeet, or 1 THE PURPOSE OF ESTABLISMING A PERMIT FEE ONIV: ¢ am exemPt trom tl rovisions of the State of California Business VAIUATION antl Professions , Division 3, Chapter 9. �O� L�� N �i��G 2/S�� PERMIT FEE $ J > SiB�atureof � ,�j�a E Permltte ^y / PLAN CMECK $ 4/d `o Aut rizdtl A9ent / Y' 9• '7 u TOTAL FEE 5 � � � r, • � 2 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant t �/ i BUILDING _ - ADDRESS � U E s� L OWNER MAIL u I .T �I ennacc. 'aI r CITY TEL. NO. BRANCH AOORE55 ARCHITECT /— / TEL. OR EN� N•L CUQYI�• NO. AD�FESS F�p �`U� C{'��m CONTRACTOR /� � ADORESS � OV � (� �„ �� • TEL CITV� �,� a �q� NO�f�2 STATE C1T V LIC. NO. '2,_ rj � Z� LIQ NO, � SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLpG. SIZE OF NO. OF NEWBLDG. ROOMS STORIE: EMEFIOR WALL ROOF COVERING COVERING USE OF BVILDING .4ND WORK TO BE PERFORMEO / / � R BVIIDING ADDRESS TFACT � OWNER ROVED V ARDS APPf MAIN BVIL ROM GL STR DISTANCE BET MAIN BLDGS. VAR. q= c.u.v. � at_�� ;.,t:.�' r� ';" 31-7� �..�.!;C?Br�:; .. . _ { FOR BUILDING PERMIT i F USE OF W BUILOIN ED VqRDSAPPFOVED 8E7. MAIN & I Hereby ecknowletlBe c�et I hava reetl this apP��cation antl state thet the abova informaHon is correct antl apree to comply with all laws regulatinp builtlinp construction, entl I shell not employ any person in violetion of the workman's compensation laws ot v the State of Californla. � I hereby certify that I em properly Ilcensetl as a coniractor untl¢r SQ. FT. O the STate ot California Business entl Professions Cotle, Oiv(slcn 3, THE AMOUNTSNOWN VNDER VALUATION IS FOR a Chapter 9, antl that such licenses ara In full force antl effect, or I THE PUR�OSE OF ESTABLISHING A PERMIT FEE ONLY: a am exampt from Na rovisio�s of the Stace of Calltornia Business yALVATION and Professions Cotle, ivision 3, Chapter 9. _ � � � PERMIT FEE $ �'�� J $ipnat�re of / m Pelmittee �� / PL,AN CHECK $ �_ s t� Au[horizetl Agent $�' � TOTAL FEE $�� J�� LL F� � J TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Optional = Channel Black With I-3/8 � 0 Horizontal Top of all Fences 6° Concrete Block Fence For Fences 5� or Less —S Vert. 8ars 3/8" 0 at 4'-0'� 0. For Fences Higher Than 5� = Vert. Bars 3/8" 0 at 32" O.C. Provide InspecTion and Cleanout Hole at Location of Vert. Reinforcement � FII Celis Solid With Grout— Where Steel Occurs NATURAL GRADE TWO 3/8�� A CONTINUOUS STEEL MUST BE TIED IN PLACE AT TIME OF TRENCH INSPECTION. o.' I.o' D I,'. y D' L.� f 0 ¢ x �� > w ¢ _ a >Z a i� w O U F e —WIDTH ` � SEE CHART BELOW a .e.L e' o. ..� e . p'. ,1 > _ . .. . .� � . . GENERAL- NOTES � MORTAR: pne Part Plastic CemflnT, and Three Parts Sand GROUT : One Port Cement Three and One Half Ports S�and COPING: One Part Cement, Three Parts Sand CONCRETE: Well Mixed 1:2-I/2:3-1/2 Maz. ot 7- I/2 Gallons of Water Per Sack of Cement REINFORCING STEEL SHALL CONFORM TO SEC. A—i5-39 A.S.T. M. ALL STEEL TO LAP WHERE SPLICED, 2=0� MINIMUM. GROUT MAY BE POURED FROM TOP OF FENCE IN CELLS WHERE STEEL OCCURS. HOLES SHALL BE CLEAR,CLEAN, AND FREE OF AL� MORTAR, DEBRIS, ETC.,WITH INSPECTION HOLES AT BOTTOM. BONDS SHALL BE PROVIDED BY LAYING BLOCKS IN STRETCHER COURSES SO s� � . e �. o' THAT VERTICAL JOINTS ALTERNATE IN � � EACH COURSE. e. �.. . p . ♦ � p. � e. . n 2 �. DEPTH OF EARTHTOOTH V3 THE HEIGTH OF FENCE BELOW BOTTOM OF FOOTING. SCALE: I/2'�= I� CHART HEIGHT . . . . . . . . . . . . . . . 6 �. . . . . . . . . . . . 5�. . . . . . . . . . . . 4' . . . . . . . . . . . 3' WIDTH . . . . . . . . . . . . . . .14° . . . . . . . . . : .14': . . . . . . . . . . . 12'�. . . . . . . . . . . 12�� THICKNESS . . . . . . . . . . . .10". . . . . . . . . . . .10" . . . . 8". . . . . . . . . . . 8,� DEPTH OF EARTHTOOTH . . 24° . . . . 20" . . . . � " .. .. 16'...... 12 SPACING OF EARTHTOOTH. . 12� . . . . . . . . 14� . . . . . 16'. . . . . . . . . . . 16� OWNERS NAME: _ �� r _ Cit of Costa Mesa California ��B ADDRESS __ E/�y,_�,��.�,7� 5--��-- �� _ Y � PERMIT NUMBER:_ _ _ ��%.�4—� _ Building Department SIGNATURE: C�,�_��f¢� — — �— �— �J — FORM BU25-2M-B-B2 � � W W � ti y \ .�'.l)'1.'ii-.. SYc�'�t.:� .9J-�� f>S��ao�:..�C��J F0.�gp10�P1AN5PT\ON>' �� . . E � . ,l ,gU1lD�N TIQ,N OF �N`S Co TREET � �-�, � � �J ti�•� ��r' � , �opna��r�.� - �. 0 � W W C ti � � R E T A I N I N G W A L L S �~ SIOPING GRAOE �_ . ' — K I I2 M I N, � �- LEVCL �GRAOE GAP IF OESiREO 2-�9 8 A R 5- B VERTIGqL �O BAAS 4T 2s" 0 . G . WNCPCTE MA90NRY W/�Ll.- hLL CELLS flt 90LID WITN GqOUT N2 ilES �T ip" QC 2-=a BAR9— �Y BnNS GR<D POUF FOOTING lGAINST UNDISTURBEO O B n R 5 2 �♦ B 4 F 5 2� CONCRETE MPSONRY WFLL-PLL CELLS F I l L E D 5 0 L 1 D W IT H 0 R O U T IO M I T M E G 0 J 0 1 N T 1 N fZ�� F I R 5 T GOUR SE AT � �32'O.G. FOR WEEP NOLE� \ ✓ #'.� `•3��< B RG 6 GONT. �• :a� ' �'.� •' . .. �I.�_.I i GRADE 9LOPINL GRADE 1%1MIH. ♦ % < f L[VE� - �GRnDE NT. ' J. .'� N4iUftnl SOII I POUR FOOTING I - 1[ , � 4 G A 1 N 5 T �B� � UNOISTUHBED f "-1 B NATUR>l SOIL TYPICAL •SECTION OVER 5�-0" TYPIGAL SECTION 5�-0"MAX. %x�=i'-o" . %x"�i' o" . -- OO LO OO xO BA'pS O BARS O O O O BAHS O BA0.5� �' 6' 1�-9• •J �T ]2�0.0. --- 3' 6" 2'-1' R3 AT 24° O.C. � qi S. Z�_Zn q4AT�G"O.C. �_ .. �- s� px 2�_9.� C4�TN"0.0. --- 5� 9• J�_en MSAT IE�O.C. — 6� 12• )�_3x � p4AT24�O.G. B' 12" 9'-0' —� USAT 29"O.L. � 1' 12" 3�-10� — a9 AT 16�O.C. 9� 12° 4'-9' �� r6eT 16'O.C. p' 12" 4'-6" ^ #5 AT I 6" O. C. B' 12" 5'-S" �- b] �T 1 B" O.C, DES7GN ron LEVEL GRADE ABOVE WALL DESIGN, FoaSLOPING GRADE ABOVE WALL MAXIMUM 57RESSES NOTE•CONLpEi£ �N IODTINL i0 TEST Sy - IB�000 P.5.1. 2,000 L05, PER 5�. IN. At 20 p�YS �m= z25 P.5.1. CONCHETE BLOGR - GRADE �A� UNITS SME�N V= �S P.S.�. �.S.T.M. C-90 GPOUT-�PrtqT CEMfNi,3o�RT5 SANO, � BONO U= 100P.S.1. 2 P�RTS PE� GR/.VEL SOII PpE95lIpE = I,000 LBS. PER SO.FT. MOFT�R - � PAHT GEMENT, CONC0.ETE' TO SO�L %1 P/.RT LIME VUTTY� ��/i PANiS 5/1ND fRICTION COEFfICIENT = 0.4 2� 0 BLOG-41 i� d � ' �� ,�TRUCTURAL�APPROVAL-ONLY - ' ;� � . SEPARA7E-PERMITS.�ARE,.REQUIRED- , � 4 � � - � ;. � - - �:FOR `ELECTRICAL, PLUMBING; __' ., : :. :- ==,_'` . '� . � � •� HEATIN6, VENTILATING AND _ • REFRIGERATION WORK- -� ' � : ;. - -- - - _ . :_ ., • - P@frOlt # ' ` . THIS NUMBER MUST ACCOt,�PANY = - ' ALL INSPECiIOfl REQUESTS � � r. . ' ---------.-. _ ,. � _ - y N� . '• � � Y� • f I � ' , , -- �. - . .. . � i, ! f0�i BUILDINGS WyFf�E pE��S�� ,�,� �p ' ' � � S ` j 13E EMPLOYED, WE SUGCESi iiiaT iF� ' - ''� � � " ' ' f � ST;;TE OF CALIFORNIA plyu'�;,,"y -� - "- — `.� � " ,� ' INDL�SiRIAL SAFEiY BE CONStZp� �g ' = -,(�,� - � - - ADDIiIONAL REQllIRENI�T�S, � �: - � _ e i:' `` � , ;' i � a �� Q. � -- ; E`'', ; _ a ,O ��S�Ss. � . � .� , � 9 t�� . • • ' � �Q.� 5 � - -- e t r�� o� � �� s=- � ar,�t QQ� . i .. ._. _ . oE . os. � i; ' �p0 \p0. P' ; ` . :. " ' . 'i . . . . . (�`� � e,� 0o t �20. . PQpFpUE� � - . ;, ; � i . -. . _ . ., Q�NSPN FS .�\� � �� P pf.ROjS gE�. � � 0�''jQR � �- �, - . 6'l �ESEO �,N .- r' t�Na � Np�� N �F , PN eEPN``�E� t�5 . p� O� \�UPNC SP� \� �Op�� ejH J oO�ASF" �O � ExG S�`2�FV� ... . P`q'HS Q� M�t P�� S�NOF�ty Np�� 8 p� H��\lEs �p'NS P�P� E UZ 5 �t pON P OFF� NS Ojo eP NG jos o\E jK`o��pS��Q� �`` OP�NE EG \o�N p0.E EP��NEN SQP JS� ` F, Y�� N�E OF �,� pRE HE c�R� Ea � EUN �Rp\NPN�i _—E� ��E o 5 SNPQ�¢U\�G F cPj\RP �o oN� OtHEQ , — --.r�E\Gp`SufA�EPNO �'oE\OG.cc�P �E P , �nrvcrc•,,+..u..,.,.. .,.,.�,.v., ,,,... „��,,. .,U�,.. DATE 1-y"-'' A IN�rE SOIL w E55 3 5 B University Ave. SUBCOHTRACTOR ' �!�'�JG�/.eYLII�'�jZ� .�_ Ii�►l.'�rll��:r71�T� �/I`�i"�)"iLiF� ROUGX NEATING ANO AIR CONO TEMPORPRY SERVICE OR POLE UNOERGNOUNO � POWER [ ROUGN W�RING THENCNES [� FORMS F�OOR S�STEM BONO BEAM � STEEL REI! SHEATHING FRqME ANO FLASHING pi 'E 5 I AL, FINAL VENT., REFHIG. AND rl , FINAL NNO GAS TEST FINAL FINAL F `i;l� �� ,��%�r-�r.� ��b�%� �, � �� • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 PI� For Applicant to Fill in Completely RE 1 BUILDING ADDRE55 /— aniu � fC i 3-73�,;��00 !i63 ` :::**-�71.21 ON FOR BUILDING PERMIT . p �` Ib��tia� OWNER A.P. NO. -1- �T��'�-G 21 � MAIL AD1DFES5 �.J�� U'v� Z ADDRESS (Da / ��u,^ d U C � NOL � TRACT ��b ' LOT ITY .(" ZZ Q CONSTRUCTION W ADD A ER P i � F LENDER � am / J � BRANCH ' �N ' J N /�n OWNER ��, O a w ADDRESS / / ` YJ � � m / // � �J (/ J AFCHITECT � TEL S 2(�/w..�h N OR ENGINEER NO. G / FIRE W Q ADDRESS p G(/G�' ZONE VPE � d W APPROVED / JO CONTRACTOR 1.. � � � BV m Z p J� ADORESS S�ti. ` �: �. Zww ./��j TEI. Z:Q�i_ NO.OF� US F CITV IOC� CG . NO. I� P�nrvs 6U W � STATE ` CITY �'ARDS APPqOVED ? O LIC. NO. � 7.�W S LIC. NO.� MAIN BUILDING P SIZE ,/ / NO.OF BLIX3S. (FROM GLSTREET) OF LOT NOW ON LOT FRONT USE OF EXISTING BLOG. 5 E I— SIZE OF NO. OF Z NEWBLDG. ROOMS STOFIES L.SIDE U EXTERIOR WALL FOOF COVERING COVERING FiEAR J USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET � MAIN BLIX'$. f �/ I VAR.afi O � � O C.U.P. # r / �� B � APPROVED N �Y o�v ,G_ �-� UI hereby acknowledBa ihat I have reatl this aOP��cation antl ztate _ ffiat the above info�m�tion is cortect antl agree to comply wiffiJ � all laws regulatln8 building consVuction, antl I shall not employ' F any pe�son in violation of Me workman'S compensation laws of y the State ot Calitornie. z1 hereby certify that 1 9m properly licensetl as a contractor untler S ffie Siate ot California Business antl Protessions Code, Divisicn 3,_ THE AMOI 7 Chapter 9, antl ffiat such licenses are in full forca antl etfect, or i THE PURPC am exempt trom Me pIo isions ot the S[ate of Calitornia Business VALVATION antl Professions Cr�oe, Di sion 3, C, pter 9. Signature / Permiitee $ ��'6 Auffiorized Agent �� VALUE � / ��`� 5 GFOVP DATE � OFNEW� . JING � / .�L,�� w L(� YAROS APPROVED CCESSORY BVILDII '�_ FT. � _� FT. � � cT � BET. MAIN & ACCESS. BLQ DATE -i3 �3 \ �r' / m `�i � 0 VALUATION IS FOR � A PERMIT FEE ONLY: m ¢ m E $ � � m K 3 I E r� s� � $ LL :• , COSTA MESA BUILDING—SAfETY DEPAHTMENT + P.O. BOX 1200 , Coata Mesa, California CONTRACTOR Lavton SOft Water_Tr Address 502 South L on ctry Santa Ana Tel. No�j4% 61 State License No.209983 Clau. C55 w� City License No. H 'i„y 75-7,� �s�001111 ��=��6.n0 TRALT NO. RECD. BY b� L07 NO. DATE 166/UfiD BUILOING USE C�z //��1. ✓ V _ f� COSTA MESA, CALIFORNIA Q nU,�1131:R fYPF OF FIhTURC• OR IT611 FEE MAIL 0 N'atc� Closet (Toiieq AODRE/s�s a � 13ath'fub UTY l.0$Ld Me$a' TEL.NO. j snow�e� I hereby acknowledge that I have read this application Lava�ory (N'ash Pasin) and state that the above is correct and agree to cromply } A��c en s��k with all City Ordinances and State Laws regulating J I.aun�q� 7ub or Tra>' plumbing. � I certity that I possess the above valid state of Cali- � ser.��cc Sink fornia classificatio¢ or I am the legal owner of the resi.- 0 r'ioor s��; dential property described above. FloorDrain � � Layton Soft WAter,Inc a Dishwasher . . $ignature o/ Permittee �� • �-a^-'--��"� z Drinki� F'ountain W Urinnl = Garb�Kc Disposal � Aum�natic R'ashin \lach. ~ N'ater $oftencr ' � N'atar H�5ter d Vent � Rece ror W a Swim'Pool Filter Sysrem � Gas $yscem . . . Outicts � �-�un 5 rinAlers � Instapation or Aireration «'ater Pi in � 8nck Flow Prevcn[er y Pm . $eutr ft. FCess ool Se tic Tank ng �onr eu.a� Tp'PAL FEE APPROVALS IHSPECTOFl DATC � ' � � 4 384 COSTA MESA BUILDING-SAFETY DEPARTMENT P.p. eOX 1200 COSTA MESA, CALIFORNIA 92626 For AQplicant to Fill in Completely — Use Ink Onl BUILDING ADDRESS / r OWNER /�Y't/Gf� (�,/• /-�G CITY AODF TEL NO. TEL. ADDRESS CONTRACTOR ADDRESS TEL. CITY N�• F STATE CITV LIC. NO. LIC. NO. � OF LOT ��Y P- NOW ON LO S I a use oc .�., EXISTINGBLDG. O/%%��IU y FSeparate permits are required for � electric, plumbing and heating work. W USE OF BUILD G ANO WORK TO BE PERFORMED i c � a ;. cC - �� - � .� m � a �oR?_1-77��tuO�i115y'• irirtl:.��:.5�1 FORSTRUCTURALPERMIT A.P. NO. Y39'-aQ�- /5 I PERMITNO. ADDRESS ��/y IIN�VC/�5�� O�` TRACT /�� I (]T � RI hCK OWNER APPROVED NFy�^` NO.OF rc � P�+� ' VARDS APPPOVED MAIN BUILDING L. SIDE � Fl REAR ✓ Fl DISTANCE BET. APPROVEDCw� {✓. /i��d DATE i ' L I � USE OF NEW�j/�/j�'j BUILDINGCQ`V � VARDSAPPROVED ACCESSORV BUILDI C`Y Q GTST N / �a 0 I heraby acknowletlBe thet I heve �aad th19 appllcation antl staie {K t�et the above Intormatlon is correct an� agree fo comply with a all lews reBulatin8 bulltllnB �onsttuction, end I sholl not employ Z eny parson in violatlan of the workman's compensetion laws of � the Stete of Celifornie. � %% 3 I hereby certHy ihet I am proparly licansetl as a contrector untler " SQ. FT. the State of Califotnia Business entl Professions Cotla, Divislon 3, THE AMOUNT SHOWN VNDER VA�U Chepter 9, and thet such Ilcenses era in full foree entl effect, or 1 THE PURPOSE OF ESTABlISHING A PERI om exema< from the provisions of the Stete ot Celifor ia Business VAlVAT10N PERMIT FEE E entl P�ofRzsionv Cotl ivislon 3, Chepter 9. � //� � PLAN CHECK E $Ipnaiur0 of � PermltteR 5 /((/ TAX E AuthorizadABent TOTALPAID S N n m i m J m e J� m m LL � U � _ :� - • .: :a; ` '�' 38824 � -.� COSTAiMESA BUILDING-SAFETY DEPARTMENT P:O: BOX �1200 COSTA MESA, CALIFORNIA 92626 T��'� For Rpplicant to Frf! in Compferely 'r„�� BUII.DING^-'.�il/��%I � � �� //_i OWNEP �V�� MAIL AODRESS I ( CITV � CAN5TRUCTION TEL.' A^ NO. w��•c BRANCH ADDRE55' �µ- ARCHITECT �� c�' ^ ��S NOL �✓�L OR ENGINEER �Jiti"�/ ADORESS � �(.t/ ��"�IL�� G ( CONTRACTOR `�/I,.�,Q�� • ADDFESS � � Y' � Q ��.�.�/�i/; �� CITV G �` . N��. ��i STATE CIT V IIC.NO. Z44y��Z LIC.NO. OF LOT �LQ� NO.OF BLDGS. � �L � �O NOW ON LOT �SEaF IJ�uI fz�.-s�oau'1 ��,L EXISfING BLDG. SIZE OF NO.OF NEW BLDG. ROOMS STOflIE: EXTERIOF WALL ROOF COVERING � COVERING USE OF BUILDING AND WORK TO BE PEFFORM£D � ,Y�'2i� � � �O x 7 iUC -6-74aFiuo� 483�' *--'�a �MS,, 35.00 APPLICATION FOR RECEIVSdJB� pq,�EM BUILDING ADDRESS TRACT PERMIT —! � g /GLlY G['� VAW$ L.j B"D FIRE Zvi:'c �OUP � APPROVED /�//J// BV �` G� DATE�� ZONE /J� NO.OP � USE OF NEW��`` !C �/ PLANS BUILDING DD YARDSAPPROVED VARDSAPPROVED MAIN BVILDING ACCESSORY BUILDING VAR. #E C.V.P. ,� APPROVED I herabY acknowledge thet I neve reatl this epplicetion antl state that the ebove information is corract antl apree to comply with all laws ragulacing bvildinp co�rtruction, antl I shell not employ eny pe�son In viOlptlon ot M0 workmen'a compensetiOn lawc ot t�o Siate ot Californie. I hereby certify that I em properly licansatl as a convactor untlar S� Me State of Californle Business antl Pro(assions Cotle, Divtsicn 3, THE AMOUf Chapter 9, and t s h lice ses er In full force end aftact, or 1 THE PURPO61 em ezempt fr the r Isi ns e Stata ot CalHornia Buslness VALUATION antl Profassio s Cod , i isi 3 C p[ar 9. , SIB�atura ot ��DO Permittae $ Autho�izatl Agen[ BET. MAIN & ACCESS,BLpGS. DATE APPROVED nerc 7S � � ' 7 TAX _ _ q O DER VALUATION IS FOR � iING A PERMff FEE ONLY: • ¢ �3 00 � T FEE $ � � ! ( S O m CHECK $ E 5a ° _ FEE $ � � Jobnddress: 345 UNIVERSITY DR Suite: C Vicinity: BLDG C AT WOODSTREAM CONDO COMPLEX Primary Occ: R3 Dweilings/ Cong Res <10 Type of Conslruction: V-N Parcel Number: Zoning: App�icant: LOBATO, PABLO Address: 1235 N SAN DIMAS AVE Owner: Phone: (626) 852-2110 SAN DIMAS, CA Zip: 91773 Address _ � �'`'� � � � ` ` ' � �Phone. '- . � - � �' , .. ' " -Zip �a . _ Contractor CONDOMINIUM'CONSTRUCTION SERVICE INC Address �1235N�SAN-DIMAS�AVE �' ' ' �, - ' � . , �,,;,? � � „ - Phane: (626) 852 2110 ' . � SAN DIMAS, CA.� �� .Zipi 91773 , License: 691243 StaWs: ISSUED Applied: 71/29/2005 Issued: 11/29/2005 ISSUED BY: Arch : � -? ' Eng: - . � �� ' - Address:: ' Address: , r r.. - ',� �� Phone: - � , 3�-� Phone:�.��. . _ ; -- :. " - . ,�, -, .. ,,,. , .. � . '.. . , � . . , .- .. " Zip: - � i - - License: _ ;d - - License: � , __ ' -- `x :' _. - .. .. � .�.. - � "��.� � �' - SCOPE OF PERMIT _ _� REROOF WOODSTREAM CONDO BLDG #C �� ' �>�•� � T/O EXISTING COMP ROOP, REPAIR/RERLACE SHTG AS NEEDED, 1 LAYER 15# FELT APPLY 40-YEAR COMP SHINGCES. .� ,� -. 34SQUARES �€`--� '' -� ____ _..�x- _'_.,., _-. _ . _ _ ' ,�a ' � :. FEE SUMMARY ; _ s Plan Check ,�i�' $0.00,�' � � " �� " �`" � �� CaIc��Ualuation. . � `� �-$s,3oo' Permit: $13925 ,.;; , ; Claim Valuation �`,°` ' Ss,3oo. _. ` , SMIPRes. ,,�<$063�- �= � � , ' " ' SMIP Com �` ,$0.00 �, . __� � " �;` �=a ° Other. `$0 00 - , ` '� � Inspection - $0 00 ��`` � � � � � °�°' � � � Total '`;$139.88 � " � w, ? rvF,� ' �. = ' F'LHNNINCi & LUNINCi �"`"' SETBACKS�. � ' , ° :", �� , MAINSTRUCTURE Fronl �-0 �� Rear �0-�0 -��= �" Left��^. 0 0��`� Right � 0-0� -� _ _ . - � o - ;'� __ -. . ACCESSORY front ' 0-0�`- � Rear 0'0� �� Left� 0 0 �� Right �0-0 �� ' . t t r �£ -�.;.✓ _ , _ ; � a„ ^ a. :,� � . - - PARKING Ez-istina _ �0�,� _ �Re wred 0` :_. -" Prooased ��0 .- � ��. -i, _ ' � � .. >� " - _ _ �-; � � �: ' . x ,T (Rv tt; : �: 1p R R I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requlremenis under Californla statutea and ralated 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 requlred Inspeetions and flnel approval must be obtained. Failure to obiain inspections and final approval will rasult In ihe expiralion of thia permit. FOR INSPECTIONS CALL: (714) 7545626 :aaera 1a'�rcr� WORKERS' COMPENSATION DECLARATION: I here6y eHirtn under penalry ot perjury one oi the following declaretions: � ' ❑ I have antl will maimaln e ceniticate of consent to self-Insure tor workers' compensation, as pmNded for by section 3700 ot the Lebor Code, for the peAortnance of the work for which this permit is issued. '� �I hava and will maintain workers' compensation insurance, as required by sectlon 3700 of ihe Lebor Code, Por Ihe pertormance of the work for which Nis pertnil is IssueO. y workers' compgnsation In urence carner and qoly'�y number ere: cama�? �'nmh�ne� 9✓/fr�af'ty i1+-+S CC5 Po�icyNumber: (X)S-6��)2Z22 j (Tfiis sectton need nof be completed i/ the ermit is valued t one hundred dollars ($100) or less.) l ----: ❑ I certily ihat in the performance of Ihe work for which this pertnit is issueQ I Shall not employ any person in flny manner so as to become suDject to the workats' compensation laws of Californi , end agree tl if I s auld becoma subject to the workers' compensation pmvislons of Section 3700 of Ihe lebor Cotle, I shall forthwith comply wiih thesa prov' n5 ��/i.�g'-o5 Appllcant SignaNre: - Date: WARNING: FAILURE TO SEC E WORKERS' COMPENSATIIXJ COVERAGE IS UNUWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSANOOOLLAFE(5100, ),INADDITIONTOTHECOSTOiCOMPENSATiON,DAM4GESASPROVI0E0WFINSECTION3]O60FTHELABORCODE,IN�EFEST,ANDATTOFNEY'SFEES. LICENSED CONTRACTORS OECLARATION: I hereby aflirm ihat I am licensetl under provisions of C�apter 9(commancing with Section 7000) of Division 3 of the.Busin/e�s an Pmfe sions Cotle, and my license Is in Full force antl eHect. Lic. #� �%/� y 2l e Class a L� � 3� CONSTRUGTION LENDING AGENCV: ❑ I hereby attirtn that ihere is a consiruction lending agency for ihe pedormance of the work for which this pertnit is issuad. (Sec. 3097, Civil Code). Lentler's Name: Lentler'S Add�ess: SignaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn that under penalty of perjury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for t�e toilowing reason (Sec. 7031.5, Business end Protessions Code: Any city or county which requires a permit to consimct, elter, improva, demolish, or repalr any structure, prior to its issuance, also requires the applicant tor such permit to file e signed statement thet he or she is Iicensad pursuant to ihe provislons ot the Contractore License Lew (Chapter 9(commendng with Sectlon 7000) of Division 3 of Ihe Businass and Protessions Code) or ihet he or she is exempt therefrom and the besis tor ihe elleged exemption. Any violetion o1 Sectlon 7031.5 by any epplicant for a pertnit sub�ects tha applicant to a civil penalry of not more Ihan tive hundred dollers ($500).): ❑ I, as owner of the property, or my employees wi�h weges es iheir sole compensatlon, WILL DO THE WORK, and the strudure is not intentleC or oHered tor sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work himself or herself or �h�ough his or her own employees, provitled that such Improvements are not intended or oHered for sala. If, however, ihe building or improvement is soltl within ona year oi completion, tha owner�builtler will heve ihe burden of proving ihet he or she did not build or improva tor purpose of sele.). ' ❑ I, as owner of the praperty, am EXCLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to construci the project (Sac. 7044, Business and Professions Code: The contrectors License Lew tloes not epply to an owner of proparty who builtls or improves thereon, and who coniracts for such projact with e coniractor(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt under sec. Business entl Protessions Cotle for ihis reeson: Signature: Date: Owner ID verified by dnvar's license. ❑ Ves ❑ No Driver's License No. Ezpires: Venfication of Ownership by (rype of document, i.e. - property tex bill or deetl): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in tlepih into which e person is required to descenq will be made in connec�ion with work authorized by this permit, antl that no building simcture, scaHolding, felsework, or tlemolition or tlismantling ihereof, will be more ihan thirty-six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Californie Administrative Code). ❑ As ownervbuilder, I will not employ anyone to do work which would require e permit from ihe Division of Intlusinal Sataty, as notetl e6ove, unless such person has e permit to tlo such work trom Ihe division. SignaNre: �ate: Division ot Intlustrial Sefery Permit Number: CERTIFlCATE OP COMPUANCE AND AllTHORIZATION OF ENTAY: I certify untler penalty of perjury ihat I have read this application and state ihat the infortnation given is correct. I egree to comply with all stete lews end ciry ortlinances relating to bullding consiruction, and authorize representetives of the City of Cos�a Mesa to enter upon the above-described property for inspeciion purposes. I agree not to acupy or ellow occupency of any building authorized by ihis permit until finel inspection. CODE t. INSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition PAIE IMRIpLS �f.. � O/ � , SODE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy C o"re � ADO�icant to flll In all spaees eicao� ihase wltNn neavy boraer Iines an0 sign all appraoriate tleclarations. P MIT NO. TRACT NO. LOT NO. UNIT N0. CITY•OF COS7A MESA CONSTRUCTION PERMIT A.P. qW zo�a PrcfC[iAddress �45 University Dr. 3%�v�� BLDG C 1&2 � S Main 8uilding: Accessory Building: � AppliCant'S Mailing Addre55 TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �� T Front p Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address Arch/Eng. Licenu No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I K Right G Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ,$ Left R ❑�OTHER I Ping. Ref. # Parking Req./Provided E Convacror's Nam Phone pROJECT DESCRIPTION 5c3. P7. g�8� 2�� oCCUaAraCv n �- Address Imailing) ' 7lanning Notes: M c;,v �;��e n,o. Owner Bui 1 der CONSTRUCTION TYPE VALUATION 5 2430.00 T ZONE GRADING CU. VOS. AC0.E5 $, LICENSED CONT0.ACTOR DECLA0.ATION I hereby affirm that 1 am licensetl untle� provi5ion5 ot Char[er 9(commencin9 qemarkz: with section ]000) ot Divislon 3 of ihe BuSinesS antl Professions Cotle, antl my license is in full force antl etfect. ELECTRICAL FEES License Class License No. oate Signature PLUMBING FEES /lutomatic Washer Transformer ❑ 15-50 KW WORKERS' COMPENSATION DECLARATION Construction PoleSuh. � 50+KW I M1ereby affirm that I have a rertificate of consent to Self-insure or a Certif7Cate Bar Sink $hOwEfS Worken' Compensation Insurance, or a certifietl copy thereof (Section Backflow Preventer Servite Sink Cookin9 Unit Meter ❑up to 700 amps 0, Lab. CJ acy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps 8 Certified wpy i5 he�eby fumishetl. Dry¢!5 ❑Gd5 ❑EI¢ct�iC Sub Panet Certitietl copy is filetl with the city Builtling Division. Bdthtubs Sewer Connection Date Applicant Fan Morors �0-i HP 01�Y: - 8 E%EMPTION P0.0M WORKERS' COMPENSATION �ECLA0.ATION Clarifiers $Olar C011ector5 (This section neetl not be completea if the permit Is tor one huntlretl (5300) or Dishvudsher F,A.U. Inc. Solar 09-15 HP � 16-75+ less). Solar Piping I certify that in lhe performance Ot [be work for which [his pe�m�t I5 issuetl, I FixtU�¢5 ' shall not employ any person in any manner so as to become ubject to the Drinking Fountains SOlaf Tank Microwave Worke/5� ��omp en tion Laws of Calito ia � Device BOxes Date �.,Z��Siqnature ��6� � .p'ri� Floor Drains Swimming Pool w/Spa Pole Light NOTIbE: If!aft¢r making this tletlaralion, you l�oultl become su0ject ro the Outlets Ran e Workers' Compensation provlsions of the Ldbor Cotle, you must Porthwith Floor Sinks Urinal 9 compry with such provisions or tbis p¢rmit shall be tleemetl revoketl. SwitchCs CONSTRUCTION IEfYO1NG AGENCV Gas$eNiCe OutlC[5 WaLCtCloSet Sign 1 hereby a/flrm Ihat ther¢ I5 a const�uctlon lentling agency fo� Ihe OerformdnCG 01 the work fo� which this Oe�mit is issuetl ($ection 309] Civ. C.) Garbage Disposal Standing Sections Lentler's Name Interceprors Water Heater �entler's Atltlress Kitchen Sink Water Service Generaror 065 KW �5-15 KW Trash Compactor OWNER BUILDER DECIARATION I hereby a(tirm lhat I am exempt trom the Contracror4 Ucense Law for the Lavatories Auto-Wash loiiowing reason (Section 7031.5 Business antl Professional Cotle: Any city or [ounty which requi�es a permit to construGt, alt¢r, ImOrove, tlemOlisM1 o� r¢pair p—Trap �ypndry T/ey5 any Sl�uciure, p�lor to itz issuance, a150 r<quites lhe appli<ant f0/ such p¢rml[ to file a signetl statement that ne/she Is licensetl pursuant to tne orovisions of Roof Drains the Contractor's Licenze law (ChaO�er 9(commencing with Section �000) o( Division 3 ot the Business antl Professmns Cotle) or tha[ ne/sne is exempt , Reinspeetion Fea $15 Issue Fee $ 3 �relrom antl lhe ba5is 10� the allegetl exemption. Any viOlation ot Secilon I3.5 by any applicant for a permit subject5 the applicant lo a civil �alty o� not more tnan tive nuntlred donars (SSoo). 3 DEVELOPMENT SERVICES REQUIREMENTS: L.� I, as owner of the o�operty or my employees with wages as tnair sole Reinspection Fee $15 Issue Fee S Zoning Approvad By Date compensation, will Do the work, antl the s(ructure is not Intentletl or offeretl tor sale (Section 7044, Business antl Professional Cotle: Tha Contractor's MECHANICAL FEES Buildin8 APPraved By Date — �. /_ License Law tloe5 nol aOP�Y �o an owner of a property w�o builtl5 Or ImO�ov¢5 �� thereon, antl who tloes such work �imsel(/h¢r5¢It or tnwugh hi5 0� her own BOiIC� HOOd OI T ¢ I ❑ APP��tion Issued By �- Dete_ employees, provitletl tnat such Improvemen[s are not Inlentletl or offeretl for VP sa1e, It, �owever, the bulltlin9 or improvement is soltl wilhin one vear of com- C&nopy Type II ❑ SUMMA OF EES pletlon, the owne. will nave the burden of proving he/she tlia not builtl or Im- Duc[ - Under Ground va tor the purpose ot saie). . BUI LDING PERMIT $ ` � SMIP $� I, as owner ot che property, am exausivery contractin9 with licensetl con- Duct -Structural Refrigeration Sys[em P�AN CHECK $ PERMIT ractors lo construcl Ihe prOject (Section 7044, BuSin¢ss anC Pro1¢55ions Code: The Contractor's License Law does not appty to an owner of property who Duct- Ventilating ❑0-100,OOOBTU ❑100,OOOBTU PLUMBING $ ISSUANCE $ builtls or improves tbereon. antl who mnt�acts lo� such oroiect5 wlth a con- tractor(s1 hcense pursuane m�ne ConVactors License Law). I am aware that Exhaust System � MWtiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $ prool o/ their Worker's Compensation insuranw showtl be provitletl [o me, ELECTRICAL $ GRADING S ❑ I am exempt untler Sectlon B. & P. C. tor this reason Firepl/Fact. BIL ICBO # Fire Dampers MICROFILM $ PLAN CHECK 50% $ '/ Date Owner Heating Sys[em & Ducting Register5 MECHANICAL $ S`/sv I hereby ce tify that I have reatl [his application antl state that the above ❑0.100,000 BTU 0100,OOOBT T�TAL FEE $ inbrmation is correcL I a9ree to compty wrth all city ane county ortlinances PLAN CHECK 25% $ antl state laws relating lo builtling con5t�uction, antl nereby authorize repre- Sentatives of tM1is ci[y t0 en[e� u0o the dbove-mention¢tl p�opert fo� inspettion p�o��l� ��M ` DateP 7 d� r1 01 �Qj��Y$15—'�0O348i5 e�y �"- Signa[ure 'r ' Drivers' License or 55 � Aainspection Fee $15 Issue Fee $ 3 ��>;F: Q$/0��[S� 7IGEs 05%2; 0865-46,rev. 5/88 Pink � Accounting: Goltlenrotl - Assessor jCONSTRUCTION qND PLANNING POOI ,�PA . TIPPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector . � 1. Temporary Electrical Service or Pole i 52. Pool & Equipment Location 2. Soil Pipe-Undrgrntl. � 53. Steel Reinforcemen[ 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, O Undrgrnd., Test 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Unqrgrnd. �� 10. Structural Floor System _ 67. 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 Sys[em - Final � 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final .'•f6. Rough Electric Wiring 67. Fencing & Access Approval �7�. Rough W(ring Sfgn 68. APPROVED FOR PLASTERING T8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 9. Rough Heating & qir Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Foof Framing 73. UndergrnA. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing 76. DrYStandpipe 28. Lathin9 & 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 pomestic-Final 42. Backflow Prevent2r I,� �� .� �� 43. Backflow Irrigation %' 44. Landscape Irrigation System �'=� 45. Sound Attenuatiqn 46. Handicap Reguladons 47. FINAL STRUCTURE & BUILDING �p �j/� 48. Special Requirements Completed 49. Electric Release to Edison ��. �� 50. Gas Release to Southern California Gas Co .�� \i �7" 51. CERTIFICATEOFOCCUPANCY - c �' �� No. �� Date �r __' 1 �. 3 � 12 L I i 121_..T' �-` J , ' � CITY OF r�1STA MESA �— Pr'i� • i,�! zi-��:�;.—; 00 �9s � x12��9��.12 PA/. ; EES Fee Payment Receipt ' � 19 Praject Address .3� C' v��1 �= i� �Ft�— . Park Area A. P. No. I I�1 —3�\ — I� � �C�,2o,a1,2 =- BuildingPermitNo.37�'��'37'�� J3c`3'%��%3�'17 Owner'sName i'�P:1_IN�KS _S4V�NC�S ��O/�1�1 � Mailing Address �-� �� wES\ LL-\F�� \�Z. ,��r1�. FEE Single Family * Multiple Family ** :J No. of Units @ 5338.27 = No. of Units S � @ $238J8 = / - , �`'' �• /7 Planning Aepar[ment Approval Da[e � � ^ r Applicant's Signa[ure � '� � , , ` Clty Ord�nanre 72-44 *• Clty Ordinance 72-45 Total Fee � , � BY � , � �� -_�__ ;, �'�� ✓. ,. `. 1\� , .1obAddress:,�.346 UNIVERSITYDR Suite: ' F4 ' ' Vicinity: F4, UPSTAIRS BATHROOM AND ATTACHED GARAG Primary Occ: R3 Type o( Construdion: V-N Parcel Number: 93388012 Zoning: npp�icanr. ATTEBERY,,JIMMY j •� • ::' Address: 1301�E�GEN2AOTRY WAY ANAHEIM,CA � � - Status: ISSUED �� ' "'�t' i Applied: Oi/24/2007 ' .Issued: 0124/2007 _; r, . �'. t; (' ._ `�- r t � . . , r, .. , Phone: 714-936-7100 l Zip: 92805 ISSUED BY:` Owner: BARBER, BRETT Address 345 UNIVERSITY DR � F4 . Phone: 714-791-2719 COSTA MESA, CA Zip: 92626 Contrector. ACTERHOLT CONSTRUCTION AND INTERIOR Address: '�1301 E GENE AUTRY WAY ANAHEIM,CA Zip: 92805 � Arch : Address: Phone: Phone: 714-938-1100 License: 572282 Eng: Address: Phone: Zip: - License: � License: SCOPE OF PERMIT FIRE DAMAGE REPAIR TO UNIT F4 AND ATTACHED GARAGE. WORK TO INCLUDE: MINOR REPAIR AND REPLACEMENT OF FRAMING, DRY WALL, LATH AND PLASTER LOCATED IN THE UPSTAIRS BATHROOM AND ATTACHED GARAGE (NO STRUCTURAL WORK). . FEESUMMARY Plan Check $0 00 • Calc Valuation $a o00 00 Permit: SMIP Res: SMIP Com: Other. Inspection: Total: $97.25 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS �'�� MAINSTRUCTURE Front - 0-0 ACCESSORY , Front 0-0 PARKING , exislina: o, � "'.' 1, PLANNING & ZONING Rear 0. 0 Left 0- 0 Rear 0- 0 Left 0- 0 � Reauired: 0 Pr000sed: 0 Claim Valuation: Sa,000.00 Right 0-0 Righ� 0-0 . - .^/, �_ . ' �- ^j , NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia sta tes and relatad 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 ihis permit to be considered legal, such work must comply with all applicabla codes, and all requlred Inspeotlons end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaases(aaol WORKERS'COMPENSAnON DECLARAnON: I hereby elfirm under penalty ol perjury one of t�e following declarations: ❑ I �eve entl will mainiain a cenifirate of consent ro self-Insura tor workars' compensation, as provided for 6y section 3700 0l tha Labor Code, br ihe peAormance of Ihe work for which this pertnit is issuetl. ❑ I have erM will maintain wotkers' compensation insurance, as require0 by sectbn 3700 0l Ihe Labor Cotle, for �he perfortnance oi the work for which Ihis pertnit is issued. -.�-�_My work�rs' C�1erns`a',tion Insurence cerder ana policy number are: /'�� p Cerrierr �Pdicy�Number., W � �� I L� (Thls section need not 6e comp/e(etl il the parmit is va/ued af one hundred dollars (5/00) ar IessJ ❑ I caniry that in the pedormence ol the work br which ihis permit is issued, I shall not employ any person in eny manner so es to become subject to Ihe workers' compen5eti lews ol Cellfomia, end agree Iha� II I should become sublec� b Ihe workers' compense�ion provisions of SacHon 3700 0� Iha Labor Code, I shall forihwith comply with t e prov�ons Applicant Signeture: � � � pe�e! �" Z Y— � 7 � F WAqNING: FAILURE TO SEC flE WO (ERS' COMPENSATIqJ IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANODOLLARE($100,WO�INAO ITIONTOTHECOSTOFCOMPEN TION,DAMAGESASPFOVIDEDFOFINSECTION3]OGOFTHELABORCADE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARA710N: I herehy eflirm iha� I am licensetl under provisions of force end.ettecL.Lic. # �� q � CONSTRUCTION LENDING with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full Z ; Class k_ � (,D.Ne:—.� :� �-`� - � 7 i - � I - �'7 ❑ 1 hereby aHirm that there is a consiruction lending egency tor the peAormance of ihe work for w�ich Ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Nama: Lenders Address: Signature: OWNER•BUILDER DECLAiiA710NS: Date: 1 herehy ettirm that under penairy ot perjury thet I em EXEMP7 FROM 7ME CONTRACTOtiS LICENSE LAW br Ihe following reeson (Sec. 7037.5, Businass end Professions Cotle: Any ciry or county wnich reQuires e permit lo consiruct, alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires ihe applicani lor such permit to lile e signetl statement t�at he or she is licensed pursuant to the pmvisions ol lhe Contractors License Law (Chapter 9(commencing with Sectlon 7000) ol Divislon 3 ot the Business end Professions Code) or that he or she is exempt therefrom and the basis for the elleged exemption. Any violation oi Section 7031.5 �y any applicant tor a pertnit subjects ihe epplicant to a civil penalry ol not more than five �undretl dollars (5500).): ❑ I, es owner of Ihe property, or my employees with wages es t�eir sole wmpensation, WILL DO THE WORK, antl tha sWcture is not intendad or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Contrac�ors License Law dces not apply to en owner of properry who builds or improves lhereon, and who tloes such work himselt or herseli or t�rough his or her own employees, provided ihal such improvemen�s are not Inlentletl or offered for sale. If, however, the builtling or improvement is soltl within one year oi completion, the owner-builtler will have Ihe 6urden ol proving that he or she did not builtl or improve tor purpose of sale.). ❑ 1, as owner ot Ihe proOertY• am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to cons�ruct iha project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to an owner of pmperty who builds or Improves ihereon, antl who comracis br such projecl with a comractor(s) license pursuant to �he Conirac�ors License LewsJ. ' ❑ I am exempt under sec. Business and Prolessions Code lor ihis reason: Signature: Date: Ownar ID vanfied by driver's licensa. ❑ Ves ❑ No Dnver's License No. Expires: Vetlfica�ion ol Ownership 6y (rype ot tlocumont, i.e. - property �ex bill or deedj: OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cehity that no excavation live (5) or more leet in tlepih into which a person is required to tlescend, will be made in connection with work au�horizad by t�is permit, end that no 6uilding swcture, sceRolding, lalsework, or demoli�ion or dismantling thereof, will be more ihan thirry-six (36) fee� �igh. (Chap. 32, Gry 2, An 2, Sec. 341, Ttle 8, Celifornia Administrelive Code). � ❑ As owner�builder, I will not employ anyone lo do work which would require a permit irom the Division ot Indusirial Safety, as notetl ebove, unless such person has a permit to do such work from Ihe tlivision. Signawre: Date: Division ot Industnal Safety Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AIITHORVATON OF ENTRV: 1 certify under penalry ot peryury that I have read this application and state that Ihe information given is correct. I agree to comply with ell siate laws end ciry ordinances relating to builtling canstruction, end authorize representatives of the Ciry oi Costa Mesa Io enter upon Ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy ot any building au�horized by this permit un�il final inspection. � � �'Antl/OrAut� �zed Applicant �� GOpE A, INSPECTIONTYYE � Q�f, INTRIpLS 1616 Fizetl Sys�em Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rooi 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 20G Final Demoiition COOE� INSPECTIONTYPE 206 Final Mechanical 208 Finel Plum6ing 210 Final Electncal 212 Final Fire Preventi0n 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy Date QAjf, TIN RIALS � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesaE,iEaCTRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 dobAddress: `345��1lNIV,ERSITYDR i •' � � � Status: ISSUED , . . . , r- ... Suite No F4 � j Applied: 01/242007 Viciniry: ATTACHEDGARAGE " ' Issued: 01/24/2007 Parcel Nunmber. 93388012 'r; App�iwnt: ATfEBERY, JIMMY Address: 7301 E GENE AUfRY WAY ANAHEIM,CA owner: BARBER, BRETf Address 345 UNIVERSITY DR � - ' F4! COSTA MESA, CA Phone: 714-938-7100 Zip 92805 Phone: 714-791-2719 Zip: 92626 Contredor. �ALTERHOLT CONSTRUCTION AND INTERIOR Address: 1301 E�GENE�AUTRY WAY ISSUE FEE Temp service test Res. a/c package. � New Res (1-2 units) New Res (3+unit5) Pool I Spa Lighting Fi�As Recept Outlets Switches .; , Non Res P,ppl' Res Appl Service to 200a� , Service to 1000a Service over 1000a Motors to thp � Molors to tOhp Molors to SOhp Motors to 100hp Motors over 100hp Communiwtion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intertned Pole ANAHEIM,CA Phone: 714-938-1100 Zip: 92805 License: 572282 "' .- ._. �. ..•%,�. .. --' . ISSUED BY: SCOPE OF PERMIT ELECTRICAL PERMIT FOR FIRE DAMAGE REPAIR TO UNIT F4 AND ATTACHED GARAGE. WORK TO INCLUDE: MINOR REPAIR AND REPLACEMENT OF FRAMING, DRY WALL, LATH AND PLASTER LOCATED IN,THE UPSTAIRS BATHROOM AND ATTACHED GARAGE (NO STRUCTURAL WORK). REF#:807-00081 WORK TO INCLUDE: REPLACEMENT OF 1 LIGHT FIXT AND 1 OUTLET. $23.50 $0.00 $0.00 $0.00 $0.00 so.00 $1.10 $1.10 � �A$0.00 $0.00 $0.00 $0.00 ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 .. $0.00 $0.00 $0.00 $0.00 $0.00 50.00 QuanUty 0 0 0 1 1 0 0 0' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .�� .\ . FEESUMMARY - Temp Dist System / Lighting ' � Busway/100k Slanding.SeIXion Misc Electrical Equipment , Transformers up to 7 kva/kw ................up to 10 kva/kw . .................up to 50 kva/kw .................up to 100 kva/kw .. - ..................over 100 kva/kw � Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit , Misa Conduclor Circus ( gen or ride) Cirws (meCh ride or lights) Chrislmas Tree Stand Fireworks Stand , Other Eleddcal Fee Investigation Fee Plan Check Fee Reinspedion Fee Quantity $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 So.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 50.00 $0.00 $0.00 TOTAL CALCULATED FEES 525.70 _ _ ._ •. % '' . � . _ � ._.,.. NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) , EXPIRATION:.This permit shall automatically expire and become voitl it work is not commenced within 780 days o if work is suspended or abandoned for a period of 180 days: ' G' 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 Inapectlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244G46 (fi/00) WORKERS' COMPENSATION DECLARATION: I hereby eHirm under penalry of perjury one of the following decleretions: ❑ I have and will mainlein a cehifica�e of consent to salf-Insure br workers' compensation, es pmvidetl tor by saction 3700 of the Labor Code, tor �he peAortnance of ihe work for whith t�is pertnit is issuetl. ❑ I �ave antl will maintain wwkers' compensatlon insurence, as requiretl by secUm 3700 of Ne Lebor Cotle, for Na peAomunce of ihe work for which Nis permit is issued. My workers' pensalion 1 uranca cartier end policy number are: `wr ca«�ec � Go r p� Poliay Number. V V "7 i� s q o a (lhls section neetl nol e completetl i! fbe permit is velued et one hundretl tlollars ($100) or less.) ---� --• ❑ 1 ceRify Ihet in the performance of ihe work for which I�Is permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensatlon lews of Califomia, end agree that it I should become sub�ect to the workere' compensation provislons of Seciion 3700 0l the Labor Code, I shall forthwith comply wlth ihese pro�f ions. C Ap011cantSigneWre: � Date: � Z`,^O7 i WARMN(3: FAiIURE TO SECURE W KERS' C MPENSATION GUVERAGE IS U'LAWFUL rW� SHALL SUBIECT Ml EMPIAYEFTObRIMINAL PENALTIES NND CIVIL FINES UP TOIXJE HUNDRED THOUSANDOOLURE(5100,OD0),INA 41TIONT THECOSTOFCOMPENSATIO DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCODE,INTEREST,ANDFTTOFNEYSFEES. LICENSED CON7RACTORS DECLARATION: I hereby ettirm Ihat I a 'censed under provisions of Chepler 9(commencing wilh Section 7000) of Division 3 of Ihe Business an�protessions Code, antl my licensa is in full force and eMecL Lic. a � 22$ Z (Cless p �� Contrectofs Signeture: � ��ate`� � `__ � � CONSTRUCTON LENDING AGENCY: ❑ I hereDy aNirtn that there is a consWction lentling egency lor the performance ol the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: SignaNre: _ OWNER•BUILOER DECLARATIONS: Lender's Adtlress: Date: I hareby aHirtn thel under penelty of perlury that I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor ihe following reason (Sec. 7037.5, Business entl Professions Cotle: Any city or counry which requires a permit b constmct, alter, improva, demolish, or repair eny structure, pnor to its issuance, also requires the applicanl for such permit to file a signetl statement ihat he or she is licensetl pureuent to the provisions oi the Coniractors License Lew (Chepter 9(commencing wilh Section 7000) oi Division 3 oi the Busineu end Professions Cotle) or thet he or sha is e:empt theretrom end Ihe basis for the allaged e:emption. Any violetion ol Section 7037.5 by any applicanl tor a permit sublects Ihe epplicant to a civil penalry of not more than fiva huntlred dollers ($500).): ❑ I, as ownar of the properry, or my employees with wages es �heir sole compensation, WILL DO 7ME WORK, entl the structure is not Intentlatl or offeretl for sala (Sec. 7044, eusiness and Protessions Code: The Conirectors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work himsetl or herseN or Ihrough his or he� own employees, provitletl tha� such improvemems are not intended or oHered for sale. If, however, the building or improvement is sold within one year ot completion, ihe owner-builder will have the burtlen of proving lhat he or she did not build or improve for purposa of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business antl Professions Code: Tha wniracmrs License Law does not appty lo an owner o/ property who builds or improves thereon, end who contracis tor such pmject with a contracror(s) license pursuant to the Coniracmrs License Laws.). ❑ I am exempt un0er sec. eusiness and Professions Code tor ihis reason: SignaWre: Daie: Owner ID venfietl Dy tlnveYs license. ❑ Ves ❑ No Drivefs License No. Vedliwtion ot Ownership by (rype ol documem, i.e. - property tez bill or tleed�: Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certify Ihat no ezcavation tiva (5) or more teet in depth imo which e person is required to descend, will be made in connection with work authonzed by ihis permit, and Ihet no building simcture, scaffolding, talsework, or demolition or dismamling thereol, will be more ihan ihiny-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sac. 341, Title B, Califomia Administrative Cotle). ❑ As awner-bullder, I will not employ enyone to do work which would require a permit from ihe Oivision of Indusirial Setety, as noted ebove, unless such person hes a permit to tlo such work irom the division. Signature: Dete: Division of Intlusirial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMAV: I certily under penalry ot porjury that I have read this applica�ion and state Ihat the information given is correct. I agree Io comply with all state laws and ciry orAinances relating to building construction, and authonze representatives ot �he City of Cosia Mesa to enler upon the ebove-descnhetl pmpetly tor inspedion puryoses. I agree not to occupy or allow occupancy ot any building authorized by Ihis pertnit until final inspection. COOE I, 1616 1266 200 201 202 203 Fixed System Final Fire Prevention Pool Spa Final Finel Re-Root Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition un Date 1 — � .i _ w, —, COOE I INSPECTION TYVE 206 Final Mechanical 208 Final Plumbing 210 Finel ElecMcal 212 Final fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency P�ff INiRULS 7 % .� JobAddress: 345 UNIVfRSITYDR Suite No ' F4 Vicinity: BATHROOM Parcel Nunmber: Applicant: Address: 93388012 �V, f^ ATTEBERY, JIMMY 1301 E GENE AUTRY WAY ANAHEIM,CA Owner: BARBER,,BRETT Address �345UNIVERSITYDR� ..F4., � A �, - - � COSTA MESA, CA . . Phone: 714-938-1100� Zip: 92805 � Phone: 714-791-2719 Zip: 92626 , Contractor. ACTERHOLT CONSTRUCTION AND INTERIOR Address: �� 1301 E�GENE AUTRY WAY ANAHEIM,CA � Phone: 714-938-1100 Zip: 92805 License: 572262 � �i � „� ,Status: ISSUED ~ .. � � . --� Applied: 01/24/2007 � Issued: 0124/2007 �•.S'-;� ;' � c � " '_ '_ ,.�.t: . . �., . ISSUED BY: - ' SCOPE OF PERMIT � PLUMBINGWORK FOR FIRE DAMAGE REPAIR TO UNIT F4 AND ATTACHED GARAGE. WORK TO , ` INCLUDE: MINOR RERAIR AND REPLACEMENT OF FR4MING, DRY WALL, LATH AND PLASTER LOCATED - ", IN THE UPSTAIRS BATHROOM AND ATTACHED GARAGE (NO STRUCTURAL WORK). ' . • FEE SUMMARY c - AMT � _ �_. . . � . .. -AMT� aTY � ISSUEFEE � $23.50, LaundryTub/Washer $0.00 0� Backflow irrigation ' $O.00s 0� Landscape Irrigation $0.00 0 BackOowPreventer $0.00 0 �� - �_P-Trap� ' $0.00 0 , Bathtub $9.80 . 1 -. -- _PressureRegulator - �$0.00,' 0 �- Clarifier System� - � $0.00 0 �- Process Piping (perl0.ft) $0.00 0� Connect pce,Soda,elc) , $0.00 0 Receptors $0:00 0 DentalUnits � � $0.00 0 , SepticTank '$0.00- 0 Dishwasher '�� ,$0.00 0� Sewer Cap for Demo �.,, $0.00 � 0 Drain, Floor � .$0.00 0� Sewer Connect $0:00 0 Drein, Rainwater $0.00 0 Sewer Privale.Line .. $0.00 0 Drain, Root . ��$0.00 0 Shower : .$0,00 0 Drinking Fountain $0.00 0 Sink, ba� �� " $0.00.., 0 Expansion�Tank �� $0.00; 0 Sink; commerclal $0.00 -;'.0 . Gas EaAhquake Valve' �� $0.00� � '� 0 4�-+'..`� „-�.��Sink, Floor . $0.00 � -0. . •- Gas (1-4 outlets)' $0.00 ` ��.0� � � Sink, kilchen $0.00 0 � Gas(Over4outlets), .= $0.00 �O�z.`�, Sink,service/mop $0.00 0 Gas Repipe � � � $0.00 0 ' �. , Spa (private) � � � $0.00 � 0 � Gas Service � . $0.00�� .0 ' " Spa (public) ' � $0.00 0 � Interceptors (Grease; Oil) '� $0.00 ' 0� � �� - - - � . . - . " Interceptors (Sand Auto ). - $0.00 � -.; 0 � - - � SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or RepJ Water Re-pipe ' Water Service Water Softener OTHER VIOLATION PLAN CHECK , REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.30 � s' � ` �. . .. _.. � I....-..., � NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, o�r,if�H tor a period of 180 days. v �N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N7 statutes and related is suspended or abandoned INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaas-as (sioo) WORKERS' COMPENSATION DECLARATION: I hereby aflirtn under penalty of perjury one oi ihe following declarations: ❑ 1 heve end will maintain a cenificale ot consent to self-Insure for workers' compensation, as providetl tor by section 3700 of the Labor Code, for �he pertormance of �he work For which t�is permit is issued. ❑ I have antl will mainlain workers' compensation insurance, as required 6y section 3700 of Ihe Labor Code, tor the pertormance of the work for which this permit is issuetl. .�-'�My woikerp'�compensatipn Insurance carrier and policy number are: nat one Policy Numbar:� �' V /� 3 S q b$ orless.) L^'—s-^�'�+�r ❑ I certity ihat in ihe pedormance ol ihe work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to ihe workers' compensation I ws oi Celifornia, entl egree that If I should become subject to the workers' compensation provisions,of Section 3700 of Ihe Labor Code, I shall forthwith comply with the pmvisioe. c� Applican� SignaNre: pe�� — Z�J — O'� �WARNING:,FAILURE TO S C E WORK S' COMPENSATIqJ COVERAGE I UNIAWPUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED difOU5AND00LLAFE(5100,000),INADDI TOTHECOSTOFCQNPENSAT ,DAMAGESASPROVIOEDFOFINSECTION39060FTHElABORCOOE,IMEREST,ANDATTORNEY'SFEES. IICENSEO CONTRACTORS DECIARATION: 1 hereby aflirm ihat I am force end eNecCLic. a _ Coritracto7s Slg ture: of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business�nd Pmfessions Code, and my license is in full Z— CI lx €�is� �e:, �� —�I —�l CONSTRUCTON LENDING AG�NCV: V ❑ I hereby aHirm that there is a construction lentling agency for the performance ot the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Signalure: _ OWNER-BUILDER DECLARATIONS: Lentlers Address: Date: I hereby attirtn that under penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcwre, prior to iis issuance, also requires the applicant tor such permit to file a signed statement that he or she is licensed pursuant to Ihe provisions oi Ihe Comractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Protessions Cotle) or Ihet he or she is exempt Iharefrom and iha basis lor the allaged eaemption. Any violation oi Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more �han five hundred dollers ($500).): ❑ I, as owner ot t�e property, or my amployees with wages es Iheir sole compensation, WILL DO THE WORK, and the sWcture is not intendetl or ottered for sale (Sac. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who dces such work himself or herself or ihrough his or her own employees, providetl thai such improvemems are not intended or ottered for sale. If, however, Ihe 6uilding or improvemem is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the propetly, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Coda: The contractors Licanse Law does not apply to an owner ol property who builds or Improves ihereon, and who contracis br such project with a coniractor(s) license pursuant to ihe Comracbrs License Lews.). ❑ I am exempt under sec. Business and Professions Code for this reason: SignaWre: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Drivefs License No. Veritiwtion of Ownership by (type of tlocumeN, i.e. - propeny tax bill or daed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more fee� in dapih into which a person is required to descend, will be made in connection with work authorizetl by Ihis permit, antl ihat no builtling simcture, scattoltling, falsework, or tlemolition or dismantling lhereot, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builtler, I will not employ enyone to do work which woultl require e permit irom ihe Division of Industrial Safety, as noted above, unless such person has a permit to do such work from ihe division. Signa�ure: Date: Division ot Industrial Sefe�y Permi� Numher: CERTIFlCATE OF COMPLIANCE AND AUTHORRATON OF EMAY: 1 certify untler penalry of perjury iha� I have read this application and state Ihat ihe information given is wrrect. I agree to comply with all state laws end ciry ordinances relating to builtling conswction, and authonze representatives of Ihe Ciry of Costa Mesa to emer upon the ebove-descnbed property for insDection purpases. I egree not to occupy or allow occupancy of any building authorized by this pertnit umil tinal inspection. CQOE t. 1616 12fi6 Pixetl System Final Fire Prevention Pool Spe Final 200 Final Re-Roof 201 Final8locWRetaining Wall 202 Final Faciory Fire Place 203 Final Sign 204 Final Demolition �II Date �-zy_o7 ( _ Date; CODE I INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy D�T (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: Suite No Vicinity: 345 UNIVERSITY DR F3 Parcel Nunmber: 93388043 Applicant COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY Owner: PRICE, JUDIE LYNN Address 345 UNIVERSITY #F-3 COSTA MESA, CA Phone: (714) 241-1474 Zip: 92708 Phane: 2ip: 92627 Contractor: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY WATER HEATER CHANGE OUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 ou0ets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY Phone: (714) 241-1414 Zip: 92708 License: 529127 SCOPE OF PERMIT FEE SUMMARY Laundry Tub / Washer Landscape Irrigation P-Trap Pressure Regulator Process Piping (per 10 ft)� Receptors � SepticTank Sewer Cap for Demo Sewer Connect Sewer Private Line Shower Sink, bar Sink, commercial Sink, Floor Sink, kitchen Sink, service/mop Spa (private) Spa (public) , AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ISSUED BY: ,�Xp g,E DA'� � � O� QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/11/2005 Issued: 02/16/2005 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closel (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO 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 requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , 2aaws (�uao) WORKERS'COMPENSAnON DECLARAnON: I hereby aNirtn under penalry of parjury one ot the tollowing detlaretions: ❑ I have and will maintain a certifiwte of consent to self-Insure tor workers' compensation, as provitletl for by section 3700 of the Labor Code, for Ihe pertortnanca ot ihe �work to� which Ihis permit is issuetl. .�yhave and will maintain workers' compensation insurance, as required by section 3700 of ihe Labor Cotle, for the performance of ihe work for which Ihis pertnit is issuetl. My workers' compensation Insurance carrler end pollcy number ere: GP.olicy.Number.��. I�COPJ�Sv " �-EJU 1 one hundred tlollers ($700) or less.) ❑ I cetlify that in Ihe pertormance oi ihe work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensation laws oi C lifornie, andggrqe Ih9t it I should become subject to Ihe workers' compensation provisions of Section 3700 of ihe Labor Code, I shell forthwith comply with ihese p ions. , �' A Applic�en_t_SlgneNre: �rd�.l7 �Date-:�Z`��a`CJ> YlAPNING FAILURE TO SECURE OR RS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES ANp CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLAFE (3100,000), IN ADDITION TO THE COST OF CAMPENSATION, �AMAGES AS PfiOVIDED FOR IN SECTIIXJ 3]O60F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat�l em I` nsetl untler provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the 8usiness and Pmfessions Cotle, and my licensa is In full torceentleHect$Licr ( � `Iass.N, C-'J � Contractor's Signature� Date: 7_` 1(¢ O T ------"' ' � CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm ihat there is a cons�ruction lentling egency for the peAormance of the work for whic� ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Neme: Lender'S Address: Signature: OWNER-BUILDER DECLARA710NS: Dare: I hereby eftirm lhat untler penelty of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business ana Professions Code: Any ciry or county which requires e permit to consiruct, elter, improve, tlemolish, or repair any simcWre, prior to its issuance, also requires the applicant tor such permit to file e signetl stetement ihet he or she Is Iicensetl pursuent ro the provisions of the Contrectors License Law (Chapter 9(commencing with Seclion 7000) oi Didsion 3 of t�e Business and Professions Code) or that he or she is exempt thereirom end the basls tor tha alleged ezemption. Any violation of Section 7031.5 by any applicent tor e permit subjects the applicant to a civil penelry of not more than five hundred dollers ($500).): ❑ I, as ownar of Iha properry, or my employees with weges es their sole compensetion, WILL DO THE WORK, and the structure is not intended or offeretl for sale (Sac. 7044, Business and Professions Code: The Contractors License Lew does not apply to an owner of property who builds or improves thereon, and who tloes such work himsetl or hereelf or through his or her own employees, provided that such impmvemems are not intentled or oflered for sale. If, however, the builtling or improvement is soltl within one year of completion, ihe owner-builder will have the burden of O�o�ing that he or she did not build or improve for purpose oi sale.). ' ❑ I, as owner of the property, em E%CLUSIVELV GONTRACTNG WITH LICENSED CONTRACTOHS to consinict tha project (Sec. 7044, Business antl Professions Code: The contractors License Lew does not epply to en owner of property who builtls or improves thereon, and who wntracis for such project with a contractor(s) license pursuam to ihe Contractors Licensa Laws.). ❑ I am exempt under sec. Signature: Owner ID verifietl Dy dnvers liCense. ❑ Ves ❑ No Business end Pwlessions Code br this reason: Venfication of Ownership 6y (type ol daument, I.e. - property taz bill ar deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereby certify ihat no e:cavation tive (5) or more feet in depih into which a peroon is required to descentl, will be made in connection with work authonzed by ihis permit, end ihat no building s�ructure, scaHolding, falsework, or demolition or tlismantling ihereof, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, California Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which woultl require a permit from the Division of Industrial Satety, as notad above, unless such person has e permit to do such work irom the division. Signature: Date: Division oi Industrial Safety Permit Numher: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAY: I cenify under penalry of perjury that I have read ihis epplication antl state Ihat the information given is corred. I agree to comply with ell state laws end ciry ordinances relating to building construction, and authonze representatives of the Ciry of Coste Mesa to enter upon the above-tlescribed D�operty tor inspection purposes. I egree not to wcupy or allow occupancy ot any building authorized by this pertnit until tinal inspection. CODE �. INSVECTIONTYPE Q� IMRIALS 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Flnal Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition C OE1 INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �b GaIE I�LS (7/4) 754-5273 � Fax (714) 754-4856 • www.ci.costa-mesa.PcLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 345 UNIVERSITY DR� F6 F6 Parcel Nunmber: TPN005068 npplicant: LITTLEFIELD,SCOTf Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA Phone: 661-259-7731 Zip: 91321 Owner: WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNIVERSIN DR COSTA MESA, CA Phone: Zip: 92627 Contractor: AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA 1 WATER HEATER ISSUE FEE Backflow irriqation Backflow Prevenler Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earihquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $D.00 $0.00 $0.00 QTY Phone: 661-259-7131 Zip: 91321 License: 627368 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation 50.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Seplic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop 50.00 Spa (private) $0.00 Spa (public) $0.00 an 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 03/15I2006 Issued: 03/15/2006 ISSUED BY: Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Healer / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 an 0 0 0 0 0 0 0 0 0 0 1 .. 0 0 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlons and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiretion ot this pertnif. FOR INSPECTIONS CALL: (714) 7545626 �.. ,.