HomeMy WebLinkAbout984 VALENCIA ST - Building PermitsPflOJECT ROOHESS:
� OWNEfl'SNpME: ViR4 VALENC.[A ST
nooness: CARRETT JOHN H TR
• �C F G `lNVESTMENTS IhC
17220 NETrTHOPE S'P N229
FOliNTAIN VALLEY,CA 92"!08
, RNCH/ENGINEEB: J S 7— 1 4 3 S flEG.NO.:
�ooness:
UNIT:
CITY OF COSTA MESA — 9UILDING PERMIT PcRM NO: B O5831�
PERMIT IvO; B 058312 PLAN CHECK NO: U2785-92 S GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOS'E: Ai.T
uxiT: JOB DESCRZPTION : ENCLOSE 3 CPv'tPORTS TO 3 GARAGE DOORS SQ :T: 750
PEflM1TTEE: CFG INVEST. /FOR BRANNIS ( 714 ) 557-1430
PDOflESS: 1.�Z�O NEWhOPE
p(�i7�iT}� � �/ py
UCENSEU CONTN�CTOq bELIANpTIONi'ITere6y irm ifiail am licensen unae�pwNsions o� C aoter 9 �commencing wnn Section
7000� ol �ivisinn 3 0l Ihe Busineu antl Professions Coae. ana my license is in lull to¢e anA eflect.
CI1Y LIC.: .�STATE IIC.: ClASS:
ear '1�L��i �� s�A�a���e!�OI��.t.B�dnn,�C�Cr��`t/h-a�
WOBNEBS' LOMPENSRTION UECU1PA710N: I hereby allirm itwt I �ave a utlificate of consent to selbinsure or a certilicare of Workers'
Campensaiion Insurance, or a cenifiea coDV ��ereol (Sec�ion 3800, Lab. C�.
voucvxo.: 0614136-92 EXP.ORTE: ULIO1�93
COMPRNY: C T
.,TF�T�. Ft�NL1-�
❑ Cenifie0 copy is ere y tumis d. LX CenifieG wpy ¢ fileC wit� the ci�y Builtling DiviSion. u`�v QS ��.F�
�j��7' 17� iof YN.�iann�S b-t�-
eete: MPlicanL i]t.y���..�[�45�
EXEMPfION FflOM WONKEPS' COMPENSIITION UECIAflAT10N: (ihis 5¢cWn irec9 iro� be CampletM i� Ihe perml5 tor a1e hunAf[d (5100� at 1¢55�.
I cetlily Ihai in ihe peAormance ol I�e work lor w�icA �hi5 oermit i5 issueq I ihall noi emDloy any person in any manner so as �o became
suGject to Ihe Workers' Compensa�ion Laws ol Calilomia.
Oate: Sipnature�.
NOTICE: II, atler making I�is Ueclaralion, you ShoWU 6ecome subject �o Ihe Wo�kers' Compensa�ion provisions oi the Labar
Code. you musi latlhwi�h comply wil� suc� D�ovisions or Ihis permi� shall be deemetl revokea.
CONSiflUC7lON LENDING �GENCY: I neRey allirm inal inere is a cow(mction lending aAenty lar ine Derformance af ihe work lor
whic� Ihis oermi� is i5suea (Sec�ion 3W7. Civ. C�.
LENOEX:
ROOflESS:
OwNEB BWlOEB oECLAPR7lON: I here�y ailirm tnat I am exempt imm the Camracmrs' State License Law for tAe lollowing reason
I��ion 7031.5 Busineu ana Pmfessional Code: My cily of wunty which ¢puires a Dermil to con5imct. alter, improve, Oemolish, or
reDair any siNclute, pnor lo ils issuance, also repuires I�e apD�icant lor such permil lo file a signeE slatementihat t1e/she is IicenseU
pursuan� to ihe pmvisions oi ihe Comractors' State License Law (Chao�er 9(commencing with Section 7000) ol �ivision 3 ot �ne Business
antl Pmfessions Cotle) or Ihai helshe is e�empt inerefmm an� Ihe 6asis lor the allegea exemDtion. any vioWtion oi Sec�ion 7031.5 Ey
any applicant lor a permi� sublecis I�e apDlicant Io a civil Denalty ol noi more Ihan live �untlfe0 Oollars (5500�.