�W,�� WORKERS'COMPENSAnON DECLARATON: I hereby aflirm under penalry ol perjury ona of the tollowing tleclaretions: ❑ I have antl w'�II maimain a cenilicate of consent to sel4lnsure for workers' compensation, es provided for by section 3700 of the Lebor Code, for the paAormence of the ork lor whith this permit is issued. lhave and will maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for Ihe pertormance of the work tor which this pertnit is issued. /�Mlp workars' compensation Insurence carrier antl policy num6er are: �6ert1�r: �{�e %,Q r�' T%� Po i umber: ZD �� C� �' 7 U� (This secfion need nof be complefed il fhe Oermit is valued et one hundred dWlars (5100) or less.) ❑ I certify Ihat in ihe pertormance ol the work tor w�ich this permit is issued, I shall not employ any person in�!� anner so as to Dacome subject to tha workars' compensetion lews of Califom' , and agree Ihat il l should become suDiect to Ihe workers' compens ti puTrovislons ol Section 3700 0l the LaDor Coda, I shall torthwith com a provisions. App niSigneWr� r.�i � Date 3"�S'Vif W AILURE TO SECURE RKERS' COMPENSATION GUVEMGE IS UMAWFUL AND SMALL SUBJECT AN EMPLOVER TO CRINJNAL PENALTIES AND dVIL FlNES UP TpONE HUNDRED THOUSAND DOILARE (5100,000),�1 AODITION TO THE COST OF COMPENSAiION, DAMhGES AS PROVIDED FOR IN SECTION 3]O60F THE IABOR CODE.IPREREST, AND ATTORNEY'S FEES. LICENSED C01�IqACTORS DECLARA710N: atl untler pmvisions of Chapter 9(commencing with Section 7000) of Divisio n Professions Cotla, ana my license is in full a 5« °�b � e: 3�r�r-oH CONSTRUCTION LENDING AGENCY: ❑ 1 hereby aflirm that there is e conslmction lending egency for ihe pertormance of ihe work for which t�is permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentlers Atltlress: Siqnawre: OWNER-BUILDER DECLARATIONS: Dete: I �ereby aMirm ihet under penelry ol perjury thet I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, 8uslness entl Professions Code: Any city or county which reQuires e permit to consimct, altar, improve, demolish, or repair any stmcture, prior to its Issuance, also requires the applicant for such permit m file a signed stetement Ihet he or she Is licensed pursuant to ihe provisions oi �he Contradors License Law (Chapter 9(commencing with Section 7000) ot Division 3 oi tha Busin855 antl Protesslons Cotle) or thet he or she is enempt therefrom and the basis for ihe allegetl exemption. Any violetion of Section 7031.5 by any applicent for a pertnit subjecis ihe epplicent to e civil penetly ol not more ihan live �undretl dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as �heir sole compensation, WILL DO 7HE WORK, antl Ihe structure Is not IntenOeG or otteretl lor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to en owner of property who builds or improves I�ereon, and who tloes such work himself or herseN or through his or her own employees, provided that such improvements are not intanded or oflered for sale. tl, however, Ihe building or improvement is sold within one year of completion, the owner-builtler will have the burden of proving ihat he or she did no� build or improve for purposo ol sale.). ❑ I, as owner ot Ihe Droperty, em EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to conshutt the project (Sec. 7044, Business and Protessions Coda: The contractors License Lew does not apply to an owner of propeny who builds or Improves Ihereon, and who coniracts br such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em ezempt untler sec. Business and Professions Cotla tor Ihis reason: Signe�ure: Date: Ownar ID verified by tlnver's license. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (type of tlocumen�, i.e. - propehy tax bill or deed): Expire5: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excava�ion live (5) or mora faet in deplh into which a person is require� to descend, will be made in connection with work authorizetl by this permi�, antl that no building structure, scattolding, falsework, or demoli�ion or dismantling thereol, will be more Ihan ihirty-six (36) faat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tile 8, Celitornia Admini5ira�ive Code). ❑ As ownar-buildar, I will not employ anyone ro do work which would require a permit from the Division of Intlustrial Sa(ety, as noted ebove, unless such person has e permit to do such work tmm the division. Signature: Date: Division of InduS�rial Sete�y Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTFiY: I certify under penalry of perjury Ihat I have reatl this applica�ion antl state that �he informalion given is wrrect I agree to comply with all stete laws end ciry ordinances relating to builtling conswction, and authonze represenlatives of Ihe City ot Costa Mesa to enter upon the ebove-descnbed praperty for in5pection purposes. I agree noI Io occupy or allow occupancy ot any building authorized by (hi5 Dermit umil finel in5pection. COUE I, INSPECTIONTYPE 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rool 201 Final BIocWReteining Well 202 Final Feciory Fire Place 203 Final Sign 20E Final Domolilion Qa¢, I� CiOQ�� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumhinq 210 Final Electncal 212 Final Fire Preven�lon 220 Final Planning Approval 222 Final Si�e 250 Final BuildingiOccupancy ---. • C�. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��ILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 345 UNIVERSITY DR Suite: F Vicinity: UNIT F ROOF Primary Occ: R3 Parcel Number: TPN005068 npp�icant: PABLO LOBATO SANCHEZ Address: 1235 N SAN DIMAS AVE Type of Construction: V-N Zoning: Phone: 626-852-2110 SAN DIMAS, CA � ,. _ - � - Zip: 91773 .. Owner. WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNIYERSITY DR � ,. . . - � .. � Phone( COSTAMESA,CA,. . , . '-_Zip:., 92627 Contractor. CONDOMINIUM CONSTRUCTION SERVICE, INC Address: „ 1235 N SAN DIMAS AVE � � - Phone: 626-852-2110 - , � SAN DIMAS, CA , ,Zip:�� 91773�- �: License: 691243 - Arch : - � Eng: �Address> � ' Address: � Phone: � ' Zip:�.`... � - � License: - � . .'. . SCOPE OF PERMIT - REROOF CONDO BLDG #F �>�� , T/O EXISTING COMP ROOF,�REPAIRlREPLACE SHTG AS NEEDED, 1 LAYER 15# FELT. . . . 65_SQUARES . .. . . .. . _ . . .. .y .. , , Rlan Gheck: ' , $0.00 Permit $223.25 SMIP Res: $1.25 � SMIP Com: ` $0:00 Other. : $0.00 `Inspection: $0.00 Total: $224.50 � �'' � Status: ISSUED Applied: 10/06/2005 Issued: 10/06/2005 ISSUED BY: I' �`��4 Phone: - License: � � �AR COMP SHINGLES. Calc.Valuation: S�2,soo.00 Claim Valuation: s�z,soo.00 � � , PLANNING & ZONING SETBACKS MAW STRUCTURE Front . 0-0�': �"�Rear 0-��0�� _ . �� Lek* -0-0` � . "�`Right � " 0-0 - ACCESSORY Front 0-0 -'Rear 0-0 ��Lek 0-0 �`�� -� Right 40 . t� - _ - � _ , . , ._ PARKING ' Existm :, . 0 Reauired: - 0. Proposed: � 0 ` > NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes antl related regulations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This permit shall automatically ezpire 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 Ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetlona and final approvel must be obtained. Failure to obtain inspections and tinal approval will resul� in the expiration of this permil. fOR INSPECTIONS CALL: (714) 754-5626 ?aas�e Idoo) WORKERS' COMPENSA710N DECLARATION: � � , ,' - - I hereby aHirm untlar penalty of perjury one ol the following declarations: � . ❑ I have and will malntain a cenificate ot consent to seli-Insure tor workers' compensation, es provided tor by section 3700 of the Lebor Cotle, tor the pertortnence of the for which this permit is issued. - I have end will maimain workere' compensation insurance, as requiratl Dy section 3700 of the Labor Cotle, for the pertormance of the work for which Ihls pertnit is issuetl. " M�� comp sation In rance cerrier antl poljcy number are: � D s OOa `�j�.�` ;Z� - � Certter. v 7Yt-ril iHc . S f/ P C 1 b I"I N ! N S CC9 pa��y.t�wnee�-= '(jbls'�section need not be complefed i! fhe rmif is valued at ne hundred dollars ($100) or less.) � ❑ I cenify that in tha pertormance of ihe work for which Ihis permit is issued, I shell not employ any person in any manner so as to become subject to iha workere' compensation laws of Califo la, antl egre Ihat It I should becama subject to tha workers' campensetion provislons of Section 3700 of Ihe Lebor Code, I shell iarthwlth comply with ihese provisio s. / WARNING:F�AIL,URETOS UREWO�S'CAMPEN��VERAGEISUNIAWFULANDSHALLSUBJECTANEMP�OYER� /O'QO —O� �IMINAL PENALtIES AND CIVIL FINES UP TO ONE MUNDRED T110USANDDOLLARE($1 ,000),INADDITIONTOTHECOSTOfCOMPENSATION,DAMAGESASPfiOVIDEDFOFINSECTION37060PTHELABOfiCAOE,IMEREST,ANDATTOPNEY'SFEES. LICENSEO CONTRACTORS DECLARATION: I hereby attirm that I am licensed �under 9rovl�ions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Protessions Code, end my license is in full CONS7RUCTION IENDING AGENCY: ❑ I hereby a%irm ihat there is a constmction lending agency for ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Adtlress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm ihat under penalry ot perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business an0 Pmtesslons Code: Any ciry or counry which requires a permit to consimct, elter, improve, demolish, or repair eny simcture, pnor to its issuance, also requires the applicant tor such pefmit b file a signetl statement that he or she Is Ilcensed pursuant to the provisions ot the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Professions Code) or that he or she is axempt Ihereirom and Ihe basis for the alleged ezemption. Any violatlon oi Section 7037.5 by any epplicant for e permit subJects the epplicant to e civil penalry N not more than five hundred dollars ($500).): ❑ I, as owner ot ihe properly, or my employees with wages es their sole compensation, WILL DO 7HE WORK, end ihe siructure Is not intendetl or otteretl tor sale (Sec. 7044, Business antl Professions Code: 7he Contractors License Law dces not apply ro en owner of properry who 6uilds or improves thereon, and who tloes such work himsaN or herseN or ihrough his or her own employees, providetl ihat such improvemenis ere not intended or oHered tor sale. If, however, Ihe building or improvement is sold within one year ot completion, the ownerbuilder will heve the burden of proving that he or she did not build or improva tor purpose ot sele.). ' ❑ I, as owner of the properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo construct the pmject (Sac. 7044, Business and Pmteuions Cotle: Ttie contrectors License Law tloes not epply to an owner of property who builtls or improves thereon, end who contracts lor such prolect with a contrector(s) licensa pursuant to ihe ConiraCtorS LiCense Wws.). ❑ I em exempt un0er sec. Business and Professions Code tor this reason: SignaWre: � Data: Owner ID verified by dnver's licen5e. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownershlp by (type ot document, i.e. - property tex bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT C ATION: ❑ I hereby certify that no excavation five (5) or t in depth in�o which a person is required to descend, will be matle in connection with work authorized by this pertnit, end that no building sWCNre, scattoldiq alsework, or demoli�ion or dismanUing thereol, wiil 6e more than thirry-six (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle e, California Administrative Code)�'�" ❑ As ownerDuilder, I will not employ anyone m tlo work�ch would require e permit from ihe Division of Industrial Sefety, as noted above, unless such person has e permit to tlo such work from t�e divisioa ��=� _ Signature: Division oi Industnal Safery Permi� Number: Date: HAZARDOUS MATERIALS AND EMISSIONS CEflTIFICATION: 1 Will lhe epplicant or pre5ent or tuiure building occupant need �o file end- ss Plan lor emergency response to release or �hreetenetl release of e hazartlous metenal7 ❑ Yes ❑ No (Section 25505 ot the California Health and Sefery Code requires, with som eplions, that e Business Plan be filetl with the Costa Mesa Fire Department 6y avery business which has et any one time dunnq a reported year a quantiry ot haza us materials equal to or greater than e weight of 500 pounds, or a volume of 55 gallons, or 200 cuhic teet ot compressed gas at standard temperature end pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or fuWre building occupant need to tile a registration form for acutely hazardous matenals? ❑ Ves ❑ No (Section 25533 oi the Californle Healih end Safery Code, wlch some exceptions, requires regisiretlon with ihe Costa Mese Fire Deparimenl by each business which at any one tima hes on hand a quentiry oi ecutaty hazerdous metanals equel to or greater then e welght ot 500 pounds, or e volume ot 55 gellons, or 200 cubic feet ot compressed gas at standard fempereWre end pressure). ..................................................................................... .................................................................................................._..........................................................................................__................................................................... 3 Does or will Ihe applicant or present or Wture builtling occupant need m prepare an RMPP (Risk Management entl Prevention Pmgram for acutely hazartlous materials)7 (Section 25534 ot the California Healih and Salery Code provides ihat the Costa Mesa Fira Depariment may require the preparation, certification end filing with Iha Fire Department of an RMPP by businesses which are required to register ecmely hazardous meterials with ihe Fire Department. .............................................................................................................................................................................................................................................................................................................................................................................. IF en FMPP is presently required, has Section 25534 ot ihe Celifornia Healih end Safery Code been fully complied with7 ❑ Yes ❑ No .............................................................................................................................................................................................................................................................................................................................................................................. Does or will the eppliwnt or present or fuWre buildin9 occupant repulre for the work which is the subject ot this a plication a ertnit for such constmction or modification tmm Ihe Sou�h Coasi Air �ualiry Manegement Dlstnct or imm any othar air pollution contml tlistna or egencyt � Ves � No (Section 658502 ot the Californie Govemment Code requires that the requasted iniormation ba furnishetl on epplications for non-resitlential building permils). .............................................................................................................................................................................................................................................................................................................................................................................. WIII any pah ot �he �acility �o be construc�ed under this permii be within 1000 fee� irom lhe outer boundaries ot e school? ❑ Yes ❑ No (If'yes", Ihe tacility must maet t�e requirement of Sections 25534 end 42303 ot the Califomia Health and Safery CotleJ. .............................................................................................................................................................................................................................................................................................................................................................................. If e pertnit irom Ihe South Coas� Air Oueliry Menegement District or other air pollution control district or egency is required tor the work which is the sublect ot thls applicallon, heve ell of lhe disclosures prescribetl by Califomia Heall� antl Safery Cotle Section 42303 been made? ❑ Ves ❑ No .............................................................................................................................................................................................................................................................................................................................................................................. (It yes", etlach cetlificate ot compliance fwm the eppropnate eir pollution contwl oflicer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the iniortnation given above is correct. I agree to comply with all state laws entl ciry ortlinances regarding Hazardous Materials and Emissions. SiqnaWre: Date: CERTIFICA7E OF COMPLIANCE AND AUfHORIZATON OF EMRV: I certiry under penalty ot perjury that I heve read this application and sfate that the iMormatlon given is correct I agree to comply with all stete laws end ciry ordinances retating m building construction, and aNhorize representatives ot ihe Ciry of Costa Mesa to enter upon Ihe ebove-described property tor inspection purposes. I egree not to occupy or ellow occupancy ot any buiiding authonzed by this pertnit until tinal inspection. COUE I, MSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Paol Spa Final 200 Final Re-Roof 207 Finel BIocWRe�aining Well 202 Finel Factory Fire Place 203 FinelSign 204 " Final Demolition ' pdg iHrrtu�s cooe� 206 20B 210 212 220 Date /n �n.r'�_ n� INSPECTION TYVE Finel Mechanical Flnal Plumbing Finel ElecMcal Finel Fire Prevention Final Planning Approval 222 Final Site ' 250 - Final Builtling/Oxupency � 1'SNRME: 34S UNIVERSITY DR aooREss: x�BERT S LILLIEH BARKER 6 MAXINE WOFFORD 395 UNIVERSITY DR �t F-4 COSTA �9ESA , CA, , 92627 RPCMIENGINEEN: aooness: flEG.NO.: uNit: F4 uxiT: PEpMirTEE: FiUBERT BARKER ( 714 ) 631-0829 aooeess: zq33 FRANCESCO DR NEWPORT BEACH CA 92660 IILFNSED CONTBACTOP OECLAflFTION: I hereby allirm �hal I am IicenseE unAer pmvisions o� Chap�er 9(commencing wiih Sec�ion 7000) ol Division 3 0l �Ae B�siness antl Pmfessions Coae. anE my license is in full force and eflect. CITY LIC.: STpTE LIC.: CIASS: Oate: Signature: WOHRENS' COMPENSRTION OECIABATION: I �ereEy allirm Iha� I �ave a certi�ica�e o� consent to sell-insure 0� a certilicate of Workers' Compensa�ion Insurance or a certihed copY �hereol (Sec�ion 3000, Lab. C). POLICY NO.: � E%P. OATE: COMPRNY: ] CetlilieU copy is he by �umishe0. ❑ Certifiea copy is filed with Ihe ciiy BuilAing Division. Dale'. Ap0licanP. E%EMPiION FPOM WOPNEB$' COMPENSA710N �ECIAXPT10N: (Thi55etiion nee0 noi b¢ tomplete0 if �h¢ permit i5 iorone hunAretl (31W) or 1¢55�. I cetlily Ihat in ihe petlorman�e o� Ihe woB �or which �his permil is issued, I shall n mploy any persOn in any manne o as �o become suble l/o�Ihe Workers' Compensation Laws oi Califomia. �� Oat�(�� SignaWre� �•Q� NOTICE: II. after maW U tl tleciaration. you shoul0 herom�e sublec to the Work rs' ComDensation D�ovisions of ihe LdEo Coae. yau musl lonnwiin comply wilh such Dmvisions or ihis permit shall be deemetl revoketl. CONSTflI1CTIUN LENOING RGENCY: I Aereby allirm t�at I�ere is a constmc�ian lending agency for ihe De�ormance o� Ihe wark for whiCh IhiS permii is i<suetl (Seciion 3097. Civ. C). LENDEN: ADDflESS: OWNEH BIIILOEN UECLAHFTIDN: I hereby aifirm that I am exemDt fmm ihe Contracmrs State License Law �or the following reason (Section 703t.5 Business and P�ofessional Code: Any ciry oi county which requires a permit m constmct, al[er, impmve, tlemolish, or repair any simcmre, pnor m its issuance. also requires Ihe applicant �or such permi� �o file a signeU slatement �Aa� he/she is licensed pursuanl lo Ne provisions of �he Coniraclors' State License Law (Chapler 9(commencing with Seclion 7000) ol �ivisian 3 0� �he Business antl Pmlessians Cotle) ar thA he/she is exemp� Iherelmm and ihe 6asis for �he allege0 exemption. Any violalion o� Sec�ion 7031.5 by any ap0licant lar a permit sJblecis Ihe applicant lo a civil penalty of not more Ihan five �unOreU tlollars ($500). I. as owner of ihe V�oDeny or my employees with waAes as iheir sole compensation, will tlo Ihe work, antl the ❑ stmcmre is no� imended or ofiered for sa@ (Section 70a4, Business an0 Pmfessional Code: The ConVactors' State License Law Goes not apply b an owner o� a pmperty who huilUs or improves thereon, anE who Ooes such work �imsel�/hersell ar thmugh his ar her own employees, pmvitletl ��at such impmvement5 are no� imentletl or oflereE �or 5al¢. I�. hOwever the huilJing or impwvement is soltl within one year ol completion, ihe owner will have ��e burEen o� pmving he/she Gid not builG or impmve lo� ihe ourpose ol sale�- I, as owner of the v�oPeny, am exclusively conlracting wilh Iicense0 contrac�ors to constmct ihe pmleQ (,Seclion 7044, Business ❑ antl Profeuions Coae- The Conirac�ors' Slate License Law tloes no� ap01y �o an owner of pmpetlp who OWltls or improves �hefeon antl who coniracis fU� such pmlecis with a coniraclor�sl license Du¢uant lo Ihe Con�ractor5' State License Law�. I am aware Ihat pmoi of tAeir Wa�ker's Compensation insurance 5�ou10 be pmvi0ed to me. � i am exemp� under Sec�ion: B P% � 4 9 B. 8 P. C. iorimsreason�%/ ��1�J,��E/$�, BC?ILDER Daie'. �� ' f�C I Z_—�% Ow� .-- - I ao hereby renity Ihat I am dware ol an0 untlerslantl Ihe reQuiremeni5 0� Califomia Healih and Satery Code S¢ctions 25505, 25533, an0 25534 ana Ihat I or any fuWB butltling occupan� willlwill no� (circle on¢) neetl �o comply with 5ai0 s�a�e c�tles 3nA the requirements for a permit lor consimc�ion or motlifiw�ion Imm Ihe Air Oualiiy Managemen� OislricL Resitleniial con9mction ap0licaiions are exemp� irom ihese pmvisions. Oale: Appli[an�: I �ereDy teriily Ibal I have reatl IhiS apObta�i0n antl Slale Iha� IAe above intorma�on is tOrret�. I agree �0 cOmply w�lh all Ciry anA counry or0inancesanastalelaw5rela�ingtobuiltlingcon5lmctianantlhereGyau�horitere resentativeso�lhiscirytoen�erupon�h bove-mentionea plopeliy l01 in5petli0n purpP5e5 �al�^ � /.� Signature � v Onver's Licens or Sociai Stcuriiy u: - 164646 Whae—Butltling: Green—Cotle Entorcemenl', Canary—Ppphcan�; Pink—Revenue; Goltlenrod—Assessor � CITY,OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 064618 PLAN CHECK N0: N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PERM NO; E 06461E GOVT: N SUPP: N PURPOSE: ADD JOB DESCRIPTION ; ADDINING OUTLETS,SWITCHES,& A FLORESCENT SQ FT: CLAIM ��ALUE; CALC-VALUE: GROUP OCC: A-3 / COMMENTS: PERMIT TO COVER ELECTRICAL PERMIT ONLY i��t**x�u��r*+��t**�e-�r�t�t*+rxir*�r***�r******x�*�r**�r+r+r��t�t**�r�-*+�x-��****r�r�r*****+��-+��-*u-*****��r�r+r Z O N I N G R E Q U I R E M E N T S S E T B A C K 5 ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 00000000 ZNE; REF NO; L�LANNING NQTES> 7 iE iE iE iE 1f iE if k if if iE it 1E if iE iF k iE if iF iF �f iE if if it it it iE 3k iE if if iE iE iF it iE if iE iE if 1F 1E iF if if iE?f 1E iE if 1! if iE 3E i! iE iE if af if if it if iE iE iE iF 9f 1E tF it if iE * 1f M iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY , DATE: BUILDING APPROVED HY : DATE: APPLICATION ISSUED BY; DATE: � ��****�,��*�****��*� �*�*�� i3 iEjEif�EiElkiEiElENiElEiEiEiEjfififlflf�f3fiElFlFifiElE�EjEiElEiFiEiEiflElf�Eif3hiEikiFiE9EiFiE9E1E�E1EifKififiEiFifiFiflffEjElfif3fjFiE3E�E1f i:KjFif i: L£GALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N PERMIT BLDG PMT PLUMBING ELEC3R�I�C MBCHANIC FIRE SMIP/RES GRADING SOR SMIP/NON-RES PLAN I5SUE FEE 15.00 � BUILDING-PIV-> PERMIT ISSUE PLAN-CHECK ' TOTAL PAID DUE TOTALS----> 3,00 15.00 0.00 18.00 18.00 .00 REVENUE DIVISION TOTALS--> COLLECTED:;� . 18.00 OVER/5HORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC �FIRE SMIP/TOT GRADING PLAN-CHECK 18,�� , iE it it ik it 1tlf if 3f 1E 1E iF 3E i4 fi fE iE if fE iElf �f it if if iF k if iE iE �E jE iE if i! �E iF {F iE k 1E %i(� �f if iE iF if 1E 1f iE iF iE iF ff 1f iF 1F ik iE jE 1f 1ElE iE iE if iF jE iF if i� iF iE iE df 1f �f 1F I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N , UNIT COST TOTAL COST ELE 1 FZXTURES, LIGHTING 1 ST 20 EA, ,75 ,75 k'LE 2 RECEPT/OUTLET 1 ST'20 EA, ,75 1.50 ELE 1 RECEPT/SWITCH 1 ST•20 EA. ,75 .75 � X g, R E p END OF FEES V�f��tP ��i.Sw—`�/5 � � .I�� _ � r �1 t10149`26-CFii+°=26 T rtTi :3.�v ��T�: i0/2;/v3 TIFi�: i2:47 w t � �CONSTRUCTION AND PLANIVING APPROVALS Permit#"� ' t. Temporary Electrirat Serviceor Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utiiiiy-Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcemen, 6. Electrical UFEft Grnd. 7. Footin�s 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor Svs[em t t. Property Sewer Line & House Connection 12. Sewer Cap 73. Roof Drains 74. Rough Plumbing 15. Rough Electrica6Condult 16. Rough Electric Wiring 17. Rough Wiring Siyn 78. Rough Electrical-T Bar Ceilin9 19. Rough Heating & Air Condi2{oning 20. Rou9h Factory Firepiace 21. DuCts, in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Tes: 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceiling IStructurai) & hAonocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power A4eter-Final 33. Finai Etectric 34. Pinal Heating & Air Condi?ioning 35. Pinal Gas Pipe-Test 36. Hood or Canopy 37. Fina� FaCtory Fireplace 38. Final Plum6ing 39. Water Service�Final 40. Gas Service-Finai 41. Soiar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation Svstem 45. Sound Attenuation 46. Handicap Regulations 4J. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCV lo. Date POG SPA Date 'lospector APPROVALS Permit # 52. Pool & Equipment Lacat:on 53. Steel Reinforcement 54. Forms 55. Electrical Bonding , 56. Rough Plumbing & Pressur� Test ' S7. APPftOVALTOCOVER-GUN�TE 58. Electricai Conduit•Undrgrnd. 59. Gas Pipe, f> Undrgmd., Test 60. Backwash Li�es, P�Trap, � Undrgrnd. 67. APPROVALTODECK ' ' 62. Backwash & Receptor-Finai 63. Heater & Vent-Final . 64. Plumbing Sysxem - Final 65. Electrical�Final 66. Solar SYStem�Fina1 '�-- 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING , 69. POOL/SPA SYSTEPlS FINAL FIRE DEPT. REQUIREMENT " ` APPROVAIS Permit � , 70. Underqround Hydro 77. Product Piping f� Gas u Oii 72. UndergrounA Flush � 73. Undergmd. Storaye Tank G Gas ❑ Oii 74. Overhead Flydro 75. Dry Chemical 76. Dry Standpipe 77. FIXEO SYSTEM FINRL 78. FIRE PREV. FINAI HEALTH DEPT, REQUIREMENT 79. FINAL INSPECTION I 80. FOOD CERTIFICATE ISSUED� Notes: ��,I I a'�/] L' � f n.�l�-- .�.... 9 Dace � Inspector � , J � CITY OF COSTA MESA CAUFORNIA 9262&1200 P.O. BO% 1200 DEVELOPMEN7 SERVICES DEPARTMENT September 27, 1994 Dear Costa Mesa Property Owner: In reviewing past permits, we find that work has been done on your property located at 345 Universitv Unit F4, Permit No. E64618, for an electrical permit. The permit is valid for 180 days from issuance or your last inspection, per Section 303 (d) of the 1991 Uniform Building Code. Should we not hear from you within l0 days, your permit will expire as stated herein and additional fees will be required to finalize the permit. To activate the above permit, please follow these steps: 1. Telephone (714) 754-5626 or 754-5627. 2. Request an inspection; state address, permit number, and type of inspection. 3. Be sure to have working smoke detector's as required per Section 1210(a) of the 1991 Uniform Building Code. 4. Have an adult present at the property at the time of inspection to provide us access. Should you have any questions regarding this process, please contact me at (714) 754-5273. Thank you for your cooperation. Sincer y, Y anda Huapaya P� it Processing Specialist 77 FAIR DRIVE Builtling Division (714) 754-5273 • CoAe Enlorcemeni (7ta) 756-5623 • Planning Divisfon (714) 75a-52a5 FA% (7ta) 556�7508 • TDD (71d) 754�524d �1„ AVo��ant to flll In a1l soaees ezceo� those within neavy Dortler Iines ana slgn all aDo�oprlata 0aclaratians. ciTY�F COS7A MESA CONSTRUCTION PERMIT Projett Address 345 Uni vers i tv Dr . _ Applicant's Mailing Address Owner's Name Phone Address ArchlEng. Licenu No. Address Contraaor's Nama Phone Address (mailing) c�,� ��e�:e No. Owner Bu i 1 der LICENSED CONTRqCTOR DECLARATION I nereby af/irm that I am licensetl unGer provislons of Charter 9(commencing with section 7000) of DiviSion 3 of the Business antl Professions CoUe, antl my license is in tull iorce ana effect. LiCense CIa55 Llcense No. Oale $i9nature WORKERS' COMPENSATION DECLARATION I hereDy al(irm lhat I have d cer[ificate of cOnSGnt to sGlt-inmre o� a ttrtiflcate ' Workers' Compensation Insurance, or a certifietl cooY �hereot (Section ]o. t.a�. cJ licy No. Company 8 Ceriifietl copy is hereby furnishetl. Certitietl copy is fiietl with the city Builain9 Division. Date Appliwnt E%EMPTION PROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completea if the oermit is for one nuntlretl (5100) ar Icss). I certi/y thal in the pertormance ot the wo�k fo� whic� Nis pe�m�t is Iss�ed, I zhall not employ any perzon in any manner s�s to b@@cp me subject [o the WOrker m e sat n Laws of Califoj�tid� I/ n A,�— Oate Si9nature �L_ � �Qiida/(�1 NOTICE. It, Iter making Ihis Geclaratlon, you shaultl become subjett to the Workers' Compen5ation provisions ot tne Labor Cotle, you musl brthwith comply wilh such prOvisions o� th15 permlt Shall be tleemGtl �evoketl. CONSTRVCTION LENOING AGENCV 1 hereby aifirm that tnera is a construction lentling agency tor tne performan<e ot the wo�k to� w�ich lhii permit i5 i55uCtl (SeCtion 3097 Civ. CJ Lentler's Name �entler's atltlress OWNER BUILDER DECLARATION I hereby alOrm lhat I am exempt irom the Contractor's Litense Law (or the followin9 reason (Section ]031.5 Buslness antl Professional Cotle: Any city or Counly whlch requires a permit [o conStruct, al[e�, improv¢, aemolish or �epal� any structura, prbr to itz issuance, alm reqWres the appli<ant for such permlt [o file a signetl stalement [bat he/5he is Iicensetl purzuan[ [o [he provisions of the Gonlraclor's License law (Chapter 9(commencing with SecUon 7000) 01 Divislon 3 ot tnC Business antl PrOfessions Cotle) Or lha[ he/shG is exem0� •herc�wm antl thG ba5fs to� lhe allegetl exemptiOn. Any violatlOn ot $ectiOn `31.5 by any applicant for a permi( subjec[s tbe apP��ant to a civil nalty ol not more than tiva huntlretl tlollaR (E500). J I, as owner of tne OrOperty o� my ¢mployees with wages d5 th¢I� sole compenSdtiOn, will tlo lh¢ wOrk, antl th¢ itNctur¢ i5 nOt In[entl¢tl Of oftefetl br sale (Section 7044, Business antl Protessional Cotle: The ConVattor'S Licenx Law tloes nOt applY to an owner OI a p�op<rty who builtl5 or Imp�oves t�eteon, antl who does Suth wo�k nim5¢It/herselt or [hrOugh bI5 or he� own employeci, provitletl [hat SUGh Improv¢ment5 ar¢ nOt Intentletl or Offe�etl for Shc¢. II. however, lhe building or imOrovement is soltl wi[hin one year of com- pletion, the owner will have the burtlen of proving he/she tlltl not builtl or Im- rove for tne purpose oisale). I as owne� of the OrOpe�ty, am exclu5ively contracting with IicenSotl con- ractors lo conSlrucl thG project (Se<tion ]004, BuSin¢55 antl Pro1e55iOns Cotla: The Contractor's �icense Law tloes not avPly to an owner ot properly who builtls or imDrov¢s Utereon. antl wha conVaGts fo� Such oroiects with a con- tractor(s1 Lcense pursuanc m one Contractor•s �icense Law). I am aware tnat prool ol their Wo�ket'S ComOensation insutance Shoub �¢ provitletl [o me. ❑ I am exempt untler Section B. & P. C. for lhis reason Date �� Owner ' I hereby cer fy t at I have read tnis application antl state thai the above inlormation is correct I agree lo tomply wKh all city antl counry ortlinances antl state IawS relaling lo builtlinq const�ucUon, dntl he�eby authorize repre- Sentatives ol this city lo enter upon the above-menlionetl p�ope�ty fo� inspection p}�(pose Signature S' �/� � Date�%_� Drivers' License or 5 � ��_ � � � � � _ i� �y%�P�{ I IBLDG. F �,2,3,4,5,6 TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRAOING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ -OTHER PRQIECT DESCRIPTION sa. Fr.9500 OCCVPAoNCCY CONSTRUCTIONTYPE VALUATIONSpy�n nn ZONE GRADINGGU.YDS. ACRES Remarks: ReY,00f l Il9 8ar Sink Backflow Preventer Backflow Irrigation Bathabs Clarifiers Dishwasher Drinking fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavarories P—Trap Roof Dreins Reinspection Fee 515 Boiler Duct - Under Ground DUC[ - $[ruCmlel Duct - Ventilating Exheust System ❑ Multiple ❑ Firepl/Fact. Blt, iCBO # Heating System & Ducting ❑ 0.100,000 BTU � 100,000 BT Reinspection Fee I $15 OB65-46, rev. 5/88 White - Builtling; Canary - APPlicant: Pink - Accounting; Goltlenrotl - Assessor ShOwers Service Sink Sewer Cap ' Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Hearer Water Service Auto-Wash Issue Feo Hood or Type I � Cenopy Type I I ❑ Retrigera[ion Sys[em ❑aioo,000eTu ❑ioo,000 System Repair/Alteration Fire Dampers Registers laue Fee A.P. qW S Main Buildi E T FrOnt B Rear A C Aight K g Left Ping. Ref, ql`- Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Baxes OOfIBLS Gerbage Disposal Generator �0.5 KW �5�15 2one ./Provided ELECTRICAL Trensformer ❑ 15-SOKW ❑ 50+ KW Meter ❑up to 100amps Meter �over 100 amps Sub Panel Motors �G7 HP �1 X- 8 Inc.Soiar 09-75 HP 076-75+ Microwave Pole Light Range $i9n Standing Sections � Trash Compactor Feo �$15 � � luue Fee S 3 DEVEIOPMENTSERVICESREUUIREMENTS: 2oning Approved 8y FEES Building Approved By � T�' Appliution ivued By , I $ 3 N I N G R E Q M T S. FEES $ 3 SUMMA V OF FEES � BUILDING PERMIT $ �B .Aii SMIP 5 PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE S PLAN CHECK 25% $ ENEfiGV P.C. $ ELECTRICAL $ GRADING S PLANCHECK 50% $ MICROFILM S MECHANICAL S TOTAL FEE S �� PLAN CHECK 25% $ o+ 000�epe2I,a-ecnsas24 �-�,�� :�s.�; Jt�� JJ�UJIuQ �I:�� Li'_� � CONSTRUCTION AND PLANNING POOL ?A \ APPROVALS Permit # Date Inspector qppROVALS Permit # � Date Inspector 1. Temporary EleGtrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms � 4. Electrical Cond�ibUndrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test " 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •� 7. Footings ' 58. Elec[rical Conduit-Undrgmd. ', 8. Foundation . 59. Gas Pipe, � Undrgmd., Test � � 9. Waier Pipe-Urtdrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. :' 10. Structural Floor System �� 61. APPROVAL TO DECK � �� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final ' 13. Roof Dreins 64. Plumbing System - Final � ' 14. Rough Plumbing 65. Electrical-Final , 15. Rough Electrical-Conduit 66. Solar System-Final J.6. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING _18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS 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 ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICA7E ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-7est 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer �� 43. Backflow Irrigation . ��, 44. Landscape Irriqation System � j �-' 45. Sound Attenuation 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 1� 48. Special Requirements Completed 49. Electric Release to Edison :� , , 50. Gas Release to Southem Califomia GasCo ��7 �, � 57. CERTIFICAT� OF OCCUPANCY `� 0 ' .. No. Date ' r,_. �. 4 3 w P D 2 � I N p( o w Z�� ..2� �l �21.� 0 0 s =� oa au�,�ess: 345 UNIVERSITY DR �,sxaMe: MC' GINNIS neess: 345 UNIVERSITY #F-6 �4 CM CA 92626 � 645-6526 AflCH�ENGINEEN: NEG.NO.: uxir: F6 � � qOUXESS: UNIT: PeamiTree: SRYLIGHT SPECIALTIES ( 714 ) 645-8645 aonness: 660 W 17TH ST 37 CM CA 92627 LICENSEO CONTBRCTOP DECLABRTION: I hereGy atlirm t�at I am Iicen5e0 unCer Drovisions ai Chaphr 9(commencing wi�� Seclion 70001 0l Oivision 3 of ihe Business and Pmlessions Cotle, an0 mv hcense is in t II force anC eflect. ciTruc.:02[7`5�1`�9 srareuc.:39555 cu� B Date: _I r !� (Y Signature: _ — WONREBS' COMPENSFTION OECLAPATION: I hereby allirm �at 1 �ave m aa�e ol consenl to seu-insure or a cenilicate of workers' Compen5aiion Ipsy[a��p�y[�[tilieU Copy ��er¢01 (SeCliOn 3800. LaG. fJ.4 �O 1 I91 roucv xo.: S TATE 1 FUND E%P. DFTE: � COMPRNY: ,.y � Cetli�iea copy is �ereby lumis�etl. L:l Cetlilied co s e0 wil� Ih iiy 6uiltling Oivision. Date: �.l=� SS� Applicar EXEMPTIONFPOMWOflKEflS'COMPENSATIONOECLAflPION: (7 secn'.neeOnolUecamp@le4iltAeperrmtisbroneAunEreO(5100)orlus�. I cetlity Ihat in I�e pedorman[e ol Ihe work lor which t�is permi '' uetl, I shall nol employ any person in any manner so as �o Gecome Subjetl Io Ihe WorkCrs' Comp¢nsaiion Laws ol Calilomia. Dale: SignaNre: NO710E: II, alier making i�is aeclara�ion. you shoultl Oecome subject to Ihe Workers' Compensation D�ovisions ol tAe La�or Coae, you must lonnwith comply with sucn vrovisions or Ihis oermi� shall Oe tleemetl revoke0. CONSTBIlCTION LENDINC FGENCY: I hereDy allirm �hat ihere is a cons�mction lentling agency br ihe pedormance ol t�e work lor wAic� I�is permn is issued (Section 3097, Civ. C�. texoea: aooxess: OWNEB BUILOEN OECLANRTION: I here0y ailirm �Aat I am exempl irom i�e Comractors' State License Law lor Ihe lollovnng reason (Sec�ion 7031.5 Business antl Pmlessional Code: Any cily ol couniy which reQuires a Dermit �o tonsimc[, al�er, imD�ove, tlemolisll. ar repair any slmclure, prior to ils issuance. also re0uire5 Ihe applican� IOr such permil lo lile a 5igneU sta�emen� I�at helshe is licensed pursuam to Ihe provisions ol Ihe Contraclors' Sta�e License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 0l lhe Business antl Pmlessions Code) or Ihal helshe is exempl Iherelrom antl Ihe 6asis lor Ihe allepe0 exemp�ian. Any viola�ion ol Section 7031.5 by any ap0licant lor a permil suble��s I�e applican� to a civil Denal�y ol noi more Ihan live �untlred tlollars ($500�. ' I, as owner ol �he pmoeny or my employees witn wages as Ineir sole compensation, will Ao tAe work, ana ine ❑ simclure is not inten0etl or ollerea lor sale (5ection 70Aa, Business anU ProfeSsional Code: Tne Coniractors' Stale License Law does n01 apDly IO an owner o� a pfo0eny w�o Duiltls or imprOveS Ihereon, anU wAo tl0e5 SUCh work himsell/her5el� or Ihmuph ' Ais or Iler own employees, provided ihat suc� improvemenis are not intende0 or offere0 lor sale. If, however ihe building or impmvemeniis SoIU wilhin one year of complelion,�he owner will �ave the bur�en ol pfovinA he/she Oitl noi builtl orimprove for Ihe purpose ol sale�. I. as owner oi t�e O�apeny, am exclusively comrac�ing wi�h IicenseU conVactars to constmct the pwlaci (Section 704a, Business ❑ antl PmIe55i0n5 Cotle: The COnirattors' S�aie Lit¢nSe Law Uoes nol aODty lo an owner ot pmperry who Guiltls or imOmveS fAerBon anU w�o Comracis lor suc� O�ole��s wit� a conlratlOqs�licen5e Dursuanl lo IAe ConVactors' $Iaie LiCense Law). I am aware thal O�ool ol Iheir Worker's Compensation insurance shoula be provi0e0 to me. � I am exempi unaer Semion: B. 8 P, C. far �his reason: Date: Owner. - I ao hereby cenily Ihal I am aware ol anA unAerstana Ihe repuiremenis oi Calilomia Healtn ana Safery Coae Sections 25505, 25533, and 25534 an4 ihal I or any Iuiur¢ UuilAing accUpani will/wiil nol (Cim�e one) n¢e010 tompty wil� Saitl 5ta�e code5 an0 Ihe requir¢menls lor a permii lor consimclion ar mo�ilicalion Imm Ihe Air Oualily Managemen� DiSiricL R¢5i0enlial consimc�ion apPlicaiions are exemp� irom Ihese pmvisi0n5. Date: AOPIiCanP. _ I �er¢Ey t¢rlilylhall �av¢ reatl�his appli[ati0n antl SlaleltWl ortlinances an0 slate laws reialing lo Ouilding wnsimc�ion ana 1 properiy for ms0eclion purposes. Oale'. /(_�' � SignaWre� _ Oriver's lirense ai Social Secunly x.� 164La6 wM1�te—Bmlding; Green—COde EnlorcemeN; C I aA�ee to wmply wii� allcity antl counly �his city to emer upon ihe above�mentione0 Pink—Revenue; GolEenrotl—Assessar CITY OF COS A— BUILDING PERMIT . � PERMIT NO: B 049850 PLAN CHECK NO: 06645-90 S . : CONSTROCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : ADD SKYLIGHT SQ FT: 575 CLAIM VALUE: 575.00 CAI,C—VALUE: 575.00 GROUP OCC: R-3 / COMMENTS: ICHO #2469 ****�***+r�e �***��t**�r********�+�*�*******�+�+�*x�**�*r�t****+e�e�e�**x�t*** *+t��c*+r�**�*�*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILllING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO: PLANNING Nt51'ES> i if 1f aF K iF if iE 4 if iF iF jf it IF 1f 3E iF �1f� iF iE * k iE iE iF jE if k if lE jE IE If iF iE iE Ik 3E 3F k 1E �f M iE iE fE iE kiE iF if ik iE iF IE IE IF �kiF If IE iE ik iE If If �F iE k iF iF iE if �E if IF if iF if D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N,T S 20NING APPROVED BY DATE: HUILDTNG APPROVED HY : DATE; APPLICATION ISSUED BY DATE• / O!Y iF*ikikifiF�flf�fiFltif�lkifiEiFiF1E�k�fiF i�'iFTF£iEififlFlEiFifiFiFif IFif itiFjF�fiFkiFiEitlflEifkiFlfifiFk�k�tiFitiElFiFlE�7E1Eil�jE3EiF3FiFiflf3 � df�FiEiE �kiE%�if3Eif�ifikffiklfifiEiE*3FiFiEiEiEftiEiEaFiEiF�f*iF�N�iE LEGALIZATION;N F E E S U M M R Y S'TRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MEC NIC FIRE SMIP/RES GRADING PERMIT 1'1.00 :50 SMIP/NON—RES PLAN 11.05 ISSUE FE;E BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 17.50 0.00 11,05 28.55 28,55 i .00 � REVENUE ASVISION T'OTALS--> COLLECTED: 28,55 OVER/SHOAT; 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAD�ZNG�'PLAN—CHECK 17.00 - .50 � 11.05 if iF iF iE ik N� �E IE 3f if K� ff M iF if ff IF k if iE 1F 3E iF �k ft �f� 3F �! 3F iF iE i61F it if IF aE fE�F M ik ik �F iE iE � iF 1f if fF iE if IE iFjf if iF fF if it iE ff 1t iF 3E if if 1F IE if��f M� if iE iE IF 3f if ik I N D I V I ll U A L F E E H R E A K D O W N - TYPE QTY D E S C A I P T I O N UNIT COST .'TOTAL COST SFR 575 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 575,00 END OF FEES ��l oi cc,o�axz2-coc�.>>s�o -er:a-� 6R7:: iTlO$%90 P'ili3: 1:r;`3 � �`._.� '�' �_'__�.�- � , � ; ; � � � CONSTi�UCT10N AND PLANNING PO SPA AP OVALrS Permit# Date Inspector qppROVALS Permit# Date Inspector 7. ary Electrical SerJiCe or Pole�,. _' - 52. Pool & Equipment Location � ' 2. Soil Pipe-Undrgrnd. . � 53. Steel Reinforcement ' �', _ � � . "3.'Elect�ical Conduit� Utility-Undrgrnd'.' � 54. Forms '� 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding ' S.;S'teel �Reinforcement �- 56. Rough Plumbing & Pressure Test 6.rElectrital UFEA.Gmd. _ 57. APPROVAL TO COVER�GUNITE . zi 7.'Footings . ' 58. Electrical Conduit�Undrgrnd. 8. Foundation ,- j ' � 59. Gas Pipe, O Undrgmd., Test -�� 9.'Water Pipe�Undrgmd. � -' / 60. Backwash Lines, P-Trap, � Undrgmd. ,� ��' 10. Structural Floor System '•t� . 61. APPROVAL TO DECK .�� 71. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final � 12. Sewer Cap �i s 63. Heater & Vent�Final 13. Roof Drains . 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical-Final 75. Rough Electriral-Conduit 66. Solar SVstem-Final 76. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 19. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - r'+rn� . � 20.�.Rough F.actory Fireplace + : = J � v * � AppROVALS'-� -Permit # ,. �'�' a:� .� �r : r.:i - 21:!,Ducts, in Stiucture� �. T� i -^'� ��70. Undeigcotmd Hydro � 22. Ducts, Ventilating - �- = r _ �� • -71, Product�f;iping 6�Gas OOiI 23�.-Gas Pipe-Rough & Test .�� ; 7 : � � 72. Underground FIusF, _� , � ' . 24_RoofFraming � - _ _ - ' >73rUndergmB.StorageTank'�Gas ❑Oil r . C: 25. Roof Sheathing � " , ; "� ��' `.' � ` 74,- Overhead Hydro- �� . 26. T-Bar Ceiling (Structural) &.Monocoat � • V �.i�- - 75:'Dry Chemfcal - _ 27. Fremeand Flashiny ' Y. � _ '''� � 76. DryStandpipe � `� � '` �. 28. Lathing & Siding •� ,.. i � � • •• , � ,� . 77; FIXED SYSTEM�FINAL � 29. Insulation �. ' ` " ,. � " I �; . 78_ FIRE PREV. FINAL ' 30. Drywall Nailing • � � � � !M• - HEALTKDEPT-. REQUIREMENT i�.. . 31. Plaster Brown Coat ��, � �% +;; �79. PINAL INSPECTION `� �_� 32: Electrical Power Meter-Final � �, I I��' r i�r80.: FOOD CERTIFICATE ISSUED i i �33,`Final Electric � .r ' . I +�; ; �Notes: - � - ' �34r Final Heating & Air Conditioning: : ' .� � 'I : ��1�,,, , , . , _ . .. 35� Final Gas Pipe-Test j � �`' � " �'_�� ` �`� � - '<� � � . I �t: i _36. Hood or CanoPY , .r � . ' � ! ' �. N �_ z. :. s . � 37: �Final Factory Fireplace, '• '� = T' � � ��I " .y ' � � . , .. - � � �, . n _ . , . . � 38. Final Plumbing , , ' ,. - _. _ � i- '�39: Waier Service-Final - �' " " ' - , ' � 40. Gas Service-Final _ . ., . i � I. ;.. ` ' , i ; 41: Solar pomestic-Final: : •- � : • ' r � '42�.� Backflow Preventei � � I � `;. ' �' � _ . i, > - I 43. Backflow Irr�igation .� . .: . - � �- : c� , � i , 44. Landscape Irrigation System �; , , - - -; . -� ' " - , ,� , � 45."Sound Attenuation c�- . � '� � - � ` • _ •i '- _ -46. HandicapRegulations � ' � '�" � 47: FINAL STRUCTURE & BUILDING , �j �� _ , 48'�FINAL PLANNING , ' '' . ,,, I .•�� . �� . .y . - 49:rElectric Release to�Edison � i ( ' I; ; - - . 50. Gas. Release to Southem California Gas Co � j �';�� . =, ., -• 51. CERTIFICATE OF OCCUPANCY i�.. ;=� iric: ?:� � fi _ � NO Date I � � CI1Y OF COSTA MESA BUILDING SAFEIY DEPARTt9�iT CERTIFICATION As tue undersigned, I am fully avare of the responeibilities as owoez,builder. I hereby ceztify that the personnel listed belw, . `i / vho ere" presently perEorming vork at ��.,-�./�.an.il ., �- �1 are employed bp me. I will vithhold Social Securltq deductioas, State aad Federal iucome taxes. They aze also covered by Norkmen's Compensation Insutance as prescribed by the State 2avs of Ca2lfoza3a. NAhL 6 ADDRESS OCCUPATION S i gned :/ o'�,/.� Ci ,A;��,,« _Q—� � - � Address• ADG��ant to ti11 In ali spaces ezcept those within neavy eoraer Ilnes antl s19� all apPropdate Ceclarationz. CITY�OF COSTA MESA CONSTRU(:1 IUN F'ERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. �ProjeciAddress 345 University Dr. � Applicant'sMailingAddress Owner's Name Phone Address Arch/Eng. Licenu No. AAdress Address (mailing) City License No. OWil21" BU1 er LICENSEO CONT0.ACTOR DECLARATION I hereby atfilm [tla[ I am licensetl untler provi5iOn5 of ChaftCr 9(comm¢ncing with section ]000) ol Dlvision 3 ot [M1e Bu51n¢55 antl Professlons Cotle, antl my license is in (ull force antl eifect. License Class LI<ense No. Date Si9nature WORKERS'COMPENSATION DECLARATION I hereby atiirm that I have a ccrtiticate of consenl to selt-insure or a certifitate `Workers' Compensation Insurance, or a certifietl copy thereot (Section 10, Lab. CJ ... .olicy No. ComOany eCertifietl copy is hereby furnishetl. Certifletl copy is filetl with the ciry Builtling Division. pate APplicant E%EMPTION F0.0M WORKERS' COMPENSATION DECLARATION (This seclion neetl not be completetl if [he permit is tor one huntlred ($300) or less). I certify that in the perlormance ot the work tor which tnis perm�t is issuetl I shail not employ any person in any manner s as to be om subject to the Workers' omp nsatlon Laws ot Califq� ia Dale Si9nature 1�;.�/� e�Q'�/�-- NOTICE. If, ter ma<in9 this tleclaration, you shoultl become subject to the Workers' Compensation provisions of the Labor Cotle, you must torthwith como�Y with such provisions or this permit sha11 be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm tha[ there is a construction lentlin9 a9ency for the pertormance ot the work for which this permit i5 ISsu¢tl (SectiOn 309] Clv. C.) Lentler's Name Lentler's Atltlress OWNER BUILOER DECLARATION I M1ereby affirm ihat I am exempt irom the Contractor's License Law for the tollowinq reason (Section �031.5 Business antl Professional Cotle: Any city or counlY w�ich requlres a permlt to con5truct, alter, improve, demolish ar repair any structure, prior to its Issuance, also requires the applicant Por such permit to flle a signetl statement that he/5M1e is licensetl pursuant ro the provisions o( the Con(ractor's Ucense Law (Cnapier 9(tommencing with Settion 7000) of Division 3 Ot the BuSinesS antl PrOlessions Cotl¢) O/ that he/she i5 ozemp[ �rchom ana lne basis Por Ihe alle9etl exemption. Any violation ot Sec[ion 71.5 by any applicant fOr a permit Sub�ects the applicant [o a civll ,ialty ot not more tnan five huntlretl tlollars (E500). L� I, as owner o/ tha property or my employees with wages as their sole com0ensatlon, will Co Ihe work, antl tho structura is not intenEetl or offeretl for salc (Settion 7044, Business antl Professional Cotle: The Contrac[or's License Law tloes nol apply lo an owner ot a properry who builGs or improves [he�eon, antl who aoes such wo�k hims¢If/hetselt o� through his or h¢r own employees, provitletl tnat such improvements are not IntenaeG or offurea tor sale. If, nowever, tne bulltling or improvement is soltl within one year oi com- pletioq tne owner wlll nave the buraen o/ provin9 he/sne tlitl not builtl or im- �pr ve �or thc purposo of sale). I, as own¢r oi th0 property, am exclu5ivery Contracting with IIcenS¢tl Con- l�aGtors t0 cOnst�uct [he project ($ection ]044, Buslness antl Profe551ons COtle: The Contractor's License Law tloes not apply to an owner ot property who builtls or improves [hereon. antl who contracts for such oroiects with a r.on- tractor(s) license pursuant eo tne ConVactor's License L.aw). 1 am aware tha[ proof o( [hei� Worker's ComOensalion insu�ance inoultl be prOvitletl to me. ❑ 1 am exempt untler Secilon 8. & P. C. br this reason Date Owner I hereby certity that I have reatl tnis app ication anE state that Ihe above intorma[ion is correct. 1 aqree lo mmply with all city antl county ortlinances antl State laws relating to bulltlmg wn5truction, antl he�eby dutho�iie �epr¢- Sentativ¢s ot this City [o nter i t above�menlionetl property fo� inspectlon purposes„ Signature (� �� DateA >/P�'1 Orivers' License or 55 $ ,7 TYPE OF CONSTRUCTION I.J NEW U ADD��J ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BIDG. TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELEGTRIGAL ❑ PLUMBING ❑ MECHANICAL � ❑ OTHER PROJECT DESCRIPTION 5�. F7zzO� oCCUCArvCv— C O N ST RUCTION TV PE V ALUATI ON S'�(�.3e � A� 20NE GRA�INGCU.YDS. ACRES—�' Remarks: Rer��f 1 Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Foof Drains Showers �� Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wa2er Hea2er Water Service Auto-Wash Laundrv Tra'vs A.P. �W S Main Building: E T Front 8 Rear A C Right K Left $ Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eleci Fan F.A.U. Fixtures Device Boxes Outlets $WitCh¢5 Garbege Disposal Generaror �0.5 KW C Reinspection Fee � $15 I I laue Fee I S 3 I MECHANICAL fEES Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blt. iC80 # Heating System & Ducting ❑ 6100,000 BTU O 100,000 BT Hoodar Typel ❑ Canopy Type I I ❑ Retrigeration System ❑aioo,000eTu ❑ioo,000eTu System Repair/Alteration Fire Dampers Registers Reinspection Fee � $15 � � Issue Fee � $ 3 08fi5-46, rev. 5/88 White - Builtling: Canary � Applicant: Pink - Accountinq; Goltlenrotl - Assessor 2one Accessory Building: Parking Req./Provided N I N G P E Q M T S. EIECTRICAL Transformer ❑ 15-50KW ❑ 50+KW Meter ❑up to 100amps Meter ❑over100amps Sub Panel Motors OO-1 HP �1'F, - 8 Inc. Solar �9-75 HP �16-75+ Microwave Pole Light Range Standing Sections 15 KW Trash Compactor � Reinspection Fee �$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zonin9 APProved By Building Approved By . .. .. . . _ / SUMMARY OF FEES BUILDING PERMIT $ ��D� SMIP PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK 25% $ FEES $ 3 $ .SO $ $ $ $ $ syso �`. :u',:�`.�'..�_,,I?^yrS.- _'t -- -,. - �'^7�- �,�J.,i �5 1!.F_ �]:�Y CON�STRUCTION AND PLANNING POOI 1PA ; � 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 Condui[-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ri � 7. Footings � �� 58. Electrical Conduit-Undrgmd. -,'i �. 8. Foundation 59. Gas Pipe, O Undrgrnd., Tes[ ' -. 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Strucwrel 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 -r �17� Rough Wiring Sign 68. APPROVED FOR PLASTERING 18� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22: Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23, Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ,.. 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 pomestic-Final - 42. Backflow Preventer ,� � 43. Backflow Irrigation � 44. Landscape Irriqation System J 45. Sound At[enuation �� 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING �'V S J/(� 48. Special Requirements Completed 49. Electric Release to Edison ,� 50. Gas Release to Sou[hern California Gas Co � � 1 �' , � r 51. CERTIFICATEOFOCCUPANCY �,� �� 'V No. Date �' ' � • / Avolicant to flll in all spaees exceD� tnose witnin neavy bortler Iinas anC sign all aoorooriale tleelantions. PERpQ1T NO.� �� TRACT NO. LOT NO. UNIT NO. OF COSTA MESA CONSTRUCTION PERMIT /� A.P.# 3 rash Bin 1 1 .'ProjectAddress 345 Universitv Dr. . Applicant's Mailing Address Owner"s Name Phone Address Arch/Eng. License No. Address Contractor's Name— Phone Address (mailing) City�icenseNo.�y�per gai��er LICENSED CONTRACTOR DECLARATION 1 hereby a/fi�m lhat 1 am litensetl untler provisions of ChartBr 9(Commencing witn section 7000) ot �Ivision 3 oi the Business antl Professions Cotle, antl my license is in (ull larce ana etlect. License Class Licenze No. Date Signalure WORKERS'COMPENSATION OECLARATION `ereby ai/irm that 1 have a certificate of consent to selt-insure or a certificale Workers' Compensation Insurante, or a certifietl copy thereof (Sectlon . J0, Lab. C.) Policy No. Company 8 Certifietl copy is hereby furnishetl. Certitietl capy is filetl with Ihe city Builtling Division. Oale ADPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thii ze[lion neetl not be cOmpletetl it the pGrmit i5 tor one huntlretl (5300) Or Icss). I certily that in Ihe perlOrmdnt¢ o� Ne wo�k fo� wttich tbis pe�m�t i5 ISSuetl, I snall not emplo any person in any mann so as to becoma ubject to the Worker ' Omo n t n Laws of Calit nia Oate Signature NOiIC . If, ter makinq tnis aeclaratlon, you s oultl becoma subject to the Workers' Compenution provislons of tne Labar Cotle, yau must /ortnwith comply witn such provisians or this permil shall be tleemnC revoketl. CONST0.UCTION LENDING AGENCV 1 nereby at(irm that there Is a construttlon lentling agency for the per/ormance of the work for wnich this permlt is i5suetl (Section 3097 Civ. C.) Lenaer's Name . �entler's Atltlress '�. OWNER BUILOER DECLARATION I hereby atllrm lhal I am axertfpt 1�om lhe COMrac[ot's Licen50 Law b� th0 I following rea5on (Sectlan 7031.5 Buslnasi antl Professional Cotle: Any Nty or � County wblCh requires a p¢rmil to ConStruct, alter, ImDrova, tlemolish or repair I any sVucturo, prlor to its issuance, also reqWres the appli<ant for such pormil Ito file a signotl itatoment Inat he/she Is licensetl pur5uant to [he provislons of the Conlractor's Ucunse Law (Cnapter 9(commencing with Settlon 7000) oi �ivision 3 of lne BuSinoss antl Professions Cotle) or that he/sht Is exompt �refrom ana lhe basiz for the allogetl exemption. Any violatlon of Soctlon :31.5 by any applicanl tOr a pe�mit Subje<ts the appliGant [O a Clvil �nally ol not mor¢ than tivc huntlretl tlollar5 (E500). LJ I, as owner o( the property or my omployees with wages as thelr sole compmsation, will Uo lhe work, antl the structure is not inlentletl or oHerotl for 5ale (Section 7049, Business antl Professional Cotln: The Contractor's License Law tlocs nol apPIY to an owner of a property wno buil�s or Improvas t0ereon, ana who tloes such wOrk himselt/hersetl or througb his or her own emvloyces, orovitletl Ihat suth Imorovomentz are not intentletl or oHeretl for sale. II, however, t�e buil0ing or imprOv¢mint I5 soltl within On0 year o1 Com- pietion, tne owner will naw the burtlen of proving he/she tlltl not builtl or im- rove for tho purposn ol sala). I as owne� ol the P�oOerty, dm exclusively contraCting with IlcBnsetl COn- r{ors to construcl tM1e project ($ection ]044, Businezs antl Professlons Cotla: Tne ConVaclor's License Law doei nOt appty LO an owner of properry who builtlz or Imo�ovet tnerean. antl who contracts for such oroiects wilh a con- bactor(sl Lcense vursuane to me Convactor•s Licens¢ Law). I am awaro that prool 01 thelr WarkGr'S COmpensation inmrance Shoultl be o�o�ieea to me. ❑ I am exempt untler SCctlon 8. 8 P. 0.�or th6 reason Date �3Lf� Owner I nereby�cer ify al 1 hava rCd� intormation Is mrrect I agree to antl sta[e laws relating to builtlir sentatives of this citv to enter Signa[ure � Drivers' License or 5'�i � 0865�46, rev. 5/BB that the above S Main Buildi TVPE OF CONSTRUCTION NEW ADD AL7ERA71orv REPAIR- E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front DESCRIPTIONOFWORK/USEOFBLOG. A Rear TVPEOFPERMIT GRADING FOVNDATION 5Tf3UCTURAL �� C Right ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Le« ❑ �OTHER ! ping. Ref, qlE PROJECT DESCRIPTION 5�. FT.4R OCCUPANCv Planning Notes: CONSTRUCTION TVPE VALVATION 54�J.00 20NE GRA�ING GU. VDS. ACRES Remarks: Ret^��f Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountain5 Floor Orains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof �rains Reinspaction Fae � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple FirepUFact. Blt. iCBO # Heating System & Ducting ❑ ai oo,00a e1u O i oo.000 Reinspeaion Fee � 515 - Accountlng; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Weter Closet Water Heater Water Service Auta-Wash Isue Fee Hood or Type I ❑ Canopy Type 11 ❑ Re(rigeration System Oaioo,000sru ❑�oo,000 System Repair/Alteration Fire Dampers Registers Issue Fee Automatic Wesher Construction Pole Sub. Cooking Unit Dishwa5her Zone Actessory Bui ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up ro 100 amps Merer ❑over100amps Dryers LJGas LJElectric Fan F.A.U. Fixmre5 Device Boxes Ouue�s Switches Garbage Disposal Generator 00.5 KW 05�15 KW Sub Panel Motors �0.1 HP 01 Y, - 8 Ina Solar �9�15 HP �16-15+ Microwave ' Pole Light Range Si9n Standing Sections Trash Compactor Rainspection Fee $75 Issue Fee S 3 DEVELOPMENTSERVICESREQUIREMENTS: ZoninB APProrod By FEES Buitding Approved By $ 3 BUILDING 7ERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL 5 PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ N I N G R E U M T $. FEES $ 3 FEES .S� SMIP g PERMIT ISSUANCE $ ENERGV P.C. $ GRADING 3 MICROFILM $ TOTAL FEE $ / S.SD Ot UC�34£;3-L'JJ3�J4�f:' L �'- =.' � R_TF: C�.:.�i�S .._ f:�t:.. ' r ., . �" CONSTRUCTION AND PLANNING POC SPA Date Inspector � Date Inspector APPROVALS Permit # APPROVALS Permit # 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Utiliry-Undrgmd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Boncling 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ;, � : _� 7. Footings 58. Electrical Conduit-Undrgrnd. �� S. Foundation ' 59. Gas Pipe, O Undrgrnd., Test ' �; 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. .. 'i 10. Structural Floor System � 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection „ 62. Backwash & Receptor-Final _. 72. Sewer Cap �i 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing SYstem - Final . 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar SYstem-Final 1.6. Rough Electric Wiring 67. Fencing & Access Approval �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �78. 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 �0. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Stora9e Tank O Gas � Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical 27. Freme 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 pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation ` ~' ,' / �� 44. Landscape Irrigation System U 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING S f% 48. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co -- � � �� r' � . 51. CERTIFICATE OF OCCUPANCY " � 7 '� . • ,. No. Date y � -' 4 � f 12 5 4 3 L 2 I �� 0 4 3 C 2 I S � 2 � 3 �4(F)S��O I�O�Cl(l�L�-' l J 2 I 2 3 E 4 �� i Aop��ant to fill in ali svaces exeept those witnin neavY eortler Iines anC sign all approvriate tleclarations. CIT,V OF COSTA MESA CONSTRUCTION PERMIT o�ennx nin raerr nin i nT nin � i.i�+..�., ProjectAdtlress345 Univer�'Lty Dr. _ 'r Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contractor's Nama Phone Address (mailingl City License No. 9N(i1Q.L�lll �.