I. as owner ol the pmpeny or my employees wilh wages as IAeir sole compensatioq will Ao Ihe work, an0 tAe
❑ slruclureis nolintentletl orofleretl lorsale (Seclion 7044, Business anU ProfessionalCoAel The Coniracbrs' State License Law
aoes not aDUly to an owner o1 a O�openy w�o Cuiltls or impmves thereon, anA who Aoes such work himsell/herseli or ihrouA�
his or �er own employees. DroviAetl t�at such impwvements are not intended ar oflered lar sale. If, howeve� tAe 6uiltlinA or
impmvemeni is 5old wilhin one y¢ar ot tompleiion, �he Owner will have the burden 0� pmvinA he/5he Ai0 nol huilJ Or imDmve
�or I�e purpose ol sale�.
�I. as owner ol Ihe pmperty. am evclu5ively contraclinA wilh Iicense0 contrac�ors to conslmd lhe pwiec� (Seclion 7044, Business
antl Prolessbns CaCe: The Contracmrs' State License Law dces nat aDDN �o an ormer af OropeM � bWOs or imprwes iherean
anA who tonirads Ior sut0 prOietlS wii� a fAnlratlm�5) license pursuani �o I�e fAnlraClo�S' Siatt Litense Law�. I am aware
ihai D�oof ol Iheir WOBer'S ComDensalion insurance 5houltl be O�ovitletl �o me.
� I am c�empi un0er Sec�ion: 8. d P. C.
�or IAis reason:
�ate: Owner.
I tlo nere�y cenily ina� I am aware of and un0erstantl Ne requiremenls ol Califomia Heallh antl Safery Coae Sections 25505, 25533, anE
2553a anA Ihal I or any �Nure builtling oeeupanl wAllwill not (circle ane) neetl Io comply wi�h said s�ale co0e5 anA Iha requiremen�s for a
perm�t lor consimction or moDificalion imm �he Air Oualily Managemenl �iSVicL NeSiUen�ial cons�mction aDP�ications are exem0� ��om
I�ese provisions.
Da�¢: ApplicanC
I �ere�y cetlily�hdll�ave readthis applicaiion an0 5�aiel�al I�e aUoveintorma�ionis Wrrec�. lagreeto wmDly wilh ailcity antl county
arGinantes anU state Wvrsrelalingia �uilUing cMsimc�iM anGl�¢reGy auilpnze repres¢nlaiiv¢5 o�INS tlryio enler upMlneaUOve-mentiWl¢�
pmoeny �o� mspecfon owposes. /N� m-brGN �5 w I��'�l�
/� p n�n, � L �61N-lJ P5'IYM
'Ra�:���� l' 1 � Signa�ure: � �Y (rl��
Drivefs Lirense a� Social Securi�y x: �„���,� �'�
I6at�a6 WM1ne—Builtling�. Green—Coae Enlorcemont; Canary—Apphcant; Pink—Revenve: GOltlenro0—Assessar
CI.,AIN VALUE: 750,00 CALC—VALUE; 750,00 GRUIIP OCC; R-1 /
COMMENI'S: ENCI,OSE CARPORTS TO GARAGES
Ih If �K �%�%�!f �lE i(� Yc �IE iE if YE jf %%�7f �lE if �k �)f ie iF 7f ik #�E �k �k' if lf iFdf �c if �%iE�fF �%� jE �N-���%� #�7f �(- IE �1!- K#�ki! k?f iE-� Y�lf �Y.��e 7E IE IE �Sl� � IE if #�lf �Y. �{ # iE if iE #!f iF 3<.
2 O N I N G R E Q U Z R E M E I3 T S
S E T B A C K S
----------- MATN HIIILDSNG --�----•---- --------- ACCESSOkY B(7II.DING --------
I'RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT �N
LEi�T: FT SN RGHT; FT IN LEFT: FT IN R(�HT; E'T IN
PARKING RzQ� PROV; PARCEL• 14166929 ZNc: R4 kEF NO;
PLANNING N(STES> PROFO5ED ZNSTALLATION OF GARAGE DOORS WITHOU3 INTERIOR
> GARAGE SEPARATIONS,
ie iF 1E 3F #�ElF �7F iF �ElE lf iF 3f )f * k iE il� iE if # if iF iE ie iF 1E iE # fE iF iF 1E iE iF if %� 3E iE aE i(-�1E iE if k jF i61!� 3� iE �Y.� }�1E if 3f 3F it+c #� Ih ii X� i� if ii- iE ii� Y 3f fE } ie R} 1E iE 3h i(�
D E V E L O P M E N T S E R V I C E S R E Q li I R E,'�4 E N T S
20NING APPROVED BY ; � � DATE;���� � �
BUZLDING APPROVED BY : �— DATc; <—��-9�
APPLICATION ISSUED BY; �V�,` DAT'E; % �'�—'�Z�
iFiF�IflEir�I'riEif�iflF3Fiiii*�(�%iPi'r1EiEiE3hlEiFit �FiriFFte7F�it"TF"x'�7FiT�-�F3F��Fi'rif��iF'iF�i�'�#%�if•�%1ejf�f�iCiEic-T"�ie%3i�.'�ick
iF if iF ip �c 1f IF if # �F �k 3i iF #'� if �ElE �E iE if # iF le iE iF ic 3f �E M� if if fE i4 iE iF ie if �k?e iE 3c �?E if 1E if ih 3F iM1 k 3f #� if # iF �f il-iE 3F iF if iE IE-lik �F'w� if M ib 3f �'r 1E s 3e ii'r•-} }:� ii �Y
LEGALI7.ATION;N F E E S U M M A R Y STRliCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTkIC MECHANIC rIRE SMIP/RES GRADING
PERMIT 21.00 ' .50
SMIP/NON—RES
PLAN 13.65 ..
ISSUE FEE �
BUILDING—DIV—> PERNIT ISSUE 'P�AN�CHECK TOTAi�
FAtD noE
TOTALS----> 21.50 0.00 13,65 35.25 35.iS .OU
kEVENUE DIVISION TOTALS--> COLLECTED; 35.15 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECK
21,OU ,50 13.65
if ie if iF iF �lE if � if iF if if 3(-�1f iF�lf-,�f iP if� iF dF if� iF iE 1E ic 1e iE 3(� 1E if � if af #� i(� 7E 1E iE-1E iE �1P jljE If iC�?(��(� iF k iF af jf ik �e �)f #f � ie �f iM1 3'r R iF if� i!Y iE-1F ik iE 3F 3f 3e iF 3e i� i'r iC� i'r
I N D I V I D U A L F E E B R E A H D O W N
TYPE QTY D E S C R I P T I O'N UNIT COST iUTAL COST
SFR 750 � ALTER BY VALUE FSESIA�NT�AL NOZONE 1.00 750,OU
cNLS OF.�rE£S
� "
EXPIRED „" `
f� prl�t,e Inspections
t�te ���1L� �B � ,—=--
��C. NSTRUCTION AND PLANNING . POOL & SPA �
APPROVAIS Permit # Date Inspector AppROVALS 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 Conduit�Undrgrnd. 55. Electrital Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Eiectricat 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, � Undrgrnd.
70. Structural Floor System � 61. APPROVAL TO DECK
1 t. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Dreins 64. Plumbing Sysiem - Final
14. Rough Piumbinq 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiiing 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPFiOVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling 69. POOUSPA 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, Ventiiaiing 71. Product Piping O Gas � Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank L� Gas � Oil
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling (Structuraq & Manocoat 75. Dry Chemical ..
27. Freme and Flashing 76. Dry Standpipe N�
28. Lathing & Siding 77. FIXED SYSTEM FINAL -t
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 I�SUED
33. Final Electric Notes: _9 �l�9� _ -- __�
34. Final Heati�g & Air Conditio�ing � �/�, �� 3 l t`�- ��
35. Final Gas Pipe•Test
36. Hood or Canopy
37. Final Factory Pireplace -
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backf�ow Preventer
43. Backfiow Irrigation
44. Landscape irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BU�LDING
46. FINAL PLANNING '
49. Electric Release to Edison
50. Gas Release to Souther� California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
pROPERTY MANAGEMENT AGREEMENT
THIS IS �NTENDED TO BE A LEGALIY BINDING AGREEMENT�— READ IT CAREFULLY
CALIFORNIA ASSOCIATION OF FicALTORS�S7ANDARD FORM
CFG INVFSZMII�FPS. INC.
agree as follows:
(hereinafter "Owner"), and
(hereinaftcr "A9ent"�,
1. The owncn c�reby employs a�d grents Agent the excluzivc righi [o :cnt, Icasc, operalc and managc the property known as ,
9�� �/���ti� , �.�z ��ti
and all future oropertv manaqed bv CFG Tnvestments. Inc.