�PT' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provi5ion5 0/ Charter 9(commencing with sec[ion 7000) ot �ivislon 3 0/ the Business antl Profe55ion5 Cotle, antl my Iicense is in full torce antl e(tect. License Class �icense No. Date Signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm tnat I have a certiflcate ol consenl lo Seli-insure or a certiticate workers' Compensation Insurance, or a certl�lea copy thereof (Section 0, Lab. C.) olicy No. Company eCertilietl copy is hereby furnishetl. Certitietl copy is tiletl wlth the city Builtling Dlvlsion. Date APplicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl no[ be completetl if tne permit is for one huntlretl ($100) or Iess�. 1 cerli�y that in the pe�/ormance ol lhe wOrk fOr which Ihis p¢rm�t i5 i55uetl, I shall not empioy any perzon in any mann r so as to become subject to tne Worker ' m ns on Laws ot CalHp�nia '/� (/�d �' Date Signature �— ( [b NOTIC . I(, fter makinq tbis tleclaration, you sboultl become subject to the Workers' Compensa[ion provisions of the Labor Cotle, you must torthwith comply with such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby at(Irm that there is a construction lentling agency (or tha pertormance of [he work for which tnis permit i5 i55u¢tl (Seciion 3097 Civ. CJ �entler's Name Len�er's Atltlress OWNER BUILDER DECLARATION 1 hereby a(firm that I am exempt trom the Con(ractor's License L.aw tor the following reason (Section ]031.5 Business antl Professlonal Cotle: Any city or county which requires a permit to conslru<[, alter, Improve, tlemolish or repair any structure, prior to its issuanca, also requires the applican[ tor such permit to fil¢ a Si9netl statement thal he/She is Iicensetl pur5uan[ to the provisions ot the Contractor's License Law (ChaO�er 9(commen<ing witb Section 7000) of Oivision 3 0l the Bu5ine55 antl Protessions Cotle) or tha[ he/sh¢ is exempt �retrom antl Ihe basis for the alle9ed exemption. AnY vlolation ot Section 31.5 by any applicant tor a permit SubleUs the apPlicant to a civil .�alty ol not more [han five M1untlretl tlollars (E500). L.� I, as owner of tne propertY or my employees with wa9es as their sole compensalion, will Co the wo�k, antl tlte st�ucture is not intentletl o� otteretl tor sale (Section 7044, Business antl Protessional Cotle: Tne Conirac(or's License l.aw tloes not app�Y [o an owner o( a property who builds or improves [h¢reOn, antl who tlo¢5 such wo�k hlm5¢If/her5¢II o� tlt�ough his or he� own employees, provitletl that Sut� ImOrov¢ments are not int¢ntl¢tl or otfe�etl tor sale. 11, nowever, tne builUing or improvement is soltl witnin one year of com- Dletion, the owner will have tha burtlen oi proving he/sne tlltl not buiitl or im- ve for the purpose of sale). I, a5 owne� oi lh¢ P�operty, am ex<lusively COM�acting with lic¢nsetl con- r lors lo construtt the projecl (Section 7044, BuSiness antl Prote55ion5 Cotle: The Coneractor's License Law does not apo�Y to an owner of property who builtls or Imoroves thereon. antl wno contracts tor such oroiects with a con- tractor(sl license pursuan[ [o [ne ConVactor's License Law). I am aware that proof o� tbeir Worker'S Compensalion iniurance SM1oultl be provitletl to me. ❑ I am exempt under Section B. & P. C. for this reazon Date fr/_Z�� Owner �' �'�_ ,(S�(��( -- I hereby cerEAy that 1 have read lhi5 appliCation antl Stat¢ Ihat the above iniormation is correct. I agree to como�Y �+��h all city antl county ortlinances antl state laws relatin9 10 builtling cons[ruction, antl hereby authorize repre- 5¢ntatives o/ IhiS city to enter upo the above-mentlonetl Pro e�ty fo� inSpeCUon py5P OS � Signature (' �(�,�(jj�a-�- Date Driva�s' License ar 55�� OB65-46, rev. 5/BB WM1ite - - Accounting; Goltlenrotl - A55essor TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LI GRADING LI FOVNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' ❑ OTHER PROJECT DESCRIPTION 50. FT. ��jOO OCCUPANGV CONSTRUCTION TVPE VALUATION $ 49rJO.00 ZONE GRADINGCU.VDS. ACRES Remarks: Dev�nnfinn Sink Preventer Irri9ation Jrinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen $ink Lavatories P—Trep Roof Drains Reinspec[ion Fee � $15 Boiler Duct - Under Ground DUCt - $LfuCtUfdl Duct - Ventilating Exhaust SVstem ❑ Multiple ❑ Firepl/Fact. Blt. iCBO dk Heating System & Ducting ❑ ai ao,000 aru O i oo,000 en Reinspection Fee � $15 Showers Service Sink Sewer (;ap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Laundry Tra'ys Issue Fee Hood or TVPeI ❑ Canopy Type II ❑ Refrigerotion System � ❑0.100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers Registers luue Fee si.r. � 5 Main Buildi E T Front B Rear A C Right K Left . S Ping. fief. # Planning Notes: FEES �+utomatic Washer Construction PoleSu6. Cooking Unit D ishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW C $ 3 FEES $ 3 2one Accessory Building: Parking Req./Provided ELECTRICAL � Transformer � 15�50 KW ❑ 50 + KW Meter ❑up to 100 amps Meter ❑overi00amps Sub Panel Motors OO-1 HP O 1 X- 8 Inc.Solar �9�15 HP �16-15+ Microwave • Pole Light Range Standing Sections 5 KW Tresh Compactor � Reinspection Fee �$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved By Building Approved By APolintiOn IaUed BV _ . . _� FEES $ 3 O N 1 N G R E Q M T $. SUMMARY OF FEES —` BUILDING PERMIT $ �s��-� SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENEFiGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ �'�� PLAN CHECK 25% $ 0? aC;,.i9f37-06ps9338 �'Q'i" ?::s.' CAT�: 08/OE/89 TJi1E: C9:si � CONSTRUCTION AND PLANNING POOI '�PA ' •' APPROVALS Permit # Date Inspector qppROVALS 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. APPROVALTO COVER-GUNITE ..� � 7. Footings � 58. Electrical Conduit-Undrgrnd. : i '� ' �.,� 8: Foundation _ 59. Gas Pipe, O Undrgrnd., Test � � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. „ � ' 10. Structural Floor 5ystem � 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � i 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 ��7'. Rough Wiring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar 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 & qir Conditioning 35. Final Gas Pipe-TCst 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Servfce-Final 41. Solar pomestic-Final 42. Backflow Preventer '. 43. Backflow Irrigation 44. Landscape Irripation System �� 45. Sound Attenuation �. _1 46. Handicap Regutations " 47. FINALSTRUCTURE&BUILDING � � 48. Special Requirements Completed 49. Electric Release to Edison a 50. Gas Release to Souihern California Gas Co , � J y 51. CERTIFICATE OF OCCUPANCY •' 1" . i No. Date ��• � _ �. 4 3 u� P � 2 � � � N a �--� w Z�� 12L I� l�l_.T Applicant to fill in all spaees except t�ose witnin �eavy Gortler lines anC sign all approprlate Ceclarations. CI7Y OF COS7A MESA CONSTRUCTION PERMIT ProjectAddress 345 University Dr. Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Comractor's Name Phone Address (mailing) Ciry License No. �2Y' gilj_�gy' LICENSED CONTRNCTOR DECLARATION I tlereby affirm that I am li[ensetl untle� prOvisions ot Chdrte� 9(commencing with seclion ]000) ot Division 3 of Ihe Busine55 antl Profe55ion5 COtle, antl my Iicense is in full force antl eifect. License Class Licensa No. Date Signature WORKERS' COMPENSATION DECLARATION ' hereby ai(irm Ihat I have a certiticate of consent to seH-Insure or a certificate Workers' Compen5ation Insu�ance, O� d certlfletl copy the�eof (Section i0, Lab. CJ Policy No. Company BCertitied cooY is hereby furnishetl. Certifietl copy is liletl with the city Builtling Division. Date APPlicant EXEMPTION PROM WORKERS' COMPENSATION DECLARATION (TM1i55ec[ion ne¢tl not be completetl if the perml[ Is tor one huntl�etl ($300) or iess). 1 certity that in the pertormance oi the work for wnlcn tnls permk is issuetl, I snall not employ any person in any manner so as to become s ject to the Worker om nsa on Laws of Ca11Pof(� ia. i/ u Date �> 9,�SignaturC tj � �t�J ��_ 'L NOTIGE: If, iter makin9 this tleclaration, you shou�tl become subject to fhe Workers' Compensatlon p�ovisions o! the Labor Cotle, you must forthwith comply with sucn provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby af(irm that there is a constructlon lentlin9 agency /or the performance ol tne work for wnich tnis permit is issuetl (Sectlon 3097 Civ. CJ LPntle�'S Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby afiirm that 1 am exempt from the Contractor's License Law for the (ollowing reason (Section �031.5 Businass antl Professlonal Cotle: Any tlty or county which requires a permit to conitruct, alte�, Improve, tlemolish or repai� any sVucture, prior to i[s issuance, also requires the applicant for sucn permit i lo file a slqnetl statement that he/she Is IicenS¢tl pursuan[ to the provisions ot �. tne ContractoYs License Law (Gnao�er 9,(mmmencing with Secilon �000) ot I- �1?rvision 3 ot tM1e Business.antl Prote55iOn5 Cotle) or that he/The is exempt �-'d°;�re(rom antl Ihe basis tor the allegetl eaempfion. Any violation oi Section "'x3L5 by any applicant fot a permi[ subjects lhe applicant to a civil �+`�2nalty of not more than (ive huntlretl tlollars (5500). � I, as owner of tne property or my emoloyees with wa9es as their sole mmpensafion, will tlo the work, antl tho 5[rutture is no[ Intentletl or offe�etl for sale (SectiOn 7044, Bu5ine55 antl PrOf¢SSional Cotle: The Contractor's License Law tloes nOt apply Lo an owne� ot a p�ope�ty who builtl5 Or imp�oves tnereon, ana who does such work hlmself/herselt or throu9n his or her own employees, proviUetl that such imProvem¢nt5 are not intendetl o� ott¢r!tl tor sale. If, nowever, tne builtlin9 or improvement is sola within one year ot com- pletioq the owner will have the burtlen ot oroving he/she tlia not builtl or im- r ve tor the purpose o( sale). I, as owner ot the D�operty, am ezclu5ively mntracting with IicenS¢tl COn- �aclors to construcl lhe Project (Sec[ion ]044, Business antl Professions Cotle: The Contractor's License Law tloes not aoPly to an owner ot property who builtls or improves tnereon. ana who conVacts lor such oroie<ts wlth a ron- [ractor(s) license pursuan[ ro me ConVactor•5 Llcense Law). I am aware that proof of their Worker's Compensatlon insutan<e Shoultl be provitletl to me ❑ I am exempt untler Section B. & P. C. tor this reason Date Owner I hereby c tity that I have reatl tnis application antl state ihat the above Information is correct. 1 agree to complY with all clty antl county ortlinances antl State laws relaling to builtlin9 const�uctlOn, antl hereby autho/iie repre- Senlatives of [his clty to ente� upOn th¢ aDove-mtntlonetl P�operty for IniplCtiOn pu po s. Signa[ure ��(� ��-- Date� fP Drlvers' License or 5� �� .�� '� lp / U BLDG. M 1 2 3 4 TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT LIGRADING LJFOUNDATION LJSTRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sa. F7.SSOO oCCUvarvcV— CONSTRUCTIONTVPE VALUATION$ 950.0( 20NE GRADING GV. V�S. ACRES— Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains ShoWers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash FE Reinspection Fee � $15 � � Issue Fee � $ 3 Duct � Under Ground Duc[ - Structural Duct - Ventilating Exhaust System � Multiple ❑ Firepl/Fact. Blt. �CBO # Heating System & Ducting ❑0�100,000 BTU Ot00,0006T1 Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑o-ioo,000sTu ❑ioo,000 System Repair/Alteration Fire Dampers Registers qainspaction Fee � $1b � � laue Fee � $ 3 0865�46,rev. 5/8B Whi�e -�Builtlin9; Canary � Applicant; Pink � Accounting; Goltlenrotl - Assessor A.P. # S Main Building: E T Front B Rear A C Ri9ht K Left $ Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Si Cooking Unit Dishwasher Dryers ❑Gas ❑EI Fan F.A.U. Fixtures Device Bozes Outlets $WitCh¢S Garbage Dispoul Generator �0.5 KW Fee 2one Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW Merer ❑up to 100 amps Meter ❑over100amps Sub Panel . Motors 00-1 HP O 1 Yh - 8 Inc.Solar �9-75 HP �16�15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactor $15 Issue Fae DEVELOPMENTSERVICESRE�UIREMENTS: Zoning Approved By Building APV�oved By � Appliption luued By �n � FEES $ 3 SUMMAqRY OF FEES f� BUILDING PERMIT $ %¢.O� SMIP $ •S✓ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% 5 ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ � �0 PLAN CHECK 25% $ N 1 N G R E Q M T S. O1 ,��3?F;5-CQD39S35 �'�"" „� L';j=: G3/OC/L9 TIfic� G4:s1 , CONSTRUCTION ANDPLANNING POO SPA , � APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,� 3. Electrical Conduit Utility-Undrgrnd. -' 54. Forms � 4. Electrical ConduibUndrgrnd. 55. Electrical Bonding � �� 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test + 6. ElectricalUFERGrnd. 57. APPROVALTOCOVER-GUNITE -� � � � 7. Footings �' 58. Electrical Conduit-Undrgrnd. • S. Foundation . •.59. Gas Pipe, O Undrgrnd., Test � � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. • 10. Structural Floor System �� 61. APPROVAL TO DECK �., 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final "� 72. Sewer Cap ''' 63. Heater & Vent-Final ' 13. Roof Drains ' 64. Plumbing System - Final � 74. Rough Plumbing � 65. Electrical-Final - 15. Rough Elecvical-Conduit 66. Solar Sysiem-Final ;.��6. Rough Electric Wiring 67. Fencing & Access Approval i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .1�$. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �20. Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage 7ank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat �� 75. Dry Chemical 27.. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 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-7est 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic•Final 42. Backflow Preventer - 43. Backflow Irrigation ' . � v 44. Landscape Irriqation System . 45. Sound Attenu2tion 46. Handicap Reguiations 47. FINAL STRUCTURE & BUILDING � �� 48. Special Requirements Completed 49. Electric Releas2 to Edison �;� r.. 50. Gas Release to Southern California Gas Co "� ^ ' s- �: 51. CERTIFICAT� OF OCCUPANCY , , '✓ No. Date " 4 w P � 2 � � � N � � w z�� 5 3 L � 2 1 �12t � � {2�4 0 C J .. 1 � I � 2 �3 �4(F)5��o 1 :J (714) 754-5273 • Fax (714) 75a-4858 • www.ct.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 345 UNIVERSITY DR Suite: N Viciniry: ROOF Pnmary Oca Type of Conswction: V-N Parcel Number: TPN005068 Zoning: Applican�: PABLO LOBATO SANCHEZ Address: 1235 N SAN DIMAS AVE SAN DIMAS, CA Phone: (626) 852-2110 Zip: 91773 Owner: WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNIVERSITY DR� COSTA MESA, CA Phone: Zip: 92627 Contractor. CONDOMINIUM CONSTRUCTION SERVICE, INC Address: 1235 N SAN DIMAS AVE SAN DIMAS, CA 2ip: 91773 Arch : Adtlress: Phone: Phone: (626)852-2110 License: 691243 Eng: Address: Status: ISSUED Applied: 07/1&2005 Issued: 07/1&2005 ISSUED BY: u Phone: Zip: License: License: SCOPE OFPERMIT TEAR OFF EXISTING COMP SHINGLES AND INSTALL 40 YEAR GAF COMPOSITION ON CONDO UNITS Ni, N2, N3 AND N4. REPAIR AND REPLACE SHEATHING AS NEEDED. Plan Check: $0.00 Permit: $195.25 SMIP Res: $1.10 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $196.35 � �" SETBACKS ` MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Ezistin : 0 FEE SUMMARY Calc Valuation: Claim Valuation: � �> PLANNING & ZONING � � " Rear 0-0 Rear 0- 0 left 0- 0 Right Left 0- 0 Right Required: 0 ' Proposed: 0 0- 0 � �' Si i,000.ao a�,.000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handirap access requirements under Calitomia 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 consitlered legal, such work must comply with ell applicable codes, end ell requlred inspeetlona end finel epprovel must be obtained. Failure to obtain inspections and tinal approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae-ae �eroo� WORKERS'COMPENSAnON DECLARAnpN: � I hereby attirm untler penalry oi perjury one of the fWlowing declaretlons: � ❑ I heve entl wlll malntain a certificate oi co�yent to salf-Insure for workers' compensatlon, as provided lor by section 3700 of the Lehor Cotle, for Ue pertormflnce ot the �—fwn rk lof w�ich lhis permii is Issuetl. �y I have erM will maintain workers' compenyation trGsurencg, gs requireO Dy secllon 3700 oi the Lehor Cade, lor the perlortnance ot Ne wwk ta wlikh Nis peimit is iswed. My workers' compensation Insurance cgrrier entl pdiry number ere: �.'�� D� ry� �G O/d / ca a�rr �%�',QL�/`a-�N�1- iuS�1YP r4 C() aoi��yTj,es—• x (RrESYecflar need no( be comp/efed!! Ne pernyf (s velued et me hundred ddlers ($100J w less.) ❑ I cenity that in t�e peAortnence of ihe work tor whlch Ihis pertnil is iuued, I shall not employ eny peraon in any manner so es �0 6ecome subject to the workers' compensetlon laws of Califamia, and egr t t II I chould Decome su0�ect to the workers' campensatlon proWsions of Seclion 3700 of Ihe Lebor Catle, I shell torthwlN ��.� e� �'�� .� g oo�a:. 7— / 8"- v s .��,.. WARNINO: FAILURE TO SE RE WOfil(ERS' COf.1P�$q7�p�J CpVEqpOE IS UMAWFUL M'D SNAl1 SU81ECf rW EMPLOV2RT0'CHIMINAL PENALTIE$ PND pN� FlNES UP TOONE HUNPRED T}IOUSAND DOILARE (5100.000�. IN ADDIiION TO THE CQST OF COMPENS4TION, DMNGES AS PROVIDED FOR IN SECTION 3]OB OF THE UBOR COOE, IMEREST, M1D ATTORNEI"S fEES. LICENSED CONTRACTORS DECLARATION: I hereby oHirm I�et I em licensetl unQ°j pra 51yn�s�i 1 C�eptor 9(cammancing with Sectian 7000) oi Divlsian 3.o(.t�e Busine�ss end Prolessions Code, end my license is In tull lorce;errcl�ettect: �L7c.'& �� / � . Y 5 /1 / {....61ass'-� n� I5 ::.a'.,� r" cotur�cCo[A:§ipnamre� oe�et' 7—% � CONSTRUCTION LENUING AGENCY: ❑ I hereby eHirm Ihat there is e construcUOn IenCinp egency br the peAortnance ot the work tor which thls pertnit is Issued. (Sec. 3097, Givil Code). Lendels Name: LentleYs AAtlress: sipnacure: OWNEfi-BUILDER DECLARATONS: Date: I hereby eHirm thet under penalry oi per�ury Ihet I am E%EMVT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protesslons Cotle: Any ciry or county whic� requires e permit to construct, elter, improve, tlemolish, or repeir eny siructure, prior lo its Issuance, elso requires the eDPlicpnt for euch pertnit to �ile a slqneC statement thet ha or she Is Iicensed pursuant ro t�e provisions of ihe Contredors License Lew (Chapter 8(commencing wlih Section 7000) of Dlvision 3 of t�e Business end Prolessions Cotle) or ihat he ar she is exempt therelrom and the Easis for the elleged e:emptlon. Any dolation of Sectlon 7031.5 by any epplicent for a pertnit sub�ects the eppllcant to e dvil penalry of not more Ihan Ilve hunCred Collars (5500).): ❑ I, as owner of the properry, or my employeey with wa9es as t�elr sole compensetion, WlLL DO TNE WORK, and ihe siruWure Is not intenaea a oftere0lor sale (Sec. 70dd, Busineu end Pmfessions Gode:lTe Contrectors License Lew does not ap01y to en owner ot propeny w�o bulltls or improves thereon, antl who does such work himsetl or �ersell or ihrough his or her qv,•n employees, pravided that such imprwemenis are not Intendetl or aflered lor sale. If, hawever, tha building or Improvement Is soltl wit�in one year of completion, lhe pwner-builder will heve t�e burtlen oi proving that �e ar she tlitl not build or improve for purpose ot sale.). ' � I, es owner of Ihe properry, am EXCLU$IVELV CONTTiACT1NG WITH UCENSED GONTRACTORS to construct the D�oject (Sec. 7044, Business antl Protesslrns Cotle: The contractors License Lew do4s not epply ta en awner ot property who builds or imprwes Iherean, entl who contracts tor such Drqect wiN a contractor(s) license pursuant to ihe Contractors License LewsJ. ❑ I am e:empt under sec. Business and Professions Code tor this reeson: Signeture: Date: Owner ID verified by drimrefs license. ❑ Ves ❑ No Orivefs License No. Expires: Vedticetlon oi Ownership by (type of document, i.e. - property tex Dill or Aeetl): DIVISION OF INDUSTRIAL SAFETY PERMfT CERTIFICATION: ❑ I hereby cartlty ihat no excavatlon tive (5) or more leet In tlepth Into which e person is requlred to tlescand, wlll be mede in connection with work euthorized by Ihis permi�, entl Ihat no building sWcture, staHoltlinp, lalsework, or tlemoli�ion or tlismantling thereot, will 6e more Ihen Ihirty-six (38) leet high. (CheD� 32, Grp 2, Ar12, Sec. 341, Tille 8, Celifomia Atlministrative Cpde). ❑ As owner-builder, I wlll not employ enyone to tlo work which would reQuire e permll irom iho Divislon of Intlustriel Sefery, es nated ebove, unless such person has e permit to tlo such wark trom the diWsion. Signature: Date: Division ot Intlustrial Selery Pertnit NumEer: CERTIFlCATE OF COMPLUWCE AND AUTHORIZATON OF ENfAY: I certity untler penalry of perjury t�at I heve reed this epplication and stata that Ne Intormallon gNen is conecc I egree to compty with ell stete laws end dry ortlinences relating to building constmctlon, end authodze representetives of t�e Ciry oi Costa Mesa to enter upon the ebove-descdbed properry for inspection purposey, I egrae not to oaupy ar ellow occupenq at eny building euthorized by this permii until finel inspection. 40oE �. INSPECTIONTYPE Q� � �QQF,( INSPECTIONTYPE 1616 Fixetl System Finel Flre PrevenUon 206 Final Mechenicel 1288 Pool Spe Finel /�/ �� 208 Flnal Plumbing 200 Finel RaRool �� ' Final ElectAcal 201 Final Block/Retaining Wail 212 Flnal Fire Preventlon 202 Finel Fectory Fire PIeCB 220 Finel Plenning Approvel 203 204 Final Sipn Finel Demolltion 222 Final Site 250 FlnelBulli Date 7�/�—O5� � ve� It�eu To: WOODSTR€AM HOMEgiWN�ERS ASSU�IA7ION 345 University Dr. Cost1 A�1esa, C�� 9�62� il�c Cit�� of Costa Mesa This is to confirm �_. c l;a� e si�1C� 3 1n��7"dC1 R'li�l � Oi1ljU1711[liUTfl '�-'."ri:�tLUCiit�': S�i i CS, (CCS) to remove and replace oiL roof with 40 yT asphalt sliingte�:. .��OTk iC tC CnII7'neIICP. C�_^. `1!Y I�, �0�!�. Thanl; you., �--:..-, ,<. r' � �' _ � /y �� /: ✓ � � Beverly �i9c f�a,`'fe~u�"� President �i�oodstrean H.O..? . P-2 _ _ � , ? - "-;:' - � �,' ; •• -.: � '� ,- � % �'�� ,�.=�� / (, r,,.,�, ,,,,-.,-� --.,---,-. ..-- -- ;---,----, --,,, .�„ .,-. � 1 Pfl0.1ECTA0UFES5: '�4S UNIVERSITY DR OWNEN'S NFME: ST�pHEN WRIGHT AOUflESS: S�E RflCN/ENGINEEH: nooecss: flEG.NO.: UNIT: N-1 uxn: PEflMITTEE: PxIL HARP ( 719 ) 642-2913 nooness: �q5 UNIVERSITY M-4 CO�STA MESA CA 92627 UCENSE� CONTpAC70N OE �1NF7�ON: I here�y aflirm that I am licensea untler Diovisions of ChaD�e� 9(commencing with Section 7000� ol Oivision 3 oi ihe Busmess an� Pmlessions Cotle, ana my license is in lull force and efiec�. CITYUC.:O4SZ27 srareuc.: 1640`9� cuss: B l Daie: �2� �9 •41 Signature:�"�� WOflKENS' COMPENSRTION OECIANRTION: I hereby allirm tlial l nave a ceniliWte af wnsent to ulbinsure or a certilitate af Worker5' Comp¢nsation Insurance. o� a cendie0 capy Ihereof �Section 38011. Lae. C1. raucrNo.: 1182512-91 EXP.DFTE: O3/OII9Z �.. COMPRNY: STATE � Ceniliea copy is here�y tumis�ed. j� ie0 coOY is fileU vni� �he cily Builtling Oivision. �ate.. �2-��i' `� Applicanc� ��"�{� / E%EMPTION FpOM WOflHEBS' COMPENSIITION OECLABATION: (Thi55eciion nee0 nol �e tompleietl il �he p¢rmii i5I0r one AunAre� (5100) or lessK I cerlify IM1aI in the pedormanGe o� ihe woB �or which Ihis Oe�mi� is issu¢4. � shall noi employ any persOn in any manner so as �o become suble[� Io Ihe Workers Compensalion Laws ol Cali�amia. �ale: Signa�ure_ NOTICE: If. atler making ihis Oeclaration, you shoWd become suGject to t�e Workers' Campensation pmdvons of ihe Laoor CoGe. y0u mu5t fonhwIlP cOmplY wi�� Suth provi5ion5 Or Ik5 Defmii Slull G¢ GeemeE r¢roketl. CONSiNUC7lON LENDING AGENCY: I nereEy aflirm tnat �here is a consimction lentlinp aBency far �he Dedormance ol �ne wrork far which Ihis Oermit is iuueA (5ec�ion 3097. Civ. C�. IENDEN: AOUXESS: OWNEB BUILDEH DELLRflRT�ON: I hereby allirm iha� I am exempl �mm ihe Contrac�ors' S�aie Li[ense Law lor �he followinA �eason (5eclion 703t.5 Business anU Professional CoOe: Any city of county which repuires a oermit to constNct, alter, imDrove, demolish, or reDair any 51mcWre, priar IO ils is5uan[¢. a150 r¢Quires lhe appliwnt f0� such pe�mit to lile a 5igneU Slalemen� tha� hpJshe i5licenSeE pursuam lo I�e provisions al IPe Coniraclors' Slate License Law (ChaO�er 9(commencing w�t� Section 70W� o� Division 3 0l t�e Business anC Ptofessions Cade) ar ihal �slle is exempi t�ere�mm anG ��e Dasis lor Ihe alleAeA evempiion. Any violation al Seclion 7037.5 hy any applitanl br a Dermii SuGleciS Ihe apDlicdnl Io a civil penally ol noi more I�an live �unOreO Oollars (f500�. I, as owner oi Ihe D�opehy ar my employees with wag¢s as t�eir sole compensa�ion, wiil da I�¢ work, and Ihe ❑ slmcWre is noi imendad or ollerea �or sale �Sec�ion 7044, Business an0 Pmlessional Code: TAe Contracmrs' Slate license Law tloes not appty to an owner ol a pro0eny who builds or impmves ihereon, and who does such wark himsell/herself or ihmuAh his Or her Own emplaYees, pmviaetl Iha� Suth impmv¢ments dr¢ no� iniended or 0��¢red lOr Sale. II, however �Ae huilOinA or impmvement is sola wnhin one year ol completioq the owner will have ihe huraen of pmving Ae/s�e Oitl not bui10 or imD�a�e lor Ine purpose ol sale�. I, as owner ol ihe proVeny, am e.cWsively comracling wiih licensea contraclQrs �o cons�mcl �he D�olecl (Seciion 1044, Busineu ❑ anE Pm�essions CoGe: The Conirac�ors' State Licease �aw Gaes not appry to an owner ol Omperry wha butlds ar improves tAereon ana w�o contracis fo� sucA pmlac�s vnih a contracmr(s) license pursuanl m Ne Contactors' Siate License Law�. I am aware �hal pmol o� their WO�ker'S Camp¢nsa�ion insurance shoul0 �¢ Vmdtletl Io me. � I am e�emp� untler SecUon: B. 8 P. C. ' �ar Ihis reasan: Oaie: Owner. I Co hereby [ehily �hal I am aware oi anU unaerslantl �he requiremenis 0� California Heatlh ana Sa�ery CoOe $ec�ions 25505. 25533, ana 2553d ana I�ai I or any luture builaing occupani will/will noi (circle one) neeA Ia comply with said 5[a�e co0e5 anU tAe requiremen�s �or a permil lor consVuction or modilication I:om Ine Air �ualiry ManaAement Disiricl. fles�dential conslNction aD�lications are exemp� Irom UICSC ptOvi5i0p5. Oale: pDDlican�: I hereby terlilylhai I haverea��is apPlitaii0n an atelhai Ihe aboveintotmationis torr¢d. I agree to tomply vn10 Ciry antl Coun�y or0inancesantlslatelawsrelatinqtoDuil6inpcons c�ionanOhe�e6yamno�ueiep�esrniativesotihisciryioeme� eahwe-men�ione0 O�opetly lor inspeclion pur0oSe5. ' ' -/� n Date: � z - �� Signamre: • /"� � Oriver's license or Social SeGurily M: 164La6 W�ue—Builtling', G�een—COEc Eniorcemen�: Canary—ApPlican�: Pink—Revenue: Goleenrop—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 05556 PERMIT NO; M 055565 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE; MEC PURPOSE: ALT JOB DESCRIPTION ; INSTALL NEW "TEMCO" FACT/FAPLC(TCB03195) SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: R-1 I COMNENTS• NEW FACTORY FIREPLACE/ICBO# 3195� (i-E #�� j�S�r �***�t�t��rir***�t�t*�r�r�t�t�t�t�t�t*�r�r******�t*�r***�+t*� x*�*�t+t**�r�t*�r *�t�*�***�e*+�t+r*��r�r�+t�r�t*** Z O N I N G R E Q U I R E M E N T S � S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT ZN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV: PARCEL; 93909109 2NE; REF NO; PLANNING N TES> / > k if k k iF iF iF 9f if �E iF if i! it 3t �E �f ak IF k if 3f k�f �f if iF i! iE 3F 1t if k K IE if iE �F iF af iF iF it it ik 3t �k 3f fk iE k k iF iF iE iE k iE ik if iF if iE i� 3F �f k if ik i! # iE 1E if iF if iF if i! D E V E L O P M E N T S E F2 V I C E' S R E(J U I R E M E N T S 20NING APPROVED BY DATE; BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY• DATE; �Z— ififlfiF3fikMkiFkiEkiklt�EifiEiFkifif�! MlfiFifkifif�f�fiE if ififMiFifiFlfiFklFMkMiEiEiFiflflfif3FkifiFif3fkMk�FikiF3fitlt�kiFiFiFif�Ek�FiFitMM�fiEiFkifikif�fk�FiFMiFlf�f�FlEifiFifififiliFifiFffiEiEif �f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 6 50 PL� '15Y SMIP/NON—RES ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 6,50 15.00 0,00 21,50 21.50 ,00 REVENUE DZVISION TOTALS--> COLLECTED; 21,50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECH 21,5� k3fkiEk�f�kififiF3EiEkM3EifkiFkklfit�f3fkkififkikM3EkMiEklFiFiEkif4kkiFiE�EiEikkiFkllMiFiFkMiflf�fiEiflFkjfkiFiEiFiElfif�fiEkikakiE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST MEC 1 FACTORY FIREPLACE 6,50 6,50 END OF FEES �1 �CIQ�i4J2'.�.1'i1�tigJ�.> ��^i i _ � l C'tiP�: IF�19/91 TIi;F: �)^:;� CONSTRUCTION AND PLANNING - POO� � SPA - APPROVALS Permit # Date Inspector qpPROVALS Permit # Date In:pector 1. Temporary Electrical Service or Pole � 52. Pool & Equipmen[ Location 2. Soil Pipe•Undrgrnd. " a't 53. Steel Reinforcement , 3, �E�7ecvical ConduiL Utility-Undrgrnd..: 54. Forms dp Electrical Conduit�U�fdrgmd. � 55. Electrical Bonding 5. Steel Reinforcei�eA'r,' � � ,. 56. Rough Plumbing & Pressure Test ��Fn. Electrical UFER Gratl. �• 57. APPROVAL TO COVER�GUNITE ,.7; Footings '� ' 58. Electrical Conduit•Undrgrnd. - '�; E-8. Foundation 59. Gas Pipe, O Undrgrnd., Test T9. Water Pipe�Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System . � 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & ReceptonFinal - 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Pinal 14. Rough Plumbing, ' 65. Electricai-Final 75. Rough Electrical•Conduii 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval �T'7. Rough Wiring Sign' 68. APPROVED FOR PLASTER WG 78. Rough EleclricAl-T Bar Ceiling , 69. POOUSPR SYSTEMS FINAL 19. Rough Heating & Air Contlitionin9 � FIRE DEPT. REQUIREMENT _ � _ •- i 20. Rough Facton1 Fireplace � T � � . - - - • �APPROVAIS '• Perrnit # t 21. Duct4,in�Struetur�:� , , ,. ' � = ' �0. Undergroupd_Hydro � � 22. DucLS, V.ehtilaiinq- � .� � � t�� ' 1. Product Piping O Gas ❑�Oil 23. Gas�Pipe�Rough&'1"es2 � �a r,r � .r J' � 7Z, UndergroundFiush� ', �'' 24. �RooEPraming� • . � ' - '- Q '73. �UndergrndFStorageTank OGas OOiI 25. Roo�Sheathing . ' ` ,� � _ ,��' 74.-0verheadNydro 26. T�Bar Ceiling (Strycwra�l & Monocoat ' - �i • • 75..qry Chemical - 27. �rame and Flashing _ ;�rr : ' ,x', T 76. Dry Standpipe - - ' ' r �28. Lathing & Siding � � . . - +'c _ - �- •- -�� 77,'FIXED SYSTEM�FiNAL- 29. Insulation ,,:1' - � "" � ' � � � �; � 78.'�IRE PREV. FINAk � �. �� : > .., • .., - 30. Drywall Nailing ^ -. !�� HEALTH DEPTrREQUIREMENT 31. Plaster BFowrtCoaf; � ,. _ 79. FINAL INSPECTION � '_ � �32.�.Electriwl Povvgr MecerFinal : - :,, �� + $0. FOOD CERTIFICATE ISSUED _ ,33. Final�Eiectric ' , . � �', ` 'Notes: ' " � - . . a•. . '. i � . ` . � ' �34.,Final�Heating`&AtrConditionmg� �- � . ,, •r • .; ' 35. FinahGas Pip�Test ` _ - � � ` � ._ - - 36. HooS�or.�anopY `. � ' � . . � • % v � �� -� - i 37. Final'Factory Fireplace _ � � � T' -� �- % - 1;�/ar�9/ _ _ - 38. Pinaj,Plumbing . • .� ,� .. .. .. � 4 • , . _ F ' :39. Water Service�Final - i � � � � * : � � � '?}0. Gas Service-Final , ' , ' � � ` _ ` � '. . t . -41. Solar pomesticFinal = .� � •- �* _ ,� � �- 42. Backflow Preven4et_'. ' � �� „ _ ._ � - 43. Backflow-Irrigation- . . x . � . - i �44. Landscaqe Irrigation SVstem,-.� ' � . � � ' ,;; ._ �35.�Sound AtcenUation, ru��: � �> - . - � � � i , n - •?16. Handicap.Regulatiorts , � _ ' ' '" "�. ., ; . . � ' 47. �FINAL STRUGTURE & BUI.-LDING � � I , � � . - � 48. FINALPLANNING, � �' r �� ' . r 49.. Elec4iic Release to �dison � � �' - f � , _ 50. Gas Release to Southem Calif'ornia Gas Co ,; � � �; � : - '_ �� , ' .51. CERTIFICATE OF OCCUPANCY ; : ; _ , No. Date PPOJECTAOORE$$: 345 UNIVERSITY DR OWNEfl'SNRME: STEPH�N WRIGHT � RODflESS: SAME AflLM/ENGINEEfl: aooaess: flEG.NO.: UNIT: N-1 uxir: PEflMITTEE: PHIL HARP (714)642-2913 noosess: 395 UNIVERSI'PY M-4 COSTA MESA CA.92627 LICENSEo CON7HaCTON oECUNAT10N: I nereoy aflirm Ilut I am Iicense0 untler provi5ions ot Clupter 9(commencing wi�n 5¢ction 7000) of Dir,sfon 3 al I�e Busmess aPd P�olessions Cotle. anE my license is in full lorce antl eftecL � ciTruc.: 04522� STRTELIC 516409 °,p ss' B� Date: �2- � 5 - Signature: (T WONREflS' COMPENSRTION OELLAflPTION: I Aere�y affirm ihal I �ave a cenilicate ol consent m selFinsure or a certiticate al WOMers' ComDensa�ion Insurance. or a cenifieJ caDY �hereol (Section 3800. Lab. C�. POUCYNO.: 118'l�'jl'2-91 E%P.ORTE: O.3IOSI92 carnvnxr: STATE � Ceniliee copy is here�y Wmishe�7. Cenifietl copy is filee with ihe city Builtlin0 Division. oate: IZ. � `j' `� � ApPlicant: � � EMEMPTIONFBOMWOPREBS'fAMPENSpT�ONOECIABRTION: �T�i55M�ionneeGnotbecompleleCilNepermitis�oronehun4retl�5700�or �. I[etlily Iha� in I�e petlormance ol the work br whic� ��is permil is is5ued. I shall nai employ any person in any manne� so as �o �ecome su0ject to the worke2' fAmDensation Laws oi Calilomia. Dale� Sipnature: NOTICE: II, alier making Ihis tledaralion, you should become subleci to �he WOBe�s' Compensa�ion pmvisions af ��e Labor CoEe. yau musl forlhwi�h comply wil� such O�ovisions or IAis permit shall 6e Geemed revoked. CONSTNUC710N IENDINC AGENLY: i �ereDy aifirm ihat ihere is a constmction IentlinA aAency lor �he pedormance oi the vrork 1or w�ic� Ihis permit is iSsueU �S¢ciion 3�77. Civ. C�. LENOEfl: ADOAESS: OWNEfl BUILOEfl OECNNFTION: I pere0y aifum ��al I am exempl imm I�e Conlracmrs' State License Law for ihe followinp reason �Seclion 7Q31.5 BUsiness antl Pmfessional CaUe: Any Ciry o� COunty whith repUires a Oe�mi� �o Cons�mCt, alier, impmve, d¢molish, or reoair any stmcmre. prior lo ils issuance. also repuires ihe apo��wnt 1or sucA permit m lile a signe0 siatement that halshe 6 licensea purwanl to ihe D�onsions al lne fAntra�tars' Slate Liunse Law (CAiapier 9(cOmmencinq With Section 7000) ot OiviSion 3 ol ine BusineA antl Pmlessions Cotle) ar Ihat �e/s�e is exempl �herelrom and ��e basis for Ihe alleged ¢eemption. Any Nolaiion ol Sec�ion 7031.5 by any aOPlicani lor a p¢rmii SUEleqs Ih¢ applicani to a civil penalty ol no� mo�e �han five hunAred Eollars �5500). I, as awner of the D�oOerty or my emplayees wil� waAes as iheir sale campensation, vnll ao ihe woM, antl Ihe ❑ slmaure is noi imenaed or olf¢reE �or sale (5¢tlion 7044, BUSine55 an0 Pm�e55i00a1 Code: The CAnfraci0r5' $tate LicenSe Law Uoes noi apDly lo an owner ol a pm0e�y who Ouilds or impmves �hereon, and who tloes such work himsell/hersell or lhr0ugh his or her own em0�oyees. proviAeU ihat such impmvemenls are nol intenEeU o� atlere0 for Sale. IL Iwwever ihe builGing or improvemenl is mb vnl�in one year oi completion, Ihe owner will have �he burEen ol proving hrlshe EiA not buBd or impmre for ihe Durpose ol sale�. I, as owner ol Ihe propehY. am eKclusively coniracting with licensed coniractors to consiruct the pmject (Section 704d, Business ❑ an0 Pmiessions CaOe: 7he Co��actors' Sta�e License Law Ooes no� apply io an owner of pmperty who builAs or impmves �hereon ana wno coniracls lor such piojeds with a coniraclar(s� license pursuant to ine Coniractors' State License law�. 1 am aware t�at Dioot of I�eir WOBer's ComOensalion insurance shoultl Ge pmNtleA to me. � I am ehemp� untler Seciion: 8. 8 P. C. tor mis reawn: Oa�e: Owner: I tlo hereby cenily I�al I am aware of ana untlerstan0 t�e repuiremen�s ot Calitornia HealtM1 and Safety Code Sections 25505, 25533, an� 2553E an0 that I or any luture huilAing occu0anl will/will not �circte one� neea to comply with Saitl state cotles antl tlle requiremenls for a permil lor conslmciion or mo0ifica�ion ��om t�e Nir Ouabiy ManaAement Distnci. Residentiai consimc�ion apD��ions are eKempl Irom I�ese D�ovisions. Date: ApPI � I heB�y cetli�yl�al I haver¢atli�fs applicali ana 5tateihal Ihe a�oveinlormaiionis correcl.lagreeia compty wii� allci�y and cou ortlmancesandslalelawsrelating�obuiltling on5lroclionantlhere�yaulhorirere0�esenlalivesa�thiscilyloente�upon�heabove�menl' ed pro0erly lor inspeclion purposes. . �j Date: (2 " � � "q � SignaWre: — / \ �—�� Oriver's License oi Saial Securiry a: � t6aba6 W�ile—Building: Green—G�e EnlorcemenL Canary—AOP��aM: Pink—qavenue: Goldenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05556 PERMIT NO; B 055566 PLAN CHECK NO; N GOVT; N 5UPP; N CONSTRUCTION TYPE; S—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIPTION ; INSTALL NEW "TEMCO" FACT/FRPLC(ICB03195) SQ FT: 500 CLAIM VALUE: 500,00 CALC—VALUE; 500,00 GROUP OCC; R-1 / COMMENTS; NEW FACTORY FIREPLACE/ICBO# 3195 �r*��r**�r�e*�r�r�*�r��r��e��e��e**�r�e*�r�r**��r��e**��r*�r***�r�e�e�r�r*��e***�r�ex�r�r�r�r�r**�e**�***�r��** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; PT IN PARRING REQ• PROV; PARCEL; 43909109 ZNE: REF NO; PLANNING N25'PES> % k iE 3f it it ft k if it iP k ft if �k IE k iF iF iF ik if k if ik iF �t if M it it if if iE if iE �f if k iE iE if M k it iF k iF k iF if M if iE k iE IE k k ik if k if it it �f �E if k If 1Eit iE it �E �f if �E iE iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N,T S ZONING APPROVED BY DATE; BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY: DATE• �lZ�� MMMifk�FiFif�f3fifik3fiEifiEkMkifMif �fafMlEiEiF�FiEffiF�if'i iEk itikkkltlE�flFiFitikiFlFitif3tkkkkkifafif�f�fkkkit�FiEilk,ikkiFkiFlEMlfffif3fitiFifkltfflfifk3EiFiflfifkk�lfiflF�Elfifkifititk�fkitkkifif LEGALIZATION;N F E E S�U M�M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 15.00 ;� 50,: PLAN � ' SNIP/NON—RES ISSUE FEE ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 15,50 0,00 0;.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 15,00 L' J� TOTAL PAID F' DUE 15,50 15,50 ,00 15.50 OVER/SHORT: ' 00 FIRE SMIP/TOT GRADZNG�PLAN—CHECK .50 iF 1f k af ik �F if iF iF �F iF 3F If iF 1f k k iF iF k M!f iE if k iF if IF M IE if if ik if if if k k�! if,if M!f M if �f �k �1E 1f k k if If �flF iFif �f k 1f �f if iF if k iE iF IE �Fif it if iF ik iF If if iE ih I N D I V I D U A L F'�E E �B R E A K D O W N � TYPE QTY D E S C R I P T I O N � �'�� UNIT COST TOTAL COST SFR 500 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 500,00 END OF FEES .- .•� 1 , r l . t CS DC10•:3i6—''C1D4�3; �''�^ � " ^AtE: 15,:^/n; ;��rF, �, , _ CONSTRUCTION AND PLANNING POO� .,� SPA APPROVALS Permit,� Date Inspector p�ppROVAIS Permit# Date Inspector 1. Temporary Electrica� Servic� or Pole_ s, 52. Pool & Equipment Location 2. Soil Pipe�Undrgmd. � �'?' 53. Steel Reinforcement �.. _3. Electrical Condwi,UClity-Undrgmd. �� 54. forms � ' 4: Electrical Condult�UatJrgrnd. 55. Electrical Bonding 5. Steel Reinforcemeat, -• � 56. Rough Plumbing & Pressure Test �6c Electrical UFER G�rrd. � 57. APPflOVAL 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 Ploor System J 67. APPROVAL TO DECK 17. Property Sewer Line'& House Conn�tion 62. Backwash & Receptor-Final 12. Sewer Cap . � � 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System � Final 14. Rough Plumbirtg "' 65. Electrical•Finai � 15. Rou9h Electrica7-Condu�t 66. Solar System-Finai 16. Rough EleCtric Wiring 67. Fencin� & Access Approval i7. Rough Wiring Sign" 68. APPROVED FOR PLASTERING 78. Rough Electrical•T Bar Ceiling ' 69. POOUSPASYSTENIS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � i. •' t-. �- :: • APPROVALS• Permit # ' * �� : - � �- �. - S '� . r 27. DuCts, irrStructur ;_ - _ '�� j0. Underground Nvdro 22. �Ducrs. Ventilating- � � : - `r ' 7. Product Piping O�ias O Oil 23. Gas Pipe�Rough &"fest , t � . 72. Undergroupd Flush . " 24. Roo$Framing . • - � - - +� � ,73.?fJndergrnd.Sloragg'ja'k �Gas ❑OiF 25. Roof Sheething �,; y '; , ; "' `-"' ,, �74. :O.verhead I-tydro � " � 26. T-Bar Ceiling (Structural) & Monocoat � _ !rr � 75.-Dry Chemical � _ � 27. Freme and Flashin9'. �� .e ;, y', 76.--Drv Stand�Qipe �-r; ;�. ,,. - 28. Lathing & Siding `t -� �• ' 77,.-FIXED SYSTEM FI�NAL� 29. Insulation -. " - _ "' � � � ;;��` 78.sFiRE PREV. FINAL � � s } a; �. 30. Drywall Nailing -. �� ` HEALTH DEPT.-REQUIREMENT �31. Plasier8iywr�Coa4x `, '" 79. fINALINSPECTl0�1 � ' ' 32. �Electric8l Power fyleterFinal , . �� %.80. FOOD CERTIFICATE ISSUED 33. Fina1 EleEtric � � `� `� � ' t Notes: y.. � �, 34. Fina! Heating,& A1Londitioning � � . y� ' ' - ti .- . . - � . . - _ � i = , ',- . A 35..Final Gas Pipe.TesE �• • � � ��` � � . .. . -a-�l�//_l� G_�_/_((1_i',/� 36. �loo¢ or CanoPY '�' ~ ' . � � � - ' ' ' ' ' ` ��%v_�� .=�o --' c7-/ 37. Finai Factory Fireplace� �+''' � � � "` ' ,� > r 38. Final Plumbing � " . .. . � � _ - .39. Water Service�Final � � � � �� ' � . - •• - T ,40. Gas Service�F,inal � ; , ^ � t " ' -41. Solar poR�esti.c-Final ; � ' �•- • - � � ,T _ 42. �ackflo�.+T'Preventer' • ' . � ' - , -� - . - 43. Batkflow-Irrigation � � ' '� � _ . � � , r�. . 44. Landzcape Irripation System , �• �* � .� . ,; .. - � ' : � } .. . - 45. Sound Attenqation� - � � S - � � * • � ' � '-�� t • � , �. r � 46. Handicap Regulations - ' � � '� �' ' T � ''� �� ., . i 47. PINAL STRUCTURE & BUILDING L 1� �� ._,^ S� > G Y ^�� ; � .. "� � � �-o_/�. 48. FINAL PLANNING,. , ; , , �;� - � 49-. Electiic Pelease to Edison . �, Y> r � - _ - 50. Gas Relebse to Southem Califbmia Gas Co � • - '' � = - ' I _ - 51. CERTIFICATE OF UCCUPANC _ , .- No. Date '...s, ' v7d:n�i+.% � - • " COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant fo Fill in Completely �� *' BUILDING +'f h �-- ►A .. _, 1 OWNER Mariners Save. & Loan Assoo AooaEss 1515 Westcliff Dr CITV NePln TEL. a ort Beach No.642-_00 CONSTRUCTION same as above LENDER BRANCH �� nnnoccc II II ADDPESS CONTRACTOR Geor�e C . �ldoods , Jr ADDRESS 1665 Pl�centia Ve TEL. c�Tv Cos ta Pdesa "� 646- LTC. No. 246672 � uc No. 219 SIZE � NO.OF BLDGS. OFLOT 247�630 "�NOWONLOT VSE OP EXISTINGBL�G. t.O be demol.ished SIZE OF NO. OF � NewB�oc.39x124 ROOMS STO(iIES EXTERIOR WALL 8 UCCO ROOF COVERING WOOCl COVERING `�Sb. 9F-� USE OF BUILDING AND WOFK TO BE PERFORMED "�/ B`2-�r7-5-73PA�oOO 2�s�* =�*112.84 C�15' BUIIDING ADDRESS OWNER FIRE ZONE APPROVED FOR BUILDING PERMIT DATE � r�/,� ^ NO.OF VSE OF P�� Z BUILDIN � �ISTANCE BET MAIN BLDGS. VAR. 3W C.U.P. �'+�E I hereby acknowledge t�et I heve reatl this application and stata Mat ffie ebove information is correct end upree to comply with , all lows reguleting builtling construc[ion, entl I shall not employ any person in violation of the workman's compensation laws of - [he State of California. - I hereby certify [hat I am properly licensatl as a contractor untler n' F Me Stato of California eusiness antl Professions Cotle, Divisicn 3, � THE AMOUNT Chapter 9, antl that such licenus are in full (orca antl etfect, or I THE PURPO6E O om ¢uempt frOr� y.�q�ovisions o( the $tata of Celifornia B�siness VALUATION antl Professions �uf e, d�vision 1c1 @1pter 9./� SlBneture ot /� v J/Tl1 /�� /J r-� LG Permittae �� A ( A^ J 1�,�` S L%� f/�� / Autnori:ed Agent APPROVED RV BUILDII BET. MAIN & 3 i' _� � m 0 'R VALUATION IS FOR � JG A PERM(T FEE ONLV: o ¢ m FEE S j m 1ECK $ � �— E `o LL ' • �t. � �� '. COSTA MESA BUILDING- AFETY DEPARTMENT � P.0.90X1200 COSTAMESA,CALIFORNIA92626 Z . w W a U H Z ZQ O v~i am J � J Q m — m J Q U � Z Q W � d W WZ J � m Z J � W W � _ Z F- w0 N � � � � Z Q V .,� PA(U )n"21-74�;.�.00 699 o�;:*Z13.AO1 APPLICATION FOR BUILDING PERMIT � For Applicant to Fi!l in Complete/y RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING � / D /� ADDRESS o Y" P OWNER A.P. NO. MAIL BUILDING ADORESS A�DRESS TEL. TRACT LOT B CK CITV NO. CONSTRVCTION W �+ P IENOER BRANCH OWNER AODRESS VALVE ARCHITECT TEL. S 5 � OR ENGIN ER FIRE ADDRESS ZONE TVPE GROUP APPROVE CONTRACTOR BY OATE � ADDRESS TEL. Z�NE NO.OF USE OF NEW PLAPiS BUILDING CITY NO. STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. L�C. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OFBLOGS. (FROMC/LSTREET) OF LOT NOW ON LOT ROfYT FT. FT. USE OF EXISTING 9LDG. FT SIZE OF NO. Of NEWBLDG ROOMS STORIES L.SIDE FT. FT. EXTERIOF W�+IL ROOF COVERING COVERING REAR FT. FT. . USE OF BU�LDING AND WOFK TO BE PERFORMED OISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. �/�A. vW DATE C.U.P.q� APPROVED APPROVED I heraby aCknowletlp0 thet I have leatl [his app�icetion an0 stato Nut tha ebova information is corraet antl egree to comply with all laws rotluln[inp builtlln8 consnuction, antl I shell not employ any person �� iolation ot the workmen's compenvtion laws of the Srote of Calitornie. m e 1 fiereby certNy thai 1 am proparly licansatl as a contractor undar SO, FT. o Ne Stnta o� Colilornin Business entl Profassions CoOe, Divisicn 3, THE AMOUNT SHpWN UNDER VALUATION IS FOF � Chnpter 9, antl thm such licanms are in full torea antl effoc[, or I THE PVRPOSE OF ESTABL6HING A PERMR FEE ONLV: ° um exampt irom tl e provisians of Ne State of Callfornla Businezz ¢ antl Profev�one Cnae, Division 3, Chaptar 9. VALUATION � DY/ m ERMIT FEE 3 �" � SiBnamro o� m Permittee 5 PLAN CHECK S E `o Au[horizod /ape^t TOTAL FEE 8 �/ LL Z . e- U � Z Z� ON a m J a, p] J m J Q U N Za W � aw wZ J Q m Z J � w w 0 ZH w� �n ¢ �o F z Q i a a Q 0 � N Z O F- U � � F N Z _ . ,. . -. -. '� :; 7:��.8 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For App/icant to Fill in Comp/etely �� BUILDING /t/� � � UN�V--I��Y E ADDRESS �Jrt" OWNER Mariners S. & L. Assoc. ADDRESS 1515 Fdes tclif f Dr c�T� Nev�port Beach Noi42-a000 CONSTRUCIION �eNoea same as above BRANCH 1t I1 AODRESS ARCHITECT TEL. ADDRESS coNrRncroRGeo rp;e C. VJoods � Jr ADDFESS 1(,^65 Placentia pV8 TEL. c�rv Costa n'Iesa �0646-116 uc No. 246672 iic�No. 2192 OFLOT 247x630 INOWONlOS ]_rj USE OF EXISfINGBLDG. t0 bG delri011'.sh2d S12E OF n NO.OF NEWBLpG. SOX9G FOOMS STORIES 2 EMERIORWA �1CCO ROOF Ash. Sh 13 COVEfiING VVOOQ COVERING �i USE OF BUILDING AND WORK TO BE PERFORMED RiiilAino i�RS_Ad nriit nnnAn I hereby acknowledge tha[ I hnve reatl [his eOPlica[ion antl ztate Ihat tha above intormation is rorrect entl upree t0 comply with _ all Inws regulating builtlin8 consvuc[ion, entl I zhall not amploy any person in violetion ot the workmen's compensation lawz of the Scuta of Californie. I hereby rertify Mat I am proparly licansetl az a conttacror antlar the State ot Californie Buziness antl Protessions Cotle, Divisicn 3,� Chapter 9, antl that such licenses ere In full force end eftoct, or I om ezampc fro . rovislo ,of the State of Ifornia Business and Profession Cnae, ivisi n hapter $�. / - EI Signamre of i �4 Pormittao ✓ Authorizetl ABent 3� �j rj '.CT -5-7S�YG�OO 272;r ��r* 121.33 FOR BUILDING PERMIT A.P. N O. //� J T/ � BUILDING A D DR ESS�y-S TRACTJ��/ W A OWNEFi $ //.% FIFE ZONE T APPROVED ROM DATE � � � .Y� NO.OF USE OF NEW C7/�'jLY PLAKS Z BUILDING N � .� 'ROVED VARDSAPPROVED DI5TANCE BET. BET. I MAIN BLDGS. ACCE VAR. # DATE C.U.P.qW'�E-73—%J APPR( APPRO V EC� `A �� MOLD FOR SPECIA R_n /J � � m /1 '� �. FT. O TME AMOUNT SNOWN UNDER VALUATION IS FOR ^ THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ¢ VALUATION m � ERMIT FEE S � ] //JJ m $ /D//� /LY PLAN CMECK $ � E � 6 v u TOTAL FEE S Z . d U ZZ Q O v~i am J � 4 m � J m Q U N Z a W � p, W J Q m Z J ¢ W w � _ Z F— w � N � 70 � z Q (� � a Q � � N Z O F V � � F N z � ' ✓ �� COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 ',^''l 21-74cn�r�0 700 0 '� * Z7_�.5� APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Complerely RECEI VED BV DATE RECEIVED DATEI UED BUILDING `� �. ADDRE>S v P OWNEF A.P. NO. MAIL BUILDING � � AD�RESS ADDFESS TEL. TRACT LOT BLOCK CITV NO. CANSTRUCTION W ADD P LENDER BfiANCH �A,�A- OWNER [!/G(/J"�i[../ ADDFESS VALUE ARCHITECT TEL. S $ OF ENGWEER N FIRE ADDRESS 20NE VP GROUP APPROVED CONTRACTOR BY � DATE ADDRESS TEL. Z�NE NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITV 1'ARDSAPPROVED VAROSAPPROVED LI0. NO. LIQ NO. MAIN BUILDING ACCESSORV BUILOING SI2E NO.OF BLOGS. (FROM C/L STREET) OF LOT NOW ON LOT FROM FT. FT. USE OF EXISTING BL�G. FT FT. S12E OF NO. OF NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOF WALL ROOF COVERING COVERING REAR FT. FT. VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE C.U.P.� APPROVED APPROVED I hereby acknowletlge thet I heve reatl this aoP�iwtion antl state thet the above intormation is correc[ antl apree to comply with all laws regulating builtling conz[r�ction, antl I shell not ¢mploy" any pe�son in violation ot the workman'S compensatiOn laws ot 0 the State of California. � 1 hereby cer[ily ffia[ I am prOperly licensea as e wnRacmr untler S�. FT. o the State of Califomia Businass entl Professions Cotle, Divisicn 3, THE AMOUNTSHpWN UNDER VALUATION IS POR i Chepter 9, antl [her such licenus are in full torca antl etfec; or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exompt fron tl e O�o�isions ot the Steie of California Businass � ontl Proieszians Cnue, Division 3, Chapter 9. VALUATION n� � PERMIT FEE $ ` � � Sig^ature ot m Permittee $ PLAN CHECK $ E �� b ° Authorizetl ABent LL TOTAI FEE S � . _. ' ��3�9 ' COSTA MESA BUILDiNG-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely �� 3 BVILOING � ADDRE55 3 y�' ��CR g � OWNER Mar9ne^s S& L Assoc. MAIL.�..- ... . .....,, � Z . a U H Z Z � O N dm J Q R] J J m Q U N Z¢ W W a w Z J Q m Z J � W w O z� w� � � r Z Q f' a Q � H h z � F U � �� F � Z CITV Ci0.9t.3 Mesa NOL&42 CONSTFVCTION 31m8 39 above IENDER II I1 BRANCH ADDFESS �� ARCHITECT . TEL. ADORES$ ADDRESS 1665 Placentia AVe CITV Ci0$ti'd 1'�f'.Sci TEI. . No. V46-1 uc No.2�ggq2 uc n,o. 2192 OF LOT 247x630 NOWONLO ]. USE OF EXISTINGBIOG. tiO be daEmOlished $IZE OF NO. OF NEW BLDG. 9 ROOMS STOFIES EXTERIOF WALL $ t.UCC O ROOF COVERING W(10(j COVERING Ash. Sh� USE OF BUILDING AND WORK TO BE PERFORMED I hareby acknowledBo thet I have reatl this application antl s[ate � thet Ma ebova intormation is correct antl apree io comply with , all laws ragulatinp builtlinp consvuction, anE I shell not employ' ony parson in violation of t�e workmen's compensallon laws of _ the Sta[e of Celifornla. � I hereby certify thnt I em proparly Iicensatl os e tonhec[or unticr� Ne Smm of Celitomle Business nntl Grotessions Cotla, DHisicn 3,_ Choptar 9, untl thai such Iieenses are In full torce entl affect, or I am e.ompt irom 1 e provisions of Na $m[e of allfornia eusiness _ ontl Protassion r�ue, Oivisl n hap[ar . ` SlpnoNre of O Permittea Authorized ABent -�� VA10 � �� OCT-5-73�Ms,00 274- 1ZI� TION FOR BUILDING PERMIT BUILDING , ` ADDRESS 3' 75— TRACT ( W A A OwNEF / S � C FIRE ZONE APPROVED � ev NO. OF �� PLANS VAROS APPROV E MAIN BUILDWC (FROM GL TREE-[] DISTANCE BET - �A' / `J 1 % /tf � i ,! '� I�3� � DATE � � �� USE OF N W BUILDING � UN BEf. MAIN & ACCESS. BLDGS. DATE Q ��_13 APPROVED / / S _ _ � e • S�. FT. � � o THE AMOUNTSHOWN UNDER VALUATION IS FOR � THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m ¢ VALVATION m RMIT FEE $ �" 7 ,�/ m $/� L. �Z P�.AN CHECK 3 �_ E / � `o LL TOTAI FEE $ 5 z . a U 2 Za om p] J •m J Q U N Z a W ¢ aw W2 J Q m Z J � W w o= z� w� y 2 70 H z Q a Q 0 H � Z 0 � U � � � y z For Applicant to Fill in Completely BUILDING?�G //.//�/�nf/� / ADDRE55 .l :./ �iiv v ica �: OWNER NI.�riners S& L. Assoc. no"oaess1515 We�tcliff Dr TEL. CITV TT....,.......+ i]......L. NO.Rdi BRANCH ADDRESS same as ebove Keiter �T,��548- ADORESS L11 Wc^.LRUL JL lY.D. CONTRACTOR Georp:e C. 4Joods, Jr ADDRESS I.FJC�� Placentia Ave c�r� Costa h4esa N�'46-1164 uc No. 246672 uc�No. 3276 SIZE NO.OF BLDGS. OF LOT 247-630 NOW ON lOT USE OF EXISTING BLDG. SIZE OF NO. OF NEWBLDG. 4'rJX9G ROOMS STORIES EXTERIOR WALL V OOC1. qdOF COVERING COVERING COIIl O USE OF BUILDING ANO WOFK YO BE PERFORMED 4 Units plus 8 �arages 5'1�6 2.0 � b � ::�ri z�-�u�,,";—�°00- �of �*-�7_27.50 BUILDING #B-S 4 Units APPLICATION FOR BUILDING PERMIT a '.ECEIVED BY DATE RECENED DATE ISSUED �1 /�-i�'-i4- \�:\ BUIL�ING LL A�DRES53�I S TRACT � i�- A OWNER ��A. r FIRE {� � �/ �( ./ ZONE TVPE Y GROUP /t� r APPROVED ( BV DATE ZONE NO.OF USE OF NEW<.C. V h%�T 'L PLANS � BUILDING YAROSAPPROVED YARDSAPPROVED MAIN BUI�DING ACCESSORV BUILDIN( (FflOM ,G1l STREETI�) 1 FRhNT�#S ± FT.CI( l � FT. � rr.v��. S FT. �� FT_ �P�. VAR. v1E HOLD FOR BET. MAIN & ACCESS. BLDGS. -7g °� o�Eo9-17-73 r ' 8'� � �ECIA REQUIREMENTS I hereby acknowledge tha[ I have rea0 this applicatlon end staie that ihe abova intormacion is corfect antl agree to comply wIM all laws regulating builtling consttNction, and I shall not emplOy any person in violation of [he warkman's compensation laws of the State of Celifornia. x - I hereby certify that I am properly ��cansatl as a contrector untlar "� n. FT. � 1 che Stete ot Calitornia Businass antl Professions Cotle, Divisien 3, THE AMOUNT SHOWN UNDER V Chop[er 9, antl that such licenses ere in tull torce entl effect, or I THE PURPOSE OF ESTABLISHING A am e>empt irom the provisions of Ne Stete ot California Businecs antl ProfeSslonsCotle, Division 3, Chapter 9. VALUATION PERMIT FEE SIB^ature of //J_ Pe�mittee S/� ,�/� � PLAN CHECK AuNorized Agant / TOTAL FEE � � 0 FOR � JL`(: Q `o LL I � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 Fo� Applicant to Fill in Completely � BUILDING y�; � � \ . . �_ _ , i Z . aU z za ON am 4 � 0] J . 0] J Q U � Z a W ¢ aw wz J Q m Z J � W W o= Z F w� 70 � Z Q cr- a Q � � N Z 0 F U � � r N Z OWNER +Y�T'111E."8 S �C L A,1� "'�;,0 2515 Westcliff Dr cc< �iT� Newnort Beach No.642 BRANCH ADDRESS APCHITECT RO Keiter TELJ4S—SZ oAENG1NfiEF y No. ADORESS 211 Walnut St.� N.L�• CONTFACTOR Geor�e C. K'o0ds. Jr ADDRESS 1605 Placer.tia 9ve TEL. CITV (�nqt;A MP.RA N�J4U—ZI.F) uc No. 246672 uc�No. 3276 OFLOT 247x630 NOWONLO� USE OF EXI5TING BLOG. SIZE OF NO. OF NEW BLDG. ROOMS STOFIES 1 EXTERIOR WALL ROOF COVERING WOOd COVERING COIR�10 USE OF BUIIOING AND WORK TO 8E PERFORMED I he�aby acknowlatlpe that I have �eetl thls appllcatlan entl stete that Ma ebova informetion Is correct antl epree to comply with ell laws rapulating builtlin8 construcUon, entl I shell not employ eny parson in violatlon of Me workman'f compensation laws of t�a State of Celifornle. I hereby certify thet I am properly Iicensed as e contrector untlar tha Stata of Celltarnia B�sinesf and Professlana Cotle, Division 3, Chapter 9, antl a c� licenws are in tull f rce and effeci, or I am ezampt f m the p ovision of the Steta o Calitornla Buslness entl Protassl ns Cotle, D vini apter 9 Signature o Permittae I Authorizatl Apent PA?C / )dN 21-7�'c�,�:�� 702tr �r:�� BUILDING �B-18 REC. RM ��5�`. � APPLICATION FOR BUILDING PERMIT �NED BV DATE RECEIVED nnTc iscucn . BVILDING ADDRESS NE NO.OF >2� P�.�Z VARDSAPPROVED DISTANGE MAIN Bld VAR.iW _ Z/J SQ. FT. THEAMOUNTSF THE PURPOSE OF VALVATION � �' `77S D� II / � USE OF VAROS APPROV ED .CCESSORV BUILDING —1 � FT. �OQ.�. BET. MAIN & ACC65. BLDCS. APPROVED /��]—'%3 nerc ' ^' O �� / m 0 VAIUATION IS FOR � A PERMIT FEE ONLV: m u,��/ ¢ / � E $ � J m K 8 ,. E $ � u, . ;�%a . , COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fil1 in Campletely ADIDRE55 ��,1J UNl v�lls/�`%� _ OWNER Mariners S& L Agsoc MAIL 1515 WestclifP Dr ADDRESS c�rv Newport B�ach Non42-4C CqNSTRoUCT10N Same� as above BRANCM ADDRESS A(iCHITECT Roy Keiter TE4F48-524 OR EN6INEEFC NO. ADDRE55 211 1^lalnut Jt.� �. �5. CONTFACTOR Geor�e C. Woods, Jr ADDflESS 1665 P�lacentia Ave c�rv Costa Mesa, No`.n46-116 �ic No. 246672 uc�No. j276 SI2E NO.OF BLDGS. OF LOT 247x630 NOWONlOT USE OF EXISTING BLOG. NEWBLo�. 4.9x46 ROOMS STORIES 2 EXTERIOflWAILstUCCO ROQF COMDO COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED 2 Units olus 4�Cara I hereby acknowledpe that I heve raetl this epplication ontl stata that the above intOrmation iz car�ect end ap�ee to comply with ell laws ragulaiinq builtling conztr�ction, anC I shall not employ eny parson in violation of the workmen's compensetion laws of tha Steto Of Californla. I hereby certify that � em proparly IlcanuA m a conttanor under the State of Californle Business antl Proteulona Cotle, Divlalon 3, Chepier 9, an at uc� 11 ances era In full torca end effact, or I am exempt f m the provl I a f t�e Stete o Callfornle Buslnaas anC Profeaa ne C 6� Dlvi 3 Cheptar . SIB�ature t Parmlttee Authorized Apani RE BUILDING ADDRESS FIRE ZONE APPROVED �a m ;aa zi-�a��t.00 7o3Y �=�244.61 [�G #B4 2 Units TION FOR BUILDING PERMIT � ��_��.i OATE RECEIVED DATE S UED � �� V�IBi...., PERMI � .�i fJ �NO. OF � ai.nr�s � VARDSAPPROVED MAIN BUILDING ROM C/L STREET), � DISTANCE BET MAIN BLDGS. VAR. qW C.V.G. iW�_ �10LD FOR VALUATION $ ��L�l/ —iy_ E OF NEW 'Z ()�U LDING Cp�.O� VAFDSAGPROVE� BET. MAIN & ACCESS. BLDGS. DATE o ^ APPROVED"1'� 1 �3 DATE I__�li �� REQUIREMENT� FE i �� 0 J IS FOR � E ONLV: m 2 f m ] ;� .1S E 'd , 75 2� " COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTq MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING �� . �, v,��v��s«y_ ADDRESS Z . d U z za ON o ro 0] J J m ¢ U N Za W � a �++ W Z J � m Z J � W w 0 z� w� N � 70 H Z Q a a Q � F y Z 0 F U 7 � �"' N Z OWNER jyjgr1T12'_'9 J 1jG L tiSSOC ADDFESS 1515 iNestcliff Dr c�rY Newport B;ach No.`e42-4 CONSiRVCiION �FN�FA same as above BRANCH ADDFESS CHITECT TEL �.E�� Roy �iter No�48-5 4 ADDRESS 21�- �Nal'lUt Sti� N.1J. CONTRACTOF Geore�e C. �y�oods. Jr ADDFESS 1665 ?lacentia Ave cirr Costa Mesa No`.'646-116 uc No. 246672 uc�No. 3276 OF LOT 247x630 NOWONlO 5 2 USE OF EXISTING BLDG. s�ze oF 39x62 NO.OF 2 NFW BLM.. Fl1l1MS STORIES OF BUILDING AND WORK TO BE PERFORMED lus 6 ca ra I h¢raby acknowlatl9e that I have reetl th(s epplicetion end stete that [ha obOva IntormaNOn 75 tortact antl aprea to comply wi[h ell laws ragulatinp builtlin8 cOnztruetion, entl 1 shall not amploy eny p¢rson in violetlon Of the workmen's componwtlon lewz oi Me State ot Calitornie. I heraby teriify that I am prOperly Ilcenaetl as a conbactor untlar the State of Cellfornie Buslneea antl Profasslons Cotla, Dlvisicn 3, Chepter 9, nntl et s ch Iica�yes are In full torce antl ottact, or I em ezempt fr tho p ovisi n f he 5[axo of Hornla Business entl Profeasla s Co o, D vlal ,� aoiar 9� Sipnetura ot � Permlttaa Authorized ABent PA?0 iar� zi-7v�,,��00 �oa:: �,,¢230.74 BUILDING #B-15 2 Units APPLICATION FOR BUILDING PERMIT A.P. NO.' I� � T'' ''},.p BUILOING n`r� ^ ADDRESS JT �.. TRACT 3 ll0 X OWNER s G FIRE 20NE V I APPROVED ev ZON� NO.OF ',� P��Z VAROSAPPROVED MAIN BUILDING (FROMGLSTREET) _ DISTANCE BET MAIN BLDGS. VAR. qW c.u.a. a�E• HOLD FOR i ED BET. MAIN & ACCESS. BLDGS. DATE ' APPROVED � � -73 �� ' / PECIA REQUIREMENT� THEAMOVNTSHpWN UNDER THE PURPOSE OF E5TABLISHING � VALUATION PERMIT FEE S �([�, % N � PLAN CHEC / � / TOTAL FEE \N G� � 0 ATION IS FOR a NIT FEE ONLY: Q �I! J� N � 5 m � LL �� t�7.� �v. Z . w W aU ZZ Q ON a m d ... (Y1 J J m Q U N 2a w� aw WZ J Q m Z J � W w o= Z � W � N � � � F Z Q a a Q Q � N Z O H U 7 � F N Z . . . � � �. . _ .. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING?AL'D U/V�{��/L-J�/ � ADOFESS /�f'.1 OWNER Mariners S. & L. As�c. MAIL 1515 �TJe�tcliff �]�'T' ADDRESS CITV Newport Beach Na�42-4000 �"sr e"`T'o"`same as above BRANCH ADDliESS �e�."mT�°� Rov Keiter :N48-5244 aooRess G11 Walttut JL� 1V.n. CONTRACTOR Geor�e C. Vlo�ds, Jr ADDRESS 1665 Placentia Ave c�Tv Costa Mesa Na`46-1164 uc No. 246672 uc�No. 3276 OFLOT 247x630 NOWONLp� USE OF EXISTING BLDG. sae o� 45x150 0°;,° � �r.,e�« 2 OF BUILDING AND 6 Units plus 12 gara�es I heraby acknowlatlqe ihat I have reetl this applicetion antl stete 2hat the ebove intormation is corract antl apree to comply with all laws regulatinB builtling construction, anC I shall not employ any perwn (n vfalat(on of the workmen's tompenaeSian laws Of the State of California. I hereby certHy ihet I am properly IlcensaG as a contrector under Na Stata of Celitornle Budness en0 Profassions Cotle, Divlslon 3, Chepter 9, entl eh Ileensea are In full farce end effeec, or 1 am exempt fr tha ov I f the Steie o alifornia Bualnesn antl Profaula sCo Ivi lo , Che� Signafur0 of Permlttee n�cnonzae nee�c PN10 �*�� r,�t 2t-74�;.—�,OQ- �osw -�45.66 BUILDING #B-16 & B17 6 Units APPLICATION FOR BUILDING PERMIT RECEIVEOBY OATERECEIVEO �oTFissuFn BUILDING ADDRESS FIRE APPROVED VARDS APPR MAIN BUILI DISTANCE BET MAIN 84DCaS. VAP. sW c.u.P. a6 � NOLD FOR � VA UE � /J�D �"� �(� S J �V � GROUP T % DATE � — � VSE OF NEW (p UN1T BUILDING � D VARDSAPPROVED BEf. MAIN & ACCESS. BLD DATE � APPROVED )ATE �^I('^�� REQUiREMENTs 1 �`�� SQ. FT. � T1 _ `.' � y � THE AMOUNT SHOWN UNDER VALUATION IS FOIi TNE PURP06E OF ESTABLSHING A PERMIT FEE ONLY: VALUATION t/ / PERM�T FEE $ `J�� $//R�D�� PLAN CHECK S N �� /!/ , . / n ! TOTAL FEE m 0 � ¢ 7 m a` LL Z . w w a c� HZ Z� ON am 1 � � tt] J J m a U N Z a w� �. w wz J Q m Z J � W w 0 z� w� N � � 0 F" z Q � a a Q � � N Z O H U � � r N Z � � :i% �. . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ��L C )�i /� //��f/ ✓(� .+ / ADORE55 ✓ ir. l��V { /�� OWNER Mariners S& L Assoc nv� MAII 1515 VYestcliff Dr ADDRESS c�Tv Newport Beach Ndi42-4000 CONSTRUCiION �eNoea aame ag abo� e BRANCH ADDRESS ARCHITECT R� Keiter rE�548-524 ..e c.oeiC,icBX y .,.. aooaess 211 �Yalnut St, N.B. CONTRACTOR GeorFe C. Woods, Jr ADDRESS 1(�6.�J Placentia .iVe CITY Cos ta Mesa No'846-1164 uc No. 246672 uc No. 3276 OF LOT 247x.630 NOW ON LO S USE OF NEwe oc.49x192 NO.OF ROOMS STORIES 2 EMERIOR WALL g tUCCO ROOF CLRII1�iO rnvca�nir. rnvcwitir. 6 Units plus 12 garages ��b� 24eD I hara0y aeknowladBe Ihat I have reetl this epplication entl si0[e that tha abova inform¢tiDn is cor�ect and apree to comply with all Iaws regulatinp builtling cons[ruction, and 1 shall nOt emplay any person in violation o( tha workman'f compensetion laws of the Staxa of Calitomle. I �areby certlty thet I am properly Iicenmtl at e contrectOr untlor tha Staro oi Collfornia Bualnasa antl Profesalons Cotle, Dlvislen 3, Chaptar 9, end [h uch Iicancos era In tull }Oreo nntl etfact, or 1 am eaempt fro tho ovl o of the Steto alifomla Buainess antl Protasslo Cotle Ivia Chapta SIB�at�re of /H� Parmittee U�� A�ihorizetl AOe�t PA10 �a!;z�-�4�.,:.00 �oe�� 436.i8 BUILDIN� #B-12 6 Unit.s APPLICATION FOR BUILDING PERMIT RECEIVED BV DATE RECENED DATE ISSUI /_ iS�-. A.P. NO. I I 7—�i�I � 22Jj ZI ��- Ao' R'E S 3�FS Em U TRACT 3��C �rLOT �,/� /I Jt.� .�� .-�-. . �w� �� PIANS Z BUILDING EW�UNC� o C VARDSAPPROVED VAROSAPPROVED MAIN BUILDING ACCESSORV BUILDING FROMGLSTREET� . OISTANCE BET. MAIN BLDGS. VAR. qY+ _ _ tiOLD FOR TMEAMOUNT THE PURP�E 1 VALUATION g/V� /� DATE APPROVED p—��'%3 r � REQUIREMENTS .9 � 4�O m 0 JDER VALUATION IS FOR ' iMiNG A PERMIT FEE ONLV: Q �l'3 � AR FEE 5 [ � J m I CHECK $ E `o LL �L FEE 5 � `; r y�? D 2 . ww a c� ZZ Q ON ^ m � ) ci w (11 J - p] J Q U N ZQ W � aW W Z J Q m Z J � W w � Z F w� � � H Z Q ) J a a Q 0 �" N z O F U � � H H Z ... _ �. � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92826 For Applicant to Fill in Complete/y ADDFE55 �Y' S F ��v��G�`'+�� OWNER I��rine s S& L Assoc ADDRE55 1515 Westcliff �Dr CITY NewpOrt Beach nTio�e42 CONSiRUCT10N BRANCN ADDFESS QAEM��EA Roy Keitei' ,T�o'-548• ADDRE55 211 Walnut St, N.B. CONTRACTOR GeOrgE C. WoOds, Jr AooRess 1665 Placentia Ave TEL. crrv Cos ta NYesa Nou46-: � c No. 246672 uc�No. 3, 512E NO.OF 8LOG5. OF LOT 'Z47X63O NOWONLOT USE OF EXISTING BLDG. SIZE OF . _ NO. OF WAL� OF BUILDING AND WOFK TO 5 I heraby acknowletlBe Mat I have reetl this eppliceNon antl stete ihat the above Information iz corract end aprae to comply with all laws reBulatlnB Duiltling consvuction, antl I shall not employ any penon in violetion of the workman's camponaation law+ of tha State ot Californla. I hareby certify t�et I am properly Iicensatl e� a contrector untler tha Stete ot California Buelneaa antl Profeseions Cotle, Dlvlcion 3, Chapter 9, antl 2 ch Iicans ere in full torc antl etfact, or 1 em azampt fr the p ovial ns Of he Stem ot G I fornle Bueinass anA Professfo Cotle Wfaic i pnr 9. Sipnature of Permlttea Authorized Apent Pai:, r t�:al )H�'� 2� "%V�`ya.—�� 7n�]` �� BUILDING #B-13 & B-14 6 Units ' APPLICATION FOR BUILDING PERMIT RECEI VED BY DATE RECEIVED DATE ISSUED �� / Q� �id BUILDING ADDRESS FIRE A➢PROVED VARDS MAIN flEAR �� DISTANCE BET. MAIN BLDGS. VAR. qW C.U.P.qp L2� % APPROVED�x e NOLD FOR USE OF NEW 2 BVIIOING r� BET. MAIN & UN ATF I�Ib�/� REQUIREMENTS /� G�/ SQ. FT. V e�04� / THE AMOUNT SHOWN UNDER VALUATION IS FOR THE GURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALVATION nrli _ r� $//� �(/fJ% PV1N CHECK $ � �� / N (i!/ /��/ TOTAL FEE $ / � ". , _ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 CpSTA MESA. CALIFORNIA 92626 for Applicant to Fill in Completely BVILOING �/r � i�. i..�r.,�...J✓ OWNER biariners S' Py ADDRESS 1515 Westcl c�Tv Newport Seach CANSTRUCTION same a s a LENDER BRANCH ADDRES Keit2r �M48-5244 ADORESS 211 Walnut st.y_N.B. CONTRACTOR G�Or¢e C. �'�aods � Jr ADDRESS 1665 P12c�ntia Ave TEL. c�Tv Costa Mesa No646-116 � c No. 246672 uc No. 3276 SI2E NO.OF BlDGS. OFLOT QL�%X(�� INOWONLOT USE OF EXISTING BLDG. SIZE OF NO. OF NEW BLDG. ROOMS STORIES Z E%TERIOR WALL ROOF COVEPING StiL1CC COVERING compo USE OF BUILDING �+Np WORK TO BE PERFORMED � I heraby acknowledge that I have reetl this applicaxion and state that ihe abova intormation is cOrract and agree to comply with all laws regulatin8 building cons[ruction, antl I shall not employ any person in violation ot the workman's compensation laws Ot the State ot Celitornia. I hereby certify that I am properly licensetl as a contrecror untler the State of Culifor ie Businass antl Professions Cotle, Divisicn 3, Chepter 9, antl at s h licenses are in f�ll torca ntl ettect, or I am axempt fra the pr ��si s f t�e State of Cali rn Buslness antl Protessio Code, vis7o apter 9. Signature of Permittee Authorizatl AOant i P"�° ,t ,ts�* L+ Ata ?_t -74�„—<, QO 798'. 2 ,931 BUILDING #B11 2 Units APPLICATION FOR BUILDING PERMIT RECEIVED BV DATE RECEIVED DA E ISSUED �— / 7_ A.P. NO.�I 1'.��I BUIIDING ��C ADDRE55 � TRACT 3��0 OWNER � FIRE ZONE TV APPROVED BV Z NE NO.OF � PLANS y VARDS APPFOVED DISTANCE BET. MAIN BL�GS. VAR. # C.II.P. aW � — NOLD FOR VALVATION $�� USE OF NEw Z UNIT BUILDING COI�)�h} .. VARDSAPPROVED ACCESSORV BUILDING FT. DATE q APPROVED /—��— DATE ��lS�� REQUIREMENTS m � a�. b �7vU � IDER VALUATION IS FOR ^ NING A PERMIT FEE ON�V: ¢ IT FEE 5 ` 'f� � � CHECK $ — E � , o I�!�L LL L FEE 5 � •Y�,J ,I.q' 'C Z . o- U HZ Z� O cn (]� M Q W Q] J •m J Q U � Z Q w� d W WZ J Q m Z J � W w � ZF W � N � � � . � :�7853 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � Fo� Applicant to Fill in Completety BVILDING345 ll.c�//v�2�'io'j� � ADDRE55 OWNER Mariners S �: L �ssoc ADDPESS 1515 Westcliff Dr � c�rr Newport Beach N�42-4000 CANSTRUCTION , BRANCH ADDRESS Roy Keiter N��548-52 000Ress 211 Walr_ut St, N.B. CONTRACTOR GeOrge C. Woods� Jr ADDRE55 1,66'rj P7.acentia pV@ TE�. c�rv Costa Me�a No. 646-11 �ic No. 246672 uc�No. 3276 OF LOT 2�}%XF)�O NOW ON LOT USE OF EXI5TING BI.DG. f" SIZE OF NO. OF z Newe�o�. 46x49 ROOMS STOI a EXTERIOR WALL OO ROOF COVERING �llC�O COVERING COIl1T VSE OF BUILDING AND H'ORK TO BE PERFORMED a a Q O H N Z O F- V � � F N z 2 Units plus 4 sara 2990"' — gp� I hereby acknowletlge [het I have read this appliwtion and siata that the above informetion is correct antl apree to comply with all laws regulating buildin9 construction, end I shall nat employ any person in violation Ot the workman's compensation lews Ot c�a State ot Celifornia. I hereby certify that I am Properly licensetl as e contractor untler the Sta[e of Calitornie Businass antl Protasslone Cotle, Divisicn 3, C�apter 9, antl at uch licanses ere In full torca and eftact, or I am exempt fr the ro�li' ot the State of Ilfomle Buslness entlProfassio sCo ivisi hapter . Signaturo of Permlttee .4 n�cnor�:aa nea�c PA:❑ x iriti* !4N 21-74cns: 0� -7.0.9 � 249.3 I BUI�DING #B10 2 Units APPLICATION FOR BUILDING PERMIT RECEIVEDBV DATERECEIVED DA EISSUED j- i v_ �d -3 l-� �e, PE � �. /�/ A.P.NO. �21 21 ' � `�v ADIDRE 5 3�S N t�N� - � y� ^�)(�O(�np �� TRACT � I lo ' LOT (p BLOC OWNER FIRE (� � � ZONE T PE GROUP APPROVED / /'J eV � DATE /�� %Y `NEi NO.OF�I USE OF NEW 2UNl'C PI.ANS BUILDING �ab�OO ,f �e VAfiOSAPPROVED VARDSAPPROVED MAIN BUIL�ING ACCESSORV BUILDING n & C URP, �b �G� 73-7 APPROVED —� — APPROVED(�L# � _I �1� y / t10LD FOR SPECIA REQUIREMENT� �%y..�-� m � , D SQ. FT. � IJ�/ �/ o THE AMOUNTSHOWN UNDER VALUATION IS FOR j THE PURP�E OF FSTABLISHING A PERMIT FEE ONLV: ¢ VALUATION � PERMIT FEE $ � � /� m 3 �"" � 4 PLAN CHECK S �� E 1 S�5 LL � TOTAL FEE 5 �.(.G' � � � _ .; :37 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING J�C //�/�//��!/� ADDRESS .7 ✓ /�/V !/ J OWNER n�arine�s S& L assoc E ADDRESS 1515 WestcliSi' Dr rTvo�642-4( c�r� New ort Beach CONSTRUC710N �Gti„FA same as above BRANCH AODRESS ADDRESS G�.�. watnut JL� 1V.11. CONTRACTOR Geore'e C. Woods. Jr AODRESS 1665 Placenti- Ave aT� Costa Mesa No.`'646-11 � c No. 246672 ucYNo. 3276 512E NO.OF BLDGS. OF LOT 247x630 NOW ON LOT USE OF EX15TING BLDG. SIZE OF NO. OF n,ewe�oc. 39x62 ROOM$ STOflIES EMERIOR WALL wooa ROOF COVERING �Y.11l1(t0 COVERING (;(1T[l�b USE OF BUILDING ANO WORK TO BE PERFORMEO 26'16� I PnID -: Z35.36 � �i��z�"��[M;.�i��%��iv {:.h Building #B-9 2 Units APPLICATION FOR BUILDING PERMIT flECEIVED BV DATE RECEIVED D TE ISSUED %/�_�G A.P. NO. I IM'�'tI BUIIDING l I AODRESS �'C_' TRACT 3� OWN ��LOT 'Z � IPLANS �I BUILDING E�O r,61 VARDSAPPROVED I YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING VAR. # tiOLD FOR FT FT. FT. BET. MAIN & ACCESS. BLDGS. DATE q � APPROVED / —�%- ^18"% 0. REQUIREMENTJ I hereby acknowledBe that I have reatl this application antl state thet che above informetion is correct and aB�ae to comply with all lews regulating builtlin8 conahuttion, and I shall not employ any person in violation of the workman's compensetion laws of the State of Celifomie. m / e I hereby cerNty Mat I em properly licensetl as a contrector untler � SQ. FT. � 1 0 tha State of Californie Businesa antl Profauions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VAIUATION IS FOR � Chapter 9, an such licenses are In tull foree �nd effect, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: m am exempt om th provl lo f tha Steta of Cell rn Business ¢ VALUATION ///777))) and Profes ansCotle Divis o hepter �il PERMR FEE 5 /� � � �/ "� yC m I SlBnature o / ,�j Permittee 5�/ �� PVaN CHECK 5 E/ ' � / »�3� I Authorized Bent TOTAL FEE 5 Z . 4- U za ON c -� Q W ¢] J •m J Q U N Z a w � aw WZ J Q m Z J � W w 0 z� w� N � � � � z � a a Q Q � z O F U � � H N z � � :�7855 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant fo Fill in Completely BUILDING ��f �� /��IU�i�J I�� P. ADORESS �/� Mf� OWNEF Mariners S& L Assoc ADDRESS 1515 Westcliff Dr TEL. c�T� Newport Beach Nmi42-40( CANSTRUCTION _ BRANCH ADDRESS Keiter ti,E; §8-5244 CONTRACTOR Geor^2 C. Woods� Ti' nooRess 1665 Placentia Ave c�Tv Cesta Mesa ,Tvo�46-1164 LIC.Tivo. 246672 �icYNo. 3276 OFLOT 247x630 INOWONLO� USE OF EXISTING BLOG. SIZE OF NO. OF NEwa�o�.45x134 qOOMS STORIES EXTERIOR WAL� �OO ROOF COVERING StUCCO COVERING COTfLDC° USE OF BUILDING AND WORK TO BE PERFORMEO oa PAIU �rad zi-7�a�,��.CO �ta�...�:,r395.S3 BUILDING #B6 & B7 5 Units APPLICATION FOR BUILDING PERMIT � RECEIVEDBV DATEIiECEIVED DATE SS /;'/ �- $ ,h�\ �(j �[e�l ( PERMI N . �\' A.P.NO.�I�� ' 2t L BUIIDING �i1 � �� `, i � AD�RESS '[ �y TRACT .l%�n �LOT 7CS BLO OWNER � FIRE ZONE APPROVED NE NO.OF, USE OF NEW ,�CUNIT Z PLANS Z BUILDING p ` VARDSAPPROVED VAROSAPPFOVED MAIN BUILDING ACCESSORV BUILDING (FROM C/L STREET �onnrr .�_% �+ f. �r DISTANCE BET. MAIN BLOGS, VAR^#`.. �� _ HOLD FOR SF I hereby acknowletlBe that I have reatl [his applica[ion antl state that the above info�mation is correct antl apree to comply with all laws requlating builtling construction, antl I shall not employ any person in violation of the workmen's compensallon lews of [he State of Celitomia. �' I hereby certity thet I am properly licansatl az a contractor untler Sn' F Ine State of Callfornia Business entl Protassiona Cotla, Dlvlsicn 3, THE AMOUNT Chepter 9, antl that ch licensas are In full torce end atiect, or I THE PURPOSE O am exem t from e vision o tha State of Ca � fornia Business VALUATION P P antl Protossions otle, ' ision cer 9. /� fl Signnture of Y 13 l� Permlttee � uJ $ Authorizetl Agant OATE DATE I � I H �I REQUIREMENTS m .i b T. a o ,. SHOWN UNDER VALUATION IS FOR ^ � > F ESTABLISHING A PERMIT FEE ONLY: m ¢ �'L PERMIT FEE $ `�, � �m PLAN CHECK $ `�� E /�Q TOTAL FEE 5 � r �`�• �.1 � �� 37856 YAIC . . • �.�� 21-74C�.,��OO �iz� *:��325.E�! ' COSTAMESABUILDING-SAFETYDEPARTMENT �IL,�ING �'B-3 4 Urilts P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � APPLICATION FOR BUILDING PERMIT Fo� Applicant to Fill in Completely � RECEIVEDBV OATERECEIVED DATEISSUED � BUILDING ��S �' U I�G - I/ /�/ n 1,� ADORESS o �(q� �g1 PERMIT \; owneRM3riner$ �J & L Assoc AP�NO.� - 2 lL MA1 L BUILDING Z AODFlE55 ZSZ�J Nies tclif f Dr - nooaass 3�{S �p v 1�'RSit dU CIT'� Newport Beach, �i'dl.. nr,o.`642-400 TRACT 3��p fLOT p BLOCK HZ Z Q CONSTRUCTION W ADD A O� LENDER same $9 AbOVP. � m �� I '� BRPNCH ' G�%i�G�/L<� 'n OWNER - �G m J ADORE55 VALVE ` LQQ�q ARGMITECT T S • 5 JN �, ��, Rov Keiter N.48-5244 n U FIRE � w� qODRESS 211 Wa lnut St N.B. �ONE PE � GROUP � a w APPROVED JO CONTRACTOR GPiOP�e C. WOOC�9, Jr gy DATE '� � m Z 7� ADDRESS 1665 Placentia Ave ww TEI. ZONE NO.OF USEOFNEW�UNCC Z� cirv Costa Me�a No.646-116 2 Pu+� Z BUILDING * 0 STATE CITY VARDSAPPROVED VAROSAPPROVED y K uc. No. 246672 uc. No. 3276 MAIN BUILDING ACCESSORV BVILDING _� SI2� NO.OF BLDGS. (FROM C/L STREET) OF LOT 247x630 NOWON LOT RONT FT. FT. VSE OF E%IS'TING BIDG. S F. FT. H SI2E OF NO.OF z News�oc. 39x124 ROOMS STORIES 2 L.SIDE S FT. FT. - a EXTERIOR WAL� OO ROOF ^ \ _% COVERING J UCCO COVERING CO171 O REAR u�� FT.�Q�. FT. -- J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & d MAIN BLDCS. ACCESS. BLDGS. a Q VAR. # D.4TE 0 4 Units Dlus 12 �araFes c.u.r.#�C- 73— APPROVED9- -73 N L��124 Z�Z� APPROVED�`� u J �'] � � Z HOLD FOR SP CIAL REQUIREMENTS O ~ I hereby acknowletlBe that I have reatl this application antl state � thet the above information is correct antl agree to comply with � � all la�'+s regulating building constructlon, antl I shall not employ F any ae�son in viola[ion ot the workman's compensaiion laws ot � y [ha Siate of Calitomia. ` �/ y/, m ? I hernby certify that 1 am properly licansed as a contrecmr untler / Q• FT. ,/jf /J o the Siate of California Business antl Protessions Cotle, Divisicn 3, T E AMOUNT SH N UND R VALUATION IS FOR � Chapter 9, end that h licenses era in full force antl affect, or I THE PVflPOSE OF ABL�SHING A PERMIT FEE ONLV: � � am ezempt trom e pr visio s the Siate o( Calitornia Businass VALUATI�N antl Professions otle, Di islon 3, pter 9. m PERMIT FEE 5 � I Sipnature of � � ,O m Permittee � �� $��L J PLAN CHECK $ I :✓l% E / I ' � � LL 1 Authorizetl Agent �' 'J S TOTAL FEE $ � .a • : � � . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For App nt to Fill in Comp/etely eui�oiNc ADDFESS� ,3 Jniversitv-" OWNER M�riners Save & Loan Assoc ADDRESS 1515 Westcliff Dr c�rv Newport Beach CANSTRUCTION BRANCN ADDRESS ADDRESS 211 Walnut S{�. AODRESS ,Lbb.7 Yl c�rv Co9ta R'Ie.� �ic No. 246672 OF LOT N4%XC��O USE OF EXISTING BLPG� NEW BLOG �9X1�4 E%TERIOR WALL YdOOCI COVERING 9TUC USE OF BUIIDING AND NEd�`42-4000 •`�VY0�11 uc No.3276 INO. OF BLDGS. NOW ON LOT O NO. OF ROOMS STORIES ROOF COVERING COIIIDO K TO BE PERFORME� 4 Uni�e plus 12 gara�es 9�'112� 2�2�'� I horeby ack�owleOBa ihet I have read this application and stete that the abova information is corract and agree to comply with , all laws regulotlne builtling construction, antl I shall not employ' any person in violation of the workman's campenzation lawz of t�e Stete af Lalifornie. 1 hereby cert�fy that I am properly licensetl as a contracto� untlet � Ne State o( Galifornla Buziness antl Professions Cotla, Divisicn 3,� Chapter 9, entl a[ s ch licanzes are in full force antl effect, or I am exempt tro .i t1.e ov(si n f the State o alifornia Business antl Profa55ion Cnue ivi5i ; hapter - Signature of /i�/� Permittee �� AUShorizatl A6ent FAIL 'u'�:! 2i-7a��.QO �t:�-� '��w325.84 BUILDING #B-1 - 4 Units A PL CATION FOR BUILDING PERMIT REC 1 � D�+TE RECEIVED DATE ISSUED � � �4 l8 PE�M?T NO �\ _ _ _._ (�Q. Q�— L ! _ _ i'-'[. .\. BUILOING ADDRESS FIRE � ZONE APPROVED � )NE NO.OF VSE OF NEW� U N �R'L, • PLANSZ BVILDINGCb VARDSAPPROVED VAROSAPPROVED MAIN BUILDING ACCESSORV BVILDI ROM GL STREET) DI5TANCE MAIN BLD VAR. � _ f10LD FOR TFIE AMOUNTSHI THE PURPpSE OF E VALUATION 9 �� g f' ✓ U/ / FT DATE q MPROVED / �I �— DATF I' I 6`( S REQUIREMENTS r �� /� m / � O 'N UNDER VALUATION IS FOR � 4BLISHING A PERMIT FEE ONLV: m ¢ /' Q'(J / PERMIT FEE 5 � / n' � � / i m PLAN CHECK $ (� : `�C E 0 TOTAL FEE $ "� �� 1 �. �38%2 i . • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 P IC ForApplicant m Fill in Complete/y R I E ADORESS S N UC�J TL OWNER G. s A.P.NO.I / BUILDING AODRESS �Q —CY� ADDRESS 3' �_' � _'- - i� �r^_-%�'�•i:_'lJn7.r.�1,••� _....:.30.�L TION FOR BUILDING PERMIT � 2 . W W TEI./' � �J a U CITV < NO. l� TflACT J�0 LOT 2 CONSTRUCTION ;/ W P O N LENDER y � am _� � BPANCH ' C M � OWNER a J ADORE55 ! i `�^ n i VAL Jm ARCHITECT /. � TEL. C `Ly J '�c N OR ENGINEEH w � V ' FIRE Q w� AODRE55 � �L A� ZONE T E GF a w � APPROVED W Z CONTFACTOR ( ()� BV DATE �O mZ J � �+ODRESS ( U ' f. � �= CITV� e �` NO�� G� ZONEp/� P��n BUILDINGF Z� n� � w � STATE 1 / � CITV �'AROS APPROVED VARDS y� LIC. NO. h{� �(� LIC. NO. MAIN BUILDING ACCESSC �� SI2E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. B � VSEOF ' �J BE(WaEN ' EXISTING BLOG. I D �r F SIZE OF NO. OF I/� B Z NEWBLDG. ROOMS STORIES L.SIDE FT. (�3' a EXTERIOR WALL FOOF B COVERING COVEPING REAR FT. G USE OF BVILDING AND WORK TO 9E PERFOFMED DISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCE�. BLd Q � VAR..16 DATE O ( (J(� G.U.P.qW ApVROVED y` APPROVEDI./'L� a�' � , z � 0 UI hereby acknowletlge xhat I have read this applicetion and stete gj{�� that the ebove informetton is correct antl eprae to comply with � all lews re0ulating builtling consttuctio�. and I ahell not employ F, any person in violation ot the workman's compenaatlon laws of y the Smte ot Calitornie. ZI herebY certify thet I em properly Iicensetl es e contractor vntler OSQ. FT. Ti the Stete ot Calitornia Businass antl Profezslons Cotla, Dlvislcn 3, THE AMOUNT SHQWN UNDER VAL Chaptef 9, antl t�at such lic9nses ere in tull force en0 affact, or I THE PUiiF06E OF ESTABLSHING A PER am ezempt from the provlsions of the State ot California Business antl Protessions Cotlo, Division 3, Chapter 9. VALUATION PERMIT FEE $ Sipnatvra of �^� Parmlttee ��" ` 5�r�( ) b PLAN CHECK $ L.�i! Authorized Ageni TOTAL FEE $ -�y � � O IS FOR � ONLV: ¢ � ry 7 m E � � LL � � 4�182 % COSTA MESA BUILDING-SAFE7Y DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 Far Applicant [o fill in Comple[ely BUILDING .1 I ]— A�DRE55 �YS yl�✓QYC �t"+-� �r T� . } '�`r- ' OWNEfl C�F�7G.jie� �Q�CN'hFSS� ADDRESS 3f..4L' r�h�J2�s: h-�'nr �� /, S'Ks- M TEL. CITV 1.�0 o C,. NO. ��Q_�2' BRANCH AODRESS CONTRACTO ADDRESS CITV STATE LIC. NO. SIZE OF �OT USE OF E%ISTING BLDI SIZE OF I TEI. 7t � NQ. /C3dcY " TEL. NO. CITV IIC. NO. NO.OF BLDGS. NOW ON LOT NO.OF ROOMS STORIE: ROOF COVERING D H'ORK TO BE PERFORMEO _P;.iL �i��4:.ir4 � �� _6-�,�„� 00 2s9 �� .5G APPLICATION FOR BUILDING PERMIT F@CEIVEDBY DATERECEIVBD nnrre�ecii A.P. No. y3q - og �— � BUILDING �(�/S uN�V ADDRESS TRACT p / W A � OWNER � ` � us e�/i 1 I � CO � � FIRE � ZONE TV E APPROVED � /J � _ � i ZONE NO.OF USE OF NE� R2 PLAN$ ' BUILDING � u YARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORY BUILDiI (FqOM C/L STREET) � i• 1 �ereby ecknawledBe thet I hava reatl this application and smte that t�a ebova Informe�Io� ia co�lect antl eprBa to tOmply with all laws reBulating buil01n8 �onstruc[ion, entl I z�ell not employ eny perzon (n violation ot tha workman's compensation Iaws af Mo State ot Colifornie, I heroby cerUfy that I am proparly IlcansoA m e contractor untlar SQ. FT. Na Stata o� Californla Businass enE Profess�on� Cotla, Dlvisicn 3, T E AMOUNT Sh Chaptor 9, antl that suc� licenaes ara In full forca antl ef}ect, Or 1 7HE PVRPO6E OF am eaempt trom tde provizloesot NaSaa� af Califor�ie Bualneca VALUATION entl Prolossions �: , Divislon 3, C 9pt /9 ./� � Sipnetare �7 L� /� Petmlttea _ 5 �'X J �% v Authorized Ape DATE "� � � O VALUATION IS FpR � A PERMR FEE ONLV: Q m E $ '�' �) � / S `'J(1 E .� � LL $ F�+ W 6i Q � h "y F• � � F Q � ..1 Q 7 i' a a w 4 CC a z 3 � 4i )9L=' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING•��r �M��\/� D`� � r:� L�-3 Af]f]pFCS l OWNER � , `GV p�1 ADDRESS� /7 ��V. IJII l�.—� ciTv Cos\�a 1'hlsa No by� ID�1 CANSTRUCTION �� _ _ BRANCH ADDFESS AqCHITECT ,.v- v.�.-x �� v.�. ADDflESS��I�j �`��/. '�J�� '� J�'� ` TEL. CITV G< 1 P `�—l.S F NO• �C�� LIC. NO. f/�� 1 �ICYNO SI2E NO.OF BLDG OF LOT C��19 INOWONIOT EXISTING BLDG. � ' �nt��Q ��1�1.� �� Separate permi[s are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED .4- \ r / r -_ /. I hereby ecknowlatlpe thet I he�e reetl t�is eppllcation entl stata ihat tha abova InformeHon is correct end apree to comply with all laws re8uleting bullding conftructlon, enE I shall not employ any parson in vioietlon ot Me workmen's compensetion lews of the Stata of Celifornle. 1 hereby certity that I am properly Iicensetl as e contrector untlar ihe State of California Business antl Professions Cotla, Dlvlsion 3, Chapter 9, and ihat such Iicensas are In t�ll tor<e end effect, or I am exampt irom the provlsions the Statejjf Iitornla Business and Profasslone Code, Dlvislo�tar 9// � ///�� A Sle�atura ot/ ) � Permlttee / / { �fr -2-�Sva;oOO 115 5.50 CMSA � �**r* APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV DATERECEIVED neTc�scurn BUILDING ADDRES: � FIRE � ZONE ' TYP GROUP APPROVED In�,Z �S BV C DATE� L ZO O.OF VSE OF NEW LANS BUIL�IN VARDSAPPROVED VA DSAPPROVED MAIN BUILDING ACCESSORY BUILDING (FROM GL_S7REET) / REAP ,F7(a „ n DI57ANCE BET. BET. MAIN & MAIN BlDGS. ACCESS, BLIX VAR..16 DATE C.V.P. �— — /n APPROVED APPROVED / /j / /�(' / n n w i �\ �� m � `� SQ. FT. n THE AMOUNTSHOWN UNDER VALUATION IS FOP m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: " b VALUATION PERMIT FEE S P � � N n PLAN CHECK E ^� O $ %1�%1 LL t� V TAX § S^1"1 � �� V TOTALPAID S :7—GJ� F � W S Q � y "�' F l J Q C1 ..1 Q > a x w a O CC 4 Z W 5 3 � 41408 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSYA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING � / — � _ ADOfiESS OWNER� �y MAIL i � ADDRESS % TEL. C1TY �j �l NO. �j �j � CONSTfiUCf10N LENOER �� BFANCH - ADDRESS ARCHITECT � TEL. � OR ENGINEER N AODRESS � CONTRACTOR (�j/ � ADDRESS —� TEL. CITV � NO. '� STATE CITV _. 114 NO. �� LIC. NO. SI2E NO.OF BLDGS. / OF LOT NOW ON LOT USE OF n._.. n �., _— Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFOR� .a,�R > >-7FPA1°GO a93�� 5.50 F w`a:: �u Ch5 FOR �Qlf E A BUILDING ADORESS E N O.OF.� PLANS � VARDS APPROV ED DISTANCE BET PERMIT � � /y VAW$ ii GROUP DATE USE OF NEW BUILDING VARDSAPPROVED BET. MAIN ACCE55. BI DATE I hereby ecknowlatlBa thet 1 have reetl this eppllcaSion antl stete '^ � that th¢ abova IntormeHon is corract antl a8ree to comply wlih m all laws �eBulatinB bullding Gonrtructlon, entl I shall not employ any person in violatlon of Ne workman's compensetion laws of ' m the State of Californie. m I hereby certlfy that I am proparly Iicensetl as e coniractor untler SQ. FT. w the Siate of Calltornia Businesz antl Profassions Cotle, Dlvlsion 3, THE AMOUNT SMOWN UNDER VALUATION IS FOFi ro Chepier 9, entl that such Iicensas are in tull force end eftact, or I THE PURPpSE OF ESTABLISHING A PERMIT F N " am exempt from the provlsitl�s of tha Steta of Calltornie Business a VAlUAT10N PERMIT FEE 5 — antl Protesslons Cotla, Olvislo� 3, Chaptar 9. � �n m /// � PLAN CHECK E "� $16netUIB ��liC/�i`%��.f ��' �� LL Permlttee 5�� TAX E � U Aut�orizetl Agent . TOTAL PAID E • '' 4164� J ` R 7 9-7F�:'.� COSTAMESABUILDING-SAFETYDEPARTMENT ° �,i� OO 904� ��SS� P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 . APPLICATION FOR STRUCTURAL PERMIT For App(icant ro Fill in Comp te — Use lnk Only RECEIV DATERECEIVED /$(�/JFj�/ BUILDING��fS /� �, �� Q N� I D �l 7 �L � ADORESS 7 ��(�✓1 PQ�"- OWNEfl �[1j// ,� BRANCH ADDRESS IT A.P. NO."��SJ ^' Q /( 'L+ BUILOING ��/�� / � AD�RESS �� AAI�/J TRACT X/ x Y'I I�LD7�_/ I BLOCK i . ��__ ,. � ��. .. � /� � .- ..:�. .,.�'.-'� �:� FIRE CONTRACTOR p Q BV DATE� � ADOflESS TEL. ZO O.OF USE OF N CITY NO. PLANS BUILDING F STATE /.l. � CITY �'ARDSAPPqOVED VARDSAPPROVED � LIC. NO. V�� LIC. NO. MAIN BVILDING ACCESSORV BUILDING �.y SIZE NO.OF BLDGS. (FROM GL REET) 0. OF LOT NOW ON LOT FROM FT. a USE OF � EXISTING BLPG. SIDE FT. y FSeparate permits are required for L. SIDE F� FT. elecVic, plumbing and hea[ing work. /�� - L PEAR LIFT. FT. � USE OF BUILDING AND WORK TO BE PERFORMED ' F DI5TANCE BET. BET. MAIN & �Q MAIN BLDGS. ACCE55. BLOGS. /' VAR.# DATE "� LL Q ��D `Of�P C.U.P.# APPROVED a ' �il-N A�Ao� r — � a w � I hereby acknowled8e ihat I have reatl this application and state � N a! that the above intormation is correct and agree to comply with � 4 all laws regulating builtling consttuction, antl I shall not employ Z any person in �lolation of the workman's compensation laws ot m � the State of Gelifornia. D - 3 I hereb certif that I am � SQ. FT., w y y properly licensetl as a contrectOr untler the State of California Business end Professions Cotle, Division 3, THE AMOVNTSHOWN UNDER VA�UATION IS FOR m Chapter 9, antl that su icenses ere in tull force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�Y: � am exampt ffom t provisions ot the State of California Business VALUATION d antl Protession otle, Divi � r 9. PERMIT FEE $ � O � m ' O O pLAN CHECK y '� Signature f �� D � "" � Permittae $ fl �' TAX E V � AuihoNze 9ent TO7.QLPAID $ � � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626 BUILDING PERMIT JobAddress: 345 UNIVERSITYDR Suite: P Vicinity: ROOF Primary Occ: Type of Construclion: V-N Parcel Number: TPN005068 Zoning: Applicant: PABLO LOBATO SANCHEZ Address: 1235 N SAN DIMAS AVE � , � Phone: (626) 852-2110 SAN DIMAS, CA �.� Zip: 91773 Ownec WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNNERSITY DR � � � . . Phone: � COSTA MESA, CA- - , Zip: 92627 Convactor: CONDOMINIUM CONSTRUCTION SERVICE, INC Address: 1235 N SAN DIMAS AVE � , Phone: (626) 852-2110 - SAN DIMAS, CA Zip: 91773 � License: • 691243 Arch : Address: , - "� � � Eng: Address: Status: ISSUED Applied: 07/18/2005 Issued: 07/18/2005 ISSUED 8Y: �1 � . � ' Phone: ' Phone: Zip: � - License: � License: � ' � r � ' SCORE OF PERMIT ' -� � TEAR OFF EXISTING COMP SHINGLES;-INSTALL 40 YEAR GAF COMP SHINLGES ON CONDO UNITS P1, P2, P3, AND P4. REPAIR AND REPLACE SHEATHING AS NEEDED. _ Plan Check: $0.00 Permit: $195.25 SMIP Res: $1.10 SMIP Com: $0.00 Other: `$0.00 Inspection: $0.00 Total: $196.35 ,.., , �: = �.. � SETBACKS��- MAIN STRUCTURE.Front. 0- 0; ,. '� Rear 0- 0 �. ACCESSORY Front . 0- 0-_ �, Rear 0- 0 PARKING Existinq: 0 � Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 � Proposed: 0 Calc Valuation: Claim Valuation - / . Right 0- 0 Right 0- 0 s>>,000.00 s>>,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia 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 7 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlona end final epprovel must be obtained. Failure to obtain inspections antl final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 2446-4818/00) . WORKERS' COMPENSAnON DECLAFiArON: I hareby eXirtn under penelry of perjury one oi ihe following tleclarations: ❑ I heva end will meintein e certificate of consent to self-Insure tor workers' compensation, es provided far by sedion 3700 0l tha Lebar Catle, for the pertortnence ot ihe work for which this pertnit is Issuad. �c'ITave antl wlll malntain workers' compensation Insurance, as required hy section 3700 0� the Le6or Cotle, for the peAortnanca oi the work for which Ihis pertnit is issued. �^My wo s' c mpensallon Insurance carrier end policy number are: r,—.�_.C,�, cema�:;j,�AL/FoX,vI�F iNSUrn rS C['� J;q,:aw�ce,_�q6'or XG7�o/o/ , � ,w:,.-_.:-- ---- --• -- ----,_._.:,..- ---:.:_ .._,..-- -• --- ..._._.._„__ ,..��, -- •--- � ❑ I cenity that in ihe peAortnence of the work for which this pertnit is issue4 I shall not employ any person in any menner so as to become subject to the workers' compensation laws of Calitomia, entl egree atpii I should become subJect to the workers' compensation provisions af Sectlon 3700 of the Labor Code, I shall forthwith comply wi�h ih850 D�a�i n / �i[/ �v� l� > �Aooli�nelu �,re:. - '4/- , �oe�a:�7— � �� o� WARNINO: FAILURE TO SE RE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL M1D SHPLL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFKKISAND DOLLARE (5100,000), IN AODfTION TO TME WST OF COMPENSATIIXJ, DAMAGES AS GROVIDE� FOR IN SEGTON 3/W OF THE IABOF CODE, IMEREST, AND ATfORNE1"S FEES. LICENSED CONTRACTORS DECLARATON: I hereby ettirm ihat I am lice setl undeJpryvisions af Chapter 9(cammencing with Section 7000) of �ivision 3 ot Ihe 777B��usin�js end Professions Cotle, entl my license is in tull farce�enGeHecl:IJc�a %�e2.Y7 � i �fClaug �h Confrectof� , ir LOet � 7- / R"- O i- CONSTRUC710N LENDING AGENCY: ❑ I hereby effirtn Ihat there is e conslruction lentling agency for ihe performance of tha work for which this permit is issued. (Sec. 3097, Civil Coda). Lenders Nama: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby efflrm �het untler penelry at perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reasan (Sec. 7031.5, Business entl Professions CoOe: Any ciry or counry which requlres e permit to consiruct, alter, improva, tlemolish, or repair any sWcture, prior to its issuence, elso raquires ihe epplicent for such pertnit to file e signetl stetement ihet he ar she is Ilcensed pursuent to ihe provisions of ihe Conirectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divlslon 3 ot ihe Business end Professlons Code) or �het he or sha is ezempt therefrom antl the basis for the allegetl ezemptlon. Any vloletion of Section 7031.5 by eny epplicent for e pertnit subjects Ihe epplicent to e civil panelty of not more Ihan five hundred dollers ($500).): ❑ I, es owner of the properry, or my employees with weges es iheir sole compensation, WILL DO THE WORK, and the siructure Is not intended or oHeretl tor sele (Sec. 7044, Business end Protessions Code: The Contractors License Lew dces no� apply to an owner of property who builds or improves ihereon, end who does such work himseli or herseN or through his or her own employees, provided ihat such improvemenis ere not Intended or oHered for sele. If, however, lhe building or improvement is soltl within one year ol completion, ihe ownerv6uilder will have ihe burtlen of proving that he or she did not build or improve for purpose of saleJ. ' ❑ I, es owner of the properly, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The contractors Licensa Lew tloes not epply to an owner af propeny who builds or improves Iherean, entl wha caniracis tor such proJect wit� a contrector(s) license pursuant to ihe Contreclors License Laws.). ❑ I em exempt under sec. SigneNre: Owner ID veriFietl 6y driver's license. ❑ Ves ❑ No Business and Professions Code for ihis reason: Veriticetion of Ownership by (Iype of doCument, I.e. - propery tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMITCERTIFICATON: Driver's License No. Date: Expires: ❑ I heraby certify that no excavation five (5) or more feet in depth into which a person is requiretl to descend, wlll be matle In connactlon with work authorized by this pertnit, and ihat no building structure, scaflolding, falsework, or tlemolition or tlismantling thereof, will be more than t�irry-sin (36) feet high. (C�ep. 3.2, Gry 2, Ar12, Sec. 341, 7111e 8, Celifomia Administra�ive CoOe). ❑ As owner-builder, I will not employ enyone to do work which would require a permit trom Ihe Division oi Intlustrial Sefery, as notetl ebove, unless such person has e permit to tlo suc� wark tram ihe divislon. SignaNre: Date: Division of Indusirial Sefery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EHTiiV: I certify untler penalty of perjury Ihat I have read this application end state ihet the iniortnation given is correct. I agree to comply wlih ell state lews and ciry ordinances relating to building construction, and authorize representatives oi the Ciry of Cwta Mese to enter upon Iha above-describad properry for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by Ihis permit until finel inspection. CODE t. INSPECTIONTYPE 1616 Fixetl System Final Flre Prevention 1266 Pool Spe Finel 200 Final Re-Roof 201 Finel BIocWRe�alning Well 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolltlan �. i .nu.. , ! � O �L� �/' CODE� INSPELTON7YPE 206 Final Mechenical 20B Final Plumbing 210 Final EleclnCal 212 Final Fire PrevenUon 22o Finel Planning Approval 222 Finel Site 250 FlnalBullding/Occupency To: ,. . ,. ,.. .>: :,,,- �, _ WOODSTR�AM HOMEOWNERS ASSO�I:IA7TON 345 University Dr. Cirst��'.17esa, Ca 9�'62? Thc Cit}� nf Costa Mesa "i ¢,+l� :his :s to confirm ��.c I,e�•e sip�cd a co�!ract with Condcrni�tium �".;:r:;tru:.rior. Ser:;,s- (CCS} to re�nove and re�lace oiu roof µith 40 yT asphalt SI11112IP::. Ll'Ork is tc Conr.nence ot: ;ul; 1 �. 3U� ��. T'hanl: you,_, _�::.. % ., _ / ✓�f �r�. � Be��erlv'�vic Catfe~u•'; Presid:nt Woodstre�r.� H.O.,'�. P-2 __, _�..--p -� - ;.- :.-� �.--� / ,:: �� .. ' /�i' �oi��`" .n;,�, t,��:-,':,� ---.,- -,;-. -- -- ---_--.— .�,,, ��,..,;.� PH0.IECTROOflESS: � 34S UNIVERSITY DR owxes�srurne: DIANNA PRUETT �DOflESB: 34S UNIVERSITY DR COSTA MESA ' CA 92627 (714)631-0541 ANCNIENGINFEH: �ODflESB: ` PEqMrr�E: DIANNA PRUETT - aooxEss: 345 UNZOVERSITY DR COSTA MESA uNrt: p 3 NEO.NO.: uxrt: (714)631-0591 CA 92627 LICENSEO fAN7MCTOR OECLAMTION: I �eahy atlirm ttut 1 am IiunseA untler Drrnivons ot CAapter 9(wmme�np witA Sectbn 700� al Oivision 3 a/ Iha Buaness anE Profexsions CoOe, an0 rtry ficmu is in hll larca anE eflect. CITV LIC.: STATF IIC.: CIASS: Oate: SlOnature: WOBNEBS' COMPENSIITION OEClAMT10N: I trereby aflirmlAd� 1 Aave a teNliWle af fAnSEni �a Sen�lrtsure o! a CeNtipia al Wofkefs' Compenution Insurance, or a cenifietl copY ��emol (Sxtion 3800, Lah. C�. PoLICY NO.: E%P. UITE: COMPRNY: � Certifietl coOY � hereby lumis�ed. ❑ CeNfieO wDY is file0 wit� Ne dry Bu1101np Diviswn. Oate: Applicant: oc�x+mox rxorn xroxc[xs� carer�xs�non oeewunox: �ms secaa� �xe nm ee comqecee u ma ce� � ia ane e�neree �sioot «iess�. I ceNty Itut in Ne Dedormance of ihe work for wNc� this permit is isSueE, I shall not employ any person in any manner m as to hecome suEject to t�e WORers' Compensation Laxs at Calilomia. Uate: SOnature: NOTICE: II, atter maknA �Ns OecWatian, you sMu10 �ecome subject to IAe Wo�kers' Campensation D«+sbns of tM LaEor GaUe, you must lort�wil� comDly vnth suc� Drovisions or Itiis permii s�all Ea Geemed revoked. CONSTIIUCTION 1EN01N0 �GENCY: I �ereEy atfirm tAat Nere is a cautnation IenGinq a0en�y lar t�e peAormance ol t�e xrork for whic� ihis Oermit is issueC (Section 3097, Civ. C). IFNDEfl: nooxess: CITY OF COSTA MESA — BUILDING PEAMIT PERMIT NO; & 0q9302 PLAN CHECK NO; 06058-90 S CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR JOB DESCRIPTION ; 2 OPENINGS.IN NON—LOAD HEARING WALL PERM NO: B 049302 GOVT; N SUPP: N PURPOSE: ALT SQ FT; 200 CLAIM VALUE; 200.00 CALC—VALUE; 200.00 GROUP OCC: R-3 / COMMENTS: * x�tx�r�r�t��t�r�x�r�riri��r�t��e�r�e�itit�r*�rrr�r�t�rir�titirirfr�r�e**�t*�r�r�r*�r�t�t*�r*it�e�r*x�t�t�r�e*�r�r*�r�rx�t�r*+tit�tx�r�r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FANT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 93388002 ZNE: R2 REF NO: PLANNING NtSTES> INTERIOR ALTERATION TO A HEDROOM WALL, 1 ik 1h ik ih ik ik ik ik ik ik k k if 1f 1f if if if ik ik if ik if !f if i! iF if iF iF ik ik if ik if i! k if k iF if k i! it it ik iE if ik iF ik i! k iF 1t iF ik iF iE if k ik it i! it i! if if 1f if'iE ik if 1f iE if 1t �k ik D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T.S 20NING APPROVED BY DATE; CO -I �O BUILDING APPROVED BY ; DATE; l� �.3 —�� APPLICATION ISSUED BY; DATE; � �ir�eitet*at�t�t*��itat*�itit�e�r* at t i �it�*+t�atjt�t* atit lfifititififMikih4if�k1klfiFkMitififikililitikk!!ilitilklkitikikikikikififikkik iEififitiFiEifififiEikiFMitiFiEMMilikaEifiEifiFifililiE3lifiE±kiF LEGALIZATION:Y F E E S U M A R Y , STRUCTURAL SEGMENT:Y OWNEBBURDEBDELUMiION: IherebyatlirmttutlameKemD��omt�eConiractors'StateLicensaLawfortAelollowinOmason HLDG PMT PLUMHING ELECTRIC MECHANIC�' FIRE SMIP/RES GRADING (Sectbn 7o3t.5 Business ane Pmfusioiw Coae: nny ciry oi counry wNch reQuirts a ce�mn ro construct, yter, imDrma Uemoiisn, or P ERM I T 3 0, � � �, � ^ $ 0 reDair airy slmcNm. piiar to Rs issuance, also requiru ihe aOD�icant lor wcA permit ro file a sipne0 sWtoment IMt �rJSAe is IlcenSeG � -.q �� SM I P/ NON —R ES pursuanuo me Dmvisions ol tne Contrzctors Stam license Law (Cnapter 9(commencinq wit� Sectian 7000) ot D'Msian 3 0l the Business p LAN 1 9, S 0 '' � an0 Pmlessions COGe) or that hdslie ¢ enemD� ��erehom a�M Itu ba5i5 tor I�e atleped exemD�� Y NOWtion af Section 7031.5 hy i$$ V E FEE ' '� � -' ��. � .��• anyaDo�iwmforapermitsuEjectstneappiicanuoacivilDenairyoinotmammaniroenuneaaeollars(55oo1. BUILDING—DIV—> PERMIT ISSUE PliAN—CHECK � �� 'TOTAL'" PAID DUE I, az ovmer of the D�apeM or my emGloyees xit� wapes as Ihdr sola mmpensaGon, will Oo tAe wark, an0 Ihe TOTALS----> 30. 50 0, 00 '' 9, 75 •r 9� , 25� 40 , 25 , �0 ❑ siructure is noI inrenEeA orotlere0 tor sale (Sec�on 70/4, Buunass and Profeuional COEe: The Contractors' State License Law . ,q �, , Eoes nat apph/ to an owner oi a pmpeM � bmltls or imDrwes Ihereon, an0 wlro doa suc� xrork himselB�ersell or t�mu0� q ' his ar her own emDloyees. pmviAM tAat such improvemenis are not mtentleE or oHereE lor ule. It, hoxrover tAe builElnp or RE V ENUE D I V I S ION TOTALS--> COLLECTED ; � ��"4 0�, 2 5 rOVER / SHORT : � 0 impmvementissolCwitNnoneyearofwmpletlon,theawnerwillhavetheburtlenofprovinphe/s�eUiOnolbuil0orimprove HLDG PMT PLUMHING ELECTRIC MECHANIC ^ F.IR�E��,SMIP7TOT GRADING PLAN—CHECK �or me p�rpose m saie�. 3 0, 0 0 ,, 5 0 9, 7 5 I, az owner of Ihe D�operty am excNsively coniractlnp vrit� Iicense0 comracrors Io conswct the D�oject (Sectlon 7UA0, Business , • � ❑ anOPmfcssiomCoOe: TMCmvutws'StatelicenseLrxEoesnata7DNtoanmrmrofDroDenYwIp6WlcorimProvesNereon kikilikikikitifitkitifikikifiFiFikMikilik�fikitkititkifikiFiFikikiliflF'iliFititiFiFitiEifififit�EikitiFifiE*itiFiEkififiFitiEiElEiElE1E*iflfiFifik3tiE anE who cantracts far such pml�u �th a coniractaqs) license Oursuant ta Ihe Contractors' Stata 4censa Law�. I am aware �• �Wt proal 01 tneir Worker's Com s�a7uo insurance slwula oe Dranaen to me. Z N D I V I D U A L�. F E E. � B �R ��E A Kf D 0 W N I am ezempt un0er H�'" �Q �� ormisreason: �K HY OWt�'rSF LY TYPE QTY D E S C R I P T I O N' " ."� UNIT COST TOTAL COST oate: IO—.3^-% � �� owner SFR 200 ALTER BY VALUE RESIDENTIAL N020Nb {, 1,00 200.00 I eo hereby ceniry Nat I am aware oi ana unaerstana tne repuirements ol Califomia Heatin ana Satery e Sections 2 . 25533, ana END O F FE E S i� ,; i,- y 25534 and thai I or any tuWre UuilUinp acupant wlWwill nat (circle ona) neeE to comply wit� saiA state caUes antl tAe aquirements Por a ' � �� .• j�, permA lor consirudian or moCdication Irom Ne Nr Uwliry ManaOement Oistnct. NeslEenGal wnsiruction appliwtions are exempl imm �i �� i � �� IheSe provi5i0n5. � � �f, � ' �„ Date: Rpplicant: I here6y certity that I have reaE t�is apDlication anC siate tlut tha ove information is wra . a ree m comply with aIl city anC counry O�UindnCCSazIAS�2t0IdW521dfinplOEUiMIOQCOOSlNLb0020EhE dNiqf¢2f2pl2{¢ dt 5 ItCI�'IOlni¢fUpOnlIIBdDOvB-mBnliql2E proDeM �or inspeciio�7n purposes. Date: �� 3 ( � SiOnatua: oriver's Licenu ar Sadal Secunry x: 1601d8 W�i�e—Builtling; Green—COEe Enkrcemant; Cenery—Applice^I: Plnk—Ravenue; 6olEanroE—Assasaor � � ` •• - I �� ^ ' �`;N .. � �� ;/ ,� 04 OOD711t18—Q007i110 Y'c�'p' ;U.?5 JpTE: 1D/03/4Q T711E: 14:2? :� CONSTRUCTION AND PLANNING POO� _ SPA .., APPROVALS� Permit # Date Inspector AppROVALS Permit # Date Inspector 1. TemDorary Electrical Service or Pole 52. Pool & Equipment Location -�2. Soil Pipe-Undrgrnd�. 53. Steel Reinforcemen[ �'3. Electrical Conduit�Utility�Undrgrnd. 54. Forms -� . �41 Electrical Conduit-Undrgmd. 55. Electrical Bonding �;.� • - :�c5:• SteehReintorcement 56. Rough Plumbing & Pressure Test �• , � ;:._ . . i_._.6.:'Elect�icalUFER�Gind. 57. APPROVALTOCOVEfi�GUfVITE � i'-J:,� Footings ,- 58. Electrical Conduit-Undrgrnd. � " i� - �' 8.�. Foundation - 59. Gas Pipe, O Undrgrnd., Test _� . - i�i 9J� Water Pipe�Undrgrnd. 60. Backwash Lines, P�7rap, O Undrgrnd. 10. Structural Floor Svstem 61. APPROVAL TO DECK - � � , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Droins .. _; 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 Ceilin9 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &,Air Conditioning __ _ _ FIRE DEPT.,-REQUIR,EMENT - n C n' 20� Rough��Factory Fiieplace -'-�I =' « = : •�, - ; ;APPROVALS��'. Permit # � - 'M Y 21. Ducts, in Structuie: ' " ^-' =� � ,i; �' , � 70. �Underqrounii Hydro '.', 22.-Ducts,�Venfilating:. "� j a. �-+ �?, �; E-+� -.; 77. �producCPiping O'Gas OOiI 23.�Gas'Pipe-Rough_&,Test _ ;� = ' M `� # ' �' 7p. Underground Flush'� ; . � 24. R of Framing �. ` ' ��-.� � l� �r. � .73.: Undergrnd.StorageTank�'OGas ❑Oil 25. Roof Sheathing 4 `i '�- ` . �y ' ;!,�x �` 74, OveiFiead Hydro'_.. ;� ' 26.,T�Bar Ceiling (Structurall &'Monocoat .^� ;i -. J �>� x 75'�Dry�Chemical ' - 1 7 27�: Frameand Flashing ti�"� _^C -. -" '" „k;" 76. Dry Standpipe `�'� i: ,; �� ; 28. Lathin & Sidin '' �� '��;" '�" � z' .. .•_ {: '� �- '� ~` F 8� 9. -7�-;�, �� x x�.. 77:� FIXED SYSTEM;FINAL• -+ s 29. Insulation _ ' � � " t c �` . • ��%;, � �` 7$� FIRE PREV. FIN'AL a, � -' � 30. Drywall Nailing , '+: -.' ,� a �� k � iHEALTHiDEPT. REQUIR-EMENT :� 31. Plaster Brown CoaP =' ��; `^,,, � ' i'. ��;�' ' 79` FINAL INSPECTIdN � y e' ._) A/ �Y'; _�-� ,O n' L 32� Electrical Power Metei�Final _ '4 ' „x a, 80.; FOOD CEFTIFiCATE ISSUEDa = 33:: Fin_al ElectGc . �` � ^ i''� ' - x � � Notes: ' �- - i>; . ,.. > r- �J_ _ ��^� /L�o' '�5-.e l av : 34r Final Heating & Air Con"ditioning �� `; ;; ., r:--' • �� , ( "" � � � [ �f: - 35: � Final Gas Pipe�Test �_ • . �- �• �i� � � � : � � � - � = �• - -`� ^. ' �i. -� ;36._HoodocCanoPY . �' �,'x ,. � � . :� Q�=.:� �, :c � jt �37.'Final Factory Fireplarce: -�°� _� .� -x : w,ol l�Ae�� '' - ` ^ r f , ' _ .. g - i � :38;Final Plumbin9 �.� �-; � � ��Y m ��: x:� Ko � l{�� ,�,.,,�` i-� p.�•� , 39 ,Water Service-Final _� � �� =: t; �� Cs �. � C iJ� =t . ..� .- > , G . a. 6 G2 �T': ` s �-� sr.._ •�40;�Gas.Service-Final �' �;'. =-: „' ' .�` � "' ;' �� / ��!ti - .. � . '..L >. f .V �, �41 �SolarpomestioFinal� .. . . •'r B��ltO= * � ��` 42. Backflow Preventei. �. � '� ` �' -� _: ' ' � �W.�/ .� � . a� :, �; � > _ X/ � J�. 43. Backflow Irrigation ;• _, �:: .�� - � v � - > i : a ;' � ;44. Landscape lirigati'�n S stem'�� ' � �'' -' .} �" " _ �" �' � " 9 Y �C.; �. S , x �: F � :;x > S . �45i Sound Attenuation �� • � .. �+� c "' -; � -�:7 ' 46.'Handicap Regulations ' ' � '' � ` *' � Ti '�` - � � .. , �- � • . •�r . 47� FINAL STR�UCTURE & BUILDING B�S� ,�[� , � .. � _ '� ;� 48,�FINAL PLANNING ' ` ' �• '-� - x : "'- ' `+ r. r.: � G ' 49:..Electrie Release to Edison +, j � - i � c, -��- � -' 50`�Ga'syRelease to Southem Califo�nia Gas Co _ ' � � ` '' �~ ' ' �'< ' `� -' :t ' "J ti J J�51. CERTIFICATEOFOCCUPANCY ' " ' ' ' No. Date " Iye��E�Y�M��i�.�4�VM0�y��,l�Fm�G.IP�.�!{i;i..°T;' ..�}a"�, � �.•YY�I�n�V'VQl rA�hC %. � wuict» aca.'oar. �eu :' 'r:.-'�ei=i�.: �:, . � /4tL�.._ .: � .r pA /� a v , . �r�cro� a wu�aM 7 C4R GAA>GE 0 ;j� C>q GeA>GE i q��a�am : oRb�tke' .1......_. _.T 9� 4. THIS NUMBER MUST ACCOMPANY ALLINSPECTION REQUESTS _ � i. L BEOROOM 1 OFES$ gntl+ BEOROOM 7 i 0 A�IERNEIE F�OON P�PN 4.. ��:�Z;.^.i.�: .. _� • DRESS B>I11 1 O ` - BEDPOOM ] Y- $lOA<GE BEDRnnu i �J is� fIOOA PIeN '--- � APPROi/ City of Costa Mesa Building Dep .�- �/� ,,.��/�/J �+ Kli BY _C=f1/d�'/ DATE �1 _ f THESE PLANS MUST BE ON JOB AT ALL TIMES MAh NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT �ITHE ISSUANCE OR GRANTING OF A PERMIT OR APP� AL OF PIANS AND SPECIFICAIIONS SHALL NOT DE CONS �D � O BE A '"'eRM1T FOR, Of�A�'�ffjRQ\4([}�F, ANV VIO O�� OF NY OF rIEPROVICIONSA6PN7h^CODE I�PEfiM1T RESU1dIN6 OGNE aUTHOFIiY 70 V.�IfSFj,'��xy1� 1V - PROVISIONS ( F THIS CODE SHALL BE ltsltB L�A��E�a�i �iN U�R AS THE W^PK U£€• A WHICHITAUiHOR12E5�SLAWFUL ! �-`6PiH ]I�L � --. .�, � .- �� BEDROOn1 l Oa OEN � ;fi_ c ,-. LIVING � ( omio 1T-71E�,R�r i „_G n e . . ,. :. ' ,. . . . . . � ��OT� � . ADDITIONS, DELETIONS, 0� CORRECTIONS SHALL BE APP.ROVED BY iHE P�AN::�� ARTP,9EiJi le� FLOOR��— 2^tl FLOOR PLAN THF iSSUqNCE Of A PERlriIT 6ASED UPON ?LANS AND �.� IC- 1� � SPEqRCATIONS SHALL NOT PREVENT TNE BWLDING OFRrIAL -1 FaOIATHEREAF7EFR60UIRINGTH[CORRECTIONOFE?HORSIN zn� F,�R �qN SAID P!.APiS ANi's S?[CIFICATIONS OR FROM PREVENTING 'it'�L'J;±�G OVERA�yAREA'� OS' CAFRIE8) T"'-r r�R�DER �7HEN � ��' V;Ci„TIG1� OF '+'S �'�' re(:R OF AF,l�TF!�t�1��f�"}.',Ci�lAP:CE �I A !' . ,r,; .. t�. tfRAClt NAME WOODSTREAM CONDOS x+'" r' L _, MnnFi NAMF_f>� OKTOPRQCEEE�'�:I' -• ANCHE .� SO FT 1242 i}pS00E� ::�' �v:` '• � E FINAL �j�µq�.�i.;.,-'r9GrAL. /� AREA 05 8/T WSTM M/C H.�— U T TRACT NAME WOODSTREAM CONDOS INITIALS MODEI NAME PLAN 1 ALT. �D$9OSBSS SQ FT 1242 � MODEL,NAME PLAN 2 SQ FT 1383 � .�'� u��,� �3 N N �0 0 G�Eu� �is-Gs '� �Ja� -ra S�'�-� 0 8 0 e P ' _ _ _ _ ` _ i..�__ *..—. - .. ' . .—' � '_� � '_ -- _ ► �_ . ► ��. 3�--1 � �.° 3 �'� �E s��id DATE �i ee c� �NY VIO e HM IT F ItiF Pf FAR AS ON1 OTi a 4` N 3v ci.-�— ' _ . ' ; , ; ! '—:-- — ', ' —=— ---�xra�dti — — -- , --- i (I i i I I I' � I i!' ;' !� � � i I � i � i� i I ' I i� � I i i � � I�� j I j � i i I � i j � I � I � � I �� i i..,I ii � � ' � �� I � � � � � � i I � I � I i � � � I i" i � I i � 1 i I�i ' i I ; __ . i 1 - I �- I I , ---.--___ _- _ _ _._-; -i _. ��_ ��'__._ ; �_._ _'_'� _ �.� I � � � I � i � � ' - � - � ��4��. � ' � ; i ' i I k� j � i i � � i -- —; ' ;— ; ;-- —; ,— ; ; � � � � , ; ; , ! i , ; � , � I i , , -i � � I�, I � i I i� � � ' � � � � � j � i . ;. ; . . _ . . . . i � . � ZDt4'S: � � � � � --- — � -- � — — —� — - � I ' I � � I � �! i � �I ' i ' � I _.-- I � � !—�-._- -',,-•'_— 1--'-- I.'�—+— i�l - I-- ' �� I • , . � � 8�t5nn� zKaS AOP�icant to fill in all spares except tbose wit�in heavy DoitleTlines antl si9n all appropriate Eetla�ations. � CIT� OF COSTA MESA ' � i, .CtI�TSTRUCTION PERMIT ProjectAddress 3�S P-2. Un7vErtllY Or Gefii/l�sc Applicant'sMailingAddress -rQi'�'1 � . Owner's Name �� CC ��✓f� Phone 6S O�y-Zp Address s� � � Arch/Eng. Licenu No. Address Contractor's Nam � - Phone Addreu Imailing) City Licanse No. LICENSED CONTRACTOR DECLARATIOfY 1 her¢by a(firm [hat I am licensetl untle� p�ovisions Of Chdrte� 9(comTenCin9 witn section 7000) of Divislon 3 of tne Businest antl Profeszions Cotle, antl my Iicense is in full force anq etfect. . License Class License No. Date Sl9ndture 'IORKERS'COMPENSATIQN �ECLARATION aereby atfirm Ihat I have a cerlificate of consent to seH-insure or a certHl<ate af Workers' Compansatbn Inzurance, or a certlfi¢tl COpy thereof (5<CtiOn 3800, Ldb. C.) PolicY No. Company 8 Certi�ietl copy is hereby tumishetl. � I , Cerli(ietl copy is filetl with the city Builtlin9 Dlvision. Date Applicant EXEMPTION FROM WORKEFS' COMPENSATION OECLARATION (This section neea not be completetl If the permit is for one huntlretl (E100) or less). 1 cerUfy that in lhe pertormance of tne work for which this perm�l is Issuetl I shall not employ any person in any manner so as to betome subject to [�e Workers' Compensatlon Lawt o( Califomia. Date Signature ' NOTICE: If, aftet making thi5 tlCclaratlOn, You Shoultl become SUbjeCt to the WOtke�s' Compensatlon pro�{slons ot [ne Labor COAe, you mu5t forthwitlt comply .with such provisi0ns or this permit shall be deemea revoketl. CONSTRUCTION IENDING A6ENCV' ' I hereby affl�m titat lbere is d constructlon lentling a9ency t0/ tha pe�fo�manC¢ of the work tor which �his permil i5 i55uetl (SecHon 309] Civ. C.) Lentler'S Ndme � L.entler's AOdress OWNERBUILDER DECLARATION � I'hereby atfirm that I am ekempt irom the Contractor's License Law for the following reason (Section �p31.5 Business antl Profe551onal Cotle: Any city or county which requirez a permit to conslruct, alter, improve, Gemolisn or re0air any structure, prior to its issuance, also requires tne applicant Por 5uch permit to file a signetl stalemenl tryat he/she is Iicensatl pursuant to the prOviziOns of _. he Coniractor'S License taW (Chapter 9(comm¢ncing wi[h Section 7000) ot ��;`.i�7ivi5ion 3 Of the Buslness antl ProtesSions Cotle) o� that he/She Is exemp[ "snerefrom anU tne basis for Ihe allegetl exempUon. Any violation of Section � 7W3.5 by any applicant YOr a pe�mit subjects the aOP�ican[ to d clvil e�alty of not more than fivp nuntlretl tlollars (5500). I, a5 owner of the probe[ty o� my employe¢5 with waqes as thei� Sole co pensation, will Eo the Work, antl the structure is not Intentletl or offere0 for wle (Section ]044, Business anC Professional Cotle: Thn Coniraclor'S License Law tloes not apply (o an owner of a pro0erty who'builtls or improves thereon, antl who tloe5 Such wo�k himselt/herselt or Ihrou9h his or her own employees, provitletl that su�n Imorovements ara not Intentletl or offeretl tor sale. If, M1owuveq tho builtliryg or improvement is soltl within ona year of com- pletion, the owner wlll have �he buraen of proving he/she tlitl not builtl or Im- ��Ove to� tlte purpo5e of zale), I, as owner of the properry, am ezclusively contracting with Iicensetl con- iractors to construct tne project (Sectlon 7044, Business and Protessions Cotle: The Contractor's- Li<ense Law does no[ apply to an owner of property who builtls ot Improves tbe�eon, antl who contracts for SUCh p�oject5 with a Con- iIdCIOI(5) IIC2lIS¢ pUlSUdOL LO LFIC COlIfIdCLO(�5 LICBf152 L� W). ❑ I am exemp[ untler Sectiqn 8 P. C, for this reasan Date ' Q— Owner I hereby cerHty that I haee reatl tbis app icatl i state that the above information' is wrrect. I agr¢e to compry wlth all �ty antl county ortllnancas antl state laws relatlng to builtl'ng <onsVuction; antl ncreby authorize repre- sentatives of this tlty to r upon tM1e above-menlionetl property for inSpEGtion puf ,//� ,��/2 Si9nature ��GW / �ate o B/ orivers'�License ar 5S � , �I._...+ TVPE OF CONSTRUCTION lZj NEW LJ ADD }^J ALTERATIpN LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER' q,p, # DESCRIPTION OF WORK � � S Main Building: TYPE OF PERMIT GRA�ING FOUNDATION STRUCTURAL T Ffont ❑ TENANT ❑ ELECTRICAL ❑ 7LUMBING � MECHANICAL A Rear ❑ OTHER PROJECT DESCRIPTION 5�. FT. oCCVPANCv C Right K Left CONSTRUCTIONTVPF VALUATION$ $ ZONE GIiAOING CU. VDS. ACRES Ping. Ref. # Remarks: Parking Req./Provi� Use of Building: PLUMBING FEES Planning Notes: 3ar Sink 3ackflow Prev¢nter 3ackflow Irrigation ' 3athtubs Claritiers •� Jishwasher Jrinking Fountains FloOr Drains �, Floor Sinks � . � Gas Service .Outlets I�ntercep[ors' Kitchen Sink Lavatories " � P—Trap ' Roof Dreins Rainspection Fee $25 Boiler Duct-UndcrGround Duct - Svuc W ral Duct - Ventilating � Exhaust System ❑ Multiple ❑ Firepl/Fact.6lt. ICBO #,23 � Hea[ing System & Duc[ing ❑4100,000 BTU 0100,OOOBT qeinspection Fee � $25 CMF 0865-46 rev. 7/83 �White - Builtlin9: Canary - Appliwnt; Pink - Accouniing; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors "Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet. �. Water Heater Water Service Isue Fee Hood or Typel ❑ Canopy Type I I ❑ fiefrigeration System ❑aioo,000sru ❑ioo,000 System Repair/Alteretion . laue Fee $ 3 FE $ 3 Automatic Washer Construction Pole Sub. Cooking Uni[, ' Dishwasher Dryers �Gas, �Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator O0.5 KW C , >:.� . � ' Zone' ActeSSOry Bui Park.Fees $ ELECTRICAL Trensformer ❑ 15�50 KW ❑ 50+KW Meter LJupto�t00ampz Meter ❑over100amps Sub Panel Motors DO-1 HP �7'h-8 InaSolar 09�15 HP �16�15+ Microwave ' Pole Light Range I I' Standing Sections 15 KW Trash Compactor 0 I Reinspection Fee I$25 I luue Fea . I $ 3 I PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Date Application Approved By Oate Appliwtion Issued By . l / Oat �� 3-� �`3 � SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ - �SSUANCE $ PLAN CHECK $ ENERGV P.C. $ � ELECTRICAL $ GRADING $ PLAN CHECK $ MICROFII.M $ MECHANICAL $ �� TOTAL FEE $ � � � PLAN CHECK $ O N I N G R E Q U R E N E N T � ' CONSTRUCTION AND PLANNING � ' . . . PO� _ & SPA \. APPROVALS Permit #�� Date Inspector p�ppROVALS 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, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61: APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final �15. Rough Electrical-Conduit 66. Solar System-Final " i6. Rough Electric Wiring � . � 67. Fencing &'Access Approval 77. .Rough Wiring Sign � ' 68. APPROVED FOR PIASTERING . 18. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . �,$ APPROVALS Permit # Z7. DuCts, in Structure � 70. Undergrouhd Hydro �22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil �23. Gas Pipe-Rough & Test ' 72. Underground Flush 24. Roof Framing 73._Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � � 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 3S. Final Plumtiing 39. Water Service-Final ' 40. Gas Service-Final � . 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irriga[ion � � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � � 49. Electric Release to Edison � • � 50. Gas Release to Southern California Gas Co . � � 51. CERTIFICATE.OF OCCUPANCY � . _ . ' No. Date \ � AVG�icant to tiil in all spaces exceDt those witnin heavy eoraer Iines anC sign all appro0�iate aeclaretions. CITY Of COSTA� ONSTRUCTION P R IT PEF�f�T �� n TRACT NO. I.OT NO. UNIT NO. ► � srT 9��c r � Project Address Applicant'S Mail' Address _ L 1 TVPE OF CONSTRUCTION NEW ADD ALTERATION qEPAIR 7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Ap �E Owner'sNam�� SlE-[�1'n�k Phone�� DESCRIPTIONOFWORK/USEOFBLOG. . S Main6i Address � Arch/Eng. Licenie No. TVPE OF PERMIT GRA�ING FOUNDATION STRUCTURAL T Front Addr¢SS O ❑ TENANT ❑ ELEGTRICAL ❑ PLVMBING ❑ MECHANICAL B Rear Contractor's Name e- C.��Z� S � Phone�� OTHeR � qight Address (m�'�'�9� «3'3 -�-�h1��,\N PROJECT DESCRIPTION Sq. FT. OCCUaANCY K �Q`-� \ CONSTRUCTION TVPE VALUATION $ S Left City License No. - r ZONE GRAOING CV. VDS. ACRES Ping. Ref. # LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensetl untler provisions ot Charter 9(commencing RemaYks: PlBnninJ NO with section 7000) of Division 3 oi the Business antl Professions Cotle, anG my license is in full force an eHecL �'��^ Licen C as - �'c nse No. �� Date ' Signature WORKERS' COMPENSATION DECLARATION hereby aftirm that I have a certiticate oi consent to sel�-Insure or a certificate ' Workers' Compensation Insurance, oY titletl mpy thereot (Section 1800, Lab. C��/'Q �a��n Policy No. _ Y �omPany C 8 Certifietl copy is hereby lurnisM1etl. �furw . C�fi��Goµy,�Itetl wAPPhcan'tY B��r' D��SI n4��'�� Date `1�25 EXEMPTION F0.0M WORKERS' COMPE�`15ATION OECLARATION (This section neetl not be mmpletetl if the Permit is tor one huntlretl ($300) or less). I cer[ify Ihat in the pe�fo�mance of the work fOr which tM1is perm�t is issuetl I shall not employ any per5on in any maqne� so as to become subject to the workers' Compensation Laws oi Cali(ornia. Date Signature NOTICE: If, after making this tleUaratiOn, You Shoultl become subject to the Workers' Comp¢nsation provisions of th8 Labor Cotle, you must fortnwith comply with such provisions or this Pe�mit shall be tleemea revoketl. CONSTRUCTION LENDING AGENCV I hereby atfirm lhat there is a construction lentling agency tor tne peiformance o( the work tor which tnis permit is issuetl (Section 309]. Civ. CJ Lentler's Name Lentler's Atltlress OWNER BUILOER DECLARATION 1 hereby affirm that I am exempt from the ConVactor's License Law for the following reason (Section ]031.5 Business antl Pro(es5ional Cotle: Any city or counTy which requires a permi[ to conStrU«, alte�, improve, tlemolish o� repair any 5[ruclure. P�lo� to its issuance, alzo �eQuires the applicant tor Such permi[ to file a signetl 5[a[ement lhat he/she is licensetl pursuant to the provisions of [he Contractor's License Law (GM1apter 9(commencmg with Section 7000) o( livision 3 of the Business antl P�ofe55i0ns Cotle) o� that he/she is exempt ierefrom antl the basis fo� the allegetl exemption. Any violation ot Section .031.5 by any applicant for a permit zubjects the applicant to a civil pendlty of not more than five huntlretl tlollars ($500). ❑ I, as owner of tne property or my emvloyees with wages as their sole com0ensation, will do tne work, antl the s[ructure is no[ intentletl or offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License l.aw tloes not apply to an owner J� a properfy wno builtls or improves thereon, antl who tloes such work himself/nerself or throu9h nis or her own employees, provltletl that such improvements are not intendetl or otteretl tor sdle. If, howev¢r, the builtling or improvement is soltl within one year of com- pletion� the ownCr will M1�vC Lh0 bUrtlen tl� P�oving he/she tlitl no[ builtl or irtl- �rove forth¢ purpose ol5ale). I, as own¢r of the property, am exclu5ively mntracting with licensetl con- Vactors to construct the projecf (Section 7044, Business antl Professions Cotle: The Contrac[or's �icenre Law tloes not apply to an owner of property who builtls or improves thereon, antl who coPt�acts for such projec[5 with a con- tractor(5) I�cense pu�suant [o the ContraG�or'S License Law). I am awa�e tM1at Proof o} their Worker4 Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date pwn¢r I hereby certify that I have reatl this aaPlication antl state tM1at the above in(ormation is correct. I agree to compty with all city antl county ortlinances antl state laws relating to bulltlinq construction, antl he�eby authoriie rep�e- sentative5 of tM1is city to ente upon [he above-mentionP�1 propert for inspection purp/�j�� [ /I �7„n U_�}f Signature _(_��fP�� Oat✓ '� � Drivers' License or 55 � �a - Preventer Irri9ation bs rinking Fountains loor Drains loar Sinks as Service Outlets Kitchen Sink La�atories P-Trap Roof Drains Reinspec[ion Fee $15 Duct- UnderGround Duct - Sttuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000 Reinspection Fee � $15 CMF 0865-46, rev. 30/B4 White - Builtlin9: Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Wa[er Closet Water Heater Water Service A uto-W ash Laundry Trays Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issua Fea EES $ 3 FEES $ 3 9591 4/29/8� Zone Accessory Buildin9: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑' 15-50 KW ConsuuctionPoleSub. � ��50+KW• Cooking Uni[ Meter ❑up m 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors �0�1 HP �i %� 8 F.A.U. InaSolar �9-15 HP �16-15+ Fixtures Microwave Device Boxes Pole Light � Outlets Range Switches Garbage Dispoul Generator OO-5 KW �5-15 KW Standing Sections Trash Compactor Fee �$15 j � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By 8uilding Approved By � Aooliwtion luued Bv �,o�� r! FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ SOL7 ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK .50% $ MICFOFILM $ MECHANICAL $ TOTAL FEE $ �J.00 . PLAN CHECK 25% $ Z O N I N G R E Q M T S CONSTRUfTION AND.PLANNING POOL & SPA � . APPROVALS Permit# Date Inspector - p�ppROVALS Permit# ��Date Inspector 7. Temporary Electrical'�Service or Pole 52. Pool & Equipment Location � c� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement r-5 ' I ca_, 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � • � � 4. Electrical Conduit-Undrgrnd. " 55. Electrical Bonding � '-'7 . . , ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVE�i:GUNITE � 7. Footings 58. Electrical,Conduit-UndrjYnd. � 8. Foundation �� •�� 59. Gas Pipe, �O Undrgrnd.,7.est � . : , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap;.0 �Undrgrnd. ' 10. Structural Floor System 67. 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. Eleciricai-Final � � 75. Rough Electrical-Conduit 66. Solar SYstem-Final - , . 16. Rough Electric Wiring 67. Fencing & Access Approval � ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' ' 1S. 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 ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil , 25. Roof Sheathing 74. Overhead HYdro - 26. T-Bar Ceiling (5tructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing , 76. Dry Siandpipe 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 G 2 d+rf �� • , � • 39. Water Service-Final _ ' �� 40. Gas Service-Final � - ' ' .