�pon thc terms horcinaher sct forth, for thc period of I ndef ].ni.te* 6c9innin9 on the date hcrcof and
�.erminating the * day of � * , 79_; provided, however, that cithcr party hcrcto may tcrminate
his tontroct, as of thc �* day of * . _ during any ycar of thc tcrm hcrcof, by giving to
,ha other yarty not Iess than 30 days prior written notice on an intention �;:o terminate.
2. Agent shall: � ,
� (aj Use tlue diligence in the perfortnance of this contract:
(b1 Render monthl statements of reecipts, expenses and char9es and to remit to Uwner receipts less disbursements. In the
monthly othcr .
event [he disbursements shall be in excess of thc rents collected by [he Agent, thc Owner hereby agrces to�pay such excess
� promptly upon demand of thc Agcnt.
(e) Aceumulate as a reserve in the Owner's account cach month approrimately one�twclfth of the previous year's taxes, and bond
payments or assessmr.nts, il any, and to pay samc when duc. � �
(d) Depozit all reeeipts eolieeted (or Owner (Iess any sums properly deducted or oiherwize provided herein) in a Trust account in
a national or state institution qualified to engage in the banking or trust business, separate from AgenYs personal account. How•
ever, Agent will not bc hcid liable in cvcnt of bankruptcy or failure of a deposi[ory. ,�
(e) Bond by a fidelity bond in adcquace amount any cmploycc who handles or is responsible for Owncr's monics.
3. ThC Owner granG Agrnt :hc (O��owinp authority and powcr: and n•�-^r sho:l n�Y the cxpcnsc; in conne�tion herewieh:
(a) To advertise thc availability for rental of the herein describeu ,>::mises or any part thercof, and to display "for rent" signs thcrcot;
to sign, renew or eantel Ieases for the premises or any part :t�ereof; to collec[ rents or other char9es and expenses due or to be•
eome due and give receipts �therefor; to terminate tenanciei :,n:l to si9n and serve in the name of the Owne� such notices as'are
� apprdpriate; to institute and proseeute aetions to evict tenants and to recover possession of said premisez in the name of the
Ownet and reeover rents and o[her sums due; and when e::pedicnt, to settle, compromise, and release such actions or suits or
� reinstate�such tenancics. Any lease executed for the Owner by the A9ent shall not cxceed on� YeaY .
(b) To makc or causc to be madc and supervise repairs and altcracions, and co do decoratin9 on said prcmiscs; to purchasc suPP��es
and pa ail bills theretor. Th6 A9ent agrees to secure thc prior approval of the Owner on all expenditures �in exeess of
a 3�0.00 for any one item, exeept monthly or recurrin9 operating charqes and emer9cncy rcpairs in excess ot thG
maximum, if in [he opinion of lhe Agent such repairs are necessary to procect the property from damage or prevent Aamage to life
ot to the property of othets or to avoid suspension of necessary services or to avoid penalties or tines or to maintain services
to the tenants as called for in their ieascs. `
(e) To hire, diseharge and supervise all labor and employees rec,:ired for the operation and mainienance of the premises. Agen: may
perform any of its duties [hrou9h Owner's attorneys, a9ents cr employees and zhall not br. responsible lor their acts, defaults or
negligence ii reasonabie care has becn exercised in their app0in;ment and retention.
(d) To make eontraets fo� electricity, gas, fue�, water, telephone, window cicanin9, ash or rubbish haulin9 and other scrvices or such
of thcm as [he Agent sh811 dcem advisablc; the Owner to assumc thc obli9ation of any contract so entcred ;nto at thc terminatiun
ol this agreement.
(e) To pay loan indebtednets, property and employees taxes, special asses:mencs and in:urance�as desi9nated by Owner.
4. The Owaer shall: .
�a� Indemnify and save the Agent harmless from any and all costs, expenses, atiorncy's fces, suits, liabilitics, damages or claim lor
damages, inciuding but not limiteci to :hose arisin� out of any injury or dcath to any person or persons or �damage to any '
property of any kind whatsocvcr and to whomsocvcr bclonpinp, ineiuding Owncr, in any way rclating to ihe management o( Ihc
' premises by the Agent of the performance or exercise of eny o( the dutics, obli9ations, powerz or authorities herein or hereelter '
granted to the agent; to carry, at Owner's sole cost and expensc, such public liability, proper;y dama9c and worker's
eompensation insurance as shall be adequate to protect the i'ntcrests of the Agent and O�vner, the poticies for whir.h shall name .
the Agenc as wcll as the Owner as the pany insured. .