� 41. Solar pomesticFinal , , . - �42. BackflowPreventer �� - } 43. Backflow Irrigation - � ' � `- 44. LandscapelrrigationSystem -" . � �� 45. Sound Attenuation ' 46. Handicap Regulations - - ' ' 47. FINAL STRUCTURE & BUILDING � � � ; � 48. Special Requirements Completed , _ ' 49. Electric Release to Edison � � � - � 50. Gas Release to Southern California Gas Co . ` 51. CERTIFICATE OF OCCUPANCY . � No. Date ' ' ' � . � � P.OP�icant to fill in au svaces except those within heavY baraer Iines ana si9n all appropriate aeclarations. PERM NO TRACT NO. LOT NO. UNIT NO. ; CI1�V OF COSTA MESA CONSTRUCTION PERMIT � 3 96 ya A.P. # s. Project Address ?Q � Inl V PSl t Dr. _ BLDG P 2 3 S Main Buildi Applicant's Mailing Add� � TVPE OF CONSTRUCTION ' NEW ADD ALTERATION REPAI R E 4 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T FrOnt - Owner's Name Phon�%' f� �92NA DESCRIPTION OF WORK/USE OF BLDG. I A Rear Address � `'r Areh/Eng. LiCenu No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION STRUCTURAL �i K Right Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g� Left Contrector's Name �� TL�r'1 � d a'� pho{�e — � ��OTHER , Ping. Ref. # Address (mailing) Q• y]�TyTw �w.. � i�' PROJECT DESCRIPTION sQ. F-r. 5500 OCCUVANCv Planning Notes: CONSTRUCTION TVPE vn�unnon, s 4950.00 c�rv u�e�se rvo. Owner Bui 1 der ZONE GRADING CU. VDS. ACRES LiCENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untle� O�ovislon5 of Chd/te� 9(commencing with section 7000) of Divislon 3 of the Business antl Prote55ion5 Cotle, antl my license is in tull fOrte antl effect. License Class License No. Date Si9nahre WORKERS'COMPENSATION DECLARATION 'eteby affi�m lltat I M1ave a certificate of consent to 5¢It-insure Or a certiticate Workers' Compensation Insurance, or a carti(ietl copy thereof (Section A0, Lab. CJ Policy No. Company BCertifietl mpy is hereby fumish¢tl. Certitietl copy is filetl with the city Builtling Division. Date Applicani EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection nee0 not be completetl if the permit is for one huntlretl ($100) or less). I cerllfy that in lhe pe�fotmance ot the wo�k fo� whlch this perm�t i5 i55uetl, I shall not employ any pe�son in any mann r so as to becom subject to the Work o i ns7l_io�l.aws o( Califq+(nia / Date��`).�C.��Si9nature l.y �(/ ,y a�'�"� NOTI E: If, aitermaking this tletlaration, you�ultl become zubject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith wmply wiN such provi5ion5 or IM1is p¢rmit shall b¢ tl¢¢mEtl revOketl. CONSTRUCTION LENDING FGENCV I hereby affirm that there is a construction Ien0in9 a9ency for the performance of the work for which fhis permit is issuetl (Section 3097 Civ. CJ Lentler's Name Lentler'S Atltlress OWNER BUILDER DECLARATION I hereby aftirm that I am exempt irom the Contractor's License Law for the following reason (Sectlon 7031.5 Business and Professional Cotle: Any city or county which requires a permi[ to construct, alt¢r, improve, tlemolish or repair any structure, prior to ifs issuance, also requires tbe applicant for such permit to lile a signetl statemen[ that he/she is licensetl pursuant to the provlsions ot the ContractoYs License Law (Chapter 9.(commencing with Section 7000) of 'vision 3 o( the Business antl Professions Cotle) or that he/she is exempt aefrom antl the basis for the allegetl exemption. Any violatlon of Section 31.5 by any applicanl for a permit subjects the applicant to a civil penalty of not more [han five huntlretl tlollars ($500). ❑ 1, as owner of the property or my employees witn wa9es as thelr sole mmpensation, will tlo ihe work, antl the structure is not intentletl or offeretl for sale (Section 7044, Business antl Pro(essional Cotle: The Contractor's License'Law tloes not apply to an owner of a properry who builds or improves thereon, and who tloes such work hlmself/herself or througn his or her own employee5, provitletl that such imp�ovements are not intentletl or offe�etl tor saie. If, however, the builtling or improvement is soltl within one year ot com- pletion, the owner will have the burtlen of proving he/she tlid not builtl or im- �r ve far tlte purpose of sale). I, az owner of the property, am exclusively contracting with Ilcensetl con- bactors to construct the project (Section 7044, Business antl Professions Cotle: The Contractor's License Law tloes not aoPly to an owner of property who builtls or imoroves ihereon. antl who contracts for such oroiectz with a r.on- hacto�(s) lwense pursuant [o me ConVactor'S Litense Law). I am aware that prooi ot their Worker's Compensation insurance should be provlGetl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date I hereby certrty t iniormation is con antl state laws rel� sentatives of tbis inspection 0 Pa Signature � Orivers' License or 0865-46, rev. 5/88 — Owner lT' I have reaC this I agree to comp to builtling Con � to enter uom # tate tha[ the above tl county ortlinances :by au[horize repre- ionetl properry tor Date d� /7/d�9 Bar Sink eackflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Struciural Duct - Ventilating Exhaust System ❑ Multiple Firepl/fact. BIL �CBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspection Fee � $75 White - Builtling; Canary - Applicanh. �ink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors � Solar Pipin9� Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fea Hood or Typel ❑ Canopy Type I I ❑ Refrigeretion System ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteration Fire Dampers ' Registers Issue Fee ES zona ` Building: IZ Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50+ KW Cooking Unit Meter ❑up to 700 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel . � Fan Motors 00.1 HP �1 h- 8 F.A.U. IncSoiar �9-15 HP �16-15+ Fixtures Microwave • r � Device Boxes Pole Light . -• Outlets Range F , Swi[ches Sign - Garbage Dispoul Standing Sections Generator �0.5 KW �5-15 KW Trash Compactor I Reinspection Fee '$15 I I Issue Fee $ 3 DEVELOPMENTSERVICESHEQUIREMENTS: Zoning Approved By FEES Building Approved By ��' Application Issued By � $ 3 N I N G R E Q M T S. FEES $ 3 SU RV O�j FEES � � BUILDING PERMIT $ ��`�" SMIP $ •S PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ r/� �...7� MECHANICAL $ TOTALFEE $ /�sZv PLAN CHECK 25% $ 01 Qaozi$;i- nva4a�� fr_0- � .. :_ D�iTe� 08/OE/&9 T�qE� 09.31 P •� p CONSTRUCTION AND PLANNING PO( SPA Date Inspector ' Date Inspector APPROVALS Permit # �, . APPROVALS Permit # 1. Temporary Electrical Service or Pole �'` 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. ..- 53. Steel Reinforcement � , � 3. Electrical Conduit Utility-Undrgmd. ' 54. Forms i. �'� 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, O Undrgrnd., Test _ �� . .^ 9. Water Pipe-Undrgrn�f. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System . 67. APPROVAL TO DECK � � i 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 I 15. Rough Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval �17�. Rough Wiring Sign 68. APPROVED FOR PLASTERING t18. Rougfi Electricai-T Qar 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 O Gas ❑ Oil 23.'Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Mecer-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 pomestic-Final 42. Backflow Preventer r� �'' 43. Backflow Irrigation ' � �Ti 44. Landscape Irrigation System J 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING ZS. y 48. Special Requirements Completed 49. Electric Release to Edison ��t� " r-; 1 V 50. Gas Release to Southem Califomia Gas Co �� p 51. CEFTIFICATE OF OCCUPANCY �.. " �:� Nof Date � 4 u� P � 2 � I N � � w z�� 5 3 L 2 I �1.2t li 121��14 i � e I I 2 I3 I4(F}5IG �ooQn�[� J ► (G) 2 ► 2 3 E 4 �� .lobnddress: 345 UNIVERSITYDR Status: �SSUED Suite: M Applied: 08/17/2005 Vicinity: BLDG M ROOF Issued: 08/17/2005 Primary Occ: MR Type of Construction: V-N Parcel Number: TPN005068 Zoning: Applicant: LABATO, PABLO Address: 1235 N SAN DIMAS AVE Owner: Address Contractoc Address: Zip: SAN DIMAS, CA Phone: (626) 852-2110 Zip: 91773 WOODSTREAM HOMEOWNERSASSOCIATION� 345 UNIVERSITY DR "i� , . - � ° � - � - � Phone: COSTAMESA,CA '-2ip:,-.{92627 - . � _. r , CONDOMINIUM CONSTRUCTION=SERVICE,_ING<---�- � '1235'N SAN DIMAS AVE�.�- � .� ��` � � � _ �,p°�"-�. Phone: (626)852-2110� - SAN�DIMAS,,CA : � .� ' 91773 . . - License: 691243 ISSUED BY: " � . . �.�..:;�. Arch : ' Eng: �� , Address, . - '� Address: ' - , � _ �-' � Phone: "' Phone: _ .. ._ - ,fs�_. _ �. . . . � _. .� _ Zip: °� - � . : �License: . � �--1 , ��License: � ' �� SCOPE OF PERMIT �' �" � ` � TEAR OFF EXISTING ROOF, INSTALC�40 YEAR GAF COMP SHINGLES AND REPAIR AND REPLACE SHEATHING AS NEEDED: APPROX 50 SQUARES. • . , � . , .� . ��Plan Check ��i $0.00;; �, Permit: � °��'$195:25 � SMIP Res: $1.10 SMIP Com: .,-, $0:00 Other. "' $0.00 " Inspecfion: `�$0.00_ Total: $196.35 rtt summArcr � �fi QiY , _ _.. .. _ ' -'Y .. s_, _ �, . ��d ' � � Calc Valuation , � � Claim Valuation: ��, -, �e � PCANNING & ZONING SETBACKS � , � . MAIN STRUCTURE Front 0 0�� , �. :- Rear 0 0 " Left � 0�0 � . -_`.Right,, �. �0• 0 ACCESSORY •.Front 0-0, <�,Rear ��0-0 � LeN�� 0 O�f Right 0-0� ::b !. . . _�.hi . .. . y ' , . ..,/ d PARKING ��Ew-stina: � 0 � ,Refiuired �x 0 � Pr000sed �.��,0�= , � . _ '-'' "' _... .,., _,:-'�`. ` ^ .. _ , �s�;� .. � ; � N �; �r ,. � �� ,:�. a s. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 it work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applica�le codes, anU all requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 [M4646(dW) WORKERS'COMPENSATON DECLARAnON: I hereby afrirm untler penalry of perjury one of the tollowing declaretlons: � � ❑ I heve and wlll meintaln e certificate of cansent ta selFlnsure for workers' compensetlan, es provlded for by sectlon 3700 of the Labor Cotle, for ihe peAormence of the work for whic� this partnit Is issued. �.�I ha e end will maintain workers' compensation insurance, es required by section 3700 ot the Lebor Coda, for the pertortnance ol the work for which Ihis permit Is luued. My_worl�ers' compensatlon }nsurance cardar end oolicv num�er are: section neetl not be one Pa�N�a�MI?os ��ra23�23 0��855.� ❑ I certity that in ihe performance oi the work for which this permit I5 issued, I shall not employ eny person in eny manner so es to become sub�ect to ihe workers' compensetion laws of Californla, and egree hat If I should become sub�ect to the workars' compensetion provislons ot Sectlon 3700 of Ihe Lebor Cotle, I shall forihwlth l,comply with these pr Nsio s. tApplicanLSi� gneture�� Dete:--x�' I�' O� WARNING FAILURE TO SE RE WOFKEFS' CAMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CFIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNDRED THOUSANDDOLURE(51 ,000),INADDRIONTOTHECOSTOFCAMPENSATION,DAM4GESASPROVIDEDF-0RINSECTIIXJ3]OBOFTNELABOFCODE,INTEREST,ANDATTORNEY'SFEES. IICENSED CONTRACTORS DECLARATION: I hereby ettlrm ihet I am Ilcensed under provisic face'and effe� c Lic. A �' q/ 2 Y3 CONSTRUCTION LENDING AGENCY: ot Chaptar 9(commencing wit� Section 7000) of Division 3 of Ihe Busines�entl Professions Code, entl my license Is in full ❑ I hereby aHirm that t�ere is e construction lentling agency for the peAormance of the work for which Ihis permit is issuatl. (Sec. 3097, Civll Cotle). Lender's Neme: Lender's Atltlress: SignaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirm Ihat under penelry of perjury Ihat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Pratesslons Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, elso requires the epplicant for such permlt to flle e slgnetl stetement Ihet he or she Is Ilcensed pursuent ta the provislons of Ihe Contrectors License Lew (Chapter 9(commencing with Sactlon 7000) of Dlvislon 3 of the Business end Professions Code) or thet he or she is ezempt therefmm end Ihe besis for the ellegetl e:emptlon. Any vlolatlon of Sectlon 7031.5 Dy eny epplicant for e permit subjects the flpplicant to e clvll penalry of not more ihen tive hundred dollers ($500).): ❑ I, es owner oi ihe property, or my employees with weges as iheir sole compensation, WILL DO THE WORK, entl ihe structure Is not Intended or otteretl for sale (Sec. 7044, Business antl Professions Code: The Conirectors License Law does not apply to an owner ot properry who builds or improves ihereon, and who does such work himself ar herself ar through his or her own employees, providetl Ihet such Improvements are not Intended or oHereO tor sale. If, however, ihe building or improvement is sold within one year of completion, ihe owner-builtler will have ihe burden ol proving that �e or she did not build or improve Por puryose of sale.). ' ❑ I, as owner of the pm0erty, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the projaq (Sec. 7044, Business and Pmfesslons Cotle: TTe contractors License Lew tloes not eppty to en owner of property who bulltls or Impmves thereon, end who contrects for such pmject with a contrector(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Business en0 Professions Code tor Ihis reeson: Signature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Drivefs License No. Verificatlon of Ownerehip by (rype of daumenL I.e. - property lex bill or tleea): Expires: DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certify that no excavation five (5) or mora teet in depth into which a person Is required to descentl, wlll be made in wnnection with work euthonzed by ihis pertnit, end that no huilding structure, sceftoltling, talsework, or demolition or dismantling thereot, will be more than Ihirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle 8, Celifomia Adminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which woulC require e permit trom the Divislon of Indusirial Sefety, es noted ebove, unless such person hes e pertnit ta do such work from ihe division. Signature: Date: Division of Intlustnal Safery Permit Number: CER7IFlCATE OF COMPIJANCE AND AU7HORVATION OF ENTRV: 1 cenify under penelty ot perjury tha� I have reatl this application and state that ihe infortnation given is correa. I agree to comply with all state lews end ciry ordinances relating to builtling construaion, end emhotlze representatives of the Ciry of Casta Mesa to enter upon ihe ebove-descnbed property tor insDection Ourposes. I agree not to occupy or ellow occupancy ot any building euthonzed by this permit until finel inspection. COOE t. INSPECTION TYPE 1616 Fixed System Final Fire Prevantion 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWReteining Wall 202 Finel Fectory Fire Plece 203 Finel Sign 204 Final Demolition p7.11�IP1iYirlS�j O� // COUE� INSPELTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Finel Eleciricel 212 Finel Fire Preventlon 220 Final Plenning Approval 222 250 Flnal Si�e Final Builtling/Occupency ��7.�1 1111.. � 1"0: .,,t; ,.' - _ WOODSTR�AM HOM�mWNERS ASSO4:IA7ION 345 University Dr. Cus:a D]esa, Ca 9�62 � The Cit}• of Costa Mesa This is to confinn ��:c lin�e si�cd a con'*act with C:andomi�uum �"::�=�ttuctio : 5er��. (CC51 to remove and rep�ace o�u roof with 40 yr asphalt sliingle�:. �i'c�rk is tc ccm'nrnce c.^. :uly 1 �. 'U9:. Thanl: you., �:�- _., _ � � .— .�� .� /'�'/' �,/', � $evCYly'!�7: C1ffr;'y' Presid:nt �Voodstrear� H.O..+. P-2 . �� ...q "'� ' � -' i.�' .�.-�',� ! , . i.� . /`i'• � / �.'�. i ;! � �I � noodusaemwxc: 345 UP7IVERSITY DR OWNEH9W�I,EIFp10NN: PHIL HARP �oo�ss: 345 UNIVERSITY DR COSTA MESA, CA 92626 MPL.IWIMG/iU0flE5S MCNRECTOXEINiINEEN: IICII OP ENG'S ADDRE55: wxmncrarsruxe: PHIL HARP GEN CONTRACTOR cwm�croaswuiu+c 395 UNIVERSITY DR �� C.M. CA 92627 uxr: M9 uc. xo.: UNT: (714)642-2913 ucra.: 516409 uNT: M 4 LICENSE� COMNACTOHS OECLAN�TION: I hereby eRim under penepy o/ perjury ihel I em Ikenned under poviaione of Chepler 9 (oommmdip xi�h Sectpn ]000) oi Oivision 3 0l Ne Bummm vd PNeasbna Cotla. arM mY liceme o in lull iwu eM eMetl. cmuc.no.:095227 uc.cuss: B uc.No.: 516409 EXP; 06/95 o�<: `� 'l • G S' cem�a�: ��i�-% !1J..n OWNEfl BUILDEIi �ECIAPRTION: I hareby effirm uMer pe�Wy d perjiry Ihtl 1 un uemq Imn iM Coniretlae Licema lew fa �ha Idbwiq reeaon (�im ]031.5 Buevroae ard Prd»sions Coda: Airy cA' a oounry which rpuirea e peimn to mnavucl. eller. imqova. iemoleh, or repeir eny eWciurc, pior to ila eaueMe, eleo requi�ee iM epdicent lor euch peimil to file e ei0�� eletement Net M or eM i IicemeE punuem to the yomiwre d iM Comredore Licenae Lew �Chep« e(mmmendip wilh Ssdion ]oa0) d DHbian a d ihe duririex eM Prdaaions Coda� a Ihel M a+he u examq thaeham e�d �he beaw lor Ne dbped uemqion. My vide�ion d Seqion 103t.5 by enY eDWk's�t lar a permn wbptle Ihe epplicenl to a dnl pmelry d M maa tlun INa huMred ddlen f`�II� � I. av oxner W Iha properly or my empbyees wY� wapae av Ihe'x aole minpeneetnn, xill do tM xnM, arM iM ewcturo 6� inlendeE w Mered M eele (Seaion ]044. Budne� end Pmlaasiona Cada: Tha Conireqon Licenae Lew Ewe not epD�Y lo en awmrd O�PaM who WtlM ar inpovee thereon. uM who Ewa auM work NmaM w Mnatl or throuph hc ar her own emplvyeee. prmiEeE iMl mic� impovemmte va m� imeMed a dlmaE fa sale. II. hov:evm.Iha Wiki�p a inpmaineM b aold withm ma Y� d compldian. Na awrorbuiNm will heve IM Wrden d pwiiq M a ehe d'k � build a impeme /a IM purywe d Wal. ❑ I. m ox+nr W the qopeM. ��duervely mn�rec�in0 �h liceneed conlreclore ro con&rud IM pml� (�� )�. Bwirime vM Prole�iana Code�. TM COMratlon Licenae Lew doee rid apply to en owmr d popeM � buika w imqo+n �heraon eM who convecu la v h pqeda wiih e mmrma(s) IiemaE W��I lo iM Comrmaa �imma lewl. � I em e�amq uMer Sectbn: . B. 8 P.C.. for Nn rauon: Dete: O+mx: I do hsieby ceniy Ihel I em ewere d vd uMersurd iM req�iramenn N Cellomu HmXh eM Seleiy Code Saaian 25505, ?553�. enE 2553a, eM thet I a vry Mure WilEirp mvpent xill / wJl na (orcb are) roetl b canply w1h eaid ale�e cadan eM iM reQuiremena M epeimil/ormmVuc�ionwmadifiaionhanlM1eAk uSelny�epemeniDistnd.ReeiEemalconet�doneppFcetioneennaemp/romiheee yroWsiw,s. Dela: IWplram: WONKEP'S COMPENSATION DKL1flAA0N: I Mreby etfirtn under peneny W pee'ryry aro d ihe blbwieq dedvaziona: � I heve eM xil meintan e cenJicme d conaem io eW-inwn for wkwe' wmpanselion, n povided fa by Seaiai 3)00 d �he lebor c�, ia in. ren«�e a ub � i� w:�n m�. c«mu m�..�d. � I haw eM xil meimen wuAe%mmpemetion imurenm, m rapuired by SeUion 3100 d ihe Labor CoEe, br iM perlormeMs d �he wak fa wfiich ihie Po�� a inued. My worken' mmpenaetbn inaurance r'er uM poliry numM ere: c�,: vacr N�me�,: (TM1is settion nee�f iaf Ee comWefeJ / tMWrmi ia /w me huMmd dollem /Ji00/ a/uv.1 � I cerlYy Ihet in Ihe peAom�ance d ihe woA In which ihia peimn ia ieeued, I dWI mt ampby vry peiwn in eiry mennar eo ee lo becama wbjetl ro tM worken' mmpensazon lexs d Gddamia aM epree thel J I ehouk becare aubyq m tM worbn' �wmmian w�%�. d seeian a�oo d ine �eno. coae. �.ne�� mn.an oomW wm, mw. po.;.io�s. oma: �I .'1 . e� s' noW�,c '-�17 i�� e 4 Wem/ip: Fellun ro ascun wortsri mmpwnatlon cowrp� l� unl�wlul, end �Mll �W/Ict an smployn ro eMMnl ps�uMu antl c/vll flroa iq ro ms hlnE�l Nouurd AolYn (S1PO,PWA M e001tlon (o M� roat o/ romvwu�tbM1 damep� u po✓IEW br In Sztlon J)fb ol M� LaborCoOs, lntws�t, antl atlomsy'a hu. CONSTFUCTION LFHDINO R�ENLY: I Mreby alfirm ��e« ��nv d�i�rv �� is e canbrudion bMiiq apency br Iha �ano�,��c« a me wonc i« wnw� mm ro�� a.wd (sma, aas�, ci.. cl. LENUEWSNnME: - LENDEF'SIDDPESS: 1 caniH �� I heve nad this epp4cetion end pa�e Uet IM eEwe iMormetion ia ca�en. I eprae to canply wi�A ell ary eM mumy adinencea eM sle�e lexa mlmiq to WJdvq con9ruCion ud hereby aNhorrza �epasan�etivea ol the aly lo aMm upon IM ebv+a�man�oneC properly lorinspgpion Wrpasas. i� tn -.1 �-� A ��"� ^,� vrim name `-'1G�d� �.1 + oma: Li- 1 - �l S' s��s�ewre oi rlR9enUAppFceM/Conlrador (515t1BWc1 Whne-BuiWiq85dery:OreerFb:Genery-Appk:ent:Pink-Rerenue:GoNenraE�-Aasaaor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO; B 071811 PLAN CHECK NO: 01259-95 L CONSTRUCTION TYPE: PERMIT TYPE: STR JOB DESCRIFTION ; IP]STALL A WINDOW ON SIDE WALL PERM NO: H 071811 GOVT; N SUPP: N PUAPOSE: ALT SQ FT: 900 CLAIM l.'ALUE; 900.00 CALC-VALUE: 400,00 GROUP OCC; R-3 / COMMENTS: ZNSTALL WINDOW ON SIDE x-+t-�t�***it�c**ir+t+titac�r-+tac*�c�c**�r�t�**�c.��c�r-�r�r+Facar-+�+f�t*�t*at***r�t+r�-�t��r�.at*r**-ritar+t*+F�r�c-rit*��-�r*� Z O N I N GS ERTEB�AUCIKRSE M E N T 3 ------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IT7 LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 00000000 ZA]E: REF NO:, PLAP]NING NOTES> _ ' . > % if fEififif 1E iF iE 1fiE if 1f jEjf if iF jf jF ifif 3fif 1f if 34 jf 1E i4 if % i� iF if if ifiFlf ifiF iFiFif if iE i�iF ifif �E iR jf ifif if if iEiliE �fiE�f iE if iEiF 1F iF iF 1f % if if iF {Ei4 14if aE D E �� E L O P M E.N T 5 E R V 2 C E S R E Q U I R E M E N T S ! ZONING APPROVED BY . DATE� HUILDING APPROVED BY : ' DATE; APPLICATION ISSUED BY: TTT�e}tf�T'l'1�T�{T•lT� ��n}i�T��TfTT DATE• L�I � if'Mifif'kififif'�{"If'K'i�'if'K'iM1ifif'�{i4'1('if'lR'K'i�'kF�fFT'R'�f�'ic+f�F+cFFT"F�� b'R`11'F1�F;M�F�f�FF'K'if{('i('{('af'�("k-ii{' 4 if'N")f' LEGALIZATION:N £ E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15.00 50 PLAN 9.75 ISSUE FEE BDILDING-DIV-> PERMIT ISSUE PLAT]-CAECK TOTAL TOTALS----> 15,50 0.00 9.75 25.25 SMIP/NON-RES PAID DCjE 25.25 .00 REVEP7UE DIVISION TOTALS--> COLLECTED; 25.25 OC'ER/SHORT: ,00 BLDG PMT PLOMHZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 15.00 ,50 9.75 'k # if'IE'lf'1fiF i! if jE 1f 1f 1F if1E !f if�lE i4iE if N iFif if if iF 1Eif if i4'IE ifif 1f�FiEifif ifiE 1f if if if lfiF 1tjE 1Eifif 1f-V iF iF if !E if if M!f'k'k if if iF iF�14 if Y-ff if 1R if iF if')E k� I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 900 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 400,00 END OF FEES Gt 00179511-Q0:79S13 T C�T DATE: �y/t17/S'S T7NE: 08:20" 25.25.� � � CONSTRUCTION ANO PLANNING AP�ROVALS Permit s# _� i. Temporary Electriraf Serviceor Pole � 2--Soii Pipe�Undrgrnd. 3. Electrical Conduit UtilitY�Undrgrnd. 4. Elecirital Conduit�Undrgmd. 5. Steel Reinfotcement . 6. Electrlcai UFER Gmd. 7. Footings 8. Foundation 9. Water Pipe-Undrgmd. 70. Struc.urai Floor Svstem 17. Property Sewer �ine & Ho�se Conneciion 72. $ewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical�Conduit 16. Rough Electric Wiring , 17. Rough Wiring Sign 16. Rough Eiearical�T Bar G'eiling' 79. Rough Heating & Air COnditioning 20. Rough Factory Fireplace � 21. Ducts, in Structure � 22. Duc2s, Ventilating 23. Gas Pipe-Rough & Test 24. RooE Framing 25. Root Sheathfng - - ' 26. T-Bar Ceiling (Structurall'& Monocoat 27. Frame and Fiashing L 28. �athing & Siding 29. Insulation 30. Drywall Nailing ' �' 31. Piaster Brown Coat 32. Electrical Power Meter�Final 33. Findi Electric� 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test - 36. Hood or Canopy � 37. Finai Factory Firepiacr. 38. Final Plumbing 39. Water Service�Finai 40. Gas Service-Ffnal 41. Solar pomestic-Finai ' 42. Backflow Preventer 43. Backflow Irrigation A4. �andscape irripation System � 45. Sound Attenuation � � 46. HandicaP Regulations 47. FINAL STRUCTURE &�BUIIDING �� 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to $outhern California Gas G Date Date N06. SPA Inspector AppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reintorcement 54. Forms 55. Electricai Bonding 56. Rough Piumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electricai Conduit-Undrgmd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgmd. 61. APPROVAL TO DECK � 62. Backwash & RPceptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final � 65. Electrical-Final 66. Solar SYstem-Final 67. Fencing & Access ApProval 68. RPPROVED FOR PLASTERING 69. POOLlSPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPBOVALS Permit # 70. Underground Hydro 71. ProductPipingOGas ❑Oil 72. Underground Fiush 73. Undergrnd. Smrage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical '��.� 76. Dry Standpipe � ' 77. FIXED SYSTEM FINAI 78. FIRE PflEV. FINAL �(�� HEALTH DEPT. REQUIRERRENT - 79. PINAL INSPECTION 80. FOOD CERTIFICATE ISSUED � Notes: Date � inspector ,� � - J , , ; ��o� �?� , . I .. � ! � . � . � � i � ` � ! � : , i � i 0 0 / 6 ��L u V OF B DING SAFETY TY OF CO TA MESA , i � APPRO ED ! ! � � � � ; ; . . . ' i . . i � � i � i ; � � � . � . . . � Thls set oi plans and sD��atbns MUS De kept an Ih's bb at all �nB9 � . � • � � j ' I i apd il is urVlawtul to make arry changes or Ite2tion on same wNmut w�!(gn ' ' �� i ' I � ' , D'ertnission hom the Oivision ot BuBd'mg an Safety, Ciry of Costa-Mesa i . � The stamping ol this plan and specification SHAil NOT be hetd W perm$ ; , , , ' � ! ; � aS to be an approvai ot Ihe violation ot provLsions of arry City of Coste ' � ' � ' Mesa 0��'�=ance a^^'or State izw. � ` � � � ' i . . . . . fiese G :�c� � r,p shall expire by fimihat n and become nult and wid d � ' � ' ' ' ! ' � � ; � � � � ' trye builo.. ,� nr - � :ommenr,Pd antl m �mtained ac�ive p=r UBC §303 . . ! . . , : . . � (d) wilh!n t2� .. . ,�ce. . : . � ' I i � � i � -- . . . . ; . � . . . . . ; � � � ' i , . . . . , . . . , . I . . . . � . i . ; . ' i . . . . , . . , . . . � i . � � i � I j � , ' . i � i � . � i' ' . . � � . � . - � . . � . � i . � . . i � . . . � , � , ',, �� i � ' ' I i I I � r�� ! I I ' � I ' . - r � � D�T�ou�W �nc�pW� .��✓��(� I<o0M �l�Ii�i 1alALL . � J ; ; . , � ' � � : � � ,� iF � � � i � � ,. � . h{aa. : � , o �{`3 ; i Cll�f(�0� V�)A�1, 0 � �eJ idNAd P�d UN1T , QO . � I . . , : ; � 1I \ . � �C I � I Gfot i —� I i 0 DMSION OF BUII.DING S TY CITY OF COSTA MESA , APPROVED , �fds set o} plans mid spedflcatior�s MUST be keDt on �s p a es mM R is tudaMN to make arry changes ar elle26on on ". � pertnis5lai hom ihe ONislon ol 6u0ding and Satety, Ciry o Costa Mesa The stamptnp o1 tlds plan and specificaUoru SHkLL NOi be held to pertnft m to he an approval 01 Jhe violalion of arry provisions of any City of Costa Mesa Or'�n.� ar�ce anNor State Faw. t� —� ��` l J These p?�ns and permil stia0 exphe by I'imifation arM becrome null and wid fl Q�e GuUticy w wark a rwt comme�ed and maintained aclive p=r UBC §303 (t� wi1hN 18o days at issuance. , . i � � i I � I I �1� � � I C U J,rw� vi,ra ' \ t i ii� � I r � � I � �' ; s �• � l� �.�— 8 6 '----: � ,� „ ��1�d .2xy� , �a�a,, v�,�< , � : � � ; ; , TAad � , R M �/ k�,;� �. . 54�d 2xti's . � � ' � i . . j _ �3•�"� '� 13 . 1'� ti .1 �-1 n v� � �w;� n d ow � /a�2�.-1-�0�� `3vs vu��rr,�., �i� �nv Cofi � � M�Tk Ca„ �12611 . . . � � � Pfl0.1ECTpU0flFS5: 34S UNIVERSITY DA l,G � �"�': OWNEfl'SNAME: �ANAUER, EAIC S " � noosEss: TEGNER MIA JEAN 345 UNfVERSITY DR 8M-3 COSTA MESA,CA 92627 AflCHIENGINEEH: AOOPESS: HEG.NO.: UNIT: PEXMITTEE: PACIFIC COAST APPLIANCE ( 310 ) 324-8476 aooxess: 139�`�jW� VICTORIA ST (`y qp9dp LICENSED CONTNACTOR�EC��AT01f:-I hereGy aflirm I�at I am licensetl undeiDT�'isi0M1sl�fLhlpRr 9(commencing wii� SeciiOn 70�0) ol �rvison 3 0l �he Business and Pmlessions Cotle. and my license is in tullforce antl effecl. ci��60 11 suTcuc.'36264�,..,yFasPj,,,��i/il7 y � �".�.li� !�L„� Oale' f Signa�ure: — REflS' COMPENSATION OECIAflFTION: I �¢reby afUrm thai 1 have a CetlifiCaie ol tonsent Io Sell�insure or a tChilicale o� Workers' Comoensation Insurante. or a cetliliea cooY �nereollSectiPn 3800. Lab. C�. roucrxn:.NWC114009 fXP.OFTE: OB/OLI�S4 comrnNx: GOLDEN EAGLE ❑ CetlilieG copy is here�y fumi5�e0. L�t Certi�ied CapY is file0 mih he /c/�y 9mlai�nq /D/i�y/'�sjo/q/. ', � ��/ i�!r��^�./ oaie: — —f'y aooi�cam. r — MPfION FPOM WOPREBS' COMPENSRTION OELUMTION: R�us section nttH nol Ge complete0 il0e pttml ¢ IOr one AunOreO �5100) o� Ie551. �I I ceNly I�at in I�e petlormance at Ihe wo�k br whlch ��is pe�mi� is issue0. I s�all noi employ any Oerson in any manner w as lo Decome I SUG�e[I Io I�e WorkeR' COmpen5ati0n Lavrs ot CalitOmia. Oale: Signaiure: NOTILE: II, alter making ihis Ueclara�ion, yau shoWd become suble�� o t�e Workers' Compensaiion Dmvisions ol i�e La�or Coae, you mus� Iahhwiih comply wiin sucn pmvisions or ihis oermit snall oe aeemea revokea. CONSTBUCTIDN LENOING RGENCY: I hereby altirm ��at lhere is a consimction lentling aAency for the petlormance of the work for which IhiS permil i5 iSSueA (SetiiOn 3097. Civ. C). LENOEP: AU�flE55: OWNFP BWIDEP OECIAflPTION: I herehy allirm �hat I am exemp� �mm Ihe Conlracmrs' State License Law lor �he lollowing reason (Secuon 7031,5 Busmess antl Pmlessional Code: Any city ot county w�ic� requires a permil to conslmct, alter, improve. Oemolish, or repair any stmc�ure. O�iar lo ils issuance, alm requires Ihe applican� �or such Oermii lo lile a signetl slatemenl Ihal helshe is licensetl OurSuani lo IAe provisions ol I�e Conlractors' State License Law (Chapter 9(commencing with Section 7000) ol �ivision 9 of the Business • anE Pm�essions Cotle� or tAal helshe is ehemD� Iherefrom antl ihe basis lor ihe allegeU exem0lion. Any violation of Section 7031.5 6y any aDP�icant far a Dermil suhiecis ihe apD��n110 a civil penalty of not more ihan Iive hundretl tlollars (E5001. 1, as awner ol the D�oDerty or my employees 'M�� wages as lheir sole campensation, will Oo t�e work, an0 �he ❑ stmcwre is nm imendeJ or oHerea for sale (Section 70a4. Business and Pmfessional Cotle: The Coniractors' S�ate License Law Eoes not aD�ly to an owner of a pmp¢tly who bWltls or im0�oves ��ereon, and who does such work himsel�lAerself or �Ilmugh �is or �er own emo�oyees. pmNaed Ihat such impmvemems are not intenGeG ar ollereG for 5ale. II, �owever the huilAing or impmvemenl is saltl within one year of compietion, Ihe owner will have I�e burtlen ol provinq �e/S�e GiG nOt Ouild or impmve tOr �he pUrp05e oI sale�. I, as owner ol Ine OmOeny, am exclusively conlraciing with licensea conlraciars Io cons�Nd Ihe pmle�� ISec�ion 7044, Business ❑ anA Protessian5 CoOe: The fqnlrat�or5' State Lkense �aw Gaes noi apply �o an mmer ol prope�y who �mlUs ar improves Uerean and w�o tonlratis lOr 5ut� pmletis wiih a con[radOqs) license pUrsuan� to IAe ConlratloK Staie �iten5e Law�. I am aware I�a� proo� ol ��eir Worker'S Compensalion insurant2 shoWC �e O�ovitleC �a me. � I am e.emo� un0ei Section: 6� b P. C. br tnis reasan: Oa�e: Ownec I �o hereby cenily inai I am aware ol anU waerstand the requiremenis oi Calilornia HealtA ana Satety Cotle Sections 25505, 25593, antl 2553a an� tna� I or any iwure builtlmg accupam wiNwill not I�ircle one) need ro camply wit� saiU state cotles ana t�e repuirements far a permit lor consimction m modilication �rom I�e Air Oualiry Managemen� District. FesiUential consimtlion applicalions are exempi trum IIICSP p10vi510f15. Dale'. Applicani: I �ereUY �e��ly I�al I hdve reatl I�is application and slale ih41 Ihe above inlormalion is correcL I agree �o comDly wil� all ciry an0 counry ortlinance5antl51alelaw5ielaiing�obuiltlingconslmdionantlherebyautharii epresentaiive ol ' cilyioen�eruponl�ea�ove-mentionetl properly lor inspeclion purposes Dat ' �_ � Signature' � �a Drivei s license or Social Security a: tbal�a6 WMo—Bmleinq�, Giean—Cotle Enlorcemem: Canary—Applicanl: Pink—Revonue: Goltlenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 06545 PERMIT NO: P 065459 PLAN CFIECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ALT JOB DESCRIPTION ; DISHWASHER CHANGE—OUT , SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORI2ED BY THIS PERMIT ifklfiFifiFifiFMlfklklflfif4MilifififkilitifltkififiFiFifiEiEkiFilikkikkitkititifikikM*1�1E*MifkiEifit1E1E1fiFiEkifiElEfEkifiElflkififlElE1E Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 13942105 ZNE: REF NO; PLANNING NOTES> i +�+�+�*+r*ratitit�x�rit�rw***ir*itir�rfr�r�r�r+t+r+rit�tr��+r+tr+r�e*�r*+t*itir***+t+t�rfr*ir�xx*+t�rit�+t**it***x�*r�ret D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPAOVED BY DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY; � DATE: Z 2 H J ififlEiFiffflfiElfiflfMkMif7EKNMMif1E {F{F*IE1FiEiEiEiFif iFiE iElfiEiflfk1f1f1E1E1f1tMifikk�kMMitlfiElkMiFiliFkklfifiElFififiElflFiFitMitlEiflEMifMiflFilkiFifikMiFiEififlEfElFifiFifiEMi! 1E1FiE1EiFlkiElEif LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 252 SMIP/NON—RES PLAN ISSUE FEE 20.00 BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 0,00 27.00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 27.00 OVER/SHORT; .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 1E 1F iEiF iE iE If 1E M 1E 1t 1f iF iF iF If M 1f iE 1E if K M iF M if M iE fF 7f ff 7f 7f if iF iF iElE 1f fF if K k M k if iE if K iE iE 1� M if iE 1f if 1E iE N iE IF if iF M 1F iF fflF M 1E if iE iF iF iE M 1E 7f I N D I V I D U A L �F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 DZSAWASHER 7,00 7.00 END OF FEES 0 ul 0�1`3174—�G1`3174 T feT 27>Q:1 �ATE: 0!/0<194 TIME: l4:32 J COi��STRUCTION AND PLA�.�NING APPROVALS Permit � � Date Inspecror i. Tz.-�-;:o•a�y E'E[tnCdl S:rei� Cr Pol�, � � - ---- -----i ' POOL .PA �- -�- � i APPROVALS Permit ;= I Date i Insnecmr I i 52. POoI & Eq.��pr�,�t LOCdt'J� � , __. � _ -_�� ' 7., So P�c -�'^drn�nd.� �' �^7 53. S'ee� Fri�°ore-mei.t �_� � � 3''�'�rcyl c- C-.�.c�,�t.l.��1ty�U��r�u:d"�-� -�- � �4. Forms------- � --i- .-.x-i;-r_'-�---�--�re. --c_J -�-- ----------a-- L � �rJ;t�J' r[ ..' 7.C�:N�::Hjryr'+0 ...r� � �� . EleCirCdi i'nP.:i ng j � '*1'S_ _ � ac._ '�-_�_ __-_" J- -�ii r�. `_- 'cr '^�; ` ❑G Racyh PI� -,h-n'3 Tu areTeufc Tcst j - < ,� , --�- -� �-�r��...��_ -_ �--��r- : ��__� --_'_� �� '•F:�-Is.� .. :,.�ci�,`i�rd. �c � 57. APPPCY�\I ?^ CD\'FR�GU\'TE ' . _aL:✓$tJ.-' . _ -' ' -- __ __-- __ .�__- � ` �F,h�,n,�,��u :-'` '� -_' '�'--- 58. Electrical Cor,d�i�fUndrgmd. I - `. I '_.;. T� '� _ _- _. ___ .I _ I - 5: f;o�r,7..Gon .*.-� 59. Gas Rpe. U UnWr�rnd., Tesl �_ 5�_- ".. I 79. 4\�;:`t�r P�pe�UndrgrTr}d. ' � 60. Backcvash Lmas. P-TraU_ Undrg�rr} � i ' -� � �____�- -_ . , . � � � � 70. St�•^.�cb..�� F'uorfiystem � 61. APPROVAL TO �ECK ' -- --r:,-- -- �-- �-- - - - - - - •°�,-.-ur,�; Sc;,^,,L�neYt HoSS�Conn�:t+tion . 67- 8ackwarh ,^e R�ceu'orFinsi ! -�� - - - - -- �-----, , '2 5a�.��:r C,�� - -= c� • � ---i 63 Hxater & l'�nt-= ^,,, ----- -) ( � t n�.i �. ,_--Q _-.�_-�__ 64. ?IumS�:�y S}'S' ., P'n:l �-!~I .. � , , __.„-", r9, _ ---r____ .__� _. I 55, E �cVia F^,. -__ _ -__ -- � --i �, '5 , �_i'-, c,r: cs:�Contlult I -----.i -. _� C --`--- --------!-- ' -i u6. oar j;;un�- i _".i . ,�.'_.EL...µC��nn �-_.__-i --___.__'_-_-___ �'_ ____�___ � ' :e. 67. F �nci �9 8: P.rc � �.� q,�p•�� ,l � �---- - - -- -- -T-- - ---�--- �� ra��-, , �,c�i�� , 61 8 qppFOVEDFCR?LASTENi^:G ___'.-�,, T- � ' �r ° `' � -eC'. 1"` °7r C_ I��q � �9. POOL:�PH FY�TE "�S FIP.AI ' ' ~'n p �. ;:.I ia Z P.�� Co u�1��n. q -- �_ . PIRE UcPT. HEOUINt�ViEA�-I' �;__-�- � � ��-< --A,i� ''u'''3--cs; � I1+r-'� ^�`-' ' ^ I I � �`i. f,;J'�`'� Pr�)�3ce .q „"'7 ( 7 � ^� '-�,^?a / SJ � °t .--� �"__'y � ' . 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"-a. g:. :�".:]PY n; � � � � ; r ♦ : i i � .r M S C !lG + ,*' � ' r.- L" -' _'_-iS;J.SLC .-_ _ _ ;; ' >'i�_- _ _�_y. . '� ._ ___ . _ _ '.�%. �� -Y C.. , _ "';��._e-� I 5S :' � h; 1 •..-�` � -_ _ __ �_ � _ _ _ ��_ _ _- ._. . t -T' 1 -�T . I� �i'-�*�- ,, C - . r „ � -� i' 7 E � 2. Gtt� r 5 ,-� � , I. __}1.i-- 1 f .-_.'L�_ _ V , Y - 1 x.... � ... fl'S�'� �. ♦ l .. i . ' _ ___ --• 1'� - I i.'� __'_____.___ � _�_'- _ � ._ ._ __ .. _. ___ -_' ;+_ ..iJ S . Li-F o . � �� T /. �I�-T. � • .. J t ^ � '__ __ __. � � _ �r-}-� � _1-_ _____:g_�_... _ _ __ _ __ _ _ _ 1.i .�,J �_'".-.�.:-D�in3^ _ -� .. I y a � • J r. w � /„� � s 'i. � �. 1 � l �J G : ' � ��:i. 3.c.<'lu. .:snter '� s-.. �._ � r � --��---�� -�(i'�- --1------ y ' - - - -- -- - -�� --- ------'--r-� :v x I _ Yt C ____ ?F _ __ ._.____-_ _- _- r.�-L_ __#__ _ - L � -FS i�w'. R'c: f �.1 Irr��y t-en �' '��-� T C I �,l � '� ' ". i i "- -� '�i:r, r '-��.. - - -..--� r--..` ----- - , I �;�< L �.Nscr��j� Ir.,;ation:SYstem �..� ^. ,,. + :� 'y e. .� r - 0. � .v �' i: • J _ -w.- ( . �a_ _-:�_ s-c'�-ssi -�rj' -s'_ __:1�� --.a._� _ _ . _ _ _____ __� ( '�d� Soun_i <,tt�ni+at�on ` '`P'�:c^ � ; a -�I . _, _ .. . � ' ♦ .Tl rr .r'• < -- O �"_ __ _ ' __-. _]-_ _-, -i-.. -..- - J = -F v -••;� -T _ � _ _-___ -_ _ � 4c. ",ryandl�aE: Rrgul.�tions " .. � ;� 'J- i � -.J '' -R-<i ~C7.'£i'�r��. S'It'.S�-iU2E8:BUILDING ♦� �� A �� , .,y "-- � - �- � -- - - --- - -----� � __ _ C___ " p"' __ - ~ -__--•- '_ � I ;a, y�" ��fi��i_ :,�_olti�R�G:. ' 'r• � �, �: : - - - - - ---1 �� _�',1'--- �TtiT T �2S , ::r. „r: _ase te ErJison .. ! . • • � � L ` " « r .�„ ` .. - - - - K : --� .. ---� -�..-�--:---- -- - - ---_� ,.� i•_ I3�:�._s� to S�uY'tem CalifO;mz�asCo . �� _ " . 'r- 'J . J;r� - ' . �-^-- � - - ��-t--- .- --� �.- .�---�-- - - ' I- r}. L'F'f:If;CATE 0� QCCUPANCY� � , _ - , -. � -- -- I L`b=----- Date �- - Applicant to fill In a11 soaees excev< <hose within heavy bortler iinez ana sign all apvropriate tleclarations. .CITY OF COSTA MESA CONSTRUCT ONt PERJVJIT Project Address 3`�-5 V N� U bQf (�.0 Q y��' �,�f` Ap(f!l�ant's Mailin Address 7'� �� ' �� v�-"-� � Q' Owner's Name �� S��'�C� hone��6''�L� O P�kiress �-� S O //i.�ltSH (iL�✓Ld F!! (�� r.�/�. Arch/Eng. License No. Address Convactor's Nama ��'�'�� Phone Addreulmailing) u Ciry License No. � LICENSED CONTRACTOR DECLARATION ' I hereby affirm that I am Iicensetl untler provisions ot Cbarter 9(commencing with sec[ion 7000) o/ Division 3 of tha Business antl ProfeSsions Cotle, antl my license is in full forte antl eftect. License Class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION 1 hereby afflrm that I have a certlficate ol consent to SGIi-insure or a certiilcate ( Workerz' Compensation Insurance, or a certifietl copY thereof (Section 100, Lab. C.) Policy No. � -� - Company 8 Certifletl copy is hereby furnishetl. Certifiea capy is tlletl with tho city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissec[ion neetl not be tompletetl if tM1e permit is tor one huntlretl ($100) or less). I certify that in Ihe pertormanGo Of tf eN tor whlch thi5 �� i55uetl, I snall not employ any person in a manne so as to beco ' ct � t Worker� C_ �pepaallon Laws of lif � � Date (JLC 2S �0 Si9nat NOTICE: Ii, a(ter making ihis tletla shoultl bec m ect to the Workers' Compensation provisionz of the Labor Cotle, u must forthwith comply wilh such p�ovlsbns or this pErmit Shall tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby altirm that t�ere is a construction lentlin9 agency tor the performance Of the work for which this Dermit is issuetl (Section 3097 Civ. C.) Lentler's Name Lender's Atltlreiz - OWNER BUILDER DECLAR%1TION I hereby aftirm that 1 am exempt irom Ihe Contracto�Y l_Icenze Law tor the /ollowin9 reason (Set(ion ]033.5 BuSiness ana Professional Cotle: Any city or county which r¢quiros a permit to construct, alter, improve, tlemollsh or repalr any structure, prbr lo Its issuance, also requir¢Slhe appliCant tOr such permil to tile a signetl 5[atem¢nt that h¢/Sh¢ is 1(tenietl pu�suant to the provi5ion5 of the Contractor's License Law (Cnapter 9(mmmencing with Section ]000) of Division 3 of the'Businezs anC Professions Cotle) or that he/she Is exempt ' �he�etrom antl the basis f0/ th¢ allegetl exemption. Any viOlation of $ection 131.5 by any applicant tor a permi[ Subjects [Ite apP�icant to d civil nalty ot not more than five huntlretl tlollars (E500). L� I, a5 owncr o( the prOperty or my employee5 with wage5 35 tnei� Sole compensation, wiu tlo tne work, antl Ne structure is not intentletl or offeretl tor sale (SecUon 7044, Business ana Gwfessional Cotle: The Contractor's Licenze l.dw aoes not apply to an owner o( a property wha builtls or improves tpereon, antl who tloes such work himself/herselt or through his or her own eTploy¢e5, providetl tha[ suGh imprOvoments arC nOt intentletl o� offeretl to� Sale. II, however, [he builtling or improvement is soltl witM1ln one year oi com- pletion, [he owner wlll nave the burEen of proving he/s�e ditl not builtl or im- p�ave fa� the purpose ot Sale). ❑ I, as owner o( the property, am exclusively contracting with licensetl con- IraG[Orsto conslruCl lhe project ISection ]044, Business antl Professions COtle: The Contractor's License �aw do¢5 no[ apply to an owner of property who builtls or Imoroves theraon, antl who cbntractstor such projects wlth a con- tractor(51 license �pursuant to the Cont�actor's Lic n w) I am awara that proof of Iheir WorkeYs Comp/ensa�tion insu�ance Oultl vitletl [o me. ❑ I am exempt untler Sectlon��-l—� B. C. Jhis reasop Date(!LL �u w p � —v I hereby certify that 1 have rea � icailon a tl,state nat the abov information is correct. I agree [o com ly wi[n all clt antl county ortlinances antl state Ia�yy.MMipq to builtl�Optlon, antl�ereby aut�orize repre- sentatives�er this JAty to ente n� 2¢pve- entionetl proper(y for Si9na[ur� Driver5' L � TVPE OF CONSTRUCTION LJ NEW LJ ADO LJ ALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OEB�IlG.. TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT , � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sq.FT. oCCUPA v CON STRVCTION TYPE VALUATION 5� 'ZONE GRADINGCU.VDS. ACR[5 Remarks:' ` Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers . Dishwdsher � Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P-Trap Roof Drains Showers Service Sink Sewer Cap/� ' Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service � Auto-Wash FEES fleinspection Fee I $15 � I � Isue Fee I $ 3 I MECHANICAL FEES Boiler Duct-UnderGround Duct - Structural Duct - Ventilating Exhaus[System ❑ .MWtiple Firepl/Fact BIL ICBO # Heating System & Ducting ❑0.100,000 BTU � 100,000 Reinspection Fee � $15 - CMF 0865-46, rev. 30/84 Whlte - Builtling: Canary - qppliwnt: Pink - Accounting; Goltlenrotl - Assessor �� Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑0-100,0006TU ❑700,000 System Repair/Alteration Fire Dampers . Registers Issue Fee � $ 3 A.P. � -� S Main Building: E T Front ARear C Right S Left Ping. Ref. # Planning Notes: � Automatic Washer ' Canstruction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas 'DElectric Fan F.A.U. . . . � Fixtures Device Boxes Outlets c..:...�._. . . 7069 6%09%86 Zone Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Garbage Dispoul Generator �65 KW 05-15 KW I Rainspection Fee I $15 DEVELOPMENTSERVICESREQi 2oning Approved By Building Appraved By — Aoolintion laued Bv Merer Llup to 100amps Meter ❑over 100 amps Sub Panel Motors OO-1 HP � 1 h- 8 Inc.Solar �9�15 HP �16-15+ Microwave Pole Light Range Sign - Standing Sections Trash Compactor Issue Fee 27:00 TL FEES $ 3 SUMMARV OF�FEES �L. BUI LDING PERMIT $ ZO.oe SMIP $ �• � PLAN CHECK $ �— -PERMIT - PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTFiICAL S GRADING $ PLANCHECK 50% $ ' MICROFI�M $ - MECHANICAL S TOTALFEE $ 2�oe� PLAN CHECK Z5% $ Z O N I N G R E � M T S I 1 �_ CONSTRUCTION AND PLANNING POOL & SPA �. APPROVALS Permit# Date Inspector qppROVALS Permit� Date Inspecfor .� 1,. Temporary Electrical Service or Pole 52. Pool & Equipme�t Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrncl. 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. ^ S. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 74. Rough plumbing 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System-Final i6. 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. Produc[ Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush . • 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75.�Dry Chemical 27. Frame anii 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. Electri�l power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notex � �0 � �K � ` 34. Final Heating & Air Conditioning - Q�� `0� �� 35. Final Gas Pipe-Test . ' 36. Hood or Canopy 37. Fina! Faaory Fireplace 38. Final Plumbing 39. Water Service-Final � � 40. Gas Service-Final ' � ' 41. Solar pomestic-Final 42. Backflow Preventer 43. Backfl0w Irrigation , � 44. Landscape Irripation System 45. Sound Attenuation � 46. Handicep Regulations O 47. FINA�STRUCTURE&BUILDING ,�,a �F, l�6GB�, � 48.! Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � ; ' � No. Date _ STRUCTUqAL A SEPARATE PERNik FOH EL;[;T�!G; N�ATIIIG. 'uE'; REFR!ii['it;' �''�f°�'u;�" "_� iHl � f�!!Ni3[ii P:?I R,LI IP;S'�; `ii i�llAt QPJIY A?E r'•f:tlUlfli:D =iU�:iu1"SG. P �� - i�r.-vt�� ';�;. tt �.(.t;f':� � =�z�fo 7� ;�;i!":1'�t't,, i AEuUr�"�:; � i„t� FOfe 6uflGINuS V:�rlfiR •:�;i�;,:�.'S ,.'. rG E@ EP�AFLLYEO.I`:� BUGG�S� 5n.;?� i'tr�:.,t4fF UG CAtIFOfti4iA CiVlS6�tt (h R•:':UST:',1n� :.�i;:iY 6E CQ�dSU!iEC .f�ut r;Cci�ii�:l;.l NEO�i"nEr1�NTS, j I � 'U `'i � CITY OF COSTA MESA PIANNING DEPT. SUBIECT 1� B�DG. DEPT. REO. BY��E..1.p_.4—= � DIlKTOR OF PUNNINO � i 4l r' � .. t �, � '� ;i; � a r � . r � �� ' k ��. .i ,_ , _ �� ._..a -.,�+�. : I , THESE PLANS —DP.T 6 f 7: �G �KE N� MuST 8E C J08 A ALl TIMS I �OFDEPI'.� �HAMC-ES WITH `. T PRIOR APPROYAC � THE fS;pA�'CE OR GRJ.`iTI'; ; Ci 0. PERMIT pR HPpROVAL oF auds �.Iv� Sr�ur,crr,�. �TO 6E A pEf NIJ fpg� p� �S �F� � NOf BE CO�VSTRUED I eF tir;v eF �� 2 r,n ae, ��ai cP, ANY UIOLAT(DN7 ,f fROCYS;C);� [• THIf CODE NO PER�NIi PREe � ..�cuv� u �Iit PROViS 7��5 OF "� U l�. ��TE OR Cn4CEL THE TI'IS C;DE SFWLL E: VFrLIp. IXCE?i IN, SO fAR G.S HE K'ORK � ��'c ��M !r UTHOR�ZES IS LqW��', THE ISSUANLE OF q p!'�iy;i� E 3ED UPO,V PtANg pryp S7ECIF�C4TIONS$�.A'L�r c^:� �"�'" �EfEfiF7E;�f ��UIR61G /E-.7 � F �JILDI,VG OFFICU?C IN Sqlp rLfi,ryg F,ND SPECIFICA "IONS 1R FftOM� qtyEry CNG PUILDIA" ^^��^--� �.�� tlt�NG CARRIEU "1 THEREUNDER IN VI01; 7)N OF 115 COpF OR OF q Y OIHEi( QgUj�y�.,� � OFTHt�j y WH�' ��—��.� � _ (. ,�.,� � --- � � � � �-� �, � � � (� �;`t v [ z� ; �. � � ��,� ��f �fi� , � C[ 5 Cn ? � PN0.IECTRODRE55: �Q5 [J�1TVEti�jjl'j( nR OWNEfl'SNAME: JIM GOLFOS aooeess: 345 UNIVERSITY DRIVE UNIT M-2 COSTA MESA 646-2008 RNCN/ENGINEEN: ADUflES$: NEC.NO.: uxit: M-2 . UNIT: PEBMITTEE: SANTIAGO �i�C, INC. ( 77.4 ) 99d�-1600 nooRess: 231 W, BLUERIDGE AVE. ORANGE CA 92665 LICENSEO CONTflRCTOB DECIANATION: I �ereEy atlirm ��at I am IicenSeA unUer Dmvi5ion5 0l Chapler 9(commencing wilh Secfion 7000) ol �ivision 3 of ihe Business antl Pwlessians Cotle. and my license is in lull lorce and eltecl. cirruc.: 007985`lsTnTeuc:26949�6 ^ c�n(s's�: C�-70 �7 ..Q�le: �� — � — 7 �— SiAna�ure: r \ �"7 �'�i_O Y.tA WOFNENS' COMPENSATION OELNMTION: I �ere�y affirm thal l �ave a ceni�iwte ol conseni Io selbinsure or a cetlilicaie o� Workers' Compensation�{s $ce 4�[etli ie0 coOY �hereol (Setlion 3800. laU POLILY NO.: r�J 4�+ � 1� E%P. OpTE: 7� O I� 9 3 con+raxv: REPUBLIC ❑ Cenifiea copY k hereby IurnisheC. � Cenilied copy is file0 with t�e city BuilOinp Oivision. -0a�e: � U '— � ' r �— APVlitanl: Y — ` \� C_` l�X�-0 E%EMPfION FBOM WOBNEflS' COMPENSATION OECUPRTION: (ihis sectron n¢ed not be [ompl¢IeE i� lAe perml is lor one hu�bre0 �5100) or less�. I certily Iha� in Ihe petlormance ol �he work lor which I�is permil is i55u¢Q I shall noi emD�oy any Dersan in any manner so as lo become sub�ect �o I�e Workers' Compensation Laws ol Calitomia. �ate: SAretuw: NOTILE: II. aner making Inis aeUaration, you shoul0 Eecome suelect to ine Woders' Compenution Dmvisions of ihe LaDOr CoOe. you mus� fort�wiih comply wiih suc� pmvisions or Ihis Dermii shall 6e deemeA revoketl. CONSTNUCTION LENOING RGENLY: I �¢rehy altirm ��al ��er¢ is a tonsimCtiOn 1¢nCing agenty �or I�e De�ormance at ��e wOrk for which �his permit is i=_sued (Seciion 3097. Civ. C). LENOEN: RODflESS: OWNEB BOILOEB OECIABRTION: I here0y aflirm ��at I am exempl Iwm I�e Cantractors' Sta[e License Law tor �Ile following reason �Section 7031.5 Business antl Pro�essional CaGe: Any ciry ol county w�ich requires a permi� lo conSVuct, al�er, improve, Cemalish, or repair any simcture. prior �o i�s issuance. also r¢puires lhe applicanl IOr suc� Dermii Io lile a 5ipne0 s�atemen� t�a� �e/she is licens¢0 pursuam to t�e pmvisions af ihe Comracmrs' Stare Licenu Law (Clwpter 9(wmmencinp vnt� Section 7000) of Division 3 ot t�e Busineu anU Pmie55i0n5 Cotle) Or I�al �e/Sh¢ is exemp� ��erelrom anG Ihe Ga5i5 lOr Ihe allepe0 ecemp�ion. Any Wolati0n of $edion 703L5 by any aDOlicant Ior a Dermit su�ie��s ihe apolicani lo a civil penalry ol nat mare tAan live hun4re0 Aollars (E500). I, as owner of Ihe OroDeny or my employees with waAes as IAeir sole compensation, will tlo ihe woB, antl the ❑ simcwre is not intentletl or ollere0 for sale (Section 7044, Business anE Pmlessional Coae�. T�e Conlractors' State License Law �. tloes not apDty to an owner ot a D�oDerty who builtls or impwves t�ereon, ana w�o tloes wch wark himseli/Aersell or Nrough I �is or her awn emD�oyees. pmviOeA t�ai such impmvements are not intentletl or oflereE lor sale. II, hawever tAe UvilOing or impwvement is sold wiihin one year of compleiion, �he owner vnll have ��e Gurden o� pmvinp he/SAe ai0 noi Uui10 or impmve br Ihe purpase o� sale�. I, as owner o� Ihe propenY. am exclusively comracting with Iicense0 coniractors lo consimct t�e project (Section 7044, 8usiness ❑ anU Pmlessions Cotle'. The Contracmrs' Slaie License Law Ooes not apPly ro an owner of Droperty who �wltls or imOroves thereon an0 who Con�raCfs lor SUCA Drojetis wilh a roniraCtor�S) liCense pursuanl lo IAe CaNraCi0r5' State License Law). I am aware �hal O�aof ot ��eir Worker's Compensalion insurance s�ou10 De pmvideG Io me. � I am exemp� untler Seclion: B. 8 P. C. for Ihis reason'. Date: Ownec I Ua hereoy cenify inat I am aware al anA unOerslanU the requiremenls of Caliiomia Healin ana Safely CaOe Sectians 25505, 25533, and 2553d andt�al lor anyluiure builGing occupanlwilVvnllnot (circle one) neeElo Comply wi�A SaiA siale mAes and the reQuirementsfora permil lor consimction or modihca�ion Imm Ihe Nir Ouality Managemeni Oistncl, flesidential con5imclion aDPlicaiions are exem0� ��om Ih¢Se ptovisions. Oate: Applicant: I hereby [erlAy Ihat I have read IhiS applica�ion an0 Sla�e �hat ��e aGove inlorma�ion is wrr¢cL I agr¢¢ IO campty with all Giy anG coUnty ordinances and slaielavrs reWtingio Ouiqing consimclion an0 hereDy aul�orite reD�e3e��aiives ollh6 plyloenterupon��e a0ave-mentione0 pmperly br inspec�ion pur0ose5. �y�., /^ n Dale: /�� I ' ��— Signalure: ' \ � � l D X.l.� �ei s ucense or Sociai Seanty x: 16aLa6 WM1�te—Builtlinq; Green—CoOe Enlorcemenl: Canarv—Aoolicanl; Pink—Revenue: Goldenrotl—Asvesvnr CITY OF COSTA MESA — BUiLDING PERMII PzRM NO: M U�9j?4 PERMIT NO; M 059324 PLAN CHECK NO: N GOV"l; N S:7PP: N CONSTRUCTION TYPE: V—N PERM3T TYPE: MEC PURPOSE: OTH JOB DESCRIPTION : C/O FURNACE S A/C SQ FT; CLAIM VALUE: 1,200.00 CALC—VALUE: GROUP OCC: R-3 / COM�ENTS; SN,OKE DETECTOR RE�UIRED IN THE HOME �i�x*�-x�x�**x*�*x*��x�*�x�#x �**x#�x��*��***�xx*�x�x*��*x*+��t?��*�x�x�x�x��#��*x*# 'L O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSOkY HUILDING --------- FRNT: F'C IN RE:AR: FT IN FRNT; rT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ� PROV: PARCEL: OOOOOOOU 2NE: REF NO: PLANNING Nt51'ES� ) # iE if iE iE IE # iElF# % lE 1( # ie iE 3F iE iE i(� ih # lE # iE iF 1E 3E iE # iE # iF # 1t #'!E# iE 3f if iF it ## iE fE #!F IF# # 3'r i4ie ih# # ii� 1E if # iF #�M IF iE 14 iF iE iE K 1f� # ii� If # iF if D E V E L O P M E N T S E R,V I C E S R E� U I R E M c N T S ZONING APPROVED BY ' DATE: BUSLDING APPROC�ED BY ; DATE: APPLICATIOIJ ZSSUED HY: — DATE• ��L a(*ieiF#lrif#i(ie�'ie1f7�'laiElfi('3EiEiFil , 1' h1 "hll' h h t]c t,c C xieititififiFii"1fiE t C leii' iFiFiFifiF�Ei(iE1E�lEiElE1E%lFiFlf�EiFib7flhiflElhiEifiE�lfiElEIE!(�lEil� 'K-�. iEiEiFiE#E!f#3EiilEiEiE3eiF3EifiElflEihlE3FlfiflfiflFlc3EfEifiEiflfi(�ifiFlflf3f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMBNT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 1825t PLAN SMIP/iJON—RES ISSUE FEE 15.OU BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18.00 15,00 0,00 33.00 33.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33,00 OVER/SHQRT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 iE iF iFiE iF �%� if if �%-%�rt if i(� 1E iF iF Ih iE lf iE 1F if iE # If iElE iE iE iF tf iE IE iF 3E iE-% 1F �lE *#� �lE �lE ff iE IF i(� iE 1k if 3E 1E lE 1F iE iF ii i(� if if� if'1F�)kl41F-1(� �1E ie if !f !E iE !f i(� :Y jE 3e 3F Ik I N D I V I D Il A L F E E B R E A K D O W N TYPE QTY D E S C R T P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—RIR/GRAV FURN <= 100 K BTU 9.00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9,00 9,00 END OF FEES �'� ., i.� ' � � ' :".�I_�' . ii , � .."' , CONSTRUCTION ANDPLANNING POOL�SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Formt '4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFEF Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. 8. Foundation 59. Gas Pipe, � Undrg�nd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor SYstem 61. APPROVAL TO DECK t t. Property Sewer Line & House Connection 62. Back�vash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar $ystem-Final 76. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign - 68. APPROVED FOR PIASTERING 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Dutts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. •Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiiing (Struciural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe . 28. Lathing & Siding 77. FIXED SYSTEM FINA� 29. Insulation � 78. FIRE PREV. FINAL 30. Drywail Nailing - HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat �_�; 79. FINAL INSPECTION 32. Electrical Power MeterFinal ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning ��L(C� (�S�O' 35. Fina� Gas Pipe�Test ' ' i 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service•Final � � 40. Gas Service-Final � 41. Solar pomestic•Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. FINALPLANNING . � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Oate Clty of Costa Mesa - Development Services Department Building Safety Division P.O.eoz 1200 Costa Mesa, Califomia CERTIFICATE OF OCCUPANCY No. The Building located at 4d5 n�;�,Pra;rv Drive, flnit M4 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �1 Occupancy Use of Buildinq Factory Fireplace Legal 439-091-09 (See reverse side for Metes and Bounds) Building Permit No B�729 Electrical Permit No. Plumbing Permit No. P�731 Mechanical Permit No. M 55740 Number of apartments and/or guest rooms ISSUED T0: 345 University Dr. Co4ta MPsa, CA 92627 Building Official Tonv C'De Baca /, / —'---- - - �- by i � �— -" oace November 13, 1991 This Certificate of Occupancy SHALL� BE� posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the Ciry of Costa Mesa under Sec. 307 (e) U.B.C. CmF 1015-46 rev. 1/83 White - Owner, Canary - Numerical File; Pink - Bldg. Permit File PflOJECTA00HE5S: 3[jJ DNZVE SITY DR OWNEB'SNAME: PHIL HARP AOOflESS: 34S UNIVERS .TY DR , COSTA MESA , CA 92627 ABCHIENGMEEF: aooaess: HEG.NO.: uxir: M-4 uxit: � PEPMITTEE: FHIL HARP ( 714 ) 64 2-291 3 aooRess: 345 UNIVERSITY M-4 � COSTA MESA CA 92627 LICENSED CONTBqCTUB �ECIABATION: I �ereby ailirm tha� I am licensed under pmvisions ol C�apler 9(commencing wii� Seclion 7000� ol Drvismn 7ot IAe Business an0 Pw�essions Coae. antl my license is in lull force anG eVec�. CITY LIL.: STRTE LIC.: ClASS: Daie: Signamre: WOBNEBS' COMPFNSRTION OELLABR710N: I hereDy allirm ttut I �ave a certilicate of mnsent to sell-insure or a cenilicate ot Workers' Compensation Insurance. or a ceniliea caDY Ihereol (Section 3800, LaD. C). POLICY NO.: EXP. DFTE: Ceniliea copy is nere�y fumisheC. ❑ Ceniliea copy is file0 witn the city BuilOing DiNsion. Oate: AOGlicanr. E%EMP710N FNOM WORREflS' CUMPFNSFTION OECLAflATION: Qhis section need na� be completeE il Ihe permit is forone hunOreA (E100) or less). I cerli�y iha� in ihe Oerlormance oi �ne work for w�ich �his permit is issuetl. I shall noi em0loy any De�son in any manner so as lo become su�lecl to Ihe Workers' Compensalion Laws ol Cali�omia. �a�e: SignaNre: NOTILE: If, aiter making IM1iS Jeclam�ion, you shoultl �ecame sublec� to I�e Workers' Campensa�ion Orovisions o� ihe labor Coae. you musl IarlAwiih com0ly vnlh suc� pwvisions or lAis Oermit s�atl �e tleemetl revoke0. CONSTBOLTION LENUINC AGENCY: I �ere0y afiirm t�at there is a consimciion IenOing apency lor ihe Dehormance of the woB for wnich ihis Dermil is issued ISection 3097. Civ. C�. LENOEfl: ADONESS: OWNEB BWlOEN OECLABRTION: I hereby a��irm Nai I am eeempi imm Ihe Contraclors' Sute License Law for me faiowing reason �Section 7031.5 Business and Pmlessional Cotle: Fny cily ol county w�ic� repuires a permil 10 consimct, aller. impmve. demolish, or reoair any slrucWre. D�ior la its issuance. a�so requires the aDOlicanl Ior such Dermit Ia file a signetl statement inat helshe is IicenseA pwsuam Io I�e D�ovisions ai I�e Comracrors' Slaie license Law �C�ap�er 9(commencinA �� Seciion 70W� ol Divisian 3 0l �he Business an0 Prolessions CoOe) or I�al he/she is exempt I�ereimm anA Ine Oasis for t�e alleqeG eKemption. Any viola�ian a� Sectian 7031.5 6y anV applicanl �or a permil 5ubjeclS ��e apPlicanl to a civil penalty o� not more Ihan live �untlred 4ollar5 (5500�. I, as owner ol Ihe pmpeny o� my employees wilh wages as Iheir sole campensation, will do ine work, antl ine ❑ stmnure is nol intentleC ar oHereU for sale (Sectmn 70aa, Business an� Pmlessional CoOe: T�e Contracmrs' Slate License Law tlaes not apP�Y �o an owner ol a Dmpe�y w�o builtls or impmves lhereon, ana wha d0es such work himseli/hersell or ��rauA� � his or her own emplayees, D�ovided Iha� such improvemems are not imentled or ollered lor sale. I�, however �he 6uiltlir,g or impmvement is soltl wilM1in one year ol complelion, ��e owner will �ave Ihe Ourtlen af pmving helshe tlid no� build or impmve , l0i Ihe purpo5¢ ol 5ale�. I, as owner ol Ihe properry, am exclusively conVac�ing wi�h licensed conVac�ors to consimc� �Ae proleci (Sec�ion 7044, Business ❑ an0 Pmlessions Co�e: The Comracmrs State License Law Does not ap01y to an owner oi pmDeny who builds or improves IAereon ana w�o comract5lor suc� D�ojetis wi�h a canVactor(s) license pursuan� to the Coniraclors' S�ate License Law�. I am aware iha� pmol a� I�eir Worker's Compensa�ion insurance s�ou10 be provitled lo me. � i am ecemot under Seaion: � Y 70 4 4 B. 8 P. C. mr mrs reason: ALL WORK BY OWNER q oaie: _L,3,5/�_� Owner: � � `�I^-� I ao nereey cenily Inat I am aware ol and unaerstana Ine reQuiremenis ol Calibmia llealin anA Safery Code Sectians 25505, 25533, anA 2553d anA Inal I a� any lulure �uilUing occuDani vnll/wlll not (circle one) nee0 to comply wit� saiG state cotles antl ihe reQuiremenis for a Oermil lor conslmclion or modilica�ion Imm Ihe Nir Oualily Management Dislricl. flesi0eniial consimclion applicalions are exempt �wm Ihese prOvisions. Dale: Applitani: I hereGy cerlity Iha� I have �eatl t�is appl¢ation anE slate I�at I�e aUove inbrma�ion is rA�recl. I agree Io compty wiih all ciry an0 counry ortlinances an0 slaie laws relating Io �uilding conslmQion ana �ereCy aNhonie reD�esenlalives ol Ihis cily lo enter upOn ItM above-men�ion¢0 pfOjlEf1Y �01 IfISpQLI1011 pufpO5C5. p � /'� � Daie: �0 �,�Iq/ Signature: ��'^ r+ � .�/ f �river�s License o� Sucia� Sur.wity q: 164t�a6 Whne—Buddmg: Groen—Cotle EnlorcemenL Canary—Applicanl: Pink—Revenue; Goldenrotl—Assessar CZTY OF COSTA MESA — BliILDING PERMIT PERM NO: B OS47? PERM.IT N0: B 054729 PLAN CHECK NO: N GOVT; N SJPP: N CONSTRUCTION TYPE: S—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIFTION ; INSTALL NEW "TEMCO" rACT/FRPLC(ICB03195) SQ FT: SUO CLAIM VALt7E: 500,00 CALC—VALUE: SOO.UO GROUP OCC: R-1 / COMMENTS: NEW rACTORY FIREPLACE/ICHO# 3195 *x*�*x��t�*****��*�r�x�*��r**�c*�•u �*�*�***��*��*��c*x*�r��+�*�*�rr**�r:��xx�+��*r�* Z O N I N G R E Q li I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT It3 REAR; FT iN FRNT: FT I13 Re.AR: FT IN LEFT: FT IN RGHT; FT IN LErT: FT TN RGHT: FT IN PARKING REQ• PROV; PARCEL; 43909109 ZNE; Rc.F NO; PLANNING N132'ES> � �t+tit�i!�i�i�it�i��l�k**�Fit�it-� �Ei��tr.r�tit�it**k�t1�**iFiFf�iEif�iEv-�*it�i�+��t��t�+t**iFi�i�*iFi�x�**i�iti��*x�i�.kY-if�i�iit�FiE�?��M�� D E V. L O P M E N T 5 E R V I C E S R E Q U I R E M E N•T S 20NING APPROV D BY : DATE: ___,._ BUILDING APPR� APPLICATION IS U iE iF if �IE 3F �Eli iE iE iE if 3f iF �F iE ' k 3i� if if if iE if if If iE lE iF iE ac if �ii LcGAiIZATION:N D BY ; ED BY: 1FN'i! \ S U M M BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SN.IP/RES' GRADING PERMIT 15.00 .50`- SN,ZP/NON=RES PLAN ISSUE FEE �� HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE TOTALS----> 15.50 0.00 0,00 15.50 15.50 ,00 :j REVENUE DZVISION TOTALS--> COLLECTED: 15,50 OVER/SHORT: �5• BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING Pi.AN—CHECK SJ.OQ � . JO . ... lE dF if iE �f if if iF IF iF r. if �E 1f #E iE IE 7f 1E if 1E lE if if iF 1'r iE #F iE �1F iF aF±F fF 1E iF iE jF 3Eif 3f iF iE fE �1F �F 7F �If # if� iF �lf If iE * 1F 1F 1E If Y� IE �7f ?F *�f-i'r iF iF ic ?E if i(� iF iF if �1F �x� )F ik I�7 D I V T P U A L F E n H R E A K D O W N r:: TYPE QTY D E S C R I P T I O N UNIT COST �TOTAL COST SFR 500 ALTER FiY VALUE RESIDENTIAL NOZONE 1,00 } 500,00 � END OF FEES • L� :Ja'' _ ' .l.