*This contract is effective .�D —�' 9� and may be
terminated with a 30-da; notice by ei.ther party:
r Neu lam�„ addreu — Gli(ornie /w«i611on ol qeelton�
36 SouN Vlrpil Awnw, lo� MOele�. GIIIa�i� 80030
oDYright o 1977 Calilornia Assoeialion ol Rcallors� (Rcvised 197))
.r,ovnr.r_.; .. ,. .
,'..
(b) Tc pay the Ayen::
(1) For Managcm
7.5� of Gross Income
(2) For Leasi,� �• 00 Re—Rent Fee, Late Charges Paid By Tenants To Be Credited To
CEG Investrnents, Inc..
(3) In thc event Ihat the Owncrs sha�I rcqucst thc Agcm to undcrtakc work cxcecdinp ihat usual to normal managemeni, then a
icc shall be agrced upon for sueh scrvices beforc t��; �•+ork bc9ins. Normal management does not includc modernization,
retinaneing, fire restoration, major rehabilitations, obtaining income .tax advica, presentin9 petitions to planning or zonin9
� eommittces, advising on proposed new construction or ot'ier counseling.
(4) For assignmenl: 1'he Owner hercby a9recs tha[ A9ent may be compcnsated by the party or parties requestin9 an assi9nment
ot Iease ior services rendered in ne9otiatin9 the consent of assi9nment.
(5) Other
5, 11 it'shall become neeessary for A9ent or Owner to 9ive notice cf any kind, the same shall be written, and served, by sendin9 �such
ce by eerti(ied mail to [he address shown under their si9nature.
6. This Agreement shall be binding upon the successors of the A9ent, and the heirs, administracors, executors, successors and assigns o(
Owner,
Parties eeknowledge having read the foregoing priot to execution and receipt of a duplicate ori9inat Uatud this
�
NESS:
19 _.._
ocial �Security #
river'•s License #���� _
�� �
� OWN
/.'� 4 . l/
Fountain Valley, CA 92708
ADDRESS
REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY C'r ANY PROVISION OR THE ADE�UACY OF ANY PROVISION
NY SPeCIFIC TRANSACTION. A REAL ESTATE BRGKEk IS THE PERSON pUALIFIED TO A�VISE ON REAL [STATE. If YOU
IRE LEGAL AOVICE CONSULT YOUR ATTORNEY.
FORM PMA•14
:�.
_
/ CITY OF COST
RUCTION PERMIT
Ao ica�o fllt in all
�Applicant's Mailin A dress'� � LW �1J- � _ c d1 t' h� V
Owner's Name �l�M �� T7T� ❑n,,,,luiSS� !v 3i
Address �
Arch/Eng. License No.
Address
, Contractor's Nam Phone
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
I ne�eby affi�m that I am li�ensetl un p�ovislons ot Charter,9 (commencing
with iec[ion 7000) of DivisiQ� o,the Business antl Pro(essions Cotle, antl
my license is in full force antl O�feYt� '
Llcense CIa55 �� License No.
Date Siqnahr
WORKERS'COMPENSATION ECLARATION �
I here�y afiirm Ihat I have a certificate ot consent to sel!-insure or a certiflcate
o( workers' Compensation � Insurance, or a certitietl copy thereof (Sectlon
3800, Lab. C.) . '
Policy No. � Company
BCertifietl coOY is �ereby furnishetl.
Certifietl copy is filetl wlth the city Builtlinq Dlvision.
Dale Applicant �
EXEMPTION FROM WORKERS' COMGENSATION DECLARATION
(This section neetl not be completetl if the permit is for one huntlretl ($100) or
less). '
I certity that in the performdnce of th¢ work fOr which ihis p t is i55uetl, I
sM1all not employ any pe�son In any n so as.to {ieco e ubject to the
Worker Co ens ion'LawsofCalit rni � / il�
Date Si9nature • L �,
'NOTIC : If, atte� taking [his tleclaration, you shoultl ecome 5 bject to the
Workers' Compen5ation provisions of [he Labor Cotle, you must torthwith '
comply with such provisions o� this Oermlt � shall be tleemetl revoketl.
CONSTRUGTION LENDING AGENCY �•
1 hereby altirm that there is sconstruction lentling agency for the performance
Of Ihe wo�k fa� which this permlt is issuetl (SeCtion 309] Civ. C.)