�E�:.- i� _ ��a�l_: ,. . � _.� ,-v-, � �� rN �� CONSi�RUCTION AIVD PLANNING POG� _ SPA APPROVALS Permit # Date Inspector p�ppROVALS Permir # Date Inspector 1. Temporary Eleetrical Service or Pole 52. Pool & Equipment �ocation �- 2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utiiity-Undrgrnd. 54. Forms ' 4. EI2'ctrical Conduit-Undrgrnd. 55. Electricaf Bonding 5. $teel Reinforcement 56. Rougfi Piumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE . 7.� Footings 58. Eiectrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final . - 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical�Final 75. Rough Electrica6Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Reugh Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' APPROVAL$ Permit # 21. Ducts, in Structure 70. Underground Hydro 22. DuMs,Ventilating 71. ProducYPiping�Gas ❑Oil 23. Gas Pipe�Rough & Tesc 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorayeTank OGas ❑Oil 25. Roof Sheathing . � �� 74, Overhead Hydro 26. T-Bar Ceiling (Struoiural) & Monocoat 75. Dry Chemical 27. Frome and Flashing . 76. Dry Standpipe 28. Lathing.& Siding 77. FIXED SYSTEM FINAL '29. Insulation � 78, FIRE PREV. FINAL 30. Drywall Nailing � � .' HEALTH DEPT. REQUIRE�MENT 31. Plaster Brown Coat , ,� 79. FINAL INSPECTION 32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED 33. Pinal Electric , ' ; '. ` Notes: 34. Final Heating & Ai� Conditioning � �- , , 35. Final Gas Pipe-Test 36. Hood or Canopy . � . � 37. Final Factory Fireplacc ' �" .'.�s . 38. Final Plumbing G ' � 39. Water Service�Final ' • � 40. Gas Service-Final � ' 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System � � , , - 45. �Sound Attenuation � � 46. Handicap Re9ulatio�s , 47. FINAL STRUCTURE & BUILDING Il$,!�'� �i�/,L ��, � G_ J% ./S-� L � �„i1 -!i• ��f% ��'��" lv "�� 48. FINAL PI.ANNING 49. Electric Release to Edison +i' - 50. Gas.Release to Southern Califurnia Gas Co ' 51. CERTIFICATE OF OCCUPANCY � . No. Date \ Pfl0.1EtTA0UflFSS: 34S UNIVERSITY DR OWNEfl'S NRME: �HIL HARP aooness: 395 UNIVERSITY DR , COSTA MESA ' CA 92627 • AflCH/ENGINEEfl: AOOHESS: HEG.NO.: uNir: M_q UNIT: PEPMITTEE: PHIL HARI� ! 714 ) 647.-291 3 aooness: 395 UNIVERSITY M-9 COSTA MESA CA 92627 IICENSEO CONTBACTOB OECLAFATION: I hereby aliirm that I am licensetl undei pmvisions oi ChaD�er 9(commencing wi�� Seqion 70�0� ol Oiv�sion 3 0l lhe Business anA Pmlessions Cotle. and my license is in �ull force antl e�lec�. CITY LIC.: STATE LIC.: CLASS: Oate: SignaWre: WOHI(FBS' LOMPENSATION OECIAMTION: I �ere0y aifum t�at I have a cenificate of consem ro selbinsure or a certilicate ol Workers' Compenution Insurance. or a certilietl copy I�ere01 (Sec�ion 3800. LaE. C�. PoLILY NO.: EXP. ORTE: Ceniliea copy is herehy WrniSAeU. ❑ CenilieA copy is filetl wiM the ciiy BuilGing Oivisim. Dale: Applicani: E%EM7ilONFNOMWOBKEflS'COMPENSATION�ECIANRTION: (ThiSseclionneeGnolGetomDl¢IeAiftAepermili5loronehunareU�El00�arless). I cetlity Ihai in Ihe petlormante o� I�¢ woM Ior which Ihis permit i5 issuetl. I SAall nol emDloy any De�Son in any manner 5o as to �eCome suDlecl to IAe Workers Compensalion Laws ol Califomia. Oale: SiAnaWre: NO7ICE: II. after making ihis declaration, you snoula Oecome subie�� o tAe Workeri Campensation O�a�isions ol tAe Labor Cotle. you musifonAwith campty wilA suctl D�ovisions or ihis Dermit shall 6e OeemeO revoke0. CONSTPUCTION LENOINC RGENCY: I hereby allirm ihat inere is a ronsimclion IenAing aAenCy lor Ihe pedarmance of ihe work tor whiCM1 I�iS p¢rmil i5 i5Su2A �5¢CIiOn 3W7. Civ. C�. LENOEP: AOUHE55: OWNEB BWLOEB OECLABATION: I hereby ailirm �hai I am exemp� Imm Ihe Contrac�ors' Stale License Law for ��e tollowinp reason (Seclion 7031.5 Business antl Pmfessional COAe: Any ciry of counry which requires a permil to conslmct, aller, impmve. Aemolish, ar repai� any stmctu�e. prior �o i�s issuant¢, alw repuires lhe apPlicant �or such permii to lile a sign¢G 5tatemeni Ilut h¢/s�e is licensetl pursuant �o t0e pmvisions ol �Ae Coniracmrs' Staie License Law (ChaD�er 9(cammencing wilh Section 7000) ol Divisian 3 of �he Business anC P�olessions CoCe) or rtwl lrelshe is e�empt t�erelmm anE t�e basis lor t�e allegeG exem0�ion. My vioWtion ol Section 7031.5 by any applican� �or a permit suGjetls t�e applicant �o a civil penalry a� noi mOrB IAan live �undrtU Jollar5 (55f10�. I, aS ovmer af the prapeny ar rtry employees with wages as t�eir SOIe compen5dtion, vrill GO t�e work, and the ❑ s�mcWre is no� imenEeC or otlere0lo� ule (Seclion 7044, Business anG Pml¢5sional COCe: The Contradars' Slaie License Law Oaes not aooly �o an owner of a o�oDeny wno OuitAs or impmves ihereon, antl who tloes such work him5ell/nerself or ihmugh his or Aer own employees, pmvi0etl Ihat such improvemenis are nol inten0etl or offeretl for sale. I1, however ihe builtlir,g or imDrovement is so10 within one year ol completion, ihe owner will Aave ihe burUen ot pmving he/s�e Oi0 no� build or impmve forihe Durpase ol sale�. I. as owner o� Ihe pmperly, am exclusively conirac�ing with hcensed contraclors to consimc� �he prol¢c� (Seclion 7044, 9usine55 ❑ antl Prolessions CoOe: T�e Conlmc�ors' State License Law tloes no� apply lo an owner oi propeny who builtls or improves ihereon anA who coniracis lor such pmiecls wilh a coniractorls) license oursuanl to ihe Coniractars' Stale license Law). I am aware that pmol ol their Worker's Compensaiion insurance should be DroviAed to me. � � am exempt uneer Sec�ion: B P�I O 4�I B' 8 P' �' mnnisreaw�: LL WORK BY OWNER /� � ,,, 1 n Oale: � � � 4� � 9 � Owner �1'�-'� ' �1 �-W I 0o here�y ce�ily Ihal I am awaie ol ana unaer51an01�e r¢Quiremenis o� Calibmia HeaIN anA Shcety CaOe ec�ions 25505, 25533, an0 2553a an0lha�lor any�uture building occu0anlwilllwill not (circle one) nee0lo comply with saitl 5�aie coaes anOthe requiremenislor a permi� loi conSlmction o� moAdicalion Imm I�e Ai� Oualily Managemen� Oistric�. fle5i0enliai consimction applicalions are e�emp� trom ih¢SC pf0Vi51005. �a�e: AODlicanl: I hereUy cetlily I�at I �ave reatl tAis applicalion an0 slate t0at Ihe above information ii correct. I agree lo comply vrilA all cily an0 counry arCinan[u ana sta�e lav5 reU�ing Io Duileing conitmtlion ana he�eCy au�hor¢e re0�as¢nlatives ol IAis ciry to eNer upon lhe above-menlionetl D�op¢rly IorinSpetiion Durpo5e5. h I �— Daie: � b_JZi��f Signawre: �� "�./'^-/ai �river'S License or Social Securny p: 16dba6 Whne—Bmlaing; Green—Cotle Enlorcement; Canary—Applicant; Pink—Revenue: GOltlenm0—Nssessor CITY Or COSTA NESA — BUILDING PERMI� rPERM NO: P 054731 PERMIT NO: F 059731 PLAN CHECK NO; N GOVT: N SliPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPUSE: OTH JOB D�RIPTION : INSTALL NcW "TEMCO" FACT/FRPLC(ICB03195) SQ FT: CLAIM V �,UE: CALC—VALUE; GROUP OCC: R-1 / COMMENTS; RE: B54729 PRIMARY BLDG. PERMIT, ?F if if iE it iE 1f !! !f iPiE iE N� if if iE IF iE iE iF 1F 1E if #E If iE iF IE iF # if %if iF if if iE �k� iFiE iF iF iE 1E � ih �1E ik 1E if iE iE iElf 3F 3t ik %if ±1� IF iE iE ie iE iF# If K- if R�k ii� ie iE if if i6 iE Z O N I N G R E Q U I R E M E N'P S S E: T B A C K S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY Bi1ILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: rT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARRZNG REp • PROV; PARCEL; 93909104 ZNn; REF NO: PLANNING NOTES> � IF iF 1F it k!E if �lE if iE if if fE iF if �1f jf iE k iF If jE if 1E 1F iE iE IE iE If if k If iE iE if i(� aE 1E3� IE if iE if IE iF #�.'' if ik 3f iF iE iF ii i41FiE if �IE if-lE 3f 3e 3h.ti' iF it 1F iF aF iE ie %� iE iE if 1F �lE D E V n L U P M E N T S E R V— I C E S;;' R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDSNG APPROVED BY : " DATE: T / APPLICATION ISSUED BY;�;�F��_ DATE: �ri� #�iElFifififiFlElEiEikif�FiEN�iFifiEifiEiE3E .'x iFifif�fiEiE%Y�3E3E 3Eir Y.-3Fif�*IfiFifiP#FiEiEiFikiEifif�if3F3f3k3fiEii�iFii�iE�fiFiElfifiE3EiFifK�FIFjEiE3fifNiE#-" . #3fiE1flfiEiFlfjflElfiFiEikif)f3FiEfF3FIt�ffEiElFiFiEiE1FN��t LEGALIZATION;N F E E S U M M. R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC NECHANIC FIRE SMIP/RES GRADING PERMIT 2 00 '15Y SMZP/NON—RES PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAZD DUE TOTALS----> 2,00 3.00 0.00 5,00 5.00 .00 �EVENUE DIVISION TOTALS--> COLLECTED; 5.00 OVER/SAORT: 00 BLDG PNtT PLUMHING nLECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAtJ—CHECK 5_00 ik 3f N iF if IE if iE iF i! iF ie iF if M ie N• ih if iF iF iF iE iF k it ik ik M iE iE �k i! iF if iF 1f• iP iE ie it iF iF jE jF iF iF iE iE iF IE i! 3E if iE iF ib iF 3Fif iE 3F iF ff 3F iFiE lF 3E iE iE iF IEjE iF It 16 �lE �M� I N D I V I ll U A L F E E B R E A K D O W N TYFE QTY D E S C R I P T I O N UNI'C COST TOTAL COST PLU 1 GAS PIPING SYS OF 1 TO 9 OUTLETS 2,00 2,00 END OF FEES � ' r, + _ .1�,'.'" ':�_ �.�' :.f � . . Y� . . �/._ . .' 'I .. _. :.. � CONSTRUCTION AND PLANNING � ppMpq � APPROVALS Permit # Date Inspector AppROVALS Permir # 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. SteAI Reinforcement 56. Rough Plumbing & Press�re Test � 6. Elactrita� UFER Grnd. 57. APPROVALTO 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. �; 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & Housk 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 Electriwl-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Reugh Wiring $ign 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 Permii # 21. �Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Test . . 72. Underground Flush" 24. Roof Framing • • - �73. Undergrnd.StorageTank OGas ❑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 CEflTIFICATE ISSUED 33. Final Electric i;j' Noies: 34. Final Heating'& Air Conditio�iqg. � • 35. Final Gas Pipe-Test � o y�, q��J�� ' - 36. Hood or Canopy � .� 37. Final Factory Fireplace -l'' 38. Pinal Plumbing .��`^ " ia/Zx191 � ' 39. Water Service-Final `,� �. 40. Gas Service-Final � � 41. Solar pomestic-Final 42, Backflow Preventer . 43. Backflow �rrigation - 44. Landscape Irrigation Svstem� . '45.�Sound Attenuation � • � 46. Handicap Regulations , . _ 47. FINAL STRUCTURE & BUILDING . � � i?, 48. FINAL PI.ANNING � � ; � � 49. Electric Release to Edison . y'. 50. Gas Release to Southern Califurnia Gas Co � ��I 51. CERTIFICATE OF-OCCUPqNCY - No. Date PHOJECTp00flE55: 34S UNIVERSITY DR OWNEF'S NAMB PHIL HARP nooeess: 345 UNZVERSITY DR , COSTA MESA � ' CA 92627 APCHIENGINEEN; RDDflFSS; flEG.NO.: uxiT: M-9 UNIT: PEflMITTEE; �1kIL HARP ( 714 ) 642-29i3 AODflESS; 3QS DNIVERSITY M-4 COSTA MESA CA 92627 LICENSEU CONTBpGTOfl UECIAflATION: I here0y aifirm ��a� I am IicenSeU un0er pwvisions ot Chapter 9(aommencing wi�h Sec�ion 7000) of Div:sion 3 a� ihe Business antl Pmiessions Gode. antl my license is in lull lorce anA e��ec�. CITY LIC.: STRTE UC.: CU15S: Oate: SignaWre: WOflREBS' COMPENSATION OECLABPTION: lhere6y at�rm �Ta� I Tave a certificale of consem to selt-Insure or a cerOficate ol Workers' Compensation Insurance, or a ceni�ietl copy �hereo� (Seclion 3800, Lab. C�. POLICY NO.: EXP. �pTE: Certitietl copy is hereby lumished. ❑ Cenilied copy is liletl with t�e ciry Building Division. �- Date: ApPlicant: ENEMPTION FflOM WtlRKEPS' fAMPENSRTION OECIABPTION: (This seclion neetl not 6e [ompletetl ii the permi� is �or one hunOre015100) oNe55�. i ceridy Ihal in Ne pAhormance o� Ihe work for w�ich IM1is permii is i5sue0, I shall not em0loy any person in any manner so as to become , Subleci to the WorkFrs' Compensaiion Laws ol Calilomia. � Dale'. SignaWre'. NO710E: Ii, alie� making ihis Oecfaration, you should become subject to ihe Workers' Compensalion provisions of the Lahor Code. yau musl �onhwilh comply wiih such provisions or lNs permi� shall he deemeJ revoke0. CONSTBUC710N IEN�ING RGENCY: I here�y allirm that there is a consimction lentling agency lor ine DeAormance of ihe work br whlch ihis permil is i�sued (Section 3097. Grv. C). LENOEfl: ADOqESS: OwNEN BUILOEfl DECLABATION: I nereby alfirm IAat I am exempt imm ine Coniractors' Stale License Law lor ihe foliawing reason (Section ]03L5 Business an0 Pmfessional Code: Any ciry ot county which requires a permR Io constmct, alter, improve. Aemolish, or repau any simqure. P�iar ta iis issuance, also require5 �he aDPlicani tor such permi� to tile a signetl s�a�emen� �ha� helshe is licensed pursuant lo �he provi5�ons oi �he Coniraaors' Siate License Law (C�aO�er 9 kommencing wiN Seciion 7000) of Oivision 3 0� the Business and Professfons CoA¢I ar that he/she is exempt therelmm anA Ihe basis �or the allegetl exempiion. Any viola�ion ol Sec�ion 7031.5 by any apPlicanl lor a permi� Sublecis �he applicanl �o a civil penalry oi noi more IAan �ive huntlretl tlollars (E500�. I, as owner ot the pmpetly or my employees wi�h wages as ��eir sole compensa�ion, will Ao �he wark, antl Ihe ❑ s�mcmre is not intentletl or oiferetl for sale (Section.704d. Business antl Professional Cotle: The Coniracmrs' State License Law tloes nol apply lo an owner ol a pm0e�y who builtls or impwves lhereon, an0 who OoeS such work himselUherseli or �hmugh his or her oWn employees, pmvi�e0 I�at 5uc0 impmvemen�s are no� in�enAea Or oifered �ar sale. If, however Ne builtlinA or ( impmvemen� is soltl wilhin one year of compl¢fion, �he owne� vnli have IAe Durden ol pmving he/she ditl no� builtl or impmve forihe purpnse ol sale�. I, as owner o� �he pmpetly, am exclusively conVacting wil� Iicense0 conUactors �o constmd ihe pmject (Section 704d, Business ❑ antl Pw�essitlns Cotle: The ConVacmrs' S�a�e License Law does no� aDDly Io an owner o� pmpeny who builtls or impmves �hereon antl who con��ac�s �or such pwlecis wi�� a conirac�oqs�license pursuanito Ihe Contraciors' S�ate license Law�.l am aware Ihal pmol ol Ihelr Worker'S Compensation insurance 5hou10 be pmvidetl Io me. � I am exempt untler Seclion�. H P'� � 4 4 B. 8 P. C. mrmisreason ALL WORK BY OWNER p p M' Oale: �D Z S, 9 � Ownec ��t/� 'X/w,p I Qo hereby cenily Ihdl � am aware al antl understan0 IM1e requiremenls of Calibmia Healih and Salery Code Sections 25505, 25533, antl 25534 an� Ihal I or any �uWre builtling oaupan� will/will no� (CirCle one� need �o comply Wi�h said S�a�e catles ana Ihe reqUi/emen�5 Por a permillor conslmcli0n or modilicalion fmm Ihe Pir Ouab�y Managemen� DislricL Resitlen�ial cons�ruclian applications are exempl �mm IAese pmvisions. �aie: ADP�icanc I nere�y cenily Ihat I have reatl Ihis appllca�ion antl s�ale �hat ��e above Informaiion Is correc�. I agree lo comply wilh all ciry antl coun�y oremances an0 sla�e laws relating to butltlmg con5imclion antl �ereby aNhorize repre5en�aiives o� �his ciry to en�er upon Ihe above-meniionetl pmpetly lOr inSpecli0n Ourpo5e5. � �7 �� 1,� I _ Y.�-� �..�1c_.i Daie: � Z_S.i_�.� SignaWr¢.- Oriver'S License ar yoaal Seturily p: i6<bn6 Whne—Bwltllnq, Green—Code Enlorcemem; Canary—Applicant; Pink—Pevenue: Goltlenrad—Assessor CITY OF COSiA MESA — BUILDInG PcRMIT PERM NO: M 054730 PERNZT NO; M O54'/30 PLAN CAECK NO; N GOVT: N SUPP: N CONSTRUCfION TYPE; 5—N PERMIT TYPE: MEC PURPOSE: OTH JOB PESCRIPTIOV ; INSTALL NEW "TEMCO" FACT/rRPLC(ICB03195) SQ rT: CLAIM VALUE; CALC—VALLTE; GROUP UCC: R-1 / COMMENTS: RE; H59729 PRIMARY BLDG. PERMIT. *�***+�;��r��r#*****��******�#*****��**#****�**�***;��x�x��*�**+��t�*+�*a��+�*****��tu*� Z O N I N G R B Q U I R E M E N T S S E T H A C K 5 ------------ MAIN B[iILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT TN PARKTNG REO• PROV: PARCEL: 43909].09 7,NE: REF i�10; PLANNZNG NdTES> � jF df 1� iE �1F if if iF 1E af iF iE �(� 1E �lE if 3h iE �Y.� �lf !E iE iE iF 1f ii� )E �1F 3F 3f iE �1F iE �1F IF iF i(� iE 3E jE i¢ ff 3E � iE �E iF if 1't �lE iF �t N� �iF i?� if if iF iE �E �lE i4 3E � iF 1E 1E 3F 3F if 3E k iE if �f iE iF 3E D E V E L O P M E N T S n R V I C fi 5 R a Q U I R E M E N T S ZONING APPROVEA BY BUZLDZNG APPROVED BY ; APPLICATION ISSUED BY: iE 3E if �f� iF jE 1E i4 iE iF if iF fE iF If iF iE iE iE 141E 1Eir iF iE iE iE 3E iF If IE 1f !4 iE 3f ik 1E if iF iF iE-0E lf iE iF �7E # iE LEGALIZATZON;N DATE: DATE: �.. . . �'��y�wy��'��rr�*�+r*D**�** (U �--�i73F�* iElEiEif3(�ifikll�iEiE# 1E�lE k3t�1F!F3E�IF341Eif�1E#3fifiFifiF#lFiflEiFlEiE3FifiEiFie3PKlFiFiEj4 F E E S U M M A R Y STRiJCTURAL SEGMENT:N BLDG PMT PLUMBII3G ELECTRIC MECiiANIC FIRE SMIP/RE5 GRAAING PERMIT 6.50 258 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT IS5UE PLAN—CHECK TOTAL PAID DUE TOTALS----> 6.50 15,00 0,00 21,50 21.�0 ,00 REVEtvUE DIVISION TOTALS--> COLLECTED; 21,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECAANIC FIR'c SMTP/TOT GRADING PLAN--CH�.CK 21.�� ie a! �k if 1(' if iF if If if af 3E if iE 3f if� �E iF iE # �f iE iE iF 1F #� if iF iF iE �E iE iE # If If 1F 1E ii 1E 1F iF iE 1F if if 16 if iF iP3F �E?P �h �E if if # ikie M� iE iF iF !f 1F 3f # iE 3� iF+f ai� it� i(� 34 if iE if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 FACTORY rIREFLACE 6,50 6,50 END Oc rEES � 1 -�1 CCA��LRb�- -,n^Z•.s: '� ;� { «...i,i li�ij�_ i"�� .. Ta�'H° ., -� CONSiRUCTION ANDPLANNING � POO�PA APPEOVALS Permit # Date Inspector qppROVALS Permit # Date Inspector , t. TemDorary Electrical Service or Pole 52. Pool & Equipment Location � �, � _ 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ` 3. Electrical Conduit Utili[y-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 ' s 59. Gas Pipe, � 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 I 12. Sewer Cap 63. Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final 74. 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. Dutts, in StrUcture' . � 70. Underground Hydro 22. Ducts, Ventilating . 71. Product Piping O Gas ❑ Oil 23. Gas PipN-Rough & Test 72. Underground Flush 24. Roof Framing . �� ' 73. Undergrnd.StorageTank �Gas ❑Oil 25. floof Sheathing �� 74. Overhead Hydro � 26. T-Bar Ceiling (Structuraq SrMonocoat • 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe ' 28. Lath�ng & Siding � � 77. FIXED SYSTEM FINAL '29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat i�'. 79. PINAL INSPECTION 32. Electrical Power Meter�Final � j . 80. FOOD CERTIFICATE ISSUED 33. Final Electric � i'r � Notes: �.•., 34. Pinal Heating & F,ir Conditioning � � '�'��'� , , 35.�Final Gas Pipe-Test ' �-� � 36. Hood or-Canopy ' „ � ' � � � . i',,� � 37. Final Pactory Fireplace • r�/�i�C/ '�,/'i%� : ' C ! r//� 38. Final Plumbing . 39. Water Service�Final . � � � �t 40. Gas Service-Final , , • � - -41. Solar pomesticFinal � . 42. Backflow Preventer � , 43. Backflow Irriqation � � 44. Landscape Irrigation System , � � � 45. Sound Attenuation . 46. Handicap R�gulations . 47.-FINAL STRUCTURE & OUiLDfNG �_ 48. FINAL PLANNING " 49._ Electric Release to �Edison .) � � 50. G@s Release to Southem California Gas Co �' �� . 51. CERTIFICqTE OF OCCUPANCY No. � Date � �- JobAddress: 345 UNIVERSITY DR Suite: L Viciniry: BLDG L ROOF Primary Occ: MR Parcel Number: TPN005068 Applicant: PABLO LABATO Address: 1235 N SAN DIMAS AVE Type of Conslruction: V-N 2oning: Phone: (626) 852-2110 SAN DIMAS, CA Zip: 91773 pwner: WOODSTREAM HOMEOWNERS ASSOCIATION Address 345 UNIVERSITY DR COSTA MESA, CA Phone: Zip: 92627 contracior. CONDOMINIUM CONSTRUCTION SERVICE, INC Address: 1235 N SAN DIMAS AVE SAN DIMAS, CA Zip: 91773 Arch : Address: Phone: Phone: (626) 852-2110 License: 691243 Eng: Address: Slatus: ISSUED Applied: 08I252005 Issued: 0826I2005 ISSUED BY: / "' Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP SHINGLES AND INSTALL 40 YEAR GAF COMP SHINGLES ON BLDG L. APPROX 75 S�UARES. REPAIR AND REPLACE SHEATHING AS NEEDED. . � � FEE SUMMARY Plan Check: $0.00 Permit: $22325 SMIP Res: $1.25 SMIP Gom: $0.00 Other: ,$0.00 Inspection: $0.00 Calc Valuation: siz,5oo.00 Claim Valuation: si2,soo.00 Total: $224.50 PLANNING & ZONING SETBACKS MAINSTRUCTURE FroN 0.0 Rear 0-0 Left 0-0 �� ,'Right 0-0 ACCESSORY Front 0• 0 Rear 0. 0 Left 0. 0 Right 0- 0 PARKII�G Existina: 0 Reauired:. 0 Pr000sed: 0- � NOTICE: The �+�ork authorized by this pertnit shall compty with all applicable handlcap� access requiremenis under Califomia statutes and retated regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRA710N: This permit shall autometically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoneA for a perlod ot 180 days. INSPEC710NS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required InspaCtlons and flnal approval must be obtained. Failure to obtain inspections and final approval wili result in the expiratfon of Ihis permit. li FOR INSPECTIDNS CALL: (714) 7545628 .,� WORKERS'COMPENSATON DECLARATON: I hereby eftirtn untler penalry of perjury one ot t�e following tleclaratlons: OQ �- OdoZ3223 ❑ I heve end wlll malntein e ceNficate ol consent to self-�nsure for workers' campensatlan, es provldetl for Dy sectlon 3700 e Labor Code, for the pertormence ol the work For whlch this pertnit is Issued. �D I have and will malntaln workers' carnpensatlon Insu2nce, as requlred by section 3700 0l the Lebor Code, for ihe perfo ence of the work for which Nls pertnit ls Issued. �h1y w/or�kere' G/ompensatlf n In ranca carde�r @np policy numCer ere: Cerrier—l—nl✓Jh1Y�Po( �Y/PC�4�/� I�I �/US C n fPdky'NumDer.� (Tfils secUon neeC nor be comp�eted IlR'e perMr /s rellied at me hurMred dd�are (St00) or less.) ��' '/'� G� O/ U ❑ I certly that In the peAortnence of Ne work br which ihis partnit is issued, I shell nol employ eny person in eny menner eo e lo bacome suD�ect ro the wwkers' compensetlon laws ot Cellfort,ie entl egrea at It I s�aul Decome sub�ec� Io t�e workera' compensetion provlslons ot Settlon 3700 0� Ihe Lebor Cade, I shell toR�with wmpty with ihese pro ion . �� 9�a��a� . �oa�a _ � -.2 G - d 5� WAFNIN�PFAICURE'TO SE � RE WORKERS' COMPENSATION COVEBAOE IS UNIAWFUL AND SNALL SUBJECT AN EMPCOVER TO CRIMINAL PENALTIES PND GVIL FINES UP TOIXJE HUNDRED TFIOUSANDDOILARE(51 ),INAODfTIONTOTHEWSTOFCOMPENSATION,DMU0E50.5PROVIOEDFORINSECTION3]080FTHEU80RCODE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm that I em Ilcens tl tler rovlsk force entl eHecl-Lk"W,_��L CONSTRUCTION LENDINC AGENCY: Chapter 9(mmmendng with Sedlon 7000) ol Dlvision 3 0l the Buslness antl Proteuions Code, end my Iicense L5 in lull ❑ I hereby aNirm Ihet there is e constructlon lentling egenty lor ihe peAormence of t�e work for which ihis permit Is IssuoC. (Sac. 3097, CIWI Cotle). Lentlefs Neme: Lenders Aadreu: Slgnature: OWNER•BUILDER DECLARA710NS: Date: I hereby aHirm thet under penelry of per�ury t�at I em EXEMPT FROM 7ME CON7RACTORS LICENSE LAW for the follawing reeson (Sec. 7031.5, Business antl Protesslons Code: Any ciry or counry which requires a Oermit to construct, elter, Improve. tlemolish, or repelr eny siructure, prior to its issuance, also requires the ap0licant for such permit to tile e signed statement that he or she is Ilcensed pursuant ta the proNsions o1 tha Contredom Llcense Lew (Chapler 9(commencing with Sectlon 7000) ot Divlsion 3 01 the Business antl Professlans Catle) ar t�at he or she Is exempt theretrom end the besis tor Ihe elleged examptian. Any vloletlon of SecUon 7031.5 by eny applicant for a permlt su6�eds the epplicent ta e civil penalry af not more Ihan iive huntlretl doilers (5500).): ❑ I, as owner ot the property, or my emplqrees with waqes es Ihelr sole compensatlon, WILL DO TME WORK, and Ihe structure is not Inientle0 or oHered for sale (Sec. 7044, Business end Pmfessions Cotle: The ConUactors License Lew does noI appN to en owner ot Omperry who builds or improves thereon, end who does such woAc himself or herself ar Ihrough his or her own employees, provided t�at such ImprovemenLv ere not Intended or ottered lor sale. It, however, t�e bullding or imprwement is soltl wit�in ona year of completion, the owner-builder will have the burden of proving t�et he or she did not build or improve br purpose ol seleJ. ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct Ihe project (Sec. 7044, Bu51ne59 and Professions Code: The contreciors Llcense Lew does not appty to an owner ot pro0erry who builtls or impmves thereon, entl w�o conirects tor such pro�ect with e contrador(s) licen5e pursuam to the Conirector5 LitenSe LewS.). ❑ I am exempt under sec. Business antl Professions Code for �his reason: Signature: Date: Owner ID verifed by tlAvefs license. ❑ Yes ❑ No Drivefs License No. Vedficetlon ot Ownership by (rype of dacument, I.e. - property teu bill or deed): Expires: DIVISION OF INUUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certlfy Ihat no excavation live (5) or more leet in tlepth Into whic� e person is requlred to descenq wlll be metle In wnnectlon wlth wark euihorized by NIs permlL and that no building sWcture, scaHWtling, lelsework, or tlemolitlon or dismantling thereol, will be more than thlrty�sla (36) feet �igh. (Chep. 32, Gry 2, Atl 2, Sec. 341, Title 8, Calitomla AtlministretNe Code). ❑ As owner�bullder. I wlll not employ enyone to tlo wark which would require a pertnit trom the Divislon ol Indusirial Sefery, as noted ebove, unless such person hes e pertnit to tlo such work trom tha dlNsion. Signeture: Date: Dlvlslon of Indusidal Satety Pertnit Number. CEHTIFlCA7E OF COMPLIANCE AND AUfMORQATON OF EHTRY: I certity under penalry ot perjury that I have read t�is epDlication antl state t�at t�e inlortnation given is coneci. I agree to wmply with ail state laws erk clry ardinances relating to Duilding canstructlon, entl euthorize represeniatives of ihe Ciry oi CoSta Mese to enter upon the ebove-descnbetl property tor inspection purposes. I egree not to occupy or ellow occupancy ot eny building euthonzed by this pertnit until linel inspection. 40oe�. �NsvernoNTrve 1616 1268 Legal n s) ,� Date _ FIxeG Sysiem Finfll Flre Prevention Pool Spe Finel 200 Finel Re-Rooi 201 Final BIocWRetalning Well 202 Final Fectory Fire Placa 203 Finel Sign 204 Finel DomOlilion Pdff U�ELS -v�ct� cooe� ixsvecnoxnae 206 Finel Mechanical 20B Finel Plumbing 210 Finel Eleciricel 212 Flnel Fire Prevention 220 Final Planning Appravel 222 Finel Site 250 Finel BuiltlingiOccupenry PLg l�lL6 � AOo��ant to flll in all svaces except tnose witnin heavy Doraer Iines antl sign all approo�iate Oeclaralions. PER T NO. TPACT NO. LOT NO. UNIT NO. CITY oF COS7A MESA CONSTRUCTION PERMIT A.P. qW zooa P�oe��nad��: —345 Universit Dr. �9�°�v9. BLDG L 1 2 3 4 5 1 y - S Main Building: Accessory Building: r TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Front ' Z Hpplitant'S Mai�ing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T O Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address Arch/Eng. LicenSe No. TVPE OF PERMIT GRADING FOUNDA7ION S7RUCruaAL ' K Right G Address ❑ TENANT ❑ ELECTRICAL ❑ �LUMBING ❑ MECNANICAL S Leit R Contractor's Nam� Phone ❑ OTHER � Ping. Ref. �1`- Parking Req./Provided E PROJECT DESCRIPTION 5�. FT.�F(�(� OCCUaArvCv n Address (mailing) Planning Notes: M Ciry License No, QIdll8�H111LCI2P CONSTRUCTION TVPE VALVATION $6%�JO.00 T ZONE GRADING CU. VDS. ACRES g LICENSED CONTRACTOR DECLARATION I hereby atiirm Ihal I am Ilcensad untln� prOviSlOns ot Charte� 9(commencing p�ma,ks: Reroofi ng with section 7000) oi DIVISion 3 Of Ihe Busin�55 dntl Pro(e55iOn5 COtl@, dntl my Ilcense is in Iull lorca ana elfect. ELECTRICAL FEES Licansa Class License rvo. PLUMBING FEES P.utomatic Washer T�ans(ormer ❑ 15�50 KW Daie $I9naWre WORKEqS'COMPENSATIONDECLARATION ConStruCtionPol2Sub. � ❑SO+KW I hereDy allirm tnat I nave a certi/icato o/ consent to self-insure or a certlticate Bar Sink Showers ',Workers' Compen5ation Insurance, or a cerHtietl copy thereoi (5ection gack(IowPreventer ServiceSink CookingUnit Mecer �uptot00amps �-��0, Lab. C.) -iicy rvo. Comoany Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps ��e Certitietl <opy is nereby iurnisnea. Dryers ❑Gas ❑Electric Sub Panel � Certifietl copy is liletl with tne city Builtling Divizion. Bathtubs Sewer Connection Date Appiicant Fan Motors �0.1 HP �1 X- 8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cle�ifiers SOlar ColleCtors (Thissection neetl not be comD�etetl if the permit is for one huntlretl (E300) or F.A.U. Inc. Solar �y�15 HP �16�15+ iess). Dishwasher Solar Piping I certify inat in the oerbrmance ot the work ior which thiz perm�t is Issuetl I Fixtures shall not employ any person in any mann¢r 5 as to b com subject [o t�e Drinking FDuntains $OIdI Te�k Microwave WOfk¢! Tp¢ S❑ �.dw5 OI CdlitD IOi �/ Date Slgnawre (' �� <, 6 day� Floor Drains Swimming Pool w/Spa Oevice Boxes Pole Light NOTICE. 1, al er ma dng this tleUarat`�on, you showd become sub)ect ro the Outlets Ran e Workers' Componsalion provisionz ot the La�or Cotle, you must forthwllh Floot Sinks Urina� 9 comply willf zuc� proviSlOns o� tnis pe�mit shall be Ceemetl revOkltl. CONSTRUCTION LENDING AGENCV GasService OUlletS WatefClOsel SWi[Ches Sign I hereby alllrm thdt thGrC ii a<Onstructlon lentling agency tor the per(ormdnCB ol tno work for wnicn tnis permlt Is Issuea (Sectlon 3a9] Civ. CJ Interceptors Water Heater GarbBge DiSposal Stending $ections LenOer's Name �onaer's Atltlress Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby alflrm lhat I dm exompt frOm tha Conlractor'S LicBnse Ldw fOr tt18 L8v8tO1i¢5 AUtO-W85h tollowing reasan (Seclion 7031.5 Business antl Protessional Code: Any city or counly whiCM1 rlquires a parmlt t0 cOnstrucl, alter, improve, demoli5h or rapair P—Tfep l.aUndry Tre'ys any Slru<turo, ptlot lo It5 i55uance, also reqWreS [he apP�ican[ tor zuch permlt lo fil¢ a Signed slatem8nl Iha[ Ile/she IS IICCn5e0 pulsuant t0 thG PIovI5iOn5 Ot ROOf Df8iO5 tne Contractor's LI<ense Law (Cnapter 9(commencing with Se<tion 1000) of Division 3 oi the BuSiness ana Professions Goae) or Iha( he/she is exempt Rainspection Fea $15 155ue Fee �=reirom antl the basis for t�e allege0 exem0�ion. Any violation of Section S 3 l.5 by any applicant for a permi[ subjects the applicanl to a civil ' Jty oi not more Ihan iive nuntlretl tlonars (E500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole ReinspeMion Fee $15 ISSue Fee S 3 Zolling Approved By Date �/ / compen5dtio0, wi�l CO the work, an0 IM1e slruclure i5 not In[<ndetl o� ofter¢tl ^--�Y-*--`+—I— (or saic �Section ]044, eusiness antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved 8y Date LicenSe Law Does not ap01y to an owner of a proper[y wno builtls or improvei IhereOn, an0 who tloe5 Such wOrk him5elt/herself or through his or he� own Applimtion ISSUBd By Det Cmploy¢e5, pfOvitlCtl lhal suGh improv¢ments are nOt intentled ol Ofleretl 10r BOiI¢I HOOd Of Typ¢ I ❑ salC II however, the builtlin9 or improvement is soltl within one year of com- Canopy Type II ❑ SUMMARV OF FEES pletlon, lhC Owne� will nave Iha bu�tlen of prOving he/She tlitl not builtl ot im- �UC[ � Und¢� i�iroufld r ve lor tho purvose ot saia). ' BUILDING PERMIT $ 9�• � SMIP $ � � I, as owner of tne OroOerty, am axclusivoly contracting with Iicensetl con- Duct -Structural (iefrigereGon SyStem � ratlors to construct tne project (Setlion 7044, eusiness and Professlons Cotle: PLAN CHECK $ PERMIT Tno Contrattor's Llcense Law tloes not appty ro an owner oi oroperty who Duct- Ventilnting ❑0-100,000 BTU ❑100,000 BTU PLUMBING �SSUANCE $ bulltli Or ImOfoves lberaon. antl who conbacts for such oroiGCtS wlttl a r.on- $ tractor(s1 Imense uursuan� to �ne ConVacmrs License Law�. I am aware thac Ezheust System ❑ Multiple ❑ System Repair/Alteration P�..°.N CHECK 25% $ ENERGV P.C. $ prOo/ of tneir Workor's Compensation insurance shoultl be provlGetl to me. ELECTRICAL $ GRADING $ ❑ i am exempt untler Saction B. 6 P. C. for this reason Firepl/Fact. Blt. IC80 � Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date owner Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ 9�� S� I hereby ce tity that I nave reaE mis application ana state thal the above ❑0-100,000 BTU �100,0008T P�AN CHECK 25% InfOrmation iz CorraCt. I agrCc lo com0ly with all city antl counry O�tlinance5 $ antl Ttate lawf relaUng to builtling mn5(ruction, antl hereDy authoriie repre- sCntatives OI t Is c'y y to en � u on lhe abOve-mentionatl p�OPerty lor insoection �{ �Ly/ OJ��x_ — �/ /�9 r Siqnature �_ d� /7 Date 1 Reinspection Fee $15 laue Fea S 3 %� - F� a' � •9E-3-::�13qE34 -�-r� ; ;� .. �, Drivers' Llcense or ss � DA"i E: 0$1f��/�9 '11'fi�: D�.3(� 0865-46, rev. 5/88 Whit - Builtling; Canary - ApPlicant; Pink � Accounting: Goltlenrotl - Assesror � �r . . . ... . . , . . CONSTRUCTION AND PLANNING POOL ��A APPROVA�S Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. � 53. Steel Reintorcement � 3. Electrical Conduit Utiliry-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - j � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE : � , � 7. Foo[ings 58. Electrical Conduit-Undrgrnd. � 8. Foundation �, 59. Gas Pipe, � Undrgmd., Test ' 9.. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, � Undrgrnd. �� 10. Svuctural Floor System . 61. APPROVAL TO DECK ' y 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 i 15. Rough Electrical-Conduit 66. Solar System-Final �. Rough Electric Wiring 67. Fencing & Access Approval `17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '18. Rough Ele�rical-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 Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23., Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead HYdro . 26. T-Bar 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 Elec[ric 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-Fina� 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation ,. � r 44. Landscape Irrigation System 45. $ound Attenuation � 46. Handicap Regulations 47. FINALS7RUCTURE&BUILDING �D/U � 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co % ' �� J 51;`CERTIFICATEOFOCCUPANCY ,.'� �J No. Date �✓ -] �. 4 3 u� P �t� 2 D I � N � � w� z � �12L I � 12 - Aoalicant to till In all soacas except tnose witnin neavY Dortler Iines antl sign all aDD�ovriata tleclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address / , Applicant's Mailing Address p W � A Owner's Name U�Aj��S /) MOSS//99/!.✓ahon 3�4 Address P � .CIOFC /3-3� `%?7 . Arch/Eng. - License No. Address � Contrector's Nam Phone'i%]. 3'f 9U Addreulmailingl�S.3.3� � J � /e/L�n�wJ rqn/.a�G/ir� Ciry Licanse No. dr�/-3� � ' LICENSED CONTRACTOR DECLARATION 1 hereby-affirm lhat I am litensetl untler provizions of C�arter 9(commenNng with secHon 7000) of Divlsion 3� of the B4sinezs antl Protessions Cotle, antl my licenie is In full for antl e fect. Licen�sf CId55 � � �' Licens3 No.'�/ 7/�.!-7 : � Date'/�'�� 51g c ��'(i6�- .C7 /7r'�n.o WORKERS'COMPENSATION DECLARAT�ON' � I h¢reby atti�m that 1 �ave a certiticate o( coqsent t0 selt-insur¢ o� a certi(icate � S Nlorker5' Comp,e/nsatlon Insu�ance,� o� a�ertifietl <opy ther¢oT (Section � ioo. �ab. c.1�5`��li � ��1.`A✓G w Z.r/S Policy No. Comoany �ertitietl copy is hereby fuTishetl. � , . CerCf�opn co y is filetl with the tity�ul�ltl�pjvisi�n. Qr�� ' Date��'a��3 Applicdnth��„v� �La�� EXEMPTION FROM WORKERS"COMPEN$ATION DECLARATION' (7his sectlon neetl not be como�etetl it the permit is for one hunaretl (E100) or � iess) I certifyrthat in the performance of th¢ work fOrwhich this permk is issuetl I shall not employ any person in any manne� so as [o become subject to t�e � Workers' Compensation' Laws ot Cali(omia.� . �ate Si9nature NOTICE: It,'atter makin9 this tleclaration, you shoWa become subjeEt to the Workers' Compensation provi5ion5 ot.th! L,abor CotlC, y0u must forthwlth � comply 'wiM zuch p�ovisions or tnls permit snall be tleemetl revoketl-. � GONSTRUCTION LENDING AGENCV ' - � I hereby aft{rm that there Is a construction lentling agency tor the performance of tha work �lor whith th15 permi[��is issuetl (Section.3097 Civ: C.} LAntler'S Name �eneer's atltlress � ' OWfJER BUILDER DECLARATION . � - 'x Ucense Caw for the , to flle a slgne0 statementihat be/s�e Is I �[ha Cantrac[or's License Law fChao[er 9 i '�refrom antl the basis for"the allegetl oxemption. Any violafion ot Soctton � 71.5 by any applicant for a� permlt sUbjects the aoolicant [o a civll ialty of not more than five huntlretl tlollars (y500). .�I 1; as Own¢r o( the� p�operty or-my ¢mplOy¢¢5 with wages az Ihair sole compensation, will tlo the work, antl Ihe Slructure 15 not Intentletl or olteretl • for sale (Section 7044, Business antl 7rof¢ssional Cotle: The Contractor'S Llcense I.dw tloes not apply to an owner Of d p�ope�ty wlto bu1105 0� Im0/oves [hereon; antl.who tlo¢5 sucn wo�k nlmself/he�5elt or Ihrough hls ot he� own employeos, provitletl tnat such improvements are no[ intentletl or ofleretl for sale. It, however, the �ulltling or Improvement Is.soltl wlthin one year of com- pletlOn, the owner will M1ave'ihe bu�tlen of p�ovin9 h¢/she ditl not builtl o� Im- �ove'�or the purpose of sale). • . I_.1 I, as owner of the property, am axclusively contracting wlth IicenSetl Con- � tractors to construct the project (Section 70qq, Business antl Protessions Cotle: The �ContractOr'S License Law tloe5 not apbly to an owner Of propBrty who builtls o� imp�oves tltereon, antl wM10 conVBcts to� such p�oject5 with a mn- tractor(s) license pursuant to'the Contractor's License Law). ❑':I'am exempi untler Sectlon B. & P. C. for this reason � Date Owner I hereby certify that 1 have reatl information Is correct. I agree to � antl state laws relating to builtlin5 5¢pldtiVBS Ot IhiS Ciiy [O ¢pI¢F inspe<tian purpb Bs � Si9na[Ure _��I �[� Orivers' License or 55 � above � iances repre- y iOl TVPE OF CONSTRUCTION LI NEW LJ ADD U ALTERATION L� REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,�6 DESCRIPTION OF WORK ' S Main Building: TVPEOFPERMIT GRADING FOUNDATION STRVCTURAL - T Front � ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAI A Rear . ❑ �OTHER . C Right PROJECT DESCRIPTION S�.FT, oCCVPANCv K CONSTRVCTIONTVPE VALUATIONS g Left . ZONE � GHADINGCU.VDS. ACRES PIng.Ref.# . Remarks: ' ' , � . Parking Req./Provided , ' � � UseofBuilding: • - PWMe1NG FFFS Planning Notes: � oa� mnn � Backflow Preventer . ' Backflow Irrigation ' Bathtubs �; Clarifiers � Dishwasher :' , Drinking Fountains . Floor Drains � � Floor Sinks � � GasSerJice � `Outlet Interceptors� ' Kitchen Sink Lavatories' � • , P-Trap' � . . Roofbrains _ � - . •� , ' Showers ' ' Service Sink Sewer Cap Sewer Connection - Solar Collectors , � Solar Pipin9 • Solar Tank � Swimming Pool w/Spa Urinal Water Closet � Water Heater � Water Service ' � Reinipection Foe ' �I $25 Boiler . ' Duct = Under Ground ' Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting � ❑P100,O00 BTU 0100,OOOBT Reinspection Fee � $25 CMF 0865-46 �ev. ]/83 White - Builtlinq; Canary - AppliCant; Pink - Accounting; Goltlenrotl -ASSe55or laue Fee . g 3 Hoad or Typel ❑ Canopy Type II ❑ Refrigeration Sys[em ❑4700,OOOBTU ❑100,000 Sysiem Repair/Alteration laue Fee R $ 3 Automatic Cooking Unit Disliwasher Dryers ❑Gas- Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispo: ��91 I�/�'./". � Zone Accessory Building: � Park.Fees $ . � . ELECTRICAL ' er Transformer ❑ 15-50 KW , 'eSub. � � 50+KW . ' - � Meter '❑up to 100 amps '- � . Meter ❑over 100 amps i � Electric � -Su6 Panel � ' Motors�0�1HP�7X-8 � Inc.Solar 09-15 HP �76-15+ ' - Microwave � � Pole Light Range Sign . Stonding�Sections : � KW Trash Compactor � � ' FEES O N I N G R E Q U I R E Reinspection Fee ' $25 luue Fee '$ 3 PUBLIC SERVICES REDUIREMENTS: Zoning Approved By ' Date Application Approved By � Date ' Ap'pliwtion Issued'By � i / Dat � � 'SUMMARV OP PEES � BUILDING PERMIT � $ SMIP $ PLAN CHECK $ PERMIT . • PLUMBING ; $ vG�(J ISSUANCE $ , �� PLAN CHECK � $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK $ ' MICROFILM � $ MECHANICAL $ TOTALFEE $ 5 ` �� PLAN CHECK $ E N ; CONSTRUCTION ANDPLANNING . . • POOL A - APPROVALS. Permit#��-l`ii9L 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. S. Foundation 59. Gas Pipe, � Undrgmd., Test - 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System _ 61.� APPROVAL TO DECK . 1 i. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent�Final . 13. Roof Drains • 64. Plum6ing System - Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electriral-Conduit ' -- 66. Solar Sy4tem-Final ' 16. Rough Electric Wiring �- - 67. Fencing & Access Approval - 17. Rough Wiring Sign' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FiNAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT . 20. Rough Factory Fireplace � - - APPROVALS Permit � 21. Ducts, in Siructure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas �❑ Oil 2:s, Gas Pipe-Rough & Test . 72. Underground Flush � 24. Roof Framing . 73. Undergrnd. Storage Tank � Gas ❑ Oil 25'. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding � , 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing . � HEALTH DEP.T. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal � . 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � • � 34. Final Heating & Air Conditioning _ 35. Final Gas Pipe-Test. , - � ' 36. Hood or Canopy � . ' � 37. Final Factory Fireplace . - � 38. Final Plumbing � , - S// e7 ' �Q , ' 39. Water Service-Final " 40. Gas Service-Final 41. Solar pomestic-Final ` . ' _ 42. Backflow Preventer 43. Backflow Irrigation �- � ' . 44. Landscape Irripation System ' � , _ 45. Sound Attenuation � � 46. Handicap Regulations . � - . � � 47. FINALSTRUCTURE&BUILDING � � . � , 48. Special Requirements Completed . � 49. Electric Release to Edison - � � 50. Gas Release to Southern California Gas Co � . �' � 51. CERTIFICATE OF OCCUPANCY � No. Date � , . j � � JobAddress: 345 UNIVERSITYDR Suite: H Vicinity: BLDG H Primary Occ: R3 Dwellings/ Cong Res <70 Type o( Consiruclion: V-N Parcel Number: TPN005068 Zoning: Applicant: LOBATO, PABLO Address: 1235 N SAN DIMAS AVE Phone: (626)852-2110 SAN DIMAS, CA Zip: 91773 Owner: WOODSTREAM HOME0INNERS ASSOCIATION " Address 345UNIVERSITYDR�"•'� � ��, ;�"-� , ,� . � � � - Phone: �� COSTA MESA, CA -. , � Zip: -�� 92627' �. � �. Contracroc CONDOMINIUM CONSTRUCTION SERVIGE;'INC ^"� , ` ` Address 1235 N SAN DIMAS AVE.� -;�, ' �� :� ' ��i' � - Phone. (626) 852 2110 � �� SANDIMAS,�CA��'; Zip:� 91773 ' License: 691243 Arch�: .' ' , Addressi.� ;�`�� " Phone: � ,r _ �Z�p: �� license: Eng: Address: i ��.:,;, ... Status: ISSUED Applied: 09/07/2005 Issued: 09/07/2005 ISSUED BY: � te �hone: `� ' , _icense:..�'.... . - . �� ' SCOPE OF PERMIT = REROOF CONDO BLDG #H � ,q� -'- � �� T/O EXISTING COMP ROOF,�REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY�40-YEAR.CQMP�SHWGCES.� 32 S�UARES '�;. : � ` ", ._ ' °;'. - . . . :,;4 � ., . .,. _. .... __ ..,. _ . ,. �.� . . �, , � • � _. _ .� . ..... . . . .. .._. _. ,�. � a , .s - ��: ' FEE SUMMARY ,. � r, e., a�._.. V, Plan Check ��,`%� $0.00 . ^ �°� ` �� - � � � �-- ��'-� ��Calc Valu'ation ^ �� $s,000l�oo Permit: $125.25' Claim;Valuation`. Se,000.00 SMIP Res: �;, ��$0.60 � � " � SMIP��Com: � $0.00 _ .< .. . „ � ,, b ''� f � Other: �� $0;00. � -� _. . � In'spection: � $0.00 �� Total:. -` $125.85 j F � . a :�'.PLANNING & ZONING SETBACKS �� :,f� � ,g:i g� • ; MAINSTRUCTURE Fronte. 0-0'� -. ,,��Rear� 0-0 � �Left�� 0-0. Right`�" 0-0 ' . ' i' - -. C� � � / •' ACCESSORY Front�, 0-0�:.. `'-�'a-Rear-- 0-0 �- �Left 0 0 " =`,:Right -;0.0 PARKING Extstina �O,a ;�' �"Reawred ' 0 �' �'_ � .Pi000sed -��0�� ,.� �=� �. � .,u; s- - , ��oF"",. ' :< �. ,.a e_, _';: �'ci.t. , . � df�l�� F .Y'.. . a ` � � � � � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related . regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned , for a penod of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be consideretl legal, such work must comply with all applicable codes, and all requiretl Inspections and flnel approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 2448-08 (8/00) WORKERS' COMPENSATION DEG�ATION: I hereby eHirm untler penalty oi peryVry one of iha following declaratlons: ❑ I heve end will maintain e certificete of consent to self-Insure for workers' compensatlon, es provided for by sectlon 3700 of the Lebor Catle, for ihe pertormance of the wark for which Ihis permit is is5ued. ��I have and will maintain workers' compensation insurance, as reQuired by section 3700 of ihe Lebor Cotle, for Ihe peAortnance of Ihe work for which this pertnit Is Issued. M workere' compensatiory Insurenca wrrler e olic number ere: �came�i'c,rz�bihec� SO�cla��' i Y/��S C C� aor�N ea�: �(K��0023223 (Tliis section need not be canp/eted �Fthe permit�one hundred dollers ($f 00) or less.) ❑ I certiTy Ihat in the pertortnance of the work for which ihis pertnil is issuetl, I shell not employ eny person in any manner so as to �ecome subject to Ihe workers' compensetion laws of CalHomla, end egree ihe} ii I shoultl 6ecome subject to Ihe workars' compensatlon provlslons of Sedlon 3700 of the Labor Code, I shell fotlhwith Complywiththese�ion� /� / 1 ,� � ApPlicent Sig urne et : [� A� oec� % 7� U S WARNING: FAILURE TO SE RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVII FlNES UP TOONE HUNOflED TFIOUSAND DOLLARE ($1 �, IN ADDITION TO THE WST OF COMPENSATION, �AMAGES AS PROVIDED FOR M SECTION 3]OB OF THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLNaAT10N: I hereby aNirm that I em licens�,!�nde�f p�ro�vis�'ons of C�apter 9(crommencing with Section 7000) ol Division 3 oi the Business and Professions Code, enA my license is in full force end eflect. Llc. q� (9 Y �S _7__� . _ � „ . iClass�q /n CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm ihat there is a construction lending agency tor the peAormance o1 the work tor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's AtlOress: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 hereby aflirm that untler penelty of perjury Ihat I em EXEMPT FROM 7HE CONTAACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry which requi�es a permit to construct, alter, improve, tlemolish, or repeir eny structure, pnar to its issuance, elso requires the applicant for such pertnit to file e 519ned stetement thet he or she is licensetl pursuant to the provisions oi Ihe Contractors Licensa Lew (Cheptar 9(cammenting with Section 7000) of Division 3 at ihe Business end Professions Code) or thet he or she is exempt theretrom end the besis for Ihe elleged exemption. Any violetion of Sectlon 7031.5 by any epplicant for e pertnit subjecis Ihe epplicant to a civil penalry o� not more ihan five hundred dollers ($500).): ❑ I, es owner of the property, or my employees with weges es their sole compensatlon, WILL DO 7HE WORK, end the siructure Is not intanaed or offeretl for sale (Sec. 7044, Business and Professions Code: The Contraciors License Law does not apply to an owner ot properry who builds or improves thereon, antl who does such work himseli or herself or ihrough hl5 or her own employees, providatl that such improvements ere not intended or offeretl for sale. If, however, the building or improvement is sold within one year of compledon, the ownar-builder will have ihe burtlen ot O�oving thal ha or she did not build or improve for purpose of sele.). • ❑ I, as owner of iha properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business and Professions Code: The cnntractors License L.ew daes not epply to an owner ol property who �ulltls or Improves thereon, entl who comrects for such project with e contraaor(s) license pursuant to ihe ContreGtors License Laws.). ❑ I am exempt untler sec. Business antl Protessions Code for ihis reason: Signature: Date: Owner ID venfied by driver's license. ❑ Ves ❑ No Driver's Llcen98 No. Eapires: Venfication of Ownership by (type of tlocument, I.e. - pmperry te: bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTFICATON: ❑ I hereby certity ihat no excevatlon five (5) or more teet in tleplh into which e person is requlretl to descend, wlll be made In connection wi�h work euthorizetl by �his pertnit, and ihat no building stNclure, scaftolding, telsework, or tlemolition or dismantlinq ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Califomla Adminisiretiva Code). ❑ As owner-builder, I will not employ anyone to da work which would require e permit from tha Divislon ol Industnal Sefery, as noted above, unless such person has a pertnit to do such work irom tha division. Signature: Division of Industrial Sefery Permit Number: Date: Will the epplicent or present or tuNre building occupant need to tile entl cenlfy e Business Plen br emergency response to releesa or threatened release oi a hazerdous meterlal7 ❑ Yes ❑ No (Section 25505 of the California Health end Sefery Code requires, with some exceptlons, ihat a Buslness Plen be fileA with ihe Costa Mesa Fire Depariment by every business which has at any one lime during a reported year a quaniity oi hazardous materials equel lo or greater ihan e weight ot 500 pountls, or e volume of 55 gallons, or 200 cubic feet of compressed gas et standard temperature and pressure). ......................................................................................................................................................................................................................................................................................... .........,............. .................................................... Does or will the applicant or present or future 6uiltling occupant neetl to file e registration torm tor ecutely hazardous matarials9 ❑ Yes ❑ No (Section 25533 of the Calitornia Healih and Safery Code, wlth some exceptlons, requlres regisiretlon wlth the Coste Mese Fire Depenment by eech husiness which et any one time has on hantl a quantiry of ecutely hazartlous meterlels equel to or greater then e welght ot 500 pounds, or e volume of 55 gellons, or 200 cubic feet of compressed qas at stentlerd terpPerature and pressura). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will Ihe applicant or present or future building occupant need to prepare an RMPP (Risk Menagemant end Preveniion Program tor ecutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 ot the Galitomia Heelth and Satety Code Department of an RMPP by businesses which are requiri .................................................................................................................................. 4 If an RMPP is presently required, has Section 25534 of tl ............................................................ .......... 5 Does or will the applicent or present or future building a fmm the South Coast Alr �uelity Management Disttict or (Section 658502 of the Calitomia Government Cotle req .................................................................................................................................. 6 Will any part of the faciliry to be G�structetl under this pE thet ihe Costa Mesa Fire Department may i ter ecuteW hezerdous ma�erlels wl�h Ihe Flre any other eir polluilon conirol tlisirict or egenc� Ihat the requested informetion be tumished on the preparation, certification and filing with the Fira meni. 7.....o ves............o..No .............................................................. . ....................................................................................................... �atlan e permit tor such constmction or motlHlcaHon 5 u Na ns lor non-residentiel buildinp permits). (Ii yes", the faciliry must meet tne requirement ot Sections 25534 and 42303 oi the Celitomia Health and Sefety Code). ..................... .................... _........... ..........................................................................................................................._..__.........._..................................... 7 If a peimii from the South CoaSt Ai� Qu9lity Manegement District or other air polNtion conlrol tlisirict a egetxy Is requlretl tOr Ihe v eoolication. have all af the disclosures prescnbed by Calitomia Heelth and Satary Cotla Sectlon 42303 bean made7 ❑ Ves ❑ No SignaNre: CERTIFlCATE OF correct. I agree to ebove-descnbed o COMPLIANCE: I cetlity that un ec. enalry o� er' he infortnation given ebove is correct. I agree to comply with all state laws and ciry ordinances is Materials entl Emissions#,a Y'd�i �i*k . Dete: f..�.. e ��qND AU�IORIZA710N OF ENTAY: I certiry untler penalry of perjury ihat I have read ihis epplication and state that the infortnation given is �ly wiih-$j��st��e laws end ciry ordinances releting to building constmction, and auMonze representatives of t�e Clry ol Gosta Mesa to enter upon �he ty tor inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by this permit until final insDection. COpEl, VlSPECiIONTYPE 1676 Fixetl System Final Fire Pre�ention 7266 Pool Spa Finfll 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Fadory Fire Place 203 Final Sign 204 Final �emolition . � �_1 JIII:. �IGh'�.... �� • � — ► COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupency ��I.�I�C1111�'] � February 9, 2007 CITY OF COSTA MESA P.O. BOX 7200 • 77 FAIR DRIVE • CALIFORNIA 9 26 2 8-1 20 0 DEVELOPMENTSERVICES DEPAR7MENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Woodstream Homeowners Association 345 University Dr Costa Mesa CA 92627 PERMIT NUMBERS FOR: PROJECT ADDRESS PO6-00183 Water Heater 345 University Dr., K3., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees will be required to finalize expired permits. According to our records, the permits listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. If you need to request an inspection please call our Inspection Request Line at 714-754-5626. If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you do not have an approved final inspection, your permits will expire on February 28, 2007. if you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. a�d 4:30 p.m., and a staff member wili be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, ��%�� , Mary Jane Weidenkeller Office Specialist II cc: Affordabie Water Heaters 8 Plbg 24707 San Fernando Rd Santa Clarita CA 91321 Building Division (714) 754-5273 • Code Enforcemeni Q14) 754-5623 • Planning Division (714) 754-5245 FAX (714) 754-4856 • TDD Qt4) 754-5244 • www.ci.costa-mesa.ca.us M�W Builtling Setety Divis�on CITY OF COSTA MESA P.O. BOX 1200 COSTA MESA. CALIFOANIA 92628•1200 ADDRESS SERVICE REOUESTED . � � 1�+.• � :.�•..f� . , _ ..r Ls.;:.., c � = ' ;�:►' �jC; �i�� •, � F; �r. .�T�r � rT'J'rti i:�• �l WOODSTREAM HOMEOWNERS ASSOCIATION 345 UNIVERSITY DR COSTA MESA CA 92627 N1?(YE 927 1 016H26503147 � ��.�90 02l09/2007 nhilea From 92626 US POSTAGE 02 o2i1s�o7 RETURN TO SENDER TNSUFFICSENT ADDRESS UNpBLE TO FORWLiRD BC: 92B2B120000 '�'1908-1238�-09-42 ;;.�,-_.�-•LLa�-��s;oq; II�I��I�I�II��I�II��I��II��1�111��11��11��11��11��1 Job Address: 345 UNNERSITY DR Staws: isSueo Suite: K Applied: 09/07/2005 Vicinity: BLDG K Issued: 09/07/2005 Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number. TPN005066 Zoning: Applicant: LOBATO, PABLO ' Address: 1235 N SAN DIMAS AVE Owner: Address Coniractor Address �*�='. .. Zip:..:_ Arch :�..K° idress: �' .. ��+: FC . Lp: �� , �: T/O 53': Plan Check: P.ermit: SMIP Res: SMIP Com: ,,d� Other: � Iri "spection: Phone�. (626) 852-2110 ISSUED BY: SAN DIMAS, CA Zip: 91773 ,YN._ �.... WOODSTREAM HOMEOWNERS"ASSOCIAFION 345 UNIVERSITY DR "^ � � . ' . , Phone �` :�. �. COSTA MESA,,CA �. �..s �`Zip: � 92627 ��..� � `z*.. �''�` <s •a" ,. �z: . ¢,� d;. ,�,y.: CONDOMINIUM'CONSTRUCTlON*SERVICE, WC "��- � �� "`' '1235 N SAN DIMAS AVE ��"�� - � ,.:, ,� � ,�. "��` �'�� , � � Phone: (626) 852 2110 �"<> - cenf��'mm�nc=.rc w , .r+�t � � ' Phone: License: =?s License'. 691243 Eng: � Address: . `� ��+. ,. :_ �t,f �:-... SCOPE OF PERMIT =PLACE SHTG AS NEEDED, 1 LAYER 15# FELT, APPLYr4 FEE SUMMARY _, � C C �. � .:, ;��. % ��° � � >�': - - %i�F'�HNNWCi<��LVNINCi SETBACKS :,;: ��_. :� . _. � . �� .: MAW STRUCTURE Front 0-0 "� ��Rear D-0 ;�LeR - D-0 n �� . � �� '�� ACCESSORY ''Front 0 0: �Rear 0 0 ��' Lek :; 0 0 � " ..�� r, � ..<= .�r- .. . ,� x �"' . _. 4 ��; , PARKING Existin 0:,, "Reauiretl. 0„ ePro osed.° ' 0' �� 3::.. w�`.. >�. � Phone. `?3 L�cense:.: �' � i£ ..:1'�f P� . � „ �a, SHINGLES. . -- `�,x:.. -a .�. � tion: ; ,:Ss000. ation: Ss 000'. y. ' ;��a -� R� � y .;' �, � � � RigM- 0 0 -... ; -..: ��, Y. Right�� . 0 0 d: � � il �: ,,�� " �� - �- �: R /p 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all required tnspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmit. FOR INSPECSIONS CALL: (714) 7545626 2446-d6(N00) WORKERS'COMPENSATION DECLARAnON: I hereby eflirm under penalty of perjury one of ihe following declarations: � ❑ I heve and will maintain a certlficate of consent to self-Insure for workers' compensetion, as provitled for by section 3700 of tha Labor Coda, for the performance of ihe work br which ihis permit is issued. �I have and will maintain workers' compensation insurance, es required by section 3700 ot Ihe Lahor Code, for ihe peRormance of ihe work tor which this pertnit is issued. M wo� ' com ensation In rance car er and oli umber are: camerY (�.l'SJVJ fi � �n r 4��2 c � a�Y�Y / NS C P� aoroi y_Numoe�: �(7 � O40 Z� `l2'� (Thls section need nof be completed il tpe p rmlf Is valued et e huntlred tlollars ($100) or less.) ❑ I certity ihet in ihe performance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to iha workere' compensatlon laws of Celit rnia, and agre th t If I should become subjad to [he workers' compensetion provisions of Saction 3700 of the Labor Code, I shall forthwith � comply wit `Ihese pr si s. �j ApplicantSignaWre: ' . � Dat� 7' � O � WARNINO: FAILURE TO S URE WORKERS' �MPENSATION CAVERAGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO IXJE HUNDRED T510USAND OOLLARE ($1 ,000), VN ADDITION TO THE dJST OF CAMPENSATIIXJ, OAMAGES AS PAOVI�ED F9R IN SECTION 37W OFTHE LABOR CADE, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARAT�ON: I hereby affirm ihat I am Ilce s d under �o�isions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Busine�s5 and Protessions Code, and my license is in full force end eHect�Lic�.. �� y� /7 � Class 4�-i Contre�s.SigneNre:'� n/�—� 4 Date�`7 �'7 /) 5� CONSTRUCTION LENDING AGENCV: - ❑ I hareby aifirm that �here is a consin+ction lending agency tor the pedormance of ihe work tor which this permit is issued. (Sea 3097, Civil Cotle). Lendels Name: Signature: _ OWNER-BUILDER DECLARATIONS: LendeYs Adtlress: Da�e: I hereby efFirm thet under penelty ot perjUry thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which requires a permit to constmcL alter, improve, demolish, or repair any strudure, prior to its issuance, also requires Ihe applicant for such permit to Tle a signed stetement lhat he or she Is Ilcensetl pursuant to the provisions oi tha Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Business end Professions Code) or Ihat he or she is exempt therefrom antl Ihe besis for ihe alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the eppliwnt to a civil penalry o1 �ot more ihen tive hundred tlollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as thei� sole compensation, WILL DO THE WORK, and the simcNre is not intended or o8ered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herself or through his or her own employaes, provitled ihat such improvements are not intended or oNered for sale. If, however, iha buildinq or improvement is soltl within one year ot completion, Ihe owner-builder will have lhe burtlen of proving ihat he or she did not build or improve for purpose ot sale.). ' ❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl ihe prqect (Sec. 7044, Business antl Professions Code: The coniradors License Law does not epply to an owner of praperty who builtls or Improves ihereon, antl who conirams for such projact with a contractor(s) license pursuant to the Contradors License Laws.). ❑ I am exempt untler sec. Business antl Professions Code tor ihis reason: Signature: Date: Owner ID verified by dnver's licensa. ❑ Yes ❑ No Driver's License No. Ezpires: Verification of Ownership by (type of document, i.e. - properry tax bill or deed): DIVISION OP INDUSTRIAL SAFETY PBRMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descentl, will be made in connection with work authonzed by this pertnit, and ihat no building simcture, scallol0ing, talsework, or demollilon or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia AdministratiVe Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from the Division of Indusirial Safery, as noted a6ove, unleu such person has a permit to do such work from the diVision. Signature: Date: Division of Intluslnal Sefety Permit Number: CER7IFlCATE OP COMPLIANCE ANU AUTHORVATON OF ENTRY: I cenity untler penalry ot perjury ihat I have read ihis epplication and state ihat the information given is wrrect. I egree to comply with all sta�e laws end city ordinances relating to building constmction, and authorize representa[ives of the Ciry of Costa Mesa to enter upon ihe ebove-tlescnbed property for inspection purposes. I agree not �o occupy or allow occupancy of any building authorized by ihis permit until final inspection. COUE I, INSVECTIONTYPE 7616 Fixetl System Finel Fire Preven[ion 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Final Sign 204 Final Demolition Qgj� INTRIAL (Olf e.. //I/�� • UEA INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlinyOccupancy IL71�L'InIL1�F7 Applicant to flll in all soaces except enose within neavy eortler iines ana sign all aDo�opriate tleclantions. f�Y OF COSTA MESA CONSTRUCTION PERMIT PE MIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 345 lJn i vers i ty Dr. _ Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Convacmr's Name �hone Address Imailingl c;,v u�e�se rvo. Owner Bui 1 der IICENSED CONTRACT00. DECLARATION 1 M1creby affirm tha[ I am licensetl untle� provisions of Chart« 9(commencin9 with section ]000) of Divislon 3 oi the Business antl Profezsions Code, ana my license is in full torce ana etleci. License Class License No. Oate Si9nature WORKERS'COMiENSATION DECLARATION I nereby affirm tnat I have a certificate of consent to selt-insure or a certiticate ' Workers' Compensatlon Insurance, or a certifietl copy thereof (Section 0, LaD. CJ rolicy No. Company eCertifietl Copy Is he�eby tumishetl. Certifietl copy is filetl wi[n tbe city Builtling Dlvision. Date Applicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (ThisseCtion neetl not bo complatetl If the purml[ is fo� ane M1untl�etl ($100) a� less). I certify lha[ in lne performance of tbe wo�k for whl<h Ihis pErm�t i5 issuetl, I snall not employ any person In any man�jer so as to becom subject to the Worke ' om en lion Laws of Calif nl�J Q/ A Oale _�_Si9na[u�e ��(�,� .{l�, �� rLi NOTIC If alte� making [his tlecla�allon, you ShOultl become subiect to the Workers' Compensdlion proNslons of thC Labor Cotle, you must forthwith Comply with Such provlsions or this petmit snall be tleemetl r¢voketl. CONSTRUCTION LENDING AGENCY 1 hereby affi�m that there Is a con5truttiOn 1¢ntlin9 agency fo� the pertormanC¢ of [ho work for which tnis permit is issuetl (Section 309� Civ. C.) Lentler's Name Lentler'S AOtlre55 OWNER BUILDER DECLARATION I hereby a/firm lhat I am exempt irom [he ConVactor's License Law for the iollowinq reason (Section 7031.5 Business antl Professlonal Cotle: Any city or counry which requires a permit to conztrucq alter, ImOrove, tlemolish or repair any structure, prior to ils issuance, also requires tne apP��cant for such permit to �ile a signetl slatement [M1al he/She is IiC¢nsetl pur5uan[ to tlte provisions of the Contractor's Li<ense Law (Chapter 9(commencing with Section ]000) ot Divizion 3 01 tbe Business antl Professions Cotle) or that he/she is exemD� �relrom antl the basis tor Ih¢ allegetl exemp[ion. Any violation of Section I7.5 by any applicanl fOr a permil 5ubjecl5 the aOPlicant to a civil �, .ialty of not more tnan five huntlretl tlollare (E500). �'I❑ 1, as owner o� the property or my employees with wagez as their sole compensatio0, will tlo lh¢ wo�k, antl [he slruc[u/e is no[ intentletl or offe�etl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's License Law tloes not apPly to an owner of a property who builtls or impmves SOereon, antl who tloes Su<h wo�k hiTself/herself or thrOugh his or h¢r own employees, provitletl that such improvemen[s are not inientletl or offeretl for Sale. It, nowever, the bulltling or Improvement It sola wltnin one year ot com- pletion, the owner will nave the burtlen oi provin9 ha/she tlitl not buiitl or im- r ve tor the pu�po5¢ ol sal¢). I, as ownm ot Ih¢ property, am exclusively Cont�acting with Iiceni<tl con- r ctors to construct the oroject (Settion 7044, Business antl Professions eotle: The Coniractor's License law tloes not apply to an owner of oroperty who builtls or imoroves thereon. antl who mntracts �or such oroiects with a con. tractor�sl hcense pursuant ro�ne Contracror'S License Law). I am aware Ihat proot o( tM1eir Wo�ker's Compensatlon Insu/ance Shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner 1 hereby cert fy that I have read this application antl state that tne above informatlon is correc4 I agree to comply wlth all city antl county ortlinances antl State laws relaling to bulltlinq const�uc[ion, antl he�eby authorize repre- sentatives of this cil to ent � upon th¢ dbove-mentionetl Oro ert for Inspectlon p/�rp so Y Sl9nature C�� (,�� —��. Date .Orivers' License oi 55 � � � 01 A.P. � D S Main Building: TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T FrOnt DESCRIP710N OF WORK/USE OF BLDG. I A Rear TVPEOFPERMIT GRADING FOVNDATION STRUCTVRAL � C Right ❑ TENANT ❑ ELECTRICAL ❑ PLUM8ING ❑ MECHANICAL S Left ❑ oTHER " � Ping, Ref. # PROJECT DESCRIPTION 5�. FT. 59nn OCCUv�CarvCV Planning Notes: C O N 5T RUCTION TV PE V ALUATION 513� O. OO 20NE GRAOING CV. VDS. ACRES Rema�k�: Reroofina Sink Preventer Irrigation Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets I nterceprors Kitchen Sink Lavatories P—Trap Roof Drains Reinspaction Fee � $15 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System � Multiple FirepUFacL Blt. iCBO # Heating Sysrem & Ducting ❑0-100,000 BTU 0100,000 Reinspection Fee � $15 OB65-46, �ev. 5/88 White - Builtling; Canary - AOP��ant: Pink - AGcounting; Goldenrotl - Assesso� Showers Service Sink Sewer (;ap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays laue Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System ❑o-ioo,000sru ❑ioo,aoo System Repair/Alteration Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole So Cooking Unit D ishwasher Dryers ❑Gas ❑E6 Fan F.A.U. Fixtures Device Boxes QUfIEtS $witches Garbage Dispoul Generator �0-5 KW $ 3 FEES $ 3 2one Accessary Building: Parking Req./Provided ELECTRICAI Transformer � 15-50 KW ❑ 50+KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors � 0. 7 HP � 1 Yh - 6 Inc.Solar �9-15 HP �i6-15+ Microwave � Pole Light Range I I Standing Sections 5 KW I I Trash Compactor � Reinspection Fea �$15 I � Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By BuildinB APP�ovad By APOIIC3(1011 �SSUBt� BV FEES $ 3 N 1 N G R E Q M T S. SUM��p)p� 1(,9F FEES ]� BUILDINGPERMIT $ �+�'l�V SMIP $ 'S`�' PLAN CHECK $ PEFMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ p�� /� MECHANICAL $ TOTAL FEE $ ��= L PLAN CHECK 25% $ O1 QD]39_"3I-uQD�9832 '27 :' ' DATE: OE/�G/;9 TFfl�: Cv:�-� r� ��- . .1 . . � ` •CONSTRUCTION AND PLANNING POO iPA . � � APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole " 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �� 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 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. �� S. 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 � ��' i t. Property Sewer Line & House Connection � 62. Backwash �& ReceptorFinal � � 72. Sewer Cap ', 63. Heater & Vent-Final ' • 13. Roof Drains � � • 64. Plumbing SYstem - Final 14. Rough Plumbing 65. Elecirical-Final � 15. Rough Electrical-Conduit 66. Solar SYstem-Final �;t6. Rough Electric Wiring 67. Fencing & Access Approval .17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '1�8'. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL �_ 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �20. Rough Factory Fireplace APPROVALS Permit # 21. Duc[s, in Structure 70. Underground Hydro 22.�Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof'Sheathing � 74. Overhead Hydro 26.. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27: Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CE(iTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioniny 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenuation � � 46. Handicap Regulations r 47. FINALSTRUCTURE&BUILDING ��f' 48. Special Requirements Completed 49. Electric Release to Edison n. 50.GasReleasetoSouthemCalifomiaGasCo i' �� '51. CERTIFICATE OF OCCUPANCY ��' • � No. Date ~�� J' L. 4 3 w P �t� 2 n I � N et �---� w �� 12L 1112L1: Y tl enaecrauoacss: 34S UNIVERSTTY DR � u"�T iC-2 OWNEq'S MAME: CAROL L. DURNATIi � aooa¢ss:345 UNIVERSITY DR '� COSTA MESA CA 9.2627 (d�6—��68 AflCH/ENOINEEfl: AAA ATLA5 RQOF I NG REO.NO.: NO �� R�DflES3: 1-�OS 6. GREENVILLE ��`NONE SANTA ANA CA 92704 Pa oA ss: �INGTLAS ROOFING ( 714 )�47-19(iEi 1791 S. GFtLENVILLE NONE SANTA ANA CA 92704 UCENSFO fANTMCTOR DECUMTION: 1 he2Dy aifirm ttat I am IicenuE antler Dmvisions oi C�apter 9 �commencinp wiih Section 70W) ol �Niswn 3 ai the Business aiM Professions Cotle, and my Iicense is M tWl lmce a�M effect. cm uc.: 0'1 t3 0 0 b BTaTF uc.:2 q S 9 G � E� C J 9 Uare: -Oly--ii+ �`� Sipnamr � WOA%ERS' C�MPEMS0.TION OECUMTION: I l�eresy attirm tAat 1 �ave a cert�ficate ol ¢onsent to s-insum w a certifkate ol Workers' ComDensation Insurance, ar a cetti/iea copy tAereof (Sactian 3800, LaO. C�. PoUCY Na.: EYP. OATE: COMPANY: (�l CenifieC copy is here�y fumisMA. ❑ Certi/i!tl topy i5 fllM wlth IM City 9NICaip OiVRion. '_.�. Applicant ptEMifION FqOM WONIIENS' COMPEHSRTION UECUMTION: Rhis seclim nee0 not Ee comp@teA ii tAe permil is lor o� AimdreE (E700) or kss). I certity tAat in Ne Dertormance ol t�e work 1or w�ic� tAis De�mii is issued, I sAall not employ any person in any manner so az ro AerAme su6ject to the WoMers' Cmnpensalion Laws M Calilomia. Date: - Sipnature: � � • ' NOi10E: II, alter maknq Nis Eec�aatlon, you s�oulC Aecame su6ject m tM1e Workers' Compensation provisions ot Ne LaOor Cotle, you must IodhwiN comDly witA such pmvisions or tAls perm¢ shall be AeemeG revakeU. COXSTNUC710N LENOING AGENCY: I M1ereby aKrm Ihat t�ere is a construction lendinp aAency for t�e peAormance a/ t�e woM far wAich thk permit is issuetl �Section 3097, C'rv. C). LENOEfl: �OUflE$$: ' ' OWNEP BURDEH DECUMiION: I nereby aBirm Ihat 1 am exempt trom �he Cani2ciars' Slate License Law lar ihe �onovrinp reason (Section 7037.5 Business and Protessional COEe'. My ciry oi counry which r¢puires a permit to constrocl. alter, improve, Oemolish, o� repair any strucmre, Wiw to its issua�e, alw repuires tne applicant tw sucn ce��< <o �i'� a signed statemen� Nat IWshe is IicensM Dursuant to the pmvisians o/ W CunVutars' SUte License law (Ghapler 9(commencinq w¢� Sectian 700�) al 0ivisinn 3 al Ne Busuiesi an0 Pmfesslons Code� or that he/s�e is exempt Iheafmm and tAe basis /or Ihe atlepetl exemptlon. My violatiw ol Section 7N1.5 Oy any apDliwnt /or a permfl subjects the applicanl to a cNil penalty ol not more ihan fiva huntlre0 Oollars �5500).' I. ss owne� of tln DropertY m mY emp�%'eEs with wap¢s as their sole�compensation. will Eo tln wo�k. aiM the ❑ :tructure is nat inte�aea or o11ere4 tar sale (SecUun 7bW, Bus��esi and P�ateisianal fqUe: TM Contractors' Stale License law Aoes not aDPh �o an owne� o� a OroDerty wlw bmlQs or improves Nereon, and wlw tloes such wark himstWhersell ar tAmuph his ar Aer awn emWoyees, OranEetl that such improvemenis are not inten0¢tl Or offered lor sale. II, hawever t�e OuilUlnp o� improvement is sold withln one year of completion, Ihe mmer wiil Aava Me burden ot proNnp he/s�e Oi0 nol build or imDrova � for the ourpose ol ule). . I, as ovmer of Ihe proDerty, am erGusively contractinp wIIA Ilrensetl contracrors ta wnstmct ihe D�oled (Section 704A. Busines5 ❑ and Prolessians CoOe: The Canttactors' State License Law aoes not apoN lo an awner aI Drocerry �ro Uml& or improves IAereon and who wniracts tor suc� prol�s �� a com�ac1m�s) iicerrse D�uam to tha Comrznors' Stata Licrose Lawy. I am aware that prou/ al their WoA:er's Campepsatron iniwance stwuW ba pavid¢tl to me. , � i am exempt unAe� Seqion: B. S P. C. for mis reazan: Dete: Omer. ' I do nere�y certity �hat I am aware ol antl undersWnE tAe reQuimmenis oi Calilomia Mealih and Salery CoUe Sectia�s 25505, 25533, anA 25534 anG t�at I or any luture 6uilGinp occu0ant wilVwill not (drde one) neetl ro compty with saiA sWte caCes anC Ne.repuimmenis lor a pprmit tor construction ar mo0ifcation hom t�e ti� Ouality Man�pement Olstncl. Pesi0en0a1 ponstruction flpplications are exempf fmm �Mse provisions. � �ate: ppplicam�. I �ereby cetliy ihat I Aave rea0 tMs aD7��wtlon an0 stare [hat Ne a0ove informa110n is correct. I aA�ee to compry wilA all ciry anG counry oMinances an0 sWle Wws relatinp to buil0inp conswclian anE here6y ihorize representa' es at �'s ory lo emer upon me above-mentionea propE�ty tor inspection DUrpo5e5. {�J� Date: Sign yw .�/��f OrNei s Licensa or Sociai Sewriry �': $ ' ifietAe W�ite—BUIWi�g: Green—Cotle Eniorceman�; Canery—ApO�iCan�; Pink—RevBnue; GO�tlenrotl—Fsaeasor CITY OF COSTA MESA — BOZI.11ING PERMIT PERM NO: 9 04A67F3 PERMIT NO: H 04467F3 PLAN CfiECK NO: 01162-89 .�'i GO(�7': N SUYP: N CONSTRUCTION TYPC: V-=N PERMIT TYP�: STR PURPOSE: ADD JOB DESCRIPTION : AUD SKYLIGHT TO EXTaTING SI'll , SQ FT: 600 CLAIM VALUE: 600.00 CALC—VALUE: 600,00 GROUP OCC: R�-3 / COMMENTS: SXYLIGHT ONLY. NO RE—ROOF. NO CUT RAFTS. ' ****+��*+�****x�+�****+�*+�**a�* ��r*+��x **�r�*+��r�r*�r**�r*�**��r��r� �r�*��r�******�***�*�r�***x � 2 O N I N G R� Q U I R E M E N T S ' S E T B A C K S ------------- MAIN BUILDING ---------- -------=— ACCESSORY HU3LDING ---------- FRNT: FT IN REAR: FT IN FRNT: PT IN REAR: FT ' IDI LEFT; FT IN RGHT: FT IN LEFT: I'T ZN RGHT: FT I�] PARKSNG REQUIRED: PARKTNG PROVIDED: PARCEL: 00000000 ZONE: PLANNTNG NOTES> ' > *�+�****��r�r+��x+e*�*�******+�*r�*****+�*�c**+t*�****�*+r*x ��*�+t***�r**�r**�rx�**;�t��t��r�� Mx D£ CT E L O P M E N T S E R V I C E S R. E Q U I R E M E N.T� S ZONING APPROVED DY DATE: BUILDING ApPRUVED HY ; _� _ � _ DATE: �G�.'�/� APPLICATION ISSUED BY:� , � DATE: [�� 3EiEff�E#iElfiEiElfff�7EiFfE1E1E1EifiFiElfiE {� �� iif i�f3f�f�f�{FiElEifiEifif�f�fififaFiEjF �# iEiEiEKitifiElE�fiFkikiFi6�lEiEifiiFitifiEiEiE�E1EiF�IfiElEafiEiErtiEifiEi6iFiE�EitiEiF� rtiEi4itiE�lEifi4fEif%iFjFiElflElFi�riFiE�l'iE3EiEi4iFiF%iEiE�EiE# LHGALiZATION:N � F E E 'S U M M A R Y• STRUCTURAL 5EGMENT;Y HLDG PMT PLUMDING EL�CTRPC MECHANIC FIRE SMIPIRES GRADING FERMIT 17,00 . ' .50 ' f'N' SMIP/NON--RES TSSUF. FEE 11.45 . ' • . , BUZLDING—DZV—> PERMIT ISSUE PLAN��CHECR TOTAL PAID � DUG TOTALa----> 17,50 0,00 .` "•T1.05 2ES.55 2(i,55 .04 REVENOE DiVISION TOTAi,S--> COLLECTED: 28.55 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC� FIRE SMIPJTOT GRP_DING PLAN—CHECK 17,00 .. .SU ]1.05 ik if it 3f 3P if it 3F if �lt 3F #�P %)f � iE if iE i4 iE #�)f df N� dE if K it �)h if if iE IE iE iE iE iF if iE if if� �# 9f �E � iE # if iE 3(� iE af * iE iF iE if iF* if iE fF # 1f it �x� iE �14 iE it iE 3f �Ik iE iE M� �lf ` I N D I V I D U A'�L , F E. `E B R E A K D O W N � �, . , TYPE QTY D E S C'R I.P T' I O�N UNIT COST TOTAL COST , SPR 60U ALTEk BY VALCIE RESiDENTIAL+ NOZONE 7.00 600.00 END OF 'F�I.S Y ' i f� '� %• � j:: J ■ e CONSTRUCTION AND PLANNlNG APPROVALS Permit # � 1: TemDorery Electrical Service or Po�e . 2,_ Soil Pipe-Undrgmd. , � � 3: Elec2ricai�Conduit'UtilitY-Undrgrnd. � 4. Electr'ica! Conduit-Undrgrnd � • - 5: •Steel Reiriforcement . 6. Electrical UFER Grnd. )'.. Footings ' -` 8. Foundation .� � �i ' 9. Water Pipe-Untlrgrnd. ; � /; 10. Structurat Floor System � �n 11. Property Sewer Line. & House Connection 12. Sewer Cap - ..s'� 7$ rloof Drains� . � �� , i., � .�n. Fough Plumbing � 15. Rough Electriwl-Conduit/ ' t 16. Rough Electric Wiring ' � 17, Rough Wirin9 Sign 18. Rough Electrical-T Bar Ceiling 19._Rough Heating & Air Conditio�ing ,_, . ZO:��Rough Factory Fireplace . , .-: 21. Ducts,in Structu�e ' ' : , 22. Ducis, Ventilating • . 23. Gas Pipe-Rough & Test . 24. Roof Framing . � � 25. Roof Sheathing r ' 26.� T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing _ � 28. t,.athing�& Siding. - � _ _ 29, Msulation ; � � -- 30. OrywalLNailing . •- � 31. Plaster Brown Coat- � ' � _ 32. Electrical Power Meter-Final � 33.- Final Electric ' •34.. Finaf 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 pomesticFinal - - 42. Backflow Preventer � 43. Backflow Irrigation � 44. �andscape liri4ation System ' � 45.-Sound Atte�uation � � • � 46. Handicap Regulations ' . � 47. FiNAL STRUCTURE & BUILOfNG 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern Calitornia Gas Q 51. CERTIFICATE OF OCCUPANCY Date Date a �� ' POOL °A Inspector qppAOVALS Permit# Date 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor�Final � 63. Heater & Vent-Final 64. Plumbing System � Final 65. Electrical-Final 66. Solsr System-Final 67. Fenci�g & ACcess Approval 68, APPROVED FOR PLASTERING 69. � POO L/SPA SY ST E MS F I NA L _ FIRE DEPT. REQUIqEMENT . =��, APPROVALS ��Pe[mit# � ��, 70. Underground Hydro , . '71. Product Piping OGas ❑-Oii ' - 72. Underground Flush - - 73. Undergmd. Storage Tank O Gas � Oil - ' 74. Overhead Hydro . � _ 75:. Dry Chemical - 76. Dry Standpipe . � . r . 77: FIXED SYSTEM FINAL !-' ' ` 78, fIRE PREV. FiNAL - HEALTH DEPT. REQUIREMENT - '79. FINAL INSPECTION ' - ��= : �"'��,' B0. FOOD CERTIFICATE ISSUED '� - � Notes: /✓.7.CG,,.%`-/i� Inspector .} �: J � / � 1� , �i ! � �� I JOB ADDRESS345 K University Ave. BUILDING PERMIT AP No.119__ IF CTIONS so�_ inc IINOERGROUNO U POWER ROOGH WIRING TRENCHES �� FORMS 0 FRqME AN� FLASHIN.� LATMING - IN OIIT PLASTER, BROWN COAi STP"CTURAL FINRL NF G, VENT., REFRIG. :'Iy:a1jIG7Tfl SUBCONTRACTOR �.. GGrtic� �� zE'e.r�-� %��7� �-r ��a.e � � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 345 UNIVERSITYDR Suite: G Vicinity: UNIT G ROOF Primary Occ: R3 Parcel Number: TPN005068 Type of Construction: V-N Zoning: ApplicanC PABLO LABATO SANCHEZ Address: 1235 N SAN DIMAS AVE -�. Phone'�-' 626-852-2110 ISSUED BY: SAN DIMAS, CA -�'°"�i ` - � Zip: 91773- � . . �.,;y�.r`�.. Owner. WOODSTREAM HOMEOWNERS`ASSOCIATION ' Address 345 UNNERSITY DR„ � ; ;„,�` � � ��:- , �, g " � ' �- �� Phone e�_� ' . :COSTA MESA, CA - � Zip 92627 - � ,,, . �, , __ , . . . _ _ .. Comractor CONDOMINIUM,CONSTRUCTION SERVICE, INC Address. ,�1235 N SAN DIMAS AVE t�� -- Phone: 626-852-2110 � SAN-DIMAS, CA ' -� Zip ;_- 91773 � .: ;.license: 691243 , , Status: ISSUED Applied: 10/O6/2005 Issued: 10/06l2005 ,.',ArCh : ., � :.�.:. .��Address:-. , ., �Z�p:,, , _ u: REROOF CON�O BLDG #G . T/O EXISTWG COMP ROOF 3,:29SQUARES ` �. �` Plan Check '$0.1 � ssp�Permit,� $125 SMIP Res ; $O.I SMIP Com �$0 I �-0ther.�,_ �-=$01 �"Inspection: �$01 TotaL•' $125 : Eng: Address: Phone: ��. , ,� Licensei , . �. Phone. ` ' . Licenser . SGOPE OF PERMI I � 5��-. _ • ., ; , �. EPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY 40-YEAR'GOMP SHINGLE; �." �� T FEE SUMMARY � ,�.'7 = s � Ic Valuation 5 � � Claim Valuation ,� �:,.n� �'� w� 5 ,� ^ RLANNING 8 ZONING SETBACKS e MAINSTRUCTURE Fronf e 0=0'-� �>¢ Rear 0 0 _�,-.•, Left� �0-0�� Rigfil � 0-0 .. .. , . , . . = ��' ,�_ , _ . - o.. -_ '" =. , -�, ACCESSORY � Front 0 0 Rear 0 0„ . .Left �0-0 � Right 0-0 '-�� - � � a'�' ' . , �' . . PARKING �"Existina �,: o Required . 0 - � Pr000sed - -0 � �; - �� ,_ � � �,� � d� - $s,000.00 $s,000:oo NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetione and flnel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (7/4) 7545826 zsas�ae (�ao) WORKERS' COMPENSATION DECLARATION: , � - ' � I hereby aRirm under penalty of perjury one of ihe tollowing declarations: �� ❑ I have end will maintain a certificate of consent to selGlnsure tor workers' compensation, es providetl tor by section 3700 ot the Labor Code, tor the performance of the ��, wark tor which ihis permit Is issued. � ='$�e antl will maintain workers' compensa�ion insurance, es requiretl by section 3700 of the Labor Code, for the performance of the work for which this pertnit is issued. ?�""'My workers' compen ti n Insurance cerrier antl polic number are: „ caz��a�;;,�pPcta�y romb��e�� t�s Co Pou��.N �h /�C�S�-0oe23�23 ❑ I certify that in tha performance oi the work for which this permit is issuetl, I shall not employ eny person in any manner so as ro hecome subject �o the workers' compensation laws of Calii r ia, and e e that' I shoultl become subjact to lhe workers' compensation provisions of Section 3700 of Ihe Le6or CoOe, 1 shall brthwith comply with these pr isi ^\� / �� ApplicanMSignetura:. �l" ' �1 4/�1 Date�: ��-�u " a W� F.'FAICUR TO S URE WOFKEFS' CAMPENSATION CAVERAGE IS UNLAWFOL AND SHALL SU&IECT AN EMPLOYEATOCPoMIN4L PENALTIES AND CIVIL FINES UP TOONE HONDflED THOUSANDOOLL4RE(§1 ,OOO�,INADDITIIXJTOTHECOSTOFCOMPENSATION,DAMhGESASPROVIDEDFpRINSECTION3]O60FTHELABORCADE,IMEREST,ANDATTOFNEV'SFEES. LICENSED CON7RAC70RS DECLARATION: I hereby aHirm that I am licensec� nqer provisions oi Chepter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Cotle, end my license is in full mres`ana•mtect. �ic. a � 7/2 i�3 n. . .�h u /� CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm ihat Ihere is a construction lending agency for ihe performance ot Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Nama: Lentler's Address: Signature: Dete: OWNER-BUILOER DECLARATIONS: I hereby affirm Ihat under penelty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Profeuions Code: Any city or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any struclure, prior to its issuance, also requires the applicant for such pertnit to file e signed statement ihat he or she is licensetl pursuant to the provisions of ihe Contrectors License Law (Chapter 9(commencing with Sedion 7000) oi Division 3 of the Business antl Professions Cotle) or ihet he or she is exempt therafrom and the basis for Ihe allegetl exemption. Any violetion of Section 7031.5 6y any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred doilers ($500).): ❑ I, as owner of ihe propeny, or my amployees with wages as Iheir sole compensation, WILL DO THE WORK, and the stmcture Is not intentled or o%eretl for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who tloes such work himseH or herseN or ihrough his or her own employees, provided ihat such improvements are not intended or oHeretl for sale. If, however, Ihe buiiding or improvement is sold within one year of completion, the owner-builtler will have ihe burden ot proving ihat he or she did not build or improve tor purpose of sale.). • ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Professions Code: The contrac�ors License Law does not appty �o en owner of property who builds or Improves �hereon, and who conlracis tor such project wl�h a coniractor(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 tlnver's license. ❑ Yes ❑ No Driver's License No. Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify ihat 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 ihis permit, and that no building simcNre, scaifolding, falsework, or demolition or tlismantling ihereof, will be more ihan thirty-six (3fi) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title B, Calitornia Administrative Cotle). ;� ❑ As owner-builder, I will not employ anyone m do work which would require a permit from ihe Division of Industrial Satery, as noted above, unless such person has e permit to do such work from the division. 4 Siqnature: �" - Date: Division ot Indusirial Safe�y Permit Number: CERTFlCATE OF COMPLIANCE AND AUiHORIZATION OF EMRY: I cenify undar penalty of perjury ihat I have read ihis application and state Ihat ihe information given is correcL I egree to comply with all state laws and city ordinances rela�ing to building constmqion, and authorize representatives ot ihe City of Costa Mesa to enter upon ihe ebove-described property for inspection purposes. I agrse not to occupy or allow occupancy ot eny building authorized by ihis permit until finel inspection. LO�E N, INSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final . . Final Re-Roof Finel BIocWRetaining Wall Final Factory Fire Place Final Si9n 204 Final Demolition DATE INTRUL J-�" V �� Da�e ih —., i _ n/� COUEN INSPECTIONTYiE 206 Final Mechanical 20B Final Plumbing . 210 Final EleCtnCal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy f73��CiiiYF.1S�, ! AOPlieant lo fill in all spaces except tnose within neavy border lines anC sign all aOV�opriate tleclarations. CI7Y OF COS7n MESA CONSTRUCTION PERMIT r�o`�Lndd�e:s _345 lJniversity Dr Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contractor's Name Phone Address (mailing) c�ty u�e�:e rvo. Ownar Riii 1 dpr LICENSED CONTRACTOR DECLARATION I hereby affirm that I am lic¢nsetl untle� provision5 of Charte� 9(commencinq with section ]000) of Oivision 3 of [he Business antl Professions Cotle, antl my license is in full force ana etiect. License Class License No. Date Signature WORKERS'COMPENSATION DECLARATION I hereby aifirm that I have a certifiwte of consent to self-insure or a certlficate '�Workers' Compensation Insurance, or a certilied copy thereot (Section 10, Lab. CJ iicy No. Company eCertifietl capY is hereGy furnishetl. Certifietl mpy is filea with the tlty Builtling Division. Date APplitant EXEMPTION PROM WORKERS' COMPENSATION DECLARATION (This section neetl no[ be completetl if [he permit is for one huntlretl ($100) or less). I certify Ihat in [he performance ot the wOrk Por which tM1is pe�m{9�t is issuetl, I sM1all not employ any person in any mdn� So a5 to �o��bject to the Worke ' om e s ion Laws of Califp( nia Date Signature `'- / � �� NOTIC : f fter making this tlEclaratiOn, you 5 O tl become Subject to th¢ WorkerY Compensation provisions of the Labor Cotle, you must torthwith romply with such orovisions or tnis permit shall be tleemetl revokea. CONSTRUCTION LEN�ING AGENCV I hereby ai(irm that there is a mnstruction lentlin9 agency for the perfarmance ot Ihe work tor wnich t�is permit is issuetl (Section 3097 Civ. C.) Lentler's Name Lender's Adtlress OWNER BUILDEft DECIARATION 1 hereby aitirm that 1 am exempt from the Contractor's License Law tor tne following reason (Section �031.5 Business antl Professional Cotle: Any city or county whith �equi�es a permit to const�u<t, ali¢�, imp�ove, tlemolish o� �epair any structure, prior to its issuance, also requires the applicant for such permit to file a signetl statement that he/shC is Iicensetl pur5uant to tite provi5ions ot the Contractor'S License Law (Chapter 9(commencinq witM1 Section �000) of Division 3 of the Business antl Professions Code) or that he/sne is exempt '^erefrom ana the basis tor Ihe alle9ed exemption. Any violation oi Section ll.5 by any applicant ror a permit subjects the applicant to a civil .alty of not more than live huntlretl tlollars ($500). ' �'1, as owner of tne property or my employees with wages as their sole compen5ation, will tlo lhe wo�k, antl the st�ucture is not intentletl o� ofter¢tl for sale (Section ]046, Business antl Professional Cotle: The ConVactor's License Law tloes not appty [o an owner ot a p�operty who builtls or improves thereon, antl who Coes such work himseli/herself ar through his or her own employees, P�ovitletl Ihat such improvements a�e not intentletl o� offeretl Po� sale. If, however, the builtling or improvemen[ is sold within one year of com- pletion, the owner will have the burtlen oi proving he/she tli0 not buiitl or im- r ve for tbe purpose of sale). I, as owner ot the property, am excluslvely tontraCting with licensetl Con- � ctors to construct the Droleo[ ($ection 7044, Busine55 antl Prote55ion5 COtle: The Cm[rattor's LicenSe Law tloe5 not apply to an owner ot property who builtls or improves [hereon. antl who conVactS for such oroietts wrtn a con- iractor(s) license pursuam ro me Con[rac[or's License �aw). i am aware that proof of their Worker'S CompensatiOn insurance Shoultl be O�ovitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason oate I hereby certrty t intormation is cori antl state laws rel� Sentatives of Ihis inspection p r o Signature � � Drivers' License or 0865-46, rev. 5/88 — Owner I have reatl I agree t0 � la builtlm� to enter � Wh tnis application antl state that the above omply with all city antl county ortlinancez con5buction, antl hereby auiho�iie rep�e- upon tlte above-mentionetl `p,�ro/p_e�ty/ ^fOpr �ate�z Builtlin9� Canary - APplicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer ConnectiOn Solar Collec[ors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fae Hood or Type I ❑ Canopy Type 11 ❑ Refrigeratlon Sys[em ❑o-ioo,000aru ❑ioo,00asru System Repair/Alteration Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole Si Cooking Unit Dishwasher Dryers ❑Gas ❑E Fan F.A.U. Fixtures Device eoxes Outlets Switches Garbage Disposal Generator 00.5 KW Fee zane Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps lectric Sub Panel ' Motors �0-1 HP Oq X- 8 Inc.Soiar �9-75 HP �16-15+ Microwave Pole Light ' Ran9e Standing Sections 15 KW Trash Compactor $15 Issue Fee FEES $ 3 N N G R E Q M T S. $ 3 DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By Date FEES Building Appravad By � DatBFl �� Application Issued By- Dat SUMMARV OMFElEES BUILDING PERMIT $ .�5�-'�✓ SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ � ENERGV P.C. $ EIECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ �+�[ MECHANICAL $ TOTAL FEE $ -� r Sv PLAN CHECK 25% $ $ 3 �: 04�3982`-Ga0;s9&26 "4'u�"5' `+-5i DnTE: 08/0if:9 T2Pi_: G9:2� QONSTRUCTION ANDPLANNING POOL PA �APPROVAL$ permit # Date Inspector AppROVALS Permit # Date Inspector t. 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, � Undrgmd., Test -• ` 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. .; � 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection � ' 62. Backwash & Receptor-Final � 12. Sewer Cap ",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 L6. Rough Electric Wiring 67. Fencing & Access Approval JJ 17. Rough Wiring Sign 68. APPROVED FOR PLASTER(NG ,.�. •JS. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL �19. Rough Heacing & Air Conditioning FIRE DEPT. REQUIREMENT i ,. i 2d. Rough Factory Fireplace � APPROVALS Permit # 27. Ducts, in Structure 70. Underground Hydro �2. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof�Framing 73. Undergrnd.StorageTank OGas ❑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 Heatin9 & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Ca�opy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflowirrigation �_C �- 44. Landscape Irrigation System `=, 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING _� 48. Special Requirements Completed 49. Electric Release to Edison l"J 50. Gas Release to Southern California Gas Co ��.�� 51.CERTIFICATEOFOCCUPANCY ;' �1, No. � � Date ,. � � , � ` i UtJIVE251N ��E � -' N �D V' � L _. 1 I v �vG��ant to �i�l in all spaces except tnose within heavY eoraer lines antl sign all aooroo/�ata Oeclantionz. CiT'�F COSTA MESA CONSTRUCTION PERMIT P�o;e«nda��s _345 University Dr. Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contraccor's Nam Phone Address Imailing) City License No. �,;,,o,_R�;��^ LICENSED CONTRACTOR DECIARAT�ON I hereby aftirm lM1al I am licensetl untler provi5ion5 of Charte� 9(commencing with section 7000) ot �ivision 3 ot lhe Business antl Professions Coae, antl my license is in tull /orce antl effect. Llcense Class Llcense No. Date Signature WORKERS' COMPENSATION DECLARATION I hereCy affi�m Ihat I have a certifitate of con5¢nt to 5¢IfdnSu�e o� a certlficate Workerz' Compensation Insurance, of a certifled copy [hereof (Section �Q �ab. CJ �Iicy No. ComPany 8 Certifietl mpy Is hereby fumishetl. Certiiietl copy is filetl with ihe city Bu�ltlin9 Division. EXEMPTION FROM WORKERS' COMP6NSATION DECLARATION (This section neetl not be completetl if the Permil i5 for one huntl�eU (E300) or less�. 1 cerlity that in l�e perfo�mance of tne Wo�k to� whlch thls perm�t is IZSu¢tl, I shall not employ any person in any maPner so as to become subject to the Worke mo a n Laws of Calit nia.I / /� Date _Signature ��,I(T/ _(]� � �"— NOTIC : It, fter making this tleclaration. You Snoultl become suDject to Ne WOfk¢R' COrt1pC�5dUOl1 provi5ions of tbe �bar Cotle, you must fort�with comply with Such prOvi5iOn5 or this Permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that there is a consiruction �entling agency for tne performance of the work for which [his permi[ is issuetl (Section 309] Civ. CJ Lentler's Name Lentler`s Atltlre55 OWNER BUILDER DECLARATION I hereby alfirm lhat I am exempt irom the Contractor's License Law for tna following reason (Section 7031.5 Bu5ine55 antl Profes5ional Cotl¢: Any city or counly whiGh requi�es a permit to const�uct, alter, improv<, tlemolish o� repair any structure, prlor to its is5uance, also require5 the applicant tor such permit to tile a siqnetl slalement tha[ he/she i5 I�censetl pu�suant to [ne prOvisiOns of (he Contractor's LiCenS¢ Law (Chapter 9(�ommencing with $ection 7000) o( Division 3 of the Business an0 Professio�s Cotle) or that be/she is exempt �refrom antl Ihe basis tor the allegetl dxemption. Any violation of Section '1.5 by any applicant �or a permit subjects the aODlicant to a civil �alty of not more than five huntlretl tlo�lars (y500). L� I, as owner ol the prooerty or my employees with wages as their sole Compensa�ion, will tlo the work, antl the structure Is nol Intentletl or off¢retl tor wle (Section 7044, Business antl professional Cotle: The Contractor's LicenSe I.aw tloes not apply to an owner Qf a property who builtls or improves Ihereon, antl who tl0es such work himsC�f/hetselt or througn hi5 Or h¢r own employees, 0/ovitl¢tl [hal such improvements aro not mtentletl or oifaretl tor sale. I1, M1owev¢r, the building or imptovCment i5 Soltl wi[hin one yea� of com- pletion, the owne� will hav¢ the burtlen Jf p�ovin9lte/she tlitl nOt builtl or im- va IOr the pu�0o5e of sale). I, as owner of tbe property, am excl�isively contractlng wi[h licensea con- ra tors lo consV uct the prqect (Section 7044, Business antl Protesslons Cotle: The ConVactor's License Law tloes not applY to an owner of property who builtls or improves tnereon. antl who conVacts �or such oroiects with a con- tractor(sl Lcense pursuan[ [o me ConVactor•5 License Law�. i am aware that proof of tbei� Wo�ke�'S Compensation i�zurance shoultl be provldetl to me. ❑ 1 am exempt untler Section � 8. & P. C. (or this reason Date I hereby certit that I information is correct. I antl state laws rela[ing 1 sentatives of this city Inspectlon p oo s. SignaWre Drivers' LI<ensc or 55 � OB65-G6,rev. 5/88 ' _ Owner have rea �c' tl this app�ication antl state that lhe above comply with all city antl <ounty ortlinances �q conSVuction, antl hereby du[hoNie �ep�¢- {� up n tne above-mentionetl pr/9 �pert/y.�t�o.r Date lf�/ / L.p'�7 � ` Pink - AGcounting: Goltlenwtl - AssessOr Showers Service Sink Sewer Cap Sewer Connection Solar Collector5 Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Warer Heater Water Service Auto-Wash Isue Fea Hood or Typel ❑ Canopy Typell ❑ Refrigeratlon System ❑6700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers laue Fae FEES $ 3 $ 3 Zone Accessory 8uilding: Parking Req./Provided ELECTRICAL Automatic Washer Trans(ormer ❑ 15-50 KW Construction Pole Sub. ❑ 50+ KW Cooking Unit Meter ❑up to 100amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors �0.1 HP 01 h- 8 F.A.U. Inc.Solar 09-75 HP 016�15+ Fixtures Microwave � Device Boxes Pale Light � Outlets Range Switches Sign Garbage Dispoul Standing Sections Generetor �65 KW 0545 KW Trash Compacror Reinspection Fee �$15 � � Issue Fee DEVEIOPMENTSERVICESREQUIREMENTS: Zoning Approvad By Building Approved By FEES $ 3 N � N G R E � M T S. SUMMARV��% F F ES BUILDING PERMIT $ SY-i��SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PIAN CHECK 25% $ ENEFiGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICFOFILM $ MECHANICAL $ TOTAL FEE $ '�� PLAN CHECK 25% $ 01 0��39827—CII039823 'CO'T .:. ;; D�'E: 03l�P/99 sI�E: C?a.5 . ... . ;, �-,. . . , �-, . .r , . .. t_.S CONSTRUCTION AND PLANNING POOf �PA ♦ APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electriral 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-Undrgmd. . � 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � ��;• 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Strucwrel Floor System � 61. APPROVAL TO DECK - �11. Property Sewer Line & Hou:e Connection � 62. Backwash & Receptor-Final ' . , i 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 76. Rough Electric Wiring 67. Fencing & Access Approval .. � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �LB. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1.�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '2d. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas � Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StoregeTank OGas ❑Oil 25. Roof Sheathing �. 74. Overhead Hydro 26.; T-Bar Ceiling (Structural) & Monocoai 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 pomestic-Final 42. Backflow Preventer i j 43. Backflow Irrigation � � 1 44. Landscape Irrigation System '-� .� ) 45. Sound Attenuation 46. Handirap Regulations 47. FINALSTRUCTURE & BUILDING �� &� 48. Special Requirements Completed 49. Electric Release to Edison �) f ; ' 50. Gas Release to Southem California Gas Co �'� •�1 �'� 51. CERTIFICATE OF OCCUPANCY � ' � �� N0. Date " � � _� � �n a N - O J N N 3nizaa i�i52s3/��I`�n PH0.IECTAOUflE55: 34S UNIVERSITY DR OWNElI'S NAME: O' MALLEY aooness: 395 UNIVERSITY DR #G-2 COSTA MESA CA 92626 AflLH/ENGINEEH: �719�695-7Z35 ROONESS: PEG.NO.: uxiT: G-2 UNIT: PEflMITTEE: �A PLUMBING & HEATING ( 714 ) 642-5667 aooxess: 511 FULLERTON NEWPORT BEACH CA 92663 LICENSEO CONTflFCTOfl DELNflATION: I hereUy allirm t�al I am licen5etl unaer O�o�isions of ChaD�er 9(commencing wit� Seclion 7000� of �rvisian 3 0� ihe Business antl Pmlessions Cotle. ana my license is in tull �orce and effecl. ciTruc.:006494 sT"TEuc.:261469 - 'cu/�s�s:C36�,/ Da�e:,�..��-5"�G/ZT SignaWre: G�.G.� "�-- o`�'��!c. WOflKEflS' COMPENSA�10� DEQABATION: I h¢r¢Oy a��irm I�a� I Aave a[erliliWle o� ton5enl Io 5elbin5ur¢ or a tertiliCale o� Workers' Compentalion Insurance, or a cendied copy ihereof (5ection 38IX1. LaE. C). raucrxo.:0398803-91 E%P.DFTE: OSIOLI9Z cornrnxr: STATE FUND ❑ Cenifietl cooY �s hereby Iurnishe0. � CenifieA copy is filed witn ihe ciry BuilOinp Uvision. oace:��.�-��'� naciicant: �Ctl,r.�t�_ � Y3e.,..�... EXEMVfIONFBOMWOflNEflS'fAMPENSA➢ON�ECUNRTION: (ihisSeclionneeOnolUecomplele0il��epermlisforonehu�dred�E100�orMsS�. I certity tlu� in I�e pedorman[e ol lhe work lor which I�is p¢rmil is i5sue0, I shall not em0�oy any person in any manner so as to �ecome SUEIec� to Ihe WorkeeY Compen5aiion Laws ol Calilomia. Oare: Sipnature: NOTICE: It. aRet maiting Ihis Ceclaraiion. y0u S�oulA hetame SuEjet� Io I�e WaM1¢R' Comoensalion prwisions of the LaOor CaOe. you must fanhwith comply with sucn provisions aftAis permil slull be OeemeO revokea. CONSTBUCTION LENUING �GENCY: I heaby aifirm that t�ere is a constmction lending agency for Ihe pedormance ol tAe work for wnich this Dermit is i=suetl (Seciion 3097. Civ. C�. LENOEX: FODFESS: OWNEfl BWIDEfl DECLANATION: I �ereby allirm Ihal I am e�empl irom tAe Contrac�ors' S�ate License Law �or the followinp reason (Setlion 7031.5 BU5ine55 and Pwf¢Ssional Cade: Any Ciiy o� wunly which reQuifes a Dermit �a CanSlmti, alfer, impmve, tlemolish, or repair any simcture. prior to its issuance. also repuires ine apo�icant lor such permit �o file a signeA statement that helsAe is IicenseU pursuanuo the pmvisions ol ihe Coniracmrs' Stale License Law �ChaD�er 9(commencinA ��h Section 7000) ol0ivision 3 0l ihe Business anE Pmlessions Code� or Ihat he/s�e is exempt Iherefmm antl ��e Oasis for the allegeC exemption. My violation oi Section 70.31.5 6y any aDDlicanl lor a permi� suDjecls t�e apPlicanl to a civil penalty o� not more lhan �ive AunAreA doliars (5500�. I, as owner of ihe pmperty or my employees wit� wages as iheir sole comDensation, will Oo tAe work, anA t�e ❑ simcmre is not inten0ed ar oflere0 for sale �Section 7044, Business antl Professional Code: The Cantracrors' Stata License Law eoes not apply to an owner ol a D�oOeny who �uilAs or impmves ihereon, and who eoes such work nimself/hersell or tnwugh his or �er own employees. pmviGed ihat sucA impmvemenis are not intentletl or oflerea lor Sale. If, �owever t�e building or im0�ovemem is soltl within one year ol compl¢tion, ihe owner will have Ihe 6ur0en ol DmNng hpJshe Oitl no� builtl or impmve lor ihe purpose oi sale�. I, as owner oi �he D�oDerty. am eNclusivel9 contrac�inq with licensetl coniractors b constmci Ihe pmject (Sec�ion 704d, Business ❑ antl Professions COAe: The Coniractors' State Lkense law tloes no� aOPly la an owner of 0�operry who Gmids or improves ihereon ' an0 who tOnirac�5lor Sut� pmletls wiltl a ton(ratior(5) litense purtuan� �a �he CAnttattors' State License Law�. I am aware Iha� 0�� a� �heit WOrk¢i 5 Compen5ation in5urante ShoU10 �e provi0e0 lo me. I� I am exem0� under Sec�ion: B. 8 P. C. �or Ihis reason: Oate: Owner. I ao hereoy cenify that I am aware oi ana untlerstan0 �ne reQuirements ol Califomia Mealih anA Sa1ery CoOe Sectians 25505, 25533, antl 2553< anA Ilu1 I or any future Ouiltling acupam vnNwill nm �drele one) neeE �a mmDN vnth uitl siate toGes and the requir¢ments for a permi� for consirutlion or madilicalion Irom ��e Air Ouabry ManaAemenl DisMci. ReSiAen�ial constmction aDDliw�ions are exemp� from I�ese provisions. Daie: ADUlicani: I hereby ceNly ��at I have rea01�i5 apD�icalion ana Slaie Ihai Ihe a00v¢ inlormalion is corrttl. I agree l0 compN vriID all dty aM counry ordinances an0 slaie taws relaling to �uiltling conslNtlion anE �ereUy aut�orrze reDresenlalive5 ot ihis ury �o enter upon Ihe above�menlionetl pmpetly Iarinspeclian purposes. � Daie: � �'"s� Z Sipnalure: � � ��'� Oriver's license or Sociai Sewrity a: � t6a1-a6 W�ne—Builtlinq�, Grean—Coae Enlorcomem; Canary—Applicanl: Pink—Revenue: Goltlenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 056694 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU JOH DESCRIPTION ; REPLACE GAS LINE TO SPA (REPAIR WORK) CLAIM VALUE; CALC—VALUE; PERM NO: P 05669 GOVT: N SUPP: N PURPOSE; OTH SQ FT; GROUP OCC: R-3 / COMMENTS: NO 'B' PERMIT ZNVOLVED �e*�***�*�*�� e***�c**�***�***��**�e��r*+r*�****+�***�******�**��r*�*�**+�x****�*�r**�*,c Z O N I N G R E Q U I R E M E N T S 5 E T B A C K S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL; 00000000 ZNE: REF NO; PLANNING NtSTES> i *�t�t**�t�t��t**�t�t*��t�t�rx�t�t�t�t�t**�t�r*�t�t�t�t****�t�t�r*�t*�r*�t*�t�t*�r�t*�t�t�t�t�t**�t*�t**�t*�t�t�*�t�t*�r*�t�tit D E V E L O P M E N T S E R V S C E S R E Q U I R E M E N T S 20NING APPROVED BY � DATE: BUILDING APPROVED BY ; DATE; APPLZCATION ISSUED HY• DATE• �- ��rx�r*�r*�*�r*�r�t�r****�t�r* *�*�r****i��t�� *�t�r******�r+r*****�r*�t*�r�r�r�r�r**�*�***�r��r�e�r*i *�r�ra r*�t�*��r�*+r*�r�+�**+r�r�****�r**�t�***�r* LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FZRE SMIP/RES GRADING PERMIT 2 00 i , �52 SMIP/NON—RES PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2,00 3.00 0.00 5,00 5.00 � ,00 REVENUE DIVISION TOTALS--> COLLECTED: 5,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK �J,�O if if M k iF k iE 1f iE if M i! if if iF 1E k k if 1E if if iE if M iFiE k iE if 1E iF 1E IF iE 1f 1E k if k lf if 1k 1f if �F IE if ik if iF �f �E �E if iE if 3f iF iF 1E if �f IE if if iE iF iE k iE IE !f if if ik if 1f if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N PLU 1 GAS RE—PIPE END OF FEES UNIT COST TOTAL COST 2,00 2,00 o�. oa.a.:?�a•��. ::�a:. �,- OHTEs C3'2:i;1 TIi� ., � CONSTRUCTION ANDPLANNING POOL SPA APPROVALS Permit # + Date Inspector APPROVAL$ Permit # Date Inspector 1. Temporary Electrical Service or Pole. . 52. Pool & Equipment Location 2. Soil Pipe�Undrgmd. . - 53. Steel Reinforcement 3. Electrical Conduit.Utlitv-Undrgrnd. 54. Forms 4. Electrical Conduit�Undr9rnd. ' �• � 55. Electrical Bonding 5. Steel Reinforceinent � � 56. Rough Pfumbing & Pressure Test . 6. EfectPicat UFER Grhd. � 57. APPROVAL TO COVER�GUNITE , 7. Footings "� 58. Electrical Conduit-Undrgmd. 8. Foundation �� 59. Gas Pipe, � Undrgrnd., Test . 9. Water Pipe�Und�grnd. 60. Backwash Lines, P�Trap, � Undrgrnd. 70.� Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer line,& HouseConnection 62. Backwash & Receptor�Final 12. Sewer Cap - -, � 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbi�g System • Final 14. Rough Plumbing 65. E�ectrical-Final 15. Rough ElectricaV•Conduit 66. Solar System•Flnal 16. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR P�ASTERING 18. Rough Electrical�T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.+Rough Factory Fireplace ' - ' � ��4PPROVALS� Permit# � L 21.� Ducts, in Structure •� � 70. Undergtound Hydro 22. Oucts, Ventilating ' � _ , . f71. Product�Piping QGas OOiI 23..Gas Pipe�Rough & Test ; . , - r � � � 72. Under9round FIusR � 24. Roof Framing � � ' �73. Undergmd. Smrage Tank Ll Gas ❑ Oil 25. Roo,f Sheathing , � - 74. Overhead Hydro� 26 T�Bar Ceilin9 (Structural) & Monocoat - "K 75.�Dry Chemical ; - 27. �Frame and Flashing �. r r �'_ 76. Dry Standp�pe � -28. Lathing_& Siding � � - • � • 77.-FIXED SY$7EM-PINAL^ "29. Insulation .. � � . � 78: FIRE PREV!FINAL � '30. Drywall Nailing _ ' � � � HEALTH DEPT: REQUIREMENT 31. Plaster Boow� Coat �, �,, � '' r 79. FINAL INSPECTION � 32. Electrical Power Metet•Final � �� 80. FOOD CERTIFICATE ISSUED 33.'Pin�j Electric _ ' � ' ,� � Notes: � �34. �Final Heatiny,& Air Conditioning; .- � � . ' 35.�Final Gas Pipe•Test' ' jl��('Z' (�O',- x � . r . . 36. Hood or Canopy - . . �' �u . . � 37. FinAI Factory Fireplace . ' ` . ' � ` . -38. Findl Plumbing � � . � (,�rl� - 39. Water Service•Final - , ,'' r 40. Gas Serv,ice-Final . , ,. ,� . �. � At. Solar pomestic-Final i � � . � ' 42. 8ackflow Preventer`. . ; � .i .� 43. Backflow Irrigation '' ' ' 44. Landscape Irrigation SYstem+� . „ � . . � . ' . `45. Sound Atterivation ' '� ' L , -+76.;Handicap Regulations - � � � , . , 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING . , �f ' _49..Electric Releaseto Edison .50. Gas Release to Soufhem Califomia Gas Co ; ; _ _ .' ` 51. CERTIFICATE OF OCCUPANCY No. Date ADP��cant to fill In all CITY OF COSTA MESA- � I��r CONSTRUCTION PERMIT f" V Address Arch�En9. Address License No:_ witM1ln heavy Cortler lines anG sign all appropriate Geclarations. TRACT NO. LOT NO. BLDG. NO. TYPE OF CONSTRUCTION �' • �L ❑ NEW ❑ ADD ❑ ALTERP.TION - ❑ REPAIR ❑.CONVERSION' ❑DEMOLISH _ �THER DESCRIPTION OF WORK _ . contrettor � N� - �Phone - TVPE OF PERMIT. -� ''AddrMS ' T ". _ - ❑ GRADING ' ❑ FOVNDATION �I $TRVCTURAL I,ICENSED CONTRACTOR DECLARATION ' � � � TENANT-�EIECTRICAL OPLUMBING ❑MECHAI I hereDy affirm thct I am licensetl untler provisions of Charler 9(com- � . mencing with section 7000) ot'Olvislon 3 0( the Business antl -QOTHER� - Professions Cotla, antl my Iicensu is in lull force antl eflect. . • ' . License Class � � Litense No. P-F10JECT� PTION. _ _ � S�. FT. Date Signature' ' - - ' ' - � WORKERS'GOMPENSATIONDECLARATION . . _ OCCUPANCV � CONST.RUCTIONTVPE � I hereby affirm that I nave a certificate of consent lo salf-insure or a; VALUATION_�125(�-ZONE certiflrate ot Workerz' Compan5atbn Insuranca, or a certltietl�topy - . . _ , lhereof (Seclion 3800, Lab. C.). GRADING CU. VDS. - ACRES Policy No. - � Company ' ' - - - ❑ Certifietl copy IS her¢by turNshetl._ .. _ . . _ _ . '' REMARKS:. _ _ _ . - ❑ Certlfietl copy is flletl with thn Uty BWltlin9 Division. _ EXEMPTION FROM WORKERS' COMPENSATION DECCARATION '- ' ' - ' ' - -' (This sectlan neeE not be completetl if tha permit is for one huntlretl _ (E100) or less�. � " - - ' ' - ' ' I.tertify that In the oeriormance oLtn ork for whiclyt ermi[ is i55uetl, 1 shall not employ any per5o i any manner� So t ecome PLUiV1BING -- , PLAN CHECK'- "- suDjeG[ t=[h¢ orker CompenSali w5 of Calif /n _ . _ Datg�� Ignature ��BATHTUBS SFiOWERS � " NOTICE: If after making [his tleclaration, you tl become s ect TOILETS. � URINALS" "�' to th¢ Worker5' Compensatlon p�ovislons of the bor COtle, y mu5t �� forthwlth comply with such provi5ionz or this permit shall ba tleemetl LAVATORIES OOUBLE CAVS ' '` revoketl. -- - - - KIT. SINKS' -- "-' ' DISHWASHERS- -- ' CONSTRUCTION LENDING AGENCV 1 her¢by aftirm tha[ there is d Constru<tlOn IGntling agency for [he per SERVICE SINKS '-� •� SUMPS" ' - tormance ot the work.forYwhich tM1ls permit,is issuetl (Section.3097 � ^ •• _� + ClvrCi)�-' � - '; j��j'1 ,� ` - �' a ' - ' - �FLOOR�SINKS � FL'OOR�DRAINS ' ( - '-" Lentle�'s NamC`� - � �� 'tr � Lentler's Atltlres5 ` � � � DRINKING FOUNTAINS " ' ' '-f - OWNER BUILDER OECLHRHTION " - - ��NTERGEPTORS CLARIFIERS � 1 - � I hereby affirm that I am exemp[ trom tbe Contractor's license L.aw for tne�following reason, (Seclion 7031�.5 Businass antl Professions Cotle: -�SWIMMING POOL' ' 'P'TRAP '- ' Any city or county which requires a pCrmit t0 ConStruCt, alter, improve, tlemolish-or repairany structure, prbrto its Issuance,also re- yyqTER SERVICE � - ALTERATION -- "- ' qul�es tne ap, Ilcant for such permi[ lo fi10 a sign¢tl Std[¢m¢nt that he irlicensetl pursuant to�tbe provislons of the Contracror's License Law GAS SERVICE � OUTlETS �. -'� (Chapter 9(<ommencing wlth Seclion ]000) ot Dlvision 3 of the - --' ' gusiness antl� Professionz Cotle) or that he is exempt thereirom antl the -yyqTER HEATERS —"BTU OUTPUT t�" basis tor the allegetl exemp[ion. Any v101atlon of Se<lion 1031.5 by 5ny'applicant tor a:permit Sublects the applicant t0 a dvll-penalty SEWERCONNECTIONS "' -'� - ' of not more than tive huntlretl tloliars (g500). ❑ I, as owner of tne property, �oi �my employees with wages as their SOLAR'TANK '- COLLECTORS ' �- - sole tompensalion, will,tlo the work, anC the SVuciure is not Intentletl or offeretl for sale. (Sectlon ]044, Business antl Professions Cotle: The SOLAR�PIPING SVS. � � � - ' Contractor's_�icense Law tloes not apply to an owner ot a property wh0 bulltl5 or improves tM1ereon, and who tloes such work�himself or � ISSUE FEE - � '� throu9h his Own emPloyee5, provitl¢tl lhat such ITprov¢ments are not Intentletl or olleretl tor sale. If, M1oweveq tne builtlin9 or�lmprovement MECHANICAL PLAN CHECK is Soltl within one year of completion, Ihv ownor will hava the burtlen of proving he tlitl not builtl or impiove lor the purpose o( sale). HEATING SVSTEM 0-100,000 BTU ' ❑ I, -as -owner of lhe 0/operty, am exclu5ively contrattin9 with � ANO DUCTING - '� '' .- t-- IicenSetl [Ontractors to conSVUCt Ihe pro�ect (Sectlon 7044, Business 300,000'� BTU antl-Prof¢sslons Cotle: Th¢ Con�racto�'s Llcense Law tloe5 no[ apply�to ' an owne� of properfy wh0 builtls or imprOv¢5 th¢r¢on, antl who con- REFRIGERATION 0-300,000 BTV bacts4wm.such projects with�a <ontractor(s�-Ilcesne0 pursuant to- SVSTEM- lhe Convactor's Ucense Law). 100,000�+ BTV ' ❑'I am Gxemp[ untler Section " 8. 6 P: G. fOr [nis BOILER$ BTU reasom - - � SVSTEM REPAIR,ALTERATION Date Owner I hereby certi/ythat I havc reatl tnis application antl state [hat the above EXHAUST SYSTEM MU�TIPLE in/ormalion 15 corre2L I agree to comply wilh all'tity antl county' . mdinances antl 5[ e laws relating nsiruclion, dntl bereDy authO�iie representatives � this <iry upon the above mentloned Droperty f i in ection pu �D^ � Signatur Date Drivers' License or $S � � � - �SSUE FEE - � - - � CMF 0865-d6 Wnite-Builtling; Canary-Applitant; Pink-Accounting; Goltlenrotl-Assessor ZOIVE e5se ioio5/a2 UING REGULATION PL� � PROPE1RT�Y ill ' , 37,49 TL �� REHR VARD (TO P/L) � /� , ' ' PKG.SPACE RE�. �� PROVIDED - .'�� STREET WIDTH 1� . I'pqRK FEE $ � �ZONINGAPPROVEDBV ATE' !e'� ' SPECIAL CONDITIONS: � _ _ ' " _ ' . . . ; ' . _ _""_ , ' ' _ r 1 i ,ELECTRICAC� PLANCHECK,.- ' � . GENERATOR -0-1KW_1�1'OKW 'TRHNSFORMER � � �1 APPLIANCE` " 10-50KW_SO+KN% --- - � i ,MOTORS' " "-'0-1 HP_1"d'0"FiP"' ' ' � (INQ SOLAR)- 10-50 HPy�50�+ HP--� - - ,FIXTURES`" " OUTCETS - SWITCHES ' � - t � �GHS TUBE SIGNS -' . - - � -- - .POLE LIGHTS' "" - "'- - ' � POLES � �� INETERED � 8UB _ i �.PANELS MAIN' .SUB ' ' �SERNICE ' ' - - "' '"AMP _ . .� _ . .' ""' '._ '. I . ... . . _.. ' . ' _ _ j . _ � �.__ ' _ . � _ ' ' _' ' ' "_" _ " _ i_ � i - ISSUEFEE - - ' " Qv ' APPLICATION APPROVED BV DATEfp SUMMARV OF FEES ,r � � , BUILDING' - PERMIT E � SMIP ..,§� � ,PLAN CHECK $� PERMIT�.�,, "' . �PLUMBING E ' �SSUANCE S -� - � GRADING. E PLAN CHECK S . ,ELECTRICAL y� 's- - - "PLANCHECK -E - MICROFII.M S � _ � MECHANICAL S � TOTAL FEE E_- _. PLAN�CHECK- E ' � LE55 AD- � % . VANCEPC §_'" , FINALFEE $� CONSTRUCTIONANDPLANNING . POOL&SPA �. • _• , . Date Inspector � ' � � Date - _ Inspector APPROVqLS Permit # "� ^� APPROVALS . . , ,Permit # , , � • 1. Temporary Electrical Service or Pole � 43. Pool & Equipment L`ocation ' ' �� ' - -�- - Soil ipe-Undrgrn � 44. Steel Reinforcement �� ' � 3. Electrical Con�uit Utility-Undrgrn � ' � 45. Forms - - - - � - 4. .Electrical Conduit-Undrgrn 46. Electrical Bonding tee em orce � � - � ' - � '� - ' 47. Rough Plumbin & Preisure'Test - ..6. _ Electrical UFER Grn � '` 48. APFROVAL TO CO,VER-GUNITE� - � 7, Footings p, , z, 49. Electiical Conduii-Undr rn 8.. Foundation -' 50. Gas Pipe, ❑ Undr rn, Test ' ' - 9.. WatCr_Pipe-Undrgrn ` 51. Backwash Lines�P-Tra ❑ ndr rn �� -' .10. Structural Floor'System 52. ,APPROVALTO DECK - � � ' " - -� � - � 11. Prope[ty Sewer Line & House Connectiori �� - 53. _Backwash & Rece tor-Final � �' • � _ 12. Street Sewer_Connection � ' � � 54. Heater & Vent-Final. 13. _ Rough Plumbing � ' � � - -" ' - � - 14. Rough ElectricConduit -- - �56. Electrical-Final - � � 15. Rough Elearic-Wiring � � � t--• � - 57. SolarSystem-Final � ' 16. Rough Heating & Air Conditioning - - - - • encing & Access Approval 17. Ducts -in Structure ' ' APPROVED FOR PLASTERING' ' 16. - DucYs', Ventilating _ . • _. _ � _- =\ 19. Gas pipe-Rough & Test � � � ' 60. POOL/SPA SYSTEMS FINAL � 20: Roof Framing - -- - . . - - - � ° � ' ' 21. Roof,Sheathin - � � 22. Freme�and Flashin � - • NOTES � ' �� . � 23: Insulation � - � ' " ` /o- 24. Lathing & Siding - - - � - - - 25. Drywall-Nailing _ ' ' � - � � � 26. Plaster Brown Coat -' - 27. Electrical Power MeterFinal � � • 28. Final'Electric � - - s�� 8 � ' ' , 29. Finbl Heating & Air Conditioning - � � � • 30. Final� Gas�Pipe-Test . � ' • � � 31. ,.Fin�l Plumbing ' 32. '•Water Service-Final - � � � ' ' ' � -33. Gas Service-Final � - - ' � 34. Solar pomesticPirial • ' � ' ' ' � � 35. Landsca e S rinklin S stem �� ' ' � 36. Sound Attenuation � ' ' ' � 37. Handicap Regulations � - • � � �� " � 38. FINALSTRUCTURE&BUI.LDING � ��,� ' ' � ' 39. Special Requirements Completed ' ' ' � 40. Electric. Release to Edison '' � ' � � � � � 41 . Gas Release to Southern California Gas Co. 42. CEfiTIFICATE OF OCCUPANCY _ ., . No. " Date ' .. - � � � . . - � _ . _. . - - ' � - . I t AOP��ant to fill in all spatts exceot ehose witnin heavy EorOer Iines ana sign all avv�oDriah aeUarations. �'' N T MIT PERMIT NO. TRA T O LOT NO. UNIT NU. i.yr oF ^OSrn nnESA C�(7],�� RUCTIO P��q,-� ,/.�/� Project Aifd�ess � �� `� ` ' n' �v,�ww�sl � �L "* �I � - � ��Nlic2nt�.'jy�3il'nu Addf¢.S�/ � I•'C TVPE OF CONSTRUCTION NEW ADD ALTERATION (3EPAI R ivner's Name'��rO N J S S o�,.. ?�� I � CONVERSION ❑ DEMOLISH ❑ OTH%�i ,�� D� RIrTION OF WO Kry /U$E OF BLDG. �7 � h • ' 0� �dress _ ; Gt (� _�J/f-Lt— ' � Arch/Eng. _License No. -� � ..I_Address /y � � I� I � Addresslmailing) �-^� /` pG � rL...:/Y�[( Y-U//fY/!!�� City License No. ��'3 /.% LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensetl untler pr vl5ion5 of Charter 9(mmmencing witn section ]000) of Division 3 of the usiness antl Professions Cotle, antl my license is in i I forc antl eftecL r'� Z�� License Class License No•� Date Signature WORK 5' OM ENSATION DE L ATION 1 hereby atfirm that I have a certiticate of mngent to seli-insure or a certificate �f Workers' Compensa[ion Insurance, or a certifietl coOY tnereof (Sectlon 800, Lab. GJ I � Pol' y No. �� /T Company ' � Certifietl copy i hereby (umishea. � Oateertiyie1l � y �ije� wintPPhCaciiy Buil�g Divi on� l(� a -I —� EXEMPTI N FROM WORKERS' COMPENS{�TION DECLAqAT10N (This section neetl not be completetl if Ihe petMlt is fo� ane huntlretl ($300) or IessJ. I certify that in the performance of the work fot which tM1iS permi� is issuetl, I snall not employ any person in any manner so as to bemme subject to the Workers' Compensation Laws of California. �. Date ' -Signature NOTICE: It, afte� makinq�this tleclaration, you ShOWtl become Subject to the IWorkers' Compensation_provisions ot the L.bor Cotle, you must forthwith comply with such provisions or tM1is Dertnit Shall be tleemeC revoketl. CONSTRUCTION LENDING AGENCY I herety affirm that there�is a conSVuction lentling agency tor the performance of the work for wM1lch tM1is permit is iisuetl (Section 3097 Civ. CJ Lentler's Name LenGer's Atltlress OWNER BUILDEN �ECLAftATION I he�eby affirm that I am ezem0� trom the Cont�actor'S License Law Por the tollowing reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, Cemolish or repair any struciure, prior to .its issuance, afso requj�es the apP��cant fo� 5uc0 permit to file a si9netl slatement that he/she is licensetl pursuant to [he provi5ion5 of the Contractor's License Law (Chapter 9(rommencin9 with Secfion 7000) of Division 3 of the Busine55 antl ProfesSions [ptle) or [M1at he/She is exempt therefrom antl the basis for the ailegetl exep�ption. Any violation ot Section '031.5 by any applicant for a permit subjects fhe applicant to a civil penalty o( not more Ihan tive huntlretl tlollars (g500). ❑ I, as owne� of the property o� my employees with wages as their sole compensation, will tlo the work, antl tM1e sVuctura is not intentletl or offeretl for sale (SeC[ian 7044, Busine55 and Pro(@ssiona� Cotle: The ContractOr's License Law tloe5 not apply to an owner of a property who builtls or improves the�eon, antl who tloes sucb work himself/horself or tNough his o� her own employees, provitletl that such improvement, are not intentletl o� oHeretl fo� sale. I(, howeveq the builtling or improvemeqt is soltl within one year of com- pletion, Ibe owner will have tM1e burtlen Of Proving he/she tlitl not builtl or im- �rOve tor the pu�pose of 5ale). 1. as owner ot t0e property, am ezclusivBly contra[ting with licensetl Con- t�actors to construct the projec[ (SeGtion ]044, gusiness antl P�ofessions Cotle: The COMractar's License Law tloes not apply to an owner oi property who builtls or improves tnereon, antl wno contracts for such projects with a con- tracto�(5) license pursuant [o tM1e Contractor'S License Law). I am aware Ihat proot ot their Worker's Compensation insuranw shoultl be provitletl to me. ❑ I am exempl under Section 8. & P. G. fo� this reason Date Owner _ I hereby certify that I have reatl thi infOrmation is correct. I agre o mm antl state laws relatin9 b Itling co sen[atives of this city [o nter upt inspection purposes. _ / �( 'ation antl state that the above i all city antl county ortlinances on, antl hereDy authorize repre- above-mentionetl pr pert�fcq,r oate� � / =VPE OF PERMIT GRA�ING Cl FOUNDATION STRUCTURAL ❑ TENANT ❑ ELEGTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sq.FT. oCCuvnNCv C O N 5T RUCTI ON TYPE V A W ATI ON S�,�SO� B ZONE GRADING CU. VDS. ACRES Remarks: /L1 � nb' i � � �l 1 _ � .� Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P-Trap Roof Drains ReinspeMion Fee � $15 Duct- UnderGround Duct - Struttural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000 - � 55 � � �_�� ( /� � I Reinspection Fee rev. 30/84 White - Builtlin9; Ganary - Applicanh Pink - Accountin9: Goldenrotl - ASSessor $75 Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Cioset Water Heater Water Service Auto-Wash Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,00asTu ❑ioo,000sTu System Repair/Alteration Fire Dampers Registers luue Fee FEES $ 3 $ 3 A.P. # S Main B E T Front B Rear A C Ri9ht K . .. , Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5 KW C Fee � Zone �� Accessory Buildin9: / Z O N 1 N G R Parking Req./Provided E , O M T S ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors �0.7 HP �1'/: - 8 Inc Solar 09-15 HP 016-15+ Microwa've Pole��ight Standing Sections 5 KW Trash Compactor f� $15 luue Fee DEVELOPMENTSERVICESRE�UIRE Zoning Approved By Buildin9 Approved By R� FEES $ 3 SUMMARV OF FEE9� BUILDINGPERMIT/ $�SMIP $ ' Ja PLAN CHECK $ 9� 2,C-" pERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICFiOFILM $ MECHANICAL 5 TOTALFEE $ z� •2S PLAN CHECK 25% $ _- , � �� /,' CONSTRUCTION AND PLANNING � POOL & SPA ' . - ��'' Date Inspector Date Inspector APPROVALS Permit #' APPROVALS Permit # , 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-UntlJgrnd. 