Lentler's Name
Lenaer's Aatlress
OWNER 9UILDER DECLARATION � ' ' •
I hereCy aftirm [hat I am exempt from tne ContractoYs Licenze Law for the
following reason (Section ]031.5 Buslness antl Pro(essional Cotle: Any city or
counfy which �equir¢5 a permiTto consGuct, alteq improve, dertiOlish or repai�
' any structure, prior to its issuance, alm requires the applicant for such permit �
to file a sign¢tl statement that he/she is licensetl pur5uant to the provisions of
the Contractor's Lic¢ns¢ Law (Chapter 9(mmmencing with Section 7000) o(
Division 3 of ihe Business antl Professions Cotle) or tha[ he/she is exempt
[herefrom antl the basis for the allegetl exemption. Any violation of $ection
7031.5 by any applicant for a permit subjects ihe applicant to a civil
�nalty ot not more than five huntlred tlollars ($500j.
I, a5 owne� of the Oroperty or my em0loyees with wages as thei� sole
compensation, will tlo the work, antl the structure is not intenaetl or otteretl
tor sale (Section 7044, Business antl Professional Cotle: The Contractor's
LicenSe Law tloes not apDly to an owner ot a prope�ty wbo builtl5 or improves
tpereon; antl wha tloes such work nimzelf/herself or through his or her own
employees, provitletl that Su[M1 improvements are n0t intentletl or offeretl tor
sale. If, howeve�, th¢ builaing or improvement is Soltl wlthin one year of com-
pletion, the owner will M1ave the burtlen Of provin9 he/she GiG no[ builtl o� im-
�roveforthe pur0ose of sale).
I, as owner of ihe pro0erty, am exclusively contractinq with licensetl con-
l�actors[o consVuct the projecf (Section ]044, Business antl Protessions Cotle:
The Contractor'S License law tloes not apply to an owner ot property who.
builtls or improves thereon, and who contratts tor such projects with a con-
tractor(sl license pursuant'to Lhe Contractoi's Licenze Law). I am aware tnat
proof of their Wo�ker'S Compensation in5urance shoultl be provitletl to me.
� I am exemp[ un0er Section B. & P. C. for this reason
Date
N
except those witnin heavy �ortler lines antl sign all apD�aOriate Geclarations.
TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTNER A,p. �6
DESCRIPTIONOFWORK/USEOFBLDG. '
S Main Building:
E
TVPE OF PERMIT GRADING FOUNDAl'ION STRUCTV RAL � T Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reer
❑ OTHER %�
C Right
PROJECT DESCRIPTION Sq. F7. OCCUaaNCV K
CONSTRUCTIONTVPE VALUATION$ S Left �
ZONE GRADING CU. VOS. ACRES Ping. Ref. #
Remarks: ' � Plannln9 NOteS:
Bar Sink
Backflow Preventer
Backflow Irri9ation . �
Bathtu6s
Clarifiers .
Dishwasher � �
Drinking Fountains
Floor Drains ,
Floor Sinks � ' . '�
GasService � Outle[s
Interceptors
Kitchen Sink
Lavamries
P—Trep
Roof Drains
Reinspection Fee $15
Duct - Under Ground
Duct - Structural
Duct � Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL Blc IC80 #
Heating System & Ducting '
❑0.100,000 BTU"0100,000 BT
sentatives o is city to enter, uoon e labove-mentionetl property tor
ins0ectlon rp Cs. _ � 1 � `^ O �`�.�
.\Signature l�� 4�-�.- v— —` te
Drivers' License or 55 � � Reinspaction Fee
`0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accountin9: GoltlenrOtl - Assessor
$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 Fea
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration $ystem
❑0.100,OOOBTU ❑100,OOOBT
System Repair/Alteration
Fire Dampers ' •
Registe�s �
laue Fee
FEES
$ 3
$ 3
Automatic Washer
Consttuction Pole
CoOking Unit
Dryers ❑Gas ❑EI�
Fan'
F.A. U.
Fixtutes
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator 00�5 KW
Reinspection Fee
9821
�uci �•�u�- ' Zone
Accessory Building:
Z
O
. N
I
. N
G
R
�i Parking Req./Provided E
�
M
T
S
ICAL FEES
Transformer ❑ 15�50 KW
❑ 50+KW
Meter Uup to 100�amps
Meter ❑over100amps
Sub Panel
Motors �0-1 HP � 1'/: - 8
Inc. Solar 09�15 HP 016-75+
Microwave
Pole�Light .
Range
; Standing Sec[ions
5 KW Trash Compactor � '
$15 luue Fee $ 3
DEVELOPMENT SERVICES RE�UIREMENTS:
Zoning Approved By
Building Approved By � q
SUMMARV OF FEES �
BUILDING PERM17 $ SMIP $
PLAN CHECK $ PERMIT �
PLUMBING $ � ISSUANCE $ i
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ � GRADING $
PLAN CHECK 50% $ MICROFILM $ �'���7�
MECHANICAL $ TOTAL FEE � $ 4�LIL_1_L—
PLAN CHECK 25% $
. CA�STRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector ApPROVALS Permit# Date Inspector
1. 'Temporary Electrical Service or Pole . 52. Pool & Equipment Location �
' 2. Soil Pipe-Undrgrnd. � " 53.� Steel Reinforcement � -/
� �3..Electrical Conduit Utility-Undrgrnd. � � 54. Forms . "� �
�4.-Electri¢al 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. F.oundation - . _ �`� 59. Gas Pipe,.� Undrgrnd., Test �
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, � Undrgrnd. 'j ,
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 . - � � -
75. Rough� Electrica6Conduit 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 #
27. Ducts, in Structure 70. Underground Hydro
22. Ducis, Ventilating . 77. 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:
VYIf�kIL V�(��A�O>c Lnc�t..c.Ec1
34. Final Heating & Air Conditioning y�/�5
35. Final Gas Pipe-Test '
36. Hood or Canopy .
37. Final Faaory Fireplace • �
38. Final Plumbing �/ � (��D
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 STRUCTUPE & BUILDING . � '
48. Special Requirements Completed � -
49. Electric Release to Edison - - � � +
50. Gas Release to Southern California Gas Co •
, 51. CERTIFICATE OF OCCUPANCY
No. Date
. �
City of Costa Mesa
Building Safefy DepaMment
P. O. Box 317
Costo Mma, California
CERTIFICATE OP OCCUPANCY N� 1$62 C
The Buiiding located at 9�► On1r'-r�cig F.f.rc+E+�:� A–D
has been inspected and found to comply with the provisions o4 all City of Costa Mesa Ordinances applicabte thereto
for a Group A R. J Occupanq.
Use of Building �� —
legal Description 1� �� �t �u
(See roverw iide for Metes ond Bound�)
Building Permif No.j,�$.� Elecirical Permit No.��»3� Plumbing Permit No. ;��+
Floor Load Signs have been installed as Room Capacity Signs have been instoled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (7) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operafor has been issued a volid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupanry shall be obtained whenever there is a change in:
1) Occupancy classification of a bvilding or portion thereof
2) The number of opartments or guest rooms
3) Ownership
If Gro�p H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments-4 and/or gvest rooms
ISSUED TO: � b�i�n��
HYCROI�T TGRRACIi IER:.
Date— EL'`�II]t3TSt��ir��►
7his Certificafe of Occupancy SHALL BE posted in a conspicuous place on the premises and SNALL NOT BE removed
except by the Building Official of the City of Costa Mesa under See. 306 (e) U.B.C. aom, BU34-1M-11-83--�4B P
L, •
UTILITY AUTHORIZATION
August 30, 1985
This is to authorize CFG Investments, Inc.
to replace the present utility meter
arrangements and arrange for a separate
house meter and a separate meter for
Apartment D on the property at 984 Valencia,
Costa Mesa.
CFG Investments, Inc. will handle all the
arrangements, including required permits.
Sig
t
STATE OF CALIFORNIA
COUNTY OF ORANGE
Oh this 30th day of August the year 1985
b�fore me, the undersigned a[�otary Public
in and for the County and State, personally
appeared, John Garrett personally known
to me to be the person subscribed to this
instrument and acknowledged that he
executed it.
OFFICIAL SEAL
• KEARIN R VAN LARE
♦ m NOTARf PUBLIC - CAlIF00.NIA
� ORApGf COUNTY
My mmm. exphes lUL 31, 1987
yi� t,�l�L�n h!'.�-' '
��arir� � ��n�a:�—
a ��5�
COSTA �MESA BUILDING-SAFETY DEPARTMENT
' P.O. BO%31] COBYA MCBA, CALIPORNIA
For Applicant To Fill In Completely
TYPE OR PRINT
ILDINO a encia .