55. Electrical Bonding 5. Steel Reinforcement!7 % f 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE � 7. Footings ' � � � ;�� , � 58. Electrical Conduit-Undrgrnd. 8. Founciation � � �'� 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Und�grnd�� , . , 60. Backwash� Lines, P-Trap, O Undrgrnd. � 10. Structural Floor'$ystem�. 61. APPROVAL TO DECK ' 11. Property Sewer Line &,House Cbnneciion ` � 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 i 6. 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 # �� y u 21. Ducts, in Structure 70. Underground Hydro �� 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ��. „,, � �� 74. Oyerhead HYdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe � � 28. Lathin & Sidin *' � 9 9 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL � ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat 79. FINAL INSPECTION � �� 1 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � �� 33. Final Electric Notes: ];� G� �. � �.�; 34. Final Heating & Air Conditioning ' ' ' ' � , 35. Final Gas Pipe-Test ` �-�-� 36. Hood or Canopy r' 37. Final Factory Fireplace - � � 38. Final Plumbing �,' , 39. Water Service-Final - � • 40. Gas Service-Final , • "' � � '•, ' ' 41. Solar pomestic-Final ` !, , � . 42. Backflow Preventer � � 43 Backflow Irrigation • . • • 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations �' 47. FINAL STRUCTURE & BUILDING L� ; i � . 48. Special Requirements Completed . � . � 49. Electric Release to Edison � �' •a � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY • �,. ��. No. Date _ . . . . . . -.�-,. ^ 211 r '.��n, �?'/� �J�G- �_ - i � , i� � ----� � 7 ��. i: �� s, ._� � ' .��'. 70M701py Ci/ty)' Jof Costo Mesa Building Dept. 8Y �f.� � DATE 6/ A � q,� THESE PLANS MU57 BE ON JOB AT �LL TIA1E5 MAKE NO CHANGES WITHOUT PR10R :4PPROVAL OF DEPT. THE�ISSUANCE 04 GRANTING OF A PERMIi OR APPROVAL OF PlANS AND SPECIFCAifONS $HAII WCT BE CONSikUED TO BE A PERMIT FOR, OF AN F,FPROVAL OF, ANY VIOLpT10N OF HNY OF THE PHO`�ISIGNS Of iHtS COD:. NO PBFArt(i PRESUMING TO GIVf AUTHORI7Y TO NOIA'.E Or". CRNCEC THE PROVI570N$ OF TN15 CODE SHAI! BE vALID, [YCF?i IN 50 FAR AS iHE WORK OR USE WHICH IT AUiHURiZES IS LANJFUi. itic 7.5'iANCE OF P �ER;d7T 'ASED li'GN PLAN$ AND SAEClFICa`1✓N: �riA;t D!4? FnE:�E'dT iN@ 9U1.OW: G6FlOAL FROlA TI'eki: P7£ft w`cQ�r�C7C, �i)<: CiiR7EC110N OF ERROkS IN SAID FIAf!$ AWD Cu�[C1PC.4i4:r,> UR '80A� PAEYENTiNG BUIIDING t7PE2ATiU'�5 BHNG U•nFIEJ ON TMEREUNDiR WHEN IN `/IOIP.TiCN Oi MIS CGDE Gd 0: ANY OTNER ORDIt�iANCE OF THE Ci71'. �� 7�M701qY ��a»r t N � � � Y P iN��ECTiQNS CQ�� 754-S62b 754-5627 �t`�1'Iillf # 3 c6� g.� TNIS NUMBER MUS7' AC ALL��T�ON Rf �OMPqfVY �U�STS I Cement Coping Ootional ^� ChannelBlock With 73/8� Horizontal Top of all Fences For Fences 5' or Less � Vert. Bars 3/8"yS at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"� at 32" O.C. � F'r11 Ce71s So7id With Grout Where Steel pccurs Reinforcing Stael Shall C.onform ta Sec.A-15-39 A.S.T.M. ' All Steel to be Lapped 24" or to Code NATl1RAL GRADE TWp 3/B"4 eARS CONTINUOUS TOV & BOTTOM HOR72-STEEL MUS7 BE TIED IN PLACE A7 TIME OF TRENCH INSPECTION. a , � TYPICAL s 0 a x �� Y W � Z a >Z a i� �on� 'pN e� F-� WIDTH p SEE CH[ � BEIOW D I Q. 6�� CONCRETE BLC�CK FENCE FOOTING REQUIREMENTS CHART GENERAL.,� NOTES MORTAR: " One Pa�f Plastic Cement, and T�ree Parts Sand GROUT; pne Part Cement Three and -One Holf Ports S�and COPING: One Part Cemeni, Three Parts Sand CONCRETE: Wel I Mited 1:2- I/2: 3- I/2 - MaY. of 7- I/2 Gallons of YVatflr Per Sack of Cement GROUT MAY BE POURED FROM THE TOP OF TME FENCE IN CELLS WHERE STEEL OCCURS. CELLSANDAREASOF HORIZONTALREIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR �EBHIS, ETC. H GF E4RTNTCOTH V3 ir�E HEiGTH OF FENCE ��OW 80TTOM OF FOG7iNG. SCALE: I/2�� = I� WIDTH . . . . . . . . . . . . . . .14" . . . . . . . . . . .14: . . . . . . . . . . . 12". . . . . 12.. .... .. . THICKNESS . . . . . . 10��. . . . . . . . . . . .10�� . . . . . . . . . . . 8 ��. 8.� DEPTH OF EARTHTOOTH ... 24�� 20�� 16��. ... 12�� SPACING OP EARTHTOOTH. . 12' . . . . . . . . . . .14� . . . . . 16'. , , , . 16� City ot Costa Mesa, California �uilding Department � -� � k?EVtSEp NOV. B2 � Aoolicant to till in all spaees exeeo� those witnin neavY bortler lines an0 sign all aporovriata aeclarations. :ITY GF COSTA MI'ESA CONSTRUC ION PERMIT Project Address �TS UN� VEQS. /�� v `4pplicanYs MailinTg Address —SR"NiE Owner's Name ILEA/�✓ � S e�ER R�_Phon�y7- ��O 4ddress S/}'%1� C Arch/Eng. License No. ._ Addresslmailing) W�j��—� pG� rCNUC.0 rv�ieriW City Licence No. _-/-�J_.� UCENSED CONTRACTOR OECLARATION I hereby attirm that I am licenzetl untler provislons of C�arter 9(tommencinq with section 7000) of Division 3 of t e Buslness antl Professions Cotle, antl my li<ense iz in t piorye a tl etfecL S�� oatenser0l�l� •��5'9 t LlcensqNo. �� dG� I WORKENS' C MPENSATION O C ATION ' 4ereoy affirm that I have a certificate ot consent to selbinsure or a certificate Workers' Compen5alion InSurance, o� a certlfletl ropy Ihereot ($ection �00, Lab. C� , T Poli No. _� .-O�/� Companl��i"'� i ertifie0 copy s ne�eby tumishetl. a CerYtie copy I iletl wrth the Ci[y B iiltling Divi. ion. ' Date Applicant� � EXEMPTI N F OM WORKERS' COMPENSATION DECLA ATION (This section neetl not be completed if the permlt is for one M1untlretl ($300) or less). I certify lnat in the periormance ot the work tor whicn tnis permR is Issuetl, I shall not ¢mploy any. p¢�son in any manner SO as [o become subject to the Workers' Compensation Laws of California. . Date Si9na[ure NOTICE: If, after makin9.this tleciaration, you shoultl Gecomo subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwitn Comply with SUGh provisions or this permi[ shall be tleemetl revok¢tl. CONSTRUCTION LENDING AGENCV ' 1 h¢r¢by a/firm lhat th¢re is a consi�uc[ion IenAing agency for the performance ' Oi the work for w�ich tnis Oermit is issued (Seclion 3097 Civ. CJ � Lentler's Name � �Ixnaer's Aaaress OWf�lER BUIL�EH �ECLARATION 1 hereby alflrm that`I am exem0� trom the Contrac[o�'s Lfcense Law tor th¢ following reason (Seciion 7031.5 Business antl Professlonal Cotle: Any city or munly whlCh requires a pe�mit to construct, alte�, improv¢, tlem016tt O/ �epalr � any 5[rucWre, p�lot to it5 i55uance, also �equir¢5 the applicant to� zuch permit '� [O file a Slgnetl stalement that M1e/she is licenzetl pu�suant to tbe proviSions of tne Contraclor's License Law (Chapter 9(commencing with Section 7000) of Olvlsion 3 ot the Business antl Professions Cotle) or that h¢/She is exemOt �er¢IrOm ana tbe basi5 for the allegetl exemption. Any violatlon of Section 031.5 by any applicant fo� a permil SUDjectS the appllcan[ [o a civil �enalty ol nol more Ihan five huntlretl tlollare (y500). I, as owner of the p�operty or my employees wi[h wa9e5 as their Sole compensation, will Go the work, antl the strucWre is not intantletl or offeretl fo� sale (Section ]044, Business antl Protessional Cotle: The Contractor's LicenSe Law tloes not appty [o an owner of a property who Ouiltls or Improves thercon, antl who tloes such work himself/herseli or througn his or her own ¢mployces, provltletl lM1at such improvements aro not intentlatl or offeretl for sale. It, howev¢r, the building or improvement is soltl within one year of mm- pletion, the owner will have the burtlen of proving he/she Cla not bulltl or im- p�Ove fOr [he purpose of sale). ❑ I, as owner ol Ihe property, am exclusivety contractln9 with Iicensetl mn- iracto�5lo con5truct the projec[ ($ection ]044, Busine55 antl P�otessions Cotle: The Contractor's License I�w does not apply to an own¢r ol property who Duilas or improves thereon, antl who contracts for zuch proie<ts witn a con- iractor(5) li<¢ns¢ pursuant to the Cont�ac[o�'s License Lawj. I am aware thal proof of their WO/ker's Compensation insurance Should be provitletl to me. ❑ 1 am exempt untler $ection B. & P. C. tor this reason Date owner I her¢by Clrtity lhat I �ave reatl this appliWtiOn antl state that the above Intormation is co rect. 1 a9ree to comply with all cfty antl countY ortlinances antl Stat¢ laws ro ting to builtling con5trucllon, antl hereby authorlie repre- sentatives of nl city to enter u on the above-menllonetl or per y for ins0ection pu� ose . � � ' a[ura _ Date TYPEOFCONSTRUCTION L�1NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p, # D�RIPT��ONOc�QRK/U�G. �.,C%L�el � � f� S Main Buildi �VPEOFPERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PIUMBING ❑ MECHANICAL g Reaf ❑ OTHER C Right PROJECT DESCRIPTION $Q. FT. OCCUPANCV K CONSTRUCTIDN TVPE � VALUATION $ �GID � g Left ZONE GNADING CU. VDS. ACRES P�ng. Ref. # Remarks: 20 � � � 4j� G(/ A..L(� (e� � C/ G. Planning Notes: Sink Preventer Irrigation rinking Fountains loor Drains loor Sinks as Service Outlets Kitchen Sink Lavatories P—Trep Roof Drains Reinspectian Fea � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.81L ICBO # � Heating System & Ducting ❑0.100,000 BTU 0100,000 :� e or 55 � ' I Rainspec[ion Fee rev. 10/84 White - Builtlinq; Canary - Appllcant; Plnk - Accoun[ing; Goltlenrod - qssessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swjfiming Pool w/Spa Water Closet Warer Hearer Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy" Type I I ❑ i rigeration System a�oo.oaoeru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑ElecVic Fan F.A.U. Fixtures Device Boxes Outlets ✓ Switches Garbage Disposal Generetor �0.5 KW �5-15 Accessory Building: Parkin9 Req./Provided ELECTRICAL . T�ansformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Momrs 0-i HP � 1 Yz - 8 I .Solar �9�15 HP �16�15+ Microwave Pole Light Range � Reinspection Fee � $15 � DEVELOPMENT SERVICES REQUIR Zoning APVroved By Building Approved By � Application Issued By Standin9 Sections Trash Compacror luue Fee SUMMARV OF F BUILDING PERMIT $ /,f�- Ov PLAN CHECK S 9' 7�— PLUMBING 5 PLAN CHECK 25% S ELECTRICAL 5 PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ FEES $ 3 $MIP $ • S� PERMIT ISSUANCE 5 ENERGV P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ ��' �y 2 O N I N G R E Q M T S �' l.U�. -_UJ�1�.'h e L.: � ..,__ ��'J'�:cn 'iTY:.. ,.�... CONSTRUCTION AND.PLANNING � POOL & SPA ��- •� ' Date Inspector ' Date` �nspect�r APPROVALS �Permit # APPROVALS Permit # 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 �'l, � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnii.,;' , 57r APPROVAL TO COVER-GUNITE 7. Footings .�`. L� � 58. Electrical Conduit-Undrgrnd. 8. Foundation `� '_4: � 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd,'y � • _ 60. Backwash Lines, P-Trep, O Undrgrnd. '�� 61. APPROVALTODECK 10. Structural Floor Syst'emi/ 11. Property Sewer Line & House Connection ,_� ___ 62. Backwash & ReceptorFinal 12. Sewer Cap ' 63. Heater & Vent-Final 73. 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 Hydra 22. Ducts, Ventilating 71. Product Piping � Gas ❑ 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 (Structura'I) & Monocoat 75. Dry Chemical _ 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding �, 77. FIXED SYSTEM FINAL �� " 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � i 32. Electrical Power Meter-Final 80. FOOD CERTIPICATE ISSUED -' �� 33. Final Electric Notes: �6'Z3 q2o L 34. Final Heating & Air Conditioning r �• 35. Final Gas Pipe-Test ' . , 36. Hood or Canopy 37. Final Factory Fireplace ' , 38. Final Plumbing � . 39. Water Service-Final '' 40. Gas Service-Final � � " � , �, 41. Solar pomestic-Final 42. Backflow Preventer ' • . '43. Backflow Irrigation . , - , 44. Landscape Irrigation System �� 45. Sound Attenuation 46. Handicap Regulations • . � 47. FINALSTRUCTURE&BUILDING �. '. 48. Special Requirements Completed . , 49. Electric Releaseto Edison �'�` " 'i' . 50. Gas Release to Southem Califomia Gas Co �-• i, 51. CERTIFICATE OF OCCUPANCY . ' No. Date � ' "-' �' � � � � i :1 � 133tl1S�j� � � t � /OZ � 7�M701t)Y :`. �!i (f: iF ' :�� ;r � City of Cosin Mesa Buildiny Dept. �.� DATE(o�1.�19� 'THESE PLANS MUST BE ON ;08 A7 ALL TIMES MAKE CHANGES WILHOUT PRIOR APPROVAI OF DEPT. ISSUANCE OR GRANTING Of A PERMIi OR APPROVAL OF AND SPECIFICATIONS SHAII NOT BE CONSTRUED TO BE A i FOR, UR AN AfPROVAL OF, ANY \'IOIATION OP ANY OF IOVISIONS OF THIS CODF. �O PERMIT PFESUMING TO GIVE �RIN TO VIOIAiE OF CANCEL THE PROVIStONS OF Tt115 SHAII BE VA��D, [%CEPT IN SO FAR AS THE wORK OR US' •1 IT AUTHOftIZES IS lAwfUt. � � TH: IcSUANCE OF A PEP.fdii ?AS°D UFON VlANS AND �GFIC/itIONS tiHALi IJpT PkE'vE»T '4F BUiIDING OFROAL FROM TH2REAFTER RE!)IJ�R�NG ;Fi.' f'��P{;�CTiON G` :R20R5 IN SAID PtANS 0.fJU SrE.rtfl.Fii<i�� i OR I'kOht V.P;VENANG 6UILGING OPERNTIGNS BfIIJG (:.qkM,lr.6 ON THEREUNDEH WHEN IN VIOIATION Of 'p115 COOE O;< OF ANY OTHER ORDINANCE OF n+e ciTr. ?� )�N701�711 b�17Q1i7Y N � A A ti L': FpR B�VSPECTBONS CALL 754-5626 754-5627 Permit �E 3 8 8'S� THIS NUMBER MUST ACCOMPANY ALLINSPECTION REQUESTS x t T Y PI CAi_ 6" CONCRETE BLOC�C FENCE Cement Coping Optional -- Channel Block With 13/8� Horizontal Top of all Fences For Fenees5'�or Leu � � Vert. Bars 3/8"ySat 4'•,0" O.C. � For Fences HigAer Tban 5' �• Ven. Bars 3/8"� at 32" O.C. � Fil(Cells Solid With Grout WhereSteelOccun � - Reinforcing Steel Shall � Conform to Set.A�1539 ' � A.S.7.M. AIISteelto be Lapped � �- 24" or to Code NATURALGRADE TWO 3/8"d BARS �-1 CON7INUOUSTOP I & BOTTOM � _�_{ HOQ7Z.STEEL MUST BE TIEO IN PLACE AT TIME OF TRENCH INSPECTION. x � u w x z � � �� Io� n D ' . F�--WIDTH p SEE CH� / BEIOW �.� e FOOTING REQUIREMENTS CHART , GENERAL- NOTES MORTAR: One Port Plosfic Cement, and Three Parfs Sand GROUT; One Port Cemenf Th�ee and One Half Parts S�and COPING: One Part Cement, Three Parfs Sand CONCRETE: Well Mixed 1;2-1/2:3-I/2 MaY. of 7- I/2 Gallons of Watar Per Sack of Cement GHOUT MAV BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLS ANO ANEAS OF HOFIZONTAL HEIN- FORCEMENT SHALL BE CIEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. H OF E4RTN7COTH V3 iHE HEIG7H OF FENCE �ELOW BOTTOM OF FOGTING. sca�F: iiz"= �' W107H . . . . . . . . . . . . . 14'� . . . . . . . . _ . . i4�: . . . 12". . Ip.. THICKNESS . . . . . . 10'�. . . . . . . . . . . .10" . . . . . . . . . . . g". 8„ DEPTH OF EARTHTOOTH . . . 24" . . . . 20�� . 16��. . . . 12�� SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14' . . . . . . . . . . . 16�. . . . . 16� City of Costa Mesa, Caiifornia Building Department , . . . . _. .. k�EV1SED Nov. R2 e TOs CITY OF COSTA MESA $UILDING SAFETY DIVISION FROMs CLELL W GLADSON PRESIDENT & DIRECTOR WOODSTREAM HOMEOWNERS ASSOCIATION �45 UNIVERSITY DRIVE COSTA MESA, CA 92627 PERMIT NUMBER: 838851 a = JUNE 20� 1989 . PLEASE HE ADVISED THAT INSTALLATION OF A BLOCK WALL HETWEEN UNITS G2 AND E1 HAS BEEN REVIEWED AND APPROVED BY THE WOODSTREAM BOARD OF DIRECTqRS. SIGNED¢ j�._'!.—"'C—�—� ----- 6/y��% (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT P FAIR DRIVE, COSTA MESA, CA 92626 ,lobnddress: 345 UNIVERSITY DR Suite: E Vicinity: UNIT E ROOF Primary Occ: R3 Parcel Number: TPN005068 Applicant PABLO LOBATO SANCHEZ Address: 1235 N SAN DIMAS AVE Type of Construclion: V-N Zoning: Phone: 626-852-2110 SAN DIMAS, CA - � � Zip: 91773 � Owner: WOODSTREAM HONIEOWNERS ASSOCIATION Address 345 UNIVERSITY DR ., � � � � Phone: COSTA MESA, CA - � � ,Zip: �92627 Contractor:�" � CONDOMINIUM-CONSTRUCTION SERVICE, INC � � Address: 1235 N SAN DIMAS AVE � � - � � Phone: 626-852-2110 , SAN DIMAS, CA � �Zip: 91773 License: 691243 Address: Zip: ' Eng: � - . Address: Phone: License: -. - ISSUED BY: Status: ISSUED Applied: 10/062005 Issued: 10/06/2005 Phone: License: - SCOPE OF PERMIT ' REROOF CONDO BLDG #E � � �� `'T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15# FELT, APPLY 40-YEAR COMP SHINGLES. �65 SQUARES � - - � �" - � , � . .. . . . . . . .. . _ , � . . . � Plan Check i�, $0.00 Permit: $223.25 SMIP Res: $1.25 � � SMIP Com� `�' �� $0.00 Other: $0.00 Inspection: ' :' $0.00 TotaL• . $224.50 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existino:,,„ o, FEE SUM r,. � � 4 / � -t,� �r Calc Valuation: $iz,soo.00 Claim Valuation: $iz,soo.00 Rear �, .= Left 0- 0 � Right -`Rear 0-0 � - Left D-0, ' . �-�.Right � . Required:•- 0� -� - Pr000sed: � 0 NOTICE: The work authonzad by ihis permit shall comply wlth 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. INSPECTONS: In order for the work authorized under this permR to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 '-eoe�ee la�nol WORKERS'COMPENSAnON DECLARAnON: . ' " ' ' I hereby affirm under penalty of perjury one of t�e following tleclarationsi ' - - ❑ I have antl will maintain a certificete ol consent to sell�lnsure lor workere' compensation, as provided for by section 3700 of Ihe Labor Code, for Ihe pertormance of ihe 'wwk for which this permit is issuetl. �[],:s-hhave and will maintain workers' compensation Insurence, es required by section 3700 of ihe Labor Cotle, tor �he pertortnance of Ne work for which this pertnit is IssueO. � M wo�o rs' compensatlony+surence carder end I' number are: c� Y=S„n m bi �u al S.Oa �� p.� /y1 S Cr� P`olicy Nu`m6e o os- 0002 3 zz 3 (Ttii9Tsect/on need not be comp/eted il (he ermif /s velue a�undred dollars ($100) or less.) ❑ I certiy that in the pertormance of the work for which this pertnit is issue4 I shall not employ any Oerson in any manner so es to become subject to the workers' compensation laws of CaOtor 'a, end agree tha If I should become sub�ect to the workers' compensation provisions oi Section 3700 of the Lehar Code, I ahall forthwith Compty with IheSe provi5ion E�ve"y Si� om:-�-�O � 06 - O� WARNING: FAIWRE TO 5 RE WORKERS' fAMPENSATION COVERAGE IS UNLAWFIIL AND SHALL SUBJEC� AN EMPIOVERTO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOILARE (51 ,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED fOfi IN SECTIdJ 3]O60F THE LABOR CqDE, IPIrEREST, AND ATTORNE`f5 FEES. LICENSEU CONTRACTORS DECLARATION: I hereby aNirm that I am lice sed under provisions of Chapter 9(commencing with Saction 7000) oi Division 3 oi ihe Business and Professions Cotle, end my license is in full brce an6effect,%L9c. # 'Class N �i contr� turye�. ��y � C' Da�te_� D� 66 — U� �_.` CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm ihat ihere is e consimction lending egency tor the pedormence oi the work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lender'S Name: Lender'S Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirm that under penalty ot perjury ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Buslness and Professlons Code: Any ciry or counry which requires e permit to construct, alter, improve, tlemolish, or repair any stmcWre, pnor to its issuance, also requires the applicant for such permit to file a signed statement thet he or she Is Ilcensed pursuent to the provisions oi Ihe Contractors License Law (Chapter 9(commencing wlth Sectlon 7000) of Dlvision 3 of t�e Business antl Protesslons Cotle) or thet he or she Is exemp� therefrom antl the besis for ihe alleged exemption. Any violation of Section 7031.5 by eny applicant for a pertnit subjecis ihe applicent to e civil penelry of not more then five hundred dollers ($500).): ❑ I, as owner of the property, or my employees with weges es iheir sole compensation, WILL DO 7HE WORK, antl tha structura is not in�ended or ottered tor sele (Sec. 7044, Business and Protessions Code: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, entl who does such work himselt or herselt or Ihrou9h his or her own employees, provided thet such improvemenis are not intended or oHered tor sale. N, howaver, ihe builtling or improvement Is sold within one year oi completion, the owner-builtler will have the burden of proving that he or she did not build or improve for purpose ot sale.). � ❑ I, as owner ol the properry, am EICCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Protessions Coae: The contractors License Lew tloes not epply to en owner ol property who bullds or impmves thereon, and who contracts lor such proleci with e contractor(s) licen5e pur5uant to ihe ConireCtors LicenSe LewSJ. ❑ I am e:empt untler sec. Business and Professions Code br this reason: SignaNre: Date: Owner ID venfietl by tlnvef5licensa. ❑ Ye5 ❑ No Drivers License No. Expire5: Ventication ot Ownership by (type of daument i.e. - D�aPerry taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihet no excavation five (5) or more teet in depth in�o which a person is required to descend, will be made in connection with work authonzed by this permit, and that no building structure, scaftolding, talsework, or demolition or dismantling ihereof, will be more ihan Ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Title B, Calitomia Atlminisiretiva Cotle). r ❑ As owner-builtler, I will not employ anyone to tlo work w�ich woultl��equire a permit from the Division of Industnal Satety, as noted above, unless such person hes e pertnit to tlo such work from Ihe tlivision. ��.� Signature: � . Date: Division of Industnel Salery Permil Number: CERTFlCATE OF COMPLIANCE AND AIIfHORVATON OF ENTAY: I certify untler penalty of perjury ihat I have reatl this application and state Ihat the Infortnetlon given is corcect I agrea to comply with ell stete laws entl ciry orAinances relating to building construction, antl authonze represematives ot the Ci1y of Coste Mesa to enter upon Ihe e6ove-descnbed property for inspection purposes. I egree not to xcupy or allow occupancy ot any building authonzed by ihis permit until final inspection. [��ra�l��ta�c•r.�.ua 7616 Fixed System Pinal Fire Prevantion 1266 Pool Spe Finel 200 Final Re-Roof 201 Final BIocWRateining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � � p�g . INTIfIRLS � �� CODEt INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elec�ncal 272 Final Fire Prevention �220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy Date � r�aecTeoosessf 345 UNIVERSITY DR OWNEP'SNRME: KF.ITH' d LAURA KOCH nooeess: SAM E , . : � ' - ,. . � �' �RCHIENCINEEN: � i � . HEG.NO.: � nooxess: � � . uxir: E� r UNIT: PEBMITTEE: j,AURA W�STERMAN KOCI�T ( 719 ) Fi45�£�067 nooxess: 345 UNiVGRSITY llR E6 C.:M. � CA 92627 UCENSED CONTMCTOB OECLAMTION: I here�y aifirm ihat I am licensetl under provisions of ChaD�er 9(commencing with Section � 7000) of Division 3 of the Business�ana Professians CoOe, antl my license is in full force antl effect. , • Cltt LIC.: STR7E LIC.: � CU58: � � �ate: � SiAnaNre: � WOBKEBS' COMPENSRTION OECUMTION: I herehy aifirm ihat I have a certificate of consent ro self-insure ora certificate oi Workers' Compensation Insurance, or a certifie0 copy thereoi (Section 3800, LaD. C). , POUCY NO.: EXP. ORTE: � COMPRNY: . • �z Certifie0 copy is here6y fumishetl.' ❑ Certifie0 coDY is filed with the ciry Builaing �ivisian. , - �ate: FDPiicant: • . E%EMFfION FBOM WOBI(EBS' COMPENSRTION OECWUTION: (This section nee0 nat be wmplete0 ii ihe permii is for one huntlre0 ($7 W) or lew). � I certity Ihal in Ihe performance oi ihe work for w�ic� Ihis permit is issued, I shall not employ any person in any manner So as to hecome su6lec� to �h{e Workers' Compensa�ion Laws ot Califamia. / Date: � � ( 2 4 / � `% � • �ignature: . �- �4�'A ��t� I S��l"m.��s, �EVI NOTICE: It, after making this declaration, you shoul0 hecame sublect to tAe Workers' Compensalion provisions oi the Labor Code, you must forthwith comDty with such provisions or ihis permit s�all be deemed revoked. , � CONSTBUCTION LEN�ING RGENCY: f �ereby affirm that there is a constmction IentlinA aAency (or Ihe De�ormance oi ihe work tor wAic� �Ais Oermit is issued (Section 3097, Civ. C). , LENOER: ' RUOflESS: . . . .. .. , . . . . ' > OWNEN BUIIDEB OECUMTION: I herehy attirm that I am exempt irom tAe Cantractars' Stale License Law for [he following reason (Section 7031.5 Business an0 Pmfessional COUe: Any ciry of counry which requires a permit to constmct,'alter, improve, Aemolis�, or reDair any structure, Orior to its issuance, also requires ihe applicant for sucA permit to file a signetl statement that he/she is licensetl pursuant to the pmvisions of ihe Contractors' State License Law (Chepter 9 �commancing with Section 70W) oi �ivision 3 ot tAe Busineu and Protessions Code)�or that he/she is exem0� thereirom antl t�e 6asis for ihe alleAetl exemption. My violation of Section 7031.5 6y any aDPlicant for a Oermi[ sublecis ihe applicant ro a civll penalty oi not more ihan five hundretl tlallars ($500�. , I, as owner oi the propeM o�� my employees wit� wages as iheir sale� compensation, wiil Jo ihe woM, and the � stmcwre is not intenAea ar oRereA for sale (Section 7094, Business antl Professional Code: .Tha Contracrors' State License Law - does wt apply to an owner oi a pmDeM who �uilds or improves ihereon, anU who tloes suc� work himsetl/herself or through - �is or her own�employees, providea ihat such impmvements are nat intentleA or oifeie0 for sale. N, however IDe buildinp or � impmvement is sold within one year oi completion, the owner will have the hurAen oi pmving �e/she tli0 not 6uiltl ar imprave for [he puryose at sale). ' . � ' I, as owner of tha pmperty. am exclusively contractinA with Iicense0 contracrors ro consimc[ the proiect (Section 7044, Business ❑ antl Profeuions Code: The Controctors' S[ate License Law dces nat aDDly to an owner oi pmperty who Umltls or improvas thereon , an0 who con[racis for such projects with a conUactor(s�license pursuant to the Contractors' State License Law�. I am aware [hat Droof of [heir Warker's Compensation insurance shoul0 he pravi0ed to me. ._ , � I am exempt un0er Section: � ' B. 8 P. C. Por this reason: ' � - / j (,� /� Date: �� l��r�fi'T / Owner: �liGr/Li L�l��j�!-�^d+J'// I tlo �ere�y cetliy that I am aware of antl understand ihe requiremen[s oi Califomia Health and Safery CoOe Sections 25505; 25533, anU 25534 an0 tAat I or any iNure builAing occuDant will/will not (circle one) neetl to comply with said state coaes ana ihe requirements for a., permii tor cons�mction or mo0ifiwtion hom [he Nr Qualiry Management Oishicl. Residenlial consimction apDlica�ions are exemD� from ' these Dravisions. � ' . ' Oa�e: ' Applican�: - , I hereDy certity tAat I have rea0 i�is aD0lication and state t�at ihe above information is correct. I aA�ee ro compy with all ciry and counry oNinances anG state laws relatinA �o Uuilding constmction antl here�y authonre representatives of this ciry ro enter upon the a0ove-mentioned proDeM ior inspection pumoses. • h % /�) / oate: 1 i/2 $!gw Signature: h Ct��Y L'I! 9 SrZ.i'Jvrt.v�. �e�ri1 oriver's License oi social secunry »: ' � 1691-4fi White—BuilEin9; Green—Cotle Enbrceman�; Canarv—ApO�icant; Pink—Revenue: Goltlenrotl—Assassor ' � CITY OF COSTA MGSA — BU]:LDTDJG pERMI'P, P£•.RM 1�0: A 0451.55� YERMIT N0: Q 045155 PI�AN CHECFC NO: 07CrII5-89 S, GOVT; Pl� SpF?P:� N' � CODlSTRUCTIUhI TYPE: V-�A1 PERMIT TYPE: STI2 � PURPOSE;:, ALT JOH UE�iCRIPTION ; OPGN A 36" WINDOW IN DINNIDIG AREA 'SQ•FT:; •S00 CI�AIM VALUE: 500.00 CALC—VALL7E; � 500.00 GAOUP OCC: R'3 ./ r..oMMEN•rs: **�r*�t*�t*�*�*�*��*�tx �*�c*�x***x*� x�t**�t��*****�*�t**��t****�t�xi;�*�c**��***�*��**�t**** Z O N I N G R E Q'U I•R E M E N T S S E T B A C K.S ------------ MP.II�I BUII�UING -------.---- --------- ACCE;SORY f1I7ILDING ----------- FRNT': F.�'T IN REAR: FT IN FRNT: FT IN RF.AR: FT IN �LEPT': FT Ild RGHT': FT IN T�EFT: FT IN RGHT:. FT IN � � PARKING R�Q: -: PROV: PARCEL�: 00000000 ZNE: R2 Ri:F NO: PLANNING NUTES> APPROVAL TO INSTALL .AI�CJMINUM SL�IDI3R W,INDOW' , . . } . . .. .. . _ . . . . - �E iF iE if- iE 3E iE 3F �%iFiE 3F 3F 3f # iE�iE 3E iE �E �E #�E jE �M� �E iE iE �3E 3E iE # iE iE -0f iE iF �lE �lf iE 1E'�(- K� i4 iE if if iE iE iE if �16 iE if iE it iF iE �7E iE 9E iE a�F 3E if iEiE �K �lE �SEt3E �)f 3E ih iF iE iF i(-�f D E V I: L O P M E N 7' S F. R V I C F. S P. E� U I R E M� N.�.T.'-S . 7,lJ NTNG APPROVED HY ' _ �� 1DATE: '—�-'��, . ' BUILUING APPRO�rEU BY '; . � . ' . " ' DATE: � J � APPLICATION ISSOED AY: '�— DA'PE: I�y=Z2a $`� � fEiEiEiElf�EiE3F�1E�7E3Ei(�iE3E�1EaF�fiEikiEiE3t��F7F�F� - � ��FjfdEiEiEiEit9EiEiE�if i.y �iF'�'jfj(� iEiEiEjEiE�IE�IEiE�EiE3EiEiE�fiEi(�-0EiEiE�EiEiE�EiE�IEiF�IEiEdEd(-iFiElEiE-��lEiFiEiE�lfiF-%3EiEiEiEiE3EiE3EiEaflFiE�IfiE�1E�1EiEiEitiEiE-)EiEiFlEfEiEiE#iEiE�#iE#i'?;# � LEGAI�ZZATION:N "' ', " F F.. E ,`S"D M M A R Y � STRUC:TURAL SEGMEI9'P.Y "' BLDG PMT PLT.7MRING ELECTRIC MEC:HANIC FIRE• SMIP/RES GRADIPIG PERMIT 15.00 _ � .50 � + SMIP/NON--RES' PLAN 9.75- � zss�JE r•�E ` HUILDING--DIV—> PF'RMI'T ISSOE' PLA.N-CHECK TOTAL PAID L�ULi TOTAI,S---->' 7.5.50 0,00 9.-75 25.25 25.25 .00 REVENUE DIVISION TOTALS--> � COLLECTED: " 25.25 OVER/SHORT:. .00 HL,DG PMT PLUMBING �LECTRIC MECHANSC FIRE SMIP/TOT GRADING PLAN�-CFIECK ,15.00 .50 . 9_75 iF �lE jE iE 9E iF iE 3E �E iE �F # IE iE # 3E iE iE iE iE iF �1F dE �)E �7(-3E �E �7F i:-!E iE 9E iE 1E 3E i(� iF it if �1f i(� 3F iE iE iE iE iE �)f 3! jk if iE 3E if iE 1F 3E 3t iE if 3E �F iE?(-Y.� �lE jF jE �lE # 3E jf if iE if iF if 3E M� S N D I V I U U A L F E E 8 R� A K.D O W N -TYPE QTY . D E S C R't P T I O N LINIT COST. TOTAL COST SFR 500 �STRUCTURAL AY VALUE PER $1.00 1.00 500.00 END OF FFES _ ' _ . i . ' . ' ' s �1 �70048332-0004E334 l"�aT 25.25. DATE: il/23lE9 TIflE:`1Q:47 �� CONSTRUCTION ANDPLANNING� ' � � P�� 'PA � APPROVALS Permit # ' Date� Inspector AppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole � � ' i � �� 52. Pool & Equipment Location - 2�. Soil Pipe-Undrgrnd. - - 53. Steel_ Reinforcement `� . - 9.=.Electrical Conduit l�Jtility-Undrgrnd. �. 54. Forms ' 4. Electrical Conduit�Und'rgrnd. . � 55. Electrical Bonding . , ` 5. Steel Reinforcement . . 56. Rough Plum6ing & Pressure Test . � 6. Electrical UFER�Grnd. � � 57. �APPROVALTO COVER�GUNITE ' ' 7. Footings '• � 58. Electrical Conduit-Undrgrnd.� � �8. Foundation �: _ 59. Gas Pipe, O Undrgrnd., Test . , 9. Water Pipe�Undrgmd.� � � 60. Backwash Lines, P-Trap; O Undrgrnd. 10. Structural Floor System. 67. APPROVAL TO DECK . � 11. Property Sewer Line & House Connection '� ' 62. Backwash & Receptor-Final ; �. 12. Sewer Cap � . - 63. Heater & Vent�Final � { 13. floof Drains . . 64. Plumbing System - Final '. 14. Rough Plumbing � � 65. Electrical-Final . ' � 15. Rough Electrical-Conduit 66. Solar SYstem-Pinal _ , 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._ Rougli Heating & Air Conditioning � - � FIRE DEPT. REQUIREMENT 20-RoughFactoryFireplace - ., � _ �, � '-qPPROVALS'�'-Permit# - 21: �Dutts, in,Structure� " ' - '' '.70. Underground Hydro 22. Ducts, Ventilating � " . � . . .,77. ProductPiping O Gas ❑.Oil 23. Gas�Pipe�Rough & Test - � - . �' �'72, Underground Flush' � ' � �. 24. Foof Framing , � � _ ._ , � 73.:Undergmd.Storaqe_Tank,�Gas ❑Oil 25. Roof Sheathing� - ' � ' ' _ ` 7q�' Overhead Hydro� ._ . . � � � � 26.-T-Bar Ceiling (Structuraq & Monocoat. ; .� . - ' � 75, Dry Chemica� � _- � 27. Frame and Flashing. � _ - - - �� 76. DrY Standpipe - ' 28. Lafhing & Siding ' � ,- ' ' � �', ' 77� FIXED SYSTEM'FINAL �- : 29. Insulation � _ ' 78.� FIRE PREV. FINAL = ' ' 30. Drywali Nailing . . ` ,, HEALTH�DEPT. REQUIREMENT 31. Plaster Brown Coat�- _. -' " - � 79. FINAL INSPECTION � `32..Electrical Power MeterFinal '- � . ; � SO.�FOOD CERTIFICATE ISSUED _ �33. Final Electric ,�t . No{es: - " '� ' ' �94. �Final Heating & Air Conditioning ' - - �� ' �- ,_ -' . - .. . 35. �Final Gas Pipe-Test _ � , . � � -�-r 36. Hood or Canopy � - �' � �'i . � ` � . �_, - - .f. . . - - �- �:37. Final Factory Fireplace::- � -. ' _. � .. 38. Final Plumbing '' ' � , . � � 39.� Water Service-Final . � - �; , , - 40. Gas Service-Final � - " '" - ' • � ' 41: Solar pomesticFinal- _ ' � . . �` , = " . 42. Backflow Preventer � �'' -� - - � - - . _ , 43. Backflow-Irrigation� � � _, . . ' � 44. Landscape ITrigation System •' � ' � . � � " � � � , ' 45. Sound Attenuation � : � �` T -�,'' �:, - .. • - � 46. Handicap Regulations � - • � - _ ..47.-FINAL STRUCTURE & BUILDING ,Z " . _ 48.. FINAL P�ANNING � - � � ' " 49., Electric Release to;Edison . :}.' ' _ . - 50`Gas.Release to Southem California Gas Co �+ � - - � - 51. CERTIFICATE OF OCCUPANCY No. Date '' .' ' . • � �t 3';0'' . . : ; . ; � �14:0'' _- 11' 4,.' - � � - � ; �' ��y � _ d:[o`' _'1%�s� 3'•0'� 8'-n" ' - ,` �u �� r: 5 - _:�.�9. �� X G (�`''�O�'� ; ., � . � -- a-�, - . . , ; .� '�f. ; . ; �. . _ _ '�1.�_: .... -., • � . -- 4�cB. Nna . . .. �, ., -_ J ' ' i ,. . . . - . : —Z � 10/��l :' - . . : . ' . . . _ .' : -.� � -. � , . . . . � �, 'p _ .� � :z ce: nv,PanPJ:: p,00 LYJ� -� iwlct -. � -� c, LArlirl�att H- -- - � `�, .. ' ,9 _ �� .��P�: ; .. . , � J � `;C � � '.� h�. . _ -� � � -:1) r; 4 ,- `.4,clR��A�-{ f R,Q_ . �. �" C ,. � � -- h�`��`�. ��t- :. ' :. . , 3 =, , : a , �t. ; �� IrJG�. GLafi'i, -, I� :li�AR(1�.'� �, (j . z �� ? z' - � � � � UAFI/� _ _ � � k . � � .va� �.,;.��L. �''��:-�!�2.,: :_.� � , : T .,,. 1�Ith riALt . - � , � - � ► liv}n� . . ,^�,,•'��,�f�^m' L�I. •� j � '• ' � � �V'I � � .•. �I ��1 !/W . �L�i A ��!/Y1�N $ . ' � �. ' 1 . j . , uo,dfit�el (aa�6;�,REftPc�f � . - � � " " '; �''��r ' a � . ,: ' . , � � . v R4(�p'. . � dine ,.��- Rp-„`�""'��: ° � C G� �:� . � _ �iL/E'M.-��G� .. � ., . .� �J � -C i.. ' . - � . . , __ . a. C � .,: r, 9 �::. ,�.,�, ,-3'� � .:' �' 3 . =4'-9�.- , r - � , , ''� �t � poM � -lr �l _ ls.,ci • ' ' : p � • �wN11r1c� '� .4 x.i2 Rkil. �' ', . ' y' � KLq 4fP LkAr1 itLLN.�A' . � - ;.' .i .� , �. '..* / •. ' a�. , .�1 _� .. : . � . ;. ,.l �t . � r `F . 1 ti 1 -.�.. �.�/ . ' .� '� � ( li 1 '�i�:� �- r� ; jh �(i� � ' .t� � /�� O u � F-- ! I i� � � � 9 ' � � Y �.� : � t �' � � � ' ' � = b'� il, 0 9 ' � _ „ f ,' O O ;�l � � } � � ;., � �`�"�'�.� � _, � _ 1, �. �> �; F :, ,: "' ' . � r 5 ,�.(� l.l.Dh�1�U i.i�� ; ��' , �. . � f .� � , ��. � �vv� , � '',, + .r,n..Ti� ,�: � o�.'. � . '• n � e' : < .�.1 r�?� J ' � . J f ��erc: o,t ��.•.��1 ,rl� � :Ni�t�� !� _ ' � A. � � �, �- � FRt?. 4 . . A �1-.Q � Gu7hi _• �� - _ . ? 4�c.t� ,1 oirr( � � � __ � f' ' c . � ' .jr— •• �_�p7�(� y �i i i m � �:� . '��,%/ `�� f AX. """'�'"r�w� r . � . { lp�I��j.r+'� � Cr : � �'[� �'h�J h �'Dl't " '; Glf�- '12r : d � �p ��p"�pj arl � . a y r- 1�.Y:� i�� r �.O ,L�\� �ln�_"��- �.1� �. , � . G�� -�'� 1� , :' . � � Cit . o# Cos� Mesa Buitding De�rt. � � _ , ,� s �� . - — gax�.a� �P w,h� w ?'o- . _S�+ _. oATF� �:8 � a� ' Y � 'O .-iHr�F PlAi�i � P�',� 1 Bt�Ui`'-'C.o 4� .lt� TIN^r5 `.h,'tK; � �IOQ �' � �� ^. `O ��.:p F'+i. NGE:> N(47 ��!)T r� �O �. F� N��b ril Gf Lc?T ,CITY-�OF y-�A ��'. � ` . Y� `�i!�i,s I �'S�' . : PlANN G DEPT . , ' � ni a�t pJ4l GF � .. . iUUCC7'i0 . : ,� . TFiE�I S A� � 'c t I ! - �r w- ! ,l"� � 7N � kl) F 3 A �� ; . O: DDT, !�Q I �LANS t Fl� l .`nri rf� �� f�� 7 1 � nF i �/ � • � �N�P&r�' fiCC`SF� ��f• � � Q �CY�n(Tt� i �(�..�� .�-1�[q� '�. .� �. V �'� 9Ui aCPi T i t � h(��p`� �.� �� _ INQ , . � � .YHICN I i1.9t �-:i��, .. �� .. J F/-d P .i�,.. - . ' q �. . � � •.uTr�ai Q �c Cp :JANI �i�'j%� � � � � ' f. _ . r// •'L'�I�� - . 6 . ` _ � rrtg� ;s� .c;�c.� � ^ , ..�4Xt1�nQFl�iia��Kti�"i/�'{��IOUh_ . � . . -� � '�PA�y- 1.°�l.: p.5^`CIF'I•=.tCVS Pl '<.`[�eP�f AeDf�S�J�IV✓. A L/,' .'-.��.: .,O�nffv,' :... " � r , , � � `t%!` UJ�f�F-ILAt� ' A $AID Fl N� ND `�IC iIICO�.�Q �i �i � � ... . ' ,, . . . 1� 1D�ICt� -RATIrJN �RG�AC/ In{�QQ� . . . 4¢ O/Y�1[�/'� {rJP%�I�11�:6 lti� .C�E 1P0, A�;;�-�F�I.ORDirv.�h e . . , , n . � �ffi>� p�1� .� �p,�rf.hlGYs.D��HG,AR.�.-. ' _. 'NAI.I „� t � .. . _ n,c �o�e��la �a �� . . - � Ico''o.�. , h. �� - _ q �ihi�]'• `�pr 1 ��(o I Lo'- O' 'f0:0L!.�.V�c�-'. I'-(o �ia� : • � � - ::.. ._. . -- — �C(� / /h,ve�r; 6y � V / ( December 6, 1989 City of Costa Mesa E3uilding Division Re: 36" tqindow in Dining Area--Permit #OA5155--Unit E-6 Upon review, the Board of Directors 9rants final approval for this cqnstruction. Sincerely, �� M/ Clell W. Gladson President Ploodstream Homeowmers Association 345 University Drive Costa Mesa, Ca. AOO��ant to fill in all spaces except those within heavY �ortler CiTY oF COSTA MESA CONST1RUCTION PERMIT � rProject Address .��c� ��!1 � U 2Si'h 1�� ,�v:�� Appli�an['s Maili/n�o AAArn_cs � . �/ Owner'sName 1��f'�')LI,�Ci `��l�}l�I�p".5 vnn�o �OY� � [5/ Address Arch/Eng. � License No. Address ' 2Zv-3333 Contractor's Nam u%h . 1 P,hope Address (ma�� a48 � T'�-1 �N W �� Ciry License No. � � I IICENSED CONTRACTOR DECLARATION I hereby affi�m that 1 am Ilcensetl untl8� p�ovisions of Charlcr 9(commencing with section 7000) of Division 3 ot the Business antl Professions Cotle, antl my license is in / W fo c antl eifecL �/ . Licens Glass - icansa No. �� Date ��a�-� e c'��ar .a � �isr..T � W00.KER5' COMPENSATION DECLARATION ' �,hereby affirm that I have a certi(icate of consent [o self-insure o� a cCrtificate W Worke�s' Compensa[ion InSurante„ or a certitietl copy Ihereot (Section 3800, Lab. QJ��-� ]�� PolicY No. ��-Y9-sa�� ComPanY '�'�'�^�— ��-`�� Certi"etl c�Py is tiletlbwitnrthencrtyp quiltlin9 Division. 1,, 0 Date � �( � APPlicant /� ��p��-�� 4( �D• /u��/%�� EXEMPTION FqOM WOXKERS' COMPENSATION D LA0.ATION (ThiS section neetl not be completetl It Ne permi[ iz for one huntlretl (5300) or Iess). I certify tha[ in lne pertormdnce ot the �+ork tOr which this Oe�m�t is�issuetl, I shall not employ any pe�son in any rt�annet so �as to betome subject to the Workers'. Compen5ation Laws o( Calitornia. Date ' Signattire �NOTICE: If, atter making [hiz tleclara[ion, you Shoultl become subject to [he • Workers' Compensation provisions of. the t.dbor Cotle, you must tOrthwith compry wilh such provisions or this permit shall be tleemetl revoked. � CONSTRUCTION LENDING��AGENG�'- " �' � I hereby attirm that there is a cons(ruction lentling agency tor the per/ormance of the work fo� wblcM1 this permi� is i55u¢tl (SeGtion 3097 Civ. C.) ' Lenaer's Name � Lentler's Atltlress OWNER BUILDEN DECLARHTION � I hereby at(irm that I am exempt trom the Contractor's License Law for tne followinq reason (Section 7031.5 Busii�ess antl Pro(essional Cotle: Any city or county which reQuires a pe�mit to conS�ruct, alt¢r, imptove, tlemOlish Or repai� any structure, prior to its issuance, also requires the aoP��cant for such permit to file a signetl slatemenl that he/she is licensetl pursuant lo the provi5ion5 of the Contractor's License Law (Chapter 9,(commencin9 with Section 7000) of DiviSion 3 of lhe Busines5 antl Profetsions Cotle) Or �hat h¢/She is exemp[ Nerefrom antl the baSis for [he alleqed exemption. Any vlolation o1 $ection ]031.5 by. any applicant for a petR��< subjects the appllcant to a civil penalty ot no[ more t�an five nuntlretl Collars (E500). ❑ I, as owner ot the' Oroperty or mY employees witb wages as thelr sole ' compensation, will tlo Ihe work, antl the st�ucture is not intentled or offeretl for sal¢ (Section ,7044, Business and Piofe55ional Cotle: The Cont�acto�'s License Law tloes nol apply [o an own8/ of a property who builds or Improves thereon, antl who tloes such work hin�selt/herself or through his o� he� own employees, pruvitletl [M1at such improvCments are not In[entletl or oHeretl for sale. If, howeveq the bulltling or Imprn�ement is soltl within one year oi com- pletion, the owner will have the burtlen ot provin9 he/she ditl nat buiitl or Im- �rova for the pur0ose ot salo). 1, as owne� ot the pro0erty, am ez��usively confractlng with licensetl mn- tractoro to construct lhe p�oject (Sec[io� �o44, Business antl Protessions Cotle: The ConVactor's License Law tloes not apply to an awner ot prooerty who builtls or improves'Ihereon, antl who rontracts fo� such Orojects with a con- t�actor(5) license pursuant�to tM1e ConVactor'S License Law). I am aware that proof of their Worker'z Compensatlo� insutance shoultl be provltleC to me. ❑ I am exempt untler Section B. & P. C. tor this reason Date Owner I nereby certiiy that I have reatl tnis application antl state thal the above info�mation is mrtecL I agree to comO�Y �+'��h all city and county ortlinances antl sta[e laws re)aF�y to builtlin9 consiructlon, antl hereby au[horize repre- SenCativez of t�.�i�y�o enter upoi� the above-mentionetl prop¢rty for Si9naWre � Drivers' licenz 5 � sign all a00roDriate Eeclarations. TVPE OF CONSTRUCTION LJ NEW LJ ADD LI ALTERATION ID.¢FiEPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRIPTION OF WORK/USE OF BIDG. � �- � `� � +-�ti �o . �.� _ 1" TVPE OF PERMIT LI GRADING LI FOVNDATION LI STRUCTURAL -❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5c�. FT. OCCUaANCv C O N ST RUCI'ION TYPE V A LUATI ON $_ ZONE GRApINGCU.VDS. ACRES_ Remarks: � . Sink Irrigation iking Fountains �r Drains' �r Sinks Service Outlets K�itchen Slnk Lavatories P-Trap ' Roof Drains Reinspaction Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct-Ventilating � Exhaust System ❑ Multiple ❑ Firepl/FacL BIL ICBO # Heating System & Ducting ❑0.700,000 BTU � 100,000 BT Reinspection Fee - � $15 CMF 0865-46, rev. 10/04 White - Builtlin9: Canary - Applicanq Pink - Acmuntln9: Goltlenrotl - Assessor PLUMBING Showers � Service Sink' - Sewer Cap $ewer Connec�ion Solar Collecmrs Solar Piping ' Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Wacer Service � Auto-Wash Issue Fee Hood or Type I ❑ � Canopy . 'fype I I ❑ Fiefrigeration Sys[em ❑aioo,000aTu ❑ioo,oao System Repair/Alteration Fire Dampers Registers Issue Fee A.P. 3W S Main Bu E T Front B Reer A C Right K Left S Ping. Rel. # Planning No' Au�omatic Washer Construction Pole Sub. Cooking Unit Dishwasher 3332 9/IBY86 Zone Accessory Building: ELECTRICAL . � Trans(ormer ❑ 15-50 KW - ❑ SO+KW Fan F.A.U. Fixtures Device Boxes OuNets Switches Garbage Disposal Generator �0.5KW 05-15KW Merer LJup to 100 amps Meter �over100amps Sub Panel Mowrs�0.7 HP �1'f,-8 Inc.Solar 09-75 HP �16-15+ Microwave ' -' - Pole� Light i � � Range Sign Standing Sections Trash Compactor , $ 3 Reinspection Fee $15 'luue Fee FEES ' DE VELOPMENT SERVICES REQUIREMENTS: • Zoning AaProved 8Y � Building Approved By � - Aoolication Issued ev $ 3 � SUMMARV OF , BUILDING PEFMIT $ — PLAN CHECK $ � — PWMBING - . $ �, .L, 'L� PLAN CHECK 25% $ ELECTRICAL § 7LAN CHECK 50% $ — MECHANICAL $ PLAN CHECK 25% $ 5e0U TL FEES $ 3 SMIP $ PERMIT ISSUANCE S ENERGV P.C. $ GRADING � $ MICROFILM S � TOTAL FEE $ , ,�. �<� Z O N 1 N G R E Q M T S �CONSTRUCTION AND PLANNING "- POO� � SPA APPROVALS Permit # - Date Inspector qppROVALS Permit # Date Inspact�r � 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement J`�' �-� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms -•4 ��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, O Undrgrnd., Test � �� - 9. Water Pipe-Undrgrnd. 60. Backwash.Lines, P-Trap, � Undrgrnd. A� .a 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line•& House Connection 62. Backwash & Receptor-Final c- 72. �Sewer Cap ' � 63. Heater & Vent�Final ri' 13. Roof Drains 64. Plumbing System - Final �; 74. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Fough 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 ❑Oil 23. Gas Pipe-Rou9h & Test � 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank�O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frameand 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:6�-�(] �� e � u�' GE!'i 34. Final Heating & Air Conditioning 35. Final Gas Pipe-`fest � _ 36. Hood orCanopy � � � � � 37. Final Factory Fireplace � � 38. Final Plumbing �: 39. Water Service-Final '� ' f: 40. GasService-Final �'' � 41. Solar pomestic-Final i+`[ . _ � .. 42. Backflow Preventer . � , ' 43. Backflow Irrigation , • �-> . 44. Landscape Irrigation System � � � 45. Sound Attenuation � � �;� 46. Handicap Regulations `s7 � � ' � 47. FINALSTRUCTURE&BUILDING - 48. Special Requirements Completed 49. Electric Release to Edison -�- ' 50. Gas Release to Southern California Gas Co • � � 57. CERTIFICATE OF OCCUPANCY . . _ . � . No. Date PflO1ECTRODPES8: 34S UNIVERSITY DR OWNEfl'S NRME: JOHN MORGAN M �ooRess: SAME 4` AflCN/ENCINEEfl: AS�-3662 �ODNESS: uxR: E 1 , , NEO.NO.: UNR: PEpMRTFE: JOHN MORGAN ( 714 ) 645-2932 �ooaess: 345 UNTVERSITY DR E1 IICEN5E0 CONTIUCTOq deeu�nox: � nemer ammn unt � am ucensee wieu � o6C aorer 9lcommendnp witn Section 7000) ol OiWsion 3 ot Ne Business ana Pralesciare CaEe, ana my license Is in Iun torce an0 enect. � tm uc.: sTnh uc.: cuss: �ale: ' SiOnawm: PI(EHS' COMPENSIITION OFClAMT10N: I �ereW amrm ttut I Aave a certificate oi consem to sell-mwre or a certifwte ol Workers' II:,�Oensatian Insuranu. ar a ceNlieG copy [hereot (Settion 3800. LaE. C�. . �:46ucr xo.: �xr. o��: LOMP�NY: ❑ Certilie0 wDY u �ere6y fumisheE. ❑ CertifieE wpy is (dW wiN Ne cily BuilOinp Oivision. Da�e: Applitant E%EMPfION fHOM WONNENS' COMPENS►TON OELUPIITION: (tlus sectian nee0 nm Ee comD� ��e pemi[ is fa one AunOreO (E100) or less�. I certity tAat in the pedarmance ol Ne wod lor wNcA Nis perrtut a issue0, I stull not empby any persan in any manner so az to becoma su�lect to t�e Workers' ComOansatian La 0� CatiPomia. . Oate: Siqnatua: � I NOTICE: II, aher malanp Nis OecWration, you slwiAO Eemme 5u0ject to IM Workers Campeiaatbn pravitions al the La6or CoOe, you must forihwith comvN �th s� D�w�sions or tMs permit StWI Uo OremeE rewketl. CONSTHUCTION LENOING RGENCY: I herebY aKrm ttwt there rs a consiruction IenOing a0ency for the peAormance ol Ue woA lor wtuc� Nis Oemul is issuetl (5ectlan 3097. Civ. CI. IEN�Efl: ROOHEEB: OWNEN BOR➢EH OECIAf1ATI0N: I MreOy an� w� I am exempt trom tlre Contnctors State LicenSe Law iw tha idlowinp reason (Sectron 703t.5 eusiness an0 Protesslanal Code: My dry ol wunry wtdcn repulres a ce�t m consvuct, atter, imo�mre. Eemolisn, o� reDair any stnutun, prior to tts issuanu, als0 requira tM appFant tor wU permn to file a sipneE sutement ihat hds�e b IiunseE pursuant to tAe pmyl5ions ol tAe ConVactan' Sute Lkense Law (�Cttr 91��endnp xi[n Section 7000) oi OFrislon 3 0l tna BusNeu an0 Prohssions CoOe) or ��at Atls�e is exempt Uemtmm an0 t�e Oasis tor t�e allepeE e.emptbn. My violation al Section 7031.5 Ey apDlkanl lor a perrrvt wOjecis Ili9 appticant ro a civil penalry of wt mwe tlun Me twnEreA Odlars (f50�. I, as awner of tha O�M a� mY emWoyen xitn wapes as Neir sole compensafion, will Uo tha work, an0 the �, sv�cwre �s noe m�enaea or onerea mr sa�a �Section 7041. Buunoss an0 Pmlessional CoEe: T�e Contaclors' State License Law Oces not appry Io an ovmer ot a propeM ��s or Improves Itrcreon, an0 wAo Uoes suc� work Nmsell/hersell or tnmupn nis or her own employees. pmNOeE Ihx� sucn impmvements aro nol inten0e0 or oileroa lar sale. If, Aowever tAa DullAlnp or impmvement is w10 mi�in ona year o� �mqetion, IM awner wlll luve t�e EurAen of provinp hUs�e Gid not CuiIE or im0�ove for tAe Durpose ol ule). 1, as owner ol I�e pmperty. am ewclusi+eIy conirattinp wit� Ilcense0 cantraclors lo constmct tAe Drolect (Sectlon 70Ed, Business ❑ an0 Professians CaAe: The Contactor5' S��e Lkmsa Lrx tla� nol appry to an mmer ol Droperry who CutlAs ar imprwes Nereon anU wM contrec[s lor sucA pro�ects wi�� a wntractaqs) Ilce a Oursuanl to tAe Contraaors' State Ucensa Law�. I am aware I�a� prool al IMir Workei 5 CampensAilan InSurante SAouIC E OvIGCE to m0. j� � � I am exempt unaer Sectlon: � B. 8 P. C. 11 , ^� for inis r'pson: _ _ \ �I I\ Oata: �f � � / 7 �/ l p,vner. I Oo nerc�y urtiry tAat I am mare ol anE un0en� mfnLs 2553a an011wi I or anY futurt builAinO �+D�t wilVwill n(dr on na permit for canstn�ttion ar mo0ifiwuon Irom IM ar ry a0 �t D t�ese D��ons. Date: _��0 ADp��: I hereDy ceniry tAat I have read tt� apDGwtion � sute Ilre aCo h oNinances an0 sGte laws relaGnq to OuilGifp wnsl nE IlereOY am pmpeM for insP tion purpases. oate:; <6 5i9remrz: Driver's ticense ar Social Secunry M: t8a1-a6 W�ite—Builtling; Green—CoEe En�orcement; Cenary O�i� anO' lar a Iram CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 045746 PLAN CHECK NO: 02377-90 6 PERM NO: B 04574G GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STki PURPOSE: ALT JOH DESCI2IPTION : INSTALL WINDOWS IN A CONDO UNI'f SQ.FT; 2,000 CLAIM PALUE: 2,000.00 CALC—VALUE: 2,000.00 GROUP OCC: R-1 / COMMGtJTS: WINDOWS NOT TO CUT LET—INS *x�***�t�**it***it*******ifitx��t***it*�e�rit�rrtitatatit�t�t�t*-*x��tit*at+r�r*�tit*�tft*et�t�t*ititet�t*�t*��-itat�r*�r�t*�t Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------- MAIN BOILDING ---------- -------�-- ACCFS50RY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT � IN REAR: FT � IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN P1IRKTNG REQ: PROV: PARCEL: 43909116 2NE: R2 REF NO: PLANNING NOTES> FOR '1'HE INSTALLATION OF VARIOUS—SIZED WINDUWS AS INDICATF.D, ' > ONLY.' APPL. IiAS INPORMED THAT HE T�AS CONSENT I'ROM H.O. ASS. iE 1E il� ik �lF 3E 1f� iF iE �f iE iF 3f 3f if iE if fE ik iE 1F iEiE iE iF iE ik �E if iF if iE 3F iE iFiE 1E if 1E iE �IF iF dE 3E 1E 1E if� if if 1E if if it �1F if iF if k iE IE ik if -0E it iE 9E �IE iE �lE iFiF iE iFaF k it iE # ik D E V E L O P M E'ld T S E R V I C E S R E Q U I R E M E N T S ZUNING APPROVED AY �` CO. �. DATE: .��19—�D_ BUILDINC APPROVED HY : __ DATE: APPliICATION SSSUF.D BY•e ,� � DAT�: r-I ^ t� ikiF�E*%ititi�f�ttit�itiE�Ett*ifiFit�tati�3F'iFiFiF3f'iFiF'iFiFiFTFiF'iF"iEiEi�FiF'iFiFiF3FiF3FiF4Fi iE'iFiFiF7F�t�*i�it�t��lt�t�t-i�* iFiFiFit* iE iF iE iF if if +t it iE if iF fE iE tE iE rt if ff if if ii� it iE if iF iFiE 1E iE if if if if iE if ib IE iE if iE it it if fE iE if it if iE i! iE 1t it iE iE iE if iE it iE iE if ib it iE ik 1t it IE �E if iE iE iE It It iE iE iF LEGALIZATION:N F E E S U M M A R Y .STRUCTORAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MF.CHANIC FIRE SMIP/RES� GRADING PERMIT 45.00 .50• • SMIP/NON=RES PI,AN 29 , 25 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TO'TAL PAID DUE TOTALS----> 45.50 0.00 29.25 74.75 79.75 .00 R�VENUE DIVISION TOTAL.�'i--> COLLECTED: 74.75 OVER/SHORT: '' .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 45.00 ,50 � 29.25 �f iE iE M if iE �!f if if 1F fF ik iE fE k!f fE If !E 3E 1E M if if iE if M ik k if if k# iE M iE iE iE iF if it !F iE iE iE iE k iF �f M if iF it if K iE it iF 3f it i61k If 1E fE !E if IE ![' it It )f M if 1f iE K 1E I N D I l� I A U A L F E E B R E A K p O W N '-� TYPE Q1'Y D E S C R I P T I O N UNIT COST' TOTAL COST SFR 2000 ALTGR DY VALUF RESIDEtdTIAL NOZODIE 1.00 2'�000.00 EAID OF FEES • O1 QC�051953-00051960 Y O Y DATE� O1/16/90 TFFIE: 15:16 74.75 f-0NSl UCTION AND PLANNi�.� �OL & SPA • APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .; � � a. 2.�Soil Pipe•Undrgrnd. 53. Steel Reinforcement , -' � 3: -Electrical ConduirU[ility�Undrgrnd. 54. Forms ' � '' 1�4: �Electrical Conduit-�Undrgrnd. 55. Electrical Bonding �5�. Steel Reinforcement 56. Rough Plumbing & Pressure Test � �. -� �-. - Tj6' Electrical UFER:Grnd. 57. APPROVAL TO COVER�GUNITE �:7. Footings f� � 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 ' 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 Sigfi• 68. APPROVED FOR PLASTERING ' 18. Rough Electricel-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating &.Air Conditioning � _ A_ �FIRE DEPT. REQUIREMENT 20.'-Rouqh Factory Fireplace __. �,-� c; + - . - � . APPROVA6S::,=Permit # 27. �Du'�Ts, in�Structure; " ' - � _ � .�. �� }70. Underg ound�,Hydro A 22.-Ducfs, Ventilating�. - - _ - . fi �71. ProducrPiping OGas ❑Oil 23.�Gas`Pipe^Rough & Test -� - �' �- ' _ -72. Underground Flu`sh � i ; ' 24. rRoof Framing '= � ' �� - � ` _ j� ;; '73. :Undergrnd. StorageSTank � Gas ❑ Oil 25. Roof� Sheathi�g _ ' " • � _ � y 74.�Overhead Hydro _,. : 26..T�Bar Ceiling (Struc.tura�) & Monocoat � - � 75.-Dry Chemical � � - 27.-Frame and Flash`ng_ - ' _ ' �f 76. Dry Standpipe - - ' , : - a' � ,: _, .� t �t . -28. Lathing�& Siding., . ' _ �, .j _ p � �� 77=,F�XED SY.STEM FINAL�: �- - . 29. Insulation � � _ ' - 9Q , . � 78$,FIRE PREV. FINAL � - �30. Drywall-Nailing _.t `. `-�; K HEALTH�DEPT�RE�UIREMENT '_31. Plaster 87own Coat" _ - �' ' '79. FINAL IN$PECTION • _ ^132.-.Electrical'Power Meier-Final _ �' i' �" F „ �SO.:FOOD CERTIFIGATE ISSUED _ - '33.'FinalElectric _ T r _ ' �� Notes:� " "•C' �' �=34. Fina`I Heating�& Air,Coriditioning _� ` _ , ' ; ; " "' ? ,� ` ' 35.?Final Gas Pipe•Test � ^. � = � � _ ' ''%^ ..� �36. Hootl or�CanoPY � � E"= -. C'- i :. x z ' - � �- �-' =37. •Final� Factory Fireplace� _ � '< � _ - _ . n ^ . t - N t �38.�FinafPlumbing ' - _ � `" _ � _ �� « - :� + ' - • ' ' 39. Water Ser,vice,Finalc F � • y' � . �- �� `40. GasService�Final '� -� '- - �'' �";� " :,41 .�`Solar pomesticFinal - _ �� - " ':� ,: - ; i. . ... - 42.� Backflow Preventert � ' '� � r- C' ' - ' Y _ ' ' _ .. - ; ` 43. Backflow Irrigation. ," -' a - ,. r � • _ ' _ _'^ r_ ' ' � v: :. f ' P: ::('• y ` *44. Landscape liiigatiofi System� - � • ' - _ . ��< r `45;'Sound Attenuatioq - ... ' �.� ` , -x+• - � - 46. Handicap Regulations "'= ' ^ �- - �- - ' . ' . Y �^ <� -�.•` ,.�47.�F W,AL STRUCTURE & BUILDING �� ;Y _ -: . ^ �j � ' � ��_ 48.rFINALPLANNING: ' - � � ' �" r � , ,: y� �'d;(JBG `49. Electric:Release to Edison "' ' _ � . ';. . - � . . -� r . 50: Gas'Release to Southern California Gas Co '• � � ` � �'�' � < -, •. z. - � _ ,:. "51. CERTIFICATEOFOCCUPANCY • ° � - - No. � Date ADDlicant to fill in ail spaces except those witnin neavy Oorder Iines anE sign all aov�opriata tleclarations. CITv oF Cos7A,j�ESA34b UI1SversC� O�IrPERMIT Projea Address ��4b Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contractor's Name Phone Address (mailing) City License No. ��RP_I' bu� 1 der �ICENSED CONTRACTOR DECLARATION I hereby aflirm that I am licensetl untle� provi5ion5 of Charter 9(cOmmencing with section ]000) of Division 3 0l Ihe Business antl Professlons Cotle, anU my license is in full (orce antl etiect. License Class Llcense No. Date Signature WORKEPS'COMPENSATION DECLARATION •reDy a(tirm tnat I have a certificate of consent to self-Insure or a certiflWte Workers' Compen5ation InsuranG¢, Or a certi(ietl Copy thar¢OI (SeCtlon _.,00, Lab. C.) Policy No. Company BCertifietl copy is hereby (urnizhetl. Certi(ietl copy is filetl with the city Builtling �ivision. E%EMPTION FROM W00.KER5' COMPENSATION DECIARATION (Tnissection neetl not be completetl if the permit is for one huntlretl ($100) or lesz). 1 certify Ihat in the perPormance ot the work for wnich thls perm�t Is Issuetl, I shall not employ any person in any manner so as to becom sublect to the Worke ' omp.nsajion Laws of Califp� nia,rj� Da[e Si9na[ure l'' r(' / �� A�eL NOTIC : I, fter making this declatation, you�ultl become Subj¢Ct t0 the Workers' Compensation provisions of the Labor Cotle, you must torthwith comply with sUch O�ovision5 or thi5 permit Shall be tl¢¢metl vevoketl. CONSTRUCTION LENDING AGENCV I hereby atfirm ihat there is a construclion lentling agency for the performance ot tne'work tor wnich this permit i5 i55u¢tl (SeCtion 3097 Civ. CJ Lentler's Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby aftirm Ihat I am ¢xempt f�om Ih¢ Contractor'S LlCense Law (or [he following reason (Section �031.5 Business antl Profe55ional Coae: Any city or county which requires a pe�mit to ConStruct, alter, ITptove, tlemoli5h O/ /epai� any structure, prior to its issuance, also requires the applicant tor such permit to file a siqnetl slatement lhat he/She is IicenSetl Pu�suant to th¢ P�ovl5ion5 ot �ne Contractor's License Law (Gnapter 9(<ommencing with Section ]000) of 'vision 3 of the Business antl Professions Cotle) or lhat he/sne Is exempt uefrom antl the basis tor the allegetl ezemptlon. Any violation ot Sectlon l31.5 by any applican[ tor a permil subjects the applicant to a civil penalty of not more [han five huntlretl tlollars (E500). ❑ I, as owner of the proPerty or my employees wi[n wages as tneir sole rompen5ation, will Co the wo�k, an� the Struc[u�e is nol inlentletl Or otfer¢tl Por wle (Section ]044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner o( a property who bWlas or improves thereon, antl who tloes sucn work himsel(/nersel( or through his or her own employees, provitlea tnat sucM1 improvemants ara not Intentletl or ofierea tor sale. It, howeve�, th¢ builtlin9 or ImprOv¢ment IS Soltl witnin one year oi com- o�etion, the owner will nave Ihe burtlen of vroving he/sne tlltl not Dulla or Im- ve for tne purpose of Sale). 1, as owner of the Oroperty, am exclusivety conl�acting with IlcenSetl Co0- (dCtOt5l0 COfISflUCS IhC plOjECI ($CC[IOO 1�44� BUSIO855 dlld PIOfC55�0lIS CO(1C: I Tne Contractor's License Law tloes not apply to an owner oi property who builtls o� improves therean. antl who conVatts for such oroleGts with a r.on- Vactor�s license pursuan[ [o [ne ConVactor's License Law). I am aware Ihat proo( o� their Worker's eompen5ation Insurance shoula oe provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date �/ / / / �+/'� Owner I her¢b certif� y that I have rea� information is coriett. I agr¢e to antl state laws relating to builtlin sentatives of this city to enter inspectlon pu p es. Signature Drivers' License or 5� —�� 0865-46, rev. 5/BB White - 8uiltling; Canary above OdOCES repre- [y tor .... .._ _. . - -- -- .,... 3 �v3 BLDG E 1 2 3 4 5 6 AP# S Main Buildi TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' 7 Ftont DESCRIPTION OF WORK/USE OF BLDG. A Rear TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I C Right ❑ TENANT ❑ ELECTRIGAL ❑ PLUMBING ❑ MECHANICAL g Left ❑ OTHER � Ping. R¢f. # PROJECT DESCRIPTION SQ. FT.Q3On oCCUa�q�y�.�_ planning Notes: CONSTRUCTIONTVPE VALUATION$O•$ U ZONE GRADING CU. VDS. ACRES . _. Remark5: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Serviee Outlets <itchen Sink Lavatories '—Trep Roof Drains Reinspection Fee §15 Boiler Duct- Under Ground Duct - S[ructural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIL iC80 # Heatin9 SVstem & Ducting ❑ ai oo,000 sTu 0 i ao,aoo Reinspection Fee ; Pink - Accounting: Goltl¢nrotl - Assesso� $15 $hOWEf3 Service Sink Sewer Cap Sewer Connection Solar CollectOrS Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Foe Hood or Typel O Canopy Type II ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire DamOers Registers Issue Fee FEES Automatic Washer Cons[ruction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 00.5 KW �5-15 $ 3 $ 3 zo�e Accessory Parking Req./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter Dup to 100 amps Meter ❑over100amps Sub Panel Motors �0.7 HP Qq X- 8 Inc. Soiar �9�i 5 HP 016-15+ Microwave ' Pole Light � Range Sign Standing Sections � Trash Compacror Fee �$15 � � luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: 2oning Approved By Building Approved By Appliotion laued Bv FEES $ 3 N I N G R E O M T S. SUMMARVOF EES �-p� BUILDING PERMIT $ f �g'_O� SMIP $_.�.,Z1� PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROPILM $ ��p �� MECHANICAL $ TOTAL FEE $ _LS��L PLAN CHECK 25% $ e! c�:avr��-�aa�9a2c � a� � . _ ��iE� �3/D�/F9 i'Ins_: G9:2r, CONSTRUCTION ANDPLANNING POi :SPA , ; APPROVALS Permit# Date Inspector AppROVALS Permit# � Date In:pector 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 i 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE " 7. Footings - 58. Electrical Conduit-Undrgmd. . . .8.'Foundation ,-� 59. Gas Pipe, O Undrgrnd., Test � . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, RTrap, O Undrgrnd. � 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final � 13. Roof Drains ' 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final l,i6. Rough Electric Wiring 67. Fencing & Access Approval .�7•. 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 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. �Roof Framing 73. Undergrnd.StorageTank OGas ❑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 47. Solar pomestic-Final 42. Backflow Preventer ' �. 43. Backflow Irrigation , 44. Landscape Irrigation System . � � , 45. Sound Attenuation �.� 46. Handicap Regulations . 47. fINALSTRUCTURE&BUILDING / � 48. Special Requirements Completed 49. Electric Release to Edison � �, N 50. Gas Release to Southem Califomia Gas Co '�� , i ,_ 51. CERTIFICATE OF OCCUPANCY ' � % N0. � Date � . 1 .� ... �121. �� i2u� �.� J 0 ��