�RES9 LOt �1� TS�gRt S,{���
COSTA MESA. CALIFORNIA
Ci09t,B
r�s" t�'��;Ei�'c.i�'
bUN z o �gg�
FINNNCE DEPT.
CI��PA�AG�AF���RMR
BUILDING
For Office Use Only
rtecnn xo. v
FIRE
N. E�clid 9ve. Anaheim
zoHs NO, OP ZONING
� �una aun
�e°�t,..,..0 c� o r� I
TEL.
NO. OP BLDa6.
BETBACK L1N8 PRON
CENTER OF 8TRE6! O� �tEAR YARD ].O �
SIDEYARDI L6FT � I R16HT � �
DESCRIPTION OF WORK -
BUILDINti �
SIZE
EXTERIOR WAL1,
COVERING $y
USE OF BUILOINI
NO.OF
� ROOM6
� I FtOOF
EAVE OVERHAN6 BHALL BE LES9 THAN
EAVES
ALLOWEO
YARD4APPROVED
MAIN BUILDING
VAR. ik
YARDSAPPROVE�
ACCESSORY BUILOIN�
BET. MAIN @
ACGESS.BU
DATE
1 MEREBY �CKNOWLeOOH TXAT 1 HAVB HEAD TXIB �GPLICATION �THE AMOUNT BHOWN UNG6R VALO�TION.18 FOR THE
ANO ST�1TE THAT TH[ A60V6 �i COqqlCT ANO AOREQ TO COM- PUPP09H OP 88iABLI8XIN0 A PERMIT FE6 ONLY.
PLY WITH ALL CITY ORDINANC[i ANO BTATe I.AWB PBGULATING ypLUATION n
eu�t�iHa coNSTxuciiOn. pERM1T FEE $ ,� /�Oi {
SIGNATUREOF HYCRO �
PERMITTE
/��,�q $�J� y� PLAN CXECK S IOOt I
AUTHORIZ6D AOfiNT /JJ�„ �/ . _ � Gn !
R�
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� f-Gity oi Costa Mesa Suil(�r��pt. r
i � i ��-� GL
y � ; I ' � ' DATE // � 79l
I i 7
�HF$F.I=�� N� MUST P�':!. �::� �T A.LL TIA•LS 1.4AKE
U`{��'';����� WITHOUI ?, ,�. , hPPRt;VAL OF DePT.
�
'I.>' I: .tilN1i�CE�O� CP.A^.:. . :. .n . [q!AIT OR APPROVAL OP
it;P7r.���f'[G�IFICATICh!;;�.��.:. :. ^,�COtvS7F.!1=DlOf,[A
ii�illi �(,R. Oq At14VpR!1'� . �i� v10LAT101: Or ANY' CF
. P�.`..IiS1�NSjOF TMS CG: i:_ .::. :a i? � FESI.tAIr:C �IC GIVE
la�'".iNifY t0 VIOI:AiE OR C:,: � r-�'�HE uR0\ri=?k5 `F 1HIS
��"� '"I;nll U[ VAU� EXCEfY ;:! 60 �Aq �$ llic •.J�iR OIi UFiE
.{"�..
�r�;: h�r r�uT�;oarrts is �awru� �
J 7MH ISSUAIJCc OF A PEHMIT dASED UPON PLA�dS M1D
PF.f1( ICA'.IUN$ SHALL NOT PREVFNT 1HE 6U�LONJG OFFICIAL
{iO1d�IHcREAFTEFl REOUIRING THE CGRPEGTIONOF ERfiORSIN
.viD �PIAIJS! A�D Si'[CIFiCATIpNS OR FROM PREI�ENTINp
i10.U�:i.IGPEW1T10t7S REING CARRi[U ON hIEFEUt�ER W1EN
� jVIJLR�ION OF, THIS CODE OR OF ANV OTHER ORDINANCE OF
( � i ; � � I .. -._ �.,
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APPR���
CITY OF COSTA MESA ;y
PLANNING D�f. , t�
aun�ccr ro etca. oar. oea �-
DIiL�fO! Or }UNNIlq ' � �
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- -- ; � � A,,,��`' _ FOR INSPECTIONS
-- j ; , �q�^��' .
-- �; � �, , � d" I �GW� CALL
_ _ � � � ,. � � 754